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.
This formulary has the following tiers:
First Tier
Second Tier
DRUG NAME (DOSE)QTY
ACCU-CHEK MIS MLTICLIX100.00
ACD/FLUORIDE DRO 0.25MG50.00
ACEBUTOLOL CAP 200MG30.00
ACEBUTOLOL CAP 400MG30.00
ACTI-LANCE MIS 28G100.00
ACTI-LANCE MIS LITE 28G100.00
ACTI-LANCE MIS SPEC 17G100.00
ACTI-LANCE MIS UNIV 23G100.00
ACYCLOVIR CAP 200MG60.00
ACYCLOVIR TAB 800MG30.00
ADVOCATE MIS LANC 30G100.00
AIF #2 DRUG CRE PREP KIT1.00
AIRAVITE TAB30.00
AK-FLUOR INJ 10% OP5.00
AK-POLY-BAC OIN OP3.50
ALBUTEROL NEB 0.083%90.00
ALBUTEROL NEB 0.5%20.00
ALENDRONATE TAB 10MG30.00
ALENDRONATE TAB 35MG4.00
ALENDRONATE TAB 5MG30.00
ALENDRONATE TAB 70MG4.00
ALLOPURINOL TAB 100MG30.00
ALLOPURINOL TAB 300MG30.00
ALPHAQUIN HP CRE 4%28.40
ALPRAZOLAM TAB 0.5MG60.00
ALPRAZOLAM TAB 0.5MG ER30.00
ALPRAZOLAM TAB 0.5MG XR30.00
ALPRAZOLAM TAB 1MG90.00
ALPRAZOLAM TAB 2MG90.00
ALTACAINE SOL 0.5% OP12.00
ALTAFLUOR SOL 0.25-0.45.00
AMILOR/HCTZ TAB 5-5030.00
AMIODARONE TAB 200MG30.00
AMLODIPINE TAB 10MG30.00
AMLODIPINE TAB 2.5MG30.00
AMLODIPINE TAB 5MG30.00
AMMONIUM LAC LOT 12%225.00
AMOXAPINE TAB 25MG30.00
AMOXAPINE TAB 50MG30.00
AMOXICILLIN CAP 500MG60.00
AMOXICILLIN SUS 250/5ML300.00
AMOXICILLIN SUS 250MG/5M300.00
AMOXICILLIN SUS 400/5ML200.00
AMOXICILLIN TAB 500MG30.00
AMOXICILLIN TAB 875MG30.00
AMPICILLIN CAP 250MG60.00
AMPICILLIN CAP 500MG60.00
AMPICILLIN SUS 250/5ML100.00
ANACAINE OIN30.00
ANASEPT SPR237.00
ANASPAZ TAB 0.125MG60.00
ANDROGEL GEL 1%(25MG)2.50
ANDROGEL GEL 1%(50MG)5.00
ANTIPY/BENZO SOL OTIC (5.4-1.4%)10.00
APAP/CODEINE SOL 120-12/5500.00
APAP/CODEINE TAB 300-15MG60.00
APAP/CODEINE TAB 300-30MG60.00
ARISTOSPAN INJ 20MG/ML1.00
ARMOUR THYRO TAB 15MG30.00
ARMOUR THYRO TAB 30MG30.00
ASSURE MIS LANCETS100.00
ASSURE LANCE MIS 21G100.00
ASSURE LANCE MIS LOW FLOW100.00
ASSURE LANCE MIS MICRO100.00
ATABEX EC TAB30.00
ATENOL/CHLOR TAB 50-25MG30.00
ATENOLOL TAB 100MG30.00
ATENOLOL TAB 25MG30.00
ATROPINE SUL OIN 1% OP3.50
AUG BETAMET CRE 0.05%15.00
AZITHROMYCIN SUS 100/5ML15.00
AZITHROMYCIN SUS 200/5ML15.00
B3/AZEL/TURM TAB FA/B6/ZN30.00
BACIT/POLYMY OIN OP3.50
BACLOFEN TAB 10MG90.00
BACLOFEN TAB 20MG90.00
BAYER MICRLT MIS LANCETS100.00
B-COMPLEX INJ 10030.00
BD LANCET UF MIS 33G100.00
BENAZEP/HCTZ TAB 5-6.2530.00
BENAZEPRIL TAB 10MG30.00
BENAZEPRIL TAB 40MG30.00
BENAZEPRIL TAB 5MG30.00
BENZTROPINE TAB 0.5MG60.00
BETHANECHOL TAB 5MG30.00
BIO GLO TES 1MG OP100.00
BIO-STATIN CAP 100000030.00
BIO-STATIN CAP 50000030.00
BISOPRL/HCTZ TAB 10/6.2530.00
BISOPRL/HCTZ TAB 2.5/6.2530.00
BISOPRL/HCTZ TAB 5-6.25MG30.00
BRIMONIDINE SOL 0.2% OP5.00
BUCALSEP SOL30.00
BUCALSEP SPR30.00
BUMETANIDE TAB 0.5MG30.00
BUSPIRONE TAB 5MG60.00
BUT/APAP/CAF CAP 50-325-40 MG30.00
CAPACET CAP30.00
CAPTOPR/HCTZ TAB 25-25MG30.00
CAPTOPR/HCTZ TAB 50-15MG30.00
CAPTOPR/HCTZ TAB 50-25MG30.00
CAPTOPRIL TAB 12.5MG30.00
CARBOCAINE INJ 2%50.00
CARDIOVID CAP PLUS30.00
CARISOPRODOL TAB 350MG90.00
CARTEOLOL SOL 1% OP5.00
CARTIA XT CAP 120/24HR30.00
CARVEDILOL TAB 12.5MG60.00
CARVEDILOL TAB 25MG60.00
CARVEDILOL TAB 3.125MG60.00
CARVEDILOL TAB 6.25MG60.00
CEFTRIAXONE INJ 250MG1.00
CENTRATEX CAP30.00
CEPHALEXIN CAP 250MG30.00
CEPHALEXIN SUS 125/5ML200.00
CETIRIZINE SYP 1MG/ML120.00
CHLORDIAZEP CAP 10MG60.00
CHLORDIAZEP CAP 25MG60.00
CHLORDIAZEP CAP 5MG60.00
CHLORHEX GLU SOL 0.12%600.00
CHLOROMAG INJ 20%50.00
CHLOROQUINE TAB 500MG7.00
CHLOROTHIAZ TAB 250MG30.00
CHLOROTHIAZ TAB 500MG30.00
CHLORPROPAM TAB 100MG30.00
CHO MAG TRIS TAB 500MG30.00
CILOSTAZOL TAB 100MG60.00
CILOSTAZOL TAB 50MG60.00
CIMETIDINE TAB 200MG60.00
CIMETIDINE TAB 300MG30.00
CIPROFLOXACN SOL 0.3% OP5.00
CIPROFLOXACN TAB 500MG30.00
CIPROFLOXACN TAB 750MG30.00
CITALOPRAM TAB 10MG30.00
CITALOPRAM TAB 20MG30.00
CITALOPRAM TAB 40MG30.00
CITRIC ACID/ SOL SOD CITR1500.00
CLARITHROMYC SUS 125/5ML50.00
CLEMASTINE TAB 2.68MG60.00
CLEVER CHECK MIS100.00
CLEVER CHECK MIS 30G100.00
CLINDAMYCIN CAP 150MG30.00
CLINDAMYCIN CAP 75MG30.00
CLINPRO 5000 PST 1.1%113.00
CLOBETASOL E CRE 0.05%15.00
CLONAZEPAM TAB 0.5MG60.00
CLONAZEPAM TAB 1MG60.00
CLONAZEPAM TAB 2MG60.00
CLONIDINE TAB 0.1MG60.00
CLONIDINE TAB 0.2MG60.00
CLONIDINE TAB 0.3MG90.00
CLORAZ DIPOT TAB 15MG60.00
CODEINE SULF TAB 15MG30.00
CONTROLRX CRE 1.1%57.00
CONTROLRX PST 1.1%113.00
CORTANE-B DRO OTIC10.00
CORVITE FREE TAB30.00
CROMOLYN SOD SOL 4% OP10.00
CYCLOPENTOL SOL 1% OP2.00
CYOTIC DRO10.00
CYSTAGON CAP 50MG30.00
CYTARABINE INJ 20MG/ML25.00
CYTRA-2 SOL1500.00
DECON-A ELX 2-5MG/5M118.00
DECON-G DRO 2-1-40MG30.00
DEPO-MEDROL INJ 80MG/ML1.00
DEXAMETH PHO SOL 0.1% OP5.00
DEXAMETHASON TAB 1MG30.00
DEXAMETHASON TAB 4MG30.00
DEXAMETHASON TAB 6MG30.00
DEXMETHYLPH TAB 2.5MG30.00
DIABETA TAB 1.25MG30.00
DIALYVITE TAB 300030.00
DIALYVITE TAB 500030.00
DIALYVITE TAB SUPREM D30.00
DIAZEPAM TAB 10MG60.00
DICLOFENAC SOL 0.1% OP2.50
DICLOXACILL CAP 250MG60.00
DICYCLOMINE CAP 10MG90.00
DIETHYLPROP TAB 25MG30.00
DILAUDID INJ 2MG/ML10.00
DILTIAZEM CAP 120MG CD30.00
DILTIAZEM TAB 120MG30.00
DILTIAZEM TAB 30MG90.00
DILTIAZEM TAB 60MG60.00
DILTIAZEM TAB 90MG60.00
DIPYRIDAMOLE TAB 25MG60.00
DIVALPROEX TAB 125MG DR60.00
DIVALPROEX TAB 500MG DR60.00
DM/CPM/PE DRO30.00
DOXEPIN HCL CAP 10MG30.00
DOXEPIN HCL CAP 25MG30.00
DOXEPIN HCL CAP 75MG30.00
DOXEPIN HCL CON 10MG/ML120.00
DRISDOL CAP 50000UNT4.00
DRYSOL SOL 20%35.00
DURAXIN CAP30.00
EASY TOUCH MIS LANC/21G100.00
EASY TOUCH MIS LANC/23G100.00
EASY TOUCH MIS LANC/26G100.00
EASY TOUCH MIS LANC/28G100.00
EASY TOUCH MIS LANC/30G100.00
EASY TOUCH MIS LANC/32G100.00
ECONAZOLE CRE 1%15.00
ED-FLEX CAP30.00
EFFER-K TAB 10MEQ30.00
EFFER-K TAB 20MEQ30.00
EMBRACE LANC MIS THIN 30G100.00
EMLA CRE 2.5-2.5%5.00
ENALAPR/HCTZ TAB 10-25MG30.00
ENALAPR/HCTZ TAB 5-12.5MG30.00
ENALAPRIL TAB 10MG30.00
ENALAPRIL TAB 2.5MG30.00
ENALAPRIL TAB 20MG30.00
ENALAPRIL TAB 5MG30.00
ENDO DERMAL MIS 5X5 CM1.00
ENULOSE SOL 10GM/15473.00
ESGIC CAP30.00
ESTAZOLAM TAB 1MG30.00
ESTRADIOL TAB 0.5MG30.00
ESTRADIOL TAB 2MG30.00
ESTROPIPATE TAB 0.75MG30.00
ESTROPIPATE TAB 1.5MG30.00
ETHAMBUTOL TAB 100MG30.00
EXACTUSS LIQ473.00
EXODERM LOT 25-1%120.00
EXOTIC-HC DRO OTIC10.00
FA-B6-B12 TAB30.00
FABB TAB30.00
FAMOTIDINE TAB 20MG60.00
FASTCLIX MIS LANCETS100.00
FENTANYL CIT INJ 0.05MG/120.00
FENTANYL CIT INJ 1000MCG20.00
FENTANYL CIT INJ 100MCG20.00
FENTANYL CIT INJ 250MCG20.00
FEROCON CAP30.00
FERROGELS FO CAP FORTE30.00
FERRO-PLEX TAB30.00
FIFTY50 SAFE MIS LANCETS100.00
FINE 30 MIS100.00
FINGERSTIX MIS LANCETS100.00
FLUCAINE SOL 0.25-0.55.00
FLUCONAZOLE SUS 10MG/ML35.00
FLUORACAINE SOL OP5.00
FLUORE-BENOX SOL 0.25-0.45.00
FLUORIDEX DD PST SENSITIV112.00
FLUOXETINE CAP 20MG30.00
FLUOXETINE SOL 20MG/5ML200.00
FLUOXETINE TAB 20MG30.00
FLUPHENAZINE ELX 2.5/5ML60.00
FLUPHENAZINE TAB 1MG30.00
FLUPHENAZINE TAB 5MG30.00
FLURA-SAFE SOL6.00
FLURAZEPAM CAP 15MG30.00
FLURAZEPAM CAP 30MG30.00
FLUROX SOL OP5.00
FLUTICASONE CRE 0.05%30.00
FLUTICASONE OIN 0.005%30.00
FLUVOXAMINE TAB 25MG30.00
FLUVOXAMINE TAB 50MG30.00
FOLBEE TAB30.00
FOLBEE PLUS TAB30.00
FOLBEE PLUS TAB CZ30.00
FOLGARD OS TAB30.00
FOLGARD RX TAB30.00
FOLIVANE-F CAP30.00
FOLIVANE-PLS CAP30.00
FOLPLEX 2.2 TAB30.00
FOLTRIN CAP30.00
FORMADON SOL60.00
FORMA-RAY SOL 20%60.00
FORTAVIT CAP30.00
FOSINOPRIL TAB 10MG30.00
FOSINOPRIL TAB 20MG30.00
FOSINOPRIL TAB 40MG30.00
FOSPHENYTOIN INJ 100/2ML2.00
FUL-GLO TES 1MG OP100.00
FUROSEMIDE SOL 10MG/ML60.00
GABAPENTIN CAP 100MG90.00
GABAPENTIN CAP 400MG90.00
GAVILYTE-C SOL4000.00
GAVILYTE-G SOL4000.00
GEL-KAM CON 0.63%283.00
GEMFIBROZIL TAB 600MG60.00
GENERLAC SOL 10GM/15473.00
GENTAK OIN 0.3% OP3.50
GENTAMICIN OIN 0.3% OP3.50
GENTAMICIN SOL 0.3% OP5.00
GILTUSS LIQ PED-C60.00
GLIMEPIRIDE TAB 4MG60.00
GLIPIZIDE TAB 10MG60.00
GLIPIZIDE TAB 5MG60.00
GLIPIZIDE ER TAB 10MG30.00
GLIPIZIDE XL TAB 10MG30.00
GLYB/METFORM TAB 1.25-25060.00
GLYB/METFORM TAB 2.5-50060.00
GLYB/METFORM TAB 5-500MG60.00
GLYBURIDE TAB 5MG60.00
GORDOFILM SOL15.00
GRANULEX AER56.70
HALOPERIDOL CON 2MG/ML15.00
HALOPERIDOL TAB 2MG30.00
HEMATOGEN CAP FORTE30.00
HEMATOGEN FA CAP30.00
HEMOCYTE PLS CAP30.00
HOMATROPAIRE SOL 5% OP5.00
HOMATROPINE SOL 5% OP5.00
HYDRALAZINE TAB 10MG90.00
HYDRALAZINE TAB 25MG90.00
HYDROCHLOROT CAP 12.5MG30.00
HYDROCHLOROT TAB 12.5MG30.00
HYDROCODONE/ TAB HOMATROP30.00
HYDROCORT LOT 2.5%59.00
HYDROMORPHON INJ 50MG/5ML10.00
HYDROMORPHON TAB 2MG90.00
HYDROXYUREA CAP 500MG30.00
HYDROXYZ HCL INJ 50MG/ML25.00
HYDROXYZ HCL TAB 25MG60.00
HYDROXYZ PAM CAP 25MG60.00
IBUPROFEN TAB 800MG90.00
INATAL ADV TAB30.00
INATAL GT TAB30.00
INATAL ULTRA TAB30.00
INDAPAMIDE TAB 1.25MG30.00
INDAPAMIDE TAB 2.5MG30.00
INDOMETHACIN CAP 25MG60.00
INDOMETHACIN CAP 50MG60.00
INSUPEN ULTR MIS 29GX12MM100.00
INSUPEN ULTR MIS 30GX8MM100.00
INSUPEN ULTR MIS 31GX6MM100.00
INSUPEN ULTR MIS 31GX8MM100.00
INTEGRA F CAP30.00
INTROL SOL 75%120.00
ISONIAZID TAB 300MG30.00
ISOSORB MONO TAB 120MG ER30.00
ISOSORB MONO TAB 30MG ER30.00
ISOSORB MONO TAB 60MG ER30.00
JANTOVEN TAB 10MG30.00
JANTOVEN TAB 4MG30.00
JANTOVEN TAB 6MG30.00
JANTOVEN TAB 7.5MG30.00
KENALOG-10 INJ 10MG/ML5.00
KETOCONAZOLE SHA 2%120.00
KETOCONAZOLE TAB 200MG30.00
KETOROLAC TAB 10MG20.00
KLOR-CON 10 TAB 10MEQ ER30.00
KLOR-CON 8 TAB 8MEQ ER30.00
KLOR-CON M10 TAB 10MEQ ER30.00
KLOR-CON M20 TAB 20MEQ ER30.00
K-PHOS TAB30.00
K-PRIME TAB 25MEQ EF30.00
K-TAB TAB 8MEQ CR30.00
K-TAN PLUS CAP30.00
K-VESCENT TAB 25MEQ EF30.00
LACLOTION LOT 12%225.00
LAMISIL GRA 125MG1.00
LAMOTRIGINE TAB 100MG30.00
LAMOTRIGINE TAB 200MG30.00
LAMOTRIGINE TAB 25MG60.00
LANCET ULTRA MIS THIN 30G100.00
LANCETS MIS 28G100.00
LANCETS MIS 31G100.00
LANCETS THIN MIS 30G100.00
LEVOBUNOLOL SOL 0.25% OP5.00
LEVOTHYROXIN TAB 100MCG30.00
LEVOTHYROXIN TAB 112MCG30.00
LEVOTHYROXIN TAB 125MCG30.00
LEVOTHYROXIN TAB 137MCG30.00
LEVOTHYROXIN TAB 150MCG30.00
LEVOTHYROXIN TAB 25MCG30.00
LEVOTHYROXIN TAB 50MCG30.00
LEVOTHYROXIN TAB 75MCG30.00
LEVOTHYROXIN TAB 88MCG30.00
LEVOXYL TAB 100MCG30.00
LEVOXYL TAB 112MCG30.00
LEVOXYL TAB 25MCG30.00
LEVOXYL TAB 50MCG30.00
LEVOXYL TAB 75MCG30.00
LEVOXYL TAB 88MCG30.00
LISINOP/HCTZ TAB 10-12.530.00
LISINOP/HCTZ TAB 20-25MG30.00
LISINOPRIL TAB 10MG30.00
LISINOPRIL TAB 2.5MG30.00
LISINOPRIL TAB 20MG30.00
LISINOPRIL TAB 30MG30.00
LISINOPRIL TAB 40MG30.00
LISINOPRIL TAB 5MG30.00
LITE TOUCH MIS LANCETS100.00
LITETOUCH MIS LANCETS100.00
LITHIUM CARB CAP 300MG90.00
LITHIUM CARB TAB 300MG60.00
LITHIUM CARB TAB 300MG ER60.00
LONGS LANCET MIS ULTRA TH100.00
LORAZEPAM TAB 1MG60.00
DRUG NAME (DOSE)QTY
LORAZEPAM TAB 2MG60.00
LOSARTAN POT TAB 100MG30.00
LOSARTAN POT TAB 25MG30.00
LOSARTAN POT TAB 50MG30.00
LOSARTAN/HCT TAB 100-12.530.00
LOSARTAN/HCT TAB 100-2530.00
LOVASTATIN TAB 10MG30.00
LOVASTATIN TAB 20MG30.00
LOVASTATIN TAB 40MG30.00
LOXAPINE CAP 10MG30.00
LURIDE DRO 0.5MG/ML50.00
LYSIPLEX TAB PLUS30.00
MAGNESIUM CL INJ 20%50.00
MAGNESIUM SU INJ 20/500ML1200.00
MAGNESIUM SU INJ 40/10001200.00
MAPROTILINE TAB 25MG30.00
MARGESIC CAP30.00
MAXIPIME INJ 2GM1.00
MEDLANCE MIS 30G PLUS100.00
MEDLANCE MIS EXTR 21G100.00
MEDLANCE MIS LITE 25G100.00
MEDLANCE MIS PLUS100.00
MEDLANCE MIS PLUS 30G100.00
MEDLANCE MIS UNV 21G100.00
MEDLANCE PLS MIS 0.8MM100.00
MEDLANCE PLS MIS EXTR 21G100.00
MEDLANCE PLS MIS LITE 25G100.00
MEDLANCE PLS MIS UNIV 21G100.00
MEDROXYPR AC TAB 10MG30.00
MEDROXYPR AC TAB 2.5MG30.00
MEGA-C/A PLU INJ 500MG/ML50.00
MELPAQUE HP CRE 4%28.40
MEPERIDINE INJ 100MG/ML10.00
MEPERIDINE INJ 25MG/ML10.00
MEPERIDINE INJ 50MG/ML10.00
METAPROTEREN SYP 10MG/5ML473.00
METFORMIN TAB 500MG60.00
METFORMIN TAB 500MG ER60.00
METFORMIN TAB 750MG ER60.00
METFORMIN TAB 850MG60.00
METHADONE TAB 40MG30.00
METHADOSE TAB 40MG30.00
METHIMAZOLE TAB 10MG30.00
METHOTREXATE INJ 25MG/ML4.00
METHOTREXATE INJ 50MG/2ML4.00
METHYLD/HCTZ TAB 250/1530.00
METHYLDOPA TAB 250MG60.00
METHYLDOPA TAB 500MG60.00
METHYLPHENID TAB 5MG30.00
METHYLPR ACE INJ 80MG/ML1.00
METIPRANOLOL SOL 0.3% OPH5.00
METOCLOPRAM TAB 10MG120.00
METOCLOPRAM TAB 5MG90.00
METOPROL TAR TAB 100MG60.00
METOPROL TAR TAB 25MG60.00
METOPROL TAR TAB 50MG60.00
METRONIDAZOL TAB 250MG30.00
MICROLET MIS LANCETS100.00
MINOCYCLINE CAP 50MG60.00
MINOXIDIL TAB 10MG30.00
MINOXIDIL TAB 2.5MG60.00
MIRTAZAPINE TAB 15MG30.00
MIRTAZAPINE TAB 30MG30.00
MIRTAZAPINE TAB 45MG30.00
MONOLET MIS LANCETS100.00
MORPHINE SUL INJ 0.5MG/ML20.00
MORPHINE SUL SOL 100/5ML30.00
MORPHINE SUL SOL 10MG/5ML200.00
MORPHINE SUL SOL 20MG/ML30.00
MULTI-VIT/FE DRO /FL 0.2550.00
MULTI-VIT/FL DRO /FE 0.2550.00
MULTI-VIT/FL DRO 0.25MG50.00
MULTI-VIT/FL DRO 0.5MG/ML50.00
M-VIT TAB 27-1MG30.00
MYAMBUTOL TAB 100MG30.00
N-ACETYL-L- CAP CYSTEINE30.00
NAFCILLIN INJ 1GM1.00
NAPROXEN TAB 250MG60.00
NAPROXEN TAB 375MG60.00
NAPROXEN TAB 500MG60.00
NAPROXEN DR TAB 375MG60.00
NAPROXEN DR TAB 500MG60.00
NAPROXEN SOD TAB 275MG60.00
NAPROXEN SOD TAB 550MG60.00
NATURE THROI TAB 162.5MG30.00
NATURE-THROI TAB 113.75MG30.00
NATURE-THROI TAB 130MG30.00
NATURE-THROI TAB 146.25MG30.00
NATURE-THROI TAB 195MG30.00
NATURE-THROI TAB 260MG30.00
NATURE-THROI TAB 97.5MG30.00
NEFAZODONE TAB 50MG30.00
NEPHPLEX RX TAB30.00
NEPHRON FA TAB30.00
NEPHRO-VITE TAB RX30.00
NESACAINE INJ 2%20.00
NEURIN-SL SUB30.00
NIACOR TAB 500MG30.00
NIVA-FOL TAB30.00
NORTRIPTYLIN CAP 25MG30.00
NORTRIPTYLIN CAP 50MG30.00
NORTUSS-EX LIQ 200-20/5118.00
NP THYROID TAB 30MG30.00
NP THYROID TAB 60MG30.00
NP THYROID TAB 90MG30.00
NUFOL TAB30.00
NUTRICAP TAB30.00
NUTRIFAC ZX TAB30.00
NUTRIVIT LIQ 800-15-1237.00
NYSTATIN SUS 10000050.00
OBSTETRIX EC TAB30.00
O-CAL FA TAB30.00
OMEPRAZOLE CAP 10MG30.00
ON CALL MIS LANCETS100.00
ON CALL PLUS MIS LANCETS100.00
ONETOUCH MIS 30G100.00
ONETOUCH MIS LANCETS100.00
ONETOUCH US MIS LANCETS100.00
ORTHO-CS 250 INJ 250MG/ML100.00
ORTHO-EST TAB 0.62530.00
ORTHO-EST TAB 1.2530.00
OTO-END 10 SOL10.00
OTOMAX-HC DRO10.00
PACERONE TAB 200MG30.00
PANTOPRAZOLE TAB 40MG30.00
PAPAVERINE SOL 30MG/ML2.00
PAROXETINE TAB 10MG30.00
PAROXETINE TAB 30MG30.00
PAROXETINE TAB 40MG30.00
PEG 3350 SOL ELECTROL4000.00
PEG-3350 SOL ELECTROL4000.00
PENICILLN VK SOL 250/5ML200.00
PENICILLN VK TAB 250MG60.00
PERFECT 28G MIS LANCETS100.00
PERIOGARD SOL 0.12%600.00
PHENAZOPYRID TAB 200MG90.00
PHENDIMETRAZ TAB 35MG90.00
PHENOBARB TAB 100MG30.00
PHENOBARB TAB 15MG60.00
PHENOBARB TAB 30MG60.00
PHENOBARB TAB 60MG60.00
PHENTERMINE CAP 15MG30.00
PHENTERMINE CAP 30MG30.00
PHENTERMINE TAB 37.5MG30.00
PHENYLEPHRIN INJ 10MG/ML1.00
PHOS-FLUR GEL 1.1%56.00
PODIAPN CAP30.00
POLOCAINE INJ 1%50.00
POLOCAINE INJ 2%50.00
POLOCAINE INJ MPF 1.5%30.00
POLYCIN OIN OP3.50
POLYMYXIN B/ SOL TRIMETHP10.00
POT CHLORIDE TAB 10MEQ CR30.00
POT CHLORIDE TAB 10MEQ ER30.00
POT CHLORIDE TAB 8MEQ ER30.00
POT CHLORIDE TAB 8MEQ SR30.00
POT CL MICRO TAB 10MEQ CR30.00
POT CL MICRO TAB 10MEQ ER30.00
POT CL MICRO TAB 20MEQ ER30.00
POTASSIUM TAB 25MEQ EF30.00
PRAMIPEXOLE TAB 0.125MG30.00
PRAMIPEXOLE TAB 0.25MG30.00
PRAMIPEXOLE TAB 0.5MG30.00
PRAMIPEXOLE TAB 0.75MG30.00
PRAMIPEXOLE TAB 1MG30.00
PRAMOX GEL 1%113.00
PREDNISOLONE SOL 15MG/5ML30.00
PREDNISOLONE SYP 15MG/5ML30.00
PREDNISONE PAK 5MG30.00
PREDNISONE TAB 10MG30.00
PREDNISONE TAB 50MG30.00
PREDNISONE TAB 5MG30.00
PRENATA CHW 29-1MG30.00
PRENATABS FA TAB30.00
PRENATAL TAB 27-1MG30.00
PRENATAL 19 CHW 29-1MG30.00
PRENATAL 19 TAB 29-1MG30.00
PRETAB TAB 29-1MG30.00
PREVDNT 5000 PST 1.1%113.00
PREVIDENT CRE 5000 PLS57.00
PREVIDENT GEL 1.1%56.00
PREVIDENT GEL 1.1% BER56.00
PREVIDENT GEL 1.1% CHR56.00
PREVIDENT GEL 1.1% MIN56.00
PREVIDENT PST 5000 BST113.00
PREVIDENT PST 5000 SEN112.00
PRIMIDONE TAB 250MG60.00
PROCHLORPER TAB 10MG60.00
PROCHLORPER TAB 5MG60.00
PRODIGY MIS 28G100.00
PROMETHAZINE TAB 25MG60.00
PROPRANOLOL TAB 10MG60.00
PROPRANOLOL TAB 20MG60.00
PROPRANOLOL TAB 40MG60.00
PROPRANOLOL TAB 80MG60.00
PROTECT PLUS CAP30.00
PRVDNT 5000 PST ENAML PR112.00
PUREFE CAP PLUS30.00
PUREFE OB CAP PLUS30.00
PUREVIT DUAL CAP FE PLUS30.00
QUINAPRIL TAB 10MG30.00
QUINAPRIL TAB 5MG30.00
QUINIDINE SU TAB 300MG30.00
RAMIPRIL CAP 1.25MG30.00
RAMIPRIL CAP 10MG30.00
RAMIPRIL CAP 2.5MG30.00
RAMIPRIL CAP 5MG30.00
RENATABS TAB30.00
REQ 49+ TAB30.00
RISPERIDONE TAB 0.25MG30.00
RISPERIDONE TAB 0.5MG30.00
ROPINIROLE TAB 0.25MG30.00
ROPINIROLE TAB 0.5MG30.00
ROPINIROLE TAB 2MG30.00
ROSE GLO TES 1.5MG100.00
SAFETY 28G MIS LANCETS100.00
SAPHRIS SUB 2.5MG1.00
SELENIUM SUL LOT 2.5%120.00
SERTRALINE TAB 100MG30.00
SERTRALINE TAB 25MG30.00
SERTRALINE TAB 50MG30.00
SE-TAN PLUS CAP30.00
SILVADENE CRE 1%20.00
SILVER SULFA CRE 1%20.00
SIMVASTATIN TAB 10MG30.00
SIMVASTATIN TAB 20MG30.00
SIMVASTATIN TAB 40MG30.00
SIMVASTATIN TAB 5MG30.00
SIMVASTATIN TAB 80MG30.00
SINGLE-LET MIS 23G100.00
SKIN BLEACH CRE SUNSCREE28.40
SMZ/TMP DS TAB 800-16030.00
SMZ-TMP TAB 400-80MG30.00
SOD CITRATE SOL CITR ACD1500.00
SOD FLUORIDE DRO 0.5MG/ML50.00
SOFT TOUCH MIS LANCETS100.00
SOFTCLIX MIS LANCETS100.00
SOLUS V2 MIS LANC 30G100.00
SORINE TAB 120MG60.00
SORINE TAB 240MG30.00
SORINE TAB 80MG60.00
SOTALOL HCL TAB 120MG60.00
SOTALOL HCL TAB 240MG30.00
SOTALOL HCL TAB 80MG60.00
SPIRONOLACT TAB 50MG30.00
SULF/PRED NA SOL OP5.00
SULINDAC TAB 150MG60.00
SULINDAC TAB 200MG60.00
SUPERVITE LIQ237.00
SUPERVITE EC TAB30.00
SUPPORT LIQ237.00
SURE COMFORT MIS LANCETS100.00
SURE-LANCE MIS 26G100.00
SURE-LANCE MIS LANCETS100.00
SURE-TOUCH MIS UNV LANC100.00
SUTTAR-2 SYP473.00
SUTTAR-SF SYP473.00
TANDEM F CAP30.00
TEMAZEPAM CAP 15MG30.00
TEMAZEPAM CAP 30MG30.00
TERAZOSIN CAP 10MG30.00
TERAZOSIN CAP 1MG30.00
TERAZOSIN CAP 2MG30.00
TERAZOSIN CAP 5MG30.00
TERBINAFINE TAB 250MG30.00
TERBUTALINE TAB 2.5MG30.00
TESTIM GEL 1%(50MG)5.00
TESTOSTERONE GEL 1%(25MG)2.50
TESTOSTERONE GEL 1%(50MG)5.00
TETRACAINE SOL 0.5% OP12.00
TETRAVISC SOL 0.5% OP12.00
TETRAVISC SOL FORTE12.00
THEOCHRON TAB 100MG CR60.00
THEOCHRON TAB 200MG CR60.00
THEOPHYLLINE TAB 100MG CR60.00
THEOPHYLLINE TAB 100MG ER60.00
THERA-FLUR-N DRO 1.1%56.00
THIORIDAZINE TAB 10MG60.00
THIORIDAZINE TAB 25MG30.00
THIORIDAZINE TAB 50MG30.00
THIOTHIXENE CAP 2MG30.00
THYROLAR-1/2 TAB 30MG30.00
THYROLAR-1/4 TAB 15MG30.00
TIMOLOL MAL SOL 0.25% OP5.00
TL GARD RX TAB30.00
TL ICON CAP30.00
TL-FLUORIVIT CHW30.00
TL-HEM 150 TAB30.00
TOLAZAMIDE TAB 250MG30.00
TOLMETIN SOD TAB 200MG30.00
TOPEX TOPCAL SPR ANESTHET57.00
TOPIRAMATE TAB 25MG60.00
TORSEMIDE TAB 10MG30.00
TORSEMIDE TAB 20MG30.00
TORSEMIDE TAB 5MG30.00
TRAMADOL HCL TAB 50MG60.00
TRANDOLAPRIL TAB 1MG30.00
TRANDOLAPRIL TAB 2MG30.00
TRANDOLAPRIL TAB 4MG30.00
TRIADVANCE TAB30.00
TRIAMCINOLON CRE 0.5%30.00
TRIAMCINOLON OIN 0.5%30.00
TRIAMT/HCTZ TAB 37.5-2530.00
TRIAMT/HCTZ TAB 75-50MG30.00
TRIAZOLAM TAB 0.125MG30.00
TRICON CAP30.00
TRIFLUOPERAZ TAB 1MG30.00
TRIFLUOPERAZ TAB 2MG30.00
TRIFLUOPERAZ TAB 5MG30.00
TRIGELS-F CAP FORTE30.00
TRIHEXYPHEN TAB 2MG60.00
TRIMETHOPRIM TAB 100MG30.00
TRINATAL GT TAB30.00
TRINATAL RX TAB 130.00
TRINATE TAB30.00
TRI-VIT/FL DRO 0.25MG50.00
TRI-VIT/FLUO DRO 0.25MG50.00
TRI-VITA/FL DRO 0.25MG50.00
TUSNEL CAP30.00
TUSSIGON TAB 5MG30.00
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
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
VALPROIC ACD SOL 250/5ML480.00
VALPROIC ACD SYP 250/5ML480.00
VENLAFAXINE CAP 37.5 ER30.00
VERAPAMIL CAP 120MG ER30.00
VERAPAMIL CAP 120MG SR30.00
VERAPAMIL TAB 180MG ER30.00
VERAPAMIL TAB 40MG60.00
VERAPAMIL TAB 80MG60.00
VINATE AZ EX TAB30.00
VINATE CAL TAB30.00
VINATE IC CAP30.00
VINATE II TAB30.00
VINATE ONE TAB30.00
VIRT NATE TAB 28-1MG30.00
VIRT-ADVANCE TAB 90-1MG30.00
VIRTRATE-2 SOL1500.00
VIRT-VITE TAB30.00
VIRT-VITE TAB PLUS30.00
VIRT-VITE GT TAB 90-1MG30.00
VITACEL TAB30.00
VITAJECT INJ10.00
VITAL-D RX TAB30.00
VITALET PRO MIS100.00
VITAMAX PED DRO90.00
VITA-PREN TAB30.00
VOGELXO GEL 1%(50MG)5.00
VOL-NATE TAB30.00
WARFARIN TAB 10MG30.00
WARFARIN TAB 4MG30.00
WARFARIN TAB 6MG30.00
WARFARIN TAB 7.5MG30.00
WARFARIN SOD TAB 10MG30.00
WESTHROID TAB 130MG30.00
WESTHROID TAB 195MG30.00
WESTHROID TAB 97.5MG30.00
WP THYROID TAB 113.75MG30.00
WP THYROID TAB 130MG30.00
WP THYROID TAB 65MG30.00
WP THYROID TAB 81.25MG30.00
WP THYROID TAB 97.5MG30.00
XYLOCAINE INJ 2%50.00
ZANTAC INJ 150MG/6ML6.00
ZEBUTAL CAP 50-325-40 MG30.00
ZOLPIDEM TAB 10MG30.00
ZOLPIDEM TAB 5MG30.00
ZONISAMIDE CAP 25MG60.00
ZONISAMIDE CAP 50MG60.00

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