Page 454 - Inventory Report

Revisions $1.75 - revised unit cost Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 35.11 $ 33.89 $ 31.07 $ 30.44 $ 29.36 $ 28.12 $ 26.28 $ 26.25 $ 26.19 $ 25.98 $ 25.64 $ 25.19 $ 24.81 $ 24.59 $ 24.23 $ 23.94 $ 23.72 $ 22.77 $ 22.43 $ 21.39

Unit
X Cost $ 0.98 $ 1.78 $ 6.21 $ 3.80 $ 0.50 $ 5.62 $ 1.01 $ 1.75 $ 13.10 $ 1.00 $ 12.82 $ 5.04 $ 6.20 $ 8.20 $ 1.51 $ 11.97 $ 3.95 $ 2.28 $ 1.32 $ 10.69

Package Cost

W $ 24.38 $ 17.84 $ 6.21 $ 95.12 $ 49.76 $ 56.24 $ 25.27 $ 147.00 $ 13.10 $ 9.99 $ 12.82 $ 60.45 $ 62.03 $ 81.98 $ 96.90 $ 119.70 $ 94.90 $ 54.65 $ 13.19 $ 42.78

V SOURCE 7300005782 7300006633 7300002817 7300009145 7300009416 7300005650 7300001623 MIS NADAC/UPD ATED 7300005589 7300005298 7300008681 7300009081 7300005613 7300006052 MIS NADAC 7300005655 7300002855 7300007746 7300006378 7300009415

U AHFS CEPHALOSPORINS, 28080800-OPIATE ANTIBACTERIALS, 72000000-LOCAL KERATOLYTIC AGENTS 28100000-OPIATE 28080492-OTHER NONSTEROIDAL ANTI- INFLAM. AGENTS 40200000-CALORIC 12120400-ALPHA- 28080800-OPIATE 68040000-ADRENALS CORTICOSTEROIDS ANTIARRHYTHMIC AGENTS, CLASS Ib ANTIMUSCARINICS/AN NEUROMUSCULAR BLOCKING AGENTS ANTIBACTERIALS, 08121800-QUINOLONE CEPHALOSPORINS, MISCELLANEOUS
08120604- AGONISTS 08122820- LINCOMYCINS ANESTHETICS (PARENTERAL) 84280000- ANTAGONISTS AGENTS ADRENERGIC AGONISTS AGONISTS 84060800- 24040408- 12080800- TISPASMODICS 40120000- REPLACEMENT PREPARATIONS 12202000- 08122820- LINCOMYCINS ANTIBIOTICS 08120612- 56229200- ANTIEMETICS,

DEA
T CLAS S II II

S GENER IC CODE 25519 34853 68233 97839 45132 35239 6641 20310 32806 28302 27941 26893 18661 2962 52122 39962 18160

MANUFACTURER Inc. Inc.

R Hospira, Inc Hospira, Inc. Akorn, Inc. Hospira, Inc. Arzol Chemical Company Hospira, Sagent Pharmaceuticals B. Braun Medical Inc. Fresenius Kabi USA, LLC Hospira, Inc. Pharmacia and Upjohn Company LLC Paddock Laboratories, LLC Hospira, Inc. Hospira, B. Braun Medical Inc. Sandoz Inc. Pharmacia and Upjohn Company LLC Hospira, Inc. Hospira, Inc Perrigo New York Inc

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

Q INTRAVENOU INTRAMUSCU LAR/INTRAVE NOUS; SUBCUTANE INTRAVENOU S INJECTION INFILTRATIO N; PERINEURAL INJECTION, SOLUTION TOPICAL STICK INTRAMUSCU LAR/INTRAVE NOUS; INTRAMUSCU LAR/INTRAVE NOUS INTRAVENOU SOLUTION INTRAVENOU S INJECTION INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR/INTRAVE NOUS INJECTION, RECTAL SUPPOSITOR INTRAVENOU SOLUTION INTRAVENOU SOLUTION, INTRAVENOU SOLUTION INTRAMUSCU LAR; INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE TRANSDERM AL PATCH, EXTENDED

SIZE
P TXT

UOI
O SIZE

PACK AGE 1 1 50 50 100 1 1 50 5 2 1 12 5 10 100 10 50 200 1 4
N SIZE

M STRENG TH 1g/1 1mg/mL 600mg/50 mL 10; 10mg/mL; ug/mL 75mg/100 mg; mg/100m 0.4mg/mL 30mg/mL 50mg/mL 10mg/mL 50ug/mL 100mg/2 mL 25mg/1 20mg/mL 0.1mg/mL 9mg/mL 20mg/mL 6mg/mL 2mg/mL 1g/1 1mg/1

L GENERIC CEFAZOLIN SODIUM HYDROMO RPHONE HYDROCHL ORIDE CLINDAMYC IN PHOSPHAT LIDOCAINE HYDROCHL ORIDE; EPINEPHRI NE POTASSIUM 25; NITRATE; SILVER NITRATE NALOXONE HYDROCHL ORIDE KETOROLA C TROMETHA DEXTROSE MONOHYD RATE PHENYLEP HRINE HYDROCHL ORIDE FENTANYL CITRATE HYDROCOR TISONE SODIUM SUCCINATE HYDROCOR TISONE LIDOCAINE HYDROCHL ORIDE ATROPINE SULFATE SODIUM CHLORIDE SUCCINYLC HOLINE CHLORIDE CLINDAMYC IN PHOSPHAT CIPROFLOX ACIN CEFTRIAXO NE SODIUM SCOPOLAM INE

K TRADE CEFAZOLIN SODIUM HYDROMOR PHONE HYDROCHL ORIDE CLINDAMYC IN PHOSPHAT LIDOCAINE HYDROCHL ORIDE AND EPINEPHRI NE SILVER NITRATE RS NALOXONE HYDROCHL ORIDE KETOROLA C TROMETHA DEXTROSE PHENYLEP HRINE HYDROCHL ORIDE FENTANYL CITRATE SOLU- CORTEF HYDROCOR TISONE LIDOCAINE HYDROCHL ORIDE ATROPINE SULFATE Abboject SODIUM CHLORIDE ANECTINE CLEOCIN PHOSPHAT E CIPROFLOX ACIN CEFTRIAXO NE SODIUM SCOPOLAMI NE TRANDERM

J MERIDIAN DESC CEFAZOLIN SODIUM 1 gm ADDV package size HYDROMORPHONE HCL 1mg/Ml AMPS package size 1 divisor 10 CLINDAMYCIN PHOS/D5W 600mg/50ml BTTL LIDOCAINE/EPINEPHRI package size 50 divisor 25 SILVER NITRATE Not Available STCK package APPLICATO size 100 divisor 100 NALOXONE HCL 0.4mg/Ml CARP package size 1 divisor KETOROLAC TROMETHAMINE 30mg/Ml SDPF package DEXTROSE 5%/WATER 0.05 IVSL 50 84 PHENYLEPHRINE HCL 10mg/Ml MDV package size 5 divisor 1 FENTANYL CITRATE 50mcg/Ml AMPS HYDROCORTISONE SOD SUCC 100mg PWVL package size 1 divisor 1 hydrocortisone acetate 25mg SUPP package LIDOCAINE HCL 0.02 divisor 10

Med Desc ceFAZolin (Ancef) 1 gm Injectable HYDROmorphone Injection clindamycin/D5W (Cleocin) 600 mg/50 mL Bag lidocaine- EPINEPHrine 1%- with EPI) (50 mL) Amp/Vial silver nitrate applicator (Silver Nitrate) 1 EA Stick naloxone (Narcan) 0.4 mg/1 mL Injection ketorolac (Toradol) 30 mg/1 mL Injection (D5W) (50 mL) Bag phenylephrine HCl mg (5 mL) Amp/Vial fentaNYL (Sublimaze) 100 hydrocortisone (Solu-CORTEF) 100 mg/2 mL Injection hydrocortisone acetate (Anusol-HC) lidocaine 2% mL Syringe atropine 1 mg/10 mL Syringe sodium chloride 0.9% (NACL 0.9%) (100 mL) Bag succinylcholine chloride (Quelicin) 200 mg/10 mL

I (Dilaudid) 1 mg/1 mL 1:100,000 (Xylocaine NE 1-0.001% MDV dextrose 5% in water (Neo-Synephrine) 50 sodium succinate PF (Xylocaine) 100 mg/5 ABBJ package size 5

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