Medication HCPCS Code Price
Amantadine 100 Mg Cap/Tab $20.25
Amikacin 500 Mg/2 ML Vial J0278 $63.90
Aminocaproic Acid 5 G/20 ML Vial $35.55
Aminocaproic Acid Oral RINSE 100 ML $35.55
Amiodarone 150 Mg/100 ML Premix J0282 $184.30
Amiodarone 150 Mg/3 ML Vial J0282 $16.40
Amiodarone 200 Mg Tab $20.60
Amiodarone 900 Mg/18 ML Vial J0282 $78.95
AMItriptyline 100 Mg Tab $17.00
AMItriptyline 50 Mg Tab $10.65