Allergy, Cough and Cold Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
BENZONATATE 100 MG
|
Capsule |
14 |
42 |
|
CERON 1-3.5 MG/ML*
|
Drops |
30 |
90 |
|
CERON DM 12.5/4/15 MG/5 ML
|
Syrup |
120 |
360 |
|
DEC-CHLORPHEN 1-3.5 MG/ML*
|
Drops |
30 |
90 |
|
DEC-CHLORPHEN DM 12.5/4/15 MG/5 ML*
|
Syrup |
118 |
354 |
|
LORATADINE 10 MG
|
Tablet |
30 |
90 |
|
PROMETHAZINE 6.25 MG/5 ML*
|
Syrup |
180 |
540 |
|
PROMETHAZINE DM
|
Syrup |
120 |
360 |
|
TRIVENT DPC 6/2/15/5 ML*
|
Syrup |
120 |
360 |
Analgesic Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
BACLOFEN 10 MG
|
Tablet |
30 |
90 |
|
CYCLOBENZAPRINE 5 MG
|
Tablet |
30 |
90 |
|
CYCLOBENZAPRINE 10 MG
|
Tablet |
30 |
90 |
|
DICLOFENAC ER 75 MG
|
Tablet |
60 |
180 |
|
IBUPROFEN 100 MG/5 ML*
|
Suspension |
120 |
360 |
|
IBUPROFEN 400 MG
|
Tablet |
90 |
270 |
|
IBUPROFEN 600 MG
|
Tablet |
60 |
180 |
|
IBUPROFEN 800 MG
|
Tablet |
30 |
90 |
|
INDOMETHACIN 25 MG*
|
Capsule |
60 |
180 |
|
MELOXICAM 7.5 MG
|
Tablet |
30 |
90 |
|
MELOXICAM 15 MG
|
Tablet |
30 |
90 |
|
NAPROXEN 375 MG*
|
Tablet |
60 |
180 |
|
NAPROXEN 500 MG*
|
Tablet |
60 |
180 |
|
PIROXICAM 20 MG
|
Capsule |
30 |
90 |
|
SALSALATE 500 MG
|
Tablet |
60 |
180 |
Anti-Anxiety Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
BUSPIRONE 5 MG
|
Tablet |
60 |
180 |
|
BUSPIRONE 10 MG*
|
Tablet |
60 |
180 |
|
DOXEPIN HCL 10 MG
|
Capsule |
30 |
90 |
|
DOXEPIN HCL 25 MG
|
Capsule |
30 |
90 |
|
DOXEPIN HCL 50 MG
|
Capsule |
30 |
90 |
|
DOXEPIN HCL 75 MG
|
Capsule |
30 |
90 |
|
DOXEPIN HCL 100 MG
|
Capsule |
30 |
90 |
|
PAROXETINE 10 MG*
|
Tablet |
30 |
90 |
|
PAROXETINE 20 MG*
|
Tablet |
30 |
90 |
Antibiotic Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
AMOXICILLIN 125 MG/5 ML
|
Suspension |
80 |
240 |
|
AMOXICILLIN 125 MG/5 ML
|
Suspension |
100 |
300 |
|
AMOXICILLIN 125 MG/5 ML
|
Suspension |
150 |
450 |
|
AMOXICILLIN 200 MG/5 ML
|
Suspension |
50 |
150 |
|
AMOXICILLIN 200 MG/5 ML*
|
Suspension |
75 |
225 |
|
AMOXICILLIN 200 MG/5 ML*
|
Suspension |
100 |
300 |
|
AMOXICILLIN 250 MG
|
Capsule |
30 |
90 |
|
AMOXICILLIN 250 MG/5 ML
|
Suspension |
80 |
240 |
|
AMOXICILLIN 250 MG/5 ML
|
Suspension |
100 |
300 |
|
AMOXICILLIN 250 MG/5 ML
|
Suspension |
150 |
450 |
|
AMOXICILLIN 400 MG/5 ML
|
Suspension |
50 |
150 |
|
AMOXICILLIN 400 MG/5 ML*
|
Suspension |
75 |
225 |
|
AMOXICILLIN 400 MG/5 ML*
|
Suspension |
100 |
300 |
|
AMOXICILLIN 500 MG
|
Capsule |
30 |
90 |
|
AMOXIL 50 MG/ML*
|
Drops |
30 |
90 |
|
CEPHALEXIN 250 MG
|
Capsule |
28 |
84 |
|
CEPHALEXIN 500 MG
|
Capsule |
30 |
90 |
|
CIPROFLOXACIN 250 MG
|
Tablet |
14 |
42 |
|
CIPROFLOXACIN 500 MG
|
Tablet |
20 |
60 |
|
DOXYCYCLINE HYCLATE 50 MG
|
Capsule |
30 |
90 |
|
DOXYCYCLINE HYCLATE 100 MG
|
Capsule/Tablet |
20 |
60 |
|
ERYTHROCIN 250 MG*
|
Tablet |
40 |
N/A |
|
ERYTHROMYCIN EC 250 MG*
|
Capsule |
28 |
84 |
|
ISONIAZID 300 MG
|
Tablet |
30 |
90 |
|
METRONIDAZOLE 250 MG
|
Tablet |
28 |
84 |
|
METRONIDAZOLE 500 MG
|
Tablet |
14 |
42 |
|
PENICILLIN VK 125 MG/5 ML
|
Solution |
200 |
600 |
|
PENICILLIN VK 250 MG/5 ML
|
Solution |
100 |
300 |
|
PENICILLIN VK 250 MG
|
Tablet |
28 |
84 |
|
SMZ/TMP 200/40/5 ML
|
Suspension |
120 |
360 |
|
SMZ/TMP 400/80 MG
|
Tablet |
28 |
84 |
|
SMZ/TMP DS 800/160 MG
|
Tablet |
20 |
60 |
|
TETRACYCLINE 250 MG
|
Capsule |
60 |
180 |
|
TETRACYCLINE 500 MG
|
Capsule |
60 |
180 |
Antidepressant Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
AMITRIPTYLINE 10 MG
|
Tablet |
30 |
90 |
|
AMITRIPTYLINE 25 MG
|
Tablet |
30 |
90 |
|
AMITRIPTYLINE 50 MG
|
Tablet |
30 |
90 |
|
AMITRIPTYLINE 75 MG
|
Tablet |
30 |
90 |
|
AMITRIPTYLINE 100 MG
|
Tablet |
30 |
90 |
|
CITALOPRAM 20 MG
|
Tablet |
30 |
90 |
|
CITALOPRAM 40 MG
|
Tablet |
30 |
90 |
|
DOXEPIN HCL 10 MG
|
Capsule |
30 |
90 |
|
DOXEPIN HCL 25 MG
|
Capsule |
30 |
90 |
|
DOXEPIN HCL 50 MG
|
Capsule |
30 |
90 |
|
DOXEPIN HCL 75 MG
|
Capsule |
30 |
90 |
|
DOXEPIN HCL 100 MG
|
Capsule |
30 |
90 |
|
FLUOXETINE 10 MG*
|
Tablet |
30 |
90 |
|
FLUOXETINE 10 MG
|
Capsule |
30 |
90 |
|
FLUOXETINE 20 MG
|
Capsule |
30 |
90 |
|
FLUOXETINE 40 MG*
|
Capsule |
30 |
90 |
|
NORTRIPTYLINE 10 MG
|
Capsule |
30 |
90 |
|
NORTRIPTYLINE 25 MG
|
Capsule |
30 |
90 |
|
PAROXETINE 10 MG*
|
Tablet |
30 |
90 |
|
PAROXETINE 20 MG*
|
Tablet |
30 |
90 |
|
TRAZODONE 50 MG
|
Tablet |
30 |
90 |
|
TRAZODONE 100 MG
|
Tablet |
30 |
90 |
|
TRAZODONE 150 MG
|
Tablet |
30 |
90 |
Antifungal Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
FLUCONAZOLE 150 MG
|
Tablet |
1 |
3 |
|
TERBINAFINE 250 MG*
|
Tablet |
30 |
90 |
Anti-Inflammatory Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
DICLOFENAC ER 75 MG
|
Tablet |
60 |
180 |
|
IBUPROFEN 100 MG/5 ML*
|
Suspension |
120 |
360 |
|
IBUPROFEN 400 MG
|
Tablet |
90 |
270 |
|
IBUPROFEN 600 MG
|
Tablet |
60 |
180 |
|
IBUPROFEN 800 MG
|
Tablet |
30 |
90 |
|
INDOMETHACIN 25 MG*
|
Capsule |
60 |
180 |
|
MELOXICAM 7.5 MG
|
Tablet |
30 |
90 |
|
MELOXICAM 15 MG
|
Tablet |
30 |
90 |
|
NAPROXEN 375 MG*
|
Tablet |
60 |
180 |
|
NAPROXEN 500 MG*
|
Tablet |
60 |
180 |
|
PIROXICAM 20 MG
|
Capsule |
30 |
90 |
|
SALSALATE 500 MG
|
Tablet |
60 |
180 |
Antipsychotic Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
FLUPHENAZINE 1 MG
|
Tablet |
30 |
90 |
|
HALOPERIDOL 0.5 MG
|
Tablet |
30 |
90 |
|
HALOPERIDOL 1 MG
|
Tablet |
30 |
90 |
|
HALOPERIDOL 2 MG
|
Tablet |
30 |
90 |
|
HALOPERIDOL 5 MG
|
Tablet |
30 |
90 |
|
LITHIUM CARB 300 MG*
|
Capsule |
90 |
270 |
|
THIORIDAZINE 25 MG
|
Tablet |
30 |
90 |
|
THIORIDAZINE 50 MG
|
Tablet |
30 |
90 |
|
THIOTHIXENE 2 MG
|
Capsule |
30 |
90 |
Antiviral Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
ACYCLOVIR 200 MG
|
Capsule |
30 |
90 |
Arthritis Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
DICLOFENAC ER 75 MG
|
Tablet |
60 |
180 |
|
IBUPROFEN 400 MG
|
Tablet |
90 |
270 |
|
IBUPROFEN 600 MG
|
Tablet |
60 |
180 |
|
IBUPROFEN 800 MG
|
Tablet |
30 |
90 |
|
INDOMETHACIN 25 MG*
|
Capsule |
60 |
180 |
|
MELOXICAM 7.5 MG
|
Tablet |
30 |
90 |
|
MELOXICAM 15 MG
|
Tablet |
30 |
90 |
|
NAPROXEN 375 MG*
|
Tablet |
60 |
180 |
|
NAPROXEN 500 MG*
|
Tablet |
60 |
180 |
|
PIROXICAM 20 MG
|
Capsule |
30 |
90 |
|
SALSALATE 500 MG
|
Tablet |
60 |
180 |
Asthma Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
ALBUTEROL 2 MG/5 ML
|
Syrup |
120 |
360 |
|
ALBUTEROL 2 MG
|
Tablet |
90 |
270 |
|
ALBUTEROL 4 MG
|
Tablet |
60 |
180 |
|
ALBUTEROL NEB 0.083%*
|
Solution |
75 |
225 |
|
ALBUTEROL NEB 0.5%
|
Solution |
20 |
60 |
|
IPRATROPIUM NEB 0.2 MG/ML*
|
Solution |
75 |
225 |
Cancer/Oncology Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
MEGESTROL 20 MG*
|
Tablet |
30 |
90 |
Cardiac/Hypertension Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
AMILORIDE/HCTZ 5-50 MG
|
Tablet |
30 |
90 |
|
ATENOLOL 25 MG
|
Tablet |
30 |
90 |
|
ATENOLOL 50 MG
|
Tablet |
30 |
90 |
|
ATENOLOL 100 MG
|
Tablet |
30 |
90 |
|
ATENOLOL/CHLORTHAL 50/25 MG
|
Tablet |
30 |
90 |
|
ATENOLOL/CHLORTHAL 100/25 MG
|
Tablet |
30 |
90 |
|
BENAZEPRIL 5 MG
|
Tablet |
30 |
90 |
|
BENAZEPRIL 10 MG
|
Tablet |
30 |
90 |
|
BENAZEPRIL 20 MG
|
Tablet |
30 |
90 |
|
BENAZEPRIL 40 MG
|
Tablet |
30 |
90 |
|
BISOPROLOL/HCTZ 2.5/6.25 MG
|
Tablet |
30 |
90 |
|
BISOPROLOL/HCTZ 5/6.25 MG
|
Tablet |
30 |
90 |
|
BISOPROLOL/HCTZ 10/6.25 MG
|
Tablet |
30 |
90 |
|
BUMETANIDE 0.5 MG
|
Tablet |
30 |
90 |
|
BUMETANIDE 1 MG
|
Tablet |
30 |
90 |
|
CAPTOPRIL 12.5 MG
|
Tablet |
60 |
180 |
|
CAPTOPRIL 25 MG
|
Tablet |
60 |
180 |
|
CAPTOPRIL 50 MG
|
Tablet |
60 |
180 |
|
CAPTOPRIL 100 MG
|
Tablet |
60 |
180 |
|
CARVEDILOL 3.125 MG
|
Tablet |
60 |
180 |
|
CARVEDILOL 6.25 MG
|
Tablet |
60 |
180 |
|
CARVEDILOL 12.5 MG
|
Tablet |
60 |
180 |
|
CARVEDILOL 25 MG*
|
Tablet |
60 |
180 |
|
CHLORTHALIDONE 25 MG
|
Tablet |
30 |
90 |
|
CHLORTHALIDONE 50 MG
|
Tablet |
30 |
90 |
|
CLONIDINE 0.1 MG
|
Tablet |
30 |
90 |
|
CLONIDINE 0.2 MG
|
Tablet |
30 |
90 |
|
DIGOXIN 0.125 MG
|
Tablet |
30 |
90 |
|
DIGOXIN 0.25 MG
|
Tablet |
30 |
90 |
|
DILTIAZEM 30 MG
|
Tablet |
60 |
180 |
|
DILTIAZEM 60 MG
|
Tablet |
60 |
180 |
|
DILTIAZEM 90 MG*
|
Tablet |
60 |
180 |
|
DILTIAZEM 120 MG
|
Tablet |
30 |
90 |
|
DOXAZOSIN 1 MG
|
Tablet |
30 |
90 |
|
DOXAZOSIN 2 MG
|
Tablet |
30 |
90 |
|
DOXAZOSIN 4 MG
|
Tablet |
30 |
90 |
|
DOXAZOSIN 8 MG
|
Tablet |
30 |
90 |
|
ENALAPRIL 2.5 MG
|
Tablet |
30 |
90 |
|
ENALAPRIL 5 MG
|
Tablet |
30 |
90 |
|
ENALAPRIL 10 MG
|
Tablet |
30 |
90 |
|
ENALAPRIL 20 MG
|
Tablet |
30 |
90 |
|
ENALAPRIL/HCTZ 5/12.5 MG
|
Tablet |
30 |
90 |
|
FUROSEMIDE 20 MG
|
Tablet |
30 |
90 |
|
FUROSEMIDE 40 MG
|
Tablet |
30 |
90 |
|
FUROSEMIDE 80 MG
|
Tablet |
30 |
90 |
|
GUANFACINE 1 MG
|
Tablet |
30 |
90 |
|
HYDRALAZINE 10 MG
|
Tablet |
30 |
90 |
|
HYDRALAZINE 25 MG
|
Tablet |
30 |
90 |
|
HYDROCHLOROTHIAZIDE 12.5 MG*
|
Capsule |
30 |
90 |
|
HYDROCHLOROTHIAZIDE 25 MG
|
Tablet |
30 |
90 |
|
HYDROCHLOROTHIAZIDE 50 MG
|
Tablet |
30 |
90 |
|
INDAPAMIDE 1.25 MG
|
Tablet |
30 |
90 |
|
INDAPAMIDE 2.5 MG
|
Tablet |
30 |
90 |
|
ISOSORBIDE MONONITRATE ER 30 MG
|
Tablet |
30 |
90 |
|
ISOSORBIDE MONONITRATE ER 60 MG
|
Tablet |
30 |
90 |
|
LISINOPRIL 2.5 MG
|
Tablet |
30 |
90 |
|
LISINOPRIL 5 MG
|
Tablet |
30 |
90 |
|
LISINOPRIL 10 MG
|
Tablet |
30 |
90 |
|
LISINOPRIL 20 MG
|
Tablet |
30 |
90 |
|
LISINOPRIL/HCTZ 10-12.5 MG
|
Tablet |
30 |
90 |
|
LISINOPRIL/HCTZ 20-12.5 MG*
|
Tablet |
30 |
90 |
|
LISINOPRIL/HCTZ 20-25 MG*
|
Tablet |
30 |
90 |
|
METHYLDOPA 250 MG*
|
Tablet |
60 |
180 |
|
METHYLDOPA 500 MG*
|
Tablet |
30 |
90 |
|
METOPROLOL TARTRATE 25 MG
|
Tablet |
60 |
180 |
|
METOPROLOL TARTRATE 50 MG
|
Tablet |
60 |
180 |
|
METOPROLOL TARTRATE 100 MG*
|
Tablet |
60 |
180 |
|
NADOLOL 20 MG
|
Tablet |
30 |
90 |
|
NADOLOL 40 MG*
|
Tablet |
30 |
90 |
|
PINDOLOL 5 MG
|
Tablet |
30 |
90 |
|
PINDOLOL 10 MG
|
Tablet |
30 |
90 |
|
PRAZOSIN HCL 1 MG
|
Capsule |
30 |
90 |
|
PRAZOSIN HCL 2 MG*
|
Capsule |
30 |
90 |
|
PRAZOSIN HCL 5 MG*
|
Capsule |
30 |
90 |
|
PROPRANOLOL 10 MG
|
Tablet |
60 |
180 |
|
PROPRANOLOL 20 MG
|
Tablet |
60 |
180 |
|
PROPRANOLOL 40 MG
|
Tablet |
60 |
180 |
|
PROPRANOLOL 80 MG
|
Tablet |
60 |
180 |
|
SOTALOL HCL 80 MG*
|
Tablet |
30 |
90 |
|
SPIRONOLACTONE 25 MG*
|
Tablet |
30 |
90 |
|
TERAZOSIN 1 MG
|
Capsule |
30 |
90 |
|
TERAZOSIN 2 MG
|
Capsule |
30 |
90 |
|
TERAZOSIN 5 MG
|
Capsule |
30 |
90 |
|
TERAZOSIN 10 MG
|
Capsule |
30 |
90 |
|
TRIAMTERENE/HCTZ 37.5/25 MG
|
Capsule/Tablet |
30 |
90 |
|
TRIAMTERENE/HCTZ 75/50 MG
|
Tablet |
30 |
90 |
|
VERAPAMIL 80 MG
|
Tablet |
30 |
90 |
|
VERAPAMIL 120 MG
|
Tablet |
30 |
90 |
|
WARFARIN 1 MG
|
Tablet |
30 |
90 |
|
WARFARIN 2 MG
|
Tablet |
30 |
90 |
|
WARFARIN 2.5 MG
|
Tablet |
30 |
90 |
|
WARFARIN 3 MG
|
Tablet |
30 |
90 |
|
WARFARIN 4 MG
|
Tablet |
30 |
90 |
|
WARFARIN 5 MG*
|
Tablet |
30 |
90 |
|
WARFARIN 6 MG
|
Tablet |
30 |
90 |
|
WARFARIN 7.5 MG
|
Tablet |
30 |
90 |
|
WARFARIN 10 MG
|
Tablet |
30 |
90 |
Cholesterol Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
LOVASTATIN 10 MG*
|
Tablet |
30 |
90 |
|
LOVASTATIN 20 MG*
|
Tablet |
30 |
90 |
|
PRAVASTATIN 10 MG
|
Tablet |
30 |
90 |
|
PRAVASTATIN 20 MG
|
Tablet |
30 |
90 |
|
PRAVASTATIN 40 MG*
|
Tablet |
30 |
90 |
Diabetes Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
CHLORPROPAMIDE 100 MG*
|
Tablet |
30 |
90 |
|
GLIMEPIRIDE 1 MG
|
Tablet |
30 |
90 |
|
GLIMEPIRIDE 2 MG
|
Tablet |
30 |
90 |
|
GLIMEPIRIDE 4 MG
|
Tablet |
30 |
90 |
|
GLIPIZIDE 5 MG
|
Tablet |
30 |
90 |
|
GLIPIZIDE 10 MG*
|
Tablet |
60 |
180 |
|
GLYBURIDE 2.5 MG
|
Tablet |
30 |
90 |
|
GLYBURIDE 5 MG
|
Tablet |
30 |
90 |
|
GLYBURIDE MICRO 3 MG
|
Tablet |
30 |
90 |
|
GLYBURIDE MICRO 6 MG
|
Tablet |
30 |
90 |
|
METFORMIN 500 MG
|
Tablet |
60 |
180 |
|
METFORMIN 850 MG
|
Tablet |
60 |
180 |
|
METFORMIN 1000 MG*
|
Tablet |
60 |
180 |
|
METFORMIN ER 500 MG*
|
Tablet |
60 |
180 |
Ear Preparations Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
ANTIPYRINE/BENZOCAINE
|
Otic Solution |
10 |
30 |
Eye Preparations Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
ATROPINE SULFATE 1%
|
Ophthalmic Solution |
5 |
15 |
|
BACITRACIN
|
Ophthalmic Ointment |
4 |
12 |
|
ERYTHROMYCIN 5 MG/GM
|
Ophthalmic Ointment |
4 |
12 |
|
GENTAMICIN 0.3%
|
Ophthalmic Solution |
5 |
15 |
|
LEVOBUNOLOL 0.5%
|
Ophthalmic Solution |
5 |
15 |
|
NEO/POLYMX/DEXAMETHASONE 0.1%
|
Ophthalmic Ointment |
4 |
12 |
|
NEO/POLYMX/DEXAMETHASONE 0.1%
|
Ophthalmic Suspension |
5 |
15 |
|
PILOCARPINE 1%
|
Ophthalmic Solution |
15 |
45 |
|
PILOCARPINE 2%
|
Ophthalmic Solution |
15 |
45 |
|
POLYMYXIN SULFATE/TMP*
|
Ophthalmic Solution |
10 |
30 |
|
SULFACETAMIDE SODIUM 10%
|
Ophthalmic Solution |
15 |
45 |
|
TIMOLOL MALEATE 0.25%
|
Ophthalmic Solution |
5 |
15 |
|
TIMOLOL MALEATE 0.5%
|
Ophthalmic Solution |
5 |
15 |
|
TOBRAMYCIN 0.3%
|
Ophthalmic Solution |
5 |
15 |
Hormones Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
ESTRADIOL 0.5 MG
|
Tablet |
30 |
90 |
|
ESTRADIOL 1 MG
|
Tablet |
30 |
90 |
|
ESTRADIOL 2 MG
|
Tablet |
30 |
90 |
|
ESTROPIPATE 0.75 MG
|
Tablet |
30 |
90 |
|
ESTROPIPATE 1.5 MG*
|
Tablet |
30 |
90 |
|
MEDROXYPROGESTERONE 2.5 MG
|
Tablet |
30 |
90 |
|
MEDROXYPROGESTERONE 5 MG
|
Tablet |
30 |
90 |
|
MEDROXYPROGESTERONE 10 MG
|
Tablet |
10 |
30 |
Incontinence Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
HYOSCYAMINE 0.125/5 ML*
|
Drops |
15 |
45 |
|
OXYBUTYNIN 5 MG
|
Tablet |
60 |
180 |
Muscle Relaxants Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
BACLOFEN 10 MG
|
Tablet |
30 |
90 |
|
CYCLOBENZAPRINE 5 MG
|
Tablet |
30 |
90 |
|
CYCLOBENZAPRINE 10 MG
|
Tablet |
30 |
90 |
Other Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
ALLOPURINOL 100 MG
|
Tablet |
30 |
90 |
|
ALLOPURINOL 300 MG
|
Tablet |
30 |
90 |
|
CARBAMAZEPINE 200 MG*
|
Tablet |
60 |
180 |
|
CHLORHEXIDINE GLUCONATE 0.12%
|
Solution |
473 |
1419 |
|
COLCHICINE 0.6 MG
|
Tablet |
30 |
90 |
|
CYTRA-2
|
Solution |
180 |
540 |
|
PHENAZOPYRIDINE 100 MG
|
Tablet |
6 |
18 |
|
PHENAZOPYRIDINE 200 MG
|
Tablet |
30 |
90 |
|
PROCHLORPERAZINE 10 MG
|
Tablet |
30 |
90 |
Parkinson's Disease Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
BENZTROPINE 2 MG
|
Tablet |
30 |
90 |
|
TRIHEXYPHENIDYL 2 MG
|
Tablet |
60 |
180 |
Prostate/BPH Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
DOXAZOSIN 1 MG
|
Tablet |
30 |
90 |
|
DOXAZOSIN 2 MG
|
Tablet |
30 |
90 |
|
DOXAZOSIN 4 MG
|
Tablet |
30 |
90 |
|
DOXAZOSIN 8 MG
|
Tablet |
30 |
90 |
|
MEGESTROL 20 MG*
|
Tablet |
30 |
90 |
|
PRAZOSIN HCL 1 MG
|
Capsule |
30 |
90 |
|
PRAZOSIN HCL 2 MG*
|
Capsule |
30 |
90 |
|
PRAZOSIN HCL 5 MG*
|
Capsule |
30 |
90 |
|
TERAZOSIN 1 MG
|
Capsule |
30 |
90 |
|
TERAZOSIN 2 MG
|
Capsule |
30 |
90 |
|
TERAZOSIN 5 MG
|
Capsule |
30 |
90 |
|
TERAZOSIN 10 MG
|
Capsule |
30 |
90 |
Seizure/Epilepsy Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
CARBAMAZEPINE 200 MG*
|
Tablet |
60 |
180 |
Steroids Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
DEXAMETHASONE .075 MG
|
Tablet |
12 |
36 |
|
DEXAMETHASONE 0.5 MG
|
Tablet |
30 |
90 |
|
DEXAMETHASONE 4 MG
|
Tablet |
6 |
18 |
|
METHYLPREDNISOLONE 4 MG
|
Dose Pak/Tablet |
21 |
63 |
|
PREDNISONE 2.5 MG
|
Tablet |
30 |
90 |
|
PREDNISONE 5 MG
|
Dose Pak |
21 |
63 |
|
PREDNISONE 5 MG*
|
Dose Pak |
48 |
144 |
|
PREDNISONE 5 MG
|
Tablet |
30 |
90 |
|
PREDNISONE 10 MG
|
Dose Pak |
21 |
63 |
|
PREDNISONE 10 MG*
|
Dose Pak |
48 |
N/A |
|
PREDNISONE 10 MG
|
Tablet |
30 |
90 |
|
PREDNISONE 20 MG
|
Tablet |
30 |
90 |
Stomach Disorders/Gastrointestinal Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
BELLADONNA ALKALOIDS/PB
|
Tablet |
60 |
180 |
|
CIMETIDINE 800 MG*
|
Tablet |
30 |
90 |
|
DICYCLOMINE 10 MG
|
Capsule |
90 |
270 |
|
DICYCLOMINE 20 MG
|
Tablet |
60 |
180 |
|
FAMOTIDINE 20 MG
|
Tablet |
60 |
90 |
|
HYDROCORTISONE AC 25 MG
|
Suppository |
12 |
36 |
|
HYOSCYAMINE 0.125/5 ML*
|
Drops |
15 |
45 |
|
LACTULOSE 10 GM/15 ML
|
Syrup |
237 |
711 |
|
METOCLOPRAMIDE 5 MG/5 ML
|
Syrup |
60 |
180 |
|
METOCLOPRAMIDE 10 MG
|
Tablet |
60 |
180 |
|
PROCHLORPERAZINE 10 MG
|
Tablet |
30 |
90 |
|
PROMETHAZINE 25 MG*
|
Tablet |
12 |
36 |
|
RANITIDINE 150 MG
|
Tablet |
60 |
180 |
|
RANITIDINE 300 MG
|
Tablet |
30 |
90 |
Thyroid Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
LEVOTHYROXINE 25 MCG
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 50 MCG
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 75 MCG
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 88 MCG
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 100 MCG
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 112 MCG
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 125 MCG
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 137 MCG
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 150 MCG
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 175 MCG*
|
Tablet |
30 |
90 |
|
LEVOTHYROXINE 200 MCG*
|
Tablet |
30 |
90 |
Topical Preparations Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
BENZOYL PEROXIDE 4%*
|
Creamy Wash |
171 |
N/A |
|
BETAMETHASONE DIPROPIONATE 0.05%
|
Cream |
15 |
45 |
|
BETAMETHASONE DIPROPIONATE 0.05%
|
Cream |
45 |
135 |
|
BETAMETHASONE VALERATE 0.1%
|
Cream |
15 |
45 |
|
BETAMETHASONE VALERATE 0.1%
|
Cream |
45 |
135 |
|
BETAMETHASONE VALERATE 0.1%
|
Ointment |
15 |
45 |
|
BETAMETHASONE VALERATE 0.1%
|
Ointment |
45 |
135 |
|
FLUOCINONIDE 0.05%
|
Cream |
15 |
45 |
|
FLUOCINONIDE 0.05%
|
Cream |
30 |
90 |
|
FLUOCINOLONE ACETIDE 0.01%
|
Solution |
60 |
180 |
|
GENTAMICIN 0.1%
|
Cream/Ointment |
15 |
45 |
|
HYDROCORTISONE 1%
|
Cream |
30 |
90 |
|
HYDROCORTISONE 2.5%
|
Cream |
30 |
90 |
|
LIDOCAINE VISCOUS 2%
|
Solution |
100 |
300 |
|
NYSTATIN 100,000U
|
Cream/Ointment |
15 |
45 |
|
NYSTATIN 100,000U
|
Cream/Ointment |
30 |
90 |
|
NYSTATIN/TRIAMCINOLONE
|
Cream |
15 |
45 |
|
NYSTATIN/TRIAMCINOLONE
|
Cream |
30 |
90 |
|
NYSTATIN/TRIAMCINOLONE
|
Ointment |
15 |
45 |
|
SELENIUM SULFIDE 2.5%*
|
Lotion |
120 |
360 |
|
SILVER SULFADIAZINE 1%*
|
Cream |
50 |
150 |
|
TRIAMCINOLONE 0.025%
|
Cream |
15 |
45 |
|
TRIAMCINOLONE 0.025%
|
Cream |
80 |
240 |
|
TRIAMCINOLONE 0.1%
|
Cream/Ointment |
15 |
45 |
|
TRIAMCINOLONE 0.1%
|
Cream/Ointment |
80 |
240 |
|
TRIAMCINOLONE 0.5%
|
Cream |
15 |
45 |
Tuberculosis Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
ISONIAZID 300 MG
|
Tablet |
30 |
90 |
Vitamins/Supplements Generic Drug Name/Strength |
Form |
$4 30-Day QTY |
$10 90-Day QTY |
|
FOLIC ACID 1 MG
|
Tablet |
30 |
90 |
|
MAGNESIUM OXIDE 400 MG
|
Tablet |
30 |
90 |
|
MAG64 64 MG*
|
Tablet |
60 |
180 |
|
POTASSIUM CHLORIDE 10%
|
Liquid |
473 |
1419 |
|
POTASSIUM CHLORIDE CR 8 MEQ
|
Tablet |
30 |
90 |
|
POTASSIUM CHLORIDE CR 10 MEQ
|
Tablet |
30 |
90 |
|
PRENATAL RX*
|
Tablet |
30 |
N/A |
|
SODIUM FLUORIDE 0.5 MG
|
Tablet |
120 |
N/A |