This program is designed to educate you on the use of generic and other low cost brand name drugs. This program is designed to help you find drugs within the same therapeutic class as a drug you may currently be taking. Most of all this program is designed to save you money on your prescription drug costs.

Drug quantities listed must be adhered to in order to receive Tier pricing. Any change in listed quantity may result in higher prices. Company cannot be responsible for changes in network pharmacies which accept this program.

Brand name drugs are signifed in UPPER case text. Generic drugs are signifed in Standard case text.

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DRUG NAME (DOSE) QTY D 1000 CAP 1000UNIT 30.00 DECADRON OIN 0.05% OP 3.50 DECON-A ELX 2-5MG/5M 118.00 DERMA-CAS GEL 30.00 Desipramine HCl Tab 10 MG 30.00 Desonide Cream 0.05% 15.00 Desonide Oint 0.05% 15.00 DEXAMETHASON TAB 0.25MG 30.00 Dexamethasone Sodium Phosphate Ophth Oint 0.05% 3.50 Dexamethasone Sodium Phosphate Ophth Soln 0.1% 5.00 Dexamethasone Tab 0.5 MG 30.00 Dexamethasone Tab 0.75 MG 30.00 Dexamethasone Tab 1.5 MG 30.00 Dexbrompheniramine & Pseudoephedrine Tab SR 12HR 6-120 M 30.00 Dexchlorpheniramine Maleate Tab CR 4 MG 30.00 Dexchlorpheniramine Maleate Tab CR 6 MG 30.00 Dexpanthenol Inj 250 MG/ML 2.00 Dextroamphetamine Sulfate Tab 5 MG 30.00 Dextroamphetamine Sulfate Tab 5 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 30-600 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 30-600 MG 30.00 Dextrose Inj 50% 10.00 DIABETIC MIS LANCETS 25.00 DIALYVITE/ TAB ZINC 30.00 Diazepam Tab 10 MG 30.00 Diazepam Tab 2 MG 30.00 Diazepam Tab 5 MG 30.00 Dicyclomine HCl Cap 10 MG 30.00 Dicyclomine HCl Tab 20 MG 30.00 Diethylpropion HCl Tab 25 MG 30.00 Digestive Aids Mixture Tab EC 30.00 DIGOXIN TAB 0.5MG 30.00 Digoxin Tab 0.125 MG 30.00 Digoxin Tab 0.125 MG 30.00

DRUG NAME (DOSE) QTY Digoxin Tab 0.25 MG 30.00 Digoxin Tab 0.25 MG 30.00 Diltiazem HCl Tab 30 MG 30.00 Diltiazem HCl Tab 60 MG 30.00 Diltiazem HCl Tab 90 MG 30.00 DIMETHYL SUL SOL 1.00 Diphenhydramine HCl Cap 25 MG 30.00 Diphenhydramine HCl Cap 50 MG 30.00 Diphenhydramine HCl Inj 10 MG/ML 30.00 Diphenhydramine HCl Syrup 12.5 MG/5ML 480.00 Diphenhydramine HCl Tab 50 MG 30.00 Diphenhydramine HCl Tab 50 MG 30.00 Diphenoxylate w/ Atropine Tab 2.5-0.025 MG 30.00 Diphenoxylate w/ Atropine Tab 2.5-0.025 MG 30.00 Dipivefrin HCl Ophth Soln 0.1% 5.00 Dipyridamole Tab 25 MG 30.00 DIURIL TAB 250MG 30.00 DIURIL TAB 500MG 30.00 DM-GG-Sod Citrate Liquid 20-30-100 MG/10ML (10-15-50MG/5 120.00 DOLOGESIC CAP 30.00 DOLOPHINE TAB 10MG 30.00 DOLOPHINE TAB 5MG 30.00 Doxepin HCl Cap 10 MG 30.00 Doxepin HCl Cap 25 MG 30.00 Doxepin HCl Cap 50 MG 30.00 Doxepin HCl Cap 75 MG 30.00 Doxycycline Hyclate Cap 50 MG 30.00 DRYSOL SOL 20% 35.00 Dyphylline Tab 200 MG 30.00 Dyphylline-Guaifenesin Elixir 100-100 MG/15ML 473.00 Dyphylline-Guaifenesin Tab 200-200 MG 30.00 Dyphylline-Guaifenesin Tab 200-200 MG 30.00 Dyphylline-Guaifenesin Tab 200-200 MG 30.00

DRUG NAME (DOSE) QTY DALLERGY DRO 30.00 DARAPRIM TAB 25MG 30.00 DE LANCETS MIS 200.00 DE LANCETS MIS THIN 200.00 DECADRON TAB 0.5MG 30.00 DECONAMINE CHW 30.00 DECONAMINE TAB CX 30.00 DECON-E LIQ 118.00 DECON-G DRO 2-1-40MG 30.00 DELTUSS LIQ 120.00 DELTUSS DMX LIQ 120.00 DEMEROL INJ 100/2ML 50.00 DEMEROL INJ 25MG/ML 10.00 DEMEROL INJ 50MG/ML 12.50 DEMEROL INJ 75MG/1.5 37.50 DEMEROL INJ 75MG/ML 10.00 DEPO-MEDROL INJ 20MG/ML 5.00 DEPO-MEDROL INJ 80MG/ML 1.00 Desipramine HCl Tab 25 MG 30.00 Desipramine HCl Tab 75 MG 30.00 DESQUAM-E GEL 10% 42.50 DESQUAM-E GEL 5% 42.50 DESQUAM-X BAR 10% 1.00 DESQUAM-X GEL 10% 42.50 DESQUAM-X GEL 5% 42.50 DESQUAM-X LIQ WASH 10% 140.00 DESQUAM-X LIQ WASH 5% 140.00 DEXAMETHASON CON 1MG/ML 30.00 DEXAMETHASON TAB 1MG 30.00 DEXAMETHASON TAB 2MG 30.00 Dexamethasone Tab 0.75 MG Dose Pack 30.00 Dexamethasone Tab 4 MG 30.00 Dexamethasone Tab 6 MG 30.00 DEXEDRINE TAB 5MG 30.00 Dexmethylphenidate HCl Tab 2.5 MG 30.00 Dextran 70 6% in Saline IV Soln 500.00 Dextroamphetamine Sulfate Tab 10 MG 30.00 Dextromethorphan-Guaifenesin Elixir 20-200 MG/5ML 473.00 Dextromethorphan-Guaifenesin Elixir 20-200 MG/5ML 473.00 Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML 473.00 Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML 473.00 Dextromethorphan-Guaifenesin Tab SR 12HR 30-500 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 30-500 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 30-650 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 30-800 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 30-800 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 30-835 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 55-1000 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 55-1000 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 60-1000 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 60-1000 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 60-1000 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 60-1200 MG 30.00 Dextromethorphan-Guaifenesin Tab SR 12HR 60-1200 MG 30.00 Dextromethorphan-Pot Guaiacolsulfonate Liqd 15-300 MG/5M 473.00

DRUG NAME (DOSE) QTY Dextromethorphan-Pot Guaiacolsulfonate Liqd 15-300 MG/5M 473.00 DEXTROSTAT TAB 10MG 30.00 DIABETA TAB 1.25MG 30.00 DIABINESE TAB 100MG 30.00 DIALYVITE TAB 3000 30.00 DIALYVITE TAB 5000 30.00 DIATX TAB 30.00 Diazepam Inj 5 MG/ML 10.00 DIBUTYL PHTH LIQ 500.00 Dicloxacillin Sodium Cap 250 MG 30.00 DIETHYL TOLU LIQ USP 100.00 Diflorasone Diacetate Cream 0.05% 15.00 Diflorasone Diacetate Oint 0.05% 15.00 DIGEX CAP 30.00 DIGEX NF CAP 30.00 DILANTIN CAP 100MG 30.00 DILANTIN CAP 30MG 30.00 DILANTIN CHW 50MG 30.00 DILAUDID INJ 1MG/ML 10.00 DILAUDID INJ 2MG/ML 10.00 Diltiazem HCl Cap SR 12HR 120 MG 30.00 Diltiazem HCl Cap SR 12HR 60 MG 30.00 Diltiazem HCl Cap SR 12HR 90 MG 30.00 Diltiazem HCl Cap SR 24HR 120 MG 30.00 Diltiazem HCl Tab 120 MG 30.00 Diphenoxylate w/ Atropine Liq 2.5-0.025 MG/5ML 200.00 Dipyridamole Tab 50 MG 30.00 Dipyridamole Tab 75 MG 30.00 Disopyramide Phosphate Cap 100 MG 30.00 Disopyramide Phosphate Cap 150 MG 30.00 DISPERMOX TAB 200MG 30.00 DIURIL SUS 250/5ML 240.00 DIURIL IV INJ 500MG 1.00 DM-GG-Sod Citrate Liquid 20-30-100 MG/10ML (10-15-50MG/5 473.00 Dobutamine HCl Inj 12.5 MG/ML 20.00 DOLOGESIC LIQ 30-500MG 180.00 DOLOPHINE INJ 10MG/ML 20.00 DOMEBORO SOL 2% OTIC 60.00 DONNATAL ELX 120.00 DONNATAL TAB 30.00 Doxazosin Mesylate Tab 1 MG 30.00 Doxazosin Mesylate Tab 2 MG 30.00 Doxazosin Mesylate Tab 4 MG 30.00 Doxazosin Mesylate Tab 8 MG 30.00 Doxepin HCl Cap 100 MG 30.00 Doxepin HCl Conc 10 MG/ML 120.00 Doxycycline For Susp 25 MG/5ML 60.00 Doxycycline Hyclate Tab 100 MG 30.00 Doxycycline Monohydrate Cap 50 MG 30.00 DR LANCETS MIS COLORED 200.00 DR LANCETS MIS THIN 200.00 DUET CHW 30.00 DUET TAB 30.00 DUET DHA TAB 30.00 DURAXIN CAP 30.00

DRUG NAME (DOSE) QTY D.H.E. 45 INJ 1MG/ML D10W/NACL INJ 0.45% D50W/LYTES INJ A DACARBAZINE INJ 100MG Dacarbazine For Inj 200 MG DACOGEN INJ 50MG DALLERGY TAB ER DALLERGY DM SYP DALLERGY-JR SUS DALMANE CAP 15MG DALMANE CAP 30MG Danazol Cap 100 MG Danazol Cap 200 MG DANOCRINE CAP 100MG DANOCRINE CAP 200MG DANOCRINE CAP 50MG DANTRIUM CAP 100MG DANTRIUM CAP 50MG DANTRIUM IV INJ 20MG Dantrolene Sodium Cap 100 MG DARVOCET-N TAB 100 Daunorubicin HCl For Inj 20 MG DAUNORUBICIN INJ 50MG DAUNORUBICIN INJ 5MG/ML DAUNOXOME INJ 2MG/ML DAYPRO TAB 600MG DAYTRANA DIS 10MG/9HR DAYTRANA DIS 15MG/9HR DAYTRANA DIS 20MG/9HR DAYTRANA DIS 30MG/9HR DDAVP INJ 15MCG/ML DDAVP INJ 4MCG/ML DDAVP SOL 0.01% DDAVP SPR 0.01% DDAVP TAB 0.1MG DDAVP TAB 0.2MG DECADRON TAB 4MG DECLOMYCIN TAB 150MG DECLOMYCIN TAB 300MG DECONAMINE CAP 8-120 SR DECONAMINE SYP DECONSAL CT CHW 16-10MG DECONSAL DM CHW DECONSAL II CAP 20-375MG Deferoxamine Mesylate For Inj 2 GM Deferoxamine Mesylate For Inj 500 MG DEFINITY SUS 1.1MG/ML DELESTROGEN INJ 10MG/ML DELESTROGEN INJ 20MG/ML DELESTROGEN INJ 40MG/ML DEMADEX INJ 20MG/2ML DEMADEX INJ 50MG/5ML DEMADEX TAB 100MG Demeclocycline HCl Tab 150 MG Demeclocycline HCl Tab 300 MG DEMEROL SYP 50MG/5ML DEMEROL TAB 100MG DEMSER CAP 250MG DEPACON INJ 100MG/ML DEPAKENE CAP 250MG DEPAKENE SYP 250/5ML DEPAKOTE TAB 250MG DR DEPAKOTE TAB 500MG DR DEPAKOTE ER TAB 250 MG DEPAKOTE ER TAB 500MG DEPEN TITRA TAB 250MG DEPOCYT INJ 50MG/5ML DEPODUR INJ 10MG/ML DEPODUR INJ 15/1.5ML DEPO-MEDROL INJ 40MG/ML DEPO-PROVERA INJ 150MG/ML DEPO-PROVERA INJ 400/ML DEPO-SQ PROV INJ 104 DEPO-TESTOST INJ 100MG/ML DERMAGRAFT MIS DESFERAL INJ 2GM DESFERAL INJ 500MG Desmopressin Acetate Inj 4 MCG/ML Desmopressin Acetate Nasal Soln 0.01% (Refrigerated) Desmopressin Acetate Nasal Spray Soln 0.01% (Refrigerate Desmopressin Acetate Tab 0.1 MG Desmopressin Acetate Tab 0.2 MG DESONATE GEL 0.05% DESOWEN KIT 0.05% DESOWEN LOT 0.05% DESOXYN TAB 5MG DESPEC DM SYP DESPEC DM TAB DESYREL TAB 100MG DESYREL TAB 150MG DESYREL TAB 300MG DESYREL TAB 50MG DETROL TAB 1MG DETROL TAB 2MG DETROL LA CAP 2MG DETROL LA CAP 4MG Dexamethasone Elixir 0.5 MG/5ML Dexamethasone Sodium Phosphate Inj 10 MG/ML Dexamethasone Soln 0.5 MG/5ML DEXCHLORPHEN SYP 2MG/5ML DEXEDRINE CAP 10MG DEXEDRINE CAP 15MG CR DEXEDRINE CAP 5MG CR DEXODRYL SUS DEXTRAN INJ 6% Dextran 40 Inj 10% in Saline DEXTRAN 75 INJ 6% Dextran 75 6% in Saline IV Soln DEXTRAN HM INJ 32% Dextroamphetamine Sulfate Cap SR 24HR 10 MG Dextroamphetamine Sulfate Cap SR 24HR 15 MG Dextromethorphan-Guaifenesin Solution 25-225 MG/5ML Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML Dextrose 10% w/ Sodium Chloride 0.2% Dextrose 10% w/ Sodium Chloride 0.9% Dextrose 2.5% in Lactated Ringers 1/2 Strength Dextrose 2.5% w/ Sodium Chloride 0.45% Dextrose 5% in Lactated Ringers Dextrose 5% in Ringers Dextrose 5% w/ KCl 0.15% Dextrose 5% w/ KCl 0.224% Dextrose 5% w/ KCl 0.3% Dextrose 5% w/ Sodium Chloride 0.33% Dextrose Inj 20% Dextrose Inj 25% Dextrose Inj 40% Dextrose Inj 5% Dextrose Inj 60% DHT TAB 0.4MG DIABETIC LIQ TUSSIN C DIAGNOSTIC KIT DIAMOX CAP 500MG CR DIANEAL SOL LOW CALC DIANEAL PD-2 SOL 1.5% DEX DIANEAL PD-2 SOL 2.5% DEX DIANEAL PD-2 SOL 3.5% DEX DIANEAL PD-2 SOL 4.25%DEX DIASTAT MIS 15MG GEL DIASTAT ACDL MIS 10MG GEL DIASTAT ACDL MIS 20MG GEL DIASTAT ADUL MIS 20MG GEL DIASTAT PED MIS 2.5M GEL DIASTAT PED MIS 5MG GEL DIASTAT UNIV MIS 10MG GEL DIAZEPAM SOL 1MG/ML DIBENZYLINE CAP 10MG DIBUTYL LIQ SQUARATE DICEL SUS DICEL DM SUS DICHLOROACET LIQ Diclofenac Sodium Ophth Soln 0.1% Diclofenac Sodium Tab SR 24HR 100 MG Dicyclomine HCl Inj 10 MG/ML Didanosine Delayed Release Capsule 250 MG Didanosine Delayed Release Capsule 400 MG DIDREX TAB 50MG

DRUG NAME (DOSE) QTY DIDRONEL TAB 200MG DIDRONEL TAB 400MG DIDRONEL IV INJ 50MG/ML DIFFERIN CRE 0.1% DIFFERIN GEL 0.1% DIFFERIN GEL 0.3% DIFFERIN PAD 0.1% DIFFERIN SOL 0.1% Diflorasone Diacetate Emollient Base Cream 0.05% DIFLUCAN SUS 40MG/ML DIFLUCAN TAB 100MG DIFLUCAN TAB 150MG DIFLUCAN TAB 200MG DIFLUCAN TAB 50MG DIFLUCAN/ INJ NACL 200 DIFLUCAN/ INJ NACL 400 DIFLUCAN/DEX INJ 2MG/ML DIGIBIND SOL DIGIFAB INJ DIGITAL HD SUS 96% Dihydroergotamine Mesylate Inj 1 MG/ML DILACOR XR CAP 120MG/24 DILACOR XR CAP 180MG/24 DILACOR XR CAP 240MG/24 DILANTIN-125 SUS 125/5ML DILAUDID TAB 8MG DILAUDID-5 LIQ 1MG/ML DILAUDID-HP INJ 250MG DILEX-G 200 SYP DILOR INJ 250MG/ML DILTIAZEM HC INJ 100MG Diltiazem HCl Extended Release Beads Cap SR 24HR 360 MG Diltiazem HCl Extended Release Beads Cap SR 24HR 360 MG Diltiazem HCl Extended Release Beads Cap SR 24HR 420 MG DIMENHYDRIN INJ 50MG/ML DIOVAN TAB 160MG DIOVAN TAB 320MG DIOVAN TAB 80MG DIOVAN HCT TAB 160/12.5 DIOVAN HCT TAB 160-25MG DIOVAN HCT TAB 320/12.5 DIOVAN HCT TAB 320/25MG DIOVAN HCT TAB 80/12.5 Diphenhydramine HCl Inj 50 MG/ML DIPRIVAN INJ 10MG/ML DIPROLENE LOT 0.05% DIPROLENE OIN 0.05% DIPROLENE AF CRE 0.05% DISCOVISC SOL DITROPAN SYP 5MG/5ML DITROPAN XL TAB 10MG DITROPAN XL TAB 15MG DITROPAN XL TAB 5MG Divalproex Sodium Tab Delayed Release 500 MG DIVIGEL GEL 0.25MG DIVIGEL GEL 0.5MG DIVIGEL GEL 1MG/GM DMAX SYP 8-4-15/5 Dobutamine Inj 0.5 MG/ML in D5W Dobutamine Inj 1 MG/ML in D5W Dobutamine Inj 2 MG/ML in D5W Dobutamine Inj 4 MG/ML in D5W DOBUTREX INJ 12.5/ML DOLGIC LQ ELX DOLGIC PLUS TAB DONATUSSIN LIQ MAX DONATUSSIN SUS DM DOPAMINE INJ 160MG/ML Dopamine HCl Inj 80 MG/ML Dopamine Inj 0.8 MG/ML in D5W Dopamine Inj 1.6 MG/ML in D5W Dopamine Inj 3.2 MG/ML in D5W DORAL TAB 15MG DORAL TAB 7.5MG DORYX CAP 100MG EC DORYX CAP 75MG EC DORYX TAB 100MG DORYX TAB 150MG DORYX TAB 75MG DOSTINEX TAB 0.5MG DOVONEX CRE 0.005% DOVONEX OIN 0.005% DOVONEX SOL 0.005% Doxapram HCl Inj 20 MG/ML Doxepin HCl Cream 5% DOXIL INJ 2MG/ML Doxorubicin HCl For Inj 10 MG Doxorubicin HCl For Inj 20 MG Doxorubicin HCl For Inj 50 MG Doxorubicin HCl For Inj 50 MG Doxorubicin HCl Inj 2 MG/ML DOXYCYCL HYC CAP 100MG DOXYCYCL HYC CAP 75MG DOXYCYCL HYC INJ 100MG Doxycycline Monohydrate Tab 100 MG Doxycycline Monohydrate Tab 150 MG Doxycycline Monohydrate Tab 50 MG Doxycycline Monohydrate Tab 75 MG DOXYTEX LIQ DRIHEP PLUS KIT 100UNIT DRIHEP SYRNG KIT 100UNIT DRISDOL CAP 50000IU DRITHO-SCALP CRE 0.5% Dronabinol Cap 10 MG Dronabinol Cap 2.5 MG Dronabinol Cap 5 MG Droperidol Inj 2.5 MG/ML Drospirenone-Ethinyl Estradiol Tab 3-0.03 MG DTIC-DOME INJ 200MG DUAC GEL 1-5% DUAC CS KIT 1-5% DUET GLUCOSE TES DUETACT TAB 30-2MG DUOCAINE INJ DUOHIST DH LIQ 5-2-7.25 DUONEB SOL DUOVISC KIT 0.35/0.4 DUOVISC KIT 0.5/0.55 DURACLON INJ DURAGESIC DIS 100MCG/H DURAGESIC DIS 12MCG/HR DURAGESIC DIS 25MCG/HR DURAGESIC DIS 50MCG/HR DURAGESIC DIS 75MCG/HR DURATAN SUS FORTE DURATAN DM SUS DURATUSS SUS AC 12 DURATUSS SUS DM 12 DURATUSS TAB AM/PM DURATUSS A TAB DURATUSS CS TAB 60-900MG DURATUSS DM ELX 200-20/5 DURATUSS GP TAB 120/1200 DURATUSS HD ELX DURATUSS PE TAB 30-1050 DUREZOL EMU 0.05% DURICEF CAP 500MG DURICEF SUS 500/5ML DURICEF TAB 1GM DYNABAC TAB 250MG EC DYNACIN CAP 100MG DYNACIN CAP 50MG DYNACIN CAP 75MG DYNACIN TAB 100MG DYNACIN TAB 50MG DYNACIN TAB 75MG DYNACIRC CAP 5MG DYNACIRC CR TAB 10MG DYNACIRC CR TAB 5MG DYNEX HD LIQ 45-6-200 Dyphylline-Guaifenesin Liqd 300-300 MG/15ML Dyphylline-Guaifenesin Syrup 100-50 MG/5ML DYRENIUM CAP 100MG DYTAN-D SUS 25-7.5MG DYTAN-HC SUS