ITEM |
NDC NUM |
DSCR |
REG INV $ |
OS INV |
DISC % OF OS |
DISC INV |
SL |
CAMPAIGN DATE |
1427939 |
00487990425 |
ALBUTEROL INH SGL0.042%NEPH25@ |
$20.21 |
$21.27 |
31.4% |
$14.59 |
A |
1/7/17 - 1/27/17 |
3257243 |
16714044601 |
AMITRIP TAB 10MG 100 NSTR@ |
$12.99 |
$13.67 |
31.4% |
$9.38 |
A |
1/7/17 - 1/27/17 |
3257284 |
16714044701 |
AMITRIP TAB 25MG 100 NSTR@ |
$25.20 |
$26.53 |
31.4% |
$18.20 |
A |
1/7/17 - 1/27/17 |
1950393 |
59762312001 |
AZITHROMY O/S 600MG GRE 15ML@ |
$12.92 |
$13.60 |
31.4% |
$9.33 |
A |
1/7/17 - 1/27/17 |
1820984 |
16714007106 |
BACLOFEN TAB 10MG 1000 NSTAR@ |
$139.17 |
$146.49 |
31.4% |
$100.49 |
A |
1/7/17 - 1/27/17 |
3478120 |
00781751587 |
BUDESO INH/SUSP.25MG/2ML30@ |
$139.38 |
$146.72 |
31.4% |
$100.65 |
A |
1/7/17 - 1/27/17 |
3478138 |
00781751687 |
BUDESO INH/SUSP.5MG/2ML 30@ |
$139.93 |
$147.29 |
31.4% |
$101.04 |
A |
1/7/17 - 1/27/17 |
3225257 |
10370010103 |
BUPROPIO ER TB 150MG ANCH 30@ |
$14.12 |
$14.86 |
31.4% |
$10.19 |
A |
1/7/17 - 1/27/17 |
1128495 |
13668026810 |
CARBAMAZ TAB 200MG TORR 1000@ |
$569.95 |
$599.95 |
31.4% |
$411.57 |
A |
1/7/17 - 1/27/17 |
3444973 |
00472040060 |
CLOBETAS CRM 0.05% ACTA 60GM@ |
$105.06 |
$110.59 |
31.4% |
$75.86 |
A |
1/7/17 - 1/27/17 |
3491834 |
16714048501 |
DIVALP SOD ER TB500MG100NSTAR@ |
$77.11 |
$81.17 |
31.4% |
$55.68 |
A |
1/7/17 - 1/27/17 |
1732924 |
16714069301 |
FLUCONAZ TAB 200MG 30 NSTAR@ |
$49.04 |
$51.62 |
31.4% |
$35.41 |
A |
1/7/17 - 1/27/17 |
1761311 |
66530024940 |
FLUOROUR CRM 5% SPEA 40GM@ |
$125.50 |
$132.10 |
31.4% |
$90.62 |
A |
1/7/17 - 1/27/17 |
2470847 |
00781282401 |
FLUOXET CAP 40MG SAN 100@ |
$24.50 |
$25.79 |
31.4% |
$17.69 |
A |
1/7/17 - 1/27/17 |
1838085 |
50383031147 |
GABAPENT OS250MG/5MLH470ML@ |
$81.20 |
$85.47 |
31.4% |
$58.63 |
A |
1/7/17 - 1/27/17 |
1378280 |
16714033001 |
GABAPENT TAB 600MG 100 NSTAR@ |
$12.46 |
$13.12 |
31.4% |
$9.00 |
A |
1/7/17 - 1/27/17 |
1379114 |
16714033201 |
GABAPENT TAB 800MG 100 NSTAR@ |
$15.53 |
$16.35 |
31.4% |
$11.22 |
A |
1/7/17 - 1/27/17 |
3549763 |
16714050302 |
GABAPENTIN CAP 100MG 500 NSTR@ |
$14.53 |
$15.29 |
31.4% |
$10.49 |
A |
1/7/17 - 1/27/17 |
3435054 |
65862001099 |
METFORM TAB 1000MG AURO 1000@ |
$26.57 |
$27.97 |
31.4% |
$19.19 |
AC |
1/7/17 - 1/27/17 |
1779065 |
55111046801 |
METOPROL ER TAB 100MG DR/R100@ |
$46.93 |
$49.40 |
31.4% |
$33.89 |
A |
1/7/17 - 1/27/17 |
1779024 |
55111046601 |
METOPROL ER TAB 25MG DR/R 100@ |
$25.20 |
$26.53 |
31.4% |
$18.20 |
A |
1/7/17 - 1/27/17 |
3459427 |
60505083001 |
MOMETAS FUR NS 50MCG APX17G@ |
$169.83 |
$178.77 |
31.4% |
$122.64 |
A |
1/7/17 - 1/27/17 |
3260767 |
62175013643 |
OMEPRAZ DR CAP 40MG KRE 1000@ |
$94.86 |
$99.85 |
31.4% |
$68.50 |
A |
1/7/17 - 1/27/17 |
3475076 |
00781279010 |
OMEPRAZ DR CP 20MG SAN1000@ |
$36.90 |
$38.84 |
31.4% |
$26.64 |
A |
1/7/17 - 1/27/17 |
1660786 |
00603158658 |
PROMETH DM SYRP PAR 16OZ@ |
$10.66 |
$11.22 |
31.4% |
$7.70 |
A |
1/7/17 - 1/27/17 |
3285012 |
16714061305 |
SERTRALIN TAB 100MG 500 NSTAR@ |
$26.12 |
$27.49 |
31.4% |
$18.86 |
A |
1/7/17 - 1/27/17 |
2030229 |
66530025445 |
TRETINOIN CREM .05% SPEA 45GM@ |
$181.48 |
$191.03 |
31.4% |
$131.05 |
A |
1/7/17 - 1/27/17 |
1390780 |
60505253106 |
ZIPRASID CAP 80MG APX 60@ |
$61.17 |
$64.39 |
31.4% |
$44.17 |
A |
1/7/17 - 1/27/17 |
2119220 |
00527105001 |
ACETAZOL TAB 250MG LANN 100@ |
$203.63 |
$214.35 |
16.3% |
$179.34 |
A |
|
2024818 |
16714004211 |
ALLOPURINOL TAB300MG 500 NSTR@ |
$149.63 |
$157.50 |
26.5% |
$115.76 |
A |
|
2450336 |
00781204801 |
AMANTAD CAP 100MG SAN 100@ |
$102.33 |
$107.72 |
15.0% |
$91.56 |
A |
|
3258027 |
16714044801 |
AMITRIP TAB 50MG 100 NSTR@ |
$50.00 |
$52.63 |
21.6% |
$41.26 |
A |
|
3478419 |
16714047802 |
AMOXICI CLV+POT875/125100NSTR@ |
$51.59 |
$54.31 |
15.8% |
$45.72 |
A |
|
1260470 |
60432006500 |
AMOXICIL CLV 250/62.5MOR100ML@ |
$59.38 |
$62.50 |
31.4% |
$42.88 |
AC |
|
1290972 |
60505257908 |
ATORVAS FCT 20MG APX 1000@ |
$99.65 |
$104.89 |
7.7% |
$96.84 |
A |
|
1290998 |
60505258008 |
ATORVAS FCT 40MG APX 1000@ |
$122.89 |
$129.36 |
18.8% |
$105.06 |
AC |
|
2902526 |
60505084805 |
AZELAST N/SPR AP 0.15% 30ML@ |
$88.37 |
$93.02 |
31.4% |
$63.81 |
A |
|
1951144 |
59762314001 |
AZITHROMY O/S 1200MG GRE 30ML@ |
$12.12 |
$12.76 |
31.4% |
$8.75 |
A |
|
1820976 |
16714007104 |
BACLOFEN TAB 10MG 100 NSTAR@ |
$15.42 |
$16.23 |
31.4% |
$11.13 |
A |
|
3225182 |
65162053610 |
BENZONATATE CAP 100MG AM100@ |
$23.28 |
$24.50 |
25.0% |
$18.38 |
A |
|
3230968 |
64376065716 |
BROMPHEN MALEATEPSED/P473ML@ |
$67.35 |
$70.89 |
21.6% |
$55.58 |
A |
|
1299965 |
50383093093 |
BUPRENOR TAB 8MG HI-T 30@ |
$46.44 |
$48.88 |
26.5% |
$35.93 |
A |
|
3225299 |
10370010150 |
BUPROP HCI ER 150MG XL PAR500@ |
$236.08 |
$248.50 |
21.6% |
$194.82 |
A |
|
3582079 |
43598053705 |
BUPROPIO ER TAB 150MG DR/R500@ |
$65.84 |
$69.31 |
31.4% |
$47.55 |
A |
|
3490711 |
51862054005 |
BUT+AP+CAF TB50/325/40MAY500@ |
$250.84 |
$264.04 |
31.4% |
$181.13 |
A |
|
1628650 |
00093542088 |
CABERGOLIN TAB 0.5MG TEV 8@ |
$66.50 |
$70.00 |
15.0% |
$59.50 |
A |
|
2027407 |
23155011801 |
CALCITRIOL CAP .25MCG HERI100@ |
$27.53 |
$28.98 |
31.4% |
$19.88 |
A |
|
1445188 |
60505018300 |
CARBAMAZ TAB 200MG APX 100@ |
$60.14 |
$63.30 |
22.8% |
$48.87 |
A |
|
2013332 |
16714039102 |
CEFDINIR CAP 300MG 60 NSTR@ |
$41.03 |
$43.19 |
31.4% |
$29.63 |
A |
|
2041143 |
16714039301 |
CEFDINIR OS 250MG/5ML60MLNST@ |
$25.94 |
$27.31 |
31.4% |
$18.74 |
A |
|
2013415 |
16714039703 |
CEFPROZ OS250MG/5ML100ML NST@ |
$45.56 |
$47.96 |
18.8% |
$38.96 |
A |
|
2013357 |
16714039901 |
CEFPROZIL TAB 500MG 50 NSTR@ |
$90.24 |
$94.99 |
29.4% |
$67.10 |
A |
|
1940188 |
49884046565 |
CHOLESTYR O/S PWD 4GM PAR 60@ |
$103.17 |
$108.60 |
21.6% |
$85.14 |
AC |
|
1233568 |
16714065204 |
CIPROFLOX TAB 500MG 500NSTAR@ |
$94.98 |
$99.98 |
31.4% |
$68.59 |
A |
|
1946011 |
65862000705 |
CITALOPRAM TAB 40MG AURO 500@ |
$22.60 |
$23.79 |
31.4% |
$16.32 |
A |
|
2044915 |
65862022660 |
CLARITH TAB 500MG AURO 60@ |
$57.36 |
$60.38 |
21.6% |
$47.33 |
AC |
|
3277100 |
00591293201 |
CLINDAMY CAP 300MG WAT 100@ |
$27.15 |
$28.58 |
20.9% |
$22.61 |
A |
|
2704690 |
50383026730 |
CLOBETAS PR CR 0.05% HI-T30GM@ |
$70.36 |
$74.06 |
14.3% |
$63.50 |
A |
|
1233378 |
00378087399 |
CLONIDINE TS/PTC0.3MG/DAYMYL4@ |
$107.06 |
$112.69 |
19.1% |
$91.18 |
A |
|
2049344 |
51991083801 |
CYPRO HCL TAB 4MG BRECK 100@ |
$43.87 |
$46.18 |
21.6% |
$36.20 |
A |
|
3517257 |
69918020101 |
DESMOPRES AC TB 0.2MG AMR 100@ |
$89.86 |
$94.59 |
19.0% |
$76.58 |
A |
|
1739036 |
59762002901 |
DICLOF SOD 75MG/200MCG GRE 60@ |
$129.87 |
$136.70 |
21.6% |
$107.17 |
A |
|
1260397 |
00781501701 |
DICLOFEN POT TAB 50MG SAN 100@ |
$59.33 |
$62.45 |
21.9% |
$48.80 |
A |
|
3555703 |
51672136307 |
DICLOFENAC SOD GEL 3%TARO100G@ |
$767.61 |
$808.01 |
28.1% |
$580.78 |
- |
|
1168871 |
60505001606 |
DILTIAZEM XR CP 240MG APX 100@ |
$59.89 |
$63.04 |
21.6% |
$49.42 |
A |
|
1990654 |
54505010202 |
EPINEPH INJ 0.3MG AMED 2@ |
$429.83 |
$452.45 |
24.0% |
$343.87 |
AC |
|
3504271 |
00378235177 |
ESOMEP MAG DR CP 40MG MYL90@ |
$104.97 |
$110.49 |
17.6% |
$91.07 |
A |
|
3418647 |
00378235110 |
ESOMEPRAZ MAG 40MG MYL 1000@ |
$1,049.66 |
$1,104.90 |
15.0% |
$939.17 |
A |
|
3418746 |
00378235193 |
ESOMEPRAZ MAG 40MG MYL 30@ |
$34.99 |
$36.83 |
21.0% |
$29.09 |
A |
|
2145761 |
00054008013 |
EXEMESTANE TAB 25MG ROX 30@ |
$188.57 |
$198.49 |
31.4% |
$136.16 |
A |
|
3260874 |
45802013275 |
FENOFIB TAB 145MG PER 90@ |
$70.41 |
$74.12 |
21.3% |
$58.36 |
A |
|
1702620 |
00115552210 |
FENOFIBR TAB 160MG GPC 90@ |
$68.73 |
$72.35 |
26.5% |
$53.18 |
A |
|
1733641 |
16714069211 |
FLUCONAZ TAB 150MG 12X1 NSTAR@ |
$22.53 |
$23.72 |
26.5% |
$17.43 |
A |
|
3444726 |
51672136504 |
FLUOCINOLONE SOL.01%TARO60ML@ |
$160.48 |
$168.93 |
31.4% |
$115.89 |
A |
ADDED 1/11/17 |
1133685 |
00527179001 |
FLUPHENAZ TB 5MG LANN 100@ |
$744.98 |
$784.19 |
31.4% |
$537.95 |
A |
|
3549789 |
16714050402 |
GABAPENTIN CAP 300MG 500 NSTR@ |
$25.07 |
$26.39 |
31.4% |
$18.10 |
A |
|
1611474 |
61314063305 |
GENTAMIC SUL OPH SAN 5ML@ |
$16.15 |
$17.00 |
31.4% |
$11.66 |
A |
|
2138543 |
68382008001 |
HALOPERIDOL TAB 10MG ZYD100@ |
$71.35 |
$75.10 |
31.4% |
$51.51 |
A |
|
1265867 |
51672129003 |
HYDROCORT+VL CR 0.2% TAR 60GM@ |
$142.45 |
$149.95 |
31.4% |
$102.87 |
A |
|
1267152 |
00168009960 |
KETOCONAZOLE CRM 2% FOU60GM@ |
$48.34 |
$50.88 |
21.3% |
$40.03 |
A |
|
1325547 |
00378113401 |
KETOR TAB 10MG MYL 100@ |
$199.02 |
$209.49 |
31.4% |
$143.71 |
A |
|
1690502 |
17478062512 |
LATANOP O/S 0.005% AKO 2.5ML@ |
$5.46 |
$5.75 |
22.3% |
$4.47 |
A |
|
3444684 |
13811067830 |
LEFLUNOM TAB 20MG TRIG 30@ |
$122.17 |
$128.60 |
31.4% |
$88.22 |
A |
|
1772474 |
50383017104 |
LEVOCAR ORAL SOL HI-T 4OZ@ |
$109.12 |
$114.86 |
31.4% |
$78.79 |
AC |
ADDED 1/11/17 |
1770262 |
00378180910 |
LEVOTHYROX SOD 100MCG MY1000@ |
$426.78 |
$449.24 |
17.2% |
$372.00 |
A |
|
1791870 |
00378181110 |
LEVOTHYROX SOD 112MCG MY1000@ |
$455.26 |
$479.22 |
31.4% |
$328.75 |
A |
|
1768993 |
00378180310 |
LEVOTHYROX SOD 50MCG MYL1000@ |
$351.49 |
$369.99 |
12.7% |
$323.00 |
A |
|
1769637 |
00378180510 |
LEVOTHYROX SOD 75MCG MYL1000@ |
$434.24 |
$457.09 |
19.7% |
$367.00 |
A |
|
2009702 |
00115146845 |
LIDOCA+PRILCRM2.5%/2.5%GPC30G@ |
$20.32 |
$21.39 |
15.0% |
$18.18 |
A |
|
3478559 |
00378905593 |
LIDOCAINE PATCH 5% MYL 30@ |
$118.41 |
$124.64 |
31.4% |
$85.50 |
A |
|
2590248 |
00603188016 |
LIDOCAINE PTCH 5%/700MG PAR30@ |
$148.01 |
$155.80 |
26.5% |
$114.51 |
AC |
|
1247956 |
59762453701 |
MEDROXYPR VL 150MG/ML GRE 1@ |
$78.08 |
$82.19 |
31.4% |
$56.38 |
AC |
|
2048221 |
61442012710 |
MELOXICAM TAB 15MG CARL 1000@ |
$20.61 |
$21.69 |
31.4% |
$14.88 |
A |
|
1985316 |
64720032110 |
METAXAL TAB 800MG CORE 100@ |
$266.47 |
$280.49 |
12.7% |
$244.93 |
A |
|
2237105 |
00591272060 |
METFORM ER TAB 1000MG WAT 60@ |
$718.34 |
$756.15 |
19.1% |
$611.46 |
A |
|
2237055 |
00591271960 |
METFORM ER TAB 500MG WAT 60@ |
$411.70 |
$433.37 |
31.4% |
$297.29 |
A |
|
1779073 |
55111046805 |
METOPROL ER TAB 100MG DR/R500@ |
$234.65 |
$247.00 |
23.8% |
$188.27 |
AC |
|
1779032 |
55111046605 |
METOPROL ER TAB 25MG DR/R 500@ |
$141.77 |
$149.23 |
25.0% |
$111.92 |
AC |
|
1779057 |
55111046705 |
METOPROL ER TAB 50MG DR/R 500@ |
$125.46 |
$132.06 |
20.0% |
$105.65 |
AC |
|
3441847 |
68682045570 |
METRONIDAZ VAG GEL .75%VAL70G@ |
$95.16 |
$100.17 |
18.6% |
$81.54 |
A |
|
1247246 |
59762045001 |
MICRON COLESIPOL TB 1GMGRE120@ |
$110.29 |
$116.09 |
20.8% |
$91.92 |
A |
|
3297652 |
24208063110 |
NEOMY+POL B OTIC SOL B&L 10ML@ |
$61.01 |
$64.22 |
31.4% |
$44.05 |
A |
|
3496940 |
65162032109 |
NIACIN ER TAB 500MG AMN 90@ |
$115.40 |
$121.47 |
10.4% |
$108.88 |
A |
|
3237708 |
16714043901 |
NITROFURANT CAP 100MG100 NST@ |
$104.91 |
$110.43 |
22.1% |
$86.03 |
A |
|
1991504 |
62175044231 |
POLYETH GLYCOL KRE 527GM@ |
$10.40 |
$10.95 |
12.4% |
$9.59 |
A |
|
1488048 |
00781571010 |
POT CHL ER TAB 10MEQ SAN 1000@ |
$263.82 |
$277.71 |
21.6% |
$217.72 |
AC |
|
1448109 |
00781572010 |
POT CHL ER TAB 20MEQ SAN 1000@ |
$234.09 |
$246.41 |
26.5% |
$181.11 |
A |
|
3452497 |
00603154258 |
POTASS CHL OS 10% QUAL 473ML@ |
$244.21 |
$257.06 |
31.4% |
$176.34 |
A |
|
3452547 |
00603154358 |
POTASS CHL OS 20% QUAL 473ML@ |
$427.76 |
$450.27 |
31.4% |
$308.89 |
A |
|
1119056 |
60505016909 |
PRAVAST NA TAB 20MG APX 90@ |
$17.01 |
$17.90 |
31.4% |
$12.28 |
A |
|
2738086 |
61314063710 |
PREDNISOL AC OPH 1% FAL 10ML@ |
$80.45 |
$84.68 |
21.6% |
$66.39 |
AC |
|
2738524 |
61314063705 |
PREDNISOL AC OPH 1% FAL 5ML@ |
$40.22 |
$42.34 |
17.3% |
$35.00 |
A |
|
1304849 |
59746017310 |
PREDNISON TAB 10MG CAD 1000@ |
$117.29 |
$123.46 |
21.6% |
$96.79 |
A |
|
1938562 |
10631040701 |
PROCTOSOL-HC CRM 2.5% RAN 1OZ@ |
$46.35 |
$48.79 |
31.4% |
$33.47 |
A |
|
3477098 |
00781730931 |
RIVASTIG PAT 9.5MG/24HR SAN30@ |
$254.19 |
$267.57 |
17.0% |
$222.19 |
A |
|
3477114 |
00781731331 |
RIVASTIG PAT13.3MG/24HR SAN30@ |
$270.86 |
$285.12 |
31.4% |
$195.59 |
A |
|
1120971 |
55111035360 |
RIVASTIGM CAP 3MG DR/R 60@ |
$67.59 |
$71.15 |
15.0% |
$60.48 |
A |
|
1360627 |
65862049647 |
SULFAM+TRI OS CHRY AURO 473ML@ |
$84.97 |
$89.44 |
15.0% |
$76.02 |
A |
|
3530128 |
62332002531 |
THEOPHYLLIN ER TB300MGALE100@ |
$252.53 |
$265.82 |
31.4% |
$182.35 |
A |
|
2057974 |
00378340493 |
TOLTEROD ER CAP 4MG MYLN 30@ |
$191.97 |
$202.07 |
30.7% |
$140.14 |
AC |
|
3479466 |
13668019030 |
TOLTERODINE CAP ER 4MGTORR30@ |
$106.82 |
$112.44 |
14.7% |
$95.91 |
A |
|
1432905 |
16714036304 |
TRI-LN TB.18MG/.035MG6X28NSTR@ |
$49.98 |
$52.61 |
31.4% |
$36.08 |
A |
DECREASE
1/11 |
1126317 |
00591315901 |
URSODIOL CAP 300MG WAT 100@ |
$390.02 |
$410.55 |
12.3% |
$360.00 |
A |
|
1454362 |
16714031401 |
VENLAF TAB 75MG 100 NSTAR@ |
$26.50 |
$27.89 |
15.0% |
$23.71 |
A |
|
1390772 |
60505253006 |
ZIPRASID CAP 60MG APX 60@ |
$68.51 |
$72.12 |
31.4% |
$49.47 |
A |
|
ITEMS REMOVED: |
3526035 |
16714050901 |
OMEPRAZ CAPS 40/1100MG NSTR30@ |
$865.33 |
REMOVED 1/11 DUE TO
PRICE REDUCTION |
3526027 |
16714050801 |
OMEPRAZ CAPS 20/1100MG NSTR30@ |
$865.33 |
REMOVED 1/11 DUE TO
PRICE REDUCTION |