Prescription Drug - Brand Procedure Costs — 3320 Procedures

59676030201

PROCRIT 2,000 UNITS/ML VIAL

Prescription Drug - Brand

$52

—

59676030401

PROCRIT 4,000 UNITS/ML VIAL

Prescription Drug - Brand

$104

—

59676031001

PROCRIT 10,000 UNITS/ML VIAL

Prescription Drug - Brand

$260

—

59676032004

PROCRIT 20,000 UNITS/ML VIAL

Prescription Drug - Brand

$520

—

59676034001

PROCRIT 40,000 UNITS/ML VIAL

Prescription Drug - Brand

$1,036

—

59676056101

PREZISTA 400 MG TABLET

Prescription Drug - Brand

$20

—

59676056201

PREZISTA 600 MG TABLET

Prescription Drug - Brand

$35

—

59676056630

PREZISTA 800 MG TABLET

Prescription Drug - Brand

$70

—

59676057001

INTELENCE 100 MG TABLET

Prescription Drug - Brand

$11

—

59676057101

INTELENCE 200 MG TABLET

Prescription Drug - Brand

$24

—

59676057530

PREZCOBIX 800 MG-150 MG TABLET

Prescription Drug - Brand

$80

—

59676080030

SYMTUZA 800-150-200-10 MG TAB

Prescription Drug - Brand

$153

—

59767000802

PERTZYE DR 8,000 UNIT CAPSULE

Prescription Drug - Brand

$3

—

59767001601

PERTZYE DR 16,000 UNITS CAPS

Prescription Drug - Brand

$4

—

59767001602

PERTZYE DR 16,000 UNIT CAPSULE

Prescription Drug - Brand

$5

—

59767002402

PERTZYE DR 24,000 UNIT CAPSULE

Prescription Drug - Brand

$8

—

59922063101

AURYXIA 210 MG TABLET

Prescription Drug - Brand

$7

—

60505040205

PAXIL 10 MG/5 ML SUSPENSION

Prescription Drug - Brand

$2

—

60505437703

PAXIL CR 12.5 MG TABLET

Prescription Drug - Brand

$10

—

60505437803

PAXIL CR 25 MG TABLET

Prescription Drug - Brand

$10

—

60505437903

PAXIL CR 37.5 MG TABLET

Prescription Drug - Brand

$10

—

60505451703

PAXIL 10 MG TABLET

Prescription Drug - Brand

$9

—

60505451803

PAXIL 20 MG TABLET

Prescription Drug - Brand

$10

—

60505451903

PAXIL 30 MG TABLET

Prescription Drug - Brand

$10

—

60505452003

PAXIL 40 MG TABLET

Prescription Drug - Brand

$10

—

60631004030

EDARBI 40 MG TABLET

Prescription Drug - Brand

$8

—

60631008030

EDARBI 80 MG TABLET

Prescription Drug - Brand

$9

—

60631041230

EDARBYCLOR 40-12.5 MG TABLET

Prescription Drug - Brand

$9

—

60631042530

EDARBYCLOR 40-25 MG TABLET

Prescription Drug - Brand

$8

—

60793011501

CYTOMEL 5 MCG TABLET

Prescription Drug - Brand

$0

—

60793011601

CYTOMEL 25 MCG TABLET

Prescription Drug - Brand

$1

—

60793011701

CYTOMEL 50 MCG TABLET

Prescription Drug - Brand

$4

—

60793013601

SKELAXIN 800 MG TABLET

Prescription Drug - Brand

$10

—

60793014601

SONATA 10 MG CAPSULE

Prescription Drug - Brand

$11

—

60793043020

EMBEDA ER 20-0.8 MG CAPSULE

Prescription Drug - Brand

$6

—

60793043120

EMBEDA ER 30-1.2 MG CAPSULE

Prescription Drug - Brand

$10

—

60793043320

EMBEDA ER 50-2 MG CAPSULE

Prescription Drug - Brand

$13

—

60793043420

EMBEDA ER 60-2.4 MG CAPSULE

Prescription Drug - Brand

$15

—

60793043520

EMBEDA ER 80-3.2 MG CAPSULE

Prescription Drug - Brand

$20

—

60793043720

EMBEDA ER 100-4 MG CAPSULE

Prescription Drug - Brand

$25

—

60793060301

AVINZA 45 MG CAPSULE

Prescription Drug - Brand

$8

—

60793060501

AVINZA 30 MG CAPSULE

Prescription Drug - Brand

$5

—

60793060601

AVINZA 60 MG CAPSULE

Prescription Drug - Brand

$10

—

60793060701

AVINZA 90 MG CAPSULE

Prescription Drug - Brand

$15

—

60793070110

BICILLIN L-A 1,200,000 UNITS

Prescription Drug - Brand

$77

—

60793070210

BICILLIN L-A 2,400,000 UNITS

Prescription Drug - Brand

$183

—

60793085010

LEVOXYL 25 MCG TABLET

Prescription Drug - Brand

$1

—

60793085110

LEVOXYL 50 MCG TABLET

Prescription Drug - Brand

$1

—

60793085210

LEVOXYL 75 MCG TABLET

Prescription Drug - Brand

$1

—

60793085310

LEVOXYL 88 MCG TABLET

Prescription Drug - Brand

$1

—

Prescription Drug - Brand Procedures

My Cost List