|
B6 FOLIC ACD CAP |
30.00 |
HEMATOLOGICAL AGENTS |
TIER1 |
|
BACIT/POLYMY OIN OP |
3.50 |
OPHTHALMIC AGENTS |
TIER2 |
|
BACITRACIN OIN 500/GM |
28.00 |
ANTIBIOTICS - TOPICAL |
TIER1 |
|
BACITRACIN OIN OP |
3.00 |
OPHTHALMIC AGENTS |
TIER4 |
|
BACLOFEN TAB 10MG |
60.00 |
MUSCLE RELAXANTS |
TIER2 |
|
BACLOFEN TAB 20MG |
90.00 |
MUSCLE RELAXANTS |
TIER2 |
|
BACMIN TAB |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
BACTRIM TAB 400-80MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
BACTRIM DS TAB 800-160 |
20.00 |
ANTIBIOTICS |
TIER4 |
|
BACTROBAN OIN 2% |
15.00 |
ANTIBIOTICS - TOPICAL |
TIER4 |
|
BACTROBAN OIN NASAL 2% |
10.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER4 |
|
BALACET 325 TAB |
60.00 |
ANALGESICS |
TIER4 |
|
BALSALAZIDE CAP 750MG |
120.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
BALZIVA TAB |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
BANZEL TAB 200MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
BANZEL TAB 400MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
BARACLUDE TAB 0.5MG |
30.00 |
ANTIVIRALS |
TIER4 |
|
BARACLUDE TAB 1MG |
30.00 |
ANTIVIRALS |
TIER4 |
|
BAR-TEST TAB 650MG |
30.00 |
DIAGNOSTIC PRODUCTS |
TIER4 |
|
BAYER LOW TAB 81MG EC |
30.00 |
ANALGESICS |
TIER1 |
|
B-COMPLEX TAB VIT PLUS |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
BE-FLEX PLUS CAP |
30.00 |
ANALGESICS |
TIER2 |
|
BELLA ALK/PB TAB 16.2MG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER1 |
|
BENADRYL ALG TAB 25MG |
30.00 |
ANTIHISTAMINES |
TIER1 |
|
BENAZEP/HCTZ TAB 10-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BENAZEP/HCTZ TAB 20-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BENAZEP/HCTZ TAB 20-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BENAZEP/HCTZ TAB 5-6.25 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BENAZEPRIL TAB 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BENAZEPRIL TAB 20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BENAZEPRIL TAB 40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BENAZEPRIL TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BENICAR TAB 20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BENICAR TAB 40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BENICAR TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BENICAR HCT TAB 20-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BENICAR HCT TAB 40-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BENICAR HCT TAB 40-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BENSAL HP OIN |
28.30 |
DERMATOLOGICALS |
TIER4 |
|
BENTYL CAP 10MG |
90.00 |
GASTROINTESTINAL AGENTS |
TIER3 |
|
BENTYL TAB 20MG |
50.00 |
GASTROINTESTINAL AGENTS |
TIER3 |
|
BENZONATATE CAP 100MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
BENZONATATE CAP 200MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
BENZPHETAMIN TAB 50MG |
90.00 |
ANOREXIANTS |
TIER4 |
|
BENZTROPINE TAB 0.5MG |
60.00 |
PARKINSONS DRUGS |
TIER2 |
|
BENZTROPINE TAB 1MG |
60.00 |
PARKINSONS DRUGS |
TIER2 |
|
BENZTROPINE TAB 2MG |
60.00 |
PARKINSONS DRUGS |
TIER2 |
|
BETAMETH DIP OIN 0.05% |
45.00 |
CORTICOSTEROIDS - TOPICAL |
TIER2 |
|
BETAMETH VAL OIN 0.1% |
45.00 |
CORTICOSTEROIDS - TOPICAL |
TIER1 |
|
BETAPACE TAB 120MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BETAPACE TAB 160MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BETAPACE TAB 240MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BETAPACE TAB 80MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BETAPACE AF TAB 120MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BETAPACE AF TAB 160MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BETAPACE AF TAB 80MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BETAXOLOL TAB 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
BETAXOLOL TAB 20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BETHANECHOL TAB 10MG |
60.00 |
GENITOURINARY PRODUCTS |
TIER3 |
|
BETHANECHOL TAB 25MG |
50.00 |
GENITOURINARY PRODUCTS |
TIER3 |
|
BETHANECHOL TAB 50MG |
21.00 |
GENITOURINARY PRODUCTS |
TIER3 |
|
BETHANECHOL TAB 5MG |
60.00 |
GENITOURINARY PRODUCTS |
TIER2 |
|
BIAXIN TAB 250MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
BIAXIN TAB 500MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
BIAXIN XL TAB 500MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
BIAXIN XL TAB PAC 500 |
20.00 |
ANTIBIOTICS |
TIER4 |
|
BICALUTAMIDE TAB 50MG |
30.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
BIDHIST-D TAB 6-45MG |
14.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
BIDIL TAB |
90.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BIFERARX TAB |
30.00 |
HEMATOLOGICAL AGENTS |
TIER4 |
|
BILTRICIDE TAB 600MG |
3.00 |
ANTIBIOTICS |
TIER3 |
|
BIOCEL TAB |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
BIOGESIC TAB 30-500MG |
60.00 |
ANALGESICS |
TIER1 |
|
BIOREGESIC TAB 50-650MG |
90.00 |
ANALGESICS |
TIER4 |
|
BIO-STATIN CAP 1000000 |
42.00 |
ANTIFUNGALS |
TIER3 |
|
BIO-STATIN CAP 500000 |
42.00 |
ANTIFUNGALS |
TIER2 |
|
BIO-THROID CAP 120MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
BIO-THROID CAP 150MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
BIO-THROID CAP 15MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
BIO-THROID CAP 180MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
BIO-THROID CAP 240MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
BIO-THROID CAP 30MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
BIO-THROID CAP 60MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
BIO-THROID CAP 8MG |
60.00 |
THYROID MEDICATION |
TIER1 |
|
BIO-THROID CAP 90MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
BISACODYL TAB 5MG EC |
4.00 |
LAXATIVES |
TIER1 |
|
BISOPRL/HCTZ TAB 10/6.25 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BISOPRL/HCTZ TAB 2.5/6.25 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BISOPRL/HCTZ TAB 5/6.25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
BISOPROL FUM TAB 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
BISOPROL FUM TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
BLEPHAMIDE OIN S.O.P. |
3.50 |
OPHTHALMIC AGENTS |
TIER4 |
|
BONIVA TAB 150MG |
1.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
BONTRIL PDM TAB 35MG |
60.00 |
ANOREXIANTS |
TIER3 |
|
BONTRIL SR CAP 105MG |
30.00 |
ANOREXIANTS |
TIER4 |
|
BP FOLINATAL TAB PLUS B |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
BP MULTINATL CHW PLUS |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
BP MULTINATL TAB PLUS |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
BP POLY-650 TAB |
30.00 |
ANALGESICS |
TIER2 |
|
BP VIT 3 CAP |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
B-PLEX TAB |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
B-PLEX PLUS TAB |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
BPM TAB 6MG |
60.00 |
ANTIHISTAMINES |
TIER3 |
|
BPM PSEUDO TAB 6-45MG |
14.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
BRETHINE TAB 2.5MG |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
BRETHINE TAB 5MG |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
BREVICON TAB 0.5/35 |
28.00 |
CONTRACEPTIVES |
TIER4 |
|
BROMFED TAB 4-60MG |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
BROMFED DM SYP |
180.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
BROMOCRIPTIN CAP 5MG |
30.00 |
PARKINSONS DRUGS |
TIER4 |
|
BROMOCRIPTIN TAB 2.5MG |
7.00 |
PARKINSONS DRUGS |
TIER2 |
|
BROMPHEN/PSE CAP 9-90MG |
14.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
BROMPHENIRAM CHW 12MG |
30.00 |
ANTIHISTAMINES |
TIER3 |
|
BRONCAP TAB 150-200 |
90.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
BRONTEX TAB |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
BROVEX CB TAB 10-4MG |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
BROVEX CBX TAB 20-4MG |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
BROVEX CT CHW 12MG |
30.00 |
ANTIHISTAMINES |
TIER4 |
|
BROVEX PB C TAB 10-4-10 |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
BROVEX PB CX TAB 10-4-20 |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
BROVEX PSE TAB 4-40MG |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
BROVEX PSE TAB DM |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
BROVEX SR CAP 9-90MG |
14.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
BUDEPRION TAB 100MG SR |
30.00 |
ANTIDEPRESSANTS |
TIER3 |
|
BUDEPRION TAB 150MG SR |
60.00 |
ANTIDEPRESSANTS |
TIER3 |
|
BUDEPRION XL TAB 150MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
BUDEPRION XL TAB 300MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
BUMETANIDE TAB 0.5MG |
30.00 |
DIURETICS |
TIER1 |
|
BUMETANIDE TAB 1MG |
30.00 |
DIURETICS |
TIER2 |
|
BUMETANIDE TAB 2MG |
30.00 |
DIURETICS |
TIER2 |
|
BUPAP TAB 50-650MG |
90.00 |
ANALGESICS |
TIER3 |
|
BUPHENYL TAB 500MG |
30.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
BUPROBAN TAB 150MG |
60.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
BUPROPION TAB 100MG |
90.00 |
ANTIDEPRESSANTS |
TIER3 |
|
BUPROPION TAB 100MG SR |
30.00 |
ANTIDEPRESSANTS |
TIER3 |
|
BUPROPION TAB 150MG |
60.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
BUPROPION TAB 150MG SR |
60.00 |
ANTIDEPRESSANTS |
TIER3 |
|
BUPROPION TAB 200MG SR |
60.00 |
ANTIDEPRESSANTS |
TIER4 |
|
BUPROPION TAB 75MG |
60.00 |
ANTIDEPRESSANTS |
TIER3 |
|
BUPROPN HCL TAB 150MG XL |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
BUPROPN HCL TAB 300MG XL |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
BUSPAR TAB 10MG |
60.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
BUSPAR TAB 15MG |
60.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
BUSPAR TAB 30MG |
60.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
BUSPAR TAB 5MG |
60.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
BUSPIRONE TAB 10MG |
60.00 |
ANTIANXIETY AGENTS |
TIER2 |
|
BUSPIRONE TAB 15MG |
60.00 |
ANTIANXIETY AGENTS |
TIER2 |
|
BUSPIRONE TAB 30MG |
60.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
BUSPIRONE TAB 5MG |
60.00 |
ANTIANXIETY AGENTS |
TIER2 |
|
BUSPIRONE TAB 7.5MG |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
BUT/APAP/CAF CAP |
30.00 |
ANALGESICS |
TIER2 |
|
BUT/APAP/CAF CAP CODEINE |
120.00 |
ANALGESICS |
TIER4 |
|
BUT/APAP/CAF TAB |
30.00 |
ANALGESICS |
TIER1 |
|
BUT/ASA/CAF/ CAP COD 30MG |
30.00 |
ANALGESICS |
TIER3 |
|
BUT/ASA/CAFF CAP |
30.00 |
ANALGESICS |
TIER2 |
|
BUT/ASA/CAFF TAB |
30.00 |
ANALGESICS |
TIER2 |
|
BUTAL/APAP TAB 50-325 |
60.00 |
ANALGESICS |
TIER3 |
|
BUTALBITAL CAP CPD |
30.00 |
ANALGESICS |
TIER2 |
|
BUTALBITAL TAB CPD |
30.00 |
ANALGESICS |
TIER2 |
|
BUTISOL SOD TAB 30MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER4 |
|
BUTISOL SOD TAB 50MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER4 |
|
BYSTOLIC TAB 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BYSTOLIC TAB 2.5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BYSTOLIC TAB 20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
BYSTOLIC TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
