Greenwich Hospital Price Master - CT.gov

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250000043074 FERROUS SULFATE 325 MG (65 MG IRON) TABLET 3.00 4/1/2013 250000043232 FOLIC ACID 5 MG/ML INJECTION 107.89 4/1/2013 250000043233 FOLIC ACID 1 MG TABLET 3.00 4/1/2013 250000043294 FUROSEMIDE 20 MG TABLET 3.00 4/1/2013 250000043295 FUROSEMIDE 40 MG TABLET 1.50 4/1/2013 250000043489 GLYBURIDE 5 MG TABLET 3.00 4/1/2013 250000043497 GLYCOPYRROLATE 0.2 MG/ML INJECTION 8.49 4/1/2013 250000043583 HALOPERIDOL 5 MG TABLET 3.00 4/1/2013 250000043700 HYDRALAZINE 25 MG TABLET 3.00 4/1/2013 250000043720 HYDROCHLOROTHIAZIDE 25 MG TABLET 3.00 4/1/2013 250000043725 HYDROCORTISONE 0.5 % TOPICAL CREAM 9.32 4/1/2013 250000043774 HYDROXYZINE 25 MG TABLET 3.00 4/1/2013 250000043841 IBUPROFEN 200 MG TABLET 3.00 4/1/2013 250000043843 IBUPROFEN 400 MG TABLET 3.00 4/1/2013 250000043844 IBUPROFEN 600 MG TABLET 3.00 4/1/2013 250000044065 ISOSORBIDE DINITRATE 20 MG TABLET 3.00 4/1/2013 250000044236 KETAMINE 10 MG/ML INJECTION 43.86 4/1/2013 250000044238 KETAMINE 50 MG/ML INJECTION 17.53 4/1/2013 250000044294 CYSTEINE (L-CYSTEINE) 50 MG/ML IV 43.12 4/1/2013 250000044420 LEVOTHYROXINE 25 MCG TABLET 3.00 4/1/2013 250000044423 LEVOTHYROXINE 100 MCG TABLET 3.00 4/1/2013 250000044448 LIDOCAINE 2 % MUCOSAL GEL 35.63 4/1/2013 250000044450 LIDOCAINE 4 % MUCOSAL SOLN 16.51 4/1/2013 250000044572 LORAZEPAM 0.5 MG TABLET 3.00 4/1/2013 250000044573 LORAZEPAM 1 MG TABLET 3.00 4/1/2013 250000044749 MANNITOL 20 % IV 57.15 4/1/2013 250000044953 METHADONE 10 MG TABLET 3.00 4/1/2013 250000044954 METHADONE 5 MG TABLET 3.00 4/1/2013 250000044985 METHYLENE BLUE (ANTIDOTE) 1 % INJECTION 42.49 4/1/2013 250000045007 METOPROLOL 5 MG/5 ML IV 4.32 4/1/2013 250000045009 METOPROLOL TARTRATE 50 MG TABLET 3.64 4/1/2013 250000045330 NADOLOL 20 MG TABLET 3.56 4/1/2013 250000045558 NIFEDIPINE 10 MG CAPSULE 3.00 4/1/2013 250000045593 NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE 4.63 4/1/2013 250000045599 NITROGLYCERIN 50 MG/10 ML (5 MG/ML) IV 21.85 4/1/2013 250000045604 NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET 29.42 4/1/2013 250000045606 NITROGLYCERIN 2 % TRANSDERMAL OINTMENT 7.80 4/1/2013 250000045940 OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET 3.00 4/1/2013 250000046087 PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION 234.23 4/1/2013 250000046246 PHENYLEPHRINE 2.5 % EYE DROPS 14.35 4/1/2013 250000046257 PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE 3.00 4/1/2013 250000046432 POTASSIUM CHLORIDE 10 % ORAL LIQUID 3.00 4/1/2013 250000046436 POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE 2.32 4/1/2013 250000046451 POTASSIUM PHOSPHATE DIBASIC 3 MILLIMOLE/ML IV 13.97 4/1/2013 250000046487 PREDNISOLONE ACETATE 1 % EYE DROPS, SUSP 24.45 4/1/2013 250000047108 SCOPOLAMINE 0.4 MG/ML INJECTION 29.15 4/1/2013 250000047224 SILVER SULFADIAZINE 1 % TOPICAL CREAM 8.22 4/1/2013 250000047227 SIMETHICONE 80 MG CHEWABLE TABLET 3.00 4/1/2013 250000047301 SODIUM ACETATE 2 MEQ/ML IV 3.00 4/1/2013 250000047309 SODIUM BICARBONATE 8.4 % (1 MEQ/ML) IV SYRINGE 96.84 4/1/2013 250000047319 SODIUM CHLORIDE 0.9 % SYRINGE 40.71 4/1/2013 250000047322 SODIUM CHLORIDE 4 MEQ/ML IV 13.34 4/1/2013 250000047351 SODIUM PHOSPHATE 3 MILLIMOLE/ML IV 3.81 4/1/2013 250000047437 SPIRONOLACTONE 25 MG TABLET 3.00 4/1/2013 250000047485 WATER FOR IRRIGATION, STERILE SOLUTION 6.35 4/1/2013 250000047795 TETRACAINE 0.5 % EYE DROPS 40.68 4/1/2013 250000047857 THERAPEUTIC MULTIVITAMIN TABLET 3.00 4/1/2013 250000047877 THIAMINE 100 MG TABLET 3.00 4/1/2013 250000048085 TRAZODONE 50 MG TABLET 3.00 4/1/2013 250000048250 TROPICAMIDE 1 % EYE DROPS 136.68 4/1/2013 250000048259 TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL 7.84 4/1/2013 250000048478 VASOPRESSIN 20 UNIT/ML INJECTION 6.38 4/1/2013 250000048527 VERAPAMIL 2.5 MG/ML IV 6.25 4/1/2013 250000048748 WARFARIN 10 MG TABLET 3.00 4/1/2013 250000048751 WARFARIN 5 MG TABLET 3.00 4/1/2013 250000049066 AMIODARONE 200 MG TABLET 1.50 4/1/2013 250000049071 AMLODIPINE 5 MG TABLET 3.00 4/1/2013 250000049185 AZTREONAM 1 GRAM SOLUTION FOR INJECTION 176.05 4/1/2013 250000049324 BUSPIRONE 5 MG TABLET 3.00 4/1/2013 250000049385 CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEWABLE TABLET 3.00 4/1/2013 250000049413 CARBOPROST TROMETHAMINE 250 MCG/ML IM 589.35 4/1/2013 250000049458 CEFOTETAN 1 GRAM SOLUTION FOR INJECTION 52.93 4/1/2013 250000049500 CEPHALEXIN 500 MG CAPSULE 3.00 4/1/2013 250000049626 CLINDAMYCIN 600 MG/50 ML IN DEXTROSE 5% IV PIGGY BACK 45.84 4/1/2013 250000049627 CLINDAMYCIN 900 MG/50 ML IN DEXTROSE 5% IV PIGGY BACK 15.66 4/1/2013 250000049637 CLONAZEPAM 0.5 MG TABLET 3.00 4/1/2013 250000049638 CLONAZEPAM 1 MG TABLET 5.75 4/1/2013 250000049701 CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS 94.53 4/1/2013 250000049774 DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML SYRUP 3.00 4/1/2013 250000049799 POTASSIUM CHLORIDE 10 MEQ/L IN D5-0.45 % SODIUM CHLORIDE IV 12.70 4/1/2013 250000049801 POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.45 % SODIUM CHLORIDE IV 12.70 4/1/2013 250000049807 POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.45 % SODIUM CHLORIDE IV 12.70 4/1/2013 250000049929 ENALAPRILAT 1.25 MG/ML IV 21.47 4/1/2013 250000049957 ESMOLOL 100 MG/10 ML (10 MG/ML) IV 64.39 4/1/2013 250000051223 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION 4.47 4/1/2013 250000051224 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION 8.49 4/1/2013 250000051312 CALCIUM GLUCONATE 100 MG/ML (10 %) IV 12.32 4/1/2013 250000051445 CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION 1.99 4/1/2013 250000051448 CEFAZOLIN 500 MG SOLUTION FOR INJECTION 5.19 4/1/2013 250000051463 CEFUROXIME SODIUM 1.5 GRAM SOLUTION FOR INJECTION 42.68 4/1/2013
250000051465 CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION 29.11 4/1/2013 250000051649 CHLORPROMAZINE 25 MG/ML INJECTION 39.86 4/1/2013 250000051653 CHLORPROMAZINE 10 MG TABLET 3.03 4/1/2013 250000051656 CHLORPROMAZINE 25 MG TABLET 4.33 4/1/2013 250000052007 CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG/ML INJECTION 3.22 4/1/2013 250000052327 DEXAMETHASONE 4 MG TABLET 0.04 4/1/2013 250000052331 DEXAMETHASONE 10 MG/ML INJECTION 0.33 4/1/2013 250000052332 DEXAMETHASONE 4 MG/ML INJECTION 1.66 4/1/2013 250000052357 DEXTROSE 10 % IN WATER (D10W) IV SOLN 12.70 4/1/2013 250000052361 DEXTROSE 25 % IN WATER (D25W) IV SYRINGE 55.25 4/1/2013 250000052365 DEXTROSE 50 % IN WATER (D50W) IV 15.24 4/1/2013 250000052367 DEXTROSE 70 % IN WATER (D70W) IV 28.58 4/1/2013 250000052508 DIPHENHYDRAMINE 50 MG/ML INJECTION 21.83 4/1/2013 250000052509 DIPHENHYDRAMINE 25 MG CAPSULE 3.00 4/1/2013 250000052510 DIPHENHYDRAMINE 50 MG CAPSULE 3.00 4/1/2013 250000052511 DIPHENHYDRAMINE 12.5 MG/5 ML ELIXIR 3.00 4/1/2013 250000052616 DOXORUBICIN 2 MG/ML IV 20.09 4/1/2013 250000052654 DROPERIDOL 2.5 MG/ML INJECTION 19.44 4/1/2013 250000052848 EPINEPHRINE 0.1 MG/ML (1:10,000) SYRINGE 7.92 4/1/2013 250000052850 EPINEPHRINE 1 MG/ML (1:1,000) INJECTION 3.00 4/1/2013 250000052903 ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLUTION 74.73 4/1/2013 250000053037 FENTANYL (PF) 50 MCG/ML INJECTION 5.40 4/1/2013 250000053211 FLUOROURACIL 50 MG/ML IV 10.66 4/1/2013 250000053215 FLUPHENAZINE DECANOATE 25 MG/ML INJECTION 104.71 4/1/2013 250000053291 FUROSEMIDE 10 MG/ML INJECTION 1.50 4/1/2013 250000053426 GENTAMICIN 40 MG/ML INJECTION 11.54 4/1/2013 250000053584 HALOPERIDOL 5 MG/ML INJECTION 7.67 4/1/2013 250000053697 HYDRALAZINE 20 MG/ML INJECTION 26.34 4/1/2013 250000053743 HYDROCORTISONE 100 MG/2 ML SOLUTION FOR INJECTION 105.20 4/1/2013 250000053757 HYDROMORPHONE (PF) 1 MG/ML SYRINGE 15.18 4/1/2013 250000053769 HYDROXYZINE 25 MG/ML IM 15.18 4/1/2013 250000053770 HYDROXYZINE 50 MG/ML IM 8.35 4/1/2013 250000053865 IMMUNE GLOBULIN (HUMAN) (IGG) 3 GRAM IV SOLUTION 201.88 4/1/2013 250000053990 IRON DEXTRAN 50 MG/ML INJECTION 64.35 4/1/2013 250000054318 LACTATED RINGERS IV 3.82 4/1/2013 250000054454 LIDOCAINE 20 MG/ML (2 %) INJECTION 0.24 4/1/2013 250000054719 MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IV PIGGY BACK 1.83 4/1/2013 250000054720 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION 1.68 4/1/2013 250000054750 MANNITOL 25 % IV 6.67 4/1/2013 250000054904 MEPERIDINE (PF) 50 MG/ML INJECTION 4.91 4/1/2013 250000054974 METHOTREXATE SODIUM 25 MG/ML INJECTION 1.39 4/1/2013 250000054995 METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP FOR INJECTION 17.21 4/1/2013 250000055002 METOCLOPRAMIDE 5 MG/ML INJECTION 3.00 4/1/2013 250000055018 METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGY BACK 0.18 4/1/2013 250000055168 MORPHINE 10 MG/ML INJECTION 4.42 4/1/2013 250000055170 MORPHINE 2 MG/ML SYRINGE 28.91 4/1/2013 250000055172 MORPHINE 4 MG/ML SYRINGE 13.86 4/1/2013 250000055339 NALBUPHINE 10 MG/ML INJECTION 3.70 4/1/2013 250000055373 NALOXONE 0.4 MG/ML INJECTION 97.59 4/1/2013 250000055374 NALOXONE 1 MG/ML SYRINGE 36.43 4/1/2013 250000055490 NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTION 3.00 4/1/2013 250000055926 OXACILLIN 2 GRAM SOLUTION FOR INJECTION 14.46 4/1/2013 250000055944 OXYTOCIN 10 UNIT/ML INJECTION 6.44 4/1/2013 250000056030 PAPAVERINE 30 MG/ML INJECTION 15.18 4/1/2013 250000056086 PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION 3.43 4/1/2013 250000056242 PHENYLEPHRINE 10 MG/ML INJECTION 3.66 4/1/2013 250000056271 PHYTONADIONE 1 MG/0.5 ML SYRINGE 22.76 4/1/2013 250000056420 POTASSIUM ACETATE 2 MEQ/ML IV 0.15 4/1/2013 250000056427 POTASSIUM CHLORIDE 10 MEQ/100 ML IV PIGGY BACK 2.79 4/1/2013 250000056429 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN 3.00 4/1/2013 250000056493 PREDNISONE 1 MG TABLET 3.00 4/1/2013 250000056494 PREDNISONE 10 MG TABLET 1.50 4/1/2013 250000056496 PREDNISONE 20 MG TABLET 0.75 4/1/2013 250000056497 PREDNISONE 5 MG TABLET 3.00 4/1/2013 250000057319 SODIUM CHLORIDE 0.9 % SYRINGE 40.71 4/1/2013 250000057536 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION 0.99 4/1/2013 250000057876 THIAMINE HCL 100 MG/ML INJECTION 20.79 4/1/2013 250000058442 VANCOMYCIN 1,000 MG IV SOLUTION 13.36 4/1/2013 250000058443 VANCOMYCIN 500 MG IV SOLUTION 13.66 4/1/2013 250000058595 VINBLASTINE 10 MG IV POWDER FOR SOLUTION 6.59 4/1/2013 250000058597 VINCRISTINE 1 MG/ML IV 24.77 4/1/2013 250000058975 ADENOSINE 3 MG/ML IV 27.93 4/1/2013 250000058981 ALBUMIN, HUMAN 25 % IV 277.50 4/1/2013 250000058982 ALBUMIN, HUMAN 5 % IV 55.56 4/1/2013 250000059002 ALTEPLASE 100 MG IV SOLUTION 296.63 4/1/2013 250000059065 AMIODARONE 50 MG/ML IV 0.96 4/1/2013 250000059266 BETAMETHASONE ACET & SOD PHOS 6 MG/ML SUSP FOR INJECTION 20.36 4/1/2013 250000059412 CARBOPLATIN 50 MG IV POWDER FOR SOLUTION 254.48 4/1/2013 250000059461 CEFOXITIN 1 GRAM IV SOLUTION 22.30 4/1/2013 250000059463 CEFOXITIN 2 GRAM IV SOLUTION 20.85 4/1/2013 250000059474 CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION 9.57 4/1/2013 250000059476 CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION 12.98 4/1/2013 250000059487 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 1.92 4/1/2013 250000059488 CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION 2.30 4/1/2013 250000059489 CEFTRIAXONE 250 MG SOLUTION FOR INJECTION 6.09 4/1/2013 250000059490 CEFTRIAXONE 500 MG SOLUTION FOR INJECTION 3.08 4/1/2013 250000059603 IMIPENEM-CILASTATIN 500 MG IV SOLUTION 40.05 4/1/2013 250000059611 CIPROFLOXACIN 400 MG/200 ML IN DEXTROSE 5 % IV PIGGY BACK 6.35 4/1/2013 250000059612 CISPLATIN 1 MG/ML IV 15.22 4/1/2013 250000059686 COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION 486.66 4/1/2013
Page 1 and 2: Greenwich Hospital Price Master as
Page 3 and 4: 27200017 HC ELECTRODE TRANSVENOUS P
Page 5 and 6: 27800067 HC STAPLER SKIN ROYAL 35 2
Page 7 and 8: 30000464 HC ACTIVATED PROTEIN C RES
Page 9 and 10: 30001771 HC CYSTIC FIBROSIS NEWBORN
Page 11 and 12: 30100318 HC MOL DIA;SEP BY GEL E4,E
Page 13 and 14: 30600038 HC PAPILLOMAVIRUS, HUMAN:A
Page 15 and 16: 32000101 HC XR ANKLE 2 VIEWS 406.00
Page 17 and 18: 36000178 HC BX BREAST NDL PERC W/GU
Page 19 and 20: 40000043 HC US GUIDANCE INTRAOPERAT
Page 21 and 22: 61000039 HC MRI UPR EXTREM JT W/O C
Page 23 and 24: 98100016 HCPR REPAIR LAC SIMPLE SCA
Page 25: 27250001628 SUTURE SILK 6-0 S1769K
Page 29 and 30: 270500013282 INDERMIL TISSUE ADHESI
Page 31 and 32: 272500012059 BLANKET WARMER BAIR HU
Page 33 and 34: 272500015138 BLADE DIEGO SERRATED 4
Page 35 and 36: 276500023575 LENSE SN60WF18.5 569.1
Page 37 and 38: 278500015237 CUP BIPOLAR 5001-53-28
Page 39 and 40: 278500232831 POLARIS STENT KIT 7FR
Page 41 and 42: 637000017753 TEMAZEPAM 15 MG CAPSUL
Page 43 and 44: 2500000433512 ESCITALOPRAM 10 MG TA
Page 45 and 46: 2705000126822 TUBE VACUUM AQUILEX H
Page 47 and 48: 6370000111218 PSYLLIUM ORAL PACKET
Page 49 and 50: 6370000129858 METOPROLOL SUCCINATE
Page 51 and 52: 25000005113667 SODIUM CHLORIDE 0.9

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