Page 115 - meridian high res

Inventory Date
SGMC Smith Northview 9/16/20

Meridian
LOC NDC QTY Divisor Med Desc STRENGTH MANUFACTURER DEA CLASS AHFS SOURCE Package Cost Unit Cost Extended
12120812-ALPHA- &
Ritedose BETA-ADRENERGIC B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 76204090001 4.00 30 levalbuterol 1.25mg/3mL 3mL nebuliz 1.25mg/3mL Pharmaceuticals, LLC AGONISTS Purchase History 387496 $ 32.54 $ 1.08 $ 4.34
West-Ward 04041200-
Pharmaceuticals PHENOTHIAZINE B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 00641092825 6.00 25 promethazine 25mg/1mL 1mL inj 25mg/mL Corp. DERIVATIVES Purchase History 387496 $ 17.85 $ 0.71 $ 4.28
28049200-GENERAL
Fresenius Kabi USA, ANESTHETICS, C: McKesson Catalog SMITH
0113 - SN6SPACUO 63323026929 2.00 10 propofol 200mg/20mL 20mL SOLN 10mg/mL LLC MISCELLANEOUS NORTHVIEW HOSP 387496 $ 20.70 $ 2.07 $ 4.14
Amneal 84080000-
Pharmaceuticals of ANTIPRURITICS AND B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 00115146860 1.00 5 lidocaine-prilocaine 2.5%/2.5% 5g cream 25; 25mg/g; m New York LLC LOCAL ANESTHETICS Purchase History 387496 $ 19.08 $ 3.82 $ 3.82

401200 - REPLACEMENT B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 64253011130 9.00 60 sodium chloride 0.9% 10mL FLUSH 0.9% MEDEFIL INCORP. PREPARATIONS Purchase History 387496 $ 18.92 $ 0.32 $ 2.84
28920000-CENTRAL
West-Ward NERVOUS SYSTEM B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 00143968410 1.00 10 flumazenil 0.5mg/5mL 5mL SOLN 0.1mg/mL Pharmaceuticals Corp AGENTS, MISC. Purchase History 387496 $ 25.43 $ 2.54 $ 2.54
28080800-OPIATE B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 00409909422 4.00 25 fentaNYL 100mcg/2mL 2mL INJ 50ug/mL Hospira, Inc. II AGONISTS Purchase History 387496 $ 15.48 $ 0.62 $ 2.48
40120000-
Baxter Healthcare REPLACEMENT B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 00338004948 2.00 96 sodium chloride 0.9% 100mL ivpb 9g/1000mL Corporation PREPARATIONS Purchase History 387496 $ 115.75 $ 1.21 $ 2.41
12080800-
Ritedose ANTIMUSCARINICS/ANTI C: McKesson Catalog SMITH
0113 - SN6SPACUO 76204060001 10.00 30 ipratropium-albuterol 3mL INH 0.5mg/3ml; 3m Pharmaceuticals, LLC SPASMODICS NORTHVIEW HOSP 387496 $ 6.97 $ 0.23 $ 2.32
28160808-
BUTYROPHENONES
ANTIPSYCHOTIC B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 67457042612 3.00 25 haloperidol lactate 5mg/1mL 1mL vial 5mg/mL Mylan Institutional LLC AGENTS Purchase History 387496 $ 12.85 $ 0.51 $ 1.54
24240000-BETA-
Baxter Healthcare ADRENERGIC C: McKesson Catalog SMITH
0113 - SN6SPACUO 36000003310 2.00 10 Metoprolol Tartrate 5mg/5mL 5mL SOLN 5mg/5mL Corporation BLOCKING AGENTS NORTHVIEW HOSP 387496 $ 7.39 $ 0.74 $ 1.48
28240800-
BENZODIAZEPINES
(ANXIOLYTIC,SEDATIV/H C: McKesson Catalog SMITH
0113 - SN6SPACUO 00409230517 2.00 25 midazolam 2mg/2mL 2mL INJ 1mg/mL Hospira, Inc. IV YP) NORTHVIEW HOSP 387496 $ 14.79 $ 0.59 $ 1.18
West-Ward 04040400-
Pharmaceuticals ETHANOLAMINE B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 00641037625 2.00 25 diphenhydrAMINE 50mg/1mL 1mL SOLN 50mg/mL Corp. DERIVATIVES Purchase History 387496 $ 13.68 $ 0.55 $ 1.09
12120812-ALPHA- &
BETA-ADRENERGIC B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 00487950101 6.00 30 albuterol 0.083% 2.5mg/3mL NEBUL 2.5mg/3mL Nephron SC Inc. AGONISTS Purchase History 387496 $ 4.53 $ 0.15 $ 0.91

401200 - REPLACEMENT B: SMITH NORTHVIEW HOSP
0113 - SN6SPACUO 00487930133 5.00 30 sodium chloride 0.9% 3mL nebuliz 0.9% NEPHRON CORP PREPARATIONS Purchase History 387496 $ 3.38 $ 0.11 $ 0.56