Prescription Drug - Brand Procedure Costs — 3320 Procedures

63481068447

VOLTAREN 1% GEL

Prescription Drug - Brand

$1

—

63481068706

LIDODERM 5% PATCH

Prescription Drug - Brand

$25

—

63481081260

OPANA ER 5 MG TABLET

Prescription Drug - Brand

$2

—

63481081360

OPANA ER 7.5 MG TABLET

Prescription Drug - Brand

$4

—

63481081460

OPANA ER 10 MG TABLET

Prescription Drug - Brand

$5

—

63481081560

OPANA ER 15 MG TABLET

Prescription Drug - Brand

$7

—

63481081660

OPANA ER 20 MG TABLET

Prescription Drug - Brand

$9

—

63481081760

OPANA ER 30 MG TABLET

Prescription Drug - Brand

$12

—

63481081860

OPANA ER 40 MG TABLET

Prescription Drug - Brand

$16

—

63717032630

NASOHIST PEDIATRIC DROPS

Prescription Drug - Brand

$1

—

63717033108

BICLORA LIQUID

Prescription Drug - Brand

$0

—

63717087516

REZIRA SOLUTION

Prescription Drug - Brand

$1

—

63717087616

ZUTRIPRO SOLUTION

Prescription Drug - Brand

$1

—

63801010701

BENSAL HP 3% OINTMENT

Prescription Drug - Brand

$28

—

63824001466

MUCINEX SEVERE CONGES-COUGH LQ

Prescription Drug - Brand

$0

—

63824001566

MUCINEX COLD-FLU-SORETHROAT LQ

Prescription Drug - Brand

$0

—

63824001764

CHILD'S MUCINEX COLD-FEVER LIQ

Prescription Drug - Brand

$0

—

63824002066

MUCINEX FAST-MAX SEV COLD LIQ

Prescription Drug - Brand

$0

—

63824002356

MUCINEX ER 1,200 MG TABLET

Prescription Drug - Brand

$1

—

63824004124

MUCINEX D ER 1,200-120 MG TAB

Prescription Drug - Brand

$1

—

63824005689

MUCINEX DM ER 600-30 MG TABLET

Prescription Drug - Brand

$1

—

63824005736

MUCINEX D ER 600-60 MG TABLET

Prescription Drug - Brand

$1

—

63824007256

MUCINEX DM ER 1,200-60 MG TAB

Prescription Drug - Brand

$1

—

63824012275

MUCINEX MOISTURE SMART NAS SPR

Prescription Drug - Brand

$0

—

63824012775

MUCINEX SINUS-MAX NASAL SPRAY

Prescription Drug - Brand

$0

—

63824016416

DELSYM COUGH+SOOTH ACTION LOZ

Prescription Drug - Brand

$0

—

63824017565

DELSYM 30 MG/5 ML SUSPENSION

Prescription Drug - Brand

$0

—

63824017765

CHILD DELSYM COUGH 30 MG/5 ML

Prescription Drug - Brand

$0

—

63824018764

CHILD DELSYM NIGHTTIME C-C LIQ

Prescription Drug - Brand

$0

—

63824019020

MUCINEX FAST-MAX COLD-SINUS TB

Prescription Drug - Brand

$1

—

63824019130

MUCINEX FAST-MAX COLD-FLU TAB

Prescription Drug - Brand

$0

—

63824019230

MUCINEX FAST-MAX CNGST-COLD TB

Prescription Drug - Brand

$0

—

63824019620

MUCINEX FAST-MAX SEV COLD CPLT

Prescription Drug - Brand

$1

—

63824020020

MUCINEX SINUS-MAX PRESSUR-PAIN

Prescription Drug - Brand

$1

—

63824020120

MUCINEX SINUS-MAX SEVERE CPLT

Prescription Drug - Brand

$1

—

63824020130

MUCINEX SINUS-MAX SEV CONGEST

Prescription Drug - Brand

$0

—

63824020220

MUCINEX SINUS-MAX DAY-NIGHT TB

Prescription Drug - Brand

$1

—

63824021166

DELSYM COUGH-COLD NIGHTTIME LQ

Prescription Drug - Brand

$0

—

63824021266

CHILD DELSYM COUGH+COLD NIGHT

Prescription Drug - Brand

$0

—

63824021366

DELSYM COUGH+CHEST CNGST DM LQ

Prescription Drug - Brand

$0

—

63824021464

CHILD DELSYM COUGH-CHEST DM LQ

Prescription Drug - Brand

$0

—

63824021466

CHILD DELSYM COUGH+CHEST DM LQ

Prescription Drug - Brand

$0

—

63824021566

DELSYM COUGH-COLD DAYTIME LIQ

Prescription Drug - Brand

$0

—

63824022366

DELSYM NIGHTTIME COUGH LIQUID

Prescription Drug - Brand

$0

—

63824024220

MUCINEX SINUS-MAX PRESSURE-CGH

Prescription Drug - Brand

$1

—

63824025412

CHILD MUCINEX CHEST 100 MG PKT

Prescription Drug - Brand

$1

—

63824025612

MUCINEX COUGH MINI-MELT PACK

Prescription Drug - Brand

$1

—

63824026266

MUCINEX SINUS-MAX NITE CONGEST

Prescription Drug - Brand

$0

—

63824027066

MUCINEX NIGHTSHIFT SINUS LIQ

Prescription Drug - Brand

$0

—

63824027864

CHILD'S MUCINEX COLD-CGH-SORE

Prescription Drug - Brand

$0

—

Prescription Drug - Brand Procedures

My Cost List