ITEM |
NDC NUM |
DSCR |
TOP 250 |
REG INV $ |
DISC % OF OS |
DISC INV $ |
SL |
CAMPAIGN DATE |
2012755 |
68462043518 |
ACAMPROS DR TAB 333MG GLEN180@ |
N |
$167.86 |
31.4% |
$121.21 |
A |
04/02/17-04/28/17 |
1817907 |
00378870006 |
ACYCLOVIR OINT 5% MYL 15GM@ |
Y |
$223.72 |
15.0% |
$200.17 |
A |
04/02/17-04/28/17 |
1327568 |
16714029401 |
AMOXICIL CLVP600+42.975MLNSTR@ |
N |
$10.43 |
31.4% |
$7.53 |
A |
04/02/17-04/28/17 |
3434669 |
68462064693 |
ASHLYNA.15MG/.03MGTB GLEN2X91@ |
N |
$340.82 |
31.4% |
$246.11 |
A |
04/02/17-04/28/17 |
1380534 |
00603243432 |
BENZTROP MES TB 1MG PAR 1000@ |
N |
$115.88 |
31.4% |
$83.68 |
A |
04/02/17-04/28/17 |
1204577 |
00185041560 |
BUPROPIO ER TB 150MG SAN 60@ |
N |
$12.40 |
31.4% |
$8.95 |
A |
04/02/17-04/28/17 |
1168475 |
62037060090 |
CARTIA XT CAP 300MG WAT 90@ |
N |
$73.06 |
31.4% |
$52.75 |
A |
04/02/17-04/28/17 |
1708122 |
62756079813 |
DIVALP DR TB 500MG CARA 500@ |
N |
$63.64 |
31.4% |
$45.96 |
A |
04/02/17-04/28/17 |
3439478 |
16729021101 |
DOXAZOSIN TAB 1MG ACCO 100@ |
N |
$47.58 |
31.4% |
$34.35 |
A |
04/02/17-04/28/17 |
2449262 |
00955100310 |
ENOXAP SOD SYR 30/0.3MLWINT10@ |
N |
$78.14 |
31.4% |
$56.42 |
A |
04/02/17-04/28/17 |
1399252 |
53489036901 |
FELODIP ER TAB 5MG MUT 100@ |
N |
$43.69 |
31.4% |
$31.55 |
A |
04/02/17-04/28/17 |
1732890 |
16714069102 |
FLUCONAZ TAB 100MG 100 NSTAR@ |
N |
$126.59 |
31.4% |
$91.41 |
A |
04/02/17-04/28/17 |
1124825 |
00781145310 |
GLIPIZIDE TAB 10MG SAN 1000@ |
N |
$48.33 |
31.4% |
$34.90 |
A |
04/02/17-04/28/17 |
2132801 |
50111032701 |
HYDRAL TAB 25MG PLIV 100@ |
N |
$6.84 |
31.4% |
$4.94 |
A |
04/02/17-04/28/17 |
1904945 |
16714008212 |
HYDROXYZ TAB 25MG 1000 NSTAR@ |
N |
$95.11 |
31.4% |
$68.68 |
A |
04/02/17-04/28/17 |
1908995 |
00378968144 |
LEVALBUT I/S 0.63MG/3ML MYL24@ |
N |
$57.48 |
31.4% |
$41.50 |
A |
04/02/17-04/28/17 |
1901420 |
45802021001 |
NITROGL SPR 400MCGPERR4.9GM60@ |
N |
$178.49 |
31.4% |
$128.89 |
A |
04/02/17-04/28/17 |
3241114 |
00781523864 |
ONDANS ODT TAB 4MG UD SAN 30@ |
N |
$12.03 |
31.4% |
$8.68 |
A |
04/02/17-04/28/17 |
1683614 |
00591534701 |
PROBENECID TAB 500MG WAT 100@ |
N |
$53.95 |
31.4% |
$38.96 |
A |
04/02/17-04/28/17 |
3471901 |
65162052111 |
PROMETHAZ HCL TB25MG AMN1000@ |
N |
$98.33 |
31.4% |
$71.00 |
A |
04/02/17-04/28/17 |
1694397 |
68180059102 |
RAMIPRIL CAP 10MG LUPI 500@ |
N |
$54.32 |
31.4% |
$39.23 |
A |
04/02/17-04/28/17 |
1143049 |
53746025310 |
RANITID TAB 150MG AMN 1000@ |
Y |
$76.87 |
31.4% |
$55.51 |
A |
04/02/17-04/28/17 |
3214822 |
53746025305 |
RANITID TAB 150MG AMN 500@ |
Y |
$41.69 |
31.4% |
$30.10 |
A |
04/02/17-04/28/17 |
3214871 |
53746025402 |
RANITID TAB 300MG AMN 250@ |
N |
$42.02 |
31.4% |
$30.34 |
A |
04/02/17-04/28/17 |
3595378 |
47781013930 |
RASAGILINE MESY TB 1MG ALVO30@ |
Y |
$443.94 |
31.4% |
$320.57 |
A |
04/02/17-04/28/17 |
1134584 |
16714053111 |
SUMATRIP TAB 25MG UD 9 NSTAR@ |
N |
$11.39 |
31.4% |
$8.23 |
A |
04/02/17-04/28/17 |
3556107 |
62332020930 |
TELM+HCTZ TAB 40/12.5MGALEM30@ |
N |
$105.00 |
31.4% |
$75.82 |
A |
04/02/17-04/28/17 |
3556123 |
62332021130 |
TELM+HCTZ TAB 80/25MG ALEM 30@ |
N |
$103.08 |
31.4% |
$74.43 |
A |
04/02/17-04/28/17 |
1668060 |
51672130406 |
TERCON VAG CRM 0.40% TAR 45GM@ |
N |
$37.79 |
31.4% |
$27.29 |
A |
04/02/17-04/28/17 |
2119220 |
00527105001 |
ACETAZOL TAB 250MG LANN 100@ |
N |
$214.35 |
22.0% |
$167.19 |
A |
|
2024818 |
16714004211 |
ALLOPURINOL TAB300MG 500 NSTR@ |
Y |
$157.50 |
26.5% |
$115.76 |
A |
|
2450336 |
00781204801 |
AMANTAD CAP 100MG SAN 100@ |
N |
$107.72 |
15.0% |
$91.56 |
A |
|
3258027 |
16714044801 |
AMITRIP TAB 50MG 100 NSTR@ |
N |
$52.63 |
21.6% |
$41.26 |
A |
|
3478419 |
16714047802 |
AMOXICI CLV+POT875/125100NSTR@ |
Y |
$54.31 |
15.8% |
$45.72 |
A |
|
1260470 |
60432006500 |
AMOXICIL CLV 250/62.5MOR100ML@ |
N |
$62.50 |
31.4% |
$42.88 |
AC |
|
2902526 |
60505084805 |
AZELAST N/SPR AP 0.15% 30ML@ |
N |
$93.02 |
31.4% |
$63.81 |
A |
|
1951144 |
59762314001 |
AZITHROMY O/S 1200MG GRE 30ML@ |
Y |
$12.76 |
31.4% |
$8.75 |
A |
|
1950393 |
59762312001 |
AZITHROMY O/S 600MG GRE 15ML@ |
Y |
$13.60 |
31.4% |
$9.33 |
A |
|
1820976 |
16714007104 |
BACLOFEN TAB 10MG 100 NSTAR@ |
Y |
$16.23 |
31.4% |
$11.13 |
A |
|
2578847 |
43547033710 |
BENAZEPRIL TB 20MG SOLC 100@ |
N |
$7.05 |
31.4% |
$4.84 |
A |
|
3225182 |
65162053610 |
BENZONATATE CAP 100MG AMN 100@ |
N |
$26.34 |
31.4% |
$18.07 |
A |
|
3230968 |
64376065716 |
BROMPHEN MALEATEPSEQ/P473ML@ |
N |
$70.89 |
21.6% |
$55.58 |
A |
|
1338581 |
00378715501 |
BUDESON EC CAP 3MG MYLN 100@ |
Y |
$829.45 |
31.4% |
$569.00 |
A |
|
1299965 |
50383093093 |
BUPRENOR TAB 8MG HIT 30@ |
Y |
$48.88 |
26.5% |
$35.93 |
A |
|
3225299 |
10370010150 |
BUPROP HCI ER 150MG XL PAR500@ |
Y |
$233.19 |
16.5% |
$194.82 |
A |
|
3582079 |
43598053705 |
BUPROPIO ER TAB 150MG DR/R500@ |
N |
$69.31 |
31.4% |
$47.55 |
A |
|
3490711 |
51862054005 |
BUT+AP+CAF TB50/325/40MAYN500@ |
Y |
$275.48 |
31.4% |
$188.98 |
A |
|
1628650 |
00093542088 |
CABERGOLIN TAB 0.5MG TEV 8@ |
N |
$70.00 |
15.0% |
$59.50 |
A |
|
2027407 |
23155011801 |
CALCITRIOL CAP .25MCG HERI100@ |
N |
$28.98 |
31.4% |
$19.88 |
A |
|
1445188 |
60505018300 |
CARBAMAZ TAB 200MG APX 100@ |
Y |
$63.30 |
22.8% |
$48.87 |
A |
|
2013332 |
16714039102 |
CEFDINIR CAP 300MG 60 NSTR@ |
Y |
$46.19 |
31.4% |
$31.69 |
A |
|
2041143 |
16714039301 |
CEFDINIR OS 250MG/5ML60MLNSTR@ |
N |
$27.31 |
31.4% |
$18.74 |
A |
|
2013415 |
16714039703 |
CEFPROZ OS250MG/5ML100ML NSTR@ |
N |
$47.96 |
18.8% |
$38.96 |
A |
|
2013357 |
16714039901 |
CEFPROZIL TAB 500MG 50 NSTR@ |
N |
$94.99 |
29.4% |
$67.10 |
A |
|
1940188 |
49884046565 |
CHOLESTYR O/S PWD 4GM PAR 60@ |
N |
$108.60 |
21.6% |
$85.14 |
AC |
|
1233568 |
16714065204 |
CIPROFLOX TAB 500MG 500NSTAR@ |
N |
$99.98 |
31.4% |
$68.59 |
A |
|
1946011 |
65862000705 |
CITALOPRAM TAB 40MG AURO 500@ |
N |
$23.79 |
31.4% |
$16.32 |
A |
|
2044915 |
65862022660 |
CLARITH TAB 500MG AURO 60@ |
N |
$60.38 |
21.6% |
$47.33 |
AC |
|
3277100 |
00591293201 |
CLINDAMY CAP 300MG WAT 100@ |
N |
$28.58 |
20.9% |
$22.61 |
A |
|
2704690 |
50383026730 |
CLOBETAS PR CR 0.05% HIT30GM@ |
Y |
$74.06 |
25.0% |
$55.55 |
A |
|
1233378 |
00378087399 |
CLONIDINE TS/PTC0.3MG/DAYMYL4@ |
N |
$123.49 |
26.2% |
$91.18 |
A |
|
2049344 |
51991083801 |
CYPRO HCL TAB 4MG BRECK 100@ |
N |
$51.09 |
29.1% |
$36.20 |
A |
|
3517257 |
69918020101 |
DESMOPRES AC TB 0.2MG AMR 100@ |
N |
$94.59 |
19.0% |
$76.58 |
A |
|
1739036 |
59762002901 |
DICLOF SOD 75MG/200MCG GRE 60@ |
N |
$136.70 |
21.6% |
$107.17 |
A |
|
1260397 |
00781501701 |
DICLOFEN POT TAB 50MG SAN 100@ |
N |
$62.45 |
21.9% |
$48.80 |
A |
|
3555703 |
51672136307 |
DICLOFENAC SOD GEL 3%TARO100G@ |
Y |
$808.01 |
31.4% |
$554.29 |
|
|
1168871 |
60505001606 |
DILTIAZEM XR CP 240MG APX 100@ |
N |
$63.04 |
21.6% |
$49.42 |
A |
|
1990654 |
54505010202 |
EPINEPH INJ 0.3MG AMED 2@ |
Y |
$452.45 |
24.0% |
$343.87 |
AC |
|
3504271 |
00378235177 |
ESOMEP MAG DR CP 40MG MYLN 90@ |
Y |
$98.79 |
17.6% |
$81.42 |
A |
|
3418746 |
00378235193 |
ESOMEPRAZ MAG 40MG MYL 30@ |
Y |
$32.93 |
21.0% |
$26.01 |
A |
|
3413465 |
47781010830 |
EXEMESTANE TAB 25MG ALVO 30@ |
Y |
$198.49 |
31.4% |
$136.16 |
A |
|
3260874 |
45802013275 |
FENOFIB TAB 145MG PER 90@ |
Y |
$74.12 |
21.3% |
$58.36 |
A |
|
1702620 |
00115552210 |
FENOFIBR TAB 160MG GPC 90@ |
Y |
$72.35 |
26.5% |
$53.18 |
A |
|
1733641 |
16714069211 |
FLUCONAZ TAB 150MG 12X1 NSTAR@ |
N |
$23.72 |
26.5% |
$17.43 |
A |
|
1133685 |
00527179001 |
FLUPHENAZ TB 5MG LANN 100@ |
Y |
$784.19 |
31.4% |
$537.95 |
AC |
|
3549789 |
16714050402 |
GABAPENTIN CAP 300MG 500 NSTR@ |
Y |
$24.09 |
31.4% |
$16.53 |
A |
|
1611474 |
61314063305 |
GENTAMIC SUL OPH SAN 5ML@ |
N |
$17.00 |
31.4% |
$11.66 |
A |
|
2138543 |
68382008001 |
HALOPERIDOL TAB 10MG ZYD100@ |
N |
$75.10 |
31.4% |
$51.51 |
A |
|
3559838 |
60505290103 |
IMATINIB MESYL TB 400MGAPOT30@ |
Y |
$5,649.85 |
20.0% |
$4,519.88 |
A |
|
1267152 |
00168009960 |
KETOCONAZOLE CRM 2% FOUG 60GM@ |
Y |
$48.79 |
18.0% |
$40.03 |
A |
|
1325547 |
00378113401 |
KETOR TAB 10MG MYL 100@ |
N |
$209.49 |
31.4% |
$143.71 |
A |
|
1690502 |
17478062512 |
LATANOP O/S 0.005% AKO 2.5ML@ |
Y |
$5.75 |
22.3% |
$4.47 |
A |
|
3622032 |
62332006230 |
LEFLUNOMIDE TAB 20MG ALE 30 @ |
Y |
$128.60 |
31.4% |
$88.22 |
A |
|
1770262 |
00378180910 |
LEVOTHYROX SOD 100MCG MYL1000@ |
Y |
$449.24 |
31.4% |
$308.18 |
A |
|
1791870 |
00378181110 |
LEVOTHYROX SOD 112MCG MYL1000@ |
Y |
$493.17 |
31.4% |
$338.32 |
A |
|
1768993 |
00378180310 |
LEVOTHYROX SOD 50MCG MYL 1000@ |
Y |
$369.99 |
31.4% |
$253.81 |
A |
|
1769637 |
00378180510 |
LEVOTHYROX SOD 75MCG MYL 1000@ |
Y |
$457.09 |
19.7% |
$367.00 |
A |
|
1622208 |
50383077504 |
LIDOCA ORAL SOL 2% HIT 100ML@ |
N |
$8.17 |
31.5% |
$5.60 |
A |
|
1331487 |
50383066730 |
LIDOCA+PRIL CRM 2.5% HIT30GM@ |
N |
$24.63 |
15.1% |
$20.91 |
A |
|
3478559 |
00378905593 |
LIDOCAINE PATCH 5% MYL 30@ |
Y |
$124.64 |
31.4% |
$85.50 |
A |
|
2590248 |
00603188016 |
LIDOCAINE PTCH 5%/700MG PAR30@ |
Y |
$155.80 |
26.5% |
$114.51 |
AC |
|
1247956 |
59762453701 |
MEDROXYPR VL 150MG/ML GRE 1@ |
Y |
$93.89 |
31.4% |
$64.41 |
AC |
|
2048221 |
61442012710 |
MELOXICAM TAB 15MG CARL 1000@ |
N |
$21.69 |
31.4% |
$14.88 |
A |
|
2237105 |
00591272060 |
METFORM ER TAB 1000MG WAT 60@ |
Y |
$756.15 |
19.1% |
$611.46 |
A |
|
2237055 |
00591271960 |
METFORM ER TAB 500MG WAT 60@ |
N |
$433.37 |
31.4% |
$297.29 |
A |
|
1779073 |
55111046805 |
METOPROL ER TAB 100MG DR/R500@ |
Y |
$247.00 |
23.8% |
$188.27 |
AC |
|
1779032 |
55111046605 |
METOPROL ER TAB 25MG DR/R 500@ |
Y |
$149.23 |
25.0% |
$111.92 |
AC |
|
1779057 |
55111046705 |
METOPROL ER TAB 50MG DR/R 500@ |
Y |
$132.06 |
20.0% |
$105.65 |
AC |
|
3441847 |
68682045570 |
METRONIDAZ VAG GEL .75%VAL70G@ |
Y |
$100.17 |
18.6% |
$81.54 |
A |
|
1247246 |
59762045001 |
MICRON COLESIPOL TB 1GMGRE120@ |
N |
$116.09 |
20.8% |
$91.92 |
A |
|
3297652 |
24208063110 |
NEOMY+POL B OTIC SOL B&L 10ML@ |
Y |
$64.22 |
31.4% |
$44.05 |
A |
|
3496940 |
65162032109 |
NIACIN ER TAB 500MG AMN 90@ |
N |
$121.47 |
31.4% |
$83.33 |
A |
|
3237708 |
16714043901 |
NITROFURANT CAP 100MG100 NSTR@ |
Y |
$110.43 |
22.1% |
$86.03 |
A |
|
1488048 |
00781571010 |
POT CHL ER TAB 10MEQ SAN 1000@ |
Y |
$277.71 |
21.6% |
$217.72 |
AC |
|
1448109 |
00781572010 |
POT CHL ER TAB 20MEQ SAN 1000@ |
Y |
$246.41 |
26.5% |
$181.11 |
A |
|
3452497 |
00603154258 |
POTASS CHL OS 10% QUAL 473ML@ |
Y |
$257.06 |
31.4% |
$176.34 |
A |
|
3452547 |
00603154358 |
POTASS CHL OS 20% QUAL 473ML@ |
N |
$450.27 |
31.4% |
$308.89 |
AC |
|
1119056 |
60505016909 |
PRAVAST NA TAB 20MG APX 90@ |
N |
$17.90 |
31.4% |
$12.28 |
A |
|
1749217 |
55111023005 |
PRAVASTATIN TAB 20MG DR/R500@ |
N |
$83.94 |
31.4% |
$57.58 |
A |
|
2738086 |
61314063710 |
PREDNISOL AC OPH 1% FAL 10ML@ |
Y |
$84.68 |
31.4% |
$58.09 |
AC |
|
2738524 |
61314063705 |
PREDNISOL AC OPH 1% FAL 5ML@ |
Y |
$42.34 |
20.0% |
$33.87 |
A |
|
1304849 |
59746017310 |
PREDNISON TAB 10MG CAD 1000@ |
N |
$123.46 |
21.6% |
$96.79 |
A |
|
1938562 |
10631040701 |
PROCTOSOLHC CRM 2.5% RAN 1OZ@ |
Y |
$48.79 |
31.4% |
$33.47 |
A |
|
3477080 |
00781730431 |
RIVASTIG PAT 4.6MG/24HR SAN30@ |
Y |
$294.66 |
23.0% |
$226.89 |
A |
|
3477098 |
00781730931 |
RIVASTIG PAT 9.5MG/24HR SAN30@ |
Y |
$267.57 |
17.0% |
$222.19 |
A |
|
3477114 |
00781731331 |
RIVASTIG PAT13.3MG/24HR SAN30@ |
N |
$285.12 |
31.4% |
$195.59 |
A |
|
1360627 |
65862049647 |
SULFAM+TRI OS CHRY AURO 473ML@ |
N |
$89.44 |
15.0% |
$76.02 |
A |
|
2059830 |
55111069312 |
SUMATRIP PFS 6MG/0.5ML DR/R 2@ |
Y |
$183.36 |
31.4% |
$125.79 |
A |
|
3530128 |
62332002531 |
THEOPHYLLIN ER TB300MGALEM100@ |
Y |
$265.82 |
31.4% |
$182.35 |
A |
|
3479466 |
13668019030 |
TOLTERODINE CAP ER 4MGTORR30@ |
Y |
$112.44 |
31.4% |
$77.13 |
A |
|
1432905 |
16714036304 |
TRILN TB.18MG/.035MG6X28NSTR@ |
N |
$52.61 |
31.4% |
$36.08 |
A |
|
1126317 |
00591315901 |
URSODIOL CAP 300MG WAT 100@ |
Y |
$410.55 |
12.3% |
$360.00 |
A |
|
1454362 |
16714031401 |
VENLAF TAB 75MG 100 NSTAR@ |
N |
$27.89 |
15.0% |
$23.71 |
A |
|
3595386 |
65162022621 |
YUVAFEM TAB 10MCG BP AMN 8@ |
Y |
$158.28 |
31.4% |
$108.58 |
A |
|
1390772 |
60505253006 |
ZIPRASID CAP 60MG APX 60@ |
N |
$72.12 |
31.4% |
$49.47 |
A |
|