|
DAILY VITE TAB |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
DALLERGY SYP |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
DALLERGY TAB |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
DALLERGY TAB ER |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
DALLERGY JR CAP 4-20MG |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
DALLERGY PE SYP |
473.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
DALLERGY PSE TAB |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
DANAZOL CAP 100MG |
60.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
DANAZOL CAP 200MG |
60.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
DANAZOL CAP 50MG |
60.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
DANTRIUM CAP 100MG |
90.00 |
MUSCLE RELAXANTS |
TIER4 |
|
DANTRIUM CAP 25MG |
90.00 |
MUSCLE RELAXANTS |
TIER4 |
|
DANTRIUM CAP 50MG |
90.00 |
MUSCLE RELAXANTS |
TIER4 |
|
DANTROLENE CAP 100MG |
90.00 |
MUSCLE RELAXANTS |
TIER4 |
|
DANTROLENE CAP 25MG |
90.00 |
MUSCLE RELAXANTS |
TIER4 |
|
DANTROLENE CAP 50MG |
90.00 |
MUSCLE RELAXANTS |
TIER4 |
|
DAPSONE TAB 100MG |
30.00 |
ANTIBIOTICS |
TIER3 |
|
DAPSONE TAB 25MG |
120.00 |
ANTIBIOTICS |
TIER4 |
|
DARAPRIM TAB 25MG |
30.00 |
ANTIMALARIALS |
TIER2 |
|
DARCALMA TAB 81.6MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER3 |
|
DARPAZ TAB |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
DARVOCET TAB A500 |
25.00 |
ANALGESICS |
TIER4 |
|
DARVOCET-N TAB 100 |
30.00 |
ANALGESICS |
TIER4 |
|
DARVOCET-N TAB 50 |
30.00 |
ANALGESICS |
TIER3 |
|
DARVON CAP 65MG |
60.00 |
ANALGESICS |
TIER4 |
|
DARVON-N TAB 100MG |
30.00 |
ANALGESICS |
TIER4 |
|
DAYPRO TAB 600MG |
60.00 |
ANALGESICS |
TIER4 |
|
DDAVP TAB 0.1MG |
7.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER3 |
|
DDAVP TAB 0.2MG |
90.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
DE-CHLOR DM SYP LIQUID |
180.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
DEHISTINE SYP |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
DEMADEX TAB 100MG |
15.00 |
DIURETICS |
TIER4 |
|
DEMADEX TAB 10MG |
30.00 |
DIURETICS |
TIER3 |
|
DEMADEX TAB 20MG |
30.00 |
DIURETICS |
TIER4 |
|
DEMADEX TAB 5MG |
30.00 |
DIURETICS |
TIER3 |
|
DEMECLOCYCL TAB 150MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
DEMECLOCYCL TAB 300MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
DEMEROL TAB 100MG |
90.00 |
ANALGESICS |
TIER4 |
|
DEMEROL TAB 50MG |
30.00 |
ANALGESICS |
TIER4 |
|
DEPADE TAB 50MG |
30.00 |
ANTIDOTES |
TIER4 |
|
DEPAKENE CAP 250MG |
90.00 |
ANTICONVULSANTS |
TIER4 |
|
DEPAKOTE TAB 125MG DR |
180.00 |
ANTICONVULSANTS |
TIER4 |
|
DEPAKOTE TAB 250MG DR |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
DEPAKOTE TAB 500MG DR |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
DEPAKOTE ER TAB 250MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
DEPAKOTE ER TAB 500MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
DEPAKOTE SPR CAP 125MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
DEPEN TITRA TAB 250MG |
60.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
DEPLIN TAB 15MG |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
DEPLIN TAB 7.5MG |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
DERMATOP OIN 0.1% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
DESIPRAMINE TAB 100MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
DESIPRAMINE TAB 10MG |
30.00 |
ANTIDEPRESSANTS |
TIER3 |
|
DESIPRAMINE TAB 150MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
DESIPRAMINE TAB 25MG |
30.00 |
ANTIDEPRESSANTS |
TIER3 |
|
DESIPRAMINE TAB 50MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
DESIPRAMINE TAB 75MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
DESMOPRESSIN TAB 0.1MG |
7.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER2 |
|
DESMOPRESSIN TAB 0.2MG |
90.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
DESOGEN-28 TAB |
28.00 |
CONTRACEPTIVES |
TIER4 |
|
DESONIDE OIN 0.05% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER3 |
|
DESOXIMETAS OIN 0.25% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
DESOXYN TAB 5MG |
90.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
DETROL TAB 1MG |
60.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
DETROL TAB 2MG |
60.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
DETROL LA CAP 2MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
DETROL LA CAP 4MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
DEX PC SYP |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER1 |
|
DEXAMETHASON TAB 0.5MG |
30.00 |
CORTICOSTEROIDS |
TIER1 |
|
DEXAMETHASON TAB 0.75MG |
12.00 |
CORTICOSTEROIDS |
TIER1 |
|
DEXAMETHASON TAB 1.5MG |
51.00 |
CORTICOSTEROIDS |
TIER2 |
|
DEXAMETHASON TAB 1MG |
30.00 |
CORTICOSTEROIDS |
TIER2 |
|
DEXAMETHASON TAB 2MG |
30.00 |
CORTICOSTEROIDS |
TIER2 |
|
DEXAMETHASON TAB 4MG |
10.00 |
CORTICOSTEROIDS |
TIER1 |
|
DEXAMETHASON TAB 6MG |
4.00 |
CORTICOSTEROIDS |
TIER1 |
|
DEXCHLORPHEN TAB 4MG CR |
60.00 |
ANTIHISTAMINES |
TIER3 |
|
DEXCHLORPHEN TAB 6MG CR |
60.00 |
ANTIHISTAMINES |
TIER3 |
|
DEXEDRINE CAP 10MG CR |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
DEXEDRINE CAP 15MG CR |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
DEXEDRINE CAP 5MG CR |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
DEXILANT CAP 30MG DR |
30.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
DEXILANT CAP 60MG DR |
30.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
DEXMETHYLPH TAB 10MG |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
DEXMETHYLPH TAB 2.5MG |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER3 |
|
DEXMETHYLPH TAB 5MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER3 |
|
DEXPAK PAK 10 DAY |
51.00 |
CORTICOSTEROIDS |
TIER4 |
|
DEXPAK PAK 13 DAY |
51.00 |
CORTICOSTEROIDS |
TIER4 |
|
DEXPAK PAK 6 DAY |
51.00 |
CORTICOSTEROIDS |
TIER4 |
|
DEXTROAMPHET CAP 10MG ER |
60.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
DEXTROAMPHET CAP 15MG ER |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
DEXTROAMPHET CAP 5MG ER |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER4 |
|
DEXTROAMPHET TAB 10MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER3 |
|
DEXTROAMPHET TAB 5MG |
30.00 |
CENTRAL NERVOUS SYSTEM STIMULANTS |
TIER2 |
|
DG 200 TAB 200-200 |
90.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
DIABETA TAB 1.25MG |
30.00 |
ANTIDIABETICS |
TIER2 |
|
DIABETA TAB 2.5MG |
30.00 |
ANTIDIABETICS |
TIER3 |
|
DIABETA TAB 5MG |
60.00 |
ANTIDIABETICS |
TIER4 |
|
DIALYVITE TAB |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
DIALYVITE TAB 3000 |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
DIALYVITE TAB 5000 |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
DIALYVITE/ TAB ZINC |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
DIAMOX SEQUE CAP 500MG CR |
60.00 |
DIURETICS |
TIER4 |
|
DIATX ZN TAB |
30.00 |
VITAMINS & MINERALS |
TIER3 |
|
DIAZEPAM TAB 10MG |
30.00 |
ANTIANXIETY AGENTS |
TIER1 |
|
DIAZEPAM TAB 2MG |
30.00 |
ANTIANXIETY AGENTS |
TIER1 |
|
DIAZEPAM TAB 5MG |
30.00 |
ANTIANXIETY AGENTS |
TIER1 |
|
DIBENZYLINE CAP 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DICLOFEN POT TAB 50MG |
60.00 |
ANALGESICS |
TIER2 |
|
DICLOFENAC TAB 100MG ER |
30.00 |
ANALGESICS |
TIER3 |
|
DICLOFENAC TAB 100MG XR |
30.00 |
ANALGESICS |
TIER3 |
|
DICLOFENAC TAB 25MG EC |
60.00 |
ANALGESICS |
TIER4 |
|
DICLOFENAC TAB 50MG DR |
60.00 |
ANALGESICS |
TIER3 |
|
DICLOFENAC TAB 50MG EC |
60.00 |
ANALGESICS |
TIER3 |
|
DICLOFENAC TAB 75MG DR |
60.00 |
ANALGESICS |
TIER3 |
|
DICLOFENAC TAB 75MG EC |
60.00 |
ANALGESICS |
TIER3 |
|
DICLOXACILL CAP 250MG |
40.00 |
ANTIBIOTICS |
TIER2 |
|
DICLOXACILL CAP 500MG |
40.00 |
ANTIBIOTICS |
TIER3 |
|
DICYCLOMINE CAP 10MG |
90.00 |
GASTROINTESTINAL AGENTS |
TIER2 |
|
DICYCLOMINE TAB 20MG |
50.00 |
GASTROINTESTINAL AGENTS |
TIER1 |
|
DIDANOSINE CAP 125MG |
60.00 |
ANTIVIRALS |
TIER4 |
|
DIDANOSINE CAP 200MG |
30.00 |
ANTIVIRALS |
TIER4 |
|
DIDANOSINE CAP 250MG |
30.00 |
ANTIVIRALS |
TIER4 |
|
DIDANOSINE CAP 400MG |
30.00 |
ANTIVIRALS |
TIER4 |
|
DIDREX TAB 50MG |
90.00 |
ANOREXIANTS |
TIER4 |
|
DIDRONEL TAB 400MG |
90.00 |
ENDOCRINE AND METABOLIC DRUGS |
TIER4 |
|
DIETHYLPROP TAB 25MG |
90.00 |
ANOREXIANTS |
TIER4 |
|
DIETHYLPROP TAB 75MG ER |
30.00 |
ANOREXIANTS |
TIER3 |
|
DIFIL-G 400 TAB |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
DIFLORASONE OIN 0.05% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
DIFLUCAN TAB 100MG |
7.00 |
ANTIFUNGALS |
TIER4 |
|
DIFLUCAN TAB 150MG |
1.00 |
ANTIFUNGALS |
TIER3 |
|
DIFLUCAN TAB 200MG |
2.00 |
ANTIFUNGALS |
TIER3 |
|
DIFLUCAN TAB 50MG |
3.00 |
ANTIFUNGALS |
TIER3 |
|
DIFLUNISAL TAB 500MG |
60.00 |
ANALGESICS |
TIER4 |
|
DIGEX CAP |
30.00 |
DIGESTIVE AIDS |
TIER2 |
|
DIGEX NF CAP |
90.00 |
GASTROINTESTINAL AGENTS |
TIER3 |
|
DIGITEK TAB 0.125MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER1 |
|
DIGOXIN TAB 0.125MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER1 |
|
DIGOXIN TAB 0.25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER1 |
|
DILACOR XR CAP 120MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILACOR XR CAP 180MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILACOR XR CAP 240MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILANTIN CAP 100MG |
90.00 |
ANTICONVULSANTS |
TIER4 |
|
DILANTIN CAP 30MG |
30.00 |
ANTICONVULSANTS |
TIER2 |
|
DILANTIN CHW 50MG |
30.00 |
ANTICONVULSANTS |
TIER2 |
|
DILATRATE SR CAP 40MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILAUDID TAB 2MG |
30.00 |
ANALGESICS |
TIER3 |
|
DILAUDID TAB 4MG |
60.00 |
ANALGESICS |
TIER4 |
|
DILAUDID TAB 8MG |
100.00 |
ANALGESICS |
TIER4 |
|
DILEX-G TAB 200-200 |
90.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
DILEX-G 400 TAB |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
DILT-CD CAP 120MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILT-CD CAP 180MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILT-CD CAP 240MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILT-CD CAP 300MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM CAP 120MG CD |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM CAP 120MG ER |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM CAP 120MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM CAP 180MG CD |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM CAP 180MG ER |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM CAP 180MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM CAP 240MG CD |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM CAP 240MG ER |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM CAP 240MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM CAP 300MG CD |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM CAP 300MG ER |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM CAP 300MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM CAP 360MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM CAP 420MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM CAP 60MG ER |
45.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM CAP 90MG ER |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM TAB 120MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DILTIAZEM TAB 30MG |
90.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DILTIAZEM TAB 60MG |
90.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTIAZEM TAB 90MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DILTIAZEM ER TAB 180MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM ER TAB 240MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM ER TAB 300MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM ER TAB 360MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTIAZEM ER TAB 420MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILT-XR CAP 120MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DILT-XR CAP 180MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DILT-XR CAP 240MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DILTZAC CAP 120MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTZAC CAP 180MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
DILTZAC CAP 240MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTZAC CAP 300MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DILTZAC CAP 360MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIOVAN TAB 160MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIOVAN TAB 320MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIOVAN TAB 40MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIOVAN TAB 80MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIOVAN HCT TAB 160/12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIOVAN HCT TAB 160/25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIOVAN HCT TAB 320/12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIOVAN HCT TAB 320/25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIOVAN HCT TAB 80/12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DIPENTUM CAP 250MG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
DIPHEN/ATROP TAB 2.5MG |
30.00 |
ANTIDIARRHEALS |
TIER1 |
|
DIPHENHYDRAM CAP 25MG |
30.00 |
ANTIHISTAMINES |
TIER1 |
|
DIPHENHYDRAM CAP 50MG |
30.00 |
ANTIHISTAMINES |
TIER1 |
|
DIPHENHYDRAM TAB 25MG |
30.00 |
ANTIHISTAMINES |
TIER1 |
|
DIPHENMAX D CHW 25/10MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
DIPROLENE OIN 0.05% |
50.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
DIPYRIDAMOLE TAB 25MG |
60.00 |
BLOOD MODIFIERS |
TIER2 |
|
DIPYRIDAMOLE TAB 50MG |
100.00 |
BLOOD MODIFIERS |
TIER3 |
|
DIPYRIDAMOLE TAB 75MG |
30.00 |
BLOOD MODIFIERS |
TIER2 |
|
DISOPYRAMIDE CAP 100MG |
120.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DISOPYRAMIDE CAP 150MG |
120.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DITROPAN XL TAB 10MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
DITROPAN XL TAB 15MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
DITROPAN XL TAB 5MG |
60.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
DIVALPROEX CAP 125MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
DIVALPROEX TAB 125MG DR |
180.00 |
ANTICONVULSANTS |
TIER4 |
|
DIVALPROEX TAB 250MG DR |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
DIVALPROEX TAB 250MG ER |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
DIVALPROEX TAB 500MG DR |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
DIVALPROEX TAB 500MG ER |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
DIVISTA CAP |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
DOCOSAVIT CAP |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
DOC-Q-LACE CAP 100MG |
60.00 |
LAXATIVES |
TIER1 |
|
DOCUSATE SOD CAP 100MG |
60.00 |
LAXATIVES |
TIER1 |
|
DOCUSATE SOD CAP 250MG |
60.00 |
LAXATIVES |
TIER1 |
|
DOLACET CAP 5-500MG |
30.00 |
ANALGESICS |
TIER2 |
|
DOLGIC PLUS TAB |
24.00 |
ANALGESICS |
TIER4 |
|
DOLOGESIC TAB 30-500MG |
60.00 |
ANALGESICS |
TIER2 |
|
DOLOPHINE TAB 10MG |
30.00 |
ANALGESICS |
TIER1 |
|
DOLOPHINE TAB 5MG |
60.00 |
ANALGESICS |
TIER1 |
|
DOLOREX TAB 50-500MG |
40.00 |
ANALGESICS |
TIER2 |
|
DONATUSSIN SYP |
150.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
DONATUSSIN SYP DM |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
DONNATAL TAB |
60.00 |
GASTROINTESTINAL AGENTS |
TIER3 |
|
DONNATAL TAB EXTENTAB |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
DORAL TAB 15MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER4 |
|
DORYX TAB 100MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
DORYX TAB 150MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
DORYX TAB 75MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
DOXAZOSIN TAB 1MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DOXAZOSIN TAB 2MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DOXAZOSIN TAB 4MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DOXAZOSIN TAB 8MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
DOXEPIN HCL CAP 100MG |
30.00 |
ANTIDEPRESSANTS |
TIER2 |
|
DOXEPIN HCL CAP 10MG |
30.00 |
ANTIDEPRESSANTS |
TIER1 |
|
DOXEPIN HCL CAP 150MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
DOXEPIN HCL CAP 25MG |
30.00 |
ANTIDEPRESSANTS |
TIER1 |
|
DOXEPIN HCL CAP 50MG |
30.00 |
ANTIDEPRESSANTS |
TIER1 |
|
DOXEPIN HCL CAP 75MG |
30.00 |
ANTIDEPRESSANTS |
TIER2 |
|
DOXYCYC MONO CAP 100MG |
20.00 |
ANTIBIOTICS |
TIER3 |
|
DOXYCYC MONO CAP 50MG |
20.00 |
ANTIBIOTICS |
TIER2 |
|
DOXYCYC MONO TAB 100MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
DOXYCYC MONO TAB 150MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
DOXYCYC MONO TAB 50MG |
28.00 |
ANTIBIOTICS |
TIER4 |
|
DOXYCYC MONO TAB 75MG |
60.00 |
ANTIBIOTICS |
TIER4 |
|
DOXYCYCL HYC CAP 100MG |
20.00 |
ANTIBIOTICS |
TIER1 |
|
DOXYCYCL HYC CAP 50MG |
30.00 |
ANTIBIOTICS |
TIER1 |
|
DOXYCYCL HYC CAP 75MG |
14.00 |
ANTIBIOTICS |
TIER4 |
|
DOXYCYCL HYC TAB 100MG |
20.00 |
ANTIBIOTICS |
TIER1 |
|
DOXYCYCLINE TAB 20MG |
60.00 |
ANTIBIOTICS |
TIER4 |
|
DRISDOL CAP 50000UNT |
4.00 |
VITAMINS & MINERALS |
TIER2 |
|
DRONABINOL CAP 2.5MG |
120.00 |
ANTI-NAUSEANTS |
TIER4 |
|
DROXIA CAP 200MG |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
DROXIA CAP 300MG |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
DROXIA CAP 400MG |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
DRYSEC TAB CR |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
DUETACT TAB 30-2MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
DUETACT TAB 30-4MG |
30.00 |
ANTIDIABETICS |
TIER4 |
|
DURABAC CAP |
40.00 |
ANALGESICS |
TIER3 |
|
DURABAC TAB FORTE |
28.00 |
ANALGESICS |
TIER3 |
|
DURAFLU TAB |
10.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
DURAXIN CAP |
30.00 |
ANALGESICS |
TIER2 |
|
DYAZIDE CAP 37.5-25 |
30.00 |
DIURETICS |
TIER3 |
|
DYFLEX-G TAB 200-200 |
90.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
DYNABAC TAB 250MG EC |
14.00 |
ANTIBIOTICS |
TIER4 |
|
DYNACIN TAB 100MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
DYNACIN TAB 50MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
DYNACIN TAB 75MG |
30.00 |
ANTIBIOTICS |
TIER4 |
|
DYNACIRC CR TAB 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DYNACIRC CR TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
DYPHYLLIN GG TAB 200-200 |
90.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
DYPHYLLINE TAB GG ES |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
DYPHYLLIN-GG TAB 200-200 |
90.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
DYRENIUM CAP 100MG |
30.00 |
DIURETICS |
TIER4 |
|
DYRENIUM CAP 50MG |
30.00 |
DIURETICS |
TIER3 |
|
DYTAN CHW 25MG |
20.00 |
ANTIHISTAMINES |
TIER3 |
