Page 95 - Inventory Report

Revisions Unit Cost Approved $1.19 - revised unit cost Unit Cost Approved $2.37 - revised unit cost Unit Cost Approved Unit Cost Approved Unit Cost Approved Unit Cost Approved Unit Cost Approved $1.19 - revised unit cost Unit Cost Approved $1.75 - revised unit cost Unit Cost Approved Unit Cost Approved $1.19 - revised unit cost Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 6.37 $ 5.95 $ 4.76 $ 4.74 $ 4.07 $ 2.51 $ 2.51 $ 2.22 $ 2.22 $ 1.19 $ 1,374.11 $ 753.15 $ 1,617.00 $ 463.26 $ 439.17 $ 342.72 $ 243.04

Unit
X Cost $ 1.27 $ 1.19 $ 4.76 $ 2.37 $ 2.03 $ 1.25 $ 1.25 $ 2.22 $ 2.22 $ 1.19 $458.04 $376.58 $ 1.75 $ 11.03 $ 9.15 $ 1.19 $ 0.72

Package Cost

W $ 15.29 $ 28.56 $ 57.15 $ 28.44 $ 48.82 $ 30.07 $ 30.07 $ 26.67 $ 26.67 $ 28.56 $ 458.04 $ 376.58 $ 147.00 $ 154.42 $ 219.59 $ 28.56 $ 17.36

V SOURCE MIS NADAC MIS NADAC/UPD MIS NADAC MIS NADAC/UPD MIS NADAC MIS NADAC MIS NADAC MIS NADAC MIS NADAC MIS NADAC/UPD 7300012419 MIS NADAC MIS NADAC/UPD ATED MIS NADAC MIS NADAC/UPD

40200000-CALORIC 40120000- REPLACEMENT 40200000-CALORIC 40120000- REPLACEMENT 40200000-CALORIC 40120000- REPLACEMENT 40120000- REPLACEMENT 40200000-CALORIC 40200000-CALORIC 40120000- REPLACEMENT 10000000- ANTINEOPLASTIC 10000000- ANTINEOPLASTIC 40200000-CALORIC 40120000- REPLACEMENT 20120400- ANTICOAGULANTS 40120000- REPLACEMENT 40120000- REPLACEMENT

U AHFS AGENTS PREPARATIONS ATED AGENTS PREPARATIONS ATED AGENTS AGENTS AGENTS PREPARATIONS ATED AGENTS PREPARATIONS MIS NADAC PREPARATIONS ATED PREPARATIONS MIS NADAC

DEA
T CLAS S

S GENER IC CODE 6940 2962 6641 2962 6641 2962 2962 6931 6931 2962 38602 38600 6641 4290 2962 2840

MANUFACTURER

R 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. B. Braun Medical Inc. B. Braun Medical Inc. Accord Healthcare Inc Mylan Institutional LLC B. Braun Medical Inc. Baxter Healthcare Corporation Fenwal, 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, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION,

Q INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU S SOLUTION INTRAVENOU 500 ML S INJECTION, INTRAVENOU 500 ML S INJECTION, INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU SOLUTION INTRAVENOU S SOLUTION INTRAVENOU SOLUTION INTRAVENOU

SIZE 500 ML SOLUTION
P TXT 12X100 0 ML 24X250 ML 12X100 0 1000 ML 24X250 ML 12X100 0 12X100 0 24X250 ML 1 EA 1 EA 50 ML 14X100 0 24X250 ML

UOI
O SIZE

PACK AGE 1000 250 1000 1000 250 500 500 1000 1000 250 1 1 50 1000 500 250 500
N SIZE

M STRENG TH 5; .45g/100 mL; 0.9g/100 mL 5g/100mL 0.9g/100 mL 5g/100mL 0.9g/100 mL 0.9g/100 mL 5; .9g/100m L; 5; .9g/100m L; 0.9g/100 mL 40mg/80 mL 20mg/40 mL 50mg/mL 526; 502; 368; 37; 30mg/100 mL; mg/100m L; L; mg/100m L; 12.25; 11; 3.65g/500 mL; g/500mL; g/500mL 0.9g/100 mL .6; .31; .03; .02g/100 g/100mL; g/100mL; g/100mL

L GENERIC DEXTROSE; SODIUM CHLORIDE SODIUM CHLORIDE DEXTROSE MONOHYD SODIUM CHLORIDE DEXTROSE MONOHYD SODIUM CHLORIDE SODIUM CHLORIDE DEXTROSE; SODIUM CHLORIDE DEXTROSE; SODIUM CHLORIDE SODIUM CHLORIDE MITOMYCIN MITOMYCIN DEXTROSE MONOHYD RATE SODIUM CHLORIDE; SODIUM GLUCONAT E; SODIUM ACETATE; POTASSIUM mg/100m CHLORIDE; MAGNESIU M DEXTROSE MONOHYD RATE; SODIUM CITRATE DIHYDRATE ; SODIUM CHLORIDE SODIUM CHLORIDE; SODIUM LACTATE; POTASSIUM mL; CHLORIDE; CALCIUM CHLORIDE

K TRADE DEXTROSE AND SODIUM SODIUM CHLORIDE DEXTROSE SODIUM CHLORIDE DEXTROSE SODIUM CHLORIDE SODIUM CHLORIDE DEXTROSE AND SODIUM DEXTROSE AND SODIUM SODIUM CHLORIDE MITOMYCIN MITOMYCIN DEXTROSE PLASMA- LYTE A ACD FORMULA A Anticoagulan t Citrate Dextrose SODIUM CHLORIDE LACTATED RINGER'S

J MERIDIAN DESC DEXTROSE 5%-0.45% NACL IV SOLN L6120 1000 12/CS SODIUM CHLORIDE IV SOLN L8002 250 DEXTROSE/WATER DEXTR SOL5% 1000ML UD ICU CS12 SODIUM CHLORIDE IV SOLN L8000 1000 DEXTROSE IN WATER IV SOLN L5102 250 SODIUM CL 0.9% 24 SODIUM CHLORIDE IV SOLN L8001 500 SODIUM CL 0.9% 24 SODIUM CHLORIDE IV SOLN L8001 500 DEXTROSE 5%-0.9% NACL IV SOLN L6100 1000 DEXTROSE 5%-0.9% NACL IV SOLN L6100 1000 SODIUM CHLORIDE IV SOLN L8002 250 MITOMYCIN VIAL 40 MG 1 MITOMYCIN VIAL 20 MG 1 DEXTROSE/WATER DEXTROSE IN WATER IV SOLN S5104-5384 50 PLASMA-LYTE A PH 1000 ACD-A SOLUTION 500 SODIUM CHLORIDE IV SOLN L8002 250 LACTATED RINGER

Med Desc DEXT/NACL 5- 0.45% SEE2920841 SODIUM CL 0.9% 24X250ML EXC 5% 12X1000ML LF SODIUM CL 0.9% 1000ML EXCEL Dextrose In Water 5% IVSL 24X250ML SEE 3391075 SEE 3391075 0.9% 12X1L EXC 0.9% 12X1L EXC SODIUM CL 0.9% 24X250ML EXC MITOMYCIN 40MG MITOMYCIN 20MG 5% 84X50ML PFL IVSL 14X1000 ACD-A 500ML CONT CS24 4B7898Q SODIUM CL 0.9% 24X250ML EXC LACTATED RINGERS 24X500ML EXC

I DEXTROSE/NACL 5- DEXTROSE/NACL 5- Plasma-Lyte A Ph7.4 7.4 IV SOLN 2B2544

Alert Qty Qty Qty
H

1 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949