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
O-CAL TAB PRENATAL30.00
OMEPRAZOLE CAP 20MG30.00
DRUG NAME (DOSE)QTY
OXYCODONE SOL 5MG/5ML5.00
Second Tier
DRUG NAME (DOSE)QTY
OBSTETRIX EC TAB30.00
O-CAL FA TAB30.00
OMEPRAZOLE CAP 10MG30.00
ON CALL MIS LANCETS100.00
ON CALL PLUS MIS LANCETS100.00
ONETOUCH MIS 30G100.00
ONETOUCH MIS LANCETS100.00
DRUG NAME (DOSE)QTY
ONETOUCH US MIS LANCETS100.00
ORTHO-CS 250 INJ 250MG/ML100.00
ORTHO-EST TAB 0.62530.00
ORTHO-EST TAB 1.2530.00
OTO-END 10 SOL10.00
OTOMAX-HC DRO10.00

Third Tier

DRUG NAME (DOSE)QTY
OBSTETRIX PAK DHA60.00
OCUFEN SOL 0.03% OP2.50
OFLOXACIN DRO 0.3% OP5.00
OGESTREL TAB28.00
OLANZAPINE INJ 10MG1.00
ON CALL TES EXPRESS100.00
ON CALL PLUS TES BLD GLUC100.00
ONDANSETRON TAB 4MG30.00
ON-THE-GO MIS LANC 30G100.00
OPANA INJ 1MG/ML10.00
OPANA ER TAB 7.5MG20.00
ORACIT SOL150.00
ORPH/ASA/CAF TAB30.00
ORPHENADRINE TAB 100MG ER60.00
ORSYTHIA TAB28.00
ORTHO MICRON TAB 0.35MG28.00
ORTHO TRI- TAB CYCLEN28.00
DRUG NAME (DOSE)QTY
ORTHO-CYCLEN TAB 0.25/3528.00
ORTHO-NOVUM TAB 7/7/728.00
OSCIMIN SUB 0.125MG60.00
OSCIMIN TAB 0.125MG60.00
OSCIMIN SR TAB 0.375MG60.00
OSCION CLNSR LOT 6%170.30
OTICIN DRO 1-0.1%10.00
OXAZEPAM CAP 10MG30.00
OXCARBAZEPIN TAB 150MG60.00
OXCARBAZEPIN TAB 300MG60.00
OXYBUTYNIN SYP 5MG/5ML473.00
OXYBUTYNIN TAB 5MG60.00
OXYCOD/APAP TAB 5-325MG120.00
OXYCOD/IBU TAB 5-400MG30.00
OXYCODONE TAB 15MG120.00
OXYCODONE TAB 5MG120.00
OXYTOCIN INJ 10UNT/ML25.00

Fourth Tier
DRUG NAME (DOSE)QTY
OB COMPLETE CAP ONE
OB COMPLETE CAP PETITE
OB COMPLETE TAB
OB COMPLETE TAB PREMIER
OB COMPLETE/ CAP DHA
OBREDON SOL
OCELLA TAB 3-0.03MG
OCTREOTIDE INJ 1000MCG
OCTREOTIDE INJ 100MCG
OCTREOTIDE INJ 200MCG
OCTREOTIDE INJ 500MCG
OCTREOTIDE INJ 50MCG/ML
OCUCOAT SOL 2% OP
OCUFLOX DRO 0.3% OP
OCUVEL CAP 0.5MG
OFEV CAP 100MG
OFEV CAP 150MG
OFLOXACIN DRO 0.3%OTIC
OFLOXACIN TAB 400MG
OLANZA/FLUOX CAP 12-25MG
OLANZA/FLUOX CAP 12-50MG
OLANZA/FLUOX CAP 3-25MG
OLANZA/FLUOX CAP 6-25MG
OLANZA/FLUOX CAP 6-50MG
OLANZAPINE TAB 10MG
OLANZAPINE TAB 10MG ODT
OLANZAPINE TAB 15MG
OLANZAPINE TAB 15MG ODT
OLANZAPINE TAB 2.5MG
OLANZAPINE TAB 20MG
OLANZAPINE TAB 20MG ODT
OLANZAPINE TAB 5MG
OLANZAPINE TAB 5MG ODT
OLANZAPINE TAB 7.5MG
OLEPTRO TAB 24HR150
OLEPTRO TAB 24HR300
OLOPATADINE SPR 0.6%
OLUX AER 0.05%
OLUX-E AER 0.05%
OLYSIO CAP 150MG
OMECLAMOX- MIS PAK
OMEGA-3-ACID CAP 1GM
OMEPRA/BICAR CAP 20-1100
OMEPRA/BICAR CAP 40-1100
OMEPRAZOLE CAP 40MG
OMEPRAZOLE + SUS SYRSPEND
OMIDRIA INJ 1-0.3%
OMNARIS SPR
OMNIPRED SUS 1% OP
OMNITROPE INJ 10/1.5ML
OMNITROPE INJ 5.8MG
OMNITROPE INJ 5/1.5ML
ON CALL VIVD TES BLD GLUC
ONCASPAR INJ 750/ML
ONDANSETRON INJ 40/20ML
ONDANSETRON INJ 4MG/2ML
ONDANSETRON SOL 4MG/5ML
ONDANSETRON TAB 24MG
ONDANSETRON TAB 4MG ODT
ONDANSETRON TAB 8MG
ONDANSETRON TAB 8MG ODT
ONETOUCH MIS COMBO
ONETOUCH TES ULTRA BL
ONETOUCH TES VERIO
ONETOUCH FP MIS LANCETS
ONEXTON GEL 1.2-3.75
ONFI SUS 2.5MG/ML
ONFI TAB 10MG
ONFI TAB 20MG
ONGLYZA TAB 2.5MG
ONGLYZA TAB 5MG
ONMEL TAB 200MG
OPANA TAB 10MG
OPANA TAB 5MG
OPANA ER TAB 10MG
OPANA ER TAB 15MG
OPANA ER TAB 20MG
OPANA ER TAB 30MG
OPANA ER TAB 40MG
OPANA ER TAB 5MG
OPIUM TIN 1%
OPIUM TINCT TIN 2MG/5ML
OPSUMIT TAB 10MG
OPTASE GEL
OPTIUM TES
OPTIUMEZ TES
OPTUMRX TES BLD GLUC
ORACEA CAP 40MG
ORAFATE PST 10%
ORALONE PST 0.1%
ORAP TAB 1MG
ORAP TAB 2MG
ORAPRED ODT TAB 10MG
ORAPRED ODT TAB 15MG
ORAPRED ODT TAB 30MG
ORAVIG TAB 50MG
DRUG NAME (DOSE)QTY
ORENCIA INJ 125MG/ML
ORENITRAM TAB 0.125MG
ORENITRAM TAB 0.25MG
ORENITRAM TAB 1MG
ORENITRAM TAB 2.5MG
ORFADIN CAP 10MG
ORFADIN CAP 2MG
ORFADIN CAP 5MG
ORPHENADRINE INJ 30MG/ML
ORTHO EVRA DIS WEEK
ORTHO TRI- TAB CYCLN LO
ORTHO-CEPT TAB 28
ORTHO-NOVUM TAB 1/35
ORTHOVISC INJ 15MG/ML
OSENI TAB 12.5-15
OSENI TAB 12.5-30
OSENI TAB 12.5-45
OSENI TAB 25-15MG
OSENI TAB 25-30MG
OSENI TAB 25-45MG
OSMOPREP TAB 1.5GM
OSPHENA TAB 60MG
OTEZLA TAB 10/20/30
OTEZLA TAB 30MG
OTIC CARE DRO
OTICIN HC DRO
OTOZIN DRO
OTREXUP INJ 10MG
OTREXUP INJ 15MG
OTREXUP INJ 20MG
OTREXUP INJ 25MG
OVACE PLUS AER 9.8%
OVACE PLUS CRE 10%
OVACE PLUS GEL 10% WASH
OVACE PLUS LIQ 10% WASH
OVACE PLUS LOT 9.8%
OVACE PLUS SHA 10%
OVACE WASH LIQ 10%
OVCON-35 TAB
OVIDE LOT 0.5%
OVIDREL INJ
OXACILLIN INJ 10GM
OXACILLIN INJ 1GM
OXACILLIN INJ 2GM
OXANDRIN TAB 10MG
OXANDRIN TAB 2.5MG
OXANDROLONE TAB 10MG
OXANDROLONE TAB 2.5MG
OXAPROZIN TAB 600MG
OXAZEPAM CAP 15MG
OXAZEPAM CAP 30MG
OXCARBAZEPIN SUS 300MG/5M
OXCARBAZEPIN TAB 600MG
OXISTAT CRE 1%
OXISTAT LOT 1%
OXSORALEN LOT 1%
OXSORALEN-UL CAP 10MG
OXTELLAR XR TAB 150MG
OXTELLAR XR TAB 300MG
OXTELLAR XR TAB 600MG
OXYBUTYNIN TAB 10MG ER
OXYBUTYNIN TAB 15MG ER
OXYBUTYNIN TAB 5MG ER
OXYCOD/APAP TAB 10-325MG
OXYCOD/APAP TAB 2.5-325
OXYCOD/APAP TAB 7.5-325
OXYCOD/ASA TAB
OXYCODONE CAP 5MG
OXYCODONE CON 100/5ML
OXYCODONE CON 20MG/ML
OXYCODONE TAB 10MG
OXYCODONE TAB 10MG ER
OXYCODONE TAB 20MG
OXYCODONE TAB 20MG ER
OXYCODONE TAB 30MG
OXYCODONE TAB 40MG ER
OXYCODONE TAB 80MG ER
OXYCONTIN TAB 10MG CR
OXYCONTIN TAB 15MG CR
OXYCONTIN TAB 20MG CR
OXYCONTIN TAB 30MG CR
OXYCONTIN TAB 40MG CR
OXYCONTIN TAB 60MG CR
OXYCONTIN TAB 80MG CR
OXYMORPHONE TAB 10MG ER
OXYMORPHONE TAB 15MG ER
OXYMORPHONE TAB 20MG ER
OXYMORPHONE TAB 30MG ER
OXYMORPHONE TAB 40MG ER
OXYMORPHONE TAB 5MG ER
OXYMORPHONE TAB 7.5MG ER
OXYMORPHONE TAB HCL 10MG
OXYMORPHONE TAB HCL 5MG
OXYTROL DIS 3.9MG/24
OZURDEX IMP 0.7MG
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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.