Page 86 - Inventory Report
P. 86
Revisions Unit Cost Approved $1.39 - revised unit cost
AA
Z $ 1,021,287.64
Extended
Y $ 2.89 $ 2.78 $15,621.28 $ 9,124.06 $ 4,342.43 $ 3,905.32 $ 3,775.26 $ 2,728.30 $ 1,778.46 $ 1,115.81 $ 904.35 $ 874.74
Unit
X Cost $ 0.72 $ 1.39 ######## $912.41 ######## $557.90 $539.32 $454.72 $296.41 $557.90 $226.09 $ 97.19
Package Cost
W $ 17.36 $ 16.68 ######## $ 912.41 ######## $ 557.90 $ 539.32 $ 454.72 ######## $ 557.90 $ 226.09 $ 971.94
V SOURCE MIS NADAC/UPD ATED 7300010363 7300012230 7300012204 7300010363 7300001705 7300018820 7300005686 7300010363 7300012306 7300005086
U AHFS PREPARATIONS MIS NADAC 40200000-CALORIC AGENTS 44000000-ENZYMES 80040000-ANTITOXINS 56920000-GI DRUGS, MISCELLANEOUS 44000000-ENZYMES 92360000-DISEASE- 80040000-ANTITOXINS 08121604-NATURAL PENICILLINS 44000000-ENZYMES 80040000-ANTITOXINS 80120000-VACCINES
40120000- REPLACEMENT AND IMMUNE GLOBULINS MODIFYING AND IMMUNE GLOBULINS AND IMMUNE GLOBULINS
DEA
T CLAS S
S GENER IC CODE 2840 99573 18997 29309 36544 22348 61501 29308 50473 22348 29307 14287
MANUFACTURER
R B. Braun Medical Inc. B. Braun Medical Inc. Genzyme Corporation GRIFOLS USA, LLC Takeda Pharmaceuticals America, Inc. Genzyme Corporation Janssen Biotech, Inc. GRIFOLS USA, LLC Pfizer Laboratories Div Pfizer Inc Genzyme Corporation GRIFOLS USA, LLC Merck Sharp & Dohme Corp.
DOSE FORM S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION,
Q INTRAVENOU INTRAVENOU S SOLUTION INTRAVENOU INTRAVENOU S; 200 ML SUBCUTANE INTRAVENOU POWDER, INTRAVENOU INTRAVENOU INTRAVENOU S; 100 ML SUBCUTANE INTRAMUSCU INTRAVENOU INTRAVENOU S; SUBCUTANE INTRAMUSCU LAR; SUBCUTANE OUS INJECTION, SOLUTION
SIZE 500 ML SOLUTION 10X4ML LAR
P TXT 12X100 0 1 EA 1 EA 1 EA 1 EA 1 EA 50 ML 10X.5M L
UOI
O SIZE
PACK AGE 500 1000 1 200 1 1 1 100 4 1 50 0.5
N SIZE
M STRENG TH .6; .31; .03; .02g/100 g/100mL; g/100mL; g/100mL 10g/100m L 5mg/ml 10g/100m L 300mg/5 mL 5mg/ml 100mg/10 mL 10g/100m L 2400000[i U]/4mL 5mg/ml 10g/100m L 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25; 25ug/.5m L; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL; ug/.5mL;
L GENERIC SODIUM CHLORIDE; SODIUM LACTATE; POTASSIUM mL; CHLORIDE; CALCIUM CHLORIDE DEXTROSE MONOHYD RATE AGALSIDAS E BETA HUMAN IMMUNOGL OBULIN G VEDOLIZUM AB AGALSIDAS E BETA INFLIXIMAB HUMAN IMMUNOGL OBULIN G PENICILLIN G AGALSIDAS E BETA HUMAN IMMUNOGL OBULIN G STREPTOC OCCUS PNEUMONI AE TYPES 1/2/3/4/5/6B/ 7F/8/9N/9V/1 0A/11A/12F/ 14/15B/17F/ 18C/19A/19F /20/22F/23F/ 33F CAPSULAR POLYSACC HARIDE ANTIGENS
K TRADE LACTATED RINGER'S DEXTROSE FABRAZYM E 35mg GAMUNEX- C ENTYVIO FABRAZYM E 5mg REMICADE GAMUNEX- C BICILLIN L-A FABRAZYM E 5mg GAMUNEX- C PNEUMOVA X 23
J MERIDIAN DESC LACTATED RINGERS IV SOLN L7501 500 DEXTROSE IN WATER 1000 FABRAZYME VIAL 35 MG 1 GAMUNEX-C VIAL 20 G/200ML 200 ENTYVIO VIAL 300 MG 1 FABRAZYME VIAL 5 MG 1 REMICADE VIAL 100 MG 1 GAMUNEX-C VIAL 10 G/100ML 100 BICILLIN L-A SYRINGE 2.4MM/4ML 4 FABRAZYME VIAL 5 MG 1 GAMUNEX-C VIAL 5 G/50 ML 50 PNEUMOVAX 23 VIAL 25MCG/0.5 0.5
Med Desc LACTATED RINGERS 24X500ML EXC 10% 12X1L EXC Fabrazyme Dshp 35mg PWVL 1 EA Gamunex-C 0.1 SDPF 200 ML Entyvio 300mg PWVL 1 EA Fabrazyme Dshp 5mg PWVL 1 EA Remicade 100mg PWVL 1 EA Gamunex-C 0.1 SDPF 100 ML BICILLIN L-A 2.4MMU 10X4ML Fabrazyme Dshp 5mg PWVL 1 EA Gamunex-C 0.1 SDPF 50 ML Pneumovax 23 25mcg/0.5ml SDV 10X.5ML
I DEXTROSE/WATER DEHP FR BG L5200
Alert /Ext/ Pkg /Ext/ Pkg /Ext/ Pkg /Ext /Ext /Ext /Pkg
H
1 1752 1753 1754 1755 1756 1757 1758 1759 1760 1761 1762 1763
