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2004-277
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2004-277
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Last modified
9/30/2016 1:00:29 PM
Creation date
9/30/2015 8:24:34 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
11/09/2004
Control Number
2004-277
Agenda Item Number
7.U.
Entity Name
State of Florida Health Department
Subject
Indian River County Health Department Contract 2004/2005
Archived Roll/Disk#
3224
Supplemental fields
SmeadsoftID
4721
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J4 r , <br /> INDIAN RIVER COUNTY HEALTH DEPARTMENT FORMULARY PRICE LIST <br /> Cost Cost <br /> Unit per Unit per <br /> Product Name Issue UI Product Name Issue UI <br /> Ace hen suppositories 120 mg Each $0 .49 Kenalog 40 , in " 1 cc in ' $5 . 61 <br /> Actifed tabs Box $2 . 34 Lisinopril 20 mg Each $0 .20 <br /> Albuterol inhaler Kit $2 . 97 Lisinopril 5 mg Each $0 . 07 <br /> Aldactone 50 mg Each $ 1 . 03 Medroxyprogesterone Acetate tabs 10 mg . Each $0 .24 <br /> Amitriptyne hcl 25 mg Each $0 . 02 Metformin hcl 500 mg Each $0 .08 <br /> Amoxicillin 250 mg susp Bottle $ 1 . 58 Motrin , childrens berry Bottle $4 .29 <br /> Aspirin EC 325 mg Each $0 . 011 Na roxin 500 mg Each $0 .06 <br /> Aspirin EC 81 mg Each $0 . 011 NeoPol B o thalmic solution Bottle $ 16 .81 <br /> Atenolol 25 mg Each $0 .04 NeoPol HC otic suspension (drops ) Bottle $ 16 . 81 <br /> Atenolol 50 mg Each $0 . 05 Nitrotab sub lingual 3mg Each $0 . 03 <br /> Aurodex ear drops Bottle $0 . 90 Nix Bottle $7 .24 <br /> Captopril 25 mg Each 0 .011 Pen VK suspension, 250 mg Bottle $2 . 68 <br /> Captopril 50 mg Each $0 . 02 1 Pen VK tabs 500 mg Each $0 . 15 <br /> Cephalexin 250 mg Each $0 . 15 Phene ran suppositories 12 . 5 mg Each $3 .46 <br /> Cephalexin 500 mg Each $0 . 10 Pink bismuth Each $0 . 06 <br /> Cephalexin suspension 250 m2. Bottle $ 10 .68 Prednisone 10 mg Each $0 .02 <br /> Ci rofloxin hcl 500 mg Each $0 . 111 Q-Tussin Bottle $0 . 84 <br /> Clonidine . 1 mg Each $0 . 05 Ranitidine 150 mg Each $0 .07 <br /> Clonidine .2 mg Each $0 .07 1 Silvadene cream 10/6 Tube $5 . 14 <br /> Clotrimazole cream 1 % Tube $ 1 . 24 Triam/HCTZ 37 . 5/25 Each $0 .08 <br /> Coreg 3 . 12 mg Each $ 1 .47 Tri le anitbiotic ointment Tube $ 1 . 39 <br /> Coreg 6 .25 mg Each $ 1 .47 Vera amil 240 mg Each $0 .21 <br /> C anocobal 1000mcg 1 cc in ' $0 . 54 Warfarin 1 mg Each $0 .20 <br /> Depo-Medrol 80 mg 1 cc in ' $7 .84 Warfarin 5 mg Each $0 .22 <br /> Dexamethone Sod Phos 4 mg 1 cc in ' $0 . 33 Nitrotab sub lingual 3mg Each $0 . 03 <br /> Diabetic tussin Bottle $3 . 96 Nix Bottle $7 .24 <br /> Digoxin .25 mg Each $0 . 07 Pen VK suspension 250 mg Bottle $2 . 68 <br /> Elimite Tube $25 . 91 Pen VK tabs 500 mg Each $0 . 15 <br /> Ery eye ointment Tube $0 . 59 Phene ran suppositories 12 . 5 mg Each $3 .46 <br /> Erythromycin Stear 500 mg Each $0 . 13 Pink bismuth Each $0 . 06 <br /> Furosemide 20 mg Each $0 . 39 1 Prednisone 10 mg Each $0 . 02 <br /> Furosemide 40 mg Each $0 . 38 Q-Tussin Bottle $0 .84 <br /> Genahis allergy 25 mg Box $ 1 .26 Ranitidine 150 mg Each $0 .07 <br /> Genapap caplet 500 mg Each $ 1 .87 1 Silvadene cream 1 % Tube $5 . 14 <br /> Genapap infant drops Bottle $0 . 96 Triam/HCTZ 37 . 5/25 Each $0 . 08 <br /> Glyburide 5 mg Each $0 .08 Tri le anitbiotic ointment Tube $ 1 . 39 <br /> Hydrochlorothiazide 25 mg Each $0 .02 Vera amil 240 mg Each $0 .21 <br /> Hydrocortisone 1 % cream ITube $0 . 83 Warfarin 1 mg Each $0 . 20 <br /> lbu rofen 400 mg Each $0 .03 Warfarin 5 mg Each $0 .22 <br /> CLFEE2004-05 1 : 55 PM 11 /2/2004 <br />
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