Page 84 - Inventory Report
P. 84

Revisions      $1.29 -   revised   unit cost  $1.03 -   revised   unit cost  Unit Cost   Approved  $2.37 -   revised   unit cost  Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  $1.7 -   revised   unit cost
       AA






       Z       $ 1,021,287.64




              Extended

       Y                    $       54.61    $       43.86    $       40.17    $       40.01    $       35.77    $       35.55    $       33.34    $       31.78    $       31.56    $       31.36    $       31.08    $       30.95    $       28.03    $       26.67    $       26.11    $       23.81    $       23.00    $       20.40    $       19.94



             Unit
       X      Cost          $    3.41    $    1.29    $    1.03    $    2.22    $    5.96    $    2.37    $    2.78    $    5.30    $    6.31    $    4.48    $    1.73    $    4.42    $    1.27    $    2.22    $    1.54    $    4.76    $    2.09    $    1.70    $    2.22


             Package   Cost

       W                    $    40.96    $    30.96    $    24.72    $    26.67    $    71.54    $    28.44    $    33.34    $    63.57    $    75.75    $    53.75    $    27.63    $    53.06    $    15.29    $    26.67    $    18.43    $    57.15    $    33.46    $    20.40    $    26.58





       V      SOURCE       6770000223  MIS   NADAC/UPD  ATED   MIS   NADAC/UPD  ATED   MIS NADAC  6770006039  MIS   NADAC/UPD  MIS NADAC  6770005636  MIS NADAC  6770005632  MIS NADAC  6770005631  MIS NADAC  MIS NADAC  MIS NADAC  MIS NADAC  MIS NADAC  MIS   NADAC/UPD  6770000231









       U      AHFS         PREPARATIONS                40200000-CALORIC  AGENTS                            40200000-CALORIC  AGENTS                            40200000-CALORIC  AGENTS                            PREPARATIONS                PREPARATIONS              ATED  40360000-IRRIGATING  SOLUTIONS                      PREPARATIONS                40200000-CALORIC  AGENTS                            PREPARATIONS               40360000-IRRIGATING  SOLUTIONS                      PREPARATIONS                40200000-CALORIC  AGENTS                            40200000-CALORIC  AGENTS                            PHARMACEUTICAL   40200000-CALORIC  AGENTS                           403600
                      40120000-  REPLACEMENT            40120000-  REPLACEMENT   40120000-  REPLACEMENT   40120000-  REPLACEMENT   40120000-  REPLACEMENT   40120000-  REPLACEMENT   96000000-  40120000-  REPLACEMENT   40120000-  REPLACEMENT




         DEA
       T    CLAS  S


       S  GENER  IC   CODE  62600  99573  6641   6931         62660  2962  45360  62111  6690      62661  45360     62662   6940   6931  2729  6641  45360  2961    56590


              MANUFACTURER



       R                B. Braun Medical   Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  Hospira, Inc.  Hospira, Inc.  ICU Medical Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  Hospira, Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  ICU Medical Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.  B. Braun Medical   Inc.





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

       Q                INTRAVENOU  S INJECTION  INTRAVENOU  S SOLUTION  INTRAVENOU  500 ML   S SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  S INJECTION  INTRAVENOU  SOLUTION  IRRIGATION   IRRIGANT  INTRAVENOU  SOLUTION  INTRAVENOU  INTRAVENOU  S INJECTION  IRRIGATION   IRRIGANT  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  S INJECTION  INTRAVENOU  IRRIGATION   IRRIGANT  INTRAVENOU  SOLUTION  INTRAVENOU  S SOLUTION




            SIZE
       P      TXT       12X100  0   24X500  ML  12X100  0   12X100  0   1000   ML   12X100  0   12X100  0   12X500  ML  1000   ML   16X500  ML  12X100  0   12X100  0 ML   12X100  0   1000   ML   12X100  0   16X100  0   12X100  0   12X100  0


            UOI
       O      SIZE


         PACK  AGE         1000   500     500    1000         1000   1000  1000  1000  500         1000  500        1000    1000   1000  1000  1000  1000  1000     1000
       N      SIZE



       M    STRENG  TH  .15g/100  mL;   g/100mL;   g/100mL  10g/100m  L  5g/100mL  5;   .9g/100m  L;   .075g/100  mL;   g/100mL;   g/100mL  0.9g/100  mL  900mg/10  0mL  5;   mL;   20g/100m  L  .3g/100m  L;   g/100mL;   g/100mL  0.9g/100  mL  2.24g/100  0mL;   g/1000mL  ;   5;   .45g/100  mL;   5;   .9g/100m  L;   1mL/mL  5g/100mL  0.9g/100  mL  0.45g/100  mL  .15g/100  mL;   g/100mL





       L      GENERIC POTASSIUM  POTASSIUM 5; .9;   CHLORIDE;   DEXTROSE;   SODIUM   CHLORIDE  DEXTROSE   MONOHYD  RATE  DEXTROSE   MONOHYD  RATE  DEXTROSE;   SODIUM   CHLORIDE POTASSIUM  POTASSIUM 5; .45;   CHLORIDE;   DEXTROSE;   SODIUM   CHLORIDE  SODIUM   CHLORIDE  SODIUM   CHLORIDE POTASSIUM  DEXTROSE;   POTASSIUM .149g/100  CHLORIDE  DEXTROSE   MONOHYD POTASSIUM  POTASSIUM 5; .45;   CHLORIDE;   DEXTROSE;   SODIUM   CHLORIDE  SODIUM   CHLORIDE POTASSIUM  POTASSIUM 50; 4.5;   CHLORIDE;   DEXTROSE;   SODIUM   CHLORIDE  DEXTROSE;   SODIUM   CHLORIDE  DEXTROSE;   SODIUM   CHLORIDE  WATER  DEXTROSE   MONOHYD  SODIUM   CHLORIDE  SODIUM   CHLORIDE POTASSIUM  POTASSIUM .9;   CHLORID






       K      TRADE  CHLORIDE   IN   DEXTROSE   AND   DEXTROSE  DEXTROSE  DEXTROSE   AND   SODIUM   CHLORIDE   IN   DEXTROSE   AND   SODIUM   CHLORIDE  SODIUM   CHLORIDE  CHLORIDE   IN   DEXTROSE  CHLORIDE   IN   DEXTROSE   AND   SODIUM   CHLORIDE  CHLORIDE   IN   DEXTROSE   AND   DEXTROSE   AND   SODIUM   DEXTROSE   AND   SODIUM   STERILE   WATER  DEXTROSE  SODIUM   CHLORIDE  SODIUM   CHLORIDE  CHLORIDE   IN SODIUM   CHLORIDE










       J      MERIDIAN DESC  DEXTROSE 5%-NS-  KCL IV SOLN L6520   1000 DEXTROSE/WATER  DEXTROSE IN WATER  DEHP FR BG L5201 500  DEXTROSE IN WATER   IV SOLN L5101 500  DEXTROSE 5%-0.9%   NACL IV SOLN L6100   1000  DEXTROSE 5%-1/2NS-  KCL IV SOLN L6340   1000  SODIUM CHLORIDE IV   SOLN L8000 1000  SODIUM CHLORIDE  IRRIG SOLN 0.9 % 1000  DEXTROSE 5%-  CHLORIDE IV SOLN 20   DEXTR SOL 20%   500ML/1MML ICU12  DEXTROSE 5%-1/2NS-  KCL IV SOLN L6380   1000  SODIUM CHLORIDE   IRRIG SOLN R5201-01   DEXTROSE 5%-1/2NS- KCL IV SOLN 30 MEQ/L   1000 DEXTROSE 5%-0.45%   NACL IV SOLN L6120   1000 12/CS  DEXTROSE 5%-0.9%   NACL IV SOLN L6100   1000 WATER IV SOLN L8500   1000 DEXTROSE/WATER  DEXTR S








              Med Desc  DEX 5%-NS-KCL   20MEQ/L 12X1L  10% 24X500ML  Dextrose In Water   5% IVSL 24X500ML  0.9% 12X1L EXC  DEX 5%-1/2NS-KCL   10MEQ/L 12X1L  SODIUM CL 0.9%   1000ML EXCEL  SOD CHL IRR 0.9%   1000ML  HW 12  20MEQ/L 12X1L  Dextrose/Water 0.2   IVSL 12X500ML  DEX 5%-1/2NS-KCL   40MEQ/L 12X1L  SODIUM CL 0.9%   16X500ML IRR  DEX 5%-1/2NS-KCL   30MEQ/L 12X1L  DEXT/NACL 5-  0.45%  SEE2920841  0.9% 12X1L EXC  WATER 1000ML   STRL INJ EXC  5% 12X1000ML LF  Sodium Chloride   Sodium Chloride   0.0045 IVSL   12X1000  POTASSIUM CL-NS   20MEQ/L 12X1L

       I                                       DEXTROSE/NACL 5-                DEXTROSE 5%/KCL POTASSIUM                         DEXTROSE/NACL 5-  0.9% SOLN 16X1000





              Alert
       H


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