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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
84080000-
ANTIPRURITICS AND C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00591352530 22.00 30 LIDOCAINE PATCH 5% ACT 30@ 50mg/g Actavis Pharma, Inc. LOCAL ANESTHETICS NORTHVIEW HOSP 387496 $ 57.28 $ 1.91 $ 42.01
28129200-
Major ANTICONVULSANTS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00904617261 90.00 100 CARBAMAZ TB 200MG UD MMP 100@ 200mg/1 Pharmaceuticals MISCELLANEOUS NORTHVIEW HOSP 387496 $ 46.64 $ 0.47 $ 41.98
24060800-HMG-COA
Major REDUCTASE C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00904589261 80.00 100 PRAVAST TAB 20MG UD MMP 100@ 20mg/1 Pharmaceuticals INHIBITORS NORTHVIEW HOSP 387496 $ 52.07 $ 0.52 $ 41.66
B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00501379805 11.00 1 POLYSPORIN OINT. (G) 500-10K/G 14.2 500-10K/G J&J CONS PROD 840404 Purchase History 387496 $ 3.73 $ 3.73 $ 41.03
24240000-BETA-
Major ADRENERGIC C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00904632361 62.00 100 METOPROL ER TB50MGUDMMP10X10@ 50mg/1 Pharmaceuticals BLOCKING AGENTS NORTHVIEW HOSP 387496 $ 65.80 $ 0.66 $ 40.80
Alcon Laboratories, 52920000-EENT DRUGS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00065079515 8.00 36 BSS SALT SOL S/U 15ML 36 6.4; .75; .48; .Inc. MISCELLANEOUS NORTHVIEW HOSP 387496 $ 182.99 $ 5.08 $ 40.66
Liebel-Flarsheim 36680000- B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00019086250 2.00 12 CYSTO-CONRAY II 17.2% VIAL 12 172mg/mL Company LLC ROENTGENOGRAPHY e History 387496 $ 240.41 $ 20.03 $ 40.07
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24040800-CARDIOTONIC B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00781305995 7.00 10 DIGOXIN 500 MCG/2 ML AMPULE 10 250ug/mL Sandoz Inc AGENTS Purchase History 387496 $ 55.46 $ 5.55 $ 38.82
American Health 56080000- C: McKesson Catalog SMITH
V
I
T
H
O
0096 - OPP Pharmacy 60687022901 90.00 100 LOPERAM HCL CAP 2MG UDAHP100@ 2mg/1 Packaging ANTIDIARRHEA AGENTS EW HOSP 387496 $ 43.12 $ 0.43 $ 38.81
N
R
72000000-LOCAL
ANESTHETICS B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00409427902 21.00 25 LIDOCAINE HCL 1% VIAL 25 10mg/mL Hospira, Inc. (PARENTERAL) Purchase History 387496 $ 45.45 $ 1.82 $ 38.18
Arzol Chemical 84280000-KERATOLYTIC B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 12870000101 80.00 100 SILVER NITRATE APPLICATOR 100 25; 75mg/100Company AGENTS Purchase History 387496 $ 47.49 $ 0.47 $ 37.99
American Health 40080000-ALKALINIZING B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 68084085032 18.00 20 POTASSIUM CITRATE ER 10 MEQ TB 20 10meq/1 Packaging AGENTS Purchase History 387496 $ 41.68 $ 2.08 $ 37.51
Fresenius Kabi USA, 56281200-HISTAMINE H2- C: McKesson Catalog SMITH
0096 - OPP Pharmacy 63323073912 45.00 25 FAMOTID SDV 20MG/2ML 2ML FRE25 10mg/mL LLC ANTAGONISTS NORTHVIEW HOSP 387496 $ 20.56 $ 0.82 $ 37.01
40120000-
Baxter Healthcare REPLACEMENT
0096 - OPP Pharmacy 00338915930 8.00 30 SOD CHL.9 100ML/30 BG EZPB0043 900mg/100mL Corporation PREPARATIONS D: MIS NADAC $ 138.39 $ 4.61 $ 36.90
12040000-
PARASYMPATHOMIMETI
Upsher-Smith C (CHOLINERGIC C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00832051201 100.00 100 BETHANECHOL TB 25MG UD U/S 1C@ 25mg/1 Laboratories, LLC AGENTS) NORTHVIEW HOSP 387496 $ 36.85 $ 0.37 $ 36.85
28160492-
ANTIDEPRESSANTS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00591333130 30.00 30 BUPROPIO XL TB 150MG WAT 30@ 150mg/1 Actavis Pharma, Inc. MISCELLANEOUS NORTHVIEW HOSP 387496 $ 36.18 $ 1.21 $ 36.18
C: McKesson Catalog SMITH
NORTHVIEW H
0096 - OPP Pharmacy 00409052835 15.00 24 LEVOFLO/5%DEXTR5MG/MLPFI150ML@ 5mg/mL Hospira, Inc. 08121800-QUINOLONES OSP 387496 $ 57.67 $ 2.40 $ 36.04
12201200-GABA-
Major DERIVATIVE SKELETAL C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00904647561 91.00 100 BACLOFEN TAB 10MG UD MMP10X10@ 10mg/1 Pharmaceuticals MUSCLE RELAXANT NORTHVIEW HOSP 387496 $ 38.99 $ 0.39 $ 35.48
