Prescription Drug - Brand Procedure Costs — 3320 Procedures

00456404001

CELEXA 40 MG TABLET

Prescription Drug - Brand

$9

—

00456430001

MONUROL 3 GM SACHET

Prescription Drug - Brand

$87

—

00469052002

CRESEMBA 186 MG CAPSULE

Prescription Drug - Brand

$114

—

00469060773

PROGRAF 0.5 MG CAPSULE

Prescription Drug - Brand

$4

—

00469061773

PROGRAF 1 MG CAPSULE

Prescription Drug - Brand

$7

—

00469064773

ASTAGRAF XL 0.5 MG CAPSULE

Prescription Drug - Brand

$3

—

00469067773

ASTAGRAF XL 1 MG CAPSULE

Prescription Drug - Brand

$6

—

00469068773

ASTAGRAF XL 5 MG CAPSULE

Prescription Drug - Brand

$28

—

00469123050

PROGRAF 0.2 MG GRANULE PACKET

Prescription Drug - Brand

$5

—

00469260190

MYRBETRIQ ER 25 MG TABLET

Prescription Drug - Brand

$15

—

00469260290

MYRBETRIQ ER 50 MG TABLET

Prescription Drug - Brand

$15

—

00469266030

VEOZAH 45 MG TABLET

Prescription Drug - Brand

$19

—

00469502099

MYRBETRIQ ER 8 MG/ML SUSP

Prescription Drug - Brand

$2

—

00469520160

PROTOPIC 0.03% OINTMENT

Prescription Drug - Brand

$7

—

00485008001

RYMED TABLET

Prescription Drug - Brand

$0

—

00487278401

ASTHMANEFRIN RFILL 2.25% SOLN

Prescription Drug - Brand

$1

—

00517231005

VENOFER 200 MG/10 ML VIAL

Prescription Drug - Brand

$13

—

00517888005

SPRIX 15.75 MG NASAL SPRAY

Prescription Drug - Brand

$184

—

00548835101

BAQSIMI 3 MG SPRAY ONE PACK

Prescription Drug - Brand

$285

—

00548835112

BAQSIMI 3 MG SPRAY

Prescription Drug - Brand

$285

—

00548835202

BAQSIMI 3 MG SPRAY TWO PACK

Prescription Drug - Brand

$285

—

00573015498

ADVIL 200 MG TABLET

Prescription Drug - Brand

$0

—

00573016151

ADVIL 200 MG CAPLET

Prescription Drug - Brand

$0

—

00573016443

ADVIL PM CAPLET

Prescription Drug - Brand

$0

—

00573016540

ADVIL 200 MG GEL CAPLET

Prescription Drug - Brand

$0

—

00573016755

ADVIL PM LIQUI-GELS

Prescription Drug - Brand

$0

—

00573016830

ADVIL MIGRAINE 200 MG CAPS

Prescription Drug - Brand

$0

—

00573016940

ADVIL 200 MG LIQUI-GEL CAPSULE

Prescription Drug - Brand

$0

—

00573016989

ADVIL LIQUI-GELS 200 MG CAP

Prescription Drug - Brand

$0

—

00573017511

ADVIL 100 MG TABLET

Prescription Drug - Brand

$0

—

00573017920

ADVIL JR STR 100 MG TAB CHEW

Prescription Drug - Brand

$0

—

00573018021

ADVIL COLD & SINUS CAPLET

Prescription Drug - Brand

$0

—

00573018432

ADVIL COLD-SINUS LIQUI-GELS

Prescription Drug - Brand

$0

—

00573018810

ADVIL ALLERGY SINUS CAPLET

Prescription Drug - Brand

$0

—

00573019520

ADVIL CONGESTION RELIEF TABLET

Prescription Drug - Brand

$0

—

00573019610

ADVIL ALLERGY-CONGEST RLF TAB

Prescription Drug - Brand

$0

—

00573021341

ANBESOL LIQUID

Prescription Drug - Brand

$0

—

00573021541

ANBESOL ORAL LIQUID

Prescription Drug - Brand

$0

—

00573021825

ANBESOL REG STRENGTH 10% GEL

Prescription Drug - Brand

$0

—

00573022567

ANBESOL MAXIMUM STRENGTH GEL

Prescription Drug - Brand

$1

—

00573029030

CHILDREN'S ADVIL 100 MG/5 ML

Prescription Drug - Brand

$0

—

00573055620

PREPARATION H MEDICATED WIPES

Prescription Drug - Brand

$0

—

00573055807

PREPARATION H TOTABLES WIPES

Prescription Drug - Brand

$0

—

00573119120

DRISTAN LONG LASTING MIST

Prescription Drug - Brand

$0

—

00573123821

DRISTAN COLD MULTI-SYMP TAB

Prescription Drug - Brand

$0

—

00573245043

NEXIUM 24HR 22.3 MG CAPSULE

Prescription Drug - Brand

$1

—

00573262165

ALAVERT 10 MG ODT

Prescription Drug - Brand

$0

—

00573266024

ALAVERT D-12 ALLERGY-SINUS TAB

Prescription Drug - Brand

$1

—

00573283010

PREPARATION H HC 1% CREAM

Prescription Drug - Brand

$0

—

00573284020

PREPARATION H COOLING GEL

Prescription Drug - Brand

$0

—

Prescription Drug - Brand Procedures

My Cost List