Page 49 - 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
Major 52320000- B: SMITH NORTHVIEW HOSP
ur
P
c
0106 - SN6EO 00904571135 2.00 1 oxymetazoline 0.05% 15mL SOLN 5g/100mL Pharmaceuticals VASOCONSTRICTORS e History 387496 $ 0.71 $ 0.71 $ 1.42
has
401200 - REPLACEMENT B: SMITH NORTHVIEW HOSP
0106 - SN6EO 00487930133 10.00 30 sodium chloride 0.9% 3mL nebuliz 0.9% NEPHRON CORP PREPARATIONS Purchase History 387496 $ 3.38 $ 0.11 $ 1.13
52049200-EENT ANTI-
Major INFECTIVES, B: SMITH NORTHVIEW HOSP
0106 - SN6EO 00904662735 1.00 1 carbamide peroxide 6.5% 15mL OT SOLN 65mg/mL Pharmaceuticals MISCELLANEOUS Purchase History 387496 $ 1.10 $ 1.10 $ 1.10
28089200-ANALGESICS
AND ANTIPYRETICS, C: McKesson Catalog SMITH
0106 - SN6EO 45802073230 3.00 12 acetaminophen 120mg SUPP 120mg/1 Perrigo New York Inc MISC. NORTHVIEW HOSP 387496 $ 2.67 $ 0.22 $ 0.67
McKesson 28080492-OTHER
Corporation dba SKY NONSTEROIDAL ANTI- B: SMITH NORTHVIEW HOSP
0106 - SN6EO 63739067210 15.00 100 ibuprofen 400mg tablet 400mg/1 Packaging INFLAM. AGENTS Purchase History 387496 $ 3.93 $ 0.04 $ 0.59
28080424-
McKesson NONSTEROIDAL ANTI-
Corporation dba SKY INFLAMMATORY C: McKesson Catalog SMITH
0106 - SN6EO 63739043401 14.00 750 aspirin 81mg chewtab 81mg/1 Packaging SALICYLATES NORTHVIEW HOSP 387496 $ 15.89 $ 0.02 $ 0.30
McKesson Packaging
Services Business 28089200-ANALGESICS
Unit of McKesson AND ANTIPYRETICS, C: McKesson Catalog SMITH
0106 - SN6EO 63739044001 16.00 750 acetaminophen 325mg tablet 325mg/1 Corporation MISC. NORTHVIEW HOSP 387496 $ 11.57 $ 0.02 $ 0.25
28089200-ANALGESICS
Major AND ANTIPYRETICS, B: SMITH NORTHVIEW HOSP
0106 - SN6EO 00904673061 9.00 100 acetaminophen 500mg tablet 500mg/1 Pharmaceuticals MISC. Purchase History 387496 $ 2.45 $ 0.02 $ 0.22
24081600-CENTRAL C: McKesson Catalog SMITH
0106 - SN6EO 00228212710 11.00 100 cloNIDine 0.1mg tablet 0.1mg/1 Actavis Pharma, Inc. ALPHA-AGONISTS ORTHVIEW HOSP 387496 $ 1.96 $ 0.02 $ 0.22
N
04040400-
Major ETHANOLAMINE B: SMITH NORTHVIEW HOSP
0106 - SN6EO 00904530680 13.00 1000 diphenhydrAMINE 25mg Capsule 25mg/1 Pharmaceuticals DERIVATIVES Purchase History 387496 $ 11.50 $ 0.01 $ 0.15
84920000-SKIN AND
SMITH & NEPHEW, MUCOUS MEMBRANE B: SMITH NORTHVIEW HOSP
0110 - SN6MCO 50484001030 3.00 1 collagenase 250units 30g OINT 250[arb'U]/g INC AGENTS, MISC. Purchase History 387496 $ 195.42 $ 195.42 $ 586.26

84040400-
Teva Pharmaceuticals ANTIBACTERIALS (SKIN C: McKesson Catalog SMITH
0110 - SN6MCO 00093101042 5.00 1 mupirocin 2% 22g oint 20mg/g USA, Inc. & MUCOUS MEMBRANE) NORTHVIEW HOSP 387496 $ 29.63 $ 29.63 $ 148.15
84049200-LOCAL ANTI-
INFECTIVES, B: SMITH NORTHVIEW HOSP
0110 - SN6MCO 51079062381 4.00 1 mafenide 85mg/1g 56.7g cream 85mg/g Mylan Institutional Inc. MISCELLANEOUS Purchase History 387496 $ 36.39 $ 36.39 $ 145.56
842408 - BASIC OILS C: McKesson Catalog SMITH
0110 - SN6MCO 63323025410 10.00 25 mineral oil 100% 10mL Oil APP/FRESENIUS K AND OTHER SOLVENTS RTHVIEW HOSP 387496 $ 321.39 $ 12.86 $ 128.56
O
N
84049200-LOCAL ANTI-
Pfizer Laboratories INFECTIVES, B: SMITH NORTHVIEW HOSP
0110 - SN6MCO 61570013155 4.00 1 silver sulfadiazine 1% 50g cream 10mg/g Div Pfizer Inc MISCELLANEOUS Purchase History 387496 $ 7.42 $ 7.42 $ 29.68
B: SMITH NORTHVIEW HOSP
0110 - SN6MCO 00501379805 7.00 1 POLYSPORIN 500-10000 Units 14.17g OINT 500-10K/G J&J CONS PROD 840404 Purchase History 387496 $ 3.73 $ 3.73 $ 26.11