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5.90 5.84 5.76 5.43 5.42 5.42 5.36 4.96 4.92 4.62 4.61 4.43 4.38 4.09 4.07 3.99 3.80 3.79 3.60 3.57
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.59 $ 2.92 $ 0.38 $ 0.91 $ 0.32 $ 0.60 $ 0.45 $ 0.38 $ 0.55 $ 0.77 $ 0.27 $ 0.23 $ 0.18 $ 0.19 $ 0.81 $ 0.40 $ 0.12 $ 0.38 $ 0.51 $ 0.18 $

Package Cost 58.99 $ 1,168.19 $ 19.21 $ 25.34 $ 15.95 $ 60.22 $ 8.94 $ 38.14 $ 13.68 $ 19.26 $ 27.09 $ 23.31 $ 17.51 $ 19.47 $ 8.13 $ 39.85 $ 11.53 $ 37.85 $ 12.85 $ 5.35 $

B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: M

SOURCE

AHFS ANTIPRURITICS AND LOCAL ANESTHETICS 402000 - CALORIC AGENTS 28080800-OPIATE AGONISTS 12920000-AUTONOMIC MISCELLANEOUS 28080800-OPIATE AGONISTS 28089200-ANALGESICS AND ANTIPYRETICS, AMINOPENICILLINS NORTHVIEW HOSP 387496 PHENOTHIAZINE DERIVATIVES DERIVATIVES PHARMACEUTICAL AIDS Purchase History 387496 28362008-NONERGOT- DERIV.DOPAMINE RECEPTOR AGONIST 28080800-OPIATE AGONISTS 28249200-ANXIOLYTICS, HYPNOTICS,MISC. PRO

84080000- DRUGS, MISC. 08121608- 04041200- 04040400- ETHANOLAMINE 96000000- SEDATIVES & 56283200- 28240800- YP) 56080000- 28160808- 56222000-5-HT3 RECEPTOR

DEA CLASS

II II II IV V

Inventory Date 9/16/20 MANUFACTURER Marlex Pharmaceuticals Inc PERRIGO CO. Dr. Reddy's Laboratories Inc. Precision Dose Inc. 875; 125mg/1Northstar RxLLC American Health Packaging West-Ward Pharmaceuticals Corp. Hospira, Inc. Major Pharmaceuticals SpecGx LLC American Health Packaging McKesson Corporation dba SKY Packaging Hospira, Inc. Mylan Institutional Inc. Major Pharmaceuticals 2.5; .025mg/1Greenstone LLC Mylan Institutional LLC Aurobindo Pharma Limited

STRENGTH 100mg/1 40% 10; 325mg/1; AvPAK 21mg/24h 5; 325mg/1; m AvPAK 160mg/5mL 25mg/1 50mg/mL 1mL/mL 1mg/1 5mg/1 10mg/1 1g/1 2mg/mL 75ug/1 25mg/1 5mg/mL 4mg/1

SGMC Smith Northview Med Desc phenazopyridine 100mg tablet dextrose 40% 15g gel HYDROcodone-APAP 10-325mg tab nicotine 21mg patch HYDROcodone-APAP 5-325mg tab acetaminophen 160mg/5mL LIQD amoxicillin-clavulanate 875-125mg tab promethazine 25mg tablet diphenhydrAMINE 50mg/1mL 1mL SOLN sterile water (PF) 10mL SOLN rOPINIRole 1mg tablet oxyCODONE IR 5mg TAB hydrOXYzine 10mg tablet sucralfate 1g tablet LORazepam 2mg/1mL 1mL INJ levothyroxine 75mcg tablet hydrALAZINE 25mg tablet diphenoxylate-atropine 2.5-0.025mg tab haloperidol lactate 5mg/1mL 1mL vial ondansetron ODT 4mg tablet

Meridian Divisor 100 400 50 28 50 100 20 100 25 25 100 100 100 100 10 100 100 100 25 30

QTY 10.00 2.00 15.00 6.00 17.00 9.00 12.00 13.00 9.00 6.00 17.00 19.00 25.00 21.00 5.00 10.00 33.00 10.00 7.00 20.00

10135062001 00574006915 50268040215 43598044828 50268040115 68094058761 16714047801 68084015501 00641037625 00409488710 00904637461 00406055262 68084025301 63739094310 00409677802 51079044120 00904644161 59762106101 67457042612 65862039010

NDC

LOC

0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO 0111 - SN6OPSO