Medication Charges Part 3

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
ETOPOSIDE 20 MG/ML IV SOLUTION 16729-114-31 5 mL $374.89
ETOPOSIDE 20 MG/ML IV SOLUTION 16729-114-08 25 mL $390.20
EVACUATED CONTAINER 1000 ML UHCS-0001-64 1 each $44.01
EXENATIDE 10 MCG/DOSE(250 MCG/ML) 2.4 ML SUBQ PEN 0310-6524-01 2.4 mL $1,115.29
EXENATIDE 5 MCG/DOSE (250 MCG/ML) 1.2 ML SUBQ PEN 0310-6512-01 1.2 mL $1,115.29
EZETIMIBE 10 MG ORAL TAB 69238-1154-9 1 each $9.45
FACTOR IX CPLX(PCC)NO4,3FACTOR 500 (+/-) UNIT IV VIAL 68516-3201-1 1 each $125.93
FAMCICLOVIR 125 MG ORAL TAB 60505-3245-3 1 each $9.34
FAMCICLOVIR 500 MG ORAL TAB 60505-3247-3 1 each $10.08
FAMOTIDINE (PF) 20 MG/2 ML IV SOLUTION 63323-739-12 2 mL $125.64
FAMOTIDINE 20 MG ORAL TAB 51079-966-20 1 each $9.06
FAT EMULSION 20 % IV EMULSION 0338-0519-09 250 mL $180.16
FAT EMULSION 20 % IV EMULSION 0338-0519-13 500 mL $180.87
FEBUXOSTAT 40 MG ORAL TAB 64764-918-30 1 each $18.81
FELODIPINE  5 MG ORAL TB24 13668-133-01 1 each $9.35
FENOFIBRATE  54 MG ORAL TAB 68084-827-25 1 each $10.01
FENOFIBRATE 160 MG ORAL TAB 68084-328-21 1 each $11.69
FENTANYL  12 MCG/HR TD 72HR PATCH 0781-7240-55 1 each $37.06
FENTANYL  25 MCG/HR TD 72HR PATCH 60505-7006-2 1 each $26.24
FENTANYL  50 MCG/HR TD 72HR PATCH 60505-7007-2 1 each $31.09
FENTANYL  75 MCG/HR TD 72HR PATCH 60505-7008-2 1 each $33.48
FENTANYL (PF)-BUPIVACAINE-NACL 5 MCG/ML -0.0625 % EPID SOLUTION 61553-137-02 250 mL $192.13
FENTANYL (SUBLIMAZE) IV 5 MCG/ML (NICU) UHCS-0000-49 20 mL $130.30
FENTANYL 100 MCG/HR TD 72HR PATCH 60505-7009-2 1 each $39.99
FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLUTION 0409-9093-32 2 mL $125.53
FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLUTION 0409-9093-35 5 mL $125.33
FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLUTION 0409-9093-38 20 mL $126.18
FENTANYL CITRATE (PF) 50 MCG/ML INJ SOLUTION 0409-9094-28 10 mL $127.20
FENTANYL CITRATE (PF)-0.9%NACL 10 MCG/2 ML (5 MCG/ML) IV SYRINGE 61553-339-28 2 mL $129.11
FENTANYL CITRATE (PF)-0.9%NACL 10 MCG/ML IV SOLUTION 61553-113-02 250 mL $215.96
FENTANYL CITRATE-0.9% NACL (PF) 10 MCG/ML EPIDURAL 61553-113-02 250 mL $215.96
FENTANYL-ROPIVACAINE-NACL (PF) 2-0.2 MCG/ML-% INJ SOLUTION 61553-626-52 100 mL $199.80
FERRIC CARBOXYMALTOSE 50 IRON MG/ML IV SOLUTION 0517-0650-01 15 mL $1,354.55
FERRIC SUBSULFATE (BULK) 20 TO 22 GRAM/100 ML MISC SOLUTION 51552-0357-3 100 mL $54.00
FERROUS FUMARATE 200 MG (65 MG IRON) W/ VIT C (25 MG) ORAL TBER 36652-26769 1 each $9.13
FERROUS GLUCONATE 324 MG (37.5 MG IRON) ORAL TAB 0904-2137-61 1 each $9.03
FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS 54838-011-50 50 mL $38.55
FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR UHCS-0001-40 60 mL $36.42
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID 0121-0530-05 5 mL $10.50
FERROUS SULFATE 325 MG ORAL TAB 0904-7591-61 1 each $9.02
FERROUS SULFATE DRIED 144 MG (45 MG IRON) ORAL TBER 40985-27343 1 each $9.04
FERUMOXYTOL 510 MG/17 ML (30 MG/ML) IV SOLUTION 59338-775-01 17 mL $1,370.40
FEXOFENADINE 180 MG ORAL TAB 0088-1109-47 1 each $9.30
FIDAXOMICIN 200 MG ORAL TAB 52015-080-01 1 each $92.66
FILGRASTIM-SNDZ 300 MCG/0.5 ML INJ SYRINGE 61314-318-10 0.5 mL $333.34
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJ SYRINGE 61314-326-10 0.8 mL $530.83
FINASTERIDE 5 MG ORAL TAB 65862-149-90 1 each $9.10
FLAVOXATE 100 MG ORAL TAB 50268-324-15 1 each $9.93
FLECAINIDE  50 MG ORAL TAB 0054-0010-20 1 each $9.30
FLECAINIDE 100 MG ORAL TAB 43199-057-01 1 each $9.65
FLU VAC QS 2018-19(6-35MO)(PF) 30 MCG (7.5 MCG X 4)/0.25 ML IM SYRINGE 49281-518-00 0.25 mL $141.21
FLU VAC QV 2018(18YR UP)RC(PF) 180 MCG (45 MCG X 4)/0.5 ML IM SYRINGE 49281-718-88 0.5 mL $170.72
FLU VACC QS2018-19 6MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRINGE 58160-898-41 0.5 mL $141.04
FLU VACC TS2018-19 65YR UP(PF) 180 MCG/0.5 ML IM SYRINGE 49281-403-88 0.5 mL $170.72
FLUCONAZOLE (DIFLUCAN) IV 2 MG/ML (NICU) UHCS-0000-48 100 mL $129.60
FLUCONAZOLE (DIFLUCAN) PO 10 MG/ML (NICU) UHCS-0000-47 24 mL $29.73
FLUCONAZOLE 10 MG/ML ORAL RECON. SUSP. 16714-695-01 35 mL $45.91
FLUCONAZOLE 100 MG ORAL TAB 0904-6500-61 1 each $10.07
FLUCONAZOLE IN NACL (ISO-OSM) 100 MG/50 ML IV IVPB 55390-194-01 50 mL $130.90
FLUCONAZOLE IN NACL (ISO-OSM) 200 MG/100 ML IV IVPB 0338-6046-48 100 mL $131.20
FLUCONAZOLE IN NACL (ISO-OSM) 400 MG/200 ML IV IVPB 0338-6045-37 200 mL $131.80
FLUCYTOSINE (ANCOBON) PO 10MG/ML (NICU) UHCS-0000-46 1 each $133.86
FLUCYTOSINE 250 MG ORAL CAP 42794-009-08 1 each $36.83
FLUDARABINE 50 MG/2 ML IV SOLUTION 63323-192-02 2 mL $420.54
FLUDROCORTISONE 0.1 MG ORAL TAB 68084-288-01 1 each $9.65
FLUMAZENIL 0.1 MG/ML IV SOLUTION 0143-9784-10 5 mL $127.49
FLUOCINONIDE 0.05 % TOP CREAM 51672-1386-2 30 g $64.09
FLUOCINONIDE 0.05 % TOP OINTMENT 51672-1264-2 30 g $64.03
FLUORESCEIN 1 MG OPHT STRIP 17478-404-01 1 each $18.14
FLUORESCEIN 500 MG/5 ML (10 %) IV SOLUTION 17478-253-10 5 mL $145.00
FLUOROMETHOLONE 0.1 % OPHT DROPS. 60758-880-05 5 mL $110.90
FLUOROMETHOLONE 0.25 % OPHT DROPS. 11980-228-05 5 mL $180.06
FLUOROURACIL 5 GRAM/100 ML IV SOLUTION 63323-117-61 100 mL $384.90
FLUOROURACIL 5 GRAM/100 ML IV SOLUTION 16729-276-38 100 mL $421.00
FLUOROURACIL 500 MG/10 ML IV SOLUTION 63323-117-10 10 mL $371.85
FLUOXETINE 10 MG ORAL CAP 65862-192-01 1 each $9.05
FLUOXETINE 20 MG ORAL CAP 0904-5785-61 1 each $9.07
FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION 54838-523-40 120 mL $41.40
FLURAZEPAM 15 MG ORAL CAP 0378-4415-01 1 each $11.46
FLURBIPROFEN SODIUM 0.03 % OPHT DROPS 24208-314-25 2.5 mL $51.82
FLUTICASONE  44 MCG/ACTUATION INHL HFA INHALER 0173-0718-20 10.6 g $215.12
FLUTICASONE  50 MCG/ACTUATION NASL SPRAY SUSP. 60505-0829-1 16 g $75.42
FLUTICASONE 110 MCG/ACTUATION INHL HFA INHALER 0173-0719-20 12 g $269.37
FLUTICASONE 220 MCG/ACTUATION INHL HFA INHALER 0173-0720-20 12 g $387.98
FLUTICASONE-SALMETEROL 100-50 MCG/DOSE INHL DISKUS 0173-0695-04 1 each $13.18
FLUTICASONE-SALMETEROL 115-21 MCG/ACTUATION INHL HFA INHALER 0173-0716-22 8 g $194.33
FLUTICASONE-SALMETEROL 230-21 MCG/ACTUATION INHL HFA INHALER 0173-0717-22 8 g $209.67
FLUTICASONE-SALMETEROL 250-50 MCG/DOSE INHL DISKUS 0173-0696-04 1 each $13.18
FLUTICASONE-SALMETEROL 500-50 MCG/DOSE INHL DISKUS 0173-0697-04 1 each $14.98
FLUVASTATIN 80 MG ORAL TB24 0378-5121-93 1 each $15.00
FLUVOXAMINE  50 MG ORAL TAB 51079-992-20 1 each $9.41
FOLIC ACID  1 MG ORAL TAB 62584-897-01 1 each $9.12
FOLIC ACID  5 MG/ML INJ SOLUTION 63323-184-10 10 mL $1,871.16
FOLIC ACID-VIT B6-VIT B12 2.5-25-2 MG ORAL TAB 51991-38490 1 each $9.47
FOMEPIZOLE 1 GRAM/ML IV SOLUTION 67457-211-02 1.5 mL $857.29
FONDAPARINUX 10 MG/0.8 ML SUBQ SYRINGE 55111-681-10 0.8 mL $154.24
FONDAPARINUX 2.5 MG/0.5 ML SUBQ SYRINGE 55111-678-10 0.5 mL $134.49
FONDAPARINUX 7.5 MG/0.6 ML SUBQ SYRINGE 55111-680-10 0.6 mL $154.24
FORMOTEROL FUMARATE 20 MCG/2 ML INHL NEBULIZER 49502-605-30 2 mL $12.15
FOSAPREPITANT 150 MG IV VIAL 0006-3061-00 1 each $543.06
FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET 0456-4300-01 1 each $82.62
FOSINOPRIL 10 MG ORAL TAB 76282-200-90 1 each $9.12
FOSINOPRIL 20 MG ORAL TAB 69097-857-05 1 each $9.12
FOSPHENYTOIN (CEREBYX) IV 10 MG/ML (NICU) UHCS-0000-45 10 mL $131.95
FOSPHENYTOIN 100 MG PE/2 ML INJ SOLUTION 67457-516-25 2 mL $127.34
FOSPHENYTOIN 500 MG PE/10 ML INJ SOLUTION 67457-517-01 10 mL $138.13
FULVESTRANT 250 MG/5 ML IM SYRINGE 0310-0720-10 5 mL $1,550.50
FUROSEMIDE (LASIX) PO 10 MG/ML (NICU) UHCS-0000-44 60 mL $21.04
FUROSEMIDE 10 MG/ML INJ SOLUTION 0409-6102-02 2 mL $126.06
FUROSEMIDE 10 MG/ML INJ SOLUTION 0409-6102-04 4 mL $126.11
FUROSEMIDE 10 MG/ML INJ SOLUTION 0409-6102-10 10 mL $126.72
FUROSEMIDE 10 MG/ML ORAL SOLUTION 0054-3294-46 60 mL $41.04
FUROSEMIDE 20 MG ORAL TAB 0054-8297-25 1 each $9.03
FUROSEMIDE 40 MG ORAL TAB 0054-4299-25 1 each $9.11
FUROSEMIDE 80 MG ORAL TAB 51079-527-20 1 each $9.11
GABAPENTIN 100 MG ORAL CAP 63739-591-10 1 each $9.06
GABAPENTIN 300 MG ORAL CAP 63739-236-10 1 each $9.11
GABAPENTIN 400 MG ORAL CAP 63739-984-10 1 each $9.13
GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) IV SOLUTION 50419-325-12 10 mL $156.54
GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML (469.01 MG/ML) IV SOLUTION 50419-188-84 20 mL $156.54
GADOPENTETATE DIMEGLUMINE 2.5 MMOL/5 ML (469.01 MG/ML) IV SOLUTION 50419-188-05 5 mL $137.77
GADOPENTETATE DIMEGLUMINE 7.5 MMOL/15 ML (469.01 MG/ML) IV SOLUTION 50419-188-15 15 mL $148.66
GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) IV SOLUTION 67684-2000-2 15 mL $149.35
GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) IV SOLUTION 67684-2000-3 20 mL $157.46
GADOXETATE 2.5 MMOL/10 ML (181.43 MG/ML) IV SOLUTION 50419-320-05 10 mL $256.66
GALANTAMINE  4 MG ORAL TAB 0054-0090-21 1 each $9.54
GALANTAMINE  8 MG ORAL C24P 47335-835-83 1 each $11.07
GANCICLOVIR SODIUM 500 MG IV VIAL 63323-315-10 1 each $419.20
GELATIN ABSORBABLE 100 TOP SPONGE 0009-0342-01 1 each $56.79
GELATIN ABSORBABLE 12-7 MM TOP SPONGE 0009-0315-08 1 each $43.68
GELATIN ABSORBABLE MM POWDER 0009-0433-04 1 g $88.00
GELATIN ABSORBABLE OPHT FILM 0009-0297-03 1 each $225.52
GEMCITABINE 1 GRAM IV VIAL 25021-235-50 1 each $388.55
GEMCITABINE 200 MG IV VIAL 25021-234-10 1 each $376.49
GEMFIBROZIL 600 MG ORAL TAB 60687-224-01 1 each $9.20
GENTAMICIN (GARAMYCIN) IM 10 MG/ML (NICU) UHCS-0000-59 2 mL $126.38
GENTAMICIN 0.1 % TOP CREAM 45802-056-35 15 g $72.57
GENTAMICIN 0.1 % TOP OINTMENT 45802-046-35 15 g $72.57
GENTAMICIN 0.3 % (3 MG/GRAM) OPHT OINTMENT 17478-284-35 3.5 g $64.49
GENTAMICIN 0.3 % OPHT DROPS 60758-188-05 5 mL $48.72
GENTAMICIN 40 MG/ML INJ SOLUTION 0409-1207-03 2 mL $125.78
GENTAMICIN IN NACL (ISO-OSM)  60 MG/50 ML IV IVPB 0338-0507-41 50 mL $127.30
GENTAMICIN IN NACL (ISO-OSM)  80 MG/100 ML IV IVPB 0338-0503-48 100 mL $127.40
GENTAMICIN IN NACL (ISO-OSM) 100 MG/100 ML IV IVPB 0338-0505-48 100 mL $127.60
GENTAMICIN IN NACL (ISO-OSM) 120 MG/100 ML IV IVPB 0338-0507-48 100 mL $127.80
GENTAMICIN IV 5MG/ML (NICU) UHCS-0001-01 20 mL $138.82
GENTAMICIN JET NEBS UHCS-0001-98 5 mL $127.34
GENTAMICIN SULFATE (PED) (PF) 20 MG/2 ML INJ SOLUTION 63323-173-02 2 mL $126.38
GENTIAN VIOLET 1 % TOP SOLUTION 24385-003-46 59 mL $42.48
GI COCKTAIL 30 ML  UHCS-0001-02 30 mL $23.09
GLIMEPIRIDE 1 MG ORAL TAB 0093-7254-01 1 each $9.10
GLIMEPIRIDE 2 MG ORAL TAB 68084-326-01 1 each $9.50
GLIMEPIRIDE 4 MG ORAL TAB 51079-426-20 1 each $9.39
GLIPIZIDE  2.5 MG ORAL 24HR. TAB 68084-295-21 1 each $9.85
GLIPIZIDE  5 MG ORAL 24HR. TAB 68084-111-01 1 each $9.49
GLIPIZIDE  5 MG ORAL TAB 51079-810-20 1 each $9.29
GLIPIZIDE 10 MG ORAL 24HR. TAB 0591-0845-01 1 each $9.53
GLIPIZIDE 10 MG ORAL TAB 51079-811-20 1 each $9.58
GLUCAGON (HUMAN RECOMBINANT) 1 MG/ML INJ VIAL 0597-0260-10 1 each $284.16
GLUCOSAMINE-CHONDROIT-VIT C-MN 500-400 MG ORAL CAP 50268-376-15 1 each $9.24
GLYBURIDE 2.5 MG ORAL TAB 51079-872-20 1 each $9.22
GLYBURIDE 5 MG ORAL TAB 63739-119-10 1 each $9.14
GLYBURIDE MICRONIZED 3 MG ORAL TAB 0143-9919-01 1 each $9.04
GLYBURIDE-METFORMIN 2.5-500 MG ORAL TAB 65862-081-01 1 each $9.07
GLYBURIDE-METFORMIN 5-500 MG ORAL TAB 57237-025-01 1 each $9.07
GLYCERIN (ADULT) RECT SUPPOSITORY 0132-0079-12 1 each $18.08
GLYCERIN (CHILD) RECT SUPPOSITORY 0132-0081-12 1 each $18.10
GLYCERIN 99.5 % TOP SOLUTION 0395-1031-16 473 mL $56.91
GLYCERIN TOP LIQUID 10939-97433 177 mL $44.60
GLYCOPYRROLATE 0.2 MG/ML INJ SOLUTION 70121-1395-5 2 mL $190.12
GLYCOPYRROLATE 1 MG ORAL TAB 60687-270-01 1 each $9.83
GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) IV SYRINGE UHCS-0004-88 3 mL $191.60
GOLIMUMAB  12.5 MG/ML IV SOLUTION 57894-350-01 4 mL $2,812.39
GOSERELIN  3.6 MG SUBQ IMPLANT 70720-950-36 1 each $1,058.75
GRANISETRON (PF) 1 MG/ML (1 ML) IV SOLUTION 25021-779-01 1 mL $128.01
GRANISETRON 3.1 MG/24 HOUR TD WEEKLY PATCH 42747-726-01 1 each $512.87
GUAIFENESIN  600 MG ORAL TA12 68084-572-01 1 each $9.78
GUAIFENESIN 100 MG/5 ML ORAL LIQUID 0904-0061-00 118 mL $36.83
GUAIFENESIN 100 MG/5 ML ORAL LIQUID 50383-063-07 5 mL $9.38
GUAIFENESIN 100 MG/5 ML ORAL LIQUID 50383-063-12 10 mL $9.44
GUAIFENESIN 100 MG/5 ML ORAL LIQUID 50383-063-18 15 mL $9.47
GUANFACINE 1 MG ORAL TAB 0591-0444-01 1 each $9.19
HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM VIAL 49281-545-03 1 each $139.98
HALOPERIDOL  1 MG ORAL TAB 0781-1392-13 1 each $9.13
HALOPERIDOL  5 MG ORAL TAB 68382-079-01 1 each $9.35
HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE 54838-501-40 120 mL $41.16
HALOPERIDOL LACTATE 5 MG/ML INJ SOLUTION 67457-426-12 1 mL $125.50
HEMIN 313 MG IV VIAL 55292-701-55 1 each $12,655.21
HEP B-DP(A)T-POLIO VAC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE 58160-811-52 0.5 mL $178.84
HEPARIN (PORCINE)  1000 UNIT/ML INJ SOLUTION 63323-540-11 10 mL $126.55
HEPARIN (PORCINE)  5000 UNIT/ML INJ SOLUTION 0641-0400-12 1 mL $126.13
HEPARIN (PORCINE) 1000 UNIT/ML INJ SOLUTION (DIALYSIS) 63323-540-11 10 mL $126.55
HEPARIN (PORCINE) 10000 UNIT/ML INJ SOLUTION 0069-0062-01 1 mL $127.08
HEPARIN (PORCINE) IN D5W 25000 UNIT/500 ML (50 UNIT/ML) IV BAG 0264-9577-10 500 mL $107.00
HEPARIN (PORCINE) IN NACL (PF)  2000 UNIT/1000 ML IV BAG 0338-0433-04 1000 mL $108.30
HEPARIN PORCINE (PF)  100 UNIT/ML IV SYRINGE 64253-33335 5 mL $16.64
HEPARIN PORCINE (PF) 1 UNIT/ML IV SYRINGE 64253-44422 2 mL $125.70
HEPARIN(PORCINE) IN 0.45% NACL 25000 UNIT/500 ML IV BAG 0409-7651-03 500 mL $107.50
HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRINGE 58160-826-46 1 mL $179.40
HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRINGE 58160-826-52 1 mL $179.95
HEPATITIS B IMMUN GLOB-MALTOSE GREATR THAN 312 UNIT/ML (5 ML) INJ SOLUTION 70504-0051-2 5 mL $909.13
HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML IM SYRINGE 13533-636-03 0.5 mL $200.67
HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRINGE 58160-820-52 0.5 mL $139.79
HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRINGE 58160-821-52 1 mL $165.39
HETASTARCH 6 % IN 0.9 % NACL 6 % IV SOLUTION 0409-7248-03 500 mL $114.00
HETASTARCH IN LACT ELECTROLYTE 6 % IV SOLUTION 0409-1555-54 500 mL $159.50
HISTAMINE BASE 1 MG/ML INJECTION 0268-0248-07 5 mL $1,053.00
HUM PROTHROMBIN CPLX(PCC)4FACT 500 UNIT (400-620 UNIT) IV VIAL 63833-386-02 500 units $920.00
HYALURONIDASE, HUMAN RECOMB. 150 UNIT/ML INJ SOLUTION 18657-117-04 1 mL $161.92
HYDRALAZINE  10 MG ORAL TAB 68084-447-01 1 each $9.18
HYDRALAZINE  25 MG ORAL TAB 0904-6441-61 1 each $9.10
HYDRALAZINE  50 MG ORAL TAB 0904-6442-61 1 each $9.11
HYDRALAZINE (APRESOLINE) IV 1 MG/ML (NICU) UHCS-0000-42 10 mL $146.15
HYDRALAZINE (APRESOLINE) PO 1MG/ML (NICU) UHCS-0000-43 10 mL $16.80
HYDRALAZINE (APRESOLINE) PO 5MG/ML (NICU) UHCS-0000-41 20 mL $16.80
HYDRALAZINE 20 MG/ML INJ SOLUTION 63323-614-01 1 mL $127.12
HYDROCHLOROTHIAZIDE  25 MG ORAL TAB 63739-128-10 1 each $9.03
HYDROCODONE-ACETAMINOPHEN 10-325 MG ORAL TAB 0406-0125-62 1 each $12.34
HYDROCODONE-ACETAMINOPHEN 5-325 MG ORAL TAB 0406-0123-62 1 each $12.27
HYDROCODONE-ACETAMINOPHEN 7.5-325 MG ORAL TAB 0406-0124-62 1 each $12.29
HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML ORAL SOLUTION 66689-023-50 15 mL $15.30
HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 UHCS-0001-59 5 mL $14.22
HYDROCODONE-CHLORPHENIRAMINE 10-8 MG/5 ML ORAL SU12 62175-490-64 115 mL $63.06
HYDROCODONE-HOMATROPINE 5-1.5 MG/5 ML (5 ML) ORAL SYRUP 0121-4811-05 5 mL $14.78
HYDROCORTISONE  1 % TOP CREAM 0472-0343-56 28 g $41.23
HYDROCORTISONE  1 % TOP LOTION 0394-0859-32 118 mL $45.07
HYDROCORTISONE  1 % TOP OINTMENT 0472-0345-56 28 g $41.23
HYDROCORTISONE  2.5 % TOP CRPE 69315-302-30 30 g $104.92
HYDROCORTISONE (SOLU-CORTEF) IV 1 MG/ML (NICU) UHCS-0000-40 1 each $137.45
HYDROCORTISONE (SOLU-CORTEF) IV 10 MG/ML (NICU) UHCS-0000-37 1 each $137.45
HYDROCORTISONE (SOLU-CORTEF) PO 1 MG/ML (NICU) UHCS-0000-39 10 mL $138.20
HYDROCORTISONE (SOLU-CORTEF) PO 10 MG/ML (NICU) UHCS-0000-38 10 mL $138.20
HYDROCORTISONE 10 MG ORAL TAB 0603-3900-21 1 each $9.45
HYDROCORTISONE 100 MG/60 ML RECT ENEMA 62559-138-07 60 mL $46.00
HYDROCORTISONE 20 MG ORAL TAB 0143-1254-01 1 each $9.84
HYDROCORTISONE ACETATE 25 MG RECT SUPPOSITORY 0713-0503-24 1 each $28.13
HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML INJ VIAL 0009-0011-04 1 each $137.45
HYDROCORTISONE SOD SUCC (PF) 250 MG/2 ML INJ VIAL 0009-0013-05 1 each $147.81
HYDROCORTISONE-PRAMOXINE 1-1 % RECT FOAM 0037-6822-10 10 g $164.21
HYDROCORTISONE-PRAMOXINE 1-1 % TOP FOAM 68220-144-10 10 g $79.35
HYDROCORTISONE-PRAMOXINE 1-1 % TOP FOAM 0037-6824-10 10 g $110.55
HYDROGEN PEROXIDE  3 % MISC SOLUTION 0869-4706-10 473 mL $40.47
HYDROMORPHONE  1 MG/ML INJ SYRINGE 0409-1283-31 1 mL $126.70
HYDROMORPHONE  1 MG/ML ORAL LIQUID UCHS-0000-22 5 mL $13.49
HYDROMORPHONE  2 MG ORAL TAB 42858-301-25 1 each $12.15
HYDROMORPHONE  2 MG/ML INJ SYRINGE 0409-1312-30 1 mL $126.70
HYDROMORPHONE (PF) 10 MG/ML INJ SOLUTION 0409-2634-05 5 mL $131.26
HYDROMORPHONE (PF) 10 MG/ML INJ SOLUTION 0409-2634-50 50 mL $202.90
HYDROMORPHONE (PF) 10 MG/ML INJ SOLUTION 17478-540-01 1 mL $126.92
HYDROMORPHONE (PF) 10 MG/ML INJ SOLUTION 0703-0113-03 5 mL $133.74
HYDROMORPHONE IN 0.9 % NACL 10 MG/50 ML (0.2 MG/ML) IV PCA SYRINGE 61553-163-75 50 mL $173.26
HYDROXOCOBALAMIN 5 GRAM IV VIAL 11704-370-01 1 each $1,494.80
HYDROXYCHLOROQUINE 200 MG ORAL TAB 42292-011-06 1 each $10.22
HYDROXYPROGEST(PF)(PREG PRESV) 250 MG/ML (1 ML) IM OIL 0517-1767-01 1 mL $621.99
HYDROXYUREA  500 MG ORAL CAP 68084-284-01 1 each $9.80
HYDROXYUREA (HYDREA) 25 MG/ML ORAL SOLUTION (COMPOUND) UHCS-0003-52 1 each $17.31
HYDROXYZINE HCL  10 MG ORAL TAB 63739-483-10 1 each $9.13
HYDROXYZINE HCL  25 MG ORAL TAB 63739-486-10 1 each $9.19
HYDROXYZINE HCL  50 MG ORAL TAB 68084-255-01 1 each $9.29
HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION UHCS-0001-41 60 mL $38.94
HYDROXYZINE HCL 50 MG/ML IM SOLUTION 0517-5601-25 1 mL $137.28
HYDROXYZINE PAMOATE  25 MG ORAL CAP 51079-077-20 1 each $9.11
HYDROXYZINE PAMOATE  50 MG ORAL CAP 51079-078-20 1 each $9.12
HYLAN G-F 20 16 MG/2 ML IATC SYRINGE 58468-0090-1 2 mL $347.37
HYLAN G-F 20 48 MG/6 ML IATC SYRINGE 58468-0090-3 6 mL $1,042.09
HYOSCYAMINE SULFATE 0.125 MG SL SL TABLET 76439-309-10 1 each $9.38
HYOSCYAMINE SULFATE 0.375 MG ORAL TB12 68047-255-01 1 each $9.47
HYPROMELLOSE 2.5 % OPHT DROPS 17478-064-12 15 mL $53.30
IBANDRONATE 3 MG/3 ML IV SYRINGE 25021-827-61 3 mL $191.78
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 66689-009-50 5 mL $9.60
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 68094-503-62 10 mL $10.00
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION 0472-1760-94 118 mL $11.71
IBUPROFEN 200 MG ORAL TAB 0904-7914-61 1 each $9.06
IBUPROFEN 600 MG ORAL TAB 68084-703-01 1 each $9.10
IBUPROFEN 800 MG ORAL TAB 0904-5855-61 1 each $9.06
IBUPROFEN LYSINE (PF) 20 MG/2 ML IV SOLUTION 67386-122-52 2 mL $845.15
IBUTILIDE FUMARATE 0.1 MG/ML IV SOLUTION 0009-3794-01 10 mL $193.05
IDARUBICIN 1 MG/ML IV SOLUTION 0013-2576-91 5 mL $412.82
IDARUBICIN 1 MG/ML IV SOLUTION 10 ML 0013-2586-91 10 mL $455.64
IDARUCIZUMAB 2.5 G IV SOLUTION 0597-0197-05 50 mL $3,047.19
IFOSFAMIDE 1 GRAM IV VIAL 63323-142-10 1 each $393.86
IMIPENEM-CILASTATIN 500 MG IV VIAL 0006-3516-59 1 each $155.28
IMIPENIM-CILASTIN (PRIMAXIN) IV 5 MG/ML (NICU) UHCS-0000-36 1 each $155.28
IMIPRAMINE HCL 10 MG ORAL TAB 0781-1762-01 1 each $9.15
IMIPRAMINE HCL 25 MG ORAL TAB 0781-1764-01 1 each $9.19
IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % IV SOLUTION 5G 44206-436-05 50 mL $600.60
IMMUN GLOB G-GLY-GLUC-IGA 0-50  5 GRAM IV VIAL 0944-2656-03 1 each $979.62
IMMUN GLOB G-GLY-GLUC-IGA 0-50 10 GRAM IV VIAL 0944-2658-04 1 each $1,959.21
IMMUNE GLOBUL G-GLY-IGA AVG 46 10 GRAM/100 ML (10 %) INJ SOLUTION 13533-800-71 100 mL $1,516.20
IMMUNE GLOBUL G-GLY-IGA AVG 46 20 GRAM/200 ML (10 %) INJ SOLUTION 13533-800-24 200 mL $3,032.40
IMMUNE GLOBUL G-GLY-IGA AVG 46 5 GRAM/50 ML (10 %) INJ SOLUTION 13533-800-20 50 mL $758.10
IMMUNE GLOBULIN (HUMAN) (IGG) 10% IV SOLUTION 10G 44206-437-10 100 mL $1,201.20
IMMUNE GLOBULIN (HUMAN) (IGG) 10% IV SOLUTION 20G 44206-438-20 200 mL $2,402.40
IMMUNE GLOBULIN(HUM),CAPR(IGG) 10 % IV SOLUTION 13533-645-20 50 mL $659.14
INDAPAMIDE 1.25 MG ORAL TAB 62559-510-01 1 each $9.17
INDIA INK (ENDOMARK) 10 ML VIAL UHCS-0004-65 10 mL $161.68
INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJ SOLUTION 0517-0375-10 5 mL $259.55
INDOCYANINE GREEN 25 MG INJ VIAL 17238-424-06 1 each $188.23
INDOMETHACIN (INDOCIN) IV 0.5 MG/ML (NICU) UHCS-0000-35 1 each $541.92
INDOMETHACIN 25 MG ORAL CAP 51079-190-20 1 each $9.19
INDOMETHACIN 50 MG ORAL CAP 68462-302-01 1 each $9.09
INDOMETHACIN 75 MG ORAL CPER 68084-411-21 1 each $11.23
INDOMETHACIN SODIUM 1 MG IV VIAL 63323-659-03 1 each $603.91
INFLIXIMAB 100 MG IV VIAL 57894-030-01 1 each $1,894.59
INFLIXIMAB-ABDA 100 MG IV VIAL 0006-4305-02 1 each $1,137.24
INFLIXIMAB-DYYB 100 MG IV VIAL 0069-0809-01 1 each $1,032.85
INSULIN GLARGINE 100 UNIT/ML SUBQ SOLUTION 0088-2220-33 10 mL $268.09
INSULIN GLULISINE U-100 100 UNIT/ML SUBQ SOLUTION 0088-2500-33 10 mL $285.13
INSULIN HUMAN REGULAR IV 0.1 UNIT/ML (NICU) UHCS-0003-37 10 mL $136.90
INSULIN HUMAN REGULAR IV 1 UNIT/ML (NICU) UHCS-0000-34 20 mL $148.80
INSULIN HUMAN REGULAR SUBQ 0.1 UNIT/ML (NICU) UHCS-0003-36 10 mL $136.90
INSULIN HUMAN REGULAR SUBQ 1 UNIT/ML (NICU) UHCS-0001-08 20 mL $148.80
INSULIN LISPRO 100 UNIT/ML SUBQ SOLUTION 0002-7510-01 10 mL $237.22
INSULIN LISPRO 100 UNIT/ML SUBQ SOLUTION 0002-7510-17 3 mL $201.26
INSULIN LISPRO PROTAMIN-LISPRO 100 UNIT/ML (50-50) SUBQ SUSPENSION UHCS-0002-92 10 mL $177.22
INSULIN LISPRO PROTAMIN-LISPRO 100 UNIT/ML (75-25) SUBQ SUSPENSION UHCS-0002-93 10 mL $177.22
INSULIN NPH AND REGULAR HUMAN 100 UNIT/ML (70-30) SUBQ SUSPENSION 0002-8715-17 3 mL $189.48
INSULIN NPH AND REGULAR HUMAN 100 UNIT/ML (70-30) SUBQ SUSPENSION UHCS-0002-94 1 mL $126.39
INSULIN NPH ISOPH U-100 HUMAN 100 UNIT/ML SUBQ SUSPENSION 0002-8315-17 3 mL $189.48
INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLUTION 0002-8215-01 10 mL $198.88
INSULIN REGULAR HUMAN 100 UNIT/ML INJ SOLUTION 0002-8215-17 3 mL $189.48
IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION 48433-230-15 14 mL $63.18
IODIXANOL 320 MG IODINE/ML IV SOLUTION 0407-2223-16 50 mL $143.20
IODIXANOL 320 MG IODINE/ML IV SOLUTION 0407-2223-17 100 mL $161.40
IODIXANOL 320 MG IODINE/ML IV SOLUTION 0407-2223-19 150 mL $175.25
IOHEXOL 240 MG IODINE/ML IV SOLUTION 0407-1412-30 50 mL $129.00
IOHEXOL 300 MG IODINE/ML IV SOLUTION 0407-1413-10 10 mL $138.32
IOHEXOL 300 MG IODINE/ML IV SOLUTION 0407-1413-61 50 mL $129.35
IOHEXOL 300 MG IODINE/ML IV SOLUTION 0407-1413-63 100 mL $133.30
IOHEXOL 300 MG IODINE/ML IV SOLUTION 0407-1413-65 150 mL $137.15
IOHEXOL 350 MG IODINE/ML IV SOLUTION 0407-1414-89 50 mL $129.75
IOHEXOL 350 MG IODINE/ML IV SOLUTION 0407-1414-91 100 mL $134.20
IOHEXOL 350 MG IODINE/ML IV SOLUTION 0407-1414-93 150 mL $137.90
IPILIMUMAB 200 MG/40 ML (5 MG/ML) IV SOLUTION 0003-2328-22 40 mL $50,215.90
IPILIMUMAB 50 MG/10 ML (5 MG/ML) IV SOLUTION 0003-2327-11 10 mL $12,553.98
IPRATROPIUM BROMIDE 0.02 % INHL SOLUTION 0487-9801-01 2.5 mL $8.20
IPRATROPIUM BROMIDE 0.03 % NASL SPRAY 0054-0045-44 30 mL $87.76
IPRATROPIUM BROMIDE 17 MCG/ACTUATION INHL HFA INHALER 0597-0087-17 12.9 g $388.30
IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASL SPRAY 0054-0046-41 15 mL $87.75
IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML INHL NEBULIZER 0487-0201-01 3 mL $8.47
IPRATROPIUM-ALBUTEROL 20-100 MCG/ACTUATION INHL MIST 0597-0024-02 4 g $341.76
IRBESARTAN 150 MG ORAL TAB 68084-217-21 1 each $9.66
IRBESARTAN 300 MG ORAL TAB 43547-376-09 1 each $9.20
IRINOTECAN 100 MG/5 ML IV SOLUTION 0143-9701-01 5 mL $381.32
IRINOTECAN 40 MG/2 ML IV SOLUTION 25021-230-02 2 mL $375.73
IRINOTECAN LIPOSOMAL 4.3 MG/ML IV DISP 15054-0043-1 10 mL $3,426.50
IRON ASPGLY-C-B12-CA-SUC-STOMA 70 MG-150 MG-10 MCG-2 MG-75 MG ORAL TAB 51991-54390 1 each $9.83
IRON DEXTRAN 0.5MG/ML IV NICU DILUTION UHCS-0004-34 25 mL $130.88
IRON DEXTRAN 100 MG/2 ML (50 MG/ML) INJ SOLUTION 52544-931-02 2 mL $149.59
IRON FUM-B12-IF-C-FOLIC ACID 110-0.5 MG ORAL CAP 51991-635-01 1 each $9.15
IRON SUCROSE 100 MG IRON/5 ML IV SOLUTION 0517-2340-10 5 mL $155.61
ISAVUCONAZONIUM SULFATE 372 MG IV VIAL 0469-0420-99 1 each $482.13
ISOFLURANE  99.9 % INHL LIQUID UHCS-0002-41 30 minute $71.91
ISONIAZID 300 MG ORAL TAB 51079-083-20 1 each $9.95
ISOPROPYL ALCOHOL 70 % MISC SOLUTION 24385-249-16 473 mL $40.88
ISOPROTERENOL HCL 0.2 MG/ML INJ SOLUTION UHCS-0004-08 1 mL $182.80
ISOPROTERENOL HCL 0.2 MG/ML INJ SOLUTION 14789-015-05 5 mL $719.64
ISOSORBIDE DINITRATE 10 MG ORAL TAB 0781-1556-13 1 each $9.66
ISOSORBIDE DINITRATE 20 MG ORAL TAB 68084-083-01 1 each $9.94
ISOSORBIDE MONONITRATE  20 MG ORAL TAB 62175-107-01 1 each $9.31
ISOSORBIDE MONONITRATE  30 MG ORAL TB24 68084-591-01 1 each $9.41
ISOSORBIDE MONONITRATE  60 MG ORAL TB24 0904-6450-61 1 each $9.34
ISOSORBIDE-HYDRALAZINE 20-37.5 MG ORAL TAB 24338-010-18 1 each $11.94
ISOSULFAN BLUE 1 % SUBQ SOLUTION 67457-220-05 5 mL $1,421.18
IVABRADINE 5 MG ORAL TAB 55513-800-60 1 each $15.37
IVERMECTIN 3 MG ORAL TAB 42799-806-01 1 each $12.32
IXABEPILONE 15 MG IV VIAL 70020-1910-1 1 each $2,006.06
IXABEPILONE 45 MG IV VIAL 70020-1911-1 1 each $6,018.16
KETAMINE  50 MG/ML INJ SOLUTION 67457-001-10 10 mL $127.34
KETAMINE 100 MG/ML INJ SOLUTION 0409-2051-05 5 mL $132.13
KETAMINE 50 MG/ML (1 ML) IV SYRINGE 61553-348-78 1 mL $129.65
KETOCONAZOLE 2 % TOP CREAM 0168-0099-30 30 g $58.36
KETOCONAZOLE 2 % TOP SHAMPOO 45802-465-64 120 mL $52.84
KETOROLAC 0.5 % OPHT DROPS 17478-209-19 3 mL $58.56
KETOROLAC 0.5 % OPHT DROPS 61314-126-05 5 mL $51.29
KETOROLAC 15 MG/ML INJ SOLUTION 63323-161-01 1 mL $125.68
KETOROLAC 30 MG/ML (1 ML) INJ SOLUTION 63323-162-01 1 mL $125.75
KETOROLAC 60 MG/2 ML IM SOLUTION 63323-162-02 2 mL $125.90
KETOTIFEN FUMARATE 0.025 % (0.035 %) OPHT DROPS 17478-717-10 5 mL $51.20
LABETALOL 100 MG ORAL TAB 0904-5928-61 1 each $9.29
LABETALOL 200 MG ORAL TAB 0904-5929-61 1 each $9.41
LABETALOL 300 MG ORAL TAB 0904-5930-61 1 each $9.72
LABETALOL 5 MG/ML IV SOLUTION 0409-2267-20 20 mL $127.28
LACOSAMIDE  50 MG ORAL TAB 0131-2477-60 1 each $20.79
LACOSAMIDE 100 MG ORAL TAB 0131-2478-60 1 each $25.74
LACOSAMIDE 200 MG/20 ML IV SOLUTION 0131-1810-67 20 mL $170.88
LACTATED RINGERS IRRIGATION SOLUTION 0338-0114-04 1000 mL $58.37
LACTATED RINGERS IV BAG 0338-0117-03 500 mL $105.06
LACTATED RINGERS IV BAG 0338-0117-04 1000 mL $105.43
LACTATED RINGERS IV BOLUS 0338-0117-03 500 mL $105.06
LACTATED RINGERS IV BOLUS 0409-7953-09 1000 mL $108.00
LACTOBACILLUS ACIDOPH-L.BULGAR 1 MILLION CELLS ORAL TAB 64980-129-50 1 each $9.29
LACTOBACILLUS ACIDOPH-L.BULGAR 100 MILLION CELL ORAL GRANULE PACK 64980-146-12 1 each $10.40
LACTOBACILLUS ACIDOPH-PECTIN 75 MILLION CELL -100 MG ORAL CAP 0904-4213-60 1 each $9.02
LACTOBACILLUS RHAMNOSUS GG 15 BILLION CELL ORAL SPRINKLE CAP 49100-36374 1 each $9.46
LACTULOSE 10 GRAM ORAL PACKET 66220-719-30 1 each $15.58
LACTULOSE 10 GRAM/15 ML (15 ML) ORAL SOLUTION 0121-4577-15 15 mL $9.63
LACTULOSE 10 GRAM/15 ML (15 ML) ORAL SOLUTION 50383-779-17 15 mL $9.41
LACTULOSE 10 GRAM/15 ML ORAL SOLUTION UHCS-0001-42 60 mL $36.84
LACTULOSE 20 G ORAL SOLUTION 50383-779-31 30 mL $9.45
LAMINARIA CERVICAL DILATOR 2 MM UHCS-0003-44 1 each $26.00
LAMINARIA CERVICAL DILATOR 4 MM UHCS-0004-04 1 each $26.00
LAMINARIA CERVICAL DILATOR 6 MM UHCS-0004-05 1 each $26.00
LAMIVUDINE 10 MG/ML ORAL SOLUTION UHCS-0001-43 60 mL $55.08
LAMIVUDINE-ZIDOVUDINE 150-300 MG ORAL TAB 0378-5180-91 1 each $11.06
LAMOTRIGINE  25 MG ORAL TAB 51079-498-20 1 each $9.10
LAMOTRIGINE 100 MG ORAL TAB 63739-516-10 1 each $9.09
LANOLIN-MINERAL OIL TOP LOTION 72140-11019 250 mL $45.00
LANOLIN/PETROLATUM (PHISODERM) LIQUID UHCS-0001-77 180 mL $42.88
LANREOTIDE 120 MG/0.5 ML SUBQ SYRINGE 15054-1120-3 0.5 mL $12,685.75
LANSINOH 7 GM UHCS-0001-83 7 g $41.91
LANSOPRAZOLE 30 MG ORAL RD TABLET 64764-544-11 1 each $21.83

See Part 4 of this list.