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3.51 3.36 3.23 3.22 3.17 3.15 3.07 2.97 2.96 2.84 2.81 2.73 2.72 2.65 2.61 2.60 2.54 2.47 2.41 2.38
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.39 $ 0.42 $ 0.17 $ 0.19 $ 0.32 $ 0.29 $ 0.12 $ 0.30 $ 0.74 $ 0.20 $ 0.14 $ 0.16 $ 1.36 $ 0.12 $ 0.14 $ 0.19 $ 2.54 $ 0.13 $ 1.21 $ 0.34 $

Package Cost 39.00 $ 41.95 $ 8.49 $ 18.93 $ 9.52 $ 28.60 $ 11.80 $ 29.68 $ 7.39 $ 20.28 $ 14.04 $ 16.08 $ 1.36 $ 11.51 $ 13.75 $ 18.59 $ 25.43 $ 13.01 $ 115.75 $ 33.97 $

C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 D: MIS NADAC B: SMITH NORTHVIEW HOSP 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 68040000-ADRENALS 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 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SM

SOURCE

AHFS ANTIDEPRESSANTS SEROTONIN/NOREPINE PHRINE-REUPTAKE ANTIMUSCARINICS/ANTI SPASMODICS 56283600-PROTON- PUMP INHIBITORS Purchase History 387496 240692 - ANTILIPEMIC MISCELLANEOUS 24120800-NITRATES AND NITRITES 24289200-CALCIUM- CHANNEL BLOCKING 401200 - REPLACEMENT BLOCKING AGENTS ANTICONVULSANTS, MISCELLANEOUS 88080000-VITAMIN B COMPLEX BLOCKING AGENTS 84049200-LOCAL ANTI- MISCELLANEOUS 28080800-OPIATE AGONISTS ANTIARRHYTHMIC AGENTS, CLASS III

28160416- SELECTIVE INHIBITORS 12080800- AGENTS, AGENTS, MISC. 24240000-BETA- ADRENERGIC 28129200- 24240000-BETA- ADRENERGIC INFECTIVES, 24040420- 40120000- REPLACEMENT 48160000-

DEA CLASS

II

Inventory Date 9/16/20 MANUFACTURER American Health Packaging Mylan Institutional Inc. AvPAK GENDOSE PHARMAC Mylan Pharmaceuticals Inc. Glenmark Pharmaceuticals Inc., USA West-Ward Pharmaceuticals Corp. CYPRESS PHARM. Baxter Healthcare Corporation Major Pharmaceuticals American Health Packaging Mylan Institutional Inc. Avrio Health L.P. West-Ward Pharmaceuticals Corp. SpecGx LLC Upsher-Smith Laboratories, LLC West-Ward Pharmaceuticals Corp GENDOSE PHARMAC Baxter Healthcare Corporation Hi-Tech Pharmacal Co., Inc.

STRENGTH 150mg/1 20mg/1 40mg/1 1000MG 0.2mg/h 240mg/1 1mg/1 280-250MG 5mg/5mL 750mg/1 1mg/1 25mg/1 10mg/mL 20mg/1 15mg/1 200mg/1 0.1mg/mL 1000MCG 9g/1000mL 100mg/5mL

SGMC Smith Northview Med Desc venlafaxine XR 150mg capsule dicyclomine 20mg tablet pantoprazole 40mg Tab omega-3 1000mg capsule nitroglycerin 0.2mg/hr patch 2 verapamil SR 240mg TabCR predniSONE 1mg tablet pot & sod phosphates 280-160-250mg packet Metoprolol Tartrate 5mg/5mL 5mL SOLN levETIRAcetam 750mg tablet folic acid 1mg Tab atenolol 25mg tablet povidone-iodine 10% 118mL SOLN predniSONE 20mg tablet morphine SR 15mg TAB amiodarone 200mg tablet flumazenil 0.5mg/5mL 5mL SOLN vitamin B-12 1000mcg tablet sodium chloride 0.9% 100mL ivpb guaifenesin 200mg/10mL 10mL SOLN

Meridian Divisor 100 100 50 100 30 100 100 100 10 100 100 100 1 100 100 100 10 100 96 100

QTY 9.00 8.00 19.00 17.00 10.00 11.00 26.00 10.00 4.00 14.00 20.00 17.00 2.00 23.00 19.00 14.00 1.00 19.00 2.00 7.00

68084071301 51079011920 50268063915 77333030810 00378910493 68462026001 00054873925 60258000601 36000003310 00904605361 62584089701 51079075920 67618015004 00054001820 00406831501 00245014701 00143968410 77333093810 00338004948 50383006312

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