ITEM |
NDC NUM |
DSCR |
TOP 250 |
REG INV $ |
DISC INV $ |
SL |
DISC % |
CAMPAIGN DATES |
**1817907 |
378870006 |
ACYCLOVIR OINT 5% MYL 15GM@ |
Y |
$282.00 |
$203.63 |
A |
30% |
7/16/17 - 7/29/16 |
2416964 |
487950160 |
ALBUTEROLINHSOL.083%NEP3MLX60@ |
Y |
$7.10 |
$5.12 |
A |
30% |
7/16/17 - 7/29/16 |
3294717 |
713050312 |
ANUCORT-HC HEM SUPP G/W 12@ |
Y |
$133.45 |
$96.36 |
A |
30% |
7/16/17 - 7/29/16 |
1944602 |
713050324 |
ANUCORT-HC HEM SUPP G/W 24@ |
Y |
$253.72 |
$183.21 |
A |
30% |
7/16/17 - 7/29/16 |
1290964 |
60505257808 |
ATORVAS FCT 10MG APX 1000@ |
Y |
$81.41 |
$58.78 |
A |
30% |
7/16/17 - 7/29/16 |
**2587319 |
64980019501 |
BENAZEP HCTZ 20/12.5MG SAN 1C@ |
N |
$131.00 |
$94.59 |
A |
30% |
7/16/17 - 7/29/16 |
**3478120 |
781751587 |
BUDESO INH/SUSP.25MG/2MLSAN30@ |
Y |
$139.38 |
$100.65 |
A |
30% |
7/16/17 - 7/29/16 |
3460094 |
68382035406 |
BUPROPRI HCI ER TB300MG ZYD30@ |
Y |
$17.59 |
$12.70 |
A |
30% |
7/16/17 - 7/29/16 |
3460102 |
68382035405 |
BUPROPRI HCI ER TB300MGZYD500@ |
Y |
$253.38 |
$182.96 |
A |
30% |
7/16/17 - 7/29/16 |
**3218278 |
93729605 |
CARVEDILOL TB 25MG TEV 500@ |
N |
$20.71 |
$14.95 |
A |
30% |
7/16/17 - 7/29/16 |
2041150 |
16714039302 |
CEFDINIR OS 250MG/5ML1CMLNSTR@ |
Y |
$45.08 |
$32.55 |
A |
30% |
7/16/17 - 7/29/16 |
3471612 |
713066160 |
DESONIDE CRM 0.05% G&W 60GM@ |
Y |
$158.74 |
$114.62 |
A |
30% |
7/16/17 - 7/29/16 |
2052918 |
228291809 |
DILTIAZ CD CAP 360MG ACT 90@ |
Y |
$693.00 |
$500.40 |
A |
30% |
7/16/17 - 7/29/16 |
2498855 |
62037086320 |
ENOXAP SOD SYR 100MG/MLWAT10@ |
Y |
$180.99 |
$130.69 |
A |
30% |
7/16/17 - 7/29/16 |
2494920 |
62037084920 |
ENOXAP SOD SYR40MG/0.4ML 10@ |
Y |
$72.19 |
$52.13 |
A |
30% |
7/16/17 - 7/29/16 |
2054054 |
378464026 |
ESTRADIOL PATCH .1MG/DAY MYL8@ |
N |
$70.00 |
$50.54 |
A |
30% |
7/16/17 - 7/29/16 |
3221603 |
487020160 |
IPRATRO/ALB 0.5/MG NEPH 3ML60@ |
Y |
$9.63 |
$6.96 |
A |
30% |
7/16/17 - 7/29/16 |
1273507 |
168009930 |
KETOCONAZOLE CRM 2% 30GM@ |
Y |
$41.78 |
$30.17 |
A |
30% |
7/16/17 - 7/29/16 |
1133180 |
378180001 |
LEVOTHYROX TAB 25MCG MYLN 100@ |
Y |
$31.02 |
$22.40 |
A |
30% |
7/16/17 - 7/29/16 |
1732148 |
378617301 |
METOLAZON TAB 5MG MYLN 100@ |
N |
$146.51 |
$105.79 |
A |
30% |
7/16/17 - 7/29/16 |
3299047 |
60505084505 |
OLOPATA NSPR 665MC APX 30.5G@ |
N |
$172.72 |
$124.72 |
A |
30% |
7/16/17 - 7/29/16 |
3294220 |
62175027137 |
OXYBUTYNIN ER TB 10MG KRE 100@ |
Y |
$71.49 |
$51.62 |
A |
30% |
7/16/17 - 7/29/16 |
1223627 |
832003850 |
OXYBUTYNIN TAB 5MG U/S 500@ |
Y |
$178.39 |
$128.81 |
A |
30% |
7/16/17 - 7/29/16 |
2028371 |
65862056090 |
PANTOPRAZOL DR TB40MG AURO90@ |
Y |
$7.72 |
$5.58 |
A |
30% |
7/16/17 - 7/29/16 |
1872225 |
245007111 |
POT CIT ER TAB 10MEQ U/S 100@ |
Y |
$119.70 |
$86.44 |
AC |
30% |
7/16/17 - 7/29/16 |
1345347 |
228277911 |
PROPRAN ER CP 80MG ACTA 100@ |
N |
$155.71 |
$112.44 |
A |
30% |
7/16/17 - 7/29/16 |
1101674 |
61314064705 |
TOBRAMYC+DEXAM OS FAL 5ML @ |
Y |
$72.28 |
$52.19 |
A |
30% |
7/16/17 - 7/29/16 |
2030229 |
66530025445 |
TRETINOIN CREM .05% SPEA 45GM@ |
Y |
$181.48 |
$131.05 |
A |
30% |
7/16/17 - 7/29/16 |
2119220 |
00527105001 |
ACETAZOL TAB 250MG LANN 100@ |
N |
$217.31 |
$179.34 |
A |
17% |
|
2151223 |
43598022040 |
ACP XR TAB 1000/62.5 DR/R 40@ |
N |
$138.50 |
$106.66 |
A |
23% |
|
2024818 |
16714004211 |
ALLOPURINOL TAB300MG 500 NSTR@ |
Y |
$149.63 |
$115.76 |
A |
23% |
|
3258027 |
16714044801 |
AMITRIP TAB 50MG 100 NSTR@ |
N |
$50.00 |
$41.26 |
A |
17% |
|
3478419 |
16714047802 |
AMOXICI CLV+POT875/125100NSTR@ |
Y |
$63.31 |
$63.31 |
A |
0% |
|
1260470 |
60432006500 |
AMOXICIL CLV 250/62.5MOR100ML@ |
N |
$59.38 |
$42.88 |
AC |
28% |
|
3465234 |
00093304006 |
ASP+ER DIPYR CP25/200MGTEVA60@ |
Y |
$309.00 |
$247.21 |
A |
20% |
|
1290972 |
60505257908 |
ATORVAS FCT 20MG APX 1000@ |
Y |
$118.56 |
$96.84 |
A |
18% |
|
1290998 |
60505258008 |
ATORVAS FCT 40MG APX 1000@ |
Y |
$127.31 |
$105.06 |
AC |
17% |
|
2902526 |
60505084805 |
AZELAST N/SPR AP 0.15% 30ML@ |
N |
$108.66 |
$78.46 |
A |
28% |
|
3225182 |
65162053610 |
BENZONATATE CAP 100MG AMN 100@ |
N |
$27.88 |
$20.35 |
A |
27% |
|
3230968 |
64376065716 |
BROMPHEN MALEATEPSEDMQ/P473ML@ |
N |
$78.75 |
$64.99 |
A |
17% |
|
1299965 |
50383093093 |
BUPRENOR TAB 8MG HI-T 30@ |
Y |
$46.44 |
$35.93 |
A |
23% |
|
3225299 |
10370010150 |
BUPROP HCI ER 150MG XL PAR500@ |
Y |
$236.08 |
$194.82 |
A |
17% |
|
2137495 |
47335073713 |
BUPROPIO ER TB 150MG CARA 500@ |
N |
$96.63 |
$69.78 |
A |
28% |
|
1628650 |
00093542088 |
CABERGOLIN TAB 0.5MG TEV 8@ |
N |
$126.80 |
$92.56 |
A |
27% |
|
2027407 |
23155011801 |
CALCITRIOL CAP .25MCG HERI100@ |
N |
$57.95 |
$41.84 |
A |
28% |
|
1445188 |
60505018300 |
CARBAMAZ TAB 200MG APX 100@ |
Y |
$67.73 |
$48.90 |
A |
28% |
|
2130334 |
29033002012 |
CARBAMAZEP CP ER 200MG MYL120@ |
N |
$149.26 |
$113.23 |
A |
24% |
|
2013332 |
16714039102 |
CEFDINIR CAP 300MG 60 NSTR@ |
N |
$59.17 |
$42.72 |
A |
28% |
|
2041143 |
16714039301 |
CEFDINIR OS 250MG/5ML60MLNSTR@ |
N |
$29.45 |
$21.27 |
A |
28% |
|
2013357 |
16714039901 |
CEFPROZIL TAB 500MG 50 NSTR@ |
N |
$90.24 |
$67.10 |
A |
26% |
|
1940188 |
49884046565 |
CHOLESTYR O/S PWD 4GM PAR 60@ |
N |
$103.17 |
$85.14 |
AC |
17% |
|
1233568 |
16714065204 |
CIPROFLOX TAB 500MG 500NSTAR@ |
N |
$215.93 |
$155.92 |
A |
28% |
|
2130144 |
13668001105 |
CITALOPRAM HBR TB 40MG TOR500@ |
N |
$22.93 |
$16.56 |
AC |
28% |
|
2044915 |
65862022660 |
CLARITH TAB 500MG AURO 60@ |
N |
$57.36 |
$47.33 |
AC |
17% |
|
3277100 |
00591293201 |
CLINDAMY CAP 300MG WAT 100@ |
N |
$30.98 |
$22.61 |
A |
27% |
|
2704690 |
50383026730 |
CLOBETAS PR CR 0.05% HI-T30GM@ |
Y |
$87.95 |
$63.50 |
A |
28% |
|
1233378 |
00378087399 |
CLONIDINE TS/PTC0.3MG/DAYMYL4@ |
N |
$122.27 |
$88.29 |
A |
28% |
|
2400273 |
51672404806 |
CLOTRIMAZ+BETAM CRM TAR 45GM@ |
N |
$24.27 |
$19.48 |
A |
20% |
|
2049344 |
51991083801 |
CYPRO HCL TAB 4MG BRECK 100@ |
N |
$53.01 |
$43.75 |
A |
17% |
|
3459013 |
68462027601 |
DESMOPRES ACET TB.2MG GLEN100@ |
N |
$106.05 |
$87.52 |
A |
17% |
|
1739036 |
59762002901 |
DICLOF SOD 75MG/200MCG GRE 60@ |
N |
$129.87 |
$107.17 |
A |
17% |
|
1260397 |
00781501701 |
DICLOFEN POT TAB 50MG SAN 100@ |
N |
$67.57 |
$48.80 |
A |
28% |
|
3555703 |
51672136307 |
DICLOFENAC SOD GEL 3%TARO100G@ |
Y |
$767.61 |
$686.83 |
- |
11% |
|
1168871 |
60505001606 |
DILTIAZEM XR CP 240MG APX 100@ |
N |
$59.89 |
$49.42 |
A |
17% |
|
3491800 |
16714048401 |
DIVALP SOD ERTB 250MG100NSTAR@ |
N |
$125.69 |
$90.76 |
A |
28% |
|
3485026 |
57237001990 |
DULOXET HCL DR CAP 60MG CIT90@ |
Y |
$55.29 |
$39.93 |
A |
28% |
|
1990654 |
54505010202 |
EPINEPH INJ 0.3MG AMED 2@ |
Y |
$429.83 |
$343.87 |
A |
20% |
|
3260874 |
45802013275 |
FENOFIB TAB 145MG PER 90@ |
Y |
$83.09 |
$68.86 |
A |
17% |
|
1702620 |
00115552210 |
FENOFIBR TAB 160MG GPC 90@ |
Y |
$68.73 |
$53.18 |
A |
23% |
|
1733641 |
16714069211 |
FLUCONAZ TAB 150MG 12X1 NSTAR@ |
N |
$22.53 |
$17.43 |
A |
23% |
|
1732924 |
16714069301 |
FLUCONAZ TAB 200MG 30 NSTAR@ |
N |
$80.61 |
$61.83 |
A |
23% |
|
3418415 |
67877022305 |
GABAPENT CAP 300MG ASC 500@ |
Y |
$25.07 |
$18.10 |
A |
28% |
|
1378876 |
16714033002 |
GABAPENT TAB 600MG 500 NSTAR@ |
Y |
$120.01 |
$86.66 |
A |
28% |
|
1379270 |
16714033202 |
GABAPENT TAB 800MG 500 NSTAR@ |
Y |
$167.63 |
$122.37 |
A |
27% |
|
2138543 |
68382008001 |
HALOPERIDOL TAB 10MG ZYD100@ |
N |
$91.22 |
$65.86 |
A |
28% |
|
1265867 |
51672129003 |
HYDROCORT+VL CR 0.2% TAR 60GM@ |
N |
$162.31 |
$121.40 |
A |
25% |
|
1267152 |
00168009960 |
KETOCONAZOLE CRM 2% FOUG 60GM@ |
Y |
$55.43 |
$39.22 |
A |
29% |
|
1325547 |
00378113401 |
KETOR TAB 10MG MYL 100@ |
N |
$277.81 |
$200.61 |
AC |
28% |
|
1770262 |
00378180910 |
LEVOTHYROX SOD 100MCG MYL1000@ |
Y |
$426.78 |
$348.61 |
A |
18% |
|
1768993 |
00378180310 |
LEVOTHYROX SOD 50MCG MYL 1000@ |
Y |
$351.49 |
$278.93 |
A |
21% |
|
1769637 |
00378180510 |
LEVOTHYROX SOD 75MCG MYL 1000@ |
Y |
$408.11 |
$297.93 |
A |
27% |
|
1138692 |
00378181901 |
LEVOTHYROX TB 200MCG MYLN 100@ |
N |
$63.68 |
$46.49 |
A |
27% |
|
2009702 |
00115146845 |
LIDOCA+PRILCRM2.5%/2.5%GPC30G@ |
N |
$29.36 |
$21.20 |
A |
28% |
|
3478559 |
00378905593 |
LIDOCAINE PATCH 5% MYL 30@ |
Y |
$118.41 |
$85.50 |
A |
28% |
|
2590248 |
00603188016 |
LIDOCAINE PTCH 5%/700MG QP 30@ |
Y |
$148.01 |
$114.51 |
AC |
23% |
|
2053015 |
29300012510 |
MELOX TAB 15MG UNIC 1000@ |
N |
$30.65 |
$22.13 |
A |
28% |
|
1985316 |
64720032110 |
METAXAL TAB 800MG CORE 100@ |
Y |
$339.19 |
$240.03 |
A |
29% |
|
1779073 |
55111046805 |
METOPROL ER TAB 100MG DR/R500@ |
Y |
$273.46 |
$197.47 |
AC |
28% |
|
1779032 |
55111046605 |
METOPROL ER TAB 25MG DR/R 500@ |
Y |
$167.18 |
$135.31 |
AC |
19% |
|
1779057 |
55111046705 |
METOPROL ER TAB 50MG DR/R 500@ |
Y |
$149.87 |
$113.93 |
AC |
24% |
|
3441847 |
68682045570 |
METRONIDAZ VAG GEL .75%VAL70G@ |
Y |
$103.21 |
$81.54 |
A |
21% |
|
1247246 |
59762045001 |
MICRON COLESIPOL TB 1GMGRE120@ |
N |
$113.48 |
$91.92 |
A |
19% |
|
3496940 |
65162032109 |
NIACIN ER TAB 500MG AMN 90@ |
N |
$156.37 |
$120.97 |
A |
23% |
|
3237708 |
16714043901 |
NITROFURANT CAP 100MG100 NSTR@ |
Y |
$117.30 |
$96.19 |
A |
18% |
|
1991504 |
62175044231 |
POLYETH GLYCOL KRE 527GM@ |
Y |
$12.12 |
$9.59 |
A |
21% |
|
1488048 |
00781571010 |
POT CHL ER TAB 10MEQ SAN 1000@ |
Y |
$263.82 |
$217.72 |
AC |
17% |
|
1448109 |
00781572010 |
POT CHL ER TAB 20MEQ SAN 1000@ |
Y |
$234.09 |
$181.11 |
A |
23% |
|
3452497 |
00603154258 |
POTASS CHL OS 10% QUAL 473ML@ |
Y |
$244.21 |
$176.34 |
A |
28% |
|
1119056 |
60505016909 |
PRAVAST NA TAB 20MG APX 90@ |
N |
$24.37 |
$18.86 |
A |
23% |
|
2738086 |
61314063710 |
PREDNISOL AC OPH 1% FAL 10ML@ |
Y |
$80.45 |
$66.39 |
A |
17% |
|
2738524 |
61314063705 |
PREDNISOL AC OPH 1% FAL 5ML@ |
Y |
$40.22 |
$29.05 |
A |
28% |
|
1304849 |
59746017310 |
PREDNISON TAB 10MG CAD 1000@ |
N |
$117.29 |
$96.79 |
A |
17% |
|
1938562 |
10631040701 |
PROCTOSOL-HC CRM 2.5% RAN 1OZ@ |
Y |
$61.24 |
$44.22 |
A |
28% |
|
2026599 |
00093729056 |
RALOXIFENE HCL TB 60MG TEVA30@ |
Y |
$73.25 |
$60.45 |
A |
17% |
|
3477098 |
00781730931 |
RIVASTIG PAT 9.5MG/24HR SAN30@ |
Y |
$307.70 |
$222.19 |
A |
28% |
|
3477114 |
00781731331 |
RIVASTIG PAT13.3MG/24HR SAN30@ |
N |
$270.86 |
$195.59 |
A |
28% |
|
1120971 |
55111035360 |
RIVASTIGM CAP 3MG DR/R 60@ |
N |
$91.13 |
$65.81 |
A |
28% |
|
1231596 |
00093221005 |
SUCRALFATE TAB 1GM TEV 500@ |
N |
$85.42 |
$64.67 |
A |
24% |
|
1360627 |
65862049647 |
SULFAM+TRI OS CHRY AURO 473ML@ |
N |
$113.28 |
$81.80 |
A |
28% |
|
2740041 |
65862059805 |
TAMSUL HYD CAP 0.4MG AURO500@ |
Y |
$128.53 |
$106.07 |
A |
17% |
|
2057974 |
00378340493 |
TOLTEROD ER CAP 4MG MYLN 30@ |
Y |
$191.97 |
$140.14 |
AC |
27% |
|
3479466 |
13668019030 |
TOLTERODINE CAP ER 4MGTORR30@ |
Y |
$124.93 |
$103.10 |
A |
17% |
|
1432905 |
16714036304 |
TRI-LN TB.18MG/.035MG6X28NSTR@ |
N |
$53.09 |
$38.33 |
A |
28% |
|
1126317 |
00591315901 |
URSODIOL CAP 300MG WAT 100@ |
Y |
$410.80 |
$316.32 |
A |
23% |
|
1454362 |
16714031401 |
VENLAF TAB 75MG 100 NSTAR@ |
N |
$41.60 |
$30.37 |
A |
27% |
|