Procedure Master # procedure name cpt code Price 357292 HCHG BMH ANALYZER PANEL EXTRACTABLE NUCLEURAG, AB*R 86235 $2.21 4410256 HCHG NON-IONIC CONTRAST 350-399MG/ML PER ML Q9967 $3.00 4410255 HCHG NON-IONIC CONTRAST 300-349MG/ML PER ML Q9967 $3.00 4410254 HCHG NON-IONIC CONTRAST 150-199MG/ML PER ML Q9965 $3.00 4410133 HCHG NON-IONIC CONTRAST 200-299MG/ML PER ML Q9963 $3.00 5071781 HCHG BMH DRESSING TELFA PAD A6403 $3.00 5071783 HCHG BMH DRESSING PAD $4.00 5071795 HCHG BMH DRESS ADAPTIC $4.00 309180 HCHG BMH RADIOLABELED PRODUCT PROVIDED DURING HOSPITAL IP STAY C9898 $4.00 356126 HCHG CHOLESTEROL DIRECT LDL REF 83721 $4.01 357287 HCHG ANALYZER PANEL COMPLEMENT AG EA REF 86160 $4.25 357288 HCHG ANALYZER PANEL COMPLEMENT AG EA REF 86160 $4.25 357320 HCHG SMEAR COMPLEX STAIN REF 87209 $4.39 357134 HCHG OVA & PARASITES SMEARS REF 87177 $4.39 357318 HCHG O&P CRYPTOSPORIDIUM *R 87207 $4.49 357319 HCHG O&P CYCLOSPORA *R 87207 $4.49 357303 HCHG BMH OVA AND PARASITES SMEARS*R 87210 $4.58 356783 HCHG VARICELLA-ZOSTER ANTIBODY REF 86787 $4.76 357135 HCHG SMEAR GRAM STAIN REF 87205 $4.80 356602 HCHG CULTURE AEROBIC IDENTIFICATION REF 87077 $4.90 343044 HCHG BMH CULTURE ID, ANAEROBIC *R 87076 $4.90 5071796 HCHG BMH SPLINT SPECIALIST $5.00 356107 HCHG OSMOLALITY URINE REF 83935 $5.01 357102 HCHG BMH OSMOLALITY SERUM*R 83930 $5.01 356072 HCHG CHLAMYDIA ANTIBODY REF 86631 $5.04 356411 HCHG ALLERGEN SPEC IGE QUAN SEMIQUAN REF 86003 $5.11 357183 HCHG HEPATITIS A ANTIBODY (HAAB) REF 86708 $5.40 5071782 HCHG BMH DRESSING XEROFORM $6.00 357279 HCHG BMH/CVMC LEAD LEVEL*R 83655 $6.11 356830 HCHG SMEAR FLUORESCENT/ACID STAIN REF 87206 $6.77 357133 HCHG AFB MYCOBACTERIA CULTURE REF 87116 $6.77 5071797 HCHG BMH CAST PADDING $7.00 5071798 HCHG BMH CATHETER URETHERAL A4351 $7.00 352101 HCHG CARDIO IQ PANEL, CHOLESTEROL*R 82465 $7.01 352102 HCHG CARDIO IQ PANEL, HDL CHOL*R 83718 $7.01 352105 HCHG CARDIO IQ PANEL, TRIGLYCERIDES*R 84478 $7.01 343041 HCHG BMH C4*R 86160 $7.01 343042 HCHG BMH C3*R 86160 $7.01 343043 HCHG BMH DRVVT 1:1 MIXTURE *R 85597 $7.07 356427 HCHG CHLAMYDIA IGM ANTIBODY REF 86632 $7.11 357118 HCHG BMH ANTINUCLEAR ANTIBODIES (ANA)*R 86038 $7.15 357117 HCHG BMH ANALYZER PANEL ANTINUCLEU ANTIBODIES *R 86038 $7.15 356736 HCHG SYPHILIS TEST NON-TREP QUAL REF 86592 $7.18 356288 HCHG RUSSELL VIPER VENOM TIME DILUTED REF 85613 $7.23 357291 HCHG BMH DEOXYRIBONUCLEIC ACID(DNA)ANTIBODY NATIVE DOUBLE STRAND* 86225 $7.26 357128 HCHG RHEUMATOID FACTOR QUANTITATIVE REF 86431 $7.35 357304 HCHG BMH SMEAR, WET MOUNT, SALINE/INK *R 87210 $7.41 357298 HCHG BMH ANALYZER PANEL MICROSOMAL AB* 86376 $7.82 5272034 HCHG .9% NACL 250ML IV SOLUTION J7050 $8.00 5071800 HCHG BMH SUTURE $8.00 5071933 HCHG BMH GAUZE VASELINE $8.00 356222 HCHG ALDOLASE REF 82085 $8.01 357127 HCHG BMH RHEUMATOID FACTOR QUANTITATIVE *R 86431 $8.02 356726 HCHG COMPLEMENT TOTAL (CH50) REF 86162 $8.04 356210 HCHG COPPER SERUM REF 82525 $8.13 356209 HCHG MERCURY LEVEL QUANT REF 83825 $8.13 357293 HCHG BMH EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD EACH*R 86235 $8.36 357063 HCHG BMH ARSENIC HEAVY METAL PANEL URINE*R 82175 $8.46 357083 HCHG BMH LEAD, URINE*R 83655 $8.46 357086 HCHG BMH MERCURY, QUANTITATIVE, URINE*R 83825 $8.46 357274 HCHG GAMMAGLOBULIN IGA IGD IGG IGM REF 82784 $8.52 356744 HCHG TREPONEMA PALLIDUM ANTIBODY REF 86780 $8.77 357131 HCHG BMH/CVMC FUNGUS ISOLATION CULTURE*R 87102 $8.81 362140 HCHG POST OP HARD SOLE SHOE ALL L3260 $9.00 5071801 HCHG BMH CATHETER FOLEY C1729 $9.00 356761 HCHG THYROGLOBULIN ANTIBODY REF 86800 $9.09 356060 HCHG THYROGLOBULIN REF 84432 $9.09 356827 HCHG CERULOPLASMIN REF 82390 $9.12 356753 HCHG ANTINUCLEAR ANTIBODIES (ANA) REF 86038 $9.16 356143 HCHG IMMUNOASSAY ANAL QUANT NOS REF 83520 $9.40 357066 HCHG CHOLINESTERASE RBC REF 82482 $9.54 357132 HCHG BMH BLOOD FUNGUS CULTURE*R 87103 $9.61 357111 HCHG DRVVT CONFIRMATION (LUPUS ANTICOAG) REF 85597 $9.78 356767 HCHG HAPTOGLOBIN QUANT REF 83010 $9.80 356031 HCHG IGG SUBCLASSES 1,2,3 OR 4 EACH REF 82787 $9.80 351309 HCHG CULTURE TYPE IMMUNOFLUORESC REF 87140 $9.86 356758 HCHG IMMUNOGLOBULIN G (IGG) REF 82784 $9.90 356828 HCHG TRANSFERRIN REF 84466 $9.90 370007 HCHG BMH STONE ANALYSIS, KIDNEY*R 82365 $10.09 356045 HCHG MUMPS ANTIBODY REF 86735 $10.27 356750 HCHG RUBEOLA ANTIBODY REF 86765 $10.27 356208 HCHG ZINC SERUM REF 84630 $10.36 357125 HCHG BMH CRYPTOCOCCUS NEOFORM AG, EIA *R 86403 $10.41 357139 HCHG BMH HERPES CULTURE*R 87255 $10.44 356762 HCHG MICROSOMAL ANTIBODY EACH REF 86376 $10.50 357069 HCHG STAT DIPHTHERIA IGG 82784 $10.50 356377 HCHG HEMOGLOBIN CHROMOTOGRAPHY REF 83021 $10.52 357074 HCHG HEMOGLOBIN ELECTROPHORESIS REF 83020 $10.52 356754 HCHG LYME DISEASE ANTIBODY REF 86618 $10.53 357081 HCHG IA ANAL QUANT MITOCHONDRIAL AB REF 83520 $10.61 356148 HCHG CHLORIDE URINE REF 82436 $10.76 356430 HCHG CYTOMEGALOVIRUS (CMV) ANTIBODY (IGM) REF 86645 $10.85 356781 HCHG CYTOMEGALOVIRUS (CMV) ANTIBODY REF 86644 $10.85 356450 HCHG CONCENTRATION INF AGENTS REF 87015 $10.92 357285 HCHG BMH CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY, EACH IG CLASS*R 86147 $10.92 357113 HCHG BMH MYELOPEROXIDASE AB, (PAN-ANCA) *R 86021 $11.01 357114 HCHG BMH/CVMC PROTEINASE-9 AB (PAN-ANCA) *R 86021 $11.01 356099 HCHG URIC ACID OTHER SOURCE REF 84560 $11.04 356205 HCHG LEAD BLOOD REF 83655 $11.29 356765 HCHG COMPLEMENT ANTIGEN EA COMPONENT REF 86160 $11.41 356352 HCHG ANTITHROMBIN III ANTIGEN REF 85301 $11.47 356766 HCHG ALPHA 1 ANTITRYPSIN TOTAL REF 82103 $11.51 357071 HCHG H.PYLORI,UREA BREATH TEST 82784 $11.55 357070 HCHG STAT ALLERGENS,INHAL ENVIR PROF10 82784 $11.55 357120 HCHG BMH MITOCHONDRIAL ANTIBODY*R 86256 $11.56 305064 HCHG WC DRESSING BORDER HEEL 22CMX23CM 305064 $12.00 357078 HCHG BMH SMOOTH MUSCLE ANTIBODY*R 83516 $12.04 356053 HCHG IMMUNOASSAY TUMOR CA 27.29 REF 86300 $12.33 356757 HCHG EPSTEIN-BARR VIRAL CAPSID (VCA) REF 86665 $12.37 356756 HCHG EPSTEIN-BARR NUCLEAR ANTIGEN (EBNA) REF 86664 $12.37 356755 HCHG EPSTEIN-BARR ANTIBODY (EA) REF 86663 $12.38 356130 HCHG TRIGLYCERIDES REF 84478 $12.59 356047 HCHG MYOGLOBIN REF 83874 $12.74 357143 HCHG BMH FLOWCYTOMETRY/ TC, 1 MARKER*R 88184 $12.75 357290 HCHG BMH DNA ANTIBODY NATIVE OR DOUBLE STRANDED*R 86225 $12.77 357119 HCHG BMH ANTINUCLEAR ANTIBODIES*R 86038 $12.86 305063 HCHG WC DRESSING OPTIFOAM GENTLE SACRUM 7"X7" A6213 $13.00 5071932 HCHG BMH BANDAGE ACE $13.00 352100 HCHG CARDIO IQ PANEL, APOLIOPOPROTEIN*R 82172 $13.01 357300 HCHG BMH ANTI-THYROID AB *R 86376 $13.28 356248 HCHG AFP SERUM REF 82105 $13.38 356011 HCHG BETA 2 MICROGLOBULIN REF 82232 $13.38 356401 HCHG BLOOD COUNT (WBC) AUTOMATED REF 85048 $13.39 356656 HCHG T CELLS TOTAL COUNT REF 86359 $13.78 357182 HCHG CD19 B-CELL COUNT *R 86355 $13.78 356638 HCHG HLA TYPING A/B/C SINGLE ANTIGEN REF 86812 $13.86 308200 HCHG BMH POTASSIUM CHLORIDE (20 MEQ/L) $14.00 356070 HCHG ARSENIC REF 82175 $14.05 356249 HCHG GROWTH HORMONE (HGH) REF 83003 $14.09 356010 HCHG IMMUNOASSAY TUMOR CA 19-9 REF 86301 $14.18 351305 HCHG ASSAY ALKALINE PHOSPHATASES REF 84080 $14.20 356078 HCHG PROSTATE SPECIFIC AG FREE REF 84154 $14.21 356268 HCHG PSA DIAGNOSTIC TOTAL REF 84153 $14.21 356419 HCHG IMMUNOFIX E-PHORESIS SERUM REF 86334 $14.65 356014 HCHG ANGIOTENSIN I CONV ENZYME REF 82164 $15.05 356123 HCHG PHOSPHATES ALK-ISOENZYMES REF 84080 $15.17 356491 HCHG HIV-1 DNA AMP PROBE REF 87535 $15.23 356034 HCHG HISTOPLASMA ANTIBODY REF 86698 $15.31 356023 HCHG C-PEPTIDE LEVEL REF 84681 $15.56 357289 HCHG BMH DNA ANTIBODY DOUBLE STRANDED *R 86225 $15.75 356255 HCHG DEHYDROEPIANDROSTERONE (DHEA-S) REF 82627 $15.77 356169 HCHG CREATININE OTHER SOURCE REF 82570 $15.81 5071802 HCHG BMH SUTURE $16.00 356296 HCHG FATS/LIPIDS FECES QUAL REF 82705 $16.73 356087 HCHG SEX HORMONE BINDING GLOBULIN REF 84270 $16.77 356253 HCHG TESTOSTERONE TOTAL REF 84403 $16.86 503528 HCHG STRATASORB COMP ISLAND 4X4IN A6203 $17.00 303098 HCHG DRUG SCREEN BENZO 1-12 CLONOPIN REF 80346 $17.05 356440 HCHG HERPES SIMPLEX ANTIBODY TYPE 2 REF 86696 $17.20 356439 HCHG HERPES SIMPLEX ANTIBODY TYPE 1 REF 86695 $17.20 302314 HCHG AB IGG HERPES SIMPLEX TYPE 1 REF 86695 $17.20 302315 HCHG AB IGG HERPES SIMPLEX TYPE 2 REF 86696 $17.20 356530 HCHG ANTI-PHOSPHOLIPID ANTIBODY REF 86148 $17.51 356415 HCHG BETA 2 GLYCOPROTEIN I AB EA REF 86146 $17.51 356142 HCHG IMMUNOASSAY NONANTIBODY REF 83516 $17.72 356499 HCHG LIPOPROTEIN FRACTIONS REF 83701 $17.78 357142 HCHG BMH/CVMC CHLAMYDIA / GC DNA PROBE *R 87800 $17.85 4410179 HCHG INJECTION GAD CONTRAST PER ML A9579 $18.00 357184 HCHG PNEUMOCYSTIS JIROVECI AG *R 87281 $18.10 357294 HCHG BMH NUCLEAR ANTIGEN ANTIBODY*R 86235 $18.26 356076 HCHG FLUORESCENT ANTIBODY TITER REF 86256 $18.38 351308 HCHG ANTINUCLEAR ANTIBODIES (ANA) TITER REF 86039 $18.38 356426 HCHG CANDIDA ANTIBODY REF 86628 $18.40 352103 HCHG CARDIO IQ PANEL, LIPOPROTEIN A*R 83695 $18.44 356131 HCHG PROTEIN E-PHORESIS SERUM REF 84165 $18.73 356752 HCHG DNA ANTIBODY NATIVE REF 86225 $18.82 356771 HCHG CARDIOLIPIN ANTIBODY EA IG REF 86147 $18.90 356030 HCHG T CELLS ABSOLUTE CD4/CD8 COUNT REF 86360 $18.90 357138 HCHG BMH/CVMC VIRAL CULTURE*R 87252 $19.73 357084 HCHG LIPOPROTEINS (A) REF 83695 $19.85 5071214 HCHG BMH LOW OSMOLAR CONTRAST MATERIAL 100-199 MG/ML PER ML INJ Q9965 $20.00 343003 HCHG BMH STRATASORB COMPOSITE DRESSING 6"X6" A6203 $20.00 356149 HCHG VMA ACID URINE REF 84585 $20.01 356055 HCHG RENIN REF 84244 $20.07 352107 HCHG OXALATE URINE REF 83945 $20.17 357180 HCHG CELIAC PANEL FLUORESCENT AB REF 86255 $20.18 356226 HCHG TSH REF 84443 $20.88 357064 HCHG BMH BIOTINIDASE*R 82261 $20.88 357075 HCHG BMH HEMOGLOBIN CHROMO PKU *R 83021 $20.88 357068 HCHG BMH GALACTOSE TRANSFERASE TEST*R 82776 $20.88 356396 HCHG TESTOSTERONE FREE REF 84402 $21.00 503539 HCHG NUGAUZE PLAIN 1/4IN A6407 $21.00 357109 HCHG BMH TESTOSTERONE, TOTAL *R 84403 $21.00 305065 HCHG WC DRESSING COLLAGEN PURACOL PLUS 4X4 A6022 $21.00 356150 HCHG HYDROXYINDOLACETIC ACID 5-HIAA REF 83497 $21.33 356835 HCHG CULTURE MYCOPLASMA REF 87109 $21.50 357276 HCHG BMH HYDROXYPROGESTERONE 17-D*R 83498 $21.50 357123 HCHG CD4/CD8 PANEL (LYMPHOCYTE PNL 2 OR 4) REF 86360 $21.60 503535 HCHG NUGAUZE IODOFORM 1/4IN A6266 $22.00 5070057 HCHG BMH IV PHYSIOSOL IRRIGATION SOLUTION - 44701106 $22.00 5070876 HCHG BMH CONTRAST MATERIAL 300-399 MG/ML IODINE CONCENTRATION PER Q9967 $22.00 5071213 HCHG BMH LOCM 300-399MG/ML IODINE,1ML Q9967 $22.00 5071770 HCHG BMH NUGAUZE IODOFORM $22.00 5071803 HCHG BMH SUTURE $22.00 4401017 HCHG VISIPAQUE 300-399 MG/ML PER ML Q9967 $22.00 356563 HCHG CHEMILUMINESCENT (IGFBP-3) REF 82397 $22.41 356026 HCHG ERYTHROPOIETIN REF 82668 $22.49 356201 HCHG PHENOBARBITAL REF 80184 $22.91 356061 HCHG VITAMIN B1 THIAMINE REF 84425 $22.99 503536 HCHG NUGAUZE IODOFORM 1/2IN A6266 $23.00 305067 HCHG WC HYDROGEL SKINTEGRITY 1OZ A6248 $23.00 356153 HCHG CATECHOLAMINES FRACTIONATED REF 82384 $23.75 360210 HCHG ZINC PROTOPORPHYRINS LAB 84202 $24.00 503533 HCHG HYDROGEL SKINTEGRITY 1OZ A6248 $24.00 503540 HCHG NUGAUZE PLAIN 1/2IN A6407 $24.00 503541 HCHG NUGUAZE PLAIN 1IN A6407 $24.00 5071547 HCHG BMH SUT CAPROSYN 3-0 SC-2 SC-643 $24.00 5071579 HCHG BMH SUTURE - 44101198 $24.00 357299 HCHG BMH THYROID ANTIBODY PANEL*R 86376 $24.39 5071793 HCHG BMH DRESSING COBAN $25.00 356574 HCHG OSTEOCALCIN REF 83937 $25.46 356639 HCHG WEST NILE VIRUS ANTIBODY IGM REF 86788 $25.73 356640 HCHG WEST NILE VIRUS ANTIBODY REF 86789 $25.73 356353 HCHG ANTITHROMBIN III ACTIVITY REF 85300 $25.80 503387 HCHG LEGIONELLA PNEUMONPHILA ANTIGEN REF 87449 $25.82 503537 HCHG NUGAUZE IODOFORM 1IN A6266 $26.00 5071588 HCHG BMH SUTURE - 44109408 $26.00 357295 HCHG BMH ANTI SM/RNP *R 86235 $26.15 357061 HCHG BMH AFP, MATERNAL *R 82105 $26.18 356399 HCHG TRIIODOTHYRONINE (T3) REVERSE REF 84482 $26.42 356245 HCHG FOLIC ACID RBC REF 82747 $26.64 356302 HCHG ESTRONE REF 82679 $26.75 356661 HCHG MASS SPEC QUANT CARNITINE REF 83789 $26.86 5071589 HCHG BMH SUTURE CAPROSYN 3-0 GS-24 CC912 $27.00 357144 HCHG FLOWCYTOMETRY READ 16+ MARKERS REF 88189 $27.25 357079 HCHG STAT ALLERGEN PROFILE,VEGETABLE II 83519 $27.30 357301 HCHG BMH/CVMC ANTIBODY VIRUS, NOT ELSEWHERE SPECIFIED*R 86790 $27.34 356764 HCHG CRYOGLOBULINS REF 82595 $27.74 4400938 HCHG INJ GAD MULTIHANCE PER ML A9577 $28.00 356157 HCHG PORPHOBILINOGEN URINE QUANT REF 84110 $28.03 356198 HCHG PHENYTOIN FREE REF 80186 $28.16 356372 HCHG CORTISOL FREE REF 82530 $28.67 356482 HCHG CHLAMYDIA TRACHOMATIS DNA AMP PROBE REF 87491 $28.99 357190 HCHG DRUG SCREEN MYCOPHENOLATE QUANT REF 80180 $29.77 5071791 HCHG BMH CATH URETH STRAIGHT C1758 $30.00 309155 HCHG BMH STRAIGHT TIP URINE CATHETER A4351 $30.00 356075 HCHG OLIGOCLONAL IMMUNE BANDS REF 83916 $30.12 356481 HCHG N GONORRHOEAE DNA AMP PROBE REF 87591 $30.44 357317 HCHG CHROMOGRANIN A *R 86316 $31.15 356066 HCHG VITAMIN D 1 25-DIHYDROXY REF 82652 $31.50 356839 HCHG TACROLIMUS REF 80197 $31.77 357077 HCHG BMH IMMUNOASSAY, NONANTIBODY TRANSGLUT*R 83516 $31.77 357302 HCHG BMH VIRUS ANTIBODY NOS*R 86790 $31.79 360327 HCHG INSULIN TOTAL LAB 83525 $32.00 503525 HCHG DRESSING FOAM OPTIFOAM GENTLE 4X4IN A6212 $32.00 356265 HCHG ALDOSTERONE REF 82088 $32.37 352106 HCHG CITRATE URINE REF 83945 $32.43 357130 HCHG BMH SKIN FUNGI CULTURE*R 87101 $32.83 503529 HCHG STRATASORB COMP ISLAND 6X6IN A6203 $33.00 306839 HCHG QUAL NONMD DIGITAL ASSMT & MGMT EST PT 5-10 MINS 98970 $33.00 360335 HCHG IMMUNOGLOBULIN IGE LAB 82785 $34.00 503542 HCHG NUGUAZE PLAIN 2IN A6407 $34.00 306842 HCHG REMOTE IMAGE ASSESSMENT NON E/M G2250 $34.00 356000 HCHG ACTH REF 82024 $34.24 356122 HCHG ALKALINE PHOSPHATASE REF 84075 $34.34 302316 HCHG TITER IGM HERPES SIMPLEX TYPE 1 REF 86695 $34.40 302317 HCHG TITER IGM HERPES SIMPLEX TYPE 2 REF 86696 $34.40 5071769 HCHG BMH NUGAUZE IODOFORM $35.00 5071792 HCHG BMH CAST PADDING $35.00 5071804 HCHG BMH CATHETER URETHERAL C1758 $35.00 356389 HCHG ORGANIC ACID SINGLE QUANT REF 83921 $35.11 356782 HCHG HERPES SIMPLEX NES ANTIBODY REF 86694 $35.19 357072 HCHG STAT LIPID CASCADE (NMR REFLEX) 82784 $35.70 357082 HCHG BMH IMMUNOASSAY ANALYTE QUANTITATIVE-CELIAC PANEL*R 83516 $35.70 356403 HCHG CLOT FACTOR VIII VW ANTIGEN REF 85246 $35.78 350613 HCHG CAPILLARY BLOOD DRAW 36416 $36.00 503526 HCHG OPTILOCK NON-ADHESIVE 4X4IN A6196 $36.00 5071572 HCHG BMH SUTURE - 44100841 $36.00 356154 HCHG METANEPHRINES TOTAL REF 83835 $36.65 356648 HCHG CYCLIC CITRULLINATED PEPTIDE (CCP) AB REF 86200 $36.75 343006 HCHG BMH GAUZE SPONGE DRESSING A6223 $37.00 503538 HCHG NUGAUZE IODOFORM 2IN A6266 $38.00 356052 HCHG CLOT INHIBITORS PROTEIN S FREE REF 85306 $38.80 356033 HCHG FLOWCYTOMETRY TC 1 MARKER REF 88184 $39.24 356032 HCHG FLOWCYTOMETRY TC EA ADDL MARKER REF 88185 $39.24 306843 HCHG BRIEF CHECK-IN 5-10 MINS NON E/M G2251 $40.00 305047 HCHG BMH HEALTHFAIR PSA 305047 $40.00 305048 HCHG BMH HEALTHFAIR TSH 305048 $40.00 305049 HCHG BMH HEALTHFAIR A1C 305049 $40.00 5071805 HCHG BMH SPLINT ROLL $40.00 356062 HCHG VITAMIN B6 REF 84207 $40.85 5071758 HCHG BMH STOCKINETTE IMPERVIOUS $41.00 5071764 HCHG BMH SPLINT-FINGER FOAM $41.00 5071785 HCHG BMH DRESSING $41.00 357129 HCHG BMH/CVMC GIARDIA ANTIBODIES *R 86674 $41.75 5070037 HCHG BMH GAUZE NON IMPREGNATED PAD 4X4 A6219 $43.00 309166 HCHG BMH GAUZE NON IMPREGNATED PAD 4X4 A6219 $43.00 357271 HCHG BMH AFP, PLUS *R 82105 $43.45 356132 HCHG PROTEIN E-PHORESIS URINE CSF REF 84166 $43.60 5071806 HCHG BMH CATHETER URETERAL C1758 $44.00 5071809 HCHG BMH SPLINT ORTHOGLASS $44.00 356056 HCHG SOMATOMEDIN-C IGF-1 (245) REF 84305 $44.53 5272062 HCHG SUTURE TICRON 2-0 CV-316 $45.00 503530 HCHG ALGINATE CAL MAXORB-EXTRA 4X4IN A6196 $45.00 5071560 HCHG BMH SUTURE - 44100826 $46.00 5071580 HCHG BMH SUTURE - 44101199 $46.00 356050 HCHG CLOT INHIBITORS PROTEIN C ACTIVITY REF 85303 $46.03 5071757 HCHG BMH SUTURE $47.00 5071807 HCHG BMH CATHETER FOLEY C1729 $47.00 305046 HCHG BMH HEALTHFAIR PANEL 305046 $50.00 5071587 HCHG BMH SUTURE - 44109407 $50.00 356299 HCHG BILE ACIDS TOTAL REF 82239 $50.40 303421 HCHG NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN 98966 $51.00 356671 HCHG TB TEST CELL IMM MEASURE AG (QUANTIFERON) REF 86480 $52.50 352104 HCHG CARDIO IQ PANEL, LIPOPROTEIN SUBCLASSES*R 83704 $52.50 360192 HCHG HYDROXYPROGESTERONE 17-D LAB 83498 $53.00 356405 HCHG ACTIVATED PROTEIN C (APC) REF 85307 $53.89 5070024 HCHG BMH DERMAL WOUND CLEANSER A6260 $54.00 356247 HCHG ESTRIOL SERUM REF 82677 $54.36 301151 HCHG MED NUTRITN THERPY EA 15M AFTR 2ND REFRL ADDL DX G0270 $57.00 503523 HCHG DRESSING FOAM, OPTIFOAM BORDERED 6X6IN A6213 $57.00 306840 HCHG QUAL NONMD DIGITAL ASSMT & MGMT EST PT 11-20 MINS 98971 $57.00 305069 HCHG DRSG, MEDIFIX RETENTION TAPE A4452 $57.00 309600 HCHG BMH SUTURE, ALL COMMON $57.00 343001 HCHG BMH OXYGEN DELIVERY PER HOUR $57.00 343008 HCHG BMH ELASTIC UNNA BOOT W/SELF ADHERENT BANDAGE A6456 $57.00 356373 HCHG COENZYME Q10 REF 82542 $58.80 5070046 HCHG BMH HYDROCOLLOID WOUND COVER 3.5X5.5 A6234 $59.00 5070836 HCHG BMH CHROMIC GUT O BGS-29 #CG50 $59.00 360072 HCHG FLUORESCENT ANTIBODY TITER LAB 86256 $60.00 5071570 HCHG BMH SUTURE - 44100838 $60.00 5071934 HCHG BMH CONTRAST CONRY 60 50ML $60.00 360587 HCHG ASSAY OF DIHYDROTESTOSTERONE REF G0480 $60.74 503543 HCHG TAPE RETENTION DRESSING MEDFIX 2INX11YD A4452 $61.00 5071810 HCHG BMH BANDAGE SPANDAGE $61.00 360562 HCHG ROUTINE VENIPUNCTURE LAB 36415 $62.00 357115 HCHG ANCA SCREEN TITER WBC AB ID REF 86021 $62.32 5070071 HCHG BMH SPECIALTY ABSORPTIVE DRESSING WOUND COVER PAD 4X6 A6252 $63.00 5071811 HCHG BMH STAPLE $63.00 343005 HCHG BMH SELF-ADHERENT SOFT SILICONE BORDERED DRESSING 4"X12" A6213 $63.00 360150 HCHG CALCIUM IONIZED LAB 82330 $64.00 301155 HCHG CAR/BED TST INFNT-12MO +30MINS 94781 $64.00 5071812 HCHG BMH CATHETER FOLEY C1729 $64.00 357104 HCHG BMH PKU REPEAT *R 84030 $64.31 360564 HCHG BLOOD COUNT (WBC) AUTOMATED LAB 85048 $65.00 303188 HCHG QUAL NONMD EST PT 5-10 MINS G2061 $65.00 356200 HCHG DRUG SCREEN QUANT PRIMIDONE REF 80188 $65.10 5071557 HCHG BMH SUTURE - 44100385 $66.00 305107 HCHG ROUTINE VENIPUNCTURE POC 36415 $67.00 5070837 HCHG BMH CHROMIC GUT O BP-27 #CG47 $67.00 356239 HCHG CYCLOSPORINE REF 80158 $67.06 360350 HCHG BLOOD COUNT HEMOGLOBIN (HGB) LAB 85018 $68.00 360457 HCHG RHEUMATOID FACTOR QUANTITATIVE LAB 86431 $68.00 357447 HCHG EMA EACH IG CLASS REF 86231 $68.00 356999 HCHG BLOOD TYPING AG REAGENT REF 86902 $68.67 302937 HCHG BLOOD GLUCOSE BY REAGENT STRIP POC 82948 $69.00 357181 HCHG IFE PARAPROTEIN URINE REF 86335 $70.96 354058 HCHG IMMUNOHISTO ANTIBODY ADDL STAIN PAT 88341 $71.00 503524 HCHG DRESSING OPTIFOAM GENTLE SACRUM 7X7IN A6213 $71.00 343004 HCHG BMH FOAM DRESSING WOUND COVER 4X4 A6209 $71.00 355004 HCHG BMH/CVMC IMMUNOHISTOCHEMISTRY*R 88342 $71.00 5071814 HCHG BMH SPLINT ORTHOGLASS $72.00 357041 HCHG BILIRUBIN TOTAL REF 82247 $72.52 5070042 HCHG BMH HYDROCOLLOID DRESSING WOUND COVER PAD 2X2.75 A6234 $73.00 5070043 HCHG BMH HYDROCOLLOID DRESSING WOUND COVER PAD 4X4 A6234 $73.00 5071756 HCHG BMH SUTURE $73.00 309154 HCHG BMH INTERMITTENT URINARY CATH STRAIGHT TIP W/WO COATING EACH A4351 $73.00 310129 HCHG GLUCOSE BLOOD TEST LAB 82962 $73.00 356082 HCHG COLLAGEN CROSSLINKS ANY METH REF 82523 $73.50 360781 HCHG IMMUNOASSAY QUANTITATIVE NOS (KAPPA LAMBDA) REF 83883 $73.50 305068 HCHG CLEANSER WOUND SKINTEGIRTY 8OZ A6248 $74.00 360740 HCHG BMH BLOOD ALCOHOL DRAW 36415 $74.12 357124 HCHG PARTICLE AGGLUTINATION ANTIBODY TITER REF 86406 $74.55 343036 HCHG BMH DRAW FEE-IFC 36415 $75.00 357311 HCHG BMH CYSTIC FIBROSIS GENOTYPE*R 81220 $75.00 356729 HCHG APOLIPOPROTEIN A1 EA REF 82172 $76.15 356121 HCHG GAMMA (GGT) REF 82977 $76.15 356380 HCHG NEPHELOMETRY EA NOT SPEC REF 83883 $76.15 357322 HCHG TRANSFERASE (ALT) (SGPT) REF 84460 $76.15 304369 HCHG MED NUT THERAPY REASSMT 15 MIN 97803 $77.00 303424 HCHG REMOTE IMAGE EVAL SUBMIT BY PT G2010 $77.00 5071573 HCHG BMH SUTURE - 44100842 $77.00 360565 HCHG URINE VOLUME MEASURE LAB 81050 $78.00 503534 HCHG CLEANSER WOUND SKINTEGRITY 8OZ $78.00 503386 HCHG STREP PNEUMONIAE ANTIGEN REF 87899 $78.75 5071815 HCHG BMH CATHETER FOLEY C1729 $79.00 357053 HCHG TUMOR IMMUNOHISTOCHEMISTRY MANUAL REF 88360 $79.33 357238 HCHG SARS-COV-2 COVID-19 AMP PRB HIGH TECH REF U0003 $80.00 5071816 HCHG BMH DRAIN T-TUBE C1729 $80.00 503385 HCHG IN HOME SPEECH TREATMENT $82.90 4410314 HCHG TC99M PER DOSE A4641 $84.00 360824 HCHG IMMUNOASSAY QUANTITATIVE NOS LAB 83520 $84.00 5070021 HCHG BMH CONTACT LAYER WOUND DRESSING 4X4 A6206 $85.00 5070022 HCHG BMH CONTACT LAYER WOUND VEIL <=16 SQ INCH A6206 $85.00 304368 HCHG MED NUT THERAPY INITIAL 15 MIN 97802 $86.00 5071562 HCHG BMH SUTURE - 44100829 $86.00 360349 HCHG BLOOD COUNT HEMATOCRIT (HCT) LAB 85014 $87.00 306841 HCHG QUAL NONMD DIGITAL ASSMT & MGMT EST PT 21+ MIN 98972 $87.00 5071818 HCHG BMH CATHETER FOLEY C1729 $87.00 357459 HCHG 8 OVAL SPLINT L3927 $88.00 5071819 HCHG BMH TRAY URINE METER C1729 $90.00 303425 HCHG BRIEF CHECK IN BY MD/QHP G2012 $91.00 5070031 HCHG BMH FOAM DRESSING WOUND COVER 2X2.75 A6212 $91.00 357316 HCHG BMH/CVMC NMR LIPO-PROFILE*R 83704 $91.89 5071576 HCHG BMH SUTURE - 44101175 $93.00 5071820 HCHG BMH DRESSING BIOPATCH $93.00 356527 HCHG HAEMOPHILUS INFLUENZA ANTIBODY REF 86684 $93.45 360400 HCHG OCCULT BLOOD STOOL 3 SPECIMENS LAB 82270 $94.00 356678 HCHG HIV-1 DNA QUANT REF 87536 $94.59 5070004 HCHG BMH ABSORPTIVE WOUND COVER PAD 8X4 A6254 $95.00 5070008 HCHG BMH ALGINATE/OTHER FIBER GELLING DRESSING,WOUND FILLER A6199 $97.00 5071564 HCHG BMH SUTURE - 44100832 $98.00 5070044 HCHG BMH HYDROCOLLOID DRESSING WOUND COVER PAD 6X6 A6235 $99.00 5071823 HCHG BMH DRAIN T-TUBE C1729 $99.00 305799 HCHG PARAFFIN TREATMENT-M59 97018 $100.00 356558 HCHG PANCREATIC ELASTASE FECAL QUAL REF 82656 $100.00 357460 HCHG BLOOD SMEAR INTERPRETATION PAT 85060 $100.00 5070056 HCHG BMH IV NACL 3000ML - 44703419 $100.00 5071561 HCHG BMH SUTURE - 44100828 $100.00 5071821 HCHG BMH SUTURE $100.00 305615 HCHG URINALYSIS (DIPSTICK) W/O MIC POC 81002 $102.00 360406 HCHG OCCULT BLOOD SCREEN 1-3 SPEC LAB 82270 $102.00 303422 HCHG NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN 98967 $102.00 352098 HCHG BORDETELLA PARAPERTUSSIS DNA QUAL REF 87798 $102.90 352099 HCHG BORDETELLA PERTUSSIS NDA QUAL REF 87798 $102.90 360104 HCHG GLUCOSE 1HR GESTATIONAL LOAD LAB 82950 $103.00 110565 HCHG ABDOMINAL BINDER $103.00 362246 HCHG BIOFEEDBACK TRAINING EA ADD 15 MIN 90913 $103.00 5071565 HCHG BMH SUTURE - 44100833 $103.00 5071824 HCHG BMH DRAIN WOUND $103.00 357313 HCHG FACTOR V GENOTYPE LEIDEN*REF 81241 $103.95 5071571 HCHG BMH SUTURE - 44100839 $105.00 5071736 HCHG BMH FOLEY CATH C1729 $105.00 343007 HCHG DRESSING POWDER ARGLAES PER GM A6262 $107.00 362274 HCHG CAR SEAT TESTING 12 MO 60 MIN 94780 $108.00 360164 HCHG METHEMOGLOBIN LAB 83050 $109.00 362241 HCHG COGNITIVE INTERVENTION FIRST 15 MIN 97129 $109.00 362242 HCHG COGNITIVE INTERVENTION ADDL 15 MIN 97130 $109.00 356457 HCHG HEPATITIS C DNA AMP PROBE REF 87521 $109.88 360381 HCHG SPECIFIC GRAVITY NON-URINE LAB 84315 $110.00 356841 HCHG HEPATITIS C DNA QUANT REF 87522 $110.25 352019 HCHG SMEAR GRAM STAIN MIC 87205 $111.00 360361 HCHG BLOOD COUNT RETICULOCYTE AUTOMATED LAB 85045 $112.00 309545 HCHG BMH INITIAL EVAL-ADD 15 MIN (MCAL) X4102 $113.00 343076 HCHG BMH INITIAL EVAL-ADD 15 MIN (MCAL) X3922 $113.00 343092 HCHG BMH INITIAL EVAL-ADD 15 MIN (MCAL) X4102 $113.00 5070025 HCHG BMH DRESS, LRG. TRANSP. $114.00 355005 HCHG BMH/CVMC IMMUNOHISTOCHEMISTRY, EACH ANTIBODY 88342 $114.00 354082 HCHG BMH/CVMC TUMOR IMMUNOHISTOCHEMISTRY/MANUAL 88360 $114.00 302918 HCHG BIOFEEDBACK 90901 $115.00 351600 HCHG ANTIGEN SCREEN, BLOOD SOURCE 86902 $116.00 5071702 HCHG BMH FIBERGLASS/ORTHOGLASS SPLINT $116.00 5070065 HCHG BMH KIT PERCUT SHEATH-INTRODUCER SHEATH $117.00 303075 HCHG CATH IN-OUT A4353 $118.00 362136 HCHG INFRARED THERAPY 97026 $119.00 5070032 HCHG BMH FOAM DRESSING WOUND COVER 4X4 - 44717001 A6212 $120.00 5070035 HCHG BMH FOAM DRESSING WOUND COVER PAD 6X6 A6210 $120.00 5070041 HCHG BMH HEEL FOAM DRESSING WOUND COVER A6210 $120.00 309541 HCHG BMH INITIAL EVAL-ADD 15 MIN (MCAL) X3922 $121.00 4410131 HCHG GA67 GALLIUM PER MCI A9556 $122.00 503522 HCHG SARS-COV-2 COVID-19 NFCT DS 22 TARGET MIC 0202U $122.00 360140 HCHG TRANSFERASE (ALT) (SGPT) LAB 84460 $124.00 306550 HCHG SMOKING COUNSELING VISIT 3-10 MIN 99406 $125.00 309149 HCHG BMH AUDIT/DAST, 15-30 MIN 99408 $125.00 5071790 HCHG BMH DRAIN C1729 $127.00 503527 HCHG BORDER HEEL 22CMX23CM A6210 $128.00 5070824 HCHG BMH CATHETER URETERAL AXXCESS C1758 $128.00 5071575 HCHG BMH SUTURE - 44101174 $128.00 5070034 HCHG BMH FOAM DRESSING WOUND COVER 5X5 A6212 $130.00 5071568 HCHG BMH SUTURE - 44100836 $130.00 5071825 HCHG BMH DRESSING GLASSCOCK $130.00 357314 HCHG BMH HEMOCHROMATOSIS GENOTYPE PANEL*R 81256 $130.13 5070006 HCHG BMH ALGINATE WOUND COVER PAD 3.75X12 A6196 $131.00 5070007 HCHG BMH ALGINATE WOUND COVER PAD 4X4 A6196 $131.00 303189 HCHG QUAL NONMD EST PT 11-20 MINS G2062 $132.00 5071566 HCHG BMH SUTURE - 44100834 $132.00 5071775 HCHG BMH GELFOAM $134.00 5071831 HCHG BMH SPLINT NASAL $134.00 5071827 HCHG BMH DRAIN T-TUBE C1729 $135.00 357186 HCHG ANTISTREPTOLYSIN O SCREEN LAB 86063 $136.00 5070011 HCHG BMH ARM SLING A4565 $136.00 360390 HCHG URINALYSIS AUTO W/SCOPE LAB 81001 $138.00 343000 HCHG BMH PORT O2 USE $138.00 357045 HCHG CALPROTECTIN FECAL REF 83993 $140.00 5070045 HCHG BMH HYDROCOLLOID DRESSING WOUND COVER PAD 6X8 A6235 $140.00 357185 HCHG CYTOPATH DX EVAL FNA ADDL EA SITE PAT 88177 $141.00 4400948 HCHG SCRN BREAST TOMOSYNTHESIS BILAT 77063 $141.00 356378 HCHG RIA NONANTIBODY (PROCOLLAGEN 1) REF 83519 $141.75 355007 HCHG TUMOR IMMUNOCHEM COMPUTER ASSISTED TECH PAT 88361 $142.00 309152 HCHG BMH STERILE WATER A4217 $143.00 303268 HCHG CONTRAST BATHS EA 15 MIN 97034 $144.00 303802 HCHG WRIST-HAND ORTHOTIC L3908 $144.00 360388 HCHG SPECIMEN FAT STAIN LAB 89125 $144.00 5070048 HCHG BMH HYDROGEL DRESSING WOUND COVER PAD SIZE 16 SQ IN OR < A6242 $144.00 343027 HCHG BMH WRIST COCK-UP NON-MOLDED L3908 $144.00 343032 HCHG BMH ELBOW ORTHOSIS ELASTIC PREFABRICATED $144.00 360118 HCHG SODIUM SERUM LAB 84295 $145.00 360741 HCHG BMH BLOOD OCCULT TEST,COLORECTAL 82270 $145.00 360120 HCHG CHLORIDE BLOOD LAB 82435 $146.00 360357 HCHG BLOOD COUNT PLATELET AUTOMATED LAB 85049 $146.00 5071828 HCHG BMH CATHETER FOLEY C1729 $146.00 360454 HCHG SYPHILIS TEST NON-TREP QUAL LAB 86592 $148.00 360117 HCHG CALCIUM URINE QUANT LAB 82340 $148.00 360126 HCHG CALCIUM TOTAL LAB 82310 $148.00 5071829 HCHG BMH SUTURE $148.00 360103 HCHG GLUCOSE BLOOD QUANT LAB 82947 $149.00 5070047 HCHG BMH HYDROGEL DRESSING WOUND COVER 4 X 4 A6242 $149.00 5071688 HCHG BMH WHISTLE TIP CATHETER C1758 $149.00 343013 HCHG BMH INDWELLING CATHETER FOLEY TYPE TWO WAY LATEX W/COATING A4338 $149.00 5071830 HCHG BMH CATHETER FOLEY C1729 $150.00 309049 PR BMH RHYTHM ECG WITH REPORT PRO FEE 93040 $151.00 360108 HCHG GLUCOSE TOLERANCE (GTT) EA ADDL LAB 82952 $152.00 360380 HCHG URINALYSIS AUTO W/O SCOPE LAB 81003 $152.00 362138 HCHG LOW LEVEL LASER TRMT 15 MIN S8948 $152.00 308193 HCHG BMH/CVMC URINALYSIS, AUTO, W/O SCOPE 81003 $152.00 343165 HCHG BMH LACTATION CONSULTATION/INITIAL $152.00 5071555 HCHG BMH SUTURE - 44100378 $154.00 5071765 HCHG BMH SPLINT THERMO PLASTIC $154.00 356507 HCHG HIV-2 ANTIBODY REF 86702 $154.78 303416 HCHG ASSISTIVE TECHNOLOGY ASSESS EA 15 MINUTES 97755 $155.00 5071392 HCHG BMH RUTNER WEDGE CATHETER - 44100640 C1758 $156.00 360802 HCHG BMH/CVMC GLUCOSE QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP) 82947 $157.00 308215 HCHG BMH ELBOW ORTHOSIS ELASTIC PREFAB $158.00 5071787 HCHG BMH DRAIN HEMOVAC $158.00 343033 HCHG BMH ELBOW ORTHOSIS ELASTIC PREFAB $158.00 303423 HCHG NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN 98968 $159.00 360371 HCHG PROTHROMBIN TIME (PT) LAB 85610 $160.00 360142 HCHG ALKALINE PHOSPHATASE LAB 84075 $160.00 306551 HCHG SMOKING COUNSELING VISIT > 10 MIN 99407 $160.00 304370 HCHG MED NUTRITION GROUP 30 MIN 97804 $161.00 5070068 HCHG BMH PERCUTTANEOUS SHEATH KIT-SPRING GUIDE WIRE $161.00 305138 HCHG FINGER ORTHOTIC,PIP/DIP L3925 $162.00 354054 HCHG INTRAOP CYTO PATH CONSULT 2 PAT 88334 $162.00 309528 HCHG BMH WRIST ORTHOSIS, ELASTIC, PREFABRICATED L3807 $162.00 355003 HCHG BMH INTRAOP CYTO PATH CONSULT, 2 88334 $162.00 309539 HCHG BMH PT TREATMENT ADD 15 MIN (MCAL) X3910 $163.00 357312 HCHG FACTOR II GENOTYPE PANEL*REF 81240 $163.87 303679 HCHG EVAL SPEECH-GEN DEVICE ADD30MN 92608 $165.00 360455 HCHG SYPHILIS TEST NON-TREP QUANT LAB 86593 $165.00 343067 HCHG BMH PT TREATMENT ADD 15 MIN (MCAL) X3910 $166.00 343086 HCHG BMH OT TREATMENT ADD 15 MIN (MCAL) X4112 $166.00 360811 HCHG BMH/CVMC KOH PREP 87220 $166.00 5071776 HCHG BMH FOLEY W/URINE METER C1729 $168.00 360134 HCHG PH BODY FLUID NOT SPECIFIED LAB 83986 $169.00 5071834 HCHG BMH DRAIN MALECOT C1729 $169.00 360815 HCHG ENTAMOEB HIST GROUP ANTIGEN IA LAB 87337 $169.00 309071 HCHG CONT INHALATION TREATMENT W/MED EA ADD HR 94645 $170.00 5071457 HCHG BMH SPLINT, THUMB SPICA - 44100363 L3999 $172.00 308260 HCHG BMH IV SOLUTION 100ML 9% NACL $172.00 309627 HCHG BMH/CVMC IV .9% NACL 100ML $172.00 360119 HCHG POTASSIUM SERUM PLASMA OR WB LAB 84132 $174.00 354008 HCHG CYTOPATH SMEAR OTHER SOURCE SCREEN PAT 88160 $174.00 503037 HCHG INSERT CATH UMB ART 36660 $174.00 360298 HCHG HEPATITIS B SURFACE ANTIGEN IA LAB 87340 $176.00 5070062 HCHG BMH IV SOLUTION 50 ML - 44704847 $176.00 309175 HCHG BMH TECHNETIUM TC-99M PERTECHNETATE, DIAGNOSTIC, PER MILL A9512 $176.00 343029 HCHG BMH FINGER ORTHOSIS PIP PREFAB L3925 $177.00 343031 HCHG BMH WRIST ORTHOSIS ELASTIC PREFAB $177.00 343034 HCHG BMH WRIST ORTHOSIS ELASTIC PREFAB $177.00 343077 HCHG ULTRASOUND PER 15 MIN 97035 $177.00 354021 HCHG LEVEL I SURGICAL PATH PAT 88300 $178.00 309549 HCHG BMH OT TREATMENT ADD 15 MIN (MCAL) X4112 $178.00 360215 HCHG SODIUM RANDOM URINE LAB 84300 $179.00 360168 HCHG PROTEIN TOTAL SERUM PLASMA LAB 84155 $179.00 357259 HCHG SARS COV-2 COVID-19 ANTIGEN EIA LAB 87426 $179.00 343082 HCHG SELF CARE MANAGEMENT TRAINING 97535 $179.00 354015 HCHG MICROSLIDE CONSULT REQUIRING SLIDE PREP PAT 88323 $180.00 357438 HCHG CLINICAL PATH CONSULT 5-20 MINS LAB 80503 $180.00 355000 HCHG BMH/CVMC CONSULT & REPORT, REFERRED MATERIAL, REQ PREP OF SLIDES 88323 $180.00 355001 HCHG BMH/CVMC MICROSLIDE CONSULTATION 88323 $180.00 360409 HCHG LEUKOCYTE ASSESSMENT FECAL LAB 89055 $181.00 309543 HCHG BMH CASE CONFERENCE 30 MIN (MCAL) X3926 $181.00 309546 HCHG BMH CASE CONFERENCE/MEDI-CAL X4104 $181.00 343046 HCHG BMH URINALYIS AUTO W/O MICRO 81003 $181.00 343069 HCHG BMH CASE CONFERENCE 30 MIN (MCAL) X3926 $181.00 343084 HCHG BMH CASE CONFERENCE/MEDI-CAL X4104 $181.00 5070002 HCHG BMH IV SOLUTION 250 ML - 44500611 $182.00 309104 PR BMH SOMATOSENSORY TESTING PRO FEE 95926 $182.00 309187 HCHG BMH ELECTRICAL STIMULATION G0283 $182.00 343065 HCHG BMH ELECTRICAL STIMULATION G0283 $182.00 360155 HCHG CHOLESTEROL SERUM WB TOTAL LAB 82465 $183.00 360469 HCHG RUBELLA ANTIBODY LAB 86762 $184.00 360160 HCHG ALBUMIN SERUM LAB 82040 $185.00 357306 HCHG BMH INFLUENZA A RNA REF 87798 $185.41 5070003 HCHG BMH IV SOLUTION 50 ML & 100 ML - 44500610 J7050 $186.00 5071556 HCHG BMH SUTURE - 44100379 $186.00 360144 HCHG IRON LAB 83540 $187.00 354048 HCHG CYTOPATH SMEAR OTHER SOURCE >5 SLIDES PAT 88162 $187.00 5070059 HCHG BMH IV SOLUTION 100 ML - 44704862 $187.00 343057 HCHG BMH ULTRASOUND THERAPY 15 MINUTES 97035 $187.00 354009 HCHG CYTOPATH SMEAR OTHER SOURCE PREP PAT 88161 $189.00 360133 HCHG URIC ACID BLOOD LAB 84550 $189.00 360139 HCHG TRANSFERASE (AST) (SGOT) LAB 84450 $189.00 360202 HCHG MICROALBUMIN URINE QUANT LAB 82043 $189.00 303503 HCHG E STIM-UNATTENDED-NON WND CARE 97014 $191.00 303502 HCHG E STIM ATTENDED 15 MIN 97032 $191.00 309188 HCHG BMH ELECTRICAL STIMULATION OTHER THAN WOUND CARE G0283 $191.00 309189 HCHG BMH ELECTRICAL STIMULATION G0283 $191.00 360130 HCHG CREATININE BLOOD LAB 82565 $192.00 360219 HCHG CREATININE OTHER SOURCE LAB 82570 $192.00 5070854 HCHG BMH COLLAR CERVICAL SOFT, ALL - 44100595 L0120 $192.00 360148 HCHG BILIRUBIN DIRECT LAB 82248 $194.00 308243 HCHG BMH IV SOLUTION 500ML 5% DEXT J0715 $194.00 309623 HCHG BMH/CVMC IV 10% DEXTROSE 500ML $194.00 360770 HCHG CRYPTOSPORIDIUM ANTIGEN IA LAB 87328 $194.00 330916 HCHG BMH/CVMC IV .9% NACL 500ML J7040 $194.00 303190 HCHG QUAL NONMD EST PT 21> MINS G2063 $197.00 309535 HCHG BMH TELEHEALTH ORIGINATING SITE FACILITY FEE Q3014 $197.00 343015 HCHG BMH INTERMITTENT URINARY CATH COUDE TIP W/WO COAT EACH A4352 $197.00 362107 HCHG HELICOBACTER PYLORI STOOL ANTIGEN IA MIC 87338 $198.00 360810 HCHG SMEAR WET MOUNT SALINE/INK LAB 87210 $198.00 357226 HCHG SARS-COV-2 RT PCR DIAGNOS PANEL REF 87635 $199.00 5070054 HCHG BMH IV IRRIGATION NACL 250ML - 44701177 $199.00 5070061 HCHG BMH IV SOLUTION 250 ML - 44704888 $199.00 360751 HCHG BMH/CVMC CULTURE SETUP YERSINIA/VIBRIO 87046 $199.00 360105 HCHG GLUCOSE BODY FLUID NOT BLOOD LAB 82945 $200.00 5070026 HCHG BMH DRESSING ACTICOAT 7DAY $200.00 5070822 HCHG BMH CATHETER COUDE ALL C1757 $200.00 5071549 HCHG BMH SUTURE - 44100827 $200.00 309602 HCHG BMH SPLINT FINGER $200.00 503531 HCHG COLLAGEN PURACOL PLUS 4X4IN A6022 $201.00 5070079 HCHG BMH WRIST ORTHOSIS L3908 $201.00 357278 HCHG BMH IMMUNOASSAY,ANALYTE,QUANTITATIVE *R 83520 $201.55 5070049 HCHG BMH HYDROGEL DRESSING WOUND COVER PAD>16SQ INCH <48SQ INCH A6243 $202.00 360758 HCHG BMH/CVMC MICRO, CULTURE SETUP 87081 $202.00 360026 HCHG OCCULT BLOOD FECES IMMUNOASSAY LAB 82274 $204.00 5071837 HCHG BMH DRAIN T-TUBE C1729 $204.00 330977 HCHG CVMC IV LACTATED RINGER 1000ML J7120 $204.00 360305 HCHG HEPATITIS B SURFACE ANTIBODY (HBSAB) LAB 86706 $205.00 304191 HCHG INTRASITE GEL 15 GM TUBE (2) A6261 $206.00 360115 HCHG URIC ACID OTHER SOURCE LAB 84560 $206.00 360458 HCHG C-REACTIVE PROTEIN LAB 86140 $206.00 360776 HCHG BMH SHIGA TOXIN ANTIGEN DETECT 87899 $206.00 360763 HCHG BMH STREPTCOCCUS TYPING 87147 $206.00 304330 HCHG BMH MASSAGE THERAPY 15 MINUTES 97124 $206.00 5071839 HCHG BMH DRAIN MALECOT C1729 $207.00 360819 HCHG BMH/CVMC CAMPYLOBACTER ANTIGEN DETECT 87899 $207.00 360348 HCHG EXAM SYNOVIAL FLUID CRYSTALS LAB 89060 $208.00 360460 HCHG ANTISTREPTOLYSIN O TITER LAB 86060 $208.00 360456 HCHG RHEUMATOID FACTOR QUALITATIVE LAB 86430 $208.00 5070001 HCHG IV SOLUTION 1000 ML $208.00 309096 PR BMH MUSCLE THOR PARASPINAL PRO FEE 95869 $209.00 305019 HCHG RHYTHM STRIP 93041 $210.00 356462 HCHG GENOTYPE DNA/RNA HEP C REF 87902 $210.00 360145 HCHG IRON BINDING CAPACITY LAB 83550 $210.00 5070063 HCHG BMH IV SOLUTION 500 ML - 44704904 $210.00 309610 HCHG BMH/CVMC IV .9% NACL 500ML J7040 $210.00 330915 HCHG BMH/CVMC RHYTHM ECG 93041 93041 $210.00 5070069 HCHG BMH SHLDR/KNEE COLD WRAP $211.00 360742 HCHG HIV-1 AG W/HIV-1&-2 AB AG IA LAB 87389 $213.00 5071585 HCHG BMH SUTURE - 44107153 $213.00 360293 HCHG THYROXINE TOTAL LAB 84436 $214.00 5070060 HCHG BMH IV SOLUTION 1000 ML - 44704920 J7030 $215.00 5071840 HCHG BMH DRAIN T-TUBE C1729 $215.00 360809 HCHG BMH/CVMC PIN WORM 87172 $215.00 305599 HCHG ULTRASOUND PER 15 MIN 97035 $216.00 301144 HCHG MYCOPLASMA PNEUM DNA AMP PROBE MIC 87581 $216.00 360756 HCHG BMH CULTURE AEROBIC IDENTIFY 87077 $216.00 305189 HCHG SENSORY INT TCHNQS 15 MIN 97533 $218.00 360352 HCHG RBC SED RATE NONAUTOMATED LAB 85651 $218.00 357103 HCHG PROCALCITONIN (PCT) REF 84145 $218.00 304057 HCHG PFIZER COVID ADMIN 3RD DOSE 0003A $218.00 343096 HCHG BMH SENSORY INTEGRATION 15 MIN 97533 $218.00 360443 HCHG HIV-1/HIV-2 SINGLE RESULT ANTIBODY LAB 86703 $219.00 360141 HCHG GAMMA (GGT) LAB 82977 $220.00 310131 HCHG POC INFLUENZA ASSAY W/ VISUAL 87804 $220.00 360308 HCHG HIV-1 ANTIBODY LAB 86701 $223.00 360408 HCHG BLOOD GASES PH LAB 82800 $223.00 360402 HCHG FATS/LIPIDS FECES QUAL LAB 82705 $223.00 5070053 HCHG BMH IV IRRIGATION NACL 1000ML - 44701139 $223.00 5070055 HCHG BMH IV IRRIGATION WATER 1000ML - 44717021 $223.00 330921 HCHG BMH/CVMC IV LACTATED RINGER 1000ML J7120 $223.00 357141 HCHG BMH 1NFLUENZA A H1N1 RNA BY PCR*R 87502 $223.18 360149 HCHG BILIRUBIN TOTAL LAB 82247 $224.00 5070074 HCHG BMH THORACIC RIB BELT - 44711479 $224.00 360768 HCHG BMH/CVMC MALARIA 87207 $224.00 356601 HCHG VITAMIN K REF 84597 $224.70 360138 HCHG LACTATE (LD) (LDH) ENZYME LAB 83615 $225.00 5070078 HCHG BMH WOUND FILLER/GEL/PASTE PER FLUID ONCE A6261 $225.00 304805 HCHG PNEUMOCOCCAL ADMINISTRATION 90471 $226.00 354026 HCHG SPECIAL STAINS GROUP II PAT 88313 $226.00 309533 HCHG FINGER ORTHOSIS W/O JOINTS CUSTOM L3933 $226.00 309598 HCHG BMH SKIN STAPLES $226.00 305787 HCHG SELF CARE ADL TRAINING 15 MIN 97535 $227.00 306251 HCHG HYDROGEL SILVER 3 0Z. A6248 $227.00 5071844 HCHG BMH DRESSING HIP SPICA $227.00 309532 HCHG BMH FO W/O JOINTS CF L3933 $227.00 343030 HCHG BMH FO W/O JOINTS CF L3933 $227.00 360302 HCHG HEPATITIS B SURFACE ANTIBODY (HBSAB) LAB 86706 $228.00 343078 HCHG THERAPEUTIC EXERCISE EA 15 MIN 97110 $228.00 304362 HCHG MASSAGE 97124 $229.00 354024 HCHG CYTOPATH FLUIDS NONGYN SMEARS PAT 88104 $229.00 4410557 HCHG TC99M MAA PER DOSE A9540 $229.00 354012 HCHG DECALCIFICATION PROCEDURE PAT 88311 $230.00 305066 HCHG WC GEL SILVASORB WOUND CARE A6248 $230.00 5071930 HCHG BMH DRAIN C1729 $230.00 302318 HCHG PARANEOPLASTIC AB EIA RIA QUANT REF 83519 $230.76 302319 HCHG PARANEOPLASTIC AB FLUORESCENT REF 86255 $230.76 304960 HCHG RAPID STREP A SCREEN POC 87880 $232.00 360363 HCHG NASAL SMEAR EOSINOPHILS LAB 89190 $232.00 309027 HCHG BMH/CVMC IMMUNIZATION ADMIN, EACH ADD 90472 $232.00 305178 HCHG SELF CARE/ADLS 15 MIN 97535 $233.00 360204 HCHG PROTEIN TOTAL URINE LAB 84156 $233.00 360755 HCHG BMH RAPID ANAEROBIC ID 87076 $233.00 5071567 HCHG BMH SUTURE - 44100835 $234.00 360462 HCHG HELICOBACTER PYLORI ANTIBODY LAB 86677 $235.00 343083 HCHG INITIAL ORTHOTIC TRAINING EA 15 MIN 97760 $236.00 5071755 HCHG BMH SUTURE $237.00 343063 HCHG INITIAL ORTHOTIC TRAINING EA 15 MIN 97760 $237.00 352096 HCHG CHLAMYDIA TRACHOMATIS DNA AMP PROBE MIC 87491 $238.00 352097 HCHG N GONORRHOEAE DNA AMP PROBE MIC 87591 $238.00 309107 PR BMH NEUROMUSCULAR JUNCTION TEST PRO FEE 95937 $240.00 305651 HCHG VASOPNEUMATIC PUMP THERAPY 97016 $241.00 305195 HCHG SHORT ARM WRIST CUSTOM SPLINT L3906 $241.00 304335 HCHG LONG ARM SPLINT $241.00 360294 HCHG TRIIODOTHYRONINE (T3) TOTAL LAB 84480 $241.00 360304 HCHG HEPATITIS B CORE ANTIBODY (HBCAB) TOTAL LAB 86704 $241.00 360465 HCHG HETEROPHILE ANTIBODY SCREEN LAB 86308 $241.00 357245 HCHG SARS COV-2 COVID-19 ANTIBODY MULTI STEP LAB 86769 $241.00 360771 HCHG GIARDIA ANTIGEN IA LAB 87329 $241.00 355011 HCHG BMH/CVMC EXAM,SYNOVIAL FLUID CRYSTALS 89060 $242.00 354003 HCHG PATH CONSULT INTRAOP EA ADDL BLOCK PAT 88332 $243.00 360157 HCHG TRIGLYCERIDES LAB 84478 $243.00 5071574 HCHG BMH SUTURE - 44101070 $243.00 309063 HCHG BMH MAXIMUM VOLUNTARY VENTILATION 94200 $243.00 304204 HCHG IONTOPHORESIS EA 15 MIN 97033 $244.00 343059 HCHG BMH NEUROMUSCULAR REEDUCATION 15M 97112 $244.00 343079 HCHG NEUROMUSCULAR REED. EA 15 MIN 97112 $244.00 303508 HCHG EAR/PULSE OXIMETRY SINGLE DETM 94760 $245.00 5070000 HCHG BMH IV HEPARIN 1000 UNITS / NS 500 ML - 44500635 $245.00 309157 HCHG BMH SURGICAL DRESSING HOLDER, NON-REUSABLE, EACH A4461 $245.00 304948 HCHG PURETONE AUDIOMETRY AIR ONLY 92552 $246.00 302917 HCHG BILIRUBIN TOTAL TRANSCUTANEOUS POC 88720 $246.00 343128 HCHG BMH PURE TONE AUDIOMETRY AIR ONLY 92552 $246.00 503532 HCHG GEL SILVASORB WOUND CARE A6248 $247.00 352018 HCHG URINE CULTURE/COLONY COUNT MIC 87086 $249.00 5071845 HCHG BMH URETERAL STENT C1758 $249.00 343062 HCHG BMH THERAPEUTIC ACTIVITIES 15 MIN 97530 $249.00 305783 HCHG WHEELCHAIR MAIN/PROP TRNG 15 MIN 97542 $250.00 305797 HCHG AQUATIC THERAPY-M59 97113 $251.00 360212 HCHG POTASSIUM RANDOM URINE LAB 84133 $253.00 305778 HCHG INITIAL ORTHOTIC TRAINING EA 15 MIN 97760 $254.00 343060 HCHG BMH GAIT TRAINING THERAPY 15 MIN 97116 $254.00 360812 HCHG BMH SCABIES SKIN SCRAPING 87220 $254.00 360220 HCHG GLYCOHEMOGLOBIN A1C LAB 83036 $255.00 304783 HCHG NEWBORN SCREENING STATE S3620 $255.00 305798 HCHG NEUROMUSCULAR RE-EDUCATION-M59 97112 $256.00 360342 HCHG PSA DIAGNOSTIC TOTAL LAB 84153 $256.00 362245 HCHG BIOFEEDBACK TRAINING 1ST 15 MINS 90912 $257.00 351005 HCHG BMH AUTOAB *D 86978 $257.00 304365 HCHG MECHANICAL TRACTION 97012 $258.00 5071002 HCHG BMH GELFILM OPTHALMIC DRESSING $259.00 5071569 HCHG BMH SUTURE - 44100837 $259.00 770025 HCHG ROOM/CARE - OBSERVATION HOUR * G0378 $260.00 360826 HCHG MTB RIFAMPIN RESISTANCE TESTING LAB 87798 $261.00 343026 HCHG BMH IMMOBILIZER WRIST L3908 $261.00 304081 HCHG INFLUENZA ADMINISTRATION 90471 $262.00 343025 HCHG BMH WHO W/O JOINTS CF L3906 $262.00 343081 HCHG BMH THERAPEUTIC ACTIVITIES 15 MIN 97530 $262.00 305782 HCHG THERAPEUTIC ACTIVITIES 15 MIN 97530 $264.00 343020 HCHG BMH IMMOBILIZER SHOULDER L3670 $264.00 360124 HCHG LITHIUM LAB 80178 $266.00 360131 HCHG CREATININE CLEARANCE LAB 82575 $266.00 5071095 HCHG BMH IMMOBILIZER SHOULDER UNIVERSAL L3670 $266.00 305789 HCHG GAIT TRAINING-M59 97116 $268.00 360437 HCHG C-REACTIVE PROTEIN HS (HSCRP) LAB 86141 $268.00 355008 HCHG BMH/CVMC IN SITU HYBRIDIZATION (EG, FISH), EACH PROBE 88365 $271.00 5071553 HCHG BMH SUTURE - 44100199 $272.00 5071849 HCHG BMH DRAIN C1729 $272.00 5070817 HCHG BMH CAST SMALL SHORT LEG L5400 $275.00 360803 HCHG BMH/CVMC SUGARS, SINGLE, QUAL 84376 $275.00 360299 HCHG HEPATITIS A ANTIBODY (HAAB) IGM LAB 86709 $276.00 360156 HCHG HIGH DENSITY LIPOPROTEIN (HDL) LAB 83718 $277.00 360093 HCHG RENAL FUNCTION PANEL LAB 80069 $278.00 306375 HCHG IMMUNIZATION ADMINISTRATION 90471 $278.00 343014 HCHG BMH INDWELLING CATH SPECIALTY TYPE(COUDE MUSHROOM WING)EACH A4340 $279.00 343061 HCHG BMH MANUAL THERAPY 15 MIN 97140 $279.00 343080 HCHG BMH MANUAL THERAPY 15 MINUTES 97140 $279.00 305777 HCHG THERAPEUTIC EXERCISE EA 15 MIN 97110 $281.00 360314 HCHG FOLIC ACID SERUM LAB 82746 $281.00 360129 HCHG UREA NITROGEN QUANT LAB 84520 $282.00 360099 HCHG ELECTROLYTE PANEL LAB 80051 $282.00 360822 HCHG CHOLESTEROL DIRECT LDL LAB 83721 $282.00 360127 HCHG PHOSPHORUS LAB 84100 $284.00 360116 HCHG PHOSPHORUS URINE LAB 84105 $284.00 360745 HCHG BMH/CVMC DIRECT COOMBS 86880 86880 $285.00 360323 HCHG GONADOTROPIN (LH) LAB 83002 $286.00 306781 HCHG CANALITH REPOSITIONING PROC 95992 $286.00 339010 HCHG APPLY MULTLAY COMPRS UPPER ARM,FOREARM, HAND & FINGERS - PT 29584 $286.00 339004 HCHG APPLY MULTLAY COMPRS LOWER LEG - PT 29581 $286.00 4410310 HCHG TC99M MEBROFENIN PER DOSE A9537 $287.00 350611 HCHG BMH ANTIBODY ID, BLOOD SOURCE*R 86870 $287.52 5070070 HCHG BMH SHOULDER ORTHOSIS L3670 $289.00 305772 HCHG INIT PROSTHETIC TRAINING EA 15 MIN 97761 $290.00 343064 HCHG INIT PROSTHETIC TRAINING EA 15 MIN 97761 $290.00 360315 HCHG VITAMIN B-12 LAB 82607 $291.00 5272064 HCHG SUTURE 2-0 $292.00 360872 HCHG LAMINARIA ALL SZS $292.00 343045 HCHG BMH/CVMC SENSITIVITY MICROSCAN 87186 $293.00 354029 HCHG LEVEL II SURGICAL PATH PAT 88302 $294.00 360369 HCHG RBC SICKLE REDUCTION LAB 85660 $294.00 305699 HCHG VITAL CAPACITY 94150 $295.00 354016 HCHG PATH CONSULT INTRAOP PAT 88329 $295.00 5071551 HCHG BMH SUTURE - 44100843 $296.00 303670 HCHG EST PT FACILITY MINIMAL 99211 $297.00 360065 HCHG VITAMIN D 25 HYDROXY LAB 82306 $297.00 360356 HCHG COMPLETE CBC AUTOMATED LAB 85027 $297.00 360399 HCHG ACETONE/KETONES QUANT LAB 82010 $298.00 4400986 HCHG XRAY SKULL MRI SCREEN 70250 $298.00 5070009 HCHG ANKLE BRACE GELCAST $298.00 305919 HCHG MANUAL THERAPY TECHNIQUE 15MIN 97140 $299.00 360321 HCHG PROGESTERONE LAB 84144 $299.00 360759 HCHG BMH CULTURE FUNGI (MOLD OR YEAST) ISOLATION SKIN HAIR NAIL 87101 $299.00 5070816 HCHG BMH CAST LARGE SHORTLEG L5400 $300.00 360351 HCHG BODY FLUID CELL COUNT LAB 89050 $301.00 356633 HCHG PTH RELATED PEPTIDE REF 83519 $302.00 360392 HCHG SEMEN ANALYSIS SPERM DETECTION LAB 89321 $302.00 360372 HCHG THROMBOPLASTIN TIME PARTIAL (PTT) PLASMA LAB 85730 $303.00 360332 HCHG FERRITIN LAB 82728 $303.00 360772 HCHG INFLUENZA A/B EACH ANTIGEN IA LAB 87400 $303.00 362176 HCHG NFCT DS CHRNC HCV 6 ASSAYS (FIBRO TEST) REF 81596 $303.19 360379 HCHG BLOOD PLATELET AGGREGATION LAB 85576 $305.00 360341 HCHG PSA SCREENING TOTAL LAB 84153 $306.00 309024 HCHG BMH/CVMC SPUTUM INDUCTION 89220 $307.00 309517 HCHG BMH FOOT ARCH SUPPORT REMOVABLE PREMOLDED LONGITUDINAL EACH L3040 $307.00 360203 HCHG PROTEIN TOTAL OTHER SOURCE LAB 84157 $309.00 4410484 HCHG TC99M LABELED RBC PER DOSE A9560 $309.00 4410558 HCHG TC99M SULFUR COLLOID PER DOSE A9541 $309.00 5071546 HCHG BMH SUT #0 PDS CAPIO $309.00 309592 HCHG STREPTOCCUS GROUP A POC 87430 $311.00 4410296 HCHG STENT, SHEATH INTRO C1894 $316.00 5071107 HCHG BMH IV IRRIGATION UROLOGICAL GLYCINE 3000ML - 44106037 $316.00 5071563 HCHG BMH SUTURE - 44100830 $316.00 362137 HCHG PHYSICAL MEDICINE PROCEDURE 97799 $317.00 5070077 HCHG BMH TRANSDUCER/SINGLE/DOUBLE $318.00 303264 HCHG PF MUSC TST W/NCD PROFEE 95886 $320.00 309092 PR BMH EEG C DEATH PROFEE 95824 $320.00 360468 HCHG PREALBUMIN LAB 84134 $322.00 360031 HCHG THYROXINE FREE LAB 84439 $322.00 5071577 HCHG BMH SUTURE - 44101194 $322.00 343244 HCHG CELL SAVER-PROCESSING/SALVAGE 86891 $322.00 304074 HCHG INF THERAPY-TH/DIAG-CONC < 1HR 96368 $324.00 360309 HCHG CORTISOL TOTAL LAB 82533 $324.00 351000 HCHG BMH CYTOMEGALOVIRUS (CMV) ANTIBODY 86644 $324.00 5071581 HCHG BMH SUTURE - 44101567 $325.00 360136 HCHG CREATINE KINASE (CK) (CPK) TOTAL LAB 82550 $326.00 360007 HCHG IMMUNOASSAY TUMOR CA 125 LAB 86304 $326.00 5071582 HCHG BMH SUTURE - 44101568 $326.00 309522 HCHG BMH EWHFO RIGID W/O JNTS CF L3765 $329.00 360355 HCHG BODY FLUID CELL COUNT W/DIFF LAB 89051 $330.00 360322 HCHG GONADOTROPIN (FSH) LAB 83001 $332.00 360421 HCHG FIBRINOGEN ACTIVITY LAB 85384 $332.00 343016 HCHG BMH IMMOBILIZER KNEE L1830 $332.00 343038 HCHG BMH MICRO STREP PANEL 87186 $332.00 360128 HCHG MAGNESIUM LAB 83735 $333.00 110472 HCHG CERVICAL RIPENING BALLOON C1726 $334.00 360324 HCHG TESTOSTERONE TOTAL LAB 84403 $335.00 309516 HCHG BMH FT ARCH SUPRT PREMOLD LONGIT L3040 $335.00 343018 HCHG BMH FT ARCH SUPRT PREMOLD LONGIT L3040 $335.00 303675 HCHG EVAL PHYS PERFORMANCE 15 MIN 97750 $337.00 305784 HCHG EVAL PHYS PERFORMANCE 15 MIN-M59 97750 $337.00 302707 HCHG NON PNEUM WALK BOOT PRE OTS L4387 $337.00 5070030 HCHG BMH DRESSING VAC GRANUFOAM SMALL A6209 $337.00 5070058 HCHG BMH IV SOLUTION - 1000 ML - 44717074 $337.00 360750 HCHG BMH CULTURE SETUP SALM/SHIGELLA 87045 $337.00 360312 HCHG HEPATITIS C ANTIBODY LAB 86803 $340.00 343066 HCHG BMH PT TREATMENT-30 MIN (MCAL) X3908 $342.00 303134 HCHG STRAPPING OF HIP 29520 $343.00 360766 HCHG BMH SENSITIVITY, MICROBIOLOGY 87186 $343.00 354030 HCHG LEVEL III SURGICAL PATH PAT 88304 $345.00 309093 PR BMH MUSCLE TEST ONE LIMB PRO FEE 95860 $345.00 354025 HCHG SPECIAL STAINS GROUP I PAT 88312 $346.00 360774 HCHG ROTAVIRUS ANTIGEN IA LAB 87425 $348.00 360325 HCHG ESTRADIOL TOTAL LAB 82670 $350.00 360813 HCHG CLOSTRIDIUM ANTIGEN IA LAB 87324 $350.00 360151 HCHG AMYLASE LAB 82150 $352.00 304127 HCHG TX-PRO-DX IV PSH SAME DRG 96376 $354.00 303263 HCHG BRIDGE PROGRAM $357.00 309046 PR BMH/CVMC PF CARDIOVASCULAR STRESS TEST-PRO FEE 93016 $357.00 309521 HCHG BMH EWHFO RIGID W/O JNTS CF L3765 $359.00 343021 HCHG BMH EWHFO RIGID W/O JNTS CF L3765 $359.00 343094 HCHG BMH SPEECH THERAPY 92507 $359.00 5071548 HCHG BMH SUTURE - 44100790 $360.00 5071096 HCHG BMH IMMOBILIZER, KNEE L1830 $361.00 305271 HCHG BMH IN-HOME SPEECH EVAL - 3HR $362.69 304227 HCHG IV START 36000 $363.00 309067 HCHG BMH SURFACTANT ADMINISTRATION 94610 $364.00 309538 HCHG BMH PT TREATMENT-30 MIN (MCAL) X3908 $366.00 343095 HCHG BMH ORAL FUNCTION THERAPY 92526 $367.00 343118 HCHG BMH NON-ROUTINE BLOOD DRAW >3YRS 36410 $367.00 304214 HCHG REMOVAL IMPACTED CERUMEN INSTR UNILAT 69210 $368.00 360292 HCHG DIGOXIN LAB 80162 $371.00 4400880 HCHG DEXA,BONE DENSITY,AXIAL SKELETON 77080 $371.00 302794 HCHG ANESTH UPPR ARM PROCEDURE 01730 $371.00 360753 HCHG BMH GC CULTURE 87070 $371.00 305266 HCHG SPEECH GEN DEVICE TREATMENT 92609 $372.00 5272069 HCHG SURGICEL 2X3 C1765 $372.00 343085 HCHG BMH OT TREATMENT 30 MIN (MCAL) X4110 $373.00 360426 HCHG D-DIMER QUANTITATIVE LAB 85379 $375.00 360209 HCHG VALPROIC ACID (DEPAKANE) TOTAL LAB 80164 $375.00 5060004 HCHG BMH PHASE II RECOVERY 3HR+(ADD HR) $375.00 343097 HCHG BMH SPEECH RX/MEDI-CAL X4303 $375.00 304125 HCHG TX-PRO-DX IV PUSH NEW DRG 96375 $377.00 360773 HCHG BMH RESP SYNCYTIAL AG, EIA 87807 $378.00 304315 HCHG LEVEL II VISIT ESTABLISHED PT 99212 $379.00 360257 HCHG PHENOBARBITAL LAB 80184 $379.00 360743 HCHG TRIIODOTHYRONINE (T3) FREE LAB 84481 $381.00 360814 HCHG STREPTOCCUS GROUP A LAB 87430 $381.00 352053 HCHG CULTURE AEROBIC OTHER SPECIMEN MIC 87070 $382.00 5071789 HCHG BMH DRAIN C1729 $383.00 360807 HCHG BMH/CVMC RH TITRE/COOMBS TEST, INDIRECT, TITER 86886 $383.00 360331 HCHG PROLACTIN LAB 84146 $386.00 360330 HCHG GENTAMICIN LAB 80170 $387.00 360354 HCHG COMPLETE CBC W/AUTO DIFF WBC LAB 85025 $388.00 4410320 HCHG TC99M MEDRONATE MDP PER DOSE A9503 $388.00 360098 HCHG LIPID PANEL LAB 80061 $388.00 5071583 HCHG BMH SUTURE - 44101569 $388.00 360761 HCHG BMH CULTURE FUNGI/MOLD/YEAST ISOLATION BLOOD 87103 $388.00 360764 HCHG BMH KIRBY-BAUER SENSITIVITY 87184 $390.00 360295 HCHG TSH LAB 84443 $393.00 309036 HCHG BMH AUDIOMETRY SCREENING-INFANT 92558 $393.00 355009 HCHG BMH/CVMC IN SITU HYBRIDIZATION, EACH PROBE MANUAL 88368 $393.00 360224 HCHG LACTIC ACID LAB 83605 $394.00 4400371 HCHG INJECTION FOR ELBOW ARTHROGRAM 24220 $395.00 110475 HCHG MYCOPLASMA PNEUM DNA AMP PROBE LAB 87581 $396.00 357355 HCHG SARS-COV-2 COVID-19 IAADIA INF A&B LAB 87428 $396.00 304073 HCHG INF THERAPY-HYDRATION EA ADDHR 96361 $398.00 305846 HCHG SUBSQ PROS/ORTHO TRAINING EA 15 MIN 97763 $398.00 302260 HCHG REM IMPACTED CERUMEN IRR/LVG UNILAT 69209 $399.00 360107 HCHG GLUCOSE TOLERANCE TEST (GTT) LAB 82951 $400.00 5272063 HCHG TIGER TAPE 2MM SUTURE $400.00 360825 HCHG MYCOBACTERIA TB DNA AMP PROBE LAB 87556 $400.00 5071740 HCHG BMH STAPLES $400.00 309548 HCHG BMH OT TREATMENT 30 MIN (MCAL) X4110 $400.00 309552 HCHG BMH SPEECH RX/MEDI-CAL X4303 $402.00 360760 HCHG BMH CULTURE FUNGI/MOLD/YEAST ISOLATION OTHER SOURCE/NO BLOOD 87102 $402.00 110474 HCHG CHLAMYDIA PNEUMONIA DNA AMP PROBE LAB 87486 $405.00 351006 HCHG BMH/CVMC RHO(D)IMMUNE GLOBULIN(RHIG)HUMAN MINI-DOSE 90385 $405.00 360303 HCHG CARCINOEMBRYONIC ANTIGEN LAB 82378 $406.00 304076 HCHG INF THERAPY/DIAG ADD HR 96366 $407.00 305619 HCHG URINE PREGNANCY TEST COLOR COMP POC 81025 $407.00 360152 HCHG LIPASE LAB 83690 $408.00 5071558 HCHG BMH SUTURE - 44100520 $408.00 360775 HCHG BMH/CVMC MR-STAPH, DNA, AMP PROBE 87641 $408.00 304123 HCHG INJECTION-DIAG/THERAP-SQ/IM 96372 $409.00 360094 HCHG HEPATIC FUNCTION PANEL LAB 80076 $409.00 309547 HCHG BMH SNF EVAL/MEDI-CAL X4108 $409.00 360752 HCHG BMH CULTURE SETUP 87070 $409.00 343093 HCHG BMH SNF EVAL/MEDI-CAL X4108 $409.00 4410624 HCHG UNLISTED NONINVASIVE VASCULAR DX STUDY 93998 $410.00 360391 HCHG URINE PREGNANCY TEST COLOR COMP LAB 81025 $413.00 302740 HCHG PROCALCITONIN (PCT) LAB 84145 $417.00 309121 HCHG CON SEDATION-DIFF PHYS-EA ADD 15MIN 99157 $417.00 307206 HCHG PT RE-EVAL EST PLAN CARE 97164 $419.00 303174 HCHG CHEST PHYSIOTHERAPY-SUBSQ 94668 $425.00 354011 HCHG CYTOPATH EVAL FNA INTERP PAT 88173 $425.00 5070028 HCHG BMH DRESSING VAC GRANUFOAM MEDIUM A6209 $425.00 305267 HCHG SPEECH LANG TX-INDIVIDUAL 92507 $429.00 5071788 HCHG BMH DRAIN C1729 $429.00 360162 HCHG AMMONIA LAB 82140 $433.00 4410172 HCHG I123 SODIUM IODIDE PER 100UCI A9516 $434.00 360173 HCHG CREATINE KINASE (CK) (CPK) MB FRACTION LAB 82553 $434.00 360238 HCHG THEOPHYLLINE (AMINOPHYLLINE) LAB 80198 $435.00 360096 HCHG BASIC METABOLIC PANEL TOTAL CA LAB 80048 $437.00 360344 HCHG VANCOMYCIN LAB 80202 $440.00 362273 HCHG BREATHING RESPONSE TO HYPOXIA 94450 $441.00 4410307 HCHG TC99M DTPA AEROSOL PER DOSE A9567 $442.00 5070855 HCHG BMH COLLAR, PHILLY ALL L0172 $442.00 309544 HCHG BMH INITIAL EVAL-30 MIN (MCAL) X4100 $443.00 309542 HCHG BMH SNF EVAL/MEDI-CAL X3924 $444.00 343068 HCHG BMH SNF EVAL/MEDI-CAL X3924 $444.00 343075 HCHG BMH INITIAL EVAL 30 MIN (MCAL) X3920 $444.00 343091 HCHG BMH INITIAL EVAL-30 MIN (MCAL) X4100 $444.00 354007 HCHG CYTOPATH CONCENTRATE TECH PAT 88108 $446.00 354032 HCHG LEVEL IV SURGICAL PATH PAT 88305 $447.00 360754 HCHG BMH CULTURE ANAEROBIC 87075 $447.00 360827 HCHG HEMOGLOBIN FETAL KLEIHAUER BETKE LAB 85460 $448.00 343047 HCHG BMH SPUTUM COLLECTION 89220 $449.00 360035 HCHG HOMOCYSTEINE LAB 83090 $450.00 5070826 HCHG BMH CATHETER, IRRIGATING C1757 $451.00 343037 HCHG BMH URINE PREGNANCY TEST 81025 $452.00 360746 HCHG BMH/CVMC BLOOD TYPING ABO 86900 $453.00 360253 HCHG CARBAMAZEPINE TOTAL LAB 80156 $454.00 5071754 HCHG BMH SUTURE $454.00 305775 HCHG STERILE WHIRLPOOL-M59 97022 $457.00 303601 HCHG CON SEDATION EA ADDL 15 MIN (370) 99153 $457.00 304129 HCHG IRRIGATE IMPLANTED VNS PRT 96523 $458.00 343130 HCHG BMH COLLECT BLOOD SPECIMAN/ESTABLISHED PICC VENOUS 36592 $458.00 343131 HCHG BMH DRAW BLOOD OFF VENOUS DEVICE 36591 $458.00 350600 HCHG BMH/CVMC CRYOPRECIPITATE EACH UNIT P9012 $459.00 354010 HCHG CYTOPATH DX EVAL FNA 1ST EA SITE PAT 88172 $461.00 360318 HCHG GONADOTROPIN CHORIONIC QUANT LAB 84702 $461.00 352006 HCHG DETECT AGENT NOS DNA AMP PROBE MIC 87798 $462.00 360747 HCHG BMH/CVMC BLOOD TYPING RH 86901 $464.00 305393 HCHG SWALLOWING DYSFUNCTION TREATMT 92526 $466.00 308403 HCHG BMH/CVMC DRAIN BLOOD FROM UNDER NAIL 11740 $466.00 4400691 HCHG X-RAY ARM, INFANT 73092 $470.00 354047 HCHG CYTOPATH CELL ENHANCE TECH PAT 88112 $472.00 309551 HCHG BMH SPEECH EVAL/MEDI-CAL X4301 $472.00 343104 HCHG BMH LANGUAGE EVAL/MEDI-CAL X4300 $472.00 343105 HCHG BMH SPEECH EVAL/MEDI-CAL X4301 $472.00 309105 PR BMH VISUAL EVOKED POTENTIAL PRO 95930 $473.00 360095 HCHG BASIC METABOLIC PANEL IONIZED CA LAB 80047 $474.00 4400708 HCHG X-RAY EYE FOR FOREIGN BODY 70030 $475.00 309531 HCHG HAND ORTHOSIS W/O JOINTS STRAPS CUSTOM L3919 $475.00 309540 HCHG BMH INITIAL EVAL 30 MIN (MCAL) X3920 $475.00 5070148 HCHG BMH ADHESIVE, LIQUID OR EQUAL A4364 $479.00 304706 HCHG ORTHOTIC HEEL LIFT L3332 $481.00 307210 HCHG OT RE-EVAL EST PLAN CARE 97168 $481.00 5070828 HCHG BMH CATHETER/STAMEY SUPRAPUBIC C2627 $481.00 301156 HCHG INSERT DRUG IMPLANT 11981 $482.00 360254 HCHG PHENYTOIN TOTAL LAB 80185 $485.00 4410180 HCHG INTRODUCER SETCOASCCESS C1894 $485.00 5272001 HCHG TIGER TAPE LOOP-SUTURE $488.00 5272023 HCHG TIGERTAPE LOOP SUTURE $488.00 309554 HCHG BMH SWALLOW EVAL/MEDI-CAL X4320 $488.00 343106 HCHG BMH SWALLOW EVAL/MEDI-CAL X4320 $488.00 5071766 HCHG BMH SLING ULTRA ARM SMALL $490.00 309553 HCHG BMH SNF EVAL/MEDI-CAL X4308 $496.00 343098 HCHG BMH SNF EVAL/MEDI-CAL X4308 $496.00 309094 PR BMH MUSCLE TEST 2 LIMBS PRO FEE 95861 $499.00 309109 HCHG THERA PROPH DX INJ INTRA ARTERIAL 96373 $499.00 343133 HCHG BMH LABOR LEVEL I PER HOUR $499.00 5060005 HCHG BMH RECOVERY 1/4HR FRACT $504.00 360804 HCHG BMH FETAL SCREEN 85461 $504.00 304659 HCHG OFFICE VISIT-NEW-LEVEL2-PSUBSP 99202 $505.00 5071774 HCHG BMH GELFOAM $506.00 309550 HCHG BMH LANGUAGE EVAL/MEDI-CAL X4300 $506.00 309054 HCHG BMH/CVMC ECG RECORDING (30 DAY) 93270 $508.00 5071584 HCHG BMH SUTURE - 44107149 $509.00 4410477 HCHG GUIDE WIRE, HYDROPHILIC HYBRID C1769 $511.00 5070027 HCHG BMH DRESSING VAC GRANUFOAM LARGE A6210 $512.00 304320 HCHG LEVEL III VISIT ESTABLISHED 99213 $513.00 303678 HCHG EVAL SPEECH-GEN DEVICE 1ST HR 92607 $514.00 343100 HCHG BMH EVAL FOR SPEECH DEVICE RX,1 HR 92607 $514.00 4400806 HCHG X-RAYS, BONE SURVEY, LIMITED 77074 $515.00 310133 HCHG BEHAVRAL QUALIT ANALYS VOICE 92524 $517.00 309530 HCHG BMH HO W/O JOINTS CF L3919 $519.00 343028 HCHG BMH HO W/O JOINTS CF L3919 $519.00 5071857 HCHG BMH SPLINT ROLL $520.00 360748 HCHG BMH/CVMC BLOOD TYPING ANTIGEN SCREEN 86902 $523.00 5071786 HCHG BMH DRAIN HEMOVAC $524.00 305750 HCHG CON SEDATION EA ADDL 15 MIN 99153 $525.00 343019 HCHG BMH LIFT, ELEVATION, INSIDE SHOE L3332 $525.00 360262 HCHG CARBOXYHEMOGLOBIN QUANT LAB 82375 $526.00 357446 HCHG AQUAPORIN-4 AB (CBA) EACH REF 86052 $528.00 310134 HCHG EVALUATION OF SPEECH FLUENCY 92521 $535.00 307203 HCHG PT EVAL LOW COMPLEX 20 MIN 97161 $537.00 304077 HCHG INF THERAPY-TH/DIAG-SEQ < 1HR 96367 $540.00 304011 HCHG CATH ASPIRATION, NASAL TRACHEAL 31720 $540.00 303507 HCHG EAR/PULSE OXIMETRY-MULTIPLE 94761 $542.00 304777 HCHG PHLEBOTOMY,THERAPEUTIC 99195 $543.00 309103 PR BMH SOMATOSENSORY UPPER PRO FEE 95925 $543.00 308258 HCHG BMH INJECTION, OCTAFLUOROPROPANE MICROSPHERES, PER ML Q9956 $545.00 303157 HCHG CHEMO ADMIN-IV INF-EA ADD HR 96415 $549.00 302932 HCHG BLADDER SCAN PROCEDURE 51798 $550.00 304652 HCHG OFFICE VISIT-NEW-LEVEL 3 99203 $550.00 360397 HCHG PAMG-1 RAPID ASSAY ROM AMNISUR LAB 84112 $552.00 305511 HCHG WHFO, RIGID W/O JOINTS L3808 $556.00 357445 HCHG AQUAPORIN-4 AB ELISA REF 86051 $560.00 308887 HCHG INSERT NEEDLE BONE CAVITY FOR INTRASSEOS INFUSION 36680 $561.00 360077 HCHG ARTERIAL PUNCTURE-BLOOD DX 36600 $562.00 303166 HCHG CHEMO ADMIN-SQ/IM NON HORMONAL 96401 $567.00 303165 HCHG CHEMO ADMIN-SQ/IM HORMONAL 96402 $567.00 343134 HCHG BMH LABOR LEVEL II PER HOUR $568.00 503452 HCHG INJ CONTRAST KNEE RAD CT MRI ARTHO 27369 $570.00 5071552 HCHG BMH SUTURE - 44100173 $571.00 303172 HCHG CHEST PHYSIOTHERAPY-PEP-INIT 94667 $573.00 305946 HCHG SPIROMETRY W/ GRAPHIC RCD (NO PROFEE) 94010 $574.00 310135 HCHG EVALUATE SPEECH PRODUCTION 92522 $574.00 5071544 HCHG BMH SUPRAMID $575.00 360079 HCHG PARATHORMONE LAB 83970 $576.00 360092 HCHG COMP METABOLIC PANEL LAB 80053 $577.00 307209 HCHG OT EVAL HIGH COMPLEX 60 MIN 97167 $577.00 5071739 HCHG BMH STAPLES $577.00 5272061 HCHG LABRAL TAPE WHITE 15MM SUTURE $578.00 360176 HCHG TROPONIN QUANT LAB 84484 $579.00 343024 HCHG BMH WHFO, RIGID W/O JOINTS L3808 $579.00 309070 HCHG CONT INHALATION TREATMENT W/MEDS 1ST HR 94644 $580.00 303560 HCHG ELECTROCARDIOGRAM 93005 $582.00 343245 HCHG TRANSFUSION PROCEDURE 86999 $582.00 307207 HCHG OT EVAL LOW COMPLEX 30 MIN 97165 $583.00 360749 HCHG BMH BLOOD CULTURE (BLOOD CULTURE FOR 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$626.00 307057 HCHG AIRWAY INHALATION TREATMENT 94640 $629.00 310379 HCHG ECG MONITORING & ANALYSIS 93271 $630.00 303043 HCHG CAST APPL GAUNTLET 29085 $633.00 309601 HCHG BMH ANKLE BRACE, ALL $634.00 360806 HCHG BMH/CVMC ANTIBODY SCREEN 86850 $635.00 4400114 HCHG CONTRAST INJECTION PERCUTANEOUOS RADIOLOGIC EVAL GI TUBE 49465 $637.00 301153 HCHG SINCALIDE INJECTION 5 MICROGRAMS J2805 $646.00 350601 HCHG FRESH FROZEN PLASMA < 8HRS EA UNIT BLD P9017 $654.00 307204 HCHG PT EVAL MOD COMPLEX 30 MIN 97162 $659.00 307208 HCHG OT EVAL MOD COMPLEX 45 MIN 97166 $659.00 309515 HCHG BMH FOOT INSERT REMOVABLE MOLDED LONGITUDINAL/METATARSAL L3020 $661.00 5071860 HCHG BMH SUTURE $667.00 5071559 HCHG BMH SUTURE - 44100770 $671.00 309066 HCHG RESPIRATORY FLOW VOLUME LOOP 94375 $671.00 343023 HCHG BMH WRIST HAND FINGER ORTHOSIS RIGID W/O JOINTS L3808 $675.00 351008 HCHG BMH/CVMC PLATELETS, EACH UNIT P9019 $676.00 5072187 HCHG CATHETERIZATION FOR COLLECTION OF SPECIMEN P9612 $677.00 343124 HCHG BMH RMVL DEVITAL TIS ADDL 20 CM< 97598 $678.00 5070827 HCHG BMH CATHETER, SUPRAPUBIC SOF FLEX C2627 $680.00 309097 HCHG BMH EMG THORACIC PARASPINAL MUSCLES 95869 $680.00 304656 HCHG OFFICE VISIT-NEW-LEVEL 5 99205 $693.00 308804 HCHG BMH APPLICATION OF PASTE BOOT 29580 $693.00 360221 HCHG TOBRAMYCIN LAB 80200 $694.00 362100 HCHG BMH/CVMC CROSS MATCH 86922 86922 $694.00 304147 HCHG INSERTION CATH-SIMPLE (FOLEY) 51702 $696.00 351310 HCHG HOSPITAL OB OP ASSESSMENT G0463 $697.00 306387 HCHG VALVE,TRCH SPKNG PASSEY M L8501 $702.00 309190 HCHG BMH DIRECT ADMISSION OF PATIENT HOSPITAL OBSERVATION CARE G0379 $709.00 362124 HCHG DRUG TEST PRSMV DIR OPT OBS LAB 80305 $710.00 343040 HCHG BMH CARBON MONOXIDE EVAL 88740 $714.00 304307 HCHG LEVEL I BRIEF 99281 $716.00 302708 HCHG REMOVE DRUG IMPLANT DEVICE 11982 $716.00 308712 HCHG BMH CLTX POST ANKLE FX W/MNJP 27768 $717.00 362126 HCHG DRUG TEST PRSMV CHEM ANLYZR LAB 80307 $724.00 343101 HCHG BMH EVALUATE SWALLOWING FUNCTION 92610 $724.00 4400508 HCHG PANORAMIC X-RAY OF JAWS 70355 $728.00 4400766 HCHG X-RAY SCAPULA 73010 $729.00 309077 HCHG BMH/CVMC OVERNIGHT OXIMETRY (MEASURE BLOOD OXYGEN LEVEL) 94762 $729.00 343135 HCHG BMH LABOR LEVEL III PER HOUR $730.00 5071478 HCHG BMH STAPLES - 44100198 $731.00 5070264 HCHG BMH BAIWA SHOULDER IMMOBILIZER/ALL L3670 $732.00 307205 HCHG PT EVAL HIGH COMPLEX 45 MIN 97163 $733.00 5071483 HCHG BMH STAPLES - 44100757 $734.00 343136 HCHG BMH LABOR LEVEL IV PER HOUR $738.00 4400769 HCHG X-RAY SIALOGRAM 70390 $743.00 310137 HCHG MECH CHEST WALL OSCIL PER/SESSION 94669 $745.00 5070018 HCHG BMH CERVICAL COLLAR SEMI RIGID 2 PIECE W/THORACIC EXT L0174 $748.00 5060003 HCHG BMH PHASE II RECOVERY $750.00 308495 HCHG REPAIR COMPLEX WOUND EA ADDL 5CM < 13153 $752.00 309034 HCHG BMH/CVMC NASOPHARYNGOSCOPY W ENDOSCOPE 92511 $752.00 306646 HCHG DEBRIDE NAIL,ANY METHOD 6/MORE 11721 $753.00 5070019 HCHG BMH CERVICAL COLLAR SEMI-RIGID THERMOPLASTIC FOAM TWO PIECE L0172 $754.00 5071467 HCHG BMH STAPLE - 44107022 C1713 $760.00 5400077 HCHG BMH ANOSCOPY/DIAGNOSTIC 46600 $766.00 5400079 HCHG BMH 3-ANOSCOPY/DIAGNOSTIC 46600 $766.00 5060900 HCHG IONM IN OPERATING ROOM 15 MIN 95940 $768.00 308989 HCHG REMOVE FOREIGN BODY FROM EYE CORNEAL W SLIT LAMP 65222 $769.00 309007 HCHG BMH/CVMC CLEAR OUTER EAR CANAL 69200 $770.00 309524 HCHG WHF ORTHOSIS W/JOINTS CUSTOM L3806 $780.00 355002 HCHG BMH INTRAOP CYTO PATH CONSULT, 1 88333 $780.00 308204 HCHG BMH MUSCLE TEST DONE W/NERVE TEST LIMITED 95885 $782.00 309099 HCHG BMH MUSCLE TEST DONE W/NERVE TEST LIMITED 95885 $782.00 343156 HCHG BMH MUSCLE TEST DONE W/NERVE TEST COMP 95886 $782.00 308312 HCHG REMOVAL SKIN TAGS UP TO 15 LESIONS 11200 $783.00 357449 HCHG MOG-IGG1 ANTIBODY CBA EACH REF 86362 $785.00 343126 HCHG BMH PULMONARY FUNCTION TEST BY GAS 94727 $785.00 343127 HCHG BMH CO2/MEMBRANE DIFFUSE CAPACITY 94729 $785.00 307048 HCHG RESP CARE REASSESSMEMT 94664 $787.00 302706 HCHG ANESTHESIA PROCEDURE EYE 00140 $787.00 4400226 HCHG CONTRAST XRAY THROAT/CERV ESO* 74210 $790.00 302827 HCHG ARTERIAL PUNCTURE-BLOOD DX 36600 $792.00 303339 HCHG DEBRIDEMENT NON-SELECTIVE RN 97602 $795.00 305844 HCHG SCRN MAMMO UNI W/WO CAD (52MOD) 77067 $795.00 5071328 HCHG BMH POUCH ACCESS C1787 $797.00 5070820 HCHG BMH CATH FOGARTY ARTERIAL EMBO 3-7 C1757 $800.00 302775 HCHG ANASCOPY DIAGNOSTIC 46600 $801.00 304702 HCHG ORAL PHARYNGEAL EVALUATION 92610 $805.00 306645 HCHG DEBRIDE NAIL,ANY METHOD 1 TO 5 11720 $805.00 302833 HCHG ASSESSMENT OF APHASIA PER HR 96105 $806.00 343103 HCHG BMH ASSESSMENT OF APHASIA 96105 $806.00 5060037 HCHG CASE CANCELLED IN AMBY $810.00 306407 HCHG SHEATH LASER LEAD EXTRACT C2629 $813.00 343107 HCHG ANESTHESIA FACE SKULL BONE SURGERY 00190 $820.00 4400564 HCHG PUCT/ASPIR BREAST CYST,EACH A* 19001 $825.00 4400731 HCHG X-RAY JAW <4 VW 70100 $826.00 4410326 HCHG TC99M TETROFOSMIN MYOVIEW PER DOSE A9502 $826.00 305840 HCHG DX MAMMO UNILATERAL W/WO CAD 77065 $828.00 343054 HCHG BMH ANTIBOD ID 86870 $833.00 4410517 HCHG SHEATH, LASER C2629 $837.00 304148 HCHG INSERTION CATH-STRAIGHT (MINI) 51701 $842.00 308813 HCHG DRAINAGE ABSCESS HEMATOMA NASAL 30000 $844.00 308831 HCHG BMH/CVMC DIAGNOSTIC LARYNGOSCOPY-INDIRECT 31505 $845.00 309523 HCHG BMH WHFO W/JOINT(S) CUSTOM L3806 $849.00 343022 HCHG BMH WHFO W/JOINT(S) CUSTOM L3806 $849.00 5071215 HCHG BMH LUBRI-FLEX STENT C1874 $851.00 304973 HCHG REMOVE FB EYE EXTERNAL CONJ SUP 65205 $854.00 4410327 HCHG TC99M MAG3 PER DOSE A9562 $855.00 5071477 HCHG BMH STAPLES - 44100197 $859.00 303767 HCHG FETAL CONTRACTION STRESS TEST 59020 $860.00 4400775 HCHG X-RAY SPINE ONE VIEW 72020 $863.00 303603 HCHG CON SEDATION/>5 YR 1ST 15 MIN 99152 $867.00 303600 HCHG CON SEDATION/>5 YR 1ST 15 MIN (370) 99152 $867.00 343155 HCHG BMH NEEDLE ELECTROMYOGRAPHY TWO EXTREMITIES W/WO PARASPINAL 95861 $869.00 360407 HCHG BLOOD GASES ANY COMBO LAB 82803 $871.00 4400803 HCHG X-RAYS, BONE LENGTH STUDIES 77073 $872.00 303605 HCHG CON SED-DIFF > 5 YR 1ST 15 MIN 99156 $872.00 357348 HCHG SARS-COV-2 COVID-19 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W/WO PELVIS 1 VW 73501 $918.00 4401625 HCHG XRAY FEMUR 1 VW 73551 $918.00 5071578 HCHG BMH SUTURE - 44101195 $921.00 4400786 HCHG X-RAY TOE(S) 73660 $923.00 4400698 HCHG X-RAY CLAVICLE 73000 $929.00 4400771 HCHG X-RAY SINUSES 3+ VW 70220 $931.00 330951 HCHG BMH/CVMC REMOVAL OF DEVITALIZED TISSUE 20 CM/< 97597 $933.00 4400688 HCHG X-RAY ANKLE 2 VW 73600 $937.00 308919 HCHG BMH/CVMC REMOVE PHARYNX FOREIGN BODY 42809 $937.00 4400713 HCHG X-RAY FOOT 2 VW 73620 $940.00 301152 HCHG XRAY GUIDE FOR GI TUBE 74340 $940.00 302820 HCHG ARTERIAL CATH INSERTION-PERCT 36620 $942.00 303960 HCHG HOLTER SCAN ANALYSIS 24 HRS 93226 $942.00 5071753 HCHG BMH SUTURE $942.00 343141 HCHG BMH ECG MONIT/REPRT UP TO 48 HRS 93225 $942.00 4400706 HCHG X-RAY EXAM OF FINGER(S) 73140 $944.00 4400767 HCHG X-RAY SHOULDER 1 VW 73020 $946.00 4400736 HCHG X-RAY KNEE BILAT STANDING 73565 $947.00 4400785 HCHG X-RAY TMJ BILAT 70330 $947.00 5060046 HCHG BMH GEN ANESTH 1/4 HR - 44500012 $947.00 356145 HCHG L/S RATIO FETAL LUNG REF 83661 $948.30 343154 HCHG BMH NEEDLE ELECTROMYOGRAPHY ONE EXTREMITY W/WO PARASPINAL 95860 $949.00 343164 HCHG BMH NEUROMUSCULAR JUNCTION TESTING EACH NERVE ANY ONE METHOD 95937 $949.00 4400710 HCHG X-RAY FACIAL BONES 3+ VW 70150 $950.00 308837 HCHG LARYNGOSCOPY FLEXIBLE FIBEROPTIC DX 31575 $951.00 4400765 HCHG X-RAY SACRUM/COCCYX 2+ VW 72220 $962.00 4400733 HCHG X-RAY KNEE 1 OR 2 VIEW 73560 $962.00 4401616 HCHG XR SPINE ENTIRE L/T 2/3 VW 72082 $962.00 4401622 HCHG XRAY HIP BIL W/WO PELVIS 2 VW 73521 $962.00 503432 HCHG INCISIONAL BX OF SKIN EACH ADD LESION 11107 $962.00 302850 HCHG AVULSION NAIL PLATE SINGLE 11730 $963.00 5071474 HCHG BMH STAPLES - 44100194 $964.00 310136 HCHG SPEECH SOUND LANG COMPREHEN 92523 $965.00 360934 HCHG PERQ SOFT TISSUE DEV PLACE ADDL GUIDE 10036 $972.00 343280 HCHG BMH ANESTHESIA, CLOSED SHOULDER PROCEDURE 01620 $973.00 4400759 HCHG X-RAY RIBS 2 VW UNILAT 71100 $977.00 4400689 HCHG X-RAY ANKLE 3+ VW 73610 $981.00 4401626 HCHG XRAY FEMUR 2+ VW 73552 $981.00 308401 HCHG AVULSION OF NAIL PLATE ADD-ON 11732 $986.00 309514 HCHG BMH FOOT LONGITUD/METATARSAL SUP L3020 $986.00 343017 HCHG BMH FOOT LONGITUD/METATARSAL SUP L3020 $986.00 351002 HCHG BMH/CVMC AUTOLOGOUS BLOOD/COMPONENT-COLLECTION/STORAGE PREDEPOSIT 86890 $987.00 355006 HCHG BMH/CVMC TUMOR, IMMUNOHISTOCHEMICAL/MANUAL 88360 $989.00 305285 HCHG SPLINT APPLICATION FINGER 29130 $990.00 305287 HCHG SPLINT APPLICATION SHORT ARM 29125 $990.00 305288 HCHG SPLINT APPLICATION SHORT LEG 29515 $990.00 303602 HCHG CON SEDATION< 5 YR 1ST 15 MIN 99151 $990.00 308791 HCHG BMH/CVMC STRAPPING OF SHOULDER 29240 $990.00 4400886 HCHG INJ SCLEROSANT SGL INCOMPETENT VEIN 36470 $991.00 110358 HCHG ANESTH LOWER ARM PROCEDURE 01820 $992.00 305841 HCHG DX MAMMO BILAT W/WO CAD 77066 $993.00 351007 HCHG BMH BLOOD (SPLIT UNIT) P9011 $993.00 4410554 HCHG ULTRASOUND BREAST LIMITED 76642 $998.00 4400709 HCHG X-RAY FACIAL BONES <3 VW 70140 $1,000.00 4400745 HCHG X-RAY NASAL BONES 70160 $1,000.00 4400778 HCHG X-RAY STERNUM 2+ VW 71120 $1,000.00 4401019 HCHG CHEST XRAY 2 VIEWS 71046 $1,000.00 5071550 HCHG BMH SUTURE - 44100831 $1,001.00 5070013 HCHG BMH BRACE HINGED KNEE $1,004.00 309506 HCHG BMH KNEE ORTHOSIS ELASTIC WITH JOINTS L1810 $1,006.00 4400732 HCHG X-RAY JAW 4+ VW 70110 $1,010.00 4401022 HCHG XRAY ABDOMEN 1 VIEW 74018 $1,010.00 4401023 HCHG XRAY ABDOMEN 2 VIEWS 74019 $1,010.00 303599 HCHG CON SEDATION< 5 YR 1ST 15 MIN (370) 99151 $1,010.00 343241 HCHG BMH UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE 76499 $1,013.00 4400738 HCHG X-RAY LUMBAR SPINE 2/3 VW 72100 $1,015.00 308819 HCHG BMH/CVMC CONTROL OF NOSEBLEED SIMPLE 30901 $1,015.00 308821 HCHG BMH/CVMC CONTROL OF NOSEBLEED COMPLEX 30903 $1,015.00 308903 HCHG BMH/CVMC REPAIR TONGUE LACERATION 2.5CM OR < 41250 $1,015.00 303012 HCHG CARDIAC DOPPLER LIMITED 93321 $1,020.00 4400748 HCHG X-RAY OPER CHOLANGIO ADDNL SET 74301 $1,020.00 302703 HCHG ANESTHESIA PROCEDURE MOUTH 00170 $1,021.00 302704 HCHG ANESTHESIA PROCEDURE LOWER LEG 01462 $1,021.00 4400723 HCHG X-RAY HEEL 73650 $1,022.00 343125 HCHG BMH PULMONARY FUNCTION TEST PLETHYSMOGRAPHY 94726 $1,024.00 4400721 HCHG X-RAY HAND 2 VW 73120 $1,027.00 5072165 HCHG PUMP CONNECTOR C1766 $1,027.00 4401607 HCHG IMAGE-GUIDED CATH FLUID DRAINAGE 10030 $1,032.00 309599 HCHG KNEE BRACE L1832 $1,032.00 302712 HCHG ANESTHESIA CHEST SURGERY 00540 $1,040.00 302737 HCHG ANESTH UPPER ABDOMINAL WALL SURG 00700 $1,040.00 4400783 HCHG X-RAY THOR-LUMB SP 2 VW 72080 $1,043.00 4400780 HCHG X-RAY THORACIC SPINE 2 VW 72070 $1,044.00 354033 HCHG LEVEL V SURGICAL PATH PAT 88307 $1,045.00 304072 HCHG INF THERAPY-HYDRATION 31-60MIN 96360 $1,046.00 308475 HCHG BMH/CVMC REPAIR WOUND/LESION ADD-ON 5 CM OR LESS 13102 $1,046.00 4400784 HCHG X-RAY TIB + FIB, 2VW 73590 $1,047.00 303097 HCHG RESP VIRUS 3-5 TARGETS MIC 87631 $1,050.00 4410461 HCHG CATH, NEPHROSTOMY 25CM C1729 $1,052.00 305690 HCHG VIDEOFLUOROSCOPIC EVALUATION 92611 $1,056.00 4401620 HCHG XRAY HIP UNI W/WO PELVIS 2-3 VW 73502 $1,058.00 309091 PR BMH EEG SLEEP PROFEE 95822 $1,065.00 308987 HCHG REMOVE FOREIGN BODY FROM EYE CORNEAL WO SLIT LAMP 65220 $1,067.00 303604 HCHG CON SED-DIFF < 5 YR 1ST 15 MIN 99155 $1,069.00 5070014 HCHG BMH CATHETER GUIDING $1,069.00 308612 HCHG BMH CLOSED TREATMENT OF RADIAL SHAFT FRACTURE 25520 $1,070.00 308911 HCHG BMH/CVMC DRAINAGE MOUTH ROOF LESION 42000 $1,073.00 4400761 HCHG X-RAY RIBS, CHEST 3+ VW 71101 $1,074.00 4401018 HCHG CHEST XRAY SINGLE VIEW 71045 $1,074.00 360395 HCHG FETAL FIBRONECTIN LAB 82731 $1,075.00 4400752 HCHG X-RAY PELVIS 1/2 VW 72170 $1,079.00 343109 HCHG BMH LAYER CLOSE WOUND 7.6-12.5CM NECK HAND FEE GENITALIA 12044 $1,080.00 4400358 HCHG INJECT CORPORA CAVERN,PHARM AGNT 54235 $1,086.00 343112 HCHG BMH CLOSED TREATMENT OF HUMERAL CONDYLAR FRACTURE, W/O MANI 24576 $1,087.00 4410501 HCHG THYROID UPTAKE MEASUREMENT 78012 $1,088.00 4401020 HCHG CHEST XRAY 3 VIEWS 71047 $1,089.00 4400770 HCHG X-RAY SINUSES <3 VW 70210 $1,090.00 5071759 HCHG BMH STAPLE $1,095.00 110364 HCHG TREAT HIP DISLOCATION 27256 $1,096.00 308934 HCHG BMH/CVMC INSERT BLADDER CATHETER COMPLEX 51703 $1,098.00 4400772 HCHG X-RAY SKULL <4 VW 70250 $1,099.00 343253 HCHG BMH NERVE CONDUCTION STUDY 1-2 95907 $1,099.00 343255 HCHG BMH NERVE CONDUCTION STUDY 3-4 95908 $1,099.00 343257 HCHG BMH NERVE CONDUCTION STUDY 5-6 95909 $1,099.00 343259 HCHG BMH NERVE CONDUCTION STUDY 7-8 95910 $1,099.00 4400694 HCHG X-RAY CERV SPINE 2 VW 72040 $1,100.00 4400503 HCHG OB < 14 WKS, ADD'L FETUS 76802 $1,100.00 302705 HCHG TREAT LOWER LEG DISLOCATION 27830 $1,100.00 302748 HCHG REMOVAL SUTURE OR STAPLES - NO ANES 15853 $1,100.00 4400704 HCHG X-RAY ELBOW 2 VW 73070 $1,102.00 309087 PR BMH EEG, 41-60 MINUTES PRO FEE 95812 $1,102.00 309089 PR BMH EEG AWAKE PROFEE 95816 $1,102.00 4400753 HCHG X-RAY PELVIS 3+ VW 72190 $1,107.00 4400737 HCHG X-RAY LEG, INFANT 73592 $1,111.00 4400802 HCHG X-RAYS FOR BONE AGE 77072 $1,111.00 4410324 HCHG TC99M SESTAMIBI CARDIOLITE PER DOSE A9500 $1,112.00 303060 HCHG CAST REMOVAL GNTLT/BOOT/BODY 29700 $1,117.00 308789 HCHG BMH/CVMC STRAPPING OF CHEST 29200 $1,117.00 308793 HCHG BMH/CVMC STRAPPING OF ELBOW OR WRIST 29260 $1,117.00 308801 HCHG BMH/CVMC STRAPPING OF ANKLE AND/OR FOOT 29540 $1,117.00 308809 HCHG BMH REPAIR OF BODY CAST/JACKET 29720 $1,117.00 343116 HCHG STRAPPING OF HAND OR FINGER 29280 $1,117.00 303770 HCHG FETAL NON-STRESS TEST 59025 $1,118.00 4400781 HCHG X-RAY THORACIC SPINE 4 VW 72074 $1,123.00 4400717 HCHG X-RAY FOREARM 2 VW 73090 $1,123.00 4401617 HCHG XR SPINE ENTIRE L/T 4/5 VW 72083 $1,124.00 4401621 HCHG XRAY HIP UNI W/WO PELVIS 4+ VW 73503 $1,124.00 4401623 HCHG XRAY HIP BIL W/WO PELVIS 3-4 VW 73522 $1,124.00 4400782 HCHG X-RAY THORACIC SPINE+SWIM 3 VW 72072 $1,125.00 4400764 HCHG X-RAY SACROILIAC JTS 3+ VW 72202 $1,125.00 4400768 HCHG X-RAY SHOULDER 2+ VW 73030 $1,125.00 4400705 HCHG X-RAY ELBOW 3+ VW 73080 $1,125.00 4400796 HCHG X-RAY WRIST 3+ VW 73110 $1,125.00 4400722 HCHG X-RAY HAND 3+ VW 73130 $1,125.00 4400714 HCHG X-RAY FOOT 3+ VW 73630 $1,125.00 308811 HCHG BMH/CVMC CASTING/STRAPPING PROCEDURE 29799 $1,135.00 308409 HCHG WEDGE EXCISION SKIN NAIL FOLD 11765 $1,138.00 4401024 HCHG XRAY ABDOMEN 3/MORE VIEWS 74021 $1,150.00 305286 HCHG SPLINT APPLICATION LONG ARM 29105 $1,158.00 305290 HCHG SPLINT APPLICATION LONG LEG 29505 $1,158.00 4400728 HCHG X-RAY HUMERUS 73060 $1,160.00 4400566 HCHG PUNCTURE DRAINAGE OF LESION 10160 $1,162.00 4400746 HCHG X-RAY NECK SOFT TISSUE 70360 $1,162.00 351012 HCHG BMH FRESH FROZEN PLASMA, DONOR RETESTED, EACH UNIT P9060 $1,164.00 5071470 HCHG BMH STAPLES - 44101192 $1,167.00 4400224 HCHG CONTRAST INJ CENT VEN CATH, INC FLOURO 36598 $1,170.00 4400841 HCHG US LTD JOINT OR OTHER NON VAS RT W/IMAGE DOC 76882 $1,174.00 503413 HCHG PULMONARY STRESS TESTING 94618 $1,177.00 309150 HCHG BMH/CVMC NEWBORN RESUSCITATION 99465 $1,178.00 4400369 HCHG INJECTION FOR ANKLE ARTHROGRAM 27648 $1,183.00 304075 HCHG INF THERAPY-TH/DIAG-INIT < 1HR 96365 $1,188.00 308481 HCHG BMH/CVMC REPAIR WOUND/LESION ADD-ON 5CM OR< COMPLEX SCALP,ARM,LEG 13122 $1,191.00 308758 HCHG CLOSED TREATMENT OF METATARSAL FRACTURE WITH MANIPULATI 28475 $1,192.00 308445 HCHG BMH/CVMC LAYER CLOSURE OF WOUND 2.5CM OR < 12041 $1,199.00 308447 HCHG BMH/CVMC LAYER CLOSURE WOUND 2.6-7.5CM 12042 $1,199.00 308457 HCHG LAYER CLOSURE OF WOUND 2.5CM OR < 12051 $1,199.00 343278 HCHG BMH ANESTH CARDIAC ELECTROPHYS 00537 $1,203.00 303817 HCHG GASTRIC INTUBATION TREATMENT 43753 $1,207.00 309090 PR BMH EEG AWAKE/SLP PROFEE 95819 $1,208.00 362240 HCHG SMALL INTESTINE FOLLOW-THROUGH 74248 $1,212.00 4400885 HCHG INJECTIONS SPIDER VEINS LIMB/TRUNK 36468 $1,216.00 308823 HCHG BMH/CVMC CONTROL NOSEBLEED-INITIAL 30905 $1,218.00 4400350 HCHG INJ PROC SHOULDER ARTHROGRAPHY/CT/MRI 23350 $1,221.00 4400660 HCHG US,PREG UTER,FET & MAT,+ DETL* 76812 $1,222.00 4400777 HCHG X-RAY STERNO-CLAVICLUAR JT 71130 $1,223.00 4401005 HCHG NONINVASV EXTREM EXAM, 1-2 LVLS, BILAT 93922 $1,233.00 309102 HCHG CO2 EXPIRED GAS DETERMINATION 94799 $1,235.00 5071288 HCHG BMH OTOLOGIC LAMINA EPIDISC C1763 $1,237.00 4400244 HCHG CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM 75571 $1,242.00 5071760 HCHG BMH STAPLES $1,244.00 4400653 HCHG US GUIDANCE FOR VASCULAR ACCESS 76937 $1,247.00 4400662 HCHG US,PREGNANT UTERUS,LIMITED, 1* 76815 $1,251.00 4401618 HCHG XR SPINE ENTIRE L/T 6/MORE VW 72084 $1,254.00 350609 HCHG BMH/CVMC LEUKOCYTE POOR PRBC'S P9016 $1,259.00 4400339 HCHG HEAD, REAL TIME 76506 $1,262.00 308425 HCHG BMH/CVMC REPAIR SUPERFICIAL WOUND 7.6-12.5CM 12015 $1,265.00 308427 HCHG BMH/CVMC REPAIR SUPERFICIAL WOUND 12.6-20.0CM FACE EAR EYELID LIP 12016 $1,265.00 308428 HCHG SIMPLE REPAIR SUPERFICIAL WOUND 20.1 CM-30.0 CM 12017 $1,265.00 308431 HCHG SIMPLE REPAIR SUPERFICIAL WND > 30CM 12018 $1,265.00 343279 HCHG BMH ANESTHESIA HIP JOINT PROCEDURE 01200 $1,266.00 4401021 HCHG CHEST XRAY 4/MORE VIEWS 71048 $1,278.00 503433 HCHG REPLACE GTUBE WO IMAGE ENDO OR TRACT REV 43762 $1,282.00 308825 HCHG BMH/CVMC REPEAT CONTROL OF NOSEBLEED ANY METHOD SUBSEQUENT 30906 $1,288.00 303978 HCHG I&D ABSCESS, SIMPLE OR SINGLE 10060 $1,291.00 303979 HCHG I&D ABSCESS,COMPLICATED/MULT. 10061 $1,291.00 308895 HCHG BMH/CVMC DRAINAGE OF MOUTH LESION 40800 $1,291.00 308907 HCHG BMH/CVMC DRAINAGE OF GUM LESION 41800 $1,291.00 308806 HCHG ANESTH CORRECT HEART RHYTHM 00410 $1,295.00 4410553 HCHG ULTRASOUND BREAST COMPLETE 76641 $1,296.00 360800 HCHG BMH GENERAL HEALTH PANEL (CBC, CMP, TSH) 80050 $1,296.00 308636 HCHG BMH TREAT WRIST FRACTURE 25680 $1,297.00 343132 HCHG BMH NU PHASE II RECOVERY (NU ONLY) $1,298.00 5071761 HCHG BMH STAPLES $1,299.00 370041 HCHG STENT URETERAL NOGUIDE C1877 $1,301.00 303980 HCHG I&D BARTHOLIN GLAND ABSCESS 56420 $1,302.00 5071330 HCHG BMH PREMIUM SURGICLIP II/DISP CLIP APPLIER $1,302.00 308985 HCHG REMOVE FB EYE EXTERNAL CONJ EMB 65210 $1,302.00 343056 HCHG BMH SPIRO PRE & POST 94060 $1,306.00 4400665 HCHG US,TRANSPLANTED KIDNEY, REAL TIME/ DOPPLER 76776 $1,309.00 308702 HCHG TREAT KNEECAP DISLOCATION WO ANES 27560 $1,315.00 308777 HCHG TREAT TOE DISLOCATION WO ANES 28660 $1,315.00 4400687 HCHG X-RAY AC JTS 73050 $1,316.00 301154 HCHG DILATE FOR STRICTURE/OBSTRUCTION 74360 $1,319.00 362239 HCHG UGI TRACT DOUBLE CONTRAST STUDY 74246 $1,331.00 5070272 HCHG BMH BIOBRANE WOUND DRESSING A6253 $1,331.00 4400600 HCHG US GUIDANCE FOR AMNIOCENTESIS 76946 $1,336.00 308799 HCHG BMH/CVMC STRAPPING OF KNEE 29530 $1,336.00 5071329 HCHG BMH POWERED ENDO GIA 60 REFILLS $1,339.00 362119 HCHG TX PELVIC RING FX W/O MANIP 27197 $1,342.00 362120 HCHG TX PELVIC RING FX W/ MANIP 27198 $1,342.00 343117 HCHG BMH STRAPPING OF TOES 29550 $1,351.00 4410479 HCHG CATH, MICROCATHETER 2710 C1887 $1,352.00 4400663 HCHG US,PREGNANT UTERUS,TRANSVAGIN* 76817 $1,353.00 4410137 HCHG BOSSCI GUIDEWIRE AMPLATZ SUPER STIFF C1769 $1,357.00 4400749 HCHG X-RAY OPER CHOLANGIOGRAM 74300 $1,359.00 4410532 HCHG PERQ DEVICE BREAST EA IMAG 19282 $1,363.00 4410536 HCHG PERQ DEV BREAST ADD US IMAG 19286 $1,363.00 308550 HCHG BMH CLOSED TREATMENT STERNUM FRACTURE 21820 $1,364.00 304099 HCHG INJ(S) TRIGGER PT(S) 3/MORE MS 20553 $1,366.00 4400128 HCHG AMNIOCENTESIS,THER AMNIOTIC FLUID REDUCT 59001 $1,368.00 5071482 HCHG BMH STAPLES - 44100669 $1,369.00 4400497 HCHG NONINVASV EXTREM EXAM,1LEVEL,BILAT 93922 $1,370.00 343261 HCHG BMH NERVE CONDUCTION STUDY 9-10 95911 $1,372.00 343263 HCHG BMH NERVE CONDUCTION STUDY 11-12 95912 $1,372.00 343265 HCHG BMH NERVE CONDUCTION STUDY 13/> 95913 $1,372.00 503431 HCHG INCISIONAL BX OF SKIN SINGLE LESION 11106 $1,373.00 5272028 HCHG SAVI CATHETER LD C1728 $1,378.00 4400220 HCHG CHEST,REAL TIME 76604 $1,380.00 308640 HCHG BMH/CVMC DRAINAGE OF FINGER ABSCESS 26010 $1,381.00 303483 HCHG DRESS/DEBRIDE-SMALL 16020 $1,386.00 303482 HCHG DRESS/DEBRIDE MEDIUM 16025 $1,386.00 303481 HCHG DRESS/DEBRIDE LARGE 16030 $1,386.00 303344 HCHG DECLOTTING OF VASCULAR DEVICE 36593 $1,396.00 303059 HCHG CAST REMOVAL FULL ARM/LEG 29705 $1,396.00 308783 HCHG BMH APPLY FOREARM SPLINT(FOREARM TO HAND)DYNAMIC 29126 $1,396.00 308545 HCHG RESET DISLOCATED JAW CLOSED TX INITIAL OR SUBSEQUENT 21480 $1,397.00 308414 HCHG BMH/CVMC REPAIR WOUND 7.6-12.5CM SIMPLE 12004 $1,403.00 308416 HCHG BMH/CVMC REPAIR WOUND 12.6-20.0 SIMPLE 12005 $1,403.00 305533 HCHG TRACHEOTOMY TUBE CHANGE 31502 $1,405.00 4400594 HCHG RETROPERITNL ABD, LTD 76775 $1,405.00 351307 HCHG PREPUTIAL STRETCHING 54450 $1,407.00 5070819 HCHG BMH CATH FOGARTY ARTERIAL EMBO 2FR C1757 $1,413.00 4400190 HCHG BONE/JOINT IMAGING MULTIPLE AREAS 78305 $1,417.00 310036 HCHG FNA WITHOUT IMAGING GUIDANCE 10021 $1,422.00 4400206 HCHG CATH/INJECT HYSTEROSALPINGOGRAM 58340 $1,423.00 309088 PR BMH EEG EXTENDED MONITORING OVER 1 HOUR-PRO FEE 95813 $1,425.00 4410502 HCHG THYROID IMAGING W/BLOOD FLOW 78013 $1,430.00 5071473 HCHG BMH STAPLES - 44100193 $1,431.00 303451 HCHG DISLOC STERNOCLAVICULAR CLSD 23520 $1,432.00 302749 HCHG REMOVAL SUTURE AND STAPLES - NO ANES 15854 $1,432.00 5071554 HCHG BMH SUTURE - 44100207 $1,435.00 308671 HCHG BMH/CVMC TREAT FINGER FX EACH W/MANIPULATION 26755 $1,435.00 110355 HCHG ANESTH ABDOMINAL WALL SURG 00800 $1,437.00 303453 HCHG DISLOC TX CARPAL W/MANIP CLSD 25660 $1,441.00 308588 HCHG BMH/CVMC TREAT HUMERUS FRACTURE CLOSED W/MANIPULATION 24535 $1,441.00 308590 HCHG BMH/CVMC TX HUMERUS FX-W MANIPULATION 24565 $1,441.00 308592 HCHG BMH/CVMC TREAT HUMERUS FRACTURE CLOSED MEDIAL/LATERAL W/MAN 24577 $1,441.00 308609 HCHG BMH/CVMC TX FRACTURE OF RADIUS W/O MANIPULATION 25500 $1,441.00 308614 HCHG BMH/CVMC TX FX OF ULNA W/O MANIPULATION 25530 $1,441.00 308616 HCHG BMH/CVMC TREAT FRACTURE OF ULNA WITH MANIPULATION 25535 $1,441.00 308651 HCHG BMH/CVMC TREAT METACARPAL FRACTURE W/MANIPULATION EACH BONE 26607 $1,441.00 308655 HCHG BMH/CVMC TREAT THUMB FRACTURE CLOSED W/MANIPULATION 26645 $1,441.00 308657 HCHG BMH/CVMC TX HAND DISLOCATION W/MANIPULATION W/O ANES 26670 $1,441.00 308665 HCHG BMH/CVMC TX FINGER FX EACH W/O MANIPULATION 26740 $1,441.00 308694 HCHG BMH/CVMC TREATMENT OF THIGH FRACTURE W/MANIPULATION 27503 $1,441.00 308697 HCHG TX OF THIGH FX W MANIPULATION 27510 $1,441.00 308762 HCHG TREAT BIG TOE FRACTURE WITH MANIPULATION 28495 $1,441.00 308764 HCHG BMH/CVMC TREATMENT OF TOE FX-W/O MANIPULATION 28510 $1,441.00 308772 HCHG BMH/CVMC TREAT FOOT DISLOCATION W/O ANESTHESIA 28600 $1,441.00 308774 HCHG BMH/CVMC TREAT TOE DISLOCATION W/O ANESTHESIA 28630 $1,441.00 4400155 HCHG FOLLOW-UP ANGIO THRU EXISTING CATH 75898 $1,442.00 309062 HCHG BRONCHOSPASM PROVOCATION EVAL 94070 $1,442.00 5272065 HCHG SUTURE TICRON GS-21 3260-72 $1,448.00 110471 HCHG LUNG BX PLUG W/DEL SYS C2613 $1,449.00 303513 HCHG ECHO-CONGENITAL LTD W/O CONT 93304 $1,450.00 306513 HCHG ECHO-CNGNTL LTD W/ CONT 93304 $1,450.00 305004 HCHG REPAIR-SMP-SNAGTE <2.5 CM 12001 $1,451.00 305005 HCHG REPAIR-SMP-SNAGTE 2.6-7.5 CM 12002 $1,451.00 305001 HCHG REPAIR-SMP-FEENL <2.5 CM 12011 $1,451.00 305002 HCHG REPAIR-SMP-FEENL 2.6-5.0 CM 12013 $1,451.00 303449 HCHG DISLOC ACROMIOCLAVICULAR CLSD 23540 $1,461.00 4410573 HCHG FNA BIOPSY WO IMAGING EA ADD LESION 10004 $1,461.00 4410575 HCHG FNA BIOPSY W US GUIDE EA ADD LESION 10006 $1,461.00 4410577 HCHG FNA BIOPSY W FLUORO EA ADD LESION 10008 $1,461.00 4410579 HCHG FNA BIOPSY W CT GUIDE EA ADD LESION 10010 $1,461.00 4410581 HCHG FNA BIOPSY W MRI EA ADD LESION 10012 $1,461.00 308553 HCHG BMH/CVMC TREAT CLAVICLE FX W/O MANIPULATION 23500 $1,461.00 308584 HCHG BMH/CVMC TREAT HUMERUS FRACTURE W/WO SKELETAL TRACTION 24505 $1,461.00 308600 HCHG BMH/CVMC CLOSED TX RADIUS FX W/O MANIPULATION 24650 $1,461.00 308649 HCHG TREAT METACARPAL FX W MANIPULATION 26605 $1,461.00 308659 HCHG BMH/CVMC TX KNUCKLE DISLOCATION W/MANIPULATION W/O ANES 26700 $1,461.00 308661 HCHG BMH/CVMC TREAT FINGER FX EACH W/O MANIPULATION 26720 $1,461.00 308682 HCHG TREAT HIP DISLOCATION W/O ANES 27250 $1,461.00 308684 HCHG TREAT HIP DISLOCATION WO ANES 27265 $1,461.00 308714 HCHG BMH/CVMC CLOSED TX OF PROXIMAL FIBULA OR SHAFT FX W/O MAN 27780 $1,461.00 308757 HCHG BMH/CVMC TREAT METATARSAL FRACTURE W/O MANIPULATION 28470 $1,461.00 308459 HCHG LAYER OF CLOSURE WOUND 2.6-5.0CM 12052 $1,463.00 308477 HCHG BMH/CVMC REPAIR WOUND/LESION 1.1-2.5CM COMPLEX SCALP ARM LEG 13120 $1,468.00 4400311 HCHG ECHO,TRANSRECTAL 76872 $1,471.00 306525 HCHG INJ PARA FACET C/T 2D LVL W/IG 64491 $1,471.00 306528 HCHG INJ PARA FACET L/S 2D LVL W/IG 64494 $1,471.00 306530 HCHG INJ PARA FACET L/S 3D LVL W/IG 64495 $1,471.00 5070072 HCHG BMH SPINAL ORTHOSIS - 44711370 $1,472.00 4400735 HCHG X-RAY KNEE 4+ VIEW 73564 $1,474.00 308663 HCHG TX FINGER FX-W MANIPULATION 26725 $1,474.00 351010 HCHG BMH RED BLOOD CELLS, IRRADIATED, EACH UNIT P9038 $1,474.00 343121 HCHG BMH UNLISTED PROCEDURE, TONGUE, FLOOR OF MOUTH 41599 $1,476.00 4400658 HCHG US,PELVIC (NONOBSTETRIC),REAL* 76857 $1,479.00 362139 HCHG TREAT TOE DISLOCATION 28665 $1,483.00 304312 HCHG LEVEL II LIMITED 99282 $1,484.00 308281 HCHG INCISION DRAINAGE OF PILONIDAL CYST SIMPLE 10080 $1,485.00 308567 HCHG BMH/CVMC TREAT HUMERUS FX W/O MANIPULATION 23600 $1,485.00 308570 HCHG BMH/CVMC TREAT HUMERUS FRACTURE W/O MAN 23620 $1,485.00 308622 HCHG TREAT FX W/O MANIPULATION 25600 $1,485.00 308647 HCHG BMH/CVMC TREAT METACARPAL FX W/O MANIPULATION 26600 $1,485.00 308653 HCHG BMH/CVMC TEAT THUMB DISLOCATION W/MANIPULATION 26641 $1,485.00 308706 HCHG BMH/CVMC TX OF TIBIA FX W/O MANIPULATION 27750 $1,485.00 308766 HCHG TX OF TOE FX W MANIPULATION 28515 $1,485.00 308582 HCHG CLOSED TX OF HUMERAL SHAFT FRACTURE W/O MANIPULATION 24500 $1,486.00 308586 HCHG BMH/CVMC CLOSED TX HUMERUS FX W/O MANIPULATION 24530 $1,486.00 308625 HCHG BMH/CVMC CLOSED TX WRIST BONE FX WO MANIPULATION 25622 $1,486.00 308629 HCHG BMH/CVMC CLOSED TX WRIST BONE FX WO MANIPULATION 25630 $1,486.00 308669 HCHG BMH/CVMC CLOSED TX FINGER FX W/O MAN 26750 $1,486.00 308680 HCHG BMH/CVMC CLOSED TX THIGH FX W/O MAN PROXIMAL END,NECK 27230 $1,486.00 308690 HCHG BMH/CVMC CLOSED TX OF THIGH FX W/O MAN 27500 $1,486.00 308692 HCHG BMH/CVMC CLOSED TX OF THIGH FX W/O MANIPULATION 27501 $1,486.00 308696 HCHG BMH/CVMC CLOSED TX OF THIGH FX W/O MANIPULATION MEDIAL OR LATERAL 27508 $1,486.00 308710 HCHG BMH/CVMC CLOSED TX OF ANKLE FX W/O MANIPULATION 27760 $1,486.00 308716 HCHG BMH/CVMC CLOSED TX OF PROXIMAL FIBULA/SHAFT FX W/MANIPULATION 27781 $1,486.00 308718 HCHG BMH/CVMC CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE W/O MAN 27786 $1,486.00 308730 HCHG BMH/CVMC CLOSED TX FX OF LOWER LEG W/WO ANES W/O MANIPULATION 27824 $1,486.00 308750 HCHG BMH/CVMC TREATMENT OF HEEL FX W/O MANIPULATION 28400 $1,486.00 308755 HCHG BMH/CVMC TREAT MIDFOOT FX EACH W/O MANIPULATION 28450 $1,486.00 350602 HCHG BMH/CVMC WHOLE BLOOD/RED BLOOD CELLS/LEUKOCYTES REG P9051 $1,494.00 305003 HCHG REPAIR-SMP-FEENL 5.1-7.5 CM 12014 $1,499.00 304997 HCHG REPAIR-INT-SATE <2.5 CM 12031 $1,499.00 308463 HCHG BMH/CVMC LAYER CLOSSURE WOUND 7.6-12.5CM 12054 $1,499.00 303454 HCHG DISLOC TX ELBOW W/O ANES CLSD 24600 $1,503.00 308563 HCHG BMH/CVMC TREAT SHOULDER BLADE FX W/O MANI 23570 $1,510.00 305745 HCHG DX BONE MARROW BIOPSIES 38221 $1,512.00 4400192 HCHG DX BONE MARROW BIOPSIES 38221 $1,512.00 4400661 HCHG US,PREGNANT UTERUS,F/U,TRANSA* 76816 $1,513.00 4400695 HCHG X-RAY CERV SPINE 4 VW 72050 $1,526.00 4400696 HCHG X-RAY CERV SPINE 7 VW 72052 $1,526.00 4400741 HCHG X-RAY LUMBAR SPINE FLEX/EXTEN 72120 $1,526.00 4400686 HCHG ABDOMEN COMP ACUTE SERIES 74022 $1,526.00 4400298 HCHG DUPLEX ABD/PEL VASC STUDY,LIMITD 93976 $1,527.00 5071176 HCHG BMH KNEE BRACE/HINGED POST-OP - 44100140 L1810 $1,531.00 302931 HCHG BLADDER IRRIGATION 51700 $1,537.00 309520 HCHG ELBOW HINGED BRACE L3760 $1,542.00 4400887 HCHG INJ SCLEROSANT MLT INCOMPETENT VEINS 36471 $1,544.00 350604 HCHG BMH/CVMC PRBC,LEUKOREDUCED,IRRADIATED P9040 $1,552.00 308543 HCHG BMH TREAT LOWER JAW FRACTURE W/O MANIPULATION 21450 $1,553.00 370040 HCHG STENT URETERAL C1877 $1,558.00 308780 HCHG BMH APPLY FINGER CAST (EG, CONTRACTURE) 29086 $1,558.00 308437 HCHG BMH/CVMC LAYER OF CLOSURE WOUND 7.6-12.5CM 12034 $1,559.00 308439 HCHG BMH/CVMC LAYER CLOSE WOUND 12.6-20.0CM 12035 $1,559.00 308461 HCHG BMH/CVMC LAYER CLOSURE OF WOUND 5.1-7.5CM 12053 $1,559.00 303231 HCHG COLOR FLOW MAPPING 93325 $1,569.00 4400804 HCHG X-RAYS, BONE SURVEY COMPLETE 77075 $1,571.00 309612 HCHG HOME SLEEP TEST/TYPE 3 PORTA G0399 $1,574.00 5071480 HCHG BMH STAPLES - 44100665 $1,579.00 4401624 HCHG XRAY HIP BIL W/WO PELVIS 5+ VW 73523 $1,592.00 303011 HCHG CARDIAC DOPPLER EXAM(2ND) 93320 $1,593.00 343252 HCHG BMH/CVMC NEEDLE ELECTROMYOGRAPHY 4 EXTREMITIES W/WO PARASPINAL 95864 $1,599.00 4400739 HCHG X-RAY LUMBAR SPINE 4 VW 72110 $1,602.00 5071105 HCHG BMH INTERCEED 3X4 $1,604.00 307077 HCHG DISLOC TX FINGER W/O ANES CLSD 26770 $1,610.00 4400370 HCHG INJECTION FOR BLADDER X-RAY 51600 $1,624.00 308699 HCHG BMH/CVMC CLOSED TX KNEE FX W/O MANIPULATION 27530 $1,626.00 305733 HCHG WOUND CARE W/ PACKING 12021 $1,631.00 370039 HCHG STENT URETERAL OPTIMA C1877 $1,632.00 4400762 HCHG X-RAY RIBS, CHEST 4+ VW 71111 $1,633.00 306526 HCHG INJ PARA FACET C/T 3D LVL W/IG 64492 $1,634.00 4400919 HCHG INJ DX/THER AGNT PARAVERT FACET JOINT, LUMBAR/SAC, 2ND LEVEL 64494 $1,634.00 4400920 HCHG INJ DX/THER AGNT PARAVERT FACET JOINT, LUMBAR/SAC, ADD LEVEL 64495 $1,634.00 5071472 HCHG BMH STAPLES - 44100192 $1,636.00 343236 HCHG BMH SALINE INFUSION SONOHYSTEROGRAPHY (SIS)+COLOR DOPPLER 76831 $1,643.00 308959 HCHG PVB THORACIC 2ND INJ SITE 64462 $1,650.00 304150 HCHG INSERTION-CERVICAL DIALATOR 59200 $1,656.00 5071481 HCHG BMH STAPLES - 44100666 $1,663.00 307082 HCHG NASO GASTRIC TUBE PLACEMENT 43752 $1,674.00 4400557 HCHG PLACEMENT NG/OG TUBE BY PHYSICIAN 43752 $1,674.00 350603 HCHG BMH/CVMC PRBC,LEUKOREDUCED,CMV,IRRADIAT P9058 $1,674.00 306825 HCHG ASPIRATION PUNCTURE 10160 $1,678.00 354034 HCHG LEVEL VI SURGICAL PATH PAT 88309 $1,685.00 5071464 HCHG BMH STAPLE - 44100729 $1,691.00 308726 HCHG BMH/CVMC CLOSED TX OF TRIMALLEOLAR ANKLE FX W/O MANIPULATION 27816 $1,692.00 309005 HCHG BMH/CVMC DRAIN EXTERNAL EAR LESION 69000 $1,694.00 4400309 HCHG DUPLEX UP EXTREM ART UNILAT/LTD 93931 $1,707.00 303450 HCHG DISLOC SHOULDER W/MANIP CLSD 23650 $1,709.00 305216 HCHG ANESTH NOSE/SINUS PROCEDURE 00160 $1,709.00 343158 HCHG INSERTION OF CATHETER UMB VEIN 36510 $1,715.00 304300 HCHG LE ARTERIAL STRESS EXAM 93924 $1,717.00 4400773 HCHG X-RAY SKULL 4+ VW 70260 $1,725.00 362135 HCHG INCISION OF LIP FOLD 40806 $1,731.00 308897 HCHG BMH/CVMC REPAIR MOUTH LACERATION 2.5 OR < 40830 $1,741.00 4400442 HCHG MRI GUIDANCE NDL LOC DEVICE PLACE 77021 $1,748.00 5071302 HCHG BMH PERCUFLEX TAIL TAPERED URETERAL STENT C2617 $1,750.00 4400805 HCHG X-RAYS, BONE SURVEY, INFANT 77076 $1,751.00 5071762 HCHG BMH STAPLES $1,751.00 308751 HCHG CLOSED TREATMENT OF TALUS FRACTURE W/O MANIPULATION 28430 $1,751.00 4400376 HCHG INJECTION HIP ARTHROGRAM 27093 $1,770.00 360921 HCHG INJ THRU KIDNEY TUBE NEW W RGDE 50430 $1,773.00 5071586 HCHG BMH SUTURE - 44107154 $1,778.00 5070010 HCHG BMH ANKLE FOOT ORTHOSIS CUSTOM L1904 $1,780.00 308760 HCHG BMH/CVMC TREAT BIG TOE FRACTURE W/O MANIPULATION 28490 $1,798.00 309040 HCHG BMH/CVMC TEMPORARY TRANSCUTANEOUS PACING 92953 $1,799.00 4400319 HCHG ESOPHAGRAM SINGLE CONTRAST STUDY 74220 $1,801.00 5071461 HCHG BMH STAPLE - 44100689 $1,801.00 308633 HCHG BMH/CVMC TREAT WRIST BONE FRACTURE CLOSED/ULNAR STYLOID 25650 $1,802.00 308635 HCHG BMH/CVMC TREAT WRIST DISLOCATION CLOSED W/MANIPULATION 25675 $1,802.00 5071475 HCHG BMH STAPLES - 44100195 $1,806.00 4400325 HCHG FETAL BIOPHYSICAL PROFILE WO NST 76819 $1,807.00 378456 HCHG FETAL BIOPHYSICAL PROFILE WITH NST 76818 $1,807.00 4400375 HCHG INJECTION FOR WRIST ARTHROGRAM 25246 $1,813.00 303158 HCHG CHEMO ADMIN-IV-1ST DRUG < 1 HR 96413 $1,819.00 4400840 HCHG US COMPL JOINT RT W/IMAGE DOC 76881 $1,823.00 305587 HCHG TX ELBOW CHILD W/MANIP CLSD 24640 $1,826.00 303455 HCHG DISLOC TX KNEE W/O ANES CLSD 27550 $1,826.00 308667 HCHG BMH/CVMC TREAT FINGER FRACTURE EACH CLOSED W/MANIPULATION 26742 $1,826.00 308722 HCHG BMH/CVMC TX OF ANKLE FX-W/O MANIPULATION 27808 $1,826.00 5071763 HCHG BMH STAPLES $1,827.00 4400303 HCHG DUPLEX LARGE VESSEL(S),LIMITED 93979 $1,830.00 4400607 HCHG SPINAL CANAL & CONTENTS 76800 $1,837.00 308604 HCHG BMH/CVMC CLOSED TX ULNAR FX WO MANIPULATION 24670 $1,840.00 303357 HCHG DEST FLAT WARTS <15 LESIONS 17110 $1,851.00 308618 HCHG TREAT FX RADIUS/ULNA W/O MANIPULATION 25560 $1,856.00 4400505 HCHG OB >/= 14 WKS, ADDL FETUS 76810 $1,860.00 4400340 HCHG HEAD/NECK TISSUES,REAL TIME 76536 $1,860.00 5071466 HCHG BMH STAPLE - 44100735 $1,869.00 308491 HCHG BMH/CVMC REPAIR WOUND/LESION1.1-2.5CM COMPLEX EYELID,NOSE,EAR,LIP 13151 $1,876.00 308966 HCHG REMOVAL OF IUD 58301 $1,880.00 4400612 HCHG SWALLOWING FCN,W/CINE &/OR VIDEO 74230 $1,892.00 4400790 HCHG UGI TRACT SINGLE CONTRAST STUDY 74240 $1,892.00 4400800 HCHG SMALL INTESTINE SINGLE CONTRAST 74250 $1,892.00 4400700 HCHG COLON SINGLE CONTRAST 74270 $1,893.00 362238 HCHG ESOPHAGRAM DOUBLE CONTRAST STUDY 74221 $1,899.00 304029 HCHG INCISION HEMORRHOID EXTERNAL 46083 $1,903.00 308936 HCHG BMH/CVMC CHANGE BLADDER TUBE 51705 $1,903.00 4400305 HCHG DUPLEX LO EXTREM ART UNILAT/LTD 93926 $1,917.00 503434 HCHG REPLACE GTUBE W REV TRACT WO IMAGE ENDO 43763 $1,921.00 305054 HCHG SPINE/JOINT INJECTION EACH ADDTL INJECTION 305054 $1,930.00 4400289 HCHG INJ/ASPIR-INTERMED JT/BURSA W/O US GUIDE 20605 $1,933.00 308561 HCHG BMH/CVMC TREAT CLAVICLE DISLOCATION CLOSED W/MANIPULATION 23545 $1,933.00 4410379 HCHG CATH PICC SOLO INTEGRATED 5FR C1751 $1,937.00 4410511 HCHG BMH/CVMC CATH, INF, PERC/CENT/MIDLINE C1751 $1,937.00 360933 HCHG PERQ SOFT TISSUE DEV PLACE 1ST GUIDE 10035 $1,943.00 4400642 HCHG US GUIDANCE INTRAOPERATIVE 76998 $1,949.00 4400330 HCHG FLUOROSCOPE EXAMINATION 76000 $1,970.00 308555 HCHG BMH/CVMC TREAT CLAVICLE FRACTURE CLOSED 23505 $1,976.00 343011 HCHG BMH CATHETER BALLON UTERINE $1,976.00 302770 HCHG AMNIOCENTESIS-DIAGNOSTIC 59000 $2,002.00 4400127 HCHG AMNIOCENTESIS,DIAGNOSTIC 59000 $2,002.00 4410175 HCHG IN111 INDIUM PENTETROTIDE PER DOSE A9572 $2,003.00 308913 HCHG DRAINAGE OF ABSCESS SUBMAXILLARY, EXTERNAL 42320 $2,004.00 4400498 HCHG NONINVASV EXTREM EXAM,MULT,BILAT 93923 $2,005.00 5071339 HCHG BMH PUMP INTRATHECAL SGMT REVISION - 44107225 C1772 $2,005.00 5060038 HCHG BMH CASE CANCELLED IN THE OR $2,009.00 308565 HCHG BMH/CVMC TREAT SHOULDER BLADE FX 23575 $2,013.00 4400652 HCHG US GUIDE, TISSUE ABLATION 76940 $2,018.00 503423 HCHG NRV BLOCK SPENOPALATINE GANG 64999 $2,027.00 308465 HCHG BMH/CVMC LAYER CLOSE WOUND 12.6-20.0CM FACE EARS EJYELID NOSE LIP 12055 $2,039.00 308433 HCHG BMH/CVMC CLOSURE OF SPLIT WOUND SIMPLE 12020 $2,047.00 5070016 HCHG BMH CATHETER TRANSLUMINAL ANGIOPLASTY NON LASER $2,055.00 4400120 HCHG ABDOMEN LIMITED 76705 $2,062.00 4400313 HCHG ECHOGRAPHY,TRANSVAGINAL 76830 $2,062.00 4400310 HCHG ECHO,SCROTUM & CONTENTS 76870 $2,068.00 4400104 HCHG BRAIN IMAGING MIN 4 STATIC VI* 78605 $2,068.00 4400603 HCHG US GUIDANCE FOR NEEDLE PLACEMENT 76942 $2,078.00 308419 HCHG BMH/CVMC REPAIR SUPERFICIAL WOUND >30.0CM SCALP NECK AXILLAE 12007 $2,082.00 4400715 HCHG X-RAY FOR BILE DUCT ENDOSCOPY 74328 $2,091.00 771013 HCHG BMH ROOM/CARE - NURSERY LEVEL I (0171) $2,105.00 360922 HCHG INJ THRU KIDNEY TUBE EXIST W RGDE 50431 $2,106.00 303743 HCHG EXTERNAL CEPHALIC VERSION 59412 $2,107.00 303606 HCHG ENDOTRACHEAL INTUBATION 31500 $2,118.00 305217 HCHG REMOVAL FOREIGN BODY MOUTH 40804 $2,125.00 4400589 HCHG REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS 49452 $2,130.00 4400811 HCHG OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE 49460 $2,130.00 5071468 HCHG BMH STAPLE - 44109144 $2,138.00 304104 HCHG INJ/ASPIR-INTERMED JT/BURSA W/O US GUIDE 20605 $2,148.00 308602 HCHG BMH/CVMC TREAT RADIUS FX W/MANIPULATION 24655 $2,149.00 308954 HCHG IADNA-DNA/RNA PROBE TQ 12-25 LAB 87507 $2,150.00 4400864 HCHG LUNG VENTILATION IMAGING 78579 $2,154.00 4400409 HCHG LUNG PERFUSION IMAGING 78580 $2,154.00 307088 HCHG DEBRIDE SUBQ TISSUE 20SQCM< 11042 $2,155.00 5071484 HCHG BMH STAPLES (USED DURING PROCEDURE) $2,170.00 304116 HCHG INJ(S) ANES TRIGEMINAL NERVE 64400 $2,174.00 4400504 HCHG OB < 14 WKS, SINGLE FETUS 76801 $2,186.00 5071664 HCHG BMH URINARY DIVERSION SOFT STENT/6 FR X 70 CM C2617 $2,187.00 4400118 HCHG 3D RENDERING W/ IMAGE POSTPRO* 76377 $2,197.00 5070005 HCHG BMH ADDITION TO LOWER EXTREMITY PRE TIBIAL SHELL MOLDED L2340 $2,198.00 306584 HCHG INJ(S) TRIGGER PT(S) 1/2 MUSCLE 20552 $2,209.00 343142 HCHG BMH ELECTROENCEPHALOGRAM (EEG)EXTENDED MONITORING 41-60 MIN 95812 $2,209.00 343162 HCHG BMH VISUAL EVOKED POTENTIAL VEP TESTING CENTRAL NERVOUS SYS 95930 $2,211.00 4400906 HCHG HEART FIRST PASS ADD-ON 78496 $2,215.00 503858 HCHG MINOR SURGERY PLASTICS 1/4 HR 503858 $2,234.00 309179 HCHG BMH CATHETER PRESEP CENTRAL VENOUS C1751 $2,236.00 4400378 HCHG EXTREMITY VENOGRAPHY INJECTION 36005 $2,244.00 5060006 HCHG BMH RECOVERY 1ST 1/2 HR $2,244.00 304103 HCHG INJ/ASPIR-SMALL JT/BURSA W/O US GUIDE 20600 $2,249.00 4400291 HCHG INJ/ASPIR-SMALL JT/BURSA W/O US GUIDE 20600 $2,249.00 4400506 HCHG OB >/= 14 WKS, SNGL FETUS 76805 $2,250.00 343123 HCHG BMH I & D OF VULVA/PERINEUM 56405 $2,264.00 110473 HCHG RESP VIRUS 12-25 TARGETS LAB 87633 $2,265.00 4410474 HCHG CATH,MUSTANG BALLOON > 150MM C1725 $2,280.00 309590 HCHG BMH/CVMC REPLACEMENT OF GASTROSTOMY OR CECOSTOMY TUBE 49450 $2,285.00 303101 HCHG SAVI SCOUT MARKER REFLECTOR A4648 $2,298.00 5070023 HCHG BMH CORSET FRONT LSO L0972 $2,298.00 303027 HCHG CARDIOPULMONARY RESUSCITATION 92950 $2,301.00 303182 HCHG CIRCUMCISION-6 WKS 54150 $2,301.00 303283 HCHG CPAP INITIATION/MANAGEMENT 94660 $2,303.00 306514 HCHG ECHOCRDGRM LTD W/ CONT 93308 $2,304.00 4400716 HCHG X-RAY FOR PANCREAS ENDOSCOPY 74329 $2,305.00 4400300 HCHG DUPLEX EXTREM VENOUS,UNI OR LTD 93971 $2,328.00 343122 HCHG BMH CONTROL THROAT BLEEDING 42960 $2,329.00 4400573 HCHG REMOVE RENAL TUBE W/FLUORO 50389 $2,333.00 303040 HCHG AUDITORY EP NEURODIAGNOSTIC 92653 $2,354.00 5071458 HCHG BMH STAPLE - 44100206 $2,366.00 343115 HCHG BMH HAND/FINGER PROCEDURE-UNLISTED 26989 $2,367.00 5071102 HCHG BMH IMPLANTABLE ACCESS TOTAL CATHETER, PORT/RESERVOIR - 441010* A4301 $2,372.00 343143 HCHG BMH EEG INCLUDING RECORDING AWAKE AND DROWSY 95816 $2,379.00 343145 HCHG BMH EEG RECORDING IN COMA OR SLEEP ONLY 95822 $2,379.00 5071479 HCHG BMH STAPLES - 44100664 $2,386.00 4410475 HCHG CATH, COMPLIANT OCCL BALLOON C2628 $2,405.00 343144 HCHG BMH EEG INCLUDING RECORDING AWAKE AND ASLEEP 95819 $2,426.00 5071465 HCHG BMH STAPLE - 44100730 $2,429.00 304317 HCHG LEVEL III INTERMEDIATE 99283 $2,434.00 360855 HCHG INJ PERQ CHOLANGIO EXIST W RAD/GDE 47531 $2,434.00 360909 HCHG PERQ NEPH CATH NEW ACCESS W RAD/GDE 50432 $2,434.00 360911 HCHG CONV PERQ NEPH-URET CATH W RAD/GDE 50434 $2,434.00 360912 HCHG EXCHANGE PERQ NEPH CATH W RAD/GDE 50435 $2,434.00 4400361 HCHG INJECT FOR SACROILIAC JOINT 27096 $2,442.00 4400348 HCHG INJ FOR SACROILIAC JT ANESTH G0260 $2,442.00 305566 HCHG CARDIOVASC STRESS TST TRACING ONLY 93017 $2,445.00 308720 HCHG BMH/CVMC TX OF ANKLE FX W/MANIPULATION 27788 $2,460.00 4400793 HCHG X-RAY URETHROCYSTOGRAM 74450 $2,462.00 5271926 HCHG MIRENA 3 YR IUD J7297 $2,468.00 308631 HCHG BMH/CVMC TX OF CARPAL BONE FX W/MANIPULATION 25635 $2,476.00 308841 HCHG INCISION WINDPIPE TRACH EMERGENCY 31605 $2,477.00 343202 HCHG BMH INJECT SACROILIAC JOINT 27096 $2,491.00 304031 HCHG INCISION/REM FB SUBQ SIMPLE 10120 $2,492.00 4400290 HCHG INJ/ASPIR-LARGE JT/BURSA W/O US GUIDE 20610 $2,500.00 4400493 HCHG NEEDLE BIOPSY PLEURA 32400 $2,501.00 4400266 HCHG CT SCAN LIMITED LOCALIZED F/U STUDY 76380 $2,504.00 4400161 HCHG ARTHROGRAM OF SHOULDER 73040 $2,514.00 4400158 HCHG ARTHROGRAM OF ELBOW 73085 $2,514.00 4400162 HCHG ARTHROGRAM OF WRIST 73115 $2,514.00 4400159 HCHG ARTHROGRAM OF HIP 73525 $2,514.00 4400160 HCHG ARTHROGRAM OF KNEE JOINT 73580 $2,514.00 4400157 HCHG ARTHROGRAM OF ANKLE 73615 $2,514.00 4400609 HCHG LUMBAR PUNCTURE-THERAPEUTIC 62272 $2,525.00 5071103 HCHG BMH IMPLANTABLE PORT/CATHETER - 44101045 C1788 $2,527.00 4400346 HCHG IDENTIFY SENTINEL NODE 38792 $2,528.00 4400331 HCHG FLUORO GUIDE NEEDLE PLACEMENT 77002 $2,539.00 4400758 HCHG X-RAY RETROGRADE PYELOGRAM 74420 $2,556.00 303514 HCHG ECHOCARDIOGRAM LTD W/O CONT 93308 $2,560.00 4400399 HCHG INTRO LONG GI TUBE 44500 $2,561.00 4400302 HCHG DUPLEX LARGE VESSEL(S),COMPLETE 93978 $2,569.00 4400186 HCHG BONE BIOPSY,TROCAR/NEEDLE SUPERF 20220 $2,570.00 343161 HCHG BMH SHORT LATENCY SOMATOSENSORY EVOKED POTENTIAL STUDY LOWER 95926 $2,579.00 308487 HCHG BMH/CVMC REPAIR COMPLEX FOREHEAD CHEEK CHIN MOUTH NECK ADD<5CM 13133 $2,594.00 4400354 HCHG INJ,FORAMEN C/T,ADDL LEVELS 64480 $2,600.00 4400332 HCHG FLUORO GUIDE SPINE INJECTION 77003 $2,602.00 308418 HCHG BMH/CVMC REPAIR SUPERFICIAL WOUND 20.1-30.0CM SCALP NECK AXILLAE 12006 $2,603.00 4400241 HCHG CT GUIDANCE TISSUE ABLATION 77013 $2,621.00 4400699 HCHG COLON DOUBLE CONTRAST 74280 $2,632.00 4400927 HCHG INJECT NERV BLOCK CELIAC PLEXUS 64530 $2,665.00 5071471 HCHG BMH STAPLES - 44100188 $2,671.00 4400495 HCHG NEEDLE BIOPSY,MUSCLE 20206 $2,672.00 4400368 HCHG INJECT,MYELOGRAPHY &/OR CT SCAN,SPINAL 62284 $2,673.00 309003 HCHG BMH/CVMC REMOVE EYELID FOREIGN BODY 67938 $2,674.00 343160 HCHG BMH SHORT LATENCY SOMATOSENSORY EVOKED POTENTIAL STUDY UPPER 95925 $2,677.00 308441 HCHG BMH/CVMC REPAIR, INTMD, WOUNDS 20.1-30.0 CM 12036 $2,683.00 308493 HCHG REPAIR COMPLEX WOUND 2.6-7.5CM 13152 $2,684.00 4400194 HCHG BOWEL IMAGING 78290 $2,696.00 4410503 HCHG THYROID IMAGING W/BLOOD FLOW W/UPTAKE 78014 $2,696.00 4400509 HCHG PARATHYROID NUCLEAR IMAGING 78070 $2,697.00 4400536 HCHG PLACE CATH EA ADDL 2ND+ ORDER BELOW DIAPHRAGM 36248 $2,704.00 305061 HCHG BMH MINOR SURGERY-GENERAL 1/4 HOUR 305061 $2,711.00 4400111 HCHG CHANGE PERCUT TUBE/DRAIN CATH* 75984 $2,718.00 4400189 HCHG BONE/JOINT IMAGING LIMITED AREA 78300 $2,724.00 4400865 HCHG LUNG VENT/PERF IMAGING 78582 $2,736.00 303511 HCHG ECHO COMP W/O CONT W/O CF 93307 $2,738.00 308485 HCHG BMH/CVMC REPAIR WOUND/LESION 2.6-7.5CM 13132 $2,749.00 5071463 HCHG BMH STAPLE - 44100728 $2,756.00 305843 HCHG US ABDOMINAL AORTA SCREEN AAA 76706 $2,764.00 4410533 HCHG PERQ DEV BREAST 1ST STRTCTC 19283 $2,767.00 4410173 HCHG IN111 INDIUM DTPA PER 0.5 MCI A9548 $2,770.00 304668 HCHG INJ/ASPIR-INTERMED JT/BURSA WITH US GUIDE 20606 $2,770.00 4400617 HCHG THYROID MET IMAGING BODY 78018 $2,771.00 343111 HCHG BMH DRAIN/INJECT JOINT/BURSA 20610 $2,778.00 4400223 HCHG CISTERNAL/LAT (C1-C2) CERV PUNCTURE 61055 $2,782.00 308996 HCHG BMH/CVMC BLEPHAROTOMY, DRAINAGE OF ABSCESS EYELID 67700 $2,799.00 304114 HCHG INJ(S) ANES GREATER OCCIPITAL NERVE 64405 $2,818.00 4410176 HCHG IN111 INDIUM WBC PER 0.5 MCI A9570 $2,847.00 5060036 HCHG BMH PROCEDURE ROOM $2,847.00 5060039 HCHG BMH MINI OR PROCEDURE $2,847.00 5071653 HCHG BMH TRANSFUSION, BLOOD PRODUCT 36430 $2,866.00 343055 HCHG BMH TRANSFUSION, BLOOD PRODUCT 36430 $2,866.00 303181 HCHG CIRCUMCISION 54150 $2,877.00 308407 HCHG BMH/CVMC REPAIR OF NAIL BED 11760 $2,882.00 308479 HCHG BMH/CVMC REPAIR WOUND/LESION 2.6-7.5CM COMPLEX SCALP ARM LEG 13121 $2,882.00 308483 HCHG BMH/CVMC REPAIR WOUND/LESION1.1-2.5CM COMPLEX FOREHEAD,CHEEK,CHIN 13131 $2,882.00 305052 HCHG RADIOFREQUENCY ABLATION EACH ADDTL INJECTION 305052 $2,900.00 4400304 HCHG DUPLEX LO EXTREM ART BILAT 93925 $2,914.00 4400297 HCHG DUPLEX ABD/PEL VASC STUDY,COMPLETE 93975 $2,914.00 4410574 HCHG FNA BIOPSY W US GUIDE 1ST LESION 10005 $2,921.00 4410576 HCHG FNA BIOPSY W FLUORO 1ST LESION 10007 $2,921.00 4410578 HCHG FNA BIOPSY W CT GUIDE 1ST LESION 10009 $2,921.00 4410580 HCHG FNA BIOPSY W MRI 1ST LESION 10011 $2,921.00 308999 HCHG EXCISION OF CHALAZION SINGLE 67800 $2,928.00 303515 HCHG ECHO REST/STRESS W/O CONTRAST 93350 $2,933.00 306515 HCHG ECHO REST/STRESS W/ CONT 93350 $2,933.00 343146 HCHG BMH ELECTROENCEPHALOGRAM (EEG)CEREBRAL DEATH EVALUATION ONLY 95824 $2,963.00 308293 HCHG BMH/CVMC DEBRIDE INFECTED SKIN 11000 $2,966.00 308520 HCHG BMH/CVMC EXPLORE OF PENETRATIN WOUND EXTREMITY 20103 $2,969.00 308473 HCHG BMH/CVMC REPAIR WOUND/LESION 2.6-7.5CM COMPLEX TRUNK 13101 $2,982.00 4400693 HCHG X-RAY BILE/PANCREAS ENDOSCOPY 74330 $3,024.00 5070821 HCHG BMH CATH, INF, PER/CENT/MIDLINE C1751 $3,025.00 5071663 HCHG BMH URETERAL STENTS C2617 $3,037.00 5072163 HCHG FIBRIN SEALANT EVICEL C1765 $3,050.00 4400119 HCHG ABDOM,B-SCAN &/OR REAL TIME,C* 76700 $3,071.00 4400664 HCHG US,RETROPERIT,REAL TIME,COMPL* 76770 $3,071.00 4400657 HCHG US,PELVIC (NONOBSTETRIC),REAL* 76856 $3,071.00 5071001 HCHG BMH FOGARTY GRAFT THROMBECTOMY CATHETER $3,071.00 4400308 HCHG DUPLEX UP EXTREM ART BILAT 93930 $3,073.00 4400377 HCHG INJECTION HIP ARTHROGRAM ANESTHESIA 27095 $3,080.00 5071936 HCHG BMH PORCINE DERMAL COLLAGEN IMPL C1781 $3,091.00 308951 HCHG GENITAL MALE SURGERY PROCEDURE 55899 $3,102.00 360910 HCHG PERQ URET CATH NEW ACCESS W RAD/GDE 50433 $3,106.00 4400578 HCHG RENAL IMAGING, MORPH W/ FLOW 78701 $3,107.00 5071460 HCHG BMH STAPLE - 44100564 $3,112.00 4400299 HCHG DUPLEX EXTREM VENOUS,BILAT 93970 $3,119.00 4400568 HCHG RAD GUIDED,PERCUT DRAINAGE,W/* 75989 $3,130.00 4400884 HCHG VESSEL INJECTION PROCEDURE UNLISTED 36299 $3,139.00 350605 HCHG BMH/CVMC PLT PHERESIS,LEUKOREDUCED,CMV P9055 $3,158.00 309057 HCHG BMH ECG TAHOE DOUGLAS FIRE UNLISTED CARDIOVASCULAR 93799 $3,176.00 5071323 HCHG BMH PORT, INDWELLING (IMPLANTABLE) C1788 $3,177.00 5070080 HCHG BMH 22.2-32MM DIA COCR MOD HEAD, SIZE-ALL C1776 $3,189.00 4400333 HCHG GASTRIC EMPTYING STUDY 78264 $3,232.00 4410528 HCHG BX BREAST ADD LESION US IMAG 19084 $3,243.00 4410361 HCHG CATH,BALLOON DIL PTA CONQUEST C1725 $3,249.00 308606 HCHG TX ULNAR FX W MANIPULATION 24675 $3,252.00 4400191 HCHG BONE/JOINT IMAGING WHOLE BODY 78306 $3,265.00 4410531 HCHG PERQ DEVICE BREAST 1ST IMAG 19281 $3,268.00 4400703 HCHG X-RAY CYSTOGRAM, MIN 3 VIEW 74430 $3,270.00 343235 HCHG BMH/CVMC IVP 74410 $3,270.00 4410333 HCHG TITANIUM PORT C1788 $3,272.00 5071459 HCHG BMH STAPLE - 44100208 $3,273.00 302454 HCHG SSEP UPPER & LOWER EXTREMITY 95938 $3,276.00 4400336 HCHG GATED HEART, PLANAR SINGLE 78472 $3,289.00 5071257 HCHG BMH MICROVASIVE UROMAX BALLOON/DILATATION C1726 $3,297.00 308958 HCHG PVB THORACIC SINGLE INJ SITE 64461 $3,299.00 351009 HCHG BMH PLATELETS, PHERESIS, IRRADIATED, EACH UNIT P9036 $3,309.00 360856 HCHG INJ PERQ CHOLANGIO NEW W RAD/GDE 47532 $3,316.00 360861 HCHG BIL CATH REMOVAL REQ FLUORO GDE 47537 $3,316.00 5071324 HCHG BMH PORT-A-CATH INDWELLING C1788 $3,320.00 305031 HCHG MYELOGRAPHY VIA LUMBAR IN LUMBOSACRAL 62304 $3,323.00 5071476 HCHG BMH STAPLES - 44100196 $3,335.00 5070823 HCHG BMH CATHETER PICC LINE C1788 $3,336.00 343108 HCHG BMH EXC TR-EXT B9+MARG 0.52.6CM 41252 $4,178.00 4400639 HCHG TUMOR LOCALIZATION 1 AREA 1 DAY 78800 $4,189.00 4400637 HCHG TUBE THORACOSTOMY INCLUDES WATER SEAL 32551 $4,206.00 308540 HCHG PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGE 32556 $4,206.00 4400928 HCHG INSERT CATH PLEURA W/IG 32557 $4,206.00 343204 HCHG BMH/CVMC ASPIRATE PLEURA W/O IMAGING 32554 $4,206.00 304133 HCHG INJ(S) ANES INTERCOSTAL NERVE ADD LVL 64421 $4,224.00 5070067 HCHG BMH PAVLIK HARNESS HIP ORTHOSIS L1620 $4,235.00 5072166 HCHG CATHETER FOR PUMP C1766 $4,235.00 4400486 HCHG MYELOGRAPHY THORAX SPINE 72255 $4,240.00 306370 HCHG ECHO COMP W/ CONTRAST 93306 $4,244.00 309176 HCHG BMH NM TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MILLICURIES A9566 $4,247.00 4400359 HCHG INJECT DISCOGRAM,LUMBAR,EA LEVEL 62290 $4,254.00 4400891 HCHG REPAIR TUNNELED CV CATH W/O PORT 36575 $4,281.00 304322 HCHG LEVEL IV EXTENDED 99284 $4,286.00 308967 HCHG BMH GENITAL SURGERY PROCEDURE 58999 $4,287.00 308854 HCHG BMH/CVMC TUBE THORACOSTOMY WITH/WITH OUT WATER SEAL 32551 $4,290.00 343206 HCHG BMH THORACENTESIS, NEEDLE OR CATHETER,W/O IMAGING GUIDANCE 32554 $4,290.00 343212 HCHG BMH/CVMC THORACENTESIS, NEEDLE OR CATHETER,W/IMAGING GUIDANCE 32555 $4,290.00 4400671 HCHG VENOGRAM EXTREM BILATERAL 75822 $4,304.00 303738 HCHG EXCISION-NAIL & MATRIX 11750 $4,310.00 4400608 HCHG SPINAL PUNCTURE,DIAGNOSTIC 62270 $4,316.00 306512 HCHG ECHO-CNGNTL COMP W/ CONT 93303 $4,326.00 4410654 HCHG DX LUMBAR SPINAL PNXR W/FLUORO/CT 62328 $4,339.00 5071322 HCHG BMH PORT INDWELLING CATHETER C1788 $4,340.00 4400105 HCHG BRAIN IMAGING MIN 4 STATIC VI* 78606 $4,343.00 4400195 HCHG BRAIN FLOW IMAGING ONLY 78610 $4,343.00 4400907 HCHG BRAIN IMAGING < 4 STATIC VIEWS 78600 $4,343.00 4400910 HCHG BRAIN IMAGING < 4 STATIC VIEWS W V FLOW 78601 $4,343.00 308742 HCHG BMH/CVMC REMOVAL OF FOOT FOREIGN BODY 28190 $4,343.00 4410488 HCHG THORACENTESIS WITH IMAGING GUIDANCE 32555 $4,363.00 5071462 HCHG BMH STAPLE - 44100727 $4,376.00 4400580 HCHG RENAL IMAGING, MORPH W/ FLOW/* 78709 $4,382.00 308848 HCHG BMH BRONCHOSCOPY W/FOREIGN BODY REMOVAL,INC FLUORO GUIDANCE 31635 $4,398.00 5060015 HCHG BMH SURG GEN 1/4H FRAC $4,428.00 4400672 HCHG VENOGRAM EXTREM UNILAT 75820 $4,435.00 4400591 HCHG REPOSITION VENOUS CATHETER 36597 $4,441.00 4400565 HCHG PUNC/ASPIR BREAST CYST 19000 $4,448.00 5070064 HCHG BMH JEWETT BRACE L1200 $4,458.00 305838 HCHG INJ,EPI LUMB/SAC SINGLE W/O IG 62322 $4,460.00 308298 HCHG DEBRIDE REMOVAL FOREIGN MATERIAL FX 11010 $4,480.00 4400647 HCHG UNLISTED MR PROCEDURE 76498 $4,543.00 308891 HCHG BMH/CVMC REPAIR LIP 40652 $4,553.00 308893 HCHG BMH/CVMC REPAIR LIP COMPLEX 40654 $4,553.00 308899 HCHG BMH/CVMC REPAIR MOUTH LACERATION>2.5CM 40831 $4,553.00 360852 HCHG ENDOVAS INTRACRANIAL RX ADMIN ADDL 61651 $4,567.00 357430 HCHG 3D IMAGING ECHO TEE CONGENITAL 93319 $4,567.00 4400420 HCHG MECH REMOV TUNNELED CV CATH 36596 $4,601.00 306527 HCHG INJ PARA FACET L/S 1 LVL W/IG 64493 $4,604.00 5060012 HCHG BMH SURG ORTHO 1/4H FRAC $4,606.00 4400545 HCHG PLACE CATH IN VEIN 2ND & HIGHER BRANCH 36012 $4,614.00 309084 HCHG BMH/CVMC MSLT 95805 $4,615.00 5060026 HCHG BMH MINOR SPINE 1/4 HR $4,675.00 343048 HCHG CT THORAX DIAG WO CONTRAST 71250 $4,680.00 343049 HCHG CT THORAX DIAG WO CONTRAST 71250 $4,680.00 343233 HCHG CT THORAX DIAG WO CONTRAST 71250 $4,680.00 4400729 HCHG X-RAY HYSTEROSALPINGOGRAM 74740 $4,685.00 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70486 $5,200.00 4400272 HCHG CT SCAN,SOFT TISSUE NECK,W/O * 70490 $5,200.00 4400264 HCHG CT SCAN,CERVICAL SPINE,W/O CONTRAST 72125 $5,200.00 4400273 HCHG CT SCAN,THORACIC SPINE,W/O CONTRAST 72128 $5,200.00 4400268 HCHG CT SCAN,LUMBAR SPINE,W/O CONTRAST 72131 $5,200.00 4400275 HCHG CT SCAN,UPPER EXTREMITY,W/O C* 73200 $5,200.00 4400267 HCHG CT SCAN,LOWER EXTREMITY,W/O C* 73700 $5,200.00 4400845 HCHG CT SCAN,ABD & PELVIS,W/O CONTRAST 74176 $5,200.00 4410593 HCHG RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG 78831 $5,214.00 305839 HCHG INJ,EPI LUMB/SAC SINGLE W IG 62323 $5,224.00 303512 HCHG ECHO-CONGENITAL COMP W/O CONT 93303 $5,234.00 5400020 HCHG BMH PLACE GASTROSTOMY TUBE 43246 $5,266.00 4400570 HCHG REMOVAL TUNNELED CV CATH 36590 $5,273.00 307105 HCHG DISLOC TX RADIUS/ULNA CLSD 25605 $5,301.00 5400034 HCHG BMH SMALL BOWEL ENDOSCOPY/BIOPSY 44361 $5,303.00 308642 HCHG DRAINAGE FINGER ABSCESS COMPLICATED 26011 $5,310.00 5400042 HCHG BMH COLONOSCOPY WITH BIOPSY 44389 $5,319.00 305060 HCHG BMH MINOR SURGERY-ORTHOPEDIC/ARTHROSCOPIC 1/4 HOUR 305060 $5,335.00 4400278 HCHG DISCOGRAPHY LUMBAR SPINE 72295 $5,339.00 4400682 HCHG VENOUS SAMPLING BY CATHETER 75893 $5,363.00 5070890 HCHG BMH DISPOSIBLE THERMA BALLOON C1727 $5,396.00 305055 HCHG BMH MAJOR SURGERY-ORTHOPEDIC 1/4 HOUR 305055 $5,399.00 4400211 HCHG CHEST SURGERY PROCEDURE UNLISTED 32999 $5,431.00 112090 HCHG CAPSULE ENDOSCOPY-ESO TO ILEUM 91110 $5,442.00 4400590 HCHG REPOSITION GASTRIC FEEDING TUBE THRU DUODENUM 43761 $5,449.00 302709 HCHG LARYNGOSCOPY ASPIRATION 31515 $5,460.00 4401603 HCHG BMH BIOPSY, SOFT TISSUE OF BACK OR FLANK SUPERFICIAL 21920 $5,474.00 4410513 HCHG CATH-TRANSLUMIN ANGIO LASER C1885 $5,481.00 5400040 HCHG BMH COLONOSCOPY THROUGH STOMA 44388 $5,481.00 111330 HCHG SIGMOIDOSCOPY W/BALLOON DILATION 45340 $5,485.00 342757 HCHG COLONOSCOPY W/ABLATION 45388 $5,485.00 5400044 HCHG BMH COLONOSCOPY FOR BLEEDING 44391 $5,485.00 5400046 HCHG BMH PROCTOSIGMOIDOSCOPY W/CONTROL BLEEDING 45317 $5,485.00 5400052 HCHG BMH SIGMOIDOSCOPY FOR BLEEDING 45334 $5,485.00 5400064 HCHG BMH COLONOSCOPY AND BIOPSY 45380 $5,485.00 5400066 HCHG BMH COLONOSCOPY, SUBMUCOUS INJ 45381 $5,485.00 5400072 HCHG BMH LESION REMOVAL COLONOSCOPY 45385 $5,485.00 5400083 HCHG BMH GI NEEDLE BIOPSY OF LIVER 47000 $5,485.00 5400200 HCHG BMH COLONOSCOPY W/FB REMOVAL 45379 $5,485.00 5400201 HCHG BMH 2-COLONOSCOPY W/FB REMOVAL 45379 $5,485.00 5400202 HCHG BMH 3-COLONOSCOPY W/FB REMOVAL 45379 $5,485.00 4400550 HCHG PLACE CATH INITIAL 2ND ORDER ABOVE DIAPHRAGM 36216 $5,487.00 308926 HCHG THROAT SURGERY PROCEDURE UNLISTED 42999 $5,488.00 4400183 HCHG BIOPSY SOFT TISSUE NECK/CHEST 21550 $5,504.00 4410598 HCHG RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG 78832 $5,510.00 4400541 HCHG PLACE CATH IN RT OR LT PULM ART 36014 $5,517.00 4400855 HCHG PARACENTESIS, ABD WITH IMAGING 49083 $5,574.00 5401008 HCHG SCREENING COLONOSCOPY. HIGH RISK PT G0105 $5,595.00 330971 HCHG SCREENING COLONOSCOPY, PT NOT HIGH RISK G0121 $5,595.00 303710 HCHG EXCISION,BGN LESN SNE <.5 CM 11420 $5,600.00 308627 HCHG BMH/CVMC CLOSED TX OF CARPAL SCAPHOID FRACTURE W/MANIPULATION 25624 $5,609.00 4400552 HCHG PLACE CATH INITIAL 3RD+ ORDER ABOVE DIAPHRAGM 36217 $5,640.00 5400062 HCHG BMH COLORECTAL CA SCREEN /HI RISK 45378 $5,650.00 5400060 HCHG DIAGNOSTIC COLONOSCOPY 45378 $5,650.00 5071278 HCHG BMH NERVE NEURA GEN 3MMX3CM C1781 $5,662.00 308901 HCHG BMH/CVMC DRAINAGE OF MOUTH LESION 41000 $5,701.00 306827 HCHG PARACENTESIS,ABD W/IMAGING 49083 $5,705.00 4400547 HCHG PLACE CATH EA 1ST ORDER BELOW DIAPHRAGM 36245 $5,738.00 4400384 HCHG INSERT NON-TUNNEL CV CATH 36556 $5,747.00 4400641 HCHG TUMOR LOCALIZATION WHOLE BODY 2+DAY 78804 $5,750.00 302332 HCHG SIGMOIDOSCOPY W/RESECTION 45349 $5,760.00 308288 HCHG BMH/CVMC DRAINAGE OF HEMATOMA/FLUID 10140 $5,775.00 5400022 HCHG BMH OPERATIVE UPPER GI ENDOSCOPY 43247 $5,776.00 5060032 HCHG BMH MAJOR ENT ENDO 1/4 HR $5,778.00 110366 HCHG REMOVE FOREIGN BODY GUM 41805 $5,800.00 110367 HCHG INTERDENTAL FIXATION 21110 $5,800.00 305051 HCHG RADIOFREQUENCY ABLATION INITIAL INJECTION 305051 $5,800.00 5271983 HCHG SPLINED KNEE SYSTEM 12MM 120MM C1776 $5,807.00 4400921 HCHG MR ANGIO, NECK W/CONTRAST 70548 $5,817.00 5271963 HCHG GENESIS II PS ARTICULAR INSERT C1776 $5,820.00 111750 HCHG BMH ESOPHAGUS ENDOSCOPY 43217 $5,852.00 5071784 HCHG BMH DRESSING NASOPORE $5,852.00 5400004 HCHG BMH ESOPHAGEAL BANDING/ESOPHAGUS ENDOSCOPY/LIGATION 43205 $5,852.00 5400006 HCHG BMH ESOPHAGOSCOPY W/CONTROL BLEEDING/REPAIR 43227 $5,852.00 5400024 HCHG BMH ESOPH ENDOSCOPY, DILATION 43249 $5,852.00 5400027 HCHG BMH UPPER GI ENDOSCOPY/TUMOR 43250 $5,852.00 5400029 HCHG BMH OPERATIVE UPPER GI ENDOSCOPY 43251 $5,852.00 5400031 HCHG BMH OPERATIVE UPPER GI ENDOSCOPY 43255 $5,852.00 308686 HCHG BMH/CVMC CLOSED TX POST HIP ARTHROPLASTY DISLOCATION W/ANES 27266 $5,885.00 308611 HCHG BMH/CVMC CLOSED TX OF RADIAL SHAFT 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$6,253.00 4400707 HCHG X-RAY EXAM, BREAST SPECIMEN 76098 $6,332.00 4400238 HCHG CT ANGIO,UPPER EXTREM,COMBO 73206 $6,350.00 309609 HCHG BMH/CVMC ANUS SURGERY PROCEDURE UNLISTED 46999 $6,400.00 5400008 HCHG BMH UPPR GI ENDOSCOPY, DIAGNOSIS 43235 $6,418.00 308620 HCHG TREAT FX RADIUS/ULNA W/MANIPULATION 25565 $6,433.00 4400424 HCHG MR ANGIO, HEAD W/CONTRAST 70545 $6,463.00 4400440 HCHG MRI BRAIN CONTRAST 70552 $6,463.00 4400456 HCHG MRI, CERV SPINE CONTRAST 72142 $6,463.00 4400461 HCHG MRI, DORSAL SPINE CONTRAST 72147 $6,463.00 4400475 HCHG MRI, LUMBAR SPINE CONTRAST 72149 $6,463.00 4400481 HCHG MRI, UPPER EXTREM W/CONTRAST 73219 $6,463.00 4400469 HCHG MRI, JOINT UPPER EXTREM W/CON* 73222 $6,463.00 4400472 HCHG MRI, LOWER EXTREM W/CONTRAST 73719 $6,463.00 4400465 HCHG MRI, JOINT OF LEG W/CONTRAST 73722 $6,463.00 302710 HCHG LARYNGOSCOPY TREATMENT 31527 $6,525.00 308283 HCHG DRAINAGE OF PILONIDAL CYST COMPLICATED 10081 $6,531.00 343119 HCHG BMH REMOVAL TUNNELED CENTRAL VENOUS ACCESS DEVICE 36590 $6,591.00 503737 HCHG COLONOSCOPY FLEX W BAND LIGATION 45398 $6,637.00 4400181 HCHG BIOPSY OF THYROID,PERCUT 60100 $6,649.00 4410527 HCHG BX BREAST 1ST LESION US IMAG 19083 $6,655.00 4400681 HCHG SUPERIOR VENOCAVOGRAM 75827 $6,673.00 308531 HCHG BMH REMOVAL OF FOREIGN BODY ARM 24201 $6,706.00 4400261 HCHG CT SCAN SKULL CONTRAST 70481 $6,810.00 4400259 HCHG CT SCAN OF PELVIS CONTRAST 72193 $6,810.00 4400253 HCHG CT SCAN OF ABDOMEN CONTRAST 74160 $6,810.00 4400250 HCHG CT SCAN HEAD CONTRAST 70460 $6,810.00 4400262 HCHG CT SCAN, FACE/JAW CONTRAST 70487 $6,810.00 4400247 HCHG CT SCAN CERV SPINE CONTRAST 72126 $6,810.00 4400248 HCHG CT SCAN DORSAL SP CONTRAST 72129 $6,810.00 4400251 HCHG CT SCAN LUMBAR SP CONTRAST 72132 $6,810.00 4400255 HCHG CT SCAN OF ARM CONTRAST 73201 $6,810.00 4400257 HCHG CT SCAN OF LEG CONTRAST 73701 $6,810.00 4400846 HCHG CT SCAN,ABD & PELVIS,W CONTRAST 74177 $6,810.00 4400234 HCHG CT ANGIO, PELVIS, COMBO, INCL IMAGE PROC 72191 $6,843.00 4400245 HCHG CT 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303452 HCHG DISLOC TX ANKLE WO ANESTH CLSD 27840 $7,011.00 343221 HCHG BMH/CVMC SELECTIVE CATH PLACEMENT, EXTERNAL CAROTID ARTERY, UNILA 36227 $7,017.00 305669 HCHG VENTILATION(BIPAP)-FIRST DAY 94002 $7,040.00 4400494 HCHG NEEDLE BIOPSY, LYMPH NODE(S) 38505 $7,077.00 4400923 HCHG DRAINAGE OF KIDNEY 50040 $7,083.00 4400490 HCHG NEEDLE BIOPSY LIVER 47000 $7,131.00 308673 HCHG AMPUTATION FINGER THUMB 26951 $7,141.00 4400551 HCHG PLACE CATH INITIAL 3RD+ ORDER BELOW DIAPHRAGM 36247 $7,178.00 4400230 HCHG CT ANGIO AORTOBIFEMORAL, COMBO 75635 $7,294.00 4400489 HCHG MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS 78451 $7,350.00 4410525 HCHG BX BREAST 1ST LESION STRTCTC 19081 $7,394.00 360858 HCHG PERQ BIL CATH PLACE INT-EXT W R/GDE 47534 $7,409.00 360859 HCHG BILIARY EXT CATH CONV INT-EXT RS&I 47535 $7,409.00 5070066 HCHG BMH LSO CUSTOM FIT L0632 $7,417.00 360862 HCHG PERQ BIL STENT PLACE EXIST W R/GDE 47538 $7,418.00 4400292 HCHG DRAINAGE CATHETER EXCHANGE 49423 $7,434.00 308674 HCHG BMH AMPUTATION FINGER THUMB 1ST/2ND ANY SINGLE W/LOCAL 26952 $7,442.00 305058 HCHG BMH MAJOR SURGERY-LAPAROSCOPIC 1/4 HOUR 305058 $7,500.00 4400231 HCHG CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST 75574 $7,543.00 5070020 HCHG BMH CERVICAL MULTIPLE POST COLLAR L0190 $7,586.00 4410434 HCHG STENT, NCOV/NCOAT W/DEL SYS C1876 $7,588.00 4400260 HCHG CT SCAN SKULL COMBO 70482 $7,603.00 4400258 HCHG CT SCAN OF PELVIS COMBO 72194 $7,603.00 4400252 HCHG CT SCAN OF ABDOMEN COMBO 74170 $7,603.00 4400249 HCHG CT SCAN HEAD COMBO 70470 $7,603.00 4400276 HCHG CT SCANS FACE/JAW COMBO 70488 $7,603.00 4400204 HCHG CAT SCAN OF CHEST COMBO 71270 $7,603.00 4400254 HCHG CT SCAN OF ARM COMBO 73202 $7,603.00 4400256 HCHG CT SCAN OF LEG COMBO 73702 $7,603.00 4400847 HCHG CT SCAN,ABD & PELVIS,COMBO 74178 $7,603.00 4400912 HCHG CT SCAN CERV SP COMBO 72127 $7,603.00 343114 HCHG CLOSED TX FINGER DISLOCATION 26775 $7,624.00 362175 HCHG PICC LINE PLACE W GUIDANCE > AGE 5 36573 $7,667.00 4400464 HCHG MRI, FACE, NECK, COMBO 70543 $7,694.00 4400425 HCHG MR ANGIO, HEAD, COMBO 70546 $7,694.00 4400428 HCHG MR ANGIO, NECK, COMBO 70549 $7,694.00 4400439 HCHG MRI BRAIN COMBO 70553 $7,694.00 4400458 HCHG MRI, CHEST, COMBO 71552 $7,694.00 4400455 HCHG MRI, CERV SPINE COMBO 72156 $7,694.00 4400460 HCHG MRI, DORSAL SPINE COMBO 72157 $7,694.00 4400474 HCHG MRI, LUMBAR SPINE COMBO 72158 $7,694.00 4400477 HCHG MRI, PELVIS, COMBO 72197 $7,694.00 4400445 HCHG MRI UPPER EXTR, W/CONTRAST 73220 $7,694.00 4400468 HCHG MRI, JOINT UPPER EXTREM COMBO 73223 $7,694.00 4400470 HCHG MRI, LOWER EXTR, W/O CONTRAST* 73720 $7,694.00 4400466 HCHG MRI, JOINT OF LEG. COMBO 73723 $7,694.00 4400452 HCHG MRI, ABDOMEN, COMBO 74183 $7,694.00 4400434 HCHG MRA W/O FOL W/CONT, ABD C8902 $7,694.00 308833 HCHG BMH/CVMC LARYNGOSCOPY DIRECT W/WO TRACHEOSCOPY DX -NO NEWBORN 31525 $7,698.00 308851 HCHG BIOPSY THIGH SOFT TISSUES 27323 $7,762.00 4400185 HCHG BONE BIOPSY,TROCAR/NEEDLE DEEP 20225 $7,791.00 5060028 HCHG BMH MAJOR TOTAL KNEE 1/4 HR $7,809.00 309169 HCHG POLYSOMNOGRAPHY <6 YRS SLEEP STAGING 4> 95782 $7,812.00 309085 HCHG BMH/CVMC POLYSOMNOGRAPHY, 4 OR MORE 95810 $7,814.00 302738 HCHG REMOVE PILONIDAL CYST SIMPLE 11770 $7,815.00 308302 HCHG DEBRIDE SKIN TISSUE MUSCLE BONE FX 11012 $7,815.00 4410572 HCHG I123 IODINE IOFLUPANE PER DOSE A9584 $7,822.00 360863 HCHG PERQ BIL STENT PLACE EXIST WO CATH 47539 $7,920.00 360864 HCHG PERQ BIL STENT PLACE EXIST W CATH 47540 $7,920.00 4400530 HCHG PERCUT XHEPATIC PORTO+DYNAMIC 75885 $7,928.00 303349 HCHG DELIVERY PLACENTA (SEP PROC) 59414 $7,949.00 302950 HCHG TRAUMA RESPONS W/O PRE MOD $8,021.00 302952 HCHG TRAUMA RESPONS W/PRE W/O CC MOD $8,021.00 5060025 HCHG BMH MAJOR SPINE 1/4 HR $8,042.00 4400233 HCHG CT ANGIO, CHEST (NON-CORON), COMBO, INCL IMG PROC 71275 $8,105.00 4400232 HCHG CT ANGIO, ABD, COMBO,INCL IMA* 74175 $8,105.00 4400235 HCHG CT ANGIO,HEAD COMBO,INCL IMAG* 70496 $8,105.00 4400237 HCHG CT ANGIO,NECK COMBO,INCL IMAG* 70498 $8,105.00 4400236 HCHG CT ANGIO,LOWER EXTREM,COMBO,I* 73706 $8,105.00 4400394 HCHG INSERT TUNNELED CV CATH <5 Y/O 36557 $8,118.00 362121 HCHG PARTIAL REMOVAL OF FINGER BONE 26236 $8,168.00 308571 HCHG BMH CLOSED TX OF GREATER HUMERAL TUBEROSITY FRACTURE W/MANI 23625 $8,205.00 4400528 HCHG PERCUT PORTAL VEIN CATH 36481 $8,263.00 343110 HCHG BMH EXPLORE WOUND ABDOMEN 20102 $8,308.00 4400898 HCHG VASCULAR SURGERY PROCEDURE UNLIST 37799 $8,331.00 308971 HCHG BMH CARE OF MISCARRIAGE 59820 $8,333.00 308687 HCHG BMH I&D,DEEP ABSCESS BURSA OR HEMATOMA,THIGH OR KNEE REGION 27301 $8,424.00 308917 HCHG BMH/CVMC DRAINAGE OF THROAT ABSCESS 42720 $8,459.00 309168 HCHG SLEEP STUDY UNATT & RESP EFFT 95806 $8,500.00 309086 HCHG BMH/CVMC POLYSOMNOGRAPHY/CPAP 95811 $8,518.00 4410190 HCHG IVC FILTER TRAPEZE C1880 $8,522.00 302947 HCHG TRAUMA RESPONS W/HOSP CRITI MOD G0390 $8,617.00 343203 HCHG BMH TREAT HIP DISLOCATION 27252 $8,617.00 308775 HCHG BMH TREAT TOE DISLOCATION W/ANES 28635 $8,670.00 4400807 HCHG INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS 49441 $8,678.00 308991 HCHG BMH/CVMC REMOVE FOREIGN BODY FROM EYE 65235 $8,735.00 308574 HCHG BMH/CVMC TREAT SHOULDER DISLOCATION 23655 $8,765.00 308595 HCHG TREAT ELBOW DISLOCATION W/ANE 24605 $8,765.00 308524 HCHG REMOVAL FB DEEP COMPLICATED 20525 $8,772.00 343220 HCHG BMH/CVMC TRANSCATHETER THERAPY, VENOUS INFUSION FOR THROMBOLYSIS 37212 $8,825.00 303292 HCHG CRITICAL CARE-30 TO 74 MINUTES 99291 $8,836.00 4400221 HCHG CHOLECYSTOSTOMY,PERCUT 47490 $8,871.00 4400862 HCHG CTA ABD/PEL W & W/O 74174 $8,915.00 308291 HCHG I&D COMPLEX POSTOP WOUND INFECTION 10180 $8,919.00 5060010 HCHG BMH MINOR SURGERY PLASTICS 1ST HR $8,934.00 4400419 HCHG MECH REMOV TUNNELED CV CATH 36595 $9,003.00 4400893 HCHG REPLACE TUNNELED CV CATH 36578 $9,132.00 360851 HCHG ENDOVAS INTRACRANIAL RX ADMIN INIT 61650 $9,132.00 360857 HCHG PERQ BIL CATH PLACE EXT W RAD/GDE 47533 $9,261.00 4400488 HCHG MYOCARDIAL SPECT MULTIPLE STUDIES 78452 $9,335.00 308961 HCHG BMH/CVMC REMOVE VAGINAL FOREIGN BODY 57415 $9,432.00 309585 HCHG BMH INTESTINE PROCEDURE,UNLISTED 44799 $9,507.00 308551 HCHG BIOPSY, SOFT TISSUE OF BACK OR FLANK DEEP 21925 $9,546.00 4400182 HCHG BIOPSY SALIVARY GLAND,NEEDLE 42400 $9,602.00 4410447 HCHG STENT, HERC PLUS/EXPRS/OMNI C1876 $9,605.00 4400857 HCHG RETRIEVAL/REMOVAL VENA CAVA FILTER 37193 $9,695.00 306785 HCHG CVC,TUNNELED W/O PORT >AGE 5 36558 $9,741.00 4400809 HCHG INSERT TUNNELED CV CATH W/O PORT OR PUMP 36558 $9,741.00 308948 HCHG BMH/CVMC INCISION AND DRAINAGE OF SCROTUM 54700 $9,781.00 4400569 HCHG REMOVAL TUNNELED CV CATH 36589 $10,020.00 309587 HCHG BMH/CVMC INCISION OF RETAL ABSCESS 46040 $10,056.00 360914 HCHG PERQ URTRL STENT EXIST W RAD/GDE 50693 $10,081.00 771008 HCHG BMH ROOM/CARE - SEMI-PRIVATE TELEMETRY (0120) $10,359.00 305050 HCHG TENEX TENOTOMY 305050 $10,400.00 343157 HCHG HYSTEROSCOPY BIOPSY 58558 $10,542.00 110357 HCHG SLITTING OF PREPUCE 54001 $10,552.00 360915 HCHG PERQ URTRL STENT NEW WO CATH W RGDE 50694 $10,567.00 4400858 HCHG RENAL SELECTIVE UNILATERAL W/WO AORTA 36251 $10,572.00 4400860 HCHG RENAL SUPERSELECTIVE UNILATERAL W/WO AORTA 36253 $10,572.00 4400818 HCHG REPLACE NONTUNNELED CVC WO SUBQ PORT 36580 $10,580.00 4400585 HCHG REPLACE TUNNELED CVC WO SUBQ PORT 36581 $10,580.00 5272032 HCHG SAVI GAMMA 10 CATHETER C1728 $10,586.00 302713 HCHG REPAIR FOREARM TENDON MUSCLE LVL II 25270 $10,591.00 4400808 HCHG INSERT GASTROSTOMY TUBE PERCUTANEOUS 49440 $10,736.00 4400892 HCHG REPAIR TUNNELED CV CATH W/PORT 36576 $10,756.00 5200008 HCHG BMH/CVMC MINOR SURGERY-GENERAL 1ST HOUR $10,841.00 308969 HCHG EPISIOTOMY OR VAGINAL REPAIR OTHER THAN ATTENDING 59300 $10,899.00 362122 HCHG PARTIAL EXCISION PHAL TOE 28124 $10,906.00 362123 HCHG EXCISION INTERPHAN JT TOE 28160 $10,906.00 4400102 HCHG ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER 51102 $11,102.00 4400558 HCHG PLACEMENT, BILE DUCT STENT 47801 $11,125.00 360916 HCHG PERQ URTRL STENT NEW W CATH W RGDE 50695 $11,184.00 4400154 HCHG ANGIO VISCERAL SELECTIVE W/WO AORTA ABDOMINAL 75726 $11,192.00 4410252 HCHG NEURO, PRECISE STENT 6FR C1875 $11,202.00 308532 HCHG BMH REMOVAL OF SUPPORT IMPLANT 20670 $11,203.00 302949 HCHG TRAUMA RESPONS W/O PRE FULL $11,458.00 302951 HCHG TRAUMA RESPONS W/PRE W/O CC FULL $11,458.00 343137 HCHG BMH DELIVERY LEVEL I $11,537.00 4400666 HCHG VASCULAR BIOPSY 75970 $11,549.00 4400675 HCHG INFERIOR VENOCAVOGRAM 75825 $11,638.00 4400930 HCHG INSERT TUN IP CATH PERC W/IMAGING 49418 $11,695.00 4400393 HCHG INSERT TUNNELED CV CATH 36571 $11,871.00 308568 HCHG TREAT HUMERUS FRACTURE CLOSED 23605 $11,888.00 308708 HCHG CLOSED TX TIBIAL SHAFT FX W&WO FIBULAR FX WMANIP 27752 $11,888.00 308711 HCHG CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE W/MANIPULA 27762 $11,888.00 308607 HCHG REPAIR FOREARM TENDON MUSCLE LVL I 25260 $11,965.00 4400588 HCHG REPLACE PICC W SUBQ PORT 36585 $12,135.00 343139 HCHG BMH DELIVERY LEVEL III $12,221.00 302946 HCHG TRAUMA RESPONS W/HOSP CRITI FULL G0390 $12,310.00 4400516 HCHG PERCUT BIOPSY, ABDOMINAL MASS 49180 $12,446.00 4400395 HCHG INSERT TUNNELED CV CATH WITH PORT <5 Y/O 36560 $12,488.00 503384 HCHG REPAIR INIT INGUINAL HERNIA 5 YRS> 49505 $12,809.00 4400146 HCHG ANGIO PELVIS SELECTIVE RS&I 75736 $12,931.00 308547 HCHG BMH/CVMC DRAIN NECK/CHEST LESION 21501 $12,974.00 4400388 HCHG INSERT PICC W/ SUB-Q PORT <5 Y/O 36570 $12,990.00 4400889 HCHG ENDOVENOUS LASER VEIN ADDON 36479 $13,037.00 302711 HCHG REPAIR FINGER HAND TENDON 26370 $13,237.00 4400896 HCHG PHLEB VEINS - EXTREM - TO 20 37765 $13,298.00 4400897 HCHG PHLEB VEINS - EXTREM 20+ 37766 $13,298.00 304030 HCHG INCISION/REM FB SUBQ CPLX 10121 $13,304.00 4400144 HCHG ANGIO EXTREMITY UNILAT RS&I 75710 $13,388.00 4400143 HCHG ANGIO EXTERMITY BILAT RS&I 75716 $13,388.00 343138 HCHG BMH DELIVERY LEVEL II $13,571.00 5070075 HCHG BMH TLSO CUSTOM BRACE $13,718.00 4400492 HCHG NEEDLE BIOPSY OF PANCREAS 48102 $13,829.00 4410621 HCHG CORE BX LUNG MEDIASTINUM W/GUIDE 32408 $13,829.00 5060008 HCHG BMH MAJOR SURGERY PLASTICS 1ST HR $13,900.00 308645 HCHG BMH REPAIR FINGER TENDON W/O GRAFT 26418 $13,901.00 4400632 HCHG TRANSCATHETER RX EMBOLIZATN 75894 $14,071.00 4400131 HCHG ABDOMINAL AORTOGRAM BILAT ILIOFEMORAL 75630 $14,094.00 4400890 HCHG INSERT TUNNELED CV CATH 36563 $14,159.00 308735 HCHG BMH/CVMC CLOSED TREATMENT OF ANKLE DISLOCATION W/ANESTHESIA 27842 $14,200.00 342760 HCHG PERQ CERIVICOTHORACIC INJECT 22510 $14,238.00 372761 HCHG PERQ LUMBOSACRAL INJECTION 22511 $14,238.00 342762 HCHG VERTEBROPLASTY ADDL INJECT 22512 $14,238.00 5200005 HCHG BMH/CVMC MINOR SURGERY-ORTHOPEDIC 1ST HOUR $14,288.00 5040351 HCHG FASCIOTOMY AND SURGICAL TENOTOMY $14,504.00 308688 HCHG SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE PRIMARY 27385 $14,919.00 306786 HCHG CVC,PORT PLACEMENT > AGE 5 36561 $15,014.00 4400391 HCHG INSERT TUNNELED CV CATH 36561 $15,014.00 4400859 HCHG RENAL SELECTIVE BILATERAL W/WO AORTA 36252 $15,102.00 4400861 HCHG RENAL SUPERSELECTIVE BILATERAL W/WO AORTA 36254 $15,102.00 4400518 HCHG PERCUT CATH OCCLUSN NON CNS LESN 61626 $15,309.00 4400888 HCHG ENDOVENOUS LASER, 1ST VEIN 36478 $15,774.00 771015 HCHG BMH ROOM/CARE - INTENSIVE CARE (0200) $16,034.00 303346 HCHG DECOMPRESS DISK LUMBAR PERC 62287 $16,088.00 308511 HCHG BMH/CVMC MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP 19020 $16,224.00 308782 HCHG BMH LAPAROSCOPE PROC INTESTINE 44238 $16,321.00 343239 HCHG BMH AORTOGRAPHY,ABDOMINAL,BY SERIALOGRAPHY,RAD SUP & INTERP 75625 $16,508.00 343240 HCHG BMH CONTRAST X-RAY EXAM OF AORTA 75625 $16,508.00 305568 HCHG TREATMENT,MISSED AB,ANY TRI. 59812 $16,556.00 308140 HCHG BMH/CVMC COLPORRHAPHY,SUTURE OF INJURY OF VAGINA (NONO* 57200 $16,556.00 111891 HCHG LITHOTRIPSY EXTRACORPORAL SHOCK WAVE 50590 $16,751.00 4410550 HCHG IMAGE CATH FLUID COLXN VISC 49405 $17,473.00 4410301 HCHG STENT, VIATORR C1874 $17,490.00 4400121 HCHG RF ABLATE LIVER TUMOR(S) PERQ 47382 $17,591.00 5060011 HCHG BMH SURG C-SECTION 1ST HR $17,655.00 5060022 HCHG BMH MINOR ENT 1ST HOUR $17,661.00 4400586 HCHG REPLACE TUNNELED CVC W SUBQ PORT 36582 $17,715.00 308862 HCHG BMH/CVMC REPAIR BLOOD VESSEL LESION/UPPER EXTREMITY 35206 $18,017.00 4400133 HCHG DESCENDING THORACIC AORTOGRAM MULTI IMAGE 75605 $18,052.00 308597 HCHG BMH/CVMC CLOSED TX OF MONTEGGIA TYPE OF FX DISLOCATION AT ELBOW 24620 $18,128.00 308974 HCHG BMH BURR HOLE(S)W/EVACUATION AND/OR DRAINAGE OF HEMATOMA-INP 61154 $18,331.00 4400534 HCHG PERM OCCLUSION/EMBOLIZATION,PERCUT,CNS 61624 $18,372.00 4400524 HCHG PERCUT MECH THROMBECTOMY, VENOUS 37187 $18,528.00 5060024 HCHG BMH MINOR ENT ENDO 1ST HOUR $18,881.00 5060009 HCHG BMH MAJOR SURGERY-GENERAL 1ST HOUR $19,247.00 343222 HCHG BMH/CVMC TRANSCATH THERAPY,ARTERIAL/VENOUS INF FOR THROMBOLYSIS 37213 $19,692.00 343224 HCHG BMH/CVMC TRANSCATH THERAPY,ARTERIAL/VENOUS INF FOR THROMBOLYSIS 37214 $19,692.00 4400894 HCHG REPLACE TUNNELED CV CATH 36583 $19,696.00 5070036 HCHG BMH FX BRACE RIGID CUSTOM L2136 $20,562.00 4410551 HCHG IMAGE CATH FLUID PERI/RETRO 49406 $20,686.00 343113 HCHG OPEN TREATMENT OF DISTAL PHALANGEAL FRACTURE EACH 26765 $21,291.00 5200004 HCHG BMH/CVMC MINOR SURGERY/ORTHO/ARTHRO 1ST HOUR $21,338.00 5200006 HCHG BMH/CVMC MAJOR SURGERY-ORTHOPEDIC 1ST HOUR $21,594.00 4400863 HCHG INSERT VENA CAVA FILTER SVC/IVC 37191 $22,362.00 5060017 HCHG BMH MINOR SPINE 1ST HOUR $22,363.00 4400833 HCHG ANGIO ILIAC ARTERY ADDL IPSILATERAL 37222 $22,542.00 308542 HCHG BMH/CVMC TREAT DENTAL RIDGE FRACTURE 21440 $22,580.00 5060021 HCHG BMH MAJOR ENT 1ST HOUR $24,004.00 306624 HCHG TRANSVENOUS TEMP PACER SNGL C* 33210 $24,095.00 343217 HCHG BMH/CVMC PLACE CATHETER SUBCLAVIAN OR INNOMINATE ARTERY, UNILATER 36225 $24,427.00 343208 HCHG BMH/CVMC NON-SELECTIVE CATH PLACE,THORACIC AORTA,W/ANGIOGRAPHY 36221 $24,429.00 343210 HCHG BMH/CVMC SELECTIVE CATH PLACE,COMMON CAROTID/INNOMINATE ARTERY 36222 $24,429.00 343213 HCHG BMH/CVMC SELECTIVE CATH PLACEMENT,COMMON CAROTID/INNOMINATE ARTER 36223 $24,430.00 5200003 HCHG BMH/CVMC MAJOR SURGERY-ORTHOPEDIC/ARTHROSCOPIC 1ST HOUR $25,000.00 343214 HCHG BMH/CVMC TRANSCATH RETRIEVAL,PERCUT,INTRAVASCULAR FOREIGN BODY 37197 $25,010.00 4400922 HCHG LAP,ABLAT 1+ LIVER TUMOR(S),RADIOFREQ 47370 $25,408.00 110361 HCHG PRQ IMPLANT NEUROELECTRODES ARRAY 64561 $26,048.00 4400831 HCHG ANGIO ILIAC ARTERY INITIAL 37220 $28,176.00 4400834 HCHG STENT PLACE W/WO ANGIO ILIAC ARTERY ADDL IPSILATERAL 37223 $28,402.00 5060023 HCHG BMH MAJOR ENT ENDO 1ST HOUR $28,883.00 4400595 HCHG TIPS REVISION W IMAGING 37183 $29,967.00 5200001 HCHG MAJOR SURGERY-LAPAROSCOPIC 1ST HOUR $29,999.00 5060020 HCHG BMH MAJOR UNI-KNEE 1ST HOUR $30,103.00 5060018 HCHG BMH MAJOR TOTAL HIP 1ST HOUR $30,500.00 309100 HCHG IMPL/RPLC PR PUMP FOR INFSN 62362 $31,522.00 4400835 HCHG ANGIO FEMORAL/POPLITEAL ARTERY UNILATERAL 37224 $33,811.00 342765 HCHG PERQ VERTEBRAL AUG EACH ADDL 22515 $34,062.00 342764 HCHG PERQ VERTEBRAL AUGMENT LUMBAR 22514 $37,846.00 4400512 HCHG RF ABLATE RENAL TUMOR(S) PERQ 50592 $38,434.00 342763 HCHG PERQ VERTEBRAL AUGMENT THORACIC 22513 $38,980.00 5060019 HCHG BMH MAJOR TOTAL KNEE 1ST HOUR $39,039.00 4400823 HCHG ANGIO TIBIAL/PERONEAL ARTERY UNILATERAL 37228 $39,449.00 4400832 HCHG STENT PLACE W/WO ANGIO ILIAC ARTERY 37221 $39,449.00 343215 HCHG BMH/CVMC SELECTIVE CATHETER PLACEMENT, INTERNAL CAROTID ARTERY 36224 $39,953.00 343219 HCHG BMH/CVMC SELECTIVE CATHETER PLACEMENT VERTEBRAL ARTERY UNILATERAL 36226 $39,953.00 5060016 HCHG BMH MAJOR SPINE 1ST HOUR $40,198.00 110362 HCHG OPEN IMPLANTATION OF NEUROSTIMULATOR 64581 $41,802.00 5070040 HCHG BMH HALO PROCEDURE CERVICAL HALO / JACKET VEST L0810 $43,248.00 4400390 HCHG INSERT TRANSVEN INTRAHEP PORTOSYS SHUNT 37182 $46,097.00 4400824 HCHG ATHERECTOMY TIBIAL/PERONEAL W/ANGIO INITIAL 37229 $51,923.00 4400837 HCHG STENT PLACE W/WO ANGIO FEMORAL/POPLITEAL UNILATERAL 37226 $59,819.00 5071340 HCHG BMH PUMP-INFUSION/MEDTRONICS - 44101000 C1772 $61,230.00 4400825 HCHG STENT PLACE W/WO ANGIO TIBIAL/PERONEAL INITIAL 37230 $83,745.00 110363 HCHG INSRT/REDO PN/GASTRO STIMULATOR 64590 $97,023.00 SEIZURES W MCC[100] 100 $51,282.71 SEIZURES W/O MCC[101] 101 $44,150.88 HEADACHES W/O MCC[103] 103 $45,816.40 NEUROLOGICAL EYE DISORDERS[123] 123 $49,878.08 MOUTH PROCEDURES W/O CC/MCC[138] 138 $75,161.54 DYSEQUILIBRIUM[149] 149 $33,769.93 OTITIS MEDIA & URI W/O MCC[153] 153 $19,730.75 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC[156] 156 $29,762.53 DENTAL & ORAL DISEASES W CC[158] 158 $24,507.05 DENTAL & ORAL DISEASES W/O CC/MCC[159] 159 $21,520.65 OTHER RESP SYSTEM O.R. PROCEDURES W MCC[166] 166 $195,757.94 OTHER RESP SYSTEM O.R. PROCEDURES W CC[167] 167 $137,077.30 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC[168] 168 $60,161.19 PULMONARY EMBOLISM W MCC[175] 175 $33,444.70 PULMONARY EMBOLISM W/O MCC[176] 176 $51,148.39 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC[177] 177 $259,980.26 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC[178] 178 $76,493.65 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC[179] 179 $69,211.28 RESPIRATORY NEOPLASMS W CC[181] 181 $27,453.30 MAJOR CHEST TRAUMA W CC[184] 184 $65,408.26 MAJOR CHEST TRAUMA W/O CC/MCC[185] 185 $36,850.00 PLEURAL EFFUSION W CC[187] 187 $22,713.59 PULMONARY EDEMA & RESPIRATORY FAILURE[189] 189 $55,290.13 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC[190] 190 $63,462.94 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC[191] 191 $60,231.25 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC[192] 192 $38,982.12 SIMPLE PNEUMONIA & PLEURISY W MCC[193] 193 $76,532.89 SIMPLE PNEUMONIA & PLEURISY W CC[194] 194 $54,596.38 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC[195] 195 $28,883.43 PNEUMOTHORAX W MCC[199] 199 $90,245.43 PNEUMOTHORAX W CC[200] 200 $57,972.29 PNEUMOTHORAX W/O CC/MCC[201] 201 $30,702.08 BRONCHITIS & ASTHMA W CC/MCC[202] 202 $35,513.77 BRONCHITIS & ASTHMA W/O CC/MCC[203] 203 $21,186.95 RESPIRATORY SIGNS & SYMPTOMS[204] 204 $36,230.12 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC[205] 205 $33,270.56 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC[206] 206 $38,385.55 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)[207] 207 $1,054,134.77 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS[208] 208 $362,341.68 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC[240] 240 $93,981.13 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC[280] 280 $40,804.04 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC[281] 281 $57,098.58 ACUTE & SUBACUTE ENDOCARDITIS W MCC[288] 288 $86,379.68 HEART FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)[291] 291 $49,839.40 HEART FAILURE & SHOCK W CC[292] 292 $41,835.22 HEART FAILURE & SHOCK W/O CC/MCC[293] 293 $44,185.44 PERIPHERAL VASCULAR DISORDERS W CC[300] 300 $44,558.15 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC[301] 301 $22,320.25 ATHEROSCLEROSIS W/O MCC[303] 303 $20,810.11 HYPERTENSION W MCC[304] 304 $54,163.79 HYPERTENSION W/O MCC[305] 305 $36,755.53 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC[308] 308 $53,740.28 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC[309] 309 $49,295.46 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC[310] 310 $35,827.97 SYNCOPE & COLLAPSE[312] 312 $73,050.58 CHEST PAIN[313] 313 $55,095.45 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC[314] 314 $65,469.73 STOMACH, ESOPHAGEAL & DUODENAL PROC W CC[327] 327 $185,774.90 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC[329] 329 $218,267.57 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC[330] 330 $156,959.69 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC[331] 331 $143,511.13 PERITONEAL ADHESIOLYSIS W CC[336] 336 $173,621.33 PERITONEAL ADHESIOLYSIS W/O CC/MCC[337] 337 $119,153.18 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC[338] 338 $171,086.99 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC[339] 339 $94,205.22 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC[340] 340 $113,030.39 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC[342] 342 $90,334.82 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC[343] 343 $72,864.17 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC[346] 346 $40,585.97 ANAL & STOMAL PROCEDURES W/O CC/MCC[349] 349 $29,627.31 INGUINAL & FEMORAL HERNIA PROCEDURES W CC[351] 351 $113,870.84 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC[353] 353 $86,668.92 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC[354] 354 $48,167.15 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC[355] 355 $122,670.68 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC[357] 357 $183,593.74 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC[358] 358 $82,828.36 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC[371] 371 $166,148.56 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC[372] 372 $46,690.56 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC[373] 373 $33,365.53 DIGESTIVE MALIGNANCY W CC[375] 375 $50,306.11 G.I. HEMORRHAGE W MCC[377] 377 $41,097.05 G.I. HEMORRHAGE W CC[378] 378 $44,913.09 G.I. HEMORRHAGE W/O CC/MCC[379] 379 $26,130.05 COMPLICATED PEPTIC ULCER W CC[381] 381 $48,489.57 COMPLICATED PEPTIC ULCER W/O CC/MCC[382] 382 $107,981.21 INFLAMMATORY BOWEL DISEASE W MCC[385] 385 $25,393.80 INFLAMMATORY BOWEL DISEASE W CC[386] 386 $27,335.90 G.I. OBSTRUCTION W MCC[388] 388 $58,799.54 G.I. OBSTRUCTION W CC[389] 389 $37,253.73 G.I. OBSTRUCTION W/O CC/MCC[390] 390 $40,761.27 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC[391] 391 $33,051.89 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC[392] 392 $47,299.87 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC[394] 394 $50,290.63 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC[395] 395 $29,753.66 PANCREAS, LIVER & SHUNT PROCEDURES W MCC[405] 405 $85,899.58 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC[417] 417 $100,600.14 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC[418] 418 $99,901.01 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC[419] 419 $86,739.29 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC[432] 432 $55,074.36 CIRRHOSIS & ALCOHOLIC HEPATITIS W CC[433] 433 $40,429.27 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC[438] 438 $39,678.44 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC[439] 439 $42,793.45 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC[440] 440 $33,855.27 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC[441] 441 $291,982.99 DISORDERS OF THE BILIARY TRACT W CC[445] 445 $36,041.80 DISORDERS OF THE BILIARY TRACT W/O CC/MCC[446] 446 $44,612.30 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC[453] 453 $390,367.00 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC[454] 454 $311,422.34 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC[455] 455 $278,058.04 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC[457] 457 $314,559.64 SPINAL FUSION EXCEPT CERVICAL W MCC[459] 459 $393,378.48 SPINAL FUSION EXCEPT CERVICAL W/O MCC[460] 460 $194,922.72 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC[462] 462 $189,272.84 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC[465] 465 $45,854.07 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC[468] 468 $117,171.44 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT[469] 469 $129,257.33 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC[470] 470 $116,782.96 CERVICAL SPINAL FUSION W CC[472] 472 $183,149.90 CERVICAL SPINAL FUSION W/O CC/MCC[473] 473 $152,994.99 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC[476] 476 $82,473.31 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC[478] 478 $136,230.04 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC[480] 480 $167,707.44 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC[481] 481 $135,674.32 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC[482] 482 $93,323.68 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES[483] 483 $112,039.38 KNEE PROCEDURES W PDX OF INFECTION W MCC[485] 485 $106,163.10 KNEE PROCEDURES W PDX OF INFECTION W CC[486] 486 $90,191.68 KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC[488] 488 $178,113.96 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC[489] 489 $58,837.15 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC[492] 492 $255,664.90 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC[493] 493 $137,369.31 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC[494] 494 $92,220.87 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC[497] 497 $77,197.17 SOFT TISSUE PROCEDURES W CC[501] 501 $61,602.32 SOFT TISSUE PROCEDURES W/O CC/MCC[502] 502 $89,181.88 MAJOR THUMB OR JOINT PROCEDURES[506] 506 $54,770.17 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC[512] 512 $90,562.47 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC[513] 513 $55,315.39 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC[514] 514 $35,976.39 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC[515] 515 $196,423.49 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC[516] 516 $147,484.79 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC[517] 517 $81,077.54 BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM[518] 518 $161,772.78 BACK & NECK PROC EXC SPINAL FUSION W CC[519] 519 $119,816.86 FRACTURES OF FEMUR W/O MCC[534] 534 $27,596.91 FRACTURES OF HIP & PELVIS W MCC[535] 535 $83,321.00 FRACTURES OF HIP & PELVIS W/O MCC[536] 536 $49,331.38 OSTEOMYELITIS W CC[540] 540 $161,694.78 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC[542] 542 $121,254.48 CONNECTIVE TISSUE DISORDERS W/O CC/MCC[547] 547 $47,101.41 MEDICAL BACK PROBLEMS W MCC[551] 551 $103,387.64 MEDICAL BACK PROBLEMS W/O MCC[552] 552 $60,540.21 BONE DISEASES & ARTHROPATHIES W MCC[553] 553 $56,961.46 BONE DISEASES & ARTHROPATHIES W/O MCC[554] 554 $46,101.10 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC[556] 556 $47,236.13 TENDONITIS, MYOSITIS & BURSITIS W/O MCC[558] 558 $44,715.50 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC[559] 559 $55,679.09 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC[561] 561 $22,686.18 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC[562] 562 $96,383.08 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC[563] 563 $35,898.46 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC[564] 564 $88,658.73 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC[565] 565 $38,407.39 SKIN DEBRIDEMENT W CC[571] 571 $75,555.20 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC[574] 574 $55,172.80 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC[577] 577 $133,290.63 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC[578] 578 $57,078.17 OTHER SKIN, SUBCUT TISS & BREAST PROC W CC[580] 580 $88,266.24 OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC[581] 581 $64,299.24 MAJOR SKIN DISORDERS W/O MCC[596] 596 $44,997.00 CELLULITIS W MCC[602] 602 $62,123.66 CELLULITIS W/O MCC[603] 603 $47,377.53 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC[605] 605 $36,525.45 MINOR SKIN DISORDERS W/O MCC[607] 607 $98,152.06 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC[629] 629 $98,184.68 DIABETES W MCC[637] 637 $29,278.14 DIABETES W CC[638] 638 $61,753.56 DIABETES W/O CC/MCC[639] 639 $29,263.02 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC[640] 640 $54,752.17 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC[641] 641 $52,070.60 ENDOCRINE DISORDERS W/O CC/MCC[645] 645 $38,972.69 MAJOR BLADDER PROCEDURES W CC[654] 654 $176,546.88 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC[657] 657 $126,697.20 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC[660] 660 $70,251.14 MINOR BLADDER PROCEDURES W MCC[662] 662 $194,997.23 ENDOCRINE DISORDERS W CC[644] 664 $47,724.35 MINOR BLADDER PROCEDURES W/O CC/MCC[664] 664 $54,318.04 PROSTATECTOMY W CC[666] 666 $400,001.16 TRANSURETHRAL PROCEDURES W MCC[668] 668 $57,959.71 TRANSURETHRAL PROCEDURES W CC[669] 669 $58,652.68 TRANSURETHRAL PROCEDURES W/O CC/MCC[670] 670 $43,166.57 RENAL FAILURE W MCC[682] 682 $45,519.71 RENAL FAILURE W CC[683] 683 $44,479.91 RENAL FAILURE W/O CC/MCC[684] 684 $28,238.03 KIDNEY & URINARY TRACT INFECTIONS W MCC[689] 689 $62,355.42 KIDNEY & URINARY TRACT INFECTIONS W/O MCC[690] 690 $46,263.34 URINARY STONES W ESW LITHOTRIPSY W CC/MCC[691] 691 $112,441.85 URINARY STONES W/O ESW LITHOTRIPSY W/O MCC[694] 694 $36,576.71 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC[698] 698 $66,205.78 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC[699] 699 $48,857.92 OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC[700] 700 $23,292.11 MAJOR MALE PELVIC PROCEDURES W CC/MCC[707] 707 $144,474.33 MAJOR MALE PELVIC PROCEDURES W/O CC/MCC[708] 708 $116,030.90 TRANSURETHRAL PROSTATECTOMY W CC/MCC[713] 713 $54,572.75 TRANSURETHRAL PROSTATECTOMY W/O CC/MCC[714] 714 $58,699.64 BENIGN PROSTATIC HYPERTROPHY W MCC[725] 725 $56,322.68 BENIGN PROSTATIC HYPERTROPHY W/O MCC[726] 726 $31,063.10 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC[727] 727 $89,577.51 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC[742] 742 $90,165.13 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC[743] 743 $66,911.21 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC[744] 744 $39,984.94 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC[754] 754 $39,781.97 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC[755] 755 $60,586.42 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC[759] 759 $21,298.97 CESAREAN SECTION W CC/MCC[765] 765 $55,970.05 CESAREAN SECTION W/O CC/MCC[766] 766 $48,072.50 VAGINAL DELIVERY W STERILIZATION &/OR D&C[767] 767 $39,309.52 VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C[768] 768 $49,221.45 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE[769] 769 $34,718.49 VAGINAL DELIVERY W COMPLICATING DIAGNOSES[774] 774 $34,758.44 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES[775] 775 $25,735.25 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE[776] 776 $11,127.93 THREATENED ABORTION[778] 778 $7,450.51 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS[781] 781 $20,950.48 OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS[782] 782 $7,872.06 CESAREAN SECTION W STERILIZATION W/O CC/MCC[785] 785 $33,085.79 CESAREAN SECTION W/O STERILIZATION W CC[787] 787 $58,530.85 CESAREAN SECTION W/O STERILIZATION W/O CC/MCC[788] 788 $49,894.69 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY[789] 789 $10,046.70 PREMATURITY W MAJOR PROBLEMS[791] 791 $14,360.59 PREMATURITY W/O MAJOR PROBLEMS[792] 792 $5,449.23 FULL TERM NEONATE W MAJOR PROBLEMS[793] 793 $8,775.33 NEONATE W OTHER SIGNIFICANT PROBLEMS[794] 794 $7,143.86 NORMAL NEWBORN[795] 795 $4,344.47 VAGINAL DELIVERY W STERILIZATION/D&C WO CC/MCC[798] 798 $30,933.24 SPLENECTOMY W/O CC/MCC[801] 801 $131,702.61 VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC[805] 805 $54,046.73 VAGINAL DELIVERY W/O STERILIZATION/D&C W CC[806] 806 $26,440.63 VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC[807] 807 $29,069.51 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC[808] 808 $130,186.18 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC[809] 809 $61,326.46 RED BLOOD CELL DISORDERS W/O MCC[812] 812 $42,739.02 COAGULATION DISORDERS[813] 813 $43,579.87 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC[814] 814 $75,299.60 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC[815] 815 $31,045.42 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC[816] 816 $61,706.26 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC[817] 817 $81,163.30 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC[824] 824 $65,675.27 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC[832] 832 $8,673.02 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC[833] 833 $10,973.51 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC[840] 840 $52,486.85 LYMPHOMA & NON-ACUTE LEUKEMIA W CC[841] 841 $25,539.64 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC[844] 844 $33,471.25 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC[853] 853 $270,254.28 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC[854] 854 $96,935.33 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC[856] 856 $180,877.90 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC[857] 857 $122,629.50 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC[858] 858 $42,800.60 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC[863] 863 $28,931.16 FEVER AND INFLAMMATORY CONDITIONS[864] 864 $47,774.97 VIRAL ILLNESS W/O MCC[866] 866 $45,804.78 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC[868] 868 $44,975.43 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC[871] 871 $87,440.32 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC[872] 872 $64,826.21 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION[880] 880 $37,828.55 PSYCHOSES[885] 885 $53,614.18 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA[894] 894 $54,013.85 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC[896] 896 $40,695.16 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC[897] 897 $46,897.34 WOUND DEBRIDEMENTS FOR INJURIES W CC[902] 902 $57,676.65 SKIN GRAFTS FOR INJURIES W CC/MCC[904] 904 $72,791.53 SKIN GRAFTS FOR INJURIES W/O CC/MCC[905] 905 $64,864.41 HAND PROCEDURES FOR INJURIES[906] 906 $37,163.86 OTHER O.R. PROCEDURES FOR INJURIES W MCC[907] 907 $81,295.65 OTHER O.R. PROCEDURES FOR INJURIES W CC[908] 908 $66,478.67 OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC[909] 909 $124,027.14 TRAUMATIC INJURY W/O MCC[914] 914 $43,261.18 ALLERGIC REACTIONS W/O MCC[916] 916 $25,073.27 POISONING & TOXIC EFFECTS OF DRUGS W MCC[917] 917 $59,882.45 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC[918] 918 $39,188.87 COMPLICATIONS OF TREATMENT W CC[920] 920 $114,742.00 COMPLICATIONS OF TREATMENT W/O CC/MCC[921] 921 $33,930.97 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC[923] 923 $42,687.49 NON-EXTENSIVE BURNS[935] 935 $143,527.46 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC[940] 940 $53,434.28 SIGNS & SYMPTOMS W MCC[947] 947 $40,184.91 SIGNS & SYMPTOMS W/O MCC[948] 948 $55,383.54 OTHER FACTORS INFLUENCING HEALTH STATUS[951] 951 $17,650.73 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA[956] 956 $124,956.83 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC[957] 957 $230,469.57 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC[958] 958 $206,238.80 OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC[963] 963 $165,473.51 OTHER MULTIPLE SIGNIFICANT TRAUMA W CC[964] 964 $62,706.89 OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC[965] 965 $56,838.42 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC[982] 982 $87,388.67 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC[983] 983 $108,588.56 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC[987] 987 $182,825.47 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC[988] 988 $245,481.66 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC[989] 989 $76,601.95 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS[998] 998 $3,223.02 SPINAL PROCEDURES W/O CC/MCC[030] 030 $245,701.03 SPINAL DISORDERS & INJURIES W CC/MCC[052] 052 $67,780.30 NERVOUS SYSTEM NEOPLASMS W MCC[054] 054 $56,847.61 DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC[056] 056 $69,757.32 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC[057] 057 $57,811.30 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC[064] 064 $90,181.43 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS[065] 065 $43,927.93 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC[066] 066 $45,453.46 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC[071] 071 $404,377.14 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC[074] 074 $39,925.94 VIRAL MENINGITIS W/O CC/MCC[076] 076 $60,995.31 NONTRAUMATIC STUPOR & COMA W/O MCC[081] 081 $51,064.75 TRAUMATIC STUPOR & COMA, COMA >1 HR W CC[083] 083 $50,464.21 CONCUSSION W CC[089] 089 $75,069.94 CONCUSSION W/O CC/MCC[090] 090 $71,545.99 OTHER DISORDERS OF NERVOUS SYSTEM W CC[092] 092 $70,769.90 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC[093] 093 $21,141.50 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC[097] 097 $36,306.77 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC[098] 098 $49,403.75 HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY 90371 $590.42 HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY 90371 $590.42 HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IM SOLN 90371 $1,081.45 HEPATITIS B IMMUNE GLOBULIN INJ SOLN 90371 $1,160.83 HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IM SOLN 90371 $4,248.62 HEPATITIS B IMMUNE GLOBULIN INJ SOLN 90371 $4,497.52 RABIES IMMUNE GLOBULIN 300 UNIT/ML IM INJ 90375 $4,014.62 RABIES IMMUNE GLOBULIN 300 UNIT/ML IM INJ 90375 $4,014.62 RABIES IMMUNE GLOBULIN 900 UNIT/3ML INJ SOLN 90375 $10,662.70 PALIVIZUMAB 50 MG/0.5ML IM SOLN 90378 $8,632.10 PALIVIZUMAB 100 MG/ML IM SOLN 90378 $16,299.73 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY 90620 $1,147.49 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP 90632 $542.01 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP 90632 $542.01 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP 90632 $547.37 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP 90633 $279.46 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP 90633 $279.46 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY 90636 $653.15 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR 90648 $152.93 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY 90662 $393.86 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY 90662 $421.42 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP 90670 $1,009.68 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP 90670 $1,013.83 RABIES VACCINE, PCEC IM SUSR 90675 $1,959.93 INFLUENZA VAC RECOM HA QUAD PF 0.5 ML IM SOSY 90682 $393.80 INFLUENZA VAC RECOM HA QUAD PF 0.5 ML IM SOSY 90682 $421.42 INFLUENZA VAC SPLIT QUAD 0.25 ML IM SUSY 90685 $170.42 INFLUENZA VAC SPLIT QUAD 0.25 ML IM SUSY 90685 $170.42 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $145.85 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $145.85 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $145.85 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $150.05 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $157.29 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $157.29 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $157.29 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSP 90686 $157.40 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $158.92 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $160.18 INFLUENZA VAC SPLIT QUAD 0.5 ML IM SUSY 90686 $160.18 DTAP-IPV VACCINE 0.5 ML IM SUSY 90696 $405.93 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP 90700 $208.74 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP 90700 $208.74 MEASLES, MUMPS & RUBELLA VAC INJ SOLR 90707 $490.72 MEASLES, MUMPS & RUBELLA VAC INJ SOLR 90707 $490.72 POLIOVIRUS VACCINE INACTIVATED INJ INJ 90713 $2,201.27 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ 90714 $257.78 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ 90714 $257.78 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ 90714 $288.86 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM (WRAPPED) 90715 $313.69 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM (WRAPPED) 90715 $313.69 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM (WRAPPED) 90715 $313.69 DTAP-HEPATITIS B RECOMB-IPV IM SUSP 90723 $596.87 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ INJ 90732 $578.76 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ INJ 90732 $578.76 MENING ACY&W-135 DIPHTH CONJ IM SOLN 90734 $752.96 MENING ACY&W-135 DIPHTH CONJ IM SOLN 90734 $752.96 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR 90734 $933.71 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSP 90744 $184.54 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUSP 90744 $184.54 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJ SUSP 90746 $408.77 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJ SUSP 90746 $408.77 BMH MEDICINAL SPIRITS (WHITE WINE) $6.83 ALBUTEROL SULFATE 2 MG/5ML PO SYRP $6.83 ALBUTEROL SULFATE 2 MG/5ML PO SYRP $6.83 ALBUTEROL SULFATE 2 MG/5ML PO SYRP $6.83 MEGESTROL ACETATE 20 MG PO TABS $6.83 VITAMIN B12 100 MCG PO TABS $6.83 BMH MEDICINAL SPIRITS (BRANDY) $6.83 BMH MEDICINAL SPIRITS (RED WINE) $6.83 BMH MEDICINAL SPIRITS (WHISKY) $6.83 BMH MEDICINAL SPIRITS (VODKA) $6.83 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5ML PO SYRP $6.83 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5ML PO SYRP $6.83 NORTRIPTYLINE HCL 75 MG PO CAPS $6.83 CHOLECALCIFEROL 50 MCG (2000 UT) PO CAPS $6.83 CHOLECALCIFEROL 50 MCG (2000 UT) PO CAPS $6.83 CALCIUM/VITAMIN D 500-200 MG-UNIT PO TABS $6.83 CALCIUM/VITAMIN D 500-200 MG-UNIT PO TABS $6.83 ALBUTEROL SULFATE 2 MG/5ML PO SYRP $6.98 DOCUSATE SODIUM 50 MG/5ML PO LIQD $7.14 BMH MEDICINAL SPIRITS (SCOTCH) $7.35 MEGESTROL ACETATE 20 MG PO TABS $9.40 BMH MEDICINAL SPIRITS (BEER) $9.61 LIDOCAINE VISCOUS HCL 2 % MT SOLN $9.77 LIDOCAINE VISCOUS HCL 2 % MT SOLN $9.77 TOPIRAMATE 100 MG PO TABS $11.29 TOPIRAMATE 100 MG PO TABS $11.29 MEGESTROL ACETATE 20 MG PO TABS $13.34 SILVER NITRATE-POT NITRATE 75-25 % EX MISC $13.65 SILVER NITRATE-POT NITRATE 75-25 % EX MISC $13.65 SILVER NITRATE-POT NITRATE 75-25 % EX MISC $13.65 SILVER NITRATE-POT NITRATE 75-25 % EX MISC $13.65 SILVER NITRATE-POT NITRATE 75-25 % EX MISC $13.65 SILVER NITRATE-POT NITRATE 75-25 % EX MISC $13.65 SODIUM CHLORIDE 0.9 % INH NEBU $13.65 SODIUM CHLORIDE 0.9 % INH NEBU $13.65 SODIUM CHLORIDE 3 % INH NEBU $13.65 TRIPLE ANTIBIOTIC 5-400-5000 EX OINT $13.65 CIPROFLOXACIN HCL 0.3 % OP SOLN $13.65 CIPROFLOXACIN HCL 0.3 % OP SOLN $13.65 IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML INH SOLN $13.65 FLEET ENEMA 7-19 GM/118ML PR ENEM $13.65 ENEMA 7-19 GM/118ML PR ENEM $13.65 CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS $14.18 CEFDINIR 125 MG/5ML PO SUSR $16.70 MEGESTROL ACETATE 20 MG PO TABS $18.74 PSEUDOEPHEDRINE HCL 15 MG/5ML PO LIQD $18.90 MORPHINE SULFATE 0.5 MG/ML 1 ML ORAL SYRINGE (BMH) $19.74 LIDOCAINE VISCOUS HCL 2 % MT SOLN $19.85 LIDOCAINE HCL 1 % INJ SOLN $19.95 LIDOCAINE HCL 1 % INJ SOLN $19.95 LIDOCAINE HCL 1 % INJ SOLN $19.95 METOPROLOL TARTRATE 5 MG/5ML IV SOLN $19.95 METOPROLOL TARTRATE 5 MG/5ML IV SOLN $19.95 METOPROLOL TARTRATE 5 MG/5ML IV SOLN $19.95 METOPROLOL TARTRATE 5 MG/5ML IV SOLN $19.95 METOPROLOL TARTRATE 5 MG/5ML IV SOLN $19.95 METOPROLOL TARTRATE 5 MG/5ML IV SOLN $19.95 STERILE WATER FOR INJECTION INJ SOLN $19.95 STERILE WATER FOR INJECTION INJ SOLN $19.95 NORMAL SALINE FLUSH 0.9 % IV SOLN $19.95 SALINE BACTERIOSTATIC 0.9 % INJ SOLN $19.95 SODIUM CHLORIDE FLUSH 0.9 % IV SOLN $19.95 BACTERIOSTATIC WATER(BENZ ALC) INJ SOLN $19.95 BACTERIOSTATIC WATER(BENZ ALC) INJ SOLN $19.95 LIDOCAINE-EPINEPHRINE 2 %-1:100000 INJ SOLN $19.95 SODIUM CHLORIDE BACTERIOSTATIC 0.9 % INJ SOLN $19.95 BMH BUPIVACAINE HCL-EPI DENTAL $19.95 BMH LIDOCAINE-EPI 2%-1:100,000 1.8ML $19.95 LIDOCAINE HCL (PF) 2 % INJ SOLN $19.95 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $19.95 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $19.95 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $19.95 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $19.95 CLINDAMYCIN (PEDS) INJ PER 100 MG $19.95 SODIUM CHLORIDE (PF) 0.9 % INJ SOLN $19.95 SODIUM CHLORIDE (PF) 0.9 % INJ SOLN $19.95 SODIUM CHLORIDE (PF) 0.9 % INJ SOLN $19.95 MINERAL OIL PR ENEM $20.37 ACETAMINOPHEN 650 MG/20.3ML PO SOLN $20.53 LOSARTAN POTASSIUM-HCTZ 50-12.5 MG PO TABS $21.00 IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML INH SOLN $21.00 LIDOCAINE HCL 2 % INJ SOLN $21.26 LIDOCAINE HCL 2 % INJ SOLN $21.26 INTRAOP LIDOCAINE HCL 20 MG/ML IV SOLN $21.26 INTRAOP LIDOCAINE HCL 20 MG/ML IV SOLN $21.26 LIDOCAINE-EPINEPHRINE 1 %-1:100000 INJ SOLN $21.74 LIDOCAINE-EPINEPHRINE 1 %-1:100000 INJ SOLN $21.74 FIRST-MOUTHWASH BLM MT SUSP $21.74 IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML INH SOLN $21.74 VANCOMYCIN HCL 50 MG/ML PO SOLR $21.84 TOPIRAMATE 100 MG PO TABS $22.58 TOPIRAMATE 100 MG PO TABS $22.58 STERILE WATER FOR INJECTION IV SOLN $23.21 BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN $23.57 MEDICINAL SPIRITS (BEER) $23.57 SENNA 8.6 MG PO TABS $23.73 INTRAOP PROPOFOL 10 MG/ML IV $24.31 BUPIVACAINE-EPINEPHRINE (PF) 0.5% -1:200000 INJ SOLN $24.52 LANSINOH LANOLIN EX CREA $25.57 SODIUM CHLORIDE (PF) 0.9 % INJ SOLN $25.73 LIDOCAINE HCL (PF) 2 % INJ SOLN $25.78 LIDOCAINE HCL 2 % INJ SOLN $26.30 INTRAOP LIDOCAINE HCL 20 MG/ML IV SOLN $26.30 CLINDAMYCIN PHOSPHATE 600 MG/4ML INJ SOLN $26.36 INTRAOP CLINDAMYCIN PHOSPHATE INJ SOLN $26.36 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5ML PO SYRP $26.78 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5ML PO SYRP $26.78 METOPROLOL TARTRATE 5 MG/5ML IV SOLN $27.30 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX $28.14 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $28.35 CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS $28.35 EYE WASH OP SOLN $28.72 CLINDAMYCIN PHOSPHATE 600 MG/4ML INJ SOLN $29.45 LIDOCAINE HCL 1 % INJ SOLN $29.82 LIDOCAINE HCL 1 % INJ SOLN $29.82 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $29.82 LIDOCAINE-EPINEPHRINE 1 %-1:200000 INJ SOLN $30.03 LIDOCAINE-EPINEPHRINE 1 %-1:100000 INJ SOLN $30.29 SODIUM CHLORIDE FLUSH 0.9 % IV SOLN $30.29 LIDOCAINE-EPINEPHRINE 2 %-1:100000 INJ SOLN $30.35 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $30.35 EPHEDRINE SULFATE 50 MG/ML INJ SOLN $31.03 LIDOCAINE HCL (PF) 2 % INJ SOLN $31.55 DEXTROSE 50 % IV SOLN $31.61 DEXTROSE 50 % IV SOLN $31.61 PHENYLEPHRINE HCL 10 MG/ML IV SOLN $32.39 PHENYLEPHRINE HCL 10 MG/ML IV SOLN $32.39 TRIPLE ANTIBIOTIC 5-400-5000 EX OINT $32.97 MEGESTROL ACETATE 40 MG/ML PO SUSP $33.23 CEFDINIR 125 MG/5ML PO SUSR $33.39 MEGESTROL ACETATE 400 MG/10ML PO SUSP $33.39 LIDOCAINE HCL 2 % INJ SOLN $33.71 LIDOCAINE HCL 2 % INJ SOLN $33.71 POTASSIUM ACETATE 2 MEQ/ML IV SOLN $33.71 INTRAOP LIDOCAINE HCL 20 MG/ML IV SOLN $33.71 METHOTREXATE SODIUM (PF) 50 MG/2ML INJ SOLN $33.97 LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOSY $34.34 POTASSIUM ACETATE 2 MEQ/ML IV SOLN $34.55 INSTA-GLUCOSE 77.4 % PO GEL $35.07 NUTRILYTE IV CONC $35.39 CLINDAMYCIN PHOSPHATE 600 MG/4ML INJ SOLN $35.49 INTRAOP CLINDAMYCIN PHOSPHATE INJ SOLN $35.49 MEGESTROL ACETATE 400 MG/10ML PO SUSP $35.60 MEGESTROL ACETATE 40 MG/ML PO SUSP $35.60 LABETALOL HCL 5 MG/ML IV SOLN $36.07 METRONIDAZOLE IN NACL 5-0.79 MG/ML-% IV SOLN $36.17 METRONIDAZOLE PREMIX (PEDS) $36.17 LIDOCAINE-EPINEPHRINE 1 %-1:100000 INJ SOLN $36.23 LIDOCAINE-EPINEPHRINE 1 %-1:100000 INJ SOLN $36.23 ROCURONIUM BROMIDE 50 MG/5ML IV SOLN $36.91 ROCURONIUM BROMIDE 50 MG/5ML IV SOLN $36.91 INTRAOP ROCURONIUM BROMIDE IV SOLN $36.91 PHENYLEPHRINE HCL 10 MG/ML IV SOLN $37.07 LIDOCAINE-EPINEPHRINE 1 %-1:100000 INJ SOLN $37.96 LIDOCAINE HCL 2 % INJ SOLN $38.43 LIDOCAINE-EPINEPHRINE 2 %-1:100000 INJ SOLN $38.43 LIDOCAINE-EPINEPHRINE 2 %-1:100000 INJ SOLN $38.43 LIDOCAINE HCL (PF) 2 % INJ SOLN $38.80 PHENYLEPHRINE HCL 0.125 % NA SOLN $38.96 LIDOCAINE HCL 2 % INJ SOLN $39.59 CLINDAMYCIN PHOSPHATE 900 MG/6ML INJ SOLN $39.74 INTRAOP CLINDAMYCIN PHOSPHATE INJ SOLN $39.74 CLINDAMYCIN PHOSPHATE 900 MG/6ML INJ SOLN $39.80 INTRAOP CLINDAMYCIN PHOSPHATE INJ SOLN $39.80 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $40.69 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $40.69 BOUDREAUXS BUTT PASTE EX PSTE $40.79 METHOTREXATE SODIUM (PF) 50 MG/2ML INJ SOLN $41.32 LOSARTAN POTASSIUM-HCTZ 50-12.5 MG PO TABS $42.00 LIDOCAINE-EPINEPHRINE 2 %-1:100000 INJ SOLN $42.05 SUFENTANIL CITRATE 50 MCG/ML IV SOLN $42.26 INTRAOP SUFENTANIL CITRATE 50 MCG/ML IV SOLN $42.26 CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS $42.47 ROCURONIUM BROMIDE 50 MG/5ML IV SOLN $44.21 TOPIRAMATE 100 MG PO TABS $45.15 TOPIRAMATE 100 MG PO TABS $45.15 BUPIVACAINE-EPINEPHRINE (PF) 0.5% -1:200000 INJ SOLN $45.73 BENZOCAINE-MENTHOL 20-0.5 % EX AERO $45.78 BETAMETHASONE DIPROPIONATE AUG 0.05 % EX CREA $47.04 LIDOCAINE HCL 4 % MT SOLN $47.30 GLYCERIN 35 % MT LIQD $47.51 ROCURONIUM BROMIDE 50 MG/5ML IV SOLN $47.67 ROCURONIUM BROMIDE 50 MG/5ML IV SOLN $47.67 INTRAOP ROCURONIUM BROMIDE IV SOLN $47.67 INTRAOP ROCURONIUM BROMIDE IV SOLN $47.67 MICONAZOLE NITRATE 2 % EX POWD $47.88 LIDOCAINE-EPINEPHRINE 1 %-1:100000 INJ SOLN $48.09 SODIUM CHLORIDE 0.9 % IV SOLN MINIBAG PLUS $50.30 LUBRIFRESH P.M. OP OINT $50.30 DIBUCAINE (PERIANAL) 1 % EX OINT $50.51 TOPIRAMATE 100 MG PO TABS $50.72 TOPIRAMATE 100 MG PO TABS $50.72 TOPIRAMATE 100 MG PO TABS $50.72 DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN $51.08 BUPIVACAINE-EPINEPHRINE (PF) 0.5% -1:200000 INJ SOLN $51.29 BENZOCAINE-MENTHOL 20-0.5 % EX AERO $51.29 LETS KIT $51.50 TRIAMCINOLONE ACETONIDE 0.025 % EX OINT $51.56 TRIAMCINOLONE ACETONIDE 0.025 % EX OINT $51.56 BENZOCAINE-MENTHOL 20-0.5 % EX AERO $53.03 LIDOCAINE HCL 4 % EX SOLN $54.50 DILTIAZEM HCL 125 MG/25ML IV SOLN $54.60 BMH SODIUM CHLORIDE 3 % IV SOLN $54.97 SODIUM CHLORIDE 4 MEQ/ML IV SOLN $55.13 SUFENTANIL CITRATE 50 MCG/ML IV SOLN $55.13 SUFENTANIL CITRATE 50 MCG/ML IV SOLN $55.13 INTRAOP SUFENTANIL CITRATE 50 MCG/ML IV SOLN $55.13 ZINC OXIDE 16 % EX OINT $55.23 TIMOLOL MALEATE 0.5 % OP SOLN $55.28 INTRAOP PROPOFOL 10 MG/ML IV $56.54 CALCIUM ACETATE (PHOS BINDER) 667 MG PO CAPS $56.65 LIDOCAINE HCL (PF) 2 % INJ SOLN $56.86 LIDOCAINE HCL (PF) 2 % INJ SOLN $56.86 LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY $58.17 TRANEXAMIC ACID 1000 MG/10ML IV SOLN $58.91 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $59.38 BUPIVACAINE HCL (PF) 0.5 % INJ SOLN $59.38 LIDOCAINE-EPINEPHRINE 1 %-1:200000 INJ SOLN $60.01 TPN ELECTROLYTES IV CONC $60.32 TPN ELECTROLYTES IV CONC $60.32 TRIPLE ANTIBIOTIC 5-400-5000 EX OINT $60.53 EPHEDRINE 50 MG/ML 1 ML SYRINGE $60.85 FLUMAZENIL 0.5 MG/5ML IV SOLN $61.27 KETAMINE HCL-SODIUM CHLORIDE 50-0.9 MG/5ML-% IV SOSY $61.79 POLY-VITE PEDIATRIC PO SOLN $62.27 LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA $63.16 LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA $63.16 FLUMAZENIL 0.5 MG/5ML IV SOLN $63.84 FLUMAZENIL 0.5 MG/5ML IV SOLN $63.89 BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM EX OINT $64.37 LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY $64.79 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $65.99 GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $65.99 LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX GEL $65.99 LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX GEL $65.99 LABETALOL HCL 5 MG/ML IV SOLN $65.99 ROCURONIUM BROMIDE 100 MG/10ML IV SOLN $65.99 INTRAOP GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $65.99 INTRAOP GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $65.99 CLINDAMYCIN PHOSPHATE 300 MG IN 50ML IVPB PREMIX (BMH) $66.78 LEVALBUTEROL HCL 1.25 MG/0.5ML INH NEBU $67.10 ERYTHROMYCIN 5 MG/GM OP OINT $68.30 TRANEXAMIC ACID 1000 MG/10ML IV SOLN $68.36 TRANEXAMIC ACID 1000 MG/10ML IV SOLN $68.36 ESMOLOL HCL 100 MG/10ML IV SOLN $68.72 KETAMINE HCL 50 MG/ML INJ SOLN $68.99 ESMOLOL HCL 100 MG/10ML IV SOLN $69.14 LABETALOL HCL 5 MG/ML IV SOLN $70.04 PEPPERMINT SPIRIT SPRT $70.77 SUFENTANIL CITRATE 100 MCG/2ML IV SOLN $71.40 SODIUM BICARBONATE 4 % IV SOLN $71.93 B-12 250 MCG PO TABS $72.35 LIDOCAINE 5 % EX PTCH $73.50 LIDOCAINE 5 % EX PTCH $73.50 BMH PATIENT'S OWN IV MEDICATION PHARMACY PREP FEE $73.50 BMH PATIENT'S OWN MED-CHEMO $73.50 ROCURONIUM BROMIDE 100 MG/10ML IV SOLN $73.66 GLYCOPYRROLATE 1 MG/5ML INJ SOLN $74.13 INTRAOP GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $74.13 CEFAZOLIN IN SODIUM CHLORIDE 3-0.9 GM/100ML-% IV SOLN $74.60 INDIGOTINDISULFONATE SODIUM 8 MG/ML INJ SOLN $75.13 LABETALOL HCL 5 MG/ML IV SOLN $75.39 KETAMINE HCL 100 MG/ML INJ SOLN $77.54 LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA $77.86 AZITHROMYCIN 200 MG/5ML PO SUSR $78.02 SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY $78.49 RISPERIDONE 0.25 MG PO TABS $78.65 BUPIVACAINE-EPINEPHRINE (PF) 0.5% -1:200000 INJ SOLN $79.07 BUPIVACAINE-EPINEPHRINE (PF) 0.5% -1:200000 INJ SOLN $79.07 LIDOCAINE HCL (PF) 1.5 % INJ SOLN $79.80 ERYTHROMYCIN 5 MG/GM OP OINT $80.22 DEXTROSE 50 % IV SOLN $80.48 DEXTROSE 50 % IV SOLN $80.48 LIDOCAINE 5 % EX PTCH $80.75 DEXTROSE 50 % IV SOLN $82.27 TROPICAMIDE 1 % OP SOLN $83.63 DEXTROSE 250 MG/ML IV SOLN $83.95 BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM EX OINT $84.84 CIPROFLOXACIN HCL 0.3 % OP SOLN $87.10 CIPROFLOXACIN HCL 0.3 % OP SOLN $87.10 BACITRACIN 50000 UNITS IM SOLR $87.36 BACITRACIN 50000 UNITS IM SOLR $87.36 DEXTROSE 50 % IV SOLN $88.20 CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN $88.20 CLINDAMYCIN PHOSPHATE IN NACL 600-0.9 MG/50ML-% IV SOLN $88.20 MUPIROCIN 2 % EX OINT $88.31 BUPIVACAINE-EPINEPHRINE (PF) 0.75% -1:200000 INJ SOLN $88.67 LIDOCAINE-EPINEPHRINE 1 %-1:200000 INJ SOLN $89.99 TOPIRAMATE 100 MG PO TABS $90.30 TOPIRAMATE 100 MG PO TABS $90.30 ERYTHROMYCIN 5 MG/GM OP OINT $90.41 ATROPINE SULFATE 1 MG/10ML INJ SOSY $91.04 POTASSIUM ACETATE 2 MEQ/ML IV SOLN $92.09 TETRACAINE HCL 0.5 % OP SOLN $92.51 POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN $93.71 CRANBERRY 475 MG PO CAPS $93.71 CRANBERRY FRUIT 475 MG PO CAPS $93.71 SODIUM BICARBONATE 4.2 % IV SOLN $94.45 EPHEDRINE SULFATE 50 MG/ML INJ SOLN $94.76 EPHEDRINE SULFATE 50 MG/ML INJ SOLN $94.82 POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN $95.18 SODIUM CHLORIDE 0.9 % IR SOLN $95.18 NAFCILLIN SODIUM 1 G INJ SOLR $96.13 INFUVITE ADULT IV INJ $96.34 BACITRACIN 50000 UNITS IM SOLR $96.92 BACITRACIN 50000 UNITS IM SOLR $97.44 EPHEDRINE SULFATE-NACL 50-0.9 MG/5ML-% IV SOSY $98.12 NAFCILLIN SODIUM 1 G INJ SOLR $98.28 SODIUM BICARBONATE 4.2 % IV SOLN $99.17 DILTIAZEM HCL 125 MG/25ML IV SOLN $99.38 GLYCOPYRROLATE 1 MG/5ML INJ SOLN $99.75 INTRAOP GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $99.75 INTRAOP GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $99.75 DAKINS (FULL STRENGTH) 0.5 % EX SOLN $99.86 DAKINS (1/4 STRENGTH) 0.125 % EX SOLN $99.86 LABETALOL HCL 5 MG/ML IV SOLN $100.17 LETS KIT $101.01 KETAMINE HCL 100 MG/ML INJ SOLN $101.33 TOPIRAMATE 100 MG PO TABS $101.38 BSS IO SOLN $101.80 TOBRAMYCIN 0.3 % OP SOLN $102.64 MAGNESIUM OXIDE 400 (240 MG) MG PO TABS $104.37 LETS KIT $104.69 TRANEXAMIC ACID 1000 MG/10ML IV SOLN $104.84 DEXTROSE 40 % IV SOLN $105.58 TOBRAMYCIN 0.3 % OP SOLN $106.00 BENZOCAINE 20 % MT AERO $106.26 TRACE MINERALS CR-CU-MN-ZN 0.01-1-0.5-5 MG/ML IV SOLN $107.05 PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR $107.31 CYCLOPENTOLATE HCL 1 % OP SOLN $107.52 MORPHINE SULFATE-NACL 150-0.9 MG/30ML-% IV SOSY $108.10 MICONAZOLE NITRATE 200 & 2 MG-% (9GM) VA KIT $108.73 GLYCOPYRROLATE 1 MG/5ML INJ SOLN $109.20 TIMOLOL MALEATE 0.25 % OP SOLN $109.20 LABETALOL HCL 5 MG/ML IV SOLN $109.20 SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY $109.20 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN $109.57 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN $109.57 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN $109.57 ROCURONIUM BROMIDE 50 MG/5ML IV SOSY $111.67 SODIUM GLYCEROPHOSPHATE 1 MMOLE/ML IV SOLN $113.56 TRACE MINERALS CR-CU-MN-SE-ZN 10-1000-500-60 MCG/ML IV SOLN $113.77 OMEPRAZOLE MAGNESIUM 20 MG PO TBEC $115.34 DEXTROSE 50 % IV SOLN $115.76 NEOMYCIN-POLYMYXIN B GU IR SOLN $116.03 NEOMYCIN-POLYMYXIN B GU 40-200000 IR SOLN $116.03 KETAMINE HCL 100 MG/ML INJ SOLN $116.55 BUPIVACAINE-EPINEPHRINE 0.5% -1:200000 INJ SOLN $116.87 INTRAOP LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 INJ SOLN $119.70 CISATRACURIUM BESYLATE (PF) 10 MG/5ML IV SOLN $122.33 CYCLOPENTOLATE HCL 1 % OP SOLN $122.33 MINERAL OIL LIGHT OIL $122.69 TIMOLOL MALEATE 0.5 % OP SOLN $123.80 TIMOLOL MALEATE 0.5 % OP SOLN $123.80 ERYTHROMYCIN 5 MG/GM OP OINT $125.11 ESMOLOL HCL 100 MG/10ML IV SOLN $125.69 BUPIVACAINE-EPINEPHRINE 0.5% -1:200000 INJ SOLN $125.95 BUPIVACAINE-EPINEPHRINE 0.5% -1:200000 INJ SOLN $125.95 SODIUM CHLORIDE 0.9 % IV SOLN MINIBAG PLUS $126.00 ROCURONIUM 50 MG/5ML (10 MG/ML) INJ SYRINGE (BMH) $126.32 POTASSIUM PHOSPHATES 45 MMOLE/15ML IV SOLN $127.89 POTASSIUM PHOSPHATES 15 MMOLE/5ML IV SOLN $129.36 CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN $131.78 NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP SUSP $133.25 PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR $134.14 MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN $135.40 MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN $135.40 CISATRACURIUM BESYLATE (PF) 10 MG/5ML IV SOLN $136.97 LIDOCAINE-EPINEPHRINE 2 %-1:200000 INJ SOLN $137.29 ATRACURIUM BESYLATE 100 MG/10ML IV SOLN $139.81 SODIUM PHOSPHATE 3 MMOLE/ML IV SOLN $141.02 CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN $141.91 GENTAMICIN SULFATE 0.3 % OP SOLN $145.58 KERR INSTA-CHAR IN SORBITOL 50 GM/240ML PO LIQD $145.79 ACTIDOSE WITH SORBITOL 50 GM/240ML PO LIQD $145.79 ACTIDOSE WITH SORBITOL 50 GM/240ML PO LIQD $145.79 PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR $147.26 CLINDAMYCIN PHOSPHATE IN NACL 900-0.9 MG/50ML-% IV SOLN $148.94 LACTATED RINGERS IR SOLN $154.40 RISPERIDONE 0.25 MG PO TABS $157.24 NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN $157.45 NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN $158.87 SELENIUM 40 MCG/ML IV SOLN $161.33 NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN $165.69 MUPIROCIN 2 % EX OINT $167.63 DOXYCYCLINE HYCLATE 100 MG IV SOLR $169.05 DOXYCYCLINE HYCLATE 100 MG IV SOLR $169.05 FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL $171.05 LETS KIT $171.89 KETAMINE HCL 10 MG/ML INJ SOLN $172.83 TRACE MINERALS CU-MN-SE-ZN 300-55-60-3000 MCG/ML IV SOLN $173.04 TRACE MINERALS CU-MN-SE-ZN 300-55-60-3000 MCG/ML IV SOLN $173.04 NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN $174.09 TRANEXAMIC ACID 1000 MG/10ML IV SOLN $174.72 POTASSIUM PHOSPHATES 15 MMOLE/5ML IV SOLN $174.72 KETAMINE HCL 10 MG/ML INJ SOLN $175.72 NAFCILLIN SODIUM 2 G INJ SOLR $177.08 M.V.I. ADULT IV INJ $177.50 INFUVITE ADULT IV INJ $177.50 SODIUM CHLORIDE 0.9 % IR SOLN $177.98 HETASTARCH-NACL 6-0.9 % IV SOLN $177.98 NITROPRUSSIDE SODIUM 25 MG/ML IV SOLN $179.08 SODIUM PHOSPHATE-NACL 15 MMOL/250ML IV SOLN $180.18 TRANEXAMIC ACID 1000 MG/10ML IV SOLN $180.86 NAFCILLIN SODIUM 2 G INJ SOLR $181.13 TRANEXAMIC ACID 1000 MG/10ML IV SOLN $181.65 NITROPRUSSIDE SODIUM 25 MG/ML IV SOLN $182.02 MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN $185.85 NAFCILLIN SODIUM 2 G INJ SOLR $189.68 OXYTOCIN-SODIUM CHLORIDE 20-0.9 UNIT/L-% IV SOLN $194.51 ESMOLOL HCL 2500 MG/250ML IV SOLN $194.57 CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN $195.46 CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN $195.46 BMH SODIUM PHOSPHATE 15 MMOLE/100 ML 0.9% NACL $196.77 HETASTARCH-NACL 6-0.9 % IV SOLN $197.61 SODIUM FLUORIDE 2.2 (1 F) MG PO CHEW $199.08 NICARDIPINE HCL 2.5 MG/ML IV SOLN $205.38 TOBRAMYCIN 0.3 % OP SOLN $208.48 TOBRAMYCIN 0.3 % OP SOLN $208.58 DOXYCYCLINE HYCLATE 100 MG IV SOLR $211.94 AZITHROMYCIN 200 MG/5ML PO SUSR $214.04 AZITHROMYCIN 200 MG/5ML PO SUSR $214.04 BSS IO SOLN $217.82 FENTANYL-BUPIVACAINE-NACL 0.2-0.1-0.9 MG/100ML-% EPID SOLN $218.03 OXYTOCIN-SODIUM CHLORIDE 20-0.9 UNIT/L-% IV SOLN $218.40 AZTREONAM 1 G INJ SOLR $219.82 EPHEDRINE SULFATE 50 MG/ML IV SOLN $223.70 INTRAOP EPHEDRINE SULFATE 50 MG/ML INJ SOLN $223.70 FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL $231.42 DEXTROSE 10 % IV SOLN $233.52 DEXTROSE 50 % IV SOLN $233.52 MANNITOL 20 % IV SOLN $233.52 MANNITOL 20 % IV SOLN $233.52 BMH SODIUM CHLORIDE 3 % IV SOLN $233.52 HETASTARCH-NACL 6-0.9 % IV SOLN $233.52 DEXTROSE 70 % IV SOLN $233.52 DEXTROSE 70 % IV SOLN $233.52 SODIUM CHLORIDE 3 % IV SOLN $233.52 INTRAOP PROPOFOL 10 MG/ML IV $235.41 CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN $235.83 CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN $235.83 DIATRIZOATE MEGLUMINE 18 % UR SOLN $237.46 SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY $238.25 GENTAMICIN SULFATE 0.3 % OP OINT $238.98 GLYCOPYRROLATE 1 MG/5ML INJ SOLN $241.45 INTRAOP PROPOFOL 10 MG/ML IV $241.45 INTRAOP GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $241.45 INTRAOP GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $241.45 CHARCOAL ACTIVATED PO LIQD $248.85 KERR INSTA-CHAR IN SORBITOL 50 GM/240ML PO LIQD $248.85 MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN $248.85 PHENYLEPHRINE HCL 2.5 % OP SOLN $249.27 BMH FENTANYL(2 MCG/ML)-BUPIVACAINE (0.1%)/0.9%NACL $255.41 TIMOLOL MALEATE 0.25 % OP SOLN $257.67 LETS KIT $261.71 MUPIROCIN 2 % EX OINT $262.24 PROPARACAINE HCL 0.5 % OP SOLN $267.54 PROPARACAINE HCL 0.5 % OP SOLN $269.17 PROPARACAINE HCL 0.5 % OP SOLN $269.17 NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP SUSP $269.96 METHOTREXATE SODIUM 250 MG/10ML INJ SOLN $270.38 OLANZAPINE 10 MG IM SOLR $278.36 SODIUM CHLORIDE 0.45 % IV SOLN $281.56 DEXTROSE-NACL 5-0.45 % IV SOLN $281.56 DEXTROSE-NACL 5-0.45 % IV SOLN $281.56 DEXTROSE-NACL 5-0.2 % IV SOLN $281.56 CHARCOAL ACTIVATED PO LIQD $281.77 OLANZAPINE 10 MG IM SOLR $285.29 DEXMEDETOMIDINE HCL-DEXTROSE 200MCG/50ML -5% IV SOLN $290.12 CIPROFLOXACIN HCL 0.3 % OP SOLN $290.27 CIPROFLOXACIN HCL 0.3 % OP SOLN $290.27 ATROPINE SULFATE 1 % OP SOLN $293.63 LIDOCAINE HCL 4 % EX SOLN $294.47 LIDOCAINE HCL 4 % EX SOLN $294.47 OLANZAPINE 10 MG IM SOLR $303.29 FLUORESCEIN SODIUM 10 % IV SOLN $306.02 PREDNISOLONE ACETATE 1 % OP SUSP $307.76 ULTRABAG/DIANEAL/2.5% DEXTROSE 395 MOSM/L IP SOLN $308.54 AZITHROMYCIN 500 MG PO TABS $313.22 RISPERIDONE 0.25 MG PO TABS $314.48 DEXMEDETOMIDINE HCL IN NACL 200 MCG/50ML IV SOLN $316.58 NEOMYCIN-BACITRACIN ZN-POLYMYX 5-400-10000 OP OINT $316.79 ARGININE HCL (DIAGNOSTIC) 10 % IV SOLN $317.94 GLYCOPYRROLATE 1 MG/5ML INJ SOLN $319.88 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN $321.14 CLINIMIX/DEXTROSE (5/25) 5 % IV SOLN $321.93 ATROPINE SULFATE 1 % OP SOLN $322.72 FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL $323.61 EPHEDRINE SULFATE 50 MG/ML INJ SOLN $323.77 ATROPINE SULFATE 1 % OP SOLN $324.77 ALCOHOL 98 % INJ SOLN $326.97 ULTRABAG/DIANEAL/1.5% DEXTROSE 344 MOSM/L IP SOLN $335.37 INTRAOP GLYCOPYRROLATE 0.2 MG/ML INJ SOLN $337.42 SULFACETAMIDE SODIUM 10 % OP SOLN $339.36 KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 40-5-0.9 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 40-5-0.9 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 20-5-0.2 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 30-5-0.45 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 40-5-0.45 MEQ/L-%-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 40-5-0.45 MEQ/L-%-% IV SOLN $344.51 POTASSIUM CHLORIDE IN NACL 20-0.9 MEQ/L-% IV SOLN $344.51 POTASSIUM CHLORIDE IN NACL 20-0.9 MEQ/L-% IV SOLN $344.51 POTASSIUM CHLORIDE IN NACL 40-0.9 MEQ/L-% IV SOLN $344.51 KCL IN DEXTROSE-NACL 20-5-0.225 MEQ/L-%-% IV SOLN $344.51 EPHEDRINE SULFATE 50 MG/ML IV SOLN $348.13 PENICILLIN G SODIUM 5000000 UNITS INJ SOLR $353.38 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN $357.11 LIDOCAINE HCL 4 % EX SOLN $359.63 FOLIC ACID 5 MG/ML INJ SOLN $362.09 EPHEDRINE SULFATE 50 MG/ML IV SOLN $362.67 CLINIMIX E/DEXTROSE (5/20) 5 % IV SOLN $362.67 INTRAOP EPHEDRINE SULFATE 50 MG/ML INJ SOLN $362.67 TRANEXAMIC ACID 1000 MG/10ML IV SOLN $368.08 DIANEAL LOW CALCIUM/4.25% DEX 483 MOSM/L IP SOLN $368.08 CLINIMIX E/DEXTROSE (4.25/5) 4.25 % IV SOLN $379.16 INSULIN REGULAR(HUMAN) IN NACL 100-0.9 UT/100ML-% IV SOLN $380.26 NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN $381.31 OFLOXACIN 0.3 % OP SOLN $391.34 DOXAPRAM HCL 20 MG/ML IV SOLN $391.76 CLINIMIX/DEXTROSE (5/20) 5 % IV SOLN $393.75 CLINIMIX E/DEXTROSE (5/25) 5 % IV SOLN $393.75 AZTREONAM 2 G INJ SOLR $402.10 DIANEAL LOW CALCIUM/1.5% DEX 344 MOSM/L IP SOLN $404.88 NICARDIPINE HCL IN NACL 20-0.86 MG/200ML-% IV SOLN $424.52 FLUMAZENIL 1 MG/10ML IV SOLN $459.38 THROMBIN 5000 UNITS EX SOLR $481.48 CEFDINIR 125 MG/5ML PO SUSR $495.71 CEFDINIR 125 MG/5ML PO SUSR $495.71 NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP $502.43 CLINIMIX/DEXTROSE (4.25/5) 4.25 % IV SOLN $515.34 NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP $523.37 KETOROLAC TROMETHAMINE 0.5 % OP SOLN $533.30 AZTREONAM 2 G INJ SOLR $539.70 CLINIMIX/DEXTROSE (5/15) 5 % IV SOLN $552.14 LIDOCAINE HCL MONOHYDRATE POWD $556.24 IPRATROPIUM BROMIDE 0.03 % NA SOLN $557.24 TETRACAINE HCL 1 % INJ SOLN $559.07 THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR $574.04 THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR $574.04 SODIUM TETRADECYL SULFATE 1 % IV SOLN $575.14 SODIUM TETRADECYL SULFATE 1 % IV SOLN $575.14 SODIUM TETRADECYL SULFATE 3 % IV SOLN $575.14 PHYSOSTIGMINE SALICYLATE 1 MG/ML INJ SOLN $576.35 EDROPHONIUM CHLORIDE 10 MG/ML INJ SOLN $588.95 DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN $588.95 GATIFLOXACIN 0.5 % OP SOLN $589.63 GATIFLOXACIN 0.5 % OP SOLN $589.63 GATIFLOXACIN 0.5 % OP SOLN $589.63 IOPAMIDOL 41 % INJ SOLN $590.94 BACITRACIN 500 UNIT/GM OP OINT $591.05 DANTROLENE SODIUM 20 MG IV SOLR $591.68 TUBERCULIN PPD 5 UNIT/0.1ML ID SOLN $592.99 TUBERCULIN PPD 5 UNIT/0.1ML ID SOLN $598.87 NITROPRUSSIDE SODIUM 25 MG/ML IV SOLN $600.76 METHOHEXITAL SODIUM 0.5 G INJ SOLR $602.44 ASCORBIC ACID 500 MG/ML INJ SOLN $604.07 INDOCYANINE GREEN 25 MG IV SOLR $607.11 INDOCYANINE GREEN 25 MG IV SOLR $607.11 TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP $607.22 GLYBURIDE MICRONIZED 3 MG PO TABS $610.47 TRIAMCINOLONE ACETONIDE 55 MCG/ACT NA AERO $612.20 CLINIMIX E/DEXTROSE (4.25/5) 4.25 % IV SOLN $624.23 TALC 4 G PL AERP $628.79 CLINIMIX/DEXTROSE (5/20) 5 % IV SOLN $637.67 CLINIMIX E/DEXTROSE (5/15) 5 % IV SOLN $664.49 INDOCYANINE GREEN 25 MG IV SOLR $673.31 NUTRILYTE IV CONC $675.83 CLINIMIX E/DEXTROSE (5/20) 5 % IV SOLN $677.88 NICARDIPINE HCL IN NACL 20-0.86 MG/200ML-% IV SOLN $678.62 NICARDIPINE HCL IN DEXTROSE 20-4.8 MG/200ML-% IV SOLN $678.62 LEVOTHYROXINE SODIUM 100 MCG IV SOLR $704.76 LEVOTHYROXINE SODIUM 100 MCG IV SOLR $704.76 METRONIDAZOLE BENZOATE POWD $711.11 ACETYLCHOLINE CHLORIDE 20 MG IO SOLR $727.86 SUGAMMADEX SODIUM 200 MG/2ML IV SOLN $733.85 SUGAMMADEX SODIUM 200 MG/2ML IV SOLN $733.85 INDOCYANINE GREEN 25 MG IV SOLR $760.46 OFLOXACIN 0.3 % OT SOLN $769.91 AMINOSYN II 8.5 % IV SOLN $771.86 AMINOSYN 10 % IV SOLN $784.51 AMINOSYN 10 % IV SOLN $818.21 AMINOSYN 10 % IV SOLN $830.87 FREAMINE III 10 % IV SOLN $830.87 TRAVASOL 10 % IV SOLN $830.87 ROTAVIRUS VACCINE LIVE ORAL PO SUSR $847.09 AMINOSYN 10 % IV SOLN $864.52 NITROPRUSSIDE SODIUM 25 MG/ML IV SOLN $867.72 NEPHRAMINE 5.4 % IV SOLN $870.87 AMINOSYN-RF 5.2 % IV SOLN $877.17 MEGESTROL ACETATE 40 MG/ML PO SUSP $883.42 MEGESTROL ACETATE 40 MG/ML PO SUSP $883.42 DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS $997.82 PENTAMIDINE ISETHIONATE 300 MG INJ SOLR $999.39 AMINOSYN 10 % IV SOLN $1,003.54 FIRST-MOUTHWASH BLM MT SUSP $1,028.27 INDIGOTINDISULFONATE SODIUM 8 MG/ML INJ SOLN $1,128.28 INDIGOTINDISULFONATE SODIUM 8 MG/ML INJ SOLN $1,128.28 BUPIVACAINE LIPOSOME 1.3 % INJ SUSP $1,133.95 DESMOPRESSIN ACE SPRAY REFRIG 0.01 % NA SOLN $1,228.87 COCAINE HCL 40 MG/ML NA SOLN $1,320.38 TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP OINT $1,366.52 CISATRACURIUM BESYLATE (PF) 200 MG/20ML IV SOLN $1,377.29 CISATRACURIUM BESYLATE (PF) 200 MG/20ML IV SOLN $1,377.29 FINGOLIMOD HCL 0.5 MG PO CAPS $1,430.89 COCAINE HCL 40 MG/ML NA SOLN $1,467.11 LIDOCAINE 5 % EX OINT $1,497.04 BMH MITOMYCIN-C 40 MG/40 ML INJ $1,497.04 CISATRACURIUM BESYLATE (PF) 200 MG/20ML IV SOLN $1,778.49 ERYTHROMYCIN 250 MG PO TBEC $1,831.94 CIPROFLOXACIN-HYDROCORTISONE 0.2-1 % OT SUSP $1,891.42 BUPIVACAINE LIPOSOME 1.3 % INJ SUSP $2,061.10 CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN $2,132.97 CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN $2,132.97 BARIUM SULFATE 700 MG PO TABS $2,179.54 BERACTANT IN NACL 25-0.9 MG/ML-% INTRATRACHEA SUSP $2,293.46 REMDESIVIR 100 MG IV SOLR $3,113.78 REMDESIVIR 100 MG IV SOLR $3,113.78 REMDESIVIR 100 MG IV SOLR $3,113.78 AZITHROMYCIN 500 MG PO TABS $3,132.15 LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT $7,183.68 ISOPROTERENOL HCL 0.2 MG/ML INJ SOLN $9,490.01 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 325 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAMINOPHEN 500 MG PO TABS A9270 $6.83 ACETAZOLAMIDE 250 MG PO TABS A9270 $6.83 ACETAZOLAMIDE 250 MG PO TABS A9270 $6.83 ACETAZOLAMIDE 250 MG PO TABS A9270 $6.83 ACIDOPHILUS/CITRUS PECTIN PO TABS A9270 $6.83 ALLOPURINOL 100 MG PO TABS A9270 $6.83 ALLOPURINOL 100 MG PO TABS A9270 $6.83 ALLOPURINOL 100 MG PO TABS A9270 $6.83 ALLOPURINOL 100 MG PO TABS A9270 $6.83 ALLOPURINOL 100 MG PO TABS A9270 $6.83 ALLOPURINOL 100 MG PO TABS A9270 $6.83 ALLOPURINOL 100 MG PO TABS A9270 $6.83 ALLOPURINOL 100 MG PO TABS A9270 $6.83 ALLOPURINOL 300 MG PO TABS A9270 $6.83 ALLOPURINOL 300 MG PO TABS A9270 $6.83 ALLOPURINOL 300 MG PO TABS A9270 $6.83 ALPRAZOLAM 0.5 MG PO TABS A9270 $6.83 LOPERAMIDE HCL 1 MG/7.5ML PO SUSP A9270 $6.83 LOPERAMIDE HCL 1 MG/7.5ML PO SUSP A9270 $6.83 LOPERAMIDE HCL 1 MG/7.5ML PO SUSP A9270 $6.83 LOPERAMIDE HCL 1 MG/7.5ML PO SUSP A9270 $6.83 AMILORIDE HCL 5 MG PO TABS A9270 $6.83 AMILORIDE HCL 5 MG PO TABS A9270 $6.83 AMITRIPTYLINE HCL 10 MG PO TABS A9270 $6.83 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $6.83 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $6.83 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $6.83 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $6.83 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $6.83 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $6.83 AMOXICILLIN 250 MG PO CAPS A9270 $6.83 AMOXICILLIN 250 MG PO CAPS A9270 $6.83 AMOXICILLIN 500 MG PO CAPS A9270 $6.83 AMOXICILLIN 500 MG PO CAPS A9270 $6.83 ATENOLOL 25 MG PO TABS A9270 $6.83 ATENOLOL 50 MG PO TABS A9270 $6.83 ATENOLOL 50 MG PO TABS A9270 $6.83 ATENOLOL 50 MG PO TABS A9270 $6.83 ATENOLOL 50 MG PO TABS A9270 $6.83 BACLOFEN 10 MG PO TABS A9270 $6.83 BACLOFEN 10 MG PO TABS A9270 $6.83 BENZONATATE 100 MG PO CAPS A9270 $6.83 BENZONATATE 100 MG PO CAPS A9270 $6.83 BENZTROPINE MESYLATE 1 MG PO TABS A9270 $6.83 BENZTROPINE MESYLATE 1 MG PO TABS A9270 $6.83 BENZTROPINE MESYLATE 1 MG PO TABS A9270 $6.83 BENZTROPINE MESYLATE 1 MG PO TABS A9270 $6.83 VENLAFAXINE HCL ER 37.5 MG PO CP24 A9270 $6.83 CARISOPRODOL 350 MG PO TABS A9270 $6.83 CARISOPRODOL 350 MG PO TABS A9270 $6.83 CARISOPRODOL 350 MG PO TABS A9270 $6.83 CARISOPRODOL 350 MG PO TABS A9270 $6.83 MAGNESIUM OXIDE 400 (241.3 MG) MG PO TABS A9270 $6.83 MAGNESIUM OXIDE 400 (241.3 MG) MG PO TABS A9270 $6.83 MAGNESIUM OXIDE 400 (241.3 MG) MG PO TABS A9270 $6.83 MAGNESIUM OXIDE 400 (241.3 MG) MG PO TABS A9270 $6.83 MAGNESIUM OXIDE 400 (241.3 MG) MG PO TABS A9270 $6.83 MAGNESIUM OXIDE 400 (241.3 MG) MG PO TABS A9270 $6.83 CHLORDIAZEPOXIDE HCL 25 MG PO CAPS A9270 $6.83 CHLORDIAZEPOXIDE HCL 25 MG PO CAPS A9270 $6.83 CHLORDIAZEPOXIDE HCL 25 MG PO CAPS A9270 $6.83 CLINDAMYCIN HCL 150 MG PO CAPS A9270 $6.83 CLONIDINE HCL 0.1 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.1 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.1 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.1 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.1 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.1 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.1 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.1 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.1 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.2 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.2 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.2 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.2 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.2 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.2 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.2 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.2 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.2 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.3 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.3 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.3 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.3 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.3 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.3 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.3 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.3 MG PO TABS A9270 $6.83 CLONIDINE HCL 0.3 MG PO TABS A9270 $6.83 COD LIVER OIL PO CAPS A9270 $6.83 CYCLOBENZAPRINE HCL 10 MG PO TABS A9270 $6.83 CYCLOBENZAPRINE HCL 10 MG PO TABS A9270 $6.83 CYCLOBENZAPRINE HCL 10 MG PO TABS A9270 $6.83 DEXAMETHASONE 1 MG PO TABS A9270 $6.83 DEXAMETHASONE 1 MG PO TABS A9270 $6.83 DEXAMETHASONE 1 MG PO TABS A9270 $6.83 DEXAMETHASONE 4 MG PO TABS A9270 $6.83 DEXAMETHASONE 4 MG PO TABS A9270 $6.83 DEXAMETHASONE 4 MG PO TABS A9270 $6.83 DEXAMETHASONE 4 MG PO TABS A9270 $6.83 DIAZEPAM 10 MG PO TABS A9270 $6.83 DIAZEPAM 10 MG PO TABS A9270 $6.83 DIAZEPAM 10 MG PO TABS A9270 $6.83 DIAZEPAM 10 MG PO TABS A9270 $6.83 DIAZEPAM 10 MG PO TABS A9270 $6.83 DIAZEPAM 10 MG PO TABS A9270 $6.83 DIAZEPAM 10 MG PO TABS A9270 $6.83 DIAZEPAM 10 MG PO TABS A9270 $6.83 DIAZEPAM 10 MG PO TABS A9270 $6.83 DICYCLOMINE HCL 10 MG PO CAPS A9270 $6.83 DICYCLOMINE HCL 10 MG PO CAPS A9270 $6.83 DICYCLOMINE HCL 10 MG PO CAPS A9270 $6.83 DICYCLOMINE HCL 10 MG PO CAPS A9270 $6.83 DICYCLOMINE HCL 10 MG PO CAPS A9270 $6.83 DILTIAZEM HCL 30 MG PO TABS A9270 $6.83 DILTIAZEM HCL 30 MG PO TABS A9270 $6.83 DILTIAZEM HCL 30 MG PO TABS A9270 $6.83 DILTIAZEM HCL 30 MG PO TABS A9270 $6.83 DILTIAZEM HCL 30 MG PO TABS A9270 $6.83 DILTIAZEM HCL 30 MG PO TABS A9270 $6.83 DIPHENHYDRAMINE HCL 25 MG PO CAPS A9270 $6.83 DIPHENHYDRAMINE HCL 25 MG PO CAPS A9270 $6.83 DIPHENHYDRAMINE HCL 50 MG PO CAPS A9270 $6.83 DIPHENHYDRAMINE HCL 50 MG PO CAPS A9270 $6.83 CALCIUM CITRATE-VITAMIN D 315-250 MG-UNIT PO TABS A9270 $6.83 CALCIUM CITRATE-VITAMIN D 315-250 MG-UNIT PO TABS A9270 $6.83 DOCUSATE SODIUM 100 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 100 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 100 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 100 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 100 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 100 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 100 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 100 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOCUSATE SODIUM 250 MG PO CAPS A9270 $6.83 DOXEPIN HCL 10 MG PO CAPS A9270 $6.83 FOLIC ACID 1 MG PO TABS A9270 $6.83 FOLIC ACID 1 MG PO TABS A9270 $6.83 FOLIC ACID 1 MG PO TABS A9270 $6.83 FOLIC ACID 1 MG PO TABS A9270 $6.83 FOLIC ACID 1 MG PO TABS A9270 $6.83 FOLIC ACID 400 MCG PO TABS A9270 $6.83 FOLIC ACID 400 MCG PO TABS A9270 $6.83 FOLIC ACID 400 MCG PO TABS A9270 $6.83 FOLIC ACID 400 MCG PO TABS A9270 $6.83 FOLIC ACID 400 MCG PO TABS A9270 $6.83 FOLIC ACID 400 MCG PO TABS A9270 $6.83 CLOZAPINE 100 MG PO TABS A9270 $6.83 FUROSEMIDE 20 MG PO TABS A9270 $6.83 FUROSEMIDE 40 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 FUROSEMIDE 80 MG PO TABS A9270 $6.83 GLYBURIDE 5 MG PO TABS A9270 $6.83 GLYBURIDE 5 MG PO TABS A9270 $6.83 GLYBURIDE 5 MG PO TABS A9270 $6.83 GLYBURIDE 5 MG PO TABS A9270 $6.83 HALOPERIDOL 1 MG PO TABS A9270 $6.83 HALOPERIDOL 1 MG PO TABS A9270 $6.83 HALOPERIDOL 5 MG PO TABS A9270 $6.83 HALOPERIDOL 5 MG PO TABS A9270 $6.83 HALOPERIDOL 5 MG PO TABS A9270 $6.83 HALOPERIDOL 5 MG PO TABS A9270 $6.83 HALOPERIDOL 5 MG PO TABS A9270 $6.83 HALOPERIDOL 5 MG PO TABS A9270 $6.83 HALOPERIDOL 5 MG PO TABS A9270 $6.83 HALOPERIDOL 5 MG PO TABS A9270 $6.83 HALOPERIDOL 5 MG PO TABS A9270 $6.83 HYDRALAZINE HCL 10 MG PO TABS A9270 $6.83 HYDRALAZINE HCL 10 MG PO TABS A9270 $6.83 HYDRALAZINE HCL 25 MG PO TABS A9270 $6.83 HYDRALAZINE HCL 25 MG PO TABS A9270 $6.83 HYDRALAZINE HCL 25 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 25 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 25 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 25 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 25 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 25 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 25 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 25 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 25 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 25 MG PO TABS A9270 $6.83 HYDROCORTISONE 10 MG PO TABS A9270 $6.83 HYDROCORTISONE 10 MG PO TABS A9270 $6.83 HYDROMORPHONE HCL 2 MG PO TABS A9270 $6.83 HYDROMORPHONE HCL 2 MG PO TABS A9270 $6.83 HYDROMORPHONE HCL 2 MG PO TABS A9270 $6.83 HYDROMORPHONE HCL 4 MG PO TABS A9270 $6.83 HYDROMORPHONE HCL 4 MG PO TABS A9270 $6.83 HYDROMORPHONE HCL 4 MG PO TABS A9270 $6.83 HYDROMORPHONE HCL 4 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 10 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 10 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 10 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 10 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 10 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 25 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 25 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 25 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 25 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 25 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 25 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 25 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 50 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 50 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 50 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 50 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 50 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 50 MG PO TABS A9270 $6.83 HYDROXYZINE HCL 50 MG PO TABS A9270 $6.83 HYDROXYZINE PAMOATE 25 MG PO CAPS A9270 $6.83 HYDROXYZINE PAMOATE 25 MG PO CAPS A9270 $6.83 HYDROXYZINE PAMOATE 25 MG PO CAPS A9270 $6.83 HYDROXYZINE PAMOATE 50 MG PO CAPS A9270 $6.83 HYDROXYZINE PAMOATE 50 MG PO CAPS A9270 $6.83 IBUPROFEN 200 MG PO TABS A9270 $6.83 IBUPROFEN 200 MG PO TABS A9270 $6.83 IBUPROFEN 200 MG PO TABS A9270 $6.83 IBUPROFEN 200 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 400 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 600 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IBUPROFEN 800 MG PO TABS A9270 $6.83 IMIPRAMINE HCL 25 MG PO TABS A9270 $6.83 INDAPAMIDE 2.5 MG PO TABS A9270 $6.83 INDAPAMIDE 2.5 MG PO TABS A9270 $6.83 INDAPAMIDE 2.5 MG PO TABS A9270 $6.83 INDOMETHACIN 25 MG PO CAPS A9270 $6.83 INDOMETHACIN 25 MG PO CAPS A9270 $6.83 ISONIAZID 100 MG PO TABS A9270 $6.83 ISONIAZID 100 MG PO TABS A9270 $6.83 ISONIAZID 100 MG PO TABS A9270 $6.83 ISOSORBIDE DINITRATE 10 MG PO TABS A9270 $6.83 ISOSORBIDE DINITRATE 20 MG PO TABS A9270 $6.83 ISOSORBIDE DINITRATE 20 MG PO TABS A9270 $6.83 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $6.83 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $6.83 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $6.83 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $6.83 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $6.83 LIOTHYRONINE SODIUM 25 MCG PO TABS A9270 $6.83 LIOTHYRONINE SODIUM 25 MCG PO TABS A9270 $6.83 LIOTHYRONINE SODIUM 25 MCG PO TABS A9270 $6.83 LISINOPRIL 20 MG PO TABS A9270 $6.83 LISINOPRIL 20 MG PO TABS A9270 $6.83 LISINOPRIL 20 MG PO TABS A9270 $6.83 LISINOPRIL 20 MG PO TABS A9270 $6.83 LITHIUM CARBONATE 150 MG PO CAPS A9270 $6.83 LITHIUM CARBONATE 150 MG PO CAPS A9270 $6.83 LITHIUM CARBONATE 150 MG PO CAPS A9270 $6.83 LITHIUM CARBONATE 150 MG PO CAPS A9270 $6.83 LITHIUM CARBONATE 300 MG PO CAPS A9270 $6.83 LORAZEPAM 0.5 MG PO TABS A9270 $6.83 LORAZEPAM 0.5 MG PO TABS A9270 $6.83 LORAZEPAM 0.5 MG PO TABS A9270 $6.83 LORAZEPAM 0.5 MG PO TABS A9270 $6.83 LORAZEPAM 0.5 MG PO TABS A9270 $6.83 LORAZEPAM 0.5 MG PO TABS A9270 $6.83 LORAZEPAM 0.5 MG PO TABS A9270 $6.83 LORAZEPAM 1 MG PO TABS A9270 $6.83 LORAZEPAM 1 MG PO TABS A9270 $6.83 LORAZEPAM 1 MG PO TABS A9270 $6.83 LORAZEPAM 1 MG PO TABS A9270 $6.83 LORAZEPAM 1 MG PO TABS A9270 $6.83 LORAZEPAM 1 MG PO TABS A9270 $6.83 LORAZEPAM 1 MG PO TABS A9270 $6.83 MEDROXYPROGESTERONE ACETATE 2.5 MG PO TABS A9270 $6.83 MEDROXYPROGESTERONE ACETATE 2.5 MG PO TABS A9270 $6.83 METHADONE HCL 10 MG PO TABS A9270 $6.83 METHADONE HCL 10 MG PO TABS A9270 $6.83 METHADONE HCL 10 MG PO TABS A9270 $6.83 METHADONE HCL 10 MG PO TABS A9270 $6.83 METHADONE HCL 10 MG PO TABS A9270 $6.83 METHADONE HCL 10 MG PO TABS A9270 $6.83 METHADONE HCL 10 MG PO TABS A9270 $6.83 METHOCARBAMOL 500 MG PO TABS A9270 $6.83 METHOCARBAMOL 500 MG PO TABS A9270 $6.83 METHOCARBAMOL 500 MG PO TABS A9270 $6.83 METHOCARBAMOL 500 MG PO TABS A9270 $6.83 METHOCARBAMOL 500 MG PO TABS A9270 $6.83 METHOCARBAMOL 500 MG PO TABS A9270 $6.83 METHOCARBAMOL 500 MG PO TABS A9270 $6.83 METHYLDOPA 250 MG PO TABS A9270 $6.83 METHYLDOPA 250 MG PO TABS A9270 $6.83 METOCLOPRAMIDE HCL 10 MG PO TABS A9270 $6.83 METOCLOPRAMIDE HCL 10 MG PO TABS A9270 $6.83 METOCLOPRAMIDE HCL 10 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 50 MG PO TABS A9270 $6.83 THERAPEUTIC PO TABS A9270 $6.83 THERAPEUTIC PO TABS A9270 $6.83 THERAPEUTIC PO TABS A9270 $6.83 METRONIDAZOLE 500 MG PO TABS A9270 $6.83 NAPROXEN 500 MG PO TABS A9270 $6.83 NAPROXEN 500 MG PO TABS A9270 $6.83 NAPROXEN 500 MG PO TABS A9270 $6.83 NIACIN 100 MG PO TABS A9270 $6.83 NIACIN 100 MG PO TABS A9270 $6.83 NIACIN 100 MG PO TABS A9270 $6.83 NIACIN 500 MG PO TABS A9270 $6.83 NIACIN 500 MG PO TABS A9270 $6.83 NIACIN 500 MG PO TABS A9270 $6.83 NIACINAMIDE 500 MG PO TABS A9270 $6.83 NIFEDIPINE 10 MG PO CAPS A9270 $6.83 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $6.83 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $6.83 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $6.83 NORTRIPTYLINE HCL 25 MG PO CAPS A9270 $6.83 NORTRIPTYLINE HCL 25 MG PO CAPS A9270 $6.83 OXYBUTYNIN CHLORIDE 5 MG PO TABS A9270 $6.83 OXYBUTYNIN CHLORIDE 5 MG PO TABS A9270 $6.83 OXYBUTYNIN CHLORIDE 5 MG PO TABS A9270 $6.83 OXYBUTYNIN CHLORIDE 5 MG PO TABS A9270 $6.83 OYSTER SHELL CALCIUM 500 MG PO TABS A9270 $6.83 OYSTER SHELL CALCIUM 500 MG PO TABS A9270 $6.83 OYSTER SHELL CALCIUM 500 MG PO TABS A9270 $6.83 OYSTER SHELL CALCIUM 500 MG PO TABS A9270 $6.83 PENICILLIN V POTASSIUM 250 MG PO TABS A9270 $6.83 PENICILLIN V POTASSIUM 500 MG PO TABS A9270 $6.83 PENICILLIN V POTASSIUM 500 MG PO TABS A9270 $6.83 AMOXICILLIN 125 MG/5ML PO SUSR A9270 $6.83 AMOXICILLIN 125 MG/5ML PO SUSR A9270 $6.83 AMOXICILLIN 250 MG/5ML PO SUSR A9270 $6.83 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $6.83 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $6.83 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $6.83 POTASSIUM BICARBONATE 25 MEQ PO TBEF A9270 $6.83 POTASSIUM BICARBONATE 25 MEQ PO TBEF A9270 $6.83 PROPRANOLOL HCL 20 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 20 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 20 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 20 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 20 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 40 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 40 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 40 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 40 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 40 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 40 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 80 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 80 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 80 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 80 MG PO TABS A9270 $6.83 PSEUDOEPHEDRINE HCL 30 MG PO TABS A9270 $6.83 PSEUDOEPHEDRINE HCL 30 MG PO TABS A9270 $6.83 PYRIDOXINE HCL 50 MG PO TABS A9270 $6.83 PYRIDOXINE HCL 50 MG PO TABS A9270 $6.83 PYRIDOXINE HCL 50 MG PO TABS A9270 $6.83 PYRIDOXINE HCL 50 MG PO TABS A9270 $6.83 PYRIDOXINE HCL 50 MG PO TABS A9270 $6.83 PYRIDOXINE HCL 50 MG PO TABS A9270 $6.83 SELENIUM 200 MCG PO TABS A9270 $6.83 SELENIUM 200 MCG PO TABS A9270 $6.83 SIMETHICONE 80 MG PO CHEW A9270 $6.83 SIMETHICONE 80 MG PO CHEW A9270 $6.83 SIMETHICONE 80 MG PO CHEW A9270 $6.83 SIMETHICONE 80 MG PO CHEW A9270 $6.83 SODIUM BICARBONATE 650 MG PO TABS A9270 $6.83 SODIUM BICARBONATE 650 MG PO TABS A9270 $6.83 SODIUM BICARBONATE 650 MG PO TABS A9270 $6.83 SODIUM BICARBONATE 650 MG PO TABS A9270 $6.83 SODIUM BICARBONATE 650 MG PO TABS A9270 $6.83 SODIUM BICARBONATE 650 MG PO TABS A9270 $6.83 SUCROSE 24% A9270 $6.83 SPIRONOLACTONE 25 MG PO TABS A9270 $6.83 SPIRONOLACTONE 25 MG PO TABS A9270 $6.83 SPIRONOLACTONE 25 MG PO TABS A9270 $6.83 SPIRONOLACTONE 25 MG PO TABS A9270 $6.83 SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS A9270 $6.83 SULFASALAZINE 500 MG PO TABS A9270 $6.83 SULFASALAZINE 500 MG PO TABS A9270 $6.83 SULFASALAZINE 500 MG PO TABS A9270 $6.83 THYROID 65 MG PO TABS A9270 $6.83 TRAZODONE HCL 100 MG PO TABS A9270 $6.83 TRAZODONE HCL 100 MG PO TABS A9270 $6.83 TRAZODONE HCL 100 MG PO TABS A9270 $6.83 TRAZODONE HCL 50 MG PO TABS A9270 $6.83 TRAZODONE HCL 50 MG PO TABS A9270 $6.83 TRAZODONE HCL 50 MG PO TABS A9270 $6.83 TRAZODONE HCL 50 MG PO TABS A9270 $6.83 CARBAMAZEPINE 100 MG PO CHEW A9270 $6.83 TRIHEXYPHENIDYL HCL 2 MG PO TABS A9270 $6.83 TRIHEXYPHENIDYL HCL 2 MG PO TABS A9270 $6.83 TRIHEXYPHENIDYL HCL 2 MG PO TABS A9270 $6.83 VALPROIC ACID 250 MG PO CAPS A9270 $6.83 VERAPAMIL HCL 120 MG PO TABS A9270 $6.83 VERAPAMIL HCL 80 MG PO TABS A9270 $6.83 VISION VITAMINS PO TABS A9270 $6.83 VITAMIN B-12 250 MCG PO TABS A9270 $6.83 VITAMIN B-12 250 MCG PO TABS A9270 $6.83 VITAMIN B-12 250 MCG PO TABS A9270 $6.83 VITAMIN B-12 250 MCG PO TABS A9270 $6.83 VITAMIN B-12 250 MCG PO TABS A9270 $6.83 VITAMIN B-12 250 MCG PO TABS A9270 $6.83 VITAMIN B-12 250 MCG PO TABS A9270 $6.83 VITAMIN C 500 MG PO CHEW A9270 $6.83 VITAMIN C 500 MG PO CHEW A9270 $6.83 ASCORBIC ACID 500 MG PO TABS A9270 $6.83 ASCORBIC ACID 500 MG PO TABS A9270 $6.83 ASCORBIC ACID 500 MG PO TABS A9270 $6.83 ASCORBIC ACID 500 MG PO TABS A9270 $6.83 VITAMIN E 200 UNITS PO CAPS A9270 $6.83 VITAMIN E 200 UNITS PO CAPS A9270 $6.83 VITAMIN E 200 UNITS PO CAPS A9270 $6.83 VITAMIN E 400 UNITS PO CAPS A9270 $6.83 WARFARIN SODIUM 2.5 MG PO TABS A9270 $6.83 WARFARIN SODIUM 2.5 MG PO TABS A9270 $6.83 WARFARIN SODIUM 2.5 MG PO TABS A9270 $6.83 WARFARIN SODIUM 5 MG PO TABS A9270 $6.83 WARFARIN SODIUM 5 MG PO TABS A9270 $6.83 WARFARIN SODIUM 5 MG PO TABS A9270 $6.83 WARFARIN SODIUM 7.5 MG PO TABS A9270 $6.83 AMIODARONE HCL 200 MG PO TABS A9270 $6.83 AMIODARONE HCL 200 MG PO TABS A9270 $6.83 AMIODARONE HCL 200 MG PO TABS A9270 $6.83 AMIODARONE HCL 200 MG PO TABS A9270 $6.83 AMLODIPINE BESYLATE 2.5 MG PO TABS A9270 $6.83 AMLODIPINE BESYLATE 2.5 MG PO TABS A9270 $6.83 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $6.83 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $6.83 BUMETANIDE 1 MG PO TABS A9270 $6.83 BUPROPION HCL 100 MG PO TABS A9270 $6.83 BUSPIRONE HCL 10 MG PO TABS A9270 $6.83 BUSPIRONE HCL 10 MG PO TABS A9270 $6.83 PHENOBARBITAL 32.4 MG PO TABS A9270 $6.83 PHENOBARBITAL 32.4 MG PO TABS A9270 $6.83 PHENOBARBITAL 32.4 MG PO TABS A9270 $6.83 PHENOBARBITAL 32.4 MG PO TABS A9270 $6.83 CALCIUM CARBONATE ANTACID 500 MG PO CHEW A9270 $6.83 CALCIUM CARBONATE ANTACID 500 MG PO CHEW A9270 $6.83 CALCIUM CARBONATE ANTACID 500 MG PO CHEW A9270 $6.83 CALCIUM CARBONATE ANTACID 500 MG PO CHEW A9270 $6.83 CAPTOPRIL 25 MG PO TABS A9270 $6.83 CARBIDOPA-LEVODOPA 25-100 MG PO TABS A9270 $6.83 SODIUM CHLORIDE 1 G PO TABS A9270 $6.83 SODIUM CHLORIDE 1 G PO TABS A9270 $6.83 SODIUM CHLORIDE 1 G PO TABS A9270 $6.83 SODIUM CHLORIDE 1 G PO TABS A9270 $6.83 SODIUM CHLORIDE 1 G PO TABS A9270 $6.83 SODIUM CHLORIDE 1 G PO TABS A9270 $6.83 CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN A9270 $6.83 CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN A9270 $6.83 CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN A9270 $6.83 CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN A9270 $6.83 MORPHINE SULFATE (CONCENTRATE) 20 MG/ML PO SOLN A9270 $6.83 CEPHALEXIN 500 MG PO CAPS A9270 $6.83 CETIRIZINE HCL 10 MG PO TABS A9270 $6.83 CETIRIZINE HCL 10 MG PO TABS A9270 $6.83 CHOLECALCIFEROL 125 MCG (5000 UT) PO CAPS A9270 $6.83 CHOLECALCIFEROL 125 MCG (5000 UT) PO CAPS A9270 $6.83 THIAMINE HCL 100 MG PO TABS A9270 $6.83 THIAMINE HCL 100 MG PO TABS A9270 $6.83 THIAMINE HCL 100 MG PO TABS A9270 $6.83 CLINDAMYCIN HCL 300 MG PO CAPS A9270 $6.83 CLINDAMYCIN HCL 300 MG PO CAPS A9270 $6.83 DOXAZOSIN MESYLATE 4 MG PO TABS A9270 $6.83 DOXAZOSIN MESYLATE 4 MG PO TABS A9270 $6.83 THYROID 30 MG PO TABS A9270 $6.83 GLYCOPYRROLATE 1 MG PO TABS A9270 $6.83 GLYCOPYRROLATE 1 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FAMOTIDINE 20 MG PO TABS A9270 $6.83 FLUCONAZOLE 100 MG PO TABS A9270 $6.83 FE FUMARATE-B12-VIT C-FA-IFC PO CAPS A9270 $6.83 GLIPIZIDE 5 MG PO TABS A9270 $6.83 GLYBURIDE 2.5 MG PO TABS A9270 $6.83 GLYBURIDE 2.5 MG PO TABS A9270 $6.83 GLYBURIDE 2.5 MG PO TABS A9270 $6.83 GLYBURIDE 2.5 MG PO TABS A9270 $6.83 GLYBURIDE 2.5 MG PO TABS A9270 $6.83 GUAIFENESIN 100 MG/5ML PO SOLN A9270 $6.83 NEPHROCAPS 1 MG PO CAPS A9270 $6.83 LABETALOL HCL 100 MG PO TABS A9270 $6.83 LABETALOL HCL 100 MG PO TABS A9270 $6.83 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $6.83 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $6.83 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $6.83 LISINOPRIL 10 MG PO TABS A9270 $6.83 LISINOPRIL 10 MG PO TABS A9270 $6.83 LISINOPRIL 10 MG PO TABS A9270 $6.83 LISINOPRIL 10 MG PO TABS A9270 $6.83 LISINOPRIL 5 MG PO TABS A9270 $6.83 LISINOPRIL 5 MG PO TABS A9270 $6.83 LISINOPRIL 5 MG PO TABS A9270 $6.83 LORATADINE 10 MG PO TABS A9270 $6.83 LORATADINE 10 MG PO TABS A9270 $6.83 LORATADINE 10 MG PO TABS A9270 $6.83 LORATADINE 10 MG PO TABS A9270 $6.83 METFORMIN HCL 500 MG PO TABS A9270 $6.83 METFORMIN HCL 500 MG PO TABS A9270 $6.83 METFORMIN HCL 500 MG PO TABS A9270 $6.83 METFORMIN HCL 500 MG PO TABS A9270 $6.83 METFORMIN HCL 500 MG PO TABS A9270 $6.83 METFORMIN HCL 500 MG PO TABS A9270 $6.83 METHIMAZOLE 5 MG PO TABS A9270 $6.83 METHIMAZOLE 5 MG PO TABS A9270 $6.83 METHIMAZOLE 5 MG PO TABS A9270 $6.83 MIDODRINE HCL 5 MG PO TABS A9270 $6.83 MISOPROSTOL 100 MCG PO TABS A9270 $6.83 OXYCODONE HCL 5 MG PO TABS A9270 $6.83 OXYCODONE HCL 5 MG PO TABS A9270 $6.83 OXYCODONE HCL 5 MG PO TABS A9270 $6.83 OXYCODONE HCL 5 MG PO TABS A9270 $6.83 OXYCODONE HCL 5 MG PO TABS A9270 $6.83 OXYCODONE HCL 5 MG PO TABS A9270 $6.83 OXYCODONE HCL 5 MG PO TABS A9270 $6.83 OXYCODONE HCL 5 MG PO TABS A9270 $6.83 CITALOPRAM HYDROBROMIDE 40 MG PO TABS A9270 $6.83 CALCIUM POLYCARBOPHIL 625 MG PO TABS A9270 $6.83 CALCIUM POLYCARBOPHIL 625 MG PO TABS A9270 $6.83 PRIMIDONE 50 MG PO TABS A9270 $6.83 HYDRALAZINE HCL 100 MG PO TABS A9270 $6.83 PYRIDOSTIGMINE BROMIDE 60 MG PO TABS A9270 $6.83 RIFAMPIN 300 MG PO CAPS A9270 $6.83 SENNOSIDES 8.6 MG PO TABS A9270 $6.83 SENNOSIDES 8.6 MG PO TABS A9270 $6.83 SENNOSIDES 8.6 MG PO TABS A9270 $6.83 SENNOSIDES 8.6 MG PO TABS A9270 $6.83 SENNOSIDES 8.6 MG PO TABS A9270 $6.83 SENNOSIDES 8.6 MG PO TABS A9270 $6.83 SERTRALINE HCL 100 MG PO TABS A9270 $6.83 SERTRALINE HCL 100 MG PO TABS A9270 $6.83 SERTRALINE HCL 100 MG PO TABS A9270 $6.83 SERTRALINE HCL 100 MG PO TABS A9270 $6.83 SERTRALINE HCL 50 MG PO TABS A9270 $6.83 SERTRALINE HCL 50 MG PO TABS A9270 $6.83 SERTRALINE HCL 50 MG PO TABS A9270 $6.83 SERTRALINE HCL 50 MG PO TABS A9270 $6.83 SERTRALINE HCL 50 MG PO TABS A9270 $6.83 SERTRALINE HCL 50 MG PO TABS A9270 $6.83 SIMVASTATIN 20 MG PO TABS A9270 $6.83 SIMVASTATIN 20 MG PO TABS A9270 $6.83 SIMVASTATIN 20 MG PO TABS A9270 $6.83 SIMVASTATIN 20 MG PO TABS A9270 $6.83 SIMVASTATIN 40 MG PO TABS A9270 $6.83 SIMVASTATIN 40 MG PO TABS A9270 $6.83 SIMVASTATIN 40 MG PO TABS A9270 $6.83 SIMVASTATIN 40 MG PO TABS A9270 $6.83 SIMVASTATIN 40 MG PO TABS A9270 $6.83 SPIRONOLACTONE 50 MG PO TABS A9270 $6.83 SUCRALFATE 1 G PO TABS A9270 $6.83 TERBUTALINE SULFATE 5 MG PO TABS A9270 $6.83 MORPHINE SULFATE 15 MG PO TABS A9270 $6.83 METRONIDAZOLE 250 MG PO TABS A9270 $6.83 WARFARIN SODIUM 1 MG PO TABS A9270 $6.83 ZOLPIDEM TARTRATE 10 MG PO TABS A9270 $6.83 ZOLPIDEM TARTRATE 10 MG PO TABS A9270 $6.83 ZOLPIDEM TARTRATE 5 MG PO TABS A9270 $6.83 ZOLPIDEM TARTRATE 5 MG PO TABS A9270 $6.83 MECLIZINE HCL 25 MG PO TABS A9270 $6.83 VENLAFAXINE HCL 75 MG PO TABS A9270 $6.83 TRIAMTERENE-HCTZ 37.5-25 MG PO CAPS A9270 $6.83 TRIAMTERENE-HCTZ 37.5-25 MG PO CAPS A9270 $6.83 NAPROXEN SODIUM 220 MG PO TABS A9270 $6.83 BISACODYL EC 5 MG PO TBEC A9270 $6.83 BISACODYL EC 5 MG PO TBEC A9270 $6.83 BISACODYL EC 5 MG PO TBEC A9270 $6.83 BISACODYL EC 5 MG PO TBEC A9270 $6.83 ASPIRIN EC 325 MG PO TBEC A9270 $6.83 ASPIRIN EC 325 MG PO TBEC A9270 $6.83 ASPIRIN EC 325 MG PO TBEC A9270 $6.83 ASPIRIN EC 325 MG PO TBEC A9270 $6.83 ASPIRIN EC 325 MG PO TBEC A9270 $6.83 ASPIRIN EC 325 MG PO TBEC A9270 $6.83 ASPIRIN EC 325 MG PO TBEC A9270 $6.83 ASPIRIN EC 325 MG PO TBEC A9270 $6.83 LAMOTRIGINE 25 MG PO TABS A9270 $6.83 LAMOTRIGINE 25 MG PO TABS A9270 $6.83 LAMOTRIGINE 25 MG PO TABS A9270 $6.83 LAMOTRIGINE 25 MG PO TABS A9270 $6.83 LAMOTRIGINE 25 MG PO TABS A9270 $6.83 LAMOTRIGINE 25 MG PO TABS A9270 $6.83 LAMOTRIGINE 25 MG PO TABS A9270 $6.83 LAMOTRIGINE 25 MG PO TABS A9270 $6.83 LAMOTRIGINE 100 MG PO TABS A9270 $6.83 LAMOTRIGINE 100 MG PO TABS A9270 $6.83 LAMOTRIGINE 100 MG PO TABS A9270 $6.83 LAMOTRIGINE 100 MG PO TABS A9270 $6.83 LAMOTRIGINE 100 MG PO TABS A9270 $6.83 LAMOTRIGINE 100 MG PO TABS A9270 $6.83 NIACIN ER 500 MG PO TBCR A9270 $6.83 NIACIN ER 500 MG PO TBCR A9270 $6.83 NIACIN ER 500 MG PO TBCR A9270 $6.83 NIACIN ER 500 MG PO TBCR A9270 $6.83 NIACIN ER 500 MG PO TBCR A9270 $6.83 ACETAMINOPHEN-CODEINE #3 300-30 MG PO TABS A9270 $6.83 ACETAMINOPHEN-CODEINE #3 300-30 MG PO TABS A9270 $6.83 TERAZOSIN HCL 5 MG PO CAPS A9270 $6.83 TERAZOSIN HCL 5 MG PO CAPS A9270 $6.83 TERAZOSIN HCL 5 MG PO CAPS A9270 $6.83 TERAZOSIN HCL 5 MG PO CAPS A9270 $6.83 METFORMIN HCL 850 MG PO TABS A9270 $6.83 METFORMIN HCL 850 MG PO TABS A9270 $6.83 METFORMIN HCL 850 MG PO TABS A9270 $6.83 METFORMIN HCL 850 MG PO TABS A9270 $6.83 METFORMIN HCL 850 MG PO TABS A9270 $6.83 METFORMIN HCL 850 MG PO TABS A9270 $6.83 TIZANIDINE HCL 4 MG PO TABS A9270 $6.83 TIZANIDINE HCL 4 MG PO TABS A9270 $6.83 METHYLPREDNISOLONE 4 MG PO TBPK A9270 $6.83 METHYLPREDNISOLONE 4 MG PO TBPK A9270 $6.83 CARVEDILOL 25 MG PO TABS A9270 $6.83 CARVEDILOL 25 MG PO TABS A9270 $6.83 GABAPENTIN 300 MG PO CAPS A9270 $6.83 GABAPENTIN 300 MG PO CAPS A9270 $6.83 GABAPENTIN 300 MG PO CAPS A9270 $6.83 GABAPENTIN 300 MG PO CAPS A9270 $6.83 GABAPENTIN 300 MG PO CAPS A9270 $6.83 GABAPENTIN 300 MG PO CAPS A9270 $6.83 GABAPENTIN 300 MG PO CAPS A9270 $6.83 GABAPENTIN 300 MG PO CAPS A9270 $6.83 GABAPENTIN 300 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 GABAPENTIN 100 MG PO CAPS A9270 $6.83 DONEPEZIL HCL 5 MG PO TABS A9270 $6.83 DONEPEZIL HCL 5 MG PO TABS A9270 $6.83 HYDROCHLOROTHIAZIDE 12.5 MG PO CAPS A9270 $6.83 HYDROCHLOROTHIAZIDE 12.5 MG PO CAPS A9270 $6.83 HYDROCHLOROTHIAZIDE 12.5 MG PO CAPS A9270 $6.83 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $6.83 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $6.83 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $6.83 VITAMIN C 250 MG PO TABS A9270 $6.83 SERTRALINE HCL 25 MG PO TABS A9270 $6.83 SERTRALINE HCL 25 MG PO TABS A9270 $6.83 MORPHINE SULFATE ER 100 MG PO TBCR A9270 $6.83 MORPHINE SULFATE ER 30 MG PO TBCR A9270 $6.83 MORPHINE SULFATE ER 60 MG PO TBCR A9270 $6.83 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS A9270 $6.83 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS A9270 $6.83 ROPINIROLE HCL 0.25 MG PO TABS A9270 $6.83 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $6.83 QUETIAPINE FUMARATE 100 MG PO TABS A9270 $6.83 QUETIAPINE FUMARATE 100 MG PO TABS A9270 $6.83 QUETIAPINE FUMARATE 100 MG PO TABS A9270 $6.83 LACTASE 3000 UNITS PO TABS A9270 $6.83 MONTELUKAST SODIUM 10 MG PO TABS A9270 $6.83 MONTELUKAST SODIUM 10 MG PO TABS A9270 $6.83 AMOXICILLIN 875 MG PO TABS A9270 $6.83 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS A9270 $6.83 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS A9270 $6.83 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS A9270 $6.83 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS A9270 $6.83 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS A9270 $6.83 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS A9270 $6.83 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS A9270 $6.83 VITAMIN D3 (CHOLECALCIFEROL) 10 MCG (400 UNIT) PO TABS A9270 $6.83 VITAMIN D3 (CHOLECALCIFEROL) 10 MCG (400 UNIT) PO TABS A9270 $6.83 VITAMIN D3 (CHOLECALCIFEROL) 10 MCG (400 UNIT) PO TABS A9270 $6.83 FEXOFENADINE HCL 180 MG PO TABS A9270 $6.83 FEXOFENADINE HCL 180 MG PO TABS A9270 $6.83 GABAPENTIN 600 MG PO TABS A9270 $6.83 GABAPENTIN 600 MG PO TABS A9270 $6.83 GABAPENTIN 600 MG PO TABS A9270 $6.83 GABAPENTIN 600 MG PO TABS A9270 $6.83 GABAPENTIN 600 MG PO TABS A9270 $6.83 GABAPENTIN 600 MG PO TABS A9270 $6.83 PANTOPRAZOLE SODIUM 40 MG PO TBEC A9270 $6.83 PANTOPRAZOLE SODIUM 40 MG PO TBEC A9270 $6.83 PANTOPRAZOLE SODIUM 40 MG PO TBEC A9270 $6.83 LEVETIRACETAM 500 MG PO TABS A9270 $6.83 LEVETIRACETAM 500 MG PO TABS A9270 $6.83 LEVETIRACETAM 500 MG PO TABS A9270 $6.83 LEVETIRACETAM 500 MG PO TABS A9270 $6.83 LEVETIRACETAM 500 MG PO TABS A9270 $6.83 LEVETIRACETAM 500 MG PO TABS A9270 $6.83 CA & PHOS-VIT D-MAG 600-280-500-50 PO TABS A9270 $6.83 NIFEDIPINE ER OSMOTIC RELEASE 90 MG PO TB24 A9270 $6.83 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD A9270 $6.83 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD A9270 $6.83 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD A9270 $6.83 FELODIPINE ER 5 MG PO TB24 A9270 $6.83 FELODIPINE ER 10 MG PO TB24 A9270 $6.83 CALCIUM CARBONATE-VITAMIN D 500-200 MG-UNIT PO TABS A9270 $6.83 CALCIUM CARBONATE-VITAMIN D 500-200 MG-UNIT PO TABS A9270 $6.83 CALCIUM CARBONATE-VITAMIN D 500-200 MG-UNIT PO TABS A9270 $6.83 CALCIUM CARBONATE-VITAMIN D 500-200 MG-UNIT PO TABS A9270 $6.83 VITAMIN D3 125 MCG (5000 UT) PO CAPS A9270 $6.83 VITAMIN D3 125 MCG (5000 UT) PO CAPS A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $6.83 METOPROLOL SUCCINATE ER 50 MG PO TB24 A9270 $6.83 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $6.83 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $6.83 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $6.83 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $6.83 VITAMIN B-12 1000 MCG PO TABS A9270 $6.83 VITAMIN B-12 1000 MCG PO TABS A9270 $6.83 VITAMIN B-12 1000 MCG PO TABS A9270 $6.83 VITAMIN B-12 1000 MCG PO TABS A9270 $6.83 MEMANTINE HCL 10 MG PO TABS A9270 $6.83 MEMANTINE HCL 10 MG PO TABS A9270 $6.83 MEMANTINE HCL 10 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 25 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 25 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 25 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 25 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 25 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 25 MG PO TABS A9270 $6.83 METOPROLOL TARTRATE 25 MG PO TABS A9270 $6.83 ZINC SULFATE 220 (50 ZN) MG PO CAPS A9270 $6.83 PREGABALIN 50 MG PO CAPS A9270 $6.83 PREGABALIN 75 MG PO CAPS A9270 $6.83 PRENATAL 27-0.8 MG PO TABS A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $6.83 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $6.83 DOXEPIN HCL 25 MG PO CAPS A9270 $6.83 HYOSCYAMINE SULFATE 0.125 MG SL SUBL A9270 $6.83 VITAMIN D 50 MCG (2000 UT) PO TABS A9270 $6.83 VITAMIN D 50 MCG (2000 UT) PO TABS A9270 $6.83 VALPROATE SODIUM 250 MG/5ML PO SOLN A9270 $6.83 FERROUS GLUCONATE 324 (37.5 FE) MG PO TABS A9270 $6.83 FERROUS GLUCONATE 324 (37.5 FE) MG PO TABS A9270 $6.83 IBUPROFEN 100 MG/5ML PO SUSP A9270 $6.83 IBUPROFEN 100 MG/5ML PO SUSP A9270 $6.83 IBUPROFEN 100 MG/5ML PO SUSP A9270 $6.83 IBUPROFEN 100 MG/5ML PO SUSP A9270 $6.83 VITAMIN D3 25 MCG (1000 UT) PO TABS A9270 $6.83 VITAMIN D3 25 MCG (1000 UT) PO TABS A9270 $6.83 VITAMIN D3 25 MCG (1000 UT) PO TABS A9270 $6.83 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG PO TABS A9270 $6.83 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG PO TABS A9270 $6.83 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG PO TABS A9270 $6.83 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG PO TABS A9270 $6.83 MINERAL OIL PO OIL A9270 $6.83 MINERAL OIL PO OIL A9270 $6.83 CALCIUM CITRATE 950 (200 CA) MG PO TABS A9270 $6.83 CALCIUM CITRATE 950 (200 CA) MG PO TABS A9270 $6.83 FERROUS SULFATE 325 (65 FE) MG PO TABS A9270 $6.83 FERROUS SULFATE 325 (65 FE) MG PO TABS A9270 $6.83 GLIPIZIDE 10 MG PO TABS A9270 $6.83 NORTRIPTYLINE HCL 50 MG PO CAPS A9270 $6.83 K PHOS MONO-SOD PHOS DI & MONO 155-852-130 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 10 MG PO TABS A9270 $6.83 PROPRANOLOL HCL 10 MG PO TABS A9270 $6.83 MELATONIN 3 MG PO TABS A9270 $6.83 MELATONIN 3 MG PO TABS A9270 $6.83 MELATONIN 3 MG PO TABS A9270 $6.83 MELATONIN 3 MG PO TABS A9270 $6.83 MELATONIN-PYRIDOXINE 1-10 MG PO TABS A9270 $6.83 OMEGA-3 FISH OIL 1000 MG PO CAPS A9270 $6.83 OMEGA-3 FISH OIL 1000 MG PO CAPS A9270 $6.83 VITAMIN B-6 50 MG PO TABS A9270 $6.83 VITAMIN B-6 50 MG PO TABS A9270 $6.83 OCUVITE-LUTEIN PO TABS A9270 $6.83 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5ML PO LIQD A9270 $6.83 LACTASE 9000 UNITS PO CHEW A9270 $6.83 AMOXICILLIN 400 MG/5ML PO SUSR A9270 $6.83 AMOXICILLIN 400 MG/5ML PO SUSR A9270 $6.83 AMOXICILLIN 400 MG/5ML PO SUSR A9270 $6.83 AMOXICILLIN 400 MG/5ML PO SUSR A9270 $6.83 AMOXICILLIN 400 MG/5ML PO SUSR A9270 $6.83 AMOXICILLIN 400 MG/5ML PO SUSR A9270 $6.83 AMOXICILLIN 400 MG/5ML PO SUSR A9270 $6.83 AMOXICILLIN 400 MG/5ML PO SUSR A9270 $6.83 POTASSIUM CHLORIDE ER 10 MEQ PO TBCR A9270 $6.83 POTASSIUM CHLORIDE ER 10 MEQ PO TBCR A9270 $6.83 TORSEMIDE 20 MG PO TABS A9270 $6.83 TORSEMIDE 20 MG PO TABS A9270 $6.83 PSYLLIUM 28 % PO PACK A9270 $6.83 HYDROXYZINE HCL 10 MG/5ML PO SYRP A9270 $6.83 HYDROXYZINE HCL 10 MG/5ML PO SYRP A9270 $6.83 HYDROXYZINE HCL 10 MG/5ML PO SYRP A9270 $6.83 HYDROXYZINE HCL 10 MG/5ML PO SYRP A9270 $6.83 METFORMIN HCL 1000 MG PO TABS A9270 $6.83 MISOPROSTOL 200 MCG PO TABS A9270 $6.83 MISOPROSTOL 200 MCG PO TABS A9270 $6.83 MISOPROSTOL 200 MCG PO TABS A9270 $6.83 MISOPROSTOL 200 MCG PO TABS A9270 $6.83 MISOPROSTOL 200 MCG PO TABS A9270 $6.83 VITAMIN D3 10 MCG (400 UNIT) PO TABS A9270 $6.83 DIAZEPAM 5 MG PO TABS A9270 $6.83 DIAZEPAM 5 MG PO TABS A9270 $6.83 DIAZEPAM 5 MG PO TABS A9270 $6.83 GABAPENTIN 400 MG PO CAPS A9270 $6.83 GABAPENTIN 400 MG PO CAPS A9270 $6.83 GABAPENTIN 400 MG PO CAPS A9270 $6.83 GABAPENTIN 400 MG PO CAPS A9270 $6.83 GABAPENTIN 400 MG PO CAPS A9270 $6.83 GABAPENTIN 400 MG PO CAPS A9270 $6.83 GABAPENTIN 400 MG PO CAPS A9270 $6.83 GABAPENTIN 400 MG PO CAPS A9270 $6.83 CEPHALEXIN 250 MG PO CAPS A9270 $6.88 DICYCLOMINE HCL 10 MG PO CAPS A9270 $6.93 HYDROXYZINE PAMOATE 50 MG PO CAPS A9270 $6.93 HYDROXYZINE PAMOATE 50 MG PO CAPS A9270 $6.93 PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS A9270 $6.93 ESTRADIOL 1 MG PO TABS A9270 $6.93 ESTRADIOL 1 MG PO TABS A9270 $6.93 VERAPAMIL HCL ER 240 MG PO TBCR A9270 $6.93 ROPINIROLE HCL 1 MG PO TABS A9270 $6.93 ROPINIROLE HCL 1 MG PO TABS A9270 $6.93 ROPINIROLE HCL 1 MG PO TABS A9270 $6.93 POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR A9270 $6.93 CLINDAMYCIN HCL 150 MG PO CAPS A9270 $6.98 IBUPROFEN 600 MG PO TABS A9270 $6.98 PENICILLIN V POTASSIUM 250 MG PO TABS A9270 $6.98 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $6.98 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $6.98 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $6.98 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $6.98 THEOPHYLLINE ER 300 MG PO TB12 A9270 $6.98 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $7.04 WARFARIN SODIUM 5 MG PO TABS A9270 $7.04 ATORVASTATIN CALCIUM 40 MG PO TABS A9270 $7.04 ATORVASTATIN CALCIUM 40 MG PO TABS A9270 $7.04 ATORVASTATIN CALCIUM 40 MG PO TABS A9270 $7.04 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS A9270 $7.04 HYDRALAZINE HCL 10 MG PO TABS A9270 $7.09 LACTULOSE ENCEPHALOPATHY 10 GM/15ML PO SOLN A9270 $7.09 DIGOXIN 250 MCG PO TABS A9270 $7.14 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS A9270 $7.14 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $7.14 THEOPHYLLINE ER 200 MG PO TB12 A9270 $7.14 THEOPHYLLINE ER 200 MG PO TB12 A9270 $7.14 BUPROPION HCL ER (SR) 150 MG PO TB12 A9270 $7.14 CARISOPRODOL 350 MG PO TABS A9270 $7.19 NEOMYCIN SULFATE 500 MG PO TABS A9270 $7.19 BUPROPION HCL 100 MG PO TABS A9270 $7.19 CAPTOPRIL 12.5 MG PO TABS A9270 $7.19 CARBIDOPA-LEVODOPA 10-100 MG PO TABS A9270 $7.19 TEMAZEPAM 15 MG PO CAPS A9270 $7.25 TEMAZEPAM 15 MG PO CAPS A9270 $7.25 TRAZODONE HCL 100 MG PO TABS A9270 $7.25 CEPHALEXIN 250 MG PO CAPS A9270 $7.25 CLONAZEPAM 1 MG PO TABS A9270 $7.25 CLONAZEPAM 1 MG PO TABS A9270 $7.25 CLONAZEPAM 1 MG PO TABS A9270 $7.25 IMIPRAMINE HCL 25 MG PO TABS A9270 $7.30 OXYBUTYNIN CHLORIDE 5 MG PO TABS A9270 $7.30 OXYBUTYNIN CHLORIDE 5 MG PO TABS A9270 $7.30 GLIPIZIDE 10 MG PO TABS A9270 $7.30 IRBESARTAN 300 MG PO TABS A9270 $7.30 IRBESARTAN 300 MG PO TABS A9270 $7.30 IRBESARTAN 300 MG PO TABS A9270 $7.30 IRBESARTAN 300 MG PO TABS A9270 $7.30 METOCLOPRAMIDE HCL 10 MG PO TABS A9270 $7.35 METOCLOPRAMIDE HCL 10 MG PO TABS A9270 $7.35 METOCLOPRAMIDE HCL 10 MG PO TABS A9270 $7.35 METOCLOPRAMIDE HCL 10 MG PO TABS A9270 $7.35 GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN A9270 $7.35 CALCITRIOL 0.25 MCG PO CAPS A9270 $7.35 TERBUTALINE SULFATE 5 MG PO TABS A9270 $7.35 PAROXETINE HCL 10 MG PO TABS A9270 $7.35 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $7.35 GLIPIZIDE ER 5 MG PO TB24 A9270 $7.35 GLIPIZIDE ER 5 MG PO TB24 A9270 $7.35 GLIPIZIDE ER 5 MG PO TB24 A9270 $7.35 GLIPIZIDE ER 5 MG PO TB24 A9270 $7.35 DOXEPIN HCL 10 MG PO CAPS A9270 $7.40 FOLIC ACID 400 MCG PO TABS A9270 $7.40 METHOCARBAMOL 750 MG PO TABS A9270 $7.40 METHOCARBAMOL 750 MG PO TABS A9270 $7.40 BUSPIRONE HCL 5 MG PO TABS A9270 $7.40 CARBIDOPA-LEVODOPA 10-100 MG PO TABS A9270 $7.40 LISINOPRIL 5 MG PO TABS A9270 $7.40 CLINDAMYCIN HCL 150 MG PO CAPS A9270 $7.46 GLYBURIDE 5 MG PO TABS A9270 $7.46 GLYBURIDE 5 MG PO TABS A9270 $7.46 HYDROXYZINE HCL 10 MG PO TABS A9270 $7.46 HYDROXYZINE HCL 10 MG PO TABS A9270 $7.46 ISOSORBIDE DINITRATE 10 MG PO TABS A9270 $7.46 NAPROXEN 250 MG PO TABS A9270 $7.46 NAPROXEN 250 MG PO TABS A9270 $7.46 PENICILLIN V POTASSIUM 500 MG PO TABS A9270 $7.46 PENICILLIN V POTASSIUM 500 MG PO TABS A9270 $7.46 PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS A9270 $7.46 TEMAZEPAM 15 MG PO CAPS A9270 $7.46 TIZANIDINE HCL 4 MG PO TABS A9270 $7.46 ALPRAZOLAM 0.5 MG PO TABS A9270 $7.51 ALPRAZOLAM 0.5 MG PO TABS A9270 $7.51 HYDROCORTISONE 20 MG PO TABS A9270 $7.51 TRAZODONE HCL 100 MG PO TABS A9270 $7.51 TRAZODONE HCL 100 MG PO TABS A9270 $7.51 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $7.51 VITAMIN E 400 UNITS PO CAPS A9270 $7.56 PRIMIDONE 50 MG PO TABS A9270 $7.56 METFORMIN HCL ER 500 MG PO TB24 A9270 $7.56 PROPRANOLOL HCL 10 MG PO TABS A9270 $7.56 VERAPAMIL HCL 120 MG PO TABS A9270 $7.61 AMIODARONE HCL 200 MG PO TABS A9270 $7.61 CLONAZEPAM 0.5 MG PO TABS A9270 $7.61 CLONAZEPAM 0.5 MG PO TABS A9270 $7.61 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $7.61 ATENOLOL 25 MG PO TABS A9270 $7.67 ATENOLOL 25 MG PO TABS A9270 $7.67 ATENOLOL 25 MG PO TABS A9270 $7.67 LORATADINE 10 MG PO TABS A9270 $7.67 TRAMADOL HCL 50 MG PO TABS A9270 $7.67 SUCRALFATE 1 G PO TABS A9270 $7.72 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS A9270 $7.72 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $7.72 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $7.72 ALLOPURINOL 300 MG PO TABS A9270 $7.77 FOLIC ACID 1 MG PO TABS A9270 $7.77 METHOCARBAMOL 500 MG PO TABS A9270 $7.77 WARFARIN SODIUM 7.5 MG PO TABS A9270 $7.77 FINASTERIDE 5 MG PO TABS A9270 $7.77 ACETAMINOPHEN-CODEINE #3 300-30 MG PO TABS A9270 $7.77 ACETAMINOPHEN-CODEINE #3 300-30 MG PO TABS A9270 $7.77 METHYLPREDNISOLONE 4 MG PO TBPK A9270 $7.77 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $7.82 CAPTOPRIL 25 MG PO TABS A9270 $7.82 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $7.82 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $7.82 IBUPROFEN 400 MG PO TABS A9270 $7.88 TRAMADOL HCL 50 MG PO TABS A9270 $7.88 CLONIDINE HCL 0.1 MG PO TABS A9270 $7.93 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $7.93 METHYLDOPA 250 MG PO TABS A9270 $7.93 MISOPROSTOL 100 MCG PO TABS A9270 $7.93 MISOPROSTOL 100 MCG PO TABS A9270 $7.93 NABUMETONE 500 MG PO TABS A9270 $7.93 NABUMETONE 500 MG PO TABS A9270 $7.93 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $7.93 IRBESARTAN 300 MG PO TABS A9270 $7.93 ATENOLOL 50 MG PO TABS A9270 $7.98 CLONIDINE HCL 0.1 MG PO TABS A9270 $7.98 DEXAMETHASONE 1 MG PO TABS A9270 $7.98 METHYLDOPA 250 MG PO TABS A9270 $7.98 TORSEMIDE 20 MG PO TABS A9270 $7.98 CLONIDINE HCL 0.1 MG PO TABS A9270 $8.03 LORAZEPAM 1 MG PO TABS A9270 $8.03 CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR A9270 $8.03 GABAPENTIN 300 MG PO CAPS A9270 $8.03 DILTIAZEM HCL 30 MG PO TABS A9270 $8.09 METRONIDAZOLE 500 MG PO TABS A9270 $8.09 VALPROIC ACID 250 MG PO CAPS A9270 $8.09 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $8.09 MECLIZINE HCL 25 MG PO TABS A9270 $8.09 ISOSORBIDE DINITRATE ER 40 MG PO TBCR A9270 $8.09 DOXEPIN HCL 25 MG PO CAPS A9270 $8.09 DOXEPIN HCL 25 MG PO CAPS A9270 $8.09 PENICILLIN V POTASSIUM 250 MG PO TABS A9270 $8.14 SULINDAC 200 MG PO TABS A9270 $8.14 SULINDAC 200 MG PO TABS A9270 $8.14 METHIMAZOLE 5 MG PO TABS A9270 $8.14 TERAZOSIN HCL 5 MG PO CAPS A9270 $8.14 TERAZOSIN HCL 5 MG PO CAPS A9270 $8.14 HYOSCYAMINE SULFATE 0.125 MG SL SUBL A9270 $8.14 HYOSCYAMINE SULFATE 0.125 MG PO TBDP A9270 $8.14 ISOSORBIDE DINITRATE 20 MG PO TABS A9270 $8.19 LORATADINE 10 MG PO TABS A9270 $8.19 SUCRALFATE 1 G PO TABS A9270 $8.19 CARBIDOPA-LEVODOPA 25-250 MG PO TABS A9270 $8.24 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $8.24 FUROSEMIDE 10 MG/ML PO SOLN A9270 $8.30 BUPROPION HCL 100 MG PO TABS A9270 $8.30 CLONIDINE HCL 0.1 MG PO TABS A9270 $8.35 CARBIDOPA-LEVODOPA 25-100 MG PO TABS A9270 $8.35 CARBIDOPA-LEVODOPA 25-100 MG PO TABS A9270 $8.35 LISINOPRIL 5 MG PO TABS A9270 $8.35 SPIRONOLACTONE 50 MG PO TABS A9270 $8.35 SPIRONOLACTONE 50 MG PO TABS A9270 $8.35 AMOXICILLIN 875 MG PO TABS A9270 $8.35 IBUPROFEN 100 MG/5ML PO SUSP A9270 $8.35 IBUPROFEN 100 MG/5ML PO SUSP A9270 $8.35 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS A9270 $8.40 LOPERAMIDE HCL 2 MG PO CAPS A9270 $8.40 POTASSIUM BICARBONATE 25 MEQ PO TBEF A9270 $8.40 POTASSIUM BICARBONATE 25 MEQ PO TBEF A9270 $8.40 WARFARIN SODIUM 2.5 MG PO TABS A9270 $8.40 POTASSIUM CHLORIDE ER 10 MEQ PO TBCR A9270 $8.40 HYDROCORTISONE 10 MG PO TABS A9270 $8.45 LOPERAMIDE HCL 2 MG PO CAPS A9270 $8.45 SPIRONOLACTONE 25 MG PO TABS A9270 $8.45 OXYCODONE HCL 5 MG PO TABS A9270 $8.45 SPIRONOLACTONE 50 MG PO TABS A9270 $8.45 SPIRONOLACTONE 50 MG PO TABS A9270 $8.45 SPIRONOLACTONE 50 MG PO TABS A9270 $8.45 GLIMEPIRIDE 2 MG PO TABS A9270 $8.45 ISOSORBIDE MONONITRATE ER 60 MG PO TB24 A9270 $8.45 ISOSORBIDE MONONITRATE ER 60 MG PO TB24 A9270 $8.45 HYDROXYZINE HCL 25 MG PO TABS A9270 $8.51 HYDROXYZINE HCL 25 MG PO TABS A9270 $8.51 AMLODIPINE BESYLATE 2.5 MG PO TABS A9270 $8.51 AMLODIPINE BESYLATE 2.5 MG PO TABS A9270 $8.51 SIMVASTATIN 20 MG PO TABS A9270 $8.51 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $8.51 VALPROATE SODIUM 250 MG/5ML PO SOLN A9270 $8.51 ALLOPURINOL 100 MG PO TABS A9270 $8.56 ALLOPURINOL 100 MG PO TABS A9270 $8.56 AMITRIPTYLINE HCL 10 MG PO TABS A9270 $8.56 ATENOLOL 50 MG PO TABS A9270 $8.56 ATENOLOL 50 MG PO TABS A9270 $8.56 ATENOLOL 50 MG PO TABS A9270 $8.56 ATENOLOL 50 MG PO TABS A9270 $8.56 TRIAMTERENE-HCTZ 37.5-25 MG PO TABS A9270 $8.56 TRIAMTERENE-HCTZ 37.5-25 MG PO TABS A9270 $8.56 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $8.61 GLIPIZIDE 5 MG PO TABS A9270 $8.61 LABETALOL HCL 100 MG PO TABS A9270 $8.66 SERTRALINE HCL 50 MG PO TABS A9270 $8.66 SERTRALINE HCL 50 MG PO TABS A9270 $8.66 VERAPAMIL HCL ER 180 MG PO TBCR A9270 $8.66 SERTRALINE HCL 25 MG PO TABS A9270 $8.66 SERTRALINE HCL 25 MG PO TABS A9270 $8.66 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $8.66 PREGABALIN 50 MG PO CAPS A9270 $8.66 HALOPERIDOL 5 MG PO TABS A9270 $8.72 TRIAMTERENE-HCTZ 75-50 MG PO TABS A9270 $8.72 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $8.72 MORPHINE SULFATE 15 MG PO TABS A9270 $8.72 BENZTROPINE MESYLATE 1 MG PO TABS A9270 $8.77 DILTIAZEM HCL 30 MG PO TABS A9270 $8.77 TRIAMTERENE-HCTZ 75-50 MG PO TABS A9270 $8.77 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $8.77 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $8.87 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $8.87 CARVEDILOL 25 MG PO TABS A9270 $8.87 PREGABALIN 75 MG PO CAPS A9270 $8.87 ALLOPURINOL 100 MG PO TABS A9270 $8.93 CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR A9270 $8.93 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $8.93 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $8.93 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $8.93 ALPRAZOLAM 0.5 MG PO TABS A9270 $8.98 BUPROPION HCL 75 MG PO TABS A9270 $8.98 BUPROPION HCL 75 MG PO TABS A9270 $8.98 THYROID 30 MG PO TABS A9270 $8.98 MISOPROSTOL 100 MCG PO TABS A9270 $8.98 IBUPROFEN 100 MG/5ML PO SUSP A9270 $8.98 ACETAZOLAMIDE 250 MG PO TABS A9270 $9.03 HYDROMORPHONE HCL 2 MG PO TABS A9270 $9.03 PHENOBARBITAL 32.4 MG PO TABS A9270 $9.03 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $9.03 GUAIFENESIN ER 600 MG PO TB12 A9270 $9.03 GUAIFENESIN ER 600 MG PO TB12 A9270 $9.03 VALPROIC ACID 250 MG PO CAPS A9270 $9.08 PROMETHAZINE HCL 25 MG PO TABS A9270 $9.14 PROMETHAZINE HCL 25 MG PO TABS A9270 $9.14 DOXAZOSIN MESYLATE 2 MG PO TABS A9270 $9.14 HYDROCHLOROTHIAZIDE 12.5 MG PO CAPS A9270 $9.14 HYDROCHLOROTHIAZIDE 12.5 MG PO CAPS A9270 $9.14 HYDROCHLOROTHIAZIDE 12.5 MG PO CAPS A9270 $9.14 MEMANTINE HCL 10 MG PO TABS A9270 $9.14 CHLORDIAZEPOXIDE HCL 25 MG PO CAPS A9270 $9.19 SPIRONOLACTONE 25 MG PO TABS A9270 $9.19 SPIRONOLACTONE 25 MG PO TABS A9270 $9.19 LACTULOSE 20 GM/30ML PO SOLN A9270 $9.19 LACTULOSE 20 GM/30ML PO SOLN A9270 $9.19 LACTULOSE 10 GM/15ML PO SOLN A9270 $9.19 INDOMETHACIN 25 MG PO CAPS A9270 $9.24 INDOMETHACIN 25 MG PO CAPS A9270 $9.24 NITROGLYCERIN 0.4 MG SL SUBL A9270 $9.24 DOXAZOSIN MESYLATE 4 MG PO TABS A9270 $9.24 LISINOPRIL 5 MG PO TABS A9270 $9.24 VENLAFAXINE HCL 75 MG PO TABS A9270 $9.24 LAMOTRIGINE 25 MG PO TABS A9270 $9.24 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $9.24 DOXEPIN HCL 25 MG PO CAPS A9270 $9.24 CYCLOBENZAPRINE HCL 10 MG PO TABS A9270 $9.29 CYCLOBENZAPRINE HCL 10 MG PO TABS A9270 $9.29 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $9.29 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $9.29 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $9.29 AMOXICILLIN 500 MG PO CAPS A9270 $9.35 TRAZODONE HCL 50 MG PO TABS A9270 $9.35 DOXAZOSIN MESYLATE 4 MG PO TABS A9270 $9.35 ETHAMBUTOL HCL 400 MG PO TABS A9270 $9.35 LIOTHYRONINE SODIUM 25 MCG PO TABS A9270 $9.40 MIDODRINE HCL 5 MG PO TABS A9270 $9.40 MISOPROSTOL 100 MCG PO TABS A9270 $9.40 MISOPROSTOL 100 MCG PO TABS A9270 $9.40 MISOPROSTOL 100 MCG PO TABS A9270 $9.40 VALPROATE SODIUM 250 MG/5ML PO SOLN A9270 $9.40 LOPERAMIDE HCL 2 MG PO CAPS A9270 $9.45 PROBENECID 500 MG PO TABS A9270 $9.45 PROBENECID 500 MG PO TABS A9270 $9.45 FLUDROCORTISONE ACETATE 0.1 MG PO TABS A9270 $9.45 FE FUMARATE-B12-VIT C-FA-IFC PO CAPS A9270 $9.45 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $9.50 METHADONE HCL 10 MG PO TABS A9270 $9.50 DEXAMETHASONE 1 MG PO TABS A9270 $9.56 BUPROPION HCL 100 MG PO TABS A9270 $9.56 METHIMAZOLE 5 MG PO TABS A9270 $9.56 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $9.56 GLIPIZIDE ER 10 MG PO TB24 A9270 $9.56 GLIPIZIDE ER 10 MG PO TB24 A9270 $9.56 GLIPIZIDE ER 10 MG PO TB24 A9270 $9.56 GLIPIZIDE ER 10 MG PO TB24 A9270 $9.56 GLIPIZIDE ER 10 MG PO TB24 A9270 $9.56 GLIPIZIDE ER 10 MG PO TB24 A9270 $9.56 FLECAINIDE ACETATE 50 MG PO TABS A9270 $9.56 CYPROHEPTADINE HCL 4 MG PO TABS A9270 $9.61 CYPROHEPTADINE HCL 4 MG PO TABS A9270 $9.61 DILTIAZEM HCL 30 MG PO TABS A9270 $9.61 ACETAMINOPHEN 160 MG/5ML PO SUSP A9270 $9.61 ACETAMINOPHEN 160 MG/5ML PO SUSP A9270 $9.61 VERAPAMIL HCL ER 120 MG PO TBCR A9270 $9.66 DILTIAZEM HCL 30 MG PO TABS A9270 $9.66 DILTIAZEM HCL 30 MG PO TABS A9270 $9.66 HYDROXYZINE PAMOATE 25 MG PO CAPS A9270 $9.66 DANTROLENE SODIUM 25 MG PO CAPS A9270 $9.66 SIMVASTATIN 20 MG PO TABS A9270 $9.66 SIMVASTATIN 40 MG PO TABS A9270 $9.66 NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 A9270 $9.66 DIVALPROEX SODIUM 125 MG PO CSDR A9270 $9.66 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $9.66 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $9.66 WARFARIN SODIUM 7.5 MG PO TABS A9270 $9.71 SULINDAC 200 MG PO TABS A9270 $9.77 HALOPERIDOL 5 MG PO TABS A9270 $9.82 PENICILLIN V POTASSIUM 250 MG PO TABS A9270 $9.82 HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $9.82 DICLOXACILLIN SODIUM 500 MG PO CAPS A9270 $9.87 HALOPERIDOL 5 MG PO TABS A9270 $9.87 GLYBURIDE 2.5 MG PO TABS A9270 $9.87 CITALOPRAM HYDROBROMIDE 40 MG PO TABS A9270 $9.87 HYOSCYAMINE SULFATE 0.125 MG SL SUBL A9270 $9.87 LIOTHYRONINE SODIUM 25 MCG PO TABS A9270 $9.92 NIFEDIPINE 10 MG PO CAPS A9270 $9.92 HYDROXYUREA 500 MG PO CAPS A9270 $9.92 MORPHINE SULFATE ER 100 MG PO TBCR A9270 $9.92 HYDROXYUREA 500 MG PO CAPS A9270 $9.98 LAMOTRIGINE 25 MG PO TABS A9270 $9.98 THYROID 60 MG PO TABS A9270 $10.03 THYROID 60 MG PO TABS A9270 $10.03 THYROID 60 MG PO TABS A9270 $10.03 TRAZODONE HCL 50 MG PO TABS A9270 $10.03 TRIAMTERENE-HCTZ 75-50 MG PO TABS A9270 $10.03 CARBAMAZEPINE 200 MG PO TABS A9270 $10.08 HYDROXYZINE HCL 50 MG PO TABS A9270 $10.08 HYDROXYZINE HCL 50 MG PO TABS A9270 $10.08 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $10.08 LAMOTRIGINE 25 MG PO TABS A9270 $10.08 GABAPENTIN 600 MG PO TABS A9270 $10.08 METOPROLOL SUCCINATE ER 25 MG PO TB24 A9270 $10.08 NIACIN ER 500 MG PO TBCR A9270 $10.13 BACLOFEN 10 MG PO TABS A9270 $10.19 CLONIDINE HCL 0.1 MG PO TABS A9270 $10.24 FAMOTIDINE 20 MG PO TABS A9270 $10.24 FAMOTIDINE 20 MG PO TABS A9270 $10.24 PRIMIDONE 50 MG PO TABS A9270 $10.24 ERGOCALCIFEROL 200 MCG/ML PO SOLN A9270 $10.24 DILTIAZEM HCL ER 120 MG PO CP24 A9270 $10.24 OXYCODONE HCL 5 MG PO TABS A9270 $10.29 CULTURELLE PO CAPS A9270 $10.29 DOXYCYCLINE HYCLATE 100 MG PO TABS A9270 $10.34 METHOCARBAMOL 500 MG PO TABS A9270 $10.34 SERTRALINE HCL 50 MG PO TABS A9270 $10.34 VERAPAMIL HCL ER 240 MG PO TBCR A9270 $10.34 K PHOS MONO-SOD PHOS DI & MONO 155-852-130 MG PO TABS A9270 $10.34 CARBAMAZEPINE ER 100 MG PO TB12 A9270 $10.34 ALLOPURINOL 100 MG PO TABS A9270 $10.40 CYCLOBENZAPRINE HCL 10 MG PO TABS A9270 $10.40 PROPRANOLOL HCL 20 MG PO TABS A9270 $10.40 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $10.40 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $10.40 DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 A9270 $10.40 CYCLOBENZAPRINE HCL 10 MG PO TABS A9270 $10.45 VALPROIC ACID 250 MG PO CAPS A9270 $10.45 HYDROXYUREA 500 MG PO CAPS A9270 $10.45 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $10.45 OXYCODONE HCL 5 MG PO TABS A9270 $10.45 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS A9270 $10.50 HALOPERIDOL 1 MG PO TABS A9270 $10.50 PENICILLIN V POTASSIUM 500 MG PO TABS A9270 $10.50 PENICILLIN V POTASSIUM 500 MG PO TABS A9270 $10.50 WARFARIN SODIUM 5 MG PO TABS A9270 $10.50 DOXEPIN HCL 50 MG PO CAPS A9270 $10.55 DOXEPIN HCL 50 MG PO CAPS A9270 $10.55 DOXEPIN HCL 50 MG PO CAPS A9270 $10.55 DOXEPIN HCL 50 MG PO CAPS A9270 $10.55 DOXEPIN HCL 50 MG PO CAPS A9270 $10.55 DOXEPIN HCL 50 MG PO CAPS A9270 $10.55 CETIRIZINE HCL 10 MG PO TABS A9270 $10.55 MORPHINE SULFATE 15 MG PO TABS A9270 $10.55 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG PO TABS A9270 $10.55 BUMETANIDE 1 MG PO TABS A9270 $10.61 METHADONE HCL 10 MG PO TABS A9270 $10.66 TOLBUTAMIDE 500 MG PO TABS A9270 $10.66 MIDODRINE HCL 5 MG PO TABS A9270 $10.66 GLYBURIDE 5 MG PO TABS A9270 $10.71 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $10.71 FELODIPINE ER 10 MG PO TB24 A9270 $10.71 FOLIC ACID 1 MG PO TABS A9270 $10.76 GLYBURIDE 5 MG PO TABS A9270 $10.76 MEDROXYPROGESTERONE ACETATE 10 MG PO TABS A9270 $10.76 MISOPROSTOL 200 MCG PO TABS A9270 $10.76 SULINDAC 200 MG PO TABS A9270 $10.82 MISOPROSTOL 200 MCG PO TABS A9270 $10.82 DEXAMETHASONE 4 MG PO TABS A9270 $10.87 DEXAMETHASONE 4 MG PO TABS A9270 $10.87 DEXAMETHASONE 4 MG PO TABS A9270 $10.87 DEXAMETHASONE 4 MG PO TABS A9270 $10.87 DEXAMETHASONE 4 MG PO TABS A9270 $10.87 DEXAMETHASONE 4 MG PO TABS A9270 $10.87 SULINDAC 200 MG PO TABS A9270 $10.87 CHLORTHALIDONE 25 MG PO TABS A9270 $10.87 NORTRIPTYLINE HCL 50 MG PO CAPS A9270 $10.87 CYCLOBENZAPRINE HCL 10 MG PO TABS A9270 $10.92 CALCITRIOL 0.25 MCG PO CAPS A9270 $10.92 GABAPENTIN 100 MG PO CAPS A9270 $10.92 HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $10.92 METFORMIN HCL ER 500 MG PO TB24 A9270 $10.92 OXYCODONE HCL 5 MG PO TABS A9270 $10.97 OXYCODONE HCL 5 MG PO TABS A9270 $10.97 OXYCODONE HCL 5 MG PO TABS A9270 $10.97 SIMVASTATIN 10 MG PO TABS A9270 $10.97 SIMVASTATIN 10 MG PO TABS A9270 $10.97 SIMVASTATIN 10 MG PO TABS A9270 $10.97 BUPROPION HCL ER (XL) 300 MG PO TB24 A9270 $10.97 MEMANTINE HCL 10 MG PO TABS A9270 $10.97 METOPROLOL TARTRATE 25 MG PO TABS A9270 $10.97 CEPHALEXIN 500 MG PO CAPS A9270 $11.03 PYRIDOSTIGMINE BROMIDE 60 MG PO TABS A9270 $11.03 PYRIDOSTIGMINE BROMIDE 60 MG PO TABS A9270 $11.03 TERBUTALINE SULFATE 5 MG PO TABS A9270 $11.03 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $11.03 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $11.08 GLIMEPIRIDE 2 MG PO TABS A9270 $11.08 PROPRANOLOL HCL 10 MG PO TABS A9270 $11.08 METFORMIN HCL 1000 MG PO TABS A9270 $11.08 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $11.13 NAPROXEN 250 MG PO TABS A9270 $11.13 MORPHINE SULFATE 15 MG PO TABS A9270 $11.18 LAMOTRIGINE 25 MG PO TABS A9270 $11.18 METOPROLOL SUCCINATE ER 25 MG PO TB24 A9270 $11.18 METOPROLOL SUCCINATE ER 50 MG PO TB24 A9270 $11.18 SERTRALINE HCL 100 MG PO TABS A9270 $11.24 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $11.24 AMOXICILLIN 250 MG PO CAPS A9270 $11.29 METOPROLOL TARTRATE 50 MG PO TABS A9270 $11.29 OXYCODONE HCL 5 MG PO TABS A9270 $11.29 HYDROXYZINE HCL 10 MG/5ML PO SYRP A9270 $11.29 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $11.34 MORPHINE SULFATE (CONCENTRATE) 20 MG/ML PO SOLN A9270 $11.34 PIOGLITAZONE HCL 15 MG PO TABS A9270 $11.34 METRONIDAZOLE 250 MG PO TABS A9270 $11.39 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $11.45 AMIODARONE HCL 200 MG PO TABS A9270 $11.45 QUETIAPINE FUMARATE 100 MG PO TABS A9270 $11.45 HYOSCYAMINE SULFATE 0.125 MG SL SUBL A9270 $11.45 ALENDRONATE SODIUM 10 MG PO TABS A9270 $11.50 BUMETANIDE 1 MG PO TABS A9270 $11.55 CALCITRIOL 0.25 MCG PO CAPS A9270 $11.55 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS A9270 $11.55 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $11.55 HYDROXYZINE PAMOATE 25 MG PO CAPS A9270 $11.60 METOPROLOL TARTRATE 50 MG PO TABS A9270 $11.60 METOPROLOL TARTRATE 50 MG PO TABS A9270 $11.60 NIFEDIPINE 10 MG PO CAPS A9270 $11.60 VERAPAMIL HCL 80 MG PO TABS A9270 $11.60 PAROXETINE HCL 30 MG PO TABS A9270 $11.60 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $11.60 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $11.60 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $11.60 HYDROCORTISONE 10 MG PO TABS A9270 $11.66 NABUMETONE 500 MG PO TABS A9270 $11.66 MIRTAZAPINE 30 MG PO TABS A9270 $11.66 MIRTAZAPINE 30 MG PO TABS A9270 $11.66 MIRTAZAPINE 30 MG PO TABS A9270 $11.66 CLINDAMYCIN HCL 300 MG PO CAPS A9270 $11.71 CLINDAMYCIN HCL 300 MG PO CAPS A9270 $11.71 CLINDAMYCIN HCL 300 MG PO CAPS A9270 $11.71 CLINDAMYCIN HCL 300 MG PO CAPS A9270 $11.71 GLYCOPYRROLATE 1 MG PO TABS A9270 $11.71 QUETIAPINE FUMARATE 100 MG PO TABS A9270 $11.76 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $11.81 NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 A9270 $11.81 NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 A9270 $11.81 NABUMETONE 500 MG PO TABS A9270 $11.87 GABAPENTIN 100 MG PO CAPS A9270 $11.87 CLONIDINE HCL 0.1 MG PO TABS A9270 $11.92 PINDOLOL 5 MG PO TABS A9270 $11.92 PINDOLOL 5 MG PO TABS A9270 $11.92 BENZTROPINE MESYLATE 1 MG PO TABS A9270 $11.97 DEXAMETHASONE 1 MG PO TABS A9270 $11.97 NORTRIPTYLINE HCL 25 MG PO CAPS A9270 $11.97 RIFAMPIN 300 MG PO CAPS A9270 $11.97 ROPINIROLE HCL 0.25 MG PO TABS A9270 $11.97 VERAPAMIL HCL ER 120 MG PO TBCR A9270 $12.02 AMIODARONE HCL 200 MG PO TABS A9270 $12.02 MIRTAZAPINE 30 MG PO TABS A9270 $12.02 PROPRANOLOL HCL 20 MG PO TABS A9270 $12.08 GABAPENTIN 300 MG PO CAPS A9270 $12.08 DICYCLOMINE HCL 10 MG PO CAPS A9270 $12.13 BUSPIRONE HCL 10 MG PO TABS A9270 $12.13 BUSPIRONE HCL 10 MG PO TABS A9270 $12.13 BUSPIRONE HCL 10 MG PO TABS A9270 $12.13 BUSPIRONE HCL 10 MG PO TABS A9270 $12.13 CARBIDOPA-LEVODOPA 25-100 MG PO TABS A9270 $12.13 DICYCLOMINE HCL 10 MG PO CAPS A9270 $12.18 CEPHALEXIN 500 MG PO CAPS A9270 $12.18 CEPHALEXIN 500 MG PO CAPS A9270 $12.18 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $12.18 ISOSORBIDE DINITRATE 20 MG PO TABS A9270 $12.29 NEOMYCIN SULFATE 500 MG PO TABS A9270 $12.29 NEOMYCIN SULFATE 500 MG PO TABS A9270 $12.29 VENLAFAXINE HCL 75 MG PO TABS A9270 $12.29 GLIPIZIDE ER 2.5 MG PO TB24 A9270 $12.29 GLIPIZIDE ER 2.5 MG PO TB24 A9270 $12.29 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $12.34 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $12.34 PROPRANOLOL HCL 20 MG PO TABS A9270 $12.34 WARFARIN SODIUM 1 MG PO TABS A9270 $12.39 MORPHINE SULFATE ER 15 MG PO TBCR A9270 $12.39 BMH MISOPROSTOL 25 MCG PER 1/4 TAB A9270 $12.44 BUPROPION HCL 100 MG PO TABS A9270 $12.44 LEVETIRACETAM 500 MG PO TABS A9270 $12.44 POTASSIUM CHLORIDE ER 10 MEQ PO TBCR A9270 $12.44 VENLAFAXINE HCL ER 37.5 MG PO CP24 A9270 $12.50 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $12.50 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $12.55 POTASSIUM CHLORIDE ER 10 MEQ PO TBCR A9270 $12.55 OXYBUTYNIN CHLORIDE 5 MG PO TABS A9270 $12.60 OXYCODONE HCL 5 MG PO TABS A9270 $12.60 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $12.60 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $12.65 MORPHINE SULFATE ER 30 MG PO TBCR A9270 $12.65 PHENOBARBITAL 32.4 MG PO TABS A9270 $12.71 OXYCODONE HCL 5 MG PO TABS A9270 $12.71 CLINDAMYCIN HCL 150 MG PO CAPS A9270 $12.76 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $12.76 TIZANIDINE HCL 4 MG PO TABS A9270 $12.76 TIZANIDINE HCL 4 MG PO TABS A9270 $12.76 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS A9270 $12.76 OXCARBAZEPINE 150 MG PO TABS A9270 $12.76 FELODIPINE ER 5 MG PO TB24 A9270 $12.76 HYDROXYZINE HCL 10 MG/5ML PO SYRP A9270 $12.76 ALLOPURINOL 100 MG PO TABS A9270 $12.81 ALLOPURINOL 100 MG PO TABS A9270 $12.81 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $12.81 ACETAMINOPHEN 160 MG/5ML PO SUSP A9270 $12.81 FAMOTIDINE 20 MG PO TABS A9270 $12.81 HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS A9270 $12.81 DIVALPROEX SODIUM 125 MG PO CSDR A9270 $12.81 ALPRAZOLAM 0.25 MG PO TBDP A9270 $12.81 HYDROXYZINE PAMOATE 25 MG PO CAPS A9270 $12.86 CLOTRIMAZOLE 10 MG MT TROC A9270 $12.86 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $12.92 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $12.92 FOLIC ACID 1 MG PO TABS A9270 $12.92 METOPROLOL TARTRATE 50 MG PO TABS A9270 $12.92 WARFARIN SODIUM 2.5 MG PO TABS A9270 $12.92 ACYCLOVIR 200 MG PO CAPS A9270 $12.92 RISPERIDONE 3 MG PO TABS A9270 $12.92 HYDROXYZINE HCL 10 MG/5ML PO SYRP A9270 $12.92 MISOPROSTOL 200 MCG PO TABS A9270 $12.92 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $12.97 SPIRONOLACTONE-HCTZ 25-25 MG PO TABS A9270 $12.97 CARBAMAZEPINE 100 MG PO CHEW A9270 $12.97 LABETALOL HCL 100 MG PO TABS A9270 $12.97 VERAPAMIL HCL ER 180 MG PO TBCR A9270 $12.97 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $12.97 OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $12.97 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $13.02 SULINDAC 200 MG PO TABS A9270 $13.02 TERAZOSIN HCL 1 MG PO CAPS A9270 $13.02 PREGABALIN 50 MG PO CAPS A9270 $13.02 METFORMIN HCL 1000 MG PO TABS A9270 $13.02 INDAPAMIDE 2.5 MG PO TABS A9270 $13.07 INDAPAMIDE 2.5 MG PO TABS A9270 $13.07 INDAPAMIDE 2.5 MG PO TABS A9270 $13.07 INDAPAMIDE 2.5 MG PO TABS A9270 $13.07 INDAPAMIDE 2.5 MG PO TABS A9270 $13.07 LORAZEPAM 0.5 MG PO TABS A9270 $13.07 DIVALPROEX SODIUM ER 250 MG PO TB24 A9270 $13.07 DILTIAZEM HCL 30 MG PO TABS A9270 $13.13 CAPTOPRIL 12.5 MG PO TABS A9270 $13.13 CAPTOPRIL 12.5 MG PO TABS A9270 $13.13 GLYBURIDE 2.5 MG PO TABS A9270 $13.13 IMIPRAMINE HCL 50 MG PO TABS A9270 $13.18 IMIPRAMINE HCL 50 MG PO TABS A9270 $13.18 IMIPRAMINE HCL 50 MG PO TABS A9270 $13.18 PIOGLITAZONE HCL 15 MG PO TABS A9270 $13.18 DILTIAZEM HCL 60 MG PO TABS A9270 $13.23 DILTIAZEM HCL 60 MG PO TABS A9270 $13.23 NORTRIPTYLINE HCL 25 MG PO CAPS A9270 $13.23 NORTRIPTYLINE HCL 25 MG PO CAPS A9270 $13.23 PROPRANOLOL HCL 40 MG PO TABS A9270 $13.23 PROPRANOLOL HCL 40 MG PO TABS A9270 $13.23 VITAMIN B-12 250 MCG PO TABS A9270 $13.23 VITAMIN B-12 250 MCG PO TABS A9270 $13.23 NITROFURANTOIN MACROCRYSTAL 100 MG PO CAPS A9270 $13.28 GLYBURIDE 2.5 MG PO TABS A9270 $13.34 MORPHINE SULFATE ER 60 MG PO TBCR A9270 $13.34 AZITHROMYCIN 250 MG PO TABS A9270 $13.34 ALLOPURINOL 100 MG PO TABS A9270 $13.39 DICYCLOMINE HCL 10 MG PO CAPS A9270 $13.39 OXYBUTYNIN CHLORIDE 5 MG PO TABS A9270 $13.39 CHLORTHALIDONE 50 MG PO TABS A9270 $13.39 CHLORTHALIDONE 50 MG PO TABS A9270 $13.39 RANITIDINE HCL 150 MG PO TABS A9270 $13.39 GABAPENTIN 600 MG PO TABS A9270 $13.39 MEDROXYPROGESTERONE ACETATE 2.5 MG PO TABS A9270 $13.44 AMLODIPINE BESYLATE 2.5 MG PO TABS A9270 $13.44 BUPROPION HCL 75 MG PO TABS A9270 $13.44 BUPROPION HCL 75 MG PO TABS A9270 $13.44 FLUCONAZOLE 100 MG PO TABS A9270 $13.44 NIFEDIPINE ER OSMOTIC RELEASE 90 MG PO TB24 A9270 $13.44 CLOZAPINE 100 MG PO TABS A9270 $13.49 FLUDROCORTISONE ACETATE 0.1 MG PO TABS A9270 $13.49 PENTOXIFYLLINE ER 400 MG PO TBCR A9270 $13.49 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $13.49 TOLTERODINE TARTRATE 2 MG PO TABS A9270 $13.49 CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN A9270 $13.55 TERAZOSIN HCL 1 MG PO CAPS A9270 $13.55 TERAZOSIN HCL 5 MG PO CAPS A9270 $13.55 TERAZOSIN HCL 5 MG PO CAPS A9270 $13.55 TERAZOSIN HCL 5 MG PO CAPS A9270 $13.55 TERAZOSIN HCL 5 MG PO CAPS A9270 $13.55 TERAZOSIN HCL 5 MG PO CAPS A9270 $13.55 CHLORDIAZEPOXIDE HCL 25 MG PO CAPS A9270 $13.60 CHLORDIAZEPOXIDE HCL 25 MG PO CAPS A9270 $13.60 PYRIDOSTIGMINE BROMIDE 60 MG PO TABS A9270 $13.60 TERAZOSIN HCL 5 MG PO CAPS A9270 $13.60 RACEPINEPHRINE HCL 2.25 % INH NEBU A9270 $13.65 ACETAMINOPHEN 120 MG PR SUPP A9270 $13.65 ACETAMINOPHEN 120 MG PR SUPP A9270 $13.65 ACETAMINOPHEN 325 MG PR SUPP A9270 $13.65 ACETAMINOPHEN 325 MG PR SUPP A9270 $13.65 ACETAMINOPHEN 325 MG PR SUPP A9270 $13.65 ACETAMINOPHEN 650 MG PR SUPP A9270 $13.65 ACETAMINOPHEN 650 MG PR SUPP A9270 $13.65 ACETAMINOPHEN 650 MG PR SUPP A9270 $13.65 ACETAMINOPHEN 650 MG PR SUPP A9270 $13.65 GLYCERIN (LAXATIVE) 1.2 G PR SUPP A9270 $13.65 GLYCERIN (LAXATIVE) 1.2 G PR SUPP A9270 $13.65 GLYCERIN (LAXATIVE) 1.2 G PR SUPP A9270 $13.65 GLYCERIN (LAXATIVE) 1.2 G PR SUPP A9270 $13.65 GLYCERIN (LAXATIVE) 1.2 G PR SUPP A9270 $13.65 GLYCERIN (LAXATIVE) 1.2 G PR SUPP A9270 $13.65 BACITRACIN 500 UNIT/GM EX OINT A9270 $13.65 BACITRACIN-NEOMYCIN-POLYMYXIN 400-5-5000 EX OINT A9270 $13.65 BISACODYL 10 MG PR SUPP A9270 $13.65 BISACODYL 10 MG PR SUPP A9270 $13.65 CALAMINE 8-8 % EX LOTN A9270 $13.65 GLYCERIN (LAXATIVE) 2 G PR SUPP A9270 $13.65 GLYCERIN (LAXATIVE) 2 G PR SUPP A9270 $13.65 OXYMETAZOLINE HCL 0.05 % NA SOLN A9270 $13.65 LABETALOL HCL 100 MG PO TABS A9270 $13.65 NITROGLYCERIN 0.4 MG/HR TD PT24 A9270 $13.65 BMH/CVMC NICOTINE 21 MG/24HR TD PT24 A9270 $13.65 MEDICATED WIPES 50 % EX PADS A9270 $13.65 MEDICATED WIPES 50 % EX PADS A9270 $13.65 MEDICATED WIPES 50 % EX PADS A9270 $13.65 CHLORDIAZEPOXIDE HCL 25 MG PO CAPS A9270 $13.76 CEPHALEXIN 250 MG PO CAPS A9270 $13.76 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $13.81 PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS A9270 $13.81 ESTRADIOL 1 MG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $13.81 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $13.81 VERAPAMIL HCL ER 240 MG PO TBCR A9270 $13.81 DICYCLOMINE HCL 10 MG PO CAPS A9270 $13.86 AMLODIPINE BESYLATE 5 MG PO TABS A9270 $13.86 AMLODIPINE BESYLATE 5 MG PO TABS A9270 $13.86 CLINDAMYCIN HCL 150 MG PO CAPS A9270 $13.91 NITROGLYCERIN 0.4 MG SL SUBL A9270 $13.91 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $13.91 ASPIRIN 300 MG PR SUPP A9270 $13.97 PENICILLIN V POTASSIUM 250 MG PO TABS A9270 $13.97 TRIHEXYPHENIDYL HCL 2 MG PO TABS A9270 $13.97 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $13.97 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $13.97 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $13.97 THEOPHYLLINE ER 300 MG PO TB12 A9270 $13.97 TRAZODONE HCL 50 MG PO TABS A9270 $14.02 WARFARIN SODIUM 5 MG PO TABS A9270 $14.02 BUPROPION HCL ER (SR) 100 MG PO TB12 A9270 $14.02 ATORVASTATIN CALCIUM 40 MG PO TABS A9270 $14.02 ISOSORBIDE MONONITRATE ER 30 MG PO TB24 A9270 $14.02 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $14.07 PEG 3350 17 G PO PACK A9270 $14.07 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $14.18 LACTULOSE ENCEPHALOPATHY 10 GM/15ML PO SOLN A9270 $14.18 DIGOXIN 125 MCG PO TABS A9270 $14.23 DIGOXIN 250 MCG PO TABS A9270 $14.23 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS A9270 $14.23 HYDROXYZINE PAMOATE 50 MG PO CAPS A9270 $14.23 BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS A9270 $14.23 AMANTADINE HCL 100 MG PO CAPS A9270 $14.23 THEOPHYLLINE ER 200 MG PO TB12 A9270 $14.23 NEOMYCIN SULFATE 500 MG PO TABS A9270 $14.33 CAPTOPRIL 12.5 MG PO TABS A9270 $14.33 CARBIDOPA-LEVODOPA 10-100 MG PO TABS A9270 $14.39 ASPIRIN 600 MG PR SUPP A9270 $14.44 ASPIRIN 600 MG PR SUPP A9270 $14.44 DILTIAZEM HCL 30 MG PO TABS A9270 $14.44 TEMAZEPAM 15 MG PO CAPS A9270 $14.44 CLONAZEPAM 1 MG PO TABS A9270 $14.44 DILTIAZEM HCL 30 MG PO TABS A9270 $14.49 TEMAZEPAM 15 MG PO CAPS A9270 $14.49 CEPHALEXIN 250 MG PO CAPS A9270 $14.49 ZONISAMIDE 100 MG PO CAPS A9270 $14.49 AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS A9270 $14.49 DULOXETINE HCL 30 MG PO CPEP A9270 $14.54 DULOXETINE HCL 30 MG PO CPEP A9270 $14.54 IRBESARTAN 300 MG PO TABS A9270 $14.54 IRBESARTAN 300 MG PO TABS A9270 $14.54 IRBESARTAN 300 MG PO TABS A9270 $14.54 IRBESARTAN 300 MG PO TABS A9270 $14.54 IMIPRAMINE HCL 25 MG PO TABS A9270 $14.60 OXYBUTYNIN CHLORIDE 5 MG PO TABS A9270 $14.60 GLIPIZIDE 10 MG PO TABS A9270 $14.60 METOCLOPRAMIDE HCL 10 MG PO TABS A9270 $14.65 METOCLOPRAMIDE HCL 10 MG PO TABS A9270 $14.65 PROBENECID 500 MG PO TABS A9270 $14.65 PAROXETINE HCL 10 MG PO TABS A9270 $14.65 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $14.65 GLIPIZIDE ER 5 MG PO TB24 A9270 $14.65 GLIPIZIDE ER 5 MG PO TB24 A9270 $14.65 CALCITRIOL 0.25 MCG PO CAPS A9270 $14.70 FAMOTIDINE 20 MG PO TABS A9270 $14.70 FAMOTIDINE 20 MG PO TABS A9270 $14.70 METHOCARBAMOL 750 MG PO TABS A9270 $14.75 ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN A9270 $14.75 DULOXETINE HCL 20 MG PO CPEP A9270 $14.75 BUSPIRONE HCL 5 MG PO TABS A9270 $14.81 CARBIDOPA-LEVODOPA 10-100 MG PO TABS A9270 $14.81 CLINDAMYCIN HCL 150 MG PO CAPS A9270 $14.86 HYDROXYZINE HCL 10 MG PO TABS A9270 $14.86 HYDROXYZINE HCL 10 MG PO TABS A9270 $14.86 ISOSORBIDE DINITRATE 10 MG PO TABS A9270 $14.86 NAPROXEN 250 MG PO TABS A9270 $14.86 NIFEDIPINE 10 MG PO CAPS A9270 $14.86 PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS A9270 $14.86 TIZANIDINE HCL 4 MG PO TABS A9270 $14.86 GLYBURIDE 5 MG PO TABS A9270 $14.91 NAPROXEN 250 MG PO TABS A9270 $14.91 NAPROXEN 250 MG PO TABS A9270 $14.91 TEMAZEPAM 15 MG PO CAPS A9270 $14.91 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $14.96 ALPRAZOLAM 0.5 MG PO TABS A9270 $15.02 HYDROCORTISONE 20 MG PO TABS A9270 $15.02 TRAZODONE HCL 100 MG PO TABS A9270 $15.02 PHENOBARBITAL 32.4 MG PO TABS A9270 $15.07 ETHAMBUTOL HCL 400 MG PO TABS A9270 $15.07 PRIMIDONE 50 MG PO TABS A9270 $15.12 NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 A9270 $15.12 METFORMIN HCL ER 500 MG PO TB24 A9270 $15.12 PROPRANOLOL HCL 10 MG PO TABS A9270 $15.12 PROPRANOLOL HCL ER 80 MG PO CP24 A9270 $15.23 CLONAZEPAM 0.5 MG PO TABS A9270 $15.23 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $15.23 PRAZOSIN HCL 1 MG PO CAPS A9270 $15.28 TRAMADOL HCL 50 MG PO TABS A9270 $15.28 ATENOLOL 25 MG PO TABS A9270 $15.33 ATENOLOL 25 MG PO TABS A9270 $15.33 CLARITHROMYCIN 500 MG PO TABS A9270 $15.33 SUCRALFATE 1 G PO TABS A9270 $15.38 CILOSTAZOL 100 MG PO TABS A9270 $15.38 CILOSTAZOL 100 MG PO TABS A9270 $15.38 CILOSTAZOL 100 MG PO TABS A9270 $15.38 CILOSTAZOL 100 MG PO TABS A9270 $15.38 OXYCODONE HCL 5 MG PO TABS A9270 $15.44 WARFARIN SODIUM 1 MG PO TABS A9270 $15.49 ALLOPURINOL 100 MG PO TABS A9270 $15.54 FINASTERIDE 5 MG PO TABS A9270 $15.54 METHYLPREDNISOLONE 4 MG PO TBPK A9270 $15.54 CAPTOPRIL 25 MG PO TABS A9270 $15.59 OXYCODONE HCL 5 MG PO TABS A9270 $15.65 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $15.65 TRAMADOL HCL 50 MG PO TABS A9270 $15.70 MISOPROSTOL 100 MCG PO TABS A9270 $15.80 NABUMETONE 500 MG PO TABS A9270 $15.80 NABUMETONE 500 MG PO TABS A9270 $15.80 NABUMETONE 500 MG PO TABS A9270 $15.80 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $15.80 IRBESARTAN 300 MG PO TABS A9270 $15.86 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD A9270 $15.91 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD A9270 $15.91 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD A9270 $15.91 TORSEMIDE 20 MG PO TABS A9270 $15.91 ATENOLOL 50 MG PO TABS A9270 $15.96 CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR A9270 $16.01 LORAZEPAM 1 MG PO TABS A9270 $16.07 GABAPENTIN 300 MG PO CAPS A9270 $16.07 PANTOPRAZOLE SODIUM 40 MG PO TBEC A9270 $16.07 VALPROIC ACID 250 MG PO CAPS A9270 $16.12 DOXEPIN HCL 25 MG PO CAPS A9270 $16.12 FENOFIBRATE 48 MG PO TABS A9270 $16.12 FENOFIBRATE 48 MG PO TABS A9270 $16.12 GLYCERIN (LAXATIVE) 1 G PR SUPP A9270 $16.12 PHENOL 1.4 % MT LIQD A9270 $16.22 GUAIFENESIN 100 MG/5ML PO SYRP A9270 $16.22 ACETAMINOPHEN 325 MG PR SUPP A9270 $16.28 PENICILLIN V POTASSIUM 250 MG PO TABS A9270 $16.28 HYOSCYAMINE SULFATE 0.125 MG SL SUBL A9270 $16.28 HYOSCYAMINE SULFATE 0.125 MG PO TBDP A9270 $16.28 GABAPENTIN 100 MG PO CAPS A9270 $16.33 METFORMIN HCL ER 500 MG PO TB24 A9270 $16.33 ISOSORBIDE DINITRATE 20 MG PO TABS A9270 $16.38 DANTROLENE SODIUM 25 MG PO CAPS A9270 $16.38 BUPROPION HCL ER (SR) 100 MG PO TB12 A9270 $16.38 CARBIDOPA-LEVODOPA 25-250 MG PO TABS A9270 $16.43 OXYCODONE HCL 5 MG PO TABS A9270 $16.43 OXYCODONE HCL 5 MG PO TABS A9270 $16.43 OXYCODONE HCL 5 MG PO TABS A9270 $16.49 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $16.49 MICONAZOLE NITRATE 100 MG VA SUPP A9270 $16.54 MICONAZOLE NITRATE 100 MG VA SUPP A9270 $16.54 FLEET PEDIATRIC 3.5-9.5 GM/59ML PR ENEM A9270 $16.59 BUPROPION HCL 100 MG PO TABS A9270 $16.59 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $16.64 VITAMIN D (ERGOCALCIFEROL) 1.25 MG (50000 UT) PO CAPS A9270 $16.64 CARBAMIDE PEROXIDE 6.5 % OT SOLN A9270 $16.70 CARBIDOPA-LEVODOPA 25-100 MG PO TABS A9270 $16.70 CARBIDOPA-LEVODOPA 25-100 MG PO TABS A9270 $16.70 LISINOPRIL 5 MG PO TABS A9270 $16.70 SPIRONOLACTONE 50 MG PO TABS A9270 $16.70 IBUPROFEN 100 MG/5ML PO SUSP A9270 $16.70 IBUPROFEN 100 MG/5ML PO SUSP A9270 $16.70 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS A9270 $16.75 LOPERAMIDE HCL 2 MG PO CAPS A9270 $16.75 WARFARIN SODIUM 2.5 MG PO TABS A9270 $16.75 METHIMAZOLE 10 MG PO TABS A9270 $16.75 POTASSIUM CHLORIDE ER 10 MEQ PO TBCR A9270 $16.75 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $16.85 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $16.85 HYDROCORTISONE 10 MG PO TABS A9270 $16.85 LOPERAMIDE HCL 2 MG PO CAPS A9270 $16.85 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $16.85 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $16.85 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $16.85 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $16.85 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $16.85 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $16.85 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $16.85 ISOSORBIDE MONONITRATE ER 60 MG PO TB24 A9270 $16.85 ISOSORBIDE MONONITRATE ER 60 MG PO TB24 A9270 $16.85 IRBESARTAN 300 MG PO TABS A9270 $16.85 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $16.91 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $16.91 SPIRONOLACTONE 25 MG PO TABS A9270 $16.91 OXYCODONE HCL 5 MG PO TABS A9270 $16.91 OXYCODONE HCL 5 MG PO TABS A9270 $16.91 SPIRONOLACTONE 50 MG PO TABS A9270 $16.91 SPIRONOLACTONE 50 MG PO TABS A9270 $16.91 SIMVASTATIN 20 MG PO TABS A9270 $16.96 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $16.96 VALPROATE SODIUM 250 MG/5ML PO SOLN A9270 $16.96 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $17.01 AMLODIPINE BESYLATE 2.5 MG PO TABS A9270 $17.01 AMLODIPINE BESYLATE 2.5 MG PO TABS A9270 $17.01 AMITRIPTYLINE HCL 10 MG PO TABS A9270 $17.06 ATENOLOL 50 MG PO TABS A9270 $17.06 ATENOLOL 50 MG PO TABS A9270 $17.12 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $17.17 PROPRANOLOL HCL ER 60 MG PO CP24 A9270 $17.22 GLIPIZIDE 5 MG PO TABS A9270 $17.22 RACEPINEPHRINE HCL 2.25 % INH NEBU A9270 $17.27 VERAPAMIL HCL ER 180 MG PO TBCR A9270 $17.27 SERTRALINE HCL 25 MG PO TABS A9270 $17.27 SERTRALINE HCL 25 MG PO TABS A9270 $17.27 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $17.33 PREGABALIN 50 MG PO CAPS A9270 $17.33 HYDROXYZINE PAMOATE 25 MG PO CAPS A9270 $17.43 TRIAMTERENE-HCTZ 75-50 MG PO TABS A9270 $17.43 MORPHINE SULFATE 15 MG PO TABS A9270 $17.43 MAGNESIUM CITRATE PO SOLN A9270 $17.48 MAGNESIUM CITRATE PO SOLN A9270 $17.48 METOLAZONE 2.5 MG PO TABS A9270 $17.48 DILTIAZEM HCL 30 MG PO TABS A9270 $17.54 TRIAMTERENE-HCTZ 75-50 MG PO TABS A9270 $17.54 CLINDAMYCIN HCL 300 MG PO CAPS A9270 $17.54 METHENAMINE HIPPURATE 1 G PO TABS A9270 $17.64 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $17.69 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $17.69 TOPIRAMATE 25 MG PO TABS A9270 $17.69 PREGABALIN 75 MG PO CAPS A9270 $17.69 CARVEDILOL 6.25 MG PO TABS A9270 $17.75 CARVEDILOL 6.25 MG PO TABS A9270 $17.75 CARVEDILOL 25 MG PO TABS A9270 $17.75 CARVEDILOL 3.125 MG PO TABS A9270 $17.75 GABAPENTIN 100 MG PO CAPS A9270 $17.80 NITROGLYCERIN 0.1 MG/HR TD PT24 A9270 $17.80 DOXYCYCLINE HYCLATE 100 MG PO TABS A9270 $17.85 CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR A9270 $17.85 ALPRAZOLAM 0.5 MG PO TABS A9270 $17.90 BUPROPION HCL 75 MG PO TABS A9270 $17.90 BUPROPION HCL 75 MG PO TABS A9270 $17.90 THYROID 30 MG PO TABS A9270 $17.90 IBUPROFEN 100 MG/5ML PO SUSP A9270 $17.90 OXYMETAZOLINE HCL 0.05 % NA SOLN A9270 $17.96 RISPERIDONE 1 MG PO TABS A9270 $17.96 AMIODARONE HCL 200 MG PO TABS A9270 $18.01 GUAIFENESIN ER 600 MG PO TB12 A9270 $18.06 GUAIFENESIN ER 600 MG PO TB12 A9270 $18.06 VALPROIC ACID 250 MG PO CAPS A9270 $18.11 CARBIDOPA-LEVODOPA 25-100 MG PO TABS A9270 $18.17 AMANTADINE HCL 100 MG PO CAPS A9270 $18.17 AMANTADINE HCL 100 MG PO CAPS A9270 $18.17 ZOLPIDEM TARTRATE 10 MG PO TABS A9270 $18.17 CHLORPROMAZINE HCL 25 MG PO TABS A9270 $18.22 NITROGLYCERIN 0.2 MG/HR TD PT24 A9270 $18.22 PROMETHAZINE HCL 25 MG PO TABS A9270 $18.27 VITAMINS A & D EX OINT A9270 $18.27 MEMANTINE HCL 10 MG PO TABS A9270 $18.27 SPIRONOLACTONE 25 MG PO TABS A9270 $18.38 SPIRONOLACTONE 25 MG PO TABS A9270 $18.38 OXYMETAZOLINE HCL 0.05 % NA SOLN A9270 $18.38 LISINOPRIL 5 MG PO TABS A9270 $18.43 VENLAFAXINE HCL 75 MG PO TABS A9270 $18.43 ROSIGLITAZONE MALEATE 4 MG PO TABS A9270 $18.43 DOXAZOSIN MESYLATE 4 MG PO TABS A9270 $18.48 ZONISAMIDE 100 MG PO CAPS A9270 $18.48 ZONISAMIDE 100 MG PO CAPS A9270 $18.48 BMH/CVMC NICOTINE 7 MG/24HR TD PT24 A9270 $18.48 DOXEPIN HCL 25 MG PO CAPS A9270 $18.48 NICOTINE 7 MG/24HR TD PT24 A9270 $18.48 DOXEPIN HCL 10 MG PO CAPS A9270 $18.53 WARFARIN SODIUM 1 MG PO TABS A9270 $18.59 DOXAZOSIN MESYLATE 4 MG PO TABS A9270 $18.64 POTASSIUM CHLORIDE ER 10 MEQ PO TBCR A9270 $18.64 MORPHINE SULFATE (CONCENTRATE) 10 MG/0.5ML PO SOLN A9270 $18.69 MIDODRINE HCL 5 MG PO TABS A9270 $18.74 METOCLOPRAMIDE HCL 10 MG/10ML PO SOLN A9270 $18.80 MISOPROSTOL 100 MCG PO TABS A9270 $18.80 MISOPROSTOL 100 MCG PO TABS A9270 $18.80 LOPERAMIDE HCL 2 MG PO CAPS A9270 $18.90 PRIMAQUINE PHOSPHATE 26.3 (15 BASE) MG PO TABS A9270 $18.90 OXYCODONE HCL 5 MG PO TABS A9270 $18.90 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $18.90 OXYCODONE HCL 100 MG/5ML PO CONC A9270 $18.95 OXYCODONE HCL 100 MG/5ML PO CONC A9270 $18.95 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $19.01 AMLODIPINE BESYLATE 10 MG PO TABS A9270 $19.01 AMLODIPINE BESYLATE 10 MG PO TABS A9270 $19.01 AMLODIPINE BESYLATE 10 MG PO TABS A9270 $19.01 CILOSTAZOL 100 MG PO TABS A9270 $19.01 CILOSTAZOL 100 MG PO TABS A9270 $19.01 METHIMAZOLE 5 MG PO TABS A9270 $19.06 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $19.06 FLECAINIDE ACETATE 50 MG PO TABS A9270 $19.06 CLINDAMYCIN HCL 150 MG PO CAPS A9270 $19.11 DILTIAZEM HCL 30 MG PO TABS A9270 $19.16 LABETALOL HCL 100 MG PO TABS A9270 $19.22 SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP A9270 $19.22 DILTIAZEM HCL 30 MG PO TABS A9270 $19.27 DANTROLENE SODIUM 25 MG PO CAPS A9270 $19.27 SIMVASTATIN 20 MG PO TABS A9270 $19.27 VERAPAMIL HCL ER 120 MG PO TBCR A9270 $19.32 DILTIAZEM HCL 30 MG PO TABS A9270 $19.32 WARFARIN SODIUM 2.5 MG PO TABS A9270 $19.32 SIMVASTATIN 40 MG PO TABS A9270 $19.32 NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 A9270 $19.32 DIVALPROEX SODIUM 125 MG PO CSDR A9270 $19.32 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $19.37 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $19.37 FOLIC ACID 1 MG PO TABS A9270 $19.37 WARFARIN SODIUM 7.5 MG PO TABS A9270 $19.37 CHLORTHALIDONE 25 MG PO TABS A9270 $19.43 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $19.48 DOXEPIN HCL 10 MG PO CAPS A9270 $19.48 GEMFIBROZIL 600 MG PO TABS A9270 $19.53 SOTALOL HCL 80 MG PO TABS A9270 $19.58 CIPROFLOXACIN HCL 500 MG PO TABS A9270 $19.58 HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $19.58 BENZONATATE 100 MG PO CAPS A9270 $19.69 DICLOXACILLIN SODIUM 500 MG PO CAPS A9270 $19.69 GLYBURIDE 2.5 MG PO TABS A9270 $19.69 CITALOPRAM HYDROBROMIDE 40 MG PO TABS A9270 $19.74 HYOSCYAMINE SULFATE 0.125 MG SL SUBL A9270 $19.74 MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP A9270 $19.74 HYDROXYUREA 500 MG PO CAPS A9270 $19.79 AZITHROMYCIN 250 MG PO TABS A9270 $19.79 MORPHINE SULFATE ER 100 MG PO TBCR A9270 $19.85 HYDROXYUREA 500 MG PO CAPS A9270 $19.90 NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 A9270 $19.90 NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 A9270 $19.90 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 AMITRIPTYLINE HCL 100 MG PO TABS A9270 $19.95 DIVALPROEX SODIUM 250 MG PO TBEC A9270 $19.95 DIVALPROEX SODIUM 250 MG PO TBEC A9270 $19.95 DIVALPROEX SODIUM 250 MG PO TBEC A9270 $19.95 DIVALPROEX SODIUM 250 MG PO TBEC A9270 $19.95 DIVALPROEX SODIUM 250 MG PO TBEC A9270 $19.95 GUAIFENESIN 100 MG/5ML PO SYRP A9270 $19.95 SULFASALAZINE 500 MG PO TBEC A9270 $19.95 LAMOTRIGINE 100 MG PO TABS A9270 $19.95 LAMOTRIGINE 100 MG PO TABS A9270 $19.95 LAMOTRIGINE 100 MG PO TABS A9270 $19.95 LAMOTRIGINE 100 MG PO TABS A9270 $19.95 LAMOTRIGINE 100 MG PO TABS A9270 $19.95 LAMOTRIGINE 100 MG PO TABS A9270 $19.95 THYROID 60 MG PO TABS A9270 $20.00 THYROID 60 MG PO TABS A9270 $20.00 TRIAMTERENE-HCTZ 75-50 MG PO TABS A9270 $20.06 ISOSORBIDE DINITRATE ER 40 MG PO TBCR A9270 $20.06 FLUCONAZOLE 100 MG PO TABS A9270 $20.11 GABAPENTIN 600 MG PO TABS A9270 $20.11 METOPROLOL SUCCINATE ER 25 MG PO TB24 A9270 $20.11 CARBAMAZEPINE 200 MG PO TABS A9270 $20.16 SOTALOL HCL 80 MG PO TABS A9270 $20.16 NIFEDIPINE ER OSMOTIC RELEASE 90 MG PO TB24 A9270 $20.16 SALINE NASAL SPRAY 0.65 % NA SOLN A9270 $20.21 PHENAZOPYRIDINE HCL 100 MG PO TABS A9270 $20.27 WARFARIN SODIUM 2 MG PO TABS A9270 $20.27 WARFARIN SODIUM 2 MG PO TABS A9270 $20.27 WARFARIN SODIUM 2 MG PO TABS A9270 $20.27 WARFARIN SODIUM 2 MG PO TABS A9270 $20.27 PROPRANOLOL HCL ER 80 MG PO CP24 A9270 $20.32 BACLOFEN 10 MG PO TABS A9270 $20.37 CHLORDIAZEPOXIDE HCL 25 MG PO CAPS A9270 $20.37 LEVETIRACETAM 250 MG PO TABS A9270 $20.37 CHLORDIAZEPOXIDE HCL 25 MG PO CAPS A9270 $20.42 FAMOTIDINE 20 MG PO TABS A9270 $20.42 FAMOTIDINE 20 MG PO TABS A9270 $20.42 FAMOTIDINE 20 MG PO TABS A9270 $20.42 FAMOTIDINE 20 MG PO TABS A9270 $20.42 FAMOTIDINE 20 MG PO TABS A9270 $20.42 FAMOTIDINE 20 MG PO TABS A9270 $20.42 FLUOXETINE HCL 10 MG PO CAPS A9270 $20.42 BMH/CVMC NICOTINE 14 MG/24HR TD PT24 A9270 $20.42 CLOBAZAM 10 MG PO TABS A9270 $20.42 CLOBAZAM 10 MG PO TABS A9270 $20.42 LABETALOL HCL 100 MG PO TABS A9270 $20.48 DILTIAZEM HCL ER 120 MG PO CP24 A9270 $20.48 OXYCODONE HCL 5 MG PO TABS A9270 $20.53 BMH/CVMC NICOTINE 21 MG/24HR TD PT24 A9270 $20.53 BMH/CVMC NICOTINE 7 MG/24HR TD PT24 A9270 $20.53 CULTURELLE PO CAPS A9270 $20.53 CHLORTHALIDONE 25 MG PO TABS A9270 $20.58 DOXYCYCLINE HYCLATE 100 MG PO TABS A9270 $20.63 RIMANTADINE HCL 100 MG PO TABS A9270 $20.63 CARBAMAZEPINE ER 100 MG PO TB12 A9270 $20.63 POTASSIUM CITRATE ER 10 MEQ (1080 MG) PO TBCR A9270 $20.69 PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS A9270 $20.74 PROPRANOLOL HCL 20 MG PO TABS A9270 $20.74 FUROSEMIDE 10 MG/ML PO SOLN A9270 $20.79 CLINDAMYCIN HCL 150 MG PO CAPS A9270 $20.84 HYDROXYUREA 500 MG PO CAPS A9270 $20.84 WARFARIN SODIUM 1 MG PO TABS A9270 $20.84 WARFARIN SODIUM 1 MG PO TABS A9270 $20.84 NITROGLYCERIN 0.4 MG/HR TD PT24 A9270 $20.84 WARFARIN SODIUM 2.5 MG PO TABS A9270 $20.90 WARFARIN SODIUM 2.5 MG PO TABS A9270 $20.90 WARFARIN SODIUM 2.5 MG PO TABS A9270 $20.90 OXYCODONE HCL 5 MG PO TABS A9270 $20.90 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $20.90 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $20.90 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $20.90 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $20.90 LIOTHYRONINE SODIUM 25 MCG PO TABS A9270 $20.95 WARFARIN SODIUM 2.5 MG PO TABS A9270 $20.95 WARFARIN SODIUM 2.5 MG PO TABS A9270 $20.95 WARFARIN SODIUM 2.5 MG PO TABS A9270 $20.95 WARFARIN SODIUM 2.5 MG PO TABS A9270 $20.95 FLUOXETINE HCL 20 MG PO CAPS A9270 $20.95 FLUOXETINE HCL 20 MG PO CAPS A9270 $20.95 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS A9270 $21.00 PAROXETINE HCL 10 MG PO TABS A9270 $21.00 WARFARIN SODIUM 3 MG PO TABS A9270 $21.00 WARFARIN SODIUM 3 MG PO TABS A9270 $21.00 WARFARIN SODIUM 3 MG PO TABS A9270 $21.00 WARFARIN SODIUM 3 MG PO TABS A9270 $21.00 DOXEPIN HCL 50 MG PO CAPS A9270 $21.05 DOXEPIN HCL 50 MG PO CAPS A9270 $21.05 CETIRIZINE HCL 10 MG PO TABS A9270 $21.05 MORPHINE SULFATE 15 MG PO TABS A9270 $21.05 WARFARIN SODIUM 3 MG PO TABS A9270 $21.05 WARFARIN SODIUM 3 MG PO TABS A9270 $21.05 WARFARIN SODIUM 3 MG PO TABS A9270 $21.05 WARFARIN SODIUM 3 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 WARFARIN SODIUM 4 MG PO TABS A9270 $21.05 GUAIFENESIN-DM 100-10 MG/5ML PO SYRP A9270 $21.05 ROPINIROLE HCL 0.25 MG PO TABS A9270 $21.11 PHENOBARBITAL 32.4 MG PO TABS A9270 $21.16 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $21.16 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $21.16 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $21.16 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $21.16 CITALOPRAM HYDROBROMIDE 20 MG PO TABS A9270 $21.16 CITALOPRAM HYDROBROMIDE 20 MG PO TABS A9270 $21.16 PHENAZOPYRIDINE HCL 100 MG PO TABS A9270 $21.21 BUMETANIDE 1 MG PO TABS A9270 $21.21 TOLBUTAMIDE 500 MG PO TABS A9270 $21.26 MIDODRINE HCL 5 MG PO TABS A9270 $21.32 FAMCICLOVIR 500 MG PO TABS A9270 $21.32 THEOPHYLLINE ER 200 MG PO TB12 A9270 $21.37 MIRTAZAPINE 15 MG PO TABS A9270 $21.37 MIRTAZAPINE 15 MG PO TABS A9270 $21.37 FELODIPINE ER 10 MG PO TB24 A9270 $21.37 OXYCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $21.37 OXYCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $21.37 OXYCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $21.37 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $21.42 MEDROXYPROGESTERONE ACETATE 10 MG PO TABS A9270 $21.47 MISOPROSTOL 200 MCG PO TABS A9270 $21.47 TRIAZOLAM 0.125 MG PO TABS A9270 $21.58 CARBIDOPA-LEVODOPA 10-100 MG PO TABS A9270 $21.58 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $21.63 DICLOFENAC POTASSIUM 50 MG PO TABS A9270 $21.68 POTASSIUM CITRATE ER 10 MEQ (1080 MG) PO TBCR A9270 $21.68 CHLORTHALIDONE 25 MG PO TABS A9270 $21.74 NORTRIPTYLINE HCL 50 MG PO CAPS A9270 $21.74 WARFARIN SODIUM 5 MG PO TABS A9270 $21.79 WARFARIN SODIUM 5 MG PO TABS A9270 $21.79 WARFARIN SODIUM 5 MG PO TABS A9270 $21.79 WARFARIN SODIUM 5 MG PO TABS A9270 $21.79 CALCITRIOL 0.25 MCG PO CAPS A9270 $21.79 GABAPENTIN 100 MG PO CAPS A9270 $21.79 HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $21.79 BMH VANCOMYCIN PO SOLN 250 MG/5 ML A9270 $21.84 WARFARIN SODIUM 5 MG PO TABS A9270 $21.84 WARFARIN SODIUM 5 MG PO TABS A9270 $21.84 WARFARIN SODIUM 5 MG PO TABS A9270 $21.84 WARFARIN SODIUM 5 MG PO TABS A9270 $21.84 METAXALONE 800 MG PO TABS A9270 $21.84 NICOTINE 14 MG/24HR TD PT24 A9270 $21.89 OXYCODONE HCL 5 MG PO TABS A9270 $21.95 OXYCODONE HCL 5 MG PO TABS A9270 $21.95 OXYCODONE HCL 5 MG PO TABS A9270 $21.95 SIMVASTATIN 10 MG PO TABS A9270 $21.95 SIMVASTATIN 10 MG PO TABS A9270 $21.95 SIMVASTATIN 10 MG PO TABS A9270 $21.95 SIMVASTATIN 10 MG PO TABS A9270 $21.95 SIMVASTATIN 10 MG PO TABS A9270 $21.95 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $21.95 BUPROPION HCL ER (XL) 300 MG PO TB24 A9270 $21.95 CEPHALEXIN 500 MG PO CAPS A9270 $22.00 PAROXETINE HCL 10 MG PO TABS A9270 $22.00 MIRTAZAPINE 30 MG PO TABS A9270 $22.00 MIRTAZAPINE 30 MG PO TABS A9270 $22.00 MIRTAZAPINE 30 MG PO TABS A9270 $22.00 PYRIDOSTIGMINE BROMIDE 60 MG PO TABS A9270 $22.05 PAROXETINE HCL 10 MG PO TABS A9270 $22.10 BUSPIRONE HCL 5 MG PO TABS A9270 $22.16 PROPRANOLOL HCL 10 MG PO TABS A9270 $22.16 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $22.21 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $22.21 CARBIDOPA-LEVODOPA 10-100 MG PO TABS A9270 $22.21 CLINDAMYCIN HCL 150 MG PO CAPS A9270 $22.26 ISOSORBIDE DINITRATE 10 MG PO TABS A9270 $22.26 PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS A9270 $22.31 MORPHINE SULFATE 15 MG PO TABS A9270 $22.31 METOPROLOL SUCCINATE ER 25 MG PO TB24 A9270 $22.31 METOPROLOL SUCCINATE ER 50 MG PO TB24 A9270 $22.31 SALINE NASAL SPRAY 0.65 % NA SOLN A9270 $22.37 LEVETIRACETAM 100 MG/ML PO SOLN A9270 $22.37 SERTRALINE HCL 100 MG PO TABS A9270 $22.42 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $22.47 MIRTAZAPINE 15 MG PO TABS A9270 $22.47 MIRTAZAPINE 15 MG PO TABS A9270 $22.47 TRAZODONE HCL 100 MG PO TABS A9270 $22.52 OXYCODONE HCL 5 MG PO TABS A9270 $22.52 HYDROXYZINE HCL 10 MG/5ML PO SYRP A9270 $22.52 MORPHINE SULFATE (CONCENTRATE) 20 MG/ML PO SOLN A9270 $22.63 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $22.68 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $22.68 PIOGLITAZONE HCL 15 MG PO TABS A9270 $22.68 BMH/CVMC NICOTINE 21 MG/24HR TD PT24 A9270 $22.68 IRBESARTAN 75 MG PO TABS A9270 $22.94 ACIDOPHILUS LACTOBACILLUS PO CAPS A9270 $22.94 ACIDOPHILUS LACTOBACILLUS PO CAPS A9270 $22.94 VALACYCLOVIR HCL 500 MG PO TABS A9270 $23.00 ALENDRONATE SODIUM 10 MG PO TABS A9270 $23.00 ALENDRONATE SODIUM 10 MG PO TABS A9270 $23.00 ALENDRONATE SODIUM 10 MG PO TABS A9270 $23.00 BUMETANIDE 1 MG PO TABS A9270 $23.05 CALCITRIOL 0.25 MCG PO CAPS A9270 $23.05 PAROXETINE HCL 20 MG PO TABS A9270 $23.10 PAROXETINE HCL 20 MG PO TABS A9270 $23.10 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS A9270 $23.10 HYDROXYZINE PAMOATE 25 MG PO CAPS A9270 $23.21 NIFEDIPINE 10 MG PO CAPS A9270 $23.21 PAROXETINE HCL 30 MG PO TABS A9270 $23.21 MIRTAZAPINE 30 MG PO TABS A9270 $23.26 NABUMETONE 500 MG PO TABS A9270 $23.31 NABUMETONE 500 MG PO TABS A9270 $23.31 CLINDAMYCIN HCL 300 MG PO CAPS A9270 $23.36 MIRTAZAPINE 15 MG PO TABS A9270 $23.36 GLYCOPYRROLATE 1 MG PO TABS A9270 $23.42 QUETIAPINE FUMARATE 100 MG PO TABS A9270 $23.52 PROPANTHELINE BROMIDE 15 MG PO TABS A9270 $23.57 PROPANTHELINE BROMIDE 15 MG PO TABS A9270 $23.57 ZINC OXIDE 20 % EX OINT A9270 $23.57 OMEPRAZOLE 10 MG PO CPDR A9270 $23.63 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $23.63 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $23.63 NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 A9270 $23.63 NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 A9270 $23.63 DESMOPRESSIN ACETATE 0.1 MG PO TABS A9270 $23.73 DESMOPRESSIN ACETATE 0.1 MG PO TABS A9270 $23.73 GABAPENTIN 100 MG PO CAPS A9270 $23.73 PINDOLOL 5 MG PO TABS A9270 $23.78 PINDOLOL 5 MG PO TABS A9270 $23.78 RIFAMPIN 300 MG PO CAPS A9270 $23.89 NORTRIPTYLINE HCL 25 MG PO CAPS A9270 $23.94 ROPINIROLE HCL 0.25 MG PO TABS A9270 $23.94 VERAPAMIL HCL ER 120 MG PO TBCR A9270 $23.99 CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR A9270 $23.99 GALANTAMINE HYDROBROMIDE 4 MG PO TABS A9270 $23.99 MIRTAZAPINE 30 MG PO TABS A9270 $24.05 METAXALONE 800 MG PO TABS A9270 $24.05 PROPRANOLOL HCL 20 MG PO TABS A9270 $24.10 BUSPIRONE HCL 10 MG PO TABS A9270 $24.20 BUSPIRONE HCL 10 MG PO TABS A9270 $24.20 BUSPIRONE HCL 10 MG PO TABS A9270 $24.20 NORETHINDRONE ACETATE 5 MG PO TABS A9270 $24.26 ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP A9270 $24.31 CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR A9270 $24.36 CEPHALEXIN 500 MG PO CAPS A9270 $24.36 MELOXICAM 7.5 MG PO TABS A9270 $24.36 MELOXICAM 7.5 MG PO TABS A9270 $24.36 FINASTERIDE 5 MG PO TABS A9270 $24.47 GLIPIZIDE ER 2.5 MG PO TB24 A9270 $24.52 GLIPIZIDE ER 2.5 MG PO TB24 A9270 $24.52 NEOMYCIN SULFATE 500 MG PO TABS A9270 $24.57 FINASTERIDE 5 MG PO TABS A9270 $24.57 PROPRANOLOL HCL 20 MG PO TABS A9270 $24.62 CARBIDOPA-LEVODOPA 25-250 MG PO TABS A9270 $24.62 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $24.68 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $24.68 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $24.68 MORPHINE SULFATE ER 15 MG PO TBCR A9270 $24.73 WARFARIN SODIUM 1 MG PO TABS A9270 $24.78 ROSIGLITAZONE MALEATE 2 MG PO TABS A9270 $24.78 POTASSIUM CHLORIDE ER 10 MEQ PO TBCR A9270 $24.83 MELOXICAM 7.5 MG PO TABS A9270 $24.89 LEVETIRACETAM 500 MG PO TABS A9270 $24.89 DILTIAZEM HCL ER 60 MG PO CP12 A9270 $24.94 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $24.94 VENLAFAXINE HCL ER 37.5 MG PO CP24 A9270 $24.99 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $25.04 CARBIDOPA-LEVODOPA 25-100 MG PO TABS A9270 $25.04 CARBIDOPA-LEVODOPA 25-100 MG PO TABS A9270 $25.04 ALPRAZOLAM 0.5 MG PO TABS A9270 $25.20 OXYCODONE HCL 5 MG PO TABS A9270 $25.20 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $25.20 MORPHINE SULFATE ER 30 MG PO TBCR A9270 $25.31 CEFDINIR 250 MG/5ML PO SUSR A9270 $25.46 CEFDINIR 250 MG/5ML PO SUSR A9270 $25.46 CEFDINIR 250 MG/5ML PO SUSR A9270 $25.46 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS A9270 $25.46 OXCARBAZEPINE 150 MG PO TABS A9270 $25.46 FELODIPINE ER 5 MG PO TB24 A9270 $25.46 HYDROXYZINE HCL 10 MG/5ML PO SYRP A9270 $25.46 PRIMIDONE 50 MG PO TABS A9270 $25.52 TIZANIDINE HCL 4 MG PO TABS A9270 $25.52 TIZANIDINE HCL 4 MG PO TABS A9270 $25.52 AMITRIPTYLINE HCL 10 MG PO TABS A9270 $25.57 FAMOTIDINE 20 MG PO TABS A9270 $25.57 HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS A9270 $25.57 DIVALPROEX SODIUM 125 MG PO CSDR A9270 $25.57 WARFARIN SODIUM 2.5 MG PO TABS A9270 $25.78 ACYCLOVIR 200 MG PO CAPS A9270 $25.78 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $25.83 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $25.83 METOLAZONE 2.5 MG PO TABS A9270 $25.83 RISPERIDONE 3 MG PO TABS A9270 $25.83 SPIRONOLACTONE-HCTZ 25-25 MG PO TABS A9270 $25.88 CEPHALEXIN 250 MG/5ML PO SUSR A9270 $25.94 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN A9270 $25.94 DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 A9270 $25.94 AMITRIPTYLINE HCL 25 MG PO TABS A9270 $25.99 TOLTERODINE TARTRATE 1 MG PO TABS A9270 $25.99 TOLTERODINE TARTRATE 1 MG PO TABS A9270 $25.99 TERAZOSIN HCL 1 MG PO CAPS A9270 $26.04 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $26.04 LORAZEPAM 0.5 MG PO TABS A9270 $26.09 INDAPAMIDE 2.5 MG PO TABS A9270 $26.15 INDAPAMIDE 2.5 MG PO TABS A9270 $26.15 INDAPAMIDE 2.5 MG PO TABS A9270 $26.15 INDAPAMIDE 2.5 MG PO TABS A9270 $26.15 DIVALPROEX SODIUM ER 250 MG PO TB24 A9270 $26.15 HALOPERIDOL 1 MG PO TABS A9270 $26.25 CAPTOPRIL 12.5 MG PO TABS A9270 $26.25 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $26.25 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $26.30 IMIPRAMINE HCL 50 MG PO TABS A9270 $26.36 PIOGLITAZONE HCL 15 MG PO TABS A9270 $26.36 DILTIAZEM HCL 60 MG PO TABS A9270 $26.41 DILTIAZEM HCL 60 MG PO TABS A9270 $26.41 NORTRIPTYLINE HCL 25 MG PO CAPS A9270 $26.41 PROPYLTHIOURACIL 50 MG PO TABS A9270 $26.41 IRBESARTAN 150 MG PO TABS A9270 $26.41 IRBESARTAN 150 MG PO TABS A9270 $26.41 OXYBUTYNIN CHLORIDE ER 5 MG PO TB24 A9270 $26.41 CHOLESTYRAMINE 4 G PO PACK A9270 $26.46 NITROFURANTOIN MACROCRYSTAL 100 MG PO CAPS A9270 $26.51 MORPHINE SULFATE ER 30 MG PO TBCR A9270 $26.57 MORPHINE SULFATE ER 30 MG PO TBCR A9270 $26.57 MORPHINE SULFATE ER 60 MG PO TBCR A9270 $26.67 AZITHROMYCIN 250 MG PO TABS A9270 $26.67 RANITIDINE HCL 150 MG PO TABS A9270 $26.72 CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR A9270 $26.78 GABAPENTIN 600 MG PO TABS A9270 $26.78 FLUCONAZOLE 100 MG PO TABS A9270 $26.83 AMLODIPINE BESYLATE 2.5 MG PO TABS A9270 $26.88 THYROID 30 MG PO TABS A9270 $26.88 CLOZAPINE 100 MG PO TABS A9270 $26.93 TOLTERODINE TARTRATE 2 MG PO TABS A9270 $26.93 PENTOXIFYLLINE ER 400 MG PO TBCR A9270 $26.99 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $26.99 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $26.99 ARIPIPRAZOLE 5 MG PO TABS A9270 $26.99 CLOTRIMAZOLE 10 MG MT TROC A9270 $26.99 CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN A9270 $27.04 TERAZOSIN HCL 1 MG PO CAPS A9270 $27.09 AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR A9270 $27.14 PYRIDOSTIGMINE BROMIDE 60 MG PO TABS A9270 $27.20 SEVELAMER CARBONATE 800 MG PO TABS A9270 $27.20 DYCLONINE HCL 2 MG MT LOZG A9270 $27.25 PYRAZINAMIDE 500 MG PO TABS A9270 $27.41 CEPHALEXIN 250 MG PO CAPS A9270 $27.51 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 100 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 88 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $27.56 LEVOTHYROXINE SODIUM 112 MCG PO TABS A9270 $27.56 AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR A9270 $27.62 CELECOXIB 200 MG PO CAPS A9270 $27.62 CELECOXIB 200 MG PO CAPS A9270 $27.62 AMLODIPINE BESYLATE 5 MG PO TABS A9270 $27.72 NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS A9270 $27.72 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $27.77 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $27.77 OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $27.88 ASPIRIN 300 MG PR SUPP A9270 $27.93 OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $27.93 OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $27.93 NITROGLYCERIN 2 % TD OINT A9270 $27.98 TRAZODONE HCL 50 MG PO TABS A9270 $27.98 ISOSORBIDE MONONITRATE ER 30 MG PO TB24 A9270 $27.98 OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $28.04 OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS A9270 $28.04 WARFARIN SODIUM 6 MG PO TABS A9270 $28.09 WARFARIN SODIUM 6 MG PO TABS A9270 $28.09 WARFARIN SODIUM 6 MG PO TABS A9270 $28.09 WARFARIN SODIUM 6 MG PO TABS A9270 $28.09 WARFARIN SODIUM 6 MG PO TABS A9270 $28.09 WARFARIN SODIUM 6 MG PO TABS A9270 $28.09 WARFARIN SODIUM 6 MG PO TABS A9270 $28.09 FLECAINIDE ACETATE 100 MG PO TABS A9270 $28.14 WARFARIN SODIUM 6 MG PO TABS A9270 $28.14 WARFARIN SODIUM 6 MG PO TABS A9270 $28.14 WARFARIN SODIUM 6 MG PO TABS A9270 $28.14 WARFARIN SODIUM 6 MG PO TABS A9270 $28.14 WARFARIN SODIUM 6 MG PO TABS A9270 $28.14 WARFARIN SODIUM 6 MG PO TABS A9270 $28.14 WARFARIN SODIUM 6 MG PO TABS A9270 $28.14 AMOXICILLIN 125 MG/5ML PO SUSR A9270 $28.30 AMOXICILLIN 125 MG/5ML PO SUSR A9270 $28.30 PANCRELIPASE (LIP-PROT-AMYL) 10500-35500 UNITS PO CPEP A9270 $28.30 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $28.35 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $28.35 DIGOXIN 125 MCG PO TABS A9270 $28.40 DIGOXIN 250 MCG PO TABS A9270 $28.40 HYDROXYZINE PAMOATE 50 MG PO CAPS A9270 $28.40 BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS A9270 $28.46 THIOTHIXENE 5 MG PO CAPS A9270 $28.46 THIOTHIXENE 5 MG PO CAPS A9270 $28.46 THIOTHIXENE 5 MG PO CAPS A9270 $28.46 CARBAMAZEPINE 100 MG/5ML PO SUSP A9270 $28.51 CARBAMAZEPINE 100 MG/5ML PO SUSP A9270 $28.51 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $28.61 CAPTOPRIL 12.5 MG PO TABS A9270 $28.61 MESALAMINE ER 250 MG PO CPCR A9270 $28.61 FLECAINIDE ACETATE 50 MG PO TABS A9270 $28.61 NEOMYCIN SULFATE 500 MG PO TABS A9270 $28.67 LEVETIRACETAM 100 MG/ML PO SOLN A9270 $28.67 DILTIAZEM HCL 30 MG PO TABS A9270 $28.72 DULOXETINE HCL 30 MG PO CPEP A9270 $28.77 ACYCLOVIR 200 MG/5ML PO SUSP A9270 $28.88 AMIODARONE HCL 200 MG PO TABS A9270 $28.93 CEPHALEXIN 250 MG PO CAPS A9270 $28.93 AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS A9270 $28.93 NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 A9270 $28.98 DULOXETINE HCL 30 MG PO CPEP A9270 $29.03 DULOXETINE HCL 30 MG PO CPEP A9270 $29.03 IRBESARTAN 300 MG PO TABS A9270 $29.03 IRBESARTAN 300 MG PO TABS A9270 $29.03 IRBESARTAN 300 MG PO TABS A9270 $29.03 IRBESARTAN 300 MG PO TABS A9270 $29.03 WARFARIN SODIUM 7.5 MG PO TABS A9270 $29.09 WARFARIN SODIUM 7.5 MG PO TABS A9270 $29.09 WARFARIN SODIUM 7.5 MG PO TABS A9270 $29.09 WARFARIN SODIUM 7.5 MG PO TABS A9270 $29.09 WARFARIN SODIUM 7.5 MG PO TABS A9270 $29.09 WARFARIN SODIUM 7.5 MG PO TABS A9270 $29.09 IMIPRAMINE HCL 25 MG PO TABS A9270 $29.14 CEFUROXIME AXETIL 500 MG PO TABS A9270 $29.19 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $29.24 PROBENECID 500 MG PO TABS A9270 $29.30 PAROXETINE HCL 10 MG PO TABS A9270 $29.30 FAMOTIDINE 20 MG PO TABS A9270 $29.35 SOTALOL HCL 80 MG PO TABS A9270 $29.35 DULOXETINE HCL 20 MG PO CPEP A9270 $29.45 DULOXETINE HCL 20 MG PO CPEP A9270 $29.45 METOLAZONE 2.5 MG PO TABS A9270 $29.51 BUSPIRONE HCL 5 MG PO TABS A9270 $29.56 ISOSORBIDE DINITRATE 10 MG PO TABS A9270 $29.66 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $29.66 DIVALPROEX SODIUM 250 MG PO TBEC A9270 $29.72 TIZANIDINE HCL 4 MG PO TABS A9270 $29.72 ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP A9270 $29.72 AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS A9270 $29.77 AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS A9270 $29.77 HYDROCORTISONE 1 % EX CREA A9270 $29.82 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $29.87 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $29.87 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $29.87 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $29.87 NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS A9270 $29.98 HYDROCORTISONE 20 MG PO TABS A9270 $30.03 PHENYLEPHRINE-MINERAL OIL-PET 0.25-14-74.9 % PR OINT A9270 $30.08 WARFARIN SODIUM 10 MG PO TABS A9270 $30.14 WARFARIN SODIUM 10 MG PO TABS A9270 $30.14 WARFARIN SODIUM 10 MG PO TABS A9270 $30.14 WARFARIN SODIUM 10 MG PO TABS A9270 $30.14 WARFARIN SODIUM 10 MG PO TABS A9270 $30.14 WARFARIN SODIUM 10 MG PO TABS A9270 $30.14 CEFDINIR 250 MG/5ML PO SUSR A9270 $30.19 WARFARIN SODIUM 10 MG PO TABS A9270 $30.19 WARFARIN SODIUM 10 MG PO TABS A9270 $30.19 WARFARIN SODIUM 10 MG PO TABS A9270 $30.19 WARFARIN SODIUM 10 MG PO TABS A9270 $30.19 WARFARIN SODIUM 10 MG PO TABS A9270 $30.19 WARFARIN SODIUM 10 MG PO TABS A9270 $30.19 NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 A9270 $30.19 PROPRANOLOL HCL 10 MG PO TABS A9270 $30.19 CLONAZEPAM 0.5 MG PO TABS A9270 $30.40 IRBESARTAN 150 MG PO TABS A9270 $30.40 PROPRANOLOL HCL ER 80 MG PO CP24 A9270 $30.45 PRAZOSIN HCL 1 MG PO CAPS A9270 $30.56 CLARITHROMYCIN 500 MG PO TABS A9270 $30.61 ATENOLOL 25 MG PO TABS A9270 $30.66 ATENOLOL 25 MG PO TABS A9270 $30.66 DILTIAZEM HCL ER 120 MG PO CP24 A9270 $30.71 SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN A9270 $30.87 RISPERIDONE 0.5 MG PO TABS A9270 $30.92 GLUCOSE 40 % PO GEL A9270 $30.92 WARFARIN SODIUM 1 MG PO TABS A9270 $30.98 BMH ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR A9270 $31.03 BMH ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR A9270 $31.03 CAPTOPRIL 25 MG PO TABS A9270 $31.13 DILTIAZEM HCL ER 60 MG PO CP12 A9270 $31.19 DILTIAZEM HCL ER 60 MG PO CP12 A9270 $31.24 POVIDONE-IODINE 10 % EX SOLN A9270 $31.29 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $31.29 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $31.29 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $31.29 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $31.40 FLECAINIDE ACETATE 100 MG PO TABS A9270 $31.55 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $31.55 IRBESARTAN 300 MG PO TABS A9270 $31.71 TORSEMIDE 20 MG PO TABS A9270 $31.76 TOLBUTAMIDE 500 MG PO TABS A9270 $31.87 FERROUS SULFATE 300 (60 FE) MG/5ML PO SYRP A9270 $31.97 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $32.08 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $32.08 FLUCONAZOLE 100 MG PO TABS A9270 $32.08 PANTOPRAZOLE SODIUM 40 MG PO TBEC A9270 $32.13 DOXEPIN HCL 25 MG PO CAPS A9270 $32.18 PAROXETINE HCL 10 MG PO TABS A9270 $32.39 DOXEPIN HCL 10 MG PO CAPS A9270 $32.45 NORTRIPTYLINE HCL 50 MG PO CAPS A9270 $32.60 VENLAFAXINE HCL ER 37.5 MG PO CP24 A9270 $32.71 DANTROLENE SODIUM 25 MG PO CAPS A9270 $32.71 HYDROCORTISONE 0.5 % EX CREA A9270 $32.81 POTASSIUM CHLORIDE CRYS ER 10 MEQ PO TBCR A9270 $32.92 MESALAMINE 400 MG PO CPDR A9270 $32.92 MORPHINE SULFATE ER 100 MG PO TBCR A9270 $33.02 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $33.02 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $33.02 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $33.02 TAMSULOSIN HCL 0.4 MG PO CAPS A9270 $33.08 VITAMIN D (ERGOCALCIFEROL) 1.25 MG (50000 UT) PO CAPS A9270 $33.23 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $33.29 NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR A9270 $33.29 SPIRONOLACTONE 50 MG PO TABS A9270 $33.34 IBUPROFEN 100 MG/5ML PO SUSP A9270 $33.34 IBUPROFEN 100 MG/5ML PO SUSP A9270 $33.34 LISINOPRIL 5 MG PO TABS A9270 $33.39 PANCRELIPASE (LIP-PROT-AMYL) 12000-38000 UNITS PO CPEP A9270 $33.44 METHIMAZOLE 10 MG PO TABS A9270 $33.50 CANDESARTAN CILEXETIL 16 MG PO TABS A9270 $33.50 CANDESARTAN CILEXETIL 16 MG PO TABS A9270 $33.50 MICONAZOLE NITRATE 2 % EX CREA A9270 $33.55 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $33.65 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $33.65 ISOSORBIDE MONONITRATE ER 60 MG PO TB24 A9270 $33.65 ISOSORBIDE MONONITRATE ER 60 MG PO TB24 A9270 $33.65 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $33.71 HYDROCORTISONE 10 MG PO TABS A9270 $33.71 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $33.71 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $33.71 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $33.71 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $33.71 VENLAFAXINE HCL 37.5 MG PO TABS A9270 $33.71 IRBESARTAN 300 MG PO TABS A9270 $33.71 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $33.76 ACETAZOLAMIDE ER 500 MG PO CP12 A9270 $33.76 SPIRONOLACTONE 50 MG PO TABS A9270 $33.76 SPIRONOLACTONE 50 MG PO TABS A9270 $33.76 SIMVASTATIN 20 MG PO TABS A9270 $33.86 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $34.02 PIOGLITAZONE HCL 15 MG PO TABS A9270 $34.02 AMITRIPTYLINE HCL 10 MG PO TABS A9270 $34.07 CLOPIDOGREL BISULFATE 75 MG PO TABS A9270 $34.28 CELECOXIB 100 MG PO CAPS A9270 $34.28 PROPRANOLOL HCL ER 60 MG PO CP24 A9270 $34.39 PROPRANOLOL HCL ER 60 MG PO CP24 A9270 $34.39 ESCITALOPRAM OXALATE 10 MG PO TABS A9270 $34.44 ESCITALOPRAM OXALATE 10 MG PO TABS A9270 $34.44 CEFUROXIME AXETIL 250 MG PO TABS A9270 $34.55 CEFUROXIME AXETIL 250 MG PO TABS A9270 $34.55 PREGABALIN 50 MG PO CAPS A9270 $34.60 LAMOTRIGINE 200 MG PO TABS A9270 $34.65 NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS A9270 $34.70 NIFEDIPINE 10 MG PO CAPS A9270 $34.76 PAROXETINE HCL 30 MG PO TABS A9270 $34.81 MORPHINE SULFATE 15 MG PO TABS A9270 $34.81 METOLAZONE 2.5 MG PO TABS A9270 $34.97 BACITRACIN 500 UNIT/GM EX OINT A9270 $35.18 PIROXICAM 20 MG PO CAPS A9270 $35.23 PIROXICAM 20 MG PO CAPS A9270 $35.23 FLUCONAZOLE 100 MG PO TABS A9270 $35.39 TOPIRAMATE 25 MG PO TABS A9270 $35.39 CARVEDILOL 6.25 MG PO TABS A9270 $35.44 CARVEDILOL 3.125 MG PO TABS A9270 $35.44 NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 A9270 $35.44 NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 A9270 $35.44 ENTACAPONE 200 MG PO TABS A9270 $35.65 DOXYCYCLINE HYCLATE 100 MG PO TABS A9270 $35.70 THYROID 30 MG PO TABS A9270 $35.81 IBUPROFEN 100 MG/5ML PO SUSP A9270 $35.81 MISOPROSTOL 100 MCG PO TABS A9270 $35.86 RISPERIDONE 1 MG PO TABS A9270 $35.86 ZOLPIDEM TARTRATE 5 MG PO TABS A9270 $36.28 ZOLPIDEM TARTRATE 5 MG PO TABS A9270 $36.28 ZOLPIDEM TARTRATE 10 MG PO TABS A9270 $36.33 APIXABAN 5 MG PO TABS A9270 $36.33 BACITRACIN 500 UNIT/GM EX OINT A9270 $36.49 MESALAMINE 400 MG PO CPDR A9270 $36.59 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $36.65 SPIRONOLACTONE 25 MG PO TABS A9270 $36.70 SPIRONOLACTONE 25 MG PO TABS A9270 $36.70 ROSIGLITAZONE MALEATE 4 MG PO TABS A9270 $36.80 AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS A9270 $36.80 AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS A9270 $36.80 LISINOPRIL 5 MG PO TABS A9270 $36.86 DOXEPIN HCL 25 MG PO CAPS A9270 $36.91 FOLIC ACID 400 MCG PO TABS A9270 $36.96 DOXEPIN HCL 10 MG PO CAPS A9270 $37.01 WARFARIN SODIUM 1 MG PO TABS A9270 $37.12 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD A9270 $37.17 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD A9270 $37.17 DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD A9270 $37.17 CEFDINIR 300 MG PO CAPS A9270 $37.22 SORBITOL 70 % PO SOLN A9270 $37.22 CEFDINIR 300 MG PO CAPS A9270 $37.28 DILTIAZEM HCL ER 60 MG PO CP12 A9270 $37.38 BUPROPION HCL ER (XL) 150 MG PO TB24 A9270 $37.49 FENOFIBRATE 145 MG PO TABS A9270 $37.54 PROGESTERONE 100 MG PO CAPS A9270 $37.64 PRIMAQUINE PHOSPHATE 26.3 (15 BASE) MG PO TABS A9270 $37.75 PRIMIDONE 50 MG PO TABS A9270 $37.80 BUPROPION HCL ER (XL) 150 MG PO TB24 A9270 $37.96 NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR A9270 $38.01 PREGABALIN 50 MG PO CAPS A9270 $38.01 NELFINAVIR MESYLATE 250 MG PO TABS A9270 $38.17 DIPHENHYDRAMINE-ZINC ACETATE 1-0.1 % EX CREA A9270 $38.17 DILTIAZEM HCL 30 MG PO TABS A9270 $38.27 LABETALOL HCL 100 MG PO TABS A9270 $38.43 PHENYLEPHRINE HCL 0.25 % NA SOLN A9270 $38.48 PHENYLEPHRINE HCL 0.25 % NA SOLN A9270 $38.48 PHENYLEPHRINE HCL 0.5 % NA SOLN A9270 $38.48 PHENYLEPHRINE HCL 0.5 % NA SOLN A9270 $38.48 POLYVINYL ALCOHOL 1.4 % OP SOLN A9270 $38.48 DIPHENHYDRAMINE-ZINC ACETATE 1-0.1 % EX CREA A9270 $38.48 AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS A9270 $38.48 SIMVASTATIN 20 MG PO TABS A9270 $38.54 SIMVASTATIN 20 MG PO TABS A9270 $38.64 SIMVASTATIN 20 MG PO TABS A9270 $38.64 SIMVASTATIN 20 MG PO TABS A9270 $38.64 SIMVASTATIN 40 MG PO TABS A9270 $38.64 SIMVASTATIN 40 MG PO TABS A9270 $38.64 SIMVASTATIN 40 MG PO TABS A9270 $38.64 SIMVASTATIN 40 MG PO TABS A9270 $38.64 SIMVASTATIN 40 MG PO TABS A9270 $38.64 PHENAZOPYRIDINE HCL 100 MG PO TABS A9270 $38.75 WARFARIN SODIUM 7.5 MG PO TABS A9270 $38.75 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN A9270 $38.80 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN A9270 $38.80 MORPHINE SULFATE ER 60 MG PO TBCR A9270 $38.80 MORPHINE SULFATE ER 60 MG PO TBCR A9270 $38.80 MORPHINE SULFATE ER 60 MG PO TBCR A9270 $38.80 CHLORTHALIDONE 25 MG PO TABS A9270 $38.80 HYDROCODONE/APAP 7.5/325MG/15ML PO SOLUTION ER TO GO (BMH) A9270 $38.80 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $38.85 SPIRONOLACTONE-HCTZ 25-25 MG PO TABS A9270 $38.85 TERAZOSIN HCL 1 MG PO CAPS A9270 $39.01 SOTALOL HCL 80 MG PO TABS A9270 $39.11 CIPROFLOXACIN HCL 500 MG PO TABS A9270 $39.11 DICLOXACILLIN SODIUM 500 MG PO CAPS A9270 $39.38 PIOGLITAZONE HCL 15 MG PO TABS A9270 $39.48 IMIPRAMINE HCL 50 MG PO TABS A9270 $39.53 AZITHROMYCIN 250 MG PO TABS A9270 $39.53 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $39.69 TORSEMIDE 20 MG PO TABS A9270 $39.69 OXYCODONE HCL ER 10 MG PO T12A A9270 $39.80 NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 A9270 $39.80 SULFASALAZINE 500 MG PO TBEC A9270 $39.90 MONTELUKAST SODIUM 5 MG PO CHEW A9270 $40.11 METOPROLOL SUCCINATE ER 25 MG PO TB24 A9270 $40.16 TELMISARTAN 40 MG PO TABS A9270 $40.22 TELMISARTAN 40 MG PO TABS A9270 $40.22 SOTALOL HCL 80 MG PO TABS A9270 $40.27 SOTALOL HCL 80 MG PO TABS A9270 $40.27 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $40.43 DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 A9270 $40.43 PHENAZOPYRIDINE HCL 100 MG PO TABS A9270 $40.48 WARFARIN SODIUM 2 MG PO TABS A9270 $40.53 WARFARIN SODIUM 2 MG PO TABS A9270 $40.53 PROPRANOLOL HCL ER 80 MG PO CP24 A9270 $40.58 TERAZOSIN HCL 1 MG PO CAPS A9270 $40.58 HYDROCORTISONE 1 % EX OINT A9270 $40.64 PAROXETINE HCL ER 12.5 MG PO TB24 A9270 $40.64 LEVETIRACETAM 250 MG PO TABS A9270 $40.69 FLUOXETINE HCL 10 MG PO CAPS A9270 $40.79 FAMOTIDINE 20 MG PO TABS A9270 $40.85 FAMOTIDINE 20 MG PO TABS A9270 $40.85 FAMOTIDINE 20 MG PO TABS A9270 $40.85 FAMOTIDINE 20 MG PO TABS A9270 $40.85 CHLORTHALIDONE 25 MG PO TABS A9270 $41.16 MONTELUKAST SODIUM 5 MG PO CHEW A9270 $41.21 CARBAMAZEPINE ER 100 MG PO TB12 A9270 $41.21 DOCUSATE SODIUM 60 MG/15ML PO SYRP A9270 $41.32 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $41.32 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $41.32 LEVOTHYROXINE SODIUM 50 MCG PO TABS A9270 $41.32 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $41.32 LEVOTHYROXINE SODIUM 125 MCG PO TABS A9270 $41.32 BMH VANCOMYCIN PO SOLN 250 MG/5 ML A9270 $41.42 FIRST-VANCOMYCIN 50 MG/ML PO SOLN A9270 $41.42 WARFARIN SODIUM 1 MG PO TABS A9270 $41.63 ZINC OXIDE 40 % EX PSTE A9270 $41.63 WARFARIN SODIUM 1 MG PO TABS A9270 $41.69 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $41.74 WARFARIN SODIUM 2.5 MG PO TABS A9270 $41.79 OXCARBAZEPINE 150 MG PO TABS A9270 $41.79 WARFARIN SODIUM 2.5 MG PO TABS A9270 $41.84 WARFARIN SODIUM 2.5 MG PO TABS A9270 $41.84 FLUOXETINE HCL 20 MG PO CAPS A9270 $41.90 PAROXETINE HCL 10 MG PO TABS A9270 $42.00 WARFARIN SODIUM 3 MG PO TABS A9270 $42.00 WARFARIN SODIUM 3 MG PO TABS A9270 $42.00 WARFARIN SODIUM 3 MG PO TABS A9270 $42.00 WARFARIN SODIUM 3 MG PO TABS A9270 $42.11 WARFARIN SODIUM 3 MG PO TABS A9270 $42.11 WARFARIN SODIUM 3 MG PO TABS A9270 $42.11 WARFARIN SODIUM 4 MG PO TABS A9270 $42.11 WARFARIN SODIUM 4 MG PO TABS A9270 $42.11 WARFARIN SODIUM 4 MG PO TABS A9270 $42.11 WARFARIN SODIUM 4 MG PO TABS A9270 $42.11 WARFARIN SODIUM 4 MG PO TABS A9270 $42.11 WARFARIN SODIUM 4 MG PO TABS A9270 $42.11 FLECAINIDE ACETATE 100 MG PO TABS A9270 $42.16 MORPHINE SULFATE ER 30 MG PO TBCR A9270 $42.16 ROPINIROLE HCL 0.25 MG PO TABS A9270 $42.16 DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 A9270 $42.26 CITALOPRAM HYDROBROMIDE 20 MG PO TABS A9270 $42.32 BUMETANIDE 1 MG PO TABS A9270 $42.37 OLMESARTAN MEDOXOMIL 20 MG PO TABS A9270 $42.37 PHENAZOPYRIDINE HCL 100 MG PO TABS A9270 $42.42 TOLBUTAMIDE 500 MG PO TABS A9270 $42.47 HYDROXYZINE PAMOATE 50 MG PO CAPS A9270 $42.58 MIDODRINE HCL 5 MG PO TABS A9270 $42.58 FAMCICLOVIR 500 MG PO TABS A9270 $42.58 MIRTAZAPINE 15 MG PO TABS A9270 $42.68 OXYCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $42.68 OXYCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $42.68 OXYCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $42.74 ATORVASTATIN CALCIUM 10 MG PO TABS A9270 $42.79 MEDROXYPROGESTERONE ACETATE 10 MG PO TABS A9270 $42.95 TRIAZOLAM 0.125 MG PO TABS A9270 $43.10 CARBAMIDE PEROXIDE 6.5 % OT SOLN A9270 $43.10 POVIDONE-IODINE 10 % EX SOLN A9270 $43.10 CALAMINE-ZINC OXIDE 8-8 % EX LOTN A9270 $43.10 DULOXETINE HCL 30 MG PO CPEP A9270 $43.16 DULOXETINE HCL 30 MG PO CPEP A9270 $43.16 DULOXETINE HCL 30 MG PO CPEP A9270 $43.16 PHENYLEPHRINE HCL 1 % NA SOLN A9270 $43.37 PHENYLEPHRINE HCL 1 % NA SOLN A9270 $43.37 NORTRIPTYLINE HCL 50 MG PO CAPS A9270 $43.47 WARFARIN SODIUM 5 MG PO TABS A9270 $43.52 WARFARIN SODIUM 5 MG PO TABS A9270 $43.52 FLECAINIDE ACETATE 100 MG PO TABS A9270 $43.52 WARFARIN SODIUM 5 MG PO TABS A9270 $43.63 WARFARIN SODIUM 5 MG PO TABS A9270 $43.63 METAXALONE 800 MG PO TABS A9270 $43.63 TERBINAFINE HCL 250 MG PO TABS A9270 $43.68 IMIPRAMINE HCL 25 MG PO TABS A9270 $43.73 CLARITHROMYCIN 500 MG PO TABS A9270 $43.79 CLARITHROMYCIN 500 MG PO TABS A9270 $43.79 SIMVASTATIN 10 MG PO TABS A9270 $43.84 SIMVASTATIN 10 MG PO TABS A9270 $43.84 SIMVASTATIN 10 MG PO TABS A9270 $43.84 SIMVASTATIN 10 MG PO TABS A9270 $43.84 MIRTAZAPINE 30 MG PO TABS A9270 $43.94 DUTASTERIDE 0.5 MG PO CAPS A9270 $44.05 DUTASTERIDE 0.5 MG PO CAPS A9270 $44.05 DULOXETINE HCL 20 MG PO CPEP A9270 $44.15 VITAMIN B-12 ER 1000 MCG PO TBCR A9270 $44.15 PAROXETINE HCL 10 MG PO TABS A9270 $44.21 PROPRANOLOL HCL 10 MG PO TABS A9270 $44.26 OXYMETAZOLINE HCL 0.05 % NA SOLN A9270 $44.36 OLANZAPINE 5 MG PO TABS A9270 $44.36 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $44.42 AMOXICILLIN 250 MG/5ML PO SUSR A9270 $44.42 POLYVINYL ALCOHOL 1.4 % OP SOLN A9270 $44.42 MORPHINE SULFATE ER 60 MG PO TBCR A9270 $44.42 FLUVASTATIN SODIUM 20 MG PO CAPS A9270 $44.57 MORPHINE SULFATE 15 MG PO TABS A9270 $44.63 METOPROLOL SUCCINATE ER 25 MG PO TB24 A9270 $44.63 METOPROLOL SUCCINATE ER 50 MG PO TB24 A9270 $44.63 LEVETIRACETAM 100 MG/ML PO SOLN A9270 $44.73 FERROUS SULFATE 220 (44 FE) MG/5ML PO ELIX A9270 $44.78 MIRTAZAPINE 15 MG PO TABS A9270 $44.94 TRIAMCINOLONE ACETONIDE 0.025 % EX CREA A9270 $45.20 NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 A9270 $45.26 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $45.36 CHLORPROMAZINE HCL 25 MG PO TABS A9270 $45.52 KETOCONAZOLE 200 MG PO TABS A9270 $45.57 KETOCONAZOLE 200 MG PO TABS A9270 $45.57 MONTELUKAST SODIUM 4 MG PO CHEW A9270 $45.78 PRAZOSIN HCL 1 MG PO CAPS A9270 $45.83 IRBESARTAN 75 MG PO TABS A9270 $45.83 ACIDOPHILUS LACTOBACILLUS PO CAPS A9270 $45.83 ACIDOPHILUS LACTOBACILLUS PO CAPS A9270 $45.83 VALACYCLOVIR HCL 500 MG PO TABS A9270 $45.94 BUMETANIDE 1 MG PO TABS A9270 $46.10 PAROXETINE HCL 20 MG PO TABS A9270 $46.15 PAROXETINE HCL 20 MG PO TABS A9270 $46.15 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS A9270 $46.20 PAROXETINE HCL 30 MG PO TABS A9270 $46.41 WARFARIN SODIUM 1 MG PO TABS A9270 $46.41 HYDROCORTISONE 1 % EX CREA A9270 $46.46 HYDROCORTISONE 1 % EX CREA A9270 $46.46 HYDROCORTISONE-ALOE 0.5 % EX CREA A9270 $46.46 MIRTAZAPINE 15 MG PO TABS A9270 $46.67 DILTIAZEM HCL ER 60 MG PO CP12 A9270 $46.78 DILTIAZEM HCL ER 60 MG PO CP12 A9270 $46.83 TRIAMCINOLONE ACETONIDE 0.1 % EX OINT A9270 $47.04 QUETIAPINE FUMARATE 100 MG PO TABS A9270 $47.04 TRIAMCINOLONE ACETONIDE 0.1 % EX CREA A9270 $47.04 PROPANTHELINE BROMIDE 15 MG PO TABS A9270 $47.15 OMEPRAZOLE 10 MG PO CPDR A9270 $47.20 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $47.25 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $47.25 PINDOLOL 5 MG PO TABS A9270 $47.51 PINDOLOL 5 MG PO TABS A9270 $47.51 OLANZAPINE 5 MG PO TBDP A9270 $47.88 OLANZAPINE 5 MG PO TBDP A9270 $47.88 GALANTAMINE HYDROBROMIDE 4 MG PO TABS A9270 $47.93 MIRTAZAPINE 30 MG PO TABS A9270 $48.09 METAXALONE 800 MG PO TABS A9270 $48.09 PROPRANOLOL HCL 20 MG PO TABS A9270 $48.20 TERBUTALINE SULFATE 5 MG PO TABS A9270 $48.41 TERBUTALINE SULFATE 5 MG PO TABS A9270 $48.41 NORETHINDRONE ACETATE 5 MG PO TABS A9270 $48.46 OXYMETAZOLINE HCL 0.05 % NA SOLN A9270 $48.56 FENOFIBRATE 48 MG PO TABS A9270 $48.62 FENOFIBRATE 48 MG PO TABS A9270 $48.62 MELOXICAM 7.5 MG PO TABS A9270 $48.67 MELOXICAM 7.5 MG PO TABS A9270 $48.67 TRIAMCINOLONE ACETONIDE 0.1 % EX OINT A9270 $48.77 NAPHAZOLINE-PHENIRAMINE 0.027-0.315 % OP SOLN A9270 $48.93 FINASTERIDE 5 MG PO TABS A9270 $48.93 GLIPIZIDE ER 2.5 MG PO TB24 A9270 $48.98 GLIPIZIDE ER 2.5 MG PO TB24 A9270 $48.98 COLCHICINE 0.6 MG PO TABS A9270 $49.04 COLCHICINE 0.6 MG PO TABS A9270 $49.04 FINASTERIDE 5 MG PO TABS A9270 $49.09 METOCLOPRAMIDE HCL 10 MG/10ML PO SOLN A9270 $49.14 TRIAMCINOLONE ACETONIDE 0.1 % EX CREA A9270 $49.19 HYDROCERIN EX CREA A9270 $49.30 MORPHINE SULFATE ER 15 MG PO TBCR A9270 $49.46 ROSIGLITAZONE MALEATE 2 MG PO TABS A9270 $49.56 CLOPIDOGREL BISULFATE 75 MG PO TABS A9270 $49.61 LEVETIRACETAM 500 MG PO TABS A9270 $49.72 MELOXICAM 7.5 MG PO TABS A9270 $49.77 DILTIAZEM HCL ER 60 MG PO CP12 A9270 $49.82 IBUPROFEN 100 MG/5ML PO SUSP A9270 $49.98 IBUPROFEN 100 MG/5ML PO SUSP A9270 $49.98 ARTIFICIAL TEARS OP OINTMENT A9270 $50.30 ALPRAZOLAM 0.5 MG PO TABS A9270 $50.35 HYDROCORTISONE 2.5 % EX OINT A9270 $50.35 LEVOFLOXACIN 750 MG PO TABS A9270 $50.35 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $50.56 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $50.61 TOPIRAMATE 50 MG PO TABS A9270 $50.61 CEFDINIR 250 MG/5ML PO SUSR A9270 $50.87 CEFDINIR 250 MG/5ML PO SUSR A9270 $50.87 CEFDINIR 250 MG/5ML PO SUSR A9270 $50.87 OXCARBAZEPINE 150 MG PO TABS A9270 $50.87 PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS A9270 $50.93 PIOGLITAZONE HCL 15 MG PO TABS A9270 $51.03 PIOGLITAZONE HCL 15 MG PO TABS A9270 $51.03 ZINC OXIDE 40 % EX PSTE A9270 $51.45 PROPRANOLOL HCL ER 60 MG PO CP24 A9270 $51.61 METOLAZONE 2.5 MG PO TABS A9270 $51.61 RISPERIDONE 3 MG PO TABS A9270 $51.66 SPIRONOLACTONE-HCTZ 25-25 MG PO TABS A9270 $51.77 TOLTERODINE TARTRATE 1 MG PO TABS A9270 $51.98 TOLTERODINE TARTRATE 1 MG PO TABS A9270 $51.98 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $52.03 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $52.45 CAPTOPRIL 12.5 MG PO TABS A9270 $52.50 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG PO TABS A9270 $52.61 PROPYLTHIOURACIL 50 MG PO TABS A9270 $52.76 IRBESARTAN 150 MG PO TABS A9270 $52.76 OXYBUTYNIN CHLORIDE ER 5 MG PO TB24 A9270 $52.76 NORTRIPTYLINE HCL 25 MG PO CAPS A9270 $52.82 CHOLESTYRAMINE 4 G PO PACK A9270 $52.92 MORPHINE SULFATE ER 30 MG PO TBCR A9270 $53.08 MESALAMINE ER 500 MG PO CPCR A9270 $53.08 MIDAZOLAM HCL 2 MG/ML PO SYRP A9270 $53.39 MIDAZOLAM HCL 2 MG/ML PO SYRP A9270 $53.39 AMLODIPINE BESYLATE 2.5 MG PO TABS A9270 $53.71 IBUPROFEN 100 MG/5ML PO SUSP A9270 $53.71 AZITHROMYCIN 250 MG PO TABS A9270 $53.81 AZITHROMYCIN 250 MG PO TABS A9270 $53.81 CLOZAPINE 100 MG PO TABS A9270 $53.87 MIDAZOLAM HCL 2 MG/ML PO SYRP A9270 $53.87 ESTROGENS CONJUGATED 0.3 MG PO TABS A9270 $54.18 ESTROGENS CONJUGATED 0.625 MG PO TABS A9270 $54.18 ESTROGENS CONJUGATED 0.625 MG PO TABS A9270 $54.18 SEVELAMER CARBONATE 800 MG PO TABS A9270 $54.34 REPAGLINIDE 1 MG PO TABS A9270 $54.65 REPAGLINIDE 1 MG PO TABS A9270 $54.65 HYDROCORTISONE 1 % EX OINT A9270 $54.81 PYRAZINAMIDE 500 MG PO TABS A9270 $54.81 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $55.13 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $55.13 CELECOXIB 200 MG PO CAPS A9270 $55.18 CELECOXIB 200 MG PO CAPS A9270 $55.18 CARBAMIDE PEROXIDE 6.5 % OT SOLN A9270 $55.23 PROPAFENONE HCL 150 MG PO TABS A9270 $55.55 MORPHINE SULFATE ER 100 MG PO TBCR A9270 $55.60 MORPHINE SULFATE ER 100 MG PO TBCR A9270 $55.60 MORPHINE SULFATE ER 100 MG PO TBCR A9270 $55.60 MORPHINE SULFATE ER 100 MG PO TBCR A9270 $55.60 AMOXICILLIN-POT CLAVULANATE ER 1000-62.5 MG PO TB12 A9270 $55.86 ISOSORBIDE MONONITRATE ER 30 MG PO TB24 A9270 $55.97 DULOXETINE HCL 30 MG PO CPEP A9270 $56.07 DULOXETINE HCL 30 MG PO CPEP A9270 $56.07 WARFARIN SODIUM 6 MG PO TABS A9270 $56.18 WARFARIN SODIUM 6 MG PO TABS A9270 $56.18 FLECAINIDE ACETATE 100 MG PO TABS A9270 $56.23 WARFARIN SODIUM 6 MG PO TABS A9270 $56.23 WARFARIN SODIUM 6 MG PO TABS A9270 $56.23 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $56.39 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $56.39 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $56.39 BUPROPION HCL ER (XL) 150 MG PO TB24 A9270 $56.54 AZITHROMYCIN 250 MG PO TABS A9270 $56.60 PANCRELIPASE (LIP-PROT-AMYL) 10500-35500 UNITS PO CPEP A9270 $56.60 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $56.65 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $56.65 HYDROXYZINE PAMOATE 50 MG PO CAPS A9270 $56.75 PRAMOX-PE-GLYCERIN-PETROLATUM 1-0.25-14.4-15 % EX CREA A9270 $56.75 THIOTHIXENE 5 MG PO CAPS A9270 $56.86 THIOTHIXENE 5 MG PO CAPS A9270 $56.86 HYDROCODONE/APAP 7.5/325MG/15ML PO SOLUTION ER TO GO (BMH) A9270 $57.07 NORTRIPTYLINE HCL 10 MG PO CAPS A9270 $57.23 CAPTOPRIL 12.5 MG PO TABS A9270 $57.23 MESALAMINE ER 250 MG PO CPCR A9270 $57.23 LEVETIRACETAM 100 MG/ML PO SOLN A9270 $57.28 DULOXETINE HCL 30 MG PO CPEP A9270 $57.54 LABETALOL HCL 100 MG PO TABS A9270 $57.65 ACYCLOVIR 200 MG/5ML PO SUSP A9270 $57.75 AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS A9270 $57.80 AMIODARONE HCL 200 MG PO TABS A9270 $57.86 WARFARIN SODIUM 7.5 MG PO TABS A9270 $58.12 CEFUROXIME AXETIL 500 MG PO TABS A9270 $58.38 CEFUROXIME AXETIL 500 MG PO TABS A9270 $58.38 CEFUROXIME AXETIL 500 MG PO TABS A9270 $58.38 SOTALOL HCL 80 MG PO TABS A9270 $58.64 CIPROFLOXACIN HCL 500 MG PO TABS A9270 $58.64 METOLAZONE 2.5 MG PO TABS A9270 $58.96 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $59.33 AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS A9270 $59.48 AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS A9270 $59.48 DULOXETINE HCL 20 MG PO CPEP A9270 $59.48 MERCAPTOPURINE 50 MG PO TABS A9270 $59.59 MERCAPTOPURINE 50 MG PO TABS A9270 $59.59 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $59.69 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $59.69 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $59.69 CEFDINIR 250 MG/5ML PO SUSR A9270 $60.38 SOTALOL HCL 80 MG PO TABS A9270 $60.38 RABEPRAZOLE SODIUM 20 MG PO TBEC A9270 $60.48 BACITRACIN-NEOMYCIN-POLYMYXIN 400-5-5000 EX OINT A9270 $60.53 HYDROCORTISONE 1 % EX CREA A9270 $60.69 WARFARIN SODIUM 2 MG PO TABS A9270 $60.80 WARFARIN SODIUM 2 MG PO TABS A9270 $60.80 IRBESARTAN 150 MG PO TABS A9270 $60.80 ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 A9270 $60.85 LEVETIRACETAM 250 MG PO TABS A9270 $61.01 PRAZOSIN HCL 1 MG PO CAPS A9270 $61.06 ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 A9270 $61.32 PREGABALIN 50 MG PO CAPS A9270 $61.37 PREGABALIN 50 MG PO CAPS A9270 $61.37 CLOBAZAM 10 MG PO TABS A9270 $61.43 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $61.64 RISPERIDONE 0.5 MG PO TABS A9270 $61.79 CARBAMAZEPINE ER 100 MG PO TB12 A9270 $61.85 WARFARIN SODIUM 1 MG PO TABS A9270 $61.90 BMH ESOMEPRAZOLE MAGNESIUM 20 MG PO CPDR A9270 $62.00 BMH ESOMEPRAZOLE MAGNESIUM 20 MG PO CPDR A9270 $62.00 BMH ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR A9270 $62.00 BMH ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR A9270 $62.00 PHENYLEPH-SHARK LIV OIL-MO-PET 0.25-3-14-71.9 % PR OINT A9270 $62.06 PHENYLEPHRINE-MINERAL OIL-PET 0.25-14-74.9 % PR OINT A9270 $62.06 CAPTOPRIL 25 MG PO TABS A9270 $62.21 OXYCODONE HCL 5 MG/5ML PO SOLN A9270 $62.27 DILTIAZEM HCL ER 60 MG PO CP12 A9270 $62.37 DILTIAZEM HCL ER 60 MG PO CP12 A9270 $62.42 POLYVINYL ALCOHOL 1.4 % OP SOLN A9270 $62.42 WARFARIN SODIUM 1 MG PO TABS A9270 $62.42 WARFARIN SODIUM 1 MG PO TABS A9270 $62.42 URSODIOL 300 MG PO CAPS A9270 $62.53 WARFARIN SODIUM 1 MG PO TABS A9270 $62.53 WARFARIN SODIUM 1 MG PO TABS A9270 $62.53 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $62.58 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $62.58 WARFARIN SODIUM 2.5 MG PO TABS A9270 $62.69 WARFARIN SODIUM 2.5 MG PO TABS A9270 $62.79 WARFARIN SODIUM 2.5 MG PO TABS A9270 $62.79 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $62.79 COLCHICINE 0.6 MG PO TABS A9270 $62.84 TELMISARTAN 40 MG PO TABS A9270 $62.84 TELMISARTAN 40 MG PO TABS A9270 $62.84 CLOTRIMAZOLE 1 % VA CREA A9270 $62.90 PAROXETINE HCL 10 MG PO TABS A9270 $62.95 WARFARIN SODIUM 3 MG PO TABS A9270 $63.00 FLECAINIDE ACETATE 100 MG PO TABS A9270 $63.05 FLECAINIDE ACETATE 100 MG PO TABS A9270 $63.05 WARFARIN SODIUM 3 MG PO TABS A9270 $63.16 WARFARIN SODIUM 4 MG PO TABS A9270 $63.16 WARFARIN SODIUM 4 MG PO TABS A9270 $63.16 ERGOCALCIFEROL 200 MCG/ML PO SOLN A9270 $63.79 MIRTAZAPINE 15 MG PO TABS A9270 $64.00 FLUCONAZOLE 100 MG PO TABS A9270 $64.10 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $64.16 PANTOPRAZOLE SODIUM 40 MG PO TBEC A9270 $64.21 ICY HOT EXTRA STRENGTH 10-30 % EX CREA A9270 $64.52 PAROXETINE HCL 10 MG PO TABS A9270 $64.73 DOXEPIN HCL 10 MG PO CAPS A9270 $64.84 CLOTRIMAZOLE 1 % EX CREA A9270 $65.00 TERAZOSIN HCL 1 MG PO CAPS A9270 $65.00 SEVELAMER HCL 800 MG PO TABS A9270 $65.00 SEVELAMER HCL 800 MG PO TABS A9270 $65.00 FLECAINIDE ACETATE 100 MG PO TABS A9270 $65.26 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $65.26 VENLAFAXINE HCL ER 37.5 MG PO CP24 A9270 $65.42 URSODIOL 300 MG PO CAPS A9270 $65.42 FERROUS SULFATE 220 (44 FE) MG/5ML PO ELIX A9270 $65.47 MESALAMINE 400 MG PO CPDR A9270 $65.84 TRIAMCINOLONE ACETONIDE 0.1 % EX CREA A9270 $65.99 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $65.99 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $65.99 TAMSULOSIN HCL 0.4 MG PO CAPS A9270 $66.10 PAROXETINE HCL 10 MG PO TABS A9270 $66.31 ZIDOVUDINE 10 MG/ML PO SYRP A9270 $66.41 BACITRACIN ZINC 500 UNIT/GM EX OINT A9270 $66.62 SITAGLIPTIN PHOSPHATE 50 MG PO TABS A9270 $66.68 LISINOPRIL 5 MG PO TABS A9270 $66.78 PANCRELIPASE (LIP-PROT-AMYL) 12000-38000 UNITS PO CPEP A9270 $66.89 CANDESARTAN CILEXETIL 16 MG PO TABS A9270 $66.94 CANDESARTAN CILEXETIL 16 MG PO TABS A9270 $66.94 METHIMAZOLE 10 MG PO TABS A9270 $66.99 SIMETHICONE 40 MG/0.6ML PO SUSP A9270 $67.04 LEVETIRACETAM 100 MG/ML PO SOLN A9270 $67.10 MIRTAZAPINE 15 MG PO TABS A9270 $67.36 ARIPIPRAZOLE 5 MG PO TABS A9270 $67.36 IRBESARTAN 300 MG PO TABS A9270 $67.36 CLOTRIMAZOLE 1 % EX CREA A9270 $67.41 ENTACAPONE 200 MG PO TABS A9270 $67.41 ACETAZOLAMIDE ER 500 MG PO CP12 A9270 $67.46 MICONAZOLE NITRATE 2 % VA CREA A9270 $67.52 TERAZOSIN HCL 1 MG PO CAPS A9270 $67.62 SIMVASTATIN 20 MG PO TABS A9270 $67.67 LEVETIRACETAM 100 MG/ML PO SOLN A9270 $68.04 OXYCODONE HCL ER 20 MG PO T12A A9270 $68.36 OXYCODONE HCL ER 20 MG PO T12A A9270 $68.36 TOLNAFTATE 1 % EX CREA A9270 $68.36 CLOPIDOGREL BISULFATE 75 MG PO TABS A9270 $68.51 CELECOXIB 100 MG PO CAPS A9270 $68.57 ESCITALOPRAM OXALATE 10 MG PO TABS A9270 $68.83 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $68.88 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $68.88 OXAPROZIN 600 MG PO TABS A9270 $68.88 EZETIMIBE 10 MG PO TABS A9270 $68.99 CEFUROXIME AXETIL 250 MG PO TABS A9270 $69.09 CEFUROXIME AXETIL 250 MG PO TABS A9270 $69.09 PREGABALIN 50 MG PO CAPS A9270 $69.14 LAMOTRIGINE 200 MG PO TABS A9270 $69.30 EZETIMIBE 10 MG PO TABS A9270 $69.30 NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS A9270 $69.41 DABIGATRAN ETEXILATE MESYLATE 150 MG PO CAPS A9270 $69.46 DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS A9270 $69.46 CHLORPROMAZINE HCL 25 MG PO TABS A9270 $69.62 CHLORPROMAZINE HCL 25 MG PO TABS A9270 $69.62 FUROSEMIDE 10 MG/ML PO SOLN A9270 $69.67 OLMESARTAN MEDOXOMIL 20 MG PO TABS A9270 $70.35 FLUCONAZOLE 100 MG PO TABS A9270 $70.72 TOPIRAMATE 25 MG PO TABS A9270 $70.77 CARVEDILOL 6.25 MG PO TABS A9270 $70.82 CARVEDILOL 3.125 MG PO TABS A9270 $70.82 MISOPROSTOL 100 MCG PO TABS A9270 $71.72 RISPERIDONE 1 MG PO TABS A9270 $71.72 POTASSIUM CHLORIDE 20 MEQ PO PACK A9270 $72.08 POTASSIUM CHLORIDE 20 MEQ PO PACK A9270 $72.08 POTASSIUM CHLORIDE 20 MEQ PO PACK A9270 $72.08 MIRTAZAPINE 30 MG PO TABS A9270 $72.08 CLARITHROMYCIN 250 MG/5ML PO SUSR A9270 $72.29 HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN A9270 $72.29 ZOLPIDEM TARTRATE 5 MG PO TABS A9270 $72.56 ZOLPIDEM TARTRATE 5 MG PO TABS A9270 $72.56 APIXABAN 5 MG PO TABS A9270 $72.66 APIXABAN 5 MG PO TABS A9270 $72.66 APIXABAN 5 MG PO TABS A9270 $72.66 MESALAMINE 400 MG PO CPDR A9270 $73.13 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $73.24 ROSIGLITAZONE MALEATE 4 MG PO TABS A9270 $73.55 AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS A9270 $73.55 AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS A9270 $73.55 LISINOPRIL 5 MG PO TABS A9270 $73.66 BMH RIFAMPIN PO SOLN 60 MG/5 ML A9270 $73.82 DOXEPIN HCL 10 MG PO CAPS A9270 $74.03 ACETAZOLAMIDE ER 500 MG PO CP12 A9270 $74.50 COLCHICINE 0.6 MG PO TABS A9270 $74.81 BUPROPION HCL ER (XL) 150 MG PO TB24 A9270 $74.97 MODAFINIL 100 MG PO TABS A9270 $75.08 SUCRALFATE 1 GM/10ML PO SUSP A9270 $75.55 ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 A9270 $75.65 BUPROPION HCL ER (XL) 150 MG PO TB24 A9270 $75.92 PREGABALIN 50 MG PO CAPS A9270 $76.02 PREGABALIN 75 MG PO CAPS A9270 $76.02 PREGABALIN 75 MG PO CAPS A9270 $76.02 PRAZOSIN HCL 1 MG PO CAPS A9270 $76.34 AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS A9270 $76.97 SIMVASTATIN 20 MG PO TABS A9270 $77.02 BMH ESOMEPRAZOLE MAGNESIUM 40 MG PO PACK A9270 $77.07 TRIAMTERENE 50 MG PO CAPS A9270 $77.12 PENTOSAN POLYSULFATE SODIUM 100 MG PO CAPS A9270 $77.18 SIMVASTATIN 20 MG PO TABS A9270 $77.28 RISPERIDONE 3 MG PO TABS A9270 $77.44 PHENAZOPYRIDINE HCL 100 MG PO TABS A9270 $77.49 MORPHINE SULFATE ER 60 MG PO TBCR A9270 $77.54 RISPERIDONE 0.5 MG PO TBDP A9270 $77.81 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $78.02 SACUBITRIL-VALSARTAN 24-26 MG PO TABS A9270 $78.23 CAPSAICIN 0.025 % EX CREA A9270 $78.23 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $78.65 ARIPIPRAZOLE 5 MG PO TABS A9270 $78.75 OXYCODONE HCL ER 10 MG PO T12A A9270 $79.59 MONTELUKAST SODIUM 5 MG PO CHEW A9270 $80.17 METOPROLOL SUCCINATE ER 25 MG PO TB24 A9270 $80.27 TELMISARTAN 40 MG PO TABS A9270 $80.38 PEG 3350-KCL-NABCB-NACL-NASULF 240 G PO SOLR A9270 $80.48 OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR A9270 $81.06 WARFARIN SODIUM 2 MG PO TABS A9270 $81.06 WARFARIN SODIUM 2 MG PO TABS A9270 $81.06 PAROXETINE HCL ER 12.5 MG PO TB24 A9270 $81.22 LEVETIRACETAM 250 MG PO TABS A9270 $81.32 SEVELAMER CARBONATE 800 MG PO TABS A9270 $81.48 FLUOXETINE HCL 10 MG PO CAPS A9270 $81.53 SUCRALFATE 1 GM/10ML PO SUSP A9270 $81.69 MONTELUKAST SODIUM 5 MG PO CHEW A9270 $82.37 MORPHINE SULFATE ER 15 MG PO TBCR A9270 $82.37 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $82.64 OXYCODONE HCL 100 MG/5ML PO CONC A9270 $82.69 EZETIMIBE 10 MG PO TABS A9270 $83.11 EZETIMIBE 10 MG PO TABS A9270 $83.11 WARFARIN SODIUM 1 MG PO TABS A9270 $83.27 WARFARIN SODIUM 1 MG PO TABS A9270 $83.37 OXCARBAZEPINE 150 MG PO TABS A9270 $83.53 WARFARIN SODIUM 2.5 MG PO TABS A9270 $83.58 WARFARIN SODIUM 2.5 MG PO TABS A9270 $83.69 WARFARIN SODIUM 2.5 MG PO TABS A9270 $83.69 PAROXETINE HCL 10 MG PO TABS A9270 $83.95 WARFARIN SODIUM 3 MG PO TABS A9270 $84.00 WARFARIN SODIUM 3 MG PO TABS A9270 $84.21 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $84.26 ROPINIROLE HCL 0.25 MG PO TABS A9270 $84.26 BETHANECHOL CHLORIDE 10 MG PO TABS A9270 $84.37 BUMETANIDE 1 MG PO TABS A9270 $84.74 OLMESARTAN MEDOXOMIL 20 MG PO TABS A9270 $84.74 FAMCICLOVIR 500 MG PO TABS A9270 $85.16 LEVETIRACETAM 100 MG/ML PO SOLN A9270 $85.89 DULOXETINE HCL 30 MG PO CPEP A9270 $86.26 DULOXETINE HCL 30 MG PO CPEP A9270 $86.26 DULOXETINE HCL 30 MG PO CPEP A9270 $86.26 HYDROCORTISONE 2.5 % EX CREA A9270 $86.47 BMH MAGIC MOUTHWASH A9270 $86.52 FLECAINIDE ACETATE 100 MG PO TABS A9270 $86.99 TRIAMCINOLONE ACETONIDE 0.025 % EX CREA A9270 $87.31 TERBINAFINE HCL 250 MG PO TABS A9270 $87.36 CLOTRIMAZOLE 1 % VA CREA A9270 $87.47 SIMVASTATIN 10 MG PO TABS A9270 $87.62 SIMVASTATIN 10 MG PO TABS A9270 $87.62 SIMVASTATIN 10 MG PO TABS A9270 $87.62 SIMVASTATIN 10 MG PO TABS A9270 $87.62 PAROXETINE HCL 10 MG PO TABS A9270 $88.41 OLANZAPINE 5 MG PO TABS A9270 $88.67 TRIAMCINOLONE ACETONIDE 0.5 % EX CREA A9270 $89.04 FLUVASTATIN SODIUM 20 MG PO CAPS A9270 $89.15 METOPROLOL SUCCINATE ER 25 MG PO TB24 A9270 $89.20 DULOXETINE HCL 20 MG PO CPEP A9270 $89.20 PROCHLORPERAZINE 25 MG PR SUPP A9270 $89.25 PROCHLORPERAZINE 25 MG PR SUPP A9270 $89.25 ANASTROZOLE 1 MG PO TABS A9270 $89.25 CHLORPROMAZINE HCL 25 MG PO TABS A9270 $90.98 KETOCONAZOLE 200 MG PO TABS A9270 $91.14 FLUCONAZOLE 200 MG PO TABS A9270 $91.46 FLUCONAZOLE 200 MG PO TABS A9270 $91.46 FLUCONAZOLE 200 MG PO TABS A9270 $91.46 FLUCONAZOLE 200 MG PO TABS A9270 $91.46 IRBESARTAN 75 MG PO TABS A9270 $91.67 BUMETANIDE 1 MG PO TABS A9270 $92.19 VENLAFAXINE HCL ER 37.5 MG PO CP24 A9270 $92.40 TRIAMCINOLONE ACETONIDE 0.1 % EX OINT A9270 $92.61 MIRTAZAPINE 15 MG PO TABS A9270 $93.29 QUETIAPINE FUMARATE 100 MG PO TABS A9270 $94.03 OSELTAMIVIR PHOSPHATE 30 MG PO CAPS A9270 $95.13 OLANZAPINE 5 MG PO TBDP A9270 $95.76 OLANZAPINE 5 MG PO TBDP A9270 $95.76 TRIAMCINOLONE ACETONIDE 0.1 % EX OINT A9270 $96.13 FLUCONAZOLE 100 MG PO TABS A9270 $96.13 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $96.44 NYSTATIN 100000 UNIT/ML MT SUSP A9270 $96.60 NYSTATIN 100000 UNIT/ML MT SUSP A9270 $96.60 TERBUTALINE SULFATE 5 MG PO TABS A9270 $96.76 NORETHINDRONE ACETATE 5 MG PO TABS A9270 $96.86 PAROXETINE HCL 10 MG PO TABS A9270 $97.07 COLCHICINE 0.6 MG PO TABS A9270 $98.07 COLCHICINE 0.6 MG PO TABS A9270 $98.07 RISEDRONATE SODIUM 5 MG PO TABS A9270 $98.07 TOLTERODINE TARTRATE ER 2 MG PO CP24 A9270 $98.44 LEVOFLOXACIN 250 MG PO TABS A9270 $98.81 TOLTERODINE TARTRATE ER 2 MG PO CP24 A9270 $98.96 ROSIGLITAZONE MALEATE 2 MG PO TABS A9270 $99.07 CLOPIDOGREL BISULFATE 75 MG PO TABS A9270 $99.23 SODIUM HYPOCHLORITE 0.25 % EX SOLN A9270 $99.86 ALPRAZOLAM 0.5 MG PO TABS A9270 $100.64 LEVOFLOXACIN 750 MG PO TABS A9270 $100.70 TOPIRAMATE 50 MG PO TABS A9270 $101.22 TRIAMCINOLONE ACETONIDE 0.1 % EX OINT A9270 $101.33 WARFARIN SODIUM 2 MG PO TABS A9270 $101.33 WARFARIN SODIUM 2 MG PO TABS A9270 $101.33 TRIAMCINOLONE ACETONIDE 0.1 % EX CREA A9270 $101.33 PIOGLITAZONE HCL 15 MG PO TABS A9270 $102.06 PIOGLITAZONE HCL 15 MG PO TABS A9270 $102.06 PREGABALIN 50 MG PO CAPS A9270 $103.69 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $104.00 WARFARIN SODIUM 1 MG PO TABS A9270 $104.06 WARFARIN SODIUM 1 MG PO TABS A9270 $104.21 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $104.84 CAPTOPRIL 12.5 MG PO TABS A9270 $105.00 OXYBUTYNIN CHLORIDE ER 5 MG PO TB24 A9270 $105.53 FLUCONAZOLE 100 MG PO TABS A9270 $106.05 MESALAMINE ER 500 MG PO CPCR A9270 $106.10 MORPHINE SULFATE ER 30 MG PO TBCR A9270 $106.16 NIMODIPINE 30 MG PO CAPS A9270 $106.31 RISPERIDONE 1 MG PO TABS A9270 $107.52 AZITHROMYCIN 250 MG PO TABS A9270 $107.63 AZITHROMYCIN 250 MG PO TABS A9270 $107.63 ESTROGENS CONJUGATED 0.3 MG PO TABS A9270 $108.31 ESTROGENS CONJUGATED 0.625 MG PO TABS A9270 $108.31 ESTROGENS CONJUGATED 0.625 MG PO TABS A9270 $108.31 REPAGLINIDE 1 MG PO TABS A9270 $109.31 SILVER SULFADIAZINE 1 % EX CREA A9270 $109.94 SILVER SULFADIAZINE 1 % EX CREA A9270 $109.94 LEVOTHYROXINE SODIUM 25 MCG PO TABS A9270 $110.20 BICALUTAMIDE 50 MG PO TABS A9270 $110.46 LEVOFLOXACIN 250 MG PO TABS A9270 $110.62 DOCUSATE SODIUM 60 MG/15ML PO SYRP A9270 $111.04 PROPAFENONE HCL 150 MG PO TABS A9270 $111.09 CELECOXIB 200 MG PO CAPS A9270 $112.14 CELECOXIB 200 MG PO CAPS A9270 $112.14 DULOXETINE HCL 30 MG PO CPEP A9270 $112.14 DULOXETINE HCL 30 MG PO CPEP A9270 $112.14 OSELTAMIVIR PHOSPHATE 30 MG PO CAPS A9270 $112.19 BMH/CVMC HYDROCODONE/APAP 5/325 ER TO GO #6 A9270 $112.25 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $112.25 HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $112.25 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $112.72 BUPRENORPHINE HCL 8 MG SL SUBL A9270 $112.72 LEVOFLOXACIN 500 MG PO TABS A9270 $112.82 LEVOFLOXACIN 500 MG PO TABS A9270 $112.82 BUPROPION HCL ER (XL) 150 MG PO TB24 A9270 $113.03 PONARIS NA SOLN A9270 $113.14 AZITHROMYCIN 250 MG PO TABS A9270 $113.19 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $113.24 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $113.30 TIOTROPIUM BROMIDE MONOHYDRATE 18 MCG INH CAPS A9270 $113.40 NYSTATIN 100000 UNIT/ML MT SUSP A9270 $113.51 LIDO-EPINEPHRINE-TETRACAINE 4-0.18-0.5 % EX GEL A9270 $113.56 PANTOPRAZOLE SODIUM 40 MG PO PACK A9270 $113.98 PREGABALIN 50 MG PO CAPS A9270 $114.03 SIMPLE SYRUP PO SYRP A9270 $114.24 NELFINAVIR MESYLATE 250 MG PO TABS A9270 $114.40 CAPTOPRIL 12.5 MG PO TABS A9270 $114.45 PENICILLIN V POTASSIUM 250 MG/5ML PO SOLR A9270 $115.13 AMIODARONE HCL 200 MG PO TABS A9270 $115.66 CEFUROXIME AXETIL 500 MG PO TABS A9270 $116.71 CEFUROXIME AXETIL 500 MG PO TABS A9270 $116.71 MESALAMINE 1000 MG PR SUPP A9270 $117.18 POTASSIUM IODIDE (ANTIDOTE) 65 MG/ML PO SOLN A9270 $117.92 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $118.65 FAMOTIDINE 40 MG/5ML PO SUSR A9270 $118.70 PROMETHAZINE HCL 12.5 MG PR SUPP A9270 $118.76 PROMETHAZINE HCL 12.5 MG PR SUPP A9270 $118.76 PROMETHAZINE HCL 12.5 MG PR SUPP A9270 $118.76 PROMETHAZINE HCL 12.5 MG PR SUPP A9270 $118.76 PROMETHAZINE HCL 25 MG PR SUPP A9270 $118.76 DULOXETINE HCL 20 MG PO CPEP A9270 $118.91 MERCAPTOPURINE 50 MG PO TABS A9270 $119.18 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $119.39 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $119.39 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $119.39 POTASSIUM CHLORIDE 20 MEQ/15ML (10%) PO SOLN A9270 $120.54 LAMIVUDINE-ZIDOVUDINE 150-300 MG PO TABS A9270 $120.96 RABEPRAZOLE SODIUM 20 MG PO TBEC A9270 $120.96 NEVIRAPINE 200 MG PO TABS A9270 $121.54 IRBESARTAN 150 MG PO TABS A9270 $121.54 NICOTINE POLACRILEX 2 MG MT GUM A9270 $121.70 NICOTINE POLACRILEX 2 MG MT GUM A9270 $121.70 PAROXETINE HCL ER 12.5 MG PO TB24 A9270 $121.80 VORICONAZOLE 200 MG PO TABS A9270 $121.96 OSELTAMIVIR PHOSPHATE 75 MG PO CAPS A9270 $122.27 PREGABALIN 50 MG PO CAPS A9270 $122.69 PREGABALIN 50 MG PO CAPS A9270 $122.69 CLOBAZAM 10 MG PO TABS A9270 $122.80 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $123.27 RISPERIDONE 0.5 MG PO TABS A9270 $123.53 BMH ESOMEPRAZOLE MAGNESIUM 20 MG PO CPDR A9270 $123.95 BMH ESOMEPRAZOLE MAGNESIUM 20 MG PO CPDR A9270 $123.95 SILDENAFIL CITRATE 20 MG PO TABS A9270 $124.11 BICALUTAMIDE 50 MG PO TABS A9270 $124.32 WARFARIN SODIUM 1 MG PO TABS A9270 $124.85 FLUCONAZOLE 40 MG/ML PO SUSR A9270 $124.95 WARFARIN SODIUM 1 MG PO TABS A9270 $125.06 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $125.16 PANTOPRAZOLE SODIUM 20 MG PO TBEC A9270 $125.16 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $125.53 ALENDRONATE SODIUM 35 MG PO TABS A9270 $125.58 COLCHICINE 0.6 MG PO TABS A9270 $125.63 TELMISARTAN 40 MG PO TABS A9270 $125.69 ALENDRONATE SODIUM 70 MG PO TABS A9270 $125.69 ESZOPICLONE 1 MG PO TABS A9270 $126.21 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $127.21 OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS A9270 $127.21 BMH/CVMC OXYCODONE/APAP 5/325 MG ER TO GO #6 A9270 $127.21 OLANZAPINE 5 MG PO TBDP A9270 $127.37 OLANZAPINE 5 MG PO TBDP A9270 $127.37 ALENDRONATE SODIUM 35 MG PO TABS A9270 $127.63 FLUCONAZOLE 100 MG PO TABS A9270 $128.21 ERYTHROMYCIN BASE 500 MG PO TABS A9270 $128.78 NIMODIPINE 30 MG PO CAPS A9270 $128.99 SCOPOLAMINE 1 MG/3DAYS TD PT72 A9270 $129.20 PAROXETINE HCL 10 MG PO TABS A9270 $129.47 SEVELAMER HCL 800 MG PO TABS A9270 $129.94 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $130.52 VENLAFAXINE HCL ER 37.5 MG PO CP24 A9270 $130.78 BMH RIVAROXABAN 10 MG TABS A9270 $132.14 BMH RIVAROXABAN 10 MG TABS A9270 $132.14 RIVAROXABAN 10 MG PO TABS A9270 $132.14 RIVAROXABAN 10 MG PO TABS A9270 $132.14 SITAGLIPTIN PHOSPHATE 50 MG PO TABS A9270 $133.30 FLUVASTATIN SODIUM 20 MG PO CAPS A9270 $133.67 ARIPIPRAZOLE 5 MG PO TABS A9270 $134.72 MODAFINIL 100 MG PO TABS A9270 $135.40 SCOPOLAMINE 1 MG/3DAYS TD PT72 A9270 $135.50 SCOPOLAMINE 1 MG/3DAYS TD PT72 A9270 $135.50 LEVETIRACETAM 100 MG/ML PO SOLN A9270 $136.08 MODAFINIL 200 MG PO TABS A9270 $136.19 FENTANYL 12 MCG/HR TD PT72 A9270 $136.19 OXYCODONE HCL ER 20 MG PO T12A A9270 $136.66 CLOPIDOGREL BISULFATE 75 MG PO TABS A9270 $137.03 BELLADONNA ALKALOIDS-OPIUM 16.2-30 MG PR SUPP A9270 $137.34 BELLADONNA ALKALOIDS-OPIUM 16.2-30 MG PR SUPP A9270 $137.34 BELLADONNA ALKALOIDS-OPIUM 16.2-30 MG PR SUPP A9270 $137.34 MUPIROCIN CALCIUM 2 % NA OINT A9270 $137.45 OXAPROZIN 600 MG PO TABS A9270 $137.71 CEFUROXIME AXETIL 250 MG PO TABS A9270 $138.18 CEFUROXIME AXETIL 250 MG PO TABS A9270 $138.18 PREGABALIN 50 MG PO CAPS A9270 $138.23 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR A9270 $138.50 LAMOTRIGINE 200 MG PO TABS A9270 $138.60 CHLORPROMAZINE HCL 25 MG PO TABS A9270 $139.18 MIRTAZAPINE 15 MG PO TABS A9270 $139.97 OLMESARTAN MEDOXOMIL 20 MG PO TABS A9270 $140.65 FLUCONAZOLE 100 MG PO TABS A9270 $141.38 TOPIRAMATE 25 MG PO TABS A9270 $141.54 CARVEDILOL 3.125 MG PO TABS A9270 $141.59 FENTANYL 25 MCG/HR TD PT72 A9270 $142.64 FENTANYL 25 MCG/HR TD PT72 A9270 $142.64 POTASSIUM CHLORIDE 20 MEQ PO PACK A9270 $144.11 POTASSIUM CHLORIDE 20 MEQ PO PACK A9270 $144.11 POTASSIUM CHLORIDE 20 MEQ PO PACK A9270 $144.11 NORETHINDRONE ACETATE 5 MG PO TABS A9270 $145.32 APIXABAN 5 MG PO TABS A9270 $145.32 APIXABAN 5 MG PO TABS A9270 $145.32 CEPHALEXIN 125 MG/5ML PO SUSR A9270 $146.00 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $146.42 SODIUM POLYSTYRENE SULFONATE 15 GM/60ML PO SUSP A9270 $146.53 ESTRADIOL 0.05 MG/24HR TD PTWK A9270 $148.26 ACETAZOLAMIDE ER 500 MG PO CP12 A9270 $148.94 COLCHICINE 0.6 MG PO TABS A9270 $149.57 MODAFINIL 100 MG PO TABS A9270 $150.10 LEVOFLOXACIN 750 MG PO TABS A9270 $151.04 HYDROCORTISONE ACETATE 25 MG PR SUPP A9270 $151.94 PREGABALIN 50 MG PO CAPS A9270 $152.04 PREGABALIN 75 MG PO CAPS A9270 $152.04 PIOGLITAZONE HCL 15 MG PO TABS A9270 $153.04 PIOGLITAZONE HCL 15 MG PO TABS A9270 $153.04 VITAMIN D 10 MCG/ML PO LIQD A9270 $153.41 TRIAMTERENE 50 MG PO CAPS A9270 $154.25 RISPERIDONE 0.5 MG PO TBDP A9270 $155.61 ESTRADIOL 0.05 MG/24HR TD PTWK A9270 $155.66 POTASSIUM CHLORIDE 20 MEQ/15ML (10%) PO SOLN A9270 $155.72 BMH/CVMC HYDROCODONE/APAP 7.5/325 MG ER TO GO #6 A9270 $157.82 OXYCODONE HCL ER 10 MG PO T12A A9270 $159.18 ALENDRONATE SODIUM 10 MG PO TABS A9270 $160.65 ALENDRONATE SODIUM 10 MG PO TABS A9270 $160.65 NYSTATIN 100000 UNIT/GM EX CREA A9270 $161.07 NYSTATIN 100000 UNIT/GM EX CREA A9270 $161.60 FENTANYL 50 MCG/HR TD PT72 A9270 $161.75 ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT INH AERS A9270 $162.44 ESTROGENS CONJUGATED 0.3 MG PO TABS A9270 $162.49 ESTROGENS CONJUGATED 0.3 MG PO TABS A9270 $162.49 LATANOPROST 0.005 % OP SOLN A9270 $163.54 WARFARIN SODIUM 1 MG PO TABS A9270 $166.48 WARFARIN SODIUM 1 MG PO TABS A9270 $166.74 LEFLUNOMIDE 20 MG PO TABS A9270 $166.95 OXCARBAZEPINE 150 MG PO TABS A9270 $167.00 RIVASTIGMINE 4.6 MG/24HR TD PT24 A9270 $168.37 BUMETANIDE 1 MG PO TABS A9270 $169.42 LETROZOLE 2.5 MG PO TABS A9270 $172.31 AMIODARONE HCL 200 MG PO TABS A9270 $173.51 POTASSIUM CHLORIDE 20 MEQ/15ML (10%) PO SOLN A9270 $175.40 OLANZAPINE 5 MG PO TABS A9270 $177.29 RIFAXIMIN 200 MG PO TABS A9270 $177.50 FLUVASTATIN SODIUM 20 MG PO CAPS A9270 $178.24 DULOXETINE HCL 20 MG PO CPEP A9270 $178.34 ANASTROZOLE 1 MG PO TABS A9270 $178.50 CHLORPROMAZINE HCL 25 MG PO TABS A9270 $181.97 VENLAFAXINE HCL ER 37.5 MG PO CP24 A9270 $184.75 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $184.91 RISPERIDONE 0.5 MG PO TABS A9270 $185.27 OXYCODONE HCL ER 80 MG PO T12A A9270 $186.74 OXYCODONE HCL ER 80 MG PO T12A A9270 $186.74 OXYCODONE HCL ER 80 MG PO T12A A9270 $186.74 OXYCODONE HCL ER 80 MG PO T12A A9270 $186.74 ARIPIPRAZOLE 2 MG PO TABS A9270 $187.69 ELETRIPTAN HYDROBROMIDE 40 MG PO TABS A9270 $188.32 ELETRIPTAN HYDROBROMIDE 40 MG PO TABS A9270 $188.53 ELETRIPTAN HYDROBROMIDE 40 MG PO TABS A9270 $188.53 NELFINAVIR MESYLATE 250 MG PO TABS A9270 $190.68 OLANZAPINE 5 MG PO TBDP A9270 $191.47 OLANZAPINE 5 MG PO TBDP A9270 $191.47 OLOPATADINE HCL 0.1 % OP SOLN A9270 $191.73 VANCOMYCIN HCL 125 MG PO CAPS A9270 $192.10 VANCOMYCIN HCL 125 MG PO CAPS A9270 $192.10 VANCOMYCIN HCL 125 MG PO CAPS A9270 $192.10 TRIAMCINOLONE ACETONIDE 0.1 % EX CREA A9270 $192.20 METFORMIN HCL ER (OSM) 1000 MG PO TB24 A9270 $192.68 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $195.77 PEG 3350-KCL-NA BICARB-NACL 420 G PO SOLR A9270 $196.35 ARIPIPRAZOLE 5 MG PO TABS A9270 $196.77 TOLTERODINE TARTRATE ER 2 MG PO CP24 A9270 $196.82 LEVOFLOXACIN 250 MG PO TABS A9270 $197.56 TOLTERODINE TARTRATE ER 2 MG PO CP24 A9270 $197.87 CLOPIDOGREL BISULFATE 75 MG PO TABS A9270 $198.40 ARIPIPRAZOLE 5 MG PO TABS A9270 $202.07 TOPIRAMATE 50 MG PO TABS A9270 $202.39 CLONIDINE 0.1 MG/24HR TD PTWK A9270 $203.23 LEVETIRACETAM 100 MG/ML PO SOLN A9270 $204.07 PHYTONADIONE 5 MG PO TABS A9270 $205.49 WARFARIN SODIUM 1 MG PO TABS A9270 $208.11 WARFARIN SODIUM 1 MG PO TABS A9270 $208.43 RALTEGRAVIR POTASSIUM 400 MG PO TABS A9270 $212.94 CLOTRIMAZOLE 1 % EX CREA A9270 $213.89 AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR A9270 $215.67 AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR A9270 $215.67 ESTRADIOL 0.1 MG/24HR TD PTWK A9270 $217.56 REPAGLINIDE 1 MG PO TABS A9270 $218.61 LEVOFLOXACIN 250 MG PO TABS A9270 $221.24 LEVONORGESTREL 1.5 MG PO TABS A9270 $224.28 LEVONORGESTREL 1.5 MG PO TABS A9270 $224.28 LEVOFLOXACIN 500 MG PO TABS A9270 $225.65 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $226.43 VENLAFAXINE HCL ER 75 MG PO CP24 A9270 $226.59 PHENYTOIN 125 MG/5ML PO SUSP A9270 $226.85 NYSTATIN 100000 UNIT/GM EX POWD A9270 $229.79 PATIROMER SORBITEX CALCIUM 8.4 G PO PACK A9270 $231.26 PATIROMER SORBITEX CALCIUM 8.4 G PO PACK A9270 $231.26 MESALAMINE 1000 MG PR SUPP A9270 $234.36 PEG 3350-KCL-NABCB-NACL-NASULF 240 G PO SOLR A9270 $237.14 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $237.25 PROMETHAZINE HCL 12.5 MG PR SUPP A9270 $237.51 PROMETHAZINE HCL 12.5 MG PR SUPP A9270 $237.51 FENTANYL 50 MCG/HR TD PT72 A9270 $238.56 FENTANYL 50 MCG/HR TD PT72 A9270 $238.56 FENTANYL 50 MCG/HR TD PT72 A9270 $238.56 LEVETIRACETAM 250 MG PO TABS A9270 $243.86 VORICONAZOLE 200 MG PO TABS A9270 $243.92 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $246.54 FENTANYL 75 MCG/HR TD PT72 A9270 $246.70 POLYETHYLENE GLYCOL 3350 17 G PO PACK A9270 $247.22 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $251.00 ELETRIPTAN HYDROBROMIDE 40 MG PO TABS A9270 $252.26 ESZOPICLONE 1 MG PO TABS A9270 $252.42 OLANZAPINE 5 MG PO TBDP A9270 $254.68 ZIPRASIDONE HCL 20 MG PO CAPS A9270 $261.03 BMH RIVAROXABAN 10 MG TABS A9270 $264.29 BMH RIVAROXABAN 10 MG TABS A9270 $264.29 BMH RIVAROXABAN 10 MG TABS A9270 $264.29 BMH RIVAROXABAN 10 MG TABS A9270 $264.29 RIVAROXABAN 10 MG PO TABS A9270 $264.29 RIVAROXABAN 10 MG PO TABS A9270 $264.29 RIVAROXABAN 10 MG PO TABS A9270 $264.29 RIVAROXABAN 10 MG PO TABS A9270 $264.29 PRAMOXINE HCL (PERIANAL) 1 % EX FOAM A9270 $265.76 OLANZAPINE 5 MG PO TABS A9270 $265.91 SITAGLIPTIN PHOSPHATE 50 MG PO TABS A9270 $266.60 CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA A9270 $267.23 ARIPIPRAZOLE 5 MG PO TABS A9270 $269.43 BETAMETHASONE DIPROPIONATE 0.05 % EX CREA A9270 $269.90 MODAFINIL 100 MG PO TABS A9270 $270.74 ESTROGENS CONJUGATED 0.3 MG PO TABS A9270 $270.80 MODAFINIL 200 MG PO TABS A9270 $272.32 CEFIXIME 200 MG/5ML PO SUSR A9270 $273.26 OXYCODONE HCL ER 20 MG PO T12A A9270 $273.26 CHLORPROMAZINE HCL 25 MG PO TABS A9270 $278.36 DORZOLAMIDE HCL 2 % OP SOLN A9270 $281.56 LEVOCARNITINE 1 GM/10ML PO SOLN A9270 $283.76 LEVOCARNITINE 1 GM/10ML PO SOLN A9270 $284.50 OLANZAPINE 5 MG PO TBDP A9270 $287.23 OLANZAPINE 5 MG PO TBDP A9270 $287.23 NITROGLYCERIN 0.3 MG/HR TD PT24 A9270 $288.96 PRAMOXINE HCL (PERIANAL) 1 % EX FOAM A9270 $291.64 BARICITINIB 2 MG PO TABS A9270 $291.85 QUETIAPINE FUMARATE 25 MG PO TABS A9270 $292.85 LORAZEPAM 2 MG/ML PO CONC A9270 $294.68 LEVOFLOXACIN 250 MG PO TABS A9270 $296.31 PATIROMER SORBITEX CALCIUM 8.4 G PO PACK A9270 $309.02 CLONIDINE 0.2 MG/24HR TD PTWK A9270 $310.22 CLONIDINE 0.2 MG/24HR TD PTWK A9270 $310.22 RISPERIDONE 0.5 MG PO TBDP A9270 $311.22 PHYTONADIONE 5 MG PO TABS A9270 $315.05 BETAMETHASONE VALERATE 0.1 % EX CREA A9270 $317.68 AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR A9270 $317.94 AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR A9270 $317.94 OXYCODONE HCL ER 10 MG PO T12A A9270 $318.36 FENTANYL 75 MCG/HR TD PT72 A9270 $329.91 LEVOFLOXACIN 250 MG PO TABS A9270 $331.85 LEFLUNOMIDE 20 MG PO TABS A9270 $333.90 ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT INH AERS A9270 $347.34 VENLAFAXINE HCL ER 37.5 MG PO CP24 A9270 $369.50 DORZOLAMIDE HCL 2 % OP SOLN A9270 $371.33 LEVOBUNOLOL HCL 0.5 % OP SOLN A9270 $373.54 DORZOLAMIDE HCL-TIMOLOL MAL 22.3-6.8 MG/ML OP SOLN A9270 $375.43 ELETRIPTAN HYDROBROMIDE 40 MG PO TABS A9270 $376.64 ELETRIPTAN HYDROBROMIDE 40 MG PO TABS A9270 $377.06 ELETRIPTAN HYDROBROMIDE 40 MG PO TABS A9270 $377.06 ESZOPICLONE 1 MG PO TABS A9270 $378.63 CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR A9270 $380.36 CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR A9270 $380.36 OLANZAPINE 5 MG PO TBDP A9270 $381.99 VANCOMYCIN HCL 125 MG PO CAPS A9270 $384.14 VANCOMYCIN HCL 125 MG PO CAPS A9270 $384.14 VANCOMYCIN HCL 125 MG PO CAPS A9270 $384.14 ARIPIPRAZOLE 5 MG PO TABS A9270 $393.54 ARIPIPRAZOLE 5 MG PO TABS A9270 $404.15 TOPIRAMATE 50 MG PO TABS A9270 $404.72 DICLOFENAC SODIUM 0.1 % OP SOLN A9270 $406.25 LEVALBUTEROL TARTRATE 45 MCG/ACT INH AERO A9270 $409.92 PHYTONADIONE 5 MG PO TABS A9270 $410.97 ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT INH AERS A9270 $411.76 ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT INH AERS A9270 $411.76 ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT INH AERS A9270 $411.76 METHYLERGONOVINE MALEATE 0.2 MG PO TABS A9270 $412.44 CLOTRIMAZOLE 1 % EX SOLN A9270 $415.70 FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP A9270 $418.69 FENTANYL 100 MCG/HR TD PT72 A9270 $437.85 FENTANYL 100 MCG/HR TD PT72 A9270 $437.85 EMTRICITABINE-TENOFOVIR DF 200-300 MG PO TABS A9270 $452.08 LEVALBUTEROL TARTRATE 45 MCG/ACT INH AERO A9270 $455.49 METHYLERGONOVINE MALEATE 0.2 MG PO TABS A9270 $458.27 PATIROMER SORBITEX CALCIUM 8.4 G PO PACK A9270 $462.47 PATIROMER SORBITEX CALCIUM 8.4 G PO PACK A9270 $462.47 RISPERIDONE 0.5 MG PO TBDP A9270 $466.83 HYDROCORTISONE (PERIANAL) 2.5 % EX CREA A9270 $467.25 ARIPIPRAZOLE 2 MG PO TABS A9270 $469.14 ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT INH AERS A9270 $472.82 NITROGLYCERIN 2 % TD OINT A9270 $473.92 FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP A9270 $474.29 PROMETHAZINE HCL 12.5 MG PR SUPP A9270 $475.02 PROMETHAZINE HCL 12.5 MG PR SUPP A9270 $475.02 HYDROCORTISONE (PERIANAL) 2.5 % EX CREA A9270 $485.78 VORICONAZOLE 200 MG PO TABS A9270 $487.83 NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SOLN A9270 $502.43 PILOCARPINE HCL 2 % OP SOLN A9270 $503.11 DEXAMETHASONE 0.1 % OP SUSP A9270 $503.37 ELETRIPTAN HYDROBROMIDE 40 MG PO TABS A9270 $504.53 NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SOLN A9270 $523.37 LATANOPROST 0.005 % OP SOLN A9270 $528.47 RIFAXIMIN 200 MG PO TABS A9270 $532.51 NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% EX CREA A9270 $558.65 PILOCARPINE HCL 2 % OP SOLN A9270 $569.89 BARICITINIB 2 MG PO TABS A9270 $583.64 PERMETHRIN 5 % EX CREA A9270 $588.95 ARIPIPRAZOLE 5 MG PO TABS A9270 $590.31 CALCITONIN (SALMON) 200 UNIT/ACT NA SOLN A9270 $591.57 CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA A9270 $603.86 DORZOLAMIDE HCL-TIMOLOL MAL 22.3-6.8 MG/ML OP SOLN A9270 $611.78 PERMETHRIN 5 % EX CREA A9270 $617.72 PATIROMER SORBITEX CALCIUM 8.4 G PO PACK A9270 $618.03 PHYTONADIONE 5 MG PO TABS A9270 $630.11 CLARITHROMYCIN 250 MG/5ML PO SUSR A9270 $657.35 BIMATOPROST 0.03 % OP SOLN A9270 $671.84 NEOMYCIN-POLYMYXIN-DEXAMETH 0.1 % OP SUSP A9270 $676.88 BETAMETHASONE DIPROPIONATE AUG 0.05 % EX OINT A9270 $708.86 EFAVIRENZ-EMTRICITAB-TENOFOVIR 600-200-300 MG PO TABS A9270 $734.84 METRONIDAZOLE 0.75 % VA GEL A9270 $762.56 IVERMECTIN 3 MG PO TABS A9270 $780.31 BECLOMETHASONE DIPROPIONATE 40 MCG/ACT INH AERS A9270 $780.83 ARIPIPRAZOLE 5 MG PO TABS A9270 $787.08 FLUCONAZOLE 40 MG/ML PO SUSR A9270 $800.05 IVERMECTIN 3 MG PO TABS A9270 $812.81 FIRST-VANCOMYCIN 50 MG/ML PO SOLN A9270 $819.37 PHYTONADIONE 5 MG PO TABS A9270 $821.89 BMH HIV EXPOSURE (TRUVADA) 3 PACK A9270 $900.53 FLUTICASONE-SALMETEROL 100-50 MCG/DOSE INH AEPB A9270 $908.62 FLUTICASONE-SALMETEROL 250-50 MCG/DOSE INH AEPB A9270 $908.62 ARIPIPRAZOLE 2 MG PO TABS A9270 $938.23 HYDROCORT-PRAMOXINE (PERIANAL) 1-1 % EX FOAM A9270 $940.54 VANCOMYCIN 50 MG/ML PO SOLN A9270 $949.52 BRIMONIDINE TARTRATE 0.15 % OP SOLN A9270 $956.50 OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR A9270 $1,005.22 BECLOMETHASONE DIPROPIONATE 40 MCG/ACT INH AERS A9270 $1,013.67 CLONIDINE 0.3 MG/24HR TD PTWK A9270 $1,014.88 KETOCONAZOLE 2 % EX CREA A9270 $1,040.13 BRIMONIDINE TARTRATE 0.1 % OP SOLN A9270 $1,056.09 ECONAZOLE NITRATE 1 % EX CREA A9270 $1,084.60 ECONAZOLE NITRATE 1 % EX CREA A9270 $1,084.60 FAMOTIDINE 40 MG/5ML PO SUSR A9270 $1,085.54 SODIUM POLYSTYRENE SULFONATE 15 GM/60ML PO SUSP A9270 $1,108.43 TRIFLURIDINE 1 % OP SOLN A9270 $1,112.48 OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR A9270 $1,118.25 LINEZOLID 600 MG PO TABS A9270 $1,122.66 BRIMONIDINE TARTRATE 0.15 % OP SOLN A9270 $1,125.86 BUDESONIDE 90 MCG/ACT INH AEPB A9270 $1,148.81 TRAVOPROST (BAK FREE) 0.004 % OP SOLN A9270 $1,161.62 BARICITINIB 2 MG PO TABS A9270 $1,167.23 ARIPIPRAZOLE 5 MG PO TABS A9270 $1,180.62 FLUTICASONE PROPIONATE HFA 44 MCG/ACT INH AERO A9270 $1,189.13 BECLOMETHASONE DIPROP HFA 40 MCG/ACT INH AERB A9270 $1,195.90 BETAMETHASONE DIPROPIONATE AUG 0.05 % EX OINT A9270 $1,212.59 CLARITHROMYCIN 250 MG/5ML PO SUSR A9270 $1,217.74 PHYTONADIONE 5 MG PO TABS A9270 $1,260.16 ALPRAZOLAM 0.25 MG PO TBDP A9270 $1,277.85 CLOBETASOL PROPIONATE 0.05 % EX CREA A9270 $1,279.79 TOBRAMYCIN 0.3 % OP OINT A9270 $1,283.63 BIMATOPROST 0.01 % OP SOLN A9270 $1,300.37 BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT INH AERO A9270 $1,314.71 SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP A9270 $1,320.27 OLOPATADINE HCL 0.1 % OP SOLN A9270 $1,333.29 BMH HIV EXPOSURE (ATRIPLA) 3 PACK A9270 $1,382.69 ARIPIPRAZOLE 2 MG PO TABS A9270 $1,407.37 SALMETEROL XINAFOATE 50 MCG/DOSE INH AEPB A9270 $1,453.41 FLUTICASONE-SALMETEROL 500-50 MCG/DOSE INH AEPB A9270 $1,480.87 BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT INH AERO A9270 $1,512.37 COLLAGENASE 250 UNIT/GM EX OINT A9270 $1,564.08 FLUTICASONE PROPIONATE HFA 110 MCG/ACT INH AERO A9270 $1,591.96 BECLOMETHASONE DIPROP HFA 80 MCG/ACT INH AERB A9270 $1,601.30 OLOPATADINE HCL 0.1 % OP SOLN A9270 $1,740.22 BECLOMETHASONE DIPROP MONOHYD 42 MCG/SPRAY NA SUSP A9270 $1,756.65 FLUTICASONE-SALMETEROL 100-50 MCG/DOSE INH AEPB A9270 $1,803.64 BETAXOLOL HCL 0.25 % OP SUSP A9270 $1,859.50 CLOBETASOL PROPIONATE 0.05 % EX CREA A9270 $1,919.51 PENCICLOVIR 1 % EX CREA A9270 $1,943.45 ACYCLOVIR 5 % EX OINT A9270 $1,990.07 BRINZOLAMIDE 1 % OP SUSP A9270 $2,055.32 CLOBETASOL PROPIONATE 0.05 % EX OINT A9270 $2,071.97 ROWASA 4 G PR KIT A9270 $2,276.14 FLUTICASONE PROPIONATE HFA 220 MCG/ACT INH AERO A9270 $2,472.70 RANITIDINE HCL 75 MG/5ML PO SYRP A9270 $2,523.52 IPRATROPIUM BROMIDE HFA 17 MCG/ACT INH AERS A9270 $2,562.00 IPRATROPIUM-ALBUTEROL 20-100 MCG/ACT INH AERS A9270 $2,655.77 CEFIXIME 200 MG/5ML PO SUSR A9270 $2,732.63 DINOPROSTONE 10 MG VA INST A9270 $2,736.51 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR A9270 $2,769.74 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR A9270 $2,769.74 ARIPIPRAZOLE 2 MG PO TABS A9270 $2,814.68 POTASSIUM IODIDE (EXPECTORANT) 1 GM/ML PO SOLN A9270 $2,898.58 ACYCLOVIR 5 % EX CREA A9270 $3,652.74 THEOPHYLLINE ER 200 MG PO CP24 A9270 $3,713.69 FIDAXOMICIN 200 MG PO TABS A9270 $31,375.89 FERROUS FUMARATE-VITAMIN C ER 65-25 MG PO TBCR A9270 $6.83 GADOTERIDOL 279.3 MG/ML IV SOLN A9576 $238.61 GADOTERIDOL 279.3 MG/ML IV SOLN A9576 $568.10 GADOTERIDOL 279.3 MG/ML IV SOLN A9576 $701.56 GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN A9577 $238.61 GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN A9577 $568.10 GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN A9577 $701.56 GADODIAMIDE 287 MG/ML IV SOLN A9579 $234.15 GADODIAMIDE 287 MG/ML IV SOLN A9579 $418.58 GADODIAMIDE 287 MG/ML IV SOLN A9579 $687.07 COCAINE HCL 4 % EX SOLN C9046 $1,113.42 PANTOPRAZOLE SODIUM 40 MG IV SOLR C9113 $28.35 PANTOPRAZOLE SODIUM 40 MG IV SOLR C9113 $47.30 PANTOPRAZOLE SODIUM 40 MG IV SOLR C9113 $48.09 PANTOPRAZOLE SODIUM 40 MG IV SOLR C9113 $61.27 PANTOPRAZOLE SODIUM 40 MG IV SOLR C9113 $66.78 IDARUCIZUMAB 2.5 GM/50ML IV SOLN C9399 $11,342.89 ABATACEPT 250 MG IV SOLR J0129 $6,232.07 ABATACEPT 250 MG IV SOLR J0129 $6,512.52 ACETAMINOPHEN 10 MG/ML IV SOLN J0131 $297.83 ACETAMINOPHEN 10 MG/ML IV SOLN J0131 $348.44 ACETYLCYSTEINE 200 MG/ML IV SOLN J0132 $1,001.23 ACETYLCYSTEINE 200 MG/ML IV SOLN J0132 $1,125.76 ACETYLCYSTEINE 200 MG/ML IV SOLN J0132 $1,125.76 ACETYLCYSTEINE 200 MG/ML IV SOLN J0132 $1,746.57 ACYCLOVIR SODIUM 50 MG/ML IV SOLN J0133 $116.50 ACYCLOVIR SODIUM 50 MG/ML IV SOLN J0133 $116.50 ACYCLOVIR SODIUM 50 MG/ML IV SOLN J0133 $164.22 ACYCLOVIR SODIUM 50 MG/ML IV SOLN J0133 $281.72 ADENOSINE 6 MG/2ML IV SOLN J0153 $58.43 ADENOSINE 6 MG/2ML IV SOLN J0153 $58.43 INTRAOP ADENOSINE 3 MG/ML IV SOLN J0153 $58.43 ADENOSINE 6 MG/2ML IV SOLN J0153 $58.91 INTRAOP ADENOSINE 3 MG/ML IV SOLN J0153 $58.91 ADENOSINE 6 MG/2ML IV SOLN J0153 $138.92 ADENOSINE 6 MG/2ML IV SOLN J0153 $139.81 ADENOSINE 12 MG/4ML IV SOLN J0153 $209.27 INTRAOP ADENOSINE 3 MG/ML IV SOLN J0153 $209.27 EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJ SOLN J0171 $25.04 EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJ SOLN J0171 $25.04 EPINEPHRINE 1 MG/10ML INJ (WRAPPED) J0171 $49.40 EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJ SOLN J0171 $50.03 EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJ SOLN J0171 $50.03 EPINEPHRINE 100 MCG/ML IN 10 ML NS INJECTION SYRINGE (BMH) J0171 $68.36 EPINEPHRINE 1 MG/10ML INJ (WRAPPED) J0171 $76.44 EPINEPHRINE HCL 1 MG/ML INJ SOLN J0171 $130.73 EPINEPHRINE HCL 1 MG/ML INJ SOLN J0171 $130.73 ER TO GO EPINEPHRINE 0.15 MG/0.3ML INJ SOAJ *TO GO* J0171 $748.55 ER TO GO EPINEPHRINE 0.3 MG/0.3ML INJ SOAJ *TO GO* J0171 $748.55 ER TO GO EPINEPHRINE 0.15 MG/0.3ML INJ SOAJ *TO GO* J0171 $834.38 ER TO GO EPINEPHRINE 0.3 MG/0.3ML INJ SOAJ *TO GO* J0171 $834.38 EPINEPHRINE 0.3 MG/0.3ML INJ SOAJ J0171 $935.66 EPINEPHRINE 0.15 MG/0.3ML INJ SOAJ J0171 $935.66 ER TO GO EPINEPHRINE 0.15 MG/0.3ML INJ SOAJ *TO GO* J0171 $935.66 ER TO GO EPINEPHRINE 0.3 MG/0.3ML INJ SOAJ *TO GO* J0171 $935.66 EPINEPHRINE 0.3 MG/0.3ML INJ SOAJ J0171 $1,822.22 EPINEPHRINE 0.15 MG/0.3ML INJ SOAJ J0171 $1,822.22 ER TO GO EPINEPHRINE 0.15 MG/0.3ML INJ SOAJ *TO GO* J0171 $1,822.22 ER TO GO EPINEPHRINE 0.3 MG/0.3ML INJ SOAJ *TO GO* J0171 $1,822.22 ALPHA1-PROTEINASE INHIBITOR 500 MG IV SOLR J0256 $19.95 ALPHA1-PROTEINASE INHIBITOR 1000 MG IV SOLR J0256 $28,273.77 ALPHA1-PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN J0257 $1,467.11 ALPHA1-PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN J0257 $1,467.11 ALPROSTADIL 500 MCG/ML INJ SOLN J0270 $870.19 ALPROSTADIL 500 MCG/ML INJ SOLN J0270 $870.19 AMIKACIN SULFATE 1 GM/4ML INJ SOLN J0278 $68.83 AMIKACIN SULFATE 500 MG/2ML INJ SOLN J0278 $107.05 AMIKACIN SULFATE 500 MG/2ML INJ SOLN J0278 $107.05 AMIKACIN SULFATE 1 GM/4ML INJ SOLN J0278 $197.30 AMINOPHYLLINE 25 MG/ML IV SOLN J0280 $109.20 AMINOPHYLLINE 25 MG/ML IV SOLN J0280 $109.20 AMIODARONE HCL 150 MG/3ML IV SOLN J0282 $19.95 AMIODARONE HCL 150 MG/3ML IV SOLN J0282 $21.05 AMIODARONE HCL 150 MG/3ML IV SOLN J0282 $21.05 AMIODARONE HCL 150 MG/3ML IV SOLN J0282 $36.70 AMIODARONE HCL 900 MG/18ML IV SOLN J0282 $123.85 AMPHOTERICIN B 50 MG IV SOLR J0285 $335.16 AMPHOTERICIN B LIPOSOME 50 MG IV SUSR J0289 $1,600.57 AMPICILLIN SODIUM 250 MG INJ SOLR J0290 $20.27 AMPICILLIN SODIUM 500 MG INJ SOLR J0290 $24.89 AMPICILLIN SODIUM 250 MG INJ SOLR J0290 $35.28 AMPICILLIN SODIUM 500 MG INJ SOLR J0290 $37.12 AMPICILLIN SODIUM 125 MG INJ SOLR J0290 $41.00 AMPICILLIN SODIUM 1 G INJ SOLR J0290 $56.54 AMPICILLIN SODIUM 1 G INJ SOLR J0290 $64.47 AMPICILLIN SODIUM 1 G INJ SOLR J0290 $67.83 AMPICILLIN SODIUM 1 G INJ SOLR J0290 $67.88 AMPICILLIN SODIUM 1 G INJ SOLR J0290 $67.88 AMPICILLIN SODIUM 1 G INJ SOLR J0290 $67.88 AMPICILLIN SODIUM 2 G INJ SOLR J0290 $70.67 AMPICILLIN SODIUM 2 G INJ SOLR J0290 $96.13 AMPICILLIN SODIUM 2 G INJ SOLR J0290 $115.87 AMPICILLIN SODIUM 2 G INJ SOLR J0290 $121.96 AMPICILLIN SODIUM 2 G INJ SOLR J0290 $121.96 AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G INJ SOLR J0295 $39.32 AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G INJ SOLR J0295 $39.59 AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G INJ SOLR J0295 $50.30 AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G INJ SOLR J0295 $51.87 AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G INJ SOLR J0295 $60.74 AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G INJ SOLR J0295 $61.27 AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G INJ SOLR J0295 $77.02 AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G INJ SOLR J0295 $77.02 AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G INJ SOLR J0295 $78.65 AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G INJ SOLR J0295 $83.00 AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G INJ SOLR J0295 $106.31 AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G INJ SOLR J0295 $125.95 AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G INJ SOLR J0295 $139.34 SUCCINYLCHOLINE 200 MG/10ML (20 MG/ML) INJ SYRINGE (BMH) J0330 $64.79 INTRAOP SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN J0330 $78.49 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN J0330 $167.58 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN J0330 $167.58 INTRAOP SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLN J0330 $167.58 SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY J0330 $302.19 SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY J0330 $311.54 HYDRALAZINE HCL 20 MG/ML INJ SOLN J0360 $35.39 HYDRALAZINE HCL 20 MG/ML INJ SOLN J0360 $35.39 HYDRALAZINE HCL 20 MG/ML INJ SOLN J0360 $114.29 HYDRALAZINE HCL 20 MG/ML INJ SOLN J0360 $114.29 ARIPIPRAZOLE ER 400 MG IM PRSY J0401 $12,662.06 AZITHROMYCIN 500 MG IV SOLR J0456 $35.18 AZITHROMYCIN 500 MG IV SOLR J0456 $47.15 AZITHROMYCIN 500 MG IV SOLR J0456 $47.15 AZITHROMYCIN 500 MG IV SOLR J0456 $56.86 AZITHROMYCIN 500 MG IV SOLR J0456 $70.04 AZITHROMYCIN 500 MG IV SOLR J0456 $144.17 ATROPINE SULFATE 0.1 MG/ML INJ SOLN J0461 $54.65 ATROPINE SULFATE 0.4 MG/ML INJ SOLN J0461 $75.39 ATROPINE SULFATE 0.1 MG/ML INJ SOLN J0461 $78.65 ATROPINE SULFATE 0.1 MG/ML INJ SOLN J0461 $79.54 ATROPINE SULFATE 0.1 MG/ML INJ SOLN J0461 $91.04 ATROPINE SULFATE 1 MG/ML INJ SOLN J0461 $109.73 BELIMUMAB 120 MG IV SOLR J0490 $3,342.89 BELIMUMAB 400 MG IV SOLR J0490 $9,864.75 DICYCLOMINE HCL 10 MG/ML IM SOLN J0500 $556.92 DICYCLOMINE HCL 10 MG/ML IM SOLN J0500 $561.07 BENZTROPINE MESYLATE 1 MG/ML INJ SOLN J0515 $360.41 BENZTROPINE MESYLATE 1 MG/ML INJ SOLN J0515 $460.11 PENICILLIN G BENZATHINE & PROC 1200000 UNIT/2ML IM SUSP J0558 $916.02 PENICILLIN G BENZATHINE & PROC 1200000 UNIT/2ML IM SUSP J0558 $916.02 PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSP J0561 $663.50 PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSP J0561 $663.50 PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSP J0561 $1,030.89 PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSP J0561 $1,030.89 PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSP J0561 $2,112.50 PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSP J0561 $2,112.50 BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL J0572 $42.42 BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL J0572 $84.84 BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL J0574 $37.59 BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL J0574 $69.93 BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL J0574 $75.13 BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL J0574 $139.81 ONABOTULINUMTOXINA 100 UNITS INJ SOLR J0585 $3,724.56 BUTORPHANOL TARTRATE 1 MG/ML INJ SOLN J0595 $20.69 BUTORPHANOL TARTRATE 1 MG/ML INJ SOLN J0595 $20.74 BUTORPHANOL TARTRATE 1 MG/ML INJ SOLN J0595 $41.37 BUTORPHANOL TARTRATE 1 MG/ML INJ SOLN J0595 $41.42 BUTORPHANOL TARTRATE 1 MG/ML INJ SOLN J0595 $82.69 BUTORPHANOL TARTRATE 1 MG/ML INJ SOLN J0595 $82.79 CALCIUM GLUCONATE 10 % IV SOLN J0610 $87.52 CALCIUM GLUCONATE 10 % IV SOLN J0610 $87.52 CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN J0610 $172.52 CALCITONIN (SALMON) 200 UNIT/ML INJ SOLN J0630 $16,604.28 CASPOFUNGIN ACETATE 50 MG IV SOLR J0637 $653.57 CASPOFUNGIN ACETATE 50 MG IV SOLR J0637 $653.57 CASPOFUNGIN ACETATE 70 MG IV SOLR J0637 $688.38 CASPOFUNGIN ACETATE 70 MG IV SOLR J0637 $1,888.90 CASPOFUNGIN ACETATE 50 MG IV SOLR J0637 $2,022.25 CASPOFUNGIN ACETATE 70 MG IV SOLR J0637 $2,095.85 LEUCOVORIN CALCIUM 200 MG INJ SOLR J0640 $169.52 LEUCOVORIN CALCIUM 200 MG INJ SOLR J0640 $193.20 CEFAZOLIN SODIUM 1 G INJ SOLR J0690 $19.95 CEFAZOLIN SODIUM 1 G INJ SOLR J0690 $19.95 CEFAZOLIN SODIUM 1 G INJ SOLR J0690 $19.95 CEFAZOLIN SODIUM 1 G INJ SOLR J0690 $19.95 CEFAZOLIN SODIUM 1 G INJ SOLR J0690 $19.95 CEFAZOLIN SODIUM 1 G INJ SOLR J0690 $58.91 CEFAZOLIN SODIUM-DEXTROSE 2-4 GM/100ML-% IV SOLN J0690 $80.80 CEFAZOLIN SODIUM DEXTROSE 2 GM IV SOLR SUPER RECORD J0690 $80.80 BMH CEFAZOLIN 2G IN 100 ML D5W IVPB PREMIX J0690 $80.90 CEFAZOLIN SODIUM 10 G INJ SOLR J0690 $96.55 CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR J0690 $144.01 CEFAZOLIN SODIUM DEXTROSE 2 GM IV SOLR SUPER RECORD J0690 $144.01 CEFEPIME HCL 1 G INJ SOLR J0692 $54.65 CEFEPIME HCL 1 G INJ SOLR J0692 $56.54 CEFEPIME HCL 1 G INJ SOLR J0692 $148.00 CEFEPIME HCL 1 G INJ SOLR J0692 $148.05 CEFEPIME HCL 2 G INJ SOLR J0692 $270.69 CEFOXITIN SODIUM 1 G IV SOLR J0694 $30.35 CEFOXITIN SODIUM 1 G IV SOLR J0694 $86.94 CEFOXITIN SODIUM 2 G IV SOLR J0694 $87.36 CEFOXITIN SODIUM 2 G IV SOLR J0694 $111.41 CEFOXITIN SODIUM 2 G IV SOLR J0694 $174.30 CEFTRIAXONE SODIUM 1 G INJ SOLR J0696 $19.95 CEFTRIAXONE SODIUM 1 G INJ SOLR J0696 $19.95 CEFTRIAXONE SODIUM 250 MG INJ SOLR J0696 $19.95 CEFTRIAXONE SODIUM 250 MG INJ SOLR J0696 $19.95 CEFTRIAXONE SODIUM 250 MG INJ SOLR J0696 $19.95 CEFTRIAXONE SODIUM 500 MG INJ SOLR J0696 $19.95 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $28.93 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $28.93 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $28.93 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $56.54 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $73.50 CEFTRIAXONE SODIUM 1 G INJ SOLR J0696 $127.42 CEFTRIAXONE SODIUM-DEXTROSE 1-3.74 GM-%(50ML) IV SOLR J0696 $180.76 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $209.63 CEFTRIAXONE SODIUM-DEXTROSE 2-2.22 GM-%(50ML) IV SOLR J0696 $222.39 CEFTRIAXONE SODIUM 1 G INJ SOLR J0696 $308.54 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $560.18 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $560.18 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $560.18 CEFTRIAXONE SODIUM 2 G INJ SOLR J0696 $560.75 CEFUROXIME SODIUM 750 MG INJ SOLR J0697 $29.56 CEFUROXIME SODIUM 1.5 G IV SOLR J0697 $55.13 CEFOTAXIME SODIUM 1 G INJ SOLR J0698 $26.51 CEFOTAXIME SODIUM 2 G INJ SOLR J0698 $42.42 BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML INJ SUSP J0702 $301.04 BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML INJ SUSP J0702 $379.16 CAFFEINE CITRATE 60 MG/3ML IV SOLN J0706 $228.85 CEFTAZIDIME 1 G INJ SOLR J0713 $39.74 CEFTAZIDIME 1 G INJ SOLR J0713 $39.80 CEFTAZIDIME 1 G INJ SOLR J0713 $42.42 CEFTAZIDIME 2 G IV SOLR J0713 $87.36 CERTOLIZUMAB PEGOL 2 X 200 MG SC KIT J0717 $25,528.86 CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPID SOLN J0735 $209.63 CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPID SOLN J0735 $309.23 CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPID SOLN J0735 $323.93 IMIPENEM-CILASTATIN 500 MG IV SOLR J0743 $109.20 IMIPENEM-CILASTATIN 500 MG IV SOLR J0743 $109.20 IMIPENEM-CILASTATIN 500 MG IV SOLR J0743 $262.82 CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN J0744 $65.99 PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJ SOLN J0780 $43.68 PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJ SOLN J0780 $161.60 PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJ SOLN J0780 $161.60 COSYNTROPIN 0.25 MG INJ SOLR J0834 $590.42 COSYNTROPIN 0.25 MG INJ SOLR J0834 $590.42 COSYNTROPIN 0.25 MG INJ SOLR J0834 $1,180.78 COSYNTROPIN 0.25 MG INJ SOLR J0834 $1,180.78 CROTALIDAE POLYVAL IMMUNE FAB IV SOLR J0840 $16,953.67 DALBAVANCIN HCL 500 MG IV SOLR J0875 $8,631.42 DAPTOMYCIN 500 MG IV SOLR (BMH-CVMC) J0878 $201.23 DAPTOMYCIN 500 MG IV SOLR (BMH-CVMC) J0878 $700.88 DAPTOMYCIN 500 MG IV SOLR (BMH-CVMC) J0878 $2,667.58 DAPTOMYCIN 500 MG IV SOLR J0878 $2,667.58 DARBEPOETIN ALFA 40 MCG/ML INJ SOLN NON-ESRD J0881 $1,853.93 DARBEPOETIN ALFA 100 MCG/ML INJ SOLN J0882 $4,634.75 DARBEPOETIN ALFA 300 MCG/0.6ML INJ SOSY J0882 $12,309.68 ARGATROBAN 250 MG/2.5ML IV SOLN J0883 $1,934.15 EPOETIN ALFA 10000 UNIT/ML INJ SOLN NON-ESRD J0885 $1,106.70 EPOETIN ALFA 20000 UNIT/ML INJ SOLN NON-ESRD J0885 $3,200.61 EPOETIN ALFA 40000 UNIT/ML INJ SOLN NON-ESRD J0885 $5,667.17 DEFEROXAMINE MESYLATE 2 G INJ SOLR J0895 $255.47 DEFEROXAMINE MESYLATE 2 G INJ SOLR J0895 $331.59 DENOSUMAB 60 MG/ML SC SOSY J0897 $7,179.32 DENOSUMAB 120 MG/1.7ML SC SOLN J0897 $13,205.85 METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSP J1030 $92.77 METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSP J1030 $92.77 MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP (WRAPPED) J1050 $331.28 MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP (WRAPPED) J1050 $331.28 MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP J1050 $331.28 MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP (WRAPPED) J1050 $387.50 MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP (WRAPPED) J1050 $600.29 TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN J1071 $169.05 TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN J1071 $169.05 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $19.95 DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJ SOLN J1100 $19.95 DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJ SOLN J1100 $19.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $26.67 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $26.67 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $26.72 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $26.72 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $37.49 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $39.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $39.95 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $44.57 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $44.57 DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJ SOLN J1100 $49.40 DEXAMETHASONE 10 MG/ML INJ SOLN FOR ORAL USE J1100 $49.40 DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJ SOLN J1100 $49.82 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $62.42 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $79.91 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $79.91 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $133.14 DEXAMETHASONE SOD PHOSPHATE 4 MG/ML INJ J1100 $133.14 DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJ SOLN J1110 $876.75 DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJ SOLN J1110 $1,108.80 ACETAZOLAMIDE SODIUM 500 MG INJ SOLR J1120 $264.13 ACETAZOLAMIDE SODIUM 500 MG INJ SOLR J1120 $264.13 ACETAZOLAMIDE SODIUM 500 MG INJ SOLR J1120 $321.93 ACETAZOLAMIDE SODIUM 500 MG INJ SOLR J1120 $323.61 DIGOXIN 0.25 MG/ML INJ SOLN J1160 $48.09 DIGOXIN 0.25 MG/ML INJ SOLN J1160 $51.87 DIGOXIN 0.25 MG/ML INJ SOLN J1160 $58.75 DIGOXIN IMMUNE FAB 40 MG IV SOLR J1162 $21,910.40 PHENYTOIN SODIUM 50 MG/ML INJ SOLN J1165 $19.95 PHENYTOIN SODIUM 50 MG/ML INJ SOLN J1165 $19.95 PHENYTOIN SODIUM 50 MG/ML INJ SOLN J1165 $19.95 PHENYTOIN SODIUM 50 MG/ML INJ SOLN J1165 $20.16 HYDROMORPHONE HCL 2 MG/ML INJ SOLN J1170 $19.95 HYDROMORPHONE HCL 1 MG/ML INJ SOLN J1170 $25.99 HYDROMORPHONE HCL 2 MG/ML INJ SOLN J1170 $27.83 HYDROMORPHONE HCL 2 MG/ML INJ SOLN J1170 $30.35 HYDROMORPHONE HCL 2 MG/ML INJ SOLN J1170 $30.35 HYDROMORPHONE HCL 1 MG/ML INJ SOLN J1170 $36.44 HYDROMORPHONE HCL 2 MG/ML INJ SOLN J1170 $36.44 HYDROMORPHONE HCL PF 1 MG/ML INJ SOLN J1170 $36.44 HYDROMORPHONE HCL 1 MG/ML INJ SOLN J1170 $42.00 HYDROMORPHONE HCL 1 MG/ML INJ SOLN J1170 $42.00 HYDROMORPHONE 0.2 MG/ML PCA (BMH) J1170 $150.73 BMH HYDROMORPHONE 0.2 MG/ML INFUSION FROM PCA CARTRIDGE J1170 $150.73 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN J1200 $19.95 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN J1200 $19.95 DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLN J1200 $27.83 DIMETHYL SULFOXIDE 50 % IS SOLN J1212 $3,704.14 DOBUTAMINE HCL 250 MG/20ML IV SOLN J1250 $52.61 DOBUTAMINE HCL 250 MG/20ML IV SOLN J1250 $52.61 DOBUTAMINE HCL 250 MG/20ML IV SOLN J1250 $55.76 DOBUTAMINE IN D5W 2 MG/ML IV SOLN J1250 $154.40 DOBUTAMINE IN D5W 2 MG/ML IV SOLN J1250 $300.14 DOPAMINE HCL 40 MG/ML IV SOLN J1265 $29.51 DOPAMINE HCL 40 MG/ML IV SOLN J1265 $29.51 DOPAMINE IN D5W 1.6-5 MG/ML-% IV SOLN J1265 $158.34 DOPAMINE IN D5W 1.6-5 MG/ML-% IV SOLN J1265 $158.34 DOPAMINE IN D5W 1.6-5 MG/ML-% IV SOLN J1265 $160.28 EDARAVONE 30 MG/100ML IV SOLN J1301 $3,519.50 EPTIFIBATIDE 20 MG/10ML IV SOLN J1327 $241.45 EPTIFIBATIDE 20 MG/10ML IV SOLN J1327 $1,040.97 EPTIFIBATIDE 75 MG/100ML IV SOLN J1327 $3,257.99 ERTAPENEM SODIUM 1 G INJ SOLR J1335 $600.76 ERTAPENEM SODIUM 1 G INJ SOLR J1335 $834.38 ERTAPENEM SODIUM 1 G INJ SOLR J1335 $834.38 ERTAPENEM SODIUM 1 G INJ SOLR J1335 $858.80 ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR J1364 $602.18 ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR J1364 $602.18 ESTRADIOL VALERATE 40 MG/ML IM OIL J1380 $1,114.89 ESTRADIOL VALERATE 40 MG/ML IM OIL J1380 $1,858.19 ESTROGENS CONJUGATED 25 MG INJ SOLR J1410 $1,959.41 FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN J1439 $6,409.78 FILGRASTIM 300 MCG/ML INJ SOLN J1442 $1,885.28 FILGRASTIM 300 MCG/ML INJ SOLN J1442 $1,885.28 FILGRASTIM 480 MCG/1.6ML INJ SOLN J1442 $3,002.00 FILGRASTIM 480 MCG/1.6ML INJ SOLN J1442 $3,002.00 FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN J1450 $53.71 FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN J1450 $58.96 FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN J1450 $106.37 FOMEPIZOLE 1 GM/ML IV SOLN J1451 $5,443.41 FOMEPIZOLE 1.5 GM/1.5ML IV SOLN J1451 $9,179.84 IMMUNE GLOBULIN (HUMAN) IM INJ (BMH ONLY) J1460 $2,513.02 IMMUNE GLOBULIN (HUMAN) 10 GM/100ML INJ SOLN (BMH ONLY) J1561 $6,897.92 IMMUNE GLOBULIN (HUMAN) 20 GM/200ML INJ SOLN (BMH ONLY) J1561 $13,795.85 IMMUNE GLOBULIN (HUMAN) 40 GM/400ML INJ SOLN (BMH ONLY) J1561 $27,591.64 IMMUNE GLOBULIN (HUMAN) 5 G IV SOLR (BMH ONLY) J1566 $5,284.65 IMMUNE GLOBULIN (HUMAN) 5 GM/50ML INJ SOLN (BMH ONLY) J1569 $3,895.71 GAMMAGARD 10 GM/100ML INJ SOLN (BMH ONLY) J1569 $7,913.12 IMMUNE GLOBULIN (HUMAN) 30 GM/300ML INJ SOLN (BMH ONLY) J1569 $38,739.65 GANCICLOVIR SODIUM 500 MG IV SOLR J1570 $649.27 IMMUNE GLOBULIN (HUMAN) 5 GM/100ML IV SOLN (BMH ONLY) J1572 $2,820.88 IMMUNE GLOBULIN (HUMAN) 10 GM/200ML IV SOLN (BMH ONLY) J1572 $5,295.15 IMMUNE GLOBULIN (HUMAN) 20 GM/400ML IV SOLN (BMH ONLY) J1572 $10,590.30 GENTAMICIN SULFATE 10 MG/ML INJ SOLN J1580 $19.95 GENTAMICIN SULFATE 40 MG/ML INJ SOLN J1580 $19.95 GENTAMICIN SULFATE 40 MG/ML INJ SOLN J1580 $19.95 GENTAMICIN SULFATE 40 MG/ML INJ SOLN J1580 $32.66 GENTAMICIN SULFATE 40 MG/ML INJ SOLN J1580 $32.66 BMH GENTAMICIN SULFATE 40 MG/ML INJ SOLN J1580 $32.66 GENTAMICIN IN SALINE 1.6-0.9 MG/ML-% IV SOLN J1580 $37.96 GENTAMICIN SULFATE 10 MG/ML INJ SOLN J1580 $40.43 BMH GENTAMICIN SULFATE 10 MG/ML INJ SOLN J1580 $40.43 GENTAMICIN SULFATE 40 MG/ML INJ SOLN J1580 $186.90 BMH GENTAMICIN SULFATE 40 MG/ML INJ SOLN J1580 $186.90 GOLIMUMAB 50 MG/4ML IV SOLN j1602 $10,598.39 GLUCAGON HCL (DIAGNOSTIC) 1 MG INJ SOLR (WRAPPED) J1610 $1,027.58 HALOPERIDOL LACTATE 5 MG/ML INJ SOLN J1630 $19.95 HALOPERIDOL LACTATE 5 MG/ML INJ SOLN J1630 $56.44 HALOPERIDOL LACTATE 5 MG/ML INJ SOLN J1630 $56.44 HEPARIN LOCK FLUSH 10 UNIT/ML IV SOLN J1642 $19.95 HEPARIN LOCK FLUSH 10 UNIT/ML IV SOLN J1642 $19.95 HEPARIN SODIUM LOCK FLUSH 100 UNIT/ML IV SOLN J1642 $19.95 BMH HEPARIN SODIUM LOCK FLUSH 100 UNIT/ML IV SOLN 5 ML J1642 $28.46 HEPARIN SODIUM LOCK FLUSH 100 UNIT/ML IV SOLN J1642 $28.46 HEPARIN PF 100 UNITS/ML INJ J1642 $28.46 HEPARIN LOCK FLUSH 10 UNIT/ML IV SOLN J1642 $29.77 HEPARIN LOCK FLUSH 1 UNIT/ML IV SOLN J1642 $31.97 HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJ SOLN J1644 $20.27 HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJ SOLN J1644 $20.27 BMH HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJ SOLN J1644 $26.30 HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJ SOLN J1644 $39.17 HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJ SOLN J1644 $40.58 BMH HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJ SOLN J1644 $40.85 HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJ SOLN J1644 $42.05 HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN J1644 $92.03 HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJ SOLN J1644 $116.92 HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJ SOLN J1644 $116.92 BMH HEPARIN DRIP 50 UNITS/ML IN 0.45 NACL J1644 $120.49 HEPARIN SOD (PORCINE) IN D5W 25000-5 UT/500ML-% IV SOLN J1644 $123.01 HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJ SOLN J1644 $146.42 HEPARIN SOD (PORCINE) IN D5W 25000-5 UT/500ML-% IV SOLN J1644 $174.04 ENOXAPARIN SODIUM 30 MG/0.3ML SC SOLN J1650 $30.45 ENOXAPARIN SODIUM 40 MG/0.4ML SC SOLN J1650 $40.58 ENOXAPARIN SODIUM 40 MG/0.4ML SC SOLN J1650 $40.58 ENOXAPARIN SODIUM 40 MG/0.4ML SC SOLN J1650 $56.54 ENOXAPARIN SODIUM 40 MG/0.4ML SC SOLN J1650 $56.54 ENOXAPARIN SODIUM 40 MG/0.4ML SC SOLN J1650 $56.54 ENOXAPARIN SODIUM 60 MG/0.6ML SC SOLN J1650 $56.75 ENOXAPARIN SODIUM 60 MG/0.6ML SC SOLN J1650 $56.75 ENOXAPARIN SODIUM 40 MG/0.4ML SC SOLN J1650 $74.60 ENOXAPARIN SODIUM 40 MG/0.4ML SC SOLN J1650 $74.81 ENOXAPARIN SODIUM 40 MG/0.4ML SC SOLN J1650 $74.81 ENOXAPARIN SODIUM 80 MG/0.8ML SC SOLN J1650 $75.71 ENOXAPARIN SODIUM 80 MG/0.8ML SC SOLN J1650 $75.71 ENOXAPARIN SODIUM 100 MG/ML SC SOLN J1650 $87.73 ENOXAPARIN SODIUM 100 MG/ML SC SOLN J1650 $87.73 ENOXAPARIN SODIUM 60 MG/0.6ML SC SOLN J1650 $104.27 ENOXAPARIN SODIUM 80 MG/0.8ML SC SOLN J1650 $104.84 ENOXAPARIN SODIUM 60 MG/0.6ML SC SOLN J1650 $112.04 ENOXAPARIN SODIUM 80 MG/0.8ML SC SOLN J1650 $138.92 ENOXAPARIN SODIUM 80 MG/0.8ML SC SOLN J1650 $149.31 ENOXAPARIN SODIUM 120 MG/0.8ML SC SOLN J1650 $157.24 ENOXAPARIN SODIUM 120 MG/0.8ML SC SOLN J1650 $157.24 ENOXAPARIN SODIUM 100 MG/ML SC SOLN J1650 $171.99 ENOXAPARIN SODIUM 100 MG/ML SC SOLN J1650 $173.67 ENOXAPARIN SODIUM 120 MG/0.8ML SC SOLN J1650 $191.99 ENOXAPARIN SODIUM 120 MG/0.8ML SC SOLN J1650 $191.99 ENOXAPARIN SODIUM 30 MG/0.3ML SC SOLN J1650 $199.71 ENOXAPARIN SODIUM 150 MG/ML SC SOLN J1650 $239.93 ENOXAPARIN SODIUM 100 MG/ML SC SOLN J1650 $498.65 ENOXAPARIN SODIUM 100 MG/ML SC SOLN J1650 $609.47 ENOXAPARIN SODIUM 120 MG/0.8ML SC SOLN J1650 $663.34 ENOXAPARIN SODIUM 150 MG/ML SC SOLN J1650 $829.19 TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY J1670 $3,498.34 HYDROCORTISONE NA SUCCINATE PF 100 MG INJ SOLR J1720 $99.70 HYDROCORTISONE NA SUCCINATE PF 100 MG INJ SOLR J1720 $134.77 HYDROCORTISONE NA SUCCINATE PF 100 MG INJ SOLR J1720 $134.82 HYDROCORTISONE NA SUCCINATE PF 250 MG INJ SOLR J1720 $229.69 IBANDRONATE SODIUM 3 MG/3ML IV SOLN J1740 $3,158.09 IBUTILIDE FUMARATE 1 MG/10ML IV SOLN J1742 $2,721.76 INFLIXIMAB 100 MG IV SOLR J1745 $6,191.01 IRON DEXTRAN 50 MG/ML INJ SOLN J1750 $246.86 IRON DEXTRAN 50 MG/ML INJ SOLN J1750 $246.86 IRON SUCROSE 20 MG/ML IV SOLN J1756 $404.88 IRON SUCROSE 20 MG/ML IV SOLN J1756 $404.88 IRON SUCROSE 20 MG/ML IV SOLN J1756 $404.88 IMIGLUCERASE 400 UNITS IV SOLR J1786 $9,012.05 PROPRANOLOL HCL 1 MG/ML IV SOLN J1800 $75.39 PROPRANOLOL HCL 1 MG/ML IV SOLN J1800 $75.39 PROPRANOLOL HCL 1 MG/ML IV SOLN J1800 $87.99 PROPRANOLOL HCL 1 MG/ML IV SOLN J1800 $150.78 PROPRANOLOL HCL 1 MG/ML IV SOLN J1800 $150.78 PROPRANOLOL HCL 1 MG/ML IV SOLN J1800 $175.93 PROPRANOLOL HCL 1 MG/ML IV SOLN J1800 $226.12 PROPRANOLOL HCL 1 MG/ML IV SOLN J1800 $226.12 PROPRANOLOL HCL 1 MG/ML IV SOLN J1800 $263.92 INSULIN GLARGINE 100 UNIT/ML SC SOLN J1815 $19.95 INSULIN GLARGINE 100 UNIT/ML SC SOLN J1815 $19.95 INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLN J1815 $19.95 INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLN J1815 $19.95 INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLN J1815 $19.95 INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLN J1815 $19.95 INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLN J1815 $19.95 INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLN J1815 $19.95 INSULIN GLARGINE 100 UNIT/ML SC SOLN J1815 $25.52 INSULIN GLARGINE 100 UNIT/ML SC SOLN J1815 $25.52 INSULIN GLARGINE 100 UNIT/ML SC SOLN J1815 $33.97 INSULIN GLARGINE 100 UNIT/ML SC SOLN J1815 $33.97 INSULIN GLARGINE 100 UNIT/ML SC SOLN J1815 $42.47 INSULIN GLARGINE 100 UNIT/ML SC SOLN J1815 $42.47 BMH INSULIN REGULAR HUMAN 100 UNIT/ML J1815 $328.39 INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP J1815 $328.39 INSULIN NPH ISOPHANE & REGULAR (70-30) 100 UNIT/ML SC SUSP J1815 $328.39 INSULIN LISPRO 100 UNIT/ML SC SOLN J1815 $606.64 INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP J1815 $919.12 INSULIN LISPRO PROT & LISPRO (75-25) 100 UNIT/ML SC SUSP J1815 $1,704.83 INSULIN DETEMIR 100 UNIT/ML SC SOLN J1815 $1,845.17 ISAVUCONAZONIUM SULFATE 372 MG IV SOLR J1833 $1,945.23 KETOROLAC TROMETHAMINE 15 MG/ML INJ SOLN J1885 $19.95 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $19.95 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $19.95 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $19.95 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $19.95 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $19.95 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $19.95 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $47.15 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $47.15 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $47.15 KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN J1885 $56.96 LANREOTIDE ACETATE 90 MG/0.3ML SC SOLN J1930 $41,133.02 LANREOTIDE ACETATE 90 MG/0.3ML SC SOLN J1930 $41,133.02 LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN J1930 $48,507.17 LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN J1930 $48,507.17 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $19.95 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $21.26 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $21.26 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $21.26 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $28.35 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $29.35 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $29.35 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $29.40 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $31.82 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $34.34 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $41.90 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $46.67 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $54.44 FUROSEMIDE 10 MG/ML INJ SOLN J1940 $54.50 LEUPROLIDE ACETATE 3.75 MG IM KIT J1950 $7,862.93 LEUPROLIDE ACETATE 7.5 MG IM KIT J1950 $9,369.83 LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT J1950 $23,588.83 LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT J1950 $28,109.45 LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT J1950 $37,479.33 LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT J1950 $56,219.78 LEVETIRACETAM 500 MG/5ML IV SOLN J1953 $31.61 LEVETIRACETAM 500 MG/5ML IV SOLN J1953 $55.49 LEVETIRACETAM 500 MG/5ML IV SOLN J1953 $74.39 LEVETIRACETAM 500 MG/5ML IV SOLN J1953 $91.72 LEVETIRACETAM 500 MG/5ML IV SOLN J1953 $91.72 LEVOCARNITINE 200 MG/ML IV SOLN J1955 $92.61 LEVOCARNITINE 200 MG/ML IV SOLN J1955 $266.60 LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN J1956 $21.11 LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN J1956 $47.15 LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN J1956 $57.33 LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN J1956 $58.91 LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN J1956 $61.27 LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN J1956 $74.76 LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN J1956 $113.56 LEVOFLOXACIN 25 MG/ML IV SOLN J1956 $293.90 LIDOCAINE HCL 0.5 % INJ SOLN J2001 $42.16 LIDOCAINE HCL (CARDIAC) 10 MG/ML IV SOLN J2001 $65.89 LIDOCAINE HCL (CARDIAC) 10 MG/ML IV SOLN J2001 $88.73 LIDOCAINE IN D5W 4-5 MG/ML-% IV SOLN J2001 $107.84 LINEZOLID 600 MG/300ML IV SOLN J2020 $166.01 LINEZOLID 600 MG/300ML IV SOLN J2020 $349.70 LINEZOLID 600 MG/300ML IV SOLN J2020 $349.70 LINEZOLID 600 MG/300ML IV SOLN J2020 $511.93 LORAZEPAM 2 MG/ML INJ SOLN J2060 $19.95 LORAZEPAM 2 MG/ML INJ SOLN J2060 $19.95 LORAZEPAM 2 MG/ML INJ SOLN J2060 $19.95 LORAZEPAM 2 MG/ML INJ SOLN J2060 $19.95 MANNITOL 25 % IV SOLN J2150 $22.37 MANNITOL 25 % IV SOLN J2150 $22.37 MANNITOL 25 % IV SOLN J2150 $45.94 MEPERIDINE HCL 25 MG/ML INJ SOLN J2175 $25.73 MEPERIDINE HCL 25 MG/ML INJ SOLN J2175 $56.39 MEPERIDINE HCL 25 MG/ML INJ SOLN J2175 $56.39 MEPERIDINE HCL 50 MG/ML INJ SOLN J2175 $58.28 MEPERIDINE HCL 50 MG/ML INJ SOLN J2175 $58.28 MEPOLIZUMAB 100 MG SC SOLR J2182 $16,789.29 MEPOLIZUMAB 100 MG/ML SC SOAJ J2182 $16,789.29 MEROPENEM 500 MG IV SOLR J2185 $56.54 MEROPENEM 1 G IV SOLR J2185 $96.13 MEROPENEM 1 G IV SOLR J2185 $174.72 METHYLERGONOVINE MALEATE 0.2 MG/ML INJ SOLN J2210 $226.96 MICAFUNGIN SODIUM 100 MG IV SOLR J2248 $1,119.77 MIDAZOLAM HCL 2 MG/2ML INJ SOLN J2250 $19.95 MIDAZOLAM HCL 2 MG/2ML INJ SOLN (WRAPPED) J2250 $19.95 MIDAZOLAM HCL 2 MG/2ML INJ SOLN (WRAPPED) J2250 $19.95 MIDAZOLAM HCL 5 MG/5ML INJ SOLN (WRAPPED) J2250 $19.95 MIDAZOLAM HCL 5 MG/5ML INJ SOLN (WRAPPED) J2250 $19.95 MIDAZOLAM HCL 5 MG/5ML INJ SOLN (WRAPPED) J2250 $19.95 INTRAOP MIDAZOLAM HCL INJ SOLN J2250 $19.95 INTRAOP MIDAZOLAM HCL INJ SOLN J2250 $19.95 INTRAOP MIDAZOLAM HCL INJ SOLN J2250 $19.95 INTRAOP MIDAZOLAM HCL INJ SOLN J2250 $19.95 INTRAOP MIDAZOLAM HCL INJ SOLN J2250 $19.95 INTRAOP MIDAZOLAM HCL INJ SOLN J2250 $28.77 INTRAOP MIDAZOLAM HCL INJ SOLN J2250 $28.77 MIDAZOLAM HCL 50 MG/10ML INJ SOLN J2250 $30.35 MIDAZOLAM HCL 50 MG/10ML INJ SOLN J2250 $30.35 MIDAZOLAM HCL 50 MG/10ML INJ SOLN J2250 $65.05 MORPHINE SULFATE (PF) 4 MG/ML IV SOLN J2270 $19.95 MORPHINE SULFATE (PF) 4 MG/ML IV SOLN J2270 $19.95 MORPHINE SULFATE 4 MG/ML IV SOLN J2270 $23.00 MORPHINE SULFATE 4 MG/ML IV SOLN J2270 $23.00 MORPHINE SULFATE 2 MG/ML INJ SOLN J2270 $29.03 MORPHINE SULFATE 4 MG/ML INJ SOLN J2270 $29.03 MORPHINE SULFATE 4 MG/ML INJ SOLN J2270 $29.03 MORPHINE SULFATE (PF) 4 MG/ML IV SOLN J2270 $33.39 MORPHINE SULFATE 50 MG/ML IV SOLN J2270 $111.25 MORPHINE SULFATE 50 MG/ML IV SOLN J2270 $217.67 MORPHINE SULFATE (PF) 10 MG/ML IV SOLN J2274 $19.95 MORPHINE SULFATE (PF) 2 MG/ML IV SOLN J2274 $20.90 MORPHINE SULFATE (PF) 2 MG/ML IV SOLN J2274 $20.90 MORPHINE SULFATE (PF) 10 MG/ML IV SOLN J2274 $23.47 MORPHINE SULFATE (PF) 10 MG/ML IV SOLN J2274 $23.47 MORPHINE SULFATE (PF) 0.5 MG/ML INJ SOLN J2274 $63.47 MORPHINE SULFATE (PF) 0.5 MG/ML INJ SOLN J2274 $63.47 BMH MORPHINE PCA 1 MG/ML J2274 $150.26 NALBUPHINE HCL 10 MG/ML INJ SOLN J2300 $36.80 NALBUPHINE HCL 20 MG/ML INJ SOLN J2300 $59.01 NALOXONE HCL 0.4 MG/ML INJ SOLN J2310 $136.19 NALOXONE HCL 0.4 MG/ML INJ SOLN J2310 $138.29 NALOXONE HCL 0.4 MG/ML INJ SOLN J2310 $172.73 NALOXONE HCL 0.4 MG/ML INJ SOLN J2310 $172.73 NALOXONE HCL 2 MG/2ML INJ SOSY J2310 $265.60 NATALIZUMAB 300 MG/15ML IV CONC J2323 $39,569.04 NESIRITIDE 1.5 MG IV SOLR J2325 $5,611.52 OCRELIZUMAB 300 MG/10ML IV SOLN J2350 $90,283.73 OCTREOTIDE ACETATE 30 MG IM KIT J2353 $33,855.05 OCTREOTIDE ACETATE 50 MCG/ML INJ SOLN J2354 $42.42 OCTREOTIDE ACETATE 50 MCG/ML INJ SOLN J2354 $42.42 OCTREOTIDE ACETATE 50 MCG/ML INJ SOLN J2354 $42.42 OCTREOTIDE ACETATE 100 MCG/ML INJ SOLN J2354 $61.27 OCTREOTIDE ACETATE 100 MCG/ML INJ SOLN J2354 $86.84 OMALIZUMAB 150 MG/ML SC SOSY J2357 $6,161.98 BMH OMALIZUMAB 150 MG SC SOLR J2357 $6,161.98 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN (WRAPPED) J2370 $37.07 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN (WRAPPED) J2370 $39.48 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN (WRAPPED) J2370 $40.48 PHENYLEPHRINE HCL-NACL 0.5-0.9 MG/5ML-% IV SOSY J2370 $66.78 PHENYLEPHRINE HCL (PRESSORS) 1 MG/10ML IV SOSY J2370 $113.56 PHENYLEPHRINE HCL 10 MG/ML INJ SOLN (WRAPPED) J2370 $147.84 CHLOROPROCAINE HCL (PF) 3 % INJ SOLN J2400 $180.18 ONDANSETRON HCL 4 MG/2ML INJ SOLN J2405 $19.95 ONDANSETRON HCL 4 MG/2ML INJ SOLN J2405 $19.95 ONDANSETRON HCL 4 MG/2ML INJ SOLN J2405 $19.95 ONDANSETRON HCL 4 MG/2ML INJ SOLN J2405 $19.95 ONDANSETRON HCL 40 MG/20ML INJ SOLN J2405 $73.97 ORITAVANCIN DIPHOSPHATE 400 MG IV SOLR J2407 $5,437.43 ORITAVANCIN DIPHOSPHATE 400 MG IV SOLR J2407 $5,437.43 PAPAVERINE HCL 30 MG/ML INJ SOLN J2440 $20.16 PAPAVERINE HCL 30 MG/ML INJ SOLN J2440 $40.27 PEGFILGRASTIM 6 MG/0.6ML SC SOSY J2506 $34,023.89 PEGLOTICASE 8 MG/ML IV SOLN J2507 $74,218.57 PENICILLIN G PROCAINE 600000 UNIT/ML IM SUSP J2510 $277.83 PENICILLIN G POTASSIUM 5000000 UNITS INJ SOLR J2540 $111.09 PENICILLIN G POTASSIUM 5000000 UNITS INJ SOLR J2540 $111.14 PENICILLIN G POTASSIUM 5000000 UNITS INJ SOLR J2540 $113.14 PENICILLIN G POTASSIUM 20000000 UNITS INJ SOLR J2540 $374.59 PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR J2543 $65.99 PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR J2543 $69.09 PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR J2543 $83.37 PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR J2543 $89.62 PIPERACILLIN-TAZOBACTAM PEDS (PIPERACILLIN CONTENT) J2543 $89.62 PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR J2543 $126.68 PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR J2543 $134.40 PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR J2543 $134.40 PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR J2543 $134.40 PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR J2543 $158.34 PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR J2543 $170.26 PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR J2543 $170.26 PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR J2543 $170.26 PROMETHAZINE HCL 25 MG/ML INJ SOLN J2550 $19.95 PROMETHAZINE HCL 25 MG/ML INJ SOLN J2550 $19.95 PROMETHAZINE HCL 25 MG/ML INJ SOLN J2550 $19.95 PHENOBARBITAL SODIUM 65 MG/ML INJ SOLN J2560 $193.04 PHENOBARBITAL SODIUM 65 MG/ML INJ SOLN J2560 $193.04 OXYTOCIN 10 UNIT/ML INJ SOLN J2590 $19.95 OXYTOCIN 10 UNIT/ML INJ SOLN J2590 $19.95 OXYTOCIN 10 UNIT/ML INJ SOLN J2590 $19.95 OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN J2590 $123.80 BMH OXYTOCIN 10 UNITS/500 ML NS J2590 $166.22 OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN J2590 $191.15 PROGESTERONE 50 MG/ML IM OIL J2675 $262.34 PROGESTERONE 50 MG/ML IM OIL J2675 $273.95 PROCAINAMIDE HCL 500 MG/ML INJ SOLN J2690 $530.36 PROCAINAMIDE HCL 100 MG/ML INJ SOLN J2690 $579.50 PROCAINAMIDE HCL 500 MG/ML INJ SOLN J2690 $1,796.45 PROCAINAMIDE HCL 500 MG/ML INJ SOLN J2690 $1,796.45 BMH/CVMC PROPOFOL 10 MG/ML IV 20 ML J2704 $24.31 PROPOFOL 10 MG/ML IV EMUL J2704 $24.31 PROPOFOL 200 MG/20ML IV EMUL J2704 $40.37 BMH/CVMC PROPOFOL 10 MG/ML IV 20 ML J2704 $54.97 PROPOFOL 10 MG/ML IV EMUL J2704 $54.97 BMH/CVMC PROPOFOL 10 MG/ML IV 20 ML J2704 $56.54 PROPOFOL 200 MG/20ML IV EMUL J2704 $56.54 PROPOFOL 10 MG/ML IV EMUL J2704 $56.54 PROPOFOL 1000 MG/100ML IV EMUL J2704 $104.84 PROPOFOL 1000 MG/100ML IV EMUL J2704 $225.38 PROPOFOL 10 MG/ML IV EMUL J2704 $235.41 PROPOFOL 10 MG/ML IV EMUL J2704 $241.45 NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN J2710 $160.39 NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN J2710 $160.39 NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN J2710 $160.39 NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN J2710 $225.38 NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY J2710 $372.80 PROTAMINE SULFATE 10 MG/ML IV SOLN J2720 $85.58 PROTAMINE SULFATE 10 MG/ML IV SOLN J2720 $234.78 PRALIDOXIME CHLORIDE 1 G IV SOLR J2730 $578.71 PHENTOLAMINE MESYLATE 5 MG INJ SOLR J2760 $2,513.81 PHENTOLAMINE MESYLATE 5 MG INJ SOLR J2760 $2,669.57 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN J2765 $19.95 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN J2765 $19.95 METOCLOPRAMIDE HCL 5 MG/ML INJ SOLN J2765 $33.92 RANITIDINE HCL 50 MG/2ML INJ SOLN J2780 $33.65 RANITIDINE HCL 50 MG/2ML INJ SOLN J2780 $112.61 REGADENOSON 0.4 MG/5ML IV SOLN J2785 $1,498.51 RESLIZUMAB 100 MG/10ML IV SOLN J2786 $5,243.02 RHO D IMMUNE GLOBULIN 1500 UNITS IM SOSY J2790 $585.22 RHO D IMMUNE GLOBULIN 1500 UNITS IM SOSY J2790 $701.66 RHO D IMMUNE GLOBULIN 250 UNITS IM SOSY (BMH ONLY) j2792 $407.19 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $19.95 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $19.95 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $19.95 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $19.95 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $29.82 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $29.82 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $31.66 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $37.91 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $39.74 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $39.74 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $49.67 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $49.67 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $59.64 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $59.64 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $63.26 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $75.76 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $94.92 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $113.61 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $126.53 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $151.46 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $158.18 INTRAOP ROPIVACAINE HCL 2.5 MG/ML IN NS INJ SOLN J2795 $174.88 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $189.32 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $189.79 ROPIVACAINE HCL 5 MG/ML INJ SOLN J2795 $227.17 ROPIVACAINE HCL 2 MG/ML INJ SOLN J2795 $311.64 BMH ROPIVACAINE HCL 2 MG/ML J2795 $569.31 BMH ROPIVACAINE (NAROPIN) HCL 2 MG/ML J2795 $569.31 ROPIVACAINE HCL 2 MG/ML INJ SOLN J2795 $569.31 INTRAOP ROPIVACAINE HCL 2 MG/ML INJ SOLN J2795 $598.76 SINCALIDE 5 MCG INJ SOLR J2805 $675.31 METHYLPREDNISOLONE SODIUM SUCC 40 MG INJ SOLR J2920 $57.02 METHYLPREDNISOLONE SODIUM SUCC 125 MG INJ SOLR J2930 $85.05 METHYLPREDNISOLONE SODIUM SUCC 125 MG INJ SOLR J2930 $85.10 METHYLPREDNISOLONE SODIUM SUCC 125 MG INJ SOLR J2930 $88.83 METHYLPREDNISOLONE SODIUM SUCC 500 MG INJ SOLR J2930 $195.46 METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJ SOLR J2930 $323.82 METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJ SOLR J2930 $439.06 ALTEPLASE 2 MG INJ SOLR J2997 $1,021.65 ALTEPLASE 50 MG IV SOLR J2997 $23,326.80 ALTEPLASE 50 MG IV SOLR J2997 $23,326.80 ALTEPLASE 100 MG IV SOLR J2997 $46,653.60 STREPTOMYCIN SULFATE 1 G IM SOLR J3000 $575.14 BMH STREPTOMYCIN SULFATE 1 G IM SOLR J3000 $575.14 FENTANYL CITRATE (PF) 0.05 MG/ML INJ SOLN (WRAPPED) J3010 $19.95 FENTANYL CITRATE (PF) 0.05 MG/ML INJ SOLN (WRAPPED) J3010 $19.95 FENTANYL CITRATE (PF) 0.05 MG/ML INJ SOLN (WRAPPED) J3010 $19.95 FENTANYL CITRATE (PF) 0.05 MG/ML INJ SOLN (WRAPPED) J3010 $19.95 FENTANYL CITRATE (PF) 0.05 MG/ML INJ SOLN (WRAPPED) J3010 $19.95 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN J3010 $19.95 FENTANYL NEBULIZED (BMH) J3010 $21.47 FENTANYL CITRATE (PF) 0.05 MG/ML INJ SOLN (WRAPPED) J3010 $22.37 FENTANYL CITRATE (PF) 0.05 MG/ML INJ SOLN (WRAPPED) J3010 $22.37 FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLN J3010 $22.37 FENTANYL CITRATE (PF) 0.05 MG/ML INJ SOLN (WRAPPED) J3010 $25.67 FENTANYL CITRATE-NACL 1-0.9 MG/100ML-% IV SOLN J3010 $166.74 BMH FENTANYL 10 MCG/ML 100 ML DRIP J3010 $208.22 SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN J3030 $521.48 SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN J3030 $521.48 TENECTEPLASE 50 MG IV KIT J3101 $19,780.95 TENECTEPLASE 50 MG IV KIT J3101 $20,671.09 TENECTEPLASE 50 MG IV KIT J3101 $23,077.74 TENECTEPLASE 50 MG IV KIT J3101 $24,116.24 TENECTEPLASE 50 MG IV KIT J3101 $26,374.58 TENECTEPLASE 50 MG IV KIT J3101 $27,561.45 TENECTEPLASE 50 MG IV KIT J3101 $29,671.37 TENECTEPLASE 50 MG IV KIT J3101 $31,006.61 TENECTEPLASE 50 MG IV KIT J3101 $32,968.22 TENECTEPLASE 50 MG IV KIT J3101 $34,451.76 TERBUTALINE SULFATE 1 MG/ML INJ SOLN J3105 $157.19 CHLORPROMAZINE HCL 50 MG/2ML INJ SOLN J3230 $266.44 THYROTROPIN ALFA 0.9 MG IM SOLR J3240 $9,410.05 TOBRAMYCIN SULFATE 80 MG/2ML INJ SOLN J3260 $25.41 TOBRAMYCIN SULFATE 80 MG/2ML INJ SOLN J3260 $34.28 BMH TOBRAMYCIN SULFATE 80 MG/2ML INJ SOLN J3260 $34.28 TOBRAMYCIN SULFATE 1.2 G INJ SOLR J3260 $4,366.27 BMH TOBRAMYCIN SULFATE 1.2 G INJ SOLR J3260 $4,366.27 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP J3301 $74.29 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP J3301 $76.28 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP J3301 $81.80 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP J3301 $349.76 TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSP J3301 $522.38 USTEKINUMAB 130 MG/26ML IV SOLN J3358 $9,324.89 DIAZEPAM 5 MG/ML INJ SOLN J3360 $19.95 DIAZEPAM 5 MG/ML INJ SOLN J3360 $19.95 DIAZEPAM 5 MG/ML INJ SOLN J3360 $32.29 DIAZEPAM 5 MG/ML INJ SOLN J3360 $32.29 DIAZEPAM 5 MG/ML INJ SOLN J3360 $49.56 DIAZEPAM 5 MG/ML INJ SOLN J3360 $55.44 DIAZEPAM 5 MG/ML INJ SOLN J3360 $55.44 DIAZEPAM 5 MG/ML INJ SOLN J3360 $64.58 DIAZEPAM 5 MG/ML INJ SOLN J3360 $64.58 DIAZEPAM 5 MG/ML INJ SOLN J3360 $99.07 DIAZEPAM 5 MG/ML INJ SOLN J3360 $110.88 DIAZEPAM 5 MG/ML INJ SOLN J3360 $110.88 DIAZEPAM 5 MG/ML INJ SOLN J3360 $198.14 DIAZEPAM 5 MG/ML INJ SOLN J3360 $221.71 DIAZEPAM 5 MG/ML INJ SOLN J3360 $221.71 VANCOMYCIN HCL 500 MG IV SOLR J3370 $30.35 VANCOMYCIN HCL 500 MG IV SOLR J3370 $31.61 VANCOMYCIN HCL 1 G IV SOLR J3370 $37.43 VANCOMYCIN HCL 500 MG IV SOLR J3370 $41.58 VANCOMYCIN HCL 1 G IV SOLR J3370 $56.44 VANCOMYCIN HCL 1 G IV SOLR J3370 $56.44 INTRAOP VANCOMYCIN IN 0.9% NACL IVPB J3370 $56.44 VANCOMYCIN HCL 1 G IV SOLR J3370 $58.91 VANCOMYCIN HCL 500 MG IV SOLR J3370 $65.99 VANCOMYCIN HCL 500 MG IV SOLR J3370 $76.18 VANCOMYCIN HCL 500 MG IV SOLR J3370 $76.18 VANCOMYCIN HCL 750 MG IV SOLR J3370 $83.00 VANCOMYCIN HCL 750 MG IV SOLR J3370 $84.68 VANCOMYCIN HCL 750 MG IV SOLR J3370 $85.10 VANCOMYCIN HCL 750 MG IV SOLR J3370 $85.10 VANCOMYCIN HCL 1 G IV SOLR J3370 $138.92 VANCOMYCIN HCL 1 G IV SOLR J3370 $140.12 VANCOMYCIN HCL 1 G IV SOLR J3370 $140.86 BMH VANCOMYCIN 1000 MG IV SOLR J3370 $140.86 BMH VANCOMYCIN 1000 MG IV SOLR J3370 $140.86 VANCOMYCIN HCL 5 G IV SOLR J3370 $172.88 VANCOMYCIN HCL 1.25 G IV SOLR J3370 $175.61 VANCOMYCIN HCL 1.5 G IV SOLR J3370 $194.09 VANCOMYCIN HCL 1.5 G IV SOLR J3370 $194.15 VANCOMYCIN HCL 1.5 G IV SOLR J3370 $194.15 VANCOMYCIN HCL 10 G IV SOLR J3370 $443.21 VANCOMYCIN HCL 5 G IV SOLR J3370 $593.62 VANCOMYCIN HCL 5 G IV SOLR J3370 $596.51 VEDOLIZUMAB 300 MG IV SOLR J3380 $38,575.79 HYDROXYZINE HCL 25 MG/ML IM SOLN J3410 $171.15 HYDROXYZINE HCL 50 MG/ML IM SOLN J3410 $188.74 HYDROXYZINE HCL 50 MG/ML IM SOLN J3410 $299.88 THIAMINE HCL 100 MG/ML INJ SOLN J3411 $65.21 THIAMINE HCL 100 MG/ML INJ SOLN J3411 $65.21 THIAMINE HCL 100 MG/ML INJ SOLN J3411 $86.94 THIAMINE HCL 100 MG/ML INJ SOLN J3411 $86.94 THIAMINE HCL 100 MG/ML INJ SOLN J3411 $86.94 PYRIDOXINE HCL 100 MG/ML INJ SOLN J3415 $144.74 CYANOCOBALAMIN 1000 MCG/ML INJ SOLN J3420 $65.15 CYANOCOBALAMIN 1000 MCG/ML INJ SOLN J3420 $65.15 CYANOCOBALAMIN 1000 MCG/ML INJ SOLN J3420 $68.67 CYANOCOBALAMIN 1000 MCG/ML INJ SOLN J3420 $68.67 HYDROXOCOBALAMIN 5 G IV SOLR J3420 $5,036.27 VITAMIN K1 1 MG/0.5ML INJ SOLN J3430 $199.08 VITAMIN K1 10 MG/ML INJ SOLN J3430 $356.95 VITAMIN K1 10 MG/ML INJ SOLN J3430 $356.95 VORICONAZOLE 200 MG IV SOLR J3465 $1,000.86 HYALURONIDASE HUMAN 150 UNIT/ML INJ SOLN J3473 $410.81 MAGNESIUM SULFATE 50 % INJ SOLN J3475 $19.95 MAGNESIUM SULFATE 50 % INJ SOLN J3475 $19.95 MAGNESIUM SULFATE 50 % INJ SOLN J3475 $19.95 MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN J3475 $32.03 MAGNESIUM SULFATE 20 GM/500ML IV SOLN J3475 $54.97 MAGNESIUM SULFATE 2 GM/50ML IV SOLN J3475 $64.00 MAGNESIUM SULFATE 2 GM/50ML IV SOLN J3475 $64.00 MAGNESIUM SULFATE 50 % INJ SOLN J3475 $74.13 MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN J3475 $89.72 MAGNESIUM SULFATE 2 GM/50ML IV SOLN J3475 $109.94 BMH MAGNESIUM SULFATE 40 MG/ML INJ SOLN 1000 ML J3475 $123.01 BMH MAGNESIUM SULFATE 40 MG/ML INJ SOLN 1000 ML J3475 $128.89 MAGNESIUM SULFATE 2 GM/50ML IV SOLN J3475 $140.12 MAGNESIUM SULFATE 2 GM/50ML IV SOLN J3475 $140.12 MAGNESIUM SULFATE 2 GM/50ML IV SOLN J3475 $166.06 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN J3480 $20.27 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN J3480 $42.74 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN J3480 $42.89 POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN J3480 $49.30 POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN J3480 $62.48 POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN J3480 $274.89 POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN J3480 $331.91 POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN J3480 $331.91 POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN J3480 $331.91 POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN J3480 $344.51 ZIPRASIDONE MESYLATE 20 MG IM SOLR J3486 $263.92 ZIPRASIDONE MESYLATE 20 MG IM SOLR J3486 $402.47 ZIPRASIDONE MESYLATE 20 MG IM SOLR J3486 $402.47 ZOLEDRONIC ACID 4 MG/5ML IV CONC J3489 $1,077.88 ZOLEDRONIC ACID 5 MG/100ML IV SOLN J3489 $1,135.63 ZOLEDRONIC ACID 4 MG/100ML IV SOLN J3489 $1,208.92 ZOLEDRONIC ACID 5 MG/100ML IV SOLN J3489 $3,512.46 FAMOTIDINE 10 MG/ML IV SOLN (WRAPPED) J3490 $19.95 FAMOTIDINE 10 MG/ML IV SOLN (WRAPPED) J3490 $19.95 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $19.95 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $19.95 INTRAOP BUPIVACAINE HCL-NACL 0.125-0.9 % EPID SOLN J3490 $19.95 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $20.63 DILTIAZEM HCL 25 MG/5ML IV SOLN J3490 $22.05 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $24.89 BUMETANIDE 0.25 MG/ML INJ SOLN J3490 $27.83 BUMETANIDE 0.25 MG/ML INJ SOLN J3490 $27.83 DILTIAZEM HCL 25 MG/5ML IV SOLN J3490 $29.61 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $29.82 DILTIAZEM HCL 25 MG/5ML IV SOLN J3490 $31.50 SODIUM ACETATE 2 MEQ/ML IV SOLN J3490 $32.03 SODIUM ACETATE 2 MEQ/ML IV SOLN J3490 $32.03 DILTIAZEM HCL 50 MG/10ML IV SOLN J3490 $32.18 DILTIAZEM HCL 25 MG/5ML IV SOLN J3490 $32.87 BUPIVACAINE HCL (PF) 0.75 % INJ SOLN J3490 $33.13 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $34.13 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $34.34 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $34.34 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $36.65 LIDOCAINE HCL (PF) 0.5 % INJ SOLN J3490 $39.22 LIDOCAINE HCL (PF) 0.5 % INJ SOLN J3490 $39.22 ENALAPRILAT 1.25 MG/ML IV INJ J3490 $45.57 VECURONIUM BROMIDE 10 MG IV SOLR J3490 $47.15 VECURONIUM BROMIDE 10 MG IV SOLR J3490 $49.04 ETOMIDATE 2 MG/ML IV SOLN J3490 $52.71 GLYCOPYRROLATE 0.4 MG/2ML INJ SOLN J3490 $52.76 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $53.71 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $53.71 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $53.71 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $53.71 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $53.71 BUPIVACAINE HCL (PF) 0.25 % INJ SOLN J3490 $53.71 ETOMIDATE 2 MG/ML IV SOLN J3490 $58.59 VECURONIUM BROMIDE 10 MG IV SOLR J3490 $59.38 ETOMIDATE 2 MG/ML IV SOLN J3490 $61.11 BUPIVACAINE HCL (PF) 0.75 % INJ SOLN J3490 $61.74 VALPROATE SODIUM 100 MG/ML IV SOLN J3490 $63.16 CALCIUM CHLORIDE 10 % IV SOLN J3490 $67.15 VECURONIUM BROMIDE 10 MG IV SOLR J3490 $68.51 CALCIUM CHLORIDE 10 % IV SOLN J3490 $70.67 ENALAPRILAT 1.25 MG/ML IV INJ J3490 $75.44 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $76.44 CALCIUM CHLORIDE 10 % IV SOLN J3490 $78.65 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $79.38 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $79.38 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $79.38 CALCIUM CHLORIDE 10 % IV SOLN J3490 $84.32 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $85.21 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $85.21 LIDOCAINE HCL (PF) 1 % INJ SOLN J3490 $89.57 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $94.66 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $94.66 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $117.97 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $122.75 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $173.99 CALCIUM CHLORIDE 10 % IV SOLN J3490 $176.61 NITROGLYCERIN IN D5W 100-5 MCG/ML-% IV SOLN J3490 $213.31 VERAPAMIL HCL 2.5 MG/ML IV SOLN J3490 $221.34 SODIUM BICARBONATE 8.4 % IV SOLN J3490 $242.24 VERAPAMIL HCL 2.5 MG/ML IV SOLN J3490 $257.62 VERAPAMIL HCL 2.5 MG/ML IV SOLN J3490 $257.67 RIFAMPIN 600 MG IV SOLR J3490 $1,069.22 VASOPRESSIN 20 UNIT/ML IV SOLN J3490 $1,183.04 REMDESIVIR 100 MG SOLN FOR INJECTION J3490 $2,594.81 REMDESIVIR 100 MG SOLN FOR INJECTION J3490 $3,113.78 REMDESIVIR 100 MG SOLN FOR INJECTION J3490 $3,113.78 REMDESIVIR 100 MG SOLN FOR INJECTION J3490 $3,113.78 BMH 0.9% NORMAL SALINE BOLUS J7030 $50.30 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $88.20 BMH 0.9% NORMAL SALINE BOLUS J7030 $88.20 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $126.00 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $126.00 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $126.00 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $126.00 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $126.00 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $126.00 BMH 0.9% NORMAL SALINE BOLUS J7030 $126.00 BMH 0.9% NORMAL SALINE BOLUS J7030 $126.00 BMH 0.9% NORMAL SALINE BOLUS J7030 $126.00 DEXTROSE-NACL 5-0.9 % IV SOLN J7030 $281.56 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $281.56 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $281.56 SODIUM CHLORIDE 0.9 % IV SOLN J7030 $281.56 BMH 0.9% NORMAL SALINE BOLUS J7030 $281.56 BMH 0.9% NORMAL SALINE BOLUS J7030 $281.56 BMH 0.9% NORMAL SALINE BOLUS J7030 $281.56 SODIUM CHLORIDE 0.9 % IV SOLN J7040 $233.52 BMH 0.9% NORMAL SALINE BOLUS J7040 $233.52 DEXTROSE-NACL 5-0.9 % IV SOLN J7042 $281.56 DEXTROSE-NACL 5-0.9 % IV SOLN J7042 $281.56 BMH 0.9% NORMAL SALINE BOLUS J7050 $49.09 SODIUM CHLORIDE 0.9 % IV SOLN J7050 $194.57 SODIUM CHLORIDE 0.9 % IV SOLN J7050 $194.57 BMH 0.9% NORMAL SALINE BOLUS J7050 $194.57 BMH 0.9% NORMAL SALINE BOLUS J7050 $194.57 SODIUM CHLORIDE 0.9 % IV SOLN J7050 $281.56 DEXTROSE 5 % IV SOLN J7060 $21.95 DEXTROSE 5 % IV SOLN J7060 $88.20 DEXTROSE 5 % IV SOLN J7060 $126.00 DEXTROSE 5 % IV SOLN J7060 $194.57 DEXTROSE 5 % IV SOLN J7060 $194.57 DEXTROSE 5 % IV SOLN J7060 $233.52 DEXTROSE 5 % IV SOLN J7060 $233.52 DEXTROSE 5 % IV SOLN J7070 $281.56 LACTATED RINGERS IV SOLN J7120 $281.56 LACTATED RINGERS IV SOLN J7120 $281.56 BMH LACTATED RINGERS BOLUS INFUSION J7120 $281.56 BMH LACTATED RINGERS BOLUS INFUSION J7120 $281.56 DEXTROSE 5 % IN LACTATED RINGERS IV SOLN J7121 $281.56 PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT J7168 $24.47 COAG FACT XA INACTIVATED-ZHZO 200 MG IV SOLR J7169 $29,157.29 HYLAN 48 MG/6ML IX SOSY J7325 $7,260.80 AZATHIOPRINE 50 MG PO TABS J7500 $6.83 AZATHIOPRINE 50 MG PO TABS J7500 $6.83 AZATHIOPRINE 50 MG PO TABS J7500 $8.09 AZATHIOPRINE 50 MG PO TABS J7500 $12.44 AZATHIOPRINE 50 MG PO TABS J7500 $16.17 AZATHIOPRINE 50 MG PO TABS J7500 $19.85 AZATHIOPRINE 50 MG PO TABS J7500 $19.85 AZATHIOPRINE 50 MG PO TABS J7500 $19.85 AZATHIOPRINE 50 MG PO TABS J7500 $24.83 AZATHIOPRINE 50 MG PO TABS J7500 $39.64 AZATHIOPRINE 50 MG PO TABS J7500 $49.61 AZATHIOPRINE 50 MG PO TABS J7500 $99.17 TACROLIMUS 0.5 MG PO CAPS J7507 $13.13 TACROLIMUS 1 MG PO CAPS J7507 $13.86 TACROLIMUS 1 MG PO CAPS J7507 $13.86 TACROLIMUS 0.5 MG PO CAPS J7507 $18.80 TACROLIMUS 0.5 MG PO CAPS J7507 $26.25 TACROLIMUS 1 MG PO CAPS J7507 $27.67 TACROLIMUS 0.5 MG PO CAPS J7507 $37.59 TACROLIMUS 1 MG PO CAPS J7507 $41.48 TACROLIMUS 0.5 MG PO CAPS J7507 $52.45 TACROLIMUS 1 MG PO CAPS J7507 $69.09 TACROLIMUS 0.5 MG PO CAPS J7507 $75.18 TACROLIMUS 0.5 MG PO CAPS J7507 $78.65 TACROLIMUS 0.5 MG PO CAPS J7507 $112.72 TACROLIMUS 0.5 MG PO CAPS J7507 $131.09 TACROLIMUS 0.5 MG PO CAPS J7507 $187.85 METHYLPREDNISOLONE 4 MG PO TABS J7509 $6.83 METHYLPREDNISOLONE 4 MG PO TABS J7509 $6.98 METHYLPREDNISOLONE 4 MG PO TABS J7509 $9.40 METHYLPREDNISOLONE 4 MG PO TABS J7509 $12.86 METHYLPREDNISOLONE 4 MG PO TABS J7509 $13.91 METHYLPREDNISOLONE 4 MG PO TABS J7509 $18.80 METHYLPREDNISOLONE 4 MG PO TABS J7509 $25.73 METHYLPREDNISOLONE 4 MG PO TABS J7509 $27.83 METHYLPREDNISOLONE 4 MG PO TABS J7509 $37.54 METHYLPREDNISOLONE 4 MG PO TABS J7509 $51.45 METHYLPREDNISOLONE 4 MG PO TABS J7509 $55.60 METHYLPREDNISOLONE 4 MG PO TABS J7509 $75.02 METHYLPREDNISOLONE 4 MG PO TABS J7509 $77.18 METHYLPREDNISOLONE 4 MG PO TABS J7509 $83.42 METHYLPREDNISOLONE 4 MG PO TABS J7509 $102.85 METHYLPREDNISOLONE 4 MG PO TABS J7509 $111.20 METHYLPREDNISOLONE 4 MG PO TABS J7509 $112.51 METHYLPREDNISOLONE 4 MG PO TABS J7509 $150.05 PREDNISOLONE 15 MG/5ML PO SYRP J7510 $14.81 PREDNISOLONE 15 MG/5ML PO SOLN J7510 $14.81 PREDNISOLONE 15 MG/5ML PO SYRP J7510 $20.32 PREDNISOLONE 15 MG/5ML PO SOLN J7510 $20.32 PREDNISOLONE SODIUM PHOSPHATE 6.7 (5 BASE) MG/5ML PO SOLN J7510 $25.10 PREDNISOLONE 15 MG/5ML PO SYRP J7510 $29.61 PREDNISOLONE SODIUM PHOSPHATE 6.7 (5 BASE) MG/5ML PO SOLN J7510 $32.08 PREDNISOLONE 15 MG/5ML PO SYRP J7510 $40.64 PREDNISONE 1 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 10 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $6.83 PREDNISONE 5 MG PO TABS J7512 $6.83 PREDNISONE 5 MG PO TABS J7512 $6.83 PREDNISONE 5 MG PO TABS J7512 $6.83 PREDNISONE 5 MG PO TABS J7512 $6.83 PREDNISONE 5 MG PO TABS J7512 $6.83 PREDNISONE 5 MG PO TABS J7512 $6.83 PREDNISONE 5 MG PO TABS J7512 $6.83 PREDNISONE 5 MG PO TABS J7512 $6.83 PREDNISONE 20 MG PO TABS J7512 $7.67 PREDNISONE 20 MG PO TABS J7512 $8.03 PREDNISONE 20 MG PO TABS J7512 $8.03 PREDNISONE 1 MG PO TABS J7512 $8.14 PREDNISONE 5 MG PO TABS J7512 $9.08 PREDNISONE 20 MG PO TABS J7512 $9.19 PREDNISONE 5 MG PO TABS J7512 $11.29 PREDNISONE 20 MG PO TABS J7512 $12.65 PREDNISONE 10 MG PO TABS J7512 $13.02 PREDNISONE 1 MG PO TABS J7512 $13.60 PREDNISONE 1 MG PO TABS J7512 $13.65 PREDNISONE 1 MG PO TABS J7512 $13.65 PREDNISONE 1 MG PO TABS J7512 $13.65 PREDNISONE 10 MG PO TABS J7512 $14.33 PREDNISONE 1 MG PO TABS J7512 $17.06 PREDNISONE 5 MG PO TABS J7512 $22.73 PREDNISONE 1 MG PO TABS J7512 $27.14 PREDNISONE 5 MG PO TABS J7512 $28.14 PREDNISONE 20 MG PO TABS J7512 $31.66 PREDNISONE 1 MG PO TABS J7512 $34.13 PREDNISONE 20 MG PO TABS J7512 $37.96 PREDNISONE 1 MG PO TABS J7512 $54.23 PREDNISONE 1 MG PO TABS J7512 $85.31 PREDNISONE 1 MG PO TABS J7512 $135.56 CYCLOSPORINE MODIFIED 25 MG PO CAPS J7515 $12.39 CYCLOSPORINE MODIFIED 25 MG PO CAPS J7515 $24.78 CYCLOSPORINE MODIFIED 25 MG PO CAPS J7515 $49.51 MYCOPHENOLATE MOFETIL 250 MG PO CAPS J7517 $30.82 ACETYLCYSTEINE 10 % INH SOLN J7608 $78.28 ACETYLCYSTEINE 10 % INH SOLN J7608 $78.28 ACETYLCYSTEINE 10 % INH SOLN J7608 $106.16 ACETYLCYSTEINE 20 % INH SOLN J7608 $108.94 ACETYLCYSTEINE 20 % INH SOLN J7608 $108.94 ACETYLCYSTEINE 20 % INH SOLN J7608 $153.51 ALBUTEROL SULFATE (5 MG/ML) 0.5% INH NEBU J7611 $13.65 ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% INH NEBU J7613 $13.65 LEVALBUTEROL HCL 0.63 MG/3ML INH NEBU J7614 $19.16 LEVALBUTEROL HCL 0.63 MG/3ML INH NEBU J7614 $56.44 LEVALBUTEROL HCL 0.63 MG/3ML INH NEBU J7614 $56.49 BUDESONIDE 0.25 MG/2ML INH SUSP J7626 $73.87 BUDESONIDE 0.25 MG/2ML INH SUSP J7626 $73.87 BUDESONIDE 0.25 MG/2ML INH SUSP J7626 $73.92 BUDESONIDE 0.25 MG/2ML INH SUSP J7626 $74.50 BUDESONIDE 0.5 MG/2ML INH SUSP J7626 $86.99 BUDESONIDE 0.5 MG/2ML INH SUSP J7626 $86.99 BUDESONIDE 0.5 MG/2ML INH SUSP J7626 $86.99 DORNASE ALFA 2.5 MG/2.5ML INH SOLN J7639 $688.17 IPRATROPIUM BROMIDE 0.02 % INH SOLN J7644 $13.65 IPRATROPIUM BROMIDE 0.02 % INH SOLN J7644 $13.65 DEXAMETHASONE 0.5 MG/5ML PO ELIX J8540 $14.44 DEXAMETHASONE 0.5 MG/5ML PO ELIX J8540 $682.97 ONDANSETRON 4 MG PO TBDP J8597 $141.80 METHOTREXATE 2.5 MG PO TABS J8610 $27.98 METHOTREXATE 2.5 MG PO TABS J8610 $27.98 METHOTREXATE 2.5 MG PO TABS J8610 $27.98 BCG LIVE 50 MG IS SUSR J9030 $1,048.43 GOSERELIN ACETATE 3.6 MG SC IMPL J9202 $3,622.76 GOSERELIN ACETATE 10.8 MG SC IMPL J9202 $9,621.94 INTERFERON ALFA-2B 18000000 UNITS INJ SOLR J9214 $2,586.78 INTERFERON ALFA-2B 50000000 UNITS INJ SOLR J9214 $6,362.21 METHOTREXATE SODIUM 50 MG/2ML INJ SOLN J9250 $67.83 METHOTREXATE SODIUM (PF) 250 MG/10ML INJ SOLN J9250 $78.91 MITOMYCIN 5 MG IV SOLR J9280 $412.28 RITUXIMAB 10 MG/ML IV CONC (S-ORDERABLE) J9312 $24,903.43 FULVESTRANT 250 MG/5ML IM SOLN J9395 $1,084.65 FULVESTRANT 250 MG/5ML IM SOLN J9395 $5,139.80 FULVESTRANT 250 MG/5ML IM SOLN J9395 $5,139.80 ALBUMIN HUMAN 25 % IV SOLN (BMH ONLY) P9047 $1,192.59 PROCHLORPERAZINE MALEATE 10 MG PO TABS Q0164 $6.83 PROCHLORPERAZINE MALEATE 5 MG PO TABS Q0164 $6.83 PROCHLORPERAZINE MALEATE 10 MG PO TABS Q0164 $7.51 PROCHLORPERAZINE MALEATE 10 MG PO TABS Q0164 $7.51 PROCHLORPERAZINE MALEATE 10 MG PO TABS Q0164 $8.56 PROCHLORPERAZINE MALEATE 5 MG PO TABS Q0164 $12.44 PROCHLORPERAZINE MALEATE 10 MG PO TABS Q0164 $14.96 PROCHLORPERAZINE MALEATE 10 MG PO TABS Q0164 $14.96 DRONABINOL 2.5 MG PO CAPS Q0167 $38.59 DRONABINOL 2.5 MG PO CAPS Q0167 $42.89 DRONABINOL 2.5 MG PO CAPS Q0167 $42.89 DRONABINOL 2.5 MG PO CAPS Q0167 $77.18 DRONABINOL 2.5 MG PO CAPS Q0167 $85.79 DRONABINOL 2.5 MG PO CAPS Q0167 $85.79 DRONABINOL 2.5 MG PO CAPS Q0167 $154.35 DRONABINOL 2.5 MG PO CAPS Q0167 $171.57 DRONABINOL 2.5 MG PO CAPS Q0167 $171.57 PROMETHAZINE HCL 6.25 MG/5ML PO SYRP Q0169 $6.83 PROMETHAZINE HCL 6.25 MG/5ML PO SYRP Q0169 $6.83 PROMETHAZINE HCL 6.25 MG/5ML PO SYRP Q0169 $6.83 PROMETHAZINE HCL 6.25 MG/5ML PO SYRP Q0169 $10.40 PROMETHAZINE HCL 6.25 MG/5ML PO SYRP Q0169 $11.92 PROMETHAZINE HCL 6.25 MG/5ML PO SYRP Q0169 $20.79 BAMLANIVIMAB 700 MG/20ML IV SOLN Q0245 $19.95 ETESEVIMAB 700 MG/20ML IV SOLN Q0245 $19.95 TOCILIZUMAB 80 MG/4ML IV SOLN Q0249 $2,761.45 TOCILIZUMAB 400 MG/20ML IV SOLN Q0249 $12,223.84 EPOETIN ALFA 10000 UNIT/ML INJ SOLN Q4081 $1,106.70 EPOETIN ALFA 20000 UNIT/ML INJ SOLN Q4081 $3,200.61 EPOETIN ALFA 40000 UNIT/ML INJ SOLN Q4081 $5,667.17 EPOETIN ALFA 40000 UNIT/ML INJ SOLN Q4081 $5,667.17 PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY Q5111 $22,133.06 INFLIXIMAB-AXXQ 100 MG IV SOLR Q5121 $2,994.02 IOPAMIDOL 76 % IV SOLN Q9962 $541.07 IOPAMIDOL 76 % IV SOLN Q9962 $652.47 IOPAMIDOL 61 % IV SOLN Q9963 $331.91 IOPAMIDOL 61 % IV SOLN Q9963 $587.95 IOHEXOL 180 MG/ML INJ SOLN Q9965 $343.61 IOHEXOL 240 MG/ML INJ SOLN Q9966 $373.54 IOHEXOL 240 MG/ML INJ SOLN Q9966 $394.85 IOHEXOL 300 MG/ML INJ SOLN Q9967 $604.64 METHYLENE BLUE 1 % INJ SOLN Q9968 $146.58 METHYLENE BLUE 1 % INJ SOLN Q9968 $1,004.80 METHYLENE BLUE 50 MG/10ML IV SOLN Q9968 $1,424.96