Page 8 - Inventory Report
P. 8

Revisions           Unit Cost   Approved               Unit Cost   Approved  Unit Cost   Approved        $8 - unit   cost
       AA






       Z       $ 1,021,287.64




              Extended

       Y               $         4.71    $         3.86    $         3.60    $         3.40    $         3.38    $         3.14    $         3.08    $         2.57    $         2.03    $         1.65    $         1.04    $         0.83    $         0.77    $         0.41    $            -      $  4,629.43    $  3,805.32    $  2,253.66    $  1,021.04    $     949.43    $     745.68



             Unit
       X      Cost     $    1.57    $    0.77    $    8.32    $    0.57    $    3.38    $    1.57    $    1.03    $    2.57    $    2.03    $    0.41    $    1.04    $    0.41    $    0.77    $    0.41    $    8.00    $  69.10    $111.92   ########   $102.10    $158.24    $  43.86


             Package   Cost

       W               $    39.22    $      7.71    $    83.15    $    14.17    $    33.76    $    39.22    $    25.67    $    64.22    $    48.82    $    10.33    $    26.07    $    10.33    $      7.71    $    10.33    $    40.00    $    69.10   ########  ########  ########   $  949.43    $    43.86





       V      SOURCE  7300000683  7300006334  7300006203  MIS NADAC  7300000368  7300000683  7300006228  7300005818  MIS NADAC  7300000445  MIS NADAC  7300000445  7300006334  7300000445  UPDATED   PRICE  7300008750  7300012239  7300005641  7300006175  7300018955  7300004826









       U      AHFS  ANTIARRHYTHMIC   AGENTS, CLASS III   ALKALINIZING AGENTS    08121616-EXTENDED-  PENICILLINS                      ANTIARRHYTHMIC   AGENTS, CLASS III   68040000-ADRENALS        ANTICOAGULANTS,   40200000-CALORIC  AGENTS                            ANTAGONISTS                ANTAGONISTS                ANTAGONISTS                16000000-BLOOD  DERIVATIVES                    56160000-DIGESTANTS    DIURETICS                         56281200-HISTAMINE  H2-ANTAGONISTS
                 24040420-  24240000-BETA-  ADRENERGIC   40080000-  40120000-  REPLACEMENT   SPECTRUM   24040420-  20120416-  56222000-5-HT3   RECEPTOR   40120000-  REPLACEMENT   56222000-5-HT3   RECEPTOR   24240000-BETA-  ADRENERGIC   56222000-5-HT3   RECEPTOR   40280800-LOOP   36340000-  GALLBLADDER   08120708-  CARBAPENEMS,




         DEA
       T    CLAS  S


       S  GENER  IC   CODE  17795  12241  2750  3034  53281  17795  27350  46952  6641  97502  3034  97502  12241  97502      25061          34557   34900  9830  43825  45960


              MANUFACTURER                                        Inc.                          Inc.           Inc.                               Par Pharmaceutical,



       R         West-Ward   Pharmaceuticals   Corp  Alvogen Inc.  Hospira, Inc.  Hospira, Inc.  Wockhardt USA   LLC.  Fresenius Kabi   USA, LLC  West-Ward   Pharmaceuticals   Corp.  Hospira,  B. Braun Medical   Inc.  Apotex Corp.  Hospira, Inc.  Hospira,  Hospira, Inc.  Hospira,  Leiters  GRIFOLS USA,   LLC  AbbVie Inc.  Inc.  Bracco Diagnostics   Inc.  Melinta   Therapeutics, Inc.  Lupin   Pharmaceuticals,   Inc.





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

       Q         INTRAVENOU  25X3ML SOLUTION,   INTRAVENOU  10X5ML S INJECTION,   INTRAVENOU  INTRAMUSCU  LAR/INTRAVE  INTRAVENOU  POWDER,   10X1EA LYOPHILIZED  INTRAVENOU  25X3ML SOLUTION,   INTRAMUSCU  LAR;  25X1ML INTRAVENOU  INTRAVENOU  INTRAVENOU  S SOLUTION  INTRAMUSCU  LAR;   INTRAVENOU  25X2ML S INJECTION  INTRAMUSCU  LAR/INTRAVE  INTRAMUSCU  LAR/INTRAVE  NOUS   25X2ML INJECTION,  INTRAVENOU  10X5ML S INJECTION,   INTRAMUSCU  LAR/INTRAVE  NOUS   25X2ML INJECTION,  Syringe  INTRAVENOU  500 ML   S SOLUTION  ORAL   CAPSULE,   DELAYED   RELEASE   PELLETS  INTRAVENOU  POWDER,   INTRAVENOU 10X1EA S INJECTION,   INTRAVENOU 6X1EA   S INJECTION,   ORAL   POWDER,   FOR




            SIZE                                                  S;
       P      TXT            10X10M  L   25X10M  L              25X10M  L   24X250  ML  25X20M  L                                            250 EA    1 EA           50 ML


            UOI
       O      SIZE


         PACK  AGE    3    5    10   10        1      3       1    10   250      2    20        2    5         2         10   500            250     1    1    1      50
       N      SIZE



       M    STRENG  TH  50mg/mL  5mg/5mL  42mg/mL  9mg/mL  3;   .375g/15  mL;   g/15mL  50mg/mL  10mg/mL  1000[US  P'U]/mL  5g/100mL  2mg/mL  9mg/mL  2mg/mL  1mg/mL  2mg/mL  20 mg/mL  25g/500m  l  36000;   180000;   114000[U  SP'U]/1;   [USP'U]/1  ;   50mg/50  mL  5ug/5mL  1; 1g/2g;   g/2g  40mg/5m  L





       L      GENERIC  AMIODARO  NE   HYDROCHL  METOPROL  OL  SODIUM   BICARBONA  SODIUM   CHLORIDE  PIPERACILL  IN SODIUM;   TAZOBACT  AM SODIUM  AMIODARO  NE   HYDROCHL  DEXAMETH  ASONE   SODIUM  HEPARIN   SODIUM  DEXTROSE   MONOHYD  ONDANSET  RON   HYDROCHL  ORIDE  SODIUM   CHLORIDE  ONDANSET  RON   HYDROCHL  ORIDE  METOPROL  OL  ONDANSET  RON   HYDROCHL  ORIDE  Succinylcholi  ne Chloride  ALBUMIN   HUMAN  PANCRELIP  ASE   LIPASE;   PANCRELIP  ASE   PROTEASE;   ETHACRYN  ATE   SODIUM  SINCALIDE  MEROPENE  M;   FAMOTIDIN  E






       K      TRADE  AMIODARO  NE   HYDROCHL  METOPROL  OL   SODIUM   BICARBONA  SODIUM   CHLORIDE  PIPERACILL  IN AND   TAZOBACT  AM  AMIODARO  NE   HYDROCHL  DEXAMETH  ASONE   SODIUM   HEPARIN   SODIUM  DEXTROSE  ONDANSET  RON   HYDROCHL  ORIDE  SODIUM   CHLORIDE  ONDANSET  RON   HYDROCHL  ORIDE  METOPROL  OL   ONDANSET  RON   HYDROCHL  ORIDE  Succinylcholi  ne Chloride  ALBUTEIN   5%  CREON  ETHACRYN  ATE   SODIUM  KINEVAC  VABOMERE  FAMOTIDIN  E










       J      MERIDIAN DESC  AMIODARONE HCL   VIAL 50 MG/ML 3  METOPROLOL   TARTRATE VIAL 5 MG   SODIUM   BICARBONATE   SODIUM CHLORIDE   VIAL 0.9 % 10  PIPERACILLIN-  TAZOBACTAM VIAL   3.375G 1  AMIODARONE HCL   VIAL 50 MG/ML 3  DEXAMETHASONE   SODIUM PHOSPHATE   VIAL 10 MG/ML 1  HEPARIN SODIUM   VIAL 1000/ML 10 DEXTROSE IN WATER   IV SOLN L5102 250  ONDANSETRON HCL   VIAL 4 MG/2 ML 2  SODIUM CHLORIDE   VIAL 0.9 % 20  ONDANSETRON HCL   VIAL 4 MG/2 ML 2  METOPROLOL   TARTRATE VIAL 5   ONDANSETRON HCL   VIAL 4 MG/2 ML 2 Succinylcholine Chloride   20 mg/mL PF (from  API), 10mL in 10mL BD   Syringe, 5-Pack  ALBUTEIN VIAL 5 %   500  CREON CAPSULE DR   36-114-180 250  ETHACRYNATE  SOD








              Med Desc  Amiodarone Hcl   50mg/Ml SDV   25X3ML  Metoprolol Tartrate   1mg/Ml SDPF   Sodium Bicarbonate   0.5meq/Ml ABBJ   Sodium Chloride   0.9% SDPF   Piperacillin/Tazobact  am 3.375gm PWVL   10X1EA  Amiodarone Hcl   50mg/Ml SDV   25X3ML  Dexamethasone   Sodium Phosphate   10mg/Ml SDV   HEPARIN SOD   1000U/ML 25X10ML  Dextrose In Water   5% IVSL 24X250ML  ONDANSETRON   HCL 2MG/ML   25X2ML  Sodium Chloride   0.9% SDPF   Ondansetron Hcl   2mg/Ml SDPF   25X2ML  Metoprolol Tartrate   1mg/Ml SDV   Ondansetron Hcl   2mg/Ml SDPF   25X2ML  Succinylcholine   Chloride 20 mg/mL   PF (from API), 10mL   in 10mL BD Syringe,   ALBUTEIN 5%   500ML WHS SPD  250 EA  Ethacrynate Sod

       I                                                                                                                                   Creon 36000u CAPS   Kinevac 5mcg PWVL





              Alert                                                                                                           /Ext           /Pkg    /Pkg  /Pkg
       H                                                                                                                                                              ML


              1       111  112  113  114       115    116     117  118  119      120  121       122  123       124       125  126            127     128  129  130    131
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