ITEM |
NDC NUM |
DSCR |
TOP 250 |
REG INV $ |
DISC % OF OS |
DISC INV $ |
SLOT |
CAMPAIGN DATES |
1817907 |
00378870006 |
ACYCLOVIR OINT 5% MYL 15GM@ |
Y |
$223.72 |
24.00% |
$178.97 |
A |
8/19/17 - 9/15/17 |
2024784 |
16714004112 |
ALLOPURINOL TAB 100MG1000NSTR@ |
Y |
$148.62 |
31.40% |
$107.32 |
A |
8/19/17 - 9/15/17 |
3406675 |
00093780956 |
AML/VAL/HCTZ10/320/25MTEV30@ |
N |
$102.51 |
27.00% |
$78.77 |
A |
8/19/17 - 9/15/17 |
3478419 |
16714047802 |
AMOXICI CLV+POT875/125100NSTR@ |
Y |
$51.59 |
23.99% |
$41.28 |
A |
8/19/17 - 9/15/17 |
1861657 |
60505083305 |
AZELAST N/SPR 137MCGAPX 30ML@ |
N |
$18.70 |
26.02% |
$14.56 |
A |
8/19/17 - 9/15/17 |
3471281 |
00781751787 |
BUDESO INH/SUSP 1MG/2ML SAN30@ |
Y |
$547.77 |
15.00% |
$490.11 |
A |
8/19/17 - 9/15/17 |
1760859 |
10370010203 |
BUPROPIO ER TAB 300MG PAR 30@ |
Y |
$16.81 |
31.37% |
$12.14 |
A |
8/19/17 - 9/15/17 |
3444973 |
00472040060 |
CLOBETAS CRM 0.05% ACTA 60GM@ |
Y |
$105.06 |
31.40% |
$75.86 |
A |
8/19/17 - 9/15/17 |
3410644 |
65162083366 |
DICLOFEN SOD T/G1% AMN 100GM@ |
Y |
$41.56 |
26.99% |
$31.94 |
A |
8/19/17 - 9/15/17 |
3559192 |
16714059001 |
DIGOXIN TAB 0.125MG NSTAR 100@ |
Y |
$56.86 |
26.00% |
$44.29 |
A |
8/19/17 - 9/15/17 |
3491834 |
16714048501 |
DIVALP SOD ER TB500MG100NSTAR@ |
Y |
$64.76 |
30.00% |
$47.72 |
A |
8/19/17 - 9/15/17 |
3491842 |
16714048502 |
DIVALP SOD ER TB500MG500NSTAR@ |
Y |
$323.81 |
30.00% |
$238.60 |
A |
8/19/17 - 9/15/17 |
3492683 |
68462072029 |
DROSP+ETH EST 3/.02MGGLEN3X28@ |
N |
$135.84 |
31.40% |
$98.09 |
AC |
8/19/17 - 9/15/17 |
2051894 |
57237001930 |
DULOXET DR CAP 60MG CIT 30@ |
Y |
$8.83 |
31.43% |
$6.37 |
A |
8/19/17 - 9/15/17 |
2051910 |
57237001999 |
DULOXET DR CAP 60MG CIT1000@= |
Y |
$294.18 |
31.40% |
$212.43 |
A |
8/19/17 - 9/15/17 |
2449288 |
00955100410 |
ENOXAP SOD SYR 40/0.4MLWINT10@ |
Y |
$72.19 |
31.40% |
$52.13 |
A |
8/19/17 - 9/15/17 |
2156537 |
00115052201 |
FENOFIBR CAP 134MG GPC 100@ |
N |
$112.82 |
29.00% |
$84.32 |
A |
8/19/17 - 9/15/17 |
1378876 |
16714033002 |
GABAPENT TAB 600MG 500 NSTAR@ |
Y |
$66.26 |
31.40% |
$47.85 |
A |
8/19/17 - 9/15/17 |
1379270 |
16714033202 |
GABAPENT TAB 800MG 500 NSTAR@ |
N |
$81.04 |
31.40% |
$58.52 |
A |
8/19/17 - 9/15/17 |
3610268 |
00093542362 |
GIANVI TB 3MG/0.2MG BPTEV3X28@ |
N |
$118.82 |
30.00% |
$87.55 |
A |
8/19/17 - 9/15/17 |
3484714 |
16714047401 |
HYDROXYCHL SUL TB200MG100NSTR@ |
Y |
$56.53 |
31.39% |
$40.82 |
A |
8/19/17 - 9/15/17 |
2244085 |
16714035701 |
LEVETIRAC TAB1000MG60NSTAR@ |
N |
$20.91 |
31.39% |
$15.10 |
A |
8/19/17 - 9/15/17 |
3469947 |
55111059760 |
MEMANTINE HCI TB 10MG DR/R60@ |
N |
$12.21 |
27.00% |
$9.38 |
A |
8/19/17 - 9/15/17 |
3595444 |
68682001710 |
METFORM HCI ER 500MG OCEA 100@ |
Y |
$2,801.31 |
5.00% |
$2,801.40 |
A |
8/19/17 - 9/15/17 |
3591328 |
00378001401 |
METHOTR TAB 2.5MG MYL 100@ |
Y |
$117.74 |
26.00% |
$91.72 |
A |
8/19/17 - 9/15/17 |
1779065 |
55111046801 |
METOPROL ER TAB 100MG DR/R100@ |
Y |
$44.12 |
25.00% |
$34.83 |
A |
8/19/17 - 9/15/17 |
2055994 |
13107000130 |
MIRTAZAP TAB 7.5MG AURO 30@ |
N |
$49.85 |
26.00% |
$38.83 |
B |
8/19/17 - 9/15/17 |
3556065 |
43598043611 |
NITROGLYC SL TB 0.4MGDR/R4X25@ |
Y |
$78.78 |
31.40% |
$56.89 |
A |
8/19/17 - 9/15/17 |
1811124 |
17478071310 |
OFLOXACIN OPH 0.3% AKOR 5ML@ |
Y |
$15.62 |
27.01% |
$12.00 |
A |
8/19/17 - 9/15/17 |
3582459 |
61314027225 |
OLOPAT HCL 2MG/1ML VL2.5MLSAN@ |
Y |
$132.99 |
24.00% |
$106.39 |
A |
8/19/17 - 9/15/17 |
1223627 |
00832003850 |
OXYBUTYNIN TAB 5MG U/S 500@ |
N |
$175.85 |
35.23% |
$119.89 |
A |
8/19/17 - 9/15/17 |
3428406 |
00591299239 |
PROMETH HCL SUPP 25MG WAT 12@ |
N |
$89.67 |
27.00% |
$68.90 |
A |
8/19/17 - 9/15/17 |
1398288 |
00228277811 |
PROPRAN ER CP 60MG ACTA 100@ |
N |
$112.63 |
25.00% |
$88.92 |
A |
8/19/17 - 9/15/17 |
1345347 |
00228277911 |
PROPRAN ER CP 80MG ACTA 100@ |
N |
$107.44 |
31.40% |
$77.58 |
A |
8/19/17 - 9/15/17 |
1866631 |
00115351101 |
PYRIDOSTIG TAB 60MG GPC 100@ |
N |
$58.38 |
31.41% |
$42.15 |
A |
8/19/17 - 9/15/17 |
3214822 |
53746025305 |
RANITID TAB 150MG AMN 500@ |
Y |
$41.69 |
31.40% |
$30.10 |
A |
8/19/17 - 9/15/17 |
2119220 |
00527105001 |
ACETAZOL TAB 250MG LANN 100@ |
N |
$203.63 |
22.00% |
$167.19 |
A |
|
2024818 |
16714004211 |
ALLOPURINOL TAB300MG 500 NSTR@ |
Y |
$149.63 |
26.50% |
$115.76 |
A |
|
2450336 |
00781204801 |
AMANTAD CAP 100MG SAN 100@ |
N |
$102.33 |
15.00% |
$91.56 |
A |
|
3258027 |
16714044801 |
AMITRIP TAB 50MG 100 NSTR@ |
N |
$50.00 |
21.60% |
$41.26 |
A |
|
3523925 |
65862058301 |
AMLOD+BENAZ CP 5/10MG AURO100@ |
N |
$37.61 |
31.40% |
$27.16 |
A |
|
2902526 |
60505084805 |
AZELAST N/SPR AP 0.15% 30ML@ |
N |
$88.37 |
31.40% |
$63.81 |
A |
|
1951144 |
59762314001 |
AZITHROMY O/S 1200MG GRE 30ML@ |
N |
$12.12 |
31.43% |
$8.75 |
A |
|
1950393 |
59762312001 |
AZITHROMY O/S 600MG GRE 15ML@ |
N |
$12.92 |
31.40% |
$9.33 |
A |
|
1820976 |
16714007104 |
BACLOFEN TAB 10MG 100 NSTAR@ |
Y |
$15.42 |
31.42% |
$11.13 |
A |
|
3225182 |
65162053610 |
BENZONATATE CAP 100MG AMN 100@ |
N |
$25.02 |
31.40% |
$18.07 |
A |
|
1338581 |
00378715501 |
BUDESON EC CAP 3MG MYLN 100@ |
Y |
$724.94 |
14.00% |
$656.26 |
A |
|
1299965 |
50383093093 |
BUPRENOR TAB 8MG HIT 30@ |
Y |
$46.44 |
26.49% |
$35.93 |
A |
|
3225299 |
10370010150 |
BUPROP HCI ER 150MG XL PAR500@ |
Y |
$221.53 |
16.45% |
$194.82 |
A |
|
1628650 |
00093542088 |
CABERGOLIN TAB 0.5MG TEV 8@ |
N |
$66.50 |
15.00% |
$59.50 |
A |
|
2027407 |
23155011801 |
CALCITRIOL CAP .25MCG HERI100@ |
N |
$27.53 |
31.40% |
$19.88 |
A |
|
1445188 |
60505018300 |
CARBAMAZ TAB 200MG APX 100@ |
Y |
$60.14 |
22.80% |
$48.87 |
A |
|
2013332 |
16714039102 |
CEFDINIR CAP 300MG 60 NSTR@ |
N |
$43.88 |
31.39% |
$31.69 |
A |
|
2041143 |
16714039301 |
CEFDINIR OS 250MG/5ML60MLNSTR@ |
N |
$16.62 |
24.99% |
$13.12 |
A |
|
2013415 |
16714039703 |
CEFPROZ OS250MG/5ML100ML NSTR@ |
N |
$45.56 |
18.77% |
$38.96 |
A |
|
2013357 |
16714039901 |
CEFPROZIL TAB 500MG 50 NSTR@ |
N |
$90.24 |
29.36% |
$67.10 |
A |
|
3218500 |
00378022201 |
CHLORTH TAB 25MG MYL 100@ |
Y |
$90.16 |
14.99% |
$80.67 |
A |
|
1940188 |
49884046565 |
CHOLESTYR O/S PWD 4GM PAR 60@ |
Y |
$103.17 |
21.60% |
$85.14 |
AC |
|
1233568 |
16714065204 |
CIPROFLOX TAB 500MG 500NSTAR@ |
N |
$94.98 |
31.40% |
$68.59 |
A |
|
2044915 |
65862022660 |
CLARITH TAB 500MG AURO 60@ |
N |
$57.36 |
21.61% |
$47.33 |
AC |
|
3277100 |
00591293201 |
CLINDAMY CAP 300MG WAT 100@ |
N |
$27.15 |
20.89% |
$22.61 |
A |
|
2704690 |
50383026730 |
CLOBETAS PR CR 0.05% HIT30GM@ |
Y |
$70.36 |
24.99% |
$55.55 |
A |
|
1233378 |
00378087399 |
CLONIDINE TS/PTC0.3MG/DAYMYL4@ |
N |
$117.32 |
26.16% |
$91.18 |
A |
|
3482445 |
00093574265 |
CYCLOSP MOD CP100MG TEVA UD30@ |
N |
$74.11 |
25.00% |
$58.51 |
A |
|
2049344 |
51991083801 |
CYPRO HCL TAB 4MG BRECK 100@ |
N |
$48.54 |
29.14% |
$36.20 |
A |
|
3517257 |
69918020101 |
DESMOPRES AC TB 0.2MG AMR 100@ |
N |
$89.86 |
19.04% |
$76.58 |
A |
|
1767904 |
00591039860 |
DICLOF+MISOP DR 75/.2MG WAT60@ |
N |
$129.87 |
21.60% |
$107.17 |
A |
|
1260397 |
00781501701 |
DICLOFEN POT TAB 50MG SAN 100@ |
N |
$59.33 |
21.86% |
$48.80 |
A |
|
3555703 |
51672136307 |
DICLOFENAC SOD GEL 3%TARO100G@ |
N |
$767.61 |
60.86% |
$316.23 |
|
|
1168871 |
60505001606 |
DILTIAZEM XR CP 240MG APX 100@ |
N |
$59.89 |
21.61% |
$49.42 |
A |
|
1707975 |
62756079788 |
DIVALP DR TB 250MG CARA 100@ |
N |
$14.25 |
31.40% |
$10.29 |
A |
|
1668672 |
49884072703 |
DOXYCYC MONO CP 100MG PAR 50@ |
N |
$23.27 |
31.40% |
$16.80 |
A |
|
3651874 |
00115169449 |
EPINEPH AUTO INJ 0.3MG IMP 2@ |
Y |
$429.82 |
24.00% |
$343.85 |
A |
|
3504271 |
00378235177 |
ESOMEP MAG DR CP 40MG MYLN 90@ |
Y |
$93.85 |
17.58% |
$81.42 |
A |
|
3418746 |
00378235193 |
ESOMEPRAZ MAG 40MG MYL 30@ |
Y |
$31.28 |
21.01% |
$26.01 |
A |
|
3413465 |
47781010830 |
EXEMESTANE TAB 25MG ALVO 30@ |
Y |
$188.57 |
31.40% |
$136.16 |
A |
|
3260874 |
45802013275 |
FENOFIB TAB 145MG PER 90@ |
Y |
$70.41 |
21.26% |
$58.36 |
A |
|
1702620 |
00115552210 |
FENOFIBR TAB 160MG GPC 90@ |
Y |
$68.73 |
26.50% |
$53.18 |
A |
|
1733641 |
16714069211 |
FLUCONAZ TAB 150MG 12X1 NSTAR@ |
N |
$22.53 |
26.52% |
$17.43 |
A |
|
1611474 |
61314063305 |
GENTAMIC SUL OPH SAN 5ML@ |
N |
$16.15 |
31.41% |
$11.66 |
A |
|
1953983 |
00093725501 |
GLIMEPIR TAB 2MG TEV 100@ |
N |
$10.66 |
31.37% |
$7.70 |
A |
|
2138543 |
68382008001 |
HALOPERIDOL TAB 10MG ZYD100@ |
N |
$71.35 |
31.41% |
$51.51 |
A |
|
3595246 |
43547037609 |
IRBESARTAN TAB 300MG SOLC 90@ |
N |
$25.41 |
31.40% |
$18.35 |
A |
|
1273507 |
00168009930 |
KETOCONAZOLE CRM 2% FOUG 30GM@ |
Y |
$33.62 |
25.01% |
$26.54 |
A |
|
1267152 |
00168009960 |
KETOCONAZOLE CRM 2% FOUG 60GM@ |
Y |
$46.35 |
17.95% |
$40.03 |
A |
|
3622032 |
62332006230 |
LEFLUNOMIDE TAB 20MG ALE 30 @ |
Y |
$122.17 |
31.40% |
$88.22 |
A |
|
1331487 |
50383066730 |
LIDOCA+PRIL CRM 2.5% HIT30GM@ |
N |
$23.40 |
15.10% |
$20.91 |
A |
|
2590248 |
00603188016 |
LIDOCAINE PTCH 5%/700MG PAR30@ |
Y |
$148.01 |
26.50% |
$114.51 |
AC |
|
2048221 |
61442012710 |
MELOXICAM TAB 15MG CARL 1000@ |
N |
$20.61 |
31.40% |
$14.88 |
A |
|
2237105 |
00591272060 |
METFORM ER TAB 1000MG WAT 60@ |
Y |
$660.11 |
26.00% |
$514.19 |
A |
|
1779073 |
55111046805 |
METOPROL ER TAB 100MG DR/R500@ |
Y |
$214.60 |
18.00% |
$185.23 |
AC |
|
1779032 |
55111046605 |
METOPROL ER TAB 25MG DR/R 500@ |
Y |
$126.02 |
15.63% |
$111.92 |
AC |
|
1779057 |
55111046705 |
METOPROL ER TAB 50MG DR/R 500@ |
Y |
$125.46 |
20.00% |
$105.65 |
AC |
|
3616232 |
16714070601 |
MIRTAZAPINE TB 7.5MG 30 NSTR@ |
N |
$43.80 |
15.01% |
$39.19 |
A |
|
3496957 |
65162032309 |
NIACIN ER TAB 1000MG AMN 90@ |
Y |
$204.76 |
31.40% |
$147.86 |
A |
|
3496940 |
65162032109 |
NIACIN ER TAB 500MG AMN 90@ |
N |
$115.40 |
31.40% |
$83.33 |
A |
|
3237708 |
16714043901 |
NITROFURANT CAP 100MG100 NSTR@ |
Y |
$104.91 |
22.10% |
$86.03 |
A |
|
1488048 |
00781571010 |
POT CHL ER TAB 10MEQ SAN 1000@ |
Y |
$263.82 |
21.60% |
$217.72 |
AC |
|
1448109 |
00781572010 |
POT CHL ER TAB 20MEQ SAN 1000@ |
Y |
$234.09 |
15.00% |
$209.45 |
A |
|
1119056 |
60505016909 |
PRAVAST NA TAB 20MG APX 90@ |
N |
$17.01 |
31.40% |
$12.28 |
A |
|
1749217 |
55111023005 |
PRAVASTATIN TAB 20MG DR/R500@ |
N |
$79.74 |
31.40% |
$57.58 |
A |
|
2738524 |
61314063705 |
PREDNISOL AC OPH 1% FAL 5ML@ |
Y |
$40.22 |
20.00% |
$33.87 |
A |
|
1304849 |
59746017310 |
PREDNISON TAB 10MG CAD 1000@ |
N |
$117.29 |
21.60% |
$96.79 |
A |
|
3570587 |
69543037410 |
PROGESTERONE CP 100MG VIRT100@ |
N |
$84.98 |
31.40% |
$61.36 |
A |
|
1143049 |
53746025310 |
RANITID TAB 150MG AMN 1000@ |
Y |
$76.87 |
15.00% |
$68.78 |
A |
|
3666690 |
00378127193 |
RASAGILINE TAB 1MG MYLN 30@ |
Y |
$371.65 |
18.06% |
$320.57 |
A |
|
3477080 |
00781730431 |
RIVASTIG PAT 4.6MG/24HR SAN30@ |
N |
$279.93 |
23.00% |
$226.89 |
A |
|
3477098 |
00781730931 |
RIVASTIG PAT 9.5MG/24HR SAN30@ |
Y |
$254.19 |
16.96% |
$222.19 |
A |
|
3477114 |
00781731331 |
RIVASTIG PAT13.3MG/24HR SAN30@ |
N |
$270.86 |
31.40% |
$195.59 |
A |
|
2160034 |
43547027310 |
ROPINIROLE TAB 4MG SOLC 100@ |
N |
$19.17 |
31.42% |
$13.84 |
A |
|
3479466 |
13668019030 |
TOLTERODINE CAP ER 4MGTORR30@ |
Y |
$88.63 |
10.09% |
$83.88 |
A |
|
1432905 |
16714036304 |
TRILN TB.18MG/.035MG6X28NSTR@ |
Y |
$49.98 |
31.42% |
$36.08 |
A |
|
1126317 |
00591315901 |
URSODIOL CAP 300MG WAT 100@ |
Y |
$346.65 |
26.00% |
$270.02 |
A |
|
3484748 |
43547036909 |
VALSARTAN TAB 160MG SOLC 90@ |
N |
$18.39 |
31.40% |
$13.28 |
A |
|
1124908 |
47781072902 |
VANCOMY CAP 125MG ALVO 2X10@ |
N |
$121.82 |
23.67% |
$97.88 |
A |
|
3595386 |
65162022621 |
YUVAFEM TAB 10MCG BP AMN 8@ |
Y |
$150.37 |
13.00% |
$137.70 |
A |
|
1390772 |
60505253006 |
ZIPRASID CAP 60MG APX 60@ |
N |
$68.51 |
31.41% |
$49.47 |
A |
|