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1.21 1.09 1.09 1.07 1.07 1.07 1.07 1.07 1.07 1.07 1.06 1.03 0.71 0.69 0.67 0.67 0.67 0.67 0.63 0.62
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 1.21 $ 0.55 $ 1.09 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.07 $ 1.06 $ 0.51 $ 0.71 $ 0.69 $ 0.67 $ 0.67 $ 0.67 $ 0.67 $ 0.63 $ 0.62 $

Package Cost 115.75 $ 13.68 $ 104.49 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 10.67 $ 1.06 $ 12.85 $ 0.71 $ 17.21 $ 16.64 $ 16.64 $ 16.64 $ 16.64 $ 15.71 $ 15.48 $

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

SOURCE

AHFS PREPARATIONS Purchase History 387496 DERIVATIVES PREPARATIONS NORTHVIEW HOSP 387496 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 28049200-GENERAL MISCELLANEOUS 84049200-LOCAL ANTI- MISCELLANEOUS BUTYROPHENONES ANTIPSYCHOTIC AGENTS VASOCONSTRICTORS Purchase History 387496 ANTICOAGULANTS, 28080800-OPIATE AGON

40120000- REPLACEMENT 04040400- ETHANOLAMINE 40120000- REPLACEMENT ANESTHETICS, ANESTHETICS, ANESTHETICS, ANESTHETICS, ANESTHETICS, ANESTHETICS, ANESTHETICS, INFECTIVES, 28160808- 52320000- 20120416- HEPARINS 40280800-LOOP

DEA CLASS

II II II II II

Inventory Date 9/16/20 MANUFACTURER Baxter Healthcare Corporation West-Ward Pharmaceuticals Corp. Baxter Healthcare Corporation 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 Major Pharmaceuticals 5000[USP'U]/Mylan Institutional LLC West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. Hospira, Inc. Hospira, Inc.

STRENGTH 9g/1000mL 50mg/mL 9g/1000mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 10mg/mL 5mg/mL 5g/100mL 2mg/mL 2mg/mL 2mg/mL 2mg/mL 10mg/mL 50ug/mL

SGMC Smith Northview Med Desc sodium chloride 0.9% 100mL ivpb diphenhydrAMINE 50mg/1mL 1mL SOLN sodium chloride 0.9% 50mL IVPB 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 oxymetazoline 0.05% 15mL SOLN heparin 5000Units/1mL 1mL SOLN HYDROmorphone 2mg/1mL 1mL INJ HYDROmorphone 2mg/1mL 1mL INJ HYDROmorphone 2mg/1mL 1mL INJ HYDROmorphone 2mg/1mL 1mL INJ furosemide 40mg/4mL 4mL

Meridian Divisor 96 25 96 10 10 10 10 10 10 10 1 25 1 25 25 25 25 25 25 25

QTY 1.00 2.00 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

00338004948 00641037625 00338004931 63323026910 63323026910 63323026910 63323026910 63323026910 63323026910 63323026910 67618015005 67457042612 00904571135 67457037499 00641615125 00641615125 00641615125 00641615125 00409610202 00409909422

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