Prescription Plan

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To locate less expensive drugs within the same therapeutic class as your medication click on the name of Therapeutic Class on the right side of the list to see all drugs in Tier 1 and Tier 2 for that particular therapeutic class.

The drugs within the same therapeutic class may provide you a choice of other medications that could be prescribed by your doctor to save you money. Many of these are generic medications; however, by law a generic medication has to be the same strength as the name brand drug.

Drug Name	Tier	Therapeutic Class
HALCION TAB 0.125MG - 2 TAB	Formulary $10 List	HYPNOTIC & SEDATIVE AGENTS
HALCION TAB 0.25MG - 60 TAB	Discount	HYPNOTIC & SEDATIVE AGENTS
HALDOL DECAN INJ 100MG/ML - 2 ML	Discount	ANTIPSYCHOTICS
HALDOL DECAN INJ 50MG/ML - 2 ML	Discount	ANTIPSYCHOTICS
HALDOL INJ 5MG/ML - 1 ML	Formulary $20 List	ANTIPSYCHOTICS
HALFLYTELY KIT BWL-PREP - 1 KIT	Discount	LAXATIVES
HALOBETASOL CRE 0.0005 - 50 GM	Discount	CORTICOSTEROIDS - TOPICAL
HALOBETASOL OIN 0.0005 - 50 GM	Discount	CORTICOSTEROIDS - TOPICAL
HALOG CRE 0.001 - 30 GM	Discount	CORTICOSTEROIDS - TOPICAL
HALOG SOL 0.001 - 60 ML	Discount	CORTICOSTEROIDS - TOPICAL
HALOPER DEC INJ 100MG/ML - 5 ML	Discount	ANTIPSYCHOTICS
HALOPER DEC INJ 50MG/ML - 1 ML	Formulary $20 List	ANTIPSYCHOTICS
HALOPER LAC INJ 5MG/ML - 1 ML	Formulary $10 List	ANTIPSYCHOTICS
HALOPERIDOL CON 2MG/ML - 120 ML	Formulary $20 List	ANTIPSYCHOTICS
HALOPERIDOL TAB 0.5MG - 30 TAB	Formulary $10 List	ANTIPSYCHOTICS
HALOPERIDOL TAB 10MG - 30 TAB	Discount	ANTIPSYCHOTICS
HALOPERIDOL TAB 1MG - 30 TAB	Formulary $20 List	ANTIPSYCHOTICS
HALOPERIDOL TAB 20MG - 30 TAB	Discount	ANTIPSYCHOTICS
HALOPERIDOL TAB 2MG - 30 TAB	Formulary $20 List	ANTIPSYCHOTICS
HALOPERIDOL TAB 5MG - 30 TAB	Discount	ANTIPSYCHOTICS
HAPONAL TAB - 30 TAB	Formulary $10 List	GASTROINTESTINAL AGENTS
HAVRIX INJ 1440UNIT - 1 ML	Discount	IMMUNOLOGICAL AGENTS
HC BUTYRATE CRE 0.001 - 30 GM	Discount	CORTICOSTEROIDS - TOPICAL
HC BUTYRATE OIN 0.001 - 15 GM	Formulary $20 List	CORTICOSTEROIDS - TOPICAL
HC PRAMOXINE CRE - 28 GM	Discount	RECTAL PREPARATIONS
HC PRAMOXINE CRE 0.025 - 28.4 GM	Discount	CORTICOSTEROIDS - TOPICAL
HC TUSSIVE SYP - 240 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HC VALERATE CRE 0.002 - 45 GM	Discount	CORTICOSTEROIDS - TOPICAL
HC VALERATE OIN 0.002 - 45 GM	Discount	CORTICOSTEROIDS - TOPICAL
HCA MAX ST CRE HYDROCOR - 28.4 GM	Formulary $10 List	CORTICOSTEROIDS - TOPICAL
HCOD/PE/CPM LIQ - 180 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HEALON INJ 10MG/ML - 15 ML	Discount	OPHTHALMIC PRODUCTS
HECTOROL CAP 0.5MCG - 30 CAP	Discount	ENDOCRINE AND METABOLIC DRUGS - MISC.
HECTOROL CAP 2.5MCG - 30 CAP	Discount	ENDOCRINE AND METABOLIC DRUGS - MISC.
HEMATINIC PL TAB VIT/MIN - 30 TAB	Formulary $20 List	VITAMINS & MINERALS - MISC.
HEMATINIC/FA TAB - 30 TAB	Formulary $10 List	HEMATOPOIETIC AGENTS
HEMATOGEN CAP - 30 CAP	Formulary $10 List	HEMATOPOIETIC AGENTS
HEMATOGEN CAP FORTE - 30 CAP	Formulary $20 List	HEMATOPOIETIC AGENTS
HEMATOGEN FA CAP - 30 CAP	Formulary $20 List	HEMATOPOIETIC AGENTS
HEMAX TAB SR - 60 TAB	Discount	HEMATOPOIETIC AGENTS
HEMOCYTE PLU CAP - 30 CAP	Formulary $20 List	VITAMINS & MINERALS - MISC.
HEMOCYTE-F TAB - 30 TAB	Formulary $10 List	HEMATOPOIETIC AGENTS
HEMORRHOIDAL SUP -HC 25MG - 12 MG	Formulary $10 List	RECTAL PREPARATIONS
HEMRIL-30 SUP 30MG - 12 MG	Discount	RECTAL PREPARATIONS
HEP SOD/NACL INJ 100/ML - 5 ML	Formulary $10 List	BLOOD MODIFIERS
HEP SOD/NACL INJ 25000UNT - 250 ML	Formulary $10 List	BLOOD MODIFIERS
HEPARIN COMB KIT 10UNT/ML - 10 KIT	Discount	BLOOD MODIFIERS
HEPARIN LOCK INJ 100 U/ML - 50 ML	Formulary $10 List	BLOOD MODIFIERS
HEPARIN LOCK INJ 100/ML - 10 ML	Formulary $10 List	BLOOD MODIFIERS
HEPARIN LOCK INJ 10UNT/ML - 30 ML	Formulary $20 List	BLOOD MODIFIERS
HEPARIN LOCK INJ FLUSH - 50 ML	Discount	BLOOD MODIFIERS
HEPARIN LOCK KIT 100/ML - 7 KIT	Discount	BLOOD MODIFIERS
HEPARIN SOD INJ 1000/ML - 1 ML	Formulary $10 List	BLOOD MODIFIERS
HEPARIN SOD INJ 10000/ML - 16 ML	Discount	BLOOD MODIFIERS
HEPARIN SOD INJ 20000/ML - 8 ML	Discount	BLOOD MODIFIERS
HEPARIN SOD INJ 5000/ML - 25 ML	Discount	BLOOD MODIFIERS
HEP-LOCK INJ 100/ML - 30 ML	Formulary $10 List	BLOOD MODIFIERS
HEP-LOCK INJ 10UNT/ML - 30 ML	Formulary $20 List	BLOOD MODIFIERS
HEPSERA TAB 10MG - 30 TAB	Discount	ANTIVIRALS
HERCEPTIN INJ 440MG - 4 ML	Discount	ANTINEOPLASTICS
HEXALEN CAP 50MG - 84 CAP	Discount	ANTINEOPLASTICS
HIPREX TAB 1GM - 60 TAB	Discount	GENITOURINARY PRODUCTS
HISTACOL DM SYP - 150 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HISTATAB PH TAB - 60 TAB	Discount	COUGH/COLD/ALLERGY PRODUCTS
HISTA-VENT TAB 12HR - 14 TAB	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HISTA-VENT TAB DA - 60 TAB	Discount	COUGH/COLD/ALLERGY PRODUCTS
HISTEX HC LIQ - 180 ML	Discount	COUGH/COLD/ALLERGY PRODUCTS
HISTEX IE CAP - 60 CAP	Discount	ANTIHISTAMINES
HISTEX PD 12 SUS 2-6MG - 240 ML	Discount	ANTIHISTAMINES
HISTINEX HC SYP - 240 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HISTINEX PV SYP - 240 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HISTUSSIN HC SYP - 180 ML	Discount	COUGH/COLD/ALLERGY PRODUCTS
HIVID TAB 0.75MG - 90 TAB	Discount	ANTIVIRALS
HMS LIQUIFLM SUS 1% OP - 5 ML	Discount	OPHTHALMIC PRODUCTS
HOMATROPAIRE SOL 5% OP - 5 ML	Formulary $20 List	OPHTHALMIC PRODUCTS
HUMALOG INJ 100/ML - 10 ML	Discount	DIABETIC - INJECTABLES
HUMALOG MIX SUS 75/25 - 10 ML	Discount	DIABETIC - INJECTABLES
HUMALOG PEN INJ 100/ML - 15 ML	Discount	DIABETIC - INJECTABLES
HUMALOG PEN INJ 50/50 - 15 ML	Discount	DIABETIC - INJECTABLES
HUMALOG PEN INJ 75/25 - 15 ML	Discount	DIABETIC - INJECTABLES
HUMATROPE INJ 12MG - 2 ML	Discount	ENDOCRINE AND METABOLIC DRUGS - MISC.
HUMATROPE INJ 5MG - 2 ML	Discount	ENDOCRINE AND METABOLIC DRUGS - MISC.
HUMATROPE INJ 6MG - 2 ML	Discount	ENDOCRINE AND METABOLIC DRUGS - MISC.
HUMIBID DM CAP CR - 20 CAP	Discount	COUGH/COLD/ALLERGY PRODUCTS
HUMIBID LA TAB 600-300 - 20 TAB	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HUMIRA KIT 40MG/0.8 - 2 KIT	Discount	ANALGESICS
HUMIRA PEN KIT 40MG/0.8 - 2 KIT	Discount	ANALGESICS
HUMULIN INJ 50/50 - 10 ML	Discount	DIABETIC - INJECTABLES
HUMULIN INJ 70/30 - 10 ML	Discount	DIABETIC - INJECTABLES
HUMULIN L INJ U-100 - 10 ML	Discount	DIABETIC - INJECTABLES
HUMULIN N INJ U-100 - 10 ML	Discount	DIABETIC - INJECTABLES
HUMULIN N PN INJ U-100 - 15 ML	Discount	DIABETIC - INJECTABLES
HUMULIN PEN INJ 70/30 - 15 ML	Discount	DIABETIC - INJECTABLES
HUMULIN R INJ U-100 - 10 ML	Discount	DIABETIC - INJECTABLES
HUMULIN R INJ U-500 - 20 ML	Discount	DIABETIC - INJECTABLES
HUMULIN U INJ U-100 - 10 ML	Discount	DIABETIC - INJECTABLES
HYALGAN INJ 10MG/ML - 10 ML	Discount	MUSCLE RELAXANTS
HYCAMTIN INJ 4MG - 6 ML	Discount	ANTINEOPLASTICS
HYCODAN SYP 5-1.5/5 - 120 ML	Discount	COUGH/COLD/ALLERGY PRODUCTS
HYDEX PD LIQ - 240 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRAL/HCTZ CAP 25/25 - 30 CAP	Formulary $20 List	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYDRAL/HCTZ CAP 50/50 - 30 CAP	Formulary $20 List	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYDRALAZINE TAB 100MG - 90 TAB	Discount	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYDRALAZINE TAB 10MG - 90 TAB	Formulary $20 List	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYDRALAZINE TAB 25MG - 90 TAB	Discount	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYDRALAZINE TAB 50MG - 90 TAB	Discount	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYDRAMINE ELX 12.5/5ML - 120 ML	Formulary $10 List	ANTIHISTAMINES
HYDREA CAP 500MG - 40 CAP	Discount	ANTINEOPLASTICS
HYDRO PRO DM TAB - 20 TAB	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRO/PE/CTM SYP - 180 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYDROC IODO CRE 0.01 - 28.4 GM	Discount	ANTIFUNGALS - TOPICAL
HYDROCET CAP 500-5MG - 15 CAP	Formulary $10 List	ANALGESICS
HYDROCHLOROT CAP 12.5MG - 30 CAP	Formulary $20 List	DIURETICS
HYDROCHLOROT SOL 50MG/5ML - 45 ML	Formulary $10 List	DIURETICS
HYDROCHLOROT TAB 25MG - 30 TAB	Formulary $10 List	DIURETICS
HYDROCHLOROT TAB 50MG - 30 TAB	Formulary $10 List	DIURETICS
HYDROCO/APAP CAP 5-500MG - 30 CAP	Formulary $10 List	ANALGESICS
HYDROCO/APAP TAB 10/660MG - 120 TAB	Discount	ANALGESICS
HYDROCO/APAP TAB 10-325MG - 120 TAB	Discount	ANALGESICS
HYDROCO/APAP TAB 10-500MG - 120 TAB	Discount	ANALGESICS
HYDROCO/APAP TAB 10-650MG - 120 TAB	Discount	ANALGESICS
HYDROCO/APAP TAB 10-750MG - 120 TAB	Discount	ANALGESICS
HYDROCO/APAP TAB 2.5-500 - 30 TAB	Formulary $10 List	ANALGESICS
HYDROCO/APAP TAB 5-325MG - 30 TAB	Formulary $20 List	ANALGESICS
HYDROCO/APAP TAB 5-500MG - 30 TAB	Formulary $20 List	ANALGESICS
HYDROCO/APAP TAB 7.5-325 - 60 TAB	Discount	ANALGESICS
HYDROCO/APAP TAB 7.5-500 - 60 TAB	Formulary $20 List	ANALGESICS
HYDROCO/APAP TAB 7.5-650 - 60 TAB	Formulary $20 List	ANALGESICS
HYDROCO/APAP TAB 7.5-750 - 60 TAB	Formulary $20 List	ANALGESICS
HYDROCOD/GG SYP 3.5-100 - 120 ML	Discount	COUGH/COLD/ALLERGY PRODUCTS
HYDROCOD/GG SYP 5-100/5 - 120 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDROCOD/HOM SYP 5-1.5/5 - 120 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYDROCOD/IBU TAB 7.5-200 - 60 TAB	Discount	ANALGESICS
HYDROCODONE/ SOL APAP - 473 ML	Discount	ANALGESICS
HYDROCODONE/ TAB HOMATROP - 30 TAB	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDROCORT AC SUP 25MG - 12 MG	Formulary $10 List	RECTAL PREPARATIONS
HYDROCORT AC SUP 30MG - 12 MG	Discount	RECTAL PREPARATIONS
HYDROCORT CRE 0.01 - 28.35 GM	Formulary $10 List	CORTICOSTEROIDS - TOPICAL
HYDROCORT CRE 0.025 - 30 GM	Formulary $10 List	CORTICOSTEROIDS - TOPICAL
HYDROCORT ENE 100MG - 420 ML	Discount	RECTAL PREPARATIONS
HYDROCORT LOT 0.01 - 118 ML	Formulary $10 List	CORTICOSTEROIDS - TOPICAL
HYDROCORT LOT 0.025 - 59 ML	Discount	CORTICOSTEROIDS - TOPICAL
HYDROCORT OIN 0.01 - 28.35 GM	Formulary $10 List	CORTICOSTEROIDS - TOPICAL
HYDROCORT OIN 0.025 - 28.35 GM	Formulary $10 List	CORTICOSTEROIDS - TOPICAL
HYDROCORT SOL BUTYRATE - 60 ML	Formulary $20 List	CORTICOSTEROIDS - TOPICAL
HYDROCORT TAB 20MG - 45 TAB	Formulary $10 List	CORTICOSTEROIDS - ORAL
HYDROCORT/ CRE IODOQUIN - 28.4 GM	Discount	ANTIFUNGALS - TOPICAL
HYDROCORT/AB OIN 0.01 - 120 GM	Formulary $10 List	CORTICOSTEROIDS - TOPICAL
HYDROCORTISO CRE 0.025 - 45 GM	Discount	RECTAL PREPARATIONS
HYDROCORTONE TAB 10MG - 240 TAB	Discount	CORTICOSTEROIDS - ORAL
HYDROCREAM CRE - 30 GM	Formulary $10 List	DERMATOLOGICAL AGENTS - MISC.
HYDROCRTSONE LOT 0.025 - 59 ML	Discount	CORTICOSTEROIDS - TOPICAL
HYDRO-DP SYP - 240 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDROMET SYP 5-1.5/5 - 240 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDROMORPHON INJ 10MG/ML - 50 ML	Discount	ANALGESICS
HYDROMORPHON INJ 1MG/ML - 10 ML	Formulary $10 List	ANALGESICS
HYDROMORPHON INJ 2MG/ML - 20 ML	Discount	ANALGESICS
HYDROMORPHON INJ 4MG/ML - 10 ML	Formulary $20 List	ANALGESICS
HYDROMORPHON INJ 50MG/5ML - 50 ML	Discount	ANALGESICS
HYDROMORPHON SUP 3MG - 12 MG	Discount	ANALGESICS
HYDROMORPHON TAB 2MG - 30 TAB	Formulary $20 List	ANALGESICS
HYDROMORPHON TAB 4MG - 120 TAB	Discount	ANALGESICS
HYDROMORPHON TAB 8MG - 120 TAB	Discount	ANALGESICS
HYDRON CP SYP LIQUID - 180 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRON EX SYP LIQUID - 120 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRON KGS SYP - 120 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRON PSC LIQ - 120 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRO-PC II SYP - 240 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRO-PC II SYP PLUS - 120 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYDROPHILIC OIN - 120 GM	Formulary $10 List	PHARMACEUTICAL ADJUVANTS
HYDROQUINONE CRE 0.04 - 28.35 GM	Discount	DERMATOLOGICAL AGENTS - MISC.
HYDROQUINONE CRE 4%/SUNS - 28.35 GM	Discount	DERMATOLOGICAL AGENTS - MISC.
HYDROQUINONE SOL 0.03 - 29 ML	Formulary $20 List	DERMATOLOGICAL AGENTS - MISC.
HYDRO-TUSSIN ELX DM - 120 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRO-TUSSIN SOL HD - 180 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRO-TUSSIN SYP 15-2-3MG - 120 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRO-TUSSIN SYP CBX - 180 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRO-TUSSIN SYP DHC - 120 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRO-TUSSIN SYP EXP - 120 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYDRO-TUSSIN SYP HG - 120 ML	Discount	COUGH/COLD/ALLERGY PRODUCTS
HYDRO-TUSSIN SYP XP - 120 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYDROXYCHLOR TAB 200MG - 60 TAB	Discount	ANTIMALARIALS
HYDROXYUREA CAP 500MG - 60 CAP	Discount	ANTINEOPLASTICS
HYDROXYZ HCL INJ 25MG/ML - 10 ML	Formulary $10 List	ANTIANXIETY AGENTS
HYDROXYZ HCL INJ 50MG/ML - 1 ML	Formulary $10 List	ANTIANXIETY AGENTS
HYDROXYZ HCL SYP 10MG/5ML - 480 ML	Formulary $10 List	ANTIANXIETY AGENTS
HYDROXYZ HCL TAB 10MG - 30 TAB	Formulary $20 List	ANTIANXIETY AGENTS
HYDROXYZ HCL TAB 25MG - 30 TAB	Discount	ANTIANXIETY AGENTS
HYDROXYZ HCL TAB 50MG - 30 TAB	Discount	ANTIANXIETY AGENTS
HYDROXYZ PAM CAP 100MG - 30 CAP	Formulary $20 List	ANTIANXIETY AGENTS
HYDROXYZ PAM CAP 25MG - 30 CAP	Formulary $10 List	ANTIANXIETY AGENTS
HYDROXYZ PAM CAP 50MG - 30 CAP	Formulary $20 List	ANTIANXIETY AGENTS
HY-KXP SYP - 120 ML	Formulary $20 List	COUGH/COLD/ALLERGY PRODUCTS
HYOSCYAMINE CAP 0.375 CR - 60 CAP	Discount	GASTROINTESTINAL AGENTS
HYOSCYAMINE CAP 0.375 ER - 60 CAP	Discount	GASTROINTESTINAL AGENTS
HYOSCYAMINE CAP 0.375 SR - 60 CAP	Discount	GASTROINTESTINAL AGENTS
HYOSCYAMINE CAP 0.375 TR - 60 CAP	Discount	GASTROINTESTINAL AGENTS
HYOSCYAMINE CAP 0.375MG - 60 CAP	Discount	GASTROINTESTINAL AGENTS
HYOSCYAMINE DRO 0.125/ML - 15 ML	Formulary $20 List	GASTROINTESTINAL AGENTS
HYOSCYAMINE ELX 0.125/5 - 473 ML	Discount	GASTROINTESTINAL AGENTS
HYOSCYAMINE TAB 0.125MG - 60 TAB	Discount	GASTROINTESTINAL AGENTS
HYOSCYAMINE TAB 0.15MG - 60 TAB	Discount	GENITOURINARY PRODUCTS
HYOSCYAMINE TAB 0.375 ER - 60 TAB	Discount	GASTROINTESTINAL AGENTS
HYOSCYAMINE TAB 0.375 SR - 60 TAB	Discount	GASTROINTESTINAL AGENTS
HYOSCYAMINE TAB 0.375 TR - 30 TAB	Formulary $20 List	GASTROINTESTINAL AGENTS
HYOSCYAMINE TAB 0.375MG - 60 TAB	Discount	GASTROINTESTINAL AGENTS
HYOSPAZ TAB 0.15MG - 60 TAB	Formulary $20 List	GENITOURINARY PRODUCTS
HYOSYNE DRO 0.125/ML - 15 ML	Formulary $20 List	GASTROINTESTINAL AGENTS
HYPERCARE SOL 0.2 - 35 ML	Formulary $10 List	DERMATOLOGICAL AGENTS - MISC.
HYPHED SYP - 120 ML	Formulary $10 List	COUGH/COLD/ALLERGY PRODUCTS
HYTONE CRE 0.025 - 60 GM	Formulary $20 List	CORTICOSTEROIDS - TOPICAL
HYTRIN CAP 10MG - 30 CAP	Formulary $20 List	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYTRIN CAP 2MG - 60 CAP	Discount	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYTRIN CAP 5MG - 30 CAP	Formulary $20 List	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYZAAR TAB 100-12.5 - 30 TAB	Discount	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYZAAR TAB 100-25 - 30 TAB	Discount	HEART/HIGH BLOOD PRESSURE MEDICATIONS
HYZAAR TAB 50-12.5 - 30 TAB	Discount	HEART/HIGH BLOOD PRESSURE MEDICATIONS