Page 74 - Inventory Report
P. 74
Revisions $1.75 - revised unit cost Unit Cost Approved $1.51 - revised unit cost Unit Cost Approved Unit Cost Approved
AA
Z $ 1,021,287.64
Extended
Y $ 290.50 $ 259.33 $ 248.66 $ 222.87 $ 194.79 $ 158.98 $ 139.27 $ 91.86 $ 71.11 $ 34.17 $ 23.70 $ 20.74 $ 17.92 $ 5.93 $ 2.96 $ 1.71 $ 1,895.07 $ 815.23 $ 743.22 $ 553.01 $ 492.46 $ 407.94
Unit
X Cost $ 1.75 $ 1.47 $ 9.95 $ 2.89 $ 1.51 $ 1.51 $ 2.96 $ 2.96 $ 2.96 $ 1.71 $ 2.96 $ 2.96 $ 17.92 $ 2.96 $ 2.96 $ 1.71 $236.88 $ 33.97 $ 8.17 $ 32.53 $ 19.70 $ 4.86
Package Cost
W $ 147.00 $ 123.77 $ 99.46 $ 28.94 $ 96.64 $ 96.90 $ 29.63 $ 29.63 $ 29.63 $ 42.71 $ 29.63 $ 29.63 $ 430.06 $ 29.63 $ 29.63 $ 42.71 ######## $ 33.97 $ 81.67 $ 780.72 $ 354.57 $ 48.56
V SOURCE MIS NADAC/UPD ATED MIS NADAC 7300010147 7300000972 MIS NADAC/UPD ATED MIS NADAC 7300010434 7300010434 7300010434 7300005151 7300010434 7300010434 6770005541 7300010434 7300010434 7300005151 7300004672 7300005381 MIS NADAC 7300011306 6770000260 7300018999
40200000-CALORIC 40120000- REPLACEMENT 08121292-OTHER 40200000-CALORIC 40120000- REPLACEMENT 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 40281200-OSMOTIC 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 40281200-OSMOTIC 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 40281200-OSMOTIC 24240000-BETA- ADRENERGIC 16000000-BLOOD 08122816- ANTIBACTERIALS, GLYCOPEPTIDES AND ANTIPYRETICS, MISC. AGONISTS 36680000-
U AHFS AGENTS 40181800-POTASSIUM- REMOVING AGENTS MACROLIDES AGENTS DIURETICS DIURETICS DIURETICS BLOCKING AGENTS DERIVATIVES 28089200-ANALGESICS 12120808-SELECTIVE BETA-1-ADRENERGIC ROENTGENOGRAPHY
DEA
T CLAS S
S GENER IC CODE 6641 2962 41955 48795 6641 2962 41281 41281 41281 34551 41281 41281 34532 41281 41281 34551 14799 25060 25802 29311 977 10873
MANUFACTURER Inc.
R B. Braun Medical Inc. B. Braun Medical Inc. CMP Pharma, Inc. Slate Run Pharmaceuticals B. Braun Medical Inc. B. Braun Medical Inc. Alvogen Mylan Institutional LLC Fresenius Kabi USA, LLC Hospira, Inc. Mylan Institutional LLC Fresenius Kabi USA, LLC B. Braun Medical Inc. Mylan Institutional LLC BluePoint Laboratories Fresenius Kabi USA, LLC Baxter Healthcare Corporation GRIFOLS USA, LLC Fresenius Kabi USA, LLC Mallinckrodt Hospital Products Inc. Baxter Healthcare Corporation BRACCO DIAGNOSTICS INC
DOSE FORM S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION,
Q INTRAVENOU SOLUTION INTRAVENOU ORAL; RECTAL SUSPENSION INTRAVENOU 10X1EA S INJECTION, INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU S INJECTION INTRAVENOU S SOLUTION INTRAVENOU INTRAVENOU SOLUTION, INTRAVENOU S INJECTION INTRAVASCU LAR
SIZE 150 ML SOLUTION 10X1EA POWDER, 10X1EA POWDER, 10X1EA POWDER, 10X1EA POWDER, 10X1EA POWDER, 10X1EA POWDER, 10X1EA SOLUTION 10X1EA POWDER,
P TXT 50 ML 84X50M L 10X60M L 64X100 ML 25X50M L 24X500 ML 25X50M L 10X250 ML 50 ML 24X100 ML 18X250 ML 10X50M L
UOI
O SIZE
PACK AGE 50 50 60 1 100 100 1 1 1 50 1 1 500 1 1 50 250 50 1 100 250 50
N SIZE
M STRENG TH 50mg/mL 9mg/mL 15g/60mL 500mg/5 mL 50mg/mL 9mg/mL 1g/20mL 1g/20mL 1g/20mL 12.5g/50 mL 1g/20mL 1g/20mL 20g/100m L 1g/20mL 1g/1 250mg/m L 10mg/mL 12.5g/50 mL 750mg/15 mL 10mg/mL 200mg/10 0mL 510mg/m L
L GENERIC DEXTROSE MONOHYD RATE SODIUM CHLORIDE SODIUM POLYSTYR ENE AZITHROMY CIN DEXTROSE MONOHYD RATE SODIUM CHLORIDE VANCOMYC IN HYDROCHL VANCOMYC IN HYDROCHL VANCOMYC IN HYDROCHL MANNITOL VANCOMYC IN HYDROCHL VANCOMYC IN HYDROCHL MANNITOL VANCOMYC IN HYDROCHL VANCOMYC IN HYDROCHL MANNITOL ESMOLOL HYDROCHL ORIDE ALBUMIN HUMAN VANCOMYC IN HYDROCHL ACETAMIN OPHEN DOBUTAMI NE HYDROCHL IOPAMIDOL
K TRADE DEXTROSE SODIUM CHLORIDE SODIUM POLYSTYR ENE AZITHROMY CIN DEXTROSE SODIUM CHLORIDE VANCOMYC IN HYDROCHL VANCOMYC IN HYDROCHL VANCOMYC IN HYDROCHL MANNITOL VANCOMYC IN HYDROCHL VANCOMYC IN HYDROCHL MANNITOL VANCOMYC IN HYDROCHL VANCOMYC IN HYDROCHL MANNITOL BREVIBLOC ALBUTEIN 25% VANCOMYC IN HYDROCHL OFIRMEV DOBUTAMI NE IN DEXTROSE ISOVUE 250
J MERIDIAN DESC DEXTROSE/WATER DEXTROSE IN WATER IV SOLN S5104-5384 50 SODIUM CHLORIDE IV SOLN S8004-5384 50 SPS ORAL SUSP 15 G/60 ML 60 AZITHROMYCIN VIAL 500 MG 1 DEXTROSE IN WATER 100 SODIUM CHLORIDE IV SOLN S8004-5264 100 VIAL 1 GM 1 VIAL 1 G 1 VIAL 1 G 1 MANNITOL VIAL 25 % 50 VIAL 1 G 1 VIAL 1 G 1 MANNITOL IV SOLN L5781 500 VIAL 1 G 1 VANCOMYCIN HCL VIAL 1 GM 1 MANNITOL VIAL 25 % 50 BREVIBLOC IV SOLN 2.5G/250ML 250 ALBUTEIN VIAL 25 % 50 VANCOMYCIN HCL VIAL 750 MG 1 OFIRMEV VIAL 1000MG/100 100 DOBUTAMINE HCL IN DEXTROSE IV SOLN 2B0792 250 ISOVUE-250 VIAL 51% 50
Med Desc 5% 84X50ML PFL SODIUM CL 0.9% 84X50ML Sps 15gm/60ml SUSP 10X60ML Azithromycin 500mg PWVL 10X1EA 5% 64X100ML SODIUM CL 0.9% 64X100ML PWVL 10X1EA PWVL 10X1EA PWVL 10X1EA Mannitol 25% SDV 25X50ML PWVL 10X1EA PWVL 10X1EA MANNITOL 20% 24X500ML EXC PWVL 10X1EA VANCOMYC PWD 1GM AHP 10 Mannitol 25% SDV 25X50ML Brevibloc 2500mg/250ml IVSL 10X250ML ALBUTEIN 25% 50ML GRIFOLS VANCOMYCIN HCL 750MG 10 PF FTV Ofirmev 10mg/Ml SDV 24X100ML Dobutamine Hcl In Dextrose 500mg/250ml IVSL ISOVUE-250 51% 10X50ML
I DEXTROSE/WATER IV SOLN S5104-5264 Vancomycin Hcl 1gm VANCOMYCIN HCL Vancomycin Hcl 1gm VANCOMYCIN HCL Vancomycin Hcl 1gm VANCOMYCIN HCL Vancomycin Hcl 1gm VANCOMYCIN HCL Vancomycin Hcl 1gm VANCOMYCIN HCL Vancomycin Hcl 1gm VANCOMYCIN HCL
Alert /Pkg
H
1 1542 1543 1544 1545 1546 1547 1548 1549 1550 1551 1552 1553 1554 1555 1556 1557 1558 1559 1560 1561 1562 1563
