CAPS 503A 503B. The nation s largest network of outsourcing admixture pharmacies. It takes both to meet your compounding needs

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1 CAPS The nation s largest network of outsourcing admixture pharmacies 503A 503B It takes both to meet your compounding needs

2 CAPS offers twenty three 503A regional pharmacies registered to dispense your customized, patient specific CSPs. Parenteral Nutrition (PN) Patient specific drug doses Chemotherapy (IVPB, Syringes, Devices, CRRT) CAPS offers two 503B outsourcing facilities registered with the FDA to meet your non patient specific CSP needs. Drug Delivery Anesthesia Syringes Controlled Substances Cardioplegia Neonatal PN Starter Bags Follows quality standards for USP <797> Customized services with local delivery for patient specific needs Patient specific labels with barcoding, ISMP safe labeling features Easy online ordering with CAPSlink Over two decades of experience Delivering solutions every day Contact your regional CAPS pharmacy or CAPS nutrition specialist for your patient specific needs Providing industry leading CSP release testing Standardized dosing ready when you are 503B label standards with barcoding, ISMP safe labeling features Easy online ordering with CAPSlink Transparent reporting on quality and customer service Delivering confidence every day See attached list of CAPS 503B products for your anticipatory needs CAPSpharmacy.com A 503B Reliable Your source source source source for compounding

3 Case Size (Unless Specified) Calcium Gluconate 1 gram added to Dextrose 5% 50 ml in 100 ml PAB Bag days Calcium Gluconate 1 gram added to Dextrose 5% 100 ml in 150 ml PAB Bag days Calcium Gluconate 1 gram added to 0.9% Sodium Chloride 50 ml in 100 ml PAB Bag days Calcium Gluconate 1 gram added to 0.9% Sodium Chloride 100 ml in 150 ml PAB Bag days Calcium Gluconate 2 gram added to 0.9% Sodium Chloride 50 ml in 100 ml PAB Bag days Calcium Gluconate 2 gram added to 0.9% Sodium Chloride 100 ml in 150 ml PAB Bag days Cefazolin 1 gram in Sterile Water for Inj. 10 ml in 10 ml BD Syringe days Refrigerated Cefazolin 2 gram in Sterile Water for Inj. 20 ml in 20 ml BD Syringe days Refrigerated Cefazolin 3 gram in Sterile Water for Inj. 30 ml in 30 ml BD Syringe days Refrigerated Diltiazem 125 mg added to 0.9% Sodium Chloride 100 ml in 150 ml PAB Bag (1 mg/ml) days Diltiazem 125 mg added to Dextrose 5% 100 ml in 150 ml PAB Bag (1 mg/ml) days Diphenhydramine 25 mg added to 0.9% Sodium Chloride 50 ml in 100 ml PAB Bag days Diphenhydramine 50 mg added to 0.9% Sodium Chloride 50 ml in 100 ml PAB Bag days Epinephrine 2 mg added to Dextrose 5% 250 ml in 250 ml Excel Bag days Epinephrine 4 mg added to Dextrose 5% 250 ml in 250 ml Excel Bag days Heparin 1,250 units added to 0.9% Sodium Chloride 250 ml in 250 ml Excel Bag days Heparin 2,000 units added to 0.9% Sodium Chloride 500 ml in 500 ml Excel Bag days Heparin 2,500 units added to 0.9% Sodium Chloride 250 ml in 250 ml Excel Bag days Heparin 4,000 units added to 0.9% Sodium Chloride 1000 ml in 1000 ml Excel Bag days Heparin 5,000 units added to 0.9% Sodium Chloride 500 ml in 500 ml Excel Bag days Heparin 7,500 units added to 0.9% Sodium Chloride 1000 ml in 1000 ml Excel Bag days Magnesium Sulfate 1 gram added to 0.9% Sodium Chloride 50 ml in 100 ml PAB Bag days Magnesium Sulfate 1 gram added to Dextrose 5% 50 ml in 100 ml PAB Bag days Magnesium Sulfate 2 gram added to 0.9% Sodium Chloride 50 ml in 100 ml PAB Bag days Magnesium Sulfate 2 gram added to Dextrose 5% 50 ml in 100 ml PAB Bag days Magnesium Sulfate 2 gram added to 0.9% Sodium Chloride 100 ml in 150 ml PAB bag days APRIL 2015 DRUG DELIVERY Page 1 of 10

4 Case Size (Unless Specified) Magnesium Sulfate 2 gram added to Dextrose 5% 100 ml in 150 ml PAB bag days Magnesium Sulfate 3 gram added to Dextrose 5% 100 ml in 150 ml PAB bag days Magnesium Sulfate 10 gram added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Norepinephrine 4 mg added to Dextrose 5% 250 ml in 250 ml Excel bag days Norepinephrine 8 mg added to Dextrose 5% 250 ml in 250 ml Excel bag days Norepinephrine 8 mg added to Dextrose 5% 500 ml in 500 ml Excel bag days Oxytocin 10 units added to Lactated Ringers 500 ml in 500 ml Excel bag days Oxytocin 10 units added to Dextrose 5% Lactated Ringers 500 ml in 500 ml Excel bag days Oxytocin 10 units added to 0.9% Sodium Chloride 500 ml in 500 ml Excel bag days Oxytocin 15 units added to Dextrose 5% 250 ml in 250 ml Excel bag days Oxytocin 15 units added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Oxytocin 15 units added to Lactated Ringers 250 ml in 250 ml Excel bag days Oxytocin 20 units added to 0.9% Sodium Chloride 1000 ml in 1000 ml Excel bag days Oxytocin 20 units added to Dextrose 5% Lactated Ringers 1000 ml in 1000 ml Excel bag days Oxytocin 20 units added to Lactated Ringers 1000 ml in 1000 ml Excel bag days Oxytocin 30 units added to 0.9% Sodium Chloride 500 ml in 500 ml Excel bag days Oxytocin 30 units added to Dextrose 5% Lactated Ringers 500 ml in 500 ml Excel bag days Oxytocin 30 units added to Lactated Ringers 500 ml in 500 ml Excel bag days Oxytocin 40 units added to 0.9% Sodium Chloride 1000 ml in 1000 ml Excel bag days Phenylephrine 10 mg added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Phenylephrine 20 mg added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Phenylephrine 25 mg added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Phenylephrine 40 mg added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Potassium Phosphate 3 mmol added to 0.9% Sodium Chloride 100 ml in 150 ml PAB Bag days Potassium Phosphate 15 mmol added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Potassium Phosphate 20 mmol added to Dextrose 5% 250 ml in 250 ml Excel bag days APRIL 2015 DRUG DELIVERY Page 2 of 10

5 Case Size (Unless Specified) Potassium Phosphate 30 mmol added to 0.9% Sodium Chloride 500 ml in 500 ml Excel bag days Sodium Bicarbonate 150 meq added to Dextrose 5% 1000 ml in 1000 ml Excel bag days Sodium Bicarbonate 150 meq in Dextrose 5% 1000 ml in 1000 ml Baxa bag days Vancomycin 750 mg added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Refrigerated Vancomycin 750 mg added to Dextrose 5% 250 ml in 250 ml Excel bag days Refrigerated Vancomycin 1 gram added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Refrigerated Vancomycin 1 gram added to Dextrose 5% 250 ml in 250 ml Excel bag days Refrigerated Vancomycin 1.25 gram added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Refrigerated Vancomycin 1.25 gram added to Dextrose 5% 250 ml in 250 ml Excel bag days Refrigerated Vancomycin 1.5 gram added to 0.9% Sodium Chloride 250 ml in 250 ml Excel bag days Refrigerated Vancomycin 1.5 gram added to Dextrose 5% 250 ml in 250 ml Excel bag days Refrigerated Vancomycin 1.75 gram added to 0.9% Sodium Chloride 500 ml in 500 ml Excel bag days Refrigerated Vancomycin 2 gram added to 0.9% Sodium Chloride 500 ml in 500 ml Excel bag days Refrigerated APRIL 2015 DRUG DELIVERY Page 3 of 10

6 Case Size Atropine 0.4 mg/ml 5 ml in 5 ml BD Syringe days Bupivacaine PF 0.25% 20 ml in 20 ml BD Syringe days Ephedrine 5 mg/ml in 0.9% Sodium Chloride 5 ml in 5 ml BD Syringe days Ephedrine 5 mg/ml in 0.9% Sodium Chloride 10 ml in 10 ml BD Syringe days Ephedrine 10 mg/ml in 0.9% Sodium Chloride 5 ml in 5 ml BD Syringe days Fentanyl Citrate 50 mcg/ml 2 ml in 3 ml BD Syringe days Fentanyl Citrate 50 mcg/ml 5 ml in 5 ml BD Syringe days Glycopyrrolate 0.2 mg/ml 5 ml in 5 ml BD Syringe days Ketamine 10 mg/ml in 0.9% Sodium Chloride 5 ml in 5 ml BD Syringe days Lidocaine 2% 3 ml in 5 ml BD Syringe days Neostigmine 1 mg/ml 5 ml in 5 ml BD Syringe days Phenylephrine 40 mcg/ml in 0.9% Sodium Chloride 10 ml in 10 ml BD Syringe days Phenylephrine 80 mcg/ml in 0.9% Sodium Chloride 10 ml in 10 ml BD Syringe days Phenylephrine 100 mcg/ml in 0.9% Sodium Chloride 10 ml in 10 ml BD Syringe days Rocuronium 10 mg/ml 5 ml in 5 ml BD Syringe days Succinylcholine 20 mg/ml 5 ml in 5 ml BD Syringe days Succinylcholine 20 mg/ml 10 ml in 10 ml BD Syringe days Vecuronium 1 mg/ml in Sterile Water for Inj. 10 ml in 10 ml BD Syringe days APRIL 2015 ANESTHESIA SYRINGES Page 4 of 10

7 Case Size Fentanyl 5 mcg/ml in 0.9% Sodium Chloride 1 ml in 2 ml Glass Vial days Fentanyl 5 mcg/ml in 0.9% Sodium Chloride 250 ml in 250 ml Pinnacle Bag days Fentanyl 10 mcg/ml in 0.9% Sodium Chloride 0.5 ml in 1 ml Monoject Syringe days Fentanyl 10 mcg/ml in 0.9% Sodium Chloride 1 ml in 2 ml Glass Vial days Fentanyl 10 mcg/ml in 0.9% Sodium Chloride 1 ml in 3 ml BD Syringe days Fentanyl 10 mcg/ml in 0.9% Sodium Chloride 10 ml in 10 ml BD Syringe days Fentanyl 10 mcg/ml in 0.9% Sodium Chloride 100 ml in 100 ml Hospira Bag days Fentanyl 10 mcg/ml in 0.9% Sodium Chloride 250 ml in 250 ml Pinnacle Bag days Fentanyl 10 mcg/ml in 0.9% Sodium Chloride 30 ml in 30 ml Hospira PCA Cartridge days Fentanyl 10 mcg/ml in 0.9% Sodium Chloride 50 ml in 60 ml BD Syringe days Fentanyl 10 mcg/ml in Dextrose 5% 10 ml in 10 ml BD Syringe days Fentanyl 10 mcg/ml in Dextrose 5% 250 ml in 250 ml Pinnacle Bag days Fentanyl 10 mcg/ml in Dextrose 5% 30 ml in 30 ml BD Syringe days Fentanyl 20 mcg/ml in 0.9% Sodium Chloride 250 ml in 250 ml Pinnacle Bag days Fentanyl 50 mcg/ml 100 ml in 100 ml Hospira Bag days Fentanyl 50 mcg/ml 25 ml in 30 ml BD Syringe days Fentanyl 50 mcg/ml 50 ml in 100 ml Hospira Bag days Fentanyl 50 mcg/ml 50 ml in 60 ml BD Syringe days Fentanyl 50 mcg/ml 8 ml in 10 ml BD Syringe days Fentanyl 1.5 mcg/ml / 0.125% Bupivacaine PF in 0.9% Sodium Chloride 60 ml in 60 ml BD Syringe days Fentanyl 2 mcg/ml / % Bupivacaine PF in 0.9% Sodium Chloride 250 ml in 250 ml Pinnacle Bag days Fentanyl 2 mcg/ml / 0.125% Bupivacaine PF in 0.9% Sodium Chloride 100 ml in 100 ml Hospira Bag days Fentanyl 2 mcg/ml / 0.125% Bupivacaine PF in 0.9% Sodium Chloride 250 ml in 250 ml Pinnacle Bag days Fentanyl 2.5 mcg/ml / 0.1% Bupivacaine PF in 0.9% Sodium Chloride 100 ml in 100 ml Hospira Bag days Hydromorphone 0.1 mg/ml in Dextrose 5% 30 ml in 30 ml BD Syringe days Hydromorphone 0.1 mg/ml in Dextrose 5% 5 ml in 5 ml BD Syringe days Hydromorphone 0.2 mg/ml in 0.9% Sodium Chloride 30 ml in 30 ml Hospira PCA Cartridge days Hydromorphone 0.2 mg/ml in 0.9% Sodium Chloride 30 ml in 30 ml BD Syringe days APRIL 2015 CONTROLLED SUBSTANCES Page 5 of 10

8 Case Size Hydromorphone 0.2 mg/ml in 0.9% Sodium Chloride 50 ml (10 mg added to 50 ml ) in 50 ml Hospira Bag days Hydromorphone 0.2 mg/ml in 0.9% Sodium Chloride 50 ml in 60 ml BD Syringe days Hydromorphone 0.5 mg/ml in 0.9% Sodium Chloride 30 ml in 30 ml Hospira PCA Cartridge days Hydromorphone 0.5 mg/ml in 0.9% Sodium Chloride 30 ml in 30 ml BD Syringe days Hydromorphone 1 mg/ml in 0.9% Sodium Chloride 30 ml in 30 ml Hospira PCA Cartridge days Hydromorphone 1 mg/ml in 0.9% Sodium Chloride 30 ml in 30 ml BD Syringe days Hydromorphone 1 mg/ml in 0.9% Sodium Chloride 50 ml in 60 ml BD Syringe days Ketamine 10 mg/ml in 0.9% Sodium Chloride 2 ml in 2 ml Glass Vial days Ketamine 50 mg/ml 1 ml in 3 ml BD Syringe days Midazolam 0.1 mg/ml in Dextrose 5% 5 ml in 5 ml Glass Vial days Midazolam 0.5 mg/ml in 0.9% Sodium Chloride 250 ml in 250 ml Pinnacle Bag days Midazolam 0.5 mg/ml in Dextrose 5% 100 ml (50 mg added to 100 ml) in 100 ml Hospira Bag days Midazolam 0.5 mg/ml in Dextrose 5% 250 ml in 250 ml Pinnacle Bag days Midazolam 1 mg/ml in 0.9% Sodium Chloride 100 ml in 100 ml Hospira Bag days Midazolam 1 mg/ml in 0.9% Sodium Chloride 250 ml in 250 ml Pinnacle Bag days Midazolam 1 mg/ml in 0.9% Sodium Chloride 50 ml in 100 ml Hospira Bag days Midazolam 1 mg/ml in Dextrose 5% 50 ml in 60 ml BD Syringe days Midazolam 5 mg/ml 25 ml in 30 ml BD Syringe days Midazolam 5 mg/ml 8 ml in 10 ml BD Syringe days Midazolam PF 0.5 mg/ml in Dextrose 5% 20 ml in 30 ml BD Syringe days Morphine 1 mg/ml in 0.9% Sodium Chloride 1 ml in 3 ml BD Syringe days Morphine 1 mg/ml in 0.9% Sodium Chloride 100 ml (100 mg added to 100 ml) in 100 ml Hospira Bag days Morphine 1 mg/ml in 0.9% Sodium Chloride 30 ml in 30 ml BD Syringe days Morphine 1 mg/ml in 0.9% Sodium Chloride 4 ml in 5 ml BD Syringe days Morphine 1 mg/ml in 0.9% Sodium Chloride 50 ml (50 mg added to 50 ml) in 50 ml Hospira Bag days Morphine 1 mg/ml in 0.9% Sodium Chloride 50 ml in 60 ml BD Syringe days Morphine 2 mg/ml in 0.9% Sodium Chloride 25 ml in 30 ml BD Syringe days Morphine 5 mg/ml in 0.9% Sodium Chloride 25 ml in 30 ml BD Syringe days APRIL 2015 CONTROLLED SUBSTANCES Page 6 of 10

9 Case Size Morphine 5 mg/ml in 0.9% Sodium Chloride 50 ml in 60 ml BD Syringe days Phenobarbital 10 mg/ml in 0.9% Sodium Chloride 1 ml in 5 ml Glass Vial days APRIL 2015 CONTROLLED SUBSTANCES Page 7 of 10

10 Blood Cardioplegia Formulas Product Total Volume MSA/MSG 0.92 molar Tromethamine 0.3 molar CP2D (mls) Potassium Chloride 2 meq/ml Dextrose 70% (mls) Sodium Chloride 4 meq/ml Refrigerated Beyond Use Dating Induction 4:1 High K (30 meq) 415 ml, Bag days Induction 4:1 High K (60 meq) 830 ml, Bag days Induction 4:1 High K (36 meq) Low Tromethamine 500 ml, Bag days Induction 8:1 High K (108 meq) 500 ml, Bag days Induction 8:1 High K (100 meq) LOW DEXTROSE 500 ml, Bag days Warm Induction 4:1 High K (40 meq) 500 ml, Bag days Warm Induction 4:1 High K (80 meq) 1000 ml, Bag days Warm Induction 4:1 High K (40 meq) Low Tromethamine 500 ml, Bag days Warm Induction 8:1 High K (66 meq) 500 ml, Bag days Maintenance 4:1 Low K (20 meq) 810 ml, Bag days Maintenance 4:1 Low K (36 meq) Low Tromethamine 1000 ml, Bag days Maintenance 8:1 Low K (24 meq) 500 ml, Bag days Maintenance 8:1 Low K (36 meq) LOW DEXTROSE 500 ml, Bag days Reperfusate NO K ml, Bag days Reperfusate NO K ml, Bag days Reperfusate 4:1 Low K (7.5 meq) ml, Bag days Reperfusate 4:1 Low K (15 meq) ml, Bag days Reperfusate 4:1 Low K (15 meq) Low Tromethamine 500 ml, Bag days Reperfusate 8:1 Low K (32 meq) 500 ml, Bag days Additional Blood Cardioplegia Formulas Product Total Volume Isolyte S, ph 7.4 Lidocaine 2% Sodium Bicarbonate 1 meq/ml Potassium Chloride 2 meq/ml Mannitol 20% Ringer's Injection Refrigerated Beyond Use Dating Induction 4:1 High K (30 meq) in Isolyte S, ph ml, Bag days Maintenance 4:1 Low K (30 meq) in Isolyte S, ph ml, Bag days Induction 4:1 High K (48 meq) in Ringer's ml, Bag days Maintenance 4:1 Low K (12 meq) in Ringer's ml, Bag days *Sterile water used to QS formulas to total volume APRIL 2015 CARDIOPLEGIA FORMULAS Page 8 of 10

11 Crystalloid Cardioplegia Formulas Product Total Volume Calcium Chloride 1.36 meq/ml Sodium Chloride 4 meq/ml Sodium Bicarbonate 1 meq/ml Potassium Chloride 2 meq/ml Magnesium Sulfate 4.06 meq/ml Refrigerated Beyond Use Dating Modified St. Thomas Formula High K (136 meq) 1116 ml, Bag days Modified St. Thomas Formula Low K (76 meq) 1086 ml, Bag days Other Cardioplegia Formulas Product Total Volume Isolyte S, ph 7.4 Lidocaine 2% Sodium Bicarbonate 1 meq/ml Potassium Chloride 2 meq/ml Mannitol 20% Magnesium Sulfate 4.06 meq/ml Refrigerated Beyond Use Dating del Nido Formula ml, Bag days Product Total Volume Adenosine 3 mg/ml Lidocaine 2% Magnesium Sulfate 4.06 meq/ml 0.9% Sodium Chloride (NORMAL SALINE) Adenosine Lidocaine Magnesium Sulfate 40 ml, Syringe days Product Total Volume MSA/MSG 0.92 molar Refrigerated Beyond Use Dating Microplegia (MSA/MSG 0.92 Molar) 125 ml, Bag days Microplegia (MSA/MSG 0.92 Molar) 50 ml, Syringe days *Sterile water used to QS formulas to total volume APRIL 2015 CARDIOPLEGIA FORMULAS Page 9 of 10

12 Osmolarity (mosm/l) Refrigerated Trophamine 2% / Dextrose 5% with Calcium Gluconate 1.5 meq/dl 250 ml in 250 ml Baxa Bag days Trophamine 2% / Dextrose 10% 250 ml in 250 ml Baxa Bag days Trophamine 2% / Dextrose 10% with Calcium Gluconate 1.5 meq/dl 250 ml in 250 ml Baxa Bag days Trophamine 2.5% / Dextrose 5% with Calcium Gluconate 1.5 meq/dl 250 ml in 250 ml Baxa Bag days Trophamine 2.5% / Dextrose 10% 250 ml in 250 ml Baxa Bag days Trophamine 2.5% / Dextrose 10% with Calcium Gluconate 1.5 meq/dl 250 ml in 250 ml Baxa Bag days Trophamine 3% / Dextrose 5% with Calcium Gluconate 1.5 meq/dl 250 ml in 250 ml Baxa Bag days Trophamine 3% / Dextrose 10% 250 ml in 250 ml Baxa Bag days Trophamine 3% / Dextrose 10% with Calcium Gluconate 1.5 meq/dl 250 ml in 250 ml Baxa Bag days Trophamine 3.5% / Dextrose 10% 250 ml in 250 ml Baxa Bag days Trophamine 3.5% / Dextrose 10% with Calcium Gluconate1.5 meq/dl 250 ml in 250 ml Baxa Bag days Trophamine 4% / Dextrose 10% 250 ml in 250 ml Baxa Bag days Trophamine 4% / Dextrose 10% with Calcium Gluconate 1.5 meq/dl 250 ml in 250 ml Baxa Bag days Trophamine 6% / Dextrose 10% 250 ml in 250 ml Baxa Bag days Trophamine 6% / Dextrose 10% with Calcium Gluconate 1.5 meq/dl 250 ml in 250 ml Baxa Bag days APRIL 2015 NEONATAL PARENTERAL NUTRITION STARTER BAGS Page 10 of 10

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