Page 481 - Inventory Report

Revisions okay to leave out of okay to leave out of okay to leave out of okay to leave out of okay to leave out of okay to leave out of Unit Cost Approved Unit Cost Approved Unit Cost Approved $781.79 - revised unit cost
AA

Z $ 1,021,287.64

Extended

Y $ - $ - $ - $ - $ - $ - $12,697.30 $10,464.53 $ 1,789.15 $ 1,403.08 $ 1,092.68 $ 1,053.55 $ 781.79 $ 659.55 $ 645.43 $ 641.54 $ 577.26

Unit
X Cost $ 1.47 $ 1.29 $ 1.51 $ 2.78 $ 0.64 $ 1.86 $423.24 ######## $178.92 $280.62 $ 64.28 $210.71 $781.79 $ 1.47 $ 92.20 $ 64.15 $ 41.23

Package Cost

W $ 123.77 $ 103.17 $ 96.90 $ 66.68 $ 53.96 $ 44.62 $ 423.24 ######## ######## $ 280.62 $ 64.28 $ 210.71 $ 781.79 $ 146.57 $ 92.20 $ 64.15 $ 206.17

V SOURCE MIS NADAC MIS NADAC MIS NADAC MIS NADAC MIS NADAC MIS NADAC 7300019040 7300000218 7300018720 7300010339 7300005203 7300006801 MIS NADAC/UPD ATED 7300010110 7300010249 7300005109 7300005341

U AHFS 40200000-CALORIC 40200000-CALORIC 40200000-CALORIC 80040000-ANTITOXINS 68280000-PITUITARY 80120000-VACCINES 12121200-ALPHA- AND BETA-ADRENERGIC 92120000-ANTIDOTES 24120800-NITRATES ANTIBACTERIALS GLYCOGENOLYTIC ANTIMUSCARINICS/AN
40120000- REPLACEMENT PREPARATIONS AGENTS 40120000- REPLACEMENT PREPARATIONS AGENTS AGENTS 40120000- REPLACEMENT PREPARATIONS AND IMMUNE GLOBULINS 20122000- THROMBOLYTIC 40120000- REPLACEMENT AND NITRITES 52040400- (EENT) 68221200- 12080800- TISPASMODICS

DEA
T CLAS S

S GENER IC CODE 2962 6641 2962 6641 2962 44608 47142 37407 33921 19422 1772 20188 25473 19290

MANUFACTURER

R B. Braun Medical Inc. ICU Medical Inc. B. Braun Medical Inc. Hospira, Inc. B. Braun Medical Inc. B. Braun Medical Inc. GRIFOLS USA, LLC Genentech Inc. Par Pharmaceutical Companies, Inc. GlaxoSmithKline Biologicals SA APP/FRESENIUS K Par Pharmaceutical Companies, Inc. Meridian Medical Technologies, Inc. Glenmark Pharmaceutials Inc., USA Alcon Laboratories, Inc. Eli Lilly and Company Akorn, Inc.

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

Q INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU SOLUTION INFILTRATIO N; INTRAMUSCU KIT, VIAL + DILUENT INTRAVENOU S INJECTION KIT VIAL INTRAMUSCU LAR; INTRAVENOU POWDER, SUBLINGUAL TABLET AURICULAR (OTIC) SUSPENSION / DROPS KIT INTRAMUSCU LAR INJECTION

SIZE
P TXT

UOI
O SIZE

PACK AGE 50 100 100 250 50 250 1 1 1 1 100 30 1 7.5 1 2
N SIZE 4X25

M STRENG TH 9mg/mL 5g/100mL 9mg/mL 5g/100mL 50mg/mL 0.9g/100 mL 300[iU]/m L 100mg/1 20[USP'U ]/mL 2.5U 100 MG/ML 1mg/mL 5g/250mL 0.4mg/1 3; 1mg/mL; mg/mL 1MG 20mg/2m L

L GENERIC SODIUM CHLORIDE DEXTROSE MONOHYD RATE SODIUM CHLORIDE DEXTROSE MONOHYD RATE DEXTROSE MONOHYD RATE SODIUM CHLORIDE HUMAN RABIES VIRUS ALTEPLASE VASOPRES SIN RABIES VACCINE CALCIUM GLUCONAT EPINEPHRI NE HYDROXOC OBALAMIN NITROGLYC ERIN CIPROFLOX ACIN HYDROCHL ORIDE; DEXAMETH ASONE GLUCAGON DICYCLOMI NE HYDROCHL

K TRADE SODIUM CHLORIDE DEXTROSE SODIUM CHLORIDE DEXTROSE DEXTROSE SODIUM CHLORIDE HYPERRAB ACTIVASE VASOSTRIC T RABAVERT CALCIUM GLUCONAT ADRENALIN CYANOKIT NITROGLYC ERIN CIPRODEX GLUCAGON DICYCLOMI NE HYDROCHL

J MERIDIAN DESC SODIUM CHLORIDE 0.9% 0.009 IVSL 50 84 DEXTROSE 5%/WATER 0.05 IVSL 100 80 SODIUM CHLORIDE 0.9% 0.009 IVSL 100 64 DEXTROSE 5%/WATER 0.05 IVSL 250 24 DEXTROSE 5%/WATER 0.05 IVSL 50 84 SODIUM CHLORIDE 0.9% 0.009 IVSL 250 24 RABIES IMMUNE GLOBULIN 300 u/ml SDPF package size 1 ALTEPLASE 100mg PWVL package size 1 VASOPRESSIN 20u/Ml MDV package size 1 RABIES VACC PF CHICK-EMB CELL 2.5u CALCIUM GLUCONATE 0.1 MDPF package size EPINEPHRINE 1mg/Ml MDV package size 30 HYDROXOCOBALAMIN (VITA B12) 5gm KIT 1 1 NITROGLYCERIN SUBL 0.4 MG 0.4 TAB CIPROFLOXACIN/DEXA METHASONE 0.3-0.1% DROP package size 7.

Med Desc sodium chloride 0.9% (NaCl 0.9%) (50 mL) Bag (D5W) (100 mL) Bag sodium chloride 0.9% (NACL 0.9%) (100 mL) Bag (D5W) (250 mL) Bag (D5W) (50 mL) Bag sodium chloride 0.9% (NACL 0.9%) (250 mL) Bag rabies immune globulin, human alteplase (Activase) 100 mg Injection vasopressin (Pitressin) 20 unit/1 rabies vaccine (Rabavert) 2.5 unit/1 calcium gluconate 10% 1 gm/10 mL EPINEPHrine hydroxocobalamin (Cyanokit) 5 gm Kit nitroglycerin tab) DIS Tablet ciprofloxacin 0.3% dexamethasone 0.1% OTIC (Ciprodex) (150 drop) Otic Susp 1 mg Injection dicyclomine HCl (Bentyl) 20 mg/2 mL Injection

I dextrose 5% in water dextrose 5% in water dextrose 5% in water (HyperRAB) 300 unit (Adrenalin) 30 mg/30 (Nitrostat) 0.4 mg (25 SUBLINGUAL TAB glucagon (GlucaGen) GLUCAGON HUMAN

Alert
H

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