Prescription Drug - Brand Procedure Costs — 3320 Procedures

70710178606

ZITUVIMET 50-500 MG TABLET

Prescription Drug - Brand

$5

—

70710178706

ZITUVIMET 50-1,000 MG TABLET

Prescription Drug - Brand

$5

—

70710180506

ZITUVIMET XR 50-1,000 MG TABLET

Prescription Drug - Brand

$5

—

70710180603

ZITUVIMET XR 100-1,000 MG TAB

Prescription Drug - Brand

$10

—

70727049725

RHOPRESSA 0.02% OPHTH SOLUTION

Prescription Drug - Brand

$132

—

70727052925

ROCKLATAN 0.02%-0.005% EYE DRP

Prescription Drug - Brand

$140

—

70785002230

DUZALLO 200-300 MG TABLET

Prescription Drug - Brand

$12

—

70792080938

ZEMBRACE SYMTOUCH 3 MG/0.5 ML

Prescription Drug - Brand

$385

—

70792081261

TOSYMRA 10 MG NASAL SPRAY

Prescription Drug - Brand

$108

—

70839011230

TEKTURNA HCT 150-12.5 MG TAB

Prescription Drug - Brand

$7

—

70839012530

TEKTURNA HCT 150-25 MG TABLET

Prescription Drug - Brand

$7

—

70839015030

TEKTURNA 150 MG TABLET

Prescription Drug - Brand

$11

—

70839030030

TEKTURNA 300 MG TABLET

Prescription Drug - Brand

$15

—

70839031230

TEKTURNA HCT 300-12.5 MG TAB

Prescription Drug - Brand

$11

—

70839032530

TEKTURNA HCT 300-25 MG TABLET

Prescription Drug - Brand

$11

—

70842011002

TOPROL XL 25 MG TABLET

Prescription Drug - Brand

$1

—

70842011102

TOPROL XL 50 MG TABLET

Prescription Drug - Brand

$1

—

70842011202

TOPROL XL 100 MG TABLET

Prescription Drug - Brand

$2

—

70842011302

TOPROL XL 200 MG TABLET

Prescription Drug - Brand

$3

—

71143037501

XHANCE 93 MCG EXHALATION DELIVERY NASAL SPRAY

Prescription Drug - Brand

$41

—

71376020103

JORNAY PM 20 MG CAPSULE

Prescription Drug - Brand

$15

—

71376020203

JORNAY PM 40 MG CAPSULE

Prescription Drug - Brand

$15

—

71376020303

JORNAY PM 60 MG CAPSULE

Prescription Drug - Brand

$15

—

71376020403

JORNAY PM 80 MG CAPSULE

Prescription Drug - Brand

$15

—

71376020503

JORNAY PM 100 MG CAPSULE

Prescription Drug - Brand

$15

—

71571012128

INVELTYS 1% EYE DROP

Prescription Drug - Brand

$103

—

71571033383

EYSUVIS 0.25% EYE DROPS

Prescription Drug - Brand

$62

—

71656006675

LIKMEZ 500 MG/5 ML SUSPENSION

Prescription Drug - Brand

$3

—

71671010011

TWIRLA 120-30 MCG/DAY PATCH

Prescription Drug - Brand

$67

—

71699002530

XCOPRI 25 MG TABLET

Prescription Drug - Brand

$40

—

71699005030

XCOPRI 50 MG TABLET

Prescription Drug - Brand

$40

—

71699010030

XCOPRI 100 MG TABLET

Prescription Drug - Brand

$40

—

71699010356

XCOPRI 350 MG DAILY DOSE PACK

Prescription Drug - Brand

$43

—

71699010456

XCOPRI 250 MG DAILY DOSE PACK

Prescription Drug - Brand

$21

—

71699015030

XCOPRI 150 MG TABLET

Prescription Drug - Brand

$40

—

71699020030

XCOPRI 200 MG TABLET

Prescription Drug - Brand

$40

—

71699020128

XCOPRI 12.5-25 MG TITRATION PK

Prescription Drug - Brand

$4

—

71699020228

XCOPRI 50-100 MG TITRATION PAK

Prescription Drug - Brand

$43

—

71699020328

XCOPRI 150-200 MG TITRATION PK

Prescription Drug - Brand

$43

—

71770010560

SIKLOS 100 MG TABLET

Prescription Drug - Brand

$6

—

71770012030

SIKLOS 1,000 MG TABLET

Prescription Drug - Brand

$62

—

71776000110

FRESHKOTE EYE DROP

Prescription Drug - Brand

$3

—

71776010005

FLAREX 0.1% EYE DROPS

Prescription Drug - Brand

$24

—

71858000504

TIROSINT 13 MCG CAPSULE

Prescription Drug - Brand

$4

—

71858001004

TIROSINT 25 MCG CAPSULE

Prescription Drug - Brand

$4

—

71858001204

TIROSINT 37.5 MCG CAPSULE

Prescription Drug - Brand

$5

—

71858001504

TIROSINT 50 MCG CAPSULE

Prescription Drug - Brand

$5

—

71858001704

TIROSINT 62.5 MCG CAPSULE

Prescription Drug - Brand

$5

—

71858002004

TIROSINT 75 MCG CAPSULE

Prescription Drug - Brand

$5

—

71858002504

TIROSINT 88 MCG CAPSULE

Prescription Drug - Brand

$4

—

Prescription Drug - Brand Procedures

My Cost List