Medical Procedure Costs

52544029831

RAJANI 28 TABLET

Prescription Drug - Generic

$4

—

52544038428

ZOVIA 1-50E TABLET

Prescription Drug - Generic

$1

—

52544047108

ALORA 0.05 MG PATCH

Prescription Drug - Brand

$14

—

52544047254

ALORA 0.075 MG PATCH

Prescription Drug - Brand

$14

—

52544047354

ALORA 0.1 MG PATCH

Prescription Drug - Brand

$14

—

52544055228

NECON 1-35-28 TABLET

Prescription Drug - Generic

$0

—

52544062928

NORA-BE TABLET

Prescription Drug - Generic

$0

—

52544069130

MATZIM LA 180 MG TABLET

Prescription Drug - Generic

$1

—

52544069230

MATZIM LA 240 MG TABLET

Prescription Drug - Generic

$1

—

52544069330

MATZIM LA 300 MG TABLET

Prescription Drug - Generic

$2

—

52544069430

MATZIM LA 360 MG TABLET

Prescription Drug - Generic

$2

—

52544069530

MATZIM LA 420 MG TABLET

Prescription Drug - Generic

$2

—

52544084828

OGESTREL TABLET

Prescription Drug - Generic

$1

—

52544088454

ALORA 0.025 MG PATCH

Prescription Drug - Brand

$12

—

52544089228

JOLIVETTE TABLET

Prescription Drug - Generic

$0

—

52544089660

KADIAN ER 80 MG CAPSULE

Prescription Drug - Brand

$30

—

52544091301

NORCO 5-325 TABLET

Prescription Drug - Brand

$3

—

52544095501

FIORINAL 50-325-40 MG CAPSULE

Prescription Drug - Brand

$5

—

52544095601

FIORINAL-COD 30-50-325-40 CAP

Prescription Drug - Brand

$11

—

52544096691

QUASENSE 0.15-0.03 MG TABLET

Prescription Drug - Generic

$0

—

52544097701

NEPHRO-VITE RX TABLET

Prescription Drug - Brand

$0

—

52597

Trurl rbtc wtrjt rescj prst8

Surgery - Urinary

$548

—

52601

Prostatectomy (turp)

Surgery - Urinary

$526

—

52609000105

ALKERAN 2 MG TABLET

Prescription Drug - Brand

$11

—

52630

Remove prostate regrowth

Surgery - Urinary

$376

—

52640

Relieve bladder contracture

Surgery - Urinary

$302

—

52648

Laser surgery of prostate

Surgery - Urinary

$528

—

52649

Prostate laser enucleation

Surgery - Urinary

$657

—

52652100101

EPANED 1 MG/ML SOLUTION

Prescription Drug - Brand

$2

—

52652200106

XATMEP 2.5 MG/ML ORAL SOLUTION

Prescription Drug - Brand

$21

—

52652300101

QBRELIS 1 MG/ML SOLUTION

Prescription Drug - Brand

$4

—

52652400101

EPANED 1 MG/ML ORAL SOLUTION

Prescription Drug - Brand

$4

—

52652500101

KATERZIA 1 MG/ML SUSPENSION

Prescription Drug - Brand

$4

—

52652600102

FLEQSUVY 25 MG/5 ML SUSPENSION

Prescription Drug - Brand

$6

—

52652800101

ZONISADE 100 MG/5 ML ORAL SUSP

Prescription Drug - Brand

$3

—

52652900103

EPRONTIA 25 MG/ML SOLUTION

Prescription Drug - Brand

$3

—

52700

Drainage of prostate abscess

Surgery - Urinary

$405

—

52709150103

GRASTEK 2,800 BAU SL TABLET

Prescription Drug - Brand

$12

—

52709160103

RAGWITEK SUBLINGUAL TABLET

Prescription Drug - Brand

$12

—

52709170103

ODACTRA 12 SQ-HDM SL TABLET

Prescription Drug - Brand

$12

—

52747020030

RESTORA CAPSULE

Prescription Drug - Brand

$1

—

52747020730

RESTORA RX CAPSULE

Prescription Drug - Brand

$1

—

52747047570

NOREL AD TABLET

Prescription Drug - Brand

$1

—

52747048090

NOREL CS LIQUID

Prescription Drug - Brand

$0

—

52747050230

FUSION PLUS CAPSULE

Prescription Drug - Brand

$1

—

52747050330

PROVIDA DHA CAPSULE

Prescription Drug - Brand

$2

—

52747050430

PROVIDA OB CAPSULE

Prescription Drug - Brand

$1

—

52747062030

CONCEPT OB CAPSULE

Prescription Drug - Brand

$1

—

52747062130

CONCEPT DHA CAPSULE

Prescription Drug - Brand

$1

—

52747071060

INTEGRA CAPSULE

Prescription Drug - Brand

$0

—

My Cost List