Page 9 - 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
842408 - BASIC OILS C: McKesson Catalog SMITH
N
O
0096 - OPP Pharmacy 63323025410 30.00 25 MURI-LUBE OIL 10ML FRE 25 APP/FRESENIUS K AND OTHER SOLVENTS RTHVIEW HOSP 387496 $ 321.39 $ 12.86 $ 385.67
Baxter Healthcare 56229200-ANTIEMETICS, B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 10019055304 24.00 24 TRANSDERM-SCOP 1.5 MG (1MG/3D) 24 1mg/3d Corporation MISCELLANEOUS Purchase History 387496 $ 382.98 $ 15.96 $ 382.98
C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00517037405 2.00 5 PROVAYBLUE AMP .5%10ML A/R UD5 5mg/mL American Regent, Inc. 92120000-ANTIDOTES NORTHVIEW HOSP 387496 $ 954.70 $ 190.94 $ 381.88
12080800-
Boehringer Ingelheim ANTIMUSCARINICS/ANTI C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00597008717 1.00 1 ATROVENT HFA INH AERO 12.9GM 17ug/1 Pharmaceuticals Inc. SPASMODICS NORTHVIEW HOSP 387496 $ 380.21 $ 380.21 $ 380.21
40120000-
Fresenius Kabi USA, REPLACEMENT C: McKesson Catalog SMITH
0096 - OPP Pharmacy 63323017005 25.00 25 SOD PHOS SDV 15MMOL 5ML FRE 25 276; 142mg/m PREPARATIONS NORTHVIEW HOSP 387496 $ 372.91 $ 14.92 $ 372.91
LLC
08122816-
ANTIBACTERIALS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 67457082399 20.00 10 VANCOMYCIN HCI INJ 1.25G MYL10 1.25g/25mL Mylan Institutional LLC GLYCOPEPTIDES NORTHVIEW HOSP 387496 $ 185.74 $ 18.57 $ 371.48
Amneal B: SMITH NORTHVIEW HOSP
Purchase History 387496
0096 - OPP Pharmacy 70121116801 10.00 1 TRIAMCINOLONE ACET 200 MG/5 ML 1 200mg/5mL Pharmaceuticals LLC 68040000-ADRENALS $ 35.25 $ 35.25 $ 352.50
12121200-ALPHA- AND
Par Pharmaceutical, BETA-ADRENERGIC B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 42023016801 2.00 1 ADRENALIN 30 MG/30 ML VIAL 1 1mg/mL Inc. AGONISTS Purchase History 387496 $ 176.23 $ 176.23 $ 352.46
GlaxoSmithKline B: SMITH NORTHVIEW HOSP
0096 - OPP Pharmacy 58160084252 11.00 10 BOOSTRIX TDAP VACCINE SYRINGE 10 5; 2.5; 8; 8; 2.Biologicals SA 80080000-TOXOIDS $ 319.52 $ 31.95 $ 351.47

Purchase History 387496
72000000-LOCAL
Fresenius Kabi USA, ANESTHETICS C: McKesson Catalog SMITH
0096 - OPP Pharmacy 63323047237 75.00 25 SENSOR SDV 0.75% MPF 30MLFRE25 7.5mg/mL LLC (PARENTERAL) NORTHVIEW HOSP 387496 $ 113.45 $ 4.54 $ 340.35
Bracco Diagnostics 36680000- B: SMITH NORTHVIEW HOSP
c
has
Inc
ur
P
0096 - OPP Pharmacy 00270044535 15.00 24 GASTROGRAFIN 66-10 SOLUTION 24 660; 100mg/m ROENTGENOGRAPHY e History 387496 $ 538.08 $ 22.42 $ 336.30
12080800-
Boehringer Ingelheim ANTIMUSCARINICS/ANTI C: McKesson Catalog SMITH
0096 - OPP Pharmacy 00597002402 1.00 1 COMBIVENT RESPIMAT 120 DSE 20mcg/1; 120Pharmaceuticals Inc. SPASMODICS NORTHVIEW HOSP 387496 $ 335.00 $ 335.00 $ 335.00
20120416-
ANTICOAGULANTS, C: McKesson Catalog SMITH
0096 - OPP Pharmacy 16714001610 25.00 10 ENOXAP SOD SYR40MG/.4MLNSTR10@ 100mg/mL NorthStar Rx LLC HEPARINS NORTHVIEW HOSP 387496 $ 129.92 $ 12.99 $ 324.80
36680000- C: McKesson Catalog SMITH
N
H
O
V
R
0096 - OPP Pharmacy 00407141363 41.00 10 OMNIPAQUE 300 POLYB 100ML 10 300mg/mL GE Healthcare Inc. ROENTGENOGRAPHY EW HOSP 387496 $ 78.38 $ 7.84 $ 321.36
T
I
08122400- C: McKesson Catalog SMITH
O
R
T
0096 - OPP Pharmacy 67457043710 20.00 10 DOXYCYC INJ 100MG 100ML MYL 10 100mg/10mL Mylan Institutional LLC TETRACYCLINES HVIEW HOSP 387496 $ 154.07 $ 15.41 $ 308.14
N
84040400-
X-GEN ANTIBACTERIALS (SKIN C: McKesson Catalog SMITH
0096 - OPP Pharmacy 39822122001 4.00 1 NEOMY+POL B 40MG/ML X-G 20ML@ 40; 200000mg Pharmaceuticals, Inc. & MUCOUS MEMBRANE) NORTHVIEW HOSP 387496 $ 73.94 $ 73.94 $ 295.76

D.O.R.C. Dutch
Ophthalmic Research
Center (International) 36580000-OCULAR
0096 - OPP Pharmacy 68803061210 5.00 10 Vision Blue Dutch Opthalmics 0.3mg/.5mL B.V. DISORDERS A: Direct pricing $ 563.00 $ 56.30 $ 281.50