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
ULCEREASE LIQ 0.6%178.00
ULCEREASE SOL178.00
ULTRA B-100 TAB COMPLEX30.00
ULTRA BIOTIN TAB 5MG30.00
ULTRA CHOICE CHW KIDS30.00
ULTRA FREEDA TAB30.00
ULTRA FRESH DRO 0.5% OP15.00
ULTRA FRESH OIN PM3.50
ULTRA SLEEP TAB 25MG30.00
ULTRA THROAT LOZ HONY LEM18.00
ULTRA VITA-T TAB30.00
ULTRACHOICE TAB ADVANCED30.00
ULTRATHON AER INSECT170.00
UNISOL 4 SOL12.00
UNISOM TAB 25MG30.00
UNISOM SLEEP CAP 50MG30.00
DRUG NAME (DOSE)QTY
UNISOM SLEEP TAB 25MG24.00
UP&UP CHW GRAPE50.00
UP&UP CHW ORANGE50.00
UP&UP CHW RASPBERY50.00
URINARY PAIN TAB 95MG30.00
URINARY PAIN TAB 95MG30.00
URINARY PAIN TAB 95MG30.00
URINARY PAIN TAB 95MG30.00
URINARY PAIN TAB 95MG30.00
URINARY PAIN TAB 95MG30.00
URINARY PAIN TAB 95MG30.00
URINARY PAIN TAB 97.5MG12.00
URISTAT TAB 95MG30.00
URISTAT UTI PAK RLF 95MG13.00
URO MAG CAP 140MG30.00
URO-MAG CAP 140MG30.00
Second Tier
DRUG NAME (DOSE)QTY
ULTRA OMEGA3 CAP 1400MG60.00
ULTRAFLORA CAP IMMUNE28.00
UNDERWEAR MIS MEN/S-M32.00
UNIFIBER POW240.00
UNITHROID TAB 100MCG30.00
UNITHROID TAB 112MCG30.00
UNITHROID TAB 125MCG30.00
UNITHROID TAB 137MCG30.00
UNITHROID TAB 150MCG30.00
DRUG NAME (DOSE)QTY
UNITHROID TAB 175MCG30.00
UNITHROID TAB 200MCG30.00
UNITHROID TAB 25MCG30.00
UNITHROID TAB 50MCG30.00
UNITHROID TAB 75MCG30.00
UNITHROID TAB 88MCG30.00
UPSPRINGBABY DRO MV/IRON60.00
URIN D/S TAB30.00
UROSEX TAB30.00

Third Tier

DRUG NAME (DOSE)QTY
UDAMIN SP TAB60.00
ULTIMATECARE CAP ONE30.00
UNITHROID TAB 300MCG30.00
URETRON D/S TAB30.00
UROAV-B CAP20.00
DRUG NAME (DOSE)QTY
URO-MP CAP 118MG20.00
URYL TAB30.00
UTICAP CAP30.00
UTRONA-C TAB30.00
UTYMAX PAK30.00

Fourth Tier
DRUG NAME (DOSE)QTY
UCERIS AER 2MG/ACT
UCERIS TAB 9MG
ULORIC TAB 40MG
ULORIC TAB 80MG
ULTANE SOL
ULTIVA INJ 1MG
ULTRACET TAB 37.5-325
ULTRAM TAB 50MG
ULTRAVATE LOT 0.05%
UNASYN INJ 1.5GM
UNASYN INJ 3GM
UPTRAVI TAB 1000MCG
UPTRAVI TAB 1200MCG
UPTRAVI TAB 1400MCG
UPTRAVI TAB 1600MCG
UPTRAVI TAB 200/800
UPTRAVI TAB 200MCG
UPTRAVI TAB 400MCG
UPTRAVI TAB 600MCG
UPTRAVI TAB 800MCG
URE-39 CRE 39%
UREA CRE 40%
UREA CRE 41%
UREA CRE 47%
DRUG NAME (DOSE)QTY
UREA EMU 50%
URECHOLINE TAB 10MG
URECHOLINE TAB 25MG
URECHOLINE TAB 50MG
URECHOLINE TAB 5MG
URELLE TAB
URE-NA POW 15GM
URIBEL CAP 118MG
URIMAR-T TAB
URO-458 TAB
UROCIT-K 10 TAB
UROCIT-K 15 TAB
UROCIT-K 5 TAB
UROGESIC- TAB BLUE
UROXATRAL TAB 10MG
URSO 250 TAB 250MG
URSO FORTE TAB 500MG
URSODIOL CAP 300MG
URSODIOL TAB 250MG
URSODIOL TAB 500MG
USTELL CAP
UTIBRON CAP NEOHALER
UTIRA-C TAB
A B C D E
F G H I J
K L M N O
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.