Program Overview Drug Pricing Pharmacy Network FAQ's
Pharmacy Network
Drug NameQty Retail Type
WAKIX TAB 17.8MG 

$908744.03

 Brand
WAKIX TAB 17.8MG 

$981817.71

 Brand
WAKIX TAB 17.8MG 

$1009865.28

 Brand
WAKIX TAB 17.8MG 

$976193.20

 Brand
WAKIX TAB 17.8MG 

$970553.68

 Brand
WAKIX TAB 17.8MG 

$981817.71

 Brand
WAKIX TAB 17.8MG 

$976122.40

 Brand
WAKIX TAB 4.45MG 

$26588.04

 Brand
WAKIX TAB 4.45MG 

$26760.77

 Brand
WAKIX TAB 4.45MG 

$26444.86

 Brand
WAKIX TAB 4.45MG 

$26604.56

 Brand
WAKIX TAB 4.45MG 

$27524.28

 Brand
WAKIX TAB 4.45MG 

$26760.77

 Brand
WAKIX TAB 4.45MG 

$24740.63

 Brand
WATER ORAL LIQ 

$19564236.79

 Brand
WATER ORAL LIQ 

$19564236.79

 Brand
WATER ORAL LIQ 

$20121187.76

 Brand
WATER ORAL LIQ 

$19445751.43

 Brand
WATER ORAL LIQ 

$19320171.35

 Brand
WATER ORAL LIQ 

$19412263.03

 Brand
WATER ORAL LIQ 

$18045214.04

 Brand
WEGOVY INJ 0.25MG 

$2821.64

 Brand
WEGOVY INJ 0.25MG 

$2840.69

 Brand
WEGOVY INJ 0.25MG 

$2824.00

 Brand
WEGOVY INJ 0.25MG 

$2921.63

 Brand
WEGOVY INJ 0.25MG 

$2806.81

 Brand
WEGOVY INJ 0.25MG 

$2840.69

 Brand
WEGOVY INJ 0.25MG 

$2625.24

 Brand
WEGOVY INJ 0.5MG 

$2625.24

 Brand
WEGOVY INJ 0.5MG 

$2840.69

 Brand
WEGOVY INJ 0.5MG 

$2806.81

 Brand
WEGOVY INJ 0.5MG 

$2921.63

 Brand
WEGOVY INJ 0.5MG 

$2824.00

 Brand
WEGOVY INJ 0.5MG 

$2840.69

 Brand
WEGOVY INJ 0.5MG 

$2821.64

 Brand
WEGOVY INJ 1.7MG 

$4231.08

 Brand
WEGOVY INJ 1.7MG 

$4259.65

 Brand
WEGOVY INJ 1.7MG 

$4234.62

 Brand
WEGOVY INJ 1.7MG 

$4381.06

 Brand
WEGOVY INJ 1.7MG 

$4208.84

 Brand
WEGOVY INJ 1.7MG 

$4259.65

 Brand
WEGOVY INJ 1.7MG 

$3936.48

 Brand
WEGOVY INJ 1MG 

$2625.24

 Brand
WEGOVY INJ 1MG 

$2840.69

 Brand
WEGOVY INJ 1MG 

$2806.81

 Brand
WEGOVY INJ 1MG 

$2921.63

 Brand
WEGOVY INJ 1MG 

$2824.00

 Brand
WEGOVY INJ 1MG 

$2840.69

 Brand
WEGOVY INJ 1MG 

$2821.64

 Brand
WEGOVY INJ 2.4MG 

$4231.08

 Brand
WEGOVY INJ 2.4MG 

$4259.65

 Brand
WEGOVY INJ 2.4MG 

$4234.62

 Brand
WEGOVY INJ 2.4MG 

$4381.06

 Brand
WEGOVY INJ 2.4MG 

$4208.84

 Brand
WEGOVY INJ 2.4MG 

$4259.65

 Brand
WEGOVY INJ 2.4MG 

$3936.48

 Brand
WELCHOL PAK 3.75GM 

$25941.54

 Brand
WELCHOL PAK 3.75GM 

$28098.05

 Brand
WELCHOL PAK 3.75GM 

$28098.05

 Brand
WELCHOL PAK 3.75GM 

$28898.63

 Brand
WELCHOL PAK 3.75GM 

$27755.32

 Brand
WELCHOL PAK 3.75GM 

$27895.03

 Brand
WELCHOL PAK 3.75GM 

$27930.43

 Brand
WELCHOL TAB 625MG 

$167568.79

 Brand
WELCHOL TAB 625MG 

$167356.39

 Brand
WELCHOL TAB 625MG 

$166518.10

 Brand
WELCHOL TAB 625MG 

$173377.97

 Brand
WELCHOL TAB 625MG 

$168574.49

 Brand
WELCHOL TAB 625MG 

$168574.49

 Brand
WELCHOL TAB 625MG 

$155635.44

 Brand
WELIREG TAB 40MG 

$2803220.60

 Brand
WELIREG TAB 40MG 

$2803220.60

 Brand
WELIREG TAB 40MG 

$2594773.27

 Brand
WELIREG TAB 40MG 

$2883306.11

 Brand
WELIREG TAB 40MG 

$2771118.90

 Brand
WELIREG TAB 40MG 

$2787074.80

 Brand
WELIREG TAB 40MG 

$2787181.00

 Brand
WELLBUTRIN TAB 100MG SR 

$6937.13

 Brand
WELLBUTRIN TAB 100MG SR 

$6972.53

 Brand
WELLBUTRIN TAB 100MG SR 

$7218.04

 Brand
WELLBUTRIN TAB 100MG SR 

$6917.86

 Brand
WELLBUTRIN TAB 100MG SR 

$6429.01

 Brand
WELLBUTRIN TAB 100MG SR 

$7019.70

 Brand
WELLBUTRIN TAB 100MG SR 

$7019.70

 Brand
WELLBUTRIN TAB 150MG SR 

$29913.41

 Brand
WELLBUTRIN TAB 150MG SR 

$29913.41

 Brand
WELLBUTRIN TAB 150MG SR 

$27552.62

 Brand
WELLBUTRIN TAB 150MG SR 

$29528.29

 Brand
WELLBUTRIN TAB 150MG SR 

$30763.72

 Brand
WELLBUTRIN TAB 150MG SR 

$29728.35

 Brand
WELLBUTRIN TAB 150MG SR 

$29657.55

 Brand
WELLBUTRIN TAB 200MG SR 

$55086.09

 Brand
WELLBUTRIN TAB 200MG SR 

$55015.29

 Brand
WELLBUTRIN TAB 200MG SR 

$54740.30

 Brand
WELLBUTRIN TAB 200MG SR 

$56995.86

 Brand
WELLBUTRIN TAB 200MG SR 

$51161.55

 Brand
WELLBUTRIN TAB 200MG SR 

$55416.89

 Brand
WELLBUTRIN TAB 200MG SR 

$55416.89

 Brand
WELLBUTRIN TAB XL 150MG 

$62992.35

 Brand
WELLBUTRIN TAB XL 150MG 

$62992.35

 Brand
WELLBUTRIN TAB XL 150MG 

$58243.70

 Brand
WELLBUTRIN TAB XL 150MG 

$64789.91

 Brand
WELLBUTRIN TAB XL 150MG 

$62250.83

 Brand
WELLBUTRIN TAB XL 150MG 

$62589.94

 Brand
WELLBUTRIN TAB XL 150MG 

$62625.34

 Brand
WELLBUTRIN TAB XL 300MG 

$82640.73

 Brand
WELLBUTRIN TAB XL 300MG 

$82605.33

 Brand
WELLBUTRIN TAB XL 300MG 

$82151.19

 Brand
WELLBUTRIN TAB XL 300MG 

$85495.49

 Brand
WELLBUTRIN TAB XL 300MG 

$76878.72

 Brand
WELLBUTRIN TAB XL 300MG 

$83122.78

 Brand
WELLBUTRIN TAB XL 300MG 

$83122.78

 Brand
WELLFOLA TAB 

$50443.25

 Brand
WELLFOLA TAB 

$52187.75

 Brand
WELLFOLA TAB 

$50138.75

 Brand
WELLFOLA TAB 

$50740.25

 Brand
WELLFOLA TAB 

$46901.75

 Brand
WELLFOLA TAB 

$50740.25

 Brand
WELLFOLA TAB 

$50407.85

 Brand
WELLNESS PRO POW CHOC 

$91655.62

 Brand
WELLNESS PRO POW VANILLA 

$91655.62

 Brand
WELLPRO 31 CAP 

$41280.35

 Brand
WELLPRO 31 CAP 

$44662.75

 Brand
WELLPRO 31 CAP 

$44662.75

 Brand
WELLPRO 31 CAP 

$44132.15

 Brand
WELLPRO 31 CAP 

$44367.91

 Brand
WELLPRO 31 CAP 

$45936.75

 Brand
WELLPRO 31 CAP 

$44400.95

 Brand
WESCAP-PN CAP DHA 

$1810.95

 Brand
WESCAP-PN CAP DHA 

$1846.35

 Brand
WESCAP-PN CAP DHA 

$1821.14

 Brand
WESCAP-PN CAP DHA 

$1915.10

 Brand
WESCAP-PN CAP DHA 

$1864.06

 Brand
WESCAP-PN CAP DHA 

$1656.36

 Brand
WESCAP-PN CAP DHA 

$1864.06

 Brand
WESNATE DHA CAP 

$3069.72

 Brand
WESNATE DHA CAP 

$3069.72

 Brand
WESNATE DHA CAP 

$2772.46

 Brand
WESNATE DHA CAP 

$3045.13

 Brand
WESNATE DHA CAP 

$3155.21

 Brand
WESNATE DHA CAP 

$3013.03

 Brand
WESNATE DHA CAP 

$3009.73

 Brand
WESTGEL DHA CAP 

$5176.03

 Brand
WESTGEL DHA CAP 

$5211.43

 Brand
WESTGEL DHA CAP 

$5166.88

 Brand
WESTGEL DHA CAP 

$5396.21

 Brand
WESTGEL DHA CAP 

$5248.48

 Brand
WESTGEL DHA CAP 

$4789.36

 Brand
WESTGEL DHA CAP 

$5248.48

 Brand
WHEY PROTEIN POW CHOCOLAT 

$151392.16

 Brand
WHEY PROTEIN POW CHOCOLAT 

$135943.33

 Brand
WHEY PROTEIN POW CHOCOLAT 

$151392.16

 Brand
WHEY PROTEIN POW CHOCOLAT 

$155587.84

 Brand
WHEY PROTEIN POW CHOCOLAT 

$150099.00

 Brand
WHEY PROTEIN POW CHOCOLAT 

$148351.86

 Brand
WHEY PROTEIN POW CHOCOLAT 

$147956.12

 Brand
WHEY PROTEIN POW CON 

$129019.83

 Brand
WHEY PROTEIN POW CON 

$129524.41

 Brand
WHEY PROTEIN POW CON 

$131162.71

 Brand
WHEY PROTEIN POW CON 

$135998.58

 Brand
WHEY PROTEIN POW CON 

$132347.04

 Brand
WHEY PROTEIN POW CON 

$118312.99

 Brand
WHEY PROTEIN POW CON 

$132347.04

 Brand
WHEY PROTEIN POW COOKIES 

$7425.41

 Brand
WHEY PROTEIN POW COOKIES 

$6700.44

 Brand
WHEY PROTEIN POW COOKIES 

$7425.41

 Brand
WHEY PROTEIN POW COOKIES 

$7632.13

 Brand
WHEY PROTEIN POW COOKIES 

$7365.31

 Brand
WHEY PROTEIN POW COOKIES 

$7286.47

 Brand
WHEY PROTEIN POW COOKIES 

$7276.81

 Brand
WHEY PROTEIN POW FR VANIL 

$147956.12

 Brand
WHEY PROTEIN POW FR VANIL 

$148351.86

 Brand
WHEY PROTEIN POW FR VANIL 

$150099.00

 Brand
WHEY PROTEIN POW FR VANIL 

$155587.84

 Brand
WHEY PROTEIN POW FR VANIL 

$151392.16

 Brand
WHEY PROTEIN POW FR VANIL 

$135943.33

 Brand
WHEY PROTEIN POW FR VANIL 

$151392.16

 Brand
WHEY PROTEIN POW STRAWBER 

$4246410.03

 Brand
WHEY PROTEIN POW STRAWBER 

$3926759.89

 Brand
WHEY PROTEIN POW STRAWBER 

$4246410.03

 Brand
WHEY PROTEIN POW STRAWBER 

$4367606.24

 Brand
WHEY PROTEIN POW STRAWBER 

$4221716.79

 Brand
WHEY PROTEIN POW STRAWBER 

$4196569.55

 Brand
WHEY PROTEIN POW STRAWBER 

$4219573.91

 Brand
WHEY PROTEIN POW UNFLAVOR 

$141988.33

 Brand
WHEY PROTEIN POW UNFLAVOR 

$142418.37

 Brand
WHEY PROTEIN POW UNFLAVOR 

$144131.21

 Brand
WHEY PROTEIN POW UNFLAVOR 

$149414.26

 Brand
WHEY PROTEIN POW UNFLAVOR 

$145390.06

 Brand
WHEY PROTEIN POW UNFLAVOR 

$130387.10

 Brand
WHEY PROTEIN POW UNFLAVOR 

$145390.06

 Brand
WHISPER AIRE MIS AER DELI 

$66.00

 Brand
WHISPER AIRE MIS AER DELI 

$63.73

 Brand
WHISPER AIRE MIS AER DELI 

$62.89

 Brand
WHISPER AIRE MIS AER DELI 

$62.55

 Brand
WHISPER AIRE MIS AER DELI 

$64.31

 Brand
WHISPER AIRE MIS AER DELI 

$64.31

 Brand
WHISPER AIRE MIS AER DELI 

$57.43

 Brand
WHISPER AIRE MIS PED AERO 

$57.43

 Brand
WHISPER AIRE MIS PED AERO 

$64.31

 Brand
WHISPER AIRE MIS PED AERO 

$64.31

 Brand
WHISPER AIRE MIS PED AERO 

$62.55

 Brand
WHISPER AIRE MIS PED AERO 

$62.89

 Brand
WHISPER AIRE MIS PED AERO 

$63.73

 Brand
WHISPER AIRE MIS PED AERO 

$66.00

 Brand
WILATE INJ 

$60519902.75

 Brand
WILATE INJ 

$59824004.75

 Brand
WILATE INJ 

$60172688.75

 Brand
WILATE INJ 

$62248622.75

 Brand
WILATE INJ 

$60165750.35

 Brand
WILATE INJ 

$60519902.75

 Brand
WILATE INJ 

$56010530.75

 Brand
WILD CHERRY LIQ FLAVOR 

$5912.24

 Brand
WILD CHERRY LIQ FLAVOR 

$5912.24

 Brand
WILD CHERRY LIQ FLAVOR 

$5325.13

 Brand
WILD CHERRY LIQ FLAVOR 

$5787.86

 Brand
WILD CHERRY LIQ FLAVOR 

$5798.53

 Brand
WILD CHERRY LIQ FLAVOR 

$5863.38

 Brand
WILD CHERRY LIQ FLAVOR 

$6076.51

 Brand
WILD CHERRY POW SD FLAVO 

$7151.15

 Brand
WILD CHERRY POW SD FLAVO 

$6902.87

 Brand
WILD CHERRY POW SD FLAVO 

$6833.99

 Brand
WILD CHERRY POW SD FLAVO 

$6832.07

 Brand
WILD CHERRY POW SD FLAVO 

$6301.31

 Brand
WILD CHERRY POW SD FLAVO 

$6956.75

 Brand
WILD CHERRY POW SD FLAVO 

$6956.75

 Brand
WINREVAIR INJ 45MG 

$13610.75

 Brand
WINREVAIR INJ 45MG 

$14705.25

 Brand
WINREVAIR INJ 45MG 

$14705.25

 Brand
WINREVAIR INJ 45MG 

$14536.50

 Brand
WINREVAIR INJ 45MG 

$14619.82

 Brand
WINREVAIR INJ 45MG 

$15125.25

 Brand
WINREVAIR INJ 45MG 

$14621.00

 Brand
WINREVAIR INJ 60MG 

$14621.00

 Brand
WINREVAIR INJ 60MG 

$15125.25

 Brand
WINREVAIR INJ 60MG 

$14619.82

 Brand
WINREVAIR INJ 60MG 

$14536.50

 Brand
WINREVAIR INJ 60MG 

$14705.25

 Brand
WINREVAIR INJ 60MG 

$14705.25

 Brand
WINREVAIR INJ 60MG 

$13610.75

 Brand
WINRHO SDF INJ 1500UNIT 

$742.87

 Brand
WINRHO SDF INJ 1500UNIT 

$742.87

 Brand
WINRHO SDF INJ 1500UNIT 

$684.88

 Brand
WINRHO SDF INJ 1500UNIT 

$738.34

 Brand
WINRHO SDF INJ 1500UNIT 

$733.48

 Brand
WINRHO SDF INJ 1500UNIT 

$763.93

 Brand
WINRHO SDF INJ 1500UNIT 

$736.80

 Brand
WINRHO SDF INJ 5000UNIT 

$532351.68

 Brand
WINRHO SDF INJ 5000UNIT 

$550757.57

 Brand
WINRHO SDF INJ 5000UNIT 

$529316.35

 Brand
WINRHO SDF INJ 5000UNIT 

$532393.21

 Brand
WINRHO SDF INJ 5000UNIT 

$495602.89

 Brand
WINRHO SDF INJ 5000UNIT 

$535461.27

 Brand
WINRHO SDF INJ 5000UNIT 

$535461.27

 Brand
WIXELA INHUB AER 100/50 

$6260.00

 Generic
WIXELA INHUB AER 100/50 

$5755.25

 Generic
WIXELA INHUB AER 100/50 

$5605.25

 Generic
WIXELA INHUB AER 100/50 

$6253.57

 Generic
WIXELA INHUB AER 100/50 

$13320.24

 Generic
WIXELA INHUB AER 100/50 

$13361.04

 Generic
WIXELA INHUB AER 100/50 

$5222.12

 Generic
WIXELA INHUB AER 250/50 

$6305.51

 Generic
WIXELA INHUB AER 250/50 

$16575.48

 Generic
WIXELA INHUB AER 250/50 

$16534.68

 Generic
WIXELA INHUB AER 250/50 

$7736.48

 Generic
WIXELA INHUB AER 250/50 

$7159.25

 Generic
WIXELA INHUB AER 250/50 

$7596.50

 Generic
WIXELA INHUB AER 250/50 

$7009.25

 Generic
WIXELA INHUB AER 500/50 

$10437.17

 Generic
WIXELA INHUB AER 500/50 

$10133.50

 Generic
WIXELA INHUB AER 500/50 

$10587.17

 Generic
WIXELA INHUB AER 500/50 

$10131.42

 Generic
WIXELA INHUB AER 500/50 

$21725.52

 Generic
WIXELA INHUB AER 500/50 

$21766.32

 Generic
WIXELA INHUB AER 500/50 

$8314.92

 Generic
WND 1 POW 

$119555.90

 Brand
WND 1 POW 

$125907.39

 Brand
WND 1 POW 

$121443.90

 Brand
WND 1 POW 

$119966.65

 Brand
WND 1 POW 

$122521.15

 Brand
WND 1 POW 

$109716.93

 Brand
WND 1 POW 

$122521.15

 Brand
WND 2 POW 

$172495.55

 Brand
WND 2 POW 

$155978.94

 Brand
WND 2 POW 

$172495.55

 Brand
WND 2 POW 

$169369.92

 Brand
WND 2 POW 

$171132.73

 Brand
WND 2 POW 

$177309.63

 Brand
WND 2 POW 

$169244.73

 Brand
WRAP SELF- MIS ADHERENT 

$43522.75

 Brand
WRAP SELF- MIS ADHERENT 

$45162.75

 Brand
WRAP SELF- MIS ADHERENT 

$43341.25

 Brand
WRAP SELF- MIS ADHERENT 

$43640.75

 Brand
WRAP SELF- MIS ADHERENT 

$43915.25

 Brand
WRAP SELF- MIS ADHERENT 

$40421.75

 Brand
WRAP SELF- MIS ADHERENT 

$43915.25

 Brand
WRIST BRACE MIS L/XL 

$140165.25

 Brand
WRIST BRACE MIS L/XL 

$129521.75

 Brand
WRIST BRACE MIS L/XL 

$140165.25

 Brand
WRIST BRACE MIS L/XL 

$139340.75

 Brand
WRIST BRACE MIS L/XL 

$138491.25

 Brand
WRIST BRACE MIS L/XL 

$144162.75

 Brand
WRIST BRACE MIS L/XL 

$139222.75

 Brand
WRIST BRACE MIS LEFT S-M 

$139222.75

 Brand
WRIST BRACE MIS LEFT S-M 

$144162.75

 Brand
WRIST BRACE MIS LEFT S-M 

$138491.25

 Brand
WRIST BRACE MIS LEFT S-M 

$139340.75

 Brand
WRIST BRACE MIS LEFT S-M 

$140165.25

 Brand
WRIST BRACE MIS LEFT S-M 

$129521.75

 Brand
WRIST BRACE MIS LEFT S-M 

$140165.25

 Brand
WRIST BRACE MIS LFT L-XL 

$140165.25

 Brand
WRIST BRACE MIS LFT L-XL 

$129521.75

 Brand
WRIST BRACE MIS LFT L-XL 

$140165.25

 Brand
WRIST BRACE MIS LFT L-XL 

$139340.75

 Brand
WRIST BRACE MIS LFT L-XL 

$138491.25

 Brand
WRIST BRACE MIS LFT L-XL 

$144162.75

 Brand
WRIST BRACE MIS LFT L-XL 

$139222.75

 Brand
WRIST BRACE MIS RIGH S-M 

$139222.75

 Brand
WRIST BRACE MIS RIGH S-M 

$144162.75

 Brand
WRIST BRACE MIS RIGH S-M 

$138491.25

 Brand
WRIST BRACE MIS RIGH S-M 

$139340.75

 Brand
WRIST BRACE MIS RIGH S-M 

$140165.25

 Brand
WRIST BRACE MIS RIGH S-M 

$129521.75

 Brand
WRIST BRACE MIS RIGH S-M 

$140165.25

 Brand
WRIST BRACE MIS RIGHT 

$1136177.75

 Brand
WRIST BRACE MIS RIGHT 

$1051544.75

 Brand
WRIST BRACE MIS RIGHT 

$1136177.75

 Brand
WRIST BRACE MIS RIGHT 

$1129661.75

 Brand
WRIST BRACE MIS RIGHT 

$1123120.75

 Brand
WRIST BRACE MIS RIGHT 

$1168632.75

 Brand
WRIST BRACE MIS RIGHT 

$1129543.75

 Brand
WRIST BRACE MIS RT L-XL 

$139222.75

 Brand
WRIST BRACE MIS RT L-XL 

$144162.75

 Brand
WRIST BRACE MIS RT L-XL 

$138491.25

 Brand
WRIST BRACE MIS RT L-XL 

$139340.75

 Brand
WRIST BRACE MIS RT L-XL 

$140165.25

 Brand
WRIST BRACE MIS RT L-XL 

$129521.75

 Brand
WRIST BRACE MIS RT L-XL 

$140165.25

 Brand
WYMZYA FE CHW 0.4MG-35 

$1609.71

 Generic
WYMZYA FE CHW 0.4MG-35 

$1569.67

 Generic
WYNZORA CRE 

$79270.26

 Brand
WYNZORA CRE 

$78803.16

 Brand
WYNZORA CRE 

$78321.06

 Brand
WYNZORA CRE 

$81530.76

 Brand
WYNZORA CRE 

$78732.36

 Brand
WYNZORA CRE 

$79270.26

 Brand
WYNZORA CRE 

$73242.96

 Brand
A B C D E
F G H I J
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 * 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.