|
ABILIFY TAB 10MG |
30.00 |
ANTIPSYCHOTICS |
TIER4 |
|
ABILIFY TAB 15MG |
30.00 |
ANTIPSYCHOTICS |
TIER4 |
|
ABILIFY TAB 20MG |
30.00 |
ANTIPSYCHOTICS |
TIER4 |
|
ABILIFY TAB 2MG |
30.00 |
ANTIPSYCHOTICS |
TIER4 |
|
ABILIFY TAB 30MG |
30.00 |
ANTIPSYCHOTICS |
TIER4 |
|
ABILIFY TAB 5MG |
30.00 |
ANTIPSYCHOTICS |
TIER4 |
|
ACARBOSE TAB 100MG |
90.00 |
ANTIDIABETICS |
TIER4 |
|
ACARBOSE TAB 25MG |
90.00 |
ANTIDIABETICS |
TIER4 |
|
ACARBOSE TAB 50MG |
60.00 |
ANTIDIABETICS |
TIER3 |
|
ACCOLATE TAB 10MG |
5.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
ACCOLATE TAB 20MG |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER4 |
|
ACCUPRIL TAB 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACCUPRIL TAB 20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACCUPRIL TAB 40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACCUPRIL TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACCURETIC TAB 10-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACCURETIC TAB 20-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACCURETIC TAB 20-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACCUTANE CAP 40MG |
30.00 |
ACNE PRODUCTS |
TIER4 |
|
ACEBUTOLOL CAP 200MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
ACEBUTOLOL CAP 400MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
ACEON TAB 2MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACEON TAB 4MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACEON TAB 8MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ACETAMIN TAB 325MG |
240.00 |
ANALGESICS |
TIER1 |
|
ACETAMIN TAB 500MG |
60.00 |
ANALGESICS |
TIER1 |
|
ACETAZOLAMID CAP 500MG |
60.00 |
DIURETICS |
TIER4 |
|
ACETAZOLAMID TAB 125MG |
60.00 |
DIURETICS |
TIER3 |
|
ACETAZOLAMID TAB 250MG |
30.00 |
DIURETICS |
TIER2 |
|
ACIPHEX TAB 20MG |
30.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
ACLOVATE OIN 0.05% |
15.00 |
CORTICOSTEROIDS - TOPICAL |
TIER3 |
|
ACTIGALL CAP 300MG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
ACTIVELLA TAB 0.5-0.1 |
28.00 |
HORMONES |
TIER4 |
|
ACTIVELLA TAB 1-0.5MG |
28.00 |
HORMONES |
TIER4 |
|
ACTONEL TAB 150MG |
1.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
ACTONEL TAB 30MG |
4.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
ACTONEL TAB 35MG |
4.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
ACTONEL TAB 5MG |
30.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
ACTONEL WITH TAB CALCIUM |
28.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
ACTOPLUS MET TAB 15/500MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
ACTOPLUS MET TAB 15/850MG |
60.00 |
ANTIDIABETICS |
TIER4 |
|
ACTOS TAB 15MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
ACTOS TAB 30MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
ACTOS TAB 45MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
ACUFLEX TAB |
60.00 |
ANALGESICS |
TIER4 |
|
ACUNOL TAB 600MG |
30.00 |
MISCELLANEOUS PRODUCTS |
TIER3 |
|
ACYCLOVIR CAP 200MG |
60.00 |
ANTIVIRALS |
TIER4 |
|
ACYCLOVIR TAB 400MG |
60.00 |
ANTIVIRALS |
TIER4 |
|
ACYCLOVIR TAB 800MG |
35.00 |
ANTIVIRALS |
TIER4 |
|
ADALAT CC TAB 30MG ER |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ADALAT CC TAB 60MG ER |
14.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
ADALAT CC TAB 90MG ER |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ADCIRCA TAB 20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ADDERALL TAB 10MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL TAB 12.5MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL TAB 15MG |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL TAB 20MG |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL TAB 30MG |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL TAB 5MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL TAB 7.5MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL XR CAP 10MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL XR CAP 15MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL XR CAP 20MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL XR CAP 25MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL XR CAP 30MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADDERALL XR CAP 5MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
ADIPEX-P CAP 37.5MG |
30.00 |
ANOREXIANTS |
TIER4 |
|
ADIPEX-P TAB 37.5MG |
30.00 |
ANOREXIANTS |
TIER4 |
|
ADOXA CAP 150MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
ADOXA TAB 100MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
ADOXA TAB 50MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
ADOXA TAB 75MG |
60.00 |
ANTIBIOTICS |
TIER4 |
|
ADOXA PAK TAB 1/100MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
ADOXA PAK TAB 1/150MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
ADOXA PAK TAB 1/75MG |
60.00 |
ANTIBIOTICS |
TIER4 |
|
ADOXA PAK TAB 2/100MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
ADVANCED TAB CARE PLS |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
ADVICOR TAB 1000-20 |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
ADVICOR TAB 1000-40 |
60.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
ADVICOR TAB 500-20MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
ADVICOR TAB 750-20MG |
60.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
AEROHIST TAB 8-2.5MG |
20.00 |
ANTIHISTAMINES |
TIER3 |
|
AEROHIST PLU TAB 8-20-2.5 |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
AFEDITAB TAB 30MG CR |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
AFEDITAB TAB 60MG CR |
14.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
AGGRENOX CAP 25-200MG |
60.00 |
BLOOD MODIFIERS |
TIER4 |
|
AHIST TAB 12MG |
7.00 |
ANTIHISTAMINES |
TIER1 |
|
AKNE-MYCIN OIN 2% |
25.00 |
ACNE PRODUCTS |
TIER4 |
|
AK-POLY-BAC OIN OP |
3.50 |
OPHTHALMIC AGENTS |
TIER2 |
|
AKWA TEARS OIN OP |
3.50 |
OPHTHALMIC AGENTS |
TIER1 |
|
ALAGESIC CAP |
30.00 |
ANALGESICS |
TIER2 |
|
ALA-HIST TAB 6-25MG |
30.00 |
ANTIHISTAMINES |
TIER3 |
|
ALA-HIST D TAB 6-25-20 |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
ALAVERT ALRG TAB /SINUS |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
ALBATUSSIN CAP |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
ALBENZA TAB 200MG |
16.00 |
ANTIBIOTICS |
TIER3 |
|
ALBUTEROL SYP 2MG/5ML |
240.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
ALBUTEROL TAB 2MG |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
ALBUTEROL TAB 4MG |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
ALBUTEROL TAB 4MG ER |
20.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
ALBUTEROL TAB 8MG ER |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER4 |
|
ALCLOMETASON OIN 0.05% |
15.00 |
CORTICOSTEROIDS - TOPICAL |
TIER2 |
|
ALDACTAZIDE TAB 25/25 |
30.00 |
DIURETICS |
TIER3 |
|
ALDACTAZIDE TAB 50/50 |
30.00 |
DIURETICS |
TIER4 |
|
ALDACTONE TAB 100MG |
30.00 |
DIURETICS |
TIER4 |
|
ALDACTONE TAB 25MG |
4.00 |
DIURETICS |
TIER1 |
|
ALDACTONE TAB 50MG |
30.00 |
DIURETICS |
TIER4 |
|
ALDEX-CT CHW 12.5-5MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
ALENDRONATE TAB 10MG |
30.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER2 |
|
ALENDRONATE TAB 35MG |
4.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER1 |
|
ALENDRONATE TAB 40MG |
4.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER3 |
|
ALENDRONATE TAB 5MG |
30.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER2 |
|
ALENDRONATE TAB 70MG |
4.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER1 |
|
ALI-FLEX TAB 50-500MG |
40.00 |
ANALGESICS |
TIER2 |
|
ALINIA TAB 500MG |
6.00 |
ANTIBIOTICS |
TIER4 |
|
ALKERAN TAB 2MG |
10.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
ALLANENZYME OIN |
30.00 |
DERMATOLOGICALS |
TIER4 |
|
ALLANFILLENZ OIN |
30.00 |
DERMATOLOGICALS |
TIER4 |
|
ALLEGRA TAB 180MG |
30.00 |
ANTIHISTAMINES |
TIER4 |
|
ALLEGRA TAB 60MG |
60.00 |
ANTIHISTAMINES |
TIER4 |
|
ALLEGRA ODT TAB 30MG |
60.00 |
ANTIHISTAMINES |
TIER4 |
|
ALLEGRA-D TAB 12 HOUR |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
ALLEGRA-D TAB 24 HOUR |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
ALLERGY RELF CAP 25MG |
30.00 |
ANTIHISTAMINES |
TIER1 |
|
ALLERGY RELF TAB 10MG |
30.00 |
ANTIHISTAMINES |
TIER2 |
|
ALLERGY RELF TAB D 24 HR |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
ALLERGY/CONG TAB RELIEF |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
ALLERGY-D TAB 5-120MG |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
ALLERX-D TAB 120/2.5 |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
ALLFEN CD TAB 400-10MG |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
ALLFEN CDX TAB 400-20MG |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
ALLFEN DM TAB 400-20MG |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
ALLOPURINOL TAB 100MG |
30.00 |
GOUT MEDICATION |
TIER1 |
|
ALLOPURINOL TAB 300MG |
30.00 |
GOUT MEDICATION |
TIER1 |
|
ALPAIN TAB |
30.00 |
ANALGESICS |
TIER2 |
|
ALPRAZOLAM TAB 0.25MG |
30.00 |
ANTIANXIETY AGENTS |
TIER1 |
|
ALPRAZOLAM TAB 0.5MG |
30.00 |
ANTIANXIETY AGENTS |
TIER1 |
|
ALPRAZOLAM TAB 0.5MG ER |
30.00 |
ANTIANXIETY AGENTS |
TIER3 |
|
ALPRAZOLAM TAB 0.5MG OD |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ALPRAZOLAM TAB 1MG |
90.00 |
ANTIANXIETY AGENTS |
TIER2 |
|
ALPRAZOLAM TAB 1MG ER |
30.00 |
ANTIANXIETY AGENTS |
TIER3 |
|
ALPRAZOLAM TAB 1MG ODT |
20.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ALPRAZOLAM TAB 2MG |
90.00 |
ANTIANXIETY AGENTS |
TIER3 |
|
ALPRAZOLAM TAB 2MG ER |
60.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ALPRAZOLAM TAB 2MG ODT |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ALPRAZOLAM TAB 3MG ER |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ALPRAZOLAM TAB XR 0.5MG |
30.00 |
ANTIANXIETY AGENTS |
TIER3 |
|
ALPRAZOLAM TAB XR 1MG |
30.00 |
ANTIANXIETY AGENTS |
TIER3 |
|
ALPRAZOLAM TAB XR 2MG |
60.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ALPRAZOLAM TAB XR 3MG |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ALTABAX OIN 1% |
15.00 |
ANTIBIOTICS - TOPICAL |
TIER4 |
|
ALTACE CAP 1.25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ALTACE CAP 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ALTACE CAP 2.5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ALTACE CAP 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ALTACE TAB 1.25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ALTACE TAB 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ALTACE TAB 2.5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ALTACE TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ALTOPREV TAB 20MG ER |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
ALTOPREV TAB 40MG ER |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
ALTOPREV TAB 60MG ER |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
AMANTADINE CAP 100MG |
60.00 |
PARKINSONS DRUGS |
TIER3 |
|
AMANTADINE SYP 50MG/5ML |
480.00 |
PARKINSONS DRUGS |
TIER3 |
|
AMANTADINE TAB 100MG |
60.00 |
PARKINSONS DRUGS |
TIER4 |
|
AMARYL TAB 1MG |
30.00 |
ANTIDIABETICS |
TIER2 |
|
AMARYL TAB 2MG |
30.00 |
ANTIDIABETICS |
TIER3 |
|
AMARYL TAB 4MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
AMBI 10PEH/ TAB 400GFN |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
AMBI 40PSE/ TAB 400GFN |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
AMBI 60PSE/ TAB 400GFN |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
AMBIEN TAB 10MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER4 |
|
AMBIEN TAB 5MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER4 |
|
AMBIEN CR TAB 12.5MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER4 |
|
AMBIEN CR TAB 6.25MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER4 |
|
AMBIFED CD TAB |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
AMBIFED CDX TAB |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
AMBIFED-G TAB CDX |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
AMBIFED-G CD TAB |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
AMCINONIDE OIN 0.1% |
30.00 |
CORTICOSTEROIDS - TOPICAL |
TIER3 |
|
AMDRY-C TAB |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
AMERGE TAB 1MG |
2.00 |
MIGRAINE TREATMENT |
TIER4 |
|
AMERGE TAB 2.5MG |
2.00 |
MIGRAINE TREATMENT |
TIER4 |
|
AMICAR TAB 1000MG |
30.00 |
BLOOD MODIFIERS |
TIER4 |
|
AMICAR TAB 500MG |
30.00 |
BLOOD MODIFIERS |
TIER4 |
|
AMILOR/HCTZ TAB 5-50 |
30.00 |
DIURETICS |
TIER2 |
|
AMILORIDE TAB 5MG |
30.00 |
DIURETICS |
TIER3 |
|
AMINOBEZ POT CAP 500MG |
300.00 |
VITAMINS & MINERALS |
TIER4 |
|
AMINOCAPR AC TAB 500MG |
30.00 |
BLOOD MODIFIERS |
TIER4 |
|
AMINOPHYLLIN TAB 100MG |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER1 |
|
AMINOPHYLLIN TAB 200MG |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER1 |
|
AMIODARONE TAB 200MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
AMIODARONE TAB 400MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AMITIZA CAP 24MCG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
AMITIZA CAP 8MCG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
AMITRIPTYLIN TAB 100MG |
30.00 |
ANTIDEPRESSANTS |
TIER2 |
|
AMITRIPTYLIN TAB 10MG |
30.00 |
ANTIDEPRESSANTS |
TIER1 |
|
AMITRIPTYLIN TAB 150MG |
30.00 |
ANTIDEPRESSANTS |
TIER2 |
|
AMITRIPTYLIN TAB 25MG |
30.00 |
ANTIDEPRESSANTS |
TIER1 |
|
AMITRIPTYLIN TAB 50MG |
30.00 |
ANTIDEPRESSANTS |
TIER1 |
|
AMITRIPTYLIN TAB 75MG |
30.00 |
ANTIDEPRESSANTS |
TIER1 |
|
AMLOD/BENAZP CAP 10-20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AMLOD/BENAZP CAP 2.5-10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AMLOD/BENAZP CAP 5-10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AMLOD/BENAZP CAP 5-20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AMLODIPINE TAB 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
AMLODIPINE TAB 2.5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
AMLODIPINE TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
AMNESTEEM CAP 10MG |
30.00 |
ACNE PRODUCTS |
TIER4 |
|
AMNESTEEM CAP 20MG |
30.00 |
ACNE PRODUCTS |
TIER4 |
|
AMNESTEEM CAP 40MG |
30.00 |
ACNE PRODUCTS |
TIER4 |
|
AMOX/K CLAV CHW 200MG |
20.00 |
ANTIBIOTICS |
TIER3 |
|
AMOX/K CLAV CHW 400MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
AMOX/K CLAV TAB 250MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
AMOX/K CLAV TAB 500MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
AMOX/K CLAV TAB 875MG |
20.00 |
ANTIBIOTICS |
TIER3 |
|
AMOXAPINE TAB 100MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
AMOXAPINE TAB 150MG |
15.00 |
ANTIDEPRESSANTS |
TIER3 |
|
AMOXAPINE TAB 25MG |
60.00 |
ANTIDEPRESSANTS |
TIER3 |
|
AMOXAPINE TAB 50MG |
30.00 |
ANTIDEPRESSANTS |
TIER3 |
|
AMOXICILLIN CAP 250MG |
30.00 |
ANTIBIOTICS |
TIER1 |
|
AMOXICILLIN CAP 500MG |
30.00 |
ANTIBIOTICS |
TIER1 |
|
AMOXICILLIN CHW 125MG |
10.00 |
ANTIBIOTICS |
TIER1 |
|
AMOXICILLIN CHW 200MG |
10.00 |
ANTIBIOTICS |
TIER1 |
|
AMOXICILLIN CHW 250MG |
30.00 |
ANTIBIOTICS |
TIER2 |
|
AMOXICILLIN CHW 400MG |
20.00 |
ANTIBIOTICS |
TIER2 |
|
AMOXICILLIN TAB 500MG |
12.00 |
ANTIBIOTICS |
TIER1 |
|
AMOXICILLIN TAB 875MG |
10.00 |
ANTIBIOTICS |
TIER1 |
|
AMPHETAMINE CAP 10MG ER |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
AMPHETAMINE CAP 15MG ER |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
AMPHETAMINE CAP 20MG ER |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
AMPHETAMINE CAP 25MG ER |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
AMPHETAMINE CAP 30MG ER |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
AMPHETAMINE CAP 5MG ER |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
AMPHETAMINE TAB 10MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER2 |
|
AMPHETAMINE TAB 12.5MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER3 |
|
AMPHETAMINE TAB 15MG |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER3 |
|
AMPHETAMINE TAB 20MG |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER3 |
|
AMPHETAMINE TAB 30MG |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER3 |
|
AMPHETAMINE TAB 5MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER2 |
|
AMPHETAMINE TAB 7.5MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER3 |
|
AMPICILLIN CAP 250MG |
40.00 |
ANTIBIOTICS |
TIER2 |
|
AMPICILLIN CAP 500MG |
40.00 |
ANTIBIOTICS |
TIER2 |
|
AMPYRA TAB 10MG |
30.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
AMRIX CAP 15MG |
30.00 |
MUSCLE RELAXANTS |
TIER4 |
|
AMRIX CAP 30MG |
30.00 |
MUSCLE RELAXANTS |
TIER4 |
|
ANABAR TAB |
60.00 |
ANALGESICS |
TIER3 |
|
ANACAINE OIN |
30.00 |
DERMATOLOGICALS |
TIER2 |
|
ANADROL-50 TAB 50MG |
30.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
ANAFRANIL CAP 25MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
ANAFRANIL CAP 50MG |
60.00 |
ANTIDEPRESSANTS |
TIER4 |
|
ANAFRANIL CAP 75MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
ANAGRELIDE CAP 0.5MG |
270.00 |
BLOOD MODIFIERS |
TIER4 |
|
ANAGRELIDE CAP 1MG |
90.00 |
BLOOD MODIFIERS |
TIER4 |
|
ANAPROX TAB 275MG |
60.00 |
ANALGESICS |
TIER4 |
|
ANAPROX DS TAB 550MG |
60.00 |
ANALGESICS |
TIER4 |
|
ANASPAZ TAB 0.125MG |
20.00 |
GASTROINTESTINAL AGENTS |
TIER1 |
|
ANDROID CAP 10MG |
90.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
ANDROXY TAB 10MG |
30.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
ANGELIQ TAB 0.5-1MG |
56.00 |
HORMONES |
TIER4 |
|
ANHYDROUS OIN BASE |
1.00 |
MISCELLANEOUS PRODUCTS |
TIER1 |
|
ANIMI-3 CAP |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
ANOLOR 300 CAP |
30.00 |
ANALGESICS |
TIER2 |
|
ANTABUSE TAB 250MG |
30.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
ANTABUSE TAB 500MG |
30.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
ANTARA CAP 130MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
ANTARA CAP 43MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
ANTIVERT TAB 12.5MG |
30.00 |
ANTI-NAUSEANTS |
TIER2 |
|
ANTIVERT TAB 25MG |
30.00 |
ANTI-NAUSEANTS |
TIER3 |
|
ANTIVERT TAB 50MG |
60.00 |
ANTI-NAUSEANTS |
TIER4 |
|
ANZEMET TAB 100MG |
1.00 |
ANTI-NAUSEANTS |
TIER4 |
|
ANZEMET TAB 50MG |
2.00 |
ANTI-NAUSEANTS |
TIER4 |
|
APAP/CAFF/DI TAB HYDROCOD |
20.00 |
ANALGESICS |
TIER3 |
|
APAP/CODEINE TAB 300-15MG |
30.00 |
ANALGESICS |
TIER1 |
|
APAP/CODEINE TAB 300-30MG |
30.00 |
ANALGESICS |
TIER1 |
|
APAP/CODEINE TAB 300-60MG |
60.00 |
ANALGESICS |
TIER2 |
|
APEXICON OIN 0.05% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
APLENZIN TAB 174MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
APLENZIN TAB 348MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
APLENZIN TAB 522MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
APPTRIM CAP |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
APPTRIM LIFE CAP BARIATRC |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
APPTRIM LIFE CAP OBESITY |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
APPTRIM-D CAP |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
APRI TAB |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
APRISO CAP 0.375GM |
90.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
ARALEN TAB 500MG |
15.00 |
ANTIMALARIALS |
TIER4 |
|
ARANELLE TAB |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
ARAVA TAB 10MG |
30.00 |
ANALGESICS |
TIER4 |
|
ARAVA TAB 20MG |
30.00 |
ANALGESICS |
TIER4 |
|
ARICEPT TAB 10MG |
30.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
ARICEPT TAB 5MG |
30.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
ARIMIDEX TAB 1MG |
30.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
ARMOUR THYRO TAB 120MG |
30.00 |
THYROID MEDICATION |
TIER2 |
|
ARMOUR THYRO TAB 15MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
ARMOUR THYRO TAB 180MG |
30.00 |
THYROID MEDICATION |
TIER2 |
|
ARMOUR THYRO TAB 240MG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
ARMOUR THYRO TAB 300MG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
ARMOUR THYRO TAB 30MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
ARMOUR THYRO TAB 60MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
ARMOUR THYRO TAB 90MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
AROMASIN TAB 25MG |
30.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
ARTHROTEC 50 TAB |
60.00 |
ANALGESICS |
TIER4 |
|
ARTHROTEC 75 TAB |
60.00 |
ANALGESICS |
TIER4 |
|
ASA LOW DOSE TAB 81MG EC |
30.00 |
ANALGESICS |
TIER1 |
|
ASACOL TAB 400MG DR |
180.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
ASACOL HD TAB 800MG |
30.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
ASCOMP/COD CAP 30MG |
30.00 |
ANALGESICS |
TIER3 |
|
ASP 300/200/ CAP 20 |
30.00 |
ANALGESICS |
TIER2 |
|
ASPIRIN TAB 325MG |
30.00 |
ANALGESICS |
TIER1 |
|
ASPIRIN TAB 325MG EC |
30.00 |
ANALGESICS |
TIER1 |
|
ASPIRIN TAB 81MG EC |
30.00 |
ANALGESICS |
TIER1 |
|
ASPIR-LOW TAB 81MG EC |
30.00 |
ANALGESICS |
TIER1 |
|
ATABEX TAB PRENATAL |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
ATABEX EC TAB |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
ATACAND TAB 16MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ATACAND TAB 32MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ATACAND TAB 4MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ATACAND TAB 8MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ATACAND HCT TAB 16-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ATACAND HCT TAB 32-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ATACAND HCT TAB 32-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
ATAMET TAB 25-250MG |
60.00 |
PARKINSONS DRUGS |
TIER3 |
|
ATENOL/CHLOR TAB 100-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
ATENOL/CHLOR TAB 50-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
ATENOLOL TAB 100MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER1 |
|
ATENOLOL TAB 25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER1 |
|
ATENOLOL TAB 50MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER1 |
|
ATIVAN TAB 0.5MG |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ATIVAN TAB 1MG |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ATIVAN TAB 2MG |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
ATROPINE SUL OIN 1% OP |
3.00 |
OPHTHALMIC AGENTS |
TIER2 |
|
AUG BETAMET OIN 0.05% |
50.00 |
CORTICOSTEROIDS - TOPICAL |
TIER3 |
|
AUGMENTIN TAB 250MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
AUGMENTIN TAB 500MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
AUGMENTIN TAB 875MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
AUGMENTIN XR TAB 12HR |
40.00 |
ANTIBIOTICS |
TIER4 |
|
AVAILNEX CHW 750MG |
30.00 |
NUTRITIONAL PRODUCTS |
TIER2 |
|
AVALIDE TAB 150-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AVALIDE TAB 300-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AVALIDE TAB 300-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AVANDAMET TAB 2-1000MG |
60.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDAMET TAB 2-500MG |
60.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDAMET TAB 4-1000MG |
60.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDAMET TAB 4-500MG |
60.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDARYL TAB 4-1MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDARYL TAB 4-2MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDARYL TAB 4-4MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDARYL TAB 8-2MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDARYL TAB 8-4MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDIA TAB 2MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDIA TAB 4MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
AVANDIA TAB 8MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
AVAPRO TAB 150MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AVAPRO TAB 300MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AVAPRO TAB 75MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AVELOX TAB 400MG |
10.00 |
ANTIBIOTICS |
TIER4 |
|
AVELOX ABC TAB 400MG |
10.00 |
ANTIBIOTICS |
TIER4 |
|
AVIANE TAB |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
AVIDOXY TAB 100MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
AVINZA CAP 120MG |
15.00 |
ANALGESICS |
TIER4 |
|
AVINZA CAP 30MG |
30.00 |
ANALGESICS |
TIER4 |
|
AVINZA CAP 45MG |
30.00 |
ANALGESICS |
TIER4 |
|
AVINZA CAP 60MG |
30.00 |
ANALGESICS |
TIER4 |
|
AVINZA CAP 75MG |
30.00 |
ANALGESICS |
TIER4 |
|
AVINZA CAP 90MG |
30.00 |
ANALGESICS |
TIER4 |
|
AVODART CAP 0.5MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
AXERT TAB 12.5MG |
9.00 |
MIGRAINE TREATMENT |
TIER4 |
|
AXID CAP 150MG |
30.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
AXID CAP 300MG |
30.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
AYGESTIN TAB 5MG |
12.00 |
HORMONES |
TIER3 |
|
AZASAN TAB 100MG |
30.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
AZASAN TAB 75 MG |
30.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
AZATHIOPRINE TAB 50MG |
60.00 |
MISCELLANEOUS PRODUCTS |
TIER3 |
|
AZILECT TAB 0.5MG |
30.00 |
PARKINSONS DRUGS |
TIER4 |
|
AZILECT TAB 1MG |
30.00 |
PARKINSONS DRUGS |
TIER4 |
|
AZITHROMYCIN TAB 250MG |
6.00 |
ANTIBIOTICS |
TIER2 |
|
AZITHROMYCIN TAB 500MG |
3.00 |
ANTIBIOTICS |
TIER2 |
|
AZITHROMYCIN TAB 600MG |
10.00 |
ANTIBIOTICS |
TIER4 |
|
AZOR TAB 10-20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AZOR TAB 10-40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AZOR TAB 5-20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AZOR TAB 5-40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
AZULFIDINE TAB 500MG |
120.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
AZULFIDINE TAB 500MG EN |
120.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
AZURETTE TAB 28 DAY |
28.00 |
CONTRACEPTIVES |
TIER4 |
