Page 458 - Inventory Report
P. 458
Revisions Unit Cost Approved Unit Cost Approved Unit Cost Approved $781.79 - revised unit cost
AA
Z $ 1,021,287.64
Extended
Y $ 224.73 $ 180.18 $ 155.61 $ 47.93 $ 33.24 $ 27.68 $ 14.32 $ 12.57 $ 7.45 $ 5.15 $ 4.19 $ 3.54 $ 2.82 $12,697.30 $10,464.53 $ 2,244.93 $ 1,789.15 $ 1,092.68 $ 842.84 $ 781.79 $ 645.43
Unit
X Cost $ 4.68 $ 4.09 $ 4.09 $ 1.33 $ 4.75 $ 0.24 $ 0.33 $ 1.26 $ 0.15 $ 0.74 $ 0.60 $ 0.15 $ 0.56 $423.24 ######## $280.62 $178.92 $ 64.28 $210.71 $781.79 $ 92.20
Package Cost
W $ 140.45 $ 122.85 $ 122.85 $ 39.95 $ 118.73 $ 7.16 $ 9.99 $ 62.83 $ 3.80 $ 18.39 $ 14.97 $ 3.69 $ 28.24 $ 423.24 ######## $ 280.62 ######## $ 64.28 $ 210.71 $ 781.79 $ 92.20
V SOURCE 7300010287 7300011005 7300011005 7300007855 7300009516 7300011859 7300002355 7300010736 7300000525 7300010210 7300010209 7300009506 7300009557 7300019040 7300000218 7300010339 7300018720 7300005203 7300006801 MIS NADAC/UPD ATED 7300010249
U AHFS CORTICOSTEROIDS (RESPIRATORY TRACT) 12120812-ALPHA- & BETA-ADRENERGIC 12120812-ALPHA- & BETA-ADRENERGIC 12121200-ALPHA- AND BETA-ADRENERGIC 48240000-MUCOLYTIC ANTIMUSCARINICS/AN 12120812-ALPHA- & BETA-ADRENERGIC ANTIMUSCARINICS/AN 12120812-ALPHA- & BETA-ADRENERGIC 12120812-ALPHA- & BETA-ADRENERGIC 12120812-ALPHA- & BETA-ADRENERGIC 80040000-ANTITOXINS 80120000-VACCINES 68280000-PITUITARY 12121200-ALPHA- AND BETA-ADRENERGIC 92120000-ANTIDOTES ANTIBACTERIALS
48100808- AGONISTS AGENTS 12080800- TISPASMODICS 40120000- REPLACEMENT PREPARATIONS 12080800- TISPASMODICS AGONISTS AGONISTS AGONISTS 40120000- REPLACEMENT PREPARATIONS AND IMMUNE GLOBULINS 20122000- THROMBOLYTIC 40120000- REPLACEMENT 52040400- (EENT)
DEA
T CLAS S
S GENER IC CODE 17958 98776 98776 22696 2400 13456 22697 2373 42235 14634 14633 41681 2372 44608 47142 33921 37407 19422 20188
MANUFACTURER
R Teva Pharmaceuticals Mylan Specialty L.P. Mylan Specialty L.P. Nephron SC, Inc. American Regent, Inc. Mylan Inc. Nephron SC Inc. Mylan Consumer Healthcare, Inc. Mylan Pharmaceuticals Nephron Pharmaceuticals Mylan Pharmaceuticals Mylan Consumer Healthcare, Inc. GRIFOLS USA, LLC Genentech Inc. GlaxoSmithKline Biologicals SA Par Pharmaceutical Companies, Inc. APP/FRESENIUS K Par Pharmaceutical Companies, Inc. Meridian Medical Technologies, Inc. Alcon Laboratories, Inc.
DOSE FORM (INHALATION) USA, Inc. (INHALATION) (INHALATION) Pharmaceuticals (INHALATION) Inc. (INHALATION) Corporation (INHALATION) Inc. (INHALATION) Nephron SC Inc. S INJECTION,
Q RESPIRATOR RESPIRATOR RESPIRATOR RESPIRATOR SOLUTION ORAL; RESPIRATOR RESPIRATOR SOLUTION, RESPIRATOR VIAL-NEB RESPIRATOR RESPIRATOR RESPIRATOR RESPIRATOR VIAL-NEB INFILTRATIO N; INTRAMUSCU KIT, VIAL + DILUENT KIT INTRAVENOU S INJECTION VIAL INTRAMUSCU LAR; INTRAVENOU POWDER, AURICULAR (OTIC) SUSPENSION / DROPS
SIZE Y Y Y Y Y Y Y Y Y Y Y
P TXT
UOI
O SIZE
PACK AGE 2 2 2 1 4 3 1 15 2.5 3 3 3 15 1 1 1 1 100 30 1 7.5
N SIZE
M STRENG TH 0.5 mg/2mL 20ug/2mL 20ug/2mL 11.25mg/. 5mL 100mg/m L 0.5mg/3m l; 3mg/3ml 2.5mg/.5 mL 3% 0.5mg/2.5 mL 1.25mg/3 mL 0.63mg/3 mL 2.5mg/3m L 10% 300[iU]/m L 100mg/1 2.5U 20[USP'U ]/mL 100 MG/ML 1mg/mL 5g/250mL 3; 1mg/mL; mg/mL
L GENERIC BUDESONI DE FORMOTER OL FORMOTER OL RACEPINEP HRINE HYDROCHL ORIDE ACETYLCY STEINE IPRATROPI UM BROMIDE; ALBUTERO L SULFATE SODIUM CHLORIDE 3% INHALAT IPRATROPI UM BROMIDE ALBUTERO L SULFATE ALBUTERO L SULFATE ALBUTERO L SULFATE SODIUM CHLORIDE 10% HUMAN RABIES VIRUS ALTEPLASE RABIES VACCINE VASOPRES SIN CALCIUM GLUCONAT EPINEPHRI NE HYDROXOC OBALAMIN CIPROFLOX ACIN HYDROCHL ORIDE; DEXAMETH ASONE
K TRADE BUDESONID E PERFOROM IST PERFOROM IST ASTHMANE FRIN ACETYLCYS TEINE 10% IPRATROPI UM BROMIDE AND ALBUTEROL ALBUTERO SULFATE SODIUM CHLORIDE IPRATROPI UM BROMIDE ALBUTEROL SULFATE 0.042% ALBUTEROL SULFATE 0.021% ALBUTEROL SULFATE 0.083% SODIUM CHLORIDE HYPERRAB ACTIVASE RABAVERT VASOSTRIC T CALCIUM GLUCONAT ADRENALIN CYANOKIT CIPRODEX
J MERIDIAN DESC BUDESONIDE 0.5mg/2ml AMIH package size 2 divisor FORMOTEROL FUMARATE 20mcg/2ml FORMOTEROL FUMARATE 20mcg/2ml racepinephrine 0.0225 AMIH package size 1 divisor 30 ACETYLCYSTEINE 100mg/Ml AMIH package size 4 divisor ALBUTEROL/IPRATRO PIUM 2.5-0.5mg/3ml AMIH package size 3 divisor 30 ALBUTEROL SULFATE 2.5mg/0.5ml AMIH SODIUM CHLORIDE 3% package size 15 divisor 50 IPRATROPIUM (Atrovent) 0.5 mg/2.5 BROMIDE 0.0002 AMIH package size 2.5 divisor ALBUTEROL SULFATE 0.42mg/Ml AMIH package size 3 divisor ALBUTEROL SULFATE 0.21mg/Ml AMIH package size 3 divisor ALBUTEROL SULFATE 0.83mg/Ml AMIH package size 3 divi
Med Desc budesonide respule (Pulmicort Respule) 0.5 mg/2 mL Neb formoterol (Perforomist) 20 formoterol (Perforomist) 20 racEPINEPhrine (racEPINEPhrine) 0.5 mL Neb acetylcysteine 10% INH (Mucomyst) (4 mL) Amp/Vial albuterol-ipratropium 2.5 mg-0.5 mg (DuoNeb) (3 mL) albuterol 0.5% sodium chloride 3% inhalation soln) (15 mL) Neb ipratropium mL Neb albuterol 0.042% mL Neb albuterol 0.021% mL Neb albuterol 0.083% (Proventil) 2.5 mg/3 mL Neb sodium chloride (BronchoSaline) (15 mL) Neb rabies immune globulin, human alteplase (Activase) 100 mg Injection rabies vaccine (Rabavert) 2.5 unit/1 vasopressin (Pit
I (Ventolin) 2.5 mg/0.5 (Sodium Chloride 3% INHALAT 0.03 AMIH (Accuneb) 1.25 mg/3 (Accuneb) 0.63 mg/3 (HyperRAB) 300 unit (Adrenalin) 30 mg/30
Alert
H 2.25% Neb
1 9316 9317 9318 9319 9320 9321 9322 9323 9324 9325 9326 9327 9328 9329 9330 9331 9332 9333 9334 9335 9336
