Page 77 - meridian high res
P. 77

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

                                                                                                                                      Beutlich                            52160000-LOCAL           B: SMITH NORTHVIEW HOSP
                                                                                                                                                                                                    ur
                                                                                                                                                                                                   P
       0112 -  SN6SO                           00283087131      1.00         1 benzocaine 20% 30g gel                    200mg/g      Pharmaceuticals, LLC                ANESTHETICS (EENT)                hase History 387496        $                  6.71  $         6.71  $                  6.71
                                                                                                                                                                                                      c
                                                                                                                                                                          52082000-EENT
                                                                                                                                                                          NONSTEROIDAL ANTI-       B: SMITH NORTHVIEW HOSP
       0112 -  SN6SO                           61314012605      1.00         1 ketorolac 0.5%/1DROP OP SOLN              5mg/mL       Sandoz Inc                          INFLAM. AGENTS           Purchase History 387496             $                  6.29  $         6.29  $                  6.29
                                                                                                                                                                          12120400-ALPHA-
                                                                                                                                      Avadel Legacy                       ADRENERGIC               B: SMITH NORTHVIEW HOSP
       0112 -  SN6SO                           76014000425      2.00        25 phenylephrine 10mg/1mL 1mL SOLN           10mg/mL      Pharmaceuticals, LLC                AGONISTS                 Purchase History 387496             $                73.04  $         2.92  $                  5.84
                                                                                                                                                                          24240000-BETA-
                                                                                                                                                                          ADRENERGIC               B: SMITH NORTHVIEW HOSP
       0112 -  SN6SO                           67457018210      1.00        10 esmolol 100mg/10mL 10mL SOLN              10mg/mL      Mylan Institutional LLC             BLOCKING AGENTS          Purchase History 387496             $                57.27  $         5.73  $                  5.73
                                                                                                                                                                          72000000-LOCAL
                                                                                                                                                                          ANESTHETICS              B: SMITH NORTHVIEW HOSP
       0112 -  SN6SO                           00409317801      5.00        25 lidocaine-EPINEPHrine 1% 20mL SOLN        10; 10mg/mL;  Hospira, Inc.                      (PARENTERAL)             Purchase History 387496             $                28.31  $         1.13  $                  5.66
                                                                                                                                      Baxter Healthcare                   08120200-                C: McKesson Catalog SMITH
                                                                                                                                                                                                      R
                                                                                                                                                                                                        H
                                                                                                                                                                                                    O
       0112 -  SN6SO                           00338051141      3.00        24 gentamicin 100mg/50mL 50mL IVPB           100mg/50mL Corporation                           AMINOGLYCOSIDES                         VIEW HOSP 387496     $                44.36  $         1.85  $                  5.55
                                                                                                                                                                                                   N
                                                                                                                                                                                                       T
                                                                                                                                      West-Ward
                                                                                                                                      Pharmaceuticals                     28080800-OPIATE          B: SMITH NORTHVIEW HOSP
       0112 -  SN6SO                           00641612525      3.00        25 morphine 4mg/1mL 1mL INJ                  4mg/mL       Corp.               II              AGONISTS                          Purchase History 387496    $                43.62  $         1.74  $                  5.23
                                                                                                                                                                          401200 - REPLACEMENT  B: SMITH NORTHVIEW HOSP
       0112 -  SN6SO                           64253011130     16.00        60 sodium chloride 0.9% 10mL FLUSH           0.9%         MEDEFIL INCORP.                     PREPARATIONS                 Purchase History 387496         $                18.92  $         0.32  $                  5.05
                                                                                                                                                                          08120612-
                                                                                                                                      West-Ward                           CEPHALOSPORINS,          C: McKesson Catalog SMITH
       0112 -  SN6SO                           00143985725      2.00        25 cefTRIAXone 1g vial                       1g/1         Pharmaceuticals Corp                THIRD GENERATION         NORTHVIEW HOSP 387496               $                57.76  $         2.31  $                  4.62
                                                                                                                                                                          52400800-BETA-
                                                                                                                                                                          ADRENERGIC
                                                                                                                                                                          BLOCKING AGENTS          B: SMITH NORTHVIEW HOSP
       0112 -  SN6SO                           61314022705      1.00         1 timolol 0.5% 0.05mL OP SOLN               5mg/mL       Sandoz Inc                          (EENT)                   Purchase History 387496             $                  4.50  $         4.50  $                  4.50
                                                                                                                                                                          20120416-
                                                                                                                                      Fresenius Kabi USA,                 ANTICOAGULANTS,          C: McKesson Catalog SMITH
       0112 -  SN6SO                           63323054001      3.00        25 heparin 1000Units/1mL 1mL SOLN            1000[USP'U]/LLC                                  HEPARINS                 NORTHVIEW HOSP 387496               $                36.51  $         1.46  $                  4.38
                                                                                                                                                                          24082000-DIRECT          B: SMITH NORTHVIEW HOSP
                                                                                                                                                                                                   P
       0112 -  SN6SO                           67457029101      2.00        25 hydrALAZINE 20mg/1mL 1mL SOLN             20mg/mL      Mylan Institutional LLC             VASODILATORS                     urchase History 387496      $                53.61  $         2.14  $                  4.29
                                                                                                                                                                          28049200-GENERAL
                                                                                                                                      Fresenius Kabi USA,                 ANESTHETICS,             C: McKesson Catalog SMITH
       0112 -  SN6SO                           63323026929      2.00        10 propofol 200mg/20mL 20mL SOLN             10mg/mL      LLC                                 MISCELLANEOUS            NORTHVIEW HOSP 387496               $                20.70  $         2.07  $                  4.14
                                                                                                                                                                          12121200-ALPHA- AND
                                                                                                                                                                          BETA-ADRENERGIC          B: SMITH NORTHVIEW HOSP
       0112 -  SN6SO                           00409492134      1.00        10 EPINEPHrine 1mg/10mL 10mL SYRG            0.1mg/mL     Hospira, Inc.                       AGONISTS                 Purchase History 387496             $                40.16  $         4.02  $                  4.02
                                                                                                                                                                          28089200-ANALGESICS
                                                                                                                                      Taro Pharmaceuticals                AND ANTIPYRETICS,        C: McKesson Catalog SMITH
       0112 -  SN6SO                           51672211602      6.00         6 acetaminophen 325mg SUPP                  325mg/1      U.S.A. Inc.                         MISC.                    NORTHVIEW HOSP 387496               $                  3.88  $         0.65  $                  3.88
                                                                                                                                      West-Ward
                                                                                                                                      Pharmaceuticals                     28080800-OPIATE          B: SMITH NORTHVIEW HOSP
       0112 -  SN6SO                           00641605225      2.00        25 meperidine 25mg/1mL 1mL SOLN              25mg/mL      Corp.               II              AGONISTS                          Purchase History 387496    $                47.77  $         1.91  $                  3.82
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