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HomeMy WebLinkAbout329696 09/05/18 +ur C,HM J`/ \ CITY OF CARMEL, INDIANA VENDOR: 360209 CHECK AMOUNT: $****15,874.35* ONE CIVIC SQUARE ST VINCENT HOSPITAL 4a ,ate; CARMEL, INDIANA 46032 ATTN:KRISTINE BROWN,ACCT.RPTNG CHECK NUMBER: 329696 10330 N MERIDIAN ST SUITE 430 CHECK DATE: 09/05/18 INDIANAPOLIS IN 46290 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 R4239011 100980 14091 1,716.60 DRUGS & NARCOTICS 102 4239011 14108 6,669.86 SPECIAL DEPT SUPPLIES 102 R4239011 100980 14123 1,073.05 DRUGS & NARCOTICS 102 4239011 14141 6,414.84 SPECIAL DEPT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 360209 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ST VINCENT HOSPITAL IN SUM OF$ CITY OF CARMEL ATTN: KRISTI N E BROWN, ACCT. RPTNG An invoice or bill to be properly itemized must show:kind of service,where performed,dates service 10330 N MERIDIAN ST SUITE 430 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46290 Payee $2,789.65 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 100980 14123 42-390.11 $1,073.05 1 hereby certify that the attached invoice(s),or 8/30/18 14123 Pharmacy Supplies for Ambos $1,073.05 1120 Encumbered 102 1120 102 100980 14091 42-390.11 $1,716.60 bill(s)is(are)true and correct and that the 8/30/18 14091 Pharmacy Supplies for Ambos $1,716.60 1120 Encumbered 102 materials or services itemized thereon for 1120 1 102 which charge is made were ordered and received except Thursday,August 30,2018 Uo'_ZS- David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer St. Vincent Hosp &Healthcare Center, Inc. Invoice ATTN:Kristine Brown 4040 Vincennes Circle DATE INVOICE# 4-NW-31 7/17/2018 14123 Indianapolis,IN 46268 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT Pharmacy Supplies -June 2018 1,071.05 46029-160085-65100. Please note invoice number Total $19073.05 that you are paying on check/stub. Thank you! Payments/Credits $0.00 Balance Due $19073.05 Pharmacy Orders 6/1/2018 through 6/30/2018 f4(►Se�sO' coZme. dk1 Of lfov-14 rna CARMEL EIRE 46029-70402542154 TOM PAYNE l 'DEPARTMEN T FIRE/AMB 00000 ! 317=571-2630 (CC'32154)' Date Ordered Pharmacy McKesson# Generic Name Brand Name Strength Form Package Size EA Quantity Quantity_ ' 'TotalPrice V Ordered Sent 6/26/2018 CAR-St Vincent 1245695 Racemic Racemic 2.25°//0. nebuliz 30's NULL 30 30 42.00 Carmel Pharmacy Epinephrine Epinephrine Sml ed soln 0.5ml neb soln 6/26/2018 CAR-St Vincent 1219278 Aspirin 81mg Aspirin 81mg chew 750's NULL 144 144 2.88 Carmel Pharmacy chew tablet tablet i 6/26/2018 CAR=St Vincent 2787505 Dextrose Dextrose 50% Soml 30's NULL 10 10 65.50 Carmel Pharmacy Syringe 50% Syringe syringe i 50ml 6/26/2018 CAR-St Vincent 1451798 Diphenhydrami Benadryl 50mg/ml vial 25's NULL 25 25 14.00 Carmel Pharmacy ne 50mg/nil_IN1 6/26/2018 CAR-St Vincent 1796010 Ipratropium/AI Duoneb 0.5mg/3 nebuliz 25's NULL 30 30 8.10 Carmel Pharmacy buterol mg ed soln 0.5mg/3ml neb 6/26/2018 CAR-St Vincent 3241114 Ondansetron Zofran ODT 4mg tablet 30's NULL 60 60 22.20 Carmel Pharmacy 4mg ODT 6/26/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 42 42 84.84 Carmel Pharmacy Chloride 0.9% Chloride IV bag 3000ml IV Bag 6/26/2018 CAR-St Vincent 1918101 Sodium Sodium 0.90% 500ml 24's NULL 48 48 89.28 Carmel Pharmacy Chloride 0.9% Chloride IV bag 500ml IV Bag 6/26/2018 CAR-St Vincent 1718659 ONDANSETRO ZOFRAN 4 MG INJ Ea 25 25 6.15 Carmel Pharmacy N 4MG INJ 6/26/2018 CAR-St Vincent 3271913 ACETAMINOPH TYLENOL 325 MG TAB EA 20 20 0.40 Carmel Pharmacy EN(TYLENOL) 325MG TAB 6/26/2018 CAR-St Vincent 1226505 MAGNESIUM MAGNESIUM 1GM/2M INJ 25 EA 5 5 4.30 Carmel Pharmacy SULF 1GM/2ML SULF L VIAL 6/26/2018 CAR-St Vincent 1131093 NALOXONE NARCAN 2MG/2M INJ 10 EA 10 10 279.40 Carmel Pharmacy 2MG/2ML L SYRINGE Pharmacy Orders 6/1/2018 through 6/30/2018 .,CARMEL FIRE. 6/26/2018 CAR-St Vincent 3602109 NOREPINEPHRI LEVOPHED 1MG/ML VIAL 10 EA 20 20 393.40 DEPARTMEN Carmel Pharmacy NE 4ML ;T FIRE/AMB 6/26/2018 CAR-St Vincent 2720621 EPINEPHRINE EPINEPHRINE 0.1MG/ INJ 10 EA 30 30 120.00 ,,(CC 32154) Carmel Pharmacy 0.1MG/ML ML 10ML lOML SYRINGE (BRISTOJECi) 499 499 1073.05 St. Vincent Hosp &Healthcare Center, Inc. Invoice ATTN:Kristine Brown 4040 Vincennes Circle DATE INVOICE# 4-NW-31 5/23/2018 14091 Indianapolis,IN 46268 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased .February 2018 0.90- .: March 2018 0.00 Pharmacy Supplies-April 2018 1,716.60 46029-160085-65100. Please note invoice number Total $19716.60 that you are paying on check/stub. Thank you! Payments/Credits $0.00 Balance Due $19716.60 Pharmacy Orders. 4/1/2018 through 4/30/2018 ;CARMEL 61RE"000OOQ-7Q4025-32154 TOM PAYNE (DEPARTMEN ;00.000" ` 317-571-2630 +T FIRE/AMB .(CG32154) O Dote Ordered Pharmacy McKesson# Generic Name Brand Nome Strength Form Package Size EA Quantity Quantity Total Price Ordered Sent 4/25/2018 CAR-St Vincent 3519857 Glucagen Kit Glucagen Kit 1mg vial each NULL 5 5 465.30 x Carmel Pharmacy 4/25/2018 CAR-St Vincent 2705077 Ketorolac Toradol 60mg/2 vial 25's NULL 25 25 23.50 Carmel Pharmacy 60mg/2ml vial ml 4/25/2018 CAR-St Vincent 2718591 Lidocaine 2% Xylocaine 2% syringe 10's NULL 10 10 22.80 d Carmel Pharmacy 100mg/5ml f.` syringe 4/25/2018 CAR-St Vincent 1245950 ESMOLOL BREVIBLOC 100 MG INJ EA 10 30 52.90 Carmel Pharmacy (BREVIBLOC) p 100 MG/10 ML IN] w 4/25/2018 CAR-St Vincent 2720340 ATROPINE ATROPINE 1 MG INJ Ea 10 10 72.40 Carmel Pharmacy 1.0MG y SYRINGE 4%25/2018 CAR-St Vincent 2720621 EPINEPHRIN EPINEPHRINE 1 MG INJ EA 20 20 81.40 Carmel Pharmacy SYR 10ML 11/2 IN DSW PS 4/25/2018 CAR-St Vincent 2720639 CA CHOLRIDE CALCIUM 1 GM INJ EA 10 10 72.90 Carmel Pharmacy 1Y21N SYR 10M CHLORIDE r 4/25/2018 CAR-St Vincent 3643731 AMIODARONE AMIODARONE 150 IN1 25 EA 20 20 15.20 Carmel Pharmacy 150MG/3ML MG/3ML VIAL 4/25/2018 CAR-St Vincent 3601747 KEFZOL 1 KEFZOL 1 GM INJ Ea 25 25 18.00 Carmel Pharmacy GRAM VIAL 4/25/2018 CAR-St Vincent 1131093 NALOXONE NARCAN 2MG/2M INJ 10 EA 20 20 558.80 Carmel Pharmacy. 2MG/2ML L SYRINGE 4/25/2018 CAR-St Vincent 3602109 NOREPINEPHRI LEVOPHED 1MG/ML VIAL 10 EA 20 20 333.40 i Carmel Pharmacy NE 4ML t 175 275 1716.60 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 360209 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ST VINCENT HOSPITAL IN SUM OF$ CITY OF CARMEL ATTN: KRISTINE BROWN, ACCT. RPTNG An invoice or bill to be properly itemized must show:kind of service,where performed,dates service 10330 N MERIDIAN ST SUITE 430 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46290 Payee $13,084.70 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 14141 42-390.11 $6,414.84 1 hereby certify that the attached invoice(s),or 8/30/18 14141 Misc.EMS Supplies $6,414.84 1120 102 1120 102 14108 42-390.11 $6,669.86 bill(s)is(are)true and correct and that the 8/30/18 14108 Misc.EMS Supplies $6,669.86 1120 1 1 102 1 materials or services itemized thereon for 1120 102 which charge is made were ordered and received except Thursday,August 30,2018 Va',ar -2s- �� David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer St. Vincent Hosp &Healthcare Center, Inc. Invoice ATTN: Kristine Brown 4040 Vincennes Circle DATE INVOICE# 4-NW-31 6/20/2018 14108 Indianapolis,IN 46268 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies purchased Apri12018 _ 535.78 May 2018 1,678.40 Pharmacy Supplies-May 2018 4,455.68 46029-160085-65100. Please note invoice number Total $69669.86 that you are paying on check/stub. Thank you! Payments/Credits $0.00 Balance Due $69669.86 Pharmacy Orders 5/1/2018 through 5/31/2018 CARMELFIRE'46029-704025-32154 TOM'PAYNE �DEPARTMEN fFIRE/AMB. 00000 (CC32154) ; ' Date Ordered Pharmacy McKesson d Generic Name Brand Name Strength Form Package Size EA Quantity Quantity Tota!Price f Ordered Sent r 5/9/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 56 56 113.12 Carmel Pharmacy Chloride 0.9% Chloride IV bag 1000ml IV Bag 5/9/2018 CAR-St Vincent 1219278 Aspirin 81mg Aspirin 81mg chew 750's NULL 144 144 2.88 J Carmel Pharmacy chew tablet tablet 5/9/2018 CAR-St Vincent 1918101 Sodium Sodium 0.90% 500ml 24's NULL 48 48 89.28 Carmel Pharmacy Chloride 0.9% Chloride IV bag i 500ml IV Bag I 5/9/2018 CAR-St Vincent 1763093 EPINEPHRINE ADRENALIN 30 MG INJ Ea 5 5 330.40 Carmel Pharmacy 1MG/ML 30ML MDV F j 5/9/2018 CAR-St Vincent 1796010 IPRATROPIUM/ DUONEB 0.5-3 MG NES Ea 30 30 8.40 1 ! Carmel Pharmacy ALBUTEROL 3ML 5/31/2018 CAR-St Vincent 1131093 NALOXONE NARCAN 2MG/2M INJ 10 EA 140 140 3911.60 r Carmel Pharmacy 2MG/IML L SYRINGE 423 423 4455.68 Depatmental Transfer of Supplies date submissed 06119/18 Requesting Department: Carmel Fire Dept Supplying Department ER Apr-18 Cost Center Cost Center 4602431600 QUANTITYJ UNITCOST TOTALCOST Alcohol preps $0.25 $0.00 Angiocath 14 $1.58 $0.00 Angiocath 16 $1.56 $0.00 Angiocath 18 $1.50 $0.00 Angiocath 20 $1.50 $0.00 Angiocath 20g 1.88 per box $95.00 $0.00 Angiocath 22 $1.50 $0.00 Ancliocath 24 $1.55 $0.00 Bandaids Basin kidney shaped $0.08 $0.00 Basin round $0.31 $0.00 Ca no-Line Sampling ETCO2 Smart Ped per bx $253.00 $0.00 Ca no-Circuit Nasal with Tubing Adult per cs $312.50 $0.00 Ca no-Circuit Nasal with Tubing Adult per cs 100 $940.00 $0.00 Ca no-St filter lin Adlti ed 1 case $356.30 $0.00 Coban 1'Roll ea $1.75 $0.00 Cold paks $0.57 $0.00 Drill Driver Power EZ-10 $295.00 $0.00 EKG Electrodes $3.12 $0.00 Emesis Bas(perpack) $11.52 $0.00 EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00 EZ-10 Power Driver $295.00 $0.00 Foam-Ouikcare $2.67 $0.00 Guaze,2 x 2 Cotton bail $1.88 $0.00 Guaze,2 X 2 Sterile $0.02 $0.00 Gauze 4 X 3 sponge(per box $1.24 $0.00 Gauze 4 x 4 tub 1 $0.32 $0.32 Gauze Kerlex $0.67 $0.00 Gloves-Med $10.35 $0.00 Gloves-Large $10.35 $0.00 Gloves-Mar a $10.35 $0.00 IV Adapter,Luerlock $0.15 $0.00 IV Dial a flow $3.15 $0.00 IV Extension 19" $1.91 $0.00 IV Lack with Ext $1.87 $0.00 IV Start Kits ea $0.69 $0.00 IV Starts Kits percase 2 $137.00 $274.00 IV Start Kits Sobraview 100/bx $2.66 $0.00 IV Tubing 10 it $1.16 $0.00 IV Tubbing 10 tt per case of 48 2 $121.10 $242.20 Kleenex $0.19 $0.00 KY pldt $0.10 $0.00 Kerlix4.5"x6ply $0.73 $0.00 Lancets per box $57.78 $0.00 Largyngscope Blades Stat 3 box $180.501 $0.00 Largyngscope Blades Stat4 box $135.741 0.00 Microdot Xtra Test Strips $29.98 $0.00 Microdot Xtra Control Solutions $12.00 $0.00 Normal Saline 1000 cc bags/ca $9.48 $0.00 Pressure Bag Infusion 1000cc $0.38 $0.00 Pulse Ox,Adult $5.18 $0.00 Pulse Ox,Peds $5.17 $0.00 Razor,dis oseable $0.12 $0.00 Sca el#11 $1.30 $0.00 Sharps Container $4.591 0.00 Sterile H2O bottle $0.71 $0.00 Suction Canister&to $3.26 $0.00 Suture Kit 1 $1.09 $0.00 SYR Hypo w/needle $0.25 $0.00 Syringe wheedle 1 ml $0.07 $0.00 Syringe w/Needle 3 ml $0.05 $0.00 Syringe w/Needle 3 ml percase $35.76 $0.00 Syringe w/Needle 5m1 $0.10 $0.00 Syringe wheedle 5ml 1 case $69.301 $0.00 Syringe w/Needle 10 ml $0.121 $0.00 S rin a 20ml $0.16 $0.00 Syringe 30ml $0.42 $0.00 Syringe w Saline 3ml $0.28 $0.00 Syringe w/Salinel0ml $0.321 $0.00 10 ml saline vials(per box 2 $9.63 $19.26 Tape 2" 6 rolls/box $1.00 $0.00 Tae 1" $0.50 $0.00 Tape 2"cloth adh $1.29 $0.00 . Tape Trans are 1/2" $1.28 $0.00 TS ET Cuffed Rediture $1.80 $0.00 Warm paks $1.46 $0.00 Wound Cleanser $5.04 $0.00 Suction Canister&to $3.26 $0.00 Yankauers $0.34 $0.00 Ambu Bag w/mask-Adult 1 $14.63 $0.00 Ambu Bag w/mask-Adult cs/10 $86.38 $0.00 Ambu Ba w/mask-Peds cs/10 $126.00 $0.00 Ambu Ba w/mask-Infant cs/10 $16.00 $0.00 CPAP Flow-Safe II Ez $443.95 $0.00 CPAP mask-1 case/10 $480.00 $0.00 CPAP Adapter Tee Valve $41.20 $0.00 Lo Bitrac Full Face Mask $29.00 $0.00 ETTube S Tette $0.00 Wi es Disenfect $11.52 $0.00 Grand Total $535.78 Approved by date Depatmental Transfer of Supplies date submissed 06119/18 Requesting Department: Carmel Fire Dept Supplying Department ER Apr-18 Cost Center Cost Center 4602431600 QUANTITY UNITCOST TOTAL COST Alcohol preps $0.25 $0.00 Angiocath 14 $1.58 $0.00 Angiocath 16 $1.56 $0.00 Angiocath 18 $1.50 $0.00 Angiocath 20 $1.50 $0.00 Angiocath 20g 1.86 per box $95.00 $0.00 Angiocath 22 $1.50 $0.00 Angiocath 24 $1.55 $0.00 Bandaids Basin kidney shaped $0.08 $0.00 Basin round $0.31 $0.00 Ca no-Line Sampling ETCO2 Smart Ped per bx $253.00 $0.00 Ca no-Circuit Nasal with Tubing Adult per cs $312.50 $0.00 Ca no-Circuit Nasal with Tubing Adult per cs 100 1 $940.00 $940.00 Ca no-St filter lin Adit/ed 1 case $356.30 $0.00 Coban T Roll ea $1.751 0.00 Cold paks $0.57 $0.00 Drill Driver Power EZ-10 $295.00 $0.00 EKG Electrodes $3.12 $0.00 Emesis Bas(perpack) $11.52 $0.00 EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00 EZ-10 Power Driver $295.00 $0.00 Foam-Quikcare $2.67 $0.00 Guaze,2 x 2 Cotton bail $1.88 $0.00 Guaze,2 X 2 Sterile $0.021 0.00 Gauze 4 X 3 sponge(per box $1.24 $0.00 Gauze 4 x 4 tub $0.32 $0.00 Gauze Kedex $0.67 $0.00 Gloves-Med $10.35' $0.00 Gloves-Large $10.35 $0.00 Gloves-Mar a $10.35 $0.00 IV Adapter,Luedock $0.15 $0.00 IV Dial a flow $3.15 $0.00 IV Extension 19" $1.911 $0.00 IV Lock with Ext $1.87 $0.00 IV Start Kits as $0.69 $0.00 . IV Starts Kits percase 4 $137.00 $548.00 IV Start Kits Sobraview 100/bx $2.66 $0.00 IV Tubing 10 tt $1.16 $0.00 IV Tubbing 10 tt per case of 48 1 $121.10 $121.10 Kleenex $0.19 $0.00 KY pkt $0.10 $0.00 Kerlix 4.5"x6ply $0.73 $0.00 Lancets perbox $57.78 $0.00 Largyngscope Blades Stat3 box $180.50 $0.00 Largyngscope Blades Stat4 box $135.74 $0.00 Microdot Xtra Test Strips $29.98 $0.00 Microdot Xtra Control Solutions $12.00 $0.00 Normal Saline 1000 cc bags/ca $9.48 $0.00 Pressure Bag Infusion 1000cc $0.38 $0.00 Pulse Ox,Adult $5.18 $0.00 Pulse Ox,Peds $5.17 $0.00 Razor,dis useable $0.12 $0.00 Sca el#11 $1.30 $0.00 Sharpe Container $4.59 $0.00 Sterile H2O bottle $0.71 $0.00 Suction Canister&to $3.26 $0.00 Suture Kit 1 $1.09 $0.00 SYR Hypo w/needle $0.25 $0.00 Syringe w/Needle 1 ml $0.07 $0.00 Syringe wheedle 3 ml $0.05 $0.00 Syringe wheedle 3 ml per case $35.76 $0.00 S rin ew/Needle5ml $0.10 $0.00 Syringe w/Needle 5ml 1 case 1 $69.30 $69.30 Syringe w/Needle 10 ml $0.12 $0.00 Syringe 20ml $0.16 $0.00 Syringe 30ml $0.42 $0.00 Syringe w Saline 3ml $0.28 $0.00 Syringe w/Salinel0ml $0.32 $0.00 10 ml saline vials(per box $9.63 $0.00 Tape 2" 6 rolls/box $1.00 $0.00 Tape 1" $0.50 $0.00 Tape 2"cloth adh $1.29 $0.00 Tape Trans ore 1/2" $1.28 $0.00 TB ET Cuffed Rediture $1.80 $0.00 Warn paks $1.46 $0.00 Wound Cleanser $5.04 $0.00 Suction Canister Mop $3.26 $0.00 Yankauers $0.34 $0.00 Ambu Bag w/mask-Adult $14.63 $0.00 Ambu Bag w/mask-Adult cs/10 $86.38 $0.00 Ambu Ba w/mask-Peds cs/10 $126.00 $0.00 Ambu Ba w/mask-Infant cs/10 $16.00 $0.00 CPAP Flow-Safe It Ez $443.95 $0.00 CPAP mask-1 case/10 $480.00 $0.00 CPAP Adapter Tee Valve $41.20 $0.00 L Bitrac Full Face Mask $29.00 $0.00 ET Tube Stylette 1 $0.00 Wipes Disenfect $11.52 $0.00 Grand Total $1,678.40 Approved by date St. Vincent Hosp &Healthcare Center, Inc. Invoice ATTN: Kristine Brown 4040 Vincennes Circle DATE INVOICE# 4-NW-31 8/22/2018 14141 Indianapolis,IN 46268 BILL TO Carmel Fire EMS Attn: Denise Snyder 2 Carmel Civic Square Carmel, IN 46032 TERMS Due on receipt DESCRIPTION AMOUNT EMS Supplies_purchased June 2018 370.20 July 2018 There were no supplies purchased 0.00 Pharmacy Supplies -July 2018 6,044.64 46029-160085-65100. Please note invoice number Total $69414.84 that you are paying on check/stub. Thank you! Payments/Credits $0.00 Balance Due $6,414.84 Pharmacy Orders 7/1/2018 through 7/31/2018 ��- GARMEL'FIRE 7, 460Z9 ,0,4025-32154 TOM PAYi11i: i DEPARTMEN 00000317 5712630 T FIREJAMB : , .. E (1: 32154)' [Date Ordered Pharmacy McKesson# Generic Name Brand Name Strength Form Package Size EA Quantity Quantity Tota!Price, Ordered Sent 7/9/2018 CAR-St Vincent 2720456 SOD SODIUM 50 MEQ INJ EA EA 10 30 111.80 Carmel Pharmacy BICARBONATE BICARB SYR 73%SYR 50MEQ50ML ADULT 7/9/2018 CAR-St Vincent 1219278 Aspirin 81mg Aspirin 81mg chew 7S0's NULL 36 36 0.72 . F Carmel Pharmacy chew tablet tablet 7/9/2018 CAR-St Vincent 2787505 Dextrose Dextrose 50% SOW 10's NULL 10 10 65.50 Carmel Pharmacy Syringe 50% Syringe syringe 50ml 7/9/2018 CAR-St Vincent 2718591 Lidocaine 2% Xylocaine 2% syringe 10's NULL 10 10 22.80 Carmel Pharmacy 100mg/5ml syringe 0 7/9/2018 CAR-St Vincent 1245950 ESMOLOL BREVIBLOC 100 MG INJ EA 5 5 26.45 Carmel Pharmacy (BREVIBLOC) T ( 100 MG/10 ML INJ - ' 7/9/2018 CAR-St Vincent 1718659 ONDANSETRO ZOFRAN 4 MG INJ Ea 50 50 13.50 Carmel Pharmacy N 4MG INJ 7/9/2018 CAR-St Vincent 2720456 SOD SODIUM 50 MEQ INJ EA EA 2 2 22.36 9 Carmel Pharmacy BICARBONATE BICARB SYR 7.5%SYR 50MEQ 50ML ADULT 7/9/2018 CAR-St Vincent 3519857 GLUCAGON GLUCAGON 1 MG INJ Ea 1 1 102.37 Carmel Pharmacy 1MG KIT r•" f 7/9/2018 CAR-St Vincent 2720621 EPINEPHRINE EPINEPHRINE 0.1MG/ INJ 10 EA 10 10 40.00 Carmel Pharmacy 0.1MG/ML ML 10ML 10MLSYRINGE (BRISTOIECT) 7/9/2018 CAR-St Vincent 1226505 MAGNESIUM MAGNESIUM 1GM/2M INJ 25 EA 10 10 8.60 ' Carmel Pharmacy SULF 1GM%2ML SULF L VIAL Pharmacy Orders 7/1/2018 through 7/31/2018 ,CARMEL'FIRE,d 7/9/2018 CAR-St Vincent 1131093 NALOXONE NARCAN 2MG/2M INJ 10 EA 20 20 558.80 ;DEPARTIIIIEN Carmel Pharmacy 2MG/2ML L (T FIRE/ANIB; SYRINGE yi(CC32154); 7/12/2018 CAR-St Vincent 1889567 SODIUM Sodium 0.9% IV 96 Ea 6 6 7.56 Carmel Pharmacy CHLORIDE 0.9% Chloride SOML SOML - 7/13/2018 CAR-St Vincent 1413178 Acetaminophe Tylenol 325mg tablet 100 NULL 30 30 0.60 Carmel Pharmacy n 325mg tablet 7/13/2018_ CAR-St Vincent 2434801 Albuterol Proventil 2.5mg/3 nebuliz 30's NULL 30 30 4.50 Carmel Pharmacy 2.5mg/3ml neb ml ed soln i soln r 7/13/2018 CAR-St Vincent 1219278 Aspirin 81mg Aspirin 81mg chew 750's NULL 216 216 4.32 Carmel Pharmacy chew tablet tablet i 7/13/2018 CAR=St Vincent 1254812 PREDNISONE DELTASONE 20 MG TAB EA 20 20 3.00 w j Carmel Pharmacy TAB 20 MG 7/16/2018 CAR-St Vincent 3241114 Ondansetron Zofran DDT 4mg tablet 30's NULL 90 90 33.30 Carmel Pharmacy 4mg ODT I 7/16/2018 CAR-St Vincent 1718659 ONDANSETRO ZOFRAN 4 MG INJ Ea 50 5o 13.50 6 Carmel Pharmacy N 4MG INJ 7/16/2018 CAR-St Vincent 2434801 Albuterol Proventil 2.5mg/3 nebuliz 30's NULL 30 30 4.50 ( Carmel Pharmacy 2.5mg/3ml neb ml ed soln soln 7/16/2018 CAR-St Vincent 2787505 Dextrose Dextrose 50% 50ml 10's NULL 20 20 131.00 Carmel Pharmacy Syringe 50% Syringe syringe e 50ml 0 7/16/2018CAR-St Vincent- 1796010 Ipratropium/AI Duoneb 0.5mg/3 nebuliz 25's NULL .30 30 8.10 Carmel Pharmacy buterol mg ed soln 0.5mg/3ml neb 7/16/2018 CAR-St Vincent 2247609 Methylprednis Solu-Medrol 125mg vial 2S's NULL 5 5 33.70 Carmel Pharmacy alone Sodium Succinate 125mg vial 7/16/2018 CAR-St Vincent 3556065 Nitroglycerin Nitrostat 0.4mg tablet bottle of 25 NULL 8 8 127.84 i Carmel Pharmacy Sublinqual 0.4mg tab Pharmacy Orders 7/1/2018 through 7/31/2018 )CARMEL FIRE l 7/16/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 42 42 84.84 �DEPARTMEN Carmel Pharmacy Chloride 0.9% Chloride IV bag 1T'FIRE/AMB` 1000ml IV Bag (CC'32154)a_, 7/16/2018 CAR-St Vincent 1000160 CYANOKIT 5GM CYANOKIT 5 GM INJ Ea 2 2 900.00 Carmel Pharmacy INJ 7/16/2018 CAR-St Vincent 1163689 ADENOSINE ADENOCARD 6 MG INJ Ea 10 10 22.50 Carmel Pharmacy 6MG INJ C 7/16/2018 CAR-St Vincent 2452407 DEXTROSE 40% GLUCOSE 0.4 GEL EA 15 15 42.15 Y Carmel Pharmacy GEL 15GM 7/16/2018 CAR-St Vincent 2720621 EPINEPHRINE EPINEPHRINE 0.1MG/ INJ 10 EA 40 40 160.00 . Carmel Pharmacy 0.1MG/ML ML lOML 10MLSYRINGE (BRISTOJECT) 7/16/2018 CAR-St Vincent 1226505 MAGNESIUM MAGNESIUM 1GM/2M INJ 25 EA 10 10 8.60 Carmel Pharmacy SULF 1GM/2ML SULF L VIAL 7/16/2018 CAR-St Vincent 1131093 NALOXONE NARCAN 2MG/2M INJ 10 EA 10 10 279.40 I Carmel Pharmacy 2MG/2ML L SYRINGE 7/16/2018 CAR-St Vincent 1245695 Racemic Racemic 2.25916/0. nebuliz 30's NULL 10 10 14.00 r Carmel Pharmacy Epinephrine Epinephrine Sml ed soln 0.5ml neb soln 7/16/2018 CAR-St Vincent 1219278 Aspirin 81mg Aspirin 81mg chew 750's NULL 108 108 2.16 Carmel Pharmacy chew tablet tablet 7/16/2018 CAR-St Vincent 2787505 Dextrose Dextrose 50% 50mi 10's NULL 10 30 65.50 t Carmel Pharmacy Syringe 50% Syringe syringe 50ml 7/16/2018 CAR-St Vincent 3241114 Ondansetron Zofran ODT 4mg tablet 30's NULL 10 10 3.70 d Carmel Pharmacy 4mg CDT 7/16/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 24 24 48.48 ( Carmel Pharmacy Chloride 0.9% Chloride IV bag ( 1000ml IV Bag 7/16/2018 CAR-St Vincent 1918101 Sodium Sodium 0.90% 500ml 24's NULL 24 24 44.64 Carmel Pharmacy Chloride 0.9% Chloride IV bag 500ml IV Bag Pharmacy Orders 7/1/2018 through 7/31/2018 CARMEL FIRE, 7/16/2018 CAR-St Vincent 1226505 MAGNESIUM MAGNESIUM 1GM/2M INJ 25 EA 5 5 4.30 bEPARTMEN 4 Carmel Pharmacy SULF 1GM/2ML SULF L TARE/AMB, VIAL It (CC 32154). 7/16/2018 CAR-St Vincent 3602109 NOREPINEPHRI LEVOPHED 1MG/ML VIAL 10 EA 5 5 83.35 Camel Pharmacy NE 4ML 7/16/2018 CAR-St Vincent 2705077 Ketorolac Toradol 60mg/2 vial 25's NULL 1 1 0.94 Carmel Pharmacy 60mg/2ml vial ml 7/16/2018 CAR-St Vincent 2434801 Albuterol Proventil 2.Smg/3 nebuliz 30's NULL 30 30 4.50 +« Carmel Pharmacy 2.Smg/3ml neb ml ed soln i soln 7/16/2018 CAR-St Vincent 1451798 Diphenhydrami Benadryl 50mg/ml vial 25's NULL 25 25 14.00 j Carmel Pharmacy ne 50mg/ml INJ f 7/16/2018 CAR-St Vincent 1796010 Ipratropium/AI Duoneb 0.5mg/3 nebuliz 25's NULL 30 30 8.10 Carmel Pharmacy buterol mg ed soln 0.5mg/3mi neb 6" 7/16/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 14 14 28.28 Carmel Pharmacy Chloride 0.9% Chloride IV bag 1000ml IV Bag i f 7/16/2018 CAR-St Vincent 1718659 ONDANSETRO ZOFRAN 4 MG INJ Ea 27 27 7.29 Carmel Pharmacy N 4MG INJ 1 7/16/2018 CAR-St Vincent 1763093 EPINEPHRINE ADRENALIN 30 MG INJ Ea 5 5 330.40 Carmel Pharmacy IMG/ML30ML MDV 7/16/2018 CAR-St Vincent 1763689 ADENOSINE ADENOCARD 6MG INJ Ea 10 10 22.50 Carmel Pharmacy 6MG INJ 7/16/2018 CAR-St Vincent 3519857 GLUCAGON GLUCAGON 1 MG INJ Ea 4 4 409.48 Carmel Pharmacy 1MG KIT i 7/16/2018 CAR-St Vincent 1254812 PREDNISONE DELTASONE 20 MG TAB EA 30 30 4.50 Carmel Pharmacy TAB 20 MG 1 7/16/2018 CAR-St Vincent 2720621 EPINEPHRINE EPINEPHRINE 0.1MG/ INJ 10 EA 20 20 80.00 i Carmel Pharmacy 0.1MG/ML ML 30ML f 10MLSYRINGE j (BRISTOJ ECT) 7/16/2018 CAR-St Vincent 1226505 MAGNESIUM MAGNESIUM 1GM/2M INJ 25 EA 5 5 4.30 Carmel Pharmacy SULF 1GM/2ML SULF L VIAL Pharmacy Orders 7/1/2018 through 7/31/2018 r—._-;-- (CARMEL FIRE, 7/16/2018 CAR-St Vincent 1131093 NALOXONE NARCAN 2MG/2M INJ 10 EA 2 2 55.88 �DiPARTMEN Carmel Pharmacy 2MG/2ML L 7TIRE/AMB` SYRINGE (CC 32154) s 7/16/2018 CAR-St Vincent 2705077 Ketorolac Toradol 60mg/2 vial 25's NULL 5 5 4.70 Carmel Pharmacy 60mg/2ml vial ml 4 7/16/2018 CAR-St Vincent 1413178 Acetaminophe Tylenol 325mg tablet 100 NULL 5 5 0.10 y Carmel Pharmacy n 325mg tablet 7/16/2018 CAR-St Vincent 2434801 Albuterol Proventil 2.5mg/3 nebuliz 30's NULL 5 5 0.75 _ Carmel Pharmacy 2.5mg/3ml neb ml ed soln soln 7/16/2018 CAR-St Vincent 1451798 Diphenhydrami Benadryl 50mg/ml vial 25's NULL 5 5 2.80 Carmel Pharmacy ne 50mg/mi INJ 7/16/2018 CAR-St Vincent 1796010 Ipratropium/AI Duoneb D.Smg/3 nebuliz 25's NULL 5 5 1.35 + Carmel Pharmacy buterol mg ed soln 0.5mg/3ml neb + 7/16/2018 CAR-St Vincent 3462207 Lidocaine 2% Xylocaine 2% jelly 30ml NULL 2 2 11.52 3 Carmel Pharmacy Jelly 30ml I 7/16/2018 CAR-St Vincent 2247609 Methylprednis Solu-Medrol 125mg vial 25's NULL 1 1 6.74 Carmel Pharmacy olone Sodium Succinate 325mg vial 7/16/2018 CAR-St Vincent 3556065 Nitroglycerin Nitrostat 0.4mg tablet bottle of 25 NULL 1 1 15.98 Carmel Pharmacy Sublinqual k' 0.4m9 tab 7/16/2018 CAR-St Vincent 3241114 Ondansetron Zofran ODT 4mg tablet 30's NULL 10 10 3.70 Carmel Pharmacy 4mg ODT 7/16/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 28 28 56.56 Carmel Pharmacy Chloride 0.9% Chloride IV bag 1000ml IV Bag 7/16/2018 CAR-St Vincent 1918101 Sodium Sodium 0.90% 500ml 24's NULL 48 48 89.28 Carmel Pharmacy Chloride 0.9% Chloride IV bag 500ml IV Bag I 7/16/2018 CAR-St Vincent 1763093 EPINEPHRINE ADRENALIN 30 MG INJ Ea 1 1 66.08 + Carmel Pharmacy SMG/ML 30ML MDV i 7/16/2018 CAR-St Vincent 1763689 ADENOSINE ADENOCARD 6 MG INJ Ea 30 30 67.50 Carmel Pharmacy 6MG INJ Pharmacy Orders 7/1/2018 through 7/31/2018 CAR MEL FIRE 7/16/2018 CAR-St Vincent 3643731 AMIODARONE AMIODARONE 150 INJ 25 EA 1 1 0.76 &E%,RTIVIEN Carmel Pharmacy 150MG/3ML MG/3ML T FI 1, a RE/AMB VIAL �! ,, (C632-154) 7/16/2018 CAR-St Vincent 3519857 GLUCAGON GLUCAGON 1 MG INJ Ea 10 10 1023.70 Carmel.Pharmacy 1MG KIT 7/16/2018 CAR-St Vincent 1254812 PREDNISONE DELTASONE 20 MG TAB EA 10 10 1.50 Ifi i Carmel Pharmacy TAB 20 MG 1 7/16/2018 CAR-St Vincent 2720621 EPINEPHRINE EPINEPHRINE 0.1MG/ INJ 10 EA 10 10 40.00 Carmel Pharmacy 0.1MG/ML ML 10ML 10ML SYRINGE (BRISTOJECT) i o 7/17/2018 CAR-St Vincent 3590429 SODIUM NORMAL 0.9% INJ 30 EA 180 180 34.20 { Carmel Pharmacy CHLORIDE 0.9% SALINE i FLUSH SYRINGE 10ML 7/25/2018 CAR-St Vincent 1245695 Racemic Racemic 2.25%/0. nebuliz 30's NULL 30 30 42.00 ' ! Carmel Pharmacy Epinephrine Epinephrine 5ml ed soln a 0.5ml neb soln i ° 7/25/2018 CAR-St Vincent 2718591 Lidocaine 2% Xylocaine 25to syringe 10's NULL 10 10 22.80 i Carmel Pharmacy 100mg/5ml syringe 7/25/2018 CAR-St Vincent 2247609 Methylprednis Solu-Medrol 125mg vial 25's NULL 5 5 33.70 I Carmel Pharmacy alone Sodium Succinate 125mg vial 7/25/2018 CAR-St Vincent 1482538 Sodium Sodium 0.90% 1000ml 14's NULL 28 28 56.56 E Carmel Pharmacy Chloride 0.9% Chloride IV bag ° 1000ml IV Bag ° 7/25/2018 CAR-St Vincent 1718659 ONDANSETRO ZOFRAN 4 MG INJ Ea 25 25 6.75 Carmel Pharmacy N 4MG INJ q i 7/25/2018 CAR-St Vincent 3590429 SODIUM NORMAL 0.9% INJ 30 EA 300 300 57.00 Carmel Pharmacy CHLORIDE 0.9% SALINE FLUSH SYRINGE 10ML 7/25/2018 CAR-St Vincent 2720621 EPINEPHRINE EPINEPHRINE 0.1MG/ INJ 10 EA 80 80 320.00 Carmel Pharmacy 0.1MG/ML ML 10ML 26MLSYRINGE (BRISTOJECT) Depatmental Transfer of Supplies date submissed Requesting Department: Carmel Fire Dept Supplying Department ER Jun-18 Cost Center Cost Center 4602431600 QUANTITY UNITCOST TOTAL COST Alcohol preps $0.25 $0.00 Angiocath 14 $1.58 $0.00 Angiocath 16 $1.56 $0.00 An !ocath 18g $1.50 $0.00 Angiocath 20 $1.50 $0.00 Angiocath 2Og 1.88 per box $95.00 $0.00 Angiocath 22 $1.50 $0.00 Angiocath 24 $1.55 $0.00 Bandaids Basin Wdney shaped $0.08 $0.00 Basin round $0.31 $0.00 Ca no-Line Sampling ETCO2 Smart Ped per bx $253.00 $0.00 Ca no-Circuit Nasal with Tubing Adult per cs $312.50 $0.00 Ca no-Circuit Nasal with Tubing Adult per cs 100 $940.00 $0.00 Ca no-St filter lin Adlt/ed 1 case $356.30 $0.00 Coban 1'Roll ea $1.75 $0.00 Cold paks $0.57 $0.00 Drill Driver Power EZ-10 $295.00 $0.00 EKG Electrodes $3.12 $0.00 Emesis Bas(perpack) $11.52 $0.00 EZ-10 Adult Needles $495.00/box of 5 $99.00 $0.00 EZ-10 Power Driver $295.00 $0.00 Foam-Quikcare $2.67 $0.00 Guaze,2 x 2 Cotton bail $1.88 $0.00 Guaze,2 X 2 Sterile $0.02 $0.00 Gauze 4 X 3 sponge(per box $1.24 $0.00 Gauze 4 x 4 tub $0.32 $0.00 Gauze Kedex $0.67 $0.00 Gloves-Med $10.35 $0.00 Gloves-Large $10.35 $0.00 Gloves-Merge $10.35 $0.00 IV Adapter,Luerlock $0.151 $0.00 IV Dial a flow $3.15 $0.00 IV Extension 19" $1.91 $0.00 IV Lock with Ext $1.87 $0.00 IV Start Kits ea $0.69 $0.00 IV Start Kits Sobraview 100/bx $2.66 $0.00 IV Tubing 10 tt $1.16 $0.00 IV Tubbing 1Ogtt per case of 48 2 $121.10 $242.20 Kleenex $0.19 $0.00 KY pkt $0.10 $0.00 Kerlix 4.5"x6ply $0.73 $0.00 Lancets per box $57.78 $0.00 Largyngscope Blades Stat 3 box $180.50 $0.00 Largyngscope Blades Stat 4 box $135.74 $0.00 Microdot Xtra Test Strips $29.98 $0.00 Microdot Xtra Control Solutions $12.00 $0.00 Normal Saline 1000 cc bags/ca $9.48 $0.00 Pressure Bag Infusion 1000cc $0.381 $0.00 Pulse Ox,Adult $5.18. $0.00 Pulse Ox,Peds $5.171 $0.00 Razor,dis oseable $0.12 $0.00 Sca el#11 $1.30 $0.00 Sharps Container $4.59 $0.00 Sterile H2O bottle $0.71 $0.00 Suction Canister&to $3.26 $0.00 Suture Kit 1 $1.09 $0.00 SYR Hypo w/needle $0.25 $0.00 Syringe wheedle 1 ml $0.07 $0.00 Syringe w/Needle 3 ml $0.05 $0.00 Syringe w/Needie 3 ml per case $35.76 $0.00 Syringe w/Needle 5ml $0.10 $0.00 Syringe w/Needie 5ml 1 case $69.30 $0.00 Syringe w/Needle 10 ml $0.12 $0.00 Syringe 2Oml $0.16 $0.00 Syringe 30ml $0.42 $0.00 Syringe w Saline 3ml $0.28 $0.00 Syringe w/SalinelOm1 $0.32 $0.00 10 ml saline vials(per box $9.63 $0.00 Tape 2" 6 rolls/box $1.001 $0.00 Tae 1" $0.501 $0.00 Tape 2"doth adh $1.291 $0.00 Tape Trans ore 1/2" $1.28 $0.00 TB ET Cuffed Rediture $1.80 $0.00 Warm paks $1.46 $0.00 Wound Cleanser $5.04 $0.00 Suction Canister&to $3.26 $0.00 Yankauers $0.34 $0.00 Ambu Ba w/mask-Adult $14.63 $0.00 Ambu Bag w/mask-Adult cstl0 2 $64.00 $128.00 Ambu Ba w/mask-Peds cs/10 $126.00 $0.00 Ambu Bag w/mask-Infant cs/10 $16.00 $0.00 CPAP Flow-Safe!!Ez $443.95 $0.00 CPAP mask-1 case/10 $480.00 $0.00 CPAP Adapter Tee Valve $41.20 $0.00 Lg Bitrac Full Face Mask $29.00 $0.00 ET Tube Stylette, $0.00 Wipes Disenfect $11.52 $0.00 Grand Total $370.20 Approved by date