Page 58 - 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
68360400-THYROID C: McKesson Catalog SMITH
0111 - SN6OPSO 51079044220 15.00 100 levothyroxine 100mcg tablet 100ug/1 Mylan Institutional Inc. AGENTS NORTHVIEW HOSP 387496 $ 40.84 $ 0.41 $ 6.13
12200400-CENTRALLY
ACTING SKELETAL C: McKesson Catalog SMITH
0111 - SN6OPSO 50268076015 14.00 50 tiZANidine 4mg tablet 4mg/1 AvPAK MUSCLE RELAXNT NORTHVIEW HOSP 387496 $ 21.39 $ 0.43 $ 5.99
84080000-
Marlex ANTIPRURITICS AND B: SMITH NORTHVIEW HOSP
0111 - SN6OPSO 10135062001 10.00 100 phenazopyridine 100mg tablet 100mg/1 Pharmaceuticals Inc LOCAL ANESTHETICS Purchase History 387496 $ 58.99 $ 0.59 $ 5.90
402000 - CALORIC C: McKesson Catalog SMITH
0111 - SN6OPSO 00574006915 2.00 400 dextrose 40% 15g gel 40% PERRIGO CO. AGENTS NORTHVIEW HOSP 387496 $ 1,168.19 $ 2.92 $ 5.84
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0111 - SN6OPSO 50268040215 15.00 50 HYDROcodone-APAP 10-325mg tab 10; 325mg/1; AvPAK II AGONISTS Purchase History 387496 $ 19.21 $ 0.38 $ 5.76
12920000-AUTONOMIC
Dr. Reddy's DRUGS, C: McKesson Catalog SMITH
0111 - SN6OPSO 43598044828 6.00 28 nicotine 21mg patch 21mg/24h Laboratories Inc. MISCELLANEOUS NORTHVIEW HOSP 387496 $ 25.34 $ 0.91 $ 5.43
28080800-OPIATE C: McKesson Catalog SMITH
0111 - SN6OPSO 50268040115 17.00 50 HYDROcodone-APAP 5-325mg tab 5; 325mg/1; m AvPAK II AGONISTS NORTHVIEW HOSP 387496 $ 15.95 $ 0.32 $ 5.42
28089200-ANALGESICS
AND ANTIPYRETICS, C: McKesson Catalog SMITH
0111 - SN6OPSO 68094058761 9.00 100 acetaminophen 160mg/5mL LIQD 160mg/5mL Precision Dose Inc. MISC. NORTHVIEW HOSP 387496 $ 60.22 $ 0.60 $ 5.42
08121608- C: McKesson Catalog SMITH
T
O
0111 - SN6OPSO 16714047801 12.00 20 amoxicillin-clavulanate 875-125mg tab 875; 125mg/1 Northstar RxLLC AMINOPENICILLINS EW HOSP 387496 $ 8.94 $ 0.45 $ 5.36
R
I
N
H
V
04041200-
American Health PHENOTHIAZINE C: McKesson Catalog SMITH
0111 - SN6OPSO 68084015501 13.00 100 promethazine 25mg tablet 25mg/1 Packaging DERIVATIVES NORTHVIEW HOSP 387496 $ 38.14 $ 0.38 $ 4.96
West-Ward 04040400-
Pharmaceuticals ETHANOLAMINE B: SMITH NORTHVIEW HOSP
0111 - SN6OPSO 00641037625 9.00 25 diphenhydrAMINE 50mg/1mL 1mL SOLN 50mg/mL Corp. DERIVATIVES Purchase History 387496 $ 13.68 $ 0.55 $ 4.92
96000000- B: SMITH NORTHVIEW HOSP
P
0111 - SN6OPSO 00409488710 6.00 25 sterile water (PF) 10mL SOLN 1mL/mL Hospira, Inc. PHARMACEUTICAL AIDS e History 387496 $ 19.26 $ 0.77 $ 4.62
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28362008-NONERGOT-
Major DERIV.DOPAMINE C: McKesson Catalog SMITH
0111 - SN6OPSO 00904637461 17.00 100 rOPINIRole 1mg tablet 1mg/1 Pharmaceuticals RECEPTOR AGONIST NORTHVIEW HOSP 387496 $ 27.09 $ 0.27 $ 4.61
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0111 - SN6OPSO 00406055262 19.00 100 oxyCODONE IR 5mg TAB 5mg/1 SpecGx LLC II AGONISTS Purchase History 387496 $ 23.31 $ 0.23 $ 4.43
28249200-ANXIOLYTICS,
American Health SEDATIVES & C: McKesson Catalog SMITH
0111 - SN6OPSO 68084025301 25.00 100 hydrOXYzine 10mg tablet 10mg/1 Packaging HYPNOTICS,MISC. NORTHVIEW HOSP 387496 $ 17.51 $ 0.18 $ 4.38
McKesson
Corporation dba SKY 56283200- C: McKesson Catalog SMITH
T
R
0111 - SN6OPSO 63739094310 21.00 100 sucralfate 1g tablet 1g/1 Packaging PROTECTANTS HVIEW HOSP 387496 $ 19.47 $ 0.19 $ 4.09
N
O
28240800-
BENZODIAZEPINES
(ANXIOLYTIC,SEDATIV/H C: McKesson Catalog SMITH
0111 - SN6OPSO 00409677802 5.00 10 LORazepam 2mg/1mL 1mL INJ 2mg/mL Hospira, Inc. IV YP) NORTHVIEW HOSP 387496 $ 8.13 $ 0.81 $ 4.07