Prescription Drug - Brand Procedure Costs — 3320 Procedures

00310678030

QTERN 10 MG-5 MG TABLET

Prescription Drug - Brand

$18

—

00310756090

CRESTOR 5 MG TABLET

Prescription Drug - Brand

$9

—

00310757090

CRESTOR 10 MG TABLET

Prescription Drug - Brand

$9

—

00310758090

CRESTOR 20 MG TABLET

Prescription Drug - Brand

$9

—

00310759030

CRESTOR 40 MG TABLET

Prescription Drug - Brand

$9

—

00310908012

AIRSUPRA 90-80 MCG INHALER

Prescription Drug - Brand

$45

—

00316023075

SARNA SENSITIVE 1% LOTION

Prescription Drug - Brand

$0

—

00327001230

RENACIDIN IRRIGATION SOLUTION

Prescription Drug - Brand

$0

—

00378046001

MAXZIDE 75 MG-50 MG TABLET

Prescription Drug - Brand

$3

—

00378046401

MAXZIDE 37.5 MG-25 MG TABLET

Prescription Drug - Brand

$1

—

00378267093

PHENYTEK 200 MG CAPSULE

Prescription Drug - Brand

$1

—

00378375093

PHENYTEK 300 MG CAPSULE

Prescription Drug - Brand

$2

—

00378615149

MENTAX 1% CREAM

Prescription Drug - Brand

$6

—

00378972055

DENAVIR 1% CREAM

Prescription Drug - Brand

$155

—

00406991601

RESTORIL 15 MG CAPSULE

Prescription Drug - Brand

$20

—

00409117830

DEMEROL 50 MG/ML SYRINGE

Prescription Drug - Brand

$4

—

00409118069

DEMEROL 100 MG/ML SYRINGE

Prescription Drug - Brand

$4

—

00409125301

DEMEROL 50 MG/ML AMPUL

Prescription Drug - Brand

$4

—

00409125601

DEMEROL 100 MG/ML AMPUL

Prescription Drug - Brand

$3

—

00409161050

MARCAINE 0.5% VIAL

Prescription Drug - Brand

$0

—

00430011420

DORYX DR 200 MG TABLET

Prescription Drug - Brand

$39

—

00430011520

DORYX DR 150 MG TABLET

Prescription Drug - Brand

$20

—

00430014514

FEMHRT 0.5 MG-2.5 MCG TABLET

Prescription Drug - Brand

$5

—

00430017015

ENABLEX 7.5 MG TABLET

Prescription Drug - Brand

$12

—

00430017115

ENABLEX 15 MG TABLET

Prescription Drug - Brand

$12

—

00430021014

SARAFEM 10 MG TABLET

Prescription Drug - Brand

$21

—

00430022014

SARAFEM 20 MG TABLET

Prescription Drug - Brand

$20

—

00430042014

LO LOESTRIN FE 1-10 TABLET

Prescription Drug - Brand

$7

—

00430047115

ACTONEL 5 MG TABLET

Prescription Drug - Brand

$12

—

00430047207

ACTONEL 35 MG TABLET

Prescription Drug - Brand

$82

—

00430047802

ACTONEL 150 MG TABLET

Prescription Drug - Brand

$356

—

00430048214

FEMCON FE TABLET

Prescription Drug - Brand

$4

—

00430054050

MINASTRIN 24 FE CHEWABLE TAB

Prescription Drug - Brand

$6

—

00430057045

ESTROSTEP FE-28 TABLET

Prescription Drug - Brand

$4

—

00430072024

ESTRACE 0.5 MG TABLET

Prescription Drug - Brand

$5

—

00430072124

ESTRACE 1 MG TABLET

Prescription Drug - Brand

$5

—

00430072224

ESTRACE 2 MG TABLET

Prescription Drug - Brand

$7

—

00430097903

ATELVIA DR 35 MG TABLET

Prescription Drug - Brand

$63

—

00430310011

MOISTUREL 3% LOTION

Prescription Drug - Brand

$0

—

00430375414

ESTRACE 0.01% CREAM

Prescription Drug - Brand

$8

—

00430620140

FEMRING 0.05 MG VAGINAL RING

Prescription Drug - Brand

$403

—

00430620240

FEMRING 0.10 MG VAGINAL RING

Prescription Drug - Brand

$430

—

00456045801

ARMOUR THYROID 30 MG TABLET

Prescription Drug - Brand

$1

—

00456045901

ARMOUR THYROID 60 MG TABLET

Prescription Drug - Brand

$1

—

00456046001

ARMOUR THYROID 90 MG TABLET

Prescription Drug - Brand

$2

—

00456046101

ARMOUR THYROID 120 MG TABLET

Prescription Drug - Brand

$2

—

00456046201

ARMOUR THYROID 180 MG TABLET

Prescription Drug - Brand

$2

—

00456046301

ARMOUR THYROID 240 MG TABLET

Prescription Drug - Brand

$2

—

00456046401

ARMOUR THYROID 300 MG TABLET

Prescription Drug - Brand

$2

—

00456080060

TUDORZA PRESSAIR 400 MCG INH

Prescription Drug - Brand

$229

—

Prescription Drug - Brand Procedures

My Cost List