Baptist Hospital Standard Charges

Effective Date: January 1, 2020

In compliance with Centers for Medicare and Medicaid Services (CMS), all hospitals in the United States must post a listing of their current standard charges (prices) and standard charges for each Medicare Severity Diagnosis Related Groups (MS-DRG) Inpatient stay on their hospital website. The standard charges shown represent the individual prices or range of prices for procedures, drugs and supplies at Baptist Health Care affiliated hospitals. The MS-DRG charges shown are the average charges for each MS-DRG Inpatient hospital stay and may differ due to any unforeseen complications, and additional tests or procedures, any of which may increase the ultimate cost of the Inpatient stay. These prices represent what is displayed on an itemized bill. Your individual responsibility is governed by the services ordered and performed by your physician as well as your individual, employer-provided, or governmental insurance plan. Discounts are available for patients without insurance depending on household income levels. If you have questions about your individual situation, please contact Baptist Health Care Customer Service at 850.469.2000 or priceestimates@bhcpns.org

These prices are subject to change without notice. There is no warranty or guarantee regarding the accuracy of the pricing information provided herein. There are many factors that contribute to the total price for services provided.

Baptist Hospital Standard Charges
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Clinic
Lab
Pharmacy
Radiology
Room
Service
Supply
Vaccine

Service	Description	Price
Lab	AB ID PLATELET AB FACT4 ABSC	$269.00
Lab	AB ID RBC AB PANEL EA SER TECH	$270.00
Lab	ACETAMINOPHEN/TYLENOL	$334.00
Lab	ACID FAST STAIN	$53.00
Lab	ACTH STIMULATION TEST	$254.00
Lab	AG SCREEN PT SERUM EA UNIT	$113.00
Lab	AGENT NOS ASSAY W/OPTIC	$29.00
Lab	ALBUMIN CHEMISTRY	$77.00
Lab	ALBUMIN URINE QUANTITATIVE	$84.00
Lab	ALBUMIN URINE SEMIQUANTITATIVE	$38.00
Lab	ALBUMIN/FLUID QT EACH	$73.00
Lab	ALKALINE PHOSPHATASE	$35.00
Lab	ALPHAFETOPROTEIN SERUM	$119.00
Lab	ALT (SGPT)	$61.00
Lab	AMIKACIN	$81.00
Lab	AMMONIA	$100.00
Lab	AMYLASE	$83.00
Lab	ANTIBODY ELUTION (RBC) EA	$212.00
Lab	ANTIBODY MUMPS	$87.00
Lab	ANTIBODY RUBEOLA	$66.00
Lab	ANTINUCLEAR AB (SCREEN)	$120.00
Lab	ANTISTREPTOLYSIN 0 TITER	$51.00
Lab	ANTITHROMBIN III ACTIVITY	$120.00
Lab	ARTERIAL BLD GAS W/CALC O2 SAT	$269.00
Lab	ARTERIAL BLOOD GAS W/O2 SAT	$236.00
Lab	ASO SCREEN	$35.00
Lab	ASSAY OF FOLIC ACID RBC	$58.00
Lab	AST /SGOT	$98.00
Lab	AUTO/COMP BLD PREDEPOSITED	$344.00
Lab	BASIC METABOLIC IONIZED CA	$315.00
Lab	BASIC METOBOLIC CALCIUM TOTAL	$160.00
Lab	BETA 2 MICROGLOBULIN	$8.00
Lab	BILIRUBIN DIRECT	$90.00
Lab	BILIRUBIN TOTAL	$57.00
Lab	BILIRUBIN TRANSCUTANEOUS	$56.00
Lab	BLOOD CULTURE BACT AEROBIC	$212.00
Lab	BLOOD GAS PH	$142.00
Lab	BLOOD GASES O2 SAT ONLY	$137.00
Lab	BLOOD OCCULT FECAL HEMOGLOBIN	$69.00
Lab	BLOOD OCCULT/ GASTRIC	$54.00
Lab	BLOOD OCCULT/ STOOL NOT SCREEN	$55.00
Lab	BLOOD OCCULT/ STOOL SCREENING	$64.00
Lab	BLOOD SMEAR MICRO EXAM W/DIFF	$29.00
Lab	BLOOD TYPE ANTIGEN DONOR EA	$122.00
Lab	BLOOD TYPING ABO	$152.00
Lab	BUN (UREA NITROGEN QUANTITAT)	$31.00
Lab	C3 (COMPLEMENT) AG	$134.00
Lab	CA 125	$190.00
Lab	CA 19-9	$179.00
Lab	CA 27.29	$113.00
Lab	CALCIUM- IONIZED	$67.00
Lab	CALCIUM TOTAL	$91.00
Lab	CALCIUM URINE QUANT(TIMED SPE)	$56.00
Lab	CARBON DIOXIDE	$29.00
Lab	CARBOXYHEMOGLOBIN QUANTITATIVE	$72.00
Lab	CD4 FLOW CYT CELL SURF MARKER	$157.00
Lab	CDIFF AG DET ENZ IMM	$138.00
Lab	CEA	$214.00
Lab	CELL COUNT/BODY FLUID NOT BLD	$161.00
Lab	CELL CT/BDY FLUD NOT BLD W/DIF	$75.00
Lab	CERULOPLASMIN	$36.00
Lab	CHLAMYDIA DNA DIRECT PROBE	$143.00
Lab	CHLORIDE BLOOD	$30.00
Lab	CHLORIDE URINE	$65.00
Lab	CHOLESTEROL FLUID	$144.00
Lab	CHOLESTEROL SERUM/WHL BLD TOT	$23.00
Lab	CHYLMD TRACH DNA AMP PROBE	$152.00
Lab	CK MB FRACTION ONLY	$348.00
Lab	CL ANAEROBIC CULTURE	$142.00
Lab	CL OVP(OVA&PARASITES DIRSMC&I)	$30.00
Lab	CL TRICHOME STAIN	$60.00
Lab	CL-ANTIBODY SCREEN	$120.00
Lab	CLO TEST FOR H PYLORI	$113.00
Lab	CLOSTRIDIUM DIFFICI AGT AG DET	$71.00
Lab	COLD AGGLUTININ TITER	$60.00
Lab	COMPATIBIL TEST EA UNIT ELECTR	$122.00
Lab	COMPLETE CBC AUTOMATED	$160.00
Lab	COMPLETE CBC W/AUTO DIFF WBC	$73.00
Lab	COMPREHENSIVE METABOLIC PANEL	$180.00
Lab	CONSULT/REPORT REFERRED SLIDES	$206.00
Lab	CORTISOL TOTAL	$108.00
Lab	C-PEPTIDE	$126.00
Lab	CPK TOTAL	$67.00
Lab	C-REACTION PROT HI SENSITIVITY	$181.00
Lab	C-REACTIVE PROTEIN	$200.00
Lab	CREATININE BLOOD	$44.00
Lab	CREATININE NOT BLOOD	$75.00
Lab	CROSS MATCH IMMEDIATE SPIN	$200.00
Lab	CROSSMATCH AHG LISS	$109.00
Lab	CRYOGLOBULIN QUAL/SEMI-QUANT	$34.00
Lab	CRYPTOCOCCAL ANTIGEN ASSAY	$54.00
Lab	CRYSTAL ID BY LT MICRO W/WO POLAR LENS TISS/FLUID	$148.00
Lab	CULT AEROBIC ISOL + METH EACH	$117.00
Lab	CULT ANAEROB ISOL + METH EACH	$122.00
Lab	CULT FUNGI DEF ID EA ORG YEAST	$54.00
Lab	CULTURE EXCEPT BLD URINE STOOL	$275.00
Lab	CULTURE FUNGI SKIN/HAIR/NAILS	$67.00
Lab	CULTURE MOLD IDENTIFICATION	$43.00
Lab	CYCLOSPORIN LEVEL	$198.00
Lab	CYRPTOSPORIDIUM AGT AG DETECT	$114.00
Lab	CYTO FINE NEEDLE ASP I&R	$462.00
Lab	CYTOP DX EVAL FNA 1ST EA SITE	$321.00
Lab	CYTOPATHOLOGY SLIDES CERV/VAGINAL MANUAL SCREEN	$68.00
Lab	D-DIMER ASSAY QUANTITATIVE	$138.00
Lab	DECALCIFICATION PROCEDURE	$194.00
Lab	DEPAKEN OR VALPROIC ACID TOTAL	$322.00
Lab	DIGOXIN TOTAL	$123.00
Lab	DILANTIN LAB	$131.00
Lab	DIRECT ANTIGLOBULIN EA ANTISER	$49.00
Lab	DNA/RNA AMPLIFIED PROBE	$216.00
Lab	DP WBC	$30.00
Lab	DRUG TEST PRESUMPTIVE BY DIR OPTIC OBS IMMUNOASSAY	$34.00
Lab	DRUG TEST PRESUMPTIVE BY DIRECT OPTICAL OBS	$124.00
Lab	DRUG TEST PRESUMPTIVE BY DIRECT OPTICAL OBSERVATIO	$124.00
Lab	DS-DNA ANTIBODY	$107.00
Lab	ELECTROLYTE PANEL	$71.00
Lab	ENA CENTROMERE B AB	$131.00
Lab	ENZYME IMMUNOASSAY STREPTOCOCCUS GROUP A	$100.00
Lab	ESTRADIOL	$120.00
Lab	ESTROGEN RECEPTOR IMMUNOHIS EA	$225.00
Lab	ETHANOL	$250.00
Lab	EVAL CERVICOVAGINAL FOR AMNIO FLUID EA SPECIMEN	$294.00
Lab	FACTOR IX ASSAY	$121.00
Lab	FACTOR VIII ASSAY	$186.00
Lab	FERRITIN	$220.00
Lab	FETAL FIBRONECTIN TEST	$456.00
Lab	FETAL SCREEN (ROSETTE)	$152.00
Lab	FFP THAWING EACH UNIT	$52.00
Lab	FIBRINOGEN ACTIVITY	$105.00
Lab	FLOW CYTO FIRST MARKER	$224.00
Lab	FOLATE (FOLIC ACID) SERUM	$113.00
Lab	FREE THYROXINE	$150.00
Lab	FROZ SECT 1ST TIS BLK SNG SPEC	$605.00
Lab	FROZ SECT EA ADD FRZ SECT(S)	$212.00
Lab	FSH	$83.00
Lab	FUNGUS CULTURE OTHER NOT BLOOD	$85.00
Lab	GAMMAGLOBULIN IGA EACH	$82.00
Lab	GENERAL HEALTH PANEL	$259.00
Lab	GENTAMICIN LAB	$190.00
Lab	G-GLUTAMYL TRANSPEPTIDASE	$48.00
Lab	GIARDIA INF AGT AG DET ENZ IMM	$71.00
Lab	GLUCOSE BLOOD MONITORING DEVICE HOME USE	$32.00
Lab	GLUCOSE BLOOD REAGENT STRIP	$28.00
Lab	GLUCOSE BODY FLUID NOT BLOOD	$94.00
Lab	GLUCOSE QUANT BLD NOT REAGENT	$30.00
Lab	GLUCOSE TOLERANCE/3 SPECIMENS	$114.00
Lab	GLUCOSE TOLERANCE/EACH ADD	$35.00
Lab	GLUCOSE/POST PRANDIAL	$30.00
Lab	H PYLORI AB	$51.00
Lab	HAPTOGLOBIN QUANTITATIVE	$145.00
Lab	HCG QUALITATIVE	$183.00
Lab	HCG QUANTITATIVE	$278.00
Lab	HDL CHOLESTEROL	$153.00
Lab	HEMATOCRIT	$85.00
Lab	HEMOGLOBIN	$36.00
Lab	HEMOGLOBIN A1C	$100.00
Lab	HEMOGLOBIN A1C MONITOR DEVICE HOME USE	$38.00
Lab	HEP A AB TOTAL	$137.00
Lab	HEP B CORE AB IGM	$75.00
Lab	HEP B SURFACE AB	$94.00
Lab	HEPARIN ASSAY	$127.00
Lab	HEPATIC PANEL	$245.00
Lab	HEPATITIS A IGM AB	$87.00
Lab	HEPATITIS B SURF AG DET ENZ IM	$89.00
Lab	HEPATITIS C AB	$79.00
Lab	HEPATITIS PANEL ACUTE	$403.00
Lab	HER-2-NU QT/SQT MANUAL	$221.00
Lab	HETROPHILE ANTIBODIES SCREENING	$112.00
Lab	HGB/RBC FETAL DIFF LYSIS (KB)	$693.00
Lab	HIV 1 & 2 AB SCREEN	$73.00
Lab	HIV 1 AG/HIV1 AND 2 AB	$95.00
Lab	HOMOCYSTEINE	$188.00
Lab	IMMUNOASSAY QT NOT INFECTIOUS	$101.00
Lab	IMMUNOELECTROPHORESIS (IF)	$124.00
Lab	IMMUNOELECTROPHORESIS URINE	$148.00
Lab	IMMUNOPEROXIDASE STAIN	$467.00
Lab	IN SITU HYBRIDIZATION EA PROBE	$215.00
Lab	INDIR ANTIGLOBULIN EA AB TITER	$146.00
Lab	INFLUENZA DNA AMP PROB ADDL	$88.00
Lab	INFLUENZA DNA AMP PROBE	$315.00
Lab	INFLUENZA INFECT AGENT IMMUNO DIRECT OPTICAL	$118.00
Lab	IRON (FE)	$55.00
Lab	IRON BINDING CAPACITY	$64.00
Lab	ISHQUANT/SEMIQ	$209.00
Lab	KEYTON BODY(S) QUALITATIVE	$134.00
Lab	KLONOPIN	$9.00
Lab	LABORATORY SERVICE FEE	$40.00
Lab	LACTIC ACID	$90.00
Lab	LDH	$37.00
Lab	LEUK ALKALINE PHOSPH W/COUNT	$81.00
Lab	LEV II SURG PATH GROSS & MICRO	$456.00
Lab	LEV III SURG PATH GROSS & MICR	$586.00
Lab	LEV IV SURG PATH GROSS & MICRO	$800.00
Lab	LEV V SURG PATH GROSS & MICRO	$1,092.00
Lab	LEV VI SURG PATH GROSS & MICRO	$1,338.00
Lab	LEVEL 1 GROSS EXAM	$247.00
Lab	LH	$84.00
Lab	LIPASE	$195.00
Lab	LIPID PANEL	$125.00
Lab	LITHIUM-LAB	$71.00
Lab	M TUBERCULO DNA AMP PROBE	$200.00
Lab	MACROSCOPIC EXAM ARTHROPODS	$49.00
Lab	MACROSCOPIC EXAM PARASITES	$64.00
Lab	MAGNESIUM	$200.00
Lab	MALARIA SMEAR	$29.00
Lab	MICROBE SUSCEPTABLE DIFFUSE	$47.00
Lab	MOLECULAR PATH LEVEL 1	$113.00
Lab	MONO TESTING	$99.00
Lab	MYOGLOBIN SCREEN UA QUAL/SEMI	$87.00
Lab	N GON DNA DIRECT PROBE INF AGT	$135.00
Lab	N GONORRHOEAE DNA AMP PROBE	$152.00
Lab	NATRIURETIC PEPTIDE BNP	$167.00
Lab	NATURAL KILLER CELLS CD7 TOTCT	$172.00
Lab	NICOTINE COTININE LC/MS UR	$51.00
Lab	NON GYN CYTO SPIN	$213.00
Lab	NON-GYN FLUIDS/BRUSH/WASHING	$110.00
Lab	N-PTH (PARATHYROID HORMONE)	$366.00
Lab	OBSTETRIC PANEL	$245.00
Lab	OSMOLALITY	$69.00
Lab	OSMOLALITY URINE	$48.00
Lab	PH BODY FLUID	$36.00
Lab	PHENOBARBITAL	$127.00
Lab	PHOSPHORUS INORGANIC	$47.00
Lab	PHOSPHORUS INORGANIC URINE	$33.00
Lab	PINWORM EXAM	$38.00
Lab	PLASMA HEMOGLOBIN	$43.00
Lab	PLATELET COUNT AUTOMATED	$122.00
Lab	POOLING OF COMPONENTS	$105.00
Lab	POTASSIUM URINE	$63.00
Lab	POTASSIUM-SERUM	$43.00
Lab	PREALBUMIN	$49.00
Lab	PRETREAT RBC 4 ENZYME ID PANEL	$142.00
Lab	PRETREAT RBC FOR AB ABSORPT EA	$143.00
Lab	PROCALCITONIN	$228.00
Lab	PROGESTERONE	$85.00
Lab	PROLACTIN	$241.00
Lab	PROTEIN ELECTRO FRAC/QNT URINE	$90.00
Lab	PROTEIN ELECTROPH FRAC/QNT SER	$47.00
Lab	PROTEIN/TOTAL/FLUID NOT REFRAC	$120.00
Lab	PROTEIN/TOTAL/SERUM NOT REFRAC	$37.00
Lab	PROTEIN/TOTAL/URINE NOT REFRAC	$73.00
Lab	PROTHROMBIN TIME	$105.00
Lab	PSA SCREEN	$133.00
Lab	PSA TOTAL	$136.00
Lab	PT PLASMA SUBSTITUTION EACH	$51.00
Lab	PTT SUB PLASMA FRACTIONS EA	$46.00
Lab	RAPID HIV-1 BATTERY	$16.00
Lab	RBC AG TYP OTH THAN ABO/RH EA	$122.00
Lab	RBC AG TYP OTH THAN ABO/RH EA	$122.00
Lab	RENAL FUNCTION PANEL	$325.00
Lab	RETICULATED PLATELET ASSAY	$107.00
Lab	RETICYTE/HGB CONCENTRATE	$66.00
Lab	RHEUMATOID FACTOR (RF) QUANT	$142.00
Lab	ROTOVIRUS AG DET ENZ IMMU TECH	$475.00
Lab	RUBELLA ANTIBODY	$48.00
Lab	SED RATE - AUTO	$29.00
Lab	SEDIMENTATION RATE MANUAL	$141.00
Lab	SICKLE CELL PREP	$69.00
Lab	SKIN TEST TB INTRADERMAL	$24.00
Lab	SKIN TEST-CANDIDA	$48.00
Lab	SKIN TEST-TB INTRADERMAL	$31.00
Lab	SMEAR GRAM STAIN	$41.00
Lab	SMEAR WET MOUNT INFECTIOUS AGENTS	$47.00
Lab	SODIUM SERUM PLASMA OR WHL BLD	$35.00
Lab	SODIUM URINE	$77.00
Lab	SPECIAL STAIN GROUP I EACH	$264.00
Lab	SPECIAL STAIN GROUP II EACH	$300.00
Lab	SPECIFIC GRAVITY(EXCEPT URINE)	$18.00
Lab	SPUTUM/NIPPLE DISCH SMEAR S&I	$141.00
Lab	STEM CELLS CD34 TOTAL COUNT	$172.00
Lab	STOOL CULT ADD PATHOG EA PLATE	$32.00
Lab	STOOL CULT SALMONELLA/SHIGELLA	$148.00
Lab	STOOL WBC (LEUK) QUAL/SEMIQT	$44.00
Lab	STREPTO GROUP A INFECT AGENT IMMUNO DIRECT OPTICAL	$86.00
Lab	SUSCEPTIBILITIES BY KB	$118.00
Lab	SUSCEPTIBILITIES EA MULT ANTIM	$175.00
Lab	SUSCEPTIBILITY (BETA LACTAMASE	$12.00
Lab	SYPHILIS TEST NON-TREP QUAL	$47.00
Lab	SYPHILIS TEST NON-TREP QUANT	$36.00
Lab	T & S RH TYPE	$109.00
Lab	T CELLS ABSOLUTE CD4 COUNT	$89.00
Lab	T-3 TOTAL	$280.00
Lab	T-3 UPTAKE	$34.00
Lab	TEG ACTIVATED COAGULATION	$160.00
Lab	TEGRETOL (CARBAMAZEPINE) TOTAL	$297.00
Lab	TESTOSTERONE TOTAL	$129.00
Lab	THEOPHYLLINE LAB	$82.00
Lab	THROMBIN TIME PLASMA	$24.00
Lab	THROMBOELASTIOGRAPHIC FIBRINOL	$108.00
Lab	THROMBOELASTIOGRAPHIC PLT AGGR	$107.00
Lab	THROMBOPLASTIN (PTT) PARTIAL	$111.00
Lab	THYROID STIMULATING HORMONE	$125.00
Lab	THYROXINE (T4) TOTAL	$56.00
Lab	TISS EXAM KOH SKIN HAIR NAILS	$63.00
Lab	TISSUE HOMOGEN FOR CULTURE	$25.00
Lab	TOBRAMYCIN LAB	$127.00
Lab	TOUCH PREP	$125.00
Lab	TOUCH PREP EACH ADITIONAL SITE	$115.00
Lab	TOXICOLOGY SINGLE DRUG	$92.00
Lab	TRANSFERRIN	$96.00
Lab	TRAVEL FEE	$20.00
Lab	TRIGLYCERIDES	$49.00
Lab	TRIIODOTHYRONINE(T3) FREE	$124.00
Lab	TROPONIN QUANTITIATIVE	$188.00
Lab	UREA NITROGEN CLEARANCE -URINE	$103.00
Lab	UREA NITROGEN URINE	$41.00
Lab	URIC ACID (URINE OR FLUID)	$40.00
Lab	URIC ACID BLOOD	$60.00
Lab	URINALYSIS AUTO W/MICROSCOPY	$73.00
Lab	URINALYSIS AUTO W/O MICROSCOPY	$66.00
Lab	URINALYSIS NON-AUTO W/MICROSCOPY	$34.00
Lab	URINALYSIS NON-AUTO W/O MICROSCOPY	$15.00
Lab	URINE CULTURE QUANT COLONY CT	$300.00
Lab	URINE PREGNANCY TEST	$84.00
Lab	URINE PREGNANCY TEST	$84.00
Lab	URINE VOL MEASUREMENT	$19.00
Lab	VANCOMYCIN-LAB	$161.00
Lab	VARICELLA ZOSTER AB IGG	$62.00
Lab	VISCOSITY SERUM	$21.00
Lab	VITAMIN B12-LAB	$146.00
Lab	VITAMIN D 25 HYDROXY	$200.00
Lab	VOLUME REDUCT OF BLD/BLD PR EA	$147.00

Service	Description	Price
Pharmacy	abacavir 300 mg Tablet (1.00 Tablet(s)	$36.00
Pharmacy	abatacept 125 mg/mL injection 1mL (1.00 milliLiter(s)	$4,321.00
Pharmacy	abatacept 250 mg injection (1.00 Each)	$4,511.00
Pharmacy	acamprosate 333 mg Enteric Coated Tablet (1.00 Tablet(s)	$9.00
Pharmacy	acebutolol 200 mg Capsule (1.00 Capsule(s)	$7.00
Pharmacy	acetaminophen + aspirin + caffeine 250 mg-250 mg-65 mg Tablet (1.00 Tablet(s)	$2.00
Pharmacy	acetaminophen + butalbital + caffeine 325 mg-50 mg-40 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	acetaminophen + codeine 300 mg-30 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	acetaminophen + HYDROcodone 325 mg-10 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	acetaminophen + HYDROcodone 325 mg-5 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	acetaminophen + HYDROcodone 325 mg-7.5 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	acetaminophen + HYDROcodone 325 mg-7.5 mg/15 mL oral solution (15.00 milliLiter(s)	$35.00
Pharmacy	acetaminophen + oxyCODONE 325 mg-10 mg Tablet (1.00 Tablet(s)	$13.00
Pharmacy	acetaminophen + oxyCODONE 325 mg-5 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	acetaminophen + oxyCODONE 325 mg-7.5 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	acetaminophen 120 mg Suppository (1.00 Suppository(s)	$11.00
Pharmacy	acetaminophen 160 mg/5 mL Oral Liquid (5.00 milliLiter(s)	$7.00
Pharmacy	acetaminophen 325 mg Suppository (1.00 Suppository(s)	$11.00
Pharmacy	acetaminophen 325 mg Tablet (1.00 Tablet(s)	$2.00
Pharmacy	acetaminophen 500 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	acetaminophen 650 mg Suppository (1.00 Suppository(s)	$11.00
Pharmacy	acetaminophen 650 mg/20.3 mL Oral Liquid (20.30 milliLiter(s)	$7.00
Pharmacy	acetaZOLAMIDE 250 mg Tablet (1.00 Tablet(s)	$15.00
Pharmacy	acetaZOLAMIDE 500 mg Extended Release Capsule (1.00 Capsule(s)	$17.00 -$34.00
Pharmacy	acetaZOLAMIDE 500 mg injection (1.00 Each)	$589.00 -$611.00
Pharmacy	acetic acid otic 2% solution 15 mL (15.00 milliLiter(s)	$283.00
Pharmacy	acetic acid topical 0.25% irrigation 1000 mL (1,000.00 milliLiter(s)	$60.00
Pharmacy	acetic acid topical 5% compounding 473 mL solution (473.00 milliLiter(s)	$408.00
Pharmacy	acetic acid vaginal 177 mL solution (1.00 Each)	$12.00 -$27.00
Pharmacy	acetic acid-hydrocortisone 2%-1% otic solution 10 mL (10.00 milliLiter(s)	$1,124.00
Pharmacy	acetylcholine ophthalmic 1% intraocular injection (1.00 milliLiter(s)	$574.00
Pharmacy	acetylcysteine 20% 10 mL Inhalation Solution (10.00 milliLiter(s)	$82.00 -$132.00
Pharmacy	acetylcysteine 20% 30 mL Inhalation Solution (30.00 milliLiter(s)	$106.00 -$203.00
Pharmacy	acetylcysteine 20% 30 mL injection (30.00 milliLiter(s)	$1,280.00 -$1,835.00
Pharmacy	acetylcysteine 20% 4 mL Inhalation Solution (4.00 milliLiter(s)	$135.00
Pharmacy	acitretin 25 mg Capsule (1.00 Capsule(s)	$131.00 -$186.00
Pharmacy	acyclovir 200 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	acyclovir 200 mg/5 mL Oral Suspension (5.00 milliLiter(s)	$11.00
Pharmacy	acyclovir 400 mg Tablet (1.00 Tablet(s)	$13.00
Pharmacy	acyclovir 50 mg/mL injection 10 mL (10.00 milliLiter(s)	$246.00 -$307.00
Pharmacy	acyclovir 50 mg/mL injection 20 mL (20.00 milliLiter(s)	$402.00 -$535.00
Pharmacy	adalimumab 40 mg/0.8 mL Kit (1.00 Each)	$11,211.00
Pharmacy	adefovir 10 mg Tablet (1.00 Tablet(s)	$151.00
Pharmacy	adenosine 3 mg/mL injection 2 mL (2.00 milliLiter(s)	$120.00 -$202.00
Pharmacy	adenosine 3 mg/mL injection 30 mL (30.00 milliLiter(s)	$1,508.00 -$1,680.00
Pharmacy	adenosine 3 mg/mL injection 4 mL (4.00 milliLiter(s)	$352.00
Pharmacy	adenosine 6 mcg/mL injection 12 mL (Cath Lab only) (12.00 milliLiter(s)	$37.00
Pharmacy	ado-trastuzumab emtansine 100 mg injection (1.00 Each)	$13,751.00
Pharmacy	ado-trastuzumab emtansine 160 mg injection (1.00 Each)	$22,001.00
Pharmacy	agalsidase beta 35 mg injection (1.00 Each)	$26,062.00
Pharmacy	albendazole 200 mg Tablet (1.00 Tablet(s)	$416.00 -$901.00
Pharmacy	albumin human 25% 100 mL Injection (100.00 milliLiter(s)	$1,227.00 -$1,575.00
Pharmacy	albumin human 25% 50 mL injection (50.00 milliLiter(s)	$681.00 -$1,231.00
Pharmacy	albumin human 5% 250 mL injection (250.00 milliLiter(s)	$572.00 -$1,221.00
Pharmacy	albumin human 5% 500 mL injection (500.00 milliLiter(s)	$1,233.00 -$2,189.00
Pharmacy	albuterol + ipratropium 2.5 mg-0.5 mg/3 mL Inhalation Solution (3.00 milliLiter(s)	$12.00
Pharmacy	albuterol 0.5% 0.5 mL Inhalation Solution (1.00 Each)	$6.00
Pharmacy	albuterol 2 mg Tablet (1.00 Tablet(s)	$23.00
Pharmacy	albuterol 2.5 mg/3 mL (0.083%) Inhalation Solution (3.00 milliLiter(s)	$9.00
Pharmacy	albuterol 4 mg extended release tablet (1.00 Tablet(s)	$9.00
Pharmacy	albuterol CFC free 90 mcg/inh 18 g Aerosol (18.00 Gram(s)	$408.00
Pharmacy	albuterol CFC free 90 mcg/inh 8.5 g Aerosol (8.50 Gram(s)	$201.00 -$408.00
Pharmacy	alfuzosin 10 mg Extended Release Tablet (1.00 Tablet(s)	$15.00
Pharmacy	aliskiren 150 mg Tablet (1.00 Tablet(s)	$19.00 -$25.00
Pharmacy	aliskiren 300 mg Tablet (1.00 Tablet(s)	$24.00 -$31.00
Pharmacy	ALLODERM (132 SQCM)	$8,052.00
Pharmacy	ALLODERM (164 SQCM)	$9,676.00
Pharmacy	ALLODERM (28 SQCM)	$588.00
Pharmacy	ALLODERM (320 SQCM)	$10,285.00
Pharmacy	ALLODERM (640 SQCM)	$18,714.00
Pharmacy	ALLODERM (96 SQCM)	$8,832.00
Pharmacy	allopurinol 100 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	allopurinol 300 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	alpha 1-proteinase inhibitor 1000 mg [ARALAST NP] (1.00 Each)	$2,579.00
Pharmacy	alpha 1-proteinase inhibitor 1000 mg [GLASSIA] (50.00 milliLiter(s)	$2,579.00
Pharmacy	alpha 1-proteinase inhibitor 1000 mg [PROLASTIN-C] (1.00 Each)	$2,579.00
Pharmacy	alpha 1-proteinase inhibitor human 1000 mg [ZEMAIRA] (1.00 Each)	$2,579.00
Pharmacy	ALPRAZolam 0.25 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	ALPRAZolam 0.5 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	ALPRAZolam 1 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	alprostadil 0.5 mg/1 mL injection (1.00 milliLiter(s)	$809.00 -$1,401.00
Pharmacy	alteplase 100 mcg/ 0.1 mL for Intraocular Injection 1 mL (1.00 milliLiter(s)	$6,773.00
Pharmacy	alteplase 100 mg injection (1.00 Each)	$37,923.00
Pharmacy	alteplase 12 mcg/ 0.1 mL for Intraocular Injection 2 mL (2.00 milliLiter(s)	$1,835.00
Pharmacy	alteplase 2 mg injection (1.00 Each)	$1,575.00
Pharmacy	aluminum + magnesium + simethicone 1200 mg-1200 mg-120 mg/30 mL Suspension (30.00 milliLiter(s)	$7.00
Pharmacy	aluminum sulfate-calcium acetate (DOMEBORO) topical (1.00 Packet(s)	$9.00
Pharmacy	alvimopan 12 mg Capsule (1.00 Capsule(s)	$642.00
Pharmacy	amantadine 100 mg Capsule (1.00 Capsule(s)	$12.00
Pharmacy	amantadine 100 mg/10 mL Syrup (10.00 milliLiter(s)	$6.00
Pharmacy	amikacin 250 mg/mL 4 mL inj (4.00 milliLiter(s)	$357.00 -$394.00
Pharmacy	amikacin 500 mg/2 mL (IM) (2.00 milliLiter(s)	$148.00 -$226.00
Pharmacy	amikacin intravitreal injection [400 mcg/0.1 mL] (0.10 milliLiter(s)	$215.00
Pharmacy	aMILoride 5 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	amino acids 10% (Aminosyn II Sulfite-Free) Solution 500 mL (500.00 milliLiter(s)	$134.00
Pharmacy	amino acids 4.25% + D20W (Clinimix Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$424.00
Pharmacy	amino acids 4.25% + D20W (Clinimix Sulfite-Free) 2000 mL (2,000.00 milliLiter(s)	$868.00
Pharmacy	amino acids 4.25% + D25W (Clinimix Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$535.00
Pharmacy	amino acids 4.25% + D25W + electrolytes (Clinimix E Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$503.00
Pharmacy	amino acids 4.25% + D5W (Clinimix Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$535.00
Pharmacy	amino acids 4.25% + D5W (Clinimix Sulfite-Free) 2000 mL (2,000.00 milliLiter(s)	$870.00
Pharmacy	amino acids 4.25% + D5W + electrolytes (Clinimix E Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$552.00
Pharmacy	amino acids 4.25% + D5W + electrolytes (Clinimix E Sulfite-Free) 2000 mL (2,000.00 milliLiter(s)	$937.00
Pharmacy	amino acids 5% + D15W (Clinimix Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$564.00
Pharmacy	amino acids 5% + D15W (Clinimix Sulfite-Free) 2000 mL (2,000.00 milliLiter(s)	$937.00
Pharmacy	amino acids 5% + D15W + electrolytes (Clinimix E Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$577.00
Pharmacy	amino acids 5% + D15W + electrolytes (Clinimix E Sulfite-Free) 2000 mL (2,000.00 milliLiter(s)	$1,004.00
Pharmacy	amino acids 5% + D20W (Clinimix Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$577.00
Pharmacy	amino acids 5% + D20W (Clinimix Sulfite-Free) 2000 mL (2,000.00 milliLiter(s)	$960.00
Pharmacy	amino acids 5% + D20W + electrolytes (Clinimix E Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$577.00
Pharmacy	amino acids 5% + D20W + electrolytes (Clinimix E Sulfite-Free) 2000 mL (2,000.00 milliLiter(s)	$1,027.00
Pharmacy	amino acids 5% + D25W (Clinimix Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$474.00
Pharmacy	amino acids 5% + D25W (Clinimix Sulfite-Free) 2000 mL (2,000.00 milliLiter(s)	$870.00
Pharmacy	amino acids 5% + D25W + electrolytes (Clinimix E Sulfite-Free) 1000 mL (1,000.00 milliLiter(s)	$613.00
Pharmacy	amino acids 5% + D25W + electrolytes (Clinimix E Sulfite-Free) 2000 mL (2,000.00 milliLiter(s)	$1,027.00
Pharmacy	aminocaproic acid 1250 mg/5 mL oral syrup (5.00 milliLiter(s)	$61.00
Pharmacy	aminocaproic acid 500 mg Tablet (1.00 Tablet(s)	$85.00
Pharmacy	aminocaproic acid 5000 mg/20 mL injection (20.00 milliLiter(s)	$120.00
Pharmacy	aminophylline 25 mg/mL 10 mL injection (10.00 milliLiter(s)	$100.00 -$201.00
Pharmacy	amiodarone 150 mg/3 mL injection (3.00 milliLiter(s)	$60.00 -$100.00
Pharmacy	amiodarone 200 mg Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	amiodarone 360 mg/D5W 200 mL Premix (200.00 milliLiter(s)	$680.00
Pharmacy	amiodarone 450 mg/9 mL injection (9.00 milliLiter(s)	$104.00 -$136.00
Pharmacy	amitriptyline 10 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	amitriptyline 25 mg Tablet (1.00 Each)	$5.00
Pharmacy	amitriptyline 50 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	amitriptyline 75 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	amLODIPine 10 mg Tablet (1.00 Tablet(s)	$3.00 -$16.00
Pharmacy	amLODIPine 2.5 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	amLODIPine 5 mg Tablet (1.00 Tablet(s)	$4.00 -$12.00
Pharmacy	ammonia aromatic capsule Inhalation Solution (1.00 Capsule(s)	$5.00
Pharmacy	ammonium lactate topical 12% 225 mL Lotion (225.00 milliLiter(s)	$268.00 -$291.00
Pharmacy	amoxapine 50 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	amoxicillin + clavulanate 400 mg-57 mg/5 mL oral solution 5 mL (5.00 milliLiter(s)	$33.00
Pharmacy	amoxicillin + clavulanate 400 mg-57 mg/5 mL PEDS (1.00 milliLiter(s)	$11.00
Pharmacy	amoxicillin + clavulanate 500 mg-125 mg Tablet (1.00 Tablet(s)	$13.00
Pharmacy	amoxicillin + clavulanate 875 mg-125 mg Tablet (1.00 Tablet(s)	$10.00 -$18.00
Pharmacy	amoxicillin 250 mg Capsule (1.00 Capsule(s)	$4.00
Pharmacy	amoxicillin 250 mg/5 mL Oral Suspension 5 mL (5.00 milliLiter(s)	$5.00
Pharmacy	amoxicillin 400 mg/5 mL Oral Suspension 5 mL (5.00 milliLiter(s)	$10.00
Pharmacy	amoxicillin 500 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	amoxicillin 80 mg/mL Oral Suspension 1 mL PEDS (1.00 milliLiter(s)	$5.00
Pharmacy	amoxicillin 875 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	amphetamine + dextroamphetamine 5 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	amphetamine + dextroamphetamine 10 mg Extended Release Capsule (1.00 Capsule(s)	$21.00 -$30.00
Pharmacy	amphetamine + dextroamphetamine 10 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	amphetamine + dextroamphetamine 15 mg Extended Release Capsule (1.00 Capsule(s)	$21.00 -$27.00
Pharmacy	amphetamine + dextroamphetamine 5 mg Extended Release Capsule (1.00 Capsule(s)	$21.00 -$146.00
Pharmacy	amphotericin B Injection (1.00 Each)	$559.00
Pharmacy	amphotericin B intravitreal injection 5 mcg/0.1 mL (0.10 milliLiter(s)	$559.00
Pharmacy	amphotericin B liposomal Injection (1.00 Each)	$1,814.00
Pharmacy	amphotericin B nasal spray 0.9 mg/mL 30 mL (30.00 milliLiter(s)	$311.00
Pharmacy	ampicillin + sulbactam 1.5 g Injection (1.00 Each)	$100.00 -$147.00
Pharmacy	ampicillin + sulbactam 3 g Injection (1.00 Each)	$100.00 -$294.00
Pharmacy	ampicillin 1 gram Injection (1.00 Each)	$120.00 -$275.00
Pharmacy	ampicillin 2 gram Injection (1.00 Each)	$120.00 -$465.00
Pharmacy	ampicillin 250 mg Injection (1.00 Each)	$73.00 -$89.00
Pharmacy	ampicillin 250 mg/5 mL Susp (5.00 milliLiter(s)	$5.00
Pharmacy	ampicillin 500 mg CAP (1.00 Capsule(s)	$5.00
Pharmacy	ampicillin 500 mg Injection (1.00 Each)	$73.00 -$100.00
Pharmacy	ampicillin inj (60 mg/mL) [NEONATE] (1.00 Each)	$533.00
Pharmacy	anagrelide 0.5 mg Capsule (1.00 Capsule(s)	$38.00
Pharmacy	anastrozole 1 mg Tablet (1.00 Tablet(s)	$5.00 -$51.00
Pharmacy	anidulafungin 100 mg PWDI (Eraxis) (1.00 Each)	$1,649.00
Pharmacy	anidulafungin 50 mg PWDI (Eraxis) (1.00 Each)	$1,205.00
Pharmacy	anti-inhibitor coagulant complex 1000 units -FEIBA NF injection (1,000.00 International Unit(s)	$8,131.00
Pharmacy	anti-inhibitor coagulant complex 2500 units FEIBA NF injection (2,500.00 International Unit(s)	$20,326.00
Pharmacy	antithrombin III injection (THROMBATE III) (500.00 International Unit(s)	$5,197.00
Pharmacy	antithrombin III, human recombinant Injection (ATryn) (1,750.00 International Unit(s)	$13,087.00
Pharmacy	antivenin crotalidae polyvalent 1 gram injection (1.00 Vial(s)	$12,072.00
Pharmacy	apixaban 2.5 mg Tablet (1.00 Tablet(s)	$29.00
Pharmacy	apixaban 5 mg Tablet (1.00 Each)	$29.00
Pharmacy	APLIGRAF PER 1 SQ CM	$57.00
Pharmacy	APLIGRAF PER 1 SQCM T	$82.00
Pharmacy	apraclonidine ophthalmic 0.5% 5 mL Solution (5.00 milliLiter(s)	$506.00 -$1,118.00
Pharmacy	apraclonidine ophthalmic 1% 24 mL Solution (24.00 milliLiter(s)	$4,457.00
Pharmacy	aprepitant 125 mg Capsule (1.00 Capsule(s)	$1,082.00 -$1,394.00
Pharmacy	aprepitant 40 mg Capsule (1.00 Capsule(s)	$374.00 -$482.00
Pharmacy	aprepitant 80 mg Capsule (1.00 Capsule(s)	$693.00 -$852.00
Pharmacy	argatroban 125 mg/125 mL Premix (125.00 milliLiter(s)	$2,720.00
Pharmacy	argatroban 250 mg/2.5 mL injection (2.50 milliLiter(s)	$2,579.00 -$4,588.00
Pharmacy	arginine 10% 300 mL injection (300.00 milliLiter(s)	$535.00
Pharmacy	ARIPiprazole 10 mg Tablet (1.00 Tablet(s)	$110.00
Pharmacy	ARIPiprazole 15 mg Tablet (1.00 Tablet(s)	$109.00 -$118.00
Pharmacy	ARIPiprazole 2 mg Tablet (1.00 Tablet(s)	$108.00 -$118.00
Pharmacy	ARIPiprazole 20 mg Tablet (1.00 Tablet(s)	$153.00 -$167.00
Pharmacy	ARIPiprazole 5 mg Tablet (1.00 Tablet(s)	$109.00 -$118.00
Pharmacy	arsenic trioxide (2 mg/mL) injection (6.00 milliLiter(s)	$4,101.00
Pharmacy	ARTHROFLEX (21 SQCM)	$3,924.00
Pharmacy	ascorbic acid 250 mg Tablet (1.00 Tablet(s)	$1.00
Pharmacy	ascorbic acid 500 mg Tablet (1.00 Each)	$2.00
Pharmacy	ascorbic acid 500 mg/5 mL Oral Liquid (5.00 milliLiter(s)	$5.00
Pharmacy	ascorbic acid 500 mg/mL Injection 2 mL (2.00 milliLiter(s)	$73.00
Pharmacy	asenapine 10 mg Tablet (1.00 Tablet(s)	$82.00
Pharmacy	asenapine 5 mg Tablet (1.00 Tablet(s)	$82.00
Pharmacy	aspirin + citric acid + sodium bicarbonate (ALKA SELTZER) 325 mg/1 gram/1.9 gram Tab (1.00 Tablet(s)	$3.00
Pharmacy	aspirin + dipyridamole 25 mg-200 mg Extended Release Capsule (1.00 Capsule(s)	$24.00 -$36.00
Pharmacy	aspirin 300 mg Suppository (1.00 Suppository(s)	$11.00
Pharmacy	aspirin 325 mg Enteric Coated Tablet (1.00 Tablet(s)	$5.00
Pharmacy	aspirin 325 mg Tablet (1.00 Tablet(s)	$2.00
Pharmacy	aspirin 600 mg Suppository (1.00 Suppository(s)	$11.00
Pharmacy	aspirin 81 mg Chewable Tablet (1.00 Tablet(s)	$2.00
Pharmacy	aspirin 81 mg Enteric Coated Tablet (1.00 Tablet(s)	$2.00
Pharmacy	aspirin buffered 325 mg Tablet (1.00 Tablet(s)	$2.00
Pharmacy	atazanavir 150 mg Capsule (1.00 Capsule(s)	$98.00
Pharmacy	atazanavir 200 mg Capsule (1.00 Capsule(s)	$98.00
Pharmacy	atenolol 100 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	atenolol 25 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	atenolol 50 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	atenolol-chlorthalidone 100 mg-25 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	atezolizumab 1200 mg/20 mL Injection (20.00 milliLiter(s)	$40,869.00
Pharmacy	atomoxetine 10 mg Capsule (1.00 Capsule(s)	$42.00
Pharmacy	atomoxetine 18 mg Capsule (1.00 Capsule(s)	$42.00
Pharmacy	atomoxetine 25 mg Capsule (1.00 Capsule(s)	$42.00 -$49.00
Pharmacy	atomoxetine 40 mg Capsule (1.00 Capsule(s)	$46.00 -$53.00
Pharmacy	atomoxetine 60 mg Capsule (1.00 Capsule(s)	$46.00
Pharmacy	atorvastatin 20 mg Tablet (1.00 Tablet(s)	$4.00 -$59.00
Pharmacy	atorvastatin 40 mg Tablet (1.00 Tablet(s)	$3.00 -$59.00
Pharmacy	atovaquone 750 mg/5 mL Oral Suspension (5.00 milliLiter(s)	$41.00
Pharmacy	atracurium 100 mg/10 mL injection (10.00 milliLiter(s)	$232.00
Pharmacy	atracurium 50 mg/5 mL injection (5.00 milliLiter(s)	$120.00
Pharmacy	atropine + diphenoxylate 0.025 mg-2.5 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	atropine 0.4 mg/1 mL injection (1.00 milliLiter(s)	$135.00
Pharmacy	atropine 0.4 mg/mL injection 20 mL (20.00 milliLiter(s)	$535.00
Pharmacy	atropine 1 mg/1 mL injection (1.00 milliLiter(s)	$211.00
Pharmacy	atropine 1 mg/10 mL injection (syringe) (10.00 milliLiter(s)	$120.00 -$171.00
Pharmacy	atropine ophthalmic 1% 2 mL Solution (2.00 milliLiter(s)	$249.00
Pharmacy	atropine ophthalmic 1% 3.5 g Ointment (3.50 Gram(s)	$173.00
Pharmacy	atropine ophthalmic 1% 5 mL Solution (5.00 milliLiter(s)	$151.00 -$397.00
Pharmacy	avelumab 20 mg/mL injection 10 mL (10.00 milliLiter(s)	$6,048.00
Pharmacy	azaCITIDine 100 mg injection (1.00 Each)	$1,604.00 -$2,579.00
Pharmacy	azaTHIOprine 50 mg Tablet (1.00 Tablet(s)	$6.00 -$12.00
Pharmacy	azelastine nasal 137 mcg/inh 30 mL Spray (30.00 milliLiter(s)	$588.00 -$813.00
Pharmacy	azithromycin 1000 mg oral solution (1.00 Each)	$99.00 -$501.00
Pharmacy	azithromycin 200 mg/5 mL oral solution (5.00 milliLiter(s)	$10.00 -$63.00
Pharmacy	azithromycin 250 mg Tablet (1.00 Tablet(s)	$5.00 -$27.00
Pharmacy	azithromycin 500 mg injection (1.00 Each)	$120.00 -$304.00
Pharmacy	azithromycin 500 mg with Adaptor (1.00 Each)	$182.00
Pharmacy	azithromycin 600 mg Tablet (1.00 Tablet(s)	$16.00 -$281.00
Pharmacy	aztreonam 1 gram injection (1.00 Each)	$466.00 -$529.00
Pharmacy	aztreonam 2 gram injection (1.00 Each)	$854.00 -$897.00
Pharmacy	baciTRACIN + hydrocortisone + neomycin + polymyxin b ophthalmic Ointment 3.5 grams (3.50 Gram(s)	$408.00
Pharmacy	baciTRACIN + hydrocortisone + neomycin + polymyxin b topical Ointment 15 grams (15.00 Gram(s)	$1,065.00
Pharmacy	baciTRACIN + neomycin + polymyxin b ophthalmic Ointment 3.5 grams (3.50 Gram(s)	$358.00 -$388.00
Pharmacy	baciTRACIN + neomycin + polymyxin b topical Ointment 0.9 grams (1.00 Each)	$6.00
Pharmacy	baciTRACIN + neomycin + polymyxin b topical Ointment 15 grams (15.00 Gram(s)	$51.00 -$75.00
Pharmacy	baciTRACIN + neomycin + polymyxin b topical ointment 30 grams (30.00 Gram(s)	$42.00 -$148.00
Pharmacy	baciTRACIN + polymyxin b ophthalmic Ointment 3.5 grams (3.50 Gram(s)	$212.00 -$232.00
Pharmacy	baciTRACIN + polymyxin b topical Ointment 0.9 grams (1.00 Each)	$6.00
Pharmacy	baciTRACIN + polymyxin b topical Ointment 15 grams (15.00 Gram(s)	$48.00 -$80.00
Pharmacy	baciTRACIN + polymyxin b topical Ointment 30 grams (30.00 Gram(s)	$67.00 -$107.00
Pharmacy	baciTRACIN 50,000 units injection (1.00 Each)	$120.00 -$204.00
Pharmacy	baciTRACIN topical Ointment 0.9 grams (1.00 Each)	$3.00
Pharmacy	baciTRACIN topical Ointment 15 grams (15.00 Gram(s)	$22.00 -$55.00
Pharmacy	baciTRACIN topical Ointment 30 grams (30.00 Gram(s)	$26.00 -$41.00
Pharmacy	baclofen 10 mg Tablet (1.00 Tablet(s)	$4.00 -$12.00
Pharmacy	balsalazide 750 mg Capsule (1.00 Capsule(s)	$6.00 -$23.00
Pharmacy	balsam peru/castor oil/trypsin (Granulex) spray (113.40 Gram(s)	$174.00
Pharmacy	BCG (TICE) 50 mg injection (1.00 Each)	$1,575.00
Pharmacy	becaplermin topical 0.01% 15 g Gel (15.00 Gram(s)	$6,165.00 -$7,135.00
Pharmacy	belimumab 120 mg injection (BENLYSTA) (1.00 Each)	$2,579.00
Pharmacy	belimumab 400 mg injection (BENLYSTA) (1.00 Each)	$7,120.00
Pharmacy	belladonna-opium 16.2 mg-30 mg SUPP (1.00 Suppository(s)	$90.00
Pharmacy	belladonna-opium 16.2 mg-60 mg Suppository (1.00 Suppository(s)	$109.00
Pharmacy	bendamustine 100 mg/4 mL injection (4.00 milliLiter(s)	$11,385.00
Pharmacy	benralizumab 30 mg/mL syringe (1.00 milliLiter(s)	$21,870.00
Pharmacy	benzocaine + resorcinol (Vagisil) topical cream 30 grams (30.00 Gram(s)	$34.00
Pharmacy	benzocaine + tetracaine + butamben topical spray 20 grams (20.00 Gram(s)	$408.00
Pharmacy	benzocaine 10% oral gel 7 grams (7.00 Gram(s)	$40.00
Pharmacy	benzocaine 20% + menthol 0.5% topical spray 60 mL (56.00 Gram(s)	$56.00
Pharmacy	benzocaine 20% hemorroidal ointment 30 grams (30.00 Gram(s)	$56.00
Pharmacy	benzocaine 20% topical 30 grams (30.00 Gram(s)	$87.00
Pharmacy	benzocaine 20% topical oral spray 0.5 ml UD (1.00 Each)	$15.00
Pharmacy	benzocaine 20% topical spray 60 mL (57.00 Gram(s)	$245.00
Pharmacy	benzoin topical compound 60 mL Tincture (1.00 Each)	$5.00 -$56.00
Pharmacy	benzonatate 100 mg Capsule (1.00 Capsule(s)	$5.00 -$12.00
Pharmacy	benzoyl peroxide topical 10% 60 g Gel (60.00 Gram(s)	$180.00
Pharmacy	benzoyl peroxide topical 10% Lotion (29.50 milliLiter(s)	$89.00
Pharmacy	benztropine 0.5 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	benztropine 1 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	benztropine 2 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	benztropine 2 mg/2 mL injection (2.00 milliLiter(s)	$721.00 -$858.00
Pharmacy	betamethasone + clotrimazole topical 0.05%-1% 15 g Cream (15.00 Gram(s)	$180.00 -$383.00
Pharmacy	betamethasone acetate + betamethasone sod phos 30 mg/5 mL injection (5.00 milliLiter(s)	$516.00 -$758.00
Pharmacy	betamethasone topical dipropionate 0.05% 15 g Cream (15.00 Gram(s)	$283.00 -$360.00
Pharmacy	betamethasone topical dipropionate 0.05% 45 g Ointment (45.00 Gram(s)	$567.00
Pharmacy	betaxolol 10 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	betaxolol ophthalmic 0.5% 5 mL Solution (5.00 milliLiter(s)	$317.00 -$408.00
Pharmacy	bethanechol 10 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	bethanechol 25 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	bethanechol 5 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	bevacizumab 100 mg/4 mL injection (4.00 milliLiter(s)	$3,266.00
Pharmacy	bevacizumab 400 mg/16 mL injection (16.00 milliLiter(s)	$13,065.00
Pharmacy	bicalutamide 50 mg Tablet (1.00 Tablet(s)	$6.00 -$63.00
Pharmacy	biotin 1 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	bisacodyl 10 mg Suppository (1.00 Suppository(s)	$10.00
Pharmacy	bisacodyl 5 mg Enteric Coated Tablet (1.00 Tablet(s)	$2.00
Pharmacy	bismuth subsalicylate 524 mg/30 mL Oral Suspension (30.00 milliLiter(s)	$5.00
Pharmacy	bisoprolol + hydrochlorothiazide 5 mg-6.25 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	bisoprolol 5 mg Tablet (1.00 Tablet(s)	$11.00
Pharmacy	bivalirudin 250 mg injection (1.00 Each)	$2,579.00 -$4,408.00
Pharmacy	bleomycin 15 units injection (1.00 Each)	$535.00 -$842.00
Pharmacy	bortezomib 3.5 mg injection (1.00 Each)	$7,295.00
Pharmacy	botulinum toxin type A 100 units injection (1.00 Each)	$2,579.00
Pharmacy	brentuximab vedotin 50 mg injection (1.00 Each)	$31,305.00
Pharmacy	brimonidine ophthalmic 0.2% 5 mL Solution (5.00 milliLiter(s)	$163.00 -$265.00
Pharmacy	bromocriptine 2.5 mg Tablet (1.00 Tablet(s)	$15.00 -$22.00
Pharmacy	brompheniramine + dextromethorphan+ PSE 2 mg-10 mg-30 mg/5 mL Syrup (5.00 milliLiter(s)	$6.00
Pharmacy	budesonide + formoterol 160-4.5 mcg/inh 6 g Aerosol (6.00 Gram(s)	$1,172.00 -$1,354.00
Pharmacy	budesonide + formoterol 80-4.5 mcg/inh 6.9 g Aerosol (6.90 Gram(s)	$1,295.00
Pharmacy	budesonide 0.25 mg/2 mL Inhalation Suspension (2.00 milliLiter(s)	$36.00
Pharmacy	budesonide 0.5 mg/2 mL Inhalation Suspension (2.00 milliLiter(s)	$21.00 -$42.00
Pharmacy	budesonide 3 mg Extended Release Capsule (1.00 Capsule(s)	$65.00 -$78.00
Pharmacy	bumetanide 1 mg Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	bumetanide 1 mg/4 mL injection (4.00 milliLiter(s)	$73.00
Pharmacy	bumetanide 2 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	bumetanide 2.5 mg/10 mL injection (10.00 milliLiter(s)	$73.00 -$89.00
Pharmacy	bupivacaine + EPINEPHrine 0.25%-1:200,000 10 mL injection PF (10.00 milliLiter(s)	$73.00 -$104.00
Pharmacy	bupivacaine + EPINEPHrine 0.25%-1:200,000 30 mL injection PF (30.00 milliLiter(s)	$89.00 -$142.00
Pharmacy	bupivacaine + EPINEPHrine 0.25%-1:200,000 50 mL injection (50.00 milliLiter(s)	$120.00 -$227.00
Pharmacy	bupivacaine + EPINEPHrine 0.5%-1:200,000 10 mL injection PF (10.00 milliLiter(s)	$104.00
Pharmacy	bupivacaine + EPINEPHrine 0.5%-1:200,000 30 mL injection PF (30.00 milliLiter(s)	$73.00 -$153.00
Pharmacy	bupivacaine + EPINEPHrine 0.5%-1:200,000 50 mL injection (50.00 milliLiter(s)	$120.00 -$243.00
Pharmacy	bupivacaine + EPINEPHrine 0.75%-1:200,000 30 mL injection PF (30.00 milliLiter(s)	$172.00
Pharmacy	bupivacaine 0.25% 10 mL injection PF (10.00 milliLiter(s)	$60.00 -$120.00
Pharmacy	bupivacaine 0.25% 30 mL injection PF (30.00 milliLiter(s)	$60.00 -$120.00
Pharmacy	bupivacaine 0.25% 50 mL injection (50.00 milliLiter(s)	$89.00 -$185.00
Pharmacy	bupivacaine 0.5% 10 mL injection PF (10.00 milliLiter(s)	$73.00 -$104.00
Pharmacy	bupivacaine 0.5% 30 mL injection PF (30.00 milliLiter(s)	$73.00 -$120.00
Pharmacy	bupivacaine 0.5% 50 mL injection (50.00 milliLiter(s)	$73.00 -$207.00
Pharmacy	bupivacaine 0.75% 10 mL injection PF (10.00 milliLiter(s)	$73.00 -$100.00
Pharmacy	bupivacaine 0.75% 30 mL injection PF (30.00 milliLiter(s)	$89.00 -$120.00
Pharmacy	bupivacaine liposomal (13.3 mg/mL) 10 mL inj. (10.00 milliLiter(s)	$1,575.00
Pharmacy	bupivacaine liposomal (13.3 mg/mL) 20 mL inj. (20.00 milliLiter(s)	$1,950.00
Pharmacy	bupivacaine spinal 0.75%-D8.25% 2 mL injection PF (2.00 milliLiter(s)	$73.00 -$104.00
Pharmacy	buprenorphine 2 mg Sublingual Tablet (1.00 Tablet(s)	$5.00 -$16.00
Pharmacy	buprenorphine 8 mg Sublingual Tablet (1.00 Tablet(s)	$12.00 -$29.00
Pharmacy	buPROPion 100 mg SR Tablet (1.00 Tablet(s)	$9.00
Pharmacy	buPROPion 100 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	buPROPion 150 mg SR Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	buPROPion 75 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	busPIRone 10 mg Tablet (1.00 Each)	$9.00
Pharmacy	busPIRone 15 mg Tablet (1.00 Each)	$3.00 -$10.00
Pharmacy	busPIRone 5 mg Tablet (1.00 Each)	$5.00
Pharmacy	busPIRone 7.5 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	busulfan 2 mg Tablet (1.00 Tablet(s)	$44.00
Pharmacy	butorphanol 2 mg/mL injection 1 mL (1.00 milliLiter(s)	$104.00
Pharmacy	cabazitaxel 60 mg/1.5 mL injection (1.50 milliLiter(s)	$48,219.00
Pharmacy	cabergoline 0.5 mg Tablet (1.00 Tablet(s)	$39.00 -$90.00
Pharmacy	caffeine + ergotamine 100 mg-1 mg Tablet (1.00 Tablet(s)	$9.00 -$53.00
Pharmacy	caffeine + ergotamine 100 mg-2 mg Suppository (1.00 Suppository(s)	$156.00
Pharmacy	caffeine 200 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	caffeine citrate 10 mg/mL injection [NEONATE] (1.00 milliLiter(s)	$175.00
Pharmacy	caffeine citrate 20 mg/mL injection [NEONATE] (1.00 milliLiter(s)	$120.00 -$205.00
Pharmacy	calamine + pramoxine topical 8%-1% 180 mL Lotion (180.00 milliLiter(s)	$41.00 -$56.00
Pharmacy	calcipotriene topical 0.005% 60 g Cream (60.00 Gram(s)	$1,355.00 -$3,400.00
Pharmacy	calcitonin 200 units/mL injection (2.00 milliLiter(s)	$8,316.00 -$12,440.00
Pharmacy	calcitonin nasal 200 intl units/inh 3.7 mL Spray (3.70 milliLiter(s)	$502.00 -$1,830.00
Pharmacy	calcitriol 0.25 mcg Capsule (1.00 Capsule(s)	$8.00
Pharmacy	calcitriol 1 mcg/1 mL injection (1.00 milliLiter(s)	$120.00 -$144.00
Pharmacy	calcitriol 1 mcg/1 mL Oral Liquid 15 mL (1.00 milliLiter(s)	$16.00
Pharmacy	calcium acetate 667 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	calcium carbonate + vitamin D 600 mg-400 intl units Tablet (1.00 Tablet(s)	$1.00
Pharmacy	calcium carbonate 1250 mg/5 mL Oral Suspension (5.00 milliLiter(s)	$7.00
Pharmacy	calcium carbonate 500 mg Chewable Tablet (TUMS) (1.00 Tablet(s)	$2.00
Pharmacy	calcium carbonate 600 mg Tablet (CALTRATE) (1.00 Tablet(s)	$1.00
Pharmacy	calcium chloride 100 mg/mL injection 10 mL (10.00 milliLiter(s)	$311.00
Pharmacy	calcium chloride 100 mg/mL syringe 10 mL (10.00 milliLiter(s)	$125.00 -$166.00
Pharmacy	calcium citrate + vitamin D 315 mg-250 intl units Tablet (1.00 Tablet(s)	$2.00
Pharmacy	calcium gluconate 100 mg/mL injection 10 mL (10.00 milliLiter(s)	$120.00 -$230.00
Pharmacy	camphor + menthol topical (SARNA) 222 mL Lotion (222.00 milliLiter(s)	$55.00
Pharmacy	camphor + menthol topical (Vicks VapoRub) 50 g Ointment (45.00 Gram(s)	$43.00
Pharmacy	canagliflozin 100 mg Tablet (1.00 Tablet(s)	$58.00
Pharmacy	canagliflozin 300 mg Tablet (1.00 Tablet(s)	$58.00
Pharmacy	candida albicans injection 1 mL (0.10 milliLiter(s)	$309.00
Pharmacy	capecitabine 150 mg Tablet (1.00 Tablet(s)	$40.00 -$52.00
Pharmacy	capecitabine 500 mg Tablet (1.00 Tablet(s)	$133.00 -$163.00
Pharmacy	capsaicin topical 0.1% 60 g Cream (56.60 Gram(s)	$119.00 -$180.00
Pharmacy	captopril 12.5 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	captopril 25 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	carbachol ophthalmic 0.01% 1.5 mL Solution for Inj (1.50 milliLiter(s)	$283.00
Pharmacy	carBAMazepine 100 mg Chewable Tablet (1.00 Tablet(s)	$5.00
Pharmacy	carBAMazepine 100 mg Extended Release Tablet (1.00 Tablet(s)	$9.00
Pharmacy	carBAMazepine 200 mg Extended Release Tablet (1.00 Tablet(s)	$12.00
Pharmacy	carBAMazepine 200 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	carBAMazepine 400 mg Extended Release Tablet (1.00 Tablet(s)	$15.00 -$21.00
Pharmacy	carbamide peroxide otic 6.5% 15 mL Solution (15.00 milliLiter(s)	$19.00 -$56.00
Pharmacy	carbidopa + levodopa 10 mg-100 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	carbidopa + levodopa 25 mg-100 mg CR Tablet (1.00 Tablet(s)	$7.00
Pharmacy	carbidopa + levodopa 25 mg-100 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	carbidopa + levodopa 25 mg-250 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	CARBOplatin 150 mg/15 mL Injection (15.00 milliLiter(s)	$262.00 -$402.00
Pharmacy	CARBOplatin 450 mg/45 mL Injection (45.00 milliLiter(s)	$766.00 -$858.00
Pharmacy	CARBOplatin 50 mg/5 mL Injection (5.00 milliLiter(s)	$140.00
Pharmacy	CARBOplatin 600 mg/60 mL Injection (60.00 milliLiter(s)	$966.00 -$1,276.00
Pharmacy	carboprost 250 mcg/1 mL injection (1.00 milliLiter(s)	$2,194.00
Pharmacy	carboxymethylcellulose 1% 0.4 mL Solution (1.00 Each)	$6.00
Pharmacy	Cardioplegia Solution - Dr. Bailey's Formulation (500.00 milliLiter(s)	$1,642.00
Pharmacy	Cardioplegia Solution - Standard Formulation (500.00 milliLiter(s)	$1,578.00
Pharmacy	carfilzomib 60 mg injection (1.00 Each)	$6,930.00
Pharmacy	cariprazine 1.5 mg Capsule (1.00 Capsule(s)	$565.00
Pharmacy	cariprazine 3 mg Capsule (1.00 Capsule(s)	$565.00
Pharmacy	cariprazine 4.5 mg Capsule (1.00 Capsule(s)	$565.00
Pharmacy	cariprazine 6 mg Capsule (1.00 Capsule(s)	$565.00
Pharmacy	carisoprodol 350 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	Carrington Moisture Barrier Cream 99 grams (1.00 Each)	$72.00
Pharmacy	Carrington Spray 480 mL (480.00 milliLiter(s)	$125.00
Pharmacy	carteolol ophthalmic 1% 5 mL Solution (5.00 milliLiter(s)	$180.00
Pharmacy	carvedilol 12.5 mg Tablet (1.00 Tablet(s)	$11.00
Pharmacy	carvedilol 25 mg Tablet (1.00 Tablet(s)	$10.00 -$37.00
Pharmacy	carvedilol 3.125 mg Tablet (1.00 Tablet(s)	$2.00 -$11.00
Pharmacy	carvedilol 6.25 mg Tablet (1.00 Tablet(s)	$11.00
Pharmacy	ceFAZolin 1 g/10 mL Solution (10.00 milliLiter(s)	$89.00
Pharmacy	ceFAZolin 1 gram Injection (1.00 Each)	$60.00 -$100.00
Pharmacy	ceFAZolin 10 grams injection (1.00 Each)	$211.00 -$736.00
Pharmacy	ceFAZolin 500 mg Injection (1.00 Each)	$89.00
Pharmacy	ceFAZolin intravitreal injection 2.25 mg/0.1 mL (0.10 milliLiter(s)	$23.00
Pharmacy	ceFAZolin Ophthalmic Solution 144 mg/mL 13.9 mL (13.90 milliLiter(s)	$96.00
Pharmacy	ceFAZolin Ophthalmic Solution 33.3 mg/mL 15 mL (15.00 milliLiter(s)	$100.00
Pharmacy	cefepime 1 gram injection (1.00 Each)	$120.00 -$307.00
Pharmacy	cefepime 2 gram injection (1.00 Each)	$171.00 -$535.00
Pharmacy	cefotaxime 1 gram injection (1.00 Each)	$73.00 -$145.00
Pharmacy	cefotaxime 2 gram injection (1.00 Each)	$120.00 -$506.00
Pharmacy	cefotaxime injection 100 mg/mL [NEONATE] (1.00 Each)	$73.00
Pharmacy	cefOXitin 1 gram injection (1.00 Each)	$89.00 -$173.00
Pharmacy	cefOXitin 2 gram injection (1.00 Each)	$184.00 -$235.00
Pharmacy	ceftaroline 400 mg injection (1.00 Each)	$1,575.00
Pharmacy	ceftaroline 600 mg injection (1.00 Each)	$1,575.00
Pharmacy	cefTAZidime + avibactam 2.5 grams injection (1.00 Each)	$1,835.00
Pharmacy	cefTAZidime 1 gram injection (1.00 Each)	$104.00 -$161.00
Pharmacy	cefTAZidime 2 gram injection (1.00 Each)	$174.00 -$307.00
Pharmacy	cefTAZidime 500 mg Injection (1.00 Each)	$120.00
Pharmacy	cefTAZidime 6 g Injection (1.00 Each)	$386.00
Pharmacy	cefTAZidime intravitreal injection 2.25 mg/0.1 mL (0.10 milliLiter(s)	$37.00
Pharmacy	cefTRIAXone 0.25 gram injection (1.00 Each)	$37.00 -$245.00
Pharmacy	cefTRIAXone 0.5 gram injection (1.00 Each)	$60.00 -$375.00
Pharmacy	cefTRIAXone 1 gram injection (1.00 Each)	$60.00 -$564.00
Pharmacy	cefTRIAXone 2 gram injection (1.00 Each)	$89.00 -$1,020.00
Pharmacy	cefuroxime 1500 mg injection (1.00 Each)	$207.00
Pharmacy	cefuroxime 250 mg Tablet (1.00 Tablet(s)	$8.00 -$20.00
Pharmacy	cefuroxime 750 mg injection (1.00 Each)	$89.00 -$120.00
Pharmacy	celecoxib 100 mg Capsule (1.00 Capsule(s)	$7.00 -$30.00
Pharmacy	celecoxib 200 mg Capsule (1.00 Capsule(s)	$9.00 -$50.00
Pharmacy	cemiplimab 350 mg/7 mL injection (7.00 milliLiter(s)	$41,879.00
Pharmacy	cephalexin 250 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	cephalexin 250 mg/5 mL oral solution (5.00 milliLiter(s)	$14.00
Pharmacy	cephalexin 500 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	certolizumab 200 mg/mL injection (CIMZIA) (1.00 Each)	$9,306.00 -$14,110.00
Pharmacy	cetirizine 10 mg Tablet (1.00 Tablet(s)	$3.00 -$12.00
Pharmacy	cetirizine 5 mg/5 mL Oral Syrup (5.00 milliLiter(s)	$6.00
Pharmacy	cetrorelix 3 mg injection (1.00 Each)	$2,579.00
Pharmacy	cetuximab 100 mg/50 mL injection (50.00 milliLiter(s)	$2,615.00
Pharmacy	cetuximab 200 mg/100 mL injection (100.00 milliLiter(s)	$5,229.00
Pharmacy	cevimeline 30 mg Capsule (1.00 Capsule(s)	$12.00 -$29.00
Pharmacy	charcoal + sorbitol 50 g Oral Suspension (240.00 milliLiter(s)	$105.00
Pharmacy	charcoal 50 g Oral Suspension (240.00 milliLiter(s)	$105.00
Pharmacy	chlorambucil 2 mg Tablet (1.00 Tablet(s)	$83.00 -$100.00
Pharmacy	chlordiazePOXIDE + clidinium 5 mg-2.5 mg Capsule (1.00 Capsule(s)	$12.00 -$18.00
Pharmacy	chlordiazePOXIDE 25 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	chlordiazePOXIDE 5 mg Capsule (1.00 Capsule(s)	$6.00
Pharmacy	chlorhexidine 0.12% 15 mL Oral Rinse (15.00 milliLiter(s)	$10.00 -$22.00
Pharmacy	chloroprocaine 2% 20 mL injection PF (20.00 milliLiter(s)	$343.00
Pharmacy	chloroprocaine 3% 20 mL injection PF (20.00 milliLiter(s)	$360.00
Pharmacy	chloroquine 250 mg Tablet (1.00 Tablet(s)	$5.00 -$16.00
Pharmacy	chlorothiazide 250 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	chlorothiazide 500 mg injection (1.00 Each)	$858.00 -$1,843.00
Pharmacy	chlorpheniramine + HYDROcodone 8 mg-10 mg/5 mL Extended Release Suspension (5.00 milliLiter(s)	$8.00
Pharmacy	chlorproMAZINE 10 mg Tablet (1.00 Tablet(s)	$15.00 -$23.00
Pharmacy	chlorproMAZINE 25 mg Tablet (1.00 Tablet(s)	$26.00 -$33.00
Pharmacy	chlorproMAZINE 25 mg/mL injection 1 mL (1.00 milliLiter(s)	$360.00
Pharmacy	chlorproMAZINE 25 mg/mL injection 2 mL (2.00 milliLiter(s)	$412.00
Pharmacy	chlorproMAZINE 50 mg Tablet (1.00 Tablet(s)	$36.00 -$48.00
Pharmacy	chlorthalidone 25 mg Tablet (1.00 Tablet(s)	$11.00
Pharmacy	cholecalciferol 1000 intl units Tablet (1.00 Tablet(s)	$2.00
Pharmacy	cholecalciferol 400 intl units Tablet (1.00 Tablet(s)	$1.00
Pharmacy	cholecalciferol 5000 intl units Capsule (1.00 Capsule(s)	$4.00
Pharmacy	cholestyramine 4 gram powder (1.00 Each)	$12.00 -$18.00
Pharmacy	cholestyramine in aquaphor topical 120 Gram(s) (120.00 Gram(s)	$64.00
Pharmacy	chromium picolinate 200 mcg Capsule (1.00 Capsule(s)	$3.00
Pharmacy	cidofovir injection (5.00 milliLiter(s)	$3,406.00
Pharmacy	cilostazol 100 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	cinacalcet 30 mg Tablet (1.00 Tablet(s)	$110.00
Pharmacy	ciprofloxacin + dexamethasone otic 0.3%-0.1% 7.5 mL Suspension (7.50 milliLiter(s)	$1,464.00
Pharmacy	ciprofloxacin 200 mg/100 mL IVPB Premix (100.00 milliLiter(s)	$89.00 -$224.00
Pharmacy	ciprofloxacin 250 mg Tablet (1.00 Tablet(s)	$19.00
Pharmacy	ciprofloxacin 400 mg/200 mL IVPB Premix (200.00 milliLiter(s)	$73.00 -$129.00
Pharmacy	ciprofloxacin 500 mg Tablet (1.00 Tablet(s)	$4.00 -$19.00
Pharmacy	ciprofloxacin 500 mg/5 mL oral solution (5.00 milliLiter(s)	$52.00
Pharmacy	ciprofloxacin ophthalmic 0.3% 3.5 g Ointment (3.50 Gram(s)	$1,436.00
Pharmacy	ciprofloxacin ophthalmic 0.3% 5 mL Solution (5.00 milliLiter(s)	$100.00 -$322.00
Pharmacy	cisatracurium 10 mg/5 mL injection (5.00 milliLiter(s)	$258.00 -$289.00
Pharmacy	cisatracurium 20 mg/10 mL injection (10.00 milliLiter(s)	$370.00 -$442.00
Pharmacy	CISplatin 1 mg/mL injection 100 mL (100.00 milliLiter(s)	$402.00 -$594.00
Pharmacy	CISplatin 1 mg/mL injection 200 mL (200.00 milliLiter(s)	$966.00 -$1,227.00
Pharmacy	CISplatin 1 mg/mL injection 50 mL (50.00 milliLiter(s)	$276.00 -$324.00
Pharmacy	citalopram 10 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	citalopram 20 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	citrate dextrose Infusion 500 mL (500.00 milliLiter(s)	$74.00
Pharmacy	citric acid + sodium citrate 66.8 mg-100 mg/mL Oral Solution 1 mL (1.00 milliLiter(s)	$5.00
Pharmacy	citric acid + sodium citrate 66.8 mg-100 mg/mL Oral Solution 30 mL (30.00 milliLiter(s)	$7.00
Pharmacy	clarithromycin 500 mg Tablet (1.00 Tablet(s)	$21.00
Pharmacy	clindamycin 150 mg Capsule (1.00 Capsule(s)	$8.00
Pharmacy	clindamycin 150 mg/mL injection 2 mL (2.00 milliLiter(s)	$73.00 -$89.00
Pharmacy	clindamycin 150 mg/mL injection 4 mL (4.00 milliLiter(s)	$89.00 -$213.00
Pharmacy	clindamycin 150 mg/mL injection 6 mL (6.00 milliLiter(s)	$104.00 -$120.00
Pharmacy	clindamycin 150 mg/mL injection 60 mL (60.00 milliLiter(s)	$307.00 -$370.00
Pharmacy	clindamycin 300 mg Capsule (1.00 Capsule(s)	$60.00 -$89.00
Pharmacy	clindamycin 600 mg/50 mL NS Premix (50.00 milliLiter(s)	$205.00
Pharmacy	clindamycin 75 mg/5 mL oral solution (5.00 milliLiter(s)	$33.00 -$49.00
Pharmacy	clindamycin 900 mg/50 mL NS Premix (50.00 milliLiter(s)	$250.00
Pharmacy	clindamycin topical 1% 30 mL Solution (30.00 milliLiter(s)	$283.00 -$455.00
Pharmacy	clindamycin vaginal 2% 40 g Cream (40.00 Gram(s)	$731.00
Pharmacy	cloBAZam 10 mg Tablet (1.00 Tablet(s)	$75.00
Pharmacy	clofarabine 20 mg/20 mL injection (20.00 milliLiter(s)	$9,492.00 -$12,125.00
Pharmacy	clomiPRAMINE 25 mg Capsule (1.00 Capsule(s)	$39.00
Pharmacy	clomiPRAMINE 50 mg Capsule (1.00 Capsule(s)	$24.00 -$39.00
Pharmacy	clonazePAM 0.5 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	clonazePAM 1 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	clonazePAM 2 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	cloNIDine 0.1 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	cloNIDine 0.1 mg/24 hr Extended Release Film (1.00 Patch)	$113.00
Pharmacy	cloNIDine 0.2 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	cloNIDine 0.2 mg/24 hr Extended Release Film (1.00 Patch)	$193.00
Pharmacy	cloNIDine 0.3 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	cloNIDine 0.3 mg/24 hr Extended Release Film (1.00 Each)	$264.00 -$571.00
Pharmacy	cloNIDine 1000 mcg/10 mL injection (10.00 milliLiter(s)	$402.00 -$648.00
Pharmacy	clopidogrel 75 mg Tablet (1.00 Tablet(s)	$5.00 -$27.00
Pharmacy	clotrimazole 10 mg Lozenge (1.00 Lozenge(s)	$12.00
Pharmacy	clotrimazole topical 1% 30 mL Solution (30.00 milliLiter(s)	$417.00
Pharmacy	clotrimazole topical 1% 30g Cream (30.00 Gram(s)	$86.00 -$283.00
Pharmacy	cloZAPine 100 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	cloZAPine 25 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	cobicistat/elvitegravir/emtricitabine/tenofovir 150 mg-150 mg-200 mg-10 mg [GENVOYA] TAB (1.00 Tablet(s)	$401.00
Pharmacy	cobicistat/elvitegravir/emtricitabine/tenofovir 150 mg-150 mg-200 mg-300 mg Tablet (1.00 Tablet(s)	$304.00
Pharmacy	cocaine topical 4% 4 mL Solution (4.00 milliLiter(s)	$1,246.00
Pharmacy	codeine + guaifenesin 20 mg-200 mg/10 mL Syrup (10.00 milliLiter(s)	$5.00
Pharmacy	codeine sulfate 30 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	coenzyme Q 10 (ubiquinone) 30 mg Capsule (1.00 Capsule(s)	$4.00
Pharmacy	coenzyme Q10 100 mg CAP (ubiquinone) (1.00 Capsule(s)	$5.00
Pharmacy	colchicine 0.6 mg Capsule (1.00 Capsule(s)	$23.00
Pharmacy	colchicine 0.6 mg Tablet (1.00 Tablet(s)	$5.00 -$28.00
Pharmacy	colesevelam 625 mg Tablet (1.00 Tablet(s)	$15.00
Pharmacy	colestipol 1 g Tablet (1.00 Tablet(s)	$12.00
Pharmacy	colestipol 5 g Granule For Reconstitution (1.00 Packet(s)	$28.00
Pharmacy	colistimethate 150 mg injection (1.00 Each)	$450.00
Pharmacy	collagenase topical 250 units/g 10 g Ointment (10.00 Gram(s)	$480.00
Pharmacy	collagenase topical 250 units/g 30 g Ointment (30.00 Gram(s)	$1,372.00 -$1,512.00
Pharmacy	conjugated estrogens 0.3 mg TAB (1.00 Tablet(s)	$22.00
Pharmacy	conjugated estrogens 0.45 mg Tablet (1.00 Tablet(s)	$22.00
Pharmacy	conjugated estrogens 0.625 mg Tablet (1.00 Tablet(s)	$22.00
Pharmacy	conjugated estrogens 1.25 mg Tablet (1.00 Tablet(s)	$22.00
Pharmacy	conjugated estrogens 25 mg injection (1.00 Each)	$1,837.00
Pharmacy	conjugated estrogens vaginal 0.625 mg/g 30 g Cream with Applicator (30.00 Gram(s)	$2,383.00
Pharmacy	cortisone 25 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	cosyntropin 0.25 mg injection (1.00 Each)	$1,074.00 -$1,259.00
Pharmacy	cranberry Tablet (1.00 Tablet(s)	$3.00
Pharmacy	cromolyn nasal 5.2 mg/inh 26 mL Spray (26.00 milliLiter(s)	$116.00
Pharmacy	cromolyn ophthalmic 4% 10 mL Solution (10.00 milliLiter(s)	$283.00
Pharmacy	crotamiton topical 10% 60 g Cream (60.00 Gram(s)	$5,743.00
Pharmacy	cyanocobalamin 100 mcg Tablet (1.00 Tablet(s)	$1.00
Pharmacy	cyanocobalamin 1000 mcg/1 mL injection (1.00 milliLiter(s)	$128.00 -$134.00
Pharmacy	cyanocobalamin 500 mcg Tablet (1.00 Tablet(s)	$1.00
Pharmacy	cyclobenzaprine 10 mg Tablet (1.00 Tablet(s)	$2.00 -$8.00
Pharmacy	cyclopentolate ophthalmic 1% 2 mL Solution (2.00 milliLiter(s)	$133.00 -$257.00
Pharmacy	cyclophosphamide 0.5 gram injection (1.00 Each)	$2,132.00 -$2,267.00
Pharmacy	cyclophosphamide 1 gram injection (1.00 Each)	$3,170.00 -$3,371.00
Pharmacy	cyclophosphamide 2 gram injection (1.00 Each)	$6,339.00 -$6,742.00
Pharmacy	cyclophosphamide 25 mg Capsule (1.00 Capsule(s)	$32.00
Pharmacy	cycloSPORINE 250 mg/5 mL Solution for Injection (5.00 milliLiter(s)	$535.00 -$769.00
Pharmacy	cycloSPORINE modified 100 mg Capsule (1.00 Capsule(s)	$19.00 -$32.00
Pharmacy	cycloSPORINE modified 100 mg/mL 50 mL (1.00 milliLiter(s)	$15.00
Pharmacy	cycloSPORINE modified 25 mg Capsule (1.00 Capsule(s)	$12.00
Pharmacy	cycloSPORINE non-modified 100 mg Capsule (1.00 Capsule(s)	$46.00 -$55.00
Pharmacy	cycloSPORINE non-modified 25 mg Capsule (1.00 Capsule(s)	$14.00
Pharmacy	cycloSPORINE ophthalmic 0.05% 0.4 mL Emulsion (1.00 Each)	$93.00
Pharmacy	CYMETRA INJECTABLE 1CC	$309.00
Pharmacy	cyproheptadine 2 mg/5 mL Syrup (5.00 milliLiter(s)	$5.00
Pharmacy	cyproheptadine 4 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	cytarabine 2000 mg / 20 mL injection (20.00 milliLiter(s)	$307.00 -$336.00
Pharmacy	cytarabine liposomal 50 mg/5 mL injection (5.00 milliLiter(s)	$13,641.00
Pharmacy	cytomegalovirus immune globulin 2500 mg/50 mL injection (50.00 milliLiter(s)	$4,280.00
Pharmacy	dabigatran 150 mg Capsule (1.00 Capsule(s)	$27.00
Pharmacy	dabigatran 75 mg Capsule (1.00 Capsule(s)	$27.00
Pharmacy	dacarbazine 200 mg injection (1.00 Each)	$221.00 -$302.00
Pharmacy	DACTINomycin 500 mcg injection (1.00 Each)	$7,775.00
Pharmacy	dalbavancin 500 mg (1.00 Each)	$7,063.00
Pharmacy	danazol 100 mg Capsule (1.00 Capsule(s)	$12.00 -$19.00
Pharmacy	danazol 200 mg Capsule (1.00 Capsule(s)	$31.00
Pharmacy	dantrolene 20 mg injection (1.00 Each)	$937.00 -$1,187.00
Pharmacy	dantrolene 25 mg Capsule (1.00 Capsule(s)	$8.00
Pharmacy	dapsone 100 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	dapsone 25 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	DAPTOmycin 500 mg injection (1.00 Each)	$2,579.00
Pharmacy	daratumumab 100 mg/5 mL injection (5.00 milliLiter(s)	$2,579.00
Pharmacy	daratumumab 400 mg/20 mL injection (20.00 milliLiter(s)	$9,386.00
Pharmacy	darbepoetin alfa - 100 mcg/0.5 mL albumin free injection (0.50 milliLiter(s)	$3,562.00
Pharmacy	darbepoetin alfa - 100 mcg/1 mL albumin free injection (1.00 milliLiter(s)	$3,562.00
Pharmacy	darbepoetin alfa - 150 mcg/0.3 mL albumin free injection (0.30 milliLiter(s)	$5,343.00
Pharmacy	darbepoetin alfa - 200 mcg/0.4 mL albumin free injection (0.40 milliLiter(s)	$7,124.00
Pharmacy	darbepoetin alfa - 200 mcg/1 mL albumin free injection (1.00 milliLiter(s)	$7,124.00
Pharmacy	darbepoetin alfa - 25 mcg/0.42 mL albumin free injection (0.42 milliLiter(s)	$1,680.00
Pharmacy	darbepoetin alfa - 300 mcg/0.6 mL albumin free injection (0.60 milliLiter(s)	$10,686.00
Pharmacy	darbepoetin alfa - 300 mcg/1 mL albumin free injection (1.00 milliLiter(s)	$10,686.00
Pharmacy	darbepoetin alfa - 40 mcg/0.4 mL albumin free injection (0.40 milliLiter(s)	$1,917.00
Pharmacy	darbepoetin alfa - 40 mcg/1 mL albumin free injection (1.00 milliLiter(s)	$1,680.00
Pharmacy	darbepoetin alfa - 500 mcg/1 mL albumin free injection (1.00 milliLiter(s)	$17,810.00
Pharmacy	darbepoetin alfa - 60 mcg/0.3 mL albumin free injection (0.30 milliLiter(s)	$2,579.00
Pharmacy	darbepoetin alfa - 60 mcg/1 mL albumin free injection (1.00 milliLiter(s)	$2,579.00
Pharmacy	darunavir 600 mg Tablet (1.00 Tablet(s)	$98.00
Pharmacy	darunavir 800 mg Tablet (1.00 Tablet(s)	$196.00
Pharmacy	dasatinib 100 mg Tablet (1.00 Tablet(s)	$1,756.00
Pharmacy	dasatinib 70 mg Tablet (1.00 Tablet(s)	$974.00
Pharmacy	DAUNOrubicin 5 mg/mL injection 4 mL (4.00 milliLiter(s)	$1,454.00 -$1,575.00
Pharmacy	decitabine 50 mg injection (1.00 Each)	$7,079.00 -$8,268.00
Pharmacy	deferasirox 500 mg Dispersible Tablet (1.00 Tablet(s)	$638.00
Pharmacy	deferoxamine 500 mg injection (1.00 Each)	$160.00 -$497.00
Pharmacy	degarelix 120 mg injection (1.00 Each)	$3,508.00
Pharmacy	degarelix 80 mg injection (1.00 Each)	$2,579.00
Pharmacy	delavirdine 200 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	demeclocycline 150 mg Tablet (1.00 Tablet(s)	$37.00
Pharmacy	denosumab 120 mg/1.7 mL injection (XGEVA) (1.70 milliLiter(s)	$10,204.00
Pharmacy	denosumab 60 mg/ 1 mL injection (PROLIA) (1.00 milliLiter(s)	$5,447.00
Pharmacy	DERMIS MATRIX HD (4 X 5 CM)	$4,160.00
Pharmacy	desipramine 10 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	desipramine 50 mg Tablet (1.00 Tablet(s)	$13.00
Pharmacy	desmopressin 0.2 mg Tablet (1.00 Tablet(s)	$12.00 -$36.00
Pharmacy	desmopressin 4 mcg/mL injection 1 mL (1.00 milliLiter(s)	$190.00 -$1,063.00
Pharmacy	desmopressin 4 mcg/mL injection 10 mL (10.00 milliLiter(s)	$2,740.00 -$3,701.00
Pharmacy	desmopressin nasal 10 mcg/inh 5 mL Spray (5.00 milliLiter(s)	$1,320.00 -$2,369.00
Pharmacy	desvenlafaxine 100 mg Extended Release Tablet (1.00 Tablet(s)	$20.00
Pharmacy	desvenlafaxine 50 mg Extended Release Tablet (1.00 Tablet(s)	$20.00 -$52.00
Pharmacy	dexamethasone + neomycin + polymyxin b ophthalmic ointment 3.5 grams (3.50 Gram(s)	$178.00 -$1,305.00
Pharmacy	dexamethasone + neomycin + polymyxin b ophthalmic susp 5 mL (5.00 milliLiter(s)	$178.00 -$300.00
Pharmacy	dexamethasone 0.5 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	dexamethasone 0.75 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	dexamethasone 1 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	dexamethasone 10 mg/mL 1 mL injection PF (1.00 milliLiter(s)	$73.00 -$120.00
Pharmacy	dexamethasone 10 mg/mL injection 1 mL (1.00 milliLiter(s)	$60.00
Pharmacy	dexamethasone 10 mg/mL injection 10 mL (10.00 milliLiter(s)	$100.00 -$200.00
Pharmacy	dexamethasone 100 mcg/0.1 mL for Intravitreal Injection 2 mL (2.00 milliLiter(s)	$1,241.00
Pharmacy	dexamethasone 2 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	dexamethasone 4 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	dexamethasone 4 mg/mL 1 mL injection (1.00 milliLiter(s)	$37.00 -$73.00
Pharmacy	dexamethasone 4 mg/mL 5 mL injection (5.00 milliLiter(s)	$120.00
Pharmacy	dexamethasone ophthalmic 0.1% 5 mL Solution (5.00 milliLiter(s)	$408.00
Pharmacy	dexmedetomidine 100 mcg/mL 2 mL injection (2.00 milliLiter(s)	$240.00 -$860.00
Pharmacy	dexmethylphenidate 2.5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	dexmethylphenidate 5 mg Extended Release Capsule (1.00 Capsule(s)	$27.00 -$49.00
Pharmacy	dexrazoxane 250 mg injection (1.00 Each)	$1,724.00 -$1,835.00
Pharmacy	dexrazoxane 500 mg injection (1.00 Each)	$2,579.00
Pharmacy	dextran 40 in 0.9% sodium chloride 500 mL (500.00 milliLiter(s)	$326.00
Pharmacy	dextran 40 in 5% dextrose 500 mL (500.00 milliLiter(s)	$316.00
Pharmacy	dextromethorphan + guaiFENesin 10 mg-100 mg/5 mL Oral Liquid (5.00 milliLiter(s)	$6.00
Pharmacy	dextromethorphan + guaiFENesin 30 mg-600 mg Extended Release Tablet (1.00 Tablet(s)	$5.00
Pharmacy	dextromethorphan 30 mg/5 mL Extended Release Suspension (5.00 milliLiter(s)	$5.00
Pharmacy	dextrose 10% + 0.225% sodium chloride 250 mL (250.00 milliLiter(s)	$121.00
Pharmacy	dextrose 10% 1000 mL (1,000.00 milliLiter(s)	$20.00 -$79.00
Pharmacy	dextrose 10% 250 mL (250.00 milliLiter(s)	$23.00 -$52.00
Pharmacy	dextrose 10% 500 mL (500.00 milliLiter(s)	$55.00
Pharmacy	dextrose 20% 12.5 grams/125 mL injection (125.00 milliLiter(s)	$23.00
Pharmacy	dextrose 20% in water 500 mL (500.00 milliLiter(s)	$163.00
Pharmacy	dextrose 25% 10 mL injection (syringe) (10.00 milliLiter(s)	$154.00
Pharmacy	dextrose 5% + 0.2% NS + KCL 20 mEq 1000 mL (1,000.00 milliLiter(s)	$40.00 -$99.00
Pharmacy	dextrose 5% + 0.2% NS 1000 mL (1,000.00 milliLiter(s)	$60.00
Pharmacy	dextrose 5% + 0.2% NS 250 mL (250.00 milliLiter(s)	$55.00
Pharmacy	dextrose 5% + 0.2% NS 500 mL (500.00 milliLiter(s)	$55.00 -$114.00
Pharmacy	dextrose 5% + 0.45% NS + KCL 10 mEq 1000 mL (1,000.00 milliLiter(s)	$20.00 -$99.00
Pharmacy	dextrose 5% + 0.45% NS + KCL 20 mEq 1000 mL (1,000.00 milliLiter(s)	$30.00 -$60.00
Pharmacy	dextrose 5% + 0.45% NS + KCL 30 mEq 1000 mL (1,000.00 milliLiter(s)	$40.00 -$89.00
Pharmacy	dextrose 5% + 0.45% NS + KCL 40 mEq 1000 mL (1,000.00 milliLiter(s)	$30.00 -$99.00
Pharmacy	dextrose 5% + 0.45% NS 1000 mL (1,000.00 milliLiter(s)	$20.00 -$60.00
Pharmacy	dextrose 5% + 0.45% NS 500 mL (500.00 milliLiter(s)	$55.00
Pharmacy	dextrose 5% + KCL 20 mEq 1000 mL (1,000.00 milliLiter(s)	$40.00 -$109.00
Pharmacy	dextrose 5% 100 mL (100.00 milliLiter(s)	$15.00 -$152.00
Pharmacy	dextrose 5% 100 mL with Adaptor (100.00 milliLiter(s)	$26.00
Pharmacy	dextrose 5% 1000 mL (1,000.00 milliLiter(s)	$20.00 -$60.00
Pharmacy	dextrose 5% 150 mL (150.00 milliLiter(s)	$55.00
Pharmacy	dextrose 5% 250 mL (250.00 milliLiter(s)	$104.00
Pharmacy	dextrose 5% 250 mL EXCEL (250.00 milliLiter(s)	$23.00
Pharmacy	dextrose 5% 250 mL with Adaptor (250.00 milliLiter(s)	$35.00
Pharmacy	dextrose 5% 50 mL (50.00 milliLiter(s)	$26.00
Pharmacy	dextrose 5% 50 mL with Adaptor (50.00 milliLiter(s)	$22.00
Pharmacy	dextrose 5% 500 mL (500.00 milliLiter(s)	$100.00 -$120.00
Pharmacy	dextrose 5% LR 1000 mL (1,000.00 milliLiter(s)	$50.00 -$60.00
Pharmacy	dextrose 5% NS + KCL 20 mEq 1000 mL (1,000.00 milliLiter(s)	$30.00 -$99.00
Pharmacy	dextrose 5% NS 1000 mL (1,000.00 milliLiter(s)	$60.00
Pharmacy	dextrose 5% NS 500 mL (500.00 milliLiter(s)	$55.00
Pharmacy	dextrose 50% 50 mL injection syringe (50.00 milliLiter(s)	$148.00 -$184.00
Pharmacy	dextrose 50% 50 mL injection vial (50.00 milliLiter(s)	$89.00
Pharmacy	dextrose 70% in water 500 mL (500.00 milliLiter(s)	$178.00
Pharmacy	diazepam 10 mg rectal (1.00 Each)	$1,192.00
Pharmacy	diazepam 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	diazepam 10 mg/2 mL injection (2.00 milliLiter(s)	$73.00 -$421.00
Pharmacy	diazepam 2 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	diazepam 5 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	dibucaine topical 1% 30 g Ointment (30.00 Gram(s)	$60.00 -$80.00
Pharmacy	diclofenac ophthalmic 0.1% 2.5 mL Solution (2.50 milliLiter(s)	$118.00 -$305.00
Pharmacy	diclofenac potassium 50 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	diclofenac sodium 100 mg Extended Release Tablet (1.00 Tablet(s)	$12.00 -$43.00
Pharmacy	diclofenac sodium 50 mg Enteric Coated Tablet (1.00 Tablet(s)	$9.00
Pharmacy	diclofenac sodium 75 mg Enteric Coated Tablet (1.00 Tablet(s)	$9.00
Pharmacy	diclofenac topical 1.3% Extended Release Film (1.00 Patch)	$134.00
Pharmacy	dicloxacillin 250 mg Capsule (1.00 Capsule(s)	$8.00
Pharmacy	dicyclomine 10 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	dicyclomine 10 mg/5 mL Syrup (5.00 milliLiter(s)	$6.00
Pharmacy	dicyclomine 20 mg/2 mL injection (2.00 milliLiter(s)	$598.00 -$1,073.00
Pharmacy	didanosine 250 mg Delayed Release Capsule (1.00 Capsule(s)	$27.00 -$33.00
Pharmacy	didanosine 400 mg Delayed Release Capsule (1.00 Capsule(s)	$42.00
Pharmacy	diflunisal 500 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	digoxin 125 mcg (0.125 mg) Tablet (1.00 Tablet(s)	$12.00
Pharmacy	digoxin 125 mcg/2.5 mL Elixir (2.50 milliLiter(s)	$11.00
Pharmacy	digoxin 250 mcg (0.25 mg) Tablet (1.00 Tablet(s)	$11.00
Pharmacy	digoxin 500 mcg/2 mL injection (2.00 milliLiter(s)	$120.00
Pharmacy	digoxin immune FAB 40 mg injection (1.00 Each)	$16,338.00
Pharmacy	dihydroergotamine 1 mg/1 mL injection (1.00 milliLiter(s)	$1,474.00 -$1,552.00
Pharmacy	diltiazem 100 mg injection with Adaptor (1.00 Each)	$214.00
Pharmacy	diltiazem 30 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	diltiazem 5 mg/mL injection 10 mL (10.00 milliLiter(s)	$89.00 -$104.00
Pharmacy	diltiazem 5 mg/mL injection 25 mL (25.00 milliLiter(s)	$120.00 -$210.00
Pharmacy	diltiazem 5 mg/mL injection 5 mL (5.00 milliLiter(s)	$73.00 -$89.00
Pharmacy	diltiazem 90 mg Tablet (1.00 Tablet(s)	$11.00
Pharmacy	diltiazem CD 120 mg/24 hours Extended Release Capsule (1.00 Capsule(s)	$10.00
Pharmacy	diltiazem CD 180 mg/24 hours Extended Release Capsule (1.00 Capsule(s)	$9.00
Pharmacy	diltiazem CD 240 mg/24 hours Extended Release Capsule (1.00 Capsule(s)	$6.00 -$12.00
Pharmacy	diltiazem SR 60 mg Sustained Release Capsule (1.00 Capsule(s)	$14.00
Pharmacy	diltiazem SR 90 mg Sustained Release Capsule (1.00 Capsule(s)	$16.00
Pharmacy	dimenhyDRINATE 50 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	dimercaprol 10% 3 mL injection (3.00 milliLiter(s)	$1,103.00 -$1,575.00
Pharmacy	dimethyl sulfoxide 50% 50 mL Solution for Irrigation (50.00 milliLiter(s)	$2,617.00
Pharmacy	dinoprostone vaginal 0.5 mg/3 gram Gel (3.00 Gram(s)	$3,613.00
Pharmacy	dinoprostone vaginal 10 mg Insert (1.00 Each)	$1,191.00 -$1,459.00
Pharmacy	dinoprostone vaginal 20 mg Suppository (1.00 Suppository(s)	$8,587.00
Pharmacy	diphenhydrAMIN + zinc acetate topical 2%-0.1% 30 g Cream (30.00 Gram(s)	$32.00 -$52.00
Pharmacy	diphenhydrAMINE 12.5 mg/5 mL Oral Liquid (5.00 milliLiter(s)	$6.00
Pharmacy	diphenhydrAMINE 25 mg Capsule (1.00 Capsule(s)	$1.00
Pharmacy	diphenhydrAMINE 50 mg Capsule (1.00 Capsule(s)	$3.00
Pharmacy	diphenhydrAMINE 50 mg/mL injection 1 mL (1.00 milliLiter(s)	$37.00 -$89.00
Pharmacy	diphtheria + hepatitis B + pertussis,acel + polio + tetanus 0.5 mL injection (0.50 milliLiter(s)	$866.00
Pharmacy	diphtheria + tetanus + pertussis, acel (DTaP) 0.5 mL injection (0.50 milliLiter(s)	$450.00 -$476.00
Pharmacy	dipyridamole 25 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	dipyridamole 5 mg/mL injection 10 mL (10.00 milliLiter(s)	$307.00
Pharmacy	disopyramide 100 mg Capsule (1.00 Capsule(s)	$12.00
Pharmacy	disopyramide 100 mg Extended Release Capsule (1.00 Capsule(s)	$16.00
Pharmacy	disopyramide 150 mg Capsule (1.00 Capsule(s)	$12.00
Pharmacy	disopyramide 150 mg Extended Release Capsule (1.00 Capsule(s)	$19.00
Pharmacy	disulfiram 250 mg Tablet (1.00 Tablet(s)	$7.00 -$31.00
Pharmacy	divalproex sodium 125 mg Sprinkles DR Capsule (1.00 Capsule(s)	$11.00
Pharmacy	divalproex sodium 250 mg Enteric Coated Tablet (1.00 Tablet(s)	$13.00
Pharmacy	divalproex sodium 250 mg Extended Release Tablet (1.00 Tablet(s)	$14.00
Pharmacy	divalproex sodium 500 mg Enteric Coated Tablet (1.00 Tablet(s)	$12.00
Pharmacy	divalproex sodium 500 mg Extended Release Tablet (1.00 Tablet(s)	$12.00 -$25.00
Pharmacy	DOBUTamine 250 mg/20 mL injection (20.00 milliLiter(s)	$120.00
Pharmacy	DOBUTamine 250 mg/250 mL D5W Premix (250.00 milliLiter(s)	$150.00 -$308.00
Pharmacy	DOCEtaxel 160 mg/16 mL Injection (16.00 milliLiter(s)	$2,579.00
Pharmacy	DOCEtaxel 20 mg/2 mL injection (2.00 milliLiter(s)	$921.00
Pharmacy	DOCEtaxel 80 mg/8 mL injection (8.00 milliLiter(s)	$1,835.00 -$5,823.00
Pharmacy	docosanol 10% topical Cream 2 grams (2.00 Gram(s)	$119.00 -$167.00
Pharmacy	docusate 283 mg/5 mL Enema (5.00 milliLiter(s)	$25.00
Pharmacy	docusate sodium 100 mg Capsule (1.00 Capsule(s)	$3.00
Pharmacy	docusate sodium 100 mg/10 mL Oral Liquid (10.00 milliLiter(s)	$5.00
Pharmacy	docusate-senna 50 mg-8.6 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	dofetilide 125 mcg Capsule (1.00 Capsule(s)	$30.00 -$43.00
Pharmacy	dofetilide 250 mcg Capsule (1.00 Capsule(s)	$30.00 -$43.00
Pharmacy	dofetilide 500 mcg Capsule (1.00 Capsule(s)	$30.00 -$43.00
Pharmacy	dolutegravir 50 mg Tablet (1.00 Tablet(s)	$205.00
Pharmacy	donepezil 10 mg Tablet (1.00 Tablet(s)	$3.00 -$27.00
Pharmacy	donepezil 5 mg Tablet (1.00 Tablet(s)	$3.00 -$63.00
Pharmacy	DOPamine 40 mg/mL injection 10 mL (10.00 milliLiter(s)	$73.00
Pharmacy	DOPamine 40 mg/mL injection 5 mL (5.00 milliLiter(s)	$89.00
Pharmacy	DOPamine 400 mg/250 mL D5W Premix (250.00 milliLiter(s)	$223.00 -$238.00
Pharmacy	doripenem 500 mg injection (1.00 Each)	$614.00
Pharmacy	dornase alfa 2.5 mg/2.5 mL Inhalation Solution (2.50 milliLiter(s)	$603.00 -$770.00
Pharmacy	dorzolamide ophthalmic 2% 10 mL Solution (10.00 milliLiter(s)	$313.00 -$564.00
Pharmacy	doxapram 20 mg/mL injection 20 mL (20.00 milliLiter(s)	$617.00
Pharmacy	doxazosin 2 mg Tablet (1.00 Tablet(s)	$7.00 -$13.00
Pharmacy	doxazosin 4 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	doxepin 10 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	doxepin 100 mg Capsule (1.00 Capsule(s)	$10.00
Pharmacy	doxepin 25 mg Capsule (1.00 Capsule(s)	$6.00
Pharmacy	doxepin 50 mg Capsule (1.00 Capsule(s)	$8.00
Pharmacy	doxepin topical 5% 30 g Cream (30.00 Gram(s)	$920.00 -$3,969.00
Pharmacy	doxercalciferol 0.5 mcg Capsule (1.00 Capsule(s)	$60.00
Pharmacy	doxercalciferol 2.5 mcg Capsule (1.00 Capsule(s)	$138.00
Pharmacy	DOXOrubicin 10 mg/5 mL injection (5.00 milliLiter(s)	$169.00
Pharmacy	DOXOrubicin 150 mg/75 mL injection (75.00 milliLiter(s)	$785.00
Pharmacy	DOXOrubicin 20 mg/10 mL injection (10.00 milliLiter(s)	$307.00 -$418.00
Pharmacy	DOXOrubicin 200 mg/100 mL injection (100.00 milliLiter(s)	$1,575.00
Pharmacy	DOXOrubicin 50 mg/25 mL injection (25.00 milliLiter(s)	$357.00 -$692.00
Pharmacy	DOXOrubicin liposomal 20 mg/10 mL injection (10.00 milliLiter(s)	$4,460.00 -$5,402.00
Pharmacy	DOXOrubicin liposomal 50 mg/25 mL injection (25.00 milliLiter(s)	$11,149.00 -$12,276.00
Pharmacy	doxycycline 100 mg injection (1.00 Each)	$280.00 -$410.00
Pharmacy	doxycycline monohydrate 100 mg Capsule (1.00 Capsule(s)	$12.00
Pharmacy	doxylamine 25 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	dronabinol 2.5 mg Capsule (1.00 Capsule(s)	$19.00 -$40.00
Pharmacy	dronedarone 400 mg Tablet (1.00 Tablet(s)	$41.00
Pharmacy	droperidol 5 mg/2 mL injection (2.00 milliLiter(s)	$100.00
Pharmacy	DULoxetine 20 mg Delayed Release Capsule (1.00 Capsule(s)	$9.00 -$24.00
Pharmacy	DULoxetine 30 mg Delayed Release Capsule (1.00 Capsule(s)	$10.00 -$27.00
Pharmacy	DULoxetine 60 mg Delayed Release Capsule (1.00 Capsule(s)	$10.00 -$33.00
Pharmacy	durvalumab 120 mg/2.4 mL SOLN (IMFINZI) (2.40 milliLiter(s)	$3,872.00
Pharmacy	durvalumab 500 mg/10 mL SOLN (IMFINZI) (10.00 milliLiter(s)	$16,130.00
Pharmacy	dutasteride 0.5 mg Capsule (1.00 Capsule(s)	$21.00 -$27.00
Pharmacy	eculizumab 300 mg/30 mL injection (30.00 milliLiter(s)	$26,195.00
Pharmacy	edrophonium 150 mg/15 mL injection (15.00 milliLiter(s)	$1,071.00
Pharmacy	efavirenz 200 mg Capsule (1.00 Capsule(s)	$44.00
Pharmacy	efavirenz 600 mg Tablet (1.00 Tablet(s)	$132.00
Pharmacy	elotuzumab 300 mg injection (1.00 Each)	$8,547.00
Pharmacy	elotuzumab 400 mg injection (1.00 Each)	$11,396.00
Pharmacy	eltrombopag 25 mg Tablet (1.00 Tablet(s)	$349.00
Pharmacy	eltrombopag 50 mg Tablet (1.00 Tablet(s)	$681.00 -$1,123.00
Pharmacy	emollients, topical cream [Dermabase] 454 grams (454.00 Gram(s)	$163.00
Pharmacy	emollients, topical emulsion [Biafine] 45 grams (45.00 Gram(s)	$408.00
Pharmacy	empty viaflex bag 100 ml (1.00 Each)	$60.00
Pharmacy	emtricitabine + tenofovir 200 mg-25 mg Tablet (1.00 Tablet(s)	$182.00
Pharmacy	emtricitabine + tenofovir 200 mg-300 mg Tablet (1.00 Tablet(s)	$151.00 -$205.00
Pharmacy	emtricitabine 200 mg Capsule (1.00 Capsule(s)	$63.00
Pharmacy	enalapril 10 mg Tablet (1.00 Tablet(s)	$2.00 -$10.00
Pharmacy	enalapril 2.5 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	enalapril 20 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	enalapril 5 mg Tablet (1.00 Tablet(s)	$2.00 -$9.00
Pharmacy	enalaprilat 1.25 mg/1 mL injection (1.00 milliLiter(s)	$60.00 -$89.00
Pharmacy	enalaprilat 2.5 mg/2 mL injection (2.00 milliLiter(s)	$89.00 -$104.00
Pharmacy	enoxaparin 100 mg/1 mL injection (1.00 milliLiter(s)	$276.00 -$1,108.00
Pharmacy	enoxaparin 120 mg/0.8 mL injection (0.80 milliLiter(s)	$307.00 -$1,227.00
Pharmacy	enoxaparin 150 mg/1 mL injection (1.00 milliLiter(s)	$362.00 -$1,468.00
Pharmacy	enoxaparin 30 mg/0.3 mL injection (0.30 milliLiter(s)	$104.00 -$399.00
Pharmacy	enoxaparin 40 mg/0.4 mL injection (0.40 milliLiter(s)	$120.00 -$531.00
Pharmacy	enoxaparin 60 mg/0.6 mL injection (0.60 milliLiter(s)	$166.00 -$731.00
Pharmacy	enoxaparin 80 mg/0.8 mL injection (0.80 milliLiter(s)	$221.00 -$887.00
Pharmacy	entacapone 200 mg Tablet (1.00 Tablet(s)	$14.00 -$32.00
Pharmacy	EPFIX INJ (40 MG)	$1,560.00
Pharmacy	ePHEDrine 50 mg/1 mL injection (1.00 milliLiter(s)	$276.00 -$696.00
Pharmacy	ePHEDrine 50 mg/10 mL Syringe (10.00 milliLiter(s)	$937.00
Pharmacy	EPIFIX INJ (100 MG)	$3,500.00
Pharmacy	EPIFIX INJ (160 MG)	$5,440.00
Pharmacy	EPINEPHrine + lidocaine + tetracaine (LETS) Topical (100.00 milliLiter(s)	$225.00
Pharmacy	EPINEPHrine + lidocaine 1:100,000-1% 10 mL injection (10.00 milliLiter(s)	$89.00
Pharmacy	EPINEPHrine + lidocaine 1:100,000-1% 20 mL injection (20.00 milliLiter(s)	$73.00 -$100.00
Pharmacy	EPINEPHrine + lidocaine 1:100,000-1% 30 mL injection (30.00 milliLiter(s)	$120.00
Pharmacy	EPINEPHrine + lidocaine 1:100,000-2% 20 mL injection (20.00 milliLiter(s)	$89.00 -$100.00
Pharmacy	EPINEPHrine + lidocaine 1:200,000-0.5% 50 mL MDV injection (50.00 milliLiter(s)	$100.00 -$120.00
Pharmacy	EPINEPHrine + lidocaine 1:200,000-1% 10 mL injection PF (10.00 milliLiter(s)	$136.00
Pharmacy	EPINEPHrine + lidocaine 1:200,000-1% 30 mL injection PF (30.00 milliLiter(s)	$190.00
Pharmacy	EPINEPHrine + lidocaine 1:200,000-2% 10 mL injection PF (10.00 milliLiter(s)	$165.00
Pharmacy	EPINEPHrine + lidocaine 1:200,000-2% 20 mL injection PF (20.00 milliLiter(s)	$104.00 -$290.00
Pharmacy	EPINEPHrine 1 mg/10 mL injection IntraCardiac Syringe (10.00 milliLiter(s)	$177.00
Pharmacy	EPINEPHrine 1 mg/10 mL injection Syringe (10.00 milliLiter(s)	$104.00 -$120.00
Pharmacy	EPINEPHrine 1 mg/mL injection 1 mL (1.00 milliLiter(s)	$89.00 -$276.00
Pharmacy	EPINEPHrine 1 mg/mL injection 1 mL PF (1.00 milliLiter(s)	$73.00 -$269.00
Pharmacy	EPINEPHrine 1 mg/mL injection 30 mL (30.00 milliLiter(s)	$1,680.00
Pharmacy	EPINEPHrine 1 mg/mL Topical 3 mL (3.00 milliLiter(s)	$173.00
Pharmacy	EPINEPHrine 1 mg/mL Topical Solution 30 mL (30.00 milliLiter(s)	$1,157.00
Pharmacy	EPINEPHrine 4 mg/D5W 250 mL Premix (250.00 milliLiter(s)	$23.00 -$535.00
Pharmacy	EPINEPHrine Anaphylaxis Kit 1 mg/mL injection 1 mL (SYR/NEEDL/SWAB) (1.00 milliLiter(s)	$73.00
Pharmacy	epirubicin 2 mg/mL injection 25 mL (25.00 milliLiter(s)	$664.00
Pharmacy	eplerenone 50 mg Tablet (1.00 Tablet(s)	$15.00
Pharmacy	epoetin alfa 10,000 units/mL preservative-free SOLN (1.00 milliLiter(s)	$1,835.00
Pharmacy	epoetin alfa 20,000 units/ 1 mL injection (1.00 milliLiter(s)	$1,835.00 -$2,579.00
Pharmacy	epoprostenol 0.5 mg injection (1.00 Each)	$282.00 -$292.00
Pharmacy	epoprostenol 1.5 mg Injection (1.00 Each)	$534.00 -$544.00
Pharmacy	ergocalciferol 50000 intl units Capsule (1.00 Capsule(s)	$10.00
Pharmacy	ergoloid mesylates 1 mg Tablet (1.00 Tablet(s)	$28.00
Pharmacy	eribulin 0.5 mg/mL injection 2 mL (1.00 milliLiter(s)	$2,579.00
Pharmacy	erlotinib 100 mg Tablet (1.00 Tablet(s)	$971.00
Pharmacy	erlotinib 150 mg Tablet (1.00 Tablet(s)	$1,099.00
Pharmacy	ertapenem 1 gram injection (1.00 Each)	$1,383.00 -$1,575.00
Pharmacy	erythromycin 250 mg Enteric Coated Tablet (1.00 Tablet(s)	$8.00 -$31.00
Pharmacy	erythromycin 500 mg injection (1.00 Each)	$955.00
Pharmacy	erythromycin ethylsuccinate 200 mg/5 mL Oral Susp (5.00 milliLiter(s)	$21.00 -$105.00
Pharmacy	erythromycin ethylsuccinate 40 mg/mL Suspension PEDS (1.00 milliLiter(s)	$9.00
Pharmacy	erythromycin ethylsuccinate 400 mg/5 mL Oral Susp (5.00 milliLiter(s)	$139.00
Pharmacy	erythromycin ophthalmic 0.5% 1 g Ointment (1.00 Gram(s)	$87.00 -$112.00
Pharmacy	erythromycin ophthalmic 0.5% 3.5 g Ointment (3.50 Gram(s)	$171.00
Pharmacy	escitalopram 10 mg Tablet (1.00 Tablet(s)	$4.00 -$28.00
Pharmacy	escitalopram 20 mg Tablet (1.00 Tablet(s)	$16.00 -$45.00
Pharmacy	esmolol 100 mg/10 mL injection (10.00 milliLiter(s)	$135.00 -$265.00
Pharmacy	esmolol 2500 mg/250 mL Premix Bag (250.00 milliLiter(s)	$1,835.00 -$2,579.00
Pharmacy	esomeprazole 40 mg injection (1.00 Each)	$657.00
Pharmacy	esterified estrogens + methylTESTOSTERone 0.625 mg-1.25 mg Tablet (1.00 Tablet(s)	$17.00
Pharmacy	estradiol + norethindrone 0.05 mg-0.14 mg/24 hours patch (1.00 Patch)	$89.00
Pharmacy	estradiol 0.025 mg/24 hours weekly Extended Release Film (1.00 Each)	$188.00
Pharmacy	estradiol 0.05 mg/24 hours weekly Extended Release Film (1.00 Each)	$79.00
Pharmacy	estradiol 0.075 mg/24 hours weekly Extended Release Film (1.00 Each)	$180.00 -$283.00
Pharmacy	estradiol 0.1 mg/24 hours weekly Extended Release Film (1.00 Each)	$180.00 -$283.00
Pharmacy	estradiol 1 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	estradiol vaginal 0.1 mg/g 42.5 g Cream (42.50 Gram(s)	$1,731.00 -$2,109.00
Pharmacy	estradiol valerate 20 mg/mL injection 10 mL (10.00 milliLiter(s)	$1,766.00 -$2,316.00
Pharmacy	estradiol valerate 40 mg/mL injection 5 mL (5.00 milliLiter(s)	$1,921.00
Pharmacy	estramustine 140 mg Capsule (1.00 Capsule(s)	$63.00
Pharmacy	eszopiclone 1 mg Tablet (1.00 Tablet(s)	$6.00 -$42.00
Pharmacy	ethacrynic acid 50 mg Powder for Injection (1.00 Each)	$17,488.00 -$23,078.00
Pharmacy	ethambutol 100 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	ethambutol 400 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	ethanol 98% 5 mL injection (5.00 milliLiter(s)	$545.00 -$1,227.00
Pharmacy	ethinyl estradiol + norgestrel 30 mcg-0.3 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	ethosuximide 250 mg Capsule (1.00 Capsule(s)	$15.00
Pharmacy	ethyl chloride topical 100% 103.5 mL Spray (103.50 milliLiter(s)	$259.00 -$284.00
Pharmacy	etomidate 20 mg/10 mL injection (10.00 milliLiter(s)	$104.00 -$181.00
Pharmacy	etoposide 100 mg/5 mL injection (5.00 milliLiter(s)	$120.00 -$175.00
Pharmacy	etoposide 500 mg/25 mL injection (25.00 milliLiter(s)	$535.00 -$858.00
Pharmacy	etravirine 100 mg TAB (1.00 Tablet(s)	$40.00
Pharmacy	exemestane 25 mg Tablet (1.00 Tablet(s)	$45.00 -$150.00
Pharmacy	ezetimibe 10 mg Tablet (1.00 Tablet(s)	$35.00 -$47.00
Pharmacy	factor IX 1,500 IU (AlphaNine) injection (1.00 International Unit(s)	$60.00
Pharmacy	factor IX 1,500 IU (Profilenine) human complex injection (1.00 International Unit(s)	$37.00
Pharmacy	factor VIIa 1,000 mcg injection (1,000.00 MICROGram(s)	$9,941.00
Pharmacy	factor VIIa 2,000 mcg injection (2,000.00 MICROGram(s)	$19,881.00
Pharmacy	factor VIII 1,000 IU recombinant injection (1.00 International Unit(s)	$60.00
Pharmacy	factor VIII 3,000 IU recombinant injection (1.00 International Unit(s)	$60.00
Pharmacy	factor VIII 500 IU recombinant injection (1.00 Each)	$60.00
Pharmacy	famciclovir 125 mg Tablet (1.00 Tablet(s)	$9.00 -$41.00
Pharmacy	famciclovir 500 mg Tablet (1.00 Tablet(s)	$12.00 -$48.00
Pharmacy	famotidine 10 mg/mL injection 2 mL (2.00 milliLiter(s)	$37.00 -$60.00
Pharmacy	famotidine 10 mg/mL injection 20 mL (20.00 milliLiter(s)	$134.00 -$166.00
Pharmacy	famotidine 20 mg Tablet (1.00 Tablet(s)	$3.00 -$12.00
Pharmacy	fat emulsion, intravenous 20% 250 mL Emulsion (250.00 milliLiter(s)	$176.00 -$489.00
Pharmacy	fat emulsion, intravenous 20% SMOFLIPID 250 mL (250.00 milliLiter(s)	$368.00
Pharmacy	felbamate 600 mg Tablet (1.00 Tablet(s)	$9.00 -$22.00
Pharmacy	fenofibrate 160 mg Tablet (1.00 Tablet(s)	$12.00 -$25.00
Pharmacy	fenofibrate 54 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	fentaNYL 100 mcg/hr Extended Release Film (1.00 Each)	$181.00 -$268.00
Pharmacy	fentaNYL 1000 mcg/100 mL NS (100.00 milliLiter(s)	$292.00 -$392.00
Pharmacy	fentaNYL 1000 mcg/50 mL NS [Double Strength] (50.00 milliLiter(s)	$144.00
Pharmacy	fentaNYL 12 mcg/hr Extended Release Film (1.00 Each)	$70.00
Pharmacy	fentaNYL 25 mcg/hr Extended Release Film (1.00 Each)	$49.00 -$73.00
Pharmacy	fentaNYL 50 mcg/hr Extended Release Film (1.00 Each)	$90.00 -$133.00
Pharmacy	fentaNYL 50 mcg/mL injection 10 ml (10.00 milliLiter(s)	$89.00
Pharmacy	fentaNYL 50 mcg/mL injection 2 mL (2.00 milliLiter(s)	$60.00 -$73.00
Pharmacy	fentaNYL 50 mcg/mL injection 20 mL (20.00 milliLiter(s)	$120.00 -$157.00
Pharmacy	fentaNYL 50 mcg/mL injection 5 mL (5.00 milliLiter(s)	$60.00 -$89.00
Pharmacy	fentaNYL 75 mcg/hr Extended Release Film (1.00 Each)	$137.00 -$202.00
Pharmacy	ferric carboxymaltose 50 mg elemental iron/mL injection 15 mL (15.00 milliLiter(s)	$4,759.00
Pharmacy	ferric subsulfate topical 500 mL Solution (500.00 milliLiter(s)	$183.00 -$4,978.00
Pharmacy	ferrous gluconate 324 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	ferrous sulfate 220 mg/5 mL Elixir (5.00 milliLiter(s)	$5.00
Pharmacy	ferrous sulfate 300 mg/5 mL Oral Liquid (5.00 milliLiter(s)	$7.00
Pharmacy	ferrous sulfate 325 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	ferumoxytol 30 mg/mL injection 17 mL (17.00 milliLiter(s)	$4,090.00
Pharmacy	fidaxomicin 200 mg Tablet (1.00 Tablet(s)	$1,575.00
Pharmacy	finasteride 5 mg Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	flavoxate 100 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	flecainide 100 mg Tablet (1.00 Tablet(s)	$14.00
Pharmacy	FLEXHD/ALLOMATRIX (360 SQCM)	$12,960.00
Pharmacy	fluconazole 100 mg Tablet (1.00 Tablet(s)	$9.00 -$82.00
Pharmacy	fluconazole 200 mg Tablet (1.00 Tablet(s)	$12.00 -$49.00
Pharmacy	fluconazole 200 mg/100 mL IVPB Premix (100.00 milliLiter(s)	$104.00 -$307.00
Pharmacy	fluconazole 40 mg/mL oral solution 2.5 mL (2.50 milliLiter(s)	$14.00
Pharmacy	fluconazole 400 mg/200 mL IVPB Premix (200.00 milliLiter(s)	$120.00 -$258.00
Pharmacy	fluconazole 50 mg Tablet (1.00 Tablet(s)	$8.00 -$94.00
Pharmacy	flucytosine 500 mg Capsule (1.00 Capsule(s)	$514.00 -$639.00
Pharmacy	fludarabine 25 mg/mL injection 2 mL (2.00 milliLiter(s)	$1,680.00 -$1,835.00
Pharmacy	fludarabine 50 mg injection (1.00 Each)	$1,227.00 -$1,300.00
Pharmacy	fludrocortisone 0.1 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	flumazenil 0.5 mg/5 mL injection (5.00 milliLiter(s)	$120.00 -$126.00
Pharmacy	fluorescein 0.6 mg test strip (1.00 Each)	$3.00
Pharmacy	fluorescein 10% injection 5 mL (5.00 milliLiter(s)	$189.00 -$381.00
Pharmacy	FLUORO D GLUCOSE	$1,050.00
Pharmacy	fluorometholone ophthalmic 0.1% 5 mL Suspension (5.00 milliLiter(s)	$476.00 -$976.00
Pharmacy	fluorouracil 50 mg/mL inection 100 mL (1.00 milliLiter(s)	$23.00 -$37.00
Pharmacy	fluorouracil 50 mg/mL injection 10 mL (10.00 milliLiter(s)	$89.00 -$248.00
Pharmacy	fluorouracil 50 mg/mL injection 20 mL (20.00 milliLiter(s)	$120.00 -$390.00
Pharmacy	fluorouracil 50 mg/mL injection 50 mL (50.00 milliLiter(s)	$237.00 -$467.00
Pharmacy	fluorouracil topical 5% 40 g Cream (40.00 Gram(s)	$1,437.00 -$2,149.00
Pharmacy	fluoxetine 10 mg Capsule (1.00 Capsule(s)	$12.00 -$61.00
Pharmacy	fluoxetine 20 mg Capsule (1.00 Capsule(s)	$12.00 -$63.00
Pharmacy	fluoxetine 20 mg/5 mL Oral Solution (5.00 milliLiter(s)	$9.00 -$23.00
Pharmacy	fluPHENAZine 1 mg Tablet (1.00 Tablet(s)	$5.00 -$15.00
Pharmacy	fluPHENAZine 2.5 mg Tablet (1.00 Tablet(s)	$5.00 -$24.00
Pharmacy	fluPHENAZine 5 mg Tablet (1.00 Tablet(s)	$6.00 -$37.00
Pharmacy	fluPHENAZine decanoate 125 mg/5 mL injection (5.00 milliLiter(s)	$1,044.00 -$1,575.00
Pharmacy	fluPHENAZine hydrochloride 25 mg/10 mL injection (10.00 milliLiter(s)	$1,676.00
Pharmacy	flurbiprofen ophthalmic 0.03% SOLN (2.50 milliLiter(s)	$88.00
Pharmacy	flutamide 125 mg Capsule (1.00 Capsule(s)	$10.00 -$17.00
Pharmacy	fluticasone 100 mcg Diskus (28.00 Puff(s)	$680.00
Pharmacy	fluticasone 250 mcg Diskus (28.00 Puff(s)	$910.00
Pharmacy	fluticasone nasal spray 0.05 mg/inh 16 gram (16.00 Gram(s)	$420.00 -$476.00
Pharmacy	fluvoxaMINE 100 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	fluvoxaMINE 50 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	folic acid + vitamin B6 + vitamin B12 2.2/25/1 mg [VIRT-GARD] (1.00 Tablet(s)	$5.00
Pharmacy	folic acid 0.4 mg Tablet (1.00 Tablet(s)	$1.00
Pharmacy	folic acid 1 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	folic acid 5 mg/mL injection 10 mL (10.00 milliLiter(s)	$664.00
Pharmacy	fomepizole 1500 mg/1.5 mL injection (1.50 milliLiter(s)	$4,344.00 -$7,094.00
Pharmacy	fondaparinux 10 mg/0.8 mL injection (0.80 milliLiter(s)	$1,337.00
Pharmacy	fondaparinux 2.5 mg/0.5 mL injection (0.50 milliLiter(s)	$670.00 -$708.00
Pharmacy	fondaparinux 5 mg/0.4 mL injection (0.40 milliLiter(s)	$858.00 -$1,337.00
Pharmacy	fondaparinux 7.5 mg/0.6 mL injection (0.60 milliLiter(s)	$1,266.00 -$1,337.00
Pharmacy	fosaprepitant 150 mg injection (1.00 Each)	$1,883.00 -$1,975.00
Pharmacy	foscarnet 6 g/250 mL Solution for Injection (250.00 milliLiter(s)	$1,088.00 -$5,594.00
Pharmacy	fosfomycin 3 g oral solution (1.00 Each)	$247.00 -$295.00
Pharmacy	fosphenytoin 50 mg PE/mL injection 10 mL (10.00 milliLiter(s)	$634.00 -$1,227.00
Pharmacy	fosphenytoin 50 mg PE/mL injection 2 mL (2.00 milliLiter(s)	$385.00
Pharmacy	fulvestrant 250 mg/5 mL injection (FASLODEX) (5.00 milliLiter(s)	$4,057.00
Pharmacy	furosemide 10 mg/mL injection 10 mL (10.00 milliLiter(s)	$100.00 -$375.00
Pharmacy	furosemide 10 mg/mL injection 2 mL (2.00 milliLiter(s)	$73.00 -$120.00
Pharmacy	furosemide 10 mg/mL injection 4 mL (4.00 milliLiter(s)	$89.00
Pharmacy	furosemide 20 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	furosemide 20 mg/2 mL Oral Liquid (2.00 milliLiter(s)	$5.00
Pharmacy	furosemide 40 mg Tablet (1.00 Each)	$5.00
Pharmacy	furosemide 500 mg/50 mL Premix Drip (50.00 milliLiter(s)	$443.00
Pharmacy	furosemide 80 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	gabapentin 100 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	gabapentin 300 mg Capsule (1.00 Capsule(s)	$3.00 -$9.00
Pharmacy	gabapentin 400 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	gabapentin 600 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	gabapentin 800 mg Tablet (1.00 Tablet(s)	$12.00 -$52.00
Pharmacy	GADAVIST PRE-FILLED SYRINGES 10 ML	$209.00
Pharmacy	GADAVIST PRE-FILLED SYRINGES 15 ML	$264.00
Pharmacy	GADAVIST PRE-FILLED SYRINGES 7.5 ML	$182.00
Pharmacy	GADAVIST VIAL 10 ML	$117.00
Pharmacy	GADAVIST VIAL 7.5 ML	$127.00
Pharmacy	GADAVIST VIALS 15 ML	$255.00
Pharmacy	GAD-BASE MR CONTRAST (10ML)	$480.00
Pharmacy	GADOBENATE DIMEGLUMINE /1ML T	$23.00
Pharmacy	GADOXETATE DISODIUM INJ 1ML T	$105.00
Pharmacy	galantamine 4 mg Tablet (1.00 Tablet(s)	$12.00 -$22.00
Pharmacy	ganciclovir 500 mg injection (1.00 Each)	$1,227.00 -$1,289.00
Pharmacy	gelatin adsorbable, gelfilm (1.00 Each)	$1,499.00
Pharmacy	gelatin sponge, absorbable (porcine) size 100 (1.00 Each)	$223.00 -$340.00
Pharmacy	gelatin sponge, absorbable (porcine) size 12-7 mm (1.00 Each)	$100.00
Pharmacy	gelatin sponge, compressed sized 100 cm (1.00 Each)	$340.00
Pharmacy	gemcitabine 1000 mg injection (1.00 Each)	$721.00 -$3,096.00
Pharmacy	gemcitabine 1000 mg/26.3 mL injection (26.30 milliLiter(s)	$607.00
Pharmacy	gemcitabine 200 mg injection (1.00 Each)	$589.00 -$1,575.00
Pharmacy	gemcitabine 200 mg/5.26 mL injection (5.26 milliLiter(s)	$152.00
Pharmacy	gemfibrozil 600 mg Tablet (1.00 Tablet(s)	$3.00 -$12.00
Pharmacy	gentamicin + prednisoLONE ophthalmic 0.3%-1% 5 mL Suspension (5.00 milliLiter(s)	$849.00
Pharmacy	gentamicin 10 mg/mL injection 2 mL (1.00 milliLiter(s)	$73.00
Pharmacy	gentamicin 40 mg/mL injection 2 mL (2.00 milliLiter(s)	$60.00 -$89.00
Pharmacy	gentamicin 40 mg/mL injection 20 mL (20.00 milliLiter(s)	$325.00
Pharmacy	gentamicin intravitreal injection 100 mcg/0.1 mL (0.50 milliLiter(s)	$163.00
Pharmacy	gentamicin ophthalmic 0.3% 3.5 g Ointment (3.50 Gram(s)	$180.00 -$283.00
Pharmacy	gentamicin ophthalmic 0.3% 5 mL Solution (5.00 milliLiter(s)	$172.00 -$283.00
Pharmacy	gentamicin Ophthalmic Solution 13.57 mg/mL 7 mL (7.00 milliLiter(s)	$187.00
Pharmacy	gentamicin topical 0.1% 15 g Ointment (15.00 Gram(s)	$336.00
Pharmacy	GI Cocktail 40 mL (40.00 milliLiter(s)	$10.00
Pharmacy	glimepiride 1 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	glimepiride 2 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	glimepiride 4 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	glipiZIDE 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	glipiZIDE 10 mg Tablet, Extended Release (1.00 Tablet(s)	$6.00
Pharmacy	glipiZIDE 2.5 mg Extended Release Tablet (1.00 Tablet(s)	$5.00
Pharmacy	glipiZIDE 5 mg Extended Release Tablet (1.00 Tablet(s)	$5.00
Pharmacy	glipiZIDE 5 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	glucagon 1 mg injection (1.00 Each)	$1,575.00 -$1,835.00
Pharmacy	GLUCAGON INJ 1MG	$491.00
Pharmacy	glucosamine 500 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	glucose, flavored 40% 31 gram oral gel (31.00 Gram(s)	$16.00
Pharmacy	glutaraldehyde 0.6% compounded solution 1000 mL (1,000.00 milliLiter(s)	$180.00
Pharmacy	glyBURIDE 1.25 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	glyBURIDE 2.5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	glyBURIDE 5 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	glyBURIDE micronized 1.5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	glyBURIDE micronized 3 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	glyBURIDE micronized 6 mg Tablet (1.00 Tablet(s)	$6.00 -$19.00
Pharmacy	glycerin adult Suppository (1.00 Suppository(s)	$10.00
Pharmacy	glycopyrrolate 0.2 mg/mL injection 1 mL (1.00 milliLiter(s)	$100.00 -$250.00
Pharmacy	glycopyrrolate 0.2 mg/mL injection 2 mL (2.00 milliLiter(s)	$320.00
Pharmacy	glycopyrrolate 0.2 mg/mL injection 5 mL syringe (5.00 milliLiter(s)	$120.00 -$137.00
Pharmacy	glycopyrrolate 0.2 mg/mL injection 5 mL vial (5.00 milliLiter(s)	$89.00 -$675.00
Pharmacy	glycopyrrolate 1 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	golimumab 50 mg/0.5 mL Solution (0.50 milliLiter(s)	$19,225.00
Pharmacy	golimumab 50 mg/4 mL Solution (4.00 milliLiter(s)	$7,253.00
Pharmacy	goserelin 10.8 mg Implant (1.00 Each)	$6,910.00
Pharmacy	goserelin 3.6 mg Implant (1.00 Each)	$2,579.00 -$2,785.00
Pharmacy	gramicidin/neomycin/polymyxin B ophthalmic 10 mL Solution (10.00 milliLiter(s)	$387.00
Pharmacy	griseofulvin microcrystalline 500 mg Tablet (1.00 Tablet(s)	$26.00
Pharmacy	griseofulvin ultramicrocrystalline 250 mg Tablet (1.00 Tablet(s)	$21.00
Pharmacy	guaiFENesin 100 mg/5 mL Oral Liquid (5.00 milliLiter(s)	$5.00
Pharmacy	guaiFENesin 200 mg/10 mL Oral Liquid (10.00 milliLiter(s)	$5.00
Pharmacy	guaiFENesin 300 mg/15 mL Oral Liquid (15.00 milliLiter(s)	$5.00
Pharmacy	guaiFENesin 600 mg Extended Release Tablet (1.00 Tablet(s)	$7.00
Pharmacy	guanFACINE 1 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	guar gum (BENEFIBER) Powder 4 gram (4.00 Gram(s)	$5.00
Pharmacy	haemophilus b conjugate (PRP-T) vaccine 0.5 mL injection (1.00 Each)	$288.00 -$461.00
Pharmacy	haloperidol 0.5 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	haloperidol 1 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	haloperidol 2 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	haloperidol 2 mg/1 mL Concentrate (1.00 milliLiter(s)	$6.00
Pharmacy	haloperidol 5 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	haloperidol 5 mg/1 mL injection (1.00 milliLiter(s)	$60.00 -$332.00
Pharmacy	haloperidol decanoate 100 mg/mL injection 1 mL (1.00 milliLiter(s)	$643.00 -$726.00
Pharmacy	haloperidol decanoate 50 mg/mL injection 1 mL (1.00 milliLiter(s)	$382.00 -$451.00
Pharmacy	hemin 350 mg injection (1.00 Each)	$31,162.00
Pharmacy	heparin 1,000 units/500 mL 0.9% NS (500.00 milliLiter(s)	$55.00
Pharmacy	heparin 1,000 units/mL 10 mL injection (10.00 milliLiter(s)	$89.00 -$140.00
Pharmacy	heparin 1,000 units/mL 30 mL injection (30.00 milliLiter(s)	$126.00 -$132.00
Pharmacy	heparin 1,000 units/mL injection 1 mL (1.00 milliLiter(s)	$60.00 -$100.00
Pharmacy	heparin 100 units/mL 5 mL injection (5.00 milliLiter(s)	$37.00 -$89.00
Pharmacy	heparin 25,000 units/500 mL 0.45% NS (500.00 milliLiter(s)	$74.00
Pharmacy	heparin 25,000 units/500 mL D5W (500.00 milliLiter(s)	$109.00
Pharmacy	heparin 5,000 units/500 mL NS (500.00 milliLiter(s)	$84.00
Pharmacy	heparin 5,000 units/mL injection (1.00 milliLiter(s)	$60.00 -$104.00
Pharmacy	hepatitis A adult vaccine 50 units/1 mL injection (1.00 milliLiter(s)	$858.00
Pharmacy	hepatitis A pediatric vaccine [VAQTA] 25 units/0.5 mL injection (0.50 milliLiter(s)	$512.00
Pharmacy	hepatitis B adult vaccine 20 mcg/1 mL injection (1.00 milliLiter(s)	$754.00
Pharmacy	hepatitis B adult vaccine dialysis 40 mcg/1 mL injection (1.00 milliLiter(s)	$1,575.00
Pharmacy	hepatitis B immune globulin 0.5 mL [NEONATE] (0.50 milliLiter(s)	$977.00
Pharmacy	hepatitis B pediatric vaccine 10 mcg/0.5 mL injection (0.50 milliLiter(s)	$325.00
Pharmacy	hetastarch 6% - 30 grams/ 500 mL LR (500.00 milliLiter(s)	$740.00
Pharmacy	HOCM 250-299MG/ML IODIN (50 ML)	$830.00
Pharmacy	HOCM 250-299MG/ML IODIN (50 ML)	$850.00
Pharmacy	HOCM>= 400MG/ML IODINE (50ML)	$119.00
Pharmacy	homatropine + HYDROcodone 1.5 mg-5 mg/5 mL Syrup (5.00 milliLiter(s)	$8.00
Pharmacy	honey Topical Gel (44.00 milliLiter(s)	$155.00
Pharmacy	human papillomavirus vaccine 0.5 mL injection (0.50 milliLiter(s)	$1,680.00
Pharmacy	hyaluronidase 150 units/1 mL injection (1.00 milliLiter(s)	$71.00
Pharmacy	hyaluronidase 200 units/1 mL injection (1.00 milliLiter(s)	$858.00 -$1,046.00
Pharmacy	hyaluronidase-riTUXimab 23,400 units-1400 mg/11.7 mL SOLN (11.70 milliLiter(s)	$30,266.00
Pharmacy	hyaluronidase-riTUXimab 26,800 units-1600 mg/13.4 mL SOLN (13.40 milliLiter(s)	$34,590.00
Pharmacy	hydrALAZINE 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	hydrALAZINE 20 mg/mL injection 1 mL (1.00 milliLiter(s)	$173.00 -$1,258.00
Pharmacy	hydrALAZINE 25 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	hydrALAZINE 50 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	hydrochlorothiazide + losartan 12.5 mg-50 mg Tablet (1.00 Tablet(s)	$3.00 -$12.00
Pharmacy	hydrochlorothiazide + triamterene 25 mg-37.5 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	hydrochlorothiazide + triamterene 50 mg-75 mg Tablet (1.00 Each)	$6.00 -$15.00
Pharmacy	hydrochlorothiazide 25 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	hydrocortisone + neomycin + polymyxin b ophthalmic 7.5 mL Suspension (7.50 milliLiter(s)	$236.00 -$790.00
Pharmacy	hydrocortisone + neomycin + polymyxin b otic 10 mL Suspension (10.00 milliLiter(s)	$250.00 -$562.00
Pharmacy	hydrocortisone + pramoxine Rectal Cream 30 grams (30.00 Gram(s)	$813.00
Pharmacy	hydrocortisone + pramoxine Rectal Foam 10 grams (10.00 Gram(s)	$450.00 -$868.00
Pharmacy	hydrocortisone 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	hydrocortisone 100 mg injection (1.00 Each)	$248.00
Pharmacy	hydrocortisone 100 mg injection PF (1.00 Each)	$183.00
Pharmacy	hydrocortisone 100 mg/60 mL Rectal Suspension (60.00 milliLiter(s)	$100.00 -$114.00
Pharmacy	hydrocortisone 20 mg Tablet (1.00 Tablet(s)	$7.00 -$13.00
Pharmacy	hydrocortisone 250 mg injection (1.00 Each)	$242.00
Pharmacy	hydrocortisone rectal 25 mg Suppository (1.00 Suppository(s)	$58.00 -$74.00
Pharmacy	hydrocortisone topical 1% 120 mL Lotion (120.00 milliLiter(s)	$83.00 -$135.00
Pharmacy	hydrocortisone topical 1% 30 g Cream (30.00 Gram(s)	$15.00 -$80.00
Pharmacy	hydrocortisone topical 1% 30 g Ointment (30.00 Gram(s)	$42.00 -$56.00
Pharmacy	hydrocortisone topical 2.5% 30 g Rectal Cream (30.00 Gram(s)	$488.00 -$516.00
Pharmacy	HYDROmorphone 0.5 mg/0.5 mL syringe (0.50 milliLiter(s)	$73.00 -$89.00
Pharmacy	HYDROmorphone 0.5 mg/5 mL (5.00 milliLiter(s)	$230.00
Pharmacy	HYDROmorphone 1 mg/mL injection 1 mL (1.00 milliLiter(s)	$60.00 -$89.00
Pharmacy	HYDROmorphone 1 mg/mL Syringe (1.00 milliLiter(s)	$89.00
Pharmacy	HYDROmorphone 10 mg/mL injection 5 mL (5.00 milliLiter(s)	$132.00
Pharmacy	HYDROmorphone 2 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	HYDROmorphone 2 mg/mL injection 1 mL (1.00 milliLiter(s)	$60.00
Pharmacy	HYDROmorphone 4 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	HYDROmorphone PCA 30 mg/30 mL NS (30.00 milliLiter(s)	$598.00
Pharmacy	hydroxocobalamin 5 g injection (1.00 Each)	$2,989.00
Pharmacy	hydroxychloroquine 200 mg Tablet (1.00 Tablet(s)	$5.00 -$15.00
Pharmacy	hydroxypropyl methylcellulose ophthalmic 2.5% 15 mL Solution (15.00 milliLiter(s)	$78.00 -$101.00
Pharmacy	hydroxyurea 500 mg Capsule (1.00 Capsule(s)	$8.00
Pharmacy	hydrOXYzine 50 mg/mL injection 1 mL (1.00 milliLiter(s)	$358.00
Pharmacy	hydrOXYzine hydrochloride 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	hydrOXYzine hydrochloride 10 mg/5 mL Syrup (5.00 milliLiter(s)	$5.00
Pharmacy	hydrOXYzine pamoate 25 mg Capsule (1.00 Capsule(s)	$4.00
Pharmacy	hydrOXYzine pamoate 50 mg Capsule (1.00 Capsule(s)	$3.00 -$12.00
Pharmacy	hyoscyamine + methenanine + methylene blue + sod biphosphate Capsule (1.00 Capsule(s)	$10.00
Pharmacy	hyoscyamine 0.125 mg Sublingual Tablet (1.00 Tablet(s)	$6.00 -$12.00
Pharmacy	hyoscyamine 0.375 mg Extended Release Tablet (1.00 Tablet(s)	$9.00
Pharmacy	I-131 SODIUM IODIDE (CAP) THERAPEUTIC PER MCI	$81.00
Pharmacy	ibandronate 3 mg/3 mL SOLN (3.00 milliLiter(s)	$2,579.00
Pharmacy	IBRITUMOMAB Y90 PER TX ZEVALIN	$116,951.00
Pharmacy	ibuprofen 100 mg/5 mL Oral Suspension (5.00 milliLiter(s)	$6.00
Pharmacy	ibuprofen 200 mg Tablet (1.00 Tablet(s)	$2.00
Pharmacy	ibuprofen 400 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	ibuprofen 600 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	ibuprofen 800 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	ibutilide 1 mg/10 mL injection (10.00 milliLiter(s)	$1,924.00 -$2,579.00
Pharmacy	icatibant 30 mg/3 mL injection (3.00 milliLiter(s)	$49,807.00
Pharmacy	IDArubicin 1 mg/mL injection 20 mL (20.00 milliLiter(s)	$1,680.00
Pharmacy	IDArubicin 1 mg/mL injection 5 mL (5.00 milliLiter(s)	$1,103.00
Pharmacy	idaruCIZUMAB 2.5 grams injection 50 mL (50.00 milliLiter(s)	$8,054.00
Pharmacy	ifosfamide 1 gram injection (1.00 Each)	$854.00
Pharmacy	ifosfamide 3 gram injection (1.00 Each)	$1,246.00
Pharmacy	ifosfamide 3 gram injection 60 mL (60.00 milliLiter(s)	$1,227.00
Pharmacy	iloperidone 4 mg Tablet (1.00 Tablet(s)	$62.00 -$75.00
Pharmacy	iloperidone 6 mg Tablet (1.00 Tablet(s)	$77.00 -$92.00
Pharmacy	imatinib 100 mg Tablet (1.00 Tablet(s)	$344.00 -$382.00
Pharmacy	imipenem-cilastatin 250 mg-250 mg Powder for Injection (1.00 Each)	$230.00
Pharmacy	imipenem-cilastatin 500 mg-500 mg Powder for Injection (1.00 Each)	$179.00 -$524.00
Pharmacy	imipramine 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	imipramine 50 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	imiquimod topical 5% 0.25 g Cream (1.00 Each)	$269.00
Pharmacy	immune globulin 10% injection [1 gram/10 mL] Gammagard (10.00 milliLiter(s)	$1,278.00
Pharmacy	immune globulin 10% injection [10 gms/100 mL] Gamunex-C (100.00 milliLiter(s)	$4,449.00
Pharmacy	immune globulin 10% injection [10 grams/100 mL] Gammagard (100.00 milliLiter(s)	$6,012.00
Pharmacy	immune globulin 10% injection [10 grams/100 mL] Privigen (100.00 milliLiter(s)	$5,109.00
Pharmacy	immune globulin 10% injection [20 grams/200 mL] Gamunex-C (200.00 milliLiter(s)	$8,897.00
Pharmacy	immune globulin 10% injection [20 grams/200 mL] Privigen (200.00 milliLiter(s)	$10,217.00
Pharmacy	immune globulin 10% injection [30 grams/300 mL] Gammagard (300.00 milliLiter(s)	$15,868.00
Pharmacy	immune globulin 10% injection [40 grams/400 mL] Gamumex-C (400.00 milliLiter(s)	$17,783.00
Pharmacy	immune globulin 10% injection [40 grams/400 mL] Privigen (400.00 milliLiter(s)	$20,433.00
Pharmacy	immune globulin 10% injection [5 grams/50 mL] Gammagard (50.00 milliLiter(s)	$2,579.00
Pharmacy	immune globulin 10% injection [5 grams/50 mL] Gamunex-C (50.00 milliLiter(s)	$2,579.00
Pharmacy	immune globulin 10% injection [5 grams/50 mL] Privigen (50.00 milliLiter(s)	$2,579.00
Pharmacy	IN-111 PENTETREOTIDE 6MCI	$9,412.00
Pharmacy	indapamide 2.5 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	INDIUM 111 PENT DIS PER 0.5MCI	$4,494.00
Pharmacy	INDIUM 111-OXYQUINOLINE 0.5MCI	$2,735.00
Pharmacy	indocyanine green 1 mg/mL 4 mL for Intraocular Injection (4.00 milliLiter(s)	$1,227.00
Pharmacy	indocyanine green 2 mg/mL 3 mL for Intraocular Injection (3.00 milliLiter(s)	$1,227.00
Pharmacy	indocyanine green 25 mg injection (1.00 Each)	$1,104.00 -$1,227.00
Pharmacy	indomethacin 25 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	indomethacin 50 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	indomethacin 50 mg Suppository (1.00 Suppository(s)	$331.00
Pharmacy	indomethacin 75 mg Sustained Release Capsule (1.00 Capsule(s)	$12.00 -$23.00
Pharmacy	inFLIXimab 100 mg injection (1.00 Each)	$4,968.00
Pharmacy	influenza virus vaccine, inactivated 0.5 mL Quad 2018-2019 (0.50 milliLiter(s)	$296.00
Pharmacy	INJ GAD-BASE MR CONTRAS 1ML T	$48.00
Pharmacy	insulin detemir 100 units/mL injection 10 mL [Levemir] (1.00 milliLiter(s)	$429.00
Pharmacy	insulin glargine 100 units/mL injection 10 mL [Lantus] (1.00 milliLiter(s)	$293.00 -$433.00
Pharmacy	insulin lispro 100 units/mL injection 10 mL [Humalog] (10.00 milliLiter(s)	$1,835.00
Pharmacy	insulin lispro 100 units/mL injection 3 mL [Humalog] (3.00 milliLiter(s)	$1,013.00
Pharmacy	insulin lispro protamine + lispro Injectable (75/25) injection 10 mL (1.00 milliLiter(s)	$416.00
Pharmacy	insulin NPH + insulin regular human recomb 70-30 units/mL injection 3 mL (3.00 milliLiter(s)	$594.00
Pharmacy	insulin NPH human recomb 100 units/mL injection 10 mL (1.00 milliLiter(s)	$231.00 -$248.00
Pharmacy	insulin NPH human recomb 100 units/mL injection 3 mL (3.00 milliLiter(s)	$594.00
Pharmacy	insulin regular human recombinant 100 units/mL injection 10 mL (1.00 milliLiter(s)	$231.00 -$248.00
Pharmacy	insulin regular human recombinant 100 units/mL injection 3 mL (3.00 milliLiter(s)	$594.00
Pharmacy	interferon alfa-2b 10 Million Units injection (1.00 Each)	$1,762.00 -$1,902.00
Pharmacy	interferon alfa-2b 50 Million Units Injection (1.00 Each)	$5,523.00 -$7,071.00
Pharmacy	iodine 5%-10% (Lugol's Strong Iodine) Topical Solution 8 mL (8.00 milliLiter(s)	$7.00 -$15.00
Pharmacy	IONIC CONTRAST	$94.00
Pharmacy	ipilimumab 200 mg/40 mL injection (40.00 milliLiter(s)	$132,054.00
Pharmacy	ipilimumab 50 mg/10 mL injection (1.00 milliLiter(s)	$3,302.00
Pharmacy	ipratropium 0.02% 2.5 mL Inhalation Solution (2.50 milliLiter(s)	$9.00
Pharmacy	ipratropium nasal 0.03% 30 mL Spray (30.00 milliLiter(s)	$305.00 -$624.00
Pharmacy	irbesartan 150 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	irbesartan 300 mg Tablet (1.00 Tablet(s)	$4.00 -$13.00
Pharmacy	irbesartan 75 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	irinotecan 100 mg/5 mL injection (5.00 milliLiter(s)	$319.00 -$858.00
Pharmacy	irinotecan 40 mg/2 mL injection (2.00 milliLiter(s)	$227.00 -$402.00
Pharmacy	irinotecan liposomal 43 mg/10 mL injection (10.00 milliLiter(s)	$7,456.00 -$9,011.00
Pharmacy	iron dextran 100 mg/2 mL injection (2.00 milliLiter(s)	$387.00
Pharmacy	iron sucrose 100 mg/5 mL injection (5.00 milliLiter(s)	$736.00
Pharmacy	isavuconazonium 186 mg Capsule (1.00 Capsule(s)	$286.00 -$357.00
Pharmacy	isavuconazonium 372 mg injection (1.00 Each)	$1,842.00
Pharmacy	isoniazid 100 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	isoniazid 300 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	isoproterenol 0.2 mg/D5W 50 ml (Cath Lab) (50.00 milliLiter(s)	$1,680.00
Pharmacy	isoproterenol 0.2 mg/mL injection 1 mL (1.00 milliLiter(s)	$6,777.00
Pharmacy	isoproterenol 0.2 mg/mL injection 5 mL (5.00 milliLiter(s)	$5,983.00 -$7,490.00
Pharmacy	isosorbide dinitrate 10 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	isosorbide dinitrate 20 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	isosorbide mononitrate 20 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	isosorbide mononitrate 30 mg Extended Release Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	isosorbide mononitrate 60 mg Extended Release Tablet (1.00 Tablet(s)	$10.00
Pharmacy	isosulfan blue 50 mg/5 mL injection (5.00 milliLiter(s)	$2,920.00 -$4,698.00
Pharmacy	itraconazole 100 mg Capsule (1.00 Capsule(s)	$32.00 -$108.00
Pharmacy	IV NS 500ML/HEPARIN 1000U	$162.00
Pharmacy	IV SOLUTION 1000CC	$55.00
Pharmacy	IV SOLUTION 250 ML	$23.00
Pharmacy	IV SOLUTION 500CC	$47.00
Pharmacy	ivabradine 5 mg Tablet (1.00 Tablet(s)	$30.00
Pharmacy	ivermectin 3 mg Tablet (1.00 Tablet(s)	$19.00
Pharmacy	ixabepilone 15 mg injection (1.00 Each)	$4,844.00
Pharmacy	ixabepilone 45 mg injection (1.00 Each)	$17,662.00
Pharmacy	ketamine 50 mg/5 mL injection (5.00 milliLiter(s)	$100.00
Pharmacy	ketamine 500 mg/10 mL injection (10.00 milliLiter(s)	$100.00 -$120.00
Pharmacy	ketamine 500 mg/5 mL injectable (5.00 milliLiter(s)	$150.00
Pharmacy	ketoconazole 200 mg Tablet (1.00 Tablet(s)	$12.00 -$22.00
Pharmacy	ketoconazole topical 2% 120 mL Shampoo (120.00 milliLiter(s)	$226.00
Pharmacy	ketorolac 10 mg Tablet (1.00 Tablet(s)	$11.00
Pharmacy	ketorolac 30 mg/1 mL injection (1.00 milliLiter(s)	$60.00 -$120.00
Pharmacy	ketorolac 60 mg/2 mL injection (2.00 milliLiter(s)	$60.00 -$120.00
Pharmacy	ketorolac ophthalmic 0.5% 5 mL Solution (5.00 milliLiter(s)	$454.00 -$1,757.00
Pharmacy	ketotifen ophthalmic 0.025% ophthalmic solution 5 mL (5.00 milliLiter(s)	$110.00
Pharmacy	labetalol 100 mg Tablet (1.00 Tablet(s)	$5.00 -$11.00
Pharmacy	labetalol 100 mg/20 mL injection (20.00 milliLiter(s)	$100.00 -$419.00
Pharmacy	labetalol 20 mg/4 mL injection (4.00 milliLiter(s)	$125.00
Pharmacy	labetalol 200 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	labetalol 300 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	lacosamide 100 mg Tablet (1.00 Tablet(s)	$48.00
Pharmacy	lacosamide 200 mg/20 mL injection (20.00 milliLiter(s)	$811.00
Pharmacy	lacosamide 50 mg Tablet (1.00 Tablet(s)	$31.00
Pharmacy	lactase 3000 units Tablet (1.00 Tablet(s)	$3.00
Pharmacy	lactated ringers 1000 mL (1,000.00 milliLiter(s)	$120.00
Pharmacy	lactated ringers 250 mL EXCEL (250.00 milliLiter(s)	$23.00 -$55.00
Pharmacy	lactated ringers 500 mL (500.00 milliLiter(s)	$55.00
Pharmacy	lactobacillus rhamnosus GG 80 mg Capsule (CULTURELLE) (1.00 Capsule(s)	$5.00
Pharmacy	lactulose 10 g/15 mL Syrup (Drug Shortage) (15.00 milliLiter(s)	$5.00
Pharmacy	lactulose 20 g/30 mL Syrup (30.00 milliLiter(s)	$7.00
Pharmacy	lamiVUDine 100 mg Tablet (1.00 Tablet(s)	$55.00 -$63.00
Pharmacy	lamiVUDine 150 mg Tablet (1.00 Tablet(s)	$29.00
Pharmacy	lamoTRIgine 100 mg Tablet (1.00 Tablet(s)	$3.00 -$18.00
Pharmacy	lamoTRIgine 25 mg Chewable Tablet (1.00 Tablet(s)	$15.00
Pharmacy	lamoTRIgine 25 mg Tablet (1.00 Tablet(s)	$15.00 -$49.00
Pharmacy	lanreotide 120 mg/0.5 mL injection (0.50 milliLiter(s)	$8,703.00
Pharmacy	lanreotide 90 mg/0.3 mL injection (0.30 milliLiter(s)	$28,289.00
Pharmacy	lanthanum carbonate 500 mg Chewable Tablet (1.00 Tablet(s)	$49.00
Pharmacy	latanoprost ophthalmic 0.005% 2.5 mL Solution (2.50 milliLiter(s)	$175.00 -$1,300.00
Pharmacy	leflunomide 10 mg Tablet (1.00 Tablet(s)	$22.00 -$56.00
Pharmacy	leflunomide 20 mg Tablet (1.00 Tablet(s)	$56.00 -$160.00
Pharmacy	letrozole 2.5 mg Tablet (1.00 Tablet(s)	$62.00 -$96.00
Pharmacy	leucovorin 100 mg injection (1.00 Each)	$307.00 -$321.00
Pharmacy	leucovorin 200 mg injection (1.00 Each)	$338.00 -$589.00
Pharmacy	leucovorin 350 mg injection (1.00 Each)	$307.00 -$937.00
Pharmacy	leucovorin 5 mg tablet (1.00 Tablet(s)	$12.00
Pharmacy	leucovorin 50 mg Injection (1.00 Each)	$184.00
Pharmacy	leuprolide 11.25 mg/3 months (LUPRON DEP) (1.00 Each)	$15,497.00
Pharmacy	leuprolide 22.5 mg/3 months injection (ELIGARD) (1.00 Each)	$5,675.00 -$6,237.00
Pharmacy	leuprolide 30 mg/4 months injection (ELIGARD) (1.00 Each)	$7,566.00 -$8,324.00
Pharmacy	leuprolide 45 mg/6 months injection (ELIGARD) (1.00 Each)	$12,473.00
Pharmacy	leuprolide 7.5 mg/month injection (ELIGARD) (1.00 Each)	$2,579.00
Pharmacy	leuprolide depot 22.5 mg/3 month injection (LUPRON DEPOT) (1.00 Each)	$18,466.00
Pharmacy	leuprolide depot 3.75 mg/month Injection (LUPRON DEPOT) (1.00 Each)	$5,166.00
Pharmacy	leuprolide depot 30 mg/4 month injection (LUPRON DEPOT) (1.00 Each)	$24,622.00
Pharmacy	leuprolide depot 7.5 mg/month injection (LUPRON DEPOT) (1.00 Each)	$6,156.00
Pharmacy	levalbuterol 1.25 mg/3 mL Inhalation Solution (3.00 milliLiter(s)	$12.00 -$34.00
Pharmacy	levETIRAcetam 250 mg Tablet (1.00 Tablet(s)	$5.00 -$27.00
Pharmacy	levETIRAcetam 500 mg Tablet (1.00 Each)	$5.00 -$33.00
Pharmacy	levETIRAcetam 500 mg/5 mL injection (5.00 milliLiter(s)	$100.00 -$781.00
Pharmacy	levETIRAcetam 500 mg/5 mL Oral solution (5.00 milliLiter(s)	$8.00
Pharmacy	levobunolol ophthalmic 0.5% 5 mL Solution (5.00 milliLiter(s)	$56.00 -$196.00
Pharmacy	levOCARNitine 1000 mg/5 mL injection (5.00 milliLiter(s)	$203.00 -$532.00
Pharmacy	levOCARNitine 330 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	levofloxacin 250 mg Tablet (1.00 Tablet(s)	$58.00
Pharmacy	levofloxacin 250 mg/10 mL Oral Solution (10.00 milliLiter(s)	$18.00
Pharmacy	levofloxacin 250 mg/50 mL IVPB Premix (50.00 milliLiter(s)	$104.00 -$129.00
Pharmacy	levofloxacin 500 mg Tablet (1.00 Tablet(s)	$58.00 -$69.00
Pharmacy	levofloxacin 500 mg/100 mL IVPB Premix (100.00 milliLiter(s)	$120.00 -$445.00
Pharmacy	levoFLOXacin 750 mg Tablet (1.00 Tablet(s)	$123.00
Pharmacy	levofloxacin 750 mg/150 mL IVPB Premix (150.00 milliLiter(s)	$120.00 -$240.00
Pharmacy	levothyroxine 100 mcg injection (1.00 Each)	$1,248.00
Pharmacy	levothyroxine 100 mcg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	levothyroxine 112 mcg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	levothyroxine 125 mcg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	levothyroxine 137 mcg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	levothyroxine 150 mcg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	levothyroxine 175 mcg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	levothyroxine 200 mcg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	levothyroxine 25 mcg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	levothyroxine 50 mcg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	levothyroxine 75 mcg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	levothyroxine 88 mcg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	LIDO/EPI INJ 1%-1:200K 10ML PF	$136.00
Pharmacy	lidocaine + prilocaine 5 grams (EMLA) (5.00 Gram(s)	$81.00 -$99.00
Pharmacy	lidocaine 0.5% 50 mL injection MPF (50.00 milliLiter(s)	$100.00 -$232.00
Pharmacy	lidocaine 1% 10 mL injection MPF (10.00 milliLiter(s)	$120.00
Pharmacy	lidocaine 1% 2 mL injection (2.00 milliLiter(s)	$73.00
Pharmacy	lidocaine 1% 2 mL injection MPF (2.00 milliLiter(s)	$60.00 -$73.00
Pharmacy	lidocaine 1% 30 mL injection MPF (30.00 milliLiter(s)	$89.00 -$189.00
Pharmacy	lidocaine 1% 5 mL injection MPF (5.00 milliLiter(s)	$60.00 -$120.00
Pharmacy	lidocaine 1% 50 mL injection (50.00 milliLiter(s)	$89.00 -$104.00
Pharmacy	lidocaine 1% injection 20 mL (20.00 milliLiter(s)	$60.00 -$73.00
Pharmacy	LIDOCAINE 1% W/EPI 10ML	$55.00
Pharmacy	LIDOCAINE 10 MG/ML SUBQ 1 VIAL	$83.00
Pharmacy	lidocaine 1000 mg/250 mL Drip Premix (250.00 milliLiter(s)	$67.00
Pharmacy	lidocaine 2% 10 mL injection MPF (10.00 milliLiter(s)	$100.00 -$120.00
Pharmacy	lidocaine 2% 2 mL injection (2.00 milliLiter(s)	$89.00
Pharmacy	lidocaine 2% 2 mL injection MPF (2.00 milliLiter(s)	$89.00
Pharmacy	lidocaine 2% 20 mL injection (20.00 milliLiter(s)	$73.00 -$100.00
Pharmacy	lidocaine 2% 5 mL injection (syringe) (5.00 milliLiter(s)	$89.00 -$100.00
Pharmacy	lidocaine 2% 5 mL injection MPF (5.00 milliLiter(s)	$73.00 -$89.00
Pharmacy	lidocaine 2% 50 mL injection (50.00 milliLiter(s)	$120.00
Pharmacy	lidocaine 4% 5 mL injection (5.00 milliLiter(s)	$56.00
Pharmacy	lidocaine 5% in dextrose 7.5% 2 mL injection (2.00 milliLiter(s)	$168.00
Pharmacy	LIDOCAINE INJ 1% 30ML PF ANES	$132.00
Pharmacy	LIDOCAINE INJ 1% 50ML MDV	$63.00
Pharmacy	LIDOCAINE INJ 1% 50ML MDV ANES	$68.00
Pharmacy	LIDOCAINE INJ 1% 5ML PF	$75.00
Pharmacy	LIDOCAINE INJ 10MG	$47.00
Pharmacy	lidocaine topical 2% 5 mL Jelly (5.00 milliLiter(s)	$9.00 -$78.00
Pharmacy	lidocaine topical 2% 5 mL Jelly (Uro-Jet) (5.00 milliLiter(s)	$69.00 -$77.00
Pharmacy	lidocaine topical 2% Jelly 30 mL (1.00 Each)	$18.00 -$201.00
Pharmacy	lidocaine topical 4% 50 mL Topical Solution (50.00 milliLiter(s)	$142.00 -$408.00
Pharmacy	lidocaine topical 5% Patch (1.00 Each)	$32.00 -$54.00
Pharmacy	lidocaine viscous 2% 100 mL Solution (100.00 milliLiter(s)	$124.00
Pharmacy	lidocaine viscous 2% 15 mL (15.00 milliLiter(s)	$13.00
Pharmacy	linaclotide 145 mcg Capsule (1.00 Capsule(s)	$53.00
Pharmacy	linaclotide 290 mcg Capsule (1.00 Capsule(s)	$53.00
Pharmacy	linagliptin 5 mg Tablet (1.00 Tablet(s)	$51.00
Pharmacy	linezolid 300 mg/15 mL Oral Solution (15.00 milliLiter(s)	$287.00 -$513.00
Pharmacy	linezolid 600 mg Tablet (1.00 Tablet(s)	$26.00 -$637.00
Pharmacy	linezolid 600 mg/300 mL IVPB Premix (300.00 milliLiter(s)	$858.00 -$1,456.00
Pharmacy	liothyronine 25 mcg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	liothyronine 5 mcg Tablet (1.00 Tablet(s)	$11.00
Pharmacy	LIPIODOL 480 MG/ML 10ML AMP	$2,098.00
Pharmacy	lisdexamfetamine 20 mg Capsule (1.00 Capsule(s)	$37.00
Pharmacy	lisdexamfetamine 30 mg Capsule (1.00 Capsule(s)	$37.00
Pharmacy	lisdexamfetamine 50 mg Capsule (1.00 Capsule(s)	$37.00
Pharmacy	lisdexamfetamine 70 mg Capsule (1.00 Capsule(s)	$37.00
Pharmacy	lisinopril 10 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	lisinopril 2.5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	lisinopril 20 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	lisinopril 5 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	lithium carbonate (ESKALITH CR) 450 mg Controlled Release Tablet (1.00 Tablet(s)	$5.00
Pharmacy	lithium carbonate (LITHOBID) 300 mg Extended Release Tablet (1.00 Tablet(s)	$5.00
Pharmacy	lithium carbonate 150 mg Capsule (1.00 Capsule(s)	$3.00
Pharmacy	lithium carbonate 300 mg Capsule (1.00 Capsule(s)	$3.00
Pharmacy	lithium carbonate 600 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	LOCM 200-299MG IODIN (10 ML)	$550.00
Pharmacy	LOCM 200-299MG/ML IODIN 1ML T	$3.00
Pharmacy	LOCM 200-299MG/ML IODIN 1ML T	$4.00
Pharmacy	LOCM 200-299MG/ML IODIN 1ML T	$55.00
Pharmacy	LOCM 300-399MG/ML IODIN (50 ML)	$650.00
Pharmacy	LOCM 300-399MG/ML IODIN 1ML T	$1.00
Pharmacy	LOCM 300-399MG/ML IODIN 1ML T	$3.00
Pharmacy	LOCM 300-399MG/ML IODIN 1ML T	$4.00
Pharmacy	LOCM 300-399MG/ML IODIN 1ML T	$11.00
Pharmacy	loperamide 1 mg/5 mL Oral Liquid (5.00 milliLiter(s)	$5.00
Pharmacy	loperamide 2 mg Capsule (1.00 Capsule(s)	$3.00 -$9.00
Pharmacy	loratadine 10 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	LORazepam 0.5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	LORazepam 1 mg Tablet (1.00 Each)	$6.00
Pharmacy	LORazepam 2 mg/1 mL injection (1.00 milliLiter(s)	$37.00 -$73.00
Pharmacy	LORazepam 20 mg/10 mL injection (10.00 milliLiter(s)	$184.00
Pharmacy	losartan 25 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	losartan 50 mg Tablet (1.00 Tablet(s)	$3.00 -$11.00
Pharmacy	loxapine 25 mg Capsule (1.00 Capsule(s)	$10.00
Pharmacy	loxapine 5 mg Capsule (1.00 Capsule(s)	$7.00
Pharmacy	lubiprostone 24 mcg Capsule (1.00 Capsule(s)	$26.00
Pharmacy	lubiprostone 8 mcg Capsule (1.00 Capsule(s)	$26.00
Pharmacy	lurasidone 120 mg Tablet (1.00 Tablet(s)	$249.00
Pharmacy	lurasidone 40 mg Tablet (1.00 Tablet(s)	$167.00
Pharmacy	lurasidone 80 mg Tablet (1.00 Tablet(s)	$167.00
Pharmacy	lysine 500 mg Tablet (1.00 Tablet(s)	$1.00
Pharmacy	mafenide topical 60 g Cream (60.00 Gram(s)	$414.00 -$429.00
Pharmacy	magic mouthwash 5 mL (5.00 milliLiter(s)	$7.00
Pharmacy	magnesium + potassium + sodium sulfates (Suprep Bowel Prep) Oral Liquid (177.00 milliLiter(s)	$377.00
Pharmacy	magnesium 54 mg elemental (magnesium gluconate 1000 mg)/5 mL Liquid 5 mL (5.00 milliLiter(s)	$10.00
Pharmacy	magnesium citrate 300 mL Oral Liquid (300.00 milliLiter(s)	$14.00 -$21.00
Pharmacy	magnesium hydroxide 8% 30 mL Oral Suspension (30.00 milliLiter(s)	$7.00
Pharmacy	magnesium lactate 84 mg Extended Release Tablet (1.00 Tablet(s)	$4.00
Pharmacy	magnesium oxide 400 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	magnesium sulfate 1 gram/D5W 100 mL IVPB Premix (100.00 milliLiter(s)	$140.00 -$151.00
Pharmacy	magnesium sulfate 1 gram/NS 50 mL IVPB Premix (50.00 milliLiter(s)	$154.00
Pharmacy	magnesium sulfate 2 grams/50 mL IVPB Premix (50.00 milliLiter(s)	$269.00 -$307.00
Pharmacy	magnesium sulfate 4 grams/100 mL IVPB Premix (100.00 milliLiter(s)	$126.00
Pharmacy	magnesium sulfate 50% 10 mL injection (10.00 milliLiter(s)	$73.00
Pharmacy	magnesium sulfate 50% 2 mL injection (2.00 milliLiter(s)	$60.00
Pharmacy	mannitol 20% 500 mL (500.00 milliLiter(s)	$188.00 -$198.00
Pharmacy	mannitol 25% 50 mL injection (50.00 milliLiter(s)	$73.00 -$104.00
Pharmacy	measles/mumps/rubella virus vaccine 0.5 mL injection (1.00 Each)	$950.00
Pharmacy	meclizine 12.5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	meclizine 25 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	medroxyPROGESTERone 150 mg/1 mL injection (1.00 milliLiter(s)	$1,092.00 -$1,680.00
Pharmacy	medroxyPROGESTERone 5 mg Tablet (1.00 Tablet(s)	$5.00 -$15.00
Pharmacy	megestrol 20 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	megestrol 400 mg/10 mL Oral Suspension (10.00 milliLiter(s)	$9.00
Pharmacy	megestrol 800 mg/20 mL Oral Suspension (20.00 milliLiter(s)	$13.00
Pharmacy	melatonin 3 mg Tablet (1.00 Each)	$4.00
Pharmacy	meloxicam 7.5 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	melphalan 2 mg Tablet (1.00 Tablet(s)	$47.00
Pharmacy	memantine 10 mg Tablet (1.00 Tablet(s)	$5.00 -$28.00
Pharmacy	memantine 5 mg Tablet (1.00 Tablet(s)	$5.00 -$31.00
Pharmacy	meningococcal conjugate vaccine 0.5 mL injection (0.50 milliLiter(s)	$1,373.00
Pharmacy	menthol + methyl salicylate ointment 28 grams (28.00 Gram(s)	$20.00
Pharmacy	menthol + methyl salicylate ointment 85 grams (85.00 Gram(s)	$26.00
Pharmacy	menthol topical 5% Patch Icy Hot Extra Strength (1.00 Each)	$14.00
Pharmacy	meperidine 50 mg Tablet (1.00 Tablet(s)	$3.00 -$12.00
Pharmacy	meperidine 50 mg/mL injection 1 mL (1.00 milliLiter(s)	$73.00 -$120.00
Pharmacy	mepivacaine 1.5% PF injection 30 mL (30.00 milliLiter(s)	$120.00 -$170.00
Pharmacy	mepivacaine 2% PF injection 20 ml (20.00 milliLiter(s)	$104.00
Pharmacy	mepolizumab 100 mg PWDI (1.00 Each)	$13,202.00
Pharmacy	mercaptopurine 50 mg Tablet (1.00 Tablet(s)	$13.00
Pharmacy	meropenem 1000 mg injection (1.00 Each)	$199.00 -$899.00
Pharmacy	meropenem 500 mg injection (1.00 Each)	$120.00 -$348.00
Pharmacy	mesalamine 1000 mg Suppository (1.00 Suppository(s)	$126.00
Pharmacy	mesalamine 250 mg (Pentasa) Delayed Release Capsule (1.00 Capsule(s)	$12.00
Pharmacy	mesalamine 400 mg (Delzicol) Delayed Release Capsule (1.00 Capsule(s)	$14.00
Pharmacy	mesalamine 4000 mg/60 mL Enema (60.00 milliLiter(s)	$197.00
Pharmacy	mesalamine 500 mg (Pentasa) Delayed Release Capsule (1.00 Capsule(s)	$23.00
Pharmacy	mesna 1000 mg/10 mL injection (10.00 milliLiter(s)	$321.00 -$888.00
Pharmacy	metaxalone 800 mg Tablet (1.00 Tablet(s)	$17.00 -$42.00
Pharmacy	metFORMIN 500 mg Extended Release Tablet (1.00 Tablet(s)	$9.00
Pharmacy	metFORMIN 500 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	metFORMIN 750 mg Extended Release Tablet (1.00 Tablet(s)	$9.00
Pharmacy	metFORMIN 850 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	methadone 1 mg/mL Oral Solution [NEONATES] (1.00 milliLiter(s)	$7.00
Pharmacy	methadone 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	methadone 10 mg/1 mL Concentrate (1.00 milliLiter(s)	$8.00
Pharmacy	methadone 5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	methazolamide 25 mg Tablet (1.00 Tablet(s)	$14.00
Pharmacy	methenamine hippurate 1 g Tablet (1.00 Tablet(s)	$12.00
Pharmacy	methimazole 5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	methocarbamol 1000 mg/10 mL injection (10.00 milliLiter(s)	$464.00
Pharmacy	methocarbamol 500 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	methocarbamol 750 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	methohexital 500 mg injection (1.00 Each)	$858.00
Pharmacy	methotrexate 2.5 mg Tablet (1.00 Tablet(s)	$12.00 -$22.00
Pharmacy	methotrexate 25 mg/mL 2 mL injection PF (2.00 milliLiter(s)	$100.00
Pharmacy	methotrexate 25 mg/mL 40 mL injection PF (40.00 milliLiter(s)	$535.00
Pharmacy	methotrexate 400 mcg/0.1 mL Intravitreal Injection (0.30 milliLiter(s)	$100.00
Pharmacy	methylcellulose 2 gram/19 gram powder 19 grams* (19.00 Gram(s)	$4.00
Pharmacy	methyldopa 250 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	methylene blue 10 mg/mL injection 1 mL (1.00 milliLiter(s)	$307.00
Pharmacy	methylene blue 10 mg/mL injection 10 mL (10.00 milliLiter(s)	$468.00 -$1,575.00
Pharmacy	methylene blue 5 mg/mL injection 10 mL (10.00 milliLiter(s)	$1,680.00
Pharmacy	METHYLENE BLUE INJ (50( 1MG T	$25.00
Pharmacy	METHYLENE BLUE INJ 1 MG T	$39.00
Pharmacy	METHYLENE BLUE INJ 1MG	$12.00
Pharmacy	methylergonovine 0.2 mg Tablet (1.00 Tablet(s)	$33.00 -$254.00
Pharmacy	methylergonovine 0.2 mg/1 mL injection (1.00 milliLiter(s)	$132.00 -$413.00
Pharmacy	methylnaltrexone 12 mg/0.6 mL injection (0.60 milliLiter(s)	$1,288.00
Pharmacy	methylphenidate 10 mg CD Capsule (METADATE CD) (1.00 Capsule(s)	$20.00 -$29.00
Pharmacy	methylphenidate 10 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	methylphenidate 18 mg ER Tablet (CONCERTA) (1.00 Tablet(s)	$22.00 -$45.00
Pharmacy	methylphenidate 27 mg ER Tablet (CONCERTA) (1.00 Tablet(s)	$22.00 -$28.00
Pharmacy	methylPREDNISolone 4 mg Tablet (1.00 Tablet(s)	$11.00
Pharmacy	methylPREDNISolone acetate 40 mg/mL (DEPO-MEDROL) injection 1mL (1.00 milliLiter(s)	$120.00 -$195.00
Pharmacy	methylPREDNISolone acetate 80 mg/mL (DEPO-MEDROL) injection 1 mL (1.00 milliLiter(s)	$129.00 -$307.00
Pharmacy	methylPREDNISolone sodium succinate 1000 mg injection (1.00 Each)	$535.00 -$617.00
Pharmacy	methylPREDNISolone sodium succinate 125 mg injection (1.00 Each)	$179.00
Pharmacy	methylPREDNISolone sodium succinate 2000 mg injection (1.00 Each)	$1,113.00
Pharmacy	methylPREDNISolone sodium succinate 40 mg injection (1.00 Each)	$120.00
Pharmacy	methylPREDNISolone sodium succinate 500 mg injection (1.00 Each)	$372.00
Pharmacy	metoclopramide 10 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	metoclopramide 10 mg/10 mL Syrup (10.00 milliLiter(s)	$7.00
Pharmacy	metoclopramide 5 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	metoclopramide 5 mg/mL injection 2 mL (2.00 milliLiter(s)	$60.00 -$100.00
Pharmacy	metolazone 2.5 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	metolazone 5 mg Tablet (1.00 Tablet(s)	$13.00
Pharmacy	metoprolol 1 mg/mL injection 5 mL (5.00 milliLiter(s)	$60.00 -$100.00
Pharmacy	metoprolol 100 mg Extended Release Tablet (1.00 Tablet(s)	$9.00 -$26.00
Pharmacy	metoprolol 25 mg Extended Release Tablet (1.00 Tablet(s)	$8.00
Pharmacy	metoprolol 50 mg Extended Release Tablet (1.00 Tablet(s)	$9.00
Pharmacy	metoprolol tartrate 100 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	metoprolol tartrate 25 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	metoprolol tartrate 50 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	metroNIDAZOLE 250 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	metroNIDAZOLE 500 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	metroNIDAZOLE 500 mg/100 mL IVPB Premix (100.00 milliLiter(s)	$60.00 -$100.00
Pharmacy	metroNIDAZOLE vaginal 0.75% 70 g Gel With Applicator (70.00 Gram(s)	$333.00 -$910.00
Pharmacy	mexiletine 150 mg Capsule (1.00 Capsule(s)	$12.00
Pharmacy	mexiletine 200 mg Capsule (1.00 Capsule(s)	$12.00
Pharmacy	MIBG PER STUDY DOSE <= 15 MCI	$4,696.00
Pharmacy	micafungin 100 mg injection (1.00 Each)	$1,680.00
Pharmacy	micafungin 50 mg injection (1.00 Each)	$1,227.00
Pharmacy	miconazole topical 2% 70 g Powder (70.00 Gram(s)	$54.00 -$61.00
Pharmacy	miconazole topical 2% spray 133 gram (133.00 Gram(s)	$66.00
Pharmacy	miconazole vaginal 2% 45 g Cream (45.00 Gram(s)	$61.00 -$106.00
Pharmacy	MICROMATRIX (1000 MG)	$4,764.00
Pharmacy	MICROMATRIX (200 MG)	$1,280.00
Pharmacy	midazolam 1 mg/mL 2 mL PF (2.00 milliLiter(s)	$37.00 -$60.00
Pharmacy	midazolam 2 mg/mL Oral Syrup 1 mL (1.00 milliLiter(s)	$7.00
Pharmacy	midazolam 2 mg/mL Oral Syrup 5 mL (5.00 milliLiter(s)	$12.00
Pharmacy	midazolam 5 mg/mL injection 10 mL (10.00 milliLiter(s)	$120.00 -$222.00
Pharmacy	midazolam 5 mg/mL injection PF 1 mL (1.00 milliLiter(s)	$60.00
Pharmacy	midazolam 50 mg/100 mL NS (single str) (100.00 milliLiter(s)	$155.00
Pharmacy	midazolam 50 mg/50 mL NS [Double Strength] (50.00 milliLiter(s)	$147.00
Pharmacy	midodrine 10 mg Tablet (1.00 Tablet(s)	$9.00 -$34.00
Pharmacy	midodrine 2.5 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	midodrine 5 mg Tablet (1.00 Tablet(s)	$15.00
Pharmacy	miglitol 25 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	milnacipran 50 mg Tablet (1.00 Tablet(s)	$24.00
Pharmacy	milrinone 1 mg/mL injection 20 mL (20.00 milliLiter(s)	$180.00
Pharmacy	milrinone 20 mg/100 mL D5W Drip Premix (100.00 milliLiter(s)	$260.00 -$465.00
Pharmacy	mineral oil 10 mL (MURI-LUBE) (10.00 milliLiter(s)	$150.00
Pharmacy	mineral oil 100% 30 mL Oral Liquid (30.00 milliLiter(s)	$5.00
Pharmacy	minocycline 100 mg Capsule (1.00 Capsule(s)	$5.00 -$12.00
Pharmacy	minocycline 100 mg injection (1.00 Each)	$1,575.00
Pharmacy	minocycline 50 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	minoxidil 10 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	minoxidil 2.5 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	mirtazapine 15 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	mirtazapine 30 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	misoprostol 100 mcg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	misoprostol 200 mcg Tablet (1.00 Tablet(s)	$8.00 -$22.00
Pharmacy	mitoMYcin 20 mg injection (1.00 Each)	$2,715.00 -$3,151.00
Pharmacy	mitoMYcin 40 mg injection (1.00 Each)	$6,302.00
Pharmacy	mitoMYcin 5 mg injection (1.00 Each)	$679.00 -$1,835.00
Pharmacy	mitoMYcin Ophthalmic Solution 0.2 mg/mL 15 mL (15.00 milliLiter(s)	$1,680.00
Pharmacy	mitomycin Ophthalmic Solution 0.4 mg/mL 1 mL (1.00 milliLiter(s)	$1,521.00
Pharmacy	mitoXANtrone 20 mg/10 mL injection (10.00 milliLiter(s)	$1,988.00
Pharmacy	mitoXANtrone 25 mg/12.5mL injection (12.50 milliLiter(s)	$2,593.00
Pharmacy	modafinil 100 mg Tablet (1.00 Tablet(s)	$19.00 -$90.00
Pharmacy	modafinil 200 mg Tablet (1.00 Tablet(s)	$29.00 -$136.00
Pharmacy	montelukast 10 mg Tablet (1.00 Tablet(s)	$19.00 -$30.00
Pharmacy	montelukast 4 mg Chewable Tablet (1.00 Tablet(s)	$20.00
Pharmacy	morphine 0.2 mg/mL Oral Solution [NEONATES] (1.00 milliLiter(s)	$5.00
Pharmacy	morphine 0.5 mg/mL (DURAMORPH) 10 mL injection PF (10.00 milliLiter(s)	$120.00 -$367.00
Pharmacy	morphine 1 mg/mL (DURAMORPH) 10 mL injection PF (10.00 milliLiter(s)	$123.00 -$290.00
Pharmacy	morphine 10 mg/mL (INFUMORPH) 20 mL injection PF (20.00 milliLiter(s)	$1,650.00
Pharmacy	morphine 10 mg/mL [NEONATE] injection PF (10.00 milliGRAM(s)	$186.00
Pharmacy	morphine 10 mg/mL 1 mL injection PF (1.00 milliLiter(s)	$73.00
Pharmacy	morphine 10 mg/mL PFS preservative-free injection SOLN (1.00 milliLiter(s)	$73.00
Pharmacy	morphine 100 mg Extended Release Tablet (1.00 Each)	$26.00 -$32.00
Pharmacy	morphine 15 mg Extended Release Tablet (1.00 Each)	$9.00
Pharmacy	morphine 15 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	morphine 2 mg/mL preservative-free SOLN (1.00 milliLiter(s)	$73.00
Pharmacy	morphine 20 mg/mL Oral Concentrate UDC 0.5 mL (0.50 milliLiter(s)	$6.00
Pharmacy	morphine 200 mg Extended Release Tablet (1.00 Tablet(s)	$63.00
Pharmacy	morphine 30 mg Extended Release Tablet (1.00 Tablet(s)	$12.00
Pharmacy	morphine 50 mg/mL injection 20 mL (20.00 milliLiter(s)	$210.00
Pharmacy	morphine 50 mg/mL injection 50 mL (50.00 milliLiter(s)	$390.00
Pharmacy	morphine 5mg/5mL injection (5.00 milliLiter(s)	$335.00
Pharmacy	morphine PCA 30 mg/30 mL (30.00 milliLiter(s)	$120.00
Pharmacy	moxifloxacin 400 mg/250 mL SOLN (250.00 milliLiter(s)	$684.00
Pharmacy	moxifloxacin ophthalmic 0.5% 3 mL Solution (3.00 milliLiter(s)	$934.00 -$1,048.00
Pharmacy	multivitamin + minerals (Theragran M type) Tablet (1.00 Tablet(s)	$3.00
Pharmacy	multivitamin + minerals (vision) Tablet (1.00 Tablet(s)	$3.00
Pharmacy	multivitamin + minerals + iron [HEMOCYTE PLUS] Capsule (1.00 Capsule(s)	$5.00
Pharmacy	multivitamin + minerals Chewable Tablet (1.00 Tablet(s)	$2.00
Pharmacy	multivitamin 10 mL injection (10.00 milliLiter(s)	$187.00 -$228.00
Pharmacy	multivitamin prenatal Tablet (1.00 Tablet(s)	$5.00
Pharmacy	mupirocin topical 2% 15 g Cream (15.00 Gram(s)	$408.00
Pharmacy	mupirocin topical 2% 22 g Ointment (22.00 Gram(s)	$101.00 -$478.00
Pharmacy	mycophenolate mofetil 250 mg Capsule (1.00 Capsule(s)	$7.00 -$34.00
Pharmacy	mycophenolate mofetil 500 mg/5 mL Oral Suspension (5.00 milliLiter(s)	$84.00
Pharmacy	MYOVIEW REST PER STUDY DOSE	$1,716.00
Pharmacy	MYOVIEW STRESS PER STUDY DOSE	$1,716.00
Pharmacy	NA IODIDE I-123 CAP 100 UCI T	$90.00
Pharmacy	NA IODIDE I-131 1 MCI	$112.00
Pharmacy	nabumetone 500 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	nadolol 20 mg Tablet (1.00 Tablet(s)	$12.00 -$22.00
Pharmacy	nafcillin 1000 mg injection (1.00 Each)	$224.00
Pharmacy	nafcillin 2000 mg injection (1.00 Each)	$354.00 -$379.00
Pharmacy	nalbuphine 10 mg/mL injection 1 mL (1.00 milliLiter(s)	$89.00
Pharmacy	naloxone 0.4 mg/1 mL injection (1.00 milliLiter(s)	$218.00 -$322.00
Pharmacy	naloxone 4 mg/10 mL injection (10.00 milliLiter(s)	$1,345.00 -$1,403.00
Pharmacy	naltrexone 380 mg SA injection (1.00 Each)	$6,025.00
Pharmacy	naltrexone 50 mg Tablet (1.00 Tablet(s)	$15.00
Pharmacy	naphazoline-pheniramine ophthalmic 0.025%-0.3% 15 mL Solution (15.00 milliLiter(s)	$90.00
Pharmacy	naphazoline-pheniramine ophthalmic 0.025%-0.3% 5 mL Solution (5.00 milliLiter(s)	$8.00
Pharmacy	naproxen 500 mg Enteric Coated Tablet (1.00 Tablet(s)	$10.00
Pharmacy	naproxen 500 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	natalizumab 20 mg/mL injection 15 mL (15.00 milliLiter(s)	$20,314.00
Pharmacy	natamycin ophthalmic 5% 15 mL Ophthalmic Suspension (15.00 milliLiter(s)	$2,205.00
Pharmacy	nateglinide 120 mg Tablet (1.00 Tablet(s)	$9.00 -$16.00
Pharmacy	nebivolol 2.5 mg Tablet (1.00 Tablet(s)	$17.00
Pharmacy	nebivolol 5 mg Tablet (1.00 Tablet(s)	$17.00
Pharmacy	nefazodone 100 mg TAB (1.00 Tablet(s)	$17.00
Pharmacy	nefazodone 50 mg Tablet (1.00 Tablet(s)	$16.00
Pharmacy	neomycin + polymyxin B 40 mg-200,000 units/mL 1 mL GU Irrigant (1.00 milliLiter(s)	$197.00 -$490.00
Pharmacy	neomycin 500 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	neostigmine 0.5 mg/mL injection 10 mL (10.00 milliLiter(s)	$601.00 -$858.00
Pharmacy	neostigmine 1 mg/mL injection 10 mL (10.00 milliLiter(s)	$537.00 -$858.00
Pharmacy	neostigmine 1 mg/mL injection 5 mL (5.00 milliLiter(s)	$120.00
Pharmacy	nevirapine 200 mg Tablet (1.00 Tablet(s)	$37.00
Pharmacy	niacin 100 mg Tablet (1.00 Tablet(s)	$1.00
Pharmacy	niacin 500 mg Extended Release Tablet (1.00 Tablet(s)	$2.00 -$20.00
Pharmacy	niacin 500 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	niCARdipine 2.5 mg/mL injection 10 mL (10.00 milliLiter(s)	$324.00
Pharmacy	niCARdipine 20 mg/200 mL NS Premix (200.00 milliLiter(s)	$1,227.00
Pharmacy	nicotine 14 mg/24 hr Extended Release Film (1.00 Patch)	$12.00
Pharmacy	nicotine 2 mg Gum (1.00 Each)	$5.00
Pharmacy	nicotine 21 mg/24 hr Extended Release Film (1.00 Patch)	$13.00
Pharmacy	nicotine 4 mg Gum (1.00 Each)	$5.00
Pharmacy	nicotine 7 mg/24 hr Extended Release Film (1.00 Patch)	$12.00
Pharmacy	NIFEdipine 10 mg Capsule (1.00 Capsule(s)	$8.00
Pharmacy	NIFEdipine 30 mg Extended Release Tablet (1.00 Tablet(s)	$9.00
Pharmacy	NIFEdipine 60 mg Extended Release Tablet (1.00 Tablet(s)	$12.00
Pharmacy	NIFEdipine 90 mg Extended Release Tablet (1.00 Tablet(s)	$12.00
Pharmacy	niMODipine 30 mg Capsule (1.00 Capsule(s)	$33.00 -$64.00
Pharmacy	nitazoxanide 500 mg Tablet (1.00 Tablet(s)	$426.00 -$458.00
Pharmacy	nitrofurantoin macrocrystals 50 mg Capsule (1.00 Capsule(s)	$16.00
Pharmacy	nitrofurantoin macrocrystals-monohydrate 100 mg Capsule (1.00 Capsule(s)	$13.00
Pharmacy	nitroglycerin 0.1 mg/hr Extended Release Film (1.00 Patch)	$21.00 -$29.00
Pharmacy	nitroglycerin 0.2 mg/hr Extended Release Film (1.00 Patch)	$12.00
Pharmacy	nitroglycerin 0.3 mg/hr Extended Release Film (1.00 Patch)	$12.00 -$65.00
Pharmacy	nitroglycerin 0.4 mg Sublingual Tablet (1.00 Tablet(s)	$10.00
Pharmacy	nitroglycerin 0.4 mg/hr Extended Release Film (1.00 Patch)	$12.00
Pharmacy	nitroglycerin 0.6 mg/hr Extended Release Film (1.00 Patch)	$12.00
Pharmacy	nitroglycerin 100 mcg/ml 5 mL Vial (Cath Lab only) (5.00 milliLiter(s)	$60.00
Pharmacy	nitroglycerin 25 mg/250 mL D5W Premix (250.00 milliLiter(s)	$208.00
Pharmacy	nitroglycerin topical 2% 1 g Ointment (1.00 Gram(s)	$16.00 -$31.00
Pharmacy	nitroprusside 50 mg/2 mL injection (2.00 milliLiter(s)	$1,835.00 -$3,686.00
Pharmacy	nivolumab 100 mg/10 mL injection (10.00 milliLiter(s)	$12,067.00
Pharmacy	nivolumab 240 mg/24 mL injection (24.00 milliLiter(s)	$28,961.00
Pharmacy	nivolumab 40 mg/4 mL injection (4.00 milliLiter(s)	$4,827.00
Pharmacy	norepinephrine 4 mg/4 mL injection (4.00 milliLiter(s)	$100.00 -$312.00
Pharmacy	norethindrone 5 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	NORMOSOL-R Infusion 1000 mL (1,000.00 milliLiter(s)	$60.00
Pharmacy	nortriptyline 10 mg Capsule (1.00 Capsule(s)	$5.00
Pharmacy	nortriptyline 25 mg Capsule (1.00 Capsule(s)	$3.00 -$9.00
Pharmacy	nortriptyline 50 mg Capsule (1.00 Capsule(s)	$12.00
Pharmacy	NUSHIELD PER SQ CM	$226.00
Pharmacy	nutritional supplements (Juven) 27.5 gram packet (1.00 Packet(s)	$10.00
Pharmacy	nystatin + triamcinolone Topical Cream 15 grams (15.00 Gram(s)	$625.00
Pharmacy	nystatin Oral Suspension 500,000 units/5 mL (5.00 milliLiter(s)	$7.00
Pharmacy	nystatin Topical Cream 100,000 units/gram 15 grams (15.00 Gram(s)	$157.00
Pharmacy	nystatin Topical Powder 15 grams (1.00 Each)	$14.00 -$223.00
Pharmacy	ocrelizumab 300 mg/10 mL SOLN (10.00 milliLiter(s)	$74,783.00
Pharmacy	octreotide 100 mcg/mL injection 1 mL (1.00 milliLiter(s)	$120.00 -$307.00
Pharmacy	octreotide 50 mcg/mL injection 1 mL (1.00 milliLiter(s)	$100.00 -$255.00
Pharmacy	octreotide 500 mcg/mL injection 1 mL (1.00 milliLiter(s)	$535.00 -$1,166.00
Pharmacy	octreotide LAR depot 10 mg injection (1.00 Each)	$9,552.00 -$11,843.00
Pharmacy	octreotide LAR depot 20 mg injection (1.00 Each)	$12,514.00 -$17,074.00
Pharmacy	octreotide LAR depot 30 mg injection (1.00 Each)	$18,739.00 -$25,567.00
Pharmacy	ocular lubricant ophthalmic (ARTIFICIAL TEARS) 1 g Ointment (1.00 Gram(s)	$40.00
Pharmacy	ocular lubricant ophthalmic (ARTIFICIAL TEARS) 15 mL Solution (15.00 milliLiter(s)	$20.00 -$72.00
Pharmacy	ocular lubricant ophthalmic (ARTIFICIAL TEARS) 3.5 g Ointment (3.50 Gram(s)	$42.00 -$106.00
Pharmacy	ofatumumab 20 mg/mL injection 5 mL (5.00 milliLiter(s)	$2,618.00
Pharmacy	ofatumumab 20 mg/mL injection 50 mL (1.00 milliLiter(s)	$1,344.00
Pharmacy	ofloxacin 0.3% 10 mL ophthalmic solution (10.00 milliLiter(s)	$283.00 -$757.00
Pharmacy	ofloxacin 0.3% 5 mL ophthalmic solution (5.00 milliLiter(s)	$180.00 -$408.00
Pharmacy	OLANZapine 10 mg Disintegrating Tablet (1.00 Tablet(s)	$71.00 -$87.00
Pharmacy	OLANZapine 10 mg injection (1.00 Each)	$535.00 -$577.00
Pharmacy	OLANZapine 10 mg Tablet (1.00 Tablet(s)	$5.00 -$70.00
Pharmacy	OLANZapine 15 mg Disintegrating Tablet (1.00 Tablet(s)	$11.00
Pharmacy	OLANZapine 20 mg Disintegrating Tablet (1.00 Tablet(s)	$12.00
Pharmacy	OLANZapine 5 mg Disintegrating Tablet (1.00 Tablet(s)	$48.00 -$59.00
Pharmacy	OLANZapine 5 mg Tablet (1.00 Tablet(s)	$4.00 -$45.00
Pharmacy	OLANZapine 7.5 mg Tablet (1.00 Tablet(s)	$4.00 -$55.00
Pharmacy	olaratumab 190 mg/19 mL Injection (19.00 milliLiter(s)	$4,211.00
Pharmacy	olaratumab 500 mg/50 mL Injection (50.00 milliLiter(s)	$9,476.00
Pharmacy	omalizumab 150 mg injection (1.00 Each)	$4,894.00
Pharmacy	omega-3 polyunsaturated fatty acids 1000 mg Capsule (1.00 Capsule(s)	$4.00
Pharmacy	omeprazole suspension 2 mg/mL 20 mL (20.00 milliLiter(s)	$20.00
Pharmacy	ondansetron 4 mg Disintegrating Tablet (1.00 Tablet(s)	$79.00
Pharmacy	ondansetron 4 mg Tablet (1.00 Tablet(s)	$5.00 -$85.00
Pharmacy	ondansetron 4 mg/2 mL injection (2.00 milliLiter(s)	$37.00 -$73.00
Pharmacy	ondansetron 40 mg/20 mL injection (20.00 milliLiter(s)	$89.00 -$335.00
Pharmacy	ophthalmic irrigation, extraocular (EYE STREAM) 30 mL Solution (30.00 milliLiter(s)	$180.00
Pharmacy	ophthalmic irrigation, intraocular balanced salt solution 15 mL Solution (15.00 milliLiter(s)	$87.00
Pharmacy	opium 10% 10 mg/1 mL Oral Tincture (1.00 milliLiter(s)	$63.00 -$82.00
Pharmacy	orphenadrine 100 mg Extended Release Tablet (1.00 Tablet(s)	$11.00
Pharmacy	orphenadrine 60 mg/2 mL injection (2.00 milliLiter(s)	$221.00 -$307.00
Pharmacy	oseltamivir 15 mg/mL Oral Solution 5 mL (5.00 milliLiter(s)	$57.00
Pharmacy	oseltamivir 30 mg/2 ml oral solution (2.00 milliLiter(s)	$10.00
Pharmacy	oseltamivir 6 mg/mL Oral Solution (1.00 milliLiter(s)	$7.00
Pharmacy	oseltamivir 75 mg Capsule (1.00 Capsule(s)	$53.00 -$59.00
Pharmacy	oxaliplatin 100 mg/20 mL injection (20.00 milliLiter(s)	$1,227.00 -$1,680.00
Pharmacy	oxaliplatin 50 mg/10 mL injection (10.00 milliLiter(s)	$736.00 -$5,808.00
Pharmacy	OXcarbazepine 300 mg Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	OXcarbazepine 300 mg/5 mL Oral Suspension (5.00 milliLiter(s)	$13.00
Pharmacy	oxybutynin 3.9 mg/24 hr Patch (1.00 Patch)	$331.00
Pharmacy	oxybutynin 5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	oxychlorosene sodium topical 2 gram (2.00 Gram(s)	$58.00
Pharmacy	oxyCODONE 10 mg Extended Release Tablet (1.00 Tablet(s)	$16.00 -$25.00
Pharmacy	oxyCODONE 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	oxyCODONE 20 mg Extended Release Tablet (1.00 Tablet(s)	$29.00
Pharmacy	oxyCODONE 30 mg Tablet (1.00 Tablet(s)	$5.00 -$16.00
Pharmacy	oxyCODONE 40 mg Extended Release Tablet (1.00 Tablet(s)	$29.00 -$49.00
Pharmacy	oxyCODONE 5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	oxymetazoline nasal 0.05% 15 mL Spray (15.00 milliLiter(s)	$23.00 -$57.00
Pharmacy	oxytocin 10 units/1 mL injection (1.00 milliLiter(s)	$60.00
Pharmacy	oxytocin 30 units/500 mL Premix (500.00 milliLiter(s)	$217.00
Pharmacy	PACLitaxel 100 mg/16.7 mL injection (16.70 milliLiter(s)	$726.00
Pharmacy	PACLitaxel 300 mg/50 mL injection (50.00 milliLiter(s)	$869.00 -$1,528.00
Pharmacy	PACLitaxel protein-bound 100 mg injection (1.00 Each)	$6,128.00
Pharmacy	paliperidone 3 mg Extended Release Tablet (1.00 Tablet(s)	$104.00 -$151.00
Pharmacy	paliperidone 6 mg Extended Release Tablet (1.00 Tablet(s)	$104.00 -$151.00
Pharmacy	paliperidone 9 mg Extended Release Tablet (1.00 Tablet(s)	$156.00 -$226.00
Pharmacy	palonosetron 0.25 mg/5 mL injection (5.00 milliLiter(s)	$1,680.00 -$2,549.00
Pharmacy	pamidronate 3 mg/mL injection 10 mL (10.00 milliLiter(s)	$266.00 -$434.00
Pharmacy	pancrelipase CREON 12 (12,000 - 38,000 - 60,000 units) - Delayed Release Capsule (1.00 Capsule(s)	$12.00
Pharmacy	pancrelipase CREON 24 (24,000 - 76,000 - 120,000 units) Delayed Release Capsule (1.00 Capsule(s)	$21.00
Pharmacy	pancuronium 1 mg/mL injection 10 mL (10.00 milliLiter(s)	$104.00
Pharmacy	panitumumab 100 mg/5 mL injection (5.00 milliLiter(s)	$5,465.00
Pharmacy	panitumumab 400 mg injeciton 20 mL (20.00 milliLiter(s)	$21,859.00
Pharmacy	pantoprazole 40 mg Enteric Coated Tablet (1.00 Tablet(s)	$5.00 -$33.00
Pharmacy	pantoprazole 40 mg injection (1.00 Each)	$100.00 -$131.00
Pharmacy	papaverine 60 mg/2mL injection (2.00 milliLiter(s)	$535.00
Pharmacy	paricalcitol 1 mcg Capsule (1.00 Capsule(s)	$37.00 -$47.00
Pharmacy	paricalcitol 5 mcg/mL 1 mL injection (1.00 milliLiter(s)	$743.00
Pharmacy	PARoxetine 20 mg Tablet (1.00 Each)	$12.00
Pharmacy	pegfilgrastim 6 mg/0.6 mL Injection (NEULASTA) (0.60 milliLiter(s)	$28,676.00
Pharmacy	pegfilgrastim 6 mg/0.6 mL ONPRO Kit (0.60 milliLiter(s)	$28,676.00
Pharmacy	pembrolizumab 25 mg/mL injection 4 mL (4.00 milliLiter(s)	$19,437.00
Pharmacy	PEMEtrexed 100 mg injection (1.00 Each)	$3,114.00
Pharmacy	PEMEtrexed 500 mg injection (1.00 Each)	$15,567.00
Pharmacy	penicillin G benzathine + penicillin G procaine 1,200,000 units/2 mL injection CR (2.00 milliLiter(s)	$1,442.00
Pharmacy	penicillin G benzathine 1,200,000 units/2 mL injection LA (2.00 milliLiter(s)	$104.00 -$1,575.00
Pharmacy	penicillin G benzathine 2,400,000 units/4 mL SUSP (4.00 milliLiter(s)	$1,996.00
Pharmacy	penicillin G potassium 20,000,000 units injection (1.00 Each)	$745.00 -$1,359.00
Pharmacy	penicillin G potassium 3,000,000 units/50 mL Premix (50.00 milliLiter(s)	$193.00
Pharmacy	penicillin G potassium 5,000,000 units injection (1.00 Each)	$233.00 -$442.00
Pharmacy	penicillin G potassium 50,000 units/mL injection [NEONATE] (1.00 milliLiter(s)	$233.00
Pharmacy	penicillin V potassium 250 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	penicillin V potassium 50 mg/mL oral solution (1.00 milliLiter(s)	$10.00
Pharmacy	penicillin V potassium 500 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	pentamidine 300 mg Inhalation (1.00 Each)	$1,575.00
Pharmacy	pentamidine 300 mg Powder for Injection (1.00 Each)	$307.00 -$1,575.00
Pharmacy	pentosan polysulfate sodium 100 mg CAP (1.00 Capsule(s)	$33.00
Pharmacy	pentostatin 10 mg injection (1.00 Each)	$10,154.00
Pharmacy	pentoxifylline 400 mg Extended Release Tablet (1.00 Tablet(s)	$10.00
Pharmacy	peppermint water 90 mL (90.00 milliLiter(s)	$105.00
Pharmacy	perflutren lipid microspheres 1.1 mg/mL injection 2 mL (2.00 milliLiter(s)	$1,547.00
Pharmacy	permethrin bedding spray 142 gram (142.00 Gram(s)	$45.00
Pharmacy	permethrin topical 1% 59 mL Rinse (59.00 milliLiter(s)	$100.00
Pharmacy	permethrin Topical Cream 5% 60 grams (60.00 Gram(s)	$663.00 -$691.00
Pharmacy	perphenazine 4 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	pertuzumab 30 mg/mL 14 mL injection (14.00 milliLiter(s)	$23,068.00
Pharmacy	petrolatum topical 100% 30 g Ointment (30.00 Gram(s)	$32.00
Pharmacy	phenazopyridine 100 mg Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	phenazopyridine 200 mg Tablet (1.00 Tablet(s)	$7.00 -$23.00
Pharmacy	phenazopyridine 95 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	phenelzine 15 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	PHENobarbital 130 mg/mL Injection (1.00 milliLiter(s)	$681.00
Pharmacy	PHENobarbital 130 mg/mL injection PEDS (1.00 Each)	$795.00
Pharmacy	PHENobarbital 16.2 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	PHENobarbital 32.4 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	PHENobarbital 4 mg/mL Solution PEDS (1.00 milliLiter(s)	$5.00
Pharmacy	phenol menthol lozenge sugar free (1.00 Lozenge(s)	$3.00
Pharmacy	phenol topical 1.4% Topical Spray 117 mL (177.00 milliLiter(s)	$28.00 -$44.00
Pharmacy	phentolamine 5 mg injection (1.00 Each)	$1,575.00 -$2,579.00
Pharmacy	phenylephrine 0.25% Rectal Gel 54 grams (54.00 Gram(s)	$104.00
Pharmacy	phenylephrine 0.25% Rectal Suppository (1.00 Suppository(s)	$10.00
Pharmacy	phenylephrine 0.5 mg/5 mL syringe (5.00 milliLiter(s)	$680.00
Pharmacy	phenylephrine 1 mg/10 mL syringe (10.00 milliLiter(s)	$104.00
Pharmacy	phenylephrine 10 mg/mL injection 1 mL (1.00 milliLiter(s)	$104.00 -$221.00
Pharmacy	phenylephrine 10 mg/mL injection 5 mL (5.00 milliLiter(s)	$417.00
Pharmacy	phenylephrine ophthalmic 10% 5 mL Solution (5.00 milliLiter(s)	$327.00 -$340.00
Pharmacy	phenylephrine ophthalmic 2.5% 15 mL Solution (15.00 milliLiter(s)	$603.00
Pharmacy	phenytoin 100 mg Extended Release Capsule (1.00 Capsule(s)	$9.00
Pharmacy	phenytoin 100 mg/4 mL Oral Suspension (4.00 milliLiter(s)	$8.00
Pharmacy	phenytoin 30 mg Extended Release Capsule (1.00 Capsule(s)	$8.00
Pharmacy	phenytoin 50 mg Chewable Tablet (1.00 Tablet(s)	$9.00
Pharmacy	phenytoin 50 mg/mL injection 2 mL (2.00 milliLiter(s)	$60.00
Pharmacy	phenytoin 50 mg/mL injection 5 mL (5.00 milliLiter(s)	$60.00 -$73.00
Pharmacy	phosphates (potassium + sodium) 250 mg Powder (1.50 Gram(s)	$5.00
Pharmacy	physostigmine 2 mg/2 mL injection (2.00 milliLiter(s)	$547.00
Pharmacy	phytonadione 1 mg/0.5 mL injection (0.50 milliLiter(s)	$104.00 -$307.00
Pharmacy	phytonadione 10 mg/mL injection 1 mL (1.00 milliLiter(s)	$699.00 -$710.00
Pharmacy	phytonadione 5 mg/5 mL Oral Liquid (5.00 milliLiter(s)	$653.00
Pharmacy	pilocarpine 5 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	pilocarpine ophthalmic 1% 15 mL Solution (15.00 milliLiter(s)	$283.00
Pharmacy	pilocarpine ophthalmic 2% 15 mL Solution (15.00 milliLiter(s)	$330.00 -$563.00
Pharmacy	pilocarpine ophthalmic 4% 15 mL Solution (15.00 milliLiter(s)	$668.00
Pharmacy	pimozide 2 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	pindolol 5 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	pioglitazone 15 mg Tablet (1.00 Tablet(s)	$13.00 -$24.00
Pharmacy	pioglitazone 30 mg Tablet (1.00 Tablet(s)	$37.00 -$81.00
Pharmacy	pioglitazone 45 mg Tablet (1.00 Tablet(s)	$40.00
Pharmacy	piperacillin + tazobactam 4.5 gram injection (1.00 Each)	$253.00 -$369.00
Pharmacy	piperacillin + tazobactam 3.375 gram injection (1.00 Each)	$190.00 -$307.00
Pharmacy	piperacillin + tazobactam 2.25 gram injection (1.00 Each)	$120.00 -$189.00
Pharmacy	piperonyl butoxide-pyrethrins topical 4%-0.33% 59 mL (59.00 milliLiter(s)	$26.00 -$68.00
Pharmacy	piroxicam 10 mg Capsule (1.00 Capsule(s)	$12.00
Pharmacy	plasma protein fraction 5% Solution 250 mL (250.00 milliLiter(s)	$429.00
Pharmacy	pneumococcal 13-valent conjugate vaccine 0.5 mL injection (0.50 milliLiter(s)	$1,575.00 -$1,643.00
Pharmacy	pneumococcal 23-polyvalent vaccine 0.5 mL injection (0.50 milliLiter(s)	$1,227.00
Pharmacy	podophyllum resin topical 25% 15 mL Solution (15.00 milliLiter(s)	$684.00
Pharmacy	poliovirus vaccine, inactivated 0.5 mL injection (0.50 milliLiter(s)	$511.00
Pharmacy	polycarbophil 625 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	polyethylene glycol 3350 17 g Packet (17.00 Gram(s)	$12.00
Pharmacy	polyethylene glycol 3350 with electrolytes (Golytely) (4,000.00 milliLiter(s)	$195.00
Pharmacy	polyethylene glycol 510 grams (510.00 Gram(s)	$160.00 -$186.00
Pharmacy	polymyxin B + trimethoprim ophthalmic 10 mL Solution (10.00 milliLiter(s)	$198.00 -$268.00
Pharmacy	polymyxin B sulfate 500,000 units injection (1.00 Each)	$166.00 -$269.00
Pharmacy	poractant 80 mg/mL suspension 1.5 mL (1.50 milliLiter(s)	$2,726.00
Pharmacy	posaconazole 100 mg EC Tablet (1.00 Tablet(s)	$242.00
Pharmacy	posaconazole 200 mg/5 mL Oral Suspension (5.00 milliLiter(s)	$79.00
Pharmacy	potassium acetate 40 mEq/20 mL injection (20.00 milliLiter(s)	$73.00 -$180.00
Pharmacy	potassium bicarbonate 25 mEq Effervescent Tablet (1.00 Tablet(s)	$8.00
Pharmacy	potassium chloride 10 mEq Extended Release Tablet (1.00 Tablet(s)	$9.00
Pharmacy	potassium chloride 10 mEq/100 mL Premix (100.00 milliLiter(s)	$89.00 -$100.00
Pharmacy	potassium chloride 20 mEq/10 mL injection (10.00 milliLiter(s)	$60.00 -$89.00
Pharmacy	potassium chloride 20 mEq/100 mL IVPB Premix (100.00 milliLiter(s)	$100.00
Pharmacy	potassium chloride 20 mEq/15 mL Oral Liquid (15.00 milliLiter(s)	$10.00 -$23.00
Pharmacy	potassium chloride 40 mEq/20 mL injection (20.00 milliLiter(s)	$60.00 -$100.00
Pharmacy	potassium chloride 40 mEq/30 mL Oral Liquid (30.00 milliLiter(s)	$5.00 -$39.00
Pharmacy	potassium chloride 500 mEq/250 mL injection (250.00 milliLiter(s)	$269.00
Pharmacy	potassium citrate 5 mEq Extended Release Tablet (1.00 Tablet(s)	$9.00
Pharmacy	potassium gluconate 595 mg tablet (1.00 Tablet(s)	$1.00
Pharmacy	potassium iodide 1 gram/mL 30 mL Oral Solution SSKI (30.00 milliLiter(s)	$105.00
Pharmacy	potassium phosphate + sodium phosphate [KPhos Neutral] 250 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	potassium phosphate 3 mmol/mL injection 15 mL (15.00 milliLiter(s)	$100.00 -$486.00
Pharmacy	potassium phosphate 3 mmol/mL, 5ml (5.00 milliLiter(s)	$273.00
Pharmacy	potassium phosphate 7 mmol/Sterile Water 100 mL Infusion (100.00 milliLiter(s)	$224.00
Pharmacy	potassium/chloride 25 mEq Effervescent Tablet (1.00 Tablet(s)	$9.00
Pharmacy	povidone iodine ophthalmic 5% 30 mL Solution (30.00 milliLiter(s)	$139.00
Pharmacy	povidone iodine topical 10% 120 mL Solution (120.00 milliLiter(s)	$18.00 -$29.00
Pharmacy	povidone iodine topical 10% 30 g Ointment (30.00 Gram(s)	$37.00 -$171.00
Pharmacy	PRALAtrexate 20 mg/mL injection 1 mL (1.00 milliLiter(s)	$24,122.00
Pharmacy	PRALAtrexate 20 mg/mL injection 2 mL (2.00 milliLiter(s)	$48,244.00
Pharmacy	pralidoxime 1000 mg Injection (1.00 Each)	$1,161.00
Pharmacy	pramipexole 0.25 mg Tablet (1.00 Tablet(s)	$4.00 -$12.00
Pharmacy	pramipexole 0.5 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	pramipexole 1 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	pramoxine rectal 1% 15 g Foam (15.00 Gram(s)	$340.00 -$544.00
Pharmacy	prasugrel 10 mg Tablet (1.00 Tablet(s)	$57.00 -$63.00
Pharmacy	prasugrel 5 mg Tablet (1.00 Tablet(s)	$63.00
Pharmacy	pravastatin 10 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	pravastatin 20 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	pravastatin 40 mg Tablet (1.00 Tablet(s)	$17.00
Pharmacy	prazosin 1 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	prazosin 5 mg Capsule (1.00 Capsule(s)	$11.00
Pharmacy	prednisoLONE (3 mg/mL) oral syrup PEDS (1.00 milliLiter(s)	$9.00
Pharmacy	prednisoLONE + sulfacetamide sodium ophthalmic 10 mL Suspension (10.00 milliLiter(s)	$1,857.00
Pharmacy	prednisoLONE + sulfacetamide sodium ophthalmic 5 mL Suspension (5.00 milliLiter(s)	$929.00
Pharmacy	prednisoLONE 15 mg/5 mL Oral Syrup (5.00 milliLiter(s)	$7.00
Pharmacy	prednisoLONE ophthalmic acetate 0.12% 5 mL Suspension (5.00 milliLiter(s)	$929.00
Pharmacy	prednisoLONE ophthalmic acetate 1% 5 mL Suspension (5.00 milliLiter(s)	$142.00 -$360.00
Pharmacy	prednisolone-sulfacetamide sodium ophthalmic 0.2%-10% OINT (3.50 Gram(s)	$929.00
Pharmacy	predniSONE 1 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	predniSONE 10 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	predniSONE 2.5 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	predniSONE 20 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	predniSONE 5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	predniSONE 50 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	pregabalin 100 mg Capsule (1.00 Capsule(s)	$35.00
Pharmacy	pregabalin 150 mg Capsule (1.00 Capsule(s)	$31.00
Pharmacy	pregabalin 200 mg Capsule (1.00 Capsule(s)	$28.00
Pharmacy	pregabalin 25 mg Capsule (1.00 Capsule(s)	$28.00
Pharmacy	pregabalin 300 mg Capsule (1.00 Capsule(s)	$28.00
Pharmacy	pregabalin 50 mg Capsule (1.00 Capsule(s)	$31.00
Pharmacy	pregabalin 75 mg Capsule (1.00 Capsule(s)	$31.00
Pharmacy	primaquine 26.3 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	PRIMASOL SOLUTION BGK2/3.5	$184.00
Pharmacy	PRIMATRIX SKIN (16 SQCM)	$2,559.00
Pharmacy	primidone 250 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	primidone 50 mg Tablet (1.00 Tablet(s)	$5.00 -$48.00
Pharmacy	probenecid 500 mg TAB (1.00 Tablet(s)	$9.00
Pharmacy	procainamide 500 mg/mL injection 2 mL (2.00 milliLiter(s)	$960.00
Pharmacy	procarbazine 50 mg Capsule (1.00 Capsule(s)	$199.00
Pharmacy	prochlorperazine 10 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	prochlorperazine 10 mg/2 mL injection (2.00 milliLiter(s)	$307.00
Pharmacy	prochlorperazine 25 mg Suppository (1.00 Suppository(s)	$41.00
Pharmacy	prochlorperazine 5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	progesterone 100 mg Capsule (1.00 Capsule(s)	$11.00
Pharmacy	promethazine 12.5 mg Suppository (1.00 Suppository(s)	$13.00 -$58.00
Pharmacy	promethazine 12.5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	promethazine 25 mg Suppository (1.00 Suppository(s)	$58.00
Pharmacy	promethazine 25 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	promethazine 25 mg/mL injection 1 mL (1.00 milliLiter(s)	$60.00 -$89.00
Pharmacy	propafenone 150 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	propafenone 225 mg Extended Release Capsule (1.00 Capsule(s)	$29.00
Pharmacy	propafenone 325 mg Extended Release Capsule (1.00 Capsule(s)	$36.00
Pharmacy	propafenone 425 mg Extended Release Capsule (1.00 Capsule(s)	$34.00 -$63.00
Pharmacy	proPOFol 10 mg/mL 100 mL (100.00 milliLiter(s)	$450.00 -$502.00
Pharmacy	proPOFol 10 mg/mL 20 mL (20.00 milliLiter(s)	$120.00
Pharmacy	proPOFol 10 mg/mL 50 mL (50.00 milliLiter(s)	$258.00 -$288.00
Pharmacy	propranolol 1 mg/1 mL injection (1.00 milliLiter(s)	$148.00
Pharmacy	propranolol 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	propranolol 20 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	propranolol 40 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	propranolol 60 mg Extended Release Capsule (1.00 Capsule(s)	$11.00
Pharmacy	propranolol 80 mg Extended Release Capsule (1.00 Capsule(s)	$12.00
Pharmacy	propranolol 80 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	propylthiouracil 50 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	protamine 250 mg/25 mL injection (25.00 milliLiter(s)	$543.00
Pharmacy	protamine 50 mg/5 mL injection (5.00 milliLiter(s)	$227.00
Pharmacy	protein supplement (LIQUACEL) 30 mL Oral Liquid (30.00 milliLiter(s)	$16.00
Pharmacy	protein supplement (Pro-Stat) 15 grams/30 mL Oral Liquid (30.00 milliLiter(s)	$109.00
Pharmacy	prothrombin complex concentrate 1000 units injection (1,000.00 International Unit(s)	$10,623.00
Pharmacy	prothrombin complex concentrate 500 units injection (500.00 International Unit(s)	$5,312.00
Pharmacy	pseudoephedrine 120 mg Extended Release Tablet (1.00 Tablet(s)	$5.00
Pharmacy	pseudoephedrine 30 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	pseudoephedrine 30 mg/5 mL Oral Liquid (5.00 milliLiter(s)	$5.00
Pharmacy	psyllium 0.52 grams Capsule (1.00 Capsule(s)	$2.00
Pharmacy	psyllium 3.4 g/5.8 g Smooth Texture Oral Powder (1.00 Packet(s)	$5.00
Pharmacy	pyrazinamide 500 mg Tablet (1.00 Tablet(s)	$23.00
Pharmacy	pyridostigmine 180 mg Extended Release Tablet (1.00 Tablet(s)	$85.00 -$104.00
Pharmacy	pyridostigmine 5 mg/mL injection 2 mL (2.00 milliLiter(s)	$514.00
Pharmacy	pyridostigmine 60 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	pyridoxine 100 mg/mL injection 1 mL (1.00 milliLiter(s)	$280.00
Pharmacy	pyridoxine 50 mg Tablet (1.00 Tablet(s)	$1.00
Pharmacy	pyrimethamine 25 mg Tablet (1.00 Tablet(s)	$3,059.00
Pharmacy	pyrithione zinc topical 1% 120 mL Shampoo (120.00 milliLiter(s)	$41.00
Pharmacy	QUEtiapine 100 mg Tablet (1.00 Tablet(s)	$5.00 -$28.00
Pharmacy	QUEtiapine 200 mg Tablet (1.00 Tablet(s)	$44.00 -$52.00
Pharmacy	QUEtiapine 25 mg Tablet (1.00 Tablet(s)	$4.00 -$16.00
Pharmacy	QUEtiapine 400 mg Tablet (1.00 Tablet(s)	$68.00
Pharmacy	QUEtiapine 50 mg Tablet (1.00 Tablet(s)	$24.00
Pharmacy	quiNIDine 80 mg/mL SOLN (1.00 milliLiter(s)	$73.00
Pharmacy	quiNINE 324 mg Capsule (1.00 Capsule(s)	$18.00 -$25.00
Pharmacy	rabies immune globulin, human (HypeRAB) 150 intl units/mL 10 mL (10.00 milliLiter(s)	$7,845.00
Pharmacy	rabies immune globulin, human (HypeRAB) 150 intl units/mL 2 mL (2.00 milliLiter(s)	$2,312.00
Pharmacy	rabies immune globulin, human (IMOGAM) 150 intl units/mL injection 10 mL (10.00 milliLiter(s)	$12,967.00
Pharmacy	rabies immune globulin, human (IMOGAM) 150 intl units/mL injection 2 mL (2.00 milliLiter(s)	$3,326.00
Pharmacy	rabies immune globulin, human (KEDRAB) 150 intl units/mL 2 mL (2.00 milliLiter(s)	$3,432.00
Pharmacy	rabies immune globulin, human 300 intl units/mL SOLN (1.00 milliLiter(s)	$3,268.00
Pharmacy	rabies vaccine (IMOVAX) 2.5 Intl Units injection (1.00 Each)	$2,101.00
Pharmacy	rabies vaccine, 2.5 units/1 mL (RABAVERT) injection (1.00 Each)	$1,835.00 -$1,897.00
Pharmacy	racemic EPINEPHrine 2.25% solution 0.5 mL (1.00 Each)	$9.00
Pharmacy	raloxifene 60 mg Tablet (1.00 Tablet(s)	$27.00
Pharmacy	raltegravir 400 mg Tablet (1.00 Tablet(s)	$102.00
Pharmacy	ramipril 1.25 mg Capsule (1.00 Capsule(s)	$10.00
Pharmacy	ramipril 10 mg Capsule (1.00 Capsule(s)	$4.00 -$30.00
Pharmacy	ramipril 2.5 mg Capsule (1.00 Capsule(s)	$3.00 -$24.00
Pharmacy	ramipril 5 mg Capsule (1.00 Capsule(s)	$10.00
Pharmacy	ramucirumab 100 mg/10 mL Solution (10.00 milliLiter(s)	$5,107.00
Pharmacy	ramucirumab 500 mg/50 mL Solution (50.00 milliLiter(s)	$25,535.00
Pharmacy	ranitidine 15 mg/mL Syrup PEDS (1.00 milliLiter(s)	$5.00
Pharmacy	ranolazine 500 mg Extended Release Tablet (1.00 Tablet(s)	$17.00
Pharmacy	rasagiline 1 mg Tablet (1.00 Tablet(s)	$85.00 -$98.00
Pharmacy	rasburicase 1.5 mg injection (1.00 Each)	$3,810.00
Pharmacy	rasburicase 7.5 mg injection (1.00 Each)	$19,049.00
Pharmacy	regadenoson 0.4 mg/5 mL injection (5.00 milliLiter(s)	$1,784.00
Pharmacy	remifentanil 1000 mcg injection (1.00 Each)	$828.00
Pharmacy	remifentanil 2000 mcg injection (1.00 Each)	$1,329.00
Pharmacy	remifentanil 5000 mcg injection (1.00 Each)	$1,835.00
Pharmacy	RHO (D) IG 20MCG (100 IU) T	$345.00
Pharmacy	RHo (D) immune globulin (WinRHO) 1500 unit injection (1.30 milliLiter(s)	$2,297.00 -$2,533.00
Pharmacy	RHo (D) immune globulin (WinRHO) 15000 unit injection (13.00 milliLiter(s)	$17,146.00
Pharmacy	ribavirin 200 mg Tablet (1.00 Tablet(s)	$29.00
Pharmacy	rifabutin 150 mg Capsule (1.00 Capsule(s)	$60.00 -$124.00
Pharmacy	rifampin 150 mg Capsule (1.00 Capsule(s)	$60.00 -$89.00
Pharmacy	rifampin 300 mg Capsule (1.00 Capsule(s)	$9.00 -$16.00
Pharmacy	rifampin 600 mg injection (1.00 Each)	$1,575.00 -$1,606.00
Pharmacy	rifaximin 200 mg Tablet (1.00 Tablet(s)	$33.00 -$79.00
Pharmacy	rifaximin 550 mg Tablet (1.00 Tablet(s)	$150.00
Pharmacy	rimantadine 100 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	risperiDONE 0.25 mg Tablet (1.00 Tablet(s)	$8.00 -$38.00
Pharmacy	risperiDONE 0.5 mg Disintegrating Tablet (1.00 Each)	$17.00 -$40.00
Pharmacy	risperiDONE 0.5 mg Tablet (1.00 Tablet(s)	$9.00 -$42.00
Pharmacy	risperiDONE 1 mg Disintegrating Tablet (1.00 Tablet(s)	$19.00 -$51.00
Pharmacy	risperiDONE 1 mg Tablet (1.00 Tablet(s)	$9.00 -$40.00
Pharmacy	risperiDONE 1 mg/mL Oral Solution (1.00 milliLiter(s)	$37.00
Pharmacy	risperiDONE 2 mg Disintegrating Tablet (1.00 Tablet(s)	$31.00 -$82.00
Pharmacy	risperiDONE 2 mg Tablet (1.00 Tablet(s)	$24.00 -$73.00
Pharmacy	risperiDONE 25 mg/2 weeks Extended Release injection (1.00 Each)	$2,552.00
Pharmacy	risperiDONE 3 mg Tablet (1.00 Tablet(s)	$12.00 -$86.00
Pharmacy	risperiDONE 4 mg Tablet (1.00 Tablet(s)	$14.00 -$116.00
Pharmacy	ritonavir 100 mg Capsule (1.00 Capsule(s)	$31.00 -$39.00
Pharmacy	riTUXimab 10 mg/mL injection 10 mL (10.00 milliLiter(s)	$4,324.00
Pharmacy	riTUXimab 10 mg/mL injection 50 mL (50.00 milliLiter(s)	$21,619.00
Pharmacy	rivaroxaban 10 mg Tablet (1.00 Tablet(s)	$57.00
Pharmacy	rivaroxaban 15 mg Tablet (1.00 Tablet(s)	$57.00
Pharmacy	rivaroxaban 20 mg Tablet (1.00 Tablet(s)	$57.00
Pharmacy	rivastigmine 1.5 mg Capsule (1.00 Capsule(s)	$16.00
Pharmacy	rivastigmine 3 mg Capsule (1.00 Capsule(s)	$15.00
Pharmacy	rivastigmine 4.6 mg/24 hr Extended Release Film (1.00 Each)	$58.00 -$88.00
Pharmacy	rivastigmine 6 mg Capsule (1.00 Capsule(s)	$15.00
Pharmacy	rivastigmine 9.5 mg/24 hr Extended Release Film (1.00 Each)	$58.00 -$88.00
Pharmacy	rocuronium 10 mg/mL Injection 10 mL (10.00 milliLiter(s)	$129.00
Pharmacy	rocuronium 10 mg/mL injection 5 mL (5.00 milliLiter(s)	$100.00 -$302.00
Pharmacy	romiPLOStim 250 mcg injection (1.00 Each)	$6,704.00
Pharmacy	romiPLOStim 500 mcg injection (1.00 Each)	$10,724.00
Pharmacy	rOPINIRole 0.25 mg Tablet (1.00 Tablet(s)	$4.00 -$12.00
Pharmacy	rOPINIRole 0.5 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	rOPINIRole 1 mg Tablet (1.00 Tablet(s)	$6.00 -$12.00
Pharmacy	rOPINIRole 2 mg Tablet (1.00 Tablet(s)	$6.00 -$12.00
Pharmacy	ropivacaine 0.2% injection 100 mL (100.00 milliLiter(s)	$569.00 -$858.00
Pharmacy	ropivacaine 0.2% injection 20 mL (20.00 milliLiter(s)	$179.00
Pharmacy	ropivacaine 0.2% injection 200 mL (200.00 milliLiter(s)	$1,035.00 -$1,089.00
Pharmacy	ropivacaine 0.2% On-Q Pump (550.00 milliLiter(s)	$1,332.00
Pharmacy	ropivacaine 0.2% On-Q Pump with Bolus (500.00 milliLiter(s)	$1,310.00
Pharmacy	ropivacaine 0.5% injection 20 mL (20.00 milliLiter(s)	$267.00
Pharmacy	ropivacaine 0.5% injection 30 mL (30.00 milliLiter(s)	$120.00 -$453.00
Pharmacy	ropivacaine 1% injection 20 mL (20.00 milliLiter(s)	$130.00 -$365.00
Pharmacy	rosuvastatin 10 mg Tablet (1.00 Tablet(s)	$9.00 -$36.00
Pharmacy	rosuvastatin 20 mg Tablet (1.00 Tablet(s)	$25.00 -$33.00
Pharmacy	saccharomyces boulardii lyo 250 mg Capsule (1.00 Capsule(s)	$6.00
Pharmacy	sacubitril-valsartan 24 mg-26 mg Tablet (1.00 Tablet(s)	$30.00
Pharmacy	sacubitril-valsartan 49 mg-51 mg Tablet (1.00 Tablet(s)	$132.00
Pharmacy	salsalate 500 mg Tablet (1.00 Tablet(s)	$9.00 -$33.00
Pharmacy	scopolamine 1.5 mg Extended Release Film (1.00 Patch)	$73.00 -$87.00
Pharmacy	selegiline 5 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	selenium 200 mcg Tablet (1.00 Tablet(s)	$2.00
Pharmacy	senna 8.6 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	sertraline 100 mg Tablet (1.00 Tablet(s)	$4.00 -$12.00
Pharmacy	sertraline 20 mg/1 mL Concentrate (2.50 milliLiter(s)	$7.00 -$14.00
Pharmacy	sertraline 25 mg Tablet (1.00 Tablet(s)	$3.00 -$12.00
Pharmacy	sertraline 50 mg Tablet (1.00 Tablet(s)	$4.00 -$12.00
Pharmacy	SESTAMIBI REST PER STUDY DOSE	$800.00
Pharmacy	SESTAMIBI REST PER STUDY DOSE	$950.00
Pharmacy	sevelamer carbonate 800 mg Tablet (1.00 Tablet(s)	$22.00
Pharmacy	sildenafil 20 mg Tablet (1.00 Tablet(s)	$65.00 -$179.00
Pharmacy	silver nitrate topical Stick (1.00 Each)	$5.00
Pharmacy	silver sulfADIAZINE topical 1% 400 g Cream (400.00 Gram(s)	$408.00
Pharmacy	silver sulfADIAZINE topical 1% 50 g Cream (50.00 Gram(s)	$133.00 -$139.00
Pharmacy	simethicone 40 mg/0.6 mL Oral Liquid 30 mL (30.00 milliLiter(s)	$12.00
Pharmacy	simethicone 80 mg Chewable Tablet (1.00 Tablet(s)	$3.00
Pharmacy	simvastatin 10 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	simvastatin 20 mg Tablet (1.00 Tablet(s)	$7.00 -$17.00
Pharmacy	simvastatin 40 mg Tablet (1.00 Tablet(s)	$17.00
Pharmacy	sincalide 5 mcg injection (1.00 Each)	$1,227.00
Pharmacy	SINCALIDE INJ 5MCG	$268.00
Pharmacy	sirolimus 1 mg Tablet (1.00 Tablet(s)	$58.00 -$114.00
Pharmacy	sodium acetate 40 mEq/20 mL injection (20.00 milliLiter(s)	$89.00
Pharmacy	sodium bicarbonate - Compounding Powder (1.00 Each)	$5.00
Pharmacy	sodium bicarbonate 4.2% 10 mL injection (syringe) (10.00 milliLiter(s)	$191.00
Pharmacy	sodium bicarbonate 650 mg Tablet (1.00 Tablet(s)	$2.00
Pharmacy	sodium bicarbonate 8.4% 10 mL injection (syringe) (10.00 milliLiter(s)	$259.00
Pharmacy	sodium bicarbonate 8.4% 50 mL injection (50.00 milliLiter(s)	$171.00 -$320.00
Pharmacy	sodium bicarbonate 8.4% 50 mL injection (syringe) (50.00 milliLiter(s)	$184.00 -$194.00
Pharmacy	sodium chloride 0.225% 1000 mL (1,000.00 milliLiter(s)	$60.00
Pharmacy	sodium chloride 0.45% + KCL 20 mEq/L 1000 mL (1,000.00 milliLiter(s)	$30.00 -$70.00
Pharmacy	sodium chloride 0.45% 100 mL with Adaptor (100.00 milliLiter(s)	$29.00
Pharmacy	sodium chloride 0.45% 1000 mL (1,000.00 milliLiter(s)	$60.00
Pharmacy	sodium chloride 0.45% 250 mL with Adaptor (250.00 milliLiter(s)	$37.00
Pharmacy	sodium chloride 0.45% 50 mL with Adaptor (50.00 milliLiter(s)	$49.00
Pharmacy	sodium chloride 0.45% 500 mL (500.00 milliLiter(s)	$55.00
Pharmacy	sodium chloride 0.675% (3/4 NS) 1000 mL (1,000.00 milliLiter(s)	$119.00
Pharmacy	sodium chloride 0.9% + 40 mEq KCL Infusion 1000 mL (1,000.00 milliLiter(s)	$119.00
Pharmacy	sodium chloride 0.9% + KCL 20 mEq/L 1000 mL (1,000.00 milliLiter(s)	$30.00 -$99.00
Pharmacy	sodium chloride 0.9% 100 mL (100.00 milliLiter(s)	$19.00 -$114.00
Pharmacy	sodium chloride 0.9% 100 mL with Adaptor (100.00 milliLiter(s)	$29.00 -$60.00
Pharmacy	sodium chloride 0.9% 1000 mL (1,000.00 milliLiter(s)	$60.00
Pharmacy	sodium chloride 0.9% 150 mL (150.00 milliLiter(s)	$55.00
Pharmacy	sodium chloride 0.9% 2.5 mL Flush Solution (2.50 milliLiter(s)	$37.00
Pharmacy	sodium chloride 0.9% 250 mL (250.00 milliLiter(s)	$40.00 -$62.00
Pharmacy	sodium chloride 0.9% 250 mL EXCEL (250.00 milliLiter(s)	$23.00
Pharmacy	sodium chloride 0.9% 250 mL Irrigation (250.00 milliLiter(s)	$56.00
Pharmacy	sodium chloride 0.9% 250 mL with Adaptor (250.00 milliLiter(s)	$37.00
Pharmacy	sodium chloride 0.9% 3 mL Inhalation (3.00 milliLiter(s)	$3.00
Pharmacy	sodium chloride 0.9% 50 mL (50.00 milliLiter(s)	$15.00
Pharmacy	sodium chloride 0.9% 50 mL with Adaptor (50.00 milliLiter(s)	$59.00
Pharmacy	sodium chloride 0.9% 500 mL (500.00 milliLiter(s)	$25.00 -$55.00
Pharmacy	sodium chloride 1 g Tablet (1.00 Tablet(s)	$3.00
Pharmacy	sodium chloride 23.4% 30 mL injection (30.00 milliLiter(s)	$60.00 -$104.00
Pharmacy	sodium chloride 3% 500 mL (500.00 milliLiter(s)	$60.00
Pharmacy	sodium chloride 7% inhalation 4 mL (4.00 milliLiter(s)	$5.00
Pharmacy	sodium chloride bacteriostatic 0.9% 30 mL (30.00 milliLiter(s)	$60.00 -$89.00
Pharmacy	sodium chloride nasal 0.65% 14.1 g Gel (AYR) (14.00 Gram(s)	$35.00
Pharmacy	sodium chloride nasal 0.65% 45 mL Spray (45.00 milliLiter(s)	$16.00 -$45.00
Pharmacy	sodium chloride, hypertonic, ophthalmic 5% 15 mL Solution (15.00 milliLiter(s)	$109.00
Pharmacy	sodium chondroitin+ hyaluronate ophthalmic 20 mg-15 mg/0.5 mL (VISCOAT) Solution (0.50 milliLiter(s)	$844.00
Pharmacy	sodium ferric gluconate 12.5 mg/mL injection 5 mL (5.00 milliLiter(s)	$511.00
Pharmacy	SODIUM FLUORIDE F-18 PER DOSE	$494.00
Pharmacy	sodium glycerophosphate 1 mMol/mL injection 20 mL vial (20.00 milliLiter(s)	$203.00
Pharmacy	sodium hyaluronate ophthalmic DUOVISC Kit (0.75 milliLiter(s)	$1,164.00
Pharmacy	sodium hyaluronate ophthalmic HEALON 10 mg/mL Liquid 0.4 mL (0.40 milliLiter(s)	$591.00
Pharmacy	sodium hyaluronate ophthalmic HEALON 23 mg/mL Liquid 0.6 mL (0.60 milliLiter(s)	$1,422.00
Pharmacy	sodium hyaluronate ophthalmic PROVISC 10 mg/mL Liquid 0.55 mL (0.55 milliLiter(s)	$1,473.00
Pharmacy	sodium hypochlorite 0.125% solution 473 mL (473.00 milliLiter(s)	$102.00 -$115.00
Pharmacy	sodium hypochlorite topical 0.25% 473 mL Solution (473.00 milliLiter(s)	$102.00 -$115.00
Pharmacy	sodium hypochlorite topical 0.5% 473 mL Solution (473.00 milliLiter(s)	$102.00 -$115.00
Pharmacy	SODIUM IODIDE I-131 1MCI T	$112.00
Pharmacy	sodium phosphate 3 mMol/mL injection 15 mL (15.00 milliLiter(s)	$257.00 -$486.00
Pharmacy	sodium phosphate 3 mMol/mL injection 5 mL (5.00 milliLiter(s)	$273.00
Pharmacy	sodium polystyrene sulfonate 15 g/60 mL suspension (60.00 milliLiter(s)	$16.00
Pharmacy	sodium tetradecyl sulfate 1% 2 mL injection (2.00 milliLiter(s)	$1,046.00
Pharmacy	sodium thiosulfate 25% 12.5 g/50 mL Solution for Injection (50.00 milliLiter(s)	$1,194.00
Pharmacy	solifenacin 10 mg Tablet (1.00 Tablet(s)	$50.00
Pharmacy	solifenacin 5 mg Tablet (1.00 Tablet(s)	$43.00 -$50.00
Pharmacy	sotalol 120 mg Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	sotalol 80 mg Tablet (1.00 Tablet(s)	$4.00 -$12.00
Pharmacy	spironolactone 100 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	spironolactone 25 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	stavudine 30 mg Capsule (1.00 Capsule(s)	$28.00
Pharmacy	sterile diluent epoprostenol 50 mL (50.00 milliLiter(s)	$205.00 -$250.00
Pharmacy	sterile talc, 5 gram intrapleural (1.00 Each)	$307.00 -$948.00
Pharmacy	sterile water 100 mL injection (100.00 milliLiter(s)	$45.00
Pharmacy	sterile water 1000 mL injection (1,000.00 milliLiter(s)	$30.00 -$60.00
Pharmacy	sterile water 1000 mL Solution for Irrigation (1,000.00 milliLiter(s)	$23.00 -$60.00
Pharmacy	sterile water 20 mL injection (20.00 milliLiter(s)	$60.00
Pharmacy	STRATTICE TM (96 SQCM)	$5,664.00
Pharmacy	succinylcholine 200 mg/10 mL injection syringe (10.00 milliLiter(s)	$127.00 -$288.00
Pharmacy	succinylcholine 200 mg/10 mL injection vial (10.00 milliLiter(s)	$89.00 -$308.00
Pharmacy	sucralfate 1 g Tablet (1.00 Tablet(s)	$4.00 -$15.00
Pharmacy	sucrose 24% (SweetUms) 1 mL (1.00 milliLiter(s)	$4.00
Pharmacy	sucrose 24% (SweetUms) 2 mL (2.00 milliLiter(s)	$5.00
Pharmacy	sugammadex 100 mg/mL injection 5 mL (5.00 milliLiter(s)	$1,575.00
Pharmacy	sulfacetamide sodium ophthalmic 10% 15 mL Solution (15.00 milliLiter(s)	$40.00 -$408.00
Pharmacy	sulfADIAZINE 500 mg Tablet (1.00 Tablet(s)	$18.00
Pharmacy	sulfamethoxazole + trimethoprim 80 mg-16 mg/mL injection 10 mL (10.00 milliLiter(s)	$206.00
Pharmacy	sulfamethoxazole + trimethoprim 800 mg-160 mg/20 mL Oral Suspension (20.00 milliLiter(s)	$5.00 -$14.00
Pharmacy	sulfamethoxazole + trimethoprim DS 800 mg-160 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	sulfaSALAzine 500 mg Enteric Coated Tablet (1.00 Tablet(s)	$5.00
Pharmacy	sulfaSALAzine 500 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	sulindac 150 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	sulindac 200 mg Tablet (1.00 Tablet(s)	$8.00
Pharmacy	SUMAtriptan 100 mg Tablet (1.00 Tablet(s)	$12.00 -$86.00
Pharmacy	SUMAtriptan 25 mg Tablet (1.00 Tablet(s)	$12.00 -$96.00
Pharmacy	sumatriptan 5 mg/inh Spray (1.00 Each)	$408.00 -$482.00
Pharmacy	SUMAtriptan 50 mg Tablet (1.00 Tablet(s)	$86.00 -$259.00
Pharmacy	SUMAtriptan 6 mg/0.5 mL injection (0.50 milliLiter(s)	$751.00 -$1,575.00
Pharmacy	SUMAtriptan nasal 20 mg/inh Spray (1.00 Each)	$408.00 -$482.00
Pharmacy	sunitinib 12.5 mg Capsule (1.00 Capsule(s)	$672.00
Pharmacy	tacrolimus 0.5 mg Capsule (1.00 Capsule(s)	$11.00
Pharmacy	tacrolimus 1 mg Capsule (1.00 Capsule(s)	$11.00 -$25.00
Pharmacy	tacrolimus 5 mg Capsule (1.00 Capsule(s)	$112.00
Pharmacy	tacrolimus 5 mg/mL injection 1 mL (1.00 milliLiter(s)	$1,680.00
Pharmacy	tadalafil 20 mg Tablet (1.00 Tablet(s)	$273.00
Pharmacy	tadalafil 5 mg Tablet (1.00 Tablet(s)	$47.00
Pharmacy	tamoxifen 10 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	tamsulosin 0.4 mg Capsule (1.00 Capsule(s)	$5.00 -$32.00
Pharmacy	tbo-filgrastim 300 mcg/0.5 mL injection (0.50 milliLiter(s)	$1,680.00 -$1,835.00
Pharmacy	tbo-filgrastim 480 mcg/0.8 mL injection (0.80 milliLiter(s)	$2,251.00 -$2,579.00
Pharmacy	TC- 99 DISOFENIN PER VIAL	$564.00
Pharmacy	TC 99M PENTETATE DOSE	$202.00
Pharmacy	TC-99M EXAMETAZINE PER DOSE	$2,459.00
Pharmacy	TC-99M EXAMETAZINE PER DOSE	$3,197.00
Pharmacy	TC99M LABELED RBC UP TO 30 MCI	$1,073.00
Pharmacy	TC-MAA PER STUDY TO 10 MCI	$153.00
Pharmacy	TC-MDP (MEDRONATE) TO 30 MCI	$232.00
Pharmacy	TC-SULFUR COLLOID UNFILT 10MCI	$139.00
Pharmacy	TC-SULFUR COLLOID/FILTER 1 MCI	$139.00
Pharmacy	TECH 99M MERTIATIDE 10MCI	$712.00
Pharmacy	TECHNETIUM 99M SESTAMIBI PER D	$800.00
Pharmacy	TECHNETIUM 99M SESTAMIBI PER D	$950.00
Pharmacy	tedizolid 200 mg injection (1.00 Each)	$1,835.00
Pharmacy	tedizolid 200 mg tablet (1.00 Tablet(s)	$1,288.00
Pharmacy	temazepam 15 mg Capsule (1.00 Capsule(s)	$6.00
Pharmacy	temazepam 30 mg Capsule (1.00 Capsule(s)	$6.00
Pharmacy	temazepam 7.5 mg Capsule (1.00 Capsule(s)	$34.00
Pharmacy	temozolomide 100 mg Capsule (1.00 Capsule(s)	$824.00 -$859.00
Pharmacy	temozolomide 20 mg Capsule (1.00 Capsule(s)	$165.00 -$172.00
Pharmacy	temozolomide 5 mg Capsule (1.00 Capsule(s)	$44.00
Pharmacy	temsirolimus 25 mg/mL injection 1 mL (1.00 milliLiter(s)	$7,259.00
Pharmacy	tenecteplase 50 mg injection (1.00 Each)	$26,977.00
Pharmacy	tenofovir 300 mg TAB (1.00 Tablet(s)	$119.00
Pharmacy	terazosin 1 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	terazosin 10 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	terazosin 2 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	terazosin 5 mg Capsule (1.00 Capsule(s)	$9.00
Pharmacy	terbinafine 250 mg Tablet (1.00 Tablet(s)	$45.00
Pharmacy	terbutaline 1 mg/1 mL injection (1.00 milliLiter(s)	$73.00 -$307.00
Pharmacy	terbutaline 5 mg Tablet (1.00 Tablet(s)	$23.00
Pharmacy	testosterone 1% 25 mg/2.5 gram Gel (2.50 Gram(s)	$100.00 -$202.00
Pharmacy	testosterone 1% 50 mg/5 gram Gel (5.00 Gram(s)	$100.00 -$208.00
Pharmacy	testosterone cypionate 200 mg/mL injection (1.00 milliLiter(s)	$321.00
Pharmacy	tetanus immune globulin 250 units/1 mL injection (1.00 milliLiter(s)	$2,338.00
Pharmacy	tetanus/diphtheria toxoids (Td) 5 units-2 units/0.5 mL injection (0.50 milliLiter(s)	$385.00 -$524.00
Pharmacy	tetanus/diphtheria/pertussis, acel (Tdap) ADACEL 0.5 mL injection (0.50 milliLiter(s)	$646.00
Pharmacy	tetanus/diphtheria/pertussis, acel (Tdap) BOOSTRIX 0.5 mL injection (0.50 milliLiter(s)	$535.00
Pharmacy	tetracaine 1% 2 mL Solution for Injection (2.00 milliLiter(s)	$555.00
Pharmacy	tetracaine ophthalmic 0.5% 15 mL Solution (15.00 milliLiter(s)	$100.00
Pharmacy	tetracaine ophthalmic 0.5% 2 mL Solution (2.00 milliLiter(s)	$97.00
Pharmacy	tetracaine ophthalmic 0.5% solution 4 mL (4.00 milliLiter(s)	$100.00
Pharmacy	tetrahydrozoline ophthalmic 0.05% 15 mL Solution (15.00 milliLiter(s)	$14.00 -$21.00
Pharmacy	theophylline 100 mg Extended Release Tablet (THEODUR) (1.00 Tablet(s)	$5.00
Pharmacy	theophylline 100 mg/24 hours Sustained Release Capsule (THEO-24) (1.00 Capsule(s)	$11.00
Pharmacy	theophylline 200 mg Extended Release Tablet (THEODUR) (1.00 Tablet(s)	$5.00
Pharmacy	theophylline 200 mg/24 hours Sustained Release Capsule (THEO-24) (1.00 Capsule(s)	$73.00 -$89.00
Pharmacy	theophylline 300 mg Extended Release Tablet (THEODUR) (1.00 Tablet(s)	$5.00 -$15.00
Pharmacy	theophylline 300 mg/24 hours Sustained Release Capsule (THEO-24) (1.00 Capsule(s)	$14.00
Pharmacy	theophylline 400 mg/24 hours Sustained Release Tablet (UNIPHYLL) (1.00 Tablet(s)	$9.00
Pharmacy	theophylline 80 mg/15 mL Elixir (15.00 milliLiter(s)	$17.00
Pharmacy	thiamine 100 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	thiamine 100 mg/mL injection 2 mL (2.00 milliLiter(s)	$191.00
Pharmacy	thioridazine 10 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	thioridazine 25 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	thiothixene 1 mg CAP (1.00 Capsule(s)	$8.00
Pharmacy	thiothixene 10 mg Capsule (1.00 Capsule(s)	$5.00 -$12.00
Pharmacy	thiothixene 5 mg CAP (1.00 Capsule(s)	$13.00
Pharmacy	thrombin bovine 5,000 intl units topical (1.00 Each)	$437.00
Pharmacy	thrombin recombinant 5,000 intl units topical (1.00 Each)	$576.00
Pharmacy	thyroid desiccated 30 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	thyroid desiccated 60 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	thyrotropin alpha 1.1 mg injection (1.00 Each)	$4,589.00 -$5,703.00
Pharmacy	tiagabine 4 mg Tablet (1.00 Tablet(s)	$23.00 -$34.00
Pharmacy	ticagrelor 60 mg Tablet (1.00 Tablet(s)	$24.00
Pharmacy	ticagrelor 90 mg Tablet (1.00 Tablet(s)	$22.00
Pharmacy	tigecycline 50 mg injection (1.00 Each)	$1,563.00 -$1,575.00
Pharmacy	timolol 10 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	timolol maleate ophthalmic 0.25% 5 mL Solution (5.00 milliLiter(s)	$135.00
Pharmacy	timolol maleate ophthalmic 0.5% 10 mL Solution (10.00 milliLiter(s)	$74.00 -$262.00
Pharmacy	timolol maleate ophthalmic 0.5% 5 mL Solution (5.00 milliLiter(s)	$61.00 -$162.00
Pharmacy	tiotropium 18 mcg/inh Inhalation (1.00 Capsule(s)	$170.00
Pharmacy	tirofiban 5 mg/100 mL Premix (100.00 milliLiter(s)	$1,816.00
Pharmacy	tiZANidine 4 mg Tablet (1.00 Tablet(s)	$3.00 -$12.00
Pharmacy	TL201 THALLIUM DX PER MCI	$191.00
Pharmacy	tobramycin (300 mg/5 mL) nebs (1.00 Each)	$1,118.00 -$1,604.00
Pharmacy	tobramycin 40 mg/mL Injection 2 mL (2.00 milliLiter(s)	$73.00 -$100.00
Pharmacy	tobramycin 40 mg/mL injection 30 mL (30.00 milliLiter(s)	$354.00 -$367.00
Pharmacy	tobramycin 40 mg/mL injection 50 mL (50.00 milliLiter(s)	$612.00
Pharmacy	tobramycin ophthalmic 0.3% 3.5 g Ointment (3.50 Gram(s)	$1,436.00
Pharmacy	tobramycin ophthalmic 0.3% 5 mL Solution (5.00 milliLiter(s)	$125.00 -$276.00
Pharmacy	tobramycin Ophthalmic Solution 13.57 mg/mL 7.4 mL (7.40 milliLiter(s)	$283.00
Pharmacy	tobramycin Ophthalmic Solution 15 mg/mL 10 mL (10.00 milliLiter(s)	$287.00
Pharmacy	tocilizumab 162 mg/0.9 mL SOLN (0.90 milliLiter(s)	$4,532.00
Pharmacy	tocilizumab 20 mg/mL injection 10 mL (10.00 milliLiter(s)	$4,804.00
Pharmacy	tocilizumab 20 mg/mL injection 20 mL (20.00 milliLiter(s)	$9,608.00
Pharmacy	tocilizumab 20 mg/mL injection 4 mL (4.00 milliLiter(s)	$2,579.00
Pharmacy	tolterodine 4 mg Extended Release Capsule (1.00 Capsule(s)	$28.00 -$46.00
Pharmacy	tolvaptan 15 mg Tablet (1.00 Tablet(s)	$1,751.00
Pharmacy	tolvaptan 30 mg Tablet (1.00 Tablet(s)	$1,817.00
Pharmacy	topiramate 100 mg Tablet (1.00 Tablet(s)	$24.00
Pharmacy	topiramate 25 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	topiramate 50 mg Tablet (1.00 Tablet(s)	$16.00
Pharmacy	topotecan 1 mg/mL injection 4 mL (4.00 milliLiter(s)	$1,575.00
Pharmacy	torsemide 100 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	torsemide 20 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	trace elements with selenium injection 1 mL (1.00 milliLiter(s)	$240.00
Pharmacy	trace elements with selenium injection 10 mL (10.00 milliLiter(s)	$197.00
Pharmacy	traMADOL 50 mg Tablet (1.00 Tablet(s)	$6.00
Pharmacy	tranexamic acid 100 mg/mL injection 10 mL (10.00 milliLiter(s)	$312.00 -$736.00
Pharmacy	tranylcypromine 10 mg Tablet (1.00 Tablet(s)	$13.00
Pharmacy	trastuzumab 150 mg injection (1.00 Each)	$7,172.00
Pharmacy	traZODONE 100 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	traZODONE 150 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	traZODONE 50 mg Tablet (1.00 Tablet(s)	$7.00
Pharmacy	tretinoin 10 mg Capsule (1.00 Capsule(s)	$104.00
Pharmacy	triamcinolone acetonide 10 mg/mL injection 5 mL (5.00 milliLiter(s)	$167.00 -$223.00
Pharmacy	triamcinolone acetonide 40 mg/mL injection 1 mL (1.00 milliLiter(s)	$164.00
Pharmacy	triamcinolone acetonide 40 mg/mL injection 5 mL (5.00 milliLiter(s)	$638.00 -$664.00
Pharmacy	triamcinolone ophthalmic 40 mg/mL injection 1 mL (1.00 milliLiter(s)	$1,008.00
Pharmacy	triamcinolone topical 0.025% 15 g Ointment (15.00 Gram(s)	$63.00
Pharmacy	triamcinolone topical 0.1% 15 g Cream (15.00 Gram(s)	$44.00 -$59.00
Pharmacy	triamcinolone topical 0.1% 454 g Cream (454.00 Gram(s)	$188.00 -$254.00
Pharmacy	triamcinolone topical 0.1% 5 g Paste (5.00 Gram(s)	$450.00
Pharmacy	triamcinolone topical 0.1% Cream 80 grams (80.00 Gram(s)	$56.00 -$131.00
Pharmacy	triamterene 50 mg Capsule (1.00 Capsule(s)	$43.00
Pharmacy	triazolam 0.125 mg Tablet (1.00 Tablet(s)	$13.00
Pharmacy	triazolam 0.25 mg Tablet (1.00 Tablet(s)	$4.00 -$13.00
Pharmacy	trifluoperazine 2 mg Tablet (1.00 Tablet(s)	$10.00
Pharmacy	trifluoperazine 5 mg Tablet (1.00 Tablet(s)	$9.00
Pharmacy	trifluridine ophthalmic 1% 7.5 mL Solution (7.50 milliLiter(s)	$861.00 -$2,497.00
Pharmacy	trihexyphenidyl 2 mg Tablet (1.00 Tablet(s)	$3.00
Pharmacy	trihexyphenidyl 5 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	trimethobenzamide 100 mg/mL injection 2 mL (2.00 milliLiter(s)	$512.00
Pharmacy	trimethoprim 100 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	TRIPLE ANTIBIOTIC	$23.00
Pharmacy	triptorelin 11.25 mg injection (1.00 Each)	$11,228.00
Pharmacy	triptorelin 22.5 mg injection (1.00 Each)	$22,456.00
Pharmacy	triptorelin 3.75 mg injection (1.00 Each)	$3,743.00
Pharmacy	trolamine salicylate topical 10% 90 g Cream (90.00 Gram(s)	$37.00 -$106.00
Pharmacy	tropicamide ophthalmic 0.5% 15 mL Solution (2.00 milliLiter(s)	$15.00 -$40.00
Pharmacy	tropicamide ophthalmic 1% 15 mL Solution (15.00 milliLiter(s)	$100.00 -$283.00
Pharmacy	tropicamide ophthalmic 1% 2 mL Solution (2.00 milliLiter(s)	$100.00
Pharmacy	tropicamide ophthalmic 1% 3 mL Solution (3.00 milliLiter(s)	$56.00
Pharmacy	trospium 20 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	trypan blue ophthalmic Solution 0.06% 0.5 mL (0.50 milliLiter(s)	$283.00
Pharmacy	tuberculin 5 units/0.1 mL injection (PPD) (0.10 milliLiter(s)	$120.00 -$143.00
Pharmacy	typhoid vaccine, inactivated 0.5 mL injection (0.50 milliLiter(s)	$883.00 -$1,227.00
Pharmacy	urea topical 10% 240 mL Lotion (177.00 milliLiter(s)	$73.00 -$170.00
Pharmacy	ursodiol 300 mg Capsule (1.00 Capsule(s)	$30.00
Pharmacy	ustekinumab 130 mg/26 ml inj 5 mg/mL (26.00 milliLiter(s)	$7,364.00
Pharmacy	ustekinumab 45 mg/0.5 mL injection (0.50 milliLiter(s)	$43,777.00
Pharmacy	ustekinumab 90 mg/1 mL injection (STELARA) (1.00 milliLiter(s)	$87,553.00
Pharmacy	valACYclovir 500 mg Tablet (1.00 Tablet(s)	$25.00 -$50.00
Pharmacy	valGANciclovir 450 mg Tablet (1.00 Tablet(s)	$219.00 -$361.00
Pharmacy	valproic acid 100 mg/mL injection 5 mL (5.00 milliLiter(s)	$124.00 -$510.00
Pharmacy	valproic acid 250 mg Capsule (1.00 Capsule(s)	$7.00
Pharmacy	valproic acid 250 mg/5 mL Syrup (5.00 milliLiter(s)	$5.00
Pharmacy	valrubicin 200 mg/5 mL injection (5.00 milliLiter(s)	$5,020.00
Pharmacy	valsartan 160 mg Tablet (1.00 Tablet(s)	$18.00
Pharmacy	valsartan 40 mg Tablet (1.00 Tablet(s)	$14.00 -$26.00
Pharmacy	valsartan 80 mg Tablet (1.00 Tablet(s)	$17.00
Pharmacy	vancomycin 0.5 gram injection (1.00 Each)	$129.00 -$148.00
Pharmacy	vancomycin 1 gram injection (1.00 Each)	$120.00 -$296.00
Pharmacy	vancomycin 1 gram with Adaptor (1.00 Each)	$332.00
Pharmacy	vancomycin 50 mg/mL oral suspension (5.00 milliLiter(s)	$33.00 -$91.00
Pharmacy	vancomycin intravitreal injection 1 mg/0.1 mL (0.10 milliLiter(s)	$240.00
Pharmacy	vancomycin ocular injection 25 mg/0.5 mL (0.50 milliLiter(s)	$240.00
Pharmacy	vancomycin Ophthalmic Solution 50 mg/mL 10 mL (10.00 milliLiter(s)	$115.00
Pharmacy	varenicline 1 mg Tablet (1.00 Tablet(s)	$27.00
Pharmacy	varicella virus vaccine 0.5 mL injection (1.00 Each)	$1,415.00
Pharmacy	vasopressin 20 units/mL injection 1 mL (1.00 milliLiter(s)	$104.00 -$1,575.00
Pharmacy	vecuronium 10 mg injection (1.00 Each)	$120.00 -$157.00
Pharmacy	vedolizumab 300 mg injection (ENTYVIO) (1.00 Each)	$28,062.00
Pharmacy	venlafaxine 150 mg Extended Release Capsule (1.00 Capsule(s)	$5.00 -$53.00
Pharmacy	venlafaxine 37.5 mg Extended Release Capsule (1.00 Capsule(s)	$4.00 -$43.00
Pharmacy	venlafaxine 37.5 mg Tablet (1.00 Tablet(s)	$4.00 -$10.00
Pharmacy	venlafaxine 50 mg Tablet (1.00 Tablet(s)	$4.00 -$10.00
Pharmacy	venlafaxine 75 mg Extended Release Capsule (1.00 Capsule(s)	$15.00 -$48.00
Pharmacy	venlafaxine 75 mg Tablet (1.00 Tablet(s)	$5.00 -$11.00
Pharmacy	verapamil 120 mg/12 hours Extended Release Tablet (1.00 Tablet(s)	$11.00
Pharmacy	verapamil 180 mg/12 hours Extended Release Tablet (1.00 Tablet(s)	$12.00
Pharmacy	verapamil 2.5 mg/mL injection 2 mL (2.00 milliLiter(s)	$73.00 -$516.00
Pharmacy	verapamil 2.5 mg/mL injection 4 mL (4.00 milliLiter(s)	$448.00
Pharmacy	verapamil 40 mg Tablet (1.00 Tablet(s)	$4.00
Pharmacy	verapamil 80 mg Tablet (1.00 Tablet(s)	$5.00
Pharmacy	VERITAS CLLGN MTRX PR (300 SQCM)	$16,126.00
Pharmacy	vinBLAStine 10 mg/10 mL injection (10.00 milliLiter(s)	$634.00
Pharmacy	vinCRIStine 1 mg/1 mL injection (1.00 milliLiter(s)	$120.00 -$277.00
Pharmacy	vinORELbine 10 mg/mL injection 1 mL (1.00 milliLiter(s)	$402.00
Pharmacy	vinORELbine 10 mg/mL injection 5 mL (5.00 milliLiter(s)	$1,138.00
Pharmacy	VISCOELASTIC SOLUTION	$412.00
Pharmacy	VISI LOCM 300-399 MG/ML 1 ML	$8.00
Pharmacy	vitamin A & D Topical Ointment 60 gram (60.00 Gram(s)	$40.00
Pharmacy	vitamin A 10,000 intl units CAP (1.00 Capsule(s)	$1.00
Pharmacy	vitamin B complex + C + folic acid Tablet [Rena-vite] (1.00 Tablet(s)	$3.00
Pharmacy	vitamin B complex + C Tablet [AllBee C] (1.00 Tablet(s)	$1.00
Pharmacy	vitamin b complex + iron + intrinsic factor Capsule (1.00 Capsule(s)	$5.00
Pharmacy	vitamin e 100 intl units Capsule (1.00 Capsule(s)	$1.00
Pharmacy	vitamin e 400 intl units Capsule (1.00 Capsule(s)	$3.00
Pharmacy	vitamin e topical oil 75 mL (75.00 milliLiter(s)	$78.00
Pharmacy	von Willebrand factor 1500 IU injection (1.00 International Unit(s)	$60.00
Pharmacy	voriconazole 100 mcg/ 0.1 mL Intravitreal Injection 0.5 mL (0.50 milliLiter(s)	$1,502.00
Pharmacy	voriconazole 200 mg injection (1.00 Each)	$1,507.00 -$1,575.00
Pharmacy	voriconazole 200 mg Tablet (1.00 Tablet(s)	$171.00 -$504.00
Pharmacy	warfarin 1 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	warfarin 10 mg Tablet (1.00 Tablet(s)	$7.00 -$14.00
Pharmacy	warfarin 2 mg Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	warfarin 2.5 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	warfarin 3 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	warfarin 4 mg Tablet (1.00 Tablet(s)	$12.00
Pharmacy	warfarin 5 mg Tablet (1.00 Tablet(s)	$5.00 -$12.00
Pharmacy	warfarin 7.5 mg Tablet (1.00 Tablet(s)	$13.00
Pharmacy	white petrolatum + mineral oil cream Topical [Eucerin] 113 grams (113.00 Gram(s)	$43.00
Pharmacy	white petrolatum 41% Ointment [Aquaphor Healing] 50 grams (50.00 Gram(s)	$56.00
Pharmacy	XOFIGO THER PER MICROCURIE	$344.00
Pharmacy	zanamivir 5 mg/inh inhaler (1.00 Each)	$13.00 -$63.00
Pharmacy	zidovudine 10 mg/mL Syrup (1.00 milliLiter(s)	$5.00
Pharmacy	zidovudine 100 mg Capsule (1.00 Capsule(s)	$10.00
Pharmacy	zidovudine 200 mg/20 mL injection (20.00 milliLiter(s)	$408.00
Pharmacy	zidovudine 300 mg Tablet (1.00 Tablet(s)	$9.00 -$21.00
Pharmacy	zinc oxide topical 40% Ointment 113 grams (DESITIN) (113.00 Gram(s)	$46.00 -$56.00
Pharmacy	zinc oxide topical 40% Ointment 30 grams (DESITIN) (30.00 Gram(s)	$25.00
Pharmacy	zinc sulfate 220 mg Capsule (1.00 Capsule(s)	$3.00
Pharmacy	ziprasidone 20 mg Capsule (1.00 Capsule(s)	$5.00 -$60.00
Pharmacy	ziprasidone 20 mg injection (1.00 Each)	$731.00
Pharmacy	ziprasidone 40 mg Capsule (1.00 Capsule(s)	$28.00 -$53.00
Pharmacy	ziprasidone 60 mg Capsule (1.00 Capsule(s)	$37.00 -$73.00
Pharmacy	ziprasidone 80 mg Capsule (1.00 Capsule(s)	$37.00 -$64.00
Pharmacy	ziv-aflibercept 25 mg/mL injection 4 mL (1.00 milliLiter(s)	$2,064.00
Pharmacy	ziv-aflibercept 25 mg/mL injection 8 mL (8.00 milliLiter(s)	$12,272.00
Pharmacy	zoledronic acid 4 mg/100 mL Premix (ZOMETA) (100.00 milliLiter(s)	$1,649.00
Pharmacy	zoledronic acid 4 mg/5 mL injection (ZOMETA) (5.00 milliLiter(s)	$860.00 -$3,860.00
Pharmacy	zoledronic acid 5 mg/100 mL Premix (RECLAST) (100.00 milliLiter(s)	$1,673.00 -$4,535.00
Pharmacy	zolpidem 10 mg Tablet (1.00 Tablet(s)	$3.00 -$65.00
Pharmacy	zolpidem 5 mg Tablet (1.00 Tablet(s)	$3.00 -$16.00
Pharmacy	zonisamide 100 mg Capsule (1.00 Capsule(s)	$11.00
Pharmacy	zonisamide 25 mg Capsule (1.00 Capsule(s)	$5.00 -$24.00

Service	Description	Price
Radiology	2D TEE W CONT W PROBE PLACE	$2,458.00
Radiology	2D TTE W CONT LIMITED OR F/U	$930.00
Radiology	2D TTE W CONT/DOPPLR/COLOR CMP	$2,748.00
Radiology	2D TTE WCONTR CONT ECG STR GXT	$3,332.00
Radiology	3D DIAGNOSTIC MAMMO BIL	$1,500.00
Radiology	3D DIAGNOSTIC MAMMO UNI	$1,000.00
Radiology	3D RENDER W/INTER & REPORT INDEP WORK STATION	$636.00
Radiology	3D RENDER W/INTER & REPORT NOT INDEP WORK STATION	$978.00
Radiology	3D SCREENING MAMMO BIL	$800.00
Radiology	AAA SCREENING ULTRASOUND	$796.00
Radiology	ABD CT W/CONTRAST	$3,100.00
Radiology	ABD CT W/O CONTRAST	$2,740.00
Radiology	ABD CT W/WO CONTRAST	$3,896.00
Radiology	ACROMIOCLAVICULAR	$508.00
Radiology	ADRENAL CORTEX & MEDULLA IMG	$3,283.00
Radiology	ANGIO ADDL VESS-FEM/SUBCL S&I	$2,877.00
Radiology	ANGIO EXTREMITY UNILATERAL	$8,213.00
Radiology	ANGIO F/U EXIST CATH NOT THROM	$1,821.00
Radiology	ANGIO INTERNAL MAMMARY RS&I	$2,800.00
Radiology	ANGIO VISCERAL SELECT/SUPRAS&I	$4,723.00
Radiology	ANGIO/ EXTREMITY/ BIL	$8,295.00
Radiology	ANGIO/ PELVIC/ SELECT-SUPRASEL	$2,350.00
Radiology	ANGIO/ PULM/ UNILAT-SELECTIVE	$2,490.00
Radiology	ANGIO/PULM/BILAT-SELECTIVE	$3,377.00
Radiology	ANKLE 2 VIEW BILATERAL	$900.00
Radiology	ANKLE 3+ VIEWS	$700.00
Radiology	ANKLE 3+ VIEWS BILAT	$1,050.00
Radiology	ANKLE ARTHROGRAM-RADIOLOGC BIL	$766.00
Radiology	ANKLE ARTHROGRAM-RADIOLOGICAL	$510.00
Radiology	AORTOGRAPHY ABD SERIALOGRAPHY	$7,278.00
Radiology	AORTOGRAPHY ABD+BIL ILIOFEMOR	$8,253.00
Radiology	BARIUM ENEMA	$1,273.00
Radiology	BASIC RAD DOSIMETRY CALC	$800.00
Radiology	BE & AIR CONTRAST	$1,739.00
Radiology	BIOPHYS FETAL PROFILE W/NON ST	$725.00
Radiology	BIOPHYS FETAL PROFILE W/O NON	$429.00
Radiology	BONE AGE STUDY	$303.00
Radiology	BONE LENGTH STUDIES	$300.00
Radiology	BONE MARROW IMAGING - LIMITED	$944.00
Radiology	BONE SCAN 3 PHASE	$5,387.00
Radiology	BONE SCAN LIMITED	$2,477.00
Radiology	BONE SCAN SPECT	$1,323.00
Radiology	BONE SCAN WHOLE BODY	$5,318.00
Radiology	BONE SURVEY 1 AREA	$529.00
Radiology	BONE SURVEY 4 AREAS	$973.00
Radiology	BRAIN CT W/CONTRAST	$4,320.00
Radiology	BRAIN CT W/O CONTRAST	$4,085.00
Radiology	BRAIN CT W/WO CONTRAST	$4,752.00
Radiology	BRAIN W/FLOW < 4 VIEWS STATIC	$1,307.00
Radiology	BRUSH/TRANSCATH BX INTERP	$3,679.00
Radiology	CAD BREAST MRI ADD-ON	$1,148.00
Radiology	CARD MRI VEL FLW MAP ADD-ON	$1,332.00
Radiology	CERV CT POST MYEL W/CONTR	$4,100.00
Radiology	CERV CT W/O CONTRAST	$3,800.00
Radiology	CERV CT W/WO CONTRAST	$4,400.00
Radiology	CERVICAL SPINE 2 OR 3 VIEWS	$450.00
Radiology	CERVICAL SPINE 6 OR MORE VIEWS	$1,450.00
Radiology	CHANGE DRAIN CATH S&I	$1,039.00
Radiology	CHOLANGIOGRAM OR RADIOLOGICAL	$1,363.00
Radiology	CLAVICLE CMPL	$256.00
Radiology	CLAVICLE CMPL BILAT	$384.00
Radiology	COMPLETE MYELOGRAM-RAD	$2,116.00
Radiology	CONTINUING MEDICAL PHYSICS	$593.00
Radiology	CONTRAST XRAY ESOPHAGUS	$1,494.00
Radiology	CONTRAST X-RAY EXAM OF AORTA	$1,777.00
Radiology	CSF FLOW CISTERNOGRAM	$1,229.00
Radiology	CSF LEAKAGE	$1,689.00
Radiology	CT ABD & PELVIS W/CONTRAST	$6,719.00
Radiology	CT ABD & PELVIS W/O CONTRAST	$6,528.00
Radiology	CT ABD & PELVIS W/WO CONT	$6,846.00
Radiology	CT ANGIO HRT W/3D IMAGE	$4,711.00
Radiology	CT GUIDANCE FOR NEEDLE PLACE	$2,968.00
Radiology	CT GUIDANCE TISSUE ABLATION	$2,194.00
Radiology	CT HRT W/3D IMAGE	$2,616.00
Radiology	CT HRT W/3D IMAGE CONGEN	$1,806.00
Radiology	CT HRT W/O DYE W/CA TEST SCREENING	$99.00
Radiology	CT LIMITED ABD	$370.00
Radiology	CTA ABD & PELV W/WO CONT	$8,081.00
Radiology	CTA ABD AORTA BI ILIOFEM LE	$7,119.00
Radiology	CTA ABDOMEN W/WO CONT	$5,081.00
Radiology	CTA CHEST W/WO CONT	$6,450.00
Radiology	CTA HEAD W/WO CONT	$5,000.00
Radiology	CTA LOWER EXTREM W/WO CONT BIL	$6,008.00
Radiology	CTA LOWER EXTREMITY W/WO CONT	$4,005.00
Radiology	CTA NECK W/WO CONT	$5,500.00
Radiology	CTA PELVIS W/WO CONT	$3,900.00
Radiology	CTA UPPER EXTREM W/WO CONT BIL	$4,956.00
Radiology	CTA UPPER EXTREMITY W/WO CONT	$3,304.00
Radiology	CYSTOGRAM 3+ VIEWS	$797.00
Radiology	DESIGN MLC DEVICE FOR IMRT	$999.00
Radiology	DEXASCAN 1/MORE CENTRAL SITES	$575.00
Radiology	DILAT NEPHROS/URETERS/URETHRA	$1,903.00
Radiology	DISKOGRAPHY LUMBAR RS&I	$2,877.00
Radiology	DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY	$300.00
Radiology	DUCTOGRAM MULTIPLE RAD S&I	$1,487.00
Radiology	DUCTOGRAM SINGLE RAD S&I	$1,027.00
Radiology	ELBOW 2 VIEW BILATERAL	$710.00
Radiology	ELBOW 2 VIEWS	$473.00
Radiology	ELBOW 3+ VIEWS BILATERAL	$1,030.00
Radiology	ELBOW ARTHROGRAM-RAD BILATERAL	$659.00
Radiology	ELBOW ARTHROGRAM-RADIOLOGICAL	$440.00
Radiology	ERCP BILIARY & PANC RAD S&I	$1,573.00
Radiology	ERCP BILIARY RAD S&I	$1,333.00
Radiology	ERCP PANCREATIC RAD S&I	$924.00
Radiology	EYE FOR FOREIGN B.	$458.00
Radiology	EYE FOR FOREIGN BODY BILATERAL	$687.00
Radiology	FACIAL BONES 3+ VIEWS	$761.00
Radiology	FEMUR XRAY => 2 VIEWS BILAT	$900.00
Radiology	FEMUR XRAY =>2 VIEWS UNILAT	$600.00
Radiology	FEMUR XRAY 1 VIEW BILATERAL	$750.00
Radiology	FEMUR XRAY 1 VIEW UNILATERAL	$500.00
Radiology	FLUORO FOR CVA DEVICE	$674.00
Radiology	FLUORO GUID NDL LOC SPINAL	$1,539.00
Radiology	FLUORO GUIDANCE NEEDLE PLCMNT	$1,600.00
Radiology	FLUOROSCOPIC PROCEDURE	$481.00
Radiology	FLUOROSCOPY UP TO 1HR	$1,364.00
Radiology	FLUOROSCOPY W/FEED T	$828.00
Radiology	FOOT 2 VIEW	$600.00
Radiology	FOOT 2 VIEW BILATERAL	$900.00
Radiology	FOOT CMPL 3+ VIEWS BILAT	$1,200.00
Radiology	FOREARM 2 VIEWS	$936.00
Radiology	FOREARM 2 VIEWS BILAT	$1,404.00
Radiology	FOREIGN BODY SINGLE VIEW-CHILD	$190.00
Radiology	G I BLEED SCAN	$1,939.00
Radiology	GALLIUM ABSCESS WHOLE BODY	$3,283.00
Radiology	GALLIUM SCAN TUMOR WHOLE BODY	$2,007.00
Radiology	GALLIUM SPECT	$2,907.00
Radiology	GASTRIC EMPT-SOLID OR LIQUID	$4,500.00
Radiology	GATED HEART PLANAR SINGLE	$4,034.00
Radiology	GI AND SMALL BOWEL	$1,926.00
Radiology	GI SERIES	$1,390.00
Radiology	GI W/AIR AND SM BOWEL	$1,556.00
Radiology	GI WITH AIR	$1,423.00
Radiology	HAND 2 VIEW	$505.00
Radiology	HAND 2 VIEW BILATERAL	$757.00
Radiology	HAND CMP 3+V BILAT	$1,205.00
Radiology	HAND MINIMUM 3 VIEW	$803.00
Radiology	HEEL/CALCANEUS 2+ VIEWS	$600.00
Radiology	HEEL/CALCANEUS 2+ VIEWS BILAT	$900.00
Radiology	HEPATIC W/O HEMODYNAMIC EVAL	$2,228.00
Radiology	HEPATIC WITH HEMODYAMIC EVAL	$3,262.00
Radiology	HEPATOBILIARY SYS IMAGE W/DRUG	$3,500.00
Radiology	HEPATOBILIARY SYSTEM IMAGING	$4,232.00
Radiology	HIP ARTHROGRAM-RADIOLOGIC	$995.00
Radiology	HIP ARTHROGRAM-RADIOLOGIC BIL	$1,491.00
Radiology	HIP XRAY 1 VIEW UNILATERAL	$370.00
Radiology	HIP XRAY 3-4 VIEWS BILATERAL	$600.00
Radiology	HIP-INFANT ULTRASOUND	$909.00
Radiology	HT MUSCLE IMAGE SPECT MULT	$8,246.00
Radiology	HT MUSCLE IMAGE SPECT SING	$5,216.00
Radiology	HUMERUS 2+ VIEWS	$564.00
Radiology	HUMERUS 2+ VIEWS BILAT	$846.00
Radiology	HYSTEROSALPINGOGRAM-RADIOLOGIC	$1,104.00
Radiology	I-131 WHOLE BODY	$2,939.00
Radiology	IAC TEMPORAL BONES W/CONTRAST	$3,200.00
Radiology	IAC/TEMPORAL BONES W/O CONTRAS	$2,900.00
Radiology	IAC/TEMPORAL BONES W/WO CONTRA	$3,500.00
Radiology	IMRT DAILY COMPLEX	$2,800.00
Radiology	IMRT GUIDANCE/TRACKING SIMPLE	$2,600.00
Radiology	IMRT PLANNING FOR BH	$5,291.00
Radiology	INF RADIOPHARM MONOCLONAL AB	$2,216.00
Radiology	INFUS RADIOELEMENT	$520.00
Radiology	INTRALUMINAL DILATION OF STRIC	$793.00
Radiology	IV INJ RA DRUG DX STUDY	$794.00
Radiology	IVP	$911.00
Radiology	KIDNEY SCAN W/FLOW	$718.00
Radiology	KNEE 1 OR 2 VIEW	$500.00
Radiology	KNEE 3 VIEWS BILATERAL	$1,050.00
Radiology	KNEE 4 OR MORE VIEWS	$800.00
Radiology	KNEE 4 OR MORE VIEWS BILATERAL	$1,200.00
Radiology	KNEE AP/LATERAL BILATERAL	$750.00
Radiology	KNEE ARTHROGRAM-RADIO BILATERA	$863.00
Radiology	KNEE ARTHROGRAM-RADIOLOGIC	$575.00
Radiology	KNEE BILAT STANDING AP	$389.00
Radiology	LINAC SRS DELIVERY	$24,229.00
Radiology	LIVER BLOOD POOL (HEMANGIOMA)	$2,599.00
Radiology	LIVER-SPLEEN SCAN	$1,401.00
Radiology	LOWER EXT CT W/CONTRAST	$2,709.00
Radiology	LOWER EXT CT W/CONTRAST BIL	$4,064.00
Radiology	LOWER EXT CT W/O CONTRAST	$2,268.00
Radiology	LOWER EXT CT W/O CONTRAST BIL	$3,402.00
Radiology	LOWER EXT CT W/WO CONTRAST	$3,360.00
Radiology	LOWER EXT CT W/WO CONTRAST BIL	$5,040.00
Radiology	LOWER EXTREMITY INFANT	$100.00
Radiology	LOWER EXTREMITY INFANT BILAT	$150.00
Radiology	LUMB CT POST MYEL W/CONTRAST	$5,066.00
Radiology	LUMBAR CT W/O CONTRAST	$4,500.00
Radiology	LUMBAR CT W/WO CONTRAST	$5,200.00
Radiology	LUMBOSACRAL 2-3 VIEWS	$1,188.00
Radiology	LUMBOSACRAL BEND 6+ VIEWS	$1,600.00
Radiology	LUMBOSACRAL BEND ONLY 2-3 VIEW	$1,188.00
Radiology	LUNG PERF & VENTILAT DIFFERNTL	$2,474.00
Radiology	LUNG VENTILAT & PERFUS IMAGING	$3,651.00
Radiology	LYMPH IMAGING	$2,794.00
Radiology	MAMMO DIAG DIGITAL BIL RECALL	$662.00
Radiology	MAMMO DIAG DIGITAL UNI RECALL	$454.00
Radiology	MAMMO SCREEN DIGITAL W/CAD BIL	$580.00
Radiology	MANDIBLE CMPL 4+ VIEWS	$506.00
Radiology	MASTOIDS CMPL 3+ VIEWS	$449.00
Radiology	MAXO-FACIAL CT W/CONTRAST	$4,300.00
Radiology	MAXO-FACIAL CT W/O CONTRAST	$4,000.00
Radiology	MAXO-FACIAL CT W/WO CONTRAST	$4,600.00
Radiology	MECKELS DIVERTICULUM	$1,305.00
Radiology	MIBG SCAN MULTIPLE AREAS	$1,279.00
Radiology	MODIFIED MRI BRAIN	$3,800.00
Radiology	MODIFIED MRI CERVICAL SPINE	$4,508.00
Radiology	MODIFIED MRI LOWER EXT	$4,420.00
Radiology	MODIFIED MRI LOWEXT JOINT W/O	$4,278.00
Radiology	MODIFIED MRI LUMBAR SPINE	$4,669.00
Radiology	MODIFIED MRI THORACIC SPINE	$4,616.00
Radiology	MODIFIED MRI UPPER EXT	$4,849.00
Radiology	MRA ABDOMEN W/CONT	$5,000.00
Radiology	MRA ABDOMEN W/CONT	$5,000.00
Radiology	MRA ABDOMEN W/WO CONT	$5,000.00
Radiology	MRA ABDOMEN WO CONT	$3,679.00
Radiology	MRA CHEST W/CONT	$1,962.00
Radiology	MRA CHEST W/O CONTRAST	$2,974.00
Radiology	MRA CHEST W/WO CONT	$3,179.00
Radiology	MRA HEAD W/CONT	$4,100.00
Radiology	MRA HEAD W/O CONT	$3,800.00
Radiology	MRA HEAD W/WO CONT	$5,500.00
Radiology	MRA LOWER EXT W/WO CONT	$4,966.00
Radiology	MRA LOWER EXTREM W/C BILATERAL	$5,489.00
Radiology	MRA LOWER EXTRM WO/C BILATERAL	$5,035.00
Radiology	MRA NECK W/CONT	$3,600.00
Radiology	MRA NECK W/O CONT	$3,300.00
Radiology	MRA NECK W/WO CONT	$3,900.00
Radiology	MRA PELVIS W/O CONT	$1,964.00
Radiology	MRA PELVIS W/WO CONT	$4,350.00
Radiology	MRA W/O & W/DYE UPPER EXTR	$4,262.00
Radiology	MRA WITH CONTRAST PELVIS	$4,094.00
Radiology	MRCP	$4,512.00
Radiology	MRI ABD W/CONT	$4,712.00
Radiology	MRI ABD W/WO CONT	$4,912.00
Radiology	MRI BIL BREAST W/WO CONT	$5,087.00
Radiology	MRI BRAIN W/WO CONTRAST	$5,200.00
Radiology	MRI BRAIN/BRAIN STEM W CON	$4,100.00
Radiology	MRI BREAST WITHOUT CONTRAST BILATERAL	$2,915.00
Radiology	MRI CARD MORPH/FUNC WOC	$2,800.00
Radiology	MRI CARD MORPH/FUNC WOW	$3,256.00
Radiology	MRI CARD MORPH/FUNC WOW W/STR	$5,214.00
Radiology	MRI CERVICAL W/WO CONTRAST	$4,923.00
Radiology	MRI CERVICAL WITH CONTRAST	$5,000.00
Radiology	MRI CHEST W/O CONTRAST	$2,472.00
Radiology	MRI CHEST W/WO CONT	$3,200.00
Radiology	MRI JOINT LOW EXTREM W/WO CONT	$4,950.00
Radiology	MRI JOINT LOWER EXTREM	$4,720.00
Radiology	MRI JOINT UPPER EXT W/O CONT	$4,443.00
Radiology	MRI JOINT UPPER EXT W/WO CONT	$4,871.00
Radiology	MRI JOINT UPPER EXTREM W/CONT	$4,718.00
Radiology	MRI JT LOWER EXT W/CONT BILAT	$7,080.00
Radiology	MRI JT UPPER EXT W/CONT BILAT	$7,077.00
Radiology	MRI LOW EXT BILTRL W/O CONTRST	$6,405.00
Radiology	MRI LOW EXT JOINT BILAT W/O	$6,417.00
Radiology	MRI LOW EXT JT W/WO BILAT	$7,425.00
Radiology	MRI LOWER EXTREM W/CONT	$4,345.00
Radiology	MRI LOWER EXTREM W/O CONT	$4,270.00
Radiology	MRI LUMBAR W/WO CONTRAST	$4,939.00
Radiology	MRI LUMBAR WITH CONTRAST	$4,800.00
Radiology	MRI LWR EXTREMITY W/O & W/DYE	$6,630.00
Radiology	MRI ORBITS/FACE/NECK W/O CONT	$2,200.00
Radiology	MRI ORBITS/FACE/NECK W/WO CONT	$4,300.00
Radiology	MRI PELVIS W/CONTRAST	$4,220.00
Radiology	MRI PELVIS W/O CONT	$3,262.00
Radiology	MRI PELVIS W/WO CONT	$4,922.00
Radiology	MRI THORACIC W/WO CONTRAST	$4,936.00
Radiology	MRI THORACIC WITH CONTRAST	$4,800.00
Radiology	MRI TMJ	$2,909.00
Radiology	MRI UNIL BREAST W/WO CONT	$5,689.00
Radiology	MRI UPP EXT JT BILAT W/WO	$7,307.00
Radiology	MRI UPPER EXT BILATERAL W/O	$6,674.00
Radiology	MRI UPPER EXTREM JOINT BIL W/O	$6,664.00
Radiology	MRI UPPER EXTREM W/CONT	$4,649.00
Radiology	MRI UPPER EXTREM W/O CONT	$4,449.00
Radiology	MRI UPPEXT W/WO CONT BILAT	$6,300.00
Radiology	NASAL CMPL 3+ VIEWS	$581.00
Radiology	NECK &/OR HEAD SOFT TISS U/S	$981.00
Radiology	NECK CT W/CONTRAST	$3,200.00
Radiology	NECK CT W/O CONTRAST	$2,900.00
Radiology	NECK CT W/WO CONTRAST	$3,500.00
Radiology	NECK/SOFT TISSUE/FB	$909.00
Radiology	NEPHROSTOGRAM S&I	$632.00
Radiology	NUCLEAR RX INTRA-ARTERIAL PART	$984.00
Radiology	NUCLEAR RX THERAPY ORAL ADMIN	$1,216.00
Radiology	OPTIC FORAMINA	$190.00
Radiology	OPTIC FORAMINA BILATERAL	$285.00
Radiology	OR SPECIMENS	$584.00
Radiology	ORBITS	$514.00
Radiology	OSSEOUS SURVEY INFANT	$264.00
Radiology	PARATHYROID SCAN (NUCLEAR)	$3,314.00
Radiology	PELVIC CT W/CONTRAST	$3,700.00
Radiology	PELVIC CT W/O CONTRAST	$3,510.00
Radiology	PELVIC CT W/WO CONTRAST	$3,900.00
Radiology	PELVIS AP	$534.00
Radiology	PELVIS COMPLETE/3 VIEW MINIMUM	$600.00
Radiology	PERC DIL BIL STRICTURE	$1,316.00
Radiology	PERITONEAL VENOUS SHUNT	$1,030.00
Radiology	PERITONEUM RS&I	$468.00
Radiology	PET/CT BRAIN	$6,164.00
Radiology	PET/CT SKULL TO MID THIGH	$7,500.00
Radiology	PET/CT WHOLE BODY	$6,576.00
Radiology	PORT FILMS (VERIFICATION)	$132.00
Radiology	PREPAR OF RADIOACTIVE MATERIAL	$604.00
Radiology	PSEUDOANEUR COMPRESS W/US GUI	$644.00
Radiology	PULMONARY PERFUSION IMAGING	$2,633.00
Radiology	RAD GUID ABSC DRN/SPEC COL S&I	$1,411.00
Radiology	RAD TX DEL >= 1 MEV COMPLEX	$1,600.00
Radiology	RAD TX DEL >= 1 MEV INT	$1,000.00
Radiology	RAD TX DEL >= 1 MEV SIMPLE	$700.00
Radiology	RADPHARM IV THRPY SR-89/SM-153	$617.00
Radiology	RENAL SCAN W/FLOW&FUNCTION	$2,609.00
Radiology	RENAL SCAN/INCL PHARM INTERVEN	$2,508.00
Radiology	RIBS W/CXR 3+ VIEWS UNI	$1,300.00
Radiology	RIBS W/CXR 4+ VIEWS BILAT	$1,400.00
Radiology	SACROILI JT 3+ VIEWS	$521.00
Radiology	SALIVARY SCAN	$1,177.00
Radiology	SCAPULA CMPL	$314.00
Radiology	SCAPULA CMPL BILAT	$471.00
Radiology	SHOULDER 1-VIEW	$455.00
Radiology	SHOULDER 1-VIEW BILATERAL	$683.00
Radiology	SHOULDER ARTHROGRAM-RAD BILAT	$1,422.00
Radiology	SHOULDER ARTHROGRAM-RADIOLOGIC	$948.00
Radiology	SHOULDER CMP 2+ VIEWS BILAT	$1,336.00
Radiology	SHUNTOGRAM	$393.00
Radiology	SIMULATION 3D RECONSTRUCTION	$7,700.00
Radiology	SIMULATOR AIDED PLAN-COMPLEX	$2,000.00
Radiology	SIMULATOR AIDED PLAN-INTERMED	$2,595.00
Radiology	SIMULATOR AIDED PLAN-SIMPLE	$1,061.00
Radiology	SINGLE VIEW JOINT	$363.00
Radiology	SINUS TRACT STUDY-RAD	$835.00
Radiology	SINUSES 3+ VIEWS	$560.00
Radiology	SKULL 1 TO 3 VIEWS	$544.00
Radiology	SKULL 4 OR MORE VWS	$831.00
Radiology	SMALL BOWEL	$810.00
Radiology	SPEC ISOPLAN-PARTICLE/HEMI/TOT	$1,105.00
Radiology	SPEC TX PROCED/TOTAL BODY X1	$1,898.00
Radiology	SPECIAL PHYSICS	$1,079.00
Radiology	SPINE XRAY ENTIRE 1 VIEW	$250.00
Radiology	SPINE XRAY ENTIRE 2-3 VIEWS	$400.00
Radiology	SRS FRACTIONATED	$4,702.00
Radiology	STEREO GUIDE LOCALIZATION	$636.00
Radiology	STERNOCLAVICULAR JT 3+ VIEWS	$445.00
Radiology	STERNUM 2+ VIEWS	$600.00
Radiology	TELE ISODOSE CPLX BAS DOSE CAL	$988.00
Radiology	TELE ISODOSE SMPL BAS DOSE CAL	$1,264.00
Radiology	TEMPOROMANDIBULAR	$503.00
Radiology	THERAPEUTIC ENEMA	$944.00
Radiology	THERAPY LOCALIZED CT	$1,659.00
Radiology	THORACIC AORTOGRAM	$2,490.00
Radiology	THORACIC CT W/CONTRAST	$4,100.00
Radiology	THORACIC CT W/O CONTRAST	$3,937.00
Radiology	THORACIC CT W/WO CONTRAST	$4,400.00
Radiology	THORACIC LAT ONLY	$827.00
Radiology	THORACIC SPINE 3 VIEWS	$850.00
Radiology	THORACIC SPINE 4 OR MORE VIEWS	$950.00
Radiology	THORACO LUMBAR AP/LAT	$547.00
Radiology	THORAX CT W/CONTRAST	$3,900.00
Radiology	THORAX CT W/O CONTRAST	$3,600.00
Radiology	THORAX CT W/WO CONTRAST	$4,200.00
Radiology	THYROID CO METS UPTAKE	$224.00
Radiology	THYROID IMAGING	$1,206.00
Radiology	THYROID UPTAKE AND IMAGING	$2,329.00
Radiology	THYROID UPTAKE MEASUREMENT	$944.00
Radiology	TIBIA/FIBULA 2 VIEWS BILAT	$900.00
Radiology	TLDS/DIODE SPECIAL DOSIMETRY	$503.00
Radiology	TRANSCTH EMBOLIZATION ANY S&I	$2,933.00
Radiology	TRANSHEPATIC PORTOGRAPHY	$1,559.00
Radiology	TREATMENT DEVICE - COMPLEX	$1,600.00
Radiology	TREATMENT DEVICE - INTERMED	$1,100.00
Radiology	TREATMENT DEVICE - SIMPLE	$609.00
Radiology	TTE W OR WO FOL BY W CONTRAST CONG CARD COMPLETE	$2,393.00
Radiology	TUMOR IMAGING LIMITED AREA	$1,681.00
Radiology	U/S GUIDE PERICARDIOCENTESIS	$1,359.00
Radiology	ULTRASOUND CHEST	$702.00
Radiology	ULTRASOUND OF HEAD	$605.00
Radiology	ULTRASOUND SPINAL CANAL	$633.00
Radiology	UPPER EXT CT W/CONTRAST	$4,680.00
Radiology	UPPER EXT CT W/O CONTRAST	$3,376.00
Radiology	UPPER EXT CT W/O CONTRAST BILA	$5,090.00
Radiology	UPPER EXT CT W/WO CONTRAST	$4,400.00
Radiology	UPPER EXTREMITY CT W/CONTRAST BILATERAL	$7,020.00
Radiology	UPPER EXTREMITY INFANT	$108.00
Radiology	UPPER EXTREMITY INFANT BILAT	$162.00
Radiology	URETHROCYSTOGRAM-RETRO -RADIOL	$1,778.00
Radiology	US ABDOMINAL COMPLETE	$300.00
Radiology	US ABDOMINAL COMPLETE	$2,700.00
Radiology	US ABDOMINAL LIMITED	$1,792.00
Radiology	US BREAST BILATERAL COMPLETE	$1,701.00
Radiology	US BREAST BILATERAL LIMITED	$1,455.00
Radiology	US BREAST UNILATERAL COMPLETE	$1,134.00
Radiology	US BREAST UNILATERAL LIMITED	$970.00
Radiology	US EXTREM NONVASC COMP	$902.00
Radiology	US EXTREM NONVASC LIMTD	$856.00
Radiology	US GUIDANCE FOR VASC ACCESS	$800.00
Radiology	US GUIDANCE IN SURGERY	$911.00
Radiology	US GUIDANCE TISSUE ABLATION	$727.00
Radiology	US GUIDE BRST CYST ASPIRATION	$505.00
Radiology	US GUIDED ABSCESS DRAINAGE	$1,411.00
Radiology	US OB DETAILED ADDL FETUS	$588.00
Radiology	US OB DETAILED SINGLE FETUS	$626.00
Radiology	US OB LIMITED	$923.00
Radiology	US OB TRANSABDOMINAL FOLLOWUP PER FETUS	$300.00
Radiology	US OB TRANSVAGINAL	$402.00
Radiology	US OB W/IMAGE => 14 WKS TRANSABD SINGLE EA ADDL	$307.00
Radiology	US OB<14 WKS EA ADD FETUS	$600.00
Radiology	US OB<14WKS SINGLE FETUS	$625.00
Radiology	US OB=>14 WKS SINGLE FETUS	$1,346.00
Radiology	US PELVIC NONOBS COMPLETE	$1,650.00
Radiology	US PELVIC NONOBS LIMITED/FU	$910.00
Radiology	US RETROPERITONEAL COMPLETE	$1,300.00
Radiology	US RETROPERITONEAL LIMITED	$959.00
Radiology	US SCROTUM AND CONTENTS	$1,690.00
Radiology	US SPECIMENS	$508.00
Radiology	US STUDY FOLLOW UP	$300.00
Radiology	US TRANSPLANTED KIDNEY	$776.00
Radiology	US TRANSVAGINAL NON-OB	$615.00
Radiology	VENOGRAM ADRENAL UNILATERAL	$3,276.00
Radiology	VENOGRAM CAVAL INFERIOR	$2,978.00
Radiology	VENOGRAM EXTREMITY BILAT	$2,906.00
Radiology	VENOGRAM EXTREMITY UNILAT S&I	$2,206.00
Radiology	VENOGRAM RENAL BILATERAL	$3,470.00
Radiology	VENOGRAM RENAL UNILATERAL	$2,313.00
Radiology	VENOGRAM/CAVAL/SUPERIOR	$3,202.00
Radiology	VIDEO ESOPHAGRAM	$1,195.00
Radiology	VOIDING CYSTOURETHROGRAM	$1,115.00
Radiology	WRIST 2 VIEW	$733.00
Radiology	WRIST 2 VIEW BILATERAL	$1,100.00
Radiology	WRIST ARTHROGRAM-S & I	$721.00
Radiology	WRIST ARTHROGRAM-S & I BIL	$1,081.00
Radiology	WRIST CMPL 3+ VIEWS BILAT	$1,342.00
Radiology	XRAY ABDOMEN 2 VIEWS	$790.00
Radiology	XRAY ABDOMEN 3 OR MORE VIEWS	$875.00
Radiology	XRAY ABDOMEN COMPLETE SINGLE VIEW CHEST	$300.00
Radiology	XRAY ABDOMEN SINGLE VIEW	$711.00
Radiology	XRAY ANKLE 2 VIEWS	$166.00
Radiology	XRAY CHEST 2 VIEWS	$600.00
Radiology	XRAY CHEST 3 VIEWS	$750.00
Radiology	XRAY CHEST 4 OR MORE VIEWS	$850.00
Radiology	XRAY CHEST SINGLE VIEW	$385.00
Radiology	XRAY COMPLETE => 3 VIEWS	$166.00
Radiology	XRAY ENDO TAA REPR WITH SUBCL	$1,522.00
Radiology	XRAY ENDOVASC THOR AO REPR	$1,651.00
Radiology	XRAY FINGER => 2 VIEWS	$166.00
Radiology	XRAY FOOT COMPLETE => 3 VIEWS	$166.00
Radiology	XRAY HIP >4 VIEWS UNILATERAL	$470.00
Radiology	XRAY HIP UNILATERAL W/PELVIS 2-3 VIEWS	$166.00
Radiology	XRAY HIPS BILATERAL W/PELVIS 2 VIEWS	$300.00
Radiology	XRAY KNEE 3 VIEWS	$166.00
Radiology	XRAY RIBS BILATERAL 3 VIEWS	$300.00
Radiology	XRAY RIBS UNILATERAL 2 VIEWS	$166.00
Radiology	XRAY SACRUM AND COCCYX => 2 VIEWS	$166.00
Radiology	XRAY SHOULDER COMPLETE => 2 VIEWS	$166.00
Radiology	XRAY SINUSES PARANASAL < 3 VIEWS	$166.00
Radiology	XRAY SPINE CERVICAL 4-5 VIEWS	$300.00
Radiology	XRAY SPINE LUMBOSACRAL => 4 VIEWS	$300.00
Radiology	XRAY SPINE THORACIC 2 VIEWS	$300.00
Radiology	XRAY TIBIA AND FIBULA 2 VIEWS	$166.00
Radiology	XRAY TOES => 2 VIEWS	$166.00
Radiology	XRAY WRIST COMPLETE => 3 VIEWS	$166.00
Radiology	ZYGOMA <3 VIEWS	$405.00

Service	Description	Price
Room	INTENSIVE CARE	$1,712.00
Room	INTERMEDIATE INTENSIVE (PROGRESSIVE)	$1,712.00
Room	NURSERY	$428.00
Room	NURSERY INTENSIVE	$963.00
Room	NURSERY INTERMEDIATE	$749.00
Room	PRIVATE	$1,070.00
Room	SEMIPRIVATE	$963.00
Room	WARD	$910.00

Service	Description	Price
Service	2D TTE STRESS W/O CONTRAST ECG	$2,296.00
Service	2D TTE STRESS WITHOUT CONTRAST	$2,557.00
Service	ABD PARACENTESIS DX/THER W/IMAGING GUIDANCE	$2,034.00
Service	ABDOMEN SURGERY PROCEDURE	$3,073.00
Service	ABLATE AFIB P VEIN ISOL ADD ON	$16,286.00
Service	ABLATE ARRHYTHMIA ADD ON	$16,370.00
Service	ABLATE SEPTAL ALCOHOL	$11,692.00
Service	ABLATION BONE TUMOR =>1 PERQ CRYO	$7,322.00
Service	ABLATION BONE TUMOR =>1 PERQ RF	$6,086.00
Service	ABLATION LIVER TUMOR PERC RFC	$4,667.00
Service	ABLATION LUNG TUMOR RF UNI	$4,822.00
Service	ABLATION LUNG TUMOR(S) UNI CRYO	$8,991.00
Service	ABLATION RENAL	$4,562.00
Service	ABLATION RENAL TUMOR CRYO UNI	$7,115.00
Service	ACOUSTIC IMMITTANCE TESTING	$207.00
Service	ACOUSTIC REFLEX TESTING THRESHOLD	$115.00
Service	ADDTL 1/2HR-C-SECTION	$2,138.00
Service	ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT	$4,958.00
Service	ADJUST GASTRIC BAND	$110.00
Service	AIR INJECTION INTO ABD	$740.00
Service	ALCOHOL/SUBSTANCE ABUSE ASSESS > 30 MINUTES	$216.00
Service	ALCOHOL/SUBSTANCE ABUSE ASSESS 15-30 MINUTES	$127.00
Service	AMB CONT GLUCOSE MONITOR => 72 HRS OFFICE EQUIP	$398.00
Service	AMB CONT GLUCOSE MONITOR => 72 HRS PATIENT EQUIP	$112.00
Service	AMNIOCENTESIS - DIAGNOSTIC	$1,249.00
Service	AMP FINGER THUMB W/FLAP GRFT	$2,481.00
Service	AMPUT REPR TOE INTERPHAL JOINT	$3,421.00
Service	AMPUT REPR TOE METATARSAL	$4,370.00
Service	AMPUTATION OF FINGER/THUMB	$3,670.00
Service	ANES GEN ASA LEVEL 1-2 0-30MIN	$3,500.00
Service	ANES GEN ASA LEVEL 1-2 ADD 15M	$300.00
Service	ANES GEN ASA LEVEL 3+ 0-30MIN	$4,000.00
Service	ANES GEN ASA LEVEL 3+ ADD 15M	$400.00
Service	ANGIO RENAL 1ST SELECTIVE BIL	$6,750.00
Service	ANGIO RENAL 1ST SELECTIVE UNI	$4,500.00
Service	ANGIO RENAL 2ND+ SELECTIV BIL	$7,500.00
Service	ANGIO RENAL 2ND+ SELECTIV UNI	$5,000.00
Service	ANKLE AND/OR FT STRAPING	#N/A
Service	ANKLE AND/OR FT STRAPING BIL	$455.00
Service	ANKLE ARTHROGRAM-INJ	$566.00
Service	ANKLE ARTHROGRAM-INJECT BIL	$849.00
Service	ANKLE ARTHROGRAM-INJECTION	$566.00
Service	ANKLE DISLOCATION W/O ANES UNI	$311.00
Service	ANNUAL ALCOHOL MISUSE SCREENING 15 MINUTES	$61.00
Service	ANNUAL DEPRESSION SCREENING 15 MINUTES	$40.00
Service	ANNUAL INTENSIVE CARDIO BEHAVIOR THERAPY 15 MINS	$50.00
Service	ANNUAL WELLNESS VISIT INITIAL	$242.00
Service	ANNUAL WELLNESS VISIT SUBSEQUENT	$187.00
Service	ANOSCOPY	$290.00
Service	ANOSCOPY DIAGNOSTIC	$414.00
Service	ANOSCOPY W/RMVL FOREIGN BODY	$2,191.00
Service	AP SKSUB FACE <100SQCM EA+25	$333.00
Service	AP SKSUB T/A/L<100SQCM EA+25	$499.00
Service	AP SKSUB T/A/L>=100SQCM EA+100	$1,279.00
Service	APHERESIS ADSORPTION/REINFUSION	$7,346.00
Service	APP CST HND/LWR F/ARM GAUN BIL	$539.00
Service	APP CST HND/LWR F/ARM GAUN LT	$359.00
Service	APP LNG ARM CAST SHLDR-HND BIL	$676.00
Service	APP LONG ARM CAST SHLDR-HND LT	$451.00
Service	APP LONG ARM SPL SHLDR/HND BIL	$539.00
Service	APP LONG ARM SPL SHLDR/HND UNI	$359.00
Service	APP SH AR SPL F/AR HND STA BIL	$887.00
Service	APP SH AR SPL F/AR HND STA UNI	$591.00
Service	APP SH LEG CAST BEL KN-TOE BIL	$675.00
Service	APP SH LEG CAST BEL KN-TOE LT	$450.00
Service	APP SHORT LEG SPL CALF-FT BIL	$918.00
Service	APP SHORT LEG SPL CALF-FT UNI	$612.00
Service	APP SHRT ARM CAST ELBW-FNG BIL	$676.00
Service	APP SHRT ARM CAST ELBW-FNG LT	$451.00
Service	APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC	$1,894.00
Service	APPL LNG LEG SPLNT THG-TOE BIL	$558.00
Service	APPL LNG LEG SPLNT THG-TOE UNI	$372.00
Service	APPL LONG LEG CAST THG/TOE BIL	$944.00
Service	APPL LONG LEG CAST THG/TOE LT	$629.00
Service	APPL OF FINGER SPLINT/STATIC	$173.00
Service	APPLIC ANODYNE/INFRARED PROC	$43.00
Service	APPLIC WHIRLPOOL/FLUIDOTHERAPY	$91.00
Service	APPLICAT TRACTION/MECHANICAL	$159.00
Service	APPLICAT VASEPNEUMATIC DEVICE	$60.00
Service	APPLICATION PARRAFIN BATH	$116.00
Service	APPLY CAST GAUNTLET	$332.00
Service	APPLY CAST LONG ARM	$347.00
Service	APPLY CAST SHORT ARM	$347.00
Service	APPLY CAST SHORT LEG	$346.00
Service	APPLY CAST SHORT LEG WALKING/AMBULATORY TYPE	$348.00
Service	APPLY MULTLAY COMPRS L LEG BIL	$882.00
Service	APPLY MULTLAY COMPRS LWR LEG	$705.00
Service	APPLY RIGID CONTACT LEG CAST	$1,095.00
Service	APPLY SHORT ARM SPLINT DYNAM	$173.00
Service	APPLY SHORT ARM SPLINT STATIC	$591.00
Service	APPLY SKIN SUB FACE <100 SQCM 1ST 25 SQCM OR LESS	$1,920.00
Service	APPLY SKIN SUB FACE >=100 SQCM 1ST 100 SQCM	$1,508.00
Service	APPLY SKIN SUB T/A/L <100 SQCM 1ST 25 SQCM OR LESS	$1,920.00
Service	APPLY SKIN SUB T/A/L >=100 SQCM 1ST 100 SQCM	$2,708.00
Service	APPLY SPLINT LONG ARM	$279.00
Service	APPLY SPLINT SHORT LEG	$471.00
Service	AQUATIC THERAPY EA 15 MINUTES	$200.00
Service	ARTERIAL CANNULATION - A LINE	$1,819.00
Service	ARTERIAL PRESSURE CANNULATION	$1,819.00
Service	ARTHROCENTESIS ASP OR INJ LG	$1,050.00
Service	ARTHROCENTESIS ASP OR INJ MD	$385.00
Service	ARTHROCENTESIS ASP OR INJ SML	$661.00
Service	ARTHROCENTESIS ASP/INJ INTERMEDIATE JT W/O US	$296.00
Service	ARTHROCENTESIS ASP/INJ INTERMEDIATE JT WITH US	$974.00
Service	ARTHROCENTESIS ASP/INJ LG US	$662.00
Service	ARTHROCENTESIS ASP/INJ MAJOR JT W/O US	$1,500.00
Service	ARTHROCENTESIS ASP/INJ MAJOR JT WITH US	$1,800.00
Service	ARTHROCENTESIS ASP/INJ MED US	$1,266.00
Service	ARTHROCENTESIS ASP/INJ SM US	$701.00
Service	ARTHROCENTESIS ASP/INJ SMALL JT W/O US	$617.00
Service	ARTHROCENTESIS ASP/INJ SMALL JT WITH US	$1,002.00
Service	ARTHROCENTESIS/ASPIRATION/INJ JOINT MAJOR W/US	$662.00
Service	ASPIR/INJECT CYST RENAL PERC	$1,494.00
Service	ASPIRATE BLADD SUPRAPUBIC CATH	$5,079.00
Service	ASPIRATE/INJECT GANGLION CYST	$393.00
Service	ASPIRATE/INJECT GANGLION CYST	$511.00
Service	ASPIRATION BLADDER OF NEEDLE	$580.00
Service	ASPIRATION CYST BREAST	$1,547.00
Service	ASSESS TINNITUS	$297.00
Service	ATT ANY AREA 30-60 SQ CM	$6,972.00
Service	AUDITORY EVOKED POTENTIAL LTD	$376.00
Service	AUDITORY EVOKED POTENTIALS EVOKED RESPONSE COMP	$823.00
Service	BALLOON DILAT URETERAL STRIX	$1,668.00
Service	BASIC VESTIBULAR EVAL W/NYSTAGMUS TEST OSCILL TEST	$522.00
Service	BEHAV/QUAL ANAL OF VOICE/RESON	$422.00
Service	BEHAVIORAL COUNSELING FOR ALCOHOL MISUSE 15 MINS	$52.00
Service	BILIARY STONES REMOVAL	$2,212.00
Service	BINOCULAR MICROSCOPY	$63.00
Service	BIOFEEDBACK TRAIN ANY MODALITY	$212.00
Service	BIOPSY CERVIX SINGLE/MULTIPLE W/WO FULGURATION	$1,593.00
Service	BIOPSY EXTERNAL AUDITORY CANAL	$3,161.00
Service	BIOPSY EXTERNAL EAR	$928.00
Service	BIOPSY FLOOR MOUTH	$1,689.00
Service	BIOPSY INTRANASAL	$1,477.00
Service	BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE	$3,160.00
Service	BIOPSY OF BREAST OPEN	$4,748.00
Service	BIOPSY OF LIP	$575.00
Service	BIOPSY OF PENIS	$3,126.00
Service	BIOPSY OF SKIN, SGL LESION	#N/A
Service	BIOPSY OROPHARYNX	$2,343.00
Service	BIOPSY PALATE UVULA	$1,617.00
Service	BIOPSY SOFT TISSUE LEG/ANKLE	$2,000.00
Service	BIOPSY SOFT TISSUE OF NECK OR THORAX	$1,383.00
Service	BIOPSY TONGUE ANTERIOR TWO-THIRDS	$1,658.00
Service	BIOPSY VESTIBULE OF MOUTH	$837.00
Service	BIOPSY VULVA/PERINEUM 1 LESION	$1,379.00
Service	BIOPSY VULVA/PERINEUM EA ADDL LESION	$762.00
Service	BIPAP/CPAP PER DAY	$524.00
Service	BLADDER IRRIGATION	$559.00
Service	BLD COLLECTION PICC/CNTRL LINE	$250.00
Service	BLOCK INJ CELIAC PLEXUS	$2,486.00
Service	BLOOD DRAW FROM PORT	$64.00
Service	BLOOD GAS VIA CATHETER	$80.00
Service	BMP CENTRIFUGE INTRAOP	$1,911.00
Service	BR BX W/DEVICE PLACE MRI 1ST	$4,412.00
Service	BR BX W/DEVICE PLACE MRI ADD	$1,542.00
Service	BR BX W/DEVICE PLACE US 1ST	$4,580.00
Service	BR BX W/DEVICE PLACE US ADD	$1,408.00
Service	BR BX W/DVICE LACE STEREO ADD	$2,439.00
Service	BR BX W/DVICE PLACE STEREO 1ST	$5,950.00
Service	BRONCH NEEDLE ASP ADDL LOBE	$434.00
Service	BRONCHOSCOPY (LUNG LAVAGE)	$950.00
Service	BRONCHOSCOPY DIAG LUNG BIOPSY	$1,100.00
Service	BRONCHOSCOPY INSERT VALVE(S) EACH ADDL LOBE	$1,718.00
Service	BRONCHOSCOPY INSERT VALVE(S) INITIAL LOBE	$6,873.00
Service	BRONCHOSCOPY NEEDLE ASPIRATE	$2,200.00
Service	BRONCHOSCOPY REMOVE VALVE(S) EACH ADDL LOBE	$2,292.00
Service	BRONCHOSCOPY REMOVE VALVE(S) INITIAL LOBE	$4,145.00
Service	BRONCHOSCOPY W/MARKER SNG/MULT	$6,160.00
Service	BRONCHOSCOPY W/PLACEMENT BRONCHIAL STENT INITIAL	$3,015.00
Service	BRONCHOSCOPY WITH BRUSHING	$1,537.00
Service	BURN TREATMENT LARGE W/WO DEBR	$935.00
Service	BURN TREATMENT MED W/WO DEBR	$653.00
Service	BURN TREATMENT SMALL W/WO DEBR	$583.00
Service	BURR HOLE IMP VENT CATH	$2,886.00
Service	CALORIC VESTIBULAR TEST W/RECORDING BILAT BITHERMA	$496.00
Service	CALORIC VESTIBULAR TEST W/RECORDING BILAT MONOTHER	$450.00
Service	CANALITH REPOSITIONING PX PER DAY	$205.00
Service	CANTHOTOMY	$2,499.00
Service	CAPILLARY PUNCTURE FOR LABS	$8.00
Service	CARDIAC MONITORING 1-3 LEADS	$73.00
Service	CARDIAC REHAB W/CONT EKG	$357.00
Service	CARDIOVERSION EXTERNAL	$1,990.00
Service	CARDIOVERSION-INTERNAL	$1,321.00
Service	CAROTID ULTRASOUND BILATERAL	$2,159.00
Service	CAROTID ULTRASOUND UNILATERAL	$840.00
Service	CATH 2 TUNNLD (TESIO) INSERT	$3,288.00
Service	CATH 2 TUNNLD W/SQ PORTS INSRT	$8,684.00
Service	CATH CCA/INOM EXT RS&I BIL	$15,000.00
Service	CATH CCA/INOM EXT RS&I UNI	$10,000.00
Service	CATH CCA/INOM INT RS&I BIL	$15,000.00
Service	CATH CCA/INOM INT RS&I UNI	$10,000.00
Service	CATH DRAIN PERI/RETRO W/IMAGE	$3,276.00
Service	CATH DRAIN VISCERAL W/IMAGE	$3,123.00
Service	CATH EXTERNAL CAROTID RS&I UNI	$8,683.00
Service	CATH ICA RS&I BIL	$8,609.00
Service	CATH ICA RS&I UNI	$5,740.00
Service	CATH INTERNAL CAROTID RS&I UNI	$5,788.00
Service	CATH PLACE ART ABD 1ST ORDER	$1,888.00
Service	CATH PLACE ART ABD 2ND ORDER	$2,200.00
Service	CATH PLACE ART ABD 3RD ORDER	$3,028.00
Service	CATH PLACE ART ABD ADDL ORDER	$1,014.00
Service	CATH PLACE ART THOR 1ST ORDER	$3,049.00
Service	CATH PLACE ART THOR 2ND ORDER	$1,689.00
Service	CATH PLACE ART THOR 3RD ORDER	$2,116.00
Service	CATH PLACE ART THOR ADDL ORDER	$1,255.00
Service	CATH PLACE VEIN 1ST ORDER	$2,610.00
Service	CATH PLACE VEIN 2ND ORDER	$1,468.00
Service	CATH PLCMT/ PULM ARTERY/ SEL	$1,364.00
Service	CATH PLCMT/PULM ARTERY/SEG	$1,660.00
Service	CATH SUBCLAVIAN ART RS&I BIL	$23,061.00
Service	CATH SUBCLAVIAN ART RS&I UNI	$15,374.00
Service	CATH VERTEBRAL ART RS&I BIL	$15,817.00
Service	CATH VERTEBRAL ART RS&I UNI	$10,544.00
Service	CELL SAVER BLD RECOERY & ADMIN	$1,320.00
Service	CELL SAVER BLD RECOVERY ONLY	$1,404.00
Service	CENTRAL LINE REPOSITIONING	$1,413.00
Service	CENTRAL MOTOR UP & LOW LIMBS	$1,120.00
Service	CENTRAL VENOUS CATH INSERTION	$1,245.00
Service	CENTRAL VENOUS CATH PLACEMENT	$835.00
Service	CERCLAGE REMOVAL	$953.00
Service	CEREBRAL PERFUSION CT W/CONT	$2,860.00
Service	CERVICAL/VAGINAL CANCER SCREEN PELVIC/BREAST EXAM	$83.00
Service	CHANGE CYSTOSTOMY TUBE COMPLICATED	$1,288.00
Service	CHANGE CYSTOSTOMY TUBE SIMPLE	$675.00
Service	CHEMICAL CAUTERIZATION TISSUE	$507.00
Service	CHEMICAL CAUTERY GRAN TISSUE	$507.00
Service	CHEMICAL CAUTERY GRANUL TISSUE	$507.00
Service	CHEMO CONCURRENT	$258.00
Service	CHEMO HORMONAL SQ/IM	$207.00
Service	CHEMO INF ADD HR AFTER 90MIN	$160.00
Service	CHEMO INF INITIAL 16-90 MIN	$771.00
Service	CHEMO INF INITIATION W/PUMP	$824.00
Service	CHEMO INF PUMP > 8HRS	$727.00
Service	CHEMO INF SEQ 16-90MIN	$160.00
Service	CHEMO INJ CNS INCL SPINL PUNCT	$989.00
Service	CHEMO INSTILLATION BLADDER	$618.00
Service	CHEMO IV PUSH/INF SEQ < 16MIN	$160.00
Service	CHEMO IV PUSH/IV INITIAL < 16M	$464.00
Service	CHEMO SQ/IM	$144.00
Service	CHEMODENERVATION => 5 MUSCLES 1ST EXTREMITY	$718.00
Service	CHEMODENERVATION => 5 MUSCLES EA ADDL EXTREMITY	$403.00
Service	CHEMODENERVATION 1-4 MUSCLES 1ST EXTREMITY	$784.00
Service	CHEMODENERVATION 1-4 MUSCLES EA ADDL EXTREMITY	$424.00
Service	CHEMODENERVATION MUSCLE FACE/TRIG/CERV BILATERAL	$506.00
Service	CHEMODENERVATION MUSCLE NECK NOT LARYNX UNI	$665.00
Service	CHEST WALL MANIP MANUAL INITL	$203.00
Service	CHEST WALL MANIP MANUAL SUBSEQ	$121.00
Service	CHNG URETERL TUBE/STENT VIA	$2,427.00
Service	CIRCUMCISION NB CLAMP/DEVICE	$2,209.00
Service	CL TREAT DIST RAD FX W/MAN	$940.00
Service	CL TREAT METATARS FX W/MAN	$384.00
Service	CL TREAT OF TIBIA FX W/MAN	$742.00
Service	CL TREAT OF TOE FRACTURE W/MAN	$423.00
Service	CL TREAT PROX HUM FX W/MAN	$1,929.00
Service	CL TREAT PROX ULNA FX W/MAN	$585.00
Service	CL TREAT RAD/ULN SHFT FX W/MAN	$569.00
Service	CL TX ACETABULUM FX W/O MANIPULATION	$276.00
Service	CL TX ANKLE DISLOC W/ANES	$686.00
Service	CL TX ART FX METACARPO/INTERPHALANGEAL JT W/O MAN	$379.00
Service	CL TX BIMALLEOLAR ANKLE FX W/O MANIPULATION	$439.00
Service	CL TX CALCANEAL FX W/O MANIPULATION	$397.00
Service	CL TX CARPAL BONE FX W/O MANIPULATION EA BONE	$384.00
Service	CL TX CARPAL FX W/MAN EA BONE	$729.00
Service	CL TX CARPAL SCAPHOID FX W/MAN	$1,642.00
Service	CL TX CARPAL SCAPHOID FX W/O MANIPULATION	$487.00
Service	CL TX CLAVICAL FX W/MAN	$688.00
Service	CL TX CLAVICLE FX W/O MANIPULATION	$366.00
Service	CL TX COCCYGEAL FX	$359.00
Service	CL TX DISTAL FIBULAR FX W/O MANIPULATION	$465.00
Service	CL TX DISTAL PHALANGEAL FX W/O MANIPULATION	$381.00
Service	CL TX DISTAL PHALANGEAL FX WITH MANIPULATION	$519.00
Service	CL TX DISTAL RADIAL FX W/O MANIPULATION	$506.00
Service	CL TX DISTAL RADIAL FX WITH MANIPULATION	$723.00
Service	CL TX FEM FX DISTAL W/MAN	$606.00
Service	CL TX FEM PROX/NECK FX W/MAN	$2,774.00
Service	CL TX FEM SHAFT FX W/MAN	$916.00
Service	CL TX FX GREAT TOE PHALANX/PHALANGES W/O MANIP	$273.00
Service	CL TX FX PHALANX/PHALANGES NOT GREAT TOE W/O MAN	$327.00
Service	CL TX GREATER HUMERAL TUBEROSITY FX W/O MANIP	$394.00
Service	CL TX GREATER TROCHANTERIC FX W/O MANIPULATION	$502.00
Service	CL TX HIP DIS TRAUM REQ ANES	$1,667.00
Service	CL TX HIP DIS TRAUM W/O ANES	$638.00
Service	CL TX HIP FX W/MAN W/WO TRACT	$3,081.00
Service	CL TX HUM COND FX W/MAN	$585.00
Service	CL TX HUM SHAFT FX W/MAN	$606.00
Service	CL TX HUMERAL SHAFT FX W/O MANIPULATION	$475.00
Service	CL TX INTERTROCH FX W/ MAN	$3,051.00
Service	CL TX KNEE DISLOC W/ANES	$2,166.00
Service	CL TX KNEE DISLOC W/O ANES	$601.00
Service	CL TX LUNATE DISLOCAT W/MAN	$1,697.00
Service	CL TX MANDIBLE FX W/INT FIX	$6,731.00
Service	CL TX MEDIAL ANKLE W/MAN	$1,641.00
Service	CL TX MEDIAL MALLEOLUS FX W/O MANIPULATION	$463.00
Service	CL TX MET FX W/MAN EACH BONE	$282.00
Service	CL TX METACARPAL FX SINGLE W/O MANIPULATION EACH	$402.00
Service	CL TX METACARPAL FX SINGLE WITH MANIPULATION EACH	$217.00
Service	CL TX METATARSAL FX W/O MANIPULATION EACH	$414.00
Service	CL TX METATARSAL FX WITH MANIPULATION EACH	$677.00
Service	CL TX NASAL BONE FX W/O MAN	$170.00
Service	CL TX NASAL BONE FX W/O STBL	$1,435.00
Service	CL TX PAL/MAX FX W/FIXATION	$4,913.00
Service	CL TX PATELLAR DIS REQ ANES	$1,330.00
Service	CL TX PATELLAR FX W/O MANIPULATION	$450.00
Service	CL TX PHALANGEAL SHAFT FX W/O MANIPULATION EACH	$393.00
Service	CL TX PHALANGEAL SHAFT FX WITH MANIPULATION EACH	$206.00
Service	CL TX POST MALL FX W/MAN	$881.00
Service	CL TX POST MALLEOLUS FX W/O MANIPULATION	$380.00
Service	CL TX POST PELVIC RING FX/DISLOC UNI/BILAT W/O MAN	$450.00
Service	CL TX PROX FIBULA/SHAFT FX W/O MANIPULATION	$387.00
Service	CL TX PROX HUMERAL FX W/O MANIPULATION	$455.00
Service	CL TX PROX TIB-FIB DIS W/ ANES	$1,167.00
Service	CL TX PROX TIB-FIB DIS WO ANES	$601.00
Service	CL TX RADIAL HEAD/NECK FX W/O MANIPULATION	$415.00
Service	CL TX RADIAL SHAFT TX W/O MANIPULATION	$345.00
Service	CL TX RADIAL/ULNAR SHAFT FX W/O MANIPULATION	$523.00
Service	CL TX RADIOULNAR DIS W/MAN	$598.00
Service	CL TX RCARP/ICARP DIS W/MAN	$601.00
Service	CL TX SESAMOID BONE FX	$601.00
Service	CL TX SUP/TRANCON HUM FX W/MAN	$598.00
Service	CL TX TALOTARS DISLOC W/O ANES	$601.00
Service	CL TX TALOTARSAL DISLOC W/ANES	$1,800.00
Service	CL TX TALUS FX W/O MANIPULATION	$402.00
Service	CL TX TARS/META DIS W/O ANES	$519.00
Service	CL TX THUMB DISLOCATION W/MAN	$601.00
Service	CL TX TIBIAL FX PROX W/WO MAN	$1,607.00
Service	CL TX TIBIAL FX PROXIMAL W/O MANIPULATION	$444.00
Service	CL TX TIBIAL SHAFT FX W/O MANIPULATION	$456.00
Service	CL TX TOE JNT DISLOC W/ANES	$629.00
Service	CL TX TOE JNT DISLOC W/O ANES	$519.00
Service	CL TX ULNAR FX PROX END W/O MANIPULATION	$447.00
Service	CL TX ULNAR SHAFT FX W/O MANIPULATION	$385.00
Service	CL TX ULNAR STYLOID FX	$253.00
Service	CL TX ULNAR STYLOID FX	$329.00
Service	CLOSE PERC ASD DEFECT W/IMPLAN	$10,000.00
Service	CLOSED TX PATELLAR W/O ANES	$231.00
Service	CLSD TX MAN/MAX ALV RIDGE FX	$3,899.00
Service	CLSD TX NASL SPTL FX W/WO STBL	$3,010.00
Service	CLTX CMC DIS NO THMB MAN WOANE	$601.00
Service	CLTX CMC DIS NOT THMB MAN&ANES	$1,789.00
Service	CLTX FX OF DSTL TIB W/SKELTRAC	$1,881.00
Service	CLTX IPHAL JNT DISLOC W/O ANES	$224.00
Service	CLTX KNUCKLE DIS W/MAN WO/ANES	$550.00
Service	CLTX POSTHIP ARTH DIS W/O ANES	$977.00
Service	CLTX RADIAL HEAD/NECK FX W/MAN	$606.00
Service	CNTRL MTR EVOKED LWR LIMBS	$664.00
Service	COGNITI EVAL THINK REAS MEM/HR	$434.00
Service	COLONOSCOPY	$3,000.00
Service	COLONOSCOPY W/BX/ETC	$3,500.00
Service	COLPOSCOPY CERVIX INCLUDE UPPER/ADJACENT VAGINA	$439.00
Service	COLPOSCOPY CERVIX W/BIOPSY & ENDOCERVICAL CURETTAG	$574.00
Service	COLPOSCOPY CERVIX W/BIOPSY CERVIX	$574.00
Service	COLPOSCOPY CERVIX W/ENDOCERVICAL CURETTAGE	$518.00
Service	COLPOSCOPY VAGINA WITH CERVIX	$783.00
Service	COLPOSCOPY VAGINA WITH CERVIX BIOPSY VAGINA/CERVIX	$1,550.00
Service	COLPOSCOPY VULVA	$310.00
Service	COLPOSCOPY VULVA WITH BIOPSY	$804.00
Service	COMP AUDIOMETRY THRESHOLD EVAL AND SPEECH RECOG	$285.00
Service	CONDITIONING PLAY AUDIOMETRY	$269.00
Service	CONT BRONCHODILATOR EA ADDL HR	$192.00
Service	CONT BRONCHODILATOR RX 1ST HR	$296.00
Service	CONT NOSEBLEED POST-SUBSEQUENT	$346.00
Service	CONTROL NASOPHARYNGEAL BLEED COMPLICATED	$972.00
Service	CONTROL NOSE BLEED ANT COMPLEX	$480.00
Service	CONTROL NOSE BLEED ANT SIMPLE	$469.00
Service	CONTROL NOSEBLEED ANT COMP BIL	$720.00
Service	CONTROL NOSEBLEED ANT COMP UNI	$480.00
Service	CONTROL NOSEBLEED ANT SIMP BIL	$915.00
Service	CONTROL NOSEBLEED ANT SIMP UNI	$610.00
Service	CONTROL NOSEBLEED POST INITIAL	$358.00
Service	CONV G TUBE TO J TUBE	$1,988.00
Service	CONVT EXT BIL DRAIN CATH RS&I	$3,952.00
Service	CONVT NEPHRO CATH RS&I	$2,197.00
Service	CORONARY ART/GRFT ANGIO IMGS&I	$11,000.00
Service	CORONARY ARTERY ANGIO IMG S&I	$6,000.00
Service	COUNSELING FOR LUNG CA SCREEN	$204.00
Service	CPR - NOT DELIVERY/BIRTH ROOM	$1,063.00
Service	CRICOTHYROIDOTOMY	$1,357.00
Service	CRRT - CONT RENAL REPLACE	$1,181.00
Service	CYST ASPIRATION BREAST- EA ADD	$426.00
Service	CYSTO & URETERAL STENT	$3,758.00
Service	CYSTOCOPY W/FB REMOVAL SIMPLE	$4,176.00
Service	CYSTOCOPY W/FB REMOVAL SIMPLE	$4,176.00
Service	CYSTOGRAM-INJECTION	$985.00
Service	CYSTOMETROGRAM COMPLEX	$920.00
Service	CYSTOMETROGRAM COMPLEX W/URETHRAL PRESS ANY TECH	$838.00
Service	CYSTOMETROGRAM COMPLEX W/VOIDING & URETH PRESS	$812.00
Service	CYSTOMETROGRAM COMPLEX W/VOIDING PRESS ANY TECH	$836.00
Service	CYSTOSCOPY DIL URETHRA STRIC	$5,418.00
Service	CYSTOSTOMY TUBE CHANGE	$675.00
Service	CYSTOURETHEROSCOPY	$1,596.00
Service	CYSTOURETHROSCOPY	$1,228.00
Service	CYSTOURETHROSCOPY W/CALIBRATION/DILATE URETHRA	$4,466.00
Service	CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION	$3,992.00
Service	CYSTOURETHROSCOPY WITH BIOPSY	$4,381.00
Service	DAY OF DISCHARGE - BRIDGE APPT	$96.00
Service	DEB BONE =<20 SQ CM	$3,134.00
Service	DEB BONE EA ADDL 20 SQ CM	$2,451.00
Service	DEB MUS/FASCIA EA ADD 20 SQCM	$906.00
Service	DEB SUBQ TISSUE =<20 SQCM	$3,570.00
Service	DEB SUBQ TISSUE EA ADD 20 SQCM	$1,055.00
Service	DEBRID SKIN & SUBCUT TISS	$3,570.00
Service	DEBRID SKIN PARTIAL THICKNESS	$149.00
Service	DEBRIDE ECZEMA/INFECTED SKIN	$1,028.00
Service	DEBRIDE MASTOIDECTOMY CAVITY SIMPLE	$184.00
Service	DEBRIDE MUSCLE/FASCIA =< 20 SQCM	$3,004.00
Service	DEBRIDE MUSCLE/FASCIA =<20 SQCM	$3,004.00
Service	DEBRIDE NAIL ANY METHOD <=5	$119.00
Service	DEBRIDE NAIL ANY METHOD <=5	$119.00
Service	DEBRIDE NAIL ANY METHOD >=6	$128.00
Service	DEBRIDE NON-SELECT PER SESSION	$209.00
Service	DEBRIDE SKIN BONE AT FX SITE	$1,125.00
Service	DEBRIDE SKIN SC OPEN FX	$555.00
Service	DEBRIDEMENT SELECT <OR= 20SQCM	$348.00
Service	DEBRIDEMENT SELECT > 20SQCM	$393.00
Service	DECLOT VASCULAR DEVICE/CATH	$749.00
Service	DECLOT VASCULAR DEVICE/CATH	$749.00
Service	DELAY PLACEMENT EXT PROSTH ENDOVAS RS&I 1ST VESSEL	$5,000.00
Service	DELAY PLACEMENT EXT PROSTH ENDOVAS RS&I EA ADDL	$4,591.00
Service	DELIVERY OF PLACENTA	$1,209.00
Service	DELIVERY/BIRTHING ROOM	$516.00
Service	DESTRUCT BENIGN =< 14 LESIONS	$227.00
Service	DESTRUCT BENIGN => 15 LESIONS	$247.00
Service	DESTRUCT BENIGN LESION 1-14	$295.00
Service	DESTRUCT LESION PENIS SIMPLE CRYOSURGERY	$206.00
Service	DESTRUCT LESION VULVA SIMPLE	$3,355.00
Service	DESTRUCT MALIGNANT FACE/EARS/EYELIDS =< 0.5 CM	$243.00
Service	DESTRUCT MALIGNANT FACE/EARS/EYELIDS 1.1-2 CM	$364.00
Service	DESTRUCT MALIGNANT TRUNK/EXT =< 0.5 CM	$256.00
Service	DESTRUCT MALIGNANT TRUNK/EXT 1.1-2 CM	$291.00
Service	DESTRUCT MALIGNANT TRUNK/EXT 3.1-4 CM	$307.00
Service	DESTRUCT PREMALIGNANT => 15 LESIONS	$378.00
Service	DESTRUCT PREMALIGNANT 1ST LESION	$159.00
Service	DESTRUCT PREMALIGNANT 2-14 LESIONS	$51.00
Service	DEVELOP COGNITIVE SKILLS EACH 15 MINUTES	$192.00
Service	DIAG ANALYSIS COCHLEAR IMP => 7 YRS SUBSEQ PROGRAM	$383.00
Service	DIAG ANALYSIS COCHLEAR IMPLANT < 7 YRS SUBSEQ REPR	$496.00
Service	DIAG ANALYSIS COCHLEAR IMPLANT < 7 YRS W/PROGRAM	$496.00
Service	DIAG ANALYSIS COCHLEAR IMPLANT => 7 YRS W/PROGRAM	$440.00
Service	DIAG LARYNGOSCOPY FLEX	$299.00
Service	DIAG LARYNGOSCOPY INDIR	$438.00
Service	DIAGNOSTIC BONE MARROW ASPIRATION	$339.00
Service	DIAGNOSTIC BONE MARROW ASPIRATION	$339.00
Service	DIAGNOSTIC BONE MARROW BIOPSY	$1,343.00
Service	DIAGNOSTIC BONE MARROW BIOPSY & ASPIRATION	$471.00
Service	DIFFUSE CAPACITY ADD ON	$475.00
Service	DILATE BALLOON BILIARY AMPULLA	$3,405.00
Service	DILATE EXIST RENAL TRACT W/GUIDE RS&I	$3,632.00
Service	DILATE EXIST RENAL TRACT W/GUIDE RS&I W/NEW ACCESS	$3,995.00
Service	DILATE URETH STRICT MALE INIT	$618.00
Service	DIRECT REFER FOR OBSERVATION	$514.00
Service	DOPPLER COLOR FLOW ADD-ON	$817.00
Service	DOPPLER ECHO EXAM HEART COMPL	$1,629.00
Service	DOPPLER ECHO EXAM HEART LIMTED	$635.00
Service	DRAIN ABSCESS CYST HEMA TOOTH	$768.00
Service	DRAIN ABSCESS SUBMAXILLARY/SUBLINGUAL INTRAORAL	$634.00
Service	DRAIN CATH SOFT TISSUE W/IMAGE	$714.00
Service	DRAIN EXT EAR ABSCESS/HEMATOMA COMPLICATED	$2,765.00
Service	DRAIN EXT EAR ABSCESS/HEMATOMA SIMPLE	$257.00
Service	DRAIN EXTERNAL EAR LESION COMP	$925.00
Service	DRAIN EXTERNAL EAR LESION SIMP	$567.00
Service	DRAIN MOUTH LESION COMPLICATED	$1,301.00
Service	DRAIN MOUTH LESION SIMPLE	$567.00
Service	DRAIN TENDON SHEATH DIGIT/PALM	$2,003.00
Service	DRAINAGE FINGER ABSCESS COMP	$878.00
Service	DRAINAGE FINGER ABSCESS SIMPLE	$244.00
Service	DRAINAGE MOUTH ROOF LESION	$278.00
Service	DRAINAGE OF ABSCESS EYELID	$393.00
Service	DRAINAGE OF NOSE LESION	$606.00
Service	DRAINAGE OF OVARIAN CYST(S)	$4,391.00
Service	DRAINAGE OF SCROTAL WALL ABSCESS	$1,000.00
Service	DRAINAGE OF SCROTUM ABSCESS	$1,000.00
Service	DRAINAGE OF SKIN ABSCESS	$1,216.00
Service	DRESS/DEBRID P-THICK BURN LRG	$935.00
Service	DRESS/DEBRID P-THICK BURN MED	$653.00
Service	DRESS/DEBRID P-THICK BURN SML	$583.00
Service	DRUG ADMIN & HEMODYNAMIC MEAS	$512.00
Service	DUCTOGRAM INJECTION	$1,031.00
Service	DUP SCAN LOW EXT ART CMPT BIL	$2,510.00
Service	DUP SCAN LOW EXT ART LTD UNILA	$909.00
Service	DUP SCAN UP EXT ART CMPT BILAT	$991.00
Service	DUP SCAN UP EXT ART UNIL LTD	$900.00
Service	DUPLEX OF HEMODIALYSIS ACCESS	$531.00
Service	DUPLEX SCAN COMPLETE	$2,218.00
Service	DUPLEX SCAN LIMITED	$2,277.00
Service	DUPLEX SCAN OF AORTA	$1,394.00
Service	E&M ADVANCE CARE PLANNING 1ST 30 MINUTES	$90.00
Service	E&M ADVANCE CARE PLANNING EA ADDL 30 MINUTES	$90.00
Service	E&M CHRONIC CARE MGMT BY STAFF => 20 MINUTES	$75.00
Service	E&M LEVEL 1 NEW PT	$165.00
Service	E&M LEVEL 2 NEW PT	$216.00
Service	E&M LEVEL 3 NEW PT	$235.00
Service	E&M LEVEL 5 EST PT	$340.00
Service	E&M LEVEL 5 NEW PT	$517.00
Service	E&M PROLONGED DIRECT PT CONTACT 1ST HOUR ADD ON	$145.00
Service	E&M PROLONGED DIRECT PT CONTACT EA ADDL HR ADD ON	$119.00
Service	E&M TRANSITION CARE MGMT MOD =< 7 DAYS DC W/MOD	$201.00
Service	E&M TRANSITION CARE MGMT MODERATE =< 14 DAYS DC	$167.00
Service	ECHO 2D LIMITED OR FOLLOW UP	$833.00
Service	ECHO 2D W/DOPPLER COLOR FLOW	$6,000.00
Service	ECHO 2D W/O SPECTRAL/COLOR DOPPLER COMPLETE	$1,336.00
Service	ECHO TRANSESOPHAGEAL INTRAOP	$2,772.00
Service	ECHO TT CONGENITAL CARD COMPLT	$2,659.00
Service	ECHO TT CONGENITAL CARD FU/LTD	$1,230.00
Service	ECMO CHANGE OUT	$10,308.00
Service	ECMO DAILY CHARGE	$932.00
Service	ECMO INITIATION PACKAGE	$10,867.00
Service	ECMO INSERTION ART/VENOUS	$3,064.00
Service	ECMO PERF CONSULT	$892.00
Service	ECMO REMOVAL PERIPHERAL ART/VENOUS PERC => 6 YRS	$659.00
Service	ECMO/ECLS INITIATION VENO-ARTERIAL	$3,064.00
Service	ECS TRACING (EEG CEREBRAL DTH)	$1,216.00
Service	EEG AWAKE AND DROWSY	$683.00
Service	EEG EXTND > 1 HOUR	$1,178.00
Service	EGD	$2,795.00
Service	EGD CONTROL BLEEDING ANY METH	$3,552.00
Service	EGD DIAGNOSTIC	$2,795.00
Service	EGD GUIDEWIRE INSERT DILATOR	$3,150.00
Service	EGD W/BIOPSY	$4,062.00
Service	EGD W/BX/FB REMOVE/FNA/ETC	$4,062.00
Service	EGD W/PEG TUBE PLACEMENT	$3,640.00
Service	EKG 12 LEAD TRACING ONLY	$500.00
Service	EKG ROUTINE 12 LEADS SCREEN INITIAL EXAM TRACING	$53.00
Service	ELBOW ARTHROGRAM INJ-BILATERAL	$851.00
Service	ELBOW ARTHROGRAM-INJECTION	$567.00
Service	ELBOW OR WRIST STRAPPING BIL	$267.00
Service	ELBOW OR WRIST STRAPPING LT	$178.00
Service	ELBOW OR WRIST STRAPPING RT	$178.00
Service	ELECTIVE COSM SURG 0-60 MIN	$750.00
Service	ELECTIVE COSM SURG 0-60 MIN 2ND COSM PX	$375.00
Service	ELECTIVE COSM SURG ADDL 15 MIN 2ND COSM PX	$63.00
Service	ELECTIVE COSM SURG ADDL 15MIN	$125.00
Service	ELECTRIC STIM MANUAL EA 15 MIN	$121.00
Service	ELECTROCOCHLEOGRAPHY	$534.00
Service	EMBO OR OCCLS MAIN ACCESS VEIN	$1,009.00
Service	EMBOLIZATION ARTERY RS&I	$22,065.00
Service	EMBOLIZATION VENOUS RS&I	$11,967.00
Service	EMBOLIZE TUMOR/ORGAN/INFARCT	$16,500.00
Service	EMBOLIZE VEIN/ART HEMORRHAGE	$12,713.00
Service	EMG ANAL/URETHRAL OTHER THAN NEEDLE	$357.00
Service	ENDO ABLATE INCOMP VEIN EXT IMAGE LASER 1ST VEIN	$5,708.00
Service	ENDO ABLATE INCOMP VEIN EXT IMAGE LASER SUBSQ VEIN	$3,306.00
Service	ENDO BILIARY BRUSH BX	$2,830.00
Service	ENDO NASAL DIAG UNILATERAL/BILATERAL	$428.00
Service	ENDO NASAL/SINUS SURG W/BIOPSY/POLYPECT/DEBRIDE	$3,340.00
Service	ENDO NASAL/SINUS SURG W/CONTROL NOSE BLEED	$3,834.00
Service	ENDOBRONCHIAL US ADD-ON	$2,700.00
Service	ENDOCERVICAL CURETTAGE	$1,620.00
Service	ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT	$3,194.00
Service	ENDOMETRIAL BX W/COLPOSCOPY ADD ON	$475.00
Service	ENDOMETRIAL BX W/WO ENDOCERVICAL BX, WO CERV DILAT	$404.00
Service	ENDOVAS REPAIR A-AORTIC OTHER THAN RUPTURE RS&I	$8,000.00
Service	ENDOVAS REPAIR A-AORTIC RUPTURE RS&I	$8,000.00
Service	ENDOVAS REPAIR A-BI ILIAC OTHER THAN RUPTURE RS&I	$8,000.00
Service	ENDOVAS REPAIR A-BI ILIAC RUPTURE RS&I	$8,000.00
Service	ENDOVAS REPAIR A-UNI ILIAC OTHER THAN RUPTURE RS&I	$8,000.00
Service	ENDOVAS REPAIR A-UNI ILIAC RUPTURE RS&I	$8,000.00
Service	ENDOVAS REPAIR ILIO-ILIAC OTHER THAN RUPTURE RS&I	$8,000.00
Service	ENDOVAS REPAIR ILIO-ILIAC RUPTURE RS&I	$8,000.00
Service	ENDOVASC TAA REPR W/O SUBCL	$4,773.00
Service	ENDOVASC TAA REPR WITH SUBCL	$4,882.00
Service	ENDOVASC TEMPORY VESSEL OCCL	$8,468.00
Service	EP & ABLATE AFIB PUL VEIN ISOL	$51,023.00
Service	EP & ABLATE SUPRAVENT ARRHYTH	$37,346.00
Service	EP & ABLATE VT W/3D MAPPING	$41,847.00
Service	EP & RF EPICARDIAL ABLATION	$2,821.00
Service	EP COMP R VEN/ATRIAL W/O INHIB	$14,882.00
Service	EP COMP R VENT/ATRIAL W/INDUCT	$16,708.00
Service	EP COMPREHENSIVE LEFT VENTRICL	$10,560.00
Service	EP EVAL CARDIO/DEFIB LEADS	$2,137.00
Service	EP FOLLOW-UP	$5,128.00
Service	EP HIS STUDY	$3,102.00
Service	EP L ATR/SINUS W/PACING W/INDU	$13,162.00
Service	EP MAP TACHYCARDIA (BIOSENSE)	$4,760.00
Service	EP PROGRAM STIM W/DRUG INFUS	$6,811.00
Service	EP RF AV NODE ABLATION	$16,749.00
Service	EPIDRM GRFT FAC/NCK/HF/G =<100	$3,526.00
Service	EPIDRM GRFT TRNK/ARM/LEG =<100	$2,054.00
Service	ERCP	$4,664.00
Service	ERCP WITH STENT PLACE/REPLACE	$4,827.00
Service	ESOPHAGOSCOPY FLEX FB REMOVAL	$2,506.00
Service	ESOPHAGUS MOTILITY STUDY	$2,054.00
Service	E-STIM UNATTEND NOT WOUND CARE	$156.00
Service	EVACUATION SUBUNGUAL HEMATOMA	$104.00
Service	EVACUATION SUBUNGUAL HEMATOMA	$104.00
Service	EVAL AND DEMO AEROSOL MDI	$60.00
Service	EVAL AUDITORY REHAB STATUS EA ADDL 15 MINS	$83.00
Service	EVAL CENTRAL AUDITORY FUNCTION W/REPORT 1ST 60 MIN	$324.00
Service	EVAL CENTRAL AUDITORY FUNCTION W/REPORT EA ADDL 15	$81.00
Service	EVAL OF SPEECH FLUENCY	$513.00
Service	EVAL ORAL PHARYNGEAL SWALLOW	$221.00
Service	EVAL SP DEVICE RX 60MIN	$564.00
Service	EVAL SPEECH PROD W/COMP	$713.00
Service	EVAL SPEECH SOUND PRODUCT	$341.00
Service	EVALUATION OF AUDITORY REHAB STATUS FIRST HOUR	$397.00
Service	EVALUATION SUBCUTANEOUS CRM	$83.00
Service	EVENT HOOKUP ONLY REDUCED SRV	$350.00
Service	EVOKED AUDITORY SCREENING	$231.00
Service	EVOKED AUDITORY TEST/I&R	$273.00
Service	EVOKED OTOACOUSTIC EMISSIONS COMP EVAL W/REPORT	$297.00
Service	EXCHANGE DRAINAGE CATH	$3,082.00
Service	EXCHG BIL DRG CATH TO EXT RS&I	$2,839.00
Service	EXCHG NEPHRO CATH RS&I	$2,320.00
Service	EXCISE BENIGN FACE/EARS >0.5CM	$1,364.00
Service	EXCISE BENIGN FACE/EARS/EYELIDS =< 0.5 CM	$1,049.00
Service	EXCISE BENIGN FACE/EARS/EYELIDS 0.6-1 CM	$1,462.00
Service	EXCISE BENIGN FACE/EARS/EYELIDS 1.1-2 CM	$1,985.00
Service	EXCISE BENIGN FACE/EARS/EYELIDS 2.1-3 CM	$2,177.00
Service	EXCISE BENIGN LESION <=0.5 CM	$1,430.00
Service	EXCISE BENIGN SCALP/NECK/HANDS =< 0.5 CM	$2,244.00
Service	EXCISE BENIGN SCALP/NECK/HANDS 0.6-1 CM	$2,060.00
Service	EXCISE BENIGN SCALP/NECK/HANDS 1.1-2 CM	$2,441.00
Service	EXCISE BENIGN SCALP/NECK/HANDS 2.1-3 CM	$2,609.00
Service	EXCISE BENIGN SCALP/NECK/HANDS 3.1-4 CM	$3,327.00
Service	EXCISE BENIGN TRNK/EXT 0-0.5CM	$1,430.00
Service	EXCISE BENIGN TRNK/EXT 1.1-2CM	$1,547.00
Service	EXCISE BENIGN TRUNK/EXT > 4 CM	$3,000.00
Service	EXCISE BENIGN TRUNK/EXT 0.6-1 CM	$1,447.00
Service	EXCISE BENIGN TRUNK/EXT 2.1-3 CM	$2,000.00
Service	EXCISE BENIGN TRUNK/EXT 3.1-4 CM	$2,763.00
Service	EXCISE INGROWN TOENAIL	$686.00
Service	EXCISE INGROWN TOENAIL	$686.00
Service	EXCISE LESION MUCOSA/SUBMUCOSA VESTIBLE W/O REPAIR	$3,047.00
Service	EXCISE LESION MUCOSA/SUBMUCOSA VESTIBLE W/SIMP RPR	$3,656.00
Service	EXCISE LESION TONGUE W/CLOSURE ANTERIOR TWO-THIRDS	$4,327.00
Service	EXCISE LESION TONGUE W/O CLOSURE	$3,404.00
Service	EXCISE MALIGNANT FACE/EARS/EYELIDS =< 0.5 CM	$2,101.00
Service	EXCISE MALIGNANT FACE/EARS/EYELIDS 0.6-1 CM	$1,855.00
Service	EXCISE MALIGNANT FACE/EARS/EYELIDS 1.1-2 CM	$2,078.00
Service	EXCISE MALIGNANT FACE/EARS/EYELIDS 2.1-3 CM	$2,500.00
Service	EXCISE MALIGNANT FACE/EARS/EYELIDS 3.1-4 CM	$2,682.00
Service	EXCISE MALIGNANT SCALP/NECK/HANDS > 4 CM	$3,717.00
Service	EXCISE MALIGNANT SCALP/NECK/HANDS 0.6-1 CM	$1,732.00
Service	EXCISE MALIGNANT SCALP/NECK/HANDS 1.1-2 CM	$2,218.00
Service	EXCISE MALIGNANT SCALP/NECK/HANDS 2.1-3 CM	$2,497.00
Service	EXCISE MALIGNANT TRUNK/EXT =< 0.5 CM	$2,100.00
Service	EXCISE MALIGNANT TRUNK/EXT > 4 CM	$3,322.00
Service	EXCISE MALIGNANT TRUNK/EXT 0.6-1 CM	$1,198.00
Service	EXCISE MALIGNANT TRUNK/EXT 1.1-2 CM	$1,583.00
Service	EXCISE MALIGNANT TRUNK/EXT 2.1-3 CM	$2,135.00
Service	EXCISE MALIGNANT TRUNK/EXT 3.1-4 CM	$2,310.00
Service	EXCISE PILONIDAL CYST/SINUS COMPLICATED	$5,178.00
Service	EXCISION OF TONGUE FOLD	$569.00
Service	EXCISION TUMOR PELVIS/HIP SUBQ < 3 CM	$3,400.00
Service	EXERCISE TEST FOR BRONCOSPASM	$256.00
Service	EXPL PENETRATING WOUND ABD/BCK	$3,410.00
Service	EXPL PENETRATING WOUND CHEST	$4,136.00
Service	EXPL PENETRATING WOUND EXTREM	$1,547.00
Service	EXPL PENETRATING WOUND NECK	$1,301.00
Service	EXT ART STDY BIL CMPL =>3 LVLS	$2,213.00
Service	EXT ART STDY BIL LTD =<2 LVLS	$638.00
Service	EXTERNAL CEPHALIC VERSION	$3,640.00
Service	FB REMOVAL EXT EYE CONJUNCTIVAL SUPERFICIAL	$103.00
Service	FB REMOVAL FOOT SUBQ	$513.00
Service	FB REMOVE EXT AUDITORY CANAL W/O GEN ANESTHESIA	$198.00
Service	FECAL MICROBIOTA PREP INSTILL	$197.00
Service	FEES FIBEROPTIC EVAL SWALLOW	$481.00
Service	FEM/POPL REVASC STNT & ATHER	$33,990.00
Service	FEM/POPL REVASC W/ATHER	$27,043.00
Service	FEM/POPL REVASC W/STENT	$23,236.00
Service	FEM/POPL REVASC W/TLA	$14,246.00
Service	FETAL CONTRACTION STRESS TEST	$494.00
Service	FETAL NON-STRESS TEST	$795.00
Service	FIB FX DIST (LAT MAL) W/MAN	$282.00
Service	FIBEROPTIC TRACHEOSCOPY THROUGH STOMA	$2,741.00
Service	FINE NEEDLE ASPIR W/O IMAGING	$420.00
Service	FIRST DEGREE LOCAL TX INITIAL	$173.00
Service	FIT/INSERT INTRAVAGINAL SUPPORT DEVICE	$214.00
Service	FNA BIOPSY CT GUIDANCE 1ST LESION	$1,491.00
Service	FNA BIOPSY CT GUIDANCE EA ADDL LESION	$287.00
Service	FNA BIOPSY FLUORO GUIDANCE 1ST LESION	$1,491.00
Service	FNA BIOPSY FLUORO GUIDANCE EA ADDL LESION	$287.00
Service	FNA BIOPSY ULTRASOUND GUIDANCE 1ST LESION	$1,491.00
Service	FNA BIOPSY ULTRASOUND GUIDANCE EA ADDL LESION	$287.00
Service	FOLEY CATHETER COMPLEX	$805.00
Service	FOREIGN BODY EYE REM	$199.00
Service	FOREIGN BODY REM/WOUND EXPLOR	$223.00
Service	FUNDUS PHOTOGRAPHY W/INTERPRETATION AND REPORT	$212.00
Service	GAIT TRAINING EACH 15 MINUTES	$140.00
Service	GASTRIC INTUBAT/ASPIRAT/LAVAGE	$331.00
Service	GASTRO TRACT IMAGE INTRALUMINAL ESOPH-ILEUM W/REP	$2,635.00
Service	GASTROESOPHAGEAL DILATATION	$746.00
Service	GROUP THERAPY	$111.00
Service	GRT TOE/PHAL FX W/MAN	$278.00
Service	HAND STRAPPING BIL	$139.00
Service	HEARING AID CHECK BINAURAL	$96.00
Service	HEARING AID CHECK MONAURAL	$70.00
Service	HEARING AID EXAM AND SELECTION BINAURAL	$201.00
Service	HEARING AID EXAM AND SELECTION MONAURAL	$161.00
Service	HEART PACING MAPPING	$3,457.00
Service	HEMODIALYSIS EMERGENCY	$673.00
Service	HEMODIALYSIS INPATIENT	$600.00
Service	HEMORRHOIDECTOMY BY LIGAT SNGL	$2,414.00
Service	HEMORRHOIDECTOMY INT/EXT =>2	$4,442.00
Service	HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATION	$1,516.00
Service	HEMOSTATIC ELECTROCOAG	$587.00
Service	HIP ARTHROGRAM INJ BILAT	$1,147.00
Service	HIP ARTHROGRAM-INJECTION	$765.00
Service	HOLTER HOOKUP ONLY REDUCED SRV	$446.00
Service	HOLTER MONITOR SCAN UP TO 48 HRS	$1,123.00
Service	HOSPITAL OUTPATIENT CLINIC VISIT	$220.00
Service	HOT/COLD PACK 1 OR MORE	$38.00
Service	HYDRATION IV EA ADDL HR	$113.00
Service	HYDRATION IV INITIAL 31 MIN-1HR	#N/A
Service	HYPERBARIC EACH 30 MINUTES 1PT	$657.00
Service	HYSTEROSALPINGOGRAM-INJECTION	$1,128.00
Service	I & D ISCHIORECTAL ABSCE	$959.00
Service	I&D ABSCESS COMPL OR MULTI	$1,354.00
Service	I&D ABSCESS PERITONSILLAR	$188.00
Service	I&D ABSCESS SIMPLE OR SINGLE	$1,216.00
Service	I&D BARTHOLIN GLAND ABSCESS	$165.00
Service	I&D BURSA FOOT	$1,333.00
Service	I&D COMPLEX POSTOP INFECTION	$5,426.00
Service	I&D HEMATOMA/SEROMA	$2,574.00
Service	I&D NECK/CHEST DEEP HEMATOMA	$4,574.00
Service	I&D OF RECTAL ABSCESS	$959.00
Service	I&D PILONIDAL CYST COMPLICATED	$1,000.00
Service	I&D SKIN ABCESS COMP/MULTI	$1,885.00
Service	I&D SUBQ HEMATOMA/FLUID	$2,574.00
Service	I&D VULVA OR PERIN ABSCESS	$780.00
Service	I&D VULVA/PERINEAL ABSCESS	$1,092.00
Service	ICD ELECTRODE REMOVE SGL/DUAL	$6,170.00
Service	ICD EVAL & PROGRAM PERI-PX	$327.00
Service	ICD EVAL IN PERSON 1/DUAL/MULT	$97.00
Service	ICD GEN+LEADS EVAL+DFT INIT	$2,401.00
Service	ICD GEN+LEADS EVAL+REPROG SUBS	$5,761.00
Service	ILIAC ARTERY ATHER RS&I EACH	$9,569.00
Service	ILIAC REVASC W/STENT	$17,000.00
Service	ILIAC REVASC W/STENT ADD-ON	$6,403.00
Service	ILIAC REVASC W/TLA	$20,921.00
Service	ILIAC REVASC W/TLA ADD-ON	$6,403.00
Service	IMPLT VENTRICULAR CATH/DEVICE TWIST DRILL SKULL	$4,451.00
Service	IMPROVE RESPIR FUNCT GROUP	$160.00
Service	INC RMVL FOR BDY SUBQ TIS COMP	$1,359.00
Service	INC RMVL FOR BDY SUBQ TIS COMPL	$1,359.00
Service	INC RMVL FOR BDY SUBQ TIS SMPL	$837.00
Service	INCIS/DRAIN ABSCESS PERITONLLR	$244.00
Service	INCIS/DRAIN PILONIDAL CYST SMP	$1,092.00
Service	INCIS/DRAIN RECTAL ABSCESS	$2,041.00
Service	INCISE EXTERNAL HEMORRHOID	$282.00
Service	INCISE LINGUAL FRENUM	$2,615.00
Service	INCISE PERICARDIUM DRAINAGE	$2,138.00
Service	INCISE THROMBOSED HEMORRHOID EXTERNAL	$217.00
Service	INCISION & DRAINAGE BARTH CYST	$215.00
Service	INCISION OF ANAL ABSCESS	$729.00
Service	INCISION OF HEART SAC DRAIN	$2,138.00
Service	INCISIONAL BIOPSY SKIN 1ST LESION	$640.00
Service	INCISIONAL BIOPSY SKIN EA ADDL LESION	$179.00
Service	INF INTRACRAN NON-THRMB ADDL	$6,443.00
Service	INF INTRACRAN NON-THRMB INIT	$5,863.00
Service	INITIAL HOUR-RECOVERY	$1,518.00
Service	INITIAL PREVENTIVE PHYSICAL EXAM NEW BENEFICIARY	$152.00
Service	INJ 1 TEND/LIG PLANT FASC	$599.00
Service	INJ ANES AGENT OCCIP NRV	$1,171.00
Service	INJ ANES AGT TRIG NER DIV/BRCH	$1,502.00
Service	INJ ANES FEM NERVE SINGLE	$978.00
Service	INJ CONT ABSCESS/CYST	$740.00
Service	INJ CONTR W/FLUORO EVAL CV DEV	$1,074.00
Service	INJ CONTR W/FLUORO EVAL G TUBE	$662.00
Service	INJ EPID OF BLOOD CLOT PATCH	$1,348.00
Service	INJ NEPHROSTOGRAM RS&I EXIST	$1,485.00
Service	INJ NEPHROSTOGRAM RS&I NEW ACC	$1,574.00
Service	INJ PERC CHOLANG RS&I EXISTING	$2,900.00
Service	INJ PERC CHOLANG RS&I NEW ACC	$3,200.00
Service	INJ PULM ANGIO DURING CATH S&I	$2,928.00
Service	INJ SI JOINT ANES/STERIOD W/CT	$1,570.00
Service	INJ SUPRAVLV AORTOG CATH S&I	$2,262.00
Service	INJ TRIGGER POINT 1-2 MUSCL	$437.00
Service	INJECT ANESTHETIC GREATER OCCIPITAL NERVE	$901.00
Service	INJECT ANESTHETIC ILIOINGUINAL ILIOHYPOGASTRIC	$1,061.00
Service	INJECT ANESTHETIC OTHER PERIPERAL NERVE/BRANCH	$993.00
Service	INJECT ANESTHETIC SUPRASCAPULAR NERVE	$1,039.00
Service	INJECT ANESTHETIC/STEROID PLANTAR COMMON DIGIT	$366.00
Service	INJECT EPIDURAL PATCH	$1,348.00
Service	INJECT INTRALESIONAL =< 7	$200.00
Service	INJECT NERVE TRIGEMINAL	$1,502.00
Service	INJECT PARAVERTEBRAL W/IMAGE LUMB/SACRAL 1ST LEVEL	$2,015.00
Service	INJECT PARAVERTEBRAL W/IMAGE LUMB/SACRAL 2ND LEVEL	$1,044.00
Service	INJECT PRP INCLUDES GUIDE/HARVEST/PREP	$2,104.00
Service	INJECT SACROILIAC JOINT ARTHROGRAPHY	$1,365.00
Service	INJECT SCLEROSANT MULTIPLE INCOMP VEINS SAME LEG	$535.00
Service	INJECT SCLEROSANT SPIDER VEINS LIMB/TRUNK	$301.00
Service	INJECT SINGLE TENDON ORIGIN/INSERTION	$404.00
Service	INJECT SINGLE TENDON SHEATH/LIGAMENT/APONEUROSIS	$461.00
Service	INJECT SINGLE/MULTI TRIGGER POINTS => 3 MUSCLES	$586.00
Service	INJECT SINGLE/MULTI TRIGGER POINTS 1-2 MUSCLES	$336.00
Service	INJECT SINOGRAPHY	$681.00
Service	INJECT SINUS TRACT THERAPEUTIC	$1,295.00
Service	INJECT THER/PROPH/DIAG SC/IM	$114.00
Service	INJECT THERAPEUT IM/SUBQ	$114.00

Baptist Hospital Standard Charges

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Baptist Hospital Standard Charges
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