GOBIERNO DE PUERTO RICO Administración de Servicios Médicos de Puerto Rico
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1 1 Acetylcysteine Solution 20% Vial 10ml 2 Acetylcysteine Solution 20% Vial 30ml 3 Activated Charcoal Bottle 4 fl oz or 8 fl oz 4 Adenosine 6mg/2ml Inj Solution Syringe / Vial 2ml 5 Albuterol Sulfate Inhalation Solution 0.083% Ampule 3ml Box 30 or 60 ampules 6 Amiodarone 150mg/100ml Premixed Premixed Bag 100ml 7 Amiodarone 150mg/3ml Vial Vial 3ml 8 Ampicillin Sulbactam 3gm Vial 9 Antipyrine and Benzocaine Otic Drops Bottle 10ml 10 Atropine Sulfate 1mg/10ml Syringe 10ml 11 Bacitracin 50,000 Units Systemic Vial 12 Bacteriostatic Water Vial 30ml 13 Bupivacaine Inj Solution 0.5% Vial 10ml 14 Calcium Chloride 10% (1gm/10ml) Inj Solution Syringe / Vial 10ml 15 Calcium Gluconate 10% (1gm/10ml) Inj Solution Vial 10ml 16 Carvedilol 6.25mg Tablet Bottle 100 tablets 17 Cefazolin Sodium 1gm Vial or Premixed Bag 18 Cefazolin Sodium 500mg Vial 19 Cefepime 1gm Vial 20 Cefepime 2gm Vial 21 Ceftriaxone 1gm Vial 22 Ceftriaxone 2gm Vial 23 Ciprofloxacin 400mg Vial or Premixed Bag 24 Ciprofloxacin Ophthalmic Ointment Tube 3.5gm 25 Ciprofloxacin Ophthalmic Solution Bottle 5ml 26 Cisatracuruim Besylate 200mg/20ml Vial 20ml Page 1 of 5
2 27 Cisatracuruim Besylate 2mg/ml Vial 10ml 28 Clevidipine Butyrate 50mg/100ml IV Emulsion Vial 100ml 29 Clindamycin Phosphate 600mg Vial or Premixed Bag 30 Clonidine 0.1mg Tablet Bottle 100 tablets 31 Clonidine 0.2mg Tablet Bottle 100 tablets 32 Dexamethasone Sodium Phosphate 4mg/ml Vial 1ml or 5ml 33 Dextrose 50% Syringe / Vial 50ml 34 Diphenhydramine 50mg/ml Vial 1ml 35 Dobutamine 250mg/250ml Inj Solution Premixed Bag 250ml or Vial 36 Docusate Calcium 240mg Capsule Bottle 100 capsules 37 Dopamine/Dextrose 5% 400mg/250ml Premixed Bag 250ml 38 Enalapril Maleate 10mg Bottle 100 tablets 39 Enalapril Maleate 20mg Tablet Bottle 100 tablets 40 Enalaprilat 1.25mg/ml Inj Solution Vial 1ml or 2ml 41 Enoxaparin 30mg/0.3ml Syringe 42 Enoxaparin 40mg/0.4ml Syringe 43 Epinephrine 1mg/10ml Inj Solution Syringe 10ml 44 Ertapenem 1gm Vial 45 Eye Wash Solution Bottle 120ml 46 Famotidine 20mg IV Premixed Bag 47 Fluconazole 200mg IV Vial or Premixed Bag 48 Fluconazole 400mg IV Vial or Premixed Bag 49 Flumazenil 0.1mg/ml Vial 5ml 50 Furosemide 20mg/2ml Vial 2ml 51 Gentamicin Sulfate 80mg Vial or Premixed Bag 52 Gentamicin Sulfate Ophthalmic Ointment Tube 3.5gm Page 2 of 5
3 53 Gentamicin Sulfate Ophthalmic Solution Bottle 5ml 54 Glucagon 1mg Kit Kit 55 Glycopyrrolate 0.2mg/ml Vial 1ml 56 Glycopyrrolate 0.4mg/2ml Vial 2ml 57 Haloperidol 5mg/ml Vial 1ml or 10ml 58 Hydralazine 20mg/ml Inj Solution Vial 1ml 59 Imipenem / Cilastatin 250mg Inj Vial 60 Ketorolac Thromethamine 30mg/ml Vial 1ml or 2ml 61 Labetalol Inj Solution 5mg/ml Vial 20ml 62 Levetiracetam Inj Solution 500mg/5ml Vial 5ml 63 Levofloxacin 500mg Premixed Bag 64 Levofloxacin 750mg Premixed Bag 65 Lidocaine / Epinephrine 1% / 1:100,000 Inj Solution Vial 20ml 66 Lidocaine / Epinephrine 2% / 1:100,000 Inj Solution Vial 20ml 67 Lidocaine 1% Nerve Block Vial 20ml 68 Lidocaine 2% Nerve Block Vial 20ml 69 Lidocaine Cardiac 2% (100mg/5ml) Syringe / Vial 5ml 70 Lidocaine Mouth/Throat Solution 2% Bottle 100ml 71 Lindane Shampoo 1% Bottle 60ml 72 Liquid Multivitamins Oral Solution Bottle 473ml 73 Mafenide Acetate Cream Jar 453.6gm 74 Magnesium Sulfate 50% (1gm/2ml) Vial 2ml 75 Methylprednisolone Sodium Succinate 40mg Vial 76 Methylprednisolone Sodium Succinate 125mg Vial 77 Metoprolol Tartrate 25mg Tablet Bottle 100 tablets 78 Metoprolol Tartrate 50mg Tablet Bottle 100 tablets Page 3 of 5
4 79 Metronidazole 500mg IV Premixed Bag 80 Naloxone 0.4mg/ml Vial 1ml 81 Nifedipine 10mg Capsule Bottle 100 capsules 82 Nimodipine 30mg Capsule Box 100 capsules 83 Norepinephrine Bitartrate 4mg/4ml Ampule / Vial 4ml 84 Olanzapine 5mg Tablet Bottle 30 tablets 85 Olanzapine Oral Disintegrating Tablet 10mg Bottle 30 tablets 86 Pantoprazole 40mg IV Vial 87 Phenytoin Sodium 100mg/2ml Vial 88 Phosphorus Supplement 250mg (PhosPha Tab) Bottle 100 tablets 89 Piperacillin / Tazobactam 2.25gm Vial 90 Piperacillin / Tazobactam 3.375gm Vial 91 Piperacillin / Tazobactam 4.5gm Vial 92 Polymyxin B Sulfate 500,000 units Vial 93 Potassium Chloride 10% Oral Solution Bottle 473ml 94 Potassium Phosphate IV 95 Procainamide 100mg/ml Inj Solution Vial 10ml 96 Promethazine Inj Solution 25mg/ml Vial 1ml 97 Propofol 10mg/ml Vial 20ml, 50ml & 100ml 98 Ranitidine 50mg/2ml Inj Solution Vial 2ml 99 Rocuronium 10mg/ml Inj Solution Vial 5ml 100 Silver Sulfadiazine Cream 1% Jar 400gm 101 Sodium Bicarbonate 8.4% 1mEq/ml Vial 50ml 102 Sodium Citrate 500mg and Citric Acid 334mg per 5ml Bottle 473ml 103 Sulfacetamide & Prednisolone Ophthalmic Suspension Bottle 5ml 104 Thiamine 100mg/ml Vial 2ml Page 4 of 5
5 105 Tobramycin/Dexamethasone Ophthalmic Ointment Tube 3.5gm 106 Tobramycin/Dexamethasone Ophthalmic Suspension Bottle 5ml 107 Trimethoprim 16mg/Sulfamethoxazole 80mg per ml Inj Vial 10ml 108 Vancomycin 1gm Vial 109 Verapamil 2.5mg/ml Vial 2ml or 4ml 110 Ziprasidone 20mg Inj Vial Page 5 of 5
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