Example Medication Pricing Sheet Medication Nova Price ...

[Pages:1]Example Medication Pricing Sheet

Medication Albuterol Nebulizer Solution, 25 vials

Allopurinol 100mg, 30 tablets Amlodipine 10mg, 30 tablets Amoxicillin 250mg/5mL, 100mL Amoxicillin 500mg, 20 tablets Atorvastatin 10mg, 30 tabs

Azithromycin (Z-Pak) Ceftriaxone 250mg Injection

Cephalexin (Keflex) 500mg, 28 capsules Cyclobenzaprine (Flexeril) 10mg, 30 tablets Fluticasone Spray (Flonase) Ketorolac 30mg IM Injection

Lisinopril 40mg, 30 Tablets Metformin 500mg, 60 tablets Omeprazole 20mg, 30 capsules Ondansetron ODT (Zofran) 4mg, 10 tabs

Prednisone 10mg, 30 tabs Promethazine 25mg IM Injection

Ranitidine 150mg (Zantac), 60 tabs Sertraline 100mg (Zoloft)

Sildenafil 100mg (Viagra), 30 tablets Sodium Chloride 1000mL (Normal

Saline IV)

Sulfamethoxazole, Trimethoprim 800/160 (Bactrim DS), 14 tabs Tadalafil 20mg (Cialis), 30 tabs Triamcinolone 1mg/g 30g tube Triamcinolone Acetonide 40mg (Kenalog joint injection)

Nova Price $3

$1.20 $0.51

$2 $1.22 $1.68/month

$2 $2/treatment

$2.80 $1.50

$5.40/bottle $1.62/dose

$1.32/month $0.84 $1.38 $4.95 $2.70

$2.74/treatment

$3.96 $2.10/month

$21 $2.65

$0.77

$14.30 $5 $10

Average Retail $21.55 $14.88 $50 $12.84 $12.62 $94.50 $37.22

Office visit +admin fee+medication $24.79 $23.94

$59.33 Office visit +admin

fee+medication $20 $20 $75 $80 $20

Office visit +admin fee+medication $20 $50 $1,400

Only Urgent Care/ER. Facility Fee+admin fee+medication $13

$2,000 $15.41 Office visit+procedure fee+medication

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download