|
TAB-A-VITE TAB |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
TABLOID TAB 40MG |
90.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
TACLONEX OIN |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
TACROLIMUS CAP 0.5MG |
90.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
TACROLIMUS CAP 1MG |
100.00 |
MISCELLANEOUS PRODUCTS |
TIER4 |
|
TALADINE CAP 150MG |
60.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
TALADINE CAP 300MG |
30.00 |
GASTROINTESTINAL AGENTS |
TIER4 |
|
TAMBOCOR TAB 100MG |
180.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TAMBOCOR TAB 150MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TAMBOCOR TAB 50MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TAMIFLU CAP 30MG |
10.00 |
ANTIVIRALS |
TIER4 |
|
TAMIFLU CAP 45MG |
10.00 |
ANTIVIRALS |
TIER4 |
|
TAMIFLU CAP 75MG |
10.00 |
ANTIVIRALS |
TIER4 |
|
TAMOXIFEN TAB 10MG |
60.00 |
ANTINEOPLASTIC AGENTS |
TIER3 |
|
TAMOXIFEN TAB 20MG |
30.00 |
ANTINEOPLASTIC AGENTS |
TIER2 |
|
TAMSULOSIN CAP 0.4MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
TANABID CHW 2.2-1.58 |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
TANABID SR TAB 6-30MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TANDEM DHA CAP |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
TANDEM F CAP |
10.00 |
HEMATOLOGICAL AGENTS |
TIER1 |
|
TANDEM OB CAP |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
TANDEM PLUS CAP |
60.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
TAPAZOLE TAB 10MG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TAPAZOLE TAB 5MG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TARKA TAB 1-240 CR |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TARKA TAB 2-180 CR |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TARKA TAB 2-240 CR |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TARKA TAB 4-240 CR |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TARON FORTE CAP |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
TARON-C DHA CAP |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
TARON-EC CAL TAB 28-1MG |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
TARON-PREX CAP |
30.00 |
PRENATAL VITAMINS |
TIER4 |
|
TASMAR TAB 100MG |
90.00 |
PARKINSONS DRUGS |
TIER4 |
|
TAZTIA XT CAP 120MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
TAZTIA XT CAP 180MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
TAZTIA XT CAP 240MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TAZTIA XT CAP 300MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TAZTIA XT CAP 360MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEARS AGAIN CAP HYDRATE |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
TEGRETOL CHW 100MG |
60.00 |
ANTICONVULSANTS |
TIER3 |
|
TEGRETOL TAB 200MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TEGRETOL XR TAB 100MG |
60.00 |
ANTICONVULSANTS |
TIER3 |
|
TEGRETOL XR TAB 200MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TEGRETOL XR TAB 400MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TEKRAL TAB |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TEKTURNA TAB 150MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEKTURNA TAB 300MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEKTURNA HCT TAB 150-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEKTURNA HCT TAB 150-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEKTURNA HCT TAB 300-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEKTURNA HCT TAB 300-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEMAZEPAM CAP 15MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER2 |
|
TEMAZEPAM CAP 22.5MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER4 |
|
TEMAZEPAM CAP 30MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER1 |
|
TEMAZEPAM CAP 7.5MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER4 |
|
TEMODAR CAP 140MG |
3.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
TEMODAR CAP 5MG |
30.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
TEMOVATE OIN 0.05% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
TENCET CAP |
30.00 |
ANALGESICS |
TIER2 |
|
TENCON TAB 50-650MG |
90.00 |
ANALGESICS |
TIER4 |
|
TENEX TAB 1MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TENEX TAB 2MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TENORETIC TAB 100 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TENORETIC TAB 50 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TENORMIN TAB 100MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TENORMIN TAB 25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TENORMIN TAB 50MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TERAZOSIN CAP 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
TERAZOSIN CAP 1MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
TERAZOSIN CAP 2MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
TERAZOSIN CAP 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
TERBINAFINE TAB 250MG |
30.00 |
ANTIFUNGALS |
TIER2 |
|
TERBUTALINE TAB 2.5MG |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
TERBUTALINE TAB 5MG |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
TESSALON CAP 200MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TESSALON PER CAP 100MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
TETRACYCLINE CAP 250MG |
30.00 |
ANTIBIOTICS |
TIER1 |
|
TETRACYCLINE CAP 500MG |
60.00 |
ANTIBIOTICS |
TIER1 |
|
TETRA-MAG TAB 25-600MG |
45.00 |
ANALGESICS |
TIER3 |
|
TEVETEN TAB 400MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEVETEN TAB 600MG |
20.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEVETEN HCT TAB 600-12.5 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TEVETEN HCT TAB 600-25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
THALITONE TAB 15MG |
30.00 |
DIURETICS |
TIER4 |
|
THEO-24 CAP 100MG CR |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
THEO-24 CAP 200MG CR |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
THEO-24 CAP 300MG CR |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
THEO-24 CAP 400MG ER |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER4 |
|
THEOCHRON TAB 100MG CR |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOCHRON TAB 200MG CR |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOCHRON TAB 300MG CR |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOPHYLLINE TAB 100MG CR |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOPHYLLINE TAB 100MG ER |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOPHYLLINE TAB 200MG CR |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOPHYLLINE TAB 200MG ER |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOPHYLLINE TAB 300MG CR |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOPHYLLINE TAB 300MG ER |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOPHYLLINE TAB 300MG TD |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER2 |
|
THEOPHYLLINE TAB 400MG ER |
30.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
THEOPHYLLINE TAB 450MG ER |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER3 |
|
THEOPHYLLINE TAB 600MG ER |
60.00 |
ANTIASTHMATIC & RESPIRATORY AGENTS |
TIER4 |
|
THERAMINE CAP |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
THERAPEUTIC CAP VIT&MIN |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
THEROBEC TAB |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
THEROBEC TAB PLUS |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
THIAMINE HCL TAB 100MG |
30.00 |
VITAMINS & MINERALS |
TIER1 |
|
THIOLA TAB 100MG |
90.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
THIORIDAZINE TAB 100MG |
30.00 |
ANTIPSYCHOTICS |
TIER2 |
|
THIORIDAZINE TAB 10MG |
60.00 |
ANTIPSYCHOTICS |
TIER2 |
|
THIORIDAZINE TAB 25MG |
30.00 |
ANTIPSYCHOTICS |
TIER2 |
|
THIORIDAZINE TAB 50MG |
30.00 |
ANTIPSYCHOTICS |
TIER2 |
|
THIOTHIXENE CAP 10MG |
30.00 |
ANTIPSYCHOTICS |
TIER2 |
|
THIOTHIXENE CAP 1MG |
30.00 |
ANTIPSYCHOTICS |
TIER1 |
|
THIOTHIXENE CAP 2MG |
30.00 |
ANTIPSYCHOTICS |
TIER1 |
|
THIOTHIXENE CAP 5MG |
30.00 |
ANTIPSYCHOTICS |
TIER2 |
|
THYROID TAB 130MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
THYROID TAB 195MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
THYROID TAB 32.5MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
THYROID TAB 65MG |
30.00 |
THYROID MEDICATION |
TIER1 |
|
THYROLAR-1 TAB 60MG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
THYROLAR-1/2 TAB 30MG |
30.00 |
THYROID MEDICATION |
TIER2 |
|
THYROLAR-1/4 TAB 15MG |
30.00 |
THYROID MEDICATION |
TIER2 |
|
THYROLAR-2 TAB 120MG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
THYROLAR-3 TAB 180MG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIAZAC CAP 120MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TIAZAC CAP 180MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TIAZAC CAP 240MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TIAZAC CAP 300MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TIAZAC CAP 360MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TIAZAC CAP 420MG/24 |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TICLOPIDINE TAB 250MG |
60.00 |
BLOOD MODIFIERS |
TIER3 |
|
TIGAN CAP 300MG |
30.00 |
ANTI-NAUSEANTS |
TIER4 |
|
TIKOSYN CAP 125MCG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TIKOSYN CAP 250MCG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TIKOSYN CAP 500MCG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TILIA FE TAB |
28.00 |
CONTRACEPTIVES |
TIER4 |
|
TIME-HIST QD TAB |
14.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
TIMOLOL MAL TAB 10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
TIMOLOL MAL TAB 20MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TIMOLOL MAL TAB 5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER2 |
|
TINDAMAX TAB 250MG |
10.00 |
ANTIBIOTICS |
TIER3 |
|
TINDAMAX TAB 500MG |
4.00 |
ANTIBIOTICS |
TIER3 |
|
TIROSINT CAP 100MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIROSINT CAP 112MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIROSINT CAP 125MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIROSINT CAP 137MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIROSINT CAP 13MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIROSINT CAP 150MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIROSINT CAP 25MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIROSINT CAP 50MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIROSINT CAP 75MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIROSINT CAP 88MCG |
30.00 |
THYROID MEDICATION |
TIER3 |
|
TIZANIDINE TAB 2MG |
30.00 |
MUSCLE RELAXANTS |
TIER1 |
|
TIZANIDINE TAB 4MG |
60.00 |
MUSCLE RELAXANTS |
TIER2 |
|
TL GARD RX TAB |
30.00 |
HEMATOLOGICAL AGENTS |
TIER2 |
|
TL G-FOL OS TAB |
30.00 |
PRENATAL VITAMINS |
TIER1 |
|
TL ICON CAP |
30.00 |
HEMATOLOGICAL AGENTS |
TIER2 |
|
TMP/SMZ DS TAB 160-800 |
20.00 |
ANTIBIOTICS |
TIER2 |
|
TOBRADEX OIN OP |
3.50 |
OPHTHALMIC AGENTS |
TIER4 |
|
TOBREX OIN 0.3% OP |
3.50 |
OPHTHALMIC AGENTS |
TIER4 |
|
TOFRANIL TAB 10MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
TOFRANIL TAB 25MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
TOFRANIL TAB 50MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
TOFRANIL-PM CAP 100MG |
60.00 |
ANTIDEPRESSANTS |
TIER4 |
|
TOFRANIL-PM CAP 125MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
TOFRANIL-PM CAP 150MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
TOFRANIL-PM CAP 75MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
TOLAZAMIDE TAB 250MG |
30.00 |
ANTIDIABETICS |
TIER3 |
|
TOLAZAMIDE TAB 500MG |
60.00 |
ANTIDIABETICS |
TIER4 |
|
TOLBUTAMIDE TAB 500MG |
60.00 |
ANTIDIABETICS |
TIER3 |
|
TOLMETIN SOD CAP 400MG |
90.00 |
ANALGESICS |
TIER4 |
|
TOLMETIN SOD TAB 200MG |
90.00 |
ANALGESICS |
TIER4 |
|
TOLMETIN SOD TAB 600MG |
90.00 |
ANALGESICS |
TIER4 |
|
TOPAMAX TAB 100MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPAMAX TAB 200MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPAMAX TAB 25MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPAMAX TAB 50MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPAMAX SPR CAP 15MG |
120.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPAMAX SPR CAP 25MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPICORT OIN 0.25% |
60.00 |
CORTICOSTEROIDS - TOPICAL |
TIER4 |
|
TOPIRAGEN TAB 100MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPIRAGEN TAB 200MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPIRAGEN TAB 25MG |
30.00 |
ANTICONVULSANTS |
TIER2 |
|
TOPIRAGEN TAB 50MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPIRAMATE CAP 15MG |
120.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPIRAMATE CAP 25MG |
30.00 |
ANTICONVULSANTS |
TIER3 |
|
TOPIRAMATE TAB 100MG |
30.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPIRAMATE TAB 200MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPIRAMATE TAB 25MG |
30.00 |
ANTICONVULSANTS |
TIER2 |
|
TOPIRAMATE TAB 50MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TOPROL XL TAB 100MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TOPROL XL TAB 200MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TOPROL XL TAB 25MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
TOPROL XL TAB 50MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
TORSEMIDE TAB 100MG |
15.00 |
DIURETICS |
TIER2 |
|
TORSEMIDE TAB 10MG |
30.00 |
DIURETICS |
TIER2 |
|
TORSEMIDE TAB 20MG |
30.00 |
DIURETICS |
TIER2 |
|
TORSEMIDE TAB 5MG |
30.00 |
DIURETICS |
TIER2 |
|
TOVIAZ TAB 4MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
TOVIAZ TAB 8MG |
30.00 |
GENITOURINARY PRODUCTS |
TIER4 |
|
TRAMADL/APAP TAB |
60.00 |
ANALGESICS |
TIER3 |
|
TRAMADOL HCL TAB 100MG ER |
30.00 |
ANALGESICS |
TIER4 |
|
TRAMADOL HCL TAB 200MG ER |
30.00 |
ANALGESICS |
TIER4 |
|
TRAMADOL HCL TAB 50MG |
60.00 |
ANALGESICS |
TIER2 |
|
TRANDATE TAB 100MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TRANDATE TAB 200MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TRANDATE TAB 300MG |
60.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TRANDOLAPRIL TAB 1MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
TRANDOLAPRIL TAB 2MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
TRANDOLAPRIL TAB 4MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER3 |
|
TRANXENE T TAB 15MG |
90.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
TRANXENE T TAB 3.75MG |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
TRANXENE T TAB 7.5MG |
30.00 |
ANTIANXIETY AGENTS |
TIER4 |
|
TRANYLCYPROM TAB 10MG |
60.00 |
ANTIDEPRESSANTS |
TIER4 |
|
TRAVEL SICK CHW 25MG |
60.00 |
ANTI-NAUSEANTS |
TIER1 |
|
TRAZODONE TAB 100MG |
10.00 |
ANTIDEPRESSANTS |
TIER1 |
|
TRAZODONE TAB 150MG |
30.00 |
ANTIDEPRESSANTS |
TIER2 |
|
TRAZODONE TAB 300MG |
30.00 |
ANTIDEPRESSANTS |
TIER4 |
|
TRAZODONE TAB 50MG |
10.00 |
ANTIDEPRESSANTS |
TIER1 |
|
TRECATOR TAB 250MG |
90.00 |
ANTIBIOTICS |
TIER4 |
|
TRENTAL TAB 400MG CR |
90.00 |
BLOOD MODIFIERS |
TIER4 |
|
TREPADONE CAP |
30.00 |
NUTRITIONAL PRODUCTS |
TIER4 |
|
TREXALL TAB 10MG |
60.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
TREXALL TAB 5MG |
42.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
TREXALL TAB 7.5MG |
60.00 |
ANTINEOPLASTIC AGENTS |
TIER4 |
|
TREXIMET TAB 85-500MG |
9.00 |
MIGRAINE TREATMENT |
TIER4 |
|
TREZIX CAP |
20.00 |
ANALGESICS |
TIER3 |
|
TRI PRENATAL CAP DHA ONE |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
TRI RX TAB |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
TRIADVANCE TAB |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
TRIAM/HCTZ CAP 37.5-25 |
30.00 |
DIURETICS |
TIER1 |
|
TRIAMCINOLON OIN 0.025% |
80.00 |
CORTICOSTEROIDS - TOPICAL |
TIER1 |
|
TRIAMCINOLON OIN 0.05% |
15.00 |
CORTICOSTEROIDS - TOPICAL |
TIER1 |
|
TRIAMCINOLON OIN 0.1% |
80.00 |
CORTICOSTEROIDS - TOPICAL |
TIER1 |
|
TRIAMCINOLON OIN 0.5% |
45.00 |
CORTICOSTEROIDS - TOPICAL |
TIER2 |
|
TRIAMT/HCTZ CAP 50-25MG |
30.00 |
DIURETICS |
TIER4 |
|
TRIAMT/HCTZ TAB 37.5-25 |
30.00 |
DIURETICS |
TIER1 |
|
TRIAMT/HCTZ TAB 75-50MG |
30.00 |
DIURETICS |
TIER2 |
|
TRIAZOLAM TAB 0.125MG |
2.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER1 |
|
TRIAZOLAM TAB 0.25MG |
30.00 |
HYPNOTIC & SEDATIVE AGENTS |
TIER2 |
|
TRICARE TAB PRENATAL |
30.00 |
PRENATAL VITAMINS |
TIER1 |
|
TRICARE DHA CAP 301 |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
TRICON CAP |
30.00 |
HEMATOLOGICAL AGENTS |
TIER2 |
|
TRICOR TAB 145MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
TRICOR TAB 48MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
TRIDERM OIN 0.1% |
80.00 |
CORTICOSTEROIDS - TOPICAL |
TIER1 |
|
TRIFEREX 150 CAP FORTE |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
TRIFLUOPERAZ TAB 10MG |
30.00 |
ANTIPSYCHOTICS |
TIER3 |
|
TRIFLUOPERAZ TAB 1MG |
30.00 |
ANTIPSYCHOTICS |
TIER2 |
|
TRIFLUOPERAZ TAB 2MG |
30.00 |
ANTIPSYCHOTICS |
TIER3 |
|
TRIFLUOPERAZ TAB 5MG |
150.00 |
ANTIPSYCHOTICS |
TIER4 |
|
TRIGLIDE TAB 160MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
TRIGLIDE TAB 50MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
TRIHEXYPHEN TAB 2MG |
60.00 |
PARKINSONS DRUGS |
TIER2 |
|
TRIHEXYPHEN TAB 5MG |
60.00 |
PARKINSONS DRUGS |
TIER2 |
|
TRIKOF-D TAB 12HR SR |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
TRI-LEGEST TAB FE |
28.00 |
CONTRACEPTIVES |
TIER4 |
|
TRILEPTAL TAB 150MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TRILEPTAL TAB 300MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TRILEPTAL TAB 600MG |
60.00 |
ANTICONVULSANTS |
TIER4 |
|
TRILIPIX CAP 135MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
TRILIPIX CAP 45MG |
30.00 |
CHOLESTEROL-LOWERING AGENTS |
TIER4 |
|
TRI-LO- TAB SPRINTEC |
28.00 |
CONTRACEPTIVES |
TIER4 |
|
TRIMAGEN TAB |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
TRIMAGEN TAB FORTE |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
TRIMAGEN FA TAB |
30.00 |
HEMATOLOGICAL AGENTS |
TIER3 |
|
TRIMESIS RX TAB |
30.00 |
PRENATAL VITAMINS |
TIER3 |
|
TRIMETHOBENZ CAP 300MG |
30.00 |
ANTI-NAUSEANTS |
TIER3 |
|
TRIMETHOPRIM TAB 100MG |
30.00 |
ANTIBIOTICS |
TIER3 |
|
TRINATAL RX TAB 1 |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
TRINATE TAB |
30.00 |
PRENATAL VITAMINS |
TIER2 |
|
TRINESSA TAB |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
TRI-NORINYL TAB 28 |
28.00 |
CONTRACEPTIVES |
TIER4 |
|
TRIPHROCAPS CAP |
30.00 |
VITAMINS & MINERALS |
TIER2 |
|
TRI-PREVIFEM TAB |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
TRI-SPRINTEC TAB |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
TRITAL SR TAB |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER2 |
|
TRIVEEN-ONE CAP |
30.00 |
PRENATAL VITAMINS |
TIER4 |
|
TRIVORA-28 TAB |
28.00 |
CONTRACEPTIVES |
TIER3 |
|
TRYPSIN COMP OIN |
30.00 |
DERMATOLOGICALS |
TIER3 |
|
TRYPTOPHAN CAP 500MG |
30.00 |
VITAMINS & MINERALS |
TIER3 |
|
TUSNEL CAP |
120.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TUSSI-12 TAB 5-60MG |
14.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TUSSI-12D TAB 10-40-60 |
20.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TUSSICAPS CAP 10-8MG |
14.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TUSSICAPS CAP 5-4MG |
30.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TUSSIGON TAB 5MG |
40.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER3 |
|
TUSSO-DMR CAP 7-14-288 |
60.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TUSSO-ZMR CAP 8-200MG |
90.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TUSSO-ZR SYP 7.5-150 |
473.00 |
COUGH/COLD/ALLERGY PRODUCTS |
TIER4 |
|
TWYNSTA TAB 40-10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TWYNSTA TAB 40-5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TWYNSTA TAB 80-10MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TWYNSTA TAB 80-5MG |
30.00 |
HEART/HIGH BLOOD PRESSURE MEDICATIONS |
TIER4 |
|
TYLENOL/COD TAB #3 |
30.00 |
ANALGESICS |
TIER2 |
|
TYLENOL/COD TAB #4 |
60.00 |
ANALGESICS |
TIER4 |
|
TYLOX CAP 5-500MG |
60.00 |
ANALGESICS |
TIER4 |
|
TYZEKA TAB 600MG |
30.00 |
ANTIVIRALS |
TIER4 |
