Page 139 - AdventHealth Inventory
P. 139

Y   Extended  509.51  $            339.68  $            339.68  $            275.47  $            257.89  $            169.84  $            101.90  $            76.55  $              76.27  $              73.28  $              60.68  $              45.86  $              36.19  $              35.94  $              33.75  $              31.78  $              28.26  $              27.51  $              25.07  $              24.98  $              22.97  $              21.56  $




            Unit Cost   169.84  169.84  169.84  275.47  128.95  169.84  33.97  19.14  15.25  1.47  60.68  9.17  3.62  7.19  5.62  15.89  2.57  9.17  6.27  1.00  7.66  4.31  3.89  4.81  4.77  3.18  8.91  8.20  8.09  1.68  4.07  3.89  5.73  1.49  0.70  1.82  1.24  1.57  1.25  0.90  6.81  1.60  1.01

       X      $      $      $      $      $      $      $        $        $        $          $        $          $          $          $          $        $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $          $


          Package   Cost   169.84  169.84  169.84  3,305.66  1,289.46  169.84  33.97  19.14  76.27  146.57  60.68  229.28  90.48  179.68  56.24  158.92  64.22  229.28  156.69  9.99  76.58  43.11  97.30  120.25  47.74  31.82  89.12  81.98  97.14  16.79  40.67  97.30  137.63  14.86  17.55  87.59  1.24  15.69  12.50  22.60  6.81  16.00  25.27

       W      $      $      $      $  $  $      $        $        $        $      $        $      $        $      $        $      $        $      $      $          $        $        $        $      $        $        $        $        $        $        $        $        $      $        $        $        $          $        $        $        $          $        $





           SOURCE  7300011101  7300011101  7300011101  7300001576  7300005805  7300011101  7300005381  7300008867  7300006115  7300010110  7300001575  7300005234  7300008768  7300005137  7300005650  7300002578  7300005818  7300005234  7300005235  7300005298  7300005250  7300005552  7300008694  7300005141  7300011133  7300007885  7300011079  7300006052  6770009770  7300010869  7300006236  7300008694  6770006375  7300005794  7300008748  7300007515  7300001124  7300000683  7300005290  7
       V















              36180000-CARDIAC FUNCTION 36180000-CARDIAC FUNCTION 36180000-CARDIAC FUNCTION  36180000-CARDIAC FUNCTION 16000000-BLOOD DERIVATIVES  24120800-NITRATES AND NITRITES  24082000-DIRECT VASODILATORS  28100000-OPIATE ANTAGONISTS  28080800-OPIATE AGONISTS 40200000-CALORIC AGENTS 24040800-CARDIOTONIC AGENTS  68040000-ADRENALS 20280800-ANTIHEPARIN AGENTS  24120800-NITRATES AND NITRITES 28080800-OPIATE AGONISTS  68040000-ADRENALS  28080800-OPIATE AGONISTS 24120800-NITRATES AND NI

           AHFS      20121800-PLATELET-AGGREGATION INHIBITOR 20120412-ANTICOAGULANTS, DIRECT THROMB  24289200-CALCIUM-CHANNEL BLOCKING AGEN 20121800-PLATELET-AGGREGATION INHIBITOR 86160000-RESPIRATORY SMOOTH MUSCLE RE 12080800-ANTIMUSCARINICS/ANTISPASMODICS 28049200-GENERAL ANESTHETICS, MISCELLAN 86160000-RESPIRATORY SMOOTH MUSCLE RE 86160000-RESPIRATORY SMOOTH MUSCLE RE  24240000-BETA-ADRENERGIC BLOCKING AGEN 28920000-CENTRAL NERVOUS SYSTEM AGENT 12121200-ALPHA- AND BETA-ADRENERGIC
       U                       12120400-ALPHA-ADRENERGIC AGONISTS  20120416-ANTICOAGULANTS, HEPARINS  20120416-ANTICOAGULANTS, HEPARINS 04040400-ETHANOLAMINE DERIVATIVES  04041200-PHENOTHIAZINE DERIVATIVES














         DEA
       T   CLASS                                             II                       II        II           II

         GENERIC   99755  99755  99755  46043  39735  99755  25060  20310  2331  1772  49152  460  1225  18678  45132  14021  46952  460  461  32806  6771  101  28143  25860  45117  28021  97790  18661  15509  33308  12831  28143  26597  45122  46013  1720  47580  34855  14970  2641  35239
       S   CODE





           MANUFACTURER  Baxter Healthcare Corporatio  Avadel Legacy Pharmaceutic  Glenmark Pharmaceutials In  West-Ward Pharmaceuticals  Baxter Healthcare Company  Athenex Pharmaceutical Div  Savage Laboratories a divisi


       R      Astellas Pharma US, Inc. Astellas Pharma US, Inc. Astellas Pharma US, Inc.  Astellas Pharma US, Inc.  GRIFOLS USA, LLC  Hospira, Inc.  AuroMedics Pharma LLC  American Regent, Inc.  Hospira, Inc. Sagent Pharmaceuticals  Hospira, Inc.  Fresenius Kabi USA, LLC  Hospira, Inc.  Hospira, Inc.  Fresenius Kabi USA, LLC  Hospira, Inc.  Hospira, Inc.  Hospira, Inc.  Hospira, Inc.


















                     INTRAVENOUS INJECTION  INTRAVENOUS SOLUTION INTRAVENOUS INJECTION  SUBLINGUAL TABLET INTRAVENOUS INJECTION  INTRAVENOUS INJECTION  TOPICAL OINTMENT

       Q   DOSE FORM INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, POWDER, LYOPHospira, Inc. INTRAVENOUS INJECTION, SOLUTION  INTRAVENOUS INJECTION, SOLUTION INTRAVENOUS INJECTION, SOLUTION, VIALHospira, Inc. INTRAMUSCULAR/INTRAVENOUS INJECTIO Mylan Institutional Inc. INTRAMUSCULAR/INTRAVENOUS; SUBCUTA INTRAMUSCULAR/INTRAVENOUS; SUBCUTA INTRAVENOUS INJECTION, EMULSION INTRAVENOUS; SUBCUTANEOUS INJECTIO Pfizer La














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