318-841-5555 info@pathrehab.com

Services

Our services include Physical Therapy, Occupational Therapy,
Speech-Language Pathology, and Prosthetics/Orthotics.

Who We Care For

Our facility requires that patients
are admitted with one of 13 diagnosis.

We're Different.

We provide a Christian faith-based setting, instructional activities,
specialized diet program, and more.

Charge Master

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Excel Spreadsheet format

 

Coursecode Name Unit Price
41051107 15 ML ADAPTER $6.00
27033007 16 FR CATH COUDE TIP $23.57
27033009 18 FR 30CC FOLEY CATH $38.80
26031005 22G IV NEEDLE $8.31
26031006 24G IV NEEDLE $8.31
27033019 4X4 GAUZE 10 PACK $6.00
27011067 ABD BINDER 12 INCH $64.00
32045007 ABDOMINAL SERIES $132.50
30040011 ABG $109.55
25005002 ABILIFY TAB 10MG U/D $80.00
25091527 ABREVA COLD SORE CREAM $53.24
25090795 ACCOLATE 20MG $36.00
25090931 ACCUPRIL 2.5MG $4.00
27033025 ACE 2″ $8.00
25005005 ACETAMINOPHEN 325 MG $1.00
25005006 ACETAMINOPHEN 500 MG TABL $1.00
25091075 ACETAZOLAMIDE 250MG TAB $12.99
25091446 ACETYLCYSTEINE 20% VIAL $2.60
25005009 ACTOS 30mg $40.00
25005012 ACYCLOVIR TAB 400MG $4.00
25005014 ADALAT 60mg TAB $4.00
27033031 ADAPTIC 3X3 $2.00
25090293 ADCIRCA 20MG TAB $193.64
25090796 ADVAIR 250-50 DISKUS $564.40
25091151 ADVAIR 500-50 DISK INH 60 $1,200.00
25005123 ADVAIR DSKS 100/50MG INH $396.00
41051105 AEROSAL FACE MASK $2.00
25005019 AGGRENOX CAP 200MG/25MG $16.00
25090041 ALBUMIN 25% 50 ML $181.00
25005023 ALBUTEROL 0.083% PER VIAL INHA $2.44
25005026 ALDACTONE 100mg $4.26
25005120 ALDACTONE 25 MG $4.00
25090076 ALENDRONATE SODIUM 70MG $16.20
25091216 ALFUZOSIN ER 10MG TAB $4.68
25019606 ALLERGY RELIEF 180MG TAB $1.45
27033042 ALLEVYN 7X7 $66.44
25005033 ALLOPURINOL 100MG TAB $2.95
25005108 ALLOPURINOL 300MG TAB $4.48
25091180 ALOGLIPTIN 12.5MG TAB $35.68
25091414 ALPHAGAN P 0.1% EYE DROPS $325.00
25005125 ALPRAZOLAM 0.25MG $2.00
25005036 ALPRAZOLAM TAB .5 MG $4.00
25005041 AMANTADINE CAP 100MG $8.00
25005042 AMARYL 2mg TAB $4.00
25005045 AMBIEN 5mg $24.00
25091592 AMILORIDE HCL 5MG $3.08
25005048 AMIODARONE HCL TAB 200MG $8.00
25091207 AMITRIPTYLINE 75MG TAB $6.00
25005052 AMITRIPTYLINE HCL 50MG TAB $4.60
25005051 AMITRIPTYLINE TAB 25MG U $2.00
25005054 AMLODIPINE BESYLATE 10MG TAB $1.64
25091124 AMLODIPINE BESYLATE 2.5MG $1.00
25005061 AMLODIPINE BESYLATE 5MG TAB $1.72
30040036 AMMONIA LEVEL $122.10
30040482 AMMONIA PLASMA ARUP $90.16
25091536 AMOX TR-CLV 875-125 MG TAB $8.96
25091472 AMOX TR-K CLV 500-125MG TAB $8.84
25005057 AMOXICILLIN CAP 500MG UD $2.00
25090027 AMPICILLIN 500MG $3.00
25090231 ANASTROZOLE 1MG $24.00
25091588 ANDROGEL 1.62 GEL PUMP $1,662.00
27033519 ANGIOCATH 20GA X 1-1/4″ CATH I $10.50
32045009 ANKLE 2 VIEWS $440.00
32045010 ANKLE COMPLETE 3 VIEWS $552.00
25091499 ANORA ELLIPTA 62.5 MCG $846.00
25005067 ANTIVERT 12.5 MG $4.00
44016026 APHASIA TREATMENT $100.00
25091511 APIDRA SOLOSTAR 1 UNIT $1.00
25091115 APIXABAN 5MG TAB $24.40
25091591 APTIOM 800 MG $130.12
25090230 ARANESP 60 MCG $1,564.00
25090745 ARICEPT 5MG $38.00
25005074 ARICEPT TAB 10MG U/D $48.00
30040051 ARTERIAL PUNCTURE $4.00
25005079 ASPIRIN TAB EC 325 MG $5.04
25005079 ASPIRIN TAB EC 325 MG $1.00
25005078 ASPIRIN TAB EC 81 MG $5.04
25005078 ASPIRIN TAB EC 81 MG $1.00
25019623 ASPIRIN-DIPYRIDAM ER 1 CAP $10.00
25091140 ASPIRIN-DIPYRIDAM ER 25-2 CAP $12.00
25005081 ATACAND 16mg $12.00
25005119 ATENOLOL 100MG $4.00
25005083 ATENOLOL TAB 25MG $2.00
25005084 ATENOLOL TAB 50MG $2.00
25005085 ATIVAN .5MG $4.00
25005086 ATIVAN 1mg INJ $15.00
25005088 ATIVAN TAB 1mg $4.00
25091058 ATORVASTATIN 10 MG $3.50
25091262 ATORVASTATIN 20MG TAB $4.24
25091054 ATORVASTATIN 40 MG TAB $4.32
25091363 ATORVASTATIN 80MG TAB $4.24
25005098 AVAPRO TAB 150MG $12.00
25005100 AVODART CAP 0.5MG $18.00
25090104 AZATHIOPRINE 50MG $3.00
25090010 AZELASTINE 137MCG NASAL SPRAY $235.40
25005101 AZITHROMYCIN TAB 250 MG 3 $14.00
25005102 AZITHROMYCIN TRI-PK 500MG $26.00
25005103 AZITHROMYCIN Z-PAC 250MGX $23.33
25005105 AZULFIDINE 500 MG $2.00
25006012 B-COMPLEX / VIT. C $1.75
25006005 BACITRACIN-NEO-POLY 1/32 $4.00
25006007 BACLOFEN 10MG TAB $3.52
25006006 BACLOFEN 20mg $7.04
25090330 BACLOFEN 5MG $1.76
41051010 BACTERIAL FILTER $9.00
25006008 BACTRIM DS TAB $8.00
27033061 BANDAID (ANY SIZE) $1.00
25091365 BANOPHEN 25MG CAP $1.00
32045014 BARIUM SWALLOW $1,280.79
25091049 BENADRYL CREAM 30GM TUBE $19.52
25006015 BENADRYL TAB 25MG $4.00
25091122 BENAZEPRIL 40MG $3.08
25006047 BENICAR 10MG $12.00
25006017 BENICAR TAB 20MG $14.00
25091351 BENZONATATE 200MG CAP $2.48
25006021 BENZONATATE CAP 100 MG $2.37
25091422 BENZTROPINE MES 1MG TAB $4.00
25006024 BETADINE SOL 16 OZ HSP $2.00
27033071 BETADINE SWAB (EACH) $1.26
25090281 BETAMETHASONE AC-SP 6MG/ML DOS $38.67
27033532 BIOPATCH $37.00
25091396 BIOTIN 5,000MCG CAP $5.64
41051012 BIPAP O2 TUBING $135.00
25006030 BISACODYL 5 MG TABLET $1.00
25006031 BISACODYL EVAC 10MG SUPP $5.72
27033084 BLOOD COLLECTION SET BUTTERFLY $3.00
30040067 BLOOD CULTURE $117.75
38400001 BLOOD PLATELETS $1,400.00
30040072 BMP (BASIC METAB/CHEM8) $20.40
30040073 BNP (B NATRIURATIC PEP.) $500.00
25006033 BOOST 8OZ $6.00
25091255 BREO ELLIPTA 100/25 MCG INH $727.72
25091345 BREO ELLIPTA 200-25 MCG INHALE $727.72
25090993 BRILINTA 90 MG $25.43
25090993 BRILINTA 90 MG $58.16
25006035 BRIMONIDINE0.2% EYE DROP 5ML B $102.88
25006037 BROVANA 15MCG/2ML $25.96
27033079 BSNZOIN SWABSTICK $1.35
25091390 BUDESONIDE 0.5MG/2ML VIAL SUSP $23.96
25091178 BUMETANIDE 0.5MG TAB $5.24
25090255 BUMETANIDE 1MG TAB $6.08
25091584 BUMETANIDE 2.5MG/10ML $4.00
25006039 BUMETANIDE 2mg $4.00
25090849 BUMEX 0.5MG $1.00
25090254 BUMEX 1MG TAB $2.00
25006040 BUMEX 2MG TAB $4.00
25091232 BUPROPION HCL 75MG TAB $3.72
25006041 BUPROPION HCL SR TAB 150M $4.00
25006042 BUPROPION HCL TAB 100MG $4.00
25091523 BUPROPION HCL XL 150MG TAB $8.00
25091280 BUPROPION HCL XL 300MG TAB $9.40
25006043 BUSPAR 10mg $4.00
25090257 BUSPIRONE 10MG $4.00
25006044 BUSPIRONE 15MG TAB $4.00
25090256 BUSPIRONE 5MG $2.00
25091213 BUSPIRONE 7.5MG TAB $3.12
25090775 BYETTA 5MCG 1 VIAL $749.57
25006050 BYSTOLIC 10MG $9.00
25091530 BYSTOLIC 5 MG TABLET $8.00
30040125 C-REACTIVE PROTEIN CARDIAC $78.00
30040483 C-REACTIVE PROTEIN INFLAMMATOR $78.00
30040075 C.DIFF TOXIN,EIA,STOOL $118.80
25091088 CALCARB 600MG TAB $1.00
25091243 CALCITONIN-SALMON 200UNI SPRAY $315.00
25090222 CALCITRIOL 0.25 MCG $12.00
25090973 CALCITRIOL 0.5 MCG CAP $17.00
25091535 CALCIUM 500-VIT D3 400 $1.00
25091493 CALCIUM 600+ VIT D TAB $5.28
25091175 CALCIUM 600+VIT D 400 TAB $1.00
25090044 CALCIUM 600MG $1.00
25091410 CALCIUM ACETATE 667MG CAP $3.40
25091265 CALCIUM ANTACID 500 MG CHW $5.08
25040077 CALCIUM CARB 500 $17.00
25090804 CALCIUM CARB-VIT D 600/200 $24.00
25091333 CALCIUM CARBONATE 650MG TAB $1.00
25019621 CALCIUM CITRATE W/VIT D $5.16
25091505 CALTRATE +D CHEWABLE $5.40
25091477 CALTRATE 600+D TAB $5.44
25091110 CANDESARTAN CILEXETIL 16MG TAB $17.12
25007004 CAPOTEN 12.5mg $4.00
25007005 CAPTOPRIL 25mg $2.50
25007007 CARAFATE 1GM $18.27
25091318 CARAFATE 1GM/ 10ML SUSP $2.08
25007010 CARBAMAZEPINE TAB 200MG U $2.00
25007012 CARBIDOPA/LEVOD 25/100 TAB $2.04
25007014 CARBIDOPA/LEVODOPA 25/250 $4.00
25007013 CARBIDOPA/LEVODOPA 50/200 $7.92
30040084 CARDIAC ENZYMES $62.00
25007016 CARDIZEM CD 180mg $17.28
25091489 CARISOPRODOL 350MG TAB $1.40
25007138 CARVEDILOL 3.125MG $1.00
25090259 CARVEDILOL 12.5MG $1.35
25007023 CARVEDILOL TAB 6.25 MG $1.00
25007024 CARVEDILOL TAB 25 MG $4.00
27033100 CATHETER CARE KIT $3.75
27033101 CATHETER KIT MALE $9.50
27033105 CATHETER, SILICONE FOLEY $25.00
30040092 CBC, PLT. W/AUTO DIFF $11.85
25091150 CEFDINIR 300MG CAP $5.59
25091287 CEFPODOXIME 100MG TAB $30.60
25091203 CEFPROZIL 250MG TAB $10.16
25007121 CEFTIN 250MG TAB $6.50
25007031 CEFTRIAXONE 1GM IV $90.00
25090288 CEFTRIAXONE 2GM IV $98.56
25091253 CEFUROXIME AXETIL 250MG TAB $10.16
25007033 CELEBREX 200mg $20.00
25091145 CELECOXIB 100MG CAP $22.00
25091195 CELECOXIB 200MG CAP $33.16
25091539 CELESTONE 100MG/1ML $25.52
25007035 CELEXA 10MG $16.00
25007036 CELEXA 20mg $16.00
25007037 CENTRUM SILVER TABS 100’S $2.00
25007040 CEPHALEXIN CAP 500MG $4.00
25091442 CEROVITE SENIOR TAB $5.28
25007043 CERTA-VITE SR W/LUTEIN TA $0.48
25091557 CETIRIZINE HCL 5MG TAB $2.16
25007044 CETIRIZINE HCL TAB 10MG $12.00
32045029 CHEST 1-VIEW $517.50
25007046 CHLORASEPTIC LIQ 6OZ CHR $1.00
25091236 CHLORDIAZEPOXIDE 10MG CAP $1.00
25091441 CHLORDIAZEPOXIDE 25MG CAP $1.00
25091570 CHLORHEXIDINE 0.12% RINSE $50.00
250915889 CIALIS 5MG TAB $49.32
25007054 CILOSTAZOL 100 MG TABLET $4.00
25007056 CIPROFLOXACIN 500MG $10.00
25090306 CIPROFLOXACIN 750MG $48.00
25091252 CIPROFLOXACIN HCL 250 MG TAB $3.36
25007057 CITALOPRAM 10MG TAB $1.00
25091320 CITALOPRAM HBR 40MG TAB $1.72
25007058 CITALOPRAM TAB 20MG $1.50
25007124 CITRACAL W/VITAMIN D $2.19
25090961 CITRUCEL $2.08
30040106 CK $156.00
30040107 CKMB $180.00
25007125 CLARITIN 10MG $7.00
25007065 CLINDAMYCIN 300mg $7.14
25007066 CLINDAMYCIN CAP 150MG $3.57
25007071 CLONAZEPAM ODT TAB .25MG $2.00
25007072 CLONAZEPAM TAB 0.5MG U/D $2.39
25007073 CLONAZEPAM TAB 1MG U/D $2.72
25007074 CLONAZEPAM TAB 2MG U/D $3.72
25091047 CLONIDIDNE 0.1MG PATCH $133.72
25090303 CLONIDINE 0.2MG PATCH $152.00
25091299 CLONIDINE 0.3 MG/DAY PATCH $190.52
25007075 CLONIDINE TAB .2 MG 100U $1.38
25007076 CLONIDINE TAB 0.1MG $2.00
25007077 CLONIDINE TAB 0.3MG U/D $1.42
25090314 CLOPIDOGREL 75MG TAB $6.38
25007078 CLOSTRIDIUM DIFF. $85.00
30040109 CLOSTRIDIUM DIFF. TOXIN $85.00
25091537 CLOTRIMAZOLE-BETAMETHASONE $154.64
25007084 CLOZAPINE TAB 100MG U/D $10.28
30040113 CMP (COMP METABOLIC/CHEM14) $20.40
25090808 CO-ENZYME Q10 100MG $7.60
25090969 COENZYME Q10 50 MG $3.80
25007086 COGENTIN 1 & 2mg $1.00
25007088 COLACE 100mg CAP $3.00
25007090 COLCHICINE TAB 0.6MG U/D $1.00
25091133 COMBIGAN EYE DROPS $349.70
29136013 COMPRESSION HOSE DAILY $20.00
25007093 COMTAN TAB 200MG $9.10
27033530 CONDOM CATHETER(MALE EXT MED) $6.00
25091601 CONSTULOSE 10GM/15ML SOL 473ML $39.88
25007135 COREG 12.5MG $8.34
25007097 COREG CR 40mg $20.00
25019607 CORLANOR 5MG TAB $31.61
25091068 COSOPT OPTH 22.3 6.8 MG BOTTLE $156.00
25090001 COUMADIN 2.5 PO $3.25
25007104 COUMADIN TAB 1MG $3.11
25007105 COUMADIN TAB 2MG $3.25
25007106 COUMADIN TAB 3MG $3.37
25007107 COUMADIN TAB 5MG $3.49
25090225 COUMADIN TAB 10MG $7.00
25007128 COUMADIN TAB 4MG $3.00
25007103 COUMADIN TAB 7.5MG $4.00
25007108 COZAAR 50mg $14.00
25007109 COZAAR TAB 25MG U/D $5.84
25007110 COZAAR TAB 100MG $9.30
41051112 CPAP BIPAP NASAL/PRONGS MASK $426.00
25019626 CREON DR 24000 UNIT CAP $24.64
25090077 CRESTOR 20MG TAB $36.71
25007130 CRESTOR 5MG TAB $17.31
35048009 CT SCAN BRAIN W/O CONTRAST $975.00
35048011 CT SCAN C-SPINE W/O CONTRAST $3,000.00
35048006 CT SCAN T-SPINE $3,900.00
30040133 CULTURE, ID $48.30
30040134 CULTURE, ROUTINE/NG $36.00
25091156 CYANOCOBALAMIN 1000MCG INJ 1 M $41.80
25091181 CYCLOBENZAPRINE 5MG TAB $1.60
25007112 CYCLOBENZAPRINE TAB 10MG $2.91
25007116 CYPROHEPTADINE TAB 4MG $1.28
30040138 D DIMER $43.25
25090245 DALIRESP 500 MCG $34.00
25091425 DEEP SEA 0.65% NOSE SPRAY BOTT $12.56
25091274 DEMECLOCYCLINE 300MG TAB $63.88
25008008 DEPAKOTE ER TAB 500MG UD $9.95
25008009 DEPAKOTE SPR CAP 125MG UD $3.06
25090890 DESENEX POWDER BOTTLE $20.00
25008013 DESMOPRESSIN TAB .1 MG 10 $9.06
25019612 DEXAMETHASONE 1MG TAB $2.28
25091277 DEXAMETHASONE 4MG TAB $2.15
25090221 DEXILANT 60MG $44.00
25019616 DEXTROAMP-AMPHET ER 20MG $28.87
25008020 DEXTROSE 50% 1AMP $32.00
80100001 DIALYSIS-INPATIENT $1,200.00
25091548 DIAZEPAM 2MG TAB $1.16
25008021 DIAZEPAM TAB 5MG $2.00
25091553 DICLOFENAC SODIUM 1% GEL $256.36
25008022 DICYCLOMINE CAP 10MG $1.47
25090063 DIFLUCAN 100MG $16.00
25008025 DIFLUCAN 150MG $13.64
25008069 DIFLUCAN IV 200MG/100MG $110.40
25091554 DIGITEK 125 MCG TAB $6.84
25091503 DIGITEK 250 MCG TAB $7.75
25008026 DIGOXIN 0.25mg $9.33
25019608 DIGOXIN 125MCG TAB $6.71
30040143 DIGOXIN LEVEL $65.00
25008029 DIGOXIN TAB 0.125MG U/D $4.00
25008079 DILANTIN 100MG $2.00
30040144 DILANTIN LEVEL $60.00
25090101 DILAUDID 2MG $14.50
25090019 DILAUDID 4MG $18.00
25091485 DILTIAZEM 120 MG TABLET $0.94
25019617 DILTIAZEM 1MG IVP $8.70
25008033 DILTIAZEM 24HR ER 240MG CAP $10.92
25091174 DILTIAZEM 30MG TAB $1.28
25008037 DILTIAZEM 60MG TAB $7.56
25008032 DILTIAZEM ER 120 MG CAPSU $3.08
25008035 DILTIAZEM ER 180MG $4.00
25008072 DILTIAZEM ER 360MG $10.89
25008039 DIOVAN 160mg $24.16
25008042 DIPHENHYDRAMINE 25MG CAP $0.43
25008043 DIPHENHYDRAMINE CAP 50MG $0.87
25090905 DITROPAN 10MG $8.00
25008070 DITROPAN 5MG $4.00
25091504 DIVALPROEX DR 500MG TAB $2.67
25008051 DIVALPROEX ER 500MG TAB $8.92
25091508 DIVALPROEX SOD ER 250 MG TAB $11.16
25008052 DIVALPROEX SPRNKL CAP 125 $2.13
25091482 DOC-Q-LACE 100MG SOFTGEL $5.20
25090065 DOCUSATE CALCIUM 240MG $2.00
25008053 DOCUSATE SOD 100MG 100UD $1.00
25090308 DONEPEZIL 10MG TAB $2.14
25091184 DONEPEZIL HCL 23MG TAB $11.08
25090831 DONEPEZIL HCL 5MG TAB $3.56
32045037 DOPPLER OF LOWER EXTREMITY $1,500.00
32045038 DOPPLER OF UPPER EXTREMITY $1,941.00
25091392 DORZOLAMIDE HCL 2% EYE DROPS $209.28
25091387 DORZOLAMIDE-TIMOLOL EYE DROPS $289.08
25090324 DOXAZOSIN 8MG $10.00
25091267 DOXAZOSIN MESYLATE 4MG TAB $5.88
25008055 DOXAZOSIN MESYLATE TB 2MG $2.77
25008056 DOXEPIN 10MG CAP $1.00
25008057 DOXEPIN CAP 25MG U/D $1.29
25008058 DOXEPIN CAP 50MG U/D $1.71
25008059 DOXYCYCLINE CAP 100MG U/D $1.80
25091271 DOXYCYCLINE HYCLATE 100MG TAB $15.60
25091404 DOXYCYCLINE MONO 100MG CAP $5.92
42055043 DRESSING CHANGE KIT $24.00
25091064 DUCOSATE SODIUM 100MG CAP $1.00
25008062 DULCOLAX 5MG TAB $5.48
25008061 DULCOLAX SUPP $3.00
25091055 DULOXETINE HCL 20MG $2.00
25091079 DULOXETINE HCL 30MG CAP $3.00
25091073 DULOXETINE HCL 60MG CAP $6.60
25008065 DUONEB INH/S 3ML $28.00
25091096 DUTASTERIDE 0.5MG CAP $8.00
44061024 DYSPHAGIA EVALUATION $315.00
44016025 DYSPHAGIA THERAPY IND 15 MIN $100.00
32045041 ECHO CARDIOGRAM $1,500.00
25009002 EFFEXOR XR ERCAP 37.5 MG $12.41
25090203 EFFIENT 5 MG $28.00
73000001 EKG $150.00
25090949 ELIQUIS 2.5MG $26.41
25090886 ELIQUIS 5MG TAB $28.08
25009006 ENABLEX TAB 7.5MG $24.00
25090922 ENALAPRIL 5MG $8.00
25090856 ENALAPRIL MALEATE 10 MG $16.00
25090853 ENALAPRIL MALEATE 20 MG $32.00
25009007 ENEMA DISPOSABLE 4.5 OZ $0.02
27033164 ENEMA KIT $4.00
25091072 ENOXAPARIN 30MG 0.3 SYRINGE $34.65
25090280 ENOXAPARIN 40MG/0.4 $44.55
25019613 ENSURE HIGH PROTEIN VAN $9.16
25009009 ENSURE LIQ INST VAN $5.52
25090825 ENTOCORT 3MG $100.00
25091583 ENTRESTO 24MG-26MG TAB $31.12
25009018 ERYTHROMYCIN EYE OINTMENT $103.96
25091118 ESCITALOPRAM 10MG TAB $2.30
25091375 ESCITALOPRAM 20MG TAB $2.35
25091289 ESCITALOPRAM 5 MG TAB $2.00
25091117 ESOMEPRAZOLE MAG 40MG CAP $44.20
25090250 ESTRADIOL 1MG $2.00
25090103 ESTRADIOL 2MG $3.00
25091426 ESZOPICLONE 3MG TAB $8.36
25009023 EVISTA 60mg TAB $7.44
26031055 EX SET $3.00
25090866 EXELON PATCH 13.3 MG $56.00
25091415 EZETIMIBE 10MG TAB $4.99
25091413 FAMOTIDINE 40MG TAB $2.76
25010000 FAMOTIDINE TAB 20MG U/D $1.25
25091228 FARXIGA 10MG TAB $58.16
25091067 FE C TABLET $1.00
27033175 FEMALE SELF CATHETER $5.00
32045048 FEMUR 2 VIEWS $250.00
25091418 FENOFIBRATE 145MG TAB $11.00
25091071 FENOFIBRATE 160MG TAB $12.20
25010008 FENTANYL PATCH 75MCG $120.63
25010009 FENTANYL PATCH 100MCG $160.08
30040170 FERRITIN LEVEL $80.00
25010011 FERROUS GLUC TABS 325MG $1.00
25010012 FERROUS SULF 325MG TAB $1.00
25091315 FIBER LAXATIVE 625MG CAP $5.24
25010014 FINASTERIDE 5MG TAB $4.36
25091357 FIRST VANCOMYCIN 25MG/ML VIAL $1.76
25091497 FIRST-LANSOPRAZOLE 3MG/ML $1.68
25019611 FIRVANQ 25 MG/ML SOL $396.72
25090012 FISH OIL 1000 UNITS $3.00
25091214 FISH OIL 1200MG CAP $1.00
25010016 FLAGYL 500mg $9.48
25090099 FLAXSEED OIL 1000MG $1.00
25091531 FLECAINIDE ACETATE 50 MG TAB $3.00
25010020 FLEET BISCDYL ENEMA 1.25 $4.68
27033507 FLEETS ENEMA 4.5OZ $5.00
25010022 FLEXERIL TAB $2.00
25090054 FLORA – Q2 $5.00
25091261 FLORANEX CHEWABLE TAB $6.44
25010026 FLOVENT HFA 110MCG INHALER $740.31
25090279 FLUCONAZOLE 150MG $12.00
25091440 FLUCONAZOLE 200MG TAB $16.96
25010028 FLUCONAZOLE TAB 100 MG $11.68
25010029 FLUDROCORTISONE AC 0.1MG $2.24
25010031 FLUOXETINE CAP 10MG $1.00
25010032 FLUOXETINE CAP 20MG U/D $2.50
25091307 FLUOXETINE HCL 40MG CAP $5.92
25010035 FLUPHENAZINE TAB 5MG $2.70
25091164 FLUTICASONE PROP 50MCG 0.5% 16 $140.12
25010039 FOLATE 1mg $1.00
25010040 FOLBIC ACID TAB $9.44
25010041 FOLIC ACID 1MG TAB $1.80
25091137 FOLIC ACID 400MCG TAB $1.00
32045053 FOOT COMPLETE 3 VIEWS $350.00
25010046 FOSAMAX TAB 70MG $68.30
25091324 FOSINOPRIL SODIUM 10MG TAB $2.92
25090098 FOSINOPRIL SODIUM 20MG TAB $4.00
25010049 FUROSEMIDE 20MG TAB $1.00
25010051 FUROSEMIDE 20MG/2ML VL $9.70
25010050 FUROSEMIDE 40MG TAB $1.69
25091435 FUROSEMIDE 40MG/4ML VIAL $9.70
25091502 FUROSEMIDE 80MG TAB $1.52
25090930 GABAPENTIN 600 MG TAB $3.92
25090930 GABAPENTIN 600 MG TAB $2.24
25091304 GABAPENTIN 800MG TAB $4.60
25011000 GABAPENTIN CAP 100 MG 1 $1.65
25011001 GABAPENTIN CAP 300 MG $1.91
25011002 GABAPENTIN TAB 400 MG 1 $2.00
27011005 GAUZE SPONGE 4X4 $5.00
27033192 GAUZE SPONGES 2X2 & 4X4 $2.00
25011009 GEMFIBROZIL TAB 600MG $3.74
25011012 GEODON CAP 20MG $76.00
25091323 GLIMEPIRIDE 1MG TAB $1.92
25091331 GLIMEPIRIDE 4MG TAB $3.48
25011016 GLIMEPIRIDE TAB 2 MG 100U $1.96
25011017 GLIPIZIDE 10mg $2.00
25011018 GLIPIZIDE ER TAB 5 MG 1 $2.00
25011020 GLUCERNA CAN 80Z $9.00
25011021 GLUCERNA R-T-H 1000ML/8 $44.75
25011045 GLUCOPHAGE 1000MG $6.28
25011022 GLUCOPHAGE 500mg $2.40
25090928 GLUCOSAMINE 500MG $24.00
25091471 GLUCOSAMINE CHONDROITIN CAP $5.64
30040198 GLUCOSE LEVEL $7.00
25011030 GLYBURIDE 2.5MG TAB $1.52
25011029 GLYBURIDE 3mg $1.28
25011031 GLYBURIDE TAB 5MG $2.33
25011032 GLYBURIDE/METFORM 2.5/500 $3.08
30040206 GRAM STAIN $36.00
25091302 GS 4X PROBIOTIC CAP $8.40
25091276 GUAIFEN/DEXTROMETH 100-10ML $5.08
25091525 GUAIFENESIN 200MG TAB $5.88
25011038 GUAIFENESIN ER $4.00
25016049 GUAIFENESIN SYRP 100MG /5ML $1.00
25012007 HALOPERIDOL TABS 1MG 100 $1.19
25012046 HCTZ $2.00
30040217 HEMATOCRIT $20.00
30040219 HEMOGLOBIN A1C $36.50
30040226 HEPATIC FUNCTION PAN $218.00
30040231 HEPATITIS PROFILE $200.00
30040233 HGB A1C, (GLYCOHGB) $38.70
41051032 HHN HANDHELD NEB EQUIP $4.00
32045062 HIP UNILATERAL 1 VIEW $393.60
32045063 HIP UNILATERAL 2 VIEWS $245.00
24 HIPPS $0.00
30040236 HIV 1 & 2 SCRN (STD) $57.60
25090283 HUMALOG 100UNITS/ML $148.45
25091135 HUMALOG PER UNIT $1.00
25090907 HYDRALAZINE 100MG $7.00
25012025 HYDRALAZINE TAB 50MG U/D $1.32
25012024 HYDRALAZINE TAB 25MG U/D $1.06
25090860 HYDROCHLOROTHIAZIDE 12.5MG $1.00
25012026 HYDROCHLORTHIAZIDE 25MG TAB $1.96
25091168 HYDROCODONE APAP 5-325MG $2.80
25091085 HYDROCODONE APAP 7.5-325 MG TA $3.01
25091173 HYDROCODONE-CHLORPHENIRAM 1ML $2.96
25012030 HYDROCODONE/APAP 10/325UD $3.30
25091182 HYDROCORTISONE CR 1% 28GM TUBE $17.52
25091161 HYDROMORPHONE 2MG TAB $1.25
25012040 HYDROXYCHLOROQUINE 200MG $3.70
25090948 HYDROXYUREA 500 MG CAP $6.28
25012041 HYDROXYZINE HCL 25MG TAB $2.45
25091383 HYDROXYZINE PAM 25MG CAP $3.68
25012042 HYDROXYZINE TAB 50 MG 1 $3.36
25090208 HYOSCYAMINE 0.125 MG $4.00
25090950 HYOSCYAMINE 0.375 $3.60
25012043 HYTRIN $5.00
25013034 I-CAR PLUS $10.24
25013035 I-VITE TAB $6.32
25013001 IBUPROFEN TAB 200MG U/D $1.00
25013002 IBUPROFEN TAB 400MG $2.12
25013003 IBUPROFEN TAB 600MG U/D $1.22
25013004 IBUPROFEN TAB 800MG U/D $1.20
25091590 IMIPRAMINE HCL 25MG $3.48
25013008 IMMODIUM $3.00
41051039 INCENTIVE SPIROMETER WHITE $36.00
25091550 INCRUSE ELLIPTA 62.5 MCG $1,038.09
25019605 INDAPAMIDE 1.25MG TAB $3.33
25013009 INDERAL $3.00
30040491 INFLUENZA BY PCR $243.72
27011059 INFUSION PUMP 2ND SET $8.00
25013036 INSPRA 25MG $16.17
25091317 INVOKANA 100MG TAB $56.76
25091194 IPRAT-ALBUT 0.5MG PER VIAL $3.00
25091059 IPRAT-ALBUT 2.5 MG PER VIAL $4.48
25013027 IPRATROPIUM BR 0.02% PER 3ML $1.61
25091197 IRBESARTAN 150MG TAB $5.44
30040251 IRON + TIBC $86.40
30040252 IRON PROFILE $24.00
27033506 IRRIGATION TRAY $10.00
25091474 ISOSORBIDE DN 20MG TAB $6.00
25091480 ISOSORBIDE DN 30MG TAB $8.88
250910303 ISOSORBIDE MN 60MG TAB $4.64
25013033 ISOSORBIDE MN ER 30MG U $3.99
27011117 IV 6″ EXTENSION $16.50
27033230 IV ADMIN SET $5.12
26031075 IV PRIMARY $20.00
26031088 IV START KIT $10.00
25091241 JANTOVEN 10MG TAB $14.68
25091183 JANTOVEN 1MG TAB $3.32
25091112 JANTOVEN 2.5MG TAB $5.80
25091389 JANTOVEN 2MG TAB $3.68
25091189 JANTOVEN 3MG TAB $4.00
25091190 JANTOVEN 4MG TAB $4.00
25091113 JANTOVEN 5MG TAB $4.16
25091388 JANTOVEN 6MG TAB $4.48
25091242 JANTOVEN 7.5MG TAB $4.64
25014000 JANUVIA 100MG TAB $54.16
25091084 JANUVIA 25MG TAB $52.15
25014005 JANUVIA 50MG TAB $58.56
25014001 JEVITY 1.5 CAN 24X8OZ $6.80
25014003 JEVITY PLS CAN 24X8 OZ $6.44
25014006 JUVEN 1 PACK $203.01
25015016 K-PHOS NEUTRAL $6.06
25015001 KAYEXALATE $12.00
25015002 KCL 10 MEQ CAP $12.00
25090252 KCL 10 MEQ TAB $4.00
25015003 KCL 20 MEQ $2.00
25015004 KCL 40 MEQ $8.00
25091458 KCL 40MEQ IN NS IV $268.00
25015008 KEFLEX 500mg $6.00
25015019 KEPPRA 250MG $11.97
30040469 KEPPRA LEVEL $193.00
25015010 KEPPRA TAB 500 MG 120 $11.73
27033235 KERLIX $6.00
25019609 KETOROLAC 10MG TAB $7.66
25090217 KETOROLAC 30MG VIAL EYE DROPS $11.82
25016055 KETOROLAC 30MG/1ML VIAL IV $11.84
25091540 KLOR-CON M10 TAB $4.20
32045068 KNEE 1-2 VIEWS UNILATERAL $543.00
27033243 KNEE IMMOBILIZER $63.00
32045072 KUB $150.00
25016000 LABETALOL HCL 200MG TAB $4.00
25016001 LABETALOL TAB 100MG $1.91
25016003 LACTULOSE 10GM/15ML $5.79
25090320 LACULOSE PER 1ML $1.32
25016012 LANTUS PER 1 UNIT (100UNIT VIA $1.00
25016016 LASIX 20mg INJ $10.00
25016102 LASIX 40MG $2.00
25090850 LATANOPROST 0.005% EYE DROPS 2 $105.80
25091060 LEADER ARTH PAIN ER 650MG CAP $4.02
25091225 LEFLUNOMIDE 10MG TAB $31.20
25090778 LEFLUNOMIDE 20MG $50.00
27033247 LEG BAG $8.00
25090304 LETROZOLE 2.5MG $58.00
25091132 LEVALBUTEROL 0.63MG 3ML VIAL $4.25
25091329 LEVALBUTEROL 1.25MG/3ML VIAL $9.36
25016020 LEVAQUIN INJ BG 500MG $1.37
25016021 LEVAQUIN TAB 250MG U/D $30.00
25016022 LEVAQUIN TAB 500MG $34.00
25090289 LEVEMIR PER 1 UNIT $1.16
25091260 LEVETIRACETAM 1000MG TAB $5.44
25091090 LEVETIRACETAM 500MG TAB $1.80
25091163 LEVETIRACETAM 750MG TAB $2.24
25090278 LEVOFLOXACIN 250MG $2.80
25090264 LEVOFLOXACIN 500MG $5.64
25091352 LEVOFLOXACIN 750MG TAB $11.96
25016029 LEVOTHROID TAB 100MCG $0.52
25091192 LEVOTHYROXINE 100 MCG TAB $5.79
25090875 LEVOTHYROXINE 112MCG TAB $4.80
25090781 LEVOTHYROXINE 125 MCG TAB $4.84
25091128 LEVOTHYROXINE 137MCG TAB $8.72
25090263 LEVOTHYROXINE 150MCG $2.00
25091370 LEVOTHYROXINE 175MCG TAB $5.00
25091546 LEVOTHYROXINE 200 MCG TAB $6.88
25091142 LEVOTHYROXINE 25MCG TAB $3.56
25016032 LEVOTHYROXINE 50MCG $8.00
25029049 LEVOTHYROXINE 75 MCG $8.20
25091093 LEVOTHYROXINE 88MCG TAB $5.77
25016105 LEVSIN TAB 0.125MG $4.80
25016033 LEXAPRO TAB 10MG $18.00
25016034 LEXAPRO TAB 20MG $20.00
25016036 LIBRIUM 25 $3.00
25016045 LICOCAINE PATCH 5% $32.00
25091169 LIDOCAINE 12HR PATCH $43.12
25091580 LIDOCAINE 5% PATCH $41.96
25016038 LIDOCAINE AMP 2% 2ML $1.29
27033252 LIMB RESTRAINTS $48.00
25091220 LINEZOLID 600MG TAB $85.00
25090980 LINZESS 145 MG $47.00
25090985 LINZESS 290 MG $48.00
25019603 LIOTHYRONINE 5MCG $5.71
30040271 LIPID PROFILE $65.00
25016092 LIPITOR 40MG $20.00
25090987 LIQUID TEARS $7.42
25016050 LISINOPRIL 10MG TAB $4.00
25016101 LISINOPRIL 2.5MG $5.76
25090805 LISINOPRIL 30 MG $5.00
25016093 LISINOPRIL 40MG $6.55
25016094 LISINOPRIL 5MG $4.67
25016051 LISINOPRIL TAB 20MG $2.65
25016052 LISINOPRIL/HCTZ 20/12.5 $3.59
25091014 LIVALO 2MG $30.60
30040275 LIVER (HEPATIC PANEL) $19.80
25016058 LOPERAMIDE 2MG CAP $9.92
27033253 LOPEZ VALVE $7.00
25016096 LOPRESSOR 100MG $4.33
25016060 LOPRESSOR 25mg $6.12
25016062 LORATADINE TAB 10MG $1.00
25090262 LORAZEPAM 1MG $2.00
25016063 LORAZEPAM TAB 0.5MG $1.93
25016064 LORAZEPAM TAB 2MG U/D $3.96
25090779 LOSARTAN / HCTZ 100/25 $30.00
25016061 LOSARTAN HCTZ 50/12.5 MG TAB $2.88
25091328 LOSARTAN POTASSIUM 100MG TAB $3.76
25091205 LOSARTAN POTASSIUM 25MG TAB $2.16
25090075 LOSARTAN POTASSIUM 50MG $6.00
25090107 LOTEMAX 0.5% OPTH SOL $520.00
25016071 LOTREL 5/20mg $28.60
25016073 LOTRIMIN CREAM $28.00
25091306 LOVASTATIN 10MG TAB $2.60
25016111 LOVAZA 1GM $8.00
25016078 LOVENOX 30MG $35.04
25016079 LOVENOX 40M $45.52
25091106 LOVENOX 80MG $87.88
25016110 LOZOL $4.00
32045076 LUMBAR SPINE 3 VIEWS $348.00
25090943 LUMIGAN 0.01% EYE DROPS $234.00
25016086 LUNESTA TAB 3 MG $30.00
25090746 LUTEIN 20MG CAP $1.55
25016090 LYRICA 100MG CAPSULE $24.52
25016108 LYRICA 150MG CAP $25.00
25091378 LYRICA 200MG CAP $25.68
25016087 LYRICA 50mg $19.36
25016089 LYRICA 75MG CAP $25.60
25016088 LYRICA CAPSULE 25 MG 90 $7.37
25017096 MAALOX 20ML $6.00
25017001 MACROBID 100mg $5.00
25017003 MAG 64 TAB 60 $0.35
25091341 MAG SULFATE 2GM VIAL W/ NS $341.56
25017007 MAG-OX 400MG TAB $5.12
25090774 MAGNESIUM 1 GM IVPB 1 BAG $100.00
25017092 MAGNESIUM CITRATE 1 BTL $5.00
25091492 MAGNESIUM OXIDE 500MG TAB $23.40
25090029 MAGNESIUM SULFATE 4GM/250ML $355.68
30040282 MAGNESIUM, SERUM LEVEL $42.00
27033256 MALE EXTERNAL CATHETER $3.30
30040283 MANUAL DIFF/MORPHOLOGY $9.75
27011121 MAXORB EXTRA AG $26.52
25017010 MECLIZINE 25MG TAB $1.00
27011048 MEDIPORE 3.6″X12″ $8.00
25017011 MEDROL 4mg TAB $2.00
25090979 MEDROXYPROGESTERONE 5 MG $24.00
25017015 MEGACE 40mg TAB $4.20
25090800 MEGESTROL ACETATE 20MG $2.10
25017018 MEGESTROL ACET 40MG TAB $2.44
25017019 MEGESTROL ACETATE 40MG PER ML $1.80
25091522 MELATONIN 10MG CAP $5.84
25090797 MELATONIN 3MG TAB $1.00
25090963 MELATONIN 5 MG $5.60
25005127 MELOXICAM 15MG TAB $2.04
25090787 MELOXICAM 7.5MG TAB $1.70
25091098 MEMANTINE 10MG TAB $2.96
25091332 MEMANTINE HCL 5MG TAB $2.84
25019627 MEMANTINE HCL ER 28MG TAB $61.75
25090871 MEN-PHOR ANIT ITCH LOTION $20.00
27011054 MEPILEX 18X18 $50.00
27011089 MEPILEX 2X5 BORDER $14.00
27033529 MEPILEX 4 X 8 BORDER BOX OF 5 $136.00
27011119 MEPILEX 4X10 $40.80
27011057 MEPILEX 4X12 $62.00
27033525 MEPILEX 4X4 DRESSING BORDER $20.60
27011120 MEPILEX 6X6 $38.08
25091597 MEPILEX 7.2 X 7.2 BX OF 5 $152.00
27011086 MEPILEX BORDER 3X3 $16.00
27011045 MEPILEX BORDER 4X12 BOX OF 5 $206.00
27011058 MEPILEX LIGHT 2.4 X 3.4 $18.00
27011041 MEPILEX SACRUM 7.2 X 7.2 UNIT $40.00
26011089 MEPIPLEX BORDER 2X5 $14.64
25017022 MEROPENEM 1 GM PER DOSE $195.68
27033261 MESALT $2.40
25090056 METAXALONE 800MG $14.00
25090072 METFORMIN 1,000MG $3.00
25017028 METFORMIN HCL 500 MG TABL $2.16
25090045 METHOCARBAMOL 750MG $2.00
25017033 METHOCARBAMOL TAB 500MG $1.02
25017034 METHOTREXATE TAB 2.5MG $11.16
25017038 METHYLPREDNISOLONE 4MG PK $150.80
25017040 METOCLOPRAMIDE 10MG TAB $3.24
25090265 METOCLOPRAMIDE 5MG $3.00
25017041 METOLAZONE 5MG TAB $29.76
25017043 METOPROLOL 50MG $2.00
25024020 METOPROLOL SUCC 100MG TAB ER $6.71
25091517 METOPROLOL SUCC ER 50MG TAB $6.28
25017042 METOPROLOL SUCC ER TB 25M $5.86
25017045 METOPROLOL TAR 25MG TAB $1.00
25017046 METOPROLOL TAR TAB 50MG $1.72
25091263 METOPROLOL TARTRATE 100MG TAB $1.00
25091457 METRONIDAZOLE 500MG/100ML $17.32
25017047 METRONIDAZOLE TAB 500MG $2.18
25017091 METRONIDAZOLE VAGINAL CREAM $154.08
25019625 MICAFUNGIN 100MG IV $1,212.30
25017051 MICARDIS 80mg $20.00
26031135 MIDLINE DECLOT $340.00
26031136 MIDLINE EVALUATION $300.00
26031137 MIDLINE PLACEMENT $1,200.00
25017088 MIDODRINE 10MG $23.51
25091469 MIDODRINE HCL 5MG MH2 $11.00
25017055 MIDODRINE HCL TAB 2.5MG $3.60
25091459 MINERAL OIL (GS) $5.04
25017059 MIRALAX POWDER $0.14
25017062 MIRAPEX TAB 1.0 MG 90 $8.54
25090300 MIRTAZAPINE 30MG $12.00
25017063 MIRTAZAPINE TAB 15MG U/D $8.15
25091444 MODAFINIL 200MG TAB $16.84
25017066 MOM 30cc $2.00
25091094 MONTELUKAST SOD 10MG TAB $2.68
25017073 MORPH SULF ER TAB 15MG $2.68
25091434 MORPHINE SULF ER 15MG TAB $3.96
25090081 MORPHINE SULFATE 30MG $3.00
27033502 MOUTHWASH $2.00
25091416 MOVANTIK 25MG TAB $45.72
25017076 MUCINEX DM 600MG TAB $7.04
25017077 MUCOMIST 10% VIAL $44.00
25090000 MULTAQ 400MG TAB $41.39
25091475 MULTIPLE VITAMINS TAB $5.08
25017078 MULTIVITAMIN- M PLUS TAB $1.00
25091476 MUTIVITAMIN CAP $5.20
25017087 MVI $1.00
25091199 MYCOPHENOLATE 500MG TAB $7.12
25017083 MYLANTA 30cc $3.00
30040293 MYOGLOBIN, SERUM $122.10
25090935 MYRBETRIQ 50 MG $44.00
25091283 MYRBETRIQ ER 25 MG TAB $43.00
25018001 NABUMETONE TAB 500MG $4.13
25018055 NAMENDA 10MG $18.00
25090926 NAMENDA XR 28MG $64.00
25091578 NAMZARIC 28 MG-10 MG CAP $55.80
25018006 NAPROXEN TAB 250MG $2.00
41051019 NASAL CANNULA $3.00
25018010 NASONEX NASAL SPRAY $75.00
25090851 NEFEDIPINE ER 30MG $26.00
25090996 NEO/POLYMYXIN/HC $160.00
25091355 NEOMYCIN-POLYMYXIN-HC EAR DROP $268.24
25090209 NEPHRO-VITE MCG $1.00
25018017 NEPRO W/CARB VAN 8 OZ CAN $13.40
42055092 NEUROMUSC RE-EDUC 15 MIN $75.00
25018058 NEUTROPHOS PACK $2.50
25018022 NEXIUM CAP 40MG $28.00
25090220 NIACIN 100MG $1.00
25090284 NIACIN CR 500 MG $2.00
25018026 NICOTINE PATCH 14MG/24HR $6.00
25018027 NICOTINE PATCH 21MG/24HR $7.24
25090210 NIFEDIPINE 10 MG $4.00
25018029 NIFEDIPINE ER 30MG TAB $7.13
25090823 NIFEDIPINE ER 90MG TAB $12.80
25018030 NIFEDIPINE ER TAB 60MG $6.87
25018034 NITROFURANTOIN MCR 100MG CAP $15.15
25018061 NITROGLYCERIN SUB 0.4MG $5.98
41051053 NON-REBREATHING $7.00
25090084 NORCO 7.5/325 MG $2.00
25090114 NORCO 10/325MG $2.00
25090902 NORCO 5/325 MG $4.00
25018038 NORTRIPTYLINE CAP 10MG UD $1.34
25018039 NORTRIPTYLINE CAP 25MG $2.41
25018043 NOVOLIN PER UNIT $1.00
25091411 NOVOLOG MIX 70/30 PER UNIT $1.00
25018057 NOVOLOG PER UNIT( DOSE) $1.02
26031109 NS 500CC $21.00
25090957 NUCYNTA 50 MG $23.00
25090955 NUEDEXTA 20/10 MG $44.00
25091437 NYSTATIN 100,000 U/GM (30GM) B $178.72
25091353 NYSTATIN 100,000 UNITS/ML BOTT $60.72
25090047 NYSTATIN 100ML BOTTLE $85.80
25090951 NYSTATIN 30 GM TUBE $260.00
25018052 NYSTOP POWDER 30GM BOTTLE $229.56
41051055 O2 HUMIDIFIER MOISTURE 400ML $8.00
41051111 O2 NASAL TUBING CONNECTOR $38.00
41051065 O2 VENTI MASK $12.50
30040297 OCCULT BLOOD $11.00
25019002 OCUVITE PRESER VISION CAP $5.44
27011107 OILEMULSION DSG 3X16 $5.60
25091462 OLANZAPINE 10MG TAB $3.28
25019624 OLMESARTAN MEDOXOMIL 20MG $27.49
25091506 OLMESARTAN-HCTZ 40-25MG TAB $34.91
25091373 OLOPATADINE HCL 0.1%/5ML EYE D $177.90
25091381 OMEGA-3 ETHYL ESTERS 1GM CAP $10.24
25019006 OMEPRAZOLE CAP 20 MG $8.00
25091409 OMEPRAZOLE DR 40MG CAP $6.05
25019007 OMNICEF 300mg $42.44
25091291 ONDANSETRON HCL 4MG/2ML VIAL $25.08
25091296 ONDANSETRON HCL 8MG TAB $8.64
25019008 ONDANSETRON ODT 4MG TAB $26.48
25090028 ONE TOUCH TEST STRIPS $2.00
25090200 ONGLYZA 2.5 MG $30.00
25090248 ONGLYZA 5MG $52.52
27033282 OP SITE $10.00
27011072 OPTICELL AG 2X2 $24.00
27011073 OPTICELL AG 4X5 $40.00
27011095 OPTIFOAM 3X3 $18.80
27011093 OPTIFOAM 4X4 $25.20
27011097 OPTILOCK NON ADHESIVE 6.5X10 $28.00
42055094 ORTHOTICS FITTING 15 MIN $75.00
25019014 OSCAL $2.00
25091165 OSTEO BI-FLEX DS TAB $1.64
43000004 OT EVALUATION $165.00
43000001 OT-ADL 15 MIN $148.50
43058063 OT-FUNCTIONAL TRAINING $60.00
43000007 OT-NEUROMUSC RE-EDUC 15 MIN $82.50
43000013 OT-THERAPEUTIC EXER 15 MIN $148.50
43000008 OT-THERAPUTIC ACT. PER 15 MIN $66.00
25019614 OXCARBAZEPINE 150MG TAB $2.36
25019016 OXCARBAZEPINE TAB 300 MG $7.88
25091297 OXYBUTYNIN CL ER 10MG TAB $14.52
25091327 OXYBUTYNIN CL ER 15MG TAB $15.36
25019017 OXYBUTYNIN ER TAB 5 MG $9.85
25090018 OXYCODONE 15MG $4.00
25091120 OXYCODONE ACETAMINOPHEN 7.5/32 $4.28
25091123 OXYCODONE APAP 7.5/325MG $3.00
25091223 OXYCODONE HCL 10MG TAB $3.24
25091563 OXYCODONE HCL 15MG TAB $4.32
25019019 OXYCODONE HCL 5 MG TAB $1.72
25019020 OXYCODONE HCL ER TAB 20 M $14.59
25019618 OXYCODONE IR 20MG $7.26
25019022 OXYCODONE/APAP 10-325MG TAB $3.86
25019021 OXYCODONE/APAP 5/325 TAB $1.00
25091139 OXYCONTIN 10MG TAB $17.46
25091379 OXYCONTIN 20MG TAB $31.56
25091076 OXYMORPHONE 5MG TAB HCL ER $11.12
25091534 OYSCO 500+D TAB $5.28
25019023 OYSTER CALCIUM $4.00
25020000 P.P.D. SKIN TEST $3.00
25091350 PANTOPRAZOL 40MG/100ML NS $162.56
25091358 PANTOPRAZOLE SOD DR 20MG TAB $7.68
25020003 PANTOPRAZOLE SOD DR 40MG TAB $2.29
41051110 PAP O2/O2 CANNULA CONNECTOR $2.00
25090836 PAROXETINE 10MG $1.80
25020004 PAROXETINE HCL TAB 20MG $7.93
32045094 PELVIS 1 OR 2 VIEWS $225.00
25090276 PENTASA 500MG $14.00
25020081 PERCOCET 10/325MG $6.23
25020013 PERICOLACE $2.00
25090940 PERINDOPRIL 4MG $28.00
25020014 PERMETHRIN CR 5% 60GM $1.46
27011071 PETROLATUM GAUZE 3X9 $1.00
25090085 PHAZYME 125MG SOFTGEL $5.56
25091496 PHENAZOPYRIDINE 100MG TAB $10.43
25020019 PHENAZOPYRIDINE 200MG U/D $15.36
25020096 PHENERGAN 25MG $6.00
25020082 PHENERGAN INJ 12.5MG $12.00
25020083 PHENERGAN TAB $2.00
30040308 PHENOBARB LEVEL $100.00
25091089 PHENOBARBITAL 32.4MG TAB $3.60
25020022 PHENYTOIN CAP 100MG $3.69
25091264 PHENYTOIN SOD EXT 100MG CAP $3.08
25090759 PHOS-NAK 280/160 1PKT $24.00
25091152 PHOSPHA 250 NEUTRAL TAB $3.02
30040312 PHOSPHORUS LEVEL $20.00
26031132 PICC LINE DECLOT $340.00
26031025 PICC LINE DSG KIT $21.00
26031133 PICC LINE EVAL $300.00
26031134 PICC LINE PLACEMENT $1,200.00
26031069 PICC VALVE & CAP DSG KIT $8.00
25091119 PIOGLITAZONE HCL 30MG TAB $5.60
25091196 PIPER/TAZO 3.375GM DOSE IV $125.60
25020026 PLAQUENIL 200mg $4.00
30040315 PLATELET COUNT $18.99
27033299 PLETAL $2.30
25020028 PLETAL 50mg $6.88
25091066 POLYETHELYNE GLYCOL 3350 $6.66
25020032 POTASSIUM CHL ERC 20MEQ TAB $4.11
25091521 POTASSIUM CL 10% 20MEQ/15ML (4 $40.80
25091420 POTASSIUM CL 10MEQ CAP ER $5.92
25090899 POTASSIUM GLUCONATE 595 MG $28.00
30040317 POTASSIUM LEVEL $36.00
30040318 PPD SKIN TEST $30.00
25090094 PRADAXA 75MG $15.00
25091330 PRAMIPEXOLE 0.25MG TAB $1.72
25091374 PRAMIPEXOLE 0.5MG TAB $2.44
25090005 PRAMIPEXOLE 1.5MG $10.00
25091211 PRAMIPEXOLE 1MG TAB $1.88
25090879 PRAVASTATIN 10MG $4.00
25023076 PRAVASTATIN 80MG $5.27
25020037 PRAVASTATIN SOD 40MG TAB $14.38
25020036 PRAVASTATIN SODIUM 20MG TAB $8.00
25090839 PRAZOSIN 5MG $5.00
30040319 PRBC-PER UNIT $900.00
30040320 PREALBUMIN $128.70
25020040 PREDNISOLONE AC 1% EYE DROPS 5 $258.41
25090292 PREDNISONE 1 MG $24.00
25020042 PREDNISONE 10MG TAB $1.88
25090762 PREDNISONE 2.5 MG $12.00
25020086 PREDNISONE 20MG TAB $1.80
25020041 PREDNISONE 5MG TAB $4.16
25020044 PREMARIN .3MG TAB $4.14
25090998 PREMARIN 0.625MG TAB $21.40
25020046 PREMPRO .675/25 $2.70
25091044 PREMPRO 0.45-1.5 TAB $22.88
25090038 PRESERVISION ARED $1.00
25020048 PREVALITE POWD $6.63
25020097 PRIMIDONE 250MG $3.28
25020053 PRIMIDONE TAB 50MG $1.51
RMPR PRIVATE ROOM $935.00
25090894 PRO-STAT LIQ PER DOSE $2.76
25020054 PROAIR HFA 90 MCG INHALER $255.00
25090748 PROAMATINE 10MG $31.00
25090904 PROBIOTIC $3.50
25020094 PROCARDIA XL 30MG $4.00
25091048 PROCARDIA XL 60MG $5.00
25020087 PROCARDIA XL 90MG $6.00
25091593 PROGESTERONE 100 MG $1.49
25091086 PROMETHAZINE 12.5MG TAB $23.68
25020060 PROMETHAZINE TAB 25MG $2.00
25091158 PROPAFENONE HCL 150MG TAB $2.68
25017005 PROPAFENONE HCL 225MG TAB $2.60
25090913 PROPAFENONE SR 325 MG $40.12
25091179 PROPRANOLOL 10MG TAB $1.00
25020065 PROPRANOLOL 20MG TAB $1.00
25091272 PROPRANOLOL ER 60 MG CAP $1.52
25091366 PROPRANOLOL ER 80MG CAP $11.88
25020095 PROSCAR 5MG $7.41
25091582 PROSTAT SUGAR FREE LIQUID 1ML $4.00
30040330 PROTIME $40.00
25020069 PROTONIX 40MG $12.00
25090317 PROVENTIL INHALER $252.00
25020071 PROVIGIL TAB 100MG $26.14
42000004 PT EVALUATION $165.00
30040334 PT W/INR $30.00
42000001 PT-ELECT STIM (UNATTENDED) $94.05
42058126 PT-EQUIPMENT INTERVENTION $122.00
42055053 PT-FUNCTIONAL TRAINING $121.50
42000002 PT-GAIT TRAINING 15 MIN $133.65
42000003 PT-HOT OR COLD PACK $33.00
42000006 PT-MASSAGE (ALL TYPES) 15 MIN $49.50
42000009 PT-THERAPEUTIC EXER IND 15 $82.50
42000011 PT-TRANSFERS ACTIVITY 15 MIN $82.50
25020075 PULMICORT RESP 0.25MG/2ML $9.46
25020079 PYRIDIUM TAB $4.00
25020080 PYRIDOXINE 50 MG TABLET $1.00
25091219 Q-SORB Q-10 100MG CAP $2.20
25090981 QUETIAPINE FUMARATE 100MG TAB $2.20
25090040 QUETIAPINE FUMARATE 50MG TAB $2.24
25091083 QUETIAPINE FUMERATE 25MG TAB $4.44
25021002 QUINAPRIL 40MG $2.24
25091362 RABEPRAZOLE SOD DR 20MG TAB $8.60
25091069 RAMIPRIL 10MG $4.22
25020011 RAMIPRIL 2.5MG CAP $2.37
25090844 RANEXA 500MG $27.00
25022000 RANITIDINE TAB 150MG $4.00
25091544 RASAGILINE MESYLATE 1MG TAB $80.36
25091488 REFRESH EYE DROPS $30.64
25022004 REGLAN 10MG TAB $2.00
25022005 REGLAN 5mg $4.56
43058127 REHAB SUMMARY $150.00
25022045 REMERON 30MG $3.40
25090891 REMERON 7.5MG $8.00
25022009 REMERON TAB 15MG $16.00
25091095 RENAL CAPS SOFTGEL $4.44
30040342 RENAL PROFILE $52.00
25022042 RENVELA 800MG $6.72
25022010 REQUIP 1mg $2.00
25022046 REQUIP 3MG $8.00
25022047 REQUIP 4MG $9.72
25022012 REQUIP O.25MG $3.24
41051079 RESP REHAB EVAL SUMMARY $150.00
25022016 RESTASIS EYE DROP 0.05% PER AP $30.64
25022017 RESTORIL 15MG $4.00
25022018 RESTORIL 30MG CAP $3.56
25090758 RESTORIL 7.5 MG $2.00
30040344 RETICULOCYTE COUNT $40.00
30040345 RHEUMATOID FACTOR $66.00
32045103 RIBS UNILATERAL 2 VIEWS $300.00
25022022 RIFAMPIN CAP 300MG $4.73
25090266 RISAQUAD 100MG CAP $4.83
25090116 RISAQUAD 230MG $3.00
25091507 RISAQUAD CAPSULES $9.40
25022049 RISPERDAL 0.5MG $16.70
25022026 RISPERDAL M-TAB 2.0MG $28.33
25022029 RISPERIDONE 1MG TAB $2.22
25022028 RISPERIDONE TAB .5MG 10 $1.00
25019620 RIZATRIPTAN 5MG TAB $62.60
25090336 ROBAXIN 500MG $2.00
25022032 ROBAXIN 750MG TAB $3.00
25022034 ROBITUSSIN DM COUGH SYRUP 5ML $1.00
25091275 ROCEPHIN 1GM IM $36.40
25091186 ROCEPHIN 2GM IV PER DOSE $150.57
25090842 ROCEPHIN IM 500 MG $160.00
25022037 ROCEPHIN IV 1GM $153.33
25091074 ROPINIROLE HCL 0.25MG TAB $3.04
25090111 ROPINIROLE HCL 0.5MG TAB $2.11
25091310 ROPINIROLE HCL 4MG TAB $3.32
25022038 ROPINIROLE TAB 1MG $2.50
25091210 ROSUVASTATIN CALCIUM 10MG TAB $3.00
25091258 ROSUVASTATIN CALCIUM 20 MG TAB $7.60
25091237 ROSUVASTATIN CALCIUM 40MG $8.16
25091336 ROSUVASTATIN CALCIUM 5 MG TAB $7.60
30040349 RPR(SYPHILLIS SEROLOGY) $33.00
25090994 SALAGEN 5MG $3.52
25023004 SALINE FLUSH 10cc $3.02
25023007 SANTYL OINTMENT 30 GM $7.87
25091231 SAVELLA 50MG TAB $20.92
25091061 SB ANTACID SUSP 30ML DOSE $5.04
30040354 SEDIMENTATION RATE $36.00
25023084 SELSUN BLUE MEDICATED 4OZ BTL $37.80
25023008 SENAKOT LAXATIVE $2.00
25091515 SENNA PLUS TAB $5.48
25091467 SENNA-TIME S TAB $1.00
25091107 SENNAGEN TAB $1.00
25091401 SENSIPAR 60MG TAB $186.72
25090959 SEROQUEL 12.5MG $4.00
25023013 SEROQUEL TAB 25MG U/D $7.89
25023014 SEROQUEL TAB 50 MG 100U $12.97
25023015 SEROQUEL TAB 100MG U/D $13.54
25023020 SERTRALINE HCL 25MG TAB $2.32
25023021 SERTRALINE TAB 50 MG 3 $8.14
25023022 SERTRALINE TAB 100 MG $2.76
25090807 SEVELAMER CABORNATE $24.00
32045108 SHOULDER 2 VIEWS $681.00
25091599 SILDENAFIL 20 MG TAB $2.82
25090826 SIMBRINZA 1%-0.2% EYE DROPS $481.00
25090982 SIMETHICONE 125 MG $1.80
27011079 SIMPLY SALINE WOUND WASH $26.00
25023027 SIMVASTATIN 10 MG TAB $1.00
25023028 SIMVASTATIN 20MG TAB $2.00
25090333 SIMVASTATIN 40MG $5.00
25090073 SIMVASTATIN 80MG $10.00
25023029 SINEMET 25/100 $3.00
25023030 SINEMET 25/250 $3.00
25091041 SINGULAIR 5MG CHEWABLE TABLET $7.65
25023033 SINGULAIR TAB 10MG $14.00
27011115 SKIN PREP WAND $5.00
27033342 SKIN STAPLER EXTRACTOR $10.00
27033343 SLIPPER SOCKS $6.00
25019615 SOD CHLORIDE .9% (500MLS) $26.12
25090970 SODIUM BICARB 650 MG TAB $1.00
25023040 SODIUM CHLORIDE TAB 1GM $1.00
25091305 SOLU MEDROL 20MG IV VIAL $31.88
25023044 SOLU-MEDROL VL 125MG 2ML $8.29
25091455 SOLUMEDROL 100MG VIAL $72.00
25091007 SORBITOL PER ML $1.00
25023080 SOTALOL 160MG $8.65
25023047 SOTALOL HCL TAB 80MG $8.00
44090000 SP-COGNITIVE THERAPY $192.50
4409000 SP-COGNITIVE TRAINING $192.50
44000001 SP-DYSPHAGIA EVALUATION $82.50
44000006 SP-SPEECH THERAPY IND $136.12
44061021 SPEECH PATHOLOGY SCREENING $157.50
25023088 SPIRIVA 18MCG CP-HANDIHALER $1,091.25
25023048 SPIRIVA HANDIHALER 30 CAP $36.00
25023087 SPIRONOLACTONE 25MG $1.86
25023049 SPIRONOLACTONE TAB 50MG $2.45
43058154 SPLINT FOLLOW-UP 15 MIN $45.00
27011014 SPLIT SPONGES $4.00
25023050 SPS SUSPENSION 60ML $21.00
27011096 STANDARD ARM SLING $9.60
27033521 STAPLE REMOVAL KIT 25-716 $6.00
27011062 STATLOCK $36.00
27033493 STOMA WAFER $55.47
25091191 STOOL SOFT 240MG CAP $1.00
30040385 STOOL, C. DIFFICILE TOXIN $50.00
27011094 STRATASORB 4X10 $16.40
27011101 STRATASORB 4X14 $12.84
25091057 SUCRALFATE 1 GM TAB $1.98
25023060 SUCRALFATE SUSP 1G/10ML $1.00
25023064 SULFAMETHOXAZOLE TMP DS 800MG $5.12
25091251 SULFASALAZINE 500 MG TAB $1.00
27011114 SUREPREP NO STING SKIN PROTECT $4.40
25023089 SYMBICORT 160-4.5MCG INHAL $698.66
25091091 SYMBICORT 80/4.5MCG INH $612.66
25023074 SYNTHROID 50 MCG $8.40
27033378 SYRINGE 50 OR 60 CC, CATH TIP $3.00
29090817 SYSTANE ULTRA EYE $65.04
30040396 T4, FREE $37.80
25091438 TAMIFLU 750MG TAB $77.36
25024001 TAMIFLU 75mg $44.28
25090843 TAMSULOSIN 0.4MG CAP $4.07
25024005 TED HOSE 2XL $29.61
27033395 TED HOSE KNEE HIGH $12.00
27011061 TEFLA PAD 2X3 $1.00
27033399 TEGADERM 2X2 $2.00
27033400 TEGADERM 4X4 $7.00
27033401 TEGADERM 6X8 $8.00
25024007 TEGRETOL 100mg $3.61
25024008 TEGRETOL TAB 200MG $2.79
27011064 TELFA ISLAND 4X10 $2.00
27033407 TELFA ISLAND DRESSING $6.00
25091193 TELMISARTAN 80MG TAB $21.96
25024009 TEMAZEPAM 15MG CAP $4.31
25091206 TEMAZEPAM 7.5 MG CAP $2.00
25024010 TEMAZEPAM CAP 30MG U/D $2.50
25024012 TERAZOSIN HCL CAP 1MG $4.81
25024013 TERAZOSIN HCL CAP 5MG $4.82
25024016 TESSELON PERLES $5.00
25091461 THERA-M CAPLET $5.16
25024023 THERA-M TAB $1.00
25091393 THEREMS MULTI-VIT $5.20
32045124 TIBIA AND FIBULA 2 VIEWS $400.00
25024036 TIMOLOL OPTH SOL 0.5 % $10.20
25090929 TIZANIDINE HCL 2MG $2.90
25024037 TIZANIDINE HCL TAB 4MG $4.40
25090301 TOBRADEX EYE OINTMENT $480.54
25024040 TOBREX OPTHL. .3% $80.91
25091116 TOLTERODINE TART ER 2MG CAP $12.00
25091343 TOLTERODINE TART ER 4MG CAP $25.36
25019610 TOLTERODINE TARTRATE 2MG TAB $15.90
25024042 TOPAMAX TAB 50MG $15.48
25024043 TOPAMAX TAB 100MG $21.14
25090924 TORADOL 10MG $28.00
25024047 TORADOL 30MG INJ $18.00
41051089 TRACH CARE $57.00
41051090 TRACH CARE KITS $6.00
25090202 TRADJENTA 5 MG $32.00
25024050 TRAMADOL HCL 50MG TAB $1.00
25019619 TRAMADOL HCL ER 200MG $5.00
25024051 TRANDOLAPRIL TAB 2 MG $3.61
25024052 TRANSDERM SCOP $27.22
30040412 TRANSFEIN SERUM $46.00
25024055 TRAZODONE 150MG TAB $2.00
25090855 TRAZODONE 25MG $5.00
25024056 TRAZODONE 50MG TAB $1.80
25024057 TRAZODONE TAB 100MG U/D $2.35
25024060 TRIAMCINLN CR 0.1% 15GM $39.04
25091451 TRIAMCINOLONE 0.1% CREAM 60 GR $90.12
25091170 TRIAMCINOLONE 55MCG NAS SPRAY $68.32
25024062 TRIAMTERENE/HCTZ C37.5/25 $1.36
25024063 TRICOR TAB 48MG $4.31
30040416 TROPONIN I $97.20
30040417 TSH $85.00
27033457 TUBE, SALEM SUMP $7.50
25024076 TUBING IV NON-VNT W/CLAMP $6.49
25024077 TUMS $1.00
25024079 TYLENOL ARTH ER 650MG TAB $1.00
25024080 TYLENOL ES $0.99
30040421 UA MICROSCOPIC $9.75
25090030 ULORIC 40 MG $22.00
25090332 ULTRACET 37.5/325 MG $2.50
25025001 ULTRAM TABS 50 MG $4.00
43058185 ULTRASOUND 15 min $63.00
32045129 ULTRASOUND OF KIDNEY $318.00
32045130 ULTRASOUND OF LEG $1,941.00
32045131 ULTRASOUND OF SCROTUM $297.00
30040425 URIC ACID LEVEL $35.00
30040426 URINALYSIS $64.40
30040427 URINALYSIS W/MICRO NON-AUTMA $20.00
27033468 URINARY DRAINAGE BAG $25.00
30040431 URINE CULTURE $20.00
30040435 URINE OSMOLALITY $38.00
30040439 URINE SODIUM $48.20
25025003 UROXATRAL TAB 10MG $20.00
25091037 URSODIOL / ACTIGALL 300MG $19.84
25091126 VALACYCLOVIR HCL 1GM CAP $40.00
25026002 VALPROIC ACID CAP 250MG U $2.38
30040442 VALPROIC ACID QUANT $50.00
30040444 VALPROIC ACID/DEPAKOTE $43.20
25091063 VALSARTAN 160MG TAB $13.90
25091342 VALSARTAN 320MG TAB $52.00
25091335 VALSARTAN 80 MG TAB $3.20
25026005 VALTREX CAPL 500MG $22.35
25026045 VANCOMYCIN (PREMIX) 1GM $300.00
25026006 VANCOMYCIN 1.25GM / 250MLNS IV $288.56
25026010 VANCOMYCIN 1GM IV VIAL $224.04
25090020 VANCOMYCIN HCL 125 MG $100.00
30040446 VANCOMYCIN PEAK $167.25
30040447 VANCOMYCIN TROUGH $167.25
25026012 VASOTEC 10MG TAB $5.67
25026013 VENLAFAXINE HCL 75MG CAP $3.88
25091321 VENLAFAXINE HCL ER 37.5MG CAP $3.60
25091577 VENLAFAXINE HCL ER 75 MG $5.48
25091334 VENLAFXINE HCL ER 150MG CAP $4.08
25091405 VENTOLIN HFA 90MCG INHALER $300.68
25091431 VERAPAMIL ER 240MG TAB $5.48
25026016 VERAPAMIL ER TAB 120MG UD $2.81
25026047 VESICARE 10MG $35.20
25026046 VESICARE 5MG $28.00
25026019 VICODIN TAB $4.00
25090809 VICTOZA 1.8 MG SQ $937.23
25026023 VISTARIL CAP $3.00
25026025 VIT B CMPX CAP SOFTGEL $1.00
25019622 VIT B-6 50MG TAB $5.16
25026026 VIT C ASCORBIC TAB 500MG $0.20
25091436 VIT D2 1.25MG CAP $13.48
25091594 VITAMIN A 8000 UNIT CAP $2.00
25026029 VITAMIN B COMPLEX CAP $5.16
25091526 VITAMIN B-12 100MCG TAB $5.08
25091259 VITAMIN B-6 100MG TAB $5.16
25026030 VITAMIN B1 100MG TAB $1.00
25026031 VITAMIN B12 $5.08
25026032 VITAMIN B12 1,000 MCG TAB $1.00
25091386 VITAMIN B12 500MCG TAB $1.00
30040452 VITAMIN B12 LEVEL $108.00
25091399 VITAMIN B12 SL 2500MCG TAB $5.64
25026034 VITAMIN C 1000MG $2.00
25091500 VITAMIN C 250 MG TAB $1.28
25026035 VITAMIN C 500MG $12.93
25026036 VITAMIN D 2000 UNITS SOFT $8.00
25026037 VITAMIN D 50,000 UNITS CAP $18.76
30040453 VITAMIN D LEVEL $472.50
25090893 VITAMIN D3 1000 IU $5.08
25090824 VITAMIN D3 5000 $24.00
25090749 VITAMIN E 400IU SOFTGEL $1.00
25090070 VOLTAREN GEL PER GM $2.79
25026042 VYTORIN TAB 10/40 $10.81
42055144 W/C BED POSITIONING $121.50
43058192 W/C BED POSITIONING $121.50
25091050 WELCHOL 3.75G PACKET $74.23
25090009 WELCHOL 625MG $20.00
25027002 WELLBUTRIN 100 MG $4.00
25090013 WELLBUTRIN 150MG $5.00
42055157 WOUND CARE SMALL $60.00
27011008 WOUND CLEANER $12.00
30040458 WOUND CULTURE $81.00
32045141 WRIST COMPLETE 3 VIEWS $250.00
25028002 XANAX 0.25MG $3.00
25090212 XARELTO 10 MG $51.99
25090867 XARELTO 15MG $40.00
25091292 XARELTO 20MG TAB $51.80
27033524 XEROFORM 5X9 DRESSING $3.00
25090338 XIFAXAN 550 MG TAB $72.00
25090766 XOPENEX 0.63MG $40.00
25028006 XOPENEX INH/S 1.25MG/3ML $40.00
26031131 Y TYPE SET $18.00
25091311 ZAFIRLUKAST 20 MG TAB $8.80
25029045 ZANTAC 150MG $1.00
25029041 ZAROXOLYN 2.5MG $1.00
25029002 ZAROXOLYN 5MG TAB $1.92
25091595 ZENPREP 20,000 UNITS $7.08
25090066 ZINC OXIDE CREAM $26.00
25029010 ZINC SULFATE 220MG $1.00
25090872 ZIOPTAN 0.0015% DROPS $232.00
25029011 ZIOX OINT 30GM $8.00
25091600 ZIPRASIDONE HCL 20MG CAP $3.40
25091421 ZIPRASIDONE HCL 80MG CAP $4.26
25029015 ZOCOR 10/20 MG $7.00
25029040 ZOFRAN 4MG $64.00
25029019 ZOLOFT 100MG $8.28
25029020 ZOLOFT 50MG $8.00
25029021 ZOLPIDEM TART 10MG TAB $2.04
25029044 ZOLPIDEM TARTRATE 5 MG TAB $2.40
25029024 ZOSYN 3.375GM 1 DOSE $126.12
25029037 ZYVOX 600MG $28.29
27011024 ZZZRESP-22 MM ADAPTER $4.00