Prescription Drug - Generic Procedure Costs — 6726 Procedures

65862046730

FAMCICLOVIR 500 MG TABLET

Prescription Drug - Generic

$1

—

65862050130

AMOX TR-K CLV 250-125 MG TAB

Prescription Drug - Generic

$3

—

65862052560

PIOGLITAZONE-METFORMIN 15-500

Prescription Drug - Generic

$0

—

65862052660

PIOGLITAZONE-METFORMIN 15-850

Prescription Drug - Generic

$0

—

65862053575

AMOX TR-K CLV 600-42.9/5 SUSP

Prescription Drug - Generic

$0

—

65862054799

VALSARTAN-HYDROCHLOROTHIAZIDE 80-12.5 MG TAB

Prescription Drug - Generic

$0

—

65862054899

VALSARTAN-HYDROCHLOROTHIAZIDE 160-12.5 MG TAB

Prescription Drug - Generic

$0

—

65862054999

VALSARTAN-HYDROCHLOROTHIAZIDE 160-25 MG TAB

Prescription Drug - Generic

$0

—

65862055090

VALSARTAN-HYDROCHLOROTHIAZIDE 320-12.5 MG TAB

Prescription Drug - Generic

$0

—

65862055190

VALSARTAN-HYDROCHLOROTHIAZIDE 320-25 MG TAB

Prescription Drug - Generic

$0

—

65862059601

CLINDAMYCIN PEDIATR 75 MG/5 ML

Prescription Drug - Generic

$0

—

65862059602

CLINDAMYCIN (PEDI) 75 MG/5 ML

Prescription Drug - Generic

$0

—

65862065401

ENTACAPONE 200 MG TABLET

Prescription Drug - Generic

$0

—

65862067699

ALPRAZOLAM 0.25 MG TABLET

Prescription Drug - Generic

$0

—

65862067799

ALPRAZOLAM 0.5 MG TABLET

Prescription Drug - Generic

$0

—

65862067899

ALPRAZOLAM 1 MG TABLET

Prescription Drug - Generic

$0

—

65862067905

ALPRAZOLAM 2 MG TABLET

Prescription Drug - Generic

$0

—

65862069299

PHENYTOIN SOD EXT 100 MG CAP

Prescription Drug - Generic

$0

—

65862070680

AMOXICILLIN 125 MG/5 ML SUSP

Prescription Drug - Generic

$0

—

65862070780

AMOXICILLIN 250 MG/5 ML SUSP

Prescription Drug - Generic

$0

—

65862073730

AMLODIPINE-VALSARTAN 5-160 MG

Prescription Drug - Generic

$0

—

65862073830

AMLODIPINE-VALSARTAN 5-320 MG

Prescription Drug - Generic

$1

—

65862073930

AMLODIPINE-VALSARTAN 10-160 MG

Prescription Drug - Generic

$0

—

65862074030

AMLODIPINE-VALSARTAN 10-320 MG

Prescription Drug - Generic

$1

—

65862074430

GALANTAMINE ER 8 MG CAPSULE

Prescription Drug - Generic

$1

—

65862074530

GALANTAMINE ER 16 MG CAPSULE

Prescription Drug - Generic

$1

—

65862074630

GALANTAMINE ER 24 MG CAPSULE

Prescription Drug - Generic

$1

—

65862075150

CEFIXIME 100 MG/5 ML SUSP

Prescription Drug - Generic

$2

—

65862077685

MILI 0.25-0.035 MG TABLET

Prescription Drug - Generic

$0

—

65862077785

TRI-MILI 28 TABLET

Prescription Drug - Generic

$0

—

65862077885

TRI-LO-MILI TABLET

Prescription Drug - Generic

$0

—

65862080630

ARMODAFINIL 150 MG TABLET

Prescription Drug - Generic

$1

—

65862080730

ARMODAFINIL 250 MG TABLET

Prescription Drug - Generic

$1

—

65862082930

PRASUGREL 5 MG TABLET

Prescription Drug - Generic

$0

—

65862083030

PRASUGREL 10 MG TABLET

Prescription Drug - Generic

$0

—

65862083430

AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE 5-160-12.5 MG TAB

Prescription Drug - Generic

$7

—

65862083530

AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE 5-160-25 MG TAB

Prescription Drug - Generic

$6

—

65862083630

AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE 10-160-12.5 MG TAB

Prescription Drug - Generic

$7

—

65862083730

AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE 10-160-25 MG TAB

Prescription Drug - Generic

$7

—

65862083830

AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE 10-320-25 MG TAB

Prescription Drug - Generic

$8

—

65862084401

CLOZAPINE 25 MG TABLET

Prescription Drug - Generic

$0

—

65862084501

CLOZAPINE 50 MG TABLET

Prescription Drug - Generic

$1

—

65862084605

CLOZAPINE 100 MG TABLET

Prescription Drug - Generic

$1

—

65862084701

CLOZAPINE 200 MG TABLET

Prescription Drug - Generic

$1

—

65862084888

AYUNA-28 TABLET

Prescription Drug - Generic

$0

—

65862084988

AFIRMELLE-28 TABLET

Prescription Drug - Generic

$0

—

65862086495

SIMPESSE 0.15-0.03-0.01 MG TAB

Prescription Drug - Generic

$0

—

65862086594

ICLEVIA 0.15 MG-0.03 MG TABLET

Prescription Drug - Generic

$0

—

65862087011

RISEDRONATE SODIUM 150 MG TAB

Prescription Drug - Generic

$17

—

65862088628

SIMLIYA 28 DAY TABLET

Prescription Drug - Generic

$0

—

Prescription Drug - Generic Procedures

My Cost List