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Albuterol Sulfate Inhal Aero 108 Mcg/Act (90Mcg Base Equiv)
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PROAIR HFA AERS
(1 x 8.5 GM AER = 8.5)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 57920 Mfg: IVAX PHARM
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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8.5
GM
AER
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$52.00
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$38.13
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25.5
GM
AER
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$155.99
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$114.39
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51
GM
AER
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$311.98
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$228.78
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PROVENTIL HFA AEROSOL SPRAY 6.7GM EACH
(1 x 6.7 GM AER = 6.7)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 113201 Mfg: KEY
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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6.7
GM
AER
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$58.13
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$46.50
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20.1
GM
AER
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$174.38
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$139.50
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40.2
GM
AER
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$348.77
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$279.01
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VENTOLIN HFA AERS
(1 x 8.0 GM AER = 8.0)
Type: Brand Name Pharmacy Product
HCPCS code:
J3490
Cat#: 68224 Mfg: GLAXOSMITH
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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8
GM
AER
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$21.60
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$15.84
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24
GM
AER
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$64.80
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$47.52
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48
GM
AER
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$129.60
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$95.04
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VENTOLIN HFA, 90MCG, ARIN
(1 x 18.0 GM AER = 18.0)
Type: Brand Name Pharmacy Product
HCPCS code:
J3490
Cat#: 068220 Mfg: GLAXOSMITH
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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18
GM
AER
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$43.34
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$31.79
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54
GM
AER
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$130.03
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$95.36
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108
GM
AER
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$260.06
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$190.71
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Albuterol Sulfate Soln Nebu 0.083% (2.5 Mg/3Ml)
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ALBUTEROL SULFATE 0.083%NEBU
(25 x 3.0 ML NEB = 75.0)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: 99052 Mfg: MYLAN
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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75
ML
NEB
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$49.92
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$13.31
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ALBUTEROL SULFATE 0.083%NEBU
(25 x 3.0 ML NEB = 75.0)
Type: Generic Pharmacy Product
HCPCS code:
J7613
Cat#: Mfg: DEY
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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75
ML
NEB
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$45.38
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$12.10
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ALBUTEROL SULFATE 0.083%NEBU
(30 x 3.0 ML NEB = 90.0)
Type: Generic Pharmacy Product
HCPCS code:
J7613
Cat#: 950103 Mfg: NEPHRON
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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90
ML
NEB
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$36.00
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$9.60
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ALBUTEROL SULFATE 0.083%NEBU
(25 x 3.0 ML NEB = 75.0)
Type: Generic Pharmacy Product
HCPCS code:
J7613
Cat#: 950125 Mfg: NEPHRON
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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75
ML
NEB
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$30.00
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$8.00
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Albuterol Sulfate Soln Nebu 0.5% (5 Mg/Ml)
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ALBUTEROL SULFATE 0.5% NEBU
(1 x 20.0 ML NEB = 20.0)
Type: Generic Pharmacy Product
HCPCS code:
J7618
Cat#: 074120 Mfg: HI-TECH
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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20
ML
NEB
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$25.50
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$6.80
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Albuterol Sulfate Soln Nebu 1.25 Mg/3Ml (Base Equiv)
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Albuterol Sulfate Syrup 2 Mg/5Ml
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ALBUTEROL SULFATE 2MG/5MLSYRP
(1 x 473.0 ML SYP = 473.0)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: 066116 Mfg: TEVA USA
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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473
ML
SYP
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$46.19
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$12.32
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Order Summary
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