Page 84 - 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
84049200-LOCAL ANTI-
INFECTIVES, B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 67618015005 1.00 1 povidone-iodine 10% 15mL SOLN 10mg/mL Avrio Health L.P. MISCELLANEOUS Purchase History 387496 $ 1.06 $ 1.06 $ 1.06
28160808-
BUTYROPHENONES
ANTIPSYCHOTIC B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 67457042612 2.00 25 haloperidol lactate 5mg/1mL 1mL vial 5mg/mL Mylan Institutional LLC AGENTS Purchase History 387496 $ 12.85 $ 0.51 $ 1.03
24240000-BETA-
Baxter Healthcare ADRENERGIC C: McKesson Catalog SMITH
0112 - SNENDO1 36000003310 1.00 10 Metoprolol Tartrate 5mg/5mL 5mL SOLN 5mg/5mL Corporation BLOCKING AGENTS NORTHVIEW HOSP 387496 $ 7.39 $ 0.74 $ 0.74
Major 52320000- B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00904571135 1.00 1 oxymetazoline 0.05% 15mL SOLN 5g/100mL Pharmaceuticals VASOCONSTRICTORS e History 387496 $ 0.71 $ 0.71 $ 0.71
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20120416-
ANTICOAGULANTS, B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 67457037499 1.00 25 heparin 5000Units/1mL 1mL SOLN 5000[USP'U]/Mylan Institutional LLC HEPARINS Purchase History 387496 $ 17.21 $ 0.69 $ 0.69
40280800-LOOP C: McKesson Catalog SMITH
0112 - SNENDO1 00409610202 1.00 25 furosemide 40mg/4mL 4mL SOLN 10mg/mL Hospira, Inc. DIURETICS NORTHVIEW HOSP 387496 $ 15.71 $ 0.63 $ 0.63
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0112 - SNENDO1 00409909422 1.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 0.62
28240800-
BENZODIAZEPINES
(ANXIOLYTIC,SEDATIV/H C: McKesson Catalog SMITH
0112 - SNENDO1 00409230517 1.00 25 midazolam 2mg/2mL 2mL INJ 1mg/mL Hospira, Inc. IV YP) NORTHVIEW HOSP 387496 $ 14.79 $ 0.59 $ 0.59