Prescription Drug - Generic Procedure Costs — 6726 Procedures

70710119807

RIVASTIGMINE 13.3 MG/24HR PTCH

Prescription Drug - Generic

$2

—

70710122101

CARBIDOPA 25 MG TABLET

Prescription Drug - Generic

$1

—

70710123304

BETAMETHASONE DP 0.05% CRM

Prescription Drug - Generic

$0

—

70710128905

TRIAZOLAM 0.25 MG TABLET

Prescription Drug - Generic

$0

—

70710130207

MESALAMINE 1,000 MG SUPP

Prescription Drug - Generic

$2

—

70710134403

RAMELTEON 8 MG TABLET

Prescription Drug - Generic

$1

—

70710134809

VENLAFAXINE HCL ER 37.5 MG TAB

Prescription Drug - Generic

$0

—

70710135103

COLCHICINE 0.6 MG TABLET

Prescription Drug - Generic

$0

—

70710136403

EMTRICITABINE-TENOFOVIR DISOPROXIL FUMARATE 100-150 MG TAB

Prescription Drug - Generic

$10

—

70710145701

AZITHROMYCIN 100 MG/5 ML SUSP

Prescription Drug - Generic

$0

—

70710146002

AZITHROMYCIN 200 MG/5 ML SUSP

Prescription Drug - Generic

$0

—

70710146707

COLESTIPOL HCL 1 GM TABLET

Prescription Drug - Generic

$1

—

70710151406

FONDAPARINUX 2.5 MG/0.5 ML SYR

Prescription Drug - Generic

$20

—

70710151606

FONDAPARINUX 7.5 MG/0.6 ML SYR

Prescription Drug - Generic

$43

—

70710151706

FONDAPARINUX 10 MG/0.8 ML SYR

Prescription Drug - Generic

$38

—

70710152101

TRIAZOLAM 0.125 MG TABLET

Prescription Drug - Generic

$0

—

70710159101

ACETAZOLAMIDE ER 500 MG CAP

Prescription Drug - Generic

$0

—

70710166601

BACLOFEN 15 MG TABLET

Prescription Drug - Generic

$2

—

70710171001

KETOROLAC 10 MG TABLET

Prescription Drug - Generic

$0

—

70710173804

ICOSAPENT ETHYL 0.5 GM CAPSULE

Prescription Drug - Generic

$0

—

70710184607

SCOPOLAMINE 1 MG/3 DAY PATCH

Prescription Drug - Generic

$4

—

70748012906

LEFLUNOMIDE 10 MG TABLET

Prescription Drug - Generic

$0

—

70748013006

LEFLUNOMIDE 20 MG TABLET

Prescription Drug - Generic

$0

—

70748017326

SEVELAMER HCL 800 MG TABLET

Prescription Drug - Generic

$1

—

70748021206

DASATINIB 100 MG TABLET

Prescription Drug - Generic

$29

—

70748027013

RISPERIDONE ER 25 MG VIAL

Prescription Drug - Generic

$487

—

70748027213

RISPERIDONE ER 50 MG VIAL

Prescription Drug - Generic

$927

—

70748030806

DOXYCYCLINE IR-DR 40 MG CAP

Prescription Drug - Generic

$9

—

70748031101

GLUCAGON 1 MG EMERGENCY KIT

Prescription Drug - Generic

$198

—

70748032214

MINZOYA-28 TABLET

Prescription Drug - Generic

$5

—

70748033204

PREDNISOLONE AC 1% EYE DROP

Prescription Drug - Generic

$4

—

70748035501

RIVAROXABAN 1 MG/ML SUSPENSION

Prescription Drug - Generic

$2

—

70752010212

ALBUTEROL SULF 2 MG/5 ML SYRUP

Prescription Drug - Generic

$0

—

70752010406

CHILD CETIRIZINE HCL 1 MG/ML

Prescription Drug - Generic

$0

—

70752010810

GLYCOPYRROLATE 1 MG TABLET

Prescription Drug - Generic

$0

—

70752010910

GLYCOPYRROLATE 2 MG TABLET

Prescription Drug - Generic

$0

—

70752011304

LIDOCAINE 5% OINTMENT

Prescription Drug - Generic

$0

—

70752011904

HALOBETASOL PROP 0.05% OINTMNT

Prescription Drug - Generic

$0

—

70752012311

BENZTROPINE MES 0.5 MG TAB

Prescription Drug - Generic

$0

—

70752012411

BENZTROPINE MES 1 MG TABLET

Prescription Drug - Generic

$0

—

70752012511

BENZTROPINE MES 2 MG TABLET

Prescription Drug - Generic

$0

—

70752012905

TRIAMCINOLONE 0.025% LOTION

Prescription Drug - Generic

$0

—

70752013812

PROMETHAZINE 6.25 MG/5 ML SOLN

Prescription Drug - Generic

$0

—

70752013912

PROMETHAZINE-CODEINE SOLUTION

Prescription Drug - Generic

$0

—

70752014017

TRIAMCINOLONE 0.1% PASTE

Prescription Drug - Generic

$3

—

70752014214

BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50-325-40 MG TABLET

Prescription Drug - Generic

$0

—

70752014410

BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50-300-40 MG CAPSULE

Prescription Drug - Generic

$0

—

70752014710

BUTALBITAL-ACETAMINOPHEN 50-300 MG TAB

Prescription Drug - Generic

$2

—

70752014810

BUTALBITAL-ACETAMINOPHEN 50-325 MG TAB

Prescription Drug - Generic

$1

—

70752015320

CLOBETASOL 0.05% SOLUTION

Prescription Drug - Generic

$0

—

Prescription Drug - Generic Procedures

My Cost List