Prescription Drug - Generic Procedure Costs — 6726 Procedures

00078061805

HECORIA 5 MG CAPSULE

Prescription Drug - Generic

$7

—

00085137401

IMDUR ER 30 MG TABLET

Prescription Drug - Generic

$0

—

00085202801

IMDUR ER 60 MG TABLET

Prescription Drug - Generic

$0

—

00093009001

EPITOL 200 MG TABLET

Prescription Drug - Generic

$0

—

00093030801

CLEMASTINE FUM 2.68 MG TAB

Prescription Drug - Generic

$1

—

00093081955

NIFEDICAL XL 30 MG TABLET

Prescription Drug - Generic

$0

—

00093102255

NIFEDIAC CC 60 MG TABLET

Prescription Drug - Generic

$1

—

00093102301

NIFEDIAC CC 90 MG TABLET

Prescription Drug - Generic

$2

—

00093102406

NEFAZODONE HCL 100 MG TABLET

Prescription Drug - Generic

$1

—

00093102506

NEFAZODONE HCL 200 MG TABLET

Prescription Drug - Generic

$1

—

00093102606

NEFAZODONE HCL 250 MG TABLET

Prescription Drug - Generic

$1

—

00093209058

ZEOSA CHEWABLE TABLET

Prescription Drug - Generic

$2

—

00093214062

TRI-LO-SPRINTEC TABLET

Prescription Drug - Generic

$0

—

00093226801

AMOXICILLIN 250 MG TAB CHEW

Prescription Drug - Generic

$0

—

00093227234

AMOX-CLAV 400-57 MG TAB CHEW

Prescription Drug - Generic

$1

—

00093312298

JINTELI 1 MG-5 MCG TABLET

Prescription Drug - Generic

$1

—

00093313491

CAMRESE 0.15-0.03-0.01 MG TAB

Prescription Drug - Generic

$0

—

00093319501

KETOPROFEN 75 MG CAPSULE

Prescription Drug - Generic

$1

—

00093330428

RECLIPSEN 28 DAY TABLET

Prescription Drug - Generic

$0

—

00093330528

ZENCHENT 0.4 MG-35 MCG TABLET

Prescription Drug - Generic

$0

—

00093356026

PEG3350-SOD SUL-NACL-KCL-ASCB-C 100-7.5-2.691-1.015-5.9-4.7G

Prescription Drug - Generic

$75

—

00093360782

FLUTICASONE-SALMETEROL 55-14

Prescription Drug - Generic

$109

—

00093360882

FLUTICASONE-SALMETEROL 113-14

Prescription Drug - Generic

$110

—

00093360982

FLUTICASONE-SALMETEROL 232-14

Prescription Drug - Generic

$107

—

00093372755

DICLOFENAC EPOLAMINE 1.3% PTCH

Prescription Drug - Generic

$5

—

00093405953

CEFADROXIL 1 GM TABLET

Prescription Drug - Generic

$4

—

00093412573

PENICILLIN VK 125 MG/5 ML SOLN

Prescription Drug - Generic

$0

—

00093412774

PENICILLIN VK 250 MG/5 ML SOLN

Prescription Drug - Generic

$0

—

00093517355

NIFEDICAL XL 60 MG TABLET

Prescription Drug - Generic

$0

—

00093527255

NIFEDIAC CC 30 MG TABLET

Prescription Drug - Generic

$0

—

00093532862

JUNEL FE 24 TABLET

Prescription Drug - Generic

$0

—

00093534601

METHYLPHENIDATE ER 20 MG CAP

Prescription Drug - Generic

$4

—

00093535156

BUDEPRION XL 300 MG TABLET

Prescription Drug - Generic

$1

—

00093542362

GIANVI 3 MG-0.02 MG TABLET

Prescription Drug - Generic

$0

—

00093545428

MIMVEY LO 0.5-0.1 MG TABLET

Prescription Drug - Generic

$2

—

00093545542

MIMVEY 1-0.5 MG TABLET

Prescription Drug - Generic

$1

—

00093550101

BUDEPRION SR 100 MG TABLET

Prescription Drug - Generic

$0

—

00093550201

BUDEPRION SR 150 MG TABLET

Prescription Drug - Generic

$0

—

00093570301

BUPROBAN 150 MG TABLET

Prescription Drug - Generic

$0

—

00093603191

RIVELSA TABLET

Prescription Drug - Generic

$1

—

00093613732

DIAZEPAM 2.5 MG RECTAL GEL

Prescription Drug - Generic

$215

—

00093613832

DIAZEPAM 10 MG RECTAL GEL

Prescription Drug - Generic

$279

—

00093613932

DIAZEPAM 20 MG RECTAL GEL

Prescription Drug - Generic

$269

—

00093614891

CAMRESE LO TABLET

Prescription Drug - Generic

$0

—

00093711306

NEFAZODONE HCL 150 MG TABLET

Prescription Drug - Generic

$1

—

00093717801

NEFAZODONE HCL 50 MG TABLET

Prescription Drug - Generic

$1

—

00093723281

RIBAVIRIN 200 MG TABLET

Prescription Drug - Generic

$1

—

00093803401

GLYBURIDE MICRO 1.5 MG TAB

Prescription Drug - Generic

$0

—

00093803505

GLYBURIDE MICRO 3 MG TABLET

Prescription Drug - Generic

$0

—

00093803601

GLYBURIDE MICRO 6 MG TABLET

Prescription Drug - Generic

$0

—

Prescription Drug - Generic Procedures

My Cost List