Prescription Drug - Brand Procedure Costs — 3320 Procedures

24510005010

NUCYNTA 50 MG TABLET

Prescription Drug - Brand

$10

—

24510005860

NUCYNTA ER 50 MG TABLET

Prescription Drug - Brand

$11

—

24510007510

NUCYNTA 75 MG TABLET

Prescription Drug - Brand

$12

—

24510010010

NUCYNTA 100 MG TABLET

Prescription Drug - Brand

$16

—

24510011010

XTAMPZA ER 9 MG CAPSULE

Prescription Drug - Brand

$6

—

24510011510

XTAMPZA ER 13.5 MG CAPSULE

Prescription Drug - Brand

$9

—

24510011660

NUCYNTA ER 100 MG TABLET

Prescription Drug - Brand

$20

—

24510012010

XTAMPZA ER 18 MG CAPSULE

Prescription Drug - Brand

$11

—

24510013010

XTAMPZA ER 27 MG CAPSULE

Prescription Drug - Brand

$16

—

24510014010

XTAMPZA ER 36 MG CAPSULE

Prescription Drug - Brand

$20

—

24510017460

NUCYNTA ER 150 MG TABLET

Prescription Drug - Brand

$25

—

24510023260

NUCYNTA ER 200 MG TABLET

Prescription Drug - Brand

$32

—

24510029160

NUCYNTA ER 250 MG TABLET

Prescription Drug - Brand

$40

—

24987008730

DUTOPROL 25-12.5 MG TABLET

Prescription Drug - Brand

$5

—

24987009530

DUTOPROL 50-12.5 MG TABLET

Prescription Drug - Brand

$5

—

24987024255

LANOXIN 125 MCG TABLET

Prescription Drug - Brand

$11

—

24987024975

LANOXIN 250 MCG TABLET

Prescription Drug - Brand

$12

—

25010021515

EDECRIN 25 MG TABLET

Prescription Drug - Brand

$22

—

25010070515

CUPRIMINE 250 MG CAPSULE

Prescription Drug - Brand

$256

—

25010071115

LODOSYN 25 MG TABLET

Prescription Drug - Brand

$26

—

25010081156

TIMOPTIC-XE 0.5% EYE SOLN

Prescription Drug - Brand

$40

—

25010081356

TIMOPTIC 0.5% EYE DROPS

Prescription Drug - Brand

$29

—

25208020115

ZYPITAMAG 2 MG TABLET

Prescription Drug - Brand

$7

—

25208020215

ZYPITAMAG 4 MG TABLET

Prescription Drug - Brand

$7

—

27437005057

METHERGINE 0.2 MG TABLET

Prescription Drug - Brand

$60

—

27437005601

XOPENEX HFA 45 MCG INHALER

Prescription Drug - Brand

$5

—

27437006060

BROVANA 15 MCG/2 ML SOLUTION

Prescription Drug - Brand

$10

—

27437010601

ALINIA 100 MG/5 ML SUSPENSION

Prescription Drug - Brand

$8

—

27437010806

ANTARA 90 MG CAPSULE

Prescription Drug - Brand

$16

—

27437011006

ANTARA 130 MG CAPSULE

Prescription Drug - Brand

$6

—

27437020108

SUPRAX 400 MG TABLET

Prescription Drug - Brand

$17

—

27437020511

SUPRAX 200 MG TABLET CHEWABLE

Prescription Drug - Brand

$37

—

27437020603

SUPRAX 200 MG/5 ML SUSPENSION

Prescription Drug - Brand

$9

—

27437020808

SUPRAX 400 MG CAPSULE

Prescription Drug - Brand

$22

—

27505011030

XADAGO 50 MG TABLET

Prescription Drug - Brand

$36

—

27505011130

XADAGO 100 MG TABLET

Prescription Drug - Brand

$36

—

28105042140

TOLAK 4% CREAM

Prescription Drug - Brand

$6

—

28595024035

AUGMENTIN 125-31.25 MG/5 ML

Prescription Drug - Brand

$6

—

29978012716

CAPRON DM LIQUID

Prescription Drug - Brand

$0

—

29978012810

CAPRON DMT TABLET

Prescription Drug - Brand

$0

—

29978042016

CAPCOF LIQUID

Prescription Drug - Brand

$0

—

29978060190

CAPMIST DM TABLET

Prescription Drug - Brand

$0

—

30698006001

LASIX 40 MG TABLET

Prescription Drug - Brand

$1

—

30698006701

LASIX 20 MG TABLET

Prescription Drug - Brand

$1

—

30698041912

EQUETRO 100 MG CAPSULE

Prescription Drug - Brand

$4

—

30698042112

EQUETRO 200 MG CAPSULE

Prescription Drug - Brand

$4

—

30698042312

EQUETRO 300 MG CAPSULE

Prescription Drug - Brand

$5

—

30698045502

RALDESY 10 MG/ML SOLUTION

Prescription Drug - Brand

$2

—

30698045801

LOPRESSOR 50 MG TABLET

Prescription Drug - Brand

$2

—

35573030210

UROLET MB TABLET

Prescription Drug - Brand

$3

—

Prescription Drug - Brand Procedures

My Cost List