Page 76 - Inventory Report

Revisions Unit Cost Approved Unit Cost Approved Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 86.34 $ 81.72 $ 74.57 $ 57.33 $ 53.26 $ 52.98 $ 51.40 $ 48.60 $ 46.38 $ 43.91 $ 43.50 $ 40.14 $ 39.94 $ 38.84 $ 30.35 $ 18.95 $ 18.59 $ 18.43 $ 17.14 $ 16.73

Unit
X Cost $ 7.19 $ 8.17 $ 6.21 $ 1.51 $ 2.54 $ 3.78 $ 3.95 $ 3.04 $ 4.22 $ 2.09 $ 6.21 $ 5.73 $ 2.50 $ 1.25 $ 10.12 $ 0.82 $ 3.72 $ 1.54 $ 1.32 $ 2.09

Package Cost

W $ 129.50 $ 196.13 $ 149.14 $ 36.21 $ 60.87 $ 90.83 $ 94.90 $ 72.90 $ 101.20 $ 50.18 $ 149.14 $ 137.63 $ 59.91 $ 30.07 $ 10.12 $ 19.78 $ 89.22 $ 18.43 $ 31.64 $ 33.46

V SOURCE 6770006170 7300011774 7300002817 7300006083 7300001703 7300006118 7300002855 6770006206 6770000012 7300007748 7300002817 6770006375 7300007968 MIS NADAC 7300010044 7300010006 7300006564 MIS NADAC 7300007976 MIS NADAC

12120808-SELECTIVE BETA-1-ADRENERGIC AGONISTS 08122820- ANTIBACTERIALS, 08309200- ANTIPROTOZOALS, 40120000- REPLACEMENT 08122820- ANTIBACTERIALS, 20120416- ANTICOAGULANTS, HEPARINS 28129200- ANTICONVULSANTS, 08122820- ANTIBACTERIALS, LINCOMYCINS 20120416- ANTICOAGULANTS, HEPARINS 40120000- REPLACEMENT 40360000-IRRIGATING 96000000- PHARMACEUTICAL 40360000-IRRIGATING

U AHFS MISCELLANEOUS 08121800-QUINOLONES MISCELLANEOUS 08121800-QUINOLONES 08121800-QUINOLONES 56120000-CATHARTICS AND LAXATIVES SOLUTIONS 08140800-AZOLES 08121800-QUINOLONES SOLUTIONS

DEA 121212
T CLAS S

S GENER IC CODE 15353 40821 43025 89596 41321 40820 99925 99227 52121 40821 26597 47075 2962 98308 69790 2729 47072 45360

MANUFACTURER Inc.

R Baxter Healthcare Corporation QUVA PHARMA INC Baxter Healthcare Corporation Hospira, Inc. Baxter Healthcare Corporation Baxter Healthcare Corporation Baxter Healthcare Corporation B. Braun Medical Inc. Hospira, Inc. Baxter Healthcare Corporation Sandoz Inc Hospira, Inc. Baxter Healthcare Corporation B. Braun Medical Inc. Braintree Laboratories, Inc. Hospira, Hospira, Inc. B. Braun Medical Inc. WG Critical Care, 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, S INJECTION,

Q INTRAVENOU SOLUTION PLASTIC BAG INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU S INJECTION INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU 500 ML S INJECTION, ORAL POWDER, FOR SOLUTION IRRIGATION IRRIGANT, INTRAVENOU SOLUTION INTRAVENOU S INJECTION INTRAVENOU IRRIGATION IRRIGANT

SIZE
P TXT 18X250 ML 24X50M L 24X100 ML 24X150 ML 24X50M L 24X50M L 24X500 ML 24X500 ML 24X100 ML 24X50M L 24X250 ML 24X100 ML 4000 ML 24X250 ML 24X100 ML 1000 ML 24X50M L 16X100 0

UOI
O SIZE

PACK AGE 250 250 50 100 150 50 50 500 500 100 50 250 100 500 4000 250 100 1000 50 1000
N SIZE

M STRENG TH 160mg/10 0mL 4 MG 600mg/50 mL 500mg/10 0mL 5mg/mL 0mL 300mg/50 mL 200[USP' U]/100mL 40mg/mL 2mg/mL 12mg/mL 10000[US P'U]/100 mL 5mg/mL 0.9g/100 mL 236; 6.74; 5.86; 2.97g/4L; g/4L; g/4L; g/4L 250mg/10 0mL 2mg/mL 1mL/mL 5mg/mL 0.9g/100 mL

L GENERIC DOPAMINE HYDROCHL ORIDE NOREPINEP HRINE BITARTRAT E/D5W CLINDAMYC IN METRONID AZOLE LEVOFLOX ACIN POTASSIUM POTASSIUM 14.9g/100 CHLORIDE CLINDAMYC IN HEPARIN SODIUM MAGNESIU M SULFATE HEPTAHYD CIPROFLOX ACIN CLINDAMYC IN PHOSPHAT HEPARIN SODIUM LEVOFLOX ACIN SODIUM CHLORIDE POLYETHYL ENE GLYCOL 3350; POTASSIUM 22.74; CHLORIDE; SODIUM BICARBONA TE; SODIUM g/4L; CHLORIDE; SODIUM ACETIC ACID FLUCONAZ OLE WATER LEVOFLOX ACIN SODIUM CHLORIDE

K TRADE DOPAMINE HYDROCHL ORIDE IN DEXTROSE NOREPINEP HRINE BITARTRAT E-D5W CLINDAMYC IN METRONID AZOLE LEVOFLOXA CIN CHLORIDE CLINDAMYC IN HEPARIN SODIUM IN SODIUM CHLORIDE MAGNESIU M SULFATE IN WATER CIPROFLOX ACIN CLINDAMYC IN IN 5% DEXTROSE HEPARIN SODIUM LEVOFLOXA CIN SODIUM CHLORIDE GOLYTELY 0.25% ACETIC FLUCONAZ OLE IN SODIUM STERILE WATER LEVOFLOXA CIN SODIUM CHLORIDE

J MERIDIAN DESC DOPAMINE HCL IN 5% DEXTROSE PLAST. BAG 2B0842 250 NOREPINEPHRINE PLAST. BAG 4 MG 250 CLINDAMYCIN PHOSPHATE-D5W METRONIDAZOLE PIGGYBACK 500MG/0.1L 100 LEVOFLOXACIN-D5W PIGGYBACK POTASSIUM CHLORIDE CLINDAMYCIN PHOSPHATE-D5W HEPARIN SODIUM- 0.9% NACL IV SOLN P8721 500 MAGNESIUM SULFATE IV SOLN 20 G/500ML 500 CIPROFLOXACIN-D5W PIGGYBACK CLINDAMYCIN PHOSPHATE-D5W PIGGYBACK HEPARIN SODIUM IN 0.45% NACL IV SOLN 25000/250 250 LEVOFLOXACIN-D5W PIGGYBACK SODIUM CL 0.9% 24 SODIUM CHLORIDE IV SOLN L8001 500 GOLYTELY SOLN RECON 236-22.74G 4000 ACETIC ACID IRRIG SOLN 0.25 % 250 FLUCONAZOLE-NACL PIGGY

Med Desc Dopamine Hcl In 5% Dextrose 400mg/250ml IVSL 18X250ML mg added to 250 ml CLINDAMY/D5W 600/50 24X50 GLX Metronidazole 500mg/100ml IPSL 24X100ML Levofloxacin 750mg/150ml IPSL POTASSIUM CL 10MEQ 24X50ML CLINDAMY/D5W 300/50 24X50 GLX Heparin Sodium In 0.9% Nacl 2units/Ml IVSL 24X500ML Magnesium Sulfate Lf 0.04 IVSL 24X500ML CIPROFLOX/D5W 200/100 24X100ML CLINDAMY/D5W 600/50 24X50 Heparin Sodium In 0.45% Nacl 100u/Ml IVSL 24X250ML LEVOFLOXACIN 500MG 24X100ML SEE 3391075 ACETIC ACID 0.25%24X250ML Fluconazole/Sod Cl 200mg/100ml IPSL 24X100ML WATER 1000ML STRL INJ EXC LEVOFLOXACIN 250MG 24X50ML PF

I Norepinephrine PF 4 5% Dextrose solution BITARTRATE-D5W Golytely POSR 4000 0.9% SOLN 16X1000

Alert
H bag 24 ML

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