Page 451 - Inventory Report
P. 451

Revisions                                                                                           $1.19 -   revised   unit cost  Unit Cost   Approved  $6.02 -   revised   unit cost  Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y                    $         9.19    $         8.90    $         8.29    $         6.88    $         6.72    $         6.63    $         6.33    $         6.30    $         6.11    $         6.05    $         6.04    $         6.03    $         5.95    $         5.89    $         5.85    $         5.74    $         5.21    $         5.10    $         5.07    $         4.96



             Unit
       X      Cost          $    4.59    $    1.78    $    1.66    $    1.72    $    0.42    $    2.21    $    0.90    $    1.26    $    3.06    $    6.05    $    0.40    $    1.51    $    1.19    $    1.47    $    0.98    $    6.02    $    0.65    $    1.27    $    1.01    $    1.24


             Package   Cost

       W                    $  110.27    $    17.81    $    41.44    $    42.97    $    12.59    $    55.27    $    22.60    $    31.50    $    30.56    $  151.16    $    10.07    $    36.21    $    28.56    $  123.77    $    24.38    $      6.02    $      6.52    $    15.29    $    25.37    $      1.24





       V      SOURCE       6770006446  7300005310  7300008746  7300008769  7300002959  7300005988  7300008690  7300007392  7300002914  7300005193  7300007361  7300006083  MIS   NADAC/UPD  ATED   MIS NADAC  7300005782  MIS   NADAC/UPD  ATED   PRICE  7300006073  MIS NADAC  7300008982  7300001124









       U      AHFS    ANTIARRHYTHMIC   AGENTS, CLASS Ib   ANTIARRHYTHMICS  BLOCKING AGENTS  76000000-OXYTOCICS  AMINOGLYCOSIDE   PHENOTHIAZINE   BENZODIAZEPINES  (ANXIOLYTIC,SEDATIV/  56283600-PROTON-  PUMP INHIBITORS  68040000-ADRENALS  BENZODIAZEPINES  (ANXIOLYTIC,SEDATIV/  ANTIPROTOZOALS,   MISCELLANEOUS  CEPHALOSPORINS,   68200808-INSULINS,   BENZODIAZEPINES   40200000-CALORIC   56320000-PROKINETIC
                   24040408-    24240000-BETA-  ADRENERGIC   08120200-  56222000-5-HT3   RECEPTOR   ANTAGONISTS  40280800-LOOP   DIURETICS  04041200-  DERIVATIVES  28240800-  28240800-  08309200-  40120000-  REPLACEMENT   PREPARATIONS  40120000-  REPLACEMENT   08120604-  SHORT-ACTING  28240800-  AGENTS  AGENTS  24320400-  ANGIOTENSIN-




         DEA
       T    CLAS  S                                                            IV                       IV                                      IV


       S  GENER  IC   CODE  26899         11400  41132        34940     14970  33823     13025  27003   33799  43025   2962  2962  25519   11642  45118  6940    20510  47580


              MANUFACTURER                                                            LLC, a subsidiary of                                                       Inc.



       R                B. Braun Medical   Inc.  West-Ward   Pharmaceuticals   Corp.  Par Pharmaceutical   Companies, Inc.  Fresenius Kabi   USA, LLC  BluePoint   Laboratories Inc.  Hospira, Inc.  West-Ward   Pharmaceuticals   Corp.  Fresenius Kabi   USA, LLC  Wyeth   Pharmaceuticals   Pfizer Inc.  Teva Parenteral   Medicines, Inc.  Fresenius Kabi   USA, LLC  Sagent   Pharmaceuticals  B. Braun Medical   Inc.  B. Braun Medical   Inc.  Hospira, Inc  Eli Lilly and   Company  Hospira, Inc.  B. Braun Medical   Inc.  Hospira,  Hospira, Inc.





              DOSE FORM  S INJECTION,                                               S INJECTION,             S INJECTION,   S INJECTION,   S INJECTION,   S INJECTION,   PARENTERAL   S INJECTION,   S INJECTION,

       Q              INTRAVENOU  SOLUTION  INTRAVENOU  S INJECTION  INTRAVENOU  S INJECTION  INTRAMUSCU  LAR/INTRAVE  ORAL   TABLET,   ORALLY   DISINTEGRA  INTRAMUSCU  LAR/INTRAVE  INTRAMUSCU  LAR;   INTRAVENOU  S INJECTION  INTRAMUSCU  LAR/INTRAVE  NOUS   INTRAVENOU  POWDER,   FOR   INTRA-  ARTICULAR;   INTRALESION  INTRAMUSCU  LAR/INTRAVE  NOUS   INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  INTRAVENOU  INJECTION,   SOLUTION  INTRAMUSCU  LAR/INTRAVE  INTRAVENOU  SOLUTION  INTRAMUSCU  LAR/INTRAVE  NOUS   INJECTION,  INTRAVENOU




            SIZE
       P      TXT


            UOI
       O      SIZE


         PACK  AGE         250       1    1    2         30   4         1      1         1      1       2      100     250  50   1         3    1      1000      2    1
       N      SIZE



       M    STRENG  TH  .8;   5g/100mL  ; g/100mL  1mg/mL  10[iU]/mL  40mg/mL  8mg/1  10mg/mL  25mg/mL  5mg/mL  40mg/10  mL  40mg/mL  1mg/mL  500mg/10  0mL  0.9g/100  mL  9mg/mL  1g/1  100[iU]/m  L  2mg/mL  5;   .45g/100  mL;   5mg/mL  1.25mg/m  L





       L      GENERIC  LIDOCAINE   HYDROCHL  ORIDE   ANHYDROU  S;   PROPRANO  LOL   HYDROCHL  ORIDE  OXYTOCIN  GENTAMICI  N SULFATE  ONDANSET  RON   HYDROCHL  ORIDE  FUROSEMI  DE  PROMETHA  ZINE   HYDROCHL  ORIDE  M   HYDROCHL  PANTOPRA  ZOLE   SODIUM  METHYLPR  EDNISOLON  E ACETATE  M   HYDROCHL  METRONID  AZOLE  SODIUM   CHLORIDE  SODIUM   CHLORIDE  CEFAZOLIN   SODIUM  INSULIN   HUMAN  LORAZEPA  M  DEXTROSE;   SODIUM   CHLORIDE  METOCLOP  RAMIDE   HYDROCHL  ORIDE  ENALAPRIL  AT






       K      TRADE  LIDOCAINE   HYDROCHL  ORIDE AND   DEXTROSE  PROPRANO  LOL   HYDROCHL  ORIDE  PITOCIN  N SULFATE  ONDANSET  RON   HYDROCHL  ORIDE  FUROSEMI  DE  PROMETHA  ZINE   HYDROCHL  ORIDE MIDAZOLAM MIDAZOLA  HYDROCHL  ORIDE  PROTONIX   I.V.  METHYLPR  EDNISOLON  E ACETATE MIDAZOLAM MIDAZOLA  HYDROCHL  ORIDE  METRONID  AZOLE  SODIUM   CHLORIDE  SODIUM   CHLORIDE  CEFAZOLIN   SODIUM  HUMULIN R   LORAZEPA  M  DEXTROSE   AND   SODIUM   METOCLOP  RAMIDE   HYDROCHL  ORIDE  ENALAPRIL  AT










       J      MERIDIAN DESC  LIDOCAINE HCL/D5W   8mg/Ml IVSL package   size 250 divisor 24  PROPRANOLOL HCL   1mg/Ml SDV package   size 1 divisor 10 OXYTOCIN 10u/Ml SDV   package size 1 divisor  GENTAMICIN SULFATE  GENTAMICI  40mg/Ml MDV package  ONDANSETRON ODT 8   MG TAB 30 UD 8 mg   ODT TAB package size   30 divisor 30 FUROSEMIDE 10mg/Ml   SDPF package size 4   PROMETHAZINE HCL  (Phenergan) 25 mg/1 25mg/Ml AMPS package   size 1 divisor 25  MIDAZOLAM HCL   5mg/Ml MDV package   size 1 divisor 25  PANTOPRAZOLE   SODIUM 40mg PWVL   package size 1 divisor   10 SENNOSIDES 40mg/Ml   SDV package size 1   divisor 25  MIDAZOLAM HCL   1mg/Ml MDV package   size 2 divisor 25 METRONIDAZOLE/








              Med Desc  lidocaine/D5W   (Xylocaine/D5W) 2   gm/250 mL Bag  propranolol HCl   (Inderal) 1 mg/1 mL   Amp/Vial  oxytocin (Pitocin) 10   unit/1 mL Injection  gentamicin 80 mg/2   mL Injection  ondansetron (Zofran   ODT) 8 mg DIS   furosemide (Lasix)   40 mg/4 mL Injection  promethazine HCl   mL Injection  midazolam (Versed)   5 mg/1 mL Injection  pantoprazole   (Protonix) 40 mg/10   mL Injection  methylPREDNISolon  e acetate (Depo-  Medrol) 40 mg/1 mL   midazolam (Versed)   2 mg/2 mL Injection  metroNIDAZOLE   (Flagyl) 500 mg/100   mL Bag  sodium chloride   0.9% (NACL 0.9%)   (250 mL) Bag  sodium chloride   0.9% (NaCl 0.9%)   ceFAZolin (Ancef) 1   gm Injectable  insul

       I                                                                                                                                     LORazepam (Ativan)   (Reglan) 10 mg/2 mL  package size 2 divisor





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