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Extended 47.72 $ 43.96 $ 43.62 $ 43.10 $ 41.38 $ 40.46 $ 38.99 $ 38.15 $ 37.74 $ 36.39 $ 36.17 $ 35.72 $ 33.71 $ 33.47 $ 31.92 $ 31.49 $ 30.61 $ 30.14 $ 29.48 $ 28.74 $ 27.21 $ 26.30 $ 25.90 $

Unit Cost 23.86 $ 43.96 $ 8.72 $ 43.10 $ 41.38 $ 2.38 $ 4.33 $ 38.15 $ 18.87 $ 36.39 $ 18.09 $ 11.91 $ 16.85 $ 16.74 $ 15.96 $ 31.49 $ 10.20 $ 30.14 $ 29.48 $ 5.75 $ 27.21 $ 26.30 $ 1.44 $

Package Cost 23.86 $ 43.96 $ 218.11 $ 43.10 $ 41.38 $ 2.38 $ 43.32 $ 38.15 $ 18.87 $ 36.39 $ 452.15 $ 285.75 $ 168.54 $ 100.41 $ 382.98 $ 31.49 $ 102.03 $ 30.14 $ 29.48 $ 143.71 $ 27.21 $ 26.30 $ 14.39 $

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

SOURCE

AHFS 52920000-EENT DRUGS, MISCELLANEOUS Purchase History 387496 52920000-EENT DRUGS, MISCELLANEOUS Purchase History 387496 72000000-LOCAL ANESTHETICS (PARENTERAL) 52240000-MYDRIATICS Purchase History 387496 68200808-INSULINS, SHORT-ACTING 84049200-LOCAL ANTI- INFECTIVES, MISCELLANEOUS 36680000- ROENTGENOGRAPHY Purchase History 387496 68200804-INSULINS, RAPID-ACTING 12120812-ALPHA- & BETA-ADRENERGIC AGONISTS 84049200-LOCAL ANTI- INFECTIVES, MISCELLANEOUS 52160000-LOCAL ANESTHETICS (EENT) NORTHVIEW HOS

DEA CLASS

II

Inventory Date 9/16/20 MANUFACTURER Alcon Laboratories, Inc. Akorn Inc. Fresenius Kabi USA, LLC Alcon Laboratories, Inc. Eli Lilly and Company 213g/1000mLMolnlycke Health Care GE Healthcare Inc. Sanofi-Aventis U.S. LLC GlaxoSmithKline LLC Mylan Institutional Inc. Akorn, Inc. Baxter Healthcare Corporation West-Ward Pharmaceuticals Corp. PHARMACI/PFIZER Baxter Healthcare Corporation 3mg/ml; 3mg/American Regent, Inc. Sandoz Inc Sandoz Inc Fresenius Kabi USA, Paddock Laboratories, Fresenius Kabi USA, LLC AuroMedics Pharma LLC

STRENGTH 5mg/mL 5mg/mL 5mg/mL 10mg/mL 100[iU]/mL 300mg/mL 100U/mL 90mcg/1 85mg/g 35mg/mL 900mg/50mL 1mg/mL 100 1mg/3d 50mg/mL 3; 1mg/mL; mSandoz Inc 10mg/mL 5; .005mg/mLLLC 400iU/g; 3.5mLLC 10mg/mL 10mg/mL

SGMC Smith Northview Med Desc hydroxypropyl methylcellulose 0.5% 15mL OP Apraclonidine 0.5%/1DROP OP SOLN lidocaine PF 0.5% 250mg/50mL 50mL SOLN atropine 1% 0.05mL OP SOLN insulin regular 100units 3ml SOLN chlorhexidine 4% 118ml liquid iohexol 300mg/1mL 50mL SOLN insulin lispro 1Units/0.01mL 3mL VIAL albuterol HFA 90mcg aerosol mafenide 85mg/1g 56.7g cream lidocaine 3.5% 1mL op gel clindamycin 900mg/50mL 50mL IVPB morphine (PF) 1mg/1mL 10mL INJ gelatin adsorbable 100MM sponge scopolamine 1.5mg patch betamethasone acetate-betamethasone sodium phosp 6 (3-3)mg/1mL 5mL SUSP ePHEDrine 50mg/1mL

Meridian Divisor SOL 1 1 25 1 1 1 10 1 1 1 25 24 10 6 24 1 10 OP SUSP 1 1 SOLN 25 1 1 10

QTY 2.00 1.00 5.00 1.00 1.00 17.00 9.00 1.00 2.00 1.00 2.00 3.00 2.00 2.00 2.00 1.00 3.00 1.00 1.00 5.00 1.00 1.00 18.00

00998040815 17478071610 63323049157 00065030355 00002821517 00234057504 00407141386 00024592605 00173068224 51079062381 17478079225 00338381424 00641601910 00009034201 10019055304 00517072001 00781326995 61314064725 61314063705 63323046237 00574425035 63323022935 55150016205

NDC

LOC

0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO 0112 - SN6SO