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Medication ListWalgreens Plus members receive discounts on thousands of generic and brand-name medications included on thisMedication List, which is divided into two sections, “Value Priced” Medications and “Discounted” Medications*.The price for a medication identified as “Value-Priced” is listed below: 30-day-supply drugs cost 5 (tier 1), 10 (tier 2) or 15 (tier 3) 90-day-supply drugs cost 10 (tier 1), 20 (tier 2) or 30 (tier 3)Get savings up to 85% off Cash Priceson Atorvastatin (generic Lipitor) andRosuvastatin (generic Crestor)††The Discounted Medications section lists the discounts offered to Walgreens Plus members on other genericand brand-name medications not included in the Value-Priced Medication section.The price for a medication is based on its tier and whether it is a 30-day or 90-day supply†. There may be an additional cost forquanities greater than those listed. This discount prescription pricing applies only to Walgreen Plus members on prescriptionspurchased in select Walgreens stores that are not billed to insurance and/or used in combination with other health or pharmacybenefit programs. For further details, see your pharmacist or Walgreens.com/Plus.VALUE GENERICSNAPROXEN 250MG TAB260180NAPROXEN 500MG TAB260180QuantityNAPROXEN 375MG TAB26018030NAPROXEN DR 500MG TAB360180Tier3090QuantityALBUTEROL 0.083% INH SOLN 25X3ML27522530AMINOPHYLLINE 100MG TAB260180AMINOPHYLLINE 200MG TAB260180DYPHYLLINE-GG 100-100 ELIXIR2240720DYPHYLLIN-GG TAB33090IPRATROPIUM INHAL SOLN 60 X 2.5ML275225Tier3090AntifungalDrug NameTier90FLUCONAZOLE 150MG TAB213TERBINAFINE 250MG TAB23090AsthmaQuantityDrug NameAntiviralDrug NameACYCLOVIR 200MG CAPSTier36090180Arthritis or PainQuantityTier3090BACLOFEN 10MG TAB33090CYCLOBENZAPRINE 5MG TAB23090Drug NameCYCLOBENZAPRINE 10MG TAB230Blood Pressure/Heart HealthQuantity90Drug Name23090DICLOFENAC SODIUM 75MG EC TAB360180AMILORIDE 5MG / HCTZ 50MG TABIBUPROFEN 100MG/5ML ORAL SUSP2120360AMIODARONE 200MG TAB23090270AMLODIPINE BESYLATE 2.5MG TAB23090180AMLODIPINE BESYLATE 5MG TAB23090180AMLODIPINE BESYLATE 10MG TAB33090180ATENOLOL 100MG TAB13090260180IBUPROFEN 400MG TABIBUPROFEN 600MG TABIBUPROFEN 800MG TABINDOMETHACIN 25MG CAP222290606060INDOMETHACIN 50MG CAP13090ATENOLOL 25MG TABKETOPROFEN 50MG CAP390270ATENOLOL 50MG TAB260180180ATENOLOL/CHLORTHALIDONE 50/25 TAB3309045BENAZEPRIL 5MG TAB2309090BENAZEPRIL 10MG TAB2309090BENAZEPRIL 20MG TAB23090KETOPROFEN 75MG CAPKETOROLAC 30MG/ML INJ, 2MLMELOXICAM 7.5MG TABMELOXICAM 15MG TAB332260153030This Program is NOT Insurance. Membership fee required. Amount of the discount may vary based on type of item/service Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.*List of drugs is not all-inclusive. Ask your Walgreens pharmacist if a discount may be available on your medication if not included above. Perscription drug covereage and cost are subject to change.†The day supply is based on the average quantity dispensed for the specific drug and strength as indicated in the list. Larger quantities cost more. Taxes and other fees may apply.†† Savings apply only to prescriptions purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combined with any form of insurance or other pharmacy benefit programs.Actual savings will vary. For details, see your pharmacist or Walgreens.com/Plus.Drug names are the property of their respective owners. 2018 Walgreen Co. All rights reserved. 000026550-626-642 - Revised: 3/20/2018
Blood Pressure/Heart Health ContinuedPROPRANOLOL 60MG TAB360180SIMVASTATIN 40MG TAB23090BENAZEPRIL 40MG TAB23090QUINAPRIL 5MG TAB23090SIMVASTATIN 80MG TAB23090BISOPROLOL FUMARATE 5MG TAB23090QUINAPRIL 10MG TAB23090BISOPROLOL/HCTZ 2.5MG/6.25MG TAB23090QUINAPRIL 20MG TAB33090BISOPROLOL/HCTZ 5MG/6.25MG TAB23090QUINAPRIL 40MG TAB2309033090Drug Name260180ALLER-CHLOR 4MG TABBISOPROLOL/HCTZ 10MG/6.25MG TAB23090RAMIPRIL 1.25MG CAPCARVEDILOL 3.125MG TAB260180SOTALOL 120MG ILOL 6.25MG TAB260180SPIRONOLACTONE 25MG TAB23090BENZONATATE 100MG CAP23090CARVEDILOL 12.5MG TAB260180SPIRONOLACTONE 50MG TAB23090BENZONATATE 200MG CAP33090CETIRIZINE 1MG/ML SYRUP3120360CARVEDILOL 25MG TAB260180TERAZOSIN 1MG CAP23090CLONIDINE 0.1MG TAB260180TERAZOSIN 2MG CAP23090CYPROHEPTADINE 2MG/5ML SYRUP3120360CLONIDINE 0.2MG TAB260180TERAZOSIN 5MG CAP23090DE-CHLOR DM LIQUID2120360CLONIDINE 0.3MG TAB260180TERAZOSIN 10MG CAP23090DE-CHLOR DR SYRUP2180540DILTIAZEM 30MG TAB260180TICLOPIDINE 250MG TAB360180DEHISTINE SYRUP3240720DILTIAZEM 60MG TAB360180TORSEMIDE 5MG TAB33090DIPHENHYDRAMINE 50MG CAP23090DILTIAZEM 120MG TAB23090TORSEMIDE 10MG TAB33090FLUTICASONE NASAL SP (120INH) 16GM31648LORATADINE 10MG TAB13090DOXAZOSIN 1MG TAB33090TORSEMIDE 20MG TAB33090DOXAZOSIN 2MG TAB33090TRANDOLAPRIL 1MG TAB23090NOHIST TAB33090DOXAZOSIN 4MG TAB33090TRANDOLAPRIL 2MG TAB23090ORGAN-I NR 200MG TAB3120360ENALAPRIL 2.5MG TAB260180TRANDOLAPRIL 4MG TAB23090PBM ALLERGY SYRUP3120360ENALAPRIL 5MG TAB260180TRIAMTERENE 37.5MG/ HCTZ 25MG CAP23090PHENYLTOLOXAMINE PE CPM SYRUP2240720ENALAPRIL-HCTZ 5-12.5MG TAB260180TRIAMTERENE 37.5MG/ HCTZ 25MG TAB33090PROMETHAZINE 12.5MG TAB23090ENALAPRIL-HCTZ 10-25MG TAB23090TRIAMTERENE 75MG/ HCTZ 50MG TAB13090PROMETHAZINE 25MG TAB11236FOSINOPRIL 10MG TAB23090VERAPAMIL 40MG TAB360180PROMETHAZINE 50MG TAB260180FOSINOPRIL 20MG TAB23090VERAPAMIL 80MG TAB13090PROMETHAZINE DM SYRUP2180540FOSINOPRIL 40MG TAB33090VERAPAMIL 120MG TAB23090QUARTUSS DM DROPS 30ML33090FUROSEMIDE 10MG/ML ORAL SOLN 60ML390270WARFARIN SOD 1MG TAB23090QV-ALLERGY SYRUP3240720FUROSEMIDE 20MG TAB160180WARFARIN SOD 2.5MG TAB23090REME TUSSIN DM SYRUP3150450FUROSEMIDE 40MG TAB160180WARFARIN SOD 2MG TAB23090SILDEC PE-DM SYRUP1120360FUROSEMIDE 80MG TAB13090WARFARIN SOD 3MG TAB23090SILDEC-PE SYRUP112036023090SUPRESS-DX PED DROPS 30ML33090TRIPOHIST LIQUID3120360Tier3090GLIMEPIRIDE 1MG TAB13090QuantityGLIMEPIRIDE 2MG TAB13090Tier3090GLIMEPIRIDE 4MG TAB2309033090GLIPIZIDE 5MG TAB13090180GUANFACINE 1MG TAB23090WARFARIN SOD 4MG TABGUANFACINE 2MG TAB23090WARFARIN SOD 5MG TAB23090HYDRALAZINE 10MG TAB16090WARFARIN SOD 6MG TAB23090HYDRALAZINE 25MG TAB260180WARFARIN SOD 7.5MG TAB23090HYDROCHLOROTHIAZIDE 12.5MG CAP23090WARFARIN SOD 10MG** TAB23090YDROCHLOROTHIAZIDE 12.5MG TAB33090HYDROCHLOROTHIAZIDE 25MG TAB13090HYDROCHLOROTHIAZIDE 50MG TAB13090INDAPAMIDE 1.25MG TAB23090Drug NameINDAPAMIDE 2.5MG TAB23090ATORVASTATIN 10MG TABDiabetesQuantityDrug NameCholestrolISOSORBIDE DINITRATE 2.5MG SL TAB23090ATORVASTATIN 20MG TAB33090GLIPIZIDE 10MG TAB260ISOSORBIDE DINITRATE 5MG SUBL TAB3120360ATORVASTATIN 40MG TAB33090GLIPIZIDE ER 10MG TAB33090ISOSORBIDE MONONITRATE 30MG ER TAB23090ATORVASTATIN 80MG TAB33090GLIPIZIDE XL 2.5MG TAB360180ISOSORBIDE MONONITRATE 60MG ER TAB23090FENOFIBRATE 54MG TAB33090GLIPIZIDE XL 5MG TAB33090LISINOPRIL 2.5MG TAB23090GEMFIBROZIL 600MG TAB360180GLYBURIDE 1.25MG TAB13090GLYBURIDE 2.5MG TAB23090LISINOPRIL 5MG TAB23090LOVASTATIN 10MG TAB23090LISINOPRIL 10MG TAB13090LOVASTATIN 20MG TAB23090GLYBURIDE 5MG TAB23090LISINOPRIL 20MG TAB13090LOVASTATIN 40MG TAB23090GLYBURIDE MICRO 1.5MG TAB13090LISINOPRIL 30MG TAB23090PRAVASTATIN 10MG TAB23090GLYBURIDE MICRO 3MG TAB13090LISINOPRIL 40MG TAB23090PRAVASTATIN 20MG TAB23090GLYBURIDE MICRO 6MG TAB23090LISINOPRIL-HCTZ 10/12.5MG TAB23090PRAVASTATIN 40MG TAB23090GLYBURIDE/METFORMIN 1.25/250MG TAB260180LISINOPRIL-HCTZ 20/12.5MG TAB23090PRAVASTATIN 80MG TAB23090GLYBURIDE/METFORMIN 2.5/500MG TAB260180LISINOPRIL-HCTZ 20/25MG TAB23090ROSUVASTATIN 5MG TAB33090METFORMIN 500MG TAB190270METHYLDOPA 250MG TAB360180ROSUVASTATIN 10MG TAB33090METFORMIN 850MG TAB190270METHYLDOPA 500MG TAB360180ROSUVASTATIN 20MG TAB33090METFORMIN 1000MG TAB160180METOPROLOL TARTRATE 25MG TAB260180ROSUVASTATIN 40MG TAB33090METFORMIN ER 500MG 24HR TAB160180METOPROLOL TARTRATE 50MG TAB260180SIMVASTATIN 5MG TAB23090METOPROLOL TARTRATE 100MG TAB260180SIMVASTATIN 10MG TAB23090PRAZOSIN 1MG CAP33090SIMVASTATIN 20MG TAB23090
Ear CareDrug NameANTIPYRINE BENZOCAINE OTIC SOL 15MLAMOXICILLIN 400MG/5ML SUSP 50ML1100300GABAPENTIN 250MG/5ML SOLN3236708QuantityAMOXICILLIN 400MG/5ML SUSP 75ML1100300HALOPERIDOL 0.5MG TAB360180Tier3090AMOXICILLIN 400MG/5ML SUSP 100ML1100300HALOPERIDOL 1MG TAB2309021545AMOXICILLIN 500MG TAB33090HALOPERIDOL 2MG TAB33090AMOXICILLIN 875MG TAB32060HYDROXYZINE 10MG/5ML SYRUP3240720AMPICILLIN 250MG CAP240120HYDROXYZINE HCL 25MG TAB23090Eye CareDrug NameBACITRACIN/POLYMYX OPHTHOINT 3.5GMERYTHROMYCIN OPHTH OINT 3.5GMGENTAMICIN 0.3% OPHTH SOLN 5MLQuantityAMPICILLIN 500MG CAP360180HYDROXYZINE HCL 50MG TAB33090Tier3090CEFPROZIL 125MG/5ML SUSP 50ML3100300HYDROXYZINE PAMOATE 25MG CAP39027033.510.5CEFPROZIL 125MG/5ML SUSP 75ML3100300IMIPRAMINE 10MG TAB36018010.5CEFPROZIL 125MG/5ML SUSP 100ML3100300IMIPRAMINE 25MG TAB36018015CEPHALEXIN 250MG CAP12884IMIPRAMINE 50MG TAB3309023090LITHIUM CARBONATE 150MG CAP360180270223.55LEVOBUNOLOL 0.5% OPTH SOLN 5ML2515CEPHALEXIN 500MG CAPPILOCARPINE 0.5% OPHTH SOLN31545CIPROFLOXACIN 250MG TAB11442LITHIUM CARBONATE 300MG CAP290POLYMYXIN-B/TRIMETHOPRIMOPHTH SOLN21030CIPROFLOXACIN 500MG TAB12060LITHIUM CARBONATE 300MG TAB360180CIPROFLOXACIN 750MG TAB32060LITHIUM CARBONATE 600MG CAP360180SULFACETAMIDE NA 10% OPH SOL 15ML21545TIMOLOL MALEATE .25% OPHTH SOL 5ML2515CLINDAMYCIN 150MG CAP33090METHOCARBAMOL 500MG TAB2309032884METHOCARBAMOL 750MG TAB36018022884MIRTAZAPINE 15MG TAB13090TIMOLOL MALEATE 0.5% OPHTH SOLN 5ML2515LINDAMYCIN 300MG CAPTOBRAMYCIN 0.3% OPH SOL 5ML2515METRONIDAZOLE 250MG TABMETRONIDAZOLE 500MG TAB31442NORTRIPTYLINE 10MG CAP23090PENICILLIN VK 125MG/5ML SOLN 100ML2200600NORTRIPTYLINE 25MG CAP13090QuantityPENICILLIN VK 125MG/5ML SOLN 200ML2200600NORTRIPTYLINE 75MG CAP1309030PENICILLIN VK 250MG/5ML SOLN 100ML2100300PAROXETINE 10MG TAB23090PENICILLIN VK 250MG/5ML SOLN 200ML2100300PAROXETINE 20MG TAB23090PENICILLIN VK 250MG TAB13090PAROXETINE 30MG TAB23090PENICILLIN VK 500MG TAB12060PRAMIPEXOLE 0.25MG TAB33090SMZ/TMP REGULAR STRENGTH TAB22884PRIMIDONE 50MG TAB360180Gastrointestinal HealthDrug NameCIMETIDINE ORAL LIQ 300MG/5MLTier324090720DICYCLOMINE 10MG CAP290270DICYCLOMINE 20MG TAB260180DOC-Q-LACE 100MG CAP260180FAMOTIDINE 20MG TAB160180FAMOTIDINE 40MG TAB13090METOCLOPRAMIDE 5MG TAB260180METOCLOPRAMIDE 10MG TAB260180SULFAMETH/TRIMETHOPRIM 800/160 TAB22884PROCHLORPERAZINE 5MG TAB23090TRIMETHOPRIM 100MG TAB33090PROCHLORPERAZINE 10MG TAB23090SERTRALINE 25MG TAB23090SERTRALINE 50MG TAB23090QuantitySERTRALINE 100MG TAB23090Tier3090TRAZODONE 50MG TAB13090313TRAZODONE 100MG TAB13090TRAZODONE 150MG TAB23090TRIHEXYPHENIDYL 2MG TAB260180TRIHEXYPHENIDYL 5MG TAB390270Tier3090Medical DevicesMETOCLOPRAMIDE HCL 5MG/5ML SOLN160180NIZATIDINE 150MG CAP360180Drug Name180PROCHAMBER AERO SPACERRANITIDINE 150MG TABRANITIDINE 300MG TAB22603090Mental HealthQuantityGoutDrug NameALLOPURINOL 100MG TABALLOPURINOL 300MG TABTier23QuantityDrug NameTier30903090AMITRIPTYLINE 10MG TAB13090180AMITRIPTYLINE 25MG TAB13090180AMITRIPTYLINE 50MG TAB13090Drug Name247314191003006060Drug NameBENZTROPINE 0.5MG TAB23090BENZTROPINE 1MG TAB360180LIDOCAINE VISCOUS 2% ORAL SOL 100ML2QuantityBENZTROPINE 2MG TAB23090SF 5000 PLUS 1.1% CREAM 51GM360180Tier3090BUSPIRONE 5MG TAB260180SOD FLUORIDE 0.2% MINT SOLUTION247314193100300BUSPIRONE 10MG TAB260180STANNOUS FLUORIDE 0.63% RINSE3300900CITALOPRAM 10MG TAB13090CITALOPRAM 20MG TAB13090CITALOPRAM 40MG TAB13090CLOZAPINE 25MG TAB33090Drug NameTier3090DOXEPIN 10MG CAP33090BENZOYL PEROXIDE 5% AQ GEL 60GM360180DOXEPIN 25MG CAP33090BETAMETHASONE VAL 0.1% CRM 15GM31545DOXEPIN HCL 10MG/ML CONC 118ML390270HYDROCORTISONE 1% CREAM 28.35GM228.3585.05AMOX-CLAV 400MG/5ML SUSP 100ML3100300AMOXICILLIN 250MG CAP13090AMOXICILLIN 500MG CAP13090AMOXICILLIN 125MG CHEWABLE TAB23090AMOXICILLIN 250MG CHEW TAB340120AMOXICILLIN 125MG/5ML SUSP 80ML2150450AMOXICILLIN 125MG/5ML SUSP 100ML2150450AMOXICILLIN 125MG/5ML SUSP 150ML2150450AMOXICILLIN 200MG/5ML SUSP 75ML1100300AMOXICILLIN 200MG/5ML SUSP 100ML1100300AMOXICILLIN 250MG/5ML SUSP 80MLQuantityCHLORHEXIDINE ORAL RINSE 473MLInfectionsAMOX-CLAV 200MG/5ML SUSP 100MLMouth/Throat/Dental1150450AMOXICILLIN 250MG/5ML SUSP 100ML1150450AMOXICILLIN 250MG/5ML SUSP 150ML1150450Skin ConditionsQuantityFLUOXETINE 10MG CAP23090HYDROCORTISONE 2.5% CREAM 30GM23090FLUOXETINE 20MG CAP13090HYDROCORTISONE 2.5% OINT 28.35GM360180FLUOXETINE 40MG CAP23090HYPERCARE 20% SOL DAB-O-MATIC 60ML360180FLUPHENAZINE 2.5MG TAB33090MOMETASONE 0.1% OINT 15GM31545FLUVOXAMINE 25MG TAB33090MOMETASONE 0.1% OINT 45GM345135GABAPENTIN 100MG CAP190270MOMETASONE 0.1% TOPICAL SOLN 60ML360180
Skin Conditions ContinuedNYSTATIN OINT 15GM31545MULTIVITS W/FL 1MG & IRON CHEW TAB13090NATALCARE PLUS TAB (1MG FOLIC ACID)13090VALUE BRAND-NAMEInsulinsSALICYLIC AC 6% SHAMPOO 177ML3177531POLY-IRON 150 CAP360180LEVEMIR FLEXTOUCH PEN1 BOX 367.19SELENIUM SULFIDE 2.5% SHAMPOO (LOTN)2118354POLY-IRON 150 FORTE CAP345135LEVEMIR 100 UNITS/ML VIAL1 VIAL 244.79TRIAMCINOLONE 0.025% CREAM 15GM11545POTASSIUM CL 10MEQ ER TAB33090NOVOLIN N 100 UNITS/ML VIAL1 VIAL 104.6845PRENAFIRST TAB33090NOVOLIN R 100 UNITS/ML VIAL1 VIAL 104.68TRIAMCINOLONE 0.5% CREAM 15GM215TRIAMCINOLONE 0.1% CREAM 80GM280240PRENATAB FA TAB33090NOVOLIN 70/30 100 UNIT/ML VIAL1 VIAL 104.68TRIAMCINOLONE 0.1% OINT 80GM380240PRENATAL 19 TAB23090NOVOLOG MIX 70/30 VIAL1 VIAL 240.26UREA 40% LOTION 236.6ML3236.6709.8UREA 50% NAIL GEL 18ML31854Thyroid ConditionsQuantityPRENATAL PLUS TAB33090NOVOLOG MIX 70/30 FLEXPEN1 BOX 426.00RE DUALVIT F CAP33090NOVOLOG FLEXPEN1 BOX 426.00RE PRENATAL MULTIVIT W/IRON CHEW TB33090NOVOLOG PENFILL 3 ML1 BOX 418.83RENA-VITE RX TAB23090NOVOLOG 100 UNIT/ML VIAL1 VIAL 241.68RENAL SOFTGEL CAP330901 METERFREETier3090THEROBEC PLUS TAB33090Diabetic SuppliesLEVOTHROID 0.1MG TAB23090VINATE AZ TAB33090WALGREENS TRUE METRIX METERLEVOTHYROXINE 0.025MG (25MCG) TAB23090VINATE CARE CHEWABLE TAB33090WALGREENS TRUE METRIX STRIPS 25’S1 BOX 19.99LEVOTHYROXINE 0.05MG (50MCG) TAB23090VINATE C TAB33090WALGREENS TRUE METRIX STRIPS 50’S1 BOX 29.99VINATE GT TAB23090WALGREENS TRUE METRIX STRIPS 100’S1 BOX 52.99LEVOTHYROXINE 0.075MG (75MCG) TAB2VINATE M TAB23090CONTOUR NEXT METER1 METERFREEDrug Name3090LEVOTHYROXINE 0.088MG (88MCG) TAB23090VINATE ONE TAB23090CONTOUR NEXT EZ METER1 METERFREELEVOTHYROXINE 0.100MG (100MCG) TAB23090VITAMIN B-12 100MCG TAB1100300CONTOUR NEXT ONE1 METERFREEVITAMIN D 50,000IU CAP1412CONTOUR NEXT STRIPS 25’S1 BOX 23.99CONTOUR NEXT STRIPS 50’S1 BOX 39.99CONTOUR NEXT STRIPS 100’S1 BOX 78.99QuantityCONTOUR TEST STRIPS 50’S1 BOX 47.99Tier3090CONTOUR TEST STRIPS 100’S1 BOX 93.99ALENDRONATE 10MG TAB33090BREEZE 2 TEST DISCS 100'S1 BOX 93.99ALENDRONATE 35MG TAB3412ALENDRONATE 70MG TAB3412CLOMIPHENE CITRATE 50MG TAB3515Birth Control Price at 12 for 1-month supplyESTRADIOL 0.5MG TAB13090MONONESSA TABESTRADIOL 1MG TAB13090ESTRADIOL 2MG TAB13090 15.00 for 1-month supplyESTROPIPATE 0.625MG (0.75MG) TAB33090MONONESSA TABMEDROXYPROGESTERONE 2.5MG TAB23090LEVOTHYROXINE 0.112MG (112MCG) TAB23090LEVOTHYROXINE 0.125MG (125MCG) TAB23090LEVOTHYROXINE 0.137MG (137MCG) TAB23090LEVOTHYROXINE 0.150MG (150MCG) TAB23090LEVOTHYROXINE 0.175MG (175MCG) TAB23090LEVOTHYROXINE 0.2MG (200MCG) TAB23090LEVOTHYROXINE 0.3MG (300MCG) TAB23090METHIMAZOLE 5MG TAB23090METHIMAZOLE 10MG TAB33090NATURE-THROID 0.5GR (32.5MG) TAB360180Urinary HealthQuantityDrug NameOXYBUTYNIN 5MG/5ML SYRUPTier30903240720Vitamins and Nutritional HealthWomen’s HealthDrug Name2828MEDROXYPROGESTERONE 5MGTAB13090 18.99 for 1-month supplyMEDROXYPROGESTERONE 10MGTAB11030MICROGESTIN 1.5/30 FE TAB28MEGESTROL ACETATE 20MG TAB23090MICROGESTIN 1/20 FE TAB28QuantityDrug NameLIFESTYLE MEDICATIONSTier3090FABB TAB33090FE C PLUS TAB33090Drug NameFEROTRIN CAP360180FERREX 150 FORTE CAP245FLUORIDE 0.25MG F CHEWABLE TAB2120FLUORIDE 0.5MG F CHEWABLE TAB1FLUORIDE 1.0MG F CHEWABLE TABFOLBECAL TABOther 24.99 for 1-month supplyQuantityLEVORA 0.15/30 TAB28Tier3090RECLIPSEN 0.15MG-30MCG TAB28DEXAMETHASONE 0.5MG TAB260180135DEXAMETHASONE 0.75MG TAB21236360 26.99 for 1-month supplyDEXAMETHASONE 1MG TAB330903090LOW-OGESTREL TAB28DEXAMETHASONE 1.5MG TAB34513523090NECON 1/35 TAB28DEXAMETHASONE 4MG TAB2309033090FINASTERIDE 5MG TAB23090FOLBEE PLUS TAB33090HYDROCORTISONE 5MG TAB350150FOLBEE TAB33090JOLIVETTE 0.35MG TAB28ISONIAZID 100MG TAB2100300FOLIC ACID 1MG TAB13090LUTERA TAB28LIDOCAINE 4% TOP SOLN 50ML250150HEMATINIC/ FA TAB23090PREDNISOLONE 15MG/5ML SOLN360180HEMATINIC PLUS TAB 10 X 1033090Discounted Lifestyle MedicationsPREDNISOLONE SOD PHOS 15MG/5ML SOL23090KLOR-CON 10MEQ TAB33090CIALIS 2.5MG TAB (QTY 6) 74.99PREDNISONE 1MG TAB390270MULTIVIT/F 0.25MG CHEWABLE TAB23090CIALIS 5MG TAB (QTY 6) 74.99PREDNISONE 2.5MG TAB260180MULTI-VITA-F 0.5MG CHEW TAB13090CIALIS 10MG TAB (QTY 6) 439.99PREDNISONE 5MG TAB23090MULTI-VIT/FLUORIDE 1MG CHEW TAB23090CIALIS 20MG TAB (QTY 6) 439.99PREDNISONE 10MG** TAB13090MULTIVITAMINS W/ FL 1.0MG CHEW TAB33090PREDNISONE 20MG TAB23090 29.99 for 1-month supply
DISCOUNTED MEDICATIONSDrug NameAvg 30 QtyAvg 30 PriceAvg 90 QtyABACAVIR 300MG TABLETS59 549.74174Avg 90 price 1,613.47ABACAVIR/LAMVUDINE 600-300MG TABLET30 878.9990 2,628.97ACAMPROSATE CAL DR 333MG TABLETS144 239.64434 714.20ACANYA 1.2-2.5% GEL 50GM50 514.99150 1,536.97ACARBOSE 100MG TABLETS84 76.23246 215.54ACARBOSE 25MG TABLETS86 62.47240 167.18ACARBOSE 50MG TABLETS84 63.63244 177.22ACCU-CHEK AVIVA PLUS TEST STRIP 50S50 82.99150 240.97ACEBUTOLOL 200MG CAPSULES48 29.31140 77.81ACEBUTOLOL 400MG CAPSULES47 35.48126 88.39ACETAMINOPHEN/COD #2 (300/15MG) TAB35 19.16166 75.91ACETAMINOPHEN/COD #3 (300/30MG) TAB30 14.00188 66.64ACETAMINOPHEN/COD #4 (300/60MG) TAB65 71.16236 247.84ACETAMINOPHEN/COD 120-12MG/5ML SOL184 20.85666 65.01ACETAZOLAMIDE 125MG TABLETS31 52.67154 245.76ACETAZOLAMIDE 250MG TABLETS59 108.22177 316.67ACETAZOLAMIDE 500MG ER CAPSULES50 187.00168 618.86ACETIC ACID 2% AL ACTATE60ML (EAR)60 59.99180 171.98ACETIC ACID 2% OTIC SOLN 15ML (EAR)15 29.9945 81.97ACETYLCYSTEINE 10% INH SOLN 25 X4ML4 7.4712 14.40ACETYLCYSTEINE 20% INH SOL 25X4ML4 8.5312 17.60ACITRETIN 10MG CAPSULES35 699.3299 1,970.76ACITRETIN 17.5MG CAPSULES33 758.59105 2,404.96ACITRETIN 25MG CAPSULES33 934.5987 2,457.37ACTEMRA 200MG/10ML INJ, 10ML10 975.9930 2,919.97ACTEMRA 400MG/20ML INJ, 20ML20 1,940.9960 5,814.97ACTEMRA 80MG/4ML INJ, 4ML4 395.9912 1,179.97ACYCLOVIR 200MG/5ML ORAL SUSP201 151.03979 720.14ACYCLOVIR 400MG TABLETS43 26.93148 82.91ACYCLOVIR 5% OINTMENT 15GM15 342.4945 1,019.48ACYCLOVIR 800MG TABLETS36 42.39123 135.15ADAPAL/BENZ 0.1-2.5% GEL (PMP) 45G45 204.01135 604.03ADAPALENE 0.1% CREAM 45GM45 205.99135 609.97ADAPALENE 0.1% GEL 45GM45 172.99135 510.97ADAPALENE 0.3% GEL (PUMP) 45GM45 279.99135 831.97ADAPALENE 0.3% GEL 45GM45 296.99135 882.97ADDYI 100MG TABLETS30 864.9990 2,586.97ADEFOVIR DIPIVOXIL 10MG TABLETS29 966.7988 2,925.57ADRIAMYCIN 10MG INJ, 1VIAL1 18.603 47.80ADVAIR DISKUS 100/50MCG (GREEN)60'S60 302.99180 900.98ADVAIR DISKUS 250/50MCG (YELLOW) 6060 367.99180 1,095.97ADVAIR DISKUS 500/50MCG (RED) 60'S60 479.99180 1,431.98AEROCHAMBER PLUS W/MASK (REGULAR)1 57.593 164.77AK-CIDE OPHTH OINTMENT3.5 13.9910.5 33.97ALBUTEROL 0.021%(0.63MG/3ML) 25X3ML75 33.99225 93.98ALBUTEROL 0.042%(1.25MG/3ML) 25X3ML75 15.66225 38.97ALBUTEROL 0.5%(5MG/ML) CONC 20ML20 32.6660 89.99ALBUTEROL SULF ER 4MG TABLETS56 103.86201 362.42ALBUTEROL SULFATE 2MG TABLETS51 217.45208 874.52ALBUTEROL SULFATE 4MG TABLETS56 279.32192 947.97ALBUTEROL SULFATE SYRUP (2MG/5ML)132 17.201131 117.10ALCLOMETASONE 0.05% CREAM 45GM45 53.99135 153.97ALCLOMETASONE 0.05% OINTMENT 15GM15 65.9945 189.97ALENDRONATE 40MG TABLETS13 117.9637 328.35ALENDRONATE 5MG TABLETS28 17.0680 41.30ALERA EMULSION48.2 89.99144.6 261.97
DISCOUNTED MEDICATIONSDrug NameAvg 30 QtyAvg 30 PriceAvg 90 QtyABACAVIR 300MG TABLETS59 549.74174Avg 90 price 1,613.47ABACAVIR/LAMVUDINE 600-300MG TABLET30 878.9990 2,628.97ACAMPROSATE CAL DR 333MG TABLETS144 239.64434 714.20ACANYA 1.2-2.5% GEL 50GM50 514.99150 1,536.97ACARBOSE 100MG TABLETS84 76.23246 215.54ACARBOSE 25MG TABLETS86 62.47240 167.18ACARBOSE 50MG TABLETS84 63.63244 177.22ACCU-CHEK AVIVA PLUS TEST STRIP 50S50 82.99150 240.97ACEBUTOLOL 200MG CAPSULES48 29.31140 77.81ACEBUTOLOL 400MG CAPSULES47 35.48126 88.39ACETAMINOPHEN/COD #2 (300/15MG) TAB35 19.16166 75.91ACETAMINOPHEN/COD #3 (300/30MG) TAB30 14.00188 66.64ACETAMINOPHEN/COD #4 (300/60MG) TAB65 71.16236 247.84ACETAMINOPHEN/COD 120-12MG/5ML SOL184 20.85666 65.01ACETAZOLAMIDE 125MG TABLETS31 52.67154 245.76ACETAZOLAMIDE 250MG TABLETS59 108.22177 316.67ACETAZOLAMIDE 500MG ER CAPSULES50 187.00168 618.86ACETIC ACID 2% AL ACTATE60ML (EAR)60 59.99180 171.98ACETIC ACID 2% OTIC SOLN 15ML (EAR)15 29.9945 81.97ACETYLCYSTEINE 10% INH SOLN 25 X4ML4 7.4712 14.40ACETYLCYSTEINE 20% INH SOL 25X4ML4 8.5312 17.60ACITRETIN 10MG CAPSULES35 699.3299 1,970.76ACITRETIN 17.5MG CAPSULES33 758.59105 2,404.96ACITRETIN 25MG CAPSULES33 934.5987 2,457.37ACTEMRA 200MG/10ML INJ, 10ML10 975.9930 2,919.97ACTEMRA 400MG/20ML INJ, 20ML20 1,940.9960 5,814.974 395.9912 1,179.97ACYCLOVIR 200MG/5ML ORAL SUSP201 151.03979 720.14ACYCLOVIR 400MG TABLETS43 26.93148 82.91ACYCLOVIR 5% OINTMENT 15GM15 342.4945 1,019.48ACTEMRA 80MG/4ML INJ, 4MLACYCLOVIR 800MG TABLETS36 42.39123 135.15ADAPAL/BENZ 0.1-2.5% GEL (PMP) 45G45 204.01135 604.03ADAPALENE 0.1% CREAM 45GM45 205.99135 609.97ADAPALENE 0.1% GEL 45GM45 172.99135 510.97ADAPALENE 0.3% GEL (PUMP) 45GM45 279.99135 831.97ADAPALENE 0.3% GEL 45GM45 296.99135 882.97ADDYI 100MG TABLETS30 864.9990 2,586.97ADEFOVIR DIPIVOXIL 10MG TABLETS29 966.7988 2,925.57ADRIAMYCIN 10MG INJ, 1VIAL1 18.603 47.80ADVAIR DISKUS 100/50MCG (GREEN)60'S60 302.99180 900.98ADVAIR DISKUS 250/50MCG (YELLOW) 6060 367.99180 1,095.97ADVAIR DISKUS 500/50MCG (RED) 60'S60 479.99180 1,431.98AEROCHAMBER PLUS W/MASK (REGULAR)1 57.593 164.77AK-CIDE OPHTH OINTMENT3.5 13.9910.5 33.97ALBUTEROL 0.021%(0.63MG/3ML) 25X3ML75 33.99225 93.98ALBUTEROL 0.042%(1.25MG/3ML) 25X3ML75 15.66225 38.97ALBUTEROL 0.5%(5MG/ML) CONC 20ML20 32.6660 89.99ALBUTEROL SULF ER 4MG TABLETS56 103.86201 362.42ALBUTEROL SULFATE 2MG TABLETS51 217.45208 874.52ALBUTEROL SULFATE 4MG TABLETS56 279.32192 947.97ALBUTEROL SULFATE SYRUP (2MG/5ML)132 17.201131 117.10ALCLOMETASONE 0.05% CREAM 45GM45 53.99135 153.97ALCLOMETASONE 0.05% OINTMENT 15GM15 65.9945 189.97ALENDRONATE 40MG TABLETS13 117.9637 328.35ALENDRONATE 5MG TABLETS28 17.0680 41.3048.2 89.99144.6 261.97ALERA EMULSION
DISCOUNTED MEDICATIONSDrug NameALFERON N 5MU/ML VIAL FOR INJECTIONAvg 30 Qty1Avg 30 Price 679.99Avg 90 Qty3Avg 90 Price 2,031.97ALFUZOSIN 10MG TABLETS31 77.3692 221.70ALMOTRIPTAN 12.5MG TABLETS10 413.9836 1,479.94 1,848.92ALMOTRIPTAN 6.25MG TABLETS9 372.9845ALOCRIL 2% OPHTH SOLN 5ML5 212.9915 630.97ALOMIDE 0.1% OPHTH DROP 10ML10 216.9930 642.97ALOSETRON 0.5MG TABLETS55 1,184.65141 3,030.75ALOSETRON 1MG TABLETS51 2,475.78162 7,855.54ALPHAGAN P 0.1% OPHTH SOLN 5ML5 134.0715 394.2156.7 72.87170.1 210.60 167.67ALPHAQUIN HP 4% CREAM 56.7GMALPRAZOLAM 0.25MG ODT TABLETS40 53.60132ALPRAZOLAM 0.25MG TABLETS45 14.00141 35.33ALPRAZOLAM 0.5MG ODT TABLETS44 75.28193 316.64ALPRAZOLAM 0.5MG TABLETS52 17.58149 42.90 278.03ALPRAZOLAM 1MG ODT TABLETS49 112.29124ALPRAZOLAM 1MG TABLETS64 20.35160 44.86ALPRAZOLAM 2MG ODT TABLETS61 338.8888 487.11ALPRAZOLAM 2MG TABLETS66 35.53169 84.73ALPRAZOLAM CON 1MG/ML SOLUTION38 126.8530 100.99ALPRAZOLAM ER 0.5MG TABLETS44 52.39123 139.26ALPRAZOLAM ER 1MG TABLETS44 96.39119 253.86ALPRAZOLAM ER 2MG TABLETS40 106.65112 291.43ALPRAZOLAM ER 3MG TABLETS36 176.79105 507.97ALPROSTADIL 500MCG INJ, 1ML1 109.993 321.97ALREX 0.2% OPHTHALMIC SUSP 5ML5 197.9915 585.97ALTABAX 1% OINTMENT 15GM15 289.9945 861.97ALTOPREV 20MG ER TABLETS29 826.6290 2,556.97ALTOPREV 40MG ER TABLETS30 1,035.9986 2,962.37 2,927.91ALTOPREV 60MG ER TABLETS30 1,000.7988AMANTADINE 100MG CAPSULES53 85.26182 283.04AMANTADINE 100MG TABLETS49 98.73167 326.84AMANTADINE 50MG/5ML SYRUP341 21.021183 63.03 1,041.97AMCINONIDE 0.1% CREAM 60GM60 349.99180AMCINONIDE 0.1% LOTION60 319.99180 951.97AMETHIA LO TABLETS91 169.99273 501.98 141.97AMETHYST 90-20MCG TABLETS28 49.9984AMIBID LA 600MG CR TABLETS27 10.7455 17.74AMIKACIN 1GM/4ML INJ, 4ML4 17.2412 43.72AMIKACIN SULFATE 500/2ML INJ, 2ML2 16.206 40.60AMILORIDE 5MG TABLETS49 61.15133 159.12AMINOPHYLLINE 25MG/ML INJ, 10ML10 65.9930 189.97AMIODARONE 100MG TABLETS32 192.7992 546.77AMIODARONE 400MG TABLETS31 113.5294 336.10AMITIZA 24MCG CAPSULES55 355.99160 1,027.97AMITRIPTYLINE 100MG (HUNDRED MG)TAB34 32.71101 89.27 114.70AMITRIPTYLINE 150MG TABLETS31 40.5194AMITRIPTYLINE 75MG TABLETS32 22.1396 58.39AMLO/VAL/HCTZ 10/160/12.5MG TABLETS29 112.2689 336.24AMLOD/VAL/HCTZ 10/160/25MG TABLETS29 112.2689 336.24AMLOD/VAL/HCTZ 10/320/25MG TABLETS29 208.9289 632.90AMLOD/VAL/HCTZ 5/160/12.5MG TABLETS30 101.9990 297.97AMLOD/VAL/HCTZ 5/160/25MG TABLETS30 101.9990 297.97AMLODIPINE-ATORVASTATIN 10/10MG TAB29 124.8289 374.80AMLODIPINE-ATORVASTATIN 10/20MG TAB29 172.1989 520.17AMLODIPINE-ATORVASTATIN 10/40MG TAB30 177.9989 520.17AMLODIPINE-ATORVASTATIN 10/80MG TAB29 172.1988 514.37
DISCOUNTED MEDICATIONSDrug NameAvg 30 QtyAvg 30 PriceAvg 90 QtyAvg 90 PriceAMLODIPINE-ATORVASTATIN 5/10MG TABS30 243.9990 723.97AMLODIPINE-ATORVASTATIN 5/20MG TABS30 177.9989 520.17AMLODIPINE-ATORVASTATIN 5/40MG TABS30 181.9989 532.04AMLODIPINE-ATORVASTATIN 5/80MG TABS29 177.0289 535.00AMLODIPINE-BENAZ 10/20MG CAPSULES30 17.9990 45.97AMLODIPINE-BENAZ 10/40MG CAPSULES30 123.9990 363.97AMLODIPINE-BENAZ 2.5/10MG CAPSULES31 18.4693 47.37AMLODIPINE-BENAZ 5/10MG CAPSULES31 18.4693 47.37AMLODIPINE-BENAZ 5/20MG CAPSULES32 18.9298 49.70AMLODIPINE-BENAZ 5/40MG CAPSULES30 103.9992 310.64AMLODIPINE-VALSARTAN 10-160MG TABS29 178.9688 534.90AMLODIPINE-VALSARTAN 10-320MG TABS30 219.9989 644.77AMLODIPINE-VALSARTAN 5-160MG TABS30 159.9990 471.97AMLODIPINE-VALSARTAN 5-320MG TABS30 189.9989 555.77AMLODIPINE/OLMES MEDOXOM 5-20MG T30 211.4990 626.47AMLODIPINE/OLMES MEDOXOM 5-40MG T30 267.9989 787.17AMLODIPINE/OLMES MEDOXOM10-20MG T29 205.0689 621.04AMLODIPINE/OLMES MEDOXOM10-40MG T29 259.1989 787.17AMMONIUM LAC 12% CREAM 280GM140 19.50420 50.49AMMONIUM LACT 12% LOTION 225GM225 32.98675 90.94AMOX-CLAV 200/28.5MG CHEW TABS27 52.5990 165.96AMOX-CLAV 250MG TABLETS21 85.19112 437.03AMOX-CLAV 250MG/5ML SUSP 75ML75 68.99225 198.96AMOX-CLAV 400MG CHEW TABLETS25 75.2475 217.71AMOX-CLAV 500MG TABLETS20 50.99111 264.79AMOX-CLAV 875MG TABLETS19 52.44116 299.74AMOX-CLAV ES 600MG/5ML SUSP 125ML125 17.99375 45.96AMOX-CLAV ES 600MG/5ML SUSP 75ML75 12.99225 30.98 117.39AMOXAPINE 100MG TABLETS37 50.6290AMOXAPINE 25MG TABLETS29 16.7690 43.59AMOXAPINE 50MG TABLETS32 28.32150 117.99AMOXICILLIN 125MG/5ML SUSP 150ML150 10.66450 23.98AMOXICILLIN 250MG/5ML SUSP 100ML100 6.22300 10.66AMPHOTERICIN B 50MG INJ1 49.993 141.97AMPICILLIN 10GM VIAL FOR INJECTION1 78.993 228.97AMPICILLIN 250/5ML SUSP 100 ML100 12.99300 30.97AMPICILLIN 250MG/5ML SUSP 200ML200 25.00600 67.00AMPICILLIN 2GM INJ, 1 VIAL1 15.993 39.97AMPICILLIN 500MG INJ, 1 VIAL1 9.993 21.97AMPICILLIN SOD 2GM INJ, 1 VIAL1 23.993 63.97AMPICILLIN-SULBACT 2-1GMINJ,1 VIAL1 14.993 36.97AMPICILLIN-SULBACTAM 15GM INJ, 1VL1 75.993 219.97ANAGRELIDE 0.5MG CAPSULES78 71.57220 194.59 338.07ANAGRELIDE 1MG CAPSULES68 130.91179ANASTROZOLE 1MG TABLETS24 15.1979 40.84ANDROGEL 1.62% (20.25MG/1.25GM)PUMP75 580.99225 1,734.97ANTHRALIN 1% CREAM 50GM50 57.99150 165.97ANTIPY/BENZ 5.5-1.4% OTIC SOL (EAR)14 166.9942 492.97ANUCORT-HC 25MG RECTAL SUPP 24'S20 167.3393 763.47APEXICON E 0.05% CREAM 30GM30 489.9990 1,461.97APIDRA SOLOSTAR PEN INJ,5 X 3ML15 583.9545 1,743.85APIDRA U-100 INJECTION 10ML10 298.9930 888.97APRACLONIDINE 0.5% OPHTH SOL 10ML10 155.9830 459.94APREPITANT 125MG CAPSULES4 577.094 577.09APREPITANT 40MG CAPSULES5 494.9915 1,476.97APREPITANT 80MG CAPSULES4 735.1312 2,197.38
DISCOUNTED MEDICATIONSDrug NameAPREPITANT 80MG/125MG CAPS TRI-PACKAvg 30 QtyAvg 30 PriceAvg 90 QtyAvg 90 Price3 651.999 1,947.97APRISO 0.375GM CAPSULES115 555.03338 1,623.56APTIVUS 250MG CAPSULES117 1,574.71360 4,836.96ARANESP 100MCG/0.5ML SGJCT ALB FREE0.5 799.991.5 2,391.97ARANESP 100MCG/ML VL ALBUMIN FREE1 811.993 2,427.97ARANESP 200MCG/0.4ML INJ ALB FREE0.4 1,627.991.2 4,875.97 4,875.971 1,627.993ARANESP 25MCG INJ, 0.42ML0.42 204.991.26 606.97ARANESP 25MCG/ML INJ, 1ML1 190.993 564.97ARANESP 200MCG/ML VL ALBUMIN FREE0.4 330.991.2 984.97ARANESP 40MCG/ML INJ SRCLK ALB FREE1 304.993 906.97ARANESP 500MCG/ML INJ ALB FREE1 3,999.993 11,991.97ARANESP 40MCG/0.4ML INJ ALB FREEARANESP 60MCG INJ, 1MLARANESP 60MCG/0.3ML SGJCT ALB FREE1 473.993 1,413.970.3 496.990.9 1,482.97ARIPIPRAZOLE 10MG TABLETS30 848.9990 2,538.97ARIPIPRAZOLE 15MG (FIFTEEN MG) TABS28 801.0685 2,423.64ARIPIPRAZOLE 1MG/ML ORAL SOLUTION152 901.80535 3,164.03ARIPIPRAZOLE 20MG (TWENTY MG) TABS29 1,119.5288 3,389.03ARIPIPRAZOLE 2MG TABLETS32 885.0693 2,564.57ARIPIPRAZOLE 30MG TABLETS29 1,121.4688 3,394.90ARIPIPRAZOLE 5MG TABLETS30 831.9989 2,460.37ARIPIPRAZOLE ODT 10MG TABLETS32 1,285.0690 3,606.97ARIPIPRAZOLE ODT 15MG TABLETS34 1,365.1290 3,606.97ARMODAFINIL 150MG TABLETS30 299.1691 899.32ARMODAFINIL 200MG TABLETS30 299.4991 900.32ARMODAFINIL 250MG TABLETS30 299.9991 901.83ARMODAFINIL 50MG TABLETS42 141.29116 383.17ASCORBIC ACID 500MG/ML INJ, 50ML67 60.27150 129.97ASHLYNA TABLETS 91S91 169.99273 501.98ASPIRIN-DIPYRIDAMOLE ER 25/200MG C60 355.99180 1,059.97ATAZANAVIR 150MG CAPSULES58 729.63180 2,255.94ATENOLOL 100MG TABLETS30 7.3392 14.22ATENOLOL 100MG/CHLORTHAL 25MG TABS29 14.3187 34.92ATOMOXETINE 100MG CAPSULES30 314.9989 926.60ATOMOXETINE 10MG CAPSULES36 321.99110 975.63ATOMOXETINE 18MG CAPSULES33 295.49108 957.96ATOMOXETINE 25MG CAPSULES34 304.32113 1,002.13ATOMOXETINE 40MG CAPSULES32 311.19101 973.57ATOMOXETINE 60MG CAPSULES30 291.9991 877.57ATOMOXETINE 80MG CAPSULES29 304.6289 926.60ATOVAQUONE 750MG/5ML SUSPENSION254 1,058.68785 3,263.56ATOVAQUONE-PROGUANIL 250/100 TABS21 127.3785 503.34ATRIPLA (EFV600/FTC200/TDF300) TAB30 2,695.9989 7,990.24ATROPINE SULF 1% OPH SOLN 15ML15 89.9945 261.97
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