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 |
