Page 55 - meridian high res
P. 55

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
                                                                                                                                                                          28129200-
                                                                                                                                      Major                               ANTICONVULSANTS,         C: McKesson Catalog SMITH
       0111 -  SN6OPSO                         00904700161     24.00      100 pregabalin 100mg CAP                       100mg/1      Pharmaceuticals     V               MISCELLANEOUS            NORTHVIEW HOSP 387496               $                77.64  $         0.78  $                18.63
                                                                                                                                                                          12120812-ALPHA- &
                                                                                                                                      Ritedose                            BETA-ADRENERGIC          B: SMITH NORTHVIEW HOSP
       0111 -  SN6OPSO                         76204090001     17.00        30 levalbuterol 1.25mg/3mL 3mL nebuliz       1.25mg/3mL Pharmaceuticals, LLC                  AGONISTS                  Purchase History 387496            $                32.54  $         1.08  $                18.44
                                                                                                                                                                          569200 - GI DRUGS,       C: McKesson Catalog SMITH
       0111 -  SN6OPSO                         71351001250     97.00        50 lactobacillus acidophilus tablet                       BROOKFIELD PHAR                     MISCELLANEOUS                 NORTHVIEW HOSP 387496          $                  9.36  $         0.19  $                18.16
                                                                                                                                                                          12920000-AUTONOMIC
                                                                                                                                      Dr. Reddy's                         DRUGS,                   C: McKesson Catalog SMITH
       0111 -  SN6OPSO                         43598044770     17.00         7 nicotine 14mg patch                       14mg/24h     Laboratories Inc.                   MISCELLANEOUS            NORTHVIEW HOSP 387496               $                  7.44  $         1.06  $                18.07
                                                                                                                                                                          08309200-
                                                                                                                                                                          ANTIPROTOZOALS,          C: McKesson Catalog SMITH
       0111 -  SN6OPSO                         00409781124     12.00        24 metroNIDAZOLE 500mg/100mL 100mL IVPB      500mg/100mL Hospira, Inc.                        MISCELLANEOUS            NORTHVIEW HOSP 387496               $                35.05  $         1.46  $                17.53
                                                                                                                                      Fresenius Kabi USA,                 88080000-VITAMIN B       C: McKesson Catalog SMITH
       0111 -  SN6OPSO                         63323001302      4.00        25 thiamine 100mg/1mL 2mL SOLN               100mg/mL     LLC                                 COMPLEX                         NORTHVIEW HOSP 387496        $              108.59  $         4.34  $                17.37
                                                                                                                                                                          48100808-
                                                                                                                                                                          CORTICOSTEROIDS          C: McKesson Catalog SMITH
       0111 -  SN6OPSO                         00487970101      4.00        30 budesonide 0.5mg/2mL 2mL SUSP             0.5mg/2mL    Nephron SC Inc.                     (RESPIRATORY TRACT)      NORTHVIEW HOSP 387496               $              129.00  $         4.30  $                17.20
                                                                                                                                                                          52049200-EENT ANTI-
                                                                                                                                      Alcon Laboratories,                 INFECTIVES,              B: SMITH NORTHVIEW HOSP
       0111 -  SN6OPSO                         00065041130      2.00         1 povidone-iodine 5% 1DROP OP SOLN          5mg/mL       Inc.                                MISCELLANEOUS            Purchase History 387496             $                  8.58  $         8.58  $                17.16
                                                                                                                                      West-Ward
                                                                                                                                      Pharmaceuticals                     56281200-HISTAMINE H2- C: McKesson Catalog SMITH
       0111 -  SN6OPSO                         00641602225     24.00        25 famotidine 20mg/2mL 2mL SOLN              10mg/mL      Corp.                               ANTAGONISTS                 NORTHVIEW HOSP 387496            $                17.86  $         0.71  $                17.15
                                                                                                                                                                                                   C: McKesson Catalog SMITH
                                                                                                                                                                                                   NORTHVIEW H
       0111 -  SN6OPSO                         00409477750      7.00        24 ciprofloxacin 400mg/200mL 200mL IVPB      2mg/mL       Hospira, Inc.                       08121800-QUINOLONES                              OSP 387496  $                58.34  $         2.43  $                17.02
                                                                                                                                                                          72000000-LOCAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS              B: SMITH NORTHVIEW HOSP
       0111 -  SN6OPSO                         63323048917      2.00        25 lidocaine-EPINEPHrine PF 2% 10mL SOLN     20; .005mg/m                                     (PARENTERAL)             Purchase History 387496             $              196.63  $         7.87  $                15.73
                                                                                                                                      LLC
                                                                                                                                      Major                               56120000-CATHARTICS  C: McKesson Catalog SMITH
       0111 -  SN6OPSO                         00904693126     13.00        14 polyethylene glycol packet                17g/17g      Pharmaceuticals                     AND LAXATIVES                 NORTHVIEW HOSP 387496          $                16.79  $         1.20  $                15.59
                                                                                                                                                                          84241200-BASIC
                                                                                                                                                                          OINTMENTS AND
       0111 -  SN6OPSO                         53329013744      5.00         1 petrolatum-zinc oxide 57-17% 113g Paste   57; 17g/100g;  Medline Industries Inc.           PROTECTANTS              A: Direct pricing                   $                  3.09  $         3.09  $                15.45
                                                                                                                                      Amneal                              84080000-
                                                                                                                                      Pharmaceuticals of                  ANTIPRURITICS AND        B: SMITH NORTHVIEW HOSP
       0111 -  SN6OPSO                         00115146860      4.00         5 lidocaine-prilocaine 2.5%/2.5% 5g cream   25; 25mg/g; m New York LLC                       LOCAL ANESTHETICS      Purchase History 387496               $                19.08  $         3.82  $                15.26
                                                                                                                                                                          24082000-DIRECT          B: SMITH NORTHVIEW HOSP
                                                                                                                                                                                                   P
       0111 -  SN6OPSO                         67457029101      7.00        25 hydrALAZINE 20mg/1mL 1mL SOLN             20mg/mL      Mylan Institutional LLC             VASODILATORS                     urchase History 387496      $                53.61  $         2.14  $                15.01
                                                                                                                                                                          72000000-LOCAL
                                                                                                                                      AuroMedics Pharma                   ANESTHETICS              B: SMITH NORTHVIEW HOSP
       0111 -  SN6OPSO                         55150016205     10.00        10 lidocaine PF 1% 5mL SOLN                  10mg/mL      LLC                                 (PARENTERAL)             Purchase History 387496             $                14.39  $         1.44  $                14.39
                                                                                                                                                                          12121200-ALPHA- AND
                                                                                                                                                                          BETA-ADRENERGIC          B: SMITH NORTHVIEW HOSP
       0111 -  SN6OPSO                         00487590199     10.00        30 racemic epinephrine 2.25%/0.5mL SOLN      11.25mg/.5mL Nephron SC, Inc.                    AGONISTS                 Purchase History 387496             $                41.74  $         1.39  $                13.91
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