SERVICE DESCRIPTION | ITEM/SERVICE DESCRIPTION | FACILITY FEE | GROSS CHARGE |
|---|---|---|---|
| Inpatient Psychiatric Services | Private Room | $114.00 | $1,423.00 |
| Inpatient Psychiatric Services | Semi-Private Room | $124.00 | $1,237.00 |
| Inpatient Psychiatric Services | Wound Care | $239.00 | $571.00 |
| Inpatient Psychiatric Services | Rexulti 0.5 Mg | $250.00 | $197.00 |
| Inpatient Psychiatric Services | 90 Grams Bactroban,nyst,calmos | $250.00 | $110.00 |
| Inpatient Psychiatric Services | A&d Ointment | $250.00 | $18.00 |
| Inpatient Psychiatric Services | A/B Otic Drops | $250.00 | $67.00 |
| Inpatient Psychiatric Services | Abilify 1 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Abilify 10mg | $250.00 | $130.00 |
| Inpatient Psychiatric Services | Abilify 15 Mg | $250.00 | $122.00 |
| Inpatient Psychiatric Services | Abilify 2 Mg | $250.00 | $113.00 |
| Inpatient Psychiatric Services | Abilify 2.5 Mg | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Abilify 20mg Tablet | $250.00 | $212.00 |
| Inpatient Psychiatric Services | Abilify 30 Mg | $250.00 | $95.00 |
| Inpatient Psychiatric Services | Abilify 5 Mg | $250.00 | $147.00 |
| Inpatient Psychiatric Services | Abilify 7.5 Mg | $250.00 | $76.00 |
| Inpatient Psychiatric Services | Abilify 9.75mg Injection | $250.00 | $105.00 |
| Inpatient Psychiatric Services | Abilify Inj 7.5mg/ML | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Abreva Cream 2gm | $250.00 | $74.00 |
| Inpatient Psychiatric Services | Acamprosate Calc 333 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Acarbose 50 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Accolate 20 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Accupril 20mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Accupril 40 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Accupril 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Accupril 50 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Accuzyme Oint | $250.00 | $78.00 |
| Inpatient Psychiatric Services | Acetaminophen | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Acetaminophen 325mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Acetaminophen 500 Mgl | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Acetaminophen/Codeine | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Acetazolamide 250 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Acetic Acid Ear Drps 2% 60 ML | $250.00 | $311.00 |
| Inpatient Psychiatric Services | Acetylcysteine 10% (Mucomyst) | $250.00 | $69.00 |
| Inpatient Psychiatric Services | Acetylcysteine 30 ML Vial 20% | $250.00 | $71.00 |
| Inpatient Psychiatric Services | Acidophillus | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Aciphex 20 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Actonel 150 Mg Tab | $250.00 | $634.00 |
| Inpatient Psychiatric Services | Actonel 35 Mg | $250.00 | $143.00 |
| Inpatient Psychiatric Services | Actos 15 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Actos 30 Mg | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Actos 45mg | $250.00 | $181.00 |
| Inpatient Psychiatric Services | Acular Sl 4% Opth Sol 5 ML Bot | $250.00 | $559.00 |
| Inpatient Psychiatric Services | Acyclovir 200 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Acyclovir 5% Cream | $250.00 | $632.00 |
| Inpatient Psychiatric Services | Acyclovir 800 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Adderall 10 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Adderall 5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Advair | $250.00 | $409.00 |
| Inpatient Psychiatric Services | Advair Discus 250/50 | $250.00 | $1,462.00 |
| Inpatient Psychiatric Services | Advair Diskus 100/50 | $250.00 | $1,128.00 |
| Inpatient Psychiatric Services | Advair Diskus 500/50 | $250.00 | $1,855.00 |
| Inpatient Psychiatric Services | Advair Hfa 115/21 | $250.00 | $1,391.00 |
| Inpatient Psychiatric Services | Advil Congest Rel | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Advil Pm | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Afrin .05 Spr | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Aggrenox 25/200mg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Akwa Tears 1.4% | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Ala Mag 30 Ea Liq | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Alaway Eye Drops | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Albuterol 0.083% 3ml | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Albuterol 2.5/3ml Vial | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Albuterol 2mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Albuterol 4 Mg Tab | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Albuterol 90 Mcg Aer | $250.00 | $292.00 |
| Inpatient Psychiatric Services | Albuterol Bulf Inh H 0.8 | $250.00 | $69.00 |
| Inpatient Psychiatric Services | Albuterol Inhaler | $250.00 | $293.00 |
| Inpatient Psychiatric Services | Albuterol/Ipratop Inh | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Aldactone 25mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Aldactone 50 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Alendronate 35 Mg | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Alendronate Sodium 70mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Aleve 200 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Alfuzosin HCL 10 Mg Tab | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Allanenzyme Oint 30 Gm Tube | $250.00 | $151.00 |
| Inpatient Psychiatric Services | Allegra 180 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Allegra 60 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Allegra-D | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Allopurin0l 100 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Allopurinal 300mg/Shein | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Allopurinol 100 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Allopurinol 300 | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Alphagan P O. 15% 5 ML | $250.00 | $444.00 |
| Inpatient Psychiatric Services | Alphagan Sol 0.1% | $250.00 | $460.00 |
| Inpatient Psychiatric Services | Alprazolam .125 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Alprazolam 0.25mg/Purepac | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Alprazolam 0.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Alprazolam 1mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Alprazolam 2 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Altace 1.25 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Altace 10 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Altace 2.5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Altace 5 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Amalactin Xl Lotion | $250.00 | $139.00 |
| Inpatient Psychiatric Services | Amantadine 100 Mg Tab | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Amantadine 70 ML Bottle | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Amaryl 0.5 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Amaryl 1mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Amaryl 2 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Amaryl 4 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Ambien 10mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Ambien 2.5 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Ambien 5mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Ambien Cr 12.5 Tab | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Amikacin 250 Mg Im | $250.00 | $613.00 |
| Inpatient Psychiatric Services | Amikacin 500 Inj | $250.00 | $109.00 |
| Inpatient Psychiatric Services | Amiloride 5 Mg Tab | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Amiodarone 100 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Amiodarone HCL 200 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Amitiza 24 Mcg | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Amitiza 8 Mcg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Amitriptylin HCL 100mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Amitriptyline 12.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Amitriptyline 150 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Amitriptyline 25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Amitriptyline 75 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Amitriptyline HCL 10mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Amitriptyline HCL 50mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Amlactin Lotion | $250.00 | $67.00 |
| Inpatient Psychiatric Services | Amlodipine (Norvasc) 5mg Tab | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Amlodipine Besy 2.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Amlodipine Besylate 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Amlodipine Besylate 10/160 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Amlodipine Besylate 5mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Amlodipine/Benz 10/20 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Amlodipine/Benz 10/40 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Amlodipine/Benz 5/10 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Amlodipine/Benz 5/20 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Amlodipine/Benzapril5/20lotrel | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Amloride 5 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Ammonium Lact Lotion | $250.00 | $86.00 |
| Inpatient Psychiatric Services | Ammonium Lactate 225 Gm | $250.00 | $260.00 |
| Inpatient Psychiatric Services | Ammonium Lactate 400gm | $250.00 | $520.00 |
| Inpatient Psychiatric Services | Amox / Clauv 500/125mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Amox Trk Clv 875/125 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Amoxicil Clav Pot A 500 | $250.00 | $86.00 |
| Inpatient Psychiatric Services | Amoxicil/Clavul 100cc Bottle | $250.00 | $151.00 |
| Inpatient Psychiatric Services | Amoxicillin 500mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Amoxicillin 875mg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Amoxicillin Trihydrate 250 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Amoxicillin Trihydrate 500 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Amoxicillin/Clavul 250/125 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Amphetamine Salt 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Amphetamine Salt 7.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Ampicillin 1 Gm Im | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Ampicillin 250 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Ampicillin 500 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Anafranil 25 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Anaspaz Tab | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Anastrozole 1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Anikacin Inj 250 | $250.00 | $109.00 |
| Inpatient Psychiatric Services | Antacid Susp Plus | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Antibiotic Ear Sol | $250.00 | $94.00 |
| Inpatient Psychiatric Services | Anti-Diarrheal Cpl | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Antioxidant Vitamins | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Antipyrine&benz Ear Drps Bottl | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Anusol Hc Supp | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Aplrazolam 0.5 Mg/Greenstone | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Apresoline 10 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Aquapak 340 ML Steril Water | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Aquaphor 3.5 Oz Oint | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Aranesp 25 Mcg Inj | $250.00 | $1,656.00 |
| Inpatient Psychiatric Services | Arava 20 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Aricept 10 Mg Tablet | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Aricept 23 Mg Tablet | $250.00 | $56.00 |
| Inpatient Psychiatric Services | Aricept 5 Mg Tablet | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Arimidex 1 Mg | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Aripiprazole 10 Mg | $250.00 | $103.00 |
| Inpatient Psychiatric Services | Aripiprazole 15mg | $250.00 | $159.00 |
| Inpatient Psychiatric Services | Aripiprazole 5 Mg | $250.00 | $103.00 |
| Inpatient Psychiatric Services | Armour 90 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Aromasine 25 Mg | $250.00 | $88.00 |
| Inpatient Psychiatric Services | Artificial Tears | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Artificial Tears 5 Oz | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Asacol 400 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Ascensia Elite #50 | $250.00 | $218.00 |
| Inpatient Psychiatric Services | Ascorbic Acid 500 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Asmanex Twisthaler 220 Mcg | $250.00 | $742.00 |
| Inpatient Psychiatric Services | Aspercreme | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Aspirin 325mg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Aspirin Chewable 81mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Astelin Nasal Spray | $250.00 | $353.00 |
| Inpatient Psychiatric Services | Atacand 16 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Atacand 32 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Atacand 8g | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Atarex 25mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Atenolol | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Atenolol 100mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Atenolol 12.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Atenolol 25mg Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Atenolol 50 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Atenolol HCL 50/25 | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Ativan 0.25 Mg Tab | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Ativan 0.5 Im | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Ativan 0.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Ativan 1 ML Vial | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Ativan 1mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Ativan Tab 2 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Atoprine Sulfate Eye Drops | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Atorvastatin 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Atorvastatin 20 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Atorvastatin 40 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Atorvastatin 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Atorvastatin 80 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Atrovent Hfa Inh 200 | $250.00 | $1,242.00 |
| Inpatient Psychiatric Services | Atrovent Inhaler | $250.00 | $200.00 |
| Inpatient Psychiatric Services | Atrovent Inj Aer 18mcg | $250.00 | $711.00 |
| Inpatient Psychiatric Services | Augmentin 1000 Mg Tab | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Augmentin 500 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Augmentin 75 ML Bottle | $250.00 | $71.00 |
| Inpatient Psychiatric Services | Augmentin 875 Mg Tab | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Avalide 150/12.5 Mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Avandia 2mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Avandia 4mg | $250.00 | $78.00 |
| Inpatient Psychiatric Services | Avandia 8 Mg | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Avapro 150mg | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Avc Vaginal Crm 4oz Tube | $250.00 | $733.00 |
| Inpatient Psychiatric Services | Avodart 0.5 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Ayr Nasal Mist | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Ayr Saline Nasal Gel | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Azathioprine Tab : 50mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Azelastine Nasal Spray | $250.00 | $213.00 |
| Inpatient Psychiatric Services | Azilect 1 Mg | $250.00 | $76.00 |
| Inpatient Psychiatric Services | Azilect Tab .5 Mg | $250.00 | $81.00 |
| Inpatient Psychiatric Services | Azithromycin 250 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Azithromycin Tri-Pk 500 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Azmacort | $250.00 | $607.00 |
| Inpatient Psychiatric Services | Azo Cranberry Tab 450 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Azo Tabs | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Azopt Drp 1% | $250.00 | $482.00 |
| Inpatient Psychiatric Services | Azor 5/40 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | B-1 | $250.00 | $23.00 |
| Inpatient Psychiatric Services | B12 1000 Microgram Im/1 ML | $250.00 | $35.00 |
| Inpatient Psychiatric Services | B12/Falfe 150fe Cap | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Bacid Capsules | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Bacitracin 15 Gm | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Bacitracin Oint 3.5 Gm | $250.00 | $295.00 |
| Inpatient Psychiatric Services | Baclofen 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Baclofen 15 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Baclofen 20 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Baclofen 5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Bacmin Tab 1 | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Bactrim Ds | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Bactrim Ds 800 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Bactroban Oint. 2% 22 Gm | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Bactroban Ointment 2% | $250.00 | $680.00 |
| Inpatient Psychiatric Services | Beconase Aq Nasal Spray | $250.00 | $459.00 |
| Inpatient Psychiatric Services | Bee Pollen | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Benadryl 25 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Benadryl 25 Mg Im | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Benadryl 50 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Benadryl 50 Mg Inj | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Benadryl Crm 2% | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Benazepril HCL 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Benazepril HCL 20 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Benazepril HCL 40 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Benefiber 1 Tsp | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Benicar 10 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Benicar 20mg Tab | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Benicar 40 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Benicar Hct 20/12.5 Mg Tab | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Benzonatate (Tessalon) 100mg C | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Benzonatate 200 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Benztrop 1 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Benztropine 0.25 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Benztropine 0.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Benztropine 1 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Benztropine 1 Mg Im | $250.00 | $593.00 |
| Inpatient Psychiatric Services | Benztropine 2 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Benztropine Mesylate Tab : 1mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Beta Caroten A/Vit | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Betamethasone 1 Cc Im | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Betamethasone 2 Cc Im | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Betamethasone Cream | $250.00 | $69.00 |
| Inpatient Psychiatric Services | Bethameth Driprop .5 | $250.00 | $497.00 |
| Inpatient Psychiatric Services | Bethanechol 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Bethanechol 25 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Bethanechol 5 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Betoptic S Ophth | $250.00 | $480.00 |
| Inpatient Psychiatric Services | Bicalutamide 50mg Tab | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Bicillin L-A Inj 1200000 Units | $250.00 | $174.00 |
| Inpatient Psychiatric Services | Bidex 400 Mg Tab | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Bimatoprost Drp 0.03% | $250.00 | $1,129.00 |
| Inpatient Psychiatric Services | Biofreeze 4% Gel | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Biosprolol/Hctz 10/6.25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Biotene Mouthwash | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Biotin 5000 Mcg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Bisacodyl 10mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Bisacodyl 5mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Bisoprolol Fumarate 5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Bisoprolol/Hctz 5/6.25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Blistex Lip Medex | $250.00 | $93.00 |
| Inpatient Psychiatric Services | Boniva Tab 150 | $250.00 | $373.00 |
| Inpatient Psychiatric Services | Boost | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Boyster Shell Calcium D-500 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Brimonidine 0.2% | $250.00 | $98.00 |
| Inpatient Psychiatric Services | Brintellix 10 Mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Brompheniramine 6 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Brovana 15 Mcg/2 ML Pkg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Budesonide 0.5 Mmg/2ml | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Bumetanide 1 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Bumetanide 2 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Bumex 0.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Bupivacaine 0.25% Inj | $250.00 | $80.00 |
| Inpatient Psychiatric Services | Bupropion 100 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Bupropion HCL Sr Tab 150 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Bupropion HCL Xl 300 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Bupropion Sr N200 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Buspar 15 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Buspar 7.5 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Buspirone 10 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Buspirone 15 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Buspirone 2.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Buspirone 30 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Buspirone 5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Buspirone 7.5 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Butalbital/Apap/Cafe 50 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Byetta 10 Mcg Inj | $250.00 | $1,086.00 |
| Inpatient Psychiatric Services | Bystolic 10 Mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Bystolic 2.5 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Bystolic 20 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Bystolic 5 Mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Caduet 2.5/10 Mg | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Calan 80 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Calcarb 600 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Calcitonin-Salmon Nasal Spray | $250.00 | $262.00 |
| Inpatient Psychiatric Services | Calcitrate 600 + D | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Calcitriol 0.25 Mcg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Calcitriol 0.25 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Calcium 250 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Calcium 250 Mg + D | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Calcium 500 Mg + D | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Calcium 500mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Calcium 600 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Calcium 600+d | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Calcium Carb 600mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Calcium Carb 648 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Calcium Carbonate 500mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Calcium Polycarbophil 625 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Calmoseptin Oint 4 Oz Tube | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Calmoseptine Pks | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Caltrate 500 Mg + D | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Caltrate 600 Mg + D | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Caltrate 600 Plus | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Caltrol 0.25 Mg | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Campral 333 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Capoten 12.5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Capoten 25mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Capsaicin Cpm 0.025% | $250.00 | $65.00 |
| Inpatient Psychiatric Services | Captopril 50mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Captopril Tab : 25mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Captoril 25 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Carafate 1 Gm Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Carafate 2 Tsp 10cc | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Carafate 420 ML Bottle | $250.00 | $529.00 |
| Inpatient Psychiatric Services | Carafate 500 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Carafate Liquid 140 ML Bottle | $250.00 | $210.00 |
| Inpatient Psychiatric Services | Carafate Liquid 150 Cc Bottle | $250.00 | $219.00 |
| Inpatient Psychiatric Services | Carafate Liquid 210cc Bottle | $250.00 | $213.00 |
| Inpatient Psychiatric Services | Carafate Liquid 280 ML Bottle | $250.00 | $176.00 |
| Inpatient Psychiatric Services | Carafate Sus 210 ML Bottle | $250.00 | $264.00 |
| Inpatient Psychiatric Services | Carbamazepine 200mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Carbamazepine 50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Carbamazepine Chew 100 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Carbamazine Exilir 240 ML Bot | $250.00 | $109.00 |
| Inpatient Psychiatric Services | Carbid/Levo/Entac 37.5 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Carbid/Levo/Entac 75 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Carbidopa/Levodopa 10/100 | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Carbidopa/Levodopa 25/100 | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Carbidopa/Levodopa 50/200 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Carbidopal/Levodopa 25/250mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Cardizem 30 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Cardizem 60 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Cardizem CD 120 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Cardizem CD 180mg | $250.00 | $46.00 |
| Inpatient Psychiatric Services | Cardizem CD 240 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Cardura 1 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Cardura 2 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Cardura 4 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Carisoprodol 175 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Carisoprodol 250 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Carisoprodol 350mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Carmex Lip Ointment | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Carvedilol 12.5 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Carvedilol 25mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Carvedilol 3.125 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Carvedilol 6.25 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Cascara Sagrada 450 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Casodex 50 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Catapress Tts 0.1 Mg | $250.00 | $120.00 |
| Inpatient Psychiatric Services | Catapress Tts 0.2 Mg | $250.00 | $285.00 |
| Inpatient Psychiatric Services | Catapress Tts 0.3 Patch | $250.00 | $361.00 |
| Inpatient Psychiatric Services | Cecon Bottle | $250.00 | $513.00 |
| Inpatient Psychiatric Services | Cefaclor Cap : 250mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Cefdinar 300 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Cefpodoxine 200 | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Ceftin 250mg | $250.00 | $80.00 |
| Inpatient Psychiatric Services | Ceftin 500 Mg | $250.00 | $97.00 |
| Inpatient Psychiatric Services | Ceftriaxone 1 Gm Vial | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Ceftriaxone Sodium Inj 250 | $250.00 | $268.00 |
| Inpatient Psychiatric Services | Cefuroxime Axetil 250 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Cefuroxime Axetil 500 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Cefzil 250 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Celebrex 100 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Celebrex 200 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Celecoxib 200 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Celestone 2 ML Im | $250.00 | $51.00 |
| Inpatient Psychiatric Services | Celestone Soluspan 6mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Celexa 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Celexa 15 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Celexa 20 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Celexa 40 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Cellcept 250mg | $250.00 | $87.00 |
| Inpatient Psychiatric Services | Cellurisc 1% | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Centrum Silver Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Century Senior Vitamin | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Century Vite | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Cepacol Lozenges | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Cepacol Throat Spray | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Cephalexin 250 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Cephalexin 500 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Cephalexin Monohydra | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Cerefolin | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Cerefolin 1/2 Tab | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Cerefolin Nac | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Certagen 0.4 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Cetaphil 80z | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Cetirizine HCL 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Cevimeline HCL 30mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Chantix .5 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Chantix 1 Mg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Chloraseptic Spray | $250.00 | $62.00 |
| Inpatient Psychiatric Services | Chlordiazepoxide 10mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Chlordiazepoxide 25mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Chlordiazepoxide 5/2.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Chlorex-A Tablets | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Chlorhexidine Gluc | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Chlorpheniramine 4 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Chlorpropamide Tab : 100mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Chlorthalidone 12.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Chlorthalidone 25 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Chlorthalidone 50mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Chlostryamine Pwd Pkg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Cholestyramine (Questran) 4gm | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Cholestyramine Powder | $250.00 | $471.00 |
| Inpatient Psychiatric Services | Choloraseptic Throat Spray | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Chromagen Forte | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Chromium 200 Mcg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Chromogen Fa 70/150/1 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Ciclopirox 1% Shampoo | $250.00 | $370.00 |
| Inpatient Psychiatric Services | Cilostazol 100 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Cilostazol 50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Ciloxan 3% Eye Drops | $250.00 | $71.00 |
| Inpatient Psychiatric Services | Cinnamon 500 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Cipro 500mg Tablet | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Cipro Hc Ear Drops | $250.00 | $683.00 |
| Inpatient Psychiatric Services | Ciprodex Otic Sus 7.5 | $250.00 | $72.00 |
| Inpatient Psychiatric Services | Ciprofloxac Oph Sol 0.3% | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Ciprofloxacin (Cipro) 0.3% Oph | $250.00 | $131.00 |
| Inpatient Psychiatric Services | Ciprofloxacin 250 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Ciprofloxacin 500 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Citalopram 10 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Citalopram 20mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Citalopram 40 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Citracal Petites | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Citracal Plus W/ Mag | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Citrucel Each Scoop | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Cl0nidine 0.1 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Clarinex 5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Clarithromycin 500mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Claritin 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Claritin D 5 Mg 24 Hrs | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Climara Patch 0.025 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Climara Patch 0.0375 Mg | $250.00 | $86.00 |
| Inpatient Psychiatric Services | Climara Patch 0.05 Mg | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Climara Patch 0.5 Mg | $250.00 | $109.00 |
| Inpatient Psychiatric Services | Clindamycin 300 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Clindamycin HCL 150 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Clindamycin Inj 600mg/4ml | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Clindamycin Oint | $250.00 | $371.00 |
| Inpatient Psychiatric Services | Clindamycin Sol 1% 60 ML Bott | $250.00 | $385.00 |
| Inpatient Psychiatric Services | Clobenzaprine HCL | $250.00 | $46.00 |
| Inpatient Psychiatric Services | Clobetasol 15 Gm Tube | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Clobetasol Prop Cr 30 Gm | $250.00 | $553.00 |
| Inpatient Psychiatric Services | Clobetasol Prop Cream 60 Gm | $250.00 | $115.00 |
| Inpatient Psychiatric Services | Clonazepam .25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Clonazepam 1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Clonazepam 2 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Clonazepam Wafer 0.25 | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Clonidine .2 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Clonidine 0.1 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Clonidine 0.2 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Clonidine Patch .1 Mg | $250.00 | $78.00 |
| Inpatient Psychiatric Services | Clonidine Tts Patch 0.1 Mg | $250.00 | $447.00 |
| Inpatient Psychiatric Services | Clonidine Tts Patch 0.2mg | $250.00 | $349.00 |
| Inpatient Psychiatric Services | Clonidine Tts Patch 0.3 Mg | $250.00 | $185.00 |
| Inpatient Psychiatric Services | Clonozapam 0.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Clopidogrel 75 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Clortrimazole Crm 1% 30 Gm | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Clotrimazole 1% | $250.00 | $51.00 |
| Inpatient Psychiatric Services | Clotrimazole Crm 1% | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Clotrimazole Lozenge 10 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Clotrimazole/Betameth 1/0 | $250.00 | $98.00 |
| Inpatient Psychiatric Services | Clozapine 100 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Clozaril 100 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Clozaril 25 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Clozaril 50 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Clozipine 25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Clozipine 5 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Coenzyme Q10 100 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Coenzyme Q10 150 Mg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Coenzyme Q10 200 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Coenzyme Q10 50 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Coenzyme Q10 60 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Cogentin 0.25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Cogentin 0.5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Cogentin 1 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Cogentin 2 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Cogentin 2mg/2ml Amp | $250.00 | $77.00 |
| Inpatient Psychiatric Services | Colace 100mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Colace 200 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Colace Liquid 10 Cc | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Colace Liquid 25 Cc | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Colcace Liquid 5ml | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Colchicine 0.6mg Tab | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Colcrys .6 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Colesevelam (Welchol) 625mg Ta | $250.00 | $8.56 |
| Inpatient Psychiatric Services | Colestid 1 Gram Tab | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Colestipol 1 Gm Tab | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Colon Clenz Cap | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Combigan 0.2% /0.5 | $250.00 | $621.00 |
| Inpatient Psychiatric Services | Combivent Inhaler 14.7gm | $250.00 | $430.00 |
| Inpatient Psychiatric Services | Combivent Respimat Inh | $250.00 | $1,335.00 |
| Inpatient Psychiatric Services | Complex + Msm | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Compound Dm 10/Quinidine 5 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Compound Dm/Quinidine 20/10mg | $250.00 | $64.00 |
| Inpatient Psychiatric Services | Comtan 200 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Coq-10 200 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Cordarone 200mg | $250.00 | $126.00 |
| Inpatient Psychiatric Services | Coreg 10 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Coreg 25 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Coreg 3.125 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Coreg 40 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Coreg 6.25 Mg | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Coreg Cr 20 Mg Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Corgard 40mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Corge 12.5 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Cortef 20 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Cortisone1%/Lanacane/Mucurizol | $250.00 | $271.00 |
| Inpatient Psychiatric Services | Cortisporin Eye Drops 7.5 ML | $250.00 | $346.00 |
| Inpatient Psychiatric Services | Cosopt Eye Drops 2/0.5% | $250.00 | $436.00 |
| Inpatient Psychiatric Services | Coumadin 1.5 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Coumadin 10 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Coumadin 2.5 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Coumadin 3.5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Coumadin 5 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Coumadin 6 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Coumadin 7.5mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Cozaar (Losartan)25 Mg /3 | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Cozaar 100 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Cozaar 25 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Cozaar 50 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Cranberry Cap 450 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Cranberry Extract 425 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Creon Dr 3000 U | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Crestor 10 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Crestor 20 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Crestor 40 Mg | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Crestor 5 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Cyclobenzaprine 10 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Cyclobenzaprine 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Cyclopentolate Gtt 1% 15 ML | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Cyclophosphamide 25 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Cyclosporine (Neoral) 25mg Cap | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Cyclosporine Opth 0.4% | $250.00 | $99.00 |
| Inpatient Psychiatric Services | Cymbalta 20mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Cymbalta 30mg | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Cymbalta 60 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Cyproheptadine 4 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Cytomel 25 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Cytotec 100 Mcg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Cytotec 200 Mcg Tab | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Dakins 25% 473 ML Bottle | $250.00 | $70.00 |
| Inpatient Psychiatric Services | Daliresp 500 Mcg | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Dantrolene (Dantrium) 25mg Cap | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Dantrolene Sodium | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Dapsone 100mg Tab | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Darvocet 50/325 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Darvocet N 100mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Darvocet N 50 Mg Tab | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Debrox Sol Ear Drops | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Decadron 10.5mg-Vibratabs 25ml | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Decadron 4 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Declomycin 150 Mg Tab | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Delsym 3.33 ML Per Dose=20 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Delsym 89 ML Bottle | $250.00 | $77.00 |
| Inpatient Psychiatric Services | Delsym Each Tsp | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Deltasone 2.5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Demeclcycline 300 Mg | $250.00 | $49.00 |
| Inpatient Psychiatric Services | Depakene Elix 140 ML Bottle | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Depakene Elixir 100 ML Bottle | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Depakene Elixir 105 ML | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Depakene Elixir 160 ML Bottle | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Depakene Elixir 175 ML Bottle | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Depakene Elixir 200 ML Bottle | $250.00 | $72.00 |
| Inpatient Psychiatric Services | Depakene Elixir 210ml | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Depakene Elixir 240 ML Bottle | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Depakene Elixir 473 ML | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Depakene Elixir 480 ML Bottle | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Depakene Elixir 50 ML Bottle | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Depakene Elixir 60 ML Bottle | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Depakene Elixir 80 ML Bottle | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Depakene Elixir 90 ML Bottle | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Depakene Liquid 120 ML Bottle | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Depakene Liquid 30 Cc Bottle | $250.00 | $81.00 |
| Inpatient Psychiatric Services | Depakote 1000 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Depakote 125 Mg Cap | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Depakote 125 Mg Sprinkles | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Depakote 1500 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Depakote 250 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Depakote 500mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Depakote 750 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Depakote Sprinkles 250 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Deplin 15 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Deplin 7.5 Mg Tab | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Depo Provera | $250.00 | $732.00 |
| Inpatient Psychiatric Services | Depo-Medrol 80 Mg Im | $250.00 | $51.00 |
| Inpatient Psychiatric Services | Desipramine 50 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Desloratadine 5mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Desmopressin 1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Desmopressin Acetate 0.1 Mg | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Desmopression 0.2 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Desoc/Nizc/Mom Compound | $250.00 | $651.00 |
| Inpatient Psychiatric Services | Deson/Ketox/Mom Cream | $250.00 | $145.00 |
| Inpatient Psychiatric Services | Desonide Lot 0.05 | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Desyrel 100mg | $250.00 | $92.00 |
| Inpatient Psychiatric Services | Detrol La 2 Mg Tab | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Detrol La 4 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Dexamethasone 1 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Dexamethasone 1.5 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Dexilant 30 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Dexilant 60 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Dextrose 50% Inj | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Diabeta 2.5 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Diabeta 5 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Diamox 250 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Diary Digest | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Diatx Tab 1 | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Diazapam 10mg Inj | $250.00 | $136.00 |
| Inpatient Psychiatric Services | Diazepam 1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Diazepam 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Diazepam 2 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Diazepam 2.5 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Diazepam 5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Diclofenac 75 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Diclofenac Pot Tab 50 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Diclofenac Sodium/Misoprostol | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Dicyclomine 10 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Dicyclomine HCL 20 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Diff-Stat Chew Tab | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Diflorasone Diacetate Crm | $250.00 | $662.00 |
| Inpatient Psychiatric Services | Diflucan 100 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Diflucan 150 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Diflucan 200 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Diflucan 50 Mg Tab | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Diflunisal Tab : 500mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Digoxin 0.125mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Digoxin 0.1mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Digoxin 0.25mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Dilantin 100mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Dilantin 125 Mg/5ml 1 Btl Stoc | $250.00 | $243.00 |
| Inpatient Psychiatric Services | Dilantin 150 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Dilantin 200 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Dilantin 300 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Dilantin 400 Mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Dilantin 50mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Dilantin Elixir 240 Cc Bottle | $250.00 | $204.00 |
| Inpatient Psychiatric Services | Dilantin Elixir 60 ML Bottle | $250.00 | $81.00 |
| Inpatient Psychiatric Services | Dilantin Elixir 80 ML Bottle | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Dilantin Liquid 170 Cc Bottle | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Dilantin Liquid 224cc Bottle | $250.00 | $86.00 |
| Inpatient Psychiatric Services | Dilantin Liquid 70 Cc Bottle | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Dilantin Liquid 85 ML Bottle | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Dilantin Liquid 90 Cc Bottle | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Dilaudid 4 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Dilaudid 8 Mg Tab | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Diltiazem 360 Mg | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Diltiazem CD 120mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Diltiazem CD 180mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Diltiazem CD 300mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Diltiazem ER 120 | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Diltiazem HCL 30mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Diltiazem HCL 60 Mg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Diltiazem HCL CD (Cardizem) Ca | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Diltiazem HCL ER 240mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Diltiazem HCL Sa 24h 120 | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Diltiazem HCL Sa 24hr 180 | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Diovan (Hct) 80/12.5 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Diovan 160 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Diovan 160/25 Mg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Diovan 320 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Diovan 320/25 Mg | $250.00 | $56.00 |
| Inpatient Psychiatric Services | Diovan 40 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Diovan 80 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Diovan Hctz 160/12.5 Mg | $250.00 | $51.00 |
| Inpatient Psychiatric Services | Diphenhist Elixer Rugby | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Diphenhydramine 25 (Rug) | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Diphenhydramine 50(Rug) | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Diphenoxylate/Atrop S 2.5 | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Diphenoxylate/Atrop S1e | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Dipyridamole 25 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Dipyridamole 50 Mg Tab | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Ditropan 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Ditropan 2.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Ditropan 5 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Divalproex Dr 250 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Divalproex Dr 500 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Divalproex ER 250 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Divalproex ER 500 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Divalproex Sod 125mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Divalproex Spr 12.5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Divalproex Spr 125 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Docusate Calcium | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Docusate Calcium 240 | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Docusate Sodium 100mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Donepezil HCL 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Donepezil HCL 2.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Donepezil HCL 5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Donnatel/Maalox | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Dorzolamide Eye Drops | $250.00 | $121.00 |
| Inpatient Psychiatric Services | Dorzolamide HCL 2% | $250.00 | $110.00 |
| Inpatient Psychiatric Services | Doxazosin 2 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Doxazosin 4 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Doxazosin 6 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Doxazosin 8 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Doxazosin Mesylate 1mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Doxazosin Mesylate 4mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Doxepin 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Doxepin 100 Mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Doxepin 25mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Doxepin 50 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Doxepin 75 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Doxycycline 100mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Doxycycline 50 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Doxycycline Hyclate 100m | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Dronabinol (Marinol) 2.5mg Cap | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Dss 100mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Dulcolax | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Dulcolax 10 Mg Supp | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Dulcolax 15 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Dulcolax 5 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Duleek Met | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Dulera Inhaler | $250.00 | $1,241.00 |
| Inpatient Psychiatric Services | Duloxetine 30mg Cap | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Duloxetine HCL Dr 60 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Duoneb 2.5 | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Duoneb 3ml | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Duoneb Albut3mg/Iprat.5mg Vial | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Duragesic 50 Mcg/Hr 5's | $250.00 | $153.00 |
| Inpatient Psychiatric Services | Duragesic Patch 25 Mcg | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Dyazide 37.5/25 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Dynacirc Cr 10 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Dynacirc Cr 5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Dynapen 250mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Dytan 25 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | E E S Granules 100 ML Bottle | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Ear Wax Drps | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Econazole Nitrate 1% Cream | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Effervesent Klor Con 20 Meq Pk | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Effexor 225 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Effexor 37.5 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Effexor 50 Mg | $250.00 | $62.00 |
| Inpatient Psychiatric Services | Effexor XR 150mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Effexor XR 75 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Effient 10 Mg | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Elavil 100 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Elavil 50mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Eldertonic Elixir 105 Cc Bottl | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Elestat 0.05% Eye Drops | $250.00 | $506.00 |
| Inpatient Psychiatric Services | Elidel 1% 60 Gr Cream | $250.00 | $236.00 |
| Inpatient Psychiatric Services | Elidel 1% Cream 30 Gram | $250.00 | $1,199.00 |
| Inpatient Psychiatric Services | Elimite Cream 5% | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Eliquis 2.5 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Eliquis 5 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Elmiron 100 | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Elnorm 6mg | $250.00 | $74.00 |
| Inpatient Psychiatric Services | Emsam Patch 6 Mg | $250.00 | $87.00 |
| Inpatient Psychiatric Services | Enablex 15mg Tab | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Enablex 7.5 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Enalapril 10/Hctz 25 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Enalapril 10mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Enalapril 2.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Enalapril 20 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Enalapril Maleate 10 | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Enalapril Maleate 20 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Enalapril Maleate 5mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Endal Hd Syr 10ml | $250.00 | $133.00 |
| Inpatient Psychiatric Services | Endocet 10/325 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Endocet 10/650 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Endocet 2.5/162.50 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Endocet 5/325 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Endocet 7.5/500 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Enoxaparin 0.3mg Inj | $250.00 | $304.00 |
| Inpatient Psychiatric Services | Enoxaparin 100mg | $250.00 | $583.00 |
| Inpatient Psychiatric Services | Enoxaparin Sod 40 Mg Syringe | $250.00 | $154.00 |
| Inpatient Psychiatric Services | Enoxaparin Sod 60mg Syr | $250.00 | $477.00 |
| Inpatient Psychiatric Services | Entacapone 200 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Entacort .25 Mg | $250.00 | $71.00 |
| Inpatient Psychiatric Services | Enteric Coated Aspirin | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Epinastine Opt 1 Drp | $250.00 | $659.00 |
| Inpatient Psychiatric Services | Eplerenone 25 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Eplerenone 50 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Epoetin Alfa | $250.00 | $4,247.00 |
| Inpatient Psychiatric Services | Erythrocin 250 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Erythromycin 500 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Erythromycin Base OP Oint 5mg | $250.00 | $65.00 |
| Inpatient Psychiatric Services | Escitalopram 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Escitalopram 20 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Escitalopram 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Esidrix 25 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Eskalith Cr | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Esomeprazole Dr 40 Mg | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Estazolam 1 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Estrace Vaginal Crm 0.1% | $250.00 | $662.00 |
| Inpatient Psychiatric Services | Estradiol (Climara) 0.1mg Patc | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Estradiol 0.0375 Mg Patch | $250.00 | $65.00 |
| Inpatient Psychiatric Services | Estradiol 0.075 Mg Patch | $250.00 | $129.00 |
| Inpatient Psychiatric Services | Estradiol 0.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Estradiol 1 Mg Tab | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Estradiol 2mg Tablet | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Estradiol Patch .025 Mg | $250.00 | $70.00 |
| Inpatient Psychiatric Services | Estradiol Patch 0.05 Mg | $250.00 | $46.00 |
| Inpatient Psychiatric Services | Estradiol Tdwk 0.05mg Patch | $250.00 | $109.00 |
| Inpatient Psychiatric Services | Estropipate 0.75mg Tab | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Estroven Weight Mgt | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Eszopiclone 1 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Eszopiclone 2 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Eszopiclone 3 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Ethambutol 400 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Etodolac 100mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Etodolac 400 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Eucerine Cream 57 Gm Tube | $250.00 | $34.00 |
| Inpatient Psychiatric Services | E-Vista 60 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Exelon 1.5 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Exelon 3mg | $250.00 | $64.00 |
| Inpatient Psychiatric Services | Exelon 4.5 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Exelon 6 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Exelon Patch 13.3 Mg | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Exelon Patch 4.6 Mg | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Exelon Patch 9.5 Mg | $250.00 | $63.00 |
| Inpatient Psychiatric Services | Exforge 10/160/25 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Exforge 10/320 Mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Exforge 5/160 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Ex-Lax | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Ezetimibe (Zetia) 10mg Tab | $250.00 | $4.24 |
| Inpatient Psychiatric Services | Famotidine 20 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Fanapt 1 Mg | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Fanapt 2 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Fanapt 4 Mg | $250.00 | $62.00 |
| Inpatient Psychiatric Services | Felcainide 50 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Feldene 20 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Felodipine 5mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Felodipine ER Tab 10 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Femara 2.5 Mg Tab | $250.00 | $89.00 |
| Inpatient Psychiatric Services | Fenofibrate 134 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Fenofibrate 145mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Fenofibrate 48 Mg Tab | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Fenofibric Acid 45 Mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Fentanyl 75mcg/Hr Pathc | $250.00 | $280.00 |
| Inpatient Psychiatric Services | Fentanyl Patch 100 Mcg | $250.00 | $109.00 |
| Inpatient Psychiatric Services | Fentanyl Patch 12 Mcg | $250.00 | $78.00 |
| Inpatient Psychiatric Services | Fentanyl Patch 25 Mcg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Fentanyl Patch 50 Mcg | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Fentanyl Transdermal 25mg | $250.00 | $219.00 |
| Inpatient Psychiatric Services | Fentanyl Transdermal 50m | $250.00 | $400.00 |
| Inpatient Psychiatric Services | Feogen Ga | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Fergon 27 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Fergon 324 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Ferrex 150mg Cap | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Ferro Sulf 325mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Ferrous Fumarate Cap | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Ferrous Gluconate 325 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Ferrous Sul 120 ML Bottle | $250.00 | $46.00 |
| Inpatient Psychiatric Services | Ferrous Sul 140 ML Bottle | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Ferrous Sul 210 ML Bottle | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Ferrous Sul 290 ML Bottle | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Ferrous Sul 30 ML Bottle | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Ferrous Sul 50 ML Bottle | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Ferrous Sulf 7.5ml=1,1/2 Tsp | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Ferrous Sulfate 1 Tsp | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Ferrous Sulfate 160 | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Ferrous Sulfate 325mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Ferrous Sulfate 8.8 Mg El | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Fexofenadine 180 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Fiber Powder | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Fibercon 500mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Fibercon 625 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Finasteride 5mg Tab | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Fioricet 1 Tab | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Fioricet Comb Drug No Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Fish Oil 1200 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Fish Oil 500 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Fish Oil Mineral 1000 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Fish Oil Mineral 1760 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Flagyl 250 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Flagyl 500 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Flavoxate 100 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Flax Seed Oil 1000 Mg Softgel | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Flecainide 50 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Flector 1.3% Patch | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Fleets Phospho-Soda 3oz. | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Flexeril 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Flexeril 5 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Flextra 650(Acetam/Phenytolax) | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Flomax 0.4 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Flonase Nasal Spray | $250.00 | $154.00 |
| Inpatient Psychiatric Services | Florajen Acidophilus | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Florajen Acidophilus Cap | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Floranex Tab | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Florastor 250 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Florinef 0.05 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Florinef 0.2 Fludrocortisone | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Florinef 0.5 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Florinef Fludrocortisone Aceta | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Flouromethodone Eye Drop 1 Btl | $250.00 | $99.00 |
| Inpatient Psychiatric Services | Flovent 220 Mcg Inhaler | $250.00 | $457.00 |
| Inpatient Psychiatric Services | Flovent 44 Mcg Inhaler | $250.00 | $515.00 |
| Inpatient Psychiatric Services | Flovent Hfa | $250.00 | $1,507.00 |
| Inpatient Psychiatric Services | Flu Vaccine | $250.00 | $120.00 |
| Inpatient Psychiatric Services | Fluconazole 100 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Fluconazole 150 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Fludrocorisone 0.1 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Fludrocortisone 0.1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Flunisolide 0.025 Mg Spray | $250.00 | $248.00 |
| Inpatient Psychiatric Services | Fluocinonide 0.05% 30gm Tube | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Fluorometholone 0.1% | $250.00 | $74.00 |
| Inpatient Psychiatric Services | Fluorometholone 5 ML Bottle 1% | $250.00 | $91.00 |
| Inpatient Psychiatric Services | Fluoxetine 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Fluoxetine 40 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Fluoxetine 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Fluoxetine HCL 20mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Fluphenazine 10 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Fluphenazine 25 Mg/1 ML | $250.00 | $125.00 |
| Inpatient Psychiatric Services | Fluphenazine 5 Mg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Fluphenazine 5 ML Vial | $250.00 | $625.00 |
| Inpatient Psychiatric Services | Fluphenazine 50 Mg/ 2 ML | $250.00 | $250.00 |
| Inpatient Psychiatric Services | Fluphenazine Dec Epipen | $250.00 | $325.00 |
| Inpatient Psychiatric Services | Flurazepam 15 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Flurbiprofen Sod Solution | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Flurbriprofen 100mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Flutamide 125 Mg Cap | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Fluticasone Nasal Spray | $250.00 | $70.00 |
| Inpatient Psychiatric Services | Fluvoxamine 100 Mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Fluvoxamine 50 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Fluvoxamine Mal ER 150 Mg | $250.00 | $51.00 |
| Inpatient Psychiatric Services | Folacin B/6/B12 | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Folbee Vitiamn | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Folbic | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Folic Acid 1mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Folic Acid 400 Mcg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Folic Acid 800 Mcg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Foltanx 90 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Foltrin Cap | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Foltx 1-2.5-25tab | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Fortaz 1 Gram Vial | $250.00 | $75.00 |
| Inpatient Psychiatric Services | Forteo 20 Mcg Inj Each | $250.00 | $224.00 |
| Inpatient Psychiatric Services | Fortical Nasal Spray 200 Units | $250.00 | $284.00 |
| Inpatient Psychiatric Services | Fosinopril 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Fosinopril 20 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Fosinopril 40 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Fosinopril/Hctz | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Freshkote Eye Drps | $250.00 | $161.00 |
| Inpatient Psychiatric Services | Furosemide 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Furosemide 20mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Furosemide 40 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Furosemide 4ml Va 10mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Furosemide 60 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Furosemide 80mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Fycompa 8 Mg | $250.00 | $104.00 |
| Inpatient Psychiatric Services | Gabapentin 100 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Gabapentin 150 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Gabapentin 200 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Gabapentin 300 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Gabapentin 400 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Gabapentin 600 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Gabapentin 800 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Gabitril (Tiagabine)2 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Gabitril 16 Mg | $250.00 | $77.00 |
| Inpatient Psychiatric Services | Gabitril 6 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Gabitril 8 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Galantamine Hbr 16 Mg | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Galantamine Hbr 4mg Tab | $250.00 | $75.00 |
| Inpatient Psychiatric Services | Galantamine Hbr 8mg | $250.00 | $75.00 |
| Inpatient Psychiatric Services | Gas X 180 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Gaviscon | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Gaviscon 30 Cc | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Gemfibrozil 600 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Gen Teal Gel Tube | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Generlac Soln 10g/15ml | $250.00 | $221.00 |
| Inpatient Psychiatric Services | Gentamicin 100 Mg Im | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Gentamicin 3.75 Inj | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Gentamicin 40mg/ML 80 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Gentamicin 80 Mg Inj | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Gentamicin Im 2ml Vial | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Gentamicin Opth Sol 5ml | $250.00 | $79.00 |
| Inpatient Psychiatric Services | Genteal Eye Drps 15 ML Bottle | $250.00 | $67.00 |
| Inpatient Psychiatric Services | Geodon 10 Mg | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Geodon 10mg Injection | $250.00 | $223.00 |
| Inpatient Psychiatric Services | Geodon 20 Mg | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Geodon 20 Mg/Inj | $250.00 | $136.00 |
| Inpatient Psychiatric Services | Geodon 30 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Geodon 40 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Geodon 40 Mg Im | $250.00 | $163.00 |
| Inpatient Psychiatric Services | Geodon 5 Mg Im | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Geodon 60 Mg Tab | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Geodon 80 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Ginko Biloba 60 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Glcagon Inj | $250.00 | $529.00 |
| Inpatient Psychiatric Services | Glimepiride 2 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Glimepiride 4 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Glipizide 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Glipizide 15 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Glipizide 2.5 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Glipizide 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Glipizide E-R 5mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Glucagon 1 Mg Emer Kit | $250.00 | $183.00 |
| Inpatient Psychiatric Services | Glucagon 1 Mg Im | $250.00 | $605.00 |
| Inpatient Psychiatric Services | Glucophage 250 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Glucophage 500 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Glucophage HCL 850 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Glucophage XR 500mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Glucosamine 1000 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Glucosamine Complex 500 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Glucosamine/Chondroiton | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Glucose Tablets | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Glucotrol 2.5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Glucotrol 5mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Glucotrol Xl 10 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Glucovance 2.5/500 | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Glucovance 5/500 Tab | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Glutose 15 Gel Tube | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Glutose 5 Gm Chews | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Glyburide 1.25 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Glyburide 10 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Glyburide 2.5 Mg Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Glyburide 3 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Glyburide 5 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Glyburide 6 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Glyburide/Metformin 5/50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Glycolax 255 Gram | $250.00 | $134.00 |
| Inpatient Psychiatric Services | Glycopyrrolate (Robinul) 1mg T | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Glycopyrrolate 2 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Granulex Spray 4 Oz | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Griseofulvin 250 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Gs Century Vits | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Gs Clear Lax 30 Cc (Colace) | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Gs Lice Shampoo 4 Oz | $250.00 | $58.24 |
| Inpatient Psychiatric Services | Gs Throat Spray 6 Oz Bottle | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Guaifenesin 200 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Guaifenesin 237 ML Bottle | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Guaifenesin ER 600 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Gualfensin Dm 10cc | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Guanfacine 1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Guanfacine 2 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Gynalotrimin | $250.00 | $51.00 |
| Inpatient Psychiatric Services | Haldol 0.25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Haldol 1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Haldol 10 Mg Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Haldol 15 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Haldol 2 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Haldol 2 Mg Vial | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Haldol 5 Mg Inj | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Haldol Concentrate 120 ML Bott | $250.00 | $73.00 |
| Inpatient Psychiatric Services | Haldol Dec 1ml/100 Mg | $250.00 | $233.00 |
| Inpatient Psychiatric Services | Haldol Deconate 100 Mg Im | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Haldol Deconate 50 Mg Im | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Haloperidol .25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Haloperidol 0.5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Haloperidol 1 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Haloperidol 10 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Haloperidol 15 ML Bottle | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Haloperidol 2 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Haloperidol 2.5 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Haloperidol 20 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Haloperidol 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Haloperidol 5mg/ML Dupont | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Haloperidol Dec 100/ML | $250.00 | $317.00 |
| Inpatient Psychiatric Services | Hcts 1% 30gm | $250.00 | $135.00 |
| Inpatient Psychiatric Services | Hectorol 0.5 Mcg Tab | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Hematogen Capsule | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Hemmorrhoidal Cr | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Hemocyte Plus | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Hemorrhoidal Hc Supp | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Hep Loc Flush 100u/ML Vl | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Hep Lock 100u/ML 30 ML | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Heparin 5000 Units Inj | $250.00 | $56.00 |
| Inpatient Psychiatric Services | Hum Benzoin Compound | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Humalog 75/25 Each Unit | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Humalog Insulin U-100 1oml | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Humilin 70/30 Inj ML 1 Unit | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Humulin 70/30 Ins Each Unit | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Humulin N Insulin Each Unit | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Humulin R Insulin U 100 | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Hyazzr 50-12.5 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Hydralazine 10 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Hydralazine 100 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Hydralazine 12.5 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Hydralazine 25mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Hydralazine 50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Hydralazine 75 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Hydrea 500 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Hydrochlorothiazide 25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Hydrochlorothiazide 50 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Hydrochlorothiazide 6.25 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Hydrochlorthiazide 12.5mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Hydrocholorothiazide 25mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Hydrocodone 2.5/500 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Hydrocodone 5 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Hydrocodone Apap 2.5/250 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Hydrocodone Apap 7.5/500 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Hydrocodone/Apap 10/325 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Hydrocodone/Apap 10/500 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Hydrocodone/Apap 10/650 | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Hydrocodone/Apap 2.5/162.5 | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Hydrocodone/Apap 3.75/162.5 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Hydrocodone/Apap 5/325 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Hydrocodone/Apap 5/500 Wt | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Hydrocodone/Apap 7.5/325 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Hydrocodone/Dpm Psxs1m | $250.00 | $146.00 |
| Inpatient Psychiatric Services | Hydrocort 2.5% | $250.00 | $186.00 |
| Inpatient Psychiatric Services | Hydrocortison Val Crm | $250.00 | $298.00 |
| Inpatient Psychiatric Services | Hydrocortisone 10 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Hydrocortisone 20mg Tab | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Hydrocortisone 5 Mg Tab | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Hydrocortisone Cream 1% | $250.00 | $212.00 |
| Inpatient Psychiatric Services | Hydrocortisone Cream 2.5% | $250.00 | $89.00 |
| Inpatient Psychiatric Services | Hydrocortisone Sup T 25 | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Hydrocortisone/Acetic 10 ML | $250.00 | $684.00 |
| Inpatient Psychiatric Services | Hydrocotisone 1% Cr 1oz | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Hydromophone 2mg Tab | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Hydroxychloroquine 200 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Hydroxychloroquine 200m | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Hydroxyurea 500mg Cap | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Hydroxyzine 10mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Hydroxyzine 50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Hydroxyzine HCL 25mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Hydroxyzine HCL 25mg Vl | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Hydroxyzine Pam 25mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Hyomax 0.125 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Hyoscyamine S/L.125 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Hypotears Eye Drops | $250.00 | $74.00 |
| Inpatient Psychiatric Services | Hyzaar 100/12.5 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Hyzaar 50/12.5 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | I Car-C Plus Sr | $250.00 | $7.00 |
| Inpatient Psychiatric Services | I Vite | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Ibuprofen 100 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Ibuprofen 200mg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Ibuprofen 300 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Ibuprofen 400mg Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Ibuprofen 600mg Tab | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Ibuprofen 800 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Icaps M/V (Eye) | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Icar C 100/250 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Imdur 20 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Imdur 30 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Imipramine 50 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Immitrex 50 Mg | $250.00 | $227.00 |
| Inpatient Psychiatric Services | Immodium 2mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Inapamide 2.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Indapamide (Lozol) 2.5mg Tab | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Indapamide 1.25 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Inderal 10mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Inderal 25 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Inderal La 60 Mg Propranolol | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Indocin 50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Indocin Sr 75 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Indomethacin 25mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Indomethacin 50 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Innopran Xl 120 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Inspra 25 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Insta Glucose Gel | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Instaflex Joint Support | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Insulin Humulin R | $250.00 | $126.00 |
| Inpatient Psychiatric Services | Integra Vit | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Interferon Beta Inj 0.3 | $250.00 | $2,076.00 |
| Inpatient Psychiatric Services | Invega 3 Mg | $250.00 | $87.00 |
| Inpatient Psychiatric Services | Invega 6 Mg Tab | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Invega 9 Mg Tab | $250.00 | $166.00 |
| Inpatient Psychiatric Services | Invokana 100 Mg | $250.00 | $50.00 |
| Inpatient Psychiatric Services | Ipratropium 0.02% 5mg Vial | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Ipratropium Br (Atrovent) Spy | $250.00 | $270.00 |
| Inpatient Psychiatric Services | Ipratropium Bromide 0.2 | $250.00 | $69.00 |
| Inpatient Psychiatric Services | Irbesartan 150 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Iron Liquid 60 ML Bottle | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Iron,vit C, Vit B12, Folate | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Isometh/Dichlor/Apap | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Isoniazid 300 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Isoptin HCL Sa 120 Mg Tab | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Isopto Tears | $250.00 | $175.00 |
| Inpatient Psychiatric Services | Isordil 10mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Isosorbid Mn ER 120 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Isosorbide 20mg Oral Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Isosorbide Dinitrate 10 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Isosorbide Dinitrate 20mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Isosorbide Dinitrate 5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Isosorbide Mon 30mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Isosorbide Mon ER 60 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Isosorbide3 Mononitrate 60mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Itraconazole 100 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Jalyn 0.5 Mg | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Jantoven 2.5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Jantoven 5 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Janumet 50/1000 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Januvia 100 Mg | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Januvia 25 Mg | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Januvia 50 Mg | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Jevity 1.5 | $250.00 | $13.00 |
| Inpatient Psychiatric Services | J-Tan D Sr | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Juven 23 Gram Pkt | $250.00 | $11.00 |
| Inpatient Psychiatric Services | K + Elexir 10% 60 ML Bottle | $250.00 | $13.00 |
| Inpatient Psychiatric Services | K Clor 8 Meq | $250.00 | $11.00 |
| Inpatient Psychiatric Services | K Dur 20 Meq | $250.00 | $7.00 |
| Inpatient Psychiatric Services | K Dur 30 Meq | $250.00 | $7.00 |
| Inpatient Psychiatric Services | K Dur 40 Meq | $250.00 | $7.00 |
| Inpatient Psychiatric Services | K Phos | $250.00 | $3.00 |
| Inpatient Psychiatric Services | K Vescent 25 Meq Tab | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Kayexalate 15 Gm | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Kayexalate 30 Gm | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Kcl 10 Meq | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Kcl 10% 105 ML Bottle | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Kcl 10% 120 ML Bottle | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Kcl 10% 20meq/15ml | $250.00 | $94.00 |
| Inpatient Psychiatric Services | Kcl 10% 240 ML Bottle | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Kcl 20% 60 ML Bottle | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Kcl 20% 75 ML Bottle | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Kcl 8 Meq | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Keflex 250 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Keflex 500mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Kenalog Cm 80gm Tube | $250.00 | $433.00 |
| Inpatient Psychiatric Services | Kenalog Lotion 1% | $250.00 | $463.00 |
| Inpatient Psychiatric Services | Keppra 1000 Mg Tab | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Keppra 120 Cc Bottle | $250.00 | $386.00 |
| Inpatient Psychiatric Services | Keppra 250 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Keppra 500 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Keppra 750 Mg | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Keppra Liquid 70cc Bottle | $250.00 | $306.00 |
| Inpatient Psychiatric Services | Ketocanazole 2% Cream | $250.00 | $86.00 |
| Inpatient Psychiatric Services | Ketoconazole 2% Cream | $250.00 | $69.00 |
| Inpatient Psychiatric Services | Ketoconazole Shampoo 120oz Bot | $250.00 | $95.00 |
| Inpatient Psychiatric Services | Ketorolac (Toradol) 10mg Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Ketorolac Tromethamine 30 | $250.00 | $62.00 |
| Inpatient Psychiatric Services | Klonopin 0.125 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Klonopin 0.25 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Klonopin 0.5 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Klonopin 1 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Klonopin 2 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Klor Con 10 Meq | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Klor Con 20 Meq | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Kombiglyze XR 2.5/1000 Mg | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Kwell Lotion 60ml | $250.00 | $305.00 |
| Inpatient Psychiatric Services | K-Y Jelly 2 Oz. | $250.00 | $33.00 |
| Inpatient Psychiatric Services | L Methylfolate Cal 15 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | L Thyroxine 125 Mcg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | L Thyroxine 25 Mcg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Labetalol 300 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Labetalol 400 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Labetalol HCL | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Labetalol HCL 100mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Labetalol HCL 200 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lacrilube Oint | $250.00 | $108.00 |
| Inpatient Psychiatric Services | Lactaid | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Lactinex | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lactobacillus Acid Cap | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lactulose 10 Gm/5ml 8 Oz 237ml | $250.00 | $84.00 |
| Inpatient Psychiatric Services | Lactulose 15ml Dose | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Lactulose 30 Cc | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lamictal 150mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Lamictal 200 Mg | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Lamictal 25 Mg Tab | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Lamictal Tablets 100 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Lamis/Hydroc/Bacto Compound | $250.00 | $171.00 |
| Inpatient Psychiatric Services | Lamisil | $250.00 | $77.00 |
| Inpatient Psychiatric Services | Lamisil 250 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Lamotrigine 100 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Lamotrigine 150 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Lamotrigine 200 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Lamotrigine 25mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Lamotrigine 75 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Lanacane Compound Oint | $250.00 | $271.00 |
| Inpatient Psychiatric Services | Lanoxin .125 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Lansoprazole Ec 15mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Lansoprazole Ec 30mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Lantiseptic Crm 50% | $250.00 | $131.00 |
| Inpatient Psychiatric Services | Lantus Insulin 100 | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Lasix 40 Mg Inj | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Latanoprost Drp 0.005% | $250.00 | $209.00 |
| Inpatient Psychiatric Services | Latanoprost Opth Sol | $250.00 | $77.00 |
| Inpatient Psychiatric Services | Latuda 20 Mg | $250.00 | $114.00 |
| Inpatient Psychiatric Services | Latuda 40 Mg | $250.00 | $139.00 |
| Inpatient Psychiatric Services | Latuda 80 Mg | $250.00 | $116.00 |
| Inpatient Psychiatric Services | Laxative Suppository | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lecithin 120 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lescol Xl 80mg | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Letrozole Tab 2.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Levalbuterol Sol 0.63 Mg | $250.00 | $972.00 |
| Inpatient Psychiatric Services | Levaquin 250 Mg | $250.00 | $80.00 |
| Inpatient Psychiatric Services | Levaquin 500mg | $250.00 | $62.00 |
| Inpatient Psychiatric Services | Levaquin 750 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Levemir Each Unit | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Levemir Flexpen | $250.00 | $1,510.00 |
| Inpatient Psychiatric Services | Levetiracetam 1000 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Levetiracetam 105 ML Bottle | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Levetiracetam 120 ML Bottle | $250.00 | $67.00 |
| Inpatient Psychiatric Services | Levetiracetam 125 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Levetiracetam 250 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Levetiracetam 500mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Levetiracetam 750 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Levetiracetam 90 ML Bottle | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Levofloxacin 150 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Levofloxacin 250 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Levofloxacin 500 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Levofloxacin 750 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Levothroid .05 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Levothroid .15mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Levothroid 0.1 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Levothroid 0.125 | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Levothroid 175 Mcg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Levothroid 75mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Levothryoxine 88mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Levothyroxine | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Levothyroxine (Synthroid) 112m | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Levothyroxine 25mcg Tab | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Levothyroxine Sod 100mcg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Levothyroxine Sod 125mcg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Levothyroxine Sod 150 Mcg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Levothyroxine Sod 175 Mcg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Levothyroxine Sod 200 Mcg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Levothyroxine Sod 50 Mcg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Levothyroxine Sod 75mcg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Levothyroxine Sod 88 Mcg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Levothyroxine Sodium 112 Mcg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Levoxyl 100 Mcg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Levoxyl 75 Mcg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Lexapro 10 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Lexapro 15 Mg | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Lexapro 20mg Tablet | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Lexapro 30 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Lexapro 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Lialda 1.2 Gm | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Librax 5/2.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Librium 25 Mg Cap | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Librium 5 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Librium 50 Mg Tab | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Lidex .05% 15 Gu | $250.00 | $271.00 |
| Inpatient Psychiatric Services | Lido/Antacid/Diphen/Prom 60cc | $250.00 | $214.00 |
| Inpatient Psychiatric Services | Lidocain 1% 10mg/ML Inj | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Lidocaine HCL Topical 5% | $250.00 | $76.00 |
| Inpatient Psychiatric Services | Lidocaine Patch 5% | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Lidocaine Patch 5% 1/2 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Lidocaine Viscous 5 Cc | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Lidocaine/Benadryl Elix 40 ML | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Limbitrol Ds 10/25 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Linezolid (Zyvox) 600mg Tab | $250.00 | $453.00 |
| Inpatient Psychiatric Services | Liothyronin 50 Mcg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Liothyronine Sod 12.5 Mcg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Liothyronine Sod 25 Mcg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Lipitor 10 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Lipitor 20 Mg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Lipitor 40mg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Lipitor 80 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Lisinopril 10mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Lisinopril 2.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Lisinopril 20 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Lisinopril 25 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Lisinopril 30 Mg | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Lisinopril 40 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Lisinopril 5mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Lisinopril/Hctz 12.5 | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Lisinopril/Hctz 20/12.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Lisinopril/Hctz 20/25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Lisonopril/ Hctz 20/12.5 | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lithium 150 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Lithium 200 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Lithium 300 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Lithium 60 Cc Bottle Liquid | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Lithium Carb Lithbid 300 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lithium Carbonate 150 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Lithium Carbonate 300 | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Lithium Carbonate 600mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Lithium Carbonate ER 450 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Livalo 2 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Lodine 500 Mg | $250.00 | $51.00 |
| Inpatient Psychiatric Services | Lodosyn 25 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Lodrane D24 | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Lomotil 2.5 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Loperamide 2 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Lopid 600 Mg | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Lopressor 100 Mg Tab | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Lopressor 25mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Lopressor 50 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Lopressor 75 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Loratadine 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lorazepam .25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Lorazepam 0.125 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Lorazepam 0.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lorazepam 0.5 Mg Inj | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Lorazepam 1 Mg Inj | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Lorazepam 2mg Syq | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Lorazepam 2mg/ML Inj 1ml | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Lorazepam Tab : 1mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Lortab 10/325 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Lortab 10/500 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Lortab 2.5/250 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lortab 2.5/500 | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Lortab 3.75/250 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Lortab 37.5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Lortab 5/250 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lortab 5/325 Mg | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Lortab 5/500 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Lortab 7.5 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Lortab 7.5/500 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Lortab Elix 90 ML | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Lortab Elixir 240 ML | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Lortab Suspension 160 ML Bot | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Lortab-5 | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Losartan 100 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Losartan 100/12.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Losartan 25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Losartan 50 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Losartan Pot-Hctz 50/12 | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Lotemax Opth 5% | $250.00 | $657.00 |
| Inpatient Psychiatric Services | Lotensin 10mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Lotensin 20 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Lotensin 40 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Lotensin 5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Loteprednol Drop | $250.00 | $191.00 |
| Inpatient Psychiatric Services | Lotrel 10/20 Mg Capsule | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Lotrel 2.5/10 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Lotrel 5/10 Cap | $250.00 | $51.00 |
| Inpatient Psychiatric Services | Lotrel 5/20 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Lotrisone 15 Grm Tube | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Lovastatin 10 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Lovastatin 20mg | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Lovastatin 40 Mg Tab | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Lovaza 1 G = 1 Cap | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Lovaza Cap | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Lovenox 40 Mg/0.4ml Inj | $250.00 | $183.00 |
| Inpatient Psychiatric Services | Lovenox 60 Mg Inj | $250.00 | $307.00 |
| Inpatient Psychiatric Services | Lovenox 80 Mg Sub Q | $250.00 | $294.00 |
| Inpatient Psychiatric Services | Lovenox Inj 30mg | $250.00 | $116.00 |
| Inpatient Psychiatric Services | Loxapine 25 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Loxapine 50 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Lozol 1.25 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Lozol 2.5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Lumigan Eye Drops 0.03% | $250.00 | $569.00 |
| Inpatient Psychiatric Services | Lumigan Opth Sol 0.01% | $250.00 | $692.00 |
| Inpatient Psychiatric Services | Lunesta 1 Mg | $250.00 | $101.00 |
| Inpatient Psychiatric Services | Lunesta 2 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Lunesta 3 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Lyrica 100 Mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Lyrica 150 Mg Cap | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Lyrica 200 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Lyrica 25 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Lyrica 300 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Lyrica 50 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Lyrica 75mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Maalox 30 Cc | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Macrobid 100mg | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Macrodantin 100 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Mag Citrate 10 Fld Oz Bottle | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Magdelay Sa 64 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Magic Mouthwash | $250.00 | $82.00 |
| Inpatient Psychiatric Services | Magnesium 250 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Magnesium 500 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Magnesium Citrate | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Magnesium Hydroxide 1ml | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Magnesium Oxide 400mg Tab | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Magnesium Oxide 600 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Mandelamne 1 Gm | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Maralax 1 Tbsp | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Marcaine 25mg/ML Inj | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Marinol 5 Mg Tab | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Masgnesium Hydroxide Sus 30ml | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Maxitrol Eye Drops | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Maxzide 50/75 | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Meclizine 12.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Meclizine 25 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Medical Food 1 Tab | $250.00 | $188.00 |
| Inpatient Psychiatric Services | Medihoney 44 ML Tube | $250.00 | $89.00 |
| Inpatient Psychiatric Services | Medrol Dose Pak | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Medroxyprogesterone 5mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Megace 20 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Megace 240 ML Bottle | $250.00 | $100.00 |
| Inpatient Psychiatric Services | Megace 40 Mg Tablet | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Megace 60 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Megace 80 Mg Tab | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Megace Elixir 105 ML | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Megace Elixir 120 Cc Bottle | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Megace Elixir 140 ML Bottle | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Megace Elixir 160 ML Bottle | $250.00 | $77.00 |
| Inpatient Psychiatric Services | Megace Elixir 20 Cc Bottle | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Megace Elixir 240 ML Bottle | $250.00 | $105.00 |
| Inpatient Psychiatric Services | Megace Elixir 25 Cc Bottle | $250.00 | $417.00 |
| Inpatient Psychiatric Services | Megace Elixir 280 Cc Bottle | $250.00 | $147.00 |
| Inpatient Psychiatric Services | Megace Elixir 30 ML Bottle | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Megace Elixir 35 Cc Bottle | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Megace Elixir 40 ML Bottle | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Megace Elixir 50 ML Bottle | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Megace Elixir 60 Cc Bottle | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Megace Elixir 70 ML Bottle | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Megace Elixir 75 ML Bottle | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Megace Elixir 80 ML Bottle | $250.00 | $70.00 |
| Inpatient Psychiatric Services | Megace Elixir 90ml Bottle | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Megace Es Elixir 150 ML Bottle | $250.00 | $3,406.00 |
| Inpatient Psychiatric Services | Megestrol 40 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Megestrol Acetate 400mg/10ml | $250.00 | $177.00 |
| Inpatient Psychiatric Services | Megestrol Acetate Sus 625mg | $250.00 | $3,865.00 |
| Inpatient Psychiatric Services | Melatonin .75 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Melatonin 1 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Melatonin 1.50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Melatonin 3mg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Melatonin 5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Meloxicam 15 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Meloxicam 7.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Memantine (Namenda) 5mg Tab | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Memantine HCL 10mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Men Phor Anti Itch Lotion | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Mephyton 5 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Meprobamate 100 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Meprobamate 200 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Meprobromate 400 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Mestinon 60mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Metafolbic Plus | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Metalozone 5 Mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Metamucil 1 Tsp | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Metamucil Cap | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Metamucil Pkt | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Metanx 20 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Metaxalone 800 Mg Tab | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Metformin 1000 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Metformin 250 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Metformin 500 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Metformin 600mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Metformin 750 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Metformin HCL 850 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Metformin HCL ER 1000 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Metformin HCL ER 500 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Methadone 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Methadone 2.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Methadone 20 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Methadone 5 Mg Tab | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Methenamine Mandelate 1 Gm | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Methimazole Tab : 5mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Methlphenidate 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Methocarbamol (Robaxin) 500mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Methocarbamol 500 Mg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Methocarbamol 750 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Methotrexate 10 ML Vial | $250.00 | $100.00 |
| Inpatient Psychiatric Services | Methotrexate 15 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Methotrexate 2 ML Vial | $250.00 | $49.00 |
| Inpatient Psychiatric Services | Methotrexate 2.5mg Tab | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Methylphenidate 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Methylphenidate 20 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Methylprednisolone 125mg/2ml | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Methylprednisolone 2 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Methylprednisolone 4 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Methylprednisone 80 Inj | $250.00 | $191.00 |
| Inpatient Psychiatric Services | Methylprednisone Inj 40 Mg | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Metoclopramide 10mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Metoclopramide 5mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Metoclopramide Syrup 140 ML | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Metolazone 2.5 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Metolazone 5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Metopolol Succer 50 Mg ER | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Metoprolol 12.5 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Metoprolol 6.25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Metoprolol ER 200 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Metoprolol Succ ER 25 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Metoprolol Succ ER 50 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Metoprolol Succ Sr 100 | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Metoprolol Tar 25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Metoprolol Tart 100 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Metoprolol Tart 50 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Metoprolol Xl 100 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Metoprolol Xl 50mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Metronidazole 250mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Metronidazole 500mg Tab | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Metronidazole 75% Cream 45 Gm | $250.00 | $1,011.00 |
| Inpatient Psychiatric Services | Mexiletine HCL 150 Mg | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Miacalcin Nasal Spray 3.7 | $250.00 | $376.00 |
| Inpatient Psychiatric Services | Micardis 40 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Micardis 80 Mg | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Miconazole Nitrate 2% Cream | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Midodrine 10 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Midodrine 2.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Midodrine HCL 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Midrin Capsules | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Migrazone Capsules | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Milacalcin 3.7 ML Bottle | $250.00 | $334.00 |
| Inpatient Psychiatric Services | Milk of Magnesia 10 Cc | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Milk of Magnesia 15 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Milk of Magnesia 30 Cc | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Mineral Oil 30 Cc | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Mineral Oil 30 ML Bottle | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Minipress 1 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Minocycline 100 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Minoxidil 10 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Minoxidil 2.5mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Miralax 17 Gm Pkt | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Mirapex .125 Mg Tab | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Mirapex 0.025 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Mirapex 0.25 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Mirapex 0.5 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Mirapex 1 Mg | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Mirapex 1.5 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Mirtazapine 15 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Mirtazapine 30 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Mirtazapine 45 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Mirtazapine 7.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Misoprostol 100 Mcg | $250.00 | $3.32 |
| Inpatient Psychiatric Services | Misoprostol 200 Mcg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Moban 50 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Mobic 15 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Mobic 7.5 Mg | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Modafinil (Provigil) 100mg Tab | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Modafinil 200 Mg | $250.00 | $47.00 |
| Inpatient Psychiatric Services | Modurectic 5/50 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Mometasone 0.1% Cream 15 Gr | $250.00 | $77.00 |
| Inpatient Psychiatric Services | Monistat 7 Vag Supp | $250.00 | $99.00 |
| Inpatient Psychiatric Services | Monistat Vaginal Cream 2% | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Monopril 5 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Montelukast 10 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Morph Sulf 20 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Morphine 0.3 Mg Inject | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Morphine 15 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Morphine Cr 30 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Morphine Sulf 15 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Morphine Sulf ER 30 | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Motrin 120ml | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Mucinex 1200 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Mucinex 20mg Syrup | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Mucinex 600 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Mucinex D | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Mucomyst 10% 30ml Bottle | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Mucomyst 20 % Each Vial | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Mucomyst 20% 10cc Bottle | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Mucus ER 12 Hr Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Multaq 400 Mg | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Multivitamin With Mineral | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Multivitimine | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Mupirocin 2% Ointment | $250.00 | $50.00 |
| Inpatient Psychiatric Services | Muro 128 Eye Drops | $250.00 | $110.00 |
| Inpatient Psychiatric Services | Mvi Elixir 5 Cc | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Mycolog Ii Cream 30 Gm Tube | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Mycostatin Cream 15gm | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Mylanta 15ml | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Mylanta 30 Cc | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Mylanta Bottle | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Mylicon 125 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Mylicon 80 | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Mypirocin Oint 2% 15 Gm Tube | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Myrbetriq ER 50 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Mysoline 50mg Tab | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Nabumetone 500mg Tab | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Nabumetone 750 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | N-Acetyl Cysteine 600 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Nadolol 20 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Nalfon 400 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Naltrexone 50 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Namenda 10mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Namenda 5 Mg | $250.00 | $28.00 |
| Inpatient Psychiatric Services | Namenda XR 14 Mg | $250.00 | $51.00 |
| Inpatient Psychiatric Services | Namenda XR 21 Mg | $250.00 | $49.00 |
| Inpatient Psychiatric Services | Namenda XR 28 Mg | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Namenda XR 7 Mg | $250.00 | $56.00 |
| Inpatient Psychiatric Services | Naprelan 375 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Naprosyn 250 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Naprosyn 375 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Naproxen 250 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Naproxen 375 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Naproxen 500 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Naproxen 550 Mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Naproxen Sodium (Aleve) 220mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Narcan 0.4 Mg Im | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Narco 10/325 | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Narco 5/325 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Nasacort Aq | $250.00 | $425.00 |
| Inpatient Psychiatric Services | Nasal Crom Spray | $250.00 | $49.00 |
| Inpatient Psychiatric Services | Nasal Decongestant Pe 10 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Nasonex Nasal Spray | $250.00 | $995.00 |
| Inpatient Psychiatric Services | Nateglinide 120 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Nateglinide 60 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Nauzene | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Navane 5 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Nbc Cream 50 Mg Tab | $250.00 | $208.00 |
| Inpatient Psychiatric Services | Nebulizer W/ Mouthpiece | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Nefazodone 200 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Neomycin/Polyumyxine Ba | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Neosporin | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Neosporin Ung Pk | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Nephrocap 1 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Neupro Patch 1 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Neupro Patch 6 Mg | $250.00 | $75.00 |
| Inpatient Psychiatric Services | Neurontin 10 Cc Bottle | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Neurontin 100mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Neurontin 200 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Neurontin 300 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Neurontin 400 Mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Neurontin 600 Mg Tab | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Neurontin 800mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Neurontin 900 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Neutra Phos K Pkts | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Neutro Phos 250mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Nexium 20 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Nexium 40 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Niacin 50 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Niacin 500 Mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Nicoderm Patch 21mg | $250.00 | $150.00 |
| Inpatient Psychiatric Services | Nicotine Lozenges 2 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Nicotine Patch 14mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Nicotine Patch 21 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Nicotine Patch 7 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Nicotine Transdermal | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Nifediac Cc 60 Mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Nifedipine 15 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Nifedipine ER 30 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Nifedipine ER 60mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Nifedipine ER 90 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Niferex 150mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Nisoldipine 20mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Nitro Dur 0.4mg | $250.00 | $98.00 |
| Inpatient Psychiatric Services | Nitro Dur Trans 0.3 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Nitro Tab 0.4 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Nitro Transderm 0.2 M | $250.00 | $194.00 |
| Inpatient Psychiatric Services | Nitro Transderm 0.4 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Nitrobid Oin 60 Gm | $250.00 | $253.00 |
| Inpatient Psychiatric Services | Nitrobid Oint 2% 3gr Tube | $250.00 | $73.00 |
| Inpatient Psychiatric Services | Nitrofurantoin 50mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Nitrofurantoin MAC 100 | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Nitrofurantoin Mono. 100mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Nitrofurantoin/Nitro 100 | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Nitroglycerin Ointment | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Nitroglycerin Patch 0.4 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Nitroglycerin Patch T 0.2 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Nitroglycerin ST 6.5 | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Nitroglycerin Sub Tab 0.4mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Nitrolingual Spray | $250.00 | $487.00 |
| Inpatient Psychiatric Services | Nitropaste 0.4 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Nitropaste 60 Gram Tube | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Nitrostat 0.4mg/25 | $250.00 | $245.00 |
| Inpatient Psychiatric Services | Nolvadex 10 Mg | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Nolvadex 20 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Norco 325/7.5 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Norco 5/325 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Norflex 100 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Normal Saline 45% 1000 ML | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Norpramin 25mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Nortiptyline HCL Cap : 10mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Nortriptyline 50 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Nortriptyline 75 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Nortriptyline Cap : 25mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Norvasac 5mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Norvasc 10mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Norvasc 2.5 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Novolin 100units | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Novolin 70/30 | $250.00 | $75.00 |
| Inpatient Psychiatric Services | Novolin 70/30 10ml Bottle | $250.00 | $259.00 |
| Inpatient Psychiatric Services | Novolin Nph Each Unit | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Novolin R Inj 100 Units | $250.00 | $501.00 |
| Inpatient Psychiatric Services | Novolin R Insulin Each Unit | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Novolog Each Unit | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Novolog Flexpen | $250.00 | $1,617.00 |
| Inpatient Psychiatric Services | Novolog Mix 70/30 | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Nuedexta 10/5 Mg | $250.00 | $46.00 |
| Inpatient Psychiatric Services | Nuedexta 20/10 | $250.00 | $56.00 |
| Inpatient Psychiatric Services | Nuvigil 125 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Nuvigil 25 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Nuvigil 250 Mg | $250.00 | $79.00 |
| Inpatient Psychiatric Services | Nuvigil 50 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Nuvigil 75 Mg | $250.00 | $127.00 |
| Inpatient Psychiatric Services | Nystatin 1 ML Sus | $250.00 | $149.00 |
| Inpatient Psychiatric Services | Nystatin 100 Ky Pwd | $250.00 | $375.00 |
| Inpatient Psychiatric Services | Nystatin Cream 100 Units | $250.00 | $97.00 |
| Inpatient Psychiatric Services | Nystatin Cream 15gm | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Nystatin Cream 30 G Tube | $250.00 | $123.00 |
| Inpatient Psychiatric Services | Nystatin Mouthwash 5 Cc | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Nystatin Powder 15 Gms | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Nystatin Powder 30 Gms | $250.00 | $155.00 |
| Inpatient Psychiatric Services | Nystatin Powder 60 Gms | $250.00 | $248.00 |
| Inpatient Psychiatric Services | Nystatin S&s 120 ML Bottle | $250.00 | $157.00 |
| Inpatient Psychiatric Services | Nystatin S&s 140 ML Bottle | $250.00 | $307.00 |
| Inpatient Psychiatric Services | Nystatin S&s 180 ML Bottle | $250.00 | $161.00 |
| Inpatient Psychiatric Services | Nystatin S&s 60ml Bottle | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Nystatin S&s 70 ML Bottle | $250.00 | $88.00 |
| Inpatient Psychiatric Services | Nystatin Swish&swallow 270 ML | $250.00 | $319.00 |
| Inpatient Psychiatric Services | Nystatin Swish&swallow 75 Cc | $250.00 | $111.00 |
| Inpatient Psychiatric Services | Nystatin/Lidocain Mw 100 ML Bo | $250.00 | $104.00 |
| Inpatient Psychiatric Services | Nystatin/Triamcinol 30 Gm Tube | $250.00 | $626.00 |
| Inpatient Psychiatric Services | Occuvite | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Ocean Mist | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Ocean Nasal Spray | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Ofloxacin 0.3% Gtt 5ml Bottle | $250.00 | $104.00 |
| Inpatient Psychiatric Services | Ogen 1.25 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Ointment 120 Com | $250.00 | $358.00 |
| Inpatient Psychiatric Services | Olanzapine 0.5 Mg Im | $250.00 | $91.00 |
| Inpatient Psychiatric Services | Olanzapine 10 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Olanzapine 10mg Im | $250.00 | $192.00 |
| Inpatient Psychiatric Services | Olanzapine 12.5 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Olanzapine 15 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Olanzapine 2.5 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Olanzapine 20 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Olanzapine 5mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Olanzapine 7.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Olmesartan Medoxomil 40 | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Omacor 1 Gm | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Omeprazole 10mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Omeprazole 20mg Caps | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Omeprazole 40 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Ondansetron 450 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Ondansetron 4mg/20ml Vial | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Ondansetron 8 Mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Ondansetron Odt 4 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | One A Day Weight Smart Vit | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Onfi 10 Mg | $250.00 | $60.00 |
| Inpatient Psychiatric Services | Onglyza 5 Mg | $250.00 | $69.00 |
| Inpatient Psychiatric Services | Opcon A Eye Drops | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Optivar 0.05% Eye Drps | $250.00 | $434.00 |
| Inpatient Psychiatric Services | Optive Eye Drops | $250.00 | $60.00 |
| Inpatient Psychiatric Services | Orap 2 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Os Cal 250 Mg + D | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Os Cal 500 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Os Cal 500 Mg+d | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Os Cal 600 Mg + D | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Osphena 60 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Osteo Bi Flex 500 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Oxandrin 2 Mg | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Oxandrolone 2.5mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Oxazepam Cap : 10mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Oxazepam Cap : 15mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Oxcarbazepine 150mg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Oxcarbazepine 300 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Oxcarbazepine 600 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Oxybutynin 10 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Oxybutynin 15 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Oxybutynin 3.9 Mg Patch | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Oxybutynin Choloride 5 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Oxybutynin Sa Osm 5mg | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Oxycodone 15 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Oxycodone 20mg Tab | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Oxycodone 5 Mg | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Oxycodone 5/500 | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Oxycodone HCL Sr 12hr 10mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Oxycodone/Apap 10/325 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Oxycodone/Apap 2.5/162.5 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Oxycodone/Apap 5/325 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Oxycodone/Apap 7.5/325 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Oxycontin 80 Mg Tab | $250.00 | $71.00 |
| Inpatient Psychiatric Services | Oxytrol Patch | $250.00 | $75.00 |
| Inpatient Psychiatric Services | Oyster Shell Calcium 500 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Paceron 100 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Paceron 200 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Pain Reliever Tab 325mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Pamelor 50 Mg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Pamelor 75 Mg | $250.00 | $49.00 |
| Inpatient Psychiatric Services | Pancrelipase 10 | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Pangestyme Ec | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Pantoprazole 20 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Pantoprazole 40 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Paricalcitol 2 Mg | $250.00 | $102.00 |
| Inpatient Psychiatric Services | Parlodel 2.5 Mg | $250.00 | $46.00 |
| Inpatient Psychiatric Services | Paroxetin HCL 5 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Paroxetine 40 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Paroxetine HCL 10mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Paroxetine HCL 20 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Paroxetine HCL 30 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Paroxetine HCL Sr 24h | $250.00 | $67.00 |
| Inpatient Psychiatric Services | Pataday Eye Drops | $250.00 | $662.00 |
| Inpatient Psychiatric Services | Patanase Nasal Spray | $250.00 | $535.00 |
| Inpatient Psychiatric Services | Patanol | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Patanol 0.12% Eye Drps | $250.00 | $774.00 |
| Inpatient Psychiatric Services | Patanol Opth Soln 0.1% 5ml | $250.00 | $725.00 |
| Inpatient Psychiatric Services | Paxil 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Paxil 20 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Paxil 30 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Paxil 40 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Paxil 5 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Paxil 60 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Paxil Cr 12.5 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Paxil Cr 25 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Paxil Mcr 37.5 | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Pc Tar 6 Oz. Shampoo | $250.00 | $223.00 |
| Inpatient Psychiatric Services | Pedialyte 8 Oz | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Pehnytoin Na Extended 100 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Pen V Pot Ov 500 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Penicillin Vk 250mg Tab | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Penicillin Vk 500 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Pentasa 250mg Capsule | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Pentazocin Apap 25/650 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Pentazocine Nalox | $250.00 | $65.00 |
| Inpatient Psychiatric Services | Pentoxifyllin 400mg Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Pepcid 10 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Pepcid 20 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Pepto Bismol 30 Cc | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Percocet 10/325 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Percocet 2.5/162.5 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Percocet 3.75/162.5 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Percocet 3.75/250 | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Percocet 5/162.50 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Percocet 5/325 | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Percocet 7.5/325 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Peri Colace | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Periactin 2 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Periactin 4 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Peridex Elixir 473 ML Bottle | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Permethrin (Elimite) 5% Cream | $250.00 | $353.00 |
| Inpatient Psychiatric Services | Perphenazine 16 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Perphenazine 2 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Perphenazine 4 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Phazyme 180 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Phenazopyridine 100 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Phenazopyridine 200 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Phenergan 12.5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Phenergan 12.5 Mg Im | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Phenergan 25 Mg Tab | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Phenergan 25 Mg Vial | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Phenergan 6.25 Mg Tab | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Phenergan Elixir 60 ML Bottle | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Phenergan Supp | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Phenergan W Codine | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Phenobarbital 15mg Pd | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Phenobarbital 30mg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Phenobarbital 32.4 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Phenobarbital 60mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Phenobarbital Elixir 70 ML Bot | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Phenobarbital Tab : 97.2mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Phenobarbitol 64.8 Mg Tab | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Phentermine 37.5mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Phenytek 300mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Phenytoin 200 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Phenytoin 237 ML Bottle | $250.00 | $112.00 |
| Inpatient Psychiatric Services | Phenytoin 50mg Chewable | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Phenytoin ER 100 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Phoslo 667mg Gelcap | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Pindolol Tab : 5mg | $250.00 | $4.16 |
| Inpatient Psychiatric Services | Pioglitazone 30mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Pioglitazone 45mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Pioglitazone HCL 15 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Piroxicam 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Piroxicam 19 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Plagic 4 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Plavix 40 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Plavix 75mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Plendil 10 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Plendil 5 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Ployethylene Glycol | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Pneumonia Vaccine | $250.00 | $173.00 |
| Inpatient Psychiatric Services | Polyethylene Glycol 3350 17 G | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Potass. Bicarb/Potas. Cit 25mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Potassium 20mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Potassium 30 ML Bottle | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Potassium 99 Mg Tab | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Potassium Bicarb 20 Meq | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Potassium Ch 10meq | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Potassium Ch 20 Meq | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Potassium Chl 10% 105 ML | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Potassium Chl 10% 110 ML Bott | $250.00 | $73.00 |
| Inpatient Psychiatric Services | Potassium Chl 10% 120 ML | $250.00 | $64.00 |
| Inpatient Psychiatric Services | Potassium Chl 10% 210ml | $250.00 | $99.00 |
| Inpatient Psychiatric Services | Potassium Chl 10% 60 ML | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Potassium Chl 160 ML | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Potassium Chl 20% 60 ML | $250.00 | $101.00 |
| Inpatient Psychiatric Services | Potassium Chl 30 ML | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Potassium Chl 37.5 ML | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Potassium Chl 50 ML | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Potassium Chl 90 ML | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Potassium Chl Sa 10 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Potassium Chl Sr 20 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Potassium Gluc 500 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Potassium Gluc 575 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Potassium Gluc 595 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Potassium Phos 250 | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Pradaxa 150 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Pradaxa 75 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Pramipexole .125 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Pramipexole .25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Pramipexole .5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Pramipexole 1 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Pramoxine 1% Oint | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Prandin 0.5 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Prandin 1 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Pravachol 10mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Pravachol 20 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Pravachol 40 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Pravachol 80 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Pravastatin 10 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Pravastatin 20 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Pravastatin 80 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Pravastatin Sod 40 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Prazosin 1 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Prazosin 2 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Prazosin 5 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Prednisolone Opth 1% 5ml | $250.00 | $242.00 |
| Inpatient Psychiatric Services | Prednisone 1 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Prednisone 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Prednisone 15 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Prednisone 2.5 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Prednisone 20mg Tab | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Prednisone 30 ML | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Prednisone 40 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Prednisone 5mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Pregabalin 25mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Pregabalin 50 Mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Pregabalin 75mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Premarin .9 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Premarin 0.3 | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Premarin 0.625 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Premarin 1.25 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Premarin Cream 30g | $250.00 | $978.00 |
| Inpatient Psychiatric Services | Prempro 45/1.5 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Prenatal Vitamin | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Preparation H Supposority Box | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Preservision Gelcap | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Prevacid 30mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Prevalite Powder | $250.00 | $95.00 |
| Inpatient Psychiatric Services | Prilosec 10 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Prilosec Dr 20.6 | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Prilosec Otc 20 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Primidone 25 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Primidone 250 Mg Tablet | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Primidone 50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Prinivil 2.5 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Pristiq 100 Mg | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Pristiq 50 Mg | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Pro Air Inh Aerosal | $250.00 | $267.00 |
| Inpatient Psychiatric Services | Proamatine 10 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Proamatine 5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Probenecid Colchicicine | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Procardia Xl 30 Mg 1 Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Procardia Xl 60 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Prochlorperazine (Compazine) 5 | $250.00 | $2.20 |
| Inpatient Psychiatric Services | Prochlorperazine Supp 25mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Procrit 20,000 U/ML | $250.00 | $1,819.00 |
| Inpatient Psychiatric Services | Procrit 3,000 Unites/ML | $250.00 | $278.00 |
| Inpatient Psychiatric Services | Procrit 6 1 ML Vials | $250.00 | $1,277.00 |
| Inpatient Psychiatric Services | Procrit Epoetin Alfa 4000 | $250.00 | $278.00 |
| Inpatient Psychiatric Services | Procrit Inj 10000/1 | $250.00 | $725.00 |
| Inpatient Psychiatric Services | Proctosol HCL 2.5% Crm | $250.00 | $274.00 |
| Inpatient Psychiatric Services | Prograf 1 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Promethazine 12.5 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Promethazine 25mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Promethazine Supp | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Promethegan 25 Mg Supp. | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Prometrium 100 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Promod 30 Cc | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Propafenone (Rythmol) 150mg Ta | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Propoxyphene N Apap 100/650 | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Propranolol 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Propranolol 40 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Propranolol 80 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Propranolol ER 120 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Propranolol HCL 20mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Propranolol HCL Cap : 80mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Propranolol HCL ER 60 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Propranolol HCL Sr 120 | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Propylthiouracil 50mg Tab | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Prosight | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Prostat 30 Cc | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Proteinex Liq 30ml | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Protonix 20 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Protonix 40 Mg Pkts | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Protonix 40mg Tab | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Provera 10 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Provera 5 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Provigil 100 Mg | $250.00 | $101.00 |
| Inpatient Psychiatric Services | Provigil 200 Mg | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Prozac 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Prozac 20 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Prozac 40 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Prozac Liquid 20mg/5ml | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Prozac Liquid 60 ML Bottle | $250.00 | $432.00 |
| Inpatient Psychiatric Services | Prozosin 1 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Pseudoephedrine 30mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Psyllium See Pack | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Pulmicort 0.25/2ml Vial | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Pulmicort 0.5 Mg | $250.00 | $126.00 |
| Inpatient Psychiatric Services | Pulmicort 0.5/2ml Vial | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Pulmicort Flexhaler | $250.00 | $656.00 |
| Inpatient Psychiatric Services | Pulmocare Nutrition | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Pyridium 200 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Pyridium HCL 100mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Pyridoxine 100mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Qnasl Nas Spray | $250.00 | $700.00 |
| Inpatient Psychiatric Services | Qualfenesin Dm 10cc | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Questran 2 Gm | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Questran 4 Gram Pkt | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Questran 9gm Scoop | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Quetiapine 100 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Quetiapine 150 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Quetiapine 200 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Quetiapine 25 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Quetiapine 300 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Quetiapine 400 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Quetiapine 50 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Quinapril 20mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Quinapril HCL 10mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Quinidex 300 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Quinidine 200mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Quinidine Sulfate 300 Mg | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Quinine Sulfate 325mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Quintine Sulfate 260m | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Qvar Inhal | $250.00 | $825.00 |
| Inpatient Psychiatric Services | Ramipril 10 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Ramipril 2.5 Mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Ramipril 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Ranexa 1000 Mg | $250.00 | $73.00 |
| Inpatient Psychiatric Services | Ranexa 500 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Ranitidine 300 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Ranitidine 75 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Ranitidine Tab : 150mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Rapaflo Cap 8 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Rapamune 1 Mg | $250.00 | $167.00 |
| Inpatient Psychiatric Services | Rasagiline 0.5 Mg | $250.00 | $112.00 |
| Inpatient Psychiatric Services | Razadyne 12 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Razadyne 16 Mg Cap | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Razadyne 24 Mg Cap | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Razadyne 8 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Recaltrol 0.25 Mcg | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Refresh Eye Drops | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Refresh Pm Ointment | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Regranex Gel 0.01% | $250.00 | $4,243.00 |
| Inpatient Psychiatric Services | Relafen 500 Mg | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Remeron 15 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Remeron 30 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Remeron 45 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Remeron 7.5 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Remifemin Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Reminyl 12mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Renal Cap Soft Gel | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Renvela 800 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Repaglinide 1 Mg Tab | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Requip .125 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Requip .25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Requip 0.5mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Requip 1 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Requip 2 Mg | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Requip 4 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Requip 8 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Requip Xl 6 Mg | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Resperdol 1 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Restasis 0.5% | $250.00 | $815.00 |
| Inpatient Psychiatric Services | Restoril 15mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Restoril 30 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Restoril 7.5 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Rhythmol 150 Mg Propafenone | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Rifampin 150 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Rifampin 300mg Cap | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Risamine Oint | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Risedronate Sodium 30mg | $250.00 | $257.00 |
| Inpatient Psychiatric Services | Risedronate Sodium 35mg | $250.00 | $143.00 |
| Inpatient Psychiatric Services | Risperdal 0.25 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Risperdal 0.5mg Tab | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Risperdal 1.5 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Risperdal 1mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Risperdal 2 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Risperdal 3 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Risperdal 4 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Risperdal 6 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Risperdal Consta 12.5 Mg Im | $250.00 | $766.00 |
| Inpatient Psychiatric Services | Risperdal Consta 25mg Inj | $250.00 | $1,716.00 |
| Inpatient Psychiatric Services | Risperdal Consta 37.5 Mg Im | $250.00 | $2,250.00 |
| Inpatient Psychiatric Services | Risperdal Consta 50mg | $250.00 | $3,147.00 |
| Inpatient Psychiatric Services | Risperidone .25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Risperidone .5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Risperidone 1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Risperidone 1.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Risperidone 2 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Risperidone 3 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Risperidone 4 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Ritalin 10 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Ritalin 20 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Ritalin 5mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Rivastigmine (Exelon) 1.5mg Ca | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Rivastigmine 3mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Rivastigmine 6 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Rivastigmine Tart 4.5 Patch | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Robaxin 500 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Robaxin 750 Mg Tab | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Robinul 1 Mg Tab | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Robinul Forte 2 Mg Tab | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Robitussin Dm 10 ML | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Rocephin 1 Gm Vial | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Rocephin 2 Gm Im | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Rocephin 500mg Vial | $250.00 | $209.00 |
| Inpatient Psychiatric Services | Ropinirole 4 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Ropinirole HCL 0.25 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Ropinirole HCL 0.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Ropinirole HCL 1mg (Requip) | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Ropinirole HCL 2 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Rozerem 8mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Rythmol 150 Mg Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Saline Flush | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Saline Nasal Spray 1.5 Oz | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Sam E 200 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Sam E 400 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Sanctura 20mg | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Sanctura Xl 60 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Santyl Top | $250.00 | $458.00 |
| Inpatient Psychiatric Services | Saphris 10 Mg | $250.00 | $63.00 |
| Inpatient Psychiatric Services | Saphris 5 Mg | $250.00 | $65.00 |
| Inpatient Psychiatric Services | Savella 50 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Selegiline 5mg Cap | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Selegiline 9mg Patch | $250.00 | $303.00 |
| Inpatient Psychiatric Services | Selegiline Transd Patch 20mg | $250.00 | $304.00 |
| Inpatient Psychiatric Services | Selenium Shampoo | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Senna 8.6mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Senna Gen Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Senna Plus | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Senna Syrup 5 Cc | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Senna/Docusate Sodium 8.6 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Senokot 187mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Senokot 8.6 Mg Tab | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Sensipar 30 Mg | $250.00 | $99.00 |
| Inpatient Psychiatric Services | Septra Ds | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Serax 30 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Serevent Disl Inh | $250.00 | $548.00 |
| Inpatient Psychiatric Services | Seroquel 100 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Seroquel 12.5 Mg | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Seroquel 150 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Seroquel 200mg Tablet | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Seroquel 25 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Seroquel 500 Mg | $250.00 | $124.00 |
| Inpatient Psychiatric Services | Seroquel 75 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Seroquel Sr 50 Mg | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Seroquel XR 150 Mg | $250.00 | $60.00 |
| Inpatient Psychiatric Services | Seroquel XR 200 Mg | $250.00 | $75.00 |
| Inpatient Psychiatric Services | Seroquel XR 300 Mg | $250.00 | $107.00 |
| Inpatient Psychiatric Services | Seroquel XR 400 Mg | $250.00 | $116.00 |
| Inpatient Psychiatric Services | Seroquel XR 600 Mg | $250.00 | $120.00 |
| Inpatient Psychiatric Services | Sertraline 100 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Sertraline 25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Sertraline Hyc 50 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Sherrous Sulfate Ltq | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Silenor 3 Mg | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Silvadene Cream | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Silversulfadiazine | $250.00 | $71.00 |
| Inpatient Psychiatric Services | Simcor 500/20 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Simethicone 125 Mg Tabs | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Simethicone 80 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Simvastatin 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Simvastatin 20 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Simvastatin 40 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Simvastatin 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Simvastatin 80 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Sinemet 10/100 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Sinemet 12.5/50 | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Sinemet 25/100 | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Sinemet Cr 25/250 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Sinemet Cr 50/200 | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Sinex Nose Spray | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Singulair 10 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Singulair 5 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Skelaxin 800mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Slo-Niacin 250mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Slow Fe Cr 50 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Slow K-8 Meq | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Slow Mag 64 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Sod Biphos/Pot Phosph | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Sodium Bicarbonate 325 Mg Tab | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Sodium Bicarbonate 650 Mg Tab | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Sodium Bicarnonate 10gr | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Sodium Chloride 1 Gm Tab | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Sodium Hypochlorite Sol. 0.25% | $250.00 | $91.00 |
| Inpatient Psychiatric Services | Sodium/Misoprostol 75/0.2mg | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Solu Medrol 125 Mg Vial | $250.00 | $298.00 |
| Inpatient Psychiatric Services | Solu Medrol 40 Mg Vial | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Solu Medrol 80 Mg Im | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Sonata 10mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Sorbitol Sol 60cc Bottle | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Sotalol 40 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Sotalol 80mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Sotalol HCL 120 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Spectazol Cream 1% 30 Gm Tube | $250.00 | $50.00 |
| Inpatient Psychiatric Services | Spiriva Handihaler | $250.00 | $1,511.00 |
| Inpatient Psychiatric Services | Spiriva Inhaler | $250.00 | $444.00 |
| Inpatient Psychiatric Services | Spironolactone 100 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Spironolactone 12.5 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Spironolactone 25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Spironolactone 50 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Sporanox 100 Mg | $250.00 | $69.00 |
| Inpatient Psychiatric Services | Sps Suspension 120 ML Bottle | $250.00 | $60.00 |
| Inpatient Psychiatric Services | Sps Suspension 15 ML | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Sps Suspension 60ml | $250.00 | $115.00 |
| Inpatient Psychiatric Services | Stalevo 100 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Stalevo 150 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Stalevo 37.5 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Stalevo 50 Mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Stalevo 75 Mg | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Starlix 120mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Starlix 60 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Stelazine 10 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Stelazine 5 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Sterile Wtr Irrigation 1000cc | $250.00 | $146.00 |
| Inpatient Psychiatric Services | Stool Softner | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Stress W/Zinc | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Sucralfate 1 Gm | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Sucralfate 90 ML Bottle | $250.00 | $134.00 |
| Inpatient Psychiatric Services | Sudafed 12 Hr 10 Mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Sudafed 15 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Sudafed 30 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Sular 17 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Sular 34 Mg | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Sular 8.5 Mg Tab | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Sulfacetamid (Bleph 10) Oph So | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Sulfamethoxazole/Trim | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Sulindac Tab : 150mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Sulindac Tab : 200mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Sumatriptan 100mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Sumatriptan 25mg | $250.00 | $427.00 |
| Inpatient Psychiatric Services | Sumatriptan Tab 50mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Surmontil 25 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Sustane Lubricant Eye Drops | $250.00 | $100.00 |
| Inpatient Psychiatric Services | Symbicort 160/4.5 Inhaler | $250.00 | $1,384.00 |
| Inpatient Psychiatric Services | Symbicort 80/4.5 Mcg Inh | $250.00 | $1,029.00 |
| Inpatient Psychiatric Services | Symmetrel 50 Mg/5ml | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Synthroid .2 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Synthroid 0.075 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Synthroid 0.125mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Synthroid 0.150 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Synthroid 0.175 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Synthroid 0.1mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Synthroid 12.5 Mcg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Synthroid 200 Mcg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Synthroid 25 Mcg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Synthroid 37.5 Mcg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Synthroid 50 Mcg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Synthroid 88 Mcg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Systane 0.3/0.4 % | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Systane Balance Eye Drps | $250.00 | $65.00 |
| Inpatient Psychiatric Services | Systane Eyedps Single Use Vial | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Tagamet 400 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Tamiflu | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Tamoxifen 10mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Tamoxifen 20 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Tamsulosin HCL 0.4 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Tanzeum 30 Mg Pen Inject | $250.00 | $418.00 |
| Inpatient Psychiatric Services | Tapazole 10 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Tapazole 20 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Tarvatan Drops | $250.00 | $514.00 |
| Inpatient Psychiatric Services | Tavist | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Tb Test (Tuberculin)aplisol | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Tears Pure | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Tegretol 150 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Tegretol 200mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Tegretol 300 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Tegretol 400 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Tegretol Liquid 120 ML Bottle | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Tekturna 150 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Temazepam 15 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Temazepam 30 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Temazepam 7.5 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Temovate 0.5% Cream 45 Gm | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Tenex 1 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Tenex 2 Mg | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Tenormin 50mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Terazosin 1 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Terazosin HCL 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Terazosin HCL 2 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Terazosin HCL 5mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Terbinafine HCL Cr 1% | $250.00 | $50.00 |
| Inpatient Psychiatric Services | Tessalon Perls 100 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Tessalon Prls 200mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Tetanus Booster 0.05 Cc Inj | $250.00 | $162.00 |
| Inpatient Psychiatric Services | Tetrahydrozoline Eye Drps 50% | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Theophylline 300mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Theophylline 400 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Theophylline Anhy Sr 200 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Thera Tears Nutrition Tabs | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Theragran M | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Therapeutic M | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Theraseal Hand Cream | $250.00 | $120.00 |
| Inpatient Psychiatric Services | Theravite Liquid 4oz | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Therobec Plus 27/0.8 Mg | $250.00 | $40.00 |
| Inpatient Psychiatric Services | Thiamin 50 Mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Thiamine (Vit B1) 100mg Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Thiamine 100 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Thiamine 100 Mg/ML Inj | $250.00 | $63.00 |
| Inpatient Psychiatric Services | Thioridazine 50 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Thiothixene Cap : 2mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Thiothixene Cap : 5mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Thorazine 25 Mg Tab | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Thyroid 0.75 Gr | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Thyroid 1.5 Grains | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Thyroid 2 Gr | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Thyroid 30 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Thyroid 60 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Thyroid Tab : 1grain | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Tiagabine 4mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Ticlid 250 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Tigan 300 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Timolol 0.2% Eye Drops | $250.00 | $304.00 |
| Inpatient Psychiatric Services | Timolol 0.25% Eye Drps | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Timolol 10 Mg Tab | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Timolol Maleate Drp 0.5% 10ml | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Timolol/Dorzolamide Drp 0.5/2% | $250.00 | $110.00 |
| Inpatient Psychiatric Services | Tinactin Spray | $250.00 | $46.00 |
| Inpatient Psychiatric Services | Tizanidine 2 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Tizanidine HCL 4 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Tobradex Eye Oint | $250.00 | $334.00 |
| Inpatient Psychiatric Services | Tobradex Opth Drops | $250.00 | $196.00 |
| Inpatient Psychiatric Services | Tobramycin 80 Mg Im | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Tobramycin/Dexam 5 ML Bottle | $250.00 | $451.00 |
| Inpatient Psychiatric Services | Tobrex Ointment 3% | $250.00 | $372.00 |
| Inpatient Psychiatric Services | Tofranil 10mg (Imipramine) | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Tofranil 25mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Tolnafate 1% 28 Gms | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Tolnaftate Powder 45 Gm | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Tolterodine Tartrate 2mg | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Topamax 100 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Topamax 200 Mg | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Topamax 50 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Topicort 0.25% Cream | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Topiramate 25mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Topiramate 100 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Topiramate 50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Toprol Xl 12.5 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Toradol 10 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Torsemide 10 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Torsemide 20 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Toviaz 8 Mg | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Toviaz ER 4 Mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Tradjenta 5 Mg | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Tramadol 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Tramadol 100 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Tramadol 25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Tramadol HCL 50 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Tramadol HCL Tab 50 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Tramadol/Apap 37.5/325 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Trandate 300 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Trandolapril 4 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Transderm 1.5 Patch | $250.00 | $67.00 |
| Inpatient Psychiatric Services | Tranxene 37.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Traqzadone HCL | $250.00 | $49.00 |
| Inpatient Psychiatric Services | Travatan 0.004% Eye Drops | $250.00 | $594.00 |
| Inpatient Psychiatric Services | Travoprost Eye Drops | $250.00 | $538.00 |
| Inpatient Psychiatric Services | Trazodone 100 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Trazodone 150 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Trazodone 20 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Trazodone 200 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Trazodone 25 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Trazodone 50 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Trazodone 75 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Trental 400mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Triamcinolone Cr 1% | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Triamicinolon Oin 1% 15gm Tube | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Triamterene Hctz 37.5/25 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Triamterene Hctz 75/50 | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Triamterene/Hctz 50/25 | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Tricor 145mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Tricor 48 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Trifluoperazine 1 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Trifluoperazine 2mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Trihexyphenidyl 1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Trihexyphenidyl 2 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Trihexyphenidyl 5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Trilafon 16mg Tab | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Trilafon 2mg Tab | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Trilafon 4mg Tab | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Trilafon 8 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Trileptal 150 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Trileptal 300 Mg | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Trileptal 400 Mg | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Trileptal 600 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Trileptal 75 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Trilipix 135 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Trimethobenzamide 200mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Trimethoprim Tab : 100mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Trimethsulfa 160/800 | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Trinexyphenidyl 1 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Trinexyphenidyl 2 Mg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Triple Antibiiotic Oint 15 Gr | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Triple Antibotic Oint 1/32 Pkt | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Triple Antibotic Ointment | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Trospium 20 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Trusopt 2% 10 ML Bottle | $250.00 | $242.00 |
| Inpatient Psychiatric Services | Tube Feeding Spike Set | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Tums 1000 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Tums 500 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Tums 650 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Tums 750 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Turmeric Curcumin | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Tussin 240 ML Bottle | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Tussin 4 Oz Bottle | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Tussin Dm 8 Oz | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Tussionex 30 Cc Bottle | $250.00 | $84.00 |
| Inpatient Psychiatric Services | Tussionex 5 Cc Bottle | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Tylenol 1000 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Tylenol 250 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Tylenol 325 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Tylenol 500 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Tylenol 650 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Tylenol Pm | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Tylenol Suppository 650mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Tylenol W/Codine #3 | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Tylenol W/Codine #3 1/2 | $250.00 | $1.00 |
| Inpatient Psychiatric Services | U-Cort Cream 30 Gm | $250.00 | $156.00 |
| Inpatient Psychiatric Services | Uloric 40 Mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Ultracet 100 | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Ultracet 37.5/325 | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Ultram 50mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Uniretic 15 Mg/25 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Univasc 15mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Univasc 7.5 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Urecholine 50 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Urelle Tablet | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Uricholine 25 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Urimar-T Tab | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Urinary Antiseptic Tab | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Uroxatral 10 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Ursodiol 300mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Valacyclovir 1 Gm | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Valacyclovir HCL 500 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Valcyclovir HCL 500 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Valisone | $250.00 | $90.00 |
| Inpatient Psychiatric Services | Valium 5 Mg Im | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Valium 5 Mg Tab | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Valporic Acid 125mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Valporic Acid 210 ML Bottle | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Valporic Acid 250 Mg Cap | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Valporic Acid 280 ML Bottle | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Valporic Acid 30 ML Bottle | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Valporic Acid 40 ML Bottle | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Valporic Acid 5 Cc Cup | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Valporic Acid 500mg | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Valporic Acid Syrp 120ml | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Valprotic Acid 250 Mg | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Valsartan 160 | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Valsartan 320 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Valsartan 80 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Valsartan/Hctz 160/25 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Valsartan/Hctz 80/12.5 | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Valtrex 500 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Vancomycin HCL 250mg | $250.00 | $118.00 |
| Inpatient Psychiatric Services | Vantin 200 Mg | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Vaseretic 10/25 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Vasotec 10mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Vasotec 5mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Venlafaxine HCL 37.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Venlafaxine HCL 75mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Venlafaxine HCL ER 150 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Ventol Ud 0.083% | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Ventolin 0.5 ML | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Ventolin Hfa Inh 18 Gm | $250.00 | $238.00 |
| Inpatient Psychiatric Services | Ventolin Hfa Inh 8 Gm | $250.00 | $116.00 |
| Inpatient Psychiatric Services | Veramyst Nasal Spy 27 Mcg | $250.00 | $554.00 |
| Inpatient Psychiatric Services | Verapamil 180 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Verapamil 20 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Verapamil 240 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Verapamil 40 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Verapamil 60 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Verapamil 80 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Verapamil HCL Sa 120 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Vesicare 10mg | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Vesicare 5mg | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Viamin B Complex Tab | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Viamint E 200iud | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vicodin 5/500 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Victoza Epipen | $250.00 | $821.00 |
| Inpatient Psychiatric Services | Victoza Pen Bx | $250.00 | $2,143.00 |
| Inpatient Psychiatric Services | Vigamox 0.5% Eye Drops | $250.00 | $504.00 |
| Inpatient Psychiatric Services | Viibryd 40 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Vimpat 100 Mg | $250.00 | $49.00 |
| Inpatient Psychiatric Services | Vimpat 200 Mg | $250.00 | $52.00 |
| Inpatient Psychiatric Services | Vimpat 50 Mg | $250.00 | $54.00 |
| Inpatient Psychiatric Services | Visine Eye Drops | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Vistaril 25 Mg Im | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Vistaril 25mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Vistaril 50 Mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Vistaril 50 Mg Inj | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Vitamin A | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Vitamin B 2 100 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Vitamin B 3 250 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Vitamin B Complex (Foltx) Tab | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Vitamin B1 100 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Vitamin B1 50 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Vitamin B12 1000 Mcg Tablet | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Vitamin B12 1000 Mcg/ML | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Vitamin B12 2500 Mcg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Vitamin B12 50 Mcg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vitamin B12 500 Mcg Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vitamin B12/Falfe 150 Fe Cap | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Vitamin B3 500 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Vitamin B3 Niacin Sa 750 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Vitamin B6 100 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vitamin B6 300 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Vitamin B6 50 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Vitamin C 250 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Vitamin C 500 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Vitamin D 1000 Units-Tablet | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Vitamin D 400 U | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Vitamin D 50,000 | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Vitamin D 5000 Iu | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Vitamin D3 1000 Units | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vitamin D3 2000 Iu | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vitamin D3 250 Iu | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vitamin D3 500 Iu | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vitamin E 1000 Iu | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Vitamin E 400 Unit Cap | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vitamin E 800 Iu | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Vitamin K 10 Mg Inj | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Vitamin Multi/Ther/Ca/Fe/1 | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Vivactil 10 Mg | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Vivactil 5 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Vivelle Dot 0.1 Mg Patch | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Vivelle Dot Patch 0.375 | $250.00 | $71.00 |
| Inpatient Psychiatric Services | Voltaren 50 Mg | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Voltaren 75mg | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Voltaren Gel 100 Mg Tube | $250.00 | $242.00 |
| Inpatient Psychiatric Services | Vytorin 10/10 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Vytorin 10/20 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Vytorin 10/40 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Waldryl Elixir Each Teaspoon | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Warfarin 1.25 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Warfarin 1.5 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Warfarin 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Warfarin 6 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Warfarin Sod 1mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Warfarin Sod 2.5 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Warfarin Sod 3 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Warfarin Sod 4mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Warfarin Sod 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Warfarin Sodium 2mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Warfarin Sodium 7.5mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Welchol 625 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Wellbutrin 300 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Wellbutrin Hcl75mg(Bupropion) | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Wellbutrin Sr 100 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Wellbutrin Xl 150mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Whey Protein Isolate | $250.00 | $131.00 |
| Inpatient Psychiatric Services | Women's One A Day | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Xalatan Ophth Solution | $250.00 | $368.00 |
| Inpatient Psychiatric Services | Xanax 0.125 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Xanax 0.25 Mg | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Xanax 0.5 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Xarelto 10 Mg | $250.00 | $46.00 |
| Inpatient Psychiatric Services | Xarelto 15 Mg | $250.00 | $49.00 |
| Inpatient Psychiatric Services | Xarelto 20 Mg | $250.00 | $50.00 |
| Inpatient Psychiatric Services | Xenaderm Ointment 30gm Tube | $250.00 | $387.00 |
| Inpatient Psychiatric Services | Xifaxan 550 Mg | $250.00 | $117.00 |
| Inpatient Psychiatric Services | Xopenex 0.63 Mg Each Vial | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Xopenex 1.25 Mg/10.5 ML | $250.00 | $67.00 |
| Inpatient Psychiatric Services | Xopenex 1.25 Mg/3 ML Vial | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Xopenex 45 Mcg Inhaler | $250.00 | $276.00 |
| Inpatient Psychiatric Services | Xopenex Inhaler | $250.00 | $328.00 |
| Inpatient Psychiatric Services | Xylocaine 1% 20ml | $250.00 | $67.00 |
| Inpatient Psychiatric Services | Xyzal 5 Mg Tab | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Z0cor 20mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Zaditor Opt Sol 0.25% | $250.00 | $68.00 |
| Inpatient Psychiatric Services | Zanaflex 4mg | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Zelnorm 2 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Zemplar .5 Mcg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Zemplar 1 Mcg | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Zestril 10 Mg | $250.00 | $26.00 |
| Inpatient Psychiatric Services | Zestril 20mg | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Zestril 5mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Zetia 10 Mg | $250.00 | $64.00 |
| Inpatient Psychiatric Services | Z-Gen | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Zinc 50mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Zinc Oxide Ointment | $250.00 | $55.00 |
| Inpatient Psychiatric Services | Zinc Sulfate 220 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Zioptan Eye Drops | $250.00 | $528.00 |
| Inpatient Psychiatric Services | Ziprasidone 20mg Cap | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Ziprasidone HCL 40 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Ziprasidone HCL 60 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Ziprasidone HCL 80 Mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Zithromax 250 Mg | $250.00 | $43.00 |
| Inpatient Psychiatric Services | Zithromax 500 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Zocor 10 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Zocor 40 Mg | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Zocor 40mg | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Zocor 80 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Zofran 2 ML Vial | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Zofran 4mg Tab | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Zofran 8 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Zoloft 100 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Zoloft 12.5 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Zoloft 150 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Zoloft 25 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Zoloft 50mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Zoloft 75 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Zolpidem 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Zolpidem 2.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Zolpidem 5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Zolpidem Cr 1 | $250.00 | $72.00 |
| Inpatient Psychiatric Services | Zonegran 100 Mg | $250.00 | $62.00 |
| Inpatient Psychiatric Services | Zonisamide 100mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Zostrix Hp Arthritis Crm | $250.00 | $146.00 |
| Inpatient Psychiatric Services | Zovirax 15 Mg Cream(Acyclovir) | $250.00 | $982.00 |
| Inpatient Psychiatric Services | Zpak 250 Mg | $250.00 | $39.00 |
| Inpatient Psychiatric Services | Zyloprim 100mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Zymar Eye Drops 3% 5 ML Bottle | $250.00 | $251.00 |
| Inpatient Psychiatric Services | Zyprexa 1.25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Zyprexa 10mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Zyprexa 10mg/ML (Injec) | $250.00 | $196.00 |
| Inpatient Psychiatric Services | Zyprexa 15mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Zyprexa 2.5 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Zyprexa 20 Mg | $250.00 | $94.00 |
| Inpatient Psychiatric Services | Zyprexa 5 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Zyprexa 5 Mg Im | $250.00 | $208.00 |
| Inpatient Psychiatric Services | Zyprexa 7.5 Mg | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Zyprexa Zydis 10 Mg | $250.00 | $80.00 |
| Inpatient Psychiatric Services | Zyprexa Zydis 2.5 Mg | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Zyprexa Zydis 20 Mg | $250.00 | $143.00 |
| Inpatient Psychiatric Services | Zyprexa Zydis 5mg | $250.00 | $56.00 |
| Inpatient Psychiatric Services | Zyrtec 5mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Zyrtec D 10 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Zyrtec D 5/120 ,g | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Zyvox 600 Mg | $250.00 | $782.00 |
| Inpatient Psychiatric Services | Accucheck | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Two Cal Enteral Nutrition | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Torsemide 5 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Orap 1 Mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Clonazepam 0.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Norvasc 5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Candesartan 8 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Cerovite Sr Tabs | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Aripiprazole 2 Mg | $250.00 | $89.00 |
| Inpatient Psychiatric Services | Nbl Balance B 100 Tab | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Aripiprazolam 7.5 Mg | $250.00 | $70.00 |
| Inpatient Psychiatric Services | Esomeprazole Dr 20 Mg | $250.00 | $34.00 |
| Inpatient Psychiatric Services | Primipexole 0.25 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Donepezil HCL 23 Mg | $250.00 | $44.00 |
| Inpatient Psychiatric Services | Levocetirizine 5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Bupropion 75 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Aripiprazole 7.5 Mg | $250.00 | $58.00 |
| Inpatient Psychiatric Services | Venlafaxine 25 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Vimpat 80 ML Bottle | $250.00 | $1,474.00 |
| Inpatient Psychiatric Services | Lantus Each Unit | $250.00 | $1.50 |
| Inpatient Psychiatric Services | Potassium Chloride ER 8 Meq | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Vyvanse 50 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Terbinafine HCL 250 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Jantoven 4 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Enoxaparin 80 Mg Syr | $250.00 | $108.00 |
| Inpatient Psychiatric Services | Losartan/Hctz 100/25 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Amlod-Valsa-Hctz 10/160/25 Mg | $250.00 | $49.00 |
| Inpatient Psychiatric Services | Chlorpromazine 25 Mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Transderm Scop Patch | $250.00 | $88.00 |
| Inpatient Psychiatric Services | Lorazepam 2 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Butrans Transd 10 Mcg | $250.00 | $362.00 |
| Inpatient Psychiatric Services | Cefdinir 300 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Simbrinza Eye Drops | $250.00 | $631.00 |
| Inpatient Psychiatric Services | Tizanidine 4 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Clobetasol Prop Crm 45 Gm | $250.00 | $1,062.00 |
| Inpatient Psychiatric Services | Breo Ellipta Inh 100/25 | $250.00 | $1,405.00 |
| Inpatient Psychiatric Services | Leflunomide 20 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Clozapine 50 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Topiramate 200 Mg | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Orajel Liquid 45 Oz | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Lac-Hydrin 5% Lotiion | $250.00 | $66.00 |
| Inpatient Psychiatric Services | Guaifenesin 400 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Clomipramine 25 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Kaopectate 30 Cc | $250.00 | $3.60 |
| Inpatient Psychiatric Services | Tolterodine Tart ER 4 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Durezol Opth Emulsn 0.05% | $250.00 | $728.00 |
| Inpatient Psychiatric Services | Toujeo Insulin 1 Unit | $250.00 | $1.20 |
| Inpatient Psychiatric Services | Uloric 80 Mg | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Creon 12000 U | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Brilinta 90 Mg | $250.00 | $25.00 |
| Inpatient Psychiatric Services | Fusion Plus | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Folbee Plus | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Methenamine Md 500 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Duloxetine HCL Dr 20 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Incruse Ellipta 62.5 Mcg Inh | $250.00 | $1,194.00 |
| Inpatient Psychiatric Services | Linzess 145 Mcg | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Ketotifen Fum 0.25% Eye Drops | $250.00 | $60.00 |
| Inpatient Psychiatric Services | Latuda 60 Mg | $250.00 | $144.00 |
| Inpatient Psychiatric Services | Rivastigmine 4.6 Patch | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Rivastigmine 9.5 Patch | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Vraylar 3 Mg | $250.00 | $167.00 |
| Inpatient Psychiatric Services | Rivastigmine 13.3 Mg Patch | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Invokana 300 Mg | $250.00 | $64.00 |
| Inpatient Psychiatric Services | Vimpat 150 Mg | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Duexis 800 26.6 Mg | $250.00 | $99.00 |
| Inpatient Psychiatric Services | Carbamazepine XR 400 Mg | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Nortriptyline HCL 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Dilantin 30 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Dexamethasone 2 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Preparation H Supp | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Humulin R Each Unit | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Irbesartan 300 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Venlafaxine ER 37.5 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Glycerin Suppository | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Rosuvastatin Calcium 10 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Trimethoprim/Sulf/Polymxn Eyed | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Desvenlafaxine ER 50 Mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Valporic Acid 110 ML Bottle | $250.00 | $28.00 |
| Inpatient Psychiatric Services | Anbesol Max Strength Gel | $250.00 | $36.00 |
| Inpatient Psychiatric Services | Paliperidone ER 1.5 Mg | $250.00 | $111.00 |
| Inpatient Psychiatric Services | Valporic Acid 180 ML Bottle | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Viibryd 20 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Rosuvastatin Calcium 40 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Clobetasol Top Sol 50 ML Bottl | $250.00 | $528.00 |
| Inpatient Psychiatric Services | Aripiprazole 20 Mg | $250.00 | $61.00 |
| Inpatient Psychiatric Services | Clozapine 25 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Cloazpine 12.5 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Aspercreme W/Lidocaine 2 Oz | $250.00 | $33.00 |
| Inpatient Psychiatric Services | Rexulti 1 Mg | $250.00 | $149.00 |
| Inpatient Psychiatric Services | Farxiga 10 Mg | $250.00 | $64.00 |
| Inpatient Psychiatric Services | Clonidine 0.3 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Mycophenolate 250 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Rexulti 2 Mg | $250.00 | $149.00 |
| Inpatient Psychiatric Services | Lindane Shampoo 1% | $250.00 | $504.00 |
| Inpatient Psychiatric Services | Janumet 50/500 Mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Olopatadine Opth 1% | $250.00 | $166.00 |
| Inpatient Psychiatric Services | Mycophenolate 500 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Naphcon-A Eye Drp 30 ML | $250.00 | $57.00 |
| Inpatient Psychiatric Services | Melatonin 10 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Vraylar 4.5 Mg | $250.00 | $160.00 |
| Inpatient Psychiatric Services | Amlodipine/Atorvast 10/20 Mg | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Uti-Stat Liquid 887 ML Bottle | $250.00 | $201.00 |
| Inpatient Psychiatric Services | Uti Stat Liquid 30 Cc | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Humalog 50/50 Each Unit | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Rivastigmine Tart Cap 4.5 Mg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Vraylar 6 Mg | $250.00 | $160.00 |
| Inpatient Psychiatric Services | Dymista Nasal Spray 23 Gm | $250.00 | $816.00 |
| Inpatient Psychiatric Services | Thyroid Tab .25 Gr | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Fetzima 40 Mg | $250.00 | $45.00 |
| Inpatient Psychiatric Services | Fluconazole 200 Mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Fetzima 80 Mg | $250.00 | $46.00 |
| Inpatient Psychiatric Services | Preparation H Max 0.9 Tube | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Cefpodoxime 100 Mg | $250.00 | $16.00 |
| Inpatient Psychiatric Services | Jardiance 25 Mg | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Jardiance 10 Mg | $250.00 | $59.00 |
| Inpatient Psychiatric Services | Novolin 70/30 Each Unit | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Etodolac 500 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Melatonin 0.5 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Proteinex 15 ML | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Valsartan 40 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Act Dry Mouth Loz | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Pazeo 0.7% Eye Drops | $250.00 | $787.00 |
| Inpatient Psychiatric Services | Omega 3 Ethyl Esters 1 Gm | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Eliquis 2.5 Mg Tab. (Apixaban) | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Drysol Dabomatic Crm 60cc | $250.00 | $64.00 |
| Inpatient Psychiatric Services | Valporic Acid 490 ML Bottle | $250.00 | $66.00 |
| Inpatient Psychiatric Services | Acetylcysteine 10% Vial | $250.00 | $69.00 |
| Inpatient Psychiatric Services | Valporic Acid 105 ML Bottle | $250.00 | $28.00 |
| Inpatient Psychiatric Services | Livalo 4 Mg | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Valporic Acid 70 ML Bottle | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Namzaric 14/10 Mg | $250.00 | $63.00 |
| Inpatient Psychiatric Services | Gold Bond Foot Pdr 10 Oz | $250.00 | $37.00 |
| Inpatient Psychiatric Services | Rohto Eye Drops | $250.00 | $29.00 |
| Inpatient Psychiatric Services | Tylenol Sinus Severe | $250.00 | $1.50 |
| Inpatient Psychiatric Services | Natural Balance Tears | $250.00 | $27.00 |
| Inpatient Psychiatric Services | Tussin Mucus-Congest 5 ML | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Valporic Acid 20 ML Bottle | $250.00 | $19.00 |
| Inpatient Psychiatric Services | Anoro Ellipta 62.5/25 Mcg Inh | $250.00 | $1,617.00 |
| Inpatient Psychiatric Services | Breo Ellipta 200/25 Mcg Inh | $250.00 | $1,538.00 |
| Inpatient Psychiatric Services | Salonpas Lidocaine Patch | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Oxcarbazepine 75 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Nysta/Bactro/Calmo Cream | $250.00 | $193.00 |
| Inpatient Psychiatric Services | Lantus Solo Disp Pen | $250.00 | $1,766.00 |
| Inpatient Psychiatric Services | Phospha 250 Neutral | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Diclofenac Sod 1% Gel | $250.00 | $199.00 |
| Inpatient Psychiatric Services | Chlordiazepoxide/Clidinium | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Valsartan/Hctz 320/12.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Tekturna Hct 300/25 Mg | $250.00 | $35.00 |
| Inpatient Psychiatric Services | Amlodipine/Valsartan 10/320 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Amphetamine Salt Cmb 15 Mg | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Famotidine 40 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Fe C Tab 100 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Multigen Cap 90 | $250.00 | $7.00 |
| Inpatient Psychiatric Services | Mybetriq 25 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Rosuvastatin 20 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Neupro Patch 2 Mg | $250.00 | $98.00 |
| Inpatient Psychiatric Services | Humalog U-100 Each Unit | $250.00 | $1.32 |
| Inpatient Psychiatric Services | Clozapine 12.5 Mg | $250.00 | $2.32 |
| Inpatient Psychiatric Services | Nystatin S&s 105 ML Bottle | $250.00 | $79.76 |
| Inpatient Psychiatric Services | Azor 10/40 Mg | $250.00 | $49.76 |
| Inpatient Psychiatric Services | Azelastine Eye Drops | $250.00 | $70.00 |
| Inpatient Psychiatric Services | Levothyroxine 137 Mcg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Aripiprazole 30 Mg | $250.00 | $23.00 |
| Inpatient Psychiatric Services | Morphine Sulf ER 60 Mg | $250.00 | $11.00 |
| Inpatient Psychiatric Services | Labetalol 50 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Remedy Antifungal Powder 3oz | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Tresiba 9 ML Box | $250.00 | $2,517.00 |
| Inpatient Psychiatric Services | Levetiracetam 21 ML Bottle | $250.00 | $22.00 |
| Inpatient Psychiatric Services | Valporic Acid 140 ML Bottle | $250.00 | $31.00 |
| Inpatient Psychiatric Services | Glimepiride 1 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Liothyronin 5 Mcg | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Myrbetriq ER 25 Mg | $250.00 | $53.00 |
| Inpatient Psychiatric Services | Liothyronine 2.5 Mcg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Triamqinolone Cr 1% | $250.00 | $42.00 |
| Inpatient Psychiatric Services | Hydrocortisone 0.5% Cream | $250.00 | $17.00 |
| Inpatient Psychiatric Services | Creon 6000 U | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Lamotrigine 50 Mg | $250.00 | $2.00 |
| Inpatient Psychiatric Services | Clear Eyes Eye Drops | $250.00 | $48.00 |
| Inpatient Psychiatric Services | Fenofibric Acid 135 Mg | $250.00 | $10.00 |
| Inpatient Psychiatric Services | Triamcinlin Cream 0.5% | $250.00 | $81.00 |
| Inpatient Psychiatric Services | Methenamine Hippurate Tab | $250.00 | $8.00 |
| Inpatient Psychiatric Services | Namzaric 28/10 Mg | $250.00 | $63.00 |
| Inpatient Psychiatric Services | Calcitriol 0.5 Mcg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Erythromycin 250 Mg | $250.00 | $38.00 |
| Inpatient Psychiatric Services | Rexulti 3 Mg | $250.00 | $160.00 |
| Inpatient Psychiatric Services | Nystatin S&s 30 ML Bottle | $250.00 | $41.00 |
| Inpatient Psychiatric Services | Bisoprolo/Hctz 10/6.25 | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Mag64 Dr 64 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Citrus Calcium + D 630/500 | $250.00 | $1.50 |
| Inpatient Psychiatric Services | Sulfasalazine 500 Mg | $250.00 | $1.50 |
| Inpatient Psychiatric Services | Move Free Ultra | $250.00 | $114.00 |
| Inpatient Psychiatric Services | Dextroamphetamin 30 Mg | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Mineral Oil 16 Oz Bottle | $250.00 | $20.68 |
| Inpatient Psychiatric Services | Potassium Chl 473 ML Bottle | $250.00 | $1,109.00 |
| Inpatient Psychiatric Services | Olmesartan Medoxomil 20 Mg | $250.00 | $3.64 |
| Inpatient Psychiatric Services | Trazodone 12.5 Mg | $250.00 | $4.00 |
| Inpatient Psychiatric Services | Alpha Lipoc Acid 200 Mg | $250.00 | $3.50 |
| Inpatient Psychiatric Services | Valporic Acid 350 ML Bottle | $250.00 | $52.76 |
| Inpatient Psychiatric Services | Prosource Liquid Pkt | $250.00 | $6.92 |
| Inpatient Psychiatric Services | Aristada 662 Mg/2.4 ML-Prog | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Entresto 24-26 Mg | $250.00 | $34.28 |
| Inpatient Psychiatric Services | Neudexta Cap 20-10 Mg | $250.00 | $68.96 |
| Inpatient Psychiatric Services | Atripla | $250.00 | $399.80 |
| Inpatient Psychiatric Services | Alondrenate 70 Mg | $250.00 | $13.16 |
| Inpatient Psychiatric Services | Megestrol 20 Mg | $250.00 | $1.68 |
| Inpatient Psychiatric Services | Hydrocodone/Apap 5/162.5 Mg | $250.00 | $1.92 |
| Inpatient Psychiatric Services | Phenytoin 25 Mg | $250.00 | $3.24 |
| Inpatient Psychiatric Services | Cyproheptadine Syr 110ml Btl | $250.00 | $59.08 |
| Inpatient Psychiatric Services | Tudorza Pressair 400 Mcg | $250.00 | $818.24 |
| Inpatient Psychiatric Services | Memantine ER 28 Mg | $250.00 | $18.40 |
| Inpatient Psychiatric Services | Trintellix 10 Mg | $250.00 | $61.56 |
| Inpatient Psychiatric Services | Diazepam .05 Mg | $250.00 | $1.76 |
| Inpatient Psychiatric Services | Fenofibrate 160 Mg | $250.00 | $4.64 |
| Inpatient Psychiatric Services | Nystatin S&s 280 ML Bottle | $250.00 | $131.60 |
| Inpatient Psychiatric Services | Movantik 25 Mg | $250.00 | $51.24 |
| Inpatient Psychiatric Services | Aristada 882 Mg Im | $250.00 | $3.76 |
| Inpatient Psychiatric Services | Augmen/Bentameth/D 5% Oint | $250.00 | $445.64 |
| Inpatient Psychiatric Services | Lotrimin Cream | $250.00 | $2.36 |
| Inpatient Psychiatric Services | Albuterol 2.5mg Hhn | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Amiodarone HCL 100mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Arginaid Powder | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Breo Ellipta 100/25mcg (Puff) | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Bydueron 2mg (Dose) | $250.00 | $525.00 |
| Inpatient Psychiatric Services | Bydueron 2mg (Pen) | $250.00 | $1,992.40 |
| Inpatient Psychiatric Services | Carafate 100mg/1ml | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Clotrimazole 1% Per App | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Clotrimazole 1% Tube | $250.00 | $111.00 |
| Inpatient Psychiatric Services | Coban | $250.00 | $10.32 |
| Inpatient Psychiatric Services | Debrox Solution 6.5% (Bottle) | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Debrox Solution 6.5% (Drop) | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Descovy 200 25 Mg | $250.00 | $192.00 |
| Inpatient Psychiatric Services | Diltiazem ER 300mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Estradiol 0.1% (Treatment) | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Estradiol 0.1% Cream (Tube) | $250.00 | $291.18 |
| Inpatient Psychiatric Services | Estroven 1 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Lamicatal 200 Mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Lisinopril 15 Mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Megace 100 ML Bottle | $250.00 | $51.48 |
| Inpatient Psychiatric Services | Demeclocycline 300 Mg | $250.00 | $33.20 |
| Inpatient Psychiatric Services | Metoprolol Tartate 150mg | $250.00 | $7.50 |
| Inpatient Psychiatric Services | Metoprolol Tartate 200mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Metoprolol 100 Mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Metronidazole 0.75% (Appl) | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Metronidazole 0.75% (Tube) | $250.00 | $165.70 |
| Inpatient Psychiatric Services | Mylanta 30ml (Bottle) | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Mylanta 30ml (Dose) | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Nebivolol 10mg | $250.00 | $18.00 |
| Inpatient Psychiatric Services | Pataday 2% (Bottle) | $250.00 | $594.00 |
| Inpatient Psychiatric Services | Pataday 2% (Drop) | $250.00 | $19.80 |
| Inpatient Psychiatric Services | Potassium Cl 10% 20 Meq/15ml | $250.00 | $11.70 |
| Inpatient Psychiatric Services | Prasugrel HCL 10mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Primidone 150mg | $250.00 | $10.50 |
| Inpatient Psychiatric Services | Propranolol 20mg | $250.00 | $4.50 |
| Inpatient Psychiatric Services | Requip 3mg | $250.00 | $24.00 |
| Inpatient Psychiatric Services | Salagen 5mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Synthroid 0.25 Mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Tivicay 50 Mg | $250.00 | $195.00 |
| Inpatient Psychiatric Services | Toprol 100mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Torsemide 40mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Tresiba (Unit) | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Vitamin D-3 5000mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Vitiamin D 600 Mg | $250.00 | $3.00 |
| Inpatient Psychiatric Services | Warfarin 40mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Wellbutrin Sr 200mg | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Zocor 20mg | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Zocor 5mg | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Zoloft 200mg | $250.00 | $21.00 |
| Inpatient Psychiatric Services | Zonisamide 75mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Naproxen 220mg | $250.00 | $6.00 |
| Inpatient Psychiatric Services | Sinemet 50/200mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Trintellix 5 Mg | $250.00 | $63.56 |
| Inpatient Psychiatric Services | Diclofenac Sod 50 Mg | $250.00 | $3.12 |
| Inpatient Psychiatric Services | Vitrase (Hyaluronidase) | $250.00 | $540.00 |
| Inpatient Psychiatric Services | Lice Treatment 1% Cream Rinse | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Tandem Plus Capsule | $250.00 | $6.96 |
| Inpatient Psychiatric Services | Memantin HCL ER 21 Mg | $250.00 | $18.40 |
| Inpatient Psychiatric Services | Docusate Sodium 240 ML Bottle | $250.00 | $28.28 |
| Inpatient Psychiatric Services | Vitamin B12-Folic Acid | $250.00 | $2.80 |
| Inpatient Psychiatric Services | Latuda 10 Mg | $250.00 | $99.91 |
| Inpatient Psychiatric Services | Multilex | $250.00 | $1.20 |
| Inpatient Psychiatric Services | Fentanyl Patch 37.5 Mcg | $250.00 | $202.60 |
| Inpatient Psychiatric Services | Olopatadine HCL 0.2% Eye Drops | $250.00 | $195.80 |
| Inpatient Psychiatric Services | Irbesartan 75 Mg | $250.00 | $1.60 |
| Inpatient Psychiatric Services | Ventolin Hfa 90 Mcg Inhaler | $250.00 | $13.56 |
| Inpatient Psychiatric Services | Liothyronine Sod 50 Mcg | $250.00 | $7.96 |
| Inpatient Psychiatric Services | Lidocaine 1% Vial 50 ML | $250.00 | $31.64 |
| Inpatient Psychiatric Services | Promethazine Syr 16 Oz | $250.00 | $26.16 |
| Inpatient Psychiatric Services | Warfarin 3.75 Mg | $250.00 | $9.28 |
| Inpatient Psychiatric Services | Vraylar 1.5 Mg | $250.00 | $188.88 |
| Inpatient Psychiatric Services | Ferrous Gluconate 324 Mg | $250.00 | $1.48 |
| Inpatient Psychiatric Services | Linzess 290 Mcg | $250.00 | $63.00 |
| Inpatient Psychiatric Services | Rosuvastatin Calcium 5 Mg | $250.00 | $2.72 |
| Inpatient Psychiatric Services | Iron 100-Vitamin C | $250.00 | $3.32 |
| Inpatient Psychiatric Services | Amphetamine Salt 20 Mg | $250.00 | $5.40 |
| Inpatient Psychiatric Services | Depo Testosterone 200mg/1ml Vi | $250.00 | $113.96 |
| Inpatient Psychiatric Services | Memantin ER 14 Mg | $250.00 | $18.40 |
| Inpatient Psychiatric Services | Liquitears 1.4% | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Breathe Right Nasal Strips | $250.00 | $2.16 |
| Inpatient Psychiatric Services | Belbuca 75 Mcg | $250.00 | $24.04 |
| Inpatient Psychiatric Services | Belbuca 300 Mcg | $250.00 | $37.60 |
| Inpatient Psychiatric Services | Ferrous Sulf Elx 100 ML Bottle | $250.00 | $21.96 |
| Inpatient Psychiatric Services | Thiothixene 1 Mg | $250.00 | $5.44 |
| Inpatient Psychiatric Services | Carbamide Pxd 15 ML Ear Drops | $250.00 | $14.08 |
| Inpatient Psychiatric Services | Atropine 1% Eye Drops | $250.00 | $257.84 |
| Inpatient Psychiatric Services | Belsomra 10 Mg | $250.00 | $56.24 |
| Inpatient Psychiatric Services | Haloperidol 15 ML Bottle | $250.00 | $55.28 |
| Inpatient Psychiatric Services | Valporic Acid 60 ML Bottle | $250.00 | $23.20 |
| Inpatient Psychiatric Services | Belbuca 150 Mcg | $250.00 | $24.04 |
| Inpatient Psychiatric Services | Viibryd 10 Mg | $250.00 | $43.16 |
| Inpatient Psychiatric Services | Memantin HCL ER 7 Mg | $250.00 | $17.84 |
| Inpatient Psychiatric Services | Basaglar 100unit/ML Kwikpen | $250.00 | $1,548.76 |
| Inpatient Psychiatric Services | Pentasa 500 Mg | $250.00 | $29.32 |
| Inpatient Psychiatric Services | Centratex | $250.00 | $4.48 |
| Inpatient Psychiatric Services | Amoxapine 100 Mg | $250.00 | $11.32 |
| Inpatient Psychiatric Services | Amoxapine 50 Mg | $250.00 | $5.68 |
| Inpatient Psychiatric Services | Disulfiram 250 Mg | $250.00 | $9.24 |
| Inpatient Psychiatric Services | Paliperidone ER 6 Mg | $250.00 | $55.56 |
| Inpatient Psychiatric Services | Rexulti 4 Mg | $250.00 | $184.68 |
| Inpatient Psychiatric Services | Armodafinil 150 Mg | $250.00 | $8.08 |
| Inpatient Psychiatric Services | Lucemyra 0.18 Mg | $250.00 | $148.72 |
| Inpatient Psychiatric Services | Citalopram 5 Mg | $250.00 | $2.44 |
| Inpatient Psychiatric Services | Paliperidone ER 3 Mg | $250.00 | $58.20 |
| Inpatient Psychiatric Services | Venlafaxine HCL 100 Mg | $250.00 | $1.60 |
| Inpatient Psychiatric Services | Carbamazepine ER 300 Mg | $250.00 | $8.52 |
| Inpatient Psychiatric Services | Armodafinil 250 Mg | $250.00 | $6.88 |
| Inpatient Psychiatric Services | Ropinirole 3 Mg | $250.00 | $3.32 |
| Inpatient Psychiatric Services | Haloperidol Dec 50 Mg/ML | $250.00 | $172.60 |
| Inpatient Psychiatric Services | Salsalate 500mg | $250.00 | $71.22 |
| Inpatient Psychiatric Services | Quinine Sulfate 324mg Capsule | $250.00 | $100.32 |
| Inpatient Psychiatric Services | Valproic Acid 250mg/5 ML Soln | $250.00 | $34.17 |
| Inpatient Psychiatric Services | Megestrol Ace O/Sos 40mg | $250.00 | $48.75 |
| Inpatient Psychiatric Services | Fluticasone P Crm 0.05% | $250.00 | $81.66 |
| Inpatient Psychiatric Services | Acidophilus Capsule | $250.00 | $15.18 |
| Inpatient Psychiatric Services | Nuplazid 34 Mg | $250.00 | $304.74 |
| Inpatient Psychiatric Services | Bevespi Aeros 9-4.8 Mcg Hfa Ad | $250.00 | $1,108.00 |
| Inpatient Psychiatric Services | Fetzima ER 20 Mg Capsule | $250.00 | $14.00 |
| Inpatient Psychiatric Services | Clorazepate 15mg Tablet | $250.00 | $8.29 |
| Inpatient Psychiatric Services | Tolterodine Tartrate 1mg Tab | $250.00 | $5.40 |
| Inpatient Psychiatric Services | Aricept 15mg | $250.00 | $60.00 |
| Inpatient Psychiatric Services | Butalbital Acet 50-325 Mg | $250.00 | $20.00 |
| Inpatient Psychiatric Services | Precedex 200 W/Saline 100 | $250.00 | $447.24 |
| Inpatient Psychiatric Services | Precedex 4 Mcg/ML Vl 20x50 ML | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Aptiom 800mg Tablet | $250.00 | $122.61 |
| Inpatient Psychiatric Services | Mirtazapine 22.5 | $250.00 | $30.00 |
| Inpatient Psychiatric Services | Vortioxetine 20mg | $250.00 | $70.00 |
| Inpatient Psychiatric Services | Remeron 22.5 Mg | $250.00 | $15.00 |
| Inpatient Psychiatric Services | Famvir 500 Mg | $250.00 | $75.39 |
| Inpatient Psychiatric Services | Coumadin 2 Mg | $250.00 | $12.57 |
| Inpatient Psychiatric Services | Albuterol Sul Hfa 108mcg/Act | $250.00 | $78.63 |
| Inpatient Psychiatric Services | Chlorzoxazone 500 Mg | $250.00 | $8.67 |
| Inpatient Psychiatric Services | Bactrium Ds 800mg/160 | $250.00 | $13.05 |
| Inpatient Psychiatric Services | Trulicity 1.5mg/0.5ml | $250.00 | $645.27 |
| Inpatient Psychiatric Services | Liothyronine Sodium 5mcg | $250.00 | $3.42 |
| Inpatient Psychiatric Services | Carbidopal/Levodopa 25-100mg | $250.00 | $12.78 |
| Inpatient Psychiatric Services | Ferrous Gluconate 240mg | $250.00 | $6.21 |
| Inpatient Psychiatric Services | Prolixin 5mg | $250.00 | $13.20 |
| Inpatient Psychiatric Services | Namenda 28mg | $250.00 | $13.68 |
| Inpatient Psychiatric Services | Risperadol Consta 50mg/2mls | $250.00 | $3,209.67 |
| Inpatient Psychiatric Services | Risperadol Consta 25mg/2mls | $250.00 | $1,610.73 |
| Inpatient Psychiatric Services | Austedo 6mg Tab | $250.00 | $338.84 |
| Inpatient Psychiatric Services | Austedo 9mg Tab | $250.00 | $381.20 |
| Inpatient Psychiatric Services | Janumet XR 100/1000 | $250.00 | $79.96 |
| Inpatient Psychiatric Services | Janumet Xr50/1000 | $250.00 | $39.96 |
| Inpatient Psychiatric Services | Capylta 42 | $250.00 | $227.20 |
| Inpatient Psychiatric Services | Vancocin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Symbyax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cymbalta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cymbalta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cymbalta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ZyPREXA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ZyPREXA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ZyPREXA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Evista | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ZyPREXA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ZyPREXA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ZyPREXA Zydis | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Effient | $250.00 | $0.00 |
| Inpatient Psychiatric Services | HumaLOG | $250.00 | $0.00 |
| Inpatient Psychiatric Services | HumaLOG Mix 75-25 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ZyPREXA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glucagon Emergency Kit | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Capoten | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mycolog 15g | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hydrea | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Eliquis | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Eliquis | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prolixin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Azactam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Azactam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Reyataz | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Reyataz | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Onglyza | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Onglyza | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Kombiglyze XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PravachoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | KlonoPIN | $250.00 | $6.12 |
| Inpatient Psychiatric Services | KlonoPIN | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cellcept | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cellcept | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cellcept | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Demadex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tamiflu | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bactrim | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bumex | $250.00 | $1.80 |
| Inpatient Psychiatric Services | Fosamax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mephyton | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Proscar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Januvia | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Singulair | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Januvia | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Isentress | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Maxalt | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Singulair | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Januvia | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hyzaar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zocor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mevacor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mevacor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zocor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zocor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hyzaar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hyzaar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fosamax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cozaar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cozaar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pepcid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Isentress Hd | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Timoptic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vasotec I.V. | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PriMAXin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pepcid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Timoptic-Xe | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cosopt | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cancidas | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cancidas | $250.00 | $0.00 |
| Inpatient Psychiatric Services | INVanz | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pneumovax 23 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Arixtra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Compazine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coreg Cr | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dyazide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coreg | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coreg | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coreg | $250.00 | $0.00 |
| Inpatient Psychiatric Services | argatroban | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Requip Xl | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Requip | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Requip | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Requip | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Requip | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Effexor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cordarone I.V. | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Effexor XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Protonix | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Protonix | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Protonix IV | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pristiq | $250.00 | $0.00 |
| Inpatient Psychiatric Services | IsordiL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | IsordiL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | TygaciL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mirapex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mirapex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Solu-CORTEF | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cortef | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Solu-CORTEF | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Medrol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xanax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SOLU-MedroL | $250.00 | $3.84 |
| Inpatient Psychiatric Services | Loniten | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SOLU-MedroL | $250.00 | $11.66 |
| Inpatient Psychiatric Services | Colestid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SOLU-MedroL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | DEPO-MedroL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cleocin Phosphate In D5w | $250.00 | $41.86 |
| Inpatient Psychiatric Services | Cleocin Phosphate In D5w | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cleocin Phosphate In D5w | $250.00 | $51.14 |
| Inpatient Psychiatric Services | Glynase | $250.00 | $0.00 |
| Inpatient Psychiatric Services | DEPO-MedroL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Corvert | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zyvox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Linezolid In Dextrose 5% | $250.00 | $14.26 |
| Inpatient Psychiatric Services | Detrol La | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Detrol La | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aromasin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xalatan | $250.00 | $538.18 |
| Inpatient Psychiatric Services | Stadol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ampicillin Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ampicillin Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Acular | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lumigan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Restasis | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Alphagan P | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lumigan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Combigan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Alphagan P | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sanctura XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Demerol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | diazePAM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PrimaCOR IN 5% DEXTROSE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Plaquenil | $250.00 | $0.00 |
| Inpatient Psychiatric Services | verapamil HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ferrlecit | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Multaq | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ambien | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lomotil | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aldactone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aldactone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | CeleBREX | $250.00 | $0.00 |
| Inpatient Psychiatric Services | CeleBREX | $250.00 | $0.00 |
| Inpatient Psychiatric Services | CeleBREX | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Inspra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | FlagyL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calan Sr | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mycelex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Avandia | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PaxiL CR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PaxiL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PaxiL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Relafen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Augmentin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Augmentin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Reglan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Reglan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Robitussin A-C | $250.00 | $1.00 |
| Inpatient Psychiatric Services | Creon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Rowasa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | MS Contin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | MS Contin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Soma | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Demadex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zestoretic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Claforan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | TRENtaL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | AmaryL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | AmaryL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Rythmol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levaquin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Children's Motrin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Parafon Forte Dsc | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Topamax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Topamax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levaquin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fluor-I-Strip at | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Premarin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Premarin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Premarin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Unasyn | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Unasyn | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Eraxis (Water Diluent) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glucotrol XL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glucotrol XL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardura | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardura | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardura | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vfend | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vfend IV | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diflucan IN SALINE | $250.00 | $375.50 |
| Inpatient Psychiatric Services | Diflucan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Geodon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Geodon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Geodon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Geodon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Geodon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zoloft | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zoloft | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Marinol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Remeron | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Remeron | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Remeron | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Norcuron | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albuminar-5 | $250.00 | $216.00 |
| Inpatient Psychiatric Services | calcitrioL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Flecainide Acetate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | predniSONE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cilostazoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zidovudine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Polystyrene Sulfonate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | morphine SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lithium carbonate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lidocaine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dexAMETHasone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dexAMETHasone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dolophine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dolophine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | megestroL ACETATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | predniSONE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | predniSONE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | predniSONE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | azaTHIOprine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lactulose | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lithium carbonate | $250.00 | $0.50 |
| Inpatient Psychiatric Services | predniSONE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coumadin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coumadin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coumadin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coumadin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coumadin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coumadin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coumadin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Coumadin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sustiva | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sinemet CR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sinemet CR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sinemet-25/100 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xenaderm | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Santyl | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Betoptic S | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Travatan Z | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PatanoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pataday | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Azopt | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Maxitrol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tobrex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tobradex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tobradex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vigamox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Simbrinza | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ciprodex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Benefiber | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Transderm-Scop | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Voltaren | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hiprex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Flumazenil | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sutent | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xeljanz | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Norvasc | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Norvasc | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Procardia | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Procardia XL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Procardia XL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Procardia XL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zithromax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zithromax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Revatio | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Viagra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Viagra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | VistariL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | VistariL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dilantin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lipitor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lipitor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lipitor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dilantin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitrostat | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Neurontin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lopid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Neurontin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lyrica | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lyrica | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lyrica | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lyrica | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tucks | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dilantin-125 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cerebyx | $250.00 | $172.66 |
| Inpatient Psychiatric Services | naloxone HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | heparin LOCK FLUSH | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Phenytoin Sodium | $250.00 | $1.26 |
| Inpatient Psychiatric Services | Isuprel | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levophed Bitartrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Depacon | $250.00 | $76.12 |
| Inpatient Psychiatric Services | Zemplar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Norvir | $250.00 | $0.00 |
| Inpatient Psychiatric Services | thiamine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mavik | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dilaudid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dobutamine HCL In Dextrose 5 % | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dilaudid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Biaxin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardizem LA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Niaspan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Omnicef | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Omnicef | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hytrin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Potassium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Kaletra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Water for Injection,sterile | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aminosyn | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zemplar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | EPINEPHrine | $250.00 | $19.70 |
| Inpatient Psychiatric Services | Depakene | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Depakote Sprinkle | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tricor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Depakote | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Depakote | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Depakote | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ery-Tab | $250.00 | $0.00 |
| Inpatient Psychiatric Services | E.e.s. 400 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Norvir | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Kaletra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Oretic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Heparin Sodium (porcine)/D5W | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lovenox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lovenox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lovenox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lovenox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lovenox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lozol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nasacort Aq | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ddavp | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ddavp | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lovenox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Miacalcin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SandoSTATIN | $250.00 | $0.00 |
| Inpatient Psychiatric Services | NeoraL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Femara | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diovan HCT | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diovan HCT | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Exelon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Exelon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Exelon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Exelon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | TrileptaL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Starlix | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Starlix | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lescol Xl | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diovan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diovan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lotrel | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lotrel | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diovan HCT | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Myfortic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lotrel | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Enablex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diovan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Gleevec | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ritalin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ritalin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lopressor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aredia | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tekturna | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tekturna | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Exelon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Exelon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Exelon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | TEGretoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | TEGretol XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Gilenya | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Entresto | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Rydapt | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Entresto | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lotensin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Normodyne | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Normodyne | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Eulexin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diprolene | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lotrisone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Trilafon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Intron A | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Claritin-D 24 HOUR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Imdur | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cipro I.V. | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cipro | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cipro | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Imdur | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitro-Dur | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitro-Dur | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitro-Dur | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitro-Dur | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dulera | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dulera | $250.00 | $0.00 |
| Inpatient Psychiatric Services | K-Lyte-Cl | $250.00 | $0.00 |
| Inpatient Psychiatric Services | DesyreL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Avapro | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Avapro | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glucophage XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glucophage | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glucovance | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Copaxone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ditropan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardizem CD | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardizem CD | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Arava | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lantus | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Apidra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Theolair-Sr | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Robaxin-750 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | traMADoL HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Naproxen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Acetaminophen With Codeine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Venlafaxine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | buPROPion HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Carbidopa/Levodopa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | traZODone HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | calcitrioL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | niCARdipine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ketoconazole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lisinopril/Hydrochlorothiazide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lisinopril/Hydrochlorothiazide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Gabapentin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | FLUoxetine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sucralfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amoxicillin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | clindamycin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cefaDROXiL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prazosin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | levalbuterol HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amoxicillin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cephALEXin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bumetanide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Citalopram Hydrobromide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | LORazepam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ampicillin Trihydrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | busPIRone HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glyburide/Metformin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | FLUoxetine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Azithromycin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | metOLazone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cilostazoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ramipriL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mexiletine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mexiletine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Acyclovir | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lortab | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Terbutaline Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lactulose | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sucralfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | megestroL ACETATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vimpat | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vimpat | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vimpat | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vimpat | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Valium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lisinopriL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Trihexyphenidyl HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Trihexyphenidyl HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | niCARdipine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Phenytoin Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ActoneL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Macrobid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Triamcinolone Acetonide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Triamcinolone Acetonide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Triamcinolone Acetonide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bacitracin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Betamethasone Valerate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | gentamicin SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Betamethasone Dipropionate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fluocinolone Acetonide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Neomycin/Polymyxin B/Dexametha | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prandin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | NovoLOG Mix 70-30 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levemir | $250.00 | $0.00 |
| Inpatient Psychiatric Services | NovoLOG Mix 70-30 FlexPen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tetracycline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Oxazepam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydroCHLOROthiazide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fluconazole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cortisporin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Digibind | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lanoxin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lanoxin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lanoxin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lanoxin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fortaz | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fortaz | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ceftin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zofran | $250.00 | $26.92 |
| Inpatient Psychiatric Services | Flonase | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Valtrex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zofran Odt | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Combivir | $250.00 | $0.00 |
| Inpatient Psychiatric Services | LaMICtaL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | LaMICtaL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | LaMICtaL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | LaMICtaL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ziagen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ventolin Hfa 18g | $250.00 | $136.84 |
| Inpatient Psychiatric Services | Advair DISKUS | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Advair DISKUS | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Advair DISKUS | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Avodart | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Flovent HFA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | LaMICtaL XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lovaza | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Votrient | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Anoro Ellipta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Valtrex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zovirax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Wellbutrin SR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zovirax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Citracal + D | $250.00 | $0.00 |
| Inpatient Psychiatric Services | chlorproMAZINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pyridoxine HCL (Vitamin B6) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydrALAZINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydroCHLOROthiazide | $250.00 | $0.28 |
| Inpatient Psychiatric Services | methocarbamoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Isosorbide Dinitrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | penicillin V POTASSIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cdp | $250.00 | $0.00 |
| Inpatient Psychiatric Services | haloperidoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Loxapine Succinate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | NIFEdipine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | minoxidiL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hyoscyamine Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | HYDROcodone/acetaminophen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | megestroL ACETATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | methIMAzole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Atacand | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Atacand | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xylocaine Viscous | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Symbicort | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Symbicort | $250.00 | $0.00 |
| Inpatient Psychiatric Services | DOPamine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Brilinta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Brilinta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pulmicort Flexhaler | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pulmicort Flexhaler | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Emla | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pulmicort | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pulmicort | $250.00 | $0.00 |
| Inpatient Psychiatric Services | NexIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zovirax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mestinon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ancobon | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zosyn | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zosyn | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zosyn | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydrOXYzine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Oxymetazoline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Procainamide HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | diphenhydrAMINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diclofenac Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hibiclens | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amlactin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Klor-Con | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prevalite | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Klor-Con 10 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Klor-Con M20 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | midodrine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | midodrine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nephrocaps | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Procalamine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Meropenem-0.9% Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | mannitoL | $250.00 | $71.16 |
| Inpatient Psychiatric Services | Dextrose 10 % and 0.45 % Nacl | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitro-Bid 1g | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitro-Bid 30g | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prevacid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tenormin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ZestriL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Arimidex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SEROqueL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SEROqueL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SEROqueL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SEROqueL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SEROqueL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SEROquel XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | SEROquel XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diprivan | $250.00 | $1.86 |
| Inpatient Psychiatric Services | Diprivan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Merrem | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Accolate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Casodex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Crestor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Crestor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lokelma | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Movantik | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Farxiga | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xigduo XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bydureon Pen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amitriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose 5 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose 5 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose 5 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose 10 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose 20 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Chloride 3 % | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose 5 %-0.2 % Sod Chlorid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Norepinephrine Bitartrate/D5w | $250.00 | $84.00 |
| Inpatient Psychiatric Services | Dextrose 5 % In Ringer's | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ringer's Solution,lactated | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lidocaine HCL/Dextrose 5 %/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Intralipid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Gentamicin In Nacl, Iso-Osm | $250.00 | $8.78 |
| Inpatient Psychiatric Services | Gentamicin In Nacl, Iso-Osm | $250.00 | $9.40 |
| Inpatient Psychiatric Services | Gentamicin In Nacl, Iso-Osm | $250.00 | $8.42 |
| Inpatient Psychiatric Services | Gentamicin In Nacl, Iso-Osm | $250.00 | $9.16 |
| Inpatient Psychiatric Services | Intralipid | $250.00 | $83.16 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | TravasoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | acetic acid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Potassium Chloride/D5-0.45nacl | $250.00 | $13.00 |
| Inpatient Psychiatric Services | Potassium Chloride In D5w | $250.00 | $22.54 |
| Inpatient Psychiatric Services | Potassium Chloride In 0.9%nacl | $250.00 | $24.22 |
| Inpatient Psychiatric Services | Potassium Chloride 20 mEq / Wa | $250.00 | $9.00 |
| Inpatient Psychiatric Services | Potassium Chloride 10 mEq / Wa | $250.00 | $8.68 |
| Inpatient Psychiatric Services | Dextrose 70 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Potassium Chloride/D5-0.9%nacl | $250.00 | $21.48 |
| Inpatient Psychiatric Services | Potassium Chloride/D5-0.9%nacl | $250.00 | $19.88 |
| Inpatient Psychiatric Services | Dopamine HCL In Dextrose 5 % | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dopamine HCL In Dextrose 5 % | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitroglycerin In 5 % Dextrose | $250.00 | $49.64 |
| Inpatient Psychiatric Services | Metronidazole/Sodium Chloride | $250.00 | $5.50 |
| Inpatient Psychiatric Services | Clinimix | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Clinimix | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Clinimix E | $250.00 | $96.56 |
| Inpatient Psychiatric Services | Clinimix E | $250.00 | $102.26 |
| Inpatient Psychiatric Services | Clinimix E | $250.00 | $101.56 |
| Inpatient Psychiatric Services | Clinimix E | $250.00 | $99.58 |
| Inpatient Psychiatric Services | Cefazolin Sodium/Dextrose,iso | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Famotidine In Nacl,iso-Osm/Pf | $250.00 | $12.32 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose 5 %-0.45 % Sod Chlord | $250.00 | $0.02 |
| Inpatient Psychiatric Services | Dextrose 10 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Chloride 0.9 % (Flush) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | quiNIDine GLUCONATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | penicillin G POTASSIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | metoprolol tartrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tamoxifen Citrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Indomethacin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | propranolol HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cloNIDine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | penicillin V POTASSIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Furosemide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Furosemide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Furosemide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bumetanide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Acyclovir | $250.00 | $0.00 |
| Inpatient Psychiatric Services | quinapril HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ketoconazole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Perphenazine/Amitriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | haloperidoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | diazePAM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Methyldopa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | buPROPion HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Perphenazine/Amitriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | benazepril HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Maxzide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | bisoproloL FUMARATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Perphenazine/Amitriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amiloride/Hydrochlorothiazide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Methyldopa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Thioridazine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cyclobenzaprine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cyclobenzaprine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | verapamil HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ketorolac TROMETHAMINE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | busPIRone HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lithium carbonate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dicyclomine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitrofurantoin Macrocrystal | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Citalopram Hydrobromide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bromocriptine Mesylate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Terazosin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fluconazole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amitriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amitriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Baclofen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Baclofen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fenofibrate Nanocrystallized | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Doxepin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitrofurantoin Monohyd/M-Cryst | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ALPRAZolam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ALPRAZolam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Temazepam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Doxepin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Venlafaxine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Felodipine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prochlorperazine Maleate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dilTIAZem HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | rOPINIRole HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | buPROPion HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cephALEXin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | fluPHENAZine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dilTIAZem HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diclofenac Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albuterol Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albuterol Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | levalbuterol HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PARoxetine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | quiNINE SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Peppermint Oil | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mineral Oil | $250.00 | $0.00 |
| Inpatient Psychiatric Services | HYDROcodone/acetaminophen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pamelor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Azithromycin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ceFAZolin SODIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dilTIAZem HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Demerol | $250.00 | $5.38 |
| Inpatient Psychiatric Services | morphine SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Water for Injection,sterile | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Atropine Sulfate | $250.00 | $22.02 |
| Inpatient Psychiatric Services | morphine SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | metoprolol tartrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | amikacin SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Buprenorphine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lidocaine HCL/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dobutamine HCL In Dextrose 5 % | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Heparin Sodium,porcine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Milrinone Lactate/D5w | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cenolate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | sodium acetate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Corlopam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tobramycin Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ketorolac TROMETHAMINE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Water for Injection,sterile | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aminosyn-Rf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aminosyn | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lidocaine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lidocaine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | vancomycin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fluconazole In Nacl,iso-Osm | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fluconazole In Nacl,iso-Osm | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ciprofloxacin In 5 % Dextrose | $250.00 | $0.00 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose 50 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Furosemide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Erythrocin Lactobionate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | vancomycin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | vancomycin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Bicarbonate | $250.00 | $26.20 |
| Inpatient Psychiatric Services | Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amidate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Potassium Chloride In 0.9%nacl | $250.00 | $16.46 |
| Inpatient Psychiatric Services | Potassium Chloride/D5-0.45nacl | $250.00 | $5.62 |
| Inpatient Psychiatric Services | Dextrose 5 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Chloride 0.45 % | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Phytonadione (Vit K1) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Potassium Chloride-0.45% Nacl | $250.00 | $6.34 |
| Inpatient Psychiatric Services | Pyridium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | AsacoL HD | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dakin's | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dakin's | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dakin's | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Daliresp | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Teflaro | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Armour Thyroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Armour Thyroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Teflaro | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Linzess | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Linzess | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Namzaric | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levothroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levothroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bystolic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lexapro | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lexapro | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Saphris | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Avycaz | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Namenda | $250.00 | $17.78 |
| Inpatient Psychiatric Services | Namenda | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Namenda XR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Temovate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Temovate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Testro La | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xtandi | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prograf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ambisome | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mycamine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mycamine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Acyclovir | $250.00 | $0.00 |
| Inpatient Psychiatric Services | nystatin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Phenazopyridine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sulfatrim | $250.00 | $0.00 |
| Inpatient Psychiatric Services | nystatin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | K-Phos Original | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Analpram Hc | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Recticare | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Anusol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cyanocobalamin (Vitamin B-12) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Atropine Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Bicarbonate | $250.00 | $0.08 |
| Inpatient Psychiatric Services | Vasopressin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | EPINEPHrine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | potassium acetate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | sodium acetate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Potassium Phos,m-Basic-D-Basic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Venofer | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Magnesium Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calcium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sod Phosphate,monobasic-Dibas | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calcium Gluconate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dexAMETHasone SODIUM PHOSPHATE | $250.00 | $2.08 |
| Inpatient Psychiatric Services | hydrOXYzine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Furosemide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Furosemide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Multitrace-4 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Multitrace-4 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Acetylcysteine | $250.00 | $4.98 |
| Inpatient Psychiatric Services | Acetylcysteine | $250.00 | $7.20 |
| Inpatient Psychiatric Services | Multitrace-5 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Foltx | $250.00 | $0.00 |
| Inpatient Psychiatric Services | rifAMPin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | probenecid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Loxapine Succinate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Loxapine Succinate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | methazolAMIDE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | morphine SULFATE | $250.00 | $0.56 |
| Inpatient Psychiatric Services | Isoniazid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ethambutoL HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | niMODipine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fludrocortisone Acetate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Midazolam HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Colistin (Colistimethate Na) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | esmolol HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nystop | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Phenadoz | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zaroxolyn | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Doxycycline Monohydrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | metoprolol tartrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Propafenone HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | labetalol HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | busPIRone HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | glipiZIDE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tamoxifen Citrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | clindamycin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albuterol Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Primidone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | propranolol HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Trimethoprim | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Atenolol/Chlorthalidone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aggrenox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Combivent Respimat | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mobic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Catapres-Tts 1 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Catapres-Tts 2 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Catapres-Tts 3 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Flomax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Spiriva | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Spiriva | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Atrovent Hfa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pradaxa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pradaxa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tradjenta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Jardiance | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Jardiance | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Stiolto Respimat | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mirapex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mirapex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PHENobarbitaL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Promethazine HCL/Codeine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tussiden Dm | $250.00 | $0.00 |
| Inpatient Psychiatric Services | acetaZOLAMIDE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hydrocortisone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PHENobarbitaL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PHENobarbitaL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | folic acid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | morphine SULFATE | $250.00 | $1.48 |
| Inpatient Psychiatric Services | morphine SULFATE | $250.00 | $1.52 |
| Inpatient Psychiatric Services | diphenhydrAMINE HCL | $250.00 | $2.82 |
| Inpatient Psychiatric Services | gentamicin SULFATE | $250.00 | $1.14 |
| Inpatient Psychiatric Services | Promethazine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dipyridamole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | chlorproMAZINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Oxazepam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dilTIAZem HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ibuprofen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prenatal Plus | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Metoclopramide HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | haloperidoL LACTATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydrALAZINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sulfamethoxazole/Trimethoprim | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Anucort-Hc | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Keflex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PROzac | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PROzac | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Trifluoperazine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Trifluoperazine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cyproheptadine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | haloperidoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amitriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | atenoloL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Promethazine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | chlordiazePOXIDE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ampicillin Trihydrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Temazepam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Anectine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Oxacillin Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nafcillin Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | methylPREDNISolone ACETATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cefTRIAXone SODIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cefTRIAXone SODIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cefepime HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Meropenem | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ampicillin Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | metFORMIN HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | chlorproMAZINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calcitonin,salmon,synthetic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ty-Pap W/Codeine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ergocalciferol (Vitamin D2) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydrOXYzine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Doxycycline Hyclate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Doxycycline Hyclate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitroglycerin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cloNIDine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Benztropine Mesylate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | sulfaSALAzine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Indameth | $250.00 | $0.00 |
| Inpatient Psychiatric Services | aMILoride HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | propylthiouraciL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydrALAZINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydrALAZINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amoxicillin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | gentamicin SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sulfamethoxazole/Trimethoprim | $250.00 | $0.00 |
| Inpatient Psychiatric Services | carBAMazepine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ibuprofen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ibuprofen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zinc Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Terazosin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Enalapril Maleate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Enalapril Maleate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cloNIDine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cholecalciferol (Vitamin D3) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | labetalol HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Indomethacin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Gabapentin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | pravastatin SODIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Carbidopa/Levodopa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Benzonatate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Buminate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Isopto Carpine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Isopto Carpine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | propofoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Midazolam HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fentanyl Citrate/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitroprusside Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | propranolol HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Meperidine HCL/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | morphine SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cefOXitin SODIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ampyra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cetacaine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Orajel 3x Toothache-Gum | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vitamin E | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Magnesium Citrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Entereg | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Blephamide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pred Mild | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fml | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ocuflox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lantiseptic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Silver Nitrate Applicator | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bidil | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Colcrys | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bactrim | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Optiflex-G | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Minocin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Atripla | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Domeboro | $250.00 | $0.00 |
| Inpatient Psychiatric Services | timoloL MALEATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lunesta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Wellbutrin XL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bicitra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | levoFLOXacin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pilocarpine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | gentamicin SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lidocaine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ciprofloxacin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Centrum | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Abilify | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Razadyne | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mupirocin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tobrex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albuterol Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Miconazole Nitrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Docusate Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Miconazole Nitrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Roxicodone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Chloraseptic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | InderaL LA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | InderaL LA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Flunisolide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ocuvite With Lutein | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Brimonidine Tartrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dexAMETHasone SODIUM PHOSPHATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Erythromycin Base | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Erythromycin Base | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Eryped 200 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Edecrin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Timoptic-Xe | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Acetylcysteine | $250.00 | $12.00 |
| Inpatient Psychiatric Services | Aleve | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pro-Stat Sugar Free | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Arginine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Q-Sorb Co Q-10 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vitamin A | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydrALAZINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Finasteride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Suboxone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Truvada | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Viread | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prezista | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Synthroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Optimoist | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aspercreme Max | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Allegra-D 24 HOUR | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dexmedeTOMIDine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cometriq | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Flucytosine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ivermectin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zenpep | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nexterone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nexterone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | miSOPROStoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levetiracetam In Nacl (Iso-Os) | $250.00 | $72.00 |
| Inpatient Psychiatric Services | Rebif | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Midazolam HCL In 0.9 % Nacl/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calcium Gluc In Nacl, Iso-Osm | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Betamethasone Dipropionate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Selenium Sulfide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Triamcinolone Acetonide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Alogliptin Benzoate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Peridex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Culturelle | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Phoslo | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Phoslyra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | FluZONE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nitro-Time | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Perforomist | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Duoneb | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ipratropium Bromide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Yupelri | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Chloride for Inhalation | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Epivir | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Juluca | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Isosorbide Dinitrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Imipramine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ALPRAZolam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | ALPRAZolam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | clonazePAM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Capoten | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dapsone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Relafen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albuterol | $250.00 | $69.00 |
| Inpatient Psychiatric Services | Plavix | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Toprol XL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Benicar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Altace | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Depakote ER | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cathflo Activase | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tarceva | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Venlafaxine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Venlafaxine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cholecalciferol (Vitamin D3) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dorzolamide HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albuterol Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Betapace | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Betapace | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Precose | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tussin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Duragesic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Duragesic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Duragesic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Duragesic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Duragesic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levaquin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levaquin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sporanox | $250.00 | $0.00 |
| Inpatient Psychiatric Services | RisperDAL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | RisperDAL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | RisperDAL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | RisperDAL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | RisperDAL CONSTA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | RisperDAL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | RisperDAL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | RisperDAL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Terazol 7 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Invega | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Invega | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Invega SUSTENNA | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xarelto | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xarelto | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xarelto | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xarelto | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ditropan XL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levaquin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Levaquin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Keppra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Keppra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Theo-24 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Theo-24 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Keppra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Keppra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Keppra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Neomycin Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cefUROXime axetiL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Chlorthalidone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | diphenhydrAMINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mirtazapine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Meclizine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | metroNIDAZOLE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | allopurinoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ciprofloxacin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lithium carbonate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | propranolol HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | LORazepam | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Benztropine Mesylate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glimepiride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Doxepin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | simvastatin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | amantadine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | chlorproMAZINE HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Thioridazine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Trifluoperazine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Thioridazine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prazosin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Loperamide HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Oxybutynin Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | haloperidoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | haloperidoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dilTIAZem HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Losartan Potassium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | atenoloL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | pravastatin SODIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Naproxen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | glipiZIDE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | verapamil HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | glyBURIDE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | amiodarone HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dilTIAZem HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | carvediloL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lisinopriL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lisinopriL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | tiZANidine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vesicare | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ziac | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ziac | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zebeta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Urecholine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diamox SEQUELS | $250.00 | $0.00 |
| Inpatient Psychiatric Services | traZODone HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nystatin/Triamcin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | nystatin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nortriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nortriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nortriptyline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Effer-K | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ferrex 150 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Golytely | $250.00 | $0.00 |
| Inpatient Psychiatric Services | selegiline HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Rapaflo | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Norco | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Norco | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Oxytrol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Actigall | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fioricet | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Imitrex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nasonex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tussionex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tobi | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pentasa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pentasa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fosrenol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cholecalciferol (Vitamin D3) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prednisol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sulfac | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zoloft | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Allegra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lidoderm | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Toprol XL | $250.00 | $2.16 |
| Inpatient Psychiatric Services | OLANZapine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Buprenorphine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Midazolam HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fluconazole In Nacl,iso-Osm | $250.00 | $24.00 |
| Inpatient Psychiatric Services | folic acid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | haloperidoL DECANOATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Acyclovir Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aranesp | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aranesp | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aranesp | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aranesp | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Sensipar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Epogen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Epogen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Epogen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Epogen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Epogen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Neupogen | $250.00 | $1,203.20 |
| Inpatient Psychiatric Services | Epogen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Terconazole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Abelcet | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Adipex-P | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Salagen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | metoprolol succinate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hectorol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Renvela | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Renvela | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Renvela | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bentyl | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bentyl | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Venelex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | OxyCONTIN | $250.00 | $0.00 |
| Inpatient Psychiatric Services | OxyCONTIN | $250.00 | $0.00 |
| Inpatient Psychiatric Services | OxyCONTIN | $250.00 | $0.00 |
| Inpatient Psychiatric Services | MS Contin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Abilify | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Abilify | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Abilify | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Abilify | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Rexulti | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Qvar | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Biofreeze-Ilex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Revlimid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Revlimid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | RobinuL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prezista | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prezista | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prezcobix | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mesalamine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | donepezil HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | miSOPROStoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Juven | $250.00 | $4.56 |
| Inpatient Psychiatric Services | Auryxia | $250.00 | $0.00 |
| Inpatient Psychiatric Services | captopriL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | cefTRIAXone SODIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cefepime HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | midodrine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | PaxiL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Pyrazinamide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Posaconazole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Guaifenesin/Dextromethorphan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tapazole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cytomel | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Skelaxin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ativan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ofloxacin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Atropine Sulfate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vancomycin/0.9 % Sod Chloride | $250.00 | $70.52 |
| Inpatient Psychiatric Services | Ephedrine Sulfate/0.9% Nacl/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Morphine Sulfate In 0.9 % Nacl | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Quibron-T | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Proctocort | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cortisporin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Viroptic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Neosporin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Neosporin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Altace | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Altace | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Silvadene | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Silvadene | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Bicillin C-R | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Corgard | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Anusol-Hc 30g | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albumin Human | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albumin Human | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Letairis | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ranexa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Complera | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Harvoni | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Descovy | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Biktarvy | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Veklury | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Isosorbide Mononitrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glycolax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Didanosine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zonisamide | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Maxzide-25 MG | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aricept | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aricept | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fragmin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lusedra | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fragmin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dermoplast | $250.00 | $0.00 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $2.14 |
| Inpatient Psychiatric Services | protamine SULFATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Diprivan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | fluPHENAZine DECANOATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fosphenytoin Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xylocaine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dexamethasone Sodium Phosp/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Heparin Sodium (porcine) | $250.00 | $1.74 |
| Inpatient Psychiatric Services | levothyroxine SODIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | levothyroxine SODIUM | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Adenosine | $250.00 | $32.00 |
| Inpatient Psychiatric Services | Latuda | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Latuda | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Latuda | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Latuda | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xopenex Hfa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xopenex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Brovana | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Provigil | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Percocet | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hycodan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Percocet | $250.00 | $0.00 |
| Inpatient Psychiatric Services | predniSONE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fe C Plus | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vasotec | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vasotec | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Wellbutrin XL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardizem | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardizem | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardizem CD | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardizem CD | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cardizem CD | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zovirax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zovirax | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nuedexta | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amitiza | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Actos | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amitiza | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Actos | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nesina | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Uloric | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Phospha 250 Neutral | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Risanoid Plus | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Proctozone-Hc | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Trandate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Entocort Ec | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zyloprim | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Benicar HCT | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Benicar HCT | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Benicar HCT | $250.00 | $0.00 |
| Inpatient Psychiatric Services | WelChoL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Firvanq | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Xifaxan | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Amoxicillin/Potassium Clav | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Donnatal | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ultracet | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Elimite | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Roxicodone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mysoline | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zetia | $250.00 | $0.00 |
| Inpatient Psychiatric Services | M.v.i. 12 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Vancocin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dorzolamide HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ascor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Rheumatrex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ismo | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Tranxene T-Tab | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cogentin | $250.00 | $280.36 |
| Inpatient Psychiatric Services | Vitrase | $250.00 | $0.00 |
| Inpatient Psychiatric Services | vancomycin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | vancomycin HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Norvasc | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cubicin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Zerbaxa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | glipiZIDE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | lovastatin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Albumin Human | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Chlordiazepoxide/Clidinium Br | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ensure Plus | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Jevity 1.2 Cal | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ensure Enlive | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Promod | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ensure Enlive | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Glucerna | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dipyridamole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dexmedetomidine In 0.9 % Nacl | $250.00 | $72.00 |
| Inpatient Psychiatric Services | Dexmedetomidine In 0.9 % Nacl | $250.00 | $144.00 |
| Inpatient Psychiatric Services | Aquaphor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Eucerin Plus | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Cholecalciferol (Vitamin D3) | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Biotin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Percogesic | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prosource No Carb | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lidex | $250.00 | $0.00 |
| Inpatient Psychiatric Services | NovoLOG | $250.00 | $0.00 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Clinimix E | $250.00 | $106.68 |
| Inpatient Psychiatric Services | Clinimix E | $250.00 | $98.88 |
| Inpatient Psychiatric Services | Intralipid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | 0.9 % Sodium Chloride | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Dextrose 5 % In Water | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Ketoconazole | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Motegrity | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Dantrium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Divalproex Sodium | $250.00 | $1.86 |
| Inpatient Psychiatric Services | Pioglitazone HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | dexAMETHasone | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Magic Mouthwash | $250.00 | $75.00 |
| Inpatient Psychiatric Services | MVI | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lidocaine HCL/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Aplisol | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Dextrose 5 % and 0.9 % Nacl | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Doxycycline Hyclate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Meperidine HCL/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | glipiZIDE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Hylenex | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Myrbetriq | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Asenapine Maleate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Doxycycline Hyclate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Veltassa | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Veltassa | $250.00 | $5.00 |
| Inpatient Psychiatric Services | Non-Formulary Medication | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calcium Carb 600mg / Vit D3 40 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | TofraniL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lozol | $250.00 | $0.00 |
| Inpatient Psychiatric Services | LamISIL | $250.00 | $27.88 |
| Inpatient Psychiatric Services | TrileptaL | $250.00 | $2.70 |
| Inpatient Psychiatric Services | Estrace | $250.00 | $0.00 |
| Inpatient Psychiatric Services | hydrOXYzine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Advair HFA | $250.00 | $65.66 |
| Inpatient Psychiatric Services | Myrbetriq | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Preparation H | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calmoseptine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Calcium Citrate/Vitamin D3 | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Metamucil Fiber Singles | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nac | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mineral Oil | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Armour Thyroid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fycompa | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Mupirocin | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Lactobacillus Acidophilus | $250.00 | $1.08 |
| Inpatient Psychiatric Services | Calcium Citrate | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Meperidine HCL/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | fluPHENAZine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Abacavir/Dolutegravir/Lamivudi | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Crestor | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Nuplazid | $250.00 | $0.00 |
| Inpatient Psychiatric Services | OLANZapine | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Memantine HCL | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Phenytoin Sodium | $250.00 | $0.00 |
| Inpatient Psychiatric Services | diphenhydrAMINE HCL - UD | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Prazosin HCL | $250.00 | $8.62 |
| Inpatient Psychiatric Services | Famotidine/Pf | $250.00 | $0.00 |
| Inpatient Psychiatric Services | fluvoxaMINE MALEATE | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Acetaminophen | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Clinimix E | $250.00 | $107.78 |
| Inpatient Psychiatric Services | Sod Phos Di, Mono/K Phos Mono | $250.00 | $0.00 |
| Inpatient Psychiatric Services | Fibercon | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Caltrate 600 Plus D3 | $257.00 | $0.24 |
| Inpatient Psychiatric Services | Cortaid 28g | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Refresh Lacri-Lube | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Refresh Celluvisc | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Nasal Moisturizer | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Loperamide HCL | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Naphcon-A | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Tears Naturale Forte | $257.00 | $16.78 |
| Inpatient Psychiatric Services | Systane Balance | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Maalox Advanced | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Nicotine | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Colace | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ferrous Sulfate | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Phenol/Sodium Phenolate | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Potassium Chloride | $257.00 | $0.00 |
| Inpatient Psychiatric Services | guaiFENesin | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Adult Glycerin | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Enema | $257.00 | $0.02 |
| Inpatient Psychiatric Services | Mineral Oil Enema | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Tums | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Debrox | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Nicoderm Cq | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Abreva | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Sarna OriginaL | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Magox | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Petrolatum,white | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Zinc Oxide | $257.00 | $0.00 |
| Inpatient Psychiatric Services | NovoLIN R | $257.00 | $0.00 |
| Inpatient Psychiatric Services | RELION NovoLIN N | $257.00 | $0.00 |
| Inpatient Psychiatric Services | NovoLIN 70-30 | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Magtrate | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Citracal-Vitamin D | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Vitamin E | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Aspirin | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Acetaminophen | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Eye Wash | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Vitamin E | $257.00 | $0.18 |
| Inpatient Psychiatric Services | Aspirin | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Senna S | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Insta-Glucose | $257.00 | $0.28 |
| Inpatient Psychiatric Services | Ferrous Gluconate | $257.00 | $0.00 |
| Inpatient Psychiatric Services | bisacodyL | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ocean | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Antifungal Cream 14g | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ed A-Hist | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Rynex Dm | $257.00 | $0.00 |
| Inpatient Psychiatric Services | S-2 | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Benadryl Itch Stopping | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Artificial Tears | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Calcium Carbonate | $257.00 | $0.12 |
| Inpatient Psychiatric Services | Cyanocobalamin (Vitamin B-12) | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Cyanocobalamin (Vitamin B-12) | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Docusate Calcium | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Meclizine HCL | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Pyridoxine HCL (Vitamin B6) | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Sodium Bicarbonate | $257.00 | $0.00 |
| Inpatient Psychiatric Services | thiamine HCL | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Vitabee W-C | $257.00 | $0.08 |
| Inpatient Psychiatric Services | L. Acidophilus/Pectin, Citrus | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Nephro-Vite | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Oysco 500-Vit D3 | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Preparation H | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Acetaminophen | $257.00 | $0.08 |
| Inpatient Psychiatric Services | Acephen | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Nicoderm Cq | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Loratadine | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Bacitracin | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Pyridoxine HCL (Vitamin B6) | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ascorbic Acid | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Thera-M | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Bismatrol | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ibu-200 | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Calcium Carbonate | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Vitamin A | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Calamine/Zinc Oxide | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Selenium | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Beta-Carotene | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Liquitears | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Mi-Acid | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Pain Reliever Plus | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Senna | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Banophen | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Magnesium Hydroxide | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ferosul | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Aspir-Low | $257.00 | $0.06 |
| Inpatient Psychiatric Services | bisacodyL | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Isopto Tears | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Chlor-Trimeton | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Baza Protect | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Calcio Del Mar | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Neutra-Phos | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Artificial Tears | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ketotifen Fumarate | $257.00 | $0.00 |
| Inpatient Psychiatric Services | omeprazole | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Triple Antibiotic | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Selenium | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Antifungal 30g | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Fexofenadine HCL | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ecotrin | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ascorbic Acid | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Tylenol Arthritis | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Acetaminophen | $257.00 | $0.00 |
| Inpatient Psychiatric Services | cetirizine HCL | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Hydrocortisone/Aloe Vera | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Hydrocortisone | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Melatonin | $257.00 | $0.00 |
| Inpatient Psychiatric Services | dilTIAZem HCL | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Mag-Sr | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ferrous Fumarate | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Icar-C | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Mucinex | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Delsym | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Betadine | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ergocalciferol (Vitamin D2) | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Cyanocobalamin | $257.00 | $0.38 |
| Inpatient Psychiatric Services | Vicks Vaporub | $257.00 | $5.00 |
| Inpatient Psychiatric Services | T-Gel | $257.00 | $5.00 |
| Inpatient Psychiatric Services | Mag-Al Plus | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Ed A-Hist Dm | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Zinc Oxide | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Arthricream | $257.00 | $0.00 |
| Inpatient Psychiatric Services | Colloidal Oatmeal | $257.00 | $0.00 |
| Inpatient Psychiatric Services | .45% Nacl 1000 ML | $270.00 | $16.00 |
| Inpatient Psychiatric Services | 2 3/4 Wafer | $270.00 | $100.00 |
| Inpatient Psychiatric Services | 3" Microfoam Tape | $270.00 | $99.00 |
| Inpatient Psychiatric Services | 4" Kerlick | $270.00 | $45.00 |
| Inpatient Psychiatric Services | 4"drainable Pouch | $270.00 | $375.00 |
| Inpatient Psychiatric Services | 4x4 Alldress Dressing | $270.00 | $10.00 |
| Inpatient Psychiatric Services | 5 X 9 Abd Pad | $270.00 | $13.00 |
| Inpatient Psychiatric Services | Abd Pads 8 X 10 | $270.00 | $1.00 |
| Inpatient Psychiatric Services | Ace Bandage | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Ace Wrap 4 Inch | $270.00 | $95.00 |
| Inpatient Psychiatric Services | Ace Wrap 6 Inch | $270.00 | $151.00 |
| Inpatient Psychiatric Services | Acticoat Burn Dressing (3 Day) | $270.00 | $97.00 |
| Inpatient Psychiatric Services | Adaptic Dressing 3x8 | $270.00 | $5.00 |
| Inpatient Psychiatric Services | Adult Pullups Large | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Adult Pullups Medium | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Adult Pullups Small | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Adult Wipes | $270.00 | $22.00 |
| Inpatient Psychiatric Services | Alcohol Preps | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Alldress Dressing | $270.00 | $7.00 |
| Inpatient Psychiatric Services | Allevyn 4x4 Foam Dressing | $270.00 | $36.00 |
| Inpatient Psychiatric Services | Allevyn 4x4 Thin Dressing | $270.00 | $32.00 |
| Inpatient Psychiatric Services | Aloe Vesta Protective Ointment | $270.00 | $41.00 |
| Inpatient Psychiatric Services | Angio Catheter | $270.00 | $31.00 |
| Inpatient Psychiatric Services | Aquacel Ag Dressing | $270.00 | $44.00 |
| Inpatient Psychiatric Services | Arterial Blood Gas Kit | $270.00 | $27.00 |
| Inpatient Psychiatric Services | Baby Powder | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Bandaid | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Bed Pan | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Ben Gay | $270.00 | $18.00 |
| Inpatient Psychiatric Services | Boudreauxs Butt Butter | $270.00 | $44.00 |
| Inpatient Psychiatric Services | Briefs Extra Large | $270.00 | $25.00 |
| Inpatient Psychiatric Services | Briefs Large | $270.00 | $21.00 |
| Inpatient Psychiatric Services | Briefs Medium | $270.00 | $16.00 |
| Inpatient Psychiatric Services | Briefs Small | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Butterfly Needle | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Cath Autoguard 20 | $270.00 | $16.00 |
| Inpatient Psychiatric Services | Cath Lab Tray 18f W/Bag | $270.00 | $90.00 |
| Inpatient Psychiatric Services | Cath Tray 14 Fr/Bag | $270.00 | $56.00 |
| Inpatient Psychiatric Services | Cath Tray W/Bag 16 Fr | $270.00 | $69.00 |
| Inpatient Psychiatric Services | Cath Urethal Tray 14 Fr | $270.00 | $7.00 |
| Inpatient Psychiatric Services | Catheter IV 20gx1 Insyte | $270.00 | $12.00 |
| Inpatient Psychiatric Services | Catheter IV 22x1 Insyte | $270.00 | $12.00 |
| Inpatient Psychiatric Services | Catheter Utrethral 16fr Rr | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Catheter, Condom | $270.00 | $7.00 |
| Inpatient Psychiatric Services | Catheter, Foley | $270.00 | $23.00 |
| Inpatient Psychiatric Services | Clean Catch Kit | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Colostomy Pouch | $270.00 | $27.00 |
| Inpatient Psychiatric Services | Comb | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Connecting Tube | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Denture Adhesive | $270.00 | $15.00 |
| Inpatient Psychiatric Services | Denture Brush | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Denture Cup | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Deodorant | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Dermal Wound Cleaner 1 Bottle | $270.00 | $54.00 |
| Inpatient Psychiatric Services | Dermal Wound Cleanser | $270.00 | $42.00 |
| Inpatient Psychiatric Services | Drain Sponge 4x4 Sterile | $270.00 | $5.00 |
| Inpatient Psychiatric Services | Dressing Change Charge | $270.00 | $12.00 |
| Inpatient Psychiatric Services | Duoderm Dressing | $270.00 | $12.00 |
| Inpatient Psychiatric Services | E Cylinders | $270.00 | $7.00 |
| Inpatient Psychiatric Services | Efferdent(Denture Cleaner Tab) | $270.00 | $8.00 |
| Inpatient Psychiatric Services | Egg Crate/Mattress Pad | $270.00 | $49.00 |
| Inpatient Psychiatric Services | Enema Bag With Soap | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Ensure | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Ensure Shake | $270.00 | $12.00 |
| Inpatient Psychiatric Services | Enteral Feeding Kit | $270.00 | $45.00 |
| Inpatient Psychiatric Services | Enteral Nutritional Pump | $270.00 | $822.00 |
| Inpatient Psychiatric Services | Extension Set | $270.00 | $11.00 |
| Inpatient Psychiatric Services | Fixodent Free Dent Crm 1.4 Oz | $270.00 | $19.00 |
| Inpatient Psychiatric Services | Fleets Enema | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Gauze 4x4 10 Pk | $270.00 | $48.00 |
| Inpatient Psychiatric Services | Gauze Kerlix Roll | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Gauze Sponge (2x2) | $270.00 | $1.00 |
| Inpatient Psychiatric Services | Gauze Sponge (4x4) | $270.00 | $1.00 |
| Inpatient Psychiatric Services | Gauze, Conforming Roll 2" | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Gauze, Conforming Roll 3" | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Gauze, Conforming Roll 4" | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Gauze, Sponge 2x3 | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Glucerna | $270.00 | $13.00 |
| Inpatient Psychiatric Services | Glucose Strip | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Graduated Container | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Grav Set W/Rate Flow Reg | $270.00 | $63.00 |
| Inpatient Psychiatric Services | Gt Bag | $270.00 | $21.00 |
| Inpatient Psychiatric Services | Hair and Body Shampoo | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Hair Brush | $270.00 | $7.00 |
| Inpatient Psychiatric Services | Headphone Foam Replacement Pad | $270.00 | $22.00 |
| Inpatient Psychiatric Services | Heel Protectors | $270.00 | $18.00 |
| Inpatient Psychiatric Services | Heel Suspension Boot | $270.00 | $412.00 |
| Inpatient Psychiatric Services | Hep Loc Interlink 2/Extension | $270.00 | $18.00 |
| Inpatient Psychiatric Services | Hep Loc Interlink Inj Site | $270.00 | $18.00 |
| Inpatient Psychiatric Services | Hibiclens | $270.00 | $30.00 |
| Inpatient Psychiatric Services | Horizon Tubing | $270.00 | $78.00 |
| Inpatient Psychiatric Services | Hoyer Lift Pad | $270.00 | $659.00 |
| Inpatient Psychiatric Services | Hydro Gel Pump 3oz | $270.00 | $11.00 |
| Inpatient Psychiatric Services | Hydrogel Dressing | $270.00 | $14.00 |
| Inpatient Psychiatric Services | Hydrogen Peroxide | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Hypafix Tape (1 Roll) | $270.00 | $587.00 |
| Inpatient Psychiatric Services | Ileostomy Bag | $270.00 | $19.00 |
| Inpatient Psychiatric Services | Incentive Spirometer | $270.00 | $44.00 |
| Inpatient Psychiatric Services | Inner Cannula Shiley Size 4 | $270.00 | $135.21 |
| Inpatient Psychiatric Services | Inner Cannula Shiley Size 8 | $270.00 | $40.28 |
| Inpatient Psychiatric Services | Insulated Water Carafe | $270.00 | $5.00 |
| Inpatient Psychiatric Services | Introcan 22g 1 In | $270.00 | $31.00 |
| Inpatient Psychiatric Services | Introcan 24g 3/4 In | $270.00 | $31.00 |
| Inpatient Psychiatric Services | Iodine Prep | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Irrigation Tray W/Syringe | $270.00 | $6.00 |
| Inpatient Psychiatric Services | IV Pump Daily | $270.00 | $38.00 |
| Inpatient Psychiatric Services | IV Saline Mixture Bag | $270.00 | $189.00 |
| Inpatient Psychiatric Services | IV Start Kit | $270.00 | $68.00 |
| Inpatient Psychiatric Services | Johnsons Baby Shampoo | $270.00 | $13.00 |
| Inpatient Psychiatric Services | Kerlix | $270.00 | $8.00 |
| Inpatient Psychiatric Services | Kleenex | $270.00 | $7.00 |
| Inpatient Psychiatric Services | Lancet | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Lanciceptic Protective Barrier | $270.00 | $23.00 |
| Inpatient Psychiatric Services | Lemon Glycerin Swabs | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Lip Balm | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Lotion Hand/Body | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Lubricating Jelly | $270.00 | $1.00 |
| Inpatient Psychiatric Services | Lubriderm | $270.00 | $69.00 |
| Inpatient Psychiatric Services | Medseptic Packet Each | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Medseptic Skin Protectant Pkg | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Messengile Douche | $270.00 | $23.00 |
| Inpatient Psychiatric Services | Mouthwash | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Nacl 4 Meq/ML 250ml | $270.00 | $268.00 |
| Inpatient Psychiatric Services | Nacl Irrig 15 ML | $270.00 | $5.00 |
| Inpatient Psychiatric Services | Nail File | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Nail Polish Removwer Pad | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Nasal Cannula | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Nebulizer W/Mask | $270.00 | $33.00 |
| Inpatient Psychiatric Services | Needle | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Nepro Nutrition 8 Oz Bottle | $270.00 | $15.00 |
| Inpatient Psychiatric Services | Nizoral Shampoo | $270.00 | $68.00 |
| Inpatient Psychiatric Services | No Rinse Shampoo | $270.00 | $10.00 |
| Inpatient Psychiatric Services | Non Adherent Pads | $270.00 | $1.00 |
| Inpatient Psychiatric Services | O2 Concentrator | $270.00 | $19.00 |
| Inpatient Psychiatric Services | Ocean Spray | $270.00 | $5.00 |
| Inpatient Psychiatric Services | Oil Emulsion Non Adh Dressing | $270.00 | $1.00 |
| Inpatient Psychiatric Services | Paper Tape | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Perineal Cleaner | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Personal Belonging Bag | $270.00 | $1.00 |
| Inpatient Psychiatric Services | Polyvinyl Alcohol 1 1.4 | $270.00 | $34.00 |
| Inpatient Psychiatric Services | Posie Pads | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Razors | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Ready-Bath | $270.00 | $11.00 |
| Inpatient Psychiatric Services | Resource 8 Oz Can | $270.00 | $10.00 |
| Inpatient Psychiatric Services | Sarna Lotion | $270.00 | $20.00 |
| Inpatient Psychiatric Services | Seabond Denture Adhesive | $270.00 | $22.00 |
| Inpatient Psychiatric Services | Selson Blue Shampoo | $270.00 | $11.00 |
| Inpatient Psychiatric Services | Shave Cream | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Skin Prep Pad | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Slipper Socks | $270.00 | $14.00 |
| Inpatient Psychiatric Services | Smart-Site Vital Adapter | $270.00 | $51.00 |
| Inpatient Psychiatric Services | Soap Bar | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Solo Site Wound Gel (1 Tube) | $270.00 | $76.00 |
| Inpatient Psychiatric Services | Speci-Hat | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Specimen Container (Sterile) | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Staple Remover Kit | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Sterile Speciman Cups | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Sterile Water/Normal Salineinj | $270.00 | $7.00 |
| Inpatient Psychiatric Services | Straight Catheter | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Suplena 120 Mg | $270.00 | $17.00 |
| Inpatient Psychiatric Services | Suture Removal Kit | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Syringe | $270.00 | $4.00 |
| Inpatient Psychiatric Services | Syringe 12cc | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Syringe 1cc | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Syringe 3cc | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Syringe 5cc | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Syringe 60cc/Cath Tip | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Syringe 60cc/Luerlock | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Syringe With Needle | $270.00 | $17.00 |
| Inpatient Psychiatric Services | Syringe/Allergy/Insulin/Tb | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Ted Hose Knee High | $270.00 | $27.00 |
| Inpatient Psychiatric Services | Ted Hose Thigh High | $270.00 | $41.00 |
| Inpatient Psychiatric Services | Tega Derm Transparent Dressing | $270.00 | $25.00 |
| Inpatient Psychiatric Services | Tegaderm Trans Dressing 4x5 | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Telfa Dressing | $270.00 | $10.00 |
| Inpatient Psychiatric Services | Thick It | $270.00 | $26.00 |
| Inpatient Psychiatric Services | Tinactin Powder | $270.00 | $91.00 |
| Inpatient Psychiatric Services | Toothbrush | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Toothette | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Toothpaste | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Tube Feeding Bag Set | $270.00 | $11.00 |
| Inpatient Psychiatric Services | Tubing | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Ultrasite Valve-Pos Pres | $270.00 | $22.00 |
| Inpatient Psychiatric Services | Underpads | $270.00 | $11.00 |
| Inpatient Psychiatric Services | Unna Boot 4" | $270.00 | $46.00 |
| Inpatient Psychiatric Services | Urinal | $270.00 | $2.00 |
| Inpatient Psychiatric Services | Vaseline | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Vaseline Gauze 3x9 | $270.00 | $10.00 |
| Inpatient Psychiatric Services | Vaseline Pkts | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Vial Adapter | $270.00 | $51.00 |
| Inpatient Psychiatric Services | Viscus Lidocaine Mouthwash | $270.00 | $7.00 |
| Inpatient Psychiatric Services | Vista Pump | $270.00 | $121.00 |
| Inpatient Psychiatric Services | Vista Pump Set | $270.00 | $32.00 |
| Inpatient Psychiatric Services | Wafer | $270.00 | $19.00 |
| Inpatient Psychiatric Services | Wash Basin | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Water Pitcher | $270.00 | $8.00 |
| Inpatient Psychiatric Services | Water/Sterile Irrigatn 1000cc | $270.00 | $17.00 |
| Inpatient Psychiatric Services | Wound Cleaner | $270.00 | $14.00 |
| Inpatient Psychiatric Services | Wound Gel | $270.00 | $53.00 |
| Inpatient Psychiatric Services | Xeroform Ptr Dressing | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Zeroform Ptr Dressing | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Emery Board | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Emesis Basin | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Periph Insert Cent Cath 4 Fr | $270.00 | $2,713.00 |
| Inpatient Psychiatric Services | B.d. Neelde | $270.00 | $4.50 |
| Inpatient Psychiatric Services | Distilled Water | $270.00 | $11.19 |
| Inpatient Psychiatric Services | Steri Strips | $270.00 | $10.50 |
| Inpatient Psychiatric Services | Eucerin Repair Cream 4oz | $270.00 | $45.00 |
| Inpatient Psychiatric Services | Sling Arm Large | $270.00 | $28.18 |
| Inpatient Psychiatric Services | Splint Wrist Forearm Left | $270.00 | $28.72 |
| Inpatient Psychiatric Services | Dentips Oral Swabsticks | $270.00 | $10.00 |
| Inpatient Psychiatric Services | Biotine Drymouth Rinse | $270.00 | $20.00 |
| Inpatient Psychiatric Services | Decannulation Plug | $270.00 | $28.00 |
| Inpatient Psychiatric Services | Phytoplex N/Rense 8oz Cleanser | $270.00 | $28.00 |
| Inpatient Psychiatric Services | Bladder Irrigation Set Cysto | $270.00 | $20.00 |
| Inpatient Psychiatric Services | Bladder Irrigation Y-Type Tur | $270.00 | $100.00 |
| Inpatient Psychiatric Services | Catheter IV Insyte 20gx1.16 | $270.00 | $15.00 |
| Inpatient Psychiatric Services | Ear Protector E-Z Wrap | $270.00 | $6.00 |
| Inpatient Psychiatric Services | Briefs Xxl Pkt | $270.00 | $41.06 |
| Inpatient Psychiatric Services | Sacrum Foam Dressing Each | $270.00 | $16.35 |
| Inpatient Psychiatric Services | Normal Saline 100 Precedex 200 | $270.00 | $447.24 |
| Inpatient Psychiatric Services | Bougie Endotrach Tube Intro | $270.00 | $24.80 |
| Inpatient Psychiatric Services | Sars Antigen Test #20387 | $270.00 | $24.32 |
| Inpatient Psychiatric Services | 24 Hour Abp Monitor | $300.00 | $161.00 |
| Inpatient Psychiatric Services | 340 Measure Volume | $300.00 | $14.00 |
| Inpatient Psychiatric Services | Aerobic Bacterial Culture | $300.00 | $105.00 |
| Inpatient Psychiatric Services | Afb Culture | $300.00 | $111.00 |
| Inpatient Psychiatric Services | Afb Sensitivity | $300.00 | $185.00 |
| Inpatient Psychiatric Services | Aldosterone Bld | $300.00 | $401.00 |
| Inpatient Psychiatric Services | Amitriptyline | $300.00 | $123.00 |
| Inpatient Psychiatric Services | ANA Titer & Pattern | $300.00 | $88.00 |
| Inpatient Psychiatric Services | Anti Scl 70 | $300.00 | $185.00 |
| Inpatient Psychiatric Services | Antigen Type | $300.00 | $49.00 |
| Inpatient Psychiatric Services | Aso Titer | $300.00 | $58.00 |
| Inpatient Psychiatric Services | Bld Type Abo/Rh | $300.00 | $87.00 |
| Inpatient Psychiatric Services | Bld Type Du | $300.00 | $49.00 |
| Inpatient Psychiatric Services | Blood Gas Ph Pc02 P02 C02 Hc03 | $300.00 | $546.00 |
| Inpatient Psychiatric Services | Bone Marrow Studies | $300.00 | $53.00 |
| Inpatient Psychiatric Services | Calcifediol 25-Oh Vitamin D-3 | $300.00 | $701.00 |
| Inpatient Psychiatric Services | CBC With Auto Diff | $300.00 | $104.00 |
| Inpatient Psychiatric Services | Cell Count Csf | $300.00 | $42.00 |
| Inpatient Psychiatric Services | Chlamydia by Probe | $300.00 | $62.00 |
| Inpatient Psychiatric Services | Chlamydia Group Ab | $300.00 | $79.00 |
| Inpatient Psychiatric Services | Clonazepam/Clozaril | $300.00 | $550.00 |
| Inpatient Psychiatric Services | Cmv Igm Ql | $300.00 | $369.00 |
| Inpatient Psychiatric Services | Crystal ID Synovial | $300.00 | $41.00 |
| Inpatient Psychiatric Services | Directogen Serum | $300.00 | $345.00 |
| Inpatient Psychiatric Services | Dsdna Auto Ab's | $300.00 | $90.00 |
| Inpatient Psychiatric Services | Drug Screen With Alcohol | $300.00 | $80.00 |
| Inpatient Psychiatric Services | Eosinphhil Count | $300.00 | $35.00 |
| Inpatient Psychiatric Services | Epstein Barr Ea | $300.00 | $52.00 |
| Inpatient Psychiatric Services | Epstein Barr Ebna | $300.00 | $52.00 |
| Inpatient Psychiatric Services | Epstein Barr Vca | $300.00 | $52.00 |
| Inpatient Psychiatric Services | Era | $300.00 | $913.00 |
| Inpatient Psychiatric Services | Ext Venous Stdy Unilat/Limited | $300.00 | $719.00 |
| Inpatient Psychiatric Services | Febrile Agglut Each | $300.00 | $62.00 |
| Inpatient Psychiatric Services | Fecal Fat | $300.00 | $65.00 |
| Inpatient Psychiatric Services | Fibren Split Product | $300.00 | $97.00 |
| Inpatient Psychiatric Services | Fibrinogen Quan | $300.00 | $88.00 |
| Inpatient Psychiatric Services | Flow Cytometry Dna | $300.00 | $294.00 |
| Inpatient Psychiatric Services | H Pylori | $300.00 | $67.00 |
| Inpatient Psychiatric Services | Handling Fee | $300.00 | $15.00 |
| Inpatient Psychiatric Services | Hemo Influenza | $300.00 | $79.00 |
| Inpatient Psychiatric Services | Hep C Viral Rna/Dna | $300.00 | $648.00 |
| Inpatient Psychiatric Services | Hepatitis B Core Ab | $300.00 | $128.00 |
| Inpatient Psychiatric Services | Hepatitis B Surf Ab | $300.00 | $94.00 |
| Inpatient Psychiatric Services | Hepatitis C, Ab | $300.00 | $139.00 |
| Inpatient Psychiatric Services | Hepatitis E, Ab | $300.00 | $74.00 |
| Inpatient Psychiatric Services | Hepatitus B Srfce Ag | $300.00 | $94.00 |
| Inpatient Psychiatric Services | Herpes Virus Non Spe | $300.00 | $349.00 |
| Inpatient Psychiatric Services | Hiv Dna by Pcr | $300.00 | $240.00 |
| Inpatient Psychiatric Services | Hiv Viral Load | $300.00 | $286.00 |
| Inpatient Psychiatric Services | Hiv Western Blot | $300.00 | $63.00 |
| Inpatient Psychiatric Services | Hiv-1 | $300.00 | $27.00 |
| Inpatient Psychiatric Services | Hiv-1 and Hiv-2, Single Assay | $300.00 | $65.00 |
| Inpatient Psychiatric Services | Holter Monitor 24hr | $300.00 | $415.00 |
| Inpatient Psychiatric Services | Hpv Culture | $300.00 | $116.00 |
| Inpatient Psychiatric Services | Iep Except Serum | $300.00 | $139.00 |
| Inpatient Psychiatric Services | Iep Serum | $300.00 | $126.00 |
| Inpatient Psychiatric Services | Kell Ag Titer | $300.00 | $56.00 |
| Inpatient Psychiatric Services | Leukocyte Assmnt Fecal Qual/Qu | $300.00 | $163.00 |
| Inpatient Psychiatric Services | Lupus Anticoagulant | $300.00 | $135.00 |
| Inpatient Psychiatric Services | Manuel Diff | $300.00 | $36.00 |
| Inpatient Psychiatric Services | Metanephrines Urine | $300.00 | $128.00 |
| Inpatient Psychiatric Services | Microalbumin Urine | $300.00 | $59.00 |
| Inpatient Psychiatric Services | Misc Immun Proc | $300.00 | $393.00 |
| Inpatient Psychiatric Services | Ob Screen | $300.00 | $39.00 |
| Inpatient Psychiatric Services | Occult Blood | $300.00 | $39.00 |
| Inpatient Psychiatric Services | Ova Paras Smears | $300.00 | $83.00 |
| Inpatient Psychiatric Services | Ova Parasites Ocp | $300.00 | $120.00 |
| Inpatient Psychiatric Services | Pertussis Smears | $300.00 | $163.00 |
| Inpatient Psychiatric Services | Phelebotomy Theraputi | $300.00 | $94.00 |
| Inpatient Psychiatric Services | Platelet Cnt | $300.00 | $55.00 |
| Inpatient Psychiatric Services | Platelet Count Auto | $300.00 | $73.00 |
| Inpatient Psychiatric Services | Pra | $300.00 | $913.00 |
| Inpatient Psychiatric Services | Protein Electrophore | $300.00 | $309.00 |
| Inpatient Psychiatric Services | Protime | $300.00 | $94.00 |
| Inpatient Psychiatric Services | Quantiferon Tb Gold | $300.00 | $839.00 |
| Inpatient Psychiatric Services | Rapid Group A Strep | $300.00 | $104.00 |
| Inpatient Psychiatric Services | Rapid Group B Strep | $300.00 | $104.00 |
| Inpatient Psychiatric Services | Retic Absolute | $300.00 | $88.00 |
| Inpatient Psychiatric Services | Rheumatoid Arthritis Panel | $300.00 | $398.00 |
| Inpatient Psychiatric Services | Rocky Mountain Igg | $300.00 | $56.00 |
| Inpatient Psychiatric Services | RPR | $300.00 | $67.00 |
| Inpatient Psychiatric Services | RPR Titer | $300.00 | $53.00 |
| Inpatient Psychiatric Services | RSV | $300.00 | $220.00 |
| Inpatient Psychiatric Services | SED Rate | $300.00 | $53.00 |
| Inpatient Psychiatric Services | Sickle Cell Prep | $300.00 | $24.00 |
| Inpatient Psychiatric Services | Toxoplasma Ig6 Ab | $300.00 | $52.00 |
| Inpatient Psychiatric Services | Urea Breath Collect | $300.00 | $21.00 |
| Inpatient Psychiatric Services | Urinalysis | $300.00 | $81.00 |
| Inpatient Psychiatric Services | Urinalysis Chem Only | $300.00 | $42.00 |
| Inpatient Psychiatric Services | Urine 24 Hour | $300.00 | $60.00 |
| Inpatient Psychiatric Services | Urine Culture | $300.00 | $56.00 |
| Inpatient Psychiatric Services | Urine Immun Fixation | $300.00 | $100.00 |
| Inpatient Psychiatric Services | Urine Microscopic | $300.00 | $42.00 |
| Inpatient Psychiatric Services | Urobilinogen Urn Qua | $300.00 | $58.00 |
| Inpatient Psychiatric Services | Varicella | $300.00 | $147.00 |
| Inpatient Psychiatric Services | Venipuncture | $300.00 | $32.00 |
| Inpatient Psychiatric Services | WBC | $300.00 | $62.00 |
| Inpatient Psychiatric Services | WBC W Differential | $300.00 | $16.00 |
| Inpatient Psychiatric Services | West Nile Igm | $300.00 | $118.00 |
| Inpatient Psychiatric Services | Wet Mount | $300.00 | $32.00 |
| Inpatient Psychiatric Services | Tpa Tissue Plasminogen | $300.00 | $136.12 |
| Inpatient Psychiatric Services | Abbott Covid 19 ID Rapid Test | $300.00 | $73.23 |
| Inpatient Psychiatric Services | Acetone, Quant | $301.00 | $41.00 |
| Inpatient Psychiatric Services | Acetylcholine Recep | $301.00 | $157.00 |
| Inpatient Psychiatric Services | Actaminophen | $301.00 | $150.00 |
| Inpatient Psychiatric Services | Albumin Serum | $301.00 | $56.00 |
| Inpatient Psychiatric Services | Alcohol Urine | $301.00 | $121.00 |
| Inpatient Psychiatric Services | Aldolase | $301.00 | $27.00 |
| Inpatient Psychiatric Services | Alk Phos Isoenzymes | $301.00 | $65.00 |
| Inpatient Psychiatric Services | Alkaline Phosphatas | $301.00 | $65.00 |
| Inpatient Psychiatric Services | Alpha-1-Antitrypsiniphe | $301.00 | $195.00 |
| Inpatient Psychiatric Services | Alpha-Fetoprotein Amnio | $301.00 | $90.00 |
| Inpatient Psychiatric Services | Alpha-Fetoprotein Serum | $301.00 | $328.00 |
| Inpatient Psychiatric Services | Amikacin | $301.00 | $106.00 |
| Inpatient Psychiatric Services | Ammonia Blood | $301.00 | $165.00 |
| Inpatient Psychiatric Services | Amniostat | $301.00 | $84.00 |
| Inpatient Psychiatric Services | Amylase Serum | $301.00 | $87.00 |
| Inpatient Psychiatric Services | Angiotensin Conv Enzyme | $301.00 | $109.00 |
| Inpatient Psychiatric Services | Antidiuretic Hormone | $301.00 | $143.00 |
| Inpatient Psychiatric Services | Anti-Histone Abs | $301.00 | $49.00 |
| Inpatient Psychiatric Services | B Naturetic Peptide | $301.00 | $126.00 |
| Inpatient Psychiatric Services | Basic Metabolic Panel | $301.00 | $238.00 |
| Inpatient Psychiatric Services | Beta 2 Macroglobulin | $301.00 | $81.00 |
| Inpatient Psychiatric Services | Beta Hcg Quant Serum | $301.00 | $164.00 |
| Inpatient Psychiatric Services | Bilirubin Direct | $301.00 | $65.00 |
| Inpatient Psychiatric Services | Bilirubin Total | $301.00 | $71.00 |
| Inpatient Psychiatric Services | C Peptide | $301.00 | $45.00 |
| Inpatient Psychiatric Services | Calcium Blood | $301.00 | $70.00 |
| Inpatient Psychiatric Services | Calcium Ionized | $301.00 | $41.00 |
| Inpatient Psychiatric Services | Calcium Urine 24 | $301.00 | $104.00 |
| Inpatient Psychiatric Services | Carbamazepine (Tegretol) | $301.00 | $133.00 |
| Inpatient Psychiatric Services | Carbon Diox Co2 | $301.00 | $76.00 |
| Inpatient Psychiatric Services | Catecholamines Total Urin | $301.00 | $135.00 |
| Inpatient Psychiatric Services | CEA | $301.00 | $198.00 |
| Inpatient Psychiatric Services | Ceruloplasmin | $301.00 | $35.00 |
| Inpatient Psychiatric Services | Chloride Blood | $301.00 | $63.00 |
| Inpatient Psychiatric Services | Chloride Spinal Fluid | $301.00 | $63.00 |
| Inpatient Psychiatric Services | Chloride Urine | $301.00 | $62.00 |
| Inpatient Psychiatric Services | Cholesterol Hdl | $301.00 | $94.00 |
| Inpatient Psychiatric Services | Cholesterol Total | $301.00 | $62.00 |
| Inpatient Psychiatric Services | Cholinesterase | $301.00 | $101.00 |
| Inpatient Psychiatric Services | Comp Metabolic Panel | $301.00 | $401.00 |
| Inpatient Psychiatric Services | Cortisol Serum | $301.00 | $186.00 |
| Inpatient Psychiatric Services | CPK Isoenzymes | $301.00 | $125.00 |
| Inpatient Psychiatric Services | CPK-Mb | $301.00 | $130.00 |
| Inpatient Psychiatric Services | Creatine Kinase CPK Total | $301.00 | $106.00 |
| Inpatient Psychiatric Services | Creatinine Clearance | $301.00 | $163.00 |
| Inpatient Psychiatric Services | Creatinine Serum | $301.00 | $79.00 |
| Inpatient Psychiatric Services | Creatinine Urine | $301.00 | $88.00 |
| Inpatient Psychiatric Services | Cryoglobulin | $301.00 | $38.00 |
| Inpatient Psychiatric Services | Cyclosporine Level | $301.00 | $90.00 |
| Inpatient Psychiatric Services | Dhea S Serum | $301.00 | $186.00 |
| Inpatient Psychiatric Services | Digoxin Lab | $301.00 | $208.00 |
| Inpatient Psychiatric Services | Dimeric Inhibin A | $301.00 | $111.00 |
| Inpatient Psychiatric Services | Drug Screen Urine | $301.00 | $271.00 |
| Inpatient Psychiatric Services | Drug Screen:confirmation | $301.00 | $69.00 |
| Inpatient Psychiatric Services | Electrolyte Panel | $301.00 | $38.00 |
| Inpatient Psychiatric Services | Erythropoietin | $301.00 | $71.00 |
| Inpatient Psychiatric Services | Estradiol Serum | $301.00 | $278.00 |
| Inpatient Psychiatric Services | Estriol Unconjugate | $301.00 | $79.00 |
| Inpatient Psychiatric Services | Estrogen Level | $301.00 | $243.00 |
| Inpatient Psychiatric Services | Eth0suximide | $301.00 | $65.00 |
| Inpatient Psychiatric Services | Ethylene Glycol | $301.00 | $136.00 |
| Inpatient Psychiatric Services | Ferritin | $301.00 | $157.00 |
| Inpatient Psychiatric Services | Folic Acid Rbc | $301.00 | $132.00 |
| Inpatient Psychiatric Services | Folic Acid, Serum | $301.00 | $108.00 |
| Inpatient Psychiatric Services | FSH Follicle Stim-Ho | $301.00 | $123.00 |
| Inpatient Psychiatric Services | Gastrin Serum | $301.00 | $164.00 |
| Inpatient Psychiatric Services | Gentamicin Level | $301.00 | $149.00 |
| Inpatient Psychiatric Services | Ggt | $301.00 | $81.00 |
| Inpatient Psychiatric Services | Gloucose Body Fluid | $301.00 | $67.00 |
| Inpatient Psychiatric Services | Glucose | $301.00 | $60.00 |
| Inpatient Psychiatric Services | Glucose 5 Hr | $301.00 | $255.00 |
| Inpatient Psychiatric Services | Glucose Tol 2 Hr | $301.00 | $140.00 |
| Inpatient Psychiatric Services | Glucose Whole Blood | $301.00 | $24.00 |
| Inpatient Psychiatric Services | Glyconhemoglobin A1c | $301.00 | $114.00 |
| Inpatient Psychiatric Services | Haptoglobin Quant | $301.00 | $80.00 |
| Inpatient Psychiatric Services | Heavy Metal Qt Each | $301.00 | $58.00 |
| Inpatient Psychiatric Services | Hemoglobin Electroph | $301.00 | $94.00 |
| Inpatient Psychiatric Services | Hep C Pcr,quant | $301.00 | $285.00 |
| Inpatient Psychiatric Services | Hepatic Function Panel | $301.00 | $523.00 |
| Inpatient Psychiatric Services | Hepatitus Panel | $301.00 | $247.00 |
| Inpatient Psychiatric Services | Hiaa Urine | $301.00 | $150.00 |
| Inpatient Psychiatric Services | Homocystine Serum | $301.00 | $334.00 |
| Inpatient Psychiatric Services | Hydroxycorticosteriods | $301.00 | $443.00 |
| Inpatient Psychiatric Services | Hydroxyprogesterone 17-D | $301.00 | $324.00 |
| Inpatient Psychiatric Services | Immunoglobulin E | $301.00 | $130.00 |
| Inpatient Psychiatric Services | Immunoglobulin Iga Only | $301.00 | $70.00 |
| Inpatient Psychiatric Services | Insulin Total | $301.00 | $119.00 |
| Inpatient Psychiatric Services | Iron Binding Capacity | $301.00 | $90.00 |
| Inpatient Psychiatric Services | Iron Serum | $301.00 | $95.00 |
| Inpatient Psychiatric Services | Keppra Serum | $301.00 | $477.00 |
| Inpatient Psychiatric Services | Ketosteriods | $301.00 | $259.00 |
| Inpatient Psychiatric Services | L/S Ratio | $301.00 | $253.00 |
| Inpatient Psychiatric Services | Lactic Acid | $301.00 | $53.00 |
| Inpatient Psychiatric Services | LDH | $301.00 | $90.00 |
| Inpatient Psychiatric Services | LDH Isoenzymes | $301.00 | $136.00 |
| Inpatient Psychiatric Services | Ldl Measured | $301.00 | $36.00 |
| Inpatient Psychiatric Services | Lead Blood | $301.00 | $144.00 |
| Inpatient Psychiatric Services | Lipase | $301.00 | $79.00 |
| Inpatient Psychiatric Services | Lipid Profile | $301.00 | $100.00 |
| Inpatient Psychiatric Services | Lithium Quan | $301.00 | $93.00 |
| Inpatient Psychiatric Services | Liver Function Test Lft | $301.00 | $34.00 |
| Inpatient Psychiatric Services | Luteinizing Hormone | $301.00 | $114.00 |
| Inpatient Psychiatric Services | Magnesium | $301.00 | $81.00 |
| Inpatient Psychiatric Services | Mercury | $301.00 | $56.00 |
| Inpatient Psychiatric Services | Methylmalonic Acid | $301.00 | $347.00 |
| Inpatient Psychiatric Services | Misc Chem/Tox | $301.00 | $209.00 |
| Inpatient Psychiatric Services | Myoglobin Urine | $301.00 | $130.00 |
| Inpatient Psychiatric Services | Noratriptyline | $301.00 | $84.00 |
| Inpatient Psychiatric Services | Osmolality Blood | $301.00 | $59.00 |
| Inpatient Psychiatric Services | Osmolality Urine | $301.00 | $53.00 |
| Inpatient Psychiatric Services | Osullivan | $301.00 | $41.00 |
| Inpatient Psychiatric Services | Parathyroid Hormone | $301.00 | $432.00 |
| Inpatient Psychiatric Services | Ph Body Fluid | $301.00 | $44.00 |
| Inpatient Psychiatric Services | Phenobarbital | $301.00 | $128.00 |
| Inpatient Psychiatric Services | Phenytoin/Dilantin | $301.00 | $77.00 |
| Inpatient Psychiatric Services | Phosphorus Serum | $301.00 | $67.00 |
| Inpatient Psychiatric Services | Porphyrins Urine 24hr | $301.00 | $151.00 |
| Inpatient Psychiatric Services | Potassium Serum | $301.00 | $76.00 |
| Inpatient Psychiatric Services | Potassium Urine | $301.00 | $88.00 |
| Inpatient Psychiatric Services | Pre Albumin | $301.00 | $95.00 |
| Inpatient Psychiatric Services | Preg Test Quan Bhcg | $301.00 | $123.00 |
| Inpatient Psychiatric Services | Primidone (Mysoline) | $301.00 | $165.00 |
| Inpatient Psychiatric Services | Procainamide | $301.00 | $136.00 |
| Inpatient Psychiatric Services | Proclactin | $301.00 | $149.00 |
| Inpatient Psychiatric Services | Progesterone | $301.00 | $164.00 |
| Inpatient Psychiatric Services | Prostatic Acid Phosphatas | $301.00 | $106.00 |
| Inpatient Psychiatric Services | Protein S Antigen | $301.00 | $473.00 |
| Inpatient Psychiatric Services | Protein Total | $301.00 | $60.00 |
| Inpatient Psychiatric Services | PSA Free | $301.00 | $73.00 |
| Inpatient Psychiatric Services | PSA Total | $301.00 | $95.00 |
| Inpatient Psychiatric Services | Quinidine Level | $301.00 | $121.00 |
| Inpatient Psychiatric Services | Renal Function Panel | $301.00 | $256.00 |
| Inpatient Psychiatric Services | Salicylate | $301.00 | $150.00 |
| Inpatient Psychiatric Services | Sgot or AST | $301.00 | $79.00 |
| Inpatient Psychiatric Services | Sgpt or ALT | $301.00 | $87.00 |
| Inpatient Psychiatric Services | Sodium Serum | $301.00 | $62.00 |
| Inpatient Psychiatric Services | Sodium Urine | $301.00 | $70.00 |
| Inpatient Psychiatric Services | Stone Analysis | $301.00 | $732.00 |
| Inpatient Psychiatric Services | Stone Rosk Citrate | $301.00 | $397.00 |
| Inpatient Psychiatric Services | T-3 Free | $301.00 | $174.00 |
| Inpatient Psychiatric Services | T-3 Resin Uptake | $301.00 | $112.00 |
| Inpatient Psychiatric Services | Testosterone Free | $301.00 | $39.00 |
| Inpatient Psychiatric Services | Testosterone Total | $301.00 | $73.00 |
| Inpatient Psychiatric Services | Theophylline Level | $301.00 | $125.00 |
| Inpatient Psychiatric Services | Thiamine Vit B1 | $301.00 | $227.00 |
| Inpatient Psychiatric Services | Thyroglobulin Antibody | $301.00 | $522.00 |
| Inpatient Psychiatric Services | Thyroxine Free T4 | $301.00 | $83.00 |
| Inpatient Psychiatric Services | Thyroxine Total T4 | $301.00 | $69.00 |
| Inpatient Psychiatric Services | Tobramycin Test | $301.00 | $192.00 |
| Inpatient Psychiatric Services | Topiramate Quant | $301.00 | $123.00 |
| Inpatient Psychiatric Services | Transferrin | $301.00 | $112.00 |
| Inpatient Psychiatric Services | Triglycerides | $301.00 | $105.00 |
| Inpatient Psychiatric Services | Troponin Quantitative | $301.00 | $90.00 |
| Inpatient Psychiatric Services | TSH Thyroid Stim Hormone | $301.00 | $283.00 |
| Inpatient Psychiatric Services | Urea Nitrogen BUN | $301.00 | $63.00 |
| Inpatient Psychiatric Services | Uric Acid Serum | $301.00 | $81.00 |
| Inpatient Psychiatric Services | Uric Acid Urine | $301.00 | $80.00 |
| Inpatient Psychiatric Services | Valproic Ac (Dapakene) Tot&or | $301.00 | $173.00 |
| Inpatient Psychiatric Services | Vitamin B12 | $301.00 | $151.00 |
| Inpatient Psychiatric Services | Vitamin D Level | $301.00 | $1,085.44 |
| Inpatient Psychiatric Services | Vma Urine | $301.00 | $157.00 |
| Inpatient Psychiatric Services | Renin | $301.00 | $217.00 |
| Inpatient Psychiatric Services | Antibody Elution | $302.00 | $104.00 |
| Inpatient Psychiatric Services | Antibody ID | $302.00 | $147.00 |
| Inpatient Psychiatric Services | Antibody Influenza Virus B | $302.00 | $100.00 |
| Inpatient Psychiatric Services | Antibody Screen | $302.00 | $111.00 |
| Inpatient Psychiatric Services | Aso Screen | $302.00 | $87.00 |
| Inpatient Psychiatric Services | C Reactive Protein | $302.00 | $34.00 |
| Inpatient Psychiatric Services | Ca 125 | $302.00 | $161.00 |
| Inpatient Psychiatric Services | Ca 15-3 | $302.00 | $147.00 |
| Inpatient Psychiatric Services | Ca 19-9 | $302.00 | $163.00 |
| Inpatient Psychiatric Services | Ca 27-29 | $302.00 | $132.00 |
| Inpatient Psychiatric Services | Clotest/Culture Urine | $302.00 | $62.00 |
| Inpatient Psychiatric Services | Cold Agglutinins Titer | $302.00 | $70.00 |
| Inpatient Psychiatric Services | Complement C3 Antigen | $302.00 | $90.00 |
| Inpatient Psychiatric Services | Crossmatch Ahg/Unit | $302.00 | $94.00 |
| Inpatient Psychiatric Services | Crossmatch is | $302.00 | $79.00 |
| Inpatient Psychiatric Services | Cryptococcal Antigen | $302.00 | $80.00 |
| Inpatient Psychiatric Services | Direct Coombs | $302.00 | $80.00 |
| Inpatient Psychiatric Services | Fta-Abs | $302.00 | $105.00 |
| Inpatient Psychiatric Services | Hepatitis A Antibody Igm | $302.00 | $115.00 |
| Inpatient Psychiatric Services | Lyme Disease Antibody | $302.00 | $153.00 |
| Inpatient Psychiatric Services | Mitochondrial Antibody | $302.00 | $83.00 |
| Inpatient Psychiatric Services | Mono Test | $302.00 | $81.00 |
| Inpatient Psychiatric Services | Mycoplasma Latex Antibody | $302.00 | $150.00 |
| Inpatient Psychiatric Services | Platelet Antibody | $302.00 | $215.00 |
| Inpatient Psychiatric Services | Rotavirus | $302.00 | $128.00 |
| Inpatient Psychiatric Services | Rubella Titer | $302.00 | $53.00 |
| Inpatient Psychiatric Services | Toxoplasma Igm Ab | $302.00 | $109.00 |
| Inpatient Psychiatric Services | Rubeola Titer | $302.00 | $132.00 |
| Inpatient Psychiatric Services | Antithrombin Iii As | $305.00 | $147.00 |
| Inpatient Psychiatric Services | Aptt | $305.00 | $97.00 |
| Inpatient Psychiatric Services | Bleeding Time | $305.00 | $59.00 |
| Inpatient Psychiatric Services | CBC Complete Automated | $305.00 | $15.00 |
| Inpatient Psychiatric Services | D Dimer | $305.00 | $52.00 |
| Inpatient Psychiatric Services | Factor 8 Level | $305.00 | $380.00 |
| Inpatient Psychiatric Services | Factor V Clotting | $305.00 | $264.00 |
| Inpatient Psychiatric Services | Hematocrit | $305.00 | $36.00 |
| Inpatient Psychiatric Services | Hematocrit Spun | $305.00 | $27.00 |
| Inpatient Psychiatric Services | Hemoglobin | $305.00 | $36.00 |
| Inpatient Psychiatric Services | Hemogram/Platelet Automated | $305.00 | $80.00 |
| Inpatient Psychiatric Services | Leukocyte Alkaline Phos | $305.00 | $81.00 |
| Inpatient Psychiatric Services | Protein C Antigen | $305.00 | $215.00 |
| Inpatient Psychiatric Services | Reticulocyte Count | $305.00 | $39.00 |
| Inpatient Psychiatric Services | Hemoglobin A1c | $305.00 | $114.00 |
| Inpatient Psychiatric Services | Clostridium Diff Tox | $306.00 | $52.00 |
| Inpatient Psychiatric Services | Cult Fungi Other | $306.00 | $109.00 |
| Inpatient Psychiatric Services | Cult Grp B Strep | $306.00 | $606.00 |
| Inpatient Psychiatric Services | Culture Anaerobic | $306.00 | $136.00 |
| Inpatient Psychiatric Services | Culture Blood | $306.00 | $205.00 |
| Inpatient Psychiatric Services | Culture Sputum | $306.00 | $100.00 |
| Inpatient Psychiatric Services | Culture Stool Routine | $306.00 | $109.00 |
| Inpatient Psychiatric Services | Culture Viral | $306.00 | $258.00 |
| Inpatient Psychiatric Services | Gondrrhea by Ona Prose | $306.00 | $34.00 |
| Inpatient Psychiatric Services | Gram Stain | $306.00 | $62.00 |
| Inpatient Psychiatric Services | Koh Prep | $306.00 | $29.00 |
| Inpatient Psychiatric Services | Pinworm Prep | $306.00 | $52.00 |
| Inpatient Psychiatric Services | Sensitivity Mic | $306.00 | $106.00 |
| Inpatient Psychiatric Services | Cytopathology Sce W/Interpret | $311.00 | $532.00 |
| Inpatient Psychiatric Services | A/C Joints Bilateral | $320.00 | $206.00 |
| Inpatient Psychiatric Services | Abdomen One View | $320.00 | $262.00 |
| Inpatient Psychiatric Services | Ankle Ap & Lat | $320.00 | $167.00 |
| Inpatient Psychiatric Services | Ankle Complete | $320.00 | $248.00 |
| Inpatient Psychiatric Services | Barium Swallow | $320.00 | $836.00 |
| Inpatient Psychiatric Services | Bladder Scan | $320.00 | $69.00 |
| Inpatient Psychiatric Services | Cerv Spine Comp I/F | $320.00 | $52.00 |
| Inpatient Psychiatric Services | Cholecysto Oral Contrast | $320.00 | $337.00 |
| Inpatient Psychiatric Services | Coccyx | $320.00 | $223.00 |
| Inpatient Psychiatric Services | Colon Barium | $320.00 | $506.00 |
| Inpatient Psychiatric Services | Colon Barium W/Air | $320.00 | $538.00 |
| Inpatient Psychiatric Services | Contrast Xray Uniary | $320.00 | $151.00 |
| Inpatient Psychiatric Services | Cystogram S&i | $320.00 | $470.00 |
| Inpatient Psychiatric Services | Abdomen Complete | $320.00 | $412.00 |
| Inpatient Psychiatric Services | Elbow Ap & Lat | $320.00 | $161.00 |
| Inpatient Psychiatric Services | Elbow Complete | $320.00 | $337.00 |
| Inpatient Psychiatric Services | Elbow Complete I/F | $320.00 | $337.00 |
| Inpatient Psychiatric Services | Foot Complete 3 Views | $320.00 | $387.00 |
| Inpatient Psychiatric Services | Foot Complete I/F | $320.00 | $240.00 |
| Inpatient Psychiatric Services | Forearm 1 Joint | $320.00 | $210.00 |
| Inpatient Psychiatric Services | Forearm 2 Views I/F | $320.00 | $264.00 |
| Inpatient Psychiatric Services | Hand Complete | $320.00 | $240.00 |
| Inpatient Psychiatric Services | Hand Complete I/F | $320.00 | $299.00 |
| Inpatient Psychiatric Services | Hand Two Views | $320.00 | $95.00 |
| Inpatient Psychiatric Services | Hip 2 Views I/F | $320.00 | $405.00 |
| Inpatient Psychiatric Services | Hip Uni Two Views | $320.00 | $323.00 |
| Inpatient Psychiatric Services | Esophagus | $320.00 | $356.00 |
| Inpatient Psychiatric Services | Facial Bones Comp | $320.00 | $306.00 |
| Inpatient Psychiatric Services | Femur | $320.00 | $241.00 |
| Inpatient Psychiatric Services | Finger 2 Views Min I/F | $320.00 | $245.00 |
| Inpatient Psychiatric Services | Fingers | $320.00 | $198.00 |
| Inpatient Psychiatric Services | Foot Ap & Lat | $320.00 | $177.00 |
| Inpatient Psychiatric Services | Humerus | $320.00 | $210.00 |
| Inpatient Psychiatric Services | Ip Ini Limited | $320.00 | $248.00 |
| Inpatient Psychiatric Services | Knee 2 Views I/F | $320.00 | $307.00 |
| Inpatient Psychiatric Services | Knee Ap and Lateral | $320.00 | $173.00 |
| Inpatient Psychiatric Services | Knee Completed | $320.00 | $245.00 |
| Inpatient Psychiatric Services | Kub | $320.00 | $240.00 |
| Inpatient Psychiatric Services | Mandible Complete | $320.00 | $267.00 |
| Inpatient Psychiatric Services | Mandible Copl I/F | $320.00 | $267.00 |
| Inpatient Psychiatric Services | Mandible Limited | $320.00 | $210.00 |
| Inpatient Psychiatric Services | Mastoid Complete | $320.00 | $269.00 |
| Inpatient Psychiatric Services | Nasal Bones Only | $320.00 | $210.00 |
| Inpatient Psychiatric Services | Orbit X-Ray | $320.00 | $318.00 |
| Inpatient Psychiatric Services | Os Calcis | $320.00 | $202.00 |
| Inpatient Psychiatric Services | Os Calcis 2 Views I/F | $320.00 | $202.00 |
| Inpatient Psychiatric Services | Pelvis 2 Views | $320.00 | $311.00 |
| Inpatient Psychiatric Services | Pelvis Min 3 Views | $320.00 | $311.00 |
| Inpatient Psychiatric Services | Pyelogram Retro | $320.00 | $1,764.00 |
| Inpatient Psychiatric Services | Ribs Bilateral | $320.00 | $370.00 |
| Inpatient Psychiatric Services | Ribs Unilat 2 Views I/F | $320.00 | $370.00 |
| Inpatient Psychiatric Services | Ribs Unilateral | $320.00 | $253.00 |
| Inpatient Psychiatric Services | Sacroiliac | $320.00 | $293.00 |
| Inpatient Psychiatric Services | Sacrum | $320.00 | $311.00 |
| Inpatient Psychiatric Services | Scapula | $320.00 | $215.00 |
| Inpatient Psychiatric Services | Shoulder 3 Views | $320.00 | $335.00 |
| Inpatient Psychiatric Services | Shoulder Compl I/F | $320.00 | $245.00 |
| Inpatient Psychiatric Services | Shoulder Limited | $320.00 | $164.00 |
| Inpatient Psychiatric Services | Sinuses Complete | $320.00 | $358.00 |
| Inpatient Psychiatric Services | Sinuses Limited | $320.00 | $220.00 |
| Inpatient Psychiatric Services | Skull Complete | $320.00 | $405.00 |
| Inpatient Psychiatric Services | Skull Complete I/F | $320.00 | $405.00 |
| Inpatient Psychiatric Services | Skull Limited | $320.00 | $259.00 |
| Inpatient Psychiatric Services | Spine Cerv 3 Views | $320.00 | $331.00 |
| Inpatient Psychiatric Services | Spine Cervical Compl | $320.00 | $443.00 |
| Inpatient Psychiatric Services | Spine Lumb 3 Views | $320.00 | $454.00 |
| Inpatient Psychiatric Services | Spine Lumb Complete | $320.00 | $426.00 |
| Inpatient Psychiatric Services | Spine Thoracic 2 Views | $320.00 | $300.00 |
| Inpatient Psychiatric Services | Sternaclavc Jnts | $320.00 | $220.00 |
| Inpatient Psychiatric Services | Sternum | $320.00 | $271.00 |
| Inpatient Psychiatric Services | Tempmndublr Jnts | $320.00 | $271.00 |
| Inpatient Psychiatric Services | Tibia and Fibula | $320.00 | $223.00 |
| Inpatient Psychiatric Services | Upper Gi Series | $320.00 | $610.00 |
| Inpatient Psychiatric Services | Upper Gi Small Bowel | $320.00 | $594.00 |
| Inpatient Psychiatric Services | Venogram Unilateral | $320.00 | $3,116.00 |
| Inpatient Psychiatric Services | Wrist Ap & Lat | $320.00 | $173.00 |
| Inpatient Psychiatric Services | Wrist Complete | $320.00 | $245.00 |
| Inpatient Psychiatric Services | Xray Exam of Eye Socket | $320.00 | $44.00 |
| Inpatient Psychiatric Services | Xray Le Toes Min 2 Views | $320.00 | $185.00 |
| Inpatient Psychiatric Services | Artho Shoulder | $322.00 | $648.00 |
| Inpatient Psychiatric Services | Chest 1 View I/F | $324.00 | $223.00 |
| Inpatient Psychiatric Services | Chest Complate 4 Views | $324.00 | $352.00 |
| Inpatient Psychiatric Services | Chest One View | $324.00 | $223.00 |
| Inpatient Psychiatric Services | Chest Three Views | $324.00 | $272.00 |
| Inpatient Psychiatric Services | Chest Two Views | $324.00 | $279.00 |
| Inpatient Psychiatric Services | CT Cerv Spin Wo Cont | $350.00 | $7,418.00 |
| Inpatient Psychiatric Services | CT Chest W/Con | $350.00 | $1,976.00 |
| Inpatient Psychiatric Services | CT Chest W/O Contrast | $350.00 | $1,801.00 |
| Inpatient Psychiatric Services | CT Chest W/Wo Contrast | $350.00 | $4,469.00 |
| Inpatient Psychiatric Services | CT Facial W/O | $350.00 | $1,697.00 |
| Inpatient Psychiatric Services | CT Neck W/Wo Con | $350.00 | $4,138.00 |
| Inpatient Psychiatric Services | CT Pelvis W/Con | $350.00 | $2,737.00 |
| Inpatient Psychiatric Services | CT Pelvis W/O Con | $350.00 | $1,752.00 |
| Inpatient Psychiatric Services | CT Pelvis W/Wo Con | $350.00 | $3,340.00 |
| Inpatient Psychiatric Services | CT Head W/Contrast | $351.00 | $2,376.00 |
| Inpatient Psychiatric Services | CT Head W/O Contrast | $351.00 | $2,461.00 |
| Inpatient Psychiatric Services | CT Head W/Wo Contrast | $351.00 | $3,387.00 |
| Inpatient Psychiatric Services | CT Abd W/Con | $352.00 | $2,543.00 |
| Inpatient Psychiatric Services | CT Abd W/O Con | $352.00 | $2,360.00 |
| Inpatient Psychiatric Services | CT Abd W/Wo Con | $352.00 | $4,469.00 |
| Inpatient Psychiatric Services | Renal Sonogram | $400.00 | $1,752.00 |
| Inpatient Psychiatric Services | Arterial Doppler Ultrasound | $400.00 | $2,414.00 |
| Inpatient Psychiatric Services | Ultrasound, Abd,b-Scan W/Docu | $402.00 | $1,867.00 |
| Inpatient Psychiatric Services | CPAP | $410.00 | $392.00 |
| Inpatient Psychiatric Services | CPAP Mask | $410.00 | $131.00 |
| Inpatient Psychiatric Services | Mdi | $410.00 | $73.00 |
| Inpatient Psychiatric Services | Non Rebreather | $410.00 | $10.00 |
| Inpatient Psychiatric Services | Oxygen Mask | $410.00 | $10.00 |
| Inpatient Psychiatric Services | Oxygen Setup | $410.00 | $10.00 |
| Inpatient Psychiatric Services | Oxygen Standby/Daily | $410.00 | $4.00 |
| Inpatient Psychiatric Services | Pulse Oximeter Single Test | $410.00 | $159.00 |
| Inpatient Psychiatric Services | Resp Ther/Nebulizer Tx | $410.00 | $293.00 |
| Inpatient Psychiatric Services | Resp. Therapist 15 Min=1 Unit | $410.00 | $255.00 |
| Inpatient Psychiatric Services | Respiratory Therapy Eval 1unit | $410.00 | $255.00 |
| Inpatient Psychiatric Services | Suction | $410.00 | $87.00 |
| Inpatient Psychiatric Services | Suction Equip Daily | $410.00 | $69.00 |
| Inpatient Psychiatric Services | Suction Set Up | $410.00 | $114.00 |
| Inpatient Psychiatric Services | Nebulizer W/Add Meds | $412.00 | $159.00 |
| Inpatient Psychiatric Services | Oxygen Continuous/Hour | $412.00 | $36.00 |
| Inpatient Psychiatric Services | Oxygen Daily Maintenance | $412.00 | $44.00 |
| Inpatient Psychiatric Services | Portable O2 | $412.00 | $18.00 |
| Inpatient Psychiatric Services | Pulse Ox/Multiple | $412.00 | $36.00 |
| Inpatient Psychiatric Services | Gait Training 15 Min | $420.00 | $425.00 |
| Inpatient Psychiatric Services | Manual Therapy 15 Min | $420.00 | $309.00 |
| Inpatient Psychiatric Services | Physical Ther. Activities | $420.00 | $425.00 |
| Inpatient Psychiatric Services | Physical Therapy Eval 30 Min | $420.00 | $62.00 |
| Inpatient Psychiatric Services | Physical Therapy Procedures | $420.00 | $212.00 |
| Inpatient Psychiatric Services | Speech Motion Fluoro by Video | $442.00 | $618.00 |
| Inpatient Psychiatric Services | Speech Therapy | $442.00 | $341.00 |
| Inpatient Psychiatric Services | Speech Oral-Dysphagia Eval | $444.00 | $464.00 |
| Inpatient Psychiatric Services | Speech Therapy Eval | $444.00 | $558.00 |
| Inpatient Psychiatric Services | Swallow Clinical Eval | $444.00 | $854.00 |
| Inpatient Psychiatric Services | MRI Brain Wo Cont | $611.00 | $3,012.00 |
| Inpatient Psychiatric Services | MRI L-Spine W&wo Cont | $612.00 | $3,884.00 |
| Inpatient Psychiatric Services | MRI Add'l Levels | $614.00 | $838.00 |
| Inpatient Psychiatric Services | FluZONE QUAD 2022-2023 | $636.00 | $34.58 |
| Inpatient Psychiatric Services | Phenytoin Sodium | $636.00 | $0.00 |
| Inpatient Psychiatric Services | Calcium Chloride | $636.00 | $21.00 |
| Inpatient Psychiatric Services | EKG | $730.00 | $370.00 |
| Inpatient Psychiatric Services | EEG | $740.00 | $960.00 |
| Inpatient Psychiatric Services | Patient Education Group Sessio | $900.00 | $390.00 |
| Inpatient Psychiatric Services | Educational 60 Mi | $900.00 | $500.00 |
| Inpatient Psychiatric Services | Nursing Assessment | $900.00 | $500.00 |
| Inpatient Psychiatric Services | Bio Psychosocial Assess 45-60 | $900.00 | $247.00 |
| Inpatient Psychiatric Services | Activity Therapy 45 or More | $904.00 | $327.00 |
| Inpatient Psychiatric Services | Training Education 45 or More | $913.00 | $327.00 |
| Inpatient Psychiatric Services | Individual Psychotherapy 30 Mi | $914.00 | $249.00 |
| Inpatient Psychiatric Services | Individual Psychotherapy 45-50 | $914.00 | $327.00 |
| Inpatient Psychiatric Services | Individual Psychotherapy 60 Mi | $914.00 | $500.00 |
| Inpatient Psychiatric Services | Group Psychotherapy | $915.00 | $327.00 |
| Inpatient Psychiatric Services | Group Psychotherapy 45-50 Mi | $915.00 | $350.00 |
| Inpatient Psychiatric Services | Group Psychotherapy 60 Mi | $915.00 | $390.00 |
| Inpatient Psychiatric Services | Interactive Grp Psy 45 to 50 | $915.00 | $327.00 |
| Inpatient Psychiatric Services | Cojoint (Couple Therapy 60 Mi | $916.00 | $155.00 |
| Inpatient Psychiatric Services | Cojoint (Couple) Therapy | $916.00 | $392.00 |
| Inpatient Psychiatric Services | Cojoint (Couple) Therapy 90 Mi | $916.00 | $233.00 |
| Inpatient Psychiatric Services | Family Psychotherapy W/O PT | $916.00 | $419.00 |
| Inpatient Psychiatric Services | Family Psychotherapy W/PT | $916.00 | $500.00 |
| Inpatient Psychiatric Services | Emg Electromyograph | $922.00 | $960.00 |
| Inpatient Psychiatric Services | Rec Therapy 15 Min | $941.00 | $34.00 |
| Intensive Outpatient Services (IOP) | Individual Psychotherapy 30 Mi | $914.00 | $249.00 |
| Intensive Outpatient Services (IOP) | Individual Psychotherapy 45-50 | $914.00 | $327.00 |
| Intensive Outpatient Services (IOP) | Individual Psychotherapy 60 Mi | $914.00 | $500.00 |
| Intensive Outpatient Services (IOP) | Group Psychotherapy | $915.00 | $327.00 |
| Intensive Outpatient Services (IOP) | Group Psychotherapy 45-50 Mi | $915.00 | $350.00 |
| Intensive Outpatient Services (IOP) | Group Psychotherapy 60 Mi | $915.00 | $390.00 |
| Intensive Outpatient Services (IOP) | Interactive Grp Psy 45 to 50 | $915.00 | $327.00 |
| Intensive Outpatient Services (IOP) | Cojoint (Couple Therapy 60 Mi | $916.00 | $155.00 |
| Intensive Outpatient Services (IOP) | Cojoint (Couple) Therapy | $916.00 | $392.00 |
| Intensive Outpatient Services (IOP) | Cojoint (Couple) Therapy 90 Mi | $916.00 | $233.00 |
| Intensive Outpatient Services (IOP) | Family Psychotherapy W/O PT | $916.00 | $419.00 |
| Intensive Outpatient Services (IOP) | Family Psychotherapy W/PT | $916.00 | $500.00 |