Page 29 - 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
28160492-
Major ANTIDEPRESSANTS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00904651961 60.00 100 MIRTAZAPINE TAB 15MG MMPUD100@ 15mg/1 Pharmaceuticals MISCELLANEOUS NORTHVIEW HOSP 387496 $ 14.33 $ 0.14 $ 8.60
24320400-ANGIOTENSIN-
American Health CONVERTING ENZYME C: McKesson Catalog SMITH
0096 - OPP Pharmacy 60687032121 8.00 30 RAMIPRIL CAP 1.25MG UD AHP 30@ 1.25mg/1 Packaging INHIBITORS NORTHVIEW HOSP 387496 $ 31.60 $ 1.05 $ 8.43
24240000-BETA-
Major ADRENERGIC C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00904592961 26.00 100 LABETALOL TB 200MG UDMMP10X10@ 200mg/1 Pharmaceuticals BLOCKING AGENTS NORTHVIEW HOSP 387496 $ 32.10 $ 0.32 $ 8.35
52920000-EENT DRUGS, B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00023050650 34.00 50 REFRESH CLASSIC EYE DROPS 50 14; 6mg/mL; m Allergan, Inc. MISCELLANEOUS Purchase History 387496 $ 12.19 $ 0.24 $ 8.29
84049200-LOCAL ANTI-
INFECTIVES, B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 67618015004 6.00 1 BETADINE 10% SOLUTION 1 10mg/mL Avrio Health L.P. MISCELLANEOUS Purchase History 387496 $ 1.36 $ 1.36 $ 8.16
28129200-
Major ANTICONVULSANTS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00904605361 40.00 100 LEVETIRACET TB 750MG MMPUD100@ 750mg/1 Pharmaceuticals MISCELLANEOUS NORTHVIEW HOSP 387496 $ 20.28 $ 0.20 $ 8.11
American Health 56120000-CATHARTICS C: McKesson Catalog SMITH
0096 - OPP Pharmacy 60687012901 80.00 100 DOCUS SOD S/SFTR SG100MG UD100 100mg/1 Packaging AND LAXATIVES NORTHVIEW HOSP 387496 $ 10.12 $ 0.10 $ 8.10
C: McKesson Catalog SMITH
NORTHVIEW H
0096 - OPP Pharmacy 42806008801 100.00 100 ESTRADIOL TAB 1MG EPIC 100 1mg/1 EPIC PHARMA, LLC 68160400-ESTROGENS OSP 387496 $ 8.04 $ 0.08 $ 8.04
842404 - BASIC LOTIONS C: McKesson Catalog SMITH
0096 - OPP Pharmacy 52800048816 4.00 1 LUBRIDERM DLY/MST 6OZ J&J CONS PROD AND LINIMENTS NORTHVIEW HOSP 387496 $ 2.00 $ 2.00 $ 8.00

84040828-ANTIFUNGALS
(SKIN, MUCOUS B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 45802005935 2.00 1 NYSTATIN 100,000 UNIT/GM CREAM 1 100000[USP' Perrigo New York Inc MEMBRANE), POLYENES Purchase History 387496 $ 3.99 $ 3.99 $ 7.98
12080800-
ANTIMUSCARINICS/ANTI C: McKesson Catalog SMITH
0096 - OPP Pharmacy 54838050615 15.00 15 HYOSYNE ORAL DROPS SILA 15ML@ 0.125mg/mL Lannett Company, Inc. SPASMODICS NORTHVIEW HOSP 387496 $ 7.74 $ 0.52 $ 7.74
Mylan 24120800-NITRATES C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00378910493 24.00 30 NITRO TD PATCH-A 0.2MG MYL 30@ 0.2mg/h Pharmaceuticals Inc. AND NITRITES NORTHVIEW HOSP 387496 $ 9.52 $ 0.32 $ 7.62
0 - AHFS CATEGORY
0096 - OPP Pharmacy 41388000732 80.00 40 TUCKS 40 50% BLISTEX UNKNOWN D: MIS NADAC $ 3.80 $ 0.09 $ 7.59
56222000-5-HT3
Aurobindo Pharma RECEPTOR B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 65862039010 41.00 30 ONDANSETRON ODT 4 MG TABLET 30 4mg/1 Limited ANTAGONISTS Purchase History 387496 $ 5.35 $ 0.18 $ 7.31
McKesson
Corporation dba SKY C: McKesson Catalog SMITH
O
V
N
H
T
R
W
H
E
0096 - OPP Pharmacy 63739055910 70.00 100 CIPROFLOX TAB 500MG UD SKY100@ 500mg/1 Packaging 08121800-QUINOLONES OSP 387496 $ 10.27 $ 0.10 $ 7.19
I
Pharmaceutical B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00121075908 115.00 237 PREDNISOLONE 15 MG/5 ML SOLN 237 15mg/5mL Associates, Inc. 68040000-ADRENALS $ 14.74 $ 0.06 $ 7.15
Purchase History 387496
84049200-LOCAL ANTI-
INFECTIVES, B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00234057504 3.00 1 HIBICLENS 4% LIQUID 1 213g/1000mLMolnlycke Health Care MISCELLANEOUS Purchase History 387496 $ 2.38 $ 2.38 $ 7.14