Page 63 - AdventHealth Final Inventory Report
P. 63

Extended  17.52  $            8.59  $              5.70  $              4.91  $              4.52  $              3.96  $              3.90  $              3.40  $              2.53  $              2.48  $              1.85  $              1.79  $              1.08  $              1.03  $              0.15  $              962.79  $          933.63  $          808.18  $          564.05  $          461.77  $          449.93  $          441.58  $          403.52  $          395.38  $          309.10  $          257.17  $          244.06  $          219.85  $          215.64  $          200.68  $          192.30  $




        Unit Cost  5.84  $            1.72  $            0.71  $            0.70  $            0.25  $            1.32  $            3.90  $            0.57  $            0.42  $            0.41  $            0.04  $            0.36  $            0.03  $            0.02  $            0.02  $            96.28  $          466.81  $        80.82  $          56.41  $          38.48  $          64.28  $          33.97  $          17.54  $          49.42  $          30.91  $          32.15  $          16.27  $          1.47  $            35.94  $          10.03  $          12.82  $          112.40  $        26.66  $          8.20



        Package Cost  58.39  $             42.94  $             17.80  $             17.55  $             2.51 $               13.19  $             97.62  $             14.17  $             10.56  $             4.13 $               3.71 $               8.95  $               0.66  $               1.71  $               2.08  $               96.28  $             4,668.14  $        80.82  $             1,692.15  $        2,308.84  $        64.28  $             33.97  $             438.61  $           494.22  $           309.10  $           128.59  $           178.98  $           146.57  $           898.49  $           602.03  $




        SOURCE  7300001899  7300008718  7300006438  7300008748  7300000255  7300006378  7300012201  MIS NADAC  7300006402  7300000445  7300009732  7300005637  7300011854  7300000448  7300002770  7300010862  7300011209  7300011512  7300012126  7300011213  7300005203  7300005381  7300008680  7300006430  7300009468  7300019546  7300010110  7300008684  7300011067  7300008681  7300011465  7300010235  7300012295  7300019547  7300006307  UPDATED PRICE  7300008950  7300009143  7300001916  7300011306  7300010352  7300005109  7300009563  7300002184  7300011039  7300010910  7300012068  7300010994  7300008687  7300000988  7300007909  73







                                                      A









        AHFS     04080000-SECOND GENERATION ANTIHISTAMINES 08120612-CEPHALOSPORINS, THIRD GENERATION 40120000-REPLACEMENT PREPARATIONS 201204 - ANTICOAGULANTS, MISCELLANEOUS 56222000-5-HT3 RECEPTOR ANTAGONISTS  28089200-ANALGESICS AND ANTIPYRETICS, MISC. 28089200-ANALGESICS AND ANTIPYRETICS, MISC.  08180812-ANTIRETROVIRALS, HIV INTEGRASE INHIBITOR 40120000-REPLACEMENT PREPARATIONS 08120716-MONOBACTAMS, MISCELLANEOUS B-LACTAM A 36680000-ROENTGENOGRAPHY AND OTHER IMAGING AGC/UPDATED PRICE 40181800-POTASSIUM-REMOVING AGENTS 24040420-ANTIARRHYTHMIC AGENTS, CLASS III ANTIARR  28160804-ATYPICAL ANTIPSYCHOTIC AGENTS 24320800-ANGIOT
          81206 - CEPHALOSPORINS 40280800-LOOP DIURETICS 56281200-HISTAMINE H2-ANTAGONISTS 04040400-ETHANOLAMINE DERIVATIVES  68040000-ADRENALS  04040400-ETHANOLAMINE DERIVATIVES 96000000-PHARMACEUTICAL AIDS 40404 - ETHANOLAMINE DERIVATIVES  08141600-ECHINOCANDIN ANTIFUNGALS 40282800-VASOPRESSIN ANTAGONISTS 68360400-THYROID AGENTS 08122830-ANTIBACTERIALS, RIFAMYCINS  16000000-BLOOD DERIVATIVES  68040000-ADRENALS  24081600-CENTRAL ALPHA-AGONISTS 24120800-NITRATES AND NITRITES 88240000-VITAMIN K ACTIVITY  68040000-ADRENALS 68200804-INSULINS, RAPID-ACTING  08122400-TETRACYCLINE ANTIBIOTICS  28080800-OPIATE AGONISTS  68221200-GL











      DEA   CLAS                                                                 II           II                      V          II

      GENERIC   CODE  34940  99002  46013  28945  39962  97837  3034  25692  45972  2709  16892  97472  24294  30926  35079  28530  25060  27354  41912  25520  23872  44774  1772  94725  26586  28302  5679  17407  39046  44775  34490  40340  15527  37163  29311  19952  25473  18387  86371  33205  37159  30043  99090  30314  70022  42071  26872  26178  13844  16374  62771  21497  14338  27350  39047  6641  32766  28143  33308  28224 Par Pharmaceutical Companies, Inc.  44775  31458  4663  42091  17037  48795  33935  2962  27483  62773  2962  62772



        MANUFACTURER  Apotex Corporation  INTRAVENOUS West-Ward Pharmac INTRAMUSCUL Fresenius Kabi USA ORAL CAPSULE Bayer HealthCare L  INTRAMUSCUL Fresenius Kabi USA  APP/FRESENIUS K INTRAVENOUS Heritage Pharmaceuticals Inc. ORAL CAPSULE Major Pharmaceutic INTRAMUSCUL Fresenius Kabi USA ORAL CAPSULE Major Pharmaceuticals, Inc ORAL CAPSULE Major Pharmaceutic Johnson & Johnson Consumer Inc. INTRAVENOUS Astellas Pharma US  Otsuka America Pha INTRAVENOUS Par Pharmaceutical  ORAL TABLET, ViiV Healthcare Com  Salix Pharmaceutica  APP/FRESENIUS K INTRAVENOUS GRIFOLS USA, LLC INTRA-ARTICUL Mylan Institutional In INTRAMUSCUL E.R. Sq







        DOSE FORM  VIAL INTRAMUSCUL Hospira, Inc.  INTRAMUSCUL Hospira, Inc  INTRAMUSCUL Hospira, Inc.  VIAL  ORAL TABLET  ORAL TABLET  ORAL TABLET  VIAL  EMULSION INTR  ORAL SUSPENS  KIT   ORAL TABLET  INTRAVENOUS Hospira, Inc.  INTRAVENOUS Hospira, Inc.  ORAL CAPSULE AbbVie Inc.  ORAL SUSPENS  ORAL TABLET  ORAL TABLET, Roerig  ORAL TABLET, UCB, Inc.  INTRAMUSCUL Hospira, Inc.  VIAL  INTRAMUSCUL Roerig




      PACKA  GE   1  2  2  1  10  1  1  10  5  2  100  5  24  100  100  1  10  1  30  60  100  50  30  1  50  4  11  4X25  1  60  1  10  1  60  11  5  1  1  20  100  60  1  30  5  1  20  200  50  2  0.4  1  100  100  10  90  30  0.6  30  60  10  60  50  30  1  1  30  1  11  1  5  0.8  1  1  60  100  90  1  50  0.8


        STRENGTH  2 G  10mg/mL  10mg/mL  10mg/1  1g/1  9mg/mL  1mg/mL  25 MG  325MG  20mg/mL  15mg/1  50mg/1  550mg/1  12.5g/50mL  2g/1  240mg/mL  0.3mg/d  5g/5g  0.4mg/1  10 mg/mL  400mg/1  100mg/2mL  100[iU]/mL  10mg/2mL  24; 26mg/1; mg  10g/10g  750mg/5mL  100mg/10mL  1g/1  40mg/1  10mg/mL  150mg/1  1MG  10mg/1  20mg/mL  750mg/1  15mg/1  1.8mg/mL  40mg/.4mL  150mg/mL  200mg/100mL  24000; 76000; 1  1GM/10ML  160mg/1  50mg/1  60mg/.6mL  50mg/1  49; 51mg/1; mg  50mg/mL  25mg/1  125mg/2mL  100mg/1  1 G  10g/10g  2g/50mL  300 MG/5 ML  120mg/.8mL  20mg/mL  500mg/5mL  5mg/1  9mg/mL  800mg/1  100mg/mL  9mg/mL  80mg/.8mL







          CEFEPIME HCL  FUROSEMIDE  FAMOTIDINE  BANOPHEN  TYLENOL  MYCAMINE  SAMSCA  TIVICAY  XIFAXAN  AZACTAM  OMNIPAQUE  LOKELMA  NITROGLYCERIN  VITAMIN K1   MULTAQ  ZYPREXA  ENTRESTO  ATOVAQUONE  DOXY 100  INVANZ  OXYCONTIN  OFIRMEV  REYATAZ  GLUCAGON   EZETIMIBE  VENOFER  OXYCONTIN  LOVENOX  LOVENOX  ZYVOX  CREON  SUCRALFATE  VALSARTAN  ZOLOFT  LOVENOX  VIMPAT  ENTRESTO  DEXTROSE  MYRBETRIQ  RITONAVIR  MEROPENEM  LOVENOX  GEODON  ZITHROMAX  ELIQUIS  LOVENOX  LOVENOX
        TRADE  DIPHENHYDRAMINE  50mg/mL  CLARITIN Liqui-Gels CEFTRIAXONE SODIU  HEPARIN LOCK FLUS100U/ML ONDANSETRON HYD2mg/mL DIPHENHYDRAMINE  50mg/1  MAPAP Extra Strength500mg/1  LEVOTHYROXINE SO100ug/5mL  CALCIUM GLUCONAT100 MG/ML  VANCOMYCIN HYDRO  NEXTERONE 360MG MAGNESIUM SULFAT40mg/mL  CINACALCET HYDRO30mg/1  MORPHINE SULFATE2mg/mL  CEFAZOLIN SODIUM  FERROUS SULFATE  SODIUM CHLORIDE  SEVELAMER CARBON  SODIUM CHLORIDE










          cefepime HCl (Maxipime) 2 gm Injection furosemide (Lasix) 20 mg/2 mL Injection famotidine (Pepcid) 20 mg/2 mL Amp/Vial  loratadine (Claritin) 10 mg Tab cefTRIAXone (Rocephin) 1 gm Injectable  Heparin Lock Flush 500 unit/5 mL Injection ondansetron (Zofran) 4 mg/2 mL Injection diphenhydrAMINE (Benadryl) 50 mg Cap diphenhydrAMINE (Benadryl) 25 mg Cap acetaminophen ES (Tylenol ES) 500 mg Tab acetaminophen (Tylenol) 325 mg Tab micafungin (Mycamine) 100 mg/5 mL Injection tolvaptan (Samsca) 15 mg Tab levothyroxine (Synthroid) 100 mcg Injection dolutegravir (Tivicay) 50 mg Tab rifaximin (Xifaxan) 550 mg Tab calcium glucona

        Med Desc  diphenhydrAMINE (Benadryl) 50 mg/1 mL Injection dexamethasone PF (Decadron PF) 10 mg/1 mL Amp/V DEXAMETHASONE S 10mg/mL sodium chloride 0.9% PF (NACL 0.9%) (10 mL) Injectab SODIUM CHLORIDE water, sterile (Sterile water for injection) (10 mL) Injectio STERILE WATER  albumin human 25% (Albuminar-25) 12.5 gm/50 mL BoALBUTEIN 25% dexamethasone sodium phosphate (Decadron) 4 mg/1 DEXAMETHASONE S 4mg/mL cloNIDine TTS 3 0.3 mg/24 hr (Catapres-TTS 3) 0.3 mgCLONIDINE sodium zirconium cyclosilicate (Lokelma) 5 gm Packet nitroglycerin (Nitrostat) 0.4 mg (25 tab) DIS Tablet phytonadione (Vitamin K) 10 mg/1 mL Amp/Vial h












      Meridian   Divisor  10  25  25  25  10  10  25  25  25  10  100  25  24  100  100  1  10  1  30  60  1  1  25  10  10  4  11  100  25  60  1  1  1  60  11  42  1  10  10  20  24  60  1  30  10  10  20  10  24  10  10  10  10  100  30  90  30  10  30  60  10  60  84  30  25  10  30  1  11  24  100  10  10  10  60  64  90  10  84  10



          3.00  5.00  8.00  7.00  18.00  3.00  1.00  6.00  6.00  6.00  50.00  5.00  39.00  60.00  7.00  10.00  2.00  10.00  10.00  12.00  7.00  13.00  23.00  8.00  10.00  8.00  15.00  150.00  6.00  20.00  15.00  1.69  7.00  21.00  11.00  6.00  10.00  7.00  3.00  13.00  4.00  14.00  2.00  17.00  4.00  18.00  18.00  3.00  11.00  10.00  34.00  10.00  5.00  16.00  11.00  15.00  16.00  6.00  6.00  9.00  8.00  10.00  45.00  8.00  20.00  46.00  11.00  13.00  5.00  13.00  25.00  7.00  3.00  24.00  13.00  45.00  7.00  9.00  45.00  11.00
        QTY

          60505068104  00409610202  00641602225  63323066401  11523720001  00409733201  63323050601  00409488810  63323054505  23155019642  00904205661  63323018505  00904203524  00904198760  00450049660  00469321110  59148002050  42023020101  49702022813  65649030302  63323031166  68516521601  67457042130  00003257016  00407141230  00378087399  00310110539  68462063945  00409915801  00024414260  00009001103  00002751001  00002759701  00078065920  00310111039  66689006242  63323013011  00006384371  59011044020  43825010201  00003362412  00002803101  00904666404  00517234010  00409653101  59011041520  43066036020  00409672924
        NDC










        LOC
          0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1IV  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC1  0031 - KSK1PC
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