| ITEM |
NDC |
DSCR |
TOP 250 |
REG
INV $ |
DISC %
OF OS |
DISC
INV $ |
SL |
CAMPAIGN DATES |
| 3772514 |
16714078501 |
ARIPIPRAZOLE TB10MG 30NSTAR@ |
N |
$13.20 |
31.4% |
$9.53 |
A |
08/18/18 - 09/22/18 |
| 3772522 |
16714078601 |
ARIPIPRAZOLE TB15MG 30NSTAR@ |
N |
$13.20 |
31.4% |
$9.53 |
A |
08/18/18 - 09/22/18 |
| 3772530 |
16714078701 |
ARIPIPRAZOLE TB20MG 30NSTAR@ |
N |
$20.80 |
31.4% |
$15.02 |
A |
08/18/18 - 09/22/18 |
| 3772498 |
16714078301 |
ARIPIPRAZOLE TB2MG 30NSTAR@ |
N |
$13.20 |
31.4% |
$9.53 |
A |
08/18/18 - 09/22/18 |
| 3772506 |
16714078401 |
ARIPIPRAZOLE TB5MG 30NSTAR@ |
N |
$13.20 |
31.4% |
$9.53 |
A |
08/18/18 - 09/22/18 |
| 1861657 |
60505083305 |
AZELAST N/SPR 137MCGAPX 30ML@ |
N |
$13.58 |
5.5% |
$13.50 |
A |
08/18/18 - 09/22/18 |
| 3660982 |
16714073301 |
CELECOXIB CAP 200MG 100 NSTR@ |
N |
$23.74 |
31.4% |
$17.14 |
A |
08/18/18 - 09/22/18 |
| 2052132 |
57237001890 |
DULOXET DR CAP 30MG CIT 90@ |
Y |
$27.35 |
31.4% |
$19.75 |
A |
08/18/18 - 09/22/18 |
| 2051894 |
57237001930 |
DULOXET DR CAP 60MG CIT 30@ |
Y |
$7.41 |
31.4% |
$5.35 |
A |
08/18/18 - 09/22/18 |
| 3650819 |
00093831118 |
ELETRIPT HCI TAB 40MG TEVABP6@ |
N |
$71.15 |
31.4% |
$51.37 |
A |
08/18/18 - 09/22/18 |
| 3683661 |
16714073601 |
ESOMEPRAZOLE CAP 40MG30NSTR@ |
Y |
$14.15 |
31.4% |
$10.21 |
A |
08/18/18 - 09/22/18 |
| 3669439 |
16714073801 |
FENOFIBRATE TAB145MG 90NSTR@ |
N |
$28.36 |
31.4% |
$20.48 |
A |
08/18/18 - 09/22/18 |
| 3433331 |
67877022310 |
GABAPENT CAP 300MG ASC 1000@ |
Y |
$71.15 |
31.4% |
$51.37 |
A |
08/18/18 - 09/22/18 |
| 3773926 |
16714075301 |
HYDROXYCHL SUL TB200MG100NSTR@ |
Y |
$42.65 |
9.1% |
$40.82 |
A |
08/18/18 - 09/22/18 |
| 1805308 |
59762033302 |
LATANOP OS 125MCG/2.5ML GRE 1@ |
Y |
$5.98 |
31.5% |
$4.31 |
A |
08/18/18 - 09/22/18 |
| 3622032 |
62332006230 |
LEFLUNOMIDE TAB 20MG ALE 30 @ |
N |
$85.27 |
31.4% |
$61.58 |
A |
08/18/18 - 09/22/18 |
| 2070118 |
00591352530 |
LIDOCAINE PATCH 5% ACT 30@ |
Y |
$113.86 |
31.4% |
$82.22 |
A |
08/18/18 - 09/22/18 |
| 1979087 |
65862020399 |
LOSARTAN POT TAB 100MG AURO1M@ |
Y |
$57.72 |
31.4% |
$41.68 |
A |
08/18/18 - 09/22/18 |
| 3751013 |
00548540000 |
MEDROXYPR ACESDV150MG/MLAMPH1@ |
Y |
$61.23 |
31.4% |
$44.21 |
A |
08/18/18 - 09/22/18 |
| 3750494 |
47335023583 |
METHOTREXATE 2.5MG TAB SUN100@ |
Y |
$80.77 |
31.4% |
$58.32 |
A |
08/18/18 - 09/22/18 |
| 1139781 |
00781502207 |
METHYLPRED TAB 4MG SAN 21@ |
Y |
$7.50 |
31.4% |
$5.41 |
A |
08/18/18 - 09/22/18 |
| 1906023 |
65862021150 |
MINOCYCL CAP 100MG AURO 50@ |
N |
$29.55 |
31.4% |
$21.33 |
A |
08/18/18 - 09/22/18 |
| 1432095 |
16714036004 |
MONOLN T.25MG/.035MG6X28NSTR@ |
N |
$51.54 |
31.4% |
$37.22 |
A |
08/18/18 - 09/22/18 |
| 1118116 |
00574200802 |
NYSTOP TOPICAL PWD PADD 60GM@ |
Y |
$24.22 |
31.4% |
$17.49 |
A |
08/18/18 - 09/22/18 |
| 3582459 |
61314027225 |
OLOPAT HCL 2MG/1ML VL2.5MLSAN@ |
N |
$74.00 |
31.4% |
$53.43 |
A |
08/18/18 - 09/22/18 |
| 3260767 |
62175013643 |
OMEPRAZ DR CAP 40MG LAN 1000@ |
Y |
$84.32 |
31.4% |
$60.89 |
A |
08/18/18 - 09/22/18 |
| 1991504 |
62175044231 |
POLYETH GLYCOL LANN 527GM@ |
Y |
$10.40 |
31.4% |
$7.51 |
A |
08/18/18 - 09/22/18 |
| 1497445 |
00781572005 |
POT CHL ER TAB 20MEQ SAN 500@ |
Y |
$117.05 |
31.4% |
$84.52 |
A |
08/18/18 - 09/22/18 |
| 3639010 |
16714071302 |
TAMSULOSIN HCL CP0.4MG500NSTR@ |
Y |
$60.70 |
31.4% |
$43.83 |
A |
08/18/18 - 09/22/18 |
| 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 |
|
| 1290972 |
60505257908 |
ATORVAS FCT 20MG APX 1000@ |
Y |
$84.86 |
30.8% |
$61.80 |
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 |
|
| 3644846 |
00832063211 |
CLOMIPRAM HCL CAP 75MG U/S100@ |
N |
$683.70 |
31.4% |
$493.70 |
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 |
|
| 2123800 |
16571020210 |
DICLOFEN SOD DR 50MG PACK 100@ |
N |
$18.90 |
31.4% |
$13.64 |
A |
|
| 3410644 |
65162083366 |
DICLOFEN SOD T/G1% AMN 100GM@ |
Y |
$36.57 |
31.4% |
$26.40 |
A |
|
| 3614583 |
65162059606 |
DIPYRIDAMOLE CP 25/200MGAMN60@ |
Y |
$418.30 |
31.4% |
$302.06 |
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 |
A |
|
| 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 |
|
| 3688876 |
00378641001 |
DOXEPIN CAP 100MG MYLN 100@ |
N |
$151.52 |
31.4% |
$109.41 |
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 |
|
| 3580974 |
47781048950 |
DOXYCYCLINE HYC CAP 50MGALV50@ |
N |
$26.50 |
31.4% |
$19.13 |
A |
|
| 2052157 |
57237001899 |
DULOXET DR CAP 30MG CIT 1000@ |
Y |
$230.75 |
31.4% |
$166.62 |
A |
|
| 3651874 |
00115169449 |
EPINEPH AUTO INJ 0.3MG IMP 2@ |
N |
$375.15 |
24.0% |
$300.12 |
AC |
|
| 3589082 |
52536013413 |
ERYTH ETH GRAN 200MG WIL100ML@ |
Y |
$311.57 |
31.4% |
$224.98 |
A |
|
| 3683679 |
16714073602 |
ESOMEPRAZOLE CAP 40MG90NSTR@ |
Y |
$42.44 |
31.4% |
$30.64 |
A |
|
| 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 |
$13.20 |
44.6% |
$7.70 |
B |
|
| 1954288 |
00093725601 |
GLIMEPIR TAB 4MG TEV 100@ |
N |
$15.22 |
37.8% |
$9.97 |
B |
|
| 2138543 |
68382008001 |
HALOPERIDOL TAB 10MG ZYD100@ |
N |
$71.35 |
31.4% |
$51.51 |
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 |
|
| 1325547 |
00378113401 |
KETOR TAB 10MG MYL 100@ |
N |
$182.50 |
31.4% |
$131.78 |
A |
|
| 3608221 |
16714070101 |
LAMOTRIGINE TB 100MG 100 NSTR@ |
N |
$8.73 |
31.5% |
$6.30 |
A |
|
| 3426822 |
16714041603 |
LARIN 24 FE 1MG/20MCG3X28NSTR@ |
N |
$184.20 |
31.9% |
$132.12 |
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 |
|
| 3469657 |
47335032213 |
MEMANTINE HCI TB 10MG CARA500@ |
N |
$53.39 |
31.4% |
$38.55 |
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 |
$122.79 |
13.4% |
$111.92 |
AC |
|
| 1779057 |
55111046705 |
METOPROL ER TAB 50MG DR/R 500@ |
Y |
$125.46 |
20.0% |
$105.65 |
AC |
|
| 1914548 |
57664016758 |
METOPROL TAB 100MG CARA 1000@ |
N |
$35.86 |
31.4% |
$25.90 |
A |
|
| 3459427 |
60505083001 |
MOMETAS FUR NS 50MCG APX17G@ |
Y |
$58.05 |
25.0% |
$45.83 |
A |
|
| 3297652 |
24208063110 |
NEOMY+POL B OTIC SOL B&L 10ML@ |
Y |
$78.65 |
27.2% |
$60.26 |
A |
|
| 2773836 |
24208063562 |
NEOMY+POL B+HYD OS B&L 10ML@ |
Y |
$77.70 |
26.3% |
$60.26 |
A |
|
| 3496957 |
65162032309 |
NIACIN ER TAB 1000MG AMN 90@ |
N |
$140.17 |
31.4% |
$101.22 |
A |
|
| 3237708 |
16714043901 |
NITROFURANT CAP 100MG100 NSTR@ |
Y |
$78.65 |
28.8% |
$58.96 |
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@ |
Y |
$37.75 |
31.5% |
$27.24 |
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 |
|
| 3592847 |
00378046601 |
PIROXICAM CAP 10MG MYL 100@ |
N |
$90.00 |
31.4% |
$64.99 |
A |
|
| 3592854 |
00378046701 |
PIROXICAM CAP 20MG MYL 100@ |
N |
$123.76 |
31.4% |
$89.37 |
A |
|
| 1488048 |
00781571010 |
POT CHL ER TAB 10MEQ SAN 1000@ |
Y |
$263.82 |
21.6% |
$217.72 |
AC |
|
| 3240413 |
00378456105 |
POT CHL ER TB USP10MEQ MYL500@ |
Y |
$146.20 |
31.4% |
$105.57 |
A |
|
| 1872225 |
00245007111 |
POT CIT ER TAB 10MEQ U/S 100@ |
Y |
$132.86 |
31.4% |
$95.94 |
AC |
|
| 3400405 |
68382053801 |
POTASS CIT ER TB 15MEQ ZYD100@ |
N |
$206.81 |
31.4% |
$149.34 |
A |
|
| 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 |
|
| 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 |
|
| 1231596 |
00093221005 |
SUCRALFATE TAB 1GM TEV 500@ |
Y |
$143.04 |
21.5% |
$118.19 |
A |
|
| 1206127 |
00472011745 |
TRETINOIN CRM .025% ACTA 45GM@ |
N |
$135.63 |
22.0% |
$111.36 |
A |
|
| 1432905 |
16714036304 |
TRILN TB.18MG/.035MG6X28NSTR@ |
N |
$38.72 |
11.5% |
$36.08 |
A |
|
| 3509569 |
68180083713 |
TRILOMARZIA TAB LUP 3X28@ |
N |
$40.46 |
31.6% |
$29.15 |
A |
|
| 1126317 |
00591315901 |
URSODIOL CAP 300MG WAT 100@ |
Y |
$281.10 |
8.7% |
$270.02 |
A |
|
| 2222479 |
65862069790 |
VENLAF ER CAP 150MG AURO 90@ |
Y |
$16.62 |
18.5% |
$14.26 |
A |
|
| 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 |
|