Prescription Drug - Brand Procedure Costs — 3320 Procedures

42211020429

ZORVOLEX 35 MG CAPSULE

Prescription Drug - Brand

$8

—

42211020523

VIVLODEX 5 MG CAPSULE

Prescription Drug - Brand

$25

—

42211020623

VIVLODEX 10 MG CAPSULE

Prescription Drug - Brand

$25

—

42667551101

NATESTO NASAL 5.5 MG/0.122 GM

Prescription Drug - Brand

$41

—

42747032730

FARESTON 60 MG TABLET

Prescription Drug - Brand

$41

—

42847010330

SILENOR 3 MG TABLET

Prescription Drug - Brand

$17

—

42847010630

SILENOR 6 MG TABLET

Prescription Drug - Brand

$17

—

42847085009

TREXIMET 85-500 MG TABLET

Prescription Drug - Brand

$134

—

42858023450

DILAUDID 4 MG TABLET

Prescription Drug - Brand

$4

—

42858033801

DILAUDID 8 MG TABLET

Prescription Drug - Brand

$7

—

42858040145

APTENSIO XR 10 MG CAPSULE

Prescription Drug - Brand

$8

—

42858040245

APTENSIO XR 15 MG CAPSULE

Prescription Drug - Brand

$8

—

42858040345

APTENSIO XR 20 MG CAPSULE

Prescription Drug - Brand

$8

—

42858040445

APTENSIO XR 30 MG CAPSULE

Prescription Drug - Brand

$8

—

42858040545

APTENSIO XR 40 MG CAPSULE

Prescription Drug - Brand

$8

—

42858040645

APTENSIO XR 50 MG CAPSULE

Prescription Drug - Brand

$8

—

42858040745

APTENSIO XR 60 MG CAPSULE

Prescription Drug - Brand

$8

—

42858051501

MS CONTIN ER 15 MG TABLET

Prescription Drug - Brand

$5

—

42858063101

MS CONTIN ER 30 MG TABLET

Prescription Drug - Brand

$9

—

42865030002

ZENPEP DR 5,000 UNITS CAPSULE

Prescription Drug - Brand

$1

—

42865030202

ZENPEP DR 15,000 UNITS CAPSULE

Prescription Drug - Brand

$4

—

42865030302

ZENPEP DR 20,000 UNITS CAPSULE

Prescription Drug - Brand

$5

—

42865030402

ZENPEP DR 3,000 UNITS CAPSULE

Prescription Drug - Brand

$1

—

42865030502

ZENPEP DR 25,000 UNITS CAPSULE

Prescription Drug - Brand

$7

—

42865030602

ZENPEP DR 10,000 UNITS CAPSULE

Prescription Drug - Brand

$3

—

42865030702

ZENPEP DR 40,000 UNITS CAPSULE

Prescription Drug - Brand

$10

—

43068010102

FANAPT 1 MG TABLET

Prescription Drug - Brand

$31

—

43068010202

FANAPT 2 MG TABLET

Prescription Drug - Brand

$31

—

43068010402

FANAPT 4 MG TABLET

Prescription Drug - Brand

$30

—

43068010602

FANAPT 6 MG TABLET

Prescription Drug - Brand

$38

—

43068010802

FANAPT 8 MG TABLET

Prescription Drug - Brand

$37

—

43068011002

FANAPT 10 MG TABLET

Prescription Drug - Brand

$60

—

43068011202

FANAPT 12 MG TABLET

Prescription Drug - Brand

$60

—

43485010160

SPRITAM 250 MG TABLET

Prescription Drug - Brand

$10

—

43485010260

SPRITAM 500 MG TABLET

Prescription Drug - Brand

$10

—

43485010360

SPRITAM 750 MG TABLET

Prescription Drug - Brand

$10

—

43485010460

SPRITAM 1,000 MG TABLET

Prescription Drug - Brand

$10

—

43538017069

CLINDACIN P 1% PLEDGETS

Prescription Drug - Brand

$9

—

43538017169

CLINDACIN PAC KIT

Prescription Drug - Brand

$290

—

43538017360

CLINDACIN ETZ KIT

Prescription Drug - Brand

$290

—

43538017645

NEUAC GEL

Prescription Drug - Brand

$7

—

43538019016

SUMADAN 9%-4.5% WASH

Prescription Drug - Brand

$2

—

43538019116

SUMADAN KIT

Prescription Drug - Brand

$804

—

43538094060

NEO-SYNALAR 0.5%-0.025% CREAM

Prescription Drug - Brand

$13

—

43595008003

OLEPTRO ER 150 MG TABLET

Prescription Drug - Brand

$3

—

43598002114

AUGMENTIN 875-125 TABLET

Prescription Drug - Brand

$63

—

44087002203

REBIF 22 MCG/0.5 ML SYRINGE

Prescription Drug - Brand

$1,401

—

44087004403

REBIF 44 MCG/0.5 ML SYRINGE

Prescription Drug - Brand

$1,850

—

44087100502

SAIZEN 5 MG VIAL

Prescription Drug - Brand

$281

—

44087111501

GONAL-F RFF REDI-JECT 300 UNITS PEN

Prescription Drug - Brand

$1,867

—

Prescription Drug - Brand Procedures

My Cost List