Program Overview Preferred Drug List Pharmacy Network FAQ's
Pharmacy Network
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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First Tier
DRUG NAME (DOSE)QTY
EASYTEST MIS LANCETS100.00
EASYTEST II MIS LANCETS100.00
Econazole Nitrate Cream 1%15.00
ED A-HIST TAB 8-20 CR30.00
ELAVIL TAB 10MG30.00
Enalapril Maleate & Hydrochlorothiazide Tab 10-25 MG30.00
Enalapril Maleate & Hydrochlorothiazide Tab 5-12.5 MG30.00
Enalapril Maleate Tab 10 MG30.00
Enalapril Maleate Tab 2.5 MG30.00
Enalapril Maleate Tab 20 MG30.00
Enalapril Maleate Tab 5 MG30.00
Enalaprilat IV Inj 1.25 MG/ML2.00
ENFML NATALN TAB RX30.00
ERYPED DRO 100/2.550.00
ERYSIDORON LIQ #120.00
ERYSIDORON TAB #230.00
Erythromycin Ethylsuccinate For Susp 200 MG/5ML100.00
Erythromycin Ethylsuccinate Susp 200 MG/5ML100.00
Erythromycin Ethylsuccinate Susp 400 MG/5ML100.00
Erythromycin Ethylsuccinate Tab 400 MG30.00
Erythromycin Ethylsuccinate Tab 400 MG30.00
Erythromycin Gel 2%27.00
Erythromycin Gel 2%30.00
Erythromycin Stearate Tab 250 MG30.00
DRUG NAME (DOSE)QTY
Erythromycin Stearate Tab 500 MG30.00
ERYTHROMYCIN TAB 250MG30.00
Erythromycin w/ Delayed Release Particles Cap 250 MG30.00
ESKALITH CAP 300MG30.00
Estradiol Tab 0.5 MG30.00
Estradiol Tab 0.5 MG30.00
Estradiol Tab 1 MG30.00
Estradiol Tab 1 MG30.00
Estradiol Tab 2 MG30.00
Estradiol Tab 2 MG30.00
Estropipate Tab 0.75 MG30.00
Estropipate Tab 0.75 MG30.00
Estropipate Tab 1.5 MG30.00
Estropipate Tab 1.5 MG30.00
ETHAVERINE TAB 100MG30.00
Etodolac Cap 200 MG30.00
EUGENOL SOL30.00
E-Z JECT MIS100.00
E-Z JECT MIS LANCETS100.00
E-Z JECT MIS THIN 26G100.00
EZ-LETS MIS LANCETS100.00
EZ-LETS 23G MIS LANCETS200.00
EZ-LETS 26G MIS LANCETS200.00
EZ-LETS 28G MIS LANCETS200.00
Second Tier
DRUG NAME (DOSE)QTY
E.E.S. GRAN SUS 200/5ML100.00
EASPRIN TAB 975MG EC30.00
ECK LANCETS MIS THIN200.00
ED A-HIST LIQ 4-10/5ML473.00
ED-CHLOR-TAN TAB 8MG30.00
EDECRIN TAB 50MG30.00
Edetate Disodium Inj 150 MG/ML20.00
EFFER-K TAB 10MEQ30.00
EFFER-K TAB 20MEQ30.00
ELAVIL TAB 25MG30.00
EMLA KIT TEGADERM1.00
EMLA PAD2.00
EMULSIFYING MIS WAX NF500.00
ENDACOF TAB30.00
ENTUSS TAB30.00
ENTUSS-D SOL JR120.00
ENZYMAX TAB30.00
EQUATE REG MIS LANCETS200.00
EQUATE THIN MIS LANCETS200.00
Ergotamine w/ PB & Belladonna Tab 0.6-40-0.2 MG30.00
Ergotamine w/ PB & Belladonna Tab 0.6-40-0.2 MG30.00
ERYPED 200 SUS 200/5ML100.00
ERYPED 400 SUS 400/5ML100.00
ERY-TAB TAB 250MG EC30.00
ERY-TAB TAB 333MG EC30.00
DRUG NAME (DOSE)QTY
ERY-TAB TAB 500MG EC30.00
Erythromycin Ethylsuccinate Susp 400 MG/5ML480.00
Erythromycin Soln 2%60.00
Erythromycin Soln 2%60.00
ERYTHROMYCIN TAB BS 500MG30.00
Erythromycin-Sulfisoxazole For Susp 200-600 MG/5ML100.00
Estazolam Tab 1 MG30.00
Estazolam Tab 2 MG30.00
Estradiol Valerate IM in Oil 20 MG/ML10.00
Estrone IM Susp 5 MG/ML10.00
Estropipate Tab 3 MG30.00
Ethambutol HCl Tab 100 MG30.00
ETHYL ACETAT SOL NF500.00
ETHYL ALCOH SOL 100%100.00
Etodolac Cap 300 MG30.00
Etodolac Tab 400 MG30.00
Etodolac Tab 500 MG30.00
EUDAL-SR TAB 400-12030.00
EXTENDRYL CHW30.00
EXTENDRYL JR CAP TD30.00
EXTENDRYL JR TAB30.00
EXTENDRYL SR CAP30.00
E-Z JECT JR MIS200.00
E-Z JECT XL MIS200.00
EZ-LETS 21G MIS LANCETS200.00

Third Tier

DRUG NAME (DOSE)QTY
EASYGLUCO TES50.00
ECONOPRED PL SUS 1% OP5.00
ED CHLORPED SUS 2MG/ML60.00
ED CHLORPED SUS D60.00
ED DM CHW30.00
ED-A-HIST DM LIQ473.00
ED-BRON G SYP473.00
EEMT HS TAB30.00
ELAVIL TAB 50MG30.00
ELAVIL TAB 75MG30.00
Electrolyte-H in D5W Soln12000.00
ELITE OB CAP W/DHA30.00
ELOCON CRE 0.1%15.00
ELOCON LOT 0.1%30.00
ELOCON OIN 0.1%15.00
EMBREX 600 MIS182.00
Enflurane Inhal Soln250.00
ENTERO VU SUS 13%600.00
ENTERO VU SUS 24%600.00
ENTEX ER CAP 10-300MG30.00
ENTEX LA CAP 30-400MG30.00
ENTEX PSE CAP 120-40030.00
ENTUSS-D LIQ480.00
EPIFOAM AER 1%10.00
EPOGEN INJ 2000U/ML1.00
EQUAGESIC TAB 200-32530.00
EQUETRO CAP 200MG30.00
Ergocalciferol Cap 50000 Unit30.00
Ergotamine w/ Caffeine Tab 1-100 MG30.00
Ergotamine w/ Pentobarb & Belladonna & Caffeine Suppos18.00
ERGOTRATE TAB 0.2MG30.00
ERITROGEN TAB 120-1MG30.00
ERYC CAP 250MG EC30.00
ERYCETTE PAD 2% PKT60.00
ERYTHROM EST SUS 125/5ML473.00
ERYTHROM LAC INJ 500MG10.00
Erythromycin-Sulfisoxazole For Susp 200-600 MG/5ML200.00
ESCLIM DIS 0.025MG8.00
ESCLIM DIS 0.0375MG8.00
ESCLIM DIS 0.05MG8.00
ESCLIM DIS 0.075MG8.00
ESCLIM DIS 0.1MG8.00
ESKALITH CR TAB 450MG30.00
Esterified Estrogens & Methyltestosterone Tab 0.625-1.2530.00
Esterified Estrogens & Methyltestosterone Tab 0.625-1.2530.00
Esterified Estrogens & Methyltestosterone Tab 0.625-1.2530.00
DRUG NAME (DOSE)QTY
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30.00
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30.00
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30.00
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30.00
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30.00
ESTRACE TAB 0.5MG30.00
ESTRACE TAB 1MG30.00
Estradiol TD Patch Weekly 0.025 MG/24HR4.00
Estradiol TD Patch Weekly 0.0375 MG/24HR (37.5 MCG/24HR)4.00
Estradiol TD Patch Weekly 0.05 MG/24HR4.00
Estradiol TD Patch Weekly 0.06 MG/24HR4.00
Estradiol TD Patch Weekly 0.075 MG/24HR4.00
Estradiol TD Patch Weekly 0.1 MG/24HR4.00
ESTROSTEP FE TAB28.00
Ethambutol HCl Tab 400 MG30.00
ETHMOZINE TAB 200MG30.00
ETHMOZINE TAB 250MG30.00
ETHMOZINE TAB 300MG30.00
Ethosuximide Cap 250 MG30.00
Ethosuximide Syrup 250 MG/5ML474.00
ETHYL ACETAT SOL500.00
ETHYL CHLOR AER103.50
Ethynodiol Diacetate & Ethinyl Estradiol Tab 1 MG-35 MCG28.00
Ethynodiol Diacetate & Ethinyl Estradiol Tab 1 MG-35 MCG28.00
Ethynodiol Diacetate & Ethinyl Estradiol Tab 1 MG-50 MCG28.00
Etodolac Tab SR 24HR 400 MG30.00
Etodolac Tab SR 24HR 500 MG30.00
Etodolac Tab SR 24HR 600 MG30.00
EUGENOL SOL USP120.00
EURAX CRE 10%60.00
EURAX LOT 10%60.00
EVENCARE TES GLUCOSE50.00
EVENCARE + TES BG50.00
EXACTECH TES50.00
EXACTECH TES R-S-G50.00
EXCEL G TES50.00
EXELDERM CRE 1%15.00
EXELDERM SOL 1%30.00
EXP MED TEST MIS STP PACK50.00
EXPRESSVIEW TES GLUCOSE50.00
EXRATUSS SUS118.00
EXTENDRYL SYP473.00
EXTENDRYL TAB PEM30.00
EXTENDRYL DM TAB30.00
EXTENDRYL SR TAB30.00
E-Z SPACER MIS BODY GRD1.00

Fourth Tier
DRUG NAME (DOSE)QTY
EC-NAPROSYN TAB 375MG
EC-NAPROSYN TAB 500MG
EDECRIN TAB 25MG
EDEX KIT 10MCG
EDEX KIT 20MCG
EDEX KIT 40MCG
Edrophonium Chloride Inj 10 MG/ML
EFFEXOR TAB 100MG
EFFEXOR TAB 25MG
EFFEXOR TAB 37.5MG
EFFEXOR TAB 50MG
EFFEXOR TAB 75MG
EFFEXOR XR CAP 150MG
EFFEXOR XR CAP 37.5MG
EFFEXOR XR CAP 75MG
EFUDEX CRE 5%
EFUDEX KIT OCCLUSIO
EFUDEX SOL 2%
EFUDEX SOL 5%
ELAPRASE INJ 6MG/3ML
ELDEPRYL CAP 5MG
ELDOPAQUE CRE 4% FORTE
ELDOQUIN CRE 4% FORTE
Electrolyte-2 in Invert Sugar 10% Soln
Electrolyte-48 in D5W Soln
Electrolyte-75 in D5W Soln
Electrolyte-M in D5W Soln
Electrolyte-R in D5W Soln
Electrolyte-R Solution
ELESTAT DRO 0.05%
ELESTRIN GEL
ELIDEL CRE 1%
ELIGARD INJ 22.5MG
ELIGARD INJ 45MG
ELIGARD INJ 7.5MG
ELIGARD KIT 30MG
ELIMITE CRE 5%
ELITEK INJ 1.5MG
ELITEK INJ 7.5MG
ELIXOPHYL GG SOL 100-100
ELIXOPHYL KI ELX 130-80
ELIXOPHYLLIN ELX 80/15ML
ELLENCE INJ 2MG/ML
ELLIOTTS B INJ
ELMIRON CAP 100MG
ELOXATIN INJ 100MG
ELOXATIN INJ 200MG
ELOXATIN INJ 50MG
ELSPAR INJ 10000UNT
EMADINE SOL 0.05% OP
EMCYT CAP 140MG
EMEND CAP 125MG
EMEND CAP 40MG
EMEND CAP 80-125MG
EMEND CAP 80MG
EMEND SOL 115MG
EMINASE SOL 30U
EMLA CRE
EMSAM DIS 6MG/24HR
EMTRIVA CAP 200MG
EMTRIVA SOL 10MG/ML
ENABLEX TAB 15MG
ENABLEX TAB 7.5MG
ENBREL INJ 25/0.5ML
ENBREL INJ 25MG
ENBREL INJ 50MG/ML
ENCORE MIS
ENDAL HD SYP
ENDAL-HD SYP PLUS
ENDO AVITENE MIS 10MM DIA
ENDO AVITENE MIS 5MM DIA
ENDOMETRIN SUP 100MG
ENDRATE INJ 150MG/ML
ENDURONYL TAB FORTE
ENECAT CT ENE 5% KIT
ENEMARK RECT KIT MARKER
ENESET 2 KIT
ENGERIX-B INJ 10/0.5ML
ENGERIX-B INJ 20MCG/ML
ENJUVIA TAB 0.3MG
ENJUVIA TAB 0.45MG
ENJUVIA TAB 0.625MG
ENJUVIA TAB 0.9MG
ENJUVIA TAB 1.25MG
ENLON-PLUS INJ
ENT AVITENE MIS 5MM DIA
ENTEREG CAP 12MG
ENTEX LIQ 7.5-100
ENTEX SUS 22.5MG
ENTEX HC LIQ
ENTOCORT EC CAP 3MG/24HR
ENTROBAR SUS 50%
ENTROCEL CON
ENTROKIT KIT
ENTROKIT KIT CATHETER
ENTUSS SOL EXPECT
EPI-C ENE 150%
EPICERAM EMU
EPIDUO GEL 0.1-2.5%
EPIDURAL KIT 17GX3.5""
EPIDURAL KIT 18GX3.5""
EPIDURAL KIT 20GX3.5""
DRUG NAME (DOSE)QTY
EPIDURAL KIT TRAY
Epinephrine HCl Inj 0.1 MG/ML
Epinephrine HCl Inj 1 MG/ML
EPIPEN INJ 0.3MG
EPIPEN-JR INJ 0.15MG
EPIQUIN MICR CRE 4%
EPIRUBICIN INJ 200MG
EPIRUBICIN INJ 50MG
EPIVIR SOL 10MG/ML
EPIVIR TAB 150MG
EPIVIR TAB 300MG
EPIVIR HBV SOL 5MG/ML
EPIVIR HBV TAB 100MG
Eplerenone Tab 25 MG
Eplerenone Tab 50 MG
EPOGEN INJ 10000/ML
EPOGEN INJ 20000/ML
EPOGEN INJ 3000U/ML
EPOGEN INJ 40000/ML
EPOGEN INJ 4000U/ML
EPZICOM TAB
EQUETRO CAP 100MG
EQUETRO CAP 300MG
ERAXIS INJ 100MG
ERAXIS INJ 50MG
ERBITUX INJ 100MG
ERBITUX INJ 200MG
ERGOLOID MES SUB 1MG SL
Ergoloid Mesylates Tab 1 MG
ERGOMAR SUB 2MG
Ergotamine w/ Caffeine Suppos 2-100 MG
ERTACZO CRE 2%
ERYGEL GEL 2%
ERYTHROCIN INJ 1000MG
ERYTHROM EST SUS 250/5ML
Erythromycin Ophth Oint 5 MG/GM
Erythromycin Pads 2%
Erythromycin Pads 2%
ESGIC CAP
ESGIC TAB
ESGIC-PLUS CAP
ESGIC-PLUS TAB
Esmolol HCl Inj 10 MG/ML
ESTRACE TAB 2MG
ESTRACE VAG CRE 0.1MG/GM
ESTRADERM DIS 0.05MG
ESTRADERM DIS 0.1MG
Estradiol & Norethindrone Acetate Tab 1-0.5 MG
Estradiol Valerate IM in Oil 10 MG/ML
Estradiol Valerate IM in Oil 20 MG/ML
Estradiol Valerate IM In Oil 40 MG/ML
ESTRASORB EMU
ESTRATEST TAB
ESTRATEST HS TAB
ESTRING MIS 2MG
ESTROGEL GEL
ETHAMOLIN INJ 5%
ETHEZYME OIN
ETHIODOL INJ 37%
ETHRANE INH
ETHYL ACETAT SOL USP NF
ETHYL ALCOHO SOL 100%
ETHYL CHLOR AER SPRAY
ETHYOL INJ 500MG
Etidronate Disodium Tab 400 MG
Etomidate IV Soln 2 MG/ML
ETOPOPHOS INJ 100MG
Etoposide Cap 50 MG
Etoposide Inj 20 MG/ML
Etoposide Inj 20 MG/ML
EUFLEXXA INJ 10MG/ML
EUGENOL SOL USP NF
EULEXIN CAP 125MG
EVAMIST SPR 1.53MG
EVISTA TAB 60MG
EVITHROM SOL 800-1200
EVOXAC CAP 30MG
EXELON CAP 1.5MG
EXELON CAP 3MG
EXELON CAP 4.5MG
EXELON CAP 6MG
EXELON DIS 4.6MG/24
EXELON DIS 9.5MG/24
EXELON SOL 2MG/ML
EXFORGE TAB 10-160MG
EXFORGE TAB 10-320MG
EXFORGE TAB 5-160MG
EXFORGE TAB 5-320MG
EXFORGE HCT TAB
EXFORGE HCT TAB 5-160-25
EXJADE TAB 125MG
EXJADE TAB 250MG
EXJADE TAB 500MG
EXTENDRYL SOL
EXTENDRYL HC TAB
EXTINA AER 2%
E-Z-AC LIQ 100%
E-Z-CAT DRY SUS
E-Z-DOSE LIQ KIT
E-Z-HD SUS 250 %
E-Z-PASTE CRE ORAL
A B C D E
F G H I J
K L M N O
P Q R S T
U V W X Y
Z
 * Pricing is subject to change without notice.
 * Pricing is only for quantities stated, additional quantities may incur higher costs.
 * This is not an insured product.
 * Network pharmacies can be contracted at different rates resulting in some pricing differences.