Prescription Drug - Brand Procedure Costs — 3320 Procedures

72426081803

NEXLIZET 180-10 MG TABLET

Prescription Drug - Brand

$14

—

72495020105

FEMRING 0.05 MG/DAY VAG RING

Prescription Drug - Brand

$867

—

72495020210

FEMRING 0.10 MG/DAY VAG RING

Prescription Drug - Brand

$926

—

72495040128

INTRAROSA 6.5 MG VAG INSERT

Prescription Drug - Brand

$11

—

72511075001

REPATHA 140 MG/ML SYRINGE

Prescription Drug - Brand

$281

—

72511076002

REPATHA 140 MG/ML SURECLICK

Prescription Drug - Brand

$282

—

72511077001

REPATHA 420 MG/3.5 ML PUSHTRONX

Prescription Drug - Brand

$174

—

72606003009

YUFLYMA(CF) 40 MG/0.4 ML AUTOINJECTOR

Prescription Drug - Brand

$914

—

72618300002

NURTEC ODT 75 MG TABLET

Prescription Drug - Brand

$129

—

72854013466

MUCINEX FAST-MAX CONGEST-COUGH

Prescription Drug - Brand

$0

—

72854013716

MUCINEX COUGH-CHEST CONG HBP

Prescription Drug - Brand

$1

—

72854013866

MUCINEX FAST-MAX COLD-FLU LIQ

Prescription Drug - Brand

$0

—

72854024020

MUCINEX NIGHTSHIFT SINUS CAPLT

Prescription Drug - Brand

$1

—

72854024140

MUCINEX FASTMX CLD-NTSHFT CPLT

Prescription Drug - Brand

$1

—

72854024340

MUCINEX SINUSMAX DAY-NT CAPLET

Prescription Drug - Brand

$1

—

72854025066

MUCINEX NIGHTSHFT SEVR CLD-FLU

Prescription Drug - Brand

$0

—

72854026140

MUCINEX INSTASOOTHE CMFT 2.4 MG

Prescription Drug - Brand

$0

—

72854026240

MUCINEX INSTASOOTHE PAIN 2 MG

Prescription Drug - Brand

$0

—

72854026340

MUCINEX INSTASOOTH COUGH 5-2 MG

Prescription Drug - Brand

$0

—

72854026504

MUCINEX INSTASOOTHE 7%-1% SPRY

Prescription Drug - Brand

$0

—

72912052530

ADHANSIA XR 25 MG CAPSULE

Prescription Drug - Brand

$11

—

72912053530

ADHANSIA XR 35 MG CAPSULE

Prescription Drug - Brand

$11

—

72912054530

ADHANSIA XR 45 MG CAPSULE

Prescription Drug - Brand

$11

—

72912055530

ADHANSIA XR 55 MG CAPSULE

Prescription Drug - Brand

$11

—

72912057030

ADHANSIA XR 70 MG CAPSULE

Prescription Drug - Brand

$11

—

72912058530

ADHANSIA XR 85 MG CAPSULE

Prescription Drug - Brand

$11

—

72974041501

MYFEMBREE 40 MG-1 MG-0.5 MG TB

Prescription Drug - Brand

$45

—

72989037230

PROMETRIUM 100 MG CAPSULE

Prescription Drug - Brand

$16

—

72989037330

PROMETRIUM 200 MG CAPSULE

Prescription Drug - Brand

$30

—

73059000160

ACCRUFER 30 MG CAPSULE

Prescription Drug - Brand

$10

—

73154005060

IBSRELA 50 MG TABLET

Prescription Drug - Brand

$33

—

73289006302

MOTPOLY XR 100 MG CAPSULE

Prescription Drug - Brand

$21

—

73289006402

MOTPOLY XR 150 MG CAPSULE

Prescription Drug - Brand

$21

—

73289006502

MOTPOLY XR 200 MG CAPSULE

Prescription Drug - Brand

$21

—

73302045601

ELLA 30 MG TABLET

Prescription Drug - Brand

$37

—

73336007590

GEMTESA 75 MG TABLET

Prescription Drug - Brand

$16

—

73515012330

CYCLOSET 0.8 MG TABLET

Prescription Drug - Brand

$5

—

73521003002

TYRVAYA 0.03 MG NASAL SPRAY

Prescription Drug - Brand

$80

—

73562010410

VIOKACE 10,440-39,150 UNIT TAB

Prescription Drug - Brand

$4

—

73562011001

ZENPEP DR 10,000 UNIT CAPSULE

Prescription Drug - Brand

$4

—

73562011101

ZENPEP DR 15,000 UNIT CAPSULE

Prescription Drug - Brand

$6

—

73562011201

ZENPEP DR 20,000 UNIT CAPSULE

Prescription Drug - Brand

$8

—

73562011301

ZENPEP DR 3,000 UNIT CAPSULE

Prescription Drug - Brand

$2

—

73562011401

ZENPEP DR 40,000 UNIT CAPSULE

Prescription Drug - Brand

$16

—

73562011501

ZENPEP DR 5,000 UNIT CAPSULE

Prescription Drug - Brand

$2

—

73562011601

ZENPEP DR 25,000 UNIT CAPSULE

Prescription Drug - Brand

$10

—

73562011701

ZENPEP DR 60,000 UNIT CAPSULE

Prescription Drug - Brand

$24

—

73562020810

VIOKACE 20,880-78,300 UNITS TB

Prescription Drug - Brand

$8

—

74157001390

GABARONE 100 MG TABLET

Prescription Drug - Brand

$9

—

74676011202

TLANDO 112.5 MG CAPSULE

Prescription Drug - Brand

$7

—

Prescription Drug - Brand Procedures

My Cost List