Medication Charges Part 4
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 |
|---|---|---|---|---|
| LANTHANUM 500 MG ORAL CHEW TAB | 66993-422-85 | 1 | each | $12.41 |
| LANTHANUM 1000 MG ORAL CHEW TAB | 66993-424-85 | 1 | each | $15.82 |
| LATANOPROST 0.005 % OPHT DROPS | 17478-625-12 | 2.5 | mL | $59.42 |
| LC BEAD 100-300 UM | UHCS-0005-06 | 1 | each | $3,675.00 |
| LC BEAD 300-500 UM | UHCS-0003-53 | 1 | each | $3,675.00 |
| LET SOLUTION 3 ML SYRINGES | UHCS-0001-09 | 3 | mL | $126.35 |
| LETROZOLE 2.5 MG ORAL TAB | 0093-7620-56 | 1 | each | $9.11 |
| LEUCOVORIN CALCIUM 5 MG ORAL TAB | 51079-581-06 | 1 | each | $10.23 |
| LEUCOVORIN CALCIUM 50 MG INJ VIAL | 25021-813-10 | 1 | each | $129.94 |
| LEUCOVORIN CALCIUM 100 MG INJ VIAL | 25021-814-30 | 1 | each | $135.20 |
| LEUCOVORIN CALCIUM 350 MG INJ VIAL | 0703-5145-01 | 1 | each | $139.88 |
| LEUPROLIDE 3.75 MG IM SYRINGE KIT | 0074-3641-03 | 1 | each | $1,987.44 |
| LEUPROLIDE 7.5 MG IM SYRINGE KIT | 0074-3642-03 | 1 | each | $2,368.35 |
| LEUPROLIDE (3 MONTH) 11.25 MG IM SYRINGE KIT | 0074-3663-03 | 1 | each | $5,962.39 |
| LEUPROLIDE (3 MONTH) 22.5 MG IM SYRINGE KIT | 0074-3346-03 | 1 | each | $7,105.04 |
| LEUPROLIDE (4 MONTH) 30 MG IM SYRINGE KIT | 0074-3683-03 | 1 | each | $9,473.40 |
| LEUPROLIDE (6 MONTH) 45 MG IM SYRINGE KIT | 0074-3473-03 | 1 | each | $14,210.30 |
| LEVALBUTEROL HCL 0.63 MG/3 ML INHL NEBULIZER | 76204-800-01 | 3 | mL | $9.49 |
| LEVALBUTEROL HCL 1.25 MG/0.5 ML INHL NEBULIZER | 17478-171-30 | 1 | each | $11.51 |
| LEVALBUTEROL TARTRATE 45 MCG/ACTUATION INHL HFA INHALER | 63402-510-01 | 15 | g | $94.87 |
| LEVETIRACETAM 500 MG ORAL TAB | 68084-870-01 | 1 | each | $9.37 |
| LEVETIRACETAM (KEPPRA) IV 15 MG/ML (NICU) | UHCS-0003-62 | 10 | mL | $127.99 |
| LEVETIRACETAM 100 MG/ML ORAL SOLUTION | UHCS-0002-47 | 60 | mL | $37.80 |
| LEVETIRACETAM 500 MG/5 ML IV SOLUTION | 0143-9673-25 | 5 | mL | $127.03 |
| LEVOBUNOLOL 0.5 % OPHT DROPS | 24208-505-05 | 5 | mL | $48.15 |
| LEVOCARNITINE 200 MG/ML IV SOLUTION | 54482-147-01 | 5 | mL | $138.91 |
| LEVOCARNITINE 330 MG ORAL TAB | 64980-130-09 | 1 | each | $9.56 |
| LEVOFLOXACIN 250 MG ORAL TAB | 0904-6351-61 | 1 | each | $9.18 |
| LEVOFLOXACIN 500 MG ORAL TAB | 0904-6352-61 | 1 | each | $9.20 |
| LEVOFLOXACIN 750 MG ORAL TAB | 0904-6353-61 | 1 | each | $9.40 |
| LEVOFLOXACIN IN D5W 500 MG/100 ML IV IVPB | 0143-9721-24 | 100 | mL | $126.90 |
| LEVOFLOXACIN IN D5W 750 MG/150 ML IV IVPB | 0143-9720-24 | 150 | mL | $126.95 |
| LEVONORGESTREL 1.5 MG ORAL TAB | 16714-809-01 | 1 | each | $32.99 |
| LEVOTHYROXINE 25 MCG ORAL TAB | 51079-444-20 | 1 | each | $9.35 |
| LEVOTHYROXINE 50 MCG ORAL TAB | 51079-440-20 | 1 | each | $9.39 |
| LEVOTHYROXINE 75 MCG ORAL TAB | 51079-441-20 | 1 | each | $9.43 |
| LEVOTHYROXINE 88 MCG ORAL TAB | 42292-038-20 | 1 | each | $9.43 |
| LEVOTHYROXINE (SYNTHROID) IV 20 MCG/ML (NICU) | UHCS-0000-32 | 1 | each | $213.11 |
| LEVOTHYROXINE (SYNTHROID) PO 25 MCG/ML (NICU) | UHCS-0000-33 | 1 | each | $16.34 |
| LEVOTHYROXINE 100 MCG IV VIAL | 42023-201-01 | 1 | each | $213.11 |
| LEVOTHYROXINE 100 MCG ORAL TAB | 51079-442-20 | 1 | each | $9.44 |
| LEVOTHYROXINE 112 MCG ORAL TAB | 42292-039-20 | 1 | each | $9.50 |
| LEVOTHYROXINE 125 MCG ORAL TAB | 51079-443-20 | 1 | each | $9.52 |
| LEVOTHYROXINE 137 MCG ORAL TAB | 0378-1823-77 | 1 | each | $9.40 |
| LEVOTHYROXINE 150 MCG ORAL TAB | 51079-445-20 | 1 | each | $9.54 |
| LEVOTHYROXINE 175 MCG ORAL TAB | 42292-040-20 | 1 | each | $9.62 |
| LEVOTHYROXINE 200 MCG IV VIAL | 63323-647-10 | 1 | each | $336.46 |
| LEVOTHYROXINE 200 MCG ORAL TAB | 0781-5189-92 | 1 | each | $9.52 |
| LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLUTION | 63323-492-37 | 30 | mL | $127.01 |
| LIDOCAINE (PF) 10 MG/ML (1 %) INJ SOLUTION | 55150-162-05 | 5 | mL | $126.28 |
| LIDOCAINE (PF) 100 MG/5 ML (2 %) IV SYRINGE | 0409-1323-05 | 5 | mL | $127.32 |
| LIDOCAINE (PF) 20 MG/ML (2 %) INJ SOLUTION | 63323-495-07 | 5 | mL | $126.31 |
| LIDOCAINE (PF) 3.5 % OPHT GEL | 17478-792-01 | 1 | mL | $35.24 |
| LIDOCAINE 5 % TOP MED PATCH | 0591-3525-30 | 1 | each | $20.02 |
| LIDOCAINE 5 % TOP OINTMENT | 52565-008-14 | 35.44 | g | $49.75 |
| LIDOCAINE HCL 2 % MM JELL | 17478-711-10 | 5 | mL | $44.31 |
| LIDOCAINE HCL 2 % MM JELL | 17478-711-30 | 30 | mL | $58.39 |
| LIDOCAINE HCL 2 % MM JELLY | 25021-673-77 | 11 | mL | $44.32 |
| LIDOCAINE HCL 2 % MM SOLUTION | 50383-775-04 | 100 | mL | $44.50 |
| LIDOCAINE HCL 2 % MM SOLUTION | 50383-775-17 | 15 | mL | $40.65 |
| LIDOCAINE HCL (BULK) 100 % MISC POWDER | 51552-0106-9 | 4 | g | $46.20 |
| LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLUTION | 0409-4276-01 | 20 | mL | $125.90 |
| LIDOCAINE HCL 10 MG/ML (1 %) INJ SOLUTION(REGIONAL BLOCK) | 0409-4276-01 | 20 | mL | $125.90 |
| LIDOCAINE HCL 20 MG/ML (2 %) INJ SOLUTION | 0409-4277-01 | 20 | mL | $126.14 |
| LIDOCAINE HCL 4 % (40 MG/ML) MM SOLUTION | 0054-3505-47 | 50 | mL | $67.25 |
| LIDOCAINE HCL 5 MG/ML (0.5 %) INJ SOLUTION | 63323-484-57 | 50 | mL | $127.65 |
| LIDOCAINE IN 5 % DEXTROSE (PF) 4 MG/ML (0.4 %) IV BAG | 0338-0409-03 | 500 | mL | $107.00 |
| LIDOCAINE-EPINEPHRINE (MPF) 2 %-1:200,000 INJ SOLUTION | 0409-3183-01 | 20 | mL | $127.58 |
| LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200000 INJ SOLUTION | 63323-487-17 | 10 | mL | $127.84 |
| LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 INJ SOLUTION | 0409-3177-01 | 50 | mL | $127.05 |
| LIDOCAINE-EPINEPHRINE 1 %-1:100000 INJ SOLUTION | 63323-482-27 | 20 | mL | $126.14 |
| LIDOCAINE-EPINEPHRINE 2 %-1:100000 INJ SOLUTION | 63323-483-27 | 20 | mL | $126.46 |
| LIDOCAINE-EPINEPHRINE BIT 2 %-1:100000 INJ CARTRIDGE | 31382-0898-5 | 1.8 | mL | $125.66 |
| LIDOCAINE-PRILOCAINE 2.5-2.5 % TOP KIT | 0168-0357-56 | 5 | g | $206.37 |
| LIDOCAINE-TRANSPARENT DRESSING 4 % TOP KIT | 24357-701-07 | 1 | each | $56.23 |
| LINAGLIPTIN 5 MG ORAL TAB | 0597-0140-30 | 1 | each | $18.92 |
| LINDANE 1 % TOP SHAMPOO | 60432-834-60 | 60 | mL | $141.58 |
| LINEZOLID (ZYVOX) PO 50MG/ML (NICU) | UHCS-0000-31 | 1 | each | $118.55 |
| LINEZOLID 600 MG ORAL TAB | 0904-6553-04 | 1 | each | $12.28 |
| LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IV IVPB | 57664-683-57 | 300 | mL | $141.50 |
| LIOTHYRONINE 5 MCG ORAL TAB | 42794-018-12 | 1 | each | $9.63 |
| LIPASE-PROTEASE-AMYLASE 10,440-39,150- 39,150 UNIT ORAL TAB | 58914-112-10 | 1 | each | $11.72 |
| LIPASE-PROTEASE-AMYLASE 12000-38,00-60000 UNIT ORAL EC CAP | 0032-1212-01 | 1 | each | $11.72 |
| LIPASE-PROTEASE-AMYLASE 6000-19000-30000 UNIT ORAL EC CAP | 0032-1206-01 | 1 | each | $10.36 |
| LISINOPRIL 5 MG ORAL TAB | 51079-981-20 | 1 | each | $9.08 |
| LISINOPRIL 10 MG ORAL TAB | 63739-349-10 | 1 | each | $9.04 |
| LISINOPRIL 20 MG ORAL TAB | 63739-350-10 | 1 | each | $9.06 |
| LITHIUM CARBONATE 300 MG ORAL CAP | 0054-8527-25 | 1 | each | $9.05 |
| LITHIUM CARBONATE 300 MG ORAL TBER | 0054-0021-25 | 1 | each | $9.31 |
| LOPERAMIDE 1 MG/5 ML ORAL LIQUID | 50383-618-04 | 118 | mL | $38.01 |
| LOPERAMIDE 1 MG/5 ML ORAL LIQUID | 50383-618-11 | 10 | mL | $10.41 |
| LOPERAMIDE 2 MG ORAL CAP | 51079-690-20 | 1 | each | $9.67 |
| LOPINAVIR-RITONAVIR 200-50 MG ORAL TAB | 0074-6799-22 | 1 | each | $16.92 |
| LOPINAVIR-RITONAVIR 400-100 MG/5 ML ORAL SOLUTION | UHCS-0002-48 | 60 | mL | $145.26 |
| LORATADINE 10 MG ORAL TAB | 0904-5793-61 | 1 | each | $9.22 |
| LORATADINE 5 MG/5 ML ORAL SOLUTION | UHCS-0002-58 | 60 | mL | $37.98 |
| LORATADINE-PSEUDOEPHEDRINE 10-240 MG ORAL TB24 | 51660-724-15 | 1 | each | $9.23 |
| LORAZEPAM (ATIVAN) IV 0.2 MG/ML (NICU) | UHCS-0000-30 | 10 | mL | $130.14 |
| LORAZEPAM 0.5 MG ORAL TAB | 63739-499-10 | 1 | each | $12.05 |
| LORAZEPAM 1 MG ORAL TAB | 63739-500-10 | 1 | each | $12.05 |
| LORAZEPAM 2 MG/ML INJ SOLUTION | 0641-6044-25 | 1 | mL | $125.45 |
| LORAZEPAM 2 MG/ML INJ SOLUTION | 0641-6046-10 | 10 | mL | $129.10 |
| LORAZEPAM 2 MG/ML INJ SYRINGE | 0409-1985-30 | 1 | mL | $127.32 |
| LOSARTAN 25 MG ORAL TAB | 68084-346-01 | 1 | each | $9.44 |
| LOSARTAN 50 MG ORAL TAB | 63739-686-10 | 1 | each | $9.27 |
| LOSARTAN-HYDROCHLOROTHIAZIDE 100-25 MG ORAL TAB | 16714-225-02 | 1 | each | $9.13 |
| LOSARTAN-HYDROCHLOROTHIAZIDE 50-12.5 MG ORAL TAB | 16714-226-01 | 1 | each | $9.15 |
| LOVASTATIN 20 MG ORAL TAB | 63739-281-10 | 1 | each | $9.11 |
| LUBIPROSTONE 8 MCG ORAL CAP | 64764-080-60 | 1 | each | $14.68 |
| LUBIPROSTONE 24 MCG ORAL CAP | 64764-240-60 | 1 | each | $14.68 |
| LURASIDONE 40 MG ORAL TAB | 63402-304-10 | 1 | each | $45.69 |
| MAFENIDE ACETATE 85 MG/G TOP CREAM | 51079-623-81 | 56.7 | g | $76.40 |
| MAGIC MOUTHWASH | UHCS-0002-04 | 180 | mL | $50.86 |
| MAGNESIUM CHLORIDE 64 MG ORAL EC TABLET | 68585-005-75 | 1 | each | $9.07 |
| MAGNESIUM CITRATE ORAL SOLUTION | 70677-051-01 | 296 | mL | $11.18 |
| MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION | 0121-0431-30 | 30 | mL | $10.80 |
| MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) ORAL TAB | 63739-354-10 | 1 | each | $9.06 |
| MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLUTION | 63323-064-02 | 2 | mL | $126.00 |
| MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLUTION | 63323-642-50 | 50 | mL | $137.40 |
| MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJ SOLUTION | 51754-1000-4 | 10 | mL | $126.09 |
| MAGNESIUM SULFATE 40 GRAM/1000 ML (4 %) IV BAG | 0409-6729-09 | 1000 | mL | $108.94 |
| MAGNESIUM SULFATE IN 0.9 %NACL 2 GRAM/50 ML IV IVPB | 71019-182-01 | 50 | mL | $131.35 |
| MAGNESIUM SULFATE IN D5W 1 GRAM/100 ML IV IVPB | 0409-6727-23 | 100 | mL | $129.30 |
| MAGNESIUM SULFATE IN WATER 2 GRAM/50 ML (4 %) IV IVPB | 0409-6729-24 | 50 | mL | $135.30 |
| MAGNESIUM SULFATE JET NEB 250 MMOLE/LITER INHALATION | UHCS-0000-92 | 50 | mL | $126.35 |
| MAGNESIUM-CALCIUM-FOLIC ACID 400-200-1 MG ORAL TAB | 59528-0416-5 | 1 | each | $9.26 |
| MANNITOL 20 % IV BAG | 0409-7715-03 | 500 | mL | $119.00 |
| MANNITOL 20 % IV SYRINGE | 0338-0357-03 | 500 | mL | $132.50 |
| MANNITOL 25 % IV SOLUTION | 0409-4031-01 | 50 | mL | $126.75 |
| MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ VIAL | 0006-4681-00 | 1 | each | $109.54 |
| MECLIZINE 12.5 MG ORAL TAB | 68084-490-01 | 1 | each | $9.46 |
| MECLIZINE 25 MG ORAL TAB | 0904-6517-61 | 1 | each | $9.43 |
| MEDROXYPROGESTERONE 2.5 MG ORAL TAB | 0555-0872-02 | 1 | each | $9.08 |
| MEDROXYPROGESTERONE 10 MG ORAL TAB | 0555-0779-02 | 1 | each | $9.13 |
| MEDROXYPROGESTERONE 150 MG/ML IM SUSPENSION | 67457-887-99 | 1 | mL | $151.92 |
| MEGESTROL 20 MG ORAL TAB | 51079-434-20 | 1 | each | $9.32 |
| MEGESTROL 40 MG ORAL TAB | 0904-3571-61 | 1 | each | $9.19 |
| MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION | UHCS-0001-44 | 60 | mL | $44.34 |
| MELATONIN 3 MG ORAL TAB | 0904-5182-61 | 1 | each | $9.11 |
| MELOXICAM 7.5 MG ORAL TAB | 50268-525-15 | 1 | each | $9.10 |
| MEMANTINE 10 MG ORAL TAB | 0904-6506-61 | 1 | each | $9.38 |
| MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT | 58160-955-09 | 0.5 | mL | $212.32 |
| MENINGOCOC VAC ACYW135 (PF) 50 MCG SUBQ VIAL | 49281-489-01 | 1 | each | $239.29 |
| MENTHOL-ZINC OXIDE 0.44-20.6 % TOP OINTMENT | 0799-0001-04 | 113 | g | $43.96 |
| MEPERIDINE 50 MG ORAL TAB | 0054-8595-11 | 1 | each | $12.77 |
| MEPERIDINE (PF) 25 MG/ML INJ SYRINGE | 0409-1176-30 | 1 | mL | $130.18 |
| MEPERIDINE (PF) 50 MG/ML INJ SYRINGE | 0409-1178-30 | 1 | mL | $130.35 |
| MEPERIDINE (PF) 75 MG/ML INJ SYRINGE | 0409-1179-30 | 1 | mL | $130.02 |
| MEPERIDINE (PF) 100 MG/ML INJ SYRINGE | 0409-1180-69 | 1 | mL | $130.02 |
| MEPERIDINE IN 0.9 % NACL 550 MG/55 ML (10 MG/ML) IV PCA SYRINGE | 61553-677-76 | 55 | mL | $191.86 |
| MEPIVACAINE (PF) 10 MG/ML (1 %) INJ SOLUTION | 0409-1036-30 | 30 | mL | $129.02 |
| MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJ SOLUTION | 0409-1041-30 | 30 | mL | $128.84 |
| MEPOLIZUMAB 100 MG SUBQ VIAL | 0173-0881-01 | 1 | each | $4,869.57 |
| MERCAPTOPURINE 50 MG ORAL TAB | 0054-4581-11 | 1 | each | $10.49 |
| MEROPENEM 1 GRAM IV VIAL | 55150-208-30 | 1 | each | $130.40 |
| MEROPENEM 500 MG IV VIAL | 55150-207-20 | 1 | each | $127.70 |
| MESALAMINE 400 MG ORAL CDTI | 0023-5853-18 | 1 | each | $12.29 |
| MESALAMINE 500 MG ORAL CPER | 54092-191-12 | 1 | each | $14.63 |
| MESALAMINE 1000 MG RECT SUPPOSITORY | 58914-501-56 | 1 | each | $50.80 |
| MESALAMINE 4 GRAM/60 ML RECT ENEMA | 45802-098-51 | 60 | mL | $49.18 |
| MESNA 100 MG/ML IV SOLUTION | 10019-953-01 | 10 | mL | $132.55 |
| METAXALONE 800 MG ORAL TAB | 55111-650-01 | 1 | each | $10.32 |
| METFORMIN 500 MG ORAL TAB | 63739-640-10 | 1 | each | $9.05 |
| METFORMIN 500 MG ORAL TB24 | 0904-5794-61 | 1 | each | $9.09 |
| METFORMIN 850 MG ORAL TAB | 0904-6690-61 | 1 | each | $9.16 |
| METHACHOLINE CHLORIDE 100 MG INHL VIAL | 64281-100-06 | 1 | each | $174.11 |
| METHADONE 5 MG ORAL TAB | 0406-5755-62 | 1 | each | $12.17 |
| METHADONE 10 MG ORAL TAB | 0406-5771-62 | 1 | each | $12.24 |
| METHADONE 10 MG/5 ML ORAL SOLUTION | 0054-3556-63 | 500 | mL | $60.00 |
| METHADONE 10 MG/5 ML ORAL SOLUTION | UHCS-0004-87 | 5 | mL | $12.48 |
| METHADONE 5 MG/5 ML ORAL SOLUTION | UHCS-0003-26 | 60 | mL | $23.12 |
| METHADONE 5 MG/5 ML ORAL SOLUTION | UHCS-0003-45 | 60 | mL | $23.84 |
| METHAZOLAMIDE 25 MG ORAL TAB | 0574-0790-01 | 1 | each | $11.84 |
| METHEN-SOD PHOS-METH BLUE-HYOS 81.6-40.8-0.12 MG ORAL TAB | 0485-0151-30 | 1 | each | $12.42 |
| METHIMAZOLE 10 MG ORAL TAB | 68084-276-01 | 1 | each | $9.41 |
| METHOCARBAMOL 500 MG ORAL TAB | 63739-166-10 | 1 | each | $9.11 |
| METHOCARBAMOL 750 MG ORAL TAB | 68084-057-01 | 1 | each | $9.16 |
| METHOHEXITAL 500 MG INJ VIAL | 42023-105-01 | 1 | each | $183.23 |
| METHOTREXATE SODIUM 2.5 MG ORAL TAB | 51079-670-05 | 1 | each | $11.34 |
| METHOTREXATE SODIUM (PF) 25 MG/ML INJ SOLUTION | 61703-408-41 | 40 | mL | $402.56 |
| METHOTREXATE SODIUM (PF) 25 MG/ML INJ SOLUTION | 67457-486-99 | 4 | mL | $375.10 |
| METHOTREXATE SODIUM (PF) 25 MG/ML INJ SOLUTION | 0143-9519-10 | 2 | mL | $373.12 |
| METHYL SALICYLATE TOP LIQUID | 0395-1667-92 | 60 | mL | $45.82 |
| METHYL SALICYLATE-MENTHOL TOP OINTMENT | 54162-555-01 | 28 | g | $42.42 |
| METHYLCELLULOSE (WITH SUGAR) 2 GRAM/19 GRAM ORAL POWDER | 0904-5675-16 | 454 | g | $15.45 |
| METHYLCELLULOSE 4000CPS (BULK) 30 % MISC POWDER | 51552-0210-9 | 0.15 | g | $50.00 |
| METHYLDOPA 250 MG ORAL TAB | 51079-200-20 | 1 | each | $9.16 |
| METHYLDOPA 500 MG ORAL TAB | 51079-201-20 | 1 | each | $9.28 |
| METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) IV SOLUTION | 0517-0374-05 | 10 | mL | $286.45 |
| METHYLERGONOVINE 0.2 MG ORAL TAB | 43386-140-28 | 1 | each | $40.89 |
| METHYLERGONOVINE 0.2 MG/ML (1 ML) INJ SOLUTION | 0517-0740-20 | 1 | mL | $140.08 |
| METHYLNALTREXONE 12 MG/0.6 ML SUBQ SYRINGE | 65649-551-07 | 0.6 | mL | $226.09 |
| METHYLPHENIDATE HCL 5 MG ORAL TAB | 68084-805-21 | 1 | each | $13.34 |
| METHYLPREDNISOLONE 4 MG ORAL DOSE PACK | 0781-5022-07 | 1 | each | $2.27 |
| METHYLPREDNISOLONE 4 MG ORAL TAB | 68084-149-01 | 1 | each | $10.55 |
| METHYLPREDNISOLONE (SOLU-MEDROL) IV 2MG/ML (NICU) | UHCS-0000-29 | 1 | each | $129.47 |
| METHYLPREDNISOLONE ACETATE 40 MG/ML INJ SUSPENSION | 0009-3073-03 | 1 | mL | $131.42 |
| METHYLPREDNISOLONE SOD SUC(PF) 1000 MG/8 ML IV VIAL | 0009-0018-20 | 1 | each | $166.69 |
| METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML INJ VIAL | 0009-0047-22 | 1 | each | $132.11 |
| METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML INJ VIAL | 0009-0039-28 | 1 | each | $129.47 |
| METOCLOPRAMIDE (REGLAN) IV 0.1 MG/ML (NICU) | UHCS-0000-28 | 25 | mL | $137.05 |
| METOCLOPRAMIDE (REGLAN) PO 0.5 MG/ML (NICU) | UHCS-0000-18 | 30 | mL | $16.30 |
| METOCLOPRAMIDE HCL 5 MG ORAL TAB | 63739-103-10 | 1 | each | $9.10 |
| METOCLOPRAMIDE HCL 5 MG/ML INJ SOLUTION | 0409-3414-01 | 2 | mL | $125.96 |
| METOCLOPRAMIDE HCL 10 MG ORAL TAB | 63739-293-10 | 1 | each | $9.07 |
| METOCLOPRAMIDE HCL 5 MG/5 ML ORAL SOLUTION | 0121-1576-10 | 10 | mL | $10.72 |
| METOCLOPRAMIDE HCL 5 MG/5 ML ORAL SOLUTION | UHCS-0001-45 | 60 | mL | $40.14 |
| METOLAZONE 2.5 MG ORAL TAB | 51079-023-20 | 1 | each | $11.51 |
| METOLAZONE 5 MG ORAL TAB | 51079-024-20 | 1 | each | $11.86 |
| METOLAZONE (ZAROXOLYN) PO 1 MG/ML (NICU)) | UHCS-0000-17 | 5 | mL | $16.50 |
| METOLAZONE 10 MG ORAL TAB | 0378-6174-01 | 1 | each | $11.28 |
| METOPROLOL ORAL SUSPENSION | UHCS-0001-94 | 100 | mL | $46.64 |
| METOPROLOL SUCCINATE 25 MG ORAL TB24 | 0904-6322-61 | 1 | each | $9.66 |
| METOPROLOL SUCCINATE 50 MG ORAL TB24 | 0904-6323-61 | 1 | each | $9.84 |
| METOPROLOL SUCCINATE 100 MG ORAL TB24 | 0904-6324-61 | 1 | each | $10.13 |
| METOPROLOL TARTRATE 25 MG ORAL TAB | 0904-6340-61 | 1 | each | $9.05 |
| METOPROLOL TARTRATE 50 MG ORAL TAB | 0904-6341-61 | 1 | each | $9.04 |
| METOPROLOL TARTRATE 100 MG ORAL TAB | 62584-267-01 | 1 | each | $9.11 |
| METOPROLOL TARTRATE 12.5 MG ORAL TAB | UHCS-0004-36 | 1 | each | $9.03 |
| METOPROLOL TARTRATE 5 MG/5 ML IV SOLUTION | 47781-587-17 | 5 | mL | $125.56 |
| METRONIDAZOLE (FLAGYL) IV 5 MG/ML (NICU) | UHCS-0001-03 | 100 | mL | $126.00 |
| METRONIDAZOLE 0.75 % TOP GEL | 66993-962-45 | 45 | g | $117.67 |
| METRONIDAZOLE 0.75 % VAGL GEL | 0781-7077-87 | 70 | g | $116.02 |
| METRONIDAZOLE 250 MG ORAL TAB | 0904-1453-61 | 1 | each | $9.30 |
| METRONIDAZOLE 500 MG ORAL TAB | 68084-966-01 | 1 | each | $9.63 |
| METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML IV IVPB | 0338-1055-48 | 100 | mL | $126.60 |
| MEXILETINE 10 MG/ML PO SUSPENSION | UHCS-0005-04 | 240 | mL | $45.88 |
| MEXILETINE 150 MG ORAL CAP | 0093-8739-01 | 1 | each | $9.89 |
| MICAFUNGIN 100 MG IV VIAL | 0469-3211-10 | 1 | each | $185.70 |
| MICONAZOLE NITRATE 100 MG VAGL SUPPOSITORY | 49348-833-61 | 1 | each | $46.99 |
| MICONAZOLE NITRATE 2 % TOP CREAM | 0472-0735-56 | 28 | g | $41.93 |
| MICONAZOLE NITRATE 2 % VAGL CREAM | 0472-0730-41 | 45 | g | $45.54 |
| MICROFIBRIL. COLLAGEN HEMOSTAT 2 X 4 IN TOP SHEE | UHCS-0001-66 | 1 | each | $172.58 |
| MICROFIBRIL. COLLAGEN HEMOSTAT 70 X 35 MM TOP SHEET | 53276-1010-09 | 1 | each | $234.00 |
| MIDAZOLAM 1 MG/ML INJ SOLUTION | 0641-6057-10 | 2 | mL | $125.60 |
| MIDAZOLAM 1 MG/ML INJ SOLUTION | 0641-6059-10 | 5 | mL | $125.47 |
| MIDAZOLAM 2 MG/ML ORAL SYRUP | UHCS-0000-21 | 5 | mL | $16.71 |
| MIDAZOLAM 2 MG/ML ORAL SYRUP (NICU) | UHCS-0004-43 | 5 | mL | $125.96 |
| MIDAZOLAM 5 MG/ML INJ SOLUTION | 0409-2596-05 | 10 | mL | $131.09 |
| MIDAZOLAM IN 0.9 % SOD CHLORID 1 MG/ML IV SOLUTION | 61553-196-48 | 100 | mL | $191.86 |
| MIDODRINE 5 MG ORAL TAB | 51079-453-20 | 1 | each | $9.73 |
| MIDODRINE 10 MG ORAL TAB | 0245-0213-11 | 1 | each | $9.89 |
| MILNACIPRAN 25 MG ORAL TAB | 0456-1525-60 | 1 | each | $14.39 |
| MILRINONE (PRIMACOR) IV 0.2 MG/ML (NICU) | UHCS-0001-05 | 30 | mL | $127.94 |
| MILRINONE IN 5 % DEXTROSE 20 MG/100 ML (200 MCG/ML) IV IVPB | 0143-9719-10 | 100 | mL | $110.70 |
| MINERAL OIL MISC OIL | 63323-254-10 | 10 | mL | $21.90 |
| MINERAL OIL ORAL OIL | 54162-190-16 | 473 | mL | $12.49 |
| MINERAL OIL ORAL OIL | 48433-202-30 | 30 | mL | $9.75 |
| MINERAL OIL-HYDROPHIL PETROLAT TOP OINTMENT | 54162-500-02 | 100 | g | $43.70 |
| MINOCYCLINE 100 MG ORAL CAP | 60687-336-65 | 1 | each | $10.01 |
| MINOXIDIL 2.5 MG ORAL TAB | 68084-204-01 | 1 | each | $9.41 |
| MINOXIDIL 10 MG ORAL TAB | 68084-205-01 | 1 | each | $9.51 |
| MIRTAZAPINE 15 MG ORAL TAB | 68084-119-01 | 1 | each | $9.30 |
| MISOPROSTOL (CYTOTEC) 25 MCG TABLET | UHCS-0003-21 | 1 | each | $9.26 |
| MISOPROSTOL 100 MCG ORAL TAB | 68084-040-01 | 1 | each | $10.15 |
| MISOPROSTOL 200 MCG ORAL TAB | 68084-041-01 | 1 | each | $10.27 |
| MITOMYCIN 0.2 MG OPHT KIT | 49771-002-01 | 1 | each | $729.00 |
| MITOMYCIN 5 MG IV VIAL | 16729-115-05 | 1 | each | $495.91 |
| MITOMYCIN 0.02 % 1 ML SYRINGE | UHCS-0001-12 | 1 | mL | $403.38 |
| MITOMYCIN 20 MG IV VIAL | 16729-108-11 | 1 | each | $697.81 |
| MITOXANTRONE 2 MG/ML IV CONCENTRATE | 0703-4680-01 | 12.5 | mL | $489.79 |
| MITOXANTRONE 2 MG/ML IV CONCENTRATE | 63323-132-10 | 10 | mL | $464.94 |
| MODAFINIL 100 MG ORAL TAB | 0904-6423-04 | 1 | each | $19.70 |
| MOMETASONE 220 MCG (14 DOSES) INHL AERO.POWDER | 0085-1341-06 | 1 | each | $123.55 |
| MOMETASONE-FORMOTEROL 100-5 MCG/ACTUATION INHL HFA INHALER | 0085-7206-07 | 8.8 | g | $105.09 |
| MOMETASONE-FORMOTEROL 200-5 MCG/ACTUATION INHL HFA INHALER | 0085-4610-05 | 8.8 | g | $105.09 |
| MONTELUKAST 5 MG ORAL CHEW TAB | 42291-623-30 | 1 | each | $9.20 |
| MONTELUKAST 10 MG ORAL TAB | 50268-575-15 | 1 | each | $9.35 |
| MORPHINE 10 MG/5 ML ORAL SOLUTION | 68094-001-62 | 5 | mL | $13.26 |
| MORPHINE 15 MG ORAL TBER | 0406-8315-62 | 1 | each | $11.46 |
| MORPHINE 2 MG/ML IV CARTRIDGE | 0409-1890-01 | 1 | mL | $126.39 |
| MORPHINE 30 MG ORAL TBER | 0406-8330-62 | 1 | each | $12.05 |
| MORPHINE 4 MG/ML IV CARTRIDGE | 0409-1891-01 | 1 | mL | $126.39 |
| MORPHINE 5 MG/ML INJ SYRINGE | 76045-006-10 | 1 | mL | $127.09 |
| MORPHINE 60 MG ORAL TBER | 0406-8380-62 | 1 | each | $12.59 |
| MORPHINE (PF) 0.5 MG/ML INJ SOLUTION | 0409-3814-12 | 10 | mL | $130.16 |
| MORPHINE (PF) 10 MG/ML INJ SOLUTION | 0641-6039-01 | 20 | mL | $321.76 |
| MORPHINE 10 MG/ML INJ SYRINGE | 0409-1261-30 | 1 | mL | $126.46 |
| MORPHINE 10 MG/ML IV CARTRIDGE | 0409-1893-01 | 1 | mL | $126.39 |
| MORPHINE 100 MG ORAL TBER | 0406-8390-62 | 1 | each | $14.95 |
| MORPHINE 50 MG/ML IV SOLUTION | 0409-1134-03 | 20 | mL | $194.76 |
| MORPHINE 50 MG/ML IV SOLUTION | 0409-1134-05 | 50 | mL | $205.75 |
| MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION | 0054-0404-44 | 30 | mL | $55.88 |
| MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION | 0054-0404-41 | 15 | mL | $57.97 |
| MORPHINE IN 0.9 % SODIUM CHLOR 1 MG/ML IV SOLUTION | 61553-178-52 | 100 | mL | $179.76 |
| MORPHINE IN DEXTROSE 5 % 100 MG/50 ML (2 MG/ML) INJ PCA SYRINGE | 61553-187-75 | 50 | mL | $175.87 |
| MORPHINE IV 0.1MG/ML (NICU) | UHCS-0000-57 | 20 | mL | $152.82 |
| MORPHINE IV 0.5MG/ML (NICU) | UHCS-0000-58 | 10 | mL | $143.07 |
| MORPHINE PO 0.5MG/ML (NICU) | UHCS-0003-47 | 10 | mL | $34.07 |
| MOXIFLOXACIN 0.5 % OPHT DROPS | 0781-7135-93 | 3 | mL | $66.67 |
| MOXIFLOXACIN IN NACL (ISO-OSM) 400 MG/250 ML IV IVPB | 0085-1737-01 | 250 | mL | $136.75 |
| MULTIVIT-MINS-FERROUS GLUCONAT 9 MG IRON/15 ML ORAL LIQUID | 00005-4344-62 | 236 | mL | $41.90 |
| MULTIVIT-MINS-FERROUS GLUCONAT 9 MG IRON/15 ML ORAL LIQUID | UHCS-0004-27 | 60 | mL | $37.50 |
| MULTIVITAMIN STRESS FORMULA ORAL TAB | 0904-0262-52 | 1 | each | $9.04 |
| MULTIVITAMIN-IRON-FOLIC ACID 18-400 MG-MCG ORAL TAB | 0536-3442-38 | 1 | each | $9.03 |
| MUPIROCIN 2 % TOP OINTMENT | 45802-112-22 | 22 | g | $48.36 |
| MUPIROCIN CALCIUM 2 % TOP CREAM | 68462-564-17 | 15 | g | $188.82 |
| MVI ADULT (VIAL 1 FOR COMPOUND) | 54643-5649-9 | 50 | mL | $125.00 |
| MVI ADULT NO.4 WITH VIT K 3300 UNIT- 150 MCG/10 ML IV SOLUTION | 54643-5649-1 | 10 | mL | $131.49 |
| MVI PEDI NO.1 WITH VIT K 80 MG-400 UNIT- 200 MCG/5 ML IV SOLUTION | 54643-5646-1 | 5 | mL | $184.88 |
| MYCOPHENOLATE MOFETIL 200 MG/ML ORAL RECON. SUSP. | 0004-0261-29 | 160 | mL | $1,316.80 |
| MYCOPHENOLATE MOFETIL 250 MG ORAL CAP | 68084-795-01 | 1 | each | $9.35 |
| MYCOPHENOLATE MOFETIL 500 MG ORAL TAB | 68084-801-01 | 1 | each | $9.64 |
| NABUMETONE 500 MG ORAL TAB | 68462-358-01 | 1 | each | $9.24 |
| NADOLOL 40 MG ORAL TAB | 51079-813-20 | 1 | each | $13.07 |
| NAFCILLIN 1 GRAM INJ VIAL | 55150-122-15 | 1 | each | $129.68 |
| NAFCILLIN 2 GRAM INJ VIAL | 55150-123-15 | 1 | each | $132.47 |
| NAFCILLIN IM 167MG/ML (NICU) | UHCS-0000-16 | 1 | each | $133.86 |
| NAFCILLIN IV 100MG/ML (NICU) | UHCS-0000-15 | 1 | each | $130.57 |
| NALBUPHINE 20 MG/ML INJ SOLUTION | 0409-1465-01 | 1 | mL | $129.95 |
| NALOXONE 0.4 MG/ML INJ SOLUTION | 67457-292-02 | 1 | mL | $129.01 |
| NALOXONE 0.4 MG/ML INJ SOLUTION | 67457-299-10 | 10 | mL | $160.12 |
| NAPHAZOLINE-GLYCERIN 0.012-0.25 % OPHT DROPS | 78112-25419 | 30 | mL | $48.75 |
| NAPROXEN 250 MG ORAL TAB | 50268-594-15 | 1 | each | $9.20 |
| NATALIZUMAB 300 MG/15 ML IV SOLUTION | 64406-008-01 | 15 | mL | $10,815.00 |
| NATEGLINIDE 120 MG ORAL TAB | 49884-985-01 | 1 | each | $9.55 |
| NEBIVOLOL 2.5 MG ORAL TAB | 0456-1402-30 | 1 | each | $13.04 |
| NEBIVOLOL 5 MG ORAL TAB | 0456-1405-63 | 1 | each | $13.12 |
| NEOMY-POLYMYXINB-BACITRACIN-HC 1 % TOP OINTMENT | 61570-031-50 | 15 | g | $187.42 |
| NEOMYCIN 500 MG ORAL TAB | 39822-0310-5 | 1 | each | $9.74 |
| NEOMYCIN SULFATE (BULK) MISC POWDER | 51552-0969-5 | 100 | g | $89.40 |
| NEOMYCIN SULFATE (BULK) MISC POWDER | UHCS-0001-85 | 2.5 | g | $41.38 |
| NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-10,000 MG-UNIT-UNIT/G OPHT OINTMENT | 0574-4250-35 | 3.5 | g | $72.21 |
| NEOMYCIN-BACITRACNZN-POLYMYXIN 3.5-400-5000 MG-UNIT-UNIT/G TOP OINTMENT | 45802-143-03 | 28 | g | $41.65 |
| NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5-400-5,000 MG-UNIT-UNIT TOP OINT. PACK | 0168-0012-09 | 1 | each | $0.47 |
| NEOMYCIN-POLYMYXIN B GU 40-200000 MG-UNIT/ML IRRIGATION SOLUTION | 39822-1201-2 | 1 | mL | $131.03 |
| NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 MG-UNIT/G-% OPHT OINTMENT | 24208-795-35 | 3.5 | g | $59.74 |
| NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 MG/ML-UNIT/ML-% OPHT DROPS. | 61314-630-06 | 5 | mL | $57.02 |
| NEOMYCIN-POLYMYXIN-GRAMICIDIN 1.75 MG-10,000 UNIT-0.025MG/ML OPHT DROPS | 24208-790-62 | 10 | mL | $92.35 |
| NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 MG-UNIT/ML-% OTIC DROPS. | 61314-645-11 | 10 | mL | $114.58 |
| NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 MG-UNIT/ML-% OTIC SOLUTION | 61314-646-10 | 10 | mL | $114.58 |
| NEOMYCIN-POLYMYXIN-HC 3.5-10000-10 MG-UNIT-MG/ML OPHT DROPS. | 61314-641-75 | 7.5 | mL | $148.93 |
| NEOSTIGMINE METHYLSULFATE 4 MG/4 ML (1 MG/ML) IV SYRINGE | UHCS-0004-89 | 4 | mL | $194.90 |
| NIACIN 100 MG ORAL TAB | 0536-4076-01 | 1 | each | $9.01 |
| NIACIN 250 MG ORAL CPER | 0904-0629-60 | 1 | each | $9.03 |
| NIACIN 500 MG ORAL TB24 | 10135-612-90 | 1 | each | $9.93 |
| NICARDIPINE 20 MG ORAL CAP | 42806-501-09 | 1 | each | $10.26 |
| NICARDIPINE 25 MG/10 ML IV SOLUTION | 0143-9689-10 | 10 | mL | $139.53 |
| NICARDIPINE 30 MG ORAL CAP | 0378-1430-77 | 1 | each | $11.08 |
| NICARDIPINE IN NACL (ISO-OS) 20 MG/200 ML IV IVPB | 10122-313-10 | 200 | mL | $217.40 |
| NICOTINE 7 MG/24 HR TD 24HR PATCH | 43598-446-74 | 1 | each | $19.31 |
| NICOTINE (POLACRILEX) 2 MG BUCL GUM | 0904-5734-51 | 1 | each | $0.92 |
| NICOTINE 14 MG/24 HR TD 24HR PATCH | 43598-447-74 | 1 | each | $19.31 |
| NICOTINE 21 MG/24 HR TD 24HR PATCH | 43598-448-28 | 1 | each | $19.18 |
| NICU FAT EMULSION 20% IV SYRINGE | UHCS-0003-00 | 60 | mL | $97.70 |
| NICU FAT EMULSION 20% IV SYRINGE | UHCS-0002-99 | 30 | mL | $96.35 |
| NIFEDIPINE (BULK) MISC POWDER | 51552-0720-2 | 5 | g | $32.20 |
| NIFEDIPINE 10 MG ORAL CAP | 68084-022-01 | 1 | each | $10.06 |
| NIFEDIPINE 30 MG ORAL 24HR. TAB | 51079-400-20 | 1 | each | $10.10 |
| NIFEDIPINE 60 MG ORAL 24HR. TAB | 68084-598-01 | 1 | each | $10.52 |
| NIFEDIPINE 90 MG ORAL 24HR. TAB | 68084-603-21 | 1 | each | $10.77 |
| NIMODIPINE 30 MG ORAL CAP | 23155-512-30 | 1 | each | $10.56 |
| NISOLDIPINE 8.5 MG ORAL TB24 | 66993-472-02 | 1 | each | $12.75 |
| NITAZOXANIDE 500 MG ORAL TAB | 67546-111-14 | 1 | each | $113.11 |
| NITROFURANTOIN MONOHYD/M-CRYST 100 MG ORAL CAP | 68084-446-01 | 1 | each | $11.73 |
| NITROGLYCERIN 0.1 MG/HR TD 24HR PATCH | 0378-9102-93 | 1 | each | $18.49 |
| NITROGLYCERIN 0.1MG/ML VIAL | UHCS-0001-61 | 10 | mL | $125.43 |
| NITROGLYCERIN 0.2 MG/HR TD 24HR PATCH | 0378-9104-93 | 1 | each | $18.41 |
| NITROGLYCERIN 0.2%/LIDOCAINE 1% 30 GM OINTMENT | UHCS-0005-18 | 30 | g | $81.05 |
| NITROGLYCERIN 0.4 MG SL SL TABLET | 0071-0418-13 | 1 | each | $2.58 |
| NITROGLYCERIN 0.4 MG SL SL TABLET (FOR ED USE ONLY) | UHCS-0001-74 | 1 | each | $10.14 |
| NITROGLYCERIN 0.4 MG/HR TD 24HR PATCH | 0378-9112-93 | 1 | each | $18.43 |
| NITROGLYCERIN 0.6 MG/HR TD 24HR PATCH | 0378-9116-93 | 1 | each | $18.54 |
| NITROGLYCERIN 2 % TD OINTMENT | 0281-0326-08 | 1 | g | $10.86 |
| NITROGLYCERIN 2 % TD OINTMENT | 0281-0326-30 | 30 | g | $68.74 |
| NITROGLYCERIN 6.5 MG ORAL CPER | 0904-0644-60 | 1 | each | $9.29 |
| NITROGLYCERIN IN 5 % DEXTROSE 100 MG/250 ML (400 MCG/ML) IV SOLUTION | 0338-1051-02 | 250 | mL | $115.00 |
| NITROGLYCERIN IN 5 % DEXTROSE 25 MG/250 ML (100 MCG/ML) IV SOLUTION | 0338-1047-02 | 250 | mL | $113.75 |
| NITROGLYCERIN IN 5 % DEXTROSE 50 MG/250 ML (200 MCG/ML) IV SOLUTION | 0338-1049-02 | 250 | mL | $114.25 |
| NITROPRUSSIDE 100 MCG/ML SYRINGE (FOR INTRACORONARY) | UHCS-0004-10 | 500 | mL | $2,105.25 |
| NITROPRUSSIDE IN 0.9 % NACL 50 MG/100 ML (0.5 MG/ML) IV SOLUTION | 51754-1006-1 | 100 | mL | $164.40 |
| NIVOLUMAB 100 MG/10 ML IV SOLUTION | 0003-3774-12 | 10 | mL | $4,588.64 |
| NIVOLUMAB 240 MG/24 ML IV SOLUTION | 0003-3734-13 | 24 | mL | $11,012.40 |
| NIVOLUMAB 40 MG/4 ML IV SOLUTION | 0003-3772-11 | 4 | mL | $1,835.40 |
| NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLUTION | 36000-162-10 | 4 | mL | $131.75 |
| NORETHINDRONE ACETATE 5 MG ORAL TAB | 68462-304-50 | 1 | each | $10.01 |
| NORTRIPTYLINE 10 MG ORAL CAP | 50268-603-15 | 1 | each | $9.37 |
| NORTRIPTYLINE 25 MG ORAL CAP | 51672-4002-5 | 1 | each | $9.13 |
| NYSTATIN 100000 UNIT/GRAM TOP CREAM | 45802-059-35 | 15 | g | $43.99 |
| NYSTATIN 100000 UNIT/GRAM TOP OINTMENT | 0472-0166-15 | 15 | g | $52.99 |
| NYSTATIN 100000 UNIT/ML ORAL SUSPENSION | 60432-537-60 | 60 | mL | $41.88 |
| NYSTATIN 100000 UNIT/ML ORAL SUSPENSION | 66689-037-50 | 5 | mL | $9.86 |
| NYSTATIN-TRIAMCINOLONE 100,000-0.1 UNIT/G-% TOP CREAM | 68462-314-35 | 30 | g | $84.55 |
| NYSTATIN-TRIAMCINOLONE 100,000-0.1 UNIT/GRAM-% TOP OINTMENT | 0168-0089-30 | 30 | g | $106.09 |
| OBINUTUZUMAB 1000 MG/40 ML IV SOLUTION | 50242-070-01 | 40 | mL | $10,860.43 |
| OCRELIZUMAB 30 MG/ML IV SOLUTION | 50242-150-01 | 10 | mL | $28,437.50 |
| OCTOXYNOL9-SOD CIT-BENZ,CIT AC VAGL SOLUTION | 41608-08720 | 135 | mL | $40.14 |
| OCTREOTIDE ACETATE 50 MCG/ML INJ SOLUTION | 25021-451-01 | 1 | mL | $127.16 |
| OCTREOTIDE ACETATE 100 MCG/ML INJ SOLUTION | 63323-376-01 | 1 | mL | $127.32 |
| OCTREOTIDE,MICROSPHERES 20 MG IM SERR | 0078-0818-81 | 1 | each | $6,624.12 |
| OCTREOTIDE,MICROSPHERES 30 MG IM SERR | 0078-0825-81 | 1 | each | $9,919.14 |
| OFATUMUMAB 100 MG/5 ML IV SOLUTION | 0173-0821-33 | 5 | mL | $839.64 |
| OFATUMUMAB 1000 MG/50 ML IV SOLUTION | 0173-0821-01 | 50 | mL | $8,218.70 |
| OFLOXACIN 0.3 % OTIC DROPS | 60505-0363-1 | 5 | mL | $105.29 |
| OLANZAPINE 2.5 MG ORAL TAB | 0904-6283-61 | 1 | each | $9.32 |
| OLANZAPINE 5 MG ORAL RD TAB | 55111-262-81 | 1 | each | $9.71 |
| OLANZAPINE 5 MG ORAL TAB | 68084-723-01 | 1 | each | $9.46 |
| OLANZAPINE 10 MG IM VIAL | 0781-3159-72 | 1 | each | $145.45 |
| OLANZAPINE 10 MG ORAL TAB | 0904-6376-61 | 1 | each | $9.45 |
| OLMESARTAN 20 MG ORAL TAB | 42292-036-03 | 1 | each | $13.46 |
| OLMESARTAN 40 MG ORAL TAB | 67877-447-90 | 1 | each | $9.20 |
| OMALIZUMAB 150 MG SUBQ VIAL | 50242-040-62 | 1 | each | $1,898.16 |
| OMEGA 3-DHA-EPA-FISH OIL 300-1,000 MG ORAL CAP | 48433-110-01 | 1 | each | $9.18 |
| OMEGA-3 ACID ETHYL ESTERS 1 GRAM ORAL CAP | 60687-127-65 | 1 | each | $11.77 |
| OMEPRAZOLE (PRILOSEC) PO 2MG/ML (NICU) | UHCS-0000-14 | 50 | mL | $32.65 |
| ONABOTULINUMTOXINA 100 UNIT INJ VIAL | 0023-1145-01 | 1 | each | $1,051.75 |
| ONDANSETRON 4 MG ORAL RD TAB | 65862-390-10 | 1 | each | $9.18 |
| ONDANSETRON HCL 4 MG ORAL TAB | 68084-220-01 | 1 | each | $9.39 |
| ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLUTION | 0641-6078-25 | 2 | mL | $125.53 |
| ONDANSETRON HCL 2 MG/ML IV SOLUTION | 0143-9890-01 | 20 | mL | $131.56 |
| ORAL WOUND CARE PRODUCTS MM GEL PACK | 89141-0456-02 | 15 | mL | $47.22 |
| ORITAVANCIN 400 MG IV VIAL | 65293-015-03 | 1 | each | $1,612.31 |
