Drug Name Qty Therapeutic Class Price Tier
SABRIL TAB 500MG 30.00 ANTICONVULSANTS TIER4
SALAGEN TAB 5MG 120.00 MOUTH/THROAT/DENTAL AGENTS TIER4
SALAGEN TAB 7.5MG 60.00 MOUTH/THROAT/DENTAL AGENTS TIER4
SALSALATE TAB 500MG 180.00 ANALGESICS TIER3
SALSALATE TAB 750MG 90.00 ANALGESICS TIER2
SAL-TROPINE TAB 0.4MG 60.00 GASTROINTESTINAL AGENTS TIER3
SANCTURA TAB 20MG 60.00 GENITOURINARY PRODUCTS TIER4
SANCTURA XR CAP 60MG 30.00 GENITOURINARY PRODUCTS TIER4
SANTYL OIN 250/GM 30.00 DERMATOLOGICALS TIER4
SARAFEM TAB 10MG 60.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER4
SARAFEM TAB 15MG 30.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER4
SARAFEM TAB 20MG 30.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER4
SAVELLA TAB 100MG 30.00   TIER4
SAVELLA TAB 12.5MG 30.00   TIER4
SAVELLA TAB 25MG 30.00   TIER4
SAVELLA TAB 50MG 30.00   TIER4
SCOPACE TAB 0.4MG 90.00 ANTI-NAUSEANTS TIER3
SCOPOHIST SYP 120.00 COUGH/COLD/ALLERGY PRODUCTS TIER1
SEASONALE TAB 91.00 CONTRACEPTIVES TIER4
SEASONIQUE TAB 91.00 CONTRACEPTIVES TIER4
SE-CARE CHW 30.00 PRENATAL VITAMINS TIER3
SE-CARE TAB CONCEIVE 30.00 PRENATAL VITAMINS TIER3
SECONAL CAP 100MG 30.00 HYPNOTIC & SEDATIVE AGENTS TIER4
SECTRAL CAP 200MG 30.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER4
SECTRAL CAP 400MG 30.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER4
SEDAPAP TAB 50-650MG 90.00 ANALGESICS TIER4
SELECT-OB CHW 30.00 PRENATAL VITAMINS TIER3
SELEGILINE CAP 5MG 60.00 PARKINSONS DRUGS TIER4
SELEGILINE TAB 5MG 90.00 PARKINSONS DRUGS TIER4
SELFEMRA CAP 10MG 28.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER3
SELFEMRA CAP 20MG 30.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER3
SELZENTRY TAB 150MG 60.00 ANTIVIRALS TIER4
SELZENTRY TAB 300MG 60.00 ANTIVIRALS TIER4
SEMPREX-D CAP 8-60MG 60.00 COUGH/COLD/ALLERGY PRODUCTS TIER4
SE-NATAL 19 CHW 30.00 PRENATAL VITAMINS TIER2
SE-NATAL 19 TAB 30.00 PRENATAL VITAMINS TIER2
SE-NATAL 90 TAB 100.00 PRENATAL VITAMINS TIER3
SE-NATAL ONE TAB 30.00 PRENATAL VITAMINS TIER2
SENNA TAB 8.6MG 180.00 LAXATIVES TIER2
SENNA-GEN TAB 8.6MG 180.00 LAXATIVES TIER2
SENSIPAR TAB 30MG 30.00 ENDOCRINE AND METABOLIC DRUGS TIER4
SENSIPAR TAB 60MG 30.00 ENDOCRINE AND METABOLIC DRUGS TIER4
SENTRA AM CAP 30.00 NUTRITIONAL PRODUCTS TIER4
SENTRA PM CAP 30.00 NUTRITIONAL PRODUCTS TIER4
SE-PLETE DHA CAP 30.00 PRENATAL VITAMINS TIER4
SEPTRA TAB 400-80MG 30.00 ANTIBIOTICS TIER4
SEPTRA DS TAB 800-160 20.00 ANTIBIOTICS TIER4
SERADEX-LA TAB 6-19MG 60.00 COUGH/COLD/ALLERGY PRODUCTS TIER4
SEROMYCIN CAP 250MG 60.00 ANTIBIOTICS TIER4
SEROPHENE TAB 50MG 5.00 ENDOCRINE AND METABOLIC DRUGS TIER2
SEROQUEL TAB 100MG 30.00 ANTIPSYCHOTICS TIER4
SEROQUEL TAB 200MG 30.00 ANTIPSYCHOTICS TIER4
SEROQUEL TAB 25MG 60.00 ANTIPSYCHOTICS TIER4
SEROQUEL TAB 300MG 30.00 ANTIPSYCHOTICS TIER4
SEROQUEL TAB 400MG 30.00 ANTIPSYCHOTICS TIER4
SEROQUEL TAB 50MG 30.00 ANTIPSYCHOTICS TIER4
SEROQUEL XR TAB 150MG 30.00 ANTIPSYCHOTICS TIER4
SEROQUEL XR TAB 200MG 30.00 ANTIPSYCHOTICS TIER4
SEROQUEL XR TAB 300MG 30.00 ANTIPSYCHOTICS TIER4
SEROQUEL XR TAB 400MG 30.00 ANTIPSYCHOTICS TIER4
SEROQUEL XR TAB 50MG 30.00 ANTIPSYCHOTICS TIER4
SERTRALINE TAB 100MG 30.00 ANTIDEPRESSANTS TIER2
SERTRALINE TAB 25MG 30.00 ANTIDEPRESSANTS TIER2
SERTRALINE TAB 50MG 30.00 ANTIDEPRESSANTS TIER2
SE-TAN DHA CAP 30.00 PRENATAL VITAMINS TIER3
SE-TAN PLUS CAP 60.00 HEMATOLOGICAL AGENTS TIER3
SIDEROL TAB 30.00 VITAMINS & MINERALS TIER3
SILDEC DM SYP 120.00 COUGH/COLD/ALLERGY PRODUCTS TIER2
SILDEC-PE SYP 240.00 COUGH/COLD/ALLERGY PRODUCTS TIER3
SILVER NITRA OIN 10% 30.00 DERMATOLOGICALS TIER3
SIMCOR TAB 1000-20 30.00 CHOLESTEROL-LOWERING AGENTS TIER4
SIMCOR TAB 500-20MG 30.00 CHOLESTEROL-LOWERING AGENTS TIER4
SIMCOR TAB 750-20MG 30.00 CHOLESTEROL-LOWERING AGENTS TIER4
SIMUC-GP TAB 25-1200 14.00 COUGH/COLD/ALLERGY PRODUCTS TIER3
SIMVASTATIN TAB 10MG 30.00 CHOLESTEROL-LOWERING AGENTS TIER2
SIMVASTATIN TAB 20MG 30.00 CHOLESTEROL-LOWERING AGENTS TIER2
SIMVASTATIN TAB 40MG 30.00 CHOLESTEROL-LOWERING AGENTS TIER2
SIMVASTATIN TAB 5MG 30.00 CHOLESTEROL-LOWERING AGENTS TIER2
SIMVASTATIN TAB 80MG 30.00 CHOLESTEROL-LOWERING AGENTS TIER2
SINA-12X TAB 25-200MG 28.00 COUGH/COLD/ALLERGY PRODUCTS TIER4
SINEMET TAB 10/100 90.00 PARKINSONS DRUGS TIER4
SINEMET TAB 25/100 90.00 PARKINSONS DRUGS TIER4
SINEMET TAB 25/250 60.00 PARKINSONS DRUGS TIER4
SINEMET CR TAB 25/100 90.00 PARKINSONS DRUGS TIER4
SINEMET CR TAB 50/200 90.00 PARKINSONS DRUGS TIER4
SINGULAIR CHW 4MG 30.00 ANTIASTHMATIC & RESPIRATORY AGENTS TIER4
SINGULAIR CHW 5MG 30.00 ANTIASTHMATIC & RESPIRATORY AGENTS TIER4
SINGULAIR TAB 10MG 30.00 ANTIASTHMATIC & RESPIRATORY AGENTS TIER4
SKELAXIN TAB 800MG 30.00 MUSCLE RELAXANTS TIER4
SKELID TAB 200MG 60.00 ENDOCRINE AND METABOLIC DRUGS TIER4
SLO-NIACIN TAB 500MG CR 30.00 VITAMINS & MINERALS TIER1
SMZ/TMP DS TAB 800-160 20.00 ANTIBIOTICS TIER2
SMZ-TMP TAB 400-80MG 30.00 ANTIBIOTICS TIER2
SOD FLUORIDE CHW 0.25MG F 30.00 DENTAL/FLUORIDE AGENTS TIER1
SOD FLUORIDE CHW 0.55MG 30.00 DENTAL/FLUORIDE AGENTS TIER1
SOD FLUORIDE CHW 0.5MG F 30.00 DENTAL/FLUORIDE AGENTS TIER1
SOD FLUORIDE CHW 1.1MG 30.00 DENTAL/FLUORIDE AGENTS TIER1
SOD FLUORIDE CHW 1MG F 30.00 DENTAL/FLUORIDE AGENTS TIER1
SOD FLUORIDE CHW 2.2MG 30.00 DENTAL/FLUORIDE AGENTS TIER1
SOD FLUORIDE TAB 1MG F 30.00 DENTAL/FLUORIDE AGENTS TIER1
SODIUM BICAR TAB 650MG 120.00 GASTROINTESTINAL AGENTS TIER1
SOLIA TAB 28.00 CONTRACEPTIVES TIER3
SOLODYN TAB 115MG 30.00 ANTIBIOTICS TIER4
SOLODYN TAB 135MG 30.00 ANTIBIOTICS TIER4
SOLODYN TAB 45MG 30.00 ANTIBIOTICS TIER4
SOLODYN TAB 65MG 30.00 ANTIBIOTICS TIER4
SOLODYN TAB 90MG 30.00 ANTIBIOTICS TIER4
SOMA TAB 250MG 30.00 MUSCLE RELAXANTS TIER4
SOMA TAB 350MG 90.00 MUSCLE RELAXANTS TIER4
SOMNOTE CAP 500MG 12.00 HYPNOTIC & SEDATIVE AGENTS TIER2
SONATA CAP 10MG 30.00 HYPNOTIC & SEDATIVE AGENTS TIER4
SONATA CAP 5MG 30.00 HYPNOTIC & SEDATIVE AGENTS TIER4
SORIATANE CAP 10MG 30.00 DERMATOLOGICALS TIER4
SORIATANE CAP 17.5MG 30.00 DERMATOLOGICALS TIER4
SORIATANE CAP 22.5MG 30.00 DERMATOLOGICALS TIER4
SORIATANE CAP 25MG 30.00 DERMATOLOGICALS TIER4
SOTALOL AF TAB 120MG 60.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER4
SOTALOL AF TAB 160MG 60.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER3
SOTALOL AF TAB 80MG 60.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER2
SOTALOL HCL TAB 120MG 60.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER3
SOTALOL HCL TAB 160MG 60.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER3
SOTALOL HCL TAB 240MG 60.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER3
SOTALOL HCL TAB 80MG 60.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER2
SOTRET CAP 10MG 30.00 ACNE PRODUCTS TIER4
SOTRET CAP 20MG 30.00 ACNE PRODUCTS TIER4
SOTRET CAP 30MG 60.00 ACNE PRODUCTS TIER4
SOTRET CAP 40MG 30.00 ACNE PRODUCTS TIER4
SPECTRACEF TAB 200MG 14.00 ANTIBIOTICS TIER4
SPECTRACEF TAB 400MG 14.00 ANTIBIOTICS TIER4
SPECTRAVITE TAB NATURAL 30.00 VITAMINS & MINERALS TIER1
SPIRIVA CAP HANDIHLR 30.00 ANTIASTHMATIC & RESPIRATORY AGENTS TIER4
SPIRONO/HCTZ TAB 25/25 30.00 DIURETICS TIER2
SPIRONOLACT TAB 100MG 30.00 DIURETICS TIER3
SPIRONOLACT TAB 25MG 4.00 DIURETICS TIER1
SPIRONOLACT TAB 50MG 30.00 DIURETICS TIER2
SPORANOX CAP 100MG 60.00 ANTIFUNGALS TIER4
SPORANOX CAP PULSEPAK 60.00 ANTIFUNGALS TIER4
SPRINTEC 28 TAB 28 DAY 28.00 CONTRACEPTIVES TIER2
SRONYX TAB 28.00 CONTRACEPTIVES TIER3
STAFLEX TAB 55-500MG 90.00 ANALGESICS TIER4
STAGESIC CAP 500-5MG 30.00 ANALGESICS TIER2
STAHIST TAB 14.00 COUGH/COLD/ALLERGY PRODUCTS TIER2
STALEVO 100 TAB 60.00 PARKINSONS DRUGS TIER4
STALEVO 125 TAB 60.00 PARKINSONS DRUGS TIER4
STALEVO 150 TAB 60.00 PARKINSONS DRUGS TIER4
STALEVO 200 TAB 60.00 PARKINSONS DRUGS TIER4
STALEVO 50 TAB 60.00 PARKINSONS DRUGS TIER4
STALEVO 75 TAB 60.00 PARKINSONS DRUGS TIER4
STARLIX TAB 120MG 30.00 ANTIDIABETICS TIER4
STARLIX TAB 60MG 90.00 ANTIDIABETICS TIER4
STAVUDINE CAP 15MG 60.00 ANTIVIRALS TIER4
STAVUDINE CAP 20MG 60.00 ANTIVIRALS TIER4
STAVUDINE CAP 30MG 60.00 ANTIVIRALS TIER4
STAVUDINE CAP 40MG 60.00 ANTIVIRALS TIER4
STAVZOR CAP 125MG 90.00 ANTICONVULSANTS TIER4
STAVZOR CAP 250MG 90.00 ANTICONVULSANTS TIER4
STAVZOR CAP 500MG 60.00 ANTICONVULSANTS TIER4
STOOL SOFTNR CAP 100MG 60.00 LAXATIVES TIER1
STRATTERA CAP 100MG 30.00 CENTRAL NERVOUS SYSTEM STIMULANTS TIER4
STRATTERA CAP 10MG 30.00 CENTRAL NERVOUS SYSTEM STIMULANTS TIER4
STRATTERA CAP 18MG 30.00 CENTRAL NERVOUS SYSTEM STIMULANTS TIER4
STRATTERA CAP 25MG 60.00 CENTRAL NERVOUS SYSTEM STIMULANTS TIER4
STRATTERA CAP 40MG 30.00 CENTRAL NERVOUS SYSTEM STIMULANTS TIER4
STRATTERA CAP 60MG 30.00 CENTRAL NERVOUS SYSTEM STIMULANTS TIER4
STRATTERA CAP 80MG 30.00 CENTRAL NERVOUS SYSTEM STIMULANTS TIER4
STROMECTOL TAB 3MG 2.00 ANTIBIOTICS TIER2
STROVITE TAB 30.00 VITAMINS & MINERALS TIER2
STROVITE TAB ADVANCE 30.00 VITAMINS & MINERALS TIER2
STROVITE FOR TAB 30.00 VITAMINS & MINERALS TIER3
STROVITE ONE TAB 30.00 VITAMINS & MINERALS TIER2
STROVITE PLU TAB 30.00 VITAMINS & MINERALS TIER1
SUCRALFATE TAB 1GM 120.00 GASTROINTESTINAL AGENTS TIER3
SUDAHIST TAB 12-120MG 30.00 COUGH/COLD/ALLERGY PRODUCTS TIER3
SUDAL 12 TAN CHW 4-30MG 20.00 COUGH/COLD/ALLERGY PRODUCTS TIER3
SUDATEX-DM TAB 30.00 COUGH/COLD/ALLERGY PRODUCTS TIER3
SUDOGEST TAB 30MG 100.00 ANTIASTHMATIC & RESPIRATORY AGENTS TIER2
SUDOGEST TAB 60MG 120.00 ANTIASTHMATIC & RESPIRATORY AGENTS TIER2
SULAR TAB 17MG 30.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER4
SULAR TAB 25.5MG 30.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER4
SULAR TAB 34MG 30.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER4
SULAR TAB 8.5MG 30.00 HEART/HIGH BLOOD PRESSURE MEDICATIONS TIER4
SULFADIAZINE TAB 500MG 90.00 ANTIBIOTICS TIER4
SULFASALAZIN TAB 500MG 120.00 GASTROINTESTINAL AGENTS TIER2
SULFASALAZIN TAB 500MG DR 120.00 GASTROINTESTINAL AGENTS TIER3
SULFAZINE TAB 500MG 120.00 GASTROINTESTINAL AGENTS TIER2
SULFAZINE EC TAB 500MG 120.00 GASTROINTESTINAL AGENTS TIER3
SULINDAC TAB 150MG 60.00 ANALGESICS TIER3
SULINDAC TAB 200MG 60.00 ANALGESICS TIER3
SUMATRIPTAN TAB 100MG 9.00 MIGRAINE TREATMENT TIER4
SUMATRIPTAN TAB 25MG 4.00 MIGRAINE TREATMENT TIER3
SUMATRIPTAN TAB 50MG 1.00 MIGRAINE TREATMENT TIER1
SUPERVITE EC TAB 30.00 VITAMINS & MINERALS TIER2
SUPPORT-500 CAP 120.00 VITAMINS & MINERALS TIER4
SUPRAX TAB 400MG 1.00 ANTIBIOTICS TIER2
SURMONTIL CAP 100MG 30.00 ANTIDEPRESSANTS TIER4
SURMONTIL CAP 25MG 90.00 ANTIDEPRESSANTS TIER4
SURMONTIL CAP 50MG 60.00 ANTIDEPRESSANTS TIER4
SUSTIVA CAP 200MG 90.00 ANTIVIRALS TIER4
SUSTIVA CAP 50MG 360.00 ANTIVIRALS TIER4
SUSTIVA TAB 600MG 30.00 ANTIVIRALS TIER4
SYMAX DUOTAB TAB 60.00 GASTROINTESTINAL AGENTS TIER4
SYMAX FASTAB TAB 0.125MG 20.00 GASTROINTESTINAL AGENTS TIER3
SYMAX-SR TAB 0.375MG 60.00 GASTROINTESTINAL AGENTS TIER4
SYMBYAX CAP 12-25MG 30.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER4
SYMBYAX CAP 12-50MG 30.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER4
SYMBYAX CAP 3-25MG 30.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER4
SYMBYAX CAP 6-25MG 15.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER4
SYMBYAX CAP 6-50MG 10.00 PSYCHOTHERAPEUTIC AGENTS - MISC. TIER4
SYNALGOS-DC CAP 40.00 ANALGESICS TIER4
SYNTHROID TAB 100MCG 30.00 THYROID MEDICATION TIER2
SYNTHROID TAB 112MCG 30.00 THYROID MEDICATION TIER3
SYNTHROID TAB 125MCG 30.00 THYROID MEDICATION TIER3
SYNTHROID TAB 137MCG 30.00 THYROID MEDICATION TIER3
SYNTHROID TAB 150MCG 30.00 THYROID MEDICATION TIER3
SYNTHROID TAB 175MCG 30.00 THYROID MEDICATION TIER3
SYNTHROID TAB 200MCG 30.00 THYROID MEDICATION TIER3
SYNTHROID TAB 25MCG 30.00 THYROID MEDICATION TIER2
SYNTHROID TAB 300MCG 30.00 THYROID MEDICATION TIER3
SYNTHROID TAB 50MCG 30.00 THYROID MEDICATION TIER2
SYNTHROID TAB 75MCG 30.00 THYROID MEDICATION TIER2
SYNTHROID TAB 88MCG 30.00 THYROID MEDICATION TIER2
SYPRINE CAP 250MG 90.00 MISCELLANEOUS PRODUCTS TIER4