Prescription Drug - Generic Procedure Costs — 6726 Procedures

00406186001

METHYLPHENIDATE ER(CD) 60 MG CP

Prescription Drug - Generic

$2

—

00406345434

METHADOSE 10 MG TABLET

Prescription Drug - Generic

$0

—

00406622105

METHADONE 10 MG/5 ML SOLUTION

Prescription Drug - Generic

$0

—

00406896001

D-AMPHETAMINE ER 5 MG CAPSULE

Prescription Drug - Generic

$2

—

00406896201

D-AMPHETAMINE ER 15 MG CAPSULE

Prescription Drug - Generic

$3

—

00409127332

DIAZEPAM 5 MG/ML SYRINGE

Prescription Drug - Generic

$5

—

00409131230

HYDROMORPHONE 2 MG/ML CARPUJCT

Prescription Drug - Generic

$3

—

00409189301

MORPHINE 10 MG/ML CARPUJECT

Prescription Drug - Generic

$2

—

00409229031

DIPHENHYDRAMINE 50 MG/ML SYRNG

Prescription Drug - Generic

$2

—

00409230849

MIDAZOLAM HCL 5 MG/ML VIAL

Prescription Drug - Generic

$1

—

00409230850

MIDAZOLAM HCL 10 MG/2 ML VIAL

Prescription Drug - Generic

$1

—

00409263450

HYDROMORPHONE 500 MG/50 ML VIAL

Prescription Drug - Generic

$3

—

00409317801

LIDOCAINE 1%-EPI 1:100,000

Prescription Drug - Generic

$0

—

00409330803

ACETYLCYSTEINE 20% VIAL

Prescription Drug - Generic

$0

—

00409397703

BACTERIOSTATIC WATER VIAL

Prescription Drug - Generic

$0

—

00409471302

LIDOCAINE HCL 1% AMPUL

Prescription Drug - Generic

$0

—

00409492134

EPINEPHRINE 0.1 MG/ML SYRINGE

Prescription Drug - Generic

$0

—

00409493310

EPINEPHRINE 1 MG/10 ML ABBOJCT

Prescription Drug - Generic

$1

—

00409508252

TAZICEF 1 GRAM VIAL

Prescription Drug - Generic

$4

—

00409614309

ACETIC ACID 0.25% IRRIG SOLN

Prescription Drug - Generic

$0

—

00409653549

VANCOMYCIN 1 GM ADD-VAN VIAL

Prescription Drug - Generic

$6

—

00409655701

TESTOSTERONE CYP 100 MG/ML

Prescription Drug - Generic

$5

—

00409662502

SODIUM BICARB 8.4% VIAL

Prescription Drug - Generic

$0

—

00409663714

SODIUM BICARB 8.4% ABBOJECT

Prescription Drug - Generic

$0

—

00409710102

SODIUM CHLORIDE 0.9% SOLN

Prescription Drug - Generic

$0

—

00409724101

EPINEPHRINE 1 MG/ML AMPUL

Prescription Drug - Generic

$2

—

00409797208

SODIUM CHLORIDE 0.9% IRRIG.

Prescription Drug - Generic

$0

—

00409797308

STERILE WATER FOR IRRIGATION

Prescription Drug - Generic

$0

—

00409909422

FENTANYL 0.05 MG/ML VIAL

Prescription Drug - Generic

$0

—

00409915801

VITAMIN K-1 10 MG/ML AMPUL

Prescription Drug - Generic

$31

—

00430058045

OVCON-35 28 TABLET

Prescription Drug - Generic

$1

—

00472006675

MINOXIDIL 2% SOLUTION

Prescription Drug - Generic

$0

—

00472037145

BETAMETHASONE VALER 0.1% OINTM

Prescription Drug - Generic

$1

—

00472073542

ANTIFUNGAL 2% CREAM

Prescription Drug - Generic

$0

—

00472073556

ANTIFUNGAL 2% TOPICAL CREAM

Prescription Drug - Generic

$0

—

00472088282

ACETASOL HC EAR DROPS

Prescription Drug - Generic

$7

—

00472103016

HYDROMET SYRUP

Prescription Drug - Generic

$0

—

00472120350

FEVERALL 650 MG SUPPOSITORY

Prescription Drug - Generic

$0

—

00472173803

MICONAZOLE 3 200 MG VAG SUPP

Prescription Drug - Generic

$14

—

00472524269

PERMETHRIN 1% LOTION

Prescription Drug - Generic

$0

—

00480012649

ICOSAPENT ETHYL 500 MG CAPSULE

Prescription Drug - Generic

$0

—

00480095258

NAPROXEN SOD ER 500 MG TABLET

Prescription Drug - Generic

$9

—

00480347224

AMETHYST 90-20 MCG TABLET

Prescription Drug - Generic

$1

—

00480400062

VESTURA 3 MG-0.02 MG TABLET

Prescription Drug - Generic

$0

—

00480725046

LIRAGLUTIDE 5-PAK 18 MG/3 ML

Prescription Drug - Generic

$71

—

00480927706

ALYQ 20 MG TABLET

Prescription Drug - Generic

$0

—

00480973401

RISPERIDONE ER 37.5 MG VIAL

Prescription Drug - Generic

$730

—

00482480014

ANAMANTLE HC CREAM

Prescription Drug - Generic

$2

—

00482480020

ANAMANTLE HC CREAM KIT

Prescription Drug - Generic

$194

—

00485008201

ED-SPAZ 0.125 MG ODT

Prescription Drug - Generic

$0

—

Prescription Drug - Generic Procedures

My Cost List