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
Alert
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