2020 Medication Pricing Estimates

Drug Name Avg Cost/Rx Drug Name Avg Cost/Rx

ABACAVIR-LAMIVUDINE 600-300 MG $983.80 1ST TIER UNIFINE PNTIP 4MM 32G $16.00

ABIRATERONE ACETATE 250 MG TAB $7,050.45 1ST TIER UNIFINE PNTIP 8MM 31G $15.90

ACAMPROSATE CALC DR 333 MG TAB $169.40 1ST TIER UNIFINE PNTP 31GX3/16 $15.90

ACARBOSE 25 MG TABLET $22.30 1ST TIER UNIFINE PNTP 32GX5/32 $15.90

ACCU-CHEK FASTCLIX LANCET DRUM $14.85 ABACAVIR 300 MG TABLET $192.85

ACCU-CHEK SOFTCLIX LANCETS $11.80 ABACAVIR-LAMIVUDINE-ZIDOV TAB $1,391.35

ACEBUTOLOL 200 MG CAPSULE $35.45 ABILIFY 10 MG TABLET $882.20

ACETAZOLAMIDE 125 MG TABLET $51.65 ABILIFY 2 MG TABLET $689.95

ACETAZOLAMIDE 250 MG TABLET $149.60 ABILIFY 20 MG TABLET $1,256.30

ACETAZOLAMIDE ER 500 MG CAP $80.25 ABILIFY 30 MG TABLET $977.10

ACTEMRA 162 MG/0.9 ML SYRINGE $3,556.25 ABILIFY 5 MG TABLET $1,043.40

ACYCLOVIR 200 MG CAPSULE $8.00 ABILIFY MAINTENA ER 400 MG SYR $2,265.00

ACYCLOVIR 200 MG/5 ML SUSP $147.60 ACARBOSE 100 MG TABLET $80.55

ACYCLOVIR 400 MG TABLET $9.95 ACARBOSE 50 MG TABLET $20.05

ACYCLOVIR 800 MG TABLET $17.55 ACCOLATE 20 MG TABLET $227.30

ADDERALL XR 10 MG CAPSULE $214.80 ACCU-CHEK AVIVA PLUS TEST STRP $136.75

ADDERALL XR 15 MG CAPSULE $208.50 ACCU-CHEK COMPACT PLUS STRIPS $170.15

ADDERALL XR 20 MG CAPSULE $309.55 ACCU-CHEK FASTCLIX LANCING DEV $10.70

ADDERALL XR 25 MG CAPSULE $224.70 ACCU-CHEK GUIDE MONITOR SYSTEM $23.65

ADDERALL XR 30 MG CAPSULE $273.95 ACCU-CHEK GUIDE TEST STRIP $30.60

ADVAIR 100-50 DISKUS $309.20 ACCU-CHEK MULTICLIX LANCETS $15.65

ADVAIR 250-50 DISKUS $377.90 ACCU-CHEK SAFE-T-PRO 23G LANCT $42.55

2020 Medication Pricing Estimates

Medication prices, individual retail pricing and individual copayments may vary. Pharmacist's judgment, your doctor's instructions on how to take the medication, and applicable law may impact the actual dispensed quantity and/or days' supply you may receive. Medication costs outside of your prescription program, and sales tax, where applicable, are not included.

Below cost is based on a month supply.

The coverage and pricing terms of the prescription benefit are subject to change.

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ADVAIR 500-50 DISKUS $495.75 ACCU-CHEK SMARTVIEW TEST STRIP $139.30

ADVAIR HFA 115-21 MCG INHALER $392.25 ACCUPRIL 10 MG TABLET $145.40

ADVAIR HFA 230-21 MCG INHALER $516.00 ACEBUTOLOL 400 MG CAPSULE $38.95

ADVAIR HFA 45-21 MCG INHALER $316.00 ACIPHEX DR 20 MG TABLET $776.70

ADZENYS XR-ODT 12.5 MG TABLET $364.50 ACTIVELLA 0.5-0.1 MG TABLET $255.20

ADZENYS XR-ODT 15.7 MG TABLET $341.45 ADCIRCA 20 MG TABLET $4,085.80

ADZENYS XR-ODT 18.8 MG TABLET $337.90 ADDERALL 10 MG TABLET $395.60




AIMOVIG 140 MG DOSE-2 AUTOINJ $561.20 ADDERALL XR 5 MG CAPSULE $211.20

AIMOVIG 140 MG/ML AUTOINJECTOR $567.25 ADEMPAS 2.5 MG TABLET $9,586.55

AIMOVIG 70 MG/ML AUTOINJECTOR $582.00 ADMELOG 100 UNIT/ML VIAL $581.80

AJOVY 225 MG/1.5 ML SYRINGE $573.10 ADMELOG SOLOSTAR 100 UNIT/ML $449.50

ALBUTEROL 5 MG/ML SOLUTION $41.70 ADULT ASPIRIN REGIMEN EC 81 MG $1.75

ALBUTEROL HFA 90 MCG INHALER $51.85 ADZENYS ER 1.25 MG/ML SUSP $451.25

ALBUTEROL SUL 0.63 MG/3 ML SOL $45.15 AFINITOR 10 MG TABLET $16,307.60

ALBUTEROL SUL 1.25 MG/3 ML SOL $48.25 AFINITOR 5 MG TABLET $19,881.05

ALBUTEROL SUL 2.5 MG/3 ML SOLN $9.30 AFINITOR 7.5 MG TABLET $15,941.95

ALBUTEROL SULF 2 MG/5 ML SYRUP $16.35 AFINITOR DISPERZ 5 MG TABLET $16,550.25

ALENDRONATE SODIUM 35 MG TAB $5.75 AFREZZA 12 UNIT CARTRIDGE $970.35

ALENDRONATE SODIUM 70 MG TAB $4.05 AFREZZA 4 UNIT CARTRIDGE $404.75

ALFUZOSIN HCL ER 10 MG TABLET $23.90 AFREZZA 4 UNIT/8 UNIT/12 UNIT $1,724.45

ALLOPURINOL 100 MG TABLET $7.70 AFREZZA 90-4 UNIT / 90-8 UNIT $1,939.90

ALLOPURINOL 300 MG TABLET $5.85 AGGRENOX 25 MG-200 MG CAPSULE $562.05

ALPHAGAN P 0.1% DROPS $173.40 ALBUTEROL 2.5 MG/0.5 ML SOL $28.65

ALTAVERA-28 TABLET $13.35 ALBUTEROL SULFATE 2 MG TAB $171.45

ALYACEN 1-35 28 TABLET $22.05 ALBUTEROL SULFATE 4 MG TAB $393.90

AMANTADINE 100 MG CAPSULE $53.30 ALBUTEROL SULFATE ER 4 MG TAB $83.50

AMANTADINE 100 MG TABLET $77.80 ALECENSA 150 MG CAPSULE $14,345.00

AMETHYST 90-20 MCG TABLET $49.45 ALENDRONATE SODIUM 10 MG TAB $7.55

AMILORIDE HCL 5 MG TABLET $19.80 ALISKIREN 150 MG TABLET $175.35

AMIODARONE HCL 200 MG TABLET $9.10 ALISKIREN 300 MG TABLET $219.25

AMIODARONE HCL 400 MG TABLET $141.65 ALOGLIPTIN 25 MG TABLET $156.10

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AMITIZA 24 MCG CAPSULES $356.60 ALOGLIPTIN-METFORMIN 12.5-1000 $194.85

AMITIZA 8 MCG CAPSULE $397.95 ALOGLIPTIN-PIOGLIT 12.5-30 MG $194.85

AMITRIPTYLINE HCL 10 MG TAB $8.05 ALOGLIPTIN-PIOGLIT 25-15 MG TB $194.85



AMITRIPTYLINE HCL 25 MG TAB $9.80 ALORA 0.025 MG PATCH $103.45



AMLODIPINE BESYLATE 10 MG TAB $3.60 ALPHAGAN P 0.15% EYE DROPS $118.70

AMLODIPINE BESYLATE 2.5 MG TAB $6.55 ALUNBRIG 180 MG TABLET $15,608.65

AMLODIPINE BESYLATE 5 MG TAB $3.85 ALVESCO 160 MCG INHALER $273.00

AMLODIPINE-BENAZEPRIL 10-20 MG $17.70 ALVESCO 80 MCG INHALER $272.40

AMLODIPINE-BENAZEPRIL 10-40 MG $17.75 ALYACEN 7-7-7-28 TABLET $19.00

AMLODIPINE-BENAZEPRIL 2.5-10 $29.70 AMANTADINE 50 MG/5 ML SOLUTION $22.60

AMLODIPINE-BENAZEPRIL 5-10 MG $19.85 AMARYL 4 MG TABLET $122.05

AMLODIPINE-BENAZEPRIL 5-20 MG $13.95 AMBRISENTAN 10 MG TABLET $7,663.55

AMLODIPINE-BENAZEPRIL 5-40 MG $29.95 AMILORIDE HCL-HCTZ 5-50 MG TAB $17.10

AMLODIPINE-OLMESARTAN 10-20 MG $34.55 AMIODARONE HCL 100 MG TABLET $98.80

AMLODIPINE-OLMESARTAN 10-40 MG $160.60 AMLODIPINE-ATORVAST 10-10 MG $92.25



AMLODIPINE-VALSARTAN 10-160 MG $39.45 AMLODIPINE-ATORVAST 10-80 MG $212.35




AMLOD-VALSA-HCTZ 10-320-25 MG $72.20 AMLOD-VALSA-HCTZ 10-160-12.5MG $91.00

AMPHETAMINE SULFATE 10 MG TAB $279.85 AMLOD-VALSA-HCTZ 10-160-25 MG $99.65

AMPYRA ER 10 MG TABLET $2,634.70 AMLOD-VALSA-HCTZ 5-160-12.5 MG $92.00

ANASTROZOLE 1 MG TABLET $9.65 AMLOD-VALSA-HCTZ 5-160-25 MG $94.95

ANDROGEL 1.62% GEL PUMP $582.30 AMOXAPINE 25 MG TABLET $36.75

ANORO ELLIPTA 62.5-25 MCG INH $407.70 AMPHETAMINE SULFATE 5 MG TAB $310.35

APIDRA 100 UNITS/ML VIAL $718.55 ANAGRELIDE HCL 0.5 MG CAPSULE $44.35

APIDRA SOLOSTAR 100 UNITS/ML $664.15 ANASPAZ 0.125 MG TABLET ODT $7.15

APRI 28 DAY TABLET $16.65 ANDRODERM 2 MG/24HR PATCH $392.45

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APRISO ER 0.375 GRAM CAPSULE $523.35 ANDRODERM 4 MG/24HR PATCH $613.80

APTENSIO XR 30 MG CAPSULE $235.60 ANDROGEL 1%(2.5G) GEL PACKET $620.95

APTENSIO XR 40 MG CAPSULE $235.20 ANDROGEL 1.62%(1.25G) GEL PCKT $1,126.80

APTENSIO XR 50 MG CAPSULE $235.60 ANDROGEL 1.62%(2.5G) GEL PCKT $1,020.05

APTENSIO XR 60 MG CAPSULE $234.90 ANGELIQ 0.25 MG-0.5 MG TABLET $185.30

ARIPIPRAZOLE 10 MG TABLET $33.00 ANGELIQ 0.5 MG-1 MG TABLET $185.55

ARIPIPRAZOLE 15 MG TABLET $163.95 ANTARA 90 MG CAPSULE $499.95

ARIPIPRAZOLE 2 MG TABLET $83.85 APLENZIN ER 174 MG TABLET $1,369.45



ARIPIPRAZOLE 5 MG TABLET $24.85 APTENSIO XR 10 MG CAPSULE $329.75

ARMODAFINIL 150 MG TABLET $45.05 APTENSIO XR 15 MG CAPSULE $229.20

ARMODAFINIL 200 MG TABLET $380.60 APTENSIO XR 20 MG CAPSULE $235.60

ARMODAFINIL 250 MG TABLET $413.30 APTIOM 200 MG TABLET $1,583.90

ARMOUR THYROID 120 MG TABLET $49.65 APTIOM 400 MG TABLET $1,928.05

ARMOUR THYROID 15 MG TABLET $26.70 APTIOM 600 MG TABLET $964.40

ARMOUR THYROID 180 MG TABLET $33.65 APTIOM 800 MG TABLET $964.40

ARMOUR THYROID 240 MG TABLET $34.45 ARANELLE 28 TABLET $32.75

ARMOUR THYROID 30 MG TABLET $26.15 ARAVA 20 MG TABLET $1,159.75

ARMOUR THYROID 60 MG TABLET $30.80 ARIMIDEX 1 MG TABLET $681.45

ARMOUR THYROID 90 MG TABLET $42.15 ARIPIPRAZOLE 1 MG/ML SOLUTION $527.80

ARNUITY ELLIPTA 100 MCG INH $173.85 ARIPIPRAZOLE ODT 15 MG TABLET $1,037.60

ARNUITY ELLIPTA 200 MCG INH $231.90 ARMODAFINIL 50 MG TABLET $18.40

ASMANEX HFA 100 MCG INHALER $190.60 ARMOUR THYROID 300 MG TABLET $25.25

ASMANEX HFA 200 MCG INHALER $224.10 ARNUITY ELLIPTA 50 MCG INH $173.50

ASMANEX TWISTHALER 110 MCG #30 $182.65 ASACOL HD DR 800 MG TABLET $1,151.10

ASMANEX TWISTHALER 220 MCG #30 $191.10 ASMANEX TWISTHALR 220 MCG #120 $320.00

ASMANEX TWISTHALER 220 MCG #60 $220.60 ASSURE COMFORT 30G LANCETS $46.35

ASPIRIN 325 MG TABLET $1.00 ASTAGRAF XL 1 MG CAPSULE $570.45

ASPIRIN 81 MG CHEWABLE TABLET $1.55 ATACAND 16 MG TABLET $106.80

ASPIRIN EC 325 MG TABLET $1.20 ATACAND HCT 16-12.5 MG TAB $157.75

ASPIRIN EC 81 MG TABLET $1.25 ATACAND HCT 32-12.5 MG TAB $244.40

ASPIRIN-DIPYRIDAM ER 25-200 MG $357.10 ATAZANAVIR SULFATE 200 MG CAP $1,369.65

ASPIR-LOW EC 81 MG TABLET $1.60 ATAZANAVIR SULFATE 300 MG CAP $1,393.30

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ATENOLOL 100 MG TABLET $6.05 ATROPINE 1% EYE OINTMENT $35.60

ATENOLOL 25 MG TABLET $6.05 AUBAGIO 7 MG TABLET $6,830.05

ATENOLOL 50 MG TABLET $6.25 AUBRA-28 TABLET $12.30

ATENOLOL-CHLORTHALIDONE 100-25 $21.80 AUSTEDO 12 MG TABLET $5,360.85

ATENOLOL-CHLORTHALIDONE 50-25 $16.85 AUSTEDO 6 MG TABLET $3,414.60

ATOMOXETINE HCL 10 MG CAPSULE $195.60 AUSTEDO 9 MG TABLET $3,994.15

ATOMOXETINE HCL 100 MG CAPSULE $174.05 AVANDIA 4 MG TABLET $169.40

ATOMOXETINE HCL 18 MG CAPSULE $153.55 AVAPRO 75 MG TABLET $172.55

ATOMOXETINE HCL 25 MG CAPSULE $173.05 AZASAN 100 MG TABLET $219.30

ATOMOXETINE HCL 40 MG CAPSULE $171.20 AZASAN 75 MG TABLET $761.35

ATOMOXETINE HCL 60 MG CAPSULE $175.45 AZILECT 1 MG TABLET $779.65

ATOMOXETINE HCL 80 MG CAPSULE $172.85 AZOR 10-40 MG TABLET $345.35

ATORVASTATIN 10 MG TABLET $6.35 AZULFIDINE ENTAB 500 MG $236.30

ATORVASTATIN 20 MG TABLET $6.45 BANZEL 40 MG/ML SUSPENSION $1,572.50

ATORVASTATIN 40 MG TABLET $10.75 BANZEL 400 MG TABLET $1,770.90

ATORVASTATIN 80 MG TABLET $13.20 BARACLUDE 0.5 MG TABLET $1,366.90

ATRIPLA TABLET $2,761.65 BD AUTOSHIELD DUO NDL 5MMX30G $66.25

ATROPINE 1% EYE DROPS $47.40 BD INS SYR 0.3 ML 8MMX31G(1/2) $48.30

ATROVENT 17 MCG HFA INHALER $393.25 BD INS SYR UF 0.3ML 12.7MMX30G $26.70

AUBAGIO 14 MG TABLET $6,798.45 BD INS SYRN UF 1 ML 12.7MMX30G $26.70

AUBRA EQ-28 TABLET $11.95 BD INS SYRNG 0.5 ML 29GX12.7MM $17.90

AURYXIA 210 MG TABLET $1,136.90 BD INSULIN SYR 0.5 ML 28GX1/2" $27.20

AVIANE-28 TABLET $12.15 BD INSULIN SYR 0.5 ML 29GX1/2" $20.55

AVONEX PEN 30 MCG/0.5 ML KIT $6,758.05 BD INSULIN SYR 1 ML 25GX1" $2.65

AVONEX PREFILLED SYR 30 MCG KT $6,748.35 BD INSULIN SYR 1 ML 28GX1/2" $37.80

AZATHIOPRINE 50 MG TABLET $31.45 BD INSULIN SYR 1 ML 29GX1/2" $12.25

AZELASTINE 0.1% (137 MCG) SPRY $22.50 BD SAFETGLD INS 0.5ML 13MMX29G $40.05

AZELASTINE 0.15% NASAL SPRAY $102.30 BD SAFETYGLID INS 1 ML 6MMX31G $16.55

AZOPT 1% EYE DROPS $305.20 BD SAFETYGLIDE SYRINGE 27GX5/8 $1.75

AZURETTE 28 DAY TABLET $37.25 BD UF INS SYR 1 ML 30GX1/2" $27.30

BACLOFEN 10 MG TABLET $12.35 BD ULTRA-FINE 33G LANCETS $15.35

BACLOFEN 20 MG TABLET $26.20 BD VEO INS 0.3ML 6MMX31G (1/2) $51.90

BACLOFEN 5 MG TABLET $48.35 BECONASE AQ 0.042% SPRAY $292.75

BALCOLTRA TABLET $194.70 BEKYREE 28 DAY TABLET $38.30

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BALZIVA 28 TABLET $25.30 BENAZEPRIL-HCTZ 5-6.25 MG TAB $50.95

BASAGLAR 100 UNIT/ML KWIKPEN $307.05 BENICAR 5 MG TABLET $179.90

BD INS SYR UF 0.5ML 12.7MMX30G $35.95 BENICAR HCT 20-12.5 MG TABLET $218.50

BD INS SYRNG UF 0.3 ML 8MMX31G $31.95 BENICAR HCT 40-12.5 MG TABLET $305.05

BD INS SYRNG UF 0.5 ML 8MMX31G $27.55 BENICAR HCT 40-25 MG TABLET $254.65

BD INSULIN SYR UF 1 ML 8MMX31G $22.25 BENLYSTA 200 MG/ML AUTOINJECT $3,593.40

BD UF MICRO PEN NEEDLE 6MMX32G $48.25 BENLYSTA 200 MG/ML SYRINGE $3,624.40

BD UF MINI PEN NEEDLE 5MMX31G $45.40 BENZTROPINE MES 2 MG TABLET $10.65

BD UF NANO PEN NEEDLE 4MMX32G $52.20 BETASERON 0.3 MG KIT $7,474.05

BD UF ORIG PEN NDL 12.7MMX29G $45.80 BETAXOLOL 10 MG TABLET $26.40

BD UF SHORT PEN NEEDLE 8MMX31G $46.35 BETAXOLOL HCL 0.5% EYE DROP $53.05

BD VEO INS SYRING 1 ML 6MMX31G $29.00 BETIMOL 0.5% EYE DROPS $133.10

BD VEO INS SYRN 0.3 ML 6MMX31G $43.50 BEXAROTENE 75 MG CAPSULE $13,203.00

BD VEO INS SYRN 0.5 ML 6MMX31G $32.35 BIDIL TABLET $223.60

BELVIQ 10 MG TABLET $287.40 BINOSTO 70 MG TABLET EFF $200.75

BELVIQ XR 20 MG TABLET $288.70 BOSENTAN 125 MG TABLET $9,411.45

BENAZEPRIL HCL 10 MG TABLET $4.35 BOSULIF 100 MG TABLET $8,312.55



BENAZEPRIL HCL 5 MG TABLET $3.90 BRIELLYN TABLET $25.75

BENAZEPRIL-HCTZ 10-12.5 MG TAB $32.10 BRILINTA 60 MG TABLET $372.60

BENAZEPRIL-HCTZ 20-12.5 MG TAB $39.95 BRIVIACT 10 MG TABLET $3,324.95

BENAZEPRIL-HCTZ 20-25 MG TAB $31.60 BRIVIACT 100 MG TABLET $1,173.35

BENICAR 20 MG TABLET $223.40 BRIVIACT 25 MG TABLET $1,824.35

BENICAR 40 MG TABLET $286.75 BRIVIACT 50 MG TABLET $1,500.40

BENZTROPINE MES 0.5 MG TAB $8.15 BROMOCRIPTINE 5 MG CAPSULE $226.20

BENZTROPINE MES 1 MG TABLET $13.20 BROVANA 15 MCG/2 ML SOLUTION $897.50

BEVESPI AEROSPHERE INHALER $363.35 BUNAVAIL 2.1-0.3 MG FILM $62.55

BEYAZ 28 TABLET $207.25 BUNAVAIL 4.2-0.7 MG FILM $348.35

BICALUTAMIDE 50 MG TABLET $15.55 BUNAVAIL 6.3-1 MG FILM $720.20

BIKTARVY 50-200-25 MG TABLET $3,000.05 BUPRENOR-NALOX 12-3 MG SL FILM $473.80

BIMATOPROST 0.03% EYE DROPS $133.35 BUPRENORP-NALOX 4-1 MG SL FILM $245.90

BISOPROLOL FUMARATE 10 MG TAB $32.65 BUPROPION HCL XL 450 MG TABLET $401.55

BISOPROLOL FUMARATE 5 MG TAB $23.15 BYDUREON 2 MG VIAL $657.85

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BISOPROLOL-HCTZ 10-6.25 MG TAB $20.00 BYVALSON 5 MG-80 MG TABLET $120.20

BISOPROLOL-HCTZ 2.5-6.25 MG TB $19.95 CABOMETYX 20 MG TABLET $17,749.00

BISOPROLOL-HCTZ 5-6.25 MG TAB $18.85 CABOMETYX 40 MG TABLET $18,182.05

BLISOVI 24 FE TABLET $42.50 CABOMETYX 60 MG TABLET $17,951.70

BLISOVI FE 1.5-30 TABLET $14.10 CADUET 10 MG-40 MG TABLET $577.90

BLISOVI FE 1-20 TABLET $14.60 CADUET 5 MG-20 MG TABLET $577.90

BREO ELLIPTA 100-25 MCG INH $349.75 CALCITRIOL 1 MCG/ML SOLUTION $278.05

BREO ELLIPTA 200-25 MCG INH $349.90 CALCIUM ACETATE 667 MG GELCAP $59.85

BRILINTA 90 MG TABLET $370.45 CALCIUM ACETATE 667 MG TABLET $56.50

BRIMONIDINE 0.2% EYE DROP $22.85 CANDESARTAN-HCTZ 32-12.5 MG TB $119.90

BRIMONIDINE TARTRATE 0.15% DRP $172.45 CANDESARTAN-HCTZ 32-25 MG TAB $96.35

BROMOCRIPTINE 2.5 MG TABLET $175.00 CAPRELSA 300 MG TABLET $14,458.00

BUDESONIDE 0.25 MG/2 ML SUSP $206.85 CAPTOPRIL 100 MG TABLET $71.00

BUDESONIDE 0.5 MG/2 ML SUSP $231.65 CAPTOPRIL 12.5 MG TABLET $28.80

BUDESONIDE 1 MG/2 ML INH SUSP $328.45 CAPTOPRIL 25 MG TABLET $37.85

BUMETANIDE 0.5 MG TABLET $36.85 CAPTOPRIL 50 MG TABLET $108.95

BUMETANIDE 1 MG TABLET $31.00 CAPTOPRIL-HCTZ 25-15 MG TABLET $38.75

BUMETANIDE 2 MG TABLET $86.30 CAPTOPRIL-HCTZ 25-25 MG TABLET $39.00

BUPRENO-NALOX 2-0.5 MG SL FILM $148.10 CARBAMAZEPINE 100 MG/5 ML SUSP $47.80

BUPRENORPHIN-NALOXON 8-2 MG SL $177.30 CARBAMAZEPINE ER 100 MG CAP $98.60

BUPRENORPHN-NALOXN 2-0.5 MG SL $183.55 CARBATROL ER 200 MG CAPSULE $271.35

BUPRENORP-NALOX 8-2 MG SL FILM $298.10 CARBATROL ER 300 MG CAPSULE $212.50

BUPROPION HCL 100 MG TABLET $33.05 CARBIDOPA 25 MG TABLET $566.30

BUPROPION HCL 75 MG TABLET $28.65 CARBIDOPA-LEVO ER 25-100 TAB $85.70

BUPROPION HCL SR 100 MG TABLET $21.15 CARBIDOPA-LEVODOPA 10-100 TAB $9.15

BUPROPION HCL SR 150 MG TABLET $11.95 CARBIDOPA-LEVODOPA 150 MG-ENTA $70.95

BUPROPION HCL SR 200 MG TABLET $23.75 CARBIDOPA-LEVODOPA 200 MG-ENTA $371.65

BUPROPION HCL XL 150 MG TABLET $22.40 CARBIDOPA-LEVODOPA 25-250 TAB $23.45

BUPROPION HCL XL 300 MG TABLET $23.70 CARDIZEM CD 120 MG CAPSULE $1,277.10

BUSPIRONE HCL 10 MG TABLET $6.90 CARDIZEM LA 120 MG TABLET $127.45

BUSPIRONE HCL 15 MG TABLET $9.40 CARDURA 8 MG TABLET $154.00

BUSPIRONE HCL 30 MG TABLET $27.15 CAREFINE PEN NEEDLE 6MM 31G $29.05

BUSPIRONE HCL 5 MG TABLET $5.55 CARNITOR 100 MG/ML ORAL SOLN $65.30

BUSPIRONE HCL 7.5 MG TABLET $44.05 CAROSPIR 25 MG/5 ML SUSPENSION $332.65

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BYDUREON 2 MG PEN INJECT $696.15 CARTEOLOL HCL 1% EYE DROPS $13.30

BYDUREON BCISE 2 MG AUTOINJECT $696.40 CARVEDILOL ER 40 MG CAPSULE $228.60

BYETTA 10 MCG DOSE PEN INJ $726.15 CARVEDILOL ER 80 MG CAPSULE $242.75

BYETTA 5 MCG DOSE PEN INJ $726.30 CATAPRES-TTS 3 PATCH $258.45

BYSTOLIC 10 MG TABLET $150.65 CAZIANT 28 DAY TABLET $50.50

BYSTOLIC 2.5 MG TABLET $148.85 CELEBREX 100 MG CAPSULE $674.20

BYSTOLIC 20 MG TABLET $160.45 CELECOXIB 50 MG CAPSULE $18.80

BYSTOLIC 5 MG TABLET $146.10 CELEXA 40 MG TABLET $2.90

CABERGOLINE 0.5 MG TABLET $48.60 CELLCEPT 250 MG CAPSULE $726.20

CALCITONIN-SALMON 200 UNITS SP $43.90 CELLCEPT 500 MG TABLET $1,088.90

CALCITRIOL 0.25 MCG CAPSULE $25.70 CERDELGA 84 MG CAPSULE $25,875.05

CALCITRIOL 0.5 MCG CAPSULE $73.40 CHATEAL EQ-28 TABLET $14.10

CALCIUM ACETATE 667 MG CAPSULE $47.20 CHATEAL-28 TABLET $14.10

CAMILA 0.35 MG TABLET $14.60 CHILD ASPIRIN 81 MG CHEW TAB $1.95

CANASA 1,000 MG SUPPOSITORY $1,127.90 CHLORDIAZEPO-AMITRIPTYL 5-12.5 $38.25

CANDESARTAN CILEXETIL 16 MG TB $72.65 CHLORDIAZEPOX-AMITRIPTYL 10-25 $67.65

CANDESARTAN CILEXETIL 32 MG TB $71.75 CHLOROTHIAZIDE 250 MG TABLET $17.90

CANDESARTAN CILEXETIL 4 MG TAB $74.45 CHLOROTHIAZIDE 500 MG TABLET $62.05

CANDESARTAN CILEXETIL 8 MG TAB $81.55 CHLORPROMAZINE 10 MG TABLET $128.55

CANDESARTAN-HCTZ 16-12.5 MG TB $124.60 CHLORPROMAZINE 100 MG TABLET $395.15

CARAFATE 1 GM/10 ML SUSP $311.60 CHLORPROMAZINE 200 MG TABLET $534.15

CARBAMAZEPINE 100 MG TAB CHEW $30.75 CHLORPROMAZINE 50 MG TABLET $422.80

CARBAMAZEPINE 200 MG TABLET $72.30 CIALIS 10 MG TABLET $411.20

CARBAMAZEPINE ER 100 MG TABLET $48.70 CIALIS 2.5 MG TABLET $68.85

CARBAMAZEPINE ER 200 MG CAP $159.30 CIALIS 20 MG TABLET $365.80

CARBAMAZEPINE ER 200 MG TABLET $151.60 CILOSTAZOL 50 MG TABLET $12.25

CARBAMAZEPINE ER 300 MG CAP $112.10 CIMETIDINE 300 MG TABLET $20.70

CARBAMAZEPINE ER 400 MG TABLET $223.75 CIMETIDINE 800 MG TABLET $64.00

CARBIDOPA-LEVO ER 50-200 TAB $97.55 CIMZIA 200 MG VIAL KIT $4,276.60

CARBIDOPA-LEVODOPA 25-100 TAB $21.15 CINACALCET HCL 30 MG TABLET $952.10

CARTIA XT 120 MG CAPSULE $11.90 CINACALCET HCL 60 MG TABLET $1,445.70

CARTIA XT 180 MG CAPSULE $15.55 CINACALCET HCL 90 MG TABLET $2,898.40

CARTIA XT 240 MG CAPSULE $17.55 CITALOPRAM HBR 10 MG/5 ML SOLN $79.05

CARTIA XT 300 MG CAPSULE $35.90 CITRANATAL 90 DHA COMBO PACK $112.15

Page 8


CARVEDILOL 12.5 MG TABLET $5.45 CITRANATAL HARMONY CAPSULE $115.75

CARVEDILOL 25 MG TABLET $4.70 CLASSIC PRENATAL TABLET $2.30

CARVEDILOL 3.125 MG TABLET $5.45 CLICKFINE PEN NEEDLE 32GX5/32" $19.80

CARVEDILOL 6.25 MG TABLET $5.40 CLIMARA 0.025 MG/DAY PATCH $131.95

CARVEDILOL ER 10 MG CAPSULE $238.35 CLIMARA 0.0375 MG/DAY PATCH $130.70

CARVEDILOL ER 20 MG CAPSULE $267.95 CLIMARA 0.05 MG/DAY PATCH $130.40

CELEBREX 200 MG CAPSULE $529.35 CLIMARA 0.075 MG/DAY PATCH $93.10

CELECOXIB 100 MG CAPSULE $27.35 CLIMARA 0.1 MG/DAY PATCH $131.25

CELECOXIB 200 MG CAPSULE $21.20 CLIMARA PRO PATCH $211.05

CELECOXIB 400 MG CAPSULE $86.55 CLINPRO 5000 1.1% TOOTHPASTE $9.55

CEVIMELINE HCL 30 MG CAPSULE $181.60 CLOBAZAM 2.5 MG/ML SUSPENSION $403.15

CHLORPROMAZINE 25 MG TABLET $222.30 CLOBAZAM 20 MG TABLET $528.25

CHLORTHALIDONE 25 MG TABLET $24.50 CLOMIPRAMINE 75 MG CAPSULE $278.75

CHLORTHALIDONE 50 MG TABLET $28.95 CLONAZEPAM 0.125 MG ODT $26.10

CHOLESTYRAMINE LIGHT PACKET $131.50 CLONAZEPAM 0.5 MG ODT $51.30

CHOLESTYRAMINE LIGHT POWDER $63.55 CLONAZEPAM 1 MG ODT $4.15

CHOLESTYRAMINE PACKET $121.55 CLOZAPINE 100 MG TABLET $51.55

CHOLESTYRAMINE POWDER $75.05 CLOZAPINE 200 MG TABLET $99.00

CIALIS 5 MG TABLET $232.80 CLOZAPINE 25 MG TABLET $14.55

CILOSTAZOL 100 MG TABLET $16.45 CLOZAPINE 50 MG TABLET $21.45

CIMETIDINE 300 MG/5 ML SOLN $23.40 CLOZAPINE ODT 100 MG TABLET $95.15

CIMETIDINE 400 MG TABLET $24.00 CLOZAPINE ODT 25 MG TABLET $173.80

CIMZIA 200 MG/ML STARTER KIT $12,785.95 C-NATE DHA SOFTGEL $50.50

CIMZIA 200 MG/ML SYRINGE KIT $4,474.70 COLCHICINE 0.6 MG CAPSULE $295.10

CITALOPRAM HBR 10 MG TABLET $4.90 COLESEVELAM HCL 3.75 G PACKET $599.40

CITALOPRAM HBR 20 MG TABLET $3.25 COLESTIPOL HCL GRANULES $193.80

CITALOPRAM HBR 40 MG TABLET $3.35 COLESTIPOL HCL GRANULES PACKET $106.85

CITRANATAL ASSURE COMBO PACK $115.30 COMFORT EZ PEN NEEDLES 4MM 33G $26.85

CLOBAZAM 10 MG TABLET $281.50 COMPLETE NATAL DHA $25.55

CLOMIPRAMINE 25 MG CAPSULE $270.45 CONCERTA ER 18 MG TABLET $343.50

CLOMIPRAMINE 50 MG CAPSULE $410.05 CONCERTA ER 27 MG TABLET $278.85

CLONAZEPAM 0.125 MG DIS TAB $58.70 CONTOUR NEXT METER $15.45

CLONAZEPAM 0.25 MG ODT $42.30 CONTOUR TEST STRIP $128.50

CLONAZEPAM 0.5 MG DIS TABLET $42.10 CONTRAVE ER 8-90 MG TABLET $193.80

Page 9


CLONAZEPAM 0.5 MG TABLET $5.45 COPAXONE 20 MG/ML SYRINGE $6,034.15

CLONAZEPAM 1 MG DIS TABLET $22.65 COREG 12.5 MG TABLET $148.30

CLONAZEPAM 1 MG TABLET $6.60 COREG 3.125 MG TABLET $197.50

CLONAZEPAM 2 MG ODT $24.45 COREG CR 10 MG CAPSULE $274.75

CLONAZEPAM 2 MG TABLET $21.15 COREG CR 40 MG CAPSULE $273.20

CLONIDINE 0.1 MG/DAY PATCH $71.20 COREG CR 80 MG CAPSULE $274.75

CLONIDINE 0.2 MG/DAY PATCH $126.05 CORGARD 20 MG TABLET $129.75

CLONIDINE 0.3 MG/DAY PATCH $119.70 CORLANOR 7.5 MG TABLET $441.15

CLONIDINE HCL 0.1 MG TABLET $6.90 CORTEF 5 MG TABLET $119.05

CLONIDINE HCL 0.2 MG TABLET $7.65 COSENTYX 150 MG/ML SYRINGE $5,172.60

CLONIDINE HCL 0.3 MG TABLET $9.65 COSOPT PF EYE DROPS $177.15

CLONIDINE HCL ER 0.1 MG TABLET $196.60 COUMADIN 1 MG TABLET $158.10

CLOPIDOGREL 75 MG TABLET $7.25 COUMADIN 10 MG TABLET $96.25

COLCHICINE 0.6 MG TABLET $132.10 COUMADIN 2 MG TABLET $86.40

COLCRYS 0.6 MG TABLET $229.60 COUMADIN 2.5 MG TABLET $67.05

COLESEVELAM 625 MG TABLET $328.85 COUMADIN 3 MG TABLET $100.55

COLESTIPOL HCL 1 GM TABLET $66.85 COUMADIN 4 MG TABLET $137.90

COLESTIPOL MICRONIZED 1 GM TAB $67.25 COUMADIN 6 MG TABLET $112.00

COMBIGAN 0.2%-0.5% EYE DROPS $181.45 COVARYX H.S. TABLET $90.35

COMBIPATCH 0.05-0.14 MG PTCH $191.00 COZAAR 50 MG TABLET $111.55

COMBIPATCH 0.05-0.25 MG PTCH $191.35 CREON DR 3,000 UNITS CAPSULE $157.40

COMBIVENT RESPIMAT 20-100 MCG $396.65 CREON DR 6,000 UNITS CAPSULE $364.40

COMPLERA TABLET $2,787.25 CRESTOR 20 MG TABLET $260.45

CONCEPT DHA CAPSULE $26.55 CRESTOR 40 MG TABLET $234.10

CONCERTA ER 36 MG TABLET $422.05 CRESTOR 5 MG TABLET $231.40

CONCERTA ER 54 MG TABLET $384.05 CROMOLYN 20 MG/2 ML NEB SOLN $1,071.40

CONSTULOSE 10 GM/15 ML SOLN $12.25 CRYSVITA 20 MG/ML VIAL $27,254.65

CONTOUR NEXT TEST STRIP $203.75 CRYSVITA 30 MG/ML VIAL $20,441.05

COPAXONE 40 MG/ML SYRINGE $5,497.45 CUPRIMINE 250 MG CAPSULE $31,282.55

CORLANOR 5 MG TABLET $404.45 CUVPOSA 1 MG/5 ML SOLUTION $470.90

COSENTYX 150 MG/ML PEN INJECT $5,113.70 CVS ADVANCED GLUCOSE TEST STR $21.35

COSENTYX 300 MG DOSE-2 PENS $5,886.05 CVS ASPIRIN EC 325 MG TABLET $1.55

COSENTYX 300 MG DOSE-2 SYRINGE $5,905.55 CVS LANSOPRAZOLE DR 15 MG CAP $12.40

COTEMPLA XR-ODT 17.3 MG TABLET $482.85 CVS MICRO THIN 33G LANCETS $5.60

Page 10


COTEMPLA XR-ODT 25.9 MG TABLET $485.20 CVS OMEPRAZOLE DR 20 MG TABLET $24.85

COTEMPLA XR-ODT 8.6 MG TABLET $369.80 CVS OMEPRAZOLE MAG DR 20.6 MG $13.60

COUMADIN 5 MG TABLET $104.95 CVS PRENATAL VITAMINS TABLET $2.70

CREON DR 12,000 UNITS CAPSULE $778.65 CYANOCOBALAMIN 10,000 MCG/10 $9.95

CREON DR 24,000 UNITS CAPSULE $2,320.20 CYCLAFEM 7-7-7-28 TABLET $18.25

CREON DR 36,000 UNITS CAPSULE $2,898.90 CYCLOSET 0.8 MG TABLET $321.20

CRESTOR 10 MG TABLET $256.40 CYCLOSPORINE 100 MG CAPSULE $669.05

CRYSELLE-28 TABLET $14.90 CYCLOSPORINE 25 MG CAPSULE $266.80

CVS ASPIRIN 325 MG TABLET $0.90 CYCLOSPORINE MODIFIED 100MG/ML $240.40

CVS ASPIRIN 81 MG CHEWABLE TAB $2.10 CYCLOSPORINE MODIFIED 50 MG $145.60

CVS ASPIRIN EC 81 MG TABLET $1.55 CYMBALTA 20 MG CAPSULE $222.05

CYANOCOBALAMIN 1,000 MCG/ML $13.95 CYMBALTA 30 MG CAPSULE $563.85

CYCLAFEM 1-35-28 TABLET $21.50 CYMBALTA 60 MG CAPSULE $235.10

CYCLOSPORINE MODIFIED 100 MG $163.50 CYRED 28 DAY TABLET $16.60

CYCLOSPORINE MODIFIED 25 MG $90.70 CYTOMEL 25 MCG TABLET $104.15

CYRED EQ 28 DAY TABLET $16.85 CYTOMEL 5 MCG TABLET $165.55

DALFAMPRIDINE ER 10 MG TABLET $1,377.15 DALIRESP 250 MCG TABLET $336.30

DALIRESP 500 MCG TABLET $359.30 DANTROLENE SODIUM 100 MG CAP $160.45

DAPSONE 100 MG TABLET $63.80 DANTROLENE SODIUM 25 MG CAP $53.25

DAPSONE 25 MG TABLET $130.80 DANTROLENE SODIUM 50 MG CAP $114.90

DASETTA 1-35-28 TABLET $21.45 DARIFENACIN ER 15 MG TABLET $273.65

DASETTA 7/7/7-28 TABLET $18.85 DARIFENACIN ER 7.5 MG TABLET $274.40

DAYTRANA 10 MG/9 HR PATCH $364.60 DELSTRIGO 100-300-300 MG TAB $2,467.30

DAYTRANA 15 MG/9 HR PATCH $364.90 DELZICOL DR 400 MG CAPSULE $727.45

DAYTRANA 20 MG/9 HOUR PATCH $363.00 DEPAKOTE DR 125 MG TABLET $177.55

DAYTRANA 30 MG/9 HOUR PATCH $363.90 DEPAKOTE DR 250 MG TABLET $615.25

DEBLITANE 0.35 MG TABLET $11.60 DEPAKOTE DR 500 MG TABLET $450.10

DENTA 5000 PLUS CREAM $7.70 DEPAKOTE ER 250 MG TABLET $316.55

DENTAGEL 1.1% GEL $8.15 DEPAKOTE ER 500 MG TABLET $396.65

DEPO-TESTOSTERONE 200 MG/ML $45.30 DEPO-TESTOSTERONE 100 MG/ML VL $73.90

DESCOVY 200-25 MG TABLET $1,680.75 DEPO-TESTOSTERONE 200 MG/ML VL $112.25

DESIPRAMINE 10 MG TABLET $42.65 DESIPRAMINE 100 MG TABLET $102.55

DESIPRAMINE 25 MG TABLET $46.70 DESIPRAMINE 150 MG TABLET $209.50

DESLORATADINE 5 MG TABLET $22.45 DESIPRAMINE 50 MG TABLET $147.45

Page 11


DESMOPRESSIN 10 MCG/0.1 ML SPR $273.10 DESMOPRESSIN 0.01% SOLUTION $361.10

DESMOPRESSIN ACETATE 0.1 MG TB $91.80 DESOGEST-ETH ESTRA 0.15-0.03MG $17.80

DESMOPRESSIN ACETATE 0.2 MG TB $68.80 DESOXYN 5 MG TABLET $2,016.60

DESOGESTR-ETH ESTRAD ETH ESTRA $35.65 DESVENLAFAXINE ER 100 MG TAB $158.30

DESVENLAFAXINE SUC ER 100 MG $218.55 DESVENLAFAXINE ER 50 MG TAB $143.80

DESVENLAFAXINE SUC ER 25 MG TB $200.60 DESVENLAFAXINE ER 50 MG TABLET $295.30

DESVENLAFAXINE SUC ER 50 MG TB $225.95 DETROL LA 4 MG CAPSULE $364.05

DEXILANT DR 30 MG CAPSULE $294.90 DEXEDRINE SPANSULE 15 MG $2,100.75

DEXILANT DR 60 MG CAPSULE $300.75 DEXTROAMPHETAMINE 5 MG/5 ML $452.30

DEXMETHYLPHENIDATE 10 MG TAB $61.05 DEXTROAMPHETAMINE ER 5 MG CAP $118.30

DEXMETHYLPHENIDATE 2.5 MG TAB $18.35 DIACOMIT 500 MG CAPSULE $6,228.75

DEXMETHYLPHENIDATE 5 MG TAB $29.60 DIDANOSINE DR 250 MG CAPSULE $165.25

DEXMETHYLPHENIDATE ER 10 MG CP $146.95 DIDANOSINE DR 400 MG CAPSULE $200.80

DEXMETHYLPHENIDATE ER 15 MG CP $138.45 DIGITEK 125 MCG TABLET $31.05

DEXMETHYLPHENIDATE ER 20 MG CP $248.30 DIGITEK 250 MCG TABLET $38.15

DEXMETHYLPHENIDATE ER 25 MG CP $104.95 DIGOXIN 0.05 MG/ML SOLUTION $140.10

DEXMETHYLPHENIDATE ER 30 MG CP $142.15 DIGOXIN 0.125 MG TABLET $27.40

DEXMETHYLPHENIDATE ER 35 MG CP $121.85 DILANTIN 30 MG CAPSULE $73.70

DEXMETHYLPHENIDATE ER 40 MG CP $198.60 DILANTIN 50 MG INFATAB $59.30

DEXMETHYLPHENIDATE ER 5 MG CAP $123.50 DILTIAZEM 12HR ER 120 MG CAP $124.75

DEXTROAMP-AMPHET ER 10 MG CAP $118.65 DILTIAZEM 12HR ER 60 MG CAP $83.25

DEXTROAMP-AMPHET ER 15 MG CAP $97.90 DILTIAZEM 12HR ER 90 MG CAP $142.00

DEXTROAMP-AMPHET ER 20 MG CAP $110.50 DILTIAZEM 24H ER(LA) 180 MG TB $73.50




DEXTROAMP-AMPHETAM 12.5 MG TAB $41.15 DILTIAZEM 24H ER(LA) 420 MG TB $120.85

DEXTROAMP-AMPHETAM 7.5 MG TAB $36.60 DILTIAZEM 24H ER(XR) 120 MG CP $22.35

DEXTROAMP-AMPHETAMIN 10 MG TAB $34.90 DILTIAZEM 24H ER(XR) 180 MG CP $29.20

DEXTROAMP-AMPHETAMIN 15 MG TAB $38.55 DILTIAZEM 24H ER(XR) 240 MG CP $33.40

DEXTROAMP-AMPHETAMIN 20 MG TAB $38.30 DILTIAZEM 24HR ER 300 MG CAP $40.65

DEXTROAMP-AMPHETAMIN 30 MG TAB $40.60 DILTIAZEM 24HR ER 420 MG CAP $48.70

DEXTROAMP-AMPHETAMINE 5 MG TAB $32.85 DILTIAZEM 90 MG TABLET $19.75

DEXTROAMPHETAMINE 10 MG TAB $108.25 DIOVAN 160 MG TABLET $249.40

Page 12


DEXTROAMPHETAMINE 5 MG TAB $60.85 DIOVAN 320 MG TABLET $307.75

DEXTROAMPHETAMINE ER 10 MG CAP $126.65 DIOVAN 40 MG TABLET $390.00

DEXTROAMPHETAMINE ER 15 MG CAP $113.55 DIOVAN HCT 160-12.5 MG TAB $286.50

DICLOFENAC 1.5% TOPICAL SOLN $87.85 DIOVAN HCT 320-25 MG TABLET $409.90

DICLOFENAC SODIUM 1% GEL $56.40 DIPYRIDAMOLE 25 MG TABLET $19.80

DICYCLOMINE 10 MG CAPSULE $15.90 DIPYRIDAMOLE 75 MG TABLET $62.00

DICYCLOMINE 10 MG/5 ML SOLN $69.50 DISOPYRAMIDE 100 MG CAPSULE $237.55

DICYCLOMINE 20 MG TABLET $16.00 DIURIL 250 MG/5 ML ORAL SUSP $39.85

DIGOX 125 MCG TABLET $25.25 DIVIGEL 0.75 MG GEL PACKET $133.05

DIGOX 250 MCG TABLET $38.05 DOFETILIDE 125 MCG CAPSULE $409.35

DIGOXIN 125 MCG TABLET $20.50 DONEPEZIL HCL 23 MG TABLET $68.75

DIGOXIN 250 MCG TABLET $26.40 DONEPEZIL HCL ODT 10 MG TABLET $15.50

DILANTIN 100 MG CAPSULE $137.25 DORZOLAMIDE-TIMOLOL 2%-0.5% $147.40

DILT XR 120 MG CAPSULE $21.45 DOVATO 50-300 MG TABLET $2,382.95

DILT XR 180 MG CAPSULE $37.40 DOXEPIN 150 MG CAPSULE $78.55

DILT XR 240 MG CAPSULE $38.35 DOXEPIN 75 MG CAPSULE $43.30

DILTIAZEM 120 MG TABLET $20.75 DOXERCALCIFEROL 1 MCG CAPSULE $1,194.40

DILTIAZEM 24H ER(CD) 120 MG CP $12.00 DOXERCALCIFEROL 2.5 MCG CAP $395.90

DILTIAZEM 24H ER(CD) 180 MG CP $15.90 DROPLET PEN NEEDLE 31GX5/16" $33.35



DILTIAZEM 24H ER(CD) 360 MG CP $229.60 DUEXIS 800-26.6 MG TABLET $2,348.05

DILTIAZEM 24HR ER 120 MG CAP $21.10 DUPIXENT 200 MG/1.14 ML SYRING $2,960.65

DILTIAZEM 24HR ER 180 MG CAP $20.80 DUTOPROL 50-12.5 MG TABLET $218.60

DILTIAZEM 24HR ER 240 MG CAP $32.45 DYRENIUM 50 MG CAPSULE $459.00

DILTIAZEM 24HR ER 360 MG CAP $41.80 EASY COMFORT 30G LANCETS $65.00

DILTIAZEM 30 MG TABLET $13.15 EASY COMFORT PEN NDL 31GX3/16" $41.55

DILTIAZEM 60 MG TABLET $16.15 EASY COMFORT PEN NDL 31GX5/16" $70.85

DISULFIRAM 250 MG TABLET $98.45 EASY COMFORT PEN NDL 32GX5/32" $75.95

DISULFIRAM 500 MG TABLET $92.80 EASY TOUCH GLUCOSE MONITOR SYS $17.30

DIVALPROEX DR 125 MG CAP SPRNK $122.20 EASY TOUCH INSULIN SYR 0.3 ML $24.75

DIVALPROEX SOD DR 125 MG TAB $13.75 EASY TOUCH INSULIN SYR 1 ML $23.10

DIVALPROEX SOD DR 250 MG TAB $18.50 EASY TOUCH PEN NEEDLE 31GX1/4" $41.65

DIVALPROEX SOD DR 500 MG TAB $19.25 EASY TOUCH PEN NEEDLE 31GX3/16 $41.60

Page 13


DIVALPROEX SOD ER 250 MG TAB $77.85 EASY TOUCH PEN NEEDLE 32GX1/4" $8.65

DIVALPROEX SOD ER 500 MG TAB $60.00 EASY TOUCH PEN NEEDLE 32GX3/16 $18.15

DIVIGEL 0.25 MG GEL PACKET $130.15 EASY TOUCH PEN NEEDLE 32GX5/32 $26.65

DIVIGEL 0.5 MG GEL PACKET $130.70 EASY TOUCH SAFETY 28G LANCETS $14.85

DIVIGEL 1 MG GEL PACKET $141.45 EASY TOUCH TWIST 33G LANCETS $4.90

DOFETILIDE 250 MCG CAPSULE $410.85 EC-NAPROXEN DR 500 MG TABLET $11.50

DOFETILIDE 500 MCG CAPSULE $425.75 EDARBI 40 MG TABLET $186.55

DONEPEZIL HCL 10 MG TABLET $9.40 EEMT DS 1.25-2.5 MG TABLET $115.55

DONEPEZIL HCL 5 MG TABLET $15.20 EEMT HS 0.625-1.25 MG TABLET $95.20

DORZOLAMIDE HCL 2% EYE DROPS $26.35 EFAVIRENZ 600 MG TABLET $838.95

DORZOLAMIDE-TIMOLOL EYE DROPS $31.65 EFFER-K 10 MEQ TABLET EFF $10.70

DOXAZOSIN MESYLATE 1 MG TAB $18.45 EFFEXOR XR 37.5 MG CAPSULE $394.60

DOXAZOSIN MESYLATE 2 MG TAB $14.45 EFFEXOR XR 75 MG CAPSULE $661.20

DOXAZOSIN MESYLATE 4 MG TAB $16.40 EFFIENT 10 MG TABLET $457.65

DOXAZOSIN MESYLATE 8 MG TAB $15.10 EGRIFTA 1 MG VIAL $5,036.90

DOXEPIN 10 MG CAPSULE $23.45 EMBRACE TEST STRIPS $243.40

DOXEPIN 10 MG/ML ORAL CONC $14.55 EMGALITY 120 MG/ML SYRINGE $703.70

DOXEPIN 100 MG CAPSULE $52.55 EMSAM 12 MG/24 HOURS PATCH $1,642.75



DROSP-EE-LEVOMEF 3-0.02-0.451 $136.85 EMTRIVA 200 MG CAPSULE $388.15

DROSP-EE-LEVOMEF 3-0.03-0.451 $141.60 ENBRACE HR SOFTGEL $200.05

DROSPIRENONE-EE 3-0.02 MG TAB $43.85 ENBREL 25 MG KIT $3,310.95

DROSPIRENONE-EE 3-0.03 MG TAB $58.55 ENBREL 25 MG/0.5 ML SYRINGE $4,465.05

DUAVEE 0.45-20 MG TABLET $175.80 ENTACAPONE 200 MG TABLET $137.10

DULERA 100 MCG/5 MCG INHALER $310.45 ENTECAVIR 0.5 MG TABLET $188.15

DULERA 200 MCG/5 MCG INHALER $310.35 ENTECAVIR 1 MG TABLET $200.85

DULOXETINE HCL DR 20 MG CAP $20.55 ENULOSE 10 GM/15 ML SOLUTION $14.55

DULOXETINE HCL DR 30 MG CAP $17.10 ENVARSUS XR 0.75 MG TABLET $330.70

DULOXETINE HCL DR 40 MG CAP $234.50 ENVARSUS XR 1 MG TABLET $597.45

DULOXETINE HCL DR 60 MG CAP $14.95 ENVARSUS XR 4 MG TABLET $1,573.70

DUPIXENT 300 MG/2 ML SYRINGE $2,953.95 EPITOL 200 MG TABLET $61.25

DUTASTERIDE 0.5 MG CAPSULE $100.50 EQ ASPIRIN 325 MG TABLET $0.30

DUTASTERIDE-TAMSULOSIN 0.5-0.4 $143.75 EQ ASPIRIN 81 MG CHEWABLE TAB $0.80

Page 14


DYANAVEL XR 2.5 MG/ML SUSP $375.50 EQUETRO 100 MG CAPSULE $231.40

EASY TOUCH PEN NEEDLE 31GX5/16 $22.50 EQUETRO 300 MG CAPSULE $146.80

EDARBI 80 MG TABLET $203.20 ERGOLOID MESYLATES 1 MG TAB $963.50

EDARBYCLOR 40-12.5 MG TABLET $191.80 ERIVEDGE 150 MG CAPSULE $9,277.75

EDARBYCLOR 40-25 MG TABLET $191.60 ERLOTINIB HCL 25 MG TABLET $4,652.20

EFFEXOR XR 150 MG CAPSULE $580.10 ESBRIET 801 MG TABLET $7,444.35

ELESTRIN 0.06% GEL $176.80 ESOMEPRAZOLE DR 49.3 MG CAP $241.30

ELINEST-28 TABLET $15.00 ESTRACE 1 MG TABLET $183.05

ELIQUIS 2.5 MG TABLET $396.15 ESTRACE 2 MG TABLET $209.70

ELIQUIS 5 MG TABLET $436.90 ESTRADIOL 0.0375 MG/DAY PATCH $73.60

EMGALITY 120 MG/ML PEN $648.50 ESTRADIOL 0.075 MG/DAY PATCH $73.35

EMOQUETTE 28 DAY TABLET $16.75 ESTRADIOL TDS 0.06 MG/DAY $72.15

ENALAPRIL MALEATE 10 MG TAB $11.80 ESTRADIOL TDS 0.075 MG/DAY $73.45

ENALAPRIL MALEATE 2.5 MG TAB $12.10 ESTRING 2 MG VAGINAL RING $451.55

ENALAPRIL MALEATE 20 MG TAB $16.35 ESTROPIPATE 0.625(0.75 MG) TAB $17.85

ENALAPRIL MALEATE 5 MG TABLET $15.05 ESTROSTEP FE-28 TABLET $188.20

ENALAPRIL-HCTZ 10-25 MG TABLET $22.60 ETHACRYNIC ACID 25 MG TABLET $675.05

ENALAPRIL-HCTZ 5-12.5 MG TAB $14.00 ETHYNODIOL-ETH ESTRA 1MG-50MCG $25.55

ENBREL 50 MG/ML MINI CARTRIDGE $5,043.40 ETODOLAC 200 MG CAPSULE $69.30

ENBREL 50 MG/ML SURECLICK $5,127.95 ETODOLAC ER 400 MG TABLET $114.80

ENBREL 50 MG/ML SYRINGE $5,078.15 ETODOLAC ER 600 MG TABLET $69.90

ENPRESSE-28 TABLET $17.75 EVEKEO 5 MG TABLET $293.45

ENSKYCE 28 TABLET $15.75 EVOTAZ 300 MG-150 MG TABLET $1,598.70

ENTRESTO 24 MG-26 MG TABLET $503.65 EXFORGE HCT 10-320-25 MG TAB $381.90

ENTRESTO 49 MG-51 MG TABLET $495.15 EXTAVIA 0.3 MG KIT $6,275.10

ENTRESTO 97 MG-103 MG TABLET $496.85 EZETIMIBE-SIMVASTATIN 10-10 MG $99.40

EPANED 1 MG/ML ORAL SOLUTION $397.25 EZETIMIBE-SIMVASTATIN 10-80 MG $90.50

EPIDIOLEX 100 MG/ML SOLUTION $1,367.50 FAMCICLOVIR 125 MG TABLET $8.90

EPLERENONE 25 MG TABLET $83.05 FANAPT 12 MG TABLET $2,309.55

EPLERENONE 50 MG TABLET $96.60 FANAPT 2 MG TABLET $1,035.75

EQ ASPIRIN EC 81 MG TABLET $0.40 FANAPT 4 MG TABLET $1,172.45

ERRIN 0.35 MG TABLET $14.50 FANAPT 6 MG TABLET $1,270.80

ESCITALOPRAM 10 MG TABLET $6.20 FANAPT 8 MG TABLET $1,365.20

ESCITALOPRAM 20 MG TABLET $7.75 FELBAMATE 400 MG TABLET $810.35

Page 15


ESCITALOPRAM 5 MG TABLET $13.45 FELBAMATE 600 MG TABLET $465.70

ESCITALOPRAM OXALATE 5 MG/5 ML $190.10 FELBAMATE 600 MG/5 ML SUSP $1,165.90

ESOMEPRAZOLE MAG DR 20 MG CAP $31.90 FELBATOL 400 MG TABLET $3,190.80

ESOMEPRAZOLE MAG DR 40 MG CAP $25.25 FELBATOL 600 MG TABLET $813.20

ESTARYLLA 0.25-0.035 MG TABLET $12.65 FELODIPINE ER 2.5 MG TABLET $38.25

ESTRACE 0.01% CREAM $343.65 FEMHRT 0.5 MG-2.5 MCG TABLET $156.95

ESTRADIOL 0.01% CREAM $230.10 FENOFIBRATE 150 MG CAPSULE $178.85

ESTRADIOL 0.025 MG PATCH $73.60 FENOFIBRATE 40 MG TABLET $227.85

ESTRADIOL 0.0375 MG PATCH $75.15 FENOFIBRATE 43 MG CAPSULE $49.00



ESTRADIOL 0.1 MG PATCH $81.30 FENOFIBRIC ACID 105 MG TABLET $75.50

ESTRADIOL 0.5 MG TABLET $7.20 FENOFIBRIC ACID DR 45 MG CAP $23.55

ESTRADIOL 1 MG TABLET $7.80 FETZIMA ER 20 MG CAPSULE $462.95

ESTRADIOL 10 MCG VAGINAL INSRT $174.15 FETZIMA ER 40 MG CAPSULE $389.90

ESTRADIOL 2 MG TABLET $10.75 FINE 30 UNIVERSAL 30G LANCETS $9.05

ESTRADIOL TDS 0.025 MG/DAY $77.45 FIRDAPSE 10 MG TABLET $42,658.40

ESTRADIOL TDS 0.0375 MG/DAY $73.30 FLAVOXATE HCL 100 MG TABLET $39.90

ESTRADIOL TDS 0.05 MG/DAY $71.05 FLOMAX 0.4 MG CAPSULE $232.30

ESTRADIOL TDS 0.1 MG/DAY $68.90 FLOVENT 50 MCG DISKUS $177.30

ESTRADIOL-NORETH 0.5-0.1 MG TB $99.65 FLUORABON 0.25 MG/0.6 ML DROPS $7.95

ESTRADIOL-NORETH 1-0.5 MG TAB $113.50 FLUOXETINE DR 90 MG CAPSULE $149.65

ESTROGEL 0.06% GEL $121.25 FLUPHENAZINE 1 MG TABLET $89.85

ESTROGEN-METHYLTESTOS F.S. TAB $113.90 FLUPHENAZINE 10 MG TABLET $42.15

ESTROGEN-METHYLTESTOS H.S. TAB $116.55 FLUPHENAZINE 2.5 MG TABLET $18.90

ETHOSUXIMIDE 250 MG CAPSULE $128.25 FLUPHENAZINE 5 MG TABLET $279.25

ETHOSUXIMIDE 250 MG/5 ML SOLN $112.25 FLURA-DROPS 0.25 MG/DROP $6.95

ETHYNODIOL-ETH ESTRA 1MG-35MCG $21.05 FLUTAMIDE 125 MG CAPSULE $25.45

ETODOLAC 300 MG CAPSULE $60.00 FLUVASTATIN ER 80 MG TABLET $160.50

ETODOLAC 400 MG TABLET $53.05 FLUVASTATIN SODIUM 20 MG CAP $124.35

ETODOLAC 500 MG TABLET $67.35 FLUVASTATIN SODIUM 40 MG CAP $113.10

ETODOLAC ER 500 MG TABLET $87.10 FLUVOXAMINE ER 150 MG CAPSULE $282.35

EVAMIST 1.53 MG/SPRAY $126.55 FOCALIN 10 MG TABLET $104.05

EVEKEO 10 MG TABLET $436.40 FOCALIN 2.5 MG TABLET $57.45

Page 16


EXEMESTANE 25 MG TABLET $314.40 FOCALIN 5 MG TABLET $24.15

EZETIMIBE 10 MG TABLET $60.95 FOCALIN XR 10 MG CAPSULE $399.95

EZETIMIBE-SIMVASTATIN 10-20 MG $175.80 FOCALIN XR 20 MG CAPSULE $499.80

EZETIMIBE-SIMVASTATIN 10-40 MG $192.90 FOCALIN XR 25 MG CAPSULE $305.90

FALMINA-28 TABLET $12.15 FOCALIN XR 30 MG CAPSULE $368.65

FAMCICLOVIR 250 MG TABLET $48.55 FOCALIN XR 35 MG CAPSULE $433.05

FAMCICLOVIR 500 MG TABLET $19.25 FOCALIN XR 40 MG CAPSULE $249.90

FAMOTIDINE 40 MG TABLET $6.05 FOCALIN XR 5 MG CAPSULE $292.05

FAMOTIDINE 40 MG/5 ML SUSP $270.75 FOLIC ACID 400 MCG TABLET $0.25

FARXIGA 10 MG TABLET $489.10 FORTESTA 10 MG GEL PUMP $413.00

FARXIGA 5 MG TABLET $487.25 FOSAMAX 70 MG TABLET $128.00

FELODIPINE ER 10 MG TABLET $37.45 FOSAMPRENAVIR 700 MG TABLET $1,368.25

FELODIPINE ER 5 MG TABLET $39.75 FOSINOPRIL SODIUM 10 MG TAB $10.15

FEMYNOR 28 TABLET $12.15 FOSINOPRIL-HCTZ 10-12.5 MG TAB $44.05

FENOFIBRATE 120 MG TABLET $732.20 FOSINOPRIL-HCTZ 20-12.5 MG TAB $57.65

FENOFIBRATE 130 MG CAPSULE $164.50 FREESTYLE FREEDOM LITE METER $14.95

FENOFIBRATE 134 MG CAPSULE $30.65 FREESTYLE LITE METER $15.70

FENOFIBRATE 145 MG TABLET $18.50 FREESTYLE PREC NEO TEST STRIPS $63.90

FENOFIBRATE 160 MG TABLET $17.30 FREESTYLE UNISTIK 2 LANCETS $43.50

FENOFIBRATE 200 MG CAPSULE $38.85 FYCOMPA 10 MG TABLET $956.35

FENOFIBRATE 48 MG TABLET $40.95 FYCOMPA 2 MG TABLET $1,053.05

FENOFIBRATE 54 MG TABLET $19.10 FYCOMPA 4 MG TABLET $1,638.90

FENOFIBRIC ACID DR 135 MG CAP $42.75 FYCOMPA 6 MG TABLET $956.35

FETZIMA ER 120 MG CAPSULE $391.75 FYCOMPA 8 MG TABLET $956.35

FETZIMA ER 80 MG CAPSULE $391.65 GALAFOLD 123 MG CAPSULE $27,208.80

FIASP 100 UNIT/ML FLEXTOUCH $722.30 GALANTAMINE ER 24 MG CAPSULE $57.55

FIASP 100 UNIT/ML VIAL $674.30 GALANTAMINE ER 8 MG CAPSULE $52.20

FINASTERIDE 5 MG TABLET $7.75 GENERESS FE CHEWABLE TABLET $163.50

FLECAINIDE ACETATE 100 MG TAB $29.35 GENGRAF 100 MG CAPSULE $178.60

FLECAINIDE ACETATE 150 MG TAB $60.80 GENGRAF 25 MG CAPSULE $145.70

FLECAINIDE ACETATE 50 MG TAB $25.15 GENOTROPIN 5 MG CARTRIDGE $2,970.30

FLOVENT 100 MCG DISKUS $186.45 GENOTROPIN MINIQUICK 0.2 MG $109.65

FLOVENT 250 MCG DISKUS $287.85 GENOTROPIN MINIQUICK 0.4 MG $1,461.00

FLOVENT HFA 110 MCG INHALER $249.40 GENOTROPIN MINIQUICK 1 MG $3,687.60

Page 17


FLOVENT HFA 220 MCG INHALER $391.75 GENOTROPIN MINIQUICK 1.2 MG $4,786.15

FLOVENT HFA 44 MCG INHALER $186.70 GENOTROPIN MINIQUICK 1.4 MG $5,741.55

FLUDROCORTISONE 0.1 MG TABLET $18.75 GENOTROPIN MINIQUICK 1.6 MG $6,561.50

FLUNISOLIDE 0.025% SPRAY $64.75 GENOTROPIN MINIQUICK 1.8 MG $6,637.60

FLUORIDE 0.25 MG TABLET CHEW $3.60 GENOTROPIN MINIQUICK 2 MG $7,374.95

FLUORIDE 0.5 MG TABLET CHEW $3.50 GEODON 80 MG CAPSULE $1,046.30

FLUORIDE 1 MG TABLET CHEWABLE $3.55 GILOTRIF 40 MG TABLET $8,666.25

FLUOXETINE 20 MG/5 ML SOLUTION $37.70 GLATIRAMER 40 MG/ML SYRINGE $4,593.10

FLUOXETINE HCL 10 MG CAPSULE $5.55 GLATOPA 20 MG/ML SYRINGE $4,739.55

FLUOXETINE HCL 10 MG TABLET $33.25 GLEEVEC 100 MG TABLET $6,388.60

FLUOXETINE HCL 20 MG CAPSULE $7.05 GLEEVEC 400 MG TABLET $9,802.20

FLUOXETINE HCL 20 MG TABLET $91.50 GLIPIZIDE XL 2.5 MG TABLET $14.10

FLUOXETINE HCL 40 MG CAPSULE $8.25 GLIPIZIDE-METFORMIN 2.5-500 MG $29.10

FLUOXETINE HCL 60 MG TABLET $199.00 GLUCOCARD EXPRESSION TEST STRP $18.00

FLUTICASONE PROP 50 MCG SPRAY $8.45 GLUMETZA ER 1,000 MG TABLET $6,537.60

FLUTICASONE-SALMETEROL 100-50 $162.85 GLYBURIDE MICRO 1.5 MG TAB $8.15

FLUTICASONE-SALMETEROL 113-14 $95.50 GLYBURIDE MICRO 3 MG TABLET $12.30

FLUTICASONE-SALMETEROL 232-14 $94.80 GLYBURIDE MICRO 6 MG TABLET $11.65

FLUTICASONE-SALMETEROL 250-50 $202.70 GLYBURID-METFORMIN 1.25-250 MG $4.95

FLUTICASONE-SALMETEROL 500-50 $268.95 GLYCATE 1.5 MG TABLET $466.15

FLUTICASONE-SALMETEROL 55-14 $93.05 GOCOVRI ER 137 MG CAPSULE $2,221.25

FLUVOXAMINE ER 100 MG CAPSULE $358.30 GRASTEK 2,800 BAU SL TABLET $305.30

FLUVOXAMINE MALEATE 100 MG TAB $39.90 GS ASPIRIN 81 MG CHEWABLE TAB $1.40

FLUVOXAMINE MALEATE 25 MG TAB $20.30 GS ASPIRIN EC 81 MG TABLET $0.85

FLUVOXAMINE MALEATE 50 MG TAB $28.45 HAILEY 24 FE 1 MG-20 MCG TAB $43.05

FOCALIN XR 15 MG CAPSULE $363.30 HALOPERIDOL 0.5 MG TABLET $11.60

FOLIC ACID 1 MG TABLET $3.40 HALOPERIDOL 1 MG TABLET $13.20

FORFIVO XL 450 MG TABLET $445.10 HALOPERIDOL 10 MG TABLET $37.05

FORTEO 600 MCG/2.4 ML PEN INJ $3,316.35 HALOPERIDOL 2 MG TABLET $13.55

FOSINOPRIL SODIUM 20 MG TAB $18.80 HALOPERIDOL 20 MG TABLET $69.00

FOSINOPRIL SODIUM 40 MG TAB $18.20 HALOPERIDOL DEC 100 MG/ML VIAL $41.20

FREESTYLE 28G LANCETS $9.15 HALOPERIDOL LAC 2 MG/ML CONC $9.80

FREESTYLE LITE TEST STRIP $217.15 HEALTHY ACCENTS PENTIP 5MM 31G $21.70

FREESTYLE TEST STRIPS $286.40 HETLIOZ 20 MG CAPSULE $15,544.60

Page 18


FUROSEMIDE 10 MG/ML SOLUTION $7.45 HM ASPIRIN 81 MG CHEWABLE TAB $2.15

FUROSEMIDE 20 MG TABLET $4.50 HM ASPIRIN EC 325 MG TABLET $1.00

FUROSEMIDE 40 MG TABLET $4.80 HM ASPIRIN EC 81 MG TABLET $1.55

FUROSEMIDE 80 MG TABLET $5.70 HOMATROPAIRE 5% EYE DROPS $18.00

FYAVOLV 0.5 MG-2.5 MCG TABLET $78.45 HORIZANT ER 300 MG TABLET $739.10

FYAVOLV 1 MG-5 MCG TABLET $66.90 HUMALOG MIX 50-50 KWIKPEN $1,335.05

GABAPENTIN 100 MG CAPSULE $7.50 HUMALOG MIX 50-50 VIAL $1,559.40

GABAPENTIN 250 MG/5 ML SOLN $42.15 HUMALOG MIX 75-25 VIAL $630.50

GABAPENTIN 300 MG CAPSULE $11.40 HUMIRA PEN CROHN-UC-HS 40 MG $15,134.45

GABAPENTIN 400 MG CAPSULE $13.90 HUMIRA(CF) 10 MG/0.1 ML SYRING $5,091.60

GABAPENTIN 600 MG TABLET $21.15 HUMIRA(CF) 20 MG/0.2 ML SYRING $5,003.80

GABAPENTIN 800 MG TABLET $24.90 HUMULIN R 500 UNITS/ML VIAL $1,745.20

GEMFIBROZIL 600 MG TABLET $12.30 HYOSCYAMINE SR 0.375 MG TAB $27.60

GENERLAC 10 GM/15 ML SOLUTION $14.70 HYOSYNE 0.125 MG/ML DROP $18.05

GENOTROPIN 12 MG CARTRIDGE $8,739.65 HYOSYNE 125 MCG/5 ML ELIXIR $9.75

GENVOYA TABLET $2,988.85 HYZAAR 100-25 TABLET $122.95

GIANVI 3 MG-0.02 MG TABLET $44.35 IBRANCE 100 MG CAPSULE $11,631.05

GILENYA 0.5 MG CAPSULE $7,720.10 IBRANCE 75 MG CAPSULE $11,466.10

GLIMEPIRIDE 1 MG TABLET $6.55 ICLUSIG 15 MG TABLET $34,381.40

GLIMEPIRIDE 2 MG TABLET $9.85 ILUMYA 100 MG/ML SYRINGE $13,394.00

GLIMEPIRIDE 4 MG TABLET $14.55 IMATINIB MESYLATE 100 MG TAB $3,732.90

GLIPIZIDE 10 MG TABLET $5.35 IMBRUVICA 280 MG TABLET $12,532.25

GLIPIZIDE 5 MG TABLET $7.35 IMBRUVICA 420 MG TABLET $12,532.25

GLIPIZIDE ER 10 MG TABLET $23.70 IMIPRAMINE HCL 10 MG TABLET $9.80

GLIPIZIDE ER 2.5 MG TABLET $11.45 IMIPRAMINE PAMOATE 100 MG CAP $248.40

GLIPIZIDE ER 5 MG TABLET $9.50 IMIPRAMINE PAMOATE 75 MG CAP $326.85

GLIPIZIDE XL 10 MG TABLET $14.25 IMVEXXY 4 MCG MAINTENANCE PACK $187.00

GLIPIZIDE XL 5 MG TABLET $9.30 INBRIJA 42 MG INHALATION CAP $1,681.80

GLIPIZIDE-METFORMIN 5-500 MG $22.90 INCONTROL PEN NEEDLE 4MM 32G $18.80

GLYBURIDE 1.25 MG TABLET $8.30 INCONTROL PEN NEEDLE 6MM 31G $18.80

GLYBURIDE 2.5 MG TABLET $11.30 INCONTROL SUPER THIN 30G LANCT $5.40

GLYBURIDE 5 MG TABLET $13.85 INDERAL LA 120 MG CAPSULE $2,084.65

GLYBURIDE-METFORMIN 2.5-500 MG $20.30 INDERAL LA 160 MG CAPSULE $2,125.70

GLYBURIDE-METFORMIN 5-500 MG $8.25 INDERAL XL 80 MG CAPSULE $1,852.60

Page 19


GLYCOPYRROLATE 1 MG TABLET $34.55 INFINITY METER KIT $49.25

GLYCOPYRROLATE 2 MG TABLET $52.45 INFINITY TEST STRIPS $221.50

GLYXAMBI 10 MG-5 MG TABLET $535.20 INGREZZA 40 MG CAPSULE $12,415.25

GLYXAMBI 25 MG-5 MG TABLET $539.50 INGREZZA 80 MG CAPSULE $6,720.75

GUANFACINE 1 MG TABLET $21.55 INLYTA 5 MG TABLET $14,913.80

GUANFACINE 2 MG TABLET $23.40 INNOPRAN XL 80 MG CAPSULE $1,695.00

GUANFACINE HCL ER 1 MG TABLET $26.85 INSULIN 1 ML SYRINGE $28.40

GUANFACINE HCL ER 2 MG TABLET $23.30 INSULIN 1/2 ML SYRINGE $14.70

GUANFACINE HCL ER 3 MG TABLET $25.45 INSULIN 3/10 ML SYRINGE $20.65

GUANFACINE HCL ER 4 MG TABLET $35.85 INSULIN LISPRO 100 UNIT/ML PEN $347.40

HALOPERIDOL 5 MG TABLET $27.05 INSULIN SYRIN 0.3 ML 31GX5/16" $17.35

HEATHER 0.35 MG TABLET $14.45 INSULIN SYRIN 0.5 ML 29GX1/2" $117.50

HOMATROPINE 5% EYE DROPS $35.55 INSULIN SYRIN 0.5 ML 30GX5/16" $12.00

HORIZANT ER 600 MG TABLET $586.85 INSULIN SYRIN 0.5 ML 31GX5/16" $21.10

HUMALOG 100 UNIT/ML VIAL $661.40 INSULIN SYRINGE 1 ML 29GX1/2" $4.10

HUMALOG 100 UNITS/ML CARTRIDGE $625.20 INSULIN SYRINGE 1 ML 30GX1/2" $59.15

HUMALOG 100 UNITS/ML KWIKPEN $602.45 INSUPEN 30G ULTRAFIN NEEDLE $25.00

HUMALOG 200 UNITS/ML KWIKPEN $923.85 INTELENCE 200 MG TABLET $1,318.05

HUMALOG JR 100 UNIT/ML KWIKPEN $434.55 INTUNIV ER 3 MG TABLET $290.85

HUMALOG MIX 75-25 KWIKPEN $774.40 INTUNIV ER 4 MG TABLET $290.85

HUMIRA 40 MG/0.8 ML SYRINGE $5,676.45 INVEGA ER 1.5 MG TABLET $1,173.90

HUMIRA PEN 40 MG/0.8 ML $5,847.95 INVEGA ER 3 MG TABLET $1,173.90

HUMIRA PEN PS-UV-ADOL HS 40 MG $9,965.50 INVEGA ER 6 MG TABLET $1,173.90

HUMIRA(CF) 40 MG/0.4 ML SYRING $5,717.30 INVOKAMET 150-500 MG TABLET $432.40

HUMIRA(CF) PEN 40 MG/0.4 ML $5,847.50 INVOKAMET 50-1,000 MG TABLET $457.25

HUMULIN 70/30 KWIKPEN $508.95 INVOKAMET 50-500 MG TABLET $466.95

HUMULIN 70-30 VIAL $308.35 INVOKAMET XR 150-500 MG TABLET $397.95

HUMULIN N 100 UNIT/ML VIAL $181.05 INVOKAMET XR 50-1,000 MG TAB $376.95

HUMULIN N 100 UNITS/ML KWIKPEN $419.70 INVOKAMET XR 50-500 MG TABLET $243.60

HUMULIN R 100 UNIT/ML VIAL $196.25 ISENTRESS HD 600 MG TABLET $1,490.90

HUMULIN R 500 UNITS/ML KWIKPEN $1,693.25 ISOPTO ATROPINE 1% EYE DROP $60.50

HYDRALAZINE 10 MG TABLET $10.70 ISOSORBIDE DINITRATE 10 MG TAB $38.30

HYDRALAZINE 100 MG TABLET $13.15 ISOSORBIDE DINITRATE 5 MG TAB $49.50

HYDRALAZINE 25 MG TABLET $10.30 ISOSORBIDE MONONIT 10 MG TAB $23.45

Page 20


HYDRALAZINE 50 MG TABLET $7.45 ISOSORBIDE MONONIT 20 MG TAB $7.30

HYDROCHLOROTHIAZIDE 12.5 MG CP $4.20 ISOSORBIDE MONONIT ER 120 MG $21.05

HYDROCHLOROTHIAZIDE 12.5 MG TB $8.05 ISRADIPINE 2.5 MG CAPSULE $97.75

HYDROCHLOROTHIAZIDE 25 MG TAB $2.70 ISRADIPINE 5 MG CAPSULE $99.55

HYDROCHLOROTHIAZIDE 50 MG TAB $4.15 JADENU 180 MG TABLET $14,350.85

HYDROCORTISONE 10 MG TABLET $36.60 JAKAFI 10 MG TABLET $12,166.20



HYDROXYCHLOROQUINE 200 MG TAB $35.05 JAKAFI 25 MG TABLET $12,744.15

HYDROXYUREA 500 MG CAPSULE $27.30 JAKAFI 5 MG TABLET $12,885.70

HYOSCYAMINE 0.125 MG ODT $17.80 JANTOVEN 1 MG TABLET $8.40

HYOSCYAMINE 0.125 MG TAB SL $28.65 JANTOVEN 10 MG TABLET $7.55

HYOSCYAMINE ER 0.375 MG TAB $37.05 JANTOVEN 2 MG TABLET $16.95

HYOSCYAMINE SULF 0.125 MG TAB $22.60 JANTOVEN 2.5 MG TABLET $8.90

IBANDRONATE SODIUM 150 MG TAB $28.50 JANTOVEN 3 MG TABLET $6.40

IBRANCE 125 MG CAPSULE $11,521.15 JANTOVEN 4 MG TABLET $7.95

IBU 400 MG TABLET $5.15 JANTOVEN 5 MG TABLET $9.90

IBU 600 MG TABLET $5.40 JANTOVEN 7.5 MG TABLET $6.35

IBU 800 MG TABLET $7.75 JASMIEL 3 MG-0.02 MG TABLET $44.20

IBUPROFEN 400 MG TABLET $4.85 JENTADUETO 2.5 MG-1000 MG TAB $405.30



IMATINIB MESYLATE 400 MG TAB $7,189.05 JENTADUETO XR 2.5 MG-1,000 MG $362.55

IMBRUVICA 140 MG CAPSULE $9,092.80 JENTADUETO XR 5 MG-1,000 MG TB $434.90

IMIPRAMINE HCL 25 MG TABLET $9.55 JEVANTIQUE LO 0.5 MG-2.5 MCG $76.60

IMIPRAMINE HCL 50 MG TABLET $17.15 JINTELI 1 MG-5 MCG TABLET $67.10

IMVEXXY 10 MCG MAINTENANCE PAK $182.65 JORNAY PM 40 MG CAPSULE $362.85

INCRUSE ELLIPTA 62.5 MCG INH $332.90 JULUCA 50-25 MG TABLET $2,634.05

INDAPAMIDE 1.25 MG TABLET $12.10 JYNARQUE 60 MG-30 MG TABLET $14,165.90

INDAPAMIDE 2.5 MG TABLET $12.10 JYNARQUE 90 MG-30 MG TABLET $14,214.25

INSULIN SYRINGE 1 ML 31GX5/16" $17.15 KALETRA 200-50 MG TABLET $1,004.00

INVOKAMET 150-1,000 MG TABLET $467.05 KALYDECO 150 MG TABLET $23,385.60

INVOKAMET XR 150-1,000 MG TAB $443.45 KALYDECO 50 MG GRANULES PACKET $23,227.05

INVOKANA 100 MG TABLET $486.05 KALYDECO 75 MG GRANULES PACKET $23,657.45

Page 21


INVOKANA 300 MG TABLET $489.90 KAPSPARGO SPRINKLE 25 MG CAP $35.40

IPRAT-ALBUT 0.5-3(2.5) MG/3 ML $16.00 KAPVAY ER 0.1 MG TABLET $880.60

IPRATROPIUM 0.03% SPRAY $43.40 KEPPRA 100 MG/ML ORAL SOLN $1,208.85

IPRATROPIUM BR 0.02% SOLN $11.20 KEPPRA 500 MG TABLET $1,097.95

IRBESARTAN 150 MG TABLET $11.70 KEPPRA 750 MG TABLET $637.25

IRBESARTAN 300 MG TABLET $12.95 KEPPRA XR 500 MG TABLET $919.85

IRBESARTAN 75 MG TABLET $28.90 KEPPRA XR 750 MG TABLET $1,279.80

IRBESARTAN-HCTZ 150-12.5 MG TB $36.05 KETOSTIX REAGENT STRIP $11.65

IRBESARTAN-HCTZ 300-12.5 MG TB $14.00 KEVEYIS 50 MG TABLET $10,835.10

ISENTRESS 400 MG TABLET $1,410.70 KEVZARA 150 MG/1.14 ML PEN INJ $3,290.35

ISIBLOOM 28 DAY TABLET $16.45 KEVZARA 200 MG/1.14 ML PEN INJ $3,290.25

ISOSORBIDE DINITRATE 20 MG TAB $95.65 KINERET 100 MG/0.67 ML SYRINGE $3,562.35

ISOSORBIDE DINITRATE 30 MG TAB $63.55 KISQALI 200 MG DAILY DOSE $4,851.55

ISOSORBIDE MONONIT ER 30 MG TB $6.75 KISQALI 600 MG DAILY DOSE $12,337.25

ISOSORBIDE MONONIT ER 60 MG TB $8.45 KITABIS PAK 300 MG/5 ML $4,678.05

JANUMET 50-1,000 MG TABLET $436.95 KLONOPIN 1 MG TABLET $260.35

JANUMET 50-500 MG TABLET $446.60 KLOR-CON 20 MEQ PACKET $155.20

JANUMET XR 100-1,000 MG TABLET $447.70 KLOR-CON 8 MEQ TABLET $14.95

JANUMET XR 50-1,000 MG TABLET $419.95 KLOR-CON M15 TABLET $36.00

JANUMET XR 50-500 MG TABLET $282.60 KLOR-CON SPRINKLE ER 10 MEQ CP $36.90

JANUVIA 100 MG TABLET $447.50 KLOR-CON-EF 25 MEQ TAB EFF $29.30

JANUVIA 25 MG TABLET $449.50 KOMBIGLYZE XR 5-1,000 MG TAB $419.30

JANUVIA 50 MG TABLET $447.00 KOMBIGLYZE XR 5-500 MG TABLET $419.30

JARDIANCE 10 MG TABLET $489.95 KORLYM 300 MG TABLET $21,869.35

JARDIANCE 25 MG TABLET $488.90 KRISTALOSE 10 GM PACKET $459.60

JENCYCLA 0.35 MG TABLET $9.30 KRISTALOSE 20 GM PACKET $238.50

JOLIVETTE TABLET $14.50 KRO ASPIRIN 325 MG TABLET $1.15

JULEBER 28 DAY TABLET $16.55 KRO ASPIRIN 81 MG CHEWABLE TAB $3.25

JUNEL 1 MG-20 MCG TABLET $17.30 K-TAB ER 10 MEQ TABLET $24.15

JUNEL 1.5 MG-30 MCG TABLET $21.05 K-TAB ER 20 MEQ TABLET $25.50

JUNEL FE 1 MG-20 MCG TABLET $14.35 KUVAN 100 MG POWDER PACKET $2,512.15

JUNEL FE 1.5 MG-30 MCG TABLET $14.00 KUVAN 100 MG TABLET $10,911.15

JUNEL FE 24 TABLET $42.70 KUVAN 500 MG POWDER PACKET $16,051.05

JYNARQUE 45 MG-15 MG TABLET $14,167.55 LAMICTAL 100 MG TABLET $1,888.55

Page 22


KAITLIB FE CHEWABLE TABLET $100.55 LAMICTAL 150 MG TABLET $1,517.45

KARIVA 28 DAY TABLET $37.55 LAMICTAL 200 MG TABLET $1,136.55

KELNOR 1-35 28 TABLET $20.95 LAMICTAL 25 MG TABLET $4,196.10

KELNOR 1-50 TABLET $27.10 LAMICTAL ODT 100 MG TABLET $1,100.10

KLOR-CON 10 MEQ TABLET $16.15 LAMICTAL ODT 200 MG TABLET $875.30

KLOR-CON M10 TABLET $20.35 LAMICTAL ODT 50 MG TABLET $440.75

KLOR-CON M20 TABLET $22.65 LAMICTAL XR 100 MG TABLET $1,581.60

KOMBIGLYZE XR 2.5-1,000 MG TAB $375.10 LAMICTAL XR 200 MG TABLET $1,629.05

KURVELO TABLET $13.75 LAMICTAL XR 250 MG TABLET $966.05

LABETALOL HCL 100 MG TABLET $18.45 LAMICTAL XR 300 MG TABLET $1,150.15

LABETALOL HCL 200 MG TABLET $25.25 LAMICTAL XR 50 MG TABLET $4,025.65

LABETALOL HCL 300 MG TABLET $31.65 LAMIVUDINE 150 MG TABLET $60.65

LACTULOSE 10 GM/15 ML SOLUTION $17.45 LAMIVUDINE 300 MG TABLET $140.15

LACTULOSE 10 GM/15 ML SOLUTION $18.60 LAMIVUDINE-ZIDOVUDINE TABLET $207.95

LAMOTRIGINE 100 MG TABLET $7.35 LAMOTRIGINE 5 MG DISPER TABLET $15.25

LAMOTRIGINE 150 MG TABLET $6.15 LAMOTRIGINE ER 25 MG TABLET $134.05

LAMOTRIGINE 200 MG TABLET $6.95 LAMOTRIGINE ER 250 MG TABLET $680.45

LAMOTRIGINE 25 MG DISPER TAB $59.35 LAMOTRIGINE ODT 100 MG TABLET $339.00

LAMOTRIGINE 25 MG TABLET $7.25 LAMOTRIGINE ODT 200 MG TABLET $542.15

LAMOTRIGINE ER 100 MG TABLET $400.00 LAMOTRIGINE ODT 25 MG TABLET $183.20

LAMOTRIGINE ER 200 MG TABLET $305.35 LAMOTRIGINE ODT 50 MG TABLET $271.45

LAMOTRIGINE ER 300 MG TABLET $326.25 LANCETS 30G $14.85

LAMOTRIGINE ER 50 MG TABLET $704.75 LANOXIN 125 MCG TABLET $27.50

LANSOPRAZOLE DR 15 MG CAPSULE $41.90 LANTHANUM CARB 1,000 MG TB CHW $812.85

LANSOPRAZOLE DR 30 MG CAPSULE $17.40 LANTHANUM CARB 750 MG TAB CHEW $985.35

LANSOPRAZOLE ODT 15 MG TABLET $404.65 LASIX 20 MG TABLET $22.80

LANSOPRAZOLE ODT 30 MG TABLET $417.30 LASIX 40 MG TABLET $26.60

LANTUS 100 UNIT/ML VIAL $417.95 LEENA 28 TABLET $53.45

LANTUS SOLOSTAR 100 UNIT/ML $402.30 LENVIMA 10 MG DAILY DOSE $17,379.75

LARIN 1.5 MG-30 MCG TABLET $21.05 LENVIMA 18 MG DAILY DOSE $17,379.60

LARIN 21 1-20 TABLET $16.75 LETAIRIS 10 MG TABLET $9,431.75

LARIN 24 FE 1 MG-20 MCG TABLET $42.25 LETAIRIS 5 MG TABLET $9,386.80

LARIN FE 1.5-30 TABLET $13.95 LEUPROLIDE 2WK 1 MG/0.2 ML KIT $559.00

LARIN FE 1-20 TABLET $14.60 LEVALBUTEROL 0.31 MG/3 ML SOL $162.00

Page 23


LARISSIA-28 TABLET $12.15 LEVALBUTEROL CONC 1.25 MG/0.5 $295.75

LATANOPROST 0.005% EYE DROPS $20.00 LEVBID ER 0.375 MG TABLET $244.55

LATUDA 120 MG TABLET $1,704.00 LEVITRA 10 MG TABLET $247.45

LATUDA 20 MG TABLET $1,161.65 LEVITRA 20 MG TABLET $267.40

LATUDA 40 MG TABLET $1,192.35 LEVOBUNOLOL 0.5% EYE DROPS $5.30

LATUDA 60 MG TABLET $1,195.25 LEVOXYL 112 MCG TABLET $33.25

LATUDA 80 MG TABLET $1,342.30 LEVOXYL 125 MCG TABLET $29.95

LAYOLIS FE CHEWABLE TABLET $101.45 LEVOXYL 137 MCG TABLET $38.45

LEFLUNOMIDE 10 MG TABLET $131.05 LEVOXYL 150 MCG TABLET $32.15

LEFLUNOMIDE 20 MG TABLET $134.35 LEVOXYL 175 MCG TABLET $38.05

LESSINA-28 TABLET $12.10 LEVOXYL 200 MCG TABLET $39.15

LETROZOLE 2.5 MG TABLET $10.50 LEVOXYL 50 MCG TABLET $24.85

LEUPROLIDE 2WK 14 MG/2.8 ML KT $749.45 LEVOXYL 88 MCG TABLET $27.15

LEVALBUTEROL 0.63 MG/3 ML SOL $80.65 LEVSIN 0.125 MG TABLET $56.30

LEVALBUTEROL 1.25 MG/3 ML SOL $72.80 LEVSIN-SL 0.125 MG TABLET SL $54.70

LEVALBUTEROL TAR HFA 45MCG INH $58.65 LEXAPRO 10 MG TABLET $337.05

LEVEMIR 100 UNIT/ML VIAL $567.05 LEXAPRO 20 MG TABLET $325.30

LEVEMIR FLEXTOUCH 100 UNIT/ML $412.65 LEXAPRO 5 MG TABLET $289.50

LEVETIRACETAM 1,000 MG TABLET $32.75 LIALDA DR 1.2 GM TABLET $1,058.10

LEVETIRACETAM 100 MG/ML SOLN $17.75 LIPITOR 10 MG TABLET $275.80

LEVETIRACETAM 250 MG TABLET $19.85 LIPITOR 20 MG TABLET $458.25



LEVETIRACETAM ER 500 MG TABLET $61.10 LITE TOUCH PEN NEEDLE 31G $23.15

LEVETIRACETAM ER 750 MG TABLET $77.90 LITHIUM 8 MEQ/5 ML SOLUTION $90.35

LEVOCARNITINE 1 G/10 ML SOLN $100.65 LOESTRIN 21 1-20 TABLET $132.40

LEVOCARNITINE 330 MG TABLET $87.95 LOESTRIN FE 1.5-30 TABLET $132.40

LEVONEST-28 TABLET $17.90 LOESTRIN FE 1-20 TABLET $120.05

LEVONOR-ETH ESTRA 0.09-0.02 MG $49.60 LOKELMA 10 GRAM POWDER PACKET $652.75

LEVONOR-ETH ESTRAD 0.1-0.02 MG $12.20 LONHALA MAGNAIR 25 MCG REFILL $1,128.35

LEVONOR-ETH ESTRAD 0.15-0.03 $13.30 LOPRESSOR 50 MG TABLET $71.65

LEVONOR-ETH ESTRAD TRIPHASIC $17.60 LORBRENA 100 MG TABLET $16,223.00

LEVORA-28 TABLET $13.75 LORBRENA 25 MG TABLET $16,223.10

LEVOTHYROXINE 100 MCG TABLET $12.75 LOTREL 5-20 MG CAPSULE $599.50

Page 24


LEVOTHYROXINE 112 MCG TABLET $14.70 LOVAZA 1 GM CAPSULE $202.95

LEVOTHYROXINE 125 MCG TABLET $14.70 LOW DOSE ASPIRIN EC 81 MG TAB $1.60

LEVOTHYROXINE 137 MCG TABLET $14.55 LOXAPINE 25 MG CAPSULE $62.20

LEVOTHYROXINE 150 MCG TABLET $15.05 LOXAPINE 50 MG CAPSULE $165.05

LEVOTHYROXINE 175 MCG TABLET $17.20 LUDENT FLUORIDE 0.25 MG TB CHW $1.70

LEVOTHYROXINE 200 MCG TABLET $16.75 LUDENT FLUORIDE 0.5 MG TB CHEW $1.30

LEVOTHYROXINE 25 MCG TABLET $10.75 LUDENT FLUORIDE 1 MG TAB CHEW $1.55

LEVOTHYROXINE 300 MCG TABLET $23.00 LUPRON DEPOT 7.5 MG KIT $1,534.40

LEVOTHYROXINE 50 MCG TABLET $11.60 LUPRON DEPOT-PED 15 MG KIT $3,081.00

LEVOTHYROXINE 75 MCG TABLET $11.85 LYNPARZA 100 MG TABLET $10,050.75

LEVOTHYROXINE 88 MCG TABLET $11.95 LYNPARZA 150 MG TABLET $12,121.30

LEVOXYL 100 MCG TABLET $27.50 LYRICA CR 165 MG TABLET $401.15

LEVOXYL 75 MCG TABLET $26.90 LYRICA CR 330 MG TABLET $401.15

LILLOW-28 TABLET $13.75 LYSODREN 500 MG TABLET $681.25

LINZESS 145 MCG CAPSULE $431.25 MAPROTILINE 25 MG TABLET $35.35

LINZESS 290 MCG CAPSULE $426.00 MATZIM LA 180 MG TABLET $79.40

LINZESS 72 MCG CAPSULE $420.70 MATZIM LA 300 MG TABLET $108.70

LIOTHYRONINE SOD 25 MCG TAB $33.25 MATZIM LA 420 MG TABLET $120.85

LIOTHYRONINE SOD 5 MCG TAB $34.30 MEDROXYPROGESTERONE 150 MG/ML $80.90

LIOTHYRONINE SOD 50 MCG TAB $47.70 MEGESTROL 625 MG/5 ML SUSP $486.05

LISINOPRIL 10 MG TABLET $4.15 MEKINIST 0.5 MG TABLET $6,695.80

LISINOPRIL 2.5 MG TABLET $4.05 MEKINIST 2 MG TABLET $11,083.95

LISINOPRIL 20 MG TABLET $4.35 MEMANTINE HCL ER 14 MG CAPSULE $257.80



LISINOPRIL 5 MG TABLET $4.10 MENEST 0.3 MG TABLET $38.20

LISINOPRIL-HCTZ 10-12.5 MG TAB $4.15 MENEST 0.625 MG TABLET $75.25

LISINOPRIL-HCTZ 20-12.5 MG TAB $4.95 MENEST 1.25 MG TABLET $73.50

LISINOPRIL-HCTZ 20-25 MG TAB $4.20 MESALAMINE DR 400 MG CAPSULE $470.30

LITHIUM CARBONATE 150 MG CAP $8.30 MESTINON 180 MG TIMESPAN $1,023.85

LITHIUM CARBONATE 300 MG CAP $8.05 MESTINON 60 MG TABLET $1,824.60

LITHIUM CARBONATE 300 MG TAB $15.20 MESTINON 60 MG/5 ML SYRUP $1,390.20

LITHIUM CARBONATE 600 MG CAP $10.55 METFORMIN ER 1,000 MG GASTR-TB $3,455.60

LITHIUM CARBONATE ER 300 MG TB $21.30 METFORMIN ER 500 MG GASTRC-TB $2,210.20

Page 25


LITHIUM CARBONATE ER 450 MG TB $21.15 METFORMIN ER 500 MG OSMOTIC TB $532.80

LIVALO 1 MG TABLET $284.15 METHAMPHETAMINE 5 MG TABLET $768.85

LIVALO 2 MG TABLET $289.30 METHAZOLAMIDE 25 MG TABLET $439.60

LIVALO 4 MG TABLET $290.25 METHAZOLAMIDE 50 MG TABLET $190.40

LO LOESTRIN FE 1-10 TABLET $140.55 METHYLDOPA 500 MG TABLET $26.20

LOPREEZA 0.5 MG-0.1 MG TABLET $100.45 METHYLIN 10 MG/5 ML SOLUTION $60.45

LOPREEZA 1 MG-0.5 MG TABLET $113.60 METHYLIN 5 MG/5 ML SOLUTION $53.00

LORYNA 3 MG-0.02 MG TABLET $45.40 METHYLPHENIDATE 10 MG CHEW TAB $305.60

LOSARTAN POTASSIUM 100 MG TAB $5.85 METHYLPHENIDATE 10 MG/5 ML SOL $266.10

LOSARTAN POTASSIUM 25 MG TAB $6.05 METHYLPHENIDATE 2.5 MG CHEW TB $94.65

LOSARTAN POTASSIUM 50 MG TAB $5.85 METHYLPHENIDATE 5 MG CHEW TAB $249.10

LOSARTAN-HCTZ 100-12.5 MG TAB $9.20 METHYLPHENIDATE 5 MG/5 ML SOLN $301.60

LOSARTAN-HCTZ 100-25 MG TAB $7.55 METHYLPHENIDATE CD 50 MG CAP $234.35

LOSARTAN-HCTZ 50-12.5 MG TAB $7.05 METHYLPHENIDATE ER(CD) 60MG CP $223.80

LOVASTATIN 10 MG TABLET $4.05 METHYLPHENIDATE LA 10 MG CAP $307.90

LOVASTATIN 20 MG TABLET $4.55 METHYLPHENIDATE LA 60 MG CAP $308.60

LOVASTATIN 40 MG TABLET $5.20 METOLAZONE 10 MG TABLET $66.65

LOW-OGESTREL-28 TABLET $14.95 METOPROLOL TARTRATE 37.5 MG TB $31.05

LOXAPINE 10 MG CAPSULE $29.20 METOPROLOL TARTRATE 75 MG TAB $122.00

LOXAPINE 5 MG CAPSULE $37.80 METOPROLOL-HCTZ 100-25 MG TAB $56.10

LUMIGAN 0.01% EYE DROPS $209.90 METOPROLOL-HCTZ 50-25 MG TAB $55.50

LUTERA-28 TABLET $12.15 MEXILETINE 200 MG CAPSULE $88.65

LYRICA 100 MG CAPSULE $601.90 MEXILETINE 250 MG CAPSULE $81.60

LYRICA 150 MG CAPSULE $535.95 MICARDIS 40 MG TABLET $211.90

LYRICA 200 MG CAPSULE $527.20 MICARDIS HCT 80-25 MG TABLET $215.50

LYRICA 225 MG CAPSULE $491.40 MICRO THIN 33G LANCETS $4.05

LYRICA 25 MG CAPSULE $518.95 MICROLET NEXT LANCING DEVICE $12.75

LYRICA 300 MG CAPSULE $467.30 MIGLUSTAT 100 MG CAPSULE $15,913.65

LYRICA 50 MG CAPSULE $538.10 MINIVELLE 0.025 MG PATCH $181.30

LYRICA 75 MG CAPSULE $555.20 MINIVELLE 0.0375 MG PATCH $181.30

MARLISSA-28 TABLET $13.70 MINIVELLE 0.075 MG PATCH $181.30

MATZIM LA 240 MG TABLET $78.80 MIRCETTE 28 DAY TABLET $138.20

MATZIM LA 360 MG TABLET $116.90 MIRTAZAPINE 15 MG ODT $46.30

MEDROXYPROGESTERONE 10 MG TAB $6.25 MIRTAZAPINE 30 MG ODT $29.20

Page 26


MEDROXYPROGESTERONE 2.5 MG TAB $6.40 MIRTAZAPINE 45 MG ODT $47.40

MEDROXYPROGESTERONE 5 MG TAB $6.05 M-NATAL PLUS TABLET $3.55

MEGESTROL ACET 40 MG/ML SUSP $30.90 MOEXIPRIL HCL 15 MG TABLET $25.35

MELODETTA 24 FE CHEWABLE TAB $128.85 MOEXIPRIL HCL 7.5 MG TABLET $25.10

MELOXICAM 15 MG TABLET $2.75 MOEXIPRIL-HCTZ 15-25 MG TABLET $21.25

MELOXICAM 7.5 MG TABLET $4.55 MONOJECT 1 ML SYRN 28GX1/2" $13.25

MEMANTINE HCL 10 MG TABLET $74.05 MONOJECT INSUL SYR U100 1 ML $10.20

MEMANTINE HCL 5 MG TABLET $15.25 MONOJECT SYRINGE 0.5 ML $21.55

MEMANTINE HCL ER 28 MG CAPSULE $300.30 MOTEGRITY 2 MG TABLET $422.70

MERCAPTOPURINE 50 MG TABLET $79.10 MYCOPHENOLATE 200 MG/ML SUSP $767.20

MESALAMINE 1,000 MG SUPP $873.80 MYZILRA-28 TABLET $17.30

MESALAMINE 4 GM/60 ML ENEMA $436.15 NADOLOL 80 MG TABLET $171.75

MESALAMINE 4 GM/60 ML KIT $479.05 NADOLOL-BENDROFLU 40-5 MG TAB $116.00

MESALAMINE 800 MG DR TABLET $790.85 NAMENDA 10 MG TABLET $443.45

MESALAMINE DR 1.2 GM TABLET $563.70 NAMENDA XR 28 MG CAPSULE $463.40

METFORMIN ER 1,000 MG OSM-TAB $671.90 NAMZARIC 14 MG-10 MG CAPSULE $430.60

METFORMIN HCL 1,000 MG TABLET $5.40 NAMZARIC 21 MG-10 MG CAPSULE $461.30

METFORMIN HCL 500 MG TABLET $5.95 NAMZARIC 28 MG-10 MG CAPSULE $244.80

METFORMIN HCL 850 MG TABLET $5.65 NAPROXEN SOD ER 500 MG TABLET $779.25

METFORMIN HCL ER 500 MG TABLET $4.85 NASONEX 50 MCG NASAL SPRAY $246.05

METFORMIN HCL ER 750 MG TABLET $8.05 NATEGLINIDE 120 MG TABLET $59.80

METHIMAZOLE 10 MG TABLET $19.20 NATEGLINIDE 60 MG TABLET $85.50

METHIMAZOLE 5 MG TABLET $14.15 NATESTO NASAL 5.5 MG/0.122 GM $696.15

METHOTREXATE 2.5 MG TABLET $31.70 NATPARA 50 MCG DOSE CARTRIDGE $9,771.85

METHYLDOPA 250 MG TABLET $15.00 NATPARA 75 MCG DOSE CARTRIDGE $9,792.55

METHYLPHENIDATE 10 MG TABLET $45.55 NATURE-THROID 113.75 MG TABLET $8.20



METHYLPHENIDATE CD 10 MG CAP $143.50 NECON 7-7-7-28 TABLET $18.25

METHYLPHENIDATE CD 20 MG CAP $137.65 NEEVODHA CAPSULE $148.40

METHYLPHENIDATE CD 30 MG CAP $137.20 NEFAZODONE HCL 100 MG TABLET $103.40



METHYLPHENIDATE ER 10 MG TAB $124.40 NEFAZODONE HCL 250 MG TABLET $96.65

Page 27


METHYLPHENIDATE ER 18 MG TAB $228.80 NEFAZODONE HCL 50 MG TABLET $69.15

METHYLPHENIDATE ER 20 MG TAB $181.45 NEORAL 100 MG GELATIN CAPSULE $811.75

METHYLPHENIDATE ER 27 MG TAB $223.20 NEORAL 25 MG GELATIN CAPSULE $301.20

METHYLPHENIDATE ER 36 MG TAB $281.05 NESTABS DHA COMBO PACK $148.70

METHYLPHENIDATE ER 54 MG TAB $252.45 NESTABS TABLET $63.20

METHYLPHENIDATE ER 72 MG TAB $567.80 NEUPRO 1 MG/24 HR PATCH $670.15

METHYLPHENIDATE ER(CD) 10MG CP $149.65 NEUPRO 2 MG/24 HR PATCH $669.80




METHYLPHENIDATE ER(CD) 50MG CP $231.50 NEURONTIN 300 MG CAPSULE $1,000.55

METHYLPHENIDATE ER(LA) 10MG CP $251.90 NEURONTIN 600 MG TABLET $452.95

METHYLPHENIDATE ER(LA) 20MG CP $140.00 NEVIRAPINE 200 MG TABLET $51.05

METHYLPHENIDATE ER(LA) 30MG CP $187.70 NEVIRAPINE ER 400 MG TABLET $345.00

METHYLPHENIDATE ER(LA) 40MG CP $152.85 NEXIUM 24HR 20 MG CAPSULE $18.55

METHYLPHENIDATE LA 20 MG CAP $173.75 NEXIUM DR 2.5 MG PACKET $270.50

METHYLPHENIDATE LA 30 MG CAP $175.40 NEXIUM DR 20 MG CAPSULE $364.10

METHYLPHENIDATE LA 40 MG CAP $157.35 NEXIUM DR 20 MG PACKET $337.95

METOLAZONE 2.5 MG TABLET $35.45 NEXIUM DR 40 MG PACKET $356.35

METOLAZONE 5 MG TABLET $48.85 NIASPAN ER 1,000 MG TABLET $271.10

METOPROLOL SUCC ER 100 MG TAB $25.40 NIASPAN ER 500 MG TABLET $73.05

METOPROLOL SUCC ER 200 MG TAB $53.90 NICARDIPINE 20 MG CAPSULE $190.20

METOPROLOL SUCC ER 25 MG TAB $13.95 NICARDIPINE 30 MG CAPSULE $156.20

METOPROLOL SUCC ER 50 MG TAB $19.50 NIFEDIPINE 20 MG CAPSULE $135.10

METOPROLOL TARTRATE 100 MG TAB $5.00 NINLARO 4 MG CAPSULE $9,782.30

METOPROLOL TARTRATE 25 MG TAB $4.70 NITRO-DUR 0.3 MG/HR PATCH $470.80

METOPROLOL TARTRATE 50 MG TAB $5.10 NITROGLYCERIN 0.1 MG/HR PATCH $37.20

MEXILETINE 150 MG CAPSULE $76.95 NITROGLYCERIN 0.2 MG/HR PATCH $21.25

MIBELAS 24 FE CHEWABLE TABLET $115.50 NITROGLYCERIN 0.3 MG TABLET SL $38.95

MICROGESTIN 21 1.5-30 TAB $21.05 NITROGLYCERIN 0.4 MG/HR PATCH $38.40

MICROGESTIN 21 1-20 TABLET $17.35 NITROGLYCERIN ER 2.5 MG CAP $23.40

MICROGESTIN FE 1.5-30 TAB $14.05 NITROGLYCERIN LINGUAL 0.4 MG $149.00

MICROGESTIN FE 1-20 TABLET $14.45 NITROSTAT 0.4 MG TABLET SL $29.20

MICROLET LANCETS $9.60 NIZATIDINE 15 MG/ML SOLUTION $120.10

Page 28


MILI 0.25-0.035 MG TABLET $12.90 NIZATIDINE 150 MG CAPSULE $10.25

MIMVEY 1-0.5 MG TABLET $113.55 NOCDURNA 27.7 MCG TABLET SL $418.80

MINASTRIN 24 FE CHEWABLE TAB $173.45 NOCDURNA 55.3 MCG TABLET SL $418.80

MINIVELLE 0.05 MG PATCH $171.05 NOCTIVA 1.66 MCG/0.1 ML SPRAY $423.80

MINIVELLE 0.1 MG PATCH $175.35 NORDITROPIN FLEXPRO 5 MG/1.5 $2,158.90

MINOXIDIL 10 MG TABLET $20.05 NORET-ESTR-FE 0.4-0.035(21)-75 $36.00

MINOXIDIL 2.5 MG TABLET $36.90 NORTHERA 100 MG CAPSULE $12,216.85

MIRTAZAPINE 15 MG TABLET $5.35 NORTHERA 200 MG CAPSULE $13,697.95

MIRTAZAPINE 30 MG TABLET $6.45 NORTRIPTYLINE 10 MG/5 ML SOLN $44.15

MIRTAZAPINE 45 MG TABLET $11.35 NORVASC 10 MG TABLET $268.20

MIRTAZAPINE 7.5 MG TABLET $45.45 NORVASC 2.5 MG TABLET $195.80

MISOPROSTOL 100 MCG TABLET $4.55 NORVASC 5 MG TABLET $195.80

MISOPROSTOL 200 MCG TABLET $6.65 NORVIR 100 MG TABLET $407.85

MITIGARE 0.6 MG CAPSULE $198.85 NOVOFINE 30G X 1/3" NEEDLES $42.40

MODAFINIL 100 MG TABLET $129.85 NOVOFINE AUTOCOVER 30G NEEDLE $73.80

MODAFINIL 200 MG TABLET $76.00 NOVOLIN 70-30 100 UNIT/ML VIAL $206.35

MOMETASONE FUROATE 50 MCG SPRY $173.95 NOVOLIN 70-30 FLEXPEN $518.85

MONO-LINYAH 28 TABLET $10.95 NOVOLIN N 100 UNIT/ML VIAL $135.95

MONONESSA 28 TABLET $12.55 NOVOLIN R 100 UNIT/ML VIAL $137.80

MONTELUKAST SOD 10 MG TABLET $10.20 NOVOLOG 100 UNIT/ML CARTRIDGE $597.60

MONTELUKAST SOD 4 MG GRANULES $111.30 NOVOLOG MIX 70-30 FLEXPEN SYRN $743.90

MONTELUKAST SOD 4 MG TAB CHEW $12.30 NUPLAZID 17 MG TABLET $2,750.20

MONTELUKAST SOD 5 MG TAB CHEW $7.95 NUPLAZID 34 MG CAPSULE $3,008.90

MULTAQ 400 MG TABLET $653.10 NUTROPIN AQ NUSPIN 10 INJECTOR $6,224.20

MYCOPHENOLATE 250 MG CAPSULE $31.40 NUTROPIN AQ NUSPIN 20 INJECTOR $4,979.40

MYCOPHENOLATE 500 MG TABLET $56.45 NUVIGIL 150 MG TABLET $159.20

MYCOPHENOLIC ACID DR 180 MG TB $404.95 NUVIGIL 200 MG TABLET $793.00

MYCOPHENOLIC ACID DR 360 MG TB $424.30 NUVIGIL 250 MG TABLET $828.30

MYDAYIS ER 12.5 MG CAPSULE $272.70 OB COMPLETE ONE SOFTGEL $166.35

MYDAYIS ER 25 MG CAPSULE $271.50 OB COMPLETE PETITE SOFTGEL $161.30

MYDAYIS ER 37.5 MG CAPSULE $271.25 OB COMPLETE WITH DHA SOFTGEL $20.35

MYDAYIS ER 50 MG CAPSULE $273.25 OCALIVA 10 MG TABLET $6,497.65

MYFORTIC 180 MG TABLET $878.60 OCALIVA 5 MG TABLET $6,511.60

MYFORTIC 360 MG TABLET $763.65 OCTREOTIDE ACET 0.05 MG/ML VL $331.45

Page 29


MYRBETRIQ ER 25 MG TABLET $402.50 OCTREOTIDE ACET 100 MCG/ML VL $197.35

MYRBETRIQ ER 50 MG TABLET $380.15 OCTREOTIDE ACET 200 MCG/ML VL $634.85

NADOLOL 20 MG TABLET $86.65 ODACTRA 12 SQ-HDM SL TABLET $306.00

NADOLOL 40 MG TABLET $122.05 OFEV 150 MG CAPSULE $9,614.10

NAPROXEN 125 MG/5 ML SUSPEN $718.95 OLANZAPINE ODT 10 MG TABLET $33.05

NAPROXEN 250 MG TABLET $5.90 OLANZAPINE ODT 15 MG TABLET $360.65

NAPROXEN 375 MG TABLET $5.85 OLANZAPINE ODT 20 MG TABLET $134.40

NAPROXEN 500 MG TABLET $6.15 OLANZAPINE-FLUOXETINE 12-25 MG $326.65

NAPROXEN DR 375 MG TABLET $7.65 OLANZAPINE-FLUOXETINE 12-50 MG $388.90

NAPROXEN DR 500 MG TABLET $12.55 OLANZAPINE-FLUOXETINE 3-25 MG $285.80

NAPROXEN SOD CR 375 MG TABLET $1,292.60 OLANZAPINE-FLUOXETINE 6-25 MG $339.00

NAPROXEN SOD CR 500 MG TABLET $612.50 OLANZAPINE-FLUOXETINE 6-50 MG $357.40

NAPROXEN SODIUM 275 MG TAB $34.90 OLMSRTN-AMLDPN-HCTZ 40-10-12.5 $65.15

NAPROXEN SODIUM 550 MG TAB $39.80 OLMSRTN-AMLDPN-HCTZ 40-5-12.5 $78.50

NASCOBAL 500 MCG NASAL SPRAY $586.25 OLUMIANT 2 MG TABLET $2,187.55

NATAZIA 28 TABLET $209.00 OMEPRAZOLE-BICARB 20-1,100 CAP $485.55

NATURE-THROID 130 MG TABLET $13.25 OMEPRAZOLE-BICARB 20-1,680 PKT $1,294.10

NATURE-THROID 32.5 MG TABLET $13.15 OMNARIS 50 MCG NASAL SPRAY $279.30

NATURE-THROID 48.75 MG TABLET $14.10 OMNITROPE 10 MG/1.5 ML CRTG $7,237.65

NATURE-THROID 65 MG TABLET $13.05 OMNITROPE 5 MG/1.5 ML CRTG $2,387.75

NATURE-THROID 97.5 MG TABLET $18.35 ONETOUCH DELICA PLUS 33G LANCT $8.90

NECON 0.5-35-28 TABLET $27.05 ONETOUCH ULTRA CONTROL SOLN $8.90

NEXIUM DR 10 MG PACKET $324.30 ONETOUCH VERIO MID CNTRL SOLN $5.00

NEXIUM DR 40 MG CAPSULE $302.20 ONFI 10 MG TABLET $1,551.10

NEXIUM DR 5 MG PACKET $285.95 ONFI 2.5 MG/ML SUSPENSION $1,803.00

NIACIN ER 1,000 MG TABLET $185.65 ONFI 20 MG TABLET $3,544.35

NIACIN ER 500 MG TABLET $113.50 ONGLYZA 2.5 MG TABLET $419.30

NIFEDIPINE 10 MG CAPSULE $51.30 OPSUMIT 10 MG TABLET $9,494.70

NIFEDIPINE ER 30 MG TABLET $26.75 ORKAMBI 100 MG-125 MG TABLET $20,620.60

NIFEDIPINE ER 60 MG TABLET $28.10 ORKAMBI 100-125 MG GRANULE PKT $20,656.50

NIFEDIPINE ER 90 MG TABLET $44.20 ORKAMBI 150-188 MG GRANULE PKT $20,383.70

NIKKI 3 MG-0.02 MG TABLET $42.20 ORKAMBI 200 MG-125 MG TABLET $20,691.50

NITRO-BID 2% OINTMENT $45.65 ORTHO MICRONOR 0.35 MG TABLET $50.30

NITROGLYCERIN 0.4 MG TABLET SL $22.35 ORTHO TRI-CYCLEN LO TABLET $107.95

Page 30


NORA-BE TABLET $14.00 ORTHO-CYCLEN 28 TABLET $50.45

NORDITROPIN FLEXPRO 10 MG/1.5 $5,821.85 OSCIMIN 0.125 MG ODT $4.05

NORDITROPIN FLEXPRO 15 MG/1.5 $7,963.80 OSCIMIN SR 0.375 MG TABLET $36.50

NORDITROPIN FLEXPRO 30 MG/3 ML $11,423.80 OSENI 12.5-30 MG TABLET $384.55

NORETH-ESTRAD-FE 1-0.02(21)-75 $14.05 OSENI 25-30 MG TABLET $412.85

NORETH-ESTRAD-FE 1-0.02(24)-75 $121.90 OXTELLAR XR 150 MG TABLET $429.20

NORETHIND-ETH ESTRAD 0.5-2.5 $81.70 OXTELLAR XR 300 MG TABLET $333.30

NORETHIND-ETH ESTRAD 1-0.02 MG $17.30 PACERONE 100 MG TABLET $98.25

NORETHINDRONE 0.35 MG TABLET $14.00 PACERONE 400 MG TABLET $189.65

NORETHINDRONE 5 MG TABLET $58.20 PALIPERIDONE ER 1.5 MG TABLET $494.10

NORETHIN-ESTRA-FE 0.8-0.025 MG $88.20 PALIPERIDONE ER 3 MG TABLET $442.35

NORETHIN-ETH ESTRAD 1 MG-5 MCG $56.45 PALIPERIDONE ER 9 MG TABLET $507.25

NORG-EE 0.18-0.215-0.25/0.025 $11.35 PANCREAZE DR 10,500 UNIT CAP $269.80

NORG-EE 0.18-0.215-0.25/0.035 $11.55 PANCREAZE DR 21,000 UNIT CAP $2,870.35

NORG-ETHIN ESTRA 0.25-0.035 MG $12.40 PARICALCITOL 2 MCG CAPSULE $445.40

NORLYDA 0.35 MG TABLET $14.45 PARICALCITOL 4 MCG CAPSULE $607.95

NORTREL 0.5-35-28 TABLET $26.75 PAROXETINE CR 12.5 MG TABLET $138.75

NORTREL 1-35 21 TABLET $25.05 PAROXETINE CR 25 MG TABLET $109.05

NORTREL 1-35 28 TABLET $22.00 PAROXETINE CR 37.5 MG TABLET $148.35

NORTREL 7-7-7-28 TABLET $18.90 PAXIL 10 MG/5 ML SUSPENSION $81.25

NORTRIPTYLINE HCL 10 MG CAP $9.20 PAXIL 40 MG TABLET $220.10

NORTRIPTYLINE HCL 25 MG CAP $7.85 PAXIL CR 25 MG TABLET $356.70

NORTRIPTYLINE HCL 50 MG CAP $15.70 PAXIL CR 37.5 MG TABLET $204.45

NORTRIPTYLINE HCL 75 MG CAP $13.45 PEN NEEDLE 31G X 1/4" $14.75

NOVOFINE 32G NEEDLES $48.50 PEN NEEDLE 31G X 3/16" $11.05

NOVOFINE PLUS PEN NDL 32GX1/6" $46.10 PEN NEEDLE 31G X 5/16" $14.35

NOVOLOG 100 UNIT/ML FLEXPEN $665.15 PEN NEEDLE 32G X 5/32" $12.70

NOVOLOG 100 UNIT/ML VIAL $720.80 PEN NEEDLES 12MM 29G $59.15

NOVOTWIST NEEDLE 32G 5MM $47.40 PEN NEEDLES 4MM 32G $113.35

NP THYROID 120 MG TABLET $42.40 PEN NEEDLES 5MM 31G $57.30

NP THYROID 15 MG TABLET $22.05 PEN NEEDLES 8MM 31G $59.15

NP THYROID 30 MG TABLET $29.50 PENTASA 250 MG CAPSULE $344.00

NP THYROID 60 MG TABLET $28.55 PENTIPS PEN NEEDLE 6MM 31G $0.00

NP THYROID 90 MG TABLET $36.55 PERINDOPRIL ERBUMINE 4 MG TAB $41.45

Page 31


NUVARING VAGINAL RING $162.15 PERINDOPRIL ERBUMINE 8 MG TAB $21.10

OCELLA 3 MG-0.03 MG TABLET $60.15 PERPHEN-AMITRIP 2 MG-25 MG TAB $95.40

ODEFSEY TABLET $2,735.25 PERPHENAZINE 2 MG TABLET $72.60

OGESTREL TABLET $37.10 PERPHENAZINE 4 MG TABLET $105.90

OLANZAPINE 10 MG TABLET $23.45 PERPHENAZINE 8 MG TABLET $29.50

OLANZAPINE 15 MG TABLET $14.45 PERTZYE DR 16,000 UNIT CAPSULE $2,227.25

OLANZAPINE 2.5 MG TABLET $11.35 PERTZYE DR 24,000 UNIT CAPSULE $4,453.75

OLANZAPINE 20 MG TABLET $11.90 PERTZYE DR 4,000 UNIT CAPSULE $373.45

OLANZAPINE 5 MG TABLET $12.50 PERTZYE DR 8,000 UNIT CAPSULE $1,889.85

OLANZAPINE 7.5 MG TABLET $7.65 PHENELZINE SULFATE 15 MG TAB $70.50

OLANZAPINE ODT 5 MG TABLET $25.70 PHENOBARBITAL 100 MG TABLET $21.70

OLMESARTAN MEDOXOMIL 20 MG TAB $62.40 PHENOBARBITAL 15 MG TABLET $15.90

OLMESARTAN MEDOXOMIL 40 MG TAB $54.05 PHENOBARBITAL 16.2 MG TABLET $65.90

OLMESARTAN MEDOXOMIL 5 MG TAB $77.80 PHENOBARBITAL 20 MG/5 ML ELIX $130.00

OLMESARTAN-HCTZ 20-12.5 MG TAB $74.15 PHENOBARBITAL 20 MG/5 ML SOLN $62.70

OLMESARTAN-HCTZ 40-12.5 MG TAB $89.20 PHENOBARBITAL 30 MG TABLET $11.35

OLMESARTAN-HCTZ 40-25 MG TAB $82.90 PHENOBARBITAL 60 MG TABLET $13.90

OLMSRTN-AMLDPN-HCTZ 20-5-12.5 $112.15 PHENOBARBITAL 64.8 MG TABLET $43.20

OLMSRTN-AMLDPN-HCTZ 40-10-25MG $73.45 PHENOBARBITAL 97.2 MG TABLET $41.55

OLMSRTN-AMLDPN-HCTZ 40-5-25 MG $63.15 PHENYTOIN 125 MG/5 ML SUSP $38.55

OMEGA-3 ETHYL ESTERS 1 GM CAP $51.15 PHENYTOIN 50 MG TABLET CHEW $10.70

OMEPRAZOLE DR 10 MG CAPSULE $14.00 PHENYTOIN SOD EXT 200 MG CAP $96.60

OMEPRAZOLE DR 20 MG CAPSULE $7.10 PHENYTOIN SOD EXT 300 MG CAP $72.30

OMEPRAZOLE DR 20 MG TABLET $24.20 PILOCARPINE 1% EYE DROPS $81.85

OMEPRAZOLE DR 40 MG CAPSULE $7.65 PILOCARPINE 2% EYE DROPS $83.05

OMEPRAZOLE-BICARB 40-1,100 CAP $184.80 PILOCARPINE 4% EYE DROPS $86.95

OMEPRAZOLE-BICARB 40-1,680 PKT $1,967.00 PILOCARPINE HCL 7.5 MG TABLET $145.85

ONETOUCH DELICA 30G LANCETS $9.05 PIMOZIDE 1 MG TABLET $105.45

ONETOUCH DELICA 33G LANCETS $9.15 PIMOZIDE 2 MG TABLET $121.50

ONETOUCH DELICA LANCING DEV $15.70 PINDOLOL 10 MG TABLET $68.55

ONETOUCH ULTRA BLUE TEST STRP $108.75 PINDOLOL 5 MG TABLET $52.85

ONETOUCH ULTRA2 GLUCOSE SYST $16.70 PIOGLITAZONE-GLIMEPIRIDE 30-2 $387.30

ONETOUCH ULTRAMINI METER $15.60 PIOGLITAZONE-GLIMEPIRIDE 30-4 $384.95

ONETOUCH ULTRASOFT LANCETS $10.55 PIOGLITAZONE-METFORMIN 15-500 $186.55

Page 32


ONETOUCH VERIO FLEX SYSTEM KIT $15.95 PLAQUENIL 200 MG TABLET $433.35

ONETOUCH VERIO IQ METER $23.60 PLAVIX 75 MG TABLET $188.10

ONETOUCH VERIO METER SYSTEM $17.00 PLEGRIDY 125 MCG/0.5 ML PEN $6,853.80

ONETOUCH VERIO TEST STRIP $57.60 PNV-DHA + DOCUSATE SOFTGEL $102.05

ONGLYZA 5 MG TABLET $414.90 PNV-DHA SOFTGEL $57.20

ORENCIA 125 MG/ML SYRINGE $4,695.10 PNV-SELECT TABLET $85.00

ORENCIA CLICKJECT 125 MG/ML $4,668.35 POMALYST 2 MG CAPSULE $17,017.65

ORILISSA 150 MG TABLET $843.10 POMALYST 3 MG CAPSULE $17,034.90

ORSYTHIA-28 TABLET $11.95 POMALYST 4 MG CAPSULE $17,034.90

ORTHO TRI-CYCLEN 28 TABLET $48.60 POTABA 500 MG CAPSULE $203.45

OSPHENA 60 MG TABLET $215.60 POTASSIUM CITRATE ER 5 MEQ TAB $58.40

OTEZLA 30 MG TABLET $3,335.85 POTASSIUM CL 20% (40 MEQ/15ML) $879.75

OXCARBAZEPINE 150 MG TABLET $24.75 POTASSIUM CL ER 8 MEQ CAPSULE $20.75

OXCARBAZEPINE 300 MG TABLET $16.50 PRADAXA 110 MG CAPSULE $424.10

OXCARBAZEPINE 300 MG/5 ML SUSP $142.75 PRADAXA 75 MG CAPSULE $431.40

OXCARBAZEPINE 600 MG TABLET $36.80 PRAMIPEXOLE ER 0.375 MG TABLET $327.95

OXTELLAR XR 600 MG TABLET $1,149.50 PRAMIPEXOLE ER 0.75 MG TABLET $339.80

OXYBUTYNIN 5 MG TABLET $16.30 PRAMIPEXOLE ER 1.5 MG TABLET $484.60

OXYBUTYNIN 5 MG/5 ML SYRUP $8.30 PRAMIPEXOLE ER 2.25 MG TABLET $393.80

OXYBUTYNIN CL ER 10 MG TABLET $19.15 PRAMIPEXOLE ER 3 MG TABLET $327.95

OXYBUTYNIN CL ER 15 MG TABLET $62.45 PRAMIPEXOLE ER 4.5 MG TABLET $400.15

OXYBUTYNIN CL ER 5 MG TABLET $18.45 PRECISION XTR B-KETONE STRIP $138.25

OZEMPIC 0.25-0.5 MG DOSE PEN $783.30 PRECISION XTRA MONITOR $15.50

OZEMPIC 1 MG DOSE PEN $767.50 PRENAISSANCE CAPSULE $83.30

PALIPERIDONE ER 6 MG TABLET $466.90 PRENAISSANCE PLUS SOFTGEL $49.45

PANTOPRAZOLE SOD DR 20 MG TAB $13.10 PRENATABS FA TABLET $11.10

PANTOPRAZOLE SOD DR 40 MG TAB $7.20 PRENATAL PLUS IRON TABLET $4.85

PAROXETINE ER 12.5 MG TABLET $137.40 PRENATAL PLUS-DHA COMBO PACK $9.90

PAROXETINE ER 25 MG TABLET $131.15 PRENATAL TABLET $1.40

PAROXETINE ER 37.5 MG TABLET $140.05 PRENATAL VITAMIN TABLET $2.95

PAROXETINE HCL 10 MG TABLET $5.40 PRENATAL VITAMINS TABLET $2.20

PAROXETINE HCL 20 MG TABLET $5.55 PRENATAL-U CAPSULE $22.20

PAROXETINE HCL 30 MG TABLET $6.10 PRENATE CHEWABLE TABLET $229.70

PAROXETINE HCL 40 MG TABLET $6.30 PRENATE DHA SOFTGEL $224.15

Page 33


PAROXETINE MESYLATE 7.5 MG CAP $161.70 PRENATE ENHANCE SOFTGEL $224.95

PENTASA 500 MG CAPSULE $976.65 PRENATE RESTORE SOFTGEL $229.70

PENTOXIFYLLINE ER 400 MG TAB $27.85 PRETAB 29 MG-1 MG TABLET $11.15

PERFOROMIST 20 MCG/2 ML SOLN $956.60 PREVACID 15 MG SOLUTAB $480.10

PHENOBARBITAL 32.4 MG TABLET $45.95 PREVACID 24HR DR 15 MG CAPSULE $19.15

PHENYTOIN SOD EXT 100 MG CAP $30.90 PREVACID DR 15 MG CAPSULE $634.20

PHILITH 0.4-0.035 MG TABLET $25.60 PREVALITE POWDER $59.25

PILOCARPINE HCL 5 MG TABLET $110.55 PREVIDENT 0.2% RINSE $15.10

PIMTREA 28 DAY TABLET $37.25 PREZISTA 600 MG TABLET $1,631.45

PIOGLITAZONE HCL 15 MG TABLET $7.70 PREZISTA 800 MG TABLET $1,685.40

PIOGLITAZONE HCL 30 MG TABLET $14.55 PRILOSEC DR 10 MG SUSPENSION $315.60

PIOGLITAZONE HCL 45 MG TABLET $10.75 PRILOSEC OTC 20.6 MG TABLET $34.75

PIOGLITAZONE-METFORMIN 15-850 $135.50 PRIMACARE SOFTGEL $227.80

PIRMELLA 1-35-28 TABLET $19.40 PRINIVIL 10 MG TABLET $45.25

PIRMELLA 7-7-7-28 TABLET $18.50 PRISTIQ ER 25 MG TABLET $399.70

PNV 29-1 TABLET $12.55 PROBENECID-COLCHICINE TABLET $29.95

PNV PRENATAL PLUS MULTIVIT TAB $2.80 PROCARDIA XL 30 MG TABLET $185.80

PORTIA-28 TABLET $13.60 PROCARDIA XL 90 MG TABLET $370.20

POTASSIUM CITRATE ER 10 MEQ TB $98.95 PRODIGY NO CODING TEST STRIPS $123.95

POTASSIUM CITRATE ER 15 MEQ TB $136.70 PROGLYCEM 50 MG/ML ORAL SUSP $1,077.80

POTASSIUM CL 10% (20 MEQ/15ML) $417.40 PROMACTA 12.5 MG TABLET $4,788.55

POTASSIUM CL 20 MEQ PACKET $307.85 PROMACTA 25 MG TABLET $7,271.95

POTASSIUM CL ER 10 MEQ CAPSULE $33.80 PROMACTA 50 MG TABLET $15,158.90

POTASSIUM CL ER 10 MEQ TABLET $17.90 PROMACTA 75 MG TABLET $13,480.75

POTASSIUM CL ER 20 MEQ TABLET $19.80 PROMETRIUM 100 MG CAPSULE $382.00

POTASSIUM CL ER 8 MEQ TABLET $18.10 PROMETRIUM 200 MG CAPSULE $599.50

PRADAXA 150 MG CAPSULE $420.05 PROPAFENONE HCL 225 MG TAB $30.50

PRALUENT 150 MG/ML PEN $1,132.65 PROPAFENONE HCL 300 MG TAB $72.60

PRALUENT 75 MG/ML PEN $1,171.20 PROPAFENONE HCL ER 225 MG CAP $388.25

PRAMIPEXOLE 0.125 MG TABLET $23.30 PROPAFENONE HCL ER 325 MG CAP $407.55

PRAMIPEXOLE 0.25 MG TABLET $8.20 PROPAFENONE HCL ER 425 MG CAP $385.75

PRAMIPEXOLE 0.5 MG TABLET $18.00 PROPRANOLOL-HCTZ 40-25 MG TAB $51.70

PRAMIPEXOLE 0.75 MG TABLET $10.35 PROPRANOLOL-HCTZ 80-25 MG TAB $23.20

PRAMIPEXOLE 1 MG TABLET $47.05 PROSCAR 5 MG TABLET $141.40

Page 34


PRAMIPEXOLE 1.5 MG TABLET $20.45 PROTONIX 40 MG SUSPENSION $450.60

PRASUGREL 10 MG TABLET $214.20 PROTONIX DR 20 MG TABLET $900.50

PRAVASTATIN SODIUM 10 MG TAB $5.05 PROTONIX DR 40 MG TABLET $626.30

PRAVASTATIN SODIUM 20 MG TAB $5.10 PROTRIPTYLINE HCL 10 MG TABLET $195.10

PRAVASTATIN SODIUM 40 MG TAB $5.35 PROVENTIL HFA 90 MCG INHALER $87.45

PRAVASTATIN SODIUM 80 MG TAB $16.55 PROVERA 5 MG TABLET $38.25

PRAZOSIN 1 MG CAPSULE $23.35 PROVIDA OB CAPSULE $27.15

PRAZOSIN 2 MG CAPSULE $34.95 PROVIGIL 200 MG TABLET $4,068.75

PRAZOSIN 5 MG CAPSULE $40.75 PROZAC 10 MG PULVULE $460.35

PREMARIN 0.3 MG TABLET $170.05 PROZAC 20 MG PULVULE $1,203.90

PREMARIN 0.45 MG TABLET $162.40 PROZAC 40 MG PULVULE $938.30

PREMARIN 0.625 MG TABLET $166.95 PURIXAN 20 MG/ML ORAL SUSP $1,094.70

PREMARIN 0.9 MG TABLET $174.30 PYRIDOSTIGMINE ER 180 MG TAB $949.70

PREMARIN 1.25 MG TABLET $190.35 QBRELIS 1MG/ML SOLUTION $1,088.00

PREMARIN VAGINAL CREAM-APPL $370.85 QC ASPIRIN EC 81 MG TABLET $1.05

PREMPRO 0.3 MG-1.5 MG TABLET $191.65 QSYMIA 15 MG-92 MG CAPSULE $199.35

PREMPRO 0.45-1.5 MG TABLET $191.75 QSYMIA 7.5 MG-46 MG CAPSULE $182.75

PREMPRO 0.625-2.5 MG TABLET $192.25 QTERN 10 MG-5 MG TABLET $488.55

PREMPRO 0.625-5 MG TABLET $193.00 QUDEXY XR 100 MG CAPSULE $684.25

PRENA1 PEARL SOFTGEL $92.25 QUDEXY XR 150 MG CAPSULE $883.10

PRENATABS RX TABLET $12.95 QUDEXY XR 200 MG CAPSULE $1,514.70

PRENATAL VITAMIN PLUS LOW IRON $4.25 QUDEXY XR 25 MG CAPSULE $270.40

PRENATE MINI SOFTGEL $224.80 QUDEXY XR 50 MG CAPSULE $358.40

PRENATE PIXIE SOFTGEL $220.80 QUESTRAN PACKET $354.50

PREPLUS CA-FE 27 MG-FA 1 MG TB $5.00 QUILLICHEW ER 40 MG CHEW TAB $401.60

PREVALITE PACKET $158.15 QUINAPRIL 5 MG TABLET $7.80

PREVIDENT 1.1% GEL $14.80 QUINAPRIL-HCTZ 10-12.5 MG TAB $22.95

PREVIDENT 5000 1.1% DRY MOUTH $14.60 QVAR 40 MCG ORAL INHALER $169.25

PREVIDENT 5000 BOOSTER PLUS $14.80 QVAR 80 MCG ORAL INHALER $226.35

PREVIDENT 5000 ENAMEL PROTECT $14.50 RA ASPIRIN 325 MG TABLET $0.50

PREVIDENT 5000 PLUS CREAM $14.55 RA ASPIRIN EC 81 MG TABLET $1.15

PREVIDENT 5000 SENSITIVE PASTE $14.80 RAPAFLO 4 MG CAPSULE $261.05

PREVIFEM TABLET $12.45 RAPAMUNE 0.5 MG TABLET $434.05

PREZCOBIX 800 MG-150 MG TABLET $1,923.25 RAPAMUNE 1 MG TABLET $1,857.55

Page 35


PRIMIDONE 250 MG TABLET $21.65 RASAGILINE MESYLATE 0.5 MG TAB $410.50

PRIMIDONE 50 MG TABLET $9.00 RASUVO 10 MG/0.2 ML AUTOINJ $474.20

PRISTIQ ER 100 MG TABLET $442.10 RASUVO 15 MG/0.3 ML AUTOINJ $480.65

PRISTIQ ER 50 MG TABLET $493.80 RASUVO 17.5 MG/0.35 ML AUTOINJ $475.70

PROAIR HFA 90 MCG INHALER $69.50 RASUVO 20 MG/0.4 ML AUTOINJ $460.70

PROAIR RESPICLICK INHAL POWDER $62.95 RASUVO 25 MG/0.5 ML AUTOINJ $460.70

PROBENECID 500 MG TABLET $37.65 RAYALDEE ER 30 MCG CAPSULE $1,070.95

PROGESTERONE 100 MG CAPSULE $25.40 REBIF 44 MCG/0.5 ML SYRINGE $7,402.00

PROGESTERONE 200 MG CAPSULE $43.20 REBIF REBIDOSE 44 MCG/0.5 ML $7,376.05

PROGRAF 0.5 MG CAPSULE $210.45 RELION INS SYR 0.3 ML 31GX6MM $12.15

PROGRAF 1 MG CAPSULE $744.65 RELION INS SYR 0.5 ML 31GX6MM $15.65

PROPAFENONE HCL 150 MG TABLET $30.95 RELION INS SYR 1 ML 31GX15/64" $12.60

PROPRANOLOL 10 MG TABLET $11.85 RELION INS SYR 1 ML 31GX5/16" $12.60

PROPRANOLOL 20 MG TABLET $17.25 RELION LANCING DEVICE $5.85

PROPRANOLOL 20 MG/5 ML SOLN $17.05 RELION MICRO TEST STRIPS $39.95

PROPRANOLOL 40 MG TABLET $27.65 RELION NOVOLIN 70-30 VIAL $46.65

PROPRANOLOL 60 MG TABLET $39.80 RELION NOVOLIN R 100 UNIT/ML $55.50

PROPRANOLOL 80 MG TABLET $26.40 RELION PEN NEEDLE 29GX1/2" $10.80

PROPRANOLOL ER 120 MG CAPSULE $51.15 RELION PREMIER BLU GLUCOSE MTR $16.50

PROPRANOLOL ER 160 MG CAPSULE $103.95 RELION PRIME TEST STRIPS $17.90

PROPRANOLOL ER 60 MG CAPSULE $23.35 RELION SYRING 0.3 ML 31GX5/16" $9.85

PROPRANOLOL ER 80 MG CAPSULE $23.55 REMERON 15 MG TABLET $239.95

PROPYLTHIOURACIL 50 MG TABLET $61.05 RENAGEL 800 MG TABLET $632.85

PULMICORT 180 MCG FLEXHALER $235.30 RENVELA 800 MG TABLET $1,804.30

PULMICORT 90 MCG FLEXHALER $176.15 REPAGLINIDE 0.5 MG TABLET $27.45

PULMOZYME 1 MG/ML AMPUL $4,216.25 REPAGLINIDE 2 MG TABLET $44.95

PYRIDOSTIGMINE BR 60 MG TABLET $92.50 REQUIP 0.25 MG TABLET $27.65

QNASL 80 MCG NASAL SPRAY $227.50 REQUIP 1 MG TABLET $9.70

QNASL CHILDREN'S 40 MCG SPRAY $227.10 REVATIO 10 MG/ML ORAL SUSP $7,914.30

QUETIAPINE ER 150 MG TABLET $250.05 REVLIMID 15 MG CAPSULE $14,453.50




QUETIAPINE ER 50 MG TABLET $28.45 REXULTI 4 MG TABLET $1,133.45

Page 36


QUETIAPINE FUMARATE 100 MG TAB $21.90 REYATAZ 200 MG CAPSULE $1,475.70

QUETIAPINE FUMARATE 200 MG TAB $20.60 REYATAZ 300 MG CAPSULE $1,483.55

QUETIAPINE FUMARATE 25 MG TAB $16.70 RIDAURA 3 MG CAPSULE $1,308.10

QUETIAPINE FUMARATE 300 MG TAB $27.40 RILUZOLE 50 MG TABLET $104.75

QUETIAPINE FUMARATE 400 MG TAB $22.90 RIOMET 500 MG/5 ML SOLUTION $420.70

QUETIAPINE FUMARATE 50 MG TAB $15.25 RISEDRONATE SOD DR 35 MG TAB $140.75

QUILLICHEW ER 20 MG CHEW TAB $373.95 RISEDRONATE SODIUM 5 MG TABLET $204.45

QUILLICHEW ER 30 MG CHEW TAB $344.85 RISPERDAL 2 MG TABLET $1,707.00

QUILLIVANT XR 25 MG/5 ML SUSP $346.35 RISPERIDONE 0.25 MG ODT $99.00

QUINAPRIL 10 MG TABLET $7.65 RISPERIDONE 0.5 MG ODT $60.30

QUINAPRIL 20 MG TABLET $8.70 RISPERIDONE 1 MG ODT $98.95

QUINAPRIL 40 MG TABLET $8.35 RISPERIDONE 1 MG/ML SOLUTION $37.05

QUINAPRIL-HCTZ 20-12.5 MG TAB $39.95 RISPERIDONE 2 MG ODT $240.50

QUINAPRIL-HCTZ 20-25 MG TAB $31.25 RITALIN 10 MG TABLET $91.95

QVAR REDIHALER 40 MCG $179.10 RITALIN 20 MG TABLET $81.15

QVAR REDIHALER 80 MCG $239.75 RITALIN 5 MG TABLET $20.35

RABEPRAZOLE SOD DR 20 MG TAB $20.50 RITALIN LA 20 MG CAPSULE $297.95

RAGWITEK SUBLINGUAL TABLET $307.60 RIVASTIGMINE 1.5 MG CAPSULE $33.15

RALOXIFENE HCL 60 MG TABLET $51.10 RIVASTIGMINE 13.3 MG/24HR PTCH $247.45

RAMIPRIL 1.25 MG CAPSULE $9.15 RIVASTIGMINE 3 MG CAPSULE $181.70

RAMIPRIL 10 MG CAPSULE $5.00 RIVASTIGMINE 4.6 MG/24HR PATCH $244.60

RAMIPRIL 2.5 MG CAPSULE $4.35 RIVASTIGMINE 9.5 MG/24HR PATCH $246.70

RAMIPRIL 5 MG CAPSULE $4.45 ROCKLATAN 0.02%-0.005% EYE DRP $254.35

RANEXA ER 1,000 MG TABLET $581.30 ROPINIROLE HCL 5 MG TABLET $5.25

RANEXA ER 500 MG TABLET $360.45 ROPINIROLE HCL ER 12 MG TABLET $138.95

RANITIDINE 15 MG/ML SYRUP $13.80 ROPINIROLE HCL ER 2 MG TABLET $76.05

RANITIDINE 150 MG CAPSULE $43.55 ROPINIROLE HCL ER 4 MG TABLET $45.70

RANITIDINE 150 MG TABLET $5.75 ROPINIROLE HCL ER 6 MG TABLET $93.65

RANITIDINE 300 MG CAPSULE $85.70 ROPINIROLE HCL ER 8 MG TABLET $66.25

RANITIDINE 300 MG TABLET $8.75 ROWEEPRA 500 MG TABLET $22.70

RANOLAZINE ER 1,000 MG TABLET $499.80 ROWEEPRA 750 MG TABLET $29.35

RANOLAZINE ER 500 MG TABLET $307.40 RUBRACA 300 MG TABLET $16,527.80

RAPAFLO 8 MG CAPSULE $260.75 RYDAPT 25 MG CAPSULE $12,394.20

RASAGILINE MESYLATE 1 MG TAB $496.60 RYTARY ER 23.75 MG-95 MG CAP $847.75

Page 37


RECLIPSEN 28 DAY TABLET $16.80 RYTARY ER 36.25 MG-145 MG CAP $958.00

RELION NOVOLIN N 100 UNIT/ML $40.15 RYTARY ER 48.75 MG-195 MG CAP $459.05

RELION PEN NEEDLE 31GX1/4" $13.90 RYTARY ER 61.25 MG-245 MG CAP $804.75

RELION PEN NEEDLE 31GX5/16" $15.55 SABRIL 500 MG POWDER PACKET $18,453.70

RELION PEN NEEDLE 32GX5/32" $15.30 SABRIL 500 MG TABLET $18,621.45

RELION SYRING 0.5 ML 31GX5/16" $12.05 SAFYRAL TABLET $199.65

REPAGLINIDE 1 MG TABLET $21.60 SAIZEN 8.8 MG VIAL $2,894.85

REPATHA 140 MG/ML SURECLICK $942.10 SAMSCA 30 MG TABLET $5,623.30

REPATHA 140 MG/ML SYRINGE $1,072.25 SANDIMMUNE 25 MG CAPSULE $882.80

REPATHA 420 MG/3.5ML PUSHTRONX $1,254.15 SAPHRIS 10 MG TAB SUBLINGUAL $837.45

RESTASIS 0.05% EYE EMULSION $538.00 SAPHRIS 2.5 MG TAB SUBLINGUAL $596.85

RESTASIS MULTIDOSE 0.05% EYE $555.15 SAPHRIS 5 MG TAB SUBLINGUAL $736.30

REVLIMID 10 MG CAPSULE $16,625.70 SAVELLA 12.5 MG TABLET $458.55

REXULTI 0.5 MG TABLET $1,081.65 SAVELLA 25 MG TABLET $309.65

REXULTI 1 MG TABLET $1,094.70 SEGLUROMET 2.5-1,000 MG TABLET $239.50

REXULTI 2 MG TABLET $1,126.45 SEGLUROMET 7.5-1,000 MG TABLET $154.80

REXULTI 3 MG TABLET $1,110.05 SEGLUROMET 7.5-500 MG TABLET $280.85

RHOPRESSA 0.02% OPHTH SOLUTION $248.85 SELECT-OB + DHA PACK $121.40

RISEDRONATE SODIUM 150 MG TAB $166.10 SELEGILINE HCL 5 MG CAPSULE $64.80

RISEDRONATE SODIUM 35 MG TAB $138.45 SELEGILINE HCL 5 MG TABLET $79.20

RISPERIDONE 0.25 MG TABLET $19.25 SELZENTRY 150 MG TABLET $1,506.65

RISPERIDONE 0.5 MG TABLET $10.85 SELZENTRY 300 MG TABLET $1,475.55

RISPERIDONE 1 MG TABLET $12.00 SE-NATAL 19 CHEWABLE TABLET $22.65

RISPERIDONE 2 MG TABLET $14.50 SE-NATAL 19 TABLET $16.40

RISPERIDONE 3 MG TABLET $5.25 SENSIPAR 60 MG TABLET $1,516.55

RISPERIDONE 4 MG TABLET $6.05 SENSIPAR 90 MG TABLET $3,016.25

RITONAVIR 100 MG TABLET $238.10 SEREVENT DISKUS 50 MCG $352.70

ROPINIROLE HCL 0.25 MG TABLET $21.30 SEROQUEL 400 MG TABLET $579.50

ROPINIROLE HCL 0.5 MG TABLET $15.05 SEROQUEL XR 150 MG TABLET $441.10

ROPINIROLE HCL 1 MG TABLET $16.65 SEROQUEL XR 300 MG TABLET $627.25

ROPINIROLE HCL 2 MG TABLET $17.10 SEROQUEL XR 400 MG TABLET $1,245.45

ROPINIROLE HCL 3 MG TABLET $25.50 SEROQUEL XR 50 MG TABLET $491.20

ROPINIROLE HCL 4 MG TABLET $9.95 SEVELAMER 2.4 GM POWDER PACKET $559.80

ROSUVASTATIN CALCIUM 10 MG TAB $9.15 SEVELAMER HCL 800 MG TABLET $537.75

Page 38


ROSUVASTATIN CALCIUM 20 MG TAB $27.60 SILDENAFIL 10 MG/ML ORAL SUSP $3,113.50

ROSUVASTATIN CALCIUM 40 MG TAB $16.45 SILIQ 210 MG/1.5 ML SYRINGE $3,507.25

ROSUVASTATIN CALCIUM 5 MG TAB $24.60 SILODOSIN 4 MG CAPSULE $264.55

SAVAYSA 60 MG TABLET $371.45 SIMPONI 100 MG/ML PEN INJECTOR $6,941.85

SAVELLA 100 MG TABLET $352.70 SIMPONI 50 MG/0.5 ML SYRINGE $4,818.90

SAVELLA 50 MG TABLET $351.45 SINEMET 25-100 MG TABLET $123.05

SAXENDA 18 MG/3 ML PEN $1,168.50 SINGULAIR 10 MG TABLET $251.50

SENSIPAR 30 MG TABLET $884.40 SINGULAIR 4 MG GRANULES $228.00

SERTRALINE 20 MG/ML ORAL CONC $62.90 SINGULAIR 5 MG TABLET CHEW $228.00

SERTRALINE HCL 100 MG TABLET $6.05 SIROLIMUS 0.5 MG TABLET $198.00

SERTRALINE HCL 25 MG TABLET $5.85 SIROLIMUS 1 MG TABLET $789.05

SERTRALINE HCL 50 MG TABLET $4.75 SIROLIMUS 1 MG/ML SOLUTION $1,722.30

SEVELAMER CARBONATE 800 MG TAB $689.90 SIROLIMUS 2 MG TABLET $1,868.20

SF 1.1% GEL $8.10 SM ASPIRIN 325 MG TABLET $1.00

SF 5000 PLUS CREAM $8.25 SM ASPIRIN 81 MG CHEWABLE TAB $2.20

SHAROBEL 0.35 MG TABLET $14.60 SM ASPIRIN EC 325 MG TABLET $1.20

SILDENAFIL 100 MG TABLET $69.30 SM CHILD ASPIRIN 81 MG CHW TAB $1.70

SILDENAFIL 20 MG TABLET $622.10 SODIUM FLUORIDE 0.5 MG(1.1 MG) $3.60

SILDENAFIL 25 MG TABLET $59.05 SODIUM FLUORIDE 0.5 MG/ML DROP $8.00

SILDENAFIL 50 MG TABLET $71.15 SODIUM FLUORIDE 1 MG (2.2 MG) $3.60

SILODOSIN 8 MG CAPSULE $204.15 SOMATULINE DEPOT 120 MG/0.5 ML $7,887.65

SIMBRINZA 1%-0.2% EYE DROPS $157.45 SOMATULINE DEPOT 90 MG/0.3 ML $6,644.45

SIMPONI 50 MG/0.5 ML PEN INJEC $4,772.70 SOMAVERT 10 MG VIAL $6,458.95

SIMVASTATIN 10 MG TABLET $7.15 SOMAVERT 15 MG VIAL $9,755.05



SIMVASTATIN 5 MG TABLET $10.25 SOTALOL 240 MG TABLET $22.05

SIMVASTATIN 80 MG TABLET $7.95 SOTALOL AF 120 MG TABLET $14.95

SM ASPIRIN EC 81 MG TABLET $1.55 SOTALOL AF 80 MG TABLET $7.00

SOLIFENACIN 10 MG TABLET $339.15 SPRAVATO 56 MG DOSE PACK $4,699.05

SOLIFENACIN 5 MG TABLET $345.45 SPRAVATO 84 MG DOSE PACK $3,524.45

SOLIQUA 100 UNIT-33 MCG/ML PEN $544.90 SPRYCEL 20 MG TABLET $4,625.60

SOTALOL 120 MG TABLET $14.35 SPRYCEL 50 MG TABLET $8,032.00


Page 39



SPIRIVA 18 MCG CP-HANDIHALER $427.55 STAXYN 10 MG ODT $154.35

SPIRIVA RESPIMAT 1.25 MCG INH $427.50 STEGLUJAN 15-100 MG TABLET $547.35

SPIRIVA RESPIMAT 2.5 MCG INH $427.50 STERILANCE TL TWIST 30G LANCET $5.10

SPIRONOLACTONE 100 MG TABLET $17.80 STIMATE 1.5 MG/ML NASAL SPRAY $815.40

SPIRONOLACTONE 25 MG TABLET $7.40 STRATTERA 40 MG CAPSULE $428.35

SPIRONOLACTONE 50 MG TABLET $12.45 STRATTERA 60 MG CAPSULE $168.65

SPIRONOLACTONE-HCTZ 25-25 TAB $30.90 STRATTERA 80 MG CAPSULE $462.10

SPRINTEC 28 DAY TABLET $11.65 STRIANT 30 MG MUCOADHESIVE $793.60

SPRYCEL 100 MG TABLET $13,955.95 SUBOXONE 12 MG-3 MG SL FILM $751.70

SRONYX 0.10-0.02 MG TABLET $12.10 SUBVENITE 100 MG TABLET $5.35

STEGLATRO 15 MG TABLET $280.30 SUBVENITE 25 MG TABLET $5.85

STEGLATRO 5 MG TABLET $293.45 SUCRAID 8,500 UNITS/ML SOLN $12,046.30

STELARA 45 MG/0.5 ML SYRINGE $10,938.35 SURE COMFORT 0.5 ML SYRINGE $27.45

STELARA 90 MG/ML SYRINGE $21,871.95 SURE COMFORT 1 ML SYRINGE $19.35

STIOLTO RESPIMAT INHAL SPRAY $396.05 SURE COMFORT 31G PEN NEEDLE $25.80

STRIBILD TABLET $3,165.35 SURE COMFORT PEN NDL 31GX3/16" $30.05

SUBOXONE 2 MG-0.5 MG SL FILM $200.50 SURE COMFORT PEN NDL 32GX5/32" $29.15

SUBOXONE 4 MG-1 MG SL FILM $253.40 SUSTIVA 600 MG TABLET $953.45

SUBOXONE 8 MG-2 MG SL FILM $389.10 SYMAX DUOTAB $99.60

SUCRALFATE 1 GM TABLET $26.30 SYMLINPEN 120 PEN INJECTOR $1,814.00

SULFASALAZINE 500 MG TABLET $24.30 SYMLINPEN 60 PEN INJECTOR $1,612.15

SULFASALAZINE DR 500 MG TAB $39.80 SYNJARDY 12.5-500 MG TABLET $491.35

SYEDA 28 TABLET $61.05 SYNJARDY 5-1,000 MG TABLET $491.35

SYMBICORT 160-4.5 MCG INHALER $345.10 SYNJARDY 5-500 MG TABLET $417.40

SYMBICORT 80-4.5 MCG INHALER $301.15 SYNJARDY XR 10-1,000 MG TABLET $491.35

SYMDEKO 100/150 MG-150 MG TABS $22,633.10 SYNJARDY XR 5-1,000 MG TABLET $399.35

SYMTUZA 800-150-200-10 MG TAB $3,805.10 SYNTHROID 300 MCG TABLET $35.05

SYNJARDY 12.5-1,000 MG TABLET $481.40 TACROLIMUS 5 MG CAPSULE $591.25

SYNJARDY XR 12.5-1,000 MG TAB $462.90 TADALAFIL 2.5 MG TABLET $225.25

SYNJARDY XR 25-1,000 MG TABLET $536.75 TAFINLAR 75 MG CAPSULE $10,183.20

SYNTHROID 100 MCG TABLET $36.50 TAKHZYRO 300 MG/2 ML VIAL $46,233.75

SYNTHROID 112 MCG TABLET $38.65 TALTZ 80 MG/ML SYRINGE $5,282.50

SYNTHROID 125 MCG TABLET $38.05 TARCEVA 100 MG TABLET $7,352.70

Page 40




SYNTHROID 175 MCG TABLET $36.00 TARGRETIN 75 MG CAPSULE $28,297.35

SYNTHROID 200 MCG TABLET $36.65 TARINA 24 FE 1 MG-20 MCG TAB $42.10

SYNTHROID 25 MCG TABLET $37.15 TARINA FE 1-20 TABLET $15.75

SYNTHROID 50 MCG TABLET $36.80 TASIGNA 150 MG CAPSULE $12,956.25

SYNTHROID 75 MCG TABLET $36.65 TASIGNA 200 MG CAPSULE $10,177.00

SYNTHROID 88 MCG TABLET $37.00 TAZTIA XT 180 MG CAPSULE $33.10

TACROLIMUS 0.5 MG CAPSULE $31.85 TECHLITE PEN NEEDLE 31GX1/4" $46.45

TACROLIMUS 1 MG CAPSULE $98.60 TECHLITE PEN NEEDLE 31GX5/16" $34.05

TADALAFIL 10 MG TABLET $336.65 TECHLITE PEN NEEDLE 32GX1/4" $34.45

TADALAFIL 20 MG TABLET $334.50 TECHLITE PEN NEEDLE 32GX5/16" $51.25

TADALAFIL 20 MG TABLET $2,881.80 TEGRETOL 200 MG TABLET $344.25

TADALAFIL 5 MG TABLET $161.75 TEGRETOL XR 100 MG TABLET $104.60

TALTZ 80 MG/ML AUTOINJ (2-PK) $10,677.40 TEGRETOL XR 200 MG TABLET $379.80

TALTZ 80 MG/ML AUTOINJ (3-PK) $16,117.20 TEGRETOL XR 400 MG TABLET $322.35

TALTZ 80 MG/ML AUTOINJECTOR $5,377.90 TEKTURNA 150 MG TABLET $207.60

TAMOXIFEN 10 MG TABLET $22.95 TEKTURNA 300 MG TABLET $252.80

TAMOXIFEN 20 MG TABLET $28.30 TEKTURNA HCT 300-25 MG TABLET $261.70

TAMSULOSIN HCL 0.4 MG CAPSULE $7.10 TELMISARTAN-AMLODIPINE 40-10 $129.45

TARINA FE 1-20 EQ TABLET $14.70 TELMISARTAN-AMLODIPINE 40-5 MG $127.60

TARON-C DHA CAPSULE $26.15 TELMISARTAN-AMLODIPINE 80-10 $126.45

TARON-PREX PRENATAL DHA CAP $42.55 TELMISARTAN-AMLODIPINE 80-5 MG $123.25

TAYTULLA 1 MG-20 MCG CAPSULE $186.55 TENORMIN 50 MG TABLET $538.85

TECFIDERA DR 240 MG CAPSULE $7,709.75 TERBUTALINE SULFATE 5 MG TAB $537.15

TECHLITE PEN NEEDLE 32GX5/32" $35.25 TESTIM 1% (50MG) GEL $1,061.55

TELMISARTAN 20 MG TABLET $23.90 TESTOSTERONE 10 MG GEL PUMP $396.00

TELMISARTAN 40 MG TABLET $24.20 TESTOSTERONE CYP 100 MG/ML $37.70

TELMISARTAN 80 MG TABLET $35.50 TETRABENAZINE 12.5 MG TABLET $6,565.35

TELMISARTAN-HCTZ 40-12.5 MG TB $128.10 THALOMID 100 MG CAPSULE $7,689.95

TELMISARTAN-HCTZ 80-12.5 MG TB $120.05 THALOMID 50 MG CAPSULE $4,766.55

TELMISARTAN-HCTZ 80-25 MG TAB $91.05 THEO-24 ER 200 MG CAPSULE $138.25

TENOFOVIR DISOP FUM 300 MG TB $311.00 THEO-24 ER 300 MG CAPSULE $240.35

TERAZOSIN 1 MG CAPSULE $10.25 THEOPHYLLINE ER 300 MG TAB $179.75

Page 41


TERAZOSIN 10 MG CAPSULE $8.75 THEOPHYLLINE ER 400 MG TABLET $31.55

TERAZOSIN 2 MG CAPSULE $7.80 THEOPHYLLINE ER 600 MG TABLET $91.90

TERAZOSIN 5 MG CAPSULE $8.80 THIORIDAZINE 10 MG TABLET $99.90

TESTOSTERON CYP 1,000 MG/10 ML $40.90 THIORIDAZINE 100 MG TABLET $25.10

TESTOSTERON CYP 2,000 MG/10 ML $69.20 THIORIDAZINE 25 MG TABLET $17.95

TESTOSTERONE 1.62% (2.5 G) PKT $679.20 THIORIDAZINE 50 MG TABLET $47.20

TESTOSTERONE 1.62% GEL PUMP $628.35 THIOTHIXENE 1 MG CAPSULE $31.30

TESTOSTERONE 1.62%(1.25 G) PKT $681.95 THIOTHIXENE 10 MG CAPSULE $152.65

TESTOSTERONE 12.5 MG/1.25 GRAM $230.55 THIOTHIXENE 2 MG CAPSULE $33.35

TESTOSTERONE 25 MG/2.5 GM PKT $506.70 THYROID 120 MG TABLET $20.60

TESTOSTERONE 30 MG/1.5 ML PUMP $450.25 THYROID 30 MG TABLET $17.45

TESTOSTERONE 50 MG/5 GRAM GEL $407.80 TIAGABINE HCL 12 MG TABLET $1,147.00

TESTOSTERONE 50 MG/5 GRAM PKT $410.10 TIAGABINE HCL 2 MG TABLET $426.25

TESTOSTERONE CYP 200 MG/ML $42.90 TIAGABINE HCL 4 MG TABLET $715.10

TILIA FE 28 TABLET $163.30 TIAZAC ER 180 MG CAPSULE $65.00

TIMOLOL 0.5% GFS GEL-SOLUTION $179.85 TIKOSYN 250 MCG CAPSULE $621.45

TIMOLOL MALEATE 0.25% EYE DROP $4.55 TIKOSYN 500 MCG CAPSULE $557.70

TIMOLOL MALEATE 0.5% EYE DROPS $6.35 TIMOLOL 0.25% GEL-SOLUTION $162.40

TIROSINT 100 MCG CAPSULE $138.75 TIMOLOL 0.25% GFS GEL-SOLUTION $164.30

TIROSINT 125 MCG CAPSULE $125.00 TIMOLOL 0.5% EYE DROP $240.05

TIROSINT 75 MCG CAPSULE $130.30 TIMOLOL 0.5% GEL-SOLUTION $179.90

TIVICAY 50 MG TABLET $1,699.65 TIMOPTIC 0.5% OCUDOSE DROP $358.90

TIZANIDINE HCL 2 MG CAPSULE $83.45 TIROSINT 112 MCG CAPSULE $142.60

TIZANIDINE HCL 2 MG TABLET $11.45 TIROSINT 137 MCG CAPSULE $125.55


TIZANIDINE HCL 4 MG TABLET $11.70 TIROSINT 175 MCG CAPSULE $128.25


TOLTERODINE TART ER 2 MG CAP $206.85 TIROSINT 50 MCG CAPSULE $130.35

TOLTERODINE TART ER 4 MG CAP $94.50 TIROSINT 88 MCG CAPSULE $127.00

TOLTERODINE TARTRATE 2 MG TAB $75.05 TIROSINT-SOL 100 MCG/ML SOLN $211.10

TOPIRAMATE 100 MG TABLET $9.75 TIROSINT-SOL 175 MCG/ML SOLN $127.15

TOPIRAMATE 200 MG TABLET $12.15 TIVICAY 10 MG TABLET $342.85

TOPIRAMATE 25 MG SPRINKLE CAP $31.70 TIVICAY 25 MG TABLET $856.65

TOPIRAMATE 25 MG TABLET $6.75 TOBRAMYCIN 300 MG/5 ML AMPULE $5,147.40

Page 42


TOPIRAMATE 50 MG TABLET $7.45 TOFRANIL 25 MG TABLET $1,159.45

TORSEMIDE 10 MG TABLET $6.35 TOLTERODINE TARTRATE 1 MG TAB $43.55

TORSEMIDE 20 MG TABLET $9.70 TOPAMAX 100 MG TABLET $2,464.45

TOUJEO MAX SOLOSTAR 300UNIT/ML $647.40 TOPAMAX 25 MG TABLET $543.10

TOUJEO SOLOSTAR 300 UNIT/ML $480.90 TOPAMAX 50 MG TABLET $516.20

TOVIAZ ER 8 MG TABLET $329.10 TOPIRAMATE 15 MG SPRINKLE CAP $50.90

TRADJENTA 5 MG TABLET $428.25 TOPIRAMATE ER 100 MG CAPSULE $806.55

TRANDOLAPRIL 4 MG TABLET $30.80 TOPIRAMATE ER 150 MG CAPSULE $1,397.40

TRANEXAMIC ACID 650 MG TABLET $96.20 TOPIRAMATE ER 200 MG CAPSULE $1,353.35

TRAVATAN Z 0.004% EYE DROP $203.95 TOPIRAMATE ER 25 MG CAPSULE $283.50

TRAZODONE 100 MG TABLET $8.30 TOPIRAMATE ER 50 MG CAPSULE $435.50

TRAZODONE 150 MG TABLET $12.15 TOPROL XL 100 MG TABLET $60.70

TRAZODONE 300 MG TABLET $121.50 TOPROL XL 25 MG TABLET $43.65

TRAZODONE 50 MG TABLET $6.70 TORSEMIDE 100 MG TABLET $11.10

TRELEGY ELLIPTA 100-62.5-25 $543.80 TORSEMIDE 5 MG TABLET $6.35

TREMFYA 100 MG/ML SYRINGE $10,736.10 TOVIAZ ER 4 MG TABLET $315.80

TRESIBA FLEXTOUCH 100 UNIT/ML $381.55 TRACLEER 125 MG TABLET $11,445.75

TRESIBA FLEXTOUCH 200 UNIT/ML $752.10 TRACLEER 62.5 MG TABLET $2,814.10

TRI FEMYNOR 28 TABLET $11.65 TRANDOLAPRIL 1 MG TABLET $30.75

TRIAMTERENE-HCTZ 37.5-25 MG CP $6.75 TRANDOLAPRIL 2 MG TABLET $23.25

TRIAMTERENE-HCTZ 37.5-25 MG TB $7.30 TRANDOLAPR-VERAPAM ER 4-240 MG $131.15

TRIAMTERENE-HCTZ 75-50 MG TAB $7.00 TRANYLCYPROMINE SULF 10 MG TAB $352.85

TRI-ESTARYLLA TABLET $11.85 TREMFYA 100 MG/ML INJECTOR $10,881.50

TRIHEXYPHENIDYL 2 MG TABLET $7.95 TRESIBA 100 UNIT/ML VIAL $1,012.90

TRI-LEGEST FE-28 DAY TABLET $47.40 TREXALL 10 MG TABLET $169.45

TRI-LINYAH TABLET $10.00 TREXALL 15 MG TABLET $278.90

TRI-LO-ESTARYLLA TABLET $11.20 TREXALL 5 MG TABLET $205.60

TRI-LO-MARZIA TABLET $11.40 TRIAMTERENE-HCTZ 50-25 MG CAP $50.80

TRI-LO-SPRINTEC TABLET $11.35 TRIBENZOR 20-5-12.5 MG TABLET $265.45

TRINESSA TABLET $11.20 TRIBENZOR 40-10-25 MG TABLET $345.35

TRINTELLIX 10 MG TABLET $388.70 TRIBENZOR 40-5-12.5 MG TABLET $345.35

TRINTELLIX 20 MG TABLET $380.90 TRICARE PRENATAL TABLET $30.85

TRINTELLIX 5 MG TABLET $387.75 TRIFLUOPERAZINE 5 MG TABLET $36.85

TRI-PREVIFEM TABLET $11.65 TRIHEXYPHENIDYL 2 MG/5 ML ELX $29.95

Page 43


TRI-SPRINTEC TABLET $10.95 TRIHEXYPHENIDYL 5 MG TABLET $15.95

TRIUMEQ 600-50-300 MG TABLET $2,844.80 TRILEPTAL 300 MG TABLET $1,104.90

TRIVORA-28 TABLET $16.55 TRILEPTAL 300 MG/5 ML SUSP $1,471.65

TRI-VYLIBRA 28 TABLET $11.10 TRILEPTAL 600 MG TABLET $2,457.25

TROKENDI XR 100 MG CAPSULE $789.75 TRILIPIX DR 135 MG CAPSULE $270.20

TROKENDI XR 200 MG CAPSULE $1,319.45 TRINATAL RX 1 TABLET $7.20

TROKENDI XR 25 MG CAPSULE $366.75 TRINESSA LO TABLET $10.60

TROKENDI XR 50 MG CAPSULE $459.85 TRI-VYLIBRA LO TABLET $11.45

TROSPIUM CHLORIDE 20 MG TABLET $129.75 TRUE METRIX BLOOD GLUCOSE MTR $14.35

TROSPIUM CHLORIDE ER 60 MG CAP $160.55 TRUE METRIX GLUCOSE TEST STRIP $63.00

TRUEPLUS PEN NEEDLE 32GX5/32" $25.35 TRUEPLUS 33G LANCETS $6.15

TRULANCE 3 MG TABLET $410.35 TRUEPLUS PEN NEEDLE 29GX1/2" $13.15

TRULICITY 0.75 MG/0.5 ML PEN $747.70 TRUEPLUS PEN NEEDLE 31G X 1/4" $20.80

TRULICITY 1.5 MG/0.5 ML PEN $746.35 TRUEPLUS PEN NEEDLE 31GX3/16" $15.70

TRUVADA 200 MG-300 MG TABLET $1,710.95 TRUEPLUS PEN NEEDLE 31GX5/16" $22.85

TUDORZA PRESSAIR 400 MCG INHAL $337.55 TRUEPLUS SUPER THIN 28G LANCET $6.00

TYMLOS 80 MCG DOSE PEN INJECTR $1,773.05 TRUEPLUS SYR 0.5ML 29GX1/2" $21.05

ULORIC 40 MG TABLET $329.60 TRUEPLUS SYR 0.5ML 31GX5/16" $17.50

ULORIC 80 MG TABLET $328.10 TRUEPLUS SYR 1ML 31GX5/16" $17.70

ULTICARE PEN NEEDLES 4MM 32G $40.00 TRUEPLUS ULTRA THIN 30G LANCET $6.15

ULTICARE PEN NEEDLES 6MM 31G $35.60 TRUETRACK GLUCOSE TEST STRIPS $41.95

ULTICARE PEN NEEDLES 8MM 31G $38.20 TULANA 0.35 MG TABLET $14.00

ULTRA THIN 31G LANCETS $49.70 TYDEMY TABLET $136.40

UNIFINE PENTIPS 32GX5/32" $28.15 TYKERB 250 MG TABLET $4,363.05

UNIFINE PENTIPS 8MM 31G $29.00 ULTCARE INS SYR 1 ML 31GX5/16" $19.70

URSODIOL 250 MG TABLET $178.80 ULTICARE INS SYR 1 ML 30GX1/2" $24.90

URSODIOL 300 MG CAPSULE $290.50 ULTICARE PEN NEEDLE 6MM 31G $16.00

URSODIOL 500 MG TABLET $240.55 ULTICARE PEN NEEDLE 8 MM 31G $37.75

VALACYCLOVIR HCL 1 GRAM TABLET $17.25 ULTICARE PEN NEEDLES 12MM 29G $22.00

VALACYCLOVIR HCL 500 MG TABLET $12.35 ULTICARE SYR 0.3 ML 30GX5/16" $50.80

VALGANCICLOVIR 450 MG TABLET $2,162.45 ULTICARE SYR 0.3 ML 31GX5/16" $24.15

VALPROIC ACID 250 MG CAPSULE $46.50 ULTICARE SYR 0.5 ML 31GX5/16" $13.15

VALPROIC ACID 250 MG/5 ML SOLN $17.00 ULTICARE SYRINGE 1 ML 30GX1/2" $67.20

VALSARTAN 160 MG TABLET $24.55 ULTRA COMFORT 0.5 ML 29GX1/2" $15.25

Page 44


VALSARTAN 320 MG TABLET $38.45 ULTRA COMFORT 1 ML 29GX1/2" $43.05

VALSARTAN 40 MG TABLET $47.30 UNIFINE PENTIPS 12MM 29G $27.25

VALSARTAN 80 MG TABLET $21.40 UNIFINE PENTIPS 31GX3/16" $29.20

VALSARTAN-HCTZ 160-12.5 MG TAB $38.75 UNIFINE PENTIPS 6MM 31G $24.70

VALSARTAN-HCTZ 160-25 MG TAB $37.35 UNIFINE PENTIPS PLUS 31GX1/4" $26.55

VALSARTAN-HCTZ 320-12.5 MG TAB $23.60 UNIFINE PENTIPS PLUS 31GX3/16" $26.30

VALSARTAN-HCTZ 320-25 MG TAB $15.55 UNIFINE PENTIPS PLUS 31GX5/16" $30.55

VALSARTAN-HCTZ 80-12.5 MG TAB $34.05 UNIFINE PENTIPS PLUS 32GX5/32" $30.60

VASCEPA 1 GM CAPSULE $278.10 UNILET MICRO THIN 33G LANCETS $6.45

VELIVET 28 DAY TABLET $28.60 UNISTRIP1 GLUCOSE TEST STRIP $114.35

VELPHORO 500 MG CHEWABLE TAB $2,131.45 UNITHROID 100 MCG TABLET $14.65

VEMLIDY 25 MG TABLET $1,094.40 UNITHROID 112 MCG TABLET $16.70

VENLAFAXINE HCL 100 MG TABLET $21.45 UNITHROID 125 MCG TABLET $18.15


VENLAFAXINE HCL 37.5 MG TABLET $26.65 UNITHROID 150 MCG TABLET $19.85



VENLAFAXINE HCL ER 150 MG CAP $9.55 UNITHROID 25 MCG TABLET $11.55

VENLAFAXINE HCL ER 150 MG TAB $193.35 UNITHROID 75 MCG TABLET $12.60

VENLAFAXINE HCL ER 225 MG TAB $379.70 UNITHROID 88 MCG TABLET $9.20

VENLAFAXINE HCL ER 37.5 MG CAP $12.50 UPTRAVI 200 MCG TABLET $11,027.85

VENLAFAXINE HCL ER 37.5 MG TAB $145.80 UPTRAVI 400 MCG TABLET $14,436.45

VENLAFAXINE HCL ER 75 MG CAP $8.85 UROCIT-K ER 15 MEQ TABLET $1,208.70

VENLAFAXINE HCL ER 75 MG TAB $200.15 UTIBRON NEOHALER 27.5-15.6 MCG $366.25

VENTOLIN HFA 90 MCG INHALER $58.40 VAGIFEM 10 MCG VAGINAL TAB $208.95

VERAPAMIL 120 MG TABLET $8.05 VALCHLOR 0.016% GEL $4,438.70

VERAPAMIL 360 MG CAP PELLET $138.45 VALCYTE 50 MG/ML SOLUTION $2,596.55

VERAPAMIL 40 MG TABLET $13.75 VALTREX 1 GM CAPLET $525.35

VERAPAMIL 80 MG TABLET $11.25 VALTREX 500 MG CAPLET $367.65

VERAPAMIL ER 120 MG CAPSULE $61.35 VARDENAFIL HCL 10 MG TABLET $264.70

VERAPAMIL ER 120 MG TABLET $11.50 VARDENAFIL HCL 20 MG TABLET $216.40

VERAPAMIL ER 180 MG CAPSULE $57.40 VASCEPA 0.5 GM CAPSULE $283.90

VERAPAMIL ER 180 MG TABLET $10.60 VELTASSA 16.8 GM POWDER PACKET $748.90

VERAPAMIL ER 240 MG TABLET $10.95 VENCLEXTA 10 MG TABLET $135.80

Page 45


VERAPAMIL ER PM 300 MG CAPSULE $215.20 VENCLEXTA 100 MG TABLET $9,838.85

VERAPAMIL SR 120 MG CAPSULE $43.75 VENCLEXTA 50 MG TABLET $338.35

VERAPAMIL SR 180 MG CAPSULE $50.00 VERAPAMIL ER 240 MG CAPSULE $46.90

VERAPAMIL SR 240 MG CAPSULE $50.20 VERAPAMIL ER PM 100 MG CAPSULE $140.65

VESICARE 10 MG TABLET $380.40 VERAPAMIL ER PM 200 MG CAPSULE $180.35

VESICARE 5 MG TABLET $380.35 VERZENIO 100 MG TABLET $11,364.90

VIBERZI 100 MG TABLET $1,195.55 VERZENIO 150 MG TABLET $11,506.90

VIBERZI 75 MG TABLET $1,186.65 VERZENIO 200 MG TABLET $9,137.75

VICTOZA 2-PAK 18 MG/3 ML PEN $616.75 VERZENIO 50 MG TABLET $11,615.00

VICTOZA 3-PAK 18 MG/3 ML PEN $905.95 VESTURA 3 MG-0.02 MG TABLET $46.90

VIENVA-28 TABLET $12.15 VIAGRA 100 MG TABLET $223.10

VIIBRYD 10 MG TABLET $281.80 VIAGRA 50 MG TABLET $423.10

VIIBRYD 20 MG TABLET $291.00 VIDEX EC 250 MG CAPSULE $247.70

VIIBRYD 40 MG TABLET $271.55 VIGABATRIN 500 MG POWDER PACKT $16,028.45

VIMPAT 100 MG TABLET $1,054.65 VIMOVO DR 500-20 MG TABLET $2,464.60

VIMPAT 150 MG TABLET $920.35 VIMPAT 10 MG/ML SOLUTION $1,363.20

VIMPAT 200 MG TABLET $864.35 VINATE ONE TABLET $7.80

VIMPAT 50 MG TABLET $698.00 VINATE-M TABLET $6.75

VIORELE 28 DAY TABLET $37.45 VIOKACE 20,880-78,300 UNITS TB $1,180.65

VIRT-PN DHA SOFTGEL $56.75 VIRACEPT 625 MG TABLET $1,224.45

VITAFOL GUMMIES $113.05 VIREAD 300 MG TABLET $1,122.30

VITAFOL ULTRA SOFTGEL $123.10 VIRT-C DHA SOFTGEL $4.00

VITAMIN D2 1.25MG(50,000 UNIT) $4.60 VIRT-PN PLUS SOFTGEL $51.90

VITAPEARL SOFTGEL $119.45 VIRT-PN TABLET $46.90

VIVELLE-DOT 0.1 MG PATCH $151.50 VITAFOL FE+ DOCUSATE COMBO PCK $73.90

VRAYLAR 1.5 MG CAPSULE $1,185.30 VITAFOL NANO TABLET $121.40

VRAYLAR 3 MG CAPSULE $1,231.80 VITAFOL-ONE CAPSULE $121.40

VRAYLAR 4.5 MG CAPSULE $1,196.05 VITAMEDMD ONE RX SOFTGEL $119.60

VRAYLAR 6 MG CAPSULE $1,259.75 VITAMEDMD REDICHEW RX TAB CHEW $119.60

VYFEMLA 28 TABLET $25.35 VITATRUE COMBO PACK $119.60

VYLIBRA 28 TABLET $12.55 VIVELLE-DOT 0.025 MG PATCH $129.65

VYVANSE 10 MG CAPSULE $296.40 VIVELLE-DOT 0.0375 MG PATCH $128.55

VYVANSE 10 MG CHEWABLE TABLET $298.90 VIVELLE-DOT 0.05 MG PATCH $101.70

VYVANSE 20 MG CAPSULE $306.70 VIVELLE-DOT 0.075 MG PATCH $126.95

Page 46


VYVANSE 20 MG CHEWABLE TABLET $293.55 VIVLODEX 5 MG CAPSULE $714.90

VYVANSE 30 MG CAPSULE $299.80 VOLTAREN 1% GEL $74.95

VYVANSE 30 MG CHEWABLE TABLET $298.30 VOTRIENT 200 MG TABLET $11,010.35

VYVANSE 40 MG CAPSULE $300.90 VP-PNV-DHA SOFTGEL $5.00

VYVANSE 40 MG CHEWABLE TABLET $297.20 VYTORIN 10-20 MG TABLET $244.05

VYVANSE 50 MG CAPSULE $300.50 VYTORIN 10-40 MG TABLET $340.90

VYVANSE 60 MG CAPSULE $299.45 VYVANSE 50 MG CHEWABLE TABLET $299.15

VYVANSE 70 MG CAPSULE $298.30 VYVANSE 60 MG CHEWABLE TABLET $300.25

VYZULTA 0.024% OPHTH SOLUTION $243.30 WALGREENS ULTRA THIN LANCETS $6.95

WARFARIN SODIUM 1 MG TABLET $10.30 WELCHOL 3.75G PACKET $640.70

WARFARIN SODIUM 10 MG TABLET $7.55 WELLBUTRIN XL 150 MG TABLET $1,504.85

WARFARIN SODIUM 2 MG TABLET $8.45 WERA 0.5/0.035 MG 28 TABLET $26.90

WARFARIN SODIUM 2.5 MG TABLET $6.60 WESTHROID 65 MG TABLET $18.45

WARFARIN SODIUM 3 MG TABLET $7.20 XADAGO 100 MG TABLET $777.75

WARFARIN SODIUM 4 MG TABLET $12.10 XALATAN 0.005% EYE DROPS $203.60

WARFARIN SODIUM 5 MG TABLET $7.50 XALKORI 250 MG CAPSULE $16,296.80

WARFARIN SODIUM 6 MG TABLET $9.35 XARELTO 2.5 MG TABLET $446.70

WARFARIN SODIUM 7.5 MG TABLET $8.60 XATMEP 2.5 MG/ML ORAL SOLUTION $384.55

WELCHOL 625 MG TABLET $449.15 XELJANZ 10 MG TABLET $4,436.15

WELLBUTRIN XL 300 MG TABLET $1,704.80 XENICAL 120 MG CAPSULE $671.90

WIXELA 100-50 INHUB $164.10 XIGDUO XR 10 MG-500 MG TABLET $485.90

WIXELA 250-50 INHUB $203.15 XIGDUO XR 2.5 MG-1,000 MG TAB $490.90

WIXELA 500-50 INHUB $264.45 XOPENEX 0.63 MG/3 ML SOLUTION $1,655.00

WP THYROID 65 MG TABLET $25.05 XOPENEX 1.25 MG/3 ML SOLUTION $336.50

WYMZYA FE CHEWABLE TABLET $36.60 XOPENEX CONC 1.25 MG/0.5 ML $638.20

XARELTO 10 MG TABLET $373.60 XYOSTED 100 MG/0.5 ML AUTO-INJ $473.55

XARELTO 15 MG TABLET $552.80 XYOSTED 50 MG/0.5 ML AUTO-INJ $473.55

XARELTO 20 MG TABLET $440.40 YUPELRI 175 MCG/3 ML SOLUTION $1,026.00

XELJANZ 5 MG TABLET $4,530.40 ZAFIRLUKAST 10 MG TABLET $48.15

XELJANZ XR 11 MG TABLET $4,401.85 ZARAH TABLET $59.05

XHANCE 93 MCG NASAL SPRAY $473.75 ZATEAN-PN DHA CAPSULE $57.05

XIFAXAN 550 MG TABLET $1,862.10 ZATEAN-PN PLUS SOFTGEL $51.90

XIGDUO XR 10 MG-1,000 MG TAB $481.80 ZAVESCA 100 MG CAPSULE $28,161.30

XIGDUO XR 5 MG-1,000 MG TABLET $384.40 ZEJULA 100 MG CAPSULE $12,387.70

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XIGDUO XR 5 MG-500 MG TABLET $490.90 ZENPEP DR 10,000 UNIT CAPSULE $951.10

XIIDRA 5% EYE DROPS $509.90 ZENPEP DR 15,000 UNIT CAPSULE $1,579.20

XOPENEX HFA 45 MCG INHALER $71.65 ZENPEP DR 25,000 UNIT CAPSULE $3,063.50

XTANDI 40 MG CAPSULE $11,358.05 ZENPEP DR 3,000 UNIT CAPSULE $146.05

XULANE PATCH $122.30 ZENPEP DR 40,000 UNIT CAPSULE $1,642.40

XULTOPHY 100 UNIT-3.6MG/ML PEN $801.95 ZENPEP DR 5,000 UNIT CAPSULE $213.30

XYOSTED 75 MG/0.5 ML AUTO-INJ $473.00 ZENZEDI 15 MG TABLET $609.75

YASMIN 28 TABLET $113.80 ZENZEDI 20 MG TABLET $318.45

YAZ 28 TABLET $142.55 ZENZEDI 30 MG TABLET $406.75

YUVAFEM 10 MCG VAGINAL INSERT $159.40 ZESTRIL 30 MG TABLET $397.70

ZAFIRLUKAST 20 MG TABLET $89.55 ZETIA 10 MG TABLET $296.95

ZENPEP DR 20,000 UNIT CAPSULE $2,699.15 ZETONNA 37 MCG NASAL SPRAY $218.45

ZIOPTAN 0.0015% EYE DROPS $201.10 ZILEUTON ER 600 MG TABLET $2,824.95

ZIPRASIDONE HCL 20 MG CAPSULE $35.55 ZOLOFT 100 MG TABLET $331.50

ZIPRASIDONE HCL 40 MG CAPSULE $61.20 ZOLOFT 50 MG TABLET $344.85

ZIPRASIDONE HCL 60 MG CAPSULE $61.00 ZOMACTON 10 MG VIAL $1,507.60

ZIPRASIDONE HCL 80 MG CAPSULE $42.85 ZONEGRAN 100 MG CAPSULE $1,891.20

ZONISAMIDE 100 MG CAPSULE $20.85 ZONTIVITY 2.08 MG TABLET $316.55

ZONISAMIDE 25 MG CAPSULE $22.25 ZORTRESS 0.5 MG TABLET $4,147.95

ZONISAMIDE 50 MG CAPSULE $19.80 ZORTRESS 0.75 MG TABLET $2,540.90

ZOVIA 1-35E TABLET $21.00 ZOVIA 1-50E TABLET $26.70

ZUBSOLV 5.7-1.4 MG TABLET SL $274.45 ZUBSOLV 1.4-0.36 MG TABLET SL $258.50

ZYTIGA 500 MG TABLET $10,351.10 ZUBSOLV 11.4-2.9 MG TABLET SL $138.30

ZUBSOLV 2.9-0.71 MG TABLET SL $774.40

ZUBSOLV 8.6-2.1 MG TABLET SL $381.00

ZYFLO 600 MG FILMTAB $1,871.65

ZYTIGA 250 MG TABLET $10,778.45

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2020 Medication Pricing Estimates