STATE MAC LIST OFFICE OF MEDICAL ASSISTANCE PROGRAMS · 2020. 12. 17. · amphet...

STATE MAC LIST OFFICE OF MEDICAL ASSISTANCE PROGRAMS

NAME OF GENERIC DRUG STRENGTH FORM UNIT Final Price

ABACAVIR SULFATE 20 mg/ml SOLN MILLILITER $0.5720

ABACAVIR SULFATE 300 mg TAB TABLET $1.1525

ABACAVIR SULFATE; LAMIVUDINE 600 mg; 300 mg TAB TABLET $3.3265

ABACAVIR; LAMIVUDINE; ZIDOVUDINE 150 mg; 300 mg TAB TABLET $24.3903

ACAMPROSATE CALCIUM 333 mg TAB DR TABLET $0.7115

ACARBOSE 100 mg TAB TABLET $0.2252



ACEBUTOLOL HCL 200 mg CAP CAPSULE $0.1922

ACEBUTOLOL HCL 400 mg CAP CAPSULE $0.2500

ACETAMINOPHEN W/CODEINE 120-12 mg/5 ml SOLN MILLILITER $0.0128

ACETAMINOPHEN W/CODEINE 300 mg; 15 mg TAB TABLET $0.1428



ACETAMINOPHEN 120 mg SUPP EACH $0.2365

ACETAMINOPHEN 160 mg TAB CHEW TABLET $0.0862

ACETAMINOPHEN 160 mg TAB RAPDIS TABLET $0.0715

ACETAMINOPHEN 160 mg/5 ml ELIXIR MILLILITER $0.0105

ACETAMINOPHEN 160 mg/5 ml LIQUID MILLILITER $0.0203

ACETAMINOPHEN 160 mg/5 ml SUSP MILLILITER $0.203


ACETAMINOPHEN 325 mg TAB TABLET $0.0150

ACETAMINOPHEN 500 mg LIQUID MILLILITER $0.0158

ACETAMINOPHEN 500 mg TAB TABLET $0.0240


ACETAMINOPHEN 650 mg TAB ER TABLET $0.0738

ACETAMINOPHEN 80 mg TAB CHEW TABLET $0.0386

ACETAMINOPHEN 80 mg TAB RAPDIS TABLET $0.0505

Effective September 7, 2018



ACETAMINOPHEN 80 mg/0.8 ml SUSP MILLILITER $0.1647

ACETAZOLAMIDE 125 mg TAB TABLET $0.0812

ACETAZOLAMIDE 250 mg TAB TABLET $1.5625

ACETAZOLAMIDE 500 mg CAP ER CAPSULE $0.9405

ACETIC ACID 0.25% SOLN MILLILITER $0.0046

ACETIC ACID 2% SOLN MILLILITER $1.2487

ACETIC ACID\HYDROCORTISONE 2%-1% DROPS MILLILITER $5.8627

ACETYLCYSTEINE 100 mg/ml VIAL MILLILITER $0.4885

ACETYLCYSTEINE 200 mg/ml VIAL EACH $0.3045

ACETYLCYSTEINE 6 gm/30 ml VIAL MILLILITER $2.8500

ACITRETIN 10 mg CAP CAPSULE $14.1128

ACITRETIN 17.5 mg CAP CAPSULE $23.0775

ACITRETIN 25 mg CAP CAPSULE $15.0325

ACYCLOVIR 200 mg CAP CAPSULE $0.0975

ACYCLOVIR 200 mg/5 ml SOLN MILLILITER $0.4462

ACYCLOVIR 400 mg TAB TABLET $0.0575

ACYCLOVIR 5% OINT GRAM $3.9000

ACYCLOVIR 50 mg/ml VIAL MILLILITER $0.4500

ACYCLOVIR 800 mg TAB TABLET $0.1350

ADAPALENE 0.1% CREAM GRAM $2.7771

ADAPALENE 0.1% GEL GRAM $1.4055

ADAPALENE 0.3% GEL GRAM $2.5425

ADAPALENE 0.3% GEL PUMP GRAM $3.7895

ADAPALENE; BENZOYL PEROXIDE 0.1%; 2.5% GEP PUMP GRAM $1.1550

ALBUTEROL SULFATE 0.63 mg/3 ml INH SOLN MILLILITER $0.2665



ALBUTEROL SULFATE 2 mg/5 ml SYRINGE MILLILITER $0.0134




ALBUTEROL SULFATE 2 mg TAB TABLET $4.1965

ALBUTEROL SULFATE 4 mg TAB TABLET $3.2650

ALBUTEROL SULFATE 4 mg TAB ER TABLET $1.3345

ALBUTEROL SULFATE 5 mg/ml INH SOLN MILLILITER $0.8910

ALBUTEROL SULFATE 8 mg TAB ER TABLET $2.4100

ALCLOMETASONE DIPROPIONATE 0.05% CREAM GRAM $1.7258

ALCLOMETASONE DIPROPIONATE 0.05% OINT GRAM $0.7950

ALENDRONATE SODIUM 10 mg TAB TABLET $0.1650





ALFUZOSIN HCL 10 mg TAB ER 24HR TABLET $0.1341

ALLOPURINOL 100 mg TAB TABLET $0.0925

ALLOPURINOL 300 mg TAB TABLET $0.1525

ALMOTRIPTAN MALATE 12.5 mg TAB TABLET $21.2000

ALMOTRIPTAN MALATE 6.25 mg TAB TABLET $33.8701

ALOSETRON HCL 0.5 mg TAB TABLET $11.7935

ALOSETRON HCL 1 mg TAB TABLET $24.5885

ALPRAZOLAM 0.25 mg TAB TABLET $0.0185

ALPRAZOLAM 0.25 mg TAB ODT TABLET $1.1880


ALPRAZOLAM 0.5 mg TAB ER TABLET $0.1818

ALPRAZOLAM 0.5 mg TAB ODT TABLET $1.1760


ALPRAZOLAM 1 mg TAB ER TABLET $0.2059

ALPRAZOLAM 1 mg TAB ODT TABLET $1.5600

ALPRAZOLAM 1 mg TAB TABLET $0.0258





ALPRAZOLAM 2 mg TAB TABLET $0.0525

ALPRAZOLAM 3 mg TAB ODT TABLET $3.3550


AMANTADINE HCL 100 mg CAP CAPSULE $0.5500

AMANTADINE HCL 100 mg TAB TABLET $1.2000

AMANTADINE HCL 50 mg/5 ml SYRINGE MILLILITER $0.0205

AMIKAN SULFATE 500 mg/2 ml INJ MILLILITER $4.8000

AMILORIDE HCL 5 mg TAB TABLET $0.2739

AMILORIDE HCL; HYDROXHLOROTHIAZIDE 5 mg; 50 mg TAB TABLET $0.3658

AMIODARONE HCL 100 mg TAB TABLET $2.1985



AMITRIPTYLINE HCL 10 mg TAB TABLET $0.0995






AMITRIPTYLINE; CHLORDIAZEPOXIDE 12.5 mg; 5 mg TAB TABLET $1.1550

AMITRIPTYLINE; CHLORDIAZEPOXIDE 25 mg; 10 mg TAB TABLET $1.5872

AMLODIPINE/ATORVASTATIN 10 mg; 10 mg TAB TABLET $2.0500




AMLODIPINE/ATORVASTATIN 2.5 mg; 10 mg TAB TABLET $2.7500










AMLODIPINE BESYLATE/BENAZEPRIL HCL 10 mg; 40 mg CAP CAPSULE $0.2595

AMLODIPINE BESYLATE/BENAZEPRIL HCL 5 mg; 40 mg CAP CAPSULE $0.2045

AMLODIPINE BESYLATE/BENAZEPRIL 10 mg; 20 mg CAP CAPSULE $0.1722

AMLODIPINE BESYLATE/BENAZEPRIL 2.5 mg; 10 mg CAP CAPSULE $0.2135



AMLODIPINE BESYLATE 10 mg TAB TABLET $0.0195

AMLODIPINE BESYLATE 2.5 mg TAB TABLET $0.0150

AMLODIPINE BESYLATE 5 mg TAB TABLET $0.0150

AMLODIPINE BES/OLMESARTAN MED 10 mg; 20 mg TAB TABLET $0.5500




AMLODIPINE/VALSARTAN 10 mg; 160 mg TAB TABLET $0.5145




AMLODIPINE/VALSARTAN/HCT 10 mg; 160 mg TAB TABLET $1.9985

AMLODIPINE/VALSARTAN/HCT 10-160-25 TAB TABLET $1.3125

AMLODOPINE/VALSARTAN/HCT 10-320-25 TAB TABLET $1.4735

AMLODIPINE/VALSARTAN/HCT 5-160-12.5 TAB TABLET $1.3035

AMLODIPINE/VALSARTAN/HCT 5-160-25 TAB TABLET $1.6400

AMMONIUM LACTATE 12% CREAM GRAM $0.0739

AMMONIUM LACTATE 12% LOT MILLILITER $0.0360




AMOX/POTASSIUM CLAVULANATE 200; 28.5 mg/5 ml PWDR for ORAL SUSP MILLILITER $0.0550

AMOX/POTASSIUM CLAVULANATE 200; 28.5 mg TAB CHEW TABLET $2.3755

AMOX/POTASSIUM CLAVULANATE 400; 57 mg/5 ml PWDR for ORAL SUSP MILLILITER $0.0750

AMOX/POTASSIUM CLAVULANATE 400; 57 mg TAB CHEW TABLET $2.0000

AMOX/POTASSIUM CLAVULANATE 500; 125 mg TAB TABLET $0.3015

AMOX/POTASSIUM CLAVULANATE 600; 42.9 mg/5 ml PWDR for ORAL SUSP MILLILITER $0.0675

AMOX/POTASSIUM CLAVULANATE 875; 125 mg TAB TABLET $0.2550

AMOXAPINE 50 mg TAB TABLET $0.8822

AMOXICILLIN (TRIHYDRATE) 250 mg CAP CAPSULE $0.0754

AMOXICILLIN (TRIHYDRATE) 500 mg CAP CAPSULE $0.0595

AMOXICILLIN OS 400 mg/5 ml SUSP RECON MILLILITER $0.0353

AMOXICILLIN TRIHYDRATE/ POTASSIUM CLAVULANATE 1000 mg; 62.5 mg TAB SA TABLET $5.1500

AMOXICILLIN TRIHYDRATE/ POTASSIUM CLAVULANATE 250 ; 62.5 mg/5 ml SUSP MILLILITER $0.4385

AMOXICILLIN TRIHYDRATE/ POTASSIUM CLAVULANATE 250 mg; 125mg TAB TABLET $4.1339

AMOXICILLIN TRIHYDRATE 500 mg TAB TABLET $0.2555

AMOXICILLIN 125 mg/5 ml PWDR for ORAL SUSP MILLILITER $0.0199

AMOXICILLIN 200 mg/5 ml SUSP MILLILITER $0.0299

AMOXICILLIN 250 mg/5 ml PWDR for ORAL SUSP MILLILITER $0.0278

AMOXICILLIN 250 mg TAB CHEW TABLET $0.2306

AMOXICILLIN 875 mg TAB TABLET $0.1343

AMPHET ASP/AMPHET/D-AMPHET 10 mg CAP ER CAPSULE $1.9670


AMPHET ASP/AMPHET/D-AMPHET 15 mg TAB TABLET $0.4735





AMPHETAMINE/D-AMPHETAMINE SALTS 10 mg TAB TABLET $0.500




AMPHETAMINE/D-AMPHETAMINE SALTS 12.5 mg TAB TABLET $0.6689




AMPHETAMINE/D-AMPHETAMINE SALTS 7.5 mg TAB TABLET $0.6575

AMPICILLIN SODIUM 1 gm VIAL EACH $2.0500



AMPICILLIN SODIUM 250 mg VIAL EACH $0.8250

AMPICILLIN SODIUM 500 mg VIAL EACH $1.4050

AMPICILLIN SODIUM/SULBACTAM SODIUM 1.5 gm VIAL EACH $1.9500

AMPICILLIN SODIUM/SULBACTAM SODIUM 15 gm VIAL EACH $16.9550

AMPICILLIN SODIUM/SULBACTAM SODIUM 3 gm VIAL EACH $5.6280

AMPICILLIN TRIHYDRATE 250 mg CAP CAPSULE $0.0580

AMPICILLIN TRIHYDRATE 500 mg CAP CAPSULE $0.1118

ANAGRELIDE HCL 0.5 mg CAP CAPSULE $0.7000

ANAGRELIDE HCL 1 mg CAP CAPSULE $1.6782

APREPITANT 40 mg CAP CAPSULE $76.0000



APREPITANT 125 mg; 80 mg CAP CAPSULE $185.5601

ANASTROZOLE 1 mg TAB TABLET $0.1070

ARIPIPRAZOLE 1 mg/ml SOLN MILLILITER $2.8500

ARIPIPRAZOLE 10 mg TAB TABLET $0.3400

ARIPIPRAZOLE 10 mg TAB ODT TABLET $26.1890


ARIPIPRAZOLE 15 mg TAB ODT TABLET $28.4142








ARMODAFINIL 150 mg TAB TABLET $0.9500




ASCORBIC ACID 1,000 mg TAB TABLET $0.0707

ASCORBIC ACID 500 mg TAB TABLET $0.0281

ASPIRIN 325 mg TAB EC TABLET $0.0150

ASPIRIN 325 mg TAB TABLET $0.0150

ASPIRIN 80 mg TAB CHEW TABLET $0.0300

ASPIRIN 80 mg TAB EC TABLET $0.0285

ASPIRIN/ACETAMINOPHEN/CAFFEINE 250-250-65 TAB TABLET $0.0350

ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE 30 mg CAP CAPSULE $1.0443

ASPIRIN/DIPYRIDAMOLE 25 mg; 200 mg CAP ER 12HR CAPSULE $4.2884

ATAZANAVIR SULFATE 150 mg CAP CAPSULE $13.0662



ATENOLOL; CHLORTHAL 100 mg; 25 mg TAB TABLET $0.4095

ATENOLOL; CHLORTHAL 50 mg; 25 mg TAB TABLET $0.3750

ATENOLOL 100 mg TAB TABLET $0.0210



ATOMOXETINE HCL 10 mg CAP CAPSULE $1.9500










ATORVASTATIN CALCIUM 10 mg TAB TABLET $0.0615




ATOVAQUONE 750 mg/5 ml SUSP ORAL MILLILITER $2.8015

ATOVAQUONE/PROGUANIL HCL 250 mg; 100 mg TAB TABLET $2.8500

ATOVAQUONE/PROGUANIL HCL 62.5 mg; 25 mg TAB TABLET $1.5500

AZACITIDINE 100 mg VIAL EACH $114.5000

AZATHIOPRINE 50 mg TAB TABLET $0.3305

AZELASTINE HCL 0.05% DROPS MILLILITER $1.9950

AZELASTINE HCL 137 mcg AER GRAM $0.4218

AZELASTINE HCL 205.5 mcg SPRAY MILLILITER $1.6285

AZITHROMYCIN 100 mg/5 ml SUSP MILLILITER $0.9500

AZITHROMYCIN 200 mg/5 ml (15 ml) SUSP MILLILITER $0.7723

AZITHROMYCIN 200 mg/5 ml (22.5 ml) SUSP MILLILITER $0.7460

AZITHROMYCIN 200 mg/5 ml (30 ml) SUSP MILLILITER $0.7460

AZITHROMYCIN 250 mg TAB TABLET $0.2833

AZITHROMYCIN 500 mg VIAL EACH $3.5020



BACITRACIN ZINC 500 units/gm OINT GRAM $0.1757

B-COMPLEX WITH VITAMIN C N/A TAB TABLET $0.0441

B COMP NO. 3/FOLIC/C/BIOTIN/ZINC 1 mg; 60 mg TAB TABLET $0.3295

BACITRACIN 500 units/gm OINT GRAM $0.0799

BACITRACIN 50,000 unit VIAL EACH $6.1599




BACITRACIN/POLYMYXIN B SULFATE 500-10KU/G; 28.35 gm tube OINT GRAM $0.5336



BACLOFEN 10 mg TAB TABLET $0.0957

BACLOFEN 20 mg TAB TABLET $0.1891

BALSALAZIDE DISODIUM 750 mg CAP CAPSULE $0.3755

BD AUTOSHIELD DUO NEEDLE (NDC 08290-3295-15) 5 mm x 30 g NEEDLE EACH $0.1800

BD LANCETS (NDC 08290-3220-65) 33 g LANCET EACH $0.0620

BD LANCETS, ULTRA-FINE (NDC 08290-3220-57) 33 g LANCET EACH $0.0620

BD INSULIN SYRINGE (NDC 08290-3249-09) 0.3 ml; 6 mm x 31 g SYRINGE EACH $0.1800

BD INSULIN SYRINGE (NDC 08290-3249-10)

0.3 ml; 6 mm x 31 g (1/2) SYRINGE EACH $0.1800



0.3 ml; 8 mm x 31 g (1/2) SYRINGE EACH $0.1800

BD UINSULIN SYRINGE (NDC 08290-3249-11) 0.5 ml; 6 mm x 31 g SYRINGE EACH $0.1800



0.5 ml; 12.7 mm x 30 g SYRINGE EACH $0.1800

BD INSULIN SYRINGE (NDC 08290-5932-01) 0.5 ml; 29 g x 1/2'’ SYRINGE EACH $0.1900

BD INSULIN SYRINGE (NDC 08290-3249-12) 1 ml; 6 mm x 31 g SYRINGE EACH $0.1800

BD INSULIN SYRINGE (NDC 08290-3256-57) 1 ml; 25 g x 5/8” SYRINGE EACH $0.1900



BD ULTRA-FINE PEN NEEDLE (NDC 08290-3201-22) 4 mm x 32 g NEEDLE EACH $0.1800

BD ULTRA-FINE PEN NEEDLE (NDC 08290-3201-19) 5 mm x 31 g NEEDLE EACH $0.1800

BENAZEPRIL HCL 10 mg TAB TABLET $0.0438







BENAZEPRIL/HCTZ 10 mg; 12.5 mg TAB TABLET $0.6235


BENAZEPRIL/HCTZ 20 mg; 25 mg TAB TABLET $0.6055


BENZONATATE 100 mg CAP CAPSULE $0.1500

BENZONATATE 200 mg CAP CAPSULE $0.2358

BENZOYL PEROXIDE 10% CLEANSER GRAM $0.0520

BENZOYL PEROXIDE 10% GEL GRAM $0.0725

BENZOYL PEROXIDE 10% LOTION MILLILITER $0.0799

BENZOYL PEROXIDE 2.5% GEL GRAM $0.2260



BENZOYL PEROXIDE 5% GEL GRAM $0.2335

BENZOYL PEROXIDE 5% LOTION MILLILITER $0.0837



BENZTROPINE MESYLATE 0.5 mg TAB TABLET $0.0945

BENZTROPINE MESYLATE 1 mg TAB TABLET $0.0933

BENZTROPINE MESYLATE 2 mg TAB TABLET $0.1145

BETAMETHASONE ACETATE, SOD PHOS 6 mg/ml VIAL EACH $7.6785

BETAMETHASONE/PROPYLENE GLYC 0.05% LOTION GRAM $1.9855

BETAMETHASONE DIPROPIONATE AUGMENTED 0.05% CREAM GRAM $0.3885

BETAMETHASONE DIPROPIONATE AUGMENTED 0.05% OINT GRAM $1.9200

BETAMETHASONE DIPROPIONATE 0.05%, 15 gm CREAM GRAM $1.5542

BETAMETHASONE DIPROPIONATE 0.05%, 15 gm OINT GRAM $2.1595

BETAMETHASONE DIPROPIONATE 0.05%, 45 gm CREAM GRAM $1.2952

BETAMETHASONE DIPROPIONATE 0.05%, 45 gm OINT GRAM $1.8360

BETAMETHASONE VALERATE 0.1% CREAM GRAM $0.9513




BETAMETHASONE VALERATE 0.1% OINT GRAM $0.6399

BETAMETHASONE VALERATE 0.1%, 60 ml LOTION MILLILITER $0.5442

BETAMETHASONE VALERATE 0.12% FOAM GRAM $0.7575

BETAXOLOL HCL 0.5% OPTH SOLN MILLILITER $7.2000

BETAXOLOL HCL 10 mg TAB TABLET $0.5500

BETAXOLOL HCL 20 mg TAB TABLET $0.8850

BETHANECHOL CHLORIDE 10 mg TAB TABLET $0.3925




BEXAROTENE 75 mg CAP CAPSULE $229.3500

BICALUTAMIDE 50 mg TAB TABLET $0.2840

BISACODYL 10 mg SUPP EACH $0.1050

BISACODYL 5 mg TAB EC TABLET $0.0216

BISMUTH SUBSALICYLATE 262 mg TAB CHEW TABLET $0.0538

BISMUTH SUBSALICYLATE 262 mg; 15 ml SUSP MILLILLITER $0.0088

BISOPROLOL FUMARATE 10 mg TAB TABLET $0.2725

BISOPROLOL FUMARATE 5 mg TAB TABLET $0.2530

BISOPROLOL/HCTZ 10 mg; 6.25 mg TAB TABLET $0.0393

BISOPROLOL/HCTZ 2.5 mg; 6.25 mg TAB TABLET $0.0447

BISOPROLOL/HCTZ 5 mg; 6.25 mg TAB TABLET $0.0606

BIVALIRUDIN 250 mg VIAL EACH $135.2500

BLEOMYCIN SULFATE 15 unit VIAL EACH $60.5250

BLEOMYCIN SULFATE 30 unit VIAL EACH $96.1170

BRIMONIDINE TARTRATE 0.15% DROPS MILLILITER $20.7060

BRIMONIDINE TARTRATE 0.2% DROPS MILLILITER $0.4695

BROMFENAC SODIUM 0.09% DROPS MILLILITER $42.0400

BROMOCRIPTINE MESYLATE 2.5 mg TAB TABLET $2.3895




BROMOCRIPTINE MESYLATE 5 mg CAP CAPSULE $5.6945

BROMPHENIRAMINE MALEATE/ PHENYLEPHRINE HCL/D-METHORPHAN HB 1-2.5-5/5 ml SOLN MILLILITER $0.0203

BUDESONIDE 0.25 mg/2 ml AMPUL MILLILITER $0.9600

BUDESONIDE 0.5 mg/2 ml AMPUL MILLILITER $1.2250

BUDESONIDE 1 mg/2 ml AMPUL MILLILITER $5.1550

BUDESONIDE 3 mg CAP, ER CAPSULE $3.8555

BUDESONIDE 32 mcg AER GRAM $1.6550

BUDESONIDE 32 mcg SPRAY PUMP EACH $1.6105

BUMETANIDE 0.5 mg TAB TABLET $0.5105

BUMETANIDE 1 mg TAB TABLET $0.4460

BUMETANIDE 2 mg TAB TABLET $0.9235

BUPRENORPHINE HCL 2 mg TAB SL TABLET $0.7055

BUPRENORPHINE HCL 8 mg TAB SL TABLET $1.2375

BUPRENORPHINE HCL/NALOXONE HCL 2 mg; 0.5 mg TAB SL TABLET $2.000

BUPRENORPHINE HCL/NALOXONE HCL 8 mg; 2 mg TAB SL TABLET $2.5555

BUPROPION HCL 100 mg TAB SR TABLET $0.1300

BUPROPION HCL 100 mg TAB TABLET $0.2750

BUPROPION HCL 150 mg TAB ER TABLET $0.2950

BUPROPION HCL 150 mg TAB SA TABLET $0.4950



BUPROPION HCL 300 mg TAB ER TABLET $0.3685

BUPROPION HCL 75 mg TAB TABLET $0.2707

BUSPIRONE HCL 10 mg TAB TABLET $0.0550




BUSPIRONE HCL 7.5 mg TAB TABLET $0.5176




BUTALBITAL/ACETAMINOPHEN 50 mg; 300 mg TAB TABLET $11.5735

BUTALBITAL/ACETAMINOPHEN 50 mg; 325 mg TAB TABLET $0.8885

BUTALBITAL/ACETAMINOPHEN/CAFFEINE 50 mg; 300 mg; 40 mg CAP CAPSULE $2.2000

BUTALBITAL/ACETAMINOPHEN/CAFFEINE 50 mg; 325 mg; 40 mg CAP CAPSULE $1.9546

BUTALBITAL/APAP/CAFFEINE COMPOUND 50 mg; 325 mg; 40 mg TAB TABLET $0.3655

BUTALBITAL/ASPIRIN/CAFFEINE 50 mg; 325 mg; 40 mg CAP CAPSULE $0.8695

BUTALBITAL/CAFFEINE/APAP/CODEINE 50 mg; 325 mg; 40 mg; 30 mg CAP CAPSULE $0.9435

BUTORPHANOL TARTRATE 10 mg/ml NASAL SPRAY MILLILITER $11.7260

CABERGOLINE 0.5 mg TAB TABLET $4.4125

CALCIPOTRIENE 0.005% CREAM GRAM $1.6945

CALCIPOTRIENE 0.005% OINT GRAM $2.5219

CALCIPOTRIENE 0.005% SOLN MILLILITER $1.6645

CALCIPOTRIENE/BETAMETHASONE 0.005-0.064% OINT GRAM $8.8475

CALCITONIN, SALMON, SYNTHETIC 200 units/dose SPRAY MILLILITER $8.8325

CALCITRIOL 0.25 mcg CAP CAPSULE $0.2225

CALCITRIOL 0.5 mcg CAP CAPSULE $0.4815

CALCITRIOL 1 mcg/ml SOLN MILLILITER $5.9045

CALCIUM ACETATE 667 mg CAP CAPSULE $0.1999

CALCIUM ACETATE 667 mg TAB TABLET $0.3700

CALCIUM CARBONATE 1250 mg TAB TABLET $0.0332

CALCIUM CARBONATE 200 (500) mg TAB CHEW TABLET $0.0150



CALCIUM CARBONATE 500 mg/ml ORAL SUSP MILLILITER $0.0201



CALCIUM CARBONATE/CHOLECALCIFEROL (VITAMIN D3) 500 mg; 200 mg TAB TABLET $0.0458






CALCIUM CARBONATE/CHOLECALCIFEROL (VITAMIN D3)/PHYTONADIONE (VITAMIN K1) 500-200-40 TAB CHEW TABLET $0.0971

CALCIUM/MAGNESIUM/ZINC N/A TAB TABLET $0.0332

CALCIUM POLYCARBOPHIL 625 mg TAB TABLET $0.0600

CANDESARTAN CILEXETIL 16 mg TAB TABLET $1.3800




CANDESARTAN/HYDROCHLOROTHIAZIDE 16 mg; 12.5 mg TAB TABLET $2.3700

CANDESARTAN/HYDROCHLOROTHIAZIDE 32 mg; 12.5 mg TAB TABLET $2.0697

CANDESARTAN/HYDROCHLOROTHIAZIDE 32 mg; 25 mg TAB TABLET $2.6250

CAPECITABINE 150 mg TAB TABLET $2.5000

CAPECITABINE 500 mg TAB TABLET $4.5895

CAPTOPRIL 100 mg TAB TABLET $1.4640

CAPTOPRIL 12.5 mg TAB TABLET $0.7500



CAPTOPRIL /HYDROCHLOROTHIAZIDE 25 mg; 15 mg TAB TABLET $0.0263



CARBAMAZEPINE 100 mg TAB CHEW TABLET $0.3113

CARBAMAZEPINE 100 mg CAP ER 12HR CAPSULE $0.5155

CARBAMAZEPINE 100 mg TAB ER 12HR TABLET $0.7375

CARBAMAZEPINE 100 mg/5 ml SUSP MILLILITER $0.1374


CARBAMAZEPINE 200 mg TAB TABLET $0.4065

CARBAMAZEPINE 200 mg TAB SR 12HR TABLET $1.2000





CARBAMAZEPINE 400 mg TAB SR 12HR TABLET $2.4299

CARBAMIDE PEROXIDE 6.5% DROPS MILLILITER $0.1005

CARBIDOPA 25 mg TAB TABLET $3.5125

CARBIDOPA/LEVODOPA 10 mg; 100 mg TAB, RAPID DISSOLVE TABLET $0.6300

CARBIDOPA; LEVODOPA 10 mg; 100 mg TAB TABLET $0.1455


CARBIDOPA; LEVODOPA 25 mg; 100 mg TAB ODT TABLET $0.6850


CARBIDOPA; LEVODOPA 25 mg; 250 mg TAB ODT TABLET $0.8700

CARBIDOPA; LEVODOPA ER 25 mg; 100 mg TAB ER TABLET $0.1650

CARBIDOPA; LEVODOPA ER 50 mg; 200 mg TAB ER TABLET $0.3382

CARBIDOPA; LEVODOPA; ENTACAPONE 12.5 mg; 50 mg TAB TABLET $1.2960


CARBIDOPA; LEVODOPA; ENTACAPONE 25; 100; 200 TAB TABLET $1.1635



CARBIDOPA; LEVODOPA; ENTACAPONE 50; 200; 200 TAB TABLET $1.2960

CARBINOXAMINE MALEATE 4 mg/5 ml LIQ MILLILITER $0.1000

CARBOPLATIN 10 mg/ml VIAL MILLILITER $1.5900

CARBOXYMETHYLCELLULOSE SODIUM 0.5% DROPERETTE EACH $0.1815

CARISOPRODOL 250 mg TAB TABLET $1.8175

CARISOPRODOL 350 mg TAB TABLET $0.0621

CARTEOLOL HCL 1% SOLN MILLILITER $0.9528

CARVEDILOL 12.5 mg TAB TABLET $0.0292

CARVEDILOL 20 mg CAP ER CAPSULE $6.4389

CARVEDILOL 25 mg TAB TABLET $0.0295






CASPOFUNGIN ACETATE 50 mg VIAL EACH $74.5550

CASPOFUNGIN ACETATE 70 mg VIAL EACH $79.5550

CEFACLOR 250 mg CAP CAPSULE $0.7453

CEFACLOR 500 mg CAP CAPSULE $1.5665

CEFADROXIL HYDRATE 1 g TAB TABLET $3.9000

CEFADROXIL HYDRATE 250 mg/5 ml SUSP MILLILITER $0.1935

CEFADROXIL HYDRATE 500 mg/5 ml SUSP MILLILITER $0.2595

CEFADROXIL 500 mg CAP CAPSULE $0.2000

CEFAZOLIN SODIUM 1 gm VIAL EACH $1.1550

CEFAZOLIN SODIUM 10 gm VIAL EACH $11.5416

CEFAZOLIN SODIUM 500 mg VIAL EACH $1.6200

CEFDINIR 125 mg/5 ml SUSP MILLILITER $0.1950

CEFDINIR 250 mg/5 ml SUSP MILLILITER $0.1550

CEFDINIR 300 mg CAP CAPSULE $0.4500

CEFEPIME HCL 1 gm VIAL EACH $4.7150

CEFEPIME HCL 2 gm VIAL EACH $10.8581

CEFIXIME 100 mg/5 ml ORAL SUSP MILLILITER $3.1700

CEFIXIME 200 mg/5 ml ORAL SUSP MILLILITER $5.6945

CEFOTETAN DISODIUM 1 gm VIAL EACH $3.8995

CEFOXITIN SODIUM 2 gm VIAL EACH $8.3000

CEFOXITIN SODIUM 10 gm VIAL EACH $30.8000

CEFPODOXIME 100 mg TAB TABLET $3.9955

CEFPODOXIME 200 mg TAB TABLET $4.4915

CEFPODOXIME PROXETIL 100 mg/5 ml SUSP MILLILITER $1.2500

CEFPODOXIME PROXETIL 50 mg/5 ml SUSP MILLILITER $0.5800

CEFPROZIL 125 mg/5 ml SUSP MILLILITER $0.2175

CEFPROZIL 250 mg/5 ml SUSP MILLILITER $0.3367

CEFPROZIL 250 mg TAB TABLET $0.7400




CEFPROZIL 500 mg TAB TABLET $1.3615

CEFTAZIDIME PENTAHYDRATE 1 gm VIAL EACH $6.7350



CEFTRIAXONE SODIUM 1 gm VIAL EACH $1.9923



CEFTRIAXONE SODIUM 250 mg VIAL EACH $1.5926

CEFTRIAXONE SODIUM 500 mg VIAL EACH $1.3095

CEFUROXIME 250 mg TAB TABLET $0.6785

CEFUROXIME 500 mg TAB TABLET $0.9005

CEFUROXIME SODIUM 7.5 gm VIAL EACH $19.9500

CELECOXIB 100 mg CAP CAPSULE $0.3300




CEPHALEXIN 125 mg/5 ml SUSP MILLILITER $0.1075

CEPHALEXIN 250 mg CAP CAPSULE $0.0890

CEPHALEXIN 250 mg/5 ml SUSP RECON MILLILITER $0.1225



CETIRIZINE HCL 1 mg/ml SYRN MILLILITER $0.0300

CETIRIZINE HCL 10 mg TAB CHEW TABLET $3.2725

CETIRIZINE HCL 10 mg TAB TABLET $0.0735

CETIRIZINE HCL 5 mg TAB CHEW TABLET $1.6555

CETIRIZINE HCL 5 mg TAB TABLET $0.0600

CEVIMELINE HCL 30 mg CAP CAPSULE $1.1155

CHLORDIAZEPOXIDE 10 mg CAP CAPSULE $0.0700






CHLORHEXIDINE 0.12% ORAL RINSE MILLILITER $0.0106

CHLORHEXIDINE GLUCONATE 4% LIQUID MILLILITER $0.0211

CHLOROQUINE PHOSPHATE 500 mg TAB TABLET $3.5550

CHLORPHENIRAMINE/PHENYLEPHRINE 4-10 mg/5 ml LIQUID MILLILITER $0.0503

CHLORPHENIRAMINE/PHENYLEPH/DM 4-10-15 mg/5 ml SYRINGE MILLILITER $0.0540

CHLORPHENIRAMINE/PSEUDOEPHED/DM 1-15-5mg/5 ml LIQUID MILLILITER $0.0196

CHLORPHENIRAMINE MALEATE 12 mg TAB ER TABLET $0.2325

CHLORPROMAZINE HCL 10 mg TAB TABLET $2.0895





CHLORTHALIDONE 25 mg TAB TABLET $0.4015

CHLORTHALIDONE 50 mg TAB TABLET $0.5355

CHLORZOXAZONE 500 mg TAB TABLET $0.2855

CHOLECALCIFEROL (VITAMIN D3) 1,000 unit TAB TABLET $0.0749

CHOLECALCIFEROL (VITAMIN D3) 1,000 unit TAB CHEW TABLET $0.1943

CHOLECALCIFEROL (VITAMIN D3) 2,000 unit CAP CAPSULE $0.0375

CHOLECALCIFEROL (VITAMIN D3) 400 unit CAP CAPSULE $0.0408

CHOLESTYRAMINE 4 gm PWDR for ORAL SUSP GRAM $0.1755

CHOLESTYRAMINE LITE 4 gm PWDR for ORAL SUSP GRAM $0.2185

CHOLESTYRAMINE LITE 4 gm PWD PACKET EACH $1.7925

CHOLESTYRAMINE/SUCROSE 4 gm PWDR PACKET EACH $1.2183

CICLOPIROX 0.77% CREAM GRAM $0.2699

CICLOPIROX 0.77% GEL GRAM $1.1895

CICLOPIROX 0.77% TOP SUSP MILLILITER $1.0385




CICLOPIROX 1% SHAMPOO MILLILITER $0.4335

CICLOPIROX 8% TOP SOLN MILLILITER $1.8720

CILOSTAZOL 100 mg TAB TABLET $0.1257

CILOSTAZOL 50 mg TAB TABLET $0.0845

CIMETIDINE 200 mg TAB TABLET $0.3150

CIMETIDINE 300 mg/5 ml SOLN MILLILITER $0.0850




CIPROFLOXACIN LACTATE/D5W 400 mg/200 ml IV MILLILITER $0.0210

CIPROFLOXACIN 0.3% SOLN MILLILITER $0.9450

CIPROFLOXACIN 250 mg/5 ml ORAL SUSP MILLILITER $0.8168

CIPROFLOXACIN 250 mg TAB TABLET $0.0945

CIPROFLOXACIN 500 mg/5 ml ORAL SUSP MILLILITER $0.9561



CISPLATIN 1 mg/ml SOLN MILLILITER $0.2025

CITALOPRAM 10 mg/5 ml SOLN MILLILITER $0.2563

CITALOPRAM 10 mg TAB TABLET $0.0348



CITRIC ACID/SODIUM CITRATE 334-500 mg SOLN MILLILITER $0.0259

CLADRIBINE 10 mg/10 ml VIAL MILLILITER $28.3030

CLARITHROMYCIN 125 mg/5 ml SUSP MILLILITER $0.8157

CLARITHROMYCIN 250 mg/5 ml SUSP MILLILITER $1.2246

CLARITHROMYCIN 250 mg TAB TABLET $0.5095

CLARITHROMYCIN 500 mg TAB TABLET $0.6265

CLARITHROMYCIN 500 mg TAB ER TABLET $2.7825




CLINDAMYCIN HCL 150 mg CAP CAPSULE $0.1100

CLINDAMYCIN HCL 300 mg CAP CAPSULE $0.2129

CLINDAMYCIN PALMITATE HCL 75 mg/5 ml SOLN MILLILITER $0.2175

CLINDAMYCIN PHOSPHATE 1% FOAM GRAM $3.6805

CLINDAMYCIN PHOSPHATE 1% PLEDGET EACH $0.3545

CLINDAMYCIN PHOSPHATE 1% TOP GEL GRAM $1.4475

CLINDAMYCIN PHOSPHATE 1% TOP LOTION MILLILITER $1.1111

CLINDAMYCIN PHOSPHATE 1% TOP SOLN MILLILITER $0.4650

CLINDAMYCIN PHOSPHATE 150 mg/ml VIAL MILLILITER $0.9231

CLINDAMYCIN PHOSPHATE 2% VAG CREAM MILLILITER $1.7010

CLINDAMYCIN PHOSPHATE/ BENZOYL PEROXIDE 1% - 5% GEL GRAM $4.3575

CLINDAMYCIN PHOSPHATE/ BENZOYL PEROXIDE 1% - 5% GEL PUMP GRAM $5.1550

CLINDAMYCIN PHOSPHATE/ BENZOYL PEROXIDE 1.2(1)%-5% GEL GRAM $2.1045

CLINDAMYCIN PHOSPHATE/ DEXTROSE 5% IN WATER 300 mg/50 ml SOLN MILLILITER $0.1722



CLINDAMYCIN/TRETINOIN 1.2-0.025% GEL GRAM $10.0588

CLOBETASOL PROPIONATE/EMOLLIENT 0.05% CREAM GRAM $1.1815

CLOBETASOL PROPIONATE/EMOLLIENT 0.05% FOAM GRAM $2.6255

CLOBETASOL PROPIONATE 0.05% CREAM GRAM $1.0550

CLOBETASOL PROPIONATE 0.05% FOAM GRAM $2.4599

CLOBETASOL PROPIONATE 0.05% GEL GRAM $1.2825

CLOBETASOL PROPIONATE 0.05% LOTION MILLILITER $0.8515

CLOBETASOL PROPIONATE 0.05% OINT GRAM $0.4755

CLOBETASOL PROPIONATE 0.05% SHAMPOO MILLILITER $1.2700

CLOBETASOL PROPIONATE 0.05% SPRAY MILLILITER $2.4050

CLOBETASOL PROPIONATE 0.05% TOP SOLN MILLILITER $0.9535

CLOMIPRAMINE HCL 25 mg CAP CAPSULE $4.5125






CLONAZEPAM ODT 0.125 mg TAB ODT TABLET $0.5000



CLONAZEPAM ODT 1 mg TAB ODT TABLET $0.6316

CLONAZEPAM ODT 2 mg TAB ODT TABLET $1.4000

CLONAZEPAM 0.5 mg TAB TABLET $0.0150

CLONAZEPAM 1 mg TAB TABLET $0.0281

CLONAZEPAM 2 mg TAB TABLET $0.0417

CLONIDINE HCL 0.1 mg TAB ER 12HR TABLET $2.2250

CLONIDINE HCL 0.1 mg TAB TABLET $0.0246



CLONIDINE 0.1 mg/24hr PATCH PATCH $10.5575



CLOPIDOGREL 300 mg TAB TABLET $10.2000

CLOPIDOGREL 75 mg TAB TABLET $0.0494

CLORAZEPATE DIPOTASSIUM 15 mg TAB TABLET $2.3935

CLORAZEPATE DIPOTASSIUM 3.75 mg TAB TABLET $0.9075

CLOTRIMAZOLE/ BETAMETHASONE DIPROPIONATE 1-0.05%; 15 gm CREAM GRAM $0.4225

CLOTRIMAZOLE/ BETAMETHASONE DIPROPIONATE 1-0.05%; 45 gm CREAM GRAM $0.4195

CLOTRIMAZOLE/ BETAMETHASONE DIPROPIONATE 1-0.05% LOTION MILLILITER $2.8545

CLOTRIMAZOLE 1% CREAM GRAM $0.0813

CLOTRIMAZOLE 1% VAG CREAM GRAM $0.0739

CLOTRIMAZOLE 1% SOLN MILLILITER $1.8005

CLOTRIMAZOLE 10 mg LOZENGE EACH $0.3585




CLOZAPINE 100 mg TAB TABLET $0.6600

CLOZAPINE 100 mg TAB ODT TABLET $5.1909



CLOZAPINE 25 mg TAB ODT TABLET $2.0080


CODEINE PHOSPHATE/GUAIFENESIN 6.3-100/5 LIQUID MILLILITER $0.0489

CODEINE SULFATE 15 mg TAB TABLET $0.4374



COLCHICINE 0.6 mg TAB TABLET $4.8555

COLESTIPOL HCL 1 gm TAB TABLET $0.7365

COLESTIPOL HCL 5 gm PACKET EACH $2.7285

COLISTIMETHATE SODIUM 150 mg VIAL EACH $15.1800

CROMOLYN SODIUM 20 mg/ml SOLN MILLILITER $0.6625

CROMOLYN SODIUM 4% OPTH SOLN MILLILITER $0.4485

CYANOCOBALAMIN (VITAMIN B-12) 1,000 mcg TAB TABLET $0.0693

CYANOCOBALAMIN (VITAMIN B-12) 1,000 mcg/ml VIAL MILLILITER $2.0918

CYANOCOBALAMIN/FOLIC AC/VIT B6 1-2.5-25 mg TAB TABLET $0.4285

CYANOCOBALAMIN/FOLIC AC/VIT B6 2-2.5-25 mg TAB TABLET $0.3755

CYCLOBENZAPRINE HCL 10 mg TAB TABLET $0.0240

CYCLOBENZAPRINE HCL 5 mg TAB TABLET $0.0360

CYCLOBENZAPRINE HCL 7.5 mg TAB TABLET $2.6555

CYCLOPENTOLATE HCL 0.5% DROPS MILLILITER $4.1050

CYCLOPENTOLATE HCL 1% DROPS MILLILITER $2.4840

CYCLOPENTOLATE HCL 2% DROPS MILLILITER $2.9500

CYCLOPHOSPHAMIDE 1 gm VIAL EACH $360.0000

CYCLOPHOSPHAMIDE 2 gm VIAL EACH $719.7500




CYCLOPHOSPHAMIDE 500 mg VIAL EACH $179.9500

CYCLOSPORINE, MODIFIED 100 mg CAP CAPSULE $1.8165

CYCLOSPORINE, MODIFIED 100 mg/ml SOLN MILLILITER $3.0000



CYCLOSPORINE 100 mg CAP CAPSULE $7.5635

CYCLOSPORINE 25 mg CAP CAPSULE $1.7640

CYPROHEPTADINE HCL 2 mg/5 ml SYRINGE MILLILITER $0.0755

CYPROHEPTADINE HCL 4 mg TAB TABLET $0.2785

CYTARABINE/PF 2 gm/20 ml VIAL MILLILITER $1.2150

D-ALPHA TOCOPHEROL (VITAMIN E) 400 unit CAP CAPSULE $0.0726

DACARBAZINE 200 mg VIAL EACH $19.3650

DANAZOL 200 mg CAP CAPSULE $3.5765

DANTROLENE SODIUM 100 mg CAP CAPSULE $1.2545



DAPSONE 100 mg TAB TABLET $1.8125

DAPSONE 25 mg TAB TABLET $1.4888

DAPSONE 5% GEL GRAM $5.7035

DAPTOMYCIN 500 mg VIAL EACH $222.7250

DARIFENACIN HYDROBROMIDE 15 mg TAB ER 24HR TABLET $5.2295

DARIFENACIN HYDROBROMIDE 7.5 mg TAB ER 24HR TABLET $5.8566

DAUNORUBICIN HCL 5 mg/ml VIAL MILLILITER $24.8519

DECITABINE 50 mg SOLN EACH $822.6555

DEFEROXAMINE MESYLATE 2 gm VIAL EACH $43.2600

DEFEROXAMINE MESYLATE 500 mg VIAL EACH $13.5974

DEMECLOCYCLINE 150 mg TAB TABLET $3.0165

DEMECLOCYCLINE 300 mg TAB TABLET $7.5299




DESIPRAMINE HCL 10 mg TAB TABLET $0.6292




DESLORATADINE 5 mg TAB TABLET $0.4215

DESMOPRESSIN 0.1 mg/ml NASAL SPRAY MILLILITER $17.5316

DESMOPRESSIN ACETATE 0.1 mg TAB TABLET $0.7229

DESMOPRESSIN ACETATE 0.2 mg TAB TABLET $0.6550

DESOGESTREL/ETHINY ESTRADIOL (KARIVA, MIRCETTE) 0.15 mg; 20 mcg TAB TABLET $0.6225

DESOGESTREL/ETHINY ESTRADIOL (DESOGEN, ORTHO-CEPT, APRI) 0.15 mg; 30 mcg TAB TABLET $0.3799

DESOGESTREL/ETHINY ESTRADIOL 7-7-7 (CYCLESSA, VELIVET)

0.1-25/0.125-25/0.15-25 mg-mcg TAB TABLET $0.4920

DESONIDE 0.05% (15 gm) CREAM GRAM $2.2245

DESONIDE 0.05% (60 gm) CREAM GRAM $1.3755

DESONIDE 0.05% LOTION MILLILITER $2.1720

DESOXIMETASONE 0.05%; 15 gm GEL GRAM $3.4550

DESOXIMETASONE 0.05%; 60 gm GEL GRAM $3.1287

DESOXIMETASONE 0.25%; 15 gm OINT GRAM $0.4550

DESOXIMETASONE 0.25%; 60 gm OINT GRAM $1.3271

DESOXIMETASONE 0.25% CREAM GRAM $0.7550

DESOXIMETASONE 0.5% CREAM GRAM $2.8550

DESOXIMETASONE 0.05% OINT GRAM $5.2144

DESVENLAFAXINE SUCCINATE 100 mg TAB ER 24HR TABLET $0.8155



DEXAMETHASONE 0.5 mg TAB TABLET $0.0674

DEXAMETHASONE 0.5 mg/5 ml SOLN MILLILITER $0.0356






DEXAMETHASONE 4 mg TAB TABLET $0.1199

DEXAMETHASONE 4 mg/ml VIAL EACH $0.1756

DEXMETHYLPHENIDATE HCL (FOCALIN XR) 10 mg CAP ER CAPSULE $3.6388

DEXMETHYLPHENIDATE HCL (FOCALIN) 10 mg TAB TABLET $0.6955



DEXMETHYLPHENIDATE HCL (FOCALIN) 2.5 mg TAB TABLET $0.2725






DEXMETHYLPHENIDATE HCL (FOCALIN) 5 mg TAB TABLET $0.5125

DEXRAZOXANE HCL 250 mg VIAL EACH $227.0000

DEXRAZOXANE HCL 500 mg VIAL EACH $286.0000

DEXTRAN 70/HYPROMELLOSE 0.1%-0.3% DROPS MILLILITER $0.1864

DEXTROAMPHETAMINE SULFATE 10 mg CAP SA CAPSULE $1.7550

DEXTROAMPHETAMINE SULFATE 10 mg TAB TABLET $0.7665



DEXTROAMPHETAMINE SULFATE 5 mg TAB TABLET $1.1431

DEXTROAMPHETAMINE SULFATE 5 mg/5 ml SOLN MILLILITER $1.2995

DEXTROMETHORPHAN POLISTIREX 30 mg/5 ml SUSP MILLILITER $0.0800

DIAZEPAM 10 mg TAB TABLET $0.0271



DIAZEPAM 5 mg/ml SYRINGE EACH $12.9251

DIAZEPAM 5 mg/ml ORAL CONC MILLILITER $0.9485




DICLOFENAC POTASSIUM 50 mg TAB TABLET $0.4950

DICLOFENAC SODIUM 0.1% DROPS MILLILITER $1.5173

DICLOFENAC SODIUM 1% GEL GRAM $0.2735

DICLOFENAC SODIUM 1.5% DROPS MILLILITER $0.3350

DICLOFENAC SODIUM 3% GEL GRAM $1.0695

DICLOFENAC SODIUM 50 mg TAB EC TABLET $0.1195

DICLOFENAC SODIUM 75 mg TAB EC TABLET $0.9855

DICLOFENAC SODIUM XR 100 mg TAB XR TABLET $0.1755

DICLOFENAC SODIUM/MISOPROSTOL 50 mg; 200 mg TAB DR TABLET $1.5500

DICLOFENAC SODIUM/MISOPROSTOL 75 mg; 200 mg TAB DR TABLET $1.5500

DICLOXACILLIN SODIUM 250 mg CAP CAPSULE $0.2990

DICLOXACILLIN SODIUM 500 mg CAP CAPSULE $0.5700

DICYCLOMINE HCL 10 mg CAP CAPSULE $0.0438

DICYCLOMINE HCL 20 mg TAB TABLET $0.0567

DIDANOSINE 125 mg CAP DR CAPSULE $1.9950

DIDANOSINE 200 mg CAP DR CAPSULE $6.4841

DIDANOSINE 250 mg CAP SA CAPSULE $5.8440

DIDANOSINE 400 mg CAP SA CAPSULE $4.3500

DIFLORASONE DIACETATE 0.05% CREAM GRAM $10.4165

DIFLORASONE DIACETATE 0.05% OINT GRAM $3.5595

DIFLUNISAL 500 mg TAB TABLET $1.0685

DIGOXIN 0.05 mg/ml SOLN MILLILITER $2.0999

DIGOXIN 0.125 mg TAB TABLET $0.4065

DIGOXIN 0.250 mg TAB TABLET $0.3945

DIHYDROERGOTAMINE MESYLATE 1 mg/ml AMPUL EACH $136.3090

DILTIAZEM HCL 120 mg CAP ER DEG CAPSULE $0.3435

DILTIAZEM HCL 120 mg CAP ER 12HR CAPSULE $3.1996

DILTIAZEM HCL (CARDIZEM) 120 mg TAB TABLET $0.3000




DILTIAZEM HCL (CARDIZEM CD) 120 mg CAP ER 24HR CAPSULE $0.2545

DILTIAZEM HCL (TIAZAC ER) 120 mg CAP SA 24HR CAPSULE $0.2250



DILTIAZEM HCL (CARDIZEM LA) 180 mg TAB ER 24HR TABLET $1.9294















DILTIAZEM HCL 5 mg/ml VIAL MILLILITER $0.2900





DIMENHYDRINATE 50 mg TAB TABLET $0.0532

DIPHENHYDRAMINE 25 mg CAP CAPSULE $0.0300

DIPHENHYDRAMINE 50 mg CAP CAPSULE $0.0235

DIPHENHYDRAMINE HCL 12.5 mg/5 ml LIQUID MILLILITER $0.0111




DIPHENHYDRAMINE HCL 25 mg TAB TABLET $0.0300

DIPHENHYDRAMINE HCL 50 mg TAB TABLET $0.0220

DIPHENHYDRAMINE HCL 50 mg/ml SOLN MILLILITER $1.9300

DIPHENHYDRAMINE HCL 50 mg/ml VIAL EACH $0.6401

DIPHENHYDRAMINE HCL 6.25 mg/ml DROPS MILLILITER $1.6500

DIPHENHYDRAMINE HCL/ZINC ACET 2%-0.1% CREAM GRAM $0.0200

DIPHENOXYLATE HCL; ATROPINE SULFATE 2.5 mg; 0.025 mg TAB TABLET $0.3750

DIPYRIDAMOLE 25 mg TAB TABLET $0.2555



DISOPYRAMIDE 100 mg CAP CAPSULE $0.5520

DISULFIRAM 250 mg TAB TABLET $1.5665

DISULFIRAM 500 mg TAB TABLET $3.4555

DIVALPROEX SODIUM 125 mg CAP SPRINKLE CAPSULE $0.3599

DIVALPROEX SODIUM 125 mg TAB EC TABLET $0.0355


DIVALPROEX SODIUM 250 mg TAB ER TABLET $0.3850


DIVALPROEX SODIUM 500 mg TAB ER TABLET $0.3355

D-METHORPHAN HB/P-EPD HCL/BPM 10 mg; 30 mg; 2 mg/5 ml SYRINGE MILLILITER $0.1099

D-METHORPHAN/PE/ACETAMINOPHEN 10-5-325 mg CAP CAPSULE $0.1265

DOCETAXEL 20 mg/ml VIAL MILLILITER $26.5000

DOCETAXEL 80 mg/4 ml VIAL MILLILITER $21.3500




DOCUSATE CALCIUM 240 mg CAP CAPSULE $0.0600

DOCUSATE SODIUM 100 mg CAP CAPSULE $0.0175




DOCUSATE SODIUM 100 mg TAB TABLET $0.0342

DOCUSATE SODIUM 150 mg/15 ml LIQ MILLILITER $0.0137


DOCUSATE SODIUM 283 mg ENEMA EACH $2.0647


DOCUSATE SODIUM 60 mg/15 ml SYRUP MILLILITER $0.0072

DOFETILIDE 125 mcg CAP CAPSULE $3.9788



DONEPEZIL HCL 10 mg TAB RAPDIS TABLET $0.2899

DONEPEZIL HCL 10 mg TAB TABLET $0.0458


DONEPEZIL HCL 5 mg TAB RAPDIS TABLET $0.2100


DORZOLAMIDE HCL 2% DROPS MILLILITER $1.2429

DOXAZOSIN MESYLATE 1 mg TAB TABLET $0.1055




DOXEPIN HCL 10 mg/ml CONC MILLILITER $0.6000

DOXEPIN HCL 10 mg CAP CAPSULE $0.4412






DOXERCALCIFEROL 0.5 mcg CAP CAPSULE $11.8500

DOXERCALCIFEROL 1 mcg CAP CAPSULE $23.7000




DOXERCALCIFEROL 2.5 mcg CAP CAPSULE $27.2700

DOXORUBICIN HCL 10 mg/5 ml VIAL MILLILITER $2.2680

DOXORUBICIN HCL 2 mg/ml VIAL MILLILITER $1.6797



DOXORUBICIN HCL PEG-LIPOSOMAL 2 mg/ml VIAL MILLILITER $78.7555

DOXYCYCLINE HYCLATE 100 mg CAP CAPSULE $0.2689

DOXYCYCLINE HYCLATE 100 mg TAB TABLET $0.4550

DOXYCYCLINE HYCLATE 100 mg TAB EC TABLET $9.4050


DOXYCYCLINE HYCLATE 150 mg TAB EC TABLET $8.8255


DOXYCYCLINE HYCLATE 200 MG TAB DR TABLET $26.4555

DOXYCYCLINE HYCLATE 50 mg CAP CAPSULE $0.3915

DOXYCYCLINE HYCLATE 50 mg TAB DR TABLET $8.0555


DOXYCYCLINE HYCLATE 75 mg TAB DR TABLET $6.0555

DOXYCYCLINE MONOHYDRATE 100 mg CAP CAPSULE $0.3275

DOXYCYCLINE MONOHYDRATE 100 mg TAB TABLET $0.4525



DOXYCYCLINE MONOHYDRATE 25 mg/5 ml SUSP RECON MILLILITER $0.2700





DRONABINOL 10 mg CAP CAPSULE $5.6555

DRONABINOL 2.5 mg CAP CAPSULE $2.3580




DRONABINOL 5 mg CAP CAPSULE $5.6555

DROSPIR/ETH ESTRA/LEVOMEFOL CA 3-0.02(24) TAB TABLET $3.3555

DULOXETINE HCL 20 mg CAP CAPSULE $0.2275


DULOXETINE HCL 40 mg CAP DR CAPSULE $3.1550


DUTASTERIDE 0.5 mg CAP CAPSULE $0.2345

DUTASTERIDE/TAMSULOSIN HCL 0.5 mg; 0.4 mg CAP ER 24HR CAPSULE $2.8645

ECONAZOLE NITRATE 1% CREAM GRAM $1.1500

EFAVIRENZ 600 mg TAB TABLET $25.7010

ELETRIPTAN HBR 20 mg TAB TABLET $9.8550

ELETRIPTAN HBR 40 mg TAB TABLET $9.6500

ENALAPRIL MALEATE/HCTZ 10 mg; 25 mg TAB TABLET $0.1890

ENALAPRIL MALEATE/HCTZ 5 mg; 12.5 mg TAB TABLET $0.1382

ENALAPRIL MALEATE 10 mg TAB TABLET $0.1745

ENALAPRIL MALEATE 2.5 mg TAB TABLET $0.1645



ENALAPRILAT DIHYDRATE 1.25 mg/ml VIAL MILLILITER $3.0240

ENOXAPARIN SODIUM 100 mg/ml SYRINGE MILLILITER $6.9100

ENOXAPARIN SODIUM 120 mg/0.8 ml SYRINGE MILLILITER $11.9800

ENOXAPARIN SODIUM 150 mg/ml SYRINGE MILLILITER $12.6995


ENOXAPARIN SODIUM 300 mg/3 ml VIAL MILLILITER $35.2050




ENTACAPONE 200 mg TAB TABLET $0.7975




ENTECAVIR 0.5 mg TAB TABLET $3.3125

ENTECAVIR 1 mg TAB TABLET $2.2605

EPINASTINE HCL 0.05% DROPS MILLILITER $7.2750

EPINEPHRINE 0.3 mg/0.3 AUTO-INJ EACH $143.5286

EPINEPHRINE 1 mg/ml AMPUL EACH $2.4930

EPINEPHRINE 0.1 mg/ml SYRINGE MILLILITER $0.4500

EPIRUBICIN HCL 200 mg/100 ml VIAL MILLILITER $1.9688

EPIRUBICIN HCL 50 mg/25 ml VIAL MILLILITER $2.1175

EPLERENONE 25 mg TAB TABLET $1.5125

EPLERENONE 50 mg TAB TABLET $1.5755

ERGOCALCIFEROL (VITAMIN D2) 1.25 mg (50,000 unit) CAP CAPSULE $0.1355

ERGOCALCIFEROL (VITAMIN D2) 8,000 units/ml DROPS MILLILITER $0.6750

ERYTHROMYCIN 0.5% OPTH OINT GRAM $1.8501

ERYTHROMYCIN 2% SOLN MILLILITER $0.4189

ERYTHROMYCIN BASE 250 mg CAP DR CAPSULE $4.3800

ERYTHROMYCIN BASE 250 mg TAB TABLET $9.0744

ERYTHROMYCIN BASE 250 mg TAB DR TABLET $7.0665

ERYTHROMYCIN BASE 500 mg TAB TABLET $15.2750

ERYTHROMYCIN BASE 500 mg TAB DR TABLET $11.0351

ERYTHROMYCIN BASE/BENZOYL PEROXIDE 3%; 5% GEL GRAM $4.3750

ERYTHROMYCIN BASE/ETHANOL 2% GEL GRAM $1.7620

ERYTHROMYCIN BASE/ETHANOL 2% MED SWAB EACH $0.8950

ERYTHROMYCIN ETHYLSUCCINATE 200 mg/5 ml SUSP RECON MILLILITER $2.9750

ESCITALOPRAM OXALATE 10 mg TAB TABLET $0.0670


ESCITALOPRAM OXALATE 5 mg/5 ml ORAL SOLN MILLILITER $0.4895


ESOMEPRAZOLE MAGNESIUM 20 mg CAP DR CAPSULE $0.3570




ESOMEPRAZOLE MAGNESIUM 40 mg CAP DR CAPSULE $0.4570

ESTAZOLAM 1 mg TAB TABLET $0.5335

ESTAZOLAM 2 mg TAB TABLET $0.5365

ESTRADIOL 0.1% CREAM GRAM $5.3525

ESTRADIOL (CLIMARA) 0.1 mg PATCH EACH $13.6715




ESTRADIOL (CLIMARA) 0.06mg PATCH EACH $13.7200


ESTRADIOL (VIVELLE-DOT) 0.1 mg/24hr PATCH EACH $8.9870





ESTRADIOL/NORETHINDRONE ACETATE (ACTIVELLA) 0.5 mg; 0.1mg TAB TABLET $2.7595

ESTRADIOL/NORETHINDRONE ACETATE (ACTIVELLA) 1 mg; 0.5 mg TAB TABLET $2.2557

ESTRADIOL 0.5 mg TAB TABLET $0.0850

ESTRADIOL 1 mg TAB TABLET $0.1086

ESTRADIOL 10 mcg TAB TABLET $17.5917

ESTRADIOL 2 mg TAB TABLET $0.1325

ESTRADIOL VALERATE 20 mg/ml VIAL EACH $25.5558

ESTROPIPATE 0.75 mg TAB TABLET $0.3640

ESTROPIPATE 1.5 mg TAB TABLET $0.4935

ESZOPICLONE 1 mg TAB TABLET $0.1115



ETHACRYNIC ACID 25 mg TAB TABLET $17.1270




ETHAMBUTOL HCL 100 mg TAB TABLET $0.9858

ETHAMBUTOL HCL 400 mg TAB TABLET $0.7320

ETHINYL ESTRADIOL/DROSPIRENONE (YAZ) 0.02-3(24) TAB TABLET $0.8735

ETHINYL ESTRADIOL/DROSPIRENONE (YASMIN, OCELLA) 0.03 mg; 3 mg TAB TABLET $0.7200

ETHOSUXIMIDE 250 mg CAP CAPSULE $0.9884

ETHOSUXIMIDE 250 mg/5 ml SYRINGE MILLILITER $0.2333

ETHYNODIOL DIACETATE/ETHINYL ESTRADIOL (ZOVIA 1/35E) 1 mg; 35 mcg TAB TABLET $0.6565

ETHYNODIOL DIACETATE/ETHINYL ESTRADIOL (ZOVIA 1/50E) 1 mg; 50 mcg TAB TABLET $0.7925

ETODOLAC 200 mg CAP CAPSULE $0.7525

ETODOLAC 300 mg CAP CAPSULE $0.7525

ETODOLAC 400 mg TAB TABLET $0.4945

ETODOLAC 400 mg TAB ER TABLET $1.8665

ETODOLAC 500 mg TAB TABLET $0.7475



ETOPOSIDE 20 mg/ml VIAL MILLILITER $1.8300

ETOPOSIDE 50 mg CAP EACH $71.5000

EXEMESTANE 25 mg TAB TABLET $3.4865

EZETIMIBE/SIMVASTATIN 10 mg; 10 mg TAB TABLET $2.1500




EZETIMIBE 10 mg TAB TABLET $0.2466

FAMCICLOVIR 125 mg TAB TABLET $0.3345



FAMOTIDINE/CALCIUM CARBONATE/MAGNESIUM 10-800-165 TAB CHEW TABLET $0.2135

FAMOTIDINE 10 mg TAB TABLET $0.0842





FAMOTIDINE 40 mg/5 ml SUSP MILLILITER $0.7995


FELBAMATE 400 mg TAB TABLET $1.9535

FELBAMATE 600 mg/5 ml ORAL SUSP MILLILITER $1.3125

FELBAMATE 600 mg TAB TABLET $3.3300

FELODIPINE 10 mg TAB ER TABLET $0.2154

FELODIPINE 2.5 mg TAB ER TABLET $0.1295

FELODIPINE 5 mg TAB ER TABLET $0.2167

FENOFIBRATE, MICRONIZED 130 mg CAP CAPSULE $2.2800





FENOFIBRATE, NANOCRYSTALLIZED 145 mg TAB TABLET $0.2955

FENOFIBRATE, NANOCRYSTALLIZED 48 mg TAB TABLET $0.3000

FENOFIBRATE 120 mg TAB TABLET $23.9479



FENOFIBRIC ACID (CHOLINE) 135 mg CAP DR CAPSULE $1.2500

FENOFIBRIC ACID (CHOLINE) 45 mg CAP DR CAPSULE $0.7145

FENTANYL CITRATE 1,200 mcg LOZENGE EACH $17.2550

FENTANYL CITRATE 1,600 mcg LOZENGE EACH $24.4550

FENTANYL CITRATE 200 mcg LOZENGE EACH $19.7442




FENTANYL CITRATE/PF 50 mcg/ml AMPUL EACH $0.7177




FENTANYL CITRATE/PF 50 mcg/ml VIAL EACH $0.4065

FENTANYL 100 mcg PATCH PATCH $5.7550



FENTANYL 37.5 mcg PATCH PATCH $41.4956


FENTANYL 62.5 mcg PATCH PATCH $48.6500


FENTANYL 87.5 mg PATCH PATCH $66.2500

FERROUS GLUCONATE 324 mg TAB TABLET $0.0677

FERROUS SULFATE 15 mg/ml DROPS MILLILITER $0.0600

FERROUS SULFATE 220 mg/5 ml ELIXIR MILLILITER $0.0150

FERROUS SULFATE 325 mg TAB EC TABLET $0.1650

FERROUS SULFATE 325 mg TAB TABLET $0.0150

FEXOFENADINE HCL/ PSEUDOEPHEDRINE HCL 60 mg; 20 mg TAB ER 12HR TABLET $0.9600

FEXOFENADINE HCL 180 mg TAB TABLET $0.3960

FEXOFENADINE HCL 30 mg/5 ml ORAL SUSP MILLILITER $0.0629

FEXOFENADINE HCL 60 mg TAB TABLET $0.3360

FINASTERIDE 5 mg TAB TABLET $0.1126

FLAVOXATE HCL 100 mg TAB TABLET $0.7245

FLECAINIDE ACETATE 100 mg TAB TABLET $0.3215



FLUCONAZOLE IN SALINE, ISO-OSMOTIC 400 mg/200 ml IV MILLILITER $0.0580

FLUCONAZOLE 10 mg/ml SUSP MILLILITER $0.3095

FLUCONAZOLE 100 mg TAB TABLET $0.7125






FLUCONAZOLE 40 mg/ml SUSP MILLILITER $0.7054


FLUCYTOSINE 250 mg CAP CAPSULE $59.0897

FLUCYTOSINE 500 mg CAP CAPSULE $62.0000

FLUDARABINE PHOSPHATE 50 mg VIAL EACH $119.0700

FLUDARABINE PHOSPHATE 50 mg/2 ml VIAL MILLILITER $156.1920

FLUDROCORTISONE ACETATE 0.1 mg TAB TABLET $0.3315

FLUMAZENIL 0.1 mg/ml VIAL MILLILITER $0.8500

FLUNISOLIDE 0.025% SPRAY MILLILITER $1.7606

FLUOCINONIDE 0.1% CREAM GRAM $1.4750

FLUOCINONIDE 0.05% CREAM GRAM $0.6775

FLUOCINONIDE 0.05% GEL GRAM $1.7165

FLUOCINONIDE 0.05% OINT GRAM $1.1125

FLUOCINONIDE 0.05% SOLN MILLILITER $0.9075

FLUOCINONIDE ACETONIDE 0.01% OIL MILLILITER $0.4465

FLUOCINONIDE ACETONIDE OIL 0.01% DROPS MILLILITER $6.3755

FLUOCINONIDE ACETONIDE SCALP OIL 0.01% OIL MILLILITER $0.7525

FLUOCINONIDE/EMOLLIENT 0.05% CREAM GRAM $1.0525

FLUORIDE (SODIUM) 1.1% GEL GRAM $0.0822

FLUOROURACIL 5% CREAM GRAM $2.7500

FLUOROURACIL 5% SOLN MILLILITER $5.0525

FLUOROURACIL 50 mg/ml; 10 ml VIAL MILLILITER $0.3282



FLUOXETINE HCL 10 mg CAP CAPSULE $0.0389

FLUOXETINE HCL 10 mg TAB TABLET $0.0389






FLUOXETINE HCL 20 mg/5 ml SYRINGE SYRUP $0.0450



FLUOXETINE HCL 90 mg CAP DR CAPSULE $28.4275

FLUPHENAZINE 1 mg TAB TABLET $3.2857


FLUPHENAZINE 2.5 mg TAB TABLET $4.5420

FLUPHENAZINE 25 mg/ml INJ MILLILITER $15.6545


FLURAZEPAM HCL 15 mg CAP CAPSULE $0.4302

FLURAZEPAM HCL 30 mg CAP CAPSULE $0.5186

FLURBIPROFEN 100 mg TAB TABLET $0.3300

FLURBIPROFEN 50 mg TAB TABLET $0.2160

FLURBIPROFEN SODIUM 0.03% OPTH SOLN MILLILITER $1.1580

FLUTAMIDE 125 mg CAP CAPSULE $0.4305

FLUTICASONE PROPIONATE 0.005% OINT GRAM $0.4545

FLUTICASONE PROPIONATE 0.05% CREAM GRAM $0.2975

FLUTICASONE PROPIONATE 0.05% LOTION GRAM $3.1550

FLUTICASONE PROPIONATE 50 mcg NASAL SPRAY GRAM $0.2375

FLUTICASONE PROPIONATE 50 mcg NASAL SPRAY OTC GRAM $0.4928

FLUVASTATIN 80 mg TAB ER 24HR TABLET $5.2137

FLUVASTATIN SODIUM 20 mg CAP CAPSULE $2.5550

FLUVASTATIN SODIUM 40 mg CAP CAPSULE $2.5550

FLUVOXAMINE 100 mg TAB TABLET $0.2791



FLUVOXAMINE MALEATE 100 mg CAP ER 24HR CAPSULE $6.2595

FLUVOXAMINE MALEATE 150 mg CAP ER 24HR CAPSULE $6.3745




FOLIC ACID/VITAMIN B COMP W-C 1 mg CAP CAPSULE $0.1500

FOLIC ACID 0.4 mg TAB TABLET $0.0110

FOLIC ACID 1 mg TAB TABLET $0.0138

FONDAPARINUX SODIUM 10 mg/0.8 ml SYRINGE MILLILITER $79.8480

FONDAPARINUX SODIUM 2.5 mg/0.5 ml SYRINGE MILLILITER $31.5885

FONDAPARINUX SODIUM 5 mg/0.4 ml SYRINGE MILLILITER $237.6750

FONDAPARINUX SODIUM 7.5 mg/0.6 ml SYRINGE MILLILITER $74.5555

FOSAMPRENAVIR 700 mg TAB TABLET $15.7483

FOSINOPRIL SODIUM/HCTZ 10 mg; 12.5 mg TAB TABLET $0.7440

FOSINOPRIL SODIUM/HCTZ 20 mg; 12.5 mg TAB TABLET $0.7440

FOSINOPRIL SODIUM 10 mg TAB TABLET $0.1193



FOSPHENYTOIN SODIUM 100 mg PE/2 VIAL MILLILITER $0.8675

FOSPHENYTOIN SODIUM 500 mg PE/10 VIAL MILLILITER $0.6000

FROVATRIPTAN SUCCINATE 2.5 mg TAB TABLET $30.3375

FUROSEMIDE 10 mg/ml SOLN MILLILITER $0.1162

FUROSEMIDE 10 mg/ml VIAL MILLILITER $0.8000

FUROSEMIDE 20 mg TAB TABLET $0.0136



GABAPENTIN 100 mg CAP CAPSULE $0.0295

GABAPENTIN 250 mg/5 ml SOLN MILLILITER $0.1257



GABAPENTIN 600 mg TAB TABLET $0.0570

GABAPENTIN 800 mg TAB TABLET $0.1298

GALANTAMINE HYDROBROMIDE 12 mg TAB TABLET $0.7625




GALANTAMINE HYDROBROMIDE 16 mg CAP ER CAPSULE $1.1500





GATIFLOXACIN 0.5% DROPS MILLILITER $25.1595

GEMCITABINE HCL 1 gm VIAL EACH $45.5360

GEMCITABINE HCL 1 gm/26.3 ml VIAL MILLILITER $0.9000

GEMCITABINE HCL 2 gm VIAL EACH $135.1356

GEMCITABINE HCL 2 gm/52.6 ml VIAL MILLILITER $1.0550

GEMCITABINE HCL 200 mg VIAL EACH $11.7251

GEMFIBROZIL 600 mg TAB TABLET $0.1062

GENTAMICIN SULFATE 0.1% CREAM GRAM $2.3590

GENTAMICIN SULFATE 0.1% OINT GRAM $2.3550

GENTAMICIN SULFATE 0.3% OINT GRAM $3.5571

GENTAMICIN SULFATE 0.3% OPTH SOLN MILLILITER $0.8425

GENTAMICIN SULFATE 40 mg/ml VIAL MILLILITER $0.6000

GLATIRAMER ACETATE 20 mg/ml SYRINGE MILLILITER $66.0000

GLATIRAMER ACETATE 40 mg/ml SYRINGE EACH $160.0000

GLIMEPIRIDE 1 mg TAB TABLET $0.0743



GLIPIZIDE/METFORMIN HCL 2.5 mg; 250 mg TAB TABLET $0.4500

GLIPIZIDE/METFORMIN HCL 2.5 mg; 500 mg TAB TABLET $0.3370

GLIPIZIDE/METFORMIN HCL 5 mg; 500 mg TAB TABLET $0.3100

GLIPIZIDE 10 mg TAB SA TABLET $0.2575

GLIPIZIDE 10 mg TAB TABLET $0.0300

GLIPIZIDE 2.5 mg TAB SA TABLET $0.1700




GLIPIZIDE 5 mg TAB SA TABLET $0.1670

GLIPIZIDE 5 mg TAB TABLET $0.0314

GLYBURIDE, MICRONIZED 1.5 mg TAB TABLET $0.0345

GLYBURIDE, MICRONIZED 3 mg TAB TABLET $0.0323

GLYBURIDE, MICRONIZED 6 mg TAB TABLET $0.1524

GLYBURIDE/METFORMIN HCL 1.25 mg; 250 mg TAB TABLET $0.0450

GLYBURIDE/METFORMIN HCL 2.5 mg; 500 mg TAB TABLET $0.0506

GLYBURIDE/METFORMIN HCL 5 mg; 500 mg TAB TABLET $0.0540

GLYBURIDE 1.25 mg TAB TABLET $0.1200

GLYBURIDE 2.5 mg TAB TABLET $0.0550

GLYBURIDE 5 mg TAB TABLET $0.0550

GLYCERIN Adult SUPP EACH $0.4228

GLYCERIN Pediatric SUPP EACH $0.0668

GLYCOPYRROLATE 0.2 mg/ml VIAL MILLILITER $7.0555

GLYCOPYRROLATE 1 mg TAB TABLET $0.2245

GLYCOPYRROLATE 2 mg TAB TABLET $0.3800

GRANISETRON HCL 1 mg TAB TABLET $1.8900

GRANISETRON HCL 1 mg/ml; MDV VIAL MILLILITER $8.2032

GRANISETRON HCL 1 mg/ml; SDV VIAL MILLILITER $9.0000

GRISEOFULVIN MICROSIZE 125 mg/5 ml SUSP MILLILITER $0.2378

GRISEOFULVIN MICROSIZE 500 mg TAB TABLET $6.4130

GRISEOFULVIN ULTRAMICROSIZE 125 mg TAB TABLET $2.6000

GRISEOFULVIN ULTRAMICROSIZE 250 mg TAB TABLET $3.3945

GUAIFENESIN 100 mg/5 ml SOLN MILLILITER $0.0072

GUAIFENESIN 1200 mg TAB ER TABLET $0.4800

GUAIFENESIN 200 mg TAB TABLET $0.0395

GUAIFENESIN 400 mg TAB TABLET $0.0890

GUAIFENESIN 600 mg TAB ER TABLET $0.4170




GUAIFENESIN; CODEINE PHOSPHATE (SUGAR FREE) 100 mg; 10 mg LIQUID MILLILITER $0.0317

GUAIFENESIN/DEXTROMETHORPHAN HBR 100 mg; 5 mg/5 ml LIQUID MILLILITER $0.0200

GUAIFENESIN/DEXTROMETHORPHAN HBR 100 mg; 10 mg LIQUID MILLILITER $0.0175

GUAIFENESIN/DEXTROMETHORPHAN HBR 100 mg; 10 mg/5 ml SYRINGE MILLILITER $0.0085

GUAIFENESIN/DEXTROMETHORPHAN HBR 200 mg; 10 mg/5 ml LIQUID MILLILITER $0.0226

GUAIFENESIN/DEXTROMETHORPHAN HBR 400 mg; 20 mg TAB TABLET $0.0899

GUAIFENESIN/ DEXTROMETHORPHAN HBR/ PHENYLEPHRINE 100-10-5 mg LIQUID MILLILITER $0.0353

GUAIFENESIN/PHENYLEPHRINE HCL 400 mg; 10 mg TAB TABLET $0.1014

GUAIFENESIN/PSEUDOEPHEDRINE HCL 600 mg; 60 mg TAB ER 12HR TABLET $0.4200

GUAIFENESIN/PSEUDOEPHEDRINE HCL/ CODEINE 100 mg; 30 mg; 10 mg SYRINGE MILLILITER $0.1680

GUANFACINE 1 mg TAB TABLET $0.0702

GUANFACINE 1 mg TAB ER TABLET $0.4500

GUANFACINE 2 mg TAB TABLET $0.0900




HALOBETASOL PROPIONATE 0.05% CREAM GRAM $2.4655

HALOBETASOL PROPIONATE 0.05% OINT GRAM $1.8935

HALOPERIDOL LACTATE 2 mg/ml; 120 ml CONC MILLILITER $0.0449

HALOPERIDOL 0.5 mg TAB TABLET $0.1975

HALOPERIDOL 1 mg TAB TABLET $0.3189





HALOPERIDOL DECANOATE 100 mg/ml VIAL MILLILITER $33.9555

HALOPERIDOL LACTATE 5 mg/ml VIAL MILLILITER $1.0329

HC ACETATE/LIDOCAINE HCL 0.5%; 3% CREAM GRAM $0.8252




HEPARIN SODIUM, PORCINE 10,000/ml VIAL EACH $2.2225



HYDRALAZINE HCL 10 mg TAB TABLET $0.0448


HYDRALAZINE HCL 20 mg/ml VIAL MILLILITER $3.7500



HYDROCHLOROTHIAZIDE 12.5 mg CAP CAPSULE $0.0374

HYDROCHLOROTHIAZIDE 12.5 mg TAB TABLET $0.0720

HYDROCHLOROTHIAZIDE 25 mg TAB TABLET $0.0096

HYDROCHLOROTHIAZIDE 50 mg TAB TABLET $0.0177

HYDROCODONE/ACETAMINOPHEN 5 mg; 300 mg TAB TABLET $0.7748

HYDROCODONE/ACETAMINOPHEN 7.5 mg; 300 mg TAB TABLET $0.8144

HYDROCODONE BIT/ACETAMINOPHEN 10 mg; 300 mg TAB TABLET $1.3775

HYDROCODONE BIT/ACETAMINOPHEN 7.5 mg; 325 mg/15 ml SOLN MILLILITER $0.1269

HYDROCODONE BIT/HOMATROPINE 5 mg; 1.5 mg/5 ml SYRINGE MILLILITER $0.1080

HYDROCODONE BITARTRATE/ HOMATROPINE METHYLBROMIDE 5 mg; 1.5 mg TAB TABLET $0.7125

HYDROCODONE POLISTRX/ CHLORPHENIRAMINE POLISTIREX 10-8 mg/5 ml SUSP MILLILITER $0.3926

HYDROCODONE/APAP 10 mg; 325 mg TAB TABLET $0.1465

HYDROCODONE/APAP 5 mg; 325 mg TAB TABLET $0.1000

HYDROCODONE/APAP 7.5 mg; 325 mg TAB TABLET $0.1355

HYDROCODONE/CMP/PSEUDOEPHED 5; 4; 60 mg/5 ORAL SOLN MILLILITER $0.5729

HYDROCODONE/IBUPROFEN 10 mg; 200 mg TAB TABLET $2.0663

HYDROCODONE/IBUPROFEN 5 mg; 200 mg TAB TABLET $2.6500

HYDROCODONE/IBUPROFEN 7.5 mg; 200 mg TAB TABLET $0.2500

HYDROCORTISONE 0.5% OINT GRAM $0.1474

HYDROCORTISONE 1% CREAM GRAM $0.0395




HYDROCORTISONE 1% CREAM/APPL GRAM $0.6500

HYDROCORTISONE 1% LOTION MILLILITER $0.0662

HYDROCORTISONE 1% OINT GRAM $0.1200

HYDROCORTISONE 100 mg/60 ml ENEMA MILLILITER $0.1077

HYDROCORTISONE 2.5% CREAM/APPL GRAM $0.6775

HYDROCORTISONE 2.5% CREAM GRAM $0.1100

HYDROCORTISONE 2.5% LOTION MILLILITER $0.2559

HYDROCORTISONE 2.5% OINT GRAM $0.1125

HYDROCORTISONE 10 mg TAB TABLET $0.1680



HYDROCORTISONE/ALOE 1% CREAM GRAM $0.0565

HYDROCORTISONE ACETATE 0.5% CREAM GRAM $0.0670

HYDROCORTISONE ACETATE 1% CREAM GRAM $0.0536

HYDROCORTISONE BUTYRATE 0.1%; 15 gm OINT GRAM $1.2224

HYDROCORTISONE BUTYRATE 0.1%; 20 ml SOLN MILLILITER $1.2224

HYDROCORTISONE BUTYRATE 0.1% CREAM GRAM $2.1895

HYDROCORTISONE/PRAMOXINE 1%-1% CREAM/APPL GRAM $1.2605

HYDROCORTISONE/PRAMOXINE 2.5%-1% CREAM/APPL GRAM $4.7875

HYDROCORTISONE BUTYRATE/EMOLLIENT 0.1% CREAM GRAM $2.9350

HYDROCORTISONE VALERATE 0.2% CREAM GRAM $1.3025

HYDROCORTISONE VALERATE 0.2% OINT GRAM $2.9555

HYDROMORPHONE HCL 1 mg/ml LIQUID MILLILITER $0.2455

HYDROMORPHONE HCL 2 mg TAB TABLET $0.0806



HYDROMORPHONE HCL 12 mg TAB ER 24HR TABLET $8.8455







HYDROXOCOBALAMIN 1,000 mcg/ml VIAL EACH $1.0369

HYDROXYCHLOROQUINE SULFATE 200 mg TAB TABLET $0.3355

HYDROXYUREA 500 mg CAP CAPSULE $0.3045

HYDROXYZINE 10 mg/5 ml SYRINGE MILLILITER $0.0555

HYDROXYZINE HCL 10 mg TAB TABLET $0.0726



HYDROXYZINE PAMOATE 100 mg CAP CAPSULE $0.4315



IBANDRONATE SODIUM 150 mg TAB TABLET $8.7550

IBANDRONATE SODIUM 3 mg/3 ml SYRINGE MILLILITER $79.4280

IBUPROFEN/OXYCODONE HCL 400 mg; 5 mg TAB TABLET $1.5462

IBUPROFEN/PSEUDOEPHEDRINE HCL 200 mg; 30 mg TAB TABLET $0.1539

IBUPROFEN 100 mg/5 ml ORAL SUSP MILLILITER $0.0299

IBUPROFEN 100 mg TAB CHEW TABLET $0.1582

IBUPROFEN 200 mg CAP CAPSULE $0.0993

IBUPROFEN 200 mg TAB TABLET $0.0392


IBUPROFEN 50 mg/1.25 ml SUSP MILLILITER $0.2435



IDARUBICIN HCL 1 mg/ml VIAL MILLILITER $19.4670

IFOSFAMIDE 1 gm VIAL EACH $44.3940

IFOSFAMIDE 3 gm VIAL EACH $150.2790

IMATINIB MESYLATE 100 mg TAB TABLET $26.7550




IMATINIB MESYLATE 400 mg TAB TABLET $33.4565

IMIPENEM/CILASTATIN SODIUM 250 mg VIAL EACH $5.9063

IMIPENEM/CILASTATIN SODIUM 500 mg VIAL EACH $10.5000

IMIPRAMINE HCL 10 mg TAB TABLET $0.1140



IMIPRAMINE PAMOATE 100 mg CAP CAPSULE $6.3075




IMIQUIMOD 5% CREAM GRAM $1.3915

INDAPAMIDE 1.25 mg TAB TABLET $0.3146

INDAPAMIDE 2.5 mg TAB TABLET $0.1985

INDOMETHACIN 25 mg CAP CAPSULE $0.0925

INDOMETHACIN 50 mg CAP CAPSULE $0.1398

INDOMETHACIN SR 75 mg CAP, SR CAPSULE $0.5845

INSULIN SYRINGE (NDC 11917-0048-15) 0.3 ml; 31 g x 5/16” SYRINGE EACH $0.1900

INSULIN SYRINGE (NDC 11917-0025-29) 1 ml SYRINGE EACH $0.1900

INSULIN SYRINGE (NDC 11917-0048-13) 1 ml; 31 g x 5/16” SYRINGE EACH $0.1900

INSULIN SYRINGE (NDC 11917-0025-28) 1/2 ml SYRINGE EACH $0.1900

INSULIN SYRINGE (NDC 11917-0025-27) 3/10 ml SYRINGE EACH $0.1900

IPRATROPIUM BROMIDE 0.02% INH SOLN MILLILITER $0.0595

IPRATROPIUM BROMIDE 0.03% NASAL INH SOLN MILLILITER $0.8329

IPRATROPIUM BROMIDE 0.06% NASAL INH SOLN MILLILITER $1.3708

IPRATROPIUM/ALBUTEROL SULFATE 0.5 mg; 2.5 mg/3 ml SOLN MILLILITER $0.0589

IRBESARTAN/HYDROCHLOROTHIAZIDE 150 mg; 12.5 mg TAB TABLET $0.0960

IRBESARTAN/HYDROCHLOROTHIAZIDE 300 mg; 12.5 mg TAB TABLET $0.2964

IRBESARTAN 150 mg TAB TABLET $0.1223






IRINOTECAN HCL 100 mg/5 ml VIAL MILLILITER $3.9300

IRINOTECAN HCL 40 mg/2 ml VIAL MILLILITER $6.4793

IRON CARB, GL/FA/B12/C/DOCUSATE (FOCALGIN DSS) 90-1-50 mg TAB TABLET $1.9865

IRON FM,PS NO.1/FOLIC/MV NO.18 (PUREVIT DUALFE PLUS, SE-TAN PLUS) 106 mg; 1 mg CAP CAPSULE $0.3895

IRON POLYSACCHARIDES COMPLEX 150 mg CAP CAPSULE $0.1427

ISONIAZID 300 mg TAB TABLET $0.1215

ISOSORBIDE DINITRATE 10 mg TAB TABLET $0.4825



ISOSORBIDE DINITRATE 40 mg TAB ER 12HR TABLET $1.5150


ISOSORBIDE MONONITRATE 10 mg TAB TABLET $0.1920

ISOSORBIDE MONONITRATE 120 mg TAB ER TABLET $0.4200

ISOSORBIDE MONONITRATE 20 mg TAB TABLET $0.1560



ISOTRETINOIN 10 mg CAP CAPSULE $3.0509




ISRADIPINE 2.5 mg CAP CAPSULE $0.7675

ISRADIPINE 5 mg CAP CAPSULE $1.2625

ITRACONAZOLE 100 mg CAP CAPSULE $2.4940

IVERMECTIN 3 mg TAB TABLET $3.9125

KETOCONAZOLE 2% SHAMPOO MILLILITER $0.0734

KETOCONAZOLE 2% CREAM GRAM $0.8450




KETOCONAZOLE 200 mg TAB TABLET $1.2460

KETOPROFEN 200 mg CAP SR 24HR TABLET $6.6720

KETOPROFEN 50 mg CAP CAPSULE $0.3840

KETOPROFEN 75 mg CAP CAPSULE $0.4560

KETOROLAC TROMETHAMINE 0.4% DROPS MILLILITER $6.5885

KETOROLAC TROMETHAMINE 0.5% DROPS MILLILITER $1.4649

KETOROLAC TROMETHAMINE 10 mg TAB TABLET $0.8280

KETOROLAC TROMETHAMINE 30 mg/ml SOLN MILLILITER $1.3755

KETOROLAC TROMETHAMINE 60 mg/2 ml VIAL MILLILITER $1.2165

KETOTIFEN FUMARATE 0.025% DROPS MILLILITER $1.4600

LABETALOL HCL 100 mg TAB TABLET $0.1975



LACTULOSE 10 gm/15 ml SOLN MILLILITER $0.0150

LACTULOSE 10 gm/15 ml SOLN MILLILITER $0.0150

LAMIVUDINE 10 mg/ml SOLN MILLILITER $0.3902

LAMIVUDINE 100 mg TAB TABLET $3.1475



LAMIVUDINE/ZIDOVUDINE 150 mg; 300 mg TAB TABLET $1.2865

LAMOTRIGINE 100 mg TAB TABLET $0.0525

LAMOTRIGINE 100 mg TAB ER 24HR TABLET $3.7175

LAMOTRIGINE 100 mg TAB ODT TABLET $6.0855









LAMOTRIGINE 25 mg TAB CHEW TABLET $0.2000



LAMOTRIGINE 25 mg (35) TAB TABLET $6.4150


LAMOTRIGINE 5 mg TAB CHEW TABLET $0.1750



LANSOPRAZOLE 15 mg CAP DR CAPSULE $0.4299

LANSOPRAZOLE 15 mg TAB DR TABLET $10.6500

LANSOPRAZOLE 30 mg CAP DR CAPSULE $0.2075

LANSOPRAZOLE/AMOXICILLIN/ CLARITHROMYCIN 30-500-500 EACH

COMBINATION PACKAGE $2.9523

LANTHANUM CARBONATE 1,000 mg TAB CHEW TABLET $8.4968

LATANOPROST 0.005% DROPS MILLILITER $1.8288

LEFLUNOMIDE 10 mg TAB TABLET $2.6565

LEFLUNOMIDE 20 mg TAB TABLET $2.5765

LETROZOLE 2.5 mg TAB TABLET $0.1396

LEUCOVORIN CALCIUM 100 mg VIAL EACH $9.0000

LEUCOVORIN CALCIUM 25 mg TAB TABLET $5.9735



LEUCOVORIN CALCIUM 5 mg TAB TABLET $0.7500


LEUPROLIDE ACETATE 1 mg/0.2 ml KIT EACH $228.7500

LEVALBUTEROL HCL 0.31 mg/3 ml VIAL MILLILITER $0.4248


LEVALBUTEROL HCL 1.25 mg/0.5 ml VIAL EACH $3.9000





LEVETIRACETAM 100 mg/ml SOLN MILLILITER $0.0375

LEVETIRACETAM 1,000 mg TAB TABLET $0.2189

LEVETIRACETAM 250 mg TAB TABLET $0.0900

LEVETIRACETAM 500 mg/5 ml VIAL MILLILITER $1.3126

LEVETIRACETAM 500 mg/5 ml SOLN MILLILITER $0.0352

LEVETIRACETAM 500 mg TAB ER 24HR TABLET $0.2721


LEVETIRACETAM 750 mg TAB ER 24HR TABLET $0.4956


LEVOBUNOLOL HCL 0.5% OPTH SOLN MILLILITER $0.4717

LEVOCARNITINE 100 mg/ml LIQUID MILLILITER $0.3000

LEVOCARNITINE 200 mg/ml VIAL MILLILITER $2.6712

LEVOCARNITINE 330 mg TAB TABLET $0.6338

LEVOCETIRIZINE DIHYDROCHLORIDE 2.5 mg/5 ml SOLN MILLILITER $0.3635

LEVOCETIRIZINE DIHYDROCHLORIDE 5 mg TAB TABLET $0.0900

LEVOFLOXACIN 0.5% DROPS MILLILITER $6.3035

LEVOFLOXACIN 250 mg/10 ml ORAL SOLN MILLILITER $0.9425

LEVOFLOXACIN 250 mg TAB TABLET $0.1265



LEVOLEUCOVORIN 50 mg VIAL EACH $104.6320

LEVONORGESTREL 1.5 mg TAB TABLET $16.6585

LEVONORGESTREL-ETH ESTRA (AMETHYST) 90 mcg; 20 mcg TAB TABLET $0.8640

LEVONORGESTREL/ETHINYL ESTRADIOL (ALESSE, LEVLITE, AVIANE) 0.1 mg; 20 mcg TAB TABLET $0.3465

LEVONORGESTREL/ETHINYL ESTRADIOL (LEVLEN, NORDETTE, LEVORA 0.15/30) 0.15 mg; 30 mcg TAB TABLET $0.2950

LEVONORGESTREL/ETHINYL ESTRADIOL (SEASONALE, JOLESSA, QUASENSE) 0.15 mg; 30 mcg TAB TABLET $0.4075

LEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL 100-20(84)

TAB DOSE PACK TABLET $1.3405

LEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL 150-30 (84)

TAB, DOSE PACK, 3 MONTHS

TABLET $1.2480




LEVONORGESTREL/ ETHINYL ESTRADIOL TRIPHASIC

(TRI-LEVLEN, TRIPHASIL, TRIVORA-28)

0.05 mg/30 mcg; 0.075 mg/40 mcg; 0.125

mg/30 mcg TAB TABLET $0.4855

LEVOTHYROXINE 100 mcg TAB TABLET $0.3725

LEVOTHYROXINE 100 mcg VIAL EACH $126.6555












LIDOCAINE 2% GEL GRAM $0.3008

LIDOCAINE 3% CREAM GRAM $1.1025



LIDOCAINE 5% OINT GRAM $0.7750

LIDOCAINE 5% PATCH EACH $2.3150

LIDOCAINE HCL 10 mg/ml VIAL EACH $0.0717

LIDOCAINE HCL 2% GEL MILLILITER $0.4700

LIDOCAINE HCL 2% VISCOUS ORAL MILLILITER $0.0260

LIDOCAINE HCL 4% SOLN MILLILITER $0.5500

LIDOCAINE/HYDROCORTISONE AC 3%-5% CREAM GRAM $1.1365

LIDOCAINE/PRILOCAINE 2.5-2.5% CREAM GRAM $0.3465

LINEZOLID 100 mg/5 ml SUSP RECON MILLILITER $2.7050

LINEZOLID 600 mg/300 ml IV MILLILITER $0.1350




LINEZOLID 600 mg TAB TABLET $2.0550

LIOTHYRONINE SODIUM 25 mcg TAB TABLET $0.5125



LISINOPRIL/HCTZ 10 mg; 12.5 mg TAB TABLET $0.0296

LISINOPRIL/HCTZ 20 mg; 12.5 mg TAB TABLET $0.0479

LISINOPRIL/HCTZ 20 mg; 25 mg TAB TABLET $0.0534

LISINOPRIL 10 mg TAB TABLET $0.0180

LISINOPRIL 2.5 mg TAB TABLET $0.0141

LISINOPRIL 20 mg TAB TABLET

STATE MAC LIST OFFICE OF MEDICAL ASSISTANCE PROGRAMS · 2020. 12. 17. · amphet...

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Transcript of STATE MAC LIST OFFICE OF MEDICAL ASSISTANCE PROGRAMS · 2020. 12. 17. · amphet...