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

See Part 5 of this list.