Medication HCPCS Code Price
Alendronate 35 Mg Tab $93.85
Alendronate 5 Mg Tab $18.65
Alendronate 70 Mg Tab $93.85
Alprostadil 500 Mcg/1 ML Amp Inj $562.60
ALteplase (Cathflo) 2 Mg Vial J2997 $747.55
ALteplase 1 Mg Syringe J2997 $335.70
ALteplase 100 Mg Vial J2997 $42,328.55
ALteplase 5 Mg Prefilled Syringe J2997 $2,122.25
ALteplase 50 Mg Vial J2997 $21,167.35
Aluminum/Mag Hydrox-SIMETHICONE Susp $18.05