Page 94 - Inventory Report

Revisions $1.75 - revised unit cost Unit Cost Approved Unit Cost Approved $1.75 - revised unit cost $1.51 - revised unit cost $1.7 - revised unit cost $1.19 - revised unit cost Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 187.69 $ 169.28 $ 154.88 $ 150.89 $ 136.31 $ 95.82 $ 85.75 $ 42.40 $ 36.84 $ 25.45 $ 22.75 $ 10.57 $ 10.20 $ 9.52 $ 8.34

Unit
X Cost $ 5.07 $169.28 $ 7.74 $ 75.45 $ 13.63 $ 31.94 $ 1.75 $ 1.51 $ 1.47 $ 25.45 $ 1.75 $ 1.51 $ 1.70 $ 1.19 $ 2.78

Package Cost

W $ 25.36 $ 169.28 $ 77.44 $ 75.45 $ 136.31 $ 31.94 $ 147.00 $ 96.90 $ 123.77 $ 254.48 $ 147.00 $ 96.64 $ 20.40 $ 28.56 $ 88.91

V SOURCE 7300007854 7300012459 7300000702 7300008974 7300005943 7300005021 MIS NADAC/UPD ATED MIS NADAC MIS NADAC 7300000970 MIS NADAC/UPD ATED MIS NADAC/UPD ATED MIS NADAC/UPD MIS NADAC/UPD MIS NADAC

U AHFS PREPARATIONS 88120000-VITAMIN C 12121200-ALPHA- AND BETA-ADRENERGIC TUBERCULOSIS PREPARATIONS 08142800-POLYENES 40200000-CALORIC AGENTS 28121200-HYDANTOINS 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS PREPARATIONS ATED PREPARATIONS ATED
88280000- MULTIVITAMIN AGONISTS 36840000- 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT

DEA
T CLAS S

S GENER IC CODE 31299 476 44051 47787 42420 6641 2962 2962 99385 6641 6641 2961 2962 2962

MANUFACTURER Par Pharmaceutical,

R Sandoz Inc Mylan Institutional LLC West-Ward Pharmaceuticals Corp Inc. CMP PHARMA, INC. X-GEN Pharmaceuticals, Inc. B. Braun Medical Inc. B. Braun Medical Inc. B. Braun Medical Inc. Mylan Institutional LLC B. Braun Medical Inc. B. Braun Medical Inc. B. Braun Medical Inc. B. Braun Medical Inc. Hospira, Inc.

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

Q INTRAVENOU INTRAMUSCU LAR/INTRAVE INTRAVENOU 10X4ML S INJECTION INTRADERMA L INJECTION INTRAVENOU S INJECTION INTRAVENOU POWDER, INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU INTRAMUSCU LAR/INTRAVE INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU

SIZE 5X10ML SOLUTION 150 ML SOLUTION
P TXT 50 ML 1 ML 10X15M L 1 EA 50 ML 64X100 ML 84X50M L 10X10M L 50 ML 12X100 0 24X250 ML 32X150 ML

UOI
O SIZE

PACK AGE 10 50 4 1 15 1 50 100 50 10 50 100 1000 250 150
N SIZE

M STRENG TH 200; 3300; 200; 6; 15; 10; 150; 600; 60; 5mg/10m L; [iU]/10mL ; [iU]/10mL ; mg/10mL; mg/10mL; mg/10mL; mg/10mL; mg/10mL; [iU]/10mL ; ug/10mL; 500mg/m L 1mg/mL 5[iU]/.1m L 175; 300mg/m 50mg/1 50mg/mL 9mg/mL 9mg/mL 50mg/mL 50mg/mL 50mg/mL 0.45g/100 mL 0.9g/100 mL 900mg/10 0mL

L GENERIC ASCORBIC ACID; VITAMIN A PALMITATE; 3.6; 6; 40; CHOLECAL CIFEROL; THIAMINE HCL; RIBOFLAVI N 5'- PHOSPHAT E SODIUM; PYRIDOXIN E HCL; NIACINAMID E; DEXPANTH ENOL; .ALPHA.- TOCOPHER OL ASCORBIC ACID NOREPINEP HRINE BITARTRAT TUBERCULI N PURIFIED PROTEIN DERIVATIV POTASSIUM PHOSPHAT E, C; POTASSIUM L; mg/mL AMPHOTER ICIN B DEXTROSE MONOHYD RATE SODIUM CHLORIDE SODIUM CHLORIDE FOSPHENY TOIN DEXTROSE MONOHYD RATE DEXTROSE MONOHYD RATE SODIUM CHLORIDE SODIUM CHLORIDE SODIUM CHLORIDE

K TRADE INFUVITE ADULT MULTIPLE VITAMINS ASCORBIC ACID NOREPINEP BITARTRAT APLISOL POTASSIUM MONOBASI PHOSPHAT ES CIN B DEXTROSE SODIUM CHLORIDE SODIUM CHLORIDE FOSPHENY TOIN DEXTROSE DEXTROSE SODIUM CHLORIDE SODIUM CHLORIDE SODIUM CHLORIDE

J MERIDIAN DESC INFUVITE ADULT VIAL 200-150/10 10 ASCORBIC ACID VIAL 500 MG/ML 50 NOREPINEPHRINE BITARTRATE VIAL 4MG HRINE 4 APLISOL VIAL 5 T/0.1 ML 1 POTASSIUM PHOS INJ 15ML 10 AMPHOTERICIN B VIAL AMPHOTERI 50 MG 1 DEXTROSE/WATER DEXTROSE IN WATER IV SOLN S5104-5384 50 SODIUM CHLORIDE IV SOLN S8004-5264 100 SODIUM CHLORIDE IV SOLN S8004-5384 50 FOSPHENYTOIN SODIUM VIAL 500 DEXTROSE/WATER DEXTROSE IN WATER IV SOLN S5104-5384 50 DEXTROSE IN WATER 100 SODIUM CHLORIDE IV SOLN L8020 1000 SODIUM CHLORIDE IV SOLN L8002 250 SODIUM CHLORIDE IV SOLN 0.9 % 150

Med Desc Infuvite Adult SDV 5X10ML Ascorbic Acid 500mg/Ml SDPF 50 NOREPINEPHRINE 1MG/ML 10X4ML Aplisol 5tu/0.1ml MDV 1 ML POTASS PHOS 3MMOL/ML 10X15ML Amphotericin B 50mg PWVL 1 EA 5% 84X50ML PFL SODIUM CL 0.9% 64X100ML SODIUM CL 0.9% 84X50ML Fosphenytoin Sodium 50mg Pe/Ml 5% 84X50ML PFL 5% 64X100ML Sodium Chloride 0.0045 IVSL 12X1000 SODIUM CL 0.9% 24X250ML EXC Sodium Chloride 0.009 IVSL

I DEXTROSE/WATER IV SOLN S5104-5264

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