Prescription Drug - Brand Procedure Costs — 3320 Procedures

75788011504

BREXAFEMME 150 MG TABLET

Prescription Drug - Brand

$131

—

75854030530

FERIVA MULTIPHASE CAPSULE

Prescription Drug - Brand

$4

—

75854030930

PRENATE ENHANCE SOFTGEL

Prescription Drug - Brand

$4

—

75854031030

FERIVAFA CAPSULE

Prescription Drug - Brand

$5

—

75854031230

PRENATE DHA SOFTGEL

Prescription Drug - Brand

$13

—

75854031330

PRENATE ESSENTIAL SOFTGEL

Prescription Drug - Brand

$5

—

75854031430

PRENATE ELITE TABLET

Prescription Drug - Brand

$5

—

75854031530

PRENATE MINI SOFTGEL

Prescription Drug - Brand

$13

—

75854031630

PRENATE PIXIE SOFTGEL

Prescription Drug - Brand

$13

—

75854034260

NICOMIDE TABLET

Prescription Drug - Brand

$3

—

75854060228

BALCOLTRA TABLET

Prescription Drug - Brand

$10

—

75854070101

DHIVY 25-100 MG TABLET

Prescription Drug - Brand

$4

—

75987001003

DUEXIS 800-26.6 MG TABLET

Prescription Drug - Brand

$26

—

75987002001

RAYOS DR 1 MG TABLET

Prescription Drug - Brand

$88

—

75987002101

RAYOS DR 2 MG TABLET

Prescription Drug - Brand

$88

—

75987002201

RAYOS DR 5 MG TABLET

Prescription Drug - Brand

$88

—

75987003004

VIMOVO DR 500-20 MG TABLET

Prescription Drug - Brand

$40

—

75987003104

VIMOVO DR 375-20 MG TABLET

Prescription Drug - Brand

$36

—

75987004005

PENNSAID 2% PUMP

Prescription Drug - Brand

$21

—

76388063525

LEUKERAN 2 MG TABLET

Prescription Drug - Brand

$24

—

78206011101

ASMANEX HFA 50 MCG INHALER

Prescription Drug - Brand

$7

—

78206011201

ASMANEX HFA 100 MCG INHALER

Prescription Drug - Brand

$7

—

78206011301

ASMANEX HFA 200 MCG INHALER

Prescription Drug - Brand

$9

—

78206011401

ASMANEX TWISTHALR 220 MCG #120

Prescription Drug - Brand

$162

—

78206011402

ASMANEX TWISTHALER 220 MCG #60

Prescription Drug - Brand

$113

—

78206011403

ASMANEX TWISTHALER 220 MCG #14

Prescription Drug - Brand

$37

—

78206011404

ASMANEX TWISTHALER 220 MCG #30

Prescription Drug - Brand

$96

—

78206011501

ASMANEX TWISTHALER 110 MCG #30

Prescription Drug - Brand

$89

—

78206011801

CELESTONE SOLUSPAN 30 MG/5 ML

Prescription Drug - Brand

$9

—

78206012001

CLARINEX-D 12 HR 2.5-120 MG TB

Prescription Drug - Brand

$6

—

78206012101

COZAAR 25 MG TABLET

Prescription Drug - Brand

$3

—

78206012202

COZAAR 50 MG TABLET

Prescription Drug - Brand

$5

—

78206012302

COZAAR 100 MG TABLET

Prescription Drug - Brand

$6

—

78206012501

DULERA 50 MCG-5 MCG INHALER

Prescription Drug - Brand

$25

—

78206012602

DULERA 200 MCG-5 MCG INHALER

Prescription Drug - Brand

$25

—

78206012702

DULERA 100 MCG-5 MCG INHALER

Prescription Drug - Brand

$25

—

78206013501

FOSAMAX 70 MG TABLET

Prescription Drug - Brand

$39

—

78206013601

FOSAMAX PLUS D 70 MG-5600 UNIT

Prescription Drug - Brand

$52

—

78206013701

FOSAMAX PLUS D 70 MG-2800 UNIT

Prescription Drug - Brand

$53

—

78206013902

HYZAAR 50-12.5 TABLET

Prescription Drug - Brand

$5

—

78206014002

HYZAAR 100-12.5 TABLET

Prescription Drug - Brand

$7

—

78206014102

HYZAAR 100-25 TABLET

Prescription Drug - Brand

$7

—

78206014299

MAXALT 10 MG TABLET

Prescription Drug - Brand

$44

—

78206014399

MAXALT MLT 10 MG TABLET

Prescription Drug - Brand

$44

—

78206014603

NUVARING VAGINAL RING

Prescription Drug - Brand

$156

—

78206015099

PREGNYL 10,000 UNIT VIAL

Prescription Drug - Brand

$172

—

78206015202

PROPECIA 1 MG TABLET

Prescription Drug - Brand

$4

—

78206015302

PROSCAR 5 MG TABLET

Prescription Drug - Brand

$6

—

78206016001

REMERON 15 MG TABLET

Prescription Drug - Brand

$6

—

78206016101

REMERON 30 MG TABLET

Prescription Drug - Brand

$7

—

Prescription Drug - Brand Procedures

My Cost List