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2.33 2.27 2.20 2.05 2.03 2.01 1.96 1.93 1.80 1.77 1.74 1.72 1.60 1.56 1.51 1.47 1.40 1.39 1.20
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.16 $ 0.15 $ 0.10 $ 0.26 $ 0.15 $ 0.08 $ 0.10 $ 0.06 $ 0.07 $ 0.18 $ 0.06 $ 0.14 $ 0.53 $ 0.08 $ 0.14 $ 0.37 $ 0.13 $ 0.28 $ 0.09 $

Package Cost 7.77 $ 4.53 $ 10.02 $ 3.07 $ 14.51 $ 7.73 $ 10.33 $ 6.42 $ 7.20 $ 5.32 $ 6.01 $ 14.33 $ 13.35 $ 38.98 $ 1.65 $ 36.85 $ 12.74 $ 27.70 $ 7.70 $

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 08121800-QUINOLONES 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 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH DIURETICS NORTHVIEW HOSP 387496

SOURCE

12160412-SELECTIVE BLOCK.AGENT 12120812-ALPHA- & BETA-ADRENERGIC AGONISTS 28129200- ANTICONVULSANTS, MISCELLANEOUS AND ANTIPYRETICS, MISC. 28160428- ANTIDEPRESSANTS TRICYCLICS & OTHER NOREPINEPHRINE- 28129200- ANTICONVULSANTS, MISCELLANEOUS 28129200- ANTICONVULSANTS, MISCELLANEOUS 24240000-BETA- ADRENERGIC 28080800-OPIATE 40280800-LOOP 28160492- ANTIDEPRESSANTS, MISCELLANEOUS 12200400-CENTRALLY ACTING SKELETAL MUSCLE RELAXNT 12040000- C (CHOLINERGIC AGENTS) 28160424- ANTIDEPRESSANTS SEROTONIN MODULA

AHFS ALPHA-1-ADRENERGIC 28089200-ANALGESICS REUPTAKE INHIBITORS BLOCKING AGENTS AGONISTS 56120000-CATHARTICS AND LAXATIVES PARASYMPATHOMIMETI 24320800-ANGIOTENSIN

DEA CLASS

III

Inventory Date 9/16/20 MANUFACTURER AvPAK Nephron SC Inc. American Health Packaging Perrigo New York Inc American Health Packaging Mylan Institutional Inc. Major Pharmaceuticals Major Pharmaceuticals Mylan Institutional Inc. Mylan Institutional Inc. Major Pharmaceuticals Pharmacia and Upjohn Company LLC Granules Pharmaceuticals Inc. Paddock Laboratories, LLC Upsher-Smith Laboratories, LLC Major Pharmaceuticals JUBILANT CADISTA PHARMACEUTICALS INC. Camber Pharmaceuticals, Inc.

STRENGTH 0.4mg/1 2.5mg/3mL 300mg/1 650mg/1 500mg/1 10mg/1 500mg/1 100mg/1 12.5mg/1 300; 30mg/1; SpecGx LLC 20mg/1 15mg/1 100mg/2mL 750mg/1 10mg/1 25mg/1 100mg/1 10mg/1 50mg/1

SGMC Smith Northview Med Desc tamsulosin 0.4mg capsule albuterol 0.083% 2.5mg/3mL NEBUL gabapentin 300mg capsule acetaminophen 650mg SUPP ciprofloxacin 500mg tablet amitriptyline 10mg tablet levETIRAcetam 500mg tablet gabapentin 100mg capsule carvedilol 12.5mg tablet acetaminophen-codeine 300-30MG TAB furosemide 20mg tablet mirtazapine 15mg tablet hydrocortisone sod succ 100mg 2mL SOLR methocarbamol 750mg tablet bisacodyl 10mg SUPP bethanechol 25mg tablet traZODone 100mg tablet prochlorperazine 10mg tablet losartan 50mg TAB

Meridian Divisor 50 30 100 12 100 100 100 100 100 30 100 100 25 500 12 100 100 100 90

QTY 15.00 15.00 22.00 8.00 14.00 26.00 19.00 30.00 25.00 10.00 29.00 12.00 3.00 20.00 11.00 4.00 11.00 5.00 14.00

50268074015 00487950101 68084076201 45802073030 68084007001 51079013120 00904605261 00904666561 51079093120 00406048403 51079007220 00904651961 00009001103 70010077005 00574705012 00832051201 00904686961 59746011506 31722070190

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