Greenwich Hospital Price Master - CT.gov
Greenwich Hospital Price Master - CT.gov Greenwich Hospital Price Master - CT.gov
6370000181454 BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER 617.91 4/1/2013 6370000182505 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERM 24 HR PATCH 51.97 4/1/2013 6370000182639 CHOLECALCIFEROL (VITAMIN D3) 1,000 UNIT TABLET 3.00 4/1/2013 6370000189201 SEVELAMER CARBONATE 800 MG TABLET 15.00 4/1/2013 6370000189346 CLOPIDOGREL 300 MG TABLET 133.53 4/1/2013 6370000192844 PEDIATRIC MULTIVITAMIN ORAL DROPS 14.93 4/1/2013 6370000195693 FERROUS SULFATE 15 MG/ML IRON (75 MG/ML) ORAL DROPS 17.15 4/1/2013 6370000196976 BUDESONIDE 90 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER 659.96 4/1/2013 6370000197803 FUROSEMIDE 40 MG/4 ML ORAL SOLN 9.58 4/1/2013 6370000198035 LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL 10.50 4/1/2013 6370000198329 DRONEDARONE 400 MG TABLET 25.96 4/1/2013 6370000198373 PRASUGREL 10 MG TABLET 35.83 4/1/2013 6370000199786 LIPASE-PROTEASE-AMYLASE 10,000-34,000-55,000 UNIT CAPSULE,DELAYED REL 10.12 4/1/2013 25000004103889 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION 7.89 4/1/2013 25000004105340 BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION 22.61 4/1/2013 25000004105463 AMINO ACID INFUSION 10 % IV 79.38 4/1/2013 25000004105553 BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION 10.46 4/1/2013 25000004105659 BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION 8.89 4/1/2013 25000004106016 INDIGOTINDISULFONATE SODIUM 8 MG/ML INJECTION 53.94 4/1/2013 25000004106132 SODIUM BICARBONATE 8.4 % IV 4.77 4/1/2013 25000004106776 LIDOCAINE 2 % MUCOSAL SOLN 2.86 4/1/2013 25000004109636 FAT EMULSION 20 % IV SYRINGE 24.77 4/1/2013 25000004110415 BISMUTH TRIBROM-PETROLATUM,WH 1" X 8" BANDAGE 4.10 4/1/2013 25000004110547 BACITRACIN ZINC 500 UNIT/G TOPICAL PACKET 3.00 4/1/2013 25000004110564 BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/G TOPICAL PACKET 3.00 4/1/2013 25000004111003 WHITE PETROLATUM 41 % TOPICAL OINTMENT 16.24 4/1/2013 25000004113658 CALCIUM CARBONATE-VITAMIN D3 250 MG-125 UNIT TABLET 1.50 4/1/2013 25000004113728 PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSP 3,866.83 4/1/2013 25000004115313 THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION 348.56 4/1/2013 25000004115377 FAMOTIDINE (PF) 20 MG/2 ML IV 4.92 4/1/2013 25000004115590 PARENTERAL AMINO ACID 10 % COMBINATION NO.6 IV 63.50 4/1/2013 25000004116305 CALCIUM GLUCONATE 1 GRAM/100 ML IN DEXTROSE 5 % IV 17.78 4/1/2013 25000004116692 CALCIUM GLUBIONATE 115 MG/5 ML (1.8 GRAM/5 ML) SYRUP 3.00 4/1/2013 25000004116967 ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLN 1.50 4/1/2013 25000004116968 ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLN 1.59 4/1/2013 25000004116969 ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLN 3.00 4/1/2013 25000004150019 CADD SET WITH SPIKE 48.58 4/1/2013 25000004150419 BSS 500ML + EPINEPHRINE 1:1000 0.5ML 39.21 4/1/2013 25000004150422 LIDO 2% W/EPI 4.5ML+MARCAINE 0.75% 4.5ML+VITRASE 200 212.22 4/1/2013 25000004150549 PROPOFOL 1,000 MG/100 ML IV INFUSION 43.18 4/1/2013 25000004150580 SURGIFLO HEMOSTATIC MATRIX 8 ML 1,104.90 4/1/2013 25000004152778 LIDO 1% 19.95ML, MARCAINE 0.5% 19.95ML, EPI 1:1000 0.1ML 63.25 4/1/2013 25000004153581 MORPHINE 50 MG/50 ML PCA IV SOLN 51.76 4/1/2013 25000004154868 THEOPHYLLINE 50 MG IVPB 3.18 4/1/2013 25000004160574 PHENOL-EUCALYPTUS OIL-MENTHOL 29 MG LOZENGES 3.00 4/1/2013 25000004160693 PRENATAL VITAMIN WITH CALCIUM NO.72-IRON-FA 27 MG-1 MG TABLET 3.00 4/1/2013 25000004161470 DABIGATRAN ETEXILATE 150 MG CAPSULE 11.98 4/1/2013 25000004161595 FOSAPREPITANT 150 MG IV SOLUTION 1,513.08 4/1/2013 25000004163015 RIVAROXABAN 10 MG TABLET 23.70 4/1/2013 25000004165725 OSELTAMIVIR 6 MG/ML ORAL SUSP 42.52 4/1/2013 25000004166511 COLLODION (BULK) LIQUID 11.93 4/1/2013 25000004167688 LEVOTHYROXINE 100 MCG IV SOLUTION 324.81 4/1/2013 25000004167731 CLOBAZAM 10 MG TABLET 40.96 4/1/2013 25000004168198 LACTULOSE 20 GRAM/30 ML ORAL SOLN 3.00 4/1/2013 25000004168211 POVIDONE-IODINE 10 % TOPICAL LIQUID PACKET 3.00 4/1/2013 25000004169038 CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) IV PIGGY BACK 25.39 4/1/2013 25000004169473 LIDOCAINE 5 % TOPICAL OINTMENT 346.12 4/1/2013 25000004400654 DEXAMETHASONE 12MG IN NS 50ML IVPB PMX 11.75 4/1/2013 25000004401047 SODIUM CHLORIDE 0.9% CADD PUMP CASSETTE 100 ML 27.41 4/1/2013 25000004401735 METOPROLOL TARTRATE 12.5 MG TAB 3.00 4/1/2013 25000004401913 EPINEPHRINE 1:1000 PF, 1ML + NACL, 9ML 17.78 4/1/2013 25000004401938 LIDOCAINE 1%, 9ML + EPINEPHRINE 1:1000, 1ML 3.00 4/1/2013 25000004401943 LIDOCAINE 2% 4.5ML + MARCAINE 0.75% 4.5ML + VITRASE 200 UNITS 3.89 4/1/2013 25000004401944 LIDOCAINE 2% 5ML + MARCAINE 0.75% 5ML + VITRASE 200 UNITS 17.52 4/1/2013 25000004401957 LIDOCAINE 1% + MARCAINE 0.5% (1:1) 20.01 4/1/2013 25000004401960 LIDOCAINE 1% + MARCAINE 0.5% /EPI 1:200,000 (1:1) 15.56 4/1/2013 25000004401972 THROMBIN 5,000 UNITS / GELFOAM 313.25 4/1/2013 25000004401975 NACL 1000 ML + BACITRACIN 50,000 UNITS 31.75 4/1/2013 25000004402080 LABETALOL (NORMODYNE) 50MG TABLET 3.00 4/1/2013 25000004421000 ON-Q C-BLOCK 400 ML PUMP SET 2,222.50 4/1/2013 25000004421008 CADD PUMP MEDICATION CASSETTE 50 ML 26.70 4/1/2013 25000004430008 INV CLINICAL TRIAL H8A-MC-LZAO SOLANEZUMAB IVPB 3.00 4/1/2013 25000004451212 INSULIN, REGULAR HUMAN 1 UNITS/1 ML NS (PYXIS) 38.10 4/1/2013 25000005100581 BENDAMUSTINE 25 MG IV SOLUTION 128.70 4/1/2013 25000005103888 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION 1.56 4/1/2013 25000005105907 IMMUNE GLOBULIN (HUMAN) (IGG) 10 % IV 220.60 4/1/2013 25000005106033 DIGOXIN 250 MCG/ML INJECTION 8.35 4/1/2013 25000005106085 HYDROMORPHONE (PF) 1 MG/ML INJECTION 6.23 4/1/2013 25000005106156 RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML IM 1,088.17 4/1/2013 25000005106284 HYDROCORTISONE 100 MG SOLUTION FOR INJECTION 13.34 4/1/2013 25000005108303 ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE 10.43 4/1/2013 25000005108304 ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE 10.45 4/1/2013 25000005109375 DEXTROSE 50 % IN WATER (D50W) IV SYRINGE 74.93 4/1/2013 25000005109453 DIAZEPAM 5 MG/ML SYRINGE 7.75 4/1/2013 25000005109538 MORPHINE 10 MG/ML SYRINGE 6.88 4/1/2013 25000005109565 PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML IM SYRINGE 25.21 4/1/2013 25000005110126 FILGRASTIM 480 MCG/1.6 ML INJECTION 2,455.87 4/1/2013 25000005110310 HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML IV 0.55 4/1/2013 25000005113005 MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML IV 37.53 4/1/2013 25000005113134 CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE IV 5.73 4/1/2013
25000005113667 SODIUM CHLORIDE 0.9 % IV PIGGY BACK 5.73 4/1/2013 25000005113773 OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML IV 19.05 4/1/2013 25000005113826 HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRINGE 0.10 4/1/2013 25000005113831 HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION 36.17 4/1/2013 25000005113952 LIDOCAINE (PF) 20 MG/ML (2 %) IV 0.75 4/1/2013 25000005114142 DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE SYRINGE 20.57 4/1/2013 25000005114168 DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION 20.01 4/1/2013 25000005114169 DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION 19.80 4/1/2013 25000005114299 EPINEPHRINE (PF) 1 MG/ML (1:1,000) (1 ML) INJECTION 0.74 4/1/2013 25000005114879 HYDROMORPHONE (PF) 4 MG/ML SYRINGE 7.67 4/1/2013 25000005114880 HYDROMORPHONE (PF) 2 MG/ML SYRINGE 13.66 4/1/2013 25000005115226 GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION 10.14 4/1/2013 25000005115452 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IV PIGGY BACK 9.21 4/1/2013 25000005115549 MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IV 0.56 4/1/2013 25000005115808 TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYRINGE 1,563.69 4/1/2013 25000005115864 MORPHINE (PF) 30 MG/30 ML PCA IV SOLN 12.83 4/1/2013 25000005115966 HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV 12.70 4/1/2013 25000005116107 DOXORUBICIN 50 MG/25 ML IV 43.49 4/1/2013 25000005116108 DOXORUBICIN 10 MG/5 ML IV 52.81 4/1/2013 25000005116349 FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) IV SYRINGE 7.05 4/1/2013 25000005117121 METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION 17.00 4/1/2013 25000005117370 HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION 41.60 4/1/2013 25000005117423 SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV 194,588.88 4/1/2013 25000005150236 MITOMYCIN 0.4 MG/1ML EYE PREPARATION 11.72 4/1/2013 25000005151236 ACETYLCYSTEINE 200 MG/ML (20 %) NEB SOLN 3.72 4/1/2013 25000005151237 IMMUNE GLOBULIN (HUMAN) (IGG) 10 % IV 294.04 4/1/2013 25000005151694 CARFILZOMIB 60 MG IV SOLUTION 6,825.43 4/1/2013 25000005153251 MORPHINE (PF) 2 MG/ML IV CARTRIDGE 13.61 4/1/2013 25000005153252 MORPHINE (PF) 4 MG/ML IV CARTRIDGE 9.41 4/1/2013 25000005160796 CABAZITAXEL 10 MG/ML (FINAL CONC.) IV 870.43 4/1/2013 25000005161410 DOCETAXEL 20 MG/ML (1 ML) IV 99.51 4/1/2013 25000005161523 CEFTAROLINE FOSAMIL 600 MG IV SOLUTION 4.59 4/1/2013 25000005161599 ERIBULIN 1 MG/2 ML (0.5 MG/ML) IV 569.40 4/1/2013 25000005161640 DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUB-Q 83.47 4/1/2013 25000005161730 IMMUNE GLOBULIN(HUM),CAPR(IGG) 5 GRAM/50 ML (10 %) INJECTION 229.97 4/1/2013 25000005161732 IMMUNE GLOBULIN(HUM),CAPR(IGG) 20 GRAM/200 ML (10 %) INJECTION 229.97 4/1/2013 25000005161735 ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV 0.65 4/1/2013 25000005162408 IPILIMUMAB 50 MG/10 ML (5 MG/ML) IV 780.00 4/1/2013 25000005165932 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION 0.45 4/1/2013 25000005165974 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION 18.22 4/1/2013 25000005169038 CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) IV PIGGY BACK 25.39 4/1/2013 25000005400215 FLUCONAZOLE IN SODIUM CHLORIDE (ISO-OSM) 100MG/50ML IVPB 15.24 4/1/2013 25000005400613 CALCIUM GLUCONATE 1GM IN NS 50ML IVPB PMX 6.35 4/1/2013 25000005400614 CALCIUM GLUCONATE 1GM IN D5W 100ML IVPB PMX 13.97 4/1/2013 25000005400617 MAGNESIUM SULFATE 1GM IN D5W 50ML IVPB PMX 10.32 4/1/2013 25000005400724 PHENYLEPHRINE 0.5MG IN NS 10ML (0.05MG/ML) SYRINGE PMX 2.06 4/1/2013 25000005401047 SODIUM CHLORIDE 0.9% CADD PUMP CASSETTE 100 ML 45.57 4/1/2013 25000005401294 INSULIN REGULAR HUMAN (NOT SLIDING SCALE) 3.00 4/1/2013 25000005401332 INSULIN LISPRO 100 UNIT/ML (SLIDING SCALE) 3.00 4/1/2013 25000005401500 MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) BOLUS DOSING ONLY 0.56 4/1/2013 25000005411023 PHYTONADIONE 10 MG/ML INJECTION (PO) 4.61 4/1/2013 25000005411180 ALTEPLASE INFUSION (ACUTE ISCHEMIC STROKE) 292.60 4/1/2013 25000005420320 PERTUZUMAB (PERJETA) 420 MG / 14 ML VIAL 662.29 4/1/2013 25000005425017 ACETAMINOPHEN 10 MG/ML UNDILUTED IV SYRINGE DOSES 600MG (PEDIATRIC) 0.65 4/1/2013 25000005425361 AMPICILLIN IV DOSES > 250MG - 500MG (NEWBORN/PEDIATRIC) 7.45 4/1/2013 25000005425382 AMPICILLIN IV DOSES
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- 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 and 26: 27250001628 SUTURE SILK 6-0 S1769K
- Page 27 and 28: 250000051465 CEFUROXIME SODIUM 750
- 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: 6370000129858 METOPROLOL SUCCINATE
25000005113667 SODIUM CHLORIDE 0.9 % IV PIGGY BACK 5.73 4/1/2013<br />
25000005113773 OXYTOCIN IN LA<strong>CT</strong>ATED RINGERS 30 UNIT/500 ML IV 19.05 4/1/2013<br />
25000005113826 HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRINGE 0.10 4/1/2013<br />
25000005113831 HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJE<strong>CT</strong>ION 36.17 4/1/2013<br />
25000005113952 LIDOCAINE (PF) 20 MG/ML (2 %) IV 0.75 4/1/2013<br />
25000005114142 DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE SYRINGE 20.57 4/1/2013<br />
25000005114168 DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJE<strong>CT</strong>ION 20.01 4/1/2013<br />
25000005114169 DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJE<strong>CT</strong>ION 19.80 4/1/2013<br />
25000005114299 EPINEPHRINE (PF) 1 MG/ML (1:1,000) (1 ML) INJE<strong>CT</strong>ION 0.74 4/1/2013<br />
25000005114879 HYDROMORPHONE (PF) 4 MG/ML SYRINGE 7.67 4/1/2013<br />
25000005114880 HYDROMORPHONE (PF) 2 MG/ML SYRINGE 13.66 4/1/2013<br />
25000005115226 GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJE<strong>CT</strong>ION 10.14 4/1/2013<br />
25000005115452 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IV PIGGY BACK 9.21 4/1/2013<br />
25000005115549 MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IV 0.56 4/1/2013<br />
25000005115808 TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYRINGE 1,563.69 4/1/2013<br />
25000005115864 MORPHINE (PF) 30 MG/30 ML PCA IV SOLN 12.83 4/1/2013<br />
25000005115966 HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV 12.70 4/1/2013<br />
25000005116107 DOXORUBICIN 50 MG/25 ML IV 43.49 4/1/2013<br />
25000005116108 DOXORUBICIN 10 MG/5 ML IV 52.81 4/1/2013<br />
25000005116349 FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) IV SYRINGE 7.05 4/1/2013<br />
25000005117121 METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJE<strong>CT</strong>ION 17.00 4/1/2013<br />
25000005117370 HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJE<strong>CT</strong>ION 41.60 4/1/2013<br />
25000005117423 SIPULEUCEL-T IN LA<strong>CT</strong>ATED RINGERS 50 MILLION CELL/250 ML IV 194,588.88 4/1/2013<br />
25000005150236 MITOMYCIN 0.4 MG/1ML EYE PREPARATION 11.72 4/1/2013<br />
25000005151236 ACETYLCYSTEINE 200 MG/ML (20 %) NEB SOLN 3.72 4/1/2013<br />
25000005151237 IMMUNE GLOBULIN (HUMAN) (IGG) 10 % IV 294.04 4/1/2013<br />
25000005151694 CARFILZOMIB 60 MG IV SOLUTION 6,825.43 4/1/2013<br />
25000005153251 MORPHINE (PF) 2 MG/ML IV CARTRIDGE 13.61 4/1/2013<br />
25000005153252 MORPHINE (PF) 4 MG/ML IV CARTRIDGE 9.41 4/1/2013<br />
25000005160796 CABAZITAXEL 10 MG/ML (FINAL CONC.) IV 870.43 4/1/2013<br />
25000005161410 DOCETAXEL 20 MG/ML (1 ML) IV 99.51 4/1/2013<br />
25000005161523 CEFTAROLINE FOSAMIL 600 MG IV SOLUTION 4.59 4/1/2013<br />
25000005161599 ERIBULIN 1 MG/2 ML (0.5 MG/ML) IV 569.40 4/1/2013<br />
25000005161640 DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUB-Q 83.47 4/1/2013<br />
25000005161730 IMMUNE GLOBULIN(HUM),CAPR(IGG) 5 GRAM/50 ML (10 %) INJE<strong>CT</strong>ION 229.97 4/1/2013<br />
25000005161732 IMMUNE GLOBULIN(HUM),CAPR(IGG) 20 GRAM/200 ML (10 %) INJE<strong>CT</strong>ION 229.97 4/1/2013<br />
25000005161735 ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV 0.65 4/1/2013<br />
25000005162408 IPILIMUMAB 50 MG/10 ML (5 MG/ML) IV 780.00 4/1/2013<br />
25000005165932 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJE<strong>CT</strong>ION 0.45 4/1/2013<br />
25000005165974 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJE<strong>CT</strong>ION 18.22 4/1/2013<br />
25000005169038 CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) IV PIGGY BACK 25.39 4/1/2013<br />
25000005400215 FLUCONAZOLE IN SODIUM CHLORIDE (ISO-OSM) 100MG/50ML IVPB 15.24 4/1/2013<br />
25000005400613 CALCIUM GLUCONATE 1GM IN NS 50ML IVPB PMX 6.35 4/1/2013<br />
25000005400614 CALCIUM GLUCONATE 1GM IN D5W 100ML IVPB PMX 13.97 4/1/2013<br />
25000005400617 MAGNESIUM SULFATE 1GM IN D5W 50ML IVPB PMX 10.32 4/1/2013<br />
25000005400724 PHENYLEPHRINE 0.5MG IN NS 10ML (0.05MG/ML) SYRINGE PMX 2.06 4/1/2013<br />
25000005401047 SODIUM CHLORIDE 0.9% CADD PUMP CASSETTE 100 ML 45.57 4/1/2013<br />
25000005401294 INSULIN REGULAR HUMAN (NOT SLIDING SCALE) 3.00 4/1/2013<br />
25000005401332 INSULIN LISPRO 100 UNIT/ML (SLIDING SCALE) 3.00 4/1/2013<br />
25000005401500 MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) BOLUS DOSING ONLY 0.56 4/1/2013<br />
25000005411023 PHYTONADIONE 10 MG/ML INJE<strong>CT</strong>ION (PO) 4.61 4/1/2013<br />
25000005411180 ALTEPLASE INFUSION (ACUTE ISCHEMIC STROKE) 292.60 4/1/2013<br />
25000005420320 PERTUZUMAB (PERJETA) 420 MG / 14 ML VIAL 662.29 4/1/2013<br />
25000005425017 ACETAMINOPHEN 10 MG/ML UNDILUTED IV SYRINGE DOSES 600MG (PEDIATRIC) 0.65 4/1/2013<br />
25000005425361 AMPICILLIN IV DOSES > 250MG - 500MG (NEWBORN/PEDIATRIC) 7.45 4/1/2013<br />
25000005425382 AMPICILLIN IV DOSES
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