Medical Procedure Costs

00003110060

COBENFY 100 MG-20 MG CAPSULE

Prescription Drug - Brand

$30

—

00003161112

BARACLUDE 0.5 MG TABLET

Prescription Drug - Brand

$44

—

00003161212

BARACLUDE 1 MG TABLET

Prescription Drug - Brand

$44

—

00003218710

ORENCIA 250 MG VIAL

Prescription Drug - Brand

$677

—

00003218811

ORENCIA 125 MG/ML SYRINGE

Prescription Drug - Brand

$1,472

—

00003218851

ORENCIA CLICKJECT 125 MG/ML

Prescription Drug - Brand

$1,471

—

00003362212

REYATAZ 300 MG CAPSULE

Prescription Drug - Brand

$47

—

00003362412

REYATAZ 150 MG CAPSULE

Prescription Drug - Brand

$23

—

00003363112

REYATAZ 200 MG CAPSULE

Prescription Drug - Brand

$24

—

00003364111

EVOTAZ 300 MG-150 MG TABLET

Prescription Drug - Brand

$52

—

00003376474

ELIQUIS DVT-PE TREATMENT 30-DAY STARTER 5 MG PACK

Prescription Drug - Brand

$6

—

00003517805

PRAVACHOL 20 MG TABLET

Prescription Drug - Brand

$4

—

00003520056

COBENFY STARTER PACK

Prescription Drug - Brand

$30

—

00004003822

VALCYTE 450 MG TABLET

Prescription Drug - Brand

$85

—

00004003909

VALCYTE 50 MG/ML SOLUTION

Prescription Drug - Brand

$12

—

00004018682

BONIVA 150 MG TABLET

Prescription Drug - Brand

$184

—

00004019109

BONIVA 3 MG/3 ML SYRINGE

Prescription Drug - Brand

$171

—

00004024451

INVIRASE 500 MG TABLET

Prescription Drug - Brand

$10

—

00004025943

CELLCEPT 250 MG CAPSULE

Prescription Drug - Brand

$9

—

00004026043

CELLCEPT 500 MG TABLET

Prescription Drug - Brand

$17

—

00004026129

CELLCEPT 200 MG/ML ORAL SUSP

Prescription Drug - Brand

$8

—

00004035730

PEGASYS 180 MCG/0.5 ML SYRINGE

Prescription Drug - Brand

$1,691

—

00004036530

PEGASYS PROCLICK 180 MCG/0.5

Prescription Drug - Brand

$1,686

—

00004038140

FUZEON 90 MG VIAL

Prescription Drug - Brand

$58

—

00004080085

TAMIFLU 75 MG CAPSULE

Prescription Drug - Brand

$15

—

00004080185

TAMIFLU 45 MG CAPSULE

Prescription Drug - Brand

$14

—

00004080285

TAMIFLU 30 MG CAPSULE

Prescription Drug - Brand

$13

—

00004082205

TAMIFLU 6 MG/ML SUSPENSION

Prescription Drug - Brand

$2

—

00004110020

XELODA 150 MG TABLET

Prescription Drug - Brand

$11

—

00004110150

XELODA 500 MG TABLET

Prescription Drug - Brand

$43

—

00004631601

NAPROSYN 500 MG TABLET

Prescription Drug - Brand

$3

—

00005250033

FIBERCON 625 MG CAPLET

Prescription Drug - Brand

$0

—

00006000530

BELSOMRA 5 MG TABLET

Prescription Drug - Brand

$15

—

00006003299

STROMECTOL 3 MG TABLET

Prescription Drug - Brand

$4

—

00006003330

BELSOMRA 10 MG TABLET

Prescription Drug - Brand

$15

—

00006007882

JANUMET XR 50-500 MG TABLET

Prescription Drug - Brand

$5

—

00006008082

JANUMET XR 50-1,000 MG TABLET

Prescription Drug - Brand

$5

—

00006008182

JANUMET XR 100-1,000 MG TABLET

Prescription Drug - Brand

$11

—

00006010654

PRINIVIL 10 MG TABLET

Prescription Drug - Brand

$4

—

00006011254

JANUVIA 50 MG TABLET

Prescription Drug - Brand

$11

—

00006020754

PRINIVIL 20 MG TABLET

Prescription Drug - Brand

$2

—

00006022154

JANUVIA 25 MG TABLET

Prescription Drug - Brand

$11

—

00006022761

ISENTRESS 400 MG TABLET

Prescription Drug - Brand

$35

—

00006027044

FOSAMAX PLUS D 70 MG-5,600 UNITS

Prescription Drug - Brand

$37

—

00006027782

JANUVIA 100 MG TABLET

Prescription Drug - Brand

$11

—

00006032530

BELSOMRA 15 MG TABLET

Prescription Drug - Brand

$15

—

00006033530

BELSOMRA 20 MG TABLET

Prescription Drug - Brand

$15

—

00006046102

EMEND 80 MG CAPSULE

Prescription Drug - Brand

$211

—

00006046405

EMEND 40 MG CAPSULE

Prescription Drug - Brand

$113

—

00006057582

JANUMET 50-500 MG TABLET

Prescription Drug - Brand

$5

—

My Cost List