Page 44 - 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
0099 - SMITH NORTHVIEW HOSPITAL 28129200-
PEDIATRIC CART Fresenius Kabi USA, ANTICONVULSANTS, C: McKesson Catalog SMITH
63323006403 3.00 25 Magnesium Sulfate 1Gm/2ml vial 500mg/mL LLC MISCELLANEOUS NORTHVIEW HOSP 387496 $ 26.57 $ 1.06 $ 3.19
0099 - SMITH NORTHVIEW HOSPITAL West-Ward 04040400-
PEDIATRIC CART Pharmaceuticals ETHANOLAMINE B: SMITH NORTHVIEW HOSP
00641037625 3.00 25 Diphenhydramine 50mg vial 50mg/mL Corp. DERIVATIVES Purchase History 387496 $ 13.68 $ 0.55 $ 1.64
International
Medication Systems, 28100000-OPIATE B: SMITH NORTHVIEW HOSP
0099 - OPP Crash Cart Drugs 76329336901 8.00 10 NALOXONE 2 MG/2 ML SYRINGE 10 1mg/mL Limited ANTAGONISTS Purchase History 387496 $ 275.65 $ 27.57 $ 220.52
International
Medication Systems, 40080000-ALKALINIZING C: McKesson Catalog SMITH
0099 - OPP Crash Cart Drugs 76329335201 8.00 10 SOD BIC SYR LL 8.4%50ML IMS 10 84mg/mL Limited AGENTS NORTHVIEW HOSP 387496 $ 108.04 $ 10.80 $ 86.43
0099 - OPP Crash Cart Drugs 71456000101 11.00 10 SODIUM BICARBONATE VIAL 8.4% 10 8.4% PHEBRA 960000 $ 63.30 $ 6.33 $ 69.63
40080000-ALKALINIZING C: McKesson Catalog SMITH
0099 - OPP Crash Cart Drugs 00409553434 7.00 10 SOD BIC SYR+ND 4.2% 10ML L/S10 42mg/mL Hospira, Inc. AGENTS NORTHVIEW HOSP 387496 $ 89.00 $ 8.90 $ 62.30
12080800-
ANTIMUSCARINICS/ANTI C: McKesson Catalog SMITH
0099 - OPP Crash Cart Drugs 00409491134 7.00 10 ATROP SYR 10ML LFSH+NDLE HW 10 0.1mg/mL Hospira, Inc. SPASMODICS NORTHVIEW HOSP 387496 $ 87.61 $ 8.76 $ 61.33
40120000-
REPLACEMENT C: McKesson Catalog SMITH
0099 - OPP Crash Cart Drugs 00409163110 10.00 10 CALC CHL ANSYR 10% 10ML HW 10 100mg/mL Hospira, Inc. PREPARATIONS NORTHVIEW HOSP 387496 $ 58.81 $ 5.88 $ 58.81
24040408-
International ANTIARRHYTHMIC
Medication Systems, AGENTS, CLASS Ib C: McKesson Catalog SMITH
0099 - OPP Crash Cart Drugs 76329339001 10.00 10 LIDOCA IN LL 2% 20MG 5ML IMS10 20mg/mL Limited ANTIARRHYTHMICS NORTHVIEW HOSP 387496 $ 44.08 $ 4.41 $ 44.08
40200000-CALORIC C: McKesson Catalog SMITH
0099 - OPP Crash Cart Drugs 00409177510 4.00 10 DEXTR ANSYR 25% 10ML HW 10 250mg/mL Hospira, Inc. AGENTS NORTHVIEW HOSP 387496 $ 79.39 $ 7.94 $ 31.76
International
Medication Systems, 40200000-CALORIC B: SMITH NORTHVIEW HOSP
0099 - OPP Crash Cart Drugs 76329330101 2.00 10 DEXTROSE 50%-WATER SYRINGE 10 500mg/mL Limited AGENTS Purchase History 387496 $ 89.69 $ 8.97 $ 17.94
24040424-
ANTIARRHYTHMIC
Sagent AGENTS, CLASS IV C: McKesson Catalog SMITH
0099 - OPP Crash Cart Drugs 25021030167 1.00 10 ADENOSINESYR MG/ML 2ML SAGE10@ 3mg/mL Pharmaceuticals ANTIARRHYTHMICS NORTHVIEW HOSP 387496 $ 147.87 $ 14.79 $ 14.79
12121200-ALPHA- AND
BETA-ADRENERGIC B: SMITH NORTHVIEW HOSP
0099 - OPP Crash Cart Drugs 00409492134 1.00 10 EPINEPHRINE 1 MG/10 ML ABBOJCT 10 0.1mg/mL Hospira, Inc. AGONISTS Purchase History 387496 $ 40.16 $ 4.02 $ 4.02
24040408-
ANTIARRHYTHMIC
AGENTS, CLASS Ib B: SMITH NORTHVIEW HOSP
0099 - OPP Crash Cart Drugs 00409132305 1.00 10 LIDOCAINE HCL 2% SYRINGE 10 20mg/mL Hospira, Inc. ANTIARRHYTHMICS Purchase History 387496 $ 23.56 $ 2.36 $ 2.36
penicillin G procaine-penicillin G benzathine Pfizer Laboratories 08121604-NATURAL B: SMITH NORTHVIEW HOSP
P
0106 - SN6EO 60793060010 10.00 10 1200000Units/2mL 2mL SUSP 600000; 6000Div Pfizer Inc PENICILLINS urchase History 387496 $ 1,163.24 $ 116.32 $ 1,163.24

B: SMITH NORTHVIEW HOSP
Purchase History 387496
0106 - SN6EO 49281021515 13.00 10 tetanus-diphtheria toxoids (Td) 5-2mg INJ 5; 2[Lf]/.5mL; Sanofi Pasteur Inc. 80080000-TOXOIDS $ 305.51 $ 30.55 $ 397.16
BOOSTRIX Tdap 5-2.5-18.5 LF-MC 0.5mL GlaxoSmithKline B: SMITH NORTHVIEW HOSP
Purchase History 387496
0106 - SN6EO 58160084252 10.00 10 SUSP 5; 2.5; 8; 8; 2.Biologicals SA 80080000-TOXOIDS $ 319.52 $ 31.95 $ 319.52