Prescription Drug - Brand Procedure Costs — 3320 Procedures

60793085410

LEVOXYL 100 MCG TABLET

Prescription Drug - Brand

$1

—

60793085510

LEVOXYL 112 MCG TABLET

Prescription Drug - Brand

$1

—

60793085610

LEVOXYL 125 MCG TABLET

Prescription Drug - Brand

$1

—

60793085710

LEVOXYL 137 MCG TABLET

Prescription Drug - Brand

$1

—

60793085810

LEVOXYL 150 MCG TABLET

Prescription Drug - Brand

$1

—

60793085910

LEVOXYL 175 MCG TABLET

Prescription Drug - Brand

$1

—

60793086010

LEVOXYL 200 MCG TABLET

Prescription Drug - Brand

$1

—

60842002102

AUVI-Q 0.1 MG AUTO-INJECTOR

Prescription Drug - Brand

$298

—

60842002202

AUVI-Q 0.15 MG AUTO-INJECTOR

Prescription Drug - Brand

$298

—

60842002302

AUVI-Q 0.3 MG AUTO-INJECTOR

Prescription Drug - Brand

$298

—

60842003001

EVZIO 0.4 MG AUTO-INJECTOR

Prescription Drug - Brand

$4,507

—

60846020101

ACTIVELLA 0.5-0.1 MG TABLET

Prescription Drug - Brand

$9

—

60846080101

UNITHROID 25 MCG TABLET

Prescription Drug - Brand

$4

—

60846080201

UNITHROID 50 MCG TABLET

Prescription Drug - Brand

$4

—

60846080301

UNITHROID 75 MCG TABLET

Prescription Drug - Brand

$4

—

60846080401

UNITHROID 88 MCG TABLET

Prescription Drug - Brand

$4

—

60846080501

UNITHROID 100 MCG TABLET

Prescription Drug - Brand

$4

—

60846080601

UNITHROID 112 MCG TABLET

Prescription Drug - Brand

$4

—

60846080701

UNITHROID 125 MCG TABLET

Prescription Drug - Brand

$4

—

60846080801

UNITHROID 137 MCG TABLET

Prescription Drug - Brand

$4

—

60846080901

UNITHROID 150 MCG TABLET

Prescription Drug - Brand

$4

—

60846081001

UNITHROID 175 MCG TABLET

Prescription Drug - Brand

$4

—

60846081101

UNITHROID 200 MCG TABLET

Prescription Drug - Brand

$4

—

61269038012

PYLERA 140-125-125 MG CAPSULE

Prescription Drug - Brand

$2

—

61269040260

DROXIA 200 MG CAPSULE

Prescription Drug - Brand

$1

—

61269040360

DROXIA 300 MG CAPSULE

Prescription Drug - Brand

$1

—

61269040460

DROXIA 400 MG CAPSULE

Prescription Drug - Brand

$1

—

61269046090

XENICAL 120 MG CAPSULE

Prescription Drug - Brand

$5

—

61269050906

PULMICORT 90 MCG FLEXHALER

Prescription Drug - Brand

$189

—

61269051812

PULMICORT 180 MCG FLEXHALER

Prescription Drug - Brand

$253

—

61269060510

KLONOPIN 0.5 MG TABLET

Prescription Drug - Brand

$3

—

61269061010

KLONOPIN 1 MG TABLET

Prescription Drug - Brand

$3

—

61269062010

KLONOPIN 2 MG TABLET

Prescription Drug - Brand

$4

—

61269063130

ZYPREXA 5 MG TABLET

Prescription Drug - Brand

$17

—

61269063530

ZYPREXA 20 MG TABLET

Prescription Drug - Brand

$50

—

61314024063

JUBBONTI 60 MG/ML SYRINGE

Prescription Drug - Brand

$1,536

—

61314031805

ZARXIO 300 MCG/0.5 ML SYRINGE

Prescription Drug - Brand

$534

—

61314032605

ZARXIO 480 MCG/0.8 ML SYRINGE

Prescription Drug - Brand

$533

—

61570003150

CORTISPORIN OINTMENT

Prescription Drug - Brand

$10

—

61570003275

CORTISPORIN CREAM

Prescription Drug - Brand

$15

—

61570007201

MENEST 0.3 MG TABLET

Prescription Drug - Brand

$2

—

61570007301

MENEST 0.625 MG TABLET

Prescription Drug - Brand

$2

—

61570007401

MENEST 1.25 MG TABLET

Prescription Drug - Brand

$3

—

61570011101

ALTACE 2.5 MG CAPSULE

Prescription Drug - Brand

$6

—

61570011201

ALTACE 5 MG CAPSULE

Prescription Drug - Brand

$6

—

61570012001

ALTACE 10 MG CAPSULE

Prescription Drug - Brand

$7

—

61570013185

SILVADENE 1% CREAM

Prescription Drug - Brand

$0

—

61755002002

PRALUENT 75 MG/ML PEN

Prescription Drug - Brand

$258

—

61755002102

PRALUENT 150 MG/ML PEN

Prescription Drug - Brand

$258

—

61874007560

VIBERZI 75 MG TABLET

Prescription Drug - Brand

$28

—

Prescription Drug - Brand Procedures

My Cost List