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
IBUPROFEN TAB 400MG60.00
IBUPROFEN TAB 600MG90.00
IFEREX 150 CAP FORTE30.00
IMIPRAM HCL TAB 10MG30.00
IMIPRAM HCL TAB 25MG30.00
IMIPRAM HCL TAB 50MG30.00
INCONTROL MIS LANC 28G100.00
DRUG NAME (DOSE)QTY
INCONTROL MIS LANC 30G100.00
INFLUENZA A SPR 09 H1N110.00
INSULIN SYRG MIS 0.5/27G10.00
INSULIN SYRG MIS 1ML/27G10.00
IPRATROPIUM SOL 0.02%INH75.00
ISOSORB MONO TAB 10MG30.00
Second Tier
DRUG NAME (DOSE)QTY
IBUPROFEN TAB 800MG90.00
INATAL ADV TAB30.00
INATAL GT TAB30.00
INATAL ULTRA TAB30.00
INDAPAMIDE TAB 1.25MG30.00
INDAPAMIDE TAB 2.5MG30.00
INDOMETHACIN CAP 25MG60.00
INDOMETHACIN CAP 50MG60.00
INSUPEN ULTR MIS 29GX12MM100.00
DRUG NAME (DOSE)QTY
INSUPEN ULTR MIS 30GX8MM100.00
INSUPEN ULTR MIS 31GX6MM100.00
INSUPEN ULTR MIS 31GX8MM100.00
INTEGRA F CAP30.00
INTROL SOL 75%120.00
ISONIAZID TAB 300MG30.00
ISOSORB MONO TAB 120MG ER30.00
ISOSORB MONO TAB 30MG ER30.00
ISOSORB MONO TAB 60MG ER30.00

Third Tier

DRUG NAME (DOSE)QTY
IBUDONE TAB 5-200MG30.00
IC 400 KIT 400MG120.00
IC 800 KIT 800MG120.00
ICAR-C PLUS TAB30.00
IN CONTROL MIS 31GX5MM100.00
IN CONTROL MIS 31GX6MM100.00
IN CONTROL MIS 31GX8MM100.00
INCONTROL MIS 29GX12MM100.00
INSULIN PEN MIS 29GX12MM100.00
INSULIN PEN MIS 31GX4MM100.00
INSULIN PEN MIS 31GX8MM100.00
INSULIN SYRG MIS 0.3/28G100.00
INSULIN SYRG MIS 1ML/26G100.00
INSULIN SYRG MIS 2/27.5G100.00
INSULIN SYRG MIS 28GX1/2"100.00
INSULIN SYRG MIS 29GX1/2"100.00
INSULIN SYRG MIS 2ML/29G100.00
INSULIN SYRG MIS 30GX5/16100.00
INSULIN SYRG MIS 31GX5/16100.00
INSUPEN MIS 32GX4MM100.00
INSUPEN MIS 33GX4MM100.00
INSUPEN SENS MIS 32GX6MM100.00
DRUG NAME (DOSE)QTY
INSUPEN SENS MIS 32GX8MM100.00
INTEGRA PLUS CAP30.00
INTROVALE TAB28.00
IODINE SOL STRONG14.00
IPRATROPIUM SPR 0.03%30.00
IPRATROPIUM SPR 0.06%15.00
IPRATROPIUM/ SOL ALBUTER180.00
IRBESAR/HCTZ TAB 150-12.530.00
IRBESARTAN TAB 150MG30.00
IRBESARTAN TAB 300MG30.00
IRBESARTAN TAB 75MG30.00
ISO ATROPINE SOL 1% OP5.00
ISO HOMATROP SOL 2% OP5.00
ISO HOMATROP SOL 5% OP5.00
ISO HYOSCINE SOL 0.25% OP5.00
ISONIAZID TAB 100MG30.00
ISOSORB DIN TAB 30MG30.00
ISOSORB DIN TAB 5MG60.00
ISOSORB MONO TAB 20MG60.00
ISOXSUPRINE TAB 10MG30.00
ISOXSUPRINE TAB HCL 20MG30.00

Fourth Tier
DRUG NAME (DOSE)QTY
IBANDRONATE TAB 150MG
IBRANCE CAP 100MG
IBRANCE CAP 125MG
IBRANCE CAP 75MG
IBUDONE TAB 10-200MG
IBUPROFEN CRE 10%
IBUPROFEN KIT COMFORT
ICLUSIG TAB 15MG
ICLUSIG TAB 45MG
ILARIS INJ 180MG
ILEVRO DRO 0.3% OP
ILOTYCIN OIN OP
ILUVIEN IMP 0.19MG
IMBRUVICA CAP 140MG
IMIPRAM PAM CAP 100MG
IMIPRAM PAM CAP 125MG
IMIPRAM PAM CAP 150MG
IMIPRAM PAM CAP 75MG
IMIQUIMOD CRE 5%
IMITREX INJ 4MG/0.5
IMITREX INJ 6MG/0.5
IMITREX SPR 20MG/ACT
IMITREX SPR 5MG/ACT
IMITREX TAB 100MG
IMITREX TAB 25MG
IMITREX TAB 50MG
IMOGAM RABIE INJ 150/ML
IMOVAX RABIE INJ 2.5/ML
IMPLANON IMP 68MG
IMURAN TAB 50MG
INCRELEX INJ 40MG/4ML
INCRUSE ELPT INH 62.5MCG
INDERAL LA CAP 120MG
INDERAL LA CAP 160MG
INDERAL LA CAP 60MG
INDERAL LA CAP 80MG
INDERAL XL CAP 120MG
INDERAL XL CAP 80MG
INDOCIN SUP 50MG
INDOCIN SUS 25MG/5ML
INDOMETHACIN CAP 75MG ER
INFANATE CAP BALANCE
INFANATE CAP PLUS
INFANRIX INJ
INFASURF SUS 35MG/ML
INFED INJ 50MG/ML
INFINITY TES BLD GLUC
INFUMORPH INJ 10MG/ML
INFUMORPH INJ 25MG/ML
INLYTA TAB 1MG
INLYTA TAB 5MG
INNOPRAN XL CAP 120MG
INNOPRAN XL CAP 80MG
INNOPRAX-5 CRE
INSPRA TAB 25MG
INSPRA TAB 50MG
INSULIN SYRG MIS 0.3/29G
INSULIN SYRG MIS 0.3/30G
INSULIN SYRG MIS 0.3/31G
INSULIN SYRG MIS 0.5/28G
INSULIN SYRG MIS 0.5/29G
INSULIN SYRG MIS 0.5/30G
INSULIN SYRG MIS 0.5/31G
INSULIN SYRG MIS 1ML/25G
INSULIN SYRG MIS 1ML/28G
INSULIN SYRG MIS 1ML/29G
INSULIN SYRG MIS 1ML/30G
INSULIN SYRG MIS 1ML/31G
INTELENCE TAB 100MG
INTELENCE TAB 200MG
INTELENCE TAB 25MG
INTERARTICUL KIT JOINT
DRUG NAME (DOSE)QTY
INTERMEZZO SUB 1.75MG
INTERMEZZO SUB 3.5MG
INTRON A INJ 10MU
INTRON A INJ 18MU
INTRON A INJ 25MU
INTRON A INJ 50MU
INTUNIV TAB 1MG
INTUNIV TAB 2MG
INTUNIV TAB 3MG
INTUNIV TAB 4MG
INVANZ INJ 1GM
INVEGA TAB 1.5MG
INVEGA TAB 3MG
INVEGA TAB 6MG
INVEGA TAB 9MG
INVEGA SUST INJ 117/0.75
INVEGA SUST INJ 156MG/ML
INVEGA SUST INJ 234/1.5
INVEGA SUST INJ 39/0.25
INVEGA SUST INJ 78/0.5ML
INVEGA TRINZ INJ 273MG
INVEGA TRINZ INJ 410MG
INVEGA TRINZ INJ 546MG
INVEGA TRINZ INJ 819MG
INVIRASE CAP 200MG
INVIRASE TAB 500MG
INVOKAMET TAB 150-1000
INVOKAMET TAB 150-500
INVOKAMET TAB 50-1000
INVOKAMET TAB 50-500MG
INVOKANA TAB 100MG
INVOKANA TAB 300MG
IODINE TIN 2%
IODOFLEX PAD PAD
IODOPEN INJ 100MCG
IONSYS PAD 40MCG/AC
IOPIDINE SOL 0.5% OP
IOPIDINE SOL 1% OP
IPOL INJ INACTIVE
IPRIVASK INJ 15MG
IRBESAR/HCTZ TAB 300-12.5
IRENKA CAP 40MG
IROSPAN 24/6 MIS
IS 24/6 MIS
ISENTRESS CHW 100MG
ISENTRESS CHW 25MG
ISENTRESS POW 100MG
ISENTRESS TAB 400MG
ISO CARBACHO SOL 1.5% OP
ISO CARBACHO SOL 3% OP
ISODITRATE TAB 40MG ER
ISOFLURANE SOL
ISOMETH/APAP CAP DICHLOR
ISOMETH/CAFF TAB /APAP
ISONIAZID INJ 100MG/ML
ISONIAZID SYP 50MG/5ML
ISOPTO CARP SOL 1% OP
ISOPTO CARP SOL 2% OP
ISOPTO CARP SOL 4% OP
ISORDIL TAB 40MG
ISORDIL TAB 5MG
ISOSORB DIN TAB 10MG
ISOSORB DIN TAB 20MG
ISOSORB DIN TAB 40MG ER
ISRADIPINE CAP 2.5MG
ISRADIPINE CAP 5MG
ISTALOL SOL 0.5% OP
ISUPREL INJ 0.2MG/ML
ITRACONAZOLE CAP 100MG
IVERMECTIN TAB 3MG
IXIARO INJ
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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.