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Extended 11.55 $ 10.80 $ 8.02 $ 7.77 $ 6.82 $ 6.47 $ 5.84 $ 5.73 $ 5.55 $ 5.18 $ 5.18 $ 5.18 $ 4.29 $ 4.25 $ 4.02 $ 3.58 $ 3.51 $ 2.86 $ 2.64 $ 2.54 $ 2.07 $

Unit Cost 3.85 $ 10.80 $ 4.01 $ 7.77 $ 0.76 $ 6.47 $ 2.92 $ 5.73 $ 5.55 $ 5.18 $ 5.18 $ 5.18 $ 2.14 $ 0.42 $ 4.02 $ 1.79 $ 3.51 $ 0.71 $ 1.32 $ 2.54 $ 2.07 $

Package Cost 115.50 $ 108.04 $ 40.11 $ 77.73 $ 18.95 $ 64.69 $ 73.04 $ 57.27 $ 55.46 $ 103.51 $ 103.51 $ 103.51 $ 53.61 $ 10.62 $ 40.16 $ 44.79 $ 35.12 $ 17.85 $ 33.02 $ 25.43 $ 20.70 $

SOURCE C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Cat

A: Direct pricing ANTAGONISTS Purchase History 387496 ANESTHETICS (EENT) NORTHVIEW HOSP 387496 Purchase History 387496 Purchase History 387496 Purchase History 387496 VASODILATORS Purchase History 387496 Purchase History 387496 Purchase History 387496 Purchase History 387496

40080000-ALKALINIZING AGENTS 28100000-OPIATE 40200000-CALORIC AGENTS 28080492-OTHER NONSTEROIDAL ANTI- INFLAM. AGENTS 52160000-LOCAL 12120400-ALPHA- ADRENERGIC AGONISTS 24240000-BETA- ADRENERGIC AGENTS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 24082000-DIRECT 56222000-5-HT3 RECEPTOR ANTAGONISTS 12121200-ALPHA- AND BETA-ADRENERGIC AGONISTS

AHFS BLOCKING AGENTS 24040800-CARDIOTONIC

DEA CLASS

Inventory Date 9/16/20 MANUFACTURER Nephron Pharmaceuticals Corporation International Medication Systems, Limited Mylan Institutional LLC Hospira, Inc. Fresenius Kabi USA, LLC Akorn, Inc. Avadel Legacy Pharmaceuticals, LLC Mylan Institutional LLC Sandoz Inc Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Mylan Institutional LLC Athenex Pharmaceutical Division, LLC. Hospira, Inc. Teva Parenteral Medicines, Inc. AuroMedics Pharma LLC West-Ward Pharmaceuticals Corp. Apotex Corp. West-Ward Pharmaceuticals Corp Fresenius Kabi USA, LLC

STRENGTH 1mg/1ml 84mg/mL 0.4mg/mL 25g/50mL 30mg/mL 20mg/mL 10mg/mL 10mg/mL 250ug/mL 10mg/mL 10mg/mL 10mg/mL 20mg/mL 2mg/mL 0.1mg/mL 5mg/mL 40mg/20mL 25mg/mL 1g/1 0.1mg/mL 10mg/mL

SGMC Smith Northview Med Desc phenylephrine 1mg 10ml Syringe sodium bicarbonate 8.4% 50mEq 50mL abbj naloxone 0.4mg/1mL 1mL SOLN dextrose 50% 50mL abbj ketorolac 30mg/1mL 1mL SOLN lidocaine 2% 5mL ex gel phenylephrine 10mg/1mL 1mL SOLN esmolol 100mg/10mL 10mL SOLN digoxin 250mcg/1mL 2mL SOLN propofol 10mg/1mL 50mL SOLN propofol 10mg/1mL 50mL SOLN propofol 10mg/1mL 50mL SOLN hydrALAZINE 20mg/1mL 1mL SOLN ondansetron 4mg/2mL 2mL SOLN EPINEPHrine 1mg/10mL 10mL SYRG metoclopramide 5mg/1mL 2mL SOLN etomidate 2mg/1mL 10mL SOLN promethazine 25mg/1mL 1mL inj ceFAZolin 1g VIAL flumazenil 0.5mg/5

Meridian Divisor 30 10 10 10 25 10 25 10 10 20 20 20 25 25 10 25 10 25 25 10 10

QTY 3.00 1.00 2.00 1.00 9.00 1.00 2.00 1.00 1.00 1.00 1.00 1.00 2.00 10.00 1.00 2.00 1.00 4.00 2.00 1.00 1.00

69374030210 76329335201 67457029202 00409490234 63323016201 17478071131 76014000425 67457018210 00781305995 63323026950 63323026950 63323026950 67457029101 70860077602 00409492134 00703450204 55150022220 00641092825 60505614205 00143968410 63323026929

NDC

LOC

0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2 0112 - SNENDO2