Program Overview Drug Pricing 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
EASY TOUCH MIS LANC/33G100.00
EASYGEL GEL 0.4%129.00
EASYGEL GEL 0.4%CHRY129.00
EASYGEL GEL 0.4%CITR129.00
EASYGEL GEL 0.4%MINT129.00
EASYTEST MIS LANCETS100.00
EASYTEST II MIS LANCETS100.00
EFFER-K TAB 25MEQ EF30.00
EPITOL TAB 200MG60.00
EQL LANCETS MIS 21G COLR100.00
EQL LANCETS MIS 33G COLR100.00
EQL LANCETS MIS THIN 26G100.00
EQL LANCETS MIS THIN 30G100.00
ERGOCALCIFER CAP 50000UNT4.00
DRUG NAME (DOSE)QTY
ESTRADIOL TAB 1MG30.00
E-Z JECT MIS 21G100.00
E-Z JECT MIS 21G COLR100.00
E-Z JECT MIS 30G100.00
E-Z JECT MIS 32G COLR100.00
E-Z JECT MIS LANC 21G100.00
E-Z JECT MIS THIN 26G100.00
EZ SMART MIS LANCETS100.00
E-ZJECT LANC MIS 33G100.00
EZ-LETS 21G MIS LANCETS100.00
EZ-LETS 23G MIS LANCETS100.00
EZ-LETS 26G MIS LANCETS100.00
EZ-LETS 28G MIS LANCETS100.00
EZ-LETS 30G MIS LANCETS100.00
Second Tier
DRUG NAME (DOSE)QTY
EASY TOUCH MIS LANC/21G100.00
EASY TOUCH MIS LANC/23G100.00
EASY TOUCH MIS LANC/26G100.00
EASY TOUCH MIS LANC/28G100.00
EASY TOUCH MIS LANC/30G100.00
EASY TOUCH MIS LANC/32G100.00
ECONAZOLE CRE 1%15.00
ED-FLEX CAP30.00
EFFER-K TAB 10MEQ30.00
EFFER-K TAB 20MEQ30.00
EMBRACE LANC MIS THIN 30G100.00
EMLA CRE 2.5-2.5%5.00
ENALAPR/HCTZ TAB 10-25MG30.00
ENALAPR/HCTZ TAB 5-12.5MG30.00
ENALAPRIL TAB 10MG30.00
DRUG NAME (DOSE)QTY
ENALAPRIL TAB 2.5MG30.00
ENALAPRIL TAB 20MG30.00
ENALAPRIL TAB 5MG30.00
ENDO DERMAL MIS 5X5 CM1.00
ENULOSE SOL 10GM/15473.00
ESGIC CAP30.00
ESTAZOLAM TAB 1MG30.00
ESTRADIOL TAB 0.5MG30.00
ESTRADIOL TAB 2MG30.00
ESTROPIPATE TAB 0.75MG30.00
ESTROPIPATE TAB 1.5MG30.00
ETHAMBUTOL TAB 100MG30.00
EXACTUSS LIQ473.00
EXODERM LOT 25-1%120.00
EXOTIC-HC DRO OTIC10.00

Third Tier

DRUG NAME (DOSE)QTY
EASY COMFORT MIS 30G100.00
EASY COMFORT MIS LANC/30G100.00
EASY TOUCH MIS 29GX1/2"100.00
EASY TOUCH MIS 31GX1/4"100.00
EASY TOUCH MIS 31GX3/16100.00
EASY TOUCH MIS 31GX5/16100.00
EASY TOUCH MIS 32GX1/4"100.00
EASY TOUCH MIS 32GX3/16100.00
EASY TOUCH MIS 32GX5/32100.00
EASY TOUCH MIS 32GX5MM100.00
EASY TOUCH MIS 32GX6MM100.00
EASYMAX 15 TES100.00
EASYPLUS TES BLD GLUC100.00
EASYPRO PLUS TES100.00
ED-SPAZ TAB 0.125MG60.00
EEMT TAB30.00
ELINEST TAB28.00
ELITE-OB TAB30.00
EMOQUETTE TAB28.00
DRUG NAME (DOSE)QTY
ENDOCET TAB 5-325MG120.00
ENPRESSE-28 TAB28.00
ENSKYCE TAB28.00
ERRIN TAB 0.35MG28.00
ERYTHROMYCIN SOL 2%60.00
ESCAVITE CHW30.00
EST ESTROGEN TAB MTEST30.00
EST ESTROGEN TAB MTEST DS30.00
ESTARYLLA TAB 0.25-3528.00
ESTAZOLAM TAB 2MG30.00
ESTROPIPATE TAB 3MG30.00
ETHYL CHLOR AER FINE PIN103.50
ETHYL CHLOR AER FN STRM103.50
ETHYL CHLOR AER MED JET103.50
ETHYL CHLOR AER MED STRM103.50
ETHYL CHLOR AER MIST103.50
EZ SMART TES BLD GLUC100.00
EZ SMART PLS TES BLD GLUC100.00

Fourth Tier
DRUG NAME (DOSE)QTY
E.E.S. 400 TAB 400MG
E.E.S. GRAN SUS 200/5ML
EASY COMFORT MIS 31GX1/4"
EASY COMFORT MIS 31GX3/16
EASY COMFORT MIS 31GX5/16
EASY COMFORT MIS 32GX5/32
EASY PLUS TES BLD GLUC
EASY PLUS II TES BLD GLUC
EASY STEP TES
EASY TALK TES BLD GLUC
EASY TOUCH TES STRIPS
EASY TRAK TES BLD GLUC
EASYGLUCO TES
EASYGLUCO TES PLUS
EASYMAX TES
EASYPRO TES BLD GLUC
EC-NAPROSYN TAB 375MG
EC-NAPROSYN TAB 500MG
ECOZA AER 1%
EDARBI TAB 40MG
EDARBI TAB 80MG
EDARBYCLOR TAB 40-12.5
EDARBYCLOR TAB 40-25MG
EDECRIN TAB 25MG
EDEX KIT 10MCG
EDEX KIT 20MCG
EDEX KIT 40MCG
EDLUAR SUB 10MG
EDLUAR SUB 5MG
EDURANT TAB 25MG
EEMT HS TAB
EFFEXOR XR CAP 150MG
EFFEXOR XR CAP 37.5MG
EFFEXOR XR CAP 75MG
EFFIENT TAB 10MG
EFFIENT TAB 5MG
EFUDEX CRE 5%
EGRIFTA SOL 1MG
EGRIFTA SOL 2MG
ELDEPRYL CAP 5MG
ELEMENT TES
ELEMNT COMPA TES STRIPS
ELENZAPATCH DIS 4-1%
ELESTAT DRO 0.05%
ELESTRIN GEL 0.06%
ELETONE CRE
ELETONE CRE TWINPACK
ELIDEL CRE 1%
ELIGARD INJ 22.5MG
ELIGARD INJ 30MG
ELIGARD INJ 45MG
ELIGARD INJ 7.5MG
ELIGEN B12 TAB 1000-100
ELIMITE CRE 5%
ELIPHOS TAB 667MG
ELIQUIS TAB 2.5MG
ELIQUIS TAB 5MG
ELIXOPHYLLIN ELX 80/15ML
ELLA TAB 30MG
ELLIOTTS B INJ
ELMIRON CAP 100MG
ELOCON CRE 0.1%
ELOCON LOT 0.1%
ELOCON OIN 0.1%
EMADINE SOL 0.05% OP
EMBEDA CAP 100-4MG
EMBEDA CAP 20-0.8MG
EMBEDA CAP 30-1.2MG
EMBEDA CAP 50-2MG
EMBEDA CAP 60-2.4MG
EMBEDA CAP 80-3.2MG
EMBRACE TES BLD GLUC
EMBRACE EVO TES
EMBRACE PRO TES
EMCYT CAP 140MG
EMEND CAP 125MG
EMEND CAP 40MG
EMEND CAP 80MG
EMEND PAK 80 & 125
EMSAM DIS 12MG/24H
EMSAM DIS 6MG/24HR
EMSAM DIS 9MG/24HR
EMTRIVA CAP 200MG
EMTRIVA SOL 10MG/ML
EMULSION SB EMU
EMVOREN CRE
ENABLEX TAB 15MG
ENABLEX TAB 7.5MG
ENBRACE HR CAP
ENBREL INJ 25/0.5ML
ENBREL INJ 25MG
ENBREL INJ 50MG/ML
ENBREL SRCLK INJ 50MG/ML
ENDO DERMAL MIS 10X12.7
ENDOCET TAB 10-325MG
ENDOCET TAB 2.5-325
ENDOCET TAB 7.5-325
ENDODAN TAB
ENDOMETRIN SUP 100MG
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 INJ 150/15ML
ENOXAPARIN INJ 100MG/ML
ENOXAPARIN INJ 120/0.8
ENOXAPARIN INJ 150MG/ML
ENOXAPARIN INJ 30/0.3ML
ENOXAPARIN INJ 300/3ML
ENOXAPARIN INJ 40/0.4ML
ENOXAPARIN INJ 60/0.6ML
ENOXAPARIN INJ 80/0.8ML
ENTACAPONE TAB 200MG
ENTECAVIR TAB 0.5MG
ENTECAVIR TAB 1MG
ENTERAGAM POW 5GM
ENTEREG CAP 12MG
ENTOCORT EC CAP 3MG/24HR
EPANED SOL 1MG/ML
EPHEDRINE SU INJ 50MG/ML
EPICERAM EMU
EPIDUO GEL 0.1-2.5%
EPIFIX MIS 18MM
EPIFIX MIS 24MM
EPIFIX MIS 2CMX2CM
EPIFIX MIS 2CMX4CM
EPIFIX MIS 3CMX3CM
EPIFIX MIS 3CMX5CM
EPIFIX MIS 4CMX3CM
EPIFOAM AER 1%
EPINASTINE DRO 0.05%
EPINEPHRINE INJ 0.15MG
EPINEPHRINE INJ 0.1MG/ML
EPINEPHRINE INJ 0.3MG
EPINEPHRINE INJ 1MG/ML
EPIPEN 2-PAK INJ 0.3MG
EPIPEN-JR INJ 2-PAK
EPIQUIN MICR CRE 4%
EPIVIR SOL 10MG/ML
DRUG NAME (DOSE)QTY
EPIVIR TAB 150MG
EPIVIR TAB 300MG
EPIVIR HBV SOL 5MG/ML
EPIVIR HBV TAB 100MG
EPLERENONE TAB 25MG
EPLERENONE TAB 50MG
EPOGEN INJ 10000/ML
EPOGEN INJ 2000/ML
EPOGEN INJ 20000/ML
EPOGEN INJ 3000/ML
EPOGEN INJ 4000/ML
EPROSART MES TAB 600MG
EPZICOM TAB 600-300
EQL TRUETEST TES BLD GLUC
EQUAGESIC TAB 200-325
EQUETRO CAP 100MG
EQUETRO CAP 200MG
EQUETRO CAP 300MG
ERGOLOID MES TAB 1MG ORAL
ERGOMAR SUB 2MG
ERIVEDGE CAP 150MG
ERTACZO CRE 2%
ERWINAZE INJ 10000UNT
ERY PAD 2%
ERYGEL GEL 2%
ERYPED SUS 200/5ML
ERYPED SUS 400/5ML
ERY-TAB TAB 250MG EC
ERY-TAB TAB 333MG EC
ERY-TAB TAB 500MG EC
ERYTHROCIN TAB 250MG
ERYTHROM ETH TAB 400MG
ERYTHROMYCIN CAP 250MG EC
ERYTHROMYCIN GEL /BENZOYL
ERYTHROMYCIN GEL 2%
ERYTHROMYCIN OIN 5MG/GM
ERYTHROMYCIN OIN OP
ERYTHROMYCIN PAD 2%
ERYTHROMYCIN TAB 250MG BS
ERYTHROMYCIN TAB 500MG BS
ESBRIET CAP 267MG
ESCAVITE D CHW
ESCITALOPRAM SOL 5MG/5ML
ESCITALOPRAM TAB 10MG
ESCITALOPRAM TAB 20MG
ESCITALOPRAM TAB 5MG
ESGIC TAB
ESOMEPRA MAG CAP 20MG DR
ESOMEPRA MAG CAP 40MG DR
ESSENTRA MIS 9X9"
EST ESTROGEN TAB MTEST HS
ESTRA/NORETH TAB 0.5-0.1
ESTRA/NORETH TAB 1-0.5MG
ESTRACE TAB 0.5MG
ESTRACE TAB 1MG
ESTRACE TAB 2MG
ESTRACE VAG CRE 0.1MG/GM
ESTRAD VAL INJ 200MG/5
ESTRAD VAL INJ 20MG/ML
ESTRADIOL DIS 0.025MG
ESTRADIOL DIS 0.0375MG
ESTRADIOL DIS 0.05MG
ESTRADIOL DIS 0.06MG
ESTRADIOL DIS 0.075MG
ESTRADIOL DIS 0.1MG
ESTRADIOL MIS 10MG
ESTRADIOL MIS 12.5MG
ESTRADIOL MIS 25MG
ESTRADIOL MIS 6MG
ESTRING MIS 2MG
ESTROGEL GEL
ESTROSTEP FE TAB
ESZOPICLONE TAB 1MG
ESZOPICLONE TAB 2MG
ESZOPICLONE TAB 3MG
ETHAMBUTOL TAB 400MG
ETHOSUXIMIDE CAP 250MG
ETHOSUXIMIDE SOL 250/5ML
ETIDRON DISD TAB 200MG
ETIDRON DISD TAB 400MG
ETODOLAC CAP 200MG
ETODOLAC CAP 300MG
ETODOLAC TAB 400MG
ETODOLAC TAB 500MG
ETODOLAC ER TAB 400MG
ETODOLAC ER TAB 500MG
ETODOLAC ER TAB 600MG
ETOPOSIDE CAP 50MG
EUFLEXXA INJ 10MG/ML
EURAX CRE 10%
EURAX LOT 10%
EVAMIST SPR 1.53MG
EVEKEO TAB 10MG
EVEKEO TAB 5MG
EVENCARE TES BLD GLUC
EVENCARE + TES BLD GLUC
EVENCARE G2 TES
EVENCARE G3 TES
EVISTA TAB 60MG
EVOCLIN AER 1%
EVOLUTION TES AUTOCODE
EVOTAZ TAB 300-150
EVOXAC CAP 30MG
EVZIO INJ
EXACTECH TES
EXACTECH TES R-S-G
EXALGO TAB 12MG
EXALGO TAB 16MG
EXALGO TAB 32MG
EXALGO TAB 8MG
EXELDERM CRE 1%
EXELDERM SOL 1%
EXELON CAP 1.5MG
EXELON CAP 3MG
EXELON CAP 4.5MG
EXELON CAP 6MG
EXELON DIS 13.3/24
EXELON DIS 4.6MG/24
EXELON DIS 9.5MG/24
EXEMESTANE TAB 25MG
EXFORGE TAB 10-160MG
EXFORGE TAB 10-320MG
EXFORGE TAB 5-160MG
EXFORGE TAB 5-320MG
EXFORGEH/10- TAB 160-12.5
EXFORGEH/10- TAB 160-25
EXFORGEH/10- TAB 320-25
EXFORGEH/5- TAB 160-12.5
EXFORGEH/5- TAB 160-25
EXJADE TAB 125MG
EXJADE TAB 250MG
EXJADE TAB 500MG
EXPAREL INJ 1.3%
EXPRESSVIEW TES GLUCOSE
EXTARDOL CRE
EXTAVIA INJ 0.3MG
EXTINA AER 2%
EXTRANEAL SOL
EXTRA-VIRT CAP PLUS DHA
EYLEA INJ 2/0.05ML
EZ FLU SHOT INJ 2014-15
EZ FLU SHOT INJ PF 14-15
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 * THIS IS NOT INSURANCE – DISCOUNTS ONLY Dispute Resolution Procedure  Terms & Conditions  Privacy Policy 
 * Pricing is subject to change without notice.
 * Pricing is only for quantities stated, additional quantities may incur higher costs.
 * Network pharmacies can be contracted at different rates resulting in some pricing differences.