chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
BACITRACIN 50 MU INJ 4 VIAL 4 DRONEDARONE 400 MG 6 TAB 6 AMINOPHYLLINE 500MG/20ML 0 0 PANCRELIPASE 5,0001UNITS 1 PRASUGREL 5 MG TAB0 0 PRASUGREL 10 MG 19 TAB 19 LIDO 1% W/EPI 1:100,000 0 0 REGADENOSON INJ 100 .4 MG/5ML 100 HYDROXOCOBALAMIN 0 2.5GM/VL0 TRAVOPROST Z 0.004%6 6 HEPARIN SODIUM 120 INJ PER 10 120 VANCOMYCIN 125MG/2.5 23 ML 23 ENLON PLUS INJ 10MG/.14MG 0 0 VANCOMYCIN 250MG/5ML 49 ORAL 49 DABIGATRAN 150 MG 0 CAP 0 DABIGATRAN 75 MG 0CAP 0 NICARDIPINE 25 MG/10ML 0 VL 0 QUININE 324 MG CAP0 0 HYDROCOR SOD SUCCINATE 0 0 HYDRO SOD SUCCINATE 24 100MG24 SULFAMETHOXAZOLE 0W/TMP 200 METHYLPRED SOD SUCC 40 1000 40 FERROUS SULFATE SR 045 MG 0 QUETIAPINE XR 50 MG 0 TAB 0 QUETIAPINE XR 15025 MG TAB 25 QUETIAPINE XR 20042 MG TAB 42 FLU 2011 12 INJ MDV 010 ML 0 FLU 2011 12 INJ MDV 010 ML 0 FLU 2011 12 VAC .5 ML 0 0 FLU 2011 12 VAC .5 ML 0 0 MISOPROSTOL 200 MCG 26 TAB 26 ASENAPINE 10 MG TAB 0 0 ASENAPINE 5 MG TAB0 0 INJ, CEFEPIME HYDRO 0 500MG 0 PREVNAR 13 INJ 0 0 RECOMBIVAX HB INJ 0 0 ANATACEPT 10 MG 150 INJ 150 PANTOPRAZOLE 40 MG 5 PACKET 5 THROMBIN BOVINE/GEL 0 BOV 0 THROMBIN BOVINE/GEL 0 BOV 0 DEXMEDETOMIDINE 0200MCG/2M0 CEFEPIME 2 GM VIAL0 0 ARIPIPRAZOLE 2 MG TAB 2 2 MORPHINE 0.2 MG/0.2ML 0 INJ 0 TRANEXAMIC ACID 1000MG/10 42 42 LEVOTHYROXINE 1000MCG VL 0 MIDAZOLAM 10MG/10 0 ML VIAL 0
TET DIPTH TOX .5 ML 23INJ 23 LORAZEPAM 4 MG/ML 0 VIAL 0 LORAZEPAM 2 MG/0.5 0 ML VL 0 CEFDINIR 250/5ML U/D 0 ORAL 0 CEFDINIR 250/5ML BLT 0 60ML 0 CEFDINIR 300 MG CAP0 0 PREDNISOLONE SODIUM 28 PHOS28 AZITHROMYCIN 500 MG 0 ADD 0 BUPIVACAINE LIPOSOME 0 0 MILK OF MAG 2400MG/30ML 17 17 BESIFLOXACIN .6% OPTH 99 SOL 99 FIDAXOMICIN 200 MG 0 TAB 0 FACTOR VIII, ANTIHEMOPHIL 0 0 FACTOR IX, HUMAN RECOMBIN 0 0 ZOSYN 4.5 GM VIAL68 68 HYDROXOCOBALAMIN 0 5GM/VIAL0 INLUENZA 12 13 VACC 0 .5 ML 0 LORTAB LIQ 5 334MG/10ML 1 1 ROPIVACAINE 5MG/ML 6600 20 ML 6600 CALMOSEPTINE OINTMENT 4 4 VANCOMYCIN 125 MG 0 CAP 0 ARIPIPRAZ 9.75MG/1.3MLINJ 0 0 PALIPERIDONE 234 MG 0 VIAL 0 PALIPERIDONE 156 MG 0 VIAL 0 GLUCOSE(DEXTROSE)GEL 0 ORAL 0 FLU 2012 2013 VAC .50 ML 0 RIFAXAMIN 550 MG 12 TAB 12 MORPHINE 250 MG 15 ADDV VIAL15 MIRACLE MOUTHWASH 0 DUKE 0 COMBIVENT RESPIMAT 1 100 20 1 BIMATOPROST 0.01%2 2 ATORVASTATIN 20 MG 43 TAB 43 PENCICLOVIR 1% CREAM 0 0 SULFAMETHOX/TRIMETHOPRIM 0 0 KETAMINE 10 MG/ML 27 IV 27 DENTAL ADHESIVE CREAM 0 0 HYALUR SODIUM 48 MG 0 SYR 0 RIVAROXABAN 20 MG 8 TAB 8 RIVAROXABAN 10 MG 0 TAB 0 RIVAROXABAN 15 MG 0 TAB 0 APIXABAN 2.5 MG TAB0 0 MULTIVIT/MINERAL LIQUID 0 0 FLU 2013 14 .5 ML INJ 69 69 APIXABAN 5 MG TAB10 10 APLIGRAF SKIN SUBSTITUTE 0 0 ETHYL ALCOHOL 98% 0INJ VIA 0 HYDROCORTISONE PWD 0 COMPDG 0
- Page 588 and 589: PYROPHOSPHATE 7 7 I 123 - 200 2 2 S
- Page 590 and 591: US-BIOPSY PROC-PANCR 0 0 US-BIOPSY-
- Page 592 and 593: MRI-LS SPINE W/O CON 43 43 MRI-LS S
- Page 594 and 595: CT CHEST HIGH RESOLU 0 W/O 0 CT CHE
- Page 596 and 597: CT INTRAPERI CATHETER 0 0 CT INTRAP
- Page 598 and 599: FOOT LT(2 VIEWS) 0 0 FOOT RT(2 VIEW
- Page 600 and 601: CERV SPINE TWO VIEW0 0 CERV SPINE W
- Page 602 and 603: LS SPINE&OBL&FLEX&EX 0 6 VW 0 LS SP
- Page 604 and 605: MRI WRIST WO CON 0LT PLF 0 MRI-WRIS
- Page 606 and 607: CALCITRIOL 0.25 MCG 5 CAP 5 ALLOPUR
- Page 608 and 609: CALCIUM CHLORIDE 10% 0 VIAL 0 CANDE
- Page 610 and 611: DEXAMETHASONE 492 4MG/ML VIAL 492 D
- Page 612 and 613: FIORINAL CAP GENERIC 2 CAP 2 FLUNIS
- Page 614 and 615: HUMALOG MIX 75/250 INSULIN 0 ITRACO
- Page 616 and 617: METHENAMINE 1 GM 0TAB 0 METHOCARBAM
- Page 618 and 619: NITROGLYCERIN 0.4MG 0 SL SP 0 NITRO
- Page 620 and 621: PROCHLORPERAZINE 110 MG VI 1 PROCAI
- Page 622 and 623: TOBRAMYCIN 80 MG/2ML 11 VIAL11 TOBR
- Page 624 and 625: AMIODARONE 200 MG 16 TAB 16 CAFFEIN
- Page 626 and 627: VITAMIN E 200 UNIT 0CAP 0 LAMOTRIGI
- Page 628 and 629: ATORVASTATIN 40205 MG TAB 205 GUAIF
- Page 630 and 631: FLUVASTATIN 20 MG 0CAP 0 CASTOR OIL
- Page 632 and 633: PRAMIPEXOLE .25MG 0TAB 0 AMOXICILLI
- Page 634 and 635: ERTAPENEM 1GM ADDV 0 0 GLYCOPYRROLA
- Page 636 and 637: FOSPROPOFOL 1050MG/30ML 0 0 HAVRIX
- Page 640 and 641: ACETAMINOPH 100MG/ML 0 DROP0 REPAGL
- Page 642 and 643: FLUCONAZOLE 400 MG/200 0 ML 0 ZOSYN
- Page 644 and 645: SP-CANCEL VISIT DLS0 0 SP-ABSENT DL
- Page 646 and 647: CHCKOT ORTH PROS 0PER 15 0 WHEELCHA
- Page 648 and 649: OT AQUATIC REHAB/15 0 MIN 0 OT ORTH
- Page 650 and 651: HIP STRAP (PROC) PLF0 0 SENSORY INT
- Page 652 and 653: M V V 0 0 METHACHOLINE EVAL5 5 ARTE
- Page 654 and 655: SWALLOW D/C STATUS 1 1 SWALLOW D/C
- Page 656 and 657: VOICE CURRENT STATUS 0 0 VOICE CURR
- Page 658 and 659: CARRY CURRENT STATUS 2 2 CARRY CURR
- Page 660 and 661: CARRY D/C STATUS 0 0 SELF CARE CURR
- Page 662 and 663: SUPP BLUE CROSS -237 ALLOW -237 SUP
- Page 664 and 665: GOLDEN RULE ALLOW -38 -38 GREAT WES
- Page 666 and 667: H/L SAGA ADMINISTRATION 0 0 H/L SAG
- Page 668 and 669: TFR FROM B/D TO A/R3 3 TFR FROM A/R
- Page 670 and 671: PHYS PRAC ATHENA CASH 0 0 MEDICAL O
- Page 672 and 673: CAFETERIA SALES CAFE 0 0 CAFETERIA
- Page 674 and 675: LABORATORY - UTILITIES 0 0 CARDIA R
- Page 676 and 677: OPER OF PLANT-GAS0 0 NON MEDICAL SU
- Page 678 and 679: PERSONAL PYMT (P/R -37DED) -37 TCOR
- Page 680 and 681: BLUE CROSS OF RI PAYMENT -88 -88 OU
- Page 682 and 683: SEVEN CORNERS PAYMENT 0 0 IMG PAYME
- Page 684 and 685: ZZ OHM UNSPECIFIED 0PYMT 0 ZZ STERL
- Page 686 and 687: SITE ASSESSMENT 0 0 SITE ASSESSMENT
BACITRACIN 50 MU INJ 4 VIAL 4<br />
DRONEDARONE 400 MG 6 TAB 6<br />
AMINOPHYLLINE 500MG/20ML 0 0<br />
PANCRELIPASE 5,0001UNITS<br />
1<br />
PRASUGREL 5 MG TAB0 0<br />
PRASUGREL 10 MG 19 TAB 19<br />
LIDO 1% W/EPI 1:100,000 0 0<br />
REGADENOSON INJ 100 .4 MG/5ML 100<br />
HYDROXOCOBALAMIN 0 2.5GM/VL0<br />
TRAVOPROST Z 0.004%6 6<br />
HEPARIN SODIUM 120 INJ PER 10 120<br />
VANCOMYCIN 125MG/2.5 23 ML 23<br />
ENLON PLUS INJ 10MG/.14MG 0 0<br />
VANCOMYCIN 250MG/5ML 49 ORAL 49<br />
DABIGATRAN 150 MG 0 CAP 0<br />
DABIGATRAN 75 MG 0CAP<br />
0<br />
NICARDIPINE 25 MG/10ML 0 VL 0<br />
QUININE 324 MG CAP0 0<br />
HYDROCOR SOD SUCCINATE 0 0<br />
HYDRO SOD SUCCINATE 24 100MG24<br />
SULFAMETHOXAZOLE 0W/TMP 200<br />
METHYLPRED SOD SUCC 40 1000 40<br />
FERROUS SULFATE SR 045 MG 0<br />
QUETIAPINE XR 50 MG 0 TAB 0<br />
QUETIAPINE XR 15025 MG TAB 25<br />
QUETIAPINE XR 20042 MG TAB 42<br />
FLU 2011 12 INJ MDV 010 ML 0<br />
FLU 2011 12 INJ MDV 010 ML 0<br />
FLU 2011 12 VAC .5 ML 0 0<br />
FLU 2011 12 VAC .5 ML 0 0<br />
MISOPROSTOL 200 MCG 26 TAB 26<br />
ASENAPINE 10 MG TAB 0 0<br />
ASENAPINE 5 MG TAB0 0<br />
INJ, CEFEPIME HYDRO 0 500MG 0<br />
PREVNAR 13 INJ 0 0<br />
RECOMBIVAX HB INJ 0 0<br />
ANATACEPT 10 MG 150 INJ 150<br />
PANTOPRAZOLE 40 MG 5 PACKET 5<br />
THROMBIN BOVINE/GEL 0 BOV 0<br />
THROMBIN BOVINE/GEL 0 BOV 0<br />
DEXMEDETOMIDINE 0200MCG/2M0<br />
CEFEPIME 2 GM VIAL0 0<br />
ARIPIPRAZOLE 2 MG TAB 2 2<br />
MORPHINE 0.2 MG/0.2ML 0 INJ 0<br />
TRANEXAMIC ACID 1000MG/10 42 42<br />
LEVOTHYROXINE 1000MCG VL 0<br />
MIDAZOLAM 10MG/10 0 ML VIAL 0
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