Medication Charges Part 5

Our Commitment to Quality

Helping ensure our patients receive the highest level of care, delivered with dignity and compassion, is our goal with every patient and family member, every time. Our Board challenges us to remain in the Top 10 percent of hospitals in the country in quality scores, and they meet monthly with physicians and clinical staff to analyze the data and develop a plan to better serve our patients. It is this goal-driven mindset that has earned us recognition in key areas for our quality strides. Learn more about our quality awards and recognition.

NOTE: When reviewing the pricing for Lab or Pathology tests, if the section below a test is blank, the test is repeated again and these are additional charges (for example - Glucose four-hour tolerance test will have the test repeated one hour, two hours and then three hours after the initial blood work is collected for a total of four hours. Each test is charged separately). If your lab work is a panel, then several tests may be performed from one blood sample. You may be charged for each test separately

Generic Medication Name NDC Dose Amt Dose Unit Charge Amount
ORPHENADRINE CITRATE 30 MG/ML INJ SOLUTION 17478-538-02 2 mL $127.97
OSELTAMIVIR  6 MG/ML ORAL RECON. SUSP. 0004-0822-05 60 mL $176.88
OSELTAMIVIR 30 MG ORAL CAP 47781-468-13 1 each $15.82
OSELTAMIVIR 75 MG ORAL CAP 47781-470-13 1 each $16.47
OXACILLIN  1 GRAM INJ VIAL 55150-127-15 1 each $130.13
OXALIPLATIN 100 MG/20 ML IV SOLUTION 0781-3317-80 20 mL $400.38
OXALIPLATIN 50 MG/10 ML (5 MG/ML) IV SOLUTION 25021-233-10 10 mL $392.26
OXAZEPAM 10 MG ORAL CAP 62584-812-01 1 each $13.34
OXAZEPAM 15 MG ORAL CAP 62584-813-01 1 each $12.49
OXCARBAZEPINE 150 MG ORAL TAB 0054-0097-20 1 each $9.19
OXCARBAZEPINE 300 MG ORAL TAB 0054-0098-20 1 each $9.31
OXIDIZED REGENERATED CELLULOSE POWDER  UHCS-0004-84 1 each $415.38
OXYBUTYNIN CHLORIDE  5 MG ORAL 24HR. TAB 0904-6570-06 1 each $10.26
OXYBUTYNIN CHLORIDE  5 MG ORAL TAB 68084-400-01 1 each $9.42
OXYBUTYNIN CHLORIDE 10 MG ORAL 24HR. TAB 68084-610-21 1 each $11.49
OXYCHLOROSENE SODIUM TOP VIAL 0327-0001-10 2 g $44.26
OXYCODONE   5 MG ORAL TAB 0406-0552-62 1 each $12.23
OXYCODONE  10 MG ORAL TR12 59011-410-20 1 each $13.87
OXYCODONE  20 MG ORAL TR12 59011-420-20 1 each $16.35
OXYCODONE  40 MG ORAL TR12 59011-440-20 1 each $20.15
OXYCODONE 5 MG/5 ML ORAL SOLUTION UHCS-0004-15 5 mL $12.86
OXYCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB 0406-0523-62 1 each $13.02
OXYCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB 0406-0512-62 1 each $12.21
OXYCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB 0406-0522-62 1 each $12.85
OXYMETAZOLINE 0.05 % NASL SPRAY 45802-410-59 30 mL $11.95
OXYTOCIN 10 UNIT/ML INJ SOLUTION 63323-012-01 1 mL $125.60
OXYTOCIN IN 0.9 % SOD CHLORIDE 20 UNIT/1000 ML IV SOLUTION UHCS-0004-31 1000 mL $106.52
PACLITAXEL 6 MG/ML IV CONCENTRATE 61703-342-09 5 mL $376.49
PACLITAXEL 6 MG/ML IV CONCENTRATE 61703-342-22 16.7 mL $382.99
PACLITAXEL 6 MG/ML IV CONCENTRATE 61703-342-50 50 mL $403.85
PACLITAXEL-PROTEIN BOUND 100 MG IV RECON. SUSP. 68817-134-50 1 each $2,161.04
PALIVIZUMAB 50 MG/0.5 ML IM SOLUTION 60574-4114-1 0.5 mL $2,431.92
PAMIDRONATE 30 MG/10 ML (3 MG/ML) IV SOLUTION 67457-430-10 10 mL $133.55
PANITUMUMAB 100 MG/5 ML (20 MG/ML) IV SOLUTION 55513-954-01 5 mL $1,927.36
PANITUMUMAB 400 MG/20 ML (20 MG/ML) IV SOLUTION 55513-956-01 20 mL $7,709.45
PANTOPRAZOLE 40 MG IV VIAL 55150-202-10 1 each $127.57
PANTOPRAZOLE 40 MG ORAL EC TABLET 68084-813-09 1 each $9.16
PAPAIN 8.3 X 10'5 UNITS/UREA 10% TOPICAL UHCS-0002-96 30 g $57.00
PAPAVERINE 30 MG/ML INJ SOLUTION 0517-4002-25 2 mL $140.34
PARAB-CETYL,STEA ALC-P.GLY-SLS TOP CLEANSER 0299-3921-16 473 mL $48.99
PARENTERAL AMINO ACID 10% NO.1 10 % IV BAG 0409-7121-07 2000 mL $115.00
PARENTERAL AMINO ACID 10% NO.2 10 % IV BAG 0409-4191-05 1000 mL $119.00
PARENTERAL AMINO ACID 10% NO.4 10 % IV BAG 0264-9010-55 1000 mL $117.00
PARENTERAL AMINO ACID 15% NO.2 15 % IV BAG 0409-7171-17 2000 mL $129.00
PARENTERAL AMINO ACID 15% NO.5 15 % IV BAG 0338-0502-06 2000 mL $163.00
PARENTERAL AMINO ACID 15% NO.5 15 % IV BAG 0264-3200-55 1000 mL $114.00
PARICALCITOL 2 MCG/ML HDPT SOLUTION 0409-1007-01 1 mL $127.77
PARICALCITOL 5 MCG/ML HDPT SOLUTION 0409-1008-01 1 mL $131.93
PAROXETINE HCL 12.5 MG ORAL TB24 0378-2003-93 1 each $13.14
PAROXETINE HCL 20 MG ORAL TAB 63739-963-10 1 each $9.20
PAROXETINE HCL 25 MG ORAL TB24 0378-2004-93 1 each $13.32
PATIROMER CALCIUM SORBITEX  8.4 GRAM ORAL POWDER PACK 53436-084-30 1 each $34.38
PEDIATRIC MULTIVIT NO.80-IRON 750 UNIT-400 UNIT-10 MG/ML ORAL DROPS 0087-0405-01 50 mL $16.60
PEDIATRIC MULTIVITAMIN NO.81 750-35-400 UNIT-MG-UNIT/ML ORAL DROPS 0087-0402-03 50 mL $42.60
PEDIATRIC MULTIVITAMIN ORAL CHEW TAB 0904-2621-60 1 each $9.02
PEG 3350-ELECTROLYTES 236-22.74-6.74 GRAM ORAL 52268-100-01 4000 mL $17.00
PEG 400-HYPROMELLOSE-GLYCERIN 1-0.2-0.2 % OPHT DROPS 74300-010-67 15 mL $49.59
PEGFILGRASTIM 6 MG/0.6 ML SUBQ SYIN 55513-192-01 0.6 mL $8,440.25
PEGFILGRASTIM 6 MG/0.6ML SUBQ SYRINGE 55513-190-01 0.6 mL $8,440.25
PEMBROLIZUMAB 25 MG/ML IV SOLUTION 0006-3026-02 4 mL $8,136.87
PEMETREXED 500 MG IV VIAL 0002-7623-01 1 each $5,490.38
PENICILLIN G BENZATHIN,PROCAIN 1,200,000 UNIT/ 2 ML(900K/300K) IM SYRINGE 60793-602-10 2 mL $241.32
PENICILLIN G BENZATHINE 1200000 UNIT/2 ML IM SYRINGE 60793-701-10 2 mL $270.93
PENICILLIN G BENZATHINE 600000 UNIT/ML IM SYRINGE 60793-700-10 1 mL $209.25
PENICILLIN G POTASSIUM 10,000 UNITS/ML UHCS-0004-56 10 mL $1,255.80
PENICILLIN G POTASSIUM 10,000 UNITS/ML UHCS-0004-63 0.2 mL $125.58
PENICILLIN G POTASSIUM 5 MILLION UNIT INJ VIAL 0049-0520-83 1 each $130.81
PENICILLIN G POTASSIUM IM 100,000 UNITS/ML (NICU) UHCS-0000-94 1 each $154.06
PENICILLIN G POTASSIUM IM 500,000 UNITS/ML (NICU) UHCS-0000-96 1 each $130.81
PENICILLIN G POTASSIUM IV 100,000 UNITS/ML (NICU) UHCS-0000-93 1 each $154.06
PENICILLIN G POTASSIUM IV 500,000 UNITS/ML (NICU) UHCS-0000-95 1 each $130.81
PENICILLIN V POTASSIUM 250 MG ORAL TAB 16714-234-01 1 each $9.11
PENICILLIN V POTASSIUM 250 MG/5 ML ORAL VIAL 0093-4127-73 100 mL $41.60
PENTAMIDINE 300 MG INHL VIAL 63323-877-15 1 each $154.83
PENTOBARBITAL SODIUM 50 MG/ML INJ SOLUTION 76478-501-20 20 mL $1,335.18
PENTOBARBITAL SODIUM 50 MG/ML INJ SOLUTION 76478-501-50 50 mL $2,433.03
PENTOXIFYLLINE 400 MG ORAL TBER 0904-5448-61 1 each $9.20
PEPPERMINT SPIRIT ORAL SPIRIT 0395-2243-91 30 mL $45.94
PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML IV SUSPENSION 11994-011-04 2 mL $237.50
PERFLUTREN PROTEIN-A MICROSPHR 0.22 MG/ML IV SUSPENSION 0407-2707-03 3 mL $231.00
PERIT. DIALYSIS 3-4.25 % DEXTR CA 3.5 MEQ/L- MG 0.5 MEQ/L IP SOLUTION 0941-0429-52 2000 mL $131.99
PERIT. DIALYSIS 3-4.25 % DEXTR CA 3.5 MEQ/L- MG 0.5 MEQ/L IP SOLUTION 0941-0429-53 2500 mL $133.12
PERITONEAL DIALYSIS W/ 1.5 % DEXTROSE 0941-0426-52 2000 mL $128.76
PERITONEAL DIALYSIS W/ 1.5 % DEXTROSE 0941-0426-53 2500 mL $131.68
PERITONEAL DIALYSIS W/ 1.5 % DEXTROSE AND LOW CA++ (CYLER) 0941-0409-07 5000 mL $131.44
PERITONEAL DIALYSIS W/ 2.5 % DEXTROSE 0941-0427-52 2000 mL $131.74
PERITONEAL DIALYSIS W/ 2.5 % DEXTROSE 0941-0427-53 2500 mL $132.48
PERITONEAL DIALYSIS W/ 2.5 % DEXTROSE AND LOW CA++ (CYLER) 0941-0457-05 5000 mL $132.06
PERITONEAL DIALYSIS W/ 4.5 % DEXTROSE AND LOW CA++ (CYLER) 0941-0459-05 5000 mL $132.86
PERITONEAL DIALYSIS W/1.5% DEXTROSE AND LOW CA++ 0941-0424-52 2000 mL $128.83
PERITONEAL DIALYSIS W/1.5% DEXTROSE AND LOW CA++ 0941-0424-53 2500 mL $131.68
PERITONEAL DIALYSIS W/2.5% DEXTROSE AND LOW CA++ 0941-0430-52 2000 mL $131.82
PERITONEAL DIALYSIS W/2.5% DEXTROSE AND LOW CA++ 0941-0430-53 2500 mL $132.48
PERITONEAL DIALYSIS W/4.25% DEXTROSE AND LOW CA++ 0941-0433-52 2000 mL $132.09
PERITONEAL DIALYSIS W/4.25% DEXTROSE AND LOW CA++ 0941-0433-53 2500 mL $133.12
PERMETHRIN 1 % TOP LIQUID 63736-12003 59 mL $46.25
PERMETHRIN 5 % TOP CREAM 0472-0242-60 60 g $86.74
PERPHENAZINE  2 MG ORAL TAB 0904-6599-61 1 each $10.39
PERTUZUMAB 420 MG/14 ML (30 MG/ML) IV SOLUTION 50242-145-01 14 mL $8,516.49
PH TEST 15 FEET MISC TEST 0003-0526-20 1 each $70.75
PHENAZOPYRIDINE 100 MG ORAL TAB 10135-620-01 1 each $9.59
PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2-0.1037 -0.0194 MG/5 ML ORAL ELIXIR UHCS-0001-47 60 mL $200.88
PHENOBARBITAL  32.4 MG ORAL TAB 63739-201-10 1 each $11.55
PHENOBARBITAL  64.8 MG ORAL TAB 0603-5167-21 1 each $12.63
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR UHCS-0001-75 60 mL $56.18
PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR UHCS-0003-18 5 mL $12.52
PHENOBARBITAL IV 10 MG/ML (NICU) UHCS-0000-13 13 mL $679.70
PHENOBARBITAL PO 4 MG/ML (NICU) UHCS-0001-76 60 mL $21.80
PHENOBARBITAL SODIUM  65 MG/ML INJ SOLUTION 0641-0476-25 1 mL $142.97
PHENOBARBITAL SODIUM 130 MG/ML INJ SOLUTION 0641-0477-25 1 mL $171.62
PHENOL  1.4 % MM AERO. SPRAY 49348-991-36 177 mL $11.77
PHENTOLAMINE 5 MG INJ VIAL 0143-9564-01 1 each $612.41
PHENYLEPH-MIN OIL-PETROLATUM 0.25-14-74.9 % RECT OINTMENT 0573-2871-20 57 g $48.95
PHENYLEPHRINE (NEOSYNEPHRINE) DROPS 0.125% (NICU) UHCS-0004-07 30 mL $49.83
PHENYLEPHRINE HCL  0.25 % NASL SPRAY 69536-025-15 15 mL $57.94
PHENYLEPHRINE HCL  0.25 % RECT SUPPOSITORY 0904-7688-22 1 each $18.09
PHENYLEPHRINE HCL  0.5 % NASL SPRAY 69536-050-15 15 mL $57.94
PHENYLEPHRINE HCL  2.5 % OPHT DROPS 17478-201-02 2 mL $46.33
PHENYLEPHRINE HCL 10 % OPHT DROPS 42702-103-05 5 mL $55.10
PHENYLEPHRINE HCL 10 MG/ML INJ SOLUTION 76014-004-25 1 mL $128.34
PHENYLEPHRINE HCL IN 0.9% NACL 1 MG/10 ML (100 MCG/ML) IV SYRINGE 69374-957-10 10 mL $130.00
PHENYLEPHRINE-DM-GUAIFENESIN 5-10-100 MG/5 ML ORAL LIQUID 49348-737-34 118 mL $37.77
PHENYTOIN (DILANTIN) PO 125 MG/5ML (NICU) UHCS-0000-56 60 mL $42.42
PHENYTOIN 100 MG/4 ML ORAL SUSPENSION 66689-036-50 4 mL $14.94
PHENYTOIN 125 MG/5 ML ORAL SUSPENSION UHCS-0001-48 60 mL $41.64
PHENYTOIN 125 MG/5 ML ORAL SUSPENSION 59762-0531-1 237 mL $58.28
PHENYTOIN 5% TOPICAL OINTMENT UHCS-0004-47 100 g $67.00
PHENYTOIN 50 MG ORAL CHEW TAB 51079-129-06 1 each $9.58
PHENYTOIN SODIUM EXTENDED 100 MG ORAL CAP 51079-905-20 1 each $9.53
PHYSOSTIGMINE SALICYLATE 1 MG/ML INJ SOLUTION 17478-510-02 2 mL $161.31
PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJ SOLUTION 0409-9157-01 0.5 mL $128.36
PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJ SYRINGE 76329-1240-1 0.5 mL $145.87
PHYTONADIONE (VITAMIN K1) 10 MG/ML INJ SOLUTION 0409-9158-01 1 mL $166.97
PHYTONADIONE (VITAMIN K1) 5 MG ORAL TAB 69238-1051-1 1 each $43.56
PILOCARPINE HCL  1 % OPHT DROPS 0998-0203-15 15 mL $130.88
PILOCARPINE HCL  2 % OPHT DROPS 0998-0204-15 15 mL $132.83
PILOCARPINE HCL  4 % OPHT DROPS 0998-0206-15 15 mL $137.03
PINDOLOL  5 MG ORAL TAB 57664-655-88 1 each $9.72
PIOGLITAZONE 15 MG ORAL TAB 51079-513-20 1 each $10.02
PIOGLITAZONE 30 MG ORAL TAB 51079-514-20 1 each $11.88
PIOGLITAZONE 45 MG ORAL TAB 33342-056-07 1 each $9.17
PIPERACILLIN-TAZOBACTAM  2.25 GRAM IV VIAL 63323-309-20 1 each $133.58
PIPERACILLIN-TAZOBACTAM  3.375 GRAM IV ADD-VANTAGE VIAL 0409-3378-13 1 each $131.80
PIPERACILLIN-TAZOBACTAM  3.375 GRAM IV VIAL 0781-3113-95 1 each $128.45
PIPERACILLIN-TAZOBACTAM  4.5 GRAM IV VIAL 63323-320-50 1 each $141.29
PIPERACILLIN/TAZOBACTAM (ZOSYN) IV 100MG/ML (NICU) UHCS-0000-11 1 each $128.06
PNEUMOC 13-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRINGE 0005-1971-02 0.5 mL $292.24
PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRINGE 0006-4837-03 0.5 mL $210.03
PNV WITH CA NO.72-IRON-FA 27-1 MG ORAL TAB 39328-106-10 1 each $9.12
POLIDOCANOL 0.5 % (10 MG/2 ML) IV SOLUTION 46783-121-52 2 mL $143.70
POLIDOCANOL 1 % (20 MG/2 ML) IV SOLUTION 46783-221-52 2 mL $147.60
POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACK 0904-6422-13 1 each $9.83
POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER 49348-143-70 238 g $15.00
POLYMYXIN B SULF-TRIMETHOPRIM 10,000 UNIT- 1 MG/ML OPHT DROPS 61314-628-10 10 mL $48.59
POLYMYXIN B SULFATE 500000 UNIT INJ VIAL 39822-0170-2 1 each $129.80
POLYSACCHARIDE IRON COMPLEX 150 MG IRON ORAL CAP 0904-5395-61 1 each $9.09
POLYVINYL ALCOHOL 1.4 % OPHT DROPS 0904-6492-35 15 mL $46.43
PORACTANT ALFA 120 MG INTR SUSPENSION 10122-510-01 1.5 mL $407.04
PORACTANT ALFA 240 MG INTR SUSPENSION 10122-510-03 3 mL $739.88
POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION 0085-1328-01 105 mL $1,307.87
POST BICARB DIALY SOLN W-O K NO.11 CA (2.5 MEQ/L) -MG (1.5 MEQ/L) HEMO SOLUTION 24571-108-05 5000 mL $129.40
POST BICARBONATE DIALYSIS SOLN NO.2 K (2 MEQ/L) -CA (3.5)* 24571-103-05 5000 mL $129.40
POST BICARBONATE DIALYSIS SOLN NO.9 K (4 MEQ/L)-CA (2.5)-* 24571-105-05 5000 mL $129.40
POTASSIUM ACETATE 2 MEQ/ML IV SOLUTION 0409-3294-51 50 mL $133.65
POTASSIUM ACETATE 2 MEQ/ML IV SOLUTION 0409-8183-01 20 mL $127.80
POTASSIUM BICARB AND CHLORIDE 25 MEQ ORAL TBEF 0603-3508-16 1 each $10.06
POTASSIUM BICARB-CITRIC ACID 25 MEQ ORAL TBEF 0904-2720-46 1 each $9.19
POTASSIUM CHLORID-D5-0.45%NACL 10 MEQ/L IV BAG 0338-0669-04 1000 mL $107.72
POTASSIUM CHLORID-D5-0.45%NACL 20 MEQ/L IV BAG 0338-0671-04 1000 mL $105.78
POTASSIUM CHLORID-D5-0.45%NACL 30 MEQ/L IV BAG 0338-0673-04 1000 mL $107.68
POTASSIUM CHLORID-D5-0.45%NACL 40 MEQ/L IV BAG 0338-0675-04 1000 mL $107.73
POTASSIUM CHLORIDE  8 MEQ ORAL TBER 66758-110-13 1 each $9.34
POTASSIUM CHLORIDE 10 MEQ ORAL CPER 0904-6068-61 1 each $9.69
POTASSIUM CHLORIDE 2 MEQ/ML IV VIAL 0264-1940-20 250 mL $142.25
POTASSIUM CHLORIDE 2 MEQ/ML IV VIAL 63323-965-20 20 mL $126.06
POTASSIUM CHLORIDE 2 MEQ/ML IV VIAL 0409-6651-06 10 mL $127.62
POTASSIUM CHLORIDE 20 MEQ ORAL PACKET 0245-0360-01 1 each $14.46
POTASSIUM CHLORIDE 20 MEQ ORAL TBTQ 66758-190-13 1 each $9.33
POTASSIUM CHLORIDE IN 0.9%NACL 20 MEQ/L IV BAG 0338-0691-04 1000 mL $107.73
POTASSIUM CHLORIDE IN 5 % DEX 20 MEQ/L IV BAG 0338-0683-04 1000 mL $107.84
POTASSIUM CHLORIDE IN WATER 10 MEQ/50 ML IV IVPB 0338-0705-41 50 mL $105.50
POTASSIUM CHLORIDE IN WATER 20 MEQ/100 ML IV IVPB 0409-7075-26 100 mL $107.40
POTASSIUM CHLORIDE IN WATER 20 MEQ/50 ML IV IVPB 0338-0703-41 50 mL $105.45
POTASSIUM CHLORIDE IN WATER 40 MEQ/100 ML IV IVPB 0338-0703-48 100 mL $105.50
POTASSIUM CHLORIDE IV 0.2 MEQ/ML (NICU) UHCS-0002-67 100 mL $146.40
POTASSIUM CHLORIDE PO 2 MEQ/ML (NICU) UHCS-0001-06 40 mL $135.48
POTASSIUM CHLORIDE-0.45 % NACL 20 MEQ/L IV BAG 0338-0704-34 1000 mL $106.38
POTASSIUM CHLORIDE-D5-0.2%NACL 20 MEQ/L IV BAG 0338-0663-04 1000 mL $107.64
POTASSIUM CHLORIDE-D5-0.9%NACL 20 MEQ/L IV BAG 0338-0803-04 1000 mL $107.73
POTASSIUM CITRATE 5 MEQ (540 MG) ORAL TBER 0245-0070-11 1 each $9.63
POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION 71740-112-30 30 mL $336.51
POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLUTION 63323-086-05 5 mL $133.03
POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML IV SOLUTION 0409-7295-01 15 mL $137.65
POTASSIUM PHOSPHATE MONOBASIC 500 MG ORAL TABS 0486-1111-01 1 each $9.45
POTASSIUM, SODIUM PHOSPHATES 280-160-250 MG ORAL POWDER PACK 60258-00601 1 each $9.37
POVIDONE-IODINE  0.3 % VAGL SOLUTION 0132-8743-02 274 mL $42.19
POVIDONE-IODINE  5 % OPHT SOLUTION 0065-0411-30 30 mL $26.58
POVIDONE-IODINE 10 % TOP OINTMENT 0904-1102-31 28.35 g $41.22
POVIDONE-IODINE 10 % TOP OINTMENT 52380-0026-1 1 g $40.12
POVIDONE-IODINE 10 % TOP SOLUTION 0603-1550-56 240 mL $41.68
POVIDONE-IODINE 10 % TOP SOLUTION 0904-1103-09 240 mL $41.68
POVIDONE-IODINE 10 % TOP SOLUTION 67618-150-05 15 mL $41.07
POVIDONE-IODINE 10 % TOP SOLUTION 67618-150-09 237 mL $42.37
PRALIDOXIME 1 GRAM INJ VIAL 60977-141-01 1 each $205.42
PRAMIPEXOLE 0.25 MG ORAL TAB 68084-440-01 1 each $9.19
PRAMIPEXOLE 1 MG ORAL TAB 68462-333-90 1 each $9.03
PRAMOXINE-CALAMINE 1-8 % TOP LOTION 49348-337-36 177 mL $42.30
PRASUGREL  5 MG ORAL TAB 60505-4642-3 1 each $9.50
PRASUGREL 10 MG ORAL TAB 60505-4643-3 1 each $9.76
PRAVASTATIN 20 MG ORAL TAB 0904-5892-61 1 each $9.39
PRAVASTATIN 40 MG ORAL TAB 0904-5893-61 1 each $9.57
PRAZOSIN 1 MG ORAL CAP 51079-630-20 1 each $10.39
PRE BICARB DIALY SOLN W-O K NO.11 CA (2.5 MEQ/L) -MG (1.5 MEQ/L) HEMO SOLUTION 24571-108-06 5000 mL $129.85
PRE BICARBONATE DIALYSIS SOLN NO.2 K (2 MEQ/L) -CA (3.5)-MG(1) HEMO SOLUTION 24571-103-06 5000 mL $129.85
PRE BICARBONATE DIALYSIS SOLN NO.9 K (4 MEQ/L)-CA (2.5)-MG (1.5) HEMO SOLUTION 24571-105-06 5000 mL $129.85
PREDNISOLONE (ORAPRED) PO 15MG/5ML (NICU) UHCS-0002-75 5 mL $16.26
PREDNISOLONE ACETATE 1 % OPHT DROPS. 61314-637-05 5 mL $74.48
PREDNISOLONE SODIUM PHOSPHATE 1 % OPHT DROPS 24208-715-10 10 mL $84.84
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION UHCS-0003-43 5 mL $9.29
PREDNISONE  1 MG ORAL TAB 0054-8739-25 1 each $9.15
PREDNISONE  5 MG ORAL TAB 63739-518-10 1 each $9.16
PREDNISONE 10 MG ORAL TAB 63739-519-10 1 each $9.15
PREDNISONE 20 MG ORAL TAB 0054-0018-20 1 each $9.14
PREDNISONE 5 MG/5 ML ORAL SOLUTION 0054-3722-50 120 mL $94.32
PREDNISONE 50 MG ORAL TAB 0054-0019-20 1 each $9.26
PREGABALIN  25 MG ORAL CAP 0071-1012-68 1 each $18.89
PREGABALIN  50 MG ORAL CAP 0071-1013-41 1 each $19.58
PREGABALIN  75 MG ORAL CAP 0071-1014-41 1 each $19.58
PREGABALIN 100 MG ORAL CAP 0071-1015-41 1 each $19.58
PRIMAQUINE 26.3 MG ORAL TAB 60429-035-28 1 each $10.71
PRIMIDONE  50 MG ORAL TAB 68084-202-01 1 each $9.44
PRIMIDONE 250 MG ORAL TAB 68084-203-01 1 each $9.55
PRISMASATE 0/3.5 DIALYSIS SOLUTION UHCS-0001-15 5000 mL $128.81
PRISMASATE 2/0 DIALYSIS SOLUTION UHCS-0001-16 5000 mL $128.81
PRISMASATE 4/2.5 DIALYSIS SOLUTION UHCS-0001-17 5000 mL $128.81
PROBENECID 500 MG ORAL TAB 0591-5347-01 1 each $9.54
PROBENECID-COLCHICINE 500-0.5 MG ORAL TAB 64980-149-01 1 each $9.59
PROCAINAMIDE 500 MG/ML INJ SOLUTION 0409-1903-01 2 mL $187.37
PROCEDURAL TRAY (MYELOGRAM TRAY) UHCS-0001-90 1 each $55.74
PROCHLORPERAZINE 25 MG RECT SUPPOSITORY 0713-0135-12 1 each $27.10
PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJ SOLUTION 23155-294-42 2 mL $133.73
PROCHLORPERAZINE MALEATE  5 MG ORAL TAB 51079-541-20 1 each $9.36
PROCHLORPERAZINE MALEATE 10 MG ORAL TAB 51079-542-20 1 each $9.72
PROGESTERONE 50 MG/ML IM OIL 0517-0750-01 10 mL $154.02
PROGESTERONE MICRONIZED 100 MG ORAL CAP 69543-374-10 1 each $9.57
PROMETHAZINE  6.25 MG/5 ML ORAL SYRUP 60432-608-16 473 mL $45.93
PROMETHAZINE  6.25 MG/5 ML ORAL SYRUP UHCS-0001-50 60 mL $37.26
PROMETHAZINE 12.5 MG RECT SUPPOSITORY 0591-2985-39 1 each $24.84
PROMETHAZINE 25 MG ORAL TAB 0904-6461-61 1 each $9.09
PROMETHAZINE 25 MG RECT SUPPOSITORY 0591-2992-39 1 each $24.26
PROMETHAZINE 25 MG/ML INJ FOR ANESTHESIA 0641-0955-25 1 mL $125.71
PROMETHAZINE 25 MG/ML INJ SOLUTION 0641-0928-25 1 mL $125.71
PROMETHAZINE-CODEINE 6.25-10 MG/5 ML ORAL SYRUP 0603-1585-54 118 mL $15.42
PROPAFENONE 150 MG ORAL TAB 68084-361-01 1 each $9.43
PROPARACAINE 0.5 % OPHT DROPS 61314-016-01 15 mL $67.71
PROPOFOL 10 MG/ML 20 ML IV EMULSION 63323-269-29 20 mL $127.12
PROPOFOL 10 MG/ML IV EMULSION 0409-4699-24 100 mL $132.40
PROPRANOLOL  1 MG/ML IV SOLUTION 0143-9872-10 1 mL $126.82
PROPRANOLOL  10 MG ORAL TAB 0904-6550-61 1 each $9.19
PROPRANOLOL  20 MG ORAL TAB 0115-1660-01 1 each $9.32
PROPRANOLOL  40 MG ORAL TAB 0378-0184-01 1 each $9.47
PROPRANOLOL  60 MG ORAL CS24 0228-2778-11 1 each $9.96
PROPRANOLOL  80 MG ORAL CS24 0228-2779-11 1 each $10.36
PROPRANOLOL SUSPENSION (INDERAL) PO 1 MG/ML (NICU) UHCS-0004-68 30 mL $19.00
PROPYLTHIOURACIL 50 MG ORAL TAB 0228-2348-10 1 each $9.70
PROTAMINE 10 MG/ML IV SOLUTION 63323-229-05 5 mL $132.89
PROTRIPTYLINE  5 MG ORAL TAB 0054-0210-25 1 each $10.30
PSEUDOEPHEDRINE HCL  30 MG ORAL TAB 0904-6338-60 1 each $9.02
PSEUDOEPHEDRINE HCL 15 MG/5 ML ORAL LIQUID 50580-536-04 118 mL $40.37
PSEUDOEPHEDRINE-GUAIFENESIN 60-600 MG ORAL TB12 63824-057-36 1 each $9.38
PSYLLIUM HUSK (ASPARTAME) 3.4 GRAM ORAL POWDER PACK 37000-024-04 1 each $9.34
PSYLLIUM SEED (SUGAR) ORAL POWDER 0536-4445-54 369 g $14.06
PYRAZINAMIDE 500 MG ORAL TAB 61748-012-11 1 each $13.82
PYRIDOSTIGMINE BROMIDE  60 MG ORAL TAB 68084-494-01 1 each $10.15
PYRIDOXINE (VITAMIN B6)  50 MG ORAL TAB 0904-0520-60 1 each $9.01
PYRIDOXINE (VITAMIN B6) 100 MG/ML INJ SOLUTION 63323-180-01 1 mL $130.44
PYRIMETHAMINE 25 MG ORAL TAB 52054-330-10 1 each $21.63
QUETIAPINE  25 MG ORAL TAB 0904-6638-61 1 each $9.23
QUETIAPINE 100 MG ORAL TAB 63739-665-10 1 each $9.39
QUINAPRIL 10 MG ORAL TAB 68180-557-09 1 each $9.16
QUINAPRIL 20 MG ORAL TAB 69097-842-05 1 each $9.16
QUINIDINE GLUCONATE 324 MG ORAL TBER 53489-141-01 1 each $13.98
QUININE SULFATE 324 MG ORAL CAP 50742-238-30 1 each $10.55
RABEPRAZOLE 20 MG ORAL EC TABLET 62856-243-30 1 each $25.22
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML IM SOLUTION 13533-318-01 1 mL $1,103.15
RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML IM SOLUTION 13533-318-05 5 mL $5,426.73
RABIES VACCINE, PCEC (PF) 2.5 UNIT IM RECON. SUSP. 58160-964-12 1 each $467.46
RACEPINEPHRINE 2.25 % INHL NEBULIZER 0487-5901-99 1 each $10.39
RALOXIFENE 60 MG ORAL TAB 43598-505-01 1 each $11.12
RALTEGRAVIR 400 MG ORAL TAB 0006-0227-61 1 each $32.19
RAMELTEON 8 MG ORAL TAB 64764-805-30 1 each $22.56
RAMIPRIL  1.25 MG ORAL CAP 68382-144-06 1 each $9.17
RAMIPRIL  2.5 MG ORAL CAP 60687-332-01 1 each $9.14
RAMIPRIL  5 MG ORAL CAP 60687-343-01 1 each $9.15
RAMIPRIL 10 MG ORAL CAP 60687-354-01 1 each $9.42
RAMUCIRUMAB 10 MG/ML IV SOLUTION 50 ML 0002-7678-01 50 mL $9,709.88
RAMUCIRUMAB 100 MG IV SOLUTION 0002-7669-01 10 mL $1,941.98
RANITIDINE (ZANTAC) IV 1MG/ML (NICU) UHCS-0000-10 25 mL $154.70
RANITIDINE HCL 15 MG/ML ORAL SYRUP UHCS-0001-51 60 mL $36.96
RANITIDINE HCL 15 MG/ML ORAL SYRUP 54838-550-80 473 mL $43.57
RANITIDINE HCL 150 MG ORAL TAB 60687-322-01 1 each $9.15
RANITIDINE HCL 50 MG/2 ML (25 MG/ML) INJ SOLUTION 52565-101-10 2 mL $132.88
RANITIDINE IN 0.45 % SODIUM CL 50 MG/50 ML IV IVPB 0173-0441-00 50 mL $129.35
RANITIDINE PO 2.5MG/ML SYRINGE (NICU) UHCS-0000-09 60 mL $25.30
RANOLAZINE  500 MG ORAL TB12 61958-1003-1 1 each $14.52
RASAGILINE 0.5 MG ORAL TAB 68546-142-56 1 each $31.12
RASBURICASE 1.5 MG IV VIAL 0024-5150-10 1 mL $1,343.63
RASBURICASE 7.5 MG IV VIAL 0024-5151-75 1 each $6,718.29
REGADENOSON 0.4 MG/5 ML IV SYRINGE 0469-6501-89 5 mL $366.75

See Part 6 of this list.