|
Drug Name |
Qty |
Therapeutic Class |
Price
Tier |
|
WAL-PHED TAB 30MG |
|
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
WARFARIN TAB 10MG |
|
BLOOD MODIFIERS |
TIER2 |
|
WARFARIN TAB 1MG |
|
BLOOD MODIFIERS |
TIER2 |
|
WARFARIN TAB 2.5MG |
|
BLOOD MODIFIERS |
TIER2 |
|
WARFARIN TAB 2MG |
|
BLOOD MODIFIERS |
TIER2 |
|
WARFARIN TAB 3MG |
|
BLOOD MODIFIERS |
TIER2 |
|
WARFARIN TAB 4MG |
|
BLOOD MODIFIERS |
TIER2 |
|
WARFARIN TAB 5MG |
|
BLOOD MODIFIERS |
TIER2 |
|
WARFARIN TAB 6MG |
|
BLOOD MODIFIERS |
TIER2 |
|
WARFARIN TAB 7.5MG |
|
BLOOD MODIFIERS |
TIER2 |
|
WELCHOL TAB 625MG |
|
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
WELLBUTRIN TAB 100MG |
|
ANTIDEPRESSANTS |
TIER4 |
|
WELLBUTRIN TAB 100MG SR |
|
ANTIDEPRESSANTS |
TIER4 |
|
WELLBUTRIN TAB 150MG SR |
|
ANTIDEPRESSANTS |
TIER4 |
|
WELLBUTRIN TAB 200MG SR |
|
ANTIDEPRESSANTS |
TIER4 |
|
WELLBUTRIN TAB 75MG |
|
ANTIDEPRESSANTS |
TIER4 |
|
WELLBUTRIN TAB XL 150MG |
|
ANTIDEPRESSANTS |
TIER4 |
|
WELLBUTRIN TAB XL 300MG |
|
ANTIDEPRESSANTS |
TIER4 |
|
WESTCORT OIN 0.2% |
|
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
WESTHROID TAB 130MG |
|
THYROID MEDICATION |
TIER1 |
|
WESTHROID TAB 32.5MG |
|
THYROID MEDICATION |
TIER1 |
|
WESTHROID TAB 65MG |
|
THYROID MEDICATION |
TIER1 |
|
