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Site Assessment &
Remediation 2017 FRENCH Fee Schedule V13Dec17.docx
2019
PRICING IN U.S. DOLLARS
U.S./PFS/VERS:5/27/2019
2 | Pharmaceutical Fee Schedule
PHARMACEUTICAL
QUICKLINKS
MISSION, VISION & VALUES ..................... 3
SPECIALTY SERVICES .............................. 4
BUREAU VERITAS LOCATIONS ............... 6
LABORATORY INFORMATION .................. 6
ACTIVE PHARMACEUTICAL
INGREDIENTS ............................................ 9
PANELS ..................................................... 29
PHARMACEUTICAL
CHEMICAL AGENTS ................................ 31
STANDARD TERMS & CONDITIONS ...... 34
Pharmaceutical Fee Schedule | 3
VISION MISSION AND VALUES
SPECIALTY SERVICES
4 | Pharmaceutical Fee Schedule
|||| SPECIALTY SERVICES
METHOD DEVELOPMENT AND VALIDATION
Bureau Veritas provides method development and validation services for drug materials and compounds for
which sampling and analysis protocols are not available in the public domain. This service is available for
active pharmaceutical ingredients (API), proprietary chemicals, and intermediates as well as final products in
your pipeline. All projects follow industry accepted method development and validation protocols. The
Bureau Veritas protocol can be customized to meet your requirements. The elements of our method
development/validation projects are listed below. As a starting point, we require an Occupational Exposure
Limit (OEL) or other defined control limit/range, Safety Data Sheet (SDS), as well as a reference material.
Sampling media selection
Selection of appropriate analytical technique
Demonstration of selectivity, sensitivity, precision and resolution
Determination of method linearity, Limit of Quantitation (LOQ), accuracy,
and precision
Demonstration of analytical method ruggedness and robustness
Extraction efficiency from the media
Stability during sampling (sampling efficiency)
Storage stability of collected samples relative to time and storage
conditions
Stability of extracted samples
At the completion of each project, we provide a comprehensive validation report and
analytical method in pharmaceutical industry consensus format.
METHOD TRANSFER
Verification of method performance according to your requirements of existing
sampling and analytical methods
SURFACE CONTAMINATION
We have successfully adapted industrial hygiene air sampling analytical methods to
address surface sampling for housekeeping purposes. Analysis can be performed
from swipes, swabs, or rinses. These methods are intended to evaluate only the
surface sampling and other procedures that differ from air sampling methods and
are not intended to re-evaluate analytical procedures or provide GMP cleanliness for product contact
surfaces. Contact the laboratory to discuss method suitability for your application.
PROCESS CONTAINMENT EVALUATION
Process containment can be evaluated through the use of surrogates. Surrogates offer an effective and safe
technique for evaluating containment and process control of highly potent or hazardous materials. We offer
containment evaluation following The ISPE Good Practice Guide: Assessing the Particulate Containment
Performance of Pharmaceutical Equipment as a standard methodology for use in testing the containment
efficiency of solids handling systems. The use of surrogate materials provides an opportunity to evaluate and
measure the effectiveness of process containment controls and correct any deficiencies prior to introduction of
a high potency material into the process. A variety of surrogates are available and selection is dependent
upon the application or particular process. Common surrogates are Lactose, Mannitol, Naproxen sodium,
Riboflavin, and Acetaminophen. Surrogate sensitivities range from 0.05 nanograms to 5 nanograms per
sample and include non-API materials for your consideration. Please call the laboratory to discuss which
surrogate is most appropriate for your application.
The Bureau Veritas
protocol can be
customized to meet
your requirements.
SPECIALTY SERVICES
Pharmaceutical Fee Schedule | 5
TOXICOLOGY SERVICES
Toxicology services are offered independently or in support of Bureau Veritas Analytics’ method development
and validation services. Consultation is provided by a board-certified toxicologist. Curriculum vitae are
available upon request. Our toxicology services include the following elements.
Occupational Exposure Limit (OEL), Acceptable Daily Exposure (ADE) or Allowable Surface Limit
(ASL) establishment
Toxicology data interpretation
Hazard classification and control banding
Risk assessment in support of new drug development
Impact of chemicals on human health
Environmental toxicology assessment
Preparation of dossiers for HSE purposes or FDA submission
Pricing for toxicology services are provided by quotation or on an hourly basis.
LABORATORY INFORMATION
6 | Pharmaceutical Fee Schedule
||| BUREAU VERITAS LOCATIONS
BVLABS.COM
LABORATORY INFORMATION
Pharmaceutical Fee Schedule | 7
||| LABORATORY INFORMATION
SAMPLING MEDIA
All necessary supplies (filters, swabs, tubes, passive monitors, solutions, etc.) are included in the analysis fee,
except where noted, with the understanding that either the samples or unused supplies are returned to our
laboratory within 60 days for US locations and within 90 days for international locations. Media that is not
returned, damaged, expired will be invoiced at replacement cost after that time. Media can be ordered via toll
free numbers on page 6 or on our website at bvlabs.com, or email your customer service contact.
Sampling media will be shipped standard ground at no charge within the contiguous United States. Overnight
delivery and delivery to international locations will be invoiced at cost to the client. Any additional hazardous
materials fees, customs, and/or import fees are the responsibility of the client.
ANALYTICAL REPORTS
Our reports are transmitted to clients, via email, as a PDF image file using Adobe Acrobat. We will e-mail
reports to a regional or corporate contact, as directed. Please note that we will not mail hardcopies of reports
unless specifically arranged in advance.
Electronic Data Deliverables
We have expertise in providing electronic data deliverables in a variety of formats for upload into client
databases. Formats commonly used for upload into a customer database include Excel, ASCII (both fixed-
length and delimited) and XML files. A map of the standard output file can be supplied for formatting
purposes. We have experience with many commercially available database products as well as custom
designed databases. Consultation with our LIMS Administrator is available to discuss your requirements,
document file specifications, and development of a customized file. Please contact the laboratory for further
details.
TURNAROUND TIME
Standard turnaround time is seven working days. Specialized analyses such as pharmaceuticals, mercaptans,
and amines may require a longer turnaround time. Please contact the laboratory for specific turnaround times.
Expedited services can normally be arranged with prior notification. A surcharge is typically added for
expedited service. Please contact the laboratory to discuss your project needs in advance. Quantity discounts
are not applied to expedited services.
Typical surcharges for expedited service results:
RESULTS RECEIVED TYPICAL SURCHARGE
Same day 200%
Next business day 100%
2 business days 75%
3 business days 50%
4 business days 25%
BLANKS
Analysis of each field blank is charged per the analysis requested on the sample submission form.
LABORATORY INFORMATION
8 | Pharmaceutical Fee Schedule
QUANTITY DISCOUNT SCHEDULE
The following discount schedule will be given on published list pricing for those sample sets submitted at one
time involving 15 or more identical analyses, billed as a single batch. Quantity discounts are not applied to
expedited services.
NUMBER OF IDENTICAL SAMPLES PERCENT DISCOUNT
15–29 5%
30–49 10%
50 or more 15%
PAYMENT TERMS
Payment terms are Net 30. We accept Visa, MasterCard, and American Express or will invoice against a
purchase order. Prepayment may be required based upon credit or payment history. Prices are subject to
change without notice.
SAMPLING EQUIPMENT
We provide industrial hygiene sampling pumps and calibrators, IAQ equipment, aerosol and particle counters,
stack emission equipment and other sampling instruments for a nominal fee. Pumps are available as low as
$6/day.
When we assist you with your equipment needs, there is no change in your negotiated analytical fees or
discounts. We would be pleased to send you a complete inventory and an equipment price quote for your
project.
REFERENCE STANDARDS (API)
Charges may be incurred for replacement reference standards which have expired or are not in stock. To
avoid such charges, reference standards may be supplied to the laboratory prior to, or at the time of,
submission of samples for analysis. To check expirations or availability of reference standards, please contact
your customer service representative.
ACTIVE PHARMACEUTICAL INGREDIENTS
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ACTIVE PHARMACEUTICAL INGREDIENTS
THREE SAMPLE MINIMUM APPLIED
NOTE: All methods listed below are Bureau Veritas Internal Methods
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
10-Hydroxy Camptothecin $100.00 –
14-Hydroxycodeinone HCL $100.00 –
17-Alpha Hydroxyprogesterone Capoate $145.00 –
17-Acetyl Norgestimate $100.00 –
17-A-Hydroxyprogesterone $100.00 –
17-Beta Estradiol $115.00 $195.00
17d-Norgestimate $195.00 –
2,6-Diisopropyl Phenol (Propofol) $90.00 –
2-Amino-6-Chloropurine $100.00 –
2-Benzylidene Isobutylacetamide $100.00 –
2-Chloronicotinonitrile $100.00 –
2-Cyclopropylaminonicotinic Acid $100.00 –
2-Cyclopropylaminonicotinonitrile $100.00 –
3-Bromopropionic Acid $145.00 –
4-Aminopyridine $145.00 –
5-Fluorouracil $115.00 $145.00
6-Amino Penicillanic Acid $100.00 –
6-Propyl-2-Thiouracil $100.00 –
7-ACA $100.00 –
7-ACT $100.00 –
7-Methyl Camptothecine $115.00 –
7-Tes-Baccatin Iii $145.00 –
Abacavir $100.00 –
Abacavir Glutarate $100.00 –
Abacavir Hemisulphate $100.00 –
Abemaciclib $115.00 –
Abiraterone Acetate $100.00 $145.00
Accolate $100.00 –
Acebutolol HCL $100.00 –
Acesulfane Potassium $100.00 –
Acetaminophen $100.00 $145.00 Acetazolamide $100.00 –
Acetylthiosufonamide ATS $145.00 –
Acitretin $100.00 –
Acitretine $100.00 –
Acyclovir $100.00 –
Adefovir Dipivoxil $100.00 –
Adenosine $100.00 –
Afuresertib $100.00 –
Agomelatine $100.00 –
Albendazole $100.00 –
Albuterol $100.00 $145.00
Albuterol Sulfate $100.00 $145.00
10- Al
ACTIVE PHARMACEUTICAL INGREDIENTS
10 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Alclometasone $100.00 –
Alclomethasone Diproprionate $100.00 $145.00
Alendronate Sodium $115.00 –
Alfentanil $100.00 –
Alfentanil HCL $145.00 –
Alfuzosin HCL $100.00 –
Aliskiren Hemifumarate $100.00 –
Allopurinol $100.00 –
Almotriptan Maleate $100.00 –
Alosetron HCL $100.00 –
Alpha Tocopheryl Acetate $100.00 –
Alprazolam $115.00 $195.00
Alprostadil $145.00 –
Altrenogest $100.00 –
Ambenonium Chloride $100.00 –
Ambrisentan $100.00 –
Ambroxol HCL $100.00 –
Amcinonide $100.00 –
Amiloride HCL $100.00 –
Amiodarone HCL $100.00 –
Amitraz $100.00 –
Amitriptyline $100.00 –
Amlodipine $100.00 –
Amlodipine Besylate $100.00 –
Amoxapine $100.00 –
Amoxicillin $100.00 –
Amphetamine $100.00 –
Amphetamine Aspartate $100.00 –
Amphetamine Saccharate $100.00 –
Amphetamine Sulfate $100.00 –
Amphetamine Tartrate $100.00 –
Ampicillin Trihydrate $100.00 –
Anafranil $100.00 –
Anagrelide HCL $100.00 –
Anamorelin HCL $100.00 –
Anastrazole $115.00 $145.00
Apixaban $100.00 $195.00
Apomorphine HCL $100.00 –
Arformoterol Tartrate $145.00 –
Argatroban $115.00 –
Aripiprazole $100.00 –
Aripiprazole Lauroxil $100.00 –
Artesunate $100.00 –
Articaine HCL $100.00 –
Ascomycin $100.00 –
Asenapine Hemipamoate $115.00 –
Asenapine Maleate $115.00 –
Al As
ACTIVE PHARMACEUTICAL INGREDIENTS
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ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Aspirin (Acetylsalicylic Acid) $100.00 –
Atarcurium Besylate $100.00 –
Atenolol $100.00 –
Atorvastatin Calcium $100.00 –
Atorvastatin, Tert-Butylcyclopentylidene $100.00 –
Atovaquone $100.00 –
Atracurium Besylate $100.00 –
Atrazine $100.00 –
Atropine Sulfate $100.00 –
Axitinib $100.00 –
Azathioprine $100.00 –
Azithromycin – $195.00
Bacitracin $145.00 –
Bacitracin Zinc $145.00 –
Balsalazide $100.00 –
Balsalazide Disodium $100.00 –
Bazedoxifene $100.00 $195.00
Becaplermin $115.00 –
Beclomethasone $100.00 –
Beclomethasone Dipropionate $100.00 –
Belladonna as Hyoscyamine Sulfate $100.00 –
Benazepril HCL $100.00 –
Bendamustine $100.00 –
Bendroflumethiazide $100.00 –
Bensulide $100.00 –
Benzocaine $100.00 –
Benzoyl Peroxide $100.00 –
Benzphetamine $100.00 –
Benztropine Mesylate $145.00 –
Betahistine Dihydrochloride $145.00 –
Betamethasone $100.00 –
Betamethasone Acetate $100.00 –
Betamethasone Dipropionate $100.00 –
Betamethasone Sodium Phosphate $100.00 –
Betamethasone Valerate $100.00 –
Bexarotene $115.00 –
Bicalutamide $100.00 –
Bimatoprost $100.00 –
Bisacodyl $100.00 –
Bisoprolol Fumarate $115.00 –
Bleomycin Sulfate $195.00 –
Bortezomib $145.00 –
Brimonidine Tartrate $100.00 –
Brivaracetam $100.00 –
Brodifacoum $100.00 –
Brucine Sulfate $100.00 –
Budesonide $100.00 –
As Bu
ACTIVE PHARMACEUTICAL INGREDIENTS
12 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Bumetanide $100.00 –
Bupivacaine $100.00 –
Buprenorphine $100.00 $145.00
Bupropion HCL $100.00 –
Buspirone HCL $100.00 –
Busulphan $100.00 –
Butoconazole Nitrate $100.00 –
Butorphanol Tartrate $100.00 –
Cabergoline $195.00 –
Caffeine $100.00 –
Calcifediol $100.00 –
Calcitriol $195.00 –
Calcium Mupirocin $115.00 –
Camptothecin $115.00 –
Candesartan $115.00 –
Candesartan Cilexetil $115.00 $145.00
Capecitabine $100.00 –
Capsicum Oleoresin, as Capsaicin $100.00 –
Captisol $100.00 –
Captopril $100.00 –
Carbamazepine $100.00 –
Carbidopa $115.00 –
Carbonyldiimidazole $145.00 –
Carboplatin $145.00 –
Carrageenan $100.00 –
Carvedilol $100.00 –
Carvedilol Phosphate $100.00 –
Caspofungin $100.00 –
Cefaclor $100.00 –
Cefazolin Sodium $100.00 –
Cefdinir $145.00 –
Cefpodoxime Proxetil $100.00 –
Cefprozil $115.00 –
Ceftazidime $100.00 –
Ceftibuten $100.00 –
Ceftiofur HCL $100.00 –
Ceftizoxime Sodium $100.00 –
Cefuroxime Axetil $100.00 –
Cefuroxime Sodium $100.00 –
Celecoxib $100.00 $195.00
Cephadroxil Monohydrate $100.00 –
Cephalexin $100.00 –
Cephalonium $100.00 –
Cetirizine $100.00 –
Cetirizine HCL $100.00 –
Cetylpyridinium Chloride $100.00 –
Chlorambucil $115.00 –
Chloramphenicol $100.00 –
Bu Ch
ACTIVE PHARMACEUTICAL INGREDIENTS
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ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Chlordiazepoxide HCL $100.00 –
Chlormadinone Acetate $100.00 –
Chlorotetracycline $100.00 –
Chlorothalonil $100.00 –
Chlorpheniramine Maleate $100.00 – Chlorproguanil $100.00 –
Chlorpromazine HCL $100.00 –
Chlorzoxazone $100.00 –
Cholecalciferol (Vitamin D3) $195.00 –
Cilazapril $145.00 –
Cimetidine $100.00 –
Cinnarizine $115.00 –
Ciprofloxacin $100.00 –
Cisapride $100.00 –
Cisatracurium Besylate $100.00 –
Cisplatin $145.00 –
Citalopram Hydrobromide $100.00 –
Cladribine $100.00 $145.00
Clavulanate $100.00 –
Clemastine Fumarate $100.00 –
Clenbuterol HCL $100.00 –
Clenbutetrol $100.00 –
Clindamycin Phosphate $100.00 –
Clobetasol Propionate $100.00 –
Clobetasone $100.00 –
Clofarabine $145.00 –
Clonazepam $100.00 –
Clonidine $100.00 –
Clonidine HCL $100.00 –
Clopidogrel $100.00 –
Cloprostenol Sodium $195.00 –
Clotiapine Base $100.00 –
Cloxacillin Sodium $100.00 –
Cloxacillin as Free Acid $100.00 –
Clozapine $100.00 –
Codeine $100.00 –
Codeine Phosphate $100.00 –
Conjugated Estrogens $115.00 $195.00
Crizotinib $100.00 –
Cyclizine HCL $100.00 –
Cyclobenzaprine HCL $115.00 –
Cyclophosphamide $195.00
Cyclosporin A $100.00 –
Cyproheptadine $145.00 –
Cytarabine $100.00 –
Dabrafenib $100.00 –
Dacarbazine $145.00 –
Danazol $100.00 –
Ch Da
ACTIVE PHARMACEUTICAL INGREDIENTS
14 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Danofloxacin $100.00 –
Dapagliflozin $100.00 –
Dapoxetine $100.00 –
Dapsone $115.00 –
Dasatinib $100.00 –
Daunorubicin $115.00 –
Decitabine $145.00 –
Deflazacort $115.00 –
Dehydroepiandrosterone (DHEA) $100.00 –
Demeclocycline HCL $115.00 –
Demiditraz $100.00 –
Depreodone Propionate $145.00 –
Desloratadine $100.00 –
Desmopressin Acetate $100.00 –
Desogestrel $195.00 –
Desvenlafaxine $100.00 $195.00
Dexamethasone $100.00 $195.00
Dexamethasone Acetate $100.00 $195.00
Dexamethasone Phosphate $100.00 $195.00
Dexbrompheniramine Maleate $100.00 –
Dexchloropheniramine Maleate $100.00 –
Dexmethylphenidate $100.00 –
Dexrazixane $145.00 –
Dextromethorphan HBR $100.00 –
Dextromethorphan HCL $100.00 –
Diazepam $100.00 –
Diazoxide $100.00 –
Diclofenac Potassium $100.00 –
Diclofenac Sodium $100.00 –
Dicloxacillin Sodium Monohydrate $100.00 –
Didanosine $100.00 –
Dienestrol $100.00 –
Diflunisal $100.00 –
Difluprednate $100.00 –
Digoxin $145.00 –
Dihydroergotamine $145.00 –
Dihydroergotamine Mesylate $145.00 –
Dihydrooripavine $100.00 –
Dilantin (Phenytion) $100.00 –
Dilevalol $100.00 –
Diltiazem $100.00 –
Dimenhydrinate $100.00 –
Dimethyl Fumarate $100.00 –
Dimesalide $100.00 –
Dinoprost $195.00 –
Dinoprost Tromethamine $100.00 –
Diphenhydramine Citrate $100.00 –
Diphenhydramine HCL $100.00 –
Da Di
ACTIVE PHARMACEUTICAL INGREDIENTS
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ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Diphenoxylate HCL $100.00 –
Dipyridamole $100.00 –
Dirlotapide $100.00 –
Dittiazem $100.00 –
Divalproex Sodium $100.00 –
Docetaxel $100.00 –
Dofetilide $100.00 –
Domperidone $100.00 –
Donepezil $100.00 –
Donepezil HCL $100.00 –
Dopamine HCL $100.00 –
Doramectin $100.00 –
Doripenem $100.00 –
Doxazosin $115.00 –
Doxazosin Mesylate $115.00 –
Doxorubicin HCL $115.00 $195.00
Doxycycline $100.00 –
Doxycycline Hyclate $100.00 –
Doxylamine $100.00 –
Doxylamine Succinate $100.00 –
Dronabinol $145.00 –
Drospirenone $100.00 –
Duloxetine HCL $100.00 –
Dutasteride $145.00 –
Dyclonine HCL $100.00 –
Dydrogesterone $115.00 –
Econasole Nitrate $100.00 –
Ecopipam HCL $100.00 –
Efavirenz $100.00 –
Eletriptan HBR $100.00 –
Eltrombopag $115.00 –
Emamectin Benzoate $100.00 –
Embutramide $195.00 –
Enalapril Maleate $100.00 –
Entecavir $100.00 –
Ephedrine $115.00 –
Epinephrine $115.00 –
Epinephrine Bitartrate (as Base) $115.00 –
Epirubicin HCL $145.00 –
Eplerenone $100.00 –
Epoprostenol Sodium $195.00 –
Eprosartan $100.00 –
Ergonovine $100.00 –
Ergotamine Tartrate $145.00 –
Erlotinib HCL $100.00 –
Ertuglifloxin $100.00 –
Erythromycin $115.00 –
Erythromycin Ethylsuccinate $115.00 –
Di Er
ACTIVE PHARMACEUTICAL INGREDIENTS
16 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Escitalopram $100.00 –
Escitalopram Oxylate $100.00 –
Esomeprazole $100.00 –
Estazolam $145.00 –
Esterified Estrogens $115.00 –
Estradiol $115.00 $195.00
Estradiol Benzoate $100.00 –
Estradiol Cypionate $195.00 –
Estradiol Valerate $195.00 –
Estradiol-3-Acetate $195.00 –
Estramustin Phosphate Sodium $100.00 –
Estriol $115.00 –
Estrone $195.00 –
Estropipate $115.00 –
Eszopiclone $115.00 –
Ethambutol HCL $100.00 –
Ethinyl Estradiol $115.00 $195.00
Ethyl Ferrulate $100.00 –
Ethynodiol Diacetate $145.00 –
Etodolac $100.00 –
Etomidate $115.00 –
Etonogestrel $195.00 –
Etoposide $100.00 –
Eucalyptol $100.00 –
Evacetrapib Monohydrate $115.00 –
Everninomicin $100.00 –
Everolimus $115.00 $145.00
Exemestane $100.00 $145.00
Ezetimibe $100.00 –
Famciclovir $100.00 –
Famotidine $100.00 –
Faropenem Daloxate $115.00 –
Febantel $115.00 –
Femara $100.00 –
Fenal $100.00 –
Fenobibrate $100.00 –
Fentanyl $145.00 –
Fentanyl Citrate $145.00 –
Fentanyl HCL $145.00 –
Fesoterodine Fumarate $100.00 –
Fexofenadine $100.00 –
Fexofenadine HCl $100.00 –
Finasteride $145.00 –
Flecainide Acetate $100.00 –
Fingolimod $100.00 –
Florfenicol $100.00 –
Flubendazole $115.00 –
Es Fl
ACTIVE PHARMACEUTICAL INGREDIENTS
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ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Flucloxacillin Sodium $100.00 –
Fluconazole $100.00 –
Fludarabine Phosphate $100.00 –
Fludcinonide $100.00 –
Fludrocortisone $100.00 –
Fludrocortisone Acetate $100.00 –
Flugestone Acetate $195.00 –
Flumethasone $100.00 –
Flunarizine $115.00 –
Flunisolide $145.00 –
Flunixin Meglumine $100.00 –
Flunosolide $145.00 –
Fluocinolone Acetonide $100.00 –
Fluocinonide $100.00 –
Fluorouracil $145.00 –
Fluoxetine HCL $100.00 –
Fluphenazine HCL $100.00 –
Flurbiprofen $100.00 –
Fluspirilene $195.00 – Flutamide $100.00 $145.00
Fluticasone Furoate $100.00 ‒
Fluticasone Propionate $195.00 –
Fluvalinate $100.00 –
Fluvastatin $100.00 $195.00
Fluvoxamine Maleate $100.00 –
Folic Acid $115.00 –
Fondaparinux Sodium $100.00 –
Formamidopyrimidine $100.00 –
Formoterol $115.00 $145.00
Formoterol Fumarate $115.00 $145.00
Forodesine HCL $100.00 –
Fosamprenavir $100.00 –
Fosinopril $100.00 –
Fosinopril Sodium $100.00 –
Fostamatinib Disodium $100.00 –
Framycetin Sulfate $100.00 –
Fulvestrant $115.00 –
Furosemide $115.00 –
Gabapentin $100.00 –
Galantamine HBR $115.00 –
Ganciclovir $100.00 –
Garenoxacin Mesylate $100.00 –
Gefitinib $100.00 –
Gemcitabine HCL $115.00 –
Gemfibrozil $100.00 –
Gemifloxacin Mesylate $100.00 –
Gentamicin $195.00 – Gestodene $195.00 –
Gimeracil $115.00 –
Fl Gi
ACTIVE PHARMACEUTICAL INGREDIENTS
18 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Glasdegib $145.00 –
Glatiramer Acetate $115.00 –
Glibenclamide $100.00 –
Glimepiride $100.00 –
Glipizide $100.00 –
Glyburide $100.00 –
Glycopyrrolate $100.00 $145.00
Glycyl HCL $100.00 –
Granisetron $115.00 –
Granisetron HCL $115.00 –
Griseofulvin $100.00 $145.00
Guaifenesin $100.00 –
Guanfacine HCL $115.00 –
Halazepam $100.00 –
Halofuginone Acetate $145.00 –
Haloperidaol Decanoate $115.00 –
Haloperidol $115.00 $145.00
Heparin Sodium $100.00 –
Hexachlorophene $100.00 –
Hexamidine Diisethionate $100.00 –
Hexamine $100.00 –
Hydrochlorothiazide $100.00 –
Hydrocodone $100.00 $145.00
Hydrocodone Bitartrate $100.00 –
Hydrocortisone $100.00 –
Hydrocortisone Acetate $100.00 –
Hydromorphone $100.00 $145.00
Hydromorphone HCL $100.00 $145.00
Hydroxychloroquine $100.00 –
Hydroxychloroquine Sulfate $100.00 –
Hydroxyurea $100.00 –
Hydroxyzine HCL $115.00 –
Hydroxyzine Pamoate $100.00 –
Hyoscine Butylbromide $100.00 –
Ibrutinib $100.00 –
Ibuprofen $100.00 –
Idarubicin $100.00 –
Idoxifene $115.00 –
Ifosfamide $195.00 –
Imatinib Mesylate $100.00 –
Imipramine HCL $100.00 –
Indacaterol Maleate $100.00 –
Indapamide $100.00 –
Indinavir Sulfate $100.00 –
Insulin, Human $115.00 –
Ipilimunab $145.00 –
Ipratropium Bromide $145.00 –
Irbesartan $100.00 –
Gl Ir
ACTIVE PHARMACEUTICAL INGREDIENTS
LEGEND: Also available in a panel. Pharmaceutical Fee Schedule | 19
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Iressa $100.00 –
Irinotecan HCL $115.00 –
Isoflupredone Acetate $145.00 –
Isometheptene Mucate $100.00 –
Isoniazid $100.00 –
Isophosphamide $195.00 –
Isopropamide Iodide $100.00 –
Isoproterenol $100.00 $195.00
Isoproterenol HCL $100.00 $195.00
Isosorbide Dinitrate $100.00 –
Isosorbide Mononitrile $100.00 –
Isotretinoin $100.00 $195.00
Itraconazole $100.00 –
Ivabradine HCL $195.00 –
Ivermectin $100.00 ‒
Ketoconazole $100.00 –
Ketoprofen $100.00 –
Ketorolac Tromethamine $100.00 –
Ketotifen Fumarate $100.00 –
Labetalol $100.00 –
Lacidipine $100.00 –
Lacosamide $100.00 ‒
Lactase Enzyme $100.00 –
Lamivudine $100.00 –
Lamivudine Salicylate $100.00 –
Lamotrigine $100.00 –
Lanreotide Acetate $100.00 –
Lansoprazole $100.00 –
Laquiimod Sodium $145.00 –
Latanoprost $100.00 $145.00
Latanoprost Acid $100.00 $145.00
Leflunomide $100.00 –
Lemborexant $100.00 –
Lenvatinib Mesylate $100.00 –
Letrozole $100.00 ‒
Leucovorin Calcium $100.00 –
Leuprolide Acetate $115.00 –
Levetiracetam $100.00 –
Levodopa $115.00 –
Levofloxacin $115.00 –
Levonorgestrel $115.00 $195.00
Levorphanol Tartrate $115.00 –
Levothyroxine $145.00 –
Levothyroxine Sodium $145.00 –
Lidocaine $100.00 –
Lincomycin HCL $100.00 –
Linezolid $100.00 –
Liposomal Paclitaxel $145.00 –
Ir Li
ACTIVE PHARMACEUTICAL INGREDIENTS
20 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Lisdexamfetamine Dimesylate $115.00 –
Lisinopril $100.00 –
Lonafarnib $100.00 –
Loperamide HCL $100.00 –
Loratadine $100.00 –
Lorazepam $100.00 $195.00
Lotensin $100.00 –
Loteprednol Etabonate $100.00 –
Lovastatin $100.00 –
Mandelamine $100.00 –
Mangafodipir Trisodium $115.00 –
Mazindol $115.00 –
Mebendazole $100.00 –
Mebezonium Iodide $195.00 –
Meclizine HCL $100.00 –
Medrogestone $100.00 –
Medroxyprogesterone Acetate $100.00 $195.00
Medroxyprogestrone $100.00 –
Mefenamic Acid $100.00 –
Mefloquine HCL $100.00 –
Megestrol Acetate $100.00 –
Meloxicam $195.00 –
Melperone HCL $100.00 –
Melphalan $100.00 –
MeltletinE HCL $100.00 –
Mepivacaine $100.00 –
Mercaptopurine $100.00 –
Meropenem $100.00 –
Mesalamine $100.00 –
Metformin $100.00 –
Metformin HCL $100.00 –
Metaxalone $100.00 –
Methadone Base $100.00 –
Methadone HCL $100.00 –
Methadone Hydrobromide $100.00 –
Methadone Nitrile $100.00 –
Metham Sodium $100.00 –
Methazole $100.00 –
Methenamine $100.00 –
Methenamine Mandelate $100.00 –
Methimazole $100.00 –
Methocarbamol $100.00 –
Methotrexate $115.00 $195.00
Methoxsalen $100.00 –
Methsuximide $100.00 –
Methyl Paraben $100.00 –
Methyl Prednisolone $100.00 –
Methyl Salicylate $140.00 –
Methyl Testosterone $100.00 –
ACTIVE PHARMACEUTICAL INGREDIENTS
LEGEND: Also available in a panel. Pharmaceutical Fee Schedule | 21
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Methylphenidate $100.00 –
Methylprednisolone Acetate $100.00 –
Methylprednisolone Succinate Sodium $100.00 –
Metoclopramide HCL $100.00 –
Metoprolol Succinate $100.00 –
Metoprolol Tartrate $100.00 –
Metronidazole $100.00 –
Miconazole Base $100.00 –
Miconazole Nitrate $100.00 –
Midazolam HCL $100.00 –
Mifepristone $100.00 –
Milrinone $100.00 –
Minocycline HCL $100.00 –
Mirtazapine $100.00 –
Misoprostol $115.00 –
Mitomycin C $145.00 –
Mitoxantrone $100.00 –
Mivacurium Chloride $100.00 –
Mizolastine $100.00 –
Modafinil $100.00 –
Moexipril HCL $115.00 –
Mometasone Furoate $100.00 –
Mometasone-21-Chloride $100.00 –
Monensin Sodium $145.00 –
Montelukast Sodium $100.00 –
Morphine $100.00 –
Morphine Sulfate $100.00 –
Moxidectin $100.00 –
Mupirocin $100.00 –
Mycophenolate $115.00 –
Mycophenolate Mofitil $115.00 –
Mycophenolate Sodium $115.00 –
Nabilone $100.00 –
Nabumetone $100.00 –
Nadolol $100.00 –
Nadroparin Calcium $115.00 –
Naloxone $100.00 $145.00
Naltrexone $100.00 –
Nandrolone Decanoate $195.00 –
Narasin $145.00 –
Naratriptan HCL $100.00 –
Nebivolol HCL $100.00 –
Nelarabine $100.00 –
Neomycin Sulfate as Neomycin $115.00 –
Netupitant $145.00 –
Nevirapine $100.00 –
Niacin $100.00 –
Nicergoline $100.00 –
Nicotine $100.00 –
Me Ni
ACTIVE PHARMACEUTICAL INGREDIENTS
22 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Nicotine Hydrogen Tartrate as Nicotine $100.00 –
Nicotine Polacrilex as Nicotine $100.00 –
Nicotine Resin Complex as Nicotine $100.00 –
Nicotine-B-Cyclodextrine as Nicotine $100.00 –
Nifedipine $100.00 –
Nimesulide $100.00 –
Nitrofurantoin $100.00 –
Nitroglycerin $100.00 –
Nonivamide $115.00 –
Nonylphenol Ethoxylate $100.00 –
Nor-14-Hydroxymorphinone $100.00 –
Norelgestromin $195.00 –
Norephinephrine Hydrogen Tartrate $100.00 –
Norepinephrin $100.00 –
Norepinephrine Bitartrate $100.00 –
Norepinephrine HCL $100.00 –
Norethindrone $115.00 $195.00
Norethindrone Acetate $115.00 $195.00
Norgestimate $115.00 $195.00
Noroxymorphone $100.00 –
Norpseudoephedrine $100.00 –
Nortriptyline HCL $100.00 –
Noscapine $100.00 –
Nystatin $100.00 –
Oaliperidone (Water) $145.00 –
Ofloxacin $100.00 –
O-Hydroxyanisole $100.00 –
Olanzapine $100.00 –
Olaparib $195.00 –
Omacetaxine Mepesuccinate $145.00 –
Omeprazole $100.00 –
Omeprazole Magnesium $100.00 –
Ondansetron $100.00 –
Oripavine $100.00 –
Oseltamivir Phosphate $100.00 –
Osilodostrat $100.00 –
Oteracil Potassium $115.00 –
Oxacillin Sodium $100.00 –
Oxaliplatin $145.00 –
Oxandrolone $100.00 –
Oxantel Pamoate $100.00 –
Oxatomide $100.00 –
Oxazepam $100.00 –
Oxcarbazepine $100.00 –
Oxfendazole $100.00 –
Oxybutynin Base $100.00 –
Oxybutynin Chloride $100.00 –
Oxycodone $100.00 –
Ni Ox
ACTIVE PHARMACEUTICAL INGREDIENTS
LEGEND: Also available in a panel. Pharmaceutical Fee Schedule | 23
ACTIVE PHARMACEUTICAL INGREDIENT T (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Oxycodone HCL $100.00 –
Oxycodone Terephthalate $100.00 –
Oxyfluorfen $100.00 –
Oxymetazoline $195.00 –
Oxymorphone $100.00 –
Oxymorphone HCL $100.00 –
Oxytetracycline $100.00 –
Oxytocin $195.00 –
Paclitaxel $115.00 $145.00
Palbociclib $195.00 –
Paliflutine $100.00 –
Paliperidone $145.00 –
Paliperidone Palmitate $145.00 –
Palociclib $195.00 –
Pancuronium Bromide $145.00 –
Panobinostat $195.00 –
Pantoprazole $100.00 –
Paracetamol $100.00 $145.00
Parecoxib $100.00 –
Paricalcitol $100.00 –
Paroxetine $100.00 –
Paroxetine HCL $100.00 –
Pazopanib $100.00 –
Pemetrexed Disodium $195.00 –
Penfluridol $100.00 –
Penicillin G $100.00 –
Penicillin G Potassium $100.00 –
Pentazocine HCL $100.00 –
Pentobarbitol $100.00 –
Pergolide Mesylate $100.00 –
Perindopril Arginine $100.00 $145.00
Perindopril Erbumine $100.00 $145.00
Perogolide Mesylate $115.00 –
Perphenazine $100.00 –
Phenazopyridine HCL $115.00 –
Phenethicillin Potassium $100.00 –
Phenobarbitol $100.00 –
Phenylephrine HCL $100.00 –
Phenylpropanolamine $100.00 –
Phthalimolactol $145.00 –
Pilocarpine HCL $100.00 –
Pimozide (R6238) $115.00 –
Pipamperone HCL $145.00 –
Pirbuterol Acetate $145.00 –
Pirlimycin HCL $145.00 –
Piroxicam $100.00 –
Podophyllotoxin $115.00 –
Pomalidomide $115.00 –
Posaconazole $100.00 –
Ox Pr
ACTIVE PHARMACEUTICAL INGREDIENTS
24 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Pramipexole Dihydrochloride $100.00 –
Pramoxine $100.00 –
Prasterone Acetate $115.00 –
Pravastatin $100.00 –
Prazosin HCL $100.00 –
Prednisolone $100.00 –
Prednisolone Sodium Phosphate $100.00 –
Prednisone $100.00 –
Pregabalin $100.00 –
Prochloroperazine Edisylate $100.00 –
Prochloroperazine Maleate $100.00 –
Progesterone $100.00 –
Proguanil HCL $100.00 –
Promestriene $145.00 –
Promethazine $100.00 –
Propafenone HCL $100.00 –
Propoxyphene HCL $100.00 –
Propoxyphene Napsylate $100.00 –
Propranolol $100.00 –
Propranolol HCL $100.00 –
Prucalopride Succinate $100.00 –
Pseudoephedrine $100.00 –
Pseudoephedrine HCL $100.00 –
Pseudoephedrine Sulfate $100.00 –
Pyrantel Pamoate $100.00 –
Pyrazinamide $100.00 –
Pyridostigmine Bromide $100.00 –
Pyrimethamine $100.00 –
Quetiapine $100.00 –
Quinapril $100.00 –
Quinine Sulfate $100.00 –
Rabeprazole Sodium $100.00 –
Ractopamine HCL $100.00 –
Raloxifene $100.00 –
Raloxifene HCL $100.00 –
Ramipril $145.00 –
Ranitidine $100.00 –
Ranitidine HCL $100.00 –
Rapamycin $100.00 $195.00
Rasagiline $195.00 –
Reboxetine Methanesulfonate $100.00 –
Remifentanil $145.00 –
Remifentanil HCL $100.00 $145.00
Retapamulin $115.00 –
Retigabine $115.00 –
Ribavirin $100.00 –
Rifampicin (Rifampin) $100.00 –
Rifaximin $100.00 –
Rilpivirine HCL $145.00 –
Pr Ri
ACTIVE PHARMACEUTICAL INGREDIENTS
LEGEND: Also available in a panel. Pharmaceutical Fee Schedule | 25
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Risedronate Sodium $100.00 –
Risperidone $100.00 $145.00
Rivaroxaban $100.00 –
Rivastigmine Hydrogen Tartrate $195.00 –
Rizatriptan Benzoate $100.00 –
Rocuronium Bromide $145.00 –
Ropinirole $100.00 –
Ropivacaine HCL $145.00 –
Rosuvastatin $115.00 –
Rotigotine $195.00 –
Roxifban $115.00 –
Salbutamol $145.00 –
Salbutamol Sulfate $145.00 –
Salicylic Acid $100.00 –
Salmeterol $195.00 –
Salmeterol Xinafoate $195.00 –
Scopolamine $100.00 –
Selamectin $100.00 –
Selegiline $100.00 –
Sertraline $100.00 –
Sibutramine HCL $100.00 –
Sildenafil $100.00 –
Sildenafil Citrate $100.00 –
Silver Sulfadiazine $100.00 –
Simprevir $100.00 –
Simvastatin $100.00 –
Sirolimus $195.00 –
Sitagliptin Phosphate $100.00 –
Sodium Nitroprusside $100.00 –
Sodium Phenytoin $100.00 –
Spectinomycin $115.00 –
Spironolactone $100.00 –
Stanozolol $100.00 –
Streptomycin Sulfate $115.00 –
Sucralfate $100.00 –
Sufentanil $145.00 –
Sufentanil Citrate $145.00 –
Sufentanil HCL $145.00 –
Sulfadiazine $100.00 –
Sulfamethoxazole $100.00 –
Sulfisoxazole $100.00 –
Sulfisoxazole Acetyl $100.00 –
Sulphazine $100.00 –
Sultamicillin $100.00 –
Sultamicillin Tosylate $100.00 –
Sumatriptan Succinate $100.00 –
Sunitinib $100.00 –
Ri Su
ACTIVE PHARMACEUTICAL INGREDIENTS
26 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Suxamethonium Chloride $100.00 –
Tacrolimus $145.00 –
Tafamidis Meglumine $100.00 –
Tafenoquine $115.00 –
Tafluprost $195.00 –
Tamoxifen $100.00 –
Tamoxifen Citrate $100.00 –
Tamsulosin HCL $100.00 –
Tapentadol $100.00 –
Tazarotene $100.00 –
Tazobactam $100.00 –
Tegafur $115.00 –
Tegretol $100.00 –
Telaprevir $100.00 –
Telmisartan $100.00 –
Telmisartan HCL $100.00 –
Telmisartan Nitrile $100.00 –
Temazepam HCL $100.00 –
Temozolomide $115.00 –
Temsirolimus $100.00 –
Tenofovir $100.00 –
Terazosin HCL $100.00 –
Terbutaline Sulfate $145.00 –
Terconazole $100.00 –
Teriflunomide $195.00 –
Testosterone $100.00 $195.00
Testosterone Cypionate $100.00 –
Testosterone Decanoate $195.00 –
Testosterone Enanthate $100.00 –
Testosterone Isocaproate $145.00 –
Testosterone Phenyl Propionate $100.00 –
Testosterone Propionate $100.00 –
Testosterone Undecanoate $100.00 –
Tetracaine $100.00 –
Tetracycline HCL $100.00 –
Thalidomide $100.00 –
THC $145.00 –
Thebaine $100.00 –
Theophylline $100.00 –
Thiocolchicoside $100.00 –
Thioguanine $115.00 –
Thyroxine Sodium $145.00 –
Tiamulin Hydrogen Fumarate $100.00 –
Tianeptine $100.00 –
Tibolone $145.00 –
Ticarcillin Disodium $100.00 –
Ticarcillin Monosodium $100.00 –
Ticarcillin as Free Acid $100.00 –
Su Ti
ACTIVE PHARMACEUTICAL INGREDIENTS
LEGEND: Also available in a panel. Pharmaceutical Fee Schedule | 27
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Tigecycline $100.00 –
Tilmicosin (Tylosin) $115.00 –
Timolol Maleate $100.00 –
Tinidazole $100.00 –
Tioconazole $100.00 –
Tiotropium Bromide $145.00 –
Tipifarnib $100.00 –
Tirapazamine $115.00 –
Tizanidine HCL $100.00 –
Tobramycin $145.00 –
Toceranib Phosphate $115.00 –
Tolterodine L-Tartrate $100.00 –
Topiramate $100.00 –
Topotecan $115.00 –
Total Amphetamine As Amphetamine $100.00 –
Tramadol HCL $100.00 –
Tranylcypromine Sulfate $100.00 –
Trazodone HCL $100.00 –
Trenbolone Acetate $100.00 $195.00
Treprostinil $100.00 –
Tretinoin $100.00 –
Triamcinolone $100.00 –
Triamcinolone Acetonide $100.00 $145.00
Triamterene $100.00 –
Triazolam $195.00 –
Triclabendazole $100.00 –
Triclosan $100.00 –
Trifluoperazine $115.00 –
Trifluoperazine HCL $115.00 –
Trihexyphenidyl HCL $100.00 –
Trimegestone $100.00 –
Trimethoprim $100.00 –
Trimipramine Maleate $115.00 –
Triprolidine HCL $100.00 –
Tylosin $100.00 –
Tylosin Tartrate $100.00 –
Valacyclovir HCL $100.00 –
Valciclovir $100.00 –
Valganciclovir HCL $100.00 –
Valproic Acid (expressed as Divalproex Sodium) $100.00 –
Valsartan $100.00 –
Vancomycin $195.00 –
Vancomycin HCL $100.00 –
Varenicline Tartrate $100.00 –
Varidase $100.00 –
Vecuronium Bromide $195.00 –
Venlafaxine Base $100.00 $195.00
Venlafaxine HCL $100.00 –
Ti Ve
ACTIVE PHARMACEUTICAL INGREDIENTS
28 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
ACTIVE PHARMACEUTICAL INGREDIENT (API) FEE: STANDARD
SENSITIVITY FEE: HIGH
SENSITIVITY
Verapamil HCL $100.00 –
Vilazodone HCL $100.00 –
Vildagliptin $100.00 –
Vinblastine $115.00 –
Vincristine $195.00 –
Vinorelbine Tartrate $115.00 –
Vitamin A $100.00 –
Vitamin A Acetate $100.00 –
Vitamin D $100.00 –
Voriconazol $100.00 –
Warfarin $100.00 –
Yondelis $145.00 –
Zaleplon $100.00 –
Zamestra $100.00 –
Zearalenone $100.00 –
Zeranol $100.00 –
Zidovudine $100.00 –
Zilpaterol HCL $100.00 –
Ziprasidone $100.00 $195.00
Zolmitriptan $115.00 –
Zonisamide $100.00 –
Zopiclone $100.00 –
Zotarolimus $195.00 – Ve Zo
PANELS
LEGEND: Also available in a panel. Pharmaceutical Fee Schedule | 29c
||| PANELS
CHEMOALERT FEE
Comprehensive sampling kit, including prepaid shipping $75.00
1 Compound $160.00
Each additional $35.00
Carboplatin Epirubicin Ifosfamide Paclitaxel
Cisplatin Etoposide Irinotecan Vincristine
Cyclophosphamide Etoposide Phosphate Methotrexate
Doxorubicin 5-Fluorouracil Oxaliplatin
Note: Quantity discounts and three sample minimum do not apply to ChemoAlert prices.
OPIALERT FEE
Comprehensive sampling kit, including prepaid shipping $75.00
1 Compound $160.00
Each additional $35.00
Carfentanil Methadone Oxymorphone
Cis-3-methylfentanyl Morphine Remifentanil
Codeine Naloxone Sufentanil
Fentanyl Naltrexone Tramadol
Hydrocodone Norfentanyl Heroin
Hydromorphone Noroxymorphone Cocaine
Meperidine Oxycodone Methamphetamine
SURROGATES FEE
Acetaminophen (Process Surrogate) $145.00
Lactose $85.00
Mannitol $85.00
Naproxen $85.00
Naproxen (High Sensitivity) $110.00
Naproxen Sodium $85.00
Naproxen Sodium (High Sensitivity) $110.00
Riboflavin $85.00
Riboflavin Sodium Phosphate $85.00
Sucrose $85.00
Trehalose $145.00
Note: Standard quantity discounts and three sample minimum do not apply to surrogates prices
PANELS
30 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
SURROGATES QUANTITY DISCOUNT SCHEDULE
The following discount schedule will be given on published list pricing for those sample sets submitted at one time involving 50 or more identical analyses, billed as single batch. Quantity discounts are not applied to expedited services.
NUMBER OF IDENTICAL SAMPLES FEE
15‒49 $85.00
50‒99 $75.00
100‒200 $70.00
200 or more $65.00
HORMONES A
THREE SAMPLE MINIMUM APPLIED
FEE: First Analyte$195.00 | Each additional Analyte$55.00
Ethinyl Estradiol Norethindrone Acetate Norelgestromin (17D)
Norethindrone Norgestimate Levonorgestrel
HORMONES B
THREE SAMPLE MINIMUM APPLIED
FEE: First Analyte$195.00 | Each additional Analyte$55.00
Ethinyl Estradiol Levonorgestrel Medroxyprogesterone Acetate
Gestodene
COLD/FLU PANEL
THREE SAMPLE MINIMUM APPLIED
FEE: First Analyte$100.00 | Each additional Analyte$50.00
Acetaminophen Dextromethorphan Hydrobromide Naloxone
Caffeine Diphenhydramine HCL Phenylephrine HCL
Chlorpheniramine Maleate Doxylamine succinate Pseudoephedrine HCL
Codeine Hydrocodone Salicylic acid
PHARMACEUTICAL | CHEMICAL AGENTS
LEGEND: Media charge Badge / Monitor Pharmaceutical Fee Schedule | 31
CHEMICAL AGENTS
CHEMICAL METHOD REFERENCE FEE
Acetic Acid OSHA PV2119 $58.00
Boron/Borate NIOSH 7303 $40.00
Chlorine NIOSH 6011 $45.00 +$35/Filter
Chlorine Dioxide NIOSH 6011 $105.00
CIP 100 BV Inhouse Method $115.00
Ethylene Oxide OSHA 1010/49 $84.00 +$20/Badge
Formaldehyde NIOSH 2016 $85.00
Glutaraldehyde NIOSH 2532 $85.00
Hexavalent Chromium, Filter OSHA ID-215 $70.00
Hydrogen Peroxide OSHA ID 1019 $85.00 +$15/Filter Hydrogen Peroxide and Peracetic Acid (PAA) Journal $185.00 +$15/Filter
INORGANIC ACIDS NIOSH 7907/7908
FEE: First Analyte$58.00 | Each additional Analyte$25.00
Fluoride Hydrochloric Acid Sulfuric Acid
Hydrobromic Acid Nitric Acid
||| PHARMACEUTICAL CHEMICAL AGENTS
NOTE: The chemicals listed below represent the most commonly requested tests in the pharmaceutical industry. We offer an extensive menu of industrial hygiene analytical services. Please refer to our standard IH Lab Services Fee Schedule.
PARTICULATE FEE
Total Particulate $20.00
Matched Weight $24.00
Inhalable Dust (IOM) $27.00
ANESTHETIC GASES
FEE: First Analyte$65.00 Tube $75 Badge| Each additional Analyte$45.00 Tube or Badge
Desflurane Halothane Sevoflurane
Enflurane Isoflurane
METALS (ICP)
FEE: First Analyte$32.00 | Each additional Analyte$18.00
Aluminum Cadmium Copper Molybdenum Thallium
Antimony Calcium Iron Oxides Nickel Tin
Arsenic Chromium Lead Selenium Titanium
Barium Cobalt Magnesium Silver Vanadium
Beryllium Manganese Strontium Zinc
Stainless Steel IOMs require a deposit of $100/IOM secured by Credit Card or Purchase Order at the time of ordering. If samplers are not returned within 60 days the deposit will be collected. If IOM samplers are returned within 60 days, there will be no additional charges incurred. If IOMs are returned after 60 days, a charge of $5.00/day (after 60 days) will be applied.
PHARMACEUTICAL | CHEMICAL AGENTS
32 | Pharmaceutical Fee Schedule LEGEND: Also available in a panel
SOLVENTS
CHEMICAL METHOD FEE EACH ADDL.
Acetone LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Acetone LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Acetonitrile NIOSH 1606 $48.00 $25.00
Acetonitrile NIOSH 1606 $58.00 $25.00
Acetone LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Acetone LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Acetonitrile NIOSH 1606 $48.00 $25.00
Acetonitrile NIOSH 1606 $58.00 $25.00
Benzene LZ-SOP-000006 / NIOSH1501 $48.00 $25.00
Benzene LZ-SOP-000006 / NIOSH 1501/OSHA 1005 $58.00 $25.00
Butyl Alcohol LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Butyl Alcohol LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Chloroform LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Chloroform LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Cyclohexanone LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Cyclohexanone LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Ethanol LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Ethanol LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Ethyl Acetate LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Ethyl Acetate LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Ethyl Benzene LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Ethyl Benzene LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Ethyl Ether LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Ethyl Ether LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Eucalyptol LZ-SOP-000006/NIOSH Equivalent $58.00 –
Heptane, n- LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Heptane, n- LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Hexane, n- LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Hexane, n- LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Isopropyl Alcohol LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Isopropyl Alcohol LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Menthol LZ-SOP-000006/NIOSH Equivalent $58.00 –
Methanol NIOSH 2000 $48.00 –
Methyl Ethyl Ketone (MEK) LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Methyl Ethyl Ketone (MEK) LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Methylene Chloride LZ-SOP-000006/NIOSH 1005 $48.00 $25.00
Methylene Chloride LZ-SOP-000006/NIOSH 1005 $58.00 $25.00
Methyl tert-Butyl Ether (MTBE) LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Methyl tert-Butyl Ether (MTBE) LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
Tetrahydrofuran LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Tetrahydrofuran LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
PHARMACEUTICAL | CHEMICAL AGENTS
LEGEND: Badge / Monitor Pharmaceutical Fee Schedule | 33
SOLVENTS
CHEMICAL METHOD FEE EACH ADDL.
Toluene LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Toluene LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
TVOC “as Hexane” LZ-SOP-000006/NIOSH Equivalent $57.00 –
Xylene, Total LZ-SOP-000006/NIOSH Equivalent $48.00 $25.00
Xylene, Total LZ-SOP-000006/NIOSH Equivalent $58.00 $25.00
STANDARD TERMS AND CONDITIONS
34 | Pharmaceutical Fee Schedule
||| STANDARD TERMS & CONDITIONS
The following terms and conditions apply to the Services to be provided by Bureau Veritas North America, Inc.
For the purposes of this document “Services” includes the services provided by Bureau Veritas as described
or reported on the preceding pages, and includes all related services and reporting thereon. In the event of a
conflict between these and any other terms and conditions contained in any purchase order or other
documentation relating to the Services not specifically agreed to in writing by Bureau Veritas, these terms and
conditions shall govern.
LIABILITY
Bureau Veritas’ sole responsibility is to perform its Services in accordance with commonly accepted
professional standards using accepted, and where applicable, accredited testing methodologies and
procedures, unless lesser standards or methods are prescribed by the client. Bureau Veritas’ liability in
connection with the performance or non-performance of Services is to the Client only, and does not extend to
the Client’s or Bureau Veritas’ successors, assigns, associates, affiliates, officers, employees, directors,
contractors, customers or to any other third party, and is limited to the actual cost of the specific analysis
included in the Services. Bureau Veritas has no liability whatsoever for indirect, consequential, exemplary,
incidental, special or punitive damages including lost profits, even if Bureau Veritas has been advised of the
possibility of such damages. Except as aforesaid, Bureau Veritas disclaims all warranties, express or implied,
including without limitation any warranties of merchantability or fitness for a particular purpose. The Client
agrees to indemnify and hold Bureau Veritas harmless from all claims, damages and losses including the cost
of defense in connection with or arising out of performance of the Services, except only as aforesaid.
DELIVERABLES
Bureau Veritas has expertise in providing electronic data deliverables in a variety of formats for upload into
client databases. Bureau Veritas’ final reports are transmitted to clients as a PDF image file using Adobe
Acrobat. By supplying your e-mail address, this file can be automatically sent upon completion of the report.
The e-mail final report can be copied to a regional or corporate contact if desired.
CONFIDENTIALITY PROMISE
All results and information obtained by Bureau Veritas will be held in strict confidence unless (i) the Client
directs otherwise in writing, (ii) any disclosed information is at the time of its disclosure or subsequently
become generally available to the public without breach of any confidentiality agreement by Bureau Veritas, or
(iii) disclosure is compelled by law, in which event Bureau Veritas will use commercially reasonable efforts to
give Client prior written notice of any disclosure to be made, and at Client’s expense, Bureau Veritas shall
cooperate fully with Client to obtain protective orders, confidential treatment or other such protective action as
may be available to preserve the confidentiality of the information required to be disclosed.
INSURANCE
Proof of insurance is available upon request.
FEES
Published prices for analytical services may be subject to change without prior notice.
QUALITY ASSURANCE SAMPLE ANALYSIS
Bureau Veritas reserves the right to analyze customer samples without consent as part of QA/QC procedures.
SAMPLE STORAGE
Bureau Veritas will retain for a minimum of 30 days from receipt for no additional cost. Longer storage periods
are available upon request, but additional charges may apply. Bureau Veritas reserves the right to return
unused portions of samples to the client, at the Client’s expense.
SAMPLE DISPOSAL
STANDARD TERMS AND CONDITIONS
Pharmaceutical Fee Schedule | 35
Bureau Veritas will safely dispose of any unused samples in accordance with local environmental regulations.
A disposal fee may apply.
HAZARDOUS SAMPLES
Samples which are suspected to be hazardous, must be clearly marked as such prior to submission to the
laboratory. These samples may be returned to the Client or disposed of by Bureau Veritas at additional cost.
MINIMUM ORDER
A minimum charge may be applied to analytical submissions for selected non-routine tests, to cover the costs
of media and/or project management.
PAYMENT TERMS
Net 30 days, 1.5% service charge per month on overdue accounts. Purchase order, cheque or credit
application may be required before work commences. Accounts overdue by 90 days or more may be referred
to a collection agency. Bureau Veritas reserves the right to withhold data or refuse samples on overdue
accounts.
CREDIT APPLICATION
Bureau Veritas requires a credit application to be completed to set up an account, and updated credit
information provided on an annual or as requested basis. Based on the result of the credit application an
appropriate credit limit will be established. Bureau Veritas reserves the right to withhold data or refuse
samples once this limit has been reached.
CHAIN OF CUSTODY
Chain of Custody forms (“COC”) will be provided and must accompany samples to document the transfer of
samples from the field to the laboratory. Complete instructions as to analysis and reporting requirements are
to be included. A signed COC provides authorization from the Client to Bureau Veritas to proceed with the
testing under our standard terms and conditions. Failure to sign the COC may result in delays of turnaround
time or processing samples, or refusal to accept samples.
RETURN SHIPPING OF SAMPLES
Bureau Veritas assumes no responsibility for samples or sampling supplies that are lost or delayed as a result
of independent couriers.
SAMPLING SUPPLIES (SINGLE USE)
Sample bottles, sampling media, preservatives, labels and COCs are available when requesting services.
Contact your client service representative for minimum sample size requirements, sampling protocols and/or
to place an order. Some sample containers are available only on a cost or rental fee basis; please refer to
your client service representative for more details. A charge may apply for containers ordered, but not
returned to Bureau Veritas for testing.
Bureau Veritas Laboratories’ complete Standard Terms & Conditions is available at
http://www.bvlabs.com/terms-and-conditions.
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