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
GENTLE-LET MIS 26G100.00
GENTLE-LET MIS 28G100.00
GENTLE-LET MIS LANCETS100.00
GLIMEPIRIDE TAB 1MG30.00
GLIMEPIRIDE TAB 2MG30.00
GLIPIZIDE ER TAB 2.5MG30.00
GLIPIZIDE ER TAB 5MG30.00
GLIPIZIDE XL TAB 2.5MG30.00
GLIPIZIDE XL TAB 5MG30.00
GLUCOCOM MIS 28G100.00
GLUCOCOM MIS 30G100.00
GLUCOCOM MIS 33G100.00
GLUCOSOURCE MIS LANCETS100.00
GLUTARALDEHY SOL 25%1.00
DRUG NAME (DOSE)QTY
GLYBURID MCR TAB 1.5MG30.00
GLYBURID MCR TAB 3MG30.00
GLYBURIDE TAB 1.25MG30.00
GLYBURIDE TAB 2.5MG30.00
GNP LANCETS MIS100.00
GNP LANCETS MIS 21G100.00
GNP LANCETS MIS MICRO100.00
GNP LANCETS MIS SUP THIN100.00
GNP LANCETS MIS THIN100.00
GNP LANCETS MIS THIN 26G100.00
GUANFACINE TAB 1MG30.00
GUANFACINE TAB 2MG30.00
GUANIDINE TAB 125MG30.00
Second Tier
DRUG NAME (DOSE)QTY
GABAPENTIN CAP 100MG90.00
GABAPENTIN CAP 400MG90.00
GAVILYTE-C SOL4000.00
GAVILYTE-G SOL4000.00
GEL-KAM CON 0.63%283.00
GEMFIBROZIL TAB 600MG60.00
GENERLAC SOL 10GM/15473.00
GENTAK OIN 0.3% OP3.50
GENTAMICIN OIN 0.3% OP3.50
GENTAMICIN SOL 0.3% OP5.00
GILTUSS LIQ PED-C60.00
DRUG NAME (DOSE)QTY
GLIMEPIRIDE TAB 4MG60.00
GLIPIZIDE TAB 10MG60.00
GLIPIZIDE TAB 5MG60.00
GLIPIZIDE ER TAB 10MG30.00
GLIPIZIDE XL TAB 10MG30.00
GLYB/METFORM TAB 1.25-25060.00
GLYB/METFORM TAB 2.5-50060.00
GLYB/METFORM TAB 5-500MG60.00
GLYBURIDE TAB 5MG60.00
GORDOFILM SOL15.00
GRANULEX AER56.70

Third Tier

DRUG NAME (DOSE)QTY
GABAPENTIN CAP 300MG90.00
GALZIN CAP 25MG30.00
GARAMYCIN SOL 0.3% OP5.00
GAVILYTE-N SOL FLAV PK4000.00
GE100 BLOOD TES GLUCOSE100.00
GEBAUERS SPR AER /STRETCH103.50
GENGRAF CAP 25MG30.00
GILDAGIA TAB 0.4-3528.00
GILDESS TAB 1.5/3028.00
GILDESS TAB 1/2028.00
GILDESS FE TAB 1.5/3028.00
GILDESS FE TAB 1/2028.00
GILPHEX TR TAB 10-388MG30.00
GILTUSS LIQ473.00
GILTUSS PED LIQ60.00
GILTUSS TR TAB30.00
GLIP/METFORM TAB 2.5-250M60.00
GLIP/METFORM TAB 2.5-500M60.00
GLIP/METFORM TAB 5-500MG60.00
GLOBAL 28G MIS LANCETS100.00
DRUG NAME (DOSE)QTY
GLOBAL 30G MIS LANCETS100.00
GLUCOCARD TES SHINE100.00
GLUCOCARD 01 TES PLUS100.00
GLUCOCARD 01 TES SENSOR100.00
GLUCONAVII TES STRIPS100.00
GLUCOTROL XL TAB 2.5MG30.00
GLUCOTROL XL TAB 5MG30.00
GLYBURID MCR TAB 6MG60.00
GLYCOPYRROL INJ 0.4/2ML2.00
GLYCOPYRROL INJ 0.4MG/2ML2.00
GLYCOPYRROL TAB 1MG60.00
GLYNASE TAB 1.5MG30.00
GMATE LANCET MIS 30G100.00
GOLYTELY SOL4000.00
GOLYTELY SOL PINEAPPL4000.00
GORDONS UREA OIN 40%30.00
GRAFCO SILVR MIS NIT APPL100.00
GREEN GLO MIS 1.5MG100.00
GRISEOFULVIN SUS 125/5ML118.00

Fourth Tier
DRUG NAME (DOSE)QTY
GABAPENTIN SOL 250/5ML
GABAPENTIN TAB 600MG
GABAPENTIN TAB 800MG
GABITRIL TAB 12MG
GABITRIL TAB 16MG
GABITRIL TAB 2MG
GABITRIL TAB 4MG
GABLOFEN INJ 10000/20
GABLOFEN INJ 20000/20
GABLOFEN INJ 40000/20
GABLOFEN INJ 50MCG/ML
GALANTAMINE CAP 16MG ER
GALANTAMINE CAP 24MG ER
GALANTAMINE CAP 8MG ER
GALANTAMINE SOL 4MG/ML
GALANTAMINE TAB 12MG
GALANTAMINE TAB 4MG
GALANTAMINE TAB 8MG
GALZIN CAP 50MG
GAMASTAN S/D INJ
GAMMAGARD INJ 10GM/100
GAMMAGARD INJ 1GM/10ML
GAMMAGARD INJ 2.5GM/25
GAMMAGARD INJ 20GM/200
GAMMAGARD INJ 30GM/300
GAMMAGARD INJ 5GM/50ML
GAMMAKED INJ 10GM/100
GAMMAKED INJ 1GM/10ML
GAMMAKED INJ 2.5GM/25
GAMMAKED INJ 20GM/200
GAMMAKED INJ 5GM/50ML
GAMUNEX-C INJ 10GM/100
GAMUNEX-C INJ 1GM/10ML
GAMUNEX-C INJ 2.5GM/25
GAMUNEX-C INJ 20GM/200
GAMUNEX-C INJ 40/400ML
GAMUNEX-C INJ 5GM/50ML
GANIRELIX AC INJ
GAPEAUM CRE BUDIBAC
GARDASIL INJ
GARDASIL 9 INJ
GASTRINEX NF CAP
GASTROCROM CON 100/5ML
GATIFLOXACIN SOL 0.5%
GATTEX KIT 5MG
GAVILYTE-H KIT
GELCLAIR GEL
GELFILM MIS OP
GELNIQUE GEL 10%
GELNIQUE GEL 3%
GEL-ONE INJ 30MG/3ML
GENADUR KIT
GENADUR LIQ
GENERESS FE CHW
GENGRAF CAP 100MG
GENGRAF SOL 100MG/ML
GENOTROPIN INJ 0.2MG
GENOTROPIN INJ 0.4MG
GENOTROPIN INJ 0.6MG
GENOTROPIN INJ 0.8MG
GENOTROPIN INJ 1.2MG
GENOTROPIN INJ 1.4MG
GENOTROPIN INJ 1.6MG
GENOTROPIN INJ 1.8MG
GENOTROPIN INJ 12MG
GENOTROPIN INJ 1MG
GENOTROPIN INJ 2MG
GENOTROPIN INJ 5MG
GENTAMICIN CRE 0.1%
GENTAMICIN INJ 10MG/ML
GENTAMICIN INJ 40MG/ML
GENTAMICIN OIN 0.1%
GEODON CAP 20MG
GEODON CAP 40MG
GEODON CAP 60MG
GEODON CAP 80MG
GEODON INJ 20MG
GHT TEST TES STRIPS
GIANVI TAB 3-0.02MG
GIAZO TAB 1.1GM
DRUG NAME (DOSE)QTY
GILDESS 24 TAB FE 1/20
GILENYA CAP 0.5MG
GILOTRIF TAB 20MG
GILOTRIF TAB 30MG
GILOTRIF TAB 40MG
GLATOPA INJ 20MG/ML
GLEEVEC TAB 100MG
GLEEVEC TAB 400MG
GLEOSTINE CAP 100MG
GLEOSTINE CAP 10MG
GLEOSTINE CAP 40MG
GLIADEL WAF 7.7MG
GLUCAGEN INJ 1MG
GLUCAGEN INJ HYPOKIT
GLUCAGON INJ 1MG
GLUCAGON KIT 1MG
GLUCO PERFEC TES 3
GLUCOCARD TES EXPRESSI
GLUCOCARD TES VITAL
GLUCOCARD TES X-SENSOR
GLUCOCOM TES
GLUCOPHAGE TAB 1000MG
GLUCOPHAGE TAB 500MG
GLUCOPHAGE TAB 500MG XR
GLUCOPHAGE TAB 750MG XR
GLUCOPHAGE TAB 850MG
GLUCOPROTEIN TES
GLUCOTROL TAB 10MG
GLUCOTROL TAB 5MG
GLUCOTROL XL TAB 10MG
GLUCOVANCE TAB 1.25-250
GLUCOVANCE TAB 2.5-500
GLUCOVANCE TAB 5-500MG
GLUMETZA TAB 1000MG
GLUMETZA TAB 500MG
GLYCATE TAB 1.5MG
GLYCINE SOL 1.5% IRR
GLYCOPYRROL INJ 0.2MG/ML
GLYCOPYRROL INJ 1MG/5ML
GLYCOPYRROL INJ 4MG/20ML
GLYCOPYRROL TAB 2MG
GLYDO GEL 2%
GLYNASE TAB 3MG
GLYNASE TAB 6MG
GLYSET TAB 100MG
GLYSET TAB 25MG
GLYSET TAB 50MG
GLYTACTIN LIQ RTD 10
GLYTACTIN LIQ RTD 15
GLYXAMBI TAB 10-5 MG
GLYXAMBI TAB 25-5 MG
GMATE BLOOD TES GLUCOSE
GONAL-F INJ 1050UNIT
GONAL-F INJ 450UNIT
GONAL-F RFF INJ 300
GONAL-F RFF INJ 300/0.5
GONAL-F RFF INJ 450
GONAL-F RFF INJ 450/0.75
GONAL-F RFF INJ 75UNIT
GONAL-F RFF INJ 900
GONAL-F RFF INJ 900/1.5
GRALISE TAB 300MG
GRALISE TAB 600MG
GRALISE STAR MIS 300/600
GRANISETRON TAB 1MG
GRANIX INJ 300/0.5
GRANIX INJ 480/0.8
GRIFULVIN V TAB 500MG
GRISEOFULVIN TAB MICR 500
GRISEOFULVIN TAB ULTR 125
GRISEOFULVIN TAB ULTR 250
GRIS-PEG TAB 125MG
GRIS-PEG TAB 250MG
GRX HICORT SUP 25MG
GUANFACINE TAB 1MG ER
GUANFACINE TAB 2MG ER
GUANFACINE TAB 3MG ER
GUANFACINE TAB 4MG ER
GYNAZOLE-1 CRE 2%
A B C D E
F G H I J
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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.