Page 8 - 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
20040400-IRON C: McKesson Catalog SMITH
N
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0096 - OPP Pharmacy 00517065001 1.00 1 INJECTAFER SDV 750MG A/R 15ML 50mg/mL American Regent, Inc. PREPARATIONS RTHVIEW HOSP 387496 $ 846.22 $ 846.22 $ 846.22
68221200-
Boehringer Ingelheim GLYCOGENOLYTIC B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00597026010 5.00 1 GLUCAGEN DIAGNOSTIC 1 MG VIAL 1 1MG Pharmaceuticals, Inc. AGENTS Purchase History 387496 $ 159.16 $ 159.16 $ 795.80
36340000-
Bracco Diagnostics GALLBLADDER B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00270055615 8.00 10 KINEVAC 5 MCG VIAL 10 5ug/5mL Inc. FUNCTION Purchase History 387496 $ 985.27 $ 98.53 $ 788.22
Bayer HealthCare 36680000- B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 50419032512 20.00 20 GADAVIST 10 MMOL/10 ML VIAL 20 604.72mg/mLPharmaceuticals Inc. ROENTGENOGRAPHY e History 387496 $ 779.10 $ 38.96 $ 779.10
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20120414-
ANTICOAGULANTS,
Janssen DIRECT FACTOR Xa C: McKesson Catalog SMITH
0096 - OPP Pharmacy 50458057810 70.00 100 XARELTO TAB 15MG U/D 100 15mg/1 Pharmaceuticals, Inc. INHIBITORS NORTHVIEW HOSP 387496 $ 1,085.80 $ 10.86 $ 760.06
72000000-LOCAL
Pacira ANESTHETICS C: McKesson Catalog SMITH
0096 - OPP Pharmacy 65250026609 2.00 10 EXPAREL INJ 266MG/20ML DS 10 13.3mg/mL Pharmaceuticals Inc. (PARENTERAL) NORTHVIEW HOSP 387496 $ 3,088.47 $ 308.85 $ 617.69
92920000-OTHER
MISCELLANEOUS C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00023114501 1.00 1 BOTOX THERAPEUTIC VL 100U DS 100U/1 Allergan, Inc. THERAPEUTIC AGENTS NORTHVIEW HOSP 387496 $ 584.47 $ 584.47 $ 584.47
48100808-
Merck Sharp & Dohme CORTICOSTEROIDS C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00085461005 3.00 1 DULERA MDI 200MCG 60 DOSE 200; 5ug/1; ug Corp. (RESPIRATORY TRACT) NORTHVIEW HOSP 387496 $ 194.74 $ 194.74 $ 584.22
OMNIPAQUE 9mg/mL 500 ORAL SOLUTION 36680000- B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 00407141509 74.00 10 10 9mg/mL GE Healthcare Inc. ROENTGENOGRAPHY e History 387496 $ 74.20 $ 7.42 $ 549.08
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P
20120414-
ANTICOAGULANTS,
Janssen DIRECT FACTOR Xa C: McKesson Catalog SMITH
0096 - OPP Pharmacy 50458058010 50.00 100 XARELTO TAB 10MG U/D 100 10mg/1 Pharmaceuticals, Inc. INHIBITORS NORTHVIEW HOSP 387496 $ 1,085.80 $ 10.86 $ 542.90
92440000-
Human Genome IMMUNOSUPPRESSIVE B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 49401010101 1.00 1 BENLYSTA 120 MG VIAL 1 120mg/1 Sciences, Inc. AGENTS Purchase History 387496 $ 525.98 $ 525.98 $ 525.98
Pfizer Laboratories C: McKesson Catalog SMITH
NORTHVIEW HOSP 387496
0096 - OPP Pharmacy 60793021505 12.00 1 THROMBIN JMI 5000U+DIL 0215-05 5MU Div Pfizer Inc 20281600-HEMOSTATICS $ 43.28 $ 43.28 $ 519.36
08122816-
ANTIBACTERIALS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 67457082499 20.00 10 VANCOMYC HCL INJ 1.5G MYL 10 1.5g/30mL Mylan Institutional LLC GLYCOPEPTIDES NORTHVIEW HOSP 387496 $ 222.89 $ 22.29 $ 445.78
08122812-
ANTIBACTERIALS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 16729043505 6.00 1 DAPTOMYCIN INJ 500MG ACC 1 500mg/10mL Accord Healthcare Inc. CYCLIC LIPOPEPTIDES NORTHVIEW HOSP 387496 $ 69.32 $ 69.32 $ 415.92
48100808-
Merck Sharp & Dohme CORTICOSTEROIDS C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00085720607 2.00 1 DULERA MDI 100MCG 60 DOSE 100; 5ug/1; ug Corp. (RESPIRATORY TRACT) NORTHVIEW HOSP 387496 $ 194.74 $ 194.74 $ 389.48
20120416-
ANTICOAGULANTS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 16714003610 11.00 10 ENOXAP SOD SYR80MG/.8MLNSTR10@ 100mg/mL NorthStar Rx LLC HEPARINS NORTHVIEW HOSP 387496 $ 353.21 $ 35.32 $ 388.53