Page 71 - 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
D.O.R.C. Dutch
Ophthalmic Research
Center (International) 36580000-OCULAR
0112 - SN6SO 68803061210 13.00 10 Trypan Blue 0.06% 0.5mL SOLN 0.3mg/.5mL B.V. DISORDERS A: Direct pricing $ 563.00 $ 56.30 $ 731.90
36440000-LIVER C: McKesson Catalog SMITH
0112 - SN6SO 17478070102 6.00 6 indocyanine green 25mg SOLN 25MG Akorn, Inc. FUNCTION NORTHVIEW HOSP 387496 $ 631.77 $ 105.30 $ 631.77
hyaluronate-chondroitin-hyaluronate 0.55- C: McKesson Catalog SMITH
0112 - SN6SO 08065183150 7.00 1 0.5mL kit 0.5-0.55 ALCON SURGICAL 940000 - DEVICES W HOSP 387496 $ 87.78 $ 87.78 $ 614.46
NORTHVIE
12121200-ALPHA- AND
Par Pharmaceutical, BETA-ADRENERGIC B: SMITH NORTHVIEW HOSP
0112 - SN6SO 42023016801 2.80 1 EPINEPHrine 1mg/1mL 30mL SOLN 1mg/mL Inc. AGONISTS Purchase History 387496 $ 176.23 $ 176.23 $ 493.44
Merck Sharp & Dohme B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00006542312 5.00 10 sugammadex 200mg/2mL 2mL SOLN 100mg/mL Corp. 92120000-ANTIDOTES Purchase History 387496 $ 881.08 $ 88.11 $ 440.54

tobramycin-dexameth 0.3%/0.1% 3.5g OP Alcon Laboratories, 52040400- B: SMITH NORTHVIEW HOSP
ur
P
c
0112 - SN6SO 00065064835 2.00 1 OINT 3; 1mg/g; mg/Inc. ANTIBACTERIALS (EENT) e History 387496 $ 198.68 $ 198.68 $ 397.36
has
Par Pharmaceutical, C: McKesson Catalog SMITH
NORTHVIEW HOSP 387496
0112 - SN6SO 42023016425 2.00 25 vasopressin 20units/1mL 1mL SOLN 20[USP'U]/mLInc. 68280000-PITUITARY $ 4,551.69 $ 182.07 $ 364.14
Pfizer Laboratories C: McKesson Catalog SMITH
0112 - SN6SO 60793021721 2.00 1 thrombin 20000Units kit 20MU Div Pfizer Inc 20281600-HEMOSTATICS $ 179.19 $ 179.19 $ 358.38
NORTHVIEW HOSP 387496
Pfizer Laboratories C: McKesson Catalog SMITH
NORTHVIEW HOSP 387496
0112 - SN6SO 60793021720 2.00 1 thrombin 20000units SOLN 20MU Div Pfizer Inc 20281600-HEMOSTATICS $ 170.65 $ 170.65 $ 341.30
sodium chondroitin sulfate-sodium hyaluronate C: McKesson Catalog SMITH
0112 - SN6SO 08065183975 5.00 1 40-30mg/1mL 0.75mL SOLN 40-30MG/ML ALCON SURGICAL 940000 - DEVICES W HOSP 387496 $ 66.82 $ 66.82 $ 334.10
NORTHVIE
842408 - BASIC OILS C: McKesson Catalog SMITH
N
O
0112 - SN6SO 63323025410 25.00 25 mineral oil 100% 10mL Oil APP/FRESENIUS K AND OTHER SOLVENTS RTHVIEW HOSP 387496 $ 321.39 $ 12.86 $ 321.39
Sun Pharmaceutical C: McKesson Catalog SMITH
NORTHVIEW HOSP 387496
0112 - SN6SO 62756052940 1.00 1 desmopressin 4mcg/1mL 10mL SOLN 4ug/mL Industries, Inc. 68280000-PITUITARY $ 317.58 $ 317.58 $ 317.58
Alcon Laboratories, B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00065002315 21.00 12 carbachol 0.01% 1.5mL SOLN 0.1mg/mL Inc. 52402000-MIOTICS story 387496 $ 142.02 $ 11.84 $ 248.54
Purchase Hi
Mylan B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00378877035 1.00 1 estradiol 0.1mg/1g 42.5g vag crm 0.1mg/g Pharmaceuticals Inc. 68160400-ESTROGENS y 387496 $ 230.18 $ 230.18 $ 230.18
Purchase Histor
84040400-
Teva Pharmaceuticals ANTIBACTERIALS (SKIN C: McKesson Catalog SMITH
0112 - SN6SO 00093101042 7.00 1 mupirocin 2% 22g oint 20mg/g USA, Inc. & MUCOUS MEMBRANE) NORTHVIEW HOSP 387496 $ 29.63 $ 29.63 $ 207.41
C: McKesson Catalog SMITH
0112 - SN6SO 00517037405 1.00 5 methylene blue 50mg/10mL 10mL SOLN 5mg/mL American Regent, Inc. 92120000-ANTIDOTES NORTHVIEW HOSP 387496 $ 954.70 $ 190.94 $ 190.94
68221200-
Boehringer Ingelheim GLYCOGENOLYTIC B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00597026010 1.00 1 glucagon (human recombinant) 1mg SOLN 1MG Pharmaceuticals, Inc. AGENTS Purchase History 387496 $ 159.16 $ 159.16 $ 159.16

84040400-
ANTIBACTERIALS (SKIN B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00591219045 12.00 10 neomycin-polymyxin B GU 1mL SOLN 40; 200000mg Actavis Pharma, Inc. & MUCOUS MEMBRANE) Purchase History 387496 $ 118.27 $ 11.83 $ 141.92