Prescription Drug - Brand Procedure Costs — 3320 Procedures

00597018060

SYNJARDY 12.5-500 MG TABLET

Prescription Drug - Brand

$6

—

00597018290

GLYXAMBI 10 MG-5 MG TABLET

Prescription Drug - Brand

$11

—

00597019261

STRIVERDI RESPIMAT INHAL SPRAY

Prescription Drug - Brand

$66

—

00597026010

GLUCAGEN DIAGNOSTIC 1 MG VIAL

Prescription Drug - Brand

$167

—

00597027094

JENTADUETO XR 2.5 MG-1,000 MG

Prescription Drug - Brand

$8

—

00597027581

JENTADUETO XR 5 MG-1,000 MG TB

Prescription Drug - Brand

$17

—

00597028090

SYNJARDY XR 10-1,000 MG TABLET

Prescription Drug - Brand

$11

—

00597028530

MIRAPEX ER 0.75 MG TABLET

Prescription Drug - Brand

$24

—

00597029074

SYNJARDY XR 5-1,000 MG TABLET

Prescription Drug - Brand

$6

—

00597029588

SYNJARDY XR 25-1,000 MG TABLET

Prescription Drug - Brand

$11

—

00597030093

SYNJARDY XR 12.5-1,000 MG TAB

Prescription Drug - Brand

$6

—

00597035556

PRADAXA 75 MG CAPSULE

Prescription Drug - Brand

$3

—

00597036082

PRADAXA 150 MG CAPSULE

Prescription Drug - Brand

$3

—

00597037597

CYLTEZO(CF) PEN 40 MG/0.8 ML

Prescription Drug - Brand

$3,199

—

00597038068

TRIJARDY XR 10-5-1,000 MG TAB

Prescription Drug - Brand

$11

—

00597038586

TRIJARDY XR 12.5-2.5-1,000 MG

Prescription Drug - Brand

$6

—

00597039071

TRIJARDY XR 25-5-1,000 MG TAB

Prescription Drug - Brand

$11

—

00597039582

TRIJARDY XR 5-2.5-1,000 MG TAB

Prescription Drug - Brand

$6

—

00642007030

VITAFOL-ONE CAPSULE

Prescription Drug - Brand

$4

—

00642007530

SELECT-OB + DHA PACK

Prescription Drug - Brand

$2

—

00642007630

VITAFOL-OB+DHA COMBO PACK

Prescription Drug - Brand

$2

—

00642007912

VITAFOL-OB CAPLET

Prescription Drug - Brand

$4

—

00642009330

VITAFOL ULTRA SOFTGEL

Prescription Drug - Brand

$5

—

00642009430

VITAFOL NANO TABLET

Prescription Drug - Brand

$4

—

00642012590

VITAFOL GUMMIES

Prescription Drug - Brand

$2

—

00642020790

STROVITE ONE CAPLET

Prescription Drug - Brand

$3

—

00642301030

REAPHIRM CAPSULE

Prescription Drug - Brand

$3

—

00642746605

NUVESSA VAGINAL 1.3% GEL

Prescription Drug - Brand

$43

—

00642747002

SLYND 4 MG TABLET

Prescription Drug - Brand

$7

—

00642747101

TYBLUME 0.1-0.02 MG CHEW TAB

Prescription Drug - Brand

$1

—

00642747330

VITAFOL FE PLUS SOFTGEL

Prescription Drug - Brand

$5

—

00713086030

BENICAR 5 MG TABLET

Prescription Drug - Brand

$9

—

00713086130

BENICAR 20 MG TABLET

Prescription Drug - Brand

$11

—

00713086230

BENICAR 40 MG TABLET

Prescription Drug - Brand

$16

—

00713086330

BENICAR HCT 20-12.5 MG TABLET

Prescription Drug - Brand

$11

—

00713086430

BENICAR HCT 40-12.5 MG TABLET

Prescription Drug - Brand

$16

—

00713086530

BENICAR HCT 40-25 MG TABLET

Prescription Drug - Brand

$16

—

00713087030

AZOR 5-20 MG TABLET

Prescription Drug - Brand

$14

—

00713087230

AZOR 5-40 MG TABLET

Prescription Drug - Brand

$18

—

00713087330

AZOR 10-40 MG TABLET

Prescription Drug - Brand

$18

—

00713087530

TRIBENZOR 40-5-12.5 MG TABLET

Prescription Drug - Brand

$16

—

00713087830

TRIBENZOR 40-10-25 MG TABLET

Prescription Drug - Brand

$18

—

00713087981

WELCHOL 625 MG TABLET

Prescription Drug - Brand

$5

—

00713088230

EFFIENT 10 MG TABLET

Prescription Drug - Brand

$19

—

00713088301

EVOXAC 30 MG CAPSULE

Prescription Drug - Brand

$8

—

00713088530

CLOMID 50 MG TABLET

Prescription Drug - Brand

$11

—

00713542101

AMBIEN 10 MG TABLET

Prescription Drug - Brand

$23

—

00713552101

AMBIEN CR 12.5 MG TABLET

Prescription Drug - Brand

$23

—

00777310402

PROZAC 10 MG PULVULE

Prescription Drug - Brand

$14

—

00777310530

PROZAC 20 MG PULVULE

Prescription Drug - Brand

$14

—

Prescription Drug - Brand Procedures

My Cost List