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6.82 6.71 6.29 5.84 5.73 5.66 5.55 5.23 5.05 4.62 4.50 4.38 4.29 4.14 4.02 3.88 3.82 3.59 3.57 3.51
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.76 $ 6.71 $ 6.29 $ 2.92 $ 5.73 $ 1.13 $ 1.85 $ 1.74 $ 0.32 $ 2.31 $ 4.50 $ 1.46 $ 2.14 $ 2.07 $ 4.02 $ 0.65 $ 1.91 $ 3.59 $ 0.71 $ 3.51 $

Package Cost 18.95 $ 6.71 $ 6.29 $ 73.04 $ 57.27 $ 28.31 $ 44.36 $ 43.62 $ 18.92 $ 57.76 $ 4.50 $ 36.51 $ 53.61 $ 20.70 $ 40.16 $ 3.88 $ 47.77 $ 3.59 $ 17.85 $ 35.12 $

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

SOURCE

28080492-OTHER INFLAM. AGENTS 52160000-LOCAL 52082000-EENT INFLAM. AGENTS 12120400-ALPHA- ADRENERGIC AGONISTS 24240000-BETA- ADRENERGIC 72000000-LOCAL ANESTHETICS (PARENTERAL) 08120200- 28080800-OPIATE 08120612- CEPHALOSPORINS, THIRD GENERATION 52400800-BETA- ADRENERGIC BLOCKING AGENTS (EENT) 20120416- ANTICOAGULANTS, HEPARINS 24082000-DIRECT 28049200-GENERAL ANESTHETICS, BETA-ADRENERGIC AGONISTS MISC. 28080800-OPIATE 52040400- ANTIBACTERIALS (EENT) 04041200- PHENOTHIAZINE 28049200-
AHFS NONSTEROIDAL ANTI- ANESTHETICS (EENT) Purchase History 387496 NONSTEROIDAL ANTI- BLOCKING AGENTS AGONISTS 401200 - REPLACEMENT PREPARATIONS Purchase History 387496 VASODILATORS Purchase History 387496 MISCELLANEOUS 12121200-ALPHA- AND 28089200-ANALGESICS AND ANTIPYRETICS, AGONISTS DERIVATIVES MISCELLANEOUS

DEA CLASS

II II

Inventory Date 9/16/20 MANUFACTURER Fresenius Kabi USA, LLC Beutlich Pharmaceuticals, LLC Sandoz Inc Avadel Legacy Pharmaceuticals, LLC Mylan Institutional LLC Baxter Healthcare Corporation West-Ward Pharmaceuticals Corp. MEDEFIL INCORP. West-Ward Pharmaceuticals Corp Sandoz Inc Fresenius Kabi USA, Mylan Institutional LLC Fresenius Kabi USA, LLC Hospira, Inc. Taro Pharmaceuticals U.S.A. Inc. West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. AuroMedics Pharma LLC

STRENGTH 30mg/mL 200mg/g 5mg/mL 10mg/mL 10mg/mL 10; 10mg/mL;Hospira, Inc. 100mg/50mL 4mg/mL 0.9% 1g/1 5mg/mL 1000[USP'U]/LLC 20mg/mL 10mg/mL 0.1mg/mL 325mg/1 25mg/mL 10000; 1[USPSandoz Inc 25mg/mL 40mg/20mL

SGMC Smith Northview Med Desc ketorolac 30mg/1mL 1mL SOLN benzocaine 20% 30g gel ketorolac 0.5%/1DROP OP SOLN phenylephrine 10mg/1mL 1mL SOLN esmolol 100mg/10mL 10mL SOLN lidocaine-EPINEPHrine 1% 20mL SOLN gentamicin 100mg/50mL 50mL IVPB morphine 4mg/1mL 1mL INJ sodium chloride 0.9% 10mL FLUSH cefTRIAXone 1g vial timolol 0.5% 0.05mL OP SOLN heparin 1000Units/1mL 1mL SOLN hydrALAZINE 20mg/1mL 1mL SOLN propofol 200mg/20mL 20mL SOLN EPINEPHrine 1mg/10mL 10mL SYRG acetaminophen 325mg SUPP meperidine 25mg/1mL 1mL SOLN Polymyxin B/TMP 10MU-0.1% 1Drop OPTH promethazine 25mg/1mL 1mL inj etomida

Meridian Divisor 25 1 1 25 10 25 24 25 60 25 1 25 25 10 10 6 25 1 25 10

QTY 9.00 1.00 1.00 2.00 1.00 5.00 3.00 3.00 16.00 2.00 1.00 3.00 2.00 2.00 1.00 6.00 2.00 1.00 5.00 1.00

63323016201 00283087131 61314012605 76014000425 67457018210 00409317801 00338051141 00641612525 64253011130 00143985725 61314022705 63323054001 67457029101 63323026929 00409492134 51672211602 00641605225 61314062810 00641092825 55150022220

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