ITEM |
NDC NUM |
DSCR |
TOP 250 |
REG INV $ |
DISC % OF OS |
DISC INV $ |
SL |
CAMPAIGN DATES |
3658564 |
16714066801 |
ACYCLOVIR OINT 5% 15GM NSTAR |
N |
$218.97 |
31.4% |
$158.12 |
A |
2/3/18 - 3/2/18 |
3294717 |
00713050312 |
ANUCORTHC HEM SUPP G/W 12@ |
Y |
$133.45 |
31.4% |
$96.36 |
A |
2/3/18 - 3/2/18 |
3434669 |
68462064693 |
ASHLYNA.15MG/.03MGTB GLEN2X91@ |
N |
$340.82 |
31.4% |
$246.11 |
A |
2/3/18 - 3/2/18 |
3494325 |
42799012101 |
BUMETANIDE TAB 2MG EDEN 100@ |
N |
$116.75 |
36.4% |
$78.19 |
A |
2/3/18 - 3/2/18 |
3230893 |
60505015801 |
BUPROPION HCI TB 75MG APX100@ |
N |
$46.90 |
31.4% |
$33.87 |
A |
2/3/18 - 3/2/18 |
2232114 |
00781598701 |
CARBAMAZ ER TB 200MG SAN 100@ |
Y |
$156.65 |
25.0% |
$123.67 |
AC |
2/3/18 - 3/2/18 |
1168475 |
62037060090 |
CARTIA XT CAP 300MG WAT 90@ |
N |
$73.06 |
31.4% |
$52.75 |
A |
2/3/18 - 3/2/18 |
3652849 |
16714072902 |
DESONIDE CRM 0.05% 60GM NSTAR@ |
N |
$138.69 |
25.0% |
$109.49 |
A |
2/3/18 - 3/2/18 |
3491529 |
66993058030 |
DUT+TAMS HCI CP.5/.4MG PRAS30@ |
N |
$103.83 |
31.4% |
$74.97 |
A |
2/3/18 - 3/2/18 |
2072460 |
52565002230 |
ECONAZ NITR CRM 1% IGI 30G@ |
N |
$65.51 |
31.4% |
$47.31 |
A |
2/3/18 - 3/2/18 |
3676038 |
16714074002 |
FENOFIBR CP MIC 134MG 100NSTR@ |
N |
$112.82 |
31.4% |
$81.47 |
A |
2/3/18 - 3/2/18 |
3469079 |
63304044430 |
FENOFIBRATE CAP 130MG SUN 30@ |
N |
$84.00 |
25.0% |
$66.32 |
A |
2/3/18 - 3/2/18 |
1732924 |
16714069301 |
FLUCONAZ TAB 200MG 30 NSTAR@ |
N |
$49.04 |
31.4% |
$35.41 |
A |
2/3/18 - 3/2/18 |
3259561 |
00168013460 |
FLUOCINON SL 0.05% FOUG 60ML@ |
N |
$67.90 |
25.0% |
$53.60 |
A |
2/3/18 - 3/2/18 |
2067890 |
65862019405 |
FLUOXET CAP 40MG AURO 500@ |
N |
$74.00 |
31.4% |
$53.43 |
A |
2/3/18 - 3/2/18 |
2125714 |
00378313201 |
GLIPIZIDE MET 2.5/500 MLYN100@ |
N |
$72.76 |
63.2% |
$28.18 |
A |
2/3/18 - 3/2/18 |
1124825 |
00781145310 |
GLIPIZIDE TAB 10MG SAN 1000@ |
N |
$48.33 |
31.4% |
$34.90 |
A |
2/3/18 - 3/2/18 |
3457322 |
00378106501 |
GUANFAC HCL ER TB 4MG MYL 100@ |
N |
$66.02 |
31.4% |
$47.67 |
A |
2/3/18 - 3/2/18 |
3622040 |
62332006130 |
LEFLUNOMIDE TAB 10MG ALE 30 @ |
N |
$115.80 |
31.4% |
$83.62 |
A |
2/3/18 - 3/2/18 |
3496957 |
65162032309 |
NIACIN ER TAB 1000MG AMN 90@ |
N |
$140.17 |
77.3% |
$33.46 |
A |
2/3/18 - 3/2/18 |
3594280 |
49884079011 |
OLM+AML HCTZ 40/10/25MG PAR30@ |
N |
$111.15 |
38.0% |
$72.50 |
A |
2/3/18 - 3/2/18 |
3419389 |
55111015905 |
OMEPRAZ DR CAP 40MG DR/R 500@ |
Y |
$83.01 |
31.4% |
$59.94 |
A |
2/3/18 - 3/2/18 |
3294253 |
62175027237 |
OXYBUTYNIN ER TB 15MG LAN 100@ |
N |
$85.44 |
55.1% |
$40.39 |
A |
2/3/18 - 3/2/18 |
3400405 |
68382053801 |
POTASS CIT ER TB 15MEQ ZYD100@ |
N |
$206.81 |
31.4% |
$149.34 |
A |
2/3/18 - 3/2/18 |
1614585 |
00093406801 |
PRAZOSIN CAP 2MG TEV 100@ |
N |
$70.48 |
31.4% |
$50.89 |
A |
2/3/18 - 3/2/18 |
1304948 |
59746017509 |
PREDNISON TAB 20MG CAD 500@ |
N |
$82.19 |
31.4% |
$59.35 |
A |
2/3/18 - 3/2/18 |
3570595 |
69543037510 |
PROGESTERONE CP 200MG VIRT100@ |
N |
$119.70 |
31.4% |
$86.44 |
A |
2/3/18 - 3/2/18 |
3672227 |
33342010937 |
RISEDRONATE SOD TB 35MG MACL4@ |
N |
$39.75 |
5.0% |
$39.75 |
A |
2/3/18 - 3/2/18 |
3605797 |
65862087011 |
RISEDRONATE TAB 150MG AURO 1@ |
N |
$99.00 |
31.4% |
$71.49 |
A |
2/3/18 - 3/2/18 |
1120971 |
55111035360 |
RIVASTIGM CAP 3MG DR/R 60@ |
N |
$67.59 |
31.4% |
$48.81 |
A |
2/3/18 - 3/2/18 |
2059830 |
55111069312 |
SUMATRIP PFS 6MG/0.5ML DR/R 2@ |
Y |
$174.19 |
56.4% |
$79.96 |
A |
2/3/18 - 3/2/18 |
1757129 |
55111018010 |
TIZANIDINE TAB 4MG DR/R 1000@ |
N |
$93.00 |
31.4% |
$67.15 |
A |
2/3/18 - 3/2/18 |
1201268 |
68462046160 |
TROSPIUM CHL TB 20MG GLEN 60@ |
N |
$64.38 |
31.4% |
$46.49 |
A |
2/3/18 - 3/2/18 |
3258027 |
16714044801 |
AMITRIP TAB 50MG 100 NSTR@ |
N |
$50.00 |
21.6% |
$41.26 |
A |
|
3523925 |
65862058301 |
AMLOD+BENAZ CP 5/10MG AURO100@ |
N |
$37.61 |
31.4% |
$27.16 |
A |
|
3523974 |
65862058401 |
AMLOD+BENAZ CP 5/20MG AURO100@ |
N |
$22.14 |
31.4% |
$15.98 |
A |
|
2902526 |
60505084805 |
AZELAST N/SPR AP 0.15% 30ML@ |
N |
$88.37 |
31.4% |
$63.81 |
A |
|
1820976 |
16714007104 |
BACLOFEN TAB 10MG 100 NSTAR@ |
Y |
$15.42 |
31.4% |
$11.13 |
A |
|
3225182 |
65162053610 |
BENZONATATE CAP 100MG AMN 100@ |
Y |
$25.02 |
31.4% |
$18.07 |
A |
|
1299965 |
50383093093 |
BUPRENOR TAB 8MG HIT 30@ |
Y |
$46.44 |
26.5% |
$35.93 |
A |
|
3225299 |
10370010150 |
BUPROP HCI ER 150MG XL PAR500@ |
Y |
$221.53 |
16.5% |
$194.82 |
A |
|
3230885 |
60505015701 |
BUPROPION HCI TB 100MG APX100@ |
N |
$43.81 |
31.4% |
$31.64 |
A |
|
1258177 |
00093520006 |
BUSPIR HCL TAB 30MG TEV 60@ |
N |
$31.43 |
31.4% |
$22.69 |
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 |
$43.88 |
31.4% |
$31.69 |
A |
|
2041143 |
16714039301 |
CEFDINIR OS 250MG/5ML60MLNSTR@ |
N |
$16.62 |
25.0% |
$13.12 |
A |
|
2041127 |
16714039201 |
CEFDINIR OS125MG/5ML 60MLNSTR@ |
N |
$17.85 |
31.4% |
$12.89 |
A |
|
1940188 |
49884046565 |
CHOLESTYR O/S PWD 4GM PAR 60@ |
Y |
$103.17 |
21.6% |
$85.14 |
AC |
|
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 |
|
3669645 |
16714073002 |
CLOBETASOL CRM .05% 30GMNSTAR@ |
Y |
$52.49 |
25.0% |
$41.44 |
A |
|
1233378 |
00378087399 |
CLONIDINE TS/PTC0.3MG/DAYMYL4@ |
N |
$117.32 |
26.2% |
$91.18 |
A |
|
3735735 |
70710111001 |
CYPROHEPT HCI TAB 4MG ZYD 100@ |
N |
$29.35 |
14.0% |
$26.57 |
A |
|
3517257 |
69918020101 |
DESMOPRES AC TB 0.2MG AMR 100@ |
N |
$89.86 |
19.0% |
$76.58 |
A |
|
3625373 |
59762121103 |
DESVENLAF SUC ER TB 50MGGRE30@ |
N |
$35.46 |
25.0% |
$28.00 |
AC |
|
1767904 |
00591039860 |
DICLOF+MISOP DR 75/.2MG WAT60@ |
N |
$129.87 |
21.6% |
$107.17 |
A |
|
3491834 |
16714048501 |
DIVALP SOD ER TB500MG100NSTAR@ |
Y |
$56.63 |
30.9% |
$41.22 |
A |
|
3539020 |
51862000560 |
DOFETILIDE CAP 500MCG MAYN 60@ |
Y |
$351.05 |
20.0% |
$295.62 |
AC |
|
3669256 |
16729041401 |
DOXAZOSIN TAB 2MG ACCO 100@ |
N |
$39.69 |
31.4% |
$28.66 |
A |
|
3682002 |
16729041501 |
DOXAZOSIN TAB 8MG ACCO 100@ |
N |
$36.85 |
31.4% |
$26.61 |
A |
|
3678372 |
68382070718 |
DOXYCYCLINE CAP 100MG ZYD 50@ |
N |
$18.90 |
15.5% |
$16.80 |
A |
|
3651874 |
00115169449 |
EPINEPH AUTO INJ 0.3MG IMP 2@ |
Y |
$429.82 |
24.0% |
$343.85 |
AC |
|
3413465 |
47781010830 |
EXEMESTANE TAB 25MG ALVO 30@ |
Y |
$147.15 |
17.0% |
$128.56 |
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 |
|
1611474 |
61314063305 |
GENTAMIC SUL OPH SAN 5ML@ |
N |
$16.15 |
31.4% |
$11.66 |
A |
|
3610268 |
00093542362 |
GIANVI TB 3MG/0.2MG BPTEV3X28@ |
Y |
$118.82 |
31.4% |
$85.85 |
A |
|
1953983 |
00093725501 |
GLIMEPIR TAB 2MG TEV 100@ |
N |
$10.66 |
31.4% |
$7.70 |
A |
|
1954288 |
00093725601 |
GLIMEPIR TAB 4MG TEV 100@ |
N |
$11.99 |
21.0% |
$9.97 |
A |
|
2138543 |
68382008001 |
HALOPERIDOL TAB 10MG ZYD100@ |
N |
$71.35 |
31.4% |
$51.51 |
A |
|
2215895 |
60505279500 |
IBANDRON SOD TB 150MG APO UU3@ |
N |
$49.82 |
31.4% |
$35.97 |
A |
|
1129311 |
00472127016 |
IBUPROF OS 100MG/5ML ACTA 16Z@ |
N |
$25.00 |
31.4% |
$18.06 |
A |
|
3595246 |
43547037609 |
IRBESARTAN TAB 300MG SOLC 90@ |
N |
$25.41 |
31.4% |
$18.35 |
A |
|
1273325 |
00168009915 |
KETOCONAZOLE CRM 2% FOUG15GM@ |
Y |
$19.75 |
31.4% |
$14.26 |
A |
|
1273507 |
00168009930 |
KETOCONAZOLE CRM 2% FOUG30GM@ |
Y |
$33.62 |
25.0% |
$26.54 |
A |
|
1267152 |
00168009960 |
KETOCONAZOLE CRM 2% FOUG60GM@ |
Y |
$46.35 |
18.0% |
$40.03 |
A |
|
3608221 |
16714070101 |
LAMOTRIGINE TB 100MG 100 NSTR@ |
N |
$8.73 |
31.5% |
$6.30 |
A |
|
1909019 |
00378968244 |
LEVALBUT I/S 1.25MG/3ML MYL24@ |
N |
$44.18 |
31.4% |
$31.91 |
A |
|
3583168 |
43547034506 |
LEVETIRAC ER TAB 500MG SOLC60@ |
N |
$25.00 |
31.4% |
$18.06 |
A |
|
2244085 |
16714035701 |
LEVETIRAC TAB1000MG60NSTAR@ |
N |
$20.91 |
31.4% |
$15.10 |
A |
|
2590248 |
00603188016 |
LIDOCAINE PTCH 5%/700MG PAR30@ |
Y |
$148.01 |
26.5% |
$114.51 |
AC |
|
3480753 |
69097015915 |
MELOXICAM TAB 15MG CIP 1000@ |
N |
$18.87 |
25.1% |
$14.88 |
A |
|
2237105 |
00591272060 |
METFORM ER TAB 1000MG WAT 60@ |
Y |
$473.72 |
10.0% |
$448.78 |
A |
|
1779073 |
55111046805 |
METOPROL ER TAB 100MG DR/R500@ |
Y |
$214.60 |
18.0% |
$185.23 |
AC |
|
1779032 |
55111046605 |
METOPROL ER TAB 25MG DR/R 500@ |
Y |
$126.02 |
15.6% |
$111.92 |
AC |
|
1779057 |
55111046705 |
METOPROL ER TAB 50MG DR/R 500@ |
Y |
$125.46 |
20.0% |
$105.65 |
AC |
|
3645348 |
65162089129 |
MOMETAS FUR 50MCG N/S AMN17GM@ |
Y |
$90.15 |
25.0% |
$71.17 |
A |
|
3237708 |
16714043901 |
NITROFURANT CAP 100MG100 NSTR@ |
Y |
$104.91 |
22.1% |
$86.03 |
A |
|
3502739 |
60505057501 |
OLOPATAD HCI OPH 0.1% APOT5ML@ |
N |
$27.23 |
31.4% |
$19.66 |
A |
|
2116572 |
00472024260 |
PERMETHRIN CRM 5% W/WACT60GM@ |
N |
$51.18 |
20.0% |
$43.10 |
A |
|
1488048 |
00781571010 |
POT CHL ER TAB 10MEQ SAN 1000@ |
Y |
$263.82 |
21.6% |
$217.72 |
AC |
|
1109602 |
60505132309 |
PRAVAST NA TB 80MG APX 90@ |
N |
$30.66 |
31.4% |
$22.14 |
A |
|
1749217 |
55111023005 |
PRAVASTATIN TAB 20MG DR/R500@ |
N |
$69.44 |
31.4% |
$50.14 |
A |
|
2738524 |
61314063705 |
PREDNISOL AC OPH 1% FAL 5ML@ |
Y |
$40.22 |
20.0% |
$33.87 |
A |
|
1304849 |
59746017310 |
PREDNISON TAB 10MG CAD 1000@ |
N |
$117.29 |
21.6% |
$96.79 |
A |
|
3570587 |
69543037410 |
PROGESTERONE CP 100MG VIRT100@ |
N |
$84.98 |
31.4% |
$61.36 |
A |
|
3280930 |
16714045601 |
QUETIAPIN FUM TB 300MG100NSTR@ |
N |
$41.80 |
31.4% |
$30.18 |
A |
|
3477080 |
00781730431 |
RIVASTIG PAT 4.6MG/24HR SAN30@ |
N |
$279.93 |
23.0% |
$226.89 |
A |
|
3477098 |
00781730931 |
RIVASTIG PAT 9.5MG/24HR SAN30@ |
Y |
$254.19 |
17.0% |
$222.19 |
A |
|
3556362 |
69097086685 |
RIZATRIP BENZ TB 10MG CIPBP18@ |
N |
$20.91 |
31.4% |
$15.10 |
A |
|
2160034 |
43547027310 |
ROPINIROLE TAB 4MG SOLC 100@ |
N |
$19.17 |
31.4% |
$13.84 |
A |
|
1134683 |
16714053211 |
SUMATRIP TAB 50MG BP 9 NSTAR@ |
N |
$5.60 |
25.0% |
$4.42 |
A |
|
1206127 |
00472011745 |
TRETINOIN CRM .025% ACTA 45GM@ |
N |
$135.63 |
22.0% |
$111.36 |
A |
|
1432905 |
16714036304 |
TRILN TB.18MG/.035MG6X28NSTR@ |
N |
$49.98 |
31.4% |
$36.08 |
A |
|
3437613 |
00591299801 |
URSODIOL 250MG TAB ACT 100@ |
N |
$180.26 |
31.4% |
$130.17 |
A |
|
1126317 |
00591315901 |
URSODIOL CAP 300MG WAT 100@ |
Y |
$346.65 |
26.0% |
$270.02 |
A |
|
1832807 |
50383079216 |
VALPROIC SYRP 250/5 HIT 16OZ@ |
N |
$24.22 |
31.4% |
$17.49 |
A |
|
3556156 |
62332008090 |
VALS+HCTZ TB 160/12.5MGALEM90@ |
N |
$18.90 |
31.4% |
$13.64 |
A |
|
3556172 |
62332008190 |
VALS+HCTZ TB 160/25MG ALEM90@ |
N |
$23.65 |
31.4% |
$17.07 |
A |
|
3556214 |
62332007990 |
VALS+HCTZ TB 80/12.5MG ALEM90@ |
N |
$23.55 |
31.4% |
$17.01 |
A |
|
3484748 |
43547036909 |
VALSARTAN TAB 160MG SOLC 90@ |
N |
$18.39 |
31.4% |
$13.28 |
A |
|
3484755 |
43547037009 |
VALSARTAN TAB 320MG SOLC 90@ |
N |
$23.61 |
31.4% |
$17.05 |
A |
|
3484730 |
43547036809 |
VALSARTAN TAB 80MG SOLC 90@ |
N |
$18.86 |
31.4% |
$13.62 |
A |
|
1456904 |
17478074102 |
VANCOMY CAP 125MG AKOR 20@ |
N |
$121.82 |
24.8% |
$96.38 |
A |
|
3595386 |
65162022621 |
YUVAFEM TAB 10MCG BP AMN 8@ |
Y |
$150.37 |
13.0% |
$137.70 |
A |
|
1390749 |
60505252806 |
ZIPRASID CAP 20MG APX 60@ |
N |
$56.95 |
31.4% |
$41.13 |
A |
|
1390764 |
60505252906 |
ZIPRASID CAP 40MG APX 60@ |
N |
$37.55 |
31.4% |
$27.12 |
A |
|
1390772 |
60505253006 |
ZIPRASID CAP 60MG APX 60@ |
N |
$68.51 |
31.4% |
$49.47 |
A |
|
2021681 |
00115067250 |
ZOLMITRIPT TAB 5MG GPC 3@ |
N |
$29.08 |
31.4% |
$21.00 |
A |
|