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Extended 23.88 $ 18.87 $ 16.86 $ 15.96 $ 13.88 $ 12.59 $ 12.33 $ 12.20 $ 11.95 $ 10.80 $ 8.02 $ 7.77 $ 7.70 $ 6.47 $ 5.84 $ 5.73 $ 5.55 $ 5.52 $ 5.18 $ 5.18 $

Unit Cost 2.99 $ 18.87 $ 4.21 $ 15.96 $ 13.88 $ 0.90 $ 12.33 $ 4.07 $ 5.97 $ 10.80 $ 4.01 $ 7.77 $ 3.85 $ 6.47 $ 2.92 $ 5.73 $ 5.55 $ 0.42 $ 5.18 $ 5.18 $

Package Cost 74.63 $ 18.87 $ 105.36 $ 382.98 $ 346.89 $ 22.49 $ 123.27 $ 101.66 $ 59.73 $ 108.04 $ 40.11 $ 77.73 $ 115.50 $ 64.69 $ 73.04 $ 57.27 $ 55.46 $ 10.62 $ 103.51 $ 103.51 $

C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 A: Direct pricing C: McKesson Catalog SMITH ANESTHE

SOURCE

AHFS ANTIMUSCARINICS/ANTI SPASMODICS 12120812-ALPHA- & BETA-ADRENERGIC AGONISTS ANTIMUSCARINICS/ANTI SPASMODICS 56229200-ANTIEMETICS, MISCELLANEOUS Purchase History 387496 12121200-ALPHA- AND BETA-ADRENERGIC 72000000-LOCAL (PARENTERAL) 28049200-GENERAL MISCELLANEOUS 28249200-ANXIOLYTICS, HYPNOTICS,MISC. BLOCKING AGENTS 40080000-ALKALINIZING AGENTS 28100000-OPIATE ANTAGONISTS Purchase History 387496 40200000-CALORIC AGENTS 52160000-L

12080800- 12080800- AGONISTS ANESTHETICS ANESTHETICS, SEDATIVES & 24240000-BETA- ADRENERGIC ADRENERGIC 24240000-BETA- ADRENERGIC 56222000-5-HT3 RECEPTOR ANESTHETICS, ANESTHETICS,

DEA CLASS

III

Inventory Date 9/16/20 MANUFACTURER Fresenius Kabi USA, LLC GlaxoSmithKline LLC American Regent, Inc. Baxter Healthcare Corporation Par Pharmaceutical, Inc. West-Ward Pharmaceuticals Corp Par Pharmaceutical, Inc. Accord Healthcare Inc. Hospira, Inc. International Medication Systems, Limited Mylan Institutional LLC Hospira, Inc. Nephron Pharmaceuticals Corporation Akorn, Inc. Avadel Legacy Pharmaceuticals, LLC Mylan Institutional LLC Sandoz Inc Athenex Pharmaceutical Division, LLC. Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC

STRENGTH 0.2mg/mL 90mcg/1 0.4mg/mL 1mg/3d 1mg/mL 20mg/mL 100mg/mL 100ug/mL 5mg/mL 84mg/mL 0.4mg/mL 25g/50mL 1mg/1ml 20mg/mL 10mg/mL 10mg/mL 250ug/mL 2mg/mL 10mg/mL 10mg/mL

SGMC Smith Northview Med Desc glycopyrrolate 0.2mg/1mL 1mL SOLN albuterol HFA 90mcg aerosol atropine 0.4mg/1mL 1mL SOLN scopolamine 1.5mg patch EPINEPHrine 1mg/1mL 1mL SOLN LIDOCAINE PF 2% 5mL SOLN ketamine 500mg/5mL 5mL INJ dexmedetomidine HCl 200mcg/2mL 2mL SOLN labetalol 20mg/4mL 4mL SYRG sodium bicarbonate 8.4% 50mEq 50mL abbj naloxone 0.4mg/1mL 1mL SOLN dextrose 50% 50mL abbj phenylephrine 1mg 10ml Syringe lidocaine 2% 5mL ex gel phenylephrine 10mg/1mL 1mL SOLN esmolol 100mg/10mL 10mL SOLN digoxin 250mcg/1mL 2mL SOLN ondansetron 4mg/2mL 2mL SOLN propofol 10mg/1mL 50mL SOLN propofol

Meridian Divisor 25 1 25 24 25 25 10 25 10 10 10 10 30 10 25 10 10 25 20 20

QTY 8.00 1.00 4.00 1.00 1.00 14.00 1.00 3.00 2.00 1.00 2.00 1.00 2.00 1.00 2.00 1.00 1.00 13.00 1.00 1.00

63323057801 00173068224 00517040125 10019055304 42023015925 00143959425 42023011510 16729023993 00409233934 76329335201 67457029202 00409490234 69374030210 17478071131 76014000425 67457018210 00781305995 70860077602 63323026950 63323026950

NDC

LOC
0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4 0112 - SGGILABOA4