Program Overview Preferred Drug List 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
XERAC-AC SOL 6.25%35.00
DRUG NAME (DOSE)QTY
XYRALID LP KIT1.00
Second Tier
DRUG NAME (DOSE)QTY
XYLENES LIQ REAGENT500.00
XYLO/EPI INJ 1%50.00
DRUG NAME (DOSE)QTY
XYLOCAINE INJ 1%50.00
XYLOCAINE INJ MPF 0.5%50.00

Third Tier

DRUG NAME (DOSE)QTY
XANAX TAB 0.25MG30.00
XANAX TAB 0.5MG30.00
XIRAHIST LIQ 2-2MG/ML30.00
XIRAHISTDM LIQ30.00
XIRATUSS SUS120.00
XODOL TAB30.00
XODOL TAB 5-300MG30.00
XODOL TAB 7.5/30030.00
XPECT-AT TAB30.00
XYLENES LIQ ACS GRAD3785.00
DRUG NAME (DOSE)QTY
XYLOCAINE INJ 2%50.00
XYLOCAINE INJ -MPF 1%20.00
XYLOCAINE INJ MPF 1.5%50.00
XYLOCAINE INJ -MPF 2%20.00
XYLOCAINE SOL 2% VISC100.00
XYLOCAINE SOL 4%50.00
XYLO-MPF/EPI INJ 1%50.00
XYLO-MPF/EPI INJ 1.5%50.00
XYLO-MPF/EPI INJ 2%50.00

Fourth Tier
DRUG NAME (DOSE)QTY
XALATAN SOL 0.005%
XANAX TAB 1MG
XANAX TAB 2MG
XANAX XR TAB 0.5MG
XANAX XR TAB 1MG
XANAX XR TAB 2MG
XANAX XR TAB 3MG
XELODA TAB 150MG
XELODA TAB 500MG
XENADERM OIN
XENICAL CAP 120MG
XIBROM SOL 0.09%
XIFAXAN TAB 200MG
XIGRIS INJ 20MG
XIGRIS INJ 5MG
XODOL TAB 10-300MG
DRUG NAME (DOSE)QTY
XOLAIR SOL 150MG
XOLEGEL GEL 2%
XOLEGEL DUO KIT
XOPENEX NEB 0.31MG
XOPENEX NEB 0.63MG
XOPENEX NEB 1.25/3ML
XOPENEX CONC NEB 1.25/0.5
XOPENEX HFA AER
XYLO/DEXTROS INJ 1.5-7.5%
XYLOCAINE GEL 2%
XYLOCAINE INJ -MPF 4%
XYRALID KIT
XYRALID RC KIT
XYREM SOL 500MG/ML
XYZAL SOL
XYZAL TAB 5MG
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 * Pricing is subject to change without notice.
 * Pricing is only for quantities stated, additional quantities may incur higher costs.
 * This is not an insured product.
 * Network pharmacies can be contracted at different rates resulting in some pricing differences.