Medication Charges Part 13

• MAGNESIUM CHLORIDE 64 MG ORAL EC TABLET 6858500575 60 each each 0.06 each 1 each $12.21
• MAGNESIUM CITRATE (BULK) MISC POWDER 38779-2762-8 500 g Jar 0.118 g 500 g $109.21
• MAGNESIUM CITRATE ORAL POWDER (REPACKAGE) UHCS-0005-71 17.5 g Package 0.118 g 17.5 g $50.67
• MAGNESIUM CITRATE ORAL SOLUTION 70677-0051-1 296 mL Bottle 0.012 mL 296 mL $17.05
• MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION 66689-053-99 30 mL Cup 0.041 mL 30 mL $13.38
• MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB 5789663412 120 each each 0.018 each 1 each $12.17
• MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB 1000670028 100 each each 0.051 each 1 each $12.20
• MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB 6498033990 1 each each 0.052 each 1 each $12.20
• MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB 63739-354-10 100 each each 0.068 each 1 each $12.22
• MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB 6858500698 100 each each 0.097 each 1 each $12.25
• MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLUTION 63323-064-02 2 mL Vial 0.73 mL 2 mL $170.21
• MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLUTION 51754-1000-4 10 mL Vial 0.497 mL 10 mL $173.72
• MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLUTION 63323-642-50 50 mL Vial 0.249 mL 50 mL $181.20
• MAGNESIUM SULFATE 40 GRAM/1000 ML (4 %) IV BAG 63323-106-10 1000 mL Flex Cont 4.316 Flex Cont 1000 mL $143.37
• MAGNESIUM SULFATE 40 GRAM/1000 ML (4 %) IV BAG 0409-6729-09 1000 mL Flex Cont 7.547 Flex Cont 1000 mL $146.60
• MAGNESIUM SULFATE IN D5W  1 G/100 ML IV IVPB 0338-1709-40 100 mL Flex Cont 0.013 mL 100 mL $170.05
• MAGNESIUM SULFATE IN D5W  1 G/100 ML IV IVPB 63323-108-01 100 mL Flex Cont 0.02 mL 100 mL $170.75
• MAGNESIUM SULFATE IN D5W  1 G/100 ML IV IVPB 44567-410-24 100 mL Bag 0.02 mL 100 mL $170.75
• MAGNESIUM SULFATE IN D5W  1 G/100 ML IV IVPB 67457-567-00 100 mL Bag 0.028 mL 100 mL $171.55
• MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV IVPB 67457-553-00 50 mL Bag 0.063 mL 50 mL $171.90
• MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV IVPB 63323-106-05 50 mL Flex Cont 0.064 mL 50 mL $171.95
• MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV IVPB 44567-420-00 50 mL Bag 0.074 mL 50 mL $172.45
• MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV IVPB 44567-420-24 50 mL Bag 0.074 mL 50 mL $172.45
• MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV IVPB 0338-1708-40 50 mL Flex Cont 0.233 mL 50 mL $180.40
• MAGNESIUM SULFATE IN WATER 4 GRAM/100 ML (4 %) IV IVPB 63323-106-01 100 mL Flex Cont 0.022 mL 100 mL $170.95
• MAGNESIUM SULFATE IN WATER 4 GRAM/100 ML (4 %) IV IVPB 44567-421-00 100 mL Bag 0.035 mL 100 mL $172.25
• MAGNESIUM SULFATE IN WATER 4 GRAM/50 ML (8 %) IV IVPB 0409-6730-13 50 mL Flex Cont 0.138 mL 50 mL $175.65
• MAGNESIUM SULFATE JET NEB 250 MMOLE/LITER INHALATION UHCS-0000-92 50 mL Syringe 0.027 mL 50 mL $170.10
• MANNITOL 20 % IV BAG 0990-7715-03 500 mL Flex Cont 0.033 mL 500 mL $155.55
• MANNITOL 20 % IV BAG 0338-0357-03 500 mL Bag 0.1 mL 500 mL $189.05
• MANNITOL 20 % IV SYRINGE 0338-0357-03 500 mL Bag 0.1 mL 500 mL $189.05
• MANNITOL 20% IV BAG (ANESTHESIA) 0409-7715-03 500 mL Flex Cont 0.038 mL 500 mL $158.05
• MANNITOL 20% IV BAG (PERFUSION) 0409-7715-03 500 mL Flex Cont 0.038 mL 500 mL $158.05
• MANNITOL 25 % IV SOLUTION 0409-4031-01 50 mL Vial 0.035 mL 50 mL $170.50
• MANNITOL 25% IV SOLUTION (ANESTHESIA) 0409-4031-01 50 mL Vial 0.035 mL 50 mL $170.50
• "MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ VIAL" 0006-4681-00 1 each each 78.945 each 1 each $247.70
• MECLIZINE 12.5 MG ORAL TAB 68084-490-01 100 each each 0.357 each 1 each $12.51
• MECLIZINE 25 MG ORAL TAB 0904-6517-61 100 each each 0.335 each 1 each $12.49
• MEDICATION CHARGE UH SUMMERVILLE UHCS-0004-64 1 each each 0 each 1 each $0.00
• MEDROXYPROGESTERONE  2.5 MG ORAL TAB 0555-0872-02 100 each each 0.069 each 1 each $12.22
• MEDROXYPROGESTERONE 10 MG ORAL TAB 60687-105-21 30 each each 1.29 each 1 each $13.44
• MEDROXYPROGESTERONE 150 MG/ML IM SUSPENSION 16714-981-01 1 mL Vial 16.58 mL 1 mL $185.33
• MEDROXYPROGESTERONE 150 MG/ML IM SUSPENSION 0548-5400-00 1 mL Vial 18.46 mL 1 mL $187.21
• MEGESTROL 20 MG ORAL TAB 49884-289-01 100 each each 0.079 each 1 each $12.23
• MEGESTROL 40 MG ORAL TAB 0904-3571-61 100 each each 0.215 each 1 each $12.37
• MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION UHCS-0001-44 60 mL Bottle 0.139 mL 60 mL $56.94
• MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION 50383-859-24 240 mL Bottle 0.043 mL 240 mL $58.92
• MELATONIN  3 MG ORAL TAB 2055503601 100 each each 0.101 each 1 each $12.25
• MELATONIN  3 MG ORAL TAB 7733351625 1 each each 0.203 each 1 each $12.35
• MELOXICAM  7.5 MG ORAL TAB 50268-525-15 50 each each 0.083 each 1 each $12.23
• MEMANTINE 10 MG ORAL TAB 60687-184-57 60 each each 0.274 each 1 each $12.42
• MEMANTINE 10 MG ORAL TAB 0904-6506-61 100 each each 0.294 each 1 each $12.44
• "MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT" 58160-955-09 0.5 mL Vial 201.336 mL .5 mL $269.42
• MENTHOL  4 % TP GEL 31124-00040 89 mL Bottle 1 Bottle 89 mL $55.00
• MENTHOL-ZINC OXIDE 0.44-20.6 % TP OINTMENT 0799-0001-04 113 g Tube 0.04 g 113 g $58.52
• MEPERIDINE  50 MG ORAL TAB 42806-050-01 100 each each 0.68 each 1 each $16.88
• MEPERIDINE (DEMEROL) PCA (MIXED IN IV ROOM) $207.14
• MEPERIDINE (DEMEROL) RANGED DOSE 25-100 MG 0641-6052-01 25 mg mg 0.076 mg 25 mg $170.65
• MEPERIDINE (DEMEROL) RANGED DOSE 25-100 MG 0641-6054-01 100 mg mg 0.022 mg 100 mg $170.95
• MEPERIDINE (DEMEROL) RANGED DOSE 25-100 MG 0409-1256-11 100 mg mg 0.036 mg 100 mg $172.35
• MEPERIDINE (DEMEROL) RANGED DOSE 25-100 MG 0409-1179-30 75 mg mg 0.068 mg 75 mg $173.85
• MEPERIDINE (DEMEROL) RANGED DOSE 25-100 MG 0409-1180-69 100 mg mg 0.051 mg 100 mg $173.85
• MEPERIDINE (DEMEROL) RANGED DOSE 25-100 MG 0409-1176-30 25 mg mg 0.209 mg 25 mg $173.98
• MEPERIDINE (DEMEROL) RANGED DOSE 25-100 MG 0409-1178-30 50 mg mg 0.108 mg 50 mg $174.15
• MEPERIDINE (DEMEROL) RANGED DOSE 25-50 MG 0641-6052-01 25 mg mg 0.076 mg 25 mg $170.65
• MEPERIDINE (DEMEROL) RANGED DOSE 25-50 MG 0641-6053-01 50 mg mg 0.04 mg 50 mg $170.75
• MEPERIDINE (DEMEROL) RANGED DOSE 25-50 MG 0409-1176-30 25 mg mg 0.209 mg 25 mg $173.98
• MEPERIDINE (DEMEROL) RANGED DOSE 25-50 MG 0409-1178-30 50 mg mg 0.108 mg 50 mg $174.15
• MEPERIDINE (DEMEROL) RANGED DOSE 75-100 MG 0641-6054-01 100 mg mg 0.022 mg 100 mg $170.95
• MEPERIDINE (DEMEROL) RANGED DOSE 75-100 MG 0409-1179-30 75 mg mg 0.068 mg 75 mg $173.85
• MEPERIDINE (DEMEROL) RANGED DOSE 75-100 MG 0409-1180-69 100 mg mg 0.051 mg 100 mg $173.85
• MEPERIDINE (PF)  25 MG/ML INJ SOLUTION 0641-6052-25 25 mg Vial 0.076 mg 25 mg $170.65
• MEPERIDINE (PF)  25 MG/ML INJ SYRINGE 0409-1176-30 25 mg Cartridge 0.209 mg 25 mg $173.98
• MEPERIDINE (PF)  25 MG/ML INJ SYRINGE (ANESTHESIA) UHCS-ANES-22 1 Syringe Syringe Syringe 1 Syringe $0.00
• MEPERIDINE (PF)  50 MG/ML INJ SOLUTION 0641-6053-25 50 mg Vial 0.04 mg 50 mg $170.75
• MEPERIDINE (PF)  50 MG/ML INJ SYRINGE 0409-1178-30 50 mg Cartridge 0.108 mg 50 mg $174.15
• MEPERIDINE (PF)  50 MG/ML INJ SYRINGE (ANESTHESIA) UHCS-ANES-23 1 Syringe Syringe Syringe 1 Syringe $0.00
• MEPERIDINE (PF)  75 MG/ML INJ SYRINGE 0409-1179-30 75 mg Syringe 0.068 mg 75 mg $173.85
• MEPERIDINE (PF)  75 MG/ML INJ SYRINGE (ANESTHESIA) UHCS-ANES-24 1 Syringe Syringe Syringe 1 Syringe $0.00
• MEPERIDINE (PF) 100 MG/ML INJ SOLUTION 0641-6054-01 100 mg Vial 0.022 mg 100 mg $170.95
• MEPERIDINE (PF) 100 MG/ML INJ SYRINGE 0409-1180-69 100 mg Cartridge 0.051 mg 100 mg $173.85
• MEPERIDINE (PF) 100 MG/ML INJ SYRINGE (ANESTHESIA) UHCS-ANES-25 1 Syringe Syringe Syringe 1 Syringe $0.00
• MEPIVACAINE (PF) 10 MG/ML (1 %) INJ SOLUTION 0409-1036-30 30 mL Vial 0.136 mL 30 mL $172.83
• MEPIVACAINE (PF) 10 MG/ML (1 %) INJ SOLUTION 63323-260-37 30 mL Vial 0.188 mL 30 mL $174.39
• MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJ SOLUTION 63323-293-37 30 mL Vial 0.256 mL 30 mL $176.43
• MEPOLIZUMAB 100 MG SUBQ VIAL 0173-0881-01 1 each each 2963.93 each 1 each "$5,964.91"
• MERCAPTOPURINE 50 MG ORAL TAB 0054-4581-11 25 each each 1.376 each 1 each $13.53
• MEROPENEM 1 G IV VIAL 55150-208-30 1 each each 4.928 each 1 each $173.68
• MEROPENEM 1 G IV VIAL 63323-508-31 1 each each 5.357 each 1 each $174.11
• MEROPENEM 1 G IV VIAL FOR PUSH 63323-508-31 1 each each 5.357 each 1 each $174.11
• MEROPENEM 500 MG IV VIAL 55150-207-20 1 each each 1.447 each 1 each $170.20
• MEROPENEM 500 MG IV VIAL FOR PUSH 55150-207-20 1 each each 1.447 each 1 each $170.20
• MEROPENEM-VABORBACTAM 2 G IV VIAL 70842-120-06 1 each each 189.205 each 1 each $380.78
• MESALAMINE  400 MG ORAL CDTI 59762-0117-1 180 each each 1.283 each 1 each $13.43
• MESALAMINE  500 MG ORAL CPER 63304-089-13 120 each each 3.077 each 1 each $15.23
• MESALAMINE  500 MG ORAL CPER 54092-191-12 120 each each 5.608 each 1 each $17.76
• MESALAMINE 1000 MG RECT SUPPOSITORY 69918-560-30 30 each each 6.414 each 1 each $30.71
• MESALAMINE 4 GRAM/60 ML RECT ENEMA 45802-098-51 60 mL SQUEEZ BTL 0.119 mL 60 mL $61.14
• MESNA 100 MG/ML IV SOLUTION 10019-953-01 10 mL Vial 0.752 mL 10 mL $176.27
• MESNA 100 MG/ML IV SOLUTION 10019-953-62 10 mL Vial 0.752 mL 10 mL $176.27
• METAXALONE 800 MG ORAL TAB 55111-650-01 100 each each 1.386 each 1 each $13.54
• METFORMIN  500 MG ORAL TAB 0904-7162-61 100 each each 0.045 each 1 each $12.20
• METFORMIN  500 MG ORAL TAB 0904-6689-61 100 each each 0.049 each 1 each $12.20
• METFORMIN  500 MG ORAL TB24 70010-491-01 100 each each 0.034 each 1 each $12.18
• METFORMIN  500 MG ORAL TB24 50268-531-15 50 each each 0.286 each 1 each $12.44
• METFORMIN  500 MG ORAL TB24 60687-640-01 100 each each 0.33 each 1 each $12.48
• METFORMIN  500 MG ORAL TG24 68462-520-01 100 each each 2.286 each 1 each $14.44
• METFORMIN  850 MG ORAL TAB 0904-6690-61 100 each each 0.192 each 1 each $12.34
• METHACHOLINE CHLORIDE INHALATION KIT 69374-542-06 18 mL Vial 7.5 mL 18 mL $303.75
• METHADONE  5 MG ORAL TAB 0406-5755-62 100 each each 0.154 each 1 each $16.35
• METHADONE 10 MG ORAL TAB 0406-5771-62 100 each each 0.236 each 1 each $16.44
• METHAZOLAMIDE 25 MG ORAL TAB 0574-0790-01 100 each each 2.125 each 1 each $14.28
• METHEN-SOD PHOS-METH BLUE-HYOS 81.6-40.8-0.12 MG ORAL TAB 0485-0151-30 30 each each 4.344 each 1 each $16.49
• METHIMAZOLE  5 MG ORAL TAB 60687-357-01 100 each each 0.462 each 1 each $12.61
• METHIMAZOLE (TAPAZOLE) PO 3MG/ML (NICU) UHCS-0003-35 1 each each 5.35 Syringe 1 each $26.95
• METHIMAZOLE 10 MG ORAL TAB 60687-370-01 100 each each 0.595 each 1 each $12.75
• METHOCARBAMOL  500 MG ORAL TAB 76385-123-01 100 each each 0.071 each 1 each $12.22
• METHOCARBAMOL  750 MG ORAL TAB 76385-124-01 100 each each 0.085 each 1 each $12.24
• METHOHEXITAL 500 MG INJ VIAL 42023-105-01 1 each each 76.38 each 1 each $245.13
• METHOTREXATE SODIUM  2.5 MG ORAL TAB 50268-527-15 50 each each 0.824 each 1 each $12.97
• METHOTREXATE SODIUM  2.5 MG ORAL TAB 50268-527-11 1 each each 0.824 each 1 each $12.97
• METHOTREXATE SODIUM  2.5 MG ORAL TAB 51079-670-05 20 each each 1.825 each 1 each $13.98
• METHOTREXATE SODIUM (PF) 25 MG/ML INJ SOLUTION 0143-9519-10 2 mL Vial 1.164 mL 2 mL $501.83
• METHOTREXATE SODIUM (PF) 25 MG/ML INJ SOLUTION 61703-408-41 40 mL Vial 0.265 mL 40 mL $510.10
• METHYL SALICYLATE TP LIQUID 395166792 60 mL Bottle 0.105 mL 60 mL $60.30
• METHYL SALICYLATE-MENTHOL 15-10 % TP CREAM 45802-174-53 85 g Tube 0.024 g 85 g $56.04
• METHYLCELLULOSE (WITH SUGAR) 2 GRAM/19 GRAM ORAL POWDER 0904-5675-16 454 g Jar 0.01 g 454 g $18.04
• METHYLCELLULOSE 4000CPS (BULK) 30 % MISC POWDER 5155202109 0.15 g Jar 10 Jar .15 g $64.00
• METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) IV SOLUTION 17478-504-10 10 mL Vial 16.6 mL 10 mL $334.08
• METHYLENE BLUE (ANTIDOTE) 5 MG/ML IV SOLUTION 0517-0374-05 10 mL AMPUL 18.256 mL 10 mL $367.40
• METHYLENE BLUE (ANTIDOTE) 5 MG/ML IV SOLUTION 0517-0374-01 10 mL AMPUL 18.256 mL 10 mL $367.40
• METHYLERGONOVINE 0.2 MG ORAL TAB 69238-1605-8 28 each each 11.941 each 1 each $24.09
• METHYLERGONOVINE 0.2 MG ORAL TAB 60687-410-94 20 each each 50.804 each 1 each $62.95
• METHYLERGONOVINE 0.2 MG/ML (1 ML) INJ SOLUTION 0517-0740-20 1 mL Vial 19.444 mL 1 mL $188.19
• METHYLNALTREXONE 12 MG/0.6 ML SUBQ SOLUTION 65649-551-02 0.6 mL Vial 223.433 mL .6 mL $302.81
• METHYLPHENIDATE HCL   5 MG ORAL TAB 68084-805-21 30 each each 1.538 each 1 each $17.74
• METHYLPHENIDATE HCL  54 MG ORAL 24HR. TAB 0378-8158-01 100 each each 6.42 each 1 each $12.92
• METHYLPREDNISOLONE  4 MG ORAL DOSE PACK 0009-0056-04 21 each each 0.281 each 1 each $54.50
• METHYLPREDNISOLONE  4 MG ORAL TAB 68084-149-01 100 each each 1.209 each 1 each $13.36
• METHYLPREDNISOLONE (SOLU-MEDROL) IV 2MG/ML (NICU) UHCS-0000-29 1 each each 4.498 each 1 each $173.25
• METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSPENSION 0009-3073-23 1 mL Vial 4.064 mL 1 mL $172.81
• METHYLPREDNISOLONE SOD SUC(PF) 1000 MG/8 ML IV VIAL 0009-0018-20 1 each each 52.83 each 1 each $221.58
• METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML INJ VIAL 0009-0047-26 1 each each 7.159 each 1 each $175.91
• METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML INJ VIAL 0009-0039-32 1 each each 4.498 each 1 each $173.25
• METOCLOPRAMIDE (REGLAN) IV 0.1 MG/ML (NICU) UHCS-0000-28 25 mL Vial 0.49 mL 25 mL $181.00
• METOCLOPRAMIDE (REGLAN) PO 0.5 MG/ML (NICU) UHCS-0000-18 30 mL Bottle 0.01 mL 30 mL $21.90
• METOCLOPRAMIDE HCL  5 MG ORAL TAB 63739-103-10 100 each each 0.105 each 1 each $12.26
• METOCLOPRAMIDE HCL  5 MG/ML INJ SOLUTION 0409-3414-01 2 mL Vial 0.49 mL 2 mL $169.73
• METOCLOPRAMIDE HCL  5 MG/ML INJ SOLUTION 0409-3414-18 2 mL Vial 0.49 mL 2 mL $169.73
• METOCLOPRAMIDE HCL 10 MG ORAL TAB 63739-293-10 100 each each 0.101 each 1 each $12.25

See Part 14