Medication List SODIUM 75MG EC TAB 3 60 180 AMILORIDE 5MG / HCTZ 50MG TAB 2 30 90 IBUPROFEN...

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Medication List Walgreens Plus™ members receive discounts on thousands of generic and brand-name medications included on this Medication List, which is divided into two sections, “Value Priced” Medications and “Discounted” Medications*. The price for a medication identifed as “Value-Priced” is listed below: 30-day-supply drugs cost $5 (tier 1), $10 (tier 2) or $15 (tier 3) 90-day-supply drugs cost $10 (tier 1), $20 (tier 2) or $30 (tier 3) Get savings up to 85% off Cash Prices on Atorvastatin (generic Lipitor) and Rosuvastatin (generic Crestor) †† The Discounted Medications section lists the discounts offered to Walgreens Plus members on other generic and brand-name medications not included in the Value-Priced Medication section. The price for a medication is based on its tier and whether it is a 30-day or 90-day supply . There may be an additional cost for quanities greater than those listed. This discount prescription pricing applies only to Walgreen Plus members on prescriptions purchased in select Walgreens stores that are not billed to insurance and/or used in combination with other health or pharmacy beneft programs. For further details, see your pharmacist or Walgreens.com/Plus. VALUE GENERICS NAPROXEN 250MG TAB 2 60 180 NAPROXEN 500MG TAB 2 60 180 Antifungal NAPROXEN 375MG TAB 2 60 180 Quantity NAPROXEN DR 500MG TAB 3 60 180 Drug Name Tier 30 90 FLUCONAZOLE 150MG TAB 2 1 3 TERBINAFINE 250MG TAB 2 30 90 Asthma Quantity Drug Name Tier 30 90 Antiviral ALBUTEROL 0.083% INH SOLN 25X3ML 2 75 225 Quantity AMINOPHYLLINE 100MG TAB 2 60 180 Drug Name Tier 30 90 AMINOPHYLLINE 200MG TAB 2 60 180 ACYCLOVIR 200MG CAPS 3 60 180 DYPHYLLINE-GG 100-100 ELIXIR 2 240 720 DYPHYLLIN-GG TAB 3 30 90 Arthritis or Pain IPRATROPIUM INHAL SOLN 60 X 2.5ML 2 75 225 Quantity Drug Name Tier 30 90 Blood Pressure/Heart Health BACLOFEN 10MG TAB 3 30 90 Quantity CYCLOBENZAPRINE 5MG TAB 2 30 90 Drug Name Tier 30 90 CYCLOBENZAPRINE 10MG TAB 2 30 90 AMILORIDE 5MG / HCTZ 50MG TAB 2 30 90 DICLOFENAC SODIUM 75MG EC TAB 3 60 180 AMIODARONE 200MG TAB 2 30 90 IBUPROFEN 100MG/5ML ORAL SUSP 2 120 360 AMLODIPINE BESYLATE 2.5MG TAB 2 30 90 IBUPROFEN 400MG TAB 2 90 270 AMLODIPINE BESYLATE 5MG TAB 2 30 90 IBUPROFEN 600MG TAB 2 60 180 AMLODIPINE BESYLATE 10MG TAB 3 30 90 IBUPROFEN 800MG TAB 2 60 180 ATENOLOL 100MG TAB 1 30 90 INDOMETHACIN 25MG CAP 2 60 180 ATENOLOL 25MG TAB 2 60 180 INDOMETHACIN 50MG CAP 1 30 90 ATENOLOL 50MG TAB 2 60 180 KETOPROFEN 50MG CAP 3 90 270 ATENOLOL/CHLORTHALIDONE 50/25 TAB 3 30 90 KETOPROFEN 75MG CAP 3 60 180 BENAZEPRIL 5MG TAB 2 30 90 KETOROLAC 30MG/ML INJ, 2ML 3 15 45 BENAZEPRIL 10MG TAB 2 30 90 MELOXICAM 7.5MG TAB 2 30 90 BENAZEPRIL 20MG TAB 2 30 90 MELOXICAM 15MG TAB 2 30 90 This Program is NOT Insurance. Membership fee required. Amount of the discount may vary based on type of item/service Member purchases but provider will not charge Member more than the discounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service. *List of drugs is not all-inclusive. Ask your Walgreens pharmacist if a discount may be available on your medication if not included above. Perscription drug covereage and cost are subject to change. †The day supply is based on the average quantity dispensed for the specifc drug and strength as indicated in the list. Larger quantities cost more. Taxes and other fees may apply. †† Savings apply only to prescriptions purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combined with any form of insurance or other pharmacy beneft programs. Actual savings will vary. For details, see your pharmacist or Walgreens.com/Plus. Drug names are the property of their respective owners. ©2018 Walgreen Co. All rights reserved. 000026550-626-642 - Revised: 3/20/2018

Transcript of Medication List SODIUM 75MG EC TAB 3 60 180 AMILORIDE 5MG / HCTZ 50MG TAB 2 30 90 IBUPROFEN...

Medication List

Walgreens Plus members receive discounts on thousands of generic and brand-name medications included on this

Medication List, which is divided into two sections, Value Priced Medications and Discounted Medications*.

The price for a medication identified as Value-Priced is listed below:

30-day-supply drugs cost $5 (tier 1), $10 (tier 2) or $15 (tier 3)

90-day-supply drugs cost $10 (tier 1), $20 (tier 2) or $30 (tier 3)

Get savings up to 85% off Cash Prices

on Atorvastatin (generic Lipitor) and

Rosuvastatin (generic Crestor)

The Discounted Medications section lists the discounts offered to Walgreens Plus members on other generic

and brand-name medications not included in the Value-Priced Medication section.

The price for a medication is based on its tier and whether it is a 30-day or 90-day supply. There may be an additional cost for

quanities greater than those listed. This discount prescription pricing applies only to Walgreen Plus members on prescriptions

purchased in select Walgreens stores that are not billed to insurance and/or used in combination with other health or pharmacy

benefit programs. For further details, see your pharmacist or Walgreens.com/Plus.

VALUE GENERICS NAPROXEN 250MG TAB 2 60 180

NAPROXEN 500MG TAB 2 60 180Antifungal

NAPROXEN 375MG TAB 2 60 180Quantity

NAPROXEN DR 500MG TAB 3 60 180Drug Name Tier 30 90

FLUCONAZOLE 150MG TAB 2 1 3

TERBINAFINE 250MG TAB 2 30 90 Asthma

Quantity

Drug Name Tier 30 90Antiviral ALBUTEROL 0.083% INH SOLN 25X3ML 2 75 225Quantity AMINOPHYLLINE 100MG TAB 2 60 180Drug Name Tier 30 90 AMINOPHYLLINE 200MG TAB 2 60 180ACYCLOVIR 200MG CAPS 3 60 180 DYPHYLLINE-GG 100-100 ELIXIR 2 240 720

DYPHYLLIN-GG TAB 3 30 90Arthritis or Pain IPRATROPIUM INHAL SOLN 60 X 2.5ML 2 75 225

Quantity

Drug Name Tier 30 90 Blood Pressure/Heart Health

BACLOFEN 10MG TAB 3 30 90 QuantityCYCLOBENZAPRINE 5MG TAB 2 30 90

Drug Name Tier 30 90CYCLOBENZAPRINE 10MG TAB 2 30 90 AMILORIDE 5MG / HCTZ 50MG TAB 2 30 90DICLOFENAC SODIUM 75MG EC TAB 3 60 180

AMIODARONE 200MG TAB 2 30 90IBUPROFEN 100MG/5ML ORAL SUSP 2 120 360

AMLODIPINE BESYLATE 2.5MG TAB 2 30 90IBUPROFEN 400MG TAB 2 90 270

AMLODIPINE BESYLATE 5MG TAB 2 30 90IBUPROFEN 600MG TAB 2 60 180

AMLODIPINE BESYLATE 10MG TAB 3 30 90IBUPROFEN 800MG TAB 2 60 180

ATENOLOL 100MG TAB 1 30 90INDOMETHACIN 25MG CAP 2 60 180

ATENOLOL 25MG TAB 2 60 180INDOMETHACIN 50MG CAP 1 30 90

ATENOLOL 50MG TAB 2 60 180KETOPROFEN 50MG CAP 3 90 270

ATENOLOL/CHLORTHALIDONE 50/25 TAB 3 30 90KETOPROFEN 75MG CAP 3 60 180

BENAZEPRIL 5MG TAB 2 30 90KETOROLAC 30MG/ML INJ, 2ML 3 15 45

BENAZEPRIL 10MG TAB 2 30 90MELOXICAM 7.5MG TAB 2 30 90

BENAZEPRIL 20MG TAB 2 30 90MELOXICAM 15MG TAB 2 30 90

This Program is NOT Insurance. Membership fee required. Amount of the discount may vary based on type of item/service Member purchases but provider will not charge Member more than the

discounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.

*List of drugs is not all-inclusive. Ask your Walgreens pharmacist if a discount may be available on your medication if not included above. Perscription drug covereage and cost are subject to change.

The day supply is based on the average quantity dispensed for the specific drug and strength as indicated in the list. Larger quantities cost more. Taxes and other fees may apply.

Savings apply only to prescriptions purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combined with any form of insurance or other pharmacy benefit programs.

Actual savings will vary. For details, see your pharmacist or Walgreens.com/Plus.

Drug names are the property of their respective owners.

2018 Walgreen Co. All rights reserved. 000026550-626-642 - Revised: 3/20/2018

Blood Pressure/Heart Health Continued PROPRANOLOL 60MG TAB 3 60 180 SIMVASTATIN 40MG TAB 2 30 90

BENAZEPRIL 40MG TAB 2 30 90 QUINAPRIL 5MG TAB 2 30 90 SIMVASTATIN 80MG TAB 2 30 90

BISOPROLOL FUMARATE 5MG TAB 2 30 90 QUINAPRIL 10MG TAB 2 30 90

BISOPROLOL/HCTZ 2.5MG/6.25MG TAB 2 30 90 QUINAPRIL 20MG TAB 3 30 90 Cough/Cold/Allergy

BISOPROLOL/HCTZ 5MG/6.25MG TAB 2 30 90 QUINAPRIL 40MG TAB 2 30 90 Quantity

BISOPROLOL/HCTZ 10MG/6.25MG TAB 2 30 90 RAMIPRIL 1.25MG CAP 3 30 90 Drug Name Tier 30 90

CARVEDILOL 3.125MG TAB 2 60 180 SOTALOL 120MG TAB 2 60 180 ALLER-CHLOR 4MG TAB 1 100 300

CARVEDILOL 6.25MG TAB 2 60 180 SPIRONOLACTONE 25MG TAB 2 30 90 BENZONATATE 100MG CAP 2 30 90

CARVEDILOL 12.5MG TAB 2 60 180 SPIRONOLACTONE 50MG TAB 2 30 90 BENZONATATE 200MG CAP 3 30 90

CARVEDILOL 25MG TAB 2 60 180 TERAZOSIN 1MG CAP 2 30 90 CETIRIZINE 1MG/ML SYRUP 3 120 360

CLONIDINE 0.1MG TAB 2 60 180 TERAZOSIN 2MG CAP 2 30 90 CYPROHEPTADINE 2MG/5ML SYRUP 3 120 360

CLONIDINE 0.2MG TAB 2 60 180 TERAZOSIN 5MG CAP 2 30 90 DE-CHLOR DM LIQUID 2 120 360

CLONIDINE 0.3MG TAB 2 60 180 TERAZOSIN 10MG CAP 2 30 90 DE-CHLOR DR SYRUP 2 180 540

DILTIAZEM 30MG TAB 2 60 180 TICLOPIDINE 250MG TAB 3 60 180 DEHISTINE SYRUP 3 240 720

DILTIAZEM 60MG TAB 3 60 180 TORSEMIDE 5MG TAB 3 30 90 DIPHENHYDRAMINE 50MG CAP 2 30 90

DILTIAZEM 120MG TAB 2 30 90 TORSEMIDE 10MG TAB 3 30 90 FLUTICASONE NASAL SP (120INH) 16GM 3 16 48

DOXAZOSIN 1MG TAB 3 30 90 TORSEMIDE 20MG TAB 3 30 90 LORATADINE 10MG TAB 1 30 90

DOXAZOSIN 2MG TAB 3 30 90 TRANDOLAPRIL 1MG TAB 2 30 90 NOHIST TAB 3 30 90

DOXAZOSIN 4MG TAB 3 30 90 TRANDOLAPRIL 2MG TAB 2 30 90 ORGAN-I NR 200MG TAB 3 120 360

ENALAPRIL 2.5MG TAB 2 60 180 TRANDOLAPRIL 4MG TAB 2 30 90 PBM ALLERGY SYRUP 3 120 360

ENALAPRIL 5MG TAB 2 60 180 TRIAMTERENE 37.5MG/ HCTZ 25MG CAP 2 30 90 PHENYLTOLOXAMINE PE CPM SYRUP 2 240 720

ENALAPRIL-HCTZ 5-12.5MG TAB 2 60 180 TRIAMTERENE 37.5MG/ HCTZ 25MG TAB 3 30 90 PROMETHAZINE 12.5MG TAB 2 30 90

ENALAPRIL-HCTZ 10-25MG TAB 2 30 90 TRIAMTERENE 75MG/ HCTZ 50MG TAB 1 30 90 PROMETHAZINE 25MG TAB 1 12 36

FOSINOPRIL 10MG TAB 2 30 90 VERAPAMIL 40MG TAB 3 60 180 PROMETHAZINE 50MG TAB 2 60 180

FOSINOPRIL 20MG TAB 2 30 90 VERAPAMIL 80MG TAB 1 30 90 PROMETHAZINE DM SYRUP 2 180 540

FOSINOPRIL 40MG TAB 3 30 90 VERAPAMIL 120MG TAB 2 30 90 QUARTUSS DM DROPS 30ML 3 30 90

FUROSEMIDE 10MG/ML ORAL SOLN 60ML 3 90 270 WARFARIN SOD 1MG TAB 2 30 90 QV-ALLERGY SYRUP 3 240 720

FUROSEMIDE 20MG TAB 1 60 180 WARFARIN SOD 2.5MG TAB 2 30 90 REME TUSSIN DM SYRUP 3 150 450

FUROSEMIDE 40MG TAB 1 60 180 WARFARIN SOD 2MG TAB 2 30 90 SILDEC PE-DM SYRUP 1 120 360

FUROSEMIDE 80MG TAB 1 30 90 WARFARIN SOD 3MG TAB 2 30 90 SILDEC-PE SYRUP 1 120 360

GUANFACINE 1MG TAB 2 30 90 WARFARIN SOD 4MG TAB 2 30 90 SUPRESS-DX PED DROPS 30ML 3 30 90

GUANFACINE 2MG TAB 2 30 90 WARFARIN SOD 5MG TAB 2 30 90 TRIPOHIST LIQUID 3 120 360

HYDRALAZINE 10MG TAB 1 60 90 WARFARIN SOD 6MG TAB 2 30 90

HYDRALAZINE 25MG TAB 2 60 180 WARFARIN SOD 7.5MG TAB 2 30 90 Diabetes

HYDROCHLOROTHIAZIDE 12.5MG CAP 2 30 90 WARFARIN SOD 10MG** TAB 2 30 90 Quantity

YDROCHLOROTHIAZIDE 12.5MG TAB 3 30 90 Drug Name Tier 30 90

HYDROCHLOROTHIAZIDE 25MG TAB 1 30 90 Cholestrol GLIMEPIRIDE 1MG TAB 1 30 90

HYDROCHLOROTHIAZIDE 50MG TAB 1 30 90 Quantity GLIMEPIRIDE 2MG TAB 1 30 90

INDAPAMIDE 1.25MG TAB 2 30 90 Drug Name Tier 30 90 GLIMEPIRIDE 4MG TAB 2 30 90

INDAPAMIDE 2.5MG TAB 2 30 90 ATORVASTATIN 10MG TAB 3 30 90 GLIPIZIDE 5MG TAB 1 30 90

ISOSORBIDE DINITRATE 2.5MG SL TAB 2 30 90 ATORVASTATIN 20MG TAB 3 30 90 GLIPIZIDE 10MG TAB 2 60 180

ISOSORBIDE DINITRATE 5MG SUBL TAB 3 120 360 ATORVASTATIN 40MG TAB 3 30 90 GLIPIZIDE ER 10MG TAB 3 30 90

ISOSORBIDE MONONITRATE 30MG ER TAB 2 30 90 ATORVASTATIN 80MG TAB 3 30 90 GLIPIZIDE XL 2.5MG TAB 3 60 180

ISOSORBIDE MONONITRATE 60MG ER TAB 2 30 90 FENOFIBRATE 54MG TAB 3 30 90 GLIPIZIDE XL 5MG TAB 3 30 90

LISINOPRIL 2.5MG TAB 2 30 90 GEMFIBROZIL 600MG TAB 3 60 180 GLYBURIDE 1.25MG TAB 1 30 90

LISINOPRIL 5MG TAB 2 30 90 LOVASTATIN 10MG TAB 2 30 90 GLYBURIDE 2.5MG TAB 2 30 90

LISINOPRIL 10MG TAB 1 30 90 LOVASTATIN 20MG TAB 2 30 90 GLYBURIDE 5MG TAB 2 30 90

LISINOPRIL 20MG TAB 1 30 90 LOVASTATIN 40MG TAB 2 30 90 GLYBURIDE MICRO 1.5MG TAB 1 30 90

LISINOPRIL 30MG TAB 2 30 90 PRAVASTATIN 10MG TAB 2 30 90 GLYBURIDE MICRO 3MG TAB 1 30 90

LISINOPRIL 40MG TAB 2 30 90 PRAVASTATIN 20MG TAB 2 30 90 GLYBURIDE MICRO 6MG TAB 2 30 90

LISINOPRIL-HCTZ 10/12.5MG TAB 2 30 90 PRAVASTATIN 40MG TAB 2 30 90 GLYBURIDE/METFORMIN 1.25/250MG TAB 2 60 180

LISINOPRIL-HCTZ 20/12.5MG TAB 2 30 90 PRAVASTATIN 80MG TAB 2 30 90 GLYBURIDE/METFORMIN 2.5/500MG TAB 2 60 180

LISINOPRIL-HCTZ 20/25MG TAB 2 30 90 ROSUVASTATIN 5MG TAB 3 30 90 METFORMIN 500MG TAB 1 90 270

METHYLDOPA 250MG TAB 3 60 180 ROSUVASTATIN 10MG TAB 3 30 90 METFORMIN 850MG TAB 1 90 270

METHYLDOPA 500MG TAB 3 60 180 ROSUVASTATIN 20MG TAB 3 30 90 METFORMIN 1000MG TAB 1 60 180

METOPROLOL TARTRATE 25MG TAB 2 60 180 ROSUVASTATIN 40MG TAB 3 30 90 METFORMIN ER 500MG 24HR TAB 1 60 180

METOPROLOL TARTRATE 50MG TAB 2 60 180 SIMVASTATIN 5MG TAB 2 30 90

METOPROLOL TARTRATE 100MG TAB 2 60 180 SIMVASTATIN 10MG TAB 2 30 90

PRAZOSIN 1MG CAP 3 30 90 SIMVASTATIN 20MG TAB 2 30 90

AMOXICILLIN 400MG/5ML SUSP 50ML 1 100 300 GABAPENTIN 250MG/5ML SOLN 3 236 708Ear Care

Quantity AMOXICILLIN 400MG/5ML SUSP 75ML 1 100 300 HALOPERIDOL 0.5MG TAB 3 60 180

Drug Name Tier 30 90 AMOXICILLIN 400MG/5ML SUSP 100ML 1 100 300 HALOPERIDOL 1MG TAB 2 30 90

ANTIPYRINE BENZOCAINE OTIC SOL 15ML 2 15 45 AMOXICILLIN 500MG TAB 3 30 90 HALOPERIDOL 2MG TAB 3 30 90

AMOXICILLIN 875MG TAB 3 20 60 HYDROXYZINE 10MG/5ML SYRUP 3 240 720

Eye Care AMPICILLIN 250MG CAP 2 40 120 HYDROXYZINE HCL 25MG TAB 2 30 90

Quantity AMPICILLIN 500MG CAP 3 60 180 HYDROXYZINE HCL 50MG TAB 3 30 90

Drug Name Tier 30 90 CEFPROZIL 125MG/5ML SUSP 50ML 3 100 300 HYDROXYZINE PAMOATE 25MG CAP 3 90 270

BACITRACIN/POLYMYX OPHTHOINT 3.5GM 3 3.5 10.5 CEFPROZIL 125MG/5ML SUSP 75ML 3 100 300 IMIPRAMINE 10MG TAB 3 60 180

ERYTHROMYCIN OPHTH OINT 3.5GM 2 3.5 10.5 CEFPROZIL 125MG/5ML SUSP 100ML 3 100 300 IMIPRAMINE 25MG TAB 3 60 180

GENTAMICIN 0.3% OPHTH SOLN 5ML 2 5 15 CEPHALEXIN 250MG CAP 1 28 84 IMIPRAMINE 50MG TAB 3 30 90

LEVOBUNOLOL 0.5% OPTH SOLN 5ML 2 5 15 CEPHALEXIN 500MG CAP 2 30 90 LITHIUM CARBONATE 150MG CAP 3 60 180

PILOCARPINE 0.5% OPHTH SOLN 3 15 45 CIPROFLOXACIN 250MG TAB 1 14 42 LITHIUM CARBONATE 300MG CAP 2 90 270

POLYMYXIN-B/TRIMETHOPRIMOPHTH SOLN 2 10 30 CIPROFLOXACIN 500MG TAB 1 20 60 LITHIUM CARBONATE 300MG TAB 3 60 180

SULFACETAMIDE NA 10% OPH SOL 15ML 2 15 45 CIPROFLOXACIN 750MG TAB 3 20 60 LITHIUM CARBONATE 600MG CAP 3 60 180

TIMOLOL MALEATE .25% OPHTH SOL 5ML 2 5 15 CLINDAMYCIN 150MG CAP 3 30 90 METHOCARBAMOL 500MG TAB 2 30 90

TIMOLOL MALEATE 0.5% OPHTH SOLN 5ML 2 5 15 LINDAMYCIN 300MG CAP 3 28 84 METHOCARBAMOL 750MG TAB 3 60 180

TOBRAMYCIN 0.3% OPH SOL 5ML 2 5 15 METRONIDAZOLE 250MG TAB 2 28 84 MIRTAZAPINE 15MG TAB 1 30 90

METRONIDAZOLE 500MG TAB 3 14 42 NORTRIPTYLINE 10MG CAP 2 30 90

Gastrointestinal Health PENICILLIN VK 125MG/5ML SOLN 100ML 2 200 600 NORTRIPTYLINE 25MG CAP 1 30 90

Quantity PENICILLIN VK 125MG/5ML SOLN 200ML 2 200 600 NORTRIPTYLINE 75MG CAP 1 30 90

Drug Name Tier 30 90 PENICILLIN VK 250MG/5ML SOLN 100ML 2 100 300 PAROXETINE 10MG TAB 2 30 90

CIMETIDINE ORAL LIQ 300MG/5ML 3 240 720 PENICILLIN VK 250MG/5ML SOLN 200ML 2 100 300 PAROXETINE 20MG TAB 2 30 90

DICYCLOMINE 10MG CAP 2 90 270 PENICILLIN VK 250MG TAB 1 30 90 PAROXETINE 30MG TAB 2 30 90

DICYCLOMINE 20MG TAB 2 60 180 PENICILLIN VK 500MG TAB 1 20 60 PRAMIPEXOLE 0.25MG TAB 3 30 90

DOC-Q-LACE 100MG CAP 2 60 180 SMZ/TMP REGULAR STRENGTH TAB 2 28 84 PRIMIDONE 50MG TAB 3 60 180

FAMOTIDINE 20MG TAB 1 60 180 SULFAMETH/TRIMETHOPRIM 800/160 TAB 2 28 84 PROCHLORPERAZINE 5MG TAB 2 30 90

FAMOTIDINE 40MG TAB 1 30 90 TRIMETHOPRIM 100MG TAB 3 30 90 PROCHLORPERAZINE 10MG TAB 2 30 90

METOCLOPRAMIDE 5MG TAB 2 60 180 SERTRALINE 25MG TAB 2 30 90

METOCLOPRAMIDE 10MG TAB 2 60 180 Medical Devices SERTRALINE 50MG TAB 2 30 90

METOCLOPRAMIDE HCL 5MG/5ML SOLN 1 60 180 Quantity SERTRALINE 100MG TAB 2 30 90

NIZATIDINE 150MG CAP 3 60 180 Drug Name Tier 30 90 TRAZODONE 50MG TAB 1 30 90

RANITIDINE 150MG TAB 2 60 180 PROCHAMBER AERO SPACER 3 1 3 TRAZODONE 100MG TAB 1 30 90

RANITIDINE 300MG TAB 2 30 90 TRAZODONE 150MG TAB 2 30 90

Mental Health TRIHEXYPHENIDYL 2MG TAB 2 60 180

Gout Quantity TRIHEXYPHENIDYL 5MG TAB 3 90 270

Quantity Drug Name Tier 30 90

Drug Name Tier 30 90 AMITRIPTYLINE 10MG TAB 1 30 90 Mouth/Throat/Dental

ALLOPURINOL 100MG TAB 2 60 180 AMITRIPTYLINE 25MG TAB 1 30 90 Quantity

ALLOPURINOL 300MG TAB 3 60 180 AMITRIPTYLINE 50MG TAB 1 30 90 Drug Name Tier 30 90

BENZTROPINE 0.5MG TAB 2 30 90 CHLORHEXIDINE ORAL RINSE 473ML 2 473 1419

Infections BENZTROPINE 1MG TAB 3 60 180 LIDOCAINE VISCOUS 2% ORAL SOL 100ML 2 100 300

Quantity BENZTROPINE 2MG TAB 2 30 90 SF 5000 PLUS 1.1% CREAM 51GM 3 60 180

Drug Name Tier 30 90 BUSPIRONE 5MG TAB 2 60 180 SOD FLUORIDE 0.2% MINT SOLUTION 2 473 1419

AMOX-CLAV 200MG/5ML SUSP 100ML 3 100 300 BUSPIRONE 10MG TAB 2 60 180 STANNOUS FLUORIDE 0.63% RINSE 3 300 900

AMOX-CLAV 400MG/5ML SUSP 100ML 3 100 300 CITALOPRAM 10MG TAB 1 30 90

AMOXICILLIN 250MG CAP 1 30 90 CITALOPRAM 20MG TAB 1 30 90 Skin Conditions

AMOXICILLIN 500MG CAP 1 30 90 CITALOPRAM 40MG TAB 1 30 90 Quantity

AMOXICILLIN 125MG CHEWABLE TAB 2 30 90 CLOZAPINE 25MG TAB 3 30 90 Drug Name Tier 30 90

AMOXICILLIN 250MG CHEW TAB 3 40 120 DOXEPIN 10MG CAP 3 30 90 BENZOYL PEROXIDE 5% AQ GEL 60GM 3 60 180

AMOXICILLIN 125MG/5ML SUSP 80ML 2 150 450 DOXEPIN 25MG CAP 3 30 90 BETAMETHASONE VAL 0.1% CRM 15GM 3 15 45

AMOXICILLIN 125MG/5ML SUSP 100ML 2 150 450 DOXEPIN HCL 10MG/ML CONC 118ML 3 90 270 HYDROCORTISONE 1% CREAM 28.35GM 2 28.35 85.05

AMOXICILLIN 125MG/5ML SUSP 150ML 2 150 450 FLUOXETINE 10MG CAP 2 30 90 HYDROCORTISONE 2.5% CREAM 30GM 2 30 90

AMOXICILLIN 200MG/5ML SUSP 75ML 1 100 300 FLUOXETINE 20MG CAP 1 30 90 HYDROCORTISONE 2.5% OINT 28.35GM 3 60 180

AMOXICILLIN 200MG/5ML SUSP 100ML 1 100 300 FLUOXETINE 40MG CAP 2 30 90 HYPERCARE 20% SOL DAB-O-MATIC 60ML 3 60 180

AMOXICILLIN 250MG/5ML SUSP 80ML 1 150 450 FLUPHENAZINE 2.5MG TAB 3 30 90 MOMETASONE 0.1% OINT 15GM 3 15 45

AMOXICILLIN 250MG/5ML SUSP 100ML 1 150 450 FLUVOXAMINE 25MG TAB 3 30 90 MOMETASONE 0.1% OINT 45GM 3 45 135

AMOXICILLIN 250MG/5ML SUSP 150ML 1 150 450 GABAPENTIN 100MG CAP 1 90 270 MOMETASONE 0.1% TOPICAL SOLN 60ML 3 60 180

MULTIVITS W/FL 1MG & IRON CHEW TAB 1 30 90Skin Conditions Continued VALUE BRAND-NAME

NYSTATIN OINT 15GM 3 15 45 NATALCARE PLUS TAB (1MG FOLIC ACID) 1 30 90 Insulins

SALICYLIC AC 6% SHAMPOO 177ML 3 177 531 POLY-IRON 150 CAP 3 60 180 LEVEMIR FLEXTOUCH PEN 1 BOX $367.19

SELENIUM SULFIDE 2.5% SHAMPOO (LOTN) 2 118 354 POLY-IRON 150 FORTE CAP 3 45 135 LEVEMIR 100 UNITS/ML VIAL 1 VIAL $244.79

TRIAMCINOLONE 0.025% CREAM 15GM 1 15 45 POTASSIUM CL 10MEQ ER TAB 3 30 90 NOVOLIN N 100 UNITS/ML VIAL 1 VIAL $104.68

TRIAMCINOLONE 0.5% CREAM 15GM 2 15 45 PRENAFIRST TAB 3 30 90 NOVOLIN R 100 UNITS/ML VIAL 1 VIAL $104.68

TRIAMCINOLONE 0.1% CREAM 80GM 2 80 240 PRENATAB FA TAB 3 30 90 NOVOLIN 70/30 100 UNIT/ML VIAL 1 VIAL $104.68

TRIAMCINOLONE 0.1% OINT 80GM 3 80 240 PRENATAL 19 TAB 2 30 90 NOVOLOG MIX 70/30 VIAL 1 VIAL $240.26

UREA 40% LOTION 236.6ML 3 236.6 709.8 PRENATAL PLUS TAB 3 30 90 NOVOLOG MIX 70/30 FLEXPEN 1 BOX $426.00

UREA 50% NAIL GEL 18ML 3 18 54 RE DUALVIT F CAP 3 30 90 NOVOLOG FLEXPEN 1 BOX $426.00

RE PRENATAL MULTIVIT W/IRON CHEW TB 3 30 90 NOVOLOG PENFILL 3 ML 1 BOX $418.83

Thyroid Conditions RENA-VITE RX TAB 2 30 90 NOVOLOG 100 UNIT/ML VIAL 1 VIAL $241.68

Quantity RENAL SOFTGEL CAP 3 30 90

Drug Name Tier 30 90 THEROBEC PLUS TAB 3 30 90 Diabetic Supplies

LEVOTHROID 0.1MG TAB 2 30 90 VINATE AZ TAB 3 30 90 WALGREENS TRUE METRIX METER 1 METER FREE

LEVOTHYROXINE 0.025MG (25MCG) TAB 2 30 90 VINATE CARE CHEWABLE TAB 3 30 90 WALGREENS TRUE METRIX STRIPS 25S 1 BOX $19.99

LEVOTHYROXINE 0.05MG (50MCG) TAB 90 VINATE C TAB 3 30 90 WALGREENS TRUE METRIX STRIPS 50S 1 BOX $29.99 2 30 VINATE GT TAB 2 30 90 WALGREENS TRUE METRIX STRIPS 100S 1 BOX $52.99 LEVOTHYROXINE 0.075MG (75MCG) TAB 2 30 90 VINATE M TAB 2 30 90 CONTOUR NEXT METER 1 METER FREE LEVOTHYROXINE 0.088MG (88MCG) TAB 2 30 90 VINATE ONE TAB 2 30 90 CONTOUR NEXT EZ METER 1 METER FREE LEVOTHYROXINE 0.100MG (100MCG) TAB 2 30 90 VITAMIN B-12 100MCG TAB 1 100 300 CONTOUR NEXT ONE 1 METER FREE LEVOTHYROXINE 0.112MG (112MCG) TAB 2 30 90 VITAMIN D 50,000IU CAP 1 4 12 CONTOUR NEXT STRIPS 25S 1 BOX $23.99 LEVOTHYROXINE 0.125MG (125MCG) TAB 2 30 90

CONTOUR NEXT STRIPS 50S 1 BOX $39.99 LEVOTHYROXINE 0.137MG (137MCG) TAB 2 30 90 Womens Health CONTOUR NEXT STRIPS 100S 1 BOX $78.99 LEVOTHYROXINE 0.150MG (150MCG) TAB 2 30 90 Quantity CONTOUR TEST STRIPS 50S 1 BOX $47.99 LEVOTHYROXINE 0.175MG (175MCG) TAB 2 30 90

Drug Name Tier 30 90 CONTOUR TEST STRIPS 100S 1 BOX $93.99 LEVOTHYROXINE 0.2MG (200MCG) TAB 2 30 90

ALENDRONATE 10MG TAB 3 30 90 BREEZE 2 TEST DISCS 100'S 1 BOX $93.99 LEVOTHYROXINE 0.3MG (300MCG) TAB 2 30 90

ALENDRONATE 35MG TAB 3 4 12 METHIMAZOLE 5MG TAB 2 30 90

ALENDRONATE 70MG TAB 3 4 12 METHIMAZOLE 10MG TAB

NATURE-THROID 0.5GR (32.5MG) TAB

3

3

30

60

90

180 CLOMIPHENE CITRATE 50MG TAB

ESTRADIOL 0.5MG TAB

3

1

5

30

15

90

Birth Control Price at $12 for 1-month supply

MONONESSA TAB 28

ESTRADIOL 1MG TAB 1 30 90 Urinary Health

Quantity ESTRADIOL 2MG TAB

ESTROPIPATE 0.625MG (0.75MG) TAB

1

3

30

30

90

90

$15.00 for 1-month supply

MONONESSA TAB 28 Drug Name Tier 30 90 MEDROXYPROGESTERONE 2.5MG TAB 2 30 90 OXYBUTYNIN 5MG/5ML SYRUP 3 240 720 MEDROXYPROGESTERONE 5MGTAB 1 30 90 $18.99 for 1-month supply

MEDROXYPROGESTERONE 10MGTAB 1 10 30 MICROGESTIN 1.5/30 FE TAB 28 Vitamins and Nutritional Health MEGESTROL ACETATE 20MG TAB 2 30 90 MICROGESTIN 1/20 FE TAB 28

Quantity

Drug Name Tier 30 90 Other $24.99 for 1-month supply FABB TAB 3 30 90 Quantity LEVORA 0.15/30 TAB 28 FE C PLUS TAB 3 30 90 Drug Name Tier 30 90 RECLIPSEN 0.15MG-30MCG TAB 28 FEROTRIN CAP 3 60 180 DEXAMETHASONE 0.5MG TAB 2 60 180

FERREX 150 FORTE CAP 2 45 135 DEXAMETHASONE 0.75MG TAB 2 12 36 $26.99 for 1-month supply FLUORIDE 0.25MG F CHEWABLE TAB 2 120 360 DEXAMETHASONE 1MG TAB 3 30 90 LOW-OGESTREL TAB 28 FLUORIDE 0.5MG F CHEWABLE TAB 1 30 90 DEXAMETHASONE 1.5MG TAB 3 45 135 NECON 1/35 TAB 28 FLUORIDE 1.0MG F CHEWABLE TAB 2 30 90 DEXAMETHASONE 4MG TAB 2 30 90

FOLBECAL TAB

FOLBEE PLUS TAB

3

3

30

30

90

90

FINASTERIDE 5MG TAB

HYDROCORTISONE 5MG TAB

2

3

30

50

90

150

$29.99 for 1-month supply

JOLIVETTE 0.35MG TAB 28 FOLBEE TAB 3 30 90 ISONIAZID 100MG TAB 2 100 300 LUTERA TAB 28 FOLIC ACID 1MG TAB 1 30 90 LIDOCAINE 4% TOP SOLN 50ML 2 50 150

HEMATINIC/ FA TAB

HEMATINIC PLUS TAB 10 X 10

KLOR-CON 10MEQ TAB

MULTIVIT/F 0.25MG CHEWABLE TAB

MULTI-VITA-F 0.5MG CHEW TAB

MULTI-VIT/FLUORIDE 1MG CHEW TAB

2

3

3

2

1

2

30

30

30

30

30

30

90

90

90

90

90

90

PREDNISOLONE 15MG/5ML SOLN

PREDNISOLONE SOD PHOS 15MG/5ML SOL

PREDNISONE 1MG TAB

PREDNISONE 2.5MG TAB

PREDNISONE 5MG TAB

PREDNISONE 10MG** TAB

3

2

3

2

2

1

60

30

90

60

30

30

180

90

270

180

90

90

Discounted Lifestyle Medications

CIALIS 2.5MG TAB (QTY 6)

CIALIS 5MG TAB (QTY 6)

CIALIS 10MG TAB (QTY 6)

CIALIS 20MG TAB (QTY 6)

$74.99

$74.99

$439.99

$439.99

MULTIVITAMINS W/ FL 1.0MG CHEW TAB 3 30 90 PREDNISONE 20MG TAB 2 30 90

LIFESTYLE MEDICATIONS

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 price

ABACAVIR 300MG TABLETS 59 $549.74 174 $1,613.47

ABACAVIR/LAMVUDINE 600-300MG TABLET 30 $878.99 90 $2,628.97

ACAMPROSATE CAL DR 333MG TABLETS 144 $239.64 434 $714.20

ACANYA 1.2-2.5% GEL 50GM 50 $514.99 150 $1,536.97

ACARBOSE 100MG TABLETS 84 $76.23 246 $215.54

ACARBOSE 25MG TABLETS 86 $62.47 240 $167.18

ACARBOSE 50MG TABLETS 84 $63.63 244 $177.22

ACCU-CHEK AVIVA PLUS TEST STRIP 50S 50 $82.99 150 $240.97

ACEBUTOLOL 200MG CAPSULES 48 $29.31 140 $77.81

ACEBUTOLOL 400MG CAPSULES 47 $35.48 126 $88.39

ACETAMINOPHEN/COD #2 (300/15MG) TAB 35 $19.16 166 $75.91

ACETAMINOPHEN/COD #3 (300/30MG) TAB 30 $14.00 188 $66.64

ACETAMINOPHEN/COD #4 (300/60MG) TAB 65 $71.16 236 $247.84

ACETAMINOPHEN/COD 120-12MG/5ML SOL 184 $20.85 666 $65.01

ACETAZOLAMIDE 125MG TABLETS 31 $52.67 154 $245.76

ACETAZOLAMIDE 250MG TABLETS 59 $108.22 177 $316.67

ACETAZOLAMIDE 500MG ER CAPSULES 50 $187.00 168 $618.86

ACETIC ACID 2% AL ACTATE60ML (EAR) 60 $59.99 180 $171.98

ACETIC ACID 2% OTIC SOLN 15ML (EAR) 15 $29.99 45 $81.97

ACETYLCYSTEINE 10% INH SOLN 25 X4ML 4 $7.47 12 $14.40

ACETYLCYSTEINE 20% INH SOL 25X4ML 4 $8.53 12 $17.60

ACITRETIN 10MG CAPSULES 35 $699.32 99 $1,970.76

ACITRETIN 17.5MG CAPSULES 33 $758.59 105 $2,404.96

ACITRETIN 25MG CAPSULES 33 $934.59 87 $2,457.37

ACTEMRA 200MG/10ML INJ, 10ML 10 $975.99 30 $2,919.97

ACTEMRA 400MG/20ML INJ, 20ML 20 $1,940.99 60 $5,814.97

ACTEMRA 80MG/4ML INJ, 4ML 4 $395.99 12 $1,179.97

ACYCLOVIR 200MG/5ML ORAL SUSP 201 $151.03 979 $720.14

ACYCLOVIR 400MG TABLETS 43 $26.93 148 $82.91

ACYCLOVIR 5% OINTMENT 15GM 15 $342.49 45 $1,019.48

ACYCLOVIR 800MG TABLETS 36 $42.39 123 $135.15

ADAPAL/BENZ 0.1-2.5% GEL (PMP) 45G 45 $204.01 135 $604.03

ADAPALENE 0.1% CREAM 45GM 45 $205.99 135 $609.97

ADAPALENE 0.1% GEL 45GM 45 $172.99 135 $510.97

ADAPALENE 0.3% GEL (PUMP) 45GM 45 $279.99 135 $831.97

ADAPALENE 0.3% GEL 45GM 45 $296.99 135 $882.97

ADDYI 100MG TABLETS 30 $864.99 90 $2,586.97

ADEFOVIR DIPIVOXIL 10MG TABLETS 29 $966.79 88 $2,925.57

ADRIAMYCIN 10MG INJ, 1VIAL 1 $18.60 3 $47.80

ADVAIR DISKUS 100/50MCG (GREEN)60'S 60 $302.99 180 $900.98

ADVAIR DISKUS 250/50MCG (YELLOW) 60 60 $367.99 180 $1,095.97

ADVAIR DISKUS 500/50MCG (RED) 60'S 60 $479.99 180 $1,431.98

AEROCHAMBER PLUS W/MASK (REGULAR) 1 $57.59 3 $164.77

AK-CIDE OPHTH OINTMENT 3.5 $13.99 10.5 $33.97

ALBUTEROL 0.021%(0.63MG/3ML) 25X3ML 75 $33.99 225 $93.98

ALBUTEROL 0.042%(1.25MG/3ML) 25X3ML 75 $15.66 225 $38.97

ALBUTEROL 0.5%(5MG/ML) CONC 20ML 20 $32.66 60 $89.99

ALBUTEROL SULF ER 4MG TABLETS 56 $103.86 201 $362.42

ALBUTEROL SULFATE 2MG TABLETS 51 $217.45 208 $874.52

ALBUTEROL SULFATE 4MG TABLETS 56 $279.32 192 $947.97

ALBUTEROL SULFATE SYRUP (2MG/5ML) 132 $17.20 1131 $117.10

ALCLOMETASONE 0.05% CREAM 45GM 45 $53.99 135 $153.97

ALCLOMETASONE 0.05% OINTMENT 15GM 15 $65.99 45 $189.97

ALENDRONATE 40MG TABLETS 13 $117.96 37 $328.35

ALENDRONATE 5MG TABLETS 28 $17.06 80 $41.30

ALERA EMULSION 48.2 $89.99 144.6 $261.97

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 price

ABACAVIR 300MG TABLETS 59 $549.74 174 $1,613.47

ABACAVIR/LAMVUDINE 600-300MG TABLET 30 $878.99 90 $2,628.97

ACAMPROSATE CAL DR 333MG TABLETS 144 $239.64 434 $714.20

ACANYA 1.2-2.5% GEL 50GM 50 $514.99 150 $1,536.97

ACARBOSE 100MG TABLETS 84 $76.23 246 $215.54

ACARBOSE 25MG TABLETS 86 $62.47 240 $167.18

ACARBOSE 50MG TABLETS 84 $63.63 244 $177.22

ACCU-CHEK AVIVA PLUS TEST STRIP 50S 50 $82.99 150 $240.97

ACEBUTOLOL 200MG CAPSULES 48 $29.31 140 $77.81

ACEBUTOLOL 400MG CAPSULES 47 $35.48 126 $88.39

ACETAMINOPHEN/COD #2 (300/15MG) TAB 35 $19.16 166 $75.91

ACETAMINOPHEN/COD #3 (300/30MG) TAB 30 $14.00 188 $66.64

ACETAMINOPHEN/COD #4 (300/60MG) TAB 65 $71.16 236 $247.84

ACETAMINOPHEN/COD 120-12MG/5ML SOL 184 $20.85 666 $65.01

ACETAZOLAMIDE 125MG TABLETS 31 $52.67 154 $245.76

ACETAZOLAMIDE 250MG TABLETS 59 $108.22 177 $316.67

ACETAZOLAMIDE 500MG ER CAPSULES 50 $187.00 168 $618.86

ACETIC ACID 2% AL ACTATE60ML (EAR) 60 $59.99 180 $171.98

ACETIC ACID 2% OTIC SOLN 15ML (EAR) 15 $29.99 45 $81.97

ACETYLCYSTEINE 10% INH SOLN 25 X4ML 4 $7.47 12 $14.40

ACETYLCYSTEINE 20% INH SOL 25X4ML 4 $8.53 12 $17.60

ACITRETIN 10MG CAPSULES 35 $699.32 99 $1,970.76

ACITRETIN 17.5MG CAPSULES 33 $758.59 105 $2,404.96

ACITRETIN 25MG CAPSULES 33 $934.59 87 $2,457.37

ACTEMRA 200MG/10ML INJ, 10ML 10 $975.99 30 $2,919.97

ACTEMRA 400MG/20ML INJ, 20ML 20 $1,940.99 60 $5,814.97

ACTEMRA 80MG/4ML INJ, 4ML 4 $395.99 12 $1,179.97

ACYCLOVIR 200MG/5ML ORAL SUSP 201 $151.03 979 $720.14

ACYCLOVIR 400MG TABLETS 43 $26.93 148 $82.91

ACYCLOVIR 5% OINTMENT 15GM 15 $342.49 45 $1,019.48

ACYCLOVIR 800MG TABLETS 36 $42.39 123 $135.15

ADAPAL/BENZ 0.1-2.5% GEL (PMP) 45G 45 $204.01 135 $604.03

ADAPALENE 0.1% CREAM 45GM 45 $205.99 135 $609.97

ADAPALENE 0.1% GEL 45GM 45 $172.99 135 $510.97

ADAPALENE 0.3% GEL (PUMP) 45GM 45 $279.99 135 $831.97

ADAPALENE 0.3% GEL 45GM 45 $296.99 135 $882.97

ADDYI 100MG TABLETS 30 $864.99 90 $2,586.97

ADEFOVIR DIPIVOXIL 10MG TABLETS 29 $966.79 88 $2,925.57

ADRIAMYCIN 10MG INJ, 1VIAL 1 $18.60 3 $47.80

ADVAIR DISKUS 100/50MCG (GREEN)60'S 60 $302.99 180 $900.98

ADVAIR DISKUS 250/50MCG (YELLOW) 60 60 $367.99 180 $1,095.97

ADVAIR DISKUS 500/50MCG (RED) 60'S 60 $479.99 180 $1,431.98

AEROCHAMBER PLUS W/MASK (REGULAR) 1 $57.59 3 $164.77

AK-CIDE OPHTH OINTMENT 3.5 $13.99 10.5 $33.97

ALBUTEROL 0.021%(0.63MG/3ML) 25X3ML 75 $33.99 225 $93.98

ALBUTEROL 0.042%(1.25MG/3ML) 25X3ML 75 $15.66 225 $38.97

ALBUTEROL 0.5%(5MG/ML) CONC 20ML 20 $32.66 60 $89.99

ALBUTEROL SULF ER 4MG TABLETS 56 $103.86 201 $362.42

ALBUTEROL SULFATE 2MG TABLETS 51 $217.45 208 $874.52

ALBUTEROL SULFATE 4MG TABLETS 56 $279.32 192 $947.97

ALBUTEROL SULFATE SYRUP (2MG/5ML) 132 $17.20 1131 $117.10

ALCLOMETASONE 0.05% CREAM 45GM 45 $53.99 135 $153.97

ALCLOMETASONE 0.05% OINTMENT 15GM 15 $65.99 45 $189.97

ALENDRONATE 40MG TABLETS 13 $117.96 37 $328.35

ALENDRONATE 5MG TABLETS 28 $17.06 80 $41.30

ALERA EMULSION 48.2 $89.99 144.6 $261.97

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

ALFERON N 5MU/ML VIAL FOR INJECTION 1 $679.99 3 $2,031.97

ALFUZOSIN 10MG TABLETS

ALMOTRIPTAN 12.5MG TABLETS

ALMOTRIPTAN 6.25MG TABLETS

ALOCRIL 2% OPHTH SOLN 5ML

ALOMIDE 0.1% OPHTH DROP 10ML

ALOSETRON 0.5MG TABLETS

ALOSETRON 1MG TABLETS

ALPHAGAN P 0.1% OPHTH SOLN 5ML

ALPHAQUIN HP 4% CREAM 56.7GM

ALPRAZOLAM 0.25MG ODT TABLETS

ALPRAZOLAM 0.25MG TABLETS

ALPRAZOLAM 0.5MG ODT TABLETS

ALPRAZOLAM 0.5MG TABLETS

ALPRAZOLAM 1MG ODT TABLETS

ALPRAZOLAM 1MG TABLETS

ALPRAZOLAM 2MG ODT TABLETS

ALPRAZOLAM 2MG TABLETS

ALPRAZOLAM CON 1MG/ML SOLUTION

ALPRAZOLAM ER 0.5MG TABLETS

ALPRAZOLAM ER 1MG TABLETS

ALPRAZOLAM ER 2MG TABLETS

ALPRAZOLAM ER 3MG TABLETS

ALPROSTADIL 500MCG INJ, 1ML

ALREX 0.2% OPHTHALMIC SUSP 5ML

ALTABAX 1% OINTMENT 15GM

ALTOPREV 20MG ER TABLETS

ALTOPREV 40MG ER TABLETS

ALTOPREV 60MG ER TABLETS

AMANTADINE 100MG CAPSULES

AMANTADINE 100MG TABLETS

AMANTADINE 50MG/5ML SYRUP

AMCINONIDE 0.1% CREAM 60GM

AMCINONIDE 0.1% LOTION

AMETHIA LO TABLETS

AMETHYST 90-20MCG TABLETS

AMIBID LA 600MG CR TABLETS

AMIKACIN 1GM/4ML INJ, 4ML

AMIKACIN SULFATE 500/2ML INJ, 2ML

AMILORIDE 5MG TABLETS

AMINOPHYLLINE 25MG/ML INJ, 10ML

AMIODARONE 100MG TABLETS

AMIODARONE 400MG TABLETS

AMITIZA 24MCG CAPSULES

AMITRIPTYLINE 100MG (HUNDRED MG)TAB

AMITRIPTYLINE 150MG TABLETS

AMITRIPTYLINE 75MG TABLETS

AMLO/VAL/HCTZ 10/160/12.5MG TABLETS

AMLOD/VAL/HCTZ 10/160/25MG TABLETS

AMLOD/VAL/HCTZ 10/320/25MG TABLETS

AMLOD/VAL/HCTZ 5/160/12.5MG TABLETS

AMLOD/VAL/HCTZ 5/160/25MG TABLETS

AMLODIPINE-ATORVASTATIN 10/10MG TAB

AMLODIPINE-ATORVASTATIN 10/20MG TAB

AMLODIPINE-ATORVASTATIN 10/40MG TAB

31

10

9

5

10

55

51

5

56.7

40

45

44

52

49

64

61

66

38

44

44

40

36

1

5

15

29

30

30

53

49

341

60

60

91

28

27

4

2

49

10

32

31

55

34

31

32

29

29

29

30

30

29

29

30

$77.36

$413.98

$372.98

$212.99

$216.99

$1,184.65

$2,475.78

$134.07

$72.87

$53.60

$14.00

$75.28

$17.58

$112.29

$20.35

$338.88

$35.53

$126.85

$52.39

$96.39

$106.65

$176.79

$109.99

$197.99

$289.99

$826.62

$1,035.99

$1,000.79

$85.26

$98.73

$21.02

$349.99

$319.99

$169.99

$49.99

$10.74

$17.24

$16.20

$61.15

$65.99

$192.79

$113.52

$355.99

$32.71

$40.51

$22.13

$112.26

$112.26

$208.92

$101.99

$101.99

$124.82

$172.19

$177.99

92 $221.70

36 $1,479.94

45 $1,848.92

15 $630.97

30 $642.97

141 $3,030.75

162 $7,855.54

15 $394.21

170.1 $210.60

132 $167.67

141 $35.33

193 $316.64

149 $42.90

124 $278.03

160 $44.86

88 $487.11

169 $84.73

30 $100.99

123 $139.26

119 $253.86

112 $291.43

105 $507.97

3 $321.97

15 $585.97

45 $861.97

90 $2,556.97

86 $2,962.37

88 $2,927.91

182 $283.04

167 $326.84

1183 $63.03

180 $1,041.97

180 $951.97

273 $501.98

84 $141.97

55 $17.74

12 $43.72

6 $40.60

133 $159.12

30 $189.97

92 $546.77

94 $336.10

160 $1,027.97

101 $89.27

94 $114.70

96 $58.39

89 $336.24

89 $336.24

89 $632.90

90 $297.97

90 $297.97

89 $374.80

89 $520.17

89 $520.17

AMLODIPINE-ATORVASTATIN 10/80MG TAB 29 $172.19 88 $514.37

http:1,027.97http:1,041.97http:2,927.91http:2,962.37http:2,556.97http:7,855.54http:3,030.75http:1,848.92http:1,479.94http:1,000.79http:1,035.99http:2,475.78http:1,184.65http:2,031.97

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

AMLODIPINE-ATORVASTATIN 5/10MG TABS 30 $243.99 90 $723.97

AMLODIPINE-ATORVASTATIN 5/20MG TABS

AMLODIPINE-ATORVASTATIN 5/40MG TABS

AMLODIPINE-ATORVASTATIN 5/80MG TABS

AMLODIPINE-BENAZ 10/20MG CAPSULES

AMLODIPINE-BENAZ 10/40MG CAPSULES

AMLODIPINE-BENAZ 2.5/10MG CAPSULES

AMLODIPINE-BENAZ 5/10MG CAPSULES

AMLODIPINE-BENAZ 5/20MG CAPSULES

AMLODIPINE-BENAZ 5/40MG CAPSULES

AMLODIPINE-VALSARTAN 10-160MG TABS

AMLODIPINE-VALSARTAN 10-320MG TABS

AMLODIPINE-VALSARTAN 5-160MG TABS

AMLODIPINE-VALSARTAN 5-320MG TABS

AMLODIPINE/OLMES MEDOXOM 5-20MG T

AMLODIPINE/OLMES MEDOXOM 5-40MG T

AMLODIPINE/OLMES MEDOXOM10-20MG T

AMLODIPINE/OLMES MEDOXOM10-40MG T

AMMONIUM LAC 12% CREAM 280GM

AMMONIUM LACT 12% LOTION 225GM

AMOX-CLAV 200/28.5MG CHEW TABS

AMOX-CLAV 250MG TABLETS

AMOX-CLAV 250MG/5ML SUSP 75ML

AMOX-CLAV 400MG CHEW TABLETS

AMOX-CLAV 500MG TABLETS

AMOX-CLAV 875MG TABLETS

AMOX-CLAV ES 600MG/5ML SUSP 125ML

AMOX-CLAV ES 600MG/5ML SUSP 75ML

AMOXAPINE 100MG TABLETS

AMOXAPINE 25MG TABLETS

AMOXAPINE 50MG TABLETS

AMOXICILLIN 125MG/5ML SUSP 150ML

AMOXICILLIN 250MG/5ML SUSP 100ML

AMPHOTERICIN B 50MG INJ

AMPICILLIN 10GM VIAL FOR INJECTION

AMPICILLIN 250/5ML SUSP 100 ML

AMPICILLIN 250MG/5ML SUSP 200ML

AMPICILLIN 2GM INJ, 1 VIAL

AMPICILLIN 500MG INJ, 1 VIAL

AMPICILLIN SOD 2GM INJ, 1 VIAL

AMPICILLIN-SULBACT 2-1GMINJ,1 VIAL

AMPICILLIN-SULBACTAM 15GM INJ, 1VL

ANAGRELIDE 0.5MG CAPSULES

ANAGRELIDE 1MG CAPSULES

ANASTROZOLE 1MG TABLETS

ANDROGEL 1.62% (20.25MG/1.25GM)PUMP

ANTHRALIN 1% CREAM 50GM

ANTIPY/BENZ 5.5-1.4% OTIC SOL (EAR)

ANUCORT-HC 25MG RECTAL SUPP 24'S

APEXICON E 0.05% CREAM 30GM

APIDRA SOLOSTAR PEN INJ,5 X 3ML

APIDRA U-100 INJECTION 10ML

APRACLONIDINE 0.5% OPHTH SOL 10ML

APREPITANT 125MG CAPSULES

APREPITANT 40MG CAPSULES

30

30

29

30

30

31

31

32

30

29

30

30

30

30

30

29

29

140

225

27

21

75

25

20

19

125

75

37

29

32

150

100

1

1

100

200

1

1

1

1

1

78

68

24

75

50

14

20

30

15

10

10

4

5

$177.99

$181.99

$177.02

$17.99

$123.99

$18.46

$18.46

$18.92

$103.99

$178.96

$219.99

$159.99

$189.99

$211.49

$267.99

$205.06

$259.19

$19.50

$32.98

$52.59

$85.19

$68.99

$75.24

$50.99

$52.44

$17.99

$12.99

$50.62

$16.76

$28.32

$10.66

$6.22

$49.99

$78.99

$12.99

$25.00

$15.99

$9.99

$23.99

$14.99

$75.99

$71.57

$130.91

$15.19

$580.99

$57.99

$166.99

$167.33

$489.99

$583.95

$298.99

$155.98

$577.09

$494.99

89 $520.17

89 $532.04

89 $535.00

90 $45.97

90 $363.97

93 $47.37

93 $47.37

98 $49.70

92 $310.64

88 $534.90

89 $644.77

90 $471.97

89 $555.77

90 $626.47

89 $787.17

89 $621.04

89 $787.17

420 $50.49

675 $90.94

90 $165.96

112 $437.03

225 $198.96

75 $217.71

111 $264.79

116 $299.74

375 $45.96

225 $30.98

90 $117.39

90 $43.59

150 $117.99

450 $23.98

300 $10.66

3 $141.97

3 $228.97

300 $30.97

600 $67.00

3 $39.97

3 $21.97

3 $63.97

3 $36.97

3 $219.97

220 $194.59

179 $338.07

79 $40.84

225 $1,734.97

150 $165.97

42 $492.97

93 $763.47

90 $1,461.97

45 $1,743.85

30 $888.97

30 $459.94

4 $577.09

15 $1,476.97

APREPITANT 80MG CAPSULES 4 $735.13 12 $2,197.38

http:2,197.38http:1,476.97http:1,743.85http:1,461.97http:1,734.97

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

APREPITANT 80MG/125MG CAPS TRI-PACK 3 $651.99 9 $1,947.97

APRISO 0.375GM CAPSULES

APTIVUS 250MG CAPSULES

ARANESP 100MCG/0.5ML SGJCT ALB FREE

ARANESP 100MCG/ML VL ALBUMIN FREE

ARANESP 200MCG/0.4ML INJ ALB FREE

ARANESP 200MCG/ML VL ALBUMIN FREE

ARANESP 25MCG INJ, 0.42ML

ARANESP 25MCG/ML INJ, 1ML

ARANESP 40MCG/0.4ML INJ ALB FREE

ARANESP 40MCG/ML INJ SRCLK ALB FREE

ARANESP 500MCG/ML INJ ALB FREE

ARANESP 60MCG INJ, 1ML

ARANESP 60MCG/0.3ML SGJCT ALB FREE

ARIPIPRAZOLE 10MG TABLETS

ARIPIPRAZOLE 15MG (FIFTEEN MG) TABS

ARIPIPRAZOLE 1MG/ML ORAL SOLUTION

ARIPIPRAZOLE 20MG (TWENTY MG) TABS

ARIPIPRAZOLE 2MG TABLETS

ARIPIPRAZOLE 30MG TABLETS

ARIPIPRAZOLE 5MG TABLETS

ARIPIPRAZOLE ODT 10MG TABLETS

ARIPIPRAZOLE ODT 15MG TABLETS

ARMODAFINIL 150MG TABLETS

ARMODAFINIL 200MG TABLETS

ARMODAFINIL 250MG TABLETS

ARMODAFINIL 50MG TABLETS

ASCORBIC ACID 500MG/ML INJ, 50ML

ASHLYNA TABLETS 91S

ASPIRIN-DIPYRIDAMOLE ER 25/200MG C

ATAZANAVIR 150MG CAPSULES

ATENOLOL 100MG TABLETS

ATENOLOL 100MG/CHLORTHAL 25MG TABS

ATOMOXETINE 100MG CAPSULES

ATOMOXETINE 10MG CAPSULES

ATOMOXETINE 18MG CAPSULES

ATOMOXETINE 25MG CAPSULES

ATOMOXETINE 40MG CAPSULES

ATOMOXETINE 60MG CAPSULES

ATOMOXETINE 80MG CAPSULES

ATOVAQUONE 750MG/5ML SUSPENSION

ATOVAQUONE-PROGUANIL 250/100 TABS

ATRIPLA (EFV600/FTC200/TDF300) TAB

ATROPINE SULF 1% OPH SOLN 15ML

ATROPINE SULF 1% OPH SOLN 5ML

ATROPINE SULF 1% OPHTH OINTMENT

ATROPINE SULFATE 0.4MG/ML INJ, 1ML

ATROPINE SULFATE 1MG/ML INJ , 1ML

AUGMENTIN 125MG/5ML SUSP 150ML

AUTOPEN 2-42 UNIT

AVASTIN SOL FOR INJ 16ML (400MG)

AVIANE-28 TABLETS 28

AZATHIOPRINE 50MG TABLETS

AZELASTINE 0.05% OPHTH SOLUTION 6ML

AZELASTINE 0.1%(137MCG) NASAL-200SP

115

117

0.5

1

0.4

1

0.42

1

0.4

1

1

1

0.3

30

28

152

29

32

29

30

32

34

30

30

30

42

67

91

60

58

30

29

30

36

33

34

32

30

29

254

21

30

15

5

3.5

1

1

150

1

16

28

64

6

30

$555.03

$1,574.71

$799.99

$811.99

$1,627.99

$1,627.99

$204.99

$190.99

$330.99

$304.99

$3,999.99

$473.99

$496.99

$848.99

$801.06

$901.80

$1,119.52

$885.06

$1,121.46

$831.99

$1,285.06

$1,365.12

$299.16

$299.49

$299.99

$141.29

$60.27

$169.99

$355.99

$729.63

$7.33

$14.31

$314.99

$321.99

$295.49

$304.32

$311.19

$291.99

$304.62

$1,058.68

$127.37

$2,695.99

$89.99

$54.99

$19.99

$7.84

$5.40

$175.99

$35.99

$3,447.20

$27.99

$63.72

$129.99

$89.99

338 $1,623.56

360 $4,836.96

1.5 $2,391.97

3 $2,427.97

1.2 $4,875.97

3 $4,875.97

1.26 $606.97

3 $564.97

1.2 $984.97

3 $906.97

3 $11,991.97

3 $1,413.97

0.9 $1,482.97

90 $2,538.97

85 $2,423.64

535 $3,164.03

88 $3,389.03

93 $2,564.57

88 $3,394.90

89 $2,460.37

90 $3,606.97

90 $3,606.97

91 $899.32

91 $900.32

91 $901.83

116 $383.17

150 $129.97

273 $501.98

180 $1,059.97

180 $2,255.94

92 $14.22

87 $34.92

89 $926.60

110 $975.63

108 $957.96

113 $1,002.13

101 $973.57

91 $877.57

89 $926.60

785 $3,263.56

85 $503.34

89 $7,990.24

45 $261.97

15 $156.97

10.5 $51.97

3 $15.52

3 $8.20

450 $519.97

3 $99.97

48 $10,333.60

84 $75.97

187 $178.51

18 $381.97

90 $261.97

AZELASTINE 0.15% NASAL SP(200 DOSE) 30 $129.99 90 $381.97

http:10,333.60http:7,990.24http:3,263.56http:1,002.13http:2,255.94http:1,059.97http:3,606.97http:3,606.97http:2,460.37http:3,394.90http:2,564.57http:3,389.03http:3,164.03http:2,423.64http:2,538.97http:1,482.97http:1,413.97http:11,991.97http:4,875.97http:4,875.97http:2,427.97http:2,391.97http:4,836.96http:1,623.56http:3,447.20http:2,695.99http:1,058.68http:1,365.12http:1,285.06http:1,121.46http:1,119.52http:3,999.99http:1,627.99http:1,627.99http:1,574.71http:1,947.97

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

AZITHROMYCIN 100MG/5ML SUSP 15ML 15 $35.99 45 $99.97

AZITHROMYCIN 1GM PAK POWDER

AZITHROMYCIN 200MG/5ML SUSP 15ML

AZITHROMYCIN 200MG/5ML SUSP 30ML

AZITHROMYCIN 250MG TABLETS 6-PAK

AZITHROMYCIN 500MG INJ, 1VIAL

AZITHROMYCIN 500MG TABLETS

AZITHROMYCIN 600MG TABLETS

B-D #9605 SYRINGE 10ML W/LL

B-D PEN NDL MINI 31GX5MM(3/16)PRPL

B-D PEN NDL ORIG29GX12.7MM(1/2) RED

B-D PEN NDL SHRT 31GX8MM(5/16) BLU

BACIIM 50000UNT INJ , 1VIAL

BACITRACIN OPHTH OINTMENT 3.5GM

BACLOFEN 20MG TABLETS

BACTERIOSTATIC WATER INJ, 30ML

BALSALAZIDE 750MG CAPSULES

BARACLUDE 0.05MG/ML ORALSOLUTION

BELLADONNA 16.2MG / OPIUM 60MG SUPP

BELLADONNA ALKALOIDS W/PB TABLETS

BELVIQ 10MG TABLETS

BENAZEPRIL/HCTZ 10/12.5MG TABLETS

BENAZEPRIL/HCTZ 20/12.5MG TABLETS

BENAZEPRIL/HCTZ 20/12.5MG TABLETS

BENAZEPRIL/HCTZ 20/25MG TABLETS

BENZEFOAM 9.8% ULTRA FOAM

BENZOIC ACID CRYSTALS

BENZONATATE 200MG CAPSULES

BENZOYL PER 4% CRM WASH COMP KIT

BENZOYL PER 4% CRM WASH COMP KIT

BENZOYL PER 8% CRM WASH COMP KIT

BENZOYL PER 8% CRM WASH COMP KIT

BENZOYL PER-4 ACNE WASH KIT

BENZOYL PEROX 4.5%-10% CLNSER 400ML

BENZOYL PEROX 8.5%-10% CLNSER 400ML

BENZOYL PEROXIDE 10% WASH 237ML

BENZOYL PEROXIDE 4% GEL 42.5GM

BENZOYL PEROXIDE 5% WASH 148GM

BENZOYL PEROXIDE 5.75% WASH LIQUID

BENZOYL PEROXIDE 8% GEL 42.5GM

BENZPHETAMINE 50MG TABLETS

BEPREVE 1.5% OPTH DROPS 10ML

BESIVANCE 0.6% OPTH SUSP 5ML

BETAMETHASON DIP AUG 0.05% LOT 30ML

BETAMETHASONE DIP 0.05% CRM 15GM

BETAMETHASONE DIP 0.05% LOTN 60ML

BETAMETHASONE DIP 0.05% OINT 45GM

BETAMETHASONE DIP AUG .05% GEL 50GM

BETAMETHASONE DIP AUG .05% OIN 45GM

BETAMETHASONE DIP AUG CREAM 50GM

BETAMETHASONE VAL 0.1% LOTN 60ML

BETAMETHASONE VAL 0.1% OINT 45GM

BETAMETHASONE VAL 0.12% FOAM 50GM

BETAMETHASONE VAL 0.12% FOAM 50GM

BETASERON 0.3MG VIAL FOR INJ KIT

1

15

30

6

1

4

9

20

100

100

100

1

3.5

79

30

211

210

22

53

58

30

37

37

31

100

500

28

1

1

212.1

1

1

400

400

237

42.5

148

473

42.5

70

10

5

30

15

60

45

50

45

50

60

45

50

50

1

$27.66

$37.99

$42.99

$30.59

$27.99

$51.99

$157.89

$5.99

$47.99

$46.99

$47.99

$19.99

$112.99

$55.78

$5.40

$153.20

$1,012.99

$663.98

$447.60

$274.66

$59.99

$63.19

$32.36

$46.36

$294.99

$36.00

$13.33

$73.99

$73.99

$15,909.38

$78.99

$56.99

$78.00

$52.00

$74.98

$261.99

$17.99

$96.00

$236.69

$71.64

$359.99

$153.99

$77.00

$24.66

$35.99

$59.99

$69.99

$85.99

$50.99

$47.99

$32.67

$202.00

$170.99

$599.99

3 $74.99

45 $105.97

90 $120.97

18 $83.77

3 $75.97

41 $495.86

25 $431.48

60 $9.97

300 $135.97

300 $132.97

300 $135.97

3 $51.97

10.5 $330.97

261 $175.06

90 $8.20

601 $428.97

420 $2,021.97

54 $1,623.96

252 $2,113.21

177 $829.97

92 $175.70

107 $175.18

107 $86.02

93 $131.07

300 $876.97

1500 $100.00

168 $59.99

3 $213.97

3 $213.97

636.3 $47,720.14

3 $228.97

3 $162.97

1200 $226.00

1200 $148.00

711 $216.94

127.5 $777.98

444 $45.96

1419 $280.00

127.5 $702.08

190 $187.60

30 $1,071.97

15 $453.97

90 $222.99

45 $65.99

180 $99.98

135 $171.97

150 $201.97

135 $249.97

150 $144.97

180 $135.98

135 $90.00

150 $597.99

150 $504.97

3 $1,791.97

BETAXOLOL 0.5% OPHTH SOLN 15ML 15 $149.99 45 $441.97

http:1,791.97http:1,071.97http:47,720.14http:2,113.21http:1,623.96http:2,021.97http:15,909.38http:1,012.99

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

BETAXOLOL 10MG TABLETS 30 $39.50 91 $111.67

BETAXOLOL 20MG TABLETS

BETHANECHOL 10MG TABLETS

BETHANECHOL 25MG TABLETS

BETHANECHOL 50MG TABLETS

BETHANECHOL 5MG TABLETS

BETIMOL 0.25% OPHTH SOLN 5ML

BICALUTAMIDE 50MG TABLETS

BIDEX 400MG TABLETS

BIMATOP 0.03% OPHTH SOLN 5ML

BIMATOPROST 0.03% OPH SOLW/BRUSHES

BIMATOPROST 0.03% OPHTH SOLN 2.5ML

BIO GLO 1MG OPTH TEST STRIPS 300

BIONECT 0.2% CREAM 25GM

BIONECT 0.2% GEL 100GM

BISOPROLOL FUMARATE 10MGTABLETS

BISOPROLOL FUMARATE 10MGTABLETS

BLEPHAMIDE S.O.P. OPHTH OINTMENT

BLISOVI 24 FE TABLETS 28'S

BLISOVI FE 1.5/30 TABLETS 28S

BOTOX 200UNIT INJ, 1 VIAL

BOTOX COSMETIC 100UNIT INJECTION

BP 10-1 EMULSION

BP 5% GEL 60GM

BP GEL 10% GEL

BP VIT 3 CAPSULES

BP WASH 2.5% LIQUID 227GM

BRAVELLE 75IU FOR INJECTION

BREATHERITE AERO HOLDING CHAMBER

BREEZE 2 TEST DISCS 100'S

BRILINTA 90MG TABLETS

BRIMONIDINE 0.15% OPHTH SOL 5ML

BRIMONIDINE 0.2% OPHTH SOLN 5ML

BROMFENAC 0.09% OPHTH SOLN 2.5ML

BROMHIST DM PEDIATRIC DROPS 30ML

BROMOCRIPTINE 2.5MG TABLETS

BROMOCRIPTINE 5MG CAPSULES

BROMPHEN/PSEUDO/DEXTRO HBR SYRUP

BRONKIDS DROPS

BUCALSEP SOLUTION

BUCALSEP SPRAY

BUDESONIDE 0.25MG/2ML VIALS 30X2ML

BUDESONIDE 0.5MG/2ML VIALS 30X2ML

BUDESONIDE 1MG/2ML RESPULES 30X2ML

BUDESONIDE 32MCG NS SP (120INH) RX

BUDESONIDE 3MG CAPSULES

BUMETANIDE 0.5MG TABLETS

BUMETANIDE 1MG TABLETS

BUMETANIDE 2MG TABLETS

BUMINATE 5% INJECTION

BUPIVACAINE 0.25% INJ , 10ML

BUPIVACAINE 0.5% INJ, 10 ML

BUPIVACAINE 0.5% INJ, 50ML

BUPIVACAINE 0.75% INJ, 30ML

BUPIVACAINE 0.75% INJ, 30ML

32

79

81

81

65

5

30

37

5

5

2.5

300

25

100

34

34

3.5

28

28

1

1

170.1

60

60

40

227

1

1

100

58

5

5

2.5

30

41

48

161

30

30

30

60

60

60

8.6

73

37

48

50

500

10

10

960

30

30

$55.19

$91.68

$122.25

$102.00

$27.39

$122.99

$158.50

$14.73

$179.99

$165.99

$99.99

$34.99

$154.99

$764.99

$33.45

$33.45

$139.99

$65.99

$18.99

$1,323.99

$676.99

$401.98

$14.00

$16.99

$46.66

$222.99

$133.60

$19.79

$93.99

$329.76

$116.00

$21.99

$189.99

$26.10

$129.72

$499.98

$36.73

$18.99

$25.99

$24.99

$190.99

$236.99

$529.99

$139.99

$937.58

$20.03

$29.58

$50.65

$239.00

$8.00

$7.00

$27.90

$8.00

$5.49

90 $147.98

235 $264.83

233 $344.16

230 $282.28

216 $81.74

15 $360.97

92 $477.79

132 $42.27

15 $531.97

15 $489.97

7.5 $291.97

900 $96.97

75 $456.97

300 $2,286.97

104 $94.10

102 $92.36

10.5 $411.97

84 $189.97

84 $48.97

3 $3,963.97

3 $2,022.97

510.3 $1,197.95

180 $34.01

180 $42.97

95 $105.32

681 $660.96

3 $392.80

3 $51.37

300 $273.97

174 $981.27

15 $339.99

15 $57.97

7.5 $561.97

90 $70.29

117 $362.76

130 $1,347.29

214 $47.51

90 $48.97

90 $69.97

90 $66.97

180 $564.97

180 $702.98

180 $1,581.97

25.8 $411.97

182 $2,331.56

106 $49.92

131 $73.82

140 $134.62

1500 $709.00

30 $15.99

30 $12.99

250 $10.23

90 $16.00

90 $8.47

BUPRENEX 0.324MG/ML 1ML AMPS 1 $17.04 3 $43.12

http:2,331.56http:1,581.97http:1,347.29http:1,197.95http:2,022.97http:3,963.97http:2,286.97http:1,323.99

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

BUPRENEX 0.3MG/ML INJ, 1ML AMPULES 1 $20.99 3 $54.97

BUPRENORPHINE 0.3MG/ML INJ , 1ML

BUPRENORPHINE 10MCG/HR TD PATCH

BUPRENORPHINE 15MCG/HR TDPATCH

BUPRENORPHINE 20MCG/HR TD PATCH

BUPRENORPHINE 2MG SL TABLETS

BUPRENORPHINE 8MG SL TABLETS

BUPRENORPHINE/NALOX 2MG/0.5MG SL TB

BUPRENORPHINE/NALOX 8MG/2MG SL TAB

BUPROPION 100MG TABLETS

BUPROPION 75MG TABLETS

BUPROPION SR 100MG TABLETS (12H)

BUPROPION SR 150MG TABLETS

BUPROPION SR 150MG TABLETS (12 H)

BUPROPION SR 200MG TABLETS (12 HR)

BUPROPION XL 150MG TABLETS (24 H)

BUPROPION XL 300MG TABLETS

BUSPIRONE 15MG TABLETS

BUSPIRONE 30MG TABLETS

BUSPIRONE 7.5MG TABLETS

BUT/ACETAMI/CAFF COD 50-300-40-30 C

BUT/ACETAMINOPHEN CAFF 50-300-40 CP

BUTAL/ACETA/CAFF/COD 50-325-40-30MG

BUTALB/ACETAMINOPHEN 325MG TABS

BUTALB/APAP/CAFF 50/325/40MG CAPS

BUTALB/ASPIRIN 325MG/CAFFEINE TAB

BUTALB/ASPIRIN/CAFF/CODEINE 30MG CP

BUTALBITAL/ACETAMINOPHEN/CAFF TABS

BUTALBITAL/ASPIRIN/CAFFEINE CAPS

BUTORPHANOL 2MG/ML INJ, 1ML

BUTORPHANOL NS NASAL SPRAY 2.5ML

BYSTOLIC 10MG TABLETS

BYSTOLIC 2.5MG TABLETS

BYSTOLIC 20MG TABLETS

BYSTOLIC 5MG TABLETS

CABERGOLINE 0.5MG TABLETS

CALCIPOTRIEN/BETAMET DIP OINT 60GM

CALCIPOTRIENE 0.005% CREAM 60GM

CALCIPOTRIENE 0.005% OINTMENT 120GM

CALCIPOTRIENE 0.005% OINTMENT 60GM

CALCIPOTRIENE 0.005% SCALP SOLUTION

CALCITONIN 200IU/NASAL SPR 30 DOSES

CALCITRIOL 0.25MCG CAPSULES

CALCITRIOL 0.5MCG CAPSULES

CALCITRIOL 1MCG/ML SOL 15ML

CALCITRIOL 3MCG/GM OINTMENT 100GM

CALCIUM ACETATE 667MG CAPSULES

CALCIUM ACETATE 667MG TABLETS

CALCIUM CHLORIDE 10% INJ, 10ML

CALCIUM CHLORIDE 10% INJ, 10ML

CALCIUM GLUCONATE 10% INJ , 100ML

CALCIUM GLUCONATE 10% INJ 50ML

CALCIUM-FA PLUS D CHEW WAFERS

CAMBIA 50MG POWDER

CAMBIA 50MG POWDER

1

4

4

4

45

32

40

25

57

50

45

51

52

46

35

30

67

58

61

49

40

57

50

43

40

60

49

50

1

2.5

33

31

32

30

8

60

60

120

60

60

3.7

32

42

21

100

166

145

10

10

100

50

69

10

10

$14.52

$160.20

$515.99

$708.99

$120.99

$154.39

$202.65

$221.49

$36.29

$30.66

$46.75

$68.59

$51.31

$115.93

$126.49

$85.99

$19.62

$59.09

$74.88

$251.94

$94.80

$59.84

$47.33

$79.68

$18.20

$119.98

$46.45

$47.32

$10.60

$69.99

$131.59

$139.36

$136.26

$119.99

$229.98

$399.99

$386.99

$653.00

$329.99

$199.99

$83.99

$35.99

$71.19

$277.66

$519.99

$116.05

$66.35

$5.99

$24.50

$16.24

$7.44

$41.94

$443.99

$443.99

3 $35.55

11 $433.55

12 $1,539.97

12 $2,118.97

132 $347.16

112 $530.37

175 $873.10

125 $1,091.46

169 $99.74

149 $83.45

138 $135.09

150 $193.98

156 $145.94

144 $354.38

109 $385.47

90 $249.97

197 $49.94

175 $170.22

182 $215.47

178 $904.66

173 $396.69

194 $194.06

202 $179.03

132 $236.31

150 $57.24

179 $350.01

210 $185.92

176 $156.47

3 $23.79

7.5 $201.97

97 $379.03

91 $401.33

97 $404.90

90 $351.97

24 $681.94

180 $1,191.96

180 $1,152.98

360 $1,950.99

180 $981.98

180 $591.97

11.1 $243.97

81 $84.98

100 $163.97

52 $681.63

300 $1,551.97

455 $311.13

385 $169.55

30 $9.97

30 $65.50

300 $40.72

150 $14.32

120 $69.98

28 $1,235.97

28 $1,235.97

CAMRESE TABLETS 91S 91 $234.99 273 $696.98

http:1,235.97http:1,235.97http:1,551.97http:1,950.99http:1,152.98http:1,191.96http:1,091.46http:2,118.97http:1,539.97

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

CANDESARTAN 16MG TABLETS 31 $107.32 94 $317.30

CANDESARTAN 32MG TABLETS

CANDESARTAN 4MG TABLETS

CANDESARTAN 8MG TABLETS

CANDESARTAN HCT 16-12.5MG TABLETS

CANDESARTAN HCT 32-12.5MG TABLETS

CANDESARTAN HCT 32/25MG TABLETS

CAPECITABINE 150MG TABLETS

CAPECITABINE 500MG TABLETS

CAPEX 0.01% SHAMPOO 120ML

CAPTOPRIL 100MG TABLETS

CAPTOPRIL 100MG TABLETS

CAPTOPRIL 12.5MG TABLETS

CAPTOPRIL 12.5MG TABLETS

CAPTOPRIL 25MG TABLETS

CAPTOPRIL 50MG TABLETS

CAPTOPRIL/HCTZ 25/15 TABLETS

CAPTOPRIL/HCTZ 25/25 TABLETS

CAPTOPRIL/HCTZ 50/15 TABLETS

CAPTOPRIL/HCTZ 50/25 TABLETS

CARAFATE 1GM/10ML SUSPENSION

CARB/LEV/ENTAC 37.5-150-200MG TABS

CARBAMAZEPINE 100MG CHEWABLE TABS

CARBAMAZEPINE 100MG ER CAPSULES

CARBAMAZEPINE 100MG/5ML SHAKE WELL

CARBAMAZEPINE 200MG ER CAPSULES

CARBAMAZEPINE 200MG TABLETS

CARBAMAZEPINE 300MG ER CAPSULES

CARBAMAZEPINE ER 100MG TABLETS

CARBAMAZEPINE ER 200MG TABLETS

CARBAMAZEPINE ER 400MG TABLETS

CARBI/LEVO/ENTOCAP 100 TABS

CARBIDOPA 25MG TABLETS

CARBIDOPA/LEV/ENTAC 18.75-75-200MG

CARBIDOPA/LEV/ENTAC 31.25-125-200MG

CARBIDOPA/LEV/ENTAC 50-200-200MG

CARBIDOPA/LEVODOPA 10-100MG DIS TAB

CARBIDOPA/LEVODOPA 10-100MG TABS

CARBIDOPA/LEVODOPA 25-100MG CR TABS

CARBIDOPA/LEVODOPA 25-100MG DIS TAB

CARBIDOPA/LEVODOPA 25-100MG TABS

CARBIDOPA/LEVODOPA 25-250MG DIS TAB

CARBIDOPA/LEVODOPA 25MG-250MG TABS

CARBIDOPA/LEVODOPA 50-200MG CR TABS

CARBINOXAMINE 4MG TABLETS

CARBINOXAMINE 4MG/5ML LIQUID

CARBOPLATIN 450MG/45ML INJ

CARDEC DM DROPS 30ML

CARDIOTEK-RX TABLETS

CARISOPRODOL 250MG TABLETS

CARISOPRODOL 350MG TABLETS

CARISOPRODOL/ASA/CODEINE TABLETS

CARTEOLOL HCL 1% OPH SOL 10ML

CARTIA (DILTIAZEM) 240MGXT CAPS

CARTIA (DILTIAZEM) 120MGXT CAPS

29

36

35

31

29

29

52

82

120

62

62

49

49

56

60

37

37

49

35

537

113

113

86

727

91

88

77

78

85

62

108

107

101

113

104

89

84

86

122

128

126

106

76

42

134

45

30

33

46

70

85

10

31

32

$140.29

$120.39

$131.16

$116.97

$112.26

$120.00

$278.73

$2,830.94

$425.00

$93.89

$209.29

$68.24

$39.11

$47.86

$82.67

$31.13

$27.43

$66.06

$44.83

$239.26

$372.37

$26.58

$151.63

$118.72

$190.53

$74.39

$175.32

$83.55

$111.09

$150.93

$356.07

$509.54

$174.48

$530.57

$346.15

$117.91

$30.87

$53.01

$121.11

$56.47

$175.35

$44.27

$93.67

$27.94

$19.29

$308.99

$46.99

$38.09

$136.94

$31.99

$190.97

$25.99

$45.32

$18.92

89 $422.27

92 $301.44

96 $352.77

91 $335.63

89 $336.25

89 $359.99

56 $299.86

392 $13,518.16

360 $1,266.99

183 $269.33

183 $609.93

145 $194.11

145 $107.91

168 $135.59

186 $247.86

132 $100.78

107 $71.75

157 $202.84

112 $134.65

2453 $1,078.66

339 $1,109.11

311 $66.14

244 $422.85

2425 $386.67

277 $571.79

268 $218.37

227 $509.05

243 $251.84

263 $335.35

192 $459.02

330 $1,079.77

286 $1,355.26

322 $547.50

342 $1,597.69

353 $1,165.33

268 $347.01

241 $81.10

249 $145.91

356 $345.72

401 $168.37

330 $452.77

321 $125.95

208 $249.42

152 $90.62

297 $37.89

135 $918.98

90 $132.97

90 $96.97

139 $405.70

195 $81.98

253 $560.52

30 $69.97

95 $130.64

99 $50.16

CARTIA (DILTIAZEM) 180MGXT CAPS 33 $36.99 101 $104.97

http:1,165.33http:1,597.69http:1,355.26http:1,079.77http:1,109.11http:1,078.66http:1,266.99http:13,518.16http:2,830.94

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

CARTIA (DILTIAZEM) 300MGXT CAPS 30 $61.99 90 $177.97

CARVEDILOL ER 20MG CAPSULES

CARVEDILOL ER 40MG CAPSULES

CAVERJECT 20MCG VIAL INJ

CAVERJECT 40MCG INJ VIAL

CAVERJECT IMPULSE 20MCG KIT (2 SYR)

CAZIANT TABLETS 28

CEFACLOR 250MG CAPSULES

CEFACLOR 500MG CAPSULES

CEFADROXIL 1GM TABLETS

CEFADROXIL 250MG/5ML SUSP 100ML

CEFADROXIL 500MG CAPSULES

CEFADROXIL 500MG/5ML SUSP 100ML

CEFAZOLIN 1GM INJ, 1 VIAL

CEFAZOLIN 1GM INJ, 1 VIAL

CEFDINIR 125MG/5ML SUSPENSION 60ML

CEFDINIR 250MG/5ML SUSPENSION 60ML

CEFDINIR 300MG CAPSULES

CEFEPIME 1GM INJ, 1 VIAL

CEFEPIME 2GM INJ, 1 VIAL

CEFIXIME 100MG/5ML SUSP 50ML

CEFIXIME 200MG/5ML SUSP 50ML

CEFOTETAN 1GM/10ML INJ, 1VIAL

CEFPODOXIM PROX 100MG/5ML SUS 100ML

CEFPODOXIME PRO 100MG TABLETS

CEFPODOXIME PRO 200MG TABLETS

CEFPODOXIME PROX 50MG/5ML SUSP 50ML

CEFPROZIL 250MG/5ML SUSP 100ML

CEFPROZIL 500MG TABLETS

CEFTIBUTEN 180MG/5ML ORAL SUSP 60ML

CEFTRIAXONE 1GM INJ, 1 VIAL

CEFTRIAXONE 2GM INJ, 1VIAL

CEFUROXIME 125MG/5ML SUSP 100ML

CEFUROXIME 250MG TABLETS

CEFUROXIME 250MG/5ML SUSP 100ML

CEFUROXIME 500MG TABLETS

CELECOXIB 100MG CAPSULES

CELECOXIB 200MG CAPSULES

CELECOXIB 400MG CAPSULES

CELECOXIB 50MG CAPSULES

CEPHALEXIN 125MG/5ML SUSP 200ML

CEPHALEXIN 250MG TABLETS

CEPHALEXIN 250MG/5ML SUSP 100ML

CEPHALEXIN 500MG TABLETS

CEREZYME 200U VIAL FOR INJECTION

CEREZYME 400U INJ, 1VL

CETROTIDE 0.25MG VIAL FOR INJ KIT

CEVIMELINE 30MG CAPSULES

CHANTIX 0.5MG TABLETS

CHANTIX 1MG TABLETS

CHANTIX STARTING MONTH PAK 53'S

CHEMSTRIP 2 LN TEST STRIPS 100'S

CHLORAMPHEN 1GM INJ, 1VIAL

CHLORDIAZEPOX/AMITRIP 5/12.5MG TAB

CHLORDIAZEPOXIDE/AMIT 10-25MG TABS

30

31

1

1

2

28

28

23

18

100

20

100

1

1

60

60

19

1

1

50

50

1

100

14

16

50

100

19

60

1

1

100

19

100

19

49

38

30

50

200

27

100

24

1

1

1

82

44

56

53

100

1

46

42

$268.99

$290.22

$94.50

$126.33

$131.99

$25.59

$37.59

$49.22

$86.78

$72.99

$17.99

$94.47

$8.59

$4.99

$41.19

$77.99

$69.23

$21.99

$39.99

$189.99

$391.99

$26.99

$130.99

$62.78

$109.59

$24.50

$32.99

$102.79

$479.99

$24.70

$45.99

$62.99

$38.19

$114.99

$66.69

$205.88

$257.08

$309.00

$97.33

$26.00

$72.46

$20.99

$68.79

$902.13

$1,743.99

$219.99

$263.64

$308.06

$387.99

$395.99

$45.99

$51.99

$52.76

$59.02

90 $798.97

90 $834.97

3 $275.49

3 $371.00

6 $387.97

84 $68.77

92 $114.37

97 $194.73

114 $528.29

300 $210.97

157 $113.82

300 $275.41

3 $17.77

3 $6.97

180 $115.58

180 $225.98

101 $350.75

3 $57.97

3 $111.97

150 $561.97

150 $1,167.97

3 $72.97

300 $384.97

84 $356.67

133 $881.73

150 $65.49

300 $90.97

160 $835.92

180 $1,431.98

3 $66.10

3 $129.97

300 $180.97

105 $192.95

300 $336.97

137 $456.03

145 $601.39

113 $756.57

96 $979.98

153 $289.57

600 $70.00

72 $186.55

300 $54.97

116 $317.17

3 $2,698.39

3 $5,223.97

3 $651.97

250 $795.58

164 $1,137.32

159 $1,094.26

159 $1,179.96

300 $129.97

3 $147.97

116 $126.95

112 $150.71

CHLORDIAZEPOXIDE/CLIDINIUM5-2.5MG C 63 $220.29 183 $632.28

http:1,179.96http:1,094.26http:1,137.32http:5,223.97http:2,698.39http:1,431.98http:1,167.97http:1,743.99

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

CHLOROQUINE 250MG TABLETS 19 $45.79 78 $175.56

CHLOROQUINE PHOSPHATE 500MG TABLETS

CHLOROTHIAZIDE 250MG TABLETS

CHLOROTHIAZIDE 500MG TABLETS

CHLORPROMAZINE 100MG** TABLETS

CHLORPROMAZINE 10MG TABLETS

CHLORPROMAZINE 200MG TABLETS

CHLORPROMAZINE 200MG TABS

CHLORPROMAZINE 25MG TABLETS

CHLORPROMAZINE 50MG TABLETS

CHLORPROPAMIDE 100MG TABLETS

CHLORPROPAMIDE 250MG TABLETS

CHLORTHALIDONE 25MG TABLETS

CHLORTHALIDONE 50MG TABLETS

CHLORZOXAZONE 500MG TABLETS

CHOLESTYRAMINE 4GM LGHT POW PK 60'S

CHOLESTYRAMINE 4GM PACKETS 60'S

CHOLESTYRAMINE LIGHT POWDER (CAN)

CHOLESTYRAMINE POWDER (CAN) 378GM

CHORIONIC GONADOTROPIN 10,000 U/VL

CIALIS 10MG TABLETS

CIALIS 2.5MG BLISTER PAK TABLETS

CIALIS 20MG TABLETS

CIALIS 5MG TABLETS

CICLOPIROX 0.77% CREAM 15GM

CICLOPIROX 0.77% GEL 30GM

CICLOPIROX 1% SHAMPOO 120ML

CICLOPIROX 8% NAIL LACQUER TOP SOLN

CICLOPIROX 8% TOPICAL SOL KIT

CICLOPIROX TOPICAL SUSPENSION 60ML

CILOSTAZOL 100MG TABLETS

CILOSTAZOL 50MG TABLETS

CIMETIDINE 200MG TABLETS

CIMETIDINE 300MG TABLETS

CIMETIDINE 400MG TABLETS

CIMETIDINE 800MG TABLETS

CIMZIA 200MG/ML INJ KIT (2 VIALS)

CIMZIA 200MG/ML PRF SYR KIT (2 SYR)

CIPRODEX OTIC SUSPENSION (EAR)

CIPROFLOXACIN 0.3% OP SOL5ML-EYE

CIPROFLOXACIN 100MG PACK

CIPROFLOXACIN 10GM/100ML SUSP

CIPROFLOXACN 250MG/5ML SUSP

CIPROFLOXCN 0.2% PF OTIC SOL (EAR)

CISPLATIN AQ INJ, 100ML

CITALOPRAM 10MG/5ML SOLUTION

CITRANATAL DHA PAK

CITRIC ACID (ANHYDROUS)POWDER 500GM

CLARIFOAM EF EMOLLIENT FOAM 60GM

CLARINEX-D 12 HOUR TABLETS

CLARITHROMYCIN 125MG/5ML SUSP 50ML

CLARITHROMYCIN 250MG TABLETS

CLARITHROMYCIN 250MG/5ML SUSP 100ML

CLARITHROMYCIN 500MG ER TABLETS

CLARITHROMYCIN 500MG TABLETS

6

38

36

60

54

55

55

48

58

43

47

28

30

63

48

50

239.4

378

1

6

25

6

21

15

30

120

6.6

1

60

57

57

66

52

40

46

1

1

7.5

5

23

100

100

14

100

231

60

500

60

40

50

23

100

19

22

$76.72

$18.44

$30.64

$539.19

$178.95

$682.69

$1,129.29

$214.72

$373.45

$41.41

$91.42

$19.86

$19.99

$19.40

$75.19

$104.83

$67.99

$59.98

$296.60

$439.99

$299.79

$439.99

$252.47

$23.99

$61.99

$159.99

$43.99

$157.99

$99.99

$17.29

$17.29

$23.79

$25.83

$45.33

$30.22

$3,764.99

$3,779.99

$224.99

$69.78

$233.96

$130.99

$110.99

$103.99

$164.99

$86.77

$79.99

$22.00

$342.99

$289.99

$24.49

$124.74

$98.99

$71.44

$73.29

20 $246.39

96 $40.47

95 $74.29

180 $1,609.58

232 $755.66

173 $2,138.80

173 $3,543.56

202 $890.76

172 $1,099.62

131 $117.96

122 $230.91

83 $51.03

91 $52.50

213 $56.06

138 $208.68

139 $284.29

718.2 $195.97

1134 $171.95

3 $881.80

27 $1,965.96

88 $1,045.19

21 $1,529.97

85 $1,009.69

45 $63.97

90 $177.97

360 $471.96

19.8 $123.97

3 $465.97

180 $291.96

168 $43.18

169 $43.41

192 $61.58

152 $67.82

149 $157.95

125 $75.24

3 $11,286.97

3 $11,331.97

22.5 $666.97

15 $201.34

84 $843.86

300 $384.97

300 $324.97

42 $303.97

300 $486.97

664 $241.91

180 $231.97

1500 $58.00

180 $1,020.96

166 $1,190.87

150 $65.47

107 $565.70

300 $288.97

129 $461.89

124 $394.54

CLEMASTINE 2.68MG TABLETS 49 $26.05 145 $69.24

http:1,190.87http:1,020.96http:11,331.97http:11,286.97http:1,009.69http:1,529.97http:1,045.19http:1,965.96http:1,099.62http:3,543.56http:2,138.80http:1,609.58http:3,779.99http:3,764.99http:1,129.29

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

CLEOCIN 100MG VAGINAL OVULE 3'S 3 $175.99 9 $519.97

CLIMARA PRO 0.045MG/DAY PATCHES 4'S

CLINDAGEL 1% TOPICAL GEL

CLINDAMYCIN 1% FOAM 50GM

CLINDAMYCIN 1% GEL 30GM

CLINDAMYCIN 1% LOTION 60ML

CLINDAMYCIN 1% PLEDGETS 60'S

CLINDAMYCIN 1% TOPICAL SOLN 60ML

CLINDAMYCIN 2% VAGINAL CREAM 40GM

CLINDAMYCIN 900MG INJ, 50ML

CLINDAMYCIN PED 75MG/5MLSOL 100ML

CLINDAMYCIN/BENZ PER 1/5% GEL 35GM

CLINDAMYCIN/BENZ PER 1/5% GEL 50GM

CLINDAMYCIN/BPO 1.2-5% GEL 45GM

CLOBETASOL 0.05% EMOLLIENT CRM 15GM

CLOBETASOL 0.05% EMOLLNT FOAM 100GM

CLOBETASOL 0.05% EMOLLNT FOAM 50GM

CLOBETASOL 0.05% FOAM 100GM

CLOBETASOL 0.05% SPRAY 59ML

CLOBETASOL PROP 0.05% CREAM 60GM

CLOBETASOL PROP 0.05% GEL 15GM

CLOBETASOL PROP 0.05% OINT 60GM

CLOBETASOL PROP 0.05% SOLN 50ML

CLOBETASOL PROPIONATE POWDER

CLOCORTOLONE PIV 0.1% CRM 75GM PUMP

CLOCORTOLONE PIVALATE 0.1% CRM 45GM

CLOMIPRAMINE 25MG CAPSULES

CLOMIPRAMINE 50MG CAPSULES

CLOMIPRAMINE 75MG CAPSULES

CLONAZEPAM 0.5MG TABLETS

CLONAZEPAM 1MG TABLETS

CLONAZEPAM 2MG TABLETS

CLONAZEPAM ODT 0.125MG TABLETS

CLONAZEPAM ODT 0.25MG TABLETS

CLONAZEPAM ODT 0.5MG TABLETS

CLONAZEPAM ODT 1MG TABLETS

CLONAZEPAM ODT 2MG TABLETS

CLONIDINE 0.1MG EXTENDED RELEASE TB

CLONIDINE 0.1MG/24H WEEKLY PATCH

CLONIDINE 0.2MG/24H WEEKLY PATCHES

CLONIDINE 0.3MG/24H WEEKLY PATCH

CLOPIDOGREL 75MG TABLETS

CLOTRIMAZOLE 1% CREAM 30GM

CLOTRIMAZOLE 1% TOPICAL SOLUTION

CLOTRIMAZOLE 10MG LOZENGE

CLOTRIMAZOLE-BETAMETHASONE CRM 15GM

CLOTRIMAZOLE-BETAMETHASONE CRM 45GM

CLOTRIMAZOLE-BETAMETHASONE LOT 30ML

CLOZAPINE 100MG TABLETS

CODEINE SULF 30MG TABLETS

CODEINE SULFATE 15MG TABLETS

CODEINE SULFATE 60MG TABLETS

COLCHICINE 0.6MG CAPSULES

COLCHICINE 0.6MG TABLETS

COLESTIPOL 1GM TABLETS

4

75

50

30

60

61

60

40

50

100

35

50

45

15

100

50

100

59

60

15

60

50

1

75

45

47

64

52

50

57

55

55

47

48

47

40

66

4

4

4

30

30

30

53

15

45

30

76

81

49

100

27

28

77

$182.99

$1,581.99

$299.99

$62.99

$101.99

$36.53

$69.99

$79.99

$15.99

$54.99

$349.99

$429.99

$191.99

$44.99

$499.99

$258.99

$448.99

$350.99

$151.98

$105.99

$387.96

$87.98

$94.99

$489.99

$291.99

$331.12

$481.43

$411.33

$25.66

$22.04

$25.08

$61.74

$57.26

$52.79

$63.53

$75.73

$266.89

$139.99

$186.99

$211.99

$64.99

$21.98

$65.18

$80.46

$27.99

$59.99

$110.99

$191.44

$56.64

$26.54

$76.99

$154.29

$149.59

$62.39

12 $540.97

225 $4,737.98

150 $891.97

90 $180.97

180 $297.98

178 $98.91

180 $201.96

120 $231.98

150 $39.97

300 $156.97

105 $1,041.97

150 $1,281.97

135 $567.98

45 $126.97

300 $1,491.97

150 $768.97

300 $1,338.97

177 $1,044.97

180 $447.93

45 $309.97

180 $1,155.87

150 $255.94

3 $276.97

225 $1,461.98

135 $867.97

135 $943.59

187 $1,399.00

160 $1,257.31

139 $64.21

144 $49.58

136 $56.12

141 $152.02

147 $170.58

150 $156.48

157 $202.84

131 $238.91

202 $808.61

12 $411.97

12 $552.97

12 $627.97

90 $186.97

90 $57.94

90 $187.54

239 $348.81

45 $75.97

135 $171.97

90 $324.97

161 $401.07

287 $190.52

60 $31.59

270 $201.07

105 $588.46

105 $549.97

224 $173.86

COLESTIPOL 5GM GRANULE PACKETS 90'S 90 $317.99 270 $945.98

http:1,257.31http:1,399.00http:1,461.98http:1,155.87http:1,044.97http:1,338.97http:1,491.97http:1,281.97http:1,041.97http:4,737.98http:1,581.99

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

COLESTIPOL HCL 5GM GRANULES 500 $206.00 1500 $610.00

COLISTIMETHATE 150MG INJ,1 VIAL

COMBIGAN 0.2/0.5% OPTH SOLN 5ML

COMBIPATCH .05MG/.14MG/DAY PATCHES

COMBIVIR 150MG/300MG TABLETS

COMPLETENATE CHEWABLE TABLETS

CONDYLOX 0.5% GEL 3.5GM

CONTOUR NEXT TEST STRIPS100'S

CONTRAVE ER 8-90MG TABLETS

CORDRAN 0.05% LOTION 60ML

CORDRAN 80X3 4MCG/CM TAPE

COREG CR 10MG CAPSULES

CORTISONE ACETATE 25MG TABLETS

CORVITA 150 TABLETS

CORVITE FREE TABLETS

COSOPT PF OPHTH SOLN 60S

COUMADIN 10MG (TEN MG) TABS (WHITE)

COUMADIN 1MG TABLETS (PINK)

COUMADIN 2.5MG TABLETS (GREEN)

COUMADIN 2MG TABLETS (PURPLE)

COUMADIN 3MG TABLETS (TAN)

COUMADIN 4MG TABLETS (BLUE)

COUMADIN 5MG TABLETS (PEACH)

COUMADIN 6MG TABLETS (BLUE/GREEN)

COUMADIN 7.5MG TABLETS (YELLOW)

COVARYX 1.25/2.5MG TABLETS

CRINONE 8% (90MG)VAG GEL 15X1.125GM

CRIXIVAN 400MG CAPSULES

CROMOLYN SOD 100/5ML ORAL CONC 5ML

CROMOLYN SOD 20/2ML INH SOLN 60X2ML

CROMOLYN SODIUM 4% OPHTH SOLN 10ML

CUPRIMINE 250MG CAPSULES

CYANOCOBALAMIN 1000MCG/ML INJ, 1ML

CYCLOBENZAPRINE 5MG TABLETS

CYCLOBENZAPRINE 7.5MG TABLETS

CYCLOPENTOLATE 0.5% OPHTH SOLN 15ML

CYCLOPENTOLATE 1% OPTH SOL 2ML

CYCLOPENTOLATE 1% OPTH SOLN 15ML

CYCLOPHOSPHA 1GM INJ, 1 VIAL

CYCLOPHOSPHAMIDE 25MG CAPSULES

CYCLOPHOSPHAMIDE 2GM VIAL FOR INJ

CYCLOPHOSPHAMIDE 500MG INJ 1 VIAL

CYCLOPHOSPHAMIDE 50MG CAPSULES

CYCLOSPORINE 100MG (MOD) CAPS

CYCLOSPORINE 100MG CAPSULES

CYCLOSPORINE 100MG/ML MOD ORAL SOLN

CYCLOSPORINE 25MG (MOD) CAPS

CYCLOSPORINE 25MG CAPSULES

CYCLOSPORINE 50MG (MOD) CAPS

CYCLOSPORINE 50MG/ML INJ, 5ML

CYPROHEPTADINE 4MG TABLETS

CYTRA-2 SOLUTION

D-AMPHETAMINE SALT COMBO7.5MG TAB

D-AMPHETAMINE SALT COM ER(XR)10MG C

D-AMPHETAMINE SALT COM ER(XR)15MG C

1

5

8

58

30

3.5

100

109

60

1

30

45

29

31

60

32

43

38

43

31

32

36

28

28

23

1.125

154

5

2

10

96

1

37

35

15

2

15

1

49

1

1

40

58

60

71

135

129

67

5

49

839

44

32

32

$33.87

$153.99

$174.99

$918.46

$23.66

$546.99

$78.99

$219.26

$419.99

$599.99

$279.99

$132.70

$33.29

$27.76

$157.99

$108.52

$94.29

$90.12

$98.59

$74.26

$77.59

$90.39

$89.86

$92.66

$77.21

$28.99

$448.77

$6.99

$5.95

$17.99

$27,669.26

$15.84

$12.22

$160.10

$71.99

$5.87

$41.14

$773.99

$460.19

$1,565.99

$385.99

$686.00

$168.31

$532.38

$354.73

$174.95

$335.05

$162.54

$37.99

$31.76

$67.85

$45.79

$149.06

$152.48

3 $93.60

15 $453.97

24 $516.97

175 $2,763.14

90 $62.99

10.5 $1,632.97

300 $228.97

310 $616.22

180 $1,251.98

3 $1,791.97

91 $841.17

138 $398.67

95 $99.94

92 $74.50

180 $465.97

91 $301.23

113 $241.27

105 $241.96

122 $272.36

97 $223.83

99 $231.67

102 $248.77

89 $276.90

86 $276.30

90 $290.49

3.375 $78.97

540 $1,563.57

15 $12.97

6 $9.85

30 $45.97

133 $38,331.91

3 $39.52

144 $36.00

164 $735.42

45 $207.97

6 $9.60

45 $115.42

3 $2,313.97

77 $720.86

3 $4,689.97

3 $1,149.97

124 $2,118.19

161 $460.11

167 $1,474.65

61 $305.33

383 $488.99

360 $927.87

172 $411.00

15 $105.97

147 $87.28

2528 $196.38

149 $145.52

102 $466.37

97 $454.07

D-AMPHETAMINE SALT COM ER(XR)20MG C 36 $61.60 110 $179.99

http:1,474.65http:2,118.19http:1,149.97http:4,689.97http:2,313.97http:38,331.91http:1,563.57http:1,791.97http:1,251.98http:1,632.97http:2,763.14http:1,565.99http:27,669.26

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

D-AMPHETAMINE SALT COM ER(XR)25MG C 33 $175.59 101 $529.17

D-AMPHETAMINE SALT COM ER(XR)30MG C

D-AMPHETAMINE SALT COM ER(XR)5MG C

D-AMPHETAMINE SALT COMBO 10MG TAB

D-AMPHETAMINE SALT COMBO 20MG TABS

D-AMPHETAMINE SALT COMBO 30MG TABS

D-AMPHETAMINE SALT COMBO 5MG TABS

D-AMPHETAMINE SALT COMBO12.5MG TB

D-AMPHETAMINE SALT COMBO15MG TABS

DACARBAZINE 100MG INJ, 1VIAL

DACARBAZINE 200MG INJ, 1VIAL

DACARBAZINE 200MG INJ, 1VIAL

DANAZOL 100MG CAPSULES

DANAZOL 200MG CAPSULES

DANAZOL 50MG CAPSULES

DANTROLENE 100MG CAPSULES

DANTROLENE 25MG CAPSULES

DANTROLENE 50MG CAPSULES

DARIFENACIN ER 7.5MG TABLETS

DAYTRANA 15MG TRANSDERMAL PATCHES

DAYTRANA 20MG TRANSDERMALPATCHES

DAYTRANA 30MG TRANSDERMAL PATCHES

DEFEROXAMIN 2GM INJ, 1VIAL

DEFEROXAMINE 500MG INJ

DEMECLOCYCLINE 150MG TABLETS

DEMECLOCYCLINE 300MG TABLETS

DENAVIR 1% CREAM 1.5GM

DENAVIR 1% CREAM 5GM

DEPEN TITRA 250MG TAB

DEPO-ESTRADIOL 5MG/ML 5ML

DEPO-PROVERA *104MG* SUBQ SYRINGE

DESIPRAMINE 100MG** TABLETS

DESIPRAMINE 10MG TABLETS

DESIPRAMINE 150MG TABLETS

DESIPRAMINE 25MG TABLETS

DESIPRAMINE 50MG TABLETS

DESIPRAMINE 75MG TABLETS

DESLORATADINE 5MG TABLETS

DESMOPRESSIN 0.01% RHINAL TUBE SOL

DESMOPRESSIN 0.01%(0.1ML/NASAL SPR)

DESMOPRESSIN 0.01%(0.1ML/NASAL SPR)

DESMOPRESSIN 0.1MG TABLETS

DESMOPRESSIN 0.2MG TABLETS

DESMOPRESSIN 4MCG/ML INJ 10ML MDV

DESMOPRESSIN 4MCG/ML INJ SINGLE USE

DESONIDE 0.05% CREAM 15GM

DESONIDE 0.05% LOTION 59ML

DESONIDE 0.05% OINTMENT 15GM

DESOXIMETASONE 0.05% CREAM 60GM

DESOXIMETASONE 0.05% GEL 60GM

DESOXIMETASONE 0.05% OINTMENT 100GM

DESOXIMETASONE 0.05% OINTMENT 60GM

DESOXIMETASONE 0.25% CRM 60GM

DESOXIMETASONE 0.25% OINTMENT 100GM

DESVENLAFAXINE ER 100MG TABLETS

34

32

52

60

57

43

57

53

1

1

1

53

60

47

83

105

92

31

30

31

30

1

1

60

51

1.5

5

83

5

0.65

43

53

33

51

54

36

29

2.5

5

5

60

64

10

1

15

59

15

60

60

100

60

60

100

30

$180.79

$165.06

$69.86

$78.99

$82.84

$74.94

$62.89

$75.54

$15.23

$28.47

$32.99

$262.10

$557.19

$155.81

$166.67

$100.04

$121.73

$158.26

$355.99

$367.72

$355.99

$69.99

$21.99

$423.98

$637.24

$115.99

$849.99

$5,537.60

$121.99

$256.99

$158.79

$44.27

$133.35

$44.79

$115.23

$135.72

$83.26

$160.99

$169.99

$169.99

$185.19

$283.44

$490.99

$63.99

$78.25

$220.99

$50.50

$310.02

$251.96

$514.99

$262.99

$97.99

$447.32

$159.99

102 $534.37

105 $532.47

141 $182.58

164 $208.97

157 $221.16

123 $206.93

199 $209.61

142 $195.67

3 $37.70

3 $77.41

3 $90.97

140 $685.79

158 $1,460.74

147 $478.80

269 $531.21

256 $238.16

265 $343.12

90 $451.84

90 $1,059.97

105 $1,235.97

90 $1,059.97

3 $201.97

3 $57.97

143 $1,004.96

183 $2,276.22

4.5 $339.97

15 $2,541.97

283 $18,871.58

15 $357.97

1.95 $762.97

124 $450.38

143 $112.67

104 $411.66

143 $118.37

167 $348.00

104 $384.53

91 $252.70

7.5 $474.97

15 $501.97

15 $501.97

171 $520.40

184 $807.40

30 $1,464.97

3 $183.97

45 $226.74

177 $654.97

45 $143.49

180 $922.05

180 $747.89

300 $1,536.97

180 $780.97

180 $285.97

300 $1,333.96

91 $477.17

DESVENLAFAXINE ER 100MG TABLETS 30 $353.99 91 $1,065.63

http:1,065.63http:1,333.96http:1,536.97http:1,464.97http:18,871.58http:2,541.97http:2,276.22http:1,004.96http:1,059.97http:1,235.97http:1,059.97http:1,460.74http:5,537.60

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

DESVENLAFAXINE ER 50MG TABLETS 30 $82.36 94 $249.53

DESVENLAFAXINE ER 50MG TABLETS

DESVENLAFAXINE SUCCINATE 100MG ER T

DESVENLAFAXINE SUCCINATE 50MG ER TB

DESVENLAFAXINE SUCCINATE25MG ER T

DEXAMETHASONE 0.1% OPHTH SOLN 5ML

DEXAMETHASONE 0.5MG/5ML ELIXIR

DEXAMETHASONE 0.5MG/5ML ORAL SOLN

DEXAMETHASONE 0.5MG/5ML ORAL SOLN

DEXAMETHASONE 2MG TABLETS

DEXAMETHASONE INTENSOL 1MG/ML SOLN

DEXAMETHASONE PHO 4MG/ML INJECTION

DEXAMETHASONE SOD PHOS 10MG/ML INJ

DEXILANT 30MG CAP(FORMERLY KAPIDEX)

DEXILANT 60MG CAP(FORMERLY KAPIDEX)

DEXMETHYLPHENIDATE 10MG TABLETS

DEXMETHYLPHENIDATE 15MG ER CAPSULES

DEXMETHYLPHENIDATE 2.5MG TABLETS

DEXMETHYLPHENIDATE 30MG ER CAPSULES

DEXMETHYLPHENIDATE 40MG ER CAPSULES

DEXMETHYLPHENIDATE 5MG TABLETS

DEXMETHYLPHENIDATE ER 10MG CAPSULES

DEXMETHYLPHENIDATE ER 20MG CAPSULES

DEXMETHYLPHENIDATE ER 5MG CAPSULES

DEXRAZOXANE 500MG INJ, 1 VIAL

DEXTROAMPHETAMINE 10MG ER CAPSULES

DEXTROAMPHETAMINE 10MG ER CAPSULES

DEXTROAMPHETAMINE 10MG TABLETS

DEXTROAMPHETAMINE 15MG ER CAPSULES

DEXTROAMPHETAMINE 5MG ER CAPSULES

DEXTROAMPHETAMINE 5MG TABLETS

DEXTROSE 5%/NACL 0.45% 500ML

DEXTROSE 50% INJ, 50ML

DIALYVITE 3000 TABLETS

DIALYVITE TABLETS

DIALYVITE WITH ZINC TABLETS

DIAZEPAM 10MG RECTAL GEL (2 PACK)

DIAZEPAM 10MG TABLETS

DIAZEPAM 2.5MG RECTAL GEL (2 PACK)

DIAZEPAM 20MG RECTAL GEL

DIAZEPAM 2MG TABLETS

DIAZEPAM 5MG TABLETS

DIAZEPAM 5MG/1ML ORAL CONCENTRATE

DIAZEPAM 5MG/5ML (1MG/1ML) ORAL SOL

DIAZEPAM 5MG/ML INJ, 10ML

DIAZEPAM 5MG/ML INJECTION 10X2ML

DICLOFENAC 1% GEL 100GM

DICLOFENAC 1.5% TOPICAL SOL 150ML

DICLOFENAC 3% GEL 100GM

DICLOFENAC POTASSIUM 50MG TABLETS

DICLOFENAC SOD 0.1% OPHTH SOLN 5ML

DICLOFENAC SODIUM 100MG ER TABLETS

DICLOFENAC SODIUM 25MG DR TABLETS

DICLOFENAC SODIUM 50MG DR TABLETS

DICLOFENAC/MISOPROSTOL 50-0.2MG TAB

30

30

30

31

5

185

250

250

21

30

30

1

31

30

52

31

44

31

31

44

31

31

32

1

64

64

81

64

46

56

500

50

30

30

30

1

44

1

1

40

36

30

168

10

2

100

150

100

44

5

31

53

51

56

$353.99

$216.99

$203.99

$207.56

$15.99

$42.24

$57.13

$14.40

$15.76

$25.99

$32.99

$6.32

$278.86

$269.99

$58.07

$176.56

$22.26

$189.69

$118.08

$35.24

$238.56

$247.86

$308.00

$599.99

$462.23

$237.59

$207.30

$641.37

$238.96

$102.92

$7.00

$9.80

$14.66

$8.41

$9.40

$370.99

$16.47

$299.99

$389.99

$10.66

$11.40

$45.99

$54.38

$39.33

$29.40

$49.99

$226.99

$634.99

$34.79

$62.99

$18.46

$46.92

$15.89

$169.94

94 $1,100.63

93 $664.27

93 $623.97

93 $614.67

15 $39.97

594 $126.78

1005 $217.56

1005 $45.81

100 $59.99

90 $69.97

90 $90.97

3 $10.96

91 $810.83

90 $801.97

136 $145.43

93 $521.67

117 $52.54

92 $555.07

91 $338.87

120 $89.19

96 $730.36

95 $751.30

103 $982.49

3 $1,791.97

172 $1,235.50

172 $631.78

209 $528.57

174 $1,736.85

174 $892.77

184 $329.04

1500 $13.00

150 $21.40

90 $35.99

89 $17.07

90 $20.19

3 $1,104.97

145 $45.08

3 $891.97

3 $1,161.97

151 $29.16

138 $32.36

90 $129.97

623 $190.84

30 $109.99

6 $80.19

300 $141.97

450 $672.97

300 $1,896.97

178 $128.55

15 $180.97

97 $49.23

186 $154.64

181 $46.21

171 $510.71

DICLOFENAC/MISOPROSTOL 75-0.2MG TAB 54 $162.39 166 $490.91

http:1,896.97http:1,161.97http:1,104.97http:1,736.85http:1,235.50http:1,791.97http:1,100.63

DISCOUNTED MEDICATIONS

Drug Name Avg 30 Qty Avg 30 Price Avg 90 Qty Avg 90 Price

DICLOXACILLIN 250MG CAPSULES 37 $16.94 143 $54.02

DICLOXACILLIN 500MG CAPSULES

DICYCLOMINE 10MG/5ML SOLUTION

DICYCLOMINE 10MG/ML INJ, 2ML

DIDANOSINE (DDI) 200MG DR CAPSULES

DIDANOSINE (DDI) 250MG DR CAPSULES

DIDANOSINE (DDI) 400MG DR CAPSULES

DIETHYLPROPION 25MG TABLETS

DIETHYLPROPION 75MG ER TABLETS

DIFLORASONE DIACETATE .05% CRM 60GM

DIFLORASONE DIACETATE .05% ONT 15GM

DIFLORASONE DIACETATE .05% ONT 30GM

DIFLUNISAL 500MG TABLETS

DIGOXIN 0.125MG TABLETS (YELLOW)

DIGOXIN 0.25MG TABLETS (WHITE)

DIGOXIN 0.25MG/ML INJ, 1ML

DIGOXIN 50 MCG/ML (0.05 MG/ML) DRP

DIHYDROERGOTAMINE (1MG/ML) 1ML AMP

DIHYDROERGOTAMINE 1MG/ML INJ, 1ML

DILTIAZEM 90MG TABLETS

DILTIAZEM ER 120MG CAPSULES (24 HR)

DILTIAZEM ER 180MG CAPS (XR-24H)

DILTIAZEM ER 240MG CAPSULES (24 HR)

DILTIAZEM ER 360MG (24 HR/CD) CAPS

DILTIAZEM ER 420MG CAPSULES (24 HR)

DILTIAZEM ER 60MG CAPSULES (12 HR)

DILTIAZEM ER 90MG CAPSULES (