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Extended 14.84 $ 14.23 $ 13.81 $ 13.22 $ 13.17 $ 11.90 $ 11.87 $ 11.76 $ 11.40 $ 11.24 $ 11.04 $ 9.89 $ 8.58 $ 8.43 $ 8.16 $ 8.13 $ 8.03 $ 8.02 $ 7.80 $ 7.77 $ 7.31 $ 7.10 $

Unit Cost 7.42 $ 7.11 $ 1.97 $ 4.41 $ 13.17 $ 2.98 $ 1.19 $ 5.88 $ 0.47 $ 1.61 $ 11.04 $ 1.98 $ 8.58 $ 4.21 $ 1.36 $ 4.07 $ 2.01 $ 4.01 $ 2.60 $ 7.77 $ 3.66 $ 2.37 $

Package Cost 7.42 $ 177.85 $ 49.32 $ 44.08 $ 131.71 $ 74.40 $ 29.68 $ 58.81 $ 47.49 $ 38.53 $ 11.04 $ 49.44 $ 102.99 $ 105.36 $ 1.36 $ 101.66 $ 60.21 $ 40.11 $ 64.98 $ 77.73 $ 36.56 $ 189.20 $

B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH 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 Purchase History 3

SOURCE

84049200-LOCAL ANTI- INFECTIVES, MISCELLANEOUS 72000000-LOCAL ANESTHETICS (PARENTERAL) 24040408- ANTIARRHYTHMIC AGENTS, CLASS Ib ANTIARRHYTHMICS 12202000- NEUROMUSCULAR 08120200- 72000000-LOCAL ANESTHETICS (PARENTERAL) 40120000- REPLACEMENT AGENTS 08120200- 28080800-OPIATE 24120800-NITRATES 12080800- SPASMODICS 84049200-LOCAL ANTI- INFECTIVES, MISCELLANEOUS SEDATIVES & HYPNOTICS,MISC. 48100808- CORTICOSTEROIDS 28100000-OPIATE 40200000-CALORIC AGENTS 08121608- 401200

AHFS 68040000-ADRENALS Purchase History 387496 BLOCKING AGENTS Purchase History 387496 AMINOGLYCOSIDES NORTHVIEW HOSP 387496 PREPARATIONS NORTHVIEW HOSP 387496 84280000-KERATOLYTIC AMINOGLYCOSIDES Purchase History 387496 52240000-MYDRIATICS NORTHVIEW HOSP 387496 AGONISTS AND NITRITES ANTIMUSCARINICS/ANTI 28249200-ANXIOLYTICS, (RESPIRATORY TRACT) NORTHVIEW HOSP 387496 ANTAGONISTS Purchase History 387496 68040000-ADRENALS Purchase History 387496 AMINOPENICILLIN

DEA CLASS

II

Inventory Date 9/16/20 MANUFACTURER Pfizer Laboratories Div Pfizer Inc Pharmacia and Upjohn Company LLC AuroMedics Pharma LLC International Medication Systems, Limited Sandoz Inc Fresenius Kabi USA, LLC Hospira, Inc. Hospira, Inc. Arzol Chemical Baxter Healthcare Corporation Sandoz Inc. West-Ward Pharmaceuticals Corp. Baxter Healthcare Company American Regent, Inc. Avrio Health L.P. Accord Healthcare Inc. Exelan Pharmaceuticals, Inc. Mylan Institutional LLC Somerset Therapeutics, LLC Hospira, Inc. Mylan Institutional LLC Baxter Healthcare

STRENGTH 10mg/g 125mg/2mL 2.5mg/mL 20mg/mL 20mg/mL 40mg/mL 5mg/mL 100mg/mL 25; 75mg/100Company 80mg/50mL 10mg/mL 50mg/mL 20mg/100mL 0.4mg/mL 10mg/mL 100ug/mL 0.5mg/2mL 0.4mg/mL 10mg/mL 25g/50mL 2; 1g/1; g/1 900mg/100mL Corporation

SGMC Smith Northview Med Desc silver sulfadiazine 1% 50g cream methylPREDNISolone sodium succinate 125mg SOLN bupivacaine PF 0.25% 30mL SOLN lidocaine (cardiac) 20mg/1mL 5mL ABBJ succinylcholine 20mg/1mL 10mL SOLN gentamicin 80mg/2mL 2mL VIAL bupivacaine PF 0.5% 30mL SOLN calcium chloride 10% 1g Syringe silver nitrate 75-25% STICK gentamicin 80mg/50mL 50mL ivpb cyclopentolate 1% 0.05mL OP SOLN meperidine 50mg/1mL 1mL INJ nitroglycerin 50mg/250mL 250mL SOLN atropine 0.4mg/1mL 1mL SOLN povidone-iodine 10% 118mL SOLN dexmedetomidine HCl 200mcg/2mL 2mL SOLN bupivacaine PF 0.75% 10mL SOLN nalo

Meridian Divisor 1 25 25 10 10 25 25 10 100 24 1 25 12 25 1 25 30 10 25 10 10 80

QTY 2.00 2.00 7.00 3.00 1.00 4.00 10.00 2.00 24.00 7.00 1.00 5.00 1.00 2.00 6.00 2.00 4.00 2.00 3.00 1.00 2.00 3.00

61570013155 00009004726 55150016830 76329339001 00781341195 63323001002 00409116202 00409163110 12870000101 00338050941 61314039601 00641605325 00338104902 00517040125 67618015004 16729023993 76282064138 67457029202 70069002125 00409490234 67457034910 00338055311

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