PRICE LISTS FOR ENDOCRINE MEDICATIONS & SUPPLIES

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1 ENDOCRINOLOGY & DIABETES UNIT Endocrinology Clinic: Toll-free Phone: , x2117 Fax: PRICE LISTS FOR ENDOCRINE MEDICATIONS & SUPPLIES DRUG... $ COST per unit*... $ COST* Alfacalcidiol (One-Alpha ) 2 mcg/ml drops /mcg /10 ml 0.25-mcg caps /mcg /100 caps 1-mcg caps /mcg /100 caps Bromocriptine Mesylate (Parlodel ) 2.5-mg tabs /tab /100 tabs Cabergoline (Dostinex ) 0.5-mg tabs /tab /8 tabs Calcitriol (Rocaltrol ) 0.25-mcg cap /mcg /100 caps 0.5-mcg cap /mcg /100 caps Cholecalciferol (Ddrops ) Babies: 400 IU/drop /400 IU /90 drops Kids: 400 IU/drop /400 IU /60 drops Adults: 1000 IU/drop /400 IU /180 drops Chorionic Gonadotropin (Pregnyl ) 10,0000-unit vial /vial Desmopressin Acetate (DDAVP ) 100 mcg/ml solution /mcg /2.5-mL bottle 10 mcg/spray /mcg /2.5-mL (25-spray) bottle 10 mcg/spray /mcg /5-mL (50-spray) bottle 0.1-mg tab /tab /100 tabs 0.2-mg tab /tab /100 tabs 60-mcg melts /melt /100 melts 120-mcg melts /melt /100 melts Diazoxide (Proglycem ) 50 mg/ml suspension compounded, depends on volume 100-mg cap /100 mg /100 caps Eflornithine Hydrochloride (Vaniqa ) 30-g tube /tube September 8, Page 1 of 6

2 EMLA cream 30-g tube /tube, by Rx 50.55/tube Estradiol-17β (Estrace ) 0.5-mg tab /mg /100 tabs 1.0-mg tab /mg /100 tabs 2.0-mg tab /mg /100 tabs Ethinyl Estradiol 5-, 10- and 20-mcg caps /cap /100 caps 2.5-mcg caps /cap /100 caps 7.5-mcg caps /cap /100 caps Fludrocortisone Acetate (Florinef ) 0.1-mg tab /tab /100 tabs Glucagon Injection (Lilly Glucagon, GlucaGen ) 1-mg kit /kit Glucocorticoid Formulations Dexamethasone 0.1 mg/ml elixir (BCCH only) /mg /100 ml 1 mg/ml elixir /mg /100 ml 0.5-mg tab /mg /100 tabs Hydrocortisone (Cortef ) 5-mg tab (BCCH only) compassionate supply 10-mg tab /mg /100 tabs Hydrocortisone Sodium Succinate (Solu-Cortef ) 100 mg/2-ml vial /100 mg /vial 250 mg/2-ml vial /100 mg /vial Methylprednisolone Acetate (Depo-Medrol ) 20 mg/1-ml /mg /5-mL vial Prednisolone Sodium Phosphate (Pediapred ) 1-mg/mL liquid /mg /100 ml Prednisone 1-mg tab /mg /100 tabs 5-mg tab /mg /100 tabs September 8, Page 2 of 6

3 Growth Hormone (Somatropin) Formulations Genotropin 5.3-mg GoQuick pen ( ) /mg /5 pens 12-mg GoQuick pen ( ) /mg /5 pens 0.6-mg GoMini syringe ( ) /mg /7 syringes 0.8-mg GoMini syringe ( ) /mg /7 syringes 1.0-mg GoMini syringe ( ) /mg /7 syringes 1.2-mg GoMini syringe ( ) /mg /7 syringes 1.4-mg GoMini syringe ( ) /mg /7 syringes 1.6-mg GoMini syringe ( ) /mg /7 syringes 1.8-mg GoMini syringe ( ) /mg /7 syringes 2.0-mg GoMini syringe ( ) /mg /7 syringes Humatrope 5-mg vial ( ) /mg /vial 6-mg cartridge ( ) /mg /cartridge 12-mg cartridge ( ) /mg /cartridge 24-mg cartridge ( ) /mg /cartridge Nutropin AQ 5-mg NuSpin cartridge ( ) /mg /cartridge 10-mg NuSpin cartridge ( ) /mg /cartridge 20-mg NuSpin cartridge ( ) /mg /cartridge Saizen 5-mg vial ( ) /mg /vial 6-mg liquid cartridge ( ) /mg /cartridge 12-mg liquid cartridge ( ) /mg /cartridge 20-mg liquid cartridge ( ) /mg /cartridge Omnitrope 5-mg vial ( ) /mg /vial 10-mg vial ( ) /mg /vial Norditropin 5-mg Nordiflex pen ( ) /mg /vial 10-mg Nordiflex pen ( ) /mg /vial 15-mg Nordiflex pen ( ) /mg /vial Leuprolide Acetate (Lupron Depot ) 3.75-mg (1-monthly) kit ( ) /mg /kit 7.5-mg (1-monthly) kit ( ) /mg /kit mg (3-monthly) kit ( ) /mg /kit 22.5-mg (3-monthly) kit ( ) /mg /kit 30-mg (4-monthly) kit ( ) /mg /kit September 8, Page 3 of 6

4 L-thyroxine (Synthroid, Eltroxin ) 25-mcg tab /tab /100 tabs 50-mcg tab /tab /100 tabs 75-mcg tab /tab /100 tabs 88-mcg tab /tab /100 tabs 100-mcg tab /tab /100 tabs 112-mcg tab /tab /100 tabs 125-mcg tab /tab /100 tabs 137-mcg tab /tab /100 tabs 150-mcg tab /tab /100 tabs 175-mcg tab /tab /100 tabs 200-mcg tab /tab /100 tabs Medroxyprogesterone Acetate (Provera ) 2.5-mg tab /mg /100 tabs 5-mg tab /mg /100 tabs 10-mg tab /mg /100 tabs Medroxyprogesterone Acetate (Depo-Provera ) 150-mg vial /vial Metformin (Glucophage ) 500-mg tab /100 mg /100 tabs 850-mg tab /100 mg /100 tabs Methimazole/Thiamazole (Tapazole ) 5-mg tab /mg /100 tabs 10-mg tabs /mg /100 tabs Octreotide (Sandostatin ) 50 mcg/ml, 1-mL amp /mcg /amp 100 mcg/ml, 1-mL amp /mcg /amp 500 mcg/ml, 1-mL amp /mcg /amp 200 mcg/ml, 5-mL vial /mcg /vial LAR, 20-mg vial /mcg /vial LAR, 30-mg vial /mcg /vial Oral Contraceptive Pills Yaz-28, Alesse-28, Diane-28, Aviane... ~25.00/cycle Phosphate, Sodium Acid (Phosphate-Novartis ) 500-mg tab (16 mmol) /100 mg /100 tabs Phosphate, Potassium Acid (K-Phos Original ) 114-mg tab (3.6 mmol) /100 mg /100 tabs 94 mg (3 mmol)/ml IV solution /100 mg /100 ml September 8, Page 4 of 6

5 Propranolol (Inderal ) 10-mg tab /10 mg /100 tabs 40-mg tab /10 mg /100 tabs Propylthiouracil (PTU, Propyl-Thyracil ) 50-mg tab /100 mg /100 tabs 100-mg tab /100 mg /100 tabs Sodium Chloride 2.5 meq/ml (14.6%) solution /gram /20-mL vial 1-gram caps /gram /100 caps Spironolactone (Aldactone ) 25-mg tab /100 mg /100 tabs 100-mg tab /100 mg /100 tabs Testosterone Cypionate (Depo-Testosterone ) 100 mg /ml suspension /100 mg /10-mL vial Testosterone Gel 1% (AndroGel ) g pumps /g /2 pumps 2.5-g foil pack /g /30 pack 5-g foil packs /g /30 pack Testosterone Gel 1% (Testim ) 5-g foil packs /g /30 pack Testosterone Enanthate (Delatestryl ) 200 mg /ml suspension /100 mg /5-mL vial Triptorelin (Decapeptyl-CR ) 3.75-mg kit /mg /kit SUPPLY... $ COST per unit... $ COST Syringes, Plain 1-cc (Luer Lock) /100 3-cc /100 5-cc /100 BD Ultrafine Insulin Syringes 30-G, 8-mm, 30/50/100-U / G, 6mm, 30 U / G. 6mm, 50-U / G, 6mm, 100-U /100 September 8, Page 5 of 6

6 Needles, Plain 23-G, 1-in /100 BD Ultrafine Pen Needles 31-G, 8-mm / G, 5-mm / G, 4-mm /100 Alcohol swabs 200-ct box /box *These prices are primarily based on patient cost at the BCCH Outpatient Pharmacy. Prices will likely vary by community, pharmacy, and quantity purchased. Dispensing fees are extra. The BC Ministry of Health Services maintains a searchable PharmaCare Formulary which includes the maximum price of a drug covered by BC PharmaCare. It is available at September 8, Page 6 of 6