Prescription Drug - Brand Procedure Costs — 3320 Procedures

83257000541

FULPHILA 6 MG/0.6 ML SYRINGE

Prescription Drug - Brand

$3,186

—

83257001111

SEMGLEE (YFGN) 100 UNIT/ML VL

Prescription Drug - Brand

$26

—

83257001233

SEMGLEE (YFGN) 100 UNIT/ML PEN

Prescription Drug - Brand

$26

—

83787010331

ZELSUVMI 10.3% GEL

Prescription Drug - Brand

$62

—

84635092904

NATROBA 0.9% TOPICAL SUSP

Prescription Drug - Brand

$2

—

99207001010

LOPROX 1% SHAMPOO

Prescription Drug - Brand

$6

—

99207013070

METROGEL-VAGINAL 0.75% GEL

Prescription Drug - Brand

$4

—

99207017105

MINITRAN 0.2 MG/HR PATCH

Prescription Drug - Brand

$4

—

99207026012

ALDARA 5% CREAM

Prescription Drug - Brand

$75

—

99207027028

ZYCLARA 3.75% CREAM

Prescription Drug - Brand

$36

—

99207027175

ZYCLARA 3.75% CREAM PUMP

Prescription Drug - Brand

$158

—

99207027675

ZYCLARA 2.5% CREAM PUMP

Prescription Drug - Brand

$158

—

99207030060

ZIANA GEL

Prescription Drug - Brand

$11

—

99207046330

SOLODYN ER 65 MG TABLET

Prescription Drug - Brand

$40

—

99207046430

SOLODYN ER 115 MG TABLET

Prescription Drug - Brand

$39

—

99207046530

SOLODYN ER 55 MG TABLET

Prescription Drug - Brand

$39

—

99207046630

SOLODYN ER 80 MG TABLET

Prescription Drug - Brand

$39

—

99207046730

SOLODYN ER 105 MG TABLET

Prescription Drug - Brand

$39

—

99207052560

VANOS 0.1% CREAM

Prescription Drug - Brand

$27

—

99207085060

LUZU 1% CREAM

Prescription Drug - Brand

$8

—

Prescription Drug - Brand Procedures

My Cost List