Medical Procedure Costs

00067012918

GAS-X EX-STR 125 MG TAB CHEW

Prescription Drug - Brand

$0

—

00067094930

DESENEX 2% POWDER

Prescription Drug - Brand

$0

—

00067095940

DESENEX 2% SPRAY POWDER

Prescription Drug - Brand

$0

—

00067096946

DESENEX 2% SPRAY LIQUID

Prescription Drug - Brand

$0

—

00067200077

EXCEDRIN EXTRA STRENGTH CAPLET

Prescription Drug - Brand

$0

—

00067202191

EXCEDRIN EXTRA STRENGTH GELTAB

Prescription Drug - Brand

$0

—

00067203008

EXCEDRIN EXTRA STRENGTH TABLET

Prescription Drug - Brand

$0

—

00067203520

EXCEDRIN MIGRAINE GELTAB

Prescription Drug - Brand

$0

—

00067203791

EXCEDRIN MIGRAINE TABLET

Prescription Drug - Brand

$0

—

00067203924

EXCEDRIN MIGRAINE CAPLET

Prescription Drug - Brand

$0

—

00067206708

THERAPEUTIC MINERAL ICE GEL

Prescription Drug - Generic

$0

—

00067207060

NO DOZ 200 MG CAPLET

Prescription Drug - Generic

$0

—

00067207724

COMTREX COLD & COUGH CAPLET

Prescription Drug - Brand

$0

—

00067208601

4 WAY 1% NASAL SPRAY

Prescription Drug - Brand

$0

—

00067209103

VAGISTAT-3 COMBO PACK

Prescription Drug - Brand

$8

—

00067500014

KRO NICOTINE 7 MG/24HR PATCH

Prescription Drug - Generic

$2

—

00067501014

KRO NICOTINE 14 MG/24 HR PATCH

Prescription Drug - Generic

$2

—

00067502014

KRO NICOTINE 21 MG/24HR PATCH

Prescription Drug - Generic

$2

—

00067505014

EQL NICOTINE 21 MG/24HR PATCH

Prescription Drug - Generic

$2

—

00067560595

THRIVE NICOTINE 2 MG GUM

Prescription Drug - Generic

$0

—

00067560695

THRIVE NICOTINE 4 MG GUM

Prescription Drug - Generic

$0

—

00067602560

PERDIEM OVERNIGHT RELIEF TB

Prescription Drug - Generic

$0

—

00067611446

LAMISIL AF DEFENS 1% SPRAY PWD

Prescription Drug - Brand

$0

—

00067626630

LAMISIL AF DEFENSE CRM TO POWD

Prescription Drug - Brand

$0

—

00067627020

EXCEDRIN EXTRA STRENGTH GELCAP

Prescription Drug - Brand

$0

—

00067627418

GAS-X ULTRA STRENGTH SOFTGEL

Prescription Drug - Brand

$0

—

00067627510

GAS-X EXTRA STRENGTH SOFTGEL

Prescription Drug - Brand

$0

—

00067628524

SENNA SOFT 15 MG PILLS

Prescription Drug - Generic

$0

—

00067629283

LAMISIL ANTIFUNGAL 1% SPRAY

Prescription Drug - Brand

$0

—

00067634140

EXCEDRIN MENSTRUAL CMPLT GELCP

Prescription Drug - Brand

$0

—

00067634504

TRIAMINIC COLD & COUGH LIQUID

Prescription Drug - Brand

$0

—

00067635004

TRIAMINIC LONG ACT COUGH SYR

Prescription Drug - Brand

$0

—

00067642606

THERAFLU MS SEVERE COLD PCKT

Prescription Drug - Brand

$1

—

00067791606

THERAFLU FLU & SORE THROAT

Prescription Drug - Brand

$1

—

00067791806

THERAFLU NT SEVERE CLD-CGH PKT

Prescription Drug - Brand

$1

—

00067810012

LAMISIL AT 1% CREAM

Prescription Drug - Brand

$1

—

00067810504

TRIAMINIC DAYTIME COLD-COUGH

Prescription Drug - Brand

$0

—

00067810604

TRIAMINIC NIGHTTIME COLD-COUGH

Prescription Drug - Brand

$0

—

00067811504

CHLD TRIAMINIC CGH-SOR THR SUS

Prescription Drug - Brand

$0

—

00067811604

CHILD TRIAMINIC M-S FEVER-COLD

Prescription Drug - Brand

$0

—

00067811704

CHILD TRIAMINIC COLD & ALLERGY

Prescription Drug - Brand

$0

—

00067811804

CHILD TRIAMINIC CGH-CONGST SYR

Prescription Drug - Brand

$0

—

00067812708

THERAFLU EXPRESSMAX COLD-COUGH

Prescription Drug - Brand

$0

—

00067812908

THERAFLU EXPRESSMAX COLD NT LQ

Prescription Drug - Brand

$0

—

00067813620

THERAFLU EXPRESSMAX DAY CAPLET

Prescription Drug - Brand

$0

—

00067813720

THERAFLU EXPRESSMAX NIGHT CPLT

Prescription Drug - Brand

$0

—

00067950601

CRUEX 1% CREAM

Prescription Drug - Generic

$0

—

00069006201

HEPARIN SODIUM 10,000 UNITS/ML VIAL

Prescription Drug - Generic

$2

—

00069014702

METHOTREXATE 100 MG/4 ML VIAL

Prescription Drug - Generic

$1

—

00069024230

TOVIAZ ER 4 MG TABLET

Prescription Drug - Brand

$9

—

My Cost List