Advance Benefits
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Advance Benefits is administered by Envision Pharmaceuticals which is a leader in prescription benefit management. They were the first company to promote a prescription benefit where manufacturer incentives are immediately given to consumers to lower drug costs.

The Four Tier Prescription Drug Program will allow you to acquire selected Tier 1 generic drugs for a payment of $10.00 or less at over 35,000 participating pharmacies. You will save money on Tier 2 selected generic and brand name drugs for a payment of $20 or less. Based on quantity dispensed, Advance Benefits will GUARANTEE the lowest price available at the network pharmacy of your choice for all Tier 4 drugs. The use of generic drugs and the convenient mail order option will maximize your savings. Examples of the Four Tier co-pay program follows:

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First Tier
Drug NameRetail QtyRetail
Labetalol HCl Tab 100 MG30$7.13
Labetalol HCl Tab 200 MG30$9.03
Lactulose Solution 10 GM/15ML473$8.68
LADY LITE MIS LANCETS100$6.01
LAMPRENE CAP 50MG30$8.12
LANCET SUPER MIS THIN100$7.84
LANCETS MIS 23G100$6.67
LANCETS MIS COLORED100$7.84
LANCETS MIS FUNCOLOR200$9.70
LANCETS MIS ORIGINAL100$7.87
LANCETS MIS THIN100$7.87
LANCETS MIS THIN 28G100$6.67
LANCETS MIS THIN 30G100$7.84
LANCETS THIN MIS100$8.57
LANCETS THIN MIS 23G100$5.23
LANCETS ULTR MIS THIN100$7.97
LANOXICAPS CAP 0.05MG30$9.78
LARTUS LIQ118$9.49
Levobunolol HCl Ophth Soln 0.25%5$8.19
Levobunolol HCl Ophth Soln 0.5%5$5.03
Levothyroxine Sodium Tab 100 MCG30$7.24
Levothyroxine Sodium Tab 100 MCG30$7.24
Levothyroxine Sodium Tab 100 MCG30$7.24
Levothyroxine Sodium Tab 112 MCG30$8.16
Levothyroxine Sodium Tab 112 MCG30$8.16
Levothyroxine Sodium Tab 112 MCG30$8.16
Levothyroxine Sodium Tab 125 MCG30$7.66
Levothyroxine Sodium Tab 137 MCG30$8.33
Levothyroxine Sodium Tab 137 MCG30$8.33
Levothyroxine Sodium Tab 150 MCG30$8.11
Levothyroxine Sodium Tab 150 MCG30$8.11
Levothyroxine Sodium Tab 150 MCG30$8.11
Levothyroxine Sodium Tab 175 MCG30$9.65
Levothyroxine Sodium Tab 175 MCG30$9.65
Levothyroxine Sodium Tab 175 MCG30$9.42
Levothyroxine Sodium Tab 200 MCG30$8.44
Levothyroxine Sodium Tab 200 MCG30$8.44
Levothyroxine Sodium Tab 200 MCG30$8.44
Levothyroxine Sodium Tab 25 MCG30$6.47
Levothyroxine Sodium Tab 25 MCG30$6.47
Levothyroxine Sodium Tab 25 MCG30$6.47
Levothyroxine Sodium Tab 50 MCG30$8.02
Levothyroxine Sodium Tab 50 MCG30$8.02
Levothyroxine Sodium Tab 50 MCG30$8.02
Levothyroxine Sodium Tab 75 MCG30$8.52
Levothyroxine Sodium Tab 75 MCG30$8.52
Levothyroxine Sodium Tab 75 MCG30$8.52
Levothyroxine Sodium Tab 88 MCG30$7.43
Levothyroxine Sodium Tab 88 MCG30$7.43
Levothyroxine Sodium Tab 88 MCG30$7.43
Lidocaine HCl Gel 2%15$7.46
Lidocaine HCl Viscous Soln 2%100$5.55
Lidocaine-Prilocaine Cream 2.5-2.5%25$10.00
Lisinopril & Hydrochlorothiazide Tab 10-12.5 MG30$5.57
Lisinopril & Hydrochlorothiazide Tab 20-12.5 MG30$5.89
Lisinopril Tab 10 MG30$7.57
Lisinopril Tab 2.5 MG30$5.23
Lisinopril Tab 30 MG30$8.16
Lisinopril Tab 5 MG30$9.00
LITHIUM CARB CAP 150MG30$7.65
LITHIUM CARB TAB 300MG30$9.49
Lithium Carbonate Cap 300 MG30$4.69
LONGS LANCET MIS ADULT200$9.70
LONGS LANCET MIS THIN200$9.70
Loperamide HCl Cap 2 MG30$5.84
Lorazepam Tab 0.5 MG30$4.89
Lorazepam Tab 1 MG30$4.89
Lorazepam Tab 2 MG30$5.70
Lovastatin Tab 10 MG30$7.86
Lovastatin Tab 20 MG30$9.00
Lovastatin Tab 40 MG30$9.00
LURIDE CHW 0.25MG30$4.36
LURIDE CHW 0.5MG30$4.44
LURIDE CHW 1MG30$4.36

Second Tier
Drug NameRetail QtyRetail
Labetalol HCl Tab 300 MG30$16.20
Lactic Acid (Ammonium Lactate) Cream 12%184$14.04
Lactic Acid (Ammonium Lactate) Cream 12%140$10.13
Lactic Acid (Ammonium Lactate) Cream 12%280$19.80
Lactic Acid (Ammonium Lactate) Lotion 12%225$11.64
Lactic Acid (Ammonium Lactate) Lotion 12%225$11.64
LACTOCAL-F TAB30$13.48
LAGESIC TAB 66-600MG30$18.54
LAMISIL GRA 125MG1$11.14
LAMISIL GRA 187.5MG1$15.32
LAMISIL AT CRE 1%30$15.15
LAMISIL AT SPR30$10.14
LANCETS MIS100$16.67
LANCETS MIS 21G200$13.19
LANCETS MIS 26G200$13.19
LANCETS MIS 28 GAUGE100$12.09
LANCETS MIS 28G100$11.45
LANCETS MIS 30G200$14.93
LANCETS MIS 31G100$10.15
LANCETS THIN MIS 28G200$15.55
LANCETS THIN MIS 30G100$10.43
LANOXICAPS CAP 0.1MG30$11.95
LANOXICAPS CAP 0.2MG30$13.46
LANOXIN TAB 0.125MG30$14.11
LANOXIN TAB 0.25MG30$14.11
LARODOPA TAB 500MG30$19.50
LASIX TAB 20MG30$12.36
LASIX TAB 40MG30$11.98
LEMOHIST CAP PLUS30$12.14
Leucovorin Calcium For Inj 200 MG1$13.80
Leucovorin Calcium For Inj 350 MG1$13.35
Levetiracetam Tab 250 MG30$14.06
Levonorgestrel-Eth Estra Tab 0.05-30/0.075-40/0.125-30MG28$19.52
Levothyroxine Sodium Tab 125 MCG30$11.59
Levothyroxine Sodium Tab 125 MCG30$11.04
Levothyroxine Sodium Tab 300 MCG30$10.88
Levothyroxine Sodium Tab 300 MCG30$10.88
Levothyroxine Sodium Tab 300 MCG30$10.88
Lidocaine HCl Soln 4%100$13.72
LIFESCAN FIN MIS LANCETS100$11.89
LINCOCIN INJ 300MG/ML2$18.28
LIORESAL INT INJ 10/20ML1$13.97
LIPEX TAB 10MG30$15.80
LIQUIBID-D TAB 40-600CR30$16.74
Lisinopril & Hydrochlorothiazide Tab 20-25 MG30$15.90
Lisinopril Tab 20 MG30$12.00
Lisinopril Tab 40 MG30$18.00
LITE TOUCH MIS LANCETS200$13.19
LITHIUM CARB CAP 600MG30$15.00
Lithium Carbonate Tab CR 300 MG30$10.62
Lithium Carbonate Tab CR 450 MG30$10.97
Lithium Citrate Syrup 8 mEq/5ML500$12.03
LITHOBID TAB 300MG SR30$19.12
LIVER/FE/VIT INJ30$16.03
LOBAC CAP30$15.48
LODRANE 12D TAB 6-45MG30$17.11
LODRANE 12HR TAB 12 HOUR30$15.13
Lorazepam Inj 4 MG/ML1$11.62
LORCET-HD CAP 500-5MG30$19.18
Loxapine Succinate Cap 10 MG30$18.27
LUDIOMIL TAB 25MG30$19.01
LURIDE DRO 0.5MG/ML50$10.63
LUSONEX TAB30$18.15
LUSONEX TAB 20-80030$16.14
LUSONEX PLUS TAB30$19.51

Third Tier
Drug NameRetail QtyRetail
LAC-HYDRIN CRE 12%280$45.23
LAC-HYDRIN LOT 12%225$43.33
Lactated Ringer's Solution6000$38.10
Lactic Acid (Ammonium Lactate) Cream 12%385$26.10
Lactic Acid (Ammonium Lactate) Lotion 10%355$29.61
Lactic Acid w/ Vitamin E Cream 10%-3500 Unit/30GM113$21.79
Lactic Acid w/ Vitamin E Cream 10%-3500 Unit/30GM227$45.41
LACTINOL-E CRE113$48.83
Lamotrigine Tab 100 MG30$33.00
Lamotrigine Tab 150 MG30$36.30
Lamotrigine Tab 200 MG30$25.88
Lamotrigine Tab 25 MG30$35.40
LANCET MIS 2MM100$20.24
LANCETS MIS ORANGE100$28.85
LANOXIN INJ 0.25MG/120$28.83
LANOXIN PED ELX 0.05/ML60$36.51
LASIX TAB 80MG30$24.54
LEMONGRASS OIL FCC100$48.43
LEMOTUSSIN LIQ DM473$37.71
LEUCOVOR CA INJ 10MG/ML25$21.24
LEUCOVOR CA INJ 50MG10$34.07
LEUCOVORIN INJ CALCIUM1$24.00
Leucovorin Calcium For Inj 100 MG1$45.19
Leucovorin Calcium Tab 5 MG30$34.01
LEVALL G CAP 90-400MG30$42.66
LEVAQUIN INJ 25MG/ML20$42.47
LEVAQUIN/D5W INJ 250/50ML50$22.61
LEVAQUIN/D5W INJ 500/100100$42.47
Levetiracetam Tab 1000 MG30$34.43
Levetiracetam Tab 500 MG30$36.00
Levetiracetam Tab 750 MG30$23.20
LEVLEN TAB CONTR PK28$35.83
LEVLEN-28 TAB28$35.83
LEVLITE TAB -2828$36.55
LEVO DROMORA INJ 2MG/ML10$42.23
Levocarnitine Oral Soln 10%118$25.31
Levocarnitine Tab 330 MG30$22.36
Levonorgestrel & Ethinyl Estradiol Tab 0.10 MG-20 MCG28$24.07
Levonorgestrel & Ethinyl Estradiol Tab 0.10 MG-20 MCG28$24.07
Levonorgestrel & Ethinyl Estradiol Tab 0.10 MG-20 MCG28$24.07
Levonorgestrel & Ethinyl Estradiol Tab 0.15 MG-30 MCG28$25.12
LEVORPHANOL TAB 2MG30$30.74
Levothyroxine Sodium For Inj 200 MCG1$33.56
Levothyroxine Sodium For Inj 500 MCG1$36.26
LEVSIN DRO 0.125/ML15$43.81
LEVSIN TAB 0.125MG30$27.05
LEVSINEX CAP 0.375 CR30$46.77
LEVSIN-PB DRO 15-.12515$30.97
LEVSIN-PB TAB 15-.12530$21.28
LEXXEL TAB 5-2.5MG30$48.02
LIBRIUM CAP 10MG30$45.67
LIBRIUM CAP 5MG30$25.47
LIDAMANTLE CRE 3%28$36.88
LIDAMANTLE CRE HC3-0.5%28$40.27
LIDEX CRE 0.05%15$46.75
LIDEX GEL 0.05%15$46.75
LIDEX OIN 0.05%15$46.75
LIDEX-E CRE 0.05%15$46.75
LIDOCAINE OIN 5%50$26.56
Lidocaine HCl Cream 3%28$29.33
Lidocaine HCl Gel 2%125$43.04
Lidocaine HCl Local Inj 0.5%1250$45.43
Lidocaine HCl Local Inj 1.5%100$24.52
Lidocaine HCl Local Inj 2%50$39.00
Lidocaine HCl Local Inj 4%125$46.36
Lidocaine Inj 1% w/ Epinephrine-1:200000150$26.22
Lidocaine Inj 1.5% w/ Epinephrine-1:20000050$27.75
Lidocaine Inj 2% w/ Epinephrine-1:200000100$34.22
Lidocaine-Hydrocortisone Acetate Cream 3-0.5%28$26.13
Lidocaine-Hydrocortisone Acetate Rectal Cream 3-0.5%98$47.18
Lidocaine-Hydrocortisone Acetate Rectal Cream Kit 3-1%20$22.12
LIFE MEDICAL TES50$25.47
LIFESCAN MIS UNISTIK2100$21.24
LIMBITROL TAB 5-12.5MG30$34.83
LIMBREL CAP 250MG30$46.36
LIORESAL INT INJ 10MG/5ML1$47.64
LIORESAL INT INJ 40MG/201$47.64
Liothyronine Sodium Tab 25 MCG30$26.40
Liothyronine Sodium Tab 25 MCG30$26.40
Liothyronine Sodium Tab 25 MCG30$26.40
LIPOCHOL TAB PLUS30$23.03
LIPOFEN CAP 50MG30$41.47
LIQUIBID-D TAB 40-120030$35.41
LIQUIBID-D TAB 40-650MG30$31.57
LIQUIBID-PD TAB30$29.65
LIQUIBID-PD TAB 25-275MG30$21.45
LITHOSTAT TAB 250MG30$47.77
LIVOSTIN SUS 0.05% OP5$49.06
LODINE CAP 200MG30$43.27
LODINE CAP 300MG30$48.63
LODINE XL TAB 400MG30$47.26
LODINE XL TAB 500MG30$49.26
LODRANE LIQ 4-60/5ML480$37.11
LODRANE 24D CAP 12-90MG30$41.83
LOESTRIN FE TAB 1.5/3028$42.60
LOESTRIN FE TAB 1/2028$42.60
LOFIBRA CAP 67MG30$29.95
LOFIBRA TAB 54MG30$29.95
LOMOTIL LIQ 2.5/560$30.28
LOMOTIL TAB 2.5MG30$27.09
LONG TES50$27.63
LONITEN TAB 2.5MG30$27.73
LOPRESS HCT TAB 50/25MG30$38.29
LOPRESSOR TAB 100MG30$49.28
LOPRESSOR TAB 50MG30$33.74
LORABID SUS 100/5ML100$45.75
LORAZEPAM CON 2MG/ML30$44.54
LORCET PLUS TAB 7.5-65030$35.21
LORTAB 10 TAB30$44.55
LORTAB 2.5 TAB30$25.89
LORTAB 5 TAB30$38.75
LORTAB 7.5 TAB30$42.62
LOTEMAX SUS 0.5%2$34.57
LOTENSIN TAB 10MG30$35.64
LOTENSIN TAB 20MG30$35.64
LOTENSIN TAB 40MG30$35.64
LOTENSIN TAB 5MG30$35.64
LOTENSIN HCT TAB 10-12.530$35.64
LOTENSIN HCT TAB 20-12.530$35.64
LOTENSIN HCT TAB 20-25MG30$35.64
LOTENSIN HCT TAB 5-6.25MG30$35.64
LOTRISONE CRE15$41.81
LOVAZA CAP 1GM30$38.73
Loxapine Succinate Cap 25 MG30$26.00
Loxapine Succinate Cap 5 MG30$25.35
Loxapine Succinate Cap 50 MG30$33.86
LOXITANE CAP 5MG30$48.26
LOZOL TAB 1.25MG30$30.48
LUMINAL INJ 130MG/ML10$43.26
LUMINAL INJ 60MG/ML10$33.88
LUNELLE INJ0$26.23
LYBREL TAB 90-20MCG30$49.16
LYNOX TAB 2.5-30030$37.01
LYNOX TAB 5-300MG30$46.14
LYNOX TAB 7.5-30030$49.40

Fourth Tier
Drug NameRetail QtyRetail
Labetalol HCl IV Soln 5 MG/ML

$265.50

LACRISERT MIS 5MG OP

$193.06

Lactated Ringer's for Irrigation

$233.40

LACTINOL LOT 10%

$76.02

Lactulose Syrup 10 GM/15ML

$78.34

LAMICTAL CHW 25MG

$153.94

LAMICTAL CHW 5MG

$143.58

LAMICTAL KIT START 35

$172.56

LAMICTAL KIT START 49

$245.32

LAMICTAL KIT START 98

$487.85

LAMICTAL TAB 100MG

$169.00

LAMICTAL TAB 150MG

$184.96

LAMICTAL TAB 200MG

$201.11

LAMICTAL TAB 25MG

$148.29

LAMICTAL ODT TAB 100MG

$166.60

LAMICTAL ODT TAB 200MG

$198.26

LAMICTAL ODT TAB 25MG

$146.21

LAMICTAL ODT TAB 50MG

$156.39

LAMISIL SPR 1%

$79.60

LAMISIL TAB 250MG

$460.73

Lamotrigine Tab Disp 25 MG

$74.96

Lamotrigine Tab Disp 5 MG

$71.70

LANCETS MIS FINE PT.

$68.26

LANOXIN INJ 0.1MG/ML

$65.38

LANTUS INJ 100/ML (10 ML)

$99.08

LANTUS INJ 100/ML (3 ML PKGS)

$188.88

LANTUS INJ SOLOSTAR

$188.88

LARIAM TAB 250MG

$340.26

LAVOCLEN-4 LIQ CREM WSH

$50.63

LAVOCLEN-8 LIQ CREM WSH

$52.56

LAZERFORMALY SOL 10%

$52.48

LEFLUNOMIDE TAB 10MG

$430.94

LEFLUNOMIDE TAB 20MG

$430.94

LESCOL CAP 20MG

$92.78

LESCOL CAP 40MG

$92.78

LESCOL XL TAB 80MG

$118.07

LETAIRIS TAB 10MG

$5907.88

LETAIRIS TAB 5MG

$5907.88

LEUCOVOR CA TAB 10MG

$200.52

LEUCOVOR CA TAB 15MG

$279.65

Leucovorin Calcium Inj 10 MG/ML

$79.17

Leucovorin Calcium Tab 25 MG

$231.33

LEUKERAN TAB 2MG

$107.77

LEUKINE INJ 250MCG

$930.72

LEUKINE INJ 500 MCG

$347.22

LEUKINE SOL 500MCG

$343.49

Leuprolide Acetate Inj Kit 5 MG/ML

$124.32

LEUSTATIN INJ 1MG/ML

$934.20

LEVALL SOL

$90.70

LEVALL SOL 5-15-100

$93.52

LEVALL SYP

$90.70

LEVALL 5.0 SOL

$90.70

LEVALL 5.0 SYP

$90.70

LEVALL-12 SUS 25-30MG

$170.85

LEVALL-12 SUS 30-30MG

$148.94

LEVAQUIN TAB 250MG

$351.26

LEVAQUIN TAB 500MG

$402.17

LEVAQUIN TAB 750MG

$824.73

LEVAQUIN TAB LEVA-PAK

$750.69

LEVAQUIN/D5W INJ 750/150

$55.46

LEVATOL TAB 20MG

$80.30

LEVBID TAB 0.375 ER

$62.89

LEVEMIR INJ

$86.60

LEVEMIR INJ FLEXPEN

$110.75

Levetiracetam Oral Soln 100 MG/ML

$51.39

LEVITRA TAB 10MG

$171.89

LEVITRA TAB 2.5MG

$171.89

LEVITRA TAB 20MG

$171.89

LEVITRA TAB 5MG

$171.89

Levocarnitine Inj 200 MG/ML

$291.00

LEVO-DROMORA TAB 2MG

$53.89

Levonorgestrel & Ethinyl Estradiol (91-Day) Tab 0.15-0.03 MG

$117.02

Levonorgestrel & Ethinyl Estradiol (91-Day) Tab 0.15-0.03 MG

$117.02

LEVOPHED INJ 1MG/ML

$116.50

LEVSIN ELX 0.125/5

$109.06

LEVSIN INJ 0.5MG/ML

$121.64

LEVSIN/SL SUB 0.125MG

$86.77

LEVULAN KERA SOL 20%

$982.59

LEXAPRO SOL 5MG/5ML

$144.97

LEXAPRO TAB 10MG

$99.34

LEXAPRO TAB 20MG

$103.80

LEXAPRO TAB 5MG

$88.29

LEXIVA SUS 50MG/ML

$123.47

LEXIVA TAB 700MG

$396.72

LEXXEL TAB 5-5MG

$60.04

LIALDA TAB 1.2GM

$167.77

LIBRAX CAP 5-2.5MG

$170.94

LIBRIUM CAP 25MG

$59.38

LIBRIUM INJ 100MG

$231.67

LIDAMANTLE LOT 3%

$225.98

LIDAMANTLE LOT HC3-0.5%

$250.90

LIDEX SOL 0.05%

$101.85

LIDO/DEXTROS INJ 5-7.5%

$61.48

LIDOCAINE INJ 100MG/ML

$128.36

Lidocaine HCl For IV Admixture 200 MG/ML

$182.30

Lidocaine HCl IV Inj 10 MG/ML

$94.98

Lidocaine HCl IV Inj 20 MG/ML

$99.30

Lidocaine HCl Lotion 3%

$74.40

Lidocaine Inj 0.5% w/ Epinephrine-1:200000

$58.55

Lidocaine IV Infusion in D5W Inj 2 MG/ML

$370.08

Lidocaine IV Infusion in D5W Inj 4 MG/ML

$132.78

Lidocaine IV Infusion in D5W Inj 8 MG/ML

$118.02

LIDOCAINE/HC CRE 3%-1%

$1033.73

Lidocaine-Hydrocortisone Acetate Lotion 3-0.5%

$187.62

Lidocaine-Hydrocortisone Acetate Lotion 3-0.5%

$82.37

Lidocaine-Hydrocortisone Acetate Rectal Cream Kit 3-0.5%

$240.27

Lidocaine-Hydrocortisone Acetate Rectal Cream Kit 3-0.5%

$98.12

Lidocaine-Hydrocortisone Acetate Rectal Cream Kit 3-0.5%

$99.89

Lidocaine-Hydrocortisone Acetate Rectal Gel Kit 3-2.5%

$138.76

LIDODERM DIS 5%

$189.46

LIDOSITE DIS SYSTEM

$263.75

LIMBITROL DS TAB 10-25MG

$54.00

LIMBREL CAP 500MG

$52.91

LINDANE LOT 1%

$110.55

Lindane Shampoo 1%

$95.93

LIORESAL INT INJ 0.05MG/1

$75.83

Liothyronine Sodium IV Soln 10 MCG/ML

$348.00

LIPITOR TAB 10MG

$87.31

LIPITOR TAB 20MG

$123.37

LIPITOR TAB 40MG

$129.40

LIPITOR TAB 80MG

$129.40

LIPOFEN CAP 150MG

$85.57

LIPOSYN II INJ 10%

$421.06

LIPOSYN II INJ 20%

$264.71

LIPOSYN III INJ 10%

$538.95

LIPOSYN III INJ 20%

$318.95

LIQUADD SOL 5MG/5ML

$154.99

LIQUICET SOL 10-500MG

$177.65

LIQUI-COAT SUS HD 210%

$79.43

LIQUIHEP KIT 500U

$128.90

LIQUIHEP II KIT 500U

$119.33

LISTER-V CAP

$86.99

LITH HEPARIN KIT 100UNIT

$134.12

LITH HEPARIN KIT 500U

$104.54

LITH HEPARIN KIT 70U

$107.15

Liver Extract Inj 2 MCG/ML

$97.50

LMD 10%/D5W INJ

$279.41

LO/OVRAL TAB -28

$56.04

LOCAL INFILT KIT 22GX2""

$261.35

LOCOID CRE 0.1%

$53.91

LOCOID OIN 0.1%

$51.51

LOCOID SOL 0.1%

$67.77

LOCOID LIPO CRE 0.1%

$61.24

LODOSYN TAB 25MG

$73.84

LODRANE D SUS

$78.44

LOESTRIN TAB 1/20-21

$69.66

LOESTRIN 21 TAB 1.5/30

$69.66

LOESTRIN 24 TAB FE

$78.54

LOFIBRA CAP 134MG

$55.14

LOFIBRA CAP 200MG

$84.34

LOFIBRA TAB 160MG

$84.34

LONITEN TAB 10MG

$57.61

LOPID TAB 600MG

$75.29

LOPRESS HCT TAB 100/25MG

$58.28

LOPRESS HCT TAB 100/50MG

$61.64

LOPRESSOR INJ 5MG/5ML

$177.42

LOPROX CRE 0.77%

$54.24

LOPROX GEL TOPICAL

$197.63

LOPROX SHA 1%

$117.92

LOPROX SUS 0.77%

$96.94

LORABID CAP 200MG

$125.75

LORABID CAP 400MG

$175.89

LORABID SUS 200/5ML

$72.96

LORCET TAB 10/650

$53.39

LORTAB ELX

$134.97

LORTUSS DM LIQ

$56.30

LORTUSS HC LIQ

$56.30

LOTREL CAP 10-20MG

$136.99

LOTREL CAP 10-40MG

$150.67

LOTREL CAP 2.5-10MG

$65.74

LOTREL CAP 5-10MG

$112.16

LOTREL CAP 5-20MG

$70.59

LOTREL CAP 5-40MG

$125.19

LOTRISONE LOT

$83.76

LOTRONEX TAB 0.5MG

$375.96

LOTRONEX TAB 1MG

$431.56

LOVENOX INJ 100/1ML

$821.21

LOVENOX INJ 120/0.8

$985.23

LOVENOX INJ 150/1ML

$1230.87

LOVENOX INJ 30/0.3ML

$248.02

LOVENOX INJ 300/3ML

$248.02

LOVENOX INJ 40/0.4ML

$329.75

LOVENOX INJ 60/0.6ML

$493.83

LOVENOX INJ 80/0.8ML

$657.53

LOXITANE CAP 10MG

$61.55

LOXITANE CAP 25MG

$91.60

LOXITANE CAP 50MG

$121.30

LOXITANE INJ 50MG/ML

$104.17

LTA 360 KIT SOL 4%

$143.31

LUCENTIS SOL

$2123.38

LUFYLLIN ELX 100/15ML

$117.07

LUFYLLIN TAB 200MG

$92.62

LUFYLLIN TAB 400MG

$134.71

LUFYLLIN-GG ELX 100-100

$264.20

LUFYLLIN-GG TAB 200-200

$102.96

LUMBAR PUNCT KIT 18GX3.5""

$329.94

LUMBAR PUNCT KIT 20GX3.5""

$157.83

LUMBAR PUNCT KIT 22GX1.5""

$319.40

LUMBAR PUNCT KIT 22GX2.5""

$157.83

LUMBAR PUNCT KIT 22GX3.5""

$329.94

LUMIGAN SOL 0.03%

$83.99

LUNESTA TAB 1MG

$139.91

LUNESTA TAB 2MG

$139.92

LUNESTA TAB 3MG

$139.92

LUPR DEP-PED INJ 11.25MG

$1365.08

LUPR DEP-PED INJ 15MG

$1503.20

LUPR DEP-PED INJ 7.5MG

$753.13

LUPRON INJ 2 WEEK

$541.40

LUPRON 6-PK INJ 5MG/ML

$3234.65

LUPRON DEPOT INJ 11.25MG

$1874.06

LUPRON DEPOT INJ 22.5MG

$2232.67

LUPRON DEPOT INJ 3.75MG

$626.51

LUPRON DEPOT INJ 30MG

$2975.98

LUPRON DEPOT INJ 7.5MG

$746.07

LUSTRA CRE 4%

$110.92

LUSTRA-AF CRE 4%

$121.69

LUSTRA-ULTRA CRE 4%

$130.39

LUTREPULSE INJ 0.8MG

$135.16

LUTREPULSE INJ 3.2MG

$433.35

LUVOX TAB 100MG

$77.84

LUVOX CR CAP 100MG

$160.98

LUVOX CR CAP 150MG

$172.40

LUXIQ AER 0.12%

$154.98

LYMPHAZURIN INJ 1%

$806.63

LYNOX TAB 10-300MG

$54.30

LYPHOLYTE INJ

$1041.83

LYPHOLYTE-II INJ

$228.41

LYRICA CAP 100MG

$83.60

LYRICA CAP 150MG

$83.60

LYRICA CAP 200MG

$76.25

LYRICA CAP 225MG

$76.25

LYRICA CAP 25MG

$76.25

LYRICA CAP 300MG

$76.25

LYRICA CAP 50MG

$83.60

LYRICA CAP 75MG

$83.60

LYSODREN TAB 500MG

$142.11

LYTENSOPRIL PAK

$242.83

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Prices and tier position subject to change without notice. Tier position and price only for quantities stated, additional quantities may incur higher costs. This is not an insured product.

Disclosures:
The Advance Benefits discount programs are not health insurance policies. The plan provides discounts at network pharmacies and mail order facilities. The plan does not make payments directly to the providers. The plan members are obligated to pay for all services but will receive a discount from those pharmacies that have contracted with this discount plan organization. It is the member’s responsibility to confirm with member services that a pharmacy is an active provider.

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