Page 73 - meridian high res
P. 73
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
84080000-
ANTIPRURITICS AND C: McKesson Catalog SMITH
0112 - SN6SO 10223020103 1.00 1 cetacaine 20g aerosol .028; .004; .00 Cetylite Industries, Inc. LOCAL ANESTHETICS NORTHVIEW HOSP 387496 $ 50.85 $ 50.85 $ 50.85
Alcon Laboratories, 52160000-LOCAL B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00065074114 11.00 12 tetracaine 0.5% 4mL OP SOLN 5mg/mL Inc. ANESTHETICS (EENT) hase History 387496 $ 55.23 $ 4.60 $ 50.63
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ur
P
hydroxypropyl methylcellulose 0.5% 15mL OP Alcon Laboratories, 52920000-EENT DRUGS, B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00998040815 2.00 1 SOL 5mg/mL Inc. MISCELLANEOUS Purchase History 387496 $ 23.86 $ 23.86 $ 47.72
52920000-EENT DRUGS, B: SMITH NORTHVIEW HOSP
0112 - SN6SO 17478071610 1.00 1 Apraclonidine 0.5%/1DROP OP SOLN 5mg/mL Akorn Inc. MISCELLANEOUS Purchase History 387496 $ 43.96 $ 43.96 $ 43.96
72000000-LOCAL
Fresenius Kabi USA, ANESTHETICS C: McKesson Catalog SMITH
0112 - SN6SO 63323049157 5.00 25 lidocaine PF 0.5% 250mg/50mL 50mL SOLN 5mg/mL LLC (PARENTERAL) NORTHVIEW HOSP 387496 $ 218.11 $ 8.72 $ 43.62
Alcon Laboratories, B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00065030355 1.00 1 atropine 1% 0.05mL OP SOLN 10mg/mL Inc. 52240000-MYDRIATICS $ 43.10 $ 43.10 $ 43.10
Purchase History 387496
68200808-INSULINS, B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00002821517 1.00 1 insulin regular 100units 3ml SOLN 100[iU]/mL Eli Lilly and Company SHORT-ACTING Purchase History 387496 $ 41.38 $ 41.38 $ 41.38
84049200-LOCAL ANTI-
INFECTIVES, B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00234057504 17.00 1 chlorhexidine 4% 118ml liquid 213g/1000mLMolnlycke Health Care MISCELLANEOUS Purchase History 387496 $ 2.38 $ 2.38 $ 40.46
36680000- B: SMITH NORTHVIEW HOSP
P
0112 - SN6SO 00407141386 9.00 10 iohexol 300mg/1mL 50mL SOLN 300mg/mL GE Healthcare Inc. ROENTGENOGRAPHY e History 387496 $ 43.32 $ 4.33 $ 38.99
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Sanofi-Aventis U.S. 68200804-INSULINS, C: McKesson Catalog SMITH
0112 - SN6SO 00024592605 1.00 1 insulin lispro 1Units/0.01mL 3mL VIAL 100U/mL LLC RAPID-ACTING NORTHVIEW HOSP 387496 $ 38.15 $ 38.15 $ 38.15
12120812-ALPHA- &
BETA-ADRENERGIC B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00173068224 2.00 1 albuterol HFA 90mcg aerosol 90mcg/1 GlaxoSmithKline LLC AGONISTS Purchase History 387496 $ 18.87 $ 18.87 $ 37.74
84049200-LOCAL ANTI-
INFECTIVES, B: SMITH NORTHVIEW HOSP
0112 - SN6SO 51079062381 1.00 1 mafenide 85mg/1g 56.7g cream 85mg/g Mylan Institutional Inc. MISCELLANEOUS Purchase History 387496 $ 36.39 $ 36.39 $ 36.39
52160000-LOCAL C: McKesson Catalog SMITH
N
0112 - SN6SO 17478079225 2.00 25 lidocaine 3.5% 1mL op gel 35mg/mL Akorn, Inc. ANESTHETICS (EENT) THVIEW HOSP 387496 $ 452.15 $ 18.09 $ 36.17
R
O
08122820-
Baxter Healthcare ANTIBACTERIALS, C: McKesson Catalog SMITH
0112 - SN6SO 00338381424 3.00 24 clindamycin 900mg/50mL 50mL IVPB 900mg/50mL Corporation LINCOMYCINS NORTHVIEW HOSP 387496 $ 285.75 $ 11.91 $ 35.72
West-Ward
Pharmaceuticals 28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00641601910 2.00 10 morphine (PF) 1mg/1mL 10mL INJ 1mg/mL Corp. II AGONISTS Purchase History 387496 $ 168.54 $ 16.85 $ 33.71
C: McKesson Catalog SMITH
NORTHVIE
0112 - SN6SO 00009034201 2.00 6 gelatin adsorbable 100MM sponge 100 PHARMACI/PFIZER 940000 - DEVICES W HOSP 387496 $ 100.41 $ 16.74 $ 33.47
Baxter Healthcare 56229200-ANTIEMETICS, B: SMITH NORTHVIEW HOSP
0112 - SN6SO 10019055304 2.00 24 scopolamine 1.5mg patch 1mg/3d Corporation MISCELLANEOUS Purchase History 387496 $ 382.98 $ 15.96 $ 31.92
betamethasone acetate-betamethasone B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00517072001 1.00 1 sodium phosp 6 (3-3)mg/1mL 5mL SUSP 3mg/ml; 3mg/American Regent, Inc. 68040000-ADRENALS $ 31.49 $ 31.49 $ 31.49
Purchase History 387496
12121200-ALPHA- AND
BETA-ADRENERGIC B: SMITH NORTHVIEW HOSP
0112 - SN6SO 00781326995 3.00 10 ePHEDrine 50mg/1mL 1mL SOLN 50mg/mL Sandoz Inc AGONISTS Purchase History 387496 $ 102.03 $ 10.20 $ 30.61