Prescription Drug - Brand Procedure Costs — 3320 Procedures

61874010060

VIBERZI 100 MG TABLET

Prescription Drug - Brand

$28

—

61874011530

VRAYLAR 1.5 MG CAPSULE

Prescription Drug - Brand

$51

—

61874013030

VRAYLAR 3 MG CAPSULE

Prescription Drug - Brand

$51

—

61874014530

VRAYLAR 4.5 MG CAPSULE

Prescription Drug - Brand

$51

—

61874016030

VRAYLAR 6 MG CAPSULE

Prescription Drug - Brand

$51

—

61958040101

VIREAD 300 MG TABLET

Prescription Drug - Brand

$41

—

61958050101

HEPSERA 10 MG TABLET

Prescription Drug - Brand

$40

—

61958060101

EMTRIVA 200 MG CAPSULE

Prescription Drug - Brand

$17

—

61958070101

TRUVADA 200 MG-300 MG TABLET

Prescription Drug - Brand

$60

—

61958100301

RANEXA ER 500 MG TABLET

Prescription Drug - Brand

$7

—

61958100401

RANEXA ER 1,000 MG TABLET

Prescription Drug - Brand

$11

—

61958110101

COMPLERA TABLET

Prescription Drug - Brand

$131

—

61958120101

STRIBILD TABLET

Prescription Drug - Brand

$150

—

61958150101

SOVALDI 400 MG TABLET

Prescription Drug - Brand

$982

—

61958180101

HARVONI 90-400 MG TABLET

Prescription Drug - Brand

$1,099

—

61958190101

GENVOYA TABLET

Prescription Drug - Brand

$143

—

61958200202

DESCOVY 200-25 MG TABLET

Prescription Drug - Brand

$71

—

61958200501

DESCOVY 120-15 MG TABLET

Prescription Drug - Brand

$71

—

61958210101

ODEFSEY TABLET

Prescription Drug - Brand

$130

—

61958220101

EPCLUSA 400 MG-100 MG TABLET

Prescription Drug - Brand

$867

—

61958230101

VEMLIDY 25 MG TABLET

Prescription Drug - Brand

$52

—

61958250103

BIKTARVY 50-200-25 MG TABLET

Prescription Drug - Brand

$137

—

61958250601

BIKTARVY 30-120-15 MG TABLET

Prescription Drug - Brand

$137

—

62484001505

XROMI 100 MG/ML SOLUTION

Prescription Drug - Brand

$5

—

62541020130

QSYMIA 3.75 MG-23 MG CAPSULE

Prescription Drug - Brand

$6

—

62541020230

QSYMIA 7.5 MG-46 MG CAPSULE

Prescription Drug - Brand

$6

—

62541020330

QSYMIA 11.25 MG-69 MG CAPSULE

Prescription Drug - Brand

$6

—

62541020430

QSYMIA 15 MG-92 MG CAPSULE

Prescription Drug - Brand

$6

—

62541030230

STENDRA 100 MG TABLET

Prescription Drug - Brand

$60

—

62541030330

STENDRA 200 MG TABLET

Prescription Drug - Brand

$60

—

62559028001

LITHOBID ER 300 MG TABLET

Prescription Drug - Brand

$12

—

62559028560

OXISTAT 1% LOTION

Prescription Drug - Brand

$11

—

62559035601

KIONEX 15 GM/60 ML SUSPENSION

Prescription Drug - Brand

$0

—

62559038530

VEREGEN 15% OINTMENT

Prescription Drug - Brand

$52

—

62559059030

INNOPRAN XL 80 MG CAPSULE

Prescription Drug - Brand

$69

—

62559059130

INNOPRAN XL 120 MG CAPSULE

Prescription Drug - Brand

$69

—

62559060030

INDERAL XL 80 MG CAPSULE

Prescription Drug - Brand

$69

—

62559060130

INDERAL XL 120 MG CAPSULE

Prescription Drug - Brand

$69

—

62559064130

ATACAND 8 MG TABLET

Prescription Drug - Brand

$7

—

62559064290

ATACAND 16 MG TABLET

Prescription Drug - Brand

$8

—

62559064390

ATACAND 32 MG TABLET

Prescription Drug - Brand

$10

—

62559067030

ARIMIDEX 1 MG TABLET

Prescription Drug - Brand

$53

—

62856024590

ARICEPT 5 MG TABLET

Prescription Drug - Brand

$16

—

62856024630

ARICEPT 10 MG TABLET

Prescription Drug - Brand

$16

—

62856024730

ARICEPT 23 MG TABLET

Prescription Drug - Brand

$14

—

62856040530

DAYVIGO 5 MG TABLET

Prescription Drug - Brand

$12

—

62856041030

DAYVIGO 10 MG TABLET

Prescription Drug - Brand

$12

—

62856052960

BELVIQ 10 MG TABLET

Prescription Drug - Brand

$5

—

62856053530

BELVIQ XR 20 MG TABLET

Prescription Drug - Brand

$10

—

62856058252

BANZEL 200 MG TABLET

Prescription Drug - Brand

$13

—

Prescription Drug - Brand Procedures

My Cost List