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Extended 50.24 $ 47.63 $ 35.29 $ 31.12 $ 26.70 $ 25.20 $ 24.35 $ 14.47 $ 14.27 $ 13.30 $ 7.07 $ 6.10 $ 4.87 $ 3.69 $ 3.45 $ 3.19 $ 1.64 $ 220.52 $ 86.43 $ 69.63 $ 62.30 $

Unit Cost 8.37 $ 7.94 $ 5.88 $ 10.37 $ 8.90 $ 0.42 $ 8.12 $ 1.21 $ 1.59 $ 2.22 $ 2.36 $ 1.02 $ 1.62 $ 1.23 $ 1.15 $ 1.06 $ 0.55 $ 27.57 $ 10.80 $ 6.33 $ 8.90 $

Package Cost 209.33 $ 79.39 $ 58.81 $ 124.46 $ 89.00 $ 12.60 $ 81.16 $ 115.75 $ 15.86 $ 55.42 $ 23.56 $ 25.42 $ 38.92 $ 44.29 $ 27.62 $ 26.57 $ 13.68 $ 275.65 $ 108.04 $ 63.30 $ 89.00 $

C: McKesson Catalog SMITH PREPARATIONS NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH PREPARATIONS NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HO

SOURCE

AHFS 40200000-CALORIC AGENTS 12120808-SELECTIVE BETA-1-ADRENERGIC 40080000-ALKALINIZING AGENTS 401200 - REPLACEMENT PREPARATIONS Purchase History 387496 12121200-ALPHA- AND BETA-ADRENERGIC PREPARATIONS Purchase History 387496 ANTIARRHYTHMIC AGENTS, CLASS IV ANTIARRHYTHMICS 68040000-ADRENALS Purchase History 387496 ANTIARRHYTHMIC AGENTS, CLASS Ib ANTIARRHYTHMICS ANTIARRHYTHMIC AGENTS, CLASS III ANTIARRHYTHMICS 40200000-CALORIC AGENTS 40200000-CALORIC AGENT

40120000- REPLACEMENT 40120000- REPLACEMENT AGONISTS AGONISTS 40120000- REPLACEMENT 24040424- 24040408- 24040420- 40120000- REPLACEMENT 28129200- 04040400- ETHANOLAMINE 960000

DEA CLASS

Inventory Date 9/16/20 MANUFACTURER Fresenius Kabi USA, LLC Hospira, Inc. Hospira, Inc. Baxter Healthcare Hospira, Inc. BD MEDICAL SURG BPI Labs, LLC Baxter Healthcare Corporation Akorn, Inc. Fresenius Kabi USA, LLC Hospira, Inc. Fresenius Kabi USA, LLC Baxter Healthcare Baxter Healthcare Corporation Baxter Healthcare Corporation Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp. International Medication Systems, Limited International Medication Systems, Limited PHEBRA Hospira, Inc.

STRENGTH 98mg/mL 250mg/mL 100mg/mL 160mg/100mL Corporation 42mg/mL 0.9% 1mg/mL 9g/1000mL 3mg/mL 4mg/mL 20mg/mL 50mg/mL 100g/1000mLCorporation 50g/1000mL 9g/1000mL 500mg/mL 50mg/mL 1mg/mL 84mg/mL 8.4% 42mg/mL

SGMC Smith Northview Med Desc Calcium Gluconate 10% 10ml vial Dextrose 25% syringe Calcium Chloride 10% vial/syringe Dopamine 800mg/500ml D5W Sodium Bicarboneate 5mEq syringe Normal Saline 10ml syringes Epinephrine 1mg/1ml amp NaCl 0.9% 100ml bag Adenosine 6mg vial Dexamethasone 4mg/1ml vial Lidocaine 100mg syringe Amiodarone 150mg vial D10W 500ml bag D5W 250ml bag NaCl 0.9% 500ml bag Magnesium Sulfate 1Gm/2ml vial Diphenhydramine 50mg vial NALOXONE 2 MG/2 ML SYRINGE 10 SOD BIC SYR LL 8.4%50ML IMS 10 SODIUM BICARBONATE VIAL 8.4% 10 SOD BIC SYR+ND 4.2% 10ML L/S10

Meridian Divisor 25 10 10 12 10 30 10 96 10 25 10 25 24 36 24 25 25 10 10 10 10

QTY 6.00 6.00 6.00 3.00 3.00 60.00 3.00 12.00 9.00 6.00 3.00 6.00 3.00 3.00 3.00 3.00 3.00 8.00 8.00 11.00 7.00

63323036019 00409177510 00409163110 00338100703 00409553434 08290306546 54288010310 00338004948 17478054202 63323016501 00409132305 63323061603 00338002303 00338001702 00338004903 63323006403 00641037625 76329336901 76329335201 71456000101 00409553434

NDC

0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 0099 - SMITH NORTHVIEW HOSPITAL PEDIATRIC CART 00

LOC