Prescription Drug - Brand Procedure Costs — 3320 Procedures

64764025303

OSENI 25-30 MG TABLET

Prescription Drug - Brand

$12

—

64764025403

OSENI 25-45 MG TABLET

Prescription Drug - Brand

$12

—

64764030114

ACTOS 30 MG TABLET

Prescription Drug - Brand

$19

—

64764030230

DUETACT 30-2 MG TABLET

Prescription Drug - Brand

$19

—

64764030430

DUETACT 30-4 MG TABLET

Prescription Drug - Brand

$20

—

64764031030

ACTOPLUS MET XR 30-1,000 MG TB

Prescription Drug - Brand

$20

—

64764033560

KAZANO 12.5-500 MG TABLET

Prescription Drug - Brand

$7

—

64764033760

KAZANO 12.5-1,000 MG TABLET

Prescription Drug - Brand

$7

—

64764045124

ACTOS 45 MG TABLET

Prescription Drug - Brand

$21

—

64764051030

ACTOPLUS MET XR 15-1,000 MG TB

Prescription Drug - Brand

$10

—

64764054130

PREVACID DR 15 MG CAPSULE

Prescription Drug - Brand

$14

—

64764054311

PREVACID 15 MG SOLUTAB

Prescription Drug - Brand

$13

—

64764054330

PREVACID DR 15 MG SOLUTAB

Prescription Drug - Brand

$13

—

64764054411

PREVACID 30 MG SOLUTAB

Prescription Drug - Brand

$13

—

64764054430

PREVACID DR 30 MG SOLUTAB

Prescription Drug - Brand

$13

—

64764055030

BRINTELLIX 5 MG TABLET

Prescription Drug - Brand

$12

—

64764056030

BRINTELLIX 10 MG TABLET

Prescription Drug - Brand

$12

—

64764058030

BRINTELLIX 20 MG TABLET

Prescription Drug - Brand

$12

—

64764067730

ULORIC 80 MG TABLET

Prescription Drug - Brand

$10

—

64764070201

PREVPAC PATIENT PACK

Prescription Drug - Brand

$8

—

64764072030

TRINTELLIX 5 MG TABLET

Prescription Drug - Brand

$17

—

64764073030

TRINTELLIX 10 MG TABLET

Prescription Drug - Brand

$17

—

64764075030

TRINTELLIX 20 MG TABLET

Prescription Drug - Brand

$17

—

64764080530

ROZEREM 8 MG TABLET

Prescription Drug - Brand

$12

—

64764091830

ULORIC 40 MG TABLET

Prescription Drug - Brand

$11

—

64896008412

ZOMIG 5 MG NASAL SPRAY

Prescription Drug - Brand

$110

—

64896066101

RYTARY ER 23.75 MG-95 MG CAP

Prescription Drug - Brand

$4

—

64896066201

RYTARY ER 36.25 MG-145 MG CAP

Prescription Drug - Brand

$4

—

64896066301

RYTARY ER 48.75 MG-195 MG CAP

Prescription Drug - Brand

$4

—

64896066401

RYTARY ER 61.25 MG-245 MG CAP

Prescription Drug - Brand

$5

—

64896066930

EMVERM 100 MG TABLET CHEW

Prescription Drug - Brand

$711

—

64896067151

ZOMIG 2.5 MG TABLET

Prescription Drug - Brand

$90

—

64896067250

ZOMIG 5 MG TABLET

Prescription Drug - Brand

$94

—

64896067410

DEXEDRINE SPANSULE 10 MG

Prescription Drug - Brand

$22

—

64896068251

ZOMIG 2.5 MG NASAL SPRAY

Prescription Drug - Brand

$78

—

64896069151

ZOMIG ZMT 2.5 MG TABLET

Prescription Drug - Brand

$91

—

64896069250

ZOMIG ZMT 5 MG TABLET

Prescription Drug - Brand

$95

—

64896096716

CREXONT ER 35 MG-140 MG CAP

Prescription Drug - Brand

$4

—

64896096816

CREXONT ER 52.5 MG-210 MG CAP

Prescription Drug - Brand

$4

—

64896096916

CREXONT ER 70 MG-280 MG CAP

Prescription Drug - Brand

$4

—

64896097016

CREXONT ER 87.5 MG-350 MG CAP

Prescription Drug - Brand

$4

—

64950034247

HYCODAN 5 MG-1.5 MG/5 ML SOLN

Prescription Drug - Brand

$0

—

65038005503

ADLARITY 5 MG/DAY WEEKLY PATCH

Prescription Drug - Brand

$108

—

65038005603

ADLARITY 10 MG/DAY WEEKLY PATCH

Prescription Drug - Brand

$108

—

65038028699

AZSTARYS 26.1 MG-5.2 MG CAP

Prescription Drug - Brand

$14

—

65038042999

AZSTARYS 39.2 MG-7.8 MG CAP

Prescription Drug - Brand

$14

—

65038056199

AZSTARYS 52.3 MG-10.4 MG CAP

Prescription Drug - Brand

$14

—

65219059601

TYENNE 162 MG/0.9 ML AUTOINJCT

Prescription Drug - Brand

$822

—

65224031060

ZOHYDRO ER 10 MG CAPSULE

Prescription Drug - Brand

$10

—

65224031560

ZOHYDRO ER 15 MG CAPSULE

Prescription Drug - Brand

$10

—

Prescription Drug - Brand Procedures

My Cost List