Page 13 - 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
Fresenius Kabi USA, 88080000-VITAMIN B C: McKesson Catalog SMITH
0096 - OPP Pharmacy 63323001302 25.00 25 THIAMIN MDV 2CMG 2ML FRE 25 100mg/mL LLC COMPLEX NORTHVIEW HOSP 387496 $ 108.59 $ 4.34 $ 108.59
Pharmaceutical 56120000-CATHARTICS C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00121043130 60.00 100 MILK OF MAG 30ML UD P/A 100@ 400mg/5mL Associates, Inc. AND LAXATIVES NORTHVIEW HOSP 387496 $ 180.31 $ 1.80 $ 108.19
24320800-ANGIOTENSIN
Alembic II RECEPTOR C: McKesson Catalog SMITH
0096 - OPP Pharmacy 62332004490 80.00 90 VALSARTAN TAB 40MG ALEM 90 40mg/1 Pharmaceuticals Inc. ANTAGONISTS NORTHVIEW HOSP 387496 $ 119.91 $ 1.33 $ 106.59
Pharmacia and C: McKesson Catalog SMITH
O
N
E
I
0096 - OPP Pharmacy 00009004722 15.00 25 SOLU-MEDROL A-O-V 125MG 2ML 25 125mg/2mL Upjohn Company LLC 68040000-ADRENALS HOSP 387496 $ 177.22 $ 7.09 $ 106.33
W
V
T
R
H
McKesson
Corporation dba SKY 08183200-NUCLEOSIDES C: McKesson Catalog SMITH
0096 - OPP Pharmacy 63739052510 100.00 100 VALACYCL TAB 500MG UD SKY 100@ 500mg/1 Packaging AND NUCLEOTIDES NORTHVIEW HOSP 387496 $ 105.70 $ 1.06 $ 105.70
12080800-
ANTIMUSCARINICS/ANTI C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00603116158 473.00 473 DICYCLOM O/S 10MG/5ML PAR 16Z@ 10mg/5mL Par Pharmaceutical SPASMODICS NORTHVIEW HOSP 387496 $ 105.05 $ 0.22 $ 105.05
International
Medication Systems, 52160000-LOCAL B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 76329301205 25.00 25 LIDOCAINE HCL 2% JELLY URO-JET 25 20mg/mL Limited ANESTHETICS (EENT) $ 104.34 $ 4.17 $ 104.34
Purchase History 387496
Pharmaceutical 56040000-ANTACIDS B: SMITH NORTHVIEW HOSP
P
0096 - OPP Pharmacy 00121176130 59.00 100 MAG-AL PLUS SUSPENSION 100 200; 200; 20m Associates, Inc. AND ADSORBENTS urchase History 387496 $ 174.49 $ 1.74 $ 102.95

12120400-ALPHA-
Avadel Legacy ADRENERGIC B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 76014000425 35.00 25 VAZCULEP 10 MG/ML VIAL 25 10mg/mL Pharmaceuticals, LLC AGONISTS Purchase History 387496 $ 73.04 $ 2.92 $ 102.26
08120604-
CEPHALOSPORINS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00781345095 14.00 10 CEFAZOL VL 5CMG 10ML SAN 10@ 500mg/1 Sandoz Inc FIRST GENERATION NORTHVIEW HOSP 387496 $ 71.98 $ 7.20 $ 100.77
C: McKesson Catalog SMITH
0096 - OPP Pharmacy 63713001974 3.00 6 SURGIFOAM SPNG 8X12.5X1CM CS6 100 ETHICON 940000 - DEVICES W HOSP 387496 $ 200.40 $ 33.40 $ 100.20
NORTHVIE
28080492-OTHER
Fresenius Kabi USA, NONSTEROIDAL ANTI- B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 63323016214 110.00 25 KETOROLAC 60 MG/2 ML VIAL 25 30mg/mL LLC INFLAM. AGENTS Purchase History 387496 $ 22.64 $ 0.91 $ 99.62
28129200-
ANTICONVULSANTS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00409673013 18.00 24 MAGNES SUL 80MG/ML 50MLPFIZ24@ 80mg/mL Hospira, Inc. MISCELLANEOUS NORTHVIEW HOSP 387496 $ 128.43 $ 5.35 $ 96.32
PHENYLEPHRINE HCL-0.9% NACL SYRINGE
0096 - OPP Pharmacy 69374030210 25.00 30 1000MCG/10 10 1000MCG/10 NEPHRON 121204 A: Direct pricing $ 115.50 $ 3.85 $ 96.25
72000000-LOCAL
Fresenius Kabi USA, ANESTHETICS C: McKesson Catalog SMITH
0096 - OPP Pharmacy 63323047237 21.00 25 SENSOR SDV 0.75% MPF 30MLFRE25 7.5mg/mL LLC (PARENTERAL) NORTHVIEW HOSP 387496 $ 113.45 $ 4.54 $ 95.30
28129200-
ANTICONVULSANTS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 44567042024 12.00 24 MAG SUL INJ 2G/50ML WG 24 2g/50mL WG Critical Care, LLC MISCELLANEOUS NORTHVIEW HOSP 387496 $ 188.54 $ 7.86 $ 94.27
B: SMITH NORTHVIEW HOSP
Purchase History 387496
0096 - OPP Pharmacy 49281021515 3.00 10 TENIVAC SYRINGE 10 5; 2[Lf]/.5mL; Sanofi Pasteur Inc. 80080000-TOXOIDS $ 305.51 $ 30.55 $ 91.65