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This program is designed to educate you on the use of generic and other low cost brand name drugs. This program is designed to help you find drugs within the same therapeutic class as a drug you may currently be taking. Most of all, this program is designed to save you money on your prescription drug costs.

Tiers indicate retail pharmacy pricing and position. Drug quantities listed must be adhered to in order to receive tier pricing at participating retail network pharmacies. Any change in quantity may result in higher prices. Company cannot be responsible for changes in network pharmacies which accept this program.

Drug pricing is based on the quantity indicated. This may or may not be a 30 day supply based on how your Doctor prescribed your dosage. Quantities greater than those listed will result in a higher member cost.

* Pricing is subject to change without notice.
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First Tier
Drug NameRetail QtyRetail
EASYTEST MIS LANCETS100$7.97
EASYTEST II MIS LANCETS100$7.97
Econazole Nitrate Cream 1%15$6.37
ED A-HIST TAB 8-20 CR30$9.80
ELAVIL TAB 10MG30$9.93
Enalapril Maleate & Hydrochlorothiazide Tab 10-25 MG30$8.83
Enalapril Maleate & Hydrochlorothiazide Tab 5-12.5 MG30$8.15
Enalapril Maleate Tab 10 MG30$5.70
Enalapril Maleate Tab 2.5 MG30$5.40
Enalapril Maleate Tab 20 MG30$6.60
Enalapril Maleate Tab 5 MG30$5.10
Enalaprilat IV Inj 1.25 MG/ML2$7.52
ENFML NATALN TAB RX30$4.72
ERYPED DRO 100/2.550$9.01
ERYSIDORON LIQ #120$8.14
ERYSIDORON TAB #230$4.76
Erythromycin Ethylsuccinate For Susp 200 MG/5ML100$5.29
Erythromycin Ethylsuccinate Susp 200 MG/5ML100$4.89
Erythromycin Ethylsuccinate Susp 400 MG/5ML100$6.49
Erythromycin Ethylsuccinate Tab 400 MG30$8.55
Erythromycin Ethylsuccinate Tab 400 MG30$8.55
Erythromycin Gel 2%27$8.67
Erythromycin Gel 2%30$9.30
Erythromycin Stearate Tab 250 MG30$6.56
Erythromycin Stearate Tab 500 MG30$9.45
ERYTHROMYCIN TAB 250MG30$6.95
Erythromycin w/ Delayed Release Particles Cap 250 MG30$7.67
ESKALITH CAP 300MG30$8.86
Estradiol Tab 0.5 MG30$4.34
Estradiol Tab 0.5 MG30$4.34
Estradiol Tab 1 MG30$4.20
Estradiol Tab 1 MG30$4.20
Estradiol Tab 2 MG30$4.46
Estradiol Tab 2 MG30$4.46
Estropipate Tab 0.75 MG30$5.61
Estropipate Tab 0.75 MG30$5.61
Estropipate Tab 1.5 MG30$6.38
Estropipate Tab 1.5 MG30$6.38
ETHAVERINE TAB 100MG30$5.29
Etodolac Cap 200 MG30$9.20
EUGENOL SOL30$8.20
E-Z JECT MIS100$7.75
E-Z JECT MIS LANCETS100$7.75
E-Z JECT MIS THIN 26G100$7.75
EZ-LETS MIS LANCETS100$6.93
EZ-LETS 23G MIS LANCETS200$9.99
EZ-LETS 26G MIS LANCETS200$9.99
EZ-LETS 28G MIS LANCETS200$9.99

Second Tier
Drug NameRetail QtyRetail
E.E.S. GRAN SUS 200/5ML100$11.02
EASPRIN TAB 975MG EC30$18.31
ECK LANCETS MIS THIN200$10.40
ED A-HIST LIQ 4-10/5ML473$19.28
ED-CHLOR-TAN TAB 8MG30$18.41
EDECRIN TAB 50MG30$16.65
Edetate Disodium Inj 150 MG/ML20$16.04
EFFER-K TAB 10MEQ30$13.63
EFFER-K TAB 20MEQ30$15.80
ELAVIL TAB 25MG30$16.10
EMLA KIT TEGADERM1$11.62
EMLA PAD2$11.36
EMULSIFYING MIS WAX NF500$12.49
ENDACOF TAB30$12.72
ENTUSS TAB30$14.81
ENTUSS-D SOL JR120$13.09
ENZYMAX TAB30$10.58
EQUATE REG MIS LANCETS200$11.31
EQUATE THIN MIS LANCETS200$11.31
Ergotamine w/ PB & Belladonna Tab 0.6-40-0.2 MG30$12.00
Ergotamine w/ PB & Belladonna Tab 0.6-40-0.2 MG30$12.00
ERYPED 200 SUS 200/5ML100$11.36
ERYPED 400 SUS 400/5ML100$16.00
ERY-TAB TAB 250MG EC30$10.20
ERY-TAB TAB 333MG EC30$13.71
ERY-TAB TAB 500MG EC30$15.32
Erythromycin Ethylsuccinate Susp 400 MG/5ML480$19.73
Erythromycin Soln 2%60$10.15
Erythromycin Soln 2%60$10.15
ERYTHROMYCIN TAB BS 500MG30$10.46
Erythromycin-Sulfisoxazole For Susp 200-600 MG/5ML100$12.57
Estazolam Tab 1 MG30$11.10
Estazolam Tab 2 MG30$13.35
Estradiol Valerate IM in Oil 20 MG/ML10$12.93
Estrone IM Susp 5 MG/ML10$10.61
Estropipate Tab 3 MG30$10.56
Ethambutol HCl Tab 100 MG30$16.32
ETHYL ACETAT SOL NF500$15.48
ETHYL ALCOH SOL 100%100$17.19
Etodolac Cap 300 MG30$10.80
Etodolac Tab 400 MG30$11.52
Etodolac Tab 500 MG30$11.99
EUDAL-SR TAB 400-12030$17.44
EXTENDRYL CHW30$18.04
EXTENDRYL JR CAP TD30$12.21
EXTENDRYL JR TAB30$19.07
EXTENDRYL SR CAP30$13.19
E-Z JECT JR MIS200$11.31
E-Z JECT XL MIS200$12.09
EZ-LETS 21G MIS LANCETS200$11.43

Third Tier
Drug NameRetail QtyRetail
EASYGLUCO TES50$39.73
ECONOPRED PL SUS 1% OP5$37.88
ED CHLORPED SUS 2MG/ML60$21.02
ED CHLORPED SUS D60$37.55
ED DM CHW30$22.33
ED-A-HIST DM LIQ473$31.24
ED-BRON G SYP473$27.11
EEMT HS TAB30$38.24
ELAVIL TAB 50MG30$28.37
ELAVIL TAB 75MG30$37.84
Electrolyte-H in D5W Soln12000$44.40
ELITE OB CAP W/DHA30$45.94
ELOCON CRE 0.1%15$41.45
ELOCON LOT 0.1%30$44.68
ELOCON OIN 0.1%15$41.45
EMBREX 600 MIS182$39.77
Enflurane Inhal Soln250$29.18
ENTERO VU SUS 13%600$33.62
ENTERO VU SUS 24%600$36.70
ENTEX ER CAP 10-300MG30$31.46
ENTEX LA CAP 30-400MG30$41.14
ENTEX PSE CAP 120-40030$41.14
ENTUSS-D LIQ480$47.61
EPIFOAM AER 1%10$33.10
EPOGEN INJ 2000U/ML1$30.55
EQUAGESIC TAB 200-32530$36.65
EQUETRO CAP 200MG30$48.97
Ergocalciferol Cap 50000 Unit30$40.93
Ergotamine w/ Caffeine Tab 1-100 MG30$21.90
Ergotamine w/ Pentobarb & Belladonna & Caffeine Suppos18$26.17
ERGOTRATE TAB 0.2MG30$30.20
ERITROGEN TAB 120-1MG30$22.98
ERYC CAP 250MG EC30$22.39
ERYCETTE PAD 2% PKT60$29.46
ERYTHROM EST SUS 125/5ML473$42.27
ERYTHROM LAC INJ 500MG10$41.95
Erythromycin-Sulfisoxazole For Susp 200-600 MG/5ML200$26.40
ESCLIM DIS 0.025MG8$34.49
ESCLIM DIS 0.0375MG8$32.54
ESCLIM DIS 0.05MG8$33.11
ESCLIM DIS 0.075MG8$33.67
ESCLIM DIS 0.1MG8$34.21
ESKALITH CR TAB 450MG30$23.32
Esterified Estrogens & Methyltestosterone Tab 0.625-1.2530$23.24
Esterified Estrogens & Methyltestosterone Tab 0.625-1.2530$23.24
Esterified Estrogens & Methyltestosterone Tab 0.625-1.2530$23.24
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30$27.31
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30$27.31
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30$27.31
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30$27.31
Esterified Estrogens & Methyltestosterone Tab 1.25-2.5 M30$27.31
ESTRACE TAB 0.5MG30$36.13
ESTRACE TAB 1MG30$42.48
Estradiol TD Patch Weekly 0.025 MG/24HR4$32.51
Estradiol TD Patch Weekly 0.0375 MG/24HR (37.5 MCG/24HR)4$27.96
Estradiol TD Patch Weekly 0.05 MG/24HR4$29.26
Estradiol TD Patch Weekly 0.06 MG/24HR4$30.23
Estradiol TD Patch Weekly 0.075 MG/24HR4$32.51
Estradiol TD Patch Weekly 0.1 MG/24HR4$30.23
ESTROSTEP FE TAB28$40.09
Ethambutol HCl Tab 400 MG30$43.19
ETHMOZINE TAB 200MG30$37.51
ETHMOZINE TAB 250MG30$44.25
ETHMOZINE TAB 300MG30$50.00
Ethosuximide Cap 250 MG30$28.47
Ethosuximide Syrup 250 MG/5ML474$38.68
ETHYL ACETAT SOL500$34.07
ETHYL CHLOR AER104$32.55
Ethynodiol Diacetate & Ethinyl Estradiol Tab 1 MG-35 MCG28$23.63
Ethynodiol Diacetate & Ethinyl Estradiol Tab 1 MG-35 MCG28$23.63
Ethynodiol Diacetate & Ethinyl Estradiol Tab 1 MG-50 MCG28$27.97
Etodolac Tab SR 24HR 400 MG30$25.50
Etodolac Tab SR 24HR 500 MG30$32.10
Etodolac Tab SR 24HR 600 MG30$45.34
EUGENOL SOL USP120$24.94
EURAX CRE 10%60$45.29
EURAX LOT 10%60$48.10
EVENCARE TES GLUCOSE50$39.23
EVENCARE + TES BG50$39.26
EXACTECH TES50$38.50
EXACTECH TES R-S-G50$28.55
EXCEL G TES50$27.11
EXELDERM CRE 1%15$34.67
EXELDERM SOL 1%30$47.55
EXP MED TEST MIS STP PACK50$25.47
EXPRESSVIEW TES GLUCOSE50$33.18
EXRATUSS SUS118$29.62
EXTENDRYL SYP473$30.87
EXTENDRYL TAB PEM30$43.94
EXTENDRYL DM TAB30$31.77
EXTENDRYL SR TAB30$21.96
E-Z SPACER MIS BODY GRD1$40.81

Fourth Tier
Drug NameRetail QtyRetail
EC-NAPROSYN TAB 375MG

$51.41
EC-NAPROSYN TAB 500MG

$62.18
EDECRIN TAB 25MG

$91.64
EDEX KIT 10MCG

$70.61
EDEX KIT 20MCG

$90.17
EDEX KIT 40MCG

$122.54
Edrophonium Chloride Inj 10 MG/ML

$83.63
EFFEXOR TAB 100MG

$80.61
EFFEXOR TAB 25MG

$65.34
EFFEXOR TAB 37.5MG

$70.02
EFFEXOR TAB 50MG

$72.07
EFFEXOR TAB 75MG

$73.13
EFFEXOR XR CAP 150MG

$156.48
EFFEXOR XR CAP 37.5MG

$128.71
EFFEXOR XR CAP 75MG

$143.64
EFUDEX CRE 5%

$103.61
EFUDEX KIT OCCLUSIO

$188.92
EFUDEX SOL 2%

$187.87
EFUDEX SOL 5%

$275.11
ELAPRASE INJ 6MG/3ML

$2860.92
ELDEPRYL CAP 5MG

$77.66
ELDOPAQUE CRE 4% FORTE

$56.47
ELDOQUIN CRE 4% FORTE

$56.47
Electrolyte-2 in Invert Sugar 10% Soln

$93.78
Electrolyte-48 in D5W Soln

$300.27
Electrolyte-75 in D5W Soln

$371.01
Electrolyte-M in D5W Soln

$435.72
Electrolyte-R in D5W Soln

$249.12
Electrolyte-R Solution

$126.72
ELESTAT DRO 0.05%

$106.68
ELESTRIN GEL

$125.16
ELIDEL CRE 1%

$85.90
ELIGARD INJ 22.5MG

$1343.63
ELIGARD INJ 45MG

$2684.52
ELIGARD INJ 7.5MG

$449.71
ELIGARD KIT 30MG

$1790.60
ELIMITE CRE 5%

$75.23
ELITEK INJ 1.5MG

$1742.13
ELITEK INJ 7.5MG

$2901.75
ELIXOPHYL GG SOL 100-100

$55.87
ELIXOPHYL KI ELX 130-80

$94.91
ELIXOPHYLLIN ELX 80/15ML

$85.44
ELLENCE INJ 2MG/ML

$124.55
ELLIOTTS B INJ

$429.22
ELMIRON CAP 100MG

$93.22
ELOXATIN INJ 100MG

$1855.94
ELOXATIN INJ 200MG

$4270.07
ELOXATIN INJ 50MG

$929.35
ELSPAR INJ 10000UNT

$60.09
EMADINE SOL 0.05% OP

$73.33
EMCYT CAP 140MG

$177.31
EMEND CAP 125MG

$4737.93
EMEND CAP 40MG

$1550.88
EMEND CAP 80-125MG

$373.18
EMEND CAP 80MG

$3075.04
EMEND SOL 115MG

$2176.00
EMINASE SOL 30U

$2469.70
EMLA CRE

$51.60
EMSAM DIS 6MG/24HR

$549.20
EMTRIVA CAP 200MG

$426.38
EMTRIVA SOL 10MG/ML

$102.78
ENABLEX TAB 15MG

$129.26
ENABLEX TAB 7.5MG

$129.26
ENBREL INJ 25/0.5ML

$888.59
ENBREL INJ 25MG

$224.20
ENBREL INJ 50MG/ML

$1774.41
ENCORE MIS

$53.59
ENDAL HD SYP

$102.80
ENDAL-HD SYP PLUS

$54.80
ENDO AVITENE MIS 10MM DIA

$879.93
ENDO AVITENE MIS 5MM DIA

$519.15
ENDOMETRIN SUP 100MG

$145.23
ENDRATE INJ 150MG/ML

$654.71
ENDURONYL TAB FORTE

$61.50
ENECAT CT ENE 5% KIT

$91.90
ENEMARK RECT KIT MARKER

$118.43
ENESET 2 KIT

$274.98
ENGERIX-B INJ 10/0.5ML

$233.48
ENGERIX-B INJ 20MCG/ML

$287.41
ENJUVIA TAB 0.3MG

$53.39
ENJUVIA TAB 0.45MG

$53.39
ENJUVIA TAB 0.625MG

$53.39
ENJUVIA TAB 0.9MG

$53.39
ENJUVIA TAB 1.25MG

$53.39
ENLON-PLUS INJ

$87.47
ENT AVITENE MIS 5MM DIA

$328.68
ENTEREG CAP 12MG

$2164.16
ENTEX LIQ 7.5-100

$79.74
ENTEX SUS 22.5MG

$153.17
ENTEX HC LIQ

$88.95
ENTOCORT EC CAP 3MG/24HR

$321.76
ENTROBAR SUS 50%

$108.77
ENTROCEL CON

$89.75
ENTROKIT KIT

$322.54
ENTROKIT KIT CATHETER

$810.95
ENTUSS SOL EXPECT

$59.30
EPI-C ENE 150%

$113.49
EPICERAM EMU

$71.21
EPIDUO GEL 0.1-2.5%

$213.40
EPIDURAL KIT 17GX3.5""

$527.67
EPIDURAL KIT 18GX3.5""

$577.37
EPIDURAL KIT 20GX3.5""

$385.17
EPIDURAL KIT TRAY

$564.74
Epinephrine HCl Inj 0.1 MG/ML

$138.66
Epinephrine HCl Inj 1 MG/ML

$81.75
EPIPEN INJ 0.3MG

$70.64
EPIPEN-JR INJ 0.15MG

$70.64
EPIQUIN MICR CRE 4%

$106.06
EPIRUBICIN INJ 200MG

$2581.80
EPIRUBICIN INJ 50MG

$65.77
EPIVIR SOL 10MG/ML

$113.44
EPIVIR TAB 150MG

$210.27
EPIVIR TAB 300MG

$417.79
EPIVIR HBV SOL 5MG/ML

$151.34
EPIVIR HBV TAB 100MG

$374.24
Eplerenone Tab 25 MG

$89.72
Eplerenone Tab 50 MG

$89.72
EPOGEN INJ 10000/ML

$141.73
EPOGEN INJ 20000/ML

$280.72
EPOGEN INJ 3000U/ML

$419.70
EPOGEN INJ 40000/ML

$5734.96
EPOGEN INJ 4000U/ML

$58.34
EPZICOM TAB

$975.47
EQUETRO CAP 100MG

$50.06
EQUETRO CAP 300MG

$74.80
ERAXIS INJ 100MG

$198.50
ERAXIS INJ 50MG

$100.63
ERBITUX INJ 100MG

$524.75
ERBITUX INJ 200MG

$1046.75
ERGOLOID MES SUB 1MG SL

$87.27
Ergoloid Mesylates Tab 1 MG

$72.95
ERGOMAR SUB 2MG

$158.83
Ergotamine w/ Caffeine Suppos 2-100 MG

$79.04
ERTACZO CRE 2%

$144.12
ERYGEL GEL 2%

$51.15
ERYTHROCIN INJ 1000MG

$230.34
ERYTHROM EST SUS 250/5ML

$60.82
Erythromycin Ophth Oint 5 MG/GM

$159.38
Erythromycin Pads 2%

$52.95
Erythromycin Pads 2%

$56.28
ESGIC CAP

$61.40
ESGIC TAB

$64.53
ESGIC-PLUS CAP

$52.75
ESGIC-PLUS TAB

$52.92
Esmolol HCl Inj 10 MG/ML

$239.25
ESTRACE TAB 2MG

$82.76
ESTRACE VAG CRE 0.1MG/GM

$78.73
ESTRADERM DIS 0.05MG

$58.58
ESTRADERM DIS 0.1MG

$62.62
Estradiol & Norethindrone Acetate Tab 1-0.5 MG

$57.24
Estradiol Valerate IM in Oil 10 MG/ML

$60.14
Estradiol Valerate IM in Oil 20 MG/ML

$83.53
Estradiol Valerate IM In Oil 40 MG/ML

$136.58
ESTRASORB EMU

$60.65
ESTRATEST TAB

$105.98
ESTRATEST HS TAB

$87.07
ESTRING MIS 2MG

$186.09
ESTROGEL GEL

$95.39
ETHAMOLIN INJ 5%

$874.49
ETHEZYME OIN

$50.21
ETHIODOL INJ 37%

$217.38
ETHRANE INH

$89.75
ETHYL ACETAT SOL USP NF

$68.52
ETHYL ALCOHO SOL 100%

$191.31
ETHYL CHLOR AER SPRAY

$56.88
ETHYOL INJ 500MG

$1649.97
Etidronate Disodium Tab 400 MG

$160.33
Etomidate IV Soln 2 MG/ML

$199.50
ETOPOPHOS INJ 100MG

$147.34
Etoposide Cap 50 MG

$1074.84
Etoposide Inj 20 MG/ML

$1112.17
Etoposide Inj 20 MG/ML

$121.24
EUFLEXXA INJ 10MG/ML

$189.50
EUGENOL SOL USP NF

$59.08
EULEXIN CAP 125MG

$73.83
EVAMIST SPR 1.53MG

$78.40
EVISTA TAB 60MG

$112.44
EVITHROM SOL 800-1200

$75.61
EVOXAC CAP 30MG

$74.20
EXELON CAP 1.5MG

$103.61
EXELON CAP 3MG

$103.61
EXELON CAP 4.5MG

$103.61
EXELON CAP 6MG

$103.61
EXELON DIS 4.6MG/24

$64.36
EXELON DIS 9.5MG/24

$64.36
EXELON SOL 2MG/ML

$463.67
EXFORGE TAB 10-160MG

$86.18
EXFORGE TAB 10-320MG

$108.65
EXFORGE TAB 5-160MG

$76.29
EXFORGE TAB 5-320MG

$96.03
EXFORGE HCT TAB

$108.65
EXFORGE HCT TAB 5-160-25

$76.29
EXJADE TAB 125MG

$537.06
EXJADE TAB 250MG

$1071.35
EXJADE TAB 500MG

$2139.92
EXTENDRYL SOL

$58.76
EXTENDRYL HC TAB

$62.94
EXTINA AER 2%

$178.36
E-Z-AC LIQ 100%

$105.73
E-Z-CAT DRY SUS

$246.47
E-Z-DOSE LIQ KIT

$156.55
E-Z-HD SUS 250 %

$113.30
E-Z-PASTE CRE ORAL

$408.35

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