ITEM |
NDC NUM |
DSCR |
TOP 250 |
REG INV $ |
DISC TO OS |
DISC INV $ |
SL |
CAMPAIGN DATES |
1817907 |
00378870006 |
ACYCLOVIR OINT 5% MYL 15GM@ |
Y |
$290.08 |
31.4% |
$209.47 |
A |
12/3/16-12/16/16 |
2416964 |
00487950160 |
ALBUTEROLINHSOL.083%NEP3MLX60@ |
Y |
$7.39 |
31.4% |
$5.34 |
A |
12/3/16-12/16/16 |
3258811 |
16714045001 |
AMITRIP TAB 100MG 100 NSTR@ |
N |
$100.61 |
31.4% |
$72.65 |
A |
12/3/16-12/16/16 |
3589611 |
43598055630 |
ARIPIPRAZOLE TAB 10MG DR/R 30@ |
Y |
$61.75 |
31.4% |
$44.59 |
A |
12/3/16-12/16/16 |
3589579 |
43598055430 |
ARIPIPRAZOLE TAB 2MG DR/R 30@ |
Y |
$61.75 |
31.4% |
$44.59 |
A |
12/3/16-12/16/16 |
3589595 |
43598055530 |
ARIPIPRAZOLE TAB 5MG DR/R 30@ |
Y |
$61.75 |
31.4% |
$44.59 |
A |
12/3/16-12/16/16 |
3494325 |
42799012101 |
BUMETANIDE TAB 2MG EDEN 100@ |
N |
$97.72 |
31.4% |
$70.56 |
A |
12/3/16-12/16/16 |
3567732 |
00378715001 |
CELECOXIB CAP 200 MG MYL 100@ |
Y |
$71.65 |
31.4% |
$51.74 |
A |
12/3/16-12/16/16 |
3218500 |
00378022201 |
CHLORTH TAB 25MG MYL 100@ |
Y |
$90.16 |
31.4% |
$65.10 |
A |
12/3/16-12/16/16 |
1425131 |
00378868854 |
CLINDAMY BENZ GL1%/5% MYL50GM@ |
Y |
$232.24 |
31.4% |
$167.70 |
AC |
12/3/16-12/16/16 |
1147057 |
00168016260 |
CLOBETAS PR OI 0.05% FOU 60GM@ |
Y |
$161.74 |
31.4% |
$116.79 |
A |
12/3/16-12/16/16 |
1390541 |
47335089413 |
CLOPIDOGR TB 75MG CARA 500@ |
N |
$29.95 |
31.4% |
$21.63 |
A |
12/3/16-12/16/16 |
3491800 |
16714048401 |
DIVALP SOD ERTB 250MG100NSTAR@ |
N |
$99.38 |
31.4% |
$71.76 |
A |
12/3/16-12/16/16 |
1378876 |
16714033002 |
GABAPENT TAB 600MG 500 NSTAR@ |
Y |
$54.20 |
31.4% |
$39.14 |
A |
12/3/16-12/16/16 |
1379270 |
16714033202 |
GABAPENT TAB 800MG 500 NSTAR@ |
Y |
$74.70 |
31.4% |
$53.94 |
A |
12/3/16-12/16/16 |
3484714 |
16714047401 |
HYDROXYCHL SUL TB200MG100NSTR@ |
Y |
$93.95 |
31.4% |
$67.84 |
A |
12/3/16-12/16/16 |
1727460 |
00168020437 |
LIDOCA OINT 5% CRC FOUG1.25OZ@ |
Y |
$87.83 |
31.4% |
$63.42 |
A |
12/3/16-12/16/16 |
3591328 |
00378001401 |
METHOTR TAB 2.5MG MYL 100@ |
Y |
$117.74 |
31.4% |
$85.02 |
A |
12/3/16-12/16/16 |
1139781 |
00781502207 |
METHYLPRED TAB 4MG SAN 21@ |
Y |
$10.42 |
31.4% |
$7.53 |
A |
12/3/16-12/16/16 |
3409687 |
31722072610 |
MONTELUKAST 10MG TAB CAM 1000@ |
Y |
$113.43 |
31.4% |
$81.91 |
A |
12/3/16-12/16/16 |
3241114 |
00781523864 |
ONDANS ODT TAB 4MG UD SAN 30@ |
N |
$12.03 |
31.4% |
$8.68 |
A |
12/3/16-12/16/16 |
3486792 |
00378398093 |
PALIPERID ER TB 6MG MYLN30@ |
Y |
$469.31 |
31.4% |
$338.89 |
A |
12/3/16-12/16/16 |
2028371 |
65862056090 |
PANTOPRAZOL DR TB40MG AURO90@ |
Y |
$6.45 |
31.4% |
$4.66 |
A |
12/3/16-12/16/16 |
1478791 |
45802026937 |
PERMETHRIN CRM 5% PERR 60GM@ |
Y |
$51.18 |
31.4% |
$36.95 |
A |
12/3/16-12/16/16 |
1452101 |
00781152610 |
POT CHL SR TAB 750MG SAN 1000@ |
Y |
$216.70 |
31.4% |
$156.48 |
AC |
12/3/16-12/16/16 |
1751270 |
55111023105 |
PRAVASTATIN TAB 40MG DR/R500@ |
Y |
$117.66 |
31.4% |
$84.96 |
A |
12/3/16-12/16/16 |
1345347 |
00228277911 |
PROPRAN ER CP 80MG ACTA 100@ |
N |
$155.71 |
31.4% |
$112.44 |
A |
12/3/16-12/16/16 |
2740041 |
65862059805 |
TAMSUL HYD CAP 0.4MG AURO500@ |
Y |
$89.21 |
31.4% |
$64.42 |
A |
12/3/16-12/16/16 |
1757129 |
55111018010 |
TIZANIDINE TAB 4MG DR/R 1000@ |
Y |
$115.05 |
31.4% |
$83.08 |
A |
12/3/16-12/16/16 |
1101674 |
61314064705 |
TOBRAMYC+DEXAM OS FAL 5ML @ |
Y |
$72.28 |
31.4% |
$52.19 |
A |
12/3/16-12/16/16 |
2119220 |
00527105001 |
ACETAZOL TAB 250MG LANN 100@ |
N |
$203.63 |
16.3% |
$179.34 |
A |
|
2024818 |
16714004211 |
ALLOPURINOL TAB300MG 500 NSTR@ |
Y |
$149.63 |
26.5% |
$115.76 |
A |
|
2450336 |
00781204801 |
AMANTAD CAP 100MG SAN 100@ |
N |
$102.33 |
15.0% |
$91.56 |
A |
|
3258027 |
16714044801 |
AMITRIP TAB 50MG 100 NSTR@ |
N |
$50.00 |
21.6% |
$41.26 |
A |
|
3478419 |
16714047802 |
AMOXICI CLV+POT875/125100NSTR@ |
Y |
$51.59 |
15.8% |
$45.72 |
A |
|
1260470 |
60432006500 |
AMOXICIL CLV 250/62.5MOR100ML@ |
N |
$59.38 |
31.4% |
$42.88 |
AC |
|
1290972 |
60505257908 |
ATORVAS FCT 20MG APX 1000@ |
Y |
$114.00 |
19.3% |
$96.84 |
A |
|
1290998 |
60505258008 |
ATORVAS FCT 40MG APX 1000@ |
Y |
$122.89 |
18.8% |
$105.06 |
AC |
|
2902526 |
60505084805 |
AZELAST N/SPR AP 0.15% 30ML@ |
N |
$88.37 |
31.4% |
$63.81 |
A |
|
3225182 |
65162053610 |
BENZONATATE CAP 100MG AMN 100@ |
N |
$23.28 |
25.0% |
$18.38 |
A |
|
3230968 |
64376065716 |
BROMPHEN MALEATEPSEDM 473ML@ |
N |
$67.35 |
21.6% |
$55.58 |
A |
|
1299965 |
50383093093 |
BUPRENOR TAB 8MG HI-T 30@ |
Y |
$46.44 |
26.5% |
$35.93 |
A |
|
3225299 |
10370010150 |
BUPROP HCI ER 150MG XL PAR500@ |
Y |
$236.08 |
21.6% |
$194.82 |
A |
|
3582079 |
43598053705 |
BUPROPIO ER TAB 150MG DR/R500@ |
N |
$65.84 |
31.4% |
$47.55 |
A |
|
3490711 |
51862054005 |
BUT+AP+CAF TB50/325/40MAYN500@ |
Y |
$250.84 |
31.4% |
$181.13 |
A |
|
1628650 |
00093542088 |
CABERGOLIN TAB 0.5MG TEV 8@ |
N |
$66.50 |
15.0% |
$59.50 |
A |
|
2027407 |
23155011801 |
CALCITRIOL CAP .25MCG HERI100@ |
N |
$27.53 |
31.4% |
$19.88 |
A |
|
1445188 |
60505018300 |
CARBAMAZ TAB 200MG APX 100@ |
Y |
$60.14 |
22.8% |
$48.87 |
A |
|
2013332 |
16714039102 |
CEFDINIR CAP 300MG 60 NSTR@ |
Y |
$41.03 |
31.4% |
$29.63 |
A |
|
2041143 |
16714039301 |
CEFDINIR OS 250MG/5ML60MLNSTR@ |
Y |
$25.94 |
31.4% |
$18.74 |
A |
|
2013415 |
16714039703 |
CEFPROZ OS250MG/5ML100ML NSTR@ |
N |
$45.56 |
18.8% |
$38.96 |
A |
|
2013357 |
16714039901 |
CEFPROZIL TAB 500MG 50 NSTR@ |
N |
$90.24 |
29.4% |
$67.10 |
A |
|
1940188 |
49884046565 |
CHOLESTYR O/S PWD 4GM PAR 60@ |
Y |
$103.17 |
21.6% |
$85.14 |
AC |
|
1233568 |
16714065204 |
CIPROFLOX TAB 500MG 500NSTAR@ |
N |
$94.98 |
31.4% |
$68.59 |
A |
|
1946011 |
65862000705 |
CITALOPRAM TAB 40MG AURO 500@ |
N |
$22.60 |
31.4% |
$16.32 |
A |
|
2044915 |
65862022660 |
CLARITH TAB 500MG AURO 60@ |
N |
$57.36 |
21.6% |
$47.33 |
AC |
|
3277100 |
00591293201 |
CLINDAMY CAP 300MG WAT 100@ |
N |
$27.15 |
20.9% |
$22.61 |
A |
|
2704690 |
50383026730 |
CLOBETAS PR CR 0.05% HI-T30GM@ |
Y |
$70.36 |
14.3% |
$63.50 |
A |
|
1233378 |
00378087399 |
CLONIDINE TS/PTC0.3MG/DAYMYL4@ |
N |
$107.06 |
19.1% |
$91.18 |
A |
|
2049344 |
51991083801 |
CYPRO HCL TAB 4MG BRECK 100@ |
N |
$43.87 |
21.6% |
$36.20 |
A |
|
3517257 |
69918020101 |
DESMOPRES AC TB 0.2MG AMR 100@ |
N |
$89.86 |
19.0% |
$76.58 |
A |
|
1739036 |
59762002901 |
DICLOF SOD 75MG/200MCG GRE 60@ |
N |
$129.87 |
21.6% |
$107.17 |
A |
|
1260397 |
00781501701 |
DICLOFEN POT TAB 50MG SAN 100@ |
N |
$59.33 |
21.9% |
$48.80 |
A |
|
3555703 |
51672136307 |
DICLOFENAC SOD GEL 3%TARO100G@ |
Y |
$767.61 |
28.1% |
$580.78 |
- |
|
1168871 |
60505001606 |
DILTIAZEM XR CP 240MG APX 100@ |
N |
$59.89 |
21.6% |
$49.42 |
A |
|
1990654 |
54505010202 |
EPINEPH INJ 0.3MG AMED 2@ |
Y |
$429.83 |
24.0% |
$343.87 |
AC |
|
3504271 |
00378235177 |
ESOMEP MAG DR CP 40MG MYLN 90@ |
Y |
$104.97 |
17.6% |
$91.07 |
A |
|
3418647 |
00378235110 |
ESOMEPRAZ MAG 40MG MYL 1000@ |
Y |
$1,049.66 |
7.6% |
$1,020.77 |
A |
|
3418746 |
00378235193 |
ESOMEPRAZ MAG 40MG MYL 30@ |
Y |
$34.99 |
21.0% |
$29.09 |
A |
|
2145761 |
00054008013 |
EXEMESTANE TAB 25MG ROX 30@ |
Y |
$188.57 |
31.4% |
$136.16 |
A |
|
3260874 |
45802013275 |
FENOFIB TAB 145MG PER 90@ |
Y |
$70.41 |
21.3% |
$58.36 |
A |
|
1702620 |
00115552210 |
FENOFIBR TAB 160MG GPC 90@ |
Y |
$68.73 |
26.5% |
$53.18 |
A |
|
1733641 |
16714069211 |
FLUCONAZ TAB 150MG 12X1 NSTAR@ |
N |
$22.53 |
26.5% |
$17.43 |
A |
|
1133685 |
00527179001 |
FLUPHENAZ TB 5MG LANN 100@ |
Y |
$744.98 |
31.4% |
$537.95 |
A |
|
3549789 |
16714050402 |
GABAPENTIN CAP 300MG 500 NSTR@ |
Y |
$25.07 |
31.4% |
$18.10 |
A |
|
1611474 |
61314063305 |
GENTAMIC SUL OPH SAN 5ML@ |
N |
$16.15 |
31.4% |
$11.66 |
A |
|
2138543 |
68382008001 |
HALOPERIDOL TAB 10MG ZYD100@ |
N |
$71.35 |
31.4% |
$51.51 |
A |
|
1265867 |
51672129003 |
HYDROCORT+VL CR 0.2% TAR 60GM@ |
N |
$142.45 |
31.4% |
$102.87 |
A |
|
1267152 |
00168009960 |
KETOCONAZOLE CRM 2% 60GM@ |
Y |
$48.34 |
21.3% |
$40.03 |
A |
|
1325547 |
00378113401 |
KETOR TAB 10MG MYL 100@ |
N |
$199.02 |
31.4% |
$143.71 |
A |
|
1690502 |
17478062512 |
LATANOP O/S 0.005% AKO 2.5ML@ |
Y |
$5.46 |
22.3% |
$4.47 |
A |
|
3444684 |
13811067830 |
LEFLUNOM TAB 20MG TRIG 30@ |
Y |
$122.17 |
31.4% |
$88.22 |
A |
|
1770262 |
00378180910 |
LEVOTHYROX SOD 100MCG MYL1000@ |
Y |
$426.78 |
17.2% |
$372.00 |
A |
|
1791870 |
00378181110 |
LEVOTHYROX SOD 112MCG MYL1000@ |
Y |
$455.26 |
31.4% |
$328.75 |
A |
|
1768993 |
00378180310 |
LEVOTHYROX SOD 50MCG MYL 1000@ |
Y |
$351.49 |
12.7% |
$323.00 |
A |
|
1769637 |
00378180510 |
LEVOTHYROX SOD 75MCG MYL 1000@ |
Y |
$434.24 |
19.7% |
$367.00 |
A |
|
2009702 |
00115146845 |
LIDOCA+PRILCRM2.5%/2.5%GPC30G@ |
N |
$20.32 |
15.0% |
$18.18 |
A |
|
3478559 |
00378905593 |
LIDOCAINE PATCH 5% MYL 30@ |
Y |
$118.41 |
31.4% |
$85.50 |
A |
|
2590248 |
00603188016 |
LIDOCAINE PTCH 5%/700MG PAR30@ |
Y |
$148.01 |
26.5% |
$114.51 |
AC |
|
1247956 |
59762453701 |
MEDROXYPR VL 150MG/ML GRE 1@ |
Y |
$78.08 |
31.4% |
$56.38 |
AC |
|
2048221 |
61442012710 |
MELOXICAM TAB 15MG CARL 1000@ |
N |
$20.61 |
31.4% |
$14.88 |
A |
|
1985316 |
64720032110 |
METAXAL TAB 800MG CORE 100@ |
Y |
$266.47 |
12.7% |
$244.93 |
A |
|
2237105 |
00591272060 |
METFORM ER TAB 1000MG WAT 60@ |
Y |
$718.34 |
19.1% |
$611.46 |
A |
|
2237055 |
00591271960 |
METFORM ER TAB 500MG WAT 60@ |
Y |
$411.70 |
31.4% |
$297.29 |
A |
|
1779073 |
55111046805 |
METOPROL ER TAB 100MG DR/R500@ |
Y |
$234.65 |
23.8% |
$188.27 |
AC |
|
1779032 |
55111046605 |
METOPROL ER TAB 25MG DR/R 500@ |
Y |
$141.77 |
25.0% |
$111.92 |
AC |
|
1779057 |
55111046705 |
METOPROL ER TAB 50MG DR/R 500@ |
Y |
$125.46 |
20.0% |
$105.65 |
AC |
|
3441847 |
68682045570 |
METRONIDAZ VAG GEL .75%VAL70G@ |
Y |
$95.16 |
18.6% |
$81.54 |
A |
|
1247246 |
59762045001 |
MICRON COLESIPOL TB 1GMGRE120@ |
N |
$110.29 |
20.8% |
$91.92 |
A |
|
3297652 |
24208063110 |
NEOMY+POL B OTIC SOL B&L 10ML@ |
Y |
$61.01 |
31.4% |
$44.05 |
A |
|
3496940 |
65162032109 |
NIACIN ER TAB 500MG AMN 90@ |
N |
$115.40 |
10.4% |
$108.88 |
A |
|
3237708 |
16714043901 |
NITROFURANT CAP 100MG100 NSTR@ |
Y |
$104.91 |
22.1% |
$86.03 |
A |
|
1991504 |
62175044231 |
POLYETH GLYCOL KRE 527GM@ |
Y |
$10.40 |
12.4% |
$9.59 |
A |
|
1488048 |
00781571010 |
POT CHL ER TAB 10MEQ SAN 1000@ |
Y |
$263.82 |
21.6% |
$217.72 |
AC |
|
1448109 |
00781572010 |
POT CHL ER TAB 20MEQ SAN 1000@ |
Y |
$234.09 |
26.5% |
$181.11 |
A |
|
3452497 |
00603154258 |
POTASS CHL OS 10% QUAL 473ML@ |
Y |
$244.21 |
31.4% |
$176.34 |
A |
|
3452547 |
00603154358 |
POTASS CHL OS 20% QUAL 473ML@ |
N |
$427.76 |
31.4% |
$308.89 |
A |
|
1119056 |
60505016909 |
PRAVAST NA TAB 20MG APX 90@ |
N |
$17.01 |
31.4% |
$12.28 |
A |
|
2738086 |
61314063710 |
PREDNISOL AC OPH 1% FAL 10ML@ |
Y |
$80.45 |
21.6% |
$66.39 |
AC |
|
2738524 |
61314063705 |
PREDNISOL AC OPH 1% FAL 5ML@ |
Y |
$40.22 |
17.3% |
$35.00 |
A |
|
1304849 |
59746017310 |
PREDNISON TAB 10MG CAD 1000@ |
N |
$117.29 |
21.6% |
$96.79 |
A |
|
1938562 |
10631040701 |
PROCTOSOL-HC CRM 2.5% RAN 1OZ@ |
Y |
$46.35 |
31.4% |
$33.47 |
A |
|
3477098 |
00781730931 |
RIVASTIG PAT 9.5MG/24HR SAN30@ |
Y |
$254.19 |
17.0% |
$222.19 |
A |
|
3477114 |
00781731331 |
RIVASTIG PAT13.3MG/24HR SAN30@ |
N |
$270.86 |
31.4% |
$195.59 |
A |
|
1120971 |
55111035360 |
RIVASTIGM CAP 3MG DR/R 60@ |
N |
$67.59 |
15.0% |
$60.48 |
A |
|
1231596 |
00093221005 |
SUCRALFATE TAB 1GM TEV 500@ |
N |
$143.04 |
57.1% |
$64.67 |
A |
|
1360627 |
65862049647 |
SULFAM+TRI OS CHRY AURO 473ML@ |
N |
$84.97 |
15.0% |
$76.02 |
A |
|
2057974 |
00378340493 |
TOLTEROD ER CAP 4MG MYLN 30@ |
Y |
$191.97 |
30.7% |
$140.14 |
AC |
|
3479466 |
13668019030 |
TOLTERODINE CAP ER 4MGTORR30@ |
Y |
$106.82 |
14.7% |
$95.91 |
A |
|
1432905 |
16714036304 |
TRI-LN TB.18MG/.035MG6X28NSTR@ |
N |
$53.09 |
31.4% |
$38.33 |
A |
|
1126317 |
00591315901 |
URSODIOL CAP 300MG WAT 100@ |
Y |
$390.02 |
12.3% |
$360.00 |
A |
|
1454362 |
16714031401 |
VENLAF TAB 75MG 100 NSTAR@ |
N |
$26.50 |
15.0% |
$23.71 |
A |
|
1390772 |
60505253006 |
ZIPRASID CAP 60MG APX 60@ |
N |
$68.51 |
31.4% |
$49.47 |
A |
|