Medical Procedure Costs

00904671546

RANITIDINE 75 MG TABLET

Prescription Drug - Generic

$0

—

00904672361

DOK PLUS TABLET

Prescription Drug - Generic

$0

—

00904672602

MAJOR-PREP HEMORRHOIDAL OINT

Prescription Drug - Generic

$0

—

00904672760

SUDOGEST 30 MG TABLET

Prescription Drug - Generic

$0

—

00904672852

SUDOGEST 60 MG TABLET

Prescription Drug - Generic

$0

—

00904675060

DOK 100 MG TABLET

Prescription Drug - Generic

$0

—

00904675373

SUDOGEST PE 10 MG TABLET

Prescription Drug - Generic

$0

—

00904675415

SUDOGEST 12 HOUR 120 MG CAPLET

Prescription Drug - Generic

$0

—

00904675514

MI-ACID MAX STRENGTH LIQUID

Prescription Drug - Generic

$0

—

00904675816

ROBAFEN DM COUGH SYRUP

Prescription Drug - Generic

$0

—

00904675920

ROBAFEN DM COUGH LIQUID

Prescription Drug - Generic

$0

—

00904676320

ROBAFEN 200 MG/10 ML SYRUP

Prescription Drug - Generic

$0

—

00904676414

MINTOX SUSPENSION

Prescription Drug - Generic

$0

—

00904677212

DRIMINATE 50 MG TABLET

Prescription Drug - Generic

$0

—

00904679344

DAYTIME COLD-FLU RELIEF SOFTGL

Prescription Drug - Generic

$0

—

00904681652

MUCUS RELIEF DM 20-400 MG TAB

Prescription Drug - Generic

$0

—

00904682960

MEDI-PADS 50%

Prescription Drug - Generic

$0

—

00904683314

MI-ACID 400-400-40 MG/10 ML LQ

Prescription Drug - Generic

$0

—

00904690706

PSEUDOEPHEDRINE 60 MG TABLET

Prescription Drug - Generic

$0

—

00904692093

DOCUSATE SODIUM MINI ENEMA

Prescription Drug - Generic

$0

—

00904697712

HEMORRHOIDAL SUPPOSITORY

Prescription Drug - Generic

$0

—

00904699544

DAYTIME COLD-FLU RELIEF SFTGL

Prescription Drug - Generic

$0

—

00904699780

DOCUSATE CAL 240 MG SOFTGEL

Prescription Drug - Generic

$0

—

00904720660

SIMETHICONE 80 MG TAB CHEW

Prescription Drug - Generic

$0

—

00904723780

BANOPHEN 25 MG CAPSULE

Prescription Drug - Generic

$0

—

00904725261

SENNA-LAX 8.6 MG TABLET

Prescription Drug - Generic

$0

—

00904730260

APRODINE TABLET

Prescription Drug - Generic

$0

—

00904734920

LICE KILLING SHAMPOO

Prescription Drug - Generic

$0

—

00904744120

ROBAFEN DM 200-20 MG/20 ML LIQ

Prescription Drug - Generic

$0

—

00904748159

ACETAMINOPHEN 1,000 MG/30 ML

Prescription Drug - Generic

$0

—

00904753259

ACETAMINOPHEN 500 MG/15 ML LIQ

Prescription Drug - Generic

$0

—

00904765151

MAPAP PM CAPLET

Prescription Drug - Generic

$0

—

00904768822

ANU-MED SUPPOSITORY

Prescription Drug - Generic

$0

—

00904770418

ASPIR-LOW EC 81 MG TABLET

Prescription Drug - Generic

$0

—

00904772714

ACID GONE ANTACID LIQUID

Prescription Drug - Generic

$0

—

00904775127

MINERIN CREME

Prescription Drug - Generic

$0

—

00904776021

CALLERGY CLEAR LOTION

Prescription Drug - Generic

$0

—

00904782236

CLOTRIM ANTIFUNGAL CREAM

Prescription Drug - Generic

$0

—

00904788980

DOK 100 MG CAPSULE

Prescription Drug - Generic

$0

—

00904789159

DOK 250 MG CAPSULE

Prescription Drug - Generic

$0

—

00904791152

MAG DELAY 64 MG TABLET

Prescription Drug - Generic

$0

—

00904791459

IBU-200 200 MG TABLET

Prescription Drug - Generic

$0

—

0090U

mRNA gene expression profiling of 23 genes in skin melanoma tissue sample

Pathology/Laboratory

$1,950

—

0092U

Measurement of 3 protein biomarkers for lung cancer in plasma

Pathology/Laboratory

$2,488

—

0093U

Prescription drug monitoring for 65 common drugs in urine

Pathology/Laboratory

$62

—

00944270012

GAMMAGARD LIQUID 10% VIAL

Prescription Drug - Brand

$11

—

0094U

Rapid sequence gene testing

Pathology/Laboratory

$7,582

—

00955025050

ERGOCALCIFEROL 1.25 MG (50,000 UNIT) CAPSULE

Prescription Drug - Generic

$0

—

00955025110

ERGOCALCIFEROL 1.25 MG CAPSULE

Prescription Drug - Generic

$0

—

00955172805

INSULIN GLARGINE SOLOSTAR U100

Prescription Drug - Generic

$11

—

My Cost List