Page 97 - Inventory Report

Revisions $1.7 - revised unit cost $1.7 - revised unit cost Unit Cost Approved $1.19 - revised unit cost $1.39 - revised unit cost Unit Cost Approved Unit Cost Approved $1.9 - revised unit cost $1.7 - revised unit cost $1.7 - revised unit cost Unit Cost Approved Unit Cost Approved $1.9 - revised unit cost $1.19 - revised unit cost Unit Cost Approved
AA

Z $ 1,021,287.64

Extended

Y $ 81.60 $ 61.20 $ 59.61 $ 58.53 $ 57.15 $ 57.12 $ 53.75 $ 50.04 $ 48.82 $ 40.96 $ 26.67 $ 22.80 $ 20.40 $ 20.40 $ 18.43 $ 18.43 $ 15.20 $ 14.28 $ 13.78

Unit
X Cost $ 1.70 $ 1.70 $ 5.96 $ 2.44 $ 4.76 $ 1.19 $ 4.48 $ 1.39 $ 2.03 $ 3.41 $ 2.22 $ 1.90 $ 1.70 $ 1.70 $ 1.54 $ 1.54 $ 1.90 $ 1.19 $ 1.25

Package Cost

W $ 20.40 $ 20.40 $ 71.54 $ 29.27 $ 57.15 $ 28.56 $ 53.75 $ 16.68 $ 48.82 $ 40.96 $ 26.67 $ 22.80 $ 20.40 $ 20.40 $ 18.43 $ 18.43 $ 22.80 $ 14.28 $ 30.07

V SOURCE MIS NADAC/UPD MIS NADAC/UPD 6770006039 6770006038 MIS NADAC MIS NADAC/UPD 6770005632 MIS NADAC/UPD ATED MIS NADAC 6770000223 MIS NADAC MIS NADAC/UPD ATED MIS NADAC/UPD MIS NADAC/UPD MIS NADAC MIS NADAC MIS NADAC/UPD ATED MIS NADAC/UPD ATED MIS NADAC

U AHFS PREPARATIONS ATED PREPARATIONS ATED PREPARATIONS PREPARATIONS 40200000-CALORIC AGENTS PREPARATIONS ATED PREPARATIONS 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS PREPARATIONS 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS PREPARATIONS ATED PREPARATIONS ATED PHARMACEUTICAL PHARMACEUTICAL 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS
40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 40120000- REPLACEMENT 96000000- 96000000- 40120000- REPLACEMENT

DEA
T CLAS S

S GENER IC CODE 2961 2961 62660 62663 6641 2962 62661 99573 6641 62600 6931 6960 2961 2961 2729 2729 6960 6641 2962

MANUFACTURER

R B. Braun Medical Inc. B. Braun Medical Inc. 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. 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.

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

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

SIZE
P TXT 12X100 0 12X100 0 12X100 0 1000 ML 12X100 0 24X250 ML 1000 ML 12X100 0 24X250 ML 12X100 0 12X100 0 12X100 0 12X100 0 12X100 0 1000 ML 1000 ML 12X100 0 1000 ML

UOI
O SIZE

PACK AGE 1000 1000 1000 1000 1000 250 1000 1000 250 1000 1000 1000 1000 1000 1000 1000 1000 1000 500
N SIZE

M STRENG TH 0.45g/100 mL 0.45g/100 mL .075g/100 mL; g/100mL; g/100mL .15g/100 mL; g/100mL; g/100mL 5g/100mL 0.9g/100 mL .3g/100m L; g/100mL; g/100mL 10g/100m L 5g/100mL .15g/100 mL; g/100mL; g/100mL 5; .9g/100m L; 5; .2g/100m L; 0.45g/100 mL 0.45g/100 mL 1mL/mL 1mL/mL 5; .2g/100m L; 5g/100mL 0.9g/100 mL

L GENERIC SODIUM CHLORIDE SODIUM CHLORIDE POTASSIUM POTASSIUM 5; .45; CHLORIDE; DEXTROSE; SODIUM CHLORIDE POTASSIUM POTASSIUM 5; .45; CHLORIDE; DEXTROSE; SODIUM CHLORIDE DEXTROSE MONOHYD SODIUM CHLORIDE POTASSIUM POTASSIUM 5; .45; CHLORIDE; DEXTROSE; SODIUM CHLORIDE DEXTROSE MONOHYD RATE DEXTROSE MONOHYD POTASSIUM POTASSIUM 5; .9; CHLORIDE; DEXTROSE; SODIUM CHLORIDE DEXTROSE; SODIUM CHLORIDE DEXTROSE; SODIUM CHLORIDE SODIUM CHLORIDE SODIUM CHLORIDE WATER WATER DEXTROSE; SODIUM CHLORIDE DEXTROSE MONOHYD RATE SODIUM CHLORIDE

K TRADE SODIUM CHLORIDE SODIUM CHLORIDE CHLORIDE IN DEXTROSE AND CHLORIDE IN DEXTROSE AND DEXTROSE SODIUM CHLORIDE CHLORIDE IN DEXTROSE AND DEXTROSE DEXTROSE CHLORIDE IN DEXTROSE AND DEXTROSE AND SODIUM DEXTROSE AND SODIUM SODIUM CHLORIDE SODIUM CHLORIDE STERILE WATER STERILE WATER DEXTROSE AND SODIUM DEXTROSE SODIUM CHLORIDE

J MERIDIAN DESC SODIUM CHLORIDE IV SOLN L8020 1000 SODIUM CHLORIDE IV SOLN L8020 1000 DEXTROSE 5%-1/2NS- KCL IV SOLN L6340 1000 DEXTROSE 5%-0.45% NACL-KCL IV SOLN L6350 1000 DEXTROSE/WATER DEXTR SOL5% 1000ML UD ICU CS12 SODIUM CHLORIDE IV SOLN L8002 250 DEXTROSE 5%-1/2NS- KCL IV SOLN L6380 1000 DEXTROSE IN WATER 1000 DEXTROSE IN WATER IV SOLN L5102 250 DEXTROSE 5%-NS- KCL IV SOLN L6520 1000 DEXTROSE 5%-0.9% NACL IV SOLN L6100 1000 DEXTROSE 5%-0.2% NACL IV SOLN L6160 1000 SODIUM CHLORIDE IV SOLN L8020 1000 SODIUM CHLORIDE IV SOLN L8020 1000 WATER IV SOLN L8500 1000 WATER IV SOLN L8500 1000 DEXTROSE 5%-0.2% NACL IV

Med Desc Sodium Chloride 0.0045 IVSL 12X1000 Sodium Chloride 0.0045 IVSL 12X1000 DEX 5%-1/2NS-KCL 10MEQ/L 12X1L DEX 5%-1/2NS-KCL 20MEQ/L 12X1L 5% 12X1000ML LF SODIUM CL 0.9% 24X250ML EXC DEX 5%-1/2NS-KCL 40MEQ/L 12X1L 10% 12X1L EXC Dextrose In Water 5% IVSL 24X250ML DEX 5%-NS-KCL 20MEQ/L 12X1L 0.9% 12X1L EXC 0.2% 12X1L EXC Sodium Chloride 0.0045 IVSL 12X1000 Sodium Chloride 0.0045 IVSL 12X1000 WATER 1000ML STRL INJ EXC WATER 1000ML STRL INJ EXC 0.2% 12X1L EXC 5% 1000ML EXC SEE 3391075

I DEXTROSE/WATER DEHP FR BG L5200 DEXTROSE/NACL 5- DEXTROSE/NACL 5- DEXTROSE/NACL 5-

Alert
H

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