Page 116 - 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
28080424-
McKesson NONSTEROIDAL ANTI-
Corporation dba SKY INFLAMMATORY C: McKesson Catalog SMITH
0113 - SN6SPACUO 63739043401 10.00 750 aspirin 81mg chewtab 81mg/1 Packaging SALICYLATES NORTHVIEW HOSP 387496 $ 15.89 $ 0.02 $ 0.21
gadobenate dimeglumine 529mg/1mL 20mL BRACCO 36680000- B: SMITH NORTHVIEW HOSP
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0114 - SN6XRAYO 00270516415 6.00 5 SOLN 529mg/mL DIAGNOSTICS INC ROENTGENOGRAPHY e History 387496 $ 487.43 $ 97.49 $ 584.92
36680000- B: SMITH NORTHVIEW HOSP
c
has
0114 - SN6XRAYO 00407141509 45.00 10 iohexol 9mg/1mL 500mL SOLN 9mg/mL GE Healthcare Inc. ROENTGENOGRAPHY e History 387496 $ 74.20 $ 7.42 $ 333.90
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36680000- C: McKesson Catalog SMITH
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0114 - SN6XRAYO 00407222364 5.00 10 iodixanol 320mg/1mL 100mL SOLN 320mg/mL GE Healthcare Inc. ROENTGENOGRAPHY EW HOSP 387496 $ 600.58 $ 60.06 $ 300.29
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Bayer HealthCare 36680000- B: SMITH NORTHVIEW HOSP
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0114 - SN6XRAYO 50419032512 6.00 20 gadobutrol 1mmol/1mL 10mL SOLN 604.72mg/mLPharmaceuticals Inc. ROENTGENOGRAPHY e History 387496 $ 779.10 $ 38.96 $ 233.73
has
36680000- C: McKesson Catalog SMITH
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0114 - SN6XRAYO 00407141363 22.00 10 iohexol 300mg/1mL 100mL SOLN 300mg/mL GE Healthcare Inc. ROENTGENOGRAPHY EW HOSP 387496 $ 78.38 $ 7.84 $ 172.44
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68221200-
Boehringer Ingelheim GLYCOGENOLYTIC B: SMITH NORTHVIEW HOSP
0114 - SN6XRAYO 00597026010 1.00 1 glucagon (human recombinant) 1mg SOLN 1MG Pharmaceuticals, Inc. AGENTS Purchase History 387496 $ 159.16 $ 159.16 $ 159.16
diatrizoate meglumine-sodium 66-10% 30mL Bracco Diagnostics 36680000- B: SMITH NORTHVIEW HOSP
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0114 - SN6XRAYO 00270044535 7.00 24 SOLN 660; 100mg/m ROENTGENOGRAPHY e History 387496 $ 538.08 $ 22.42 $ 156.94
Inc
36680000- B: SMITH NORTHVIEW HOSP
has
0114 - SN6XRAYO 00407141388 8.00 10 iohexol 300mg/1mL 150mL SOLN 300mg/mL GE Healthcare Inc. ROENTGENOGRAPHY e History 387496 $ 113.09 $ 11.31 $ 90.47
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Liebel-Flarsheim 36680000- B: SMITH NORTHVIEW HOSP
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has
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0114 - SN6XRAYO 00019086250 3.00 12 iothalamate 17.2% 250mL SOLN 172mg/mL Company LLC ROENTGENOGRAPHY e History 387496 $ 240.41 $ 20.03 $ 60.10
36680000- B: SMITH NORTHVIEW HOSP
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0114 - SN6XRAYO 00407141386 11.00 10 iohexol 300mg/1mL 50mL SOLN 300mg/mL GE Healthcare Inc. ROENTGENOGRAPHY e History 387496 $ 43.32 $ 4.33 $ 47.65
12121200-ALPHA- AND
Par Pharmaceutical, BETA-ADRENERGIC B: SMITH NORTHVIEW HOSP
0114 - SN6XRAYO 42023015925 2.00 25 EPINEPHrine 1mg/1mL 1mL SOLN 1mg/mL Inc. AGONISTS Purchase History 387496 $ 346.89 $ 13.88 $ 27.75
401200 - REPLACEMENT B: SMITH NORTHVIEW HOSP
0114 - SN6XRAYO 64253011130 63.00 60 sodium chloride 0.9% 10mL FLUSH 0.9% MEDEFIL INCORP. PREPARATIONS Purchase History 387496 $ 18.92 $ 0.32 $ 19.87
methylPREDNISolone sodium succinate Pharmacia and B: SMITH NORTHVIEW HOSP
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0114 - SN6XRAYO 00009004726 2.00 25 125mg SOLN 125mg/2mL Upjohn Company LLC 68040000-ADRENALS ory 387496 $ 177.85 $ 7.11 $ 14.23
International
Medication Systems, 40080000-ALKALINIZING C: McKesson Catalog SMITH
0114 - SN6XRAYO 76329335201 1.00 10 sodium bicarbonate 8.4% 50mEq 50mL abbj 84mg/mL Limited AGENTS NORTHVIEW HOSP 387496 $ 108.04 $ 10.80 $ 10.80
40200000-CALORIC C: McKesson Catalog SMITH
0114 - SN6XRAYO 00409490234 1.00 10 dextrose 50% 50mL abbj 25g/50mL Hospira, Inc. AGENTS NORTHVIEW HOSP 387496 $ 77.73 $ 7.77 $ 7.77
20120416-
Fresenius Kabi USA, ANTICOAGULANTS, C: McKesson Catalog SMITH
0114 - SN6XRAYO 63323054001 4.00 25 heparin 1000Units/1mL 1mL SOLN 1000[USP'U]/LLC HEPARINS NORTHVIEW HOSP 387496 $ 36.51 $ 1.46 $ 5.84
72000000-LOCAL
AuroMedics Pharma ANESTHETICS B: SMITH NORTHVIEW HOSP
0114 - SN6XRAYO 55150016205 4.00 10 lidocaine PF 1% 5mL SOLN 10mg/mL LLC (PARENTERAL) Purchase History 387496 $ 14.39 $ 1.44 $ 5.76