DREW UNIVERSITY HEALTH SERVICES
Spring 2016 – MEDICATION FEE SCHEDULE
Welcome to Drew University Health Services. All services are discounted or are at no cost to students. Cash, checks, and the all-campus I.D. card may be used for
payment when fees are applied. Payments not received by the end of the 3rd calendar day from time of service (i.e., charges for Monday visit are due Thursday) are
forwarded to the Business Office and a_$10.00 service charge will be added. Students enrolled in the Drew student insurance plan will not be billed for prescription
medications that are marked in Red. Payment for off-campus care is the responsibility of the patient. Receipts suitable for submission for reimbursement to private
insurance are provided.
PAYMENT IS EXPECTED AT THE TIME OF SERVICE.
Qty
MEDICATION
Cost
Qty
MEDICATION
Cost
30
Escitalopram (Lexapro) 20mg tablet
$14.00
17G
Albuterol Inhaler (ProAir)
$60.00
14
Metronidazole 500mg (Flagyl)
$8.00
Each
Alprazolam 0.25mg (Xanax) (in
$1.00
Each
Medroxyprogesterone (Depo) IM
$60.00
health service only, for supply please
provide paper prescription)
20
Amoxicillin 875 mg
$15.00
10
Naproxen 550mg
$12.00
20
Amox/Clav 875/125 (Augmentin)
$35.00
Each
Neomycin Polymyxin HC Otic suspension
$35.00
1 pk.
Azithromycin 250 mg (Z-Pak)
$18.00
10
Nitrofurantoin (Macrobid)
$30.00
Each
Benadryl Injection 50 mg
$15.00
5 ml
Ofloxacin 0.3% Otic Solution
$28.00
30
Packet
Bupropion XL 150mg (WellbutrinXL)
Bupropion XL 300mg (WellbutrinXL)
Ceftriaxone (Rocephin) 250mg
Injection
Cephalexin 500mg (Keflex)
Ciloxan Opth. Solution 0.3%
Cipro 500mg (when prescribed for
Travel this charge is not covered)
Contraceptive, Oral
20
Each
Doxycycline 100mg
Epinephrine Injection
30
1 tab
Each
4 oz
28 gm
Fluoxetine10mg and 20mg (Prozac)
capsule
Fluconazole 150mg (Diflucan)
Fluticasone (Flonase) Nasal Spray
Guaifenesin with Codeine
Hydrocortisone 2.5% cream
$7.00
$20.00
$10.00
$10.00
Each
1 btl
Each
1 Pkg
Ear Wax Removal Drops
Deep Sea Nasal Spray
Hydrocortisone Cream 1%
Levonorgestrel (emergency contraception)
$4.00
$4.00
$8.00
$40.00
Each
15gm
30
Hydroxyzine 25mg capsule
Ketaconazole 2% cream
Escitalopram (Lexapro) 10 mg tablet
$1.00
$30.00
$14.00
15 ml
Oxymetazoline Nasal Decongestant Spray
$7.00
Each
20
5ml
6
Document1
Updated 8/2015
$25.00
Each
$15.00
$14.00
$16.00
$8.00/8.00
$20.00
$12.00
$15.00
20
Ondansetron 4mg dissolvable (Zofran)
Ondansetron Injection
Penicillin VK 500mg
$ 2.00
$10.00
$12.00
18
Each
30
Phenazopyridine 100mg (Pyridium)
Prednisone 20mg
Sertaline 50mg (Zoloft) scored tablet
$8.00
$1.00
$14.00
30
Each
20 gm
Each
Sertaline 100mg (Zoloft)
Sulfamethoxazole/Trimethoprim DS 10 day supply
Terconazole (Terazol-3) Vaginal Cream
Tramadol 50mg tab
$14.00
$20.00
$45.00
$1.00
$8.00
OTC