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
MAGNEBIND TAB 40030.00
MEDROXYPR AC TAB 5MG30.00
MEGESTROL AC TAB 20MG30.00
MEIJER MIS LANCETS100.00
MEIJER LANCE MIS COLOR100.00
MEIJER LANCE MIS UNIV 21G100.00
MEIJER LANCE MIS UNIV 30G100.00
MEIJER LANCE MIS UNIVERSA100.00
MELOXICAM TAB 7.5MG30.00
MELQUIN 3 SOL 3%29.57
METHADONE TAB 10MG30.00
METHADOSE CON 10MG/ML30.00
METHADOSE TAB 10MG30.00
METHADOSE SF CON 10MG/ML30.00
METHIMAZOLE TAB 5MG30.00
METHOTREXATE INJ 100/4ML4.00
METHOTREXATE INJ 1GM/40ML4.00
METHOTREXATE INJ 200/8ML4.00
METHOTREXATE INJ 250/10ML4.00
METHYL SALIC LIQ1.00
MICRO THIN MIS LANC 33G100.00
MIDAZOLAM INJ 5MG/5ML5.00
DRUG NAME (DOSE)QTY
MONOLET OPD MIS LANCETS100.00
MORPHINE SUL INJ 5MG/ML1.00
MULTIVIT/FL CHW 0.25MG30.00
MULTIVIT/FL CHW 0.5MG30.00
MULTIVIT/FL CHW 1MG30.00
MULTI-VIT/FL CHW 0.25MG30.00
MULTI-VIT/FL CHW 0.5MG30.00
MULTI-VIT/FL CHW 1MG30.00
MULT-VIT/FL CHW 0.5MG30.00
MVC-FLUORIDE CHW 0.25MG30.00
MVC-FLUORIDE CHW 0.5MG30.00
MVC-FLUORIDE CHW 1MG30.00
MYFERON 150 CAP FORTE30.00
MYGLUCOHEALT MIS LANC 30G100.00
MYNATAL CAP30.00
MYNATAL TAB30.00
MYNATAL TAB ADVANCE30.00
MYNATAL PLUS TAB30.00
MYNATAL-Z TAB30.00
MYNATE 90 TAB PLUS30.00
MYNEPHROCAPS CAP30.00
Second Tier
DRUG NAME (DOSE)QTY
MAGNESIUM CL INJ 20%50.00
MAPROTILINE TAB 25MG30.00
MARGESIC CAP30.00
MARTEN-TAB TAB 50-325MG60.00
MAXIPIME INJ 2GM1.00
MEDLANCE MIS 30G PLUS100.00
MEDLANCE MIS EXTR 21G100.00
MEDLANCE MIS LITE 25G100.00
MEDLANCE MIS PLUS100.00
MEDLANCE MIS PLUS 30G100.00
MEDLANCE MIS UNV 21G100.00
MEDLANCE PLS MIS 0.8MM100.00
MEDLANCE PLS MIS EXTR 21G100.00
MEDLANCE PLS MIS LITE 25G100.00
MEDLANCE PLS MIS UNIV 21G100.00
MEDROXYPR AC TAB 10MG30.00
MEDROXYPR AC TAB 2.5MG30.00
MEGA-C/A PLU INJ 500MG/ML50.00
MELPAQUE HP CRE 4%28.40
MEPERIDINE INJ 100MG/ML10.00
MEPERIDINE INJ 25MG/ML10.00
MEPERIDINE INJ 50MG/ML10.00
MEPERIDINE TAB 50MG60.00
MEPERITAB TAB 50MG60.00
METAPROTEREN SYP 10MG/5ML473.00
METFORMIN TAB 500MG60.00
METFORMIN TAB 500MG ER60.00
METFORMIN TAB 750MG ER60.00
METFORMIN TAB 850MG60.00
METHADONE TAB 40MG30.00
METHADOSE TAB 40MG30.00
METHIMAZOLE TAB 10MG30.00
METHOTREXATE INJ 25MG/ML4.00
METHOTREXATE INJ 50MG/2ML4.00
METHYLD/HCTZ TAB 250/1530.00
METHYLDOPA TAB 250MG60.00
DRUG NAME (DOSE)QTY
METHYLDOPA TAB 500MG60.00
METHYLPHENID TAB 5MG30.00
METHYLPR ACE INJ 80MG/ML1.00
METHYLPR SS INJ 500MG1.00
METIPRANOLOL SOL 0.3% OPH5.00
METOCLOPRAM TAB 10MG120.00
METOCLOPRAM TAB 5MG90.00
METOPROL TAR TAB 100MG60.00
METOPROL TAR TAB 25MG60.00
METOPROL TAR TAB 50MG60.00
METRONIDAZOL TAB 250MG30.00
MICROLET MIS LANCETS100.00
MINOCYCLINE CAP 50MG60.00
MINOXIDIL TAB 10MG30.00
MINOXIDIL TAB 2.5MG60.00
MIRTAZAPINE TAB 15MG30.00
MIRTAZAPINE TAB 30MG30.00
MIRTAZAPINE TAB 45MG30.00
MONOLET MIS LANCETS100.00
MORPHINE SUL INJ 0.5MG/ML20.00
MORPHINE SUL INJ 10MG/ML10.00
MORPHINE SUL INJ 8MG/ML10.00
MORPHINE SUL SOL 100/5ML30.00
MORPHINE SUL SOL 10MG/5ML200.00
MORPHINE SUL SOL 20MG/ML30.00
MST 600 TAB30.00
MULTI-VIT/FE DRO /FL 0.2550.00
MULTI-VIT/FL DRO /FE 0.2550.00
MULTI-VIT/FL DRO 0.25MG50.00
MULTI-VIT/FL DRO 0.5MG/ML50.00
MUPIROCIN OIN 2%22.00
M-VIT TAB 27-1MG30.00
MYAMBUTOL TAB 100MG30.00
MYDRAL SOL 0.5% OP15.00
MYDRAL SOL 1% OP15.00

Third Tier

DRUG NAME (DOSE)QTY
MAPROTILINE TAB 50MG30.00
MAPROTILINE TAB 75MG30.00
MARCAINE INJ SPINAL20.00
MARLISSA TAB 0.15/3028.00
MARNATAL-F CAP30.00
MAXARON TAB FORTE30.00
MAXIPIME INJ 1GM10.00
MAXZIDE-25 TAB30.00
MECLIZINE TAB 12.5MG60.00
MECLIZINE TAB 25MG60.00
MECLOFEN SOD CAP 50MG30.00
MEDICHOICE MIS LANCET100.00
MEDI-JECTOR MIS ADAPTERS6.00
MEDROL TAB 2MG30.00
MEGESTROL AC SUS 400MG/10240.00
MEGESTROL AC SUS 40MG/ML240.00
MEGESTROL AC TAB 40MG60.00
MEIJER TES TRUETRAC100.00
MELOXICAM TAB 15MG30.00
MELQUIN HP CRE 4%28.35
MENEST TAB 0.3MG30.00
MENEST TAB 0.625MG30.00
MEPERIDINE TAB 100MG60.00
MEPERITAB TAB 100MG60.00
MEPIVACAINE INJ 3%90.00
METAPROTEREN TAB 10MG30.00
METAPROTEREN TAB 20MG30.00
METFORMIN TAB 1000MG60.00
METHADONE CON 10MG/ML30.00
METHADONE SOL 5MG/5ML500.00
METHADONE TAB 5MG60.00
METHENAM MAN TAB 500MG30.00
METHOCARBAM TAB 500MG60.00
METHOCARBAM TAB 750MG90.00
METHYCLOTHIA TAB 5MG30.00
METHYLD/HCTZ TAB 250/2530.00
METHYLPHENID TAB 10MG60.00
METHYLPHENID TAB 10MG ER30.00
METHYLPR ACE INJ 40MG/ML4.00
METHYLPR SS INJ 1000MG1.00
METHYLPR SS INJ 1GM1.00
METHYLPR SS INJ 40MG10.00
METHYLPRED PAK 4MG30.00
METHYLPRED TAB 4MG30.00
METHYLPRED TAB 8MG30.00
METOCLOPRAM INJ 5MG/ML48.00
METOCLOPRAM SOL 10/10ML1000.00
METOCLOPRAM SOL 5MG/5ML1000.00
METOLAZONE TAB 10MG30.00
METOLAZONE TAB 2.5MG30.00
METOLAZONE TAB 5MG30.00
METOPRL/HCTZ TAB 50-25MG30.00
DRUG NAME (DOSE)QTY
METOPROLOL TAB 100MG ER30.00
METOPROLOL TAB 25MG ER30.00
METOPROLOL TAB 50MG ER30.00
METRONIDAZOL GEL 0.75%VAG70.00
METRONIDAZOL TAB 500MG30.00
MEXILETINE CAP 150MG90.00
MEXILETINE CAP 250MG90.00
MICONAZOLE 3 SUP 200MG3.00
MICROGESTIN TAB 1.5/3028.00
MICROGESTIN TAB 1/2028.00
MICROGESTIN TAB FE 1/2028.00
MICROGESTIN TAB FE1.5/3028.00
MICRO-K CAP 10MEQ CR30.00
MICRO-K CAP 8MEQ CR30.00
MICROTAINER MIS LANCET100.00
MICROZIDE CAP 12.5MG30.00
MIDAZOLAM INJ 2MG/2ML20.00
MIDAZOLAM INJ 5MG/ML9.00
MINIPRESS CAP 1MG30.00
MINITRAN DIS 0.1MG/HR30.00
MINITRAN DIS 0.2MG/HR30.00
MINITRAN DIS 0.4MG/HR30.00
MINITRAN DIS 0.6MG/HR30.00
MINOCIN CAP 75MG60.00
MINOCYCLINE CAP 100MG60.00
MINOCYCLINE CAP 75MG60.00
MIRTAZAPINE TAB 30MG ODT30.00
MISOPROSTOL TAB 100MCG60.00
MOEXIPR/HCTZ TAB 15-12.530.00
MOEXIPR/HCTZ TAB 15-25MG30.00
MOEXIPR/HCTZ TAB 7.5-12.530.00
MOEXIPRIL TAB 15MG30.00
MOEXIPRIL TAB 7.5MG30.00
MOMETASONE CRE 0.1%45.00
MOMETASONE OIN 0.1%45.00
MOMETASONE SOL 0.1%30.00
MONOLETTOR MIS LANCETS100.00
MONO-LINYAH TAB 0.25-3528.00
MONONESSA TAB28.00
MORPHINE SUL INJ 15MG/ML20.00
MORPHINE SUL INJ 1MG/ML50.00
MORPHINE SUL TAB 15MG120.00
MORPHINE SUL TAB 15MG ER60.00
MTEST HS/EST TAB ESTROGEN30.00
MTEST/EST TAB ESTROGEN30.00
MULTIGEN TAB30.00
MULTIGEN TAB FOLIC30.00
MULTIGEN PLS TAB30.00
MYGLUCOHEALT TES BLD GLUC100.00
MYKIDZ IRON SUS FL118.00
MYZILRA TAB28.00

Fourth Tier
DRUG NAME (DOSE)QTY
MACNATAL CN CAP DHA
MACROBID CAP 100MG
MACRODANTIN CAP 100MG
MACRODANTIN CAP 25MG
MACRODANTIN CAP 50MG
MACUGEN INJ
MAFENIDE ACE PAK 5%
MAGNESIUM SU INJ 40MG/ML
MAGNESIUM SU INJ 50%
MAGNESIUM SU INJ 80MG/ML
MAKENA INJ 250MG/ML
MALARONE TAB 250-100
MALARONE TAB 62.5-25
MALATHION LOT 0.5%
MARCAINE INJ 0.25%
MARCAINE INJ 0.5%
MARCAINE INJ 0.75%
MARCAINE/EPI INJ 0.25%
MARCAINE/EPI INJ 0.5%
MARINOL CAP 10MG
MARINOL CAP 2.5MG
MARINOL CAP 5MG
MARLIDO KIT
MARPLAN TAB 10MG
MATULANE CAP 50MG
MATZIM LA TAB 180MG/24
MATZIM LA TAB 240MG/24
MATZIM LA TAB 300MG/24
MATZIM LA TAB 360MG/24
MATZIM LA TAB 420MG/24
MAVIK TAB 1MG
MAVIK TAB 2MG
MAVIK TAB 4MG
MAXALT TAB 10MG
MAXALT TAB 5MG
MAXALT-MLT TAB 10MG
MAXALT-MLT TAB 5MG
MAXIDEX SUS 0.1% OP
MAXIMA BLOOD TES GLUCOSE
MAXITROL OIN 0.1% OP
MAXITROL SUS 0.1% OP
MAXZIDE TAB 75-50
MB HYDROGEL KIT
MECLOFEN SOD CAP 100MG
MEDI-JECTOR MIS VISION
MEDROL PAK 4MG
MEDROL TAB 16MG
MEDROL TAB 32MG
MEDROL TAB 4MG
MEDROL TAB 8MG
MEDROX-RX OIN
MEDROXYPR AC INJ 150MG/ML
MEFENAM ACID CAP 250MG
MEFLOQUINE TAB 250MG
MEGACE ES SUS 625/5ML
MEGACE ORAL SUS 40MG/ML
MEIJER TES TRUETEST
MEIJER BLOOD TES GLUCOSE
MEKINIST TAB 0.5MG
MEKINIST TAB 2MG
MELOXICAM KIT COMFORT
MELOXICAM SUS 7.5/5ML
MEMBRANEBLUE SOL 0.15%
MENACTRA INJ
MENEST TAB 1.25MG
MENEST TAB 2.5MG
MENHIBRIX INJ
MENOMUNE INJ A/C/Y/W
MENOPUR INJ 75UNIT
MENOSTAR DIS 14MCG
MENTAX CRE 1%
MENVEO INJ
MEPERIDINE INJ 10MG/ML
MEPERIDINE SOL 50MG/5ML
MEPHYTON TAB 5MG
MEPROBAMATE TAB 200MG
MEPROBAMATE TAB 400MG
MEPRON SUS
MERCAPTOPUR TAB 50MG
MESALAMINE ENE 4GM
MESALAMINE KIT 4GM
MESNEX TAB 400MG
MESTINON SYP 60MG/5ML
MESTINON TAB 60MG
MESTINON TAB TIMESPAN
METADATE TAB 20MG ER
METADATE CD CAP 10MG
METADATE CD CAP 20MG
METADATE CD CAP 30MG
METADATE CD CAP 40MG
METADATE CD CAP 50MG
METADATE CD CAP 60MG
METAFOLBIC TAB
METAFOLBIC TAB PLUS
METAFOLBIC TAB PLUS RF
METANX CAP
METAXALONE TAB 800MG
METFORMIN ER TAB 1000MG
METHADONE INJ 10MG/ML
METHADONE SOL 10MG/5ML
METHAMPHETAM TAB 5MG
METHAZOLAMID TAB 25MG
METHAZOLAMID TAB 50MG
METHENAM HIP TAB 1GM
METHENAM MAN TAB 1000MG
METHENAM MAN TAB 1GM
METHITEST TAB 10MG
METHOTREXATE INJ 1GM
METHOTREXATE TAB 2.5MG
METHSCOPOLAM TAB 2.5MG
METHSCOPOLAM TAB 5MG
METHYLENE BL INJ 1%
METHYLERGON INJ 0.2MG/ML
METHYLERGON TAB 0.2MG
METHYLFOL/CA TAB ME-CBL
METHYLFOL/ME CAP CBL/P5P
METHYLIN CHW 10MG
METHYLIN CHW 2.5MG
METHYLIN CHW 5MG
METHYLIN SOL 10MG/5ML
METHYLIN SOL 5MG/5ML
METHYLPHENID CAP 10MG
METHYLPHENID CAP 20MG
METHYLPHENID CAP 20MG ER
METHYLPHENID CAP 30MG
METHYLPHENID CAP 30MG ER
METHYLPHENID CAP 40MG
METHYLPHENID CAP 40MG ER
METHYLPHENID CAP 50MG
METHYLPHENID CAP 60MG
METHYLPHENID SOL 10MG/5ML
METHYLPHENID SOL 5MG/5ML
METHYLPHENID TAB 18MG ER
METHYLPHENID TAB 20MG
METHYLPHENID TAB 20MG ER
METHYLPHENID TAB 20MG SR
METHYLPHENID TAB 27MG ER
METHYLPHENID TAB 36MG ER
METHYLPHENID TAB 54MG ER
METHYLPR SS INJ 125MG
METHYLPRED TAB 16MG
METHYLPRED TAB 32MG
METOCLOPRAM INJ 10MG/2ML
METOPRL/HCTZ TAB 100-25MG
METOPRL/HCTZ TAB 100-50MG
METOPROLOL TAB 200MG ER
METOZOLV ODT TAB 5MG
METROCREAM CRE 0.75%
METROGEL GEL 1%
METROGEL-VAG GEL 0.75%
METROLOTION LOT 0.75%
METRONIDAZOL CAP 375MG
METRONIDAZOL CRE 0.75%
METRONIDAZOL GEL 0.75%
METRONIDAZOL GEL 1%
METRONIDAZOL LOT 0.75%
METVIXIA CRE 16.8%
MEVACOR TAB 20MG
MEVACOR TAB 40MG
MEXILETINE CAP 200MG
MIACALCIN INJ 200/ML
DRUG NAME (DOSE)QTY
MIACALCIN SPR 200/ACT
MICARDIS TAB 20MG
MICARDIS TAB 40MG
MICARDIS TAB 80MG
MICARDIS HCT TAB 40/12.5
MICARDIS HCT TAB 80/12.5
MICARDIS HCT TAB 80-25MG
MICRHOGAM PL INJ 50MCG
MICRODOT TES
MIDAZOLAM INJ 10/10ML
MIDAZOLAM INJ 10MG/2ML
MIDAZOLAM INJ 25MG/5ML
MIDAZOLAM INJ 50MG/10
MIDAZOLAM INJ 50MG/100ML
MIDAZOLAM SYP 2MG/ML
MIDODRINE TAB 10MG
MIDODRINE TAB 2.5MG
MIDODRINE TAB 5MG
MIFEPREX TAB 200MG
MIGERGOT SUP 2/100
MIGRAGESIC CAP IDA
MIGRAL TAB 130MG
MIGRALAM CAP
MIGRANAL SPR 4MG/ML
MILLIPRED SOL 10MG/5ML
MILLIPRED TAB 5MG
MILLIPRED DP PAK 5MG
MIMVEY TAB 1-0.5MG
MINASTRIN 24 CHW FE
MINERAL OIL HEAVY
MINIPRESS CAP 2MG
MINIPRESS CAP 5MG
MINIVELLE DIS 0.0375MG
MINIVELLE DIS 0.05MG
MINIVELLE DIS 0.075MG
MINIVELLE DIS 0.1MG
MINOCIN CAP 100MG
MINOCIN CAP 50MG
MINOCIN KIT 100MG
MINOCIN KIT 50MG
MINOCYCLINE TAB 100MG
MINOCYCLINE TAB 135MG ER
MINOCYCLINE TAB 45MG ER
MINOCYCLINE TAB 50MG
MINOCYCLINE TAB 75MG
MINOCYCLINE TAB 90MG ER
MIOCHOL-E SOL 1:100
MIOSTAT INJ 0.01% OP
MIRAPEX TAB 0.125MG
MIRAPEX TAB 0.25MG
MIRAPEX TAB 0.5MG
MIRAPEX TAB 0.75MG
MIRAPEX TAB 1.5MG
MIRAPEX TAB 1MG
MIRAPEX ER TAB 0.375MG
MIRAPEX ER TAB 0.75MG
MIRAPEX ER TAB 1.5MG
MIRAPEX ER TAB 2.25MG
MIRAPEX ER TAB 3.75MG
MIRAPEX ER TAB 3MG
MIRAPEX ER TAB 4.5MG
MIRCETTE TAB 28 DAY
MIRENA IUD SYSTEM
MIRTAZAPINE TAB 15MG ODT
MIRTAZAPINE TAB 45MG ODT
MIRTAZAPINE TAB 7.5MG
MIRVASO GEL 0.33%
MISOPROSTOL TAB 200MCG
MITOSOL KIT 0.2MG
MLK F1 KIT
MLK F2 KIT
MLK F3 KIT
M-M-R II INJ LIVE
MOBIC SUS 7.5/5ML
MOBIC TAB 15MG
MOBIC TAB 7.5MG
MODAFINIL TAB 100MG
MODAFINIL TAB 200MG
MODERIBA PAK 1000/DAY
MODERIBA PAK 1200/DAY
MODERIBA PAK 600/DAY
MODERIBA PAK 800/DAY
MODERIBA TAB 200MG
MODICON TAB 0.5/35
MOMS CHOICE MIS RX
MONODOX CAP 100MG
MONODOX CAP 75MG
MONTELUKAST CHW 4MG
MONTELUKAST CHW 5MG
MONTELUKAST GRA 4MG
MONTELUKAST TAB 10MG
MONUROL PAK GRANULES
MORCIN CRE
MORGIDOX CAP 1X100MG
MORGIDOX CAP 2X100MG
MORGIDOX KIT 1X100MG
MORGIDOX KIT 2X100MG
MORPHINE SUL CAP 100MG ER
MORPHINE SUL CAP 10MG ER
MORPHINE SUL CAP 120MG ER
MORPHINE SUL CAP 20MG ER
MORPHINE SUL CAP 30MG ER
MORPHINE SUL CAP 45MG ER
MORPHINE SUL CAP 50MG ER
MORPHINE SUL CAP 60MG ER
MORPHINE SUL CAP 75MG ER
MORPHINE SUL CAP 80MG ER
MORPHINE SUL CAP 90MG ER
MORPHINE SUL INJ 10/0.7ML
MORPHINE SUL SOL 20MG/5ML
MORPHINE SUL SUP 10MG
MORPHINE SUL SUP 20MG
MORPHINE SUL SUP 30MG
MORPHINE SUL SUP 5MG
MORPHINE SUL TAB 100MG ER
MORPHINE SUL TAB 200MG ER
MORPHINE SUL TAB 30MG
MORPHINE SUL TAB 30MG ER
MORPHINE SUL TAB 60MG ER
MOTOFEN TAB
MOVIPREP SOL
MOXATAG TAB 775MG
MOXEZA SOL 0.5%
MOXIFLOXACIN TAB 400MG
MOZOBIL INJ
MS CONTIN TAB 100MG CR
MS CONTIN TAB 15MG CR
MS CONTIN TAB 200MG CR
MS CONTIN TAB 30MG CR
MS CONTIN TAB 60MG CR
MULTAQ TAB 400MG
MULTI- KIT SPECIALT
MUPIROCIN CRE 2%
MUPIROCIN CA CRE 2%
MUSE SUP 1000MCG
MUSE SUP 125MCG
MUSE SUP 250MCG
MUSE SUP 500MCG
MUSTARGEN INJ 10MG
MYAMBUTOL TAB 400MG
MYCOBUTIN CAP 150MG
MYCOPHENOLAT CAP 250MG
MYCOPHENOLAT TAB 500MG
MYCOPHENOLIC TAB 180MG DR
MYCOPHENOLIC TAB 360MG DR
MYDFRIN SOL 2.5% OP
MYDRIACYL SOL 1% OP
MYFORTIC TAB 180MG
MYFORTIC TAB 360MG
MYLERAN TAB 2MG
MYOBLOC INJ 10000/2
MYOBLOC INJ 2500/0.5
MYOBLOC INJ 5000/ML
MYORISAN CAP 10MG
MYORISAN CAP 20MG
MYORISAN CAP 40MG
MYOXIN SUS OTIC
MYRBETRIQ TAB 25MG
MYRBETRIQ TAB 50MG
MYSOLINE TAB 250MG
MYSOLINE TAB 50MG
A B C D E
F G H I J
K L M N O
P Q R S T
U V W X Y
Z
 * 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.