Medication Charges Part 6
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 |
|---|---|---|---|---|
| REMIFENTANIL 1 MG IV VIAL | 67457-198-03 | 1 | each | $180.14 |
| REPAGLINIDE 0.5 MG ORAL TAB | 0574-0240-01 | 1 | each | $9.50 |
| REPAGLINIDE 1 MG ORAL TAB | 68084-954-25 | 1 | each | $11.75 |
| RHO(D) IMMUNE GLOBULIN-MALTOSE 5000 UNIT/4.4 ML INJ SOLUTION | 53270-3100-1 | 4.4 | mL | $1,543.50 |
| RIFABUTIN 150 MG ORAL CAP | 59762-1350-1 | 1 | each | $20.69 |
| RIFAMPIN 10MG/ML PO SYRINGE (NICU) | UHCS-0000-07 | 30 | mL | $19.23 |
| RIFAMPIN 150 MG ORAL CAP | 68084-357-21 | 1 | each | $10.48 |
| RIFAMPIN 300 MG ORAL CAP | 63739-415-10 | 1 | each | $9.93 |
| RIFAMPIN 600 MG IV VIAL | 0068-0597-01 | 1 | each | $193.64 |
| RIFAMPIN 6MG/ML IV SYRINGE (NICU) | UHCS-0000-08 | 1 | each | $186.81 |
| RIFAXIMIN 550 MG ORAL TAB | 65649-303-03 | 1 | each | $41.79 |
| RISEDRONATE 30 MG ORAL TAB | 0149-0470-01 | 1 | each | $40.29 |
| RISEDRONATE 35 MG ORAL TAB | 0430-0472-03 | 1 | each | $84.37 |
| RISPERIDONE 1 MG ORAL TAB | 0904-6359-61 | 1 | each | $9.12 |
| RISPERIDONE 0.25 MG ORAL TAB | 0904-6357-61 | 1 | each | $9.12 |
| RISPERIDONE 0.5 MG ORAL TAB | 0904-6358-61 | 1 | each | $9.14 |
| RISPERIDONE 1 MG/ML ORAL SOLUTION | 65162-673-84 | 30 | mL | $49.26 |
| RITONAVIR 100 MG ORAL TAB | 0074-3333-30 | 1 | each | $16.95 |
| RITUXIMAB 10 MG/ML IV CONCENTRATE 50 ML | 50242-053-06 | 50 | mL | $7,904.58 |
| RITUXIMAB 100 MG IV CONCENTRATE | 50242-051-21 | 10 | mL | $1,580.92 |
| RIVAROXABAN 10 MG ORAL TAB | 50458-580-10 | 1 | each | $9.01 |
| RIVAROXABAN 15 MG ORAL TAB | 50458-578-10 | 1 | each | $9.01 |
| RIVAROXABAN 20 MG ORAL TAB | 50458-579-10 | 1 | each | $9.01 |
| RIVASTIGMINE 4.6 MG/24 HR TD 24HR PATCH | 0378-9070-93 | 1 | each | $22.96 |
| RIVASTIGMINE 9.5 MG/24 HR TD 24HR PATCH | 0378-9071-93 | 1 | each | $22.96 |
| RIVASTIGMINE TARTRATE 1.5 MG ORAL CAP | 63739-576-10 | 1 | each | $11.22 |
| RIVASTIGMINE TARTRATE 3 MG ORAL CAP | 63739-577-10 | 1 | each | $11.72 |
| RIZATRIPTAN 5 MG ORAL RD TAB | 0006-3800-01 | 1 | each | $36.42 |
| ROCURONIUM 10 MG/ML IV SOLUTION | 55150-225-05 | 5 | mL | $126.83 |
| ROCURONIUM 50 MG/5 ML (10 MG/ML) IV SYRINGE | UHCS-0004-91 | 5 | mL | $126.79 |
| ROFLUMILAST 500 MCG ORAL TAB | 0310-0095-39 | 1 | each | $12.48 |
| ROMIPLOSTIM 250 MCG SUBQ VIAL | 55513-221-01 | 1 | each | $3,157.79 |
| ROMIPLOSTIM 500 MCG SUBQ VIAL | 55513-222-01 | 1 | each | $6,315.58 |
| ROPINIROLE 1 MG ORAL TAB | 0904-6374-61 | 1 | each | $9.35 |
| ROPINIROLE 0.25 MG ORAL TAB | 0904-6373-61 | 1 | each | $9.35 |
| ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLUTION | 63323-285-65 | 100 | mL | $160.10 |
| ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJ SOLUTION | 55150-198-30 | 30 | mL | $129.68 |
| ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJ SOLUTION | 63323-287-20 | 20 | mL | $132.16 |
| ROSUVASTATIN 5 MG ORAL TAB | 57237-168-90 | 1 | each | $9.18 |
| ROSUVASTATIN 10 MG ORAL TAB | 57237-169-90 | 1 | each | $9.18 |
| ROSUVASTATIN 20 MG ORAL TAB | 57237-170-90 | 1 | each | $9.18 |
| ROTIGOTINE 2 MG TD 24HR PATCH | 50474-802-03 | 1 | each | $37.99 |
| SACCHAROMYCES BOULARDII 250 MG ORAL CAP | 66825-002-01 | 1 | each | $9.53 |
| SACUBITRIL-VALSARTAN 24-26 MG ORAL TAB | 0078-0659-20 | 1 | each | $16.09 |
| SACUBITRIL-VALSARTAN 49-51 MG ORAL TAB | 0078-0777-20 | 1 | each | $16.09 |
| SACUBITRIL-VALSARTAN 97-103 MG ORAL TAB | 0078-0696-20 | 1 | each | $16.09 |
| SALIVA STIMULANT COMB. NO.2 MM LIQUID | 48582-51112 | 44.3 | mL | $40.48 |
| SALSALATE 500 MG ORAL TAB | 51293-803-01 | 1 | each | $9.83 |
| SAXAGLIPTIN 5 MG ORAL TAB | 0310-6105-90 | 1 | each | $20.36 |
| SCOPOLAMINE BASE 1 MG OVER 3 DAYS TD PT3D | 10019-553-04 | 1 | each | $33.72 |
| SELENIUM 200 MCG ORAL TAB | 74312-03201 | 1 | each | $9.05 |
| SELENIUM 40 MCG/ML IV SOLUTION | 0517-6510-25 | 10 | mL | $137.79 |
| SENNOSIDES 8.6 MG ORAL TAB | 0904-6522-61 | 1 | each | $9.03 |
| SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG ORAL TAB | 63739-432-10 | 1 | each | $9.03 |
| SERTRALINE 50 MG ORAL TAB | 60687-242-01 | 1 | each | $9.14 |
| SERTRALINE 100 MG ORAL TAB | 60687-253-01 | 1 | each | $9.28 |
| SET-DEHP FREE GEMINI 2260 | UHCS-0001-24 | 1 | each | $74.12 |
| SET-DEHP FREE SECONDARY SET | UHCS-0003-39 | 1 | each | $69.83 |
| SET-GEMINI PUMP 10010454 DEHP-FREE W/FILTER | UHCS-0001-25 | 1 | each | $75.87 |
| SET-GEMINI PUMP SET 2420 | UHCS-0001-26 | 1 | each | $72.21 |
| SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACK | 0955-1052-90 | 1 | each | $16.90 |
| SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACK | 0955-1054-90 | 1 | each | $16.90 |
| SEVELAMER CARBONATE 800 MG ORAL TAB | 55111-789-27 | 1 | each | $10.37 |
| SEVOFLURANE INHL LIQUID | UHCS-0002-39 | 1 | each | $74.45 |
| SILDENAFIL (ANTIHYPERTENSIVE) 20 MG ORAL TAB | 68084-869-21 | 1 | each | $9.91 |
| SILDENAFIL (REVATIO) PO 2MG/ML (NICU) | UHCS-0000-06 | 10 | mL | $32.04 |
| SILVER NITRATE APPLICATORS 75-25 % TOP STICK | 12870-0001-1 | 1 | each | $4.45 |
| SILVER SULFADIAZINE 1 % TOP CREAM | 61570-131-40 | 400 | g | $72.40 |
| SILVER SULFADIAZINE 1 % TOP CREAM | 43598-210-55 | 50 | g | $47.05 |
| SILVER SULFADIAZINE 1 % TOP CREAM | 61570-131-25 | 25 | g | $44.73 |
| SIMETHICONE 80 MG ORAL CHEW TAB | 63739-225-10 | 1 | each | $9.04 |
| SIMETHICONE 40 MG/0.6 ML ORAL DROPS. | 0904-5894-30 | 30 | mL | $37.53 |
| SIMPLE SYRUP ORAL SYRUP | 0395-2661-16 | 480 | mL | $46.56 |
| SIMVASTATIN 5 MG ORAL TAB | 63739-570-10 | 1 | each | $9.10 |
| SIMVASTATIN 10 MG ORAL TAB | 63739-571-10 | 1 | each | $9.10 |
| SIMVASTATIN 20 MG ORAL TAB | 68084-512-01 | 1 | each | $9.22 |
| SIMVASTATIN 40 MG ORAL TAB | 51079-456-20 | 1 | each | $9.11 |
| SINCALIDE 5 MCG INJ VIAL | 0270-0556-15 | 1 | each | $218.84 |
| SINCALIDE INJECTION SYRINGE | 0270-0556-15 | 1 | each | $218.84 |
| SITAGLIPTIN 25 MG ORAL TAB | 0006-0221-28 | 1 | each | $22.28 |
| SITAGLIPTIN 50 MG ORAL TAB | 0006-0112-28 | 1 | each | $22.28 |
| SITAGLIPTIN 100 MG ORAL TAB | 0006-0277-28 | 1 | each | $22.28 |
| SOD BORATE-BORIC AC-NACL-WATER OPHT IRSL | 10119-00252 | 118 | mL | $47.83 |
| SODIUM ACETATE 2 MEQ/ML IV SOLUTION | 0409-7299-73 | 20 | mL | $127.60 |
| SODIUM ACETATE 2 MEQ/ML IV SOLUTION | 0409-3299-06 | 100 | mL | $130.20 |
| SODIUM BICARBONATE 1 MEQ/ML (8.4 %) IV SOLUTION | 63323-089-50 | 50 | mL | $131.40 |
| SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) IV SYRINGE | 0409-5534-34 | 10 | mL | $133.16 |
| SODIUM BICARBONATE 650 MG ORAL TAB | 66553-008-01 | 1 | each | $9.06 |
| SODIUM BICARBONATE 8.4 % (1 MEQ/ML) IV SYRINGE | 0409-6637-34 | 50 | mL | $132.60 |
| SODIUM BICARBONATE IV 0.5MEQ/ML (NICU) | UHCS-0000-54 | 10 | mL | $133.16 |
| SODIUM BICARBONATE PO 0.5 MEQ/ML (NICU) | UHCS-0000-55 | 10 | mL | $133.16 |
| SODIUM CHLOR 0.9% BACTERIOSTAT 0.9 % INJ SOLUTION | 0409-1966-07 | 30 | mL | $16.94 |
| SODIUM CHLORIDE 0.65 % NASL AERO. SPRAY | 0904-3865-75 | 44 | mL | $55.70 |
| SODIUM CHLORIDE 0.65 % NASL DROPS | 0225-0382-80 | 50 | mL | $56.85 |
| SODIUM CHLORIDE 0.9 % INHL NEBULIZER | 0487-9301-33 | 3 | mL | $8.11 |
| SODIUM CHLORIDE 3 % INHL NEBULIZER | 0378-6997-89 | 15 | mL | $8.69 |
| SODIUM CHLORIDE 5 % OPHT DROPS | 17478-623-12 | 15 | mL | $53.75 |
| SODIUM CHLORIDE 5 % OPHT OINTMENT | 17478-622-35 | 3.5 | g | $50.79 |
| SODIUM CHLORIDE 0.45 % 5 ML SYRINGE (NICU) | UHCS-0001-79 | 5 | mL | $125.17 |
| SODIUM CHLORIDE 0.45 % ADD-VANTAGE | 0409-7132-66 | 50 | mL | No charge |
| SODIUM CHLORIDE 0.45 % ADD-VANTAGE | 0409-7132-67 | 100 | mL | No charge |
| SODIUM CHLORIDE 0.45 % IV BAG | 0338-0043-03 | 500 | mL | $105.18 |
| SODIUM CHLORIDE 0.45 % IV BAG | 0338-0043-04 | 1000 | mL | $105.71 |
| SODIUM CHLORIDE 0.45 % IV BAG | 0409-7730-36 | 50 | mL | No charge |
| SODIUM CHLORIDE 0.45 % IV BAG | 0409-7730-37 | 100 | mL | No charge |
| SODIUM CHLORIDE 0.9 % INJ SYRINGE | 8290-306547 | 10 | mL | No charge |
| SODIUM CHLORIDE 0.9 % IR SOLN (BAG) | 0264-2201-50 | 2000 | mL | $57.00 |
| SODIUM CHLORIDE 0.9 % IR SOLN (BAG) | 0338-0047-27 | 3000 | mL | $62.42 |
| SODIUM CHLORIDE 0.9 % IR SOLN (BAG) | 0338-0047-44 | 1000 | mL | $57.48 |
| SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION | 0264-2201-70 | 4000 | mL | $65.26 |
| SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION | 0338-0047-27 | 3000 | mL | $62.42 |
| SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION | 0338-0048-02 | 250 | mL | $55.72 |
| SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION | 0338-0048-03 | 500 | mL | $55.78 |
| SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION | 0338-0048-04 | 1000 | mL | $56.03 |
| SODIUM CHLORIDE 0.9 % IV BAG | 0264-7800-20 | 250 | mL | No charge |
| SODIUM CHLORIDE 0.9 % IV BAG | 0338-0049-02 | 250 | mL | No charge |
| SODIUM CHLORIDE 0.9 % IV BAG | 0338-0049-03 | 500 | mL | $105.00 |
| SODIUM CHLORIDE 0.9 % IV BAG | 0338-0049-04 | 1000 | mL | $105.29 |
| SODIUM CHLORIDE 0.9 % IV BAG | 0338-0049-11 | 50 | mL | No charge |
| SODIUM CHLORIDE 0.9 % IV BAG | 0338-0049-18 | 100 | mL | No charge |
| SODIUM CHLORIDE 0.9 % IV BAG | 0338-0049-41 | 50 | mL | No charge |
| SODIUM CHLORIDE 0.9 % IV BAG | 0338-0049-48 | 100 | mL | No charge |
| SODIUM CHLORIDE 0.9 % IV BAG | 0409-7983-61 | 150 | mL | No charge |
| SODIUM CHLORIDE 0.9 % IV BAG | UHCS-0001-99 | 1000 | mL | $108.00 |
| SODIUM CHLORIDE 0.9% ADD-VANTAGE | 0409-7101-02 | 250 | mL | No charge |
| SODIUM CHLORIDE 0.9% ADD-VANTAGE | 0409-7101-66 | 50 | mL | No charge |
| SODIUM CHLORIDE 0.9% ADD-VANTAGE | 0409-7101-67 | 100 | mL | No charge |
| SODIUM CHLORIDE 0.9% IRRIGATION BAG 3000 ML | 0338-0047-27 | 3000 | mL | $62.42 |
| SODIUM CHLORIDE 0.9% IV MINI-BAG PLUS | 0338-0553-11 | 50 | mL | No charge |
| SODIUM CHLORIDE 0.9% IV MINI-BAG PLUS | 0338-0553-18 | 100 | mL | No charge |
| SODIUM CHLORIDE 1 GRAM ORAL TAB | 0223-1760-01 | 1 | each | $9.06 |
| SODIUM CHLORIDE 3 % IV BAG | 0338-0054-03 | 500 | mL | $106.07 |
| SODIUM CHLORIDE 3% (0.513 MEQ/ML) (NICU) | UHCS-0004-42 | 500 | mL | $127.00 |
| SODIUM CHLORIDE 4 MEQ/ML IV BAG | 63323-088-61 | 100 | mL | $135.00 |
| SODIUM CHLORIDE 4 MEQ/ML IV BAG | 63323-088-63 | 200 | mL | $148.60 |
| SODIUM CHLORIDE 4 MEQ/ML IV BAG | 63323-187-30 | 30 | mL | $129.17 |
| SODIUM CHLORIDE 4 MEQ/ML IV BAG | 0409-1130-02 | 250 | mL | $129.25 |
| SODIUM CHLORIDE PO 4 MEQ/ML (NICU) | UHCS-0001-07 | 30 | mL | $126.68 |
| SODIUM CHLORIDE-ALOE VERA NASL GEL | 0225-0525-47 | 14.1 | g | $57.38 |
| SODIUM CITRATE 4 GRAM /100 ML (4 %) MISC SOLUTION | 0942-9505-10 | 250 | mL | $110.66 |
| SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLUTION | UHCS-0001-52 | 120 | mL | $44.40 |
| SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLUTION | 0121-0595-00 | 15 | mL | $11.12 |
| SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML ORAL SOLUTION | 0121-1190-00 | 30 | mL | $11.31 |
| SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML IV SOLUTION | 0143-9570-10 | 5 | mL | $132.18 |
| SODIUM HYALURONATE 10 MG/ML IO SYRINGE | 85445-08581 | 0.55 | mL | $113.63 |
| SODIUM HYALURONATE 23 MG/ML IO SYRINGE | 8544-5083-21 | 0.6 | mL | $136.96 |
| SODIUM HYPOCHLORITE 0.25 % MISC SOLUTION | 0436-0936-16 | 473 | mL | $49.93 |
| SODIUM HYPOCHLORITE 0.5 % MISC SOLUTION | 0436-0946-16 | 473 | mL | $49.93 |
| SODIUM METABISULFITE (BULK) 100 % MISC GRANULES | 51552-0069-9 | 0.075 | g | $45.25 |
| SODIUM NITROPRUSSIDE 25 MG/ML IV SOLUTION | 25021-310-02 | 2 | mL | $161.36 |
| SODIUM PHOSPHATE 3 MMOL/ML IV SOLUTION | 63323-170-05 | 5 | mL | $133.03 |
| SODIUM PHOSPHATE 3 MMOL/ML IV SOLUTION | 63323-170-15 | 15 | mL | $144.71 |
| SODIUM PHOSPHATES 19-7 GRAM/118 ML RECT ENEMA | 0132-0201-40 | 133 | mL | $10.93 |
| SODIUM POLYSTYRENE SULFON-SORB 30-40 GRAM/120 ML RECT ENEMA | 46287-006-04 | 120 | mL | $77.08 |
| SODIUM POLYSTYRENE SULFONATE 15 G ORAL SUSPENSION | 0574-2002-02 | 60 | mL | $17.76 |
| SODIUM POLYSTYRENE SULFONATE 15 G ORAL SUSPENSION | UHCS-0002-52 | 120 | mL | $45.24 |
| SODIUM POLYSTYRENE SULFONATE ORAL POWDER | 10702-036-45 | 454 | g | $89.42 |
| SODIUM POLYSTYRENE SULFONATE ORAL POWDER | UHCS-0002-61 | 15 | g | $37.70 |
| SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) IV SOLUTION | 67457-163-02 | 2 | mL | $197.46 |
| SORBITOL 3 % IRRIGATION SOLUTION | 0338-0295-47 | 3000 | mL | $117.50 |
| SORBITOL 70 % MISC SOLUTION | 0603-0900-58 | 473 | mL | $14.68 |
| SORBITOL 70 % MISC SOLUTION | 46287-500-01 | 473 | mL | $13.34 |
| SORBITOL 70 % MISC SOLUTION | 46287-500-30 | 30 | mL | $10.20 |
| SORBITOL 70 % MISC SOLUTION | UHCS-0001-53 | 60 | mL | $36.24 |
| SOTALOL 80 MG ORAL TAB | 68084-654-01 | 1 | each | $9.88 |
| SPIRONOLACTONE 25 MG ORAL TAB | 63739-544-10 | 1 | each | $9.11 |
| SPIRONOLACTONE (ALDACTONE) 1MG/ML PO SYRINGE (NICU) | UHCS-0000-05 | 50 | mL | $47.00 |
| STERILE TALC 4 GRAM RECON. SUSP. | 62327-444-44 | 1 | each | $269.00 |
| SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJ SOLUTION | 0781-3411-95 | 10 | mL | $138.60 |
| SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) IV SYRINGE | UHCS-0004-90 | 8 | mL | $138.20 |
| SUCRALFATE 1 GRAM ORAL TAB | 63739-943-10 | 1 | each | $9.25 |
| SUCRALFATE 100 MG/ML ORAL SUSPENSION | 66689-790-50 | 10 | mL | $18.62 |
| SUCRALFATE 100 MG/ML ORAL SUSPENSION | UHCS-0001-54 | 120 | mL | $86.64 |
| SUGAMMADEX 100 MG/ML IV SOLUTION | 0006-5423-12 | 2 | mL | $213.11 |
| SUGAMMADEX 100 MG/ML IV SOLUTION | 0006-5425-15 | 5 | mL | $286.38 |
| SULFACETAMIDE SODIUM 10 % OPHT DROPS | 61314-701-01 | 15 | mL | $79.88 |
| SULFADIAZINE 500 MG ORAL TAB | 0185-0757-01 | 1 | each | $12.37 |
| SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5 ML ORAL SUSPENSION | UHCS-0001-58 | 60 | mL | $30.12 |
| SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG ORAL TAB | 50268-728-15 | 1 | each | $9.21 |
| SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5 ML IV SOLUTION | 0703-9514-03 | 10 | mL | $132.26 |
| SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG ORAL TAB | 63739-228-10 | 1 | each | $9.13 |
| SULFASALAZINE 500 MG ORAL TAB | 50268-730-15 | 1 | each | $9.37 |
| SULINDAC 200 MG ORAL TAB | 51079-667-20 | 1 | each | $10.17 |
| SUMATRIPTAN SUCCINATE 25 MG ORAL TAB | 55111-291-36 | 1 | each | $10.53 |
| SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBQ SOLUTION | 55150-173-01 | 0.5 | mL | $131.79 |
| TACROLIMUS 0.5 MG ORAL CAP | 0904-6623-61 | 1 | each | $10.10 |
| TACROLIMUS 1 MG ORAL CAP | 0904-6425-61 | 1 | each | $10.02 |
| TADALAFIL 20 MG ORAL TAB | 0002-4464-30 | 1 | each | $70.96 |
| TAMOXIFEN 10 MG ORAL TAB | 0093-0784-86 | 1 | each | $9.56 |
| TAMSULOSIN 0.4 MG ORAL CAP | 0904-6401-61 | 1 | each | $9.39 |
| TAPENTADOL 50 MG ORAL TAB | 50458-820-02 | 1 | each | $16.37 |
| TAPENTADOL 75 MG ORAL TAB | 50458-830-02 | 1 | each | $17.27 |
| TELMISARTAN 40 MG ORAL TAB | 68462-200-13 | 1 | each | $9.73 |
| TEMAZEPAM 7.5 MG ORAL CAP | 0904-6436-04 | 1 | each | $14.89 |
| TEMAZEPAM 15 MG ORAL CAP | 51079-418-01 | 1 | each | $12.09 |
| TEMOZOLOMIDE 20 MG ORAL CAP | 0093-7600-57 | 1 | each | $109.99 |
| TEMOZOLOMIDE 140 MG ORAL CAP | 0093-7638-57 | 1 | each | $463.93 |
| TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST) IV VIAL | 0008-1179-01 | 1 | mL | $2,872.26 |
| TENECTEPLASE 50 MG IV KIT | 50242-120-01 | 1 | each | $9,514.54 |
| TENOFOVIR DISOPROXIL FUMARATE 300 MG ORAL TAB | 64380-714-04 | 1 | each | $10.89 |
| TERAZOSIN 1 MG ORAL CAP | 51079-936-20 | 1 | each | $9.22 |
| TERAZOSIN 2 MG ORAL CAP | 51079-937-20 | 1 | each | $9.15 |
| TERAZOSIN 5 MG ORAL CAP | 59746-385-06 | 1 | each | $9.12 |
| TERBINAFINE HCL 250 MG ORAL TAB | 51991-526-33 | 1 | each | $9.13 |
| TERBUTALINE 1 MG/ML SUBQ SOLUTION | 63323-665-01 | 1 | mL | $126.45 |
| TERCONAZOLE 0.4 % VAGL CREAM | 51672-1304-6 | 45 | g | $66.01 |
| TERCONAZOLE 0.8 % VAGL CREAM | 51672-1302-0 | 20 | g | $62.88 |
| TERCONAZOLE 80 MG VAGL SUPPOSITORY | 45802-717-08 | 1 | each | $38.32 |
| TERIPARATIDE 20 MCG/DOSE - 600 MCG/2.4 ML SUBQ PEN | 0002-8400-01 | 2.4 | mL | $5,347.71 |
| TESTOSTERONE CYPIONATE 200 MG/ML IM OIL | 0009-0417-01 | 1 | mL | $134.48 |
| TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYRINGE | 13533-634-02 | 1 | each | $707.68 |
| TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSPENSION | 13533-131-01 | 0.5 | mL | $143.74 |
| TETRACAINE HCL (PF) 0.5 % OPHT DROPS | 0065-0741-14 | 4 | mL | $54.49 |
| TETRACYCLINE 500 MG ORAL CAP | 23155-018-01 | 1 | each | $17.18 |
| TETRAHYDROZOLINE 0.05 % OPHT DROPS | 49348-037-29 | 15 | mL | $46.10 |
| THEOPHYLLINE 300 MG ORAL TB12 | 62332-025-31 | 1 | each | $11.99 |
| THEOPHYLLINE 400 MG ORAL TB24 | 42858-701-01 | 1 | each | $9.72 |
| THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR | UHCS-0001-55 | 60 | mL | $73.26 |
| THIAMINE HCL (VITAMIN B1) 100 MG/ML INJ SOLUTION | 67457-196-02 | 2 | mL | $131.16 |
| THIAMINE MONONITRATE (VIT B1) 100 MG ORAL TAB | 51645-905-99 | 1 | each | $9.04 |
| THIORIDAZINE 10 MG ORAL TAB | 51079-565-20 | 1 | each | $9.32 |
| THROMB,HM-FIBRIN-APROTIN,S-CA 2 ML TOP SYRINGE | 0338-8402-02 | 2 | mL | $264.38 |
| THROMB-CA-CME CEL-HEMOSTAT PAD 3 X 3 " TOP MED PAD | 60793-916-03 | 1 | each | $81.03 |
| THROMBIN (BOVINE) 5000 UNIT TOP SPSY | 60793-705-05 | 1 | each | $86.17 |
| THROMBIN (BOVINE) 5000 UNIT TOP VIAL | 60793-215-05 | 1 | each | $170.26 |
| THROMBIN (BOVINE) 20000 UNIT TOP SPSY | 60793-217-22 | 1 | each | $205.45 |
| THROMBIN-CAL-CMC-GEL-DRESS,HEM 10 CM2 TOP MED PAD | 60793-907-01 | 1 | each | $78.02 |
| THROMBIN-FIBRINOGN-APROTIN-CAL 4 ML TOP SYRINGE | 0944-8402-04 | 4 | mL | $281.51 |
| THROMBIN-FIBRINOGN-APROTIN-CAL 10 ML TOP SYRINGE | 0944-8402-10 | 10 | mL | $672.12 |
| THYROID (PORK) 30 MG ORAL TAB | 42192-329-01 | 1 | each | $9.43 |
| TIAGABINE 4 MG ORAL TAB | 0093-5031-56 | 1 | each | $13.17 |
| TICAGRELOR 60 MG ORAL TAB | 0186-0776-60 | 1 | each | $14.43 |
| TICAGRELOR 90 MG ORAL TAB | 0186-0777-39 | 1 | each | $14.43 |
| TIGECYCLINE 50 MG IV VIAL | 0781-3481-92 | 1 | each | $203.40 |
| TIMOLOL MALEATE 0.25 % OPHT DROPS | 61314-226-05 | 5 | mL | $46.68 |
| TIMOLOL MALEATE 0.25 % OPHT GEL SOLUTION | 61314-224-05 | 5 | mL | $192.10 |
| TIMOLOL MALEATE 0.5 % OPHT DROPS | 17478-288-10 | 5 | mL | $49.48 |
| TIMOLOL MALEATE 0.5 % OPHT GEL SOLUTION | 61314-225-05 | 5 | mL | $206.21 |
| TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION INHL MIST | 0597-0100-31 | 4 | g | $199.69 |
| TIROFIBAN-0.9% SODIUM CHLORIDE 12.5 MG/250 ML (50 MCG/ML) IV SOLUTION | 25208-002-02 | 250 | mL | $613.38 |
| TIZANIDINE 4 MG ORAL TAB | 0904-6418-61 | 1 | each | $9.42 |
| TOBRAMYCIN (NEBCIN) FOR NEBULIZATION (NICU) | UHCS-0001-82 | 2 | mL | $126.29 |
| TOBRAMYCIN (NEBCIN) IV 5 MG/ML (NICU) | UHCS-0000-04 | 10 | mL | $135.39 |
| TOBRAMYCIN 0.3 % OPHT DROPS | 24208-290-05 | 5 | mL | $55.90 |
| TOBRAMYCIN 0.3 % OPHT OINTMENT | 0065-0644-35 | 3.5 | g | $242.83 |
| TOBRAMYCIN FOR INHALATION | UHCS-0001-81 | 7.5 | mL | $136.41 |
| TOBRAMYCIN SULFATE 1.2 GRAM INJ VIAL | 63323-303-51 | 1 | each | $179.26 |
| TOBRAMYCIN SULFATE 10 MG/ML INJ SOLUTION | 63323-305-02 | 2 | mL | $127.08 |
| TOBRAMYCIN SULFATE 40 MG/ML INJ SOLUTION | 67457-473-22 | 2 | mL | $125.77 |
| TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHT DROPS. | 61314-647-25 | 2.5 | mL | $76.35 |
| TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHT OINTMENT | 0065-0648-35 | 3.5 | g | $243.68 |
| TOCILIZUMAB 200 MG/10 ML (20 MG/ML) IV SOLUTION | 50242-136-01 | 10 | mL | $1,772.51 |
| TOCILIZUMAB 400 MG/20 ML (20 MG/ML) IV SOLUTION | 50242-137-01 | 20 | mL | $3,545.01 |
| TOCILIZUMAB 80 MG/4 ML (20 MG/ML) IV SOLUTION | 50242-135-01 | 4 | mL | $709.00 |
| TOLNAFTATE 1 % TOP CREAM | 49348-155-29 | 15 | g | $42.00 |
| TOLVAPTAN 15 MG ORAL TAB | 59148-020-50 | 1 | each | $438.33 |
| TOLVAPTAN 30 MG ORAL TAB | 59148-021-50 | 1 | each | $454.38 |
| TOPIRAMATE 25 MG ORAL TAB | 68084-342-01 | 1 | each | $9.11 |
| TOPIRAMATE 100 MG ORAL TAB | 68084-344-01 | 1 | each | $9.23 |
| TOPOTECAN 4 MG IV VIAL | 16729-151-31 | 1 | each | $410.09 |
| TORSEMIDE 10 MG ORAL TAB | 50111-916-01 | 1 | each | $9.06 |
| TORSEMIDE 20 MG ORAL TAB | 68084-539-01 | 1 | each | $9.33 |
| TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60MCG-5MG/ML IV SOLUTION | 0517-8201-25 | 1 | mL | $133.02 |
| TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60MCG-5MG/ML IV SOLUTION | 0517-8210-25 | 10 | mL | $138.15 |
| TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60MCG-5MG/ML IV SOLUTION | UHCS-0003-16 | 10 | mL | $135.13 |
| TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG -25MCG-1.5MG/ML IV SOLUTION | 0517-6202-25 | 2 | mL | $131.05 |
| TRAMADOL 50 MG ORAL TAB | 51079-991-20 | 1 | each | $9.06 |
| TRANDOLAPRIL 1 MG ORAL TAB | 16252-541-30 | 1 | each | $9.37 |
| TRANEXAMIC ACID 1000 MG/10 ML (100 MG/ML) IV SOLUTION | 70860-400-10 | 10 | mL | $131.68 |
| TRASTUZUMAB 150 MG IV VIAL | 50242-132-01 | 7.14 | mL | $2,647.80 |
| TRAZODONE 50 MG ORAL TAB | 0904-6554-61 | 1 | each | $9.11 |
| TRIAMCINOLONE ACETONIDE 0.025 % TOP CREAM | 0168-0003-80 | 80 | g | $48.64 |
| TRIAMCINOLONE ACETONIDE 0.1 % DENT PASTE | 51672-1267-5 | 5 | g | $74.63 |
| TRIAMCINOLONE ACETONIDE 0.1 % TOP CREAM | 0168-0004-80 | 80 | g | $45.12 |
| TRIAMCINOLONE ACETONIDE 0.1 % TOP LOTION | 60432-561-60 | 60 | mL | $65.08 |
| TRIAMCINOLONE ACETONIDE 0.1 % TOP OINTMENT | 45802-055-36 | 80 | g | $46.80 |
| TRIAMCINOLONE ACETONIDE 10 MG/ML INJ SUSPENSION | 0003-0494-20 | 5 | mL | $136.21 |
| TRIAMCINOLONE ACETONIDE 40 MG/ML INJ SUSPENSION | 70121-1049-5 | 1 | mL | $131.95 |
| TRIAMTERENE-HYDROCHLOROTHIAZID 37.5-25 MG ORAL TAB | 68084-750-25 | 1 | each | $9.65 |
| TRIAMTERENE-HYDROCHLOROTHIAZID 75-50 MG ORAL TAB | 51079-433-20 | 1 | each | $9.64 |
| TRIAZOLAM 0.25 MG ORAL TAB | 59762-3718-4 | 1 | each | $13.08 |
| TRIFLURIDINE 1 % OPHT DROPS | 61314-044-75 | 7.5 | mL | $176.27 |
| TRIHEXYPHENIDYL 5 MG ORAL TAB | 0591-5337-01 | 1 | each | $9.28 |
| TRIMETHOPRIM/SULFAMETHOXAZOLE (BACTRIM) 0.64MG/ML IV NICU | UHCS-0000-03 | 25 | mL | $143.15 |
| TRIMETHOPRIM/SULFAMETHOXAZOLE (BACTRIM) PO 8MG/ML (NICU) | UHCS-0000-52 | 30 | mL | $26.56 |
| TROPICAMIDE 1 % OPHT DROPS | 61314-355-01 | 3 | mL | $24.18 |
| TRYPAN BLUE 0.06 % IO SYRINGE | 68803-612-10 | 0.5 | mL | $74.30 |
| TUBERCULIN PPD 5 TUB. UNIT /0.1 ML IDRM SOLUTION | 49281-752-22 | 5 | mL | $397.79 |
| TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML IM SYRINGE | 49281-790-51 | 0.5 | mL | $214.09 |
| UMECLIDINIUM-VILANTEROL 62.5-25 MCG/ACTUATION INHL DISKUS | 0173-0869-06 | 1 | each | $9.00 |
| UREA (BULK) 100 % MISC BEADS | 51552-0057-5 | 500 | g | $4,511.00 |
| URSODIOL (ACTIGAL)25MG/ML PO SYRINGE (NICU) | UHCS-0000-02 | 60 | mL | $47.40 |
| URSODIOL 300 MG ORAL CAP | 0904-6221-61 | 1 | each | $11.87 |
| VALACYCLOVIR 500 MG ORAL TAB | 63739-525-10 | 1 | each | $10.82 |
| VALGANCICLOVIR 450 MG ORAL TAB | 0004-0038-22 | 1 | each | $90.99 |
| VALGANCICLOVIR 450 MG ORAL TAB | 0603-6330-20 | 1 | each | $24.61 |
| VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) IV SOLUTION | 0143-9785-10 | 5 | mL | $127.18 |
| VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION | 60432-621-16 | 473 | mL | $48.30 |
| VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION | UHCS-0001-56 | 60 | mL | $37.56 |
| VALSARTAN 80 MG ORAL TAB | 60687-128-01 | 1 | each | $9.57 |
| VALSARTAN 160 MG ORAL TAB | 60687-139-01 | 1 | each | $9.36 |
| VANCOMYCIN 5 GRAM IV VIAL | 0409-6509-01 | 5 | g | $641.34 |
| VANCOMYCIN 125 MG ORAL CAP | 47781-729-02 | 1 | each | $13.57 |
| VANCOMYCIN 250 MG ORAL CAP | 47781-730-02 | 1 | each | $17.13 |
| VANCOMYCIN 500 MG IV VIAL | 0409-4332-01 | 1 | each | $127.25 |
| VANCOMYCIN 750 MG IV VIAL | 0409-6531-02 | 1 | each | $131.98 |
| VANCOMYCIN (VANCOCIN) IV 5 MG/ML IN NS (PEDS) | UHCS-0003-14 | 1 | each | $128.33 |
| VANCOMYCIN (VANCOCIN) IV 5MG/ML (NICU) | UHCS-0000-51 | 1 | each | $128.33 |
| VANCOMYCIN (VANCOCIN)5MG/ML IN PF NS INTRAVENTRICULAR | UHCS-0004-14 | 1 | each | $128.33 |
| VANCOMYCIN 1 GRAM VIAL FOR DAY SURGERY | UHCS-0002-54 | 1 | each | $127.59 |
| VANCOMYCIN 1000 MG IV VIAL | 0409-6533-01 | 1 | each | $127.87 |
| VANCOMYCIN 5 GRAM IV VIAL (NO ROUNDING) | 0409-6509-01 | 5 | g | $641.34 |
| VANCOMYCIN 500 MG IV FOR ORTHO SOLUTION | 0409-4332-01 | 1 | each | $127.25 |
| VANCOMYCIN FOR INHALATION | UHCS-0001-92 | 1 | each | $130.00 |
| VANCOMYCIN ORAL SOLUTION 125MG/2.5ML | UHCS-0003-41 | 2.5 | mL | $13.25 |
| VANCOMYCIN ORAL SOLUTION 250MG/5ML 60ML | UHCS-0001-93 | 60 | mL | $29.50 |
| VANCOMYCIN ORAL SOLUTION 500MG/10ML | UHCS-0003-50 | 10 | mL | $13.09 |
| VARENICLINE 0.5 MG ORAL TAB | 0069-0468-56 | 1 | each | $15.65 |
| VARENICLINE 1 MG ORAL TAB | 0069-0469-56 | 1 | each | $15.65 |
| VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ RECON. SUSP. | 0006-4827-00 | 1 | each | $234.44 |
| VASOPRESSIN 20 UNIT/ML IV SOLUTION | 42023-164-25 | 1 | mL | $270.97 |
| VASOPRESSIN INFUSION 50 UNITS/50 ML | 71019-368-01 | 50 | mL | $845.86 |
| VECURONIUM BROMIDE 10 MG IV VIAL | 47335-931-44 | 1 | each | $129.27 |
| VEDOLIZUMAB 300 MG IV VIAL | 64764-300-20 | 1 | each | $10,260.34 |
| VENLAFAXINE 37.5 MG ORAL CP24 | 68084-698-01 | 1 | each | $9.45 |
| VENLAFAXINE 37.5 MG ORAL TAB | 51079-480-20 | 1 | each | $9.57 |
| VENLAFAXINE 75 MG ORAL CP24 | 68084-709-01 | 1 | each | $9.50 |
| VERAPAMIL 40 MG ORAL TAB | 0591-0404-01 | 1 | each | $9.13 |
| VERAPAMIL 80 MG ORAL TAB | 0904-2920-61 | 1 | each | $9.07 |
| VERAPAMIL 120 MG ORAL C24P | 51079-917-20 | 1 | each | $13.00 |
| VERAPAMIL 120 MG ORAL TBER | 51079-894-20 | 1 | each | $10.77 |
| VERAPAMIL 180 MG ORAL C24P | 0378-6380-01 | 1 | each | $10.41 |
| VERAPAMIL 180 MG ORAL TBER | 51079-899-20 | 1 | each | $10.91 |
| VERAPAMIL 2.5 MG/ML IV SOLUTION | 0409-1144-05 | 2 | mL | $149.21 |
| VERAPAMIL 240 MG ORAL C24P | 0591-2884-01 | 1 | each | $10.50 |
| VERAPAMIL 240 MG ORAL TBER | 68462-260-01 | 1 | each | $9.13 |
| VINBLASTINE 1 MG/ML IV SOLUTION | 63323-278-10 | 10 | mL | $404.80 |
| VINCRISTINE 1 MG/ML IV SOLUTION | 61703-309-06 | 1 | mL | $374.99 |
| VINORELBINE 10 MG/ML IV SOLUTION | 25021-204-01 | 1 | mL | $379.09 |
| VINORELBINE 50 MG/5 ML IV SOLUTION | 25021-204-05 | 5 | mL | $404.54 |
| VIT B COMP-C-FA-COPPER-ZINC 5-1.5-25 MG ORAL TAB | 51991-52890 | 1 | each | $9.45 |
| VITAMIN A (AQUASOL A) IM (NICU) | 61703-418-18 | 1 | each | $236.30 |
| VITAMIN A 10000 UNITS ORAL CAP | 0904-2085-60 | 1 | each | $9.02 |
| VITAMIN E (DL ACETATE) 400 UNIT ORAL CAP | 0904-0274-60 | 1 | each | $9.04 |
| VITAMIN E (DL, ACETATE) 100 UNIT ORAL CAP | 0904-0270-60 | 1 | each | $9.02 |
| VITS A AND D-WHITE PET-LANOLIN TOP OINT. PACK | 0168-0035-45 | 5 | g | $200.21 |
| VITS A AND D-WHITE PET-LANOLIN TOP OINTMENT | 0168-0035-01 | 56.7 | g | $42.50 |
| VORICONAZOLE 200 MG IV SOLUTION | 47781-466-71 | 1 | each | $153.71 |
| VORICONAZOLE 200 MG ORAL TAB | 0904-6471-04 | 1 | each | $30.49 |
| WARFARIN 1 MG ORAL TAB | 0056-0169-75 | 1 | each | $9.03 |
| WARFARIN 2 MG ORAL TAB | 0056-0170-75 | 1 | each | $9.04 |
| WARFARIN 2.5 MG ORAL TAB | 0056-0176-75 | 1 | each | $9.04 |
| WARFARIN 5 MG ORAL TAB | 0056-0172-75 | 1 | each | $9.04 |
| WARFARIN 7.5 MG ORAL TAB | 0056-0173-75 | 1 | each | $9.05 |
| WARFARIN 0.5 MG ORAL TAB | UHCS-0003-51 | 1 | each | $9.02 |
| WARFARIN 1.25 MG ORAL TAB | UHCS-0004-06 | 1 | each | $9.02 |
| WATER FOR INJECT, BACTERIOSTAT INJ SOLUTION | 0409-3977-03 | 30 | mL | $17.27 |
| WATER FOR INJECTION STERILE IV BAG | 0338-0013-04 | 1000 | mL | $107.04 |
| WATER FOR IRRIGATION STERILE IRRIGATION BAG | 0338-0003-44 | 1000 | mL | $57.48 |
| WATER FOR IRRIGATION STERILE IRRIGATION SOLUTION | 0338-0004-02 | 250 | mL | $55.86 |
| WATER FOR IRRIGATION STERILE IRRIGATION SOLUTION | 0338-0004-03 | 500 | mL | $55.75 |
| WATER FOR IRRIGATION STERILE IRRIGATION SOLUTION | 0338-0004-04 | 1000 | mL | $55.77 |
| WATER FOR IRRIGATION STERILE IRRIGATION SOLUTION | 0338-0004-05 | 1500 | mL | $58.02 |
| WHITE PETROLATUM TOP GEL | 0904-5731-82 | 368 | g | $42.21 |
| WHITE PETROLATUM-MINERAL OIL 83-15 % OPHT OINTMENT | 0904-6488-38 | 3.5 | g | $46.80 |
| ZAFIRLUKAST 20 MG ORAL TAB | 55111-626-60 | 1 | each | $10.03 |
| ZIDOVUDINE (RETROVIR) PO 10MG/ML (NICU) | UHCS-0000-50 | 60 | mL | $24.40 |
| ZIDOVUDINE 10 MG/ML IV SOLUTION | 49702-213-26 | 20 | mL | $152.08 |
| ZIDOVUDINE 10 MG/ML ORAL SYRUP | UHCS-0001-57 | 60 | mL | $51.00 |
| ZIDOVUDINE 10 MG/ML ORAL SYRUP | 49702-212-48 | 240 | mL | $96.00 |
| ZIDOVUDINE 300 MG ORAL TAB | 65862-024-60 | 1 | each | $9.23 |
| ZIDOVUDINE 4MG/ML IV SYRINGE (NICU) | UHCS-0000-01 | 10 | mL | $138.60 |
| ZINC CHLORIDE 1 MG/ML IV SOLUTION | 0409-4090-01 | 10 | mL | $137.43 |
| ZINC OXIDE 20 % TOP OINTMENT | 0168-0062-31 | 28.35 | g | $42.30 |
| ZINC OXIDE 4 X 10 "-YARD TOP BANDAGE | 68455-10764 | 1 | each | $50.56 |
| ZINC OXIDE-COD LIVER OIL 40 % TOP PASTE | 74300-000-70 | 57 | g | $84.20 |
| ZINC SULFATE 220 (50) MG ORAL CAP | 0904-5332-60 | 1 | each | $9.02 |
| ZINC SULFATE 5 MG/ML IV SOLUTION | 0517-8105-25 | 5 | mL | $222.11 |
| ZIPRASIDONE HCL 20 MG ORAL CAP | 68084-103-09 | 1 | each | $11.16 |
| ZIPRASIDONE HCL 40 MG ORAL CAP | 68084-104-09 | 1 | each | $11.26 |
| ZIPRASIDONE HCL 80 MG ORAL CAP | 68084-106-09 | 1 | each | $11.26 |
| ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM VIAL | 0049-3920-83 | 1 | each | $171.06 |
| ZOLEDRONIC ACID 4 MG/5 ML IV SOLUTION | 67457-390-54 | 5 | mL | $376.98 |
| ZOLEDRONIC ACID-MANNITOL-WATER 5 MG/100 ML IV IVPB | 67457-619-10 | 100 | mL | $218.20 |
| ZOLPIDEM 5 MG ORAL TAB | 68084-189-01 | 1 | each | $12.10 |
| ZOLPIDEM 10 MG ORAL TAB | 0904-6083-61 | 1 | each | $12.09 |
