Prescription Drug - Brand Procedure Costs — 3320 Procedures

00037480170

ELESTRIN 0.06% GEL

Prescription Drug - Brand

$4

—

00037601093

EDLUAR 10 MG SL TABLET

Prescription Drug - Brand

$16

—

00037632190

URELLE TABLET

Prescription Drug - Brand

$9

—

00037682210

PROCTOFOAM-HC 1%-1% FOAM

Prescription Drug - Brand

$19

—

00037682315

PROCTOFOAM 1% FOAM

Prescription Drug - Brand

$7

—

00037682410

EPIFOAM FOAM

Prescription Drug - Brand

$10

—

00037683015

CORTIFOAM 10% AEROSOL

Prescription Drug - Brand

$31

—

00037686010

DIPENTUM 250 MG CAPSULE

Prescription Drug - Brand

$16

—

00037702560

OPTIVAR 0.05% DROPS

Prescription Drug - Brand

$22

—

00037759012

AEROSPAN 80 MCG INHALER

Prescription Drug - Brand

$21

—

00037813006

MUSE 500 MCG URETHRAL SUPPOS

Prescription Drug - Brand

$53

—

00037814001

MUSE 1,000 MCG URETHRAL SUPP

Prescription Drug - Brand

$72

—

00039006605

LASIX 80 MG TABLET

Prescription Drug - Brand

$1

—

00039022210

AMARYL 2 MG TABLET

Prescription Drug - Brand

$2

—

00039022310

AMARYL 4 MG TABLET

Prescription Drug - Brand

$4

—

00046087221

PREMARIN VAGINAL CREAM-APPL

Prescription Drug - Brand

$15

—

00046106505

PHOSPHOLINE IODIDE 0.125%

Prescription Drug - Brand

$17

—

00046110091

PREMARIN 0.3 MG TABLET

Prescription Drug - Brand

$7

—

00046110181

PREMARIN 0.45 MG TABLET

Prescription Drug - Brand

$7

—

00046110291

PREMARIN 0.625 MG TABLET

Prescription Drug - Brand

$7

—

00046110381

PREMARIN 0.9 MG TABLET

Prescription Drug - Brand

$7

—

00046110491

PREMARIN 1.25 MG TABLET

Prescription Drug - Brand

$7

—

00046110511

PREMPRO 0.3 MG-1.5 MG TABLET

Prescription Drug - Brand

$9

—

00046110611

PREMPRO 0.45-1.5 MG TABLET

Prescription Drug - Brand

$9

—

00046110711

PREMPRO 0.625-2.5 MG TABLET

Prescription Drug - Brand

$9

—

00046110811

PREMPRO 0.625-5 MG TABLET

Prescription Drug - Brand

$9

—

00046257512

PREMPHASE 0.625-5 MG TABLET

Prescription Drug - Brand

$9

—

00049017403

GLUCOTROL XL 5 MG TABLET

Prescription Drug - Brand

$0

—

00049017807

GLUCOTROL XL 10 MG TABLET

Prescription Drug - Brand

$3

—

00049035260

GEODON 20 MG CAPSULE

Prescription Drug - Brand

$26

—

00049035860

GEODON 80 MG CAPSULE

Prescription Drug - Brand

$31

—

00049276066

CARDURA 2 MG TABLET

Prescription Drug - Brand

$4

—

00049277066

CARDURA 4 MG TABLET

Prescription Drug - Brand

$5

—

00049350079

DIFLUCAN 150 MG TABLET

Prescription Drug - Brand

$58

—

00049397060

GEODON 40 MG CAPSULE

Prescription Drug - Brand

$19

—

00049398060

GEODON 60 MG CAPSULE

Prescription Drug - Brand

$23

—

00051842530

ANDROGEL 1%(2.5G) GEL PACKET

Prescription Drug - Brand

$8

—

00051845030

ANDROGEL 1%(5G) GEL PACKET

Prescription Drug - Brand

$4

—

00051846230

ANDROGEL 1.62%(2.5G) GEL PCKT

Prescription Drug - Brand

$8

—

00051846231

ANDROGEL 1.62%(1.25G) GEL PCKT

Prescription Drug - Brand

$16

—

00051846233

ANDROGEL 1.62% GEL PUMP

Prescription Drug - Brand

$8

—

00051848888

ANDROGEL 1% GEL PUMP

Prescription Drug - Brand

$3

—

00052010930

REMERON 45 MG TABLET

Prescription Drug - Brand

$5

—

00052011806

SAPHRIS 5 MG TABLET SUBLINGUAL

Prescription Drug - Brand

$12

—

00052031510

PREGNYL 10,000 UNITS VIAL

Prescription Drug - Brand

$102

—

00052060202

BCG (TICE STRAIN) VIAL

Prescription Drug - Brand

$182

—

00053687100

STIMATE 1.5 MG/ML NASAL SPRAY

Prescription Drug - Brand

$289

—

00056016875

COUMADIN 4 MG TABLET

Prescription Drug - Brand

$2

—

00056016901

COUMADIN 1 MG TABLET

Prescription Drug - Brand

$2

—

00056017001

COUMADIN 2 MG TABLET

Prescription Drug - Brand

$2

—

Prescription Drug - Brand Procedures

My Cost List