MediBridgeMD Formulary
MediBridgeMD Rx FORMULARY
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Brand | Dosage | Form
Retail Qty
HD Qty
Cost
Brand | Dosage | Form
Retail Qty
HD Qty
Cost
ACUTE MEDICATIONS
ACETAMINOPHEN WITH CODEINE 120-12 MG/5 SOLUTION
473
0
$0
ACETAMINOPHEN WITH CODEINE 300 MG-15 MG TABLET
30
0
$0
ACETAMINOPHEN WITH CODEINE 300 MG-30 MG TABLET
30
0
$0
ALPRAZOLAM 0.25 MG TABLET
30
0
$0
ALPRAZOLAM 0.5 MG TABLET
30
0
$0
ALPRAZOLAM 1 MG TABLET
30
0
$0
AMOXICILLIN 125 MG CHEWABLE TABLET
56
0
$0
AMOXICILLIN 250 MG CHEWABLE TABLET
28
0
$0
AMOXICILLIN 125 MG/5 ML SUSPENSION FOR RECONSTITUTION
200
0
$0
AMOXICILLIN 200 MG/5 ML SUSPENSION FOR RECONSTITUTION
200
0
$0
AMOXICILLIN 250 MG/5 ML SUSPENSION FOR RECONSTITUTION
200
0
$0
AMOXICILLIN 400 MG/5 ML SUSPENSION FOR RECONSTITUTION
200
0
$0
AMOXICILLIN 250 MG CAPSULE
30
0
$0
AMOXICILLIN 500 MG CAPSULE
30
0
$0
AMOXICILLIN 875 MG TABLET
28
0
$0
AMOXICILLIN/POTASSIUM CLAV 200-28.5/5 SUSP FOR RECON
50
0
$0
AMOXICILLIN/POTASSIUM CLAV 250-62.5/5 SUSP FOR RECON
50
0
$0
AMOXICILLIN/POTASSIUM CLAV 400-57 MG/5 SUSP FOR RECON
50
0
$0
AMOXICILLIN/POTASSIUM CLAV 600-42.9/5 SUSP FOR RECON
50
0
$0
AMOXICILLIN/POTASSIUM CLAV 875-125 MG TABLET
14
0
$0
AMPICILLIN TRIHYDRATE 500 MG CAPSULE
28
0
$0
DOXYCYCLINE MONOHYDRATE 100MB TABLET
30
0
$0
AZITHROMYCIN 250 MG TABLET
6
0
$0
AZITHROMYCIN 500 MG TABLET
6
0
$0
BENZPHETAMINE HCL 50 MG TABLET
30
0
$0
BROMPHENIRAMINE/PSEUDOEPHED/DM 2-30-10/5 SYRUP
118
0
$0
BUMETANIDE 0.25 MG/ML SOLUTION
40
0
$0
CEFDINIR 125 MG/5 ML SUSPENSION FOR RECONSTITUTION
100
0
$0
CEPHALEXIN 250 MG CAPSULE
40
0
$0
CEPHALEXIN 500 MG CAPSULE
20
0
$0
CEPHALEXIN 125 MG/5 ML SUSPENSION FOR RECONSTITUTION
100
0
$0
CEPHALEXIN 250 MG/5 ML SUSPENSION FOR RECONSTITUTION
100
0
$0
CHLORDIAZEPOXIDE HCL 5 MG CAPSULE
15
0
$0
CHLORDIAZEPOXIDE HCL 10 MG CAPSULE
15
0
$0
CIPROFLOXACIN EYE PREPARATIONS 0.3% DROPS
5
0
$0
CIPROFLOXACIN HCL 250 MG/5 ML SUSP, MICROCAPSULE RECON
100
0
$0
CIPROFLOXACIN HCL 500 MG TABLET
14
0
$0
CLINDAMYCIN HCL 75 MG/5 ML RECON SOLUTION
100
0
$0
CLONAZEPAM 0.5 MG TABLET
30
0
$0
CLONAZEPAM 1 MG TABLET
30
0
$0
CLONAZEPAM 2 MG TABLET
30
0
$0
DEXMETHYLPHENIDATE HCL 10 MG TABLET
30
0
$0
DEXTROAMPHETAMINE/AMPHETAMINE 5 MG TABLET
30
0
$0
DEXTROAMPHETAMINE/AMPHETAMINE 7.5 MG TABLET
30
0
$0
DEXTROAMPHETAMINE/AMPHETAMINE 10 MG TABLET
30
0
$0
DEXTROAMPHETAMINE/AMPHETAMINE 12.5 MG TABLET
30
0
$0
DEXTROAMPHETAMINE/AMPHETAMINE 20 MG TABLET
30
0
$0
DEXTROAMPHETAMINE/AMPHETAMINE 30 MG TABLET
30
0
$0
DIAZEPAM 2 MG TABLET
30
0
$0
DIAZEPAM 5 MG TABLET
30
0
$0
DIAZEPAM 10 MG TABLET
30
0
$0
DILTIAZEM HCL 120 MG CAPSULE ER
30
0
$0
DOXYCYCLINE HYCLATE 100 MG CAPSULE
30
0
$0
ERYTHROMYCIN BASE 5 MG/G OINTMENT
3.5
0
$0
FLUPHENAZINE HCL 10 MG TABLET
30
0
$0
HYDROCORTISONE 0.5% CREAM
28
0
$0
HYDROCORTISONE 1% CREAM
28
0
$0
HYDROCORTISONE 2.5% CREAM
28
0
$0
HYDROCORTISONE 1% OINTMENT
30
0
$0
HYDROMORPHONE HCL 2 MG TABLET
30
0
$0
HYDROMORPHONE HCL 4 MG TABLET
30
0
$0
IBANDRONATE SODIUM 150 MG TABLET
3
0
$0
LEVOFLOXACIN 500 MG TABLET
21
0
$0
LEVOFLOXACIN 750 MG TABLET
15
0
$0
LIDOCAINE HCL 2% SOLUTION
100
0
$0
LORAZEPAM 0.5 MG TABLET
30
0
$0
LORAZEPAM 1 MG TABLET
30
0
$0
MEPERIDINE HCL 50 MG/5 ML SOLUTION
210
0
$0
MEPERIDINE HCL 100 MG/ML SOLUTION
210
0
$0
METHADONE HCL 5 MG TABLET
30
0
$0
MEPERIDINE HCL/PF 50 MG/ML SOLUTION
210
0
$0
METHADONE HCL 10 MG TABLET
30
0
$0
METHADONE HCL 40 MG SOLUBLE TABLET
30
0
$0
METHYLPHENIDATE HCL 5 MG TABLET
30
0
$0
METHYLPHENIDATE HCL 10 MG TABLET
30
0
$0
METHYLPHENIDATE HCL 5 MG/5 ML SOLUTION
300
0
$0
METHYLPHENIDATE HCL 10 MG/5 ML SOLUTION
300
0
$0
METHYLPREDNISOLONE 4 MG TABLET
21
0
$0
METRONIDAZOLE 250 MG TABLET
28
0
$0
MONTELUKAST SODIUM 4 MG CHEWABLE TABLET
21
0
$0
OFLOXACIN 0.3% DROPS
5
0
$0
OSELTAMIVIR PHOSPHATE 6 MG/ML SUSP FOR RECON
60
0
$0
OXYCODONE HCL 5 MG TABLET
30
0
$0
OXYCODONE HCL 10 MG TABLET
30
0
$0
OXYCODONE HCL 15 MG TABLET
30
0
$0
OXYCODONE HCL 20 MG TABLET
30
0
$0
OXYCODONE HCL/ACETAMINOPHEN 5 MG-325 MG TABLET
30
0
$0
OXYCODONE HCL/ACETAMINOPHEN 7.5-325 MG TABLET
30
0
$0
PENICILLIN V POTASSIUM 250 MG TABLET
14
0
$0
PENICILLIN V POTASSIUM 500 MG TABLET
20
0
$0
PHENDIMETRAZINE TARTRATE 35 MG TABLET
30
0
$0
PHENTERMINE HCL 15 MG CAPSULE
30
0
$0
PHENTERMINE HCL 37.5 MG CAPSULE
30
0
$0
PROMETHAZINE HCL 6.25 MG/5 ML SYRUP
240
0
$0
PROMETHAZINE HCL/CODEINE 6.25-10/5 SYRUP
200
0
$0
TESTOSTERONE 1.25 G(1%) METERED-DOSE GEL PUMP
75
0
$0
TESTOSTERONE ENANTHATE 200 MG/ML OIL
1
0
$0
TRAMADOL HCL 50 MG TABLET
30
0
$0
TRAMADOL HCL/ACETAMINOPHEN 37.5-325 MG TABLET
63
0
$0
TRIAZOLAM 0.25 MG TABLET
30
0
$0
ZALEPLON 5 MG CAPSULE
30
0
$0
ZALEPLON 10 MG CAPSULE
30
0
$0
ZOLPIDEM TARTRATE 5 MG TABLET
30
0
$0
ZOLPIDEM TARTRATE 10 MG TABLET
30
0
$0
CHRONIC MEDICATIONS
0.9 % SODIUM CHLORIDE 0.9% SYRINGE
0
100
$0
ACARBOSE 25 MG TABLET
30
90
$0
ACARBOSE 50 MG TABLET
30
90
$0
ACARBOSE 100 MG TABLET
30
180
$0
ACEBUTOLOL HCL 200 MG CAPSULE
30
90
$0
ACEBUTOLOL HCL 400 MG CAPSULE
30
90
$0
ACETAMINOPHEN 500 MG TABLET
30
90
$0
ACETAZOLAMIDE 500 MG CAPSULE ER
30
90
$0
ACYCLOVIR 200 MG CAPSULE
30
90
$0
ACYCLOVIR 400 MG TABLET
30
90
$0
ACYCLOVIR 800 MG TABLET
30
90
$0
ALBUTEROL SULFATE 4 MG TABLET 12-HOUR ER
30
90
$0
ALBUTEROL SULFATE 90 MCG HFA AEROSOL INHALER
0
8.5
$0
ALBUTEROL SULFATE SYRUP2 MG/5ML 2 MG/5 ML SYRUP
473
473
$0
ALENDRONATE SODIUM 5 MG TABLET
30
90
$0
ALENDRONATE SODIUM 10 MG TABLET
30
90
$0
ALENDRONATE SODIUM 35 MG TABLET
4
12
$0
ALENDRONATE SODIUM 70 MG TABLET
4
12
$0
ALFUZOSIN HCL ER 10 MG TABLET 24-HOUR ER
30
90
$0
ALLOPURINOL 100 MG TABLET
30
90
$0
ALLOPURINOL 300 MG TABLET
30
90
$0
AMANTADINE HCL 100 MG CAPSULE
30
180
$0
AMANTADINE HCL 100 MG TABLET
30
90
$0
AMANTADINE HCL 50 MG/5 ML SOLUTION
473
473
$0
AMILORIDE HCL 5 MG TABLET
30
90
$0
AMILORIDE/HYDROCHLOROTHIAZIDE 5 MG-50 MG TABLET
30
90
$0
AMIODARONE HCL 200 MG TABLET
30
90
$0
AMITRIPTYLINE HCL 10 MG TABLET
60
180
$0
AMITRIPTYLINE HCL 25 MG TABLET
30
180
$0
AMITRIPTYLINE HCL 50 MG TABLET
30
90
$0
AMITRIPTYLINE HCL 75 MG TABLET
30
90
$0
AMITRIPTYLINE HCL 100 MG TABLET
30
90
$0
AMLODIPINE BESYLATE 2.5 MG TABLET
30
90
$0
AMLODIPINE BESYLATE 5 MG TABLET
30
90
$0
AMLODIPINE BESYLATE 10 MG TABLET
30
90
$0
AMLODIPINE BESYLATE/BENAZEPRIL 2.5 MG-10 MG CAPSULE
30
90
$0
AMLODIPINE BESYLATE/BENAZEPRIL 5 MG-10 MG CAPSULE
30
90
$0
AMLODIPINE BES/OLMESARTAN MED 5 MG-20 MG TABLET
30
90
$0
AMLODIPINE BESYLATE/BENAZEPRIL 5 MG-20 MG CAPSULE
30
90
$0
AMLODIPINE BES/OLMESARTAN MED 5 MG-40 MG TABLET
30
90
$0
AMLODIPINE BESYLATE/BENAZEPRIL 5 MG-40 MG CAPSULE
30
90
$0
AMLODIPINE BES/OLMESARTAN MED 10 MG-20 MG TABLET
30
90
$0
AMLODIPINE BESYLATE/BENAZEPRIL 10 MG-20 MG CAPSULE
30
90
$0
AMLODIPINE BESYLATE/BENAZEPRIL 10 MG-40 MG CAPSULE
30
90
$0
AMMONIUM LACTATE 12% CREAM
140
140
$0
AMOXICILLIN 500 MG TABLET
30
90
$0
ANASTROZOLE 1 MG TABLET
30
90
$0
ARIPIPRAZOLE 2 MG TABLET
60
180
$0
ARIPIPRAZOLE 5 MG TABLET
30
90
$0
ARIPIPRAZOLE 10 MG TABLET
30
90
$0
ARIPIPRAZOLE 15 MG TABLET
30
90
$0
ARIPIPRAZOLE 20 MG TABLET
30
90
$0
ARIPIPRAZOLE 30 MG TABLET
30
90
$0
ASCORBIC ACID 500 MG TABLET
30
90
$0
ATENOLOL 25 MG TABLET
30
90
$0
ATENOLOL 50 MG TABLET
30
90
$0
ATENOLOL 100 MG TABLET
30
90
$0
ATENOLOL/CHLORTHALIDONE 50 MG-25 MG TABLET
30
90
$0
ATENOLOL/CHLORTHALIDONE 100 MG-25 MG TABLET
30
90
$0
ATOMOXETINE HCL 10 MG CAPSULE
30
90
$0
ATOMOXETINE HCL 18 MG CAPSULE
30
90
$0
ATOMOXETINE HCL 25 MG CAPSULE
30
90
$0
ATOMOXETINE HCL 40 MG CAPSULE
30
90
$0
ATOMOXETINE HCL 60 MG CAPSULE
30
90
$0
ATOMOXETINE HCL 80 MG CAPSULE
30
90
$0
ATOMOXETINE HCL 100 MG CAPSULE
30
90
$0
ATORVASTATIN CALCIUM 10 MGTABLET
30
90
$0
ATORVASTATIN CALCIUM 20 MG TABLET
30
90
$0
ATORVASTATIN CALCIUM 40 MG TABLET
30
90
$0
ATORVASTATIN CALCIUM 80 MG TABLET
30
90
$0
AZELASTINE HCL 0.05% DROPS
6
18
$0
B COMPLEX & C NO.20/FOLIC ACID 1 MG CAPSULE
30
90
$0
BACLOFEN 10 MG TABLET
30
90
$0
BACLOFEN 20 MG TABLET
30
90
$0
BD NEEDLES - REQUIRES PRESCRIPTION 18G X 1&1/2" NEEDLE
0
100
$0
BENAZEPRIL HCL 5 MG TABLET
30
90
$0
BENAZEPRIL HCL 10 MG TABLET
30
90
$0
BENAZEPRIL HCL 20 MG TABLET
30
90
$0
BENAZEPRIL HCL 40 MG TABLET
30
90
$0
BENAZEPRIL/HYDROCHLOROTHIAZIDE 5-6.25 MG TABLET
30
90
$0
BENZONATATE 100 MG CAPSULE
30
90
$0
BENZONATATE 200 MG CAPSULE
15
45
$0
BENZTROPINE MESYLATE 0.5 MG TABLET
30
90
$0
BENZTROPINE MESYLATE 1 MG TABLET
30
90
$0
BENZTROPINE MESYLATE 2 MG TABLET
30
90
$0
BETAMETHASONE DIPROPIONATE 0.05% LOTION
60
60
$0
BISAC/NACL/NAHCO3/KCL/PEG 3350 5 MG-210 G KIT
1
3
$0
BISOPROLOL FUMARATE 5 MG TABLET
30
90
$0
BISOPROLOL FUMARATE 10 MG TABLET
30
90
$0
BISOPROLOL FUMARATE/HCTZ 2.5-6.25 MG TABLET
30
90
$0
BISOPROLOL FUMARATE/HCTZ 5-6.25 MG TABLET
30
90
$0
BISOPROLOL FUMARATE/HCTZ 10-6.25 MG TABLET
30
90
$0
BOXES OF 25 OR 30 COUNT 1.25 MG/3 ML SOL FOR NEBULIZATION
90
270
$0
BOXES OF 25 OR 30 COUNT 2.5 MG/3 ML SOL FOR NEBULIZATIO
90
270
$0
BRIMONIDINE TARTRATE 0.15% DROPS
5
15
$0
BUMETANIDE 0.5 MG TABLET
30
90
$0
BUMETANIDE 1 MG TABLET
30
90
$0
BUMETANIDE 2 MG TABLET
30
180
$0
BUPROPION HCL 75 MG TABLET
30
90
$0
BUPROPION HCL 100 MG TABLET
30
90
$0
BUPROPION HCL 150 MG TABLET 24-HOUR ER
30
90
$0
BUPROPION HCL 300 MG TABLET 24-HOUR ER
30
90
$0
BUSPIRONE HCL 7.5 MG TABLET
30
90
$0
BUSPIRONE HCL 10 MG TABLET
30
180
$0
BUSPIRONE HCL 15 MG TABLET
30
90
$0
BUSPIRONE HCL 30 MG TABLET
30
180
$0
BUSPIRONE HCL 5 MG TABLET
30
90
$0
CALCITRIOL 0.25 MCG CAPSULE
30
90
$0
CALCITRIOL 0.5 MCG CAPSULE
30
90
$0
CALCIUM CARBONATE/VITAMIN D3 250 MG-125 TABLET
30
90
$0
CANDESARTAN CILEXETIL 4 MG TABLET
30
90
$0
CANDESARTAN CILEXETIL 8 MG TABLET
30
90
$0
CANDESARTAN CILEXETIL 16 MG TABLET
30
90
$0
CAPTOPRIL/HYDROCHLOROTHIAZIDE 25 MG-25 MG TABLET
30
90
$0
CARBAMAZEPINE 100 MG CHEWABLE TABLET
30
90
$0
CARBAMAZEPINE 100 MG/5 ML SUSPENSION
150
450
$0
CARBAMAZEPINE 200 MG TABLET
30
90
$0
CARBAMIDE PEROXIDE 6.5% DROPS
15
45
$0
CARBIDOPA/LEVODOPA 10 MG-100 MG TABLET
30
90
$0
CARBIDOPA/LEVODOPA 25 MG-100 MG TABLET
30
90
$0
CARBIDOPA/LEVODOPA 25 MG-250 MG TABLET
30
90
$0
CARBIDOPA/LEVODOPA 50 MG-200 MG TABLET ER
30
90
$0
CARBINOXAMINE MALEATE 4 MG/5 ML LIQUID
118
118
$0
CARISOPRODOL 250 MG TABLET
30
90
$0
CARVEDILOL 3.125 MG TABLET
30
90
$0
CARVEDILOL 6.25 MG TABLET
30
90
$0
CARVEDILOL 12.5 MG TABLET
30
90
$0
CARVEDILOL 25 MG TABLET
60
180
$0
CEFACLOR 250 MG CAPSULE
30
90
$0
CEFPROZIL 125 MG/5 ML SUSPENSION FOR RECONSTITUTION
100
300
$0
CEFPROZIL 250 MG/5 ML SUSPENSION FOR RECONSTITUTION
30
90
$0
CEFUROXIME AXETIL 250 MG TABLET
30
90
$0
CELECOXIB 50 MG CAPSULE
30
90
$0
CELECOXIB 100 MG CAPSULE
30
90
$0
CELECOXIB 200 MG CAPSULE
30
90
$0
CELECOXIB 400 MG CAPSULE
30
90
$0
CETIRIZINE HCL 1 MG/ML SOLUTION
120
360
$0
CETIRIZINE HCL 5 MG TABLET
30
90
$0
CETIRIZINE HCL 5 MG/5 ML SOLUTION
30
90
$0
CETIRIZINE HCL 10 MG TABLET
30
90
$0
CHLORHEXIDINE GLUCONATE 0.12% MOUTHWASH
473
473
$0
CHLORPROPAMIDE 100 MG TABLET
30
90
$0
CHLORTHALIDONE 25 MG TABLET
30
90
$0
CHLORTHALIDONE 50 MG TABLE
30
90
$0
CHLORZOXAZONE 500 MG TABLET
30
90
$0
CHOLESTYRAMINE (WITH SUGAR) 4 G POWDER IN PACKET
20
60
$0
CHOLESTYRAMINE/ASPARTAME 4 G POWDER IN PACKET
20
60
$0
CICLOPIROX 0.77% CREAM
15
45
$0
CILOSTAZOL 50 MG TABLET
30
90
$0
CILOSTAZOL 100 MG TABLET
30
90
$0
CIMETIDINE TABLETS 200 MG TABLET
30
90
$0
CIMETIDINE TABLETS 300 MG TABLET
30
90
$0
CITALOPRAM HYDROBROMIDE 20 MG TABLET
30
90
$0
CITALOPRAM HYDROBROMIDE 40 MG TABLET
30
90
$0
CLINDAMYCIN HCL 75 MG CAPSULE
30
90
$0
CLINDAMYCIN HCL 150 MG CAPSULE
30
90
$0
CLINDAMYCIN HCL 300 MG CAPSULE
30
90
$0
CLINDAMYCIN PHOSPHATE 1% SOLUTION
60
180
$0
CLINDAMYCIN PHOSPHATE/D5W 300 MG/50 ML PIGGYBACK
30
90
$0
CLINDAMYCIN PHOSPHATE/D5W 600 MG/50 ML PIGGYBACK
30
90
$0
CLINDAMYCIN PHOSPHATE/D5W 900 MG/50 ML PIGGYBACK
30
90
$0
CLOBETASOL PROPIONATE 0.05% NON-AEROSOL SPRAY
59
59
$0
CLOMIPHENE CITRATE 50 MG TABLET
5
15
$0
CLONIDINE HCL 0.1 MG TABLET
30
90
$0
CLONIDINE HCL 0.2 MG TABLET
30
90
$0
CLONIDINE HCL 0.3 MG TABLET
30
90
$0
CLOPIDOGREL BISULFATE 75 MG TABLET
30
90
$0
CLOTRIMAZOLE 1% CREAM & GEL COMBO PACK
15
45
$0
COLCHICINE/PROBENECID 0.5-500 MG TABLET
30
90
$0
COLESTIPOL HCL 5 G GRANULES
0
500
$0
CYANOCOBALAMIN/FA/PYRIDOXINE 2-2.5-25 MG TABLET
30
90
$0
CYCLOBENZAPRINE HCL 5 MG TABLET
30
90
$0
CYCLOBENZAPRINE HCL 10 MG TABLET
30
90
$0
CYCLOSPORINE, MODIFIED 50 MG CAPSULE
30
90
$0
CYPROHEPTADINE HCL 2 MG/5 ML SYRUP
30
90
$0
CYPROHEPTADINE HCL 4 MG TABLET
30
90
$0
DESLORATADINE 2.5 MG/5 ML SYRUP
30
90
$0
DESOG-E.ESTRADIOL/E.ESTRADIOL 21-5 TABLET
28
84
$0
DESOGESTREL-ETHINYL ESTRADIOL 0.15-0.03 TABLET
28
84
$0
DESOGESTREL-ETHINYL ESTRADIOL 7 DAYS X 3 TABLET
28
84
$0
DESVENLAFAXINE SUCCINATE 25 MG TABLET 24-HOUR ER
30
90
$0
DESVENLAFAXINE SUCCINATE 50 MG TABLET 24-HOUR ER
30
90
$0
DESVENLAFAXINE SUCCINATE 100 MG TABLET 24-HOUR ER
30
90
$0
DEXAMETHASONE 0.1% SUSPENSION DROPS
0
5
$0
DEXAMETHASONE 0.5 MG/5 ML ELIXIR
30
90
$0
DEXAMETHASONE SOD PHOSPHATE 0.5 MG TABLET
30
90
$0
DEXAMETHASONE SOD PHOSPHATE 0.75 MG TABLET
15
45
$0
DEXAMETHASONE SOD PHOSPHATE 1 MG TABLET
30
90
$0
DEXAMETHASONE SOD PHOSPHATE 1.5 MG TABLET
30
90
$0
DEXAMETHASONE SOD PHOSPHATE 6 MG TABLET
30
90
$0
DEXAMETHASONE SOD PHOSPHATE 10 MG/ML SOLUTION
2
6
$0
DIABETIC TESTING SUPPLIES N/A STRIP
0
100
$0
DICLOFENAC SODIUM 1% GEL
100
300
$0
DICLOFENAC SODIUM 25 MG TABLET DR/EC
30
90
$0
DICLOFENAC SODIUM 50 MG TABLET DR/EC
30
90
$0
DICLOFENAC SODIUM 75 MG TABLET DR/EC
60
180
$0
DICLOXACILLIN SODIUM 500 MG CAPSULE
30
90
$0
DICYCLOMINE HCL 10 MG CAPSULE
30
90
$0
DICYCLOMINE HCL 20 MG TABLET
30
90
$0
DIGOXIN 125 MCG TABLET
30
90
$0
DIGOXIN 250 MCG TABLET
30
90
$0
DILTIAZEM HCL 30 MG TABLET
30
90
$0
DILTIAZEM HCL 120 MG TABLET
30
90
$0
DILTIAZEM HCL 120 MG CAPSULE 24-HOUR ER
30
90
$0
DILTIAZEM HCL 120 MG DEGRADABLE CAPSULE ER
30
90
$0
DILTIAZEM HCL 180 MG CAPSULE 24-HOUR ER
30
90
$0
DILTIAZEM HCL 180 MG CAPSULE ER
30
90
$0
DILTIAZEM HCL 180 MG DEGRADABLE CAPSULE ER
30
90
$0
DILTIAZEM HCL 240 MG CAPSULE 24-HOUR ER
30
90
$0
DILTIAZEM HCL 240 MG CAPSULE ER
30
90
$0
DILTIAZEM HCL 240 MG DEGRADABLECAPSULE ER
30
90
$0
DILTIAZEM HCL 300 MG CAPSULE ER
30
90
$0
DILTIAZEM HCL 360 MG CAPSULE 24-HOUR ER
30
90
$0
DILTIAZEM HCL 360 MG CAPSULE ER
30
90
$0
DIPHENHYDRAMINE HCL 12.5 MG/5 ML LIQUID
30
90
$0
DIPHENHYDRAMINE HCL 50 MG CAPSULE
30
90
$0
DIPHENHYDRAMINE HCL/ZINC ACET 2%-0.1% CREAM
28
84
$0
DIPHENOXYLATE HCL/ATROPINE 2.5-.025 MG TABLET
30
90
$0
DIPYRIDAMOLE 25 MG TABLET
30
90
$0
DIVALPROEX SODIUM 125 MG TABLET DR/EC
60
180
$0
DIVALPROEX SODIUM 250 MG TABLET 24-HOUR ER
30
90
$0
DIVALPROEX SODIUM 250 MG TABLET DR/EC
60
180
$0
DIVALPROEX SODIUM 500 MG TABLET 24-HOUR ER
30
90
$0
DIVALPROEX SODIUM 500 MG TABLET DR/EC
60
180
$0
DONEPEZIL HCL 5 MG TABLET
30
90
$0
DONEPEZIL HCL 10 MG TABLET
30
90
$0
DORZOLAMIDE HCL/TIMOLOL MALEAT 22.3-6.8/1 DROPS
10
30
$0
DOXAZOSIN MESYLATE 1 MG TABLET
30
90
$0
DOXAZOSIN MESYLATE 2 MG TABLET
30
90
$0
DOXAZOSIN MESYLATE 4 MG TABLET
30
90
$0
DOXAZOSIN MESYLATE 8 MG TABLET
30
90
$0
DOXEPIN HCL 10 MG CAPSULE
30
90
$0
DOXEPIN HCL 10 MG/ML CONCENTRATE
30
90
$0
DOXEPIN HCL 25 MG CAPSULE
30
90
$0
DOXEPIN HCL 50 MG CAPSULE
30
90
$0
DOXEPIN HCL 75 MG CAPSULE
30
90
$0
DOXEPIN HCL 100 MG CAPSULE
30
90
$0
DOXEPIN HCL 150 MG CAPSULE
30
90
$0
DOXYCYCLINE CALCIUM 50 MG/5 ML SYRUP
30
90
$0
DOXYCYCLINE HYCLATE 20 MG TABLET
30
90
$0
DOXYCYCLINE HYCLATE 50 MG CAPSULE
30
90
$0
DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE
30
90
$0
DOXYCYCLINE MONOHYDRATE 25 MG/5 ML SUSP FOR RECON
30
90
$0
DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE
30
90
$0
DROSPIR/ETH ESTRA/LEVOMEFOLCA 3-0.02(24) TABLET
28
84
$0
DULOXETINE HCL 20 MG CAPSULE DR/EC
60
180
$0
DULOXETINE HCL 30 MG CAPSULE DR/EC
30
90
$0
DULOXETINE HCL 60 MG CAPSULE DR/EC
30
90
$0
DUNLAP MOIST HEAT PACK
0
84
$0
DUTASTERIDE 0.5 MG CAPSULE
30
90
$0
ELETRIPTAN 20 MG TABLET
9
18
$0
ENALAPRIL MALEATE 1 MG/ML RECON SOLUTION
60
180
$0
ENALAPRIL MALEATE 2.5 MG TABLET
30
90
$0
ENALAPRIL MALEATE 5 MG TABLET
30
90
$0
ENALAPRIL MALEATE 10 MG TABLET
30
90
$0
ENALAPRIL MALEATE 20 MG TABLET
30
90
$0
ENALAPRIL/HYDROCHLOROTHIAZIDE 5 MG-12.5 MG TABLET
30
90
$0
ENALAPRIL/HYDROCHLOROTHIAZIDE 10 MG-25 MG TABLET
30
90
$0
ERGOCALCIFEROL (VITAMIN D2) 50000 UNIT CAPSULE
0
12
$0
ERYTHROMYCIN BASE 500 MG TABLET DR/EC
30
90
$0
ESCITALOPRAM OXALATE 5 MG TABLET
30
90
$0
ESCITALOPRAM OXALATE 10 MG TABLET
30
90
$0
ESCITALOPRAM OXALATE 20 MG TABLET
30
90
$0
ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE DR/EC
30
90
$0
ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE DR/EC
30
90
$0
ESTRADIOL0.5 MG TABLET
30
90
$0
ESTRADIOL 1 MG TABLET
30
90
$0
ESTRADIOL 2 MG TABLET
30
90
$0
ETHINYL ESTRADIOL/DROSPIRENONE 0.03 MG-3 MG TABLET
0
84
$0
ETHOSUXIMIDE 250 MG/5 ML SOLUTION
30
90
$0
ETHYNODIOL D-ETHINYL ESTRADIOL 1 MG-35 MCG TABLET
28
84
$0
ETHYNODIOL D-ETHINYL ESTRADIOL 1 MG-50 MCG TABLET
28
84
$0
ETODOLAC 200 MG CAPSULE
30
90
$0
ETOMIDATE 2 MG/ML SOLUTION
30
90
$0
EZETIMIBE 10 MG TABLET
30
90
$0
EZETIMIBE/SIMVASTATIN 10 MG-10 MG TABLET
30
90
$0
EZETIMIBE/SIMVASTATIN 10 MG-20 MG TABLET
30
90
$0
EZETIMIBE/SIMVASTATIN 10 MG-40 MG TABLET
30
90
$0
EZETIMIBE/SIMVASTATIN 10 MG-80 MG TABLET
30
90
$0
FAMOTIDINE 10 MG/ML SOLUTION
30
90
$0
FAMOTIDINE 20 MG TABLET
60
180
$0
FAMOTIDINE 40 MG TABLET
30
90
$0
FEBUXOSTAT 40 MG TABLET
30
90
$0
FEBUXOSTAT 80 MG TABLET
30
90
$0
FELODIPINE 2.5 MG TABLET 24-HOUR ER
30
90
$0
FELODIPINE 5 MG TABLET 24-HOUR ER
30
90
$0
FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET
30
90
$0
FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET
30
90
$0
FENOFIBRATE, FENOFIBRATE MICRONIZED 54 MG TABLET
30
90
$0
FENOFIBRATE, FENOFIBRATE MICRONIZED 160 MG TABLET
30
90
$0
FENOFIBRATE,MICRONIZED 67 MG CAPSULE
30
90
$0
FENOFIBRATE,MICRONIZED 134 MG CAPSULE
30
90
$0
FENOFIBRATE,MICRONIZED 200 MG CAPSULE
0
90
$0
FENOFIBRIC ACID DELAYED RELEASE CAPSULES 45 MG CAPSULE DR/EC
30
90
$0
FENOFIBRIC ACID DELAYED RELEASE CAPSULES 135 MG CAPSULE DR/EC
30
90
$0
FERROUS FUMARATE/FOLIC ACID 106 MG-1 MG TABLET
30
90
$0
FINASTERIDE 1 MG TABLET
30
90
$0
FINASTERIDE 5 MG TABLET
30
90
$0
FLECAINIDE ACETATE 50 MG TABLET
30
180
$0
FLECAINIDE ACETATE 100 MG TABLET
30
90
$0
FLUCONAZOLE 50 MG TABLET
30
90
$0
FLUCONAZOLE 100 MG TABLET
10
30
$0
FLUCONAZOLE 200 MG TABLET
4
12
$0
FLUCONAZOLE 40 MG/ML SUSPENSION FOR RECONSTITUTION
30
90
$0
FLUDROCORTISONEACETATE 0.1 MG TABLET
30
90
$0
FLUNISOLIDE 25 MCG NON-AEROSOL SPRAY
30
90
$0
FLUOXETINE HCL 10 MG CAPSULE
30
90
$0
FLUOXETINE HCL 10 MG TABLET
30
90
$0
FLUOXETINE HCL 20 MG CAPSULE
30
90
$0
FLUOXETINE HCL 20 MG TABLET
30
90
$0
FLUOXETINE HCL 40 MG CAPSULE
30
90
$0
FLUOXETINE HCL 60 MG TABLET
30
90
$0
FLUPHENAZINE HCL 1 MG TABLET
30
90
$0
FLUPHENAZINE HCL 2.5 MG TABLET
30
90
$0
FLUPHENAZINE HCL 5 MG TABLET
30
90
$0
FLURBIPROFEN 50 MG TABLET
30
90
$0
FLURBIPROFEN 100 MG TABLET
30
90
$0
FLUTICASONE PROPIONATE 50 MCG SUSPENSION SPRAY
16
48
$0
FLUVOXAMINE MALEATE 25 MG TABLET
30
90
$0
FLUVOXAMINE MALEATE 50 MG TABLET
30
90
$0
FLUVOXAMINE MALEATE 100 MG TABLET
30
90
$0
FOLIC ACID 0.4 MG TABLET
30
90
$0
FOLIC ACID 1 MG TABLET
30
90
$0
FOSINOPRIL SODIUM 10 MG TABLET
30
90
$0
FOSINOPRIL SODIUM 20 MG TABLET
30
90
$0
FOSINOPRIL SODIUM 40 MG TABLET
30
90
$0
FOSPHENYTOIN SODIUM 100 MG PE/2 SOLUTION
30
90
$0
FOSPHENYTOIN SODIUM 500 PE/10 SOLUTION
30
90
$0
FUROSEMIDE 10 MG/ML SOLUTION (ORAL)
30
90
$0
FUROSEMIDE 20 MG TABLET
30
90
$0
FUROSEMIDE 40 MG TABLET
30
90
$0
FUROSEMIDE 80 MG TABLET
30
90
$0
FUROSEMIDE SOLUTION 10 MG/ML SOLUTION
12
36
$0
GABAPENTIN 100 MG CAPSULE
30
90
$0
GABAPENTIN 250 MG/5 ML SOLUTION
30
90
$0
GABAPENTIN 300 MG CAPSULE
30
90
$0
GABAPENTIN 400 MG CAPSULE
30
90
$0
GABAPENTIN 600 MG TABLET
30
90
$0
GABAPENTIN 800 MG TABLET
30
90
$0
GEMFIBROZIL 600 MG TABLET
30
90
$0
GENERIC FOR PROCARDIA XL 30 MG TABLET 24-HOUR ER
30
90
$0
GENERIC FOR PROCARDIA XL 60 MG TABLET 24-HOUR ER
30
90
$0
GLIMEPIRIDE 1 MG TABLET
30
90
$0
GLIMEPIRIDE 2 MG TABLET
30
90
$0
GLIMEPIRIDE 4 MG TABLET
30
90
$0
GLIPIZIDE 5 MG TABLET
30
90
$0
GLIPIZIDE 10 MG TABLET
30
90
$0
GLIPIZIDE 5 MG TABLET 24-HOUR ER
60
180
$0
GLIPIZIDE 10 MG TABLET 24-HOUR ER
60
180
$0
GLIPIZIDE 2.5 MG TABLET 24-HOUR ER
30
90
$0
GLIPIZIDE/METFORMIN HCL 2.5-250 MG TABLET
30
90
$0
GLIPIZIDE/METFORMIN HCL 2.5-500 MG TABLET
30
90
$0
GLIPIZIDE/METFORMIN HCL 5 MG-500 MG TABLET
30
90
$0
GLYBURIDE 1.25 MG TABLET
30
90
$0
GLYBURIDE 2.5 MG TABLET
30
90
$0
GLYBURIDE 5 MG TABLET
30
90
$0
GLYBURIDE,MICRONIZED 1.5 MG TABLET
15
45
$0
GLYBURIDE,MICRONIZED 3 MG TABLET
30
90
$0
GLYBURIDE,MICRONIZED 6 MG TABLET
30
90
$0
GLYBURIDE/METFORMIN HCL 1.25-250 MG TABLET
30
90
$0
GLYBURIDE/METFORMIN HCL 2.5-500 MG TABLET
30
90
$0
GLYBURIDE/METFORMIN HCL 5 MG-500 MG TABLET
30
90
$0
GLYCOPYRROLATE 1 MG TABLET
30
180
$0
GRISEOFULVIN, MICROSIZE 125 MG/5 ML SUSPENSION
150
450
$0
GUAIFENESIN 600 MG TABLET 12-HOUR ER
30
90
$0
GUANFACINE HCL 1 MG TABLET
30
90
$0
GUANFACINE HCL 2 MG TABLET
30
90
$0
GUANFACINE HCL 1 MG TABLET 24-HOURER
30
90
$0
GUANFACINE HCL 2 MG TABLET 24-HOURER
30
90
$0
GUANFACINE HCL 3 MG TABLET 24-HOURER
30
90
$0
GUANFACINE HCL 4 MG TABLET 24-HOURER
30
90
$0
HYDRALAZINE HCL10 MG TABLET
30
90
$0
HYDRALAZINE HCL 25 MG TABLET
30
90
$0
HYDRALAZINE HCL 50 MG TABLET
30
90
$0
HYDRALAZINE HCL 100 MG TABLET
30
90
$0
HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE
30
90
$0
HYDROCHLOROTHIAZIDE 12.5 MG TABLET
30
90
$0
HYDROCHLOROTHIAZIDE 25 MG TABLET
30
90
$0
HYDROCHLOROTHIAZIDE 50 MG TABLET
30
90
$0
HYDROCODONE BIT/HOMATROP ME-BR 5-1.5 MG/5 SYRUP
100
300
$0
HYDROCODONE/CPM/PSEUDOEPHED 5-4-60 MG/5 SOLUTION
60
180
$0
HYDROCODONE/IBUPROFEN 5 MG-200 MG TABLET
30
90
$0
HYDROCORTISONE 0.1% CREAM
80
240
$0
HYDROCORTISONE 5 MG TABLET
30
90
$0
HYDROCORTISONE 10 MG TABLET
30
90
$0
HYDROCORTISONE 20 MG TABLET
30
90
$0
HYDROCORTISONE ACETATE 1% CREAM
30
90
$0
HYDROCORTISONE/PRAMOXINE 1%-1% CREAM
30
90
$0
HYDROXYCHLOROQUINE SULFATE 200 MG TABLET
60
180
$0
HYDROXYUREA 500 MG CAPSULE
30
90
$0
HYDROXYZINE HCL 10 MG/5 ML SOLUTION
60
180
$0
HYDROXYZINE HCL 10 MG TABLET
30
90
$0
HYDROXYZINE HCL 25 MG TABLET
30
90
$0
HYDROXYZINE HCL 50 MG TABLET
20
60
$0
HYDROXYZINE PAMOATE 25 MG CAPSULE
20
60
$0
HYDROXYZINE PAMOATE 50 MG CAPSULE
30
90
$0
HYOSCYAMINESULFATE 0.125 MG TABLET
30
90
$0
HYOSCYAMINE SULFATE 0.375 MG TABLET 12-HOUR ER
30
90
$0
IBUPROFEN 200 MG TABLET
30
90
$0
IBUPROFEN 400 MG TABLET
30
90
$0
IBUPROFEN 600 MG TABLET
30
90
$0
IBUPROFEN 800 MG TABLET
30
90
$0
IBUPROFEN 50 MG/1.25 SUSPENSION DROPS
30
90
$0
IBUPROFEN 100 MG/5 ML SUSPENSION
120
360
$0
ICOSAPENT ETHYL 0.5 G CAPSULE
30
90
$0
IMIPRAMINE HCL 10 MG TABLET
60
180
$0
IMIPRAMINE HCL 25 MG TABLET
60
180
$0
IMIPRAMINE HCL 50 MG TABLET
60
180
$0
INDAPAMIDE 1.25 MG TABLET
30
90
$0
INDAPAMIDE 2.5 MG TABLET
30
90
$0
INDOMETHACIN 25 MG CAPSULE
30
90
$0
INDOMETHACIN 50 MG CAPSULE
30
90
$0
INDOMETHACIN 75 MG CAPSULE ER
30
90
$0
IPRATROPIUM BROMIDE 0.2 MG/ML SOLUTION
30
90
$0
IPRATROPIUM BROMIDE 42 MCG NON-AEROSOL SPRAY
15
45
$0
IPRATROPIUM/ALBUTEROL SULFATE 0.5-3 MG/3 SOL FOR NEBUL
90
270
$0
IRBESARTAN 75 MG TABLET
30
90
$0
IRBESARTAN 150 MG TABLET
30
90
$0
IRBESARTAN 300 MG TABLET
30
90
$0
IRBESARTAN/HYDROCHLOROTHIAZIDE 150-12.5 MG TABLET
30
90
$0
IRBESARTAN/HYDROCHLOROTHIAZIDE 300-12.5 MG TABLET
30
90
$0
IRON PS CMPLX/VIT B12/FA 150-25-1 CAPSULE
30
90
$0
IRON,CARBONYL/ASCORBICACID 100-250 MG TABLET
30
90
$0
ISONIAZID 50 MG/5 MLSOLUTION
30
90
$0
ISONIAZID 100 MG TABLET
30
90
$0
ISONIAZID 300 MG TABLET
30
90
$0
ISOSORBIDE DINITRATE 5 MG TABLET
30
90
$0
ISOSORBIDE DINITRATE 10 MG TABLET
30
90
$0
ISOSORBIDE DINITRATE 20 MG TABLET
30
90
$0
ISOSORBIDE DINITRATE 30 MG TABLET
30
90
$0
ISOSORBIDE MONONITRATE 10 MG TABLET
30
90
$0
ISOSORBIDE MONONITRATE 20 MG TABLET
30
90
$0
ISOSORBIDE MONONITRATE 30 MG TABLET 24-HOUR ER
30
90
$0
ISOSORBIDE MONONITRATE 60 MG TABLET 24-HOUR ER
30
90
$0
ISOSORBIDE MONONITRATE 120 MG TABLET 24-HOUR ER
30
90
$0
KETOCONAZOLE 2% SHAMPOO
120
360
$0
KETOCONAZOLE 200 MG TABLET
20
60
$0
KETOROLAC TROMETHAMINE 0.5% DROPS
3
10
$0
LABETALOL HCL 100 MG TABLET
30
90
$0
LABETALOL HCL 200 MG TABLET
30
90
$0
LABETALOL HCL 300 MG TABLET
30
90
$0
LACOSAMIDE 10 MG/ML SOLUTION
30
90
$0
LACTULOSE 10 G/15 ML SOLUTION
300
900
$0
LACTULOSE 10 GRAM/15 ML (15 ML) SOLUTION
30
90
$0
LACTULOSE 20 G/30 ML SOLUTION
30
90
$0
LAMOTRIGINE 25 MG TABLET
30
180
$0
LAMOTRIGINE 100 MG TABLET
30
180
$0
LAMOTRIGINE 150 MG TABLET
30
180
$0
LAMOTRIGINE 200 MG TABLET
30
180
$0
LAMOTRIGINE 25 MG TABLET 24-HOUR ER
30
90
$0
LAMOTRIGINE 50 MG TABLET 24-HOUR ER
30
90
$0
LAMOTRIGINE 100 MG TABLET 24-HOUR ER
30
90
$0
LAMOTRIGINE 200 MG TABLET 24-HOUR ER
30
90
$0
LAMOTRIGINE 250 MG TABLET 24-HOUR ER
30
90
$0
LAMOTRIGINE 300 MG TABLET 24-HOUR ER
30
90
$0
LANCETS N/A LANCETS
0
100
$0
LANSOPRAZOLE 15 MG CAPSULE DR/EC
30
90
$0
LANSOPRAZOLE 3 MG/ML SUSPENSION
30
90
$0
LANSOPRAZOLE 30 MG CAPSULE DR/EC
30
90
$0
LATANOPROST 0.005% DROPS
2.5
7.5
$0
LATANOPROST/PF 0.005%DROPS
2.5
7.5
$0
LETROZOLE 2.5 MG TABLET
30
90
$0
LEVALBUTEROL HCL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION
75
255
$0
LEVALBUTEROL TARTRATE 45 MCG HFA AEROSOL INHALER
0
15
$0
LEVETIRACETAM 100 MG/ML SOLUTION
30
90
$0
LEVETIRACETAM 250 MG TABLET
30
90
$0
LEVETIRACETAM 500 MG TABLET
60
180
$0
LEVETIRACETAM 750 MG TABLET
60
180
$0
LEVETIRACETAM 1000 MG TABLET
60
180
$0
LEVETIRACETAM 500 MG TABLET 24-HOUR ER
30
90
$0
LEVETIRACETAM 500 MG/5 ML SOLUTION
30
90
$0
LEVETIRACETAM 750 MG TABLET 24-HOUR ER
30
90
$0
LEVOCARNITINE 100 MG/ML SOLUTION
30
90
$0
LEVOCETIRIZINE DIHYDROCHLORIDE 2.5 MG/5 ML SOLUTION
30
90
$0
LEVOCETIRIZINE DIHYDROCHLORIDE 5 MG TABLET
30
90
$0
LEVOFLOXACIN 0.5% DROPS
5
15
$0
LEVOFLOXACIN 250 MG TABLET
5
15
$0
LEVOFLOXACIN 250 MG/10 ML SOLUTION
30
90
$0
LEVONORGESTREL-ETHIN ESTRADIOL 0.1-0.02 TABLET
28
84
$0
LEVONORGESTREL-ETHIN ESTRADIOL 0.15-0.03 TABLET
28
84
$0
LEVONORGESTREL-ETHINYL ESTRADI 0.1MG/0.02MG & 36.5MG TABLET
30
90
$0
LEVONORGESTREL-ETHIN ESTRADIOL 6-5-10 TABLET
28
84
$0
LEVOTHYROXINE SODIUM 25 MCG TABLET
15
45
$0
LEVOTHYROXINE SODIUM 50 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 75 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 88 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 100 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 112 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 125 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 137 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 150 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 175 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 200 MCG TABLET
30
90
$0
LEVOTHYROXINE SODIUM 300 MCG TABLET
30
90
$0
LIDOCAINE HCL 5 MG/ML SOLUTION
30
90
$0
LIDOCAINE HCL 10 MG/MLSOLUTION
30
90
$0
LIDOCAINE HCL 15 MG/ML SOLUTION
30
90
$0
LIDOCAINE HCL/EPINEPHRINE 0.5-1:200K SOLUTION
30
90
$0
LIDOCAINE HCL/EPINEPHRINE 1%-1:100K SOLUTION
30
90
$0
LIDOCAINE HCL/EPINEPHRINE 2%-1:100K SOLUTION
30
90
$0
LIDOCAINE HCL/EPINEPHRINE BIT 2%-1:100K CARTRIDGE
30
90
$0
LIDOCAINE HCL/EPINEPHRINE BIT 2%-1:50000 CARTRIDGE
30
90
$0
LIDOCAINE HCL/EPINEPHRINE/PF 1%-1:200K SOLUTION
30
90
$0
LIDOCAINE HCL/EPINEPHRINE/PF 1.5-1:200K SOLUTION
30
90
$0
LIDOCAINE HCL/EPINEPHRINE/PF 2%-1:200K SOLUTION
30
90
$0
LIDOCAINE HCL/PF 10 MG/ML SOLUTION
5
15
$0
LIDOCAINE-HYDROCORTISONE ACETATE 3%-0.5% CREAM KIT
30
90
$0
LIDOCAINE/PRILOCAINE 2.5%-2.5% CREAM
30
90
$0
LINEZOLID 200 MG/0.1L PARENTERAL SOLUTION
30
90
$0
LIOTHYRONINE SODIUM 5 MCG TABLET
30
90
$0
LIOTHYRONINE SODIUM 25 MCG TABLET
30
90
$0
LIOTHYRONINE SODIUM 50 MCG TABLET
30
90
$0
LISINOPRIL 2.5 MG TABLET
30
90
$0
LISINOPRIL 5 MG TABLET
30
90
$0
LISINOPRIL 10 MG TABLET
30
90
$0
LISINOPRIL 20 MG TABLET
30
90
$0
LISINOPRIL 30 MG TABLET
30
90
$0
LISINOPRIL 40 MG TABLET
30
90
$0
LISINOPRIL/HYDROCHLOROTHIAZIDE 10-12.5 MG TABLET
30
90
$0
LISINOPRIL/HYDROCHLOROTHIAZIDE 20 MG-25 MG TABLET
30
90
$0
LISINOPRIL/HYDROCHLOROTHIAZIDE 20-12.5 MG TABLET
30
90
$0
LITHIUM CARBONATE 150 MG CAPSULE
30
90
$0
LITHIUM CARBONATE 300 MG CAPSULE
30
180
$0
LITHIUM CARBONATE 300 MG TABLET
30
180
$0
LITHIUM CARBONATE 300 MG TABLET ER
30
180
$0
LITHIUM CARBONATE 450 MG TABLET ER
30
180
$0
LITHIUM CARBONATE 600 MG CAPSULE
30
180
$0
LOPERAMIDE HCL 1 MG/5 ML LIQUID
120
360
$0
LOPERAMIDE HCL 2 MG CAPSULE
30
90
$0
LORATADINE 10 MG TABLET
30
90
$0
LOSARTAN POTASSIUM 25 MG TABLET
30
90
$0
LOSARTAN POTASSIUM 50 MG TABLET
30
90
$0
LOSARTAN POTASSIUM 100 MG TABLET
30
90
$0
LOSARTAN/HYDROCHLOROTHIAZIDE 100 MG-25 MG TABLET
30
90
$0
LOSARTAN/HYDROCHLOROTHIAZIDE 50-12.5 MG TABLET
30
90
$0
LOVASTATIN 10 MG TABLET
30
90
$0
LOVASTATIN 20 MG TABLET
30
90
$0
LOVASTATIN 40 MG TABLET
30
90
$0
LURASIDONE HCL 20 MG TABLET
30
90
$0
LURASIDONE HCL 40 MG TABLET
30
90
$0
LURASIDONE HCL 60 MG TABLET
30
90
$0
LURASIDONE HCL 80 MG TABLET
30
90
$0
LURASIDONE HCL 120 MG TABLET
30
90
$0
MECLIZINE HCL 12.5 MG TABLET
30
90
$0
MECLIZINE HCL 25 MG TABLET
30
90
$0
MEDROXYPROGESTERONE ACETATE 2.5 MG TABLET
30
90
$0
MEDROXYPROGESTERONE ACETATE 5 MG TABLET
30
90
$0
MEDROXYPROGESTERONE ACETATE 10 MG TABLET
5
15
$0
MEGESTROL ACETATE 20 MG TABLET
30
90
$0
MEGESTROL ACETATE 40 MG TABLET
30
90
$0
MEGESTROL ACETATE 400 MG/10 ML SUSPENSION
240
720
$0
MEGESTROL ACETATE 800 MG/20 ML SUSPENSION
240
720
$0
MELOXICAM 7.5 MG TABLET
30
90
$0
MELOXICAM 15 MG TABLET
30
90
$0
MEMANTINE HCL 5 MG TABLET
30
180
$0
MEMANTINE HCL 10 MG TABLET
30
90
$0
METFORMIN HCL 500 MG TABLET
30
90
$0
METFORMIN HCL 850 MG TABLET
30
90
$0
METFORMIN HCL 1000 MG TABLET
30
90
$0
METFORMIN HCL ER 500 MG TABLET 24-HOUR ER
30
90
$0
METFORMIN HCL 750 MG TABLET 24-HOUR ER
30
90
$0
METHENAMINE HIPPURATE 1 G TABLET
30
90
$0
METHENAMINE MANDELATE 1 G TABLET
30
90
$0
METHIMAZOLE 5 MG TABLET
30
90
$0
METHIMAZOLE 10 MG TABLET
30
90
$0
METHOCARBAMOL 500 MG TABLET
30
90
$0
METHOCARBAMOL 750 MG TABLET
30
90
$0
METHOTREXATE SODIUM 2.5 MG TABLET
20
60
$0
METHYLDOPA 250 MG TABLET
30
90
$0
METHYLDOPA 500 MG TABLET
30
90
$0
METOCLOPRAMIDE HCL 5 MG TABLET
30
90
$0
METOCLOPRAMIDE HCL 10 MG TABLET
30
90
$0
METOCLOPRAMIDE HCL 5 MG/5 ML SOLUTION
473
473
$0
METOLAZONE 2.5 MG TABLE
30
90
$0
METOLAZONE 5 MG TABLET
30
90
$0
METOPROLOL SUCCINATE ER 25 MG TABLET 24-HOUR ER
30
90
$0
METOPROLOL SUCCINATE ER 50 MG TABLET 24-HOUR ER
30
90
$0
METOPROLOL SUCCINATE ER 100 MG TABLET 24-HOUR ER
30
90
$0
METOPROLOL SUCCINATE ER 200 MG TABLET 24-HOUR ER
30
90
$0
METOPROLOL TARTRATE 100 MG TABLET
30
90
$0
METOPROLOL TARTRATE 5 MG/5 ML SOLUTION
30
90
$0
METOPROLOL TARTRATE 25 MG TABLET
30
90
$0
METOPROLOL TARTRATE 50 MG TABLET
60
180
$0
METOPROLOL TARTRATE 75 MG TABLET
60
180
$0
MINOCYCLINE HCL 50 MG CAPSULE
30
90
$0
MINOXIDIL 2.5 MG TABLET
30
90
$0
MINOXIDIL 10 MG TABLET
30
90
$0
MIRTAZAPINE 15 MG TABLET
30
90
$0
MIRTAZAPINE 30 MG TABLET
30
90
$0
MIRTAZAPINE 45 MG TABLET
30
90
$0
MISOPROSTOL 200 MCG TABLET
30
90
$0
MOEXIPRIL HCL 7.5 MG TABLET
30
90
$0
MOMETASONE FUROATE 0.1% OINTMENT
15
45
$0
MONTELUKAST SODIUM 5 MG CHEWABLE TABLET
30
90
$0
MONTELUKAST SODIUM 10 MG TABLET
30
90
$0
MULTIVITAMIN WITH FOLIC ACID 1 MG 1 MG CAPSULE
30
90
$0
MYCOPHENOLATE MOFETIL 250 MG CAPSULE
30
90
$0
NABUMETONE 500 MG TABLET
60
180
$0
NABUMETONE 750 MG TABLET
30
90
$0
NADOLOL 20 MG TABLET
30
90
$0
NADOLOL 40 MG TABLET
30
90
$0
NAPROXEN 250 MG TABLET
30
90
$0
NAPROXEN 375 MG TABLET
30
90
$0
NAPROXEN 500 MG TABLET
30
90
$0
NAPROXEN SODIUM 275 MG TABLET
30
90
$0
NAPROXEN SODIUM 550 MG TABLET
30
90
$0
NARATRIPTAN HCL 2.5 MG TABLET
9
27
$0
NEBIVOLOL HCL 2.5 MG TABLET
30
90
$0
NEBIVOLOL HCL 5 MG TABLET
30
90
$0
NEBIVOLOL HCL 10 MG TABLET
30
90
$0
NEBIVOLOL HCL 20 MG TABLET
30
90
$0
NEO/POLYMYX B SULF/DEXAMETH 3.5-10K-.1 OINTMENT
4
12
$0
NEVIRAPINE 50 MG/5 ML SUSPENSION
30
90
$0
NIACIN 500 MG TABLET 24-HOUR ER
60
180
$0
NIACIN 1000 MG TABLET 24-HOUR ER
30
90
$0
NICARDIPINE HCL 20 MG CAPSULE
30
90
$0
NIFEDIPINE 30 MG TABLET ER
30
90
$0
NIFEDIPINE 60 MG TABLET ER
30
90
$0
NIFEDIPINE 90 MG TABLET 24-HOURER
30
90
$0
NIFEDIPINE 90 MG TABLET ER
30
90
$0
NITROGLYCERIN TABLETS 0.3 MG SUBLINGUAL TABLET
30
90
$0
NITROGLYCERIN TABLETS 0.4 MG SUBLINGUAL TABLET
25
75
$0
NITROGLYCERIN TABLETS 0.6 MG SUBLINGUAL TABLET
30
90
$0
NORETHINDRONE 0.35 MG TABLET
28
84
$0
NORETHINDRONE AC-ETH ESTRADIOL 1 MG-20 MCG TABLET
21
63
$0
NORETHINDRONE AC-ETH ESTRADIOL 1.5-0.03 MG TABLET
21
63
$0
NORETHINDRONE ACETATE 5 MG TABLET
30
90
$0
NORETHINDRONE-E.ESTRADIOL-IRON 1 MG-20(21) TABLET
28
84
$0
NORETHINDRONE-E.ESTRADIOL-IRON 1 MG-20(24) TABLET
28
84
$0
NORETHINDRONE-E.ESTRADIOL-IRON 1.5-30(21) TABLET
28
84
$0
NORETHINDRONE-ETHINYL ESTRAD 0.4-0.035 TABLET
28
84
$0
NORETHINDRONE-ETHINYL ESTRAD 0.5-0.035 TABLET
28
84
$0
NORETHINDRONE-ETHINYL ESTRAD 1 MG-35 MCG TABLET
28
84
$0
NORETHINDRONE-ETHINYL ESTRAD 7 DAYS X 3 TABLET
28
84
$0
NORGESTIMATE-ETHINYL ESTRADIOL 0.25-0.035 TABLET
28
84
$0
NORGESTIMATE-ETHINYL ESTRADIOL 7DAYSX3 28 TABLET
28
84
$0
NORGESTIMATE-ETHINYL ESTRADIOL 7DAYSX3 LO TABLET
28
84
$0
NORGESTREL-ETHINYL ESTRADIOL 0.3-0.03 MG TABLET
28
84
$0
NORTRIPTYLINE HCL 10 MG CAPSULE
60
270
$0
NORTRIPTYLINE HCL 25 MG CAPSULE
60
270
$0
NORTRIPTYLINE HCL 50 MG CAPSULE
60
270
$0
NORTRIPTYLINE HCL 75 MG CAPSULE
60
270
$0
NYSTATIN 100000/G CREAM
15
45
$0
NYSTATIN 100000/ML SUSPENSION
60
180
$0
NYSTATIN 500K UNIT TABLET
30
90
$0
OLANZAPINE 2.5 MG TABLET
30
90
$0
OLANZAPINE 5 MG TABLET
30
90
$0
OLANZAPINE 7.5 MG TABLET
30
90
$0
OLANZAPINE 10 MG TABLET
30
90
$0
OLANZAPINE 15 MG TABLET
30
90
$0
OLANZAPINE 20 MG TABLET
30
90
$0
OLMESARTAN MEDOXOMIL 5 MG TABLET
60
180
$0
OLMESARTAN MEDOXOMIL 20 MG TABLET
30
90
$0
OLMESARTAN MEDOXOMIL 40 MG TABLET
30
90
$0
OLMESARTAN/HYDROCHLOROTHIAZIDE 20-12.5 MG TABLET
30
90
$0
OLMESARTAN/HYDROCHLOROTHIAZIDE 40 MG-25 MG TABLET
30
90
$0
OLMESARTAN/HYDROCHLOROTHIAZIDE 40-12.5 MG TABLET
30
90
$0
OLOPATADINE HCL 0.2% DROPS
2.5
7.5
$0
OMEGA-3 ACID ETHYL ESTERS 1 G CAPSULE
120
360
$0
OMEPRAZOLE 2 MG/ML SUSPENSION
30
90
$0
OMEPRAZOLE 10 MG CAPSULE DR/EC
30
90
$0
OMEPRAZOLE 20 MG CAPSULE DR/EC
30
90
$0
OMEPRAZOLE 40 MG CAPSULE DR/EC
30
90
$0
ONCE DAILY MULTIVITAMIN N/A TABLET
30
90
$0
ONDANSETRON HCL 2 MG/ML SOLUTION
30
90
$0
ONDANSETRON HCL 4 MG TABLET
30
90
$0
ONDANSETRON HCL 4 MG/5 ML SOLUTION
50
150
$0
ONDANSETRON HCL 8 MG TABLET
30
90
$0
ONDANSETRON HCL/PF 4 MG/2 ML SYRINGE
30
90
$0
ONDANSETRON ORALLY DISINTEGRATING 4 MG DISINTEGRATING TABLET
0
54
$0
ONDANSETRON ORALLY DISINTEGRATING 8 MG DISINTEGRATING TABLET
0
54
$0
OXCARBAZEPINE 150 MG TABLET
30
90
$0
OXCARBAZEPINE 300 MG TABLET
30
90
$0
OXCARBAZEPINE 300 MG/5 ML SUSPENSION
250
750
$0
OXYBUTYNIN CHLORIDE 5 MG TABLET
0
90
$0
OXYBUTYNIN CHLORIDE 5 MG TABLET 24-HOUR ER
0
90
$0
OXYBUTYNIN CHLORIDE 10 MG TABLET 24-HOUR ER
0
90
$0
OXYBUTYNIN CHLORIDE 15 MG TABLET 24-HOURER
0
90
$0
OXYBUTYNIN CHLORIDE 5 MG/5 ML SYRUP
30
90
$0
OXYCODONE HCL 5 MG/5 ML SOLUTION
30
90
$0
PANTOPRAZOLE SODIUM 20 MG TABLET DR/EC
30
90
$0
PANTOPRAZOLE SODIUM 40 MG TABLET DR/EC
30
90
$0
PAROXETINE HCL 10 MG TABLET
30
180
$0
PAROXETINE HCL 20 MG TABLET
30
180
$0
PAROXETINE HCL 30 MG TABLET
30
90
$0
PAROXETINE HCL 40 MG TABLET
30
90
$0
PEDI MVI NO.12/SODIUM FLUORIDE 0.25 MG CHEWABLE TABLET
30
90
$0
PEDI MVI NO.12/SODIUM FLUORIDE 0.5 MG CHEWABLE TABLET
30
90
$0
PEDI MVI NO.12/SODIUM FLUORIDE 1 MG CHEWABLE TABLET
30
90
$0
PEDI MVI NO.16 WITH FLUORIDE 0.25 MG CHEWABLE TABLET
30
90
$0
PEDI MVI NO.16 WITH FLUORIDE 0.5 MG CHEWABLE TABLET
30
90
$0
PEDI MVI NO.16 WITH FLUORIDE 1 MG CHEWABLE TABLET
30
90
$0
PEG 3350/NA SULF,BICARB,CL/KCL 236-22.74 G RECON SOLUTION
1
1
$0
PEG 3350/NA SULF,BICARB,CL/KCL 240-22.72 G RECON SOLUTION
1
1
$0
PENTOXIFYLLINE 400 MG TABLET ER
30
90
$0
PERINDOPRIL ERBUMINE 2 MG TABLET
30
90
$0
PERINDOPRIL ERBUMINE 4 MG TABLET
30
90
$0
PERINDOPRIL ERBUMINE 8 MG TABLET
30
90
$0
PERPHENAZINE 4 MG TABLET
30
90
$0
PHENYTOIN 50 MG CHEWABLE TABLET
30
90
$0
PHENYTOIN 125 MG/5 ML SUSPENSION
237
474
$0
PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE
30
180
$0
PHOSPHORUS #1 250 MG TABLET
30
90
$0
PIOGLITAZONE HCL 15 MG TABLET
30
90
$0
PIOGLITAZONE HCL 30 MG TABLET
30
90
$0
PIOGLITAZONE HCL 45 MG TABLET
30
90
$0
PIOGLITAZONE HCL/METFORMIN HCL 15 MG-500 MG TABLET
30
180
$0
PIOGLITAZONE HCL/METFORMIN HCL 15 MG-850 MG TABLET
30
180
$0
PIPERACILLIN SODIUM/TAZOBACTAM 2.25 G RECON SOLUTION
30
90
$0
PIROXICAM 10 MG CAPSULE
30
90
$0
PIROXICAM 20 MG CAPSULE
30
90
$0
POLYETHYLENE GLYCOL 3350 17 G/DOSE POWDER
238
714
$0
POLYMYXIN B SULF/TRIMETHOPRIM 10000-1/ML DROPS
10
10
$0
POLYVINYL ALCOHOL 1.4% DROPS
30
90
$0
POTASSIUM CHLORIDE 8 MEQ CAPSULE ER
60
180
$0
POTASSIUM CHLORIDE 8 MEQ TABLET ER
30
90
$0
POTASSIUM CHLORIDE 10 MEQ CAPSULE ER
60
180
$0
POTASSIUM CHLORIDE 10 MEQ TABLET ER
30
90
$0
POTASSIUM CHLORIDE 20 MEQ PACKET
0
90
$0
POTASSIUM CHLORIDE 20 MEQ PARTICLES/CRYSTALS TABLET ER
30
90
$0
POTASSIUM CITRATE 15 MEQ TABLET ER
30
90
$0
PRAMIPEXOLE DI-HCL 0.125 MG TABLET
30
90
$0
PRAMIPEXOLE DI-HCL 0.25 MG TABLET
30
90
$0
PRAMIPEXOLE DI-HCL 0.5 MG TABLET
30
90
$0
PRAMIPEXOLE DI-HCL 0.75 MG TABLET
30
90
$0
PRAMIPEXOLE DI-HCL 1 MG TABLET
30
90
$0
PRAMIPEXOLE DI-HCL 1.5 MG TABLET
30
90
$0
PRASUGREL HCL 5 MG TABLET
30
90
$0
PRASUGREL HCL 10 MG TABLET
30
90
$0
PRAVASTATIN SODIUM 10 MG TABLET
30
90
$0
PRAVASTATIN SODIUM 20 MG TABLET
0
90
$0
PRAVASTATIN SODIUM 40 MG TABLET
0
90
$0
PRAVASTATIN SODIUM 80 MG TABLET
0
90
$0
PRAZOSIN HCL 1 MG CAPSULE
30
90
$0
PRAZOSIN HCL 2 MG CAPSULE
30
90
$0
PRAZOSIN HCL 5 MG CAPSULE
30
90
$0
PREDNISOLONE SOD PHOSPHATE 5 MG/5 ML SOLUTION
30
90
$0
PREDNISOLONE SOD PHOSPHATE 15 MG/5 ML SOLUTION
30
90
$0
PREDNISONE 1 MG TABLET
30
90
$0
PREDNISONE 2.5 MG TABLET
30
90
$0
PREDNISONE 5 MG TABLET
30
90
$0
PREDNISONE 10 MG TABLET
30
90
$0
PREDNISONE 20 MG TABLET
30
90
$0
PREDNISONE 50 MG TABLET
30
90
$0
PRIMIDONE 50 MG TABLET
30
90
$0
PRIMIDONE 250 MG TABLET
30
90
$0
PROBENECID 500 MG TABLET
30
90
$0
PROGESTERONE,MICRONIZED 100 MG CAPSULE
30
90
$0
PROGESTERONE,MICRONIZED 200 MG CAPSULE
30
90
$0
PROMETHAZINE HCL 12.5 MG TABLET
30
90
$0
PROMETHAZINE HCL 25 MG TABLET
30
90
$0
PROMETHAZINE HCL 25 MG/MLSOLUTION
30
90
$0
PROMETHAZINE HCL 50 MG/ML SOLUTION
30
90
$0
PROMETHAZINE-PHENYLEPHRINE .025 MG/24 HR SYRUP
118
354
$0
PROMETHAZINE/DEXTROMETHORPHAN 6.25-15 MG/5 ML SYRUP
118
354
$0
PROMETHAZINE/PHENYLEPH/CODEINE 6.25-5-10 SYRUP
120
360
$0
PROPAFENONE HCL 150 MG TABLET
30
90
$0
PROPAFENONE HCL 225 MG TABLET
30
90
$0
PROPARACAINE HCL 0.5% DROPS
15
45
$0
PROPRANOLOL HCL 10 MG TABLET
30
90
$0
PROPRANOLOL HCL 20 MG TABLET
30
90
$0
PROPRANOLOL HCL 40 MG TABLET
30
90
$0
PROPRANOLOL HCL 60 MG TABLET
30
90
$0
PROPRANOLOL HCL 80 MG TABLET
30
90
$0
PROPRANOLOL HCL 60 MG CAPSULE 24-HOUR ER
30
90
$0
PROPRANOLOL HCL 80 MG CAPSULE 24-HOUR ER
30
90
$0
PROPRANOLOL HCL 120 MG CAPSULE 24-HOUR ER
30
90
$0
PROPRANOLOL HCL 160 MG CAPSULE 24-HOUR ER
30
90
$0
PYRIDOSTIGMINE BROMIDE 60 MG TABLET
30
90
$0
QUETIAPINE FUMARATE 25 MG TABLET
30
90
$0
QUETIAPINE FUMARATE 50 MG TABLET
30
90
$0
QUETIAPINE FUMARATE 100 MG TABLET
30
90
$0
QUETIAPINE FUMARATE 200 MG TABLET
30
90
$0
QUETIAPINE FUMARATE 300 MG TABLET
30
90
$0
QUETIAPINE FUMARATE 400 MG TABLET
30
90
$0
QUETIAPINE FUMARATE ER 50 MG TABLET 24-HOUR ER
30
90
$0
QUETIAPINE FUMARATE ER 150 MG TABLET 24-HOUR ER
30
90
$0
QUETIAPINE FUMARATE ER 200 MG TABLET 24-HOUR ER
30
90
$0
QUETIAPINE FUMARATE ER 300 MG TABLET 24-HOUR ER
30
90
$0
QUETIAPINE FUMARATE ER 400 MG TABLET 24-HOUR ER
30
90
$0
QUINAPRILHCL 5 MG TABLET
30
90
$0
QUINAPRIL HCL 10 MG TABLET
30
90
$0
QUINAPRIL HCL 20 MG TABLET
30
90
$0
QUINAPRIL HCL 40 MG TABLET
30
90
$0
QUINAPRIL/HYDROCHLOROTHIAZIDE 10-12.5 MG TABLET
30
90
$0
QUINAPRIL/HYDROCHLOROTHIAZIDE 20-12.5 MG TABLET
30
90
$0
QUINAPRIL/HYDROCHLOROTHIAZIDE 20 MG-25 MG TABLET
30
90
$0
RABEPRAZOLE SODIUM 20 MG TABLET DR/EC
30
90
$0
RALOXIFENE HCL 60 MG TABLET
30
90
$0
RAMIPRIL 1.25 MG CAPSULE
30
90
$0
RAMIPRIL 2.5 MG CAPSULE
30
90
$0
RAMIPRIL 5 MG CAPSULE
30
90
$0
RAMIPRIL 10 MG CAPSULE
30
90
$0
RANITIDINE HCL 300 MG CAPSULE
30
90
$0
REPAGLINIDE 0.5 MG TABLET
30
90
$0
RISEDRONATE SODIUM 150 MG TABLET
1
3
$0
RISPERIDONE 0.25 MG TABLET
60
180
$0
RISPERIDONE 0.5 MG TABLET
60
180
$0
RISPERIDONE 1 MG TABLET
30
90
$0
RISPERIDONE 2 MG TABLET
30
90
$0
RISPERIDONE 3 MG TABLET
30
90
$0
RISPERIDONE 4 MG TABLET
30
90
$0
RIZATRIPTAN BENZOATE 5 MG DISINTEGRATING TABLET
6
18
$0
RIZATRIPTAN BENZOATE 5 MG TABLET
9
27
$0
RIZATRIPTAN BENZOATE 10 MG DISINTEGRATING TABLET
6
18
$0
RIZATRIPTAN BENZOATE 10 MG TABLET
9
27
$0
ROPINIROLE HCL 0.25 MG TABLET
30
90
$0
ROPINIROLE HCL 0.5 MG TABLET
30
90
$0
ROPINIROLE HCL 1 MG TABLET
30
90
$0
ROPINIROLE HCL 2 MG TABLET
30
90
$0
ROPINIROLE HCL 3 MG TABLET
30
180
$0
ROPINIROLE HCL 4 MG TABLET
30
180
$0
ROPINIROLE HCL 5 MG TABLET
30
180
$0
ROSUVASTATIN CALCIUM 5 MG TABLET
30
90
$0
ROSUVASTATIN CALCIUM 10 MG TABLET
30
90
$0
ROSUVASTATIN CALCIUM 20 MG TABLET
30
90
$0
ROSUVASTATIN CALCIUM 40 MG TABLET
30
90
$0
ROTAVIRUS VACCINE,LIVE ORAL PV 2 ML SUSPENSION
12
36
$0
SALSALATE 500 MG TABLET
30
90
$0
SELENIUM SULFIDE 2.5% PRESCRIPTION ONLY 2.5% SHAMPOO
120
360
$0
SERTRALINE HCL 25 MG TABLET
30
90
$0
SERTRALINE HCL 50 MG TABLET
30
90
$0
SERTRALINE HCL 100 MG TABLET
30
90
$0
SILDENAFIL CITRATE 20 MG TABLET
0
90
$0
SILDENAFIL CITRATE 25 MG TABLET
0
90
$0
SILDENAFIL CITRATE 50 MG TABLET
0
30
$0
SILDENAFIL CITRATE 100 MG TABLET
0
90
$0
SILODOSIN 4 MG CAPSULE
0
90
$0
SILODOSIN 8 MG CAPSULE
0
90
$0
SILVER SULFADIAZINE 1% CREAM
25
75
$0
SIMVASTATIN 5 MG TABLET
30
90
$0
SIMVASTATIN 10 MG TABLET
30
90
$0
SIMVASTATIN 20 MG TABLET
30
90
$0
SIMVASTATIN 40 MG TABLET
30
90
$0
SIMVASTATIN 80 MG TABLET
30
90
$0
SOD/POT/K CIT/SOD CIT/CIT ACID 500-550/5 SOLUTION
30
90
$0
SODIUM CHLORIDE/NAHCO3/KCL/PEG 420 G RECON SOLUTION
30
90
$0
SODIUM FLUORIDE 0.02% SOLUTION
30
90
$0
SODIUM FLUORIDE 0.2% SOLUTION
473
1419
$0
SODIUM FLUORIDE 0.25 MG CHEWABLE TABLET
15
45
$0
SODIUM FLUORIDE 0.5 MG CHEWABLE TABLET
30
90
$0
SODIUM FLUORIDE 1 MG(2.2 MG) CHEWABLE TABLET
15
45
$0
SODIUM FLUORIDE 0.125/DROP DROPS
30
90
$0
SODIUM FLUORIDE 0.25 MG/0.6 DROPS
30
90
$0
SODIUM FLUORIDE 0.4% GEL
122
366
$0
SODIUM FLUORIDE 0.5 MG/ML DROPS
50
150
$0
SODIUM FLUORIDE 2.5 MG/ML DROPS
30
90
$0
SODIUM FLUORIDE PASTE 1.1% PASTE
30
90
$0
SOLIFENACIN SUCCINATE 10 MG TABLET
0
180
$0
SOLIFENACIN SUCCINATE 5 MG TABLET
0
180
$0
SOTALOL HCL 80 MG TABLET
30
90
$0
SOTALOL HCL 120 MG TABLET
30
90
$0
SOTALOL HCL 160 MG TABLET
0
90
$0
SOTALOL HCL 240 MG TABLET
30
90
$0
SPIRONOLACTONE 25 MG TABLET
30
90
$0
SPIRONOLACTONE 50 MG TABLET
30
90
$0
SPIRONOLACTONE 100 MG TABLET
30
90
$0
SPIRONOLACTONE/HYDROCHLOROTHIAZIDE 25 MG-25 MG TABLET
30
90
$0
SUCRALFATE 1 G TABLET
90
270
$0
SUCRALFATE 1 G/10 ML SUSPENSION
30
90
$0
SULFACETAMIDE SODIUM 10% CLEANSER ER
30
90
$0
SULFACETAMIDE SODIUM/SULFUR 9%-4.5% CLEANSER
454
1362
$0
SULFAMETHOXAZOLE/TRIMETHOPRIM 200-40 MG/5 SUSPENSION
30
90
$0
SULFAMETHOXAZOLE/TRIMETHOPRIM 400 MG-80 MG TABLET
30
90
$0
SULFAMETHOXAZOLE/TRIMETHOPRIM 800-160 MG TABLET
10
30
$0
SULFASALAZINE 500 MG TABLET DR/EC
30
90
$0
SULINDAC 150 MG TABLET
30
90
$0
SULINDAC 200 MG TABLET
30
90
$0
SUMATRIPTAN 25 MG TABLET
10
27
$0
SUMATRIPTAN 50 MG TABLET
10
27
$0
SUMATRIPTAN 100 MG TABLET
10
27
$0
TACROLIMUS 0.5 MG CAPSULE 24-HOUR ER
30
90
$0
TADALAFIL TABLETS 2.5 MG TABLET
0
90
$0
TADALAFIL TABLETS 5 MG TABLET
0
90
$0
TADALAFIL TABLETS 10 MG TABLET
0
30
$0
TADALAFIL TABLETS 20 MG TABLET
0
30
$0
TAMOXIFEN CITRATE 10 MG TABLET
0
90
$0
TAMOXIFEN CITRATE 20 MG TABLET
0
90
$0
TAMSULOSIN HCL 0.4 MG CAPSULE 24-HOUR ER
30
90
$0
TELMISARTAN 20 MG TABLET
90
90
$0
TELMISARTAN-HYDROCHLOROTHIAZIDE 40-12.5 MG TABLET
90
90
$0
TELMISARTAN-HYDROCHLOROTHIAZIDE 80 MG-25 MG TABLET
90
90
$0
TELMISARTAN-HYDROCHLOROTHIAZIDE 80-12.5 MG TABLET
90
90
$0
TERAZOSIN HCL 1 MG CAPSULE
30
90
$0
TERAZOSIN HCL 2 MG CAPSULE
30
90
$0
TERAZOSIN HCL 5 MG CAPSULE
30
90
$0
TERAZOSIN HCL 10 MG CAPSULE
30
90
$0
TETRACAINE HCL 0.5% DROPS
15
45
$0
TETRACAINE/BENZOCAINE/BUTAMBEN 2%-14%-2% SPRAY AEROSOL
30
90
$0
TETRACYCLINE HCL 250 MG CAPSULE
30
90
$0
THEOPHYLLINE ANHYDROUS 100 MG TABLET 12-HOUR ER
30
90
$0
THEOPHYLLINEANHYDROUS 200 MG TABLET 12-HOURER
30
90
$0
THIAMINE HCL 50 MG TABLET
30
90
$0
THIAMINE HCL 100 MG TABLET
30
90
$0
THYROID (PORK) 120MG (2GR) TABLET
30
90
$0
THYROID, PORK 16.25 MG (0.25 GRAIN) TABLET
30
90
$0
THYROID, PORK 32.5 MG (0.5 GRAIN) TABLET
30
90
$0
TIMOLOL MALEATE 0.25% DROPS
30
90
$0
TIMOLOL MALEATE 0.5%DROPS
15
45
$0
TIZANIDINE HCL 2 MG CAPSULE
30
90
$0
TIZANIDINE HCL 2 MG TABLET
30
90
$0
TIZANIDINE HCL 4 MG CAPSULE
30
90
$0
TIZANIDINE HCL 4 MG TABLET
30
90
$0
TIZANIDINE HCL 6 MG CAPSULE
30
90
$0
TOLAZAMIDE 250 MG TABLET
30
90
$0
TOLMETIN SODIUM 200 MG TABLET
30
90
$0
TOLTERODINE 1 MG TABLET
30
180
$0
TOLTERODINE 2 MG TABLET
30
90
$0
TOLTERODINE 2 MG CAPSULE 24-HOUR ER
30
90
$0
TOLTERODINE 4 MG CAPSULE 24-HOUR ER
30
90
$0
TOPIRAMATE 25 MG TABLET
30
90
$0
TOPIRAMATE 50 MG TABLET
30
90
$0
TOPIRAMATE 100 MG TABLET
30
90
$0
TOPIRAMATE 200 MG TABLET
30
90
$0
TORSEMIDE 10 MG TABLET
30
90
$0
TORSEMIDE 20 MG TABLET
30
90
$0
TORSEMIDE 5 MG TABLET
30
90
$0
TORSEMIDE 100 MG TABLET
30
90
$0
TRANDOLAPRIL 1 MG TABLET
30
90
$0
TRANDOLAPRIL 2 MG TABLET
30
90
$0
TRANDOLAPRIL 4 MG TABLET
30
90
$0
TRAZODONE HCL 50 MG TABLET
30
90
$0
TRAZODONE HCL 100 MG TABLET
30
90
$0
TRAZODONE HCL 150 MG TABLET
30
90
$0
TRETINOIN 0.025% GEL
30
90
$0
TRIAMCINOLONE ACETONIDE 0.025% OINTMENT
15
45
$0
TRIAMCINOLONE ACETONIDE 0.1% OINTMENT
15
45
$0
TRIAMCINOLONE ACETONIDE 0.5% OINTMENT
15
45
$0
TRIAMTERENE/HYDROCHLOROTHIAZID 37.5-25 MG TABLET
30
90
$0
TRIAMTERENE/HYDROCHLOROTHIAZID 75 MG-50 MG TABLET
30
90
$0
TRIHEXYPHENIDYL HCL 2 MG TABLET
30
90
$0
TRIHEXYPHENIDYL HCL 5 MG TABLET
30
90
$0
TRIHEXYPHENIDYL HCL 2 MG/5 ML ELIXIR
473
473
$0
TRIMETHOPRIM 100 MG TABLET
30
90
$0
UREA 40% NAIL FILM SUSPENSION
30
90
$0
UREA 45% CREAM
30
90
$0
UREA/LACTIC AC/ZN UNDECYLENATE 50% EMULSION
30
90
$0
VALACYCLOVIR HCL 500 MG TABLET
30
90
$0
VALACYCLOVIR HCL 1000 MG TABLET
30
90
$0
VALSARTAN 40 MG TABLET
30
90
$0
VALSARTAN 80 MG TABLET
30
90
$0
VALSARTAN 160 MG TABLET
30
90
$0
VALSARTAN 320 MG TABLET
30
90
$0
VALSARTAN/HYDROCHLOROTHIAZIDE 160-12.5 MG TABLET
30
90
$0
VALSARTAN/HYDROCHLOROTHIAZIDE 160-25 MG TABLET
30
90
$0
VALSARTAN/HYDROCHLOROTHIAZIDE 320 MG-25 MG TABLE
30
90
$0
VALSARTAN/HYDROCHLOROTHIAZIDE 320-12.5 MG TABLET
30
90
$0
VALSARTAN/HYDROCHLOROTHIAZIDE 80-12.5 MG TABLET
30
90
$0
VENLAFAXINE HCL TABLETS 25 MG TABLET
60
180
$0
VENLAFAXINE HCL TABLETS 37.5 MG TABLET
60
180
$0
VENLAFAXINE HCL TABLETS 50 MG TABLET
60
180
$0
VENLAFAXINE HCL TABLETS 75 MG TABLET
60
180
$0
VENLAFAXINE HCL TABLETS 100 MG TABLET
60
180
$0
VENLAFAXINE HCL TABLETS 37.5 MG CAPSULE 24-HOUR ER
30
90
$0
VENLAFAXINE HCL TABLETS 37.5 MG TABLET 24-HOUR ER
30
90
$0
VENLAFAXINE HCL TABLETS 75 MG CAPSULE 24-HOUR ER
30
90
$0
VENLAFAXINE HCL TABLETS 75 MG TABLET 24-HOUR ER
30
90
$0
VENLAFAXINE HCL TABLETS 150 MG CAPSULE 24-HOUR ER
30
90
$0
VENLAFAXINE HCL TABLETS 150 MG TABLET 24-HOUR ER
30
90
$0
VENLAFAXINE HCL TABLETS 225 MG TABLET 24-HOUR ER
30
90
$0
VERAPAMIL HCL 40 MG TABLET
30
90
$0
VERAPAMIL HCL 80 MG TABLET
30
90
$0
VERAPAMIL HCL 120 MG CAPSULE 24-HOUR ER PELLETS
30
90
$0
VERAPAMIL HCL 120 MG TABLET
30
90
$0
VERAPAMIL HCL 180 MG CAPSULE 24-HOUR ER PELLETS
30
90
$0
VERAPAMIL HCL 240 MG CAPSULE 24-HOUR ER PELLETS
30
90
$0
WARFARIN SODIUM 1 MG TABLET
30
90
$0
WARFARIN SODIUM 2 MG TABLET
30
90
$0
WARFARIN SODIUM 2.5 MG TABLET
30
90
$0
WARFARIN SODIUM 3 MG TABLET
15
45
$0
WARFARIN SODIUM 4 MG TABLET
30
90
$0
WARFARIN SODIUM 5 MG TABLET
30
90
$0
WARFARIN SODIUM 6 MG TABLET
30
90
$0
WARFARIN SODIUM 7.5 MG TABLET
30
90
$0
WARFARIN SODIUM 10 MG TABLET
30
90
$0
ZIDOVUDINE 10 MG/ML SYRUP
240
720
$0
ZIDOVUDINE 100 MG CAPSULE
30
90
$0
ZOLMITRIPTAN 2.5 MG DISINTEGRATING TABLET
9
18
$0
ZOLMITRIPTAN 5 MG DISINTEGRATING TABLET
9
18
$0
ZONISAMIDE 25 MG CAPSULE
90
270
$0
ZONISAMIDE 50 MG CAPSULE
30
90
$0
ZONISAMIDE 100 MG CAPSULE
30
90
$0
Click here to return to the $0 MediBridgeMD Rx Formulary medications.
PROGRAM DETAILS
- Your $0 MediBridgeMD PROGRAM provides 37 ACUTE, 95 ACA-MEC medications plus over 1000 commonly prescribed CHRONIC drugs at no cost to you. Plus, you have access to thousands of other medications for the fraction of the cost of retail.
- You may pick-up your prescription medication at the retail pharmacy of your choice. There are over 70,000 within our network.
- Only certain doses & quantities for each medication are offered through this program.
- After your first retail purchase, all CHRONIC medications must be filled through our mail-order service. Our team will contact & work with you to transfer your prescription.
- Men’s Health: generic Viagra® & Cialis® can be purchased exclusively via mail-order & limited to 72 generic Viagra 50/100mg pills or 48 generic Cialis 5/20mg pills per year.
- Your subscription also provides access to 1000’s more prescription medications not on your formulary starting at just $14.95 per fill for a 90-day supply.
- Access to our Diabetic Supply, International Pharmacy & Prescription Assistance programs.
- A valid prescription is required for all medications.
HOW THIS PROGRAM WORKS
- Search for your medications by entering drug name in search bar. The price will be displayed.
- If you are needing a medication immediately, utilize our retail pickup. Over 70,000 pharmacies are in our network. The site will prompt you through your order.
- If you can wait up to 10 days, mail-order will be your most cost-effective option. Click on mail-order & the site will prompt you through your order.
- Mail-order is fulfilled through our partner pharmacies & is subject to change without notice.