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
JANTOVEN TAB 1MG30.00
JANTOVEN TAB 2.5MG30.00
JANTOVEN TAB 2MG30.00
DRUG NAME (DOSE)QTY
JANTOVEN TAB 3MG30.00
JANTOVEN TAB 5MG30.00
Second Tier
DRUG NAME (DOSE)QTY
JANTOVEN TAB 10MG30.00
JANTOVEN TAB 4MG30.00
DRUG NAME (DOSE)QTY
JANTOVEN TAB 6MG30.00
JANTOVEN TAB 7.5MG30.00

Third Tier

DRUG NAME (DOSE)QTY
JENCYCLA TAB 0.35MG28.00
JOLESSA TAB28.00
JOLIVETTE TAB 0.35MG28.00
JUNEL 1.5/30 TAB28.00
DRUG NAME (DOSE)QTY
JUNEL 1/20 TAB28.00
JUNEL FE TAB 1.5/3028.00
JUNEL FE TAB 1/2028.00

Fourth Tier
DRUG NAME (DOSE)QTY
JADENU TAB 180MG
JADENU TAB 360MG
JADENU TAB 90MG
JAKAFI TAB 10MG
JAKAFI TAB 15MG
JAKAFI TAB 20MG
JAKAFI TAB 25MG
JAKAFI TAB 5MG
JALYN CAP
JANUMET TAB 50-1000
JANUMET TAB 50-500MG
JANUMET XR TAB 100-1000
JANUMET XR TAB 50-1000
JANUMET XR TAB 50-500MG
JANUVIA TAB 100MG
JANUVIA TAB 25MG
JANUVIA TAB 50MG
DRUG NAME (DOSE)QTY
JARDIANCE TAB 10MG
JARDIANCE TAB 25MG
JENTADUETO TAB 2.5-1000
JENTADUETO TAB 2.5-500
JENTADUETO TAB 2.5-850
JETREA INJ 2.5MG/ML
JINTELI TAB 1MG-5MCG
JNT/TUNNEL/ KIT TRIGGER
JUBLIA SOL 10%
JUNEL FE 24 TAB 1/20
JUXTAPID CAP 10MG
JUXTAPID CAP 20MG
JUXTAPID CAP 30MG
JUXTAPID CAP 40MG
JUXTAPID CAP 5MG
JUXTAPID CAP 60MG
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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.