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
PANCRELIPASE CAP30$9.38
PARAFORMALDE MIS USP100$6.67
Paroxetine HCl Tab 10 MG30$9.50
PCCA BASE MIS TRSDRML1$3.21
PEDI BOOT KIT 1% KIT57$8.41
Pediatric Multiple Vitamins w/ Fl-Fe Chew Tab 0.5-12 MG30$4.85
Pediatric Multiple Vitamins w/ Fl-Fe Chew Tab 1-12 MG30$4.63
Pediatric Multiple Vitamins w/ Fl-Fe Drops 0.25-10 MG/M50$6.59
Pediatric Multiple Vitamins w/ Fl-Fe Drops 0.5-10 MG/ML50$5.98
Pediatric Multiple Vitamins w/ Fluoride Chew Tab 0.25 M30$6.39
Pediatric Multiple Vitamins w/ Fluoride Chew Tab 0.25 MG30$4.89
Pediatric Multiple Vitamins w/ Fluoride Chew Tab 0.5 MG30$6.39
Pediatric Multiple Vitamins w/ Fluoride Chew Tab 1 MG30$6.39
Pediatric Multiple Vitamins w/ Fluoride Soln 0.25 MG/ML50$6.54
Pediatric Multiple Vitamins w/ Fluoride Soln 0.5 MG/ML50$6.54
Pediatric Vitamins ACD Fluoride & Fe Drops 0.25-10 MG/M50$6.02
Pediatric Vitamins ACD w/ Fluoride Chew Tab 1 MG30$4.63
Pediatric Vitamins ACD w/ Fluoride Soln 0.25 MG/ML50$5.98
Pediatric Vitamins ACD w/ Fluoride Soln 0.5 MG/ML50$6.40
Penicillin V Potassium For Soln 125 MG/5ML100$4.15
Penicillin V Potassium For Soln 125 MG/5ML100$4.15
Penicillin V Potassium For Soln 250 MG/5ML100$5.21
Penicillin V Potassium For Soln 250 MG/5ML100$7.93
Penicillin V Potassium Tab 250 MG30$5.44
Penicillin V Potassium Tab 250 MG30$5.44
Penicillin V Potassium Tab 500 MG30$8.63
Penicillin V Potassium Tab 500 MG30$8.63
Pentoxifylline Tab CR 400 MG30$5.37
Pentoxifylline Tab CR 400 MG30$5.37
PERPHEN/AMIT TAB 2-10MG30$9.59
Perphenazine w/ Amitriptyline Tab 4-10 MG30$9.31
PHANASIN LIQ 50MG/ML30$7.94
Phenazopyridine HCl Tab 100 MG30$3.35
Phenazopyridine HCl Tab 200 MG30$3.50
Phendimetrazine Tartrate Tab 35 MG30$7.63
Phenobarbital & Belladonna Alk Elixir 16 MG/5ML120$5.88
Phenobarbital & Belladonna Alk Tab 16.2 MG30$4.33
Phenobarbital Tab 100 MG30$3.99
Phenobarbital Tab 15 MG30$3.30
Phenobarbital Tab 16.2 MG30$3.43
Phenobarbital Tab 30 MG30$3.55
Phenobarbital Tab 32.4 MG30$3.24
Phenobarbital Tab 60 MG30$3.61
Phenobarbital Tab 64.8 MG30$3.32
Phenobarbital Tab 97.2 MG30$3.81
Phentermine HCl Cap 30 MG30$5.75
Phentermine HCl Tab 8 MG30$3.73
PHENY SOD CAP PROMPT30$9.14
PHENYDEX LIQ PEDI118$9.80
Phenyleph-Chlorphen w/ Hydrocodone Syrup 5-2-1.67 MG/5ML480$9.05
Phenyleph-Chlorphen w/ Hydrocodone Syrup 5-2-1.67 MG/5ML473$8.96
Phenyleph-Pyrilamine w/ Hydrocodone Syrup 5-8.33-1.66 MG237$6.60
PHENYLEPHRIN SOL 2.5% OP2$6.00
Phenylephrine HCl Ophth Soln 10%5$5.57
Phenylephrine HCl Ophth Soln 10%5$5.57
Phenylephrine HCl Ophth Soln 10%5$5.57
Phenylephrine HCl Ophth Soln 2.5%2$4.02
Phenylephrine w/ Acetaminophen Tab 5-500 MG30$3.95
Phenylephrine w/ DM-GG Liqd 10-15-300 MG/5ML473$8.39
Phenylephrine w/ DM-GG Liqd 5-15-200 MG/5ML473$6.83
Phenylephrine-Chlorphen-DM Syrup 12.5-4-15 MG/5ML118$6.18
Phenylephrine-Chlorphen-DM Syrup 12.5-4-15 MG/5ML118$6.18
Phenylephrine-Chlorphen-GG Soln 2-1-20 MG/ML30$8.63
Phenylephrine-Guaifenesin Tab CR 20-300 MG30$5.72
Phenylephrine-Guaifenesin Tab CR 20-300 MG30$5.72
Phenylephrine-Promethazine w/ Codeine Syrup 5-6.25-10 MG118$9.80
Phenyltoloxamine w/ APAP Cap 30-500 MG30$7.95
Phenyltoloxamine w/ APAP Tab 30-500 MG30$4.53
Phenyltoloxamine w/ APAP Tab 50-500 MG30$7.45
Phenyltoloxamine w/ APAP Tab 50-500 MG30$7.45
Phenyltoloxamine w/ Mag Salicylate Tab 25-600 MG30$6.83
Phenyltoloxamine w/ Mag Salicylate Tab 25-600 MG30$6.83
Phenytoin Sodium Extended Cap 100 MG30$9.72
PHOSLO TAB 667MG30$9.07
Pilocarpine HCl Ophth Soln 0.5%15$6.39
Pilocarpine HCl Ophth Soln 0.5%15$6.39
Pilocarpine HCl Ophth Soln 3%15$7.27
Pilocarpine HCl Ophth Soln 3%15$7.27
Pilocarpine HCl Ophth Soln 6%15$8.73
Pindolol Tab 10 MG30$8.57
Pindolol Tab 5 MG30$7.36
Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%10$6.30
Polysaccharide Iron Complex Cap 150 MG30$4.52
Polysaccharide Iron Complex Cap 150 MG30$7.44
POLY-VI-FLOR CHW 0.25MG30$7.38
POLY-VI-FLOR CHW 0.5MG30$7.38
POLY-VI-FLOR CHW 1MG30$7.38
POLY-VI-FLOR CHW FE 0.5MG30$7.58
POLY-VI-FLOR CHW FE0.25MG30$7.58
POLY-VI-TABS CHW30$3.24
POT BICARBON CAP 99MG30$5.02
Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130$6.03
Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130MG30$6.03
Potassium Aminobenzoate Tab 500 MG30$6.46
Potassium Bicarbonate Effer Tab 25 mEq30$7.29
Potassium Bicarbonate Effer Tab 25 mEq30$7.29
Potassium Bicarbonate Effer Tab 25 mEq30$7.29
Potassium Chloride Microencapsulated Crys CR Tab 10 mEq30$7.27
Potassium Chloride Microencapsulated Crys CR Tab 20 mEq30$6.76
Potassium Chloride Microencapsulated Crys CR Tab 20 mEq30$6.76
Potassium Chloride Oral Liq 10%473$5.84
Potassium Chloride Tab CR 10 mEq30$7.61
Potassium Chloride Tab CR 10 mEq30$7.61
Potassium Chloride Tab CR 8 mEq30$5.82
Potassium Chloride Tab CR 8 mEq30$5.82
Potassium Citrate Tab CR 540 MG (5 MEQ)30$9.84
Potassium Gluconate Elixir 20 mEq/15ML480$8.59
Prazosin HCl Cap 1 MG30$6.56
Prazosin HCl Cap 2 MG30$8.12
PRECISION MIS 28G100$7.97
PRECISION MIS 28G(T)100$7.97
PRECISION LA MIS 28 GAUGE100$7.39
Prednisolone Acetate Ophth Susp 1%5$7.44
Prednisolone Sodium Phosphate Ophth Soln 1%5$9.65
Prednisolone Syrup 15 MG/5ML200$9.41
PREDNISOLONE TAB 5MG30$6.34
PREDNISONE TAB 1MG30$8.84
PREDNISONE TAB 2.5MG30$5.53
Prednisone Tab 10 MG30$3.67
Prednisone Tab 10 MG30$3.67
Prednisone Tab 10 MG Dose Pack30$7.36
Prednisone Tab 20 MG30$4.22
Prednisone Tab 5 MG30$3.47
Prednisone Tab 5 MG Dose Pack30$6.66
PRE-FOLIC TAB 1-100MG30$5.23
Prenatal Multivitamins & Minerals w/ Iron & FA Cap 1 MG30$4.35
Prenatal Multivitamins & Minerals w/ Iron & FA Tab 1 MG30$5.26
Prenatal Multivitamins & Minerals w/Iron & FA Tab 0.8 M30$3.78
Prenatal Vit w/ DSS-Fe Fumarate-FA Tab 29-1 MG30$8.75
Prenatal Vit w/ DSS-Fe Fumarate-FA Tab CR 90-1 MG30$5.27
Prenatal Vit w/ DSS-Fe Fumarate-FA Tab CR 90-1 MG30$5.27
Prenatal Vit w/ DSS-Iron Carbonyl-FA Tab 90-1 MG30$8.45
Prenatal Vit w/ DSS-Iron Carbonyl-FA Tab 90-1 MG30$8.45
Prenatal Vit w/ DSS-Iron Carbonyl-FA Tab 90-1 MG30$8.45
Prenatal Vit w/ DSS-Iron Carbonyl-FA Tab 90-1 MG30$8.45
Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.5 MG30$4.55
Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.5 MG30$4.55
Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.8 MG30$3.88
Prenatal Vit w/ Fe Fumarate-FA Tab 27-1 MG30$5.50
Prenatal Vit w/ Fe Fumarate-FA Tab 27-1 MG30$5.50
Prenatal Vit w/ Fe Fumarate-FA Tab 28-1 MG30$6.76
Prenatal Vit w/ Fe Fumarate-FA Tab 29-1 MG30$6.17
Prenatal Vit w/ Fe Fumarate-FA Tab 29-1 MG30$6.17
Prenatal Vit w/ Fe Fumarate-FA Tab 60-1 MG30$6.44
Prenatal Vit w/ Fe Fumarate-FA Tab 60-1 MG30$9.17
Prenatal Vit w/ Fe Fumarate-FA Tab 65-1 MG30$4.88
Prenatal Vit w/ Fe Fumarate-FA Tab 65-1 MG30$4.88
Prenatal Vit w/ Fe Fumarate-FA Tab 65-1 MG30$4.88
Prenatal Vit w/ Fe Polysac Cmplx-FA Tab 60-1 MG30$6.16
Prenatal Vit w/ Fe Polysac Cmplx-FA Tab 60-1 MG30$6.16
Prenatal Vit w/ Iron Carbonyl-FA Tab 29-1 MG30$7.36
Prenatal Vit w/ Iron Carbonyl-FA Tab 50-1 MG30$6.40
Prenatal Vit w/ Iron Carbonyl-FA Tab 50-1 MG30$6.40
Prenatal Vit w/ Iron Carbonyl-Fe Sulf-FA Tab 60-1 MG30$8.74
Prenatal Vit w/ Sel-Fe Fumarate-FA Tab 27-1 MG30$8.76
Prenatal w/o A Vit w/ Fe Carbonyl-FA Tab 29-1 MG30$7.71
Prenatal w/o A Vit w/ Fe Carbonyl-FA Tab 29-1 MG30$7.71
PREVIDENT GEL 1.1% BER24$6.61
PREVIDENT GEL 1.1% MIN24$6.61
Primidone Tab 50 MG30$8.13
Procainamide HCl Cap 375 MG30$4.04
Procainamide HCl Tab CR 500 MG30$5.88
PROCAINE HCL CRY1$3.30
Prochlorperazine Maleate Tab 10 MG30$5.46
Prochlorperazine Maleate Tab 5 MG30$5.34
Promethazine HCl Syrup 6.25 MG/5ML120$5.92
Promethazine HCl Tab 25 MG30$9.47
Promethazine-DM Syrup 6.25-15 MG/5ML118$5.57
Proparacaine HCl Ophth Soln 0.5%15$7.23
Propofol IV Emul 10 MG/ML10$8.48
Propoxyphene Compound Cap 65 MG30$4.70
Propoxyphene HCl Cap 65 MG30$8.69
Propoxyphene HCl w/ APAP Tab 65-650 MG30$8.40
Propoxyphene-N w/ APAP Tab 100-650 MG30$5.04
PROPRANOLOL TAB 90MG30$6.67
Propranolol & Hydrochlorothiazide Tab 40-25 MG30$7.68
Propranolol HCl Tab 10 MG30$4.68
Propranolol HCl Tab 20 MG30$4.38
Propranolol HCl Tab 40 MG30$4.70
Propranolol HCl Tab 80 MG30$6.42
Propylthiouracil Tab 50 MG30$5.17
Pseudoeph Tan-Carbinox Tan-DM Tan Susp 45.2-3.2-27.5 MG/30$8.32
Pseudoephed-Carbinoxamine-DM Liquid 12.5-2.67-15 MG/5ML30$5.23
Pseudoephed-Carbinoxamine-DM Soln 25-2-4 MG/ML30$5.69
Pseudoephed-Carbinoxamine-DM Syrup 60-4-15 MG/5ML473$8.87
Pseudoephed-Carbinoxamine-DM Syrup 60-4-15 MG/5ML480$8.96
Pseudoephedrine w/ APAP-DM Caps 30-250-10 MG30$5.56
Pseudoephedrine w/ DM-GG Liquid 60-40-400 MG/10ML118$7.44
Pseudoephedrine w/ DM-GG Tab SR 12HR 45-30-800 MG30$9.06
Pseudoephedrine w/ DM-GG Tab SR 12HR 60-30-600 MG30$9.54
Pseudoephedrine w/ DM-GG Tab SR 12HR 60-30-600 MG30$9.54
Pseudoephedrine-DM-GG-Sod Citrate Liqd 30-10-25-200 MG/530$5.11
Pseudoephedrine-GG Tab SR 12HR 60-600 MG30$7.10
Pseudoephedrine-Guaifenesin Cap CR 120-250 MG30$7.88
Pseudoephedrine-Guaifenesin Cap CR 120-250 MG30$7.88
Pseudoephedrine-Guaifenesin Cap CR 60-300 MG30$7.50
Pseudoephedrine-Guaifenesin Cap CR 60-300 MG30$7.50
Pseudoephedrine-Guaifenesin Liqd 5-50 MG/ML30$8.27
Pseudoephedrine-Guaifenesin Syrup 30-100 MG/5ML118$4.01
Pseudoephedrine-Guaifenesin Tab SR 12HR 120-500 MG30$7.84
Pseudoephedrine-Guaifenesin Tab SR 12HR 120-600 MG30$7.50
Pseudoephedrine-Guaifenesin Tab SR 12HR 120-600 MG30$7.50
Pseudoephedrine-Guaifenesin Tab SR 12HR 45-600 MG30$7.69
Pseudoephedrine-Guaifenesin Tab SR 12HR 45-600 MG30$7.69
Pseudoephedrine-Guaifenesin Tab SR 12HR 45-600 MG30$7.69
Pseudoephedrine-Guaifenesin Tab SR 12HR 45-600 MG30$7.69
Pseudoephedrine-Guaifenesin Tab SR 12HR 45-800 MG30$9.67
Pseudoephedrine-Guaifenesin Tab SR 12HR 48-595 MG30$7.12
Pseudoephedrine-Guaifenesin Tab SR 12HR 48-595 MG30$7.12
Pseudoephedrine-Guaifenesin Tab SR 12HR 60-500 MG30$9.56
Pseudoephedrine-Guaifenesin Tab SR 12HR 60-600 MG30$7.10
Pseudoephedrine-Guaifenesin Tab SR 12HR 60-600 MG30$7.10
Pseudoephedrine-Guaifenesin Tab SR 12HR 80-800 MG30$8.33
Pseudoephedrine-Guaifenesin Tab SR 12HR 80-800 MG30$8.33
Psyllium Cap 0.52 GM30$4.26

Second Tier
Drug NameRetail QtyRetail
PADIMATE O SOL USP100$13.52
PANATUSS DRO PEDIATRI30$14.23
PANATUSS SYP118$12.93
PANATUSS DX LIQ118$13.19
PANATUSS DXP LIQ118$15.26
PANCREASE CAP EC30$18.38
PANCREASE MT CAP 430$18.36
PANCRELIPASE TAB30$10.86
Pancuronium Bromide Inj 2 MG/ML5$12.73
PANFIL-G CAP30$18.55
PANIXINE TAB 125MG30$13.52
PANMIST DM TAB30$18.16
PANMIST JR TAB 595-48MG30$13.63
PANMIST LA TAB 795-85MG30$17.65
PANMIST-LA TAB 90-600MG30$16.76
PANOCAPS CAP30$14.04
Papaverine HCl Inj 30 MG/ML2$10.50
PAREMYD SOL 1-0.25%15$19.45
Paroxetine HCl Tab 30 MG30$10.84
Paroxetine HCl Tab 40 MG30$11.31
PAXIPAM TAB 20MG30$18.45
PEANUT OIL NF500$10.58
PEDIAFLOR DRO 0.5MG/ML50$16.20
PEDIAZOLE SUS 200/600100$18.19
PEG-Electrolyte For Soln4000$12.40
Pemoline Tab 18.75 MG30$13.88
PENICILLN GK INJ 1MU10$10.80
Permethrin Spray & Pyrethins-Piperonyl Butoxide Shamp Ki1$14.24
Perphenazine w/ Amitriptyline Tab 2-25 MG30$13.09
Perphenazine w/ Amitriptyline Tab 4-25 MG30$10.40
PHENERGAN TAB 25MG30$18.17
Phenobarbital Elixir 20 MG/5ML500$15.92
Phentermine HCl Cap 30 MG30$12.42
Phentermine HCl Tab 37.5 MG30$10.92
PHENURONE TAB 500MG30$17.59
Phenyleph-Chlorphen w/ DM-GG Liquid 10-2-15-100 MG/5ML473$16.50
Phenyleph-Chlorphen w/ DM-GG Syrup 10-2-7.5-100 MG/5ML473$11.39
Phenyleph-Chlorphen w/ Hydrocodone Liqd 5-2-5 MG/5ML473$18.07
Phenyleph-Chlorphen w/ Hydrocodone Liqd 5-2-5 MG/5ML473$18.07
Phenyleph-Chlorphen w/ Hydrocodone Liqd 5-2-5 MG/5ML473$18.07
Phenyleph-Chlorphen w/ Hydrocodone Syrup 10-2-2.5 MG/5ML473$15.49
Phenyleph-Chlorphen w/ Hydrocodone Syrup 10-4-2.5 MG/5ML473$11.11
Phenyleph-Chlorphen w/ Hydrocodone Syrup 10-4-2.5 MG/5ML480$11.23
Phenyleph-Chlorphen w/ Hydrocodone Syrup 7.5-2-2 MG/5ML473$14.64
Phenyleph-DM-Sod Cit-Citric Acid Liq 2.5-7.5-150-40 MG/5120$17.33
Phenylephrine HCl Chew Tab 10 MG30$16.88
Phenylephrine HCl Ophth Soln 2.5%15$10.67
Phenylephrine w/ DM-GG Liqd 10-15-300 MG/5ML473$15.57
Phenylephrine w/ DM-GG Liqd 10-30-200 MG/5ML473$14.16
Phenylephrine w/ DM-GG Liqd 10-30-200 MG/5ML473$13.39
Phenylephrine w/ DM-GG Soln 10-10-100 MG/5ML473$15.57
Phenylephrine w/ DM-GG Tab SR 12HR 10-30-600 MG30$15.38
Phenylephrine w/ DM-GG Tab SR 12HR 20-25-550 MG30$15.42
Phenylephrine-Carbetapentane-GG Tab SR 12HR 15-60-600 MG30$15.40
Phenylephrine-Chlorphen-Dihydrocodeine Syrup 7.5-2-3 MG/118$18.10
Phenylephrine-Chlorphen-DM Liquid 3.5-1-3 MG/ML30$19.82
Phenylephrine-Chlorphen-DM Soln 10-4-15 MG/5ML473$17.06
Phenylephrine-Chlorphen-DM Soln 10-4-15 MG/5ML480$17.27
Phenylephrine-Chlorphen-DM Syrup 10-2-15 MG/5ML473$15.34
Phenylephrine-Chlorphen-DM Syrup 12.5-4-15 MG/5ML473$15.76
Phenylephrine-Chlorphen-DM Syrup 12.5-4-15 MG/5ML473$15.76
Phenylephrine-Chlorphen-DM Syrup 12.5-4-15 MG/5ML473$15.76
Phenylephrine-Chlorphen-DM Syrup 12.5-4-15 MG/5ML473$15.76
Phenylephrine-Chlorphen-DM Syrup 12.5-4-15 MG/5ML473$15.76
Phenylephrine-Chlorphen-DM Syrup 12.5-4-15 MG/5ML280$10.55
Phenylephrine-Dexbrompheniramine-DM Tab SR 12HR 20-6-3030$13.93
Phenylephrine-Guaifenesin Liqd 10-225 MG/5ML (2-45 MG/ML30$14.32
Phenylephrine-Guaifenesin Liqd 5-100 MG/5ML473$12.88
Phenylephrine-Guaifenesin Tab CR 15-600 MG30$19.99
Phenylephrine-Guaifenesin Tab CR 20-800 MG30$13.33
Phenylephrine-Guaifenesin Tab SR 12HR 10-600 MG30$15.55
Phenylephrine-Guaifenesin Tab SR 12HR 10-600 MG30$12.60
Phenylephrine-Guaifenesin Tab SR 12HR 10-600 MG30$11.33
Phenylephrine-Guaifenesin Tab SR 12HR 20-600 MG30$13.91
Phenylephrine-Guaifenesin Tab SR 12HR 20-600 MG30$14.01
Phenylephrine-Guaifenesin Tab SR 12HR 20-600 MG30$15.00
Phenylephrine-Guaifenesin Tab SR 12HR 25-275 MG30$16.09
Phenylephrine-Guaifenesin Tab SR 12HR 25-275 MG30$16.51
Phenylephrine-Guaifenesin Tab SR 12HR 25-650 MG30$16.19
Phenylephrine-Guaifenesin Tab SR 12HR 25-800 MG30$18.58
Phenylephrine-Guaifenesin Tab SR 12HR 25-800 MG30$18.60
Phenylephrine-Guaifenesin Tab SR 12HR 25-835 MG30$16.19
Phenylephrine-Guaifenesin Tab SR 12HR 30-1100 MG30$14.88
Phenylephrine-Guaifenesin Tab SR 12HR 30-1200 MG30$16.89
Phenylephrine-Guaifenesin Tab SR 12HR 30-1200 MG30$16.97
Phenylephrine-Guaifenesin Tab SR 12HR 30-600 MG30$17.21
Phenylephrine-Guaifenesin Tab SR 12HR 30-600 MG30$17.21
Phenylephrine-Guaifenesin Tab SR 12HR 30-900 MG30$18.74
Phenylephrine-Guaifenesin Tab SR 12HR 30-900 MG30$19.18
Phenylephrine-Guaifenesin Tab SR 12HR 40-1000 MG30$19.87
Phenylephrine-Guaifenesin Tab SR 12HR 40-1200 MG30$19.46
Phenylephrine-Guaifenesin Tab SR 12HR 40-1200 MG30$19.26
Phenylephrine-Guaifenesin Tab SR 12HR 40-1200 MG30$18.47
Phenylephrine-Guaifenesin Tab SR 12HR 40-1200 MG30$17.16
Phenylephrine-Guaifenesin Tab SR 12HR 40-600 MG30$13.89
Phenylephrine-Guaifenesin Tab SR 12HR 40-600 MG30$13.83
Phenylephrine-PPA-GG Liquid 5-20-100 MG/5ML480$15.00
Phenylephrine-Pyrilamine-DM Syrup 5-8.33-10 MG/5ML473$11.33
Phenylpropanolamine w/ Codeine-GG Soln 12.5-10-100 MG/5M480$14.62
Phenyltoloxamine w/ APAP Tab 50-650 MG30$14.23
Phenyltoloxamine w/ APAP Tab 50-650 MG30$13.83
Phenyltoloxamine w/ APAP Tab 60-500 MG30$17.19
Phenyltoloxamine w/ APAP Tab 60-650 MG30$15.94
PHRENILIN TAB 325-50MG30$17.48
Physostigmine Salicylate Inj 1 MG/ML2$10.20
Pilocarpine HCl Ophth Soln 1%12$17.93
Pilocarpine HCl Ophth Soln 2%12$18.71
Pilocarpine HCl Ophth Soln 4%12$19.56
Pilocarpine HCl Ophth Soln 6%30$14.47
Pilocarpine HCl Tab 5 MG30$18.60
PNEUMOTUSSIN TAB 2.5-30030$15.13
POLOCAINE INJ 1%50$12.72
POLOCAINE INJ 2%50$13.00
POLOCAINE INJ MPF 1.5%30$12.78
POLOCAINE INJ -MPF 2%20$10.63
POLY HIST TAB FORTE30$16.78
POLY-VI-FLOR DRO /FE 0.2550$14.31
POLY-VI-FLOR DRO 0.25MG50$14.36
POLY-VI-FLOR DRO 0.5MG/ML50$14.36
Pot & Sod Citrates w/ Cit Ac Syrup 550-500-334 MG/5ML473$15.71
Pot Bicarbonate & Chloride Effer Tab 25 mEq30$19.82
POTABA CAP 500MG30$20.00
Potassium Aminobenzoate Cap 500 MG30$13.62
Potassium Chloride Cap CR 10 mEq30$19.50
Potassium Chloride Cap CR 8 mEq30$19.93
Potassium Chloride Microencapsulated Crys CR Tab 15 mEq30$15.32
Potassium Chloride Oral Liq 10%1500$12.00
Potassium Chloride Oral Liq 20%1500$10.85
Potassium Citrate & Citric Acid Soln 1100-334 MG/5ML473$10.27
Potassium Citrate Tab CR 1080 MG (10 MEQ)30$10.93
Pramoxine-Chloroxylenol Otic Liquid 1-0.1%10$14.87
Pramoxine-Chloroxylenol Otic Liquid 1-0.1%10$17.09
Pramoxine-HC-Chloroxylenol Otic Soln 10-10-1 MG/ML10$16.67
Pramoxine-HC-Chloroxylenol Otic Soln 10-10-1 MG/ML10$15.27
Pramoxine-HC-Chloroxylenol Otic Soln 10-10-1 MG/ML10$13.70
Prazosin HCl Cap 5 MG30$13.04
PRECARE CHW30$15.88
PRECARE TAB PRENATAL30$16.14
PRED FORTE SUS 1% OP1$12.10
Prednisolone Acetate Inj Susp 50 MG/ML10$11.88
Prednisolone Syrup 5 MG/5ML120$15.84
PREDNISONE TAB 50MG30$11.67
PREMESIS RX TAB30$16.14
PRENA-CAP CAP30$12.30
Prenatal Vit w/ DSS-Iron Carbonyl-FA Tab 29-1 MG30$10.50
Prenatal Vit w/ Fe Fumarate-FA Chew Tab 29-1 MG30$12.82
Prenatal Vit w/ Fe Fumarate-FA Tab 17-1 MG30$11.74
Prenatal Vit w/ Iron Carbonyl-Fe Gluc-FA Tab 27-1 MG30$11.00
Prenatal Vit w/ Iron Carbonyl-Fe Sulf-FA Tab 60-1 MG30$10.81
Prenatal w/o A Vit w/ Fe Fumarate-FA Cap 106-1 MG30$10.81
Prenatal w/o A w/ Fe Carbonyl-Fe Gluc-DSS-FA Tab 27-1MG30$13.67
Prenatal without A w/ Fe Carbonyl-Docusate-FA Tab 90-1M30$12.15
PRES SMART MIS LANCETS200$14.06
PREVIDENT CRE 5000 PLS51$12.19
PREVIDENT GEL 1.1%106$11.75
PREVIDENT GEL 1.1% CHR56$11.62
PREVIDENT PST 5000 SEN100$11.75
PREVIDENT SOL RINSE473$12.11
Primidone Tab 250 MG30$10.02
PRO-BANTHINE TAB 7.5MG30$17.07
Probenecid Tab 500 MG30$15.41
Procainamide HCl Cap 250 MG30$11.11
PRO-FAST SA TAB 8MG30$18.22
PROFERRIN- TAB FORTE30$18.77
Promethazine HCl Suppos 25 MG12$12.48
Promethazine HCl Suppos 25 MG12$12.48
Promethazine HCl Tab 50 MG30$11.55
PROMETHAZINE TAB 12.5MG30$15.54
Promethazine w/ Codeine Syrup 6.25-10 MG/5ML500$13.00
Propafenone HCl Tab 150 MG30$14.45
Propafenone HCl Tab 225 MG30$17.38
Propoxyphene-N w/ APAP Tab 50-325 MG30$18.46
Propranolol & Hydrochlorothiazide Tab 80-25 MG30$10.01
PROPYLENE GL MIS MONOSTEA100$18.41
PROPYLENE GL SOL DIACETAT500$18.36
PROSTAPHLIN SOL 250/5ML100$15.44
PROTECT PLUS CAP30$16.32
PROTONIX INJ 40MG1$15.80
Pseudoeph-Bromphen w/ Hydrocodone Soln 30-2-1.7 MG/5ML120$12.31
Pseudoeph-Bromphen w/ Hydrocodone Syrup 30-2-2.5 MG/5ML473$16.39
Pseudoeph-Carbinoxamine w/ Hydrocodone Liqd 30-2-5 MG/5M473$18.53
Pseudoeph-Carbinoxamine w/ Hydrocodone Liqd 30-2-5 MG/5M473$18.53
Pseudoeph-Chlorphen w/ Hydrocodone Liq 15-2-3 MG/5ML473$19.16
Pseudoeph-Chlorphen w/ Hydrocodone Syr 30-2-2.5 MG/5ML473$15.77
Pseudoeph-Chlorphen w/ Hydrocodone Syr 30-2-2.5 MG/5ML473$15.77
Pseudoephed Tan-Chlorphen Tan-DM Tan Susp 75-4.5-25 MG/5118$16.07
Pseudoephed-Bromphen-DM Liquid 15-1-4 MG/ML30$19.05
Pseudoephed-Bromphen-DM Syrup 45-4-15 MG/5ML240$12.36
Pseudoephed-Bromphen-DM Syrup 60-4-30 MG/5ML473$18.29
Pseudoephed-Bromphen-DM Syrup 60-4-30 MG/5ML473$18.29
Pseudoephed-Carbinoxamine-DM Liquid 15-1-4 MG/ML30$16.44
Pseudoephed-Carbinoxamine-DM Liquid 15-1-4 MG/ML30$16.44
Pseudoephed-Chlorphen-DM Liq 30-2-20 MG/5ML473$18.17
Pseudoephed-Chlorphen-DM Syrup 30-2-15 MG/5ML473$10.44
Pseudoephedrine w/ Codeine Syrup 60-20 MG/5ML480$13.19
Pseudoephedrine w/ COD-GG Soln 30-10-100 MG/5ML473$12.46
Pseudoephedrine w/ COD-GG Soln 30-10-100 MG/5ML473$12.46
Pseudoephedrine w/ COD-GG Soln 30-10-100 MG/5ML480$12.60
Pseudoephedrine w/ COD-GG Syrup 60-20-200 MG/5ML480$16.37
Pseudoephedrine w/ DM-GG Tab SR 12HR 120-60-1200 MG30$13.33
Pseudoephedrine w/ DM-GG Tab SR 12HR 120-60-1200 MG30$13.33
Pseudoephedrine w/ DM-GG Tab SR 12HR 48-32-595 MG30$14.07
Pseudoephedrine w/ DM-GG Tab SR 12HR 48-32-595 MG30$15.26
Pseudoephedrine w/ DM-GG Tab SR 12HR 60-30-1000 MG30$17.32
Pseudoephedrine w/ DM-GG Tab SR 12HR 60-30-800 MG30$11.80
Pseudoephedrine w/ DM-GG Tab SR 12HR 60-30-800 MG30$19.34
Pseudoephedrine w/ DM-GG Tab SR 12HR 80-40-700 MG30$18.50
Pseudoephedrine w/ Hydrocodone Soln 60-5 MG/5ML480$11.78
Pseudoephedrine w/ Hydrocodone Soln 60-5 MG/5ML473$11.65
Pseudoephedrine w/ Hydrocodone-GG Elixir 30-2.5-100 MG/5473$12.46
Pseudoephedrine w/ Hydrocodone-GG Liqd 15-3-100 MG/5ML480$19.85
Pseudoephedrine w/ Hydrocodone-GG Liqd 15-3-100 MG/5ML473$19.61
Pseudoephedrine w/ Hydrocodone-GG Soln 30-2.5-100 MG/5ML480$15.86
Pseudoephedrine w/ Hydrocodone-GG Soln 30-2.5-100 MG/5ML473$15.68
Pseudoephedrine-Chlorphen w/ Codeine Liq 30-2-10 MG/5ML473$12.60
Pseudoephedrine-Chlorphen w/ Codeine Liq 30-2-10 MG/5ML480$12.74
Pseudoephedrine-DM-GG w/ APAP Tab 60-20-200-500 MG30$19.77
Pseudoephedrine-DM-GG-Sod Citrate Liqd 30-10-25-200 MG/5473$18.17
Pseudoephedrine-Guaifenesin Cap CR 60-200 MG30$13.00
Pseudoephedrine-Guaifenesin Tab SR 12HR 120-1200 MG30$18.00
Pseudoephedrine-Guaifenesin Tab SR 12HR 120-1200 MG30$18.00
Pseudoephedrine-Guaifenesin Tab SR 12HR 50-1200 MG30$17.47
Pseudoephedrine-Guaifenesin Tab SR 12HR 60-1000 MG30$17.06
Pseudoephedrine-Guaifenesin Tab SR 12HR 60-1200 MG30$13.81
Pseudoephedrine-Guaifenesin Tab SR 12HR 60-1200 MG30$13.81
Pseudoephedrine-Guaifenesin Tab SR 12HR 60-500 MG30$10.35
Pseudoephedrine-Guaifenesin Tab SR 12HR 60-800 MG30$12.41
Pseudoephedrine-Guaifenesin Tab SR 12HR 80-700 MG30$17.35
Pseudoephedrine-Guaifenesin Tab SR 12HR 80-780 MG30$19.00
Pseudoephedrine-Guaifenesin Tab SR 12HR 85-795 MG30$14.36
Pseudoephedrine-Guaifenesin Tab SR 12HR 85-795 MG30$12.89
Pseudoephedrine-Guaifenesin Tab SR 12HR 85-795 MG30$13.00
Pseudoephedrine-Guaifenesin Tab SR 12HR 90-800 MG30$16.84
Pseudoephedrine-Methscopolamine Tab SR 12HR 120-2.5 MG30$14.18
Pseudoephedrine-Methscopolamine Tab SR 12HR 120-2.5 MG30$14.18
Pseudoephedrine-Methscopolamine Tab SR 12HR 120-2.5 MG30$14.18
PSORIZIDE TAB ULTRA30$16.84
PSS SAFE LAN MIS200$10.87
PSS SEL LANC MIS200$10.87
Pyrethrins-Piperonyl Butoxide Liq 0.33-4%118$13.12
Pyrethrins-Piperonyl Butoxide Shampoo 0.33-4%236$11.99
Pyridostigmine Bromide Tab 60 MG30$13.22
Pyrilamine Tan-Phenyleph Tan Susp 30-5 MG/5ML118$13.35
Pyrilamine-DM-GG-Sodium Citrate Liqd 10-10-25-200 MG/5ML473$18.17

Third Tier
Drug NameRetail QtyRetail
P3E1 SOL OP15$21.35
PAIN EASE AER MD STRM104$26.68
PAIN EASE AER MIST104$26.68
PALCAPS 10 CAP30$21.54
PALCAPS 20 CAP30$43.40
PALGIC TAB 4MG30$25.58
PALGIC D TAB 8-80MG30$20.41
PALGIC DS SYP 2-25MG/5480$41.72
PAMIDRONATE SOL 3MG/ML10$46.25
Pamidronate Disodium For Inj 30 MG1$39.00
Pamidronate Disodium IV Soln 3 MG/ML10$34.73
PANCREASE MT CAP 1030$41.79
PANCRECARB CAP MS-430$26.47
PANCRECARB CAP MS-830$45.71
PANDEL CRE 0.1%15$30.44
PANFIL-G SYP480$47.66
PANIXINE TAB 250MG30$23.96
PANLOR DC CAP30$39.18
PANLOR SS TAB30$39.09
PANMIST DM SYP480$33.73
PANMIST S SYP 40-200/5480$28.93
PANNAZ TAB30$20.67
PANNAZ S SYP480$48.53
PANOCAPS CAP MT 1630$36.97
PANOCAPS CAP MT 2030$45.38
Papain-Urea Ointment 0.83 MMU-100 MG/GM (USP Ref Std F-330$36.47
Papain-Urea Ointment 0.83 MMU-100 MG/GM (USP Ref Std F-330$40.16
Papain-Urea Ointment 0.83 MMU-100 MG/GM (USP Ref Std F-330$39.62
Papain-Urea Ointment 650000 Unit/GM-10%30$36.47
Papain-Urea Ointment 650000 Unit/GM-10% (USP Ref Std IOC30$39.79
Papaverine HCl Cap CR 150 MG30$44.93
PAPTASE AER45$48.31
PARALDEHYDE LIQ50$38.10
PARNATE TAB 10MG30$46.44
Paroxetine HCl Tab 20 MG30$33.00
PAXIPAM TAB 40MG30$24.58
PE Tan -Diphenhyd Tan-Hydrocod Tan Susp 7.5-25-3.5 MG/5ML118$43.45
PEDAMETH LIQ 75MG/5ML480$46.68
PEDIAPRED LIQ 6.7/5ML120$46.44
PEDIATEX LIQ473$45.99
PEDIATEX LIQ 1.75MG/5473$45.99
PEDIATEX D LIQ 2-17.5MG473$46.55
PEDIATEX DM LIQ 15-3-15473$48.33
PEDIATEX HC LIQ473$42.91
PEDIOX CHW 2-15MG30$20.89
PEDIOX-S SUS 4MG/5ML118$45.71
PEG 300 LIQ USP/NF500$48.07
PEG 600 LIQ USP/NF500$29.64
PEG(High)-Electrolyte For Soln4000$24.00
PEGANONE TAB 250MG30$39.92
Pemoline Chew Tab 37.5 MG30$22.33
Pemoline Tab 37.5 MG30$20.25
Pemoline Tab 75 MG30$32.97
Pentamidine Isethionate For Soln 300 MG1$43.50
PENTASA CAP 250MG CR30$40.98
Pentazocine w/ APAP Tab 25-650 MG30$25.94
Pentazocine w/ Naloxone Tab 50-0.5 MG30$28.54
PEPCID I.V. INJ 20MG/2ML20$43.94
PERCODAN TAB30$39.29
Pergolide Mesylate Tab 0.05 MG (Base Equivalent)30$28.27
Pergolide Mesylate Tab 0.25 MG (Base Equivalent)30$44.92
PERLOXX TAB 2.5/30030$38.91
PERLOXX TAB 5/300MG30$47.65
PERMAX TAB 0.05MG30$38.25
Permethrin Cream 5%60$24.86
Permethrin Cream 5%60$24.94
PERPHEN/AMIT TAB 4-50MG30$22.13
Perphenazine Tab 16 MG30$37.59
Perphenazine Tab 2 MG30$23.89
Perphenazine Tab 4 MG30$31.58
Perphenazine Tab 8 MG30$37.67
PERSANTINE TAB 25MG30$26.45
PERSANTINE TAB 50MG30$40.93
PFIZERPEN G INJ 20MU1$25.88
PHENA-PLUS TAB30$28.64
Phenazopyridine-Butabarbital-Hyoscyamine Tab 150-15-0.330$31.31
Phenazopyridine-Butabarbital-Hyoscyamine Tab 150-15-0.330$31.16
Phenazopyridine-Butabarbital-Hyoscyamine Tab 150-15-0.330$31.16
Phenazopyridine-Butabarbital-Hyoscyamine Tab 150-15-0.330$37.66
Phendimetrazine Tartrate Cap SR 24HR 105 MG30$31.96
Phendimetrazine Tartrate Cap SR 24HR 105 MG30$26.76
PHENERGAN SUP 12.5MG12$48.41
PHENERGAN TAB 50MG30$26.38
PHENFLU CDX TAB30$34.53
PHENFLU DM TAB30$33.55
PHENFLU G TAB30$29.23
Pheniramine-Phenyltoloxamine-Pyrilamine Elixir 4-4-4 MG/473$30.48
PHENOBARB INJ 65MG/ML25$39.73
Phenobarbital & Belladonna Alk Tab CR 48 MG30$23.97
Phenobarbital Sodium Inj 130 MG/ML10$30.47
PHENTERMINE CAP 15MG30$43.65
Phentermine HCl Cap 37.5 MG30$23.16
Phentermine Resin Complex Cap 30 MG30$26.18
Phenyleph Tan-Bromphen Tan-Carbeta Tan Susp 7.5-4-30 MG/118$24.95
Phenyleph Tan-Chlorphen Tan-Carbetapent Tan Tab 10-5-6030$20.71
Phenyleph Tan-Chlorphen Tan-Carbetapent Tan Tab 10-5-6030$20.71
Phenyleph Tan-Diphenhyd Tan-Carbeta Tan Sus 7.5-25-30 MG118$25.93
Phenyleph Tan-Pyrilamine Tan-Carbeta Tan Susp 5-30-30 MG118$31.24
Phenyleph Tan-Pyrilamine Tan-Carbeta Tan Susp 5-30-30 MG118$31.55
Phenyleph Tan-Pyrilamine Tan-Carbeta Tan Tab 10-40-60 MG30$38.86
Phenyleph Tan-Pyrilamine Tan-DM Tan Chew Tab 25-30-25 MG30$42.54
Phenyleph Tan-Pyrilamine Tan-Guaifenesin Sus 5-30-100 MG118$31.54
Phenyleph-Bromphen-DM-Guaifenesin Syrup 5-2-5-50 MG/5ML473$39.45
Phenyleph-Bromphen-DM-Guaifenesin Syrup 5-2-5-50 MG/5ML473$43.57
Phenyleph-Bromphen-Hydrocodone Liqd 7.5-2-2.5 MG/5ML473$40.23
Phenyleph-Bromphen-Hydrocodone Liqd 7.5-2-5 MG/5ML473$38.95
Phenyleph-Bromphen-Hydrocodone Liqd 7.5-4-2.5 MG/5ML474$40.28
Phenyleph-Bromphen-Hydrocodone Liqd 7.5-4-2.5 MG/5ML474$45.82
Phenyleph-Chlorphen w/ Hydrocodone Liqd 12-2-6 MG/5ML473$31.67
Phenyleph-Chlorphen w/ Hydrocodone Liqd 5-2-1.67 MG/5ML473$31.88
Phenyleph-Chlorphen w/ Hydrocodone Liqd 8-2.5-3.25 MG/5M473$35.30
Phenyleph-Chlorphen w/ Hydrocodone Liqd 8-2.5-3.5 MG/5ML473$35.11
Phenyleph-Chlorphen w/ Hydrocodone Syrup 10-2.5-3.5 MG/5473$35.28
Phenyleph-Chlorphen w/ Hydrocodone Syrup 10-2-5 MG/5ML473$24.57
Phenyleph-Chlorphen w/ Hydrocodone Syrup 10-2-5 MG/5ML480$24.52
Phenyleph-Chlorphen w/ Hydrocodone Syrup 5-2-2.5 MG/5ML480$25.54
Phenyleph-Chlorphen w/ Hydrocodone Syrup 5-2-5 MG/5ML473$30.44
Phenyleph-Chlorphen w/ Hydrocodone Syrup 5-2-5 MG/5ML480$44.08
Phenyleph-Chlorphen w/ Hydrocodone Syrup 7.5-2-3.5 MG/5M473$31.50
Phenyleph-Chlorphen w/ Hydrocodone Syrup 7.5-2-3.5 MG/5M473$34.95
Phenyleph-Dexchlorpheniramine-Hydrocodone Liqd 5-2-4 MG/473$34.47
Phenyleph-Dexchlorpheniramine-Hydrocodone Liqd 5-2-4 MG/473$34.02
Phenyleph-Diphenhyd-Hydrocodone Syrup 5-12.5-3.5 MG/5ML473$39.65
Phenyleph-Diphenhyd-Hydrocodone Syrup 5-12.5-3.5 MG/5ML473$39.85
Phenyleph-Diphenhyd-Hydrocodone Syrup 7.5-12.5-2 MG/5ML473$31.63
Phenyleph-DM-Pyril-Pot Guai-Sod Cit-Cit Acid Liquid118$21.67
Phenyleph-Ephed-CPM w/ Carbetapentane Tab 10-10-5-60 MG30$32.79
Phenyleph-Ephed-CPM w/ Carbetapentane Tab 10-10-5-60 MG30$32.79
Phenyleph-Hydrocodone Liq 5-2.5 MG/5ML480$30.47
Phenyleph-Hydrocodone Liq 5-2.5 MG/5ML473$30.15
Phenyleph-Hydrocodone Liq 7.5-3.75 MG/5ML473$35.51
Phenyleph-Pyrilamine w/ Hydrocodone Syrup 5-5-5 MG/5ML473$30.33
Phenyleph-Pyrilamine w/ Hydrocodone Syrup 5-5-5 MG/5ML473$33.87
Phenylephrine Tan-Carbetapentane Tan Susp 25-30 MG/5ML118$35.36
Phenylephrine Tan-Carbetapentane Tan Susp 30-30 MG/5ML118$26.20
Phenylephrine Tan-Carbetapentane Tan Susp 30-30 MG/5ML118$26.20
Phenylephrine Tan-Carbetapentane Tan Susp 30-30 MG/5ML118$26.20
Phenylephrine w/ DM-GG Liqd 10-30-200 MG/5ML473$44.17
Phenylephrine w/ DM-GG Liqd 2.5-5-50 MG/ML30$26.33
Phenylephrine w/ DM-GG Syrup 10-30-200 MG/5ML473$42.07
Phenylephrine w/ DM-GG Tab CR 15-30-600 MG30$21.73
Phenylephrine w/ DM-GG Tab SR 12HR 20-20-800 MG30$26.64
Phenylephrine w/ DM-GG Tab SR 12HR 20-20-800 MG30$29.45
Phenylephrine w/ DM-GG Tab SR 12HR 30-30-1200 MG30$26.64
Phenylephrine w/ DM-GG Tab SR 12HR 30-30-1200 MG30$25.63
Phenylephrine w/ DM-GG Tab SR 12HR 40-20-1200 MG30$25.05
Phenylephrine w/ DM-GG Tab SR 12HR 40-20-1200 MG30$21.62
Phenylephrine w/ DM-GG Tab SR 12HR 40-60-1000 MG30$21.59
Phenylephrine w/ DM-GG Tab SR 12HR 40-60-1000 MG30$21.55
Phenylephrine w/ DM-GG Tab SR 12HR 40-60-600 MG30$21.37
Phenylephrine w/ DM-GG Tab SR 12HR 40-60-600 MG30$22.31
Phenylephrine w/ Hydrocodone-GG Liquid 15-5-100 MG/5ML473$46.97
Phenylephrine w/ Hydrocodone-GG Solution 10-2.5-225 MG/5473$44.46
Phenylephrine w/ Hydrocodone-GG Syrup 10-2-100 MG/5ML473$26.32
Phenylephrine w/ Hydrocodone-GG Syrup 10-2-100 MG/5ML473$31.11
Phenylephrine w/ Hydrocodone-GG Syrup 15-5-100 MG/5ML480$42.52
Phenylephrine w/ Hydrocodone-GG Syrup 6-2.5-150 MG/5ML473$41.89
Phenylephrine w/ Hydrocodone-GG Syrup 7.5-2.5-100 MG/5ML473$31.87
Phenylephrine w/ Hydrocodone-GG Syrup 7.5-2.5-50 MG/5ML473$39.71
Phenylephrine-Brompheniramine-DM Liquid 7.5-2-15 MG/5ML473$35.51
Phenylephrine-Carbetapentane-GG Syrup 10-20-100 MG/5ML473$34.02
Phenylephrine-Carbetapentane-GG Syrup 10-20-100 MG/5ML473$47.99
Phenylephrine-Carbetapentane-GG Syrup 15-20-100 MG/5ML473$44.36
Phenylephrine-Carbinoxamine-DM Liquid 2-1-2 MG/ML30$28.75
Phenylephrine-Carbinoxamine-DM Liquid 2-2-3 MG/ML30$31.65
Phenylephrine-Chlorphen-Dihydrocodeine Syrup 7.5-2-3 MG/118$49.63
Phenylephrine-Chlorphen-DM Liquid 3.5-1-3 MG/ML30$37.50
Phenylephrine-Chlorphen-DM Liquid 3.5-1-3 MG/ML30$37.50
Phenylephrine-Chlorphen-DM Liquid 3.5-1-3 MG/ML30$37.51
Phenylephrine-Chlorphen-DM Liquid 3.5-1-3 MG/ML30$37.52
Phenylephrine-Chlorphen-DM Liquid 3.5-1-3 MG/ML30$37.52
Phenylephrine-Chlorphen-DM Liquid 3.5-1-3 MG/ML30$37.57
Phenylephrine-Chlorphen-DM Liquid 3.5-1-3 MG/ML30$37.54
Phenylephrine-Chlorphen-DM Syrup 5-2-15 MG/5ML473$28.65
Phenylephrine-Chlorphen-DM Syrup 5-2-15 MG/5ML473$24.50
Phenylephrine-Chlorphen-DM Syrup 6-2-15 MG/5ML473$26.69
Phenylephrine-Guaifenesin Cap SR 12HR 10-300 MG30$23.03
Phenylephrine-Guaifenesin Cap SR 12HR 15-400 MG30$43.15
Phenylephrine-Guaifenesin Cap SR 12HR 20-375 MG30$34.87
Phenylephrine-Guaifenesin Cap SR 12HR 30-400 MG30$30.00
Phenylephrine-Guaifenesin Cap SR 12HR 30-400 MG30$30.00
Phenylephrine-Guaifenesin Cap SR 12HR 30-400 MG30$30.00
Phenylephrine-Guaifenesin Cap SR 12HR 7.5-200 MG30$29.24
Phenylephrine-Guaifenesin Cap SR 12HR 7.5-200 MG30$29.24
Phenylephrine-Guaifenesin Liqd 7.5-100 MG/5ML (1.5-20 MG30$38.10
Phenylephrine-Guaifenesin Liqd 7.5-200 MG/5ML473$45.00
Phenylephrine-Guaifenesin Tab CR 15-600 MG30$40.16
Phenylephrine-Guaifenesin Tab CR 15-600 MG30$40.16
Phenylephrine-Guaifenesin Tab SR 12HR 25-1200 MG30$40.89
Phenylephrine-Guaifenesin Tab SR 12HR 25-1200 MG30$39.00
Phenylephrine-Guaifenesin Tab SR 12HR 25-1200 MG30$25.01
Phenylephrine-Guaifenesin Tab SR 12HR 25-1200 MG30$41.10
Phenylephrine-Guaifenesin Tab SR 12HR 25-600 MG30$22.34
Phenylephrine-Guaifenesin Tab SR 12HR 25-900 MG30$23.35
Phenylephrine-Guaifenesin Tab SR 12HR 25-900 MG30$37.64
Phenylephrine-Guaifenesin Tab SR 12HR 25-900 MG30$37.45
Phenylephrine-Guaifenesin Tab SR 12HR 30-1000 MG30$25.74
Phenylephrine-Guaifenesin Tab SR 12HR 40-1200 MG30$20.12
Phenylephrine-Potassium Guaiacolsulfonate Liqd 5-75 MG/5473$36.55
Phenylephrine-Potassium Guaiacolsulfonate Liqd 5-75 MG/5473$32.21
Phenylephrine-Pyrilamine-DM Liquid 7.5-12.5-15 MG/5ML473$41.69
Phenyltoloxamine w/ APAP Tab CR 66-600 MG30$31.22
PHENYTEK CAP 200MG30$21.03
PHENYTEK CAP 300MG30$30.13
Phenytoin Susp 125 MG/5ML200$22.06
PHISOHEX LIQ 3%148$26.97
PHOSLO CAP 667MG30$25.65
PHRENILIN FO CAP 650-50MG30$26.19
Pilocarpine HCl Ophth Soln 1%24$32.86
Pilocarpine HCl Ophth Soln 2%24$34.41
Pilocarpine HCl Ophth Soln 4%24$36.12
Pilocarpine HCl Tab 7.5 MG30$47.91
PIMA SYP 325/5ML473$42.60
PINE NEEDLES OIL NATURAL100$40.60
PIPRACIL/D5W INJ 2GM50$20.02
PIPRACIL/D5W INJ 4GM100$27.55
Piroxicam Cap 10 MG30$32.73
PITOCIN INJ 10U/ML25$38.95
PLACIDYL CAP 500MG30$44.60
PLAN B TAB 0.75MG2$38.09
PLENDIL TAB 2.5MG CR30$47.49
PLENDIL TAB 5MG CR30$47.49
PNEUMOTUSSIN SYP 2.5/200M480$44.03
POLYCITRA SYP473$37.23
POLYCITRA-K SOL480$37.52
POLYCITRA-LC SOL473$37.23
Polyethylene Glycol 3350 Oral Packet14$20.09
POLY-HISTINE ELX480$47.82
POLYOXYL 40 MIS STEARATE100$22.33
POLY-PRED SUS OP5$29.61
POLYSPORIN OIN OP4$31.58
POLYTRIM SOL OP10$35.26
POLY-TUSSIN SYP COUGH480$46.80
POLY-TUSSIN SYP DM473$38.66
POLY-VENT TAB 90/650MG30$28.82
POLY-VENT JR TAB 45/65030$28.73
PONTOCAINE SOL 2%120$46.97
Pot & Sod Citrates w/ Cit Ac Soln 550-500-334 MG/5ML473$29.70
Pot Bicarbonate & Chloride Effer Tab 25 mEq30$22.38
POT HYDROXID MIS PELLETS500$44.51
POT HYDROXID SOL 5%60$23.41
POTABA TAB 500MG30$20.47
Potassium Acetate Inj 2 mEq/ML500$45.98
Potassium Chloride Oral Liq 10% (20 MEQ/15ML)3000$21.00
Potassium Chloride Powder Packet 20 mEq30$24.11
Potassium Citrate & Potassium Gluconate Soln 20 mEq/15ML480$22.80
PRAMOTIC DRO 1-0.1%10$21.23
Pramoxine-HC-Chloroxylenol Otic Soln 10-10-1 MG/ML10$25.52
Pravastatin Sodium Tab 10 MG30$20.40
Pravastatin Sodium Tab 20 MG30$27.00
Pravastatin Sodium Tab 80 MG30$20.26
PRECARE TAB CONCEIVE30$36.72
PRECARE TAB PREMIER30$38.86
PRECISION TES SOF-TACT50$47.77
PRECOSE TAB 100MG30$36.76
PRECOSE TAB 25MG30$29.13
PRECOSE TAB 50MG30$32.59
PRED MILD SUS 0.12% OP5$26.07
PRED-G SUS OP5$30.60
PRED-G S.O.P OIN OP4$29.84
Prednicarbate Cream 0.1%60$43.56
Prednisolone Sod Phosphate Liq 6.7 MG/5ML (5MG/5ML Base200$33.00
Prednisolone Sod Phosphate Liq 6.7 MG/5ML (5MG/5ML Base120$21.00
PREDNISONE CON 5MG/ML30$33.17
PREDNISONE SOL 5MG/5ML200$37.92
PREFERA OB TAB30$39.00
PRELU-2 CAP 105MG TR30$38.18
PRENATAL BAR15$39.94
PRENATAL + PAK DHA30$20.83
Prenatal MV-Min w/Fe-FA Tab & Ca Chew Tab Therapy Pack91$31.40
PRENATE DHA CAP30$47.70
PRENATE ELIT TAB30$39.23
PRESTIG SMRT TES50$27.63
PRESTIGE TES50$39.29
PREVACID NAP KIT 375MG21$33.44
PREVACID NAP KIT 500MG21$39.52
PRILOSEC OTC TAB 20MG30$22.64
PRIMAQUINE TAB 26.3MG30$43.75
PRINIVIL TAB 10MG30$31.88
PRINIVIL TAB 2.5MG30$21.56
PRINIVIL TAB 20MG30$33.96
PRINIVIL TAB 40MG30$48.34
PRINIVIL TAB 5MG30$30.95
PRINZIDE TAB 10/12.530$39.53
PRINZIDE TAB 20-12.530$37.92
PRINZIDE TAB 20-25MG30$38.35
PROAMATINE TAB 2.5MG30$42.66
PROCAINAMIDE CAP 500MG30$27.57
Procainamide HCl Tab CR 1000 MG30$26.14
PROCAINAMIDE INJ 100MG/ML250$30.76
PROCAINAMIDE INJ 500MG/ML50$42.45
PROCAINAMIDE TAB 1000 ER30$41.90
PROCAINAMIDE TAB 750MG ER30$26.17
PROCANBID TAB 500MG CR30$34.14
PROCARDIA CAP 10MG30$33.99
PROCARDIA CAP 20MG30$33.29
PROCHIEVE GEL 4%9$49.28
PROCHLORPER SUP 2.5MG12$27.37
PROCHLORPER SUP 5MG12$30.07
Prochlorperazine Edisylate Inj 5 MG/ML20$30.00
Prochlorperazine Suppos 25 MG12$23.21
Prochlorperazine Suppos 25 MG12$23.21
PRO-CLEAR SYP473$23.13
PRO-CLEAR AC SYP473$25.37
PROCTOCORT CRE 1%30$49.67
PRODIGY TES32$32.82
PROFASI HP INJ 5000U1$23.89
PRO-FAST HS CAP 18.75MG30$21.72
PROFEN FORTE TAB 90-800MG30$24.68
PROFEN FORTE TAB DM30$31.86
PROFEN II TAB 45-800MG30$20.17
PROFEN II DM TAB30$21.92
PROGESTERONE CRE 10%60$40.33
PROGESTERONE CRE 5%60$38.68
Progesterone IM in Oil 50 MG/ML10$25.94
PROHIST DM DRO30$33.18
PROLEX D TAB 20-600MG30$29.18
PROLEX PD TAB 10-600MG30$28.70
PROLIXIN ELX 2.5/5ML60$26.48
PROLIXIN TAB 2.5MG30$43.31
PROLOPRIM TAB 100MG30$34.76
PROMAR CAP30$21.06
PROMETH VC SYP 6.25-5/5473$38.03
Promethazine & Phenylephrine Syrup 6.25-5 MG/5ML473$20.93
Promethazine HCl Inj 25 MG/ML25$22.37
Promethazine HCl Suppos 12.5 MG12$25.20
Promethazine HCl Suppos 12.5 MG12$25.20
Promethazine HCl Suppos 50 MG12$48.79
PRONESTYL CAP 250MG30$24.40
PRONESTYL CAP 375MG30$25.80
PRONESTYL TAB 250MG30$24.40
PRONESTYL TAB 375MG30$32.77
PRONESTYL TAB 500MG30$41.72
PRONESTYL SR TAB 500MG30$28.63
Propafenone HCl Tab 300 MG30$38.64
PROPANTHELIN TAB 15MG30$21.12
PROPINE SOL 0.1% OP5$24.60
Propoxyphene-N w/ APAP Tab 100-500 MG30$34.01
Propranolol HCl Tab 60 MG30$30.05
PROPYL SOL ALCOHOL500$41.90
PRO-RED SYP473$20.96
PRO-RED AC SYP473$25.37
PROSED EC TAB30$44.72
PROSED/DS TAB30$40.36
PROSOM TAB 1MG30$44.44
PROSOM TAB 2MG30$49.19
PROSTIGMIN INJ 0.5MG/ML10$37.66
PROSTIGMIN TAB 15MG30$48.10
PROTECT PLUS CAP NR30$24.77
PROTECT PLUS LIQ237$23.60
PROTID TAB CR30$21.51
PROVENTIL AER 90MCG17$40.21
PROVENTIL AER 90MCG RF17$30.15
PROVENTIL AER HFA7$46.65
PROVENTIL NEB 0.5%20$24.38
PROVERA TAB 2.5MG30$24.77
PROVERA TAB 5MG30$42.99
PROVOCHOLINE SOL 100MG1$41.03
PRYFLEX TAB30$45.28
PSE w/ Hydrocodone-Pot Guaiacol Liquid 30-5-300 MG/5ML473$26.12
PSEUDACARB CHW 75-25MG30$45.16
Pseudoeph-Bromphen w/ Hydrocodone Liquid 30-3-2.5 MG/5ML473$45.56
Pseudoeph-Bromphen w/ Hydrocodone Soln 30-2-1.7 MG/5ML473$30.92
Pseudoeph-Bromphen w/ Hydrocodone Soln 30-2-1.7 MG/5ML480$32.16
Pseudoeph-Chlorphen w/ Hydrocodone Liq 20-2.5-1.67 MG/5M473$33.99
Pseudoeph-Chlorphen w/ Hydrocodone Liquid 30-2-5 MG/5ML473$28.56
Pseudoeph-Chlorphen w/ Hydrocodone Syrup 15-2-3 MG/5ML473$31.38
Pseudoephed-Bromphen-DM Liquid 12.5-1-3 MG/ML30$31.65
Pseudoephed-Bromphen-DM Liquid 12.5-1-3 MG/ML30$29.72
Pseudoephed-Bromphen-DM Liquid 12.5-1-3 MG/ML30$34.88
Pseudoephed-Bromphen-DM Liquid 15-1-4 MG/ML30$20.39
Pseudoephed-Bromphen-DM Syrup 30-2-10 MG/5ML473$27.69
Pseudoephed-Bromphen-DM Syrup 30-2-10 MG/5ML473$32.40
Pseudoephed-Bromphen-DM Syrup 30-2-10 MG/5ML480$44.62
Pseudoephed-Bromphen-DM-GG Syrup 30-2-5-50 MG/5ML473$36.90
Pseudoephed-Bromphen-DM-GG Syrup 30-2-5-50 MG/5ML480$36.90
Pseudoephed-Carbinoxamine-DM Liquid 12.5-2.67-15 MG/5ML473$38.21
Pseudoephed-Carbinoxamine-DM Liquid 12.5-3-15 MG/5ML473$38.21
Pseudoephed-Carbinoxamine-DM Liquid 12.5-3-15 MG/5ML473$38.15
Pseudoephed-Carbinoxamine-DM Liquid 12.5-3-15 MG/5ML473$37.97
Pseudoephed-Carbinoxamine-DM Liquid 15-3-15 MG/5ML473$38.17
Pseudoephed-Carbinoxamine-DM Liquid 25-2-3.5 MG/ML30$21.89
Pseudoephed-Carbinoxamine-DM Syrup 60-4-12.5 MG/5ML473$46.92
Pseudoephed-Chlorphen-Dihydrocodeine Syrup 15-2-7.5 MG/5473$36.71
Pseudoephed-Chlorphen-DM Liq 30-2-20 MG/5ML473$23.70
Pseudoephed-Chlorphen-DM Syrup 15-2-15 MG/5ML473$26.95
Pseudoephedrine w/ DM-GG Liquid 32-15-175 MG/5ML473$41.13
Pseudoephedrine w/ DM-GG Liquid 32-15-175 MG/5ML473$41.16
Pseudoephedrine w/ DM-GG Liquid 32-15-200 MG/5ML473$41.11
Pseudoephedrine w/ DM-GG Liquid 32-15-200 MG/5ML473$40.91
Pseudoephedrine w/ DM-GG Liquid 60-40-400 MG/10ML473$20.80
Pseudoephedrine w/ DM-GG Syrup 40-15-100 MG/5ML473$31.73
Pseudoephedrine w/ DM-GG Syrup 40-15-100 MG/5ML480$30.44
Pseudoephedrine w/ DM-GG Tab SR 12HR 60-30-580 MG30$25.26
Pseudoephedrine w/ DM-GG Tab SR 12HR 60-60-1200 MG30$24.35
Pseudoephedrine w/ DM-GG Tab SR 12HR 80-40-780 MG30$20.66
Pseudoephedrine w/ DM-GG Tab SR 12HR 90-60-800 MG30$21.39
Pseudoephedrine w/ Hydrocodone Syrup 15-3 MG/5ML473$24.35
Pseudoephedrine w/ Hydrocodone-GG Soln 60-5-200 MG/5ML480$25.53
Pseudoephedrine w/ Hydrocodone-GG Syrup 15-3-100 MG/5ML473$20.72
Pseudoephedrine w/ Hydrocodone-GG Syrup 15-3-100 MG/5ML480$20.98
Pseudoephedrine-CPM-Hydrocodone-GG Liqd 15-2-2.5-100 MG/473$44.47
Pseudoephedrine-CPM-Hydrocodone-GG Liqd 15-2-2.5-100 MG/5ML473$47.95
Pseudoephedrine-Dihydrocodeine-GG Syrup 15-7.5-100 MG/5M473$42.34
Pseudoephedrine-Dihydrocodeine-GG Syrup 15-7.5-100 MG/5M473$42.08
Pseudoephedrine-DM-GG w/ APAP Tab 60-20-200-500 MG30$25.73
Pseudoephedrine-Guaifenesin Cap SR 12HR 120-400 MG30$32.72
Pseudoephedrine-Guaifenesin Cap SR 12HR 90-400 MG30$23.33
Pseudoephedrine-Guaifenesin Syrup 40-200 MG/5ML480$21.33
Pseudoephedrine-Guaifenesin Syrup 40-200 MG/5ML473$28.27
Pseudoephedrine-Guaifenesin Syrup 40-200 MG/5ML473$29.46
Pseudoephedrine-Guaifenesin Tab 60-400 MG30$20.53
Pseudoephedrine-Guaifenesin Tab SR 12HR 60-580 MG30$22.09
Pseudoephedrine-Guaifenesin Tab SR 12HR 75-1200 MG30$22.40
Pseudoephedrine-Guaifenesin Tab SR 12HR 90-1200 MG30$24.60
PSORCON E CRE 0.05%15$37.60
PSORCON E OIN 0.05%15$39.34
P-V TUSSIN TAB30$24.67
PYRAZINAMIDE TAB 500MG30$34.21
PYRETHRUM EXT25$45.82
PYRIDIUM TAB 100MG30$29.15
Pyrilamine Tan-Phenyleph Tan Susp 30-12.5 MG/5ML118$26.96
Pyrilamine Tan-Phenyleph Tan Tab 60-25 MG30$30.98
PYROGALL ACD OIN30$35.38

Fourth Tier
Drug NameRetail QtyRetail
P.T.E. -5 INJ

$100.63

PACERONE TAB 100MG

$196.66

PACERONE TAB 400MG

$196.66

Paclitaxel IV Conc 6 MG/ML

$94.80

Paclitaxel IV Conc 6 MG/ML

$132.54

PALLADONE CAP 12MG

$221.34

PALLADONE CAP 16MG

$257.88

PALLADONE CAP 24MG

$370.11

PALLADONE CAP 32MG

$476.79

PAMELOR CAP 10MG

$630.19

PAMELOR CAP 25MG

$191.47

PAMELOR CAP 50MG

$358.39

PAMELOR CAP 75MG

$630.19

PAMELOR SOL 10MG/5ML

$340.76

PAMIDRONATE SOL 6MG/ML

$55.63

PAMIDRONATE SOL 9MG/ML

$733.19

Pamidronate Disodium For Inj 90 MG

$111.00

PAMINE TAB 2.5MG

$80.93

PAMINE FORTE TAB 5MG

$117.29

PANAFIL LIQ SPRAY

$79.31

PANAFIL OIN

$250.49

PANAFIL SE EMU

$79.31

PANAFIL-WHIT OIN

$50.21

PANCOF SYP

$64.08

PANCOF EXP SYP

$74.91

PANCOF PD SYP

$84.64

PANCREASE MT CAP 16

$65.42

PANCREASE MT CAP 20

$80.80

PANCRECARB CAP MS-16

$83.01

Pancuronium Bromide Inj 1 MG/ML

$93.23

PANRETIN GEL 0.1%

$2232.13

Pantoprazole Sodium EC Tab 20 MG (Base Equiv)

$89.97

Pantoprazole Sodium EC Tab 40 MG (Base Equiv)

$93.00

Papain-Urea Ointment 650000 Unit/GM-10% (USP Ref Std IOC

$438.00

Papain-Urea Spray 650000 Unit/GM-10%

$314.82

Papain-Urea-Chlorophyllin Liquid

$505.41

Papain-Urea-Chlorophyllin Ointment

$587.17

Papain-Urea-Chlorophyllin Ointment

$65.23

Papain-Urea-Chlorophyllin Ointment

$62.33

PAPFYLL AER

$73.44

PARAFON FORT TAB DSC

$74.76

PARAPLATIN INJ 150MG

$448.16

PARAPLATIN INJ 450MG

$1338.98

PARAPLATIN INJ 50MG

$151.22

PARAPLATIN INJ 50MG/5ML

$151.22

PARAPLATIN INJ 600MG

$1784.08

PARCOPA TAB 10-100MG

$55.66

PARCOPA TAB 25-100MG

$62.49

PARCOPA TAB 25-250MG

$78.87

Paregoric 2 MG/5ML

$103.51

Parenteral Electrolyte Conc

$408.00

Parenteral Electrolyte Conc

$164.25

Parenteral Electrolyte Soln

$86.44

PARLODEL CAP 5MG

$244.51

PARLODEL TAB 2.5MG

$153.26

Paromomycin Sulfate Cap 250 MG

$64.40

Paroxetine HCl Oral Susp 10 MG/5ML (Base Equiv)

$121.55

PASER GRA 4GM

$100.30

PATADAY SOL

$95.18

PATANASE SPR 0.6%

$116.12

PATANOL SOL 0.1% OP

$98.64

PAXIL SUS 10MG/5ML

$187.13

PAXIL TAB 10MG

$108.94

PAXIL TAB 20MG

$105.33

PAXIL TAB 30MG

$116.90

PAXIL TAB 40MG

$123.34

PAXIL CR TAB 12.5MG

$112.13

PAXIL CR TAB 25MG

$116.89

PAXIL CR TAB 37.5MG

$120.32

PCE TAB 333MG EC

$65.18

PCE TAB 500MG EC

$85.08

PEANUT OIL USP/NF

$61.52

PEDIACOF SYP

$63.03

PEDIARIX INJ 0.5ML

$383.24

PEDIATAN SUS 8MG/5ML

$106.37

PEDIATAN D SUS

$110.41

PEDIATANN-CT CHW 12.5-5MG

$57.18

PEDIATEX SUS 12DM

$111.50

PEDIATEX 12 SUS

$84.01

PEDIATEX 12D SUS

$99.32

PEDIATEX TD LIQ

$67.69

PEDIATEX-CT CHW 12.5-5MG

$57.18

PEDIATEX-JR SUS DM

$184.17

PEDIOTIC SUS 1% OTIC

$61.30

PEDTRACE 4 INJ

$354.28

PEG 300 LIQ

$5491.36

PEGASYS INJ 180MCG/M

$588.15

PEGASYS KIT

$2344.40

PEGASYS KIT 180MCG/M

$1398.35

PEG-INTRON KIT 120 RP

$532.42

PEG-INTRON KIT 120MCG

$532.42

PEG-INTRON KIT 150 RP

$558.91

PEG-INTRON KIT 150MCG

$558.91

PEG-INTRON KIT 50MCG

$483.20

PEG-INTRON KIT 50MCG RP

$483.20

PEG-INTRON KIT 80MCG

$507.18

PEG-INTRON KIT 80MCG RP

$507.18

PEN G PROC INJ 600000U

$116.73

PENICILL GK/ INJ DEX 1MU

$273.99

PENICILL GK/ INJ DEX 2MU

$285.05

PENICILL GK/ INJ DEX 3MU

$295.69

Penicillin G Potassium For Inj 20 MU

$123.20

Penicillin G Potassium For Inj 5000000 Unit

$319.31

Penicillin G Potassium For Inj 5000000 Unit

$68.29

Penicillin G Sodium For Inj 5000000 Unit

$362.30

PENLAC SOL 8%

$216.13

PENTAM 300 INJ 300MG

$861.88

Pentamidine Isethionate For Soln 300 MG

$368.63

PENTASPAN INJ

$832.85

PENTHRANE SOL

$1568.32

PENTOTHAL INJ 1GM

$287.94

PENTOTHAL INJ 250MG

$330.09

PENTOTHAL INJ 400MG

$765.36

PENTOTHAL INJ 500MG

$978.78

PEPCID SUS 40MG/5ML

$180.93

PEPCID TAB 20MG

$62.67

PEPCID TAB 40MG

$118.56

PEPCID I.V. INJ 10MG/ML

$414.31

PEPCID PREMX SOL 20MG/50M

$177.53

PEPCID RPD TAB 20MG

$55.68

PERANEX HC KIT 2-2%

$336.90

PERCHLORACAP CAP 200MG

$107.48

PERCOCET TAB 10-325MG

$156.20

PERCOCET TAB 10-650MG

$166.60

PERCOCET TAB 2.5-325

$80.36

PERCOCET TAB 5-325MG

$111.37

PERCOCET TAB 7.5-325M

$120.10

PERCOCET TAB 7.5-500

$128.02

PERFOROMIST NEB 20MCG

$370.97

Pergolide Mesylate Tab 1 MG (Base Equivalent)

$93.37

PERGONAL INJ 75IU

$60.61

PERIDEX SOL 0.12%

$166.28

PERIOSTAT TAB

$97.41

Peritoneal Dialysis Solutions

$225.84

Peritoneal Dialysis Solutions 345 MOSM/L

$167.96

Peritoneal Dialysis Solutions 346 MOSM/L

$144.96

Peritoneal Dialysis Solutions 347 MOSM/L

$219.72

Peritoneal Dialysis Solutions 396 MOSM/L

$147.60

Peritoneal Dialysis Solutions 398 MOSM/L

$222.96

Peritoneal Dialysis Solutions 483 MOSM/L

$69.60

Peritoneal Dialysis Solutions 485 MOSM/L

$150.84

Peritoneal Dialysis Solutions 486 MOSM/L

$150.84

PERLOXX TAB 10/300MG

$57.19

PERLOXX TAB 7.5/300

$52.02

PERMAX TAB 0.25MG

$61.63

PERMAX TAB 1MG

$129.71

PERPHENAZINE CON 16MG/5ML

$55.12

PERSANT I.V. INJ 5MG/ML

$629.15

PERSANTINE TAB 75MG

$53.83

PEXEVA TAB 10MG

$74.94

PEXEVA TAB 20MG

$77.79

PEXEVA TAB 30MG

$80.65

PEXEVA TAB 40MG

$83.49

PHANATUSS HC LIQ 5-100/5M

$88.84

PHENABID DM TAB 12HR

$56.13

PHENA-S LIQ

$96.47

PHENA-S 12 SUS

$80.40

PHENDACOF PL LIQ

$52.12

PHENERGAN INJ 25MG/ML

$63.11

PHENERGAN INJ 50MG/ML

$86.22

PHENERGAN SUP 25MG

$55.11

PHENERGAN SUP 50MG

$69.81

PHENOXYETHAN LIQ BP

$73.22

PHENTOLAMINE INJ MESYLATE

$61.48

PHENYLADE PAK AMINO

$582.39

Phenyleph Tan-Bromphen Tan-DM Tan Susp 20-8-20 MG/5 ML

$90.97

Phenyleph Tan-Bromphen Tan-DM Tan Susp 20-8-20 MG/5 ML

$91.10

Phenyleph Tan-Pyrilamine Tan-Carbeta Tan Susp 5-30-30 MG

$86.39

Phenyleph Tan-Pyrilamine Tan-DM Tan Susp 12.5-30-25 MG/5

$104.25

Phenyleph Tan-Pyrilamine Tan-DM Tan Susp 12.5-30-25 MG/5

$115.47

Phenyleph-Chlorphen w/ Hydrocodone Syrup 5-2-6 MG/5ML

$59.58

Phenyleph-Ephed-CPM w/ Carbetapentane Susp 5-5-4-30 MG/5

$84.23

Phenyleph-Ephed-CPM w/ Carbetapentane Susp 5-5-4-30 MG/5

$83.04

Phenylephrine Tan-Carbetapentane Tan Susp 30-30 MG/5ML

$80.02

Phenylephrine w/ DM-GG Liqd 2.5-3-35 MG/ML

$63.45

Phenylephrine w/ DM-GG Syrup 10-20-100 MG/5ML

$91.60

Phenylephrine w/ Hydrocodone-GG Solution 10-2.5-225 MG/5

$78.86

Phenylephrine w/ Hydrocodone-GG Syrup 7.5-2.5-50 MG/5ML

$119.58

Phenylephrine w/ Hydrocodone-GG Syrup 7.5-5-100 MG/5ML

$50.58

Phenylephrine-Carbetapentane-GG Soln 5-15-100 MG/5ML

$87.16

Phenylephrine-Carbinoxamine w/ Hydrocodone Liqd 8-4-5 MG

$63.37

Phenylephrine-Carbinoxamine w/ Hydrocodone Liqd 8-4-5 MG

$67.77

Phenylephrine-Dexbromphen-Hydrocodone Syrup 5-1-2.5 MG/5ML

$137.87

Phenylephrine-Guaifenesin Syrup 5-200 MG/5ML

$68.91

Phenylephrine-Guaifenesin Syrup 7.5-100 MG/5ML

$53.37

Phenylephrine-Guaifenesin Syrup 7.5-100 MG/5ML

$59.59

Phenytoin Sodium Inj 50 MG/ML

$72.08

PHOSPHOLINE SOL 0.125%OP

$75.66

PHOTOFRIN INJ 75MG

$3114.03

PHRENILIN CAP FORTE

$123.95

Phytonadione Inj 10 MG/ML

$109.64

Phytonadione Inj 2 MG/ML

$102.75

PHYTONADIONE LIQ

$54.95

PILOPINE HS GEL 4% OP

$69.04

PIPERACILLIN INJ 2GM

$75.41

PIPERACILLIN INJ 3GM

$111.74

PIPERACILLIN INJ 4GM

$148.07

Piroxicam Cap 20 MG

$58.72

PITRESSIN INJ 20U/ML

$251.14

PITRESSIN INJ 20UNT/ML

$86.40

PLAQUENIL TAB 200MG

$80.68

PLASMA-LYTE INJ /D5W

$341.51

PLASMA-LYTE INJ -148

$339.95

PLASMA-LYTE INJ 56

$149.75

PLASMA-LYTE INJ 56/D5W

$349.79

PLASMA-LYTE INJ -A

$436.79

PLATINOL AQ INJ 100MG

$420.28

PLATINOL AQ INJ 100MG

$420.28

PLATINOL AQ INJ 50MG

$211.53

PLAVIX TAB 300MG

$678.75

PLAVIX TAB 75MG

$171.75

PLEGISOL SOL

$643.67

PLENAXIS INJ 100MG

$706.75

PLENDIL TAB 10MG CR

$83.14

PLETAL TAB 100MG

$56.53

PLETAL TAB 50MG

$60.96

PLEXION EMU 10-5%

$128.32

PLEXION PAD 10-5%

$194.99

PLEXION CLTH MIS 10-5%

$368.08

PLEXION SCT CRE 10-5%

$146.50

PLEXION TS SUS 10-5%

$90.72

PLO TRANSDER CRE

$112.24

PLURONIC GEL 20%

$54.95

Podofilox Soln 0.5%

$74.58

Podophyllum Resin Soln 25%

$90.19

POLARAMINE SOL EXPECT

$60.60

POLIBAR LIQ 100%

$105.73

POLIBAR PLUS LIQ 105% KIT

$105.73

POLY HIST HC LIQ

$68.39

POLY HIST PD LIQ

$54.25

POLY TAN SUS

$142.20

POLY TAN D SUS

$142.20

POLY TAN DM SUS

$142.20

POLYCITRA-K POW CRYSTALS

$111.75

POLYMYXIN B INJ 500000

$135.34

POLY-TUSSIN LIQ AC

$77.97

POLY-TUSSIN LIQ DHC

$77.97

POLY-TUSSIN LIQ XP

$68.39

POLY-TUSSIN SYP

$68.39

PONSTEL CAP 250MG

$210.58

PONTOCAINE INJ 1%

$130.10

PONTOCAINE INJ 20MG

$1327.33

POT ACETATE INJ 4MEQ/ML

$126.19

POT CHLORIDE INJ 10MEQ

$308.22

POT CHLORIDE INJ 20MEQ

$308.22

POT CHLORIDE INJ 30MEQ

$308.22

POT CHLORIDE INJ 40MEQ

$308.22

POTABA POW

$120.75

Potassium Chloride Inj 2 mEq/ML

$56.21

Potassium Citrate & Citric Acid Powder Pack 3300-1002 MG

$58.96

Potassium Phosphate Dibasic Inj 3 MMole/ML

$229.88

PR OTIC SOL

$142.52

PRAMOSONE CRE 1%

$60.90

PRAMOSONE CRE 2.5%

$70.68

PRAMOSONE LOT 1%

$76.72

PRAMOSONE LOT 2.5%

$76.72

PRAMOSONE OIN 1%

$59.76

PRAMOSONE OIN 2.5%

$59.76

PRANDIN TAB 0.5MG

$65.98

PRANDIN TAB 1MG

$65.98

PRANDIN TAB 2MG

$65.98

PRAVACHOL TAB 10MG

$119.52

PRAVACHOL TAB 20MG

$113.66

PRAVACHOL TAB 40MG

$136.44

PRAVACHOL TAB 80MG

$136.44

PRAVIGARD MIS 325-20MG

$93.87

PRAVIGARD MIS 325-40MG

$136.43

PRAVIGARD MIS 325-80MG

$128.99

PRAVIGARD MIS 81-20MG

$93.87

PRAVIGARD MIS 81-40MG

$136.43

PRAVIGARD MIS 81-80MG

$136.43

PRAZOLAMINE PAK

$297.01

PRECEDEX INJ 100MCG

$1557.88

PRECISION TES PCX

$79.42

PRECISION TES PCX PLUS

$79.42

PRECISION TES QID

$56.25

PRECISION TES XTRA

$57.53

PRECISION PT TES OF CARE

$96.78

Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equ

$52.51

PREFEST TAB

$62.94

PREGNYL INJ 10000UNT

$59.74

PRELONE SYP 15MG/5ML

$114.67

PREMARIN INJ 25MG

$104.11

PREMARIN TAB 0.3MG

$55.24

PREMARIN TAB 0.45MG

$55.24

PREMARIN TAB 0.625MG

$55.24

PREMARIN TAB 0.9MG

$55.24

PREMARIN TAB 1.25MG

$55.24

PREMARIN VAG CRE 0.625MG

$124.25

PREMASOL SOL 10%

$128.60

PREMPHASE TAB

$66.06

PREMPRO TAB .625-2.5

$63.63

PREMPRO TAB 0.3-1.5

$63.63

PREMPRO TAB 0.45-1.5

$63.63

PREMPRO TAB 0.625-5

$63.63

PREPCAT SUS 1.5%

$88.18

PRE-PEN INJ

$130.41

PREPIDIL GEL 0.5MG/3G

$1429.30

PREVACID CAP 15MG DR

$165.82

PREVACID CAP 30MG DR

$165.82

PREVACID GRA 15MG

$152.81

PREVACID GRA 30MG

$152.81

PREVACID TAB 15MG STB

$120.10

PREVACID TAB 30MG STB

$120.10

PREVACID I.V INJ 30MG

$250.27

PREVNAR INJ

$93.80

PREVPAC MIS

$360.78

PREZISTA TAB 300MG

$238.33

PRIALT INJ 500MCG

$3477.95

PRIFTIN TAB 150MG

$107.17

PRILOSEC CAP 10MG CR

$154.70

PRILOSEC CAP 20MG CR

$172.35

PRILOSEC CAP 40MG CR

$253.42

PRIMACARE CAP ONE

$50.67

PRIMACARE MIS ADVANTAG

$51.46

PRIMACARE MIS COMBO PK

$86.51

PRIMACOR INJ 10MG/10

$821.94

PRIMACOR INJ 1MG/ML

$1485.43

PRIMACOR INJ 200MCG

$1451.56

PRIMALEV TAB 10-300

$77.79

PRIMALEV TAB 2.5-300

$77.79

PRIMALEV TAB 5-300

$77.79

PRIMALEV TAB 7.5-300

$77.79

PRIMAXIN IM INJ 500MG

$357.81

PRIMAXIN IM INJ 750MG

$378.58

PRIMAXIN IV INJ 250MG

$501.81

PRIMAXIN IV INJ 500MG

$980.03

PRIMSOL SOL 50MG/5ML

$171.42

PRISTIQ TAB 100MG

$121.79

PRISTIQ TAB 50MG

$121.79

PROAMATINE TAB 10MG

$163.48

PROAMATINE TAB 5MG

$83.12

PROCALAMINE INJ 3%

$220.25

PROCANBID TAB 1000 MG

$57.25

PROCARDIA XL TAB 30MG CR

$72.30

PROCARDIA XL TAB 60MG CR

$123.11

PROCARDIA XL TAB 90MG CR

$111.52

PROCHIEVE GEL 8% VAG

$235.37

PROCRIT INJ 10000/ML

$4121.66

PROCRIT INJ 20000/ML

$1799.74

PROCRIT INJ 2000U/ML

$826.53

PROCRIT INJ 3000U/ML

$299.32

PROCRIT INJ 40000/ML

$2638.85

PROCRIT INJ 4000U/ML

$398.17

PROCTOCORT SUP 30MG

$135.03

PROCTOFOAM AER -HC 1%

$61.62

PROGESTERONE SUP VGS 100

$81.05

PROGESTERONE SUP VGS 200

$85.05

PROGESTERONE SUP VGS 25

$77.83

PROGESTERONE SUP VGS 400

$89.58

PROGESTERONE SUP VGS 50

$79.31

PROGLYCEM SUS 50MG/ML

$167.59

PROGRAF CAP 0.5MG

$67.41

PROGRAF CAP 1MG

$132.08

PROGRAF CAP 5MG

$649.38

PROGRAF INJ 5MG/ML

$1488.49

PROHANCE INJ 279.3/ML

$333.13

PROHIST SYP

$60.83

PROLEUKIN INJ 22MIU

$819.77

PROLEX DH SYP

$79.42

PROLEX DM LIQ 15-300/5

$81.91

PROLIXIN CON 5MG/ML

$151.96

PROLIXIN TAB 10MG

$80.57

PROLIXIN TAB 5MG

$62.53

PROLIXIN-DEC INJ 25MG/ML

$111.89

Promethazine HCl Suppos 50 MG

$76.30

PROMETHAZINE INJ 50MG/ML

$51.04

PROMETRIUM CAP 100MG

$54.41

PROMETRIUM CAP 200MG

$100.90

PROMIT INJ 150MG/ML

$84.31

PROPECIA TAB 1MG

$66.81

PROPECIA TAB PRO-PAK

$64.94

Propoxyphene-N w/ APAP Tab 100-325 MG

$79.77

PROPRANOLOL CON 80MG/ML

$53.91

PROPRANOLOL SOL 20MG/5ML

$59.04

PROPRANOLOL SOL 40MG/5ML

$52.69

Propranolol HCl Inj 1 MG/ML

$110.03

PROQUAD INJ

$141.89

PROQUIN XR TAB 500MG

$283.33

PROSCAR TAB 5MG

$106.50

PROSOL INJ 20%

$429.05

PROSTIGMIN INJ 1MG/ML

$163.05

PROSTIN E2 SUP 20MG

$5336.22

PROSTIN VR INJ 500MCG

$492.12

PROTAMINE SU SOL 10MG/ML

$198.50

PROTONIX PAK

$144.90

PROTONIX TAB 20MG

$153.17

PROTONIX TAB 40MG

$153.17

PROTOPAM CHL INJ 1GM

$568.47

PROTOPIC OIN 0.03%

$124.02

PROTOPIC OIN 0.1%

$124.02

Protriptyline HCl Tab 10 MG

$71.99

Protriptyline HCl Tab 5 MG

$50.60

PROTROPIN INJ 10MG

$922.78

PROTROPIN INJ 5MG

$232.76

PROVENTIL NEB 0.083%

$63.08

PROVERA TAB 10MG

$55.25

PROVIGIL TAB 100MG

$381.20

PROVIGIL TAB 200MG

$575.65

PROVISC INJ 1%

$98.62

PROZAC CAP 10MG

$190.38

PROZAC CAP 20MG

$130.77

PROZAC CAP 40MG

$387.71

PROZAC LIQ 20MG/5ML

$234.99

PROZAC TAB 10MG

$115.31

PROZAC WEEKL CAP 90MG

$997.05

PSE-Methscopol & CPM-Methscopol Tab CR 120-2.5 & 8-2.5 MG

$162.30

PSE-Methscopol & CPM-Methscopol Tab CR 120-2.5 & 8-2.5 MG

$50.32

PSE-Methscopol & CPM-Methscopol Tab CR 120-2.5 & 8-2.5 MG

$52.39

Pseudoeph Tan-Carbinox Tan-DM Tan Susp 45.2-3.2-27.5 MG/

$87.36

Pseudoeph Tan-Carbinox Tan-DM Tan Susp 45.2-3.6-27.5 MG/

$86.90

Pseudoeph-Bromphen w/ Hydrocodone Liquid 30-3-2.5 MG/5ML

$55.21

Pseudoeph-Bromphen w/ Hydrocodone Liquid 30-3-2.5 MG/5ML

$54.64

Pseudoephed Tan-Bromphen Tan-DM Tan Susp 90-8-60 MG/5ML

$67.05

Pseudoephed Tan-Chlorphen Tan-DM Tan Susp 75-4.5-25 MG/5

$55.38

Pseudoephed Tan-Dexchlorphen Tan-DM Tan Sus 45-3.5-30 MG/5ML

$110.09

Pseudoephed Tan-Dexchlorphen Tan-DM Tan Sus 45-3.5-30 MG/5ML

$103.59

Pseudoephed Tan-Dexchlorphen Tan-DM Tan Susp 75-2.5-25MG

$101.16

Pseudoephed Tan-Dexchlorphen Tan-DM Tan Susp 75-2.5-25MG

$144.43

Pseudoephed Tan-Dexchlorphen Tan-DM Tan Susp 75-2.5-25MG

$144.44

Pseudoephedrine Tan-Carbetapentane Tan Susp 75-25 MG/5ML

$115.72

Pseudoephedrine-Bromphen-Codeine Liq 10-1.3-6.3 MG/5ML

$56.09

Pseudoephedrine-Dihydrocodeine-GG Syrup 15-7.5-100 MG/5M

$65.68

PSORCON OIN 0.05%

$124.68

PSORIATEC CRE 1%

$101.89

P-TEX SUS 10MG/5ML

$95.42

PUDEND/LOCAL KIT W/1%LIDO

$109.85

PULMICORT INH 180MCG

$138.54

PULMICORT INH 200MCG

$163.18

PULMICORT INH 90MCG

$104.15

PULMICORT SUS 0.25MG/2

$208.07

PULMICORT SUS 0.5MG/2

$244.40

PULMICORT SUS 1MG/2ML

$486.08

PULMONA CAP

$50.52

PULMOPHYLLIN PAK

$157.70

PULMOZYME SOL 1MG/ML

$2067.64

PURINETHOL TAB 50MG

$125.10

P-V TUSSIN SYP

$65.39

PYLERA CAP

$97.17

PYRIDIUM TAB 200MG

$53.62

PYRIDIUM TAB PLUS

$51.89

Pyridoxine HCl Inj 100 MG/ML

$213.71

Pyrilamine Tan-Phenyleph Tan Susp 30-12.5 MG/5ML

$107.96

PYRLEX SUS 12MG/5ML

$153.17

PYRLEX CB SUS

$173.69

PYRLEX PD SUS 12-9MG

$161.38

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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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