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Theophylline Cap Sr 24Hr 100 Mg
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THEO-24 100MG CR CAPSULES
(1 CAP EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 10001 Mfg: UCB PHARMA
Requires Prescription? yes
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Quantity
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Retail
Price
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Your
Price
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1
CAP
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$0.85
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30
CAP
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$25.69
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90
CAP
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$77.06
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180
CAP
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$154.14
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360
CAP
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$308.28
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Theophylline Cap Sr 24Hr 200 Mg
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THEO-24 200MG CR CAPSULES
(1 CAP EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 20001 Mfg: UCB PHARMA
Requires Prescription? yes
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Quantity
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Retail
Price
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Your
Price
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1
CAP
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$1.27
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30
CAP
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$38.28
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90
CAP
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$114.84
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180
CAP
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$229.67
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360
CAP
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$459.35
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Theophylline Cap Sr 24Hr 300 Mg
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THEO-24 300MG CR CAPSULES
(1 CAP EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 30001 Mfg: UCB PHARMA
Requires Prescription? yes
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Quantity
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Retail
Price
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Your
Price
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1
CAP
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$1.57
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30
CAP
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$47.22
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90
CAP
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$141.66
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180
CAP
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$283.33
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360
CAP
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$566.65
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Theophylline Cap Sr 24Hr 400 Mg
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THEO-24 400MG ER CAPSULES
(1 CAP EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: Mfg: UCB PHARMA
Requires Prescription? yes
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Quantity
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Retail
Price
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Your
Price
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1
CAP
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$2.21
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30
CAP
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$66.12
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90
CAP
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$198.36
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180
CAP
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$396.73
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360
CAP
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$793.45
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Theophylline Elixir 80 Mg/15Ml
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ELIXOPHYLLIN ELIXIR 80MG/15ML
(1 x 480.0 ML ELX = 480.0)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 064416 Mfg: FOREST
Requires Prescription? yes
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Quantity
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Retail
Price
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Your
Price
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480
ML
ELX
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$111.12
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QUIBRON-T 300MG TABS
(1 TAB EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: Mfg: MONARCH PH
Requires Prescription? yes
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Quantity
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Retail
Price
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Your
Price
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1
TAB
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$0.82
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30
TAB
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$24.46
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90
TAB
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$73.37
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180
TAB
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$146.72
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360
TAB
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$293.46
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Theophylline Tab Sr 12Hr 100 Mg
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THEOPHYLLINE TD 100MG TDTB12
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: Mfg: GOLDLINE
Requires Prescription? yes
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Quantity
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Retail
Price
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Your
Price
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1
TAB
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$0.83
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30
TAB
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$24.69
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90
TAB
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$74.06
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180
TAB
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$148.10
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360
TAB
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$296.19
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Theophylline Tab Sr 12Hr 200 Mg
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THEOPHYLLINE CR 200MG CRTABS
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: 48201 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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1
TAB
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$0.59
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30
TAB
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$17.69
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90
TAB
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$53.07
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180
TAB
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$106.14
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360
TAB
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$212.28
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THEOPHYLLINE ER 200MG ERTB12
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: Mfg: INWOOD
Requires Prescription? yes
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Quantity
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Retail
Price
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Your
Price
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1
TAB
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$0.62
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30
TAB
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$18.47
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90
TAB
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$55.41
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180
TAB
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$110.81
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360
TAB
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$221.61
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Order Summary
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