Prescription Drug - Brand Procedure Costs — 3320 Procedures

68308075201

ANNOVERA VAGINAL RING

Prescription Drug - Brand

$2,317

—

68453085075

NAPRELAN CR 500 MG TABLET

Prescription Drug - Brand

$20

—

68546014256

AZILECT 0.5 MG TABLET

Prescription Drug - Brand

$44

—

68546017060

AUSTEDO 6 MG TABLET

Prescription Drug - Brand

$84

—

68546017160

AUSTEDO 9 MG TABLET

Prescription Drug - Brand

$94

—

68546017260

AUSTEDO 12 MG TABLET

Prescription Drug - Brand

$125

—

68546022956

AZILECT 1 MG TABLET

Prescription Drug - Brand

$44

—

68546031730

COPAXONE 20 MG/ML SYRINGE

Prescription Drug - Brand

$230

—

68546032512

COPAXONE 40 MG/ML SYRINGE

Prescription Drug - Brand

$542

—

68546047056

AUSTEDO XR 6 MG TABLET

Prescription Drug - Brand

$84

—

68546047156

AUSTEDO XR 12 MG TABLET

Prescription Drug - Brand

$167

—

68546047256

AUSTEDO XR 24 MG TABLET

Prescription Drug - Brand

$251

—

68546047356

AUSTEDO XR 30 MG TABLET

Prescription Drug - Brand

$335

—

68546047456

AUSTEDO XR 36 MG TABLET

Prescription Drug - Brand

$416

—

68546047556

AUSTEDO XR 42 MG TABLET

Prescription Drug - Brand

$500

—

68546047656

AUSTEDO XR 48 MG TABLET

Prescription Drug - Brand

$499

—

68546047729

AUSTEDO XR TITR(12-18-24-30 MG)

Prescription Drug - Brand

$249

—

68546047956

AUSTEDO XR 18 MG TABLET

Prescription Drug - Brand

$252

—

68727060001

LUVOX CR 100 MG CAPSULE

Prescription Drug - Brand

$12

—

68791010104

DERMA-SMOOTHE-FS BODY OIL

Prescription Drug - Brand

$0

—

68791010204

DERMA-SMOOTHE-FS SCALP OIL

Prescription Drug - Brand

$0

—

68791010320

DERMOTIC OIL 0.01% EAR DROPS

Prescription Drug - Brand

$1

—

68850001202

MYAMBUTOL 400 MG TABLET

Prescription Drug - Brand

$1

—

68968017203

SECUADO 3.8 MG/24 HR PATCH

Prescription Drug - Brand

$49

—

68968017303

SECUADO 5.7 MG/24 HR PATCH

Prescription Drug - Brand

$49

—

68968017403

SECUADO 7.6 MG/24 HR PATCH

Prescription Drug - Brand

$49

—

68968020503

XELSTRYM 4.5 MG/9 HR PATCH

Prescription Drug - Brand

$16

—

68968021003

XELSTRYM 9 MG/9 HR PATCH

Prescription Drug - Brand

$16

—

68968021503

XELSTRYM 13.5 MG/9 HR PATCH

Prescription Drug - Brand

$16

—

68968022003

XELSTRYM 18 MG/9 HR PATCH

Prescription Drug - Brand

$16

—

68968051408

COMBIPATCH 0.05-0.14 MG PTCH

Prescription Drug - Brand

$32

—

68968052508

COMBIPATCH 0.05-0.25 MG PTCH

Prescription Drug - Brand

$32

—

68968204001

PEXEVA 40 MG TABLET

Prescription Drug - Brand

$11

—

68968449201

LITHOBID 300 MG TABLET SA

Prescription Drug - Brand

$3

—

68968555203

DAYTRANA 10 MG/9 HR PATCH

Prescription Drug - Brand

$6

—

68968555303

DAYTRANA 15 MG/9 HR PATCH

Prescription Drug - Brand

$6

—

68968555403

DAYTRANA 20 MG/9 HOUR PATCH

Prescription Drug - Brand

$6

—

68968555503

DAYTRANA 30 MG/9 HOUR PATCH

Prescription Drug - Brand

$6

—

68968661008

MINIVELLE 0.1 MG PATCH

Prescription Drug - Brand

$12

—

68968662508

MINIVELLE 0.025 MG PATCH

Prescription Drug - Brand

$12

—

68968663708

MINIVELLE 0.0375 MG PATCH

Prescription Drug - Brand

$12

—

68968665008

MINIVELLE 0.05 MG PATCH

Prescription Drug - Brand

$12

—

68968667508

MINIVELLE 0.075 MG PATCH

Prescription Drug - Brand

$12

—

68992301003

ENVARSUS XR 1 MG TABLET

Prescription Drug - Brand

$6

—

69087015812

JATENZO 158 MG CAPSULE

Prescription Drug - Brand

$9

—

69087019812

JATENZO 198 MG CAPSULE

Prescription Drug - Brand

$9

—

69087023712

JATENZO 237 MG CAPSULE

Prescription Drug - Brand

$18

—

69344020329

ZORVOLEX 18 MG CAPSULE

Prescription Drug - Brand

$8

—

69344021311

OXAYDO 7.5 MG TABLET

Prescription Drug - Brand

$14

—

69536016288

PLAN B ONE-STEP 1.5 MG TABLET

Prescription Drug - Brand

$33

—

Prescription Drug - Brand Procedures

My Cost List