Virtual Healthcare That Works Around Your Life

Access top-notch care anytime 24/7 doctor consultations, prescription coverage, and personalized support. No copays, no deductibles, just simple transparent care.

Individual

Couples

Family

Accepted at 70,000 pharmacies nationwide

Nationwide Coverage – Available anytime, anywhere across the U.S. Learn more

Why Nu Health RX is the Right Choice for You?

We believe quality healthcare should be simple and affordable. With Nu Health RX, you get

No Surprise Costs

One flat membership fee covers all your healthcare needs, no copays, no deductibles.

Instant Doctor Access

Skip the waiting room and connect with licensed professionals in minutes.

Inclusive Prescriptions

Get your medications covered as part of your membership.

Direct Care

Enjoy hassle-free virtual healthcare without the red tape of insurance.

Discover if your medication is among the 1,000+ included in your membership and see how you can save over $400 a year.

Quickly check if your prescriptions are covered and plan your savings today.

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Medication Search

MedicationTierRequirements/Limits
ATOMOXETINENuHealthRX - Free MaintenanceADHD/10 MG CAP
ATOMOXETINENuHealthRX - Free MaintenanceADHD/18 MG CAP
ATOMOXETINENuHealthRX - Free MaintenanceADHD/25 MG CAP
ATOMOXETINENuHealthRX - Free MaintenanceADHD/40 MG CAP
ATOMOXETINENuHealthRX - Free MaintenanceADHD/60 MG CAP
ATOMOXETINENuHealthRX - Free MaintenanceADHD/100 MG CAP
GUANFACINENuHealthRX - Free MaintenanceADHD/1 MG ER TAB (24HR)
GUANFACINENuHealthRX - Free MaintenanceADHD/2 MG ER TAB (24HR)
GUANFACINENuHealthRX - Free MaintenanceADHD/3 MG ER TAB (24HR)
GUANFACINENuHealthRX - Free MaintenanceADHD/4 MG ER TAB (24HR)
ACYCLOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/5% OINT
ACYCLOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/200 MG CAP
ACYCLOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/400 MG TAB
ACYCLOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/800 MG TAB
AMANTADINENuHealthRX - Free MaintenanceANTI-INFECTIVE/100 MG CAP
AMOXICILLINNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG CAP
AMOXICILLINNuHealthRX - Free MaintenanceANTI-INFECTIVE/875 MG TAB
AMOXICILLINNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG CAP
AMOXICILLINNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG TAB
AMOXICILLIN/CLAVULANIC ACIDNuHealthRX - Free MaintenanceANTI-INFECTIVE/500-125 MG TAB
AMOXICILLIN/CLAVULANIC ACIDNuHealthRX - Free MaintenanceANTI-INFECTIVE/875-125 MG TAB
AMPICILLINNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG CAP
AMPICILLINNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG CAP
AZITHROMYCINNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG TAB
AZITHROMYCINNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG TAB
CEFADROXILNuHealthRX - Free MaintenanceANTI-INFECTIVE/500MG CAP
CEFDINIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/300 MG CAP
CEFPROZILNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG TAB
CEFUROXIME AXETILNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG TAB
CEFUROXIME AXETILNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG TAB
CEPHALEXINNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG CAP
CEPHALEXINNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG CAP
CHLORHEXIDINENuHealthRX - Free MaintenanceANTI-INFECTIVE/0.12% SOLN
CIPROFLOXACINNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG TAB
CIPROFLOXACINNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG TAB
CIPROFLOXACINNuHealthRX - Free MaintenanceANTI-INFECTIVE/750 MG TAB
CLARITHROMYCINNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG TAB
CLARITHROMYCINNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG TAB
CLINDAMYCIN HCLNuHealthRX - Free MaintenanceANTI-INFECTIVE/150 MG CAP
CLINDAMYCIN HCLNuHealthRX - Free MaintenanceANTI-INFECTIVE/300 MG CAP
DAPSONENuHealthRX - Free MaintenanceANTI-INFECTIVE/25 MG TAB
DICLOXACILLINNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG CAP
EMTRICITABINE-TENOFOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/200-300 MG TAB
ENTECAVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/0.5 MG TAB
ENTECAVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/1 MG TAB
FAMCICLOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG TAB
FAMCICLOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG TAB
IMIQUIMODNuHealthRX - Free MaintenanceANTI-INFECTIVE/5% CREAM
ISONIAZIDNuHealthRX - Free MaintenanceANTI-INFECTIVE/100 MG TAB
ISONIAZIDNuHealthRX - Free MaintenanceANTI-INFECTIVE/300 MG TAB
LAMIVUDINENuHealthRX - Free MaintenanceANTI-INFECTIVE/50 MG TAB
LEVOFLOXACINNuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG TAB
LEVOFLOXACINNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG TAB
LEVOFLOXACINNuHealthRX - Free MaintenanceANTI-INFECTIVE/750 MG TAB
METHENAMINENuHealthRX - Free MaintenanceANTI-INFECTIVE/1 G TAB
METRONIDAZOLENuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG TAB
METRONIDAZOLENuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG TAB
NEVIRAPINENuHealthRX - Free MaintenanceANTI-INFECTIVE/200 MG TAB
NITROFURANTOINNuHealthRX - Free MaintenanceANTI-INFECTIVE/50 MG CAP
NITROFURANTOINNuHealthRX - Free MaintenanceANTI-INFECTIVE/100 MG CAP
PHENAZOPYRIDINENuHealthRX - Free MaintenanceANTI-INFECTIVE/100 MG TAB
PHENAZOPYRIDINENuHealthRX - Free MaintenanceANTI-INFECTIVE/200 MG TAB
SMZ/TMP DSNuHealthRX - Free MaintenanceANTI-INFECTIVE/800/160 MG TAB
TENOFOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/300 MG TAB
TETRACYCLINENuHealthRX - Free MaintenanceANTI-INFECTIVE/250 MG CAP
TETRACYCLINENuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG CAP
VALACYCLOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/500 MG TAB
VALACYCLOVIRNuHealthRX - Free MaintenanceANTI-INFECTIVE/1 GM TAB
ACEBUTOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/200 MG CAP
ACEBUTOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/400 MG CAP
AMILORIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
AMILORIDE/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/5/50 MG TAB
AMIODARONENuHealthRX - Free MaintenanceCARDIOVASCULAR/200 MG TAB
AMLODIPINENuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG TAB
AMLODIPINENuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
AMLODIPINENuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
AMLODIPINE/BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5-10 MG CAP
AMLODIPINE/BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/5-10 MG CAP
AMLODIPINE/BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/5-20 MG CAP
AMLODIPINE/BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/5-40 MG CAP
AMLODIPINE/BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-20 MG CAP
AMLODIPINE/BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-40 MG CAP
AMLODIPINE/OLMESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/5-20 MG TAB
AMLODIPINE/OLMESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/5-40 MG TAB
AMLODIPINE/OLMESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-20 MG TAB
AMLODIPINE/OLMESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-40 MG TAB
AMLODIPINE/VALSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/5-160 MG TAB
AMLODIPINE/VALSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/5-325 MG TAB
AMLODIPINE/VALSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-160 MG TAB
AMLODIPINE/VALSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-320 MG TAB
ATENOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
ATENOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
ATENOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/100 MG TAB
ATENOLOL/CHLORTHALIDONENuHealthRX - Free MaintenanceCARDIOVASCULAR/100-25MG TAB
ATENOLOL/CHLORTHALIDONENuHealthRX - Free MaintenanceCARDIOVASCULAR/50-25MG TAB
ATORVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
ATORVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
ATORVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
ATORVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
BENAZEPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
BENAZEPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-12.5 MG TAB
BENAZEPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/20-12.5 MG TAB
BENAZEPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/20-25 MG TAB
BETAXOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
BISOPROLOL FUMARATENuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
BISOPROLOL FUMARATENuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
BISOPROLOL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5-6.25 MG TAB
BISOPROLOL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/5-6.25 MG TAB
BISOPROLOL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-6.25 MG TAB
BUMETANIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/0.5 MG TAB
BUMETANIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/1 MG TAB
BUMETANIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/2 MG TAB
CAPTOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/12.5MG TAB
CAPTOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
CAPTOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
CAPTOPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/25-15 MG TAB
CAPTOPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/25-25 MG TAB
CAPTOPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/50-25 MG TAB
CARVEDILOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/3.125 MG TAB
CARVEDILOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/6.25 MG
CARVEDILOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/12.5 MG TAB
CARVEDILOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
CHLOROTHIAZIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/500 MG TAB
CHLORTHALIDONENuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
CHLORTHALIDONENuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
CHOLINE FENOFIBRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/45 MG CAP
CHOLINE FENOFIBRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/135 MG CAP
CILOSTAZOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
CILOSTAZOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/100 MG TAB
CLONIDINENuHealthRX - Free MaintenanceCARDIOVASCULAR/0.1 MG TAB
CLONIDINENuHealthRX - Free MaintenanceCARDIOVASCULAR/0.2 MG TAB
CLONIDINENuHealthRX - Free MaintenanceCARDIOVASCULAR/0.3 MG TAB
CLOPIDOGRELNuHealthRX - Free MaintenanceCARDIOVASCULAR/75 MG TAB
DIGOXINNuHealthRX - Free MaintenanceCARDIOVASCULAR/125 MCG TAB
DIGOXINNuHealthRX - Free MaintenanceCARDIOVASCULAR/250 MCG TAB
DILTIAZEMNuHealthRX - Free MaintenanceCARDIOVASCULAR/30 MG TAB
DILTIAZEMNuHealthRX - Free MaintenanceCARDIOVASCULAR/60 MG TAB
DILTIAZEMNuHealthRX - Free MaintenanceCARDIOVASCULAR/90 MG TAB
DILTIAZEMNuHealthRX - Free MaintenanceCARDIOVASCULAR/120 MG TAB
DILTIAZEM ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/120 MG ER CAP (24HR)
DILTIAZEM ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/180 MG ER CAP (24HR)
DILTIAZEM ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/240 MG ER CAP (24HR)
DILTIAZEM ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/300 MG ER CAP (24HR)
DILTIAZEM ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/360 MG ER CAP (24HR)
DIPYRIDAMOLENuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
DIPYRIDAMOLENuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
DIPYRIDAMOLENuHealthRX - Free MaintenanceCARDIOVASCULAR/75 MG TAB
DOFETILIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/125 MG CAP
DOFETILIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/250 MG CAP
DOFETILIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/500 MG CAP
DOXAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/1 MG TAB
DOXAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/2 MG TAB
DOXAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/4 MG TAB
DOXAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/8 MG TAB
ENALAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG TAB
ENALAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
ENALAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
ENALAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
ENALAPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/5-12.5 MG TAB
ENALAPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-25 MG TAB
EPLERENONENuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
EZETIMIBENuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
EZETIMIBE/SIMVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-10 MG TAB
EZETIMIBE/SIMVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-20 MG TAB
EZETIMIBE/SIMVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-40 MG TAB
EZETIMIBE/SIMVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-80 MG TAB
FELODIPINE ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG ER TAB
FELODIPINE ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG ER TAB
FELODIPINE ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG ER TAB
FENOFIBRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/48 MG TAB
FENOFIBRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/54 MG TAB
FENOFIBRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/145 MG TAB
FENOFIBRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/160 MG TAB
FENOFIBRATE (MICRONIZED)NuHealthRX - Free MaintenanceCARDIOVASCULAR/43 MG CAP
FENOFIBRATE (MICRONIZED)NuHealthRX - Free MaintenanceCARDIOVASCULAR/67 MG CAP
FENOFIBRATE (MICRONIZED)NuHealthRX - Free MaintenanceCARDIOVASCULAR/134 MG CAP
FENOFIBRATE (MICRONIZED)NuHealthRX - Free MaintenanceCARDIOVASCULAR/200 MG CAP
FLECAINIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
FLECAINIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/100 MG TAB
FLECAINIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/150 MG TAB
FOSINOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
FOSINOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
FOSINOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
FUROSEMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
FUROSEMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
FUROSEMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
GEMFIBROZILNuHealthRX - Free MaintenanceCARDIOVASCULAR/600 MG TAB
HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/12.5 MG CAP
HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/12.5 MG TAB
HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
HYDRALAZINENuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
HYDRALAZINENuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
HYDRALAZINENuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
HYDRALAZINENuHealthRX - Free MaintenanceCARDIOVASCULAR/100 MG TAB
HYDRALAZINE/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/50-50 MG TAB
INDAPAMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/1.25 MG TAB
INDAPAMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG TAB
IRBESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/75 MG TAB
IRBESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/150 MG TAB
IRBESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/300 MG TAB
IRBESARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/150/12.5 MG TAB
IRBESARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/300/12.5 MG TAB
ISOSORBIDE MONONITRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/30 MG ER TAB (24HR)
ISOSORBIDE MONONITRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/60 MG ER TAB (24HR)
ISOSORBIDE MONONITRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/120 MG ER TAB (24HR)
JANTOVENNuHealthRX - Free MaintenanceCARDIOVASCULAR/1 MG TAB
JANTOVENNuHealthRX - Free MaintenanceCARDIOVASCULAR/2 MG TAB
JANTOVENNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG TAB
JANTOVENNuHealthRX - Free MaintenanceCARDIOVASCULAR/3 MG TAB
JANTOVENNuHealthRX - Free MaintenanceCARDIOVASCULAR/4 MG TAB
JANTOVENNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
JANTOVENNuHealthRX - Free MaintenanceCARDIOVASCULAR/6 MG TAB
JANTOVENNuHealthRX - Free MaintenanceCARDIOVASCULAR/7.5 MG TAB
JANTOVENNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
LISINOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG TAB
LISINOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
LISINOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
LISINOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
LISINOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/30 MG TAB
LISINOPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
LISINOPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-12.5 MG TAB
LISINOPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/20-12.5 MG TAB
LISINOPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/20-25 MG TAB
LOSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
LOSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
LOSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/100 MG TAB
LOSARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/50-12.5 MG TAB
LOSARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/100-12.5 MG TAB
LOSARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/100-25 MG TAB
LOVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
LOVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
LOVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
METHYLDOPANuHealthRX - Free MaintenanceCARDIOVASCULAR/250 MG TAB
METHYLDOPANuHealthRX - Free MaintenanceCARDIOVASCULAR/500 MG TAB
METOPROLOL SUCCINATENuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG ER TAB (24HR)
METOPROLOL SUCCINATENuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG ER TAB (24HR)
METOPROLOL SUCCINATENuHealthRX - Free MaintenanceCARDIOVASCULAR/100 MG ER TAB (24HR)
METOPROLOL SUCCINATENuHealthRX - Free MaintenanceCARDIOVASCULAR/200 MG ER TAB (24HR)
METOPROLOL TARTRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/25 MG TAB
METOPROLOL TARTRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/50 MG TAB
METOPROLOL TARTRATENuHealthRX - Free MaintenanceCARDIOVASCULAR/100 MG TAB
MIDODRINENuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG TAB
MIDODRINENuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
MIDODRINENuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
MINOXIDILNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG TAB
MINOXIDILNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
NADOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
NADOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
NADOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
NEBIVOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG TAB
NEBIVOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
NEBIVOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
NEBIVOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
NIACIN ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/500 MG TAB
NIACIN ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/750 MG TAB
NIACIN ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/1000 MG TAB
NIFEDIPINE XLNuHealthRX - Free MaintenanceCARDIOVASCULAR/30 MG ER OSM TAB (24HR)
NIFEDIPINE XLNuHealthRX - Free MaintenanceCARDIOVASCULAR/60 MG ER OSM TAB (24HR)
NIFEDIPINE XLNuHealthRX - Free MaintenanceCARDIOVASCULAR/90 MG ER OSM TAB (24HR)
NIFEDIPINE ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/30 MG ER TAB (24HR)
NIFEDIPINE ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/60 MG ER TAB (24HR)
NIFEDIPINE ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/90 MG ER TAB (24HR)
NITROGLYCERINNuHealthRX - Free MaintenanceCARDIOVASCULAR/0.1 MG/HR
NITROGLYCERINNuHealthRX - Free MaintenanceCARDIOVASCULAR/0.2 MG/HR
NITROGLYCERINNuHealthRX - Free MaintenanceCARDIOVASCULAR/0.4 MG/HR
NITROGLYCERINNuHealthRX - Free MaintenanceCARDIOVASCULAR/0.6 MG/HR
NITROGLYCERINNuHealthRX - Free MaintenanceCARDIOVASCULAR/0.3 MG
NITROGLYCERINNuHealthRX - Free MaintenanceCARDIOVASCULAR/0.4 MG
NITROGLYCERINNuHealthRX - Free MaintenanceCARDIOVASCULAR/0.6 MG
OLMESARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/20-12.5 MG TAB
OLMESARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/40-12.5 MG TAB
OLMESARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/40-25 MG TAB
OLMESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
OLMESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
OLMESARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
OMEGA-3 ETHYL ESTERSNuHealthRX - Free MaintenanceCARDIOVASCULAR/1 GM CAP
PINDOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
PINDOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
POTASSIUM CHLORIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/8 MEQ ER TAB
POTASSIUM CHLORIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MEQ ER TAB
POTASSIUM CHLORIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MEQ ER TAB
POTASSIUM CHLORIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MEQ ER CAP
PRASUGRELNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
PRASUGRELNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
PRAVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
PRAVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
PRAVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
PRAVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
PRAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/1 MG CAP
PRAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/2 MG CAP
PRAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG CAP
PROCAINAMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/500 MG TAB
PROCAINAMIDE SRNuHealthRX - Free MaintenanceCARDIOVASCULAR/500 MG TAB
PROPAFENONENuHealthRX - Free MaintenanceCARDIOVASCULAR/150 MG TAB
PROPAFENONENuHealthRX - Free MaintenanceCARDIOVASCULAR/225 MG TAB
PROPAFENONENuHealthRX - Free MaintenanceCARDIOVASCULAR/300 MG TAB
PROPRANOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
ROPRANOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
PROPRANOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
PROPRANOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/60 MG TAB
PROPRANOLOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
PROPRANOLOL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/60 MG ER CAP (24HR)
PROPRANOLOL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG ER CAP (24HR)
PROPRANOLOL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/120 MG ER CAP (24HR)
PROPRANOLOL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/160 MG ER CAP (24HR)
PROPRANOLOL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/40-25 MG TAB
PROPRANOLOL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/80-25 MG TAB
QUINAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
QUINAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
QUINAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
QUINAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
QUINAPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/10-12.5 MG TAB
QUINAPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/20-12.5 MG TAB
QUINAPRIL/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/20-25 MG TAB
QUINIDINE SULFATENuHealthRX - Free MaintenanceCARDIOVASCULAR/200 MG TAB
QUINIDINE SULFATENuHealthRX - Free MaintenanceCARDIOVASCULAR/300 MG TAB
RAMIPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/1.25 MG CAP
RAMIPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG CAP
RAMIPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG CAP
RAMIPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG CAP
RANOLAZINE ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/500 MG TAB
RANOLAZINE ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/1000 MG TAB
ROSUVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
ROSUVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
ROSUVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
ROSUVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
SIMVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
SIMVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
SIMVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
SIMVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
SIMVASTATINNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
SOTALOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
SOTALOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/120 MG TAB
SOTALOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/160 MG TAB
SOTALOLNuHealthRX - Free MaintenanceCARDIOVASCULAR/240 MG TAB
SOTALOL AFNuHealthRX - Free MaintenanceCARDIOVASCULAR/120 MG TAB
SOTALOL AFNuHealthRX - Free MaintenanceCARDIOVASCULAR/160 MG TAB
TELMISARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
TELMISARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
TELMISARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
TERAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/1 MG CAP
TERAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/2 MG CAP
TERAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG CAP
TERAZOSINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG CAP
TICLOPIDINENuHealthRX - Free MaintenanceCARDIOVASCULAR/250 MG TAB
TORSEMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
TORSEMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
TORSEMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/20 MG TAB
TORSEMIDENuHealthRX - Free MaintenanceCARDIOVASCULAR/100 MG TAB
TRANDOLAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/1 MG TAB
TRANDOLAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/2 MG TAB
TRANDOLAPRILNuHealthRX - Free MaintenanceCARDIOVASCULAR/4 MG TAB
TRIAMTERENE/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/37.5-25 MG CAP
TRIAMTERENE/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/37.5-25 MG TAB
TRIAMTERENE/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/75-50 MG TAB
VALSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
VALSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
VALSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/160 MG TAB
VALSARTANNuHealthRX - Free MaintenanceCARDIOVASCULAR/320 MG TAB
VALSARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/80/12.5 MG TAB
VALSARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/160/25 MG TAB
VALSARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/320/12.5 MG TAB
VALSARTAN/HCTZNuHealthRX - Free MaintenanceCARDIOVASCULAR/320/25 MG TAB
VERAPAMIL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/120 MG ER CAP (24HR)
VERAPAMIL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/180 MG ER CAP (24HR)
VERAPAMIL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/240 MG ER CAP (24HR)
VERAPAMILNuHealthRX - Free MaintenanceCARDIOVASCULAR/40 MG TAB
VERAPAMILNuHealthRX - Free MaintenanceCARDIOVASCULAR/80 MG TAB
VERAPAMILNuHealthRX - Free MaintenanceCARDIOVASCULAR/120 MG TAB
VERAPAMIL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/120 MG ER TAB
VERAPAMIL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/180 MG ER TAB
VERAPAMIL ERNuHealthRX - Free MaintenanceCARDIOVASCULAR/240 MG ER TAB
WARFARINNuHealthRX - Free MaintenanceCARDIOVASCULAR/1 MG TAB
WARFARINNuHealthRX - Free MaintenanceCARDIOVASCULAR/2 MG TAB
WARFARINNuHealthRX - Free MaintenanceCARDIOVASCULAR/2.5 MG TAB
WARFARINNuHealthRX - Free MaintenanceCARDIOVASCULAR/3 MG TAB
WARFARINNuHealthRX - Free MaintenanceCARDIOVASCULAR/4 MG TAB
WARFARINNuHealthRX - Free MaintenanceCARDIOVASCULAR/5 MG TAB
WARFARINNuHealthRX - Free MaintenanceCARDIOVASCULAR/6 MG TAB
WARFARINNuHealthRX - Free MaintenanceCARDIOVASCULAR/7.5 MG TAB
WARFARINNuHealthRX - Free MaintenanceCARDIOVASCULAR/10 MG TAB
ADAPALENENuHealthRX - Free MaintenanceDERMATOLOGY/0.1% GEL
ADAPALENENuHealthRX - Free MaintenanceDERMATOLOGY/0.3% GEL
ADAPALENE/BENZOYL PEROXIDENuHealthRX - Free MaintenanceDERMATOLOGY/0.1/2.5% GEL
AMINOBENZOATENuHealthRX - Free MaintenanceDERMATOLOGY/500 MG TAB
BENZOYL PEROXIDE WASHNuHealthRX - Free MaintenanceDERMATOLOGY/5% WASH
BENZOYL PEROXIDE WASHNuHealthRX - Free MaintenanceDERMATOLOGY/10% WASH
CICLOPIROXNuHealthRX - Free MaintenanceDERMATOLOGY/8% SOLN
CLINDAMYCIN PHOSPHATENuHealthRX - Free MaintenanceDERMATOLOGY/1% SOLN
CLINDAMYCIN PHOSPHATENuHealthRX - Free MaintenanceDERMATOLOGY/1% GEL
CLINDAMYCIN/BENZOYL PEROXIDENuHealthRX - Free MaintenanceDERMATOLOGY/1.2/5% GEL
CLINDAMYCIN/BENZOYL PEROXIDENuHealthRX - Free MaintenanceDERMATOLOGY/1/5% GEL
CLOBETASOLNuHealthRX - Free MaintenanceDERMATOLOGY/0.05% CREAM
CLOBETASOLNuHealthRX - Free MaintenanceDERMATOLOGY/0.05% GEL
CLOBETASOLNuHealthRX - Free MaintenanceDERMATOLOGY/0.05% OINT
CLOBETASOLNuHealthRX - Free MaintenanceDERMATOLOGY/0.05% SOLN
DESONIDENuHealthRX - Free MaintenanceDERMATOLOGY/0.05% CREAM
DESONIDENuHealthRX - Free MaintenanceDERMATOLOGY/0.05% LOTION
DESONIDENuHealthRX - Free MaintenanceDERMATOLOGY/0.05% OINT
DESOXIMETASONENuHealthRX - Free MaintenanceDERMATOLOGY/0.25% CREAM
DOXYCYCLINE HYCLATENuHealthRX - Free MaintenanceDERMATOLOGY/50 MG CAP
DOXYCYCLINE HYCLATENuHealthRX - Free MaintenanceDERMATOLOGY/100 MG CAP
DOXYCYCLINE MONOHYDRATENuHealthRX - Free MaintenanceDERMATOLOGY/50 MG CAP
DOXYCYCLINE MONOHYDRATENuHealthRX - Free MaintenanceDERMATOLOGY/100 MG CAP
ECONAZOLE NITRATENuHealthRX - Free MaintenanceDERMATOLOGY/1% CREAM
FLUOCINONIDENuHealthRX - Free MaintenanceDERMATOLOGY/0.05% CREAM
FLUOCINONIDENuHealthRX - Free MaintenanceDERMATOLOGY/0.10% CREAM
FLUOCINONIDENuHealthRX - Free MaintenanceDERMATOLOGY/0.05% OINT
HYDROCORTISONENuHealthRX - Free MaintenanceDERMATOLOGY/1.0% CREAM
HYDROCORTISONENuHealthRX - Free MaintenanceDERMATOLOGY/1.0% OINT
HYDROCORTISONENuHealthRX - Free MaintenanceDERMATOLOGY/2.5% CREAM
HYDROCORTISONENuHealthRX - Free MaintenanceDERMATOLOGY/2.5% OINT
HYDROCORTISONENuHealthRX - Free MaintenanceDERMATOLOGY/2.5% CREAM
HYDROQUINONENuHealthRX - Free MaintenanceDERMATOLOGY/4% CREAM
HYDROXYZINE HCLNuHealthRX - Free MaintenanceDERMATOLOGY/10 MG TAB
HYDROXYZINE HCLNuHealthRX - Free MaintenanceDERMATOLOGY/25 MG TAB
HYDROXYZINE HCLNuHealthRX - Free MaintenanceDERMATOLOGY/50 MG TAB
KETOCONAZOLENuHealthRX - Free MaintenanceDERMATOLOGY/200 MG TAB
KETOCONAZOLENuHealthRX - Free MaintenanceDERMATOLOGY/2% CREAM
KETOCONAZOLENuHealthRX - Free MaintenanceDERMATOLOGY/2% SHAMPOO
LIDOCAINENuHealthRX - Free MaintenanceDERMATOLOGY/5% OINT
LIDOCAINE/PRILOCAINENuHealthRX - Free MaintenanceDERMATOLOGY/2.5%/2.5% CREAM
METRONIDAZOLENuHealthRX - Free MaintenanceDERMATOLOGY/0.75% CREAM
METRONIDAZOLENuHealthRX - Free MaintenanceDERMATOLOGY/0.75% GEL
MINOCYCLINENuHealthRX - Free MaintenanceDERMATOLOGY/50 MG CAP
MINOCYCLINENuHealthRX - Free MaintenanceDERMATOLOGY/75 MG CAP
MINOCYCLINENuHealthRX - Free MaintenanceDERMATOLOGY/100 MG CAP
MUPIROCINNuHealthRX - Free MaintenanceDERMATOLOGY/2% OINT
NYSTATINNuHealthRX - Free MaintenanceDERMATOLOGY/100 MU CREAM
NYSTATINNuHealthRX - Free MaintenanceDERMATOLOGY/100 MU OINT
NYSTATINNuHealthRX - Free MaintenanceDERMATOLOGY/100 MU POWDER
NYSTATIN/TRIAMCINOLONENuHealthRX - Free MaintenanceDERMATOLOGY/100 MU CREAM
SILVER SULFADIAZINENuHealthRX - Free MaintenanceDERMATOLOGY/1% CREAM
SPIRONOLACTONENuHealthRX - Free MaintenanceDERMATOLOGY/25 MG TAB
SPIRONOLACTONENuHealthRX - Free MaintenanceDERMATOLOGY/50 MG TAB
SPIRONOLACTONENuHealthRX - Free MaintenanceDERMATOLOGY/100 MG TAB
SULFACETAMIDE/SULFURNuHealthRX - Free MaintenanceDERMATOLOGY/10%/5% CLEANSER
TERBINAFINENuHealthRX - Free MaintenanceDERMATOLOGY/250 MG TAB
TERBINAFINENuHealthRX - Free MaintenanceDERMATOLOGY/1% CREAM
TRIAMCINOLONENuHealthRX - Free MaintenanceDERMATOLOGY/0.025% OINT
TRIAMCINOLONENuHealthRX - Free MaintenanceDERMATOLOGY/0.1% OINT
TRIAMCINOLONENuHealthRX - Free MaintenanceDERMATOLOGY/0.5% OINT
TRIAMCINOLONENuHealthRX - Free MaintenanceDERMATOLOGY/0.025% CREAM
TRIAMCINOLONENuHealthRX - Free MaintenanceDERMATOLOGY/0.1% CREAM
TRIAMCINOLONENuHealthRX - Free MaintenanceDERMATOLOGY/0.5% CREAM
ACARBOSENuHealthRX - Free MaintenanceDIABETES/25 MG TAB
ACARBOSENuHealthRX - Free MaintenanceDIABETES/50 MG TAB
ACARBOSENuHealthRX - Free MaintenanceDIABETES/100 MG TAB
CHLORPROPAMIDENuHealthRX - Free MaintenanceDIABETES/250 MG CAP
GLIMEPIRIDENuHealthRX - Free MaintenanceDIABETES/1 MG TAB
GLIMEPIRIDENuHealthRX - Free MaintenanceDIABETES/2 MG TAB
GLIMEPIRIDENuHealthRX - Free MaintenanceDIABETES/4 MG TAB
GLIPIZIDENuHealthRX - Free MaintenanceDIABETES/5 MG TAB
GLIPIZIDENuHealthRX - Free MaintenanceDIABETES/10 MG TAB
GLIPIZIDENuHealthRX - Free MaintenanceDIABETES/2.5 MG ER TAB (24HR)
GLIPIZIDENuHealthRX - Free MaintenanceDIABETES/5 MG ER TAB (24HR)
GLIPIZIDENuHealthRX - Free MaintenanceDIABETES/10 MG ER TAB (24HR)
GLIPIZIDE/METFORMINNuHealthRX - Free MaintenanceDIABETES/2.5-250 MG TAB
GLIPIZIDE/METFORMINNuHealthRX - Free MaintenanceDIABETES/5-500 MG TAB
GLYBURIDENuHealthRX - Free MaintenanceDIABETES/1.25 MG TAB
GLYBURIDENuHealthRX - Free MaintenanceDIABETES/2.5 MG TAB
GLYBURIDENuHealthRX - Free MaintenanceDIABETES/5 MG TAB
GLYBURIDE/METFORMINNuHealthRX - Free MaintenanceDIABETES/1.25-250 MG TAB
GLYBURIDE/METFORMINNuHealthRX - Free MaintenanceDIABETES/2.5-500 MG TAB
GLYBURIDE/METFORMINNuHealthRX - Free MaintenanceDIABETES/5-500 MG TAB
METFORMINNuHealthRX - Free MaintenanceDIABETES/500 MG TAB
METFORMINNuHealthRX - Free MaintenanceDIABETES/850 MG TAB
METFORMINNuHealthRX - Free MaintenanceDIABETES/1000 MG TAB
METFORMINNuHealthRX - Free MaintenanceDIABETES/500 MG ER TAB (24HR)
METFORMINNuHealthRX - Free MaintenanceDIABETES/750 MG ER TAB (24HR)
NATEGLINIDENuHealthRX - Free MaintenanceDIABETES/60 MG TAB
NATEGLINIDENuHealthRX - Free MaintenanceDIABETES/120 MG TAB
PIOGLITAZONENuHealthRX - Free MaintenanceDIABETES/15 MG TAB
PIOGLITAZONENuHealthRX - Free MaintenanceDIABETES/30 MG TAB
PIOGLITAZONENuHealthRX - Free MaintenanceDIABETES/45 MG TAB
PIOGLITAZONE/METFORMINNuHealthRX - Free MaintenanceDIABETES/15/500 MG TAB
PIOGLITAZONE/METFORMINNuHealthRX - Free MaintenanceDIABETES/15/850 MG TAB
PRODIGY DIABETIC TEST STRIPSNuHealthRX - Free MaintenanceDIABETES/STRIPS
PRODIGY GLUCOSE METERNuHealthRX - Free MaintenanceDIABETES/METER
PRODIGY DIABETIC LANCETSNuHealthRX - Free MaintenanceDIABETES/Max Qty: 200
REPAGLINIDENuHealthRX - Free MaintenanceDIABETES/0.5 MG TAB
REPAGLINIDENuHealthRX - Free MaintenanceDIABETES/1 MG TAB
REPAGLINIDENuHealthRX - Free MaintenanceDIABETES/2 MG TAB
CINACALCETNuHealthRX - Free MaintenanceENDOCRINOLOGY/30 MG TAB
DESMOPRESSINNuHealthRX - Free MaintenanceENDOCRINOLOGY/0.1 MG TAB
DESMOPRESSINNuHealthRX - Free MaintenanceENDOCRINOLOGY/0.2 MG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/25 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/50 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/75 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/88 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/100 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/112 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/125 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/137 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/150 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/175 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/200 MCG TAB
LEVOTHYROXINENuHealthRX - Free MaintenanceENDOCRINOLOGY/300 MCG TAB
LIOTHYRONINENuHealthRX - Free MaintenanceENDOCRINOLOGY/5 MCG TAB
LIOTHYRONINENuHealthRX - Free MaintenanceENDOCRINOLOGY/25 MCG TAB
LIOTHYRONINENuHealthRX - Free MaintenanceENDOCRINOLOGY/50 MCG TAB
METHIMAZOLENuHealthRX - Free MaintenanceENDOCRINOLOGY/5 MG TAB
METHIMAZOLENuHealthRX - Free MaintenanceENDOCRINOLOGY/10 MG TAB
CIMETIDINENuHealthRX - Free MaintenanceGASTROINTESTINAL/200 MG TAB
CIMETIDINENuHealthRX - Free MaintenanceGASTROINTESTINAL/300 MG TAB
CIMETIDINENuHealthRX - Free MaintenanceGASTROINTESTINAL/400 MG TAB
CIMETIDINENuHealthRX - Free MaintenanceGASTROINTESTINAL/800 MG TAB
DICYCLOMINENuHealthRX - Free MaintenanceGASTROINTESTINAL/10 MG CAP
DICYCLOMINENuHealthRX - Free MaintenanceGASTROINTESTINAL/20 MG TAB
DOCUSATE SODIUMNuHealthRX - Free MaintenanceGASTROINTESTINAL/100 MG CAP
ESOMEPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/20 MG DR CAP
ESOMEPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/40 MG DR CAP
FAMOTIDINENuHealthRX - Free MaintenanceGASTROINTESTINAL/20 MG TAB
FAMOTIDINENuHealthRX - Free MaintenanceGASTROINTESTINAL/40 MG TAB
GLYCOPYRROLATENuHealthRX - Free MaintenanceGASTROINTESTINAL/1 MG TAB
GLYCOPYRROLATENuHealthRX - Free MaintenanceGASTROINTESTINAL/2 MG TAB
HYOSCYAMINENuHealthRX - Free MaintenanceGASTROINTESTINAL/0.125 MG TAB
HYOSCYAMINENuHealthRX - Free MaintenanceGASTROINTESTINAL/0.125 MG ODT TAB
HYOSCYAMINE SRNuHealthRX - Free MaintenanceGASTROINTESTINAL/0.375 MG SR TAB (12HR)
LANSOPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/15 MG DR CAP
LANSOPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/30 MG DR CAP
LIDOCAINENuHealthRX - Free MaintenanceGASTROINTESTINAL/2% SOLN
LOPERAMIDENuHealthRX - Free MaintenanceGASTROINTESTINAL/2 MG CAP
METOCLOPRAMIDENuHealthRX - Free MaintenanceGASTROINTESTINAL/5 MG TAB
METOCLOPRAMIDENuHealthRX - Free MaintenanceGASTROINTESTINAL/10 MG TAB
OMEPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/10 MG DR CAP
OMEPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/20 MG DR CAP
OMEPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/40 MG DR CAP
ONDANSETRONNuHealthRX - Free MaintenanceGASTROINTESTINAL/4 MG TAB
ONDANSETRONNuHealthRX - Free MaintenanceGASTROINTESTINAL/8 MG TAB
ONDANSETRONNuHealthRX - Free MaintenanceGASTROINTESTINAL/4 MG ODT TAB
ONDANSETRONNuHealthRX - Free MaintenanceGASTROINTESTINAL/8 MG ODT TAB
PANTOPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/20 MG DR TAB
PANTOPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/40 MG DR TAB
POLYETHYLENE GLYCOLNuHealthRX - Free MaintenanceGASTROINTESTINAL/17 GM POWDER
PROMETHAZINENuHealthRX - Free MaintenanceGASTROINTESTINAL/12.5 MG TAB
PROMETHAZINENuHealthRX - Free MaintenanceGASTROINTESTINAL/50 MG TAB
RABEPRAZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/20 MG TAB
SUCRALFATENuHealthRX - Free MaintenanceGASTROINTESTINAL/1 GM TAB
ALFUZOSINNuHealthRX - Free MaintenanceMEN'S HEALTH/10 MG TAB
BETHANECHOLNuHealthRX - Free MaintenanceMEN'S HEALTH/5 MG TAB
BETHANECHOLNuHealthRX - Free MaintenanceMEN'S HEALTH/10 MG TAB
BETHANECHOLNuHealthRX - Free MaintenanceMEN'S HEALTH/25 MG TAB
BETHANECHOLNuHealthRX - Free MaintenanceMEN'S HEALTH/50 MG TAB
BICALUTAMIDENuHealthRX - Free MaintenanceMEN'S HEALTH/50 MG CAP
DUTASTERIDENuHealthRX - Free MaintenanceMEN'S HEALTH/0.5 MG CAP
FINASTERIDENuHealthRX - Free MaintenanceMEN'S HEALTH/1 MG TAB
FINASTERIDENuHealthRX - Free MaintenanceMEN'S HEALTH/5 MG TAB
MINOXIDILNuHealthRX - Free MaintenanceMEN'S HEALTH/2% SOLN
OXYBUTYNINNuHealthRX - Free MaintenanceMEN'S HEALTH/5 MG TAB
OXYBUTYNINNuHealthRX - Free MaintenanceMEN'S HEALTH/5 MG ER TAB (24HR)
OXYBUTYNINNuHealthRX - Free MaintenanceMEN'S HEALTH/10 MG ER TAB (24HR)
OXYBUTYNINNuHealthRX - Free MaintenanceMEN'S HEALTH/15 MG ER TAB (24HR)
SILDENAFILNuHealthRX - Free MaintenanceMEN'S HEALTH/20 MG TAB
SILDENAFILNuHealthRX - Free MaintenanceMEN'S HEALTH/25 MG TAB
SILDENAFILNuHealthRX - Free MaintenanceMEN'S HEALTH/50 MG TAB
SILDENAFILNuHealthRX - Free MaintenanceMEN'S HEALTH/100 MG TAB
SILODOSINNuHealthRX - Free MaintenanceMEN'S HEALTH/4 MG CAP
SILODOSINNuHealthRX - Free MaintenanceMEN'S HEALTH/8 MG CAP
SOLIFENACINNuHealthRX - Free MaintenanceMEN'S HEALTH/5 MG TAB
SOLIFENACINNuHealthRX - Free MaintenanceMEN'S HEALTH/10 MG TAB
TADALAFILNuHealthRX - Free MaintenanceMEN'S HEALTH/2.5 MG TAB
TADALAFILNuHealthRX - Free MaintenanceMEN'S HEALTH/5 MG TAB
TADALAFILNuHealthRX - Free MaintenanceMEN'S HEALTH/10 MG TAB
TADALAFILNuHealthRX - Free MaintenanceMEN'S HEALTH/20 MG TAB
TAMSULOSINNuHealthRX - Free MaintenanceMEN'S HEALTH/0.4 MG CAP
TOLTERODINE ERNuHealthRX - Free MaintenanceMEN'S HEALTH/2 MG CAP
TROSPIUMNuHealthRX - Free MaintenanceMEN'S HEALTH/20 MG TAB
AMITRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
AMITRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
AMITRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
AMITRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/75 MG TAB
AMITRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
AMITRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG TAB
ARIPIPRAZOLENuHealthRX - Free MaintenanceMENTAL HEALTH/2 MG TAB
ARIPIPRAZOLENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
ARIPIPRAZOLENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
ARIPIPRAZOLENuHealthRX - Free MaintenanceMENTAL HEALTH/15 MG TAB
ARIPIPRAZOLENuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG TAB
ARIPIPRAZOLENuHealthRX - Free MaintenanceMENTAL HEALTH/30 MG TAB
BENZTROPINENuHealthRX - Free MaintenanceMENTAL HEALTH/0.5 MG TAB
BENZTROPINENuHealthRX - Free MaintenanceMENTAL HEALTH/1 MG TAB
BENZTROPINENuHealthRX - Free MaintenanceMENTAL HEALTH/2 MG TAB
BUPROPIONNuHealthRX - Free MaintenanceMENTAL HEALTH/75 MG TAB
BUPROPIONNuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
BUPROPIONNuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG SR TAB (12HR)
BUPROPIONNuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG SR TAB (12HR)
BUPROPIONNuHealthRX - Free MaintenanceMENTAL HEALTH/200 MG SR TAB (12HR)
BUPROPIONNuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG XL TAB (24HR)
BUPROPIONNuHealthRX - Free MaintenanceMENTAL HEALTH/300 MG XL TAB (24HR)
BUSPIRONENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
BUSPIRONENuHealthRX - Free MaintenanceMENTAL HEALTH/7.5 MG TAB
BUSPIRONENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
BUSPIRONENuHealthRX - Free MaintenanceMENTAL HEALTH/15 MG TAB
BUSPIRONENuHealthRX - Free MaintenanceMENTAL HEALTH/30 MG TAB
CARBAMAZEPINENuHealthRX - Free MaintenanceMENTAL HEALTH/200 MG TAB
CARBIDOPANuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
CARBIDOPA/LEVODOPANuHealthRX - Free MaintenanceMENTAL HEALTH/10-100 MG TAB
CARBIDOPA/LEVODOPANuHealthRX - Free MaintenanceMENTAL HEALTH/25-100 MG TAB
CARBIDOPA/LEVODOPANuHealthRX - Free MaintenanceMENTAL HEALTH/25-250 MG TAB
CARBIDOPA/LEVODOPANuHealthRX - Free MaintenanceMENTAL HEALTH/25-100 MG ER TAB
CARBIDOPA/LEVODOPANuHealthRX - Free MaintenanceMENTAL HEALTH/50-200 MG ER TAB
CHLORPROMAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG CAP
CITALOPRAMNuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
CITALOPRAMNuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG TAB
CITALOPRAMNuHealthRX - Free MaintenanceMENTAL HEALTH/40 MG TAB
CLOMIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG CAP
CLOMIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG CAP
CLOMIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/75 MG CAP
DESIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
DESIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
DESIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
DESIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
DESVENLAFAXINE ERNuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG ER TAB
DESVENLAFAXINE ERNuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG ER TAB
DESVENLAFAXINE ERNuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG ER TAB
DIVALPROEXNuHealthRX - Free MaintenanceMENTAL HEALTH/125 MG DR TAB
DIVALPROEXNuHealthRX - Free MaintenanceMENTAL HEALTH/250 MG DR TAB
DIVALPROEXNuHealthRX - Free MaintenanceMENTAL HEALTH/500 MG DR TAB
DIVALPROEXNuHealthRX - Free MaintenanceMENTAL HEALTH/250 MG ER TAB (24HR)
DIVALPROEXNuHealthRX - Free MaintenanceMENTAL HEALTH/500 MG ER TAB (24HR)
DONEPEZILNuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
DONEPEZILNuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
DONEPEZILNuHealthRX - Free MaintenanceMENTAL HEALTH/23 MG TAB
DONEPEZILNuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG ODT TAB
DONEPEZILNuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG ODT TAB
DOXEPINNuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG CAP
DOXEPINNuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG CAP
DOXEPINNuHealthRX - Free MaintenanceMENTAL HEALTH/75 MG CAP
DOXEPINNuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG CAP
DULOXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG DR CAP
DULOXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/30 MG DR CAP
DULOXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/60 MG DR CAP
ESCITALOPRAMNuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
ESCITALOPRAMNuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
ESCITALOPRAMNuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG TAB
ETHOSUXIMIDENuHealthRX - Free MaintenanceMENTAL HEALTH/250 MG CAP
FLUOXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG CAP
FLUOXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG CAP
FLUOXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/40 MG CAP
FLUOXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
FLUOXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG TAB
FLUOXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/60 MG TAB
FLUPHENAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/2.5 MG TAB
FLUPHENAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
FLUVOXAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
FLUVOXAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
FLUVOXAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
GALANTAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/4 MG TAB
GALANTAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/8 MG TAB
GALANTAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/12 MG TAB
HALOPERIDOLNuHealthRX - Free MaintenanceMENTAL HEALTH/0.5 MG TAB
HALOPERIDOLNuHealthRX - Free MaintenanceMENTAL HEALTH/1 MG TAB
HYDROXYZINE PAMOATENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG CAP
HYDROXYZINE PAMOATENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG CAP
IMIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
IMIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
IMIPRAMINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
LAMOTRIGINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
LAMOTRIGINENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
LAMOTRIGINENuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG TAB
LAMOTRIGINENuHealthRX - Free MaintenanceMENTAL HEALTH/200 MG TAB
LAMOTRIGINE ERNuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
LAMOTRIGINE ERNuHealthRX - Free MaintenanceMENTAL HEALTH/50MG TAB
LAMOTRIGINE ERNuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
LAMOTRIGINE ERNuHealthRX - Free MaintenanceMENTAL HEALTH/200 MG TAB
LEVETIRACETAMNuHealthRX - Free MaintenanceMENTAL HEALTH/250 MG TAB
LEVETIRACETAMNuHealthRX - Free MaintenanceMENTAL HEALTH/500 MG TAB
LEVETIRACETAMNuHealthRX - Free MaintenanceMENTAL HEALTH/750 MG TAB
LEVETIRACETAMNuHealthRX - Free MaintenanceMENTAL HEALTH/1000 MG TAB
LEVETIRACETAM XRNuHealthRX - Free MaintenanceMENTAL HEALTH/500 MG TAB
LITHIUMNuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG CAP
LITHIUMNuHealthRX - Free MaintenanceMENTAL HEALTH/300 MG CAP
LITHIUMNuHealthRX - Free MaintenanceMENTAL HEALTH/600 MG CAP
LITHIUMNuHealthRX - Free MaintenanceMENTAL HEALTH/300 MG ER TAB
LITHIUMNuHealthRX - Free MaintenanceMENTAL HEALTH/450 MG ER TAB
LOXAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG CAP
LOXAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG CAP
MEMANTINENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
MEMANTINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
MIRTAZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/15 MG TAB
MIRTAZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/30 MG TAB
MIRTAZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/45 MG TAB
NEFAZODONENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
NEFAZODONENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
NEFAZODONENuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG TAB
NEFAZODONENuHealthRX - Free MaintenanceMENTAL HEALTH/200 MG TAB
NEFAZODONENuHealthRX - Free MaintenanceMENTAL HEALTH/250 MG TAB
NORTRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG CAP
NORTRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG CAP
NORTRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG CAP
NORTRIPTYLINENuHealthRX - Free MaintenanceMENTAL HEALTH/75 MG CAP
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG ODT TAB
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG ODT TAB
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/15 MG ODT TAB
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG ODT TAB
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/2.5 MG TAB
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/7.5 MG TAB
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/15 MG TAB
OLANZAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG TAB
OXCARBAZEPINENuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG TAB
OXCARBAZEPINENuHealthRX - Free MaintenanceMENTAL HEALTH/300 MG TAB
OXCARBAZEPINENuHealthRX - Free MaintenanceMENTAL HEALTH/600 MG TAB
PAROXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
PAROXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG TAB
PAROXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/30 MG TAB
PAROXETINENuHealthRX - Free MaintenanceMENTAL HEALTH/40 MG TAB
PERPHANAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/2 MG TAB
PERPHENAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/4 MG TAB
PERPHENAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/8 MG TAB
PHENYTOIN ERNuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG ER CAP
PRAMIPEXOLENuHealthRX - Free MaintenanceMENTAL HEALTH/0.125 MG TAB
PRAMIPEXOLENuHealthRX - Free MaintenanceMENTAL HEALTH/0.25 MG TAB
PRAMIPEXOLENuHealthRX - Free MaintenanceMENTAL HEALTH/0.5 MG TAB
PRAMIPEXOLENuHealthRX - Free MaintenanceMENTAL HEALTH/1 MG TAB
PRAMIPEXOLENuHealthRX - Free MaintenanceMENTAL HEALTH/1.5 MG TAB
PRIMIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
PRIMIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/250 MG TAB
PROCHLORPERAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
PROCHLORPERAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
PYRIDOSTIGMINENuHealthRX - Free MaintenanceMENTAL HEALTH/60 MG TAB
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/200 MG TAB
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/300 MG TAB
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/400 MG TAB
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG ER TAB (24HR)
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG ER TAB (24HR)
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/200 MG ER TAB (24HR)
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/300 MG ER TAB (24HR)
QUETIAPINENuHealthRX - Free MaintenanceMENTAL HEALTH/400 MG ER TAB (24HR)
RILUZOLENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
RISPERIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/0.25 MG TAB
RISPERIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/0.5 MG TAB
RISPERIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/1 MG TAB
RISPERIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/2 MG TAB
RISPERIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/3 MG TAB
RISPERIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/4 MG TAB
RIVASTIGMINENuHealthRX - Free MaintenanceMENTAL HEALTH/1.5 MG CAP
RIVASTIGMINENuHealthRX - Free MaintenanceMENTAL HEALTH/3 MG CAP
RIVASTIGMINENuHealthRX - Free MaintenanceMENTAL HEALTH/4.5 MG CAP
RIVASTIGMINENuHealthRX - Free MaintenanceMENTAL HEALTH/6 MG CAP
SELEGILINENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
SERTRALINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
SERTRALINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
SERTRALINENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
THIORIDAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/10 MG TAB
THIORIDAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
THIORIDAZINENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
THIOTHIXENENuHealthRX - Free MaintenanceMENTAL HEALTH/1 MG CAP
THIOTHIXENENuHealthRX - Free MaintenanceMENTAL HEALTH/2 MG CAP
THIOTHIXENENuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG CAP
TOPIRAMATENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
TOPIRAMATENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
TOPIRAMATENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
TOPIRAMATENuHealthRX - Free MaintenanceMENTAL HEALTH/200 MG TAB
TRAZODONENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
TRAZODONENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
TRAZODONENuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG TAB
TRIHEXYPHENIDYLNuHealthRX - Free MaintenanceMENTAL HEALTH/2 MG TAB
TRIHEXYPHENIDYLNuHealthRX - Free MaintenanceMENTAL HEALTH/5 MG TAB
VALPROIC ACIDNuHealthRX - Free MaintenanceMENTAL HEALTH/250 MG CAP
VENLAFAXINENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG TAB
VENLAFAXINENuHealthRX - Free MaintenanceMENTAL HEALTH/37.5 MG TAB
VENLAFAXINENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG TAB
VENLAFAXINENuHealthRX - Free MaintenanceMENTAL HEALTH/75 MG TAB
VENLAFAXINENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG TAB
VENLAFAXINE XRNuHealthRX - Free MaintenanceMENTAL HEALTH/37.5 MG ER CAP (24HR)
VENLAFAXINE XRNuHealthRX - Free MaintenanceMENTAL HEALTH/75 MG ER CAP (24HR)
VENLAFAXINE XRNuHealthRX - Free MaintenanceMENTAL HEALTH/150 MG ER CAP (24HR)
ZIPRASIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/20 MG CAP
ZIPRASIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/40 MG CAP
ZIPRASIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/60 MG CAP
ZIPRASIDONENuHealthRX - Free MaintenanceMENTAL HEALTH/80 MG CAP
ZONISAMIDENuHealthRX - Free MaintenanceMENTAL HEALTH/25 MG CAP
ZONISAMIDENuHealthRX - Free MaintenanceMENTAL HEALTH/50 MG CAP
ZONISAMIDENuHealthRX - Free MaintenanceMENTAL HEALTH/100 MG CAP
NARATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/1 MG TAB
NARATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/2.5 MG TAB
RIZATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/5 MG TAB
RIZATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/10 MG TAB
RIZATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/5 MG ODT TAB
RIZATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/10 MG ODT TAB
SUMATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/25 MG TAB
SUMATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/50 MG TAB
SUMATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/100 MG TAB
CAPECITABINENuHealthRX - Free MaintenanceONCOLOGY/150 MG TAB
HYDROXYUREANuHealthRX - Free MaintenanceONCOLOGY/500 MG CAP
PILOCARPINENuHealthRX - Free MaintenanceONCOLOGY/5 MG TAB
ACETAZOLAMIDENuHealthRX - Free MaintenanceOPTHALMIC/125 MG TAB
ACETAZOLAMIDENuHealthRX - Free MaintenanceOPTHALMIC/250 MG TAB
BRIMONIDINE TARTRATENuHealthRX - Free MaintenanceOPTHALMIC/0.2% OPTH SOLN
CIPROFLOXACINNuHealthRX - Free MaintenanceOPTHALMIC/0.3% OPTH SOLN
DICLOFENACNuHealthRX - Free MaintenanceOPTHALMIC/0.1% OPTH SOLN
DORZOLAMIDENuHealthRX - Free MaintenanceOPTHALMIC/2% OPTH SOLN
DORZOLAMIDE/TIMOLOLNuHealthRX - Free MaintenanceOPTHALMIC/2%/0.5% OPTH SOLN
ERYTHROMYCINNuHealthRX - Free MaintenanceOPTHALMIC/0.5% OPTH OINT
GENTAMICINNuHealthRX - Free MaintenanceOPTHALMIC/0.3% OPTH SOLN
LATANOPROSTNuHealthRX - Free MaintenanceOPTHALMIC/0.005% OPTH SOLN
METHAZOLAMIDENuHealthRX - Free MaintenanceOPTHALMIC/25 MG TAB
METHAZOLAMIDENuHealthRX - Free MaintenanceOPTHALMIC/50 MG TAB
MOXIFLOXACINNuHealthRX - Free MaintenanceOPTHALMIC/0.5% OPTH SOLN
NEOMYCIN/POLY/DEXNuHealthRX - Free MaintenanceOPTHALMIC/OPTH SUSP
NEOMYCIN/POLY/DEXNuHealthRX - Free MaintenanceOPTHALMIC/OPTH OINT
OFLOXACINNuHealthRX - Free MaintenanceOPTHALMIC/0.3% OPTH SOLN
OLOPATADINENuHealthRX - Free MaintenanceOPTHALMIC/0.01% OPTH SOLN
SULFACETAMIDE/PREDNISOLONENuHealthRX - Free MaintenanceOPTHALMIC/10%/0.23% OPTH SOLN
TIMOLOLNuHealthRX - Free MaintenanceOPTHALMIC/0.25% OPTH SOLN
TIMOLOLNuHealthRX - Free MaintenanceOPTHALMIC/0.50% OPTH SOLN
TOBRAMYCINNuHealthRX - Free MaintenanceOPTHALMIC/0.3% OPTH SOLN
BACLOFENNuHealthRX - Free MaintenancePAIN MANAGEMENT/10 MG TAB
BACLOFENNuHealthRX - Free MaintenancePAIN MANAGEMENT/20 MG TAB
CELECOXIBNuHealthRX - Free MaintenancePAIN MANAGEMENT/50 MG CAP
CELECOXIBNuHealthRX - Free MaintenancePAIN MANAGEMENT/100 MG CAP
CELECOXIBNuHealthRX - Free MaintenancePAIN MANAGEMENT/200 MG CAP
CELECOXIBNuHealthRX - Free MaintenancePAIN MANAGEMENT/400 MG CAP
CHLORZOXAZONENuHealthRX - Free MaintenancePAIN MANAGEMENT/500 MG TAB
CHOLINE MAG TRISALICYLATENuHealthRX - Free MaintenancePAIN MANAGEMENT/500 MG TAB
CHOLINE MAG TRISALICYLATENuHealthRX - Free MaintenancePAIN MANAGEMENT/750 MG TAB
CHOLINE MAG TRISALICYLATENuHealthRX - Free MaintenancePAIN MANAGEMENT/1000 MG TAB
CYCLOBENZAPRINENuHealthRX - Free MaintenancePAIN MANAGEMENT/5 MG TAB
CYCLOBENZAPRINENuHealthRX - Free MaintenancePAIN MANAGEMENT/10 MG TAB
DANTROLENE SODIUMNuHealthRX - Free MaintenancePAIN MANAGEMENT/25 MG CAP
DICLOFENACNuHealthRX - Free MaintenancePAIN MANAGEMENT/1.0% GEL
DICLOFENACNuHealthRX - Free MaintenancePAIN MANAGEMENT/50 MG DR TAB
DICLOFENACNuHealthRX - Free MaintenancePAIN MANAGEMENT/75 MG DR TAB
ETODOLACNuHealthRX - Free MaintenancePAIN MANAGEMENT/200 MG CAP
ETODOLACNuHealthRX - Free MaintenancePAIN MANAGEMENT/300 MG CAP
ETODOLACNuHealthRX - Free MaintenancePAIN MANAGEMENT/400 MG TAB
ETODOLACNuHealthRX - Free MaintenancePAIN MANAGEMENT/500 MG TAB
FENOPROFENNuHealthRX - Free MaintenancePAIN MANAGEMENT/600 MG TAB
FLURBIPROFENNuHealthRX - Free MaintenancePAIN MANAGEMENT/50 MG TAB
FLURBIPROFENNuHealthRX - Free MaintenancePAIN MANAGEMENT/100 MG TAB
IBUPROFENNuHealthRX - Free MaintenancePAIN MANAGEMENT/400 MG TAB
IBUPROFENNuHealthRX - Free MaintenancePAIN MANAGEMENT/600 MG TAB
IBUPROFENNuHealthRX - Free MaintenancePAIN MANAGEMENT/800 MG TAB
INDOMETHACINNuHealthRX - Free MaintenancePAIN MANAGEMENT/25 MG CAP
INDOMETHACINNuHealthRX - Free MaintenancePAIN MANAGEMENT/50 MG CAP
KETOROLACNuHealthRX - Free MaintenancePAIN MANAGEMENT/10 MG TAB
MELOXICAMNuHealthRX - Free MaintenancePAIN MANAGEMENT/7.5 MG TAB
MELOXICAMNuHealthRX - Free MaintenancePAIN MANAGEMENT/15 MG TAB
METAXALONENuHealthRX - Free MaintenancePAIN MANAGEMENT/800 MG TAB
METHOCARBAMOLNuHealthRX - Free MaintenancePAIN MANAGEMENT/500 MG TAB
METHOCARBAMOLNuHealthRX - Free MaintenancePAIN MANAGEMENT/750 MG TAB
NABUMETONENuHealthRX - Free MaintenancePAIN MANAGEMENT/500 MG TAB
NABUMETONENuHealthRX - Free MaintenancePAIN MANAGEMENT/750 MG TAB
NAPROXENNuHealthRX - Free MaintenancePAIN MANAGEMENT/250 MG TAB
NAPROXENNuHealthRX - Free MaintenancePAIN MANAGEMENT/375 MG TAB
NAPROXENNuHealthRX - Free MaintenancePAIN MANAGEMENT/500 MG TAB
NAPROXENNuHealthRX - Free MaintenancePAIN MANAGEMENT/550 MG TAB
ORPHENADRINE ERNuHealthRX - Free MaintenancePAIN MANAGEMENT/100 MG ER TAB
OXAPROZINNuHealthRX - Free MaintenancePAIN MANAGEMENT/600 MG TAB
PIROXICAMNuHealthRX - Free MaintenancePAIN MANAGEMENT/10 MG CAP
PIROXICAMNuHealthRX - Free MaintenancePAIN MANAGEMENT/20 MG CAP
ROPINIROLENuHealthRX - Free MaintenancePAIN MANAGEMENT/0.25 MG TAB
ROPINIROLENuHealthRX - Free MaintenancePAIN MANAGEMENT/0.5 MG TAB
ROPINIROLENuHealthRX - Free MaintenancePAIN MANAGEMENT/1 MG TAB
ROPINIROLENuHealthRX - Free MaintenancePAIN MANAGEMENT/2 MG TAB
ROPINIROLENuHealthRX - Free MaintenancePAIN MANAGEMENT/3 MG TAB
ROPINIROLENuHealthRX - Free MaintenancePAIN MANAGEMENT/4 MG TAB
ROPINIROLENuHealthRX - Free MaintenancePAIN MANAGEMENT/5 MG TAB
SALSALATENuHealthRX - Free MaintenancePAIN MANAGEMENT/500 MG TAB
SALSALATENuHealthRX - Free MaintenancePAIN MANAGEMENT/750 MG TAB
SULFASALAZINENuHealthRX - Free MaintenancePAIN MANAGEMENT/500 MG TAB
SULINDACNuHealthRX - Free MaintenancePAIN MANAGEMENT/150 MG TAB
SULINDACNuHealthRX - Free MaintenancePAIN MANAGEMENT/200 MG TAB
TIZANIDINENuHealthRX - Free MaintenancePAIN MANAGEMENT/2 MG TAB
TIZANIDINENuHealthRX - Free MaintenancePAIN MANAGEMENT/4 MG TAB
TIZANIDINENuHealthRX - Free MaintenancePAIN MANAGEMENT/2 MG CAP
TIZANIDINENuHealthRX - Free MaintenancePAIN MANAGEMENT/4 MG CAP
TIZANIDINENuHealthRX - Free MaintenancePAIN MANAGEMENT/6 MG CAP
ALBUTEROL HFANuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/90 MCG INHALER
ALBUTEROL INH SOLNNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/2.5 MG/3 ML
AMINOPHYLLINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/100 MG TAB
AMINOPHYLLINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/200 MG TAB
AZELASTINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/137 MCG NASAL SPRAY
BENZONATATENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/100 MG CAP
BENZONATATENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/200 MG CAP
BUDESONIDENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/32 MCG NASAL SPRAY
CARBINOXAMINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/4 MG TAB
CETIRIZINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/5 MG TAB
CETIRIZINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/10 MG TAB
CHLORPHENIRAMINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/4 MG TAB
CLEMASTINE FUMARATENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/2.68 MG TAB
CYPROHEPTADINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/4 MG TAB
DESLORATIDINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/5 MG TAB
DEXAMETHASONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/0.5 MG TAB
DEXAMETHASONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/0.75 MG TAB
DEXAMETHASONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/1 MG TAB
DEXAMETHASONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/4 MG TAB
DEXCHLORPHENIRAMINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/4 MG CAP
DEXCHLORPHENIRAMINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/6 MG CAP
DIMENHYDRINATENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/50 MG TAB
DIPHENHYDRAMINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/25 MG TAB
DIPHENHYDRAMINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/50 MG TAB
FEXOFENADINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/60 MG TAB
FEXOFENADINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/180 MG TAB
FLUTICASONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/50 MCG/ACT NASAL SPRAY
GUAIFEN/DMNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/600-30MG TAB
GUAIFENESIN ER 600MG TABNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/Max Qty: 30 (Mucinex)
IPRATROPIUMNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/0.02% (0.5MG/3ML) NEBULES
IPRATROPIUMNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/0.03% NASAL SPRAY
IPRATROPIUMNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/0.06% NASAL SPRAY
IPRATROPIUM/ALBUTEROL INH SOLN 0.5-3 MG/ 3MLNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/Max. Qty: 3 (Duoneb)
LEVALBUTEROL INH SOLNNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/0.31 MG/3 ML NEBULES
LEVALBUTEROL INH SOLNNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/0.63 MG/3 ML NEBULES
LEVALBUTEROL INH SOLNNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/1.25 MG/3 ML NEBULES
LEVOCETIRIZINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/5 MG TAB
LORATIDINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/10 MG TAB
MECLIZINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/12.5 MG TAB
MECLIZINENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/25 MG TAB
METHYLPREDNISOLONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/4 MG DOSE PACK
MONTELUKASTNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/4 MG CHEWABLE TAB
MONTELUKASTNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/5 MG CHEWABLE TAB
MONTELUKASTNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/10 MG TAB
PREDNISONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/1 MG TAB
PREDNISONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/2.5 MG TAB
PREDNISONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/5 MG TAB
PREDNISONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/10 MG TAB
THEOPHYLLINE ERNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/100 MG ER TAB
THEOPHYLLINE ERNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/200 MG ER TAB
THEOPHYLLINE ERNuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/300 MG ER TAB
TRIAMCINOLONENuHealthRX - Free MaintenanceRESPIRATORY/ALLERGY/55 MCG NASAL SPRAY
ALLOPURINOLNuHealthRX - Free MaintenanceRHEUMATOLOGY/100 MG TAB
ALLOPURINOLNuHealthRX - Free MaintenanceRHEUMATOLOGY/300 MG TAB
AZATHIOPRINENuHealthRX - Free MaintenanceRHEUMATOLOGY/50 MG TAB
CALCITRIOLNuHealthRX - Free MaintenanceRHEUMATOLOGY/0.25 MCG CAP
CALCITRIOLNuHealthRX - Free MaintenanceRHEUMATOLOGY/0.5 MCG CAP
COLCHICINENuHealthRX - Free MaintenanceRHEUMATOLOGY/0.6 MG TAB
FEBUXOSTATNuHealthRX - Free MaintenanceRHEUMATOLOGY/40 MG TAB
FEBUXOSTATNuHealthRX - Free MaintenanceRHEUMATOLOGY/80 MG TAB
HYDROXYCHLOROQUINENuHealthRX - Free MaintenanceRHEUMATOLOGY/200 MG TAB
LEFLUNOMIDENuHealthRX - Free MaintenanceRHEUMATOLOGY/10 MG TAB
LEFLUNOMIDENuHealthRX - Free MaintenanceRHEUMATOLOGY/20 MG TAB
MERCAPTOPURINENuHealthRX - Free MaintenanceRHEUMATOLOGY/50 MG TAB
METHOTREXATENuHealthRX - Free MaintenanceRHEUMATOLOGY/2.5 MG TAB
ASPIRINNuHealthRX - Free MaintenanceVITAMIN/81 MG CHEWABLE TAB
ASPIRINNuHealthRX - Free MaintenanceVITAMIN/81 MG EC TAB
ASPIRINNuHealthRX - Free MaintenanceVITAMIN/325 MG EC TAB
CHOLECALCIFEROLNuHealthRX - Free MaintenanceVITAMIN/(Vit D3) 1000 IU TAB
CYANOCOBALAMINNuHealthRX - Free MaintenanceVITAMIN/1000 MCG/ML SOLN
ERGOCALCIFEROLNuHealthRX - Free MaintenanceVITAMIN/(VIT D2) 1.25 MG CAP
FABBNuHealthRX - Free MaintenanceVITAMIN/25-2.2-1 MG TAB
FEROCONNuHealthRX - Free MaintenanceVITAMIN/110-0.5 MG CAP
FERROUS SULFATENuHealthRX - Free MaintenanceVITAMIN/325 MG TAB
FOLBICNuHealthRX - Free MaintenanceVITAMIN/2-2.5-25 MG TAB
FOLIC ACIDNuHealthRX - Free MaintenanceVITAMIN/1 MG TAB
FOLIVANE-FNuHealthRX - Free MaintenanceVITAMIN/125-1-40-3 MG CAP
FOLIVANE-PLUSNuHealthRX - Free MaintenanceVITAMIN/125MG-1 MG CAP
HEMATINIC FNuHealthRX - Free MaintenanceVITAMIN/106-1 MG TAB
MAGNESIUMNuHealthRX - Free MaintenanceVITAMIN/400 MG TAB
NIVA-FOLNuHealthRX - Free MaintenanceVITAMIN/2.5-25 MG TAB
PRENATAL VITAMIN PLUS IRONNuHealthRX - Free MaintenanceVITAMIN/1/27 MG TAB
ZINC SULFATENuHealthRX - Free MaintenanceVITAMIN/50 MG CAP
ALENDRONATENuHealthRX - Free MaintenanceWOMEN'S HEALTH/10 MG TAB
ALENDRONATENuHealthRX - Free MaintenanceWOMEN'S HEALTH/35 MG TAB
ALENDRONATENuHealthRX - Free MaintenanceWOMEN'S HEALTH/70 MG TAB
DESOGESTREL-ETH ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/0.15 MG/0.03 MG (BCP) TAB
DESOGESTREL-ETH ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/0.15 MG/0.02 MG - 0.15 MG/0.01 MG (BCP) TAB
DROSPIRENONE-ETH ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/3 MG/0.02 MG (BCP) TAB
DROSPIRENONE-ETH ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/3 MG/0.03 MG (BCP) TAB
ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/0.5 MG TAB
ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/1 MG TAB
ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/2 MG TAB
ESTRADIOL VAGINALNuHealthRX - Free MaintenanceWOMEN'S HEALTH/0.01% CREAM
FLUCONAZOLENuHealthRX - Free MaintenanceWOMEN'S HEALTH/50 MG TAB
FLUCONAZOLENuHealthRX - Free MaintenanceWOMEN'S HEALTH/100 MG TAB
FLUCONAZOLENuHealthRX - Free MaintenanceWOMEN'S HEALTH/150 MG TAB
FLUCONAZOLENuHealthRX - Free MaintenanceWOMEN'S HEALTH/200 MG TAB
IBANDRONATENuHealthRX - Free MaintenanceWOMEN'S HEALTH/150 MG TAB
LETROZOLENuHealthRX - Free MaintenanceWOMEN'S HEALTH/2.5 MG TAB
MEDROXYPROGESTERONENuHealthRX - Free MaintenanceWOMEN'S HEALTH/2.5 MG TAB
MEDROXYPROGESTERONENuHealthRX - Free MaintenanceWOMEN'S HEALTH/5 MG TAB
MEDROXYPROGESTERONENuHealthRX - Free MaintenanceWOMEN'S HEALTH/10 MG TAB
MEDROXYPROGESTERONE DEPOTNuHealthRX - Free MaintenanceWOMEN'S HEALTH/150 MG INJ
NORETHINDRONENuHealthRX - Free MaintenanceWOMEN'S HEALTH/5 MG TAB
NORETHINDRONENuHealthRX - Free MaintenanceWOMEN'S HEALTH/0.35 MG (BCP) TAB
NORETHINDRONE-ETH ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/1 MG/20 MCG (BCP) TAB
NORGESTIMATE-ETH ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/0.25 MG/35 MCG (BCP) TAB
NORGESTIMATE-ETH ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/0.18 MG/35 MCG - 0.215 MG/35 MCG - 0.25 MG/35 MCG (BCP) TAB
NORGESTIMATE-ETH ESTRADIOLNuHealthRX - Free MaintenanceWOMEN'S HEALTH/0.18 MG/25 MCG - 0.215 MG/25 MCG - 0.25 MG/25 MCG (BCP) TAB
PROGESTERONENuHealthRX - Free MaintenanceWOMEN'S HEALTH/100 MG CAP
PROGESTERONENuHealthRX - Free MaintenanceWOMEN'S HEALTH/200 MG CAP
RALOXIFENENuHealthRX - Free MaintenanceWOMEN'S HEALTH/60 MG TAB
TAMOXIFENNuHealthRX - Free MaintenanceWOMEN'S HEALTH/10 MG TAB
TAMOXIFENNuHealthRX - Free MaintenanceWOMEN'S HEALTH/20 MG TAB
AMOXICILLINNuHealthRX - Free MaintenanceANTIBIOTIC/250 MG
AMOXICILLINNuHealthRX - Free MaintenanceANTIBIOTIC/500 MG
AMOXICILLINNuHealthRX - Free MaintenanceANTIBIOTIC/875 MG
AMOXICILLINNuHealthRX - Free MaintenanceANTIBIOTIC/250 MG/5ML
AMOXICILLINNuHealthRX - Free MaintenanceANTIBIOTIC/400 MG/5ML
AMOXICILLIN/CLAVULANIC ACIDNuHealthRX - Free MaintenanceANTIBIOTIC/500-125 MG
AMOXICILLIN/CLAVULANIC ACIDNuHealthRX - Free MaintenanceANTIBIOTIC/875-125 MG
AMOXICILLIN/CLAVULANIC ACIDNuHealthRX - Free MaintenanceANTIBIOTIC/400-57 MG/5ML
AMOXICILLIN/CLAVULANIC ACIDNuHealthRX - Free MaintenanceANTIBIOTIC/600-42.9 MG/5ML
AZITHROMYCINNuHealthRX - Free MaintenanceANTIBIOTIC/250 MG
AZITHROMYCINNuHealthRX - Free MaintenanceANTIBIOTIC/500 MG
AZITHROMYCINNuHealthRX - Free MaintenanceANTIBIOTIC/100 MG/5ML
AZITHROMYCINNuHealthRX - Free MaintenanceANTIBIOTIC/200 MG/5ML
CEFDINIRNuHealthRX - Free MaintenanceANTIBIOTIC/300 MG
CEPHALEXINNuHealthRX - Free MaintenanceANTIBIOTIC/250 MG
CEPHALEXINNuHealthRX - Free MaintenanceANTIBIOTIC/500 MG
CEPHALEXINNuHealthRX - Free MaintenanceANTIBIOTIC/250 MG/5ML
CIPROFLOXACINNuHealthRX - Free MaintenanceANTIBIOTIC/250 MG
CIPROFLOXACINNuHealthRX - Free MaintenanceANTIBIOTIC/500 MG
CLINDAMYCINNuHealthRX - Free MaintenanceANTIBIOTIC/150 MG
CLINDAMYCINNuHealthRX - Free MaintenanceANTIBIOTIC/300 MG
DOXYCYCLINE HYCLATENuHealthRX - Free MaintenanceANTIBIOTIC/100 MG
LEVOFLOXACINNuHealthRX - Free MaintenanceANTIBIOTIC/250 MG
LEVOFLOXACINNuHealthRX - Free MaintenanceANTIBIOTIC/500 MG
METRONIDAZOLENuHealthRX - Free MaintenanceANTIBIOTIC/500 MG
NITROFURANTOINNuHealthRX - Free MaintenanceANTIBIOTIC/100 MG
PENICILLIN VKNuHealthRX - Free MaintenanceANTIBIOTIC/500MG
PENICILLIN VKNuHealthRX - Free MaintenanceANTIBIOTIC/250 MG/5ML
SMZ/TMP DSNuHealthRX - Free MaintenanceANTIBIOTIC/800-160 MG
SMZ/TMPNuHealthRX - Free MaintenanceANTIBIOTIC/200-40 MG/5ML
ERYTHROMYCINNuHealthRX - Free MaintenanceANTIBIOTIC TOPICAL/0.005
MUPIROCINNuHealthRX - Free MaintenanceANTIBIOTIC TOPICAL/0.02
NEO/POLY/HCNuHealthRX - Free MaintenanceANTIBIOTIC TOPICAL/
POLYMYXIN B/TRIMETHNuHealthRX - Free MaintenanceANTIBIOTIC TOPICAL/
SILVER SULFADIAZINENuHealthRX - Free MaintenanceANTIBIOTIC TOPICAL/0.01
TOBRAMYCINNuHealthRX - Free MaintenanceANTIBIOTIC TOPICAL/0.003
FLUCONAZOLENuHealthRX - Free MaintenanceANTIFUNGAL/150 MG
NYSTATINNuHealthRX - Free MaintenanceANTIFUNGAL/
NYSTATINNuHealthRX - Free MaintenanceANTIFUNGAL/
HYDROXYZINENuHealthRX - Free MaintenanceANTIHISTAMINE/25 MG
NITROGLYCERINNuHealthRX - Free MaintenanceCARCIOVASCULAR/0.4 MG
METHYLPREDNISOLONENuHealthRX - Free MaintenanceCORTICOSTEROID/4 MG
PREDNISONENuHealthRX - Free MaintenanceCORTICOSTEROID/10 MG
PREDNISONENuHealthRX - Free MaintenanceCORTICOSTEROID/20 MG
PREDNISOLONENuHealthRX - Free MaintenanceCORTICOSTEROID/15 MG/5ML
HYDROCORTISONENuHealthRX - Free MaintenanceCORTICOSTEROID TOPICAL/0.025
PREDNISOLONENuHealthRX - Free MaintenanceCORTICOSTEROID TOPICAL/0.01
TRIAMCINOLONENuHealthRX - Free MaintenanceCORTICOSTEROID TOPICAL/0.001
TRIAMCINOLONENuHealthRX - Free MaintenanceCORTICOSTEROID TOPICAL/0.001
BENZONATATENuHealthRX - Free MaintenanceCOUGH SUPPRESSANT/100 MG
BENZONATATENuHealthRX - Free MaintenanceCOUGH SUPPRESSANT/200 MG
DICYCLOMINENuHealthRX - Free MaintenanceGASTROINTESTINAL/20 MG
DIPHENOX-ATROPINENuHealthRX - Free MaintenanceGASTROINTESTINAL/2.5-0.025 MG
PANTOPROZOLENuHealthRX - Free MaintenanceGASTROINTESTINAL/40 MG
PROMETHAZINENuHealthRX - Free MaintenanceGASTROINTESTINAL/25 MG
ALLOPURINOLNuHealthRX - Free MaintenanceGOUT/100 MG
ALLOPURINOLNuHealthRX - Free MaintenanceGOUT/300 MG
SUMATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/50 MG
SUMATRIPTANNuHealthRX - Free MaintenanceMIGRAINE/100 MG
CYCLOBENZAPRINENuHealthRX - Free MaintenanceMUSCLE RELAXANT/10 MG
IBUPROFENNuHealthRX - Free MaintenancePAIN MANAGEMENT/800 MG
NAPROXENNuHealthRX - Free MaintenancePAIN MANAGEMENT/500 MG
TRAMADOLNuHealthRX - Free MaintenancePAIN MANAGEMENT/50 MG
×

Discount Medication Search

Product IDUS Trade NameGeneric NameDosage/StrengthPriceRefrigerated
6053AbilifyAripiprazoleTablet 30 mg 30 tab$215No
17700AubagioTeriflunomideTablet 14 mg 28 tab$1440No
6502CopaxoneGlatiramer AcetatePre-Filled Syringe 40 mg/ml 12 PFS$2040Yes
25124DupixentDupilumabAutoinjector 200/1.14 mg/ml 2.28 ml$2820Yes
5558EliquisApixabanTablet 5 mg 60 tab$161No
8085EnbrelEtanerceptVial 25 mg 4 Vial$960Yes
17971EntyvioVedolizumabPre-Filled Syringe 108/0.68 mg/ml 1.36 ml$3000Yes
11649HumiraAdalimumabPre-Filled Syringe 20/0.4 mg/ml 2 PFS$1200No
6896JanuviaSitagliptinTablet 100 mg 30 tab$156Yes
5851LamictalLamotrigineTablet 25 mg 100 tab$90No
60721LatudaLurasidoneTablet 120 mg 30 tab$150No
46027OtezlaApremilastTablet 30 mg 56 Tabs$1560No
19067SkyriziRisankizumabPre-Filled Syringe 150/1 mg/ml 1 ml$7620No
18632StelaraUstekinumabVial 45/0.5 mg/ml 0.5 ml$7080Yes
16831SymbicortBudesonide/FormoterolInhaler 200/6 (160/4.5) mcg 30.6 g$168Yes
5997TecfideraDimethyl FumarateCapsule 120 mg 14 cap$396No
84224XareltoRivaroxabanTablet 20 mg 30 tab$180No
72111TrulicityDulaglutideAutoinjector 0.75 mg/0.5ml 2 ml$423No
84223RybelsusSemaglutideTablet 14 mg 30 tab$389No
88184Wegovy FlexTouchSemaglutideMulti Dose Autoinjector 9.6/3 mg/ml 3 ml$450Yes
6678OzempicSemaglutideAutoinjector 4/3 mg/ml 3 ml$447Yes
57687MounjaroTirzepatideVial 15/0.5 mg/ml 2 ml$578Yes
5592PradaxaDabigatranCapsule 150 mg 60 cap$153No
9382BiltricidePraziquantelTablet 600 mg 16 tab$154No
6047AbilifyAripiprazoleTablet 2 mg 30 tab$156No
6117Advair DiskusFluticasone/SalmeterolInhaler 250/50 mcg 60 Blisters$156No
9309Advair HFAFluticasone/SalmeterolInhaler 250/25 (230/21) mcg 12 g$156No
6124Advair HFAFluticasone/SalmeterolInhaler 125/25 (115/21) mcg 12 g$156No
8135AmergeNaratriptanTablet 1 mg 8 tab$156No
7098Anoro ElliptaUmeclidinium/VilanterolInhaler 62.5/25 mcg 60 blisters$156No
17688Arnuity ElliptaFluticasone FuroateInhaler 200 mcg 60 blisters$156No
11074Atacand PlusCandesartan/HydrochlorothiazideTablet 16/12.5 mg 90 tab$156No
8349BumexBumetanideTablet 1 mg 90 tab$156No
6999Cantharone PlusCantharidinLiquid 1 % 7.5 ml$156No
11242CetrotideCetrorelixPowder For Solution 0.25 mg 1 Vial$156No
6167ClimaraEstradiolPatch 25 mcg 12 Patch$156No
6170ClimaraEstradiolPatch 50 mcg 12 Patch$156No
6176ClimaraEstradiolPatch 75 mcg 12 Patch$156No
6995CreonPancreatic EnzymeCapsule 25000 iu 100 cap$156No
9534Crestor RosuvastatinTablet 10 mg 90 tab$156No
9437Depen PenicillamineTablet 125 mg 100 tab$156No
27601Desiccated ThyroidDesiccated ThyroidCapsule 5 mg 90 cap$156No
7059DifferinAdapaleneCream 0.1 % 60 g$156No
8304DuaveeConjugated Estrogens/BazedoxifeneTablet 0.45/20 mg 28 tab$156No
6505EntrestoSacubitril/ValsartanTablet 24.3/25.7 mg 30 tab$156No
11495EpiduoAdapalene/Benzoyl PeroxideGel 0.1/2.5 % 70 g$156No
6985EpipenEpinephrineAutoinjector 0.3 mg 0.5 Kit$156No
6987Epipen JrEpinephrineInjection 0.15 mg 0.5 Kit$156No
53842EstringEstradiol hemihydrateVaginal Ring 2 mg 1 Ring$156No
6181EstringEstradiolVaginal Ring 2 mg 1 Ring$156No
6474FyremadelGanirelixPre-Filled Syringe 0.25/0.5 mg/ml 1 PFS$156No
8180InvokametCanagliflozin/MetforminTablet 50/1000 mg 60 tab$156No
8182InvokametCanagliflozin/MetforminTablet 50/500 mg 60 tab$156No
8184InvokametCanagliflozin/MetforminTablet 150//1000 mg 60 tab$156No
8186InvokametCanagliflozin/MetforminTablet 150/500 mg 60 tab$156No
6324Janumet XRSitagliptin/MetforminTablet 500/50 mg 60 tab$156No
84212JanuviaSitagliptin PhosphateTablet 25 mg 28 tab$156No
84213JanuviaSitagliptin PhosphateTablet 50 mg 28 tab$156No
84214JanuviaSitagliptin PhosphateTablet 100 mg 28 tab$156No
6894JanuviaSitagliptinTablet 25 mg 30 tab$156No
6895JanuviaSitagliptinTablet 50 mg 30 tab$156No
84218JardianceEmpagliflozinTablet 10 mg 28 tab$156No
84219JardianceEmpagliflozinTablet 25 mg 28 tab$156No
6153JubliaEfinaconazoleTopical Solution 10 % 8 ml$156No
7306LovenoxEnoxaparinPre-Filled Syringe 40/0.4 mg/ml 4 ml$156No
6566MotegrityPrucaloprideTablet 2 mg 28 tab$156No
5867NeurontinGabapentinCapsule 300 mg 100 cap$156No
6887SalofalkMesalamineEnema 4 g 7 Enema$156No
7151SaphrisAsenapineTablet 5 mg 60 tab$156No
7152SaphrisAsenapineTablet 10 mg 60 tab$156No
6019SinequanDoxepinCapsule 75 mg 100 cap$156No
8176TopamaxTopiramateSprinkle Cap 15 mg 60 cap$156No
6875TrintellixVortioxetineTablet 10 mg 28 tab$156No
28198XelodaCapecitabine Tablet 500 mg 120 tab$156No
9477XelodaCapecitabine Tablet 500 mg 120 tab$156No
6814XelodaCapecitabineTablet 150 mg 60 cap$156No
6289ZoloftSertralineCapsule 25 mg 50 cap$156No
6241Zyprexa ZydisOlanzapineTablet 5 mg 28 tab$156No
6059AbilifyAripiprazole Tablet 20 mg 100 tab$162No
6060AbilifyAripiprazole Tablet 30 mg 100 tab$162No
101304AdmelogInsulin LisproVial 100 iu/ml 10 ml$162Yes
7761BumexBumetanideTablet 5 mg 30 tab$162No
6709DDAVPDesmopressinTablet 60 mcg 90 tab$162No
101958Gamunex-CImmune Globulin (Human)Vial 1/10 g/ml 10 ml$162Yes
6006ImuranAzathioprineTablet 50 mg 100 tab$162No
11700InnohepTinzaparin SodiumPre-Filled Syringe 4500 iu/0.45ml 4.5 ml$162No
6321JanumetSitagliptin/MetforminTablet 500/50 mg 60 tab$162No
6322JanumetSitagliptin/MetforminTablet 50/850 mg 60 tab$162No
6323JanumetSitagliptin/MetforminTablet 50/1000 mg 60 tab$162No
10570LiothyronineLiothyronineCapsule 5 mcg 100 cap$162No
5893ProcardiaNifedipine ECTablet 30 mg 98 tab$162No
6665ProveraMedroxyprogesteroneTablet 10 mg 100 tab$162No
8606RevatioSildenafilVial 0.8 mg/ml 12.5 ml$162No
6275Seroquel XRQuetiapine XRTablet 200 mg 60 tab$162No
8804SinemetLevodopa/CarbidopaTablet 100/25 mg 100 tab$162No
6920StratteraAtomoxetineCapsule 25 mg 28 cap$162No
12515Tiazac XCDiltiazemTablet 180 mg 90 tab$162No
8178TopamaxTopiramateSprinkle Cap 25 mg 60 cap$162No
6202ZybanBupropionTablet 150 mg 100 tab$162No
6057AbilifyAripiprazoleTablet 10 mg 100 tab$168No
5950AltaceRamiprilCapsule 10 mg 100 cap$168No
11070ArixtraFondaparinuxPre-Filled Syringe 2.5/0.5 mg/ml 5 ml$168No
10953Astagraf XLTacrolimusCapsule 0.5 mg 50 cap$168No
5907AvaproIrbesartanTablet 75 mg 90 tab$168No
8152BasaglarInsulin GlargineCartridge 100 iu/ml 15 ml$168Yes
6463Basaglar KwikpenInsulin GlargineAutoinjector 100 iu/ml 15 ml$168Yes
5583BrilintaTicagrelorTablet 60 mg 60 tab$168No
5585BrilintaTicagrelorTablet 90 mg 60 tab$168No
11241CerebyxFosphenytoin SodiumVial 75 mg/ml 10 ml$168No
12592ChantixVareniclineTablet 0.5 mg 56 tab$168No
8301CialisTadalafilTablet 10 mg 8 tab$168No
11274ClarusIsotretinoinCapsule 10 mg 90 cap$168No
8735CombiPatchEstradiol/NorethindronePatch 140/50 ug 24 Patch$168No
8739CombiPatchEstradiol/NorethindronePatch 250/50 ug 24 Patch$168No
81504ConstellaLinaclotideCapsule 290 mcg 30 cap$168No
13558CreonPancreatic EnzymeCapsule 35000 iu 100 cap$168No
9535Crestor RosuvastatinTablet 20 mg 90 tab$168No
6031CymbaltaDuloxetineTablet 60 mg 28 tab$168No
6722DDAVPDesmopressinTablet 240 mcg 30 tab$168No
9438Depen PenicillamineTablet 250 mg 100 tab$168No
27602Desiccated ThyroidDesiccated ThyroidCapsule 10 mg 90 cap$168No
10845Dimercaptosuccinic AcidDimercaptosuccinic AcidCapsule 250 mg 60 cap$168No
11176DostinexCabergoline Tablet 0.5 mg 100 tab$168No
97298DostinexCabergolineTablet 0.5 mg 8 tab$168No
8232DuleraMometasone/FormoterolInhaler 200/5 mcg 13 g$168No
7161DymistaAzelastine HCl/Fluticasone PropionateNasal Spray 137/50 mcg 23 g$168No
7323EdecrinEthacrynic AcidTablet 25 mg 100 tab$168No
7003ErycErythromycinCapsule 333 mg 100 cap$168No
23742FamotidineFamotidineCapsule 20 mg 270 cap$168No
100406FirvanqVancomycin HClOral Solution 25 mg/ml 150 ml$168Yes
100454GemcitabineGemcitabine HClVial 2/20 g/ml 20 ml$168No
11903GlumetzaMetformin ERTablet 1000 mg 100 tab$168No
6506Hypurin NInsulin NPHVial 100 iu/ml 10 ml$168Yes
6529Hypurin RInsulin RegularVial 100 iu/ml 10 ml$168Yes
8129ImitrexSumatriptanPre-Filled Syringe 6/0.5 mg/ml 1 ml$168No
5941Inderal LAPropranololCapsule 120 mg 100 cap$168No
23739Levothyroxine/Liothyronine DRLevothyroxine/Liothyronine DRCapsule 50/20 mcg 90 cap$168No
6623LinzessLinaclotideCapsule 145 mcg 30 cap$168No
7185Naprosyn ENaproxenTablet 500 mg 100 tab$168No
12038NaropinRopivacaineVial 10 mg/ml 100 ml$168No
100855PemetrexedPemetrexedVial 500 mg 1 Vial$168Yes
6468PravacholPravastatinTablet 20 mg 90 tab$168No
6388RestasisCyclosporineDropperette 0.05 % 30 Dropperette$168No
6588RexultiBrexpiprazoleTablet 0.25 mg 30 tab$168No
6590RexultiBrexpiprazoleTablet 0.5 mg 30 tab$168No
6591RexultiBrexpiprazoleTablet 1 mg 30 tab$168No
6592RexultiBrexpiprazoleTablet 2 mg 30 tab$168No
6593RexultiBrexpiprazoleTablet 3 mg 30 tab$168No
6594RexultiBrexpiprazoleTablet 4 mg 30 tab$168No
12332Risperdal ConstaRisperidoneVial Kit 12.5 mg 1 Kit$168No
6276Seroquel XRQuetiapine XRTablet 300 mg 60 tab$168No
103134SinemetCarbidopa/LevodopaTablet 100/25 mg/mg 100 tab$168No
8841SporanoxItraconazoleCapsule 100 mg 30 cap$168No
16830SymbicortBudesonide/FormoterolInhaler 100/6 (80/4.5) mcg 30.6 g$168No
6330Synjardy IREmpagliflozin/MetforminTablet 12.5/1000 mg 60 tab$168No
6331Synjardy IREmpagliflozin/MetforminTablet 12.5/850 mg 60 tab$168No
6332Synjardy IREmpagliflozin/MetforminTablet 12.5/500 mg 60 tab$168No
6333Synjardy IREmpagliflozin/MetforminTablet 5/1000 mg 60 tab$168No
6334Synjardy IREmpagliflozin/MetforminTablet 5/850 mg 60 tab$168No
6335Synjardy IREmpagliflozin/MetforminTablet 5/500 mg 60 tab$168No
103272SynthroidLevothyroxine SodiumTablet 100 mcg 90 tab$168No
103273SynthroidLevothyroxine SodiumTablet 112 mcg 90 tab$168No
103274SynthroidLevothyroxine SodiumTablet 125 mcg 90 tab$168No
103275SynthroidLevothyroxine SodiumTablet 137 mcg 90 tab$168No
103276SynthroidLevothyroxine SodiumTablet 150 mcg 90 tab$168No
103277SynthroidLevothyroxine SodiumTablet 175 mcg 90 tab$168No
103278SynthroidLevothyroxine SodiumTablet 200 mcg 90 tab$168No
103279SynthroidLevothyroxine SodiumTablet 25 mcg 90 tab$168No
103280SynthroidLevothyroxine SodiumTablet 75 mcg 90 tab$168No
103281SynthroidLevothyroxine SodiumTablet 88 mcg 90 tab$168No
8708TaclonexCalcipotriol/BetamethasoneGel 0.005-0.064 % 80 g$168No
12519TibellaTiboloneTablet 2.5 mg 28 tab$168No
101160ValacyclovirValacyclovir HClTablet 500 mg 30 Tab$168No
12614VerkaziaCyclosporineOphthalmic Emulsion 1 mg/ml 9 ml$168No
6827ViibrydVilazodoneTablet 10 mg 30 tab$168No
6829ViibrydVilazodoneTablet 20 mg 30 tab$168No
13044ZestoreticLisinopril/HydrochlorothiazideTablet 10/12.5 mg 100 tab$168No
6096ZithromaxAzithromycin Tablet 250 mg 100 tab$168No
8645ZocorSimvastatinTablet 40 mg 28 tab$168No
5792ZomigZolmitriptanNasal Spray 5 mg 6 dose$168No
7028AvalideIrbesartan/HydrochlorothiazideTablet 150/12.5 mg 90 tab$174No
7029AvalideIrbesartan/HydrochlorothiazideTablet 300/12.5 mg 90 tab$174No
8741CialisTadalafilTablet 2.5 mg 28 tab$174No
7218CyclomenDanazolCapsule 50 mg 100 cap$174No
11478Emend IVAprepitantVial 150 mg 1 Vial$174No
7647FragminDalteparinPre-Filled Syringe 7500 iu 1.5 ml$174No
8702Pulmicort FlexhalerBudesonideInhaler 100 mcg 3 Inhaler$174No
8705Pulmicort FlexhalerBudesonideInhaler 400 mcg 1 Inhaler$174No
8806SinemetLevodopa/CarbidopaTablet 250/25 mg 100 tab$174No
7057SoriataneAcitretinCapsule 25 mg 30 cap$174No
5818TiazacDiltiazemCapsule 120 mg 100 cap$174No
6263SeroquelQuetiapine Tablet 200 mg 100 tab$174No
6058AbilifyAripiprazole Tablet 15 mg 100 tab$180No
6048AbilifyAripiprazoleTablet 5 mg 30 tab$180No
9336Amaryl GlimepirideTablet 4 mg 90 tab$180No
101455Astagraf XLTacrolimusCapsule 1 mg 30 cap$180No
5645AtacandCandesartanTablet 8 mg 90 tab$180No
5646AtacandCandesartanTablet 16 mg 90 tab$180No
5908AvaproIrbesartanTablet 150 mg 90 tab$180No
6817BenicarOlmesartanTablet 20 mg 90 tab$180No
6819BenicarOlmesartanTablet 40 mg 90 tab$180No
6821Benicar HCTOlmesartan/HydrochlorothiazideTablet 20/12.5 mg 90 tab$180No
6823Benicar HCTOlmesartan HydrochlorothiazideTablet 40/12.5 mg 90 tab$180No
6826Benicar HCTOlmesartan HydrochlorothiazideTablet 40/25 mg 90 tab$180No
101580Cathflo ActivaseAlteplasePowder Vial 2 mg 1 Vial$180Yes
6845ChantixVareniclineTablet 1 mg 56 tab$180No
11243ChantixVareniclineTablet 0.5 mg 56 tab$180No
7153CialisTadalafilTablet 20 mg 8 tab$180No
8745CialisTadalafilTablet 10 mg 30 tab$180No
8748CialisTadalafilTablet 20 mg 30 tab$180No
8300CialisTadalafilTablet 5 mg 28 tab$180No
101646CreonPancrelipaseCapsule 6,000 USP 100 cap$180No
100223CreonPancrelipaseCapsule 3000-9500 IU 70 Cap$180No
9536Crestor RosuvastatinTablet 40 mg 90 tab$180No
9563CymbaltaDuloxetineTablet 60 mg 84 Tabs$180No
33411Desiccated ThyroidDesiccated ThyroidCapsule 15 mg 90 cap$180No
6831DovonexCalcipotriolOintment 0.005 % 120 g$180No
8104EntuzityInsulin RegularAutoinjector 500 iu/ml 6 ml$180Yes
6765FetzimaLevomilnacipranCapsule 20 mg 30 cap$180No
6297FosamaxAlendronateTablet 70 mg 12 tab$180No
7643FragminDalteparinPre-Filled Syringe 10000 iu 2 ml$180No
100442Gamunex-CImmune Globulin (Human)Vial 1/10 g/ml 10 ml$180Yes
17053GleevecImatinib Tablet 400 mg 30 tab$180No
6320GlumetzaMetforminTablet 1000 mg 90 tab$180No
25039HizentraImmune GlobulinPre-Filled Syringe 0.2 mg/ml 1 PFS$180Yes
102062HumalogInsulin LisproVial 100 iu/ml 10 ml$180Yes
102079Humulin NInsulin NPHVial 100 iu/ml 10 ml$180Yes
102082Humulin RInsulin NPHVial 100 iu/ml 10 ml$180Yes
5729Imitrex DFSumatriptanTablet 50 mg 6 tab$180No
5731Imitrex DFSumatriptanTablet 100 mg 6 tab$180No
32819IntrarosaPrasteroneVaginal Insert 6.5 mg 28 Inserts$180No
6325Janumet XRSitagliptin/MetforminTablet 50/1000 mg 60 tab$180No
6326Janumet XRSitagliptin/MetforminTablet 100/1000 mg 30 tab$180No
102334LatisseBimatoprostOphthalmic Solution 0.03 % 3 ml$180No
11808LonitenMinoxidilTablet 10 mg 100 tab$180No
102395LovenoxEnoxaparin SodiumPre-Filled Syringe 60/0.6 mg/ml 6 ml$180No
102459MalaroneAtovaquone/Proguanil HclTablet 250/100 mg/mg 24 tab$180No
5973MavikTrandolaprilCapsule 4 mg 100 cap$180No
67634MieboPerfluorohexyloctaneEye Drops 100 % 9 ml$180No
5808MirapexPramipexoleTablet 0.25 mg 100 tab$180No
102662OctagamImmun Globg(Igg)/Malt/Iga Ov46Vial 1/20 g/ml 20 ml$180No
12222PlendilFelodipineTablet 10 mg 90 tab$180No
8331PrepidilDinoprostoneVaginal Gel Injection 0.5 mg 3 g$180No
7975ProcritEpoetin AlfaPre-Filled Syringe 1000 iu w/ Protec 3 ml$180Yes
48394Progesterone SRProgesterone SRCapsule 125 mg 90 cap$180No
102882ProscarFinasterideTablet 5 mg 30 tab$180No
8626Qvar InhalerBeclomethasone DipropionateInhaler 50 (40) mcg 31.8 g$180No
6880Salofalk ECMesalamineTablet 500 mg 150 tab$180No
103085SandostatinOctreotide AcetateAmpule 50 mcg/ml 10 ml$180Yes
18645SandostatinOctreotideVial 200 mcg/ml 5 ml$180Yes
90455SemaglutideSemaglutideVial 1 mg/ml 5 ml$180Yes
103135SinemetCarbidopa/LevodopaTablet 250/25 mg/mg 100 tab$180No
12437Steglujan Ertugliflozin/SitagliptinTablet 15/100 mg 28 tab$180No
12447Steglujan Ertugliflozin/SitagliptinTablet 5/100 mg 28 tab$180No
8843StromectolIvermectinTablet 3 mg 12 tab$180No
12452SuprefactBuserelinNasal Solution Injection 1 mg/ml 10 ml$180No
12485TabloidThioguanineTablet 40 mg 25 tab$180No
5905TegretolCarbamazepineTablet 400 mg 100 tab$180No
103328TegretolCarbamazepineOral Suspension 100/5 mg/mg 450 ml$180No
101098TemozolomideTemozolomideCapsule 5 mg 14 Cap$180No
12536Topamax TopiramateTablet 50 mg 180 tab$180No
6876TrintellixVortioxetineTablet 20 mg 28 tab$180No
6511ValtrexValacyclovirTablet 500 mg 30 tab$180No
105273Vivelle-DotEstradiolPatch 0.05/24 mg/hr 24 Patch$180No
8316XatralAlfuzosinTablet 10 mg 100 tab$180No
103722YuvafemEstradiolVaginal Insert 10 mcg 8 Insert$180No
13045ZestoreticLisinopril/HydrochlorothiazideTablet 20/12.5 mg 100 tab$180No
103775ZocorSimvastatinTablet 10 mg 30 tab$180No
5920AceonPerindoprilTablet 8 mg 90 tab$186No
7555Mestinon SRPyridostigmineTablet 180 mg 90 tab$186No
6270Seroquel XRQuetiapineTablet 150 mg 60 tab$186No
6923StratteraAtomoxetineCapsule 40 mg 28 cap$186No
8753ViagraSildenafilTablet 50 mg 12 tab$186No
7632FragminDalteparinPre-Filled Syringe 5000 iu 2 ml$190No
6073AciphexRabeprazoleTablet 10 mg 100 tab$192No
7683AdlyxinLixisenatideAutoinjector 100 mcg/ml 6 ml$192No
8760AdlyxinLixisenatideAutoinjector Starter Kit 0.05 mg/ml 1 Kit$192No
5951AltaceRamiprilCapsule 15 mg 100 cap$192No
5832AmergeNaratriptanTablet 2.5 mg 6 tab$192No
10954Astagraf XLTacrolimusCapsule 1 mg 50 cap$192No
5909AvaproIrbesartanTablet 300 mg 90 tab$192No
7496AxidNizatidineCapsule 150 mg 100 cap$192No
6842ChantixVareniclineStarter Pack 0.5/1 mg 53 tab$192No
11784CytomelLiothyronine Tablet 5 mcg 100 tab$192No
6001Depakote DRDivalproexTablet 500 mg 100 tab$192No
6769FetzimaLevomilnacipranCapsule 40 mg 30 cap$192No
6162FlagylMetronidazoleCapsule 500 mg 100 cap$192No
7425FosrenolLanthanumChewable Tablet 250 mg 90 tab$192No
7271GeodonZiprasidoneCapsule 20 mg 60 cap$192No
7728Glucagen HypokitGlucagonInjection Kit 1 mg 1 Vial$192No
6515Humalog KwikpenInsulin LisproAutoinjector 200 iu/ml 15 ml$192Yes
7997IntegrilinEptifibatideSolution 0.75 mg/ml 100 ml$192No
8150LantusInsulin GlargineCartridge 100 iu/ml 15 ml$192Yes
6508Lantus SolostarInsulin GlargineAutoinjector 100 iu/ml 15 ml$192Yes
6621LinzessLinaclotideCapsule 72 mcg 30 cap$192No
106740MotegrityPrucaloprideTablet 2 mg 28 tab$192No
6934NeuproRotigotinePatch 1 mg 30 Patch$192No
6935NeuproRotigotinePatch 2 mg 30 Patch$192No
100828OxaliplatinOxaliplatinVial 50/10 mg/ml 10 ml$192No
12321Rimso-50Dimethyl SulfoxideSolution 500 mg/g 50 ml$192No
12983SomavertPegvisomantInjection Kit 10 mg 1 Vial$192No
6857TryptanTryptophanTablet 750 mg 100 tab$192No
6201Wellbutrin XLBupropionTablet 300 mg 90 tab$192No
7661ZemuronRocuronium BromideInjection 10 mg/ml 50 ml$192No
13046ZestoreticLisinopril/HydrochlorothiazideTablet 20/25 mg 100 tab$192No
8266ZofranOndansetronSolution 4/5 mg/ml 50 ml$192No
10811Cromolyn SodiumCromolyn SodiumCapsule 100 mg 90 cap$194No
7391ApresolineHydralazineInjection 20 mg/ml 10 ml$198No
6193AriceptDonepezilTablet 5 mg 30 tab$198No
6194AriceptDonepezilTablet 10 mg 30 tab$198No
6481CelexaCitalopramTablet 20 mg 100 tab$198No
6700DDAVPDesmopressinTablet 0.1 mg 90 tab$198No
101912Flovent HFAFluticasone PropionateHFA 44 mcg 10.6 g$198No
7352FrovaFrovatriptanTablet 2.5 mg 7 tab$198No
8845LamisilTerbinafineTablet 250 mg 28 tab$198No
6470PravacholPravastatinTablet 40 mg 90 tab$198No
8794PrilosecOmeprazoleTablet 20 mg 90 tab$198No
6050ProtonixPantoprazole Sodium Tablet 20 mg 100 tab$198No
6055ProtonixPantoprazole Sodium Tablet 40 mg 100 tab$198No
7671RofactRifampinCapsule 300 mg 100 cap$198No
6929StratteraAtomoxetineCapsule 60 mg 28 cap$198No
8802SustivaEfavirenzCapsule 50 mg 90 cap$198No
8763ActonelRisedronateTablet 35 mg 12 tab$204No
9299Actoplus MetPioglitazone/MetforminTablet 15/850 mg 112 tab$204No
6118Advair DiskusFluticasone/SalmeterolInhaler 500/50 mcg 60 Blisters$204No
5647AtacandCandesartanTablet 32 mg 90 tab$204No
11075Atacand PlusCandesartan/HydrochlorothiazideTablet 32/12.5 mg 90 tab$204No
6844Chantix Continuing PackVareniclineTablet 1 mg 56 tab$204No
101610ClimaraEstradiolTransdermal Patch 25 mg 4 Patch$204No
101611ClimaraEstradiolTransdermal Patch 50 mg 4 Patch$204No
101612ClimaraEstradiolTransdermal Patch 75 mg 4 Patch$204No
101618CombiPatch/EstalisEstradiol/NorethindroneTransdermal Patch 140/50 mcg/mcg 8 Patch$204Yes
101619CombiPatch/EstalisEstradiol/NorethindroneTransdermal Patch 250/50 mcg/mcg 8 Patch$204Yes
6685CytomelLiothyronineTablet 5 mcg 100 tab$204No
11783CytomelLiothyronine Tablet 25 mcg 100 tab$204No
7058Differin XPAdapaleneGel 0.3 % 60 g$204No
7162EdarbiAzilsartanTablet 40 mg 84 tab$204No
7163EdarbiAzilsartanTablet 80 mg 84 tab$204No
7164EdarbyclorAzilsartan/Medoxomil/ChlorthalidoneTablet 40/12.5 mg 84 tab$204No
7165EdarbyclorAzilsartan/Medoxomil/ChlorthalidoneTablet 40/25 mg 84 tab$204No
6772FetzimaLevomilnacipranCapsule 80 mg 30 cap$204No
5942Inderal LAPropranololCapsule 160 mg 100 cap$204No
8781InvegaPaliperidoneTablet 3 mg 30 tab$204No
5650LanoxinDigoxinTablet 0.125 mg 250 tab$204No
6869LatudaLurasidoneTablet 20 mg 30 tab$204No
6870LatudaLurasidoneTablet 40 mg 30 tab$204No
6871LatudaLurasidoneTablet 60 mg 30 tab$204No
6872LatudaLurasidoneTablet 80 mg 30 tab$204No
6874LatudaLurasidoneTablet 120 mg 30 tab$204No
7008MedrolMethylprednisoloneTablet 16 mg 100 tab$204No
7286MultaqDronedaroneTablet 400 mg 60 tab$204No
110890OdactraDust Mite Allergen ExtractSublingual Tablet 12 SQ-HDM 30 tab$204No
100847ParicalcitolParicalcitolCapsule 1 mg 30 Cap$204No
102795PertzyePancrelipaseCapsule 4000 USP 100 cap$204No
8333ProstinDinoprostoneGel Injection 2 mg 3 g$204No
21153ProtopicTacrolimusOintment 0.03 % 60 g$204No
6020SinequanDoxepinCapsule 100 mg 100 cap$204No
12435SporanoxItraconazoleOral Solution 10 mg/ml 150 ml$204No
9447TaclonexBetamethasone/CalcipotrieneOintment 0.005/0.05 % 120 g$204No
9448Taclonex ScalpBetamethasone/CalcipotrieneTopical Suspension 0.005/0.05 % 120 g$204No
101121TolterodineTolterodine Tartrate ERCapsule 4 mg 30 Cap$204No
6830ViibrydVilazodoneTablet 40 mg 30 tab$204No
6948ViskenPindololTablet 10 mg 100 tab$204No
7035ZiagenAbacavirOral Solution 20 mg/ml 240 ml$204No
46034EliquisApixabanTablet 5 mg 180 tab$209No
6282ExelonRivastigmineCapsule 1.5 mg 56 cap$210No
6283ExelonRivastigmineCapsule 3 mg 56 cap$210No
6284ExelonRivastigmineCapsule 4.5 mg 56 cap$210No
6285ExelonRivastigmineCapsule 6 mg 56 cap$210No
8143Exelon Patch 10RivastigminePatch 9.5 mg/24hr 30 Patch$210No
8141Exelon Patch 5RivastigminePatch 4.6 mg/24hr 30 Patch$210No
101923FosamaxAlendronateTablet 70 mg 4 tab$210No
100424GammagardImmune Globulin (Human)Vial 1/10 g/ml 10 ml$210Yes
102335LatisseBimatoprostOphthalmic Solution 0.03 % 5 ml$210No
102585NivestymFilgrastim-aafiPre-Filled Syringe 300/0.5 mcg/ml 0.5 ml$210Yes
103000RetrovirZidovudineVial 200/20 mg/ml 100 ml$210No
6966SalagenPilocarpine HydrochlorideTablet 5 mg 100 tab$210No
103126SimbrinzaBrinzolamide / BrimonidineOphthalmic Solution 1/0.2 %/% 8 ml$210No
6926StratteraAtomoxetineCapsule 80 mg 28 cap$210No
103243SymbicortBudesonide/Formoterol FumarateInhaler 160/4.5 mcg/mcg 6 g$210No
103245SymbicortBudesonide/Formoterol FumarateInhaler 80/4.5 mcg/mcg 6.9 g$210No
103499Urocit-KPotassium CitrateTablet 10 mEq 100 tab$210No
101157UrsodiolUrsodiolTablet 250 mg 100 Tab$210No
101158UrsodiolUrsodiolTablet 250 mg 100 Tab$210No
6949ViskazidePindolol/HydrochlorothiazideTablet 10/25 mg 105 tab$210No
12626ViskazidePindolol/HydrochlorothiazideTablet 10/50 mg 105 tab$210No
8724BystolicNebivololTablet 2.5 mg 90 tab$212No
8726BystolicNebivololTablet 5 mg 90 tab$212No
6051AbilifyAripiprazoleTablet 15 mg 30 tab$216No
6052AbilifyAripiprazoleTablet 20 mg 30 tab$216No
8691AbilifyAripiprazoleTablet 10 mg 30 tab$216No
6126Advair HFAFluticasone/SalmeterolInhaler 250/25 (230/21) mcg 12 g$216No
6973AranespDarbepoetin AlfaPre-Filled Syringe 10 mcg/ml 1.6 ml$216Yes
9340Arnuity Ellipta Fluticasone FuroateInhaler 100 mcg 90 dose$216No
104002Asacol DRMesalamineTablet DR 1600 mg 60 tab$216No
100121Astagraf XLTacrolimusCapsule 1 mg 30 Cap$216No
11076Atacand PlusCandesartan/HydrochlorothiazideTablet 32/25 mg 90 tab$216No
8799Breo ElliptaFluticasone/VilanterolInhaler 200/25 mcg 60 blisters$216No
7458CeeNULomustineCapsule 10 mg 20 cap$216No
5604CelebrexCelecoxibCapsule 200 mg 100 cap$216No
5990CrestorRosuvastatinTablet 5 mg 90 tab$216No
6687CytomelLiothyronineTablet 25 mcg 100 tab$216No
101683Depakote DRDivalproex SodiumTablet 125 mg 100 tab$216No
101686Depakote SprinkleDivalproex SodiumCapsule 125 mg 100 cap$216No
7060DifferinAdapaleneGel 0.1 % 60 g$216No
5919DostinexCabergolineTablet 0.5 mg 8 tab$216No
101711DuaveeConjugated Estrogens/BazedoxifeneTablet 0.45/20 mg/mg 30 tab$216No
100297DuloxetineDuloxetineCapsule 60 mg 30 Cap$216No
101840EstrogelEstradiolGel Pump 0.0006 % 37.5 g$216No
6761FamvirFamciclovirTablet 250 mg 30 tab$216No
6775FetzimaLevomilnacipranCapsule 120 mg 30 cap$216No
7641FragminDalteparinPre-Filled Syringe 12500 iu 2.5 ml$216No
100459GengrafCyclosporineCapsule 100 mg 30 Cap$216No
101972Genotropin MiniquickSomatropinPre-Filled Syringe 0.2 mg 1.75 ml$216Yes
7272GeodonZiprasidoneCapsule 40 mg 60 cap$216No
7273GeodonZiprasidoneCapsule 60 mg 60 cap$216No
7274GeodonZiprasidoneCapsule 80 mg 60 cap$216No
84216GlyxambiEmpagliflozin/LinagliptinTablet 10/5 mg 28 tab$216No
84217GlyxambiEmpagliflozin/LinagliptinTablet 25/5 mg 28 tab$216No
34359GrastekGrass PollenTablet 2800 BAU Sublingual Tablets 30 tab$216No
5854LamictalLamotrigineTablet 150 mg 60 tab$216No
6456LevemirInsulin DetemirAutoinjector 100 iu/ml 15 ml$216Yes
11764LevemirInsulin DetemirPenfill 100 iu/ml 15 ml$216Yes
8607LevitraVardenafilTablet 5 mg 12 tab$216No
7307LovenoxEnoxaparinPre-Filled Syringe 60/0.6 mg/ml 6 ml$216No
7347LuvoxFluvoxamineTablet 50 mg 90 tab$216No
11897MegestrolMegestrolTablet 40 mg 100 tab$216No
5660NalcromCromolyn SodiumCapsule 100 mg 100 cap$216No
102831PradaxaDabigatran Etexilate MesylateCapsule 150 mg 60 cap$216No
9495Purinethol MercaptopurineTablet 50 mg 100 tab$216No
102909QsymiaPhentermine/TopiramateCapsule 11.25-69 -MG 30 cap$216No
102910QsymiaPhentermine/TopiramateCapsule 15-92 MG-MG 30 cap$216No
102911QsymiaPhentermine/TopiramateCapsule 3.75-23 -mg 30 cap$216No
102912QsymiaPhentermine/TopiramateCapsule 7.5-46 MG-MG 30 cap$216No
100930RelistorMethylnaltrexone BromidePre-Filled Syringe 12/0.6 mg/ml 0.6 ml$216No
100965RitonavirRitonavirTablet 100 mg 30 Tab$216No
6670RocaltrolCalcitriolCapsule 0.5 mcg 100 cap$216No
9466StendraAvanafilTablet 200 mg 12 tab$216No
8598TekturnaAliskiren/HydrochlorothiazideTablet 150/12.5 mg 84 tab$216No
8600TekturnaAliskiren/HydrochlorothiazideTablet 300/12.5 mg 84 tab$216No
7522TemodarTemozolomideCapsule 20 mg 5 cap$216No
9511Temodar TemozolomideCapsule 100 mg 5 cap$216No
12516Tiazac XCDiltiazemTablet 240 mg 90 tab$216No
12517Tiazac XCDiltiazemTablet 300 mg 90 tab$216No
12518Tiazac XCDiltiazemTablet 360 mg 90 tab$216No
7903Trelegy ElliptaFluticasone Furoate/Umeclidinium/VilanterolInhaler 100/62.5/25 mcg 60 blisters$216No
103538VenclextaVenetoclaxTablet 10 mg 14 tab$216No
8751ViagraSildenafilTablet 25 mg 12 tab$216No
8755ViagraSildenafilTablet 100 mg 12 tab$216No
5576XareltoRivaroxabanTablet 10 mg 50 tab$216No
6045ZofranOndansetronTablet 4 mg 10 tab$216No
8268Zofran ODTOndansetronTablet 4 mg 10 tab$216No
6618ClobexClobetasol PropionateShampoo 0.05 % 120 ml$222No
6620ClobexClobetasolSpray 0.05 % 59 ml$222No
101703DivigelEstradiolGel Packets 0.25 mg 30 Packet$222No
101704DivigelEstradiolGel Packets 0.5 mg 30 Packet$222No
101705DivigelEstradiolGel Packets 1 mg 30 Packet$222No
101731DymistaAzelastine/FluticasoneNasal Spray 137/50 mcg/mcg 23 g$222No
101733EdarbiAzilsartan MedoxomilTablet 40 mg 30 tab$222No
101734EdarbiAzilsartan MedoxomilTablet 80 mg 30 tab$222No
101735EdarbyclorAzilsartan Medoxomil/ChlorthalidoneTablet 40/12.5 mg/mg 30 tab$222No
101736EdarbyclorAzilsartan Medoxomil/ChlorthalidoneTablet 40/25 mg/mg 30 tab$222No
101907Flovent DiskusFluticasone PropionateInhaler 100 mcg 60 Actuation$222No
101909Flovent DiskusFluticasone PropionateInhaler 50 mcg 60 Actuation$222No
101914FMLFluorometholoneOphthalmic Suspension 0.1 % 5 ml$222No
102888ProveraMedroxyprogesterone AcetateTablet 2.5 mg 100 tab$222No
102894Pulmicort FlexhalerBudesonideInhaler 180 mcg 1 Inhaler$222No
102896Pulmicort FlexhalerBudesonideInhaler 90 mcg 1 Inhaler$222No
103112SemgleeInsulin Glargine (insulin glargine-yfgnVial 100 units/ml 10 ml$222Yes
6863StalevoCarbidopa/Entacapone/LevodopaTablet 50/12.5/200 mg 100 tab$222No
6864StalevoCarbidopa/Entacapone/LevodopaTablet 75/18.75/200 mg 100 tab$222No
6866StalevoCarbidopa/Entacapone/LevodopaTablet 100/25/200 mg 100 tab$222No
6867StalevoCarbidopa/Entacapone/LevodopaTablet 125/31.25/200 mg 100 tab$222No
6868StalevoCarbidopa/Entacapone/LevodopaTablet 150/37.5/200 mg 100 tab$222No
6932StratteraAtomoxetineCapsule 100 mg 28 cap$222No
103362TiazacDiltiazem HclCapsule 120 mg 90 cap$222No
103363TiazacDiltiazem HclCapsule 180 mg 90 cap$222No
5821TiazacDiltiazemCapsule 180 mg 100 cap$222No
101206XembifyImmune Globulin, Human-klhw 20%Vial 1/5 g/ml 5 ml$222Yes
5594ArimidexAnastrozoleTablet 1 mg 30 tab$228No
5569AvodartDutasterideCapsule 0.5 mg 90 cap$228No
6135Biaxin XLClarithromycinTablet 500 mg 60 tab$228No
9411Breo ElliptaFluticasone/VilanterolInhaler 100/25 mcg 180 Blisters$228No
6644CaverjectAlprostadilPowder Injection Kit 20 mcg 5 Vial$228No
5991CrestorRosuvastatinTablet 10 mg 90 tab$228No
7485CyklokapronTranexamic AcidTablet 500 mg 100 tab$228No
11491EnstilarCalcipotriol/BetamethasoneAerosol Foam 50 mcg/g 60 g$228No
7282EucrisaCrisaboroleOintment 2 % 60 g$228No
11528FamvirFamciclovirTablet 500 mg 21 tab$228No
8289LevitraVardenafilTablet 10 mg 12 tab$228No
5621NorvascAmlodipineTablet 5 mg 100 tab$228No
6899PentasaMesalamineTablet 1 g 120 tab$228No
6953RythmolPropafenoneTablet 150 mg 100 tab$228No
6264SeroquelQuetiapine Tablet 300 mg 100 tab$228No
6266SeroquelQuetiapineTablet 100 mg 100 tab$228No
100999SilodosinSilodosinCapsule 4 mg 30 Cap$228No
6573SporanoxItraconazoleCapsule 100 mg 30 cap$228No
7069TekturnaAliskirenTablet 150 mg 84 tab$228No
7072TekturnaAliskirenTablet 300 mg 84 tab$228No
103334Tekturna HCTAliskiren HemifumarateTablet 150/12.5 mg/mg 30 tab$228No
101094TemozolomideTemozolomideCapsule 20 mg 5 Cap$228No
5747TopamaxTopiramateTablet 25 mg 25 tab$228No
8154Toujeo SolostarInsulin GlargineAutoinjector 300 iu/ml 7.5 ml$228Yes
13703Trelegy ElliptaFluticasone Furoate/Umeclidinium/VilanterolInhaler 200/62.5/25 mcg 60 blisters$228No
6518ValtrexValacyclovirTablet 1000 mg 21 tab$228No
12684ZofranOndansetronVial 2 mg/ml 10 ml$228No
8030AkynzeoNetupitant/PalonosetronCapsule 300/0.5 mg 1 cap$234No
6550HyzaarLosartan/HydrochlorothiazideTablet 100/12.5 mg 90 tab$234No
8189HyzaarLosartan/HydrochlorothiazideTablet 50/12.5 mg 90 tab$234No
8194HyzaarLosartan/HydrochlorothiazideTablet 100/25 mg 90 tab$234No
6854NorvirRitonavirTablet 100 mg 90 tab$234No
101280ActonelRisedronate SodiumTablet 150 mg 1 tab$240No
101281ActonelRisedronate SodiumTablet 35 mg 4 tab$240No
9300ActosPioglitazoneTablet 15 mg 84 tab$240No
101287AcularKetorolac TromethamineOphthalmic Solution 0.5 % 5 ml$240No
101286Acular LSKetorolac TromethamineOphthalmic Solution 0.4 % 5 ml$240No
101303AdmelogInsulin LisproAutoinjector 100 iu/ml 15 ml$240Yes
101312Advair HFAFluticasone Propionate/SalmeterolInhaler 45/21 mcg/mcg 12 g$240No
7123AkliefTrifaroteneCream 50 mcg/g 75 g$240No
101376AlvescoCiclesonideInhaler 160 mcg 6.1 g$240No
101377AlvescoCiclesonideInhaler 80 mcg 6.1 g$240No
11015AmBisomeLiposomal Amphotericin BVial 50 mg 1 Vial$240No
101398ApidraInsulin GlulisineVial 100 iu/ml 10 ml$240Yes
101450Asmanex TwisthalerMometasone FuorateInhaler 220 mcg 1 Inhaler$240No
33474AzithromycinAzithromycinCapsule 500 mg 30 cap$240No
7605BanzelRufinamideTablet 200 mg 120 tab$240No
11115BaqsimiGlucagonNasal Powder 3 mg 1 Nasal Powder$240No
100165BortezomibBortezomibVial 3.5 mg 1 Vial$240No
6840ByettaExenatideAutoinjector 5/0.02 mcg/ml 1.2 ml$240Yes
6841ByettaExenatideAutoinjector 10/0.04 mcg/ml 2.4 ml$240Yes
101574CarafateSucralfateOral Suspension 1/10 g/ml 420 ml$240No
100189CathfloAlteplasePowder Vial 2 mg 1 Vial$240Yes
101602CiloxanCiprofloxacinOphthalmic Ointment 0.3 % 3.5 g$240No
6125CleocinClindamycinCapsule 150 mg 100 cap$240No
101614ColestidColestipolTablet 1 g 120 tab$240No
6440CozaarLosartanTablet 50 mg 90 tab$240No
6441CozaarLosartanTablet 100 mg 90 tab$240No
5992CrestorRosuvastatinTablet 20 mg 90 tab$240No
100227CutaquigImmune Globulin Subcutaneous (Human) - hippVial 1/6 g/ml 6 ml$240No
100228CutaquigImmune Globulin Subcutaneous (Human) - hippVial 1/6 g/ml 6 ml$240No
100229CutaquigImmune Globulin Subcutaneous (Human) - hippVial 1/6 g/ml 6 ml$240No
7219CyclomenDanazolCapsule 100 mg 100 cap$240No
100247CyclophosphamideCyclophosphamideCapsule 25 mg 100 Cap$240No
6444DiclegisDoxylamine/PyridoxineTablet 10 mg/mg 100 tab$240No
101750ElidelPimecrolimusTopical Cream 1 % 30 g$240No
20155EmflazaDeflazacortTablet 6 mg 180 Tabs$240No
101791EndometrinProgesteroneVaginal Insert 100 mg 21 Insert$240No
101812Epivir HBVLamivudineSolution 25/5 mg/ml 240 ml$240No
101902FiaspInsulin AspartVial 100 iu/ml 10 ml$240Yes
101908Flovent DiskusFluticasone PropionateInhaler 250 mcg 60 Actuation$240No
101910Flovent HFAFluticasone PropionateHFA 110 mcg 12 g$240No
101921Fosamax Plus DAlendronate/Cholecalciferol (Vitamin D3)Tablet 70/2800 mg/iu 4 tab$240No
101922Fosamax Plus DAlendronate/Cholecalciferol (Vitamin D3)Tablet 70/5600 mg/iu 4 tab$240No
100432GammakedImmune Globulin (Human)Vial 1/10 g/ml 10 ml$240Yes
11581Genotropin MiniQuickSomatropinPre-Filled Syringe 0.2 mg 7 PFS$240Yes
11582Genotropin MiniQuickSomatropinPre-Filled Syringe 0.4 mg 7 PFS$240Yes
11583Genotropin MiniQuickSomatropinPre-Filled Syringe 0.6 mg 7 PFS$240Yes
102044HizentraImmune Globulin (Human)Pre-Filled Syringe 1/5 g/ml 5 ml$240No
102048HizentraImmune Globulin (Human)Vial 1/5 g/ml 5 ml$240No
102056Humalog KwikpenInsulin LisproCartridge 100 iu/ml 15 ml$240Yes
102058Humalog KwikpenInsulin LisproAutoinjector 100 iu/ml 15 ml$240Yes
102057Humalog Kwikpen JuniorInsulin LisproAutoinjector 100 iu/ml 15 ml$240Yes
102060Humalog Mix 50/50Insulin LisproAutoinjector 100 iu/ml 15 ml$240Yes
102061Humalog Mix 75/25Insulin LisproAutoinjector 100 iu/ml 15 ml$240Yes
10640Human Chorionic GonadotropinHuman Chorionic GonadotropinInjection 10000 iu 10 ml$240No
100544IbandronateIbandronate SodiumPre-Filled Syringe 3/3 mg/ml 3 ml$240No
102128ImitrexSumatriptan SuccinateNasal Spray 20 mg 6 Unit$240No
102129ImitrexSumatriptan SuccinateNasal Spray 5 mg 6 Unit$240No
5853LamictalLamotrigineTablet 100 mg 100 tab$240No
11745LanoxinDigoxinOral Solution 0.05 mg/ml 115 ml$240No
102333LantusInsulin GlargineVial 100 iu/ml 10 ml$240Yes
102332Lantus SolostarInsulin GlargineAutoinjector 100 iu/ml 15 ml$240Yes
102357LevemirInsulin DetemirVial 100 iu/ml 10 ml$240Yes
8287LevitraVardenafilTablet 20 mg 12 tab$240No
10569Levothyroxine SodiumLevothyroxine SodiumCapsule 88 mcg 90 cap$240No
5883LexaproEscitalopramTablet 10 mg 100 tab$240No
6627LinzessLinaclotideCapsule 290 mcg 30 cap$240No
102386LotemaxLoteprednol EtabonateOphthalmic Gel 0.5 % 5 g$240No
102403LumiganBimatoprostOphthalmic Solution 0.01 % 2.5 ml$240No
6387MetrogelMetronidazoleGel 0.75 % 60 g$240No
102502MirceraMethoxy Peg-Epoetin BetaPre-Filled Syringe 30/0.3 mcg/ml 0.3 ml$240Yes
102503MirceraMethoxy Peg-Epoetin BetaPre-Filled Syringe 50/0.3 mcg/ml 0.3 ml$240Yes
102504MirceraMethoxy Peg-Epoetin BetaPre-Filled Syringe 75/0.3 mcg/ml 0.3 ml$240Yes
102541NamendaMemantine HclTablet 10 mg 60 tab$240No
7186Naprosyn SRNaproxenTablet 750 mg 100 tab$240No
102570NeurontinGabapentinCapsule 100 mg 100 cap$240No
104691NexletolBempedoic AcidTablet 180 mg 28 tab$240No
12079NivestymFilgrastimPre-Filled Syringe 300/0.5 mcg/ml 1 PFS$240No
102602NorvirRitonavir Tablet 100 mg 30 tab$240No
102609Novolin 30/70 FlexpenInsulin Isophane HumanAutoinjector 100 iu/ml 15 ml$240Yes
102611Novolin N FlexpenInsulin Isophane HumanAutoinjector 100 iu/ml 15 ml$240Yes
102613Novolin-RInsulin Isophane HumanCartridge 100 iu/ml 15 ml$240Yes
100782OctagamImmun Globg(Igg)/Malt/Iga Ov46Vial 1/20 g/ml 20 ml$240No
102676OmnarisCiclesonideNasal Spray 50 mcg 12.5 g$240No
100841PanzygaImmune GlobulinVial 1/10 g/ml 10 ml$240No
102837PremarinEstrogensVaginal Cream 0.625 mg 30 g$240No
6674PrometriumProgesteroneCapsule 100 mg 90 cap$240No
26409PulmicortBudesonideRespules 0.5/2 mg/ml 90 ea$240No
7464PurinetholMercaptopurineTablet 50 mg 60 cap$240No
58696QuviviqDaridorexantTablet 50 mg 30 tab$240No
102978RepathaEvolocumabPre-Filled Syringe 140 mg/ml 1 ml$240Yes
102988RetacritEpoetin Alfa-epbxVial 2,000 Units/ml 10 ml$240Yes
12317ReviaNaltrexone HydrochlorideTablet 50 mg 50 tab$240No
103025Rhogam Ultra-Filtered PlusRho D Immune GlobulinPre-Filled Syringe 1500 IU 1 PFS$240Yes
103047RocaltrolCalcitriolCapsule 0.25 mcg 100 cap$240No
6277Seroquel XRQuetiapine XRTablet 400 mg 60 tab$240No
12417Solu-CortefHydrocortisone Sodium SuccinateAct-O-Vial 250 mg 20 Vial$240No
12421Solu-CortefHydrocortisone Sodium SuccinateAct-O-Vial 500 mg 20 Vial$240No
9413SteglatroErtugliflozinTablet 5 mg 84 cap$240No
103242SymbicortBudesonide/Formoterol FumarateInhaler 160/4.5 mcg/mcg 10.2 g$240No
103244SymbicortBudesonide/Formoterol FumarateInhaler 80/4.5 mcg/mcg 10.2 g$240No
103329TegretolCarbamazepineTablet 200 mg 100 tab$240No
103336TekturnaAliskiren HemifumarateTablet 150 mg 30 tab$240No
103364TiazacDiltiazem HclCapsule 240 mg 90 cap$240No
10000004TimopticTimolol MaleateOphthalmic Solution 0.5 % 10 ml$240No
5748TopamaxTopiramateTablet 100 mg 60 tab$240No
5581ToviazFesoterodineTablet 4 mg 90 tab$240No
5584ToviazFesoteradineTablet 8 mg 90 tab$240No
103394ToviazFesoterodine FumarateTablet 4 mg 30 tab$240No
103395ToviazFesoterodine FumarateTablet 8 mg 30 tab$240No
6082Tresiba FlextouchInsulin DegludecAutoinjector 100 U 15 ml$240Yes
7518TrileptalOxcarbazepineTablet 600 mg 50 tab$240No
7519TrileptalOxcarbazepineSuspension 60 mg/ml 250 ml$240No
57789UcerisBudesonide RectalTablet 9 mg 30 Tabs$240No
6992UrsoUrsodiolTablet 250 mg 100 tab$240No
6556VancocinVancomycinCapsule 125 mg 20 cap$240No
60206VerquvoVericiguatTablet 10 mg 28 tab$240No
45072Verquvo VericiguatTablet 10 mg 28 tab$240No
45065Verquvo VericiguatTablet 2.5 mg 28 tab$240No
45071Verquvo VericiguatTablet 5 mg 28 tab$240No
12622VfendVoriconazolePowder for Solution 200 mg 1 Vial$240Yes
7965ViberziEluxadolineTablet 75 mg 60 tab$240No
5573XareltoRivaroxabanTablet 2.5 mg 100 tab$240No
103661XembifyImmune Globulin, Human-klhw 20%Vial 1/5 g/ml 5 ml$240Yes
5563XenicalOrlistatCapsule 120 mg 84 cap$240No
6809XeominIncobotulinumtoxinaInjection 50 Unit 1 Vial$240No
20262Xigduo XR Dapagliflozin/MetforminTablet 5/1000 mg 112 tab$240No
103737ZegalogueDasiglucagon HclAutoinjector 0.6/0.6 mg/ml 1.2 ml$240No
12682ZinecardDexrazoxanePowder Vial 250 mg 25 Vial$240No
6105ZithromaxAzithromycinTablet 250 mg 30 tab$240No
101442Arnuity ElliptaFluticasone FuroateInhaler 100 mcg 30 Blister$246No
101443Arnuity ElliptaFluticasone FuroateInhaler 200 mcg 30 Blister$246No
101444Arnuity ElliptaFluticasone FuroateInhaler 50 mcg 30 Blister$246No
5785Effexor XRVenlafaxineCapsule 75 mg 90 cap$246No
6271Seroquel XRQuetiapineTablet 200 mg 60 tab$246No
54674Janumet XR Sitagliptin/MetforminTablet 50/1000 mg 112 tab$250No
115955ProglycemDiazoxideSuspension 50 mg/ml 30 ml$251No
7331AromasinExemestaneTablet 25 mg 30 tab$252No
8744CialisTadalafilTablet 5 mg 90 tab$252No
6438CozaarLosartanTablet 25 mg 100 tab$252No
8639Depo-ProveraMedroxyprogesterone AcetateVial 150 mg/ml 5 ml$252No
6596EntocortBudesonideCapsule 3 mg 100 cap$252No
11496Epiduo ForteAdapalene/Benzoyl PeroxideGel 0.3/2.5 % 70 g$252No
7167Isoptin SRVerapamil HClTablet 120 mg 100 tab$252No
11820LunestaEszopicloneTablet 2 mg 30 tab$252No
11821LunestaEszopicloneTablet 3 mg 30 tab$252No
5694SingulairMontelukastTablet 10 mg 90 tab$252No
10942Actonel DRRisedronateTablet 35 mg 12 tab$258No
100225CreonPancrelipaseCapsule 6000-19000 IU 100 Cap$258No
102396LovenoxEnoxaparin SodiumPre-Filled Syringe 80/0.8 mg/ml 8 ml$258No
7114SoolantraIvermectinCream 1 % 60 g$258No
6578BystolicNebivololTablet 10 mg 90 tab$263No
6582BystolicNebivololTablet 20 mg 90 tab$263No
5611CarnitorLevocarnitineTablet 330 mg 90 tab$264No
85927DexlansoprazoleDexlansoprazoleCapsule 30 mg 90 cap$264No
101859ExforgeAmlodipine/ValsartanTablet 5/160 mg/mg 30 tab$264No
7637FragminDalteparinPre-Filled Syringe 15000 iu 3 ml$264No
5886LexaproEscitalopramTablet 20 mg 90 tab$264No
102481MenopurMenotropinsVial Kit 75 iu 1 Kit$264No
6249PaxilParoxetineTablet 10 mg 90 tab$264No
6257Paxil CRParoxetineTablet 12.5 mg 90 tab$264No
12422Solu-MedrolMethylprednisoloneAct-O-Vial 125 mg 20 Vial$264No
12538Toujeo DoubleStarInsulin GlarginePen 300 iu/ml 9 ml$264Yes
55134VraylarCariprazineCapsule 1.5 mg 30 cap$264No
101441ArmonairFluticasone PropionateDigihaler 55 mcg 1 Inhaler$270No
8602CialisTadalafilTablet 2.5 mg 90 tab$270No
100236CuvitruImmune GlobulinVial 1/5 g/ml 5 ml$270No
100349Envarsus XRTacrolimusTablet 1 mg 30 Tab$270No
101855Exforge HCTAmlodipine/Valsartan/HydrochlorothiazideTablet 5/160/12.5 mg/mg/mg 30 tab$270No
101856Exforge HCTAmlodipine/Valsartan/HydrochlorothiazideTablet 5/160/25 mg/mg/mg 30 tab$270No
100462GenotropinSomatropinPre-Filled Syringe 0.2 mg 7 PFS$270Yes
102015Granixtbo-FilgrastimPre-Filled Syringe 300/0.5 mcg/ml 0.5 ml$270Yes
100536HyalganSodium HyaluronatePre-Filled Syringe 20/2 mg/ml 2 ml$270Yes
6351LeucovorinFolinic AcidTablet 5 mg 24 tab$270No
103221StriverdiOlodaterol HclInhaler 2.5 mcg 4 g$270No
9341Arnuity Ellipta Fluticasone FuroateInhaler 200 mcg 90 dose$276No
11072ArthrotecDiclofenac/MisoprostolTablet 50/200 mg/mcg 250 tab$276No
9415Breo ElliptaFluticasone/VilanterolInhaler 200/25 mcg 180 Blisters$276No
11368DesferalDeferoxamine MesylateVial 500 mg 10 Vial$276No
6724Detrol LATolterodineCapsule 2 mg 90 cap$276No
8783InvegaPaliperidoneTablet 6 mg 30 tab$276No
6851Kaletra PediatricLopinavir/RitonavirTablet 100/25 mg 60 tab$276No
5633LipitorAtorvastatinTablet 10 mg 90 tab$276No
7308LovenoxEnoxaparinPre-Filled Syringe 80/0.8 mg/ml 8 ml$276No
102393LovenoxEnoxaparin SodiumPre-Filled Syringe 100/1 mg/ml 10 ml$276No
5868NeurontinGabapentinTablet 600 mg 100 tab$276No
100747NivestymFilgrastim-aafiPre-Filled Syringe 300/0.5 mcg/ml 0.5 ml$276Yes
6253PaxilParoxetineTablet 30 mg 90 tab$276No
7597RapafloSilodosinCapsule 4 mg 90 cap$276No
7283RetrovirZidovudineCapsule 100 mg 100 cap$276No
9512Temodar TemozolomideCapsule 140 mg 5 cap$276No
6083Tresiba FlextouchInsulin DegludecAutoinjector 200 U 9 ml$276Yes
17641TrulancePlecanatideTablet 3 mg 30 tab$276No
12569UloricFebuxostatTablet 80 mg 90 tab$276No
7967ViberziEluxadolineTablet 100 mg 60 tab$276No
6235ZyprexaOlanzapineTablet 2.5 mg 84 tab$276No
6133BiaxinClarithromycinTablet 250 mg 100 tab$282No
7317ComtanEntacaponeTablet 200 mg 100 cap$282No
11701InnohepTinzaparin SodiumPre-Filled Syringe 8000/0.4 iu/ml 4 ml$282No
7168Isoptin SRVerapamil HClTablet 180 mg 100 tab$282No
7350LuvoxFluvoxamineTablet 100 mg 90 tab$282No
102924QvarBeclomethasone DipropionateRedihaler 40 mcg 10.6 g$282No
103790ZoviraxAcyclovirCream Tube 5 % 5 g$282No
11071ArixtraFondaparinuxPre-Filled Syringe 7.5/0.6 mg/ml 6 ml$288No
6893AsacolMesalamineTablet 800 mg 180 tab$288No
9342BonivaIbandronateTablet 150 mg 3 tab$288No
6837BotoxOnabotulinumtoxinAVial 50 Unit 1 Vial$288Yes
5993CrestorRosuvastatinTablet 40 mg 90 tab$288No
6725Detrol LATolterodineCapsule 4 mg 90 cap$288No
7225EnablexDarifenacinTablet 7.5 mg 100 tab$288No
7226EnablexDarifenacinTablet 15 mg 100 tab$288No
11740LacrisertHydroxypropyl CelluloseInsert 5 mg 60 Insert$288No
12036NarcanNaloxone HydrochlorideNasal Spray 4/0.1 mg/ml 2 dose$288No
7938NeoralCyclosporineCapsule 100 mg 30 cap$288No
12083Norditropin FlexProSomatropinAutoinjector 5/1.5 mg/ml 1.5 ml$288Yes
6251PaxilParoxetineTablet 20 mg 100 tab$288No
6032PrevacidLansoprazoleCapsule 15 mg 100 cap$288No
6063ProtonixPantoprazole SodiumTablet 20 mg 100 tab$288No
12366Serevent DiskusSalmeterol XinafoatePowder 50 mcg 180 blisters$288No
12451SuprefactBuserelinInjection 1 mg/ml 11 ml$288No
101058TadalafilTadalafilTablet 5 mg 30 Tab$288No
103331Tegretol XRCarbamazepineTablet 200 mg 100 tab$288No
5824TiazacDiltiazemCapsule 240 mg 100 cap$288No
6858TryptanTryptophanTablet 1000 mg 100 tab$288No
101244ZidovudineZidovudineTablet 300 mg 60 Tab$288No
6290ZoloftSertralineCapsule 50 mg 100 cap$288No
6242Zyprexa ZydisOlanzapineTablet 10 mg 28 tab$288No
5786Effexor XRVenlafaxineCapsule 150 mg 90 cap$294No
6291ZoloftSertralineCapsule 100 mg 100 cap$294No
7275WelcholColesevelam/HydrochloridePowder 3.75 g 30 Vial$296No
6643WelcholColesevelam HydrochlorideTablet 625 mg 180 tab$296No
10931AbelcetAmphotericin B Lipid ComplexVial 5 mg/ml 20 ml$300No
9286AbilifyAripiprazoleOral Solution 1 mg/ml 150 ml$300No
10936AcetazolamideAcetazolamideVial 500 mg 1 Vial$300No
101283ActosPioglitazoneTablet 15 mg 30 tab$300No
101288AcuvailKetorolac TromethamineOphthalmic Solution 0.45 % 30 ml$300No
101307Advair DiskusFluticasone Propionate/SalmeterolInhaler 100/50 mcg/mcg 60 dose$300No
101310Advair HFAFluticasone Propionate/SalmeterolInhaler 115/21 mcg/mcg 12 g$300No
100095AnastrozoleAnastrozoleTablet 1 mg 30 Tab$300No
11062ArediaPamidronate DisodiumVial 30 mg 1 Vial$300No
101439ArmonairFluticasone PropionateDigihaler 113 mcg 1 Inhaler$300No
101476AzoptBrinzolamideOphthalmic Suspension 1 % 10 ml$300No
101596CialisTadalafilTablet 2.5 mg 30 tab$300No
11282ClarusIsotretinoinCapsule 40 mg 90 cap$300No
9419Colazal Balsalazide DisodiumTablet 750 mg 280 tab$300No
101642CreonPancrelipaseCapsule 12,000 USP 100 cap$300No
6715DDAVPDesmopressinTablet 120 mcg 90 tab$300No
7314DecapeptylTriptorelinPre-Filled Syringe 0.1 mg/ml 1 cap$300No
101695DexilantDexlansoprazoleCapsule 30 mg 30 cap$300No
101696DexilantDexlansoprazoleCapsule 60 mg 30 cap$300No
11470DuobriiHalobetasol/TazaroteneLotion 0.01/0.045 % 100 g$300No
101730Dyanavel XRAmphetamineTablet 5 mg 30 tab$300No
7150EmendAprepitantCapsule 125 mg 6 cap$300No
6507EntrestoSacubitril/ValsartanTablet 48.6/51.4 mg 60 tab$300No
6509EntrestoSacubitril/ValsartanTablet 97.2/102.8 mg 60 tab$300No
101857ExforgeAmlodipine/ValsartanTablet 10/160 mg/mg 30 tab$300No
101852Exforge HCTAmlodipine/Valsartan/HydrochlorothiazideTablet 10/160/12.5 mg/mg/mg 30 tab$300No
101853Exforge HCTAmlodipine/Valsartan/HydrochlorothiazideTablet 10/160/25 mg/mg/mg 30 tab$300No
101913FMLFluorometholoneOphthalmic Suspension 0.1 % 10 ml$300No
101967GelniqueOxybutyninGel Packets 0.1 % 30 g$300No
101968Gelsyn-3Sodium HyaluronatePre-Filled Syringe 16.8/2 mg/ml 2 ml$300No
100509HizentraImmune Globulin (Human)Vial 1/5 g/ml 5 ml$300No
100513HizentraImmune Globulin (Human)Pre-Filled Syringe 1/5 g/ml 5 ml$300No
25043HizentraImmune GlobulinPre-Filled Syringe 0.2 mg/ml 1 PFS$300Yes
102138Incruse ElliptaUmeclidinium BromideInhaler 62.5 mcg 30 Blister$300No
102264KazanoAlogliptin Benz/Metformin HclTablet 12.5/1000 mg/mg 60 tab$300No
102265KazanoAlogliptin Benz/Metformin HclTablet 12.5/500 mg/mg 60 tab$300No
5841KeppraLevetiracetamTablet 250 mg 120 tab$300No
27219Lamictal LamotrigineDC Chew 200 mg 168 tab$300No
102387LotemaxLoteprednol EtabonateOphthalmic Ointment 0.5 % 3.5 g$300No
102391Lovenox HPEnoxaparin SodiumPre-Filled Syringe 120/0.8 mg/ml 8 ml$300No
100701MethotrexateMethotrexate SodiumTablet 2.5 mg 100 Tab$300No
12295MotegrityPrucalopride Tablet 1 mg 100 tab$300No
102523MuseAlprostadilTransurethral System 250 mcg 6 System$300Yes
100719MycophenolateMycophenolate MofetilCapsule 250 mg 100 Cap$300No
5591MyrbetriqMirabegronTablet 25 mg 90 tab$300No
5593MyrbetriqMirabegronTablet 50 mg 90 tab$300No
102538NaftinNaftifine HclGel Tube 1 % 60 g$300No
102547NatestoTestosteroneNasal Gel Pump 5.5/0.122 mg/g 11 g$300No
6937NeuproRotigotinePatch 3 mg 30 Patch$300No
6938NeuproRotigotinePatch 4 mg 30 Patch$300No
9436Nilandron NilutamideTablet 150 mg 30 tab$300No
102615NovologInsulin AspartCartridge 100 iu/ml 15 ml$300Yes
100791OctreotideOctreotide AcetateVial 1000 mcg/ml 5 ml$300Yes
7297OrilissaElagolixTablet 150 mg 28 tab$300No
102723OsphenaOspemifeneTablet 60 mg 30 tab$300No
102852PriftinRifapentineTablet 150 mg 24 tab$300No
7977ProcritEpoetin AlfaPre-Filled Syringe 2000 iu w/ Protec 3 ml$300Yes
26525PulmicortBudesonideRespules 1/2 mg/ml 90 ea$300No
102895Pulmicort FlexhalerBudesonideInhaler 90 mcg 1 Inhaler$300No
7600RapafloSilodosinCapsule 8 mg 90 cap$300No
102981RestasisCyclosporineOphthalmic Emulsion 0.05 % 30 Vial$300No
12316Restasis MultidoseCyclosporineVial 0.05 % 7 ml$300No
100940RetacritEpoetin Alfa-epbxVial 2000 iu/ml 10 ml$300Yes
103003RevatioSildenafil CitrateVial 10/12.5 mg/ml 12.5 ml$300No
103022RezvoglarInsulin Glargine-aglrAutoinjector 100 units/ml 15 ml$300Yes
103083SandostatinOctreotide AcetateAmpule 100 mcg/ml 10 ml$300Yes
103116SereventSalmeterol XinafoateInhaler 50 mcg 60 Actuation$300No
103165SomavertPegvisomantVial Kit 10 mg 1 Vial$300Yes
103187SporanoxItraconazoleOral Solution 10 mg/ml 150 ml$300No
9414SteglatroErtugliflozinTablet 15 mg 84 tab$300No
6828TaclonexCalcipotriol/BetamethasoneOintment 0.005/0.064 % 120 g$300No
101056TadalafilTadalafilTablet 2.5 mg 30 Tab$300No
103337TekturnaAliskiren HemifumarateTablet 300 mg 30 tab$300No
103335Tekturna HCTAliskiren HemifumarateTablet 300/12.5 mg/mg 30 tab$300No
103351TestimTestosteroneGel Tube 50 mg 150 g$300No
103365TiazacDiltiazem HclCapsule 300 mg 90 cap$300No
103416TribenzorOlmesartan Medoxomil/Amlodipine Besylate/HydrochlorothiazideTablet 20/5/12.5 mg 30 tab$300No
103457Tudorza PressairAclidinium Bromide Inhaler 400 mcg 1 Inhaler$300No
103518VascepaIcosapent EthylCapsule 1 g 120 cap$300No
103543VenoferIron SucroseVial 50/2.5 mg/ml 25 ml$300No
103721YuvafemEstradiolVaginal Insert 10 mcg 18 Insert$300No
103727ZarontinEthosuximideOral Solution 250/5 mg/ml 474 ml$300No
103728ZarxioFilgrastim-sndzPre-Filled Syringe 300/0.5 mcg/ml 0.5 ml$300Yes
103730ZarxioFilgrastim-sndzPre-Filled Syringe 480/0.8 mcg/ml 0.8 ml$300Yes
9491Zoladex GoserelinInjection 10.8 mg 1 ea$300No
103799ZyletLoteprednol Etabonate And TobramycinOphthalmic Suspension 0.3/0.5 %/% 5 ml$300No
101664CymbaltaDuloxetine HclCapsule 30 mg 30 cap$306No
101665CymbaltaDuloxetine HclCapsule 60 mg 30 cap$306No
7595DalirespRoflumilastTablet 500 mcg 90 tab$306No
101679DayvigoLemborexantTablet 10 mg 30 tab$306No
101680DayvigoLemborexantTablet 5 mg 30 tab$306No
7635FragminDalteparinPre-Filled Syringe 18000 iu 3.6 ml$306No
7483MovantikNaloxegolTablet 12.5 mg 30 tab$306No
7484MovantikNaloxegolTablet 25 mg 30 tab$306No
102873ProlensaBromfenac SodiumOphthalmic Solution 0.07 % 3 ml$306No
6205ProzacFluoxetineCapsule 10 mg 100 cap$306No
6206ProzacFluoxetineCapsule 20 mg 100 cap$306No
102925QvarBeclomethasone DipropionateRedihaler 80 mcg 10.6 g$306No
103614VyzultaLatanoprostene BunodOphthalmic Solution 0.024 % 2.5 ml$306Yes
7419Zaditen Ketotifen FumarateTablet 1 mg 100 tab$306No
10939ActemraTocilizumabVial 80/4 mg/ml 4 ml$312Yes
8730ActivellaEstradiol Hemihydrate/Norethindrone AcetateTablet 1/0.5 mg 84 tab$312No
8732ActivelleEstadiol/NorethindroneTablet 0.5/0.1 mg 84 tab$312No
6363CaduetAmlodipine/AtorvastatinTablet 10/10 mg 90 tab$312No
8306CrinoneProgesteroneVaginal Gel 8 % 18 Applicator$312No
6663DexilantDexlansoprazoleCapsule 30 mg 90 cap$312No
6664DexilantDexlansoprazoleCapsule 60 mg 90 cap$312No
11492Envarsus PATacrolimusTablet 0.75 mg 100 tab$312No
5622NorvascAmlodipineTablet 10 mg 100 tab$312No
12902OmnitropeSomatropinCartridge 5/1.5 mg/ml 1.5 ml$312Yes
6260Paxil CRParoxetineTablet 25 mg 90 tab$312No
6035PrevacidLansoprazoleCapsule 30 mg 100 cap$312No
7258ProglycemDiazoxideCapsule 100 mg 100 cap$312No
6449PrografTacrolimusCapsule 0.5 mg 100 cap$312No
25775PulmicortBudesonideRespules 0.5/2 mg/ml 180 ea$312No
8704Pulmicort FlexhalerBudesonideInhaler 200 mcg 3 Inhaler$312No
8630Qvar RedihalerBeclomethasone DipropionateInhaler 100 (80) mcg 31.8 g$312No
9513Temodar TemozolomideCapsule 180 mg 5 cap$312No
89728ValtrexValacyclovirTablet 1000 mg 28 tab$312No
6046ZofranOndansetronTablet 8 mg 10 tab$312No
8270Zofran ODTOndansetronTablet 8 mg 10 tab$312No
11510EraxisAnidulafunginInjection 100 mg/Vial 1 Vial$318Yes
7570AzilectRasagilineTablet 0.5 mg 30 tab$324No
7571AzilectRasagilineTablet 1 mg 30 tab$324No
101776EmendAprepitantSuspension Kit 125/5 mg/ml 1 Kit$324No
101778EmendFosaprepitant DimeglumineVial 150 mg 1 Vial$324No
8613Flovent DiskusFluticasoneInhaler 500 mcg 180 dose$324No
11590Genotropin MiniQuickSomatropinPre-Filled Syringe 0.8 mg 7 PFS$324Yes
102349LeqembiLecanemab-IrmbVial 200/2 mg/ml 2 ml$324Yes
6563MotegrityPrucaloprideTablet 1 mg 84 tab$324No
6940NeuproRotigotinePatch 6 mg 30 Patch$324No
6941NeuproRotigotinePatch 8 mg 30 Patch$324No
102796PertzyePancrelipaseCapsule 8000 USP 100 cap$324No
12425Solu-MedrolMethylprednisoloneAct-O-Vial 500 mg 4 Vial$324No
101124TopiramateTopiramateTablet 100 mg 60 Tab$324No
8848ViagraSildenafilTablet 100 mg 28 tab$324No
59532WinleviClascoteroneCream 1 % 30 g$324No
101440ArmonairFluticasone PropionateDigihaler 232 mcg 1 Inhaler$330No
101477AzorAmlodipine/OlmesartanTablet 20/5 mg/mg 30 tab$330No
6360CaduetAmlodipine/AtorvastatinTablet 5/10 mg 90 tab$330No
101591CetrotideCetrorelix AcetateInjection Kit 0.25 mg 1 Kit$330Yes
100210ColcrysColchicineTablet 0.6 mg 30 Tab$330No
101714DuleraMometasone/FormoterolInhaler 100/5 mcg/mcg 13 g$330No
101715DuleraMometasone/FormoterolInhaler 200/5 mcg/mcg 13 g$330No
101716DuleraMometasone/FormoterolInhaler 50/5 mcg/mcg 13 g$330No
101821EpogenEpoetin AlfaVial 2000 units/ml 10 ml$330Yes
101895FerrlecitSodium Ferric Gluconate/SucroseVial 62.5/5 mg/ml 50 ml$330No
101959Gamunex-CImmune Globulin (Human)Vial 2.5/25 g/ml 25 ml$330Yes
100487Granixtbo-FilgrastimPre-Filled Syringe 300/0.5 mcg/ml 0.5 ml$330Yes
102253KaletraLopinavir/RitonavirTablet 100/25 mg/mg 60 tab$330No
102360LexiscanRegadenosonPre-Filled Syringe 0.4/5 mg/ml 5 ml$330No
100824OxaliplatinOxaliplatinVial 100/20 mg/ml 20 ml$330No
6064ProtonixPantoprazole SodiumTablet 40 mg 100 tab$330No
103028RhopressaNetarsudil MesylateOphthalmic Solution 0.02 % 2.5 ml$330Yes
6272Seroquel XRQuetiapineTablet 300 mg 60 tab$330No
103136SingulairMontelukast SodiumTablet 10 mg 30 tab$330No
103152SlyndDrospirenoneTablet 4 mg 28 tab$330No
103446Trokendi XRTopiramateCapsule 25 mg 30 cap$330No
103562ViibrydVilazodone HclTablet 20 mg 30 tab$330No
103563ViibrydVilazodone HclTablet 40 mg 30 tab$330No
103776ZocorSimvastatinTablet 20 mg 30 tab$330No
103777ZocorSimvastatinTablet 40 mg 30 tab$330No
7794CancidasCaspofunginPowder Vial 50 mg 1 vial$336No
7796CancidasCaspofunginPowder Vial 70 mg 1 vial$336No
101684Depakote DRDivalproex SodiumTablet 250 mg 100 tab$336No
7447FemaraLetrozoleTablet 2.5 mg 30 tab$336No
8785InvegaPaliperidoneTablet 9 mg 30 tab$336No
6897LialdaMesalamine aka MesalazineTablet 1.2 g 120 tab$336No
5634LipitorAtorvastatinTablet 20 mg 90 tab$336No
7309LovenoxEnoxaparinPre-Filled Syringe 100/1 mg/ml 10 ml$336No
102392Lovenox HPEnoxaparin SodiumPre-Filled Syringe 150/1 mg/ml 10 ml$336No
102651NuvigilArmodafinilTablet 50 mg 30 tab$336No
5564PlavixClopidogrelTablet 75 mg 90 tab$336No
102991RetacritEpoetin Alfa-epbxVial 3,000 Units/ml 10 ml$336Yes
9461Xigduo XRDapagliflozin and MetforminTablet 10/500 mg 84 Tabs$336No
103484UloricFebuxostatTablet 80 mg 30 tab$342No
101514BijuvaEstradiol/ProgesteroneCapsule 1/100 mg/mg 30 cap$348No
7459CeeNULomustineCapsule 40 mg 20 cap$348No
7679Soliqua SolostarInsulin Glargine/LixisenatideAutoinjector 100/33 u/mcg/ml 15 ml$348Yes
103386Topamax SprinkleTopiramateCapsule 15 mg 60 cap$348No
17624XadagoSafinamideTablet 50 mg 30 tab$348No
17626XadagoSafinamideTablet 100 mg 30 tab$348No
9462Xigduo XRDapagliflozin and MetforminTablet 10/1000 mg 84 Tabs$348No
11652IbsrelaTenapanorTablet 50 mg 60 tab$354No
12333Risperdal ConstaRisperidoneVial Kit 25 mg 1 Kit$354No
103483UloricFebuxostatTablet 40 mg 30 tab$354No
6558VancocinVancomycinCapsule 250 mg 20 cap$354No
6077AciphexRabeprazoleTablet 20 mg 100 tab$360No
101308Advair DiskusFluticasone Propionate/SalmeterolInhaler 250/50 mcg/mcg 60 dose$360No
100072AlphanateAntihemophilic Factor/VwfVial Kit 250 IU 250 IU$360No
6978AranespDarbepoetin AlfaPre-Filled Syringe 20 mcg/ml 2 ml$360Yes
11073ArthrotecDiclofenac/MisoprostolTablet 75/200 mg/mcg 250 tab$360No
101459AtroventIpratropium BromideInhalator 17 mcg 12.9 g$360No
101478AzorAmlodipine/OlmesartanTablet 40/10 mg/mg 30 tab$360No
101479AzorAmlodipine/OlmesartanTablet 5/40 mg/mg 30 tab$360No
101486BaqsimiGlucagon 3 mg/Device 1 Dose$360No
101529Breo ElliptaFluticasone/VilanterolInhaler 100/25 mcg/mcg 60 Blister$360No
101530Breo ElliptaFluticasone/VilanterolInhaler 200/25 mcg/mcg 60 Blister$360No
101531Breo ElliptaFluticasone/VilanterolInhaler 50/25 mcg/mcg 60 Blister$360No
25018Breztri AerosphereBudesonide/Formoterol/GlycopyrInhaler 160mcg/9mcg/4.8mcg mg Inhalation Suspension 10.7 g$360No
6989BydureonExenatideAutoinjector 2 mg/Dose 4 Pen$360Yes
7210CasodexBicalutamideTablet 50 mg 30 tab$360No
101586CellceptMycophenolateVial 500/20 mg/ml 80 ml$360No
17702CequaCyclosporineOphthalmic Solution 0.09 % 60 Dropperette$360No
8746CialisTadalafilTablet 10 mg 60 tab$360No
101617CombiganBrimonidine/TimololOphthalmic Solution 0.2-0.5 % 10 ml$360No
6638Contrave ERBupropion/NaltrexoneTablet 8/90 mg 120 tab$360No
54033EntrestoSacubitril/ValsartanTablet 24.3/25.7 mg 56 Tabs$360No
11493Envarsus PATacrolimusTablet 1 mg 100 tab$360No
100357EpinephrineEpinephrineAutoinjector 0.3/0.3 mg/ml 2 Autoinjector$360No
101860ExforgeAmlodipine/ValsartanTablet 5/320 mg/mg 30 tab$360No
101903FinaceaAzelaic AcidTopical Gel 0.15 % 50 g$360No
100408FlebogammaImmune Globulin (Human)Vial 2.5/50 g/ml 50 ml$360No
101911Flovent HFAFluticasone PropionateHFA 220 mcg 12 g$360No
12300Follistim AQFollitropin BetaInjection 300 IU 0.36 ml$360No
11638HumatinParomomycinCapsule 250 mg 100 cap$360No
102078Humulin NInsulin NPHAutoinjector 100 iu/ml 15 ml$360Yes
102080Humulin R U-500 KwikpenInsulin RegularAutoinjector 500 u/ml 6 ml$360Yes
100546IbandronateIbandronate SodiumTablet 150 mg 3 Tab$360No
8127ImitrexSumatriptanVial 6/0.5 mg/ml 2.5 ml$360No
102152InspraEplerenoneTablet 25 mg 30 tab$360No
102153InspraEplerenoneTablet 50 mg 30 tab$360No
102172InvokametCanagliflozin/Metformin HclTablet 150/1000 mg/mg 60 tab$360No
102173InvokametCanagliflozin/Metformin HclTablet 150/500 mg/mg 60 tab$360No
102174InvokametCanagliflozin/Metformin HclTablet 50/1000 mg/mg 60 tab$360No
102175InvokametCanagliflozin/Metformin HclTablet 50/500 mg/mg 60 tab$360No
102176Invokamet XRCanagliflozin/Metformin HclTablet 150/1000 mg/mg 60 tab$360No
102177Invokamet XRCanagliflozin/Metformin HclTablet 150/500 mg/mg 60 tab$360No
102178Invokamet XRCanagliflozin/Metformin HclTablet 50/1000 mg/mg 60 tab$360No
102179Invokamet XRCanagliflozin/Metformin HclTablet 50/500 mg/mg 60 tab$360No
7169Isoptin SRVerapamil HClTablet 240 mg 100 tab$360No
102213JanuviaSitagliptin PhosphateTablet 100 mg 30 tab$360No
102215JanuviaSitagliptin PhosphateTablet 25 mg 30 tab$360No
102217JanuviaSitagliptin PhosphateTablet 50 mg 30 tab$360No
102273KeppraLevetiracetamVial 500/5 mg/ml 50 ml$360No
102274Keppra XRLevetiracetamTablet 500 mg 60 tab$360No
13525Kombiglyze XRSaxagliptin and MetforminTablet 5/500 mg 84 Tabs$360No
13527Kombiglyze XRSaxagliptin and MetforminTablet 5/1000 mg 84 Tabs$360No
13529Kombiglyze XRSaxagliptin and MetforminTablet 2.5/1000 mg 168 Tabs$360No
102322Lamictal ODTLamotrigineTablet 25 mg 30 tab$360No
102329Lamictal XRLamotrigineTablet 25 mg 30 tab$360No
102356Levemir FlexpenInsulin DetemirAutoinjector 100 iu/ml 15 ml$360Yes
102367LinzessLinaclotideCapsule 145 mcg 30 cap$360No
102368LinzessLinaclotideCapsule 290 mcg 30 cap$360No
102369LinzessLinaclotideCapsule 72 mcg 30 cap$360No
5635LipitorAtorvastatinTablet 40 mg 90 tab$360No
102388LotemaxLoteprednol EtabonateOphthalmic Suspension 0.5 % 10 ml$360No
7311Lovenox HPEnoxaparinPre-Filled Syringe 120/0.8 mg/ml 8 ml$360No
102457LyumjevInsulin Lispro-aabcVial 100/ units/ml 10 ml$360Yes
11829Maxalt MLTRizatriptanTablet 10 mg 12 tab$360No
11830Maxalt ODTRizatriptanTablet 5 mg 12 tab$360No
102487MetrogelMetronidazoleGel Tube 0.75 % 60 g$360No
102498MirceraMethoxy Peg-Epoetin BetaPre-Filled Syringe 100/0.3 mcg/ml 0.3 ml$360Yes
102499MirceraMethoxy Peg-Epoetin BetaPre-Filled Syringe 120/0.3 mcg/ml 0.3 ml$360Yes
102517MovantikNaloxegol OxalateTablet 12.5 mg 30 tab$360No
102522MuseAlprostadilTransurethral System 1000 mcg 6 System$360Yes
102524MuseAlprostadilTransurethral System 500 mcg 6 System$360Yes
95558MyfembreeRelugolix/Estradiol/Norethindrone acetateTablet 40/1/0.5 mg 28 tab$360No
56322MyforticMycophenolateTablet 180 mg 120 Tabs$360No
102534MyrbetriqMirabegronTablet 25 mg 30 tab$360No
102536MyrbetriqMirabegronTablet 50 mg 30 tab$360No
102550NeoralCyclosporine, ModifiedCapsule 100 mg 30 cap$360No
102555NesinaAlogliptin BenzoateTablet 12.5 mg 28 tab$360No
102556NesinaAlogliptin BenzoateTablet 25 mg 28 tab$360No
102557NesinaAlogliptin BenzoateTablet 6.25 mg 28 tab$360No
102560NeupogenFilgrastimPre-Filled Syringe 300/0.5 mcg/ml 0.5 ml$360Yes
102574NexiumEsomeprazole MagnesiumTablet 40 mg 28 tab$360No
102587NivestymFilgrastim-aafiPre-Filled Syringe 480/0.8 mcg/ml 0.8 ml$360Yes
102646Nutropin AQSomatropinAutoinjector 5/2 mg/ml 2 ml$360Yes
102647NuvaringEtonogestrel/Ethinyl EstradiolVaginal Ring 0.12/0.015 mg/mg 3 Ring$360Yes
102778PaxilParoxetine HclTablet 10 mg 30 tab$360No
102776Paxil CRParoxetine HclTablet 12.5 mg 30 tab$360No
102777Paxil CRParoxetine HclTablet 25 mg 30 tab$360No
102798PexevaParoxetine MesylateTablet 10 mg 30 tab$360No
102799PexevaParoxetine MesylateTablet 20 mg 30 tab$360No
102800PexevaParoxetine MesylateTablet 30 mg 30 tab$360No
102801PexevaParoxetine MesylateTablet 40 mg 30 tab$360No
102853PristiqDesvenlafaxine SuccinateTablet 100 mg 30 tab$360No
102854PristiqDesvenlafaxine SuccinateTablet 50 mg 30 tab$360No
102860ProcritEpoetin AlfaVial 2,000 units/ml 6 ml$360Yes
100900PrografTacrolimusSachet 0.2 mg 50 Sachet$360No
6451PrografTacrolimusCapsule 1 mg 100 cap$360No
102880PrometriumProgesteroneCapsule 100 mg 30 cap$360No
102889ProveraMedroxyprogesterone AcetateTablet 5 mg 100 tab$360No
25756PulmicortBudesonideRespules 1/2 mg/ml 180 ea$360No
102893Pulmicort FlexhalerBudesonideInhaler 180 mcg 1 Inhaler$360No
102897Pulmicort RespulesBudesonideAmpule 0.5/2 mg/ml 60 ml$360No
102965RelpaxEletriptan HydrobromideTablet 20 mg 6 tab$360No
102966RelpaxEletriptan HydrobromideTablet 40 mg 6 tab$360No
102998RetrovirZidovudineCapsule 100 mg 100 cap$360No
103036Risperdal ConstaRisperidoneVial Kit 12.5 mg 1 Kit$360Yes
103048RocklatanNetarsudil Mesylat/LatanoprostOphthalmic Solution 0.02/0.005 %/% 2.5 ml$360Yes
103069RytaryCarbidopa/LevodopaCapsule 23.75/95 mg/mg 100 cap$360No
103070RytaryCarbidopa/LevodopaCapsule 36.25/145 mg/mg 100 cap$360No
103071RytaryCarbidopa/LevodopaCapsule 48.75/195 mg/mg 100 cap$360No
9420Santyl CollagenaseOintment 250 units/g 90 g$360No
103099Savella Titration PackMilnacipran HclTablet 12.5/25/50 mg/mg/mg 55 tab$360No
103111SemgleeInsulin Glargine (insulin glargine-yfgnAutoinjector 100 iu/ml 15 ml$360Yes
8853SingulairMontelukastTablet 10 mg 90 tab$360No
101018SolifenacinSolifenacin SuccinateTablet 5 mg 30 Tab$360No
103210StratteraAtomoxetineCapsule 100 mg 30 cap$360No
103211StratteraAtomoxetineCapsule 10 mg 30 cap$360No
103212StratteraAtomoxetineCapsule 18 mg 30 cap$360No
103213StratteraAtomoxetineCapsule 25 mg 30 cap$360No
103214StratteraAtomoxetineCapsule 40 mg 30 cap$360No
103215StratteraAtomoxetineCapsule 60 mg 30 cap$360No
103216StratteraAtomoxetineCapsule 80 mg 30 cap$360No
101074TamsulosinTamsulosin HClCapsule 0.4 mg 100 Cap$360No
103366TiazacDiltiazem HclCapsule 360 mg 90 cap$360No
103367TiazacDiltiazem HclCapsule 420 mg 90 cap$360No
103389TopamaxTopiramateTablet 25 mg 60 tab$360No
5749TopamaxTopiramateTablet 200 mg 60 tab$360No
103393Toujeo SolostarInsulin Glargine,Hum.Rec.AnlogAutoinjector 300 iu/ml 4.5 ml$360Yes
103417TribenzorOlmesartan Medoxomil/Amlodipine Besylate/HydrochlorothiazideTablet 40/10/12.5 mg 30 tab$360No
103418TribenzorOlmesartan Medoxomil/Amlodipine Besylate/HydrochlorothiazideTablet 40/10/25 mg 30 tab$360No
103419TribenzorOlmesartan Medoxomil/Amlodipine Besylate/HydrochlorothiazideTablet 40/5/12.5 mg 30 tab$360No
103420TribenzorOlmesartan Medoxomil/Amlodipine Besylate/HydrochlorothiazideTablet 40/5/25 mg 30 tab$360No
103463TybostCobicistatTablet 150 mg 30 tab$360No
103512ValtrexValacyclovir HclTablet 500 mg 30 tab$360No
103554VesicareSolifenacin SuccinateTablet 10 mg 30 tab$360No
9433VoriconazoleVoriconazoleTablet 200 mg 28 tab$360No
103673XeominIncobotulinumtoxinaPowder Vial 50 units 1 Vial$360No
101211XeominIncobotulinumtoxinaPowder Vial 50 Unit 1 Vial$360No
13255Xigduo XRDapagliflozin and MetforminTablet 5/1000 mg 168 Tabs$360No
103725ZanosarStreptozocinVial 1 g 1 g$360Yes
101228ZarxioFilgrastim-sndzPre-Filled Syringe 300/0.5 mcg/ml 0.5 ml$360Yes
103738ZegalogueDasiglucagon HclPre-Filled Syringe 0.6/0.6 mg/ml 0.6 ml$360No
103739ZegalogueDasiglucagon HclPre-Filled Syringe 0.6/0.6 mg/ml 0.6 ml$360No
101236ZenpepPancrelipaseCapsule 3000-10000 IU 100 Cap$360No
103766ZetiaEzetimibeTablet 10 mg 30 tab$360No
9492Zoladex GoserelinInjection 3.6 mg 3 ea$360No
103785ZontivityVorapaxarTablet 2.08 mg 30 tab$360No
101533Breztri AerosphereBudesonide/Glycopyrrolate/FormoterolInhaler 160/9/4.8 mcg/mcg/mcg 5.9 g$366No
6364CaduetAmlodipine/AtorvastatinTablet 10/20 mg 90 tab$366No
6954RythmolPropafenoneTablet 300 mg 100 tab$366No
103158SolosecSecnidazoleOral Granules 2 g 1 Unit$366No
103254SymproicNaldemedine TosylateTablet 0.2 mg 30 tab$366No
103807ZyprexaOlanzapineTablet 2.5 mg 30 tab$366No
7220CyclomenDanazolCapsule 200 mg 100 cap$372No
11684InnohepTinzaparin SodiumPre-Filled Syringe 10000/0.5 iu/ml 5 ml$372No
51584Janumet XRSitagliptin/MetforminTablet 50/1000 mg 168 Tabs$372No
5638LipitorAtorvastatinTablet 80 mg 90 tab$372No
101159UrsodiolUrsodiolTablet 500 mg 100 Tab$372No
7562IsentressRaltegravirChewable Tablet 100 mg 60 tab$378No
7591MaxaltRizatriptanTablet 10 mg 12 tab$378No
6365CaduetAmlodipine/AtorvastatinTablet 10/40 mg 90 tab$384No
7880Cortiment DR+ERBudesonideTablet 9 mg 30 tab$384No
7424FosrenolLanthanumChewable Tablet 500 mg 90 tab$384No
102485MestinonPyridostigmine BromideTablet 60 mg 100 tab$384No
100836PalonosetronPalonosetron HClVial 0.25/5 mg/ml 5 ml$384No
12276PrevymisLetermovirInjection Solution 240 mg 1 Vial$384No
103406TrelegyFluticasone/Umeclidin/VilanterInhaler 100/62.5/25 mcg 60 Blister$384No
103407TrelegyFluticasone/Umeclidin/VilanterInhaler 200/62.5/25 mcg 60 Blister$384No
7538VibativTelavancinVial 750 mg/Vial 50 ml$384No
5965ZocorSimvastatinTablet 10 mg 84 tab$384No
101311Advair HFAFluticasone Propionate/SalmeterolInhaler 230/21 mcg/mcg 12 g$390No
101453Aspruzyo SprinkleRanolazineCapsule 500 mg 60 cap$390No
101512Bevespi AerosphereGlycopyrrolate/Formoterol Fumarate 9/4.8 mcg/mcg 10.7 g$390No
100285DocetaxelDocetaxelVial 80/4 mg/ml 4 ml$390No
7945EpivirLamivudineTablet 100 mg 60 tab$390No
101858ExforgeAmlodipine/ValsartanTablet 10/320 mg/mg 30 tab$390No
101950Gammagard LiquidImmune Globulin (Human)Vial 2.5/25 g/ml 25 ml$390No
100461GengrafCyclosporineOral Solution 100 mg/ml 50 ml$390No
100624LamivudineLamivudineTablet 150 mg 60 Tab$390No
100625LamivudineLamivudineTablet 300 mg 30 Tab$390No
102448Lyrica CRPregabalinTablet 165 mg 30 tab$390No
102449Lyrica CRPregabalinTablet 330 mg 30 tab$390No
102450Lyrica CRPregabalinTablet 82.5 mg 30 tab$390No
102518MovantikNaloxegol OxalateTablet 25 mg 30 tab$390No
100755NorvirRitonavirTablet 100 mg 30 Tab$390No
102779PaxilParoxetine HclTablet 20 mg 30 tab$390No
102780PaxilParoxetine HclTablet 30 mg 30 tab$390No
103072RytaryCarbidopa/LevodopaCapsule 61.25/245 mg/mg 100 cap$390No
103117SeroquelQuetiapine FumarateTablet 25 mg 100 tab$390No
6695GlyxambiEmpagliflozin and LinagliptinTablet 10/5 mg 90 Tabs$396No
6697GlyxambiEmpagliflozin and LinagliptinTablet 25/5 mg 90 Tabs$396No
6306JardianceEmpagliflozinTablet 10 mg 90 tab$396No
6307JardianceEmpagliflozinTablet 25 mg 90 tab$396No
5842KeppraLevetiracetamTablet 500 mg 120 tab$396No
7788KyprolisCarfilzomibVial 10 mg 1 Vial$396No
12080NivestymFilgrastimPre-Filled Syringe 480/0.8 mcg/ml 1 PFS$396No
23845Nutropin AQSomatropinPen Cartridge 5/2 mg/ml 2 ml$396Yes
8718OnglyzaSaxagliptinTablet 5 mg 90 tab$396No
102832PraluentAlirocumabAutoinjector 150 mg/ml 2 ml$396Yes
102834PraluentAlirocumabAutoinjector 75 mg/ml 2 ml$396Yes
5578XareltoRivaroxabanTablet 15 mg 90 tab$396No
5579XareltoRivaroxabanTablet 20 mg 90 tab$396No
8798Breo ElliptaFluticasone/VilanterolInhaler 100/25 mcg 180 blisters$400No
6361CaduetAmlodipine/AtorvastatinTablet 5/20 mg 90 tab$402No
11576Gemcitabine HydrochlorideGemcitabine HydrochlorideInjection 40 mg/ml 25 ml$402No
11578Gemcitabine HydrochlorideGemcitabine HydrochlorideInjection 40 mg/ml 25 ml$402No
72110TrulicityDulaglutideAutoinjector 1.5 mg/0.5ml 2 ml$402No
11385DexcomG6Sensor blood glucose monitor 3 Sensor$408No
6405Ditropan XLOxybutyninTablet 5 mg 100 tab$408No
6406Ditropan XLOxybutyninTablet 10 mg 100 tab$408No
11542FerrlecitSodium Ferric GluconateVial 62.5/5 mg/ml 50 ml$408No
100488Granixtbo-FilgrastimPre-Filled Syringe 300/0.5 mcg/ml 0.5 ml$408Yes
8097PlavixClopidogrelTablet 300 mg 30 tab$408No
5739SavaysaEdoxabanTablet 15 mg 90 tab$408No
5740SavaysaEdoxabanTablet 30 mg 90 tab$408No
5741SavaysaEdoxabanTablet 60 mg 90 tab$408No
63539VictozaLiraglutideInjection 6 mg/ml 6 ml$408Yes
7451XiidraLifitegrast$408No
7639FirmagonDegarelixInjection Kit 80 mg 1 Kit$414No
101284ActosPioglitazoneTablet 30 mg 30 tab$420No
23744Amphotericin BAmphotericin BCapsule 10 mg 270 cap$420Yes
101395Anoro ElliptaUmeclidinium/VilanterolInhaler 62.5/25 mcg/mcg 60 Blister$420No
101397Apidra SolostarInsulin GlulisineAutoinjector 100 iu/ml 15 ml$420Yes
100102AralastAlpha-1-Proteinase Inhibitor (Human)Vial 500 mg 500 mg$420No
100157BicalutamideBicalutamideTablet 50 mg 30 Tab$420No
101535BrilintaTicagrelorTablet 60 mg 60 tab$420No
101536BrilintaTicagrelorTablet 90 mg 60 tab$420No
6362CaduetAmlodipine/AtorvastatinTablet 5/40 mg 90 tab$420No
101575CarafateSucralfateTablet 1 g 100 tab$420No
6147CiproCiprofloxacinTablet 750 mg 50 tab$420No
101650CrinoneProgesteroneGel 0.08 % 16.875 g$420No
101698DifferinAdapaleneCream Tube 0.001 % 45 g$420No
101742EffientPrasugrelTablet 10 mg 30 tab$420No
101743EffientPrasugrelTablet 5 mg 30 tab$420No
8155EliquisApixabanTablet 2.5 mg 180 tab$420No
101775EmendAprepitantCapsule 80 mg 2 cap$420No
101796EntadfiFinasteride/TadalafilCapsule 5/5 mg/mg 30 cap$420No
101815EpivirLamivudineTablet 300 mg 30 tab$420No
101854Exforge HCTAmlodipine/Valsartan/HydrochlorothiazideTablet 10/320/25 mg/mg/mg 30 tab$420No
101870EysuvisLoteprednol EtabonateOphthalmic Suspension 0.25 % 8.3 ml$420No
101896FetzimaLevomilnacipranCapsule 120 mg 30 cap$420No
101897FetzimaLevomilnacipranCapsule 20 mg 30 cap$420No
101898FetzimaLevomilnacipranCapsule 40 mg 30 cap$420No
101899FetzimaLevomilnacipranCapsule 80 mg 30 cap$420No
100415FosaprepitantFosaprepitant DimeglumineVial 150 mg 1 Vial$420Yes
101973Genotropin MiniquickSomatropinPre-Filled Syringe 0.4 mg 1.75 ml$420Yes
102017Granixtbo-FilgrastimPre-Filled Syringe 480/0.8 mcg/ml 0.8 ml$420Yes
102021GvokeGlucagonPre-Filled Syringe 1/0.2 mg/ml 0.2 ml$420No
102023GvokeGlucagonVial 1/0.2 mg/ml 0.2 ml$420No
102045HizentraImmune Globulin (Human)Pre-Filled Syringe 2/10 g/ml 10 ml$420No
102049HizentraImmune Globulin (Human)Vial 2/10 g/ml 10 ml$420No
102051HorizantGabapentinTablet 300 mg 30 tab$420No
102052HorizantGabapentinTablet 600 mg 30 tab$420No
102059Humalog KwikpenInsulin LisproAutoinjector 200 iu/ml 6 ml$420Yes
102077Humulin 30/70Insulin NPH/Insulin RegularCartridge 100 iu/ml 15 ml$420Yes
100545IbandronateIbandronate SodiumPre-Filled Syringe 3/3 mg/ml 3 ml$420No
102112IlevroNepafenacOphthalmic Suspension 0.3 % 3 ml$420No
102124ImitrexSumatriptan SuccinateCartridge 6/0.5 mg/ml 1 ml$420No
102127ImitrexSumatriptan SuccinateInjection Kit 6/0.5 mg/ml 0.5 ml$420No
102126Imitrex DFSumatriptan SuccinateTablet 50 mg 6 tab$420No
102207JanumetSitagliptin Phos/Metformin HclTablet 50/1000 mg/mg 60 tab$420No
102208JanumetSitagliptin Phos/Metformin HclTablet 50/500 mg/mg 60 tab$420No
102209Janumet XRSitagliptin Phos/Metformin HclTablet 100/1000 mg/mg 30 tab$420No
102210Janumet XRSitagliptin Phos/Metformin HclTablet 50/1000 mg/mg 60 tab$420No
102211Janumet XRSitagliptin Phos/Metformin HclTablet 50/500 mg/mg 60 tab$420No
102218JardianceEmpagliflozinTablet 10 mg 30 tab$420No
102220JardianceEmpagliflozinTablet 25 mg 30 tab$420No
102280KerydinTavaboroleTopical Solution 5 % 4 ml$420No
102298Kombiglyze XRSaxagliptin Hcl/Metformin HclTablet 2.5/1000 mg/mg 60 tab$420No
102299Kombiglyze XRSaxagliptin Hcl/Metformin HclTablet 5/500 mg/mg 30 tab$420No
102300Kombiglyze XRSaxagliptin Hcl/Metformin HclTablet 5/1000 mg/mg 30 tab$420No
102320Lamictal ODTLamotrigineTablet 100 mg 30 tab$420No
100651LetrozoleLetrozoleTablet 2.5 mg 30 Tab$420No
100655LevetracetamLevetracetamTablet 500 mg 120 Tab$420No
100722MycophenolateMycophenolate MofetilTablet 180 mg 120 Tab$420No
100729MyoblocRimabotulinumtoxinBVial 2500/0.5 IU/ml 0.5 ml$420Yes
102546Namzaric Titration PackMemantine Hcl/Donepezil HclCapsule 7/10/14/21 mg 28 cap$420No
100739NevirapineNevirapineTablet 400 mg 30 Tab$420No
102663OctagamImmun Globg(Igg)/Malt/Iga Ov47Vial 2.5/50 g/ml 50 ml$420No
102746PalforziaPeanut Allergen Powder-dnfpCapsule 0.5-6 mg 13 cap$420No
102835PremarinEstrogensTablet 0.3 mg 100 tab$420No
102836PremarinEstrogensTablet 0.625 mg 100 tab$420No
7979ProcritEpoetin AlfaPre-Filled Syringe 3000 iu w/ Protec 1.8 ml$420Yes
102913QternDapagliflozin/SaxagliptinTablet 10/5 mg/mg 30 tab$420No
102914QternDapagliflozin/SaxagliptinTablet 5/5 mg/mg 30 tab$420No
12303QuelicinSuccinylcholine ChlorideVial 20 mg/ml 200 ml$420No
7603RenvelaSevelamer CarbonateTablet 800 mg 180 tab$420No
102992RetacritEpoetin Alfa-epbxVial 4,000 Units/ml 10 ml$420Yes
103050RowasaMesalazineEnema 4 g 420 ml$420No
103095SavellaMilnacipran HclTablet 100 mg 60 tab$420No
103096SavellaMilnacipran HclTablet 12.5 mg 60 tab$420No
103097SavellaMilnacipran HclTablet 25 mg 60 tab$420No
103098SavellaMilnacipran HclTablet 50 mg 60 tab$420No
90457SemaglutideSemaglutideVial 1 mg/ml 15 ml$420Yes
6671SensiparCinacalcetTablet 30 mg 30 tab$420No
103184Spiriva HandiHalerTiotropium BromideCapsule with Device 18 mcg 30 Cap$420No
103208Stiolto RespimatTiotropium Br/Olodaterol HclInhaler 2.5/2.5 mcg/mcg 4 g$420No
9384SynjardyEmpagliflozin and MetforminTablet 5/500 mg 180 Tabs$420No
9385SynjardyEmpagliflozin and MetforminTablet 12.5/500 mg 180 Tabs$420No
9383SynjardyEmpagliflozin and MetforminTablet 12.5/1000 mg 180 Tabs$420No
9386SynjardyEmpagliflozin and MetforminTablet 5/1000 mg 180 Tabs$420No
103320TazoracTazaroteneCream Tube 0.0005 % 30 g$420No
103321TazoracTazaroteneCream Tube 0.001 % 30 g$420No
103341Tenoretic 100Atenolol/ChlorthalidoneTablet 100/25 mg 90 tab$420No
5827TiazacDiltiazemCapsule 360 mg 30 cap$420No
103372TikosynDofetiliteCapsule 250 mcg 40 cap$420No
103374TikosynDofetiliteCapsule 500 mcg 40 cap$420No
103387Topamax SprinkleTopiramateCapsule 25 mg 60 cap$420No
103401Travatan ZTravoprostOphthalmic Solution 0.4 % 5 ml$420No
103429TrileptalOxcarbazepineOral Suspension 60 mg/ml 250 ml$420No
103431TrintellixVortioxetine HydrobromideTablet 10 mg 30 tab$420No
103432TrintellixVortioxetine HydrobromideTablet 20 mg 30 tab$420No
103433TrintellixVortioxetine HydrobromideTablet 5 mg 30 tab$420No
103448Trokendi XRTopiramateCapsule 50 mg 30 cap$420No
101146TybostCobicistatTablet 150 mg 30 Tab$420No
108930Viramune XRNevirapineTablet ER 400 mg 90 tab$420No
7406VylomaImiquimodCream 3.75 % 7.5 g$420No
103640XareltoRivaroxabanTablet 10 mg 30 tab$420No
103641XareltoRivaroxabanTablet 15 mg 30 tab$420No
103642XareltoRivaroxabanTablet 2.5 mg 60 tab$420No
103643XareltoRivaroxabanTablet 20 mg 30 tab$420No
103662XembifyImmune Globulin, Human-klhw 20%Vial 2/10 g/ml 10 ml$420Yes
103734ZegalogueDasiglucagon HclAutoinjector 0.6/0.6 mg/ml 0.6 ml$420No
103735ZegalogueDasiglucagon HclAutoinjector 0.6/0.6 mg/ml 0.6 ml$420No
12683ZinecardDexrazoxanePowder Vial 500 mg 1 Vial$420No
5966ZocorSimvastatinTablet 20 mg 84 tab$420No
7405ZyclaraImiquimodCream 3.75 % 7.5 g$420No
103809ZyprexaOlanzapineTablet 5 mg 30 tab$420No
7196EsbrietPirfenidoneTablet 267 mg 21 tab$426No
6993Urso DSUrsodiolTablet 500 mg 100 tab$426No
8688AbilifyAripiprazoleTablet 2 mg 90 tab$432No
100108AranespDarbepoetin AlfaPre-Filled Syringe 10 mcg/ml 1.6 ml$432Yes
101620Combivent RespimatIpratropium/Albuterol (Salbutamol)Inhaler 20/100 mcg/mcg 4 g$432No
100361EpogenEpoetin AlfaVial 20000 iu/ml 10 ml$432Yes
100401FerrlecitSodium Ferric Gluconate/SucroseVial 62.5/5 mg/ml 50 ml$432No
11617Gonal-FFollitropin AlfaAutoinjector 300 iu 1 Autoinjector$432No
102905QelbreeViloxazine HclCapsule 100 mg 30 cap$432No
102906QelbreeViloxazine HclCapsule 150 mg 30 cap$432No
102907QelbreeViloxazine HclCapsule 200 mg 30 cap$432No
63532TrulicityDulaglutideAutoinjector 1.5/0.5 mg/ml 2 ml$432Yes
63531TrulicityDulaglutideAutoinjector 0.75/0.5 mg/ml 2 ml$432Yes
6832VascepaEthyl Eicosapentaenoic AcidCapsule 1 g 120 cap$432No
5562VictozaLiraglutideInjection 6 mg/ml 9 ml$432Yes
6812XeominIncobotulinumtoxinaInjection 100 Unit 1 Vial$432No
6273Seroquel XRQuetiapineTablet 400 mg 60 tab$438No
103200SteglatroErtugliflozin PidolateTablet 15 mg 30 tab$438No
103201SteglatroErtugliflozin PidolateTablet 5 mg 30 tab$438No
11057AptiomEslicarbazepine AcetateTablet 200 mg 30 tab$444No
11058AptiomEslicarbazepine AcetateTablet 400 mg 30 tab$444No
11060AptiomEslicarbazepine AcetateTablet 800 mg 30 tab$444No
101491Basaglar KwikpenInsulin GlargineAutoinjector 100 iu/ml 15 ml$444Yes
11685InnohepTinzaparin SodiumPre-Filled Syringe 12000/0.6 iu/ml 6 ml$444No
100892ProcritEpoetin AlfaVial 2000 iu w/ Protec 6 ml$444Yes
12350SaizenSomatropinVial 5 mg 1 Vial$444Yes
12438Steglujan Ertugliflozin/SitagliptinTablet 15/100 mg 84 tab$444No
12448Steglujan Ertugliflozin/SitagliptinTablet 5/100 mg 84 tab$444No
103370TikosynDofetiliteCapsule 125 mcg 40 cap$444No
74550ZoryveRoflumilastCream 0.3 % 60 g$444No
101592ChantixVareniclineTablet 0.5 mg 56 tab$450No
101593ChantixVareniclineTablet 0.5/1 mg/mg 53 tab$450No
101594ChantixVareniclineTablet 1 mg 56 tab$450No
101648CresembaIsavuconazonium SulfatePowder Vial 372 mg 1 Vial$450Yes
100230CutaquigImmune Globulin Subcutaneous (Human) - hippVial 2/12 g/ml 12 ml$450No
100231CutaquigImmune Globulin Subcutaneous (Human) - hippVial 2/12 g/ml 12 ml$450No
100232CutaquigImmune Globulin Subcutaneous (Human) - hippVial 2/12 g/ml 12 ml$450No
101693DetrolTolterodineTablet 1 mg 60 tab$450No
101694DetrolTolterodineTablet 2 mg 60 tab$450No
100444Gamunex-CImmune Globulin (Human)Vial 2.5/25 g/ml 25 ml$450Yes
100736NeupogenFilgrastimPre-Filled Syringe 300/0.5 mcg/ml 0.5 ml$450Yes
103498UptraviSelexipagVial 1800 mcg 1 Vial$450Yes
103615VyzultaLatanoprostene BunodOphthalmic Solution 0.024 % 5 ml$450Yes
101208XembifyImmune Globulin, Human-klhw 20%Vial 2/10 g/ml 10 ml$450Yes
101213XifaxanRifaximinTablet 200 mg 30 Tab$450No
9285AbilifyAripiprazoleTablet 10 mg 90 Tabs$456No
9337AmergeNaratriptanTablet 2.5 mg 24 tab$456No
7742BriviactBrivaracetamTablet 10 mg 60 tab$456No
7748BriviactBrivaracetamTablet 25 mg 60 tab$456No
7750BriviactBrivaracetamTablet 50 mg 60 tab$456No
7752BriviactBrivaracetamTablet 75 mg 60 tab$456No
7754BriviactBrivaracetamTablet 100 mg 60 tab$456No
101598CialisTadalafilTablet 5 mg 30 tab$456No
6128Dalacin CClindamycinCapsule 300 mg 100 cap$456No
7565DiacomitStiripentolCapsule 250 mg 60 cap$456No
7566DiacomitStiripentolPowder Sachet 250 mg 60 Sachet$456No
8706Pulmicort FlexhalerBudesonideInhaler 400 mcg 3 Inhaler$456No
100942RetacritEpoetin Alfa-epbxVial 3000 iu/ml 10 ml$456Yes
6267SeroquelQuetiapineTablet 200 mg 100 tab$456No
12431SomavertPegvisomantVial 25 mg 1 Vial$456No
98316VeozahFezolinetantTablet 45 mg 90 tab$456No
8663PradaxaDabigatranCapsule 110 mg 180 cap$458No
8669PradaxaDabigatranCapsule 150 mg 60 cap$458No
19717Asacol DRMesalamineTablet 800 mg 270 Tabs$462No
83825Asacol DRMesalamineTablet 800 mg 270 tab$462No
102922QuviviqDaridorexant HclTablet 25 mg 30 tab$462No
102923QuviviqDaridorexant HclTablet 50 mg 30 tab$462No
11566InfugemGemcitabine HydrochlorideInjection 1 g 26.3 ml$468No
12012MonoFerricFerric DerisomaltoseVial 100 mg/ml 5 ml$468No
12013MonoFerricFerric DerisomaltoseVial 500/5 mg/ml 5 ml$468No
6567MotegrityPrucaloprideTablet 2 mg 84 tab$468No
7602RenagelSevelamerTablet 800 mg 180 tab$468No
6098ZithromaxAzithromycin Tablet 600 mg 30 tab$468No
100001AbacavirAbacavirTablet 300 mg 60 Tab$480No
101282Actoplus MetPioglitazone/MetforminTablet 15/850 mg 60 tab$480No
101309Advair DiskusFluticasone Propionate/SalmeterolInhaler 500/50 mcg/mcg 60 dose$480No
11023AmjevitaAdalimumabPre-Filled Syringe 20/0.4 mg/ml 0.4 ml$480Yes
101425AriceptDonepezil HclTablet 10 mg 30 tab$480No
101426AriceptDonepezil HclTablet 23 mg 30 tab$480No
101427AriceptDonepezil HclTablet 5 mg 30 tab$480No
101436ArixtraFondaparinuxPre-Filled Syringe 2.5/0.5 mg/ml 5 ml$480No
101447ArthrotecDiclofenac/MisoprostolTablet 50/200 mg/mcg 60 tab$480No
101448ArthrotecDiclofenac/MisoprostolTablet 75/200 mg/mcg 60 tab$480No
11124BenlystaBelimumabVial 120 mg 1 Vial$480Yes
98795Bevespi AerosphereFormoterol/GlycopyrrolateInhaler 7.2/5 mcg/ml 32.1$480No
100158BicalutamideBicalutamideTablet 50 mg 30 Tab$480No
101518BiltricidePraziquantelTablet 600 mg 6 tab$480No
100171BotoxOnabotulinumtoxinaVial 50 IU 1 Vial$480Yes
101564CaduetAmlodipine /AtorvastatinTablet 10/10 mg/mg 30 tab$480No
100246CyclophosphamideCyclophosphamideVial 500/2.5 mg/ml 1 ML$480No
101663CymbaltaDuloxetine HclCapsule 20 mg 30 cap$480No
6723DDAVPDesmopressinTablet 240 mcg 90 tab$480No
100287DocetaxelDocetaxelVial 160/16 mg/ml 16 ml$480No
101712DuetactPioglitazone/GlimepirideTablet 30/2 mg/mg 30 tab$480No
101713DuetactPioglitazone/GlimepirideTablet 30/4 mg/mg 30 tab$480No
101727Dyanavel XRAmphetamineTablet 10 mg 30 tab$480No
101728Dyanavel XRAmphetamineTablet 15 mg 30 tab$480No
101729Dyanavel XRAmphetamineTablet 20 mg 30 tab$480No
101754EligardLeuprolide AcetateInjection Kit 7.5 mg 1 Kit$480Yes
101756EliquisApixabanTablet 2.5 mg 60 tab$480No
101758EliquisApixabanTablet 5 mg 60 tab$480No
5561EliquisApixabanTablet 5 mg 180 tab$480No
100317EmendFosaprepitant DimeglumineVial 150 mg 1 Vial$480No
100355EpinephrineEpinephrineAutoinjector 0.15/0.3 mg/ml 2 Autoinjector$480No
100356EpinephrineEpinephrineAutoinjector 0.3/0.3 mg/ml 2 Autoinjector$480No
101814EpivirLamivudineTablet 150 mg 60 tab$480No
101839EstringEstradiolVaginal Ring 2 mg 1 Ring$480No
100384ExemestaneANTINEOPLASTIC - AROMATASE INHIBITORSTablet 25 mg 30 Tab$480No
7236ExjadeDeferasiroxTablet 125 mg 28 tab$480No
101881FarxigaDapagliflozinTablet 10 mg 30 tab$480No
101882FarxigaDapagliflozinTablet 5 mg 30 tab$480No
101900FiaspInsulin AspartCartridge 100 iu/ml 15 ml$480Yes
101901Fiasp FlextouchInsulin AspartAutoinjector 100 iu/ml 15 ml$480Yes
7377FibristalUlipristalTablet 5 mg 30 tab$480No
101905FirmagonDegarelixVial Kit 80 mg 1 Kit$480No
101927FragminDalteparin SodiumPre-Filled Syringe 10000/0.4 iu/ml 4 ml$480No
101985GiaprezaAngiotension IiIV Solution 0.5 mg/mL 1 ml$480Yes
100517Humate-PAntihemophilic Factor/VWFVial Kit 250 IU 250 IU$480No
11641HumatropeSomatropinCartridge 6 mg 1 Cartridge$480Yes
11642HumatropeSomatropinPowder Vial 5 mg 1 Vial$480Yes
100568IntronINTERFERON ALFA-2B,RECOMB.Vial 10000000 IU 5 ml$480Yes
6207Intuniv XRGuanfacineTablet 1 mg 100 tab$480No
102160Invega ERPaliperidoneTablet 3 mg 30 tab$480No
102161Invega ERPaliperidoneTablet 6 mg 30 tab$480No
102184IsentressRaltegravir PotassiumTablet 100 mg 60 tab$480No
5844KeppraLevetiracetamTablet 750 mg 120 tab$480No
102307KovaltryAntihemophilic Factor Viii (Recombinant)Vial Kit 250 IU 250 IU$480Yes
102321Lamictal ODTLamotrigineTablet 200 mg 30 tab$480No
102404LumiganBimatoprostOphthalmic Solution 0.01 % 5 ml$480No
102473MaxaltRizatriptan BenzoateTablet 10 mg 18 tab$480No
102500MirceraMethoxy Peg-Epoetin BetaPre-Filled Syringe 150/0.3 mcg/ml 0.3 ml$480Yes
102501MirceraMethoxy Peg-Epoetin BetaPre-Filled Syringe 200/0.3 mcg/ml 0.3 ml$480Yes
102506MirvasoBrimonidine TartrateTopical Gel 0.33 % 30 g$480No
11996MutamycinMitomycinVial 20 mg 1 Vial$480No
56324MyforticMycophenolateTablet 360 mg 120 Tabs$480No
102542NamzaricMemantine Hcl/Donepezil HclCapsule 14 mg 30 cap$480No
102543NamzaricMemantine Hcl/Donepezil HclCapsule 21 mg 30 cap$480No
102544NamzaricMemantine Hcl/Donepezil HclCapsule 28 mg 30 cap$480No
102545NamzaricMemantine Hcl/Donepezil HclCapsule 7 mg 30 cap$480No
102571NeurontinGabapentinCapsule 300 mg 100 cap$480No
102575NexletolBempedoic AcidTablet 180 mg 30 tab$480No
100749NivestymFilgrastim-aafiPre-Filled Syringe 480/0.8 mcg/ml 0.8 ml$480Yes
102635Nucynta ERTapentadol HclTablet 50 mg 60 tab$480No
29249Nurtec ODTRimegepantTablet 75 mg 8 Tabs$480No
83123Nurtec ODTRimegepant SulfateTablet 75 mg 8 tab$480No
100785OctagamImmun Globg(Igg)/Malt/Iga Ov49Vial 2/20 g/ml 20 ml$480No
12128OmnitropeSomatropinCartridge 10/1.5 mg/ml 1.5 ml$480Yes
8502OrilissaElagolixTablet 200 mg 56 tab$480No
102768PanzygaImmune globulinSolution 2.5/25 g/ml 25 ml$480Yes
102787PentasaMesalamineCapsule 500 mg 120 cap$480No
102838PrepidilDinoprostoneVaginal Gel 0.5 mg 2.5 ml$480Yes
102839PrevymisLetermovirInjection 240/12 mg/ml 12 ml$480No
102840PrevymisLetermovirInjection 480/24 mg/ml 24 ml$480No
102862ProcritEpoetin AlfaVial 3,000 units/ml 6 ml$480Yes
100897PrografTacrolimusCapsule 0.5 mg 100 Cap$480No
102887ProveraMedroxyprogesterone AcetateTablet 10 mg 100 tab$480No
94806RepathaEvolocumabAutoinjector 140 mg/ml 2 ml$480Yes
100937RepathaEvolocumabPre-Filled Syringe 140 mg/ml 1 ml$480Yes
102979Repatha PushtronexEvolocumabOn-Body Injector 420/3.5 mg/ml 3.5 ml$480Yes
12318RiabniRituximabVial 100/10 mg/ml 10 ml$480No
12416Solu-CortefHydrocortisone Sodium SuccinateAct-O-Vial 1 g 40 Vial$480No
103167SomavertPegvisomantVial Kit 15 mg 1 Vial$480Yes
103185Spiriva RespimatTiotropium BromideInhaler 2.5 mcg 4 g$480No
103202SteglujanErtugliflozin/Sitagliptin PhosTablet 15/100 mg/mg 30 tab$480No
103203SteglujanErtugliflozin/Sitagliptin PhosTablet 5/100 mg/mg 30 tab$480No
9499Tarceva ErlotinibTablet 25 mg 30 tab$480No
103381TivicayDolutegravir SodiumTablet 5 mg 60 tab$480No
103392Toujeo Max SolostarInsulin Glargine,Hum.Rec.AnlogAutoinjector 300 iu/ml 6 ml$480Yes
103400TradjentaLinagliptinTablet 5 mg 30 tab$480No
10000005TresibaInsulin DegludecAutoinjector 100 U 15 ml$480Yes
103449TrulancePlecanatideTablet 3 mg 30 tab$480No
7086TrulicityDulaglutideAutoinjector 0.75/0.5 mg/ml 2 ml$480Yes
7087TrulicityDulaglutideAutoinjector 1.5/0.5 mg/ml 2 ml$480Yes
103502UrsoUrsodiolTablet 250 mg 100 tab$480No
103517VarubiRolapitantTablet 90 mg 2 tab$480No
103632XanaxAlprazolamTablet 0.25 mg 100 tab$480No
103636Xanax XRAlprazolamTablet 0.5 mg 60 tab$480No
6443XifaxanRifaximinTablet 550 mg 42 tab$480No
10929ZiagenAbacavirTablet 300 mg 60 tab$480No
5967ZocorSimvastatinTablet 40 mg 84 tab$480No
64934ZofranOndansetronTablet 4 mg 100 tab$480No
103810ZyprexaOlanzapineTablet 7.5 mg 30 tab$480No
103814Zyprexa ZydisOlanzapineTablet 5 mg 30 tab$480No
6243Zyprexa ZydisOlanzapineTablet 15 mg 28 tab$480No
7135ElmironPentosan Polysulfate SodiumCapsule 100 mg 100 cap$492No
12084NorvirRitonavirOral Solution 80 mg/ml 240 ml$492No
6134BiaxinClarithromycinTablet 500 mg 100 tab$498No
103539VenclextaVenetoclaxTablet 50 mg 7 tab$498No
6336ActonelRisedronateTablet 30 mg 30 tab$504No
6979AranespDarbepoetin AlfaPre-Filled Syringe 30 mcg/ml 1.2 ml$504Yes
6572CarnitorLevocarnitineVial 200 mg/ml 25 ml$504No
6766FetzimaLevomilnacipranCapsule 20 mg 90 cap$504No
5613Invega SustennaPaliperidoneInjection Kit 50/0.5 mg/ml 1 Kit$504No
34361KerendiaFinerenoneTablet 10 mg 90 tab$504No
34363KerendiaFinerenoneTablet 20 mg 90 tab$504No
5597LupronLeuprolideInjection Kit 3.75 mg 1 Kit$504No
7730RidauraAuranofinCapsule 3 mg 60 cap$504No
6679SensiparCinacalcetTablet 30 mg 30 tab$504No
8842SporanoxItraconazoleCapsule 100 mg 90 cap$504No
101161ValacyclovirValacyclovir HClTablet 500 mg 90 Tab$504No
6236ZyprexaOlanzapineTablet 5 mg 84 tab$504No
101334Afrezzainsulin humanInhalation Powder 4 Units 90 Cartridge$510Yes
100086AmitizaLubiprostoneCapsule 24 mcg 60 Cap$510No
100087AmitizaLubiprostoneCapsule 8 mcg 60 Cap$510No
101468AvsolaInfliximab-AxxqVial 100 mg 1 mg$510Yes
100142AzacitidineAzacitidineVial 100 mg 1 Vial$510No
101497BenefixCoagulation Factor IX (Recombinant)Vial Kit 250 IU 250 IU$510Yes
100245CyclophosphamideCyclophosphamidePowder Vial 500 mg 1 Vial$510No
101822EpogenEpoetin AlfaVial 3000 units/ml 10 ml$510Yes
100426GammagardImmune Globulin (Human)Vial 2.5/25 g/ml 25 ml$510Yes
100557InfedIron DextranVial 50 mg/ml 20 ml$510No
102365LicartDiclofenac EpolaminePatch 1.3 % 15 Patch$510No
103159SoltamoxTamoxifen CitrateOral Solution 20/10 mg/ml 150 ml$510No
90459TirzepatideTirzepatideVial 10 mg/ml 6 ml$510Yes
8690AbilifyAripiprazoleTablet 5 mg 90 tab$516No
7433AravaLeflunomideTablet 10 mg 30 tab$516No
7438AravaLeflunomideTablet 20 mg 30 tab$516No
7606BanzelRufinamideTablet 400 mg 120 tab$516No
8742CialisTadalafilTablet 2.5 mg 84 tab$516No
100221CreonPancrelipaseCapsule 12000-38000 IU 100 Cap$516No
6955CupriminePenicillamineCapsule 250 mg 100 cap$516No
7426FosrenolLanthanumChewable Tablet 750 mg 90 tab$516No
11686InnohepTinzaparin SodiumPre-Filled Syringe 14000/0.7 iu/ml 7 ml$516No
11727KyleenaLevonorgestrelIUD 19.5 mg 1 Device$516No
8058MirenaLevonorgestrelIUD 52 mg 1 IUD$516No
8327MonoviscHyaluronic AcidPre-Filled Syringe 88/4 mg/ml 4 ml$516No
8321OrthoviscHyaluronic AcidPre-Filled Syringe 30/2 mg/ml 6 ml$516No
19700Asacol DR MesalamineTablet 800 mg 360 tab$528No
11324CorvertIbutilideInjection 0.1 mg/ml 10 ml$528No
12334Risperdal ConstaRisperidoneVial Kit 37.5 mg 1 Kit$528No
6770FetzimaLevomilnacipranCapsule 40 mg 90 cap$534No
101285ActosPioglitazoneTablet 45 mg 30 tab$540No
101319AdvateAntihemophilic Factor (Recombinant)Vial 250 IU 250 IU$540Yes
101342AfstylaAntihemophilic Factor (Recombinant), Single ChainVial Kit 250 IU 1 IU$540Yes
100085AminocaproicAminocaproic AcidTablet 500 mg 30 Tab$540No
100098AprepitantAprepitantCapsule 80-125 mg 3 Cap$540No
101545BrixadiBuprenorphinePre-Filled Syringe 16 mg 0.32 ml$540No
101546BrixadiBuprenorphinePre-Filled Syringe 24 mg 0.48 ml$540No
101547BrixadiBuprenorphinePre-Filled Syringe 32 mg 0.64 ml$540No
101549BrixadiBuprenorphinePre-Filled Syringe 8 mg 0.16 ml$540No
101556ByfavoRemimazolamPowder Vial 20 mg 10 Vial$540No
100183CapecitabineCapecitabineTablet 150 mg 60 Tab$540No
101576CarduraDoxazosinTablet 1 mg 100 tab$540No
101577CarduraDoxazosinTablet 2 mg 100 tab$540No
56511CellCeptMycophenolateCapsule 250 mg 100 Caps$540No
8747CialisTadalafilTablet 20 mg 90 tab$540No
8299CialisTadalafilTablet 5 mg 84 tab$540No
100238CuvitruImmune GlobulinVial 2/10 g/ml 10 ml$540No
101803Envarsus XRTacrolimusTablet 0.75 mg 100 tab$540No
101931FragminDalteparin SodiumPre-Filled Syringe 5000/0.2 iu/ml 2 ml$540No
101939FycompaPerampanelTablet 2 mg 30 tab$540No
101944GamastanImmune Globulin (Human)Vial 15-18/10 %-%/ml 10 ml$540Yes
100463GenotropinSomatropinPre-Filled Syringe 0.4 mg 7 PFS$540Yes
100492Granixtbo-FilgrastimPre-Filled Syringe 480/0.8 mcg/ml 0.8 ml$540Yes
100511HizentraImmune Globulin (Human)Vial 2/10 g/ml 10 ml$540No
100514HizentraImmune Globulin (Human)Pre-Filled Syringe 2/10 g/ml 10 ml$540No
102086HyqviaImmune Globulin (Human)Vial 2.5/25 g/ml 25 ml$540Yes
102180InvokanaCanagliflozinTablet 100 mg 30 tab$540No
102181InvokanaCanagliflozinTablet 300 mg 30 tab$540No
100577IsotretinoinIsotretinoinCapsule 30 mg 30 Cap$540No
11728KynmobiApomorphine HydrochlorideSublingual Film 10 mg 30 Sublingual Film$540No
11729KynmobiApomorphine HydrochlorideSublingual Film 15 mg 30 Sublingual Film$540No
11737KynmobiApomorphine HydrochlorideSublingual Film 20 mg 30 Sublingual Film$540No
11738KynmobiApomorphine HydrochlorideSublingual Film 25 mg 30 Sublingual Film$540No
11739KynmobiApomorphine HydrochlorideSublingual Film 30 mg 30 Sublingual Film$540No
102319LacrisertHydroxypropyl CelluloseOphthalmic Insert 5 mg 60 Insert$540No
7312Lovenox HPEnoxaparinPre-Filled Syringe 150/1 mg/ml 10 ml$540No
102494Mirapex ERPramipexole Di-HclTablet 0.375 mg 30 tab$540No
102495Mirapex ERPramipexole Di-HclTablet 1.5 mg 30 tab$540No
102496Mirapex ERPramipexole Di-HclTablet 3 mg 30 tab$540No
102497Mirapex ERPramipexole Di-HclTablet 4.5 mg 30 tab$540No
102562NeupogenFilgrastimPre-Filled Syringe 480/0.8 mcg/ml 0.8 ml$540Yes
12081Norditropin FlexProSomatropinAutoinjector 10/1.5 mg/ml 1.5 ml$540Yes
102617Novolog Mix 70/30Insulin AspartCartridge 100 iu/ml 15 ml$540Yes
100775NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 250 IU 250 IU$540Yes
102678OmnitropeSomatropinCartridge 5/1.5 mg/ml 1.5 ml$540Yes
7981ProcritEpoetin AlfaPre-Filled Syringe 4000 iu w/ Protec 2.4 ml$540Yes
7991ProcritEpoetin AlfaPre-Filled Syringe 20000 iu w/ Protec 0.5 ml$540Yes
100901PrografTacrolimusSachet 1 mg 50 Sachet$540No
102885ProtopicTacrolimusTopical Ointment 0.001 % 60 g$540No
103037Risperdal ConstaRisperidoneVial Kit 25 mg 1 Kit$540Yes
103094SavaysaEdoxaban TosylateTablet 15 mg 30 tab$540No
103160SomaCarisoprodolTablet 250 mg 100 tab$540No
103249Symlipen 120Pramlintide AcetateAutoinjector 2700/2.7 mcg/ml 5.4 ml$540Yes
103260SynjardyEmpagliflozin/Metformin HclTablet 12.5/1000 mg/mg 60 tab$540No
103262SynjardyEmpagliflozin/Metformin HclTablet 12.5/500 mg/mg 60 tab$540No
103264SynjardyEmpagliflozin/Metformin HclTablet 5/1000 mg/mg 60 tab$540No
103266SynjardyEmpagliflozin/Metformin HclTablet 5/500 mg/mg 60 tab$540No
103332Tegretol XRCarbamazepineTablet 400 mg 100 tab$540No
12545TreandaBendamustinePowder Vial 25 mg/ml 1 Vial$540No
103414TresibaInsulin DegludecAutoinjector 200 U 9 ml$540Yes
103421Trijardy XREmpaglifloz/Linaglip/MetforminTablet 10/5/1000 mg 30 tab$540No
103422Trijardy XREmpaglifloz/Linaglip/MetforminTablet 12.5/2.5/1000 mg 60 tab$540No
103423Trijardy XREmpaglifloz/Linaglip/MetforminTablet 25/5/1000 mg 30 tab$540No
103424Trijardy XREmpaglifloz/Linaglip/MetforminTablet 5/2.5/1000 mg 60 tab$540No
103521VasotecEnalapril MaleateTablet 5 mg 30 tab$540No
90005Xigduo XRDapagliflozin/MetforminTablet 5/1000 mg 60 tab$540No
90021Xigduo XRDapagliflozin/MetforminTablet 2.5/1000 mg 60 tab$540No
90022Xigduo XRDapagliflozin/MetforminTablet 5/500 mg 30 tab$540No
90023Xigduo XRDapagliflozin/MetforminTablet 10/1000 mg 30 tab$540No
90024Xigduo XRDapagliflozin/MetforminTablet 10/500 mg 30 tab$540No
7914XolairOmalizumabPre-Filled Syringe 75/0.5 mg/ml 1 PFS$540Yes
7023XultophyDegludec/LiraglutideAutoinjector 100/3.6 u-mg/ml 15 ml$540Yes
103707XynthaAntihemophilic Factor (Recombinant) 500 IU 500 Unit$540Yes
103769ZianaClindamycin Phosphate/TretinoinGel Tube 1.2/0.025 %/% 60 g$540No
103781ZomigZolmitriptanNasal Spray 2.5 mg 6 Dose$540No
103782ZomigZolmitriptanNasal Spray 5 mg 6 Dose$540No
103786ZortressEverolimusTablet 0.25 mg 60 tab$540No
103802Zyprexa RelprevvOlanzapine PamoateVial Kit 210 mg 1 Kit$540No
101423ArazloTazaroteneTopical Lotion 0.045 % 45 g$546No
6836BotoxOnabotulinumtoxinAVial 100 Unit 1 Vial$552Yes
6612DysportAbobotulinumtoxinAPowder Vial 300 Unit 1 Vial$552No
8782InvegaPaliperidoneTablet 3 mg 90 tab$552No
12349SaizenSomatropinCartridge 6 mg 1 Cartridge$552Yes
12432SomavertPegvisomantVial 30 mg 1 Vial$552No
101266AbilifyAripiprazoleTablet 10 mg 30 tab$558No
101267AbilifyAripiprazoleTablet 15 mg 30 tab$558No
8846LamisilTerbinafineTablet 250 mg 84 tab$564No
8569PicatoIngenol MebutateGel 0.015 % 3 Unit$564No
8571PicatoIngenol MebutateGel 0.05 % 2 Unit$564No
6244Zyprexa ZydisOlanzapineTablet 20 mg 28 tab$564No
101278ActemraTocilizumabVial 80/4 mg/ml 4 ml$570Yes
101578CarduraDoxazosinTablet 4 mg 100 tab$570No
6773FetzimaLevomilnacipranCapsule 80 mg 90 cap$570No
102509MotegrityPrucalopride SuccinateTablet 1 mg 30 tab$570No
102510MotegrityPrucalopride SuccinateTablet 2 mg 30 tab$570No
102833PraluentAlirocumabAutoinjector 75 mg/ml 2 ml$570Yes
102931RasuvoMethotrexatePre-Filled Syringe 10/0.2 mg/ml 0.8 ml$570No
102932RasuvoMethotrexatePre-Filled Syringe 12.5/0.25 mg/ml 1 ml$570No
102933RasuvoMethotrexatePre-Filled Syringe 15/0.3 mg/ml 1.2 ml$570No
102934RasuvoMethotrexatePre-Filled Syringe 17.5/0.35 mg/ml 1.4 ml$570No
102935RasuvoMethotrexatePre-Filled Syringe 20/0.4 mg/ml 1.6 ml$570No
102936RasuvoMethotrexatePre-Filled Syringe 22.5/0.45 mg/ml 1.8 ml$570No
102937RasuvoMethotrexatePre-Filled Syringe 25/0.5 mg/ml 2 ml$570No
102938RasuvoMethotrexatePre-Filled Syringe 30/0.6 mg/ml 2.4 ml$570No
101271AbilifyAripiprazoleTablet 5 mg 30 tab$576No
8001Aimovig SureClickErenumabAutoinjector 70 mg/ml 1 Auto-Injector$576Yes
8003Aimovig SureClickErenumabAutoinjector 140 mg/ml 1 Auto-Injector$576Yes
5559SaxendaLiraglutideAutoinjector 6 mg/ml 15 ml$576Yes
103169SomavertPegvisomantVial Kit 20 mg 1 Vial$576Yes
8325SynviscHyaluronic AcidPre-Filled Syringe 16/2 mg/ml 6 ml$576No
8323Synvisc-OneHyaluronic AcidPre-Filled Syringe 48/6 mg/ml 6 ml$576No
90308VesanoidTretinoinCapsule 10 mg 100 cap$576No
8788AriceptDonepezilTablet 5 mg 90 tab$588No
8790AriceptDonepezilTablet 10 mg 90 tab$588No
11687InnohepTinzaparin SodiumPre-Filled Syringe 16000/0.8 iu/ml 8 ml$588No
12613VenoferIron SucroseVial 20 mg 50 ml$588No
7802ErbituxCetuximabVial 2 mg/ml 50 ml$599No
8692AbilifyAripiprazoleTablet 10 mg 90 tab$600No
8694AbilifyAripiprazoleTablet 15 mg 90 tab$600No
8696AbilifyAripiprazoleTablet 20 mg 90 tab$600No
8700AbilifyAripiprazoleTablet 30 mg 90 tab$600No
101273AccruferFerric MaltolCapsule 30 mg 60 cap$600No
101305AduhelmAducanumabVial 170/1.7 mg/ml 1.7 ml$600Yes
10955Advagraf ERTacrolimusCapsule 3 mg 50 cap$600No
100043AdvateAntihemophilic Factor (Recombinant)Vial 250IU (200-400) IU 250 IU$600No
7119Aldara PImiquimodCream 5 % 7.5 g$600No
11898AlkeranMelphalanInjection Kit 50 mg 1 Vial$600No
101456Astagraf XLTacrolimusCapsule 5 mg 30 cap$600No
101532Breztri AerosphereBudesonide/Glycopyrrolate/FormoterolInhaler 160/9/4.8 mcg/mcg/mcg 10.7 g$600No
101573CaracFluorouracilCream Tube 0.5 % 30 g$600No
101581CaverjectAlprostadilInjection Kit 20 mcg 6 Vial$600No
101645CreonPancrelipaseCapsule 36,000 USP 100 cap$600No
100241CyclophosphamideCyclophosphamidePowder Vial 1 g 1 Vial$600No
100242CyclophosphamideCyclophosphamidePowder Vial 1 g 1 Vial$600No
100243CyclophosphamideCyclophosphamidePowder Vial 1 g 1 Vial$600No
100274DeferasiroxDeferasiroxTablet 125 mg 30 Tab$600No
101685Depakote DRDivalproex SodiumTablet 500 mg 100 tab$600No
101740Effexor XRVenlafaxine HclCapsule 37.5 mg 90 cap$600No
101798EntrestoSacubitril/ValsartanTablet 24.3/25.7 mg/mg 60 tab$600No
101799EntrestoSacubitril/ValsartanTablet 48.6/51.4 mg/mg 60 tab$600No
101800EntrestoSacubitril/ValsartanTablet 97.2/102.8 mg/mg 60 tab$600No
100358EpivirLamivudineTablet 300 mg 30 Tab$600No
101813Epivir HBVLamivudineTablet 100 mg 60 tab$600No
101836EstraceEstradiolTablet 0.5 mg 100 tab$600No
101837EstraceEstradiolTablet 1 mg 100 tab$600No
6762FamvirFamciclovirTablet 250 mg 90 tab$600No
101892FemringEstradiol AcetateVaginal Ring 0.05 mg/day 1 Ring$600No
101893FemringEstradiol AcetateVaginal Ring 0.1 mg/day 1 Ring$600No
6776FetzimaLevomilnacipranCapsule 120 mg 90 cap$600No
7427FosrenolLanthanumChewable Tablet 1000 mg 90 tab$600No
101924FosrenolLanthanum CarbonateOral Powder 1000 mg 90 Packet$600No
101971GenotropinSomatropinCartridge 5 mg 1 Cartridge$600Yes
101974Genotropin MiniquickSomatropinPre-Filled Syringe 0.6 mg 1.75 ml$600Yes
11618Gonal-FFollitropin AlfaAutoinjector 450 iu 1 Autoinjector$600No
102081Humulin R U-500Insulin RegularVial 500 u/ml 20 ml$600Yes
102130ImitrexSumatriptan SuccinateTablet 100 mg 9 tab$600No
100559InfliximabInfliximabVial 100 mg 1 Kit$600Yes
100576IsotretinoinIsotretinoinCapsule 20 mg 30 Cap$600No
102206JalynDutasteride/Tamsulosin HclCapsule 0.5/0.4 mg/mg 30 cap$600No
102239JubliaEfinaconazoleTopical Solution 10 % 4 ml$600No
102268KeppraLevetiracetamOral Solution 100 mg/ml 473 ml$600No
102275Keppra XRLevetiracetamTablet 750 mg 60 tab$600No
21154KlisyriTirbanibulinOintment 1 % 5 Sachet$600No
102316KyprolisCarfilzomibPowder Vial 10 mg 1 Vial$600Yes
102366LilettaLevonorgestrelIUD 52 mcg 1 IUD$600No
11805LokelmaSodium Zirconium CyclosilicateSachet 5 g 30 Sachet$600No
102408LunestaEszopicloneTablet 1 mg 30 tab$600No
102409LunestaEszopicloneTablet 2 mg 30 tab$600No
102410LunestaEszopicloneTablet 3 mg 30 tab$600No
5601LupronLeuprolideInjection Kit 7.5 mg 1 Kit$600No
102437LyricaPregabalinCapsule 100 mg 90 cap$600No
102439LyricaPregabalinCapsule 150 mg 90 cap$600No
102440LyricaPregabalinCapsule 200 mg 90 cap$600No
102441LyricaPregabalinCapsule 225 mg 90 cap$600No
102442LyricaPregabalinCapsule 25 mg 90 cap$600No
102443LyricaPregabalinCapsule 300 mg 90 cap$600No
102445LyricaPregabalinCapsule 50 mg 90 cap$600No
102447LyricaPregabalinCapsule 75 mg 90 cap$600No
102451LyricaPregabalinOral Solution 20 mg/ml 473 ml$600No
102455Lyumjev Kwikpen JuniorInsulin Lispro-aabcAutoinjector 200/ units/ml 15 ml$600No
6672MenopurMenotropinInjection 75 iu 5 Vial$600No
102521MultaqDronedarone HclTablet 400 mg 60 tab$600No
8343MvasiBevacizumabVial 25 mg/ml 4 ml$600Yes
100720MycophenolateMycophenolate MofetilTablet 500 mg 100 Tab$600No
102539NaftinNaftifine HclGel Tube 2 % 60 g$600No
102552NeoralCyclosporine, ModifiedOral Solution 100 mg/ml 50 ml$600No
102591Nocdurna ODTDesmopressin AcetateTablet 27.7 mcg 30 tab$600No
102592Nocdurna ODTDesmopressin AcetateTablet 55.3 mcg 30 tab$600No
102596Norditropin FlexProSomatropinAutoinjector 5/1.5 mg/ml 1.5 ml$600Yes
102600NorvascAmlodipine BesylateTablet 10 mg 100 tab$600No
102601NorvascAmlodipine BesylateTablet 5 mg 100 tab$600No
102606NovoeightAntihemophilic Factor Viii (Recombinant)Injection Kit 250 IU 250 IU$600No
100786OctagamImmun Globg(Igg)/Malt/Iga Ov50Vial 2.5/50 g/ml 50 ml$600No
100792OctreotideOctreotide AcetateVial 500 mcg/ml 10 ml$600Yes
80013OrgovyxRelugolixTablet 120 mg 30 tab$600No
102725OtrexupMethotrexateAutoinjector 10/0.4 mg/ml 1.6 ml$600No
102726OtrexupMethotrexateAutoinjector 12.5/0.4 mg/ml 1.6 ml$600No
102727OtrexupMethotrexateAutoinjector 15/0.4 mg/ml 1.6 ml$600No
102728OtrexupMethotrexateAutoinjector 17.5/0.4 mg/ml 1.6 ml$600No
102729OtrexupMethotrexateAutoinjector 20/0.4 mg/ml 1.6 ml$600No
102730OtrexupMethotrexateAutoinjector 22.5/0.4 mg/ml 1.6 ml$600No
102731OtrexupMethotrexateAutoinjector 25/0.4 mg/ml 1.6 ml$600No
102738OxytrolOxybutyninTransdermal Patch 36 mg 8 Patch$600No
100843PanzygaImmune GlobulinVial 2.5/25 g/ml 25 ml$600No
102791PertzyePancrelipaseCapsule 16000 USP 100 cap$600No
12278PrevymisLetermovirInjection Solution 480 mg 1 Vial$600No
102863ProcritEpoetin AlfaVial 4,000 units/ml 6 ml$600Yes
7993ProcritEpoetin AlfaPre-Filled Syringe 30000 iu w/ Protec 0.75 ml$600Yes
102872PrografTacrolimusCapsule 1 mg 100 cap$600No
102898Pulmicort RespulesBudesonideAmpule 1/2 mg/ml 60 ml$600No
7026RebifInterferon Beta-1aPre-Filled Syringe 22 mcg 3 PFS$600Yes
102956RecombinateFactor VIII, Recombinant HumanInjection Kit 250 IU 250 IU$600No
102982RestasisCyclosporineOphthalmic Emulsion 0.0005 % 5.5 ml$600No
100943RetacritEpoetin Alfa-epbxVial 4000 iu/ml 10 ml$600Yes
103058RuxienceRituximab-pvvrVial 100/10 mg/ml 10 ml$600Yes
8264RuxienceRituximabVial 100/10 mg/ml 10 ml$600No
103073Rythmol SRPropafenoneCapsule 225 mg 60 cap$600No
7412SabrilVigabatrinTablet 500 mg 200 tab$600No
103082SancusoGranisetronTransdermal Patch 3.1/24 mg/HR 1 Patch$600No
100977SandimmuneCyclosporineCapsule 100 mg 30 Cap$600No
63538SaxendaLiraglutideAutoinjector 6 mg/ml 15 ml$600Yes
103113SensiparCinacalcet HclTablet 30 mg 30 tab$600No
103175SoolantraIvermectinTopical Cream 1 % 60 g$600No
103196StalevoCarbidopa/Levodopa/EntacaponeTablet 125/31.25/200 mg 100 tab$600No
103197StalevoCarbidopa/Levodopa/EntacaponeTablet 100/25/200 mg 100 tab$600No
103198StalevoCarbidopa/Levodopa/EntacaponeTablet 50/12.5/200 mg 100 tab$600No
103199StalevoCarbidopa/Levodopa/EntacaponeTablet 75/18.75/200 mg 100 tab$600No
7295SustivaEfavirenzCapsule 200 mg 90 cap$600No
7296SustivaEfavirenzTablet 600 mg 30 tab$600No
8076TarcevaErlotinibTablet 25 mg 30 tab$600No
9424Tasmar TolcaponeTablet 100 mg 200 tab$600No
103371TikosynDofetiliteCapsule 125 mcg 60 cap$600No
103373TikosynDofetiliteCapsule 250 mcg 60 cap$600No
103375TikosynDofetiliteCapsule 500 mcg 60 cap$600No
103466TyrvayaVarenicline TartrateNasal Spray 0.03 mg 8.4 ml$600No
101156UrsodiolUrsodiolCapsule 300 mg 100 Cap$600No
7395ValcyteValganciclovirOral Solution 50 mg /ml 100 ml$600No
12606VeltassaPatiromerOral Suspension Powder 16.8 g 30 sachet$600No
12607VeltassaPatiromerOral Suspension Powder 8.4 g 30 sachet$600No
103540VenoferIron SucroseVial 100/5 mg/ml 50 ml$600No
103542VenoferIron SucroseVial 200/10 mg/ml 50 ml$600No
12623VfendVoriconazoleTablet 50 mg 30 tab$600No
103573VireadTenofovir Disoproxil FumarateOral Powder 40 mg 60 g$600No
97053VraylarCariprazineCapsule 4.5 mg 30 cap$600No
78373VraylarCariprazineCapsule 3 mg 30 cap$600No
78403VraylarCariprazineCapsule 6 mg 30 cap$600No
78405VraylarCariprazineCapsule 1.5 mg 30 cap$600No
103633XanaxAlprazolamTablet 0.5 mg 100 tab$600No
103684XiidraLifitegrastOphthalmic Solution 5 % 60 Vial$600No
103710XyostedTestosterone EnanthateAutoinjector 100/0.5 mg/ml 2 ml$600No
103711XyostedTestosterone EnanthateAutoinjector 50/0.5 mg/ml 2 ml$600No
103712XyostedTestosterone EnanthateAutoinjector 75/0.5 mg/ml 2 ml$600No
101230ZarxioFilgrastim-sndzPre-Filled Syringe 480/0.8 mcg/ml 0.8 ml$600Yes
103736ZegalogueDasiglucagon HclAutoinjector 0.6/0.6 mg/ml 1.2 ml$600No
103740ZegalogueDasiglucagon HclPre-Filled Syringe 0.6/0.6 mg/ml 1.2 ml$600No
103741ZegalogueDasiglucagon HclPre-Filled Syringe 0.6/0.6 mg/ml 1.2 ml$600No
7034ZiagenAbacavirTablet 300 mg 60 tab$600No
103773ZirabevBevacizumab-bvzrVial 100/4 mg/ml 4 ml$600Yes
8345ZirabevBevacizumabVial 100/4 mg/ml 4 ml$600Yes
103805ZyprexaOlanzapineTablet 10 mg 30 tab$600No
101587CequaCyclosporineOphthalmic Solution 0.09 % 60 ml$606No
7481SynarelNafarelinNasal Solution 2 mg/ml 8 ml$606No
100575IsentressRaltegravir PotassiumTablet 100 mg 60 Tab$612No
101269AbilifyAripiprazoleTablet 2 mg 30 tab$618No
12096NoxafilPosaconazoleVial 300 mg 16.7 ml$624Yes
101095TemozolomideTemozolomideCapsule 20 mg 14 Cap$624No
100100AprisoMesalamineCapsule 0.375 g 120 Cap$630No
101411AranespDarbepoetin AlfaPre-Filled Syringe 25/0.42 mcg/ml 1.68 ml$630Yes
101418AranespDarbepoetin AlfaVial 25 mcg/ml 4 ml$630Yes
101631CorlanorIvabradineTablet 5 mg 60 tab$630No
101632CorlanorIvabradineTablet 7.5 mg 60 tab$630No
100311EligardLeuprolide AcetateInjection Kit 7.5 mg 1 Kit$630Yes
102252KaletraLopinavir/RitonavirSolution 400-100/5 mg-mg/ml 160 ml$630No
100877PraluentAlirocumabAutoinjector 150 mg/ml 2 ml$630Yes
101452Aspruzyo SprinkleRanolazineCapsule 1000 mg 60 cap$636No
100491Granixtbo-FilgrastimPre-Filled Syringe 480/0.8 mcg/ml 0.8 ml$636Yes
100894ProcritEpoetin AlfaVial 3000 iu w/ Protec 6 ml$636Yes
8800Breo ElliptaFluticasone/VilanterolInhaler 200/25 mcg 180 blisters$648No
6208Intuniv XRGuanfacineTablet 2 mg 100 tab$648No
6936PraluentAlirocumabAutoinjector 150 mg/ml 2 PFS$648Yes
6939PraluentAlirocumabAutoinjector 75 mg/ml 2 PFS$648Yes
7381ZoladexGoserelinImplant 3.6 mg 1 Implant$648No
12685ZometaZoledronic AcidIV Solution 4/5 mg/ml 5 ml$648No
100019AcitretinAcitretinCapsule 10 mg 30 Cap$660No
100025ActemraTocilizumabVial 80/4 mg/ml 4 ml$660Yes
10937ActemraTocilizumabVial 200/10 mg/ml 10 ml$660Yes
101347AimovigErenumabAutoinjector 140 mg/ml 1 ml$660Yes
101346Aimovig SureClickErenumabAutoinjector 70 mg/ml 1 ml$660Yes
111319AjovyFremanezumabAutoinjector 225/1.5 mg/ml 1.5 ml$660Yes
111321AjovyFremanezumabPre-Filled Syringe 225/1.5 mg/ml 1.5 ml$660Yes
101351AkynzeoNetupitant/PalonosetronCapsule 300/0.5 mg/mg 1 cap$660No
100096Anoro ElliptaUmeclidinium/VilanterolInhaler 62.5/25 mcg/Act 60 Blisters$660No
100177BreoFluticasone/VilanterolInhaler 100/25 mcg 60 Blisters$660No
100202CinacalcetCinacalcetTablet 30 mg 30 Tab$660No
8698CingalHyaluronic Acid/Triamcinolone HexacetonideInjection 88/18 mg 4 ml$660No
69598DurolaneHyaluronic Acid Pre-Filled Syringe 60/3 mg/ml 3 ml$660Yes
101732DysportAbobotulinumtoxinaPowder Vial 300 units 1 Vial$660Yes
101748Elepsia XRLevetiracetamTablet 1000 mg 30 tab$660No
100348Envarsus XRTacrolimusTablet 0.75 mg 100 Tab$660No
101823EpogenEpoetin AlfaVial 4000 units/ml 10 ml$660Yes
100363EpogenEpoetin AlfaVial 3000 iu/ml 10 ml$660Yes
101841EucrisaCrisaboroleTopical Ointment 0.02 % 60 g$660No
101849ExelonRivastigmineTransdermal Patch 4.6/24 mg/hr 30 Patch$660No
101850ExelonRivastigmineTransdermal Patch 9.5/24 mg/hr 30 Patch$660No
101851ExelonRivastigmineTransdermal Patch 13.3/24 mg/hr 30 Patch$660No
100405FirmagonDegarelixVial Kit 80 mg 1 ml$660No
101962Gamunex-CImmune Globulin (Human)Vial 5/50 g/ml 50 ml$660Yes
100451Gelsyn-3Sodium HyaluronatePre-Filled Syringe 16.8/2 mg/ml 2 ea$660No
100578IsotretinoinIsotretinoinCapsule 40 mg 30 Cap$660No
102276KerendiaFinerenoneTablet 10 mg 30 tab$660No
102278KerendiaFinerenoneTablet 20 mg 30 tab$660No
102405LumiganBimatoprostOphthalmic Solution 0.01 % 7.5 ml$660No
102456Lyumjev KwikpenInsulin Lispro-aabcAutoinjector 100/ units/ml 15 ml$660No
102644Nutropin AQSomatropinAutoinjector 10/2 mg/ml 2 ml$660Yes
102675OmegavenFish Oil TriglyceridesInjectable Emulsion 5/50 g/ml 500 ml$660No
102810PlavixClopidogrel BisulfateTablet 75 mg 90 tab$660No
7983ProcritEpoetin AlfaPre-Filled Syringe 5000 iu w/ Protec 3 ml$660Yes
102986RestorilTemazepamCapsule 7.5 mg 30 cap$660No
103027Rhogam Ultra-Filtered PlusRho D Immune GlobulinPre-Filled Syringe 1500 IU 5 PFS$660Yes
100959RibavirinRibavirinCapsule 200 mg 84 Cap$660No
103078SaizenSomatropinPowder Vial 5 mg 1 Vial$660No
6268SeroquelQuetiapineTablet 300 mg 100 tab$660No
101006SirolimusSirolimusTablet 0.5 mg 100 Tab$660No
17034TruvadaEmtricitabine/TenofovirTablet 200/300 mg 30 tab$660No
103511ValtrexValacyclovir HclTablet 1000 mg 30 tab$660No
103637Xanax XRAlprazolamTablet 1 mg 60 tab$660No
101210XeominIncobotulinumtoxinaPowder Vial 100 Unit 1 Vial$660No
103811Zyprexa ZydisOlanzapineTablet 10 mg 30 tab$660No
11688InnohepTinzaparin SodiumPre-Filled Syringe 18000/0.9 iu/ml 9 ml$666No
101838EstraceEstradiolTablet 2 mg 100 tab$672No
6061AbilifyAripiprazoleInjection Kit 300 mg 1 Vial$684No
6062AbilifyAripiprazoleInjection Kit 400 mg 1 Vial$684No
11702InnohepTinzaparin SodiumVial 10000 iu/ml 20 ml$684No
12138OmnitropeSomatropinCartridge 15/1.5 mg/ml 1.5 ml$684Yes
6237ZyprexaOlanzapineTablet 7.5 mg 84 tab$684No
20346XifaxanRifaximinTablet 550 mg 60 tab$687No
101534Brilinta Hospital UnitTicagrelorTablet 90 mg 100 tab$690No
101655CuvposaGlycopyrrolateOral Solution 1/5 mg/ml 473 ml$690No
102019GvokeGlucagonAutoinjector 0.5/0.1 mg/ml 0.2 ml$690No
102020GvokeGlucagonAutoinjector 1/0.2 mg/ml 0.4 ml$690No
103624WinleviClascoteroneCream Tube 0.01 % 60 g$690Yes
11895MegaceMegestrolSuspension 40 mg/ml 240 ml$696No
6981AranespDarbepoetin AlfaPre-Filled Syringe 40 mcg/ml 1.6 ml$708Yes
6805Bicillin LAPenicillin G BenzathineInjection 1200/2 mu/ml 20 ml$708No
5614Invega SustennaPaliperidoneInjection Kit 75/0.75 mg/ml 1 Kit$708No
5616Invega SustennaPaliperidoneInjection Kit 100 mg/ml 1 Kit$708No
12335Risperdal ConstaRisperidoneVial Kit 50 mg 1 Kit$708No
12605VelphoroSucroferric OxyhydroxideChewable Tablet 500 mg 90 tab$708No
6209Intuniv XRGuanfacineTablet 3 mg 100 tab$714No
44793AbriladaAdalimumabPre-Filled Syringe 20/0.4 mg/ml 2 PFS$720Yes
9312Afinitor EverolimusTablet 2.5 mg 30 tab$720No
101352AkynzeoNetupitant/PalonosetronVial 235-0.25/20 mg-mg/ml 20 ml$720No
100073AlphanateAntihemophilic Factor/VwfVial Kit 500 IU 500 IU$720No
100141AvsolaInfliximab-AxxqVial 100 mg 1 Vial$720Yes
101487BaqsimiGlucagon 3 mg/Device 2 Dose$720No
101520BivigamImmune GlobulinVial 5/50 g/ml 50 ml$720Yes
101554ByettaExenatideAutoinjector 10 mcg/dose 2.4 ml$720Yes
101555ByettaExenatideAutoinjector 5 mcg/dose 1.2 ml$720Yes
101583CellceptMycophenolateCapsule 250 mg 100 cap$720No
100208ClaravisIsotretinoinCapsule 30 mg 30 Cap$720No
101625ComtanEntacaponeTablet 200 mg 100 tab$720No
45609CreonPancreatic EnzymeCapsule 25000 Units 600 Caps$720No
11329CuvposaGlycopyrrolateOral Solution 1/5 mg/ml 473 ml$720No
7584EdurantRilpivirineTablet 25 mg 30 tab$720No
101777Emend Tri-PackAprepitantCapsule 125-80 mg-mg 3 cap$720No
100330EmtrivaEmtricitabineCapsule 200 mg 30 Tab$720No
101891FemaraLetrozoleTablet 2.5 mg 30 tab$720No
100410FlebogammaImmune Globulin (Human)Vial 5/100 g/ml 100 ml$720No
101906FlomaxTamsulosinCapsule 0.4 mg 100 cap$720No
101915Follistim AQFollitropin BetaVial 300/0.36 IU/ml 0.36 ml$720Yes
12301Follistim AQFollitropin BetaInjection 600 IU 0.72 ml$720No
100421FulvestrantFulvestrantPre-Filled Syringe 250/5 mg/ml 10 ml$720Yes
24983FycompaPerampanelTablet 6 mg 28 tab$720No
25030FycompaPerampanelTablet 4 mg 28 tab$720No
25031FycompaPerampanelTablet 8 mg 28 tab$720No
25032FycompaPerampanelTablet 10 mg 28 tab$720No
25033FycompaPerampanelTablet 12 mg 28 tab$720No
101975Genotropin MiniquickSomatropinPre-Filled Syringe 0.8 mg 1.75 ml$720Yes
9479GleevecImatinibTablet 100 mg 60 tab$720No
102022GvokeGlucagonPre-Filled Syringe 1/0.2 mg/ml 0.4 ml$720No
17933HexalenAltretamineCapsule 50 mg 100 cap$720No
102046HizentraImmune Globulin (Human)Pre-Filled Syringe 4/20 g/ml 20 ml$720No
102050HizentraImmune Globulin (Human)Vial 4/20 g/ml 20 ml$720No
44795HulioAdalimumabPre-Filled Syringe 20/0.4 mg/ml 2 ea$720Yes
100540HyqviaImmune Globulin (Human)Vial 2.5/25 g/ml 26.25 ml$720Yes
107493HyrimozAdalimumabPre-Filled Syringe 20/0.2 mg/ml 0.4 ml$720Yes
44799HyrimozAdalimumabPre-Filled Syringe 20/0.4 mg/ml 0.8 ml$720Yes
102135ImuranAzathioprineTablet 50 mg 100 tab$720No
102149InpefaSotagliflozinTablet 200 mg 30 tab$720No
102162Invega ERPaliperidoneTablet 9 mg 30 tab$720No
102222JatenzoTestosterone UndecanoateCapsule 158 mg 120 cap$720No
102223JatenzoTestosterone UndecanoateCapsule 198 mg 120 cap$720No
100654LeuprolideLeuprolide AcetateInjection Kit 1/0.2 mg/ml 1 Kit$720No
102376LivaloPitavastatin CalciumTablet 2 mg 90 tab$720No
102377LivaloPitavastatin CalciumTablet 4 mg 90 tab$720No
115025Lo Loestrin FENorethindrone-Ethinyl Estradiol/Ethinyl Estradiol/Ferrous FumarateTablet 10/10/2001 12:00:00 AM mg-mcg/mg 140 tab$720No
102436LyricaPregabalinCapsule 100 mg 100 cap$720No
102438LyricaPregabalinCapsule 150 mg 100 cap$720No
102444LyricaPregabalinCapsule 50 mg 100 cap$720No
102446LyricaPregabalinCapsule 75 mg 100 cap$720No
100691MayzentSiponimodTablet 0.25 mg 7 Tab$720Yes
102530MyforticMycophenolate SodiumTablet 180 mg 120 tab$720No
100738NeupogenFilgrastimPre-Filled Syringe 480/0.8 mcg/ml 0.8 ml$720Yes
102564NeuproRotigotineTransdermal Patch 1 mg 30 Patch$720No
102565NeuproRotigotineTransdermal Patch 2 mg 30 Patch$720No
102566NeuproRotigotineTransdermal Patch 3 mg 30 Patch$720No
102567NeuproRotigotineTransdermal Patch 4 mg 30 Patch$720No
102568NeuproRotigotineTransdermal Patch 6 mg 30 Patch$720No
102569NeuproRotigotineTransdermal Patch 8 mg 30 Patch$720No
102643Nurtec ODTRimegepant SulfateTablet 75 mg 8 tab$720No
100813OrthoviscHyaluronate SodiumPre-Filled Syringe 30/2 mg/ml 2 ml$720No
102797PertzyePancrelipaseCapsule 8000 USP 250 cap$720No
7266PifeltroDoravirineTablet 100 mg 30 tab$720No
100878PraluentAlirocumabAutoinjector 150 mg/ml 2 ml$720Yes
100879PraluentAlirocumabAutoinjector 75 mg/ml 2 ml$720Yes
102871ProfilnineFactor Ix ComplexVial Kit 500 Unit 500 Unit$720No
55831Prolastin-CAlpha 1-Proteinase InhibitorPowder For Solution 1000 mg 1 Vial$720Yes
6983ProliaDenosumabPre-Filled Syringe 60 mg/ml 1 PFS$720Yes
7027RebifInterferon Beta-1aPre-Filled Syringe 44 mcg 3 PFS$720Yes
8260RenflexisInfliximabVial 100 mg 1 Vial$720Yes
102984RestorilTemazepamCapsule 22.5 mg 30 cap$720No
103029RiabniRituximab-arrxVial 100/10 mg/ml 10 ml$720Yes
103074Rythmol SRPropafenoneCapsule 325 mg 60 cap$720No
103075Rythmol SRPropafenoneCapsule 425 mg 60 cap$720No
103108SelzentryMaravirocTablet 25 mg 120 tab$720No
6673SensiparCinacalcetTablet 60 mg 30 tab$720No
7313Trelstar SRTriptorelinInjection Kit 3.75 mg 1 Kit$720Yes
103450TrulicityDulaglutideAutoinjector 0.75/0.5 mg/ml 2 ml$720Yes
103451TrulicityDulaglutideAutoinjector 1.5/0.5 mg/ml 2 ml$720Yes
103462TwyneoTretinoin/Benzoyl PeroxideCream 0.1/0.3 %/% 30 g$720Yes
103545VeozahFezolinetantTablet 45 mg 30 tab$720No
103547VerquvoVericiguatTablet 10 mg 30 tab$720No
103548VerquvoVericiguatTablet 2.5 mg 30 tab$720No
103549VerquvoVericiguatTablet 5 mg 30 tab$720No
103561VictozaLiraglutideAutoinjector 18/3 mg/ml 9 ml$720Yes
17633WakixPitolisantTablet 5 mg 30 tab$720No
17634WakixPitolisantTablet 20 mg 30 tab$720No
103658XelodaCapecitabineTablet 150 mg 60 tab$720No
103666XenicalOrlistatCapsule 120 mg 90 cap$720No
103671XeominIncobotulinumtoxinaPowder Vial 100 units 1 Vial$720No
103678XhanceFluticasone PropionateNasal Spray 93 mcg 16 ml$720No
44811YuflymaAdalimumabPre-Filled Syringe 40/0.4 mg/ml 1 PFS$720Yes
24913ZeposiaOzanimod HydrochlorideStarter Kit 0.23/0.46 mg 6 Tab$720No
13047ZevteraCeftobiprole Medocaril SodiumVial 500 mg 10 Vial$720No
103768ZiagenAbacavir SulfateTablet 300 mg 60 tab$720No
103771ZilxiMinocyclineAerosol Foam 0.015 % 30 g$720Yes
100481GleostineLomustineCapsule 10 mg 5 Cap$744No
6838BotoxOnabotulinumtoxinAVial 200 Unit 1 Vial$750Yes
101643CreonPancrelipaseCapsule 24,000 USP 100 cap$750No
101675DarzalexDaratumumabVial 100/5 mg/ml 5 ml$750Yes
100621KyprolisCarfilzomibPowder Vial 10 mg 1 Vial$750Yes
102411LunsumioMosunetuzumab-axgbVial 1 mg/ml 1 ml$750Yes
102759PalynziqPegvaliase-pqpzPre-Filled Syringe 10/0.5 mg/ml 0.5 ml$750Yes
102760PalynziqPegvaliase-pqpzPre-Filled Syringe 2.5/0.5 mg/ml 0.5 ml$750Yes
102761PalynziqPegvaliase-pqpzPre-Filled Syringe 20 mg/ml 1 ml$750Yes
102974RenflexisSevelamer CarbonatePowder Vial 100 mg 1 Vial$750Yes
11085ArranonNelarabineVial 5 mg/ml 50 ml$756No
8784InvegaPaliperidoneTablet 6 mg 90 tab$756No
7581MycobutinRifabutinCapsule 150 mg 100 cap$756No
10992AgrylinAnagrelideCapsule 0.5 mg 100 cap$768No
101268AbilifyAripiprazoleTablet 20 mg 30 tab$780No
101270AbilifyAripiprazoleTablet 30 mg 30 tab$780No
100020AcitretinAcitretinCapsule 25 mg 30 Cap$780No
100021AcitretinAcitretinCapsule 25 mg 30 Cap$780No
101322AdynovateAntihemophilic Factor (Recombinant)Vial Kit 250 IU 250 IU$780Yes
10993AjovyFremanezumab-VfrmPre-Filled Syringe 225 mg/ml 1.5 ml$780No
19173AjovyFremanezumab-VfrmAutoinjector 225 mg/ml 1.5 ml$780Yes
100101AralastAlpha-1-Proteinase Inhibitor (Human)Vial 1000 mg 1000 mg$780No
11106AvsolaInfliximabVial 100 mg 1 Vial$780Yes
101502BenlystaBelimumabVial 120/5 mg/ml 1 Vial$780Yes
101699DifferinAdapaleneGel Pump 0.003 % 45 g$780No
100292DoxorubicinDoxorubicin HCLVial 2 mg/ml 10 ml$780Yes
101755EliquisApixabanTablet 2.5 mg 100 tab$780No
101757EliquisApixabanTablet 5 mg 100 tab$780No
101770EloctateAntihemophilic Factor (Recombinant)Vial Kit 250 IU 250 IU$780No
100418FragminDalteparin SodiumPre-Filled Syringe 5000/0.2 iu/ml 2 ml$780No
101953Gammagard LiquidImmune Globulin (Human)Vial 5/50 g/ml 50 ml$780No
11577GemcitabineGemcitabineInjection 40 mg/ml 50 ml$780No
100474GlassiaAlpha-1 Proteinase Inhibitor (Human)Vial 100/50 mg/ml 1 ml$780Yes
22338ImitrexSumatriptanTablet 100 mg 36 tab$780No
102139InflectraInfliximab-dyybVial 100 mg 1 Vial$780Yes
8256InflectraInfliximabVial 100 mg 1 Vial$780Yes
100569IntronINTERFERON ALFA-2B,RECOMB.Vial 18000000 IU 5 ml$780Yes
102331Lamictal XRLamotrigineTablet 50 mg 30 tab$780No
100626LamivudineLamivudineTablet 150-300 mg 60 Tab$780No
102350LeqembiLecanemab-IrmbVial 500/5 mg/ml 5 ml$780Yes
11773LexivaFosamprenavirTablet 700 mg 60 tab$780No
100695MesalamineMesalamineCapsule 400 mg 180 Cap$780No
102548NayzilamMidazolamNasal Spray 5 mg 2 Unit$780No
102648NuvigilArmodafinilTablet 150 mg 30 tab$780No
102649NuvigilArmodafinilTablet 200 mg 30 tab$780No
102650NuvigilArmodafinilTablet 250 mg 30 tab$780No
7038OrenciaAbataceptVial w/ Syringe 250 mg/15ml 15 ml$780Yes
102858PrivigenImmun Glob G(Igg)-Pro-Iga 0-50Vial 5/50 g/ml 50 ml$780No
7985ProcritEpoetin AlfaPre-Filled Syringe 6000 iu w/ Protec 3.6 ml$780Yes
7995ProcritEpoetin AlfaPre-Filled Syringe 40000 iu w/ Protec 1 ml$780Yes
103024RhofadeOxymetazoline HclCream Tube 0.01 % 30 g$780No
103123SilenorDoxepin HclTablet 3 mg 30 tab$780No
103124SilenorDoxepin HclTablet 6 mg 30 tab$780No
103156SoliquaInsulin Glargine/LixisenatideAutoinjector 100/33 u/mcg/ml 15 ml$780Yes
103161SomaCarisoprodolTablet 350 mg 100 tab$780No
103171SomavertPegvisomantVial Kit 25 mg 1 Vial$780Yes
103186SporanoxItraconazoleCapsule 100 mg 30 cap$780No
103250Symlipen 60Pramlintide AcetateAutoinjector 1500/1.5 mcg/ml 3 ml$780Yes
103391TosymraSumatriptanNasal Spray 10 mg 6 Unit$780No
103405TreandaBendamustine HclPowder Vial 25 mg 1 Vial$780No
103410Trelstar SRTriptorelin PamoateInjection 3.75 mg 1 Kit$780No
33181UbrelvyUbrogepantTablet 50 mg 10 tab$780No
33183UbrelvyUbrogepantTablet 100 mg 10 tab$780No
9449VraylarCariprazineCapsule 1.5 mg 90 Caps$780No
9450VraylarCariprazineCapsule 3 mg 90 Caps$780No
9451VraylarCariprazineCapsule 4.5 mg 90 Caps$780No
9452VraylarCariprazineCapsule 6 mg 90 Caps$780No
103634XanaxAlprazolamTablet 1 mg 100 tab$780No
103748Zembrace SymTouchSumatriptan SuccinateAutoinjector 3/0.5 mg/ml 2 ml$780No
101252ZomactonSomatropin (rDNA origin)Injection Kit 10 mg 1 Kit$780Yes
103803Zyprexa RelprevvOlanzapine PamoateVial Kit 300 mg 1 Kit$780No
6210Intuniv XRGuanfacineTablet 4 mg 100 tab$810No
102525MvasiBevacizumab-awwbVial 100/4 mg/ml 4 ml$810Yes
102682OngentysOpicaponeCapsule 25 mg 30 cap$810No
102683OngentysOpicaponeCapsule 50 mg 30 cap$810No
102794PertzyePancrelipaseCapsule 24000 USP 80 cap$810No
101247ZirabevBevacizumab-bvzrVial 100/4 mg/ml 4 ml$810Yes
11511InvanzErtapenem VialInjection 1 g 10 Vial$816No
12100Nutropin AQSomatropinPen Cartridge 10/2 mg/ml 2 ml$816Yes
8854VireadTenofovir Disoproxil FumarateTablet 300 mg 30 tab$816No
6238ZyprexaOlanzapineTablet 10 mg 84 tab$816No
12690ZyvoxLinezolidOral Suspension 100/5 mg/ml 150 ml$816No
11706InviraseSaquinavirTablet 500 mg 120 tab$828No
10930EpzicomAbacavir/LamivudineTablet 600/300 mg 30 tab$834No
101355AlimtaPemetrexedPowder Vial 100 mg 1 Vial$840No
101378AlymsysBevacizumab-malyVial 100/4 mg/ml 4 ml$840Yes
100084AmicarAminocaproic AcidTablet 500 mg 30 Tab$840No
7217AmpyraDalfampridineTablet 10 mg 56 tab$840No
101390AnafranilClomipramine HclCapsule 25 mg 30 cap$840No
101391AnafranilClomipramine HclCapsule 50 mg 30 cap$840No
101392AnafranilClomipramine HclCapsule 75 mg 30 cap$840No
11069ArediaPamidronate DisodiumVial 90 mg 1 Vial$840No
8339AvastinBevacizumabVial 25 mg/ml 4 ml$840Yes
101474AzilectRasagilineTablet 0.5 mg 30 tab$840No
101475AzilectRasagilineTablet 1 mg 30 tab$840No
101525BotoxOnabotulinumtoxinaVial 100 Unit 1 Vial$840Yes
100172BotoxOnabotulinumtoxinaVial 100 IU 1 Vial$840Yes
100207ClaravisIsotretinoinCapsule 20 mg 30 Cap$840No
7846CyramzaRamucirumabVial 100 mg/ml 1 Vial$840Yes
101697DexilantDexlansoprazoleCapsule 60 mg 90 cap$840No
100307EfavirenzEfavirenzTablet 600 mg 30 Tab$840No
101749Elepsia XRLevetiracetamTablet 1500 mg 30 tab$840No
100315EloctateAntihemophilic Factor (Recombinant)Vial Kit 250 IU 250 IU$840Yes
11479EmgalityGalcanezumab-gnlmAutoinjector 120 mg/ml 1 Auto-Injector$840Yes
11481EmgalityGalcanezumab-gnlmPre-Filled Syringe 120 mg/ml 1 PFS$840Yes
101804Envarsus XRTacrolimusTablet 1 mg 100 tab$840No
100402FerumoxytolFerumoxytolVial 510/17 mg/ml 17 ml$840No
100464GenotropinSomatropinPre-Filled Syringe 0.6 mg 7 PFS$840Yes
102008Gonal F RFF RedijectFollitropin AlfaInjection Kit 300/0.5 IU/ml 0.5 ml$840Yes
102010Gralise ERGabapentinTablet 300 mg 90 tab$840No
102011Gralise ERGabapentinTablet 450 mg 60 tab$840No
102012Gralise ERGabapentinTablet 600 mg 90 tab$840No
102013Gralise ERGabapentinTablet 750 mg 60 tab$840No
11636HerzumaTrastuzumabVial 150 mg 1 Vial$840Yes
102069HumatropeSomatropinCartridge 6 mg 1 Cartridge$840Yes
8362JadenuDeferasiroxTablet 90 mg 30 tab$840No
102269KeppraLevetiracetamTablet 1000 mg 60 tab$840No
102270KeppraLevetiracetamTablet 250 mg 120 tab$840No
102327Lamictal XRLamotrigineTablet 100 mg 30 tab$840No
102375LivaloPitavastatin CalciumTablet 1 mg 90 tab$840No
7726MepronAtovaquoneSuspension 750/6 mg/ml 210 ml$840No
100699MesalamineMesalamineSuppository 1000 mg 30 Suppository $840No
100700MesalamineMesalamineSuppository 1000 mg 30 Suppository $840No
100723MycophenolateMycophenolate MofetilTablet 360 mg 120 Tab$840No
100730MyoblocRimabotulinumtoxinBVial 5000 IU/ml 1 ml$840Yes
102535MyrbetriqMirabegronTablet 25 mg 90 tab$840No
102537MyrbetriqMirabegronTablet 50 mg 90 tab$840No
12082Norditropin FlexProSomatropinAutoinjector 15/1.5 mg/ml 1.5 ml$840Yes
102637NucyntaTapentadol HclTablet 50 mg 100 tab$840No
102638NucyntaTapentadol HclTablet 75 mg 100 tab$840No
102631Nucynta ERTapentadol HclTablet 100 mg 60 tab$840No
100771Nutropin AQ NuspinSomatropinAutoinjector 5/0 mg/ml 2 ml$840Yes
102653NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 500 IU 500 IU$840Yes
102664OctagamImmun Globg(Igg)/Malt/Iga Ov48Vial 5/100 g/ml 100 ml$840No
12114OgivriTrastuzumabVial 150 mg/Vial 1 Vial$840No
9421Ongentys OpicaponeTablet 50 mg 90 tab$840No
102704Orenitram ERTreprostinilTablet 0.125 mg 100 tab$840No
102747PalforziaPeanut Allergen Powder-dnfpCapsule 12 mg 45 cap$840No
102748PalforziaPeanut Allergen Powder-dnfpCapsule 120 mg 30 cap$840No
102749PalforziaPeanut Allergen Powder-dnfpCapsule 160 mg 60 cap$840No
102750PalforziaPeanut Allergen Powder-dnfpCapsule 20 mg 15 cap$840No
102751PalforziaPeanut Allergen Powder-dnfpCapsule 200 mg 30 cap$840No
102752PalforziaPeanut Allergen Powder-dnfpCapsule 240 mg 60 cap$840No
102753PalforziaPeanut Allergen Powder-dnfpCapsule 3 mg 45 cap$840No
102754PalforziaPeanut Allergen Powder-dnfpCapsule 40 mg 30 cap$840No
102755PalforziaPeanut Allergen Powder-dnfpCapsule 6 mg 90 cap$840No
102756PalforziaPeanut Allergen Powder-dnfpCapsule 80 mg 60 cap$840No
102757PalforziaPeanut Allergen Powder-dnfpOral Powder 300 mg 15 Oral Powder$840No
102772Paragard T 380-ACopper IUD 313.4 mg 1 Unit$840No
12195PegasysPeginterferon Alfa-2aPre-Filled Syringe 180/0.5 mcg/ml 0.5 ml$840No
100895ProcritEpoetin AlfaVial 4000 iu w/ Protec 6 ml$840Yes
31907QuliptaAtogepantTablet 30 mg 30 tab$840No
31909QuliptaAtogepantTablet 60 mg 30 tab$840No
33185QuliptaAtogepantTablet 10 mg 30 tab$840No
100912RasuvoMethotrexatePre-Filled Syringe 10/0.5 mg/ml 0.8 ml$840No
100913RasuvoMethotrexatePre-Filled Syringe 12.5/0.25 mg/ml 1 ml$840No
100914RasuvoMethotrexatePre-Filled Syringe 15/0.3 mg/ml 1.2 ml$840No
100915RasuvoMethotrexatePre-Filled Syringe 17.5/0.35 mg/ml 1.4 ml$840No
100916RasuvoMethotrexatePre-Filled Syringe 20/0.4 mg/ml 1.6 ml$840No
100917RasuvoMethotrexatePre-Filled Syringe 22.5/0.45 mg/ml 1.8 ml$840No
100918RasuvoMethotrexatePre-Filled Syringe 25/0.5 mg/ml 2 ml$840No
100919RasuvoMethotrexatePre-Filled Syringe 30/0.6 mg/ml 2.4 ml$840No
100920RasuvoMethotrexatePre-Filled Syringe 7.5/0.15 mg/ml 0.6 ml$840No
100938Repatha Sureclick EvolocumabAutoinjector 140 mg/ml 2 ml$840Yes
103038Risperdal ConstaRisperidoneVial Kit 37.5 mg 1 Kit$840Yes
103089SantylCollagenase Clostridium Hist.Topical Ointment 250 U/g 90 g$840No
103173SomavertPegvisomantVial Kit 30 mg 1 Vial$840Yes
101052TabloidThioguanineTablet 40 mg 25 Tab$840No
18689TecfideraDimethyl FumarateCapsule 240 mg 56 cap$840No
103342Tenoretic 50Atenolol/ChlorthalidoneTablet 50/25 mg 90 tab$840No
103346TepadinaThiotepaPowder Vial 15 mg 1 Vial$840Yes
103358ThiotepaThiotepaVial 15 mg 1 Vial$840Yes
103360ThymoglobulinAnti-Thymocyte Globulin (Rabbit)Vial 25 mg 1 Vial$840Yes
7953TivicayDolutegravirTablet 50 mg 30 tab$840No
103382TlandoTestosterone UndecanoateCapsule 112.5 mg 120 cap$840No
12542TrazimeraTrastuzumabPowder Vial 150 mg 1 Vial$840No
103455TruximaRituximab-abbsVial 100/10 mg/ml 10 ml$840Yes
89730ValtrexValacyclovirTablet 500 mg 180 tab$840No
103524VecticalCalcitriolTopical Ointment 3 mcg/gr 100 g$840No
12608VemlidyTenofovir AlafenamideTablet 25 mg 30 tab$840No
101171VenoferIron SucroseVial 20 mg/ml 50 ml$840No
101173VidazaAzacitidineVial 100 mg 1 Vial$840No
103606VytorinEzetimibe/SimvastatinTablet 10/10 mg/mg 90 tab$840No
103607VytorinEzetimibe/SimvastatinTablet 10/20 mg/mg 90 tab$840No
103608VytorinEzetimibe/SimvastatinTablet 10/40 mg/mg 90 tab$840No
103609VytorinEzetimibe/SimvastatinTablet 10/80 mg/mg 90 tab$840No
103663XembifyImmune Globulin, Human-klhw 20%Vial 4/20 g/ml 20 ml$840Yes
103687XolairOmalizumabPre-Filled Syringe 75/0.5 mg/ml 0.5 ml$840Yes
116879ZenpepPancrelipaseCapsule 20000 USP 100 cap$840No
101710DsuviaSufentanilTablet 30 mcg 10 tab$846No
100037Adefovir DipivoxilAdefovir DipivoxilTablet 10 mg 30 Tab$870No
100038Adefovir DipivoxilAdefovir DipivoxilTablet 10 mg 30 Tab$870No
101345AgrylinAnagrelide HClCapsule 0.5 mg 100 cap$870No
100164BivigamImmune GlobulinVial 5/50 g/ml 50 ml$870Yes
100659LinzessLinaclotideCapsule 145 mcg 30 Cap$870No
100660LinzessLinaclotideCapsule 290 mcg 30 Cap$870No
100661LinzessLinaclotideCapsule 72 mcg 30 Cap$870No
101253ZortressEverolimusTablet 0.25 mg 60 Tab$870No
9353AmpyraDalfampridineTablet 10 mg 168 Tabs$876No
10956Astagraf XLTacrolimusCapsule 5 mg 50 cap$876No
11896MegaceMegestrolTablet 160 mg 100 tab$882No
11059AptiomEslicarbazepine AcetateTablet 600 mg 60 tab$888No
12320RilutekRiluzoleTablet 50 mg 60 tab$888No
100060AkynzeoNetupitant/PalonosetronVial 235/0.25 mg 1 Vial$900Yes
100061AkynzeoNetupitant/PalonosetronPowder Vial 235/0.25 mg 1 Vial$900Yes
100093AnagrelideAnagrelide HydrochlorideCapsule 0.5 mg 100 Cap$900No
100097AprepitantAprepitantCapsule 80 mg 6 Cap$900No
101403AptiomEslicarbazepine AcetateTablet 200 mg 30 tab$900No
6982AranespDarbepoetin AlfaPre-Filled Syringe 50 mcg 2 ml$900Yes
101445AromasinExemestaneTablet 25 mg 30 tab$900No
101488BaracludeEntecavirOral Solution 0.05 mg/ml 210 ml$900No
100180BynfeziaOctreotide AcetateAutoinjector 2500 mcg/ml 2.8 ml$900Yes
101588CerebyxFosphenytoin SodiumVial 100/2 PE/ml 50 ml$900Yes
101626Contrave ERNaltrexone Hcl/Bupropion HclTablet 8/90 mg/mg 120 tab$900No
100233CutaquigImmune Globulin Subcutaneous (Human) - hippVial 4/24 g/ml 24 ml$900No
100273DeferasiroxDeferasiroxTablet 90 mg 30 Tab$900No
6613DysportAbobotulinumtoxinAPowder Vial 500 Unit 1 Vial$900No
101741Effexor XRVenlafaxine HclCapsule 75 mg 90 cap$900No
101779EmgalityGalcanezumab-GnlmAutoinjector 120 mg/ml 1 ml$900Yes
101781EmgalityGalcanezumab-GnlmPre-Filled Syringe 120 mg/ml 1 ml$900Yes
100364EpogenEpoetin AlfaVial 4000 iu/ml 10 ml$900Yes
8091ErelziEtanerceptPre-Filled Syringe 25 mg 2 ml$900Yes
101956GammakedImmune Globulin (Human)Vial 5/50 g/ml 50 ml$900No
100447Gamunex-CImmune Globulin (Human)Vial 5/50 g/ml 50 ml$900Yes
101993GlassiaAlpha-1 Proteinase Inhibitor (Human)Vial 1/50 g/ml 50 ml$900Yes
101999GleostineLomustineCapsule 10 mg 5 cap$900No
102037Hemofil MFactor VIII, Human Plasma-DerivedInjection Kit 500 IU 500 IU$900No
102136InbrijaLevodopaCapsule 42 mg 60 cap$900No
102156Intuniv XRGuanfacine HclTablet 1 mg 100 tab$900No
102157Intuniv XRGuanfacine HclTablet 2 mg 100 tab$900No
102158Intuniv XRGuanfacine HclTablet 3 mg 100 tab$900No
102159Intuniv XRGuanfacine HclTablet 4 mg 100 tab$900No
5617Invega SustennaPaliperidoneInjection Kit 150/1.5 mg/ml 1 Kit$900No
100598KerendiaFinerenoneTablet 10 mg 30 Tab$900No
102328Lamictal XRLamotrigineTablet 200 mg 30 tab$900No
102380LokelmaSodium Zirconium CyclosilicatePackets 10 g 30 Packet$900No
102381LokelmaSodium Zirconium CyclosilicatePackets 5 g 30 Packet$900No
102389LotronexAlosetronTablet 0.5 mg 30 tab$900No
100696MesalamineMesalamineTablet 1.2 g 120 Tab$900No
100697MesalamineMesalamineTablet 1.2 g 120 Tab$900No
100698MesalamineMesalamineTablet 1.2 g 120 Tab$900No
12011MonoFerricFerric DerisomaltoseVial 1000/10 mg/ml 10 ml$900No
102783PegasysPeginterferon alfa-2aVial 180 mcg/ml 1 ml$900Yes
102849PrialtZiconotide AcetateVial 100 mcg/ml 1 ml$900Yes
102918QuliptaAtogepantTablet 10 mg 30 tab$900No
102919QuliptaAtogepantTablet 30 mg 30 tab$900No
102920QuliptaAtogepantTablet 60 mg 30 tab$900No
6645RepathaEvolocumabAutoinjector 140 mg/ml 2 ml$900Yes
6646Repatha Automated Mini DoserEvolocumabAutoinjector 420/3.5 mg/ml 3.5 ml$900Yes
100936Repatha PushtronexEvolocumabOn-Body Injector 420 mg/3.5ml 3.5 ml$900Yes
100972RuxienceRituximab-pvvrVial 100/10 mg/ml 10 ml$900Yes
103092SarclisaIsatuximab-irfcVial 100/5 mg/ml 5 ml$900Yes
6682SensiparCinacalcetTablet 60 mg 30 tab$900No
103118SeroquelQuetiapine FumarateTablet 300 mg 60 tab$900No
101020SoltamoxTamoxifenOral Solution 10/5 mg/ml 150 ml$900No
103227SunosiSolriamfetol HclTablet 150 mg 30 tab$900No
103229SunosiSolriamfetol HclTablet 75 mg 30 tab$900No
103231SustivaEfavirenzTablet 600 mg 30 tab$900No
101099TenofovirTenofovir Disoproxil FumarateTablet 300 mg 30 Tab$900No
103350TerlivazTerlipressin AcetateVial 0.85 mg 1 Vial$900Yes
103442Trokendi XRTopiramateCapsule 100 mg 30 cap$900No
103479UbrelvyUbrogepantTablet 50 mg 10 tab$900No
103501Urso ForteUrsodiolTablet 500 mg 100 tab$900No
103507ValtocoDiazepamNasal Spray 10 mg 2 Device$900No
103508ValtocoDiazepamNasal Spray 10(20) mg(mg) 4 Device$900No
103509ValtocoDiazepamNasal Spray 5 mg 2 Device$900No
103510ValtocoDiazepamNasal Spray 7.5(15) mg(mg) 4 Device$900No
103525VegzelmaBevacizumab-adcdVial 100/4 mg/ml 4 ml$900Yes
103530VeltassaPatiromer Calcium SorbitexOral Powder 16.8 g 30 Packet$900Yes
103531VeltassaPatiromer Calcium SorbitexOral Powder 25.2 g 30 Packet$900Yes
103532VeltassaPatiromer Calcium SorbitexOral Powder 8.4 g 30 Packet$900Yes
103638Xanax XRAlprazolamTablet 2 mg 60 tab$900No
101209XembifyImmune Globulin, Human-klhw 20%Vial 4/20 g/ml 20 ml$900Yes
7238ExjadeDeferasiroxTablet 250 mg 28 tab$924No
100485GranisetronGranisetron HClTablet 1 mg 20 Tab$924No
101404AptiomEslicarbazepine AcetateTablet 400 mg 30 tab$930No
101406AptiomEslicarbazepine AcetateTablet 800 mg 30 tab$930No
7211CasodexBicalutamideTablet 50 mg 90 tab$948No
8368JadenuDeferasiroxTablet 180 mg 30 tab$948No
100062AkynzeoNetupitant/PalonosetronCapsule 300/0.5 mg 1 Cap$960No
7888AlimtaPemetrexedPowder Vial 100 mg 1 vial$960Yes
101435ArixtraFondaparinuxPre-Filled Syringe 10/0.8 mg/ml 8 ml$960No
101437ArixtraFondaparinuxPre-Filled Syringe 5/0.4 mg/ml 4 ml$960No
101438ArixtraFondaparinuxPre-Filled Syringe 7.5/0.6 mg/ml 6 ml$960No
100125AtovaquoneAtovaquoneOral Suspension 750/5 mg/ml 210 ml$960No
7882BaracludeEntecavirTablet 0.5 mg 30 tab$960No
101603CimerliRanibizumab-EqrnVial 0.3/0.05 mg/ml 0.05 ml$960Yes
7834CinqairReslizumabVial 10 mg/ml 10 ml$960No
100209ClaravisIsotretinoinCapsule 40 mg 30 Cap$960No
101656CyclosetBromocriptine MesylateTablet 0.8 mg 200 tab$960No
100263DarzalexDaratumumabVial 100/5 mg/ml 5 ml$960Yes
7567DiacomitStiripentolCapsule 500 mg 60 cap$960No
101717DuobriiHalobetasol Propionate/TazaroteneTopical Lotion 0.01/0.045 % 100 g$960No
101761ElmironPentosan PolysulfateCapsule 100 mg 100 cap$960No
100320EmgalityGalcanezumab-GnlmAutoinjector 120 mg/ml 1 ml$960Yes
100321EmgalityGalcanezumab-GnlmPre-Filled Syringe 120 mg/ml 1 ml$960Yes
100340EntecavirEntecavirTablet 0.5 mg 30 Tab$960No
100341EntecavirEntecavirTablet 0.5 mg 30 Tab$960No
100342EntecavirEntecavirTablet 0.5 mg 30 Tab$960No
100343EntecavirEntecavirTablet 0.5 mg 30 Tab$960No
100344EntecavirEntecavirTablet 0.5 mg 30 Tab$960No
100345EntecavirEntecavirTablet 1 mg 30 Tab$960No
100346EntecavirEntecavirTablet 1 mg 30 Tab$960No
101880FarestonTtoremifene CitrateTablet 60 mg 30 tab$960No
100413FondaparinuxFondaparinux Sodium SubcutaneousPre-Filled Syringe 7.5/0.6 mg/ml 6 ml$960No
7780ForteoTeriparatide Pre-Filled Pen InjectionInjection 250 mcg/ml 2.4 ml$960Yes
100429GammagardImmune Globulin (Human)Vial 5/50 g/ml 50 ml$960Yes
105721Genotropin MiniquickSomatropinPre-Filled Syringe 1 mg 7 PFS$960Yes
101976Genotropin MiniquickSomatropinPre-Filled Syringe 1 mg 1.75 ml$960Yes
102065Humate-PAntihemophilic Factor/VwfVial Kit 500 IU 600 IU$960No
100518Humate-PAntihemophilic Factor/VWFVial Kit 500 IU 500 IU$960No
11639HumatropeSomatropinCartridge 12 mg 1 Cartridge$960Yes
8786InvegaPaliperidoneTablet 9 mg 90 tab$960No
102271KeppraLevetiracetamTablet 500 mg 120 tab$960No
102297KlisyriTirbanibulinTopical Ointment 1 % 5 Packet$960No
102324LamictalLamotrigineTablet 150 mg 60 tab$960No
102337LatudaLurasidone HclTablet 20 mg 30 tab$960No
102338LatudaLurasidone HclTablet 40 mg 30 tab$960No
102339LatudaLurasidone HclTablet 60 mg 30 tab$960No
102340LatudaLurasidone HclTablet 80 mg 30 tab$960No
102362LialdaMesalamineTablet 1200 mg 120 tab$960No
102370LipitorAtorvastatin CalciumTablet 10 mg 90 tab$960No
116101MesnexMesnaTablet 400 mg 10 tab$960No
102492MieboPerfluorohexyloctaneOphthalmic Solution 100 % 3 ml$960No
102505MirenaLevonorgestrelIUD 52 mg 1 IUD$960No
100716MvasiBevacizumab-awwbVial 100/4 mg/ml 4 ml$960Yes
28975MyfembreeRelugolix/Estradiol/Norethindrone acetateTablet 40/1/0.5 mg 84 tab$960Yes
102572NeurontinGabapentinTablet 600 mg 100 tab$960No
102771PanzygaImmune globulinSolution 5/50 g/ml 50 ml$960Yes
100856PentasaMesalamineCapsule 500 mg 120 Cap$960No
102869ProfilnineFactor Ix ComplexVial Kit 1000 Unit 1000 Unit$960No
100898PrografTacrolimusCapsule 1 mg 100 Cap$960No
7587RapamuneSirolimusSolution 1 mg/ml 60 ml$960Yes
102968RemicadeInfliximab-abdaPowder Vial 100 mg 1 Vial$960Yes
7701ReyatazAtazanavirCapsule 150 mg 60 cap$960No
7705ReyatazAtazanavirCapsule 200 mg 60 cap$960No
7707ReyatazAtazanavirCapsule 300 mg 60 cap$960No
100957RiabniRituximab-arrxVial 100/10 mg/ml 10 ml$960Yes
103042RituxanRituximabVial 100/10 mg/ml 10 ml$960Yes
7124RiximyoRituximabInjection 100 mg/10ml 20 ml$960Yes
103253SympazanClobazamOral Film 5 mg 60 Film$960No
103430TrileptalOxcarbazepineTablet 300 mg 100 tab$960No
7126TruximaRituximabInjection 100 mg/10ml 20 ml$960Yes
103478UbrelvyUbrogepantTablet 100 mg 10 tab$960No
7909VectibixPanitumumabVial 100/5 mg/ml 5 ml$960Yes
8032ViraceptNelfinavirTablet 250 mg 300 tab$960No
8034ViraceptNelfinavirTablet 625 mg 120 tab$960No
103626Winrho SDFRho-D Immune GlobulinVial 2500 IU 2.2 ml$960Yes
101216XolairOmalizumabPre-Filled Syringe 75/0.5 mg/ml 0.5 ml$960Yes
7918XolairOmalizumabPre-Filled Syringe 150 mg/ml 1 PFS$960Yes
7920XolairOmalizumabVial 150 mg 1 Vial$960Yes
103749ZenpepPancrelipaseCapsule 25000 IU 100 cap$960No
103806ZyprexaOlanzapineTablet 15 mg 30 tab$960No
103812Zyprexa ZydisOlanzapineTablet 15 mg 30 tab$960No
102397LucemyraLofexidine HclTablet 0.18 mg 36 tab$966No
100399FemaraLetrozoleTablet 2.5 mg 30 Tab$990No
103018ReyvowLasmiditan SuccinateTablet 100 mg 8 tab$990No
103019ReyvowLasmiditan SuccinateTablet 50 mg 8 tab$990No
103188SpravatoEsketamine HclNasal Spray 28 mg 2 Device$996No
101306AduhelmAducanumabVial 300/3 mg/ml 3 ml$1020Yes
101318AdvateAntihemophilic Factor (Recombinant)Vial 500 IU 500 IU$1020Yes
101336Afrezzainsulin humanInhalation Powder 8 Units 90 Cartridge$1020Yes
99714AranespDarbepoetin AlfaPre-Filled Syringe 60/0.3 mcg/ml 1.2 ml$1020Yes
101413AranespDarbepoetin AlfaPre-Filled Syringe 40/0.4 mcg/ml 1.6 ml$1020Yes
101419AranespDarbepoetin AlfaVial 40 mcg/ml 4 ml$1020Yes
101463AvastinBevacizumabVial 100/4 mg/ml 4 ml$1020Yes
100137AvastinBevacizumabVial 25 mg/ml 4 ml$1020Yes
101499BenefixCoagulation Factor IX (Recombinant)Vial Kit 500 IU 500 IU$1020Yes
7285CombivirLamivudine/ZidovudineTablet 150/300 mg 60 tab$1020No
101747ElelysoTaliglucerase AlfaPowder Vial 200 units 1 Vial$1020Yes
100318EmendAprepitantCapsule 125/80 mg 3 Cap$1020No
7033EpzicomAbacavir/LamivudineTablet 600/300 mg 30 tab$1020No
101825ErbituxCetuximabVial 100/50 mg/ml 50 ml$1020Yes
100366ErbituxCetuximabVial 2 mg/ml 50 ml$1020Yes
7693EvotazAtazanavir/CobicistatTablet 300/150 mg 30 tab$1020No
101937FycompaPerampanelTablet 10 mg 30 tab$1020No
101938FycompaPerampanelTablet 12 mg 30 tab$1020No
101940FycompaPerampanelTablet 4 mg 30 tab$1020No
101941FycompaPerampanelTablet 6 mg 30 tab$1020No
101942FycompaPerampanelTablet 8 mg 30 tab$1020No
100471GenotropinSomatropinCartridge 5 mg 1 Cartridge$1020Yes
102089HyqviaImmune Globulin (Human)Vial 5/50 g/ml 50 ml$1020Yes
7328IntelenceEtravirineTablet 100 mg 120 tab$1020No
7329IntelenceEtravirineTablet 200 mg 60 tab$1020No
100567IntronINTERFERON ALFA-2B,RECOMB.Vial 6000000 iu/ml 3.8 ml$1020Yes
100724MyforticMycophenolate SodiumTablet 180 mg 120 Tab$1020No
102763PamelorNortriptyline HclCapsule 10 mg 30 cap$1020No
102764PamelorNortriptyline HclCapsule 25 mg 30 cap$1020No
102765PamelorNortriptyline HclCapsule 50 mg 30 cap$1020No
102766PamelorNortriptyline HclCapsule 75 mg 30 cap$1020No
102774ParsabivEtelcalcetide HydrochlorideVial 2.5/0.5 mg/ml 5 ml$1020Yes
100853PegIntronPeginterferon Alfa-2AKit 50/0.5 mcg/ml 1 Kit$1020Yes
100869PlerixaforPlerixaforVial 24/1.2 mcg/ml 1.2 ml$1020No
8591PrezistaDarunavir Tablet 800 mg 30 tab$1020No
7987ProcritEpoetin AlfaPre-Filled Syringe 8000 iu w/ Protec 4.8 ml$1020Yes
12314ReclastZoledronic AcidSolution 5/100 mg/ml 100 ml$1020No
100933RenflexisInfliximab-abdaPowder Vial 100 mg 1 Vial$1020Yes
100934RenflexisInfliximab-abdaPowder Vial 100 mg 1 Vial$1020Yes
100983SapropterinSapropterin DihydrochloridePowder for Oral Solution 100 mg 30 Packet$1020No
103155SogroyaSomapacitan-becoAutoinjector 5/1.5 mg/ml 1.5 ml$1020Yes
103226SunosiSolriamfetol HclTablet 150 mg 30 tab$1020No
103228SunosiSolriamfetol HclTablet 75 mg 30 tab$1020No
101129TreandaBendamustine HClPowder Vial 25 mg 1 Vial$1020No
112040TrulicityDulaglutideAutoinjector 4.5/0.5 mg/ml 2 ml$1020Yes
87889TrulicityDulaglutideAutoinjector 3/0.5 mg/ml 2 ml$1020Yes
103570VimpatLacosamideVial 200/20 mg/ml 200 ml$1020No
103610VyvanseLisdexamfetamine DimesylateCapsule 20 mg 100 cap$1020No
101195WilateAntihemophilic FactorsVial Kit 500 IU 500 IU$1020No
6816XelodaCapecitabineTablet 500 mg 120 cap$1020No
111318YusimryAdalimumab-aqvhAutoinjector 40/0.8 mg/ml 1.6 ml$1020Yes
7645FirmagonDegarelixInjection Kit 120 mg 2 Vial$1050No
6850KaletraLopinavir/RitonavirTablet 200/50 mg 120 tab$1050No
11705InvanzErtapenemVial 1 g 10 Vial$1056No
100002Abacavir/LamivudineAbacavir/LamivudineTablet 600-300 mg 30 Tab$1080No
25026AbraxanePaclitaxelPowder Vial 100 mg 1 Vial$1080No
6350AdcircaTadalafilTablet 20 mg 60 tab$1080No
100055AgrylinAnagrelide HClCapsule 0.5 mg 100 Cap$1080No
101353AldurazymeIaronidaseVial 2.9/5 mg/ml 5 ml$1080Yes
100064AlimtaPemetrexedPowder Vial 100 mg 1 Vial$1080No
100105AranespDarbepoetin AlfaVial 25 mcg/ml 4 ml$1080Yes
100123AtazanavirAtazanavir SulfateCapsule 200 mg 60 Cap$1080No
56517CellCeptMycophenolateCapsule 500 mg 100 Caps$1080No
101585CellceptMycophenolateOral Suspension 200 mg/ml 225 ml$1080No
101589CerebyxFosphenytoin SodiumVial 500/10 PE/ml 100 ml$1080Yes
100239CuvitruImmune GlobulinVial 4/20 g/ml 20 ml$1080No
100248CyclophosphamideCyclophosphamideCapsule 50 mg 100 Cap$1080No
101691Detrol LATolterodineCapsule 2 mg 90 cap$1080No
101692Detrol LATolterodineCapsule 4 mg 90 cap$1080No
100289DocetaxelDocetaxelVial 80/8 mg/ml 8 ml$1080No
11466DoxilPegylated Liposomal Doxorubicin HydrochlorideVial 2 mg/ml 10 ml$1080No
100305DysportAbobotulinumtoxinaPowder Vial 500 IU 1 Vial$1080Yes
101826ErgomarErgotamine TartrateTablet 2 mg 20 tab$1080No
7651EvenityRomosozumabPre-Filled Syringe 105/1.17 mg/ml 2 PFS$1080Yes
101871FabiorTazaroteneAerosol Foam 0.001 % 100 g$1080No
101889FelbatolFelbamateTablet 400 mg 100 tab$1080No
12302Follistim AQFollitropin BetaInjection 900 IU 1.08 ml$1080No
101932FrovaFrovatriptanTablet 2.5 mg 9 tab$1080No
20055HalavenEribulinVial 1/2 mg/ml 2 ml$1080No
102038HepseraAdefovir DipivoxilTablet 10 mg 30 tab$1080No
100512HizentraImmune Globulin (Human)Vial 4/20 g/ml 20 ml$1080No
100515HizentraImmune Globulin (Human)Pre-Filled Syringe 4/20 g/ml 20 ml$1080No
102212JanuviaSitagliptin PhosphateTablet 100 mg 100 tab$1080No
102214JanuviaSitagliptin PhosphateTablet 25 mg 100 tab$1080No
102216JanuviaSitagliptin PhosphateTablet 50 mg 100 tab$1080No
102219JardianceEmpagliflozinTablet 10 mg 90 tab$1080No
102221JardianceEmpagliflozinTablet 25 mg 90 tab$1080No
100591JubliaEfinaconazoleTopical Solution 10 % 4 ml$1080No
100619KovaltryAntihemophilic Factor Viii (Recombinant)Vial Kit 250 IU 250 IU$1080No
24993KuvanTetrahydrobiopterinPowder 100 mg 30 Packet$1080No
7790KyprolisCarfilzomibVial 30 mg 1 Vial$1080No
102325LamictalLamotrigineTablet 200 mg 60 tab$1080No
102361LexivaFosamprenavir CalciumTablet 700 mg 60 tab$1080No
102399LucentisRanibizumabPre-Filled Syringe 0.3/0.05 mg/ml 0.05 ml$1080Yes
102577NexplanonEtonogestrelImplant 68 mg 1 Implant$1080No
102639NuedextaDextromethorphan/QuinidineCapsule 20/10 mg/mg 60 cap$1080No
100779NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 500 IU 500 IU$1080Yes
102674OmegavenFish Oil TriglyceridesInjectable Emulsion 10/100 g/ml 1000 ml$1080No
102677OmnitropeSomatropinCartridge 10/1.5 mg/ml 1.5 ml$1080Yes
102680OnfiClobazamOral Suspension 2.5 mg/ml 120 ml$1080No
102703OrenciaAbataceptVial 250/15 mg/ml 15 ml$1080Yes
100816OtrexupMethotrexateAutoinjector 10/0.4 mg/ml 1.6 ml$1080No
100817OtrexupMethotrexateAutoinjector 12.5/0.4 mg/ml 1.6 ml$1080No
100818OtrexupMethotrexateAutoinjector 15/0.4 mg/ml 1.6 ml$1080No
100819OtrexupMethotrexateAutoinjector 17.5/0.4 mg/ml 1.6 ml$1080No
100820OtrexupMethotrexateAutoinjector 20/0.4 mg/ml 1.6 ml$1080No
100821OtrexupMethotrexateAutoinjector 22.5/0.4 mg/ml 1.6 ml$1080No
100822OtrexupMethotrexateAutoinjector 25/0.4 mg/ml 1.6 ml$1080No
6731PrezistaDarunavirTablet 800 mg 30 tab$1080No
102850PrialtZiconotide AcetateVial 5000/5 mcg/ml 5 ml$1080Yes
100888PrivigenImmun Glob G(Igg)-Pro-Iga 0-50Vial 5/50 g/ml 50 ml$1080No
12293ProleukinAldesleukinVial 1.3 mg 1 Vial$1080No
102890ProvigilModafinilTablet 100 mg 30 tab$1080No
102973RenagelSevelamer HclTablet 800 mg 180 tab$1080No
102987RetacritEpoetin Alfa-epbxVial 10,000 Units/ml 10 ml$1080Yes
100960RibavirinRibavirinTablet 200 mg 168 Tab$1080No
103079SaizenSomatropinPowder Vial 8.8 mg 1 Vial$1080No
12347SaizenSomatropinCartridge 12 mg 1 Cartridge$1080Yes
103091SaphrisAsenapine MaleateTablet 10 mg 60 tab$1080No
6676SensiparCinacalcetTablet 90 mg 30 tab$1080No
100990SensiparCinacalcet HclTablet 30 mg 30 Tab$1080No
103137SkylaLevonorgestrelIUD 13.5 mg 1 Unit$1080No
103282SynviscHylan G-F 20Pre-Filled Syringe 16/2 mg/ml 6 ml$1080No
103283Synvisc-OneHylan G-F 20Pre-Filled Syringe 48/6 mg/ml 6 ml$1080No
103300TalveyTalquetamabVial 3/1.5 mg/ml 1.5 ml$1080Yes
7524TemodarTemozolomideCapsule 100 mg 5 cap$1080No
103343TenorminAtenololTablet 100 mg 90 tab$1080No
103344TenorminAtenololTablet 50 mg 90 tab$1080No
103378TivicayDolutegravir SodiumTablet 10 mg 30 tab$1080No
103379TivicayDolutegravir SodiumTablet 25 mg 30 tab$1080No
103402TrazimeraTrastuzumab-qyypPowder Vial 150 mg 1 Vial$1080No
101151UcerisBudesonideRectal Foam 2 mg/Act 66.8 g$1080No
103574VireadTenofovir Disoproxil FumarateTablet 150 mg 30 tab$1080No
103575VireadTenofovir Disoproxil FumarateTablet 200 mg 30 tab$1080No
103576VireadTenofovir Disoproxil FumarateTablet 250 mg 30 tab$1080No
101184VoriconazoleVoriconazoleTablet 200 mg 30 Tab$1080No
103628XadagoSafinamide MesylateTablet 100 mg 30 tab$1080No
103629XadagoSafinamide MesylateTablet 50 mg 30 tab$1080No
101204XelodaCapecitabineTablet 150 mg 60 Tab$1080No
7461XenazineTetrabenazineTablet 25 mg 112 tab$1080No
103667XenletaLefamulin AcetateTablet 600 mg 10 tab$1080No
103674XereseAcyclovir/HydrocortisoneCream Tube 5/1 %/% 5 g$1080No
103704XultophyInsulin Degludec/LiraglutideAutoinjector 100-3.6 u/ml-mg/ml 15 ml$1080Yes
101234ZenpepPancrelipaseCapsule 20000-63000 IU 100 Cap$1080No
103757ZestoreticLisinopril/HydrochlorothiazideTablet 10/12.5 mg 90 tab$1080No
103758ZestoreticLisinopril/HydrochlorothiazideTablet 20/12.5 mg 90 tab$1080No
103759ZestoreticLisinopril/HydrochlorothiazideTablet 20/25 mg 90 tab$1080No
103760ZestrilLisinoprilTablet 10 mg 90 tab$1080No
103761ZestrilLisinoprilTablet 2.5 mg 90 tab$1080No
103762ZestrilLisinoprilTablet 20 mg 90 tab$1080No
103763ZestrilLisinoprilTablet 30 mg 90 tab$1080No
103764ZestrilLisinoprilTablet 40 mg 90 tab$1080No
103765ZestrilLisinoprilTablet 5 mg 90 tab$1080No
103779ZoladexGoserelin AcetateImplant 3.6 mg 1 Implant$1080No
103787ZortressEverolimusTablet 0.5 mg 60 tab$1080No
103792ZyclaraImiquimodCream Packets 3.75 % 28 Packet$1080No
103793ZyclaraImiquimodCream Pump 2.5 % 7.5 g$1080No
103794ZyclaraImiquimodCream Pump 3.75 % 7.5 g$1080No
103804Zyprexa RelprevvOlanzapine PamoateVial Kit 405 mg 1 Kit$1080No
11782ZyvoxLinezolidTablet 600 mg 20 tab$1080No
100190CellceptMycophenolateCapsule 250 mg 100 Cap$1092No
101134TrelstarTriptorelin PamoateInjection 3.75 mg (1 Month) 1 Kit$1128No
101344AfstylaAntihemophilic Factor (Recombinant), Single ChainVial Kit 500 IU 1 IU$1140Yes
100112AranespDarbepoetin AlfaPre-Filled Syringe 25/0.42 mcg/ml 1.68 ml$1140Yes
101446ArranonNelarabineVial Kit 250/50 mg/ml 50 ml$1140No
100150BenefixCoagulation Factor IX (Recombinant)Vial Kit 500 IU 500 IU$1140No
101811EpidiolexCannabidiol (Cbd)Oral Solution 100 mg/ml 60 ml$1140No
101890FelbatolFelbamateTablet 600 mg 100 tab$1140No
100465GenotropinSomatropinPre-Filled Syringe 0.8 mg 7 PFS$1140Yes
11633HepseraAdefovir DipivoxilTablet 10 mg 30 tab$1140No
102083HycamtinTopotecan HclCapsule 0.25 mg 10 cap$1140Yes
100616Kogenate FSAntihemophilic Factor Viii (Recombinant)Vial Kit 500 IU 500 IU$1140No
102458MakenaHydroxyprogesterone CaproateAutoinjector 275/1.1 mg/ml 1.1 ml$1140No
100789OctagamImmun Globg(Igg)/Malt/Iga Ov53Vial 5/100 g/ml 100 ml$1140No
100790OctagamImmun Globg(Igg)/Malt/Iga Ov54Vial 5/50 g/ml 50 ml$1140No
102713OriahnnElagolix/Estradiol/NorethindrnCapsule 300/1/0.5 mg/mg/mg 56 cap$1140No
102714OrilissaElagolix SodiumTablet 150 mg 28 tab$1140No
102715OrilissaElagolix SodiumTablet 200 mg 56 tab$1140No
7270PrezcobixDarunavir/CobicistatTablet 800/150 mg 30 tab$1140No
102921QutenzaCapsaicinGel Tube 8 % 1 Kit$1140No
103039Risperdal ConstaRisperidoneVial Kit 50 mg 1 Kit$1140Yes
100982SantylCollagenase Clostridium Hist.Ointment 250 unit/g 90 g$1140No
103288TaclonexCalcipotriene/BetamethasoneTopical Ointment 0.005/0.05 %/% 60 g$1140No
101088TemozolomideTemozolomideCapsule 100 mg 5 Cap$1140No
103445Trokendi XRTopiramateCapsule 25 mg 100 cap$1140No
103541VenoferIron SucroseVial 100/5 mg/ml 125 ml$1140No
103577VireadTenofovir Disoproxil FumarateTablet 300 mg 30 tab$1140No
103709XynthaAntihemophilic Factor (Recombinant)Vial Kit 250 IU 250 IU$1140Yes
101275ActemraTocilizumabPre-Filled Syringe 162/0.9 mg/ml 0.9 ml$1200Yes
101274Actemra ActpenTocilizumabAutoinjector 162/0.9 mg/ml 0.9 ml$1200Yes
101293AdempasRiociguatTablet 0.5 mg 9 tab$1200No
101295AdempasRiociguatTablet 1.5 mg 9 tab$1200No
101297AdempasRiociguatTablet 1 mg 9 tab$1200No
101299AdempasRiociguatTablet 2.5 mg 9 tab$1200No
101301AdempasRiociguatTablet 2 mg 9 tab$1200No
100046AdvateAntihemophilic Factor (Recombinant)Vial 500IU (401-800) IU 500 IU$1200No
100056AimovigErenumabAutoinjector 70 mg/ml 1 ml$1200Yes
100057AimovigErenumabAutoinjector 140 mg/ml 1 ml$1200Yes
100058AjovyFremanezumabAutoinjector 225/1.5 mg/ml 1.5 ml$1200Yes
100059AjovyFremanezumabPre-Filled Syringe 225/1.5 mg/ml 1.5 ml$1200Yes
101361AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 250 IU 250 IU$1200Yes
101410AranespDarbepoetin AlfaPre-Filled Syringe 200/0.4 mcg/ml 0.4 ml$1200Yes
101421AravaLeflunomideTablet 10 mg 30 tab$1200No
101422AravaLeflunomideTablet 20 mg 30 tab$1200No
100122Astagraf XLTacrolimusCapsule 5 mg 30 Cap$1200No
101489BaracludeEntecavirTablet 0.5 mg 30 tab$1200No
101490BaracludeEntecavirTablet 1 mg 30 tab$1200No
56615CellceptMycophenolate MofetilOral Suspension 200 mg/ml 175 ml$1200No
100244CyclophosphamideCyclophosphamidePowder Vial 2 g 1 Vial$1200No
100275DeferasiroxDeferasiroxTablet 250 mg 30 Tab$1200No
101726Dyanavel XRAmphetamineOral Suspension 2.5 mg/ml 464 ml$1200No
101738EdurantRilpivirineTablet 25 mg 30 tab$1200No
101739Effexor XRVenlafaxine HclCapsule 150 mg 90 cap$1200No
101751EligardLeuprolide AcetateInjection Kit 22.5 mg 1 Kit$1200Yes
101795EnstilarCalcipotriene/BetamethasoneFoam 0.05/0.005 % 60 g$1200No
9532Epzicom Abacavir/LamivudineTablet 600/300 mg 90 tab$1200No
101873FabrazymeAgalsidase BetaPowder Vial 5 mg 1 Vial$1200Yes
101875FanaptIloperidoneTablet 1 mg 60 tab$1200No
101876FanaptIloperidoneTablet 2 mg 60 tab$1200No
101877FanaptIloperidoneTablet 4 mg 60 tab$1200No
101928FragminDalteparin SodiumPre-Filled Syringe 12500/0.5 iu/ml 5 ml$1200No
101936FycompaPerampanelOral Suspension 0.5 mg/ml 340 ml$1200No
100435GammakedImmune Globulin (Human)Vial 5/50 g/ml 50 ml$1200Yes
100440GammaplexImmune Globulin (Human)Vial 5/100 g/ml 100 ml$1200No
100441GammaplexImmune Globulin (Human)Vial 5/50 g/ml 50 ml$1200No
101957Gamunex-CImmune Globulin (Human)Vial 10/100 g/ml 100 ml$1200Yes
105715GenotropinSomatropinCartridge 12 mg 1 Cartridge$1200Yes
101970GenotropinSomatropinCartridge 12 mg 1 Cartridge$1200Yes
105722Genotropin MiniquickSomatropinPre-Filled Syringe 1.2 mg 7 PFS$1200Yes
101977Genotropin MiniquickSomatropinPre-Filled Syringe 1.2 mg 1.75 ml$1200Yes
101982GeodonZiprasidone HclCapsule 20 mg 60 cap$1200No
101983GeodonZiprasidone HclCapsule 40 mg 60 cap$1200No
9480GleevecImatinibTablet 400 mg 60 Tabs$1200No
11619Gonal-FFollitropin AlfaAutoinjector 900 iu 1 Autoinjector$1200No
102014Gralise ERGabapentinTablet 900 mg 60 tab$1200No
102016Granixtbo-FilgrastimPre-Filled Syringe 300/0.5 mcg/ml 2.5 ml$1200Yes
11621HadlimaAdalimumabAutoinjector 40/0.8 mg/ml 1.6 ml$1200Yes
11622HadlimaAdalimumabPre-Filled Syringe 40/0.8 mg/ml 1.6 ml$1200Yes
58693HadlimaAdalimumabPre-Filled Syringe 40/0.4 mg/ml 0.8 ml$1200Yes
58695Hadlima PushtouchAdalimumabAutoinjector 40/0.4 mg/ml 0.8 ml$1200Yes
102041HerzumaTrastuzumab-kkrbPowder Vial 150 mg 1 Vial$1200Yes
102099IcatibantIcatibantPre-Filled Syringe 30/3 mg/ml 3 ml$1200No
102122ImfinziDurvalumabVial 120/2.4 mg/ml 2.4 ml$1200Yes
11667ImfinziDurvalumabVial 120 mg 2.4 ml$1200Yes
100558InflectraInfliximab-dyybVial 100 mg 1 ml$1200Yes
102144InjectaferFerric CarboxymaltoseVial 50 mg/ml 15 ml$1200No
102154IntelenceEtravirineTablet 100 mg 120 tab$1200No
102155IntelenceEtravirineTablet 200 mg 60 tab$1200No
102240JubliaEfinaconazoleTopical Solution 10 % 8 ml$1200No
102262KanjintiTrastuzumab-annsVial 150 mg 1 Vial$1200Yes
102290KineretAnakinraPre-Filled Syringe 100/0.67 mg/ml 4.69 ml$1200Yes
102309KovaltryAntihemophilic Factor Viii (Recombinant)Vial Kit 500 IU 500 IU$1200Yes
102312KuvanSapropterin DihydrochlorideOral Powder 100 mg 30 Packet$1200No
102315KyleenaLevonorgestrelIUD 19.5 mg 1 IUD$1200No
102326LamictalLamotrigineTablet 25 mg 100 tab$1200No
102330Lamictal XRLamotrigineTablet 300 mg 30 tab$1200No
102336LatudaLurasidone HclTablet 120 mg 30 tab$1200No
10000002LexaproEscitalopram OxalateTablet 20 mg 100 tab$1200No
102358LexaproEscitalopram OxalateTablet 10 mg 100 tab$1200No
11804LokelmaSodium Zirconium CyclosilicateSachet 10 g 30 Sachet$1200No
102406LumizymeAlglucosidase AlfaPowder Vial 50 mg 1 Vial$1200Yes
102416Lupron DepotLeuprolide AcetateInjection Kit 3.75 mg 1 Kit$1200No
100690MayzentSiponimodTablet 0.25 mg 12 Tab$1200Yes
102484Mestinon SRPyridostigmine BromideTablet 180 mg 30 tab$1200No
100704MitomycinMitomycinPowder Vial 40 mg 1 Vial$1200No
102529MyfembreeRelugolix/Estradiol/NorethindrTablet 40/1/0.5 mg/mg/mg 28 tab$1200No
105726Norditropin FlexProSomatropinAutoinjector 10/1.5 mg/ml 1.5 ml$1200Yes
102608NovoeightAntihemophilic Factor Viii (Recombinant)Injection Kit 500 IU 500 IU$1200No
102636NucyntaTapentadol HclTablet 100 mg 100 tab$1200No
102632Nucynta ERTapentadol HclTablet 150 mg 60 tab$1200No
102640NulojixBelataceptPowder Vial 250 mg 1 Vial$1200Yes
102669OgivriTrastuzumab-dkstVial 150 mg 1 Vial$1200Yes
102684OnglyzaSaxagliptin HclTablet 5 mg 90 tab$1200No
100846PanzygaImmune GlobulinVial 5/50 g/ml 50 ml$1200No
100854PemetrexedPemetrexedVial 1/40 g/ml 40 ml$1200Yes
102809PlaquenilHydroxychloroquine SulfateTablet 200 mg 100 tab$1200No
8098PlavixClopidogrelTablet 300 mg 90 tab$1200No
102844PrezistaDarunavir EthanolateOral Suspension 100 mg/ml 200 ml$1200No
102859ProcritEpoetin AlfaPre-Filled Syringe 10,000 iu/ml 6 ml$1200Yes
7989ProcritEpoetin AlfaPre-Filled Syringe 10000 iu w/ Protec 6 ml$1200Yes
102883ProtonixPantoprazole SodiumTablet 20 mg 90 tab$1200No
102884ProtonixPantoprazole SodiumTablet 40 mg 90 tab$1200No
102915QuillichewMethylphenidate HclTablet 20 mg 100 tab$1200No
102916QuillichewMethylphenidate HclTablet 30 mg 100 tab$1200No
102917QuillichewMethylphenidate HclTablet 40 mg 100 tab$1200No
7585RapamuneSirolimusTablet 1 mg 100 tab$1200No
102957RecombinateFactor VIII, Recombinant HumanInjection Kit 500 IU 500 IU$1200No
100932RemicadeInfliximab-abdaPowder Vial 100 mg 1 Vial$1200Yes
31911RemodulinTreprostinilVial 1 mg/ml 20 ml$1200No
103032RidauraAuranofinCapsule 3 mg 60 cap$1200No
100967RituxanRituximabVial 100/10 mg/10ml 10 ml$1200Yes
103084SandostatinOctreotide AcetateAmpule 500 mcg/ml 10 ml$1200Yes
103114SensiparCinacalcet HclTablet 60 mg 30 tab$1200No
103127Simponi AriaGolimumabVial 50/4 mg/ml 4 ml$1200Yes
101009SitavigACYCLOVIRTablet 50 mg 2 Tab$1200No
7593SylvantSiltuximabVial 100 mg 1 Vial$1200No
103340TemodarTemozolomidePowder Vial 100 mg 1 Vial$1200Yes
103388TopamaxTopiramateTablet 200 mg 60 tab$1200No
103444Trokendi XRTopiramateCapsule 200 mg 30 cap$1200No
101143TruximaRituximab-abbsVial 100 mg/10ml 10 ml$1200Yes
103520VasereticEnalapril/HydrochlorothiazideTablet 10/25 mg/mg 100 tab$1200No
103571ViraceptNelfinavir MesylateTablet 250 mg 300 tab$1200No
103572ViraceptNelfinavir MesylateTablet 625 mg 120 tab$1200No
103578VisudyneVerteporfinPowder Vial 15 mg 1 Vial$1200No
13037VocabriaCabotegravirTablet 30 mg 30 tab$1200No
103635XanaxAlprazolamTablet 2 mg 100 tab$1200No
103685XolairOmalizumabPowder Vial 150 mg 1 Vial$1200Yes
103718YupelriRevefenacinVial 175/3 mcg/ml 90 ml$1200No
103817ZepboundTirzepatideAutoinjector 2.5/0.5 mg/ml 2 ml$1200Yes
103818ZepboundTirzepatideAutoinjector 5/0.5 mg/ml 2 ml$1200Yes
103819ZepboundTirzepatideAutoinjector 7.5/0.5 mg/ml 2 ml$1200Yes
103820ZepboundTirzepatideAutoinjector 10/0.5 mg/ml 2 ml$1200Yes
103821ZepboundTirzepatideAutoinjector 12.5/0.5 mg/ml 2 ml$1200Yes
103822ZepboundTirzepatideAutoinjector 15/0.5 mg/ml 2 ml$1200Yes
103808ZyprexaOlanzapineTablet 20 mg 30 tab$1200No
103813Zyprexa ZydisOlanzapineTablet 20 mg 30 tab$1200No
8589PrezistaDarunavir Tablet 600 mg 60 tab$1224No
8631TruvadaEmtricitabine/TenofovirTablet 200/300 mg 30 tab$1224No
6737DescovyEmtricitabine/Tenofovir AlafenamideTablet 200/10 mg 30 tab$1230No
6739DescovyEmtricitabine/Tenofovir AlafenamideTablet 200/25 mg 30 tab$1230No
103437TriumeqAbacavir/Dolutegravir/LamivudiTablet 5/60/30 mg 90 tab$1230No
101417AranespDarbepoetin AlfaVial 200 mcg/ml 1 ml$1260Yes
7563IsentressRaltegravirTablet 400 mg 60 tab$1260No
7564Isentress HDRaltegravirTablet 600 mg 60 tab$1260No
100767NulojixBelataceptPowder Vial 250 mg 1 Vial$1260Yes
8258RemicadeInfliximabPowder Vial 100 mg 1 Vial$1260Yes
6684SensiparCinacalcetTablet 90 mg 30 tab$1260No
7774XgevaDenosumabInjection Kit 120/1.7 mg/ml 1.7 ml$1260Yes
101250ZoladexGoserelin AcetateImplant 3.6 mg 1 Kit$1260No
8593PrezistaDarunavirTablet 75 mg 480 tab$1284No
8595PrezistaDarunavirTablet 150 mg 240 tab$1290No
100033Adalimumab-fkjpAdalimumab-fkjpAutoinjector 40/0.8 mg/ml 1 Kit$1320Yes
9313Afinitor EverolimusTablet 5 mg 30 tab$1320No
101480AzstarysSerdexmethylphenidate/DexmethylphenidateCapsule 26.1/5.2 mg/mg 100 cap$1320No
101481AzstarysSerdexmethylphenidate/DexmethylphenidateCapsule 39.2/7.8 mg/mg 100 cap$1320No
101482AzstarysSerdexmethylphenidate/DexmethylphenidateCapsule 52.3/10.4 mg/mg 100 cap$1320No
100203CinacalcetCinacalcetTablet 60 mg 30 Tab$1320No
101608CinqairReslizumabVial 100/10 mg/ml 10 ml$1320Yes
101702DipentumOlsalazine SodiumCapsule 250 mg 100 cap$1320No
101824EpzicomAbacavir/LamivudineTablet 600/300 mg/mg 30 tab$1320No
100378EverolimusEverolimusTablet 0.75 mg 60 Tab$1320No
101861ExjadeDeferasiroxTablet 125 mg 30 tab$1320No
100431GammagardImmune Globulin (Human)Solution 5 g 1 Kit$1320Yes
116664GemtesaVibegronTablet 75 mg 90 tab$1320No
101969GemtesaVibegronTablet 75 mg 90 tab$1320No
101978Genotropin MiniquickSomatropinPre-Filled Syringe 1.4 mg 1.75 ml$1320Yes
102025HadlimaAdalimumab-bwwdPre-Filled Syringe 40/0.8 mg/ml 1.6 ml$1320Yes
102024Hadlima CFAdalimumab-bwwdPre-Filled Syringe 40/0.4 mg/ml 0.8 ml$1320Yes
102026Hadlima PushtouchAdalimumab-bwwdAutoinjector 40/0.4 mg/ml 0.8 ml$1320Yes
102027Hadlima PushtouchAdalimumab-bwwdAutoinjector 40/0.8 mg/ml 1.6 ml$1320Yes
100521HumatropeSomatropinCartridge 6 mg 1 Cartridge$1320Yes
102109IgalmiDexmedetomidineFilm 120 mg 10 Film$1320No
102110IgalmiDexmedetomidineFilm 180 mg 10 Film$1320No
100556ImuranAzathioprineTablet 50 mg 100 Tab$1320No
100566IntronINTERFERON ALFA-2B,RECOMB.Vial 10000000 iu/ml 3.2 ml$1320Yes
102190IxinityFactor IX, Recombinant HumanInjection Kit 500 IU 500 IU$1320No
102229JentaduetoLinagliptin, metformin HCl;Tablet 2.5/500 mg/mg 180 tab$1320No
102230JentaduetoLinagliptin, metformin HCl;Tablet 2.5/850 mg/mg 180 tab$1320No
102231JentaduetoLinagliptin, metformin HCl;Tablet 2.5/1000 mg/mg 180 tab$1320No
102232Jentadueto ERLinagliptin, metformin HCl;Tablet 2.5/1000 mg/mg 180 tab$1320No
105629Jentadueto XRLinagliptin/MetforminTablet ER 2.5/1000 mg 180 tab$1320No
102233Jentadueto XRLinagliptin, metformin HCl;Tablet 5/1000 mg/mg 90 tab$1320No
102254KaletraLopinavir/RitonavirTablet 200/50 mg/mg 120 tab$1320No
100595KaletraLopinavir/RitonavirTablet 200/50 mg 120 Tab$1320Yes
102355LeukineSargramostimPowder Vial 250 mg 5 Vial$1320Yes
18741LonsurfTrifluridine/TipiracilTablet 15/6.14 mg 20 Tabs$1320No
8036LysodrenMitotaneTablet 500 mg 100 tab$1320No
100754NorditropinSomatropinAutoinjector 5/1.5 mg/ml 1.5 ml$1320Yes
102645Nutropin AQSomatropinAutoinjector 20/2 mg/ml 2 ml$1320Yes
102758PalforziaPeanut Allergen Powder-dnfpOral Powder 300 mg 30 Oral Powder$1320No
100849ParsabivEtelcalcetide HydrochlorideVial 2.5/0.5 mg/ml 5 ml$1320Yes
100851PegasysPeginterferon Alfa-2AVial 180 mcg/ml 1 ml$1320Yes
102792PertzyePancrelipaseCapsule 16000 USP 250 cap$1320No
102977RenvelaSevelamer CarbonateTablet 800 mg 270 tab$1320No
102989RetacritEpoetin Alfa-epbxVial 20,000 Units/2ml 20 ml$1320Yes
103016ReyatazAtazanavir SulfateCapsule 200 mg 60 cap$1320No
103017ReyatazAtazanavir SulfateCapsule 300 mg 30 cap$1320No
103100SaxendaLiraglutideAutoinjector 18/3 mg/ml 15 ml$1320Yes
103103SeglurometErtugliflozin/MetforminTablet 2.5/1000 mg/mg 180 tab$1320No
103104SeglurometErtugliflozin/MetforminTablet 2.5/500 mg/mg 180 tab$1320No
103105SeglurometErtugliflozin/MetforminTablet 7.5/1000 mg/mg 180 tab$1320No
103106SeglurometErtugliflozin/MetforminTablet 7.5/500 mg/mg 180 tab$1320No
100993SevelamerSevelamer CarbonateTablet 800 mg 270 Tab$1320No
12409Simponi AriaGolimumabIV Solution 50/4 mg/ml 4 ml$1320Yes
101007SirolimusSirolimusTablet 1 mg 100 Tab$1320No
103189SpravatoEsketamine HclNasal Spray 28 mg 3 Device$1320No
103259SynjardyEmpagliflozin/Metformin HclTablet 12.5/1000 mg/mg 180 tab$1320No
103261SynjardyEmpagliflozin/Metformin HclTablet 12.5/500 mg/mg 180 tab$1320No
103263SynjardyEmpagliflozin/Metformin HclTablet 5/1000 mg/mg 180 tab$1320No
103265SynjardyEmpagliflozin/Metformin HclTablet 5/500 mg/mg 180 tab$1320No
90006Synjardy XREmpagliflozin/MetforminTablet 25/1000 mg 90 tab$1320No
90013Synjardy XREmpagliflozin/MetforminTablet 5/1000 mg 180 tab$1320No
90014Synjardy XREmpagliflozin/MetforminTablet 10/1000 mg 90 tab$1320No
90015Synjardy XREmpagliflozin/MetforminTablet 12.5/1000 mg 180 tab$1320No
103480UcerisBudesonideTablet 9 mg 30 tab$1320No
101166VeltassaPatiromer Calcium SorbitexSachet 16.8 g 30 g$1320Yes
101167VeltassaPatiromer Calcium SorbitexSachet 25.2 g 30 g$1320Yes
101168VeltassaPatiromer Calcium SorbitexSachet 8.4 g 30 g$1320Yes
103627Winrho SDFRho-D Immune GlobulinVial 5000 IU 4.4 ml$1320Yes
103639Xanax XRAlprazolamTablet 3 mg 60 tab$1320No
103646XcopriCenobamateTablet 100 mg 30 tab$1320No
103647XcopriCenobamateTablet 150 mg 30 tab$1320No
103648XcopriCenobamateTablet 200 mg 30 tab$1320No
103649XcopriCenobamateTablet 50 mg 30 tab$1320No
103644Xcopri Maintenance PackCenobamateTablet 100/150 mg 56 tab$1320No
103650Xcopri Titration PackCenobamateTablet 150/200 mg 28 tab$1320No
103651Xcopri Titration PackCenobamateTablet 50/100 mg 28 tab$1320No
103672XeominIncobotulinumtoxinaPowder Vial 200 units 1 Vial$1320No
103733ZavzpretZavegepantNasal Spray 10 mg 6 Unit$1320No
101276ActemraTocilizumabVial 200/10 mg/ml 10 ml$1380Yes
10938ActemraTocilizumabVial 400/20 mg/ml 20 ml$1380Yes
100144BaracludeEntecavirOral Solution 0.05 mg/ml 210 ml$1380No
100407FlebogammaImmune Globulin (Human)Vial 10/100 g/ml 100 ml$1380No
100495HadlimaAdalimumab-bwwdAutoinjector 40/0.4 mg/ml 0.8 ml$1380Yes
100496HadlimaAdalimumab-bwwdAutoinjector 40/0.8 mg/ml 1.6 ml$1380Yes
100497HadlimaAdalimumab-bwwdPre-Filled Syringe 40/0.4 mg/ml 0.8 ml$1380Yes
100498HadlimaAdalimumab-bwwdPre-Filled Syringe 40/0.8 mg/ml 1.6 ml$1380Yes
102200JadenuDeferasiroxTablet 90 mg 30 tab$1380No
102197Jadenu SprinkleDeferasiroxGranules 90 mg 30 Granule$1380No
5603LupronLeuprolideInjection Kit 11.25 mg 1 Kit$1380No
103271SynriboOmacetaxine MepesuccinateVial 3.5 mg 1 Vial$1380No
103447Trokendi XRTopiramateCapsule 50 mg 100 cap$1380No
44788AbriladaAdalimumabAutoinjector 40/0.8 mg/ml 2 Autoinjector$1440Yes
44791AbriladaAdalimumabPre-Filled Syringe 40/0.8 mg/ml 2 PFS$1440Yes
101333Afrezzainsulin humanInhalation Powder 12 Units 90 Cartridge$1440Yes
101335Afrezzainsulin humanInhalation Powder 4-8-12 Units 180 Cartridge$1440Yes
100067AlosetronAlosetronTablet 1 mg 30 Tab$1440No
100068AlosetronAlosetronTablet 1 mg 30 Tab$1440No
101429ArimidexAnastrozoleTablet 1 mg 30 tab$1440No
100124AtazanavirAtazanavir SulfateCapsule 300 mg 30 Cap$1440No
20146AubagioTeriflunomideTablet 14 mg 28 Tabs$1440No
100156BicalutamideBicalutamideTablet 50 mg 100 Tab$1440No
101519BivigamImmune GlobulinVial 10/100 g/ml 100 ml$1440Yes
11155BridionSugammadexVial 100 mg/ml 20 ml$1440No
101540BriviactBrivaracetamTablet 10 mg 60 tab$1440No
101543BriviactBrivaracetamTablet 75 mg 60 tab$1440No
100179BudesonideBudesonideCapsule 3 mg 100 Cap$1440No
101584CellceptMycophenolateCapsule 500 mg 100 cap$1440No
101647CresembaIsavuconazonium SulfateCapsule 186 mg 14 cap$1440No
101668DacogenDecitabinePowder Vial 50 mg 1 Vial$1440No
100268DecitabineDecitabineSolution 50 mg 1 Vial$1440No
7951DelstrigoDoravirine/Lamivudine/Tenofovir Disoproxil FumarateTablet 100/300/300 mg 30 tab$1440No
7957DovatoDolutegravir/LamivudineTablet 50/300 mg 30 tab$1440No
100324Emtricitabine-Tenofovir DFEmtricitabine-Tenofovir DFTablet 100-150 mg 30 Tab$1440No
100325Emtricitabine-Tenofovir DFEmtricitabine-Tenofovir DFTablet 133-200 mg 30 Tab$1440No
100326Emtricitabine-Tenofovir DFEmtricitabine-Tenofovir DFTablet 200-300 mg 30 Tab$1440No
100327Emtricitabine-Tenofovir DFEmtricitabine-Tenofovir DFTablet 200-300 mg 30 Tab$1440No
100328Emtricitabine-Tenofovir DFEmtricitabine-Tenofovir DFTablet 200-300 mg 30 Tab$1440No
100329Emtricitabine-Tenofovir DFEmtricitabine-Tenofovir DFTablet 200-300 mg 30 Tab$1440No
101846EvomelaMelphalanPowder Vial 50 mg 1 Vial$1440No
101878FanaptIloperidoneTablet 6 mg 60 tab$1440No
101879FanaptIloperidoneTablet 8 mg 60 tab$1440No
101929FragminDalteparin SodiumPre-Filled Syringe 15000/0.6 iu/ml 6 ml$1440No
101948Gammagard LiquidImmune Globulin (Human)Vial 10/100 g/ml 100 ml$1440No
100466GenotropinSomatropinPre-Filled Syringe 1 mg 7 PFS$1440Yes
101984GeodonZiprasidone HclCapsule 60 mg 60 cap$1440No
101986GiaprezaAngiotension IiIV Solution 2.5 mg/mL 1 ml$1440Yes
101994GlatopaGlatiramer AcetatePre-Filled Syringe 20 mg/ml 30 ml$1440Yes
101995GlatopaGlatiramer AcetatePre-Filled Syringe 40 mg/ml 12 ml$1440Yes
102004GlyxambiEmpagliflozin/LinagliptinTablet 10/5 mg/mg 90 tab$1440No
102005GlyxambiEmpagliflozin/LinagliptinTablet 25/5 mg/mg 90 tab$1440No
102040HerceptinTrastuzumabPowder Vial 150 mg 1 Vial$1440Yes
100537HycamtinTopotecan HclCapsule 0.25 mg 10 Cap$1440Yes
100543HyqviaImmune Globulin (Human)Vial 5/50 g/ml 52.5 ml$1440Yes
44797HyrimozAdalimumabPre-Filled Syringe 40/0.8 mg/ml 1.6 ml$1440Yes
44798HyrimozAdalimumabAutoinjector 40/0.8 mg/ml 1.6 ml$1440Yes
102098IcatibantIcatibant AcetatePre-Filled Syringe 30/3 mg/ml 3 ml$1440No
44800IdacioAdalimumabAutoinjector 40/0.8 mg/ml 1 kit$1440Yes
44801IdacioAdalimumabPre-Filled Syringe 40/0.8 mg/ml 1 kit$1440Yes
102186IsentressRaltegravir PotassiumTablet 400 mg 60 tab$1440No
102224JatenzoTestosterone UndecanoateCapsule 237 mg 120 cap$1440No
102272KeppraLevetiracetamTablet 750 mg 120 tab$1440No
102323LamictalLamotrigineTablet 100 mg 100 tab$1440No
102371LipitorAtorvastatin CalciumTablet 20 mg 90 tab$1440No
102372LipitorAtorvastatin CalciumTablet 40 mg 90 tab$1440No
102373LipitorAtorvastatin CalciumTablet 80 mg 90 tab$1440No
100663LivaloPitavastatin CalciumTablet 2 mg 90 Tab$1440No
100664LivaloPitavastatin CalciumTablet 4 mg 90 Tab$1440No
5605LupronLeuprolideInjection Kit 22.5 mg 1 Kit$1440No
102419Lupron DepotLeuprolide AcetateInjection Kit 7.5 mg 1 Kit$1440No
102424Lupron Depot PEDLeuprolide AcetateInjection Kit 7.5 mg 1 Kit$1440No
102477MekinistTrametinib Dimethyl SulfoxideOral Solution 0.05 mg/ml 90 ml$1440Yes
102482MepronAtovaquoneOral Suspension 750/5 mg/ml 210 ml$1440No
102528MycobutinRifabutinCapsule 150 mg 100 cap$1440No
102531MyforticMycophenolate SodiumTablet 360 mg 120 tab$1440No
12095NoxafilPosaconazoleOral Suspension 40 mg/ml 105 ml$1440No
102623NplateRomiplostimPowder Vial 125 mcg 1 Vial$1440Yes
7655NplateRomiplostimPowder Vial 250 mcg 1 Vial$1440No
44820NucalaMepolizumabPre-Filled Syringe 40/0.4 mg/ml 0.4 ml$1440Yes
102633Nucynta ERTapentadol HclTablet 200 mg 60 tab$1440No
100768NurtecRimegepant SulfateTablet 75 mg 8 Tab$1440No
12903OmnitropeSomatropinCartridge 5/1.5 mg/ml 7.5 ml$1440Yes
102681OnfiClobazamTablet 10 mg 100 tab$1440No
102687OntruzantTrastuzumab-dttbPowder Vial 150 mg 1 Vial$1440Yes
100808OravigMiconazoleTablet 50 mg 14 Tab$1440No
12279PrimaxinImipenem/CilastatinPowder Vial 500 mg 25 ml$1440No
102855PrivigenImmun Glob G(Igg)-Pro-Iga 0-50Vial 10/100 g/ml 100 ml$1440No
102875ProliaDenosumabPre-Filled Syringe 60 mg/ml 1 ml$1440Yes
102891ProzacFluoxetine HclCapsule 10 mg 100 cap$1440No
102892ProzacFluoxetine HclCapsule 20 mg 100 cap$1440No
102960ReleukoFilgrastim-ayowPre-Filled Syringe 300/0.5 mcg/ml 5 ml$1440Yes
102975RenvelaSevelamer CarbonateOral Powder 0.8 g 90 Packet$1440No
102976RenvelaSevelamer CarbonateOral Powder 2.4 g 90 Packet$1440No
103010RexultiBrexpiprazoleTablet 0.25 mg 30 tab$1440No
103011RexultiBrexpiprazoleTablet 0.5 mg 30 tab$1440No
103012RexultiBrexpiprazoleTablet 1 mg 30 tab$1440No
103013RexultiBrexpiprazoleTablet 2 mg 30 tab$1440No
103014RexultiBrexpiprazoleTablet 3 mg 30 tab$1440No
103015RexultiBrexpiprazoleTablet 4 mg 30 tab$1440No
99206SelzentryMaravirocTablet 150 mg 60 tab$1440No
18738SelzentryMaravirocTablet 150 mg 60 Tabs$1440No
18740SelzentryMaravirocTablet 300 mg 60 Tabs$1440No
100997SildenafilSildenafil CitrateTablet 20 mg 90 Tab$1440No
44802SimlandiAdalimumabAutoinjector 40/0.4 mg/ml 2 Autoinjector$1440Yes
44803SimlandiAdalimumabPre-Filled Syringe 40/0.4 mg/ml 2 PFS$1440Yes
44804SimlandiAdalimumabPre-Filled Syringe 80/0.8 mg/ml 1 PFS$1440Yes
101005SirolimusSirolimusOral Solution 1 mg/ml 60 ml$1440Yes
103248Symfi LOEfavirenz/Lamivudine/Tenofovir Disoproxil FumarateTablet 400/300/300 mg/mg/mg 30 tab$1440No
5996TecfideraDimethyl FumarateCapsule 120 mg 56 cap$1440No
101149UbrelvyUbrogepantTablet 100 mg 10 Tab$1440No
103528VelphoroSucroferric OxyhydroxideTablet 500 mg 90 tab$1440No
103546VeregenSinecatechinsTopical Ointment 0.15 % 30 g$1440Yes
103559ViberziEluxadolineTablet 100 mg 60 tab$1440No
103560ViberziEluxadolineTablet 75 mg 60 tab$1440No
103583VivitrolNaltrexoneInjection Kit 380 mg 1 Kit$1440Yes
103600VtamaTapinarofCream Tube 0.01 % 60 g$1440No
44807YuflymaAdalimumabAutoinjector 80/0.8 mg/ml 1 Autoinjector$1440Yes
44809YuflymaAdalimumabAutoinjector 40/0.4 mg/ml 2 Autoinjector$1440Yes
10000001YusimryAdalimumab-aqvhAutoinjector 40/0.8 mg/ml 1.6 ml$1440Yes
103723Zaltrapziv-AfliberceptVial 100/4 mg/ml 4 ml$1440Yes
103750ZenpepPancrelipaseCapsule 40000 IU 100 cap$1440No
101235ZenpepPancrelipaseCapsule 25000-79000 IU 100 Cap$1440No
101257ZuplenzOndansetronOral Film 4 mg 30 Tab$1440No
101258ZuplenzOndansetronOral Film 8 mg 30 Tab$1440No
6239ZyprexaOlanzapineTablet 15 mg 84 tab$1440No
102028HalavenEribulin MesylateVial 1/2 mg/ml 2 ml$1470No
6727PrezistaDarunavirTablet 600 mg 60 tab$1494No
100069AlphanateAntihemophilic Factor/VwfVial Kit 1000 IU 1000 IU$1500No
101399AplenzinBupropion HydrobromideTablet 174 mg 30 tab$1500No
101415AranespDarbepoetin AlfaPre-Filled Syringe 60/0.3 mcg/ml 1.2 ml$1500Yes
101420AranespDarbepoetin AlfaVial 60 mcg/ml 4 ml$1500Yes
100118AromasinTrientine HydrochlorideTablet 25 mg 30 Tab$1500No
101465AveedTestosterone UndecanoateVial 750/3 mg/ml 3 ml$1500No
101483BanzelRufinamideOral Suspension 40 mg/ml 460 ml$1500No
101484BanzelRufinamideTablet 200 mg 120 tab$1500No
100261DarunavirDARUNAVIR ETHANOLATETablet 800 mg 30 Tab$1500No
101724DurolaneHyaluronic AcidPre-Filled Syringe 60/3 mg/ml 3 ml$1500No
101835EsperoctAntihemophilic Factor (Recombinant)Vial Kit 500 IU 500 IU$1500No
100398FeibaProthrombin Complex Concentrate, Activated, From Human PlasmaInjection Kit 500 IU 500 IU$1500No
101888Feiba NFProthrombin Complex Concentrate, Activated, From Human PlasmaInjection Kit 500 IU 500 IU$1500No
102103IdelvionCoagulation Factor IX (Recombinant)Powder Vial 250 IU 250 IU$1500No
102147Innopran XLPropranolol HydrochlorideCapsule 120 mg 30 cap$1500No
102148Innopran XLPropranolol HydrochlorideCapsule 80 mg 30 cap$1500No
102317KyprolisCarfilzomibPowder Vial 30 mg 1 Vial$1500Yes
100718MycophenolateMycophenolate MofetilCapsule 250 mg 500 Cap$1500No
102694OpdivoNivolumabVial 40/4 mg/ml 4 ml$1500Yes
102705Orenitram ERTreprostinilTablet 0.25 mg 100 tab$1500No
102940RayaldeeCalcifediolCapsule 30 mg 30 cap$1500No
102955ReclastZoledronic Acid/Mannitol-WaterSolution 5/100 mg/ml 100 ml$1500No
100931RelistorMethylnaltrexone BromidePre-Filled Syringe 8/0.4 mg/ml 2.8 ml$1500No
100939RetacritEpoetin Alfa-epbxVial 10000 iu/ml 10 ml$1500Yes
103120SeysaraSarecycline HclTablet 100 mg 30 tab$1500No
103121SeysaraSarecycline HclTablet 150 mg 30 tab$1500No
103122SeysaraSarecycline HclTablet 60 mg 30 tab$1500No
101114TivicayDolutegravir SodiumTablet 25 mg 30 Tab$1500No
101126TrazimeraTrastuzumab-qyypPowder Vial 150 mg 1 Vial$1500Yes
103454TruvadaEmtricitabine/Tenofovir (Tdf)Tablet 200/300 mg 30 tab$1500No
103240SylvantSiltuximabPowder Vial 100 mg 1 Vial$1512Yes
101324AdynovateAntihemophilic Factor (Recombinant)Vial Kit 500 IU 500 IU$1530Yes
100224CreonPancrelipaseCapsule 36000-114000 IU 100 Cap$1530No
11580Genotropin GoQuickSomatropinAutoinjector 5.3 mg 5 Autoinjector$1536Yes
8028NimotopNimodipineTablet 30 mg 100 tab$1536No
100026ActemraTocilizumabPre-Filled Syringe 162/0.9 mg/ml 0.9 ml$1560Yes
100022Actemra ACTPenTocilizumabAutoinjector 162/0.9 mg/ml 0.9 ml$1560Yes
101367AltuviiioAntihemophilic Factor (Recombinant)Injection Kit 250 IU 250 IU$1560Yes
101382AmbienZolpidem TartrateTablet 10 mg 100 tab$1560No
101383AmbienZolpidem TartrateTablet 5 mg 100 tab$1560No
101380Ambien CRZolpidem TartrateTablet 12.5 mg 100 tab$1560No
101381Ambien CRZolpidem TartrateTablet 6.25 mg 100 tab$1560No
101385Amjevita (CF)AdalimumabAutoinjector 40/0.8 mg/ml 0.8 ml$1560Yes
6976AranespDarbepoetin AlfaPre-Filled Syringe 100 mcg/ml 2 ml$1560Yes
55840AranespDarbepoetin AlfaPre-Filled Syringe 300 mcg 0.6 ml$1560Yes
11123BenlystaBelimumabVial 400 mg 20 ml$1560Yes
11153BosulifBosutinibTablet 100 mg 28 tab$1560No
8083BrenzysEtanerceptAutoinjector 50 mg/ml 4 Auto-Injector$1560Yes
101604CimerliRanibizumab-EqrnVial 0.5/0.05 mg/ml 0.05 ml$1560Yes
100304DurolaneHyaluronic AcidPre-Filled Syringe 60/3 mg/ml 3 ml$1560No
101768EloctateAntihemophilic Factor (Recombinant)Vial Kit 500 IU 500 IU$1560No
101774EmcytEstramustine Phosphate SodiumCapsule 140 mg 100 cap$1560No
101786EmsamSelegilinePatch 6 mg/hr 30 Patch$1560No
115825EnbrelEtanerceptPre-Filled Syringe 25/0.5 mg/ml 2 ml$1560Yes
101788EnbrelEtanerceptPre-Filled Syringe 25/0.5 mg/ml 2 ml$1560Yes
101790EnbrelEtanerceptVial 25/0.5 mg/ml 2 ml$1560Yes
11494Envarsus PATacrolimusTablet 4 mg 100 tab$1560No
101818EpogenEpoetin AlfaVial 10000 units/ml 10 ml$1560Yes
8092ErelziEtanerceptPre-Filled Syringe 50 mg/ml 4 ml$1560Yes
8094ErelziEtanerceptAutoinjector 50 mg/ml 4 ml$1560Yes
101847EvotazAtazanavir/CobicistatTablet 300/150 mg/mg 30 tab$1560No
100400FerahemeFerumoxytolVial 510/17 mg/ml 17 ml$1560No
101916Follistim AQFollitropin BetaVial 600/0.72 IU/ml 0.72 ml$1560Yes
100450Gel-OneSodium HyaluronatePre-Filled Syringe 30/3 mg/ml 3 ea$1560No
105724Genotropin MiniquickSomatropinPre-Filled Syringe 1.8 mg 7 PFS$1560Yes
101979Genotropin MiniquickSomatropinPre-Filled Syringe 1.8 mg 1.75 ml$1560Yes
102165Invega SustennaPaliperidone PalmitatePre-Filled Syringe 117/0.75 mg/ml 0.75 ml$1560No
7955JulucaDolutegravir/RilpivirineTablet 50/25 mg 30 tab$1560No
100656LexivaFosamprenavir CalciumTablet 700 mg 60 Tab$1560No
100657LialdaMesalamineTablet 1.2 g 120 Tab$1560No
18742LonsurfTrifluridine/TipiracilTablet 20/8.19 mg 20 Tabs$1560No
102493MigranalDihydroergotamine MesylateNasal Spray 4 mg/ml 3 ml$1560No
24163Nutropin AQSomatropinPen Cartridge 20/2 mg/ml 2 ml$1560Yes
100798OmnitropeSomatropinCartridge 10/1.5 mg/ml 1.5 ml$1560Yes
102928RadicavaEdaravoneSolution 30/100 mg/ml 200 ml$1560No
100929ReclastZoledronic Acid/Mannitol-WaterSolution 5/100 mg/ml 100 ml$1560No
8308RevatioSildenafilTablet 20 mg 90 tab$1560No
103109SelzentryMaravirocTablet 300 mg 60 tab$1560No
103206StendraAvanafilTablet 100 mg 30 tab$1560No
103207StendraAvanafilTablet 200 mg 30 tab$1560No
9509Tarceva ErlotinibTablet 100 mg 30 tab$1560No
7525TemodarTemozolomideCapsule 140 mg 5 cap$1560No
101090TemozolomideTemozolomideCapsule 140 mg 5 Cap$1560No
103533VemlidyTenofovir AlafenamideTablet 25 mg 30 tab$1560No
103596VraylarCariprazine HclCapsule 1.5 mg 30 cap$1560No
103597VraylarCariprazine HclCapsule 3 mg 30 cap$1560No
103598VraylarCariprazine HclCapsule 4.5 mg 30 cap$1560No
103599VraylarCariprazine HclCapsule 6 mg 30 cap$1560No
103686XolairOmalizumabPre-Filled Syringe 150 mg/ml 1 ml$1560Yes
12689ZyvoxLinezolidIV Solution 2 mg/ml 3000 ml$1560No
101338AfstylaAntihemophilic Factor (Recombinant), Single ChainVial Kit 1000 IU 1 IU$1620Yes
101526BotoxOnabotulinumtoxinaVial 200 Unit 1 Vial$1620Yes
101817EpkinlyEpcoritamab-byspVial 4/0.8 mg/ml 0.8 ml$1620Yes
103107SelzentryMaravirocTablet 150 mg 60 tab$1620No
7036TrizivirAbacavir/Lamivudine/ZidovudineTablet 300 mg 60 tab$1620No
103522VectibixPanitumumabVial 100/5 mg/ml 5 ml$1620Yes
101174ViraceptNelfinavir MesylateTablet 250 mg 300 Tab$1620No
101175ViraceptNelfinavir MesylateTablet 625 mg 120 Tab$1620No
101176VireadTenofovir Disoproxil FumarateTablet 150 mg 30 Tab$1620No
101177VireadTenofovir Disoproxil FumarateTablet 300 mg 30 Tab$1620No
101254ZortressEverolimusTablet 0.5 mg 60 Tab$1620No
8272CosentyxSecukinumabPre-Filled Syringe 150 mg/ml 1 PFS$1650Yes
8274Cosentyx Sensoready PenSecukinumabAutoinjector 150 mg/ml 1 PFP$1650Yes
100023ActemraTocilizumabVial 200/10 mg/ml 10 ml$1680Yes
101384Amjevita (CF)AdalimumabAutoinjector 40/0.8 mg/ml 0.8 ml$1680Yes
7510AptivusTipranavirCapsule 250 mg 120 cap$1680No
100106AranespDarbepoetin AlfaVial 40 mcg/ml 4 ml$1680Yes
100173BotoxOnabotulinumtoxinaVial 200 IU 1 Vial$1680Yes
100191CellceptMycophenolateOral Suspension 200 mg/ml 160 ml$1680No
100198CimduoLamivudine/Tenofovir Disoproxil FumarateTablet 300/300 mg 30 Tab$1680No
20053DalvanceDalbavancinPowder Vial 500 mg 1 Vial$1680No
100282Dimethyl FumarateDimethyl FumarateCapsule 120 mg 14 Cap$1680No
76622DopteletAvatrombopagTablet 20 mg 10 tab$1680No
101752EligardLeuprolide AcetateInjection Kit 30 mg 1 Kit$1680Yes
100365EpzicomAbacavir/LamivudineTablet 600/300 mg 30 Tab$1680No
100376EuflexxaSodium HyaluronatePre-Filled Syringe 20/2 mg/ml 6 ml$1680No
100389FarestonTtoremifene CitrateTablet 60 mg 30 Tab$1680No
100467GenotropinSomatropinPre-Filled Syringe 1.2 mg 7 PFS$1680Yes
105725Genotropin MiniquickSomatropinPre-Filled Syringe 2 mg 7 PFS$1680Yes
101980Genotropin MiniquickSomatropinPre-Filled Syringe 2 mg 1.75 ml$1680Yes
24988HizentraImmune GlobulinVial 0.2 10g/50ml 1 Vial$1680Yes
102054Hulio (Cf)Adalimumab-fkjpPre-Filled Syringe 20/0.4 mg/ml 2 PFS$1680Yes
102055Hulio (Cf)Adalimumab-fkjpPre-Filled Syringe 40/0.8 mg/ml 2 PFS$1680Yes
102053Hulio (Cf) PenAdalimumab-fkjpAutoinjector 40/0.8 mg/ml 2 Autoinjector$1680Yes
102067HumatropeSomatropinCartridge 12 mg 1 Cartridge$1680Yes
102070HumiraAdalimumabAutoinjector 40/0.8 mg/ml 2 Autoinjector$1680Yes
102076HumiraAdalimumabPre-Filled Syringe 40/0.8 mg/ml 2 PFS$1680Yes
102093Hyrimoz (Cf)Adalimumab-adazPre-Filled Syringe 40/0.4 mg/ml 0.8 ml$1680Yes
102090Hyrimoz (Cf) PenAdalimumab-adazAutoinjector 40/0.4 mg/ml 0.8 ml$1680Yes
11683InlytaAxitinibTablet 1 mg 60 tab$1680No
102183Isentress HDRaltegravir PotassiumTablet 600 mg 60 tab$1680No
102238JiviAntihemophilic Factor Viii (Recombinant)Vial 500 IU 500 IU$1680Yes
100606KineretAnakinra Subcutaneous SolnPre-Filled Syringe 100/0.67 mg/ml 4.69 ml$1680Yes
100728MyoblocRimabotulinumtoxinBVial 1000/2 IU/ml 2 ml$1680Yes
100769Nutropin AQ NuspinSomatropinAutoinjector 10/2 mg/ml 2 ml$1680Yes
116617PrezistaDarunavir EthanolateTablet 600 mg 60 tab$1680No
116619PrezistaDarunavir EthanolateTablet 800 mg 30 tab$1680No
102845PrezistaDarunavir EthanolateTablet 150 mg 240 tab$1680No
102846PrezistaDarunavir EthanolateTablet 600 mg 60 tab$1680No
102847PrezistaDarunavir EthanolateTablet 75 mg 480 tab$1680No
102848PrezistaDarunavir EthanolateTablet 800 mg 30 tab$1680No
102861ProcritEpoetin AlfaVial 20,000 units/ml 4 ml$1680Yes
102870ProfilnineFactor Ix ComplexVial Kit 1500 Unit 1500 Unit$1680No
6452PrografTacrolimusCapsule 5 mg 100 cap$1680No
102929RapamuneSirolimusOral Solution 1 mg/ml 60 ml$1680Yes
102959RegranexBecaplerminGel Tube 0.0001 % 15 g$1680Yes
102971RemodulinTreprostinil SodiumVial 20/20 mg/ml 20 ml$1680No
102993RetacritEpoetin Alfa-epbxVial 40,000 Units/ml 4 ml$1680Yes
100961RiluzoleRiluzoleTablet 50 mg 60 Tab$1680No
5623RituxanRituximabInjection 100/10 mg/ml 20 ml$1680No
103257SynagisPalivizumabVial 50/0.5 mg/ml 0.5 ml$1680Yes
101057TadalafilTadalafilTablet 20 mg 30 Tab$1680No
6865TriumeqAbacavir/Dolutegravir/LamivudineTablet 50/600/300 mg 30 tab$1680No
103438TrizivirAbacavir/Lamivudine/ZidovudineTablet 300/150/300 mg 60 tab$1680No
61739VenclextaVenetoclaxTablet 10 mg 168 Tabs$1680No
101183VonvendiVon Willebrand Factor (Recombinant)Vial Kit 450-850 IU 650 IU$1680Yes
103705XynthaAntihemophilic Factor (Recombinant)Vial Kit 1000 IU 1000 IU$1680Yes
103788ZortressEverolimusTablet 0.75 mg 60 tab$1680No
102652NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 1000 IU 1000 IU$1728Yes
105054AbraxanePaclitaxelPowder Vial 100 mg 1 mg$1740No
101689DescovyEmtricitabine/Tenofovir AlafenamideTablet 200/25 mg/mg 30 tab$1740No
101690DescovyEmtricitabine/Tenofovir AlafenamideTablet 200/25 mg/mg 30 tab$1740No
102063Humate-PAntihemophilic Factor/VwfVial Kit 1000 IU 1200 IU$1740No
102655NuzyraOmadacycline TosylateTablet 150 mg 6 tab$1740No
102710Orenitram ER Titration PackTreprostinilTablet 0.125-0.25 mg-mg 168 tab$1740No
103110SelzentryMaravirocTablet 75 mg 120 tab$1740No
105052Abilify MaintenaAripiprazoleInjection Kit 300 mg 1 Kit$1800No
100028Adalimumab-adbmAdalimumab-adbmAutoinjector 40/0.8 mg/ml 1 Kit$1800Yes
100029Adalimumab-adbmAdalimumab-adbmPre-Filled Syringe Kit 10/0.2 mg/ml 1 Kit$1800Yes
100030Adalimumab-adbmAdalimumab-adbmPre-Filled Syringe Kit 20/0.4 mg/ml 1 Kit$1800Yes
100031Adalimumab-adbmAdalimumab-adbmPre-Filled Syringe Kit 40/0.8 mg/ml 1 Kit$1800Yes
101313AdvateAntihemophilic Factor (Recombinant)Vial 1000 IU 1000 IU$1800Yes
111320AjovyFremanezumabAutoinjector 225/1.5 mg/ml 4.5 ml$1800Yes
100094AnagrelideAnagrelide HydrochlorideCapsule 1 mg 100 Cap$1800No
101405AptiomEslicarbazepine AcetateTablet 600 mg 60 tab$1800No
101407AptivusTipranavirCapsule 250 mg 120 cap$1800Yes
100114AranespDarbepoetin AlfaPre-Filled Syringe 40 mcg/ml 1.6 ml$1800Yes
7732BavencioAvelumabVial 20 mg/ml 1 Vial$1800No
101495BenefixCoagulation Factor IX (Recombinant)Vial Kit 1000 IU 1000 IU$1800Yes
100163BivigamImmune GlobulinVial 10/100 g/ml 100 ml$1800Yes
101557ByoovizRanibizumab-NunaVial 0.5/0.05 mg/ml 0.05 ml$1800Yes
100204CinacalcetCinacalcetTablet 90 mg 30 Tab$1800No
100234CutaquigImmune Globulin Subcutaneous (Human) - hippVial 8/48 g/ml 48 ml$1800No
100235CutaquigImmune Globulin Subcutaneous (Human) - hippVial 8/48 g/ml 48 ml$1800No
101666CyramzaRamucirumabVial 100/10 mg/ml 10 ml$1800Yes
100269DeferasiroxDeferasiroxSachet 180 mg 30 Sachet$1800No
100272DeferasiroxDeferasiroxTablet 180 mg 30 Tab$1800No
100336EndariGLUTAMINESachet 5 g 60 Sachet$1800No
7237ExjadeDeferasiroxTablet 500 mg 28 tab$1800No
11530FaslodexFulvestrantPre-Filled Syringe 250/5 mg/ml 10 ml$1800Yes
11562ForteoTeriparatideAutoinjector 250 mcg/ml 2.4 ml$1800Yes
101954GammakedImmune Globulin (Human)Vial 10/100 g/ml 100 ml$1800No
100443Gamunex-CImmune Globulin (Human)Vial 10/100 g/ml 100 ml$1800Yes
100499HalavenEribulin MesylateVial 1/2 mg/ml 2 ml$1800No
102047HizentraImmune Globulin (Human)Vial 10/50 g/ml 50 ml$1800No
100516Humate-PAntihemophilic Factor/VWFVial Kit 1000 IU 1000 IU$1800No
6733Invega TrinzaPaliperidonePre-Filled Syringe 175/0.875 mg/ml 1 PFS$1800No
102188IxempraIxabepiloneVial Kit 15 mg 1 Kit$1800Yes
100596KanjintiTrastuzumab-annsVial 150 mg 1 Vial$1800Yes
102277KerendiaFinerenoneTablet 10 mg 90 tab$1800No
102279KerendiaFinerenoneTablet 20 mg 90 tab$1800No
100653LeukineSARGRAMOSTIMPowder Vial 250 mcg 5 ml$1800Yes
102390LotronexAlosetronTablet 1 mg 30 tab$1800No
102400LucentisRanibizumabPre-Filled Syringe 0.5/0.05 mg/ml 0.05 ml$1800Yes
102426LybalviOlanzapine/SamidorphanTablet 10/10 mg/mg 30 tab$1800No
102428LybalviOlanzapine/SamidorphanTablet 15/10 mg/mg 30 tab$1800No
102430LybalviOlanzapine/SamidorphanTablet 20/10 mg/mg 30 tab$1800No
102432LybalviOlanzapine/SamidorphanTablet 5/10 mg/mg 30 tab$1800No
102507MonjuviTafasitamab-cxixVial 200 mg 1 Vial$1800Yes
102589NivestymFilgrastim-aafiVial 300 mcg/ml 10 ml$1800Yes
105727Norditropin FlexProSomatropinAutoinjector 15/1.5 mg/ml 1.5 ml$1800Yes
100761NplateRomiplostimPowder Vial 125 mcg/ml 1 Vial$1800Yes
102629NucalaMepolizumabPre-Filled Syringe 40/0.4 mg/ml 0.4 ml$1800Yes
102634Nucynta ERTapentadol HclTablet 250 mg 60 tab$1800No
102661OctagamImmun Globg(Igg)/Malt/Iga Ov49Vial 10/200 g/ml 200 ml$1800No
7009OdefseyEmtricitabine/Rilpivirine/Tenofovir AlafenammideTablet 200/25/25 mg 30 tab$1800No
100806OpdivoNivolumabVial 40/4 mg/ml 4 ml$1800Yes
100810OrenciaAbataceptVial 250 mg 1 ml$1800Yes
102743OzurdexDexamethasoneImplant 0.7 mg 1 Implant$1800No
102767PanzygaImmune globulinSolution 10/100 g/ml 100 ml$1800Yes
102775ParsabivEtelcalcetide HydrochlorideVial 5 mg/ml 10 ml$1800Yes
16905PulmozymeDornase AlfaAmpule 1 mg/ml 75 ml$1800Yes
102964RelistorMethylnaltrexone BromideTablet 150 mg 90 tab$1800No
93252RymtiEtanerceptPre-Filled Syringe 50 mg/ml 4 ml$1800Yes
93253RymtiEtanerceptAutoinjector 50 mg/ml 4 ml$1800Yes
12348SaizenSomatropinCartridge 20 mg 1 Cartridge$1800Yes
100985SaxendaLiraglutideAutoinjector 18/3 mg/ml 15 ml$1800Yes
103115SensiparCinacalcet HclTablet 90 mg 30 tab$1800No
12427Somatuline AutogelLanreotidePre-Filled Syringe 60/0.2 mg/ml 0.2 ml$1800Yes
103251SympazanClobazamOral Film 10 mg 60 Film$1800No
101055TadalafilTadalafilTablet 20 mg 30 Tab$1800No
103380TivicayDolutegravir SodiumTablet 50 mg 30 tab$1800No
24921ToriselTemsirolimusInjection Kit 25 mg/ml 1.2 ml$1800Yes
103500UroxatralAlfuzosin HclTablet 10 mg 100 tab$1800No
27377VumerityDiroximel FumarateCapsule 231 mg 120 Caps$1800No
103755Zeposia Starter KitOzanimod HydrochlorideCapsule Kit 0.23/0.46 mg 6 Cap$1800No
7382Zoladex LAGoserelinImplant 10.8 mg 1 Implant$1800No
6240ZyprexaOlanzapineTablet 20 mg 84 tab$1800No
99795EpidiolexCannabidiolOral Solution 100 mg/ml 100 ml$1860No
103527VelcadeBortezomibPowder Vial 3.5 mg 1 Vial$1860No
10944ZoviraxAcyclovir VialInjection 50 mg/ml 100 ml$1860No
11024AmjevitaAdalimumabPre-Filled Syringe 40/0.8 mg/ml 1.6 ml$1920Yes
27775AmjevitaAdalimumabAutoinjector 40/0.8 mg/ml 1.6 ml$1920Yes
101400AplenzinBupropion HydrobromideTablet 348 mg 30 tab$1920No
101412AranespDarbepoetin AlfaPre-Filled Syringe 300/0.6 mcg/ml 0.6 ml$1920Yes
101432AristadaAripiprazole LauroxilInjection Kit 441/1.6 mg/ml 1.6 ml$1920No
7292AtriplaEfavirenz/Emtricitabine/TenofovirTablet 600/200/300 mg 30 tab$1920No
100145BaracludeEntecavirTablet 0.5 mg 30 Tab$1920No
100146BaracludeEntecavirTablet 1 mg 30 Tab$1920No
11174CabenuvaCabotegravir/RilpivirineKit 400/600 mg/mg 4 ml$1920No
101595CialisTadalafilTablet 10 mg 30 tab$1920No
101597CialisTadalafilTablet 20 mg 30 tab$1920No
11320CompleraEmtricitabine/Rilpivirine/Tenofovir Disoproxil FumarateTablet 200/25/300 mg 30 tab$1920No
100260Dalfampridine ERDalfampridineTablet 10 mg 60 Tab$1920No
100293DoxorubicinDoxorubicin HCLVial 2 mg/ml 25 ml$1920Yes
101718DuopaCarbidopa/LevodopaSuspension 4.63/20 mg/mg/ml 700 ml$1920Yes
100306EdurantRilpivirineTablet 25 mg 30 Tab$1920No
76368EnbrelEtanerceptPre-Filled Syringe 25/0.5 mg/ml 4 PFS$1920Yes
101797EntocortBudesonideCapsule 3 mg 100 cap$1920No
101810EpidiolexCannabidiol (Cbd)Oral Solution 100 mg/ml 100 ml$1920No
100468GenotropinSomatropinPre-Filled Syringe 1.4 mg 7 PFS$1920Yes
11595GenvoyaElvitegravir/Cobicistat/Emtricitabine/Tenofovir AlafenamideTablet 150/150/200/10 mg 30 tab$1920No
18694HulioAdalimumabAutoinjector 40/0.8 mg/ml 2 Autoinjector$1920Yes
18696HulioAdalimumabPre-Filled Syringe 40/0.8 mg/ml 2 PFS$1920Yes
11640HumatropeSomatropinCartridge 24 mg 1 Cartridge$1920Yes
100560InjectaferFerric CarboxymaltoseVial 750/15 mg/ml 15 ml$1920No
100564IntelenceEtravirineTablet 100 mg 120 Tab$1920No
100565IntelenceEtravirineTablet 200 mg 60 Tab$1920No
102166Invega SustennaPaliperidone PalmitatePre-Filled Syringe 156 mg/ml 1 ml$1920No
100584JadenuDeferasiroxTablet 90 mg 30 Tab$1920No
102306KovaltryAntihemophilic Factor Viii (Recombinant)Vial Kit 1000 IU 1000 IU$1920Yes
102586NivestymFilgrastim-aafiPre-Filled Syringe 300/0.5 mcg/ml 5 ml$1920Yes
7113OtezlaApremilastTablet 30 mg 56 tab$1920No
102793PertzyePancrelipaseCapsule 24000 USP 200 cap$1920No
102963ReleukoFilgrastim-ayowVial 480/1.6 mcg/ml 16 ml$1920Yes
100953ReyatazAtazanavir SulfateCapsule 150 mg 60 Cap$1920No
100954ReyatazAtazanavir SulfateCapsule 200 mg 60 Cap$1920No
100955ReyatazAtazanavir SulfateCapsule 300 mg 30 Cap$1920No
103044RixubisFactor Ix Human RecombinantVial Kit 1000 IU 1000 IU$1920No
101049SynviscHylan G-F 20Pre-Filled Syringe 16/2 mg/ml 6 ml$1920No
101050SynviscHylan G-F 20Pre-Filled Syringe 48/6 mg/ml 6 ml$1920No
9510Tarceva ErlotinibTablet 150 mg 30 tab$1920No
101169VemlidyTenofovir AlafenamideTablet 25 mg 30 Tab$1920No
103567ViltepsoViltolarsenVial 250/5 mg/ml 5 ml$1920Yes
103568VimizimElosulfase AlfaVial 5/5 mg/ml 5 ml$1920Yes
103595VprivVelaglucerase AlfaPowder Vial 400 units 1 Vial$1920Yes
103670XenpozymeOlipudase Alfa-rpcpPowder Vial 4 mg 1 Vial$1920Yes
101215XolairOmalizumabPre-Filled Syringe 150 mg/ml 1 ml$1920Yes
101217XolairOmalizumabPowder Vial 150 mg 1 Vial$1920Yes
6738BiktarvyBictagravir/Emtricitabine/TenofovirTablet 50/200/25 mg 30 tab$1950No
101544BrixadiBuprenorphinePre-Filled Syringe 128 mg 0.36 ml$1980No
101548BrixadiBuprenorphinePre-Filled Syringe 64 mg 0.18 ml$1980No
101550BrixadiBuprenorphinePre-Filled Syringe 96 mg 0.27 ml$1980No
100489Granixtbo-FilgrastimPre-Filled Syringe 300/0.5 mcg/ml 2.5 ml$1980Yes
100671LupanetaLeuprolide Acetate/Norethindrone acetateKit 3.75/5 mg 1 Kit$1980No
100706MonoviscSodium HyaluronatePre-Filled Syringe 88/4 mg/ml 4 ml$1980No
100725MyforticMycophenolate SodiumTablet 360 mg 120 Tab$1980No
102962ReleukoFilgrastim-ayowVial 300 mcg/ml 10 ml$1980Yes
10932AbirateroneAbirateroneTablet 250 mg 60 tab$2040No
101325AdynovateAntihemophilic Factor (Recombinant)Vial Kit 750 IU 750 IU$2040Yes
100089AmjevitaAdalimumab-attoAutoinjector 40/0.8 mg/ml 1 Auto-Injector$2040Yes
100130AuryxiaFerric CitrateTablet 210 mg 200 Tab$2040No
7758BeovuBrolucizumabPre-Filled Syringe 6/0.05 mg/ml 1 PFS$2040No
115019CaplytaLumateperoneCapsule 10.5 mg 30 cap$2040No
105435CaplytaLumateperoneCapsule 42 mg 30 cap$2040No
101571CaplytaLumateperoneCapsule 21 mg 30 cap$2040No
101633CoselaTrilaciclibVial 300 mg 1 Vial$2040No
101669DalvanceDalbavancin HclVial 500 mg 1 Vial$2040No
100267DecitabineDecitabineSolution 50 mg 1 Vial$2040No
101688DescovyEmtricitabine/Tenofovir AlafenamideTablet 120/15 mg/mg 30 tab$2040No
100367ErbituxCetuximabVial 200/100 mg/ml 100 ml$2040Yes
100385ExjadeDeferasiroxTablet 125 mg 30 Tab$2040No
101868EyleaAfliberceptPre-Filled Syringe 2/0.05 mg/ml 0.05 ml$2040Yes
101869EyleaAfliberceptVial Kit 2/0.05 mg/ml 0.05 ml$2040Yes
11526EyleaAfliberceptVial 2/0.05 mg/ml 0.05 ml$2040Yes
100404FirmagonDegarelixVial Kit 120 mg 2 ml$2040No
101930FragminDalteparin SodiumPre-Filled Syringe 18000/0.72 iu/ml 7.2 ml$2040No
102085HyqviaImmune Globulin (Human)Vial 10/100 g/ml 100 ml$2040Yes
102097IbsrelaTenapanorTablet 50 mg 60 tab$2040No
100570IntronINTERFERON ALFA-2B,RECOMB.Vial 50000000 IU 5 ml$2040Yes
8373JadenuDeferasiroxTablet 360 mg 30 tab$2040No
5607LupronLeuprolideInjection Kit 30 mg 1 Kit$2040No
7037OrenciaAbataceptPre-Filled Syringe 125/1 mg/1ml 4 PFS$2040Yes
103031RiaSTAPFibrinogen, Concentrate From Human PlasmaVial 935 mg 1 Vial$2040Yes
103153SogroyaSomapacitan-becoAutoinjector 10/1.5 mg/ml 1.5 ml$2040Yes
27025StribildElvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil FumarateTablet 150/150/200/245 mg 30 tab$2040No
101092TemozolomideTemozolomideCapsule 180 mg 5 Cap$2040No
103390ToriselTemsirolimusInjection Kit 25 mg/ml 1 Kit$2040Yes
12544TreandaBendamustinePowder Vial 100 mg/ml 1 Vial$2040No
7310Trelstar LATriptorelinInjection Kit 11.25 mg 1 Kit$2040Yes
7387ValcyteValganciclovirTablet 450 mg 60 tab$2040No
7122XeljanzTofacitinibTablet 5 mg 60 tab$2040No
103660XembifyImmune Globulin, Human-klhw 20%Vial 10/50 g/ml 50 ml$2040Yes
103778ZoladexGoserelin AcetateImplant 10.8 mg 1 Implant$2040No
101290AdbryTralokinumabPre-Filled Syringe 150 mg/ml 2 ml$2100Yes
101388Amonyds-45CasimersenVial 100/2 mg/m 2 ml$2100Yes
100425GammagardImmune Globulin (Human)Vial 10/100 g/ml 100 ml$2100Yes
100508HerceptinTrastuzumabPowder Vial 150 mg 1 Vial$2100Yes
51757KevzaraSarilumabAutoinjector 150/1.14 mg/ml 2 Autoinjector$2100Yes
51760KevzaraSarilumabAutoinjector 200/1.14 mg/ml 2 Autoinjector$2100Yes
51761KevzaraSarilumabPre-Filled Syringe 200/1.14 mg/ml 2 PFS$2100Yes
102698OpzeluraRuxolitinib PhosphateCream Tube 0.015 % 60 g$2100No
102805PifeltroDoravirineTablet 100 mg 30 tab$2100No
100935RenvelaSevelamer CarbonateTablet 800 mg 270 Tab$2100No
7380Rinvoq ERUpadacitinibTablet 15 mg 30 tab$2100No
101140TrizivirAbacavir/Lamivudine/ZidovudineTablet 300/150/300 mg 60 Tab$2100No
101364AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 500 IU 500 IU$2160Yes
101394AnnoveraSegesterone Acetate/Ethinyl EstradiolVaginal Ring 0.15/0.013 mg/mg 1 Ring$2160No
100104AranespDarbepoetin AlfaVial 200 mcg/ml 1 ml$2160Yes
100111AranespDarbepoetin AlfaPre-Filled Syringe 200/0.4 mcg/ml 0.4 ml$2160Yes
55836AranespDarbepoetin AlfaPre-Filled Syringe 150 mcg 1.2 ml$2160Yes
55841AranespDarbepoetin AlfaPre-Filled Syringe 500 mcg 1 ml$2160Yes
100117ArimidexAnastrozoleTablet 1 mg 30 Tab$2160No
101494BendekaBendamustine HclVial 100/4 mg/ml 4 ml$2160Yes
100148BenefixCoagulation Factor IX (Recombinant)Vial Kit 1000 IU 1000 IU$2160No
101590CerezymeImiglucerasePowder Vial 400 Unit 1 Vial$2160Yes
100240CuvitruImmune GlobulinVial 8/40 g/ml 40 ml$2160No
100294DroxidopaDroxidopaCapsule 100 mg 90 Cap$2160No
101737EdecrinEthacrynic AcidTablet 25 mg 100 tab$2160No
101769EloctateAntihemophilic Factor (Recombinant)Vial Kit 750 IU 750 IU$2160No
101780EmgalityGalcanezumab-GnlmPre-Filled Syringe 100 mg/ml 3 ml$2160Yes
100360EpogenEpoetin AlfaVial 10000 iu/ml 10 ml$2160Yes
100372Erlotinib HClErlotinib HClTablet 25 mg 30 Tab$2160No
100383EvotazAtazanavir/CobicistatTablet 300/150 mg 30 Tab$2160No
101865Exondys 51EteplirsenVial 100/2 mg/ml 2 ml$2160Yes
101917Follistim AQFollitropin BetaVial 900/1.08 IU/ml 1.08 ml$2160Yes
101933FulphilaPegfilgrastim-jmdbPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$2160Yes
100469GenotropinSomatropinPre-Filled Syringe 1.6 mg 7 PFS$2160Yes
101988GilenyaFingolimodCapsule 0.5 mg 7 cap$2160No
11603GlatectGlatiramer AcetatePre-Filled Syringe 20 mg/ml 30 ml$2160Yes
102018Granixtbo-FilgrastimPre-Filled Syringe 480/0.8 mcg/ml 4 ml$2160Yes
11723KanjintiTrastuzumabVial 420 mg 1 Vial$2160No
7792KyprolisCarfilzomibVial 60 mg 1 Vial$2160No
102624NplateRomiplostimPowder Vial 250 mcg 1 Vial$2160Yes
100772NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 1000 IU 1000 IU$2160Yes
12115OgivriTrastuzumabPowder For Solution 420 mg/Vial 1 Vial$2160No
7166OlumiantBaricitinibTablet 2 mg 30 tab$2160No
100834PaclitaxelPaclitaxelVial 100 mg 1 ml$2160No
102843PrezcobixDarunavir/CobicistatTablet 800/150 mg/mg 30 tab$2160No
100885PrivigenImmun Glob G(Igg)-Pro-Iga 0-50Vial 10/100 g/ml 100 ml$2160No
100890ProcritEpoetin AlfaVial 10000 iu/ml 6 ml$2160Yes
20148PromactaEltrombopag Tablet 25 mg 28 Tabs$2160No
102983RestorilTemazepamCapsule 15 mg 100 cap$2160No
102990RetacritEpoetin Alfa-epbxVial 20,000 Units/ml 10 ml$2160Yes
12360Sandostatin LAROctreotideInjection Kit 10 mg 1 Vial$2160Yes
100991SensiparCinacalcet HclTablet 60 mg 30 Tab$2160No
8074TarcevaErlotinibTablet 100 mg 30 tab$2160No
103327TecvayliTeclistamab-cqyvVial 30/3 mg/ml 3 ml$2160Yes
12543TrazimeraTrastuzumabPowder Vial 440 mg 1 Vial$2160No
101165VelcadeBortezomibPowder Vial 3.5 mg 1 Vial$2160No
114101VelsipityEtrasimodTablet 2 mg 30 tab$2160No
101178VivitrolNaltrexoneKit 380 mg 1 Kit$2160Yes
103602VyeptiEptinezumab-jjmrVial 100 mg/ml 1 ml$2160Yes
103605Vyondys 53GolodirsenIV Solution 100/2 mg/ml 2 ml$2160Yes
7495Xeljanz XRTofacitinibTablet 11 mg 30 tab$2160No
101226Zaltrapziv-AfliberceptVial 100/4 mg/ml 4 ml$2160Yes
101237ZenpepPancrelipaseCapsule 40000-126000 IU 100 Cap$2160No
101238ZenpepPancrelipaseCapsule 40000-126000 IU 100 Cap$2160No
103774ZirabevBevacizumab-bvzrVial 400/16 mg/ml 16 ml$2160Yes
100018AbraxanePaclitaxelPowder Vial 100 mg 1 Vial$2220No
100070AlphanateAntihemophilic Factor/VwfVial Kit 1500 IU 1500 IU$2220No
100193CellceptMycophenolateTablet 500 mg 100 Tab$2220No
6504CopaxoneGlatiramer AcetatePre-Filled Syringe 20 mg/ml 30 PFS$2220Yes
102398LucemyraLofexidine HclTablet 0.18 mg 96 tab$2220No
102826PombilitiCipaglucosidase Alfa-atgaPowder Vial 105 mg 1 Vial$2220Yes
102985RestorilTemazepamCapsule 30 mg 100 cap$2220No
101207XembifyImmune Globulin, Human-klhw 20%Vial 10/50 g/ml 50 ml$2220Yes
100622KyprolisCarfilzomibPowder Vial 30 mg 1 Vial$2250Yes
100040AdvateAntihemophilic Factor (Recombinant)Vial 1000IU (801-1200) IU 1000 IU$2280No
101492BavencioAvelumabIV Solution 200/10 mg/ml 10 ml$2280Yes
101493BeleodaqBelinostatPowder Vial 500 mg 1 Vial$2280No
101504BeovuBrolucizumabPre-Filled Syringe 6/0.05 mg/ml 0.05 ml$2280Yes
101505BeovuBrolucizumabVial 6/0.05 mg/ml 0.05 ml$2280Yes
100308Efavirenz-Emtricitab-TenofoEfavirenz-Emtricitab-TenofoTablet 600/200/300 mg 30 Tab$2280No
100316EmcytEstramustine Phosphate SodiumCapsule 140 mg 100 Cap$2280Yes
100613Kogenate FSAntihemophilic Factor Viii (Recombinant)Vial Kit 1000 IU 1000 IU$2280No
106446LitfuloRitlecitinibCapsule 50 mg 28 cap$2280No
100672Lupron DepotLeuprolide AcetateInjection Kit 3.75 mg 1 Kit$2280No
102474MayzentSiponimodTablet 0.25 mg 28 tab$2280Yes
102578NexviazymeAvalglucosidase Alfa-ngptVial 100 mg 1 Vial$2280Yes
106878NgenlaSomatrogonAutoinjector 60/1.2 mg/ml 1.2 ml$2280Yes
12136OmnitropeSomatropinCartridge 10/1.5 mg/ml 7.5 ml$2280Yes
100859PifeltroDoravirineTablet 100 mg 30 Tab$2280No
12312RebifInterferon Beta-1aCartridge 22 mcg 12 Cartridge$2280Yes
17646SymtuzaDarunavir/Cobicistat/Emtricitabine/TenofovirTablet 800/150/200/10 mg 30 tab$2280No
103289TaclonexCalcipotriene/BetamethasoneTopical Suspension 0.005/0.05 %/% 120 g$2280No
103408Trelstar LATriptorelin PamoateInjection 11.25 mg 1 Kit$2280No
101150UcerisBudesonideTablet 9 mg(24 Hours) 30 Tab$2280No
103519VasculeraDiosmiplexTablet 630 mg 30 tab$2280No
101163VectibixPanitumumabVial 100/5 mg/ml 5 ml$2280Yes
12621VfendVoriconazoleTablet 200 mg 30 tab$2280No
103555ViagraSildenafil CitrateTablet 100 mg 30 tab$2280No
103556ViagraSildenafil CitrateTablet 25 mg 30 tab$2280No
103557ViagraSildenafil CitrateTablet 50 mg 30 tab$2280No
103569VimovoNaproxen/Esomeprazole MagnesiumTablet 500/20 mg/mg 60 tab$2280No
103623Wellbutrin XLBupropion HclTablet 300 mg 30 tab$2280No
103789ZortressEverolimusTablet 1 mg 60 tab$2280No
12688ZyvoxLinezolidTablet 600 mg 20 tab$2280No
102191IxinityFactor IX, Recombinant HumanInjection Kit 1000 IU 1000 IU$2340No
8276ActemraTocilizumabAutoinjector 162/0.9 mg/ml 3.6 ml$2400Yes
8278ActemraTocilizumabPre-Filled Syringe 162/0.9 mg/ml 3.6 ml$2400Yes
9311Afinitor EverolimusTablet 10 mg 30 tab$2400No
101337Afrezzainsulin humanInhalation Powder 8-12 Units 180 Cartridge$2400Yes
101339AfstylaAntihemophilic Factor (Recombinant), Single ChainVial Kit 1500 IU 1 IU$2400Yes
101458AtriplaEfavirenz/Emtricitabine/TenofovirTablet 600/200/300 mg 30 tab$2400No
101539BriviactBrivaracetamTablet 100 mg 100 tab$2400No
101541BriviactBrivaracetamTablet 25 mg 100 tab$2400No
101542BriviactBrivaracetamTablet 50 mg 100 tab$2400No
7133CimziaCertolizumab PegolAutoinjector 200 mg/ml 2 Autoinjector$2400Yes
7134CimziaCertolizumab PegolPre-Filled Syringe 200 mg/ml 2 PFS$2400Yes
101636CosentyxSecukinumabPre-Filled Syringe 75/0.5 mg/ml 0.5 ml$2400Yes
100276DeferasiroxDeferasiroxTablet 500 mg 30 Tab$2400No
100298DupixentDupilumabAutoinjector 200/1.14 mg/ml 1.14 ml$2400Yes
100300DupixentDupilumabAutoinjector 300/2 mg/ml 2 ml$2400Yes
8087EnbrelEtanerceptPre-Filled Syringe 50 mg/ml 4 PFS$2400Yes
90004Enbrel MiniEtanerceptCartridge 50 mg/ml 4 ml$2400Yes
89998Enbrel SureclickEtanerceptAutoinjector 50 mg/ml 4 ml$2400Yes
8089Enbrel Sureclick PenEtanerceptAutoinjector 50 mg/ml 4 PFP$2400Yes
11519ExtaviaInterferon Beta-1bVial 0.3 mg 15 Vial$2400No
101874FanaptIloperidoneTablet 12 mg 60 tab$2400No
7894FulphilaPegfilgrastimPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$2400No
100433GammakedImmune Globulin (Human)Vial 10/100 g/ml 100 ml$2400Yes
100436GammaplexImmune Globulin (Human)Vial 10/100 g/ml 100 ml$2400No
100437GammaplexImmune Globulin (Human)Vial 10/200 g/ml 200 ml$2400No
101960Gamunex-CImmune Globulin (Human)Vial 20/200 g/ml 200 ml$2400Yes
100470GenotropinSomatropinCartridge 12 mg 1 Cartridge$2400Yes
102009Gonal F RFF RedijectFollitropin AlfaInjection Kit 900/1.5 IU/ml 1.5 ml$2400Yes
11637HerzumaTrastuzumabVial 440 mg 1 Vial$2400Yes
7675IbavyrRibavirinTablet 200 mg 100 tab$2400No
6734Invega TrinzaPaliperidonePre-Filled Syringe 263/1.315 mg/ml 1 PFS$2400No
6735Invega TrinzaPaliperidonePre-Filled Syringe 350/1.75 mg/ml 1 PFS$2400No
17289LenvimaLenvatinibCapsule 4 mg 30 cap$2400No
11810LucentisRanibizumabPre-Filled Syringe 10 mg/ml 0.05 ml$2400No
11811LucentisRanibizumabVial 10 mg/ml 0.23 ml$2400Yes
8342MvasiBevacizumabVial 25 mg/ml 16 ml$2400Yes
102576NexobridAnacaulase-bcdbTopical Gel 8.8 % 55 g$2400Yes
100751NorditropinSomatropinAutoinjector 10/1.5 mg/ml 1.5 ml$2400Yes
102603NovoeightAntihemophilic Factor Viii (Recombinant)Injection Kit 1000 IU 1000 IU$2400No
102619Novoseven RT with MixProCoagulation Factor Viia (Recombinant)Powder Vial 1 mg 1000 mcg$2400No
12110NyvepriaPegfilgrastimPre-Filled Syringe 6 mg/0.6ml 0.6 ml$2400Yes
100783OctagamImmun Globg(Igg)/Malt/Iga Ov47Vial 10/100 g/ml 100 ml$2400No
100784OctagamImmun Globg(Igg)/Malt/Iga Ov48Vial 10/200 g/ml 200 ml$2400No
111506OfevNintedanib EsylateCapsule 100 mg 60 cap$2400No
9284OfevNintedanibCapsule 100 mg 60 Caps$2400No
110396OtezlaApremilastTablet 30 mg 60 tab$2400No
100842PanzygaImmune GlobulinVial 10/100 g/ml 100 ml$2400No
25014PheburaneSodium PhenylbutyrateGranule 483 mg/g 174 g$2400No
100902ProliaDenosumabPre-Filled Syringe 60 mg/ml 1 ml$2400Yes
5566PromactaEltrombopagTablet 25 mg 28 tab$2400No
102941RayosPrednisoneTablet 1 mg 30 tab$2400No
102942RayosPrednisoneTablet 2 mg 30 tab$2400No
102943RayosPrednisoneTablet 5 mg 30 tab$2400No
102958RecombinateFactor VIII, Recombinant HumanInjection Kit 1000 IU 1000 IU$2400No
102961ReleukoFilgrastim-ayowPre-Filled Syringe 480/0.8 mcg/ml 8 ml$2400Yes
100944RetacritEpoetin Alfa-epbxVial 40000 iu/ml 4 ml$2400Yes
103026Rhogam Ultra-Filtered PlusRho D Immune GlobulinPre-Filled Syringe 1500 IU 25 PFS$2400Yes
12319RiabniRituximabVial 500/50 mg/ml 50 ml$2400No
7125RiximyoRituximabInjection 500 mg/50ml 50 ml$2400Yes
8263RuxienceRituximabVial 500/50 mg/ml 50 ml$2400No
100988SelzentryMaravirocTablet 150 mg 60 Tab$2400No
100989SelzentryMaravirocTablet 300 mg 60 Tab$2400No
101000SimponiGolimumabVial 50/4 mg/ml 4 ml$2400Yes
101008SirolimusSirolimusTablet 2 mg 100 Tab$2400No
103146SkytrofaLonapegsomatropin-tcgdCartridge 3 mg 4 Cartridge$2400Yes
12428Somatuline AutogelLanreotidePre-Filled Syringe 90/0.3 mg/ml 0.3 ml$2400Yes
103258SynarelNafarelin AcetateNasal Spray 2 mg/ml 8 ml$2400No
103310TarcevaErlotinib HclTablet 25 mg 30 tab$2400No
103359Thrombate IIIAntithrombin IIIPowder Vial 500 units 500 Vial$2400No
101142TruvadaEmtricitabine/Tenofovir (Tdf)Tablet 200/300 mg 30 Tab$2400No
7127TruximaRituximabInjection 500 mg/50ml 50 ml$2400Yes
103506ValstarValrubicinVial 200/5 mg/ml 5 ml$2400Yes
13033Venclexta Starting PackVenetoclaxTablet 10-50-100 mg 28 Tab$2400No
8855VireadTenofovir Disoproxil FumarateTablet 300 mg 90 tab$2400No
103729ZarxioFilgrastim-sndzPre-Filled Syringe 300/0.5 mcg/ml 5 ml$2400Yes
103731ZarxioFilgrastim-sndzPre-Filled Syringe 480/0.8 mcg/ml 8 ml$2400Yes
7898ZiextenzoPegfilgrastimPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$2400No
8347ZirabevBevacizumabVial 400/16 mg/ml 16 ml$2400Yes
103784ZonegranZonisamideCapsule 25 mg 100 cap$2400No
101255ZortressEverolimusTablet 0.75 mg 60 Tab$2400No
101503BenlystaBelimumabVial 400/20 mg/ml 1 Vial$2460Yes
100222CreonPancrelipaseCapsule 24000-76000 IU 250 Cap$2460No
100573IsentressRaltegravir PotassiumTablet 600 mg 60 Tab$2460No
100574IsentressRaltegravir PotassiumTablet 400 mg 60 Tab$2460No
100580IxempraIxabepiloneVial Kit 15 mg 1 ml$2460Yes
100617KovaltryAntihemophilic Factor Viii (Recombinant)Vial Kit 1000 IU 1000 IU$2460No
7305Trelstar LATriptorelinInjection Kit 22.5 mg (6 Month) 1 Kit$2460Yes
101416AranespDarbepoetin AlfaVial 100 mcg/ml 4 ml$2520Yes
100116AranespDarbepoetin AlfaPre-Filled Syringe 60/0.3 mcg/ml 1.2 ml$2520Yes
11140BetaseronInterferon Beta-1bPre-Filled Syringe 0.3 mg 15 ml$2520No
101513BicnuCarmustineVial Kit 100 mg 1 Kit$2520Yes
100237CuvitruImmune GlobulinVial 10/50 g/ml 50 ml$2520No
76624DopteletAvatrombopagTablet 20 mg 15 tab$2520No
101725DurystaBimatoprostImplant 10 mcg 1 Implant$2520Yes
101753EligardLeuprolide AcetateInjection Kit 45 mg 1 Kit$2520Yes
100319EmgalityGalcanezumab-GnlmPre-Filled Syringe 100 mg/ml 1 ml$2520Yes
101805Envarsus XRTacrolimusTablet 4 mg 100 tab$2520No
101885FaslodexFulvestrantPre-Filled Syringe 250/5 mg/ml 10 ml$2520Yes
101886Feiba NFProthrombin Complex Concentrate, Activated, From Human PlasmaInjection Kit 1000 IU 1000 IU$2520No
100519HumatropeSomatropinCartridge 12 mg 1 Cartridge$2520Yes
102685OnivydeIrinotecan LiposomalVial 43/10 mg/ml 10 ml$2520Yes
102790PerserisRisperidonePre-Filled Syringe 90 mg 1 PFS$2520Yes
103023RezzayoRezafunginPowder Vial 200 mg 1 Vial$2520No
101059TadliqTadalafilOral Suspension 20/5 mg/ml 150 ml$2520No
103645Xcopri Maintenance PackCenobamateTablet 150/200 mg 56 tab$2520No
103652XdemvyLotilanerOphthalmic Solution 0.25 % 10 ml$2520No
12561TykerbLapatinibTablet 250 mg 70 tab$2544No
101831EsperoctAntihemophilic Factor (Recombinant)Vial Kit 1000 IU 1000 IU$2580No
100395FaslodexFulvestrantPre-Filled Syringe 50 mg/ml 10 ml$2580Yes
102952RebinynCoagulation Factor Ix (Recombinant), GlycopegylatedVial 500 IU 500 IU$2580No
11480EmgalityGalcanezumab-GnlmPre-Filled Syringe 100 mg/ml 3 ml$2592Yes
105053Abilify MaintenaAripiprazoleInjection Kit 400 mg 1 Kit$2640No
114755AdbryTralokinumabAutoinjector 300/2 mg/ml 4 ml$2640Yes
100034AdbryTralokinumabPre-Filled Syringe 150 mg/ml 2 ml$2640Yes
101358AlphanateAntihemophilic Factor/VwfVial Kit 2000 IU 2000 IU$2640No
100107AranespDarbepoetin AlfaVial 60 mcg/ml 4 ml$2640Yes
101430Aristada InitioAripiprazole LauroxilInjection Kit 675/2.4 mg/ml 2.4 ml$2640No
41136AubagioTeriflunomideTablet 14 mg 28 tab$2640No
101843EvenityRomosozumab-aqqgPre-Filled Syringe 105/1.17 mg/ml 2.34 ml$2640Yes
101862ExjadeDeferasiroxTablet 250 mg 30 tab$2640No
100419FulphilaPegfilgrastim-jmdbPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$2640Yes
100420FulphilaPegfilgrastim-jmdbPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$2640Yes
100430GammagardImmune Globulin (Human)Solution 10 g 1 Kit$2640Yes
100510HizentraImmune Globulin (Human)Vial 10/50 g/ml 50 ml$2640No
6442HumiraAdalimumabPre-Filled Syringe 40/0.8 mg/ml 2 PFS$2640Yes
7131HumiraAdalimumabAutoinjector 40/0.8 mg/ml 2 Autoinjector$2640Yes
100539HyqviaImmune Globulin (Human)Vial 10/100 g/ml 105 ml$2640Yes
102359IntelenceEtravirineTablet 200 mg 180 tab$2640No
100673Lupron DepotLeuprolide AcetateInjection Kit 7.5 mg 1 Kit$2640No
102460MargenzaMargetuximab-cmkbVial 250/10 mg/ml 10 ml$2640Yes
102526MvasiBevacizumab-awwbVial 400/16 mg/ml 16 ml$2640Yes
102540NaglazymeGalsulfaseVial 5/5 mg/ml 5 ml$2640Yes
102579NgenlaSomatrogon-ghlaAutoinjector 24/1.2 mg/ml 1.2 ml$2640Yes
12099NucalaMepolizumabVial 100 mg/ml 1 Vial$2640Yes
12097NucalaMepolizumabAutoinjector 100 mg/ml 1 Autoinjector$2640Yes
12098NucalaMepolizumabPre-Filled Syringe 100 mg/ml 1 PFS$2640Yes
100910RapamuneSirolimusOral Solution 1 mg/ml 60 ml$2640Yes
12313RebifInterferon Beta-1aCartridge 44 mcg 12 Cartridge$2640Yes
103067RyplazimPlasminogenPowder Vial 68.8 mg 1 Vial$2640No
12368SerostimSomatropinVial 5 mg 7 ml$2640Yes
72600Sotyktu DeucravacitinibTablet 6 mg 28 tab$2640No
12453SutentSunitinibCapsule 12.5 mg 28 cap$2640No
103239SyfovrePegcetacoplanVial 15/0.1 mg/ml 0.1 ml$2640Yes
7024TaltzIxekizumabPre-Filled Syringe 80 mg/ml 1 PFS$2640Yes
7025TaltzIxekizumabAutoinjector 80 mg/ml 1 Autoinjector$2640Yes
5998TecfideraDimethyl FumarateCapsule 240 mg 56 cap$2640No
101125ToriselTemsirolimusInjection Kit 25 mg/ml 1 ml$2640Yes
103474TyvasoTreprostinilVial 1.74/2.9 mg/ml 11.6 ml$2640No
103503VabysmoFaricimabVial 6/0.05 mg/ml 0.05 ml$2640Yes
101314AdvateAntihemophilic Factor (Recombinant)Vial 1500 IU 1500 IU$2700Yes
102194IzervayAvacincaptad PegolSolution Kit 2/0.1 mg/ml 0.1 ml$2700Yes
102407LumoxitiMoxetumomab Pasudotox-tdfkPowder Vial 1 mg 1 Vial$2700Yes
102584NipentPentostatinPowder Vial 10 mg 1 Vial$2700Yes
8248SimponiGolimumabAutoinjector 50 mg 0.5 ml$2700Yes
8250SimponiGolimumabPre-Filled Syringe 50 mg 0.5 ml$2700Yes
8252SimponiGolimumabPre-Filled Syringe 100 mg 1 ml$2700Yes
8254SimponiGolimumabAutoinjector 100 mg 1 ml$2700Yes
103439TrodelvySacituzumab Govitecan-hziyPowder Vial 180 mg 1 Vial$2700Yes
101277ActemraTocilizumabVial 400/20 mg/ml 20 ml$2760Yes
100074Alphanate/VWFAntihemophilic Factor/VwfPowder Vial 2000 IU 2000 IU$2760No
101379AlymsysBevacizumab-malyVial 400/16 mg/ml 16 ml$2760Yes
90118AvonexInterferon Beta-1aAutoinjector 30/0.5 mcg/ml 1 Kit$2760Yes
90234AvonexInterferon Beta-1aPre-Filled Syringe 30/0.5 mcg/ml 1 Kit$2760Yes
101640CosentyxSecukinumabVial 125/5 mg/ml 5 ml$2760Yes
112919EbglyssLebrikizumabPre-Filled Pen 250/2 mg/ml 2 ml$2760Yes
101762EloctateAntihemophilic Factor (Recombinant)Vial Kit 1000 IU 1000 IU$2760No
101784EmplicitiElotuzumabVial 300 mg 1 Vial$2760Yes
101793EnjaymoSutimlimab-jomeVial 1100/22 mg/ml 22 ml$2760Yes
101802EntyvioVedolizumabAutoinjector 108/0.68 mg/ml 0.68 ml$2760Yes
100409FlebogammaImmune Globulin (Human)Vial 20/200 g/ml 200 ml$2760No
100417FragminDalteparin SodiumPre-Filled Syringe 18000/0.72 iu/ml 7.2ml$2760No
100680Lupron Depot-PedLeuprolide AcetateInjection Kit 7.5 mg 1 Kit$2760No
12069NeupogenFilgrastimVial 300 mcg/ml 10 ml$2760Yes
100745NivestymFilgrastim-aafiVial 300 mcg/ml 10 ml$2760Yes
100748NivestymFilgrastim-aafiPre-Filled Syringe 300/0.5 mcg/ml 5 ml$2760Yes
103033RilutekRiluzoleTablet 50 mg 60 tab$2760No
101033StelaraUstekinumabVial 130/26 mg/ml 26 ml$2760Yes
7526TemodarTemozolomideCapsule 250 mg 5 cap$2760No
101096TemozolomideTemozolomideCapsule 250 mg 5 Cap$2760No
101105TetrabenazineTetrabenazineTablet 25 mg 112 Tab$2760No
25020TezspireTezepelumab-ekkoAutoinjector 210/1.91 mg/ml 1.91 ml$2760Yes
25022TezspireTezepelumab-ekkoPre-Filled Syringe 210/1.91 mg/ml 1.91 ml$2760Yes
12513ThyrogenThyrotropin AlfaPowder Vial 0.9 mg/ml 2.2 ml$2760No
103404TreandaBendamustine HclPowder Vial 100 mg 1 Vial$2760No
103465TymlosAbaloparatideAutoinjector 3120/1.56 mcg/ml 1.56 ml$2760Yes
103677XgevaDenosumabVial 120/1.7 mg/ml 1.7 ml$2760Yes
103680XifaxanRifaximinTablet 550 mg 60 tab$2760No
101624CompleraEmtricitabine/Rilpivirine/TenofovirTablet 200/25/300 mg/mg/mg 30 tab$2820No
24966DupixentDupilumabPre-Filled Syringe 200/1.14 mg/ml 2.28 ml$2820Yes
24964DupixentDupilumabPre-Filled Syringe 300/2 mg/ml 4 ml$2820Yes
25123DupixentDupilumabAutoinjector 300/2 mg/ml 4 ml$2820Yes
100883PrezistaDarunavir EthanolateTablet 600 mg 60 Tab$2820No
100884PrezistaDarunavir EthanolateTablet 800 mg 30 Tab$2820No
101240ZeposiaOzanimod HydrochlorideCapsule 0.23/0.46 mg 7 Cap$2820No
101387AmjevitaAdalimumabAutoinjector 40/0.8 mg/ml 1.6 ml$2880Yes
101386Amjevita (CF)AdalimumabAutoinjector 40/0.8 mg/ml 1.6 ml$2880Yes
55839AvastinBevacizumabVial 25 mg/ml 16 ml$2880Yes
11104AvonexInterferon Beta-1aAutoinjector 30/0.5 mcg/ml 1 Kit$2880Yes
11105AvonexInterferon Beta-1aPre-Filled Syringe 30/0.5 mcg/ml 1 Kit$2880Yes
101496BenefixCoagulation Factor IX (Recombinant)Vial Kit 2000 IU 2000 IU$2880Yes
101510BethkisTobramycinAmpule 300/4 mg/ml 112 ml$2880Yes
101676DarzalexDaratumumabVial 400/20 mg/ml 20 ml$2880Yes
100279DescovyEmtricitabine/Tenofovir AlafenamideTablet 200/10 mg 30 Tab$2880No
100280DescovyEmtricitabine/Tenofovir AlafenamideTablet 200/25 mg 30 Tab$2880No
81874DificidFidaxomicinTablet 200 mg 20 tab$2880No
100322EmplicitiElotuzumabVial 300 mg 1 Vial$2880Yes
102198JadenuDeferasiroxTablet 180 mg 30 tab$2880No
102195Jadenu SprinkleDeferasiroxGranules 180 mg 30 Granule$2880No
7673KisqaliRibociclibTablet 200 mg 21 tab$2880No
12067NeupogenFilgrastimPre-Filled Syringe 300/0.5 mcg/ml 5 ml$2880No
7657NplateRomiplostimPowder Vial 500 mcg 1 Vial$2880No
100891ProcritEpoetin AlfaVial 10000 iu/ml 8 ml$2880Yes
100893ProcritEpoetin AlfaVial 20000 iu w/ Protec 4 ml$2880Yes
102930RapamuneSirolimusTablet 1 mg 100 tab$2880No
12361Sandostatin LAROctreotideInjection Kit 20 mg 1 Kit$2880Yes
103132SimulectBasiliximabPowder Vial 10 mg 1 Vial$2880Yes
103668XenletaLefamulin AcetateTablet 600 mg 30 tab$2880No
101289AdakveoCrizanlizumabVial 100/10 mg/ml 10 ml$3000Yes
100071AlphanateAntihemophilic Factor/VwfVial Kit 2000 IU 2000 IU$3000No
101370AltuviiioAntihemophilic Factor (Recombinant)Injection Kit 500 IU 500 IU$3000Yes
101408AranespDarbepoetin AlfaPre-Filled Syringe 100/0.5 mcg/ml 2 ml$3000Yes
101433AristadaAripiprazole LauroxilInjection Kit 662/2.4 mg/ml 2.4 ml$3000No
101485BanzelRufinamideTablet 400 mg 120 tab$3000No
17183BenlystaBelimumabAutoinjector 200 mg/ml 4 ml$3000Yes
81280DupixentDupilumabAutoinjector 200 200mg/1.14mL 2.28 ml$3000No
81725DupixentDupilumabPre-Filled Syringe 200 mg/1.14mL 2.28 ml$3000No
81728DupixentDupilumabPre-Filled Syringe 300 mg/2mL 4 ml$3000No
81731DupixentDupilumabAutoinjector 300 mg/2mL 4 ml$3000No
101759ElitekRasburicasePowder Vial 1.5 mg 3 Vial$3000Yes
17970EntyvioVedolizumabAutoinjector 108/0.68 mg/ml 1.36 ml$3000Yes
100396FeibaProthrombin Complex Concentrate, Activated, From Human PlasmaInjection Kit 1000 IU 1000 IU$3000No
101951Gammagard LiquidImmune Globulin (Human)Vial 20/200 g/ml 200 ml$3000No
11579Genotropin GoQuickSomatropinAutoinjector 12 mg 5 Autoinjector$3000Yes
7062GilotrifAfatinibTablet 20 mg 28 tab$3000No
7063GilotrifAfatinibTablet 30 mg 28 tab$3000No
7064GilotrifAfatinibTablet 40 mg 28 tab$3000No
102000GleostineLomustineCapsule 40 mg 5 cap$3000No
100483GleostineLomustineCapsule 40 mg 5 Cap$3000No
102104IdelvionCoagulation Factor IX (Recombinant)Powder Vial 500 IU 500 IU$3000No
102167Invega SustennaPaliperidone PalmitatePre-Filled Syringe 234/1.5 mg/ml 1.5 ml$3000No
102168Invega TrinzaPaliperidone PalmitatePre-Filled Syringe 273/0.88 mg/ml 0.88 ml$3000No
6736Invega TrinzaPaliperidonePre-Filled Syringe 525/2.625 mg/ml 1 PFS$3000No
102235JiviAntihemophilic Factor Viii (Recombinant)Vial 1000 IU 1000 IU$3000Yes
100588JiviAntihemophilic Factor Viii (Recombinant)Vial 1000 IU 1000 IU$3000No
102302KoselugoSelumetinibCapsule 10 mg 28 cap$3000No
102318KyprolisCarfilzomibPowder Vial 60 mg 1 Vial$3000Yes
102470MavyretGlecaprevir/PibrentasvirOral Pellet 50/20 mg/mg 28 Pellet$3000No
100687MayzentSiponimodTablet 0.25 mg 28 Tab$3000Yes
102508MonoferricFerric DerisomaltoseVial 1000/10 mg/ml 10 ml$3000No
102527MycapssaOcreotideCapsule 20 mg 28 cap$3000No
100721MycophenolateMycophenolate MofetilTablet 500 mg 500 Tab$3000No
102549NeoprofenIbuprofen LysineVial 20/2 mg/ml 6 ml$3000No
102590NivestymFilgrastim-aafiVial 480/1.6 mcg/ml 16 ml$3000Yes
100807OpzeluraRuxolitinib PhosphateCream Tube 1.5 % 60 g$3000No
102712OrgovyxRelugolixTablet 120 mg 30 tab$3000No
102782PegasysPeginterferon alfa-2aPre-Filled Syringe 180/0.5 mcg/ml 2 ml$3000Yes
102856PrivigenImmun Glob G(Igg)-Pro-Iga 0-50Vial 20/200 g/ml 200 ml$3000No
100941RetacritEpoetin Alfa-epbxVial 20000 iu/ml 10 ml$3000Yes
103030RiabniRituximab-arrxVial 500/50 mg/ml 50 ml$3000Yes
103059RuxienceRituximab-pvvrVial 500/50 mg/ml 50 ml$3000Yes
103086Sandostatin LAR DepotOctreotide AcetateVial Kit 10 mg 1 Kit$3000Yes
103145SkytrofaLonapegsomatropin-tcgdCartridge 3.6 mg 4 Cartridge$3000Yes
103154SogroyaSomapacitan-becoAutoinjector 15/1.5 mg/ml 1.5 ml$3000Yes
12426Somatuline AutogelLanreotidePre-Filled Syringe 120/0.5 mg/ml 0.5 ml$3000Yes
103256SynagisPalivizumabVial 100 mg/ml 1 ml$3000Yes
8072TarcevaErlotinibTablet 150 mg 30 tab$3000No
101084TecfideraDimethyl FumarateCapsule 120 mg 14 Cap$3000No
101104TeriparatideTeriparatideAutoinjector 620/2.48 mcg/ml 2.48 ml$3000Yes
101115TivicayDolutegravir SodiumTablet 50 mg 30 Tab$3000No
103403TrazimeraTrastuzumab-qyypPowder Vial 420 mg 1 Vial$3000Yes
103441Trokendi XRTopiramateCapsule 100 mg 100 cap$3000No
8337VelcadeBortezomibPowder Vial 3.5 mg/Vial 1 Vial$3000No
101198XatmepMethotrexateOral Solution 2.5 mg/ml 120 ml$3000Yes
103653XeljanzTofacitinib CitrateOral Solution 1 mg/ml 240 ml$3000No
103655XeljanzTofacitinib CitrateTablet 5 mg 60 tab$3000No
103654XeljanzTofacitinib CitrateTablet 10 mg 60 tab$3000No
103659XelodaCapecitabineTablet 500 mg 120 tab$3000No
103706XynthaAntihemophilic Factor (Recombinant)Vial Kit 2000 IU 2000 IU$3000Yes
103724Zaltrapziv-AfliberceptVial 200/8 mg/ml 8 ml$3000Yes
12670ZelborafVemurafenibTablet 240 mg 56 tab$3000No
24914ZeposiaOzanimod HydrochlorideCapsule 0.92 mg 28 cap$3000No
103783ZonegranZonisamideCapsule 100 mg 100 cap$3000No
100081AltuviiioAntihemophilic Factor (Recombinant)Injection Kit 500 IU 500 IU$3120Yes
101414AranespDarbepoetin AlfaPre-Filled Syringe 500 mcg/ml 1 ml$3120Yes
100113AranespDarbepoetin AlfaPre-Filled Syringe 300 mcg/ml 0.6 ml$3120Yes
100136Austedo XRDeutetrabenazineTablet 6 mg(24 Hours) 30 Tab$3120No
101579CasodexBicalutamideTablet 50 mg 30 tab$3120No
101616ColumviGlofitamab-gxbmVial 2.5/2.5 mg/ml 2.5 ml$3120Yes
101682DelstrigoDoravirine/Lamivu/Tenofov Disoproxil FumarateTablet 100/300/300 mg/mg/mg 30 tab$3120No
101819EpogenEpoetin AlfaVial 20000/2 units/ml 20 ml$3120Yes
101820EpogenEpoetin AlfaVial 20000 units/ml 10 ml$3120Yes
100493Granixtbo-FilgrastimPre-Filled Syringe 480/0.8 mcg/ml 4 ml$3120Yes
102100IcatibantIcatibantPre-Filled Syringe 30/3 mg/ml 3 ml$3120No
102483MepseviiVestronidase Alfa-vjbkIV Solution 10/5 mg/ml 5 ml$3120Yes
102597NortheraDroxidopaCapsule 100 mg 90 cap$3120No
100773NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 1500 IU 1500 IU$3120Yes
102671OlumiantBaricitinibTablet 1 mg 30 tab$3120No
102672OlumiantBaricitinibTablet 2 mg 30 tab$3120No
100882PrezcobixDarunavir/CobicistatTablet 800/150 mg 30 Tab$3120No
6732PrezistaDarunavirTablet 800 mg 90 tab$3120No
102899PulmozymeDornase AlfaAmpule 1 mg/ml 75 ml$3120Yes
17651Rinvoq ERUpadacitinibTablet 30 mg 30 tab$3120No
100994SevenfactCoagulation Factor VIIa (Recom)Powder Vial 1 mg 1000 mcg$3120No
101089TemozolomideTemozolomideCapsule 100 mg 14 Cap$3120No
101182VonvendiVon Willebrand Factor (Recombinant)Vial Kit 900-1700 IU 1300 IU$3120Yes
8271CosentyxSecukinumabPre-Filled Syringe 150 mg/ml 2 PFS$3150Yes
8273Cosentyx Sensoready PenSecukinumabAutoinjector 150 mg/ml 2 PFP$3150Yes
101792Enhertufam-Trastuzumab Deruxtecan-nxkiVial 100 mg 1 Vial$3180Yes
101130TrelstarTriptorelin PamoateInjection 11.25 mg 1 Kit$3180No
100027AdakveoCrizanlizumabVial 100/10 mg/ml 10 ml$3240Yes
101340AfstylaAntihemophilic Factor (Recombinant), Single ChainVial Kit 2000 IU 1 IU$3240Yes
103413ApretudeCabotegravirInjection Kit 600/3 mg/ml 3 ml$3240Yes
100147BendekaBendamustine HClVial 100/4 mg/ml 4 ml$3240Yes
24971EnhertuTrastuzumab DeruxtecanVial 100 mg 5 ml$3240Yes
100377EvenityRomosozumab-aqqgPre-Filled Syringe 105/1.17 mg/ml 2.34 ml$3240Yes
90007ForteoTeriparatideAutoinjector 600/2.4 mg/ml 2.4 ml$3240Yes
5875GilenyaFingolimodCapsule 0.5 mg 28 cap$3240No
11596GilenyaFingolimodCapsule 0.25 mg 28 cap$3240No
100486Granixtbo-FilgrastimVial 300 mcg/ml 10 ml$3240Yes
100490Granixtbo-FilgrastimPre-Filled Syringe 300/0.5 mcg/ml 5 ml$3240Yes
17690IressaGefitinibTablet 250 mg 30 tab$3240No
11721KadcylaTrastuzumab EmtansineVial 100 mg 1 Vial$3240No
102744PadcevEnfortumab Vedotin-ejfvPowder Vial 20 mg 1 Vial$3240Yes
102789PerserisRisperidonePre-Filled Syringe 120 mg 1 PFS$3240Yes
100992SensiparCinacalcet HclTablet 90 mg 30 Tab$3240No
103319TavneosAvacopanCapsule 10 mg 30 cap$3240No
103440TrogarzoIbalizumab-uiykVial 200/1.33 mg/ml 2.66 ml$3240Yes
103534Venclexta Starter PackVenetoclaxTablet 10/50/100 mg 42 tab$3240No
101248ZirabevBevacizumab-bvzrVial 400/16 mg/ml 16 ml$3240Yes
100184CapecitabineCapecitabineTablet 500 mg 120 Tab$3300No
102192IxinityFactor IX, Recombinant HumanInjection Kit 1500 IU 1500 IU$3300No
102561NeupogenFilgrastimPre-Filled Syringe 300/0.5 mcg/ml 5 ml$3300Yes
101256ZortressEverolimusTablet 1 mg 60 Tab$3300No
100024ActemraTocilizumabVial 400/20 mg/ml 20 ml$3360Yes
100041AdvateAntihemophilic Factor (Recombinant)Vial 1500IU (1201-1800) IU 1500 IU$3360No
101464AvastinBevacizumabVial 400/16 mg/ml 16 ml$3360Yes
101506BerinertC1 Esterase Inhibitor (Human)Vial Kit 500 IU 1 Kit$3360Yes
101613ClolarClofarabineVial 20/20 mg/ml 20 ml$3360No
100270DeferasiroxDeferasiroxSachet 360 mg 30 Sachet$3360No
100278DelstrigoDoravirine/Lamivu/Tenofov Disoproxil FumarateTablet 100/300/300 mg 30 Tab$3360No
100286DocetaxelDocetaxelVial 160/16 mg/ml 16 ml$3360No
101709DovatoDolutegravir/LamivudineTablet 50/300 mg/mg 30 tab$3360No
100337EnhertuFam-Trastuzumab Deruxtecan-nxkiVial 100 mg/Vial 1 ml$3360Yes
100350Envarsus XRTacrolimusTablet 4 mg 100 Tab$3360No
102064Humate-PAntihemophilic Factor/VwfVial Kit 2000 IU 2400 IU$3360No
102068HumatropeSomatropinCartridge 24 mg 1 Cartridge$3360Yes
102091Hyrimoz (Cf)Adalimumab-adazPre-Filled Syringe 10/0.1 mg/ml 0.2 ml$3360Yes
102092Hyrimoz (Cf)Adalimumab-adazPre-Filled Syringe 20/0.2 mg/ml 0.4 ml$3360Yes
24918IstodaxRomidepsinVial Kit 10 mg 1 Kit$3360No
102420Lupron DepotLeuprolide AcetateInjection Kit 11.25 mg 1 Kit$3360No
102425Lupron DepotLeuprolide AcetatePre-Filled Syringe 11.25 mg 1 PFS$3360No
102421Lupron Depot PEDLeuprolide AcetateInjection Kit 15 mg 1 Kit$3360No
102588NivestymFilgrastim-aafiPre-Filled Syringe 480/0.8 mcg/ml 8 ml$3360Yes
100762NplateRomiplostimPowder Vial 250 mcg/ml 1 Vial$3360Yes
100770Nutropin AQ NuspinSomatropinAutoinjector 20/2 mg/ml 2 ml$3360Yes
102657NyvepriaPegfilgrastim-apgfPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$3360Yes
100799OmnitropeSomatropinVial 5.8 mg 8 Vial$3360Yes
12139OmnitropeSomatropinCartridge 15/1.5 mg/ml 7.5 ml$3360Yes
90236PlegridyPeginterferon Beta-1aPre-Filled Syringe 125/0.5 mcg/ml 1 ml$3360Yes
90240PlegridyPeginterferon Beta-1aPre-Filled Pen 125/0.5 mcg/ml 1 ml$3360Yes
102864ProcritEpoetin AlfaVial 40,000 units/ml 4 ml$3360Yes
31910RemodulinTreprostinilVial 2.5 mg/ml 20 ml$3360No
101131TrelstarTriptorelin PamoateInjection 11.25 mg (3 Month) 1 Kit$3360No
103436TriumeqAbacavir/Dolutegravir/LamivudiTablet 50/600/300 mg 30 tab$3360No
103588VonvendiVon Willebrand Factor (Recombinant)Vial Kit 900-1700 IU 1300 IU$3360Yes
100003Abilify MaintenaAripiprazoleInjection Kit 400 mg 1 Kit$3480No
101292AdcircaTadalafilTablet 20 mg 60 tab$3480No
101315AdvateAntihemophilic Factor (Recombinant)Vial 2000 IU 2000 IU$3480Yes
101434AristadaAripiprazole LauroxilInjection Kit 882/3.2 mg/ml 3.2 ml$3480No
101609CinryzeC1 Esterase Inhibitor (Human)Vial 500 IU 1 Vial$3480No
101785EmplicitiElotuzumabVial 400 mg 1 Vial$3480Yes
25023LeqvioInclisiranPre-Filled Syringe 284/1.5 mg/ml 1.5 ml$3480No
100670LotronexAlosetron HClTablet 1 mg 30 Tab$3480No
103147SkytrofaLonapegsomatropin-tcgdCartridge 4.3 mg 4 Cartridge$3480Yes
7227SprycelDasatinibTablet 20 mg 60 tab$3480No
103292TafinlarDabrafenib MesylateTablet 10 mg 210 tab$3480No
8632TruvadaEmtricitabine/TenofovirTablet 200/300 mg 90 tab$3480No
103537VenclextaVenetoclaxTablet 100 mg 28 tab$3480No
101249ZoladexGoserelin AcetateImplant 10.8 mg 1 Kit$3480No
100032Adalimumab-adbm(Ps/UVAdalimumab-adbmAutoinjector 40/0.8 mg/ml 1 Kit$3600Yes
55663AdbryTralokinumabPre-Filled Syringe 150 mg/mL 4 ml$3600Yes
101320AdynovateAntihemophilic Factor (Recombinant)Vial Kit 1500 IU 1500 IU$3600Yes
7892AlimtaPemetrexedPowder Vial 500 mg 1 Vial$3600Yes
101375AlunbrigBrigatinibTablet 90 mg 7 tab$3600No
100082AlyqTadalafilTablet 20 mg 60 Tab$3600No
101457AtgamLymphocyte Immune GlobulinVial Kit 50 mg/ml 5 ml$3600Yes
11175CabenuvaCabotegravir/RilpivirineKit 600/900 mg/mg 6 ml$3600No
24960CibinqoAbroticinibTablet 50 mg 30 tab$3600No
24962CibinqoAbroticinibTablet 100 mg 30 tab$3600No
24963CibinqoAbroticinibTablet 200 mg 30 tab$3600No
101634CosentyxSecukinumabPre-Filled Syringe 150 mg/ml 1 ml$3600Yes
101637Cosentyx SensoreadySecukinumabAutoinjector 150 mg/ml 1 ml$3600Yes
100271DeferasiroxDeferasiroxSachet 360 mg 30 Sachet$3600No
101746ElapraseIdursulfaseVial 6/3 mg/ml 3 ml$3600Yes
100310EligardLeuprolide AcetateInjection Kit 45 mg 1 Kit$3600Yes
73804EsbrietPirfenidoneTablet 267 mg 270 tab$3600No
101934FuzeonEnfuvirtideVial Kit 90 mg 60 Kit$3600No
101955GammakedImmune Globulin (Human)Vial 20/200 g/ml 200 ml$3600No
100445Gamunex-CImmune Globulin (Human)Vial 20/200 g/ml 200 ml$3600Yes
102003GlumetzaMetformin HclTablet 500 mg 100 tab$3600No
102006GocovriAmantadineCapsule 137 mg 60 cap$3600No
102007GocovriAmantadineCapsule 68.5 mg 60 cap$3600No
102042HerzumaTrastuzumab-pkrbPowder Vial 420 mg 1 Vial$3600Yes
102187IstodaxRomidepsinVial Kit 100 mg 1 Kit$3600No
102261KanjintiTrastuzumab-annsVial 420 mg 1 Vial$3600Yes
11724KesimptaOfatumumabAutoinjector 20/0.4 mg/ml 0.4 ml$3600Yes
102282KevzaraSarilumabAutoinjector 150/1.14 mg/ml 2.28 ml$3600Yes
102283KevzaraSarilumabAutoinjector 200/1.14 mg/ml 2.28 ml$3600Yes
102284KevzaraSarilumabPre-Filled Syringe 150/1.14 mg/ml 2.28 ml$3600Yes
102285KevzaraSarilumabPre-Filled Syringe 200/1.14 mg/ml 2.28 ml$3600Yes
102363LibraxChlordiazepoxide/ClidiniumCapsule 5/2.5 mg/mg 100 cap$3600No
102414Lupron DepotLeuprolide AcetateInjection Kit 11.25 mg 1 Kit$3600No
100684MavyretGlecaprevir/PibrentasvirOral Pellet 50/20 mg 28 Packet$3600No
7480MekinistTrametinibTablet 0.5 mg 30 tab$3600No
7896NeulastaPegfilgrastimPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$3600Yes
100752NorditropinSomatropinAutoinjector 15/1.5 mg/ml 1.5 ml$3600Yes
102604NovoeightAntihemophilic Factor Viii (Recombinant)Injection Kit 1500 IU 1500 IU$3600No
102630NucalaMepolizumabVial 100 mg/ml 1 ml$3600Yes
102665OdefseyEmtricitabine/Rilpivirine/Tenofovir AlafenamideTablet 200/25/25 mg/mg/mg 30 tab$3600No
102670OgivriTrastuzumab-dkstVial Kit 420 mg 1 Kit$3600Yes
100795OlumiantBaricitinibTablet 1 mg 30 Tab$3600No
100796OlumiantBaricitinibTablet 2 mg 30 Tab$3600No
102688OntruzantTrastuzumab-dttbPowder Vial 420 mg 1 Vial$3600Yes
102691OpdivoNivolumabVial 100/10 mg/ml 10 ml$3600Yes
89997OrenciaAbataceptPFS 125 mg/ml 4 ml$3600Yes
90003Orencia ClickJectAbataceptAutoinjector 125 mg/ml 4 ml$3600Yes
102769PanzygaImmune globulinSolution 20/200 g/ml 200 ml$3600Yes
102773ParsabivEtelcalcetide HydrochlorideVial 10/2 mg/ml 20 ml$3600Yes
12214PlegridyPeginterferon Beta-1aAutoinjector 125/0.5 mcg/ml 1 ml$3600No
12215PlegridyPeginterferon Beta-1aAutoinjector Starter Pack 63/94 mcg 1 ml$3600No
102972RemodulinTreprostinil SodiumVial 50/20 mg/ml 20 ml$3600No
103045RixubisFactor Ix Human RecombinantVial Kit 2000 IU 2000 IU$3600No
12362Sandostatin LAROctreotideInjection Kit 30 mg 1 Kit$3600Yes
103119SerostimSomatropinVial 5 mg 7 Vial$3600No
103133SimulectBasiliximabPowder Vial 20 mg 1 Vial$3600Yes
57309Sotyktu DeucravacitinibTablet 6 mg 28 tab$3600No
103252SympazanClobazamOral Film 20 mg 60 Film$3600No
103456TruximaRituximab-abbsVial 500/50 mg/ml 50 ml$3600Yes
101148TymlosAbaloparatideAutoinjector 3120/1.56 mcg/ml 1.56 ml$3600Yes
103526VegzelmaBevacizumab-adcdVial 400/16 mg/ml 16 ml$3600Yes
103625Winrho SDFRho-D Immune GlobulinVial 15000 IU 13 ml$3600Yes
7494XeljanzTofacitinibTablet 10 mg 60 tab$3600No
103656Xeljanz XRTofacitinib CitrateTablet 11 mg 30 tab$3600No
103657Xeljanz XRTofacitinib CitrateTablet 22 mg 30 tab$3600No
24922YondelisTrabectedinPowder For Solution 1 mg 1 Vial$3600Yes
101229ZarxioFilgrastim-sndzPre-Filled Syringe 300/0.5 mcg/ml 5 ml$3600Yes
103770ZiextenzoPegfilgrastim-bmezPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$3600Yes
103797ZyfloZileutonTablet 600 mg 120 tab$3600No
100083AmicarAminocaproic AcidOral Solution 0.25 g/ml 236.5 ml$3720No
100582JadenuDeferasiroxTablet 180 mg 30 Tab$3720No
100585JadenuDeferasiroxSachet 180 mg 30 Sachet$3720No
101103TeriparatideTeriparatideAutoinjector 600/2.4 mcg/ml 2.4 ml$3720Yes
101832EsperoctAntihemophilic Factor (Recombinant)Vial Kit 1500 IU 1500 IU$3780No
101409AranespDarbepoetin AlfaPre-Filled Syringe 150/0.3 mcg/ml 1.2 ml$3840Yes
100264DarzalexDaratumumabVial 400/20 mg/ml 20 ml$3840Yes
100290DovatoDolutegravir/LamivudineTablet 50/300 mg 30 Tab$3840No
87537DupixentDupilumabAutoinjector 300/2 mg/ml 4 ml$3840Yes
87540DupixentDupilumabAutoinjector 200/1.14 mg/ml 2.28 ml$3840Yes
87542DupixentDupilumabPre-Filled Syringe 200/1.14 mg/ml 2.28 ml$3840Yes
87544DupixentDupilumabPre-Filled Syringe 300/2 mg/ml 4 ml$3840Yes
102035HemlibraEmicizumab-kxwhVial 30 mg/ml 1 ml$3840Yes
87442Humira CFAdalimumabAutoinjector 40/0.4 mg/ml 2 Autoinjector$3840Yes
102073Humira CFAdalimumabPre-Filled Syringe 10/0.1 mg/ml 2 PFS$3840Yes
102074Humira CFAdalimumabPre-Filled Syringe 20/0.2 mg/ml 2 PFS$3840Yes
102075Humira CFAdalimumabPre-Filled Syringe 40/0.4 mg/ml 2 PFS$3840Yes
102087HyqviaImmune Globulin (Human)Vial 20/200 g/ml 200 ml$3840Yes
102241JulucaDolutegravir/RilpivirineTablet 50/25 mg/mg 30 tab$3840No
102351LeqvioInclisiran SodiumPre-Filled Syringe 284/1.5 mg/ml 1.5 ml$3840No
100658LinezolidLinezolidTablet 600 mg 30 Tab$3840No
102478MekinistTrametinib Dimethyl SulfoxideTablet 0.5 mg 30 tab$3840Yes
100717MvasiBevacizumab-awwbVial 400/16 mg/ml 16 ml$3840Yes
102605NovoeightAntihemophilic Factor Viii (Recombinant)Injection Kit 2000 IU 2000 IU$3840No
103220StribildElvitegravir/Cobicistat/Emtricitabine/Tenofovir DisoproxilTablet 150/150/200/245 mg 30 tab$3840No
103224SunlencaLenacapavir SodiumTablet 300 mg 4 tab$3840No
101077TarcevaErlotinib HClTablet 25 mg 30 Tab$3840No
100126AtriplaEfavirenz/Emtricitabine/TenofovirTablet 600/200/300 mg 30 Tab$3900No
100323EmplicitiElotuzumabVial 400 mg 1 Vial$3900Yes
102131ImjudoTremelimumab-actlVial 25/1.25 mg/ml 1.25 ml$3900Yes
102627NucalaMepolizumabAutoinjector 100 mg/ml 1 ml$3900Yes
102628NucalaMepolizumabPre-Filled Syringe 100 mg/ml 1 ml$3900Yes
101128TreandaBendamustine HClPowder Vial 100 mg 1 Vial$3900No
101359AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 1000 IU 1000 IU$3960Yes
101707DopteletAvatrombopagTablet 20 mg 10 tab$3960No
101763EloctateAntihemophilic Factor (Recombinant)Vial Kit 1500 IU 1500 IU$3960No
103443Trokendi XRTopiramateCapsule 200 mg 100 cap$3960No
103481UdenycaPegfilgrastim-cbqvAutoinjector 6/0.6 mg/ml 0.6 ml$3960Yes
103482UdenycaPegfilgrastim-cbqvPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$3960Yes
7910VectibixPanitumumabVial 400/20 mg/ml 20 ml$3960Yes
103715YondelisTrabectedinPowder Vial 1 mg 1 Vial$3960Yes
103063RybrevantAmivantamab-vmjwVial 350/7 mg/ml 7 ml$4020Yes
101341AfstylaAntihemophilic Factor (Recombinant), Single ChainVial Kit 2500 IU 1 IU$4080Yes
101356AlimtaPemetrexedPowder Vial 500 mg 1 Vial$4080No
100090AmjevitaAdalimumab-attoAutoinjector 40/0.8 mg/ml 2 Auto-Injector$4080Yes
100091AmjevitaAdalimumab-attoPre-Filled Syringe 40/0.8 mg/ml 1 PFS$4080Yes
100092Amjevita-Ped (15kg to <30kg)Adalimumab-attoPre-Filled Syringe 20/0.4 mg/ml 1 PFS$4080Yes
101431AristadaAripiprazole LauroxilInjection Kit 1064/3.9 mg/ml 3.9 ml$4080No
100138AvastinBevacizumabVial 25 mg/ml 16 ml$4080Yes
100386ExjadeDeferasiroxTablet 250 mg 30 Tab$4080No
101981GenvoyaElvitegravir/Cobicistat/Emtricitabine/Tenofovir AlafenamideTablet 150/150/200/10 mg/mg/mg/mg 30 tab$4080No
100475GlatiramerGlatiramer AcetatePre-Filled Syringe 20 mg/ml 30 ml$4080Yes
100476GlatiramerGlatiramer AcetatePre-Filled Syringe 40 mg/ml 12 ml$4080Yes
100477GlatopaGlatiramer AcetatePre-Filled Syringe 20 mg/ml 30 ml$4080Yes
100478GlatopaGlatiramer AcetatePre-Filled Syringe 40 mg/ml 12 ml$4080Yes
102374LitfuloRitlecitinibCapsule 50 mg 28 cap$4080No
20149PromactaEltrombopagTablet 50 mg 28 Tabs$4080No
101127TrazimeraTrastuzumab-qyypPowder Vial 440 mg 1 Vial$4080Yes
101141TrogarzoIbalizumab-uiykVial 200/1.33 mg/ml 2.66 ml$4080Yes
10933ZytigaAbirateroneTablet 500 mg 60 tab$4080No
101279ActivaseAlteplaseSuspension Kit 50 mg 1 Kit$4200No
100143BanzelRufinamideTablet 400 mg 120 Tab$4200No
101605CimziaCertolizumab PegolPre-Filled Syringe Kit 200 mg/ml 1 Kit$4200Yes
101627CopaxoneGlatiramer AcetatePre-Filled Syringe 20 mg/ml 30 ml$4200Yes
101628CopaxoneGlatiramer AcetatePre-Filled Syringe 40 mg/ml 12 ml$4200Yes
7850CyramzaRamucirumabVial 500 mg/ml 1 Vial$4200Yes
100295DroxidopaDroxidopaCapsule 200 mg 90 Cap$4200No
101721DupixentDupilumabPre-Filled Syringe 100/0.67 mg/ml 1.34 ml$4200Yes
100312ElitekRasburicasePowder Vial 1.5 mg 1 Vial$4200Yes
101842EulexinFlutamideCapsule 125 mg 180 cap$4200No
100427GammagardImmune Globulin (Human)Vial 20/200 g/ml 200 ml$4200Yes
101952Gammagard LiquidImmune Globulin (Human)Vial 30/300 g/ml 300 ml$4200No
100505HemlibraEmicizumab-kxwhVial 30 mg/ml 1 ml$4200Yes
11635Herceptin SCTrastuzumabVial 600/5 mg/ml 5 ml$4200Yes
73488LenvimaLenvatinibCapsule 4 mg 30 cap$4200No
73490LenvimaLenvatinibCapsule 10 mg 30 cap$4200No
100705MonoferricFerric DerisomaltoseVial 1000/10 mg/ml 10 ml$4200No
100733NeupogenFilgrastimVial 300 mcg/ml 10 ml$4200Yes
102595Norditropin FlexProSomatropinAutoinjector 30/3 mg/ml 3 ml$4200Yes
100774NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 2000 IU 2000 IU$4200Yes
100803OpdivoNivolumabVial 40/4 mg/ml 10 ml$4200Yes
24916PolivyPolatuzumab VedotinPowder For Solution 30 mg 1 Kit$4200Yes
102851PrialtZiconotide AcetateVial 500/20 mcg/ml 20 ml$4200Yes
113068QutenzaCapsaicinTopical System 8 % 1 Kit$4200No
103002RevatioSildenafil CitrateTablet 20 mg 90 tab$4200No
60495Rinvoq ERUpadacitinibTablet 45 mg 28 tab$4200No
36898Rinvoq ER UpadacitinibTablet 45 mg 28 tab$4200No
103043RituxanRituximabVial 500/50 mg/ml 50 ml$4200Yes
5767RituxanRituximabInjection 500 mg/50ml 50 ml$4200No
103049RolvedonEflapegrastim-xnstPre-Filled Syringe 13.2/0.6 mg/ml 0.6 ml$4200Yes
103087Sandostatin LAR DepotOctreotide AcetateVial Kit 20 mg 1 Kit$4200Yes
103148SkytrofaLonapegsomatropin-tcgdCartridge 5.2 mg 4 Cartridge$4200Yes
103232SustolGranisetronInjection Kit 10/0.4 mg/ml 0.4 ml$4200Yes
103345TepadinaThiotepaPowder Vial 100 mg 1 Vial$4200Yes
103352TezspireTezepelumab-ekkoAutoinjector 210/1.91 mg/ml 1.91 ml$4200Yes
103353TezspireTezepelumab-ekkoPre-Filled Syringe 210/1.91 mg/ml 1.91 ml$4200Yes
103357ThalomidThalidomideCapsule 50 mg 28 cap$4200No
7520TNKaseTenecteplaseVial 50 mg/Vial 10 ml$4200No
13032VenclextaVenetoclaxTablet 50 mg 84 Tabs$4200No
113966VerzenioAbemaciclibTablet 50 mg 56 tab$4200No
103550VerzenioAbemaciclibTablet 100 mg 14 tab$4200No
103551VerzenioAbemaciclibTablet 150 mg 14 tab$4200No
103552VerzenioAbemaciclibTablet 200 mg 14 tab$4200No
103553VerzenioAbemaciclibTablet 50 mg 14 tab$4200No
7039VerzenioAbemaciclibTablet 50 mg 28 tab$4200No
7040VerzenioAbemaciclibTablet 100 mg 28 tab$4200No
7041VerzenioAbemaciclibTablet 150 mg 28 tab$4200No
7042VerzenioAbemaciclibTablet 200 mg 28 tab$4200No
100103AranespDarbepoetin AlfaVial 100 mcg/ml 4 ml$4320Yes
100109AranespDarbepoetin AlfaPre-Filled Syringe 100 mcg/ml 2 ml$4320Yes
101515BiktarvyBictegravir/Emtricitabine/TenofovirTablet 50/200/25 mg/mg/mg 30 tab$4320No
101516BiktarvyBictegravir/Emtricitabine/TenofovirTablet 50/200/25 mg/mg/mg 30 tab$4320No
101517BiktarvyBictegravir/Emtricitabine/TenofovirTablet 30/120/15 mg/mg/mg 30 tab$4320No
7653BlincytoBlinatumomabVial 38.5 mg/Vial 1 Vial$4320No
100359EpogenEpoetin AlfaVial 20000/2 iu/ml 20 ml$4320Yes
100362EpogenEpoetin AlfaVial 20000 iu/ml 10 ml$4320Yes
11634HerceptinTrastuzumabPowder Vial 440 mg 1 Vial$4320Yes
100579IstodaxRomidepsinVial Kit 10 mg 1 ml$4320No
102382LonsurfTrifluridine/Tipiracil HclTablet 15/6.14 mg/mg 20 tab$4320No
7589MayzentSiponimodTablet 2 mg 28 tab$4320Yes
12070NeupogenFilgrastimVial 480/1.6 mcg/ml 16 ml$4320Yes
102625NplateRomiplostimPowder Vial 500 mcg 1 Vial$4320Yes
7631NubeqaDarolutamideTablet 300 mg 120 tab$4320No
100886PrivigenImmun Glob G(Igg)-Pro-Iga 0-50Vial 20/200 g/ml 200 ml$4320No
101091TemozolomideTemozolomideCapsule 140 mg 14 Cap$4320No
101212XgevaDenosumabVial 120/1.7 mg/ml 1.7 ml$4320Yes
101214XifaxanRifaximinTablet 550 mg 60 Tab$4320No
101221XynthaAntihemophilic Factor (Recombinant)Vial Kit 2000 IU 2000 IU$4320Yes
101227Zaltrapziv-AfliberceptVial 200/8 mg/ml 8 ml$4320Yes
100075AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 1000 IU 1000 IU$4380Yes
101122TolvaptanTolvaptanTablet 15 mg 10 Tab$4380No
102249KadcylaAdo-Trastuzumab EmtansinePowder Vial 100 mg 1 Vial$4440Yes
12068NeupogenFilgrastimPre-Filled Syringe 480/0.8 mcg/ml 8 ml$4440No
12094NoxafilPosaconazoleTablet 100 mg 60 tab$4440No
102817PolivyPolatuzumab Vedotin-piiqPowder Vial 30 mg 1 Vial$4440Yes
102828Ponvory Starter PackPonesimodTablet 2-10 mg-mg 14 tab$4440No
103093SarclisaIsatuximab-irfcVial 500/25 mg/ml 25 ml$4440Yes
5610TasignaNilotinibCapsule 150 mg 112 cap$4440No
101402ApretudeCabotegravirInjection Kit 600/3 mg/ml 3 ml$4500No
100211CompleraEmtricitabine/Rilpivirine/TenofovirTablet 200/25/300 mg 30 Tab$4500No
100623KyprolisCarfilzomibPowder Vial 60 mg 1 Vial$4500Yes
100735NeupogenFilgrastimPre-Filled Syringe 300/0.5 mcg/ml 5 ml$4500Yes
100741NilutamideNilutamideTablet 150 mg 30 Tab$4500No
102692OpdivoNivolumabVial 120/12 mg/ml 12 ml$4500Yes
102709Orenitram ER Titration PackTreprostinilTablet 0.125-0.25 mg-mg 336 tab$4500No
100973RuxienceRituximab-pvvrVial 500/50 mg/ml 50 ml$4500Yes
100042AdvateAntihemophilic Factor (Recombinant)Vial 2000IU (1801-2400) IU 2000 IU$4560No
100047AdynovateAntihemophilic Factor (Recombinant)Vial Kit 1500 IU 1500 IU$4560No
101401AplenzinBupropion HydrobromideTablet 522 mg 30 tab$4560No
101700DificidFidaxomicinGranules 40 mg/ml 136 ml$4560No
101701DificidFidaxomicinTablet 200 mg 20 tab$4560No
102084HycamtinTopotecan HclCapsule 1 mg 10 cap$4560Yes
100592JulucaDolutegravir/RilpivirineTablet 50/25 mg 30 Tab$4560No
100614Kogenate FSAntihemophilic Factor Viii (Recombinant)Vial Kit 2000 IU 2000 IU$4560No
24991KuvanTetrahydrobiopterinTablet 100 mg 120 tab$4560No
17290LenvimaLenvatinibCapsule 8 mg 60 cap$4560No
102641NuplazidPimavanserinCapsule 34 mg 30 cap$4560No
102642NuplazidPimavanserinTablet 10 mg 30 tab$4560No
102656NuzyraOmadacycline TosylateVial 100 mg 10 Vial$4560No
102953ReblozylLuspatercept-aamtPowder Vial 25 mg 1 Vial$4560Yes
100979SandostatinOctreotide AcetateVial Kit 10 mg 1 Kit$4560Yes
101123TolvaptanTolvaptanTablet 30 mg 10 Tab$4560No
6746XtandiEnzalutamideCapsule 40 mg 120 cap$4560No
20106ZytigaAbiraterone AcetateTablet 250 mg 120 Tabs$4560No
103772ZinplavaBezlotoxumabSolution 1000/40 mg/ml 40 ml$4620Yes
46663Tobi PodhalerTobramycinCapsule 28 mg 224 cap$4638No
100422FuzeonEnfuvirtideVial Kit 90 mg 60 ml$4680No
102427LybalviOlanzapine/SamidorphanTablet 10/10 mg/mg 90 tab$4680No
102429LybalviOlanzapine/SamidorphanTablet 15/10 mg/mg 90 tab$4680No
102431LybalviOlanzapine/SamidorphanTablet 20/10 mg/mg 90 tab$4680No
102745PadcevEnfortumab Vedotin-ejfvPowder Vial 30 mg 1 Vial$4680Yes
103409Trelstar LATriptorelin PamoateInjection 22.5 mg 1 Kit$4680No
12546TremfyaGuselkumabAutoinjector 100 mg/ml 1 One-Press Auto-Injector$4680Yes
12551TremfyaGuselkumabPre-Filled Syringe 100 mg/ml 1 PFS$4680Yes
7596SylvantSiltuximabVial 400 mg 1 Vial$4800No
101321AdynovateAntihemophilic Factor (Recombinant)Vial Kit 2000 IU 2000 IU$4800Yes
101343AfstylaAntihemophilic Factor (Recombinant), Single ChainVial Kit 3000 IU 1 IU$4800Yes
105055AustedoDeutetrabenazineTablet 6 mg 60 tab$4800No
101498BenefixCoagulation Factor IX (Recombinant)Vial Kit 3000 IU 3000 IU$4800Yes
100155BexaroteneBexaroteneCapsule 75 mg 100 Cap$4800No
100218CosentyxSecukinumabPre-Filled Syringe 75/0.5 mg/ml 1 ml$4800Yes
100277DeferiproneDeferiproneTablet 500 mg 100 Tab$4800No
100301DupixentDupilumabAutoinjector 300/2 mg/ml 4 ml$4800Yes
100302DupixentDupilumabPre-Filled Syringe 200/1.14 mg/ml 2.28 ml$4800Yes
100303DupixentDupilumabPre-Filled Syringe 300/2 mg/ml 4 ml$4800Yes
100314EloctateAntihemophilic Factor (Recombinant)Vial Kit 1500 IU 1500 IU$4800Yes
101833EsperoctAntihemophilic Factor (Recombinant)Vial Kit 2000 IU 2000 IU$4800No
100434GammakedImmune Globulin (Human)Vial 20/200 g/ml 200 ml$4800Yes
100438GammaplexImmune Globulin (Human)Vial 20/200 g/ml 200 ml$4800No
100439GammaplexImmune Globulin (Human)Vial 20/400 g/ml 400 ml$4800No
101961Gamunex-CImmune Globulin (Human)Vial 40/400 g/ml 400 ml$4800Yes
102039Herceptin HylectaTrastuzumab/HyaluronidaseVial 120/2000 mg/iu/ml 5 ml$4800Yes
7677IbavyrRibavirinTablet 400 mg 100 tab$4800No
102123ImfinziDurvalumabVial 500/10 mg/ml 10 ml$4800Yes
102137IncrelexMecaserminVial 40/4 mg/ml 4 ml$4800Yes
41150InqoviDecitabine/CedazuridineTablet 35/100 mg 5 tab$4800No
102169Invega TrinzaPaliperidone PalmitatePre-Filled Syringe 410/1.32 mg/ml 1.32 ml$4800No
102189IxempraIxabepiloneVial Kit 45 mg 1 Kit$4800Yes
11722KadcylaTrastuzumab EmtansineVial 160 mg 1 Vial$4800No
102314KuvanSapropterin DihydrochlorideTablet 100 mg 120 tab$4800No
17291LenvimaLenvatinibCapsule 10 mg 30 cap$4800No
100662LitfuloRitlecitinib TosylateCapsule 50 mg 28 Cap$4800No
8038LorbrenaLorlatinibTablet 25 mg 30 tab$4800No
102415Lupron DepotLeuprolide AcetateInjection Kit 22.5 mg 1 Kit$4800No
100678Lupron Depot-PedLeuprolide AcetateInjection Kit 11.25 mg 1 Kit$4800No
102452LytgobiFutibatinibTablet 12 mg 21 tab$4800No
7588MayzentSiponimodTablet 0.25 mg 120 tab$4800Yes
102486MethitestMethyltestosteroneTablet 10 mg 100 tab$4800No
100746NivestymFilgrastim-aafiVial 480/1.6 mcg/ml 16 ml$4800Yes
100750NivestymFilgrastim-aafiPre-Filled Syringe 480/0.8 mcg/ml 8 ml$4800Yes
100756NovoeightAntihemophilic Factor Viii (Recombinant)Injection Kit 2000 IU 2000 IU$4800No
102620Novoseven RT with MixProCoagulation Factor Viia (Recombinant)Powder Vial 2 mg 2000 mcg$4800No
100764NucalaMepolizumabAutoinjector 100 mg/ml 1 ml$4800Yes
100765NucalaMepolizumabPre-Filled Syringe 100 mg/ml 1 ml$4800Yes
100766NucalaMepolizumabVial 100 mg/ml 1 ml$4800No
25012OcalivaObeticholic AcidTablet 5 mg 30 tab$4800No
25013OcalivaObeticholic AcidTablet 10 mg 30 tab$4800No
100787OctagamImmun Globg(Igg)/Malt/Iga Ov51Vial 20/200 g/ml 200 ml$4800No
100793OdefseyEmtricitabine/Rilpivirine/Tenofovir AlafenamideTablet 200/25/25 mg 30 Tab$4800No
111515OfevNintedanib EsylateCapsule 150 mg 60 cap$4800No
9412OfevNintedanibCapsule 150 mg 60 Caps$4800No
102701OrenciaAbataceptPre-Filled Syringe 50/0.4 mg/ml 1.6 ml$4800Yes
102702OrenciaAbataceptPre-Filled Syringe 87.5/0.7 mg/ml 2.8 ml$4800Yes
100844PanzygaImmune GlobulinVial 20/200 g/ml 200 ml$4800No
100880PrevymisLetermovirTablet 240 mg 14 Tab$4800No
100881PrevymisLetermovirTablet 480 mg 14 Tab$4800No
100899PrografTacrolimusCapsule 5 mg 100 Cap$4800No
102876PromactaEltrombopag OlamineTablet 12.5 mg 30 tab$4800No
102877PromactaEltrombopag OlamineTablet 25 mg 30 tab$4800No
5568PromactaEltrombopagTablet 50 mg 28 tab$4800No
100909PulmozymeDornase AlfaAmpule 1 mg/ml 75 ml$4800Yes
102939RavictiGlycerol PhenylbutyrateOral Liquid 1.1 g/ml 25 ml$4800No
100958RiabniRituximab-arrxVial 500/50 mg/ml 50 ml$4800Yes
103080SamscaTolvaptanTablet 15 mg 10 tab$4800No
103081SamscaTolvaptanTablet 30 mg 10 tab$4800No
103125SiliqBrodalumabPre-Filled Syringe 210/1.5 mg/ml 3 ml$4800Yes
103129SimponiGolimumabAutoinjector 50/0.5 mg/ml 0.5 ml$4800Yes
103131SimponiGolimumabPre-Filled Syringe 50/0.5 mg/ml 0.5 ml$4800Yes
101038SunitinibSunitinib MalateCapsule 12.5 mg 28 Cap$4800No
12460SutentSunitinibCapsule 25 mg 28 cap$4800No
103339TemodarTemozolomideCapsule 250 mg 5 cap$4800No
103505ValcyteValganciclovir HclTablet 450 mg 60 tab$4800No
103622Wellbutrin XLBupropion HclTablet 150 mg 90 tab$4800No
104695WezlanaUstekinumab-auubPre-Filled Syringe 45/0.5 mg/ml 0.5 ml$4800Yes
103708XynthaAntihemophilic Factor (Recombinant) 3000 IU 3000 Unit$4800Yes
103746Zelapar ODTVemurafenibTablet 1.25 mg 60 tab$4800No
105051Abilify AsimtufiiAripiprazolePre-Filled Syringe 720/2.4 mg/ml 2.4 ml$4920No
11668ImfinziDurvalumabVial 500 mg 10 ml$4920Yes
100618KovaltryAntihemophilic Factor Viii (Recombinant)Vial Kit 2000 IU 2000 IU$4920No
81524BimzelxBimekizumab-bkzxAutoinjector 40/0.8 mg/ml 1.6 ml$5040Yes
81529BimzelxBimekizumab-bkzxPFS 40/0.8 mg/ml 1.6 ml$5040Yes
101521BlincytoBlinatumomabVial Kit 35 mg 1 Kit$5040Yes
101599CibinqoAbrocitinibTablet 100 mg 30 tab$5040No
101600CibinqoAbrocitinibTablet 200 mg 30 tab$5040No
101601CibinqoAbrocitinibTablet 50 mg 30 tab$5040No
101651CrysvitaBurosumab-TwzaVial 10 mg/ml 1 ml$5040Yes
76619DopteletAvatrombopagTablet 20 mg 30 tab$5040No
101760ElitekRasburicasePowder Vial 7.5 mg 1 Vial$5040Yes
101764EloctateAntihemophilic Factor (Recombinant)Vial Kit 2000 IU 2000 IU$5040No
101783EmpaveliPegcetacoplanVial 1080/20 mg/ml 20 ml$5040Yes
100472GenvoyaElvitegravir/Cobicistat/Emtricitabine/Tenofovir AlafenamideTablet 150/150/200/10 mg 30 Tab$5040No
100520HumatropeSomatropinCartridge 24 mg 1 Cartridge$5040Yes
100597KanjintiTrastuzumab-annsVial 420 mg 1 Vial$5040Yes
102580NgenlaSomatrogon-ghlaAutoinjector 60/1.2 mg/ml 1.2 ml$5040Yes
102770PanzygaImmune globulinSolution 30/300 g/ml 300 ml$5040Yes
100984SapropterinSapropterin DihydrochloridePowder for Oral Solution 500 mg 30 Packet$5040No
103255SymtuzaDarunavir/Cobicistat/Emtricitabine/Tenof AlafenamideTablet 800/150/200/10 mg 30 tab$5040No
103558VibativTelavancin HclPowder Vial 750 mg 12 Vial$5040Yes
7043ZytigaAbirateroneTablet 250 mg 120 tab$5040No
7044ZytigaAbirateroneTablet 500 mg 60 tab$5040No
100099ApretudeCabotegravirInjection Kit 600/3 mg/ml 3 ml$5100No
100593KadcylaAdo-Trastuzumab EmtansinePowder Vial 100 mg 1 Vial$5100Yes
100635LenvimaLenvatinib MesylateCapsule 10 mg daily 5 Cap$5100No
100637LenvimaLenvatinib MesylateCapsule 12 mg daily 15 Cap$5100No
100639LenvimaLenvatinib MesylateCapsule 14 mg daily 10 Cap$5100No
100641LenvimaLenvatinib MesylateCapsule 18 mg daily 15 Cap$5100No
100643LenvimaLenvatinib MesylateCapsule 20 mg daily 10 Cap$5100No
100645LenvimaLenvatinib MesylateCapsule 24 mg daily 15 Cap$5100No
100647LenvimaLenvatinib MesylateCapsule 4 mg daily 5 Cap$5100No
100649LenvimaLenvatinib MesylateCapsule 8 mg daily 10 Cap$5100No
100692MekinistTrametinib Dimethyl SulfoxideTablet 0.5 mg 30 Tab$5100Yes
102563NeupogenFilgrastimPre-Filled Syringe 480/0.8 mcg/ml 8 ml$5100Yes
100804OpdivoNivolumabVial 120/12 mg/ml 12 ml$5100Yes
100927ReblozylLuspatercept-aamtPowder Vial 25 mg 1 Vial$5100Yes
101139TriumeqAbacavir/Dolutegravir/LamivudiTablet 50/600/300 mg 30 Tab$5100No
101172VerzenioAbemaciclibTablet 150 mg 14 Tab$5100No
101245ZiextenzoPegfilgrastim-bmezPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$5100Yes
101246ZinplavaBezlotoxumabVial 1000/40 mg/ml 40 ml$5100Yes
101316AdvateAntihemophilic Factor (Recombinant)Vial 3000 IU 3000 IU$5160Yes
101462AustedoDeutetrabenazineTablet 9 mg 60 tab$5160No
101500BenlystaBelimumabAutoinjector 200 mg/ml 4 ml$5160Yes
101501BenlystaBelimumabPre-Filled Syringe 200 mg/ml 4 ml$5160Yes
100159BiktarvyBictegravir/Emtricitabine/TenofovirTablet 30/120/15 mg 30 Tab$5160No
100160BiktarvyBictegravir/Emtricitabine/TenofovirTablet 50-200-25 mg 30 Tab$5160No
101558CabenuvaCabotegravir/RilpivirineInjection Kit 400/600 mg/mg 4 ml$5160Yes
101607CimziaCertolizumab PegolVial Kit 200 mg/ml 1 Vial$5160Yes
7649FasenraBenralizumabPre-Filled Syringe 30 mg/ml 1 PFS$5160Yes
11529FasenraBenralizumabAutoinjector 30 mg/ml 1 ml$5160Yes
100780NyvepriaPegfilgrastim-apgfPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$5160Yes
7884PerjetaPertuzumabVial 420 mg 14 ml$5160Yes
103225SunlencaLenacapavir SodiumTablet 300 mg 5 tab$5160No
12560TukysaTucatinibTablet 50 mg 60 tab$5160No
103504ValchlorMechlorethamineGel Tube 0.00016 % 60 g$5160Yes
7628VizimproDacomitinibTablet 15 mg 30 tab$5160No
7629VizimproDacomitinibTablet 30 mg 30 tab$5160No
7630VizimproDacomitinibTablet 45 mg 30 tab$5160No
104693WezlanaUstekinumab-auubPre-Filled Syringe 90 mg/ml 1 ml$5160Yes
100035AdbryTralokinumabPre-Filled Syringe 150 mg/ml 4 ml$5280Yes
100036AdcircaTadalafilTablet 20 mg 60 Tab$5280No
100065AlimtaPemetrexedPowder Vial 500 mg 1 Vial$5280No
100066AliniaNitazoxanideTablet 500 mg 30 Tab$5280No
100299DupixentDupilumabAutoinjector 200/1.4 mg/ml 2.28 ml$5280Yes
7197EsbrietPirfenidoneTablet 267 mg 270 tab$5280No
100494Granixtbo-FilgrastimPre-Filled Syringe 480/0.8 mcg/ml 8 ml$5280Yes
100541HyqviaImmune Globulin (Human)Vial 20/200 g/ml 210 ml$5280Yes
100848ParsabivEtelcalcetide HydrochlorideVial 10/2 mg/ml 20 ml$5280Yes
102829PortrazzaNecitumumabVial 800/50 mg/ml 50 ml$5280Yes
7198EsbrietPirfenidoneTablet 801 mg 90 tab$5350No
101373AlunbrigBrigatinibTablet 30 mg 30 tab$5400No
100115AranespDarbepoetin AlfaPre-Filled Syringe 500 mcg/ml 1 ml$5400Yes
100181CabenuvaCabotegravir/RilpivirineInjection Kit 400/600 mg/ml 4 ml$5400Yes
101635CosentyxSecukinumabPre-Filled Syringe 150 mg/ml 2 ml$5400Yes
107517Cosentyx SensoreadySecukinumabAutoinjector 150 mg/ml 2 ml$5400Yes
107516Cosentyx UnoreadySecukinumabAutoinjector 300/2 mg/ml 2 ml$5400Yes
100332EnbrelEtanerceptVial 25/0.5 mg/ml 2 ml$5400Yes
100333EnbrelEtanerceptPre-Filled Syringe 25 mg/ml 2 ml$5400Yes
109905ErleadaApalutamideTablet 240 mg 30 tab$5400No
56856ErleadaApalutamideTablet 60 mg 120 tab$5400No
100370Erlotinib HClErlotinib HClTablet 100 mg 30 Tab$5400No
17701EsbrietPirfenidoneCapsule 267 mg 270 cap$5400No
101863ExjadeDeferasiroxTablet 500 mg 30 tab$5400No
100414ForteoTeriparatideAutoinjector 250 mcg/ml 2.4 ml$5400Yes
102088HyqviaImmune Globulin (Human)Vial 30/300 g/ml 300 ml$5400Yes
102105IdelvionCoagulation Factor IX (Recombinant)Powder Vial 1000 IU 1000 IU$5400No
102199JadenuDeferasiroxTablet 360 mg 30 tab$5400No
102196Jadenu SprinkleDeferasiroxGranules 360 mg 30 Granule$5400No
102236JiviAntihemophilic Factor Viii (Recombinant)Vial 2000 IU 2000 IU$5400Yes
100600KevzaraSarilumabAutoinjector 200/1.14 mg/ml 2.28 ml$5400Yes
100601KevzaraSarilumabAutoinjector 200/1.14 mg/ml 2.28 ml$5400Yes
100602KevzaraSarilumabPre-Filled Syringe 150/1.14 mg/ml 2.28 ml$5400Yes
100603KevzaraSarilumabPre-Filled Syringe 200/1.14 mg/ml 2.28 ml$5400Yes
100679Lupron Depot-PedLeuprolide AcetateInjection Kit 15 mg 1 Kit$5400No
102433LybalviOlanzapine/SamidorphanTablet 5/10 mg/mg 90 tab$5400No
100776NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 2500 IU 2500 IU$5400Yes
89377OmvohMirikizumabAutoinjector 100/2 mg/ml 4 ml$5400Yes
89385OmvohMirikizumabVial 20 mg/ml 15 ml$5400Yes
102696OpsumitMacitentanTablet 10 mg 15 tab$5400No
100852PegasysPeginterferon Alfa-2APre-Filled Syringe 180/0.5 mcg/ml 2 ml$5400Yes
102949RebinynCoagulation Factor Ix (Recombinant), GlycopegylatedVial 1000 IU 1000 IU$5400No
24919RetevmoRelpercatinibCapsule 40 mg 60 cap$5400No
103046RixubisFactor Ix Human RecombinantVial Kit 3000 IU 3000 IU$5400No
25019RukobiaFostemsavirTablet 600 mg 60 tab$5400No
103128SimponiGolimumabAutoinjector 100 mg/ml 1 ml$5400Yes
103130SimponiGolimumabPre-Filled Syringe 100 mg/ml 1 ml$5400Yes
103149SkytrofaLonapegsomatropin-tcgdCartridge 6.3 mg 4 Cartridge$5400Yes
101037StribildElviteg/Cob/Emtri/Tenofo DisopTablet 150/150/200/245 mg 30 Tab$5400No
103241SylvantSiltuximabPowder Vial 400 mg 1 Vial$5400Yes
103361ThyrogenThyrotropin AlfaPowder Vial 0.9 mg 2 Vial$5400Yes
101112ThyrogenThyrotropin AlfaPowder Vial 0.9 mg 2 Vial$5400Yes
101118TobramycinTobramycinNebule 300/4 mg/ml 224 ml$5400Yes
101152UdenycaPegfilgrastim-cbqvPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$5400Yes
101365AltuviiioAntihemophilic Factor (Recombinant)Injection Kit 1000 IU 1000 IU$5490Yes
101706DojolviTriheptanoinOral Liquid 100 % 500 ml$5520No
6806GleevecImatinibTablet 100 mg 120 tab$5520No
6807GleevecImatinibTablet 400 mg 30 tab$5520No
102289KimyrsaOritavancinPowder Vial 1200 mg 1 Vial$5520No
103034RinvoqUpadacitinibTablet 15 mg 30 tab$5520No
103035RinvoqUpadacitinibTablet 30 mg 30 tab$5520No
102383LonsurfTrifluridine/Tipiracil HclTablet 20/8.19 mg/mg 20 tab$5640No
102830PoteligeoMogamulizumab-kpkcVial 20/5 mg/ml 5 ml$5640No
100896ProcritEpoetin AlfaVial 40000 iu w/ Protec 4 ml$5640Yes
7230SprycelDasatinibTablet 80 mg 30 tab$5640No
101093TemozolomideTemozolomideCapsule 180 mg 14 Cap$5640No
103383TNKaseTenecteplaseVial Kit 50 mg 1 Kit$5640Yes
101119TobramycinTobramycinNebule 300/5 mg/ml 280 ml$5640Yes
100876PonvoryPonesimodTablet 2-10 mg 14 Tab$5700No
101449AscenivImmune GlobulinVial 5/50 g/ml 50 ml$5760Yes
101511BethkisTobramycinAmpule 300/4 mg/ml 224 ml$5760Yes
100538HycamtinTopotecan HclCapsule 1 mg 10 Cap$5760Yes
24995KuvanTetrahydrobiopterinPowder 500 mg 30 Sachet$5760No
7924LynparzaOlaparibTablet 100 mg 60 tab$5760No
7926LynparzaOlaparibTablet 150 mg 60 tab$5760No
102607NovoeightAntihemophilic Factor Viii (Recombinant)Injection Kit 3000 IU 3000 IU$5760No
102857PrivigenImmun Glob G(Igg)-Pro-Iga 0-50Vial 40/400 g/ml 400 ml$5760No
12337Rituxan SCRituximabVial 120 mg/ml 20 ml$5760No
103679XiaflexCollagenase Clostridium HistolyticumPowder Vial 0.9 mg 1 Vial$5760Yes
101708DopteletAvatrombopagTablet 20 mg 15 tab$5880No
17292LenvimaLenvatinibCapsule 14 mg 60 cap$5880No
102673OlumiantBaricitinibTablet 4 mg 30 tab$5880No
102802PheburaneSodium PhenylbutyrateGranules 483 mg/g 174 g$5880No
103177SotyktuDeucravacitinibTablet 6 mg 30 tab$5880No
7900VotrientPazopanibTablet 200 mg 120 tab$5880No
100119AscenivImmune GlobulinVial 5/50 g/ml 50 ml$6000Yes
101466AvonexInterferon Beta-1AAutoinjector 30/0.5 mcg/ml 1 Kit$6000Yes
101467AvonexInterferon Beta-1APre-Filled Syringe 30/0.5 mcg/ml 1 Kit$6000Yes
100283Dimethyl FumarateDimethyl FumarateCapsule 240 mg 60 Cap$6000No
100284Dimethyl FumarateDimethyl FumarateCapsule 120/240 mg 60 Cap$6000No
17969EntyvioVedolizumabVial 300 mg 1 Vial$6000Yes
100371Erlotinib HClErlotinib HClTablet 150 mg 30 Tab$6000No
101883FasenraBenralizumabAutoinjector 30 mg/ml 1 ml$6000Yes
101884FasenraBenralizumabPre-Filled Syringe 30 mg/ml 1 ml$6000Yes
24975FirazyrIcatibantPre-Filled Syringe 30/3 mg/ml 1 PFS$6000Yes
101918FolotynPralatrexateVial 20 mg/ml 1 ml$6000Yes
100428GammagardImmune Globulin (Human)Vial 30/300 g/ml 300 ml$6000Yes
100507Herceptin HylectaTrastuzumab/HyaluronidaseVial 600/5 mg/ml 5 ml$6000Yes
9481IbrancePalbociclibTablet 75 mg 21 Tabs$6000No
9482IbrancePalbociclibTablet 100 mg 21 Tabs$6000No
9489IbrancePalbociclibTablet 125 mg 21 Tabs$6000No
102193IxinityFactor IX, Recombinant HumanInjection Kit 3000 IU 3000 IU$6000No
100589JiviAntihemophilic Factor Viii (Recombinant)Vial 2000 IU 2000 IU$6000No
11726KeytrudaPembrolizumabVial 100/4 mg/ml 4 ml$6000No
102294Kisqali Femara CopackRibociclibTablet 200/2.5 mg/mg 49 tab$6000No
102303KoselugoSelumetinibCapsule 10 mg 60 cap$6000No
102308KovaltryAntihemophilic Factor Viii (Recombinant)Vial Kit 3000 IU 3000 IU$6000Yes
102313KuvanSapropterin DihydrochlorideOral Powder 500 mg 30 Packet$6000No
102417Lupron DepotLeuprolide AcetateInjection Kit 30 mg 1 Kit$6000No
102453LytgobiFutibatinibTablet 16 mg 28 tab$6000No
102559NeulastaPegfilgrastimPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$6000Yes
102558Neulasta OnproPegfilgrastimInjection Kit 6/0.6 mg/ml 0.6 ml$6000Yes
102706Orenitram ERTreprostinilTablet 1 mg 100 tab$6000No
102865ProcysbiCysteamine BitartrateCapsule 25 mg 60 cap$6000Yes
102868ProcysbiCysteamine BitartrateGranule Packet 75 mg 60 Packet$6000Yes
31912RemodulinTreprostinilVial 5 mg/ml 20 ml$6000No
100968RituxanRituximabVial 500/50 mg/50ml 50 ml$6000Yes
103076SabrilVigabatrinPowder Sachet 500 mg 50 Sachet$6000No
100980SandostatinOctreotide AcetateVial Kit 20 mg 1 Kit$6000Yes
103088Sandostatin LAR DepotOctreotide AcetateVial Kit 30 mg 1 Kit$6000Yes
103090SaphneloAnifrolumab-fniaVial 300/2 mg/ml 2 ml$6000Yes
25748ScemblixAsciminibTablet 20 mg 60 tab$6000No
101043SustolGranisetronPre-Filled Syringe 10/0.4 mg/ml 2.4 ml$6000Yes
103235SutentSunitinib MalateCapsule 12.5 mg 28 cap$6000No
101048SymtuzaDarunavir/Cob/Emtri/Tenof AlafTablet 800/150/200/10 mg 30 Tab$6000No
103285TabloidThioguanineTablet 40 mg 25 tab$6000No
103298TaltzIxekizumabAutoinjector 80 mg/ml 1 ml$6000Yes
103299TaltzIxekizumabPre-Filled Syringe 80 mg/ml 1 ml$6000Yes
103325TecfideraDimethyl FumarateCapsule 240 mg 60 cap$6000No
101107TezspireTezepelumab-ekkoAutoinjector 210/1.91 mg/ml 1.91 ml$6000Yes
101144TruximaRituximab-abbsVial 500 mg/50ml 50 ml$6000Yes
103523VectibixPanitumumabVial 400/20 mg/ml 20 ml$6000Yes
101199XeljanzTofacitinib CitrateOral Solution 1 mg/ml 240 ml$6000No
101231ZarxioFilgrastim-sndzPre-Filled Syringe 480/0.8 mcg/ml 8 ml$6000Yes
101357AliqopaCopanlisibVial 60 mg 1 Vial$6120Yes
101120TobramycinTobramycinNebule 300/5 mg/ml 280 ml$6120Yes
100079AltuviiioAntihemophilic Factor (Recombinant)Injection Kit 1000 IU 1000 IU$6240Yes
100110AranespDarbepoetin AlfaPre-Filled Syringe 150/0.3 mcg/ml 1.2 ml$6240Yes
102291Kisqali 200mg dailyRibociclibTablet 200 mg 21 tab$6240No
100758Novoseven RTCoagulation Factor Viia (Recombinant)Powder Vial 2 mg 2000 mcg$6240No
103150SkytrofaLonapegsomatropin-tcgdCartridge 7.6 mg 4 Cartridge$6240Yes
5612TasignaNilotinibCapsule 200 mg 112 cap$6240No
100132AustedoDeutetrabenazineTablet 6 mg 60 Tab$6300No
100134Austedo XRDeutetrabenazineTablet 12 mg(24 Hours) 30 Tab$6300No
100149BenefixCoagulation Factor IX (Recombinant)Vial Kit 3000 IU 3000 IU$6300No
100281DificidFidaxomicinTablet 200 mg 20 Tab$6300No
102170Invega TrinzaPaliperidone PalmitatePre-Filled Syringe 546/1.75 mg/ml 1.75 ml$6300No
18684MavencladCladribineTablet 10 mg 1 tab$6300No
101080TasignaNilotinibCapsule 150 mg 28 Cap$6300No
101082TasignaNilotinibCapsule 200 mg 28 Cap$6300No
101106TezspireTezepelumab-ekkoPre-Filled Syringe 210/1.91 mg/ml 1.91 ml$6300Yes
103040Rituxan HycelaRituximab/HyaluronidaseVial 1400/11.7 mg/ml 11.7 ml$6360Yes
7228SprycelDasatinibTablet 50 mg 60 tab$6360No
7231SprycelDasatinibTablet 100 mg 30 tab$6360No
101132TrelstarTriptorelin PamoateInjection 22.5 mg 1 Kit$6360No
101553BuphenylSodium PhenylbutyrateTablet 500 mg 250 tab$6480No
101659Cyltezo CFAdalimumab-AdbmAutoinjector 40/0.8 mg/ml 2 Autoinjector$6480Yes
101662Cyltezo CFAdalimumab-AdbmPre-Filled Syringe 40/0.8 mg/ml 2 PFS$6480Yes
102598NortheraDroxidopaCapsule 200 mg 90 cap$6480No
102903Pyrukynd Taper PackMitapivat SulfateTablet 20/50 mg/mg 14 tab$6480No
102904Pyrukynd Taper PackMitapivat SulfateTablet 5/20 mg/mg 14 tab$6480No
101263Abilify AsimtufiiAripiprazolePre-Filled Syringe 960/3.2 mg/ml 3.2 ml$6600No
101317AdvateAntihemophilic Factor (Recombinant)Vial 4000 IU 4000 IU$6600Yes
100044AdvateAntihemophilic Factor (Recombinant)Vial 3000IU (2401-3600) IU 3000 IU$6600No
11154BosulifBosutinibTablet 500 mg 28 tab$6600No
57675CabliviCaplacizumabPowder Vial 11 mg 1 cap$6600Yes
55842CamzyosMavacamtenCapsule 10 mg 30 cap$6600No
55843CamzyosMavacamtenCapsule 15 mg 30 cap$6600No
55844CamzyosMavacamtenCapsule 5 mg 30 cap$6600No
55845CamzyosMavacamtenCapsule 2.5 mg 30 cap$6600No
101687DepenPenicillamineTablet 250 mg 100 tab$6600No
100296DroxidopaDroxidopaCapsule 300 mg 90 Cap$6600No
101887Feiba NFProthrombin Complex Concentrate, Activated, From Human PlasmaInjection Kit 2500 IU 2500 IU$6600No
102134ImlygicTalimogene LaherparepvecVial 100,000,000 PFU/ml 1 ml$6600Yes
102182IressaGefitinibTablet 250 mg 30 tab$6600No
102286KeytrudaPembrolizumabVial 100/4 mg/ml 4 ml$6600Yes
100674Lupron DepotLeuprolide AcetateInjection Kit 11.25 mg 1 Kit$6600No
102422Lupron Depot PEDLeuprolide AcetateInjection Kit 30 mg 1 Kit$6600No
100734NeupogenFilgrastimVial 480/1.6 mcg/ml 16 ml$6600Yes
100740NgenlaSomatrogon-ghlaAutoinjector 60/1.2 mg/ml 1.2 ml$6600Yes
100753NorditropinSomatropinAutoinjector 30/3 mg/ml 3 ml$6600Yes
100763NplateRomiplostimPowder Vial 500 mcg/ml 1 Vial$6600Yes
100777NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 3000 IU 3000 IU$6600Yes
102788PerjetaPertuzumabVial 420/14 mg/ml 14 ml$6600Yes
103041Rituxan HycelaRituximab/HyaluronidaseVial 1600/13.4 mg/ml 13.4 ml$6600Yes
12399Signifor LARPasireotideInjection Kit 20 mg/Vial 1 Kit $6600Yes
12400Signifor LARPasireotideInjection Kit 30 mg/Vial 1 Kit $6600Yes
12405Signifor LARPasireotideInjection Kit 40 mg/Vial 1 Kit $6600Yes
12406Signifor LARPasireotideInjection Kit 60 mg/Vial 1 Kit $6600Yes
100998SiliqBrodalumabPre-Filled Syringe 210/1.5 mg/ml 3 ml$6600Yes
103192SprycelDasatinibTablet 20 mg 60 tab$6600No
103222SucraidSacrosidaseOral Solution 8500 IU/ml 236 ml$6600Yes
103308TarcevaErlotinib HclTablet 100 mg 30 tab$6600No
7717TecentriqAtezolizumabVial 60 mg/ml 14 ml$6600No
103354ThalomidThalidomideCapsule 100 mg 28 cap$6600No
101111ThalomidThalidomideCapsule 50 mg 28 Cap$6600No
103460TukysaTucatinibTablet 50 mg 60 tab$6600No
103612VyvgartEfgartigimod Alfa-fcabVial 400/20 mg/ml 20 ml$6600Yes
103751ZepatierElbasvir/GrazoprevirTablet 50/100 mg/mg 28 tab$6600No
9490Zolinza VorinostatCapsule 100 mg 120 cap$6600No
101323AdynovateAntihemophilic Factor (Recombinant)Vial Kit 3000 IU 3000 IU$6720Yes
101133TrelstarTriptorelin PamoateInjection 22.5 mg (6 Month) 1 Kit$6720No
101460AustedoDeutetrabenazineTablet 12 mg 60 tab$6840No
102250KadcylaAdo-Trastuzumab EmtansinePowder Vial 160 mg 1 Vial$6840Yes
100615Kogenate FSAntihemophilic Factor Viii (Recombinant)Vial Kit 3000 IU 3000 IU$6840No
103747ZelborafVemurafenibTablet 240 mg 112 tab$6840No
100133AustedoDeutetrabenazineTablet 9 mg 60 Tab$6900No
102711Orenitram ER Titration PackTreprostinilTablet 0.125-0.25 mg-mg 252 tab$6900No
100814OtezlaApremilastTablet 30 mg 60 Tab$6900No
100815OtezlaApremilastTablet 10/20/30 mg 55 Tab$6900No
100976SamscaTolvaptanTablet 15 mg 10 Tab$6900No
101396AphexdaMotixafortidePowder Vial 62 mg 1 Vial$6960Yes
101660Cyltezo CFAdalimumab-AdbmPre-Filled Syringe 10/0.2 mg/ml 2 PFS$6960Yes
101661Cyltezo CFAdalimumab-AdbmPre-Filled Syringe 20/0.4 mg/ml 2 PFS$6960Yes
102969RemodulinTreprostinil SodiumVial 100/20 mg/ml 20 ml$6960No
7232SprycelDasatinibTablet 140 mg 30 tab$6960No
103303TalzennaTalazoparib TosylateCapsule 0.25 mg 30 cap$6960No
101162ValcyteValganciclovir HClTablet 450 mg 60 Tab$6960No
10000007FruzaqlaFruquintinibCapsule 1 mg 21 cap$7080No
7229SprycelDasatinibTablet 70 mg 60 tab$7080No
11045AntizolFomepizoleVial 1 g/ml 6 ml$7200No
101509BetaseronInterferon Beta-1BPowder Vial 0.3 mg 14 Vial$7200No
101744Egrifta SVTesamorelinVial 2 mg 30 Vial$7200No
101745ElahereMirvetuximab Soravtansine-GynxVial 100/20 mg/ml 20 ml$7200Yes
100313ElitekRasburicasePowder Vial 7.5 mg 1 Vial$7200Yes
101834EsperoctAntihemophilic Factor (Recombinant)Vial Kit 3000 IU 3000 IU$7200No
101867ExtaviaInterferon Beta-1BPowder Vial 0.3 mg 15 Vial$7200No
101872FabrazymeAgalsidase BetaPowder Vial 35 mg 1 Vial$7200Yes
100446Gamunex-CImmune Globulin (Human)Vial 40/400 g/ml 400 ml$7200Yes
17930GazyvaObinutuzumabVial 25 mg/ml 40 ml$7200Yes
101996GleevecImatinibTablet 100 mg 90 tab$7200No
102002GlumetzaMetformin HclTablet 1000 mg 90 tab$7200No
102036HemlibraEmicizumab-kxwhVial 60/0.4 mg/ml 0.4 ml$7200Yes
17694IbrancePalbociclibCapsule 75 mg 21 cap$7200No
17698IbrancePalbociclibCapsule 125 mg 21 cap$7200No
5615IbrancePalbociclibTablet 75 mg 21 tab$7200No
5618IbrancePalbociclibTablet 100 mg 21 tab$7200No
5619IbrancePalbociclibTablet 125 mg 21 tab$7200No
17696IbrancePalbociclibCapsule 100 mg 21 cap$7200No
7019JakafiRuxolitinibTablet 5 mg 56 tab$7200No
7020JakafiRuxolitinibTablet 10 mg 56 tab$7200No
7021JakafiRuxolitinibTablet 15 mg 56 tab$7200No
7022JakafiRuxolitinibTablet 20 mg 56 tab$7200No
100604KeytrudaPembrolizumabVial 100/4 mg/ml 4 ml$7200Yes
102304KoselugoSelumetinibCapsule 25 mg 28 cap$7200No
17293LenvimaLenvatinibCapsule 18 mg 90 cap$7200No
102352LetairisAmbrisentanTablet 10 mg 30 tab$7200No
102353LetairisAmbrisentanTablet 5 mg 30 tab$7200No
102378LivtencityMaribavirTablet 200 mg 28 tab$7200No
100666LonsurfTrifluridine/Tipiracil HclTablet 20/8.18 mg 20 Tab$7200No
102454LytgobiFutibatinibTablet 20 mg 35 tab$7200No
102533MylotargGemtuzumab OzogamicinVial 4.5 mg 1 Vial$7200Yes
100737NeupogenFilgrastimPre-Filled Syringe 480/0.8 mcg/ml 8 ml$7200Yes
100757NovoeightAntihemophilic Factor Viii (Recombinant)Injection Kit 3000 IU 3000 IU$7200No
100788OctagamImmun Globg(Igg)/Malt/Iga Ov52Vial 25/500 g/ml 300 ml$7200No
100797OlumiantBaricitinibTablet 4 mg 30 Tab$7200No
102762PalynziqPegvaliase-pqpzPre-Filled Syringe 20 mg/ml 10 ml$7200Yes
100845PanzygaImmune GlobulinVial 30/300 g/ml 300 ml$7200No
102874ProleukinAldesleukinVial 22,000,000 (1.3) IU (mg) 1 Vial$7200Yes
102944RebifInterferon Beta-1APre-Filled Syringe 22/0.5 mcg/ml 6 ml$7200Yes
102945RebifInterferon Beta-1APre-Filled Syringe 44/0.5 mcg/ml 6 ml$7200Yes
102946Rebif RebidoseInterferon Beta-1AAutoinjector 22/0.5 mcg/ml 6 ml$7200Yes
102947Rebif RebidoseInterferon Beta-1AAutoinjector 44/0.5 mcg/ml 6 ml$7200Yes
102948Rebif Rebidose Titration PackInterferon Beta-1AAutoinjector 8.8-22/0.5 mcg-mcg/ml 6 ml$7200Yes
100946RevatioSildenafil CitrateTablet 20 mg 90 Tab$7200No
103051RozlytrekEntrectinibCapsule 100 mg 30 cap$7200No
103068RystiggoRozanolixizumab-noliVial 280/2 mg/ml 2 ml$7200Yes
25749ScemblixAsciminibTablet 40 mg 60 tab$7200No
7663SkyriziRisankizumabVial 600/10 mg/ml 10 ml$7200Yes
103166SomavertPegvisomantVial Kit 10 mg 30 Vial$7200Yes
6579StelaraUstekinumabPre-Filled Syringe 45/0.5 mg/ml 0.5 ml$7200Yes
7624TafinlarDabrafenibCapsule 50 mg 120 cap$7200No
103309TarcevaErlotinib HclTablet 150 mg 30 tab$7200No
103355ThalomidThalidomideCapsule 150 mg 28 cap$7200No
103384TobiTobramycinAmpule 300/5 mg/ml 280 ml$7200Yes
52673VerzenioAbemaciclibTablet 150 mg 56 Tabs$7200No
52377VerzenioAbemaciclibTablet 100 mg 56 Tabs$7200No
103601VumerityDiroximel FumarateCapsule 231 mg 120 cap$7200No
101205XelodaCapecitabineTablet 500 mg 120 Tab$7200No
103675XermeloTelotristat EtiprateTablet 250 mg 84 tab$7200No
103676XermeloTelotristat EtiprateTablet 250 mg 84 tab$7200No
103754Zeposia Starter KitOzanimod HydrochlorideCapsule Kit 0.23(4)-0.46(3)-0.92(21) mg 28 Cap$7200No
100581IxempraIxabepiloneVial Kit 45 mg 1 ml$7260Yes
100586JadenuDeferasiroxSachet 360 mg 30 Sachet$7320No
100583JadenuDeferasiroxTablet 360 mg 30 Tab$7380No
101559CabenuvaCabotegravir/RilpivirineInjection Kit 600/900 mg/mg 6 ml$7440Yes
103157SolirisEculizumabVial 300/30 mg/ml 30 ml$7440Yes
103486UltomirisRavulizumab-cwvzVial 300/3 mg/ml 3 ml$7440Yes
7396ZydeligIdelalisibTablet 100 mg 60 tab$7440No
7397ZydeligIdelalisibTablet 150 mg 60 tab$7440No
100200CimziaCertolizumab PegolVial Kit 200 mg 2 Kit$7500Yes
100397FeibaProthrombin Complex Concentrate, Activated, From Human PlasmaInjection Kit 2500 IU 2500 IU$7500No
100403FingolimodFingolimodCapsule 0.5 mg 30 Cap$7500No
100809OrenciaAbataceptAutoinjector 125 mg/ml 4 ml$7500Yes
100811OrenciaAbataceptPre-Filled Syringe 50/0.4 mg/ml 1.6 ml$7500Yes
100812OrenciaAbataceptPre-Filled Syringe 87.5/0.7 mg/ml 2.8 ml$7500Yes
101233ZelborafVemurafenibTablet 240 mg 112 Tab$7500No
101765EloctateAntihemophilic Factor (Recombinant)Vial Kit 3000 IU 3000 IU$7560No
102101Idacio (Cf)Adalimumab-aacfAutoinjector 40/0.8 mg/ml 2 Autoinjector$7560Yes
102385LorbrenaLorlatinibTablet 25 mg 30 tab$7560No
7573NexavarSorafenibTablet 200 mg 112 tab$7560No
103163Somatuline DepotLanreotide AcetatePre-Filled Syringe 60/0.2 mg/ml 0.2 ml$7560Yes
101101TeriflunomideTeriflunomideTablet 14 mg 30 Tab$7560No
101102TeriflunomideTeriflunomideTablet 7 mg 30 Tab$7560No
19069SkyriziRisankizumabAutoinjector 150/1 mg/ml 1 ml$7620Yes
101360AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 2000 IU 2000 IU$7680Yes
87464Humira CFAdalimumabAutoinjector 80/0.8 mg/ml 2 Autoinjector$7680Yes
100996SildenafilSildenafil CitrateOral Suspension 10 mg/ml 112 ml$7680No
6583StelaraUstekinumabPre-Filled Syringe 90/1 mg/ml 1 ml$7680Yes
103717Yuflyma CFAdalimumab-aatyAutoinjector 40/0.4 mg/ml 0.8 ml$7680Yes
10986Afinitor DisperzEverolimusTablet 2 mg 30 tab$7800No
10987Afinitor DisperzEverolimusTablet 3 mg 30 tab$7800No
10988Afinitor DisperzEverolimusTablet 5 mg 30 tab$7800No
24954CaystonAztreonamVial 75 mg 84 Vial$7800Yes
101667CyramzaRamucirumabVial 500/50 mg/ml 50 ml$7800Yes
101801EntyvioVedolizumabPowder Vial 300 mg 1 Vial$7800Yes
100393FasenraBenralizumabAutoinjector 30 mg/ml 1 ml$7800Yes
100394FasenraBenralizumabPre-Filled Syringe 30 mg/ml 1 ml$7800Yes
101946GamifantEmapalumab-lzsgVial 10/2 mg/ml 2 ml$7800Yes
101998GleostineLomustineCapsule 100 mg 5 cap$7800No
102140IngrezzaValbenazine TosylateCapsule 40 mg 30 cap$7800No
102226JaypircaPirtobrutinibTablet 50 mg 30 tab$7800No
100594KadcylaAdo-Trastuzumab EmtansinePowder Vial 160 mg 1 Vial$7800Yes
17294LenvimaLenvatinibCapsule 20 mg 60 cap$7800No
100675Lupron DepotLeuprolide AcetateInjection Kit 22.5 mg 1 Kit$7800No
102654NuzyraOmadacycline TosylateTablet 150 mg 30 tab$7800No
102811PlegridyPeginterferon Beta-1AAutoinjector 125/0.5 mcg/ml 1 ml$7800Yes
102812PlegridyPeginterferon Beta-1APre-Filled Syringe 125/0.5 mcg/ml 1 ml$7800Yes
102813PlegridyPeginterferon Beta-1APre-Filled Syringe 125/0.5 mcg/ml 1 ml$7800Yes
102814Plegridy Starter PackPeginterferon Beta-1AAutoinjector 63-94/0.5 mcg/ml 1 ml$7800Yes
102815Plegridy Starter PackPeginterferon Beta-1APre-Filled Syringe 63-94/0.5 mcg/ml 1 ml$7800Yes
102841PrevymisLetermovirTablet 240 mg 28 tab$7800No
102842PrevymisLetermovirTablet 480 mg 28 tab$7800No
100906PromactaEltrombopag OlamineTablet 50 mg 14 Tab$7800No
103001RevatioSildenafil CitrateOral Powder 10 mg/ml 112 ml$7800No
103056RuconestC1 Esterase Inhibitor, RecombPowder Vial 2100 U 1 Vial$7800No
103151SkytrofaLonapegsomatropin-tcgdCartridge 9.1 mg 4 Cartridge$7800Yes
101017SolestaDextranomer/Hyaluronic AcidGel 50-15 mg/ml 4 ml$7800No
103164Somatuline DepotLanreotide AcetatePre-Filled Syringe 90/0.3 mg/ml 0.3 ml$7800Yes
101069TalzennaTalazoparib TosylateCapsule 0.25 mg 30 Cap$7800No
103377TivdakTisotumab Vedotin-tftvPowder Vial 40 mg 1 Vial$7800Yes
103467TysabriNatalizumabVial 300/15 mg/ml 1 ml$7800Yes
103529VelsipityEtrasimodTablet 2 mg 30 tab$7800No
41179VitrakviLarotrectinibCapsule 25 mg 56 cap$7800No
101190VyvgartEfgartigimod Alfa-fcabVial 400/20 mg/ml 20 ml$7800Yes
101200XeljanzTofacitinib CitrateTablet 10 mg 60 Tab$7800No
101201XeljanzTofacitinib CitrateTablet 5 mg 60 Tab$7800No
101202Xeljanz XRTofacitinib CitrateTablet 11 mg 30 Tab$7800No
101203Xeljanz XRTofacitinib CitrateTablet 22 mg 30 Tab$7800No
103742ZejulaNiraparib TosylateCapsule 100 mg 30 cap$7800No
103752ZeposiaOzanimod HydrochlorideCapsule 0.92 mg 30 cap$7800No
100542HyqviaImmune Globulin (Human)Vial 30/300 g/ml 315 ml$7920Yes
7840StivargaRegorafenibTablet 40 mg 84 tab$7920No
103791ZulressoBrexanoloneVial 100/20 mg/ml 20 ml$8040Yes
100088AmjevitaAdalimumab-attoAutoinjector 40/0.8 mg/ml 2 Auto-Injector$8100Yes
10977AfinitorEverolimusTablet 10 mg 30 tab$8160No
10978AfinitorEverolimusTablet 2.5 mg 30 tab$8160No
10985AfinitorEverolimusTablet 5 mg 30 tab$8160No
100387ExjadeDeferasiroxTablet 500 mg 30 Tab$8160No
100482GleostineLomustineCapsule 100 mg 5 Cap$8160No
102994RetevmoSelpercatinibCapsule 40 mg 60 cap$8160No
103669XenpozymeOlipudase Alfa-rpcpPowder Vial 20 mg 1 Vial$8160Yes
12430SomavertPegvisomantVial 15 mg 30 Vial$8280No
100004AbirateroneAbiraterone AcetateTablet 250 mg 120 Tab$8400No
100005AbirateroneAbiraterone AcetateTablet 250 mg 120 Tab$8400No
100006AbirateroneAbiraterone AcetateTablet 250 mg 120 Tab$8400No
100007AbirateroneAbiraterone AcetateTablet 250 mg 120 Tab$8400No
100008AbirateroneAbiraterone AcetateTablet 250 mg 120 Tab$8400No
100009AbirateroneAbiraterone AcetateTablet 250 mg 120 Tab$8400No
100010AbirateroneAbiraterone AcetateTablet 250 mg 120 Tab$8400No
100011AbirateroneAbiraterone AcetateTablet 500 mg 60 Tab$8400No
100012AbirateroneAbiraterone AcetateTablet 500 mg 60 Tab$8400No
100013AbirateroneAbiraterone AcetateTablet 500 mg 60 Tab$8400No
100014AbirateroneAbiraterone AcetateTablet 500 mg 60 Tab$8400No
100015AbirateroneAbiraterone AcetateTablet 500 mg 60 Tab$8400No
100016AbirateroneAbiraterone AcetateTablet 500 mg 60 Tab$8400No
100017AbirateroneAbiraterone AcetateTablet 500 mg 60 Tab$8400No
100166BosentanBosentanTablet 125 mg 60 Tab$8400No
100167BosentanBosentanTablet 62.5 mg 60 Tab$8400No
24765BraftoviEncorafenibCapsule 75 mg 120 cap$8400No
100182CabenuvaCabotegravir/RilpivirineInjection Kit 600/900 mg/ml 6 ml$8400Yes
100195CibinqoAbrocitinibTablet 100 mg 30 Tab$8400No
100196CibinqoAbrocitinibTablet 200 mg 30 Tab$8400No
100197CibinqoAbrocitinibTablet 50 mg 30 Tab$8400No
100201CimziaCertolizumab PegolPre-Filled Syringe Kit 200 mg/ml 2 Kit$8400Yes
100213CopaxoneGlatiramer AcetatePre-Filled Syringe 40 mg/ml 12 ml$8400Yes
101935FyarroSirolimus Protein-BoundPowder Vial 100 mg 1 Vial$8400Yes
101966GazyvaObinutuzumabVial 1000/40 mg/ml 40 ml$8400Yes
101987GilenyaFingolimodCapsule 0.5 mg 30 cap$8400No
100506HemlibraEmicizumab-kxwhVial 60/0.4 mg/ml 0.4 ml$8400Yes
100551IdacioAdalimumab-aacfInjection Kit 40/0.8 mg/ml 1 Kit$8400Yes
102141IngrezzaValbenazine TosylateCapsule 60 mg 30 cap$8400No
102142IngrezzaValbenazine TosylateCapsule 80 mg 30 cap$8400No
102237JiviAntihemophilic Factor Viii (Recombinant)Vial 3000 IU 3000 IU$8400Yes
102281KesimptaOfatumumabAutoinjector 20/0.4 mg/ml 0.4 ml$8400Yes
100731NeulastaPegfilgrastimInjection Kit 6/0.6 mg/ml 0.6 ml$8400Yes
100732NeulastaPegfilgrastimPre-Filled Syringe 6/0.6 mg/ml 0.6 ml$8400Yes
100778NuwiqAntihemophilic Factor Viii (Recombinant)Injection Kit 4000 IU 4000 IU$8400Yes
102658OcalivaObeticholic AcidTablet 10 mg 30 tab$8400No
102659OcalivaObeticholic AcidTablet 5 mg 30 tab$8400No
102693OpdivoNivolumabVial 240/24 mg/ml 24 ml$8400Yes
102722OrserduElacestrantTablet 86 mg 30 tab$8400No
7081PiqrayAlpelisibTablet 150 mg 56 tab$8400No
7082PiqrayAlpelisibTablet 200 mg 28 tab$8400No
7083PiqrayAlpelisibTablet 200/50 mg 56 tab$8400No
100966Rituxan HycelaRituximab/HyaluronidaseVial 1400-23400/11.7 mg-unit/ml 11.7 ml$8400Yes
103142SkyriziRisankizumab-rzaaVial 600/10 mg/ml 10 ml$8400Yes
32660SkyriziRisankizumabOn-Body Injector 360/2.4 mg/ml 2.4 ml$8400Yes
101044SutentSunitinib MalateCapsule 12.5 mg 28 Cap$8400No
103356ThalomidThalidomideCapsule 200 mg 28 cap$8400No
103435TrisenoxArsenic TrioxideVial 12/6 mg/ml 60 ml$8400No
101154UltomirisRavulizumab-cwvzVial 300/3 mg/ml 3 ml$8400Yes
7616UptraviSelexipagTablet 800 mcg 60 tab$8400No
7617UptraviSelexipagTablet 600 mcg 60 tab$8400No
7619UptraviSelexipagTablet 400 mcg 60 tab$8400No
7620UptraviSelexipagTablet 200 mcg 60 tab$8400No
7621UptraviSelexipagTablet 1600 mcg 60 tab$8400No
7622UptraviSelexipagTablet 1200 mcg 60 tab$8400No
7623UptraviSelexipagTablet 1000 mcg 60 tab$8400No
101164VectibixPanitumumabVial 400/20 mg/ml 20 ml$8400Yes
101508BesremiRopeginterferon Alfa-2B-NjftPre-Filled Syringe 500 mcg/ml 1 ml$8640Yes
101566CamzyosMavacamtenCapsule 10 mg 30 cap$8640No
101567CamzyosMavacamtenCapsule 15 mg 30 cap$8640No
101568CamzyosMavacamtenCapsule 2.5 mg 30 cap$8640No
101569CamzyosMavacamtenCapsule 5 mg 30 cap$8640No
102143Ingrezza Initiation PackValbenazine TosylateCapsule 40-80 mg 28 cap$8640No
100857PerjetaPertuzumabVial 420 mg 14 ml$8640Yes
100887PrivigenImmun Glob G(Igg)-Pro-Iga 0-50Vial 40/400 g/ml 400 ml$8640No
103756ZepzelcaLurbinectedinPowder Vial 4 mg 1 Vial$8640Yes
100076AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 2000 IU 2000 IU$8700Yes
100253CyltezoAdalimumab-AdbmInjection Kit 40/0.8 mg/ml 2 Autoinjector$8700Yes
100254CyltezoAdalimumab-AdbmPre-Filled Syringe Kit 10/0.2 mg/ml 2 PFS$8700Yes
100255CyltezoAdalimumab-AdbmPre-Filled Syringe Kit 20/0.4 mg/ml 2 PFS$8700Yes
100256CyltezoAdalimumab-AdbmPre-Filled Syringe Kit 40/0.8 mg/ml 2 PFS$8700Yes
100412FolotynPralatrexateVial 20 mg/ml 1 ml$8700Yes
100969RozlytrekEntrectinibCapsule 100 mg 30 Cap$8700No
101019SolirisEculizumabVial 300/30 mg/ml 30 ml$8700Yes
101024SotyktuDeucravacitinibTablet 6 mg 30 Tab$8700No
101771ElrexfioElranatamab-BcmmVial 44/1.1 mg/ml 1.1 ml$8760Yes
102475MayzentSiponimodTablet 1 mg 30 tab$8760Yes
102476MayzentSiponimodTablet 2 mg 30 tab$8760Yes
12275PrevymisLetermovirTablet 240 mg 28 tab$8760No
12277PrevymisLetermovirTablet 480 mg 28 tab$8760No
100863PirfenidonePirfenidoneTablet 267 mg 270 Tab$8880No
100864PirfenidonePirfenidoneTablet 801 mg 90 Tab$8880No
101291AdcetrisBrentuximab VedotinPowder Vial 50 mg 1 Vial$9000Yes
100045AdvateAntihemophilic Factor (Recombinant)Vial 4000IU (3601-4800) IU 4000 IU$9000No
100048AdynovateAntihemophilic Factor (Recombinant)Vial Kit 3000 IU 3000 IU$9000No
100135Austedo XRDeutetrabenazineTablet 24 mg(24 Hours) 30 Tab$9000No
109911BalversaErdafitinibTablet 4 mg 28 tab$9000No
101560CabliviCaplacizumabInjection Kit 11 mg 1 Kit$9000Yes
100212CopaxoneGlatiramer AcetatePre-Filled Syringe 20 mg/ml 30 ml$9000Yes
100214CosentyxSecukinumabPre-Filled Syringe 150 mg/ml 2 ml$9000Yes
100217CosentyxSecukinumabPre-Filled Syringe 150 mg/ml 1 ml$9000Yes
100215Cosentyx Sensoready PenSecukinumabAutoinjector 150 mg/ml 2 ml$9000Yes
100216Cosentyx Sensoready PenSecukinumabAutoinjector 150 mg/ml 2 ml$9000Yes
100219Cosentyx UnoReady PenSecukinumabAutoinjector 300/2 mg/ml 2 ml$9000Yes
101641CotellicCobimetinibTablet 20 mg 63 tab$9000No
101997GleevecImatinibTablet 400 mg 90 tab$9000No
100522HumiraAdalimumabInjection Kit 40/0.4 mg/ml 2 ml$9000Yes
100523HumiraAdalimumabInjection Kit 40/0.8 mg/ml 2 ml$9000Yes
100525HumiraAdalimumabPre-Filled Syringe 10/0.1 mg/ml 2 ml$9000Yes
100526HumiraAdalimumabPre-Filled Syringe 40/0.8 mg/ml 2 ml$9000Yes
100527HumiraAdalimumabPre-Filled Syringe 40/0.4 mg/ml 2 ml$9000Yes
100528HumiraAdalimumabPre-Filled Syringe 20/0.5 mg/ml 2 ml$9000Yes
102117ImbruvicaIbrutinibOral Suspension 70 mg/ml 108 ml$9000No
100590JiviAntihemophilic Factor Viii (Recombinant)Vial 3000 IU 3000 IU$9000No
102266KepivancePaliferminPowder Vial 5.16 mg 3 Vial$9000Yes
100607KisqaliRibociclibTablet 200(200) mg 21 Tab$9000No
100610KisqaliRibociclibTablet 200/2.5(200) mg 49 Tab$9000No
100669LorbrenaLorlatinibTablet 25 mg 30 Tab$9000No
102418Lupron DepotLeuprolide AcetateInjection Kit 45 mg 1 Kit$9000No
102434LynparzaOlaparibTablet 100 mg 60 tab$9000No
102435LynparzaOlaparibTablet 150 mg 60 tab$9000No
102532MyleranBusulfanTablet 2 mg 25 tab$9000No
100726MyleranBusulfanTablet 2 mg 25 Tab$9000No
91609PhesgoPertuzumab/Trastuzumab/HyaluronidaseVial 600/600/20000 iu 10 ml$9000Yes
102804PhesgoPertuzumab-Trastuzumab-Hyaluronidase-zzxfVial 600-600-20,000/10 mg-mg-Units/ml 10 ml$9000Yes
102827PonvoryPonesimodCapsule 20 mg 30 cap$9000No
100911RapamuneSirolimusTablet 2 mg 100 Tab$9000No
100962RinvoqUpadacitinibTablet 15 mg(24 Hours) 30 Tab$9000No
100963RinvoqUpadacitinibTablet 30 mg(24 Hours) 30 Tab$9000No
100981SandostatinOctreotide AcetateVial Kit 30 mg 1 Kit$9000Yes
101002SimponiGolimumabAutoinjector 50 mg/ml 0.5 ml$9000Yes
101004SimponiGolimumabPre-Filled Syringe 50 mg/ml 0.5 ml$9000Yes
103162Somatuline DepotLanreotide AcetatePre-Filled Syringe 120/0.5 mg/ml 0.5 ml$9000Yes
103233SusvimoRanibizumabInjection Kit 10/0.1 mg/ml 0.1 ml$9000Yes
103234SusvimoRanibizumabVial 10/0.1 mg/ml 0.1 ml$9000Yes
101063TaltzIxekizumabAutoinjector 80 mg/ml 1 ml$9000Yes
101066TaltzIxekizumabAutoinjector 80 mg/ml 1 ml$9000Yes
101067TaltzIxekizumabPre-Filled Syringe 80 mg/ml 1 ml$9000Yes
103464TykerbLapatinib DitosylateTablet 250 mg 150 tab$9000No
103513VanflytaQuizartinib DihydrochlorideTablet 17.7 mg 14 tab$9000No
103515VanflytaQuizartinib DihydrochlorideTablet 26.5 mg 14 tab$9000No
103716YonsaAbiraterone AcetateTablet 125 mg 120 tab$9000No
103815ZytigaAbiraterone AcetateTablet 250 mg 120 tab$9000No
103816ZytigaAbiraterone AcetateTablet 500 mg 60 tab$9000No
101652CrysvitaBurosumab-TwzaVial 20 mg/ml 1 ml$9360Yes
100903PromactaEltrombopag OlamineSachet 25 mg 30 Sachet$9360No
100904PromactaEltrombopag OlamineTablet 12.5 mg 30 Tab$9360No
100905PromactaEltrombopag OlamineTablet 25 mg 30 Tab$9360No
103714YervoyIpilimumabVial 50/10 mg/ml 10 ml$9360Yes
101329AfinitorEverolimusTablet 10 mg 28 tab$9600No
101330AfinitorEverolimusTablet 2.5 mg 28 tab$9600No
101331AfinitorEverolimusTablet 5 mg 28 tab$9600No
101332AfinitorEverolimusTablet 7.5 mg 28 tab$9600No
101326Afinitor DisperzEverolimusTablet 2 mg 28 tab$9600No
101327Afinitor DisperzEverolimusTablet 3 mg 28 tab$9600No
101328Afinitor DisperzEverolimusTablet 5 mg 28 tab$9600No
100131AustedoDeutetrabenazineTablet 12 mg 60 Tab$9600No
7828CotellicCobimetinibTablet 20 mg 63 tab$9600No
101674Darzalex FasproDaratumumab-Hyaluronidase-FihjVial 1800-30000/15 mg-units/ml 15 ml$9600Yes
100309EgriftaTesamorelinVial 2 mg 30 Vial$9600No
20142ErivedgeVismodegibCapsule 150 mg 28 cap$9600No
101866Exondys 51EteplirsenVial 500/10 mg/ml 10 ml$9600Yes
102066HumatinParomomycin SulfateCapsule 250 mg 100 cap$9600No
102150InqoviDecitabine/CedazuridineTablet 35/100 mg/mg 5 tab$9600No
102171Invega TrinzaPaliperidone PalmitatePre-Filled Syringe 819/2.63 mg/ml 2.63 ml$9600No
102242JynarqueTolvaptanTablet 15 mg 30 tab$9600No
102244JynarqueTolvaptanTablet 30 mg 30 tab$9600No
102599NortheraDroxidopaCapsule 300 mg 90 cap$9600No
102878PromactaEltrombopag OlamineTablet 50 mg 30 tab$9600No
102950RebinynCoagulation Factor Ix (Recombinant), GlycopegylatedVial 2000 IU 2000 IU$9600No
103053RubracaRucaparib CamsylateTablet 200 mg 60 tab$9600No
103054RubracaRucaparib CamsylateTablet 250 mg 60 tab$9600No
103055RubracaRucaparib CamsylateTablet 300 mg 60 tab$9600No
103057RukobiaFostemsavir TromethamineTablet 600 mg 60 tab$9600No
101001SimponiGolimumabAutoinjector 100 mg/ml 1 ml$9600Yes
101003SimponiGolimumabPre-Filled Syringe 100 mg/ml 1 ml$9600Yes
103143SkytrofaLonapegsomatropin-tcgdCartridge 11 mg 4 Cartridge$9600Yes
103204StelaraUstekinumabPre-Filled Syringe 45/0.5 mg/ml 0.5 ml$9600Yes
101039SunitinibSunitinib MalateCapsule 25 mg 28 Cap$9600No
12461SutentSunitinibCapsule 50 mg 28 cap$9600No
103290TafinlarDabrafenib MesylateCapsule 50 mg 120 cap$9600No
103316TasmarTolcaponeTablet 100 mg 90 tab$9600No
73081TecentriqAtezolizumabVial 1200/20 mg/ml 20 ml$9600Yes
107518TremfyaGuselkumabAutoinjector 100 mg/ml 1 ml$9600Yes
107519TremfyaGuselkumabPre-Filled Syringe 100 mg/ml 1 ml$9600Yes
12559TukysaTucatinibTablet 150 mg 60 tab$9600No
101239ZepatierElbasvir/GrazoprevirTablet 50-100 mg 28 Tab$9600No
103753Zeposia Starter KitOzanimod HydrochlorideCapsule Kit 0.23(4)-0.46(3)-0.92(30) mg 37 Cap$9600No
102520MulpletaLusutrombopagTablet 3 mg 7 tab$9720No
101766EloctateAntihemophilic Factor (Recombinant)Vial Kit 4000 IU 4000 IU$9840No
101075TarcevaErlotinib HClTablet 100 mg 30 Tab$9900No
101108ThalomidThalidomideCapsule 100 mg 28 Cap$9900No
103324TecentriqAtezolizumabVial 840/14 mg/ml 14 ml$9960Yes
100858PhenoxybenzaminePhenoxybenzamine HClCapsule 10 mg 100 Cap$10080No
101366AltuviiioAntihemophilic Factor (Recombinant)Injection Kit 2000 IU 2000 IU$10200Yes
100129AubagioTeriflunomideTablet 7 mg 28 Tab$10200No
100176BraftoviEncorafenibCapsule 75 mg 90 Cap$10200No
101582CaystonAztreonamVial 75 mg 84 Vial$10200Yes
100220CotellicCobimetinibTablet 20 mg 63 Tab$10200No
100380EverolimusEverolimusTablet 2.5 mg 28 Tab$10200No
101845EvkeezaEvinacumab-dgnbVial 345/2.3 mg/ml 2.3 ml$10200Yes
100388ExtaviaInterferon Beta-1BPowder Vial 0.3 mg 15 Blister$10200No
101989GilotrifAfatinibTablet 20 mg 30 tab$10200No
101990GilotrifAfatinibTablet 30 mg 30 tab$10200No
101991GilotrifAfatinibTablet 40 mg 30 tab$10200No
102114IluvienFluocinolone AcetonideImplant 0.19 mg 1 Implant$10200No
100676Lupron DepotLeuprolide AcetateInjection Kit 30 mg 1 Kit$10200No
102461MargenzaMargetuximab-cmkbVial 250/10 mg/ml 40 ml$10200Yes
25007NinlaroIxazomibCapsule 2.3 mg 3 cap$10200No
25009NinlaroIxazomibCapsule 3 mg 3 cap$10200No
25011NinlaroIxazomibCapsule 4 mg 3 cap$10200No
100805OpdivoNivolumabVial 240/24 mg/ml 24 ml$10200Yes
102697OpsumitMacitentanTablet 10 mg 30 tab$10200No
103065RydaptMidostaurinCapsule 25 mg 56 cap$10200No
101016Sofosbuvir-VelpatasvirSofosbuvir-VelpatasvirTablet 400-100 mg 28 Tab$10200No
103176SorafenibSorafenib TosylateTablet 200 mg 120 tab$10200No
103326TecvayliTeclistamab-cqyvVial 153/1.7 mg/ml 1.7 ml$10200Yes
103338TemodarTemozolomideCapsule 180 mg 14 cap$10200No
103720YutiqFluocinolone AcetonideImplant 0.18 mg 1 Implant$10200No
17295LenvimaLenvatinibCapsule 24 mg 90 cap$10320No
102364LibtayoCemiplimab-rwlcVial 350/7 mg/ml 7 ml$10320Yes
102519MozobilPlerixaforVial 24/1.2 mg/ml 1.2 ml$10320No
101294AdempasRiociguatTablet 0.5 mg 90 tab$10800No
101296AdempasRiociguatTablet 1.5 mg 90 tab$10800No
101298AdempasRiociguatTablet 1 mg 90 tab$10800No
101300AdempasRiociguatTablet 2.5 mg 90 tab$10800No
101302AdempasRiociguatTablet 2 mg 90 tab$10800No
24953BrukinsaZanubrutinibCapsule 80 mg 120 cap$10800No
100334EnbrelEtanerceptPre-Filled Syringe 50 mg/ml 4 ml$10800Yes
100331Enbrel MiniEtanerceptCartridge 50 mg/ml 4 Cartridges$10800Yes
100335Enbrel SureclickEtanerceptAutoinjector 50 mg/ml 4 ml$10800Yes
100379EverolimusEverolimusTablet 10 mg 28 Tab$10800No
100449GazyvaObinutuzumabVial 25 mg/ml 40 ml$10800Yes
100479GleevecImatinib MesylateTablet 100 mg 90 Tab$10800No
102106IdelvionCoagulation Factor IX (Recombinant)Powder Vial 2000 IU 2000 IU$10800No
65673IlumyaTildrakizumabPre-Filled Syringe 100 mg/ml 1 ml$10800Yes
100599KesimptaOfatumumabAutoinjector 20/0.4 mg/ml 0.4 ml$10800Yes
24168MektoviBinimetinibTablet 15 mg 180 tab$10800No
102686OnpattroPatisiran Sodium,Lipid ComplexVial 10/5 mg/ml 5 ml$10800Yes
102732OxbrytaVoxelotorTablet 300 mg 60 tab$10800No
102733OxbrytaVoxelotorTablet 300 mg 60 tab$10800No
100865PlegridyPeginterferon Beta-1AAutoinjector 63/0.5-94/0.5 mcg/ml 1 ml$10800Yes
100866PlegridyPeginterferon Beta-1APre-Filled Syringe 63/0.5-94/0.5 mcg/ml 1 ml$10800Yes
100867PlegridyPeginterferon Beta-1AAutoinjector 125/0.5 mcg/ml 1 ml$10800Yes
100868PlegridyPeginterferon Beta-1APre-Filled Syringe 125/0.5 mcg/ml 1 ml$10800Yes
24920RetevmoRelpercatinibCapsule 80 mg 60 cap$10800No
103144SkytrofaLonapegsomatropin-tcgdCartridge 13.3 mg 4 Cartridge$10800Yes
101022SomatulineLanreotide AcetatePre-Filled Syringe 90/0.3 mg/ml 0.3 ml$10800Yes
103168SomavertPegvisomantVial Kit 15 mg 30 Vial$10800Yes
7625TafinlarDabrafenibCapsule 75 mg 120 cap$10800No
101109ThalomidThalidomideCapsule 150 mg 28 Cap$10800No
101116TobiTobramycinNebule 300/5 mg/ml 280 ml$10800Yes
103385Tobi PodhalerTobramycinInhalation Device 25 mg 224 Cap$10800No
103397TracleerBosentanTablet 32 mg 56 tab$10800No
103398TracleerBosentanTablet 32 mg 56 tab$10800No
7610XalkoriCrizotinibCapsule 200 mg 60 cap$10800No
7612XalkoriCrizotinibCapsule 250 mg 60 cap$10800No
79283ZejulaNiraparib TosylateTablet 100 mg 56 tab$10800No
12669ZejulaNiraparibCapsule 100 mg 56 cap$10800No
101243ZeposiaOzanimod HydrochlorideCapsule 0.23-0.46-0.92 mg 28 Cap$10800No
100192CellceptMycophenolateTablet 500 mg 500 Tab$11040No
100347EntyvioVedolizumabPowder Vial 300 mg 1 Vial$11100Yes
101829EsbrietPirfenidoneTablet 267 mg 270 tab$11100No
101362AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 3000 IU 3000 IU$11160Yes
101393AndexxaCoagulation Factor Xa (Recombinant)Powder Vial 200 mg 4 Vial$11160Yes
109900BalversaErdafitinibTablet 5 mg 28 tab$11400No
101538BriumviUblituximab-XiiyVial 150/6 mg/ml 6 ml$11400Yes
7772CabometyxCabozantinibTablet 20 mg 30 tab$11400No
7776CabometyxCabozantinibTablet 40 mg 30 tab$11400No
7778CabometyxCabozantinibTablet 60 mg 30 tab$11400No
101830EsbrietPirfenidoneTablet 801 mg 90 tab$11400No
100381EverolimusEverolimusTablet 5 mg 28 Tab$11400No
100382EverolimusEverolimusTablet 7.5 mg 28 Tab$11400No
101964GavretoPralsetinibCapsule 100 mg 60 cap$11400No
100627LanreotideLanreotide AcetatePre-Filled Syringe 120/0.5 mg/ml 0.5 ml$11400Yes
100971RukobiaFostemsavir TromethamineTablet 600 mg(12 Hours) 60 Tab$11400No
103301TalveyTalquetamabVial 40 mg/ml 1 ml$11400Yes
101076TarcevaErlotinib HClTablet 150 mg 30 Tab$11400No
103323TecentriqAtezolizumabVial 1200/20 mg/ml 20 ml$11400Yes
101110ThalomidThalidomideCapsule 200 mg 28 Cap$11400No
103396TracleerBosentanTablet 125 mg 60 tab$11400No
103399TracleerBosentanTablet 62.5 mg 60 tab$11400No
101188VumerityDiroximel FumarateCapsule 231 mg 120 Cap$11400No
101223YervoyIpilimumabVial 50/10 mg/ml 10 ml$11400Yes
101232ZejulaNiraparib TosylateCapsule 100 mg 30 Cap$11400No
101241ZeposiaOzanimod HydrochlorideCapsule 0.92 mg 30 Cap$11400No
103592VoxzogoVosoritideInjection Kit 0.4 mg 10 Kit$11520Yes
103593VoxzogoVosoritideInjection Kit 0.56 mg 10 Kit$11520Yes
103594VoxzogoVosoritideInjection Kit 1.2 mg 10 Kit$11520Yes
101681DefitelioDefibrotideVial 200/2.5 mg/ml 25 ml$11640No
31913RemodulinTreprostinilVial 10 mg/ml 20 ml$11640No
101087TemodarTemozolomideCapsule 140 mg 14 Cap$11700No
100139AvonexInterferon Beta-1AInjection Kit 30/0.5 mcg/ml 1 Kit$11880Yes
100140AvonexInterferon Beta-1APre-Filled Syringe Kit 30/0.5 mcg/ml 1 Kit$11880Yes
102996RetevmoSelpercatinibCapsule 80 mg 60 cap$11880No
100127AubagioTeriflunomideTablet 14 mg 30 Tab$12000No
100128AubagioTeriflunomideTablet 7 mg 30 Tab$12000No
100152BetaseronInterferon Beta-1BPowder Vial 0.3 mg 14 Vial$12000No
25024BraftoviEncorafenibCapsule 75 mg 180 cap$12000No
101552BuphenylSodium PhenylbutyrateOral Powder 0.94 g/g 250 g$12000No
75113CalquenceAcalabrutinibTablet 100 mg 60 tab$12000No
7045CalquenceAcalabrutinibCapsule 100 mg 60 cap$12000No
101606Cimzia Starter KitCertolizumab PegolPre-Filled Syringe Kit 200 mg/ml 3 Kit$12000Yes
101615ColumviGlofitamab-gxbmVial 10/10 mg/ml 10 ml$12000Yes
101767EloctateAntihemophilic Factor (Recombinant)Vial Kit 5000 IU 5000 IU$12000No
101827ErivedgeVismodegibCapsule 150 mg 28 cap$12000No
101919FolotynPralatrexateVial 40/2 mg/ml 2 ml$12000Yes
102033HemlibraEmicizumab-kxwhVial 105/0.7 mg/ml 0.7 ml$12000Yes
102116ImbruvicaIbrutinibCapsule 70 mg 28 cap$12000No
102118ImbruvicaIbrutinibTablet 140 mg 28 tab$12000No
102119ImbruvicaIbrutinibTablet 280 mg 28 tab$12000No
102120ImbruvicaIbrutinibTablet 420 mg 28 tab$12000No
102121ImbruvicaIbrutinibTablet 560 mg 28 tab$12000No
11665ImbruvicaIbrutinibCapsule 140 mg 90 cap$12000No
102201JakafiRuxolitinib PhosphateTablet 10 mg 60 tab$12000No
102202JakafiRuxolitinib PhosphateTablet 15 mg 60 tab$12000No
102203JakafiRuxolitinib PhosphateTablet 20 mg 60 tab$12000No
102204JakafiRuxolitinib PhosphateTablet 25 mg 60 tab$12000No
102205JakafiRuxolitinib PhosphateTablet 5 mg 60 tab$12000No
24759JemperliDostarlimabVial 500/10 mg/ml 10 ml$12000Yes
102292Kisqali 400mg dailyRibociclibTablet 200 mg 42 tab$12000No
102295Kisqali Femara CopackRibociclibTablet 200/2.5 mg/mg 70 tab$12000No
100688MayzentSiponimodTablet 1 mg 30 Tab$12000Yes
100689MayzentSiponimodTablet 2 mg 30 Tab$12000Yes
100715MulpletaLusutrombopagTablet 3 mg 7 Tab$12000No
102621Novoseven RT with MixProCoagulation Factor Viia (Recombinant)Powder Vial 5 mg 5000 mcg$12000No
8009OcrevusOcrelizumabVial 30 mg/ml 10 ml$12000Yes
102667OfevNintedanib EsylateCapsule 100 mg 60 cap$12000No
102668OfevNintedanib EsylateCapsule 150 mg 60 cap$12000No
102970RemodulinTreprostinil SodiumVial 200/20 mg/ml 20 ml$12000No
7969RozlytrekEntrectinibCapsule 200 mg 90 cap$12000No
12346RydaptMidostaurinCapsule 25 mg 56 cap$12000No
103077SabrilVigabatrinTablet 500 mg 100 tab$12000No
103190SprycelDasatinibTablet 100 mg 30 tab$12000No
103191SprycelDasatinibTablet 140 mg 30 tab$12000No
103195SprycelDasatinibTablet 80 mg 30 tab$12000No
103236SutentSunitinib MalateCapsule 25 mg 28 cap$12000No
103286TabrectaCapmatinib HydrochlorideTablet 150 mg 56 tab$12000No
103287TabrectaCapmatinib HydrochlorideTablet 200 mg 56 tab$12000No
103291TafinlarDabrafenib MesylateCapsule 75 mg 120 cap$12000No
8005TagrissoOsimertinibTablet 40 mg 30 tab$12000No
8007TagrissoOsimertinibTablet 80 mg 30 tab$12000No
101085TecfideraDimethyl FumarateCapsule 240 mg 60 Cap$12000No
101086TecfideraDimethyl FumarateCapsule 120/240 mg 60 Cap$12000No
61740VenclextaVenetoclaxTablet 100 mg 120 Tabs$12000No
41182VitrakviLarotrectinibOral Solution 20 mg/ml 100 ml$12000Yes
25017XpovioSelinexorTablet 20 mg 20 tab$12000No
103701XtandiEnzalutamideCapsule 40 mg 120 cap$12000No
103702XtandiEnzalutamideTablet 40 mg 120 tab$12000No
103703XtandiEnzalutamideTablet 80 mg 60 tab$12000No
103795ZydeligIdelalisibTablet 100 mg 60 tab$12000No
103796ZydeligIdelalisibTablet 150 mg 60 tab$12000No
100262Darzalex FasproDaratumumab-Hyaluronidase-FihjVial 1800-30000/15 mg-iu/ml 15 ml$12600Yes
102228JemperliDostarlimab-gxlyVial 500/10 mg/ml 10 ml$12600No
102234JevtanaCabazitaxelVial Kit 60/1.5 mg/ml 1.5 ml$12600No
102263KanumaSebelipase AlfaVial 20/10 mg/ml 10 ml$12600Yes
100714MozobilPlerixaforVial 24/1.5 mg/ml 1.2 ml$12600No
100727MylotargGemtuzumab OzogamicinVial 4.5 mg 1 Vial$12600Yes
102581NinlaroIxazomib CitrateCapsule 2.3 mg 3 cap$12600No
102582NinlaroIxazomib CitrateCapsule 3 mg 3 cap$12600No
102583NinlaroIxazomib CitrateCapsule 4 mg 3 cap$12600No
102736OxbrytaVoxelotorTablet 500 mg 90 tab$12600No
100875PonvoryPonesimodTablet 20 mg 30 Tab$12600No
102954ReblozylLuspatercept-aamtPowder Vial 75 mg 1 Vial$12600Yes
102967RelyvrioSod Phenylbutyrat/TaurursodiolOral Suspension 3/1 g 56 Packet$12600No
101021SomatulineLanreotide AcetatePre-Filled Syringe 120/0.5 mg/ml 0.5 ml$12600Yes
103459TukysaTucatinibTablet 150 mg 60 tab$12600No
101147TykerbLapatinib DitosylateTablet 250 mg 150 Tab$12600No
114102ZykadiaCeritinibTablet 150 mg 150 Cap$12600No
101658Cyltezo CF Pen Psoriasis-UVAdalimumab-AdbmInjection Kit 40/0.8 mg/ml 4 Autoinjector$12960Yes
7065AlecensaAlectinibCapsule 150 mg 240 cap$13080No
100077AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 3000 IU 3000 IU$13200Yes
101428ArikayceAmikacin LiposomalOral Inhalation 590/8.4 mg/ml 235.2 ml$13200Yes
101527BraftoviEncorafenibCapsule 75 mg 120 cap$13200No
11490EnspryngSatralizumabPre-Filled Syringe 120 mg/ml 1 ml$13200Yes
100373EsbrietPirfenidoneCapsule 267 mg 270 Cap$13200No
100374EsbrietPirfenidoneTablet 801 mg 90 Tab$13200No
100480GleevecImatinib MesylateTablet 400 mg 30 Tab$13200No
102287KeytrudaPembrolizumabVial 100/4 mg/ml 8 ml$13200Yes
102479MekinistTrametinib Dimethyl SulfoxideTablet 2 mg 30 tab$13200Yes
7482MekinistTrametinibTablet 2 mg 30 tab$13200No
102553NerlynxNeratinib MaleateTablet 40 mg 133 tab$13200Yes
100800OmvohMirikizumabVial 300/15 mg/ml 15 ml$13200Yes
102781PedmarkSodium ThiosulfateVial 12.5/100 g/ml 100 ml$13200No
91605PhesgoPertuzumab/Trastuzumab/HyaluronidaseVial 1200/600/30000 iu 15 ml$13200Yes
102803PhesgoPertuzumab-Trastuzumab-Hyaluronidase-zzxfVial 1200-600-30,000/15 mg-mg-Units/ml 15 ml$13200Yes
100945RevatioSildenafil CitrateOral Powder 10 mg/ml 112 ml$13200No
101011SkyriziRisankizumab-rzaaVial 600/10 mg/ml 10 ml$13200Yes
103193SprycelDasatinibTablet 50 mg 60 tab$13200No
103194SprycelDasatinibTablet 70 mg 60 tab$13200No
103317TavalisseFostamatinib DisodiumTablet 100 mg 60 tab$13200No
103318TavalisseFostamatinib DisodiumTablet 150 mg 60 tab$13200No
103348TepmetkoTepotinib HclTablet 225 mg 30 tab$13200No
103492UptraviSelexipagTablet 200 mcg 60 tab$13200No
101224YonsaAbiraterone AcetateTablet 125 mg 120 Tab$13200No
101242ZeposiaOzanimod HydrochlorideCapsule 0.23-0.46-0.92 mg 37 Cap$13200No
7290ZolinzaVorinostatCapsule 100 mg 120 cap$13200No
103798ZykadiaCeritinibTablet 150 mg 84 tab$13200No
100178BriumviUblituximab-XiiyVial 150/6 mg/ml 6 ml$13500Yes
24927AlunbrigBrigatinibTablet 180 mg 28 tab$13800No
24929AlunbrigBrigatinibStarter Pack 90 mg 180 tab$13800No
109899BalversaErdafitinibTablet 3 mg 56 tab$13800No
101653CrysvitaBurosumab-TwzaVial 30 mg/ml 1 ml$13800Yes
101848EvrysdiRisdiplamOral Solution 0.75 mg/ml 80 ml$13800Yes
100473GilenyaFingolimodCapsule 0.5 mg 30 Cap$13800No
102413LupkynisVoclosporinCapsule 7.9 mg 180 cap$13800No
102471MavyretGlecaprevir/PibrentasvirTablet 100/40 mg/mg 84 tab$13800No
102472MavyretGlecaprevir/PibrentasvirTablet 100/40 mg/mg 84 tab$13800No
102626NubeqaDarolutamideTablet 300 mg 120 tab$13800No
102707Orenitram ERTreprostinilTablet 2.5 mg 100 tab$13800No
100924RebifInterferon Beta-1APre-Filled Syringe 22/0.5 mcg/ml 6 ml$13800Yes
100925RebifInterferon Beta-1APre-Filled Syringe 44/0.5 mcg/ml 6 ml$13800Yes
100926RebifInterferon Beta-1APre-Filled Syringe 8.8-22/0.5 mcg 4.2 ml$13800Yes
100921Rebif Rebidose Interferon Beta-1AAutoinjector 22/0.5 mcg/ml 6 ml$13800Yes
100922Rebif Rebidose Interferon Beta-1AAutoinjector 44/0.5 mcg/ml 6 ml$13800Yes
100923Rebif Rebidose Interferon Beta-1AAutoinjector 8.8-22/0.5 mcg 4.2 ml$13800Yes
101029SprycelDasatinibTablet 20 mg 60 Tab$13800No
101083TecentriqAtezolizumabVial 1200/20 mg/ml 20 ml$13800Yes
103535VenclextaVenetoclaxTablet 100 mg 120 tab$13800No
102666OdomzoSonidegib PhosphateCapsule 200 mg 30 cap$14040No
82926EvrysdiRisdiplamPowder for Oral Solution OR KIT 0.75 mg/ml 80 ml$14160No
101372AlunbrigBrigatinibTablet 180 mg 30 tab$14400No
101374AlunbrigBrigatinibTablet 90 mg 30 tab$14400No
101371Alunbrig Initiation PackBrigatinibTablet 90/180 mg/mg 30 tab$14400No
101772ElrexfioElranatamab-BcmmVial 76/1.9 mg/ml 1.9 ml$14400Yes
100503HemlibraEmicizumab-kxwhVial 105/0.7 mg/ml 0.7 ml$14400Yes
100531Humira-Ped<40kgAdalimumabPre-Filled Syringe 80/0.8-40/0.4 mg/ml 2 ml$14400Yes
102094IbrancePalbociclibTablet 100 mg 21 tab$14400No
102095IbrancePalbociclibTablet 125 mg 21 tab$14400No
102096IbrancePalbociclibTablet 75 mg 21 tab$14400No
102102Idacio (Cf) Pen PsoriasisAdalimumab-aacfAutoinjector 40/0.8 mg/ml 4 Autoinjector$14400Yes
102115ImbruvicaIbrutinibCapsule 140 mg 90 cap$14400No
102145InlytaAxitinibTablet 1 mg 180 tab$14400No
102146InlytaAxitinibTablet 5 mg 60 tab$14400No
102163Invega HafyeraPaliperidone PalmitateInjection Kit 1092/3.5 mg/ml 3.5 ml$14400No
100605KeytrudaPembrolizumabVial 1004 mg/ml 8 ml$14400Yes
102305KoselugoSelumetinibCapsule 25 mg 60 cap$14400No
102379LivtencityMaribavirTablet 200 mg 56 tab$14400No
8040LorbrenaLorlatinibTablet 100 mg 30 tab$14400No
100681Lupron Depot-PedLeuprolide AcetateInjection Kit 11.25 mg 1 Kit$14400No
102462MarqiboVincristine Sulfate LiposomalInjection Kit 5/31 mg/ml 31 ml$14400Yes
24912NerlynxNeratinibTablet 40 mg 180 tab$14400No
100742NinlaroIxazomibCapsule 2.3 mg 3 Cap$14400No
100743NinlaroIxazomibCapsule 3 mg 3 Cap$14400No
100744NinlaroIxazomibCapsule 4 mg 3 Cap$14400No
102734OxbrytaVoxelotorTablet 300 mg 90 tab$14400No
102735OxbrytaVoxelotorTablet 300 mg 90 tab$14400No
100850PazopanibPazopanib HClTablet 200 mg 120 Tab$14400No
102879PromactaEltrombopag OlamineTablet 75 mg 30 tab$14400No
102926Radicava ORSEdaravoneOral Suspension 105/5 mg/ml 50 ml$14400Yes
102951RebinynCoagulation Factor Ix (Recombinant), GlycopegylatedVial 3000 IU 3000 IU$14400No
100974RydaptMidostaurinCapsule 25 mg 56 Cap$14400No
103170SomavertPegvisomantVial Kit 20 mg 30 Vial$14400Yes
103217StrensiqAsfotase AlfaVial 18/0.45 mg/ml 5.4 ml$14400Yes
101040SunitinibSunitinib MalateCapsule 37.5 mg 28 Cap$14400No
101060TafinlarDabrafenib MesylateCapsule 50 mg 120 Cap$14400No
101117TobiTobramycinInhaler 28 mg 224 Cap$14400No
103591VotrientPazopanib HclTablet 200 mg 120 tab$14400No
103780ZolinzaVorinostatCapsule 100 mg 120 cap$14400No
101260ZytigaAbiraterone AcetateTablet 250 mg 120 Tab$14400No
102480MektoviBinimetinibTablet 15 mg 180 tab$14760No
101363AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 4000 IU 4000 IU$15000Yes
101368AltuviiioAntihemophilic Factor (Recombinant)Injection Kit 3000 IU 3000 IU$15000Yes
101828ErleadaApalutamideTablet 60 mg 120 tab$15000No
102113IlumyaTildrakizumab-asmnPre-Filled Syringe 100 mg/ml 1 ml$15000Yes
102251KalbitorEcallantideVial 10 mg/ml 3 ml$15000Yes
102293Kisqali 600mg dailyRibociclibTablet 200 mg 63 tab$15000No
102296Kisqali Femara CopackRibociclibTablet 200/2.5 mg/mg 91 tab$15000No
100628Ledipasvir-SofosbuvirLedipasvir-SofosbuvirTablet 90-400 mg 28 Tab$15000No
100995SevenfactCoagulation Factor VIIa (Recom)Powder Vial 5 mg 5000 mcg$15000No
101053TabrectaCapmatinib HydrochlorideTablet 150 mg 56 Tab$15000No
101054TabrectaCapmatinib HydrochlorideTablet 200 mg 56 Tab$15000No
103475TzieldTeplizumab-mzwvVial 2/2 mg/ml 1 ml$15000No
103580VitrakviLarotrectinib SulfateCapsule 25 mg 60 cap$15000No
101522BosulifBosutinibTablet 100 mg 120 tab$15600No
101523BosulifBosutinibTablet 400 mg 30 tab$15600No
101524BosulifBosutinibTablet 500 mg 30 tab$15600No
102301KorlymMifepristoneTablet 300 mg 28 tab$15600No
100677Lupron DepotLeuprolide AcetateInjection Kit 45 mg 1 Kit$15600No
100682Lupron Depot-PedLeuprolide AcetateInjection Kit 30 mg 1 Kit$15600No
100759Novoseven RTCoagulation Factor Viia (Recombinant)Powder Vial 5 mg 5000 mcg$15600No
102689OnuregAzacitidineTablet 200 mg 7 tab$15600No
102690OnuregAzacitidineTablet 300 mg 7 tab$15600No
102695OpdualagNivolumab-Relatlimab-rmbwVial 240-80 mg/ml 20 ml$15600Yes
100928ReblozylLuspatercept-aamtPowder Vial 75 mg 1 Vial$15600Yes
57644RevlimidLenalidomideCapsule 5 mg 21 cap$15600No
56871RevlimidLenalidomideCapsule 25 mg 21 cap$15600No
57580RevlimidLenalidomideCapsule 15 mg 21 cap$15600No
57636RevlimidLenalidomideCapsule 10 mg 21 cap$15600No
80188SomavertPegvisomantVial Kit 30 mg 1 Kit$15600Yes
103295TakhzyroLanadelumab-flyoPre-Filled Syringe 150 mg/ml 1 ml$15600Yes
103743ZejulaNiraparib TosylateTablet 100 mg 30 tab$15600No
103744ZejulaNiraparib TosylateTablet 200 mg 30 tab$15600No
103745ZejulaNiraparib TosylateTablet 300 mg 30 tab$15600No
103801ZynyzRetifanlimab-dlwrVial 500/20 mg/ml 20 ml$15600Yes
101528BraftoviEncorafenibCapsule 75 mg 180 cap$16200No
101551BrukinsaZanubrutinibCapsule 80 mg 120 cap$16200No
100665LonsurfTrifluridine/Tipiracil HclTablet 15-6.14 mg 60 Tab$16200No
100801OnuregAzacitidineTablet 200 mg 7 Tab$16200No
100802OnuregAzacitidineTablet 300 mg 7 Tab$16200No
103066RylazeAsparaginase Erwinia-rywnVial 10/0.5 mg/ml 1.5 ml$16200Yes
103582VitrakviLarotrectinib SulfateOral Solution 2000/100 mg/ml 100 ml$16200Yes
101424ArcalystRilonaceptPowder Vial 220 mg 4 Vial$16800Yes
100258Cyltezo-Psoriasis/UVAdalimumab-AdbmInjection Kit 40/0.8 mg/ml 4 Autoinjector$16800Yes
102034HemlibraEmicizumab-kxwhVial 150 mg/ml 1 ml$16800Yes
102246JynarqueTolvaptanTablet 45/15 mg/mg 56 tab$16800No
102247JynarqueTolvaptanTablet 60/30 mg/mg 56 tab$16800No
102248JynarqueTolvaptanTablet 90/30 mg/mg 56 tab$16800No
100794OdomzoSonidegib PhosphateCapsule 200 mg 30 Cap$16800No
24915PolivyPolatuzumab VedotinPowder For Solution 140 mg 1 Kit$16800Yes
103005RevlimidLenalidomideCapsule 15 mg 21 cap$16800No
103007RevlimidLenalidomideCapsule 20 mg 21 cap$16800No
103008RevlimidLenalidomideCapsule 25 mg 21 cap$16800No
101041SunitinibSunitinib MalateCapsule 50 mg 28 Cap$16800No
101045SutentSunitinib MalateCapsule 25 mg 28 Cap$16800No
103284SyprineTrientine HydrochlorideCapsule 250 mg 100 cap$16800Yes
24176TabrectaCapmatinibTablet 150 mg 120 tab$16800No
24755TabrectaCapmatinibTablet 200 mg 120 tab$16800No
103313TasignaNilotinib HclCapsule 150 mg 112 cap$16800No
103314TasignaNilotinib HclCapsule 200 mg 112 cap$16800No
103315TasignaNilotinib HclCapsule 50 mg 120 cap$16800No
41159TepmetkoTepotinibTablet 225 mg 60 tab$16800No
24756UnituxinDinutuximabInjection Kit 17.5/5 mg/ml 5 ml$16800Yes
103584VizimproDacomitinibTablet 15 mg 30 tab$16800No
103585VizimproDacomitinibTablet 30 mg 30 tab$16800No
103586VizimproDacomitinibTablet 45 mg 30 tab$16800No
101259ZykadiaCeritinibTablet 150 mg 84 Tab$16800No
103611Vyvgart HytruloEfgartigimod Alfa And Hyaluronidase-qvfcVial 1008-11200/5.6 mg-u/ml 5.6 ml$17160Yes
101565CalquenceAcalabrutinibTablet 100 mg 60 tab$17400No
101816EpkinlyEpcoritamab-byspVial 48/0.8 mg/ml 0.8 ml$17400Yes
101965GavretoPralsetinibCapsule 100 mg 60 cap$17400No
100587JevtanaCabazitaxelVial Kit 60/1.5 mg/ml 1.5 ml$17400No
100693MekinistTrametinib Dimethyl SulfoxideTablet 2 mg 30 Tab$17400Yes
100907PromactaEltrombopag OlamineTablet 50 mg 30 Tab$17400No
96777RezurockBelumosudil MesylateTablet 200 mg 30 tab$17400No
110405SkyriziRisankizumabAutoinjector 150 mg/ml 1 ml$17400Yes
110408SkyriziRisankizumabPre-Filled Syringe 150 mg/ml 1 ml$17400Yes
110410SkyriziRisankizumabOn-Body Injector 360/2.4 mg/ml 2.4 ml$17400Yes
110411StelaraUstekinumabPre-Filled Syringe 90 mg/ml 1 ml$17400Yes
105283TepezzaTeprotumumab-trbwVial 500 mg 1 Vial$17400Yes
103514VanflytaQuizartinib DihydrochlorideTablet 17.7 mg 28 tab$17400No
103516VanflytaQuizartinib DihydrochlorideTablet 26.5 mg 28 tab$17400No
103581VitrakviLarotrectinib SulfateOral Solution 1000/50 mg/ml 100 ml$17400Yes
100078AlprolixCoagulation Factor Ix (Recombinant)Vial Kit 4000 IU 4000 IU$18000Yes
101621CometriqCabozantinibCapsule 20 mg 84 cap$18000No
101622CometriqCabozantinibCapsule 80-20 mg-mg 56 cap$18000No
101623CometriqCabozantinibCapsule 80-20 mg-mg 112 cap$18000No
101672DaraprimPyrimethamineTablet 25 mg 30 tab$18000No
101794EnspryngSatralizumab-mwgePre-Filled Syringe 120 mg/ml 1 ml$18000Yes
100368ErivedgeVismodegibCapsule 0.3 mg 28 Cap$18000No
20161GavretoPralsetinibCapsule 100 mg 120 cap$18000No
100524HumiraAdalimumabInjection Kit 80/0.8 mg/ml 2 ml$18000Yes
100534Humira-Ps/UV/AdolAdalimumabInjection Kit 40/0.8 mg/ml 4 ml$18000Yes
100535Humira-Psoriasis/UveitAdalimumabInjection Kit 80/0.8-40/0.4 mg/ml 3 ml$18000Yes
102243JynarqueTolvaptanTablet 15 mg 56 tab$18000No
102245JynarqueTolvaptanTablet 30/15 mg 56 tab$18000No
102267KepivancePaliferminPowder Vial 5.16 mg 6 Vial$18000Yes
100608KisqaliRibociclibTablet 200(400) mg 42 Tab$18000No
100611KisqaliRibociclibTablet 200/2.5(400) mg 70 Tab$18000No
102354LeukeranChlorambucilTablet 2 mg 25 tab$18000Yes
100652LeukeranChlorambucilTablet 2 mg 25 Tab$18000Yes
31917LumakrasSotorasibTablet 120 mg 240 tab$18000No
100685MavyretGlecaprevir/PibrentasvirTablet 100/40 mg 84 Tab$18000No
100686MavyretGlecaprevir/PibrentasvirTablet 100/40 mg 84 Tab$18000No
102554NerlynxNeratinib MaleateTablet 40 mg 180 tab$18000Yes
102622Novoseven RT with MixProCoagulation Factor Viia (Recombinant)Powder Vial 8 mg 8000 mcg$18000No
102816PolivyPolatuzumab Vedotin-piiqPowder Vial 140 mg 1 Vial$18000Yes
103020RezlidhiaOlutasidenibCapsule 150 mg 30 cap$18000No
100964RinvoqUpadacitinibTablet 45 mg(24 Hours) 28 Tab$18000No
103172SomavertPegvisomantVial Kit 25 mg 30 Vial$18000Yes
101034StelaraUstekinumabVial 45/0.5 mg/ml 0.5 ml$18000Yes
101035StelaraUstekinumabPre-Filled Syringe 45/0.5 mg/ml 0.5 ml$18000Yes
103209StivargaRegorafenibTablet 40 mg 84 tab$18000No
103237SutentSunitinib MalateCapsule 37.5 mg 28 cap$18000No
103293TagrissoOsimertinib MesylateTablet 40 mg 30 tab$18000No
103294TagrissoOsimertinib MesylateTablet 80 mg 30 tab$18000No
101064TaltzIxekizumabAutoinjector 80 mg/ml 2 ml$18000Yes
101138TrientineTrientine HClCapsule 250 mg 100 Cap$18000No
103664XenazineTetrabenazineTablet 12.5 mg 112 tab$18000No
101354AlecensaAlectinib HclCapsule 150 mg 240 cap$18600No
100080AltuviiioAntihemophilic Factor (Recombinant)Injection Kit 3000 IU 3000 IU$18600Yes
100161BimzelxBimekizumab-bkzxAutoinjector 160 mg/ml 2 ml$18600Yes
100162BimzelxBimekizumab-bkzxPre-Filled Syringe 160 mg/ml 2 ml$18600Yes
102819PomalystPomalidomideCapsule 1 mg 21 cap$18600No
102821PomalystPomalidomideCapsule 2 mg 21 cap$18600No
102823PomalystPomalidomideCapsule 3 mg 21 cap$18600No
102825PomalystPomalidomideCapsule 4 mg 21 cap$18600No
103138SkyriziRisankizumab-rzaaOn-Body Injector 180/1.2 mg/ml 1.2 ml$18600Yes
101061TafinlarDabrafenib MesylateCapsule 75 mg 120 Cap$18660No
101369AltuviiioAntihemophilic Factor (Recombinant)Injection Kit 4000 IU 4000 IU$19200Yes
101657Cyltezo CF Pen Crohn's-UC-HSAdalimumab-AdbmInjection Kit 40/0.8 mg/ml 6 Autoinjector$19200Yes
100390FarydakPanobinostatCapsule 10 mg 6 Cap$19200No
100391FarydakPanobinostatCapsule 15 mg 6 Cap$19200No
100392FarydakPanobinostatCapsule 20 mg 6 Cap$19200No
101947GamifantEmapalumab-lzsgVial 50/10 mg/ml 10 ml$19200Yes
100703MiglustatMiglustatCapsule 100 mg 90 Cap$19200No
102660OcrevusOcrelizumabVial 300/10 mg/ml 10 ml$19200Yes
102997RetisertFluocinolone AcetonideImplant 0.59 mg 1 Implant$19200No
103004RevlimidLenalidomideCapsule 10 mg 28 cap$19200No
103006RevlimidLenalidomideCapsule 2.5 mg 28 cap$19200No
103009RevlimidLenalidomideCapsule 5 mg 28 cap$19200No
103021RezurockBelumosudil MesylateTablet 200 mg 30 tab$19200No
101023SorafenibSorafenibTablet 200 mg 120 Tab$19200No
103302TalzennaTalazoparib TosylateCapsule 0.1 mg 30 cap$19200No
103304TalzennaTalazoparib TosylateCapsule 0.35 mg 30 cap$19200No
103305TalzennaTalazoparib TosylateCapsule 0.5 mg 30 cap$19200No
103306TalzennaTalazoparib TosylateCapsule 0.75 mg 30 cap$19200No
103307TalzennaTalazoparib TosylateCapsule 1 mg 30 cap$19200No
101135TremfyaGuselkumabAutoinjector 100 mg/ml 1 ml$19200Yes
101136TremfyaGuselkumabPre-Filled Syringe 100 mg/ml 1 ml$19200Yes
103630XalkoriCrizotinibCapsule 200 mg 60 cap$19200No
103631XalkoriCrizotinibCapsule 250 mg 60 cap$19200No
101218XtandiEnzalutamideCapsule 40 mg 120 Cap$19200No
101219XtandiEnzalutamideTablet 40 mg 120 Tab$19200No
101220XtandiEnzalutamideTablet 80 mg 60 Tab$19200No
100369ErleadaApalutamideTablet 240 mg 30 Tab$19800No
102111IlarisCanakinumabVial 150 mg/ml 1 ml$19800No
100630LenalidomideLenalidomideCapsule 15 mg 21 Cap$19800No
100632LenalidomideLenalidomideCapsule 20 mg 21 Cap$19800No
100633LenalidomideLenalidomideCapsule 25 mg 21 Cap$19800No
100694MektoviBinimetinibTablet 15 mg 180 Tab$19800Yes
101251ZolinzaVorinostatCapsule 100 mg 120 Cap$19800No
100153BexaroteneBexaroteneGel 1 % 60 g$20400No
100174BraftoviEncorafenibCapsule 75 mg 90 Cap$20400No
100175BraftoviEncorafenibCapsule 75 mg 60 Cap$20400No
101654CupriminePenicillamineCapsule 250 mg 100 cap$20400No
101806EpclusaSofosbuvir/VelpatasvirOral Pellet 200/50 mg/mg 28 Pellet$20400No
101807EpclusaSofosbuvir/VelpatasvirTablet 150/37.5 mg/mg 28 tab$20400No
101808EpclusaSofosbuvir/VelpatasvirTablet 200/50 mg/mg 28 tab$20400No
101809EpclusaSofosbuvir/VelpatasvirTablet 400/100 mg/mg 28 tab$20400No
100547IbrancePalbociclibCapsule 100 mg 21 Cap$20400No
100548IbrancePalbociclibCapsule 125 mg 21 Cap$20400No
100549IbrancePalbociclibCapsule 75 mg 21 Cap$20400No
102412LunsumioMosunetuzumab-axgbVial 30/30 mg/ml 30 ml$20400Yes
102784PemazyrePemigatinibTablet 13.5 mg 14 tab$20400No
102785PemazyrePemigatinibTablet 4.5 mg 14 tab$20400No
102786PemazyrePemigatinibTablet 9 mg 14 tab$20400No
102806PiqrayAlpelisibTablet 150 mg 56 tab$20400No
102807PiqrayAlpelisibTablet 200 mg 28 tab$20400No
102808PiqrayAlpelisibTablet 200/50 mg/mg 56 tab$20400No
102927Radicava ORS Starter KitEdaravoneOral Suspension Kit 105/5 mg/ml 70 ml$20400Yes
103052RozlytrekEntrectinibCapsule 200 mg 90 cap$20400No
103064RydaptMidostaurinCapsule 25 mg 112 cap$20400No
103238SutentSunitinib MalateCapsule 50 mg 28 cap$20400No
103322TazverikTazemetostat HydrobromideTablet 200 mg 240 tab$20400No
101170VenclextaVenetoclaxTablet 100 mg 120 Tab$20400No
101187VotrientPazopanib HclTablet 200 mg 120 Tab$20400No
100504HemlibraEmicizumab-kxwhVial 150 mg/ml 1 ml$21000Yes
102164Invega HafyeraPaliperidone PalmitateInjection Kit 1560/5 mg/ml 5 ml$21000No
100667LonsurfTrifluridine/Tipiracil HclTablet 20-8.19 mg 60 Tab$21000No
101100TepezzaTeprotumumab-trbwVial 500 mg 1 ml$21000Yes
103488UptraviSelexipagTablet 1000 mcg 60 tab$21000No
103489UptraviSelexipagTablet 1200 mcg 60 tab$21000No
103490UptraviSelexipagTablet 1400 mcg 60 tab$21000No
103491UptraviSelexipagTablet 1600 mcg 60 tab$21000No
103494UptraviSelexipagTablet 400 mcg 60 tab$21000No
103495UptraviSelexipagTablet 600 mcg 60 tab$21000No
103496UptraviSelexipagTablet 800 mcg 60 tab$21000No
103536VenclextaVenetoclaxTablet 100 mg 180 tab$21000No
101179VizimproDacomitinibTablet 15 mg 30 Tab$21000No
101180VizimproDacomitinibTablet 30 mg 30 Tab$21000No
101181VizimproDacomitinibTablet 45 mg 30 Tab$21000No
101189VyvgartEfgartigimod Alfa And Hyaluronidase-qvfcVial 180-2000 mg-iu/ml 5.6 ml$21000Yes
100154BexaroteneBexaroteneGel 1 % 60 g$21600No
100339EnspryngSatralizumab-mwgePre-Filled Syringe 120 mg/ml 1 ml$21600Yes
100448GavretoPralsetinibCapsule 100 mg 90 Cap$21600No
102043HetliozTasimelteonCapsule 20 mg 30 cap$21600No
102341LenvimaLenvatinib MesylateCapsule 10 mg 30 cap$21600No
102342LenvimaLenvatinib MesylateCapsule 12 mg 90 cap$21600No
102343LenvimaLenvatinib MesylateCapsule 14 mg 60 cap$21600No
102344LenvimaLenvatinib MesylateCapsule 18 mg 90 cap$21600No
102345LenvimaLenvatinib MesylateCapsule 20 mg 60 cap$21600No
102346LenvimaLenvatinib MesylateCapsule 24 mg 90 cap$21600No
102347LenvimaLenvatinib MesylateCapsule 4 mg 30 cap$21600No
102348LenvimaLenvatinib MesylateCapsule 8 mg 60 cap$21600No
102384LorbrenaLorlatinibTablet 100 mg 30 tab$21600No
102573NexavarSorafenib TosylateTablet 200 mg 120 tab$21600No
102679OncasparPegaspargaseVial 3750/5 IU/ml 5 ml$21600Yes
103101ScemblixAsciminib HydrochlorideTablet 20 mg 60 tab$21600No
103102ScemblixAsciminib HydrochlorideTablet 40 mg 60 tab$21600No
103174SomavertPegvisomantVial Kit 30 mg 30 Vial$21600Yes
103223SunlencaLenacapavir SodiumInjection Kit 463.5/1.5 mg/ml 1.5 ml$21600No
101062TagrissoOsimertinib MesylateTablet 80 mg 30 Tab$21600No
103434TriptodurTriptorelin PamoateInjection Kit 22.5 mg 1 Kit$21600No
41181VitrakviLarotrectinibCapsule 100 mg 56 cap$21600No
25016VyndamaxTafamidisCapsule 61 mg 30 cap$21600No
103689XpovioSelinexorTablet 20 mg 20 tab$21600No
103690XpovioSelinexorTablet 20 mg 8 tab$21600No
103691XpovioSelinexorTablet 20 mg 16 tab$21600No
103692XpovioSelinexorTablet 20 mg 12 tab$21600No
103694XpovioSelinexorTablet 20 mg 16 tab$21600No
101677DaurismoGlasdegib MaleateTablet 100 mg 30 tab$22200No
101678DaurismoGlasdegib MaleateTablet 25 mg 60 tab$22200No
102401LumakrasSotorasibTablet 120 mg 240 tab$22200No
103613VyxeosDaunorubicin, CytarabinePowder Vial 44/100 mg/mg 2 Vial$22200Yes
100049Afinitor DisperzEverolimusTablet 2 mg 28 Tab$22800No
101629CopiktraDuvelisibCapsule 15 mg 56 cap$22800No
101630CopiktraDuvelisibCapsule 25 mg 56 cap$22800No
100553IlumyaTildrakizumab-asmnPre-Filled Syringe 100 mg/ml 1 ml$22800Yes
102225JaypircaPirtobrutinibTablet 100 mg 60 tab$22800No
100609KisqaliRibociclibTablet 200(600) mg 63 Tab$22800No
100612KisqaliRibociclibTablet 200/2.5(600) mg 91 Tab$22800No
102310KrazatiAdagrasibTablet 200 mg 180 tab$22800No
102402LumakrasSotorasibTablet 320 mg 90 tab$22800No
100870PolivyPolatuzumab Vedotin-piiqPowder Vial 140 mg 1 Vial$22800Yes
102995RetevmoSelpercatinibCapsule 80 mg 120 cap$22800No
100948RevlimidLenalidomideCapsule 15 mg 21 Cap$22800No
100950RevlimidLenalidomideCapsule 20 mg 21 Cap$22800No
100951RevlimidLenalidomideCapsule 25 mg 21 Cap$22800No
7582SovaldiSofosbuvirTablet 400 mg 28 tab$22800No
103218StrensiqAsfotase AlfaVial 28/0.7 mg/ml 8.4 ml$22800Yes
25057Viekira PakOmbitasvir/Ritonavir/Paritaprevir/DasabuvirTablet, Kit 12.5/75/50/250 mg 112 tab$22800No
101186VotrientPazopanib HclTablet 200 mg 120 Tab$22800No
100052AfinitorEverolimusTablet 2.5 mg 28 Tab$23400No
100063AlecensaAlectinib HclCapsule 150 mg 240 Cap$23400No
103458TukysaTucatinibTablet 150 mg 120 tab$23400No
103603VyndamaxTafamidisCapsule 61 mg 30 cap$23400No
103604VyndaqelTafamidis MeglumineCapsule 20 mg 120 cap$23400No
100051AfinitorEverolimusTablet 10 mg 28 Tab$24000No
101507BesponsaInotuzumab OzogamicinVial 0.9 mg 1 Vial$24000Yes
101561CabometyxCabozantinibTablet 20 mg 30 tab$24000No
101562CabometyxCabozantinibTablet 40 mg 30 tab$24000No
101563CabometyxCabozantinibTablet 60 mg 30 tab$24000No
100199Cimzia Starter KitCertolizumab PegolPre-Filled Syringe Kit 200 mg/ml 6 Kit$24000Yes
102031HarvoniLedipasvir/SofosbuvirTablet 45/200 mg/mg 28 tab$24000No
102032HarvoniLedipasvir/SofosbuvirTablet 90/400 mg/mg 28 tab$24000No
102029Harvoni Pellet PacketLedipasvir/SofosbuvirOral Pellet 33.75/150 mg 28 Pellet$24000No
102288KimmtrakTebentafuspInjection Kit 100/0.5 mcg/ml 0.5 ml$24000Yes
11828MavyretGlecaprevir/PibrentasvirTablet 100/40 mg 84 tab$24000No
102720OrkambiLumacaftor/IvacaftorTablet 200/125 mg/mg 112 tab$24000No
102721OrserduElacestrantTablet 345 mg 30 tab$24000No
102866ProcysbiCysteamine BitartrateCapsule 75 mg 250 cap$24000Yes
102867ProcysbiCysteamine BitartrateGranule Packet 300 mg 60 Packet$24000Yes
101027SprycelDasatinibTablet 100 mg 30 Tab$24000No
101028SprycelDasatinibTablet 140 mg 30 Tab$24000No
101032SprycelDasatinibTablet 80 mg 30 Tab$24000No
101068TalzennaTalazoparib TosylateCapsule 0.1 mg 30 Cap$24000No
101070TalzennaTalazoparib TosylateCapsule 0.35 mg 30 Cap$24000No
101071TalzennaTalazoparib TosylateCapsule 0.5 mg 30 Cap$24000No
101072TalzennaTalazoparib TosylateCapsule 0.75 mg 30 Cap$24000No
101073TalzennaTalazoparib TosylateCapsule 1 mg 30 Cap$24000No
103311TargretinBexaroteneCapsule 75 mg 100 cap$24000No
103312TargretinBexaroteneGel Tube 0.01 % 60 g$24000No
103461TuralioPexidartinibCapsule 125 mg 120 cap$24000No
103468Tyvaso DPITreprostinilCartridge 16 mcg 112 Cartridge$24000Yes
103469Tyvaso DPITreprostinilCartridge 32 mcg 112 Cartridge$24000Yes
103470Tyvaso DPITreprostinilCartridge 48 mcg 112 Cartridge$24000Yes
103471Tyvaso DPITreprostinilCartridge 64 mcg 112 Cartridge$24000Yes
103472Tyvaso DPI Titration KitTreprostinilCartridge Kit 16(112)-32(112)-48(28) mcg 252 Cartridge$24000Yes
103473Tyvaso DPI Titration KitTreprostinilCartridge Kit 16(112)-32(84) mcg 196 Cartridge$24000Yes
103587VonjoPacritinib CitrateCapsule 100 mg 120 cap$24000No
12631VyndaqelTafamidis MeglumineCapsule 20 mg 120 cap$24000No
103732ZavescaMiglustatCapsule 100 mg 90 cap$24000No
100053AfinitorEverolimusTablet 5 mg 28 Tab$24600No
100054AfinitorEverolimusTablet 7.5 mg 28 Tab$24600No
100050Afinitor DisperzEverolimusTablet 5 mg 28 Tab$24600No
102227JelmytoMitomycinVial Kit 45 mg 1 Kit$24600No
100257Cyltezo-CD/UC/HSAdalimumab-AdbmInjection Kit 40/0.8 mg/ml 6 Autoinjector$25200Yes
101670DanyelzaNaxitamab-GqgkVial 40/10 mg/ml 10 ml$25200Yes
7577EpclusaSofosbuvir/VelpatasvirTablet 400/100 mg 28 tab$25200No
101894FensolviLeuprolide AcetateInjection Kit 45 mg 1 Kit$25200Yes
107180KrystexxaPegloticaseVial 8 mg/ml 1 ml$25200Yes
102423Lupron Depot PEDLeuprolide AcetateInjection Kit 45 mg 1 Kit$25200No
100781OcrevusOcrelizumabVial 300/10 mg/ml 10 ml$25200Yes
102716OrkambiLumacaftor/IvacaftorOral Granules 100/125 mg/mg 56 Granule$25200No
102718OrkambiLumacaftor/IvacaftorOral Granules 75/94 mg/mg 56 Granule$25200No
102719OrkambiLumacaftor/IvacaftorTablet 100/125 mg/mg 112 tab$25200No
102900PyrukyndMitapivat SulfateTablet 20 mg 56 tab$25200No
102901PyrukyndMitapivat SulfateTablet 50 mg 56 tab$25200No
102902PyrukyndMitapivat SulfateTablet 5 mg 56 tab$25200No
101046SutentSunitinib MalateCapsule 37.5 mg 28 Cap$25200No
103485UltomirisRavulizumab-cwvzVial 1100/11 mg/ml 11 ml$25680Yes
100168BosulifBosutinibTablet 100 mg 120 Tab$25800No
100169BosulifBosutinibTablet 400 mg 30 Tab$25800No
100170BosulifBosutinibTablet 500 mg 30 Tab$25800No
100908PromactaEltrombopag OlamineTablet 75 mg 30 Tab$25800No
103296TakhzyroLanadelumab-flyoPre-Filled Syringe 300/2 mg/ml 2 ml$25800Yes
103297TakhzyroLanadelumab-flyoVial 300/2 mg/ml 2 ml$25800Yes
103349TepmetkoTepotinib HclTablet 225 mg 60 tab$25800No
103590VoseviSofosbuvir/Velpatas/VoxilaprevTablet 400/100/100 mg 28 tab$25800No
10000008FruzaqlaFruquintinibCapsule 5 mg 21 cap$26400No
24986GalafoldMigalastatCapsule 123 mg 14 cap$26400No
100529Humira-CD/UC/HSAdalimumabInjection Kit 40/0.8 mg/ml 6 ml$26400Yes
100530Humira-CD/UC/HSAdalimumabInjection Kit 80/0.8 mg/ml 3 ml$26400Yes
100532Humira-Ped>/=40kgAdalimumabPre-Filled Syringe 80/0.8 mg/ml 3 ml$26400Yes
100550IcatibantIcatibant AcetatePre-Filled Syringe 30/3 mg/ml 9 ml$26400No
100561InlytaAxitinibTablet 1 mg 180 Tab$26400No
100562InlytaAxitinibTablet 5 mg 60 Tab$26400No
102151InrebicFedratinib DihydrochlorideCapsule 100 mg 120 cap$26400No
100760Novoseven RTCoagulation Factor Viia (Recombinant)Powder Vial 8 mg 8000 mcg$26400No
102708Orenitram ERTreprostinilTablet 5 mg 100 tab$26400No
100970RozlytrekEntrectinibCapsule 200 mg 90 Cap$26400No
101030SprycelDasatinibTablet 50 mg 60 Tab$26400No
101031SprycelDasatinibTablet 70 mg 60 Tab$26400No
101065TaltzIxekizumabAutoinjector 80 mg/ml 3 ml$26400Yes
101081TasignaNilotinibCapsule 200 mg 112 Cap$26400No
31914TrikaftaElexacaftor/Tezacaftor/IvacaftorTablet 100/50/75 mg 84 tab$26400No
31916TrikaftaElexacaftor/Tezacaftor/IvacaftorTablet 50/25/37.5 mg 84 tab$26400No
103589VoraxazeGlucarpidasePowder Vial 1000 IU 1 Vial$26400Yes
100629LenalidomideLenalidomideCapsule 10 mg 28 Cap$27000No
100631LenalidomideLenalidomideCapsule 2.5 mg 28 Cap$27000No
100634LenalidomideLenalidomideCapsule 5 mg 28 Cap$27000No
103246SymdekoTezacaftor/IvacaftorTablet 100/150 mg/mg 56 tab$27000No
103247SymdekoTezacaftor/IvacaftorTablet 50/75 mg/mg 56 tab$27000No
103427TrikaftaElexacaftor/Tezacaftor/IvacaftTablet 100/50/75 mg 84 tab$27000No
101451AsparlasCalaspargase Pegol-MknlVial 3750/5 U/ml 5 ml$27600Yes
102001GliadelCarmustineWafer 7.7 mg 8 Wafer$27600Yes
100668LorbrenaLorlatinibTablet 100 mg 30 Tab$27600No
101010SkyriziRisankizumab-rzaaPre-Filled Syringe Kit 75/0.83 mg/ml 1 ml$27600Yes
101051SyprineTrientine HClCapsule 250 mg 100 Cap$27600Yes
7583VoseviSofosbuvir/Velpatasvir/VoxilaprevirTablet 400/100/100 mg 28 tab$27600No
103693XpovioSelinexorTablet 20 mg 24 tab$27600No
103696XpovioSelinexorTablet 40 mg 4 tab$27600No
103699XpovioSelinexorTablet 50 mg 8 tab$27600No
103700XpovioSelinexorTablet 60 mg 4 tab$27600No
103800ZynlontaLoncastuximab Tesirine-lpylPowder Vial 10 mg 1 Vial$27600No
100151BesponsaInotuzumab OzogamicinVial 0.9 mg/ml 1 Vial$28200Yes
100265DaurismoGlasdegib MaleateTablet 100 mg 30 Tab$28200No
100266DaurismoGlasdegib MaleateTablet 25 mg 60 Tab$28200No
101904FirazyrIcatibant AcetatePre-Filled Syringe 30/3 mg/ml 9 ml$28800No
102030Harvoni Pellet PacketLedipasvir/SofosbuvirOral Pellet 45/200 mg 28 Pellet$28800No
102255KalydecoIvacaftorOral Granules 13.4 mg 56 Granule$28800No
102256KalydecoIvacaftorOral Granules 25 mg 56 Granule$28800No
102257KalydecoIvacaftorOral Granules 5.8 mg 56 Granule$28800No
102258KalydecoIvacaftorOral Granules 50 mg 56 Granule$28800No
102259KalydecoIvacaftorOral Granules 75 mg 56 Granule$28800No
102260KalydecoIvacaftorTablet 150 mg 56 tab$28800No
100860PiqrayAlpelisibTablet 200(200) mg 28 Tab$28800No
100861PiqrayAlpelisibTablet 200/50(250) mg 56 Tab$28800No
100862PiqrayAlpelisibTablet 2/150(300) mg 56 Tab$28800No
100975RydaptMidostaurinCapsule 25 mg 112 Cap$28800No
100986ScemblixAsciminib HydrochlorideTablet 20 mg 60 Tab$28800No
100987ScemblixAsciminib HydrochlorideTablet 40 mg 60 Tab$28800No
101012SkyriziRisankizumab-rzaaAutoinjector 150/1 mg/ml 1 ml$28800Yes
101013SkyriziRisankizumab-rzaaOn-Body Injector 180/1.2 mg/ml 1.2 ml$28800Yes
101014SkyriziRisankizumab-rzaaOn-Body Injector 360/2.4 mg/ml 2.4 ml$28800Yes
101015SkyriziRisankizumab-rzaaPre-Filled Syringe 150/1 mg/ml 1 ml$28800Yes
103178SovaldiSofosbuvirOral Pellet 150 mg 28 Pellet$28800No
103179SovaldiSofosbuvirOral Pellet 200 mg 28 Pellet$28800No
101047SutentSunitinib MalateCapsule 50 mg 28 Cap$28800No
103369TibsovoIvosidenibTablet 250 mg 60 tab$28800No
103425TrikaftaElexacaftor/Tezacaftor/IvacaftOral Granules 100/50/75 mg 56 Granule$28800No
103426TrikaftaElexacaftor/Tezacaftor/IvacaftOral Granules 80/40/60 mg 56 Granule$28800No
103428TrikaftaElexacaftor/Tezacaftor/IvacaftTablet 50/25/37.5 mg 84 tab$28800No
101196XalkoriCrizotinibCapsule 200 mg 2000 Cap$28800No
101197XalkoriCrizotinibCapsule 250 mg 60 Cap$28800No
103180SovaldiSofosbuvirTablet 200 mg 28 tab$29400No
103181SovaldiSofosbuvirTablet 400 mg 28 tab$29400No
103688XospataGilteritinib FumarateTablet 40 mg 90 tab$29400No
101864ExkivityMobocertinibCapsule 40 mg 120 cap$30000No
41139FirdapseAmifampridineTablet 10 mg 240 tab$30000No
101925FotivdaTivozanibCapsule 0.89 mg 21 cap$30000No
101926FotivdaTivozanibCapsule 1.34 mg 21 cap$30000No
12032MylotargGemtuzumab OzogamicinVial 4.5 mg 1 Vial$30000Yes
100871PomalystPomalidomideCapsule 1 mg 21 Cap$30000No
100872PomalystPomalidomideCapsule 2 mg 21 Cap$30000No
100873PomalystPomalidomideCapsule 3 mg 21 Cap$30000No
100874PomalystPomalidomideCapsule 4 mg 21 Cap$30000No
100947RevlimidLenalidomideCapsule 10 mg 28 Cap$30000No
100949RevlimidLenalidomideCapsule 2.5 mg 28 Cap$30000No
100952RevlimidLenalidomideCapsule 5 mg 28 Cap$30000No
103621WeliregBelzutifanTablet 40 mg 90 tab$30000No
24768XospataGilteritinibTablet 40 mg 90 tab$30000No
100636LenvimaLenvatinib MesylateCapsule 10 mg daily 30 Cap$30600No
100638LenvimaLenvatinib MesylateCapsule 12 mg daily 90 Cap$30600No
100640LenvimaLenvatinib MesylateCapsule 14 mg daily 60 Cap$30600No
100642LenvimaLenvatinib MesylateCapsule 18 mg daily 90 Cap$30600No
100644LenvimaLenvatinib MesylateCapsule 20 mg daily 60 Cap$30600No
100646LenvimaLenvatinib MesylateCapsule 24 mg daily 90 Cap$30600No
100648LenvimaLenvatinib MesylateCapsule 4 mg daily 30 Cap$30600No
100650LenvimaLenvatinib MesylateCapsule 8 mg daily 60 Cap$30600No
101773ElzonrisTagraxofusp-ErzsVial 1 mg/ml 1 ml$31200No
7580HarvoniLedipasvir/SofosbuvirTablet 90/400 mg 28 tab$31200No
100683Lupron Depot-PedLeuprolide AcetateInjection Kit 45 mg 1 Kit$31200No
54878QinlockRipretinibTablet 50 mg 90 tab$31200No
101153UltomirisRavulizumab-cwvzVial 1100/11 mg/ml 11 ml$31200Yes
103493UptraviSelexipagTablet 200 mg 140 tab$31200No
103497Uptravi Titration PackSelexipagTablet 200/800 mcg/mcg 200 tab$31200No
103564VijoiceAlpelisibTablet 125 mg 28 tab$31200No
103565VijoiceAlpelisibTablet 28x200-28x50 mg 56 tab$31200No
103566VijoiceAlpelisibTablet 50 mg 28 tab$31200No
101185VoseviSofosbuvir/Velpatas/VoxilaprevTablet 400/100/100 mg 28 Tab$31200No
100353EpclusaSofosbuvir/VelpatasvirTablet 200/50 mg 28 Tab$32400No
100354EpclusaSofosbuvir/VelpatasvirTablet 400/100 mg 28 Tab$32400No
100351Epclusa Oral PelletSofosbuvir/VelpatasvirTablet 150/37.5 mg 28 Tab$32400No
100352Epclusa Oral PelletSofosbuvir/VelpatasvirOral Pellet 200/50 mg 28 Tab$32400No
101943GalafoldMigalastatCapsule 123 mg 14 cap$32400No
102107IdhifaEnasidenib MesylateTablet 100 mg 30 tab$32400No
102108IdhifaEnasidenib MesylateTablet 50 mg 30 tab$32400No
101079TargretinBexaroteneCapsule 75 mg 100 Cap$32400No
101145TukysaTucatinibTablet 150 mg 120 Tab$32400No
103697XpovioSelinexorTablet 40 mg 8 tab$32400No
103698XpovioSelinexorTablet 40 mg 8 tab$32400No
103695XpovioSelinexorTablet 20 mg 32 tab$33000No
102464MavencladCladribineTablet 10 mg 4 tab$33600No
103230Supprelin LAHistrelin AcetateImplant 50 mg 1 Implant$33600Yes
103368TibsovoIvosidenibTablet 250 mg 60 tab$33600No
100226CupriminePenicillamineCapsule 250 mg 100 Cap$34200No
100563InrebicFedratinib DihydrochlorideCapsule 100 mg 120 Cap$34800No
79544QinlockRipretinibTablet 50 mg 90 tab$35880No
101844EvkeezaEvinacumab-dgnbVial 1200/8 mg/ml 8 ml$36000Yes
101945GamifantEmapalumab-lzsgVial 100/20 mg/ml 20 ml$36000Yes
100533Humira-Ped>/=40kgAdalimumabInjection Kit 80/0.8 mg/ml 4 ml$36000Yes
101025SovaldiSofosbuvirTablet 200 mg 28 Tab$36000No
101026SovaldiSofosbuvirTablet 400 mg 28 Tab$36000No
101036StelaraUstekinumabPre-Filled Syringe 90 mg/ml 1 ml$36000Yes
103713YervoyIpilimumabVial 200/40 mg/ml 40 ml$36000Yes
101537BrineuraCerliponase AlfaInjection Kit 300/10 mg/ml 10 ml$36600Yes
100620KrystexxaPegloticaseVial 8 mg/ml 1 ml$38400Yes
101078TargretinBexaroteneGel 1 % 60 g$38400No
103665XenazineTetrabenazineTablet 25 mg 112 tab$38400No
101469AyvakitAvapritinibTablet 100 mg 30 tab$39600No
101470AyvakitAvapritinibTablet 200 mg 30 tab$39600No
101471AyvakitAvapritinibTablet 25 mg 30 tab$39600No
101472AyvakitAvapritinibTablet 300 mg 30 tab$39600No
101473AyvakitAvapritinibTablet 50 mg 30 tab$39600No
100194CerdelgaEliglustat TartrateCapsule 84 mg 14 Cap$39600No
100500HarvoniLedipasvir/SofosbuvirOral Pellet 33.75/150 mg 28 Tab$39600No
100501HarvoniLedipasvir/SofosbuvirTablet 45/200 mg 28 Tab$39600No
100502HarvoniLedipasvir/SofosbuvirTablet 90/400 mg 28 Tab$39600No
103333TegsediInotersen SodiumPre-Filled Syringe 284/1.5 mg/ml 6 ml$39600Yes
101963GattexTeduglutideVial Kit 5 mg 1 Kit$40800Yes
102132ImjudoTremelimumab-actlVial 300/15 mg/ml 15 ml$42000Yes
101113TibsovoIvosidenibTablet 250 mg 60 Tab$42000No
102465MavencladCladribineTablet 10 mg 5 tab$43200No
102908QinlockRipretinibTablet 50 mg 90 tab$43200No
101992GivlaariGivosiranVial 189 mg/ml 1 ml$44400No
100552IDHIFAEnasidenib MesylateTablet 50 mg 30 Tab$44400No
103579VitrakviLarotrectinib SulfateCapsule 100 mg 60 cap$44400No
101222YervoyIpilimumabVial 200/40 mg/ml 40 ml$45000Yes
103415TrettenCoagulation Factor XIIIInjection Kit 2500 IU 2500 Units$51000Yes
102466MavencladCladribineTablet 10 mg 6 tab$52800No
103182SpevigoSpesolimab-sbzoVial 450/7.5 mg/ml 15 ml$55200Yes
101137TrettenCoagulation Factor XIIIPowder Vial 2500 IU 2500 IU$55200Yes
102886ProvengeSipuleucel-TInjection Kit 50,000,000 cells 250 ml$60000Yes
101042Supprelin LAHistrelin AcetateImplant 50 mg 1 Kit$60000Yes
102467MavencladCladribineTablet 10 mg 7 tab$62400No
102737OxlumoLumasiranVial 94.5/0.5 mg/ml 0.5 ml$62400No
103219StrensiqAsfotase AlfaVial 80/0.8 mg/ml 9.6 ml$66000Yes
101671DaraprimPyrimethamineTablet 25 mg 100 tab$72000No
102468MavencladCladribineTablet 10 mg 8 tab$72000No
102469MavencladCladribineTablet 10 mg 9 tab$81600No
102818PomalystPomalidomideCapsule 1 mg 100 cap$84000No
102820PomalystPomalidomideCapsule 2 mg 100 cap$84000No
102822PomalystPomalidomideCapsule 3 mg 100 cap$84000No
102824PomalystPomalidomideCapsule 4 mg 100 cap$84000No
102463MavencladCladribineTablet 10 mg 10 tab$88800No
101389AmvuttraVutrisiranPre-Filled Syringe 25/0.5 mg/ml 0.5 ml$127200No
103476TzieldTeplizumab-mzwvVial 2/2 mg/ml 20 ml$144000Yes
103487UpliznaInebilizumab-cdonVial 100/10 mg/ml 30 ml$145200Yes
103183SpinrazaNusinersen SodiumVial 12/5 mg/ml 5 ml$150000Yes
101155UpliznaInebilizumab-cdonVial 100/10 mg/ml 30 ml$174000Yes
103477TzieldTeplizumab-mzwvVial 2/2 mg/ml 28 ml$201600Yes
63537OzempicSemaglutideAutoinjector 4/3 mg-mg/ml 3 ml$389Yes
64202OzempicSemaglutideAutoinjector 0.5-2/1.5 mg-mg/ml 3 ml$389Yes
63536OzempicSemaglutideAutoinjector 0.25-2/1.5 mg-mg/ml 1.5 ml$389Yes
87446OzempicSemaglutideAutoinjector 8/3 mg/ml 3 ml$683Yes
87460OzempicSemaglutideAutoinjector 2/3 mg/ml 3 ml$683Yes
87461OzempicSemaglutideAutoinjector 4/3 mg/ml 3 ml$683Yes
100829OzempicSemaglutideAutoinjector 2/1.5 mg/ml 3 ml$1155Yes
100830OzempicSemaglutideAutoinjector 4/3 mg/ml 3 ml$1155Yes
100831OzempicSemaglutideAutoinjector 8/3 mg/ml 3 ml$1155Yes
6680OzempicSemaglutideAutoinjector 2/3 mg/ml 3 ml$447Yes
81889MounjaroTirzepatideMulti Dose Autoinjector 5 mg/dose 2 ml$578No
81902MounjaroTirzepatideMulti Dose Autoinjector 2.5 mg/dose 2 ml$578No
96240MounjaroTirzepatideMulti Dose Autoinjector 7.5 mg/dose 2 ml$578No
96248MounjaroTirzepatideMulti Dose Autoinjector 10 mg/dose 2 ml$578No
96249MounjaroTirzepatideMulti Dose Autoinjector 12.5 mg/dose 2 ml$578No
102511MounjaroTirzepatideAutoinjector 10/0.5 mg/ml 2 ml$998Yes
102512MounjaroTirzepatideAutoinjector 12.5/0.5 mg/ml 2 ml$998Yes
102513MounjaroTirzepatideAutoinjector 15/0.5 mg/ml 2 ml$998Yes
102514MounjaroTirzepatideAutoinjector 2.5/0.5 mg/ml 2 ml$998Yes
102515MounjaroTirzepatideAutoinjector 5/0.5 mg/ml 2 ml$998Yes
102516MounjaroTirzepatideAutoinjector 7.5/0.5 mg/ml 2 ml$998Yes
100708MounjaroTirzepatideAutoinjector 10/0.5 mg/ml 2 ml$1260Yes
100709MounjaroTirzepatideAutoinjector 12.5/0.5 mg/ml 2 ml$1260Yes
100710MounjaroTirzepatideAutoinjector 15/0.5 mg/ml 2 ml$1260Yes
100711MounjaroTirzepatideAutoinjector 2.5/0.5 mg/ml 2 ml$1260Yes
100712MounjaroTirzepatideAutoinjector 5/0.5 mg/ml 2 ml$1260Yes
100713MounjaroTirzepatideAutoinjector 7.5/0.5 mg/ml 2 ml$1260Yes
101225MounjaroTirzepatideMulti Dose Autoinjector 15 mg/dose 4 dose$578Yes
57680MounjaroTirzepatideVial 2.5/0.5 mg/ml 2 ml$578Yes
57682MounjaroTirzepatideVial 5/0.5 mg/ml 2 ml$578Yes
57684MounjaroTirzepatideVial 7.5/0.5 mg/ml 2 ml$578Yes
57685MounjaroTirzepatideVial 10/0.5 mg/ml 2 ml$578Yes
57686MounjaroTirzepatideVial 12.5/0.5 mg/ml 2 ml$578Yes
103616WegovySemaglutideAutoinjector 0.25/0.5 mg/ml 2 ml$1155Yes
103617WegovySemaglutideAutoinjector 0.5/0.5 mg/ml 2 ml$1155Yes
103618WegovySemaglutideAutoinjector 1.7/0.75 mg/ml 3 ml$1155Yes
103619WegovySemaglutideAutoinjector 1/0.5 mg/ml 2 ml$1155Yes
103620WegovySemaglutideAutoinjector 2.4/0.75 mg/ml 3 ml$1155Yes
101191WegovySemaglutideAutoinjector 0.25/0.5 mg/ml 2 ml$1575Yes
101192WegovySemaglutideAutoinjector 0.5/0.5 mg/ml 2 ml$1575Yes
101193WegovySemaglutideAutoinjector 1.7/0.75 mg/ml 3 ml$1575Yes
101194WegovySemaglutideAutoinjector 2.4/0.75 mg/ml 3 ml$1575Yes
88409Wegovy FlexTouchSemaglutideMulti Dose Autoinjector 6.8/3 mg/ml 3 ml$420Yes
88417Wegovy FlexTouchSemaglutideMulti Dose Autoinjector 4/3 mg/ml 3 ml$420Yes
88425Wegovy FlexTouchSemaglutideMulti Dose Autoinjector 2/1.5 mg/ml 2 ml$420Yes
88426Wegovy FlexTouchSemaglutideMulti Dose Autoinjector 1/1.5 mg/ml 2 ml$420Yes
63533RybelsusSemaglutideTablet 7 mg 30 tab$389No
63535RybelsusSemaglutideTablet 3 mg 30 tab$389No
63534RybelsusSemaglutideTablet 14 mg 30 tab$389No
84220RybelsusSemaglutideTablet 7 mg 30 tab$389No
84222RybelsusSemaglutideTablet 3 mg 30 tab$389No
103060RybelsusSemaglutideTablet 14 mg 30 tab$735No
103061RybelsusSemaglutideTablet 3 mg 30 tab$735No
103062RybelsusSemaglutideTablet 7 mg 30 tab$735No
100839RybelsusSemaglutideTablet 14 mg 90 tab$1166No
7685RybelsusSemaglutideTablet 3 mg 30 tab$389No
7690RybelsusSemaglutideTablet 7 mg 30 tab$389No
7691RybelsusSemaglutideTablet 14 mg 30 tab$389No

How Our Virtual Care Works

At Nu Health RX, we make accessing quality healthcare as easy as 1-2-3. No waiting rooms, no copays, no hidden fees, just direct access to the care you need, when you need it.

Three Simple Steps to Better Health.

See how it works

Step 1: Choose Your Plan

Select the plan that fits your lifestyle, from individual to family to corporate solutions. Transparent pricing, no hidden fees.

Step 2: Connect Instantly

Access doctors via phone, video chat, or our mobile app 24/7. Get immediate attention without the waiting room.

Step 3: Get Treatment & Prescriptions

Receive expert treatment and have your prescriptions delivered straight to your door. It’s healthcare made easy.

Comprehensive Virtual Care Tailored to Your Needs

Your Health, Your Way – Virtual Care, Anytime, Anywhere

Primary Care

Routine check-ups, health management, and wellness consultations, delivered virtually by licensed professionals.

Urgent Care

Immediate care for non-emergency issues—available 24/7. Skip the waiting and get the help you need, fast.

Mental Health Support

Confidential counseling and therapy sessions with certified experts to help you manage stress and improve your well-being.

Pharmacy Services

Integrated prescription management with hassle-free refills and home delivery. More than 1,000 medications included.

Subscription Plans Simple & Transparent

Individual

Plan
$ 189
/Monthly
  • Nationwide Coverage
  • 24/7 Access
  • Secure Consultations
  • Easy Refills
  • 12 Primary Care (Yr)
  • 12 Urgent Care (Yr)
  • 12 Mental Health (Yr)
  • 1,000+ Prescriptions Included
  • Save 50%+ on Brand Name Rx

Couples

Plan
$ 219
/Monthly
  • Nationwide Coverage
  • 24/7 Access
  • Secure Consultations
  • Easy Refills
  • Coverage For Up To 2 Members
  • 12 Primary Care (Yr) Per Member
  • 12 Urgent Care (Yr) Per Member
  • 12 Mental Health (Yr) Per Member
  • 1,000+ Prescriptions Included
  • Save 50%+ on Brand Name Rx
Popular

Family

Plan
$ 249
/Monthly
  • Nationwide Coverage
  • 24/7 Access
  • Secure Consultations
  • Easy Refills
  • Coverage For Up To 6 Members
  • 12 Primary Care (Yr) Per Member
  • 12 Urgent Care (Yr) Per Member
  • 12 Mental Health (Yr) Per Member
  • 1,000+ Prescriptions Included
  • Save 50%+ on Brand Name Rx

Not health insurance, just real doctors, real care, and real prescriptions delivered to your door. Simple, direct, and built to keep you well.

“No Contracts. No Hidden Fees”

Get Started in 3 Easy Steps

Getting started with Nu Health RX is simple, fast, and hassle-free. Follow these three easy steps to take control of your healthcare today!

1. Select Your Plan

Choose the membership that suits your needs.

2. Register & Pay

Sign up easily online with secure payment options.

3. Enjoy Expert Care

Access immediate healthcare and start saving on prescriptions.

Enroll Today!

Healthcare On Your Terms.

Consult with top specialists in various medical fields to receive expert guidance on complex health conditions and specialized treatments. Learn More

 Access personalized weight management programs, including consultations with health experts, nutrition coaching, and virtual fitness guidance. Learn More

Navigating healthcare can be overwhelming—but you don’t have to do it alone. You get personalized support to help you make informed decisions, understand your options, and access the care you need, stress-free. Learn More

Get second opinions from leading medical professionals to confirm diagnoses, explore treatment options, and gain peace of mind. Learn More

What Our Members Are Saying

At Nu Health RX, we’re transforming healthcare one satisfied member at a time. Here’s what our happy customers have to say:

Have any question? Give us a call

(833) 863-0360

The mental health support has been a lifesaver. Nu Health RX truly cares about its members.

Emily L Customer

No more waiting rooms, this is the future of healthcare. Fast, affordable, and reliable.

James R Customer

Getting healthcare has never been easier. I connected with a doctor in minutes and saved on my prescriptions.

Sarah M. Customer

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