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Ez card catalog
Generic Prescription
Medications & OTC Drugs
$7 or Less
Antibiotics
Mental Health
Cholesterol
Diabetes
Health Card
Arthritis & Pain
Skin Conditions
Gastrointestinal Health
Service Listing
Heart Health & Blood Pressure
Diabetes
Vitamins & Nutritional Health
Routine health & wellness for you and your family
Fungal Infections
Women’s Health
•
Routine health &
wellness
Other Medical Conditions
Gastrointestinal Health
•
Routine diagnostic
Mental Health
•
Annual screenings
Glaucoma & Eye Care
$15 or Less
•
Routine vision
Allergies, Cold & Flu
Skin Conditions
•
Routine dental
Antibiotic
•
Women’s services
Heart Health & Blood Pressure
Thyroid Conditions
•
Prescription & OTC
Women’s Health
Arthritis & Pain
Routine Health & Wellness
Routine Vision Services
Physicals and Primary Care Clinic Visits
Basic eye exam for eye glasses ……………….….……….……….……… $25
Annual comprehensive physical ………….……….………………. $150
Single vision glasses (with standard non-brand frame)…….…………….….……. $69
(includes CBC, CMP, Lipid profile, chest x-ray, EKG)
Bifocal glasses (with standard non-brand frame)…………….………….….………… $99
Annual women’s health physical …………………….………………… $90
(includes pelvic, PAP smear, clinic breast exam)
Annual DOT physical ……………….….…………….…….…………. $75 Routine physical exam (illness/sickness visits)……….….….………. $45
Surgical consult …………………………………………………….…….…. $75
Routine Dental Services
Routine Diagnostic Screenings—Imaging
Mammogram ………………………………………….…………………. $76
Dental Exam …………………………………………….………….…….….… $20
Dexa scan (whole body bone density)……………………………………. $100
Adult Prophy (cleaning) ………………………………….…. $40
Chest x-ray ……………….…………………………………………….…… $40
Child Prophy (cleaning) …………………………………….………….….……. $25
X-ray of extremities (hands, wrists, ankle, or feet)……………………….….…. $40
Fluoride treatment …….…………….………….….……… $8
Abdomen Series (complete) ………………………………….……….…… $65
Panoramic X-ray …….………….………….….……. $30
Sealants (children only, fee per tooth)……….….…. $20
Routine Diagnostic Screenings—Laboratory
Simple extraction ……………………….….….… $50
Basic metabolic panel (BMP)………….………………………….……… $8
Silver filling (Amalgam) one surface…….….….……. $40
(includes Glucose, BUN, Creatinine, Na, K, C1, CO2, Calcium)
Clotting Time (PT with INR) …………….………………………….………. $5
Silver filling (Amalgam) each additional surface……. $20
Complete blood count (CBC) ……….………………………….………. $5
White filling (Composite) one surface………….….… $45
Comprehensive metabolic panel (CMP)……………………….……. $10
White filling (Composite) each additional surface….… $20
(includes all tests in BMP plus Albumin, Total Bili, Alk Phos, AST & ALT)
Lipid Panel …………………………………….……………………….………. $6
PSA (screening)….…………………………………….…………………. $25
Urinalysis …………………………………….……………………….……… $5
A physician’s order is required for most ser-
v ices, except vaccines and blood pressure
Urine drug screen (chain of custody) ………………………………………. $30
screenings. Appointments are required for
Other Diagnostic & Preventive Services
Blood Pressure screenings (1st Thurs of month from 1 pm—3 pm) ……….….…. Free
All services require presentation of TLC
Electrocardiogram (EKG) .……….……………………………………. $50
Flu vaccine ……………….………………………………………….……… Free
Pneumococcal vaccine …………….…………………………….……. Free
This is a sample listing only; a full list is avail-
(including interpretation) …………………………….……….…. $10
Tetanus vaccine ….………………………………………………………. $15
Source: http://www.htnnet.com/pdfs/TLC-ListServices.pdf
Kenneth R. Pugha,b,*, W. Einar Mencla,b, Annette R. Jennera,b,Leonard Katzb,c, Stephen J. Frostb,c, Jun Ren Leea,b,Sally E. Shaywitza, Bennett A. Shaywitza,daDepartment of Pediatrics, Yale University School of Medicine, PO Box 3333, New Haven,bHaskins Laboratories, New Haven, CT 06511, USAcDepartment of Psychology, University of Connecticut, Storrs, CT, USAdDepartment of Neurology, Yale
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