ITEM |
NDC |
DSCR |
TOP 250 |
REG INV $ |
DISC % OF OS |
DISC INV $ |
SL |
CAMPAIGN DATES |
2012755 |
68462043518 |
ACAMPROS DR TAB 333MG GLEN180@ |
N |
$167.86 |
31.4% |
$121.21 |
A |
07/22/18 - 08/18/18 |
2235935 |
23155012001 |
ACETAZOL ER CP 500MG HERI100@ |
N |
$179.28 |
31.4% |
$129.46 |
A |
07/22/18 - 08/18/18 |
2740967 |
31722077801 |
ACYCLOV TAB 800MG CAMB 100@ |
N |
$26.59 |
31.4% |
$19.20 |
A |
07/22/18 - 08/18/18 |
1167915 |
62037059990 |
CARTIA XT CAP 240MG WAT 90@ |
N |
$56.99 |
31.4% |
$41.15 |
A |
07/22/18 - 08/18/18 |
1168475 |
62037060090 |
CARTIA XT CAP 300MG WAT 90@ |
N |
$73.06 |
31.4% |
$52.75 |
A |
07/22/18 - 08/18/18 |
2014314 |
16714039501 |
CEFPODOXIM PROX TB200MG20NSTR@ |
N |
$129.20 |
31.4% |
$93.30 |
A |
07/22/18 - 08/18/18 |
2035087 |
16714040002 |
CEFUROX AXET TB 250MG NSTAR60@ |
N |
$64.40 |
31.4% |
$46.50 |
A |
07/22/18 - 08/18/18 |
1375583 |
45802026337 |
CLINDAMY PH PLEDGET 1% PER 60@ |
N |
$31.88 |
31.4% |
$23.02 |
A |
07/22/18 - 08/18/18 |
1626134 |
00168030915 |
DESONIDE OIN 0.05% FOUG 15GM@ |
N |
$44.56 |
31.4% |
$32.18 |
A |
07/22/18 - 08/18/18 |
2159358 |
60505001406 |
DILTIAZEM XR CP 120MG APX 100@ |
N |
$61.99 |
31.4% |
$44.76 |
A |
07/22/18 - 08/18/18 |
1926153 |
00378041501 |
DIPHENOX+ATR TAB MYLN 100@ |
Y |
$62.15 |
31.4% |
$44.88 |
A |
being removed due to control not eligible for discount |
3614583 |
65162059606 |
DIPYRIDAMOLE CP 25/200MGAMN60@ |
Y |
$418.30 |
31.4% |
$302.06 |
A |
07/22/18 - 08/18/18 |
3491529 |
66993058030 |
DUT+TAMS HCI CP.5/.4MG PRAS30@ |
N |
$103.83 |
31.4% |
$74.97 |
A |
07/22/18 - 08/18/18 |
1702588 |
00115551110 |
FENOFIBR TAB 54MG GPC 90@ |
N |
$37.30 |
31.4% |
$26.93 |
A |
07/22/18 - 08/18/18 |
3557345 |
51672135608 |
FLUOCINOL AC BDY 0.01%TARO4OZ@ |
N |
$157.80 |
31.4% |
$113.94 |
A |
07/22/18 - 08/18/18 |
3557352 |
51672135708 |
FLUOCINOL AC SCLP.01% TARO4OZ@ |
N |
$159.12 |
31.4% |
$114.90 |
A |
07/22/18 - 08/18/18 |
2133056 |
50111032803 |
HYDRAL TAB 50MG PLIV 1000@ |
N |
$63.44 |
31.4% |
$45.81 |
A |
07/22/18 - 08/18/18 |
1904937 |
16714008211 |
HYDROXYZ TAB 25MG 500 NSTAR@ |
N |
$50.62 |
31.4% |
$36.55 |
A |
07/22/18 - 08/18/18 |
3745783 |
65162046550 |
IBUPROFEN TAB 600MG AMN 500@ |
N |
$44.97 |
31.4% |
$32.48 |
A |
07/22/18 - 08/18/18 |
2464451 |
00781155601 |
ISOSOR OR TB 10MG SAN 100@ |
N |
$65.96 |
31.4% |
$47.63 |
A |
07/22/18 - 08/18/18 |
1325547 |
00378113401 |
KETOR TAB 10MG MYL 100@ |
N |
$182.50 |
31.4% |
$131.78 |
A |
07/22/18 - 08/18/18 |
3426822 |
16714041603 |
LARIN 24 FE 1MG/20MCG3X28NSTR@ |
N |
$184.20 |
31.9% |
$132.12 |
A |
07/22/18 - 08/18/18 |
3469954 |
55111059705 |
MEMANTINE HCI TB 10MG DR/R500@ |
N |
$118.04 |
31.4% |
$85.24 |
A |
07/22/18 - 08/18/18 |
1914548 |
57664016758 |
METOPROL TAB 100MG CARA 1000@ |
N |
$35.86 |
31.4% |
$25.90 |
A |
07/22/18 - 08/18/18 |
1287523 |
55111032990 |
NATEGLIN TAB 120MG DR/R 90@ |
N |
$83.65 |
31.4% |
$60.40 |
A |
07/22/18 - 08/18/18 |
3580529 |
50383002505 |
OFLOXACIN OTIC .3% 5ML AKOR 1@ |
N |
$56.52 |
31.4% |
$40.81 |
A |
07/22/18 - 08/18/18 |
3594280 |
49884079011 |
OLM+AML HCTZ 40/10/25MG PAR30@ |
N |
$111.15 |
38.0% |
$72.50 |
A |
07/22/18 - 08/18/18 |
3672169 |
64380076921 |
PEG 3350 W/LEMON FLV OSSTRI4L@ |
N |
$30.21 |
31.4% |
$21.81 |
A |
07/22/18 - 08/18/18 |
1872225 |
00245007111 |
POT CIT ER TAB 10MEQ U/S 100@ |
Y |
$132.86 |
31.4% |
$95.94 |
AC |
07/22/18 - 08/18/18 |
3400405 |
68382053801 |
POTASS CIT ER TB 15MEQ ZYD100@ |
N |
$206.81 |
31.4% |
$149.34 |
A |
07/22/18 - 08/18/18 |
1615301 |
00093406901 |
PRAZOSIN CAP 5MG TEV 100@ |
N |
$122.41 |
31.4% |
$88.39 |
A |
07/22/18 - 08/18/18 |
3647500 |
43598035001 |
PROGESTERONE CP 200MG DR/R100@ |
N |
$123.13 |
31.4% |
$88.91 |
A |
07/22/18 - 08/18/18 |
1398288 |
00228277811 |
PROPRAN ER CP 60MG ACTA 100@ |
N |
$112.63 |
31.4% |
$81.33 |
A |
07/22/18 - 08/18/18 |
3677242 |
65162025425 |
RANITIDINE TAB 300MG AMN 250@ |
N |
$42.02 |
31.4% |
$30.34 |
A |
07/22/18 - 08/18/18 |
3450913 |
16714036603 |
SETLAKIN 0.15/0.03MG3X91 NSTR@ |
N |
$221.52 |
31.4% |
$159.96 |
A |
07/22/18 - 08/18/18 |
3439288 |
00093551798 |
SILDENAFIL TAB 20MG TEVA 90@ |
N |
$43.07 |
31.4% |
$31.10 |
A |
07/22/18 - 08/18/18 |
2478204 |
00555901658 |
SPRINTEC 0.25/0.035 BARR 6X28@ |
N |
$83.09 |
31.4% |
$60.00 |
AC |
07/22/18 - 08/18/18 |
1463926 |
50111044102 |
TRAZOD TAB 150MG PLIV 500@ |
N |
$108.38 |
31.4% |
$78.26 |
A |
07/22/18 - 08/18/18 |
2021020 |
60505265605 |
TRIAMTEREN TB 37.5/25MGAPX500@ |
N |
$112.00 |
31.4% |
$80.87 |
A |
07/22/18 - 08/18/18 |
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 |
|
1901446 |
45802002683 |
AZELAST N/S 0.15% PERR 30ML@ |
N |
$70.20 |
18.6% |
$60.12 |
A |
|
3225182 |
65162053610 |
BENZONATATE CAP 100MG AMN 100@ |
N |
$25.02 |
31.4% |
$18.07 |
A |
|
3665874 |
00603243821 |
BENZTROP MES TAB 1MG PAR 100@ |
N |
$13.27 |
29.1% |
$9.91 |
A |
|
3225299 |
10370010150 |
BUPROP HCI ER 150MG XL PAR500@ |
Y |
$221.53 |
16.5% |
$194.82 |
A |
|
1258177 |
00093520006 |
BUSPIR HCL TAB 30MG TEV 60@ |
N |
$31.43 |
31.4% |
$22.69 |
A |
|
3581881 |
00093735201 |
CALCITR CAP 0.25MCG TEV 100@ |
N |
$24.60 |
23.2% |
$19.88 |
A |
|
1445188 |
60505018300 |
CARBAMAZ TAB 200MG APX 100@ |
Y |
$43.60 |
31.4% |
$31.48 |
A |
|
2013332 |
16714039102 |
CEFDINIR CAP 300MG 60 NSTR@ |
N |
$43.88 |
31.4% |
$31.69 |
A |
|
2041127 |
16714039201 |
CEFDINIR OS125MG/5ML 60MLNSTR@ |
N |
$17.85 |
31.4% |
$12.89 |
A |
|
1940188 |
49884046565 |
CHOLESTYR O/S PWD 4GM PAR 60@ |
N |
$93.85 |
16.7% |
$82.31 |
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 |
|
1767904 |
00591039860 |
DICLOF+MISOP DR 75/.2MG WAT60@ |
N |
$129.87 |
21.6% |
$107.17 |
A |
|
3491834 |
16714048501 |
DIVALP SOD ER TB500MG100NSTAR@ |
Y |
$47.39 |
20.0% |
$39.91 |
A |
|
3539020 |
51862000560 |
DOFETILIDE CAP 500MCG MAYN 60@ |
Y |
$351.05 |
20.0% |
$295.62 |
AC |
|
3786803 |
68382078401 |
DOXAZOSIN TAB 2MG ZYD 100@ |
N |
$37.75 |
27.9% |
$28.66 |
A |
|
3786712 |
68382078601 |
DOXAZOSIN TAB 8MG ZYD 100@ |
N |
$33.15 |
23.7% |
$26.61 |
A |
|
3528544 |
40085071645 |
DOXEPIN HCL CRM 5% REN 45GM@ |
Y |
$578.95 |
10.0% |
$548.48 |
AC |
|
3616620 |
42806031250 |
DOXYCYC HYC TAB 100MG EPIC 50@ |
N |
$18.02 |
31.4% |
$13.01 |
A |
|
3616638 |
42806031205 |
DOXYCYC HYC TAB 100MG EPIC500@ |
N |
$147.15 |
31.4% |
$106.25 |
A |
|
3733565 |
69238150106 |
DOXYCYCL HYC TAB 150MG AMN60@ |
N |
$935.53 |
31.4% |
$675.55 |
A |
|
3651874 |
00115169449 |
EPINEPH AUTO INJ 0.3MG IMP 2@ |
Y |
$429.82 |
24.0% |
$343.85 |
AC |
|
3778909 |
00115151866 |
ESTRADIOL VAG CRM .01% 42.5GM@ |
Y |
$255.75 |
31.4% |
$184.76 |
A |
|
3413465 |
47781010830 |
EXEMESTANE TAB 25MG ALVO 30@ |
Y |
$147.15 |
17.0% |
$128.56 |
A |
|
3676038 |
16714074002 |
FENOFIBR CP MIC 134MG 100NSTR@ |
N |
$112.82 |
31.4% |
$81.47 |
A |
|
1733641 |
16714069211 |
FLUCONAZ TAB 150MG 12X1 NSTAR@ |
N |
$22.53 |
26.5% |
$17.43 |
A |
|
3610268 |
00093542362 |
GIANVI TB 3MG/0.2MG BPTEV3X28@ |
N |
$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 |
|
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% FOUG 15GM@ |
Y |
$16.58 |
31.4% |
$11.97 |
A |
|
1273507 |
00168009930 |
KETOCONAZOLE CRM 2% FOUG 30GM@ |
Y |
$28.06 |
19.0% |
$23.94 |
A |
|
3608221 |
16714070101 |
LAMOTRIGINE TB 100MG 100 NSTR@ |
N |
$8.73 |
31.5% |
$6.30 |
A |
|
3622040 |
62332006130 |
LEFLUNOMIDE TAB 10MG ALE 30 @ |
N |
$115.80 |
31.4% |
$83.62 |
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 |
|
1700525 |
51672300803 |
LIDOCAINE OINT 5% TARO 50GM@ |
Y |
$40.75 |
12.0% |
$37.75 |
A |
|
3749165 |
51862032001 |
LIOTHYRON SOD TB 5MCG MAYN100@ |
Y |
$137.65 |
15.0% |
$123.16 |
A |
|
3480753 |
69097015915 |
MELOXICAM TAB 15MG CIP 1000@ |
N |
$18.87 |
25.1% |
$14.88 |
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 |
|
3496957 |
65162032309 |
NIACIN ER TAB 1000MG AMN 90@ |
N |
$140.17 |
31.4% |
$101.22 |
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 |
|
2026623 |
00093540189 |
OMEGA3 ACD ETH CP 1GM TEV120@ |
N |
$37.75 |
17.8% |
$32.67 |
A |
|
3631793 |
27241003031 |
OMEPR SODBIC PW40/1680MGAJA30@ |
N |
$2,191.77 |
31.4% |
$1,582.69 |
A |
|
2116572 |
00472024260 |
PERMETHRIN CRM 5% W/W ACT60GM@ |
N |
$40.75 |
10.0% |
$38.60 |
A |
|
3525110 |
00574027505 |
POT CHL ER TAB 10MEQ PERR 500@ |
Y |
$146.20 |
31.4% |
$105.57 |
A |
|
1488048 |
00781571010 |
POT CHL ER TAB 10MEQ SAN 1000@ |
Y |
$263.82 |
21.6% |
$217.72 |
AC |
|
1119064 |
60505132305 |
PRAVAST NA TAB 80MG APX 500@ |
N |
$159.13 |
31.4% |
$114.91 |
A |
|
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 |
|
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 |
|
3568086 |
68462026390 |
ROSUVASTATIN CAL TB20MGGLEN90@ |
N |
$13.54 |
21.0% |
$11.26 |
A |
|
1134683 |
16714053211 |
SUMATRIP TAB 50MG UD 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 |
|
3408077 |
45802006335 |
TRIAMCIN CRM 0.025% PERR 15GM@ |
N |
$2.79 |
23.8% |
$2.24 |
A |
|
1432905 |
16714036304 |
TRILN TB.18MG/.035MG6X28NSTR@ |
N |
$38.72 |
11.5% |
$36.08 |
A |
|
1126317 |
00591315901 |
URSODIOL CAP 300MG WAT 100@ |
Y |
$346.65 |
26.0% |
$270.02 |
A |
|
3553807 |
43547031309 |
VALS+HCTZ TAB 160/25MG SOLC90@ |
N |
$18.84 |
25.6% |
$14.75 |
A |
|
3553278 |
43547031109 |
VALS+HCTZ TAB 80/12.5MGSOLC90@ |
N |
$16.62 |
25.6% |
$13.01 |
A |
|
3553781 |
43547031209 |
VALS+HCTZ TB 160/12.5MGSOLC90@ |
N |
$15.00 |
25.0% |
$11.84 |
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 |
|
2135259 |
00093738698 |
VENLAF ER CAP 150MG TEV 90@ |
N |
$19.55 |
18.5% |
$16.78 |
B |
|
3606597 |
16714065601 |
VENLAFAXINE TB37.5MG 100NSTAR@ |
N |
$23.55 |
31.4% |
$17.01 |
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 |
|