Prescription Drug - Brand Procedure Costs — 3320 Procedures

11523411201

AFRIN 0.05% NASAL SPRAY

Prescription Drug - Brand

$0

—

11523414002

LOTRIMIN AF 2% SPRAY POWDER

Prescription Drug - Brand

$0

—

11523416102

TINACTIN 1% DEODORANT SPRY PWD

Prescription Drug - Brand

$0

—

11523432502

CORICIDIN HBP COLD & FLU TAB

Prescription Drug - Brand

$0

—

11523432601

CORICIDIN HBP COUGH & COLD TAB

Prescription Drug - Brand

$0

—

11523432701

LOTRIMIN AF 2% LIQUID SPRAY

Prescription Drug - Brand

$0

—

11523715403

LOTRIMIN ULTRA 1% CREAM

Prescription Drug - Brand

$0

—

11523715708

CLARITIN 10 MG REDITABS

Prescription Drug - Brand

$1

—

11523715802

CORICIDIN HBP SOFTGEL

Prescription Drug - Brand

$0

—

11523716103

CLARITIN-D 24 HOUR TABLET

Prescription Drug - Brand

$1

—

11523716203

CLARITIN-D 12 HOUR TABLET

Prescription Drug - Brand

$1

—

11523716301

CLARITIN 5 MG/5 ML SYRUP

Prescription Drug - Brand

$0

—

11523719704

CHILD CLARITIN 5 MG/5 ML SOLN

Prescription Drug - Brand

$0

—

11523719806

CHILD'S CLARITIN 5 MG TAB CHEW

Prescription Drug - Brand

$1

—

11523720008

CLARITIN 10 MG LIQUI-GEL CAP

Prescription Drug - Brand

$1

—

11523720203

CLARITIN 5 MG REDITABS

Prescription Drug - Brand

$1

—

11523720401

A + D FIRST AID OINTMENT

Prescription Drug - Brand

$0

—

11523721402

CORICIDIN HBP COLD-MULTI SYMPT

Prescription Drug - Brand

$0

—

11523723403

MIRALAX POWDER

Prescription Drug - Brand

$0

—

11523723708

CLARITIN 10 MG TABLET

Prescription Drug - Brand

$1

—

11523726503

ZEGERID OTC 20-1,100 MG CAP

Prescription Drug - Brand

$1

—

11523726808

MIRALAX POWDER PACKET

Prescription Drug - Brand

$1

—

11701003816

MICRO-GUARD 2% POWDER

Prescription Drug - Brand

$0

—

11980001105

BLEPH-10 10% EYE DROPS

Prescription Drug - Brand

$17

—

11980002210

BLEPHAMIDE EYE DROPS

Prescription Drug - Brand

$31

—

11980017410

PRED MILD 0.12% EYE DROPS

Prescription Drug - Brand

$31

—

11980018010

PRED FORTE 1% EYE DROPS

Prescription Drug - Brand

$31

—

11980021105

FML LIQUIFILM 0.1% EYE DROP

Prescription Drug - Brand

$32

—

11980022810

FML FORTE 0.25% EYE DROPS

Prescription Drug - Brand

$32

—

11980077905

OCUFLOX 0.3% EYE DROPS

Prescription Drug - Brand

$23

—

12496000302

OPVEE 2.7 MG NASAL SPRAY

Prescription Drug - Brand

$47

—

12496009001

PERSERIS ER 90 MG SYRINGE KIT

Prescription Drug - Brand

$2,072

—

12496009002

PERSERIS ER 90 MG POWDER SYRNG

Prescription Drug - Brand

$2,072

—

12496012001

PERSERIS ER 120 MG SYRINGE KIT

Prescription Drug - Brand

$2,766

—

12496120203

SUBOXONE 2 MG-0.5 MG SL FILM

Prescription Drug - Brand

$5

—

12496120403

SUBOXONE 4 MG-1 MG SL FILM

Prescription Drug - Brand

$9

—

12496120803

SUBOXONE 8 MG-2 MG SL FILM

Prescription Drug - Brand

$9

—

12496121203

SUBOXONE 12 MG-3 MG SL FILM

Prescription Drug - Brand

$17

—

13548001206

SALEX 6% SHAMPOO

Prescription Drug - Brand

$1

—

13548003025

AKNE-MYCIN 2% OINTMENT

Prescription Drug - Brand

$5

—

13548007045

ATRALIN 0.05% GEL

Prescription Drug - Brand

$12

—

13548013250

ACANYA GEL PUMP

Prescription Drug - Brand

$10

—

13551010105

KARBINAL ER 4 MG/ 5 ML SUSP

Prescription Drug - Brand

$1

—

13913000616

GRALISE 30-DAY STARTER PACK

Prescription Drug - Brand

$8

—

13913000812

ZIPSOR 25 MG CAPSULE

Prescription Drug - Brand

$14

—

13913001203

CAMBIA 50 MG POWDER PACKET

Prescription Drug - Brand

$94

—

15370010430

QUFLORA PED 0.5 MG CHEW TAB

Prescription Drug - Brand

$6

—

15370010530

QUFLORA PED 1 MG CHEW TAB

Prescription Drug - Brand

$6

—

15370013010

RYVENT 6 MG TABLET

Prescription Drug - Brand

$8

—

15370015004

RYCLORA 2 MG/5 ML SOLUTION

Prescription Drug - Brand

$3

—

Prescription Drug - Brand Procedures

My Cost List