Prescription Drug - Brand Procedure Costs — 3320 Procedures

54436025004

XYOSTED 50 MG/0.5 ML AUTO-INJ

Prescription Drug - Brand

$317

—

54436027504

XYOSTED 75 MG/0.5 ML AUTO-INJ

Prescription Drug - Brand

$317

—

54436032530

NOCDURNA 27.7 MCG TABLET SL

Prescription Drug - Brand

$16

—

54436035030

NOCDURNA 55.3 MCG TABLET SL

Prescription Drug - Brand

$16

—

54482014407

CARNITOR 330 MG TABLET

Prescription Drug - Brand

$1

—

54482014508

CARNITOR 100 MG/ML ORAL SOLN

Prescription Drug - Brand

$0

—

54482014509

CARNITOR 1 GM/10 ML ORAL SOLN

Prescription Drug - Brand

$0

—

54482014801

CARNITOR SF 100 MG/ML ORAL SOL

Prescription Drug - Brand

$0

—

54482014802

CARNITOR SF 1 GM/10 ML SOLN

Prescription Drug - Brand

$1

—

54643900701

INFUVITE ADULT VIAL

Prescription Drug - Brand

$1

—

54766009306

RIDAURA 3 MG CAPSULE

Prescription Drug - Brand

$25

—

54766020010

MOTOFEN 1-0.025 MG TABLET

Prescription Drug - Brand

$7

—

54766059010

IMURAN 50 MG TABLET

Prescription Drug - Brand

$9

—

54766077060

NAFTIN 1% GEL

Prescription Drug - Brand

$7

—

54766077260

NAFTIN 2% GEL

Prescription Drug - Brand

$11

—

54766090753

BRISDELLE 7.5 MG CAPSULE

Prescription Drug - Brand

$7

—

55390000401

GLUCAGEN 1 MG VIAL

Prescription Drug - Brand

$163

—

55494010010

DICLEGIS DR 10-10 MG TABLET

Prescription Drug - Brand

$2

—

55494012060

BONJESTA ER 20-20 MG TABLET

Prescription Drug - Brand

$11

—

55494058090

OSPHENA 60 MG TABLET

Prescription Drug - Brand

$8

—

55513002104

ARANESP 40 MCG/0.4 ML SYRINGE

Prescription Drug - Brand

$753

—

55513002504

ARANESP 100 MCG/0.5 ML SYRINGE

Prescription Drug - Brand

$1,428

—

55513005704

ARANESP 25 MCG/0.42 ML SYRING

Prescription Drug - Brand

$450

—

55513007330

SENSIPAR 30 MG TABLET

Prescription Drug - Brand

$26

—

55513007430

SENSIPAR 60 MG TABLET

Prescription Drug - Brand

$52

—

55513007530

SENSIPAR 90 MG TABLET

Prescription Drug - Brand

$78

—

55513012610

EPOGEN 2,000 UNITS/ML VIAL

Prescription Drug - Brand

$32

—

55513013760

OTEZLA 30 MG TABLET

Prescription Drug - Brand

$91

—

55513014410

EPOGEN 10,000 UNITS/ML VIAL

Prescription Drug - Brand

$162

—

55513014810

EPOGEN 4,000 UNITS/ML VIAL

Prescription Drug - Brand

$64

—

55513019001

NEULASTA 6 MG/0.6 ML SYRINGE

Prescription Drug - Brand

$10,075

—

55513020910

NEUPOGEN 480 MCG/0.8 ML SYR

Prescription Drug - Brand

$636

—

55513036955

OTEZLA 10-20-30 MG START 28 DAY

Prescription Drug - Brand

$99

—

55513049760

OTEZLA 20 MG TABLET

Prescription Drug - Brand

$90

—

55513053010

NEUPOGEN 300 MCG/ML VIAL

Prescription Drug - Brand

$306

—

55513071021

PROLIA 60 MG/ML SYRINGE

Prescription Drug - Brand

$1,864

—

55513073021

XGEVA 120 MG/1.7 ML VIAL

Prescription Drug - Brand

$2,002

—

55513080060

CORLANOR 5 MG TABLET

Prescription Drug - Brand

$10

—

55513081060

CORLANOR 7.5 MG TABLET

Prescription Drug - Brand

$10

—

55513084101

AIMOVIG 70 MG/ML AUTOINJECTOR

Prescription Drug - Brand

$753

—

55513084301

AIMOVIG 140 MG/ML AUTOINJECTOR

Prescription Drug - Brand

$754

—

55513092491

NEUPOGEN 300 MCG/0.5 ML SYR

Prescription Drug - Brand

$651

—

55566150201

NOVAREL 5,000 UNIT VIAL

Prescription Drug - Brand

$170

—

55566180101

ZOMACTON 5 MG VIAL

Prescription Drug - Brand

$281

—

55566190101

ZOMACTON 10 MG VIAL

Prescription Drug - Brand

$559

—

55566211002

LYSTEDA 650 MG TABLET

Prescription Drug - Brand

$5

—

55566650003

ENDOMETRIN 100 MG VAG INSERT

Prescription Drug - Brand

$15

—

55566670001

CLENPIQ SOLUTION

Prescription Drug - Brand

$0

—

55566680001

CLENPIQ 175 ML SOLUTION

Prescription Drug - Brand

$1

—

55566750102

MENOPUR 75 UNIT VIAL

Prescription Drug - Brand

$243

—

Prescription Drug - Brand Procedures

My Cost List