Medication Charges Part 2

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
CEFTRIAXONE   1 GRAM INJ VIAL 0409-7332-01 1 each $126.20
CEFTRIAXONE   1 GRAM IV VIAL 0409-7333-04 1 each $128.19
CEFTRIAXONE   2 GRAM INJ VIAL 0409-7335-03 1 each $127.25
CEFTRIAXONE   2 GRAM IV VIAL 0409-7336-04 1 each $131.25
CEFTRIAXONE (ROCEPHIN) IM 250 MG/ML (NICU) UHCS-0000-76 1 each $125.76
CEFTRIAXONE (ROCEPHIN) IV 40 MG/ML (PEDS) UHCS-0002-02 1 each $135.17
CEFTRIAXONE (ROCPHIN) IV 100 MG/ML (NICU) UHCS-0000-75 1 each $125.76
CEFTRIAXONE 250 MG INJ VIAL 0409-7337-01 1 each $125.65
CEFTRIAXONE 500 MG INJ VIAL 0409-7338-01 1 each $125.83
CEFUROXIME (ZINACEF) IV 100 MG/ML (NICU) UHCS-0000-74 1 each $126.61
CEFUROXIME 750 MG FOR ORTHO SOLUTION 0143-9979-22 1 each $126.61
CEFUROXIME AXETIL 250 MG ORAL TAB 57237-058-20 1 each $9.88
CEFUROXIME AXETIL 500 MG ORAL TAB 16714-401-01 1 each $11.46
CEFUROXIME SODIUM  1.5 GRAM IV VIAL 0143-9977-22 1 each $128.41
CEFUROXIME SODIUM 750 MG INJ VIAL 0143-9979-22 1 each $126.61
CELECOXIB 100 MG ORAL CAP 0904-6502-61 1 each $10.00
CELECOXIB 200 MG ORAL CAP 0904-6503-61 1 each $10.65
CELLULOSE OXIDIZED (INTERCEED) 3 X 4 " MISC PAD UHCS-0001-69 1 each $375.87
CELLULOSE OXIDIZED 2 X 1/2 " MISC MISC UHCS-0001-67 1 each $61.43
CELLULOSE OXIDIZED 3 X 4 " MISC PADS (NU-KNIT) UHCS-0001-65 1 each $107.72
CELLULOSE OXIDIZED 4 X 8 " MISC PAD UHCS-0001-68 1 each $119.62
CEPHALEXIN 125 MG/5 ML ORAL RECON. SUSP. 0093-4175-73 100 mL $53.60
CEPHALEXIN 250 MG ORAL CAP 60687-152-01 1 each $9.28
CEPHALEXIN 250 MG/5 ML ORAL RECON. SUSP. 0093-4177-73 100 mL $57.30
CEPHALEXIN 500 MG ORAL CAP 60687-163-01 1 each $9.32
CETIRIZINE 10 MG ORAL TAB 0904-5852-60 1 each $9.04
CETUXIMAB 100 MG/50 ML IV SOLUTION 66733-948-23 50 mL $984.46
CETUXIMAB 200 MG/100 ML IV SOLUTION 66733-958-23 100 mL $1,968.93
CHERRY FLAVOR (BULK) ORAL SYRUP 0395-2662-16 473 mL $46.41
CHLORDIAZEPOXIDE HCL   5 MG ORAL CAP 51079-374-20 1 each $12.58
CHLORDIAZEPOXIDE HCL  10 MG ORAL CAP 51079-375-20 1 each $12.44
CHLORDIAZEPOXIDE HCL  25 MG ORAL CAP 51079-141-20 1 each $12.49
CHLORDIAZEPOXIDE-CLIDINIUM 5-2.5 MG ORAL CAP 76439-302-10 1 each $13.91
CHLORHEXIDINE GLUCONATE 0.12 % MM MOUTHWASH 0116-2001-16 473 mL $37.89
CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJ SOLUTION 0143-9210-10 20 mL $145.56
CHLOROTHIAZIDE (DIURIL) IV 25 MG/ML (NICU) UHCS-0000-73 1 each $168.83
CHLOROTHIAZIDE (DIURIL) PO 50 MG/ML (NICU) UHCS-0000-72 237 mL $79.99
CHLOROTHIAZIDE SODIUM 500 MG IV VIAL 67457-263-30 1 each $162.98
CHLORPROMAZINE  10 MG ORAL TAB 51079-518-20 1 each $12.69
CHLORPROMAZINE  25 MG ORAL TAB 51079-519-20 1 each $14.39
CHLORPROMAZINE  25 MG/ML INJ SOLUTION 0641-1397-35 1 mL $145.21
CHLORPROMAZINE  25 MG/ML INJ SOLUTION 0641-1398-35 2 mL $148.16
CHLORTHALIDONE  25 MG ORAL TAB 0378-0222-01 1 each $9.90
CHOLECALCIFEROL (VITAMIN D3)  400 UNITS ORAL TAB 0904-5823-60 1 each $9.01
CHOLECALCIFEROL (VITAMIN D3) 1000 UNITS ORAL TAB 0904-5824-61 1 each $9.03
CHOLECALCIFEROL (VITAMIN D3) 5000 UNITS ORAL TAB 50268-866-15 1 each $9.21
CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER PACK 0245-0036-60 1 each $10.36
CHONDROITIN SULF-SOD HYALURON 3 %-4 %(0.35ML) 1 % (0.4 ML) IO SYRINGE 8065-1831-35 0.75 mL $100.71
CHONDROITIN SULF-SOD HYALURON 4-3 % (40-30 MG/ML) IO SYRINGE 8065-1839-05 0.5 mL $78.72
CHROMIUM CHLORIDE 4 MCG/ML IV SOLUTION 0409-4093-01 10 mL $141.95
CHROMIUM PICOLINATE  200 MCG ORAL TAB 0904-4314-60 1 each $9.03
CILOSTAZOL  50 MG ORAL TAB 0093-2065-06 1 each $9.14
CILOSTAZOL 100 MG ORAL TAB 0093-2064-06 1 each $9.12
CINACALCET 30 MG ORAL TAB 55513-073-30 1 each $33.94
CIPROFLOXACIN (CIPRO) IV 2MG/ML (NICU) UHCS-0000-70 100 mL $126.70
CIPROFLOXACIN (CIPRO) PO 50MG/ML (NICU) UHCS-0000-71 100 mL $16.60
CIPROFLOXACIN 6 % (6 MG/0.1 ML) ITYM SUSPENSION 69251-201-01 1 mL $325.37
CIPROFLOXACIN HCL 250 MG ORAL TAB 68084-069-01 1 each $9.27
CIPROFLOXACIN HCL 500 MG ORAL TAB 68084-070-01 1 each $9.16
CIPROFLOXACIN HCL 750 MG ORAL TAB 68084-071-01 1 each $9.48
CIPROFLOXACIN IN 5 % DEXTROSE 200 MG/100 ML IV IVPB 0409-4777-23 100 mL $126.70
CIPROFLOXACIN IN 5 % DEXTROSE 400 MG/200 ML IV IVPB 0409-4777-02 200 mL $127.20
CIPROFLOXACIN LACTATE 400 MG/40 ML IV SOLUTION 0409-4778-86 40 mL $128.24
CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OTIC DROPS. 0065-8533-02 7.5 mL $246.75
CISATRACURIUM 2 MG/ML IV SOLUTION 0781-3152-95 10 mL $134.09
CISPLATIN 1 MG/ML IV SOLUTION 63323-103-51 50 mL $378.75
CITALOPRAM 10 MG ORAL TAB 0904-6084-61 1 each $9.05
CITALOPRAM 20 MG ORAL TAB 0904-6085-61 1 each $9.05
CITRATE DEXTROSE SOLUTION MISC SOLUTION 0942-0641-04 1000 mL $110.57
CLADRIBINE 10 MG/10 ML IV SOLUTION 63323-140-10 10 mL $566.19
CLARITHROMYCIN 125 MG/5 ML ORAL RECON. SUSP. 0781-6022-46 100 mL $112.90
CLARITHROMYCIN 250 MG/5 ML ORAL RECON. SUSP. 0781-6023-46 100 mL $148.20
CLARITHROMYCIN 500 MG ORAL TAB 68084-651-25 1 each $13.62
CLEVIDIPINE 25 MG/50 ML IV EMULSION 10122-610-10 50 mL $179.45
CLINDAMYCIN (CLEOCIN) 18 MG/ML IV (PEDS) UHCS-0002-03 50 mL $168.65
CLINDAMYCIN (CLEOCIN) IV 10MG/ML (NICU) UHCS-0000-69 15 mL $138.10
CLINDAMYCIN HCL 150 MG ORAL CAP 63739-059-10 1 each $9.20
CLINDAMYCIN IN 5 % DEXTROSE 600 MG/50 ML IV IVPB 0781-3289-09 50 mL $130.20
CLINDAMYCIN IN 5 % DEXTROSE 900 MG/50 ML IV IVPB 0781-3290-09 50 mL $131.15
CLINDAMYCIN PALMITATE HCL 75 MG/5 ML ORAL VIAL 59762-0016-1 100 mL $74.40
CLINDAMYCIN PHOSPHATE 150 MG/ML INJ SOLUTION 67457-814-02 2 mL $126.09
CLINDAMYCIN PHOSPHATE 2 % VAGL CREAM 59762-5009-1 40 g $120.60
CLINDAMYCIN PHOSPHATE 300 MG/2 ML IV SOLUTION 0409-4053-03 2 mL $127.69
CLINDAMYCIN PHOSPHATE 600 MG/4 ML IV SOLUTION 0009-3124-03 4 mL $129.07
CLINDAMYCIN PHOSPHATE 600 MG/4 ML IV SOLUTION 0409-4054-03 4 mL $128.17
CLINDAMYCIN PHOSPHATE 900 MG/6 ML IV SOLUTION 0409-4055-03 6 mL $128.98
CLOBETASOL 0.05 % TOP CREAM 52565-051-15 15 g $49.29
CLOBETASOL 0.05 % TOP OINTMENT 0168-0162-15 15 g $120.10
CLONAZEPAM 0.5 MG ORAL TAB 63739-263-10 1 each $12.04
CLONIDINE (CATAPRES) PO 10 MCG/ML (NICU) UHCS-0004-53 1 each $16.04
CLONIDINE 0.1 MG/24 HR TD WEEKLY PATCH 0378-0871-99 1 each $32.66
CLONIDINE 0.2 MG/24 HR TD WEEKLY PATCH 0378-0872-99 1 each $39.51
CLONIDINE 0.3 MG/24 HR TD WEEKLY PATCH 0378-0873-99 1 each $44.85
CLONIDINE HCL 0.1 MG ORAL TAB 0904-5656-61 1 each $9.04
CLONIDINE HCL 0.2 MG ORAL TAB 0904-5657-61 1 each $9.06
CLONIDINE HCL 0.3 MG ORAL TAB 0904-5658-61 1 each $9.07
CLOPIDOGREL  75 MG ORAL TAB 0904-6294-61 1 each $9.16
CLOPIDOGREL 300 MG ORAL TAB 0904-6467-07 1 each $19.71
CLORAZEPATE DIPOTASSIUM  3.75 MG ORAL TAB 51672-4042-1 1 each $13.93
CLOTRIMAZOLE  10 MG MM TROCHE 0574-0107-77 1 each $9.85
CLOTRIMAZOLE 1 % TOP CREAM 45802-434-11 28 g $43.95
CLOTRIMAZOLE 1 % VAGL CREAM 0472-0220-63 45 g $43.69
CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % TOP CREAM 16714-496-01 15 g $45.25
CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % TOP LOTION 0168-0370-30 30 mL $109.24
COAGULATION FACTOR IX 500 (+/-) UNIT IV VIAL 68516-3601-2 1 each $125.73
COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) IV VIAL 0169-7201-01 1 each $3,185.79
COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) IV VIAL 0169-7202-01 1 each $6,371.58
COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) IV VIAL 0169-7205-01 1 each $15,928.92
COCAINE  4 % TOP SOLUTION 0527-1728-74 4 mL $177.55
CODEINE SULFATE 30 MG ORAL TAB 0054-0244-24 1 each $11.80
CODEINE-GUAIFENESIN 10-100 MG/5 ML ORAL LIQUID 50383-087-07 5 mL $12.41
COENZYME Q10  50 MG ORAL CAP 0904-5616-46 1 each $9.17
COLCHICINE 0.6 MG ORAL TAB 66993-165-02 1 each $14.21
COLESEVELAM 625 MG ORAL TAB 51660-996-28 1 each $10.56
COLESTIPOL 1 GRAM ORAL TAB 59762-0450-1 1 each $9.80
COLISTIN (COLISTIMETHATE NA) 150 MG INJ VIAL 39822-0617-2 1 each $134.74
COLLAGENASE CLOSTRIDIUM HISTO. 250 UNIT/GRAM TOP OINTMENT 50484-010-30 30 g $235.42
COMPOUNDING VEHICLE NO.8 ORAL LIQUID 0574-0304-16 473 mL $49.24
CONIVAPTAN IN 5 % DEXTROSE 20 MG/100 ML IV SOLUTION 66220-160-10 100 mL $657.40
CONJUGATED ESTROGENS  1.25 MG ORAL TAB 0046-1104-81 1 each $13.97
CONJUGATED ESTROGENS 0.3 MG ORAL TAB 0046-1100-81 1 each $13.97
CONJUGATED ESTROGENS 0.625 MG ORAL TAB 0046-1102-81 1 each $13.97
CONJUGATED ESTROGENS 0.625 MG/GRAM VAGL CREAM 0046-0872-21 30 g $369.97
CONJUGATED ESTROGENS 0.9 MG ORAL TAB 0046-1103-81 1 each $13.97
CONJUGATED ESTROGENS 25 MG INJ VIAL 0046-0749-05 1 each $481.74
CORN STARCH TOP POWDER UHCS-0001-87 120 g $11.04
CORTISONE 25 MG ORAL TAB 0143-9700-01 1 each $11.32
COSYNTROPIN 0.001 MG INJECTION 0781-3440-95 1 each $141.36
COSYNTROPIN 0.25 MG INJ VIAL 67457-257-02 1 each $199.42
CROMOLYN 5.2 MG/SPRAY (4 %) NASL SPRAY 57782-397-26 26 mL $60.33
CROTALIDAE POLYVAL IMMUNE FAB INJ VIAL 50633-110-12 1 each $5,190.75
CUPRIC CHLORIDE 0.4 MG/ML IV SOLUTION 0409-4092-01 10 mL $141.95
CYANOCOBALAMIN (VITAMIN B-12)  500 MCG ORAL TAB 50268-854-15 1 each $9.16
CYANOCOBALAMIN (VITAMIN B-12) 1000 MCG/ML INJ SOLUTION 0143-9621-25 1 mL $127.65
CYCLER PERITONEAL DIALYSIS W/1.5% DEXTROSE AND LOW CA++ 0941-0409-01 6000 mL $130.96
CYCLER PERITONEAL DIALYSIS W/1.5% DEXTROSE AND LOW CA++ 0941-0409-06 2000 mL $115.72
CYCLER PERITONEAL DIALYSIS W/2.5% DEXTROSE AND LOW CA ++ 0941-0457-08 2000 mL $118.24
CYCLER PERITONEAL DIALYSIS W/2.5% DEXTROSE AND LOW CA++ 0941-0457-01 6000 mL $131.57
CYCLER PERITONEAL DIALYSIS W/4.25% DEXTROSE AND LOW CA++ 0941-0459-01 6000 mL $132.36
CYCLER PERITONEAL DIALYSIS W/4.25% DEXTROSE AND LOW CA++ 0941-0459-08 2000 mL $118.43
CYCLOBENZAPRINE 10 MG ORAL TAB 63739-531-10 1 each $9.04
CYCLOPENTOLATE 1 % OPHT DROPS 17478-100-02 2 mL $28.96
CYCLOPENTOLATE 2 % OPHT DROPS 17478-097-02 2 mL $39.13
CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OPHT DROPS 0065-0359-02 2 mL $43.81
CYCLOPHOSPHAMIDE  25 MG ORAL CAP 0054-0382-25 1 each $15.95
CYCLOPHOSPHAMIDE (CYTOXAN) PO 10 MG/ML UHCS-0004-49 50 mL $246.50
CYCLOPHOSPHAMIDE 1 G IV VIAL 10019-956-01 1 each $695.64
CYCLOPHOSPHAMIDE 500 MG IV VIAL 10019-955-01 1 each $532.82
CYCLOSPORINE  25 MG ORAL CAP 60505-0133-0 1 each $10.82
CYCLOSPORINE MODIFIED  25 MG ORAL CAP 0093-5740-65 1 each $9.44
CYCLOSPORINE MODIFIED 100 MG ORAL CAP 0093-5742-65 1 each $10.46
CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP UHCS-0001-36 60 mL $39.66
CYPROHEPTADINE 4 MG ORAL TAB 51991-838-01 1 each $9.61
CYSTEINE (L-CYSTEINE) 50 MG/ML IV SOLUTION 0781-8940-95 10 mL $141.85
CYTARABINE (PF)  2 G INJ SOLUTION 61703-319-22 20 mL $386.24
CYTARABINE LIPOSOME (PF) 50 MG/5 ML (10 MG/ML) IT SUSPENSION 57665-331-01 5 mL $5,187.00
CYTOMEGALOVIRUS IMMUNE GLOB 50 MG/ML IV SOLUTION 44206-532-11 50 mL $1,883.00
D10 %-0.45 % SODIUM CHLORIDE IV BAG 0264-7622-00 1000 mL $110.04
D5 % AND 0.9 % SODIUM CHLORIDE IV BAG 0338-0089-04 1000 mL $105.38
D5 %-0.45 % SODIUM CHLORIDE IV BAG 0338-0085-03 500 mL $104.65
D5 %-0.45 % SODIUM CHLORIDE IV BAG 0338-0085-04 1000 mL $105.59
D5 %-0.45 % SODIUM CHLORIDE IV BAG 0409-7926-02 250 mL $107.75
DABIGATRAN ETEXILATE  75 MG ORAL CAP 0597-0355-56 1 each $13.83
DABIGATRAN ETEXILATE 150 MG ORAL CAP 0597-0360-82 1 each $13.83
DACARBAZINE 200 MG IV VIAL 0703-5075-01 1 each $385.22
DALBAVANCIN 500 MG IV SOLUTION 57970-100-01 1 each $1,623.13
DANTROLENE  20 MG IV VIAL 27505-003-67 1 each $186.67
DANTROLENE  25 MG ORAL CAP 68084-300-21 1 each $10.51
DANTROLENE 250 MG IV RECON. SUSP. 42367-540-32 1 each $3,102.66
DAPSONE 100 MG ORAL TAB 49938-101-30 1 each $11.60
DAPTOMYCIN 500 MG IV VIAL 67457-813-50 1 each $257.05
DARATUMUMAB 20 MG/ML IV SOLUTION 20ML 57894-502-20 20 mL $3,551.03
DARATUMUMAB 20 MG/ML IV SOLUTION 5ML 57894-502-05 5 mL $887.76
DARBEPOETIN ALFA IN POLYSORBAT  40 MCG/0.4 ML INJ SYRINGE 55513-021-04 0.4 mL $482.42
DARBEPOETIN ALFA IN POLYSORBAT 150 MCG/0.3 ML INJ SYRINGE 55513-027-04 0.3 mL $1,809.07
DARBEPOETIN ALFA IN POLYSORBAT 300 MCG/0.6 ML INJ SYRINGE 55513-111-01 0.6 mL $3,618.14
DARIFENACIN  7.5 MG ORAL TB24 0078-0419-15 1 each $14.19
DARUNAVIR ETHANOLATE 600 MG ORAL TAB 59676-562-01 1 each $33.43
DARUNAVIR ETHANOLATE 800 MG ORAL TAB 59676-566-30 1 each $57.87
DAUNORUBICIN 5 MG/ML IV SOLUTION 0703-5233-13 4 mL $457.42
DECITABINE 50 MG IV VIAL 47335-361-41 1 each $973.88
DEFEROXAMINE 500 MG INJ VIAL 0409-2336-10 1 each $133.17
DEMECLOCYCLINE 150 MG ORAL TAB 62584-159-01 1 each $14.85
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBQ SOLUTION 55513-730-01 1.7 mL $3,598.82
DENOSUMAB 60 MG/ML SUBQ SYRINGE 55513-710-01 1 mL $1,921.05
DESFLURANE 100 % INHL LIQUID UHCS-0002-40 30 minutes $80.44
DESMOPRESSIN  4 MCG/ML INJ SOLUTION 69918-899-10 1 mL $161.25
DESMOPRESSIN 0.1 MG ORAL TAB 68084-606-21 1 each $10.36
DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASL SPRP 69918-501-05 5 mL $128.43
DESONIDE 0.05 % TOP CREAM 45802-422-35 15 g $56.70
DESONIDE 0.05 % TOP OINTMENT 0168-0309-15 15 g $77.29
DESOXIMETASONE 0.25 % TOP CREAM 0472-0478-60 60 g $104.80
DESOXIMETASONE 0.25 % TOP OINTMENT 45802-496-96 60 g $86.20
DESVENLAFAXINE SUCCINATE  50 MG ORAL TB24 0591-3659-30 1 each $9.91
DEXAMETHASONE (DECADRON) IV 0.4MG/ML (NICU) UHCS-0000-65 10 mL $132.86
DEXAMETHASONE (DECADRON) IV 1 MG/ML (NICU) UHCS-0000-67 4 mL $128.24
DEXAMETHASONE (DECADRON) PO 1 MG/ML (NICU) UHCS-0000-68 4 mL $18.22
DEXAMETHASONE (DECADRON) PO IV 0.4MG/ML (NICU) UHCS-0000-66 10 mL $130.56
DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION 0054-3177-63 500 mL $50.00
DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION UHCS-0001-37 60 mL $37.68
DEXAMETHASONE 1 MG ORAL TAB 0054-8174-25 1 each $9.28
DEXAMETHASONE 1 MG/ML ORAL DROPS 0054-3176-44 30 mL $58.11
DEXAMETHASONE 10MG/ML INJ ORDERABLE 0641-0367-25 1 mL $125.81
DEXAMETHASONE 2 MG ORAL TAB 0054-4183-25 1 each $9.44
DEXAMETHASONE 4 MG ORAL TAB 0054-8175-25 1 each $9.89
DEXAMETHASONE SODIUM PHOSPHATE  4 MG/ML INJ SOLUTION 67457-423-12 1 mL $125.54
DEXAMETHASONE SODIUM PHOSPHATE 0.1 % OPHT DROPS 24208-720-02 5 mL $92.22
DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJ SOLUTION 0641-0367-25 1 mL $125.81
DEXMEDETOMIDINE 100 MCG/ML IV SOLUTION 16729-239-93 2 mL $129.34
DEXRAZOXANE HCL 500 MG IV VIAL 0013-8727-89 1 each $586.98
DEXTRAN 40 10 % IN 0.9 % NACL 10 % IV BAG 0409-7419-03 500 mL $125.50
DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQUID 61787-062-04 118 mL $39.89
DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL LIQUID 60569-06204 118 mL $40.00
DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRUP 0904-0053-00 118 mL $36.83
DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRUP 0121-0638-00 5 mL $9.98
DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML ORAL SYRUP 0121-1276-00 10 mL $10.27
DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG ORAL TB12 63824-056-34 1 each $9.33
DEXTROSE 10 % IN WATER (D10W) 10 % IV BAG 0338-0023-03 500 mL $105.77
DEXTROSE 10 % IN WATER (D10W) 10 % IV BAG 0338-0023-04 1000 mL $106.54
DEXTROSE 10 % IV BOLUS 0409-7930-03 500 mL $107.50
DEXTROSE 10 % IV BOLUS 0409-7930-09 1000 mL $108.00
DEXTROSE 25 % IN WATER (D25W) IV SYRINGE 0409-1775-10 10 mL $132.28
DEXTROSE 40 % ORAL GEL 0574-0069-30 37.5 g $38.93
DEXTROSE 5 % IN WATER (D5W) 5 % IV IVPB 0338-0551-11 50 mL No charge
DEXTROSE 5 % IN WATER (D5W) IV BAG 0338-0017-02 250 mL No charge
DEXTROSE 5 % IN WATER (D5W) IV BAG 0338-0017-03 500 mL $104.93
DEXTROSE 5 % IN WATER (D5W) IV BAG 0338-0017-04 1000 mL $105.35
DEXTROSE 5 % IN WATER (D5W) IV BAG 0338-0017-10 25 mL No charge
DEXTROSE 5 % IN WATER (D5W) IV BAG 0338-0017-11 50 mL No charge
DEXTROSE 5 % IN WATER (D5W) IV BAG 0338-0017-18 100 mL No charge
DEXTROSE 5 % IN WATER (D5W) IV BAG 0338-0017-41 50 mL No charge
DEXTROSE 5 % IN WATER (D5W) IV BAG 0338-0017-48 100 mL No charge
DEXTROSE 5 % IN WATER (D5W) IV BAG 0409-7922-02 250 mL No charge
DEXTROSE 5 % IN WATER (D5W) IV FLUSH 0409-7922-03 500 mL $107.50
DEXTROSE 5 % SYRINGE FOR FLUSH UHCS-0003-61 5 mL $16.27
DEXTROSE 5 %-LACTATED RINGERS IV BAG 0338-0125-04 1000 mL $105.53
DEXTROSE 5% 10 ML FLUSH SYRINGE UHCS-0004-60 10 mL $16.48
DEXTROSE 5%-0.2 % SOD CHLORIDE IV BAG 0338-0077-04 1000 mL $105.90
DEXTROSE 50 % IN WATER (D50W) IV SYRINGE 0409-7517-16 50 mL $131.95
DEXTROSE 50% IN WATER (D50W) IV VIAL 0409-6648-02 50 mL $127.35
DEXTROSE 70 % IN WATER (D70W) IV BAG 0338-0719-06 2000 mL $117.00
DEXTROSE 70 % IN WATER (D70W) IV BAG 0409-7120-07 2000 mL $113.00
DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % INJ SOLUTION 0019-1317-09 200 mL $106.60
DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % ORAL SOLUTION 0019-4816-04 30 mL $48.06
DIAZEPAM  2 MG ORAL TAB 51079-284-20 1 each $12.06
DIAZEPAM  5 MG ORAL TAB 63739-073-10 1 each $12.04
DIAZEPAM (VALIUM) IV 0.2 MG/ML (NICU) UHCS-0000-63 25 mL $422.50
DIAZEPAM 5 MG/ML INJ SYRINGE 0409-1273-32 2 mL $148.80
DIAZOXIDE 50 MG/ML ORAL SUSPENSION 0575-6200-30 30 mL $290.44
DIBUCAINE 1 % TOP OINTMENT 54162-011-01 28 g $45.57
DICLOFENAC POTASSIUM 50 MG ORAL TAB 0781-5017-01 1 each $9.97
DICLOFENAC SODIUM  50 MG ORAL EC TABLET 51079-466-20 1 each $9.33
DICLOFENAC SODIUM  75 MG ORAL EC TABLET 51079-224-20 1 each $9.39
DICLOFENAC SODIUM 0.1 % OPHT DROPS 61314-014-25 2.5 mL $47.50
DICLOXACILLIN 250 MG ORAL CAP 0093-3123-01 1 each $9.46
DICYCLOMINE 10 MG ORAL CAP 0527-0586-01 1 each $9.12
DICYCLOMINE 10 MG/ML IM SOLUTION 58914-080-52 2 mL $199.32
DICYCLOMINE 20 MG ORAL TAB 51079-119-20 1 each $9.46
DIGOXIN  50 MCG/ML ORAL SOLUTION 0054-0057-46 60 mL $154.08
DIGOXIN (LANOXIN) IV 10 MCG/ML (NICU) UHCS-0000-61 10 mL $182.21
DIGOXIN (LANOXIN) PO 50MCG/ML (NICU) UHCS-0000-62 60 mL $134.08
DIGOXIN 100 MCG/ML INJ SOLUTION 70515-262-10 1 mL $210.48
DIGOXIN 125 MCG ORAL TAB 0904-5921-61 1 each $10.12
DIGOXIN 250 MCG ORAL TAB 0904-5922-61 1 each $10.09
DIGOXIN 250 MCG/ML INJ SOLUTION 0641-1410-35 2 mL $128.00
DIGOXIN IMMUNE FAB 40 MG IV VIAL 50633-120-11 1 each $5,906.55
DIHYDROERGOTAMINE 1 MG/ML INJ SOLUTION 0574-0850-05 1 mL $197.06
DILTIAZEM HCL  30 MG ORAL TAB 63739-079-10 1 each $9.10
DILTIAZEM HCL  60 MG ORAL TAB 63739-080-10 1 each $9.16
DILTIAZEM HCL  90 MG ORAL TAB 51079-747-20 1 each $9.33
DILTIAZEM HCL 100 MG IV VIAL 0409-4350-03 1 each $135.52
DILTIAZEM HCL 120 MG ORAL CP24 60687-195-01 1 each $9.25
DILTIAZEM HCL 180 MG ORAL CP24 60687-206-01 1 each $9.28
DILTIAZEM HCL 240 MG ORAL CP24 60687-217-01 1 each $9.57
DILTIAZEM HCL 300 MG ORAL CP24 60687-228-01 1 each $10.19
DILTIAZEM HCL 5 MG/ML IV SOLUTION 0641-6013-10 5 mL $126.40
DILTIAZEM HCL 5 MG/ML IV SOLUTION 0641-6015-10 25 mL $129.73
DILUENT FOR EPOPROSTENOL (GLY) IV SOLUTION 0173-0518-01 50 mL $32.40
DIMERCAPROL 100 MG/ML IM SOLUTION 17478-526-03 3 mL $282.00
DIMETHYL SULFOXIDE 50 % IVES SOLUTION 67457-177-50 50 mL $760.90
DINOPROSTONE 10 MG VAGL INER 55566-2800-1 1 each $387.78
DIPH PERTUS(ACEL) TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM SYRINGE 58160-810-52 0.5 mL $142.48
DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL ELIXIR 0121-0489-00 5 mL $11.02
DIPHENHYDRAMINE HCL 12.5 MG/5 ML ORAL LIQUID 0904-1228-00 118 mL $10.83
DIPHENHYDRAMINE HCL 25 MG ORAL CAP 0904-5306-61 1 each $9.03
DIPHENHYDRAMINE HCL 50 MG ORAL CAP 0904-2056-61 1 each $9.04
DIPHENHYDRAMINE HCL 50 MG/ML INJ SOLUTION 0641-0376-25 1 mL $125.52
DIPHENHYDRAMINE-ZINC ACETATE 2-0.1 % TOP CREAM 0904-5354-31 28.4 g $41.68
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG ORAL TAB 59762-1061-1 1 each $12.38
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5 ML ORAL LIQUID 0054-3194-46 60 mL $64.14
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5 ML ORAL LIQUID UHCS-0000-23 5 mL $16.35
DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM SUSPENSION 58160-842-11 0.5 mL $155.75
DIPYRIDAMOLE 25 MG ORAL TAB 64980-133-01 1 each $9.32
DIPYRIDAMOLE 50 MG ORAL TAB 64980-134-01 1 each $9.55
DIVALPROEX 125 MG ORAL CDRS 68084-313-01 1 each $9.74
DIVALPROEX 250 MG ORAL EC (DELAYED-RELEASE) TABLET 68084-776-01 1 each $9.21
DIVALPROEX 500 MG ORAL TB24 0904-6364-45 1 each $11.27
DOBUTAMINE (DOBUTREX) IV 2 MG/ML (NICU) UHCS-0001-04 30 mL $96.75
DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) IV SOLUTION 0409-2344-88 20 mL $129.48
DOBUTAMINE IN D5W 500 MG/250 ML (2000 MCG/ML) IV BAG 0409-2347-32 250 mL $112.75
DOCETAXEL 20 MG/2 ML (10 MG/ML) IV SOLUTION 0409-0201-02 2 mL $413.44
DOCETAXEL 80 MG/8 ML (10 MG/ML) IV SOLUTION 0409-0201-10 8 mL $546.62
DOCUSATE SODIUM  50 MG/5 ML ORAL LIQUID 0121-0544-10 10 mL $9.54
DOCUSATE SODIUM 100 MG ORAL CAP 0904-2244-61 1 each $9.03
DOCUSATE SODIUM 100 MG ORAL CAP 63739-478-10 1 each $9.03
DOFETILIDE 125 MCG ORAL CAP 59762-0037-2 1 each $12.87
DOFETILIDE 250 MCG ORAL CAP 59762-0038-2 1 each $12.63
DOLASETRON 100 MG/5 ML IV SOLUTION 0088-1206-32 5 mL $179.63
DONEPEZIL  5 MG ORAL TAB 60687-292-01 1 each $9.10
DONEPEZIL 10 MG ORAL TAB 60687-303-01 1 each $9.10
DOPAMINE 200 MG/5 ML (40 MG/ML) IV SOLUTION 0409-5820-01 5 mL $127.31
DOPAMINE IN D5W 400 MG/250 ML (1600 MCG/ML ) IV SOLN (NICU) 0338-1007-02 250 mL $112.50
DOPAMINE IN D5W 400 MG/250 ML (1600 MCG/ML) IV SOLUTION 0338-1007-02 250 mL $112.50
DORIPENEM 250 MG IV VIAL 60505-6160-4 1 each $143.40
DORIPENEM 500 MG IV VIAL 60505-6161-4 1 each $158.45
DORNASE ALFA 1 MG/ML INHL SOLUTION 50242-100-40 2.5 mL $114.59
DORZOLAMIDE 2 % OPHT DROPS 50383-232-10 10 mL $52.50
DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML OPHT DROPS 50383-233-10 10 mL $54.48
DOXAZOSIN 1 MG ORAL TAB 68084-836-25 1 each $9.79
DOXAZOSIN 2 MG ORAL TAB 68084-851-25 1 each $9.79
DOXAZOSIN 4 MG ORAL TAB 0904-5524-61 1 each $9.46
DOXEPIN  10 MG ORAL CAP 51079-436-20 1 each $9.49
DOXEPIN  25 MG ORAL CAP 51079-437-20 1 each $9.65
DOXEPIN  50 MG ORAL CAP 51079-438-20 1 each $9.89
DOXERCALCIFEROL 0.5 MCG ORAL CAP 0955-1720-50 1 each $13.08
DOXERCALCIFEROL 4 MCG/2 ML IV SOLUTION 58468-0123-1 2 mL $136.59
DOXORUBICIN  50 MG IV VIAL 0143-9277-01 1 each $601.76
DOXORUBICIN 50 MG VIAL FOR CHEMOEMBOLIZATION 67457-436-50 1 each $613.96
DOXORUBICIN 50 MG/25 ML IV SOLUTION 0069-3032-20 25 mL $384.00
DOXORUBICIN, PEG-LIPOSOMAL 2 MG/ML IV SUSPENSION 47335-049-40 10 mL $965.76
DOXYCYCLINE HYCLATE  50 MG ORAL CAP 50268-277-15 1 each $10.45
DOXYCYCLINE HYCLATE 100 MG IV VIAL 63323-130-11 1 each $142.16
DOXYCYCLINE HYCLATE 100 MG ORAL TAB 63739-168-33 1 each $11.18
DOXYLAMINE-PYRIDOXINE (VIT B6) 10-10 MG ORAL EC TABLET 55494-100-10 1 each $15.36
DRONABINOL  2.5 MG ORAL CAP 17478-761-06 1 each $14.32
DRONEDARONE 400 MG ORAL TAB 0024-4142-10 1 each $18.55
DULOXETINE 30 MG ORAL EC CAP 0904-6453-61 1 each $10.17
DULOXETINE 60 MG ORAL EC CAP 68084-692-01 1 each $10.08
DURVALUMAB 50 MG/ML IV SOLUTION 0310-4500-12 2.4 mL $1,472.06
DURVALUMAB 50 MG/ML IV SOLUTION 10 ML 0310-4611-50 10 mL $6,133.58
DUTASTERIDE 0.5 MG ORAL CAP 51991-749-90 1 each $9.31
ECULIZUMAB 300 MG/30 ML IV SOLUTION 25682-001-01 30 mL $11,415.23
EFAVIRENZ 600 MG ORAL TAB 0378-2233-93 1 each $36.65
ELECTROLYTE-A IV BAG 0338-0221-04 1000 mL $107.66
ELECTROLYTE-A IV BAG (PERFUSION) 0338-0221-04 1000 mL $107.66
ELOTUZUMAB 300 MG IV VIAL 0003-2291-11 1 each $3,249.98
ELOTUZUMAB 400 MG IV VIAL 0003-4522-11 1 each $4,333.28
EMOLLIENT COMBINATION NO.92 TOP LOTION 52800-48856 473 mL $44.26
EMPTY BAG 100 ML UHCS-0000-99 1 each $33.44
EMTRICITABINE-TENOFOVIR (TDF) 200-300 MG ORAL TAB 61958-0701-1 1 each $60.81
ENALAPRIL MALEATE  2.5 MG ORAL TAB 0904-5609-61 1 each $9.42
ENALAPRIL MALEATE  5 MG ORAL TAB 0904-5502-61 1 each $9.44
ENALAPRIL MALEATE 10 MG ORAL TAB 0904-5610-61 1 each $9.37
ENALAPRILAT 1.25 MG/ML IV SOLUTION 0143-9787-10 1 mL $127.71
ENOXAPARIN  80 MG/0.8 ML SUBQ SYRINGE 63323-568-90 0.8 mL $131.77
ENOXAPARIN 100 MG/ML SUBQ SYRINGE 63323-568-84 1 mL $133.47
ENOXAPARIN 120 MG/0.8 ML SUBQ SYRINGE 63323-569-90 0.8 mL $135.17
ENOXAPARIN 150 MG/ML SUBQ SYRINGE 63323-569-84 1 mL $137.73
ENOXAPARIN 30 MG/0.3 ML SUBQ SYRINGE UHCS-0003-17 0.3 mL $129.43
ENOXAPARIN 30 MG/0.3 ML SUBQ SYRINGE 63323-568-83 0.3 mL $127.69
ENOXAPARIN 40 MG/0.4 ML SUBQ SYRINGE 63323-568-87 0.4 mL $128.37
ENOXAPARIN 60 MG/0.6 ML SUBQ SYRINGE 63323-568-88 0.6 mL $129.84
EPHEDRINE SULFATE 50 MG/ML INJ SOLUTION 17478-515-00 1 mL $146.11
EPHEDRINE SULFATE-0.9%NACL(PF) 25 MG/5 ML (5 MG/ML) IV SYRINGE 61553-301-33 5 mL $131.14
EPIDURAL DRUG RESERVOIR 100 ML UHCS-0001-30 1 each $36.03
EPIDURAL DRUG RESERVOIR 250 ML UHCS-0001-31 1 each $36.60
EPINEPHRINE 0.1 MG/ML JET NEB UHCS-0003-29 5 mL $127.67
EPINEPHRINE 1 MG/ML (1:1000) (1ML) INJ SOLUTION 42023-159-25 1 mL $138.88
EPINEPHRINE 1 MG/ML (1:1000) INJ SOLUTION 42023-168-01 30 mL $361.22
EPINEPHRINE 1:10000 FOR CASS TUBE 0409-4921-34 10 mL $128.96
EPINEPHRINE BASE 0.1 MG/ML (1:10000) INJ SYRINGE 0409-4921-34 10 mL $128.96
EPINEPHRINE BITARTRATE (BULK) MISC POWDER 51552-0454-9 0.18 g $49.00
EPIRUBICIN  50 MG IV VIAL 61703-347-35 1 each $400.46
EPLERENONE 25 MG ORAL TAB 59762-1710-3 1 each $10.55
EPOETIN ALFA  2000 UNITS INJ SOLUTION 55513-126-10 1 mL $155.76
EPOETIN ALFA  3000 UNITS INJ SOLUTION 55513-267-10 1 mL $171.13
EPOETIN ALFA  4000 UNITS INJ SOLUTION 55513-148-10 1 mL $186.51
EPOETIN ALFA (EPOGEN) IV 250 UNITS/ML (NICU) UHCS-0000-60 8 mL $371.05
EPOETIN ALFA 10000 UNITS INJ SOLUTION 59676-310-02 1 mL $253.83
EPOETIN ALFA 20000 UNITS INJ SOLUTION 59676-320-04 1 mL $450.89
EPOETIN ALFA 40000 UNITS INJ SOLUTION 59676-340-01 1 mL $901.78
EPOPROSTENOL 1.5 MG/50 ML (30,000 NG/ML) FOR CONTINUOUS NEBULIZATION 0703-1995-01 1 each $179.83
EPTIFIBATIDE 0.75 MG/ML IV SOLUTION 55150-218-99 100 mL $362.08
ERGOCALCIFEROL (VITAMIN D2)   8000 UNIT/ML ORAL DROPS 69543-23460 60 mL $82.50
ERGOCALCIFEROL (VITAMIN D2) 50000 UNIT ORAL CAP 68084-463-01 1 each $10.02
ERGOCALCIFEROL (VITAMIN D2) PO 8000 UNITS/ML (NICU) UHCS-0004-12 60 mL $58.12
ERIBULIN 1 MG/2 ML (0.5 MG/ML) IV SOLUTION 62856-389-01 2 mL $1,923.25
ERTAPENEM 1 GRAM INJ VIAL 55150-282-20 1 each $208.10
ERYTHROMYCIN 250 MG ORAL EC TABLET 24338-122-03 1 each $15.48
ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINTMENT 17478-070-35 3.5 g $51.89
ERYTHROMYCIN 5 MG/GRAM (0.5 %) OPHT OINTMENT 24208-910-19 1 g $20.92
ERYTHROMYCIN ETHYLSUCCINATE (E-MYCIN) PO 200MG/5ML (NICU) UHCS-0002-88 100 mL $242.80
ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL RECON. SUSP. 24338-134-02 100 mL $262.80
ERYTHROMYCIN LACTOBIONATE  500 MG IV VIAL 0409-6482-01 1 each $189.74
ESCITALOPRAM OXALATE 10 MG ORAL TAB 0904-6426-61 1 each $9.13
ESMOLOL 100 MG/10 ML (10 MG/ML) IV SOLUTION 55150-194-10 10 mL $127.09
ESMOLOL IN NACL (ISO-OSM) 2500 MG/250 ML (10 MG/ML) IV BAG 67457-657-25 250 mL $295.50
ESOMEPRAZOLE MAGNESIUM 20 MG ORAL EC CAP 0186-5020-31 1 each $16.75
ESOMEPRAZOLE MAGNESIUM 40 MG ORAL EC CAP 0186-5040-31 1 each $16.75
ESTRADIOL 0.05 MG/24 HR TD WEEKLY PATCH 0378-3350-99 1 each $33.54
ESTRADIOL 0.1 MG/24 HR TD WEEKLY PATCH 0378-3352-99 1 each $33.65
ESTRADIOL 1 MG ORAL TAB 0555-0886-02 1 each $9.07
ESTRADIOL 2 MG ORAL TAB 0378-1458-01 1 each $9.21
ESTRADIOL CYPIONATE 5 MG/ML IM OIL 0009-0271-01 5 mL $222.42
ESTRADIOL VALERATE 20 MG/ML IM OIL 42023-111-01 5 mL $298.51
ESTROGENS-METHYLTESTOSTERONE 0.625-1.25 MG ORAL TAB 11528-020-01 1 each $11.78
ESTROGENS-METHYLTESTOSTERONE 1.25-2.5 MG ORAL TAB 11528-010-01 1 each $11.78
ETHAMBUTOL 400 MG ORAL TAB 68850-012-02 1 each $9.72
ETHANOL (ETHYL ALCOHOL) 98 % INJ SOLUTION 17478-503-05 5 mL $199.11
ETHIODIZED OIL 48 % INJ SOLUTION 67684-1901-1 10 mL $1,914.50
ETHYL CHLORIDE 100 % TOP AERO. SPRAY 0386-0001-02 103.5 mL $65.05
ETODOLAC 200 MG ORAL CAP 51672-4016-1 1 each $10.00
ETOMIDATE 2 MG/ML IV SOLUTION 0143-9507-10 20 mL $128.54

See Part 3 of this list.