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1.07 1.07 1.07 1.07 1.07 1.07 1.07 1.07 1.07 1.07 1.07 1.06 1.03 0.74 0.71 0.69 0.63 0.62 0.62 0.62 0.62
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.06 $ 0.51 $ 0.74 $ 0.71 $ 0.69 $ 0.63 $ 0.62 $ 0.62 $ 0.62 $ 0.62 $

Package Cost 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 1.06 $ 12.85 $ 7.39 $ 0.71 $ 17.21 $ 15.71 $ 15.48 $ 15.48 $ 15.48 $ 15.48 $

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 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:

SOURCE

28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS
AHFS 84049200-LOCAL ANTI- BLOCKING AGENTS VASOCONSTRICTORS Purchase History 387496 DIURETICS NORTHVIEW HOSP 387496 AGONISTS AGONISTS AGONISTS AGONISTS

DEA CLASS

II II II II

Inventory Date 9/16/20 MANUFACTURER Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC 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 Baxter Healthcare Corporation Major Pharmaceuticals 5000[USP'U]/Mylan Institutional LLC Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc.

STRENGTH 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 5mg/mL 5mg/5mL 5g/100mL 10mg/mL 50ug/mL 50ug/mL 50ug/mL 50ug/mL

SGMC Smith Northview Med Desc 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 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 propofol 10mg/1mL 10mL SOLN povidone-iodine 10% 15mL SOLN haloperidol lactate 5mg/1mL 1mL vial Metoprolol Tartrate 5mg/5mL 5mL SOLN oxymetazoline 0.05% 15mL SOLN heparin 5000Units/1mL 1mL SOLN furosemide 40mg/4mL 4mL SOLN fentaNYL 100mcg/2mL 2mL INJ fentaNYL 100mcg/2mL 2mL INJ fenta

Meridian Divisor 10 10 10 10 10 10 10 10 10 10 10 1 25 10 1 25 25 25 25 25 25

QTY 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 2.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00

63323026910 63323026910 63323026910 63323026910 63323026910 63323026910 63323026910 63323026910 63323026910 63323026910 63323026910 67618015005 67457042612 36000003310 00904571135 67457037499 00409610202 00409909422 00409909422 00409909422 00409909422

NDC

LOC

0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1 0112 - SNENDO1