Page 85 - Inventory Report
P. 85

Revisions    $1.29 -   revised   unit cost     Unit Cost   Approved  Unit Cost   Approved  Unit Cost   Approved  $1.9 -   revised   unit cost  $1.24 -   revised   unit cost  $1.19 -   revised   unit cost  $1.9 -   revised   unit cost  Unit Cost   Approved  $1.19 -   revised   unit cost
       AA






       Z       $ 1,021,287.64




              Extended

       Y                 $       18.23    $       18.06    $       14.63    $       14.47    $       14.29    $         9.18    $         7.60    $         6.20    $         5.95    $         5.70    $         4.84    $         4.76    $         4.48



             Unit
       X      Cost       $    3.04    $    1.29    $    2.44     $    0.72    $    4.76    $    2.30    $    1.90    $    1.24    $    1.19    $    1.90    $    4.84    $    1.19    $    4.48


             Package   Cost

       W                 $    72.90    $    30.96    $    29.27    $    17.36    $    57.15    $    27.54    $    22.80    $    14.88    $    14.28    $    22.80    $    58.07    $    14.28    $    53.75





       V      SOURCE    6770006206  MIS   NADAC/UPD  ATED   6770006038  MIS NADAC          MIS   NADAC/UPD  ATED   MIS   NADAC/UPD  MIS   NADAC/UPD  ATED   MIS   NADAC/UPD  ATED   MIS   NADAC/UPD  ATED   6770005632









       U      AHFS    ANTICOAGULANTS,   40200000-CALORIC  AGENTS                            PREPARATIONS                PREPARATIONS              MIS NADAC  40200000-CALORIC  AGENTS                            PREPARATIONS              MIS NADAC  40200000-CALORIC  AGENTS                            PREPARATIONS              ATED   40200000-CALORIC  AGENTS                            40200000-CALORIC  AGENTS                            PREPARATIONS              MIS NADAC  40200000-CALORIC  AGENTS                            PREPARATIONS
                   20120416-  HEPARINS  40120000-  REPLACEMENT   40120000-  REPLACEMENT   40120000-  REPLACEMENT   40120000-  REPLACEMENT   40120000-  REPLACEMENT   40120000-  REPLACEMENT




         DEA
       T    CLAS  S


       S  GENER  IC   CODE  99925  99573    62663               2840  6641               2840   6960    2962   6641    6960                2840   6641         62661


              MANUFACTURER



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

       Q              INTRAVENOU  S INJECTION  INTRAVENOU  S SOLUTION  INTRAVENOU  S INJECTION  INTRAVENOU  INTRAVENOU  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  S SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  SOLUTION  INTRAVENOU  S SOLUTION  INTRAVENOU  S INJECTION




            SIZE                                                500 ML   SOLUTION
       P      TXT     24X500  ML  24X500  ML  1000   ML           12X100  0           12X100  0   12X100  0   12X100  0   1000   ML   12X100  0   12X100  0   1000   ML   1000   ML


            UOI
       O      SIZE


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



       M    STRENG  TH  200[USP'  U]/100mL  10g/100m  L  .15g/100  mL;   g/100mL;   g/100mL  .6; .31;   .03;   .02g/100  g/100mL;   g/100mL;   g/100mL  5g/100mL  .6; .31;   .03;   .02g/100  g/100mL;   g/100mL;   g/100mL  5;   .2g/100m  L;   0.9g/100  mL  5g/100mL  5;   .2g/100m  L;   600; 310;   30;   20mg/100  mL;   L;   mg/100m  L;   5g/100mL  .3g/100m  L;   g/100mL;   g/100mL





       L      GENERIC  HEPARIN   SODIUM  DEXTROSE   MONOHYD  RATE POTASSIUM  POTASSIUM 5; .45;   CHLORIDE;   DEXTROSE;   SODIUM   CHLORIDE  SODIUM   CHLORIDE;   SODIUM   LACTATE;   POTASSIUM mL;   CHLORIDE;   CALCIUM   CHLORIDE  DEXTROSE   MONOHYD  SODIUM   CHLORIDE;   SODIUM   LACTATE;   POTASSIUM mL;   CHLORIDE;   CALCIUM   CHLORIDE  DEXTROSE;   SODIUM   CHLORIDE  SODIUM   CHLORIDE  DEXTROSE   MONOHYD  RATE  DEXTROSE;   SODIUM   CHLORIDE  SODIUM   CHLORIDE;   SODIUM   LACTATE;   POTASSIUM mg/100m  CHLORIDE;   CALCIUM   CHLORIDE  DEXTROSE   MONOHYD  RATE POTASSIUM  POTASSIUM 5; .45;   CHLORIDE;   DEXTROSE;   SODIUM   CHLORIDE






       K      TRADE  HEPARIN   SODIUM IN   SODIUM   CHLORIDE  DEXTROSE  CHLORIDE   IN   DEXTROSE   AND   LACTATED   RINGER'S  DEXTROSE  LACTATED   RINGER'S  DEXTROSE   AND   SODIUM   SODIUM   CHLORIDE  DEXTROSE  DEXTROSE   AND   SODIUM   LACTATED   RINGER'S  DEXTROSE  CHLORIDE   IN   DEXTROSE   AND










       J      MERIDIAN DESC  HEPARIN SODIUM-  0.9% NACL IV SOLN   P8721 500 DEXTROSE/WATER  DEXTROSE IN WATER  DEHP FR BG L5201 500  DEXTROSE 5%-0.45%   NACL-KCL IV SOLN   L6350 1000  LACTATED RINGERS   IV SOLN L7501 500 DEXTROSE/WATER  DEXTR SOL5% 1000ML   UD ICU CS12  LACTATED RINGERS   IV SOLN L7500 1000  DEXTROSE 5%-0.2%   NACL IV SOLN L6160   1000  SODIUM CHLORIDE IV   SOLN 0.9 % 1000 DEXTROSE/WATER  DEXTROSE IN WATER   IV SOLN L5100 1000  DEXTROSE 5%-0.2%   NACL IV SOLN L6160   1000  LACTATED RINGERS   IV SOLN  1000 DEXTROSE/WATER  DEXTROSE IN WATER   IV SOLN L5100 1000  DEXTROSE 5%-1/2NS-  KCL IV SOLN L6380   1000








              Med Desc  Heparin Sodium In   0.9% Nacl 2units/Ml   IVSL 24X500ML  10% 24X500ML  DEX 5%-1/2NS-KCL   20MEQ/L 12X1L  LACTATED   RINGERS   24X500ML EXC  5% 12X1000ML LF  LACTATED   RINGERS   12X1000ML EXC  0.2% 12X1L EXC  SODIUM CL 0.9%   12X1000ML E3  5% 1000ML EXC  0.2% 12X1L EXC  LACTATED   RINGERS   12X1000ML LF   5% 1000ML EXC  DEX 5%-1/2NS-KCL   40MEQ/L 12X1L

       I                                                                                      DEXTROSE/NACL 5-      DEXTROSE/NACL 5-





              Alert
       H


              1         1739    1740        1741                1742  1743               1744   1745    1746   1747    1748                1749   1750         1751
   80   81   82   83   84   85   86   87   88   89   90