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  
United Healthcare $900 Per diem  
Workers Compensation (La) La Worker’s comp fee schedule  
Cash Same as Medicare  
Vantage Same as Medicare  
Tri-Care Tri-Care fee schedule  
     
     
* Gross Charges can be found on the charge tab on this website.

Charge Master

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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