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1.09 0.08 551.10 477.48 376.77 345.16 222.89 207.83 184.59 181.14 137.40 130.55 130.02 116.42 103.73 97.72 80.60 74.63 69.32
Extended $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Unit Cost 0.55 $ 0.01 $ 39.36 $ 159.16 $ 12.99 $ 38.35 $ 22.29 $ 20.78 $ 10.86 $ 9.06 $ 8.59 $ 5.44 $ 18.57 $ 1.85 $ 4.32 $ 10.86 $ 8.96 $ 2.99 $ 23.11 $

Package Cost 13.68 $ 11.50 $ 2,361.87 $ 159.16 $ 129.92 $ 1,150.54 $ 222.89 $ 228.61 $ 1,085.80 $ 90.57 $ 257.62 $ 543.96 $ 185.74 $ 18.48 $ 43.22 $ 1,085.80 $ 89.56 $ 74.63 $ 138.63 $

B: SMITH NORTHVIEW HOSP Purchase History 387496 B: SMITH NORTHVIEW HOSP Purchase History 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 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

SOURCE

AHFS DERIVATIVES DERIVATIVES ANTIBACTERIALS, GLYCOGENOLYTIC AGENTS ANTICOAGULANTS, 28160804-ATYPICAL ANTIPSYCHOTIC AGENTS ANTIBACTERIALS, GLYCOPEPTIDES 40181800-POTASSIUM- REMOVING AGENTS NORTHVIEW HOSP 387496 ANTICOAGULANTS, DIRECT FACTOR Xa CEPHALOSPORINS, FOURTH GENERATION 92160000-ANTIGOUT ANTICOAGULANTS, DIRECT FACTOR Xa ANTIBACTERIALS, GLYCOPEPTIDES 28080800-OPIATE AGONISTS 08121616-EXTENDED- SPECTRUM PENICILLINS Purchase History 387496 ANTICOAGULANTS, D

04040400- ETHANOLAMINE 04040400- ETHANOLAMINE 08122830- RIFAMYCINS 68221200- 20120416- HEPARINS 08122816- 20120414- INHIBITORS 08120616- AGENTS 20120414- INHIBITORS 08122816- 20120414- INHIBITORS 20120416- HEPARINS 12080800- 08122816-

DEA CLASS

II

Inventory Date 9/16/20 MANUFACTURER West-Ward Pharmaceuticals Corp. Major Pharmaceuticals Salix Pharmaceuticals, Inc. Boehringer Ingelheim Pharmaceuticals, Inc. NorthStar Rx LLC Sunovion Pharmaceuticals Inc. Mylan Institutional LLC AstraZeneca Pharmaceuticals LP Janssen Pharmaceuticals, Inc. WG Critical Care, LLC MYLAN INSTITUTIONAL INC E.R. Squibb & Sons, L.L.C. Mylan Institutional LLC Hospira, Inc. Sagent 4; .5g/20mL; g Pharmaceuticals Janssen Pharmaceuticals, Inc. NorthStar Rx LLC Fresenius Kabi USA, LLC Xellia Pharmaceuticals USA LLC

STRENGTH 50mg/mL 25mg/1 550mg/1 1MG 100mg/mL 40mg/1 1.5g/30mL 10g/10g 10mg/1 2g/1 0.6MG 5mg/1 1.25g/25mL 1mg/mL 20mg/1 100mg/mL 0.2mg/mL 2g/400mL

SGMC Smith Northview Med Desc diphenhydrAMINE 50mg/1mL 1mL SOLN diphenhydrAMINE 25mg Capsule rifaximin 550mg tablet glucagon (human recombinant) 1mg SOLN enoxaparin 40mg/0.4mL 0.4mL SOLN lurasidone 40mg tablet vancomycin 1.5g SOLR sodium zirconium cyclosilicate 10g pack rivaroxaban 10mg tablet cefepime 2g VIAL colchicine 0.6mg tab apixaban 5mg tablet vancomycin 1.25g SOLR HYDROmorphone 1mg/1mL 1mL INJ piperacillin-tazobactam 4.5g IVSOL rivaroxaban 20mg tablet enoxaparin 30mg/0.3mL 0.3mL INJ glycopyrrolate 0.2mg/1mL 1mL SOLN vancomycin 2g/400mL 400mL premix

Meridian Divisor 25 1000 60 1 10 30 10 11 100 10 30 100 10 10 10 100 10 25 6

QTY 2.00 7.00 14.00 3.00 29.00 9.00 10.00 10.00 17.00 20.00 16.00 24.00 7.00 63.00 24.00 9.00 9.00 25.00 3.00

00641037625 00904530680 65649030303 00597026010 16714001610 63402030430 67457082499 00310111039 50458058010 44567024110 42292005403 00003089431 67457082399 00409128331 25021016648 50458057910 16714000610 63323057801 70594004402

NDC

LOC

0114 - SN6XRAYO 0114 - SN6XRAYO 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS