CHOLESTEROL |
1579440 |
16714081301 |
18387 |
EZETIMIBE TAB 10MG 30 NSTR@ |
$5.88 |
$4.25 |
A |
Y |
1821909 |
16714010102 |
25540 |
GEMFIBR TAB 600MG 60 NSTAR@ |
$5.97 |
$4.31 |
A |
N |
1369651 |
93077198 |
48671 |
PRAVAST TAB 10MG TEV 90@ |
$10.86 |
$7.84 |
A |
N |
ANTICONVULSANTS & OTHER HEALTH |
3471703 |
16714046801 |
31612 |
CAPECITABINE TB 500MG120NSTAR@ |
$108.29 |
$78.20 |
A |
Y |
1764265 |
904623761 |
62741 |
CARBID+LEV TB 25/100 MMP10X10@ |
$21.06 |
$15.21 |
AC |
Y |
1546548 |
54049714 |
31396 |
EVEROLIMUS TB 7.5MG HIK 28@= |
$11,937.46 |
$8,619.84 |
A |
Y |
1699636 |
904759160 |
4695 |
FERR SUL FC TB 5GR MMP 100@ |
$1.23 |
$0.88 |
A |
N |
1733658 |
51672411806 |
30781 |
FLUOROUR CRM 5% TAR 40GM@ |
$56.99 |
$41.15 |
A |
Y |
2306033 |
59651024130 |
19907 |
IMATINIB MES TB 400MG AUR 30@ |
$99.99 |
$68.59 |
A |
Y |
3473378 |
43598044774 |
3422 |
NICOTINE PATCH 14MG STP-2 14@ |
$23.65 |
$17.07 |
A |
Y |
3456670 |
43598044828 |
3423 |
NICOTINE PATCH 21MG STEP1 28@ |
49.77 |
$34.14 |
A |
Y |
3634797 |
57237018490 |
19871 |
PRAMIP DIHYD TAB 1MG RIS 90@ |
$7.89 |
$5.70 |
A |
N |
3634722 |
57237018190 |
19874 |
PRAMIP DIHYD TB 0.25MG RIS 90@ |
$6.73 |
$4.86 |
A |
N |
3634664 |
57237018290 |
19875 |
PRAMIP DIHYD TB 0.5MG RIS 90@ |
$7.59 |
$5.48 |
A |
N |
3954500 |
50228042730 |
23276 |
SOLIFENACIN SUCC TB 5MG SCI30@ |
$9.40 |
$6.78 |
A |
N |
3464591 |
69097012203 |
36553 |
TOPIRAMATE 25MG TAB CIP 60@ |
$3.32 |
$2.39 |
A |
N |
3483286 |
57896086501 |
4911 |
ZINC SULF TB 50MG GERI 100@ |
$2.66 |
$1.92 |
A |
N |
DIABETES |
1958008 |
55111032001 |
5830 |
GLIMEPIR TAB 1MG DR/R 100@ |
$6.89 |
$4.97 |
A |
N |
3681020 |
70010049101 |
89863 |
METFORM ER TAB 500MG GRAN100@ |
$5.06 |
$3.66 |
A |
Y |
2558872 |
70010049110 |
89863 |
METFORM HCI ER 500MG GRAN1000@ |
$66.02 |
$47.67 |
A |
Y |
3458247 |
93727298 |
93001 |
PIOGLITAZ TAB 30MG TEV 90@ |
$20.89 |
$15.09 |
A |
N |
MENTAL HEALTH |
1566876 |
16714014301 |
18537 |
ARIPIPRAZOLE TB 10MG 30 NSTR@ |
$9.40 |
$6.78 |
A |
N |
1566892 |
16714014501 |
18539 |
ARIPIPRAZOLE TB 20MG 30 NSTR@ |
$12.15 |
$8.77 |
A |
N |
1566850 |
16714014101 |
26305 |
ARIPIPRAZOLE TB 2MG 30 NSTR@ |
$8.07 |
$5.82 |
A |
N |
3598380 |
904657304 |
20318 |
BUPROP HCI ER TB 300MGMMPUD30@ |
$65.07 |
$46.98 |
A |
Y |
3974375 |
70436001002 |
20317 |
BUPROP HCL ER TB 150MG SLA500@ |
$166.25 |
$120.04 |
A |
Y |
2242899 |
43547027609 |
4300 |
DONEPEZ TAB 10MG SOLC 90@ |
$5.03 |
$3.63 |
A |
N |
2242840 |
43547027503 |
4302 |
DONEPEZ TAB 5MG SOLC 30@ |
$2.52 |
$1.82 |
A |
N |
2052132 |
57237001890 |
23162 |
DULOXET DR CAP 30MG CIT 90@ |
$27.35 |
$19.75 |
A |
Y |
3485026 |
57237001990 |
23164 |
DULOXET HCL DR CAP 60MG CIT90@ |
$22.22 |
$16.05 |
A |
Y |
3554722 |
43547028211 |
17987 |
ESCITALOPRAM TB 20MG SOLC1000@ |
$135.84 |
$98.09 |
A |
Y |
2056000 |
13107000105 |
21817 |
MIRTAZAP TAB 7.5MG AURO 500@ |
$622.26 |
$449.32 |
A |
Y |
3458585 |
33342007007 |
15082 |
OLANZAPINE TAB 10MG MACL 30@ |
$4.27 |
$3.08 |
A |
N |
1182765 |
13107015730 |
16368 |
PAROXETIN TAB 40MG AURO 30@ |
$3.82 |
$2.76 |
A |
N |
2222503 |
65862069730 |
16818 |
VENLAF ER CAP 150MG AURO 30@ |
$5.52 |
$3.99 |
A |
Y |
3436839 |
904647061 |
16818 |
VENLAF ER CP 150MG MMPUD10X10@ |
$55.00 |
$39.71 |
A |
Y |
2321107 |
16714004501 |
16818 |
VENLAFAX ER CP 150MG 90 NSTR@ |
$15.19 |
$10.97 |
A |
Y |
3436805 |
904646961 |
16817 |
VENLAFAX ER CP 75MG MMPUD100@ |
$49.39 |
$35.67 |
A |
Y |
DIGESTION & NAUSEA |
1247246 |
59762045001 |
25442 |
COLESTIP HCL TB 1GM GRE120@ |
$110.29 |
$79.64 |
AC |
Y |
3631736 |
904699860 |
9101 |
DOCUSATE S/G CAP 100MG MMP100@ |
$2.18 |
$1.57 |
A |
N |
2705861 |
172572860 |
46430 |
FAMOTID TAB 20MG TEV 100@ |
$4.08 |
$2.94 |
A |
N |
3638863 |
16714071501 |
4348 |
OMEPRAZOLE CP DR 20MG 30 NSTR@ |
$2.37 |
$1.71 |
A |
Y |
3995107 |
59651000290 |
4348 |
OMEPRAZOLE DR CAP 20MG AUR 90@ |
6.45 |
$4.42 |
A |
y |
3410313 |
62175061746 |
40120 |
PANTOPRAZ SOD DR 40MG LAN 90@ |
$6.51 |
$4.70 |
AC |
Y |
3503620 |
63739019861 |
86211 |
PEG3350 POLYETH GLUPWDR SKY30@ |
$46.90 |
$33.87 |
A |
Y |
3685815 |
45802058062 |
18160 |
SCOPO TDS PTCH 1MG/3DAYPERR24@ |
$368.45 |
$266.05 |
A |
Y |
2304467 |
45802058084 |
18160 |
SCOPO TDS PTCH 1MG3DAY PER4@ |
$64.00 |
$43.90 |
A |
Y |
HEART HEALTH/ BLOOD PRESSURE/CIRCULATION |
2322071 |
16714087503 |
43721 |
ATORVAST CALC TAB20MG1000NSTR@ |
$79.89 |
$54.80 |
A |
Y |
2335776 |
29300039705 |
2683 |
AMLODIPINE BES TAB 5MG UNI500@ |
$6.64 |
$4.80 |
A |
N |
2530913 |
16714087603 |
43722 |
ATORVAST CALC TAB40MG1000NSTR@ |
$103.11 |
$74.45 |
A |
Y |
3996311 |
16714001610 |
70022 |
ENOXAP SOD SYR40MG/.4MLNSTR10@ |
$58.99 |
$42.59 |
A |
Y |
3741667 |
43547040111 |
34961 |
FUROSEMIDE TAB 20MG SOLC1000@ |
$37.99 |
$27.43 |
A |
N |
1586650 |
71247012701 |
10341 |
LABETALOL HCL TAB 200MGINN100@ |
$25.92 |
$18.71 |
A |
N |
3471406 |
43547035611 |
47263 |
LISINOPR TAB 40MG SOL 1000@ |
$53.19 |
$38.41 |
A |
Y |
3556586 |
43547035110 |
47264 |
LISINOPRIL TAB 2.5MG SOLC 100@ |
$2.17 |
$1.56 |
A |
N |
3564887 |
63739068610 |
14851 |
LOSARTAN POT TB 50MG SKYUD100@ |
$56.95 |
$41.13 |
A |
Y |
3519014 |
31722070290 |
14853 |
LOSARTAN TAB 100MG CAMB90@ |
$10.44 |
$7.54 |
A |
Y |
2080687 |
16714085303 |
20741 |
METOPROL SUCC ER 50MG1000NSTR@ |
$142.49 |
$102.89 |
A |
Y |
3933819 |
60687041301 |
20742 |
METOPROL SUCC TBUD100MGAHP100@ |
$112.63 |
$81.33 |
A |
Y |
3651288 |
62332015030 |
20075 |
OLMES/HCTZ TB40/12.5MG ALEM30@ |
$9.87 |
$7.13 |
A |
N |
3651304 |
62332015130 |
20076 |
OLMES/HCTZ TB40/25MG ALEM30@ |
$10.06 |
$7.26 |
A |
N |
3968567 |
16714097301 |
94711 |
PHYTONADIONE TAB 5MG NSTR 100@ |
$4,940.14 |
$3,567.19 |
A |
Y |
1560358 |
69680013300 |
3510 |
POT CHL ER TAB 10MEQ VIR 100@ |
$36.42 |
$26.30 |
A |
Y |
1569797 |
70010002201 |
3510 |
POTAS CHL ER TB 10MEQ GRAN100@ |
$28.49 |
$20.57 |
A |
Y |
3959277 |
121168016 |
3443 |
POTASS CHL OS 10% PHAR 16OZ@ |
$146.83 |
$106.02 |
A |
Y |
2471902 |
43386019431 |
3404 |
POTASS CHL OS PKT 20MEQLUP100@ |
$532.02 |
$384.16 |
A |
Y |
2469096 |
43386019430 |
3404 |
POTASSI CHL OS PKT 20MEQLUP30@ |
$121.72 |
$87.89 |
A |
Y |
1531219 |
16714008401 |
27691 |
SPIRONOLA TB 25MG 100 NSTAR@ |
$5.69 |
$4.11 |
A |
N |
1531276 |
16714008501 |
27692 |
SPIRONOLA TB 50MG 100 NSTAR@ |
$13.29 |
$9.60 |
A |
N |
PAIN MANAGEMENT & INFLAMMATION |
3985470 |
69848001510 |
16910 |
ACETAMIN ER TB 650MG GRAN 100@ |
$8.51 |
$6.15 |
A |
N |
1820976 |
16714007104 |
18010 |
BACLOFEN TAB 10MG 100 NSTAR@ |
$10.35 |
$7.47 |
A |
Y |
3955226 |
16714097601 |
45680 |
DICLOFEN SOD GEL 1% NSTR 100G@ |
$25.33 |
$18.29 |
AC |
Y |
1264068 |
16714066101 |
780 |
GABAPENT CAP 100MG 100 NSTAR@ |
$3.79 |
$2.74 |
A |
Y |
1264282 |
16714066201 |
781 |
GABAPENT CAP 300MG 100 NSTAR@ |
$7.21 |
$5.21 |
A |
Y |
1265958 |
16714066301 |
782 |
GABAPENT CAP 400MG 100 NSTAR@ |
$10.25 |
$7.40 |
A |
Y |
1531052 |
69367024324 |
27941 |
HYDROCORT ACET SUPP25MGWEST24@ |
$85.49 |
$61.73 |
A |
Y |
3902707 |
51672213008 |
35930 |
IBUPROF CHL OS100MG/5MLTAR4OZ@ |
$2.82 |
$2.04 |
A |
N |
2236461 |
59762444002 |
37499 |
METHYLPRED TB 4MG DSP GRE 21@ |
$7.40 |
$5.34 |
A |
Y |
THYROID CONDITIONS |
3979630 |
47781064390 |
26322 |
LEVOTHYR SOD TB 50MCG ALVO 90@ |
$33.15 |
$23.93 |
AC |
Y |
3791555 |
68180096701 |
26324 |
LEVOTHYR SOD TB0.075MG LUP100@ |
$36.09 |
$26.06 |
A |
Y |
3791498 |
68180096901 |
26323 |
LEVOTHYRO SOD TB0.1MG LUPI100@ |
$36.09 |
$26.06 |
A |
Y |
1768993 |
378180310 |
26322 |
LEVOTHYROX SOD 50MCG MYL 1000@ |
$413.34 |
$298.46 |
AC |
Y |
1769637 |
378180510 |
26324 |
LEVOTHYROX SOD 75MCG MYL 1000@ |
$456.77 |
$329.83 |
AC |
Y |
1582675 |
16729044815 |
26322 |
LEVOTHYROX SOD TB 50MCG ACC90@ |
$27.78 |
$20.06 |
A |
Y |
1583103 |
16729045115 |
26323 |
LEVOTHYROX SOD TB100MCG ACC90@ |
31.44 |
$21.57 |
A |
Y |
CREAMS, LOTIONS, OINMENTS, & SHAMPOO |
1678556 |
45802013811 |
94677 |
CICLOPIR CRM 0.77% PER 30GM@ |
$6.54 |
$4.72 |
A |
N |
3266749 |
168008031 |
30943 |
HYDROCORT CRM 2.5% FOUG 30GM@ |
$2.56 |
$1.85 |
A |
N |
1508779 |
69315031228 |
28850 |
HYDROCORT CRM 2.5% LEAD 28GM@ |
$9.49 |
$6.85 |
A |
N |
1906288 |
59762007301 |
26783 |
HYDROCORT TAB 5MG GRE 50@ |
$8.54 |
$6.17 |
A |
N |
3936168 |
16714095501 |
31850 |
KETOCONAZOLE CRM 2% NSTR15G@ |
$9.02 |
$6.51 |
A |
Y |
2144632 |
68462018022 |
47450 |
MUPIROCIN OINT 2% GLEN 22GM@ |
$4.27 |
$3.08 |
A |
Y |
1174903 |
61748030413 |
59843 |
MYORISAN GELCAP 40MG VERS 30@ |
$118.65 |
$85.67 |
AC |
Y |
2773836 |
24208063562 |
14025 |
NEOMY+POL B+HYD OS B&L 10ML@ |
$77.70 |
$56.11 |
A |
Y |
3982873 |
68462060935 |
15348 |
PIMECROLIMUS CRM 1% GLEN30GM@ |
$190.00 |
$137.19 |
A |
Y |
3982857 |
68462060965 |
15348 |
PIMECROLIMUS CRM 1% GLEN60GM@ |
$285.00 |
$205.79 |
A |
Y |
1625979 |
45802006405 |
31232 |
TRIAMCIN CRM 0.1% PERR 454G@ |
15.99 |
$10.97 |
A |
Y |
3432382 |
45802005535 |
31242 |
TRIAMCIN OINT 0.1% PERR 15GM@ |
$2.51 |
$1.81 |
A |
N |
1953140 |
45802005536 |
31242 |
TRIAMCIN OINT 0.1% PERR 80GM@ |
$6.71 |
$4.84 |
A |
N |
WOMEN’S HEALTH |
1261932 |
16714063201 |
12389 |
ALENDRONAT SOD TB 35MG 4NSTAR@ |
$1.97 |
$1.42 |
A |
N |
3429578 |
68968345008 |
28840 |
ESTRADIOL PTCH .05MG GROV 8@ |
$123.94 |
$89.50 |
A |
Y |
3968518 |
59651018030 |
49541 |
LETROZOLE TAB 2.5MG AURO 30@ |
$4.08 |
$2.94 |
A |
N |
RESPIRATORY HEALTH |
1978717 |
487950103 |
41681 |
ALBUT INH .083% NEP 3ML UD30@ |
$4.55 |
$3.29 |
A |
Y |
1565746 |
69097031953 |
17958 |
BUDESON INH/S.5MG/2ML CIPUD30@ |
$48.57 |
$33.32 |
A |
Y |
2303907 |
51660094024 |
13866 |
CETIR/PSE HCLTB5/120MG OHM24@ |
$16.23 |
$11.72 |
A |
N |
3786894 |
16714079901 |
49291 |
CETIRIZINE HCI TB 10MG 30NSTR@ |
$2.71 |
$1.96 |
A |
N |
1586262 |
115180301 |
13952 |
HYDROXYZ PAM CAP 25MG AMN 100@ |
$9.76 |
$7.05 |
A |
N |
3478914 |
76204060001 |
13456 |
IPRALB I/SSGVL.5/3MG/3MLRIT30@ |
$9.49 |
$6.85 |
A |
Y |
1906973 |
31722055190 |
14901 |
LEVOCETIR TAB 5MG CAMB 90@ |
$16.66 |
$12.03 |
A |
N |
ORAL ANTIMICROBIALS |
1849306 |
61442011201 |
13724 |
ACYCLOVIR TAB 400MG CARL 100@ |
$14.24 |
$10.28 |
A |
N |
1282425 |
16714029903 |
39661 |
AMOXICIL CAP 500MG 100 NSTAR@ |
$8.39 |
$6.06 |
A |
Y |
3478393 |
16714047701 |
67071 |
AMOXICI CLV+POT500/125 20NSTR@ |
$8.26 |
$5.96 |
A |
N |
1414382 |
65862007150 |
93375 |
AMOXICIL O/S 400/5ML AURO50ML@ |
$1.42 |
$1.02 |
A |
N |
1415710 |
65862007175 |
93375 |
AMOXICIL O/S 400/5ML AURO75ML@ |
$1.72 |
$1.24 |
A |
N |
2340057 |
51672140004 |
31770 |
CLINDAMY PH LOT 1% TAR 60ML@ |
$51.29 |
$37.04 |
A |
Y |
2145654 |
63739052510 |
13740 |
VALACYCL TAB 500MG UD SKY 100@ |
$236.31 |
$170.64 |
A |
Y |
EYE, EAR, NOSE, & THROAT |
1266089 |
61314065605 |
33580 |
CIPROFLOX O/S 0.3% SAN 5ML@ |
$9.49 |
$6.85 |
A |
N |
1659457 |
54327099 |
62263 |
FLUTICAS NAS SPR 50MCGHIK16GM@ |
$4.88 |
$3.53 |
A |
Y |
3649647 |
93360982 |
42958 |
FLUTICAS/SALINH232/14MCTEV60@ |
$112.85 |
$81.49 |
AC |
Y |
2402030 |
60758018805 |
33600 |
GENTAMIC SUL OPH 0.3% GRE 5ML@ |
$5.60 |
$4.04 |
A |
N |
2133833 |
61314054703 |
32749 |
LATANOP OS 0.005% 2.5ML SAN 3@ |
$52.33 |
$37.78 |
A |
Y |
2134708 |
61314054701 |
32749 |
LATANOP OS 0.005% SAN 2.5ML@ |
$7.50 |
$5.41 |
AC |
Y |
1575562 |
58602000739 |
97848 |
OLOPATAD HCL SOL0.2%AURO2.5ML@ |
$14.24 |
$10.28 |
A |
N |
3687753 |
70069013101 |
9384 |
TOBRAMYCIN O/S 0.3% SOM 5ML@ |
$5.93 |
$4.28 |
A |
N |