Prescription Drug - Generic Procedure Costs — 6726 Procedures

00002773701

INSULIN LISPRO 100 UNIT/ML VL

Prescription Drug - Generic

$2

—

00002775205

INSULIN LISPRO JR 100 UNIT/ML KWIKPEN

Prescription Drug - Generic

$10

—

00002822259

INSULIN LISPRO 100 UNIT/ML KWIKPEN

Prescription Drug - Generic

$10

—

00002823305

INSULIN LISPRO MIX 75-25 KWKPN

Prescription Drug - Generic

$10

—

00031224612

CHILD'S DIMETAPP COLD-FLU LIQ

Prescription Drug - Generic

$0

—

00054005746

DIGOXIN 50 MCG/ML SOLUTION

Prescription Drug - Generic

$1

—

00054022849

MELOXICAM 7.5 MG/5 ML SUSP

Prescription Drug - Generic

$1

—

00054024324

CODEINE SULFATE 15 MG TABLET

Prescription Drug - Generic

$1

—

00054024525

CODEINE SULFATE 60 MG TABLET

Prescription Drug - Generic

$1

—

00054026225

CALCIUM GLUCONATE 500 MG TAB

Prescription Drug - Generic

$0

—

00054038663

HYDROMORPHONE 1 MG/ML SOLUTION

Prescription Drug - Generic

$0

—

00054317644

DEXAMETHASONE INTENSOL 1 MG/ML

Prescription Drug - Generic

$1

—

00054317763

DEXAMETHASONE 0.5 MG/5 ML LIQ

Prescription Drug - Generic

$0

—

00054318544

DIAZEPAM 5 MG/ML ORAL CONC

Prescription Drug - Generic

$1

—

00054318863

DIAZEPAM 5 MG/5 ML SOLUTION

Prescription Drug - Generic

$0

—

00054319446

DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5 ML LIQUID

Prescription Drug - Generic

$0

—

00054329450

FUROSEMIDE 10 MG/ML SOLUTION

Prescription Drug - Generic

$0

—

00054353244

LORAZEPAM INTENSOL 2 MG/ML

Prescription Drug - Generic

$1

—

00054354563

MEPERIDINE 50 MG/5 ML SOLUTION

Prescription Drug - Generic

$0

—

00054355344

METHADONE INTENSOL 10 MG/ML

Prescription Drug - Generic

$1

—

00054368663

ROXICET 5-325 ORAL SOLUTION

Prescription Drug - Generic

$0

—

00054372144

PREDNISONE INTENSOL 5 MG/ML

Prescription Drug - Generic

$3

—

00054372263

PREDNISONE 5 MG/5 ML SOLUTION

Prescription Drug - Generic

$1

—

00054372763

PROPRANOLOL 20 MG/5 ML SOLN

Prescription Drug - Generic

$0

—

00054373063

PROPRANOLOL 40 MG/5 ML SOLN

Prescription Drug - Generic

$0

—

00054412025

CALCIUM CARB 500 (1,250) MG TB

Prescription Drug - Generic

$0

—

00054413025

CYCLOPHOSPHAMIDE 50 MG TABLET

Prescription Drug - Generic

$3

—

00054472125

PROPANTHELINE 15 MG TABLET

Prescription Drug - Generic

$1

—

00054812025

CALCIUM CARBONATE 1.25 GM TAB

Prescription Drug - Generic

$0

—

00054859511

MEPERIDINE 50 MG TABLET

Prescription Drug - Generic

$1

—

00054865024

ROXICET 5-325 TABLET

Prescription Drug - Generic

$0

—

00065040872

TEARS LUBRICANT 0.5% EYE DROP

Prescription Drug - Generic

$2

—

00067206708

THERAPEUTIC MINERAL ICE GEL

Prescription Drug - Generic

$0

—

00067207060

NO DOZ 200 MG CAPLET

Prescription Drug - Generic

$0

—

00067500014

KRO NICOTINE 7 MG/24HR PATCH

Prescription Drug - Generic

$2

—

00067501014

KRO NICOTINE 14 MG/24 HR PATCH

Prescription Drug - Generic

$2

—

00067502014

KRO NICOTINE 21 MG/24HR PATCH

Prescription Drug - Generic

$2

—

00067505014

EQL NICOTINE 21 MG/24HR PATCH

Prescription Drug - Generic

$2

—

00067560595

THRIVE NICOTINE 2 MG GUM

Prescription Drug - Generic

$0

—

00067560695

THRIVE NICOTINE 4 MG GUM

Prescription Drug - Generic

$0

—

00067602560

PERDIEM OVERNIGHT RELIEF TB

Prescription Drug - Generic

$0

—

00067628524

SENNA SOFT 15 MG PILLS

Prescription Drug - Generic

$0

—

00067950601

CRUEX 1% CREAM

Prescription Drug - Generic

$0

—

00069006201

HEPARIN SODIUM 10,000 UNITS/ML VIAL

Prescription Drug - Generic

$2

—

00069014702

METHOTREXATE 100 MG/4 ML VIAL

Prescription Drug - Generic

$1

—

00074054130

GENGRAF 50 MG CAPSULE

Prescription Drug - Generic

$1

—

00074726950

GENGRAF 100 MG/ML SOLUTION

Prescription Drug - Generic

$3

—

00078051982

HYPOTEARS EYE DROPS

Prescription Drug - Generic

$0

—

00078061605

HECORIA 0.5 MG CAPSULE

Prescription Drug - Generic

$0

—

00078061705

HECORIA 1 MG CAPSULE

Prescription Drug - Generic

$1

—

Prescription Drug - Generic Procedures

My Cost List