Page 93 - Inventory Report

Revisions Unit Cost Approved Unit Cost Approved Unit Cost Approved $15.96 - unit cost
AA

Z $ 1,021,287.64

Extended

Y $ 17.02 $ 15.30 $ 14.58 $ 14.17 $ 11.85 $ 5.81 $ 5.47 $ 1.79 $ 3,399.39 $ 2,557.88 $ 2,425.92 $ 1,467.22 $ 962.00 $ 507.83 $ 462.96 $ 385.80 $ 273.30 $ 267.76 $ 251.32 $ 210.71

Unit
X Cost $ 17.02 $ 0.57 $ 14.58 $ 0.57 $ 2.96 $ 5.81 $ 5.47 $ 1.79 $178.92 $ 79.93 $ 15.96 ######## $137.43 $169.28 $ 77.16 $ 77.16 $ 68.33 $267.76 $ 14.78 $210.71

Package Cost

W $ 17.02 $ 14.17 $ 145.76 $ 14.17 $ 29.63 $ 58.10 $ 136.77 $ 17.88 ######## $ 79.93 $ 159.60 ######## $ 137.43 $ 169.28 $ 77.16 $ 77.16 $ 68.33 $ 267.76 $ 177.40 $ 210.71

V SOURCE 7300008947 MIS NADAC 7300000422 MIS NADAC 7300010434 7300005900 7300005080 7300010642 7300018720 7300007951 UPDATED PRICE 7300018707 7300005691 7300012459 7300010218 7300010218 7300019315 7300006345 7300011960 7300006801

88080000-VITAMIN B 40120000- REPLACEMENT 24280800- 40120000- REPLACEMENT 08122816- ANTIBACTERIALS, GLYCOPEPTIDES 08120200- 20281600- 28129200- ANTICONVULSANTS, 84920000-SKIN AND 68290400- SOMATOSTATIN 08122812- ANTIBACTERIALS, 08122812- ANTIBACTERIALS, 08122812- ANTIBACTERIALS, 68200808-INSULINS, SHORT-ACTING BETA-ADRENERGIC AGONISTS

U AHFS COMPLEX DIHYDROPYRIDINES AMINOGLYCOSIDES HEMOSTATICS MISCELLANEOUS 68280000-PITUITARY 08142800-POLYENES MUCOUS MEMBRANE 88120000-VITAMIN C 68280000-PITUITARY 12121200-ALPHA- AND

DEA
T CLAS S

S GENER IC CODE 94801 3034 3034 41281 28729 25570 27163 37407 7387 42351 26542 43957 20569 20569 20569 10260 46567 19422

MANUFACTURER REGENT INC Par Pharmaceutical, Par Pharmaceutical,

R X-GEN Pharmaceuticals, Inc. Hospira, Inc. AMERICAN Hospira, Inc. Mylan Institutional LLC Fresenius Kabi USA, LLC Hospira, Inc. X-GEN Pharmaceuticals, Inc. Inc. Astellas Pharma US, Inc. Janssen Biotech, Inc. Teva Parenteral Medicines, Inc. McGuff Pharmaceuticals, Inc. Teva Parenteral Medicines, Inc. Mylan Institutional LLC Accord Healthcare Inc. Teva Parenteral Medicines, Inc. Baxter Healthcare Corporation Inc.

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

Q INTRAMUSCU LAR/INTRAVE NOUS; INTRAMUSCU LAR/INTRAVE INTRAVENOU S INJECTION INTRAMUSCU LAR/INTRAVE INTRAVENOU INTRAMUSCU 10X2ML LAR/INTRAVE INTRAVENOU INTRAVENOU 10X5ML SOLUTION, INTRAVENOU 25X1ML S INJECTION INTRAVENOU SYRN INTRAVENOU S SOLUTION INTRAVENOU S; INTRAVENOU VIAL INTRAVENOU INTRAVENOU INTRAVENOU INTRAVENOU S INJECTION INTRAVENOU SOLUTION INTRAMUSCU LAR; INTRAVENOU

SIZE 10X1EA POWDER,
P TXT 10 ML 25X10M L 10X10M L 25X10M L 25X20M L 1 EA 26 ML 5 ML 50 ML 1 EA 1 EA 1 EA 10 ML 12X100 ML 30 ML

UOI
O SIZE

PACK AGE 10 10 10 10 1 2 20 5 1 1 26 5 50 1 1 1 10 100 30
N SIZE 0.50

M STRENG TH 5mg/mL 9mg/mL 2.5MG/M 9mg/mL 1g/20mL 250mg/m L 250mg/m L 500mg/5 mL 20[USP'U ]/mL 50mg/1 130mg/26 mL 1000ug/m L 500mg/m L 500mg/10 mL 500mg/10 mL 500mg/10 mL 4ug/mL 1[iU]/mL 1mg/mL

L GENERIC FOLIC ACID SODIUM CHLORIDE NICARDIPIN E HCL L SODIUM CHLORIDE VANCOMYC IN HYDROCHL AMIKACIN SULFATE AMINOCAP ROIC ACID LEVETIRAC ETAM VASOPRES SIN AMPHOTER ICIN B FLU VACCINE USTEKINUM AB OCTREOTID E ACETATE ASCORBIC ACID DAPTOMYC IN DAPTOMYC IN DAPTOMYC IN DESMOPRE SSIN INSULIN HUMAN EPINEPHRI NE

K TRADE FOLIC ACID SODIUM CHLORIDE NICARDIPIN E HCL SODIUM CHLORIDE VANCOMYC IN HYDROCHL AMIKACIN SULFATE AMINOCAP ROIC ACID LEVETIRAC ETAM VASOSTRIC T AMBISOME Fluarix Quad STELARA OCTREOTID E ACETATE ASCOR N DAPTOMYCI N N DESMOPRE SSIN MYXREDLIN ADRENALIN

J MERIDIAN DESC FOLIC ACID MDV 5MG/ML XGEN10ML SODIUM CHLORIDE VIAL 0.9 % 10 NICARDIPINE HCL 2.5MG/ML SODIUM CHLORIDE VIAL 0.9 % 10 VIAL 1 G 1 AMIKACIN SULFATE VIAL 500 MG/2ML 2 AMINOCAPROIC ACID VIAL 250 MG/ML 20 LEVETIRACETAM VIAL 500 MG/5ML 5 VASOSTRICT VIAL 20 UNIT/ML 1 AMBISOME VIAL 50 MG 1 FLUARIX QUAD 10X0.5ML PFS STELARA VIAL 130MG/26ML 26 OCTREOTIDE ACETATE VIAL ASCOR VIAL 500 MG/ML 50 DAPTOMYCIN VIAL 500 DAPTOMYCI MG 1 DAPTOMYCIN VIAL 500MG 1 DAPTOMYCIN VIAL 500 DAPTOMYCI MG 1 DESMOPRESSIN ACETATE VIAL MYXREDLIN PIGGYBACK 1 UNIT/ML 100MYXREDLIN 1 ADRENALIN VIAL 1 MG/ML 30

Med Desc FOLIC ACID 5MG/ML 10ML FTV Sodium Chloride 0.9% SDPF NICARDIPINE 2.5MG/ML 10X10ML Sodium Chloride 0.9% SDPF PWVL 10X1EA AMIKACIN 250MG/ML 10X2ML Aminocaproic Acid 250mg/Ml SDV Levetiracetam 100mg/Ml SDV 10X5ML Vasostrict 20u/Ml MDV 25X1ML Ambisome 50mg PWVL 1 EA FLUARIX QUAD 10X0.5ML PFS Stelara 5mg/Ml SDPF 26 ML OCTREO ACET 1MG/ML 5ML Ascor 500mg/Ml MDPF 50 ML DAPTOMYCIN 500MG PF DAPTOMYCIN 500MG PF DAPTOMYCIN 500MG PF DESMOPRESSIN 4MCG/ML 10ML MYXREDLIN100U/1 00ML12X100ML PF Adrenalin 1mg/Ml MDV 30 ML

I Vancomycin Hcl 1gm VANCOMYCIN HCL

Alert /Pkg /Pkg
H

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