Medication HCPCS Code Price
Aripiprazole 10 Mg Tab $134.70
Aripiprazole 15 Mg Tab $158.85
Aripiprazole 2 Mg Tab $138.45
Aripiprazole 5 Mg Tab $134.70
Artificial Tears (HPM) Ophth 15 ML $124.40
Asenapine 5 Mg SL Tab $108.95
Aspirin 300 Mg Supp $12.40
Aspirin 600 Mg Supp $12.60
Aspirin-Dipyridamole 25 Mg-200 Mg Cap $41.90
Atazanavir 300 Mg Cap $250.15