Page 75 - Inventory Report

Revisions Unit Cost Approved Unit Cost Approved Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 363.04 $ 251.47 $ 231.55 $ 195.62 $ 195.07 $ 188.17 $ 156.22 $ 155.54 $ 143.35 $ 138.50 $ 118.71 $ 117.97 $ 101.00 $ 99.55 $ 96.72 $ 91.00 $ 87.82

Unit
X Cost $ 45.38 $ 9.67 $ 2.89 $ 10.30 $ 27.87 $ 20.91 $ 4.59 $ 9.15 $ 17.92 $ 19.79 $ 19.79 $ 2.03 $ 6.31 $ 3.56 $ 9.67 $ 5.35 $ 5.85

Package Cost

W $ 45.38 $ 232.12 $ 28.94 $ 102.96 $ 334.41 $ 250.89 $ 110.27 $ 219.59 $ 215.03 $ 197.85 $ 197.85 $ 48.82 $ 75.75 $ 85.33 $ 232.12 $ 128.48 $ 140.51

V SOURCE 7300018791 7300010994 7300000972 7300009002 7300011815 6770001023 6770006446 MIS NADAC 6770005541 7300006201 7300006201 MIS NADAC MIS NADAC 7300001866 7300010994 7300011216 7300011591

U AHFS 56120000-CATHARTICS AND LAXATIVES 28129200- ANTICONVULSANTS, MISCELLANEOUS 08121292-OTHER MACROLIDES 24040800- CARDIOTONIC AGENTS 24040420- ANTIARRHYTHMIC AGENTS, CLASS III 40200000-CALORIC AGENTS 24040408- ANTIARRHYTHMIC AGENTS, CLASS Ib ANTIARRHYTHMICS 20120400- ANTICOAGULANTS 40281200-OSMOTIC DIURETICS 08122824- ANTIBACTERIALS, OXAZOLIDINONES 08122824- ANTIBACTERIALS, OXAZOLIDINONES 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS 40120000- REPLACEMENT PREP

DEA
T CLAS S

S GENER IC CODE 97248 99090 48795 99865 30039 25211 26899 34532 26873 26873 6641 6690 3282 99090 99224 31458

MANUFACTURER Sun Pharmaceutical

R Salix Pharmaceuticals, Inc. Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp Baxter Healthcare Corporation B. Braun Medical Inc. B. Braun Medical Inc. Fenwal, Inc. ICU Medical Inc. Pharmacia and Upjohn Company LLC Industries, Inc. B. Braun Medical Inc. ICU Medical Inc. ICU Medical Inc. Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC B. Braun Medical 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,

Q KIT INTRAVENOU SOLUTION INTRAVENOU 10X1EA S INJECTION, INTRAVENOU SOLUTION INTRAVENOU SOLUTION, INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU S SOLUTION INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU S SOLUTION INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU 24X1EA S INJECTION,

SIZE
P TXT 1 EA 24X50M L 10X100 ML 12X100 ML 12X250 ML 24X250 ML 12X500 ML 10X300 ML 10X300 ML 24X250 ML 12X500 ML 24X100 ML 24X50M L 24X100 ML

UOI
O SIZE

PACK AGE 1 50 1 100 100 250 250 500 500 300 300 250 500 100 50 100 1
N SIZE

M STRENG TH 7.5- 2.691G 40mg/mL 500mg/5 mL 200ug/mL 1.5mg/mL 20g/100m L .8; 5g/100mL ; g/100mL 12.25; 11; 3.65g/500 mL; g/500mL; g/500mL 20g/100m L 600mg/30 0mL 600mg/30 0mL 5g/100mL 20g/100m L 000mL 40mg/mL 1g/100mL 2g/50mL

L GENERIC POLYETHYL ENE GLYCOL 3350; ASCORBIC ACID; POTASSIUM CHLORIDE; SODIUM ASCORBAT E; SODIUM CHLORIDE; MAGNESIU M SULFATE HEPTAHYD AZITHROMY CIN MILRINONE LACTATE AMIODARO NE HYDROCHL SOYBEAN OIL LIDOCAINE HYDROCHL ORIDE ANHYDROU S; DEXTROSE MONOHYD RATE; SODIUM CITRATE DIHYDRATE ; MANNITOL LINEZOLID LINEZOLID DEXTROSE MONOHYD DEXTROSE MONOHYD POTASSIUM POTASSIUM 200meq/1 CHLORIDE MAGNESIU M SULFATE HEPTAHYD MAGNESIU M SULFATE HEPTAHYD CEFAZOLIN SODIUM

K TRADE MOVIPREP MAGNESIU M SULFATE AZITHROMY CIN MILRINONE LACTATE IN DEXTROSE NEXTERON E 150MG NUTRILIPID LIDOCAINE HYDROCHL ORIDE AND DEXTROSE ACD FORMULA A Anticoagulan t Citrate Dextrose MANNITOL ZYVOX LINEZOLID DEXTROSE DEXTROSE CHLORIDE MAGNESIU M SULFATE MAGNESIU M SULFATE IN 5% CEFAZOLIN SODIUM

J MERIDIAN DESC MOVIPREP POWD PACK 7.5-2.691G 1 MAGNESIUM SULFATE PIGGYBACK 2 G/50 ML 50 AZITHROMYCIN VIAL 500 MG 1 MILRINONE IN 5% DEXTROSE PIGGYBACK NEXTERONE PLAST. BAG 150MG/0.1L 100 NUTRILIPID EMULSION 20 % 250 LIDOCAINE HCL IN 5% DEXTROSE IV SOLN P5982 250 ACD-A SOLUTION 500 MANNITOL VL 20% 500ML ICU CS12 ZYVOX PIGGYBACK 600MG/300 300 LINEZOLID-D5W PIGGYBACK 600MG/300 300 DEXTROSE IN WATER IV SOLN L5102 250 DEXTR SOL 20% 500ML/1MML ICU12 POTASSIUM CHLORIDE PIGGYBACK 20 MEQ MAGNESIUM SULFATE PIGGYBACK 2 G/50 ML 50 MAGNESIUM SULFATE- D5W PIGGYBACK 1 G/100 ML 100 CEFAZOLIN SODIUM- DEXTROSE

Med Desc MOVIPREP PWD KIT 2A/2B PCH Magnesium Sulfate 2gm/50ml 4% IPSL 24X50ML Azithromycin 500mg PWVL 10X1EA Milrinone In 5% Dextrose 20mg/100ml IPSL Nexterone 150mg/100ml IPSL 12X100ML NUTRILIPID 20% 12X250ML LIDOCAINE/D5W 0.8% 24X250ML ACD-A 500ML CONT CS24 4B7898Q Mannitol 0.2 IVSL 12X500ML Zyvox 600mg/300ml IVSL 10X300ML Linezolid 600mg/300ml IVSL 10X300ML Dextrose In Water 5% IVSL 24X250ML Dextrose/Water 0.2 IVSL 12X500ML Potassium Chloride 20meq/100ml IPSL 24X100ML Magnesium Sulfate 2gm/50ml 4% IPSL 24X50ML Magnesium/D5w 1gm/100ml 1% IPSL 24X100ML CEFAZOLIN/DW 2GM 24X50ML D

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