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 Gentamicin Sulfate Cream 0.1% 15.00 Gentamicin Sulfate Oint 0.1% 30.00 Gentamicin Sulfate Ophth Soln 0.3% 1.00 Gentamicin Sulfate Ophth Soln 0.3% 5.00 Gentamicin Sulfate Ophth Soln 0.3% 5.00 Glimepiride Tab 1 MG 30.00 Glimepiride Tab 2 MG 30.00 Glipizide Tab 5 MG 30.00 GLUCOSOURCE MIS LANCETS 100.00 GLUTARALDEHY SOL 25% 1.00 Glyburide Micronized Tab 1.5 MG 30.00 Glyburide Micronized Tab 1.5 MG 30.00

DRUG NAME (DOSE) QTY Glyburide Tab 1.25 MG 30.00 Glyburide Tab 2.5 MG 30.00 Glyburide Tab 5 MG 30.00 GLYCOLIC ACD SOL 70% 1.00 Guaifenesin Tab 200 MG 30.00 Guaifenesin Tab 200 MG 30.00 Guaifenesin Tab 400 MG 30.00 Guaifenesin Tab CR 600 MG 30.00 Guaifenesin Tab CR 600 MG 30.00 Guanfacine HCl Tab 1 MG 30.00 GUANIDINE TAB 125MG 30.00

DRUG NAME (DOSE) QTY Gabapentin Cap 100 MG 30.00 Gabapentin Cap 300 MG 30.00 Gabapentin Tab 100 MG 30.00 GABARONE TAB 100MG 30.00 GASTRINEX CAP 30.00 GEL-KAM CON 0.63% 283.00 Gemfibrozil Tab 600 MG 30.00 GENECOF-HC LIQ 473.00 GENELAN LIQ 473.00 GENELAN NF LIQ 473.00 GENEVIT-FA SYP 473.00 GENTAK OIN 0.3% OP 3.50 Gentamicin Sulfate Ophth Oint 0.3% 3.50 GENTLE-LET MIS 26G 200.00 GENTLE-LET MIS 28G 200.00 GENTLE-LET MIS LANCETS 200.00 GEREF INJ 0.5MG 1.00 GFN550/PSE60 TAB 30.00 GILTUSS LIQ PED-C 60.00 GILTUSS PED LIQ 60.00 Glimepiride Tab 4 MG 30.00 Glipizide Tab 10 MG 30.00 Glipizide Tab SR 24HR 10 MG 30.00 Glipizide Tab SR 24HR 10 MG 30.00 Glipizide Tab SR 24HR 2.5 MG 30.00 Glipizide Tab SR 24HR 2.5 MG 30.00

DRUG NAME (DOSE) QTY Glipizide Tab SR 24HR 5 MG 30.00 Glipizide Tab SR 24HR 5 MG 30.00 Glipizide-Metformin HCl Tab 2.5-500 MG 30.00 GLUCOTROL XL TAB 2.5MG 30.00 GLUCOTROL XL TAB 5MG 30.00 Glyburide Micronized Tab 3 MG 30.00 Glyburide Micronized Tab 3 MG 30.00 Glyburide-Metformin Tab 1.25-250 MG 30.00 Glyburide-Metformin Tab 2.5-500 MG 30.00 Glyburide-Metformin Tab 5-500 MG 30.00 Glycopyrrolate Inj 0.2 MG/ML 25.00 GNP LANCETS MIS 200.00 GNP LANCETS MIS COLOR 200.00 GNP LANCETS MIS THIN 200.00 GOLYTELY SOL 1.00 GONIOSOL SOL OP 15.00 GORDOCHOM SOL 6.00 GORDOFILM SOL 15.00 GRANULEX AER 56.70 GUACOL DM DRO PED 30.00 Guaifenesin Tab 400 MG 30.00 Guaifenesin Tab SR 12HR 1200 MG 30.00 Guaifenesin Tab SR 12HR 1200 MG 30.00 Guanfacine HCl Tab 2 MG 30.00 GYNODIOL TAB 1.5MG 30.00

DRUG NAME (DOSE) QTY GABADONE TAB GABITRIL TAB 12MG GABITRIL TAB 16MG GABITRIL TAB 2MG GABITRIL TAB 4MG Galantamine Hydrobromide Tab 12 MG Galantamine Hydrobromide Tab 4 MG Galantamine Hydrobromide Tab 8 MG Ganciclovir Cap 250 MG Ganciclovir Cap 500 MG GANIRELIX AC INJ GANITE INJ 25MG/ML GARAMYCIN INJ 40MG/ML GARDASIL INJ GASTROCROM CON 100/5ML GASTROGRAFIN SOL GASTROMARK SUS 175MCG GELCLAIR GEL GELFILM MIS ENVELOPE GELFILM MIS OP GELFOAM MIS 6 CM GELFOAM MIS PROST 18 GELFOAM MIS SPON COM GELFOAM MIS SPONG 50 GELFOAM MIS SPONG100 GELFOAM MIS SPONG127 GELFOAM MIS SPONG200 GEMZAR INJ 1 GM GEMZAR INJ 200MG GENOTROPIN INJ 0.2MG GENOTROPIN INJ 0.4MG GENOTROPIN INJ 0.6MG GENOTROPIN INJ 0.8MG GENOTROPIN INJ 1.2MG GENOTROPIN INJ 1.5MG GENOTROPIN INJ 1.6MG GENOTROPIN INJ 1.8MG GENOTROPIN INJ 13.8MG GENOTROPIN INJ 1MG GENOTROPIN INJ 2MG GENOTROPIN INJ 5.8MG GENTAM/NACL INJ 100MG PB GENTAM/NACL INJ 70MG PB GENTAM/NACL INJ 90MG PB Gentamicin in Saline Inj 0.8 MG/ML Gentamicin in Saline Inj 1 MG/ML Gentamicin in Saline Inj 1.2 MG/ML Gentamicin in Saline Inj 1.6 MG/ML Gentamicin Sulfate Inj 10 MG/ML Gentamicin Sulfate Inj 40 MG/ML

DRUG NAME (DOSE) QTY GENTEX HC LIQ GEOCILLIN TAB 382MG GEODON CAP 20MG GEODON CAP 40MG GEODON CAP 60MG GEODON CAP 80MG GEODON INJ 20MG GEREF DIAG INJ 50MCG GILTUSS HC LIQ GINGER OIL FCC GLEEVEC TAB 100MG GLEEVEC TAB 400MG GLIADEL WAF 7.7MG GLIADEL WAF WAFER GLOFIL-125 INJ 0.1% GLUCAGEN INJ 1MG GLUCAGON KIT 1MG GLUCOPHAGE TAB 1000MG GLUCOPHAGE TAB 850MG GLUCOPROTEIN TES GLUCOWATCH G KIT BIOGRAPH GLUMETZA TAB 1000MG GLYCEROLIZIN SOL Glycine Irrigation Soln 1.5% Glycopyrrolate Tab 2 MG Glyc-Sod Lact-Sod Phos-Sod Biphos-Pot Cl In Vitro Soln GLYNASE TAB 6MG GLYQUIN XM CRE Gold Sodium Thiomalate Inj 50 MG/ML GONAL-F INJ 1050UNIT GONAL-F INJ 1200IU GONAL-F INJ 150IU GONAL-F INJ 450IU GONAL-F INJ 75IU GONAL-F RFF INJ 300 GONAL-F RFF INJ 450 GONAL-F RFF INJ 75IU GONAL-F RFF INJ 900 Granisetron HCl Inj 1 MG/ML Granisetron HCl Oral Soln 2 MG/10ML (Base Equivalent) Granisetron HCl Tab 1 MG GRIFULVIN V SUS 125/5ML GRIFULVIN V TAB MICR 500 GRIS-PEG TAB 125MG GRIS-PEG TAB 250MG GUAIACOL SOL PURIFIED GUAIFED CAP 15-400MG GUAIFED-PD CAP 7.5-200 GUANABENZ TAB 8MG GYNAZOLE-1 CRE 2%