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0.62 0.62 0.62 0.62 0.62 0.62 0.62 0.62 0.59 0.59 0.59 0.59 0.59 0.59 0.59 0.59 0.59 0.59
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.62 $ 0.62 $ 0.62 $ 0.62 $ 0.62 $ 0.62 $ 0.62 $ 0.62 $ 0.59 $ 0.59 $ 0.59 $ 0.59 $ 0.59 $ 0.59 $ 0.59 $ 0.59 $ 0.59 $ 0.59 $

Package Cost 15.48 $ 15.48 $ 15.48 $ 15.48 $ 15.48 $ 15.48 $ 15.48 $ 15.48 $ 14.79 $ 14.79 $ 14.79 $ 14.79 $ 14.79 $ 14.79 $ 14.79 $ 14.79 $ 14.79 $ 14.79 $

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 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson

SOURCE

28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28080800-OPIATE 28240800- BENZODIAZEPINES YP) 28240800- BENZODIAZEPINES YP) 28240800- BENZODIAZEPINES YP) 28240800- BENZODIAZEPINES YP) 28240800- BENZODIAZEPINES YP) 28240800- BENZODIAZEPINES YP) 28240800- BENZODIAZEPINES YP) 28240800- BENZODIAZEPINES YP) 28240800- BENZODIAZEPINES YP) 28240800- BENZODIAZEPINES YP)
AHFS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS AGONISTS (ANXIOLYTIC,SEDATIV/H (ANXIOLYTIC,SEDATIV/H (ANXIOLYTIC,SEDATIV/H (ANXIOLYTIC,SEDATIV/H (ANXIOLYTIC,SEDATIV/H (ANXIOLYTIC,SEDATIV/H (ANXIOLYTIC,SEDATIV/H (ANXIOLYTIC,SEDATIV/H (ANXIOLYTIC,SEDATIV/H (ANXIOLYTIC,SEDATIV/H

DEA CLASS

II II II II II II II II IV IV IV IV IV IV IV IV IV IV

Inventory Date 9/16/20 MANUFACTURER Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc. Hospira, Inc.

STRENGTH 50ug/mL 50ug/mL 50ug/mL 50ug/mL 50ug/mL 50ug/mL 50ug/mL 50ug/mL 1mg/mL 1mg/mL 1mg/mL 1mg/mL 1mg/mL 1mg/mL 1mg/mL 1mg/mL 1mg/mL 1mg/mL

SGMC Smith Northview Med Desc fentaNYL 100mcg/2mL 2mL INJ fentaNYL 100mcg/2mL 2mL INJ fentaNYL 100mcg/2mL 2mL INJ fentaNYL 100mcg/2mL 2mL INJ fentaNYL 100mcg/2mL 2mL INJ fentaNYL 100mcg/2mL 2mL INJ fentaNYL 100mcg/2mL 2mL INJ fentaNYL 100mcg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ midazolam 2mg/2mL 2mL INJ

Meridian Divisor 25 25 25 25 25 25 25 25 25 25 25 25 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 1.00 1.00 1.00 1.00 1.00 1.00

00409909422 00409909422 00409909422 00409909422 00409909422 00409909422 00409909422 00409909422 00409230517 00409230517 00409230517 00409230517 00409230517 00409230517 00409230517 00409230517 00409230517 00409230517

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