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
XOPENEX CONC NEB 1.25/0.51.00
DRUG NAME (DOSE)QTY
XYLOCAINE INJ 1%20.00
Second Tier
DRUG NAME (DOSE)QTY
XYLOCAINE INJ 2%50.00

Third Tier

DRUG NAME (DOSE)QTY
XYLO/EPI INJ 2%90.00
XYLOCAINE INJ DENT 2%90.00
XYLOCAINE INJ -MPF 2%20.00
DRUG NAME (DOSE)QTY
XYLOCAINE SOL 4%50.00
XYLO-MPF/EPI INJ 1.5%50.00

Fourth Tier
DRUG NAME (DOSE)QTY
XALATAN SOL 0.005%
XALKORI CAP 200MG
XALKORI CAP 250MG
XANAX TAB 0.25MG
XANAX TAB 0.5MG
XANAX TAB 1MG
XANAX TAB 2MG
XANAX XR TAB 0.5MG
XANAX XR TAB 1MG
XANAX XR TAB 2MG
XANAX XR TAB 3MG
XARELTO TAB 10MG
XARELTO TAB 15MG
XARELTO TAB 20MG
XARELTO STAR TAB 15/20MG
XARTEMIS XR TAB 7.5-325
XELJANZ TAB 5MG
XELODA TAB 150MG
XELODA TAB 500MG
XENADERM OIN
XENAZINE TAB 12.5MG
XENAZINE TAB 25MG
XENICAL CAP 120MG
XEOMIN INJ 100UNIT
XEOMIN INJ 50 UNIT
XERESE CRE 5-1%
XEROFORM OIL MIS 1"X8"
XEROFORM OIL PAD 2"X2"
XEROFORM PET MIS OVERWRAP
XEROFORM PET MIS ROLL
XEROFORM PET PAD 1"X8"
XEROFORM PET PAD 2"X2"
XEROFORM PET PAD 4"X4"
XEROFORM PET PAD 5"X9"
XEROFRM GAUZ MIS 1"X8"
XEROFRM GAUZ MIS 5"X9"
XEROFRM GAUZ PAD 5"X9"
XEROFRM PETR PAD 2"X2"
XEROFRM PETR PAD 4"X4"
DRUG NAME (DOSE)QTY
XEROFRM ROLL MIS 4"X9'
XEROFRM ROLL MIS 4"X9"
XGEVA INJ
XIAFLEX INJ 0.9MG
XIFAXAN TAB 200MG
XIFAXAN TAB 550MG
XIGDUO XR TAB 10-1000
XIGDUO XR TAB 10-500MG
XIGDUO XR TAB 5-1000MG
XIGDUO XR TAB 5-500MG
XODOL TAB 10-300MG
XODOL TAB 5-300MG
XODOL TAB 7.5-300
XOLAIR SOL 150MG
XOLEGEL GEL 2%
XOLEGEL KIT COREPAK
XOLEGEL DUO/ KIT HEAD&SHD
XOLEGEL DUO/ KIT XOLEX
XOPENEX NEB 0.31MG
XOPENEX NEB 0.63MG
XOPENEX NEB 1.25/3ML
XOPENEX HFA AER
XROFORM PET MIS OVERWRAP
XTANDI CAP 40MG
XULANE DIS 150-35
XYLO/EPI INJ 0.5%
XYLO/EPI 1%- INJ 1:100000
XYLOCAINE INJ 0.5%
XYLOCAINE INJ MPF 0.5%
XYLOCAINE INJ -MPF 1%
XYLOCAINE INJ MPF 1.5%
XYLOCAINE INJ -MPF 4%
XYLO-MPF/EPI INJ 1%
XYLO-MPF/EPI INJ 2%
XYLON TAB 10-200MG
XYREM SOL 500MG/ML
XYZAL SOL
XYZAL SOL 2.5/5ML
XYZAL TAB 5MG
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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.