Price Transparency Matrix
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Pathway Rehab | ||
Price Transparency Matrix | ||
As of 12/31/2020 | ||
 | ||
Pathway receives reimbursement via negotiated contracts with third party payors. The following represents those negotiated rates. Some of these are government mandated. | ||
 | ||
Payor | Fee basis | Additional Information |
Medicare | Medicare fee schedule | Highest reimbursement |
Medicaid | $704 per diem | Lowest Reimbursement |
Blue Cross | $826 per diem | Â |
United Healthcare | $900 Per diem | Â |
Workers Compensation (La) | La Worker’s comp fee schedule | Â |
Cash | Same as Medicare | Â |
Vantage | Same as Medicare | Â |
Tri-Care | Tri-Care fee schedule | Â |
 |  |  |
 |  |  |
* Gross Charges can be found on the charge tab on this website. |
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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 |