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1.47 1.44 1.30 1.21 1.09 1.09 1.07 1.07 1.07 1.07 1.07 1.06 1.03 0.73 0.69 0.67 0.67 0.67 0.67 0.67
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 1.47 $ 1.44 $ 0.65 $ 1.21 $ 0.55 $ 1.09 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.06 $ 0.51 $ 0.24 $ 0.69 $ 0.67 $ 0.67 $ 0.67 $ 0.67 $ 0.67 $

Package Cost 1.47 $ 14.39 $ 64.76 $ 115.75 $ 13.68 $ 104.49 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 1.06 $ 12.85 $ 12.19 $ 17.21 $ 16.64 $ 16.64 $ 16.64 $ 16.64 $ 16.64 $

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

SOURCE

AHFS VASOCONSTRICTORS Purchase History 387496 72000000-LOCAL (PARENTERAL) DIHYDROPYRIDINES NORTHVIEW HOSP 387496 PREPARATIONS Purchase History 387496 DERIVATIVES PREPARATIONS NORTHVIEW HOSP 387496 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 84049200-LOCAL ANTI- MISCELLANEOUS BUTYROPHENONES ANTIPSYCHOTIC AGENTS 52920000-EENT DRUGS, MISCELLANEOU

52320000- ANESTHETICS 24280800- 40120000- REPLACEMENT 04040400- ETHANOLAMINE 40120000- REPLACEMENT ANESTHETICS, ANESTHETICS, ANESTHETICS, ANESTHETICS, ANESTHETICS, INFECTIVES, 28160808- 20120416- HEPARINS

DEA CLASS

II II II II II

Inventory Date 9/16/20 MANUFACTURER Major Pharmaceuticals AuroMedics Pharma LLC American Health Packaging Baxter Healthcare Corporation West-Ward Pharmaceuticals Corp. Baxter Healthcare Corporation Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Avrio Health L.P. Mylan Institutional LLC Allergan, Inc. 5000[USP'U]/Mylan Institutional LLC West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. West-Ward Pharmaceutic

STRENGTH 0.05g/100mL 10mg/mL 10mg/1 9g/1000mL 50mg/mL 9g/1000mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 5mg/mL 14; 6mg/mL; m 2mg/mL 2mg/mL 2mg/mL 2mg/mL 2mg/mL

SGMC Smith Northview Med Desc oxymetazoline 0.05% 30mL NASAL lidocaine PF 1% 5mL SOLN NIFEdipine 10mg capsule sodium chloride 0.9% 100mL ivpb diphenhydrAMINE 50mg/1mL 1mL SOLN sodium chloride 0.9% 50mL IVPB propofol 10mg/1mL 10mL SOLN propofol 10mg/1mL 10mL SOLN propofol 10mg/1mL 10mL SOLN propofol 10mg/1mL 10mL SOLN propofol 10mg/1mL 10mL SOLN povidone-iodine 10% 15mL SOLN haloperidol lactate 5mg/1mL 1mL vial Polyvinyl alcohol povidine 0.4mL OP DROP heparin 5000Units/1mL 1mL SOLN HYDROmorphone 2mg/1mL 1mL INJ HYDROmorphone 2mg/1mL 1mL INJ HYDROmorphone 2mg/1mL 1mL INJ HYDROmorphone 2mg/1

Meridian Divisor 1 10 100 96 25 96 10 10 10 10 10 1 25 50 25 25 25 25 25 25

QTY 1.00 1.00 2.00 1.00 2.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 2.00 3.00 1.00 1.00 1.00 1.00 1.00 1.00

00904676130 55150016205 60687042501 00338004948 00641037625 00338004931 63323026910 63323026910 63323026910 63323026910 63323026910 67618015005 67457042612 00023050650 67457037499 00641615125 00641615125 00641615125 00641615125 00641615125

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