Page 83 - Inventory Report
P. 83

Revisions                          Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved
       AA






       Z       $ 1,021,287.64




              Extended

       Y                    $     185.36            $     171.04    $     169.87    $     159.47    $     154.42    $     146.54    $     121.20    $     120.23    $     112.20    $       96.90    $       92.76    $       84.16    $       76.28    $       71.57    $       68.29



             Unit
       X      Cost          $    7.41               $    8.14    $    8.49    $    4.31    $  11.03    $    4.31    $    4.85    $    6.01    $    4.49    $    1.51    $    4.22    $    6.01    $    2.93    $    2.86    $    1.37


             Package   Cost

       W                    $  185.36               $      8.14    $  339.75    $  137.92    $  154.42    $  137.92    $  121.20    $    84.16    $  112.20    $    96.90    $  101.20    $    72.14    $    46.94    $    71.57    $    34.15





       V      SOURCE       7300000325                   7300006027  MIS NADAC              MIS NADAC  7300010758  6770000381  7300005736  MIS NADAC  6770000012  6770000381  7300005560  7300005734  7300008577






                      72000000-LOCAL   ANESTHETICS   40120000-  REPLACEMENT   40120000-  REPLACEMENT   40200000-CALORIC   40120000-  REPLACEMENT   40120000-  REPLACEMENT   72000000-LOCAL   ANESTHETICS   40120000-  REPLACEMENT   72000000-LOCAL   ANESTHETICS   40120000-  REPLACEMENT   28129200-  40120000-  REPLACEMENT   72000000-LOCAL   ANESTHETICS   72000000-LOCAL   ANESTHETICS

       U      AHFS         (PARENTERAL)            PREPARATIONS              MIS NADAC  AGENTS                            PREPARATIONS              MIS NADAC  (PARENTERAL)            PREPARATIONS                (PARENTERAL)            ANTICONVULSANTS,  MISCELLANEOUS            PREPARATIONS               40360000-IRRIGATING  SOLUTIONS                      (PARENTERAL)            (PARENTERAL)






         DEA
       T    CLAS  S


       S  GENER  IC   CODE  68238                   7040  2971  6641                  4290  2962   26888     56591  11701  2962  99227          45340  11700   19757


              MANUFACTURER                                                                                                                           AuroMedics Pharma   AuroMedics Pharma



       R                Fresenius Kabi   USA, LLC  B. Braun Medical   Inc.  Fresenius Kabi   USA, LLC  ICU Medical Inc.  Baxter Healthcare   Corporation  ICU Medical Inc.  Fresenius Kabi   USA, LLC  Baxter Healthcare   Corporation  Hospira, Inc.  B. Braun Medical   Inc.  Hospira, Inc.  ICU Medical Inc.  B. Braun Medical   Inc.  LLC  LLC





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

       Q         EPIDURAL;   INFILTRATIO  N;   INTRACAUDA  INTRAVENOU  SOLUTION  INTRAVENOU  INTRAVENOU  INTRAVENOU  SOLUTION  INTRAVENOU  INFILTRATIO  SOLUTION  INTRAVENOU  SOLUTION  PERINEURAL   INJECTION,   SOLUTION  INTRAVENOU  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  IRRIGATION   IRRIGANT  INFILTRATIO  N;   PERINEURAL   EPIDURAL;   INFILTRATIO  N;




            SIZE           L;
       P      TXT       25X30M  L                1000   ML   40X100  ML  32X150  ML  14X100  0   32X150  ML  25X50M  L   14X100  0   25X50M  L   64X100  ML  24X500  ML  12X100  0   16X100  0   25X50M  L   25X30M  L


            UOI
       O      SIZE


         PACK  AGE         30                       1000  100  150                    1000  150    50        1000   50   100     500       1000  1000  50      30
       N      SIZE



       M    STRENG  TH  10;   .005mg/m  L; mg/mL  5; .6; .31;   .03;   .02g/100  mL;   g/100mL;   g/100mL;   g/100mL  234mg/m  L  5g/100mL  526; 502;   368; 37;   30mg/100  mL;   mg/100m  L;   L;   mg/100m  L;   900mg/10  0mL  5mg/mL  300mg/10  0mL;   mg/100m  5mg/mL  9mg/mL  40mg/mL  2.98g/100  0mL;   g/1000mL  1mL/mL  2.5mg/mL  2.5mg/mL





       L      GENERIC  LIDOCAINE   HYDROCHL  ORIDE;   EPINEPHRI  NE   DEXTROSE   MONOHYD  RATE;   SODIUM   CHLORIDE;   SODIUM   LACTATE;   POTASSIUM g/100mL;   CHLORIDE;   CALCIUM   SODIUM   CHLORIDE  DEXTROSE   MONOHYD  SODIUM   CHLORIDE;   SODIUM   GLUCONAT  E; SODIUM   ACETATE;   POTASSIUM mg/100m  CHLORIDE;   MAGNESIU  M   SODIUM   CHLORIDE  LIDOCAINE   HYDROCHL  ORIDE POTASSIUM  POTASSIUM 900;   CHLORIDE;   SODIUM   CHLORIDE  BUPIVACAI  NE   HYDROCHL  SODIUM   CHLORIDE  MAGNESIU  M SULFATE   HEPTAHYD POTASSIUM  POTASSIUM 9;   CHLORIDE;   SODIUM   CHLORIDE  WATER  BUPIVACAI  NE   HYDROCHL  BUPIVACAI  NE   HYDROCHL






       K      TRADE  XYLOCAINE-  MPF WITH   EPINEPHRI  NE  5%   DEXTROSE   IN   LACTATED   RINGERS  SODIUM   CHLORIDE  DEXTROSE  PLASMA-  LYTE A  SODIUM   CHLORIDE  XYLOCAINE   MPF  CHLORIDE   IN SODIUM   CHLORIDE  BUPIVACAI  NE   HYDROCHL  SODIUM   CHLORIDE  MAGNESIU  M SULFATE   IN WATER  CHLORIDE   IN SODIUM   CHLORIDE  STERILE   WATER  BUPIVACAI  NE   HYDROCHL  BUPIVACAI  NE   HYDROCHL










       J      MERIDIAN DESC  XYLOCAINE-MPF WITH   EPINEPHRINE VIAL 1   %-1:200K 30  DEXTROSE IN   LACTATED RINGERS   IV SOLN L7510 1000  SODIUM CHLORIDE   VIAL 4 MEQ/ML 100  150ML ICU CS32   PLASMA-LYTE A PH   1000  SOD CHL 0.9% 150ML   UD ICU CS32  XYLOCAINE-MPF VIAL   5 MG/ML 50  POTASSIUM CHL-  NORMAL SALINE IV   SOLN 2B1984 1000  BUPIVACAINE HCL   VIAL 5 MG/ML 50 SODIUM CHLORIDE IV   SOLN S8004-5264 100 MAGNESIUM SULFATE   IV SOLN 20 G/500ML   500  POTASSIUM  CHLORIDE IN SODIUM   CHLORIDE 9;   2.98g/1000mL;   WATER IRRIG SOLN   R5000-01 1000  BUPIVACAINE HCL   VIAL .25% 50  BUPIVACAINE HCL   VIAL 2.5 MG/ML 30








              Med Desc  XYLOC-MPF/EPI 1-  0.0005%25X30ML  DEXTROSE/LR 5%   1000ML EXC  SODIUM CL 23.4%   40X100ML  5% 32X150ML LF  IVSL 14X1000  Sodium Chloride   0.009 IVSL   XYLOCAINE-MPF   0.5% 25X50ML  POTASSIUM CL/NS   40MEQ/L 14X1L  Bupivacaine Hcl   5mg/Ml MDV   25X50ML  SODIUM CL 0.9%   64X100ML  Magnesium Sulfate   Lf 0.04 IVSL   24X500ML  POTASSIUM CL/NS   40MEQ/L 12X1L  STR IRR  BUPIVACAINE   0.25% 25X50ML  Bupivacaine Hcl   2.5mg/Ml SDPF   25X30ML

       I                                                   DEXTROSE/WATER  DEXTROS SOL 5%   Plasma-Lyte A Ph7.4  7.4 IV SOLN 2B2544          WATER 16X1000ML





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