Prescription Drug - Generic Procedure Costs — 6726 Procedures

69238113803

ATAZANAVIR SULFATE 300 MG CAP

Prescription Drug - Generic

$3

—

69238120202

BUPRENORPHINE 5 MCG/HR PATCH

Prescription Drug - Generic

$21

—

69238120302

BUPRENORPHINE 10 MCG/HR PATCH

Prescription Drug - Generic

$30

—

69238120402

BUPRENORPHINE 15 MCG/HR PATCH

Prescription Drug - Generic

$48

—

69238120502

BUPRENORPHINE 20 MCG/HR PATCH

Prescription Drug - Generic

$53

—

69238125206

LOPREEZA 0.5 MG-0.1 MG TABLET

Prescription Drug - Generic

$2

—

69238142301

METHOTREXATE 2.5 MG TABLET

Prescription Drug - Generic

$0

—

69238145902

POTASSIUM CL 10% (20 MEQ/15 ML) LIQUID

Prescription Drug - Generic

$0

—

69238147103

ERYTHROMYCIN DR 250 MG TABLET

Prescription Drug - Generic

$2

—

69238147203

ERYTHROMYCIN DR 333 MG TABLET

Prescription Drug - Generic

$3

—

69238147303

ERYTHROMYCIN DR 500 MG TABLET

Prescription Drug - Generic

$3

—

69238148503

ERYTHROMYCIN 500 MG FILMTAB

Prescription Drug - Generic

$10

—

69238150502

BUPRENORPHINE 7.5 MCG/HR PATCH

Prescription Drug - Generic

$30

—

69238152201

TETRACYCLINE 250 MG CAPSULE

Prescription Drug - Generic

$0

—

69238152301

TETRACYCLINE 500 MG CAPSULE

Prescription Drug - Generic

$1

—

69238152408

YUVAFEM 10 MCG VAGINAL TABLET

Prescription Drug - Generic

$8

—

69238153106

LARISSIA-28 TABLET

Prescription Drug - Generic

$0

—

69238153406

FLUOCINONIDE 0.05% CREAM

Prescription Drug - Generic

$0

—

69238153909

FROVATRIPTAN SUCC 2.5 MG TAB

Prescription Drug - Generic

$3

—

69238155106

FEMYNOR 28 TABLET

Prescription Drug - Generic

$0

—

69238155406

LILLOW-28 TABLET

Prescription Drug - Generic

$0

—

69238158306

NORLYDA 0.35 MG TABLET

Prescription Drug - Generic

$0

—

69238159502

MYCOPHENOLATE 200 MG/ML SUSP

Prescription Drug - Generic

$1

—

69238160706

TRI FEMYNOR 28 TABLET

Prescription Drug - Generic

$0

—

69238161006

LOPREEZA 1 MG-0.5 MG TABLET

Prescription Drug - Generic

$1

—

69238173208

CLOBETASOL 0.05% SHAMPOO

Prescription Drug - Generic

$0

—

69238173306

DOXEPIN 5% CREAM

Prescription Drug - Generic

$7

—

69238184101

LEVOTHYROXINE 300 MCG TABLET

Prescription Drug - Generic

$0

—

69238199301

ASA-BUTALB-CAFF-COD #3 CAPSULE

Prescription Drug - Generic

$1

—

69238202708

SPIRONOLACTONE 25 MG/5 ML SUSP

Prescription Drug - Generic

$2

—

69238202905

MUPIROCIN 2% CREAM

Prescription Drug - Generic

$1

—

69238210407

NALOXONE HCL 4 MG NASAL SPRAY

Prescription Drug - Generic

$15

—

69238212209

PREDNISOLONE 15 MG/5 ML SOLN

Prescription Drug - Generic

$0

—

69238226107

VANCOMYCIN 250 MG/5 ML ORAL SOL

Prescription Drug - Generic

$1

—

69238235206

ZOLMITRIPTAN 5 MG NASAL SPRAY

Prescription Drug - Generic

$40

—

69238254803

TASIMELTEON 20 MG CAPSULE

Prescription Drug - Generic

$400

—

69238267301

AMLODIPINE-OLMESARTAN 10-20 MG

Prescription Drug - Generic

$0

—

69238267401

AMLODIPINE-OLMESARTAN 10-40 MG

Prescription Drug - Generic

$0

—

69238267501

AMLODIPINE-OLMESARTAN 5-20 MG

Prescription Drug - Generic

$0

—

69238267601

AMLODIPINE-OLMESARTAN 5-40 MG

Prescription Drug - Generic

$0

—

69238269201

NICARDIPINE 30 MG CAPSULE

Prescription Drug - Generic

$4

—

69292026501

PILOCARPINE HCL 5 MG TABLET

Prescription Drug - Generic

$0

—

69292051450

CEFPODOXIME 100 MG TABLET

Prescription Drug - Generic

$1

—

69292051650

CEFPODOXIME 200 MG TABLET

Prescription Drug - Generic

$1

—

69292052210

CAPTOPRIL 12.5 MG TABLET

Prescription Drug - Generic

$0

—

69292052410

CAPTOPRIL 25 MG TABLET

Prescription Drug - Generic

$0

—

69292052610

CAPTOPRIL 50 MG TABLET

Prescription Drug - Generic

$0

—

69292052801

CAPTOPRIL 100 MG TABLET

Prescription Drug - Generic

$0

—

69292054010

ENALAPRIL MALEATE 2.5 MG TAB

Prescription Drug - Generic

$0

—

69292054210

ENALAPRIL MALEATE 5 MG TABLET

Prescription Drug - Generic

$0

—

Prescription Drug - Generic Procedures

My Cost List