Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | COMMODITIES |
|---|---|
| EXPENSE CATEGORY | INVENTORY PURCHASES |
| PAYEE | LIFE-ASSIST INC |
| PAYMENT REQUEST | Select a payment request. |
Payment Requests | Select from Below
| PAYMENT REQUEST | DESCRIPTION | CHECK DATE | CHECK STATUS  Checks cleared as of 01/31/2015 have been reflected as paid on the reports |
AMOUNT |
|---|---|---|---|---|
| PRM 9300 12070226382 | M007.2 NITROMIST NITROGLYCERIN LINGUAL AEROSOL SPRAY. 400MCG | 07/03/2012 | Paid | $17,875.00 |
| PRM 9300 12061924844 | 0.9% Sodium Chloride 1000ml Hospira (Abbott Labs) # 798309 | 06/20/2012 | Paid | $4,117.00 |
| PRM 9300 12051721875 | 0.9% Sodium Chloride 250ml Hospira (Abbott Labs) # 798302 | 05/18/2012 | Paid | $1,489.71 |
| PRM 9300 12043020101 | CLOTHS, WASH, DISPOSABLE | 05/01/2012 | Paid | $3,412.50 |
| PRM 9300 12040417695 | M007.2 NITROMIST NITROGLYCERIN LINGUAL AEROSOL SPRAY. 400MCG | 04/05/2012 | Paid | $17,875.00 |
| PRM 9300 12032817048 | M1001 ONDANSETRON (ZOFRAN) USP. STRENGTH: 4MG/2ML | 03/29/2012 | Paid | $187.50 |
| PRM 9300 12030714878 | B052 Sam Splints™ Lightweight orange universal splint La | 03/08/2012 | Paid | $1,835.40 |
| PRM 9300 12030714878 | M007.2 NITROMIST NITROGLYCERIN LINGUAL AEROSOL SPRAY. 400MCG | 03/08/2012 | Paid | $13,406.25 |
| PRM 9300 12030714878 | M1001 ONDANSETRON (ZOFRAN) USP. STRENGTH: 4MG/2ML | 03/08/2012 | Paid | $127.50 |
| PRM 9300 12030714878 | N003.1 ADVANTIV SAFETY I.V CATHETER SIZE:14G X 1 1/4" | 03/08/2012 | Paid | $612.60 |
| PRM 9300 12030714878 | N011.1 ADVANTIV SAFETY I.V CATHETER SIZE: 24G X 5/8" | 03/08/2012 | Paid | $306.30 |
| PRM 9300 12030614662 | N010.1 ADVANTIV SAFETY I.V CATHETER SIZE: 22G X 1" | 03/07/2012 | Paid | $306.30 |
| PRM 9300 12022213319 | M057 Epi Auto Injector Adult dose #49502050001 | 02/23/2012 | Paid | $188.55 |
| PRM 9300 12022213319 | M058 Epi Auto Injector Child dose #49502050101 | 02/23/2012 | Paid | $1,131.30 |
| PRM 9300 12022213320 | M057 Epi Auto Injector Adult dose #49502050001 | 02/23/2012 | Paid | $13,009.95 |
| PRM 9300 12022213320 | M058 Epi Auto Injector Child dose #49502050101 | 02/23/2012 | Paid | $11,690.10 |
| PRM 9300 12020211442 | S001.1 BOTTOM (FITTED) SHEET. DISPOSABLE. 30x84. | 02/03/2012 | Paid | $14,526.00 |
| PRM 9300 12011810097 | 0.9% Sodium Chloride 1000ml Hospira (Abbott Labs) # 798309 | 01/19/2012 | Paid | $4,117.00 |
| PRM 9300 12011810097 | 0.9% Sodium Chloride 250ml Hospira (Abbott Labs) # 798302 | 01/19/2012 | Paid | $1,489.71 |
| PRM 9300 12011810097 | J001 VIONEX® Antimicrobial Skin Wipes Metrex Individual | 01/19/2012 | Paid | $2,087.60 |
| PRM 9300 12011810097 | M037 Methylprednisolone 125mg 2ml when mixed 2ml ACT-O-VIAL | 01/19/2012 | Paid | $2,351.34 |
| PRM 9300 12011810097 | N004.2 ADVANTIV SAFTEY I.V CATHETER. SIZE: 14G X 2" | 01/19/2012 | Paid | $306.30 |
| PRM 9300 12011810097 | N005.1 ADVANTIV SAFETY I.V CATHETER SIZE: 16G X 1 1/4" | 01/19/2012 | Paid | $612.60 |
| PRM 9300 12011810097 | N006.1 ADVANTIV SAFETY I.V CATHETER. SIZE: 16G X 2" | 01/19/2012 | Paid | $306.30 |
| PRM 9300 12011810097 | N007.1 ADVANTIV SAFETY I.V CATHETER SIZE: 18G X 1 1/4" | 01/19/2012 | Paid | $5,207.10 |
| PRM 9300 12011810097 | N008.1 ADVANTIV SAFETY I.V CATHETER. SIZE:18G X 1 3/4" | 01/19/2012 | Paid | $306.30 |
| PRM 9300 12011810097 | N009.1 ADVANTIV SAFETY I.V CATHETER SIZE: 20G X 1 1/4" | 01/19/2012 | Paid | $5,207.10 |
| PRM 9300 12010909187 | B052 Sam Splints™ Lightweight orange universal splint La | 01/10/2012 | Paid | $1,835.40 |
| PRM 9300 12010909187 | M007.2 NITROMIST NITROGLYCERIN LINGUAL AEROSOL SPRAY. 400MCG | 01/10/2012 | Paid | $13,406.25 |
| PRM 9300 12010909188 | CLOTHS, WASH, DISPOSABLE | 01/10/2012 | Paid | $409.50 |
| PRM 9300 11121907618 | CLOTHS, WASH, DISPOSABLE | 12/20/2011 | Paid | $2,320.50 |
| PRM 9300 11121206912 | CLOTHS, WASH, DISPOSABLE | 12/13/2011 | Paid | $682.50 |
| PRM 9300 11120506316 | M007.2 NITROMIST NITROGLYCERIN LINGUAL AEROSOL SPRAY. 400MCG | 12/06/2011 | Paid | $1,787.50 |
| PRM 9300 11120506316 | S001.1 BOTTOM (FITTED) SHEET. DISPOSABLE. 30x84. | 12/06/2011 | Paid | $7,236.00 |
| PRM 9300 11111404583 | MEDICAL, DENTAL AND LAB SUPPLY PER PRICE AGREEMENT | 11/15/2011 | Paid | $9,342.00 |
| PRM 9300 11101801894 | A068 D Tank Regulator LSP #LP270-220 | 10/19/2011 | Paid | $3,008.40 |
| PRM 9300 11101801894 | B052 Sam Splints™ Lightweight orange universal splint La | 10/19/2011 | Paid | $193.20 |
| PRM 9300 11101801894 | CLOTHS, WASH, DISPOSABLE | 10/19/2011 | Paid | $6,006.00 |
| PRM 9300 11101801894 | M007.2 NITROMIST NITROGLYCERIN LINGUAL AEROSOL SPRAY. 400MCG | 10/19/2011 | Paid | $6,256.25 |
| PRM 9300 11101801894 | MEDICAL, DENTAL AND LAB SUPPLY PER PRICE AGREEMENT | 10/19/2011 | Paid | $9,396.00 |
| PRM 9300 11101000981 | Adult Nonbreathing Oxygen Mask Hudson RCI #1060 | 10/11/2011 | Paid | $3,159.50 |
| PRM 9300 11101000981 | B052 Sam Splints™ Lightweight orange universal splint La | 10/11/2011 | Paid | $3,477.60 |
| PRM 9300 11101000981 | CLOTHS, WASH, DISPOSABLE | 10/11/2011 | Paid | $95.55 |
| PRM 9300 11100400347 | M007.2 NITROMIST NITROGLYCERIN LINGUAL AEROSOL SPRAY. 400MCG | 10/05/2011 | Paid | $2,681.25 |
| PRM 9300 11092735740 | S001.1 BOTTOM (FITTED) SHEET. DISPOSABLE. 30x84. | 09/28/2011 | Paid | $1,080.00 |
| PRM 9300 11092135105 | A103.4 T-Adapter. Disposable, Latex free. Single Use. Pul | 09/22/2011 | Paid | $467.86 |
| PRM 9300 11070127296 | M007.1 Nitrolingual* Pumpspray. Strength 0.4mg / Dos | 07/05/2011 | Paid | $1,787.50 |
| PRM 9300 11041920373 | M007.1 Nitrolingual* Pumpspray. Strength 0.4mg / Dos | 04/20/2011 | Paid | $4,630.88 |
| PRM 9300 11020312819 | PAPER ABSORBENT, POLYETHYLENE | 02/04/2011 | Paid | $311.50 |
| PRM 9300 11012411548 | PAPER ABSORBENT, POLYETHYLENE | 01/25/2011 | Paid | $1,682.10 |
| PRM 9300 11011210409 | M007.1 Nitrolingual* Pumpspray. Strength 0.4mg / Dos | 01/13/2011 | Paid | $48,114.00 |