ITEM |
NDC |
DESC |
SL |
APCI INV price as of 08/06/19 |
REG INV $ |
ON CPL |
ESTIMATED NET COST |
3780079 |
57894015512 |
ABIRATERONE CP 250MG PATR 120@ |
A |
$3,280.20 |
$3,280.20 |
|
$1,312.08 |
2012755 |
68462043518 |
ACAMPROS DR TAB 333MG GLEN180@ |
A |
$167.86 |
$167.86 |
|
$67.14 |
3406170 |
16714088501 |
ACYCLOVIR OINT 5% 15GM NSTR@ |
A |
$37.99 |
$37.99 |
|
$15.20 |
3406774 |
16714088502 |
ACYCLOVIR OINT 5% 30GM NSTR@ |
A |
$60.22 |
$60.22 |
|
$24.09 |
1211945 |
68462040355 |
ADAPALENE GEL 0.1% GLEN 45GM@ |
A |
$75.98 |
$75.98 |
|
$30.39 |
1229616 |
68462030017 |
ALCLOMETAS CRM 0.05% GLEN15GM@ |
A |
$32.97 |
$32.97 |
|
$13.19 |
1230002 |
68462030047 |
ALCLOMETAS CRM 0.05% GLEN45GM@ |
A |
$68.27 |
$68.27 |
|
$27.31 |
1230309 |
68462030065 |
ALCLOMETAS CRM 0.05% GLEN60GM@ |
A |
$76.45 |
$76.45 |
|
$30.58 |
2203727 |
51672130104 |
AMMON LACT CR 12% TAR 2X140GM@ |
A |
$22.52 |
$22.52 |
|
$9.01 |
3478419 |
16714047802 |
AMOXICI CLV+POT875/125100NSTR@ |
A |
$30.79 |
$42.65 |
YES |
$12.32 |
3478401 |
16714047801 |
AMOXICI CLV+POT875/12520NSTR@ |
A |
$5.66 |
$5.45 |
|
$2.26 |
3294881 |
00713050301 |
ANUCORT-HC HEM SUPP G/W 100@ |
A* |
$888.05 |
$888.05 |
|
$355.22 |
3772514 |
16714078501 |
ARIPIPRAZOLE TB10MG 30NSTAR@ |
A |
$9.46 |
$9.46 |
|
$3.78 |
3772498 |
16714078301 |
ARIPIPRAZOLE TB2MG 30NSTAR@ |
A |
$9.84 |
$9.84 |
|
$3.94 |
3772506 |
16714078401 |
ARIPIPRAZOLE TB5MG 30NSTAR@ |
A |
$9.88 |
$9.88 |
|
$3.95 |
3785623 |
16714076001 |
ATOMOXETINE CAP 80MG NSTR 30@ |
A |
$66.63 |
$83.49 |
|
$26.65 |
2529030 |
16714087401 |
ATORVAST CALC TAB 10MG 90NSTR@ |
A |
$5.73 |
$5.73 |
|
$2.29 |
2529048 |
16714087402 |
ATORVAST CALC TAB 10MG500NSTR@ |
A |
$36.89 |
$36.89 |
|
$14.76 |
2529063 |
16714087501 |
ATORVAST CALC TAB 20MG 90NSTR@ |
A |
$6.35 |
$7.05 |
|
$2.54 |
2529071 |
16714087502 |
ATORVAST CALC TAB 20MG500NSTR@ |
A |
$37.95 |
$54.71 |
|
$15.18 |
2529907 |
16714087601 |
ATORVAST CALC TAB 40MG 90NSTR@ |
A |
$9.26 |
$9.87 |
|
$3.70 |
2530905 |
16714087602 |
ATORVAST CALC TAB 40MG500NSTR@ |
A |
$55.42 |
$55.42 |
|
$22.17 |
2530921 |
16714087701 |
ATORVAST CALC TAB 80MG 90NSTR@ |
A |
$13.44 |
$13.44 |
|
$5.38 |
2530947 |
16714087702 |
ATORVAST CALC TAB 80MG500NSTR@ |
A |
$74.93 |
$74.93 |
|
$29.97 |
2529055 |
16714087403 |
ATORVAST CALC TAB10MG1000NSTR@ |
A |
$62.74 |
$62.74 |
|
$25.10 |
2529097 |
16714087503 |
ATORVAST CALC TAB20MG1000NSTR@ |
A |
$75.90 |
$102.82 |
|
$30.36 |
2530913 |
16714087603 |
ATORVAST CALC TAB40MG1000NSTR@ |
A |
$103.11 |
$103.11 |
|
$41.24 |
2530954 |
16714087703 |
ATORVAST CALC TAB80MG1000NSTR@ |
A |
$142.47 |
$142.47 |
|
$56.99 |
1946599 |
68462040401 |
ATOVAQUO+PROG TB250/100GLEN1C@ |
A |
$318.16 |
$318.16 |
|
$127.26 |
1944305 |
68462040467 |
ATOVAQUO+PROG TB250/100GLEN24@ |
A |
$93.85 |
$93.85 |
|
$37.54 |
2004315 |
66993089749 |
AUGMENTED BETA OI0.05%PRAS50G@ |
A |
$68.81 |
$68.81 |
|
$27.52 |
1951144 |
59762314001 |
AZITHROMY O/S 1200MG GRE 30ML@ |
A |
$9.75 |
$9.75 |
|
$3.90 |
1950393 |
59762312001 |
AZITHROMY O/S 600MG GRE 15ML@ |
A |
$8.92 |
$10.15 |
|
$3.57 |
1950708 |
59762313001 |
AZITHROMY OS 900MG GRE 22.5ML@ |
A |
$10.66 |
$10.66 |
|
$4.26 |
2163699 |
50111078710 |
AZITHROMY TAB 250MG TEVA 30@ |
A |
$17.57 |
$17.57 |
|
$7.03 |
3645074 |
50111078810 |
AZITHROMY TAB 500MG PLIV 30@ |
A |
$33.15 |
$33.15 |
|
$13.26 |
2165249 |
50111078867 |
AZITHROMY TAB 500MG PLIV 3X3@ |
A |
$10.44 |
$10.44 |
|
$4.18 |
1820992 |
16714007204 |
BACLOFEN TAB 20MG 100 NSTAR@ |
A |
$17.84 |
$20.77 |
|
$7.14 |
1821099 |
16714007205 |
BACLOFEN TAB 20MG 500 NSTAR@ |
A |
$101.89 |
$101.89 |
|
$40.76 |
1944081 |
00603240732 |
BACLOFEN TAB 20MG PAR 1000@ |
A |
$200.00 |
$200.00 |
|
$80.00 |
1229590 |
00168026815 |
BETAMET DIP AU 0.05%FOUG 15GM@ |
A |
$62.12 |
$62.12 |
|
$24.85 |
2134880 |
00168005515 |
BETAMET DIP CR 0.05%FOUG 15GM@ |
A |
$32.63 |
$32.63 |
|
$13.05 |
2134898 |
00168005546 |
BETAMET DIP CR 0.05%FOUG 45GM@ |
A |
$48.36 |
$48.36 |
|
$19.34 |
3745536 |
69097031987 |
BUDESON INH/S 0.5MG/2ML CIP30@ |
A |
$66.45 |
$66.45 |
|
$26.58 |
3745551 |
69097032187 |
BUDESON INH/S 1MG/2ML CIP 30@ |
A |
$279.25 |
$347.61 |
|
$111.70 |
1231711 |
51672400501 |
CARBAMAZ TAB 200MG TAR 100@ |
A |
$31.48 |
$43.60 |
YES |
$12.59 |
1154194 |
51672400503 |
CARBAMAZ TAB 200MG TAR 1000@ |
A |
$332.39 |
$332.39 |
|
$132.96 |
1739192 |
51672400502 |
CARBAMAZ TAB 200MG TAR 500@ |
A |
$237.39 |
$237.39 |
|
$94.96 |
2041150 |
16714039302 |
CEFDINIR OS 250MG/5ML1CMLNSTR@ |
A |
$13.45 |
$13.45 |
|
$5.38 |
2035103 |
16714040102 |
CEFUROX AXET TB 500MG60 NSTR@ |
A |
$51.10 |
$51.10 |
|
$20.44 |
2035095 |
16714040101 |
CEFUROXIME AXETIL TAB 500MG20@ |
A |
$18.42 |
$18.42 |
|
$7.37 |
3728219 |
68180044101 |
CEPHALEX O/S 250/5MLLUPI100ML@ |
A |
$12.63 |
$12.63 |
|
$5.05 |
3709417 |
68180044102 |
CEPHALEX O/S 250/5MLLUPI200ML@ |
A |
$17.08 |
$17.08 |
|
$6.83 |
2792091 |
16571065710 |
CEVIMELI HYDRO CP 30MGPACK100@ |
A |
$110.12 |
$106.36 |
|
$44.05 |
2559359 |
69238106001 |
CHLORPROM HCLTB 100MG AMN 100@ |
A |
$570.01 |
$570.01 |
|
$228.00 |
2559334 |
69238105601 |
CHLORPROM HCLTB 25MG AMN 100@ |
A |
$315.55 |
$315.55 |
|
$126.22 |
2559342 |
69238105801 |
CHLORPROM HCLTB 50MG AMN 100@ |
A |
$380.00 |
$380.00 |
|
$152.00 |
2145183 |
00832030110 |
CHLORPROM TAB 25MG U/S 1000@ |
A* |
$3,299.67 |
$2,703.20 |
|
$1,319.87 |
2147015 |
00832030210 |
CHLORPROM TAB 50MG U/S 1000@ |
A* |
$3,446.96 |
$3,446.96 |
|
$1,378.78 |
1430354 |
59762374401 |
CLINDAMY PH LOT 1% GRE 60ML@ |
A |
$68.13 |
$68.13 |
|
$27.25 |
3785763 |
16714078201 |
CLOBETA PR OINT .05%15GM NSTR@ |
A |
$16.20 |
$16.20 |
|
$6.48 |
3785854 |
16714078202 |
CLOBETA PR OINT .05%30GM NSTR@ |
A |
$31.97 |
$31.97 |
|
$12.79 |
3785870 |
16714078203 |
CLOBETA PR OINT .05%45GM NSTR@ |
A |
$48.58 |
$48.58 |
|
$19.43 |
3785888 |
16714078204 |
CLOBETA PR OINT .05%60GM NSTR@ |
A |
$59.38 |
$59.38 |
|
$23.75 |
1364363 |
60432013325 |
CLOBETAS PR SO 0.05% MOR 25ML@ |
A |
$26.12 |
$26.12 |
|
$10.45 |
3669629 |
16714073001 |
CLOBETASOL CRM .05% 15GMNSTAR@ |
A |
$12.56 |
$14.15 |
|
$5.02 |
3669645 |
16714073002 |
CLOBETASOL CRM .05% 30GMNSTAR@ |
A |
$24.44 |
$26.05 |
|
$9.78 |
3669652 |
16714073003 |
CLOBETASOL CRM .05% 45GMNSTAR@ |
A |
$40.00 |
$40.00 |
|
$16.00 |
3669660 |
16714073004 |
CLOBETASOL CRM .05% 60GMNSTAR@ |
A |
$47.45 |
$44.89 |
|
$18.98 |
2409837 |
16714084903 |
CLOMIPRAM HCL CP 25MG 100NSTR@ |
A |
$522.40 |
$522.40 |
|
$208.96 |
2409811 |
16714084901 |
CLOMIPRAM HCL CP 25MG 30 NSTR@ |
A |
$165.47 |
$165.47 |
|
$66.19 |
2409829 |
16714084902 |
CLOMIPRAM HCL CP 25MG 90 NSTR@ |
A |
$501.24 |
$501.24 |
|
$200.50 |
2409860 |
16714085003 |
CLOMIPRAM HCL CP 50MG 100NSTR@ |
A |
$366.93 |
$448.82 |
|
$146.77 |
2409845 |
16714085001 |
CLOMIPRAM HCL CP 50MG 30 NSTR@ |
A |
$152.00 |
$152.00 |
|
$60.80 |
2409852 |
16714085002 |
CLOMIPRAM HCL CP 50MG 90 NSTR@ |
A |
$380.70 |
$403.94 |
|
$152.28 |
3559259 |
16714049601 |
CLOTR+BETA CRM 1/.05% 15GNSTR@ |
A |
$4.55 |
$4.86 |
|
$1.82 |
3559267 |
16714049602 |
CLOTR+BETA CRM 1/.05% 45GNSTR@ |
A |
$9.02 |
$9.44 |
|
$3.61 |
1253145 |
57664034713 |
CLOZAPINE TAB 100MG CARA 500@ |
AC |
$712.47 |
$712.47 |
|
$284.99 |
3421393 |
57664034788 |
CLOZAPINE TAB 100MG SUN 100@ |
AC |
$142.49 |
$142.49 |
|
$57.00 |
3517257 |
69918020101 |
DESMOPRES AC TB 0.2MG AMR 100@ |
A |
$76.58 |
$89.86 |
YES |
$30.63 |
3530086 |
68682010301 |
DICLOFEN S/ER TB 100MG VAL100@ |
A |
$142.49 |
$142.49 |
|
$57.00 |
2064285 |
69097052444 |
DICLOFEN SOD GEL 1.0%CIP100GM@ |
A |
$25.33 |
$25.33 |
|
$10.13 |
3559192 |
16714059001 |
DIGOXIN TAB 0.125MG NSTAR 100@ |
A |
$47.71 |
$47.71 |
|
$19.08 |
3559200 |
16714059002 |
DIGOXIN TAB 0.125MG NSTAR1000@ |
A |
$279.22 |
$279.22 |
|
$111.69 |
3491834 |
16714048501 |
DIVALP SOD ER TB500MG100NSTAR@ |
A |
$39.91 |
$47.39 |
YES |
$15.96 |
3491842 |
16714048502 |
DIVALP SOD ER TB500MG500NSTAR@ |
A |
$113.85 |
$113.85 |
|
$45.54 |
1705755 |
55111053201 |
DIVALP SPRNK CP 125MG DR/R100@ |
A |
$38.10 |
$53.63 |
|
$15.24 |
1257633 |
55111053205 |
DIVALP SPRNK CP 125MG DR/R500@ |
AC |
$262.78 |
$262.78 |
|
$105.11 |
3429156 |
29300014001 |
DIVALPR SOD DR TB 500MGUNI100@ |
A |
$22.28 |
$22.28 |
|
$8.91 |
3927266 |
29300014005 |
DIVALPR SOD DR TB 500MGUNI500@ |
A |
$85.55 |
$118.47 |
YES |
$34.22 |
2051894 |
57237001930 |
DULOXET DR CAP 60MG CIT 30@ |
A |
$7.41 |
$7.41 |
|
$2.96 |
3485026 |
57237001990 |
DULOXET HCL DR CAP 60MG CIT90@ |
A |
$22.22 |
$22.22 |
|
$8.89 |
3918729 |
27241009990 |
DULOXETINE DR CP 60MGAJAN1000@ |
A |
$207.20 |
$207.20 |
|
$82.88 |
3491529 |
66993058030 |
DUT+TAMS HCI CP.5/.4MG PRAS30@ |
A |
$78.46 |
$78.46 |
|
$31.38 |
3491537 |
66993058085 |
DUT+TAMS HCI CP.5/.4MG PRAS90@ |
A |
$235.40 |
$235.40 |
|
$94.16 |
3760402 |
42806054909 |
DUTASTERIDE CAP 0.5MG EPIC 90@ |
A |
$24.60 |
$24.60 |
|
$9.84 |
1129063 |
16714036504 |
ELINEST TB 0.3/0.03MG6X28NSTR@ |
A |
$72.34 |
$67.41 |
|
$28.94 |
3440880 |
16714044401 |
ENALAP MAL TB 10MG 100 NSTR@ |
A |
$16.29 |
$16.29 |
|
$6.52 |
3440898 |
16714044402 |
ENALAP MAL TB 10MG 1000 NSTR@ |
A |
$175.89 |
$175.89 |
|
$70.36 |
3440906 |
16714044501 |
ENALAP MAL TB 20MG 100 NSTR@ |
A |
$20.79 |
$20.79 |
|
$8.32 |
3440914 |
16714044502 |
ENALAP MAL TB 20MG 1000 NSTR@ |
A |
$209.98 |
$209.98 |
|
$83.99 |
3741782 |
27241004910 |
ENTACAPONE TAB 200MG AJAN 100@ |
A |
$90.28 |
$99.65 |
|
$36.11 |
3683661 |
16714073601 |
ESOMEP MAG CP 40MG 30 DR NSTR@ |
A |
$9.00 |
$9.00 |
|
$3.60 |
3683679 |
16714073602 |
ESOMEP MAG CP 40MG 90 DR NSTR@ |
A |
$22.24 |
$27.00 |
|
$8.90 |
2557031 |
68462071188 |
ESTRADI VAG INS10MCG GLEN3X6@ |
A |
$252.28 |
$252.28 |
|
$100.91 |
3767670 |
68382077306 |
EZETIMIBE TAB 10MG ZYD 30@ |
A |
$7.98 |
$7.98 |
|
$3.19 |
3467818 |
43386002606 |
FLUOCINO TOP SOL .05% LUP60ML@ |
A |
$47.60 |
$47.60 |
|
$19.04 |
3454824 |
43386002602 |
FLUOCINO TS 0.05% LUPI 20ML@ |
A |
$34.30 |
$34.30 |
|
$13.72 |
3638319 |
51672138601 |
FLUOCINON CRM 0.05% TARO 15GM@ |
A |
$16.03 |
$16.03 |
|
$6.41 |
3638327 |
51672138602 |
FLUOCINON CRM 0.05% TARO 30GM@ |
A |
$32.07 |
$32.07 |
|
$12.83 |
3638335 |
51672138603 |
FLUOCINON CRM 0.05% TARO 60GM@ |
A |
$33.32 |
$47.30 |
|
$13.33 |
3927233 |
66530024940 |
FLUOROUR CRM 5% MAYN 40GM@ |
A |
$65.79 |
$89.00 |
|
$26.32 |
1264068 |
16714066101 |
GABAPENT CAP 100MG 100 NSTAR@ |
A |
$4.28 |
$4.28 |
|
$1.71 |
1264159 |
16714066102 |
GABAPENT CAP 100MG 500 NSTAR@ |
A |
$15.45 |
$21.39 |
YES |
$6.18 |
1264282 |
16714066201 |
GABAPENT CAP 300MG 100 NSTAR@ |
A |
$7.21 |
$7.21 |
|
$2.88 |
1265826 |
16714066202 |
GABAPENT CAP 300MG 500 NSTAR@ |
A |
$33.24 |
$33.24 |
|
$13.30 |
3469848 |
60758061525 |
GATIFLOX OPH SOL.5% GRE 2.5ML@ |
A |
$70.58 |
$70.58 |
|
$28.23 |
1943398 |
55111032201 |
GLIMEPIR TAB 4MG DR/R 100@ |
A |
$8.27 |
$11.45 |
YES |
$3.31 |
3591856 |
68382018601 |
GLIP/MET HCI TB5/500MG ZYD100@ |
A |
$20.72 |
$26.65 |
|
$8.29 |
3612850 |
16714070501 |
IMATINIB MESYL TB400MG30NSTAR@ |
A |
$364.86 |
$364.86 |
|
$145.94 |
1859446 |
68462030201 |
INDOMET CAP 50MG GLEN 100@ |
A |
$12.53 |
$12.53 |
|
$5.01 |
3285053 |
68462030205 |
INDOMET CAP 50MG GLEN 500@ |
A |
$61.99 |
$61.99 |
|
$24.80 |
1273325 |
00168009915 |
KETOCONAZOLE CRM 2% FOUG 15GM@ |
A |
$9.59 |
$13.29 |
YES |
$3.84 |
1273507 |
00168009930 |
KETOCONAZOLE CRM 2% FOUG 30GM@ |
A |
$15.71 |
$21.75 |
YES |
$6.28 |
1265743 |
00591060601 |
LABETALOL TAB 200MG WAT 100@ |
A |
$25.92 |
$25.92 |
|
$10.37 |
2025591 |
16714040504 |
LARIN FE TB 1.5/30 6X28 NSTR@ |
A |
$83.95 |
$83.95 |
|
$33.58 |
2215507 |
16714035801 |
LEVETIRAC OS100MG/ML473MLNSTR@ |
A |
$15.83 |
$15.83 |
|
$6.33 |
2141471 |
00781518392 |
LEVOTHYROX TAB 88MCG SAN 90@ |
AC |
$32.10 |
$32.10 |
|
$12.84 |
2106961 |
68462022401 |
LITHIUM CARB ER 450MG GLEN100@ |
A |
$24.61 |
$24.61 |
|
$9.84 |
1745983 |
68180046901 |
LOVASTAT TAB 40MG LUPI 100@ |
A |
$15.19 |
$15.19 |
|
$6.08 |
1791532 |
68180046907 |
LOVASTAT TAB 40MG LUPI 60@ |
A |
$9.30 |
$9.30 |
|
$3.72 |
3459435 |
00093092810 |
LOVASTAT TAB 40MG TEV 1000@ |
A |
$58.24 |
$58.24 |
|
$23.30 |
1249564 |
00703680104 |
MEDROXYPR SDV 150/ML 1MLTEV25@ |
A |
$949.92 |
$949.92 |
|
$379.97 |
1249895 |
00703680101 |
MEDROXYPR SDV 150MG/ML TEV1ML@ |
A |
$44.21 |
$61.23 |
YES |
$17.68 |
3744489 |
10370034711 |
MEMANTINE HCI ER CP 14MGPAR30@ |
A |
$132.99 |
$132.99 |
|
$53.20 |
3744497 |
10370034709 |
MEMANTINE HCI ER CP 14MGPAR90@ |
A |
$390.45 |
$390.45 |
|
$156.18 |
3908860 |
16714083001 |
MESALAMINE DR TB 1.2G NSTR120@ |
A |
$617.51 |
$617.51 |
|
$247.00 |
3709037 |
55111065001 |
METAXALONE TAB 800MG DR/R 100@ |
A |
$147.17 |
$155.05 |
|
$58.87 |
3432226 |
42385090210 |
METFORM HCL TB1000MG LAUR1000@ |
A |
$26.50 |
$26.50 |
|
$10.60 |
3592524 |
65862078201 |
METHENAMINE TB 1G AURO 100@ |
A |
$81.32 |
$81.32 |
|
$32.53 |
2080711 |
16714085401 |
METOPROL SUCC ER 100MG100NSTR@ |
A |
$35.48 |
$40.95 |
|
$14.19 |
2080729 |
16714085402 |
METOPROL SUCC ER 100MG500NSTR@ |
A |
$150.99 |
$209.10 |
YES |
$60.40 |
2080760 |
16714085501 |
METOPROL SUCC ER 200MG100NSTR@ |
A |
$76.10 |
$76.10 |
|
$30.44 |
2080778 |
16714085502 |
METOPROL SUCC ER 200MG500NSTR@ |
A |
$442.70 |
$442.70 |
|
$177.08 |
2078368 |
16714085201 |
METOPROL SUCC ER 25MG 100NSTR@ |
A |
$16.60 |
$21.95 |
|
$6.64 |
2078392 |
16714085202 |
METOPROL SUCC ER 25MG 500NSTR@ |
A |
$85.83 |
$118.86 |
YES |
$34.33 |
2078418 |
16714085203 |
METOPROL SUCC ER 25MG1000NSTR@ |
A |
$218.60 |
$218.60 |
|
$87.44 |
2078426 |
16714085301 |
METOPROL SUCC ER 50MG 100NSTR@ |
A |
$18.99 |
$18.99 |
|
$7.60 |
2080679 |
16714085302 |
METOPROL SUCC ER 50MG 500NSTR@ |
A |
$68.59 |
$94.99 |
YES |
$27.44 |
2080687 |
16714085303 |
METOPROL SUCC ER 50MG1000NSTR@ |
A |
$183.93 |
$183.93 |
|
$73.57 |
2080752 |
16714085403 |
METOPROL SUCC ER100MG1000NSTR@ |
A |
$370.61 |
$370.61 |
|
$148.24 |
2058717 |
66993096045 |
METRONIDAZ CRM 0.75% PRAS45G@ |
A |
$56.95 |
$56.95 |
|
$22.78 |
2012656 |
00781708035 |
METRONIDAZ GEL TU 1% SAN60GM@ |
A |
$98.64 |
$136.12 |
|
$39.46 |
3574589 |
29300022746 |
METRONIDAZ TAB 500MG UNI 50@ |
A |
$20.32 |
$20.32 |
|
$8.13 |
3575743 |
29300022701 |
METRONIDAZOLE TAB 500MGUNI100@ |
A |
$36.94 |
$36.94 |
|
$14.78 |
2056000 |
13107000105 |
MIRTAZAP TAB 7.5MG AURO 500@ |
A |
$810.50 |
$810.50 |
|
$324.20 |
3616232 |
16714070601 |
MIRTAZAPINE TB 7.5MG 30 NSTR@ |
A |
$24.28 |
$39.27 |
|
$9.71 |
3459427 |
60505083001 |
MOMETAS FUR NS 50MCG APX17G@ |
A |
$34.29 |
$47.49 |
YES |
$13.72 |
2133973 |
68462022555 |
MOMETAS FURO OIN 0.1%GLEN45GM@ |
A |
$12.40 |
$12.40 |
|
$4.96 |
1290311 |
65862057490 |
MONTELUK TAB 10MG AURO 90@ |
A |
$7.69 |
$7.69 |
|
$3.08 |
2144632 |
68462018022 |
MUPIROCIN OINT 2% GLEN 22GM@ |
A |
$5.46 |
$5.46 |
|
$2.18 |
3650892 |
51672131201 |
MUPIROCIN OINT 2% TARO 15G@ |
AC |
$5.22 |
$5.22 |
|
$2.09 |
3555208 |
43598049501 |
NAPROXEN SOD TB 550MG DR/R100@ |
A |
$59.53 |
$59.53 |
|
$23.81 |
3555216 |
43598049505 |
NAPROXEN SOD TB550MG DR/R500=@ |
A |
$300.90 |
$300.90 |
|
$120.36 |
1227958 |
49884098501 |
NATEGLIN TAB 120MG PAR 100@ |
A |
$61.51 |
$52.30 |
|
$24.60 |
3237708 |
16714043901 |
NITROFURANT CAP 100MG100 NSTR@ |
A |
$58.96 |
$78.65 |
YES |
$23.58 |
3546355 |
59762330401 |
NITROGL SUBLIN TB .4MG GRE100@ |
A |
$32.50 |
$32.50 |
|
$13.00 |
3724382 |
68462063945 |
NITROGLYC SL TB .4MG GLEN4X25@ |
A |
$38.42 |
$56.75 |
|
$15.37 |
3724309 |
68462063801 |
NITROGLYC SL TB 0.3MG GLEN100@ |
A |
$36.11 |
$36.11 |
|
$14.44 |
3778123 |
16714076901 |
NYSTAT PWD 100000U/GM15G NSTR@ |
A |
$5.75 |
$5.36 |
|
$2.30 |
3778156 |
16714076902 |
NYSTAT PWD 100000U/GM30G NSTR@ |
A |
$10.64 |
$10.64 |
|
$4.26 |
3778164 |
16714076903 |
NYSTAT PWD 100000U/GM60G NSTR@ |
A |
$18.89 |
$18.89 |
|
$7.56 |
3705423 |
16714074801 |
OMEPRAZOLE DR CP 40MG 30NSTR@ |
A |
$4.32 |
$4.32 |
|
$1.73 |
3705530 |
16714074802 |
OMEPRAZOLE DR CP 40MG100NSTR@ |
A |
$6.77 |
$6.77 |
|
$2.71 |
3705563 |
16714074804 |
OMEPRAZOLE DR CP 40MG500NSTR@ |
A |
$42.17 |
$42.17 |
|
$16.87 |
3451937 |
10147095303 |
PALIPERID ER TAB 6MG PAT 30@ |
AC |
$294.50 |
$294.50 |
|
$117.80 |
3267366 |
16714086701 |
PALIPERIDONE ER TB 3MG 30NSTR@ |
A |
$285.95 |
$285.95 |
|
$114.38 |
3267374 |
16714086801 |
PALIPERIDONE ER TB 6MG 30NSTR@ |
A |
$236.61 |
$284.99 |
YES |
$94.64 |
3267408 |
16714086901 |
PALIPERIDONE ER TB 9MG 30NSTR@ |
A |
$434.06 |
$434.06 |
|
$173.62 |
1892132 |
45802086803 |
POLYETH GLY PW 3350 PERR17.9Z@ |
A |
$10.51 |
$10.51 |
|
$4.20 |
1892157 |
45802086802 |
POLYETH GLYC PW 3350 PERR8.3Z@ |
A |
$5.94 |
$5.94 |
|
$2.38 |
3587144 |
64980032430 |
PROCTOZONE HC CRM 2.5% RIS30G@ |
A |
$13.63 |
$15.19 |
|
$5.45 |
3749330 |
68462041060 |
PROPAFEN HCI ER 425MG GLEN 60@ |
A |
$282.81 |
$282.81 |
|
$113.12 |
3280930 |
16714045601 |
QUETIAPIN FUM TB 300MG100NSTR@ |
A |
$30.18 |
$41.80 |
YES |
$12.07 |
3280948 |
16714045701 |
QUETIAPIN FUM TB 400MG100NSTR@ |
A |
$26.50 |
$26.50 |
|
$10.60 |
3901261 |
29300015116 |
QUETIAPIN FUM TB300M UNIC 60@ |
A |
$21.08 |
$21.08 |
|
$8.43 |
3556420 |
69097082507 |
RALOXIFENE HCI TAB 60MGCIP100@ |
A |
$75.99 |
$75.99 |
|
$30.40 |
3556438 |
69097082515 |
RALOXIFENE HCI TB 60MGCIP1000@ |
A |
$807.40 |
$615.88 |
|
$322.96 |
2026599 |
00093729056 |
RALOXIFENE HCL TB 60MG TEVA30@ |
A |
$15.67 |
$15.67 |
|
$6.27 |
3756111 |
16714077101 |
RASAGILINE MESY TB 1MG30NSTAR@ |
A |
$256.46 |
$256.46 |
|
$102.58 |
3605797 |
65862087011 |
RISEDRONATE TAB 150MG AURO 1@ |
A |
$37.29 |
$37.29 |
|
$14.92 |
3605789 |
65862087003 |
RISEDRONATE TAB 150MG AURO 3@ |
A |
$110.99 |
$110.99 |
|
$44.40 |
3912771 |
00378907093 |
RIVASTIG PAT 4.6MG/24HR MYL30@ |
A |
$127.65 |
$166.38 |
|
$51.06 |
3912797 |
00378907193 |
RIVASTIG PAT 9.5MG/24HR MYL30 |
A |
$159.13 |
$159.13 |
|
$63.65 |
3439288 |
00093551798 |
SILDENAFIL TAB 20MG TEVA 90@ |
A |
$18.99 |
$18.99 |
|
$7.60 |
2422038 |
50383082316 |
SULFAM+TRI O/S CHRY HI-T 16OZ@ |
AC |
$109.87 |
$109.87 |
|
$43.95 |
1360627 |
65862049647 |
SULFAM+TRI OS CHRY AURO 473ML@ |
AC |
$64.84 |
$93.79 |
|
$25.94 |
3900909 |
68462053435 |
TACROLIMUS OINT 0.1% GLEN30GM@ |
A |
$115.77 |
$115.77 |
|
$46.31 |
3900917 |
68462053465 |
TACROLIMUS OINT 0.1% GLEN60GM@ |
A |
$229.52 |
$229.52 |
|
$91.81 |
3900925 |
68462053494 |
TACROLIMUS OINT 0.1%GLEN100GM@ |
A |
$382.76 |
$382.76 |
|
$153.10 |
3938826 |
35573041230 |
TADALAFIL TAB 20MG PRA30@ |
A |
$83.49 |
$83.49 |
|
$33.40 |
3938800 |
35573041030 |
TADALAFIL TAB 5MG PRA30@ |
A |
$14.25 |
$14.25 |
|
$5.70 |
3639002 |
16714071301 |
TAMSULOSIN HCL CP .4MG100NSTR@ |
A |
$7.94 |
$7.94 |
|
$3.18 |
3639010 |
16714071302 |
TAMSULOSIN HCL CP0.4MG500NSTR@ |
A |
$41.66 |
$41.66 |
|
$16.66 |
3900610 |
67877053914 |
TEMOZOLOMID CAP 100MG ASC 14@ |
A |
$672.93 |
$672.93 |
|
$269.17 |
3900586 |
67877053907 |
TEMOZOLOMID CAP 100MG ASC 5@ |
A |
$338.09 |
$338.09 |
|
$135.24 |
3906344 |
16714082001 |
TENOFOV DIS FUM TB300MG30NSTR@ |
A |
$56.99 |
$56.99 |
|
$22.80 |
3479391 |
13668018930 |
TOLTERODINE CAP ER 2MGTORR30@ |
A |
$47.73 |
$66.40 |
|
$19.09 |
3479417 |
13668018990 |
TOLTERODINE CAP ER 2MGTORR90@ |
A |
$189.96 |
$189.96 |
|
$75.98 |
3479433 |
13668018905 |
TOLTERODINE CAP ER2MGTORR500@ |
A |
$1,055.32 |
$1,055.32 |
|
$422.13 |
3643020 |
45802006435 |
TRIAMCIN CRM 0.1% PERR 15GM@ |
A |
$2.80 |
$2.80 |
|
$1.12 |
3670254 |
51672126705 |
TRIAMCIN PSTE 0.1% TAR 5GM@ |
A |
$28.02 |
$28.02 |
|
$11.21 |
1126317 |
00591315901 |
URSODIOL CAP 300MG WAT 100@ |
A |
$150.89 |
$208.95 |
YES |
$60.36 |
1479310 |
16714069801 |
VALACYCL TAB 500MG 30 NSTAR@ |
A |
$8.99 |
$8.99 |
|
$3.60 |
3650041 |
29033004630 |
VENLAF HCL ER TB225MG NOS30@ |
A |
$305.63 |
$305.63 |
|
$122.25 |
3650033 |
29033004690 |
VENLAF HCL ER TB225MG NOS90@ |
A |
$841.72 |
$841.72 |
|
$336.69 |
3905445 |
16714083801 |
ZIPRASIDONE HCL CP80MG NSTR60@ |
A |
$34.40 |
$37.04 |
|
$13.76 |