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Extended 14.87 $ 14.87 $ 14.28 $ 10.65 $ 21,059.19 $ 8,795.28 $ 7,588.44 $ 6,105.43 $ 5,474.44 $ 4,637.48 $ 3,624.38 $ 3,338.29 $ 2,598.82 $ 2,539.46 $ 2,492.25 $ 2,275.68 $ 2,273.59 $ 2,238.42 $ 1,872.45 $ 1,848.42 $ 1,830.00 $ 1,525.48 $ 1,457.91 $ 1,252.70 $ 1,219.61 $ 1,167.76 $ 1,138.59 $ 1,122.47 $ 1,116.90 $ 1,090.26 $ 904.35 $ 840.90 $ 808.37 $ 749.32 $
Unit Cost 3.72 $ 3.72 $ 1.19 $ 2.66 $ 3,509.87 $ 56.91 $ 2,529.48 $ 109.03 $ 912.41 $ 220.83 $ 3,624.38 $ 333.83 $ 86.63 $ 423.24 $ 108.36 $ 91.03 $ 454.72 $ 111.92 $ 187.25 $ 462.10 $ 366.00 $ 305.10 $ 97.19 $ 33.86 $ 1,219.61 $ 116.78 $ 22.33 $ 280.62 $ 124.10 $ 109.03 $ 226.09 $ 64.68 $ 35.15 $ 187.33 $ 20.65 $ 15.96
Package Cost 22.31 $ 89.22 $ 28.56 $ 63.92 $ 3,509.87 $ 569.08 $ 2,529.48 $ 1,090.26 $ 912.41 $ 2,208.33 $ 3,624.38 $ 3,338.29 $ 866.27 $ 423.24 $ 3,250.77 $ 91.03 $ 454.72 $ 1,119.21 $ 1,872.45 $ 462.10 $ 1,464.00 $ 3,050.96 $ 971.94 $ 338.57 $ 1,219.61 $ 1,167.76 $ 1,250.22 $ 280.62 $ 1,241.00 $ 1,090.26 $ 226.09 $ 6
SOURCE 7300006564 7300006564 AC/UPDATED PRICE MIS NADAC 7300009403 7300002448 7300001790 7300000841 7300012230 7300006973 7300012444 7300011656 7300019363 7300019040 7300000396 MIS NADAC 7300018820 7300012239 7300011130 7300000877 7300019364 7300006445 7300005086 7300011808 7300011972 7300005184 7300005528 7300010339 7300006972 7300000841 7300012306 7300011542 MIS NADAC 7300010770 UPDATED PRICE UPDATED PRICE 7300011693 7300011120 7300006345 7300000922 7300005307 7300009198 7300006753 7300000818 7300019361 7300010440 7300006336 7300011960 7300011334 7300018884 MIS NAD
08140800-AZOLES 08140800-AZOLES 80120000-VACCINES 92320000-COMPLEMENT INHIBITORS 48240000-MUCOLYTIC AGENTS 80120000-VACCINES 76000000-OXYTOCICS 80120000-VACCINES 80080000-TOXOIDS 08120200-AMINOGLYCOSIDES 80120000-VACCINES 24280800-DIHYDROPYRIDINES 68200816-INSULINS, LONG-ACTING 68
AHFS 40120000-REPLACEMENT PREPARATIONS 40120000-REPLACEMENT PREPARATIONS 80040000-ANTITOXINS AND IMMUNE GLOBULINS 68240400-ANTIPARATHYROID AGENTS 12202000-NEUROMUSCULAR BLOCKING AGENTS 80040000-ANTITOXINS AND IMMUNE GLOBULINS 20160000-HEMATOPOIETIC AGENTS 72000000-LOCAL ANESTHETICS (PARENTERAL) 20160000-HEMATOPOIETIC AGENTS 80040000-ANTITOXINS AND IMMUNE GLOBULINS 80040000-ANTITOXINS AND IMMUNE GLOBULINS 80040000-ANTITOXINS AND IMMUNE GLOBULINS 08120612-CEPHALOSPO
DEA CLAS 081228 INTRAMUSCUL SOMERSET THERAPEUTICS LLC 12202000-NEUROMUSCULAR BLOCKING AGENTS 081228
GENERIC CODE 69790 69790 2962 2964 15446 98534 26431 32770 29309 13206 14778 30775 44767 44608 27200 29305 29308 37609 28232 23360 44768 11420 14287 24618 27367 82782 61551 33921 26001 32770 29307 14247 44766 26814 20240 13072 10260 99384 10890 13922 98442 26601 44765 2641 10860 46567 11660 40065 99414 21766 21767 10260 99385 5679 32770 37201 24220 41301 16778 89471 37201 26665 44764 37201 99309 21767 25428 15001 89699 15001 99002 99385
MANUFACTURER INTRAVENOUS Renaissance SSA, L INTRAVENOUS B. Braun Medical Inc INTRAVENOUS B. Braun Medical Inc INTRAVENOUS BTG International In INTRAMUSCUL GlaxoSmithKline Bio INTRAMUSCUL Mylan Institutional L INTRAVENOUS GRIFOLS USA, LLC SUBCUTANEOU Teva Pharmaceutica Pacira Pharmaceutic INTRAVENOUS Pfizer Laboratories D INFILTRATION; GRIFOLS USA, LLC INTRAVENOUS GRIFOLS USA, LLC INTRAVENOUS GRIFOLS USA, LLC INTRAVENOUS Merck Sharp & Dohm INTRAMUSCUL Wyeth Pharmaceutic INTRAVENOUS Pfizer Laboratories D INTRAMUSCUL Pharmacia and Upjo INTRAMUSCUL Merck Sharp & Dohm INTRAMUSCUL GlaxoSmithKline Bio INTRAMUSCUL Pfi
DOSE FORM INTRAVENOUS Hospira, Inc. INTRAVENOUS AbbVie Inc. INTRAVENOUS Amgen Inc INFILTRATION RESPIRATORY Genentech, Inc. INTRADERMAL/Allergan, Inc. INTRAVENOUS Genentech, Inc. KIT INTRAVENOUS Amgen Inc INTRAVENOUS AbbVie Inc. INTRAVENOUS Chiesi USA, Inc. PLASTIC BAG SYRN RECTAL SUPPO INTRAVENOUS Genentech, Inc. ORAL POWDERRelypsa, Inc. SYRN IV BAG INTRAVENOUS AbbVie Inc. INTRAVENOUS Hospira, Inc. SUBCUTANEOU Halozyme, Inc. INTRAVENOUS Hospira, Inc. KIT INTRAVENOUS Hospira, Inc. RECTAL SUPPO PLASTIC BAG RECTAL SUPPO
PACKA GE 100 100 250 500 1 1 2 20 200 1.6 3 20 1 1 2.5 10 100 1 0.5 1 1 1 0.5 0.5 10 2 5 1 1 20 50 50 1 1 250 0.50 30 10 10 2 1 1 1 1.3 1 25 1 100 3 30 0.50 0.5 1 1 10 10 3 20 5 1 1 1 0.5 5 1 1 5 10 10 1 1 10 12 250 1 12 2 10
STRENGTH 0.9g/100mL 3g/100mL 40mg/1 1440[iU]/mL 200U/ml 10mg/mL 10g/100mL 480ug/1.6mL 10mg/mL 13.3mg/mL 10000[iU]/mL 300[iU]/mL 1mg/mL 10g/100mL 10g/100mL 1g/1; 0.5g/1 2.2; 2.2; 2.2; 2.2 100U/1 40000[iU]/mL 250mcg/mL 25; 25; 25; 25; 2 5; 2.5; 8; 8; 2.5[ 20mg/mL 600000; 600000 300mg/5mL 2.5U 300ug/mL 10mg/mL 10g/100mL 0.5mg/mL 4000[iU]/mL 312[iU]/mL 1.5G/250ML 50mg/1 100[iU]/mL 25mg/5mL 2mg/1 20ug/mL 1500[iU]/1 3000[iU]/mL 5mg/mL 1[iU]/mL 100[iU]/mL 8.4g/1 5; 2[Lf]/.5mL; [L 100[iU]/mL 10mg/mL 50ug/mL 50000iU/1 10; 25; 25; 25; 8 2000[iU]/mL 20MG/ML 2MG/ML 5000 UNIT
FLUCONAZOLE IN SO2mg/mL FLUCONAZOLE IN SO2mg/mL DESMOPRESSIN ACE4ug/mL FOSPHENYTOIN SOD50mg/mL DESMOPRESSIN ACE4ug/mL OCTREOTIDE ACETA500ug/mL OCTREOTIDE ACETA100ug/mL DESMOPRESSIN ACE4ug/mL FOSPHENYTOIN SOD50mg/mL ROCURONIUM BROM50mg/5mL METHYLERGONOVIN0.2mg/mL ROCURONIUM BROM10mg/mL HYLENEX RECOMBIN150 [USP'U]/mL ROCURONIUM BROM10mg/mL OCTREOTIDE ACETA100ug/mL PANCURONIUM BRO 1mg/mL NEOMYCIN AND POL 40; 200000mg/m PROMETHAZINE HYD25mg/1
TRADE SODIUM CHLORIDE SODIUM CHLORIDE DIGIFAB HAVRIX MIACALCIN NIMBEX GAMUNEX-C NEUPOGEN ICATIBANT EXPAREL RETACRIT HYPERRAB PULMOZYME GAMUNEX-C GAMUNEX-C ZERBAXA PREVNAR 13 BOTOX RETACRIT HEMABATE PNEUMOVAX 23 BOOSTRIX ACTEMRA BICILLIN CR TOBRAMYCIN RABAVERT NEUPOGEN NIMBEX GAMUNEX-C CLEVIPREX RETACRIT HEPAGAM B Fluarix Quad INDOCIN LANTUS PREMARIN CATHFLO ACTIVASE ENGERIX-B WINRHO SDF RETACRIT DILTIAZEM HYDROCH MYXREDLIN HUMULIN N VELTASSA Flublok Quad TENIVAC HUMALOG NIMBEX SANDOSTATIN BACITRACIN INFANRIX RETACRIT SUCCINYCHOLINE C CISATRACURIUM BES RECOTHROM
FLUCONAZ/SOD 200MG 6X100ML SODIUM CL 0.9% 24X250ML EXC SODIUM CL 3% 24X500ML EXC HYPR Digifab 40mg PWVL 1 EA Havrix 1440elu/Ml SYRN 10X1ML Miacalcin 200u/Ml MDV 2 ML Nimbex 10mg/Ml SDV 10X20ML Gamunex-C 0.1 SDPF 200 ML Neupogen 480mcg/1.6ml SDPF 10X1.6ML ICATIBANT 10MG/ML 3ML Exparel Dshp 13.3mg/Ml SDPF 10X20ML RETACRIT 10000U/ML 10X1ML Hyperrab 300u/Ml SDPF 1 ML Pulmozyme 1mg/Ml AMIH 30X2.5ML GAMUNEX-C 10% 1GM 10ML WHS SPD Gamunex-C 0.1 SDPF 100 ML Zerbaxa 1-0.5gm PWVL 10X1EA Prevnar 13 SYRN 10X0.5ML Botox Therapeutic Dshp 100u PWVL 1 EA Retacrit 40000u/Ml SDPF 4X1ML Hemabate 250mcg/Ml AMPS 10X1ML Pneumovax 23 25
Med Desc Fluconazole/Sod Cl 200mg/100ml IPSL 24X100ML Vancomycin HCl 1.5 g added to 0.9% Sodium Chloride VANCOMYCIN HCL-0 Fosphenytoin Sodium 50mg Pe/Ml SDV 25X2ML Desmopressin Acetate 4mcg/Ml AMPS 10X1ML VANCOMYCIN 1.75 G/250 ML-0.9% NACL BAG (CMPD-RX) Fosphenytoin Sodium 50mg Pe/Ml SDV 10X10ML Methylergonovine Maleate 0.2mg/Ml SDV 20X1ML Vancomycin HCl 1.25 g added to 0.9% Sodium Chloride
Meridian Divisor 6 24 24 24 1 10 1 10 1 10 1 10 10 1 30 1 1 10 10 1 4 10 10 10 1 10 56 1 10 10 1 10 10 1 1 10 30 1 1 25 1 1 10 1 10 10 10 12 1 30 10 10 10 10 12 1 10 10 1 10 10 10 10 20 10 10 4 10 10 10 10 1 25 25 12 1 10 12 25 10
4.00 4.00 12.00 4.00 6.00 154.55 3.00 56.00 6.00 21.00 1.00 10.00 30.00 6.00 23.00 25.00 5.00 20.00 10.00 4.00 5.00 5.00 15.00 37.00 1.00 10.00 51.00 4.00 9.00 10.00 4.00 13.00 23.00 4.00 33.00 42.00 4.00 3.00 2.00 73.00 2.00 4.00 10.00 1.00 17.00 63.00 12.00 24.00 14.00 12.00 6.00 10.00 23.00 72.00 12.00 1.00 10.00 18.00 7.00 2.00 69.00 43.00 46.00 11.00 10.00 60.00 4.00 9.00 50.00 12.00 10.00 3.00 32.00 25.00 16.00 17.00 15.00 12.00 123.00 3.00
QTY
70655000206 00409468818 00264780020 00264780510 50633012011 58160082652 67457067502 00074438220 13533080024 55513054610 00093306634 65250026609 00069130810 13533031801 50242010040 13533080012 13533080071 67919003001 00005197102 00023114501 00069130904 00009085608 00006494300 58160084211 50242013601 60793060010 65162091446 58160096412 55513053010 00074438220 13533080020 10122061010 00069130710 70257005251 70004092459 58160088552 69344010233 00088222033 00703505401 67457051625 00046074905 50242004164 58160082111 70257033051 00069130610 00641601510 69918089910 00338012612
NDC
LOC
0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0008 - KSM1 - 08 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig 0009 - KSM2 - 01 Refrig
