Prescription Drug - Brand Procedure Costs — 3320 Procedures

00456104501

ARMOUR THYROID 15 MG TABLET

Prescription Drug - Brand

$1

—

00456110031

VIIBRYD TITRATION PACK

Prescription Drug - Brand

$6

—

00456110130

VIIBRYD 10-20 MG STARTER PACK

Prescription Drug - Brand

$11

—

00456111030

VIIBRYD 10 MG TABLET

Prescription Drug - Brand

$12

—

00456112030

VIIBRYD 20 MG TABLET

Prescription Drug - Brand

$12

—

00456114030

VIIBRYD 40 MG TABLET

Prescription Drug - Brand

$12

—

00456120130

LINZESS 145 MCG CAPSULE

Prescription Drug - Brand

$9

—

00456120230

LINZESS 290 MCG CAPSULE

Prescription Drug - Brand

$9

—

00456120330

LINZESS 72 MCG CAPSULE

Prescription Drug - Brand

$9

—

00456120730

NAMZARIC 7 MG-10 MG CAPSULE

Prescription Drug - Brand

$20

—

00456121430

NAMZARIC 14 MG-10 MG CAPSULE

Prescription Drug - Brand

$20

—

00456122130

NAMZARIC 21 MG-10 MG CAPSULE

Prescription Drug - Brand

$20

—

00456122830

NAMZARIC 28 MG-10 MG CAPSULE

Prescription Drug - Brand

$20

—

00456140230

BYSTOLIC 2.5 MG TABLET

Prescription Drug - Brand

$6

—

00456140590

BYSTOLIC 5 MG TABLET

Prescription Drug - Brand

$6

—

00456141090

BYSTOLIC 10 MG TABLET

Prescription Drug - Brand

$6

—

00456142090

BYSTOLIC 20 MG TABLET

Prescription Drug - Brand

$6

—

00456150055

SAVELLA TITRATION PACK

Prescription Drug - Brand

$8

—

00456151060

SAVELLA 100 MG TABLET

Prescription Drug - Brand

$8

—

00456151260

SAVELLA 12.5 MG TABLET

Prescription Drug - Brand

$8

—

00456152560

SAVELLA 25 MG TABLET

Prescription Drug - Brand

$8

—

00456155060

SAVELLA 50 MG TABLET

Prescription Drug - Brand

$8

—

00456200501

LEXAPRO 5 MG TABLET

Prescription Drug - Brand

$15

—

00456201001

LEXAPRO 10 MG TABLET

Prescription Drug - Brand

$15

—

00456202001

LEXAPRO 20 MG TABLET

Prescription Drug - Brand

$16

—

00456210108

LEXAPRO 5 MG/5 ML SOLUTION

Prescription Drug - Brand

$2

—

00456220228

FETZIMA 20-40 MG TITRATION PAK

Prescription Drug - Brand

$18

—

00456221230

FETZIMA ER 120 MG CAPSULE

Prescription Drug - Brand

$18

—

00456222030

FETZIMA ER 20 MG CAPSULE

Prescription Drug - Brand

$18

—

00456224030

FETZIMA ER 40 MG CAPSULE

Prescription Drug - Brand

$18

—

00456228030

FETZIMA ER 80 MG CAPSULE

Prescription Drug - Brand

$18

—

00456240211

SAPHRIS 2.5 MG TAB SUBLINGUAL BLACK CHERRY

Prescription Drug - Brand

$19

—

00456240260

SAPHRIS 2.5 MG TAB SUBLINGUAL

Prescription Drug - Brand

$21

—

00456240560

SAPHRIS 5 MG TAB SUBLINGUAL

Prescription Drug - Brand

$21

—

00456240563

SAPHRIS 5 MG TAB SUBLINGUAL BLACK CHERRY

Prescription Drug - Brand

$19

—

00456241060

SAPHRIS 10 MG TAB SUBLINGUAL

Prescription Drug - Brand

$21

—

00456241063

SAPHRIS 10 MG TAB SUBLINGUAL BLACK CHERRY

Prescription Drug - Brand

$19

—

00456261390

TIAZAC ER 180 MG CAPSULE

Prescription Drug - Brand

$2

—

00456320014

NAMENDA 5-10 MG TITRATION PK

Prescription Drug - Brand

$7

—

00456320212

NAMENDA 2 MG/ML SOLUTION

Prescription Drug - Brand

$2

—

00456320560

NAMENDA 5 MG TABLET

Prescription Drug - Brand

$7

—

00456321011

NAMENDA 10 MG TABLET

Prescription Drug - Brand

$7

—

00456333001

CAMPRAL DR 333 MG TABLET

Prescription Drug - Brand

$1

—

00456340029

NAMENDA XR TITRATION PACK

Prescription Drug - Brand

$15

—

00456340733

NAMENDA XR 7 MG CAPSULE

Prescription Drug - Brand

$15

—

00456341463

NAMENDA XR 14 MG CAPSULE

Prescription Drug - Brand

$15

—

00456342133

NAMENDA XR 21 MG CAPSULE

Prescription Drug - Brand

$15

—

00456342833

NAMENDA XR 28 MG CAPSULE

Prescription Drug - Brand

$15

—

00456401001

CELEXA 10 MG TABLET

Prescription Drug - Brand

$9

—

00456402001

CELEXA 20 MG TABLET

Prescription Drug - Brand

$9

—

Prescription Drug - Brand Procedures

My Cost List