Medical Procedure Costs

00064360045

PRUDOXIN 5% CREAM

Prescription Drug - Brand

$4

—

00065000203

NEVANAC 0.1% DROPTAINER

Prescription Drug - Brand

$87

—

00065000603

MOXEZA 0.5% EYE DROPS

Prescription Drug - Brand

$54

—

00065008515

NAPHCON-A EYE DROPS

Prescription Drug - Brand

$1

—

00065024615

BETOPTIC S 0.25% EYE DROPS

Prescription Drug - Brand

$35

—

00065027105

PATANOL 0.1% EYE DROPS

Prescription Drug - Brand

$56

—

00065030355

ISOPTO ATROPINE 1% EYE DROP

Prescription Drug - Brand

$10

—

00065033230

PATANASE 665 MCG NASAL SPRAY

Prescription Drug - Brand

$9

—

00065034510

ALOMIDE 0.1% EYE DROPS

Prescription Drug - Brand

$17

—

00065039605

CYCLOGYL 1% EYE DROPS

Prescription Drug - Brand

$8

—

00065040872

TEARS LUBRICANT 0.5% EYE DROP

Prescription Drug - Generic

$2

—

00065041625

TEARS NATURALE FREE DROPS

Prescription Drug - Brand

$0

—

00065041815

TEARS NATURALE-II EYE DROPS

Prescription Drug - Brand

$1

—

00065041928

BION TEARS EYE DROP

Prescription Drug - Brand

$0

—

00065042622

TEARS NATURALE FORTE DROPS

Prescription Drug - Brand

$0

—

00065042637

GENTEAL TEARS 0.1%-0.2%-0.3%

Prescription Drug - Brand

$0

—

00065042930

SYSTANE 0.4-0.3% EYE DROP

Prescription Drug - Brand

$1

—

00065043133

SYSTANE 0.3-0.4% EYE DROP

Prescription Drug - Brand

$0

—

00065045407

SYSTANE GEL EYE DROPS

Prescription Drug - Brand

$1

—

00065047401

SYSTANE 0.3% EYE GEL

Prescription Drug - Brand

$1

—

00065048155

SYSTANE COMPLETE 0.6% EYE DROP

Prescription Drug - Brand

$1

—

00065050935

SYSTANE NIGHTTIME EYE OINT

Prescription Drug - Brand

$2

—

00065051801

GENTEAL TEARS SEVERE 3%-94%

Prescription Drug - Brand

$2

—

00065062707

VEXOL 1% EYE DROPS

Prescription Drug - Brand

$17

—

00065064515

NATACYN EYE DROPS

Prescription Drug - Brand

$19

—

00065065205

TOBRADEX ST EYE DROPS

Prescription Drug - Brand

$44

—

00065081604

PATADAY ONCE DAILY 0.7% DROPS

Prescription Drug - Brand

$6

—

00065143141

SYSTANE ULTRA 0.4-0.3% EYE DRP

Prescription Drug - Brand

$1

—

00065143307

SYSTANE BALANCE 0.6% EYE DROP

Prescription Drug - Brand

$1

—

00065150782

SYSTANE ULTRA PF 0.4-0.3% EYE

Prescription Drug - Brand

$1

—

00065150977

SYSTANE COMPLETE PF 0.6% DROP

Prescription Drug - Brand

$1

—

00065151006

SYSTANE HYDRATION PF 0.4-0.3%

Prescription Drug - Brand

$1

—

00065329003

SYSTANE PRO PF 0.6% EYE DROP

Prescription Drug - Brand

$1

—

00065401106

ZADITOR 0.025% EYE DROPS

Prescription Drug - Brand

$2

—

00065414727

SIMBRINZA 1%-0.2% EYE DROP

Prescription Drug - Brand

$26

—

00065427325

PAZEO 0.7% EYE DROPS

Prescription Drug - Brand

$79

—

00065427401

PATADAY TWICE DAILY 0.1% DROPS

Prescription Drug - Brand

$2

—

00065806301

GENTEAL TEARS 0.1%-0.3% DROP

Prescription Drug - Brand

$0

—

00065806401

GENTEAL TEARS SEVERE 0.3% GEL

Prescription Drug - Brand

$1

—

00065806701

GENTEAL TEARS SEVERE GEL DROPS

Prescription Drug - Brand

$1

—

00065815001

PATADAY 0.2% EYE DROPS

Prescription Drug - Brand

$5

—

00065859502

TRYPTYR 0.003% EYE DROP

Prescription Drug - Brand

$14

—

00065930501

BION TEARS 0.1%-0.3% DROP

Prescription Drug - Brand

$0

—

00066057760

BENZAMYCINPAK GEL

Prescription Drug - Brand

$5

—

00066715030

CARAC CREAM

Prescription Drug - Brand

$82

—

00067000330

EX-LAX PILLS

Prescription Drug - Brand

$0

—

00067000524

EX-LAX CHOCOLATE

Prescription Drug - Brand

$0

—

00067001648

EX-LAX MAXIMUM STR 25 MG TAB

Prescription Drug - Brand

$0

—

00067001690

EX-LAX MAX RELIEF PILLS

Prescription Drug - Brand

$0

—

00067011636

GAS-X TABLET CHEWABLE

Prescription Drug - Brand

$0

—

My Cost List