|
CABERGOLINE TAB 0.5MG |
4.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
CADUET TAB 10/10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 10/20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 10/40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 10/80MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 2.5/10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 2.5/20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 2.5/40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 5MG/10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 5MG/20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 5MG/40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CADUET TAB 5MG/80MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CAFERGOT TAB 1-100MG |
30.00 |
MIGRAINE TREATMENT |
TIER4 |
|
CAFGESIC CAP |
40.00 |
ANALGESICS |
TIER3 |
|
CAFGESIC TAB |
28.00 |
ANALGESICS |
TIER3 |
|
CALAFOL RX TAB |
30.00 |
NUTRITIONAL PRODUCTS |
TIER2 |
|
CALAN TAB 120MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CALAN TAB 80MG |
90.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CALAN SR TAB 120MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CALAN SR TAB 180MG |
7.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
CALAN SR TAB 240MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CALC ACETATE CAP 667MG |
90.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
CALCIPOTRIEN SOL 0.005% |
60.00 |
DERMATOLOGICALS |
TIER4 |
|
CALCITONIN SPR 200/ACT |
3.70 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
CALCITRIOL CAP 0.25MCG |
30.00 |
VITAMINS & MINERALS |
TIER4 |
|
CALCITRIOL CAP 0.5MCG |
60.00 |
VITAMINS & MINERALS |
TIER4 |
|
CAL-NATE TAB |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
CAMILA TAB 0.35MG |
28.00 |
CONTRACEPTIVES |
TIER4 |
|
CAMPRAL TAB 333MG |
180.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
CANTIL TAB |
90.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
CAPTOPR/HCTZ TAB 25-15MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CAPTOPR/HCTZ TAB 25-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
CAPTOPR/HCTZ TAB 50-15MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CAPTOPR/HCTZ TAB 50-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CAPTOPRIL TAB 100MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CAPTOPRIL TAB 12.5MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER1 |
|
CAPTOPRIL TAB 25MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER1 |
|
CAPTOPRIL TAB 50MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER1 |
|
CARAC CRE 0.5% |
30.00 |
DERMATOLOGICALS |
TIER4 |
|
CARAFATE TAB 1GM |
120.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
CARB/LEVO TAB 10-100MG |
90.00 |
PARKINSONS DRUGS |
TIER4 |
|
CARB/LEVO TAB 25-100MG |
90.00 |
PARKINSONS DRUGS |
TIER4 |
|
CARB/LEVO TAB 25-250MG |
60.00 |
PARKINSONS DRUGS |
TIER4 |
|
CARB/LEVO ER TAB 25/100 |
90.00 |
PARKINSONS DRUGS |
TIER4 |
|
CARB/LEVO ER TAB 50-200MG |
90.00 |
PARKINSONS DRUGS |
TIER4 |
|
CARB/LEVO SR TAB 25/100 |
90.00 |
PARKINSONS DRUGS |
TIER4 |
|
CARB/LEVO SR TAB 50-200MG |
90.00 |
PARKINSONS DRUGS |
TIER4 |
|
CARBAMAZEPIN CHW 100MG |
60.00 |
ANTICONVULSANTS |
TIER2 |
|
CARBAMAZEPIN TAB 200MG |
60.00 |
ANTICONVULSANTS |
TIER3 |
|
CARBAMAZEPIN TAB 200MG ER |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
CARBAMAZEPIN TAB 400MG ER |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
CARBATROL CAP 100MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
CARBATROL CAP 200MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
CARBATROL CAP 300MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
CARBATUSS SYP |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
CARBINOXAMIN TAB 4MG |
30.00 |
ANTIHISTAMINES |
TIER2 |
|
CARBODEX DM SYP |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
CARBOFED DM SYP |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
CARDENE SR CAP 30MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDENE SR CAP 45MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDENE SR CAP 60MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIOTEK RX TAB |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
CARDIOTEK-RX TAB |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
CARDIOVID CAP PLUS |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
CARDIZEM TAB 120MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM TAB 30MG |
90.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM TAB 60MG |
90.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM TAB 90MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM CD CAP 120MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM CD CAP 180MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM CD CAP 240MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM CD CAP 300MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM CD CAP 360MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM LA TAB 120MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM LA TAB 180MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM LA TAB 240MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM LA TAB 300MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM LA TAB 360MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDIZEM LA TAB 420MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDURA TAB 1MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDURA TAB 2MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDURA TAB 4MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDURA TAB 8MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARDURA XL TAB 4MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CARDURA XL TAB 8MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CARISOPR/ASA TAB 200-325 |
60.00 |
MUSCLE RELAXANTS |
TIER4 |
|
CARISOPRODOL TAB 350MG |
90.00 |
MUSCLE RELAXANTS |
TIER4 |
|
CARISOPRODOL TAB ASA/COD |
60.00 |
MUSCLE RELAXANTS |
TIER4 |
|
CARMOL 40 CRE 40% |
85.05 |
DERMATOLOGICALS |
TIER4 |
|
CARMOL-HC CRE 1% |
28.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CARNITOR TAB 330MG |
270.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
CAROMEGA TAB |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
CARTIA XT CAP 120/24HR |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARTIA XT CAP 180/24HR |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARTIA XT CAP 240/24HR |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARTIA XT CAP 300/24HR |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARTROL TAB 2.5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
CARTROL TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
CARVEDILOL TAB 12.5MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARVEDILOL TAB 25MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARVEDILOL TAB 3.125MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CARVEDILOL TAB 6.25MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CASODEX TAB 50MG |
30.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
CATAFLAM TAB 50MG |
60.00 |
ANALGESICS |
TIER4 |
|
CATAPRES TAB 0.1MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CATAPRES TAB 0.2MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CATAPRES TAB 0.3MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CAZIANT PAK |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
CDP/AMITRIP TAB 10-25MG |
90.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
CDP/AMITRIP TAB 5-12.5MG |
14.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER2 |
|
CEBO #1 CAP BLUE |
100.00 |
MISCELLANEOUS PRODUCTS |
TIER3 |
|
CEBO #3 CAP ORANGE |
100.00 |
MISCELLANEOUS PRODUCTS |
TIER3 |
|
CEDAX CAP 400MG |
10.00 |
ANTIBIOTICS |
TIER4 |
|
CEENU CAP 100MG |
1.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
CEENU CAP 10MG |
1.00 |
ANTINEOPLASTIC AGENTS |
TIER2 |
|
CEENU CAP 40MG |
1.00 |
ANTINEOPLASTIC AGENTS |
TIER3 |
|
CEFACLOR CAP 250MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
CEFACLOR CAP 500MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
CEFACLOR ER TAB 500MG |
14.00 |
ANTIBIOTICS |
TIER4 |
|
CEFADROXIL CAP 500MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CEFADROXIL TAB 1GM |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CEFDINIR CAP 300MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CEFPODOXIME TAB 100MG |
1.00 |
ANTIBIOTICS |
TIER2 |
|
CEFPODOXIME TAB 200MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CEFPROZIL TAB 250MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CEFPROZIL TAB 500MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CEFTIN TAB 250MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CEFTIN TAB 500MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CEFUROXIME TAB 250MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CEFUROXIME TAB 500MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CELEBREX CAP 100MG |
30.00 |
ANALGESICS |
TIER4 |
|
CELEBREX CAP 200MG |
30.00 |
ANALGESICS |
TIER4 |
|
CELEBREX CAP 400MG |
30.00 |
ANALGESICS |
TIER4 |
|
CELEBREX CAP 50MG |
30.00 |
ANALGESICS |
TIER3 |
|
CELEXA TAB 10MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CELEXA TAB 20MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CELEXA TAB 40MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CELLCEPT CAP 250MG |
180.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
CELLCEPT TAB 500MG |
90.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
CELONTIN CAP 300MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
CENESTIN TAB 0.3MG |
60.00 |
HORMONES |
TIER4 |
|
CENESTIN TAB 0.45MG |
90.00 |
HORMONES |
TIER4 |
|
CENESTIN TAB 0.625MG |
30.00 |
HORMONES |
TIER4 |
|
CENESTIN TAB 0.9MG |
30.00 |
HORMONES |
TIER4 |
|
CENESTIN TAB 1.25MG |
30.00 |
HORMONES |
TIER4 |
|
CENTANY OIN 2% |
15.00 |
ANTIBIOTICS - TOPICAL |
TIER4 |
|
CENTRATEX CAP |
30.00 |
HEMATOLOGICAL AGENTS |
TIER2 |
|
CEPHADYN TAB 50-650MG |
90.00 |
ANALGESICS |
TIER4 |
|
CEPHALEXIN CAP 250MG |
28.00 |
ANTIBIOTICS |
TIER3 |
|
CEPHALEXIN CAP 500MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
CEPHALEXIN TAB 250MG |
60.00 |
ANTIBIOTICS |
TIER4 |
|
CEPHALEXIN TAB 500MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
CEREFOLIN TAB |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
CEREFOLIN TAB NAC |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
CERON DRO |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
CERON SYP |
240.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
CERON-DM SYP |
180.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
CEROVITE ADV TAB FORMULA |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
CESAMET CAP 1MG |
4.00 |
ANTI-NAUSEANTS |
TIER4 |
|
CESIA PAK |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
CETACAINE OIN |
37.00 |
DERMATOLOGICALS |
TIER1 |
|
CETIRIZ/PSE TAB 5-120MG |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
CETIRIZINE SYP 1MG/ML |
75.00 |
ANTIHISTAMINES |
TIER2 |
|
CETIRIZINE SYP 5MG/5ML |
75.00 |
ANTIHISTAMINES |
TIER3 |
|
CETIRIZINE TAB 10MG |
30.00 |
ANTIHISTAMINES |
TIER4 |
|
CHANTIX PAK 1MG |
56.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
CHANTIX TAB 0.5MG |
56.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
CHANTIX TAB 1MG |
56.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
CHEMET CAP 100MG |
2.00 |
ANTIDOTES |
TIER2 |
|
CHERATUSSIN SOL DAC |
240.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
CHERATUSSIN SYP AC |
240.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
CHLORAL HYDR SYP 500/5ML |
10.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER1 |
|
CHLORD/CLIDI CAP 5-2.5MG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
CHLORDEX GP SYP |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
CHLORDIAZEP CAP 10MG |
30.00 |
ANTIANXIETY AGENTS |
TIER2 |
|
CHLORDIAZEP CAP 25MG |
60.00 |
ANTIANXIETY AGENTS |
TIER3 |
|
CHLORDIAZEP CAP 5MG |
30.00 |
ANTIANXIETY AGENTS |
TIER2 |
|
CHLORHEX GLU SOL 0.12% |
473.00 |
DENTAL/FLUORIDE AGENTS |
TIER2 |
|
CHLOR-MES TAB |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
CHLOR-MES D SYP LIQUID |
240.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
CHLOR-MES JR CAP 4-20MG |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
CHLOROQUINE TAB 250MG |
30.00 |
ANTIMALARIALS |
TIER4 |
|
CHLOROQUINE TAB 500MG |
15.00 |
ANTIMALARIALS |
TIER4 |
|
CHLOROTHIAZ TAB 250MG |
30.00 |
DIURETICS |
TIER2 |
|
CHLOROTHIAZ TAB 500MG |
30.00 |
DIURETICS |
TIER2 |
|
CHLORPHENIR CAP 12MG ER |
30.00 |
ANTIHISTAMINES |
TIER1 |
|
CHLORPROMAZ TAB 100MG |
30.00 |
ANTIPSYCHOTICS |
TIER3 |
|
CHLORPROMAZ TAB 10MG |
30.00 |
ANTIPSYCHOTICS |
TIER2 |
|
CHLORPROMAZ TAB 200MG |
30.00 |
ANTIPSYCHOTICS |
TIER4 |
|
CHLORPROMAZ TAB 25MG |
30.00 |
ANTIPSYCHOTICS |
TIER3 |
|
CHLORPROMAZ TAB 50MG |
60.00 |
ANTIPSYCHOTICS |
TIER4 |
|
CHLORPROPAM TAB 100MG |
30.00 |
ANTIDIABETICS |
TIER2 |
|
CHLORPROPAM TAB 250MG |
30.00 |
ANTIDIABETICS |
TIER3 |
|
CHLORTHALID TAB 100MG |
30.00 |
DIURETICS |
TIER3 |
|
CHLORTHALID TAB 25MG |
30.00 |
DIURETICS |
TIER2 |
|
CHLORTHALID TAB 50MG |
30.00 |
DIURETICS |
TIER2 |
|
CHLORZOXAZON TAB 500MG |
60.00 |
MUSCLE RELAXANTS |
TIER4 |
|
CHO MAG TRIS TAB 1000MG |
60.00 |
ANALGESICS |
TIER4 |
|
CHO MAG TRIS TAB 500MG |
90.00 |
ANALGESICS |
TIER4 |
|
CHO MAG TRIS TAB 750MG |
90.00 |
ANALGESICS |
TIER4 |
|
CHOR GONADOT INJ 10000UNT |
1.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
CHROMAGEN TAB |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
CHROMAGEN TAB FORTE |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
CHROMAGEN FA TAB |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
CIALIS TAB 10MG |
10.00 |
IMPOTENCE AGENTS |
TIER4 |
|
CIALIS TAB 2.5MG |
6.00 |
IMPOTENCE AGENTS |
TIER3 |
|
CIALIS TAB 20MG |
10.00 |
IMPOTENCE AGENTS |
TIER4 |
|
CIALIS TAB 5MG |
6.00 |
IMPOTENCE AGENTS |
TIER3 |
|
CICLOPIROX CRE 0.77% |
30.00 |
ANTIFUNGALS - TOPICAL |
TIER4 |
|
CICLOPIROX GEL 0.77% |
100.00 |
ANTIFUNGALS - TOPICAL |
TIER4 |
|
CICLOPIROX SOL 8% |
6.60 |
ANTIFUNGALS - TOPICAL |
TIER3 |
|
CILOSTAZOL TAB 100MG |
60.00 |
BLOOD MODIFIERS |
TIER4 |
|
CILOSTAZOL TAB 50MG |
180.00 |
BLOOD MODIFIERS |
TIER4 |
|
CILOXAN OIN 0.3% OP |
3.50 |
OPHTHALMIC AGENTS |
TIER4 |
|
CILOXAN SOL 0.3% OP |
5.00 |
OPHTHALMIC AGENTS |
TIER4 |
|
CIMETIDINE TAB 200MG |
30.00 |
GASTROINTESTINAL AGENTS |
TIER3 |
|
CIMETIDINE TAB 300MG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
CIMETIDINE TAB 400MG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
CIMETIDINE TAB 800MG |
30.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
CIPRO TAB 250MG |
14.00 |
ANTIBIOTICS |
TIER4 |
|
CIPRO TAB 500MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CIPRO TAB 750MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CIPRO XR TAB 1000MG |
3.00 |
ANTIBIOTICS |
TIER3 |
|
CIPRO XR TAB 500MG |
3.00 |
ANTIBIOTICS |
TIER3 |
|
CIPROFLOXACN SOL 0.3% OP |
5.00 |
OPHTHALMIC AGENTS |
TIER4 |
|
CIPROFLOXACN TAB 1000MG |
3.00 |
ANTIBIOTICS |
TIER3 |
|
CIPROFLOXACN TAB 100MG |
6.00 |
ANTIBIOTICS |
TIER3 |
|
CIPROFLOXACN TAB 250MG |
14.00 |
ANTIBIOTICS |
TIER4 |
|
CIPROFLOXACN TAB 500MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CIPROFLOXACN TAB 500MG ER |
3.00 |
ANTIBIOTICS |
TIER3 |
|
CIPROFLOXACN TAB 750MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CITALOPRAM TAB 10MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CITALOPRAM TAB 20MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CITALOPRAM TAB 40MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CITRACAL TAB PREN RX |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
CITRANATAL TAB RX |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
CITROLITH TAB |
90.00 |
GENITOURINARY PRODUCTS |
TIER2 |
|
CLARAVIS CAP 10MG |
30.00 |
ACNE PRODUCTS |
TIER4 |
|
CLARAVIS CAP 20 MG |
30.00 |
ACNE PRODUCTS |
TIER4 |
|
CLARAVIS CAP 20MG |
30.00 |
ACNE PRODUCTS |
TIER4 |
|
CLARAVIS CAP 30MG |
60.00 |
ACNE PRODUCTS |
TIER4 |
|
CLARAVIS CAP 40MG |
30.00 |
ACNE PRODUCTS |
TIER4 |
|
CLARINEX SYP 0.5MG/ML |
75.00 |
ANTIHISTAMINES |
TIER3 |
|
CLARINEX TAB 5MG |
30.00 |
ANTIHISTAMINES |
TIER4 |
|
CLARINEX RDT TAB 2.5MG |
30.00 |
ANTIHISTAMINES |
TIER4 |
|
CLARINEX RDT TAB 5MG |
30.00 |
ANTIHISTAMINES |
TIER4 |
|
CLARINEX-D TAB 2.5-120 |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
CLARINEX-D TAB 5-240MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
CLARITHROMYC TAB 250MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CLARITHROMYC TAB 500MG |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CLARITHROMYC TAB 500MG ER |
20.00 |
ANTIBIOTICS |
TIER4 |
|
CLARITIN CHW 5MG |
14.00 |
ANTIHISTAMINES |
TIER2 |
|
CLARITIN TAB 10MG |
30.00 |
ANTIHISTAMINES |
TIER3 |
|
CLARITIN-D TAB 10-240MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
CLARITIN-D TAB 5-120MG |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
CLEMASTINE SYP 0.5/5ML |
240.00 |
ANTIHISTAMINES |
TIER4 |
|
CLEMASTINE TAB 2.68MG |
60.00 |
ANTIHISTAMINES |
TIER4 |
|
CLENIA CRE 10-5% |
113.40 |
ACNE PRODUCTS |
TIER4 |
|
CLEOCIN CAP 150MG |
4.00 |
ANTIBIOTICS |
TIER2 |
|
CLEOCIN CAP 300MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
CLEOCIN CAP 75MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
CLEOCIN CRE 2% VAG |
40.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CLEOCIN PED SOL 75MG/5ML |
200.00 |
ANTIBIOTICS |
TIER4 |
|
CLEOCIN-T GEL 1% |
60.00 |
ACNE PRODUCTS |
TIER4 |
|
CLINDAGEL GEL 1% |
60.00 |
ACNE PRODUCTS |
TIER4 |
|
CLINDAMAX CRE 2% |
40.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CLINDAMAX CRE 2% VAG |
40.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CLINDAMYCIN CAP 150MG |
4.00 |
ANTIBIOTICS |
TIER2 |
|
CLINDAMYCIN CAP 300MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
CLINDAMYCIN CRE 2% |
40.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CLINDAMYCIN CRE 2% VAG |
40.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CLINDAMYCIN GEL 1% |
60.00 |
ACNE PRODUCTS |
TIER4 |
|
CLINDAMYCIN LOT 1% |
60.00 |
ACNE PRODUCTS |
TIER4 |
|
CLINDAMYCIN LOT 10MG/ML |
60.00 |
ACNE PRODUCTS |
TIER4 |
|
CLINDESSE CRE 2% |
5.80 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CLINORIL TAB 200MG |
60.00 |
ANALGESICS |
TIER4 |
|
CLOBETASOL CRE 0.05% |
30.00 |
CORTICOSTEROIDS - TOPICAL |
TIER3 |
|
CLOBETASOL GEL 0.05% |
15.00 |
CORTICOSTEROIDS - TOPICAL |
TIER3 |
|
CLOBETASOL OIN 0.05% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CLOBETASOL SOL 0.05% |
50.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CLOBETASOL E CRE 0.05% |
30.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CLOBEX LOT 0.05% |
118.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CLOBEX SPR 0.05% |
125.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CLODERM CRE 0.1% |
15.00 |
CORTICOSTEROIDS - TOPICAL |
TIER3 |
|
CLODERM CRE 0.1% PMP |
15.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CLOMID TAB 50MG |
5.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
CLOMIPHENE TAB 50MG |
5.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
CLOMIPRAMINE CAP 25MG |
30.00 |
ANTIDEPRESSANTS |
TIER3 |
|
CLOMIPRAMINE CAP 50MG |
60.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CLOMIPRAMINE CAP 75MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CLONAZEP ODT TAB 0.125MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
CLONAZEP ODT TAB 0.25MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
CLONAZEP ODT TAB 0.5MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
CLONAZEP ODT TAB 1MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
CLONAZEP ODT TAB 2MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
CLONAZEPAM TAB 0.5MG |
30.00 |
ANTICONVULSANTS |
TIER3 |
|
CLONAZEPAM TAB 1MG |
30.00 |
ANTICONVULSANTS |
TIER3 |
|
CLONAZEPAM TAB 2MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
CLONIDINE TAB 0.1MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
CLONIDINE TAB 0.2MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
CLONIDINE TAB 0.3MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
CLORAZ DIPOT TAB 15MG |
90.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
CLORAZ DIPOT TAB 3.75MG |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
CLORAZ DIPOT TAB 7.5MG |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
CLORPRES TAB 0.1-15MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
CLORPRES TAB 0.2-15MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CLORPRES TAB 0.3-15MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CLORTIMAZOLE CRE A/F 1% |
30.00 |
ANTIFUNGALS - TOPICAL |
TIER2 |
|
CLOTRIM/BETA CRE DIPROP |
45.00 |
ANTIFUNGALS - TOPICAL |
TIER4 |
|
CLOTRIM/BETA LOT DIPROP |
30.00 |
ANTIFUNGALS - TOPICAL |
TIER4 |
|
CLOTRIMAZOLE CRE 1% |
30.00 |
ANTIFUNGALS - TOPICAL |
TIER3 |
|
CLOTRIMAZOLE CRE 1% VAG |
45.00 |
GENITOURINARY PRODUCTS |
TIER2 |
|
CLOTRIMAZOLE SOL 1% |
30.00 |
ANTIFUNGALS - TOPICAL |
TIER3 |
|
CLOZAPINE TAB 100MG |
60.00 |
ANTIPSYCHOTICS |
TIER4 |
|
CLOZAPINE TAB 200MG |
30.00 |
ANTIPSYCHOTICS |
TIER4 |
|
CLOZAPINE TAB 25MG |
28.00 |
ANTIPSYCHOTICS |
TIER4 |
|
CLOZAPINE TAB 50MG |
14.00 |
ANTIPSYCHOTICS |
TIER3 |
|
CLOZARIL TAB 100MG |
60.00 |
ANTIPSYCHOTICS |
TIER4 |
|
CLOZARIL TAB 25MG |
28.00 |
ANTIPSYCHOTICS |
TIER4 |
|
COAL TAR OIN 1% |
454.00 |
DERMATOLOGICALS |
TIER4 |
|
COCA COLA SYP |
473.00 |
ANTI-NAUSEANTS |
TIER3 |
|
COCET TAB 650-30MG |
40.00 |
ANALGESICS |
TIER3 |
|
CODEINE SULF TAB 30MG |
30.00 |
ANALGESICS |
TIER3 |
|
CODEINE SULF TAB 60MG |
60.00 |
ANALGESICS |
TIER4 |
|
CODEINE/GUAI LIQ 10-300MG |
180.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
CO-GESIC TAB 500-5MG |
30.00 |
ANALGESICS |
TIER3 |
|
COGNEX CAP 10MG |
120.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
COGNEX CAP 20MG |
120.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
COGNEX CAP 30MG |
120.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
COGNEX CAP 40MG |
120.00 |
PSYCHOTHERAPEUTIC AGENTS - MISC. |
TIER4 |
|
COLAZAL CAP 750MG |
120.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
COLCHICINE TAB 0.6MG |
30.00 |
GOUT MEDICATION |
TIER1 |
|
COLDAMINE TAB 8-90-2.5 |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
COLDCOUGH SYP |
150.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
COLDCOUGH PD SYP |
118.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
COLDEC DM SYP |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
COLESTID TAB 1GM |
90.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
COLESTIPOL TAB 1GM |
90.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
COMBIGAN SOL 0.2/0.5% |
5.00 |
OPHTHALMIC AGENTS |
TIER4 |
|
COMBIVENT AER |
14.70 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER4 |
|
COMBIVIR TAB |
60.00 |
ANTIVIRALS |
TIER4 |
|
COMBUNOX TAB 5-400MG |
60.00 |
ANALGESICS |
TIER4 |
|
COMHIST TAB |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
COMPLETENATE CHW |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
COMPLETE-RF TAB PRENATAL |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
CO-NATAL FA TAB 29-1MG |
30.00 |
PRENATAL VITAMINS |
TIER1 |
|
CONCERTA TAB 18MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
CONCERTA TAB 27MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
CONCERTA TAB 36MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
CONCERTA TAB 54MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
CONDYLOX GEL 0.5% |
3.50 |
DERMATOLOGICALS |
TIER4 |
|
CONTROLRX CRE 1.1% |
51.00 |
DENTAL/FLUORIDE AGENTS |
TIER2 |
|
COPD TAB 200-200 |
90.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
CORDARONE TAB 200MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CORDRAN LOT 0.05% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CORDRAN SP CRE 0.05% |
30.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
COREG TAB 12.5MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COREG TAB 25MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COREG TAB 3.125MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COREG TAB 6.25MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COREG CR CAP 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COREG CR CAP 20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COREG CR CAP 40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COREG CR CAP 80MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CORFEN-DM LIQ |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
CORGARD TAB 20MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CORGARD TAB 40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CORGARD TAB 80MG |
3.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
CORMAX OIN 0.05% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CORTEF TAB 10MG |
90.00 |
CORTICOSTEROIDS |
TIER4 |
|
CORTEF TAB 20MG |
3.00 |
CORTICOSTEROIDS |
TIER1 |
|
CORTEF TAB 5MG |
30.00 |
CORTICOSTEROIDS |
TIER2 |
|
CORTISONE AC TAB 25MG |
45.00 |
CORTICOSTEROIDS |
TIER3 |
|
CORTISPORIN CRE 0.5% |
15.00 |
ANTIBIOTICS - TOPICAL |
TIER4 |
|
CORTISPORIN OIN 1% |
15.00 |
ANTIBIOTICS - TOPICAL |
TIER4 |
|
CORVITA TAB |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
CORVITE TAB |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
CORVITE FREE TAB |
30.00 |
VITAMINS & MINERALS |
TIER3 |
|
CORYZA-D TAB |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
CORYZA-DM SYP |
473.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
CORZIDE TAB 40-5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CORZIDE TAB 80-5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COSOPT SOL 2-0.5%OP |
10.00 |
OPHTHALMIC AGENTS |
TIER4 |
|
COTAB A TAB 4-10MG |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
COTAB AX TAB 4-20MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
COTABFLU TAB 20-4-500 |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
COUMADIN TAB 10MG |
30.00 |
BLOOD MODIFIERS |
TIER4 |
|
COUMADIN TAB 1MG |
30.00 |
BLOOD MODIFIERS |
TIER3 |
|
COUMADIN TAB 2.5MG |
30.00 |
BLOOD MODIFIERS |
TIER3 |
|
COUMADIN TAB 2MG |
30.00 |
BLOOD MODIFIERS |
TIER3 |
|
COUMADIN TAB 3MG |
30.00 |
BLOOD MODIFIERS |
TIER3 |
|
COUMADIN TAB 4MG |
30.00 |
BLOOD MODIFIERS |
TIER3 |
|
COUMADIN TAB 5MG |
30.00 |
BLOOD MODIFIERS |
TIER3 |
|
COUMADIN TAB 6MG |
30.00 |
BLOOD MODIFIERS |
TIER4 |
|
COUMADIN TAB 7.5MG |
30.00 |
BLOOD MODIFIERS |
TIER4 |
|
COVARYX TAB |
30.00 |
HORMONES |
TIER3 |
|
COVARYX HS TAB |
1.00 |
HORMONES |
TIER1 |
|
COVERA-HS TAB 180MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COVERA-HS TAB 240MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COZAAR TAB 100MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COZAAR TAB 25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
COZAAR TAB 50MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
CP DEC SYP 4-12.5MG |
240.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
CP DEC-DM SYP |
180.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
C-PHEN DRO |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
C-PHEN SYP |
240.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
C-PHEN DM SYP |
180.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
CPM CAP 12MG CR |
30.00 |
ANTIHISTAMINES |
TIER3 |
|
CPM 8/PE 20/ TAB MSC 1.25 |
15.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
CPM/PE CAP 4-20MG |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
CPM/PE TAB 4-20MG |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
CPM/PSE CAP 8-120 CR |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
CPM/PSE SYP |
473.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
CPM-PE-MSC SYP |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
CRANTEX SYP 7.5/100 |
180.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
CREON 10 CAP EC |
240.00 |
DIGESTIVE AIDS |
TIER4 |
|
CREON 20 CAP |
90.00 |
DIGESTIVE AIDS |
TIER4 |
|
CREON 5 CAP |
90.00 |
DIGESTIVE AIDS |
TIER4 |
|
CRESTOR TAB 10MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
CRESTOR TAB 20MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
CRESTOR TAB 40MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
CRESTOR TAB 5MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
CRINONE GEL 8% VAG |
26.10 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CRIXIVAN CAP 100MG |
24.00 |
ANTIVIRALS |
TIER2 |
|
CRIXIVAN CAP 200MG |
12.00 |
ANTIVIRALS |
TIER2 |
|
CRIXIVAN CAP 333MG |
9.00 |
ANTIVIRALS |
TIER3 |
|
CRIXIVAN CAP 400MG |
6.00 |
ANTIVIRALS |
TIER2 |
|
CRYSELLE-28 TAB 28 TABS |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
CUPRIMINE CAP 125MG |
30.00 |
MISCELLANEOUS PRODUCTS |
TIER3 |
|
CUPRIMINE CAP 250MG |
16.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
CUTIVATE CRE 0.05% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CUTIVATE LOT 0.05% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CUTIVATE OIN 0.005% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
CVS VIT B-6 TAB 50MG |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
CYANOCOBALAM INJ 1000MCG |
30.00 |
HEMATOLOGICAL AGENTS |
TIER2 |
|
CYCLESSA PAK |
28.00 |
CONTRACEPTIVES |
TIER4 |
|
CYCLOBENZAPR TAB 10MG |
30.00 |
MUSCLE RELAXANTS |
TIER3 |
|
CYCLOBENZAPR TAB 5MG |
30.00 |
MUSCLE RELAXANTS |
TIER4 |
|
CYCLOPENTOL SOL 1% OP |
5.00 |
OPHTHALMIC AGENTS |
TIER1 |
|
CYCLOPHOSPH TAB 25MG |
15.00 |
ANTINEOPLASTIC AGENTS |
TIER3 |
|
CYCLOPHOSPH TAB 50MG |
4.00 |
ANTINEOPLASTIC AGENTS |
TIER2 |
|
CYCLOSERINE CAP 250MG |
60.00 |
ANTIBIOTICS |
TIER4 |
|
CYCLOSPORINE CAP 100MG |
60.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
CYCLOSPORINE CAP 25MG |
60.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
CYCLOSPORINE CAP MOD 50MG |
15.00 |
MISCELLANEOUS PRODUCTS |
TIER3 |
|
CYMBALTA CAP 20MG |
60.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CYMBALTA CAP 30MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CYMBALTA CAP 60MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
CYPROHEPTAD SYP 2MG/5ML |
240.00 |
ANTIHISTAMINES |
TIER3 |
|
CYPROHEPTAD TAB 4MG |
90.00 |
ANTIHISTAMINES |
TIER4 |
|
CYSTAGON CAP 150MG |
90.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
CYSTAGON CAP 50MG |
90.00 |
GENITOURINARY PRODUCTS |
TIER3 |
|
CYTOMEL TAB 25MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
CYTOMEL TAB 50MCG |
30.00 |
THYROID MEDICATION |
TIER4 |
|
CYTOMEL TAB 5MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
CYTOTEC TAB 100MCG |
30.00 |
GASTROINTESTINAL AGENTS |
TIER3 |
|
CYTOTEC TAB 200MCG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
CYTRA-3 SYP |
473.00 |
GENITOURINARY PRODUCTS |
TIER2 |
