Medical Procedure Costs

00008122230

PRISTIQ ER 100 MG TABLET

Prescription Drug - Brand

$14

—

00009001104

SOLU-CORTEF 100 MG ACT-O-VIAL

Prescription Drug - Brand

$24

—

00009001201

CORTEF 5 MG TABLET

Prescription Drug - Brand

$1

—

00009001305

SOLU-CORTEF 250 MG ACT-O-VIAL

Prescription Drug - Brand

$49

—

00009001758

HALCION 0.25 MG TABLET

Prescription Drug - Brand

$5

—

00009002001

MEDROL 2 MG TABLET

Prescription Drug - Brand

$2

—

00009002402

DIDREX 50 MG TABLET

Prescription Drug - Brand

$3

—

00009003101

CORTEF 10 MG TABLET

Prescription Drug - Brand

$2

—

00009003932

SOLU-MEDROL 40 MG VIAL

Prescription Drug - Brand

$6

—

00009004722

SOLU-MEDROL 125 MG VIAL

Prescription Drug - Brand

$10

—

00009005602

MEDROL 4 MG TABLET

Prescription Drug - Brand

$0

—

00009005604

MEDROL 4 MG DOSEPAK

Prescription Drug - Brand

$0

—

00009005907

XANAX XR 1 MG TABLET

Prescription Drug - Brand

$9

—

00009008510

DEPO-TESTOSTERONE 100 MG/ML VL

Prescription Drug - Brand

$6

—

00009008601

DEPO-TESTOSTERONE 200 MG/ML VL

Prescription Drug - Brand

$14

—

00009026004

COLESTID GRANULES PACKET

Prescription Drug - Brand

$7

—

00009027101

DEPO-ESTRADIOL 5 MG/ML VIAL

Prescription Drug - Brand

$49

—

00009028003

DEPO-MEDROL 400 MG/10 ML VIAL

Prescription Drug - Brand

$9

—

00009030602

DEPO-MEDROL 400 MG/5 ML VIAL

Prescription Drug - Brand

$11

—

00009034702

DEPO-TESTOSTERONE 1,000 MG/10 ML

Prescription Drug - Brand

$7

—

00009041701

DEPO-TESTOSTERONE 200 MG/ML

Prescription Drug - Brand

$14

—

00009045003

COLESTID 1 GM TABLET

Prescription Drug - Brand

$2

—

00009055502

LINCOCIN 300 MG/ML VIAL

Prescription Drug - Brand

$16

—

00009062601

DEPO-PROVERA 400 MG/ML VIAL

Prescription Drug - Brand

$209

—

00009074630

DEPO-PROVERA 150 MG/ML VIAL

Prescription Drug - Brand

$51

—

00009076004

CLEOCIN 75 MG/5 ML GRANULES

Prescription Drug - Brand

$1

—

00009082501

SOLU-CORTEF 100 MG VIAL

Prescription Drug - Brand

$19

—

00009087026

CLEOCIN PHOS 150 MG/ML VIAL

Prescription Drug - Brand

$1

—

00009305102

CLEOCIN PHOS 300 MG/2 ML VIAL

Prescription Drug - Brand

$1

—

00009307322

DEPO-MEDROL 40 MG/ML VIAL

Prescription Drug - Brand

$7

—

00009332901

CLEOCIN T 1% LOTION

Prescription Drug - Brand

$0

—

00009344801

CLEOCIN 2% VAGINAL CREAM

Prescription Drug - Brand

$2

—

00009347501

DEPO-MEDROL 80 MG/ML VIAL

Prescription Drug - Brand

$10

—

00009370105

CAVERJECT 20 MCG VIAL

Prescription Drug - Brand

$96

—

00009454102

DETROL 1 MG TABLET

Prescription Drug - Brand

$7

—

00009454402

DETROL 2 MG TABLET

Prescription Drug - Brand

$7

—

00009470913

DEPO-SUBQ PROVERA 104 SYRINGE

Prescription Drug - Brand

$77

—

00009501201

GLYSET 25 MG TABLET

Prescription Drug - Brand

$3

—

00009501301

GLYSET 50 MG TABLET

Prescription Drug - Brand

$3

—

00009501401

GLYSET 100 MG TABLET

Prescription Drug - Brand

$3

—

00009513502

ZYVOX 600 MG TABLET

Prescription Drug - Brand

$262

—

00009513601

ZYVOX 100 MG/5 ML SUSPENSION

Prescription Drug - Brand

$9

—

00009518101

CAVERJECT IMPULSE 10 MCG KIT

Prescription Drug - Brand

$82

—

00009518201

CAVERJECT IMPULSE 20 MCG KIT

Prescription Drug - Brand

$106

—

00009519003

DETROL LA 2 MG CAPSULE

Prescription Drug - Brand

$12

—

00009540001

NICOTROL CARTRIDGE INHALER

Prescription Drug - Brand

$3

—

00009540101

NICOTROL NS 10 MG/ML SPRAY

Prescription Drug - Brand

$13

—

00009737611

DEPO-PROVERA 150 MG/ML SYRINGE

Prescription Drug - Brand

$53

—

00009766304

AROMASIN 25 MG TABLET

Prescription Drug - Brand

$39

—

00009766705

CLEOCIN 100 MG VAGINAL OVULE

Prescription Drug - Brand

$60

—

My Cost List