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P. 110

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
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           63323026910      1.00        10 propofol 10mg/1mL 10mL SOLN               10mg/mL      LLC                                 MISCELLANEOUS            Purchase History 387496             $                10.67  $         1.07  $                  1.07
                                                                                                                                                                          84049200-LOCAL ANTI-
                                                                                                                                                                          INFECTIVES,              B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           67618015005      1.00         1 povidone-iodine 10% 15mL SOLN             10mg/mL      Avrio Health L.P.                   MISCELLANEOUS            Purchase History 387496             $                  1.06  $         1.06  $                  1.06
                                                                                                                                                                          28160808-
                                                                                                                                                                          BUTYROPHENONES
                                                                                                                                                                          ANTIPSYCHOTIC            B: SMITH NORTHVIEW HOSP
       0112 -  SNOR3                           67457042612      2.00        25 haloperidol lactate 5mg/1mL 1mL vial      5mg/mL       Mylan Institutional LLC             AGENTS                      Purchase History 387496          $                12.85  $         0.51  $                  1.03
                                                                                                                                                                          24240000-BETA-
                                                                                                                                      Baxter Healthcare                   ADRENERGIC               C: McKesson Catalog SMITH
       0112 -  SNOR3                           36000003310      1.00        10 Metoprolol Tartrate 5mg/5mL 5mL SOLN      5mg/5mL      Corporation                         BLOCKING AGENTS          NORTHVIEW HOSP 387496               $                  7.39  $         0.74  $                  0.74
                                                                                                                                      Major                               52320000-                B: SMITH NORTHVIEW HOSP
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                                                                                                                                                                                                   P
       0112 -  SNOR3                           00904571135      1.00         1 oxymetazoline 0.05% 15mL SOLN             5g/100mL     Pharmaceuticals                     VASOCONSTRICTORS                        e History 387496     $                  0.71  $         0.71  $                  0.71
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