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5.18 4.55 4.29 4.02 3.82 3.58 3.51 2.54 2.07 2.07 2.07 2.07 2.07 2.07 2.07 2.07 2.07 2.07 2.07 2.07
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 5.18 $ 0.76 $ 2.14 $ 4.02 $ 0.42 $ 1.79 $ 3.51 $ 2.54 $ 2.07 $ 2.07 $ 2.07 $ 2.07 $ 2.07 $ 2.07 $ 2.07 $ 2.07 $ 2.07 $ 2.07 $ 2.07 $ 2.07 $

Package Cost 103.51 $ 18.95 $ 53.61 $ 40.16 $ 10.62 $ 44.79 $ 35.12 $ 25.43 $ 20.70 $ 20.70 $ 20.70 $ 20.70 $ 20.70 $ 20.70 $ 20.70 $ 20.70 $ 20.70 $ 20.70 $ 20.70 $ 20.70 $

C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP 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 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 Catalog SMITH NO

SOURCE

28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28080492-OTHER NONSTEROIDAL ANTI- INFLAM. AGENTS 24082000-DIRECT BETA-ADRENERGIC AGONISTS 56222000-5-HT3 RECEPTOR AGENTS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28920000-CENTRAL NERVOUS SYSTEM AGENTS, MISC. 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 28049200-GENERAL ANESTHETICS, MISCELLANEOUS 2
AHFS VASODILATORS Purchase History 387496 12121200-ALPHA- AND ANTAGONISTS 56320000-PROKINETIC

DEA CLASS

Inventory Date 9/16/20 MANUFACTURER Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC Mylan Institutional LLC Hospira, Inc. Athenex Pharmaceutical Division, LLC. Teva Parenteral Medicines, Inc. AuroMedics Pharma LLC West-Ward Pharmaceuticals Corp 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 Fresenius Kabi USA, LLC

STRENGTH 10mg/mL 30mg/mL 20mg/mL 0.1mg/mL 2mg/mL 5mg/mL 40mg/20mL 0.1mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL

SGMC Smith Northview Med Desc propofol 10mg/1mL 50mL SOLN ketorolac 30mg/1mL 1mL SOLN hydrALAZINE 20mg/1mL 1mL SOLN EPINEPHrine 1mg/10mL 10mL SYRG ondansetron 4mg/2mL 2mL SOLN metoclopramide 5mg/1mL 2mL SOLN etomidate 2mg/1mL 10mL SOLN flumazenil 0.5mg/5mL 5mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOLN propofol 200mg/20mL 20mL SOL

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

QTY 1.00 6.00 2.00 1.00 9.00 2.00 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

63323026950 63323016201 67457029101 00409492134 70860077602 00703450204 55150022220 00143968410 63323026929 63323026929 63323026929 63323026929 63323026929 63323026929 63323026929 63323026929 63323026929 63323026929 63323026929 63323026929

NDC

LOC

0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1 0112 - SNOR1