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Extended 399.88 $ 392.37 $ 338.09 $ 252.22 $ 171.72 $ 163.34 $ 109.21 $ 55.62 $ 47.76 $ 36.08 $ 25.38 $ 22.77 $ 13.69 $ 11.91 $ 7.81 $ 7.52 $ 5.95 $ 4.55 $ 3.01 $ 15,063.72 $ 290.50 $ 259.33 $ 248.66 $ 222.87 $ 194.79 $ 158.98 $ 139.27 $ 91.86 $ 71.11 $ 34.17 $ 23.70 $ 20.74
Unit Cost 8.89 $ 78.47 $ 48.30 $ 21.02 $ 85.86 $ 8.17 $ 10.92 $ 11.12 $ 47.76 $ 7.22 $ 0.79 $ 2.28 $ 2.28 $ 3.97 $ 3.90 $ 0.47 $ 1.19 $ 2.28 $ 0.10 $ 179.33 $ 1.75 $ 1.47 $ 9.95 $ 2.89 $ 1.51 $ 1.51 $ 2.96 $ 2.96 $ 2.96 $ 1.71 $ 2.96 $ 2.96 $ 17.92 $
Package Cost 266.59 $ 470.84 $ 48.30 $ 252.22 $ 85.86 $ 81.67 $ 273.01 $ 11.12 $ 47.76 $ 72.16 $ 39.65 $ 54.65 $ 57.06 $ 119.10 $ 97.62 $ 0.47 $ 28.56 $ 54.65 $ 3.01 $ 179.33 $ 147.00 $ 123.77 $ 99.46 $ 28.94 $ 96.64 $ 96.90 $ 29.63 $ 29.63 $ 29.63 $ 42.71 $
SOURCE 7300011682 MIS NADAC 7300011765 MIS NADAC MIS NADAC MIS NADAC 7300018868 7300001627 7300011888 MIS NADAC 7300019279 7300007746 7300005940 UPDATED PRICE 7300012201 7300019023 AC/UPDATED PRICE 7300007746 7300011666 MANUAL ENTRY AC/UPDATED PRICE MIS NADAC 7300010147 7300000972 AC/UPDATED PRICE MIS NADAC 7300010434 7300010434 7300010434 7300005151 7300010434 7300010434 6770005541 7300010434 7300010434 7300005151 7300004672 7300005381 MIS NADAC 7300011306 6770000260 7300018999 7300018791 7300010994 7300000972 7300009002 7300011815 6770001023 6770006446 MIS NADAC 67
AHFS 08122816-ANTIBACTERIALS, GLYCOPEPTIDES 40120000-REPLACEMENT PREPARATIONS 20121800-PLATELET-AGGREGATION INHIBITORS 08122816-ANTIBACTERIALS, GLYCOPEPTIDES 12121200-ALPHA- AND BETA-ADRENERGIC AGONISTS 48480000-VASODILATING AGENTS (RESPIRATORY TRACT 08122816-ANTIBACTERIALS, GLYCOPEPTIDES 12120400-ALPHA-ADRENERGIC AGONISTS 20120414-ANTICOAGULANTS, DIRECT FACTOR Xa INHIBIT 40120000-REPLACEMENT PREPARATIONS 401200 - REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 40181800-POTASSIUM-REMOVING AGENTS 08
92160000-ANTIGOUT AGENTS 92120000-ANTIDOTES 08121800-QUINOLONES 08122820-ANTIBACTERIALS, LINCOMYCINS 68040000-ADRENALS 08121800-QUINOLONES 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS 20120400-ANTICOAGULANTS 40200000-CALORIC AGENTS 40200000-CALORIC AGENTS 08122820-ANTIBACTERIALS, LINCOMYCINS 08121800-QUINOLONES 08122820-ANTIBACTERIA
DEA CLAS 760000 121212
GENERIC CODE 7191 41282 86940 50331 25802 26184 25802 52122 40843 97837 37212 2962 52122 2371 6641 2962 41955 48795 6641 2962 41281 41281 41281 34551 41281 41281 34532 41281 41281 34551 14799 25060 25802 29311 977 10873 97248 99090 48795 99865 30039 25211 26899 34532 26873 26873 6641 6690 3282 99090 99224 31458 15353 40821 43025 89596 41321 40820 99925 99227 52121 40821 26597 47075 2962 98308 69790 2729 47072 45360 26898
MANUFACTURER ORAL TABLET, NOVADOZ PHARMACEUTICALS LLC C INTRAMUSCUL Baxter Healthcare C INTRAVENOUS Fresenius Kabi USA INTRAVENOUS Medicure Internation INTRAVENOUS Fresenius Kabi USA INTRAMUSCUL Par Pharmaceutical, INTRAVENOUS GlaxoSmithKline LLC AvPAK INTRAMUSCUL Pharmacia and Upjo SCA Pharmaceuticals, Inc. INTRAMUSCUL Somerset Therapeu Janssen Pharmaceu INTRAVENOUS B. Braun Medical Inc INTRAVENOUS Baxter Healthcare C NEPHRON CORP INTRAVENOUS B. Braun Medical Inc INTRAVENOUS B. Braun Medical Inc ORAL; RECTAL CMP Pharma, Inc. INTRAVENOUS Slate Run Pharmace INTRAVENOUS B. Braun Medical Inc INTRAVENOUS B. Braun M
DOSE FORM INTRAVENOUS Hospira, Inc. INTRAVENOUS Hospira, Inc. ORAL TABLET INTRAVENOUS Hospira, Inc. PLASTIC BAG KIT VIAL-NEB INTRAVENOUS Alvogen Inc. INTRAVENOUS Hospira, Inc. KIT INTRAVENOUS Fenwal, Inc. INTRAVENOUS ICU Medical Inc. INTRAVENOUS ICU Medical Inc. INTRAVENOUS ICU Medical Inc. PLASTIC BAG INTRAVENOUS Hospira, Inc. INTRAVENOUS Hospira, Inc. INTRAVENOUS Sandoz Inc INTRAVENOUS Hospira, Inc. IRRIGATION IRR INTRAVENOUS Hospira, Inc. IRRIGATION IRR
PACKA GE 30 6 1 500 100 1 1 1 1 10 200 4 500 1 51 250 200 3 50 50 60 1 100 100 1 1 1 50 1 1 500 1 1 50 250 50 1 100 250 50 1 50 1 100 100 250 250 500 500 300 300 250 500 100 50 100 1 250 250 50 100 150 50 50 500 500 100 50 250 100 500 4000 250 100 1000 50 1000 500
STRENGTH 40mg/1 10g/100mL 10g/100mL 5mg/100mL 750mg/15mL 1mg/mL 0.5mg/1 750mg/1 2mg/mL 15 MG-20MG 0.9g/100mL 2mg/mL 0.9% 50mg/mL 9mg/mL 500mg/5mL 50mg/mL 9mg/mL 1g/20mL 1g/20mL 1g/20mL 12.5g/50mL 1g/20mL 1g/20mL 20g/100mL 1g/20mL 1g/1 250mg/mL 10mg/mL 12.5g/50mL 750mg/15mL 10mg/mL 510mg/mL 7.5-2.691G 500mg/5mL 1.5mg/mL 20g/100mL 20g/100mL 600mg/300mL 600mg/300mL 5g/100mL 20g/100mL 200meq/1000m 2g/50mL 160mg/100mL 4 MG 500mg/100mL 5mg/mL 14.9g/1000mL 2mg/mL 10000[USP'U]/1 5mg/mL 0.9g/100mL 236; 22.74; 6.74 250mg/100mL 1mL/mL 5mg/mL 0.9g/100mL
TRADE FEBUXOSTAT PROTOPAM CHLORID 1g/20mL VANCOMYCIN HYDRO LMD IN DEXTROSE AGGRASTAT VANCOMYCIN HYDRO ADRENALIN FLOLAN VANCOMYCIN HYDRO MIDODRINE HYDROC10mg/1 CIPROFLOXACIN CLEOCIN PHOSPHAT150mg/mL OXYTOCIN-0.9% NAC30 UNITS DEXAMETHASONE S 10mg/mL XARELTO SODIUM CHLORIDE CIPROFLOXACIN SODIUM CHLORIDE DEXTROSE SODIUM CHLORIDE SODIUM POLYSTYRE15g/60mL AZITHROMYCIN DEXTROSE SODIUM CHLORIDE VANCOMYCIN HYDRO VANCOMYCIN HYDRO VANCOMYCIN HYDRO MANNITOL VANCOMYCIN HYDRO VANCOMYCIN HYDRO MANNITOL VANCOMYCIN HYDRO VANCOMYCIN HYDRO MANNITOL BREVIBLOC ALBUTEIN 25% VANCOMYCIN HYDRO OFIRMEV ISOVUE 250
Med Desc Lmd 10% W/5% Dextrose 0.1 IVSL 12X500ML VANCOMYCIN HCL 750MG 10 PF FTV Ciproflox/D5w 400mg/200ml IPSL 24X200ML Cleocin Phosphate 150mg/Ml SDV 25X4ML Oxytocin 30 units added to 0.9% Sodium Chloride 500 Dexamethasone Sodium Ph 10mg/Ml SDPF 25X1ML Ciproflox/D5w 400mg/200ml IPSL 24X200ML DEXTROSE/WATER 5% 84X50ML PFL Brevibloc 2500mg/250ml IVSL 10X250ML VANCOMYCIN HCL 750MG 10 PF FTV Dobutamine Hcl In Dextrose 500mg/250ml IVSL 18X25DOBUTAMINE IN DEX200mg/100mL Magnesium Sulfate 2gm/50ml 4% IPSL 24X50ML Milrinone In 5% Dextrose 20mg/100ml IPSL 10X100MLMILRINONE LACTATE200ug/mL Nexterone 150mg/100ml IPSL 12
FEBUXOSTAT 40MG 30 PROTOPAM 1GM 6 Vancomycin Hcl 10gm PWVL 1 EA AGGRASTAT 50MCG/ML 100ML ADRENALIN 1MG/ML 25X1ML FLOLAN FOR INJECTION 0.5MG CEFDINIR 250MG/5ML 60ML VANCOMYCIN 750MG 10 25ML FTV MIDODRINE HCL 10MG 5X10UD XARELTO 51 30D S/PK SODIUM CL 0.9% 24X250ML EXC SODIUM CL 0.9% 30X3MLUD remdesivir for injection 100mg/vial SODIUM CL 0.9% 84X50ML Sps 15gm/60ml SUSP 10X60ML Azithromycin 500mg PWVL 10X1EA DEXTROSE/WATER 5% 64X100ML SODIUM CL 0.9% 64X100ML Vancomycin Hcl 1gm PWVL 10X1EA Vancomycin Hcl 1gm PWVL 10X1EA Vancomycin Hcl 1gm PWVL 10X1EA Mannitol 25% SDV 25X50ML Vancomycin Hcl 1gm PWVL 10X1EA Vanc
Meridian Divisor 30 6 1 12 1 10 25 1 1 10 50 24 25 30 25 1 24 24 30 1 84 84 10 10 64 64 10 10 10 25 10 10 24 10 10 25 10 1 10 24 18 10 1 24 10 10 12 12 24 24 12 10 10 24 12 24 24 24 24 18 24 24 24 24 24 24 24 24 24 24 24 24 24 1 24 24 12 24 16 24
QTY 45.00 5.00 7.00 12.00 2.00 20.00 10.00 5.00 1.00 5.00 32.00 10.00 6.00 3.00 2.00 16.00 5.00 2.00 30.00 84.00 166.00 176.00 25.00 77.00 129.00 105.00 47.00 31.00 24.00 20.00 8.00 7.00 1.00 2.00 1.00 1.00 8.00 24.00 91.00 17.00 25.00 84.00 8.00 26.00 80.00 19.00 7.00 9.00 34.00 17.00 8.00 7.00 6.00 58.00 16.00 28.00 10.00 17.00 15.00 12.00 10.00 12.00 38.00 21.00 14.00 13.00 16.00 11.00 21.00 7.00 7.00 16.00 31.00 3.00 23.00 5.00 12.00 13.00 8.00 4.00
72205002830 60977014101 63323031461 00409741803 25208000203 63323020320 42023015925 00173051700 68180072304 00409653102 50268056315 00409477702 00009077526 70004008544 70069002125 50458058451 00264780020 36000000924 00487930133 61958290101 00264151031 00264180031 46287000660 70436001982 00264151032 00264180032 47781059791 67457034001 63323028420 00409403101 67457034001 63323028420 00264757810 67457034001 68001033964 63323002425 10019005561 68516521601 63323020320 43825010201 00338107502 00270131705 65649020175 63323010605 63323039810 00143971910 43066015010 00264446030
NDC
LOC 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol 0007 - KSM1 - 05 Inc Mannitol
0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0006 - KSM1 - 04 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM
