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
ULTILET MIS 26G100.00
ULTRA TABS TAB30.00
UNILET MIS 21G100.00
UNILET CMFR MIS TCH 28G100.00
UNILET CMFR MIS TCH 30G100.00
UNILET EX II MIS 28G100.00
UNILET EXCEL MIS 23G100.00
UNILET G.P MIS SUPR 23G100.00
UNILET G.P. MIS 21G100.00
UNILET GP 28 MIS ULT THIN100.00
DRUG NAME (DOSE)QTY
UNILET LANCE MIS 21G100.00
UNILET LANCT MIS 28G100.00
UNILET LANCT MIS 30G100.00
UNILET LANCT MIS 33G100.00
UNILET SUPER MIS 23G100.00
UNILET SUPER MIS G.P. 23G100.00
UNIVERSAL 1 MIS LANC 26G100.00
UNIVERSAL 1 MIS LANC 30G100.00
UROSEX TAB30.00
Second Tier
DRUG NAME (DOSE)QTY
ULTILET MIS 28G100.00
ULTILET MIS 30G100.00
ULTILET MIS LANCETS100.00
ULTRA THIN MIS 28G100.00
ULTRA THIN MIS 30G100.00
ULTRA THIN MIS 33G100.00
ULTRA THIN MIS LANCETS100.00
UNIFINE PNTP MIS 29GX1/2"100.00
UNITH DIRECT TAB 100MCG30.00
UNITH DIRECT TAB 112MCG30.00
UNITH DIRECT TAB 125MCG30.00
UNITH DIRECT TAB 150MCG30.00
UNITH DIRECT TAB 175MCG30.00
DRUG NAME (DOSE)QTY
UNITH DIRECT TAB 200MCG30.00
UNITH DIRECT TAB 25MCG30.00
UNITH DIRECT TAB 300MCG30.00
UNITH DIRECT TAB 50MCG30.00
UNITH DIRECT TAB 75MCG30.00
UNITH DIRECT TAB 88MCG30.00
UNITHROID TAB 25MCG30.00
UNITHROID TAB 50MCG30.00
UNITHROID TAB 75MCG30.00
UNITHROID TAB 88MCG30.00
URIN D/S TAB30.00
UROQID #2 TAB30.00
UTICAP CAP20.00

Third Tier

DRUG NAME (DOSE)QTY
UDAMIN SP TAB30.00
U-KERA E CRE 40%28.35
ULTILET MIS 33G100.00
ULTILET MIS SAFETY100.00
ULTIMA TES100.00
ULTIMATECARE CAP ONE30.00
ULTIMATECARE CAP ONE NF30.00
ULTRA THIN MIS 31G100.00
ULTRA THIN MIS LANC 26G100.00
UNFINE PNTP MIS 32GX4MM100.00
UNIFINE PNTP MIS 29GX12MM100.00
UNIFINE PNTP MIS 31GX3/16100.00
UNIFINE PNTP MIS 31GX5/16100.00
UNIFINE PNTP MIS 31GX5MM100.00
UNIFINE PNTP MIS 31GX6MM100.00
UNIFINE PNTP MIS 31GX8MM100.00
UNIFINE PNTP MIS 32GX4MM100.00
UNIFINE PNTP MIS 32GX5/32100.00
DRUG NAME (DOSE)QTY
UNISTIK 3 MIS GENT 30G100.00
UNISTIK II MIS LANCETS100.00
UNISTIK SAFE MIS LANC 28G100.00
UNISTIK SAFE MIS LANC 30G100.00
UNITHROID TAB 100MCG30.00
UNITHROID TAB 112MCG30.00
UNITHROID TAB 125MCG30.00
UNITHROID TAB 137MCG30.00
UNITHROID TAB 150MCG30.00
UNITHROID TAB 175MCG30.00
UNITHROID TAB 200MCG30.00
UNITHROID TAB 300MCG30.00
URETRON D/S TAB30.00
URSODIOL CAP 300MG60.00
URYL TAB20.00
USTELL CAP20.00
UTRONA-C TAB30.00

Fourth Tier
DRUG NAME (DOSE)QTY
UCERIS AER 2MG/ACT
UCERIS TAB 9MG
ULESFIA LOT 5%
ULORIC TAB 40MG
ULORIC TAB 80MG
ULTANE SOL
ULTRACET TAB 37.5-325
ULTRAM TAB 50MG
ULTRAM ER TAB 100MG
ULTRAM ER TAB 200MG
ULTRAM ER TAB 300MG
ULTRASAL-ER SOL 28.5%
ULTRATRAK TES ULTIMATE
ULTRATRK PRO TES
ULTRAVATE CRE 0.05%
ULTRAVATE OIN 0.05%
ULTRAVATE X KIT 0.05-10%
ULTRESA CAP 13800UNT
ULTRESA CAP 20700UNT
ULTRESA CAP 23000UNT
UMECTA EMU
UMECTA SUS 40%
UMECTA MOUSS AER 40%
UMECTA NAIL SUS FILM
UNASYN INJ 1.5GM
UNASYN INJ 15GM
UNASYN INJ 3GM
UNISTRIP1 TES GENERIC
UR N-C TAB
URAMAXIN AER 20%
URAMAXIN CRE 45%
URAMAXIN GEL 45%
URAMAXIN LOT 45%
URAMAXIN GT GEL 45%
URAMAXIN GT KIT 45%
UREA CRE 39%
UREA CRE 40%
UREA CRE 45%
DRUG NAME (DOSE)QTY
UREA CRE 47%
UREA CRE 50%
UREA EMU 50%
UREA GEL 40%
UREA LOT 40%
UREA LOT 45%
UREA SUS 50%
UREA 40% SUS NAIL
UREA HYDRATI AER 35%
UREA NAIL GEL 45%
UREA NAIL KIT
UREA NAIL MIS 50%
UREA TOPICAL SUS 40%
UREA-C40 LOT 40%
URECHOLINE TAB 10MG
URECHOLINE TAB 25MG
URECHOLINE TAB 50MG
URECHOLINE TAB 5MG
URELLE TAB
UREVAZ CRE 44%
URIBEL CAP 118MG
URIMAR-T TAB
URO-BLUE TAB 81.6MG
UROCIT-K 10 TAB
UROCIT-K 15 TAB
UROCIT-K 5 TAB
UROGESIC- TAB BLUE
URO-L TAB 81MG
URO-MP CAP 118MG
UROXATRAL TAB 10MG
URSO 250 TAB 250MG
URSO FORTE TAB 500MG
URSODIOL TAB 250MG
URSODIOL TAB 500MG
UTA CAP 120MG
UTIRA-C TAB
UTOPIC CRE 41%
UVADEX INJ 20MCG/ML
A B C D E
F G H I J
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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.