Page 7 - meridian high res
P. 7
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 28920000-CENTRAL
PERSAUD BOX West-Ward NERVOUS SYSTEM B: SMITH NORTHVIEW HOSP
00143968410 1.00 10 Flumazenil 0.5mg/5ml 0.1mg/mL Pharmaceuticals Corp AGENTS, MISC. Purchase History 387496 $ 25.43 $ 2.54 $ 2.54
0096 - SMITH NORTHVIEW HOSPITAL
PERSAUD BOX 401200 - REPLACEMENT B: SMITH NORTHVIEW HOSP
08290306546 5.00 30 Sodium Chloride 0.9% PF 10ml 0.9% BD MEDICAL SURG PREPARATIONS Purchase History 387496 $ 12.60 $ 0.42 $ 2.10
92360000-DISEASE-
MODIFYING
E.R. Squibb & Sons, ANTIRHEUMATIC C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00003218713 10.00 1 ORENCIA VL 250MG 15ML 250mg/15mL L.L.C. AGENTS NORTHVIEW HOSP 387496 $ 1,143.24 $ 1,143.24 $ 11,432.40
92360000-DISEASE-
MODIFYING
ANTIRHEUMATIC C: McKesson Catalog SMITH
0096 - OPP Pharmacy 57894035001 4.00 1 SIMPONI ARIA VL 50MG/4ML 1 50mg/4mL Janssen Biotech, Inc. AGENTS NORTHVIEW HOSP 387496 $ 1,854.24 $ 1,854.24 $ 7,416.96
92360000-DISEASE-
MODIFYING
Merck Sharp & Dohme ANTIRHEUMATIC C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00006430502 8.00 1 RENFLEXIS SDV LYO 100MG 1 100mg/1 Corp. AGENTS NORTHVIEW HOSP 387496 $ 681.38 $ 681.38 $ 5,451.04
92360000-DISEASE-
MODIFYING
ANTIRHEUMATIC C: McKesson Catalog SMITH
0096 - OPP Pharmacy 57894003001 4.00 1 REMICADE PWD 100MG IN 20ML VL1 100mg/10mL Janssen Biotech, Inc. AGENTS NORTHVIEW HOSP 387496 $ 1,135.14 $ 1,135.14 $ 4,540.56
92360000-DISEASE-
MODIFYING
ANTIRHEUMATIC C: McKesson Catalog SMITH
0096 - OPP Pharmacy 50242013701 1.00 1 ACTEMRA SDV 400MG 20ML 20mg/mL Genentech, Inc. AGENTS NORTHVIEW HOSP 387496 $ 2,242.39 $ 2,242.39 $ 2,242.39
08122830-
Salix Pharmaceuticals, ANTIBACTERIALS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 65649030303 50.00 60 XIFAXAN TAB 550MG UD 60 550mg/1 Inc. RIFAMYCINS NORTHVIEW HOSP 387496 $ 2,361.87 $ 39.36 $ 1,968.23
92440000-
Human Genome IMMUNOSUPPRESSIVE B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 49401010201 1.00 1 BENLYSTA 400 MG VIAL 1 400mg/1 Sciences, Inc. AGENTS Purchase History 387496 $ 1,753.22 $ 1,753.22 $ 1,753.22
Merck Sharp & Dohme B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00006542312 19.00 10 BRIDION 200 MG/2 ML VIAL 10 100mg/mL Corp. 92120000-ANTIDOTES Purchase History 387496 $ 881.08 $ 88.11 $ 1,674.05
Pfizer Laboratories C: McKesson Catalog SMITH
0096 - OPP Pharmacy 60793021721 8.00 1 THROMBIN JMI SPR 20MU 0217-21 20MU Div Pfizer Inc 20281600-HEMOSTATICS $ 179.19 $ 179.19 $ 1,433.52
NORTHVIEW HOSP 387496
92360000-DISEASE-
MODIFYING
ANTIRHEUMATIC C: McKesson Catalog SMITH
0096 - OPP Pharmacy 50242013601 1.00 1 ACTEMRA SDV 200MG 10ML 20mg/mL Genentech, Inc. AGENTS NORTHVIEW HOSP 387496 $ 1,121.20 $ 1,121.20 $ 1,121.20
BRACCO 36680000- B: SMITH NORTHVIEW HOSP
ur
P
c
has
0096 - OPP Pharmacy 00270516415 10.00 5 MULTIHANCE 529 MG/ML VIAL 5 529mg/mL DIAGNOSTICS INC ROENTGENOGRAPHY e History 387496 $ 487.43 $ 97.49 $ 974.86
08120708-
CARBAPENEMS,
AuroMedics Pharma MISCELLANEOUS B- C: McKesson Catalog SMITH
0096 - OPP Pharmacy 55150028220 18.00 10 ERTAPENEM SDV 1GM AUR/M 10@ 1g/1 LLC LACTAM ANTIBIOTICS NORTHVIEW HOSP 387496 $ 533.40 $ 53.34 $ 960.12