Prescription Drug - Brand Procedure Costs — 3320 Procedures

00186504054

NEXIUM DR 40 MG CAPSULE

Prescription Drug - Brand

$9

—

00187000260

BRYHALI 0.01% LOTION

Prescription Drug - Brand

$5

—

00187000545

ALTRENO 0.05% LOTION

Prescription Drug - Brand

$2

—

00187000625

CABTREO 1.2%-0.15%-3.15% GEL

Prescription Drug - Brand

$18

—

00187006301

ATIVAN 0.5 MG TABLET

Prescription Drug - Brand

$35

—

00187006410

ATIVAN 1 MG TABLET

Prescription Drug - Brand

$47

—

00187006501

ATIVAN 2 MG TABLET

Prescription Drug - Brand

$76

—

00187010801

TUSSICAPS 10 MG-8 MG CAPSULE

Prescription Drug - Brand

$35

—

00187014190

VASOTEC 5 MG TABLET

Prescription Drug - Brand

$15

—

00187014290

VASOTEC 10 MG TABLET

Prescription Drug - Brand

$17

—

00187014390

VASOTEC 20 MG TABLET

Prescription Drug - Brand

$23

—

00187024503

MIGRANAL NASAL SPRAY

Prescription Drug - Brand

$460

—

00187045302

ZELAPAR 1.25 MG ODT TABLET

Prescription Drug - Brand

$67

—

00187065301

DUOBRII 0.01%-0.045% LOTION

Prescription Drug - Brand

$10

—

00187065820

DIASTAT ACUDIAL 5-7.5-10 MG KT

Prescription Drug - Brand

$336

—

00187065920

DIASTAT ACUDIAL 12.5-15-20 MG

Prescription Drug - Brand

$336

—

00187073090

WELLBUTRIN XL 150 MG TABLET

Prescription Drug - Brand

$70

—

00187073130

WELLBUTRIN XL 300 MG TABLET

Prescription Drug - Brand

$92

—

00187079542

CARDIZEM CD 120 MG CAPSULE

Prescription Drug - Brand

$27

—

00187079742

CARDIZEM CD 240 MG CAPSULE

Prescription Drug - Brand

$47

—

00187079842

CARDIZEM CD 300 MG CAPSULE

Prescription Drug - Brand

$56

—

00187079942

CARDIZEM CD 360 MG CAPSULE

Prescription Drug - Brand

$79

—

00187093801

TASMAR 100 MG TABLET

Prescription Drug - Brand

$106

—

00187099395

ZOVIRAX 5% OINTMENT

Prescription Drug - Brand

$5

—

00187099445

ZOVIRAX 5% CREAM

Prescription Drug - Brand

$38

—

00187170405

MEPHYTON 5 MG TABLET

Prescription Drug - Brand

$56

—

00187204590

CARDIZEM LA 120 MG TABLET

Prescription Drug - Brand

$4

—

00187204690

CARDIZEM LA 180 MG TABLET

Prescription Drug - Brand

$4

—

00187204790

CARDIZEM LA 240 MG TABLET

Prescription Drug - Brand

$4

—

00187204930

CARDIZEM LA 360 MG TABLET

Prescription Drug - Brand

$6

—

00187209845

ARAZLO 0.045% LOTION

Prescription Drug - Brand

$11

—

00187301030

MESTINON 60 MG TABLET

Prescription Drug - Brand

$21

—

00187301220

MESTINON 60 MG/5 ML SYRUP

Prescription Drug - Brand

$2

—

00187301330

MESTINON 180 MG TIMESPAN

Prescription Drug - Brand

$39

—

00187305050

ONEXTON GEL PUMP

Prescription Drug - Brand

$14

—

00187320447

EFUDEX 5% CREAM

Prescription Drug - Brand

$1

—

00187510001

ELIDEL 1% CREAM

Prescription Drug - Brand

$10

—

00187510401

XERESE 5%-1% CREAM

Prescription Drug - Brand

$259

—

00187511560

ERTACZO 2% CREAM

Prescription Drug - Brand

$12

—

00187514650

RETIN-A MICRO PUMP 0.06% GEL

Prescription Drug - Brand

$17

—

00187514850

RETIN-A MICRO PUMP 0.08% GEL

Prescription Drug - Brand

$17

—

00187515040

RENOVA 0.02% CREAM

Prescription Drug - Brand

$6

—

00187516045

RETIN-A 0.025% CREAM

Prescription Drug - Brand

$1

—

00187516245

RETIN-A 0.05% CREAM

Prescription Drug - Brand

$1

—

00187516445

RETIN-A 0.1% CREAM

Prescription Drug - Brand

$1

—

00187517045

RETIN-A 0.025% GEL

Prescription Drug - Brand

$1

—

00187517245

RETIN-A 0.01% GEL

Prescription Drug - Brand

$1

—

00187519025

BENZACLIN GEL

Prescription Drug - Brand

$10

—

00187519035

BENZACLIN GEL 35G PUMP

Prescription Drug - Brand

$10

—

00187519050

BENZACLIN GEL 50G PUMP

Prescription Drug - Brand

$8

—

Prescription Drug - Brand Procedures

My Cost List