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 |
