Page 79 - Inventory Report

Revisions Unit Cost Approved $20.65 - unit cost $15.96 - unit cost
AA

Z $ 1,021,287.64

Extended

Y $ 1,252.70 $ 1,219.61 $ 1,167.76 $ 1,138.59 $ 1,122.47 $ 1,116.90 $ 1,090.26 $ 904.35 $ 840.90 $ 808.37 $ 749.32 $ 681.45 $ 670.32 $ 608.32 $ 543.30 $ 535.53 $ 530.40 $ 530.26 $ 518.31

Unit
X Cost $ 33.86 ######## $116.78 $ 22.33 $280.62 $124.10 $109.03 $226.09 $ 64.68 $ 35.15 $187.33 $ 20.65 $ 15.96 $152.08 $181.10 $267.76 $ 7.27 $265.13 $129.58

Package Cost

W $ 338.57 ######## ######## ######## $ 280.62 ######## ######## $ 226.09 $ 646.84 $ 351.47 $ 187.33 $ 20.65 $ 159.60 ######## $ 181.10 $ 267.76 $ 181.65 $ 265.13 $ 129.58

V SOURCE 7300011808 7300011972 7300005184 7300005528 7300010339 7300006972 7300000841 7300012306 7300011542 MIS NADAC 7300010770 UPDATED PRICE UPDATED PRICE 7300011693 7300011120 7300006345 7300000922 7300005307 7300009198

80080000-TOXOIDS PENICILLINS AMINOGLYCOSIDES 80120000-VACCINES DIHYDROPYRIDINES 68280000-PITUITARY 28121200-HYDANTOINS 68160400-ESTROGENS

U AHFS 92360000-DISEASE- MODIFYING 08121604-NATURAL 08120200- 20160000- HEMATOPOIETIC 12202000- NEUROMUSCULAR 80040000-ANTITOXINS AND IMMUNE GLOBULINS 24280800- 20160000- HEMATOPOIETIC 80040000-ANTITOXINS AND IMMUNE GLOBULINS 28080492-OTHER NONSTEROIDAL ANTI- 68200816-INSULINS, LONG-ACTING 20122000- THROMBOLYTIC

DEA 081228
T CLAS S

S GENER IC CODE 24618 27367 82782 61551 33921 26001 32770 29307 14247 44766 26814 20240 13072 10260 99384 10890 13922

MANUFACTURER LLC, a subsidiary of

R GlaxoSmithKline Biologicals SA Genentech, Inc. Pfizer Laboratories Div Pfizer Inc Amneal Pharmaceuticals GlaxoSmithKline Biologicals SA Inc Amgen AbbVie Inc. GRIFOLS USA, LLC Chiesi USA, Inc. Pfizer Laboratories Div Pfizer Inc Saol Therapeutics Inc. SCA Pharmaceuticals, Inc. Egalet US Inc. sanofi-aventis U.S. LLC Teva Parenteral Medicines, Inc. Mylan Institutional LLC Wyeth Pharmaceuticals Pfizer Inc. Genentech, Inc.

DOSE FORM S INJECTION, S INJECTION,

Q INTRAMUSCU LAR SUSPENSION INTRAVENOU INTRAMUSCU LAR INJECTION, 10X2ML SUSPENSION RESPIRATOR 56X5ML (INHALATION) LLC KIT INTRAVENOU INTRAVENOU S INJECTION INTRAVENOU S; SUBCUTANE INTRAVENOU S EMULSION INTRAVENOU INTRAMUSCU LAR; INTRAVENOU S INJECTION PLASTIC BAG SYRN RECTAL SUPPOSITOR SUBCUTANE OUS INTRAVENOU S INJECTION INTRAMUSCU 25X2ML LAR/INTRAVE INTRAMUSCU LAR/INTRAVE NOUS INJECTION, INTRAVENOU

SIZE Y 10X1ML S; 10X1ML S;
P TXT 10X.5M L 10 ML 1 EA 10X20M L 50 ML 10X50M L 1 ML 30 EA 10 ML 10 ML 1 EA 1 EA

UOI
O SIZE

PACK AGE 0.5 10 2 5 1 1 20 50 50 1 1 250 30 10 10 2 1 1
N SIZE 0.50

M STRENG TH 5; 2.5; 8; 8; 2.5[iU]/.5 mL; [iU]/.5mL; ug/.5mL; ug/.5mL; ug/.5mL 20mg/mL 600000; 600000[i U]/2mL; [iU]/2mL 300mg/5 mL 2.5U 300ug/mL 10mg/mL 10g/100m L 0.5mg/mL 4000[iU]/ mL 312[iU]/m L 1.5G/250 ML 50mg/1 100[iU]/m L 4ug/mL 50mg/mL 25mg/5m L 2mg/1

L GENERIC CLOSTRIDI UM TETANI TOXOID ANTIGEN; CORYNEBA CTERIUM DIPHTHERI AE TOXOID ANTIGEN; BORDETEL LA PERTUSSIS TOXOID- FILAMENTO US TOCILIZUM AB PENICILLIN G BENZATHIN E; TOBRAMYC IN RABIES VACCINE FILGRASTI M CISATRACU RIUM HUMAN IMMUNOGL OBULIN G CLEVIDIPIN E ERYTHROP OIETIN HUMAN HEPATITIS B VIRUS IMMUNE VANCOMYC IN/0.9 % CHLORIDE FLU VACCINE INDOMETH ACIN INSULIN GLARGINE DESMOPRE SSIN FOSPHENY TOIN ESTROGEN S, CONJUGAT ED ALTEPLASE

K TRADE BOOSTRIX ACTEMRA BICILLIN CR TOBRAMYCI N RABAVERT NEUPOGEN NIMBEX GAMUNEX- C CLEVIPREX RETACRIT HEPAGAM B VANCOMYC IN HCL-0.9% SOD NACL Fluarix Quad INDOCIN LANTUS DESMOPRE SSIN FOSPHENY TOIN PREMARIN CATHFLO ACTIVASE

J MERIDIAN DESC BOOSTRIX TDAP VIAL 2.5-8-5/.5 0.5 ACTEMRA VIAL 200MG/10ML 10 BICILLIN C-R SYRINGE 1.2MM/2 ML 2 TOBRAMYCIN AMPUL- NEB 300 MG/5ML 5 RABAVERT VIAL 2.5 UNIT 1 NEUPOGEN VIAL 300 MCG/ML 1 NIMBEX VIAL 10 MG/ML 20 GAMUNEX-C VIAL 5 G/50 ML 50 CLEVIPREX VIAL 25 MG/50ML 50 RETACRIT VIAL 4000/ML 1 HepaGam B 312 [iU]/mL INJECTION VANCOMYCIN HCL- 0.9% NACL PLAST. BAG 1.5G/250ML 250 FLUARIX QUAD 10X0.5ML PFS INDOCIN SUPP.RECT 50 MG 30INDOCIN 50 LANTUS VIAL 100/ML 10 DESMOPRESSIN ACETATE VIAL FOSPHENYTOIN SODIUM VIAL 100MG PREMARIN VIAL 25 MG 1 CATHFLO ACTIVASE VIAL 2 MG 1

Med Desc Boostrix SDPF 10X.5ML Actemra 20mg/Ml SDPF 10 ML BICILLIN C-R 1.2MMU 10X2 ADT TOBRAMYCIN RABAVERT 2.5U CHICK-EMB Neupogen 300mcg/Ml SDPF Nimbex 10mg/Ml SDV 10X20ML Gamunex-C 0.1 SDPF 50 ML Cleviprex 0.5mg/Ml SDV 10X50ML RETACRIT 4000U/ML 10X1ML SDPF 1 ML Vancomycin HCl 1.5 g added to 0.9% mL Bag (1500 FLUARIX QUAD 10X0.5ML PFS Indocin 50mg SUPP DESMOPRESSIN 4MCG/ML 10ML Fosphenytoin Sodium 50mg Pe/Ml Premarin 25mg PWVL 1 EA Cathflo Activase 2mg PWVL 1 EA

I 300MG/5ML 56X5ML Hepagam B 312iu/Ml Sodium Chloride 250 Lantus 100u/Ml MDV

Alert /Pkg /Pkg /Pkg /Pkg /Pkg /Pkg
H 30 EA 10 ML

1 1625 1626 1627 1628 1629 1630 1631 1632 1633 1634 1635 1636 1637 1638 1639 1640 1641 1642 1643