Medication Charges
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 |
|---|---|---|---|---|
| A-C-E-ZINC-SOD SELENATE-COPPER 5,000-60-30 UNIT-MG-UNIT ORAL TAB | 0904-7735-18 | 1 | each | $9.02 |
| ABACAVIR 300 MG ORAL TAB | 60505-3583-6 | 1 | each | $11.32 |
| ABATACEPT (WITH MALTOSE) 250 MG IV VIAL | 0003-2187-10 | 1 | each | $1,698.20 |
| ACARBOSE 50 MG ORAL TAB | 0054-0141-20 | 1 | each | $9.45 |
| ACEBUTOLOL 200 MG ORAL CAP | 50268-050-15 | 1 | each | $9.58 |
| ACETAMINOPHEN 120 MG RECT SUPPOSITORY | 0713-0118-12 | 1 | each | $18.48 |
| ACETAMINOPHEN 160 MG ORAL SOLUTION | 0121-0657-00 | 5 | mL | $10.33 |
| ACETAMINOPHEN 325 MG ORAL SOLUTION | 0121-1314-00 | 10.15 | mL | $10.49 |
| ACETAMINOPHEN 325 MG ORAL TAB | 50580-600-02 | 1 | each | $1.51 |
| ACETAMINOPHEN 500 MG ORAL TAB | 50580-412-02 | 1 | each | $1.52 |
| ACETAMINOPHEN 650 MG ORAL SOLUTION | 0121-1971-00 | 20.3 | mL | $10.67 |
| ACETAMINOPHEN 650 MG RECT SUPPOSITORY | 0713-0165-50 | 1 | each | $18.52 |
| ACETAMINOPHEN 1000 MG/100 ML (10 MG/ML) IV SOLUTION | 43825-102-01 | 100 | mL | $151.10 |
| ACETAMINOPHEN 160 MG/5 ML ORAL ELIXIR | 0904-1985-00 | 118 | mL | $10.94 |
| ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION | 49348-430-30 | 59 | mL | $12.89 |
| ACETAMINOPHEN-CODEINE 120-12 MG/5 ML ORAL SOLUTION | UHCS-0002-73 | 5 | mL | $12.08 |
| ACETAMINOPHEN-CODEINE 300-30 MG ORAL TAB | 68084-372-01 | 1 | each | $11.19 |
| ACETAZOLAMIDE 250 MG ORAL TAB | 0527-1050-01 | 1 | each | $11.14 |
| ACETAZOLAMIDE 500 MG ORAL CPER | 68084-401-21 | 1 | each | $12.35 |
| ACETAZOLAMIDE SODIUM 500 MG INJ VIAL | 39822-0190-1 | 1 | each | $139.28 |
| ACETIC ACID 0.25 % IRRIGATION SOLUTION | 0338-0656-04 | 1000 | mL | $58.16 |
| ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) IO KIT | 24208-539-20 | 1 | each | $75.66 |
| ACETYLCYSTEINE 100 MG/ML (10 %) MISC SOLUTION | 0517-7504-25 | 4 | mL | $59.10 |
| ACETYLCYSTEINE 200 MG/ML (20 %) IV SOLUTION | 0574-0805-30 | 30 | mL | $189.92 |
| ACETYLCYSTEINE 200 MG/ML (20 %) MISC SOLUTION | 0409-3308-03 | 30 | mL | $63.88 |
| ACETYLCYSTEINE 600 MG ORAL CAP | 54629-4097-60 | 1 | each | $9.06 |
| ACTIVATED CHARCOAL 25 GRAM ORAL RECON. SUSP. | 0574-0122-25 | 1 | each | $22.10 |
| ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION | 66689-201-08 | 240 | mL | $55.92 |
| ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSPENSION | 66689-203-08 | 240 | mL | $58.80 |
| ACYCLOVIR (ZOVIRAX) IV 5 MG/ML IN D-10-W (NICU) | UHCS-0002-11 | 100 | mL | $299.30 |
| ACYCLOVIR (ZOVIRAX) IV 5 MG/ML IN D-5-W (NICU) | UHCS-0002-10 | 100 | mL | $299.30 |
| ACYCLOVIR 200 MG ORAL CAP | 0904-5789-61 | 1 | each | $9.11 |
| ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION | UHCS-0001-14 | 60 | mL | $66.90 |
| ACYCLOVIR 5 % TOP OINTMENT | 51672-1360-1 | 15 | g | $95.65 |
| ACYCLOVIR 800 MG ORAL TAB | 68084-109-01 | 1 | each | $9.48 |
| ACYCLOVIR SODIUM 50 MG/ML IV SOLUTION | 55150-154-10 | 10 | mL | $127.85 |
| ADALIMUMAB 40 MG/0.8 ML SUBQ PEN KIT | 0074-4339-71 | 1 | each | $0.00 |
| ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLUTION | 0409-1932-02 | 30 | mL | $174.44 |
| ADENOSINE 3 MG/ML IV SOLUTION | 63323-651-02 | 2 | mL | $135.16 |
| ADO-TRASTUZUMAB EMTANSINE 100 MG IV VIAL | 50242-088-01 | 1 | each | $5,151.56 |
| ADO-TRASTUZUMAB EMTANSINE 160 MG IV VIAL | 50242-087-01 | 1 | each | $8,242.50 |
| ALBENDAZOLE 200 MG ORAL TAB | 52054-550-22 | 1 | each | $213.80 |
| ALBUMIN 25 % IV SYRINGE (NICU) | UHCS-0000-91 | 50 | mL | $160.30 |
| ALBUMIN HUMAN 25 % IV | 44206-251-05 | 50 | mL | $160.30 |
| ALBUMIN HUMAN 25 % IV | 44206-251-10 | 100 | mL | $195.60 |
| ALBUMIN HUMAN 25% IV (PERFUSION) | 44206-251-10 | 100 | mL | $195.60 |
| ALBUMIN HUMAN 5 % IV | 44206-310-25 | 250 | mL | $160.25 |
| ALBUMIN HUMAN 5 % IV | 44206-310-50 | 500 | mL | $195.56 |
| ALBUMIN HUMAN 5 % IV (PERFUSION) | 44206-310-25 | 250 | mL | $160.25 |
| ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP | UHCS-0000-24 | 5 | mL | $9.05 |
| ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP | UHCS-0002-55 | 60 | mL | $9.54 |
| ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) INHL NEBULIZER | 0487-9501-01 | 3 | mL | $8.15 |
| ALBUTEROL SULFATE 5 MG/ML INHL NEBULIZER | 50383-741-20 | 20 | mL | $78.74 |
| ALBUTEROL SULFATE 90 MCG/ACTUATION INHL HFA INHALER | 0173-0682-24 | 8 | g | $73.87 |
| ALCOHOL ISOPROPYL 50% | UHCS-0002-63 | 1 | each | $48.30 |
| ALDESLEUKIN 22 MILLION UNIT IV VIAL | 65483-116-07 | 1 | each | $6,336.54 |
| ALENDRONATE 70 MG ORAL TAB | 69543-131-20 | 1 | each | $9.43 |
| ALFUZOSIN 10 MG ORAL TB24 | 47335-956-88 | 1 | each | $9.13 |
| ALISKIREN 150 MG ORAL TAB | 70839-150-30 | 1 | each | $14.56 |
| ALISKIREN 300 MG ORAL TAB | 70839-300-30 | 1 | each | $16.02 |
| ALLOPURINOL 100 MG ORAL TAB | 63739-410-10 | 1 | each | $9.23 |
| ALLOPURINOL 300 MG ORAL TAB | 63739-796-10 | 1 | each | $9.47 |
| ALPHA-1 PROTEINASE INHIB.(HUM) 1000 MG IV SOLUTION | 0944-2884-01 | 1000 | mg | $0.00 |
| ALPHA-1 PROTEINASE INHIB.(HUM) 1000 MG IV VIAL | 13533-700-01 | 1 | each | $128.40 |
| ALPRAZOLAM 0.25 MG ORAL TAB | 63739-644-10 | 1 | each | $11.04 |
| ALPRAZOLAM 0.5 MG ORAL TAB | 0904-5859-61 | 1 | each | $11.05 |
| ALPROSTADIL 500 MCG/ML INJ SOLUTION | 0009-3169-06 | 1 | mL | $230.51 |
| ALTEPLASE 2 MG CATH VIAL | 50242-041-64 | 1 | each | $266.96 |
| ALTEPLASE 50 MG IV VIAL | 50242-044-13 | 1 | each | $7,142.05 |
| ALTEPLASE 100 MG IV VIAL | 50242-085-27 | 1 | each | $14,284.08 |
| ALTEPLASE FOR INHALATION | UHCS-0004-40 | 2 | mL | $496.86 |
| ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML ORAL SUSPENSION | 0121-1761-30 | 30 | mL | $10.89 |
| ALUMINUM HYDROX-MAGNESIUM CARB 95-358 MG/15 ML ORAL SUSPENSION | 0904-7727-14 | 355 | mL | $13.20 |
| ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION | 0536-0091-85 | 355 | mL | $12.84 |
| ALVIMOPAN 12 MG ORAL CAP | 67919-020-10 | 1 | each | $166.37 |
| AMANTADINE HCL 100 MG ORAL CAP | 0904-6630-61 | 1 | each | $10.57 |
| AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION | UHCS-0001-32 | 60 | mL | $36.90 |
| AMIFOSTINE CRYSTALLINE 500 MG IV VIAL | 66220-017-03 | 1 | each | $552.07 |
| AMIKACIN (AMIKIN) IV 5 MG/ML (NICU) | UHCS-0000-90 | 25 | mL | $189.05 |
| AMIKACIN 500 MG/2 ML INJ SOLUTION | 63323-815-02 | 2 | mL | $135.80 |
| AMIKACIN JET NEBS | UHCS-0001-97 | 2 | mL | $130.12 |
| AMILORIDE 5 MG ORAL TAB | 0574-0292-01 | 1 | each | $9.20 |
| AMILORIDE-HYDROCHLOROTHIAZIDE 5-50 MG ORAL TAB | 0555-0483-02 | 1 | each | $9.27 |
| AMINO ACID INFUSION 10 % IV BAG | 0264-9341-55 | 500 | mL | $107.50 |
| AMINO ACID INFUSION 5.2 % IV BAG | 0409-4166-03 | 500 | mL | $111.50 |
| AMINO ACID INFUSION 8 % IV BAG | 0264-9371-55 | 500 | mL | $141.50 |
| AMINOCAPROIC ACID 250 MG/ML IV SOLUTION | 0409-4346-73 | 20 | mL | $130.70 |
| AMINOPHYLLINE 250 MG/10 ML IV SOLUTION | 0409-5921-01 | 10 | mL | $134.90 |
| AMINOPHYLLINE IV 5 MG/ML (NICU) | UHCS-0000-89 | 25 | mL | $149.75 |
| AMIODARONE 200 MG ORAL TAB | 68084-371-01 | 1 | each | $9.34 |
| AMIODARONE 50 MG/ML IV SOLUTION | 67457-153-18 | 18 | mL | $131.32 |
| AMIODARONE 50 MG/ML IV SOLUTION | 0143-9875-25 | 3 | mL | $125.66 |
| AMIODARONE IN DEXTROSE,ISO-OSM 150 MG/100 ML (1.5 MG/ML) IV SOLUTION | 43066-150-10 | 100 | mL | $104.60 |
| AMIODARONE IN DEXTROSE,ISO-OSM 360 MG/200 ML (1.8 MG/ML) IV SOLUTION | 43066-360-20 | 200 | mL | $140.80 |
| AMITRIPTYLINE 10 MG ORAL TAB | 51079-131-20 | 1 | each | $9.10 |
| AMITRIPTYLINE 25 MG ORAL TAB | 51079-107-20 | 1 | each | $9.23 |
| AMITRIPTYLINE 50 MG ORAL TAB | 51079-133-20 | 1 | each | $9.40 |
| AMITRIPTYLINE-CHLORDIAZEPOXIDE 12.5-5 MG ORAL TAB | 0378-0211-01 | 1 | each | $11.90 |
| AMLODIPINE 5 MG ORAL TAB | 0904-6370-61 | 1 | each | $9.07 |
| AMLODIPINE (NORVASC) PO 1 MG/ML (NICU) | UHCS-0004-46 | 20 | mL | $25.00 |
| AMLODIPINE 10 MG ORAL TAB | 0904-6371-61 | 1 | each | $9.10 |
| AMLODIPINE-BENAZEPRIL 2.5-10 MG ORAL CAP | 68180-755-01 | 1 | each | $9.48 |
| AMLODIPINE-BENAZEPRIL 5-10 MG ORAL CAP | 55111-339-01 | 1 | each | $9.14 |
| AMLODIPINE-BENAZEPRIL 5-20 MG ORAL CAP | 55111-340-01 | 1 | each | $9.15 |
| AMMONIUM LACTATE 12 % TOP LOTION | 0904-5984-26 | 225 | g | $43.60 |
| AMOXICILLIN 125 MG/5 ML ORAL RECON. SUSP. | 0781-6039-55 | 150 | mL | $39.45 |
| AMOXICILLIN 250 MG ORAL CAP | 65862-016-01 | 1 | each | $9.05 |
| AMOXICILLIN 250 MG/5 ML ORAL RECON. SUSP. | 0093-4155-80 | 150 | mL | $40.80 |
| AMOXICILLIN 400 MG/5 ML ORAL RECON. SUSP. | 0143-9887-01 | 100 | mL | $39.40 |
| AMOXICILLIN 400 MG/5 ML ORAL RECON. SUSP. | 0781-6157-46 | 100 | mL | $42.00 |
| AMOXICILLIN 500 MG ORAL CAP | 16714-299-03 | 1 | each | $9.08 |
| AMOXICILLIN 875 MG ORAL TAB | 65862-015-01 | 1 | each | $9.33 |
| AMOXICILLIN-POT CLAVULANATE 125-31.25 MG/5 ML ORAL RECON. SUSP. | 43598-012-51 | 75 | mL | $423.23 |
| AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5 ML ORAL RECON. SUSP. | 16714-292-01 | 50 | mL | $40.95 |
| AMOXICILLIN-POT CLAVULANATE 250-125 MG ORAL TAB | 16714-476-01 | 1 | each | $12.60 |
| AMOXICILLIN-POT CLAVULANATE 250-62.5 MG/5 ML ORAL RECON. SUSP. | 60432-065-75 | 75 | mL | $84.00 |
| AMOXICILLIN-POT CLAVULANATE 400-57 MG/5 ML ORAL RECON. SUSP. | 16714-293-01 | 50 | mL | $41.10 |
| AMOXICILLIN-POT CLAVULANATE 500-125 MG ORAL TAB | 16714-494-01 | 1 | each | $9.44 |
| AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5 ML ORAL RECON. SUSP. | 0781-6139-57 | 75 | mL | $56.85 |
| AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5 ML ORAL RECON. SUSP. | 16714-294-01 | 75 | mL | $43.43 |
| AMOXICILLIN-POT CLAVULANATE 875-125 MG ORAL TAB | 16714-478-02 | 1 | each | $9.80 |
| AMPHOTERICIN B 50 MG INJ VIAL | 39822-1055-5 | 1 | each | $160.25 |
| AMPHOTERICIN B LIPOSOME 1 MG/ML IN D15W (NICU) SYRINGE | UHCS-0003-56 | 20 | mL | $179.32 |
| AMPHOTERICIN B LIPOSOME 1 MG/ML IN D5W (NICU) SYRINGE | UHCS-0003-57 | 20 | mL | $179.32 |
| AMPHOTERICIN B LIPOSOME 1MG/ML IN D10W (NICU) SYRINGE | UHCS-0003-55 | 20 | mL | $179.32 |
| AMPHOTERICIN B LIPOSOME 2 MG/ML IN D10W (NICU) SYRINGE | UHCS-0003-58 | 10 | mL | $179.31 |
| AMPHOTERICIN B LIPOSOME 2 MG/ML IN D15W (NICU) SYRINGE | UHCS-0003-59 | 10 | mL | $179.31 |
| AMPHOTERICIN B LIPOSOME 2 MG/ML IN D5W (NICU) SYRINGE | UHCS-0003-60 | 10 | mL | $179.31 |
| AMPHOTERICIN B LIPOSOME 50 MG IV RECON. SUSP. | 0469-3051-30 | 1 | each | $201.65 |
| AMPICILLIN 500 MG ORAL CAP | 0781-2145-01 | 1 | each | $9.31 |
| AMPICILLIN SODIUM 1 GRAM INJ VIAL | 55150-113-10 | 1 | each | $126.56 |
| AMPICILLIN SODIUM 2 GRAM INJ VIAL | 55150-114-20 | 1 | each | $127.40 |
| AMPICILLIN SODIUM 125 MG INJ VIAL | 0781-3400-95 | 1 | each | $128.26 |
| AMPICILLIN SODIUM 250 MG INJ VIAL | 0781-3402-95 | 1 | each | $125.58 |
| AMPICILLIN SODIUM 500 MG INJ VIAL | 0781-3407-95 | 1 | each | $125.72 |
| AMPICILLIN-SULBACTAM 1.5 GRAM INJ VIAL | 55150-116-20 | 1 | each | $126.26 |
| AMPICILLIN-SULBACTAM 3 GRAM INJ VIAL | 55150-117-20 | 1 | each | $127.24 |
| AMPICILLIN-SULBACTAM (UNASYN) PEDIATRIC SYRINGE | UHCS-0002-89 | 1 | each | $128.09 |
| AMYL NITRITE 0.3 ML INHL SOLUTION | 39822-9950-2 | 1 | each | $81.10 |
| ANAGRELIDE 0.5 MG ORAL CAP | 0172-5241-60 | 1 | each | $9.77 |
| ANAKINRA 100 MG/0.67 ML SUBQ SYRINGE | 66658-234-07 | 0.67 | mL | $264.80 |
| ANASTROZOLE 1 MG ORAL TAB | 68084-448-21 | 1 | each | $9.35 |
| ANTICOAGULANT (ACD) 5 ML SYRINGE | UHCS-0001-13 | 5 | mL | $125.18 |
| ANTIHEMOPHILIC FACTOR-VWF 1,000-2,400 UNIT IV VIAL | 63833-617-02 | 1 | each | $125.81 |
| ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT IV VIAL | 13533-603-20 | 500 | units | $2,765.00 |
| APIXABAN 2.5 MG ORAL TAB | 0003-0893-31 | 1 | each | $10.39 |
| APIXABAN 5 MG ORAL TAB | 0003-0894-31 | 1 | each | $10.39 |
| APRACLONIDINE 1 % OPHT DROPPERETTE | 0065-0660-10 | 1 | each | $43.59 |
| APREPITANT 80 MG ORAL CAP | 0006-0461-06 | 1 | each | $193.70 |
| ARFORMOTEROL 15 MCG/2 ML INHL NEBULIZER | 63402-911-30 | 2 | mL | $12.16 |
| ARGATROBAN IN NACL (ISO-OS) 50 MG/50 ML (1 MG/ML) IV SOLUTION | 0781-3314-95 | 50 | mL | $247.70 |
| ARIPIPRAZOLE 5 MG ORAL TAB | 43598-555-30 | 1 | each | $10.38 |
| ARIPIPRAZOLE 10 MG ORAL TAB | 43598-556-30 | 1 | each | $10.38 |
| ARIPIPRAZOLE 15 MG ORAL TAB | 43598-557-30 | 1 | each | $10.38 |
| ASCORBIC ACID (VITAMIN C) 500 MG ORAL TAB | 0904-0523-61 | 1 | each | $9.03 |
| ASCORBIC ACID (VITAMIN C) 500 MG/ML INJ SOLUTION | 67457-118-50 | 50 | mL | $206.40 |
| ASENAPINE 5 MG SL SL TABLET | 0456-2405-63 | 1 | each | $27.55 |
| ASPARAGINASE 10000 UNIT INJ VIAL | 67386-411-51 | 1 | each | $428.09 |
| ASPIRIN 81 MG ORAL CHEW TAB | 63739-434-01 | 1 | each | $1.53 |
| ASPIRIN 81 MG ORAL EC TABLET | 63739-522-10 | 1 | each | $1.53 |
| ASPIRIN 300 MG RECT SUPPOSITORY | 0574-7034-12 | 1 | each | $19.08 |
| ASPIRIN 325 MG ORAL EC TABLET | 63739-523-01 | 1 | each | $1.52 |
| ASPIRIN 325 MG ORAL TAB | 0280-2000-20 | 1 | each | $1.54 |
| ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG ORAL TAB | 0067-2000-24 | 1 | each | $9.13 |
| ASPIRIN-DIPYRIDAMOLE 25-200 MG ORAL CM12 | 65162-596-06 | 1 | each | $13.63 |
| ATAZANAVIR 300 MG ORAL CAP | 0003-3622-12 | 1 | each | $53.81 |
| ATENOLOL 25 MG ORAL TAB | 51079-759-20 | 1 | each | $9.16 |
| ATENOLOL 50 MG ORAL TAB | 51079-684-20 | 1 | each | $9.05 |
| ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) IV SOLUTION | 50242-917-01 | 20 | mL | $15,310.75 |
| ATORVASTATIN 10 MG ORAL TAB | 0904-6290-61 | 1 | each | $9.20 |
| ATORVASTATIN 20 MG ORAL TAB | 0904-6291-61 | 1 | each | $9.19 |
| ATORVASTATIN 40 MG ORAL TAB | 0904-6292-61 | 1 | each | $9.26 |
| ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION | 0173-0547-00 | 5 | mL | $39.75 |
| ATROPINE 0.1 MG/ML INJ SYRINGE | 76329-3339-1 | 10 | mL | $132.98 |
| ATROPINE 0.4 MG/ML INJ SOLUTION | 0517-0401-25 | 1 | mL | $128.72 |
| ATROPINE 1 % OPHT DROPS | 17478-215-02 | 2 | mL | $70.08 |
| ATROPINE 1 % OPHT OINTMENT | 24208-825-55 | 3.5 | g | $58.19 |
| ATROPINE 1 MG/ML INJ SOLUTION | 0517-1010-25 | 1 | mL | $130.52 |
| AUTO-MIX BAG 1000 ML | UHCS-0001-20 | 1 | each | $36.03 |
| AUTO-MIX BAG 2000 ML | UHCS-0001-21 | 1 | each | $36.64 |
| AUTO-MIX BAG 250 ML | 17191-007-37 | 1 | each | $5.91 |
| AUTO-MIX BAG 250 ML | UHCS-0001-18 | 1 | each | $35.31 |
| AUTO-MIX BAG 3000 ML | UHCS-0001-22 | 1 | each | $38.04 |
| AUTO-MIX BAG 4000 ML | UHCS-0003-33 | 1 | each | $37.83 |
| AUTO-MIX BAG 500 ML | UHCS-0001-19 | 1 | each | $34.09 |
| AUTO-MIX BAG 5000 ML | UHCS-0001-23 | 1 | each | $40.15 |
| AVELUMAB 20 MG/ML IV SOLUTION | 44087-3535-1 | 10 | mL | $2,632.00 |
| AZACITIDINE 100 MG INJ VIAL | 43598-678-11 | 1 | each | $462.75 |
| AZACITIDINE 100 MG INJ VIAL SUBCUTANEOUS | 0781-3253-94 | 1 | each | $462.30 |
| AZATHIOPRINE 50 MG ORAL TAB | 68084-229-01 | 1 | each | $9.42 |
| AZATHIOPRINE (IMURAN) 50 MG/ML PO SUSPENSION | UHCS-0004-69 | 30 | mL | $33.20 |
| AZELASTINE 137 MCG (0.1 %) NASL AERO. SPRAY | 60505-0833-5 | 30 | mL | $65.77 |
| AZITHROMYCIN (ZITHROMYCIN) IV 2 MG/ML (PEDS) | UHCS-0003-15 | 1 | each | $127.48 |
| AZITHROMYCIN 200 MG/5 ML ORAL RECON. SUSP. | 59762-3130-1 | 22.5 | mL | $43.34 |
| AZITHROMYCIN 250 MG ORAL TAB | 60687-282-01 | 1 | each | $10.61 |
| AZITHROMYCIN 500 MG IV VIAL | 55150-174-10 | 1 | each | $127.37 |
| AZITHROMYCIN 600 MG ORAL TAB | 50111-789-10 | 1 | each | $11.24 |
| AZTREONAM (AZACTAM) IV 100 MG/ML (NICU) | UHCS-0000-88 | 1 | each | $151.90 |
| AZTREONAM 1 GRAM INJ VIAL | 63323-401-20 | 1 | each | $150.07 |
| AZTREONAM 2 GRAM INJ VIAL | 63323-402-20 | 1 | each | $175.15 |
| B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG ORAL TAB | 0536-7300-01 | 1 | each | $9.08 |
| B COMPLEX-VITAMIN C-FOLIC ACID 5 MG ORAL TAB | 51991-08290 | 1 | each | $9.34 |
| B-COMPLEX WITH VITAMIN C ORAL TAB | 0904-0260-13 | 1 | each | $9.02 |
| B1,B2,B3,B6,B12-DEXPAN-ZN-MANG 0.5-0.6-7-0.7 MG ORAL ELIXIR | UHCS-0001-46 | 120 | mL | $41.16 |
| BACITRACIN 500 UNIT/GRAM TOP OINTMENT | 0713-0280-31 | 28.4 | g | $41.65 |
| BACITRACIN 500 UNIT/GRAM TOP PACKET | 45802-060-70 | 1 | each | $0.38 |
| BACITRACIN 50000 UNIT IM VIAL | 0009-0233-03 | 1 | each | $129.64 |
| BACITRACIN ZINC 500 UNIT/GRAM TOP PACKET | 0168-0111-09 | 1 | each | $0.42 |
| BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM OPHT OINTMENT | 24208-555-55 | 3.5 | g | $53.00 |
| BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM TOP OINTMENT | 0168-0021-31 | 28.35 | g | $48.79 |
| BACITRACIN-POLYMYXIN B 500-10,000 UNIT/GRAM TOP PACKET | 0168-0021-09 | 1 | each | $0.45 |
| BACLOFEN (LIORESAL) PO 5 MG/ML (NICU) | UHCS-0000-87 | 60 | mL | $18.20 |
| BACLOFEN 10 MG ORAL TAB | 0904-6475-61 | 1 | each | $9.35 |
| BALANCED SALT SOLN NO.2 IRRIG. IO SOLUTION | 0065-0795-15 | 15 | mL | $20.93 |
| BALANCED SALT SOLN NO.2 IRRIG. IO SOLUTION | 0065-0795-50 | 500 | mL | $23.00 |
| BALSALAZIDE 750 MG ORAL CAP | 0054-0079-28 | 1 | each | $9.34 |
| BARIUM ENEMA PREP KIT | 10361-37640 | 1 | each | $11.27 |
| BARIUM SULFATE 0.1 % ORAL SUSPENSION | 32909-94503 | 1 | each | No charge |
| BARIUM SULFATE 40 % (W/V) ORAL SUSPENSION | 32909-115-00 | 1 | each | No charge |
| BARIUM SULFATE 60 % (W/V) ORAL SUSPENSION | 32909-186-02 | 1 | each | No charge |
| BARIUM SULFATE 60 % ORAL CREAM | 32909-77001 | 1 | each | No charge |
| BARIUM SULFATE 96 % ENEMA | 32909-80402 | 1 | each | No charge |
| BARIUM SULFATE 98 % ORAL RECON. SUSP. | 32909-764-01 | 1 | each | No charge |
| BARIUM SULFATE 2.1 % (W/V) 2.0 % (W/W) ORAL SUSPENSION | 32909-72301 | 1 | each | No charge |
| BARIUM SULFATE 40 % (W/V) 29% (W/W) ORAL SUSPENSION | 32909-12107 | 1 | each | No charge |
| BARIUM SULFATE 96 % (W/W) ORAL RECON. SUSP. | 10361-75003 | 1 | each | No charge |
| BELIMUMAB 120 MG IV VIAL | 49401-101-01 | 1 | each | $826.58 |
| BELIMUMAB 400 MG IV VIAL | 49401-102-01 | 1 | each | $2,663.34 |
| BELLADONNA ALKALOIDS-OPIUM 16.2-60 MG RECT SUPPOSITORY | 0574-7040-12 | 1 | each | $44.03 |
| BENADRYL AND MAALOX ORAL COMPOUND | UHCS-0003-23 | 60 | mL | $46.79 |
| BENAZEPRIL 5 MG ORAL TAB | 65162-751-10 | 1 | each | $9.15 |
| BENAZEPRIL 10 MG ORAL TAB | 51079-145-20 | 1 | each | $9.59 |
| BENAZEPRIL 20 MG ORAL TAB | 51079-146-20 | 1 | each | $9.62 |
| BENDAMUSTINE 25 MG IV VIAL | 63459-390-08 | 1 | each | $1,300.16 |
| BENDAMUSTINE 100 MG IV VIAL | 63459-391-20 | 1 | each | $5,200.65 |
| BENDAMUSTINE 25 MG/ML IV SOLUTION | 63459-348-04 | 4 | mL | $4,005.26 |
| BENRALIZUMAB 30 MG/ML SUBQ SYRINGE | 0310-1730-30 | 1 | mL | $8,316.19 |
| BENZOCAINE 20 % MM GEL | 0283-0871-31 | 30 | g | $46.72 |
| BENZOCAINE 20 % MM SPRAY | 0283-0610-26 | 1 | each | $237.03 |
| BENZOCAINE 20 % TOP OINTMENT | 63736-03751 | 28 | g | $43.61 |
| BENZOCAINE-MENTHOL 15-3.6 MG MM LOZENGE | 0904-6255-49 | 1 | each | $0.64 |
| BENZOCAINE-MENTHOL 20-0.5 % TOP AEROSOL | 16864-680-02 | 56 | g | $43.98 |
| BENZOCAINE-MENTHOL 6-10 MG MM LOZENGE | 78112-01106 | 1 | each | $38.29 |
| BENZOCAINE-ZINC CL-BENZALK CL 20-0.1-0.02 % MM GEL | 31031-318-05 | 11.9 | g | $13.96 |
| BENZOIN COMPOUND 100 % TOP SWAB | 54162-099-10 | 1 | each | $40.95 |
| BENZOIN-ALOE VERA-STORAX-TOLU 10-2-8-4 % TOP TINCTURE | 54162-100-02 | 58 | mL | $42.73 |
| BENZONATATE 100 MG ORAL CAP | 63739-029-10 | 1 | each | $9.39 |
| BENZTROPINE 1 MG ORAL TAB | 60687-368-01 | 1 | each | $9.39 |
| BENZTROPINE 2 MG/2 ML INJ SOLUTION | 0143-9729-05 | 2 | mL | $167.54 |
| BENZYLPENICILLOYL POLYLYSINE 0.25 ML IDRM SOLUTION | 49471-001-05 | 0.25 | mL | $244.09 |
| BENZYLPENICILLOYL POLYLYSINE 0.25 ML IDRM SOLUTION | UHCS-0004-62 | 0.2 | mL | $235.12 |
| BERACTANT IN 0.9 %SOD.CHLORIDE 25 MG/ML INTR SUSPENSION | 0074-1040-04 | 4 | mL | $303.66 |
| BERACTANT IN 0.9 %SOD.CHLORIDE 25 MG/ML INTR SUSPENSION | 0074-1040-08 | 8 | mL | $495.12 |
| BETAMETHASONE ACET,SOD PHOS 6 MG/ML INJ SUSPENSION | 0517-0720-01 | 5 | mL | $216.49 |
| BETAMETHASONE VALERATE 0.1 % TOP CREAM | 0168-0040-15 | 15 | g | $60.76 |
| BETAMETHASONE VALERATE 0.1 % TOP LOTION | 54879-004-60 | 60 | mL | $80.68 |
| BETAMETHASONE VALERATE 0.1 % TOP OINTMENT | 0472-0371-15 | 15 | g | $55.11 |
| BETAXOLOL 0.5 % OPHT DROPS | 17478-705-10 | 5 | mL | $82.16 |
| BETHANECHOL CHLORIDE 10 MG ORAL TAB | 0832-0511-01 | 1 | each | $9.29 |
| BETHANECHOL CHLORIDE 25 MG ORAL TAB | 0832-0512-01 | 1 | each | $9.42 |
| BEVACIZUMAB 25 MG/ML IV SOLUTION | 50242-060-01 | 4 | mL | $1,360.63 |
| BEVACIZUMAB 25 MG/ML IV SOLUTION 16ML | 50242-061-01 | 16 | mL | $5,442.50 |
| BEZLOTOXUMAB 25 MG/ML IV SOLUTION | 0006-3025-00 | 40 | mL | $6,649.30 |
| BICALUTAMIDE 50 MG ORAL TAB | 0904-6019-46 | 1 | each | $9.24 |
| BIMATOPROST 0.03 % OPHT DROPS | 0023-9187-05 | 5 | mL | $208.04 |
| BISACODYL 5 MG ORAL EC TABLET | 0904-6407-61 | 1 | each | $9.02 |
| BISACODYL 10 MG RECT SUPPOSITORY | 0713-0109-01 | 1 | each | $18.10 |
| BISMUTH SUBSALICYLATE 262 MG ORAL CHEW TAB | 0904-1315-46 | 1 | each | $0.39 |
| BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION | 0904-1313-09 | 236 | mL | $11.42 |
| BISOPROLOL FUMARATE 5 MG ORAL TAB | 29300-126-01 | 1 | each | $9.41 |
| BISOPROLOL-HYDROCHLOROTHIAZIDE 10-6.25 MG ORAL TAB | 29300-189-13 | 1 | each | $9.48 |
| BISOPROLOL-HYDROCHLOROTHIAZIDE 2.5-6.25 MG ORAL TAB | 29300-187-13 | 1 | each | $9.41 |
| BISOPROLOL-HYDROCHLOROTHIAZIDE 5-6.25 MG ORAL TAB | 29300-188-01 | 1 | each | $9.40 |
| BIVALIRUDIN 250 MG IV VIAL | 0409-8300-10 | 1 | each | $352.22 |
| BLEOMYCIN 15 UNIT INJ VIAL | 63323-136-10 | 1 | each | $396.68 |
| BLEOMYCIN 30 UNIT INJ VIAL | 61703-323-22 | 1 | each | $429.39 |
| BLINATUMOMAB 35 MCG IV KIT | 55513-160-01 | 1 | each | $6,488.00 |
| BORTEZOMIB 3.5 MG INJ VIAL SUBQ | 63020-049-01 | 1 | each | $2,805.25 |
| BRENTUXIMAB VEDOTIN 50 MG IV VIAL | 51144-050-01 | 1 | each | $12,421.50 |
| BRIMONIDINE 0.2 % OPHT DROPS | 61314-143-05 | 5 | mL | $49.00 |
| BROMFENAC 0.09 % OPHT DROPS | 50383-249-71 | 1.7 | mL | $126.16 |
| BROMOCRIPTINE 2.5 MG ORAL TAB | 0574-0106-03 | 1 | each | $12.07 |
| BROMPHENIRAMINE-PHENYLEPHRINE 1-2.5 MG/5 ML ORAL SOLUTION | 0904-5781-20 | 118 | mL | $37.42 |
| BROMPHENIRAMINE-PHENYLEPHRINE 1-2.5 MG/5 ML ORAL SOLUTION | 49348-777-34 | 118 | mL | $37.77 |
| BUDESONIDE 0.25 MG/2 ML INHL NBSP | 0487-9601-01 | 2 | mL | $14.01 |
| BUDESONIDE 0.5 MG/2 ML INHL NBSP | 0487-9701-01 | 2 | mL | $13.52 |
| BUDESONIDE 180 MCG/ACTUATION INHL AERO.POWDER | 0186-0916-12 | 1 | each | $265.74 |
| BUDESONIDE 3 MG ORAL CECX | 0378-7155-01 | 1 | each | $16.25 |
| BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACTUATION INHL HFA INHALER | 0186-0370-28 | 6.9 | g | $117.93 |
| BUDESONIDE-FORMOTEROL 80-4.5 MCG/ACTUATION INHL HFA INHALER | 0186-0372-28 | 6.9 | g | $109.72 |
| BUFFERED LIDOCAINE 0.5 % 2 ML SYRINGES | UHCS-0001-00 | 2 | mL | $125.12 |
| BUFFERED LIDOCAINE 1 % 20 ML VIAL | UHCS-0001-10 | 20 | mL | $126.26 |
| BUFFERED LIDOCAINE 1 % WITH EPI 20 ML VIALS | UHCS-0001-11 | 1 | vial | $126.17 |
| BUFFERED LIDOCAINE 2% 20 ML VIAL | UHCS-0004-41 | 1 | vial | $126.55 |
| BUMETANIDE (BUMEX) IV 0.1 MG/ML (NICU) | UHCS-0000-97 | 2.5 | mL | $126.39 |
| BUMETANIDE 0.25 MG/ML INJ SOLUTION | 0641-6007-10 | 10 | mL | $126.73 |
| BUMETANIDE 0.25 MG/ML INJ SOLUTION | 0641-6008-10 | 4 | mL | $126.60 |
| BUMETANIDE 0.5 MG ORAL TAB | 0185-0128-01 | 1 | each | $9.80 |
| BUMETANIDE 1 MG ORAL TAB | 42799-120-01 | 1 | each | $9.45 |
| BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJ SOLUTION | 55150-168-30 | 30 | mL | $126.20 |
| BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJ SOLUTION | 55150-170-30 | 30 | mL | $126.71 |
| BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLUTION | 55150-171-10 | 10 | mL | $126.19 |
| BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJ SOLUTION | 55150-172-30 | 30 | mL | $127.01 |
| BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSPENSION | 65250-266-09 | 20 | mL | $551.25 |
| BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJ SOLUTION | 0409-3613-01 | 2 | mL | $126.52 |
| BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200000 INJ SOLUTION | 63323-468-37 | 30 | mL | $132.14 |
| BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200000 INJ SOLUTION | 63323-462-37 | 30 | mL | $132.68 |
| BUPROPION HCL 75 MG ORAL TAB | 51079-943-20 | 1 | each | $10.09 |
| BUPROPION HCL 100 MG ORAL SR12 | 68084-697-01 | 1 | each | $9.52 |
| BUPROPION HCL 100 MG ORAL TAB | 51079-944-20 | 1 | each | $10.46 |
| BUPROPION HCL 150 MG ORAL SR12 | 68084-708-25 | 1 | each | $9.57 |
| BUSPIRONE 5 MG ORAL TAB | 51079-985-20 | 1 | each | $9.06 |
| BUSPIRONE 10 MG ORAL TAB | 51079-986-20 | 1 | each | $9.06 |
| BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG ORAL TAB | 68084-396-65 | 1 | each | $13.19 |
| BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOP AERO. SPRAY | 10223-0201-3 | 20 | g | $91.04 |
| BUTORPHANOL TARTRATE 1 MG/ML INJ SOLUTION | 0409-1623-01 | 1 | mL | $128.47 |
| BUTORPHANOL TARTRATE 2 MG/ML INJ SOLUTION | 0409-1626-01 | 1 | mL | $129.26 |
| BUTORPHANOL TARTRATE 10 MG/ML NASL SPRAY | 0054-3090-36 | 2.5 | mL | $102.31 |
| CABAZITAXEL 10 MG/ML (FIRST DILUTION) IV SOLUTION | 0024-5824-11 | 1 | each | $68,026.91 |
| CADD ADMINISTRATION SET | UHCS-0003-19 | 1 | each | $75.42 |
| CADD EXTENSION SET | UHCS-0001-29 | 1 | each | $70.48 |
| CADD RESERVOIR 100 ML | UHCS-0001-28 | 1 | each | $37.76 |
| CADD RESERVOIR 50 ML | UHCS-0001-27 | 1 | each | $34.55 |
| CAFFEINE 200 MG ORAL TAB | 0904-7955-44 | 1 | each | $9.05 |
| CAFFEINE CITRATE (BULK) MISC POWDER | 51552-0178-5 | 100 | g | $48.80 |
| CAFFEINE CITRATE (CAFCIT) IV 20 MG/ML (NICU) | UHCS-0000-85 | 3 | mL | $129.73 |
| CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) IV SOLUTION | 55150-187-03 | 3 | mL | $129.73 |
| CAFFEINE CITRATE PO 20 MG/ML (NICU) | UHCS-0000-83 | 16 | mL | $85.44 |
| CAFFEINE-SODIUM BENZOATE 250 MG/ML (125 MG/ML CAFFEINE) INJ SOLUTION | 0517-2502-10 | 2 | mL | $139.28 |
| CAL-D3-MAG11-ZINC-COP-MANG-BOR 600 MG CALCIUM- 800 UNIT-50 MG ORAL TAB | 0005-5556-23 | 1 | each | $9.09 |
| CALAMINE-ZINC OXIDE 8-8 % TOP LOTION | 0904-2533-21 | 177 | mL | $41.24 |
| CALCITONIN (SALMON) 200 UNIT/ACTUATION NASL SPRAY | 60505-0823-6 | 3.7 | mL | $84.32 |
| CALCITONIN (SALMON) 200 UNIT/ML INJ SOLUTION | 67457-675-02 | 2 | mL | $4,387.43 |
| CALCITRIOL 0.25 MCG ORAL CAP | 23155-662-01 | 1 | each | $9.25 |
| CALCIUM ACETATE 667 MG ORAL CAP | 68084-479-01 | 1 | each | $10.13 |
| CALCIUM ACETATE-ALUMINUM SULF 952-1,347 MG TOP POWDER PACK | 51224-162-12 | 1 | each | $9.57 |
| CALCIUM CARBONATE 1250 MG/5 ML ORAL SUSPENSION | UHCS-0001-33 | 60 | mL | $36.96 |
| CALCIUM CARBONATE 250 MG/ML ORAL SUSPENSION (NICU) | UHCS-0001-33 | 60 | mL | $36.96 |
| CALCIUM CARBONATE 500 MG CALCIUM (1250 MG) ORAL TAB | 0904-1883-92 | 1 | each | $9.01 |
| CALCIUM CARBONATE 500 MG ORAL CHEW TAB | 66553-004-01 | 1 | each | $9.05 |
| CALCIUM CARBONATE-VITAMIN D3 250-125 MG-UNIT ORAL TAB | 0904-1882-61 | 1 | each | $9.03 |
| CALCIUM CARBONATE-VITAMIN D3 500 MG(1250MG) -200 UNIT ORAL TAB | 0904-5460-61 | 1 | each | $9.03 |
| CALCIUM CHLORIDE 100 MG/ML (10 %) IV SOLUTION | 0517-6710-10 | 10 | mL | $132.43 |
| CALCIUM CHLORIDE 100 MG/ML (10 %) IV SYRINGE | 0409-4928-34 | 10 | mL | $132.39 |
| CALCIUM GLUCONATE 100 MG/ML (10%) IV SOLUTION | 63323-360-19 | 10 | mL | $132.63 |
| CALCIUM GLUCONATE IV 100 MG/ML IV (NICU) | UHCS-0000-84 | 10 | mL | $128.05 |
| CALCIUM POLYCARBOPHIL 625 MG ORAL TAB | 0005-2500-02 | 1 | each | $0.39 |
| CAMPHOR-MENTHOL 0.5-0.5 % TOP LOTION | 54162-550-07 | 222 | mL | $42.89 |
| CAMPHOR-MENTHOL TOP OINTMENT | 10742-00013 | 30 | g | $11.65 |
| CANDESARTAN 4 MG ORAL TAB | 0781-5936-31 | 1 | each | $11.45 |
| CANDESARTAN 16 MG ORAL TAB | 49884-660-09 | 1 | each | $10.68 |
| CANDIDA ALBICANS SKIN TEST FDA STANDARD IDRM ALLERGEN | 49643-138-01 | 1 | mL | $248.71 |
| CANDIDA ALBICANS SKIN TEST FDA STANDARD IDRM ALLERGEN | 59584-138-01 | 1 | mL | $311.64 |
| CANGRELOR 50 MG IV VIAL | 10122-620-01 | 1 | each | $194.26 |
| CAPTOPRIL 12.5 MG ORAL TAB | 51079-863-20 | 1 | each | $10.31 |
| CAPTOPRIL 25 MG ORAL TAB | 51079-864-20 | 1 | each | $10.43 |
| CAPTOPRIL (CAPOTEN) PO 1MG/ML (NICU) | UHCS-0000-82 | 25 | mL | $16.25 |
| CARBACHOL 0.01 % IO SOLUTION | 0065-0023-15 | 1.5 | mL | $29.84 |
| CARBAMAZEPINE 100 MG ORAL CHEW TAB | 13668-271-01 | 1 | each | $9.32 |
| CARBAMAZEPINE 100 MG ORAL TB12 | 0078-0510-05 | 1 | each | $10.19 |
| CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION | UHCS-0001-34 | 120 | mL | $49.92 |
| CARBAMAZEPINE 200 MG ORAL CM12 | 54092-172-12 | 1 | each | $10.64 |
| CARBAMAZEPINE 200 MG ORAL TAB | 51079-385-20 | 1 | each | $9.59 |
| CARBAMIDE PEROXIDE 6.5 % OTIC DROPS | 42037-10478 | 15 | mL | $49.17 |
| CARBIDOPA-LEVODOPA 10-100 MG ORAL TAB | 63739-046-10 | 1 | each | $9.25 |
| CARBIDOPA-LEVODOPA 25-100 MG ORAL TAB | 0904-6237-61 | 1 | each | $9.15 |
| CARBIDOPA-LEVODOPA 25-250 MG ORAL TAB | 0904-6238-61 | 1 | each | $9.23 |
| CARBIDOPA-LEVODOPA 50-200 MG ORAL TBER | 51079-923-20 | 1 | each | $9.69 |
| CARBIDOPA-LEVODOPA-ENTACAPONE 12.5-50-200 MG ORAL TAB | 64679-782-04 | 1 | each | $10.78 |
| CARBIDOPA-LEVODOPA-ENTACAPONE 25-100-200 MG ORAL TAB | 64679-784-04 | 1 | each | $11.07 |
| CARBIDOPA-LEVODOPA-ENTACAPONE 37.5-150-200 MG ORAL TAB | 64679-786-04 | 1 | each | $10.84 |
| CARBOPLATIN 10 MG/ML IV SOLUTION | 61703-339-22 | 15 | mL | $384.15 |
| CARBOPLATIN 10 MG/ML IV SOLUTION | 0703-4244-01 | 5 | mL | $374.33 |
| CARBOPLATIN 10 MG/ML IV SOLUTION | 25021-202-45 | 45 | mL | $395.92 |
| CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLUTION | 0009-0856-08 | 1 | mL | $575.25 |
| CARBOXYMETHYLCELLULOSE SODIUM 1 % OPHT GEL DROP | 0023-4554-30 | 1 | each | $18.30 |
| CARDIOPLEGIA SOLUTION | UHCS-0004-44 | 3000 | mL | $351.57 |
| CARDIOPLEGIC SOLN 16 MEQ/L (= K+) PERF SOLUTION | 0409-7969-05 | 1000 | mL | $144.00 |
| CARFILZOMIB 30 MG IV VIAL | 76075-102-01 | 1 | each | $1,972.09 |
| CARFILZOMIB 60 MG IV VIAL | 76075-101-01 | 1 | each | $3,944.17 |
| CARISOPRODOL 350 MG ORAL TAB | 63739-049-10 | 1 | each | $9.09 |
| CARMUSTINE 100 MG IV VIAL | 23155-261-41 | 1 | each | $6,380.15 |
| CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFER | 24338-050-08 | 1 | each | $6,668.86 |
| CARVEDILOL 3.125 MG ORAL TAB | 0904-6300-61 | 1 | each | $9.07 |
| CARVEDILOL 6.25 MG ORAL TAB | 0904-6301-61 | 1 | each | $9.07 |
| CARVEDILOL 12.5 MG ORAL TAB | 0904-6302-61 | 1 | each | $9.06 |
| CARVEDILOL 25 MG ORAL TAB | 0904-6303-61 | 1 | each | $9.08 |
| CARVEDILOL PHOSPHATE 10 MG ORAL CM24 | 60505-3678-3 | 1 | each | $13.97 |
| CARVEDILOL PHOSPHATE 20 MG ORAL CM24 | 60505-3679-3 | 1 | each | $13.97 |
| CARVEDILOL PHOSPHATE 40 MG ORAL CM24 | 60505-3680-3 | 1 | each | $13.97 |
| CEFADROXIL 500 MG ORAL CAP | 16714-388-02 | 1 | each | $9.37 |
| CEFAZOLIN 1 GRAM INJ VIAL | 0143-9924-90 | 1 | each | $125.66 |
| CEFAZOLIN 1 GRAM IV VIAL | 0409-2585-01 | 1 | g | $127.13 |
| CEFAZOLIN (ANCEF) IV 100 MG/ML (NICU) | UHCS-0000-81 | 1 | each | $125.49 |
| CEFAZOLIN (ANCEF) IV 20 MG/ML (PEDS) | UHCS-0002-00 | 1 | each | $126.33 |
| CEFAZOLIN IN DEXTROSE (ISO-OS) 2 GRAM/50 ML IV IVPB | 0264-3105-11 | 1 | each | $131.45 |
| CEFDINIR 125 MG/5 ML ORAL RECON. SUSP. | 16714-392-01 | 60 | mL | $59.94 |
| CEFDINIR 300 MG ORAL CAP | 16714-391-01 | 1 | each | $10.00 |
| CEFEPIME (MAXIPIME) IV 100 MG/ML (NICU) | UHCS-0000-80 | 1 | each | $129.05 |
| CEFEPIME 1 GRAM INJ VIAL | 60505-6146-4 | 1 | each | $127.29 |
| CEFEPIME 2 GRAM INJ VIAL | 60505-6147-4 | 1 | each | $129.29 |
| CEFOTAXIME 1 GRAM INJ VIAL | 0409-3595-01 | 1 | each | $136.65 |
| CEFOTAXIME 2 GRAM INJ VIAL | 0039-0019-10 | 1 | each | $128.90 |
| CEFOTAXIME (CLAFORAN) IM 300 MG/ML (NICU) | UHCS-0000-78 | 1 | each | $127.48 |
| CEFOTAXIME (CLAFORAN) IV 100 MG/ML (NICU) | UHCS-0000-79 | 1 | each | $126.61 |
| CEFOTETAN 1 GRAM INJ VIAL | 63323-385-10 | 1 | each | $133.46 |
| CEFOTETAN 2 GRAM INJ VIAL | 63323-386-20 | 1 | each | $141.92 |
| CEFOXITIN 1 GRAM IV VIAL | 44567-245-25 | 1 | each | $127.67 |
| CEFOXITIN 2 GRAM IV VIAL | 44567-246-25 | 1 | each | $130.31 |
| CEFPROZIL 250 MG/5 ML ORAL RECON. SUSP. | 65862-100-01 | 100 | mL | $81.70 |
| CEFTAROLINE FOSAMIL 600 MG IV VIAL | 0456-0600-10 | 20 | mL | $267.40 |
| CEFTAZIDIME 1 GRAM INJ VIAL | 0409-5082-16 | 1 | each | $128.06 |
| CEFTAZIDIME 2 GRAM INJ VIAL | 0409-5084-11 | 1 | each | $132.98 |
| CEFTAZIDIME (FORTAZ) IV 100 MG/ML (NICU) | UHCS-0000-77 | 1 | each | $128.08 |
| CEFTAZIDIME (FORTAZ) IV 40 MG/ML (PEDS) | UHCS-0002-01 | 1 | each | $128.06 |
| CEFTAZIDIME-AVIBACTAM 2.5 GRAM IV VIAL | 0456-2700-01 | 1 | each | $355.75 |
| CEFTOLOZANE-TAZOBACTAM 1.5 GRAM IV VIAL | 67919-030-01 | 1 | each | $230.44 |
