Page 4 - 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
0096 - SMITH NORTHVIEW HOSPITAL 12202000-
ANESTHESIA MED BOX NEUROMUSCULAR B: SMITH NORTHVIEW HOSP
00409662925 6.00 25 Succinylcholine 200 mg/20ml 20mg/mL Hospira, Inc. BLOCKING AGENTS Purchase History 387496 $ 444.74 $ 17.79 $ 106.74
0096 - SMITH NORTHVIEW HOSPITAL Fresenius Kabi USA, B: SMITH NORTHVIEW HOSP
ANESTHESIA MED BOX 63323016501 36.00 25 Dexamethasone 4mg/ml vial 4mg/mL LLC 68040000-ADRENALS $ 55.42 $ 2.22 $ 79.80
Purchase History 387496
0096 - SMITH NORTHVIEW HOSPITAL 12080800-
ANESTHESIA MED BOX Amneal ANTIMUSCARINICS/ANTI B: SMITH NORTHVIEW HOSP
70121139405 24.00 25 Glycopyrrolate 0.2mg/ml vial 0.2mg/mL Pharmaceuticals LLC SPASMODICS Purchase History 387496 $ 68.89 $ 2.76 $ 66.13
0096 - SMITH NORTHVIEW HOSPITAL 72000000-LOCAL
ANESTHESIA MED BOX West-Ward ANESTHETICS B: SMITH NORTHVIEW HOSP
00143959425 60.00 25 Xylocaine MPF 2% 5ml 20mg/mL Pharmaceuticals Corp (PARENTERAL) Purchase History 387496 $ 22.49 $ 0.90 $ 53.98
0096 - SMITH NORTHVIEW HOSPITAL 12202000-
ANESTHESIA MED BOX NEUROMUSCULAR C: McKesson Catalog SMITH
00781322095 6.00 10 Rocuronium 50mg/5ml 10mg/mL Sandoz Inc BLOCKING AGENTS NORTHVIEW HOSP 387496 $ 69.55 $ 6.96 $ 41.73
0096 - SMITH NORTHVIEW HOSPITAL 12120400-ALPHA-
ANESTHESIA MED BOX Avadel Legacy ADRENERGIC B: SMITH NORTHVIEW HOSP
76014000425 12.00 25 Phenylephrine 10mg/ml vial 10mg/mL Pharmaceuticals, LLC AGONISTS Purchase History 387496 $ 73.04 $ 2.92 $ 35.06
0096 - SMITH NORTHVIEW HOSPITAL 12080800-
ANESTHESIA MED BOX ANTIMUSCARINICS/ANTI C: McKesson Catalog SMITH
00517040125 6.00 25 Atropine 0.4mg/ml 0.4mg/mL American Regent, Inc. SPASMODICS NORTHVIEW HOSP 387496 $ 105.36 $ 4.21 $ 25.29
0096 - SMITH NORTHVIEW HOSPITAL International
ANESTHESIA MED BOX Medication Systems, 52160000-LOCAL B: SMITH NORTHVIEW HOSP
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76329301205 6.00 25 Lidocaine Jelly 2% 5ml 20mg/mL Limited ANESTHETICS (EENT) hase History 387496 $ 104.34 $ 4.17 $ 25.04
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0096 - SMITH NORTHVIEW HOSPITAL 12040000-
ANESTHESIA MED BOX West-Ward PARASYMPATHOMIMETI
Pharmaceuticals C (CHOLINERGIC C: McKesson Catalog SMITH
00641614910 6.00 10 Neostigmine 1:1000 10ml vial 1mg/mL Corp. AGENTS) NORTHVIEW HOSP 387496 $ 41.59 $ 4.16 $ 24.95
0096 - SMITH NORTHVIEW HOSPITAL Teva Parenteral 56320000-PROKINETIC C: McKesson Catalog SMITH
ANESTHESIA MED BOX 00703450204 12.00 25 Metoclopramine 5mg/ml vial 5mg/mL Medicines, Inc. AGENTS NORTHVIEW HOSP 387496 $ 44.79 $ 1.79 $ 21.50
0096 - SMITH NORTHVIEW HOSPITAL 56222000-5-HT3
ANESTHESIA MED BOX RECEPTOR B: SMITH NORTHVIEW HOSP
60505613005 36.00 25 Ondansetron 4mg/2ml vial 2mg/mL Apotex Corp. ANTAGONISTS Purchase History 387496 $ 10.67 $ 0.43 $ 15.36
0096 - SMITH NORTHVIEW HOSPITAL 28080492-OTHER
ANESTHESIA MED BOX Fresenius Kabi USA, NONSTEROIDAL ANTI- B: SMITH NORTHVIEW HOSP
63323016212 12.00 25 Ketorolac 30mg/ml vial 30mg/mL LLC INFLAM. AGENTS Purchase History 387496 $ 18.95 $ 0.76 $ 9.10
0096 - SMITH NORTHVIEW HOSPITAL West-Ward 04041200-
ANESTHESIA MED BOX Pharmaceuticals PHENOTHIAZINE B: SMITH NORTHVIEW HOSP
00641092825 12.00 25 Promethazine 25mg/ml amp 25mg/mL Corp. DERIVATIVES Purchase History 387496 $ 17.85 $ 0.71 $ 8.57
0096 - SMITH NORTHVIEW HOSPITAL
ANESTHESIA MED BOX 401200 - REPLACEMENT B: SMITH NORTHVIEW HOSP
08290306546 12.00 30 Sodium Chloride 0.9% 10ml Syringe 0.9% BD MEDICAL SURG PREPARATIONS Purchase History 387496 $ 12.60 $ 0.42 $ 5.04
0096 - SMITH NORTHVIEW HOSPITAL Major 52320000- B: SMITH NORTHVIEW HOSP
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ANESTHESIA MED BOX 00904571135 6.00 1 Oxymetazoline nasal spray 15ml 5g/100mL Pharmaceuticals VASOCONSTRICTORS e History 387496 $ 0.71 $ 0.71 $ 4.26
0096 - SMITH NORTHVIEW HOSPITAL 52920000-EENT DRUGS, B: SMITH NORTHVIEW HOSP
ANESTHESIA MED BOX 00023050650 12.00 50 Lubricant Eye Drops 14; 6mg/mL; m Allergan, Inc. MISCELLANEOUS Purchase History 387496 $ 12.19 $ 0.24 $ 2.93