Page 122 - 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
American Health C: McKesson Catalog SMITH
0138 - SNSNHMS 60687034601 20.00 100 benzonatate 100mg capsule 100mg/1 Packaging 48080000-ANTITUSSIVES OSP 387496 $ 42.92 $ 0.43 $ 8.58
NORTHVIEW H
Guaifenesin-Codeine 100mg/10mg 5mL Pharmaceutical C: McKesson Catalog SMITH
NORTHVIEW H
0138 - SNSNHMS 00121177500 20.00 100 UD_LIQ 100; 10mg/5m V 48080000-ANTITUSSIVES OSP 387496 $ 40.84 $ 0.41 $ 8.17
Associates, Inc.
56220800-
ANTIHISTAMINES (GI C: McKesson Catalog SMITH
0138 - SNSNHMS 50268052315 18.00 50 meclizine 25mg tablet 25mg/1 AvPAK DRUGS) NORTHVIEW HOSP 387496 $ 21.58 $ 0.43 $ 7.77
Hi-Tech Pharmacal 40100000-AMMONIA C: McKesson Catalog SMITH
0138 - SNSNHMS 50383077931 18.00 40 lactulose 20g/30mL 30mL SOLN 10g/15mL Co., Inc. DETOXICANTS NORTHVIEW HOSP 387496 $ 17.24 $ 0.43 $ 7.76
28080800-OPIATE C: McKesson Catalog SMITH
0138 - SNSNHMS 47781042347 3.00 5 fentaNYL 25mcg/hr patch 12.5ug/1 Alvogen II AGONISTS NORTHVIEW HOSP 387496 $ 12.40 $ 2.48 $ 7.44
92080000-5-ALPHA-
Major REDUCTASE C: McKesson Catalog SMITH
0138 - SNSNHMS 00904683006 15.00 50 finasteride 5mg tablet 5mg/1 Pharmaceuticals INHIBITORS NORTHVIEW HOSP 387496 $ 24.43 $ 0.49 $ 7.33

Pharmacia and C: McKesson Catalog SMITH
I
T
R
0138 - SNSNHMS 00009001201 8.00 50 hydrocortisone 5mg tablet 5mg/1 Upjohn Company LLC 68040000-ADRENALS HOSP 387496 $ 45.76 $ 0.92 $ 7.32
H
O
W
E
V
N
McKesson 12201200-GABA-
Corporation dba SKY DERIVATIVE SKELETAL C: McKesson Catalog SMITH
0138 - SNSNHMS 63739047910 23.00 100 baclofen 10mg tablet 10mg/1 Packaging MUSCLE RELAXANT NORTHVIEW HOSP 387496 $ 30.92 $ 0.31 $ 7.11
40120000-
Baxter Healthcare REPLACEMENT C: McKesson Catalog SMITH
0138 - SNSNHMS 00338004902 6.00 36 sodium chloride 0.9% 250mL ivpb 9g/1000mL Corporation PREPARATIONS NORTHVIEW HOSP 387496 $ 40.26 $ 1.12 $ 6.71
48102400-LEUKOTRIENE C: McKesson Catalog SMITH
0138 - SNSNHMS 50268057515 24.00 50 montelukast 10mg tablet 10mg/1 AvPAK MODIFIERS NORTHVIEW HOSP 387496 $ 13.69 $ 0.27 $ 6.57
08121608- C: McKesson Catalog SMITH
V
T
0138 - SNSNHMS 16714047801 14.00 20 amoxicillin-clavulanate 875-125mg tab 875; 125mg/1 Northstar RxLLC AMINOPENICILLINS EW HOSP 387496 $ 8.94 $ 0.45 $ 6.26
H
R
I
N
O
68360400-THYROID C: McKesson Catalog SMITH
0138 - SNSNHMS 42292003820 17.00 100 levothyroxine 88mcg tablet 88ug/1 Mylan Institutional Inc. AGENTS NORTHVIEW HOSP 387496 $ 36.60 $ 0.37 $ 6.22
56283600-PROTON- C: McKesson Catalog SMITH
N
0138 - SNSNHMS 50268063615 35.00 50 pantoprazole 20mg Tab 20mg/1 AvPAK PUMP INHIBITORS ORTHVIEW HOSP 387496 $ 8.82 $ 0.18 $ 6.17
28361600-DOPAMINE C: McKesson Catalog SMITH
0138 - SNSNHMS 51079097820 26.00 100 carbidopa-levodopa CR 25-100mg TabCR 25mg/1; 100m Mylan Institutional Inc. PRECURSORS NORTHVIEW HOSP 387496 $ 23.58 $ 0.24 $ 6.13
28160804-ATYPICAL
Major ANTIPSYCHOTIC C: McKesson Catalog SMITH
0138 - SNSNHMS 00904637761 24.00 100 OLANZapine 5mg tablet 5mg/1 Pharmaceuticals AGENTS NORTHVIEW HOSP 387496 $ 24.62 $ 0.25 $ 5.91
402000 - CALORIC C: McKesson Catalog SMITH
0138 - SNSNHMS 00574006915 2.00 400 dextrose 40% 15g gel 40% PERRIGO CO. AGENTS NORTHVIEW HOSP 387496 $ 1,168.19 $ 2.92 $ 5.84
MAJOR 842404 - BASIC LOTIONS C: McKesson Catalog SMITH
0138 - SNSNHMS 00904598426 2.00 1 ammonium lactate 12% 226g lotion 12% PHARMACEU AND LINIMENTS NORTHVIEW HOSP 387496 $ 2.78 $ 2.78 $ 5.56
28080800-OPIATE C: McKesson Catalog SMITH
0138 - SNSNHMS 47781042347 2.00 5 fentaNYL 12mcg/hr patch 12.5ug/1 Alvogen II AGONISTS NORTHVIEW HOSP 387496 $ 12.40 $ 2.48 $ 4.96
28129200-
Major ANTICONVULSANTS, C: McKesson Catalog SMITH
0138 - SNSNHMS 00904385461 15.00 100 carBAMazepine 100mg chewtab 100mg/1 Pharmaceuticals MISCELLANEOUS NORTHVIEW HOSP 387496 $ 32.94 $ 0.33 $ 4.94