Prescription Drug - Brand Procedure Costs — 3320 Procedures

50474067066

BRIVIACT 75 MG TABLET

Prescription Drug - Brand

$24

—

50474071079

CIMZIA 2X200 MG/ML SYRINGE KIT

Prescription Drug - Brand

$6,112

—

50474071081

CIMZIA 2X200 MG/ML(X3)START KT

Prescription Drug - Brand

$6,073

—

50474077066

BRIVIACT 100 MG TABLET

Prescription Drug - Brand

$24

—

50474078185

BIMZELX 160 MG/ML AUTOINJECTOR

Prescription Drug - Brand

$8,113

—

50474078284

BIMZELX 320 MG/2 ML AUTOINJECT

Prescription Drug - Brand

$8,068

—

50474080103

NEUPRO 1 MG/24 HR PATCH

Prescription Drug - Brand

$28

—

50474080203

NEUPRO 2 MG/24 HR PATCH

Prescription Drug - Brand

$28

—

50474080303

NEUPRO 3 MG/24 HR PATCH

Prescription Drug - Brand

$28

—

50474080403

NEUPRO 4 MG/24 HR PATCH

Prescription Drug - Brand

$28

—

50474080503

NEUPRO 6 MG/24 HR PATCH

Prescription Drug - Brand

$28

—

50474080603

NEUPRO 8 MG/24 HR PATCH

Prescription Drug - Brand

$28

—

50474087015

BRIVIACT 10 MG/ML ORAL SOLN

Prescription Drug - Brand

$5

—

50474090750

LORTAB 7.5-500 TABLET

Prescription Drug - Brand

$2

—

50474091060

LORTAB 10-500 TABLET

Prescription Drug - Brand

$2

—

50474093001

LORTAB 5-325 MG TABLET

Prescription Drug - Brand

$2

—

50474093101

LORTAB 7.5-325 MG TABLET

Prescription Drug - Brand

$2

—

50474093201

LORTAB 10-325 MG TABLET

Prescription Drug - Brand

$3

—

50484001090

SANTYL OINTMENT

Prescription Drug - Brand

$8

—

50484081015

REGRANEX 0.01% GEL

Prescription Drug - Brand

$79

—

50742028590

HEMICLOR 12.5 MG TABLET

Prescription Drug - Brand

$1

—

50742051530

NITRO-DUR 0.3 MG/HR PATCH

Prescription Drug - Brand

$50

—

50881000705

OPZELURA 1.5% CREAM

Prescription Drug - Brand

$34

—

50967021990

NESTABS TABLET

Prescription Drug - Brand

$2

—

50967031730

NESTABS DHA COMBO PACK

Prescription Drug - Brand

$2

—

51167054834

JOURNAVX 50 MG TABLET

Prescription Drug - Brand

$15

—

51248015001

VESICARE 5 MG TABLET

Prescription Drug - Brand

$12

—

51248015101

VESICARE 10 MG TABLET

Prescription Drug - Brand

$12

—

51248025099

VESICARE LS 5 MG/5 ML SUSP

Prescription Drug - Brand

$2

—

51267089099

CONTRAVE ER 8-90 MG TABLET

Prescription Drug - Brand

$5

—

51285008498

LOESTRIN FE 1.5-30 TABLET

Prescription Drug - Brand

$3

—

51285008787

SEASONIQUE 0.15-0.03-0.01 TAB

Prescription Drug - Brand

$5

—

51285009287

LOSEASONIQUE TABLET

Prescription Drug - Brand

$3

—

51285012058

MIRCETTE 28 DAY TABLET

Prescription Drug - Brand

$3

—

51285012570

LOESTRIN FE 1-20 TABLET

Prescription Drug - Brand

$8

—

51285036601

TREXALL 5 MG TABLET

Prescription Drug - Brand

$24

—

51285036801

TREXALL 10 MG TABLET

Prescription Drug - Brand

$48

—

51285040602

ENJUVIA 0.3 MG TABLET

Prescription Drug - Brand

$2

—

51285040702

ENJUVIA 0.45 MG TABLET

Prescription Drug - Brand

$2

—

51285040802

ENJUVIA 0.625 MG TABLET

Prescription Drug - Brand

$2

—

51285040902

ENJUVIA 0.9 MG TABLET

Prescription Drug - Brand

$2

—

51285041002

ENJUVIA 1.25 MG TABLET

Prescription Drug - Brand

$2

—

51285043165

QUARTETTE TABLET

Prescription Drug - Brand

$4

—

51285044102

CENESTIN 0.3 MG TABLET

Prescription Drug - Brand

$4

—

51672133803

FLO-PRED 16.7(15) MG/5 ML SUSP

Prescription Drug - Brand

$3

—

51672211402

FEVERALL 80 MG SUPPOSITORY

Prescription Drug - Brand

$1

—

51672211502

FEVERALL 120 MG SUPPOSITORY

Prescription Drug - Brand

$1

—

51672211602

FEVERALL 325 MG SUPPOSITORY

Prescription Drug - Brand

$1

—

51672528107

TOPICORT 0.25% SPRAY

Prescription Drug - Brand

$5

—

51672529304

OVIDE 0.5% LOTION

Prescription Drug - Brand

$3

—

Prescription Drug - Brand Procedures

My Cost List