Prescription Drug - Brand Procedure Costs — 3320 Procedures

52427089060

GRALISE ER 900 MG TABLET

Prescription Drug - Brand

$15

—

52544001160

KADIAN ER 10 MG CAPSULE

Prescription Drug - Brand

$9

—

52544003260

KADIAN ER 30 MG CAPSULE

Prescription Drug - Brand

$11

—

52544003960

KADIAN ER 40 MG CAPSULE

Prescription Drug - Brand

$15

—

52544004154

GELNIQUE 3% GEL

Prescription Drug - Brand

$3

—

52544005260

KADIAN ER 50 MG CAPSULE

Prescription Drug - Brand

$19

—

52544006360

KADIAN ER 60 MG CAPSULE

Prescription Drug - Brand

$22

—

52544007960

PREQUE 10 TABLET

Prescription Drug - Brand

$2

—

52544008001

FIORICET 50-300-40 MG CAPSULE

Prescription Drug - Brand

$9

—

52544008430

GELNIQUE 10% GEL SACHETS

Prescription Drug - Brand

$13

—

52544016201

NORCO 7.5-325 TABLET

Prescription Drug - Brand

$3

—

52544016460

KADIAN ER 100 MG CAPSULE

Prescription Drug - Brand

$37

—

52544020431

GENERESS FE CHEWABLE TABLET

Prescription Drug - Brand

$6

—

52544021160

KADIAN ER 20 MG CAPSULE

Prescription Drug - Brand

$10

—

52544047108

ALORA 0.05 MG PATCH

Prescription Drug - Brand

$14

—

52544047254

ALORA 0.075 MG PATCH

Prescription Drug - Brand

$14

—

52544047354

ALORA 0.1 MG PATCH

Prescription Drug - Brand

$14

—

52544088454

ALORA 0.025 MG PATCH

Prescription Drug - Brand

$12

—

52544089660

KADIAN ER 80 MG CAPSULE

Prescription Drug - Brand

$30

—

52544091301

NORCO 5-325 TABLET

Prescription Drug - Brand

$3

—

52544095501

FIORINAL 50-325-40 MG CAPSULE

Prescription Drug - Brand

$5

—

52544095601

FIORINAL-COD 30-50-325-40 CAP

Prescription Drug - Brand

$11

—

52544097701

NEPHRO-VITE RX TABLET

Prescription Drug - Brand

$0

—

52609000105

ALKERAN 2 MG TABLET

Prescription Drug - Brand

$11

—

52652100101

EPANED 1 MG/ML SOLUTION

Prescription Drug - Brand

$2

—

52652200106

XATMEP 2.5 MG/ML ORAL SOLUTION

Prescription Drug - Brand

$21

—

52652300101

QBRELIS 1 MG/ML SOLUTION

Prescription Drug - Brand

$4

—

52652400101

EPANED 1 MG/ML ORAL SOLUTION

Prescription Drug - Brand

$4

—

52652500101

KATERZIA 1 MG/ML SUSPENSION

Prescription Drug - Brand

$4

—

52652600102

FLEQSUVY 25 MG/5 ML SUSPENSION

Prescription Drug - Brand

$6

—

52652800101

ZONISADE 100 MG/5 ML ORAL SUSP

Prescription Drug - Brand

$3

—

52652900103

EPRONTIA 25 MG/ML SOLUTION

Prescription Drug - Brand

$3

—

52709150103

GRASTEK 2,800 BAU SL TABLET

Prescription Drug - Brand

$12

—

52709160103

RAGWITEK SUBLINGUAL TABLET

Prescription Drug - Brand

$12

—

52709170103

ODACTRA 12 SQ-HDM SL TABLET

Prescription Drug - Brand

$12

—

52747020030

RESTORA CAPSULE

Prescription Drug - Brand

$1

—

52747020730

RESTORA RX CAPSULE

Prescription Drug - Brand

$1

—

52747047570

NOREL AD TABLET

Prescription Drug - Brand

$1

—

52747048090

NOREL CS LIQUID

Prescription Drug - Brand

$0

—

52747050230

FUSION PLUS CAPSULE

Prescription Drug - Brand

$1

—

52747050330

PROVIDA DHA CAPSULE

Prescription Drug - Brand

$2

—

52747050430

PROVIDA OB CAPSULE

Prescription Drug - Brand

$1

—

52747062030

CONCEPT OB CAPSULE

Prescription Drug - Brand

$1

—

52747062130

CONCEPT DHA CAPSULE

Prescription Drug - Brand

$1

—

52747071060

INTEGRA CAPSULE

Prescription Drug - Brand

$0

—

52747071130

INTEGRA F CAPSULE

Prescription Drug - Brand

$1

—

52747071230

INTEGRA PLUS CAPSULE

Prescription Drug - Brand

$1

—

52747080060

HEMOCYTE PLUS CAPSULE

Prescription Drug - Brand

$1

—

52747090090

TANDEM DUAL ACTION CAPSULE

Prescription Drug - Brand

$0

—

52937000120

VASCEPA 1 GM CAPSULE

Prescription Drug - Brand

$3

—

Prescription Drug - Brand Procedures

My Cost List