Page 11 - meridian high res

Inventory Date
SGMC Smith Northview 9/16/20

Meridian
LOC NDC QTY Divisor Med Desc STRENGTH MANUFACTURER DEA CLASS AHFS SOURCE Package Cost Unit Cost Extended
36680000- C: McKesson Catalog SMITH
O
N
R
I
0096 - OPP Pharmacy 00407141365 17.00 10 OMNIPAQUE 300 POLYB 150ML 10 300mg/mL GE Healthcare Inc. ROENTGENOGRAPHY EW HOSP 387496 $ 113.24 $ 11.32 $ 192.51
V
T
H
52040400- C: McKesson Catalog SMITH
NORTHVIEW HOSP 387496
0096 - OPP Pharmacy 17478007031 33.00 50 ERYTHR O/O 0.5% 1GM AKOR 50@ 5mg/g Akorn, Inc. ANTIBACTERIALS (EENT) $ 291.62 $ 5.83 $ 192.47
West-Ward
Pharmaceuticals 28203200-RESPIRATORY B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00641601806 5.00 6 DOPRAM 400 MG/20 ML VIAL 6 20mg/mL Corp. AND CNS STIMULANTS $ 226.72 $ 37.79 $ 188.93
Purchase History 387496
20120416-
ANTICOAGULANTS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 16714000610 21.00 10 ENOXAP SOD SYR30MG/.3MLNSTR10@ 100mg/mL NorthStar Rx LLC HEPARINS NORTHVIEW HOSP 387496 $ 89.56 $ 8.96 $ 188.08
24060500-
CHOLESTEROL
Major ABSORPTION C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00904666404 18.00 30 EZETIMIBE TAB 10MG MMP UD 30@ 10mg/1 Pharmaceuticals INHIBITORS NORTHVIEW HOSP 387496 $ 305.22 $ 10.17 $ 183.13
08120616-
CEPHALOSPORINS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 44567024110 20.00 10 CEFEPIME SDV 2GM 20ML WG 10 2g/1 WG Critical Care, LLC FOURTH GENERATION NORTHVIEW HOSP 387496 $ 90.57 $ 9.06 $ 181.14
72000000-LOCAL
Fresenius Kabi USA, ANESTHETICS C: McKesson Catalog SMITH
LLC
0096 - OPP Pharmacy 63323046157 21.00 25 SENSOR+EPI MDV 0.25% 50MLFRE25 2.5; .005mg/m (PARENTERAL) NORTHVIEW HOSP 387496 $ 213.95 $ 8.56 $ 179.72
MYLAN 92160000-ANTIGOUT C: McKesson Catalog SMITH
0096 - OPP Pharmacy 42292005403 20.00 30 COLCHICINE TAB 0.6MG MYLN UD30 0.6MG INSTITUTIONAL INC AGENTS NORTHVIEW HOSP 387496 $ 257.62 $ 8.59 $ 171.75
Fresenius Kabi USA, B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 63323016501 75.00 25 DEXAMETHASONE 4 MG/ML VIAL 25 4mg/mL LLC 68040000-ADRENALS $ 55.42 $ 2.22 $ 166.26
Purchase History 387496
68200808-INSULINS, B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00002821517 4.00 1 HUMULIN R 100 UNIT/ML VIAL 1 100[iU]/mL Eli Lilly and Company SHORT-ACTING Purchase History 387496 $ 41.38 $ 41.38 $ 165.52
Breckenridge B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 51991014417 9.00 10 METHYLERGONOVINE 0.2 MG/ML AMP 10 0.2mg/mL Pharmaceutical, Inc. 76000000-OXYTOCICS $ 183.27 $ 18.33 $ 164.94
Purchase History 387496
American Health 08360000-URINARY ANTI- C: McKesson Catalog SMITH
0096 - OPP Pharmacy 68084044601 90.00 100 NITROFURAN CP 100MG UD AHP100@ 75; 25mg/1; m Packaging INFECTIVES NORTHVIEW HOSP 387496 $ 179.26 $ 1.79 $ 161.33

Pharmacia and B: SMITH NORTHVIEW HOSP
c
has
ur
P
s
i
e H
0096 - OPP Pharmacy 00009307303 25.00 25 DEPO-MEDROL 40 MG/ML VIAL 25 40mg/mL Upjohn Company LLC 68040000-ADRENALS ory 387496 $ 160.46 $ 6.42 $ 160.46
t
Pharmacia and C: McKesson Catalog SMITH
V
H
T
I
0096 - OPP Pharmacy 00009003928 36.00 25 SOLU-MEDROL A-O-V 40MG 1ML 25 40mg/mL Upjohn Company LLC 68040000-ADRENALS HOSP 387496 $ 111.37 $ 4.45 $ 160.37
W
E
R
O
N
68200804-INSULINS, B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00002751017 2.00 1 HUMALOG 100 UNIT/ML VIAL 1 100[iU]/mL Eli Lilly and Company RAPID-ACTING Purchase History 387496 $ 76.44 $ 76.44 $ 152.88
Pharmaceutical 40080000-ALKALINIZING C: McKesson Catalog SMITH

0096 - OPP Pharmacy 00121059500 80.00 100 SOD CITR+AC VL 15ML UD PHA100@ 500; 334mg/5Associates, Inc. AGENTS NORTHVIEW HOSP 387496 $ 188.78 $ 1.89 $ 151.02
International
Medication Systems, 52160000-LOCAL B: SMITH NORTHVIEW HOSP
ur
P
0096 - OPP Pharmacy 76329301505 24.00 25 LIDOCAINE HCL 2% JELLY URO-JET 25 20mg/mL Limited ANESTHETICS (EENT) hase History 387496 $ 156.52 $ 6.26 $ 150.26
c
36040000-
ADRENOCORTICAL C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00781344095 9.00 10 COSYNTR VL 0.25MG/ML 1MLSAN10 0.25mg/mL Sandoz Inc INSUFFICIENCY NORTHVIEW HOSP 387496 $ 166.36 $ 16.64 $ 149.72