Page 93 - SGMC Inventory 22

Extended 333.90 $ 300.29 $ 233.73 $ 172.44 $ 159.16 $ 156.94 $ 90.47 $ 60.10 $ 47.65 $ 27.75 $ 19.87 $ 14.23 $ 10.80 $ 7.77 $ 5.84 $ 5.76 $ 4.76 $ 3.18 $ 2.54 $ 2.24 $ 1.54 $ 1.35 $

Unit Cost 7.42 $ 60.06 $ 38.96 $ 7.84 $ 159.16 $ 22.42 $ 11.31 $ 20.03 $ 4.33 $ 13.88 $ 0.32 $ 7.11 $ 10.80 $ 7.77 $ 1.46 $ 1.44 $ 2.38 $ 1.06 $ 2.54 $ 1.12 $ 0.77 $ 0.67 $

Package Cost 74.20 $ 600.58 $ 779.10 $ 78.38 $ 159.16 $ 538.08 $ 113.09 $ 240.41 $ 43.32 $ 346.89 $ 18.92 $ 177.85 $ 108.04 $ 77.73 $ 36.51 $ 14.39 $ 2.38 $ 1.06 $ 25.43 $ 40.26 $ 19.26 $ 16.87 $

B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH B: SMITH NORTHVIEW HOSP C: McKesson Catalog SMITH B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP B: SMITH NORTHVIEW HOSP Purchase History 387496 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 Purchase History 387496 B: SMITH NORTHVIEW HOSP Purchase History 3

SOURCE

AHFS ROENTGENOGRAPHY Purchase History 387496 ROENTGENOGRAPHY NORTHVIEW HOSP 387496 ROENTGENOGRAPHY Purchase History 387496 ROENTGENOGRAPHY NORTHVIEW HOSP 387496 GLYCOGENOLYTIC AGENTS ROENTGENOGRAPHY Purchase History 387496 ROENTGENOGRAPHY Purchase History 387496 ROENTGENOGRAPHY Purchase History 387496 ROENTGENOGRAPHY Purchase History 387496 12121200-ALPHA- AND BETA-ADRENERGIC 401200 - REPLACEMENT PREPARATIONS Purchase History 387496 68040000-ADRENALS Purchase History 387496 40080000-ALKALINIZING AGENTS

36680000- 36680000- 36680000- 36680000- 68221200- 36680000- 36680000- 36680000- 36680000- AGONISTS 20120416- HEPARINS ANESTHETICS INFECTIVES, INFECTIVES, 40120000- REPLACEMENT 96000000- 40120000- REPLACEMENT

DEA CLASS

Inventory Date 9/16/20 MANUFACTURER GE Healthcare Inc. GE Healthcare Inc. Bayer HealthCare 604.72mg/mLPharmaceuticals Inc. GE Healthcare Inc. Boehringer Ingelheim Pharmaceuticals, Inc. Bracco Diagnostics Inc GE Healthcare Inc. Liebel-Flarsheim Company LLC GE Healthcare Inc. Par Pharmaceutical, Inc. MEDEFIL INCORP. Pharmacia and Upjohn Company LLC International Medication Systems, Limited Hospira, Inc. Fresenius Kabi USA, AuroMedics Pharma LLC 213g/1000mLMolnlycke Health Care Avrio Health L.P. West-Ward Pharmaceuticals Corp Baxter Healthcare Corporation Hospira, In

STRENGTH 9mg/mL 320mg/mL 300mg/mL 1MG 660; 100mg/m 300mg/mL 172mg/mL 300mg/mL 1mg/mL 0.9% 125mg/2mL 84mg/mL 25g/50mL 1000[USP'U]/LLC 10mg/mL 10mg/mL 0.1mg/mL 9g/1000mL 1mL/mL 9mg/mL

SGMC Smith Northview Med Desc iohexol 9mg/1mL 500mL SOLN iodixanol 320mg/1mL 100mL SOLN gadobutrol 1mmol/1mL 10mL SOLN iohexol 300mg/1mL 100mL SOLN glucagon (human recombinant) 1mg SOLN diatrizoate meglumine-sodium 66-10% 30mL iohexol 300mg/1mL 150mL SOLN iothalamate 17.2% 250mL SOLN iohexol 300mg/1mL 50mL SOLN EPINEPHrine 1mg/1mL 1mL SOLN sodium chloride 0.9% 10mL FLUSH methylPREDNISolone sodium succinate 125mg SOLN sodium bicarbonate 8.4% 50mEq 50mL abbj dextrose 50% 50mL abbj heparin 1000Units/1mL 1mL SOLN lidocaine PF 1% 5mL SOLN chlorhexidine 4% 118ml liquid povidone-iodine 10% 15mL

Meridian Divisor 10 10 20 10 1 SOLN 24 10 12 10 25 60 25 10 10 25 10 1 1 10 36 25 25

QTY 45.00 5.00 6.00 22.00 1.00 7.00 8.00 3.00 11.00 2.00 63.00 2.00 1.00 1.00 4.00 4.00 2.00 3.00 1.00 2.00 2.00 2.00

00407141509 00407222364 50419032512 00407141363 00597026010 00270044535 00407141388 00019086250 00407141386 42023015925 64253011130 00009004726 76329335201 00409490234 63323054001 55150016205 00234057504 67618015005 00143968410 00338004902 00409488710 63323018610

NDC

LOC

0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO 0114 - SN6XRAYO