Prescription Drug - Brand Procedure Costs — 3320 Procedures

58151036756

RELPAX 20 MG TABLET

Prescription Drug - Brand

$78

—

58151036896

RELPAX 40 MG TABLET

Prescription Drug - Brand

$77

—

58151041935

XALATAN 0.005% EYE DROPS

Prescription Drug - Brand

$108

—

58151042893

VIAGRA 100 MG TABLET

Prescription Drug - Brand

$84

—

58151045201

XANAX 0.25 MG TABLET

Prescription Drug - Brand

$6

—

58151045305

XANAX 0.5 MG TABLET

Prescription Drug - Brand

$7

—

58151045401

XANAX 1 MG TABLET

Prescription Drug - Brand

$9

—

58151045501

XANAX 2 MG TABLET

Prescription Drug - Brand

$16

—

58151057493

ZOLOFT 25 MG TABLET

Prescription Drug - Brand

$15

—

58151057593

ZOLOFT 50 MG TABLET

Prescription Drug - Brand

$15

—

58151057693

ZOLOFT 100 MG TABLET

Prescription Drug - Brand

$15

—

58406001004

ENBREL 25 MG/0.5 ML SYRINGE

Prescription Drug - Brand

$2,076

—

58406002104

ENBREL 50 MG/ML SYRINGE

Prescription Drug - Brand

$2,081

—

58406003204

ENBREL 50 MG/ML SURECLICK

Prescription Drug - Brand

$2,083

—

58406004404

ENBREL 50 MG/ML MINI CARTRIDGE

Prescription Drug - Brand

$2,082

—

58406042534

ENBREL 25 MG KIT

Prescription Drug - Brand

$727

—

58406044504

ENBREL 50 MG/ML SURECLICK SYR

Prescription Drug - Brand

$1,287

—

58407062530

STAHIST AD TABLET

Prescription Drug - Brand

$1

—

58468002001

RENAGEL 400 MG TABLET

Prescription Drug - Brand

$3

—

58468002101

RENAGEL 800 MG TABLET

Prescription Drug - Brand

$7

—

58468013102

RENVELA 2.4 GM POWDER PACKET

Prescription Drug - Brand

$17

—

58468013202

RENVELA 0.8 GM POWDER PACKET

Prescription Drug - Brand

$17

—

58468013301

RENVELA 800 MG TABLET

Prescription Drug - Brand

$6

—

58657011060

FOCALGIN 90 DHA COMBO PACK

Prescription Drug - Brand

$2

—

58657011160

FOCALGIN CA COMBO PACK

Prescription Drug - Brand

$2

—

58809055508

VANACOF DM 18-200-10 MG/15 ML

Prescription Drug - Brand

$0

—

58809065008

VANALICE GEL

Prescription Drug - Brand

$0

—

58809099901

VANACOF LIQUID

Prescription Drug - Brand

$0

—

58914017014

CARAFATE 1 GM/10 ML SUSP

Prescription Drug - Brand

$1

—

58914017110

CARAFATE 1 GM TABLET

Prescription Drug - Brand

$5

—

58914030180

RECTIV 0.4% OINTMENT

Prescription Drug - Brand

$21

—

58914050156

CANASA 1,000 MG SUPPOSITORY

Prescription Drug - Brand

$37

—

59011025530

INTERMEZZO 3.5 MG TAB SUBLING

Prescription Drug - Brand

$12

—

59011025630

INTERMEZZO 1.75 MG TAB SUBLING

Prescription Drug - Brand

$12

—

59011026125

MS CONTIN CR 30 MG TABLET

Prescription Drug - Brand

$7

—

59011026210

MS CONTIN 60 MG TABLET

Prescription Drug - Brand

$13

—

59011026310

MS CONTIN 100 MG TABLET

Prescription Drug - Brand

$19

—

59011027160

HYSINGLA ER 20 MG TABLET

Prescription Drug - Brand

$13

—

59011027260

HYSINGLA ER 30 MG TABLET

Prescription Drug - Brand

$19

—

59011027360

HYSINGLA ER 40 MG TABLET

Prescription Drug - Brand

$26

—

59011027460

HYSINGLA ER 60 MG TABLET

Prescription Drug - Brand

$36

—

59011027560

HYSINGLA ER 80 MG TABLET

Prescription Drug - Brand

$49

—

59011027660

HYSINGLA ER 100 MG TABLET

Prescription Drug - Brand

$62

—

59011041010

OXYCONTIN 10 MG TABLET

Prescription Drug - Brand

$4

—

59011041020

OXYCONTIN ER 10 MG TABLET

Prescription Drug - Brand

$6

—

59011041520

OXYCONTIN ER 15 MG TABLET

Prescription Drug - Brand

$9

—

59011042020

OXYCONTIN ER 20 MG TABLET

Prescription Drug - Brand

$11

—

59011043010

OXYCONTIN 30 MG TABLET

Prescription Drug - Brand

$9

—

59011043020

OXYCONTIN ER 30 MG TABLET

Prescription Drug - Brand

$15

—

59011044020

OXYCONTIN ER 40 MG TABLET

Prescription Drug - Brand

$19

—

Prescription Drug - Brand Procedures

My Cost List