Page 92 - Inventory Report
P. 92
Revisions Unit Cost Approved Unit Cost Approved Unit Cost Approved
AA
Z $ 1,021,287.64
Extended
Y $ 78.00 $ 77.44 $ 75.61 $ 71.58 $ 70.86 $ 69.72 $ 63.31 $ 59.48 $ 57.06 $ 56.88 $ 52.92 $ 48.30 $ 43.42 $ 38.72 $ 36.79 $ 34.03 $ 33.32 $ 29.89 $ 28.34 $ 26.64 $ 25.53 $ 24.34 $ 20.35 $ 20.33 $ 18.94
Unit
X Cost $ 8.67 $ 7.74 $ 7.56 $ 0.72 $ 1.86 $ 2.79 $ 2.53 $ 2.48 $ 2.28 $ 28.44 $ 5.88 $ 48.30 $ 2.89 $ 7.74 $ 0.82 $ 17.02 $ 11.11 $ 1.20 $ 0.57 $ 1.11 $ 1.11 $ 3.04 $ 0.58 $ 1.20 $ 3.79
Package Cost
W $ 86.66 $ 77.44 $ 30.25 $ 17.89 $ 46.62 $ 69.72 $ 63.31 $ 2.48 $ 57.06 $ 113.75 $ 58.80 $ 48.30 $ 28.94 $ 77.44 $ 20.44 $ 17.02 $ 277.70 $ 29.89 $ 14.17 $ 27.75 $ 27.75 $ 30.43 $ 14.54 $ 29.89 $ 37.88
V SOURCE 7300011833 7300000702 7300005708 7300005637 7300005497 7300006574 7300005813 7300001800 7300005940 7300010361 7300000904 7300011765 7300000972 7300000702 7300006101 7300008947 7300010221 7300018973 MIS NADAC MIS NADAC MIS NADAC 7300008670 7300005411 7300018973 7300003116
U AHFS HEMOSTATICS 12121200-ALPHA- AND BETA-ADRENERGIC 64000000-HEAVY METAL ANTAGONISTS PHARMACEUTICAL PHARMACEUTICAL AMINOGLYCOSIDES BLOCKING AGENTS ANTIBACTERIALS, 64000000-HEAVY METAL ANTAGONISTS ANTIBACTERIALS, GLYCOPEPTIDES 08121292-OTHER MACROLIDES 12121200-ALPHA- AND BETA-ADRENERGIC ANTICONVULSANTS, MISCELLANEOUS 88080000-VITAMIN B COMPLEX PREPARATIONS PHARMACEUTICAL PHARMACEUTICAL PHARMACEUTICAL ANTIBACTERIALS, GLYCOPEPTIDES PHARMACEUTICAL ANTICONVULSANTS,
20281600- AGONISTS 96000000- 40120000- REPLACEMENT 96000000- 08120200- 24240000-BETA- ADRENERGIC 08122820- 08120708- 08122816- AGONISTS 28129200- 40120000- REPLACEMENT 96000000- 40120000- REPLACEMENT 96000000- 96000000- 08122816- 40120000- REPLACEMENT 96000000- 28129200-
DEA
T CLAS S
S GENER IC CODE 30912 476 7111 2709 3350 2709 41185 18990 40843 7112 67093 41282 48795 476 4163 94801 3170 2709 3034 36639 36639 41280 2972 2709
MANUFACTURER Inc. Inc. Inc. Inc. Inc. Inc. Inc.
R Methapharm, Inc. Amneal Pharmaceuticals LLC Hospira, Hospira, Fresenius Kabi USA, LLC Hospira, Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp Sagent Pharmaceuticals Hospira, Hospira, Inc. Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Amneal Pharmaceuticals LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Hospira, Hospira, Inc. Hospira, Inc. Hospira, Inc. Alvogen Hospira, Inc. Hospira, Fresenius Kabi USA, LLC
DOSE FORM S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION,
Q INTRAVENOU INTRAVENOU 10X4ML SOLUTION, INTRAMUSCU INTRAMUSCU LAR; INTRAVENOU INTRAMUSCU LAR; INTRAMUSCU 25X2ML LAR/INTRAVE INTRAVENOU S INJECTION INTRAMUSCU 25X4ML LAR/INTRAVE INTRAMUSCU 10X1EA INTRAVENOU INTRAVENOU POWDER, INTRAVENOU 10X1EA S INJECTION, INTRAVENOU 10X4ML SOLUTION, INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR/INTRAVE INTRAVENOU INTRAMUSCU LAR; INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR/INTRAVE INTRAVENOU INTRAVENOU INTRAMUSCU LAR; INTRAVENOU 10X5ML S INJECTION,
SIZE 4X1EA LAR; 4X1EA LAR; 25X2ML NOUS 25X5ML SOLUTION 10X1EA POWDER,
P TXT 10X10M L 25X10M L 25X20M L 25X50M L 20 ML 1 EA 10 ML 25X20M L 25X10M L 25X30M L 25X30M L 25X40M L 25X20M L
UOI
O SIZE
PACK AGE 10 4 1 10 20 50 2 20 4 1 1 1 1 4 2 10 5 20 10 30 30 1 40 20 5
N SIZE
M STRENG TH 100mg/m L 1mg/mL 500mg/1 1mL/mL 2meq/mL 1mL/mL 40mg/mL 5mg/mL 150mg/m L 2g/1 1g/20mL 10g/100m L 500mg/5 mL 1mg/mL 500mg/m L 5mg/mL 276; 142mg/m L; mg/mL 1mL/mL 9mg/mL 1mL/mL 1mL/mL 500mg/10 mL 5.84g/40 mL 1mL/mL 100mg/m L
L GENERIC TRANEXAMI C ACID NOREPINEP HRINE BITARTRAT DEFEROXA MINE WATER POTASSIUM POTASSIUM CHLORIDE WATER TOBRAMYC IN SULFATE LABETALOL HYDROCHL ORIDE CLINDAMYC IN DEFEROXA MINE MEROPENE VANCOMYC IN HYDROCHL AZITHROMY CIN NOREPINEP HRINE BITARTRAT MAGNESIU M SULFATE HEPTAHYD FOLIC ACID SODIUM PHOSPHAT E, MONOBASI C, MONOHYD RATE; SODIUM WATER SODIUM CHLORIDE BACTERIOS TATIC BACTERIOS TATIC VANCOMYC IN HYDROCHL SODIUM CHLORIDE WATER VALPROAT E SODIUM
K TRADE TRANEXAMI C ACID NOREPINEP HRINE BITARTRAT DEFEROXA MINE STERILE WATER CHLORIDE STERILE WATER TOBRAMYCI N LABETALOL HYDROCHL ORIDE CLINDAMYC IN DEFEROXA MINE MEROPENE VANCOMYC IN HYDROCHL AZITHROMY CIN NOREPINEP HRINE BITARTRAT MAGNESIU M SULFATE FOLIC ACID SODIUM PHOSPHAT ES STERILE WATER SODIUM CHLORIDE BACTERIOS TATIC BACTERIOS TATIC VANCOMYC IN HYDROCHL SODIUM CHLORIDE STERILE WATER VALPROAT E SODIUM
J MERIDIAN DESC TRANEXAMIC ACID VIAL 1000 MG/10 10 NOREPINEPHRINE BITARTRATE VIAL 1 MG/ML 4 DEFEROXAMINE MESYLATE VIAL 500 WATER VIAL 10 POTASSIUM CHLORIDE VIAL 2 WATER VIAL 50 TOBRAMYCIN SULFATE VIAL 40 LABETALOL HCL VIAL 5 MG/ML 20 CLINDAMYCIN PHOSPHATE VIAL 150 DEFEROXAMINE MESYLATE VIAL 2 G 1 MEROPENEM INJ 1GM VANCOMYCIN HCL VIAL 10 G 1 AZITHROMYCIN VIAL 500 MG 1 NOREPINEPHRINE BITARTRATE VIAL 1 MG/ML 4 MAGNESIUM SULFATE VIAL 500 MG/ML 2 FOLIC ACID VIAL 5 MG/ML 10 SODIUM PHOSPHATE VIAL 3MMOL/ML 5 WATER VIAL 20 SODIUM CHLORIDE VIAL 0.9 % 10 WATER VIAL 30 WATER VIAL 30 VANCOMYCIN HCL VIAL 500 MG 1 S
Med Desc TRANEXAMIC AC NOREPINEPHRINE 1MG/ML 10X4ML DEFEROXAMINE MES 500MG 4 Water Plst Ftv SDV 25X10ML Potassium Chloride 2meq/Ml SDV Water SDV 25X50ML Tobramycin Sulfate 40mg/Ml MDV LABETALOL HCL 100MG/20ML (5MG/ML) CLINDAMYCIN PHOS 150/ML Deferoxamine MEROPENEM 1GM Vancomycin Hcl 10gm PWVL 1 EA Azithromycin 500mg PWVL 10X1EA NOREPINEPHRINE 1MG/ML 10X4ML Magnesium Sulfate 50% SDPF 25X2ML Folic Acid 5mg/Ml MDV 10 ML SODIUM PHOS 3MMOL/ML 25X5ML Water SDV 25X20ML Sodium Chloride 0.9% SDPF Water MDV 25X30ML Water MDV 25X30ML VANCOMYCIN HCL 500MG 10 PF SODIUM CL 14.6% 25X40ML FTV LF Water SDV 25
I 100MG/ML 10X10ML Mesylate 2gm PWVL 100MG/ML10X5 PPX
Alert
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