Prescription Drug - Brand Procedure Costs — 3320 Procedures

00078056130

EXFORGE HCT 10-160-12.5 MG TAB

Prescription Drug - Brand

$8

—

00078056215

EXFORGE HCT 10-160-25 MG TAB

Prescription Drug - Brand

$10

—

00078056315

EXFORGE HCT 10-320-25 MG TAB

Prescription Drug - Brand

$15

—

00078056751

AFINITOR 10 MG TABLET

Prescription Drug - Brand

$462

—

00078056845

COARTEM TABLETS

Prescription Drug - Brand

$5

—

00078060315

TEKAMLO 150 MG-5 MG TABLET

Prescription Drug - Brand

$4

—

00078060515

TEKAMLO 300 MG-5 MG TABLET

Prescription Drug - Brand

$5

—

00078060615

TEKAMLO 300 MG-10 MG TABLET

Prescription Drug - Brand

$5

—

00078060715

GILENYA 0.5 MG CAPSULE

Prescription Drug - Brand

$415

—

00078060905

FOCALIN XR 35 MG CAPSULE

Prescription Drug - Brand

$5

—

00078061415

AMTURNIDE 300-10-25 MG TAB

Prescription Drug - Brand

$5

—

00078061915

ARCAPTA NEOHALER 75 MCG CAP

Prescription Drug - Brand

$8

—

00078063941

COSENTYX SENSOREADY 300 MG DOSE/2 PENS (150 MG/PEN)

Prescription Drug - Brand

$3,951

—

00078063968

COSENTYX SENSOREADY 150 MG/ML PEN

Prescription Drug - Brand

$7,874

—

00078063997

COSENTYX 150 MG/ML SYRINGE

Prescription Drug - Brand

$7,923

—

00078063998

COSENTYX (150 MG/ML) 300 MG DOSE-2 SYRINGES

Prescription Drug - Brand

$3,966

—

00078064930

GLEEVEC 400 MG TABLET

Prescription Drug - Brand

$328

—

00078065967

ENTRESTO 24 MG-26 MG TABLET

Prescription Drug - Brand

$12

—

00078066419

UTIBRON NEOHALER 27.5-15.6 MCG

Prescription Drug - Brand

$6

—

00078069667

ENTRESTO 97 MG-103 MG TABLET

Prescription Drug - Brand

$12

—

00078072915

BETOPTIC S 0.25% EYE DROP

Prescription Drug - Brand

$43

—

00078073610

ALOMIDE 0.1% EYE DROP

Prescription Drug - Brand

$20

—

00078077767

ENTRESTO 49 MG-51 MG TABLET

Prescription Drug - Brand

$12

—

00078079061

SANDOSTATIN LAR DEPOT 10 MG VL

Prescription Drug - Brand

$3,371

—

00078079761

SANDOSTATIN LAR DEPOT 20 MG VL

Prescription Drug - Brand

$4,409

—

00078079975

CIPRODEX OTIC SUSPENSION

Prescription Drug - Brand

$32

—

00078080461

SANDOSTATIN LAR DEPOT 30 MG VL

Prescription Drug - Brand

$6,681

—

00078081181

SANDOSTATIN LAR DEPOT 10 MG KT

Prescription Drug - Brand

$3,371

—

00078081301

TOBREX 0.3% EYE OINTMENT

Prescription Drug - Brand

$84

—

00078081881

SANDOSTATIN LAR DEPOT 20 MG KT

Prescription Drug - Brand

$4,409

—

00078082581

SANDOSTATIN LAR DEPOT 30 MG KT

Prescription Drug - Brand

$6,681

—

00078087601

TOBRADEX EYE OINTMENT

Prescription Drug - Brand

$90

—

00078090221

KISQALI 600 MG DAILY DOSE

Prescription Drug - Brand

$290

—

00078090438

SIMBRINZA 1%-0.2% EYE DROPS

Prescription Drug - Brand

$24

—

00078095325

TOBRADEX EYE DROPS

Prescription Drug - Brand

$35

—

00078100768

KESIMPTA 20 MG/0.4 ML PEN

Prescription Drug - Brand

$24,459

—

00078107068

COSENTYX UNOREADY 300 MG/2 ML PEN (1 PEN)

Prescription Drug - Brand

$4,106

—

00078123820

ENTRESTO SPRINKLE 15-16 MG PLT

Prescription Drug - Brand

$12

—

00085081935

NITRO-DUR 0.8 MG/HR PATCH

Prescription Drug - Brand

$6

—

00085092402

LOTRISONE CREAM

Prescription Drug - Brand

$2

—

00085128801

NASONEX 50 MCG NASAL SPRAY

Prescription Drug - Brand

$14

—

00085132201

CLARINEX-D 12 HOUR TABLET

Prescription Drug - Brand

$5

—

00085132801

NOXAFIL 40 MG/ML SUSPENSION

Prescription Drug - Brand

$13

—

00085133401

CLARINEX 0.5 MG/ML (2.5 MG/5)

Prescription Drug - Brand

$1

—

00085140101

FORADIL AEROLIZER 12 MCG CAP

Prescription Drug - Brand

$4

—

00085141702

TEMODAR 250 MG CAPSULE

Prescription Drug - Brand

$1,092

—

00085143004

TEMODAR 180 MG CAPSULE

Prescription Drug - Brand

$635

—

00085151903

TEMODAR 20 MG CAPSULE

Prescription Drug - Brand

$90

—

00085173301

AVELOX 400 MG TABLET

Prescription Drug - Brand

$29

—

00085173303

AVELOX ABC PACK 400 MG TAB

Prescription Drug - Brand

$28

—

Prescription Drug - Brand Procedures

My Cost List