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
WAL-ACT TAB 2.5-60MG24.00
WAL-DRAM TAB 50MG30.00
WAL-DRAM II TAB 25MG30.00
WAL-DRYL CAP 25MG30.00
WAL-DRYL LIQ 12.5/5ML120.00
WAL-DRYL TAB 25MG30.00
WAL-DRYL ALL TAB SINUS20.00
WAL-DRYL ALL TAB SINUS24.00
WAL-DRYL ALR TAB 12.5MG18.00
WAL-DRYL PE TAB 25-10MG24.00
WAL-FEX TAB 180MG30.00
WAL-FINATE TAB 4MG30.00
WAL-FINATE D TAB48.00
WAL-FLU LIQ 10-5-325245.50
WAL-FLU LIQ NIGHTIME245.50
WAL-FLU PAK SEVERE6.00
WAL-FLU COLD POW SORE THR6.00
WAL-FLU SEVE POW COLD/CGH6.00
WAL-FOUR SOL 1%15.00
WAL-ITIN SYP 5MG/5ML150.00
WAL-ITIN TAB 10MG30.00
WAL-ITIN CHL SOL 5MG/5ML150.00
WAL-MUCIL CAP 0.52GM30.00
WAL-MUCIL POW 100%450.00
WAL-MUCIL POW 28.3%368.00
WAL-MUCIL POW 48.57%368.00
WAL-MUCIL POW 58.6%425.00
WAL-PHED TAB 30MG30.00
WAL-PHED TAB 4-60MG48.00
WAL-PHED PE TAB 10MG18.00
WAL-PHED PE TAB 4-10MG30.00
WAL-PHED PE TAB COLD/CGH20.00
WAL-PHED PE TAB SEVERE24.00
WAL-PHED PE TAB SINUS HA24.00
WAL-PHED PE TAB TRPL REL24.00
WAL-PROFEN CAP 200MG30.00
WAL-PROFEN TAB 30-200MG20.00
WAL-SLEEP Z CAP 25MG48.00
WAL-SOM CAP 50MG30.00
WAL-SOM TAB 25MG24.00
WAL-SOM TAB 25MG30.00
WAL-TUSS CF LIQ 5-10-200120.00
WAL-TUSSIN LIQ 100/5ML118.00
DRUG NAME (DOSE)QTY
WAL-TUSSIN LIQ 10-100/5118.00
WAL-TUSSIN LIQ 15MG/5ML118.00
WAL-TUSSIN LIQ CGH/CLD120.00
WAL-TUSSIN LIQ DM118.00
WAL-TUSSIN LIQ DM MAX237.00
WAL-TUSSIN SYP 100/5ML120.00
WAL-TUSSIN SYP 15MG/5ML118.00
WAL-TUSSIN SYP 15MG/5ML118.00
WAL-TUSSIN SYP DM120.00
WAL-ZAN TAB 150MG60.00
WAL-ZYR SOL 1MG/ML150.00
WAL-ZYR SOL 1MG/ML150.00
WAL-ZYR SOL 5MG/5ML150.00
WAL-ZYR SOL 5MG/5ML150.00
WAL-ZYR CHLD SOL 5MG/5ML150.00
WARFARIN TAB 10MG30.00
WARFARIN TAB 1MG30.00
WARFARIN TAB 2.5MG30.00
WARFARIN TAB 2MG30.00
WARFARIN TAB 3MG30.00
WARFARIN TAB 4MG30.00
WARFARIN TAB 5MG30.00
WARFARIN TAB 7.5MG30.00
WEIGHT SMART TAB ADVANCED30.00
WELLMIND TAB VERTIGO30.00
WESTHROID TAB 130MG30.00
WESTHROID TAB 32.5MG30.00
WESTHROID TAB 97.5MG30.00
WHOLE SOURCE TAB FOR MEN30.00
WOMANS LAXAT TAB 5MG EC4.00
WOMENS CAP MULTI60.00
WOMENS 50+ TAB ADVANCED30.00
WOMENS DAILY CHW GUMMIES30.00
WOMENS DAILY TAB FA/CA/FE30.00
WOMENS DAILY TAB FORMULA30.00
WOMENS LAXAT TAB 5MG EC4.00
WOMENS LAXAT TAB 5MG EC4.00
WOMENS MULT TAB30.00
WOMENS MULTI TAB VIT/MIN30.00
WOMENS ONE TAB DAILY30.00
WOMENS ONE TAB DAILY30.00
WOMNS ACTIVE TAB DAILY30.00
WOUNDSEAL POW4.00
Second Tier
DRUG NAME (DOSE)QTY
WAL-DRYL LIQ 12.5/5ML120.00
WAL-FEX ALLR TAB 180MG30.00
WAL-FEX ALLR TAB 180MG30.00
WAL-FLU COLD PAK DAYTIME20.00
WAL-ITIN TAB 10MG30.00
WAL-ITIN TAB 10MG30.00
WAL-PHED TAB 120MG ER20.00
WAL-SLEEP Z LIQ 50/50ML354.00
WAL-TUSSIN CAP COUGH60.00
WAL-VERT TAB 10MG30.00
WAL-ZAN TAB 75MG60.00
WAL-ZAN 75 TAB60.00
DRUG NAME (DOSE)QTY
WAL-ZYR TAB 10MG30.00
WARFARIN TAB 6MG30.00
WERA TAB 0.5/3528.00
WESTHROID TAB 195MG30.00
WESTHROID TAB 65MG30.00
WP THYROID TAB 113.75MG30.00
WP THYROID TAB 16.25MG30.00
WP THYROID TAB 32.5MG30.00
WP THYROID TAB 48.75MG30.00
WP THYROID TAB 65MG30.00
WP THYROID TAB 81.25MG30.00
WP THYROID TAB 97.5MG30.00

Third Tier

DRUG NAME (DOSE)QTY
WAL-FEX D TAB 12 HOUR60.00
WAL-FEX D TAB 24 HOUR30.00
WAL-ITIN TAB 10MG30.00
WAL-ITIN D TAB 10-240MG30.00
WAL-ITIN D TAB 24 HOUR30.00
WAL-ITIN D TAB 5-120MG60.00
DRUG NAME (DOSE)QTY
WAL-ZYR CHW 5MG30.00
WAL-ZYR D TAB 5-120MG24.00
WEE CARE SUS 15/1.25118.00
WHEY PROTEIN POW1362.00
WHEY PROTEIN POW CON1362.00
WP THYROID TAB 130MG30.00

Fourth Tier
DRUG NAME (DOSE)QTY
WATER ORAL LIQ
WELCHOL PAK 3.75GM
WELCHOL TAB 625MG
WELLBUTRIN TAB 100MG SR
WELLBUTRIN TAB 150MG SR
WELLBUTRIN TAB 200MG SR
WELLBUTRIN TAB XL 150MG
DRUG NAME (DOSE)QTY
WELLBUTRIN TAB XL 300MG
WILATE INJ
WIXELA INHUB AER 100/50
WIXELA INHUB AER 250/50
WIXELA INHUB AER 500/50
WYMZYA FE CHW 0.4MG-35
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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.