Prescription Drug - Brand Procedure Costs — 3320 Procedures

69536042524

BRONKAID DUAL ACTION CAPLET

Prescription Drug - Brand

$0

—

69547062702

NARCAN 4 MG NASAL SPRAY

Prescription Drug - Brand

$18

—

69557011130

ZTLIDO 1.8% TOPICAL SYSTEM

Prescription Drug - Brand

$12

—

69557033301

ELYXYB 120 MG/4.8 ML SOLUTION

Prescription Drug - Brand

$31

—

69616027230

FYCOMPA 2 MG TABLET

Prescription Drug - Brand

$20

—

69616027430

FYCOMPA 4 MG TABLET

Prescription Drug - Brand

$39

—

69616027630

FYCOMPA 6 MG TABLET

Prescription Drug - Brand

$39

—

69616027830

FYCOMPA 8 MG TABLET

Prescription Drug - Brand

$39

—

69616028030

FYCOMPA 10 MG TABLET

Prescription Drug - Brand

$39

—

69616028230

FYCOMPA 12 MG TABLET

Prescription Drug - Brand

$39

—

69616029038

FYCOMPA 0.5 MG/ML ORAL SUSP

Prescription Drug - Brand

$4

—

69654050105

PRIMSOL 50 MG/5 ML ORAL SOLN

Prescription Drug - Brand

$2

—

69751010012

PHEXXI 1.8-1-0.4% VAGINAL GEL

Prescription Drug - Brand

$6

—

69751040001

SOLOSEC 2 GM GRANULE PACKET

Prescription Drug - Brand

$283

—

69784024330

ACIPHEX DR 20 MG TABLET

Prescription Drug - Brand

$25

—

69784042012

LOVAZA 1 GM CAPSULE

Prescription Drug - Brand

$8

—

69784071215

AVODART 0.5 MG SOFTGEL

Prescription Drug - Brand

$22

—

69809012605

CLOZARIL 25 MG TABLET

Prescription Drug - Brand

$6

—

69809012705

CLOZARIL 100 MG TABLET

Prescription Drug - Brand

$16

—

70165000530

ADZENYS XR-ODT 3.1 MG TABLET

Prescription Drug - Brand

$19

—

70165001030

ADZENYS XR-ODT 6.3 MG TABLET

Prescription Drug - Brand

$19

—

70165001530

ADZENYS XR-ODT 9.4 MG TABLET

Prescription Drug - Brand

$19

—

70165002030

ADZENYS XR-ODT 12.5 MG TABLET

Prescription Drug - Brand

$19

—

70165002530

ADZENYS XR-ODT 15.7 MG TABLET

Prescription Drug - Brand

$19

—

70165003030

ADZENYS XR-ODT 18.8 MG TABLET

Prescription Drug - Brand

$19

—

70165010030

COTEMPLA XR-ODT 8.6 MG TABLET

Prescription Drug - Brand

$18

—

70165020030

COTEMPLA XR-ODT 17.3 MG TABLET

Prescription Drug - Brand

$18

—

70165030030

COTEMPLA XR-ODT 25.9 MG TABLET

Prescription Drug - Brand

$18

—

70183022131

INPEFA 200 MG TABLET

Prescription Drug - Brand

$20

—

70199001730

THALITONE 15 MG TABLET

Prescription Drug - Brand

$4

—

70301100102

RAYALDEE ER 30 MCG CAP (SOFT)

Prescription Drug - Brand

$40

—

70301100201

RAYALDEE ER 30 MCG CAP (HARD)

Prescription Drug - Brand

$41

—

70347020890

ZONTIVITY 2.08 MG TABLET

Prescription Drug - Brand

$11

—

70370106001

INGREZZA 60 MG CAPSULE

Prescription Drug - Brand

$283

—

70370108001

INGREZZA 80 MG CAPSULE

Prescription Drug - Brand

$283

—

70370204001

INGREZZA 40 MG CAPSULE

Prescription Drug - Brand

$259

—

70370302502

ONGENTYS 25 MG CAPSULE

Prescription Drug - Brand

$25

—

70370305002

ONGENTYS 50 MG CAPSULE

Prescription Drug - Brand

$25

—

70428001112

QBREXZA 2.4% CLOTH

Prescription Drug - Brand

$21

—

70515061001

PRILOSEC DR 10 MG SUSPENSION

Prescription Drug - Brand

$15

—

70515062501

PRILOSEC DR 2.5 MG SUSPENSION

Prescription Drug - Brand

$15

—

70515070101

OMNARIS 50 MCG NASAL SPRAY

Prescription Drug - Brand

$23

—

70515071101

ALVESCO 80 MCG INHALER

Prescription Drug - Brand

$43

—

70515071201

ALVESCO 160 MCG INHALER

Prescription Drug - Brand

$43

—

70515073760

ZETONNA 37 MCG NASAL SPRAY

Prescription Drug - Brand

$34

—

70539000102

TYMLOS 80 MCG DOSE PEN INJECTR

Prescription Drug - Brand

$1,745

—

70564080260

MYTESI 125 MG DR TABLET

Prescription Drug - Brand

$36

—

70710124003

ZITUVIO 25 MG TABLET

Prescription Drug - Brand

$10

—

70710124103

ZITUVIO 50 MG TABLET

Prescription Drug - Brand

$10

—

70710124203

ZITUVIO 100 MG TABLET

Prescription Drug - Brand

$10

—

Prescription Drug - Brand Procedures

My Cost List