Prescription Drug - Generic Procedure Costs — 6726 Procedures

00781271501

TRIAMTERENE-HYDROCHLOROTHIAZIDE 50-25 MG CAP

Prescription Drug - Generic

$2

—

00781317007

SUMATRIPTAN 4 MG/0.5 ML CART

Prescription Drug - Generic

$165

—

00781317307

SUMATRIPTAN 6 MG/0.5 ML REFILL

Prescription Drug - Generic

$104

—

00781323434

GLATOPA 20 MG/ML SYRINGE

Prescription Drug - Generic

$44

—

00781325089

GLATOPA 40 MG/ML SYRINGE

Prescription Drug - Generic

$104

—

00781405815

ESTARYLLA 0.25 MG-0.035 MG TABLET

Prescription Drug - Generic

$0

—

00781410352

DROSP-EE-LEVOMEF 3-0.03-0.451

Prescription Drug - Generic

$3

—

00781528364

CETIRIZINE HCL 5 MG CHEW TAB

Prescription Drug - Generic

$2

—

00781528464

CETIRIZINE HCL 10 MG CHEW TAB

Prescription Drug - Generic

$2

—

00781563431

PIOGLITAZ-GLIMEPIR 30-2 MG TAB

Prescription Drug - Generic

$9

—

00781563531

PIOGLITAZ-GLIMEPIR 30-4 MG TAB

Prescription Drug - Generic

$10

—

00781566901

CARBIDOPA-LEVODOPA-ENTA 200 MG

Prescription Drug - Generic

$1

—

00781575401

METHYLPHENIDATE SR 20 MG TAB

Prescription Drug - Generic

$4

—

00781602246

CLARITHROMYCIN 125 MG/5 ML SUS

Prescription Drug - Generic

$1

—

00781602352

CLARITHROMYCIN 250 MG/5 ML SUS

Prescription Drug - Generic

$1

—

00781710458

ESTRADIOL TDS 0.1 MG/DAY

Prescription Drug - Generic

$14

—

00781711958

ESTRADIOL TDS 0.025 MG/DAY

Prescription Drug - Generic

$13

—

00781712254

ESTRADIOL TDS 0.0375 MG/DAY

Prescription Drug - Generic

$14

—

00781712258

ESTRADIOL 0.0375 MG PATCH(1/WK)

Prescription Drug - Generic

$12

—

00781712983

ESTRADIOL 0.025 MG PATCH

Prescription Drug - Generic

$7

—

00781713358

ESTRADIOL 0.05 MG PATCH (1/WK)

Prescription Drug - Generic

$11

—

00781713458

ESTRADIOL TDS 0.06 MG/DAY

Prescription Drug - Generic

$14

—

00781713658

ESTRADIOL 0.075 MG PATCH(1/WK)

Prescription Drug - Generic

$13

—

00781714483

ESTRADIOL 0.05 MG PATCH

Prescription Drug - Generic

$8

—

00781714629

IPRAT-ALBUT 0.5-3(2.5) MG/3 ML

Prescription Drug - Generic

$0

—

00781716783

ESTRADIOL 0.1 MG PATCH

Prescription Drug - Generic

$7

—

00781801731

FLUVASTATIN ER 80 MG TABLET

Prescription Drug - Generic

$3

—

00813001206

FERRETTS 325 MG TABLET

Prescription Drug - Generic

$0

—

00832022500

MORPHINE SULFATE ER 10 MG CAP

Prescription Drug - Generic

$3

—

00832022600

MORPHINE SULFATE ER 20 MG CAP

Prescription Drug - Generic

$3

—

00832022700

MORPHINE SULFATE ER 30 MG CAP

Prescription Drug - Generic

$3

—

00832022800

MORPHINE SULFATE ER 50 MG CAP

Prescription Drug - Generic

$3

—

00832022900

MORPHINE SULFATE ER 60 MG CAP

Prescription Drug - Generic

$5

—

00832023000

MORPHINE SULFATE ER 80 MG CAP

Prescription Drug - Generic

$5

—

00832023300

MORPHINE SULFATE ER 100 MG CAP

Prescription Drug - Generic

$7

—

00832046560

NYAMYC 100,000 UNIT/GM POWDER

Prescription Drug - Generic

$0

—

00832112005

TESTOSTERONE 50 MG/5 GRAM GEL

Prescription Drug - Generic

$1

—

00832112035

TESTOSTERONE 50 MG/5 GRAM PKT

Prescription Drug - Generic

$1

—

00832121189

JANTOVEN 1 MG TABLET

Prescription Drug - Generic

$0

—

00832121289

JANTOVEN 2 MG TABLET

Prescription Drug - Generic

$0

—

00832121389

JANTOVEN 2.5 MG TABLET

Prescription Drug - Generic

$0

—

00832121489

JANTOVEN 3 MG TABLET

Prescription Drug - Generic

$0

—

00832121589

JANTOVEN 4 MG TABLET

Prescription Drug - Generic

$0

—

00832121689

JANTOVEN 5 MG TABLET

Prescription Drug - Generic

$0

—

00832121701

JANTOVEN 6 MG TABLET

Prescription Drug - Generic

$0

—

00832121889

JANTOVEN 7.5 MG TABLET

Prescription Drug - Generic

$0

—

00832121989

JANTOVEN 10 MG TABLET

Prescription Drug - Generic

$0

—

00904000414

MI ACID SUSPENSION

Prescription Drug - Generic

$0

—

00904001280

ALLERGY 4 MG TABLET

Prescription Drug - Generic

$0

—

00904004920

FORMULA EM SOLUTION

Prescription Drug - Generic

$0

—

Prescription Drug - Generic Procedures

My Cost List