Page 96 - SGMC Inventory 22

Extended 23.10 $ 22.93 $ 21.63 $ 21.34 $ 21.05 $ 20.50 $ 18.99 $ 18.97 $ 18.44 $ 16.45 $ 15.87 $ 15.70 $ 15.16 $ 14.88 $ 14.29 $ 13.87 $ 13.85 $ 13.31 $ 13.09 $ 12.94 $

Unit Cost 2.31 $ 1.76 $ 2.40 $ 0.19 $ 3.51 $ 1.21 $ 1.05 $ 1.90 $ 1.08 $ 2.06 $ 0.55 $ 1.74 $ 0.76 $ 1.06 $ 0.62 $ 2.77 $ 1.15 $ 0.55 $ 0.41 $ 0.43 $

Package Cost 57.76 $ 24.69 $ 57.67 $ 9.36 $ 84.19 $ 36.18 $ 105.48 $ 45.52 $ 32.54 $ 28.79 $ 13.68 $ 43.62 $ 18.95 $ 7.44 $ 62.14 $ 27.73 $ 115.39 $ 55.45 $ 40.91 $ 12.94 $

C: McKesson Catalog SMITH NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH PREPARATIONS NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH 08121800-QUINOLONES NORTHVIEW HOSP 387496 C: McKesson Catalog SMITH MISCELLANEOUS 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 PREPARATIONS NORTHVIEW HOSP 387496 B: SMITH NORTHVIEW HOSP Purchase History 387496 C: McKesson Catalog SMITH PREPARATIONS

SOURCE

AHFS CEPHALOSPORINS, THIRD GENERATION 569200 - GI DRUGS, ANTIBACTERIALS, ANTIDEPRESSANTS, MISCELLANEOUS CYCLOOXYGENASE-2 (COX-2) INHIBITORS 12120812-ALPHA- & BETA-ADRENERGIC AGONISTS DERIVATIVES 28080800-OPIATE AGONISTS 28080492-OTHER NONSTEROIDAL ANTI- INFLAM. AGENTS 12920000-AUTONOMIC MISCELLANEOUS ANTINEOPLASTIC AGENTS 08121292-OTHER ANTIDEPRESSANTS, MISCELLANEOUS 56320000-PROKINETIC AGENTS ANTIDEPRESSANTS SELECTIVE SEROTONIN- REUPTAKE INHIBITORS

08120612- 40120000- REPLACEMENT 08122820- LINCOMYCINS 28160492- 28080408- 40120000- REPLACEMENT 40120000- REPLACEMENT 04040400- ETHANOLAMINE DRUGS, 10000000- 28160492- 28160420- 40120000- REPLACEMENT

DEA CLASS

II

Inventory Date 9/16/20 MANUFACTURER West-Ward Pharmaceuticals Corp Baxter Healthcare Hospira, Inc. BROOKFIELD PHAR Sandoz Inc Actavis Pharma, Inc. Major Pharmaceuticals Baxter Healthcare Corporation Ritedose Pharmaceuticals, LLC Baxter Healthcare West-Ward Pharmaceuticals Corp. West-Ward Pharmaceuticals Corp. Fresenius Kabi USA, LLC Dr. Reddy's Laboratories Inc. American Health Packaging Fresenius Kabi USA, LLC Major Pharmaceuticals American Health Packaging American Health Packaging Nomax Inc.

STRENGTH 1g/1 150; 5; 450mg Corporation 5mg/mL 6mg/mL 150mg/1 200mg/1 29.8g/1000m 1.25mg/3mL 450; 150mg/1Corporation 50mg/mL 4mg/mL 30mg/mL 14mg/24h 500mg/1 500mg/5mL 100mg/1 10mg/1 100mg/1 782mg/1

SGMC Smith Northview Med Desc cefTRIAXone 1g vial KCL 20meq in D5W/ 0.45% NS 1000mL SOLN levofloxacin 750mg/150mL 150mL IVPB lactobacillus acidophilus tablet clindamycin 300mg/50mL 50mL IVPB buPROPion XL 150mg tablet celecoxib 200mg capsule potassium chloride 20mEq/50mL 50mL IVPB levalbuterol 1.25mg/3mL 3mL nebuliz KCl 20 mEq + 0.45% SODIUM CHLORIDE 1000mL SOLN diphenhydrAMINE 50mg/1mL 1mL SOLN morphine 4mg/1mL 1mL INJ ketorolac 30mg/1mL 1mL SOLN nicotine 14mg patch hydroxyurea 500mg capsule azithromycin 500mg vial buPROPion 100mg tablet metoclopramide 10mg tablet sertraline 100mg tablet

Meridian Divisor 25 14 24 50 24 30 100 24 30 14 25 25 25 7 100 10 100 100 100 30

QTY 10.00 13.00 9.00 114.00 6.00 17.00 18.00 10.00 17.00 8.00 29.00 9.00 20.00 14.00 23.00 5.00 12.00 24.00 32.00 30.00

00143985725 00338067104 00409052835 71351001250 00781328809 00591333130 00904650361 00338070341 76204090001 00338070434 00641037625 00641612525 63323016201 43598044770 68084028401 63323039812 00904663661 68084067601 60687025301 51801001230

NDC

LOC

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 0138 - SNSNHMS 0138 - SNSNHMS 0138 - SNSNHMS