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 10MG30.00
JANTOVEN TAB 1MG30.00
JANTOVEN TAB 2.5MG30.00
JANTOVEN TAB 2MG30.00
JANTOVEN TAB 3MG30.00
DRUG NAME (DOSE)QTY
JANTOVEN TAB 4MG30.00
JANTOVEN TAB 5MG30.00
JANTOVEN TAB 7.5MG30.00
JOLLY RANCHR CHW ONE-A-DA30.00
JUST D LIQ 400UNIT50.00
Second Tier
DRUG NAME (DOSE)QTY
JANTOVEN TAB 6MG30.00
JENCYCLA TAB 0.35MG28.00
JOLIVETTE TAB 0.35MG28.00
JULEBER TAB28.00
DRUG NAME (DOSE)QTY
JUNEL 1.5/30 TAB21.00
JUNEL 1/20 TAB21.00
JUNEL FE TAB 1.5/3028.00
JUNEL FE TAB 1/2028.00

Third Tier

DRUG NAME (DOSE)QTY
JEVITY 1 CAL LIQ5688.00
JEVITY 1 CAL LIQ5688.00
JEVITY 1.2 LIQ CAL5688.00
JEVITY 1.2 LIQ CAL5688.00
DRUG NAME (DOSE)QTY
JEVITY 1.2 LIQ R-T-HANG5688.00
JEVITY 1.5 LIQ CAL5688.00
JEVITY 1.5 LIQ CAL/FIBE5688.00

Fourth Tier
DRUG NAME (DOSE)QTY
JADENU TAB 180MG
JADENU TAB 360MG
JADENU TAB 90MG
JADENU SPRKL GRA 180MG
JADENU SPRKL GRA 360MG
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
JARDIANCE TAB 10MG
JARDIANCE TAB 25MG
JENTADUETO TAB 2.5-1000
JENTADUETO TAB 2.5-500
JENTADUETO TAB 2.5-850
JENTADUETO TAB XR
JENTADUETO TAB XR
DRUG NAME (DOSE)QTY
JEVTANA INJ 60/1.5ML
JINTELI TAB 1MG-5MCG
JNT/TUNNEL/ KIT TRIGGER
JOHNSON SOL GRASS
JOLESSA TAB
JULUCA TAB 50-25MG
JUNEL FE 24 TAB 1/20
JUVEN POW
JUVEN POW FRT PNCH
JUVEN POW GRAPE
JUVEN POW ORANGE
JUVEN NUTRIV POW FRT PNCH
JUVEN NUTRIV POW ORANGE
JUVEN NUTRIV POW UNFLAVRD
JUVEN REVIGO POW FRT PNCH
JUVEN REVIGO POW ORANGE
JUVEN REVIGO POW UNFLAVRD
JUXTAPID CAP 10MG
JUXTAPID CAP 20MG
JUXTAPID CAP 30MG
JUXTAPID CAP 40MG
JUXTAPID CAP 5MG
JYNARQUE PAK 45-15MG
JYNARQUE PAK 60-30MG
JYNARQUE PAK 90-30MG
A B C D E
F G H I J
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P Q R S T
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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.