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

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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.
Medication Search
Medication | Tier | Requirements/Limits |
---|---|---|
ATOMOXETINE | NuHealthRX - Free Maintenance | ADHD/10 MG CAP |
ATOMOXETINE | NuHealthRX - Free Maintenance | ADHD/18 MG CAP |
ATOMOXETINE | NuHealthRX - Free Maintenance | ADHD/25 MG CAP |
ATOMOXETINE | NuHealthRX - Free Maintenance | ADHD/40 MG CAP |
ATOMOXETINE | NuHealthRX - Free Maintenance | ADHD/60 MG CAP |
ATOMOXETINE | NuHealthRX - Free Maintenance | ADHD/100 MG CAP |
GUANFACINE | NuHealthRX - Free Maintenance | ADHD/1 MG ER TAB (24HR) |
GUANFACINE | NuHealthRX - Free Maintenance | ADHD/2 MG ER TAB (24HR) |
GUANFACINE | NuHealthRX - Free Maintenance | ADHD/3 MG ER TAB (24HR) |
GUANFACINE | NuHealthRX - Free Maintenance | ADHD/4 MG ER TAB (24HR) |
ACYCLOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/5% OINT |
ACYCLOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/200 MG CAP |
ACYCLOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/400 MG TAB |
ACYCLOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/800 MG TAB |
AMANTADINE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/100 MG CAP |
AMOXICILLIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG CAP |
AMOXICILLIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/875 MG TAB |
AMOXICILLIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG CAP |
AMOXICILLIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG TAB |
AMOXICILLIN/CLAVULANIC ACID | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500-125 MG TAB |
AMOXICILLIN/CLAVULANIC ACID | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/875-125 MG TAB |
AMPICILLIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG CAP |
AMPICILLIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG CAP |
AZITHROMYCIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG TAB |
AZITHROMYCIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG TAB |
CEFADROXIL | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500MG CAP |
CEFDINIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/300 MG CAP |
CEFPROZIL | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG TAB |
CEFUROXIME AXETIL | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG TAB |
CEFUROXIME AXETIL | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG TAB |
CEPHALEXIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG CAP |
CEPHALEXIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG CAP |
CHLORHEXIDINE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/0.12% SOLN |
CIPROFLOXACIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG TAB |
CIPROFLOXACIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG TAB |
CIPROFLOXACIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/750 MG TAB |
CLARITHROMYCIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG TAB |
CLARITHROMYCIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG TAB |
CLINDAMYCIN HCL | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/150 MG CAP |
CLINDAMYCIN HCL | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/300 MG CAP |
DAPSONE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/25 MG TAB |
DICLOXACILLIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG CAP |
EMTRICITABINE-TENOFOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/200-300 MG TAB |
ENTECAVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/0.5 MG TAB |
ENTECAVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/1 MG TAB |
FAMCICLOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG TAB |
FAMCICLOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG TAB |
IMIQUIMOD | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/5% CREAM |
ISONIAZID | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/100 MG TAB |
ISONIAZID | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/300 MG TAB |
LAMIVUDINE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/50 MG TAB |
LEVOFLOXACIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG TAB |
LEVOFLOXACIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG TAB |
LEVOFLOXACIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/750 MG TAB |
METHENAMINE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/1 G TAB |
METRONIDAZOLE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG TAB |
METRONIDAZOLE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG TAB |
NEVIRAPINE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/200 MG TAB |
NITROFURANTOIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/50 MG CAP |
NITROFURANTOIN | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/100 MG CAP |
PHENAZOPYRIDINE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/100 MG TAB |
PHENAZOPYRIDINE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/200 MG TAB |
SMZ/TMP DS | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/800/160 MG TAB |
TENOFOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/300 MG TAB |
TETRACYCLINE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/250 MG CAP |
TETRACYCLINE | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG CAP |
VALACYCLOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/500 MG TAB |
VALACYCLOVIR | NuHealthRX - Free Maintenance | ANTI-INFECTIVE/1 GM TAB |
ACEBUTOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/200 MG CAP |
ACEBUTOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/400 MG CAP |
AMILORIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
AMILORIDE/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5/50 MG TAB |
AMIODARONE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/200 MG TAB |
AMLODIPINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG TAB |
AMLODIPINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
AMLODIPINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
AMLODIPINE/BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5-10 MG CAP |
AMLODIPINE/BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5-10 MG CAP |
AMLODIPINE/BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5-20 MG CAP |
AMLODIPINE/BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5-40 MG CAP |
AMLODIPINE/BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-20 MG CAP |
AMLODIPINE/BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-40 MG CAP |
AMLODIPINE/OLMESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5-20 MG TAB |
AMLODIPINE/OLMESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5-40 MG TAB |
AMLODIPINE/OLMESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-20 MG TAB |
AMLODIPINE/OLMESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-40 MG TAB |
AMLODIPINE/VALSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5-160 MG TAB |
AMLODIPINE/VALSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5-325 MG TAB |
AMLODIPINE/VALSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-160 MG TAB |
AMLODIPINE/VALSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-320 MG TAB |
ATENOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
ATENOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
ATENOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100 MG TAB |
ATENOLOL/CHLORTHALIDONE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100-25MG TAB |
ATENOLOL/CHLORTHALIDONE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50-25MG TAB |
ATORVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
ATORVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
ATORVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
ATORVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
BENAZEPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
BENAZEPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-12.5 MG TAB |
BENAZEPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20-12.5 MG TAB |
BENAZEPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20-25 MG TAB |
BETAXOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
BISOPROLOL FUMARATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
BISOPROLOL FUMARATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
BISOPROLOL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5-6.25 MG TAB |
BISOPROLOL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5-6.25 MG TAB |
BISOPROLOL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-6.25 MG TAB |
BUMETANIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.5 MG TAB |
BUMETANIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1 MG TAB |
BUMETANIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2 MG TAB |
CAPTOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/12.5MG TAB |
CAPTOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
CAPTOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
CAPTOPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25-15 MG TAB |
CAPTOPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25-25 MG TAB |
CAPTOPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50-25 MG TAB |
CARVEDILOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/3.125 MG TAB |
CARVEDILOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/6.25 MG |
CARVEDILOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/12.5 MG TAB |
CARVEDILOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
CHLOROTHIAZIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/500 MG TAB |
CHLORTHALIDONE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
CHLORTHALIDONE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
CHOLINE FENOFIBRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/45 MG CAP |
CHOLINE FENOFIBRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/135 MG CAP |
CILOSTAZOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
CILOSTAZOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100 MG TAB |
CLONIDINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.1 MG TAB |
CLONIDINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.2 MG TAB |
CLONIDINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.3 MG TAB |
CLOPIDOGREL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/75 MG TAB |
DIGOXIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/125 MCG TAB |
DIGOXIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/250 MCG TAB |
DILTIAZEM | NuHealthRX - Free Maintenance | CARDIOVASCULAR/30 MG TAB |
DILTIAZEM | NuHealthRX - Free Maintenance | CARDIOVASCULAR/60 MG TAB |
DILTIAZEM | NuHealthRX - Free Maintenance | CARDIOVASCULAR/90 MG TAB |
DILTIAZEM | NuHealthRX - Free Maintenance | CARDIOVASCULAR/120 MG TAB |
DILTIAZEM ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/120 MG ER CAP (24HR) |
DILTIAZEM ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/180 MG ER CAP (24HR) |
DILTIAZEM ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/240 MG ER CAP (24HR) |
DILTIAZEM ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/300 MG ER CAP (24HR) |
DILTIAZEM ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/360 MG ER CAP (24HR) |
DIPYRIDAMOLE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
DIPYRIDAMOLE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
DIPYRIDAMOLE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/75 MG TAB |
DOFETILIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/125 MG CAP |
DOFETILIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/250 MG CAP |
DOFETILIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/500 MG CAP |
DOXAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1 MG TAB |
DOXAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2 MG TAB |
DOXAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/4 MG TAB |
DOXAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/8 MG TAB |
ENALAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG TAB |
ENALAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
ENALAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
ENALAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
ENALAPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5-12.5 MG TAB |
ENALAPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-25 MG TAB |
EPLERENONE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
EZETIMIBE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
EZETIMIBE/SIMVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-10 MG TAB |
EZETIMIBE/SIMVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-20 MG TAB |
EZETIMIBE/SIMVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-40 MG TAB |
EZETIMIBE/SIMVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-80 MG TAB |
FELODIPINE ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG ER TAB |
FELODIPINE ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG ER TAB |
FELODIPINE ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG ER TAB |
FENOFIBRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/48 MG TAB |
FENOFIBRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/54 MG TAB |
FENOFIBRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/145 MG TAB |
FENOFIBRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/160 MG TAB |
FENOFIBRATE (MICRONIZED) | NuHealthRX - Free Maintenance | CARDIOVASCULAR/43 MG CAP |
FENOFIBRATE (MICRONIZED) | NuHealthRX - Free Maintenance | CARDIOVASCULAR/67 MG CAP |
FENOFIBRATE (MICRONIZED) | NuHealthRX - Free Maintenance | CARDIOVASCULAR/134 MG CAP |
FENOFIBRATE (MICRONIZED) | NuHealthRX - Free Maintenance | CARDIOVASCULAR/200 MG CAP |
FLECAINIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
FLECAINIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100 MG TAB |
FLECAINIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/150 MG TAB |
FOSINOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
FOSINOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
FOSINOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
FUROSEMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
FUROSEMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
FUROSEMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
GEMFIBROZIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/600 MG TAB |
HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/12.5 MG CAP |
HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/12.5 MG TAB |
HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
HYDRALAZINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
HYDRALAZINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
HYDRALAZINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
HYDRALAZINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100 MG TAB |
HYDRALAZINE/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50-50 MG TAB |
INDAPAMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1.25 MG TAB |
INDAPAMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG TAB |
IRBESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/75 MG TAB |
IRBESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/150 MG TAB |
IRBESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/300 MG TAB |
IRBESARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/150/12.5 MG TAB |
IRBESARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/300/12.5 MG TAB |
ISOSORBIDE MONONITRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/30 MG ER TAB (24HR) |
ISOSORBIDE MONONITRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/60 MG ER TAB (24HR) |
ISOSORBIDE MONONITRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/120 MG ER TAB (24HR) |
JANTOVEN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1 MG TAB |
JANTOVEN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2 MG TAB |
JANTOVEN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG TAB |
JANTOVEN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/3 MG TAB |
JANTOVEN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/4 MG TAB |
JANTOVEN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
JANTOVEN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/6 MG TAB |
JANTOVEN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/7.5 MG TAB |
JANTOVEN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
LISINOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG TAB |
LISINOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
LISINOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
LISINOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
LISINOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/30 MG TAB |
LISINOPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
LISINOPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-12.5 MG TAB |
LISINOPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20-12.5 MG TAB |
LISINOPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20-25 MG TAB |
LOSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
LOSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
LOSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100 MG TAB |
LOSARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50-12.5 MG TAB |
LOSARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100-12.5 MG TAB |
LOSARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100-25 MG TAB |
LOVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
LOVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
LOVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
METHYLDOPA | NuHealthRX - Free Maintenance | CARDIOVASCULAR/250 MG TAB |
METHYLDOPA | NuHealthRX - Free Maintenance | CARDIOVASCULAR/500 MG TAB |
METOPROLOL SUCCINATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG ER TAB (24HR) |
METOPROLOL SUCCINATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG ER TAB (24HR) |
METOPROLOL SUCCINATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100 MG ER TAB (24HR) |
METOPROLOL SUCCINATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/200 MG ER TAB (24HR) |
METOPROLOL TARTRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/25 MG TAB |
METOPROLOL TARTRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/50 MG TAB |
METOPROLOL TARTRATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100 MG TAB |
MIDODRINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG TAB |
MIDODRINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
MIDODRINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
MINOXIDIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG TAB |
MINOXIDIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
NADOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
NADOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
NADOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
NEBIVOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG TAB |
NEBIVOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
NEBIVOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
NEBIVOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
NIACIN ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/500 MG TAB |
NIACIN ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/750 MG TAB |
NIACIN ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1000 MG TAB |
NIFEDIPINE XL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/30 MG ER OSM TAB (24HR) |
NIFEDIPINE XL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/60 MG ER OSM TAB (24HR) |
NIFEDIPINE XL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/90 MG ER OSM TAB (24HR) |
NIFEDIPINE ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/30 MG ER TAB (24HR) |
NIFEDIPINE ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/60 MG ER TAB (24HR) |
NIFEDIPINE ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/90 MG ER TAB (24HR) |
NITROGLYCERIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.1 MG/HR |
NITROGLYCERIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.2 MG/HR |
NITROGLYCERIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.4 MG/HR |
NITROGLYCERIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.6 MG/HR |
NITROGLYCERIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.3 MG |
NITROGLYCERIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.4 MG |
NITROGLYCERIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/0.6 MG |
OLMESARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20-12.5 MG TAB |
OLMESARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40-12.5 MG TAB |
OLMESARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40-25 MG TAB |
OLMESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
OLMESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
OLMESARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
OMEGA-3 ETHYL ESTERS | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1 GM CAP |
PINDOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
PINDOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
POTASSIUM CHLORIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/8 MEQ ER TAB |
POTASSIUM CHLORIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MEQ ER TAB |
POTASSIUM CHLORIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MEQ ER TAB |
POTASSIUM CHLORIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MEQ ER CAP |
PRASUGREL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
PRASUGREL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
PRAVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
PRAVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
PRAVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
PRAVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
PRAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1 MG CAP |
PRAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2 MG CAP |
PRAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG CAP |
PROCAINAMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/500 MG TAB |
PROCAINAMIDE SR | NuHealthRX - Free Maintenance | CARDIOVASCULAR/500 MG TAB |
PROPAFENONE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/150 MG TAB |
PROPAFENONE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/225 MG TAB |
PROPAFENONE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/300 MG TAB |
PROPRANOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
ROPRANOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
PROPRANOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
PROPRANOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/60 MG TAB |
PROPRANOLOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
PROPRANOLOL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/60 MG ER CAP (24HR) |
PROPRANOLOL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG ER CAP (24HR) |
PROPRANOLOL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/120 MG ER CAP (24HR) |
PROPRANOLOL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/160 MG ER CAP (24HR) |
PROPRANOLOL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40-25 MG TAB |
PROPRANOLOL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80-25 MG TAB |
QUINAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
QUINAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
QUINAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
QUINAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
QUINAPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10-12.5 MG TAB |
QUINAPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20-12.5 MG TAB |
QUINAPRIL/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20-25 MG TAB |
QUINIDINE SULFATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/200 MG TAB |
QUINIDINE SULFATE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/300 MG TAB |
RAMIPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1.25 MG CAP |
RAMIPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG CAP |
RAMIPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG CAP |
RAMIPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG CAP |
RANOLAZINE ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/500 MG TAB |
RANOLAZINE ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1000 MG TAB |
ROSUVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
ROSUVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
ROSUVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
ROSUVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
SIMVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
SIMVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
SIMVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
SIMVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
SIMVASTATIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
SOTALOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
SOTALOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/120 MG TAB |
SOTALOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/160 MG TAB |
SOTALOL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/240 MG TAB |
SOTALOL AF | NuHealthRX - Free Maintenance | CARDIOVASCULAR/120 MG TAB |
SOTALOL AF | NuHealthRX - Free Maintenance | CARDIOVASCULAR/160 MG TAB |
TELMISARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
TELMISARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
TELMISARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
TERAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1 MG CAP |
TERAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2 MG CAP |
TERAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG CAP |
TERAZOSIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG CAP |
TICLOPIDINE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/250 MG TAB |
TORSEMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
TORSEMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
TORSEMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/20 MG TAB |
TORSEMIDE | NuHealthRX - Free Maintenance | CARDIOVASCULAR/100 MG TAB |
TRANDOLAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1 MG TAB |
TRANDOLAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2 MG TAB |
TRANDOLAPRIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/4 MG TAB |
TRIAMTERENE/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/37.5-25 MG CAP |
TRIAMTERENE/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/37.5-25 MG TAB |
TRIAMTERENE/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/75-50 MG TAB |
VALSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
VALSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
VALSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/160 MG TAB |
VALSARTAN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/320 MG TAB |
VALSARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80/12.5 MG TAB |
VALSARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/160/25 MG TAB |
VALSARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/320/12.5 MG TAB |
VALSARTAN/HCTZ | NuHealthRX - Free Maintenance | CARDIOVASCULAR/320/25 MG TAB |
VERAPAMIL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/120 MG ER CAP (24HR) |
VERAPAMIL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/180 MG ER CAP (24HR) |
VERAPAMIL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/240 MG ER CAP (24HR) |
VERAPAMIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/40 MG TAB |
VERAPAMIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/80 MG TAB |
VERAPAMIL | NuHealthRX - Free Maintenance | CARDIOVASCULAR/120 MG TAB |
VERAPAMIL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/120 MG ER TAB |
VERAPAMIL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/180 MG ER TAB |
VERAPAMIL ER | NuHealthRX - Free Maintenance | CARDIOVASCULAR/240 MG ER TAB |
WARFARIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/1 MG TAB |
WARFARIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2 MG TAB |
WARFARIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/2.5 MG TAB |
WARFARIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/3 MG TAB |
WARFARIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/4 MG TAB |
WARFARIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/5 MG TAB |
WARFARIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/6 MG TAB |
WARFARIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/7.5 MG TAB |
WARFARIN | NuHealthRX - Free Maintenance | CARDIOVASCULAR/10 MG TAB |
ADAPALENE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.1% GEL |
ADAPALENE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.3% GEL |
ADAPALENE/BENZOYL PEROXIDE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.1/2.5% GEL |
AMINOBENZOATE | NuHealthRX - Free Maintenance | DERMATOLOGY/500 MG TAB |
BENZOYL PEROXIDE WASH | NuHealthRX - Free Maintenance | DERMATOLOGY/5% WASH |
BENZOYL PEROXIDE WASH | NuHealthRX - Free Maintenance | DERMATOLOGY/10% WASH |
CICLOPIROX | NuHealthRX - Free Maintenance | DERMATOLOGY/8% SOLN |
CLINDAMYCIN PHOSPHATE | NuHealthRX - Free Maintenance | DERMATOLOGY/1% SOLN |
CLINDAMYCIN PHOSPHATE | NuHealthRX - Free Maintenance | DERMATOLOGY/1% GEL |
CLINDAMYCIN/BENZOYL PEROXIDE | NuHealthRX - Free Maintenance | DERMATOLOGY/1.2/5% GEL |
CLINDAMYCIN/BENZOYL PEROXIDE | NuHealthRX - Free Maintenance | DERMATOLOGY/1/5% GEL |
CLOBETASOL | NuHealthRX - Free Maintenance | DERMATOLOGY/0.05% CREAM |
CLOBETASOL | NuHealthRX - Free Maintenance | DERMATOLOGY/0.05% GEL |
CLOBETASOL | NuHealthRX - Free Maintenance | DERMATOLOGY/0.05% OINT |
CLOBETASOL | NuHealthRX - Free Maintenance | DERMATOLOGY/0.05% SOLN |
DESONIDE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.05% CREAM |
DESONIDE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.05% LOTION |
DESONIDE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.05% OINT |
DESOXIMETASONE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.25% CREAM |
DOXYCYCLINE HYCLATE | NuHealthRX - Free Maintenance | DERMATOLOGY/50 MG CAP |
DOXYCYCLINE HYCLATE | NuHealthRX - Free Maintenance | DERMATOLOGY/100 MG CAP |
DOXYCYCLINE MONOHYDRATE | NuHealthRX - Free Maintenance | DERMATOLOGY/50 MG CAP |
DOXYCYCLINE MONOHYDRATE | NuHealthRX - Free Maintenance | DERMATOLOGY/100 MG CAP |
ECONAZOLE NITRATE | NuHealthRX - Free Maintenance | DERMATOLOGY/1% CREAM |
FLUOCINONIDE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.05% CREAM |
FLUOCINONIDE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.10% CREAM |
FLUOCINONIDE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.05% OINT |
HYDROCORTISONE | NuHealthRX - Free Maintenance | DERMATOLOGY/1.0% CREAM |
HYDROCORTISONE | NuHealthRX - Free Maintenance | DERMATOLOGY/1.0% OINT |
HYDROCORTISONE | NuHealthRX - Free Maintenance | DERMATOLOGY/2.5% CREAM |
HYDROCORTISONE | NuHealthRX - Free Maintenance | DERMATOLOGY/2.5% OINT |
HYDROCORTISONE | NuHealthRX - Free Maintenance | DERMATOLOGY/2.5% CREAM |
HYDROQUINONE | NuHealthRX - Free Maintenance | DERMATOLOGY/4% CREAM |
HYDROXYZINE HCL | NuHealthRX - Free Maintenance | DERMATOLOGY/10 MG TAB |
HYDROXYZINE HCL | NuHealthRX - Free Maintenance | DERMATOLOGY/25 MG TAB |
HYDROXYZINE HCL | NuHealthRX - Free Maintenance | DERMATOLOGY/50 MG TAB |
KETOCONAZOLE | NuHealthRX - Free Maintenance | DERMATOLOGY/200 MG TAB |
KETOCONAZOLE | NuHealthRX - Free Maintenance | DERMATOLOGY/2% CREAM |
KETOCONAZOLE | NuHealthRX - Free Maintenance | DERMATOLOGY/2% SHAMPOO |
LIDOCAINE | NuHealthRX - Free Maintenance | DERMATOLOGY/5% OINT |
LIDOCAINE/PRILOCAINE | NuHealthRX - Free Maintenance | DERMATOLOGY/2.5%/2.5% CREAM |
METRONIDAZOLE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.75% CREAM |
METRONIDAZOLE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.75% GEL |
MINOCYCLINE | NuHealthRX - Free Maintenance | DERMATOLOGY/50 MG CAP |
MINOCYCLINE | NuHealthRX - Free Maintenance | DERMATOLOGY/75 MG CAP |
MINOCYCLINE | NuHealthRX - Free Maintenance | DERMATOLOGY/100 MG CAP |
MUPIROCIN | NuHealthRX - Free Maintenance | DERMATOLOGY/2% OINT |
NYSTATIN | NuHealthRX - Free Maintenance | DERMATOLOGY/100 MU CREAM |
NYSTATIN | NuHealthRX - Free Maintenance | DERMATOLOGY/100 MU OINT |
NYSTATIN | NuHealthRX - Free Maintenance | DERMATOLOGY/100 MU POWDER |
NYSTATIN/TRIAMCINOLONE | NuHealthRX - Free Maintenance | DERMATOLOGY/100 MU CREAM |
SILVER SULFADIAZINE | NuHealthRX - Free Maintenance | DERMATOLOGY/1% CREAM |
SPIRONOLACTONE | NuHealthRX - Free Maintenance | DERMATOLOGY/25 MG TAB |
SPIRONOLACTONE | NuHealthRX - Free Maintenance | DERMATOLOGY/50 MG TAB |
SPIRONOLACTONE | NuHealthRX - Free Maintenance | DERMATOLOGY/100 MG TAB |
SULFACETAMIDE/SULFUR | NuHealthRX - Free Maintenance | DERMATOLOGY/10%/5% CLEANSER |
TERBINAFINE | NuHealthRX - Free Maintenance | DERMATOLOGY/250 MG TAB |
TERBINAFINE | NuHealthRX - Free Maintenance | DERMATOLOGY/1% CREAM |
TRIAMCINOLONE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.025% OINT |
TRIAMCINOLONE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.1% OINT |
TRIAMCINOLONE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.5% OINT |
TRIAMCINOLONE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.025% CREAM |
TRIAMCINOLONE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.1% CREAM |
TRIAMCINOLONE | NuHealthRX - Free Maintenance | DERMATOLOGY/0.5% CREAM |
ACARBOSE | NuHealthRX - Free Maintenance | DIABETES/25 MG TAB |
ACARBOSE | NuHealthRX - Free Maintenance | DIABETES/50 MG TAB |
ACARBOSE | NuHealthRX - Free Maintenance | DIABETES/100 MG TAB |
CHLORPROPAMIDE | NuHealthRX - Free Maintenance | DIABETES/250 MG CAP |
GLIMEPIRIDE | NuHealthRX - Free Maintenance | DIABETES/1 MG TAB |
GLIMEPIRIDE | NuHealthRX - Free Maintenance | DIABETES/2 MG TAB |
GLIMEPIRIDE | NuHealthRX - Free Maintenance | DIABETES/4 MG TAB |
GLIPIZIDE | NuHealthRX - Free Maintenance | DIABETES/5 MG TAB |
GLIPIZIDE | NuHealthRX - Free Maintenance | DIABETES/10 MG TAB |
GLIPIZIDE | NuHealthRX - Free Maintenance | DIABETES/2.5 MG ER TAB (24HR) |
GLIPIZIDE | NuHealthRX - Free Maintenance | DIABETES/5 MG ER TAB (24HR) |
GLIPIZIDE | NuHealthRX - Free Maintenance | DIABETES/10 MG ER TAB (24HR) |
GLIPIZIDE/METFORMIN | NuHealthRX - Free Maintenance | DIABETES/2.5-250 MG TAB |
GLIPIZIDE/METFORMIN | NuHealthRX - Free Maintenance | DIABETES/5-500 MG TAB |
GLYBURIDE | NuHealthRX - Free Maintenance | DIABETES/1.25 MG TAB |
GLYBURIDE | NuHealthRX - Free Maintenance | DIABETES/2.5 MG TAB |
GLYBURIDE | NuHealthRX - Free Maintenance | DIABETES/5 MG TAB |
GLYBURIDE/METFORMIN | NuHealthRX - Free Maintenance | DIABETES/1.25-250 MG TAB |
GLYBURIDE/METFORMIN | NuHealthRX - Free Maintenance | DIABETES/2.5-500 MG TAB |
GLYBURIDE/METFORMIN | NuHealthRX - Free Maintenance | DIABETES/5-500 MG TAB |
METFORMIN | NuHealthRX - Free Maintenance | DIABETES/500 MG TAB |
METFORMIN | NuHealthRX - Free Maintenance | DIABETES/850 MG TAB |
METFORMIN | NuHealthRX - Free Maintenance | DIABETES/1000 MG TAB |
METFORMIN | NuHealthRX - Free Maintenance | DIABETES/500 MG ER TAB (24HR) |
METFORMIN | NuHealthRX - Free Maintenance | DIABETES/750 MG ER TAB (24HR) |
NATEGLINIDE | NuHealthRX - Free Maintenance | DIABETES/60 MG TAB |
NATEGLINIDE | NuHealthRX - Free Maintenance | DIABETES/120 MG TAB |
PIOGLITAZONE | NuHealthRX - Free Maintenance | DIABETES/15 MG TAB |
PIOGLITAZONE | NuHealthRX - Free Maintenance | DIABETES/30 MG TAB |
PIOGLITAZONE | NuHealthRX - Free Maintenance | DIABETES/45 MG TAB |
PIOGLITAZONE/METFORMIN | NuHealthRX - Free Maintenance | DIABETES/15/500 MG TAB |
PIOGLITAZONE/METFORMIN | NuHealthRX - Free Maintenance | DIABETES/15/850 MG TAB |
PRODIGY DIABETIC TEST STRIPS | NuHealthRX - Free Maintenance | DIABETES/STRIPS |
PRODIGY GLUCOSE METER | NuHealthRX - Free Maintenance | DIABETES/METER |
PRODIGY DIABETIC LANCETS | NuHealthRX - Free Maintenance | DIABETES/Max Qty: 200 |
REPAGLINIDE | NuHealthRX - Free Maintenance | DIABETES/0.5 MG TAB |
REPAGLINIDE | NuHealthRX - Free Maintenance | DIABETES/1 MG TAB |
REPAGLINIDE | NuHealthRX - Free Maintenance | DIABETES/2 MG TAB |
CINACALCET | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/30 MG TAB |
DESMOPRESSIN | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/0.1 MG TAB |
DESMOPRESSIN | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/0.2 MG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/25 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/50 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/75 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/88 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/100 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/112 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/125 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/137 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/150 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/175 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/200 MCG TAB |
LEVOTHYROXINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/300 MCG TAB |
LIOTHYRONINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/5 MCG TAB |
LIOTHYRONINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/25 MCG TAB |
LIOTHYRONINE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/50 MCG TAB |
METHIMAZOLE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/5 MG TAB |
METHIMAZOLE | NuHealthRX - Free Maintenance | ENDOCRINOLOGY/10 MG TAB |
CIMETIDINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/200 MG TAB |
CIMETIDINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/300 MG TAB |
CIMETIDINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/400 MG TAB |
CIMETIDINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/800 MG TAB |
DICYCLOMINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/10 MG CAP |
DICYCLOMINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/20 MG TAB |
DOCUSATE SODIUM | NuHealthRX - Free Maintenance | GASTROINTESTINAL/100 MG CAP |
ESOMEPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/20 MG DR CAP |
ESOMEPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/40 MG DR CAP |
FAMOTIDINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/20 MG TAB |
FAMOTIDINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/40 MG TAB |
GLYCOPYRROLATE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/1 MG TAB |
GLYCOPYRROLATE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/2 MG TAB |
HYOSCYAMINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/0.125 MG TAB |
HYOSCYAMINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/0.125 MG ODT TAB |
HYOSCYAMINE SR | NuHealthRX - Free Maintenance | GASTROINTESTINAL/0.375 MG SR TAB (12HR) |
LANSOPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/15 MG DR CAP |
LANSOPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/30 MG DR CAP |
LIDOCAINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/2% SOLN |
LOPERAMIDE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/2 MG CAP |
METOCLOPRAMIDE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/5 MG TAB |
METOCLOPRAMIDE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/10 MG TAB |
OMEPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/10 MG DR CAP |
OMEPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/20 MG DR CAP |
OMEPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/40 MG DR CAP |
ONDANSETRON | NuHealthRX - Free Maintenance | GASTROINTESTINAL/4 MG TAB |
ONDANSETRON | NuHealthRX - Free Maintenance | GASTROINTESTINAL/8 MG TAB |
ONDANSETRON | NuHealthRX - Free Maintenance | GASTROINTESTINAL/4 MG ODT TAB |
ONDANSETRON | NuHealthRX - Free Maintenance | GASTROINTESTINAL/8 MG ODT TAB |
PANTOPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/20 MG DR TAB |
PANTOPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/40 MG DR TAB |
POLYETHYLENE GLYCOL | NuHealthRX - Free Maintenance | GASTROINTESTINAL/17 GM POWDER |
PROMETHAZINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/12.5 MG TAB |
PROMETHAZINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/50 MG TAB |
RABEPRAZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/20 MG TAB |
SUCRALFATE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/1 GM TAB |
ALFUZOSIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/10 MG TAB |
BETHANECHOL | NuHealthRX - Free Maintenance | MEN'S HEALTH/5 MG TAB |
BETHANECHOL | NuHealthRX - Free Maintenance | MEN'S HEALTH/10 MG TAB |
BETHANECHOL | NuHealthRX - Free Maintenance | MEN'S HEALTH/25 MG TAB |
BETHANECHOL | NuHealthRX - Free Maintenance | MEN'S HEALTH/50 MG TAB |
BICALUTAMIDE | NuHealthRX - Free Maintenance | MEN'S HEALTH/50 MG CAP |
DUTASTERIDE | NuHealthRX - Free Maintenance | MEN'S HEALTH/0.5 MG CAP |
FINASTERIDE | NuHealthRX - Free Maintenance | MEN'S HEALTH/1 MG TAB |
FINASTERIDE | NuHealthRX - Free Maintenance | MEN'S HEALTH/5 MG TAB |
MINOXIDIL | NuHealthRX - Free Maintenance | MEN'S HEALTH/2% SOLN |
OXYBUTYNIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/5 MG TAB |
OXYBUTYNIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/5 MG ER TAB (24HR) |
OXYBUTYNIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/10 MG ER TAB (24HR) |
OXYBUTYNIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/15 MG ER TAB (24HR) |
SILDENAFIL | NuHealthRX - Free Maintenance | MEN'S HEALTH/20 MG TAB |
SILDENAFIL | NuHealthRX - Free Maintenance | MEN'S HEALTH/25 MG TAB |
SILDENAFIL | NuHealthRX - Free Maintenance | MEN'S HEALTH/50 MG TAB |
SILDENAFIL | NuHealthRX - Free Maintenance | MEN'S HEALTH/100 MG TAB |
SILODOSIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/4 MG CAP |
SILODOSIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/8 MG CAP |
SOLIFENACIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/5 MG TAB |
SOLIFENACIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/10 MG TAB |
TADALAFIL | NuHealthRX - Free Maintenance | MEN'S HEALTH/2.5 MG TAB |
TADALAFIL | NuHealthRX - Free Maintenance | MEN'S HEALTH/5 MG TAB |
TADALAFIL | NuHealthRX - Free Maintenance | MEN'S HEALTH/10 MG TAB |
TADALAFIL | NuHealthRX - Free Maintenance | MEN'S HEALTH/20 MG TAB |
TAMSULOSIN | NuHealthRX - Free Maintenance | MEN'S HEALTH/0.4 MG CAP |
TOLTERODINE ER | NuHealthRX - Free Maintenance | MEN'S HEALTH/2 MG CAP |
TROSPIUM | NuHealthRX - Free Maintenance | MEN'S HEALTH/20 MG TAB |
AMITRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
AMITRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
AMITRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
AMITRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/75 MG TAB |
AMITRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
AMITRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG TAB |
ARIPIPRAZOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/2 MG TAB |
ARIPIPRAZOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
ARIPIPRAZOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
ARIPIPRAZOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/15 MG TAB |
ARIPIPRAZOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG TAB |
ARIPIPRAZOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/30 MG TAB |
BENZTROPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/0.5 MG TAB |
BENZTROPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/1 MG TAB |
BENZTROPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/2 MG TAB |
BUPROPION | NuHealthRX - Free Maintenance | MENTAL HEALTH/75 MG TAB |
BUPROPION | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
BUPROPION | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG SR TAB (12HR) |
BUPROPION | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG SR TAB (12HR) |
BUPROPION | NuHealthRX - Free Maintenance | MENTAL HEALTH/200 MG SR TAB (12HR) |
BUPROPION | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG XL TAB (24HR) |
BUPROPION | NuHealthRX - Free Maintenance | MENTAL HEALTH/300 MG XL TAB (24HR) |
BUSPIRONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
BUSPIRONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/7.5 MG TAB |
BUSPIRONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
BUSPIRONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/15 MG TAB |
BUSPIRONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/30 MG TAB |
CARBAMAZEPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/200 MG TAB |
CARBIDOPA | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
CARBIDOPA/LEVODOPA | NuHealthRX - Free Maintenance | MENTAL HEALTH/10-100 MG TAB |
CARBIDOPA/LEVODOPA | NuHealthRX - Free Maintenance | MENTAL HEALTH/25-100 MG TAB |
CARBIDOPA/LEVODOPA | NuHealthRX - Free Maintenance | MENTAL HEALTH/25-250 MG TAB |
CARBIDOPA/LEVODOPA | NuHealthRX - Free Maintenance | MENTAL HEALTH/25-100 MG ER TAB |
CARBIDOPA/LEVODOPA | NuHealthRX - Free Maintenance | MENTAL HEALTH/50-200 MG ER TAB |
CHLORPROMAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG CAP |
CITALOPRAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
CITALOPRAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG TAB |
CITALOPRAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/40 MG TAB |
CLOMIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG CAP |
CLOMIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG CAP |
CLOMIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/75 MG CAP |
DESIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
DESIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
DESIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
DESIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
DESVENLAFAXINE ER | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG ER TAB |
DESVENLAFAXINE ER | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG ER TAB |
DESVENLAFAXINE ER | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG ER TAB |
DIVALPROEX | NuHealthRX - Free Maintenance | MENTAL HEALTH/125 MG DR TAB |
DIVALPROEX | NuHealthRX - Free Maintenance | MENTAL HEALTH/250 MG DR TAB |
DIVALPROEX | NuHealthRX - Free Maintenance | MENTAL HEALTH/500 MG DR TAB |
DIVALPROEX | NuHealthRX - Free Maintenance | MENTAL HEALTH/250 MG ER TAB (24HR) |
DIVALPROEX | NuHealthRX - Free Maintenance | MENTAL HEALTH/500 MG ER TAB (24HR) |
DONEPEZIL | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
DONEPEZIL | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
DONEPEZIL | NuHealthRX - Free Maintenance | MENTAL HEALTH/23 MG TAB |
DONEPEZIL | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG ODT TAB |
DONEPEZIL | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG ODT TAB |
DOXEPIN | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG CAP |
DOXEPIN | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG CAP |
DOXEPIN | NuHealthRX - Free Maintenance | MENTAL HEALTH/75 MG CAP |
DOXEPIN | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG CAP |
DULOXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG DR CAP |
DULOXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/30 MG DR CAP |
DULOXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/60 MG DR CAP |
ESCITALOPRAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
ESCITALOPRAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
ESCITALOPRAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG TAB |
ETHOSUXIMIDE | NuHealthRX - Free Maintenance | MENTAL HEALTH/250 MG CAP |
FLUOXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG CAP |
FLUOXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG CAP |
FLUOXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/40 MG CAP |
FLUOXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
FLUOXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG TAB |
FLUOXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/60 MG TAB |
FLUPHENAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/2.5 MG TAB |
FLUPHENAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
FLUVOXAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
FLUVOXAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
FLUVOXAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
GALANTAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/4 MG TAB |
GALANTAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/8 MG TAB |
GALANTAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/12 MG TAB |
HALOPERIDOL | NuHealthRX - Free Maintenance | MENTAL HEALTH/0.5 MG TAB |
HALOPERIDOL | NuHealthRX - Free Maintenance | MENTAL HEALTH/1 MG TAB |
HYDROXYZINE PAMOATE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG CAP |
HYDROXYZINE PAMOATE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG CAP |
IMIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
IMIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
IMIPRAMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
LAMOTRIGINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
LAMOTRIGINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
LAMOTRIGINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG TAB |
LAMOTRIGINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/200 MG TAB |
LAMOTRIGINE ER | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
LAMOTRIGINE ER | NuHealthRX - Free Maintenance | MENTAL HEALTH/50MG TAB |
LAMOTRIGINE ER | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
LAMOTRIGINE ER | NuHealthRX - Free Maintenance | MENTAL HEALTH/200 MG TAB |
LEVETIRACETAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/250 MG TAB |
LEVETIRACETAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/500 MG TAB |
LEVETIRACETAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/750 MG TAB |
LEVETIRACETAM | NuHealthRX - Free Maintenance | MENTAL HEALTH/1000 MG TAB |
LEVETIRACETAM XR | NuHealthRX - Free Maintenance | MENTAL HEALTH/500 MG TAB |
LITHIUM | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG CAP |
LITHIUM | NuHealthRX - Free Maintenance | MENTAL HEALTH/300 MG CAP |
LITHIUM | NuHealthRX - Free Maintenance | MENTAL HEALTH/600 MG CAP |
LITHIUM | NuHealthRX - Free Maintenance | MENTAL HEALTH/300 MG ER TAB |
LITHIUM | NuHealthRX - Free Maintenance | MENTAL HEALTH/450 MG ER TAB |
LOXAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG CAP |
LOXAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG CAP |
MEMANTINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
MEMANTINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
MIRTAZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/15 MG TAB |
MIRTAZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/30 MG TAB |
MIRTAZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/45 MG TAB |
NEFAZODONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
NEFAZODONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
NEFAZODONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG TAB |
NEFAZODONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/200 MG TAB |
NEFAZODONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/250 MG TAB |
NORTRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG CAP |
NORTRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG CAP |
NORTRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG CAP |
NORTRIPTYLINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/75 MG CAP |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG ODT TAB |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG ODT TAB |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/15 MG ODT TAB |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG ODT TAB |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/2.5 MG TAB |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/7.5 MG TAB |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/15 MG TAB |
OLANZAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG TAB |
OXCARBAZEPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG TAB |
OXCARBAZEPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/300 MG TAB |
OXCARBAZEPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/600 MG TAB |
PAROXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
PAROXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG TAB |
PAROXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/30 MG TAB |
PAROXETINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/40 MG TAB |
PERPHANAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/2 MG TAB |
PERPHENAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/4 MG TAB |
PERPHENAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/8 MG TAB |
PHENYTOIN ER | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG ER CAP |
PRAMIPEXOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/0.125 MG TAB |
PRAMIPEXOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/0.25 MG TAB |
PRAMIPEXOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/0.5 MG TAB |
PRAMIPEXOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/1 MG TAB |
PRAMIPEXOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/1.5 MG TAB |
PRIMIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
PRIMIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/250 MG TAB |
PROCHLORPERAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
PROCHLORPERAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
PYRIDOSTIGMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/60 MG TAB |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/200 MG TAB |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/300 MG TAB |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/400 MG TAB |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG ER TAB (24HR) |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG ER TAB (24HR) |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/200 MG ER TAB (24HR) |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/300 MG ER TAB (24HR) |
QUETIAPINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/400 MG ER TAB (24HR) |
RILUZOLE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
RISPERIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/0.25 MG TAB |
RISPERIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/0.5 MG TAB |
RISPERIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/1 MG TAB |
RISPERIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/2 MG TAB |
RISPERIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/3 MG TAB |
RISPERIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/4 MG TAB |
RIVASTIGMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/1.5 MG CAP |
RIVASTIGMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/3 MG CAP |
RIVASTIGMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/4.5 MG CAP |
RIVASTIGMINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/6 MG CAP |
SELEGILINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
SERTRALINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
SERTRALINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
SERTRALINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
THIORIDAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/10 MG TAB |
THIORIDAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
THIORIDAZINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
THIOTHIXENE | NuHealthRX - Free Maintenance | MENTAL HEALTH/1 MG CAP |
THIOTHIXENE | NuHealthRX - Free Maintenance | MENTAL HEALTH/2 MG CAP |
THIOTHIXENE | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG CAP |
TOPIRAMATE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
TOPIRAMATE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
TOPIRAMATE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
TOPIRAMATE | NuHealthRX - Free Maintenance | MENTAL HEALTH/200 MG TAB |
TRAZODONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
TRAZODONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
TRAZODONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG TAB |
TRIHEXYPHENIDYL | NuHealthRX - Free Maintenance | MENTAL HEALTH/2 MG TAB |
TRIHEXYPHENIDYL | NuHealthRX - Free Maintenance | MENTAL HEALTH/5 MG TAB |
VALPROIC ACID | NuHealthRX - Free Maintenance | MENTAL HEALTH/250 MG CAP |
VENLAFAXINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG TAB |
VENLAFAXINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/37.5 MG TAB |
VENLAFAXINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG TAB |
VENLAFAXINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/75 MG TAB |
VENLAFAXINE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG TAB |
VENLAFAXINE XR | NuHealthRX - Free Maintenance | MENTAL HEALTH/37.5 MG ER CAP (24HR) |
VENLAFAXINE XR | NuHealthRX - Free Maintenance | MENTAL HEALTH/75 MG ER CAP (24HR) |
VENLAFAXINE XR | NuHealthRX - Free Maintenance | MENTAL HEALTH/150 MG ER CAP (24HR) |
ZIPRASIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/20 MG CAP |
ZIPRASIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/40 MG CAP |
ZIPRASIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/60 MG CAP |
ZIPRASIDONE | NuHealthRX - Free Maintenance | MENTAL HEALTH/80 MG CAP |
ZONISAMIDE | NuHealthRX - Free Maintenance | MENTAL HEALTH/25 MG CAP |
ZONISAMIDE | NuHealthRX - Free Maintenance | MENTAL HEALTH/50 MG CAP |
ZONISAMIDE | NuHealthRX - Free Maintenance | MENTAL HEALTH/100 MG CAP |
NARATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/1 MG TAB |
NARATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/2.5 MG TAB |
RIZATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/5 MG TAB |
RIZATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/10 MG TAB |
RIZATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/5 MG ODT TAB |
RIZATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/10 MG ODT TAB |
SUMATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/25 MG TAB |
SUMATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/50 MG TAB |
SUMATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/100 MG TAB |
CAPECITABINE | NuHealthRX - Free Maintenance | ONCOLOGY/150 MG TAB |
HYDROXYUREA | NuHealthRX - Free Maintenance | ONCOLOGY/500 MG CAP |
PILOCARPINE | NuHealthRX - Free Maintenance | ONCOLOGY/5 MG TAB |
ACETAZOLAMIDE | NuHealthRX - Free Maintenance | OPTHALMIC/125 MG TAB |
ACETAZOLAMIDE | NuHealthRX - Free Maintenance | OPTHALMIC/250 MG TAB |
BRIMONIDINE TARTRATE | NuHealthRX - Free Maintenance | OPTHALMIC/0.2% OPTH SOLN |
CIPROFLOXACIN | NuHealthRX - Free Maintenance | OPTHALMIC/0.3% OPTH SOLN |
DICLOFENAC | NuHealthRX - Free Maintenance | OPTHALMIC/0.1% OPTH SOLN |
DORZOLAMIDE | NuHealthRX - Free Maintenance | OPTHALMIC/2% OPTH SOLN |
DORZOLAMIDE/TIMOLOL | NuHealthRX - Free Maintenance | OPTHALMIC/2%/0.5% OPTH SOLN |
ERYTHROMYCIN | NuHealthRX - Free Maintenance | OPTHALMIC/0.5% OPTH OINT |
GENTAMICIN | NuHealthRX - Free Maintenance | OPTHALMIC/0.3% OPTH SOLN |
LATANOPROST | NuHealthRX - Free Maintenance | OPTHALMIC/0.005% OPTH SOLN |
METHAZOLAMIDE | NuHealthRX - Free Maintenance | OPTHALMIC/25 MG TAB |
METHAZOLAMIDE | NuHealthRX - Free Maintenance | OPTHALMIC/50 MG TAB |
MOXIFLOXACIN | NuHealthRX - Free Maintenance | OPTHALMIC/0.5% OPTH SOLN |
NEOMYCIN/POLY/DEX | NuHealthRX - Free Maintenance | OPTHALMIC/OPTH SUSP |
NEOMYCIN/POLY/DEX | NuHealthRX - Free Maintenance | OPTHALMIC/OPTH OINT |
OFLOXACIN | NuHealthRX - Free Maintenance | OPTHALMIC/0.3% OPTH SOLN |
OLOPATADINE | NuHealthRX - Free Maintenance | OPTHALMIC/0.01% OPTH SOLN |
SULFACETAMIDE/PREDNISOLONE | NuHealthRX - Free Maintenance | OPTHALMIC/10%/0.23% OPTH SOLN |
TIMOLOL | NuHealthRX - Free Maintenance | OPTHALMIC/0.25% OPTH SOLN |
TIMOLOL | NuHealthRX - Free Maintenance | OPTHALMIC/0.50% OPTH SOLN |
TOBRAMYCIN | NuHealthRX - Free Maintenance | OPTHALMIC/0.3% OPTH SOLN |
BACLOFEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/10 MG TAB |
BACLOFEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/20 MG TAB |
CELECOXIB | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/50 MG CAP |
CELECOXIB | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/100 MG CAP |
CELECOXIB | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/200 MG CAP |
CELECOXIB | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/400 MG CAP |
CHLORZOXAZONE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/500 MG TAB |
CHOLINE MAG TRISALICYLATE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/500 MG TAB |
CHOLINE MAG TRISALICYLATE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/750 MG TAB |
CHOLINE MAG TRISALICYLATE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/1000 MG TAB |
CYCLOBENZAPRINE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/5 MG TAB |
CYCLOBENZAPRINE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/10 MG TAB |
DANTROLENE SODIUM | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/25 MG CAP |
DICLOFENAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/1.0% GEL |
DICLOFENAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/50 MG DR TAB |
DICLOFENAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/75 MG DR TAB |
ETODOLAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/200 MG CAP |
ETODOLAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/300 MG CAP |
ETODOLAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/400 MG TAB |
ETODOLAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/500 MG TAB |
FENOPROFEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/600 MG TAB |
FLURBIPROFEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/50 MG TAB |
FLURBIPROFEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/100 MG TAB |
IBUPROFEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/400 MG TAB |
IBUPROFEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/600 MG TAB |
IBUPROFEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/800 MG TAB |
INDOMETHACIN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/25 MG CAP |
INDOMETHACIN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/50 MG CAP |
KETOROLAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/10 MG TAB |
MELOXICAM | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/7.5 MG TAB |
MELOXICAM | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/15 MG TAB |
METAXALONE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/800 MG TAB |
METHOCARBAMOL | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/500 MG TAB |
METHOCARBAMOL | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/750 MG TAB |
NABUMETONE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/500 MG TAB |
NABUMETONE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/750 MG TAB |
NAPROXEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/250 MG TAB |
NAPROXEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/375 MG TAB |
NAPROXEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/500 MG TAB |
NAPROXEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/550 MG TAB |
ORPHENADRINE ER | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/100 MG ER TAB |
OXAPROZIN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/600 MG TAB |
PIROXICAM | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/10 MG CAP |
PIROXICAM | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/20 MG CAP |
ROPINIROLE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/0.25 MG TAB |
ROPINIROLE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/0.5 MG TAB |
ROPINIROLE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/1 MG TAB |
ROPINIROLE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/2 MG TAB |
ROPINIROLE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/3 MG TAB |
ROPINIROLE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/4 MG TAB |
ROPINIROLE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/5 MG TAB |
SALSALATE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/500 MG TAB |
SALSALATE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/750 MG TAB |
SULFASALAZINE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/500 MG TAB |
SULINDAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/150 MG TAB |
SULINDAC | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/200 MG TAB |
TIZANIDINE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/2 MG TAB |
TIZANIDINE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/4 MG TAB |
TIZANIDINE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/2 MG CAP |
TIZANIDINE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/4 MG CAP |
TIZANIDINE | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/6 MG CAP |
ALBUTEROL HFA | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/90 MCG INHALER |
ALBUTEROL INH SOLN | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/2.5 MG/3 ML |
AMINOPHYLLINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/100 MG TAB |
AMINOPHYLLINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/200 MG TAB |
AZELASTINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/137 MCG NASAL SPRAY |
BENZONATATE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/100 MG CAP |
BENZONATATE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/200 MG CAP |
BUDESONIDE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/32 MCG NASAL SPRAY |
CARBINOXAMINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/4 MG TAB |
CETIRIZINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/5 MG TAB |
CETIRIZINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/10 MG TAB |
CHLORPHENIRAMINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/4 MG TAB |
CLEMASTINE FUMARATE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/2.68 MG TAB |
CYPROHEPTADINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/4 MG TAB |
DESLORATIDINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/5 MG TAB |
DEXAMETHASONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/0.5 MG TAB |
DEXAMETHASONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/0.75 MG TAB |
DEXAMETHASONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/1 MG TAB |
DEXAMETHASONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/4 MG TAB |
DEXCHLORPHENIRAMINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/4 MG CAP |
DEXCHLORPHENIRAMINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/6 MG CAP |
DIMENHYDRINATE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/50 MG TAB |
DIPHENHYDRAMINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/25 MG TAB |
DIPHENHYDRAMINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/50 MG TAB |
FEXOFENADINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/60 MG TAB |
FEXOFENADINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/180 MG TAB |
FLUTICASONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/50 MCG/ACT NASAL SPRAY |
GUAIFEN/DM | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/600-30MG TAB |
GUAIFENESIN ER 600MG TAB | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/Max Qty: 30 (Mucinex) |
IPRATROPIUM | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/0.02% (0.5MG/3ML) NEBULES |
IPRATROPIUM | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/0.03% NASAL SPRAY |
IPRATROPIUM | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/0.06% NASAL SPRAY |
IPRATROPIUM/ALBUTEROL INH SOLN 0.5-3 MG/ 3ML | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/Max. Qty: 3 (Duoneb) |
LEVALBUTEROL INH SOLN | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/0.31 MG/3 ML NEBULES |
LEVALBUTEROL INH SOLN | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/0.63 MG/3 ML NEBULES |
LEVALBUTEROL INH SOLN | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/1.25 MG/3 ML NEBULES |
LEVOCETIRIZINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/5 MG TAB |
LORATIDINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/10 MG TAB |
MECLIZINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/12.5 MG TAB |
MECLIZINE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/25 MG TAB |
METHYLPREDNISOLONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/4 MG DOSE PACK |
MONTELUKAST | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/4 MG CHEWABLE TAB |
MONTELUKAST | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/5 MG CHEWABLE TAB |
MONTELUKAST | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/10 MG TAB |
PREDNISONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/1 MG TAB |
PREDNISONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/2.5 MG TAB |
PREDNISONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/5 MG TAB |
PREDNISONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/10 MG TAB |
THEOPHYLLINE ER | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/100 MG ER TAB |
THEOPHYLLINE ER | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/200 MG ER TAB |
THEOPHYLLINE ER | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/300 MG ER TAB |
TRIAMCINOLONE | NuHealthRX - Free Maintenance | RESPIRATORY/ALLERGY/55 MCG NASAL SPRAY |
ALLOPURINOL | NuHealthRX - Free Maintenance | RHEUMATOLOGY/100 MG TAB |
ALLOPURINOL | NuHealthRX - Free Maintenance | RHEUMATOLOGY/300 MG TAB |
AZATHIOPRINE | NuHealthRX - Free Maintenance | RHEUMATOLOGY/50 MG TAB |
CALCITRIOL | NuHealthRX - Free Maintenance | RHEUMATOLOGY/0.25 MCG CAP |
CALCITRIOL | NuHealthRX - Free Maintenance | RHEUMATOLOGY/0.5 MCG CAP |
COLCHICINE | NuHealthRX - Free Maintenance | RHEUMATOLOGY/0.6 MG TAB |
FEBUXOSTAT | NuHealthRX - Free Maintenance | RHEUMATOLOGY/40 MG TAB |
FEBUXOSTAT | NuHealthRX - Free Maintenance | RHEUMATOLOGY/80 MG TAB |
HYDROXYCHLOROQUINE | NuHealthRX - Free Maintenance | RHEUMATOLOGY/200 MG TAB |
LEFLUNOMIDE | NuHealthRX - Free Maintenance | RHEUMATOLOGY/10 MG TAB |
LEFLUNOMIDE | NuHealthRX - Free Maintenance | RHEUMATOLOGY/20 MG TAB |
MERCAPTOPURINE | NuHealthRX - Free Maintenance | RHEUMATOLOGY/50 MG TAB |
METHOTREXATE | NuHealthRX - Free Maintenance | RHEUMATOLOGY/2.5 MG TAB |
ASPIRIN | NuHealthRX - Free Maintenance | VITAMIN/81 MG CHEWABLE TAB |
ASPIRIN | NuHealthRX - Free Maintenance | VITAMIN/81 MG EC TAB |
ASPIRIN | NuHealthRX - Free Maintenance | VITAMIN/325 MG EC TAB |
CHOLECALCIFEROL | NuHealthRX - Free Maintenance | VITAMIN/(Vit D3) 1000 IU TAB |
CYANOCOBALAMIN | NuHealthRX - Free Maintenance | VITAMIN/1000 MCG/ML SOLN |
ERGOCALCIFEROL | NuHealthRX - Free Maintenance | VITAMIN/(VIT D2) 1.25 MG CAP |
FABB | NuHealthRX - Free Maintenance | VITAMIN/25-2.2-1 MG TAB |
FEROCON | NuHealthRX - Free Maintenance | VITAMIN/110-0.5 MG CAP |
FERROUS SULFATE | NuHealthRX - Free Maintenance | VITAMIN/325 MG TAB |
FOLBIC | NuHealthRX - Free Maintenance | VITAMIN/2-2.5-25 MG TAB |
FOLIC ACID | NuHealthRX - Free Maintenance | VITAMIN/1 MG TAB |
FOLIVANE-F | NuHealthRX - Free Maintenance | VITAMIN/125-1-40-3 MG CAP |
FOLIVANE-PLUS | NuHealthRX - Free Maintenance | VITAMIN/125MG-1 MG CAP |
HEMATINIC F | NuHealthRX - Free Maintenance | VITAMIN/106-1 MG TAB |
MAGNESIUM | NuHealthRX - Free Maintenance | VITAMIN/400 MG TAB |
NIVA-FOL | NuHealthRX - Free Maintenance | VITAMIN/2.5-25 MG TAB |
PRENATAL VITAMIN PLUS IRON | NuHealthRX - Free Maintenance | VITAMIN/1/27 MG TAB |
ZINC SULFATE | NuHealthRX - Free Maintenance | VITAMIN/50 MG CAP |
ALENDRONATE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/10 MG TAB |
ALENDRONATE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/35 MG TAB |
ALENDRONATE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/70 MG TAB |
DESOGESTREL-ETH ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/0.15 MG/0.03 MG (BCP) TAB |
DESOGESTREL-ETH ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/0.15 MG/0.02 MG - 0.15 MG/0.01 MG (BCP) TAB |
DROSPIRENONE-ETH ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/3 MG/0.02 MG (BCP) TAB |
DROSPIRENONE-ETH ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/3 MG/0.03 MG (BCP) TAB |
ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/0.5 MG TAB |
ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/1 MG TAB |
ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/2 MG TAB |
ESTRADIOL VAGINAL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/0.01% CREAM |
FLUCONAZOLE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/50 MG TAB |
FLUCONAZOLE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/100 MG TAB |
FLUCONAZOLE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/150 MG TAB |
FLUCONAZOLE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/200 MG TAB |
IBANDRONATE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/150 MG TAB |
LETROZOLE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/2.5 MG TAB |
MEDROXYPROGESTERONE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/2.5 MG TAB |
MEDROXYPROGESTERONE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/5 MG TAB |
MEDROXYPROGESTERONE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/10 MG TAB |
MEDROXYPROGESTERONE DEPOT | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/150 MG INJ |
NORETHINDRONE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/5 MG TAB |
NORETHINDRONE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/0.35 MG (BCP) TAB |
NORETHINDRONE-ETH ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/1 MG/20 MCG (BCP) TAB |
NORGESTIMATE-ETH ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/0.25 MG/35 MCG (BCP) TAB |
NORGESTIMATE-ETH ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/0.18 MG/35 MCG - 0.215 MG/35 MCG - 0.25 MG/35 MCG (BCP) TAB |
NORGESTIMATE-ETH ESTRADIOL | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/0.18 MG/25 MCG - 0.215 MG/25 MCG - 0.25 MG/25 MCG (BCP) TAB |
PROGESTERONE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/100 MG CAP |
PROGESTERONE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/200 MG CAP |
RALOXIFENE | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/60 MG TAB |
TAMOXIFEN | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/10 MG TAB |
TAMOXIFEN | NuHealthRX - Free Maintenance | WOMEN'S HEALTH/20 MG TAB |
AMOXICILLIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/250 MG |
AMOXICILLIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/500 MG |
AMOXICILLIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/875 MG |
AMOXICILLIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/250 MG/5ML |
AMOXICILLIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/400 MG/5ML |
AMOXICILLIN/CLAVULANIC ACID | NuHealthRX - Free Maintenance | ANTIBIOTIC/500-125 MG |
AMOXICILLIN/CLAVULANIC ACID | NuHealthRX - Free Maintenance | ANTIBIOTIC/875-125 MG |
AMOXICILLIN/CLAVULANIC ACID | NuHealthRX - Free Maintenance | ANTIBIOTIC/400-57 MG/5ML |
AMOXICILLIN/CLAVULANIC ACID | NuHealthRX - Free Maintenance | ANTIBIOTIC/600-42.9 MG/5ML |
AZITHROMYCIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/250 MG |
AZITHROMYCIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/500 MG |
AZITHROMYCIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/100 MG/5ML |
AZITHROMYCIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/200 MG/5ML |
CEFDINIR | NuHealthRX - Free Maintenance | ANTIBIOTIC/300 MG |
CEPHALEXIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/250 MG |
CEPHALEXIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/500 MG |
CEPHALEXIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/250 MG/5ML |
CIPROFLOXACIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/250 MG |
CIPROFLOXACIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/500 MG |
CLINDAMYCIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/150 MG |
CLINDAMYCIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/300 MG |
DOXYCYCLINE HYCLATE | NuHealthRX - Free Maintenance | ANTIBIOTIC/100 MG |
LEVOFLOXACIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/250 MG |
LEVOFLOXACIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/500 MG |
METRONIDAZOLE | NuHealthRX - Free Maintenance | ANTIBIOTIC/500 MG |
NITROFURANTOIN | NuHealthRX - Free Maintenance | ANTIBIOTIC/100 MG |
PENICILLIN VK | NuHealthRX - Free Maintenance | ANTIBIOTIC/500MG |
PENICILLIN VK | NuHealthRX - Free Maintenance | ANTIBIOTIC/250 MG/5ML |
SMZ/TMP DS | NuHealthRX - Free Maintenance | ANTIBIOTIC/800-160 MG |
SMZ/TMP | NuHealthRX - Free Maintenance | ANTIBIOTIC/200-40 MG/5ML |
ERYTHROMYCIN | NuHealthRX - Free Maintenance | ANTIBIOTIC TOPICAL/0.005 |
MUPIROCIN | NuHealthRX - Free Maintenance | ANTIBIOTIC TOPICAL/0.02 |
NEO/POLY/HC | NuHealthRX - Free Maintenance | ANTIBIOTIC TOPICAL/ |
POLYMYXIN B/TRIMETH | NuHealthRX - Free Maintenance | ANTIBIOTIC TOPICAL/ |
SILVER SULFADIAZINE | NuHealthRX - Free Maintenance | ANTIBIOTIC TOPICAL/0.01 |
TOBRAMYCIN | NuHealthRX - Free Maintenance | ANTIBIOTIC TOPICAL/0.003 |
FLUCONAZOLE | NuHealthRX - Free Maintenance | ANTIFUNGAL/150 MG |
NYSTATIN | NuHealthRX - Free Maintenance | ANTIFUNGAL/ |
NYSTATIN | NuHealthRX - Free Maintenance | ANTIFUNGAL/ |
HYDROXYZINE | NuHealthRX - Free Maintenance | ANTIHISTAMINE/25 MG |
NITROGLYCERIN | NuHealthRX - Free Maintenance | CARCIOVASCULAR/0.4 MG |
METHYLPREDNISOLONE | NuHealthRX - Free Maintenance | CORTICOSTEROID/4 MG |
PREDNISONE | NuHealthRX - Free Maintenance | CORTICOSTEROID/10 MG |
PREDNISONE | NuHealthRX - Free Maintenance | CORTICOSTEROID/20 MG |
PREDNISOLONE | NuHealthRX - Free Maintenance | CORTICOSTEROID/15 MG/5ML |
HYDROCORTISONE | NuHealthRX - Free Maintenance | CORTICOSTEROID TOPICAL/0.025 |
PREDNISOLONE | NuHealthRX - Free Maintenance | CORTICOSTEROID TOPICAL/0.01 |
TRIAMCINOLONE | NuHealthRX - Free Maintenance | CORTICOSTEROID TOPICAL/0.001 |
TRIAMCINOLONE | NuHealthRX - Free Maintenance | CORTICOSTEROID TOPICAL/0.001 |
BENZONATATE | NuHealthRX - Free Maintenance | COUGH SUPPRESSANT/100 MG |
BENZONATATE | NuHealthRX - Free Maintenance | COUGH SUPPRESSANT/200 MG |
DICYCLOMINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/20 MG |
DIPHENOX-ATROPINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/2.5-0.025 MG |
PANTOPROZOLE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/40 MG |
PROMETHAZINE | NuHealthRX - Free Maintenance | GASTROINTESTINAL/25 MG |
ALLOPURINOL | NuHealthRX - Free Maintenance | GOUT/100 MG |
ALLOPURINOL | NuHealthRX - Free Maintenance | GOUT/300 MG |
SUMATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/50 MG |
SUMATRIPTAN | NuHealthRX - Free Maintenance | MIGRAINE/100 MG |
CYCLOBENZAPRINE | NuHealthRX - Free Maintenance | MUSCLE RELAXANT/10 MG |
IBUPROFEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/800 MG |
NAPROXEN | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/500 MG |
TRAMADOL | NuHealthRX - Free Maintenance | PAIN MANAGEMENT/50 MG |
Discount Medication Search
Product ID | US Trade Name | Generic Name | Dosage/Strength | Price | Refrigerated |
---|---|---|---|---|---|
6053 | Abilify | Aripiprazole | Tablet 30 mg 30 tab | $215 | No |
17700 | Aubagio | Teriflunomide | Tablet 14 mg 28 tab | $1440 | No |
6502 | Copaxone | Glatiramer Acetate | Pre-Filled Syringe 40 mg/ml 12 PFS | $2040 | Yes |
25124 | Dupixent | Dupilumab | Autoinjector 200/1.14 mg/ml 2.28 ml | $2820 | Yes |
5558 | Eliquis | Apixaban | Tablet 5 mg 60 tab | $161 | No |
8085 | Enbrel | Etanercept | Vial 25 mg 4 Vial | $960 | Yes |
17971 | Entyvio | Vedolizumab | Pre-Filled Syringe 108/0.68 mg/ml 1.36 ml | $3000 | Yes |
11649 | Humira | Adalimumab | Pre-Filled Syringe 20/0.4 mg/ml 2 PFS | $1200 | No |
6896 | Januvia | Sitagliptin | Tablet 100 mg 30 tab | $156 | Yes |
5851 | Lamictal | Lamotrigine | Tablet 25 mg 100 tab | $90 | No |
60721 | Latuda | Lurasidone | Tablet 120 mg 30 tab | $150 | No |
46027 | Otezla | Apremilast | Tablet 30 mg 56 Tabs | $1560 | No |
19067 | Skyrizi | Risankizumab | Pre-Filled Syringe 150/1 mg/ml 1 ml | $7620 | No |
18632 | Stelara | Ustekinumab | Vial 45/0.5 mg/ml 0.5 ml | $7080 | Yes |
16831 | Symbicort | Budesonide/Formoterol | Inhaler 200/6 (160/4.5) mcg 30.6 g | $168 | Yes |
5997 | Tecfidera | Dimethyl Fumarate | Capsule 120 mg 14 cap | $396 | No |
84224 | Xarelto | Rivaroxaban | Tablet 20 mg 30 tab | $180 | No |
72111 | Trulicity | Dulaglutide | Autoinjector 0.75 mg/0.5ml 2 ml | $423 | No |
84223 | Rybelsus | Semaglutide | Tablet 14 mg 30 tab | $389 | No |
88184 | Wegovy FlexTouch | Semaglutide | Multi Dose Autoinjector 9.6/3 mg/ml 3 ml | $450 | Yes |
6678 | Ozempic | Semaglutide | Autoinjector 4/3 mg/ml 3 ml | $447 | Yes |
57687 | Mounjaro | Tirzepatide | Vial 15/0.5 mg/ml 2 ml | $578 | Yes |
5592 | Pradaxa | Dabigatran | Capsule 150 mg 60 cap | $153 | No |
9382 | Biltricide | Praziquantel | Tablet 600 mg 16 tab | $154 | No |
6047 | Abilify | Aripiprazole | Tablet 2 mg 30 tab | $156 | No |
6117 | Advair Diskus | Fluticasone/Salmeterol | Inhaler 250/50 mcg 60 Blisters | $156 | No |
9309 | Advair HFA | Fluticasone/Salmeterol | Inhaler 250/25 (230/21) mcg 12 g | $156 | No |
6124 | Advair HFA | Fluticasone/Salmeterol | Inhaler 125/25 (115/21) mcg 12 g | $156 | No |
8135 | Amerge | Naratriptan | Tablet 1 mg 8 tab | $156 | No |
7098 | Anoro Ellipta | Umeclidinium/Vilanterol | Inhaler 62.5/25 mcg 60 blisters | $156 | No |
17688 | Arnuity Ellipta | Fluticasone Furoate | Inhaler 200 mcg 60 blisters | $156 | No |
11074 | Atacand Plus | Candesartan/Hydrochlorothiazide | Tablet 16/12.5 mg 90 tab | $156 | No |
8349 | Bumex | Bumetanide | Tablet 1 mg 90 tab | $156 | No |
6999 | Cantharone Plus | Cantharidin | Liquid 1 % 7.5 ml | $156 | No |
11242 | Cetrotide | Cetrorelix | Powder For Solution 0.25 mg 1 Vial | $156 | No |
6167 | Climara | Estradiol | Patch 25 mcg 12 Patch | $156 | No |
6170 | Climara | Estradiol | Patch 50 mcg 12 Patch | $156 | No |
6176 | Climara | Estradiol | Patch 75 mcg 12 Patch | $156 | No |
6995 | Creon | Pancreatic Enzyme | Capsule 25000 iu 100 cap | $156 | No |
9534 | Crestor | Rosuvastatin | Tablet 10 mg 90 tab | $156 | No |
9437 | Depen | Penicillamine | Tablet 125 mg 100 tab | $156 | No |
27601 | Desiccated Thyroid | Desiccated Thyroid | Capsule 5 mg 90 cap | $156 | No |
7059 | Differin | Adapalene | Cream 0.1 % 60 g | $156 | No |
8304 | Duavee | Conjugated Estrogens/Bazedoxifene | Tablet 0.45/20 mg 28 tab | $156 | No |
6505 | Entresto | Sacubitril/Valsartan | Tablet 24.3/25.7 mg 30 tab | $156 | No |
11495 | Epiduo | Adapalene/Benzoyl Peroxide | Gel 0.1/2.5 % 70 g | $156 | No |
6985 | Epipen | Epinephrine | Autoinjector 0.3 mg 0.5 Kit | $156 | No |
6987 | Epipen Jr | Epinephrine | Injection 0.15 mg 0.5 Kit | $156 | No |
53842 | Estring | Estradiol hemihydrate | Vaginal Ring 2 mg 1 Ring | $156 | No |
6181 | Estring | Estradiol | Vaginal Ring 2 mg 1 Ring | $156 | No |
6474 | Fyremadel | Ganirelix | Pre-Filled Syringe 0.25/0.5 mg/ml 1 PFS | $156 | No |
8180 | Invokamet | Canagliflozin/Metformin | Tablet 50/1000 mg 60 tab | $156 | No |
8182 | Invokamet | Canagliflozin/Metformin | Tablet 50/500 mg 60 tab | $156 | No |
8184 | Invokamet | Canagliflozin/Metformin | Tablet 150//1000 mg 60 tab | $156 | No |
8186 | Invokamet | Canagliflozin/Metformin | Tablet 150/500 mg 60 tab | $156 | No |
6324 | Janumet XR | Sitagliptin/Metformin | Tablet 500/50 mg 60 tab | $156 | No |
84212 | Januvia | Sitagliptin Phosphate | Tablet 25 mg 28 tab | $156 | No |
84213 | Januvia | Sitagliptin Phosphate | Tablet 50 mg 28 tab | $156 | No |
84214 | Januvia | Sitagliptin Phosphate | Tablet 100 mg 28 tab | $156 | No |
6894 | Januvia | Sitagliptin | Tablet 25 mg 30 tab | $156 | No |
6895 | Januvia | Sitagliptin | Tablet 50 mg 30 tab | $156 | No |
84218 | Jardiance | Empagliflozin | Tablet 10 mg 28 tab | $156 | No |
84219 | Jardiance | Empagliflozin | Tablet 25 mg 28 tab | $156 | No |
6153 | Jublia | Efinaconazole | Topical Solution 10 % 8 ml | $156 | No |
7306 | Lovenox | Enoxaparin | Pre-Filled Syringe 40/0.4 mg/ml 4 ml | $156 | No |
6566 | Motegrity | Prucalopride | Tablet 2 mg 28 tab | $156 | No |
5867 | Neurontin | Gabapentin | Capsule 300 mg 100 cap | $156 | No |
6887 | Salofalk | Mesalamine | Enema 4 g 7 Enema | $156 | No |
7151 | Saphris | Asenapine | Tablet 5 mg 60 tab | $156 | No |
7152 | Saphris | Asenapine | Tablet 10 mg 60 tab | $156 | No |
6019 | Sinequan | Doxepin | Capsule 75 mg 100 cap | $156 | No |
8176 | Topamax | Topiramate | Sprinkle Cap 15 mg 60 cap | $156 | No |
6875 | Trintellix | Vortioxetine | Tablet 10 mg 28 tab | $156 | No |
28198 | Xeloda | Capecitabine | Tablet 500 mg 120 tab | $156 | No |
9477 | Xeloda | Capecitabine | Tablet 500 mg 120 tab | $156 | No |
6814 | Xeloda | Capecitabine | Tablet 150 mg 60 cap | $156 | No |
6289 | Zoloft | Sertraline | Capsule 25 mg 50 cap | $156 | No |
6241 | Zyprexa Zydis | Olanzapine | Tablet 5 mg 28 tab | $156 | No |
6059 | Abilify | Aripiprazole | Tablet 20 mg 100 tab | $162 | No |
6060 | Abilify | Aripiprazole | Tablet 30 mg 100 tab | $162 | No |
101304 | Admelog | Insulin Lispro | Vial 100 iu/ml 10 ml | $162 | Yes |
7761 | Bumex | Bumetanide | Tablet 5 mg 30 tab | $162 | No |
6709 | DDAVP | Desmopressin | Tablet 60 mcg 90 tab | $162 | No |
101958 | Gamunex-C | Immune Globulin (Human) | Vial 1/10 g/ml 10 ml | $162 | Yes |
6006 | Imuran | Azathioprine | Tablet 50 mg 100 tab | $162 | No |
11700 | Innohep | Tinzaparin Sodium | Pre-Filled Syringe 4500 iu/0.45ml 4.5 ml | $162 | No |
6321 | Janumet | Sitagliptin/Metformin | Tablet 500/50 mg 60 tab | $162 | No |
6322 | Janumet | Sitagliptin/Metformin | Tablet 50/850 mg 60 tab | $162 | No |
6323 | Janumet | Sitagliptin/Metformin | Tablet 50/1000 mg 60 tab | $162 | No |
10570 | Liothyronine | Liothyronine | Capsule 5 mcg 100 cap | $162 | No |
5893 | Procardia | Nifedipine EC | Tablet 30 mg 98 tab | $162 | No |
6665 | Provera | Medroxyprogesterone | Tablet 10 mg 100 tab | $162 | No |
8606 | Revatio | Sildenafil | Vial 0.8 mg/ml 12.5 ml | $162 | No |
6275 | Seroquel XR | Quetiapine XR | Tablet 200 mg 60 tab | $162 | No |
8804 | Sinemet | Levodopa/Carbidopa | Tablet 100/25 mg 100 tab | $162 | No |
6920 | Strattera | Atomoxetine | Capsule 25 mg 28 cap | $162 | No |
12515 | Tiazac XC | Diltiazem | Tablet 180 mg 90 tab | $162 | No |
8178 | Topamax | Topiramate | Sprinkle Cap 25 mg 60 cap | $162 | No |
6202 | Zyban | Bupropion | Tablet 150 mg 100 tab | $162 | No |
6057 | Abilify | Aripiprazole | Tablet 10 mg 100 tab | $168 | No |
5950 | Altace | Ramipril | Capsule 10 mg 100 cap | $168 | No |
11070 | Arixtra | Fondaparinux | Pre-Filled Syringe 2.5/0.5 mg/ml 5 ml | $168 | No |
10953 | Astagraf XL | Tacrolimus | Capsule 0.5 mg 50 cap | $168 | No |
5907 | Avapro | Irbesartan | Tablet 75 mg 90 tab | $168 | No |
8152 | Basaglar | Insulin Glargine | Cartridge 100 iu/ml 15 ml | $168 | Yes |
6463 | Basaglar Kwikpen | Insulin Glargine | Autoinjector 100 iu/ml 15 ml | $168 | Yes |
5583 | Brilinta | Ticagrelor | Tablet 60 mg 60 tab | $168 | No |
5585 | Brilinta | Ticagrelor | Tablet 90 mg 60 tab | $168 | No |
11241 | Cerebyx | Fosphenytoin Sodium | Vial 75 mg/ml 10 ml | $168 | No |
12592 | Chantix | Varenicline | Tablet 0.5 mg 56 tab | $168 | No |
8301 | Cialis | Tadalafil | Tablet 10 mg 8 tab | $168 | No |
11274 | Clarus | Isotretinoin | Capsule 10 mg 90 cap | $168 | No |
8735 | CombiPatch | Estradiol/Norethindrone | Patch 140/50 ug 24 Patch | $168 | No |
8739 | CombiPatch | Estradiol/Norethindrone | Patch 250/50 ug 24 Patch | $168 | No |
81504 | Constella | Linaclotide | Capsule 290 mcg 30 cap | $168 | No |
13558 | Creon | Pancreatic Enzyme | Capsule 35000 iu 100 cap | $168 | No |
9535 | Crestor | Rosuvastatin | Tablet 20 mg 90 tab | $168 | No |
6031 | Cymbalta | Duloxetine | Tablet 60 mg 28 tab | $168 | No |
6722 | DDAVP | Desmopressin | Tablet 240 mcg 30 tab | $168 | No |
9438 | Depen | Penicillamine | Tablet 250 mg 100 tab | $168 | No |
27602 | Desiccated Thyroid | Desiccated Thyroid | Capsule 10 mg 90 cap | $168 | No |
10845 | Dimercaptosuccinic Acid | Dimercaptosuccinic Acid | Capsule 250 mg 60 cap | $168 | No |
11176 | Dostinex | Cabergoline | Tablet 0.5 mg 100 tab | $168 | No |
97298 | Dostinex | Cabergoline | Tablet 0.5 mg 8 tab | $168 | No |
8232 | Dulera | Mometasone/Formoterol | Inhaler 200/5 mcg 13 g | $168 | No |
7161 | Dymista | Azelastine HCl/Fluticasone Propionate | Nasal Spray 137/50 mcg 23 g | $168 | No |
7323 | Edecrin | Ethacrynic Acid | Tablet 25 mg 100 tab | $168 | No |
7003 | Eryc | Erythromycin | Capsule 333 mg 100 cap | $168 | No |
23742 | Famotidine | Famotidine | Capsule 20 mg 270 cap | $168 | No |
100406 | Firvanq | Vancomycin HCl | Oral Solution 25 mg/ml 150 ml | $168 | Yes |
100454 | Gemcitabine | Gemcitabine HCl | Vial 2/20 g/ml 20 ml | $168 | No |
11903 | Glumetza | Metformin ER | Tablet 1000 mg 100 tab | $168 | No |
6506 | Hypurin N | Insulin NPH | Vial 100 iu/ml 10 ml | $168 | Yes |
6529 | Hypurin R | Insulin Regular | Vial 100 iu/ml 10 ml | $168 | Yes |
8129 | Imitrex | Sumatriptan | Pre-Filled Syringe 6/0.5 mg/ml 1 ml | $168 | No |
5941 | Inderal LA | Propranolol | Capsule 120 mg 100 cap | $168 | No |
23739 | Levothyroxine/Liothyronine DR | Levothyroxine/Liothyronine DR | Capsule 50/20 mcg 90 cap | $168 | No |
6623 | Linzess | Linaclotide | Capsule 145 mcg 30 cap | $168 | No |
7185 | Naprosyn E | Naproxen | Tablet 500 mg 100 tab | $168 | No |
12038 | Naropin | Ropivacaine | Vial 10 mg/ml 100 ml | $168 | No |
100855 | Pemetrexed | Pemetrexed | Vial 500 mg 1 Vial | $168 | Yes |
6468 | Pravachol | Pravastatin | Tablet 20 mg 90 tab | $168 | No |
6388 | Restasis | Cyclosporine | Dropperette 0.05 % 30 Dropperette | $168 | No |
6588 | Rexulti | Brexpiprazole | Tablet 0.25 mg 30 tab | $168 | No |
6590 | Rexulti | Brexpiprazole | Tablet 0.5 mg 30 tab | $168 | No |
6591 | Rexulti | Brexpiprazole | Tablet 1 mg 30 tab | $168 | No |
6592 | Rexulti | Brexpiprazole | Tablet 2 mg 30 tab | $168 | No |
6593 | Rexulti | Brexpiprazole | Tablet 3 mg 30 tab | $168 | No |
6594 | Rexulti | Brexpiprazole | Tablet 4 mg 30 tab | $168 | No |
12332 | Risperdal Consta | Risperidone | Vial Kit 12.5 mg 1 Kit | $168 | No |
6276 | Seroquel XR | Quetiapine XR | Tablet 300 mg 60 tab | $168 | No |
103134 | Sinemet | Carbidopa/Levodopa | Tablet 100/25 mg/mg 100 tab | $168 | No |
8841 | Sporanox | Itraconazole | Capsule 100 mg 30 cap | $168 | No |
16830 | Symbicort | Budesonide/Formoterol | Inhaler 100/6 (80/4.5) mcg 30.6 g | $168 | No |
6330 | Synjardy IR | Empagliflozin/Metformin | Tablet 12.5/1000 mg 60 tab | $168 | No |
6331 | Synjardy IR | Empagliflozin/Metformin | Tablet 12.5/850 mg 60 tab | $168 | No |
6332 | Synjardy IR | Empagliflozin/Metformin | Tablet 12.5/500 mg 60 tab | $168 | No |
6333 | Synjardy IR | Empagliflozin/Metformin | Tablet 5/1000 mg 60 tab | $168 | No |
6334 | Synjardy IR | Empagliflozin/Metformin | Tablet 5/850 mg 60 tab | $168 | No |
6335 | Synjardy IR | Empagliflozin/Metformin | Tablet 5/500 mg 60 tab | $168 | No |
103272 | Synthroid | Levothyroxine Sodium | Tablet 100 mcg 90 tab | $168 | No |
103273 | Synthroid | Levothyroxine Sodium | Tablet 112 mcg 90 tab | $168 | No |
103274 | Synthroid | Levothyroxine Sodium | Tablet 125 mcg 90 tab | $168 | No |
103275 | Synthroid | Levothyroxine Sodium | Tablet 137 mcg 90 tab | $168 | No |
103276 | Synthroid | Levothyroxine Sodium | Tablet 150 mcg 90 tab | $168 | No |
103277 | Synthroid | Levothyroxine Sodium | Tablet 175 mcg 90 tab | $168 | No |
103278 | Synthroid | Levothyroxine Sodium | Tablet 200 mcg 90 tab | $168 | No |
103279 | Synthroid | Levothyroxine Sodium | Tablet 25 mcg 90 tab | $168 | No |
103280 | Synthroid | Levothyroxine Sodium | Tablet 75 mcg 90 tab | $168 | No |
103281 | Synthroid | Levothyroxine Sodium | Tablet 88 mcg 90 tab | $168 | No |
8708 | Taclonex | Calcipotriol/Betamethasone | Gel 0.005-0.064 % 80 g | $168 | No |
12519 | Tibella | Tibolone | Tablet 2.5 mg 28 tab | $168 | No |
101160 | Valacyclovir | Valacyclovir HCl | Tablet 500 mg 30 Tab | $168 | No |
12614 | Verkazia | Cyclosporine | Ophthalmic Emulsion 1 mg/ml 9 ml | $168 | No |
6827 | Viibryd | Vilazodone | Tablet 10 mg 30 tab | $168 | No |
6829 | Viibryd | Vilazodone | Tablet 20 mg 30 tab | $168 | No |
13044 | Zestoretic | Lisinopril/Hydrochlorothiazide | Tablet 10/12.5 mg 100 tab | $168 | No |
6096 | Zithromax | Azithromycin | Tablet 250 mg 100 tab | $168 | No |
8645 | Zocor | Simvastatin | Tablet 40 mg 28 tab | $168 | No |
5792 | Zomig | Zolmitriptan | Nasal Spray 5 mg 6 dose | $168 | No |
7028 | Avalide | Irbesartan/Hydrochlorothiazide | Tablet 150/12.5 mg 90 tab | $174 | No |
7029 | Avalide | Irbesartan/Hydrochlorothiazide | Tablet 300/12.5 mg 90 tab | $174 | No |
8741 | Cialis | Tadalafil | Tablet 2.5 mg 28 tab | $174 | No |
7218 | Cyclomen | Danazol | Capsule 50 mg 100 cap | $174 | No |
11478 | Emend IV | Aprepitant | Vial 150 mg 1 Vial | $174 | No |
7647 | Fragmin | Dalteparin | Pre-Filled Syringe 7500 iu 1.5 ml | $174 | No |
8702 | Pulmicort Flexhaler | Budesonide | Inhaler 100 mcg 3 Inhaler | $174 | No |
8705 | Pulmicort Flexhaler | Budesonide | Inhaler 400 mcg 1 Inhaler | $174 | No |
8806 | Sinemet | Levodopa/Carbidopa | Tablet 250/25 mg 100 tab | $174 | No |
7057 | Soriatane | Acitretin | Capsule 25 mg 30 cap | $174 | No |
5818 | Tiazac | Diltiazem | Capsule 120 mg 100 cap | $174 | No |
6263 | Seroquel | Quetiapine | Tablet 200 mg 100 tab | $174 | No |
6058 | Abilify | Aripiprazole | Tablet 15 mg 100 tab | $180 | No |
6048 | Abilify | Aripiprazole | Tablet 5 mg 30 tab | $180 | No |
9336 | Amaryl | Glimepiride | Tablet 4 mg 90 tab | $180 | No |
101455 | Astagraf XL | Tacrolimus | Capsule 1 mg 30 cap | $180 | No |
5645 | Atacand | Candesartan | Tablet 8 mg 90 tab | $180 | No |
5646 | Atacand | Candesartan | Tablet 16 mg 90 tab | $180 | No |
5908 | Avapro | Irbesartan | Tablet 150 mg 90 tab | $180 | No |
6817 | Benicar | Olmesartan | Tablet 20 mg 90 tab | $180 | No |
6819 | Benicar | Olmesartan | Tablet 40 mg 90 tab | $180 | No |
6821 | Benicar HCT | Olmesartan/Hydrochlorothiazide | Tablet 20/12.5 mg 90 tab | $180 | No |
6823 | Benicar HCT | Olmesartan Hydrochlorothiazide | Tablet 40/12.5 mg 90 tab | $180 | No |
6826 | Benicar HCT | Olmesartan Hydrochlorothiazide | Tablet 40/25 mg 90 tab | $180 | No |
101580 | Cathflo Activase | Alteplase | Powder Vial 2 mg 1 Vial | $180 | Yes |
6845 | Chantix | Varenicline | Tablet 1 mg 56 tab | $180 | No |
11243 | Chantix | Varenicline | Tablet 0.5 mg 56 tab | $180 | No |
7153 | Cialis | Tadalafil | Tablet 20 mg 8 tab | $180 | No |
8745 | Cialis | Tadalafil | Tablet 10 mg 30 tab | $180 | No |
8748 | Cialis | Tadalafil | Tablet 20 mg 30 tab | $180 | No |
8300 | Cialis | Tadalafil | Tablet 5 mg 28 tab | $180 | No |
101646 | Creon | Pancrelipase | Capsule 6,000 USP 100 cap | $180 | No |
100223 | Creon | Pancrelipase | Capsule 3000-9500 IU 70 Cap | $180 | No |
9536 | Crestor | Rosuvastatin | Tablet 40 mg 90 tab | $180 | No |
9563 | Cymbalta | Duloxetine | Tablet 60 mg 84 Tabs | $180 | No |
33411 | Desiccated Thyroid | Desiccated Thyroid | Capsule 15 mg 90 cap | $180 | No |
6831 | Dovonex | Calcipotriol | Ointment 0.005 % 120 g | $180 | No |
8104 | Entuzity | Insulin Regular | Autoinjector 500 iu/ml 6 ml | $180 | Yes |
6765 | Fetzima | Levomilnacipran | Capsule 20 mg 30 cap | $180 | No |
6297 | Fosamax | Alendronate | Tablet 70 mg 12 tab | $180 | No |
7643 | Fragmin | Dalteparin | Pre-Filled Syringe 10000 iu 2 ml | $180 | No |
100442 | Gamunex-C | Immune Globulin (Human) | Vial 1/10 g/ml 10 ml | $180 | Yes |
17053 | Gleevec | Imatinib | Tablet 400 mg 30 tab | $180 | No |
6320 | Glumetza | Metformin | Tablet 1000 mg 90 tab | $180 | No |
25039 | Hizentra | Immune Globulin | Pre-Filled Syringe 0.2 mg/ml 1 PFS | $180 | Yes |
102062 | Humalog | Insulin Lispro | Vial 100 iu/ml 10 ml | $180 | Yes |
102079 | Humulin N | Insulin NPH | Vial 100 iu/ml 10 ml | $180 | Yes |
102082 | Humulin R | Insulin NPH | Vial 100 iu/ml 10 ml | $180 | Yes |
5729 | Imitrex DF | Sumatriptan | Tablet 50 mg 6 tab | $180 | No |
5731 | Imitrex DF | Sumatriptan | Tablet 100 mg 6 tab | $180 | No |
32819 | Intrarosa | Prasterone | Vaginal Insert 6.5 mg 28 Inserts | $180 | No |
6325 | Janumet XR | Sitagliptin/Metformin | Tablet 50/1000 mg 60 tab | $180 | No |
6326 | Janumet XR | Sitagliptin/Metformin | Tablet 100/1000 mg 30 tab | $180 | No |
102334 | Latisse | Bimatoprost | Ophthalmic Solution 0.03 % 3 ml | $180 | No |
11808 | Loniten | Minoxidil | Tablet 10 mg 100 tab | $180 | No |
102395 | Lovenox | Enoxaparin Sodium | Pre-Filled Syringe 60/0.6 mg/ml 6 ml | $180 | No |
102459 | Malarone | Atovaquone/Proguanil Hcl | Tablet 250/100 mg/mg 24 tab | $180 | No |
5973 | Mavik | Trandolapril | Capsule 4 mg 100 cap | $180 | No |
67634 | Miebo | Perfluorohexyloctane | Eye Drops 100 % 9 ml | $180 | No |
5808 | Mirapex | Pramipexole | Tablet 0.25 mg 100 tab | $180 | No |
102662 | Octagam | Immun Globg(Igg)/Malt/Iga Ov46 | Vial 1/20 g/ml 20 ml | $180 | No |
12222 | Plendil | Felodipine | Tablet 10 mg 90 tab | $180 | No |
8331 | Prepidil | Dinoprostone | Vaginal Gel Injection 0.5 mg 3 g | $180 | No |
7975 | Procrit | Epoetin Alfa | Pre-Filled Syringe 1000 iu w/ Protec 3 ml | $180 | Yes |
48394 | Progesterone SR | Progesterone SR | Capsule 125 mg 90 cap | $180 | No |
102882 | Proscar | Finasteride | Tablet 5 mg 30 tab | $180 | No |
8626 | Qvar Inhaler | Beclomethasone Dipropionate | Inhaler 50 (40) mcg 31.8 g | $180 | No |
6880 | Salofalk EC | Mesalamine | Tablet 500 mg 150 tab | $180 | No |
103085 | Sandostatin | Octreotide Acetate | Ampule 50 mcg/ml 10 ml | $180 | Yes |
18645 | Sandostatin | Octreotide | Vial 200 mcg/ml 5 ml | $180 | Yes |
90455 | Semaglutide | Semaglutide | Vial 1 mg/ml 5 ml | $180 | Yes |
103135 | Sinemet | Carbidopa/Levodopa | Tablet 250/25 mg/mg 100 tab | $180 | No |
12437 | Steglujan | Ertugliflozin/Sitagliptin | Tablet 15/100 mg 28 tab | $180 | No |
12447 | Steglujan | Ertugliflozin/Sitagliptin | Tablet 5/100 mg 28 tab | $180 | No |
8843 | Stromectol | Ivermectin | Tablet 3 mg 12 tab | $180 | No |
12452 | Suprefact | Buserelin | Nasal Solution Injection 1 mg/ml 10 ml | $180 | No |
12485 | Tabloid | Thioguanine | Tablet 40 mg 25 tab | $180 | No |
5905 | Tegretol | Carbamazepine | Tablet 400 mg 100 tab | $180 | No |
103328 | Tegretol | Carbamazepine | Oral Suspension 100/5 mg/mg 450 ml | $180 | No |
101098 | Temozolomide | Temozolomide | Capsule 5 mg 14 Cap | $180 | No |
12536 | Topamax | Topiramate | Tablet 50 mg 180 tab | $180 | No |
6876 | Trintellix | Vortioxetine | Tablet 20 mg 28 tab | $180 | No |
6511 | Valtrex | Valacyclovir | Tablet 500 mg 30 tab | $180 | No |
105273 | Vivelle-Dot | Estradiol | Patch 0.05/24 mg/hr 24 Patch | $180 | No |
8316 | Xatral | Alfuzosin | Tablet 10 mg 100 tab | $180 | No |
103722 | Yuvafem | Estradiol | Vaginal Insert 10 mcg 8 Insert | $180 | No |
13045 | Zestoretic | Lisinopril/Hydrochlorothiazide | Tablet 20/12.5 mg 100 tab | $180 | No |
103775 | Zocor | Simvastatin | Tablet 10 mg 30 tab | $180 | No |
5920 | Aceon | Perindopril | Tablet 8 mg 90 tab | $186 | No |
7555 | Mestinon SR | Pyridostigmine | Tablet 180 mg 90 tab | $186 | No |
6270 | Seroquel XR | Quetiapine | Tablet 150 mg 60 tab | $186 | No |
6923 | Strattera | Atomoxetine | Capsule 40 mg 28 cap | $186 | No |
8753 | Viagra | Sildenafil | Tablet 50 mg 12 tab | $186 | No |
7632 | Fragmin | Dalteparin | Pre-Filled Syringe 5000 iu 2 ml | $190 | No |
6073 | Aciphex | Rabeprazole | Tablet 10 mg 100 tab | $192 | No |
7683 | Adlyxin | Lixisenatide | Autoinjector 100 mcg/ml 6 ml | $192 | No |
8760 | Adlyxin | Lixisenatide | Autoinjector Starter Kit 0.05 mg/ml 1 Kit | $192 | No |
5951 | Altace | Ramipril | Capsule 15 mg 100 cap | $192 | No |
5832 | Amerge | Naratriptan | Tablet 2.5 mg 6 tab | $192 | No |
10954 | Astagraf XL | Tacrolimus | Capsule 1 mg 50 cap | $192 | No |
5909 | Avapro | Irbesartan | Tablet 300 mg 90 tab | $192 | No |
7496 | Axid | Nizatidine | Capsule 150 mg 100 cap | $192 | No |
6842 | Chantix | Varenicline | Starter Pack 0.5/1 mg 53 tab | $192 | No |
11784 | Cytomel | Liothyronine | Tablet 5 mcg 100 tab | $192 | No |
6001 | Depakote DR | Divalproex | Tablet 500 mg 100 tab | $192 | No |
6769 | Fetzima | Levomilnacipran | Capsule 40 mg 30 cap | $192 | No |
6162 | Flagyl | Metronidazole | Capsule 500 mg 100 cap | $192 | No |
7425 | Fosrenol | Lanthanum | Chewable Tablet 250 mg 90 tab | $192 | No |
7271 | Geodon | Ziprasidone | Capsule 20 mg 60 cap | $192 | No |
7728 | Glucagen Hypokit | Glucagon | Injection Kit 1 mg 1 Vial | $192 | No |
6515 | Humalog Kwikpen | Insulin Lispro | Autoinjector 200 iu/ml 15 ml | $192 | Yes |
7997 | Integrilin | Eptifibatide | Solution 0.75 mg/ml 100 ml | $192 | No |
8150 | Lantus | Insulin Glargine | Cartridge 100 iu/ml 15 ml | $192 | Yes |
6508 | Lantus Solostar | Insulin Glargine | Autoinjector 100 iu/ml 15 ml | $192 | Yes |
6621 | Linzess | Linaclotide | Capsule 72 mcg 30 cap | $192 | No |
106740 | Motegrity | Prucalopride | Tablet 2 mg 28 tab | $192 | No |
6934 | Neupro | Rotigotine | Patch 1 mg 30 Patch | $192 | No |
6935 | Neupro | Rotigotine | Patch 2 mg 30 Patch | $192 | No |
100828 | Oxaliplatin | Oxaliplatin | Vial 50/10 mg/ml 10 ml | $192 | No |
12321 | Rimso-50 | Dimethyl Sulfoxide | Solution 500 mg/g 50 ml | $192 | No |
12983 | Somavert | Pegvisomant | Injection Kit 10 mg 1 Vial | $192 | No |
6857 | Tryptan | Tryptophan | Tablet 750 mg 100 tab | $192 | No |
6201 | Wellbutrin XL | Bupropion | Tablet 300 mg 90 tab | $192 | No |
7661 | Zemuron | Rocuronium Bromide | Injection 10 mg/ml 50 ml | $192 | No |
13046 | Zestoretic | Lisinopril/Hydrochlorothiazide | Tablet 20/25 mg 100 tab | $192 | No |
8266 | Zofran | Ondansetron | Solution 4/5 mg/ml 50 ml | $192 | No |
10811 | Cromolyn Sodium | Cromolyn Sodium | Capsule 100 mg 90 cap | $194 | No |
7391 | Apresoline | Hydralazine | Injection 20 mg/ml 10 ml | $198 | No |
6193 | Aricept | Donepezil | Tablet 5 mg 30 tab | $198 | No |
6194 | Aricept | Donepezil | Tablet 10 mg 30 tab | $198 | No |
6481 | Celexa | Citalopram | Tablet 20 mg 100 tab | $198 | No |
6700 | DDAVP | Desmopressin | Tablet 0.1 mg 90 tab | $198 | No |
101912 | Flovent HFA | Fluticasone Propionate | HFA 44 mcg 10.6 g | $198 | No |
7352 | Frova | Frovatriptan | Tablet 2.5 mg 7 tab | $198 | No |
8845 | Lamisil | Terbinafine | Tablet 250 mg 28 tab | $198 | No |
6470 | Pravachol | Pravastatin | Tablet 40 mg 90 tab | $198 | No |
8794 | Prilosec | Omeprazole | Tablet 20 mg 90 tab | $198 | No |
6050 | Protonix | Pantoprazole Sodium | Tablet 20 mg 100 tab | $198 | No |
6055 | Protonix | Pantoprazole Sodium | Tablet 40 mg 100 tab | $198 | No |
7671 | Rofact | Rifampin | Capsule 300 mg 100 cap | $198 | No |
6929 | Strattera | Atomoxetine | Capsule 60 mg 28 cap | $198 | No |
8802 | Sustiva | Efavirenz | Capsule 50 mg 90 cap | $198 | No |
8763 | Actonel | Risedronate | Tablet 35 mg 12 tab | $204 | No |
9299 | Actoplus Met | Pioglitazone/Metformin | Tablet 15/850 mg 112 tab | $204 | No |
6118 | Advair Diskus | Fluticasone/Salmeterol | Inhaler 500/50 mcg 60 Blisters | $204 | No |
5647 | Atacand | Candesartan | Tablet 32 mg 90 tab | $204 | No |
11075 | Atacand Plus | Candesartan/Hydrochlorothiazide | Tablet 32/12.5 mg 90 tab | $204 | No |
6844 | Chantix Continuing Pack | Varenicline | Tablet 1 mg 56 tab | $204 | No |
101610 | Climara | Estradiol | Transdermal Patch 25 mg 4 Patch | $204 | No |
101611 | Climara | Estradiol | Transdermal Patch 50 mg 4 Patch | $204 | No |
101612 | Climara | Estradiol | Transdermal Patch 75 mg 4 Patch | $204 | No |
101618 | CombiPatch/Estalis | Estradiol/Norethindrone | Transdermal Patch 140/50 mcg/mcg 8 Patch | $204 | Yes |
101619 | CombiPatch/Estalis | Estradiol/Norethindrone | Transdermal Patch 250/50 mcg/mcg 8 Patch | $204 | Yes |
6685 | Cytomel | Liothyronine | Tablet 5 mcg 100 tab | $204 | No |
11783 | Cytomel | Liothyronine | Tablet 25 mcg 100 tab | $204 | No |
7058 | Differin XP | Adapalene | Gel 0.3 % 60 g | $204 | No |
7162 | Edarbi | Azilsartan | Tablet 40 mg 84 tab | $204 | No |
7163 | Edarbi | Azilsartan | Tablet 80 mg 84 tab | $204 | No |
7164 | Edarbyclor | Azilsartan/Medoxomil/Chlorthalidone | Tablet 40/12.5 mg 84 tab | $204 | No |
7165 | Edarbyclor | Azilsartan/Medoxomil/Chlorthalidone | Tablet 40/25 mg 84 tab | $204 | No |
6772 | Fetzima | Levomilnacipran | Capsule 80 mg 30 cap | $204 | No |
5942 | Inderal LA | Propranolol | Capsule 160 mg 100 cap | $204 | No |
8781 | Invega | Paliperidone | Tablet 3 mg 30 tab | $204 | No |
5650 | Lanoxin | Digoxin | Tablet 0.125 mg 250 tab | $204 | No |
6869 | Latuda | Lurasidone | Tablet 20 mg 30 tab | $204 | No |
6870 | Latuda | Lurasidone | Tablet 40 mg 30 tab | $204 | No |
6871 | Latuda | Lurasidone | Tablet 60 mg 30 tab | $204 | No |
6872 | Latuda | Lurasidone | Tablet 80 mg 30 tab | $204 | No |
6874 | Latuda | Lurasidone | Tablet 120 mg 30 tab | $204 | No |
7008 | Medrol | Methylprednisolone | Tablet 16 mg 100 tab | $204 | No |
7286 | Multaq | Dronedarone | Tablet 400 mg 60 tab | $204 | No |
110890 | Odactra | Dust Mite Allergen Extract | Sublingual Tablet 12 SQ-HDM 30 tab | $204 | No |
100847 | Paricalcitol | Paricalcitol | Capsule 1 mg 30 Cap | $204 | No |
102795 | Pertzye | Pancrelipase | Capsule 4000 USP 100 cap | $204 | No |
8333 | Prostin | Dinoprostone | Gel Injection 2 mg 3 g | $204 | No |
21153 | Protopic | Tacrolimus | Ointment 0.03 % 60 g | $204 | No |
6020 | Sinequan | Doxepin | Capsule 100 mg 100 cap | $204 | No |
12435 | Sporanox | Itraconazole | Oral Solution 10 mg/ml 150 ml | $204 | No |
9447 | Taclonex | Betamethasone/Calcipotriene | Ointment 0.005/0.05 % 120 g | $204 | No |
9448 | Taclonex Scalp | Betamethasone/Calcipotriene | Topical Suspension 0.005/0.05 % 120 g | $204 | No |
101121 | Tolterodine | Tolterodine Tartrate ER | Capsule 4 mg 30 Cap | $204 | No |
6830 | Viibryd | Vilazodone | Tablet 40 mg 30 tab | $204 | No |
6948 | Visken | Pindolol | Tablet 10 mg 100 tab | $204 | No |
7035 | Ziagen | Abacavir | Oral Solution 20 mg/ml 240 ml | $204 | No |
46034 | Eliquis | Apixaban | Tablet 5 mg 180 tab | $209 | No |
6282 | Exelon | Rivastigmine | Capsule 1.5 mg 56 cap | $210 | No |
6283 | Exelon | Rivastigmine | Capsule 3 mg 56 cap | $210 | No |
6284 | Exelon | Rivastigmine | Capsule 4.5 mg 56 cap | $210 | No |
6285 | Exelon | Rivastigmine | Capsule 6 mg 56 cap | $210 | No |
8143 | Exelon Patch 10 | Rivastigmine | Patch 9.5 mg/24hr 30 Patch | $210 | No |
8141 | Exelon Patch 5 | Rivastigmine | Patch 4.6 mg/24hr 30 Patch | $210 | No |
101923 | Fosamax | Alendronate | Tablet 70 mg 4 tab | $210 | No |
100424 | Gammagard | Immune Globulin (Human) | Vial 1/10 g/ml 10 ml | $210 | Yes |
102335 | Latisse | Bimatoprost | Ophthalmic Solution 0.03 % 5 ml | $210 | No |
102585 | Nivestym | Filgrastim-aafi | Pre-Filled Syringe 300/0.5 mcg/ml 0.5 ml | $210 | Yes |
103000 | Retrovir | Zidovudine | Vial 200/20 mg/ml 100 ml | $210 | No |
6966 | Salagen | Pilocarpine Hydrochloride | Tablet 5 mg 100 tab | $210 | No |
103126 | Simbrinza | Brinzolamide / Brimonidine | Ophthalmic Solution 1/0.2 %/% 8 ml | $210 | No |
6926 | Strattera | Atomoxetine | Capsule 80 mg 28 cap | $210 | No |
103243 | Symbicort | Budesonide/Formoterol Fumarate | Inhaler 160/4.5 mcg/mcg 6 g | $210 | No |
103245 | Symbicort | Budesonide/Formoterol Fumarate | Inhaler 80/4.5 mcg/mcg 6.9 g | $210 | No |
103499 | Urocit-K | Potassium Citrate | Tablet 10 mEq 100 tab | $210 | No |
101157 | Ursodiol | Ursodiol | Tablet 250 mg 100 Tab | $210 | No |
101158 | Ursodiol | Ursodiol | Tablet 250 mg 100 Tab | $210 | No |
6949 | Viskazide | Pindolol/Hydrochlorothiazide | Tablet 10/25 mg 105 tab | $210 | No |
12626 | Viskazide | Pindolol/Hydrochlorothiazide | Tablet 10/50 mg 105 tab | $210 | No |
8724 | Bystolic | Nebivolol | Tablet 2.5 mg 90 tab | $212 | No |
8726 | Bystolic | Nebivolol | Tablet 5 mg 90 tab | $212 | No |
6051 | Abilify | Aripiprazole | Tablet 15 mg 30 tab | $216 | No |
6052 | Abilify | Aripiprazole | Tablet 20 mg 30 tab | $216 | No |
8691 | Abilify | Aripiprazole | Tablet 10 mg 30 tab | $216 | No |
6126 | Advair HFA | Fluticasone/Salmeterol | Inhaler 250/25 (230/21) mcg 12 g | $216 | No |
6973 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 10 mcg/ml 1.6 ml | $216 | Yes |
9340 | Arnuity Ellipta | Fluticasone Furoate | Inhaler 100 mcg 90 dose | $216 | No |
104002 | Asacol DR | Mesalamine | Tablet DR 1600 mg 60 tab | $216 | No |
100121 | Astagraf XL | Tacrolimus | Capsule 1 mg 30 Cap | $216 | No |
11076 | Atacand Plus | Candesartan/Hydrochlorothiazide | Tablet 32/25 mg 90 tab | $216 | No |
8799 | Breo Ellipta | Fluticasone/Vilanterol | Inhaler 200/25 mcg 60 blisters | $216 | No |
7458 | CeeNU | Lomustine | Capsule 10 mg 20 cap | $216 | No |
5604 | Celebrex | Celecoxib | Capsule 200 mg 100 cap | $216 | No |
5990 | Crestor | Rosuvastatin | Tablet 5 mg 90 tab | $216 | No |
6687 | Cytomel | Liothyronine | Tablet 25 mcg 100 tab | $216 | No |
101683 | Depakote DR | Divalproex Sodium | Tablet 125 mg 100 tab | $216 | No |
101686 | Depakote Sprinkle | Divalproex Sodium | Capsule 125 mg 100 cap | $216 | No |
7060 | Differin | Adapalene | Gel 0.1 % 60 g | $216 | No |
5919 | Dostinex | Cabergoline | Tablet 0.5 mg 8 tab | $216 | No |
101711 | Duavee | Conjugated Estrogens/Bazedoxifene | Tablet 0.45/20 mg/mg 30 tab | $216 | No |
100297 | Duloxetine | Duloxetine | Capsule 60 mg 30 Cap | $216 | No |
101840 | Estrogel | Estradiol | Gel Pump 0.0006 % 37.5 g | $216 | No |
6761 | Famvir | Famciclovir | Tablet 250 mg 30 tab | $216 | No |
6775 | Fetzima | Levomilnacipran | Capsule 120 mg 30 cap | $216 | No |
7641 | Fragmin | Dalteparin | Pre-Filled Syringe 12500 iu 2.5 ml | $216 | No |
100459 | Gengraf | Cyclosporine | Capsule 100 mg 30 Cap | $216 | No |
101972 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 0.2 mg 1.75 ml | $216 | Yes |
7272 | Geodon | Ziprasidone | Capsule 40 mg 60 cap | $216 | No |
7273 | Geodon | Ziprasidone | Capsule 60 mg 60 cap | $216 | No |
7274 | Geodon | Ziprasidone | Capsule 80 mg 60 cap | $216 | No |
84216 | Glyxambi | Empagliflozin/Linagliptin | Tablet 10/5 mg 28 tab | $216 | No |
84217 | Glyxambi | Empagliflozin/Linagliptin | Tablet 25/5 mg 28 tab | $216 | No |
34359 | Grastek | Grass Pollen | Tablet 2800 BAU Sublingual Tablets 30 tab | $216 | No |
5854 | Lamictal | Lamotrigine | Tablet 150 mg 60 tab | $216 | No |
6456 | Levemir | Insulin Detemir | Autoinjector 100 iu/ml 15 ml | $216 | Yes |
11764 | Levemir | Insulin Detemir | Penfill 100 iu/ml 15 ml | $216 | Yes |
8607 | Levitra | Vardenafil | Tablet 5 mg 12 tab | $216 | No |
7307 | Lovenox | Enoxaparin | Pre-Filled Syringe 60/0.6 mg/ml 6 ml | $216 | No |
7347 | Luvox | Fluvoxamine | Tablet 50 mg 90 tab | $216 | No |
11897 | Megestrol | Megestrol | Tablet 40 mg 100 tab | $216 | No |
5660 | Nalcrom | Cromolyn Sodium | Capsule 100 mg 100 cap | $216 | No |
102831 | Pradaxa | Dabigatran Etexilate Mesylate | Capsule 150 mg 60 cap | $216 | No |
9495 | Purinethol | Mercaptopurine | Tablet 50 mg 100 tab | $216 | No |
102909 | Qsymia | Phentermine/Topiramate | Capsule 11.25-69 -MG 30 cap | $216 | No |
102910 | Qsymia | Phentermine/Topiramate | Capsule 15-92 MG-MG 30 cap | $216 | No |
102911 | Qsymia | Phentermine/Topiramate | Capsule 3.75-23 -mg 30 cap | $216 | No |
102912 | Qsymia | Phentermine/Topiramate | Capsule 7.5-46 MG-MG 30 cap | $216 | No |
100930 | Relistor | Methylnaltrexone Bromide | Pre-Filled Syringe 12/0.6 mg/ml 0.6 ml | $216 | No |
100965 | Ritonavir | Ritonavir | Tablet 100 mg 30 Tab | $216 | No |
6670 | Rocaltrol | Calcitriol | Capsule 0.5 mcg 100 cap | $216 | No |
9466 | Stendra | Avanafil | Tablet 200 mg 12 tab | $216 | No |
8598 | Tekturna | Aliskiren/Hydrochlorothiazide | Tablet 150/12.5 mg 84 tab | $216 | No |
8600 | Tekturna | Aliskiren/Hydrochlorothiazide | Tablet 300/12.5 mg 84 tab | $216 | No |
7522 | Temodar | Temozolomide | Capsule 20 mg 5 cap | $216 | No |
9511 | Temodar | Temozolomide | Capsule 100 mg 5 cap | $216 | No |
12516 | Tiazac XC | Diltiazem | Tablet 240 mg 90 tab | $216 | No |
12517 | Tiazac XC | Diltiazem | Tablet 300 mg 90 tab | $216 | No |
12518 | Tiazac XC | Diltiazem | Tablet 360 mg 90 tab | $216 | No |
7903 | Trelegy Ellipta | Fluticasone Furoate/Umeclidinium/Vilanterol | Inhaler 100/62.5/25 mcg 60 blisters | $216 | No |
103538 | Venclexta | Venetoclax | Tablet 10 mg 14 tab | $216 | No |
8751 | Viagra | Sildenafil | Tablet 25 mg 12 tab | $216 | No |
8755 | Viagra | Sildenafil | Tablet 100 mg 12 tab | $216 | No |
5576 | Xarelto | Rivaroxaban | Tablet 10 mg 50 tab | $216 | No |
6045 | Zofran | Ondansetron | Tablet 4 mg 10 tab | $216 | No |
8268 | Zofran ODT | Ondansetron | Tablet 4 mg 10 tab | $216 | No |
6618 | Clobex | Clobetasol Propionate | Shampoo 0.05 % 120 ml | $222 | No |
6620 | Clobex | Clobetasol | Spray 0.05 % 59 ml | $222 | No |
101703 | Divigel | Estradiol | Gel Packets 0.25 mg 30 Packet | $222 | No |
101704 | Divigel | Estradiol | Gel Packets 0.5 mg 30 Packet | $222 | No |
101705 | Divigel | Estradiol | Gel Packets 1 mg 30 Packet | $222 | No |
101731 | Dymista | Azelastine/Fluticasone | Nasal Spray 137/50 mcg/mcg 23 g | $222 | No |
101733 | Edarbi | Azilsartan Medoxomil | Tablet 40 mg 30 tab | $222 | No |
101734 | Edarbi | Azilsartan Medoxomil | Tablet 80 mg 30 tab | $222 | No |
101735 | Edarbyclor | Azilsartan Medoxomil/Chlorthalidone | Tablet 40/12.5 mg/mg 30 tab | $222 | No |
101736 | Edarbyclor | Azilsartan Medoxomil/Chlorthalidone | Tablet 40/25 mg/mg 30 tab | $222 | No |
101907 | Flovent Diskus | Fluticasone Propionate | Inhaler 100 mcg 60 Actuation | $222 | No |
101909 | Flovent Diskus | Fluticasone Propionate | Inhaler 50 mcg 60 Actuation | $222 | No |
101914 | FML | Fluorometholone | Ophthalmic Suspension 0.1 % 5 ml | $222 | No |
102888 | Provera | Medroxyprogesterone Acetate | Tablet 2.5 mg 100 tab | $222 | No |
102894 | Pulmicort Flexhaler | Budesonide | Inhaler 180 mcg 1 Inhaler | $222 | No |
102896 | Pulmicort Flexhaler | Budesonide | Inhaler 90 mcg 1 Inhaler | $222 | No |
103112 | Semglee | Insulin Glargine (insulin glargine-yfgn | Vial 100 units/ml 10 ml | $222 | Yes |
6863 | Stalevo | Carbidopa/Entacapone/Levodopa | Tablet 50/12.5/200 mg 100 tab | $222 | No |
6864 | Stalevo | Carbidopa/Entacapone/Levodopa | Tablet 75/18.75/200 mg 100 tab | $222 | No |
6866 | Stalevo | Carbidopa/Entacapone/Levodopa | Tablet 100/25/200 mg 100 tab | $222 | No |
6867 | Stalevo | Carbidopa/Entacapone/Levodopa | Tablet 125/31.25/200 mg 100 tab | $222 | No |
6868 | Stalevo | Carbidopa/Entacapone/Levodopa | Tablet 150/37.5/200 mg 100 tab | $222 | No |
6932 | Strattera | Atomoxetine | Capsule 100 mg 28 cap | $222 | No |
103362 | Tiazac | Diltiazem Hcl | Capsule 120 mg 90 cap | $222 | No |
103363 | Tiazac | Diltiazem Hcl | Capsule 180 mg 90 cap | $222 | No |
5821 | Tiazac | Diltiazem | Capsule 180 mg 100 cap | $222 | No |
101206 | Xembify | Immune Globulin, Human-klhw 20% | Vial 1/5 g/ml 5 ml | $222 | Yes |
5594 | Arimidex | Anastrozole | Tablet 1 mg 30 tab | $228 | No |
5569 | Avodart | Dutasteride | Capsule 0.5 mg 90 cap | $228 | No |
6135 | Biaxin XL | Clarithromycin | Tablet 500 mg 60 tab | $228 | No |
9411 | Breo Ellipta | Fluticasone/Vilanterol | Inhaler 100/25 mcg 180 Blisters | $228 | No |
6644 | Caverject | Alprostadil | Powder Injection Kit 20 mcg 5 Vial | $228 | No |
5991 | Crestor | Rosuvastatin | Tablet 10 mg 90 tab | $228 | No |
7485 | Cyklokapron | Tranexamic Acid | Tablet 500 mg 100 tab | $228 | No |
11491 | Enstilar | Calcipotriol/Betamethasone | Aerosol Foam 50 mcg/g 60 g | $228 | No |
7282 | Eucrisa | Crisaborole | Ointment 2 % 60 g | $228 | No |
11528 | Famvir | Famciclovir | Tablet 500 mg 21 tab | $228 | No |
8289 | Levitra | Vardenafil | Tablet 10 mg 12 tab | $228 | No |
5621 | Norvasc | Amlodipine | Tablet 5 mg 100 tab | $228 | No |
6899 | Pentasa | Mesalamine | Tablet 1 g 120 tab | $228 | No |
6953 | Rythmol | Propafenone | Tablet 150 mg 100 tab | $228 | No |
6264 | Seroquel | Quetiapine | Tablet 300 mg 100 tab | $228 | No |
6266 | Seroquel | Quetiapine | Tablet 100 mg 100 tab | $228 | No |
100999 | Silodosin | Silodosin | Capsule 4 mg 30 Cap | $228 | No |
6573 | Sporanox | Itraconazole | Capsule 100 mg 30 cap | $228 | No |
7069 | Tekturna | Aliskiren | Tablet 150 mg 84 tab | $228 | No |
7072 | Tekturna | Aliskiren | Tablet 300 mg 84 tab | $228 | No |
103334 | Tekturna HCT | Aliskiren Hemifumarate | Tablet 150/12.5 mg/mg 30 tab | $228 | No |
101094 | Temozolomide | Temozolomide | Capsule 20 mg 5 Cap | $228 | No |
5747 | Topamax | Topiramate | Tablet 25 mg 25 tab | $228 | No |
8154 | Toujeo Solostar | Insulin Glargine | Autoinjector 300 iu/ml 7.5 ml | $228 | Yes |
13703 | Trelegy Ellipta | Fluticasone Furoate/Umeclidinium/Vilanterol | Inhaler 200/62.5/25 mcg 60 blisters | $228 | No |
6518 | Valtrex | Valacyclovir | Tablet 1000 mg 21 tab | $228 | No |
12684 | Zofran | Ondansetron | Vial 2 mg/ml 10 ml | $228 | No |
8030 | Akynzeo | Netupitant/Palonosetron | Capsule 300/0.5 mg 1 cap | $234 | No |
6550 | Hyzaar | Losartan/Hydrochlorothiazide | Tablet 100/12.5 mg 90 tab | $234 | No |
8189 | Hyzaar | Losartan/Hydrochlorothiazide | Tablet 50/12.5 mg 90 tab | $234 | No |
8194 | Hyzaar | Losartan/Hydrochlorothiazide | Tablet 100/25 mg 90 tab | $234 | No |
6854 | Norvir | Ritonavir | Tablet 100 mg 90 tab | $234 | No |
101280 | Actonel | Risedronate Sodium | Tablet 150 mg 1 tab | $240 | No |
101281 | Actonel | Risedronate Sodium | Tablet 35 mg 4 tab | $240 | No |
9300 | Actos | Pioglitazone | Tablet 15 mg 84 tab | $240 | No |
101287 | Acular | Ketorolac Tromethamine | Ophthalmic Solution 0.5 % 5 ml | $240 | No |
101286 | Acular LS | Ketorolac Tromethamine | Ophthalmic Solution 0.4 % 5 ml | $240 | No |
101303 | Admelog | Insulin Lispro | Autoinjector 100 iu/ml 15 ml | $240 | Yes |
101312 | Advair HFA | Fluticasone Propionate/Salmeterol | Inhaler 45/21 mcg/mcg 12 g | $240 | No |
7123 | Aklief | Trifarotene | Cream 50 mcg/g 75 g | $240 | No |
101376 | Alvesco | Ciclesonide | Inhaler 160 mcg 6.1 g | $240 | No |
101377 | Alvesco | Ciclesonide | Inhaler 80 mcg 6.1 g | $240 | No |
11015 | AmBisome | Liposomal Amphotericin B | Vial 50 mg 1 Vial | $240 | No |
101398 | Apidra | Insulin Glulisine | Vial 100 iu/ml 10 ml | $240 | Yes |
101450 | Asmanex Twisthaler | Mometasone Fuorate | Inhaler 220 mcg 1 Inhaler | $240 | No |
33474 | Azithromycin | Azithromycin | Capsule 500 mg 30 cap | $240 | No |
7605 | Banzel | Rufinamide | Tablet 200 mg 120 tab | $240 | No |
11115 | Baqsimi | Glucagon | Nasal Powder 3 mg 1 Nasal Powder | $240 | No |
100165 | Bortezomib | Bortezomib | Vial 3.5 mg 1 Vial | $240 | No |
6840 | Byetta | Exenatide | Autoinjector 5/0.02 mcg/ml 1.2 ml | $240 | Yes |
6841 | Byetta | Exenatide | Autoinjector 10/0.04 mcg/ml 2.4 ml | $240 | Yes |
101574 | Carafate | Sucralfate | Oral Suspension 1/10 g/ml 420 ml | $240 | No |
100189 | Cathflo | Alteplase | Powder Vial 2 mg 1 Vial | $240 | Yes |
101602 | Ciloxan | Ciprofloxacin | Ophthalmic Ointment 0.3 % 3.5 g | $240 | No |
6125 | Cleocin | Clindamycin | Capsule 150 mg 100 cap | $240 | No |
101614 | Colestid | Colestipol | Tablet 1 g 120 tab | $240 | No |
6440 | Cozaar | Losartan | Tablet 50 mg 90 tab | $240 | No |
6441 | Cozaar | Losartan | Tablet 100 mg 90 tab | $240 | No |
5992 | Crestor | Rosuvastatin | Tablet 20 mg 90 tab | $240 | No |
100227 | Cutaquig | Immune Globulin Subcutaneous (Human) - hipp | Vial 1/6 g/ml 6 ml | $240 | No |
100228 | Cutaquig | Immune Globulin Subcutaneous (Human) - hipp | Vial 1/6 g/ml 6 ml | $240 | No |
100229 | Cutaquig | Immune Globulin Subcutaneous (Human) - hipp | Vial 1/6 g/ml 6 ml | $240 | No |
7219 | Cyclomen | Danazol | Capsule 100 mg 100 cap | $240 | No |
100247 | Cyclophosphamide | Cyclophosphamide | Capsule 25 mg 100 Cap | $240 | No |
6444 | Diclegis | Doxylamine/Pyridoxine | Tablet 10 mg/mg 100 tab | $240 | No |
101750 | Elidel | Pimecrolimus | Topical Cream 1 % 30 g | $240 | No |
20155 | Emflaza | Deflazacort | Tablet 6 mg 180 Tabs | $240 | No |
101791 | Endometrin | Progesterone | Vaginal Insert 100 mg 21 Insert | $240 | No |
101812 | Epivir HBV | Lamivudine | Solution 25/5 mg/ml 240 ml | $240 | No |
101902 | Fiasp | Insulin Aspart | Vial 100 iu/ml 10 ml | $240 | Yes |
101908 | Flovent Diskus | Fluticasone Propionate | Inhaler 250 mcg 60 Actuation | $240 | No |
101910 | Flovent HFA | Fluticasone Propionate | HFA 110 mcg 12 g | $240 | No |
101921 | Fosamax Plus D | Alendronate/Cholecalciferol (Vitamin D3) | Tablet 70/2800 mg/iu 4 tab | $240 | No |
101922 | Fosamax Plus D | Alendronate/Cholecalciferol (Vitamin D3) | Tablet 70/5600 mg/iu 4 tab | $240 | No |
100432 | Gammaked | Immune Globulin (Human) | Vial 1/10 g/ml 10 ml | $240 | Yes |
11581 | Genotropin MiniQuick | Somatropin | Pre-Filled Syringe 0.2 mg 7 PFS | $240 | Yes |
11582 | Genotropin MiniQuick | Somatropin | Pre-Filled Syringe 0.4 mg 7 PFS | $240 | Yes |
11583 | Genotropin MiniQuick | Somatropin | Pre-Filled Syringe 0.6 mg 7 PFS | $240 | Yes |
102044 | Hizentra | Immune Globulin (Human) | Pre-Filled Syringe 1/5 g/ml 5 ml | $240 | No |
102048 | Hizentra | Immune Globulin (Human) | Vial 1/5 g/ml 5 ml | $240 | No |
102056 | Humalog Kwikpen | Insulin Lispro | Cartridge 100 iu/ml 15 ml | $240 | Yes |
102058 | Humalog Kwikpen | Insulin Lispro | Autoinjector 100 iu/ml 15 ml | $240 | Yes |
102057 | Humalog Kwikpen Junior | Insulin Lispro | Autoinjector 100 iu/ml 15 ml | $240 | Yes |
102060 | Humalog Mix 50/50 | Insulin Lispro | Autoinjector 100 iu/ml 15 ml | $240 | Yes |
102061 | Humalog Mix 75/25 | Insulin Lispro | Autoinjector 100 iu/ml 15 ml | $240 | Yes |
10640 | Human Chorionic Gonadotropin | Human Chorionic Gonadotropin | Injection 10000 iu 10 ml | $240 | No |
100544 | Ibandronate | Ibandronate Sodium | Pre-Filled Syringe 3/3 mg/ml 3 ml | $240 | No |
102128 | Imitrex | Sumatriptan Succinate | Nasal Spray 20 mg 6 Unit | $240 | No |
102129 | Imitrex | Sumatriptan Succinate | Nasal Spray 5 mg 6 Unit | $240 | No |
5853 | Lamictal | Lamotrigine | Tablet 100 mg 100 tab | $240 | No |
11745 | Lanoxin | Digoxin | Oral Solution 0.05 mg/ml 115 ml | $240 | No |
102333 | Lantus | Insulin Glargine | Vial 100 iu/ml 10 ml | $240 | Yes |
102332 | Lantus Solostar | Insulin Glargine | Autoinjector 100 iu/ml 15 ml | $240 | Yes |
102357 | Levemir | Insulin Detemir | Vial 100 iu/ml 10 ml | $240 | Yes |
8287 | Levitra | Vardenafil | Tablet 20 mg 12 tab | $240 | No |
10569 | Levothyroxine Sodium | Levothyroxine Sodium | Capsule 88 mcg 90 cap | $240 | No |
5883 | Lexapro | Escitalopram | Tablet 10 mg 100 tab | $240 | No |
6627 | Linzess | Linaclotide | Capsule 290 mcg 30 cap | $240 | No |
102386 | Lotemax | Loteprednol Etabonate | Ophthalmic Gel 0.5 % 5 g | $240 | No |
102403 | Lumigan | Bimatoprost | Ophthalmic Solution 0.01 % 2.5 ml | $240 | No |
6387 | Metrogel | Metronidazole | Gel 0.75 % 60 g | $240 | No |
102502 | Mircera | Methoxy Peg-Epoetin Beta | Pre-Filled Syringe 30/0.3 mcg/ml 0.3 ml | $240 | Yes |
102503 | Mircera | Methoxy Peg-Epoetin Beta | Pre-Filled Syringe 50/0.3 mcg/ml 0.3 ml | $240 | Yes |
102504 | Mircera | Methoxy Peg-Epoetin Beta | Pre-Filled Syringe 75/0.3 mcg/ml 0.3 ml | $240 | Yes |
102541 | Namenda | Memantine Hcl | Tablet 10 mg 60 tab | $240 | No |
7186 | Naprosyn SR | Naproxen | Tablet 750 mg 100 tab | $240 | No |
102570 | Neurontin | Gabapentin | Capsule 100 mg 100 cap | $240 | No |
104691 | Nexletol | Bempedoic Acid | Tablet 180 mg 28 tab | $240 | No |
12079 | Nivestym | Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 1 PFS | $240 | No |
102602 | Norvir | Ritonavir | Tablet 100 mg 30 tab | $240 | No |
102609 | Novolin 30/70 Flexpen | Insulin Isophane Human | Autoinjector 100 iu/ml 15 ml | $240 | Yes |
102611 | Novolin N Flexpen | Insulin Isophane Human | Autoinjector 100 iu/ml 15 ml | $240 | Yes |
102613 | Novolin-R | Insulin Isophane Human | Cartridge 100 iu/ml 15 ml | $240 | Yes |
100782 | Octagam | Immun Globg(Igg)/Malt/Iga Ov46 | Vial 1/20 g/ml 20 ml | $240 | No |
102676 | Omnaris | Ciclesonide | Nasal Spray 50 mcg 12.5 g | $240 | No |
100841 | Panzyga | Immune Globulin | Vial 1/10 g/ml 10 ml | $240 | No |
102837 | Premarin | Estrogens | Vaginal Cream 0.625 mg 30 g | $240 | No |
6674 | Prometrium | Progesterone | Capsule 100 mg 90 cap | $240 | No |
26409 | Pulmicort | Budesonide | Respules 0.5/2 mg/ml 90 ea | $240 | No |
7464 | Purinethol | Mercaptopurine | Tablet 50 mg 60 cap | $240 | No |
58696 | Quviviq | Daridorexant | Tablet 50 mg 30 tab | $240 | No |
102978 | Repatha | Evolocumab | Pre-Filled Syringe 140 mg/ml 1 ml | $240 | Yes |
102988 | Retacrit | Epoetin Alfa-epbx | Vial 2,000 Units/ml 10 ml | $240 | Yes |
12317 | Revia | Naltrexone Hydrochloride | Tablet 50 mg 50 tab | $240 | No |
103025 | Rhogam Ultra-Filtered Plus | Rho D Immune Globulin | Pre-Filled Syringe 1500 IU 1 PFS | $240 | Yes |
103047 | Rocaltrol | Calcitriol | Capsule 0.25 mcg 100 cap | $240 | No |
6277 | Seroquel XR | Quetiapine XR | Tablet 400 mg 60 tab | $240 | No |
12417 | Solu-Cortef | Hydrocortisone Sodium Succinate | Act-O-Vial 250 mg 20 Vial | $240 | No |
12421 | Solu-Cortef | Hydrocortisone Sodium Succinate | Act-O-Vial 500 mg 20 Vial | $240 | No |
9413 | Steglatro | Ertugliflozin | Tablet 5 mg 84 cap | $240 | No |
103242 | Symbicort | Budesonide/Formoterol Fumarate | Inhaler 160/4.5 mcg/mcg 10.2 g | $240 | No |
103244 | Symbicort | Budesonide/Formoterol Fumarate | Inhaler 80/4.5 mcg/mcg 10.2 g | $240 | No |
103329 | Tegretol | Carbamazepine | Tablet 200 mg 100 tab | $240 | No |
103336 | Tekturna | Aliskiren Hemifumarate | Tablet 150 mg 30 tab | $240 | No |
103364 | Tiazac | Diltiazem Hcl | Capsule 240 mg 90 cap | $240 | No |
10000004 | Timoptic | Timolol Maleate | Ophthalmic Solution 0.5 % 10 ml | $240 | No |
5748 | Topamax | Topiramate | Tablet 100 mg 60 tab | $240 | No |
5581 | Toviaz | Fesoterodine | Tablet 4 mg 90 tab | $240 | No |
5584 | Toviaz | Fesoteradine | Tablet 8 mg 90 tab | $240 | No |
103394 | Toviaz | Fesoterodine Fumarate | Tablet 4 mg 30 tab | $240 | No |
103395 | Toviaz | Fesoterodine Fumarate | Tablet 8 mg 30 tab | $240 | No |
6082 | Tresiba Flextouch | Insulin Degludec | Autoinjector 100 U 15 ml | $240 | Yes |
7518 | Trileptal | Oxcarbazepine | Tablet 600 mg 50 tab | $240 | No |
7519 | Trileptal | Oxcarbazepine | Suspension 60 mg/ml 250 ml | $240 | No |
57789 | Uceris | Budesonide Rectal | Tablet 9 mg 30 Tabs | $240 | No |
6992 | Urso | Ursodiol | Tablet 250 mg 100 tab | $240 | No |
6556 | Vancocin | Vancomycin | Capsule 125 mg 20 cap | $240 | No |
60206 | Verquvo | Vericiguat | Tablet 10 mg 28 tab | $240 | No |
45072 | Verquvo | Vericiguat | Tablet 10 mg 28 tab | $240 | No |
45065 | Verquvo | Vericiguat | Tablet 2.5 mg 28 tab | $240 | No |
45071 | Verquvo | Vericiguat | Tablet 5 mg 28 tab | $240 | No |
12622 | Vfend | Voriconazole | Powder for Solution 200 mg 1 Vial | $240 | Yes |
7965 | Viberzi | Eluxadoline | Tablet 75 mg 60 tab | $240 | No |
5573 | Xarelto | Rivaroxaban | Tablet 2.5 mg 100 tab | $240 | No |
103661 | Xembify | Immune Globulin, Human-klhw 20% | Vial 1/5 g/ml 5 ml | $240 | Yes |
5563 | Xenical | Orlistat | Capsule 120 mg 84 cap | $240 | No |
6809 | Xeomin | Incobotulinumtoxina | Injection 50 Unit 1 Vial | $240 | No |
20262 | Xigduo XR | Dapagliflozin/Metformin | Tablet 5/1000 mg 112 tab | $240 | No |
103737 | Zegalogue | Dasiglucagon Hcl | Autoinjector 0.6/0.6 mg/ml 1.2 ml | $240 | No |
12682 | Zinecard | Dexrazoxane | Powder Vial 250 mg 25 Vial | $240 | No |
6105 | Zithromax | Azithromycin | Tablet 250 mg 30 tab | $240 | No |
101442 | Arnuity Ellipta | Fluticasone Furoate | Inhaler 100 mcg 30 Blister | $246 | No |
101443 | Arnuity Ellipta | Fluticasone Furoate | Inhaler 200 mcg 30 Blister | $246 | No |
101444 | Arnuity Ellipta | Fluticasone Furoate | Inhaler 50 mcg 30 Blister | $246 | No |
5785 | Effexor XR | Venlafaxine | Capsule 75 mg 90 cap | $246 | No |
6271 | Seroquel XR | Quetiapine | Tablet 200 mg 60 tab | $246 | No |
54674 | Janumet XR | Sitagliptin/Metformin | Tablet 50/1000 mg 112 tab | $250 | No |
115955 | Proglycem | Diazoxide | Suspension 50 mg/ml 30 ml | $251 | No |
7331 | Aromasin | Exemestane | Tablet 25 mg 30 tab | $252 | No |
8744 | Cialis | Tadalafil | Tablet 5 mg 90 tab | $252 | No |
6438 | Cozaar | Losartan | Tablet 25 mg 100 tab | $252 | No |
8639 | Depo-Provera | Medroxyprogesterone Acetate | Vial 150 mg/ml 5 ml | $252 | No |
6596 | Entocort | Budesonide | Capsule 3 mg 100 cap | $252 | No |
11496 | Epiduo Forte | Adapalene/Benzoyl Peroxide | Gel 0.3/2.5 % 70 g | $252 | No |
7167 | Isoptin SR | Verapamil HCl | Tablet 120 mg 100 tab | $252 | No |
11820 | Lunesta | Eszopiclone | Tablet 2 mg 30 tab | $252 | No |
11821 | Lunesta | Eszopiclone | Tablet 3 mg 30 tab | $252 | No |
5694 | Singulair | Montelukast | Tablet 10 mg 90 tab | $252 | No |
10942 | Actonel DR | Risedronate | Tablet 35 mg 12 tab | $258 | No |
100225 | Creon | Pancrelipase | Capsule 6000-19000 IU 100 Cap | $258 | No |
102396 | Lovenox | Enoxaparin Sodium | Pre-Filled Syringe 80/0.8 mg/ml 8 ml | $258 | No |
7114 | Soolantra | Ivermectin | Cream 1 % 60 g | $258 | No |
6578 | Bystolic | Nebivolol | Tablet 10 mg 90 tab | $263 | No |
6582 | Bystolic | Nebivolol | Tablet 20 mg 90 tab | $263 | No |
5611 | Carnitor | Levocarnitine | Tablet 330 mg 90 tab | $264 | No |
85927 | Dexlansoprazole | Dexlansoprazole | Capsule 30 mg 90 cap | $264 | No |
101859 | Exforge | Amlodipine/Valsartan | Tablet 5/160 mg/mg 30 tab | $264 | No |
7637 | Fragmin | Dalteparin | Pre-Filled Syringe 15000 iu 3 ml | $264 | No |
5886 | Lexapro | Escitalopram | Tablet 20 mg 90 tab | $264 | No |
102481 | Menopur | Menotropins | Vial Kit 75 iu 1 Kit | $264 | No |
6249 | Paxil | Paroxetine | Tablet 10 mg 90 tab | $264 | No |
6257 | Paxil CR | Paroxetine | Tablet 12.5 mg 90 tab | $264 | No |
12422 | Solu-Medrol | Methylprednisolone | Act-O-Vial 125 mg 20 Vial | $264 | No |
12538 | Toujeo DoubleStar | Insulin Glargine | Pen 300 iu/ml 9 ml | $264 | Yes |
55134 | Vraylar | Cariprazine | Capsule 1.5 mg 30 cap | $264 | No |
101441 | Armonair | Fluticasone Propionate | Digihaler 55 mcg 1 Inhaler | $270 | No |
8602 | Cialis | Tadalafil | Tablet 2.5 mg 90 tab | $270 | No |
100236 | Cuvitru | Immune Globulin | Vial 1/5 g/ml 5 ml | $270 | No |
100349 | Envarsus XR | Tacrolimus | Tablet 1 mg 30 Tab | $270 | No |
101855 | Exforge HCT | Amlodipine/Valsartan/Hydrochlorothiazide | Tablet 5/160/12.5 mg/mg/mg 30 tab | $270 | No |
101856 | Exforge HCT | Amlodipine/Valsartan/Hydrochlorothiazide | Tablet 5/160/25 mg/mg/mg 30 tab | $270 | No |
100462 | Genotropin | Somatropin | Pre-Filled Syringe 0.2 mg 7 PFS | $270 | Yes |
102015 | Granix | tbo-Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 0.5 ml | $270 | Yes |
100536 | Hyalgan | Sodium Hyaluronate | Pre-Filled Syringe 20/2 mg/ml 2 ml | $270 | Yes |
6351 | Leucovorin | Folinic Acid | Tablet 5 mg 24 tab | $270 | No |
103221 | Striverdi | Olodaterol Hcl | Inhaler 2.5 mcg 4 g | $270 | No |
9341 | Arnuity Ellipta | Fluticasone Furoate | Inhaler 200 mcg 90 dose | $276 | No |
11072 | Arthrotec | Diclofenac/Misoprostol | Tablet 50/200 mg/mcg 250 tab | $276 | No |
9415 | Breo Ellipta | Fluticasone/Vilanterol | Inhaler 200/25 mcg 180 Blisters | $276 | No |
11368 | Desferal | Deferoxamine Mesylate | Vial 500 mg 10 Vial | $276 | No |
6724 | Detrol LA | Tolterodine | Capsule 2 mg 90 cap | $276 | No |
8783 | Invega | Paliperidone | Tablet 6 mg 30 tab | $276 | No |
6851 | Kaletra Pediatric | Lopinavir/Ritonavir | Tablet 100/25 mg 60 tab | $276 | No |
5633 | Lipitor | Atorvastatin | Tablet 10 mg 90 tab | $276 | No |
7308 | Lovenox | Enoxaparin | Pre-Filled Syringe 80/0.8 mg/ml 8 ml | $276 | No |
102393 | Lovenox | Enoxaparin Sodium | Pre-Filled Syringe 100/1 mg/ml 10 ml | $276 | No |
5868 | Neurontin | Gabapentin | Tablet 600 mg 100 tab | $276 | No |
100747 | Nivestym | Filgrastim-aafi | Pre-Filled Syringe 300/0.5 mcg/ml 0.5 ml | $276 | Yes |
6253 | Paxil | Paroxetine | Tablet 30 mg 90 tab | $276 | No |
7597 | Rapaflo | Silodosin | Capsule 4 mg 90 cap | $276 | No |
7283 | Retrovir | Zidovudine | Capsule 100 mg 100 cap | $276 | No |
9512 | Temodar | Temozolomide | Capsule 140 mg 5 cap | $276 | No |
6083 | Tresiba Flextouch | Insulin Degludec | Autoinjector 200 U 9 ml | $276 | Yes |
17641 | Trulance | Plecanatide | Tablet 3 mg 30 tab | $276 | No |
12569 | Uloric | Febuxostat | Tablet 80 mg 90 tab | $276 | No |
7967 | Viberzi | Eluxadoline | Tablet 100 mg 60 tab | $276 | No |
6235 | Zyprexa | Olanzapine | Tablet 2.5 mg 84 tab | $276 | No |
6133 | Biaxin | Clarithromycin | Tablet 250 mg 100 tab | $282 | No |
7317 | Comtan | Entacapone | Tablet 200 mg 100 cap | $282 | No |
11701 | Innohep | Tinzaparin Sodium | Pre-Filled Syringe 8000/0.4 iu/ml 4 ml | $282 | No |
7168 | Isoptin SR | Verapamil HCl | Tablet 180 mg 100 tab | $282 | No |
7350 | Luvox | Fluvoxamine | Tablet 100 mg 90 tab | $282 | No |
102924 | Qvar | Beclomethasone Dipropionate | Redihaler 40 mcg 10.6 g | $282 | No |
103790 | Zovirax | Acyclovir | Cream Tube 5 % 5 g | $282 | No |
11071 | Arixtra | Fondaparinux | Pre-Filled Syringe 7.5/0.6 mg/ml 6 ml | $288 | No |
6893 | Asacol | Mesalamine | Tablet 800 mg 180 tab | $288 | No |
9342 | Boniva | Ibandronate | Tablet 150 mg 3 tab | $288 | No |
6837 | Botox | OnabotulinumtoxinA | Vial 50 Unit 1 Vial | $288 | Yes |
5993 | Crestor | Rosuvastatin | Tablet 40 mg 90 tab | $288 | No |
6725 | Detrol LA | Tolterodine | Capsule 4 mg 90 cap | $288 | No |
7225 | Enablex | Darifenacin | Tablet 7.5 mg 100 tab | $288 | No |
7226 | Enablex | Darifenacin | Tablet 15 mg 100 tab | $288 | No |
11740 | Lacrisert | Hydroxypropyl Cellulose | Insert 5 mg 60 Insert | $288 | No |
12036 | Narcan | Naloxone Hydrochloride | Nasal Spray 4/0.1 mg/ml 2 dose | $288 | No |
7938 | Neoral | Cyclosporine | Capsule 100 mg 30 cap | $288 | No |
12083 | Norditropin FlexPro | Somatropin | Autoinjector 5/1.5 mg/ml 1.5 ml | $288 | Yes |
6251 | Paxil | Paroxetine | Tablet 20 mg 100 tab | $288 | No |
6032 | Prevacid | Lansoprazole | Capsule 15 mg 100 cap | $288 | No |
6063 | Protonix | Pantoprazole Sodium | Tablet 20 mg 100 tab | $288 | No |
12366 | Serevent Diskus | Salmeterol Xinafoate | Powder 50 mcg 180 blisters | $288 | No |
12451 | Suprefact | Buserelin | Injection 1 mg/ml 11 ml | $288 | No |
101058 | Tadalafil | Tadalafil | Tablet 5 mg 30 Tab | $288 | No |
103331 | Tegretol XR | Carbamazepine | Tablet 200 mg 100 tab | $288 | No |
5824 | Tiazac | Diltiazem | Capsule 240 mg 100 cap | $288 | No |
6858 | Tryptan | Tryptophan | Tablet 1000 mg 100 tab | $288 | No |
101244 | Zidovudine | Zidovudine | Tablet 300 mg 60 Tab | $288 | No |
6290 | Zoloft | Sertraline | Capsule 50 mg 100 cap | $288 | No |
6242 | Zyprexa Zydis | Olanzapine | Tablet 10 mg 28 tab | $288 | No |
5786 | Effexor XR | Venlafaxine | Capsule 150 mg 90 cap | $294 | No |
6291 | Zoloft | Sertraline | Capsule 100 mg 100 cap | $294 | No |
7275 | Welchol | Colesevelam/Hydrochloride | Powder 3.75 g 30 Vial | $296 | No |
6643 | Welchol | Colesevelam Hydrochloride | Tablet 625 mg 180 tab | $296 | No |
10931 | Abelcet | Amphotericin B Lipid Complex | Vial 5 mg/ml 20 ml | $300 | No |
9286 | Abilify | Aripiprazole | Oral Solution 1 mg/ml 150 ml | $300 | No |
10936 | Acetazolamide | Acetazolamide | Vial 500 mg 1 Vial | $300 | No |
101283 | Actos | Pioglitazone | Tablet 15 mg 30 tab | $300 | No |
101288 | Acuvail | Ketorolac Tromethamine | Ophthalmic Solution 0.45 % 30 ml | $300 | No |
101307 | Advair Diskus | Fluticasone Propionate/Salmeterol | Inhaler 100/50 mcg/mcg 60 dose | $300 | No |
101310 | Advair HFA | Fluticasone Propionate/Salmeterol | Inhaler 115/21 mcg/mcg 12 g | $300 | No |
100095 | Anastrozole | Anastrozole | Tablet 1 mg 30 Tab | $300 | No |
11062 | Aredia | Pamidronate Disodium | Vial 30 mg 1 Vial | $300 | No |
101439 | Armonair | Fluticasone Propionate | Digihaler 113 mcg 1 Inhaler | $300 | No |
101476 | Azopt | Brinzolamide | Ophthalmic Suspension 1 % 10 ml | $300 | No |
101596 | Cialis | Tadalafil | Tablet 2.5 mg 30 tab | $300 | No |
11282 | Clarus | Isotretinoin | Capsule 40 mg 90 cap | $300 | No |
9419 | Colazal | Balsalazide Disodium | Tablet 750 mg 280 tab | $300 | No |
101642 | Creon | Pancrelipase | Capsule 12,000 USP 100 cap | $300 | No |
6715 | DDAVP | Desmopressin | Tablet 120 mcg 90 tab | $300 | No |
7314 | Decapeptyl | Triptorelin | Pre-Filled Syringe 0.1 mg/ml 1 cap | $300 | No |
101695 | Dexilant | Dexlansoprazole | Capsule 30 mg 30 cap | $300 | No |
101696 | Dexilant | Dexlansoprazole | Capsule 60 mg 30 cap | $300 | No |
11470 | Duobrii | Halobetasol/Tazarotene | Lotion 0.01/0.045 % 100 g | $300 | No |
101730 | Dyanavel XR | Amphetamine | Tablet 5 mg 30 tab | $300 | No |
7150 | Emend | Aprepitant | Capsule 125 mg 6 cap | $300 | No |
6507 | Entresto | Sacubitril/Valsartan | Tablet 48.6/51.4 mg 60 tab | $300 | No |
6509 | Entresto | Sacubitril/Valsartan | Tablet 97.2/102.8 mg 60 tab | $300 | No |
101857 | Exforge | Amlodipine/Valsartan | Tablet 10/160 mg/mg 30 tab | $300 | No |
101852 | Exforge HCT | Amlodipine/Valsartan/Hydrochlorothiazide | Tablet 10/160/12.5 mg/mg/mg 30 tab | $300 | No |
101853 | Exforge HCT | Amlodipine/Valsartan/Hydrochlorothiazide | Tablet 10/160/25 mg/mg/mg 30 tab | $300 | No |
101913 | FML | Fluorometholone | Ophthalmic Suspension 0.1 % 10 ml | $300 | No |
101967 | Gelnique | Oxybutynin | Gel Packets 0.1 % 30 g | $300 | No |
101968 | Gelsyn-3 | Sodium Hyaluronate | Pre-Filled Syringe 16.8/2 mg/ml 2 ml | $300 | No |
100509 | Hizentra | Immune Globulin (Human) | Vial 1/5 g/ml 5 ml | $300 | No |
100513 | Hizentra | Immune Globulin (Human) | Pre-Filled Syringe 1/5 g/ml 5 ml | $300 | No |
25043 | Hizentra | Immune Globulin | Pre-Filled Syringe 0.2 mg/ml 1 PFS | $300 | Yes |
102138 | Incruse Ellipta | Umeclidinium Bromide | Inhaler 62.5 mcg 30 Blister | $300 | No |
102264 | Kazano | Alogliptin Benz/Metformin Hcl | Tablet 12.5/1000 mg/mg 60 tab | $300 | No |
102265 | Kazano | Alogliptin Benz/Metformin Hcl | Tablet 12.5/500 mg/mg 60 tab | $300 | No |
5841 | Keppra | Levetiracetam | Tablet 250 mg 120 tab | $300 | No |
27219 | Lamictal | Lamotrigine | DC Chew 200 mg 168 tab | $300 | No |
102387 | Lotemax | Loteprednol Etabonate | Ophthalmic Ointment 0.5 % 3.5 g | $300 | No |
102391 | Lovenox HP | Enoxaparin Sodium | Pre-Filled Syringe 120/0.8 mg/ml 8 ml | $300 | No |
100701 | Methotrexate | Methotrexate Sodium | Tablet 2.5 mg 100 Tab | $300 | No |
12295 | Motegrity | Prucalopride | Tablet 1 mg 100 tab | $300 | No |
102523 | Muse | Alprostadil | Transurethral System 250 mcg 6 System | $300 | Yes |
100719 | Mycophenolate | Mycophenolate Mofetil | Capsule 250 mg 100 Cap | $300 | No |
5591 | Myrbetriq | Mirabegron | Tablet 25 mg 90 tab | $300 | No |
5593 | Myrbetriq | Mirabegron | Tablet 50 mg 90 tab | $300 | No |
102538 | Naftin | Naftifine Hcl | Gel Tube 1 % 60 g | $300 | No |
102547 | Natesto | Testosterone | Nasal Gel Pump 5.5/0.122 mg/g 11 g | $300 | No |
6937 | Neupro | Rotigotine | Patch 3 mg 30 Patch | $300 | No |
6938 | Neupro | Rotigotine | Patch 4 mg 30 Patch | $300 | No |
9436 | Nilandron | Nilutamide | Tablet 150 mg 30 tab | $300 | No |
102615 | Novolog | Insulin Aspart | Cartridge 100 iu/ml 15 ml | $300 | Yes |
100791 | Octreotide | Octreotide Acetate | Vial 1000 mcg/ml 5 ml | $300 | Yes |
7297 | Orilissa | Elagolix | Tablet 150 mg 28 tab | $300 | No |
102723 | Osphena | Ospemifene | Tablet 60 mg 30 tab | $300 | No |
102852 | Priftin | Rifapentine | Tablet 150 mg 24 tab | $300 | No |
7977 | Procrit | Epoetin Alfa | Pre-Filled Syringe 2000 iu w/ Protec 3 ml | $300 | Yes |
26525 | Pulmicort | Budesonide | Respules 1/2 mg/ml 90 ea | $300 | No |
102895 | Pulmicort Flexhaler | Budesonide | Inhaler 90 mcg 1 Inhaler | $300 | No |
7600 | Rapaflo | Silodosin | Capsule 8 mg 90 cap | $300 | No |
102981 | Restasis | Cyclosporine | Ophthalmic Emulsion 0.05 % 30 Vial | $300 | No |
12316 | Restasis Multidose | Cyclosporine | Vial 0.05 % 7 ml | $300 | No |
100940 | Retacrit | Epoetin Alfa-epbx | Vial 2000 iu/ml 10 ml | $300 | Yes |
103003 | Revatio | Sildenafil Citrate | Vial 10/12.5 mg/ml 12.5 ml | $300 | No |
103022 | Rezvoglar | Insulin Glargine-aglr | Autoinjector 100 units/ml 15 ml | $300 | Yes |
103083 | Sandostatin | Octreotide Acetate | Ampule 100 mcg/ml 10 ml | $300 | Yes |
103116 | Serevent | Salmeterol Xinafoate | Inhaler 50 mcg 60 Actuation | $300 | No |
103165 | Somavert | Pegvisomant | Vial Kit 10 mg 1 Vial | $300 | Yes |
103187 | Sporanox | Itraconazole | Oral Solution 10 mg/ml 150 ml | $300 | No |
9414 | Steglatro | Ertugliflozin | Tablet 15 mg 84 tab | $300 | No |
6828 | Taclonex | Calcipotriol/Betamethasone | Ointment 0.005/0.064 % 120 g | $300 | No |
101056 | Tadalafil | Tadalafil | Tablet 2.5 mg 30 Tab | $300 | No |
103337 | Tekturna | Aliskiren Hemifumarate | Tablet 300 mg 30 tab | $300 | No |
103335 | Tekturna HCT | Aliskiren Hemifumarate | Tablet 300/12.5 mg/mg 30 tab | $300 | No |
103351 | Testim | Testosterone | Gel Tube 50 mg 150 g | $300 | No |
103365 | Tiazac | Diltiazem Hcl | Capsule 300 mg 90 cap | $300 | No |
103416 | Tribenzor | Olmesartan Medoxomil/Amlodipine Besylate/Hydrochlorothiazide | Tablet 20/5/12.5 mg 30 tab | $300 | No |
103457 | Tudorza Pressair | Aclidinium Bromide | Inhaler 400 mcg 1 Inhaler | $300 | No |
103518 | Vascepa | Icosapent Ethyl | Capsule 1 g 120 cap | $300 | No |
103543 | Venofer | Iron Sucrose | Vial 50/2.5 mg/ml 25 ml | $300 | No |
103721 | Yuvafem | Estradiol | Vaginal Insert 10 mcg 18 Insert | $300 | No |
103727 | Zarontin | Ethosuximide | Oral Solution 250/5 mg/ml 474 ml | $300 | No |
103728 | Zarxio | Filgrastim-sndz | Pre-Filled Syringe 300/0.5 mcg/ml 0.5 ml | $300 | Yes |
103730 | Zarxio | Filgrastim-sndz | Pre-Filled Syringe 480/0.8 mcg/ml 0.8 ml | $300 | Yes |
9491 | Zoladex | Goserelin | Injection 10.8 mg 1 ea | $300 | No |
103799 | Zylet | Loteprednol Etabonate And Tobramycin | Ophthalmic Suspension 0.3/0.5 %/% 5 ml | $300 | No |
101664 | Cymbalta | Duloxetine Hcl | Capsule 30 mg 30 cap | $306 | No |
101665 | Cymbalta | Duloxetine Hcl | Capsule 60 mg 30 cap | $306 | No |
7595 | Daliresp | Roflumilast | Tablet 500 mcg 90 tab | $306 | No |
101679 | Dayvigo | Lemborexant | Tablet 10 mg 30 tab | $306 | No |
101680 | Dayvigo | Lemborexant | Tablet 5 mg 30 tab | $306 | No |
7635 | Fragmin | Dalteparin | Pre-Filled Syringe 18000 iu 3.6 ml | $306 | No |
7483 | Movantik | Naloxegol | Tablet 12.5 mg 30 tab | $306 | No |
7484 | Movantik | Naloxegol | Tablet 25 mg 30 tab | $306 | No |
102873 | Prolensa | Bromfenac Sodium | Ophthalmic Solution 0.07 % 3 ml | $306 | No |
6205 | Prozac | Fluoxetine | Capsule 10 mg 100 cap | $306 | No |
6206 | Prozac | Fluoxetine | Capsule 20 mg 100 cap | $306 | No |
102925 | Qvar | Beclomethasone Dipropionate | Redihaler 80 mcg 10.6 g | $306 | No |
103614 | Vyzulta | Latanoprostene Bunod | Ophthalmic Solution 0.024 % 2.5 ml | $306 | Yes |
7419 | Zaditen | Ketotifen Fumarate | Tablet 1 mg 100 tab | $306 | No |
10939 | Actemra | Tocilizumab | Vial 80/4 mg/ml 4 ml | $312 | Yes |
8730 | Activella | Estradiol Hemihydrate/Norethindrone Acetate | Tablet 1/0.5 mg 84 tab | $312 | No |
8732 | Activelle | Estadiol/Norethindrone | Tablet 0.5/0.1 mg 84 tab | $312 | No |
6363 | Caduet | Amlodipine/Atorvastatin | Tablet 10/10 mg 90 tab | $312 | No |
8306 | Crinone | Progesterone | Vaginal Gel 8 % 18 Applicator | $312 | No |
6663 | Dexilant | Dexlansoprazole | Capsule 30 mg 90 cap | $312 | No |
6664 | Dexilant | Dexlansoprazole | Capsule 60 mg 90 cap | $312 | No |
11492 | Envarsus PA | Tacrolimus | Tablet 0.75 mg 100 tab | $312 | No |
5622 | Norvasc | Amlodipine | Tablet 10 mg 100 tab | $312 | No |
12902 | Omnitrope | Somatropin | Cartridge 5/1.5 mg/ml 1.5 ml | $312 | Yes |
6260 | Paxil CR | Paroxetine | Tablet 25 mg 90 tab | $312 | No |
6035 | Prevacid | Lansoprazole | Capsule 30 mg 100 cap | $312 | No |
7258 | Proglycem | Diazoxide | Capsule 100 mg 100 cap | $312 | No |
6449 | Prograf | Tacrolimus | Capsule 0.5 mg 100 cap | $312 | No |
25775 | Pulmicort | Budesonide | Respules 0.5/2 mg/ml 180 ea | $312 | No |
8704 | Pulmicort Flexhaler | Budesonide | Inhaler 200 mcg 3 Inhaler | $312 | No |
8630 | Qvar Redihaler | Beclomethasone Dipropionate | Inhaler 100 (80) mcg 31.8 g | $312 | No |
9513 | Temodar | Temozolomide | Capsule 180 mg 5 cap | $312 | No |
89728 | Valtrex | Valacyclovir | Tablet 1000 mg 28 tab | $312 | No |
6046 | Zofran | Ondansetron | Tablet 8 mg 10 tab | $312 | No |
8270 | Zofran ODT | Ondansetron | Tablet 8 mg 10 tab | $312 | No |
11510 | Eraxis | Anidulafungin | Injection 100 mg/Vial 1 Vial | $318 | Yes |
7570 | Azilect | Rasagiline | Tablet 0.5 mg 30 tab | $324 | No |
7571 | Azilect | Rasagiline | Tablet 1 mg 30 tab | $324 | No |
101776 | Emend | Aprepitant | Suspension Kit 125/5 mg/ml 1 Kit | $324 | No |
101778 | Emend | Fosaprepitant Dimeglumine | Vial 150 mg 1 Vial | $324 | No |
8613 | Flovent Diskus | Fluticasone | Inhaler 500 mcg 180 dose | $324 | No |
11590 | Genotropin MiniQuick | Somatropin | Pre-Filled Syringe 0.8 mg 7 PFS | $324 | Yes |
102349 | Leqembi | Lecanemab-Irmb | Vial 200/2 mg/ml 2 ml | $324 | Yes |
6563 | Motegrity | Prucalopride | Tablet 1 mg 84 tab | $324 | No |
6940 | Neupro | Rotigotine | Patch 6 mg 30 Patch | $324 | No |
6941 | Neupro | Rotigotine | Patch 8 mg 30 Patch | $324 | No |
102796 | Pertzye | Pancrelipase | Capsule 8000 USP 100 cap | $324 | No |
12425 | Solu-Medrol | Methylprednisolone | Act-O-Vial 500 mg 4 Vial | $324 | No |
101124 | Topiramate | Topiramate | Tablet 100 mg 60 Tab | $324 | No |
8848 | Viagra | Sildenafil | Tablet 100 mg 28 tab | $324 | No |
59532 | Winlevi | Clascoterone | Cream 1 % 30 g | $324 | No |
101440 | Armonair | Fluticasone Propionate | Digihaler 232 mcg 1 Inhaler | $330 | No |
101477 | Azor | Amlodipine/Olmesartan | Tablet 20/5 mg/mg 30 tab | $330 | No |
6360 | Caduet | Amlodipine/Atorvastatin | Tablet 5/10 mg 90 tab | $330 | No |
101591 | Cetrotide | Cetrorelix Acetate | Injection Kit 0.25 mg 1 Kit | $330 | Yes |
100210 | Colcrys | Colchicine | Tablet 0.6 mg 30 Tab | $330 | No |
101714 | Dulera | Mometasone/Formoterol | Inhaler 100/5 mcg/mcg 13 g | $330 | No |
101715 | Dulera | Mometasone/Formoterol | Inhaler 200/5 mcg/mcg 13 g | $330 | No |
101716 | Dulera | Mometasone/Formoterol | Inhaler 50/5 mcg/mcg 13 g | $330 | No |
101821 | Epogen | Epoetin Alfa | Vial 2000 units/ml 10 ml | $330 | Yes |
101895 | Ferrlecit | Sodium Ferric Gluconate/Sucrose | Vial 62.5/5 mg/ml 50 ml | $330 | No |
101959 | Gamunex-C | Immune Globulin (Human) | Vial 2.5/25 g/ml 25 ml | $330 | Yes |
100487 | Granix | tbo-Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 0.5 ml | $330 | Yes |
102253 | Kaletra | Lopinavir/Ritonavir | Tablet 100/25 mg/mg 60 tab | $330 | No |
102360 | Lexiscan | Regadenoson | Pre-Filled Syringe 0.4/5 mg/ml 5 ml | $330 | No |
100824 | Oxaliplatin | Oxaliplatin | Vial 100/20 mg/ml 20 ml | $330 | No |
6064 | Protonix | Pantoprazole Sodium | Tablet 40 mg 100 tab | $330 | No |
103028 | Rhopressa | Netarsudil Mesylate | Ophthalmic Solution 0.02 % 2.5 ml | $330 | Yes |
6272 | Seroquel XR | Quetiapine | Tablet 300 mg 60 tab | $330 | No |
103136 | Singulair | Montelukast Sodium | Tablet 10 mg 30 tab | $330 | No |
103152 | Slynd | Drospirenone | Tablet 4 mg 28 tab | $330 | No |
103446 | Trokendi XR | Topiramate | Capsule 25 mg 30 cap | $330 | No |
103562 | Viibryd | Vilazodone Hcl | Tablet 20 mg 30 tab | $330 | No |
103563 | Viibryd | Vilazodone Hcl | Tablet 40 mg 30 tab | $330 | No |
103776 | Zocor | Simvastatin | Tablet 20 mg 30 tab | $330 | No |
103777 | Zocor | Simvastatin | Tablet 40 mg 30 tab | $330 | No |
7794 | Cancidas | Caspofungin | Powder Vial 50 mg 1 vial | $336 | No |
7796 | Cancidas | Caspofungin | Powder Vial 70 mg 1 vial | $336 | No |
101684 | Depakote DR | Divalproex Sodium | Tablet 250 mg 100 tab | $336 | No |
7447 | Femara | Letrozole | Tablet 2.5 mg 30 tab | $336 | No |
8785 | Invega | Paliperidone | Tablet 9 mg 30 tab | $336 | No |
6897 | Lialda | Mesalamine aka Mesalazine | Tablet 1.2 g 120 tab | $336 | No |
5634 | Lipitor | Atorvastatin | Tablet 20 mg 90 tab | $336 | No |
7309 | Lovenox | Enoxaparin | Pre-Filled Syringe 100/1 mg/ml 10 ml | $336 | No |
102392 | Lovenox HP | Enoxaparin Sodium | Pre-Filled Syringe 150/1 mg/ml 10 ml | $336 | No |
102651 | Nuvigil | Armodafinil | Tablet 50 mg 30 tab | $336 | No |
5564 | Plavix | Clopidogrel | Tablet 75 mg 90 tab | $336 | No |
102991 | Retacrit | Epoetin Alfa-epbx | Vial 3,000 Units/ml 10 ml | $336 | Yes |
9461 | Xigduo XR | Dapagliflozin and Metformin | Tablet 10/500 mg 84 Tabs | $336 | No |
103484 | Uloric | Febuxostat | Tablet 80 mg 30 tab | $342 | No |
101514 | Bijuva | Estradiol/Progesterone | Capsule 1/100 mg/mg 30 cap | $348 | No |
7459 | CeeNU | Lomustine | Capsule 40 mg 20 cap | $348 | No |
7679 | Soliqua Solostar | Insulin Glargine/Lixisenatide | Autoinjector 100/33 u/mcg/ml 15 ml | $348 | Yes |
103386 | Topamax Sprinkle | Topiramate | Capsule 15 mg 60 cap | $348 | No |
17624 | Xadago | Safinamide | Tablet 50 mg 30 tab | $348 | No |
17626 | Xadago | Safinamide | Tablet 100 mg 30 tab | $348 | No |
9462 | Xigduo XR | Dapagliflozin and Metformin | Tablet 10/1000 mg 84 Tabs | $348 | No |
11652 | Ibsrela | Tenapanor | Tablet 50 mg 60 tab | $354 | No |
12333 | Risperdal Consta | Risperidone | Vial Kit 25 mg 1 Kit | $354 | No |
103483 | Uloric | Febuxostat | Tablet 40 mg 30 tab | $354 | No |
6558 | Vancocin | Vancomycin | Capsule 250 mg 20 cap | $354 | No |
6077 | Aciphex | Rabeprazole | Tablet 20 mg 100 tab | $360 | No |
101308 | Advair Diskus | Fluticasone Propionate/Salmeterol | Inhaler 250/50 mcg/mcg 60 dose | $360 | No |
100072 | Alphanate | Antihemophilic Factor/Vwf | Vial Kit 250 IU 250 IU | $360 | No |
6978 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 20 mcg/ml 2 ml | $360 | Yes |
11073 | Arthrotec | Diclofenac/Misoprostol | Tablet 75/200 mg/mcg 250 tab | $360 | No |
101459 | Atrovent | Ipratropium Bromide | Inhalator 17 mcg 12.9 g | $360 | No |
101478 | Azor | Amlodipine/Olmesartan | Tablet 40/10 mg/mg 30 tab | $360 | No |
101479 | Azor | Amlodipine/Olmesartan | Tablet 5/40 mg/mg 30 tab | $360 | No |
101486 | Baqsimi | Glucagon | 3 mg/Device 1 Dose | $360 | No |
101529 | Breo Ellipta | Fluticasone/Vilanterol | Inhaler 100/25 mcg/mcg 60 Blister | $360 | No |
101530 | Breo Ellipta | Fluticasone/Vilanterol | Inhaler 200/25 mcg/mcg 60 Blister | $360 | No |
101531 | Breo Ellipta | Fluticasone/Vilanterol | Inhaler 50/25 mcg/mcg 60 Blister | $360 | No |
25018 | Breztri Aerosphere | Budesonide/Formoterol/Glycopyr | Inhaler 160mcg/9mcg/4.8mcg mg Inhalation Suspension 10.7 g | $360 | No |
6989 | Bydureon | Exenatide | Autoinjector 2 mg/Dose 4 Pen | $360 | Yes |
7210 | Casodex | Bicalutamide | Tablet 50 mg 30 tab | $360 | No |
101586 | Cellcept | Mycophenolate | Vial 500/20 mg/ml 80 ml | $360 | No |
17702 | Cequa | Cyclosporine | Ophthalmic Solution 0.09 % 60 Dropperette | $360 | No |
8746 | Cialis | Tadalafil | Tablet 10 mg 60 tab | $360 | No |
101617 | Combigan | Brimonidine/Timolol | Ophthalmic Solution 0.2-0.5 % 10 ml | $360 | No |
6638 | Contrave ER | Bupropion/Naltrexone | Tablet 8/90 mg 120 tab | $360 | No |
54033 | Entresto | Sacubitril/Valsartan | Tablet 24.3/25.7 mg 56 Tabs | $360 | No |
11493 | Envarsus PA | Tacrolimus | Tablet 1 mg 100 tab | $360 | No |
100357 | Epinephrine | Epinephrine | Autoinjector 0.3/0.3 mg/ml 2 Autoinjector | $360 | No |
101860 | Exforge | Amlodipine/Valsartan | Tablet 5/320 mg/mg 30 tab | $360 | No |
101903 | Finacea | Azelaic Acid | Topical Gel 0.15 % 50 g | $360 | No |
100408 | Flebogamma | Immune Globulin (Human) | Vial 2.5/50 g/ml 50 ml | $360 | No |
101911 | Flovent HFA | Fluticasone Propionate | HFA 220 mcg 12 g | $360 | No |
12300 | Follistim AQ | Follitropin Beta | Injection 300 IU 0.36 ml | $360 | No |
11638 | Humatin | Paromomycin | Capsule 250 mg 100 cap | $360 | No |
102078 | Humulin N | Insulin NPH | Autoinjector 100 iu/ml 15 ml | $360 | Yes |
102080 | Humulin R U-500 Kwikpen | Insulin Regular | Autoinjector 500 u/ml 6 ml | $360 | Yes |
100546 | Ibandronate | Ibandronate Sodium | Tablet 150 mg 3 Tab | $360 | No |
8127 | Imitrex | Sumatriptan | Vial 6/0.5 mg/ml 2.5 ml | $360 | No |
102152 | Inspra | Eplerenone | Tablet 25 mg 30 tab | $360 | No |
102153 | Inspra | Eplerenone | Tablet 50 mg 30 tab | $360 | No |
102172 | Invokamet | Canagliflozin/Metformin Hcl | Tablet 150/1000 mg/mg 60 tab | $360 | No |
102173 | Invokamet | Canagliflozin/Metformin Hcl | Tablet 150/500 mg/mg 60 tab | $360 | No |
102174 | Invokamet | Canagliflozin/Metformin Hcl | Tablet 50/1000 mg/mg 60 tab | $360 | No |
102175 | Invokamet | Canagliflozin/Metformin Hcl | Tablet 50/500 mg/mg 60 tab | $360 | No |
102176 | Invokamet XR | Canagliflozin/Metformin Hcl | Tablet 150/1000 mg/mg 60 tab | $360 | No |
102177 | Invokamet XR | Canagliflozin/Metformin Hcl | Tablet 150/500 mg/mg 60 tab | $360 | No |
102178 | Invokamet XR | Canagliflozin/Metformin Hcl | Tablet 50/1000 mg/mg 60 tab | $360 | No |
102179 | Invokamet XR | Canagliflozin/Metformin Hcl | Tablet 50/500 mg/mg 60 tab | $360 | No |
7169 | Isoptin SR | Verapamil HCl | Tablet 240 mg 100 tab | $360 | No |
102213 | Januvia | Sitagliptin Phosphate | Tablet 100 mg 30 tab | $360 | No |
102215 | Januvia | Sitagliptin Phosphate | Tablet 25 mg 30 tab | $360 | No |
102217 | Januvia | Sitagliptin Phosphate | Tablet 50 mg 30 tab | $360 | No |
102273 | Keppra | Levetiracetam | Vial 500/5 mg/ml 50 ml | $360 | No |
102274 | Keppra XR | Levetiracetam | Tablet 500 mg 60 tab | $360 | No |
13525 | Kombiglyze XR | Saxagliptin and Metformin | Tablet 5/500 mg 84 Tabs | $360 | No |
13527 | Kombiglyze XR | Saxagliptin and Metformin | Tablet 5/1000 mg 84 Tabs | $360 | No |
13529 | Kombiglyze XR | Saxagliptin and Metformin | Tablet 2.5/1000 mg 168 Tabs | $360 | No |
102322 | Lamictal ODT | Lamotrigine | Tablet 25 mg 30 tab | $360 | No |
102329 | Lamictal XR | Lamotrigine | Tablet 25 mg 30 tab | $360 | No |
102356 | Levemir Flexpen | Insulin Detemir | Autoinjector 100 iu/ml 15 ml | $360 | Yes |
102367 | Linzess | Linaclotide | Capsule 145 mcg 30 cap | $360 | No |
102368 | Linzess | Linaclotide | Capsule 290 mcg 30 cap | $360 | No |
102369 | Linzess | Linaclotide | Capsule 72 mcg 30 cap | $360 | No |
5635 | Lipitor | Atorvastatin | Tablet 40 mg 90 tab | $360 | No |
102388 | Lotemax | Loteprednol Etabonate | Ophthalmic Suspension 0.5 % 10 ml | $360 | No |
7311 | Lovenox HP | Enoxaparin | Pre-Filled Syringe 120/0.8 mg/ml 8 ml | $360 | No |
102457 | Lyumjev | Insulin Lispro-aabc | Vial 100/ units/ml 10 ml | $360 | Yes |
11829 | Maxalt MLT | Rizatriptan | Tablet 10 mg 12 tab | $360 | No |
11830 | Maxalt ODT | Rizatriptan | Tablet 5 mg 12 tab | $360 | No |
102487 | Metrogel | Metronidazole | Gel Tube 0.75 % 60 g | $360 | No |
102498 | Mircera | Methoxy Peg-Epoetin Beta | Pre-Filled Syringe 100/0.3 mcg/ml 0.3 ml | $360 | Yes |
102499 | Mircera | Methoxy Peg-Epoetin Beta | Pre-Filled Syringe 120/0.3 mcg/ml 0.3 ml | $360 | Yes |
102517 | Movantik | Naloxegol Oxalate | Tablet 12.5 mg 30 tab | $360 | No |
102522 | Muse | Alprostadil | Transurethral System 1000 mcg 6 System | $360 | Yes |
102524 | Muse | Alprostadil | Transurethral System 500 mcg 6 System | $360 | Yes |
95558 | Myfembree | Relugolix/Estradiol/Norethindrone acetate | Tablet 40/1/0.5 mg 28 tab | $360 | No |
56322 | Myfortic | Mycophenolate | Tablet 180 mg 120 Tabs | $360 | No |
102534 | Myrbetriq | Mirabegron | Tablet 25 mg 30 tab | $360 | No |
102536 | Myrbetriq | Mirabegron | Tablet 50 mg 30 tab | $360 | No |
102550 | Neoral | Cyclosporine, Modified | Capsule 100 mg 30 cap | $360 | No |
102555 | Nesina | Alogliptin Benzoate | Tablet 12.5 mg 28 tab | $360 | No |
102556 | Nesina | Alogliptin Benzoate | Tablet 25 mg 28 tab | $360 | No |
102557 | Nesina | Alogliptin Benzoate | Tablet 6.25 mg 28 tab | $360 | No |
102560 | Neupogen | Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 0.5 ml | $360 | Yes |
102574 | Nexium | Esomeprazole Magnesium | Tablet 40 mg 28 tab | $360 | No |
102587 | Nivestym | Filgrastim-aafi | Pre-Filled Syringe 480/0.8 mcg/ml 0.8 ml | $360 | Yes |
102646 | Nutropin AQ | Somatropin | Autoinjector 5/2 mg/ml 2 ml | $360 | Yes |
102647 | Nuvaring | Etonogestrel/Ethinyl Estradiol | Vaginal Ring 0.12/0.015 mg/mg 3 Ring | $360 | Yes |
102778 | Paxil | Paroxetine Hcl | Tablet 10 mg 30 tab | $360 | No |
102776 | Paxil CR | Paroxetine Hcl | Tablet 12.5 mg 30 tab | $360 | No |
102777 | Paxil CR | Paroxetine Hcl | Tablet 25 mg 30 tab | $360 | No |
102798 | Pexeva | Paroxetine Mesylate | Tablet 10 mg 30 tab | $360 | No |
102799 | Pexeva | Paroxetine Mesylate | Tablet 20 mg 30 tab | $360 | No |
102800 | Pexeva | Paroxetine Mesylate | Tablet 30 mg 30 tab | $360 | No |
102801 | Pexeva | Paroxetine Mesylate | Tablet 40 mg 30 tab | $360 | No |
102853 | Pristiq | Desvenlafaxine Succinate | Tablet 100 mg 30 tab | $360 | No |
102854 | Pristiq | Desvenlafaxine Succinate | Tablet 50 mg 30 tab | $360 | No |
102860 | Procrit | Epoetin Alfa | Vial 2,000 units/ml 6 ml | $360 | Yes |
100900 | Prograf | Tacrolimus | Sachet 0.2 mg 50 Sachet | $360 | No |
6451 | Prograf | Tacrolimus | Capsule 1 mg 100 cap | $360 | No |
102880 | Prometrium | Progesterone | Capsule 100 mg 30 cap | $360 | No |
102889 | Provera | Medroxyprogesterone Acetate | Tablet 5 mg 100 tab | $360 | No |
25756 | Pulmicort | Budesonide | Respules 1/2 mg/ml 180 ea | $360 | No |
102893 | Pulmicort Flexhaler | Budesonide | Inhaler 180 mcg 1 Inhaler | $360 | No |
102897 | Pulmicort Respules | Budesonide | Ampule 0.5/2 mg/ml 60 ml | $360 | No |
102965 | Relpax | Eletriptan Hydrobromide | Tablet 20 mg 6 tab | $360 | No |
102966 | Relpax | Eletriptan Hydrobromide | Tablet 40 mg 6 tab | $360 | No |
102998 | Retrovir | Zidovudine | Capsule 100 mg 100 cap | $360 | No |
103036 | Risperdal Consta | Risperidone | Vial Kit 12.5 mg 1 Kit | $360 | Yes |
103048 | Rocklatan | Netarsudil Mesylat/Latanoprost | Ophthalmic Solution 0.02/0.005 %/% 2.5 ml | $360 | Yes |
103069 | Rytary | Carbidopa/Levodopa | Capsule 23.75/95 mg/mg 100 cap | $360 | No |
103070 | Rytary | Carbidopa/Levodopa | Capsule 36.25/145 mg/mg 100 cap | $360 | No |
103071 | Rytary | Carbidopa/Levodopa | Capsule 48.75/195 mg/mg 100 cap | $360 | No |
9420 | Santyl | Collagenase | Ointment 250 units/g 90 g | $360 | No |
103099 | Savella Titration Pack | Milnacipran Hcl | Tablet 12.5/25/50 mg/mg/mg 55 tab | $360 | No |
103111 | Semglee | Insulin Glargine (insulin glargine-yfgn | Autoinjector 100 iu/ml 15 ml | $360 | Yes |
8853 | Singulair | Montelukast | Tablet 10 mg 90 tab | $360 | No |
101018 | Solifenacin | Solifenacin Succinate | Tablet 5 mg 30 Tab | $360 | No |
103210 | Strattera | Atomoxetine | Capsule 100 mg 30 cap | $360 | No |
103211 | Strattera | Atomoxetine | Capsule 10 mg 30 cap | $360 | No |
103212 | Strattera | Atomoxetine | Capsule 18 mg 30 cap | $360 | No |
103213 | Strattera | Atomoxetine | Capsule 25 mg 30 cap | $360 | No |
103214 | Strattera | Atomoxetine | Capsule 40 mg 30 cap | $360 | No |
103215 | Strattera | Atomoxetine | Capsule 60 mg 30 cap | $360 | No |
103216 | Strattera | Atomoxetine | Capsule 80 mg 30 cap | $360 | No |
101074 | Tamsulosin | Tamsulosin HCl | Capsule 0.4 mg 100 Cap | $360 | No |
103366 | Tiazac | Diltiazem Hcl | Capsule 360 mg 90 cap | $360 | No |
103367 | Tiazac | Diltiazem Hcl | Capsule 420 mg 90 cap | $360 | No |
103389 | Topamax | Topiramate | Tablet 25 mg 60 tab | $360 | No |
5749 | Topamax | Topiramate | Tablet 200 mg 60 tab | $360 | No |
103393 | Toujeo Solostar | Insulin Glargine,Hum.Rec.Anlog | Autoinjector 300 iu/ml 4.5 ml | $360 | Yes |
103417 | Tribenzor | Olmesartan Medoxomil/Amlodipine Besylate/Hydrochlorothiazide | Tablet 40/10/12.5 mg 30 tab | $360 | No |
103418 | Tribenzor | Olmesartan Medoxomil/Amlodipine Besylate/Hydrochlorothiazide | Tablet 40/10/25 mg 30 tab | $360 | No |
103419 | Tribenzor | Olmesartan Medoxomil/Amlodipine Besylate/Hydrochlorothiazide | Tablet 40/5/12.5 mg 30 tab | $360 | No |
103420 | Tribenzor | Olmesartan Medoxomil/Amlodipine Besylate/Hydrochlorothiazide | Tablet 40/5/25 mg 30 tab | $360 | No |
103463 | Tybost | Cobicistat | Tablet 150 mg 30 tab | $360 | No |
103512 | Valtrex | Valacyclovir Hcl | Tablet 500 mg 30 tab | $360 | No |
103554 | Vesicare | Solifenacin Succinate | Tablet 10 mg 30 tab | $360 | No |
9433 | Voriconazole | Voriconazole | Tablet 200 mg 28 tab | $360 | No |
103673 | Xeomin | Incobotulinumtoxina | Powder Vial 50 units 1 Vial | $360 | No |
101211 | Xeomin | Incobotulinumtoxina | Powder Vial 50 Unit 1 Vial | $360 | No |
13255 | Xigduo XR | Dapagliflozin and Metformin | Tablet 5/1000 mg 168 Tabs | $360 | No |
103725 | Zanosar | Streptozocin | Vial 1 g 1 g | $360 | Yes |
101228 | Zarxio | Filgrastim-sndz | Pre-Filled Syringe 300/0.5 mcg/ml 0.5 ml | $360 | Yes |
103738 | Zegalogue | Dasiglucagon Hcl | Pre-Filled Syringe 0.6/0.6 mg/ml 0.6 ml | $360 | No |
103739 | Zegalogue | Dasiglucagon Hcl | Pre-Filled Syringe 0.6/0.6 mg/ml 0.6 ml | $360 | No |
101236 | Zenpep | Pancrelipase | Capsule 3000-10000 IU 100 Cap | $360 | No |
103766 | Zetia | Ezetimibe | Tablet 10 mg 30 tab | $360 | No |
9492 | Zoladex | Goserelin | Injection 3.6 mg 3 ea | $360 | No |
103785 | Zontivity | Vorapaxar | Tablet 2.08 mg 30 tab | $360 | No |
101533 | Breztri Aerosphere | Budesonide/Glycopyrrolate/Formoterol | Inhaler 160/9/4.8 mcg/mcg/mcg 5.9 g | $366 | No |
6364 | Caduet | Amlodipine/Atorvastatin | Tablet 10/20 mg 90 tab | $366 | No |
6954 | Rythmol | Propafenone | Tablet 300 mg 100 tab | $366 | No |
103158 | Solosec | Secnidazole | Oral Granules 2 g 1 Unit | $366 | No |
103254 | Symproic | Naldemedine Tosylate | Tablet 0.2 mg 30 tab | $366 | No |
103807 | Zyprexa | Olanzapine | Tablet 2.5 mg 30 tab | $366 | No |
7220 | Cyclomen | Danazol | Capsule 200 mg 100 cap | $372 | No |
11684 | Innohep | Tinzaparin Sodium | Pre-Filled Syringe 10000/0.5 iu/ml 5 ml | $372 | No |
51584 | Janumet XR | Sitagliptin/Metformin | Tablet 50/1000 mg 168 Tabs | $372 | No |
5638 | Lipitor | Atorvastatin | Tablet 80 mg 90 tab | $372 | No |
101159 | Ursodiol | Ursodiol | Tablet 500 mg 100 Tab | $372 | No |
7562 | Isentress | Raltegravir | Chewable Tablet 100 mg 60 tab | $378 | No |
7591 | Maxalt | Rizatriptan | Tablet 10 mg 12 tab | $378 | No |
6365 | Caduet | Amlodipine/Atorvastatin | Tablet 10/40 mg 90 tab | $384 | No |
7880 | Cortiment DR+ER | Budesonide | Tablet 9 mg 30 tab | $384 | No |
7424 | Fosrenol | Lanthanum | Chewable Tablet 500 mg 90 tab | $384 | No |
102485 | Mestinon | Pyridostigmine Bromide | Tablet 60 mg 100 tab | $384 | No |
100836 | Palonosetron | Palonosetron HCl | Vial 0.25/5 mg/ml 5 ml | $384 | No |
12276 | Prevymis | Letermovir | Injection Solution 240 mg 1 Vial | $384 | No |
103406 | Trelegy | Fluticasone/Umeclidin/Vilanter | Inhaler 100/62.5/25 mcg 60 Blister | $384 | No |
103407 | Trelegy | Fluticasone/Umeclidin/Vilanter | Inhaler 200/62.5/25 mcg 60 Blister | $384 | No |
7538 | Vibativ | Telavancin | Vial 750 mg/Vial 50 ml | $384 | No |
5965 | Zocor | Simvastatin | Tablet 10 mg 84 tab | $384 | No |
101311 | Advair HFA | Fluticasone Propionate/Salmeterol | Inhaler 230/21 mcg/mcg 12 g | $390 | No |
101453 | Aspruzyo Sprinkle | Ranolazine | Capsule 500 mg 60 cap | $390 | No |
101512 | Bevespi Aerosphere | Glycopyrrolate/Formoterol Fumarate | 9/4.8 mcg/mcg 10.7 g | $390 | No |
100285 | Docetaxel | Docetaxel | Vial 80/4 mg/ml 4 ml | $390 | No |
7945 | Epivir | Lamivudine | Tablet 100 mg 60 tab | $390 | No |
101858 | Exforge | Amlodipine/Valsartan | Tablet 10/320 mg/mg 30 tab | $390 | No |
101950 | Gammagard Liquid | Immune Globulin (Human) | Vial 2.5/25 g/ml 25 ml | $390 | No |
100461 | Gengraf | Cyclosporine | Oral Solution 100 mg/ml 50 ml | $390 | No |
100624 | Lamivudine | Lamivudine | Tablet 150 mg 60 Tab | $390 | No |
100625 | Lamivudine | Lamivudine | Tablet 300 mg 30 Tab | $390 | No |
102448 | Lyrica CR | Pregabalin | Tablet 165 mg 30 tab | $390 | No |
102449 | Lyrica CR | Pregabalin | Tablet 330 mg 30 tab | $390 | No |
102450 | Lyrica CR | Pregabalin | Tablet 82.5 mg 30 tab | $390 | No |
102518 | Movantik | Naloxegol Oxalate | Tablet 25 mg 30 tab | $390 | No |
100755 | Norvir | Ritonavir | Tablet 100 mg 30 Tab | $390 | No |
102779 | Paxil | Paroxetine Hcl | Tablet 20 mg 30 tab | $390 | No |
102780 | Paxil | Paroxetine Hcl | Tablet 30 mg 30 tab | $390 | No |
103072 | Rytary | Carbidopa/Levodopa | Capsule 61.25/245 mg/mg 100 cap | $390 | No |
103117 | Seroquel | Quetiapine Fumarate | Tablet 25 mg 100 tab | $390 | No |
6695 | Glyxambi | Empagliflozin and Linagliptin | Tablet 10/5 mg 90 Tabs | $396 | No |
6697 | Glyxambi | Empagliflozin and Linagliptin | Tablet 25/5 mg 90 Tabs | $396 | No |
6306 | Jardiance | Empagliflozin | Tablet 10 mg 90 tab | $396 | No |
6307 | Jardiance | Empagliflozin | Tablet 25 mg 90 tab | $396 | No |
5842 | Keppra | Levetiracetam | Tablet 500 mg 120 tab | $396 | No |
7788 | Kyprolis | Carfilzomib | Vial 10 mg 1 Vial | $396 | No |
12080 | Nivestym | Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 1 PFS | $396 | No |
23845 | Nutropin AQ | Somatropin | Pen Cartridge 5/2 mg/ml 2 ml | $396 | Yes |
8718 | Onglyza | Saxagliptin | Tablet 5 mg 90 tab | $396 | No |
102832 | Praluent | Alirocumab | Autoinjector 150 mg/ml 2 ml | $396 | Yes |
102834 | Praluent | Alirocumab | Autoinjector 75 mg/ml 2 ml | $396 | Yes |
5578 | Xarelto | Rivaroxaban | Tablet 15 mg 90 tab | $396 | No |
5579 | Xarelto | Rivaroxaban | Tablet 20 mg 90 tab | $396 | No |
8798 | Breo Ellipta | Fluticasone/Vilanterol | Inhaler 100/25 mcg 180 blisters | $400 | No |
6361 | Caduet | Amlodipine/Atorvastatin | Tablet 5/20 mg 90 tab | $402 | No |
11576 | Gemcitabine Hydrochloride | Gemcitabine Hydrochloride | Injection 40 mg/ml 25 ml | $402 | No |
11578 | Gemcitabine Hydrochloride | Gemcitabine Hydrochloride | Injection 40 mg/ml 25 ml | $402 | No |
72110 | Trulicity | Dulaglutide | Autoinjector 1.5 mg/0.5ml 2 ml | $402 | No |
11385 | Dexcom | G6 | Sensor blood glucose monitor 3 Sensor | $408 | No |
6405 | Ditropan XL | Oxybutynin | Tablet 5 mg 100 tab | $408 | No |
6406 | Ditropan XL | Oxybutynin | Tablet 10 mg 100 tab | $408 | No |
11542 | Ferrlecit | Sodium Ferric Gluconate | Vial 62.5/5 mg/ml 50 ml | $408 | No |
100488 | Granix | tbo-Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 0.5 ml | $408 | Yes |
8097 | Plavix | Clopidogrel | Tablet 300 mg 30 tab | $408 | No |
5739 | Savaysa | Edoxaban | Tablet 15 mg 90 tab | $408 | No |
5740 | Savaysa | Edoxaban | Tablet 30 mg 90 tab | $408 | No |
5741 | Savaysa | Edoxaban | Tablet 60 mg 90 tab | $408 | No |
63539 | Victoza | Liraglutide | Injection 6 mg/ml 6 ml | $408 | Yes |
7451 | Xiidra | Lifitegrast | $408 | No | |
7639 | Firmagon | Degarelix | Injection Kit 80 mg 1 Kit | $414 | No |
101284 | Actos | Pioglitazone | Tablet 30 mg 30 tab | $420 | No |
23744 | Amphotericin B | Amphotericin B | Capsule 10 mg 270 cap | $420 | Yes |
101395 | Anoro Ellipta | Umeclidinium/Vilanterol | Inhaler 62.5/25 mcg/mcg 60 Blister | $420 | No |
101397 | Apidra Solostar | Insulin Glulisine | Autoinjector 100 iu/ml 15 ml | $420 | Yes |
100102 | Aralast | Alpha-1-Proteinase Inhibitor (Human) | Vial 500 mg 500 mg | $420 | No |
100157 | Bicalutamide | Bicalutamide | Tablet 50 mg 30 Tab | $420 | No |
101535 | Brilinta | Ticagrelor | Tablet 60 mg 60 tab | $420 | No |
101536 | Brilinta | Ticagrelor | Tablet 90 mg 60 tab | $420 | No |
6362 | Caduet | Amlodipine/Atorvastatin | Tablet 5/40 mg 90 tab | $420 | No |
101575 | Carafate | Sucralfate | Tablet 1 g 100 tab | $420 | No |
6147 | Cipro | Ciprofloxacin | Tablet 750 mg 50 tab | $420 | No |
101650 | Crinone | Progesterone | Gel 0.08 % 16.875 g | $420 | No |
101698 | Differin | Adapalene | Cream Tube 0.001 % 45 g | $420 | No |
101742 | Effient | Prasugrel | Tablet 10 mg 30 tab | $420 | No |
101743 | Effient | Prasugrel | Tablet 5 mg 30 tab | $420 | No |
8155 | Eliquis | Apixaban | Tablet 2.5 mg 180 tab | $420 | No |
101775 | Emend | Aprepitant | Capsule 80 mg 2 cap | $420 | No |
101796 | Entadfi | Finasteride/Tadalafil | Capsule 5/5 mg/mg 30 cap | $420 | No |
101815 | Epivir | Lamivudine | Tablet 300 mg 30 tab | $420 | No |
101854 | Exforge HCT | Amlodipine/Valsartan/Hydrochlorothiazide | Tablet 10/320/25 mg/mg/mg 30 tab | $420 | No |
101870 | Eysuvis | Loteprednol Etabonate | Ophthalmic Suspension 0.25 % 8.3 ml | $420 | No |
101896 | Fetzima | Levomilnacipran | Capsule 120 mg 30 cap | $420 | No |
101897 | Fetzima | Levomilnacipran | Capsule 20 mg 30 cap | $420 | No |
101898 | Fetzima | Levomilnacipran | Capsule 40 mg 30 cap | $420 | No |
101899 | Fetzima | Levomilnacipran | Capsule 80 mg 30 cap | $420 | No |
100415 | Fosaprepitant | Fosaprepitant Dimeglumine | Vial 150 mg 1 Vial | $420 | Yes |
101973 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 0.4 mg 1.75 ml | $420 | Yes |
102017 | Granix | tbo-Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 0.8 ml | $420 | Yes |
102021 | Gvoke | Glucagon | Pre-Filled Syringe 1/0.2 mg/ml 0.2 ml | $420 | No |
102023 | Gvoke | Glucagon | Vial 1/0.2 mg/ml 0.2 ml | $420 | No |
102045 | Hizentra | Immune Globulin (Human) | Pre-Filled Syringe 2/10 g/ml 10 ml | $420 | No |
102049 | Hizentra | Immune Globulin (Human) | Vial 2/10 g/ml 10 ml | $420 | No |
102051 | Horizant | Gabapentin | Tablet 300 mg 30 tab | $420 | No |
102052 | Horizant | Gabapentin | Tablet 600 mg 30 tab | $420 | No |
102059 | Humalog Kwikpen | Insulin Lispro | Autoinjector 200 iu/ml 6 ml | $420 | Yes |
102077 | Humulin 30/70 | Insulin NPH/Insulin Regular | Cartridge 100 iu/ml 15 ml | $420 | Yes |
100545 | Ibandronate | Ibandronate Sodium | Pre-Filled Syringe 3/3 mg/ml 3 ml | $420 | No |
102112 | Ilevro | Nepafenac | Ophthalmic Suspension 0.3 % 3 ml | $420 | No |
102124 | Imitrex | Sumatriptan Succinate | Cartridge 6/0.5 mg/ml 1 ml | $420 | No |
102127 | Imitrex | Sumatriptan Succinate | Injection Kit 6/0.5 mg/ml 0.5 ml | $420 | No |
102126 | Imitrex DF | Sumatriptan Succinate | Tablet 50 mg 6 tab | $420 | No |
102207 | Janumet | Sitagliptin Phos/Metformin Hcl | Tablet 50/1000 mg/mg 60 tab | $420 | No |
102208 | Janumet | Sitagliptin Phos/Metformin Hcl | Tablet 50/500 mg/mg 60 tab | $420 | No |
102209 | Janumet XR | Sitagliptin Phos/Metformin Hcl | Tablet 100/1000 mg/mg 30 tab | $420 | No |
102210 | Janumet XR | Sitagliptin Phos/Metformin Hcl | Tablet 50/1000 mg/mg 60 tab | $420 | No |
102211 | Janumet XR | Sitagliptin Phos/Metformin Hcl | Tablet 50/500 mg/mg 60 tab | $420 | No |
102218 | Jardiance | Empagliflozin | Tablet 10 mg 30 tab | $420 | No |
102220 | Jardiance | Empagliflozin | Tablet 25 mg 30 tab | $420 | No |
102280 | Kerydin | Tavaborole | Topical Solution 5 % 4 ml | $420 | No |
102298 | Kombiglyze XR | Saxagliptin Hcl/Metformin Hcl | Tablet 2.5/1000 mg/mg 60 tab | $420 | No |
102299 | Kombiglyze XR | Saxagliptin Hcl/Metformin Hcl | Tablet 5/500 mg/mg 30 tab | $420 | No |
102300 | Kombiglyze XR | Saxagliptin Hcl/Metformin Hcl | Tablet 5/1000 mg/mg 30 tab | $420 | No |
102320 | Lamictal ODT | Lamotrigine | Tablet 100 mg 30 tab | $420 | No |
100651 | Letrozole | Letrozole | Tablet 2.5 mg 30 Tab | $420 | No |
100655 | Levetracetam | Levetracetam | Tablet 500 mg 120 Tab | $420 | No |
100722 | Mycophenolate | Mycophenolate Mofetil | Tablet 180 mg 120 Tab | $420 | No |
100729 | Myobloc | RimabotulinumtoxinB | Vial 2500/0.5 IU/ml 0.5 ml | $420 | Yes |
102546 | Namzaric Titration Pack | Memantine Hcl/Donepezil Hcl | Capsule 7/10/14/21 mg 28 cap | $420 | No |
100739 | Nevirapine | Nevirapine | Tablet 400 mg 30 Tab | $420 | No |
102663 | Octagam | Immun Globg(Igg)/Malt/Iga Ov47 | Vial 2.5/50 g/ml 50 ml | $420 | No |
102746 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 0.5-6 mg 13 cap | $420 | No |
102835 | Premarin | Estrogens | Tablet 0.3 mg 100 tab | $420 | No |
102836 | Premarin | Estrogens | Tablet 0.625 mg 100 tab | $420 | No |
7979 | Procrit | Epoetin Alfa | Pre-Filled Syringe 3000 iu w/ Protec 1.8 ml | $420 | Yes |
102913 | Qtern | Dapagliflozin/Saxagliptin | Tablet 10/5 mg/mg 30 tab | $420 | No |
102914 | Qtern | Dapagliflozin/Saxagliptin | Tablet 5/5 mg/mg 30 tab | $420 | No |
12303 | Quelicin | Succinylcholine Chloride | Vial 20 mg/ml 200 ml | $420 | No |
7603 | Renvela | Sevelamer Carbonate | Tablet 800 mg 180 tab | $420 | No |
102992 | Retacrit | Epoetin Alfa-epbx | Vial 4,000 Units/ml 10 ml | $420 | Yes |
103050 | Rowasa | Mesalazine | Enema 4 g 420 ml | $420 | No |
103095 | Savella | Milnacipran Hcl | Tablet 100 mg 60 tab | $420 | No |
103096 | Savella | Milnacipran Hcl | Tablet 12.5 mg 60 tab | $420 | No |
103097 | Savella | Milnacipran Hcl | Tablet 25 mg 60 tab | $420 | No |
103098 | Savella | Milnacipran Hcl | Tablet 50 mg 60 tab | $420 | No |
90457 | Semaglutide | Semaglutide | Vial 1 mg/ml 15 ml | $420 | Yes |
6671 | Sensipar | Cinacalcet | Tablet 30 mg 30 tab | $420 | No |
103184 | Spiriva HandiHaler | Tiotropium Bromide | Capsule with Device 18 mcg 30 Cap | $420 | No |
103208 | Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | Inhaler 2.5/2.5 mcg/mcg 4 g | $420 | No |
9384 | Synjardy | Empagliflozin and Metformin | Tablet 5/500 mg 180 Tabs | $420 | No |
9385 | Synjardy | Empagliflozin and Metformin | Tablet 12.5/500 mg 180 Tabs | $420 | No |
9383 | Synjardy | Empagliflozin and Metformin | Tablet 12.5/1000 mg 180 Tabs | $420 | No |
9386 | Synjardy | Empagliflozin and Metformin | Tablet 5/1000 mg 180 Tabs | $420 | No |
103320 | Tazorac | Tazarotene | Cream Tube 0.0005 % 30 g | $420 | No |
103321 | Tazorac | Tazarotene | Cream Tube 0.001 % 30 g | $420 | No |
103341 | Tenoretic 100 | Atenolol/Chlorthalidone | Tablet 100/25 mg 90 tab | $420 | No |
5827 | Tiazac | Diltiazem | Capsule 360 mg 30 cap | $420 | No |
103372 | Tikosyn | Dofetilite | Capsule 250 mcg 40 cap | $420 | No |
103374 | Tikosyn | Dofetilite | Capsule 500 mcg 40 cap | $420 | No |
103387 | Topamax Sprinkle | Topiramate | Capsule 25 mg 60 cap | $420 | No |
103401 | Travatan Z | Travoprost | Ophthalmic Solution 0.4 % 5 ml | $420 | No |
103429 | Trileptal | Oxcarbazepine | Oral Suspension 60 mg/ml 250 ml | $420 | No |
103431 | Trintellix | Vortioxetine Hydrobromide | Tablet 10 mg 30 tab | $420 | No |
103432 | Trintellix | Vortioxetine Hydrobromide | Tablet 20 mg 30 tab | $420 | No |
103433 | Trintellix | Vortioxetine Hydrobromide | Tablet 5 mg 30 tab | $420 | No |
103448 | Trokendi XR | Topiramate | Capsule 50 mg 30 cap | $420 | No |
101146 | Tybost | Cobicistat | Tablet 150 mg 30 Tab | $420 | No |
108930 | Viramune XR | Nevirapine | Tablet ER 400 mg 90 tab | $420 | No |
7406 | Vyloma | Imiquimod | Cream 3.75 % 7.5 g | $420 | No |
103640 | Xarelto | Rivaroxaban | Tablet 10 mg 30 tab | $420 | No |
103641 | Xarelto | Rivaroxaban | Tablet 15 mg 30 tab | $420 | No |
103642 | Xarelto | Rivaroxaban | Tablet 2.5 mg 60 tab | $420 | No |
103643 | Xarelto | Rivaroxaban | Tablet 20 mg 30 tab | $420 | No |
103662 | Xembify | Immune Globulin, Human-klhw 20% | Vial 2/10 g/ml 10 ml | $420 | Yes |
103734 | Zegalogue | Dasiglucagon Hcl | Autoinjector 0.6/0.6 mg/ml 0.6 ml | $420 | No |
103735 | Zegalogue | Dasiglucagon Hcl | Autoinjector 0.6/0.6 mg/ml 0.6 ml | $420 | No |
12683 | Zinecard | Dexrazoxane | Powder Vial 500 mg 1 Vial | $420 | No |
5966 | Zocor | Simvastatin | Tablet 20 mg 84 tab | $420 | No |
7405 | Zyclara | Imiquimod | Cream 3.75 % 7.5 g | $420 | No |
103809 | Zyprexa | Olanzapine | Tablet 5 mg 30 tab | $420 | No |
7196 | Esbriet | Pirfenidone | Tablet 267 mg 21 tab | $426 | No |
6993 | Urso DS | Ursodiol | Tablet 500 mg 100 tab | $426 | No |
8688 | Abilify | Aripiprazole | Tablet 2 mg 90 tab | $432 | No |
100108 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 10 mcg/ml 1.6 ml | $432 | Yes |
101620 | Combivent Respimat | Ipratropium/Albuterol (Salbutamol) | Inhaler 20/100 mcg/mcg 4 g | $432 | No |
100361 | Epogen | Epoetin Alfa | Vial 20000 iu/ml 10 ml | $432 | Yes |
100401 | Ferrlecit | Sodium Ferric Gluconate/Sucrose | Vial 62.5/5 mg/ml 50 ml | $432 | No |
11617 | Gonal-F | Follitropin Alfa | Autoinjector 300 iu 1 Autoinjector | $432 | No |
102905 | Qelbree | Viloxazine Hcl | Capsule 100 mg 30 cap | $432 | No |
102906 | Qelbree | Viloxazine Hcl | Capsule 150 mg 30 cap | $432 | No |
102907 | Qelbree | Viloxazine Hcl | Capsule 200 mg 30 cap | $432 | No |
63532 | Trulicity | Dulaglutide | Autoinjector 1.5/0.5 mg/ml 2 ml | $432 | Yes |
63531 | Trulicity | Dulaglutide | Autoinjector 0.75/0.5 mg/ml 2 ml | $432 | Yes |
6832 | Vascepa | Ethyl Eicosapentaenoic Acid | Capsule 1 g 120 cap | $432 | No |
5562 | Victoza | Liraglutide | Injection 6 mg/ml 9 ml | $432 | Yes |
6812 | Xeomin | Incobotulinumtoxina | Injection 100 Unit 1 Vial | $432 | No |
6273 | Seroquel XR | Quetiapine | Tablet 400 mg 60 tab | $438 | No |
103200 | Steglatro | Ertugliflozin Pidolate | Tablet 15 mg 30 tab | $438 | No |
103201 | Steglatro | Ertugliflozin Pidolate | Tablet 5 mg 30 tab | $438 | No |
11057 | Aptiom | Eslicarbazepine Acetate | Tablet 200 mg 30 tab | $444 | No |
11058 | Aptiom | Eslicarbazepine Acetate | Tablet 400 mg 30 tab | $444 | No |
11060 | Aptiom | Eslicarbazepine Acetate | Tablet 800 mg 30 tab | $444 | No |
101491 | Basaglar Kwikpen | Insulin Glargine | Autoinjector 100 iu/ml 15 ml | $444 | Yes |
11685 | Innohep | Tinzaparin Sodium | Pre-Filled Syringe 12000/0.6 iu/ml 6 ml | $444 | No |
100892 | Procrit | Epoetin Alfa | Vial 2000 iu w/ Protec 6 ml | $444 | Yes |
12350 | Saizen | Somatropin | Vial 5 mg 1 Vial | $444 | Yes |
12438 | Steglujan | Ertugliflozin/Sitagliptin | Tablet 15/100 mg 84 tab | $444 | No |
12448 | Steglujan | Ertugliflozin/Sitagliptin | Tablet 5/100 mg 84 tab | $444 | No |
103370 | Tikosyn | Dofetilite | Capsule 125 mcg 40 cap | $444 | No |
74550 | Zoryve | Roflumilast | Cream 0.3 % 60 g | $444 | No |
101592 | Chantix | Varenicline | Tablet 0.5 mg 56 tab | $450 | No |
101593 | Chantix | Varenicline | Tablet 0.5/1 mg/mg 53 tab | $450 | No |
101594 | Chantix | Varenicline | Tablet 1 mg 56 tab | $450 | No |
101648 | Cresemba | Isavuconazonium Sulfate | Powder Vial 372 mg 1 Vial | $450 | Yes |
100230 | Cutaquig | Immune Globulin Subcutaneous (Human) - hipp | Vial 2/12 g/ml 12 ml | $450 | No |
100231 | Cutaquig | Immune Globulin Subcutaneous (Human) - hipp | Vial 2/12 g/ml 12 ml | $450 | No |
100232 | Cutaquig | Immune Globulin Subcutaneous (Human) - hipp | Vial 2/12 g/ml 12 ml | $450 | No |
101693 | Detrol | Tolterodine | Tablet 1 mg 60 tab | $450 | No |
101694 | Detrol | Tolterodine | Tablet 2 mg 60 tab | $450 | No |
100444 | Gamunex-C | Immune Globulin (Human) | Vial 2.5/25 g/ml 25 ml | $450 | Yes |
100736 | Neupogen | Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 0.5 ml | $450 | Yes |
103498 | Uptravi | Selexipag | Vial 1800 mcg 1 Vial | $450 | Yes |
103615 | Vyzulta | Latanoprostene Bunod | Ophthalmic Solution 0.024 % 5 ml | $450 | Yes |
101208 | Xembify | Immune Globulin, Human-klhw 20% | Vial 2/10 g/ml 10 ml | $450 | Yes |
101213 | Xifaxan | Rifaximin | Tablet 200 mg 30 Tab | $450 | No |
9285 | Abilify | Aripiprazole | Tablet 10 mg 90 Tabs | $456 | No |
9337 | Amerge | Naratriptan | Tablet 2.5 mg 24 tab | $456 | No |
7742 | Briviact | Brivaracetam | Tablet 10 mg 60 tab | $456 | No |
7748 | Briviact | Brivaracetam | Tablet 25 mg 60 tab | $456 | No |
7750 | Briviact | Brivaracetam | Tablet 50 mg 60 tab | $456 | No |
7752 | Briviact | Brivaracetam | Tablet 75 mg 60 tab | $456 | No |
7754 | Briviact | Brivaracetam | Tablet 100 mg 60 tab | $456 | No |
101598 | Cialis | Tadalafil | Tablet 5 mg 30 tab | $456 | No |
6128 | Dalacin C | Clindamycin | Capsule 300 mg 100 cap | $456 | No |
7565 | Diacomit | Stiripentol | Capsule 250 mg 60 cap | $456 | No |
7566 | Diacomit | Stiripentol | Powder Sachet 250 mg 60 Sachet | $456 | No |
8706 | Pulmicort Flexhaler | Budesonide | Inhaler 400 mcg 3 Inhaler | $456 | No |
100942 | Retacrit | Epoetin Alfa-epbx | Vial 3000 iu/ml 10 ml | $456 | Yes |
6267 | Seroquel | Quetiapine | Tablet 200 mg 100 tab | $456 | No |
12431 | Somavert | Pegvisomant | Vial 25 mg 1 Vial | $456 | No |
98316 | Veozah | Fezolinetant | Tablet 45 mg 90 tab | $456 | No |
8663 | Pradaxa | Dabigatran | Capsule 110 mg 180 cap | $458 | No |
8669 | Pradaxa | Dabigatran | Capsule 150 mg 60 cap | $458 | No |
19717 | Asacol DR | Mesalamine | Tablet 800 mg 270 Tabs | $462 | No |
83825 | Asacol DR | Mesalamine | Tablet 800 mg 270 tab | $462 | No |
102922 | Quviviq | Daridorexant Hcl | Tablet 25 mg 30 tab | $462 | No |
102923 | Quviviq | Daridorexant Hcl | Tablet 50 mg 30 tab | $462 | No |
11566 | Infugem | Gemcitabine Hydrochloride | Injection 1 g 26.3 ml | $468 | No |
12012 | MonoFerric | Ferric Derisomaltose | Vial 100 mg/ml 5 ml | $468 | No |
12013 | MonoFerric | Ferric Derisomaltose | Vial 500/5 mg/ml 5 ml | $468 | No |
6567 | Motegrity | Prucalopride | Tablet 2 mg 84 tab | $468 | No |
7602 | Renagel | Sevelamer | Tablet 800 mg 180 tab | $468 | No |
6098 | Zithromax | Azithromycin | Tablet 600 mg 30 tab | $468 | No |
100001 | Abacavir | Abacavir | Tablet 300 mg 60 Tab | $480 | No |
101282 | Actoplus Met | Pioglitazone/Metformin | Tablet 15/850 mg 60 tab | $480 | No |
101309 | Advair Diskus | Fluticasone Propionate/Salmeterol | Inhaler 500/50 mcg/mcg 60 dose | $480 | No |
11023 | Amjevita | Adalimumab | Pre-Filled Syringe 20/0.4 mg/ml 0.4 ml | $480 | Yes |
101425 | Aricept | Donepezil Hcl | Tablet 10 mg 30 tab | $480 | No |
101426 | Aricept | Donepezil Hcl | Tablet 23 mg 30 tab | $480 | No |
101427 | Aricept | Donepezil Hcl | Tablet 5 mg 30 tab | $480 | No |
101436 | Arixtra | Fondaparinux | Pre-Filled Syringe 2.5/0.5 mg/ml 5 ml | $480 | No |
101447 | Arthrotec | Diclofenac/Misoprostol | Tablet 50/200 mg/mcg 60 tab | $480 | No |
101448 | Arthrotec | Diclofenac/Misoprostol | Tablet 75/200 mg/mcg 60 tab | $480 | No |
11124 | Benlysta | Belimumab | Vial 120 mg 1 Vial | $480 | Yes |
98795 | Bevespi Aerosphere | Formoterol/Glycopyrrolate | Inhaler 7.2/5 mcg/ml 32.1 | $480 | No |
100158 | Bicalutamide | Bicalutamide | Tablet 50 mg 30 Tab | $480 | No |
101518 | Biltricide | Praziquantel | Tablet 600 mg 6 tab | $480 | No |
100171 | Botox | Onabotulinumtoxina | Vial 50 IU 1 Vial | $480 | Yes |
101564 | Caduet | Amlodipine /Atorvastatin | Tablet 10/10 mg/mg 30 tab | $480 | No |
100246 | Cyclophosphamide | Cyclophosphamide | Vial 500/2.5 mg/ml 1 ML | $480 | No |
101663 | Cymbalta | Duloxetine Hcl | Capsule 20 mg 30 cap | $480 | No |
6723 | DDAVP | Desmopressin | Tablet 240 mcg 90 tab | $480 | No |
100287 | Docetaxel | Docetaxel | Vial 160/16 mg/ml 16 ml | $480 | No |
101712 | Duetact | Pioglitazone/Glimepiride | Tablet 30/2 mg/mg 30 tab | $480 | No |
101713 | Duetact | Pioglitazone/Glimepiride | Tablet 30/4 mg/mg 30 tab | $480 | No |
101727 | Dyanavel XR | Amphetamine | Tablet 10 mg 30 tab | $480 | No |
101728 | Dyanavel XR | Amphetamine | Tablet 15 mg 30 tab | $480 | No |
101729 | Dyanavel XR | Amphetamine | Tablet 20 mg 30 tab | $480 | No |
101754 | Eligard | Leuprolide Acetate | Injection Kit 7.5 mg 1 Kit | $480 | Yes |
101756 | Eliquis | Apixaban | Tablet 2.5 mg 60 tab | $480 | No |
101758 | Eliquis | Apixaban | Tablet 5 mg 60 tab | $480 | No |
5561 | Eliquis | Apixaban | Tablet 5 mg 180 tab | $480 | No |
100317 | Emend | Fosaprepitant Dimeglumine | Vial 150 mg 1 Vial | $480 | No |
100355 | Epinephrine | Epinephrine | Autoinjector 0.15/0.3 mg/ml 2 Autoinjector | $480 | No |
100356 | Epinephrine | Epinephrine | Autoinjector 0.3/0.3 mg/ml 2 Autoinjector | $480 | No |
101814 | Epivir | Lamivudine | Tablet 150 mg 60 tab | $480 | No |
101839 | Estring | Estradiol | Vaginal Ring 2 mg 1 Ring | $480 | No |
100384 | Exemestane | ANTINEOPLASTIC - AROMATASE INHIBITORS | Tablet 25 mg 30 Tab | $480 | No |
7236 | Exjade | Deferasirox | Tablet 125 mg 28 tab | $480 | No |
101881 | Farxiga | Dapagliflozin | Tablet 10 mg 30 tab | $480 | No |
101882 | Farxiga | Dapagliflozin | Tablet 5 mg 30 tab | $480 | No |
101900 | Fiasp | Insulin Aspart | Cartridge 100 iu/ml 15 ml | $480 | Yes |
101901 | Fiasp Flextouch | Insulin Aspart | Autoinjector 100 iu/ml 15 ml | $480 | Yes |
7377 | Fibristal | Ulipristal | Tablet 5 mg 30 tab | $480 | No |
101905 | Firmagon | Degarelix | Vial Kit 80 mg 1 Kit | $480 | No |
101927 | Fragmin | Dalteparin Sodium | Pre-Filled Syringe 10000/0.4 iu/ml 4 ml | $480 | No |
101985 | Giapreza | Angiotension Ii | IV Solution 0.5 mg/mL 1 ml | $480 | Yes |
100517 | Humate-P | Antihemophilic Factor/VWF | Vial Kit 250 IU 250 IU | $480 | No |
11641 | Humatrope | Somatropin | Cartridge 6 mg 1 Cartridge | $480 | Yes |
11642 | Humatrope | Somatropin | Powder Vial 5 mg 1 Vial | $480 | Yes |
100568 | Intron | INTERFERON ALFA-2B,RECOMB. | Vial 10000000 IU 5 ml | $480 | Yes |
6207 | Intuniv XR | Guanfacine | Tablet 1 mg 100 tab | $480 | No |
102160 | Invega ER | Paliperidone | Tablet 3 mg 30 tab | $480 | No |
102161 | Invega ER | Paliperidone | Tablet 6 mg 30 tab | $480 | No |
102184 | Isentress | Raltegravir Potassium | Tablet 100 mg 60 tab | $480 | No |
5844 | Keppra | Levetiracetam | Tablet 750 mg 120 tab | $480 | No |
102307 | Kovaltry | Antihemophilic Factor Viii (Recombinant) | Vial Kit 250 IU 250 IU | $480 | Yes |
102321 | Lamictal ODT | Lamotrigine | Tablet 200 mg 30 tab | $480 | No |
102404 | Lumigan | Bimatoprost | Ophthalmic Solution 0.01 % 5 ml | $480 | No |
102473 | Maxalt | Rizatriptan Benzoate | Tablet 10 mg 18 tab | $480 | No |
102500 | Mircera | Methoxy Peg-Epoetin Beta | Pre-Filled Syringe 150/0.3 mcg/ml 0.3 ml | $480 | Yes |
102501 | Mircera | Methoxy Peg-Epoetin Beta | Pre-Filled Syringe 200/0.3 mcg/ml 0.3 ml | $480 | Yes |
102506 | Mirvaso | Brimonidine Tartrate | Topical Gel 0.33 % 30 g | $480 | No |
11996 | Mutamycin | Mitomycin | Vial 20 mg 1 Vial | $480 | No |
56324 | Myfortic | Mycophenolate | Tablet 360 mg 120 Tabs | $480 | No |
102542 | Namzaric | Memantine Hcl/Donepezil Hcl | Capsule 14 mg 30 cap | $480 | No |
102543 | Namzaric | Memantine Hcl/Donepezil Hcl | Capsule 21 mg 30 cap | $480 | No |
102544 | Namzaric | Memantine Hcl/Donepezil Hcl | Capsule 28 mg 30 cap | $480 | No |
102545 | Namzaric | Memantine Hcl/Donepezil Hcl | Capsule 7 mg 30 cap | $480 | No |
102571 | Neurontin | Gabapentin | Capsule 300 mg 100 cap | $480 | No |
102575 | Nexletol | Bempedoic Acid | Tablet 180 mg 30 tab | $480 | No |
100749 | Nivestym | Filgrastim-aafi | Pre-Filled Syringe 480/0.8 mcg/ml 0.8 ml | $480 | Yes |
102635 | Nucynta ER | Tapentadol Hcl | Tablet 50 mg 60 tab | $480 | No |
29249 | Nurtec ODT | Rimegepant | Tablet 75 mg 8 Tabs | $480 | No |
83123 | Nurtec ODT | Rimegepant Sulfate | Tablet 75 mg 8 tab | $480 | No |
100785 | Octagam | Immun Globg(Igg)/Malt/Iga Ov49 | Vial 2/20 g/ml 20 ml | $480 | No |
12128 | Omnitrope | Somatropin | Cartridge 10/1.5 mg/ml 1.5 ml | $480 | Yes |
8502 | Orilissa | Elagolix | Tablet 200 mg 56 tab | $480 | No |
102768 | Panzyga | Immune globulin | Solution 2.5/25 g/ml 25 ml | $480 | Yes |
102787 | Pentasa | Mesalamine | Capsule 500 mg 120 cap | $480 | No |
102838 | Prepidil | Dinoprostone | Vaginal Gel 0.5 mg 2.5 ml | $480 | Yes |
102839 | Prevymis | Letermovir | Injection 240/12 mg/ml 12 ml | $480 | No |
102840 | Prevymis | Letermovir | Injection 480/24 mg/ml 24 ml | $480 | No |
102862 | Procrit | Epoetin Alfa | Vial 3,000 units/ml 6 ml | $480 | Yes |
100897 | Prograf | Tacrolimus | Capsule 0.5 mg 100 Cap | $480 | No |
102887 | Provera | Medroxyprogesterone Acetate | Tablet 10 mg 100 tab | $480 | No |
94806 | Repatha | Evolocumab | Autoinjector 140 mg/ml 2 ml | $480 | Yes |
100937 | Repatha | Evolocumab | Pre-Filled Syringe 140 mg/ml 1 ml | $480 | Yes |
102979 | Repatha Pushtronex | Evolocumab | On-Body Injector 420/3.5 mg/ml 3.5 ml | $480 | Yes |
12318 | Riabni | Rituximab | Vial 100/10 mg/ml 10 ml | $480 | No |
12416 | Solu-Cortef | Hydrocortisone Sodium Succinate | Act-O-Vial 1 g 40 Vial | $480 | No |
103167 | Somavert | Pegvisomant | Vial Kit 15 mg 1 Vial | $480 | Yes |
103185 | Spiriva Respimat | Tiotropium Bromide | Inhaler 2.5 mcg 4 g | $480 | No |
103202 | Steglujan | Ertugliflozin/Sitagliptin Phos | Tablet 15/100 mg/mg 30 tab | $480 | No |
103203 | Steglujan | Ertugliflozin/Sitagliptin Phos | Tablet 5/100 mg/mg 30 tab | $480 | No |
9499 | Tarceva | Erlotinib | Tablet 25 mg 30 tab | $480 | No |
103381 | Tivicay | Dolutegravir Sodium | Tablet 5 mg 60 tab | $480 | No |
103392 | Toujeo Max Solostar | Insulin Glargine,Hum.Rec.Anlog | Autoinjector 300 iu/ml 6 ml | $480 | Yes |
103400 | Tradjenta | Linagliptin | Tablet 5 mg 30 tab | $480 | No |
10000005 | Tresiba | Insulin Degludec | Autoinjector 100 U 15 ml | $480 | Yes |
103449 | Trulance | Plecanatide | Tablet 3 mg 30 tab | $480 | No |
7086 | Trulicity | Dulaglutide | Autoinjector 0.75/0.5 mg/ml 2 ml | $480 | Yes |
7087 | Trulicity | Dulaglutide | Autoinjector 1.5/0.5 mg/ml 2 ml | $480 | Yes |
103502 | Urso | Ursodiol | Tablet 250 mg 100 tab | $480 | No |
103517 | Varubi | Rolapitant | Tablet 90 mg 2 tab | $480 | No |
103632 | Xanax | Alprazolam | Tablet 0.25 mg 100 tab | $480 | No |
103636 | Xanax XR | Alprazolam | Tablet 0.5 mg 60 tab | $480 | No |
6443 | Xifaxan | Rifaximin | Tablet 550 mg 42 tab | $480 | No |
10929 | Ziagen | Abacavir | Tablet 300 mg 60 tab | $480 | No |
5967 | Zocor | Simvastatin | Tablet 40 mg 84 tab | $480 | No |
64934 | Zofran | Ondansetron | Tablet 4 mg 100 tab | $480 | No |
103810 | Zyprexa | Olanzapine | Tablet 7.5 mg 30 tab | $480 | No |
103814 | Zyprexa Zydis | Olanzapine | Tablet 5 mg 30 tab | $480 | No |
6243 | Zyprexa Zydis | Olanzapine | Tablet 15 mg 28 tab | $480 | No |
7135 | Elmiron | Pentosan Polysulfate Sodium | Capsule 100 mg 100 cap | $492 | No |
12084 | Norvir | Ritonavir | Oral Solution 80 mg/ml 240 ml | $492 | No |
6134 | Biaxin | Clarithromycin | Tablet 500 mg 100 tab | $498 | No |
103539 | Venclexta | Venetoclax | Tablet 50 mg 7 tab | $498 | No |
6336 | Actonel | Risedronate | Tablet 30 mg 30 tab | $504 | No |
6979 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 30 mcg/ml 1.2 ml | $504 | Yes |
6572 | Carnitor | Levocarnitine | Vial 200 mg/ml 25 ml | $504 | No |
6766 | Fetzima | Levomilnacipran | Capsule 20 mg 90 cap | $504 | No |
5613 | Invega Sustenna | Paliperidone | Injection Kit 50/0.5 mg/ml 1 Kit | $504 | No |
34361 | Kerendia | Finerenone | Tablet 10 mg 90 tab | $504 | No |
34363 | Kerendia | Finerenone | Tablet 20 mg 90 tab | $504 | No |
5597 | Lupron | Leuprolide | Injection Kit 3.75 mg 1 Kit | $504 | No |
7730 | Ridaura | Auranofin | Capsule 3 mg 60 cap | $504 | No |
6679 | Sensipar | Cinacalcet | Tablet 30 mg 30 tab | $504 | No |
8842 | Sporanox | Itraconazole | Capsule 100 mg 90 cap | $504 | No |
101161 | Valacyclovir | Valacyclovir HCl | Tablet 500 mg 90 Tab | $504 | No |
6236 | Zyprexa | Olanzapine | Tablet 5 mg 84 tab | $504 | No |
101334 | Afrezza | insulin human | Inhalation Powder 4 Units 90 Cartridge | $510 | Yes |
100086 | Amitiza | Lubiprostone | Capsule 24 mcg 60 Cap | $510 | No |
100087 | Amitiza | Lubiprostone | Capsule 8 mcg 60 Cap | $510 | No |
101468 | Avsola | Infliximab-Axxq | Vial 100 mg 1 mg | $510 | Yes |
100142 | Azacitidine | Azacitidine | Vial 100 mg 1 Vial | $510 | No |
101497 | Benefix | Coagulation Factor IX (Recombinant) | Vial Kit 250 IU 250 IU | $510 | Yes |
100245 | Cyclophosphamide | Cyclophosphamide | Powder Vial 500 mg 1 Vial | $510 | No |
101822 | Epogen | Epoetin Alfa | Vial 3000 units/ml 10 ml | $510 | Yes |
100426 | Gammagard | Immune Globulin (Human) | Vial 2.5/25 g/ml 25 ml | $510 | Yes |
100557 | Infed | Iron Dextran | Vial 50 mg/ml 20 ml | $510 | No |
102365 | Licart | Diclofenac Epolamine | Patch 1.3 % 15 Patch | $510 | No |
103159 | Soltamox | Tamoxifen Citrate | Oral Solution 20/10 mg/ml 150 ml | $510 | No |
90459 | Tirzepatide | Tirzepatide | Vial 10 mg/ml 6 ml | $510 | Yes |
8690 | Abilify | Aripiprazole | Tablet 5 mg 90 tab | $516 | No |
7433 | Arava | Leflunomide | Tablet 10 mg 30 tab | $516 | No |
7438 | Arava | Leflunomide | Tablet 20 mg 30 tab | $516 | No |
7606 | Banzel | Rufinamide | Tablet 400 mg 120 tab | $516 | No |
8742 | Cialis | Tadalafil | Tablet 2.5 mg 84 tab | $516 | No |
100221 | Creon | Pancrelipase | Capsule 12000-38000 IU 100 Cap | $516 | No |
6955 | Cuprimine | Penicillamine | Capsule 250 mg 100 cap | $516 | No |
7426 | Fosrenol | Lanthanum | Chewable Tablet 750 mg 90 tab | $516 | No |
11686 | Innohep | Tinzaparin Sodium | Pre-Filled Syringe 14000/0.7 iu/ml 7 ml | $516 | No |
11727 | Kyleena | Levonorgestrel | IUD 19.5 mg 1 Device | $516 | No |
8058 | Mirena | Levonorgestrel | IUD 52 mg 1 IUD | $516 | No |
8327 | Monovisc | Hyaluronic Acid | Pre-Filled Syringe 88/4 mg/ml 4 ml | $516 | No |
8321 | Orthovisc | Hyaluronic Acid | Pre-Filled Syringe 30/2 mg/ml 6 ml | $516 | No |
19700 | Asacol DR | Mesalamine | Tablet 800 mg 360 tab | $528 | No |
11324 | Corvert | Ibutilide | Injection 0.1 mg/ml 10 ml | $528 | No |
12334 | Risperdal Consta | Risperidone | Vial Kit 37.5 mg 1 Kit | $528 | No |
6770 | Fetzima | Levomilnacipran | Capsule 40 mg 90 cap | $534 | No |
101285 | Actos | Pioglitazone | Tablet 45 mg 30 tab | $540 | No |
101319 | Advate | Antihemophilic Factor (Recombinant) | Vial 250 IU 250 IU | $540 | Yes |
101342 | Afstyla | Antihemophilic Factor (Recombinant), Single Chain | Vial Kit 250 IU 1 IU | $540 | Yes |
100085 | Aminocaproic | Aminocaproic Acid | Tablet 500 mg 30 Tab | $540 | No |
100098 | Aprepitant | Aprepitant | Capsule 80-125 mg 3 Cap | $540 | No |
101545 | Brixadi | Buprenorphine | Pre-Filled Syringe 16 mg 0.32 ml | $540 | No |
101546 | Brixadi | Buprenorphine | Pre-Filled Syringe 24 mg 0.48 ml | $540 | No |
101547 | Brixadi | Buprenorphine | Pre-Filled Syringe 32 mg 0.64 ml | $540 | No |
101549 | Brixadi | Buprenorphine | Pre-Filled Syringe 8 mg 0.16 ml | $540 | No |
101556 | Byfavo | Remimazolam | Powder Vial 20 mg 10 Vial | $540 | No |
100183 | Capecitabine | Capecitabine | Tablet 150 mg 60 Tab | $540 | No |
101576 | Cardura | Doxazosin | Tablet 1 mg 100 tab | $540 | No |
101577 | Cardura | Doxazosin | Tablet 2 mg 100 tab | $540 | No |
56511 | CellCept | Mycophenolate | Capsule 250 mg 100 Caps | $540 | No |
8747 | Cialis | Tadalafil | Tablet 20 mg 90 tab | $540 | No |
8299 | Cialis | Tadalafil | Tablet 5 mg 84 tab | $540 | No |
100238 | Cuvitru | Immune Globulin | Vial 2/10 g/ml 10 ml | $540 | No |
101803 | Envarsus XR | Tacrolimus | Tablet 0.75 mg 100 tab | $540 | No |
101931 | Fragmin | Dalteparin Sodium | Pre-Filled Syringe 5000/0.2 iu/ml 2 ml | $540 | No |
101939 | Fycompa | Perampanel | Tablet 2 mg 30 tab | $540 | No |
101944 | Gamastan | Immune Globulin (Human) | Vial 15-18/10 %-%/ml 10 ml | $540 | Yes |
100463 | Genotropin | Somatropin | Pre-Filled Syringe 0.4 mg 7 PFS | $540 | Yes |
100492 | Granix | tbo-Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 0.8 ml | $540 | Yes |
100511 | Hizentra | Immune Globulin (Human) | Vial 2/10 g/ml 10 ml | $540 | No |
100514 | Hizentra | Immune Globulin (Human) | Pre-Filled Syringe 2/10 g/ml 10 ml | $540 | No |
102086 | Hyqvia | Immune Globulin (Human) | Vial 2.5/25 g/ml 25 ml | $540 | Yes |
102180 | Invokana | Canagliflozin | Tablet 100 mg 30 tab | $540 | No |
102181 | Invokana | Canagliflozin | Tablet 300 mg 30 tab | $540 | No |
100577 | Isotretinoin | Isotretinoin | Capsule 30 mg 30 Cap | $540 | No |
11728 | Kynmobi | Apomorphine Hydrochloride | Sublingual Film 10 mg 30 Sublingual Film | $540 | No |
11729 | Kynmobi | Apomorphine Hydrochloride | Sublingual Film 15 mg 30 Sublingual Film | $540 | No |
11737 | Kynmobi | Apomorphine Hydrochloride | Sublingual Film 20 mg 30 Sublingual Film | $540 | No |
11738 | Kynmobi | Apomorphine Hydrochloride | Sublingual Film 25 mg 30 Sublingual Film | $540 | No |
11739 | Kynmobi | Apomorphine Hydrochloride | Sublingual Film 30 mg 30 Sublingual Film | $540 | No |
102319 | Lacrisert | Hydroxypropyl Cellulose | Ophthalmic Insert 5 mg 60 Insert | $540 | No |
7312 | Lovenox HP | Enoxaparin | Pre-Filled Syringe 150/1 mg/ml 10 ml | $540 | No |
102494 | Mirapex ER | Pramipexole Di-Hcl | Tablet 0.375 mg 30 tab | $540 | No |
102495 | Mirapex ER | Pramipexole Di-Hcl | Tablet 1.5 mg 30 tab | $540 | No |
102496 | Mirapex ER | Pramipexole Di-Hcl | Tablet 3 mg 30 tab | $540 | No |
102497 | Mirapex ER | Pramipexole Di-Hcl | Tablet 4.5 mg 30 tab | $540 | No |
102562 | Neupogen | Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 0.8 ml | $540 | Yes |
12081 | Norditropin FlexPro | Somatropin | Autoinjector 10/1.5 mg/ml 1.5 ml | $540 | Yes |
102617 | Novolog Mix 70/30 | Insulin Aspart | Cartridge 100 iu/ml 15 ml | $540 | Yes |
100775 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 250 IU 250 IU | $540 | Yes |
102678 | Omnitrope | Somatropin | Cartridge 5/1.5 mg/ml 1.5 ml | $540 | Yes |
7981 | Procrit | Epoetin Alfa | Pre-Filled Syringe 4000 iu w/ Protec 2.4 ml | $540 | Yes |
7991 | Procrit | Epoetin Alfa | Pre-Filled Syringe 20000 iu w/ Protec 0.5 ml | $540 | Yes |
100901 | Prograf | Tacrolimus | Sachet 1 mg 50 Sachet | $540 | No |
102885 | Protopic | Tacrolimus | Topical Ointment 0.001 % 60 g | $540 | No |
103037 | Risperdal Consta | Risperidone | Vial Kit 25 mg 1 Kit | $540 | Yes |
103094 | Savaysa | Edoxaban Tosylate | Tablet 15 mg 30 tab | $540 | No |
103160 | Soma | Carisoprodol | Tablet 250 mg 100 tab | $540 | No |
103249 | Symlipen 120 | Pramlintide Acetate | Autoinjector 2700/2.7 mcg/ml 5.4 ml | $540 | Yes |
103260 | Synjardy | Empagliflozin/Metformin Hcl | Tablet 12.5/1000 mg/mg 60 tab | $540 | No |
103262 | Synjardy | Empagliflozin/Metformin Hcl | Tablet 12.5/500 mg/mg 60 tab | $540 | No |
103264 | Synjardy | Empagliflozin/Metformin Hcl | Tablet 5/1000 mg/mg 60 tab | $540 | No |
103266 | Synjardy | Empagliflozin/Metformin Hcl | Tablet 5/500 mg/mg 60 tab | $540 | No |
103332 | Tegretol XR | Carbamazepine | Tablet 400 mg 100 tab | $540 | No |
12545 | Treanda | Bendamustine | Powder Vial 25 mg/ml 1 Vial | $540 | No |
103414 | Tresiba | Insulin Degludec | Autoinjector 200 U 9 ml | $540 | Yes |
103421 | Trijardy XR | Empaglifloz/Linaglip/Metformin | Tablet 10/5/1000 mg 30 tab | $540 | No |
103422 | Trijardy XR | Empaglifloz/Linaglip/Metformin | Tablet 12.5/2.5/1000 mg 60 tab | $540 | No |
103423 | Trijardy XR | Empaglifloz/Linaglip/Metformin | Tablet 25/5/1000 mg 30 tab | $540 | No |
103424 | Trijardy XR | Empaglifloz/Linaglip/Metformin | Tablet 5/2.5/1000 mg 60 tab | $540 | No |
103521 | Vasotec | Enalapril Maleate | Tablet 5 mg 30 tab | $540 | No |
90005 | Xigduo XR | Dapagliflozin/Metformin | Tablet 5/1000 mg 60 tab | $540 | No |
90021 | Xigduo XR | Dapagliflozin/Metformin | Tablet 2.5/1000 mg 60 tab | $540 | No |
90022 | Xigduo XR | Dapagliflozin/Metformin | Tablet 5/500 mg 30 tab | $540 | No |
90023 | Xigduo XR | Dapagliflozin/Metformin | Tablet 10/1000 mg 30 tab | $540 | No |
90024 | Xigduo XR | Dapagliflozin/Metformin | Tablet 10/500 mg 30 tab | $540 | No |
7914 | Xolair | Omalizumab | Pre-Filled Syringe 75/0.5 mg/ml 1 PFS | $540 | Yes |
7023 | Xultophy | Degludec/Liraglutide | Autoinjector 100/3.6 u-mg/ml 15 ml | $540 | Yes |
103707 | Xyntha | Antihemophilic Factor (Recombinant) | 500 IU 500 Unit | $540 | Yes |
103769 | Ziana | Clindamycin Phosphate/Tretinoin | Gel Tube 1.2/0.025 %/% 60 g | $540 | No |
103781 | Zomig | Zolmitriptan | Nasal Spray 2.5 mg 6 Dose | $540 | No |
103782 | Zomig | Zolmitriptan | Nasal Spray 5 mg 6 Dose | $540 | No |
103786 | Zortress | Everolimus | Tablet 0.25 mg 60 tab | $540 | No |
103802 | Zyprexa Relprevv | Olanzapine Pamoate | Vial Kit 210 mg 1 Kit | $540 | No |
101423 | Arazlo | Tazarotene | Topical Lotion 0.045 % 45 g | $546 | No |
6836 | Botox | OnabotulinumtoxinA | Vial 100 Unit 1 Vial | $552 | Yes |
6612 | Dysport | AbobotulinumtoxinA | Powder Vial 300 Unit 1 Vial | $552 | No |
8782 | Invega | Paliperidone | Tablet 3 mg 90 tab | $552 | No |
12349 | Saizen | Somatropin | Cartridge 6 mg 1 Cartridge | $552 | Yes |
12432 | Somavert | Pegvisomant | Vial 30 mg 1 Vial | $552 | No |
101266 | Abilify | Aripiprazole | Tablet 10 mg 30 tab | $558 | No |
101267 | Abilify | Aripiprazole | Tablet 15 mg 30 tab | $558 | No |
8846 | Lamisil | Terbinafine | Tablet 250 mg 84 tab | $564 | No |
8569 | Picato | Ingenol Mebutate | Gel 0.015 % 3 Unit | $564 | No |
8571 | Picato | Ingenol Mebutate | Gel 0.05 % 2 Unit | $564 | No |
6244 | Zyprexa Zydis | Olanzapine | Tablet 20 mg 28 tab | $564 | No |
101278 | Actemra | Tocilizumab | Vial 80/4 mg/ml 4 ml | $570 | Yes |
101578 | Cardura | Doxazosin | Tablet 4 mg 100 tab | $570 | No |
6773 | Fetzima | Levomilnacipran | Capsule 80 mg 90 cap | $570 | No |
102509 | Motegrity | Prucalopride Succinate | Tablet 1 mg 30 tab | $570 | No |
102510 | Motegrity | Prucalopride Succinate | Tablet 2 mg 30 tab | $570 | No |
102833 | Praluent | Alirocumab | Autoinjector 75 mg/ml 2 ml | $570 | Yes |
102931 | Rasuvo | Methotrexate | Pre-Filled Syringe 10/0.2 mg/ml 0.8 ml | $570 | No |
102932 | Rasuvo | Methotrexate | Pre-Filled Syringe 12.5/0.25 mg/ml 1 ml | $570 | No |
102933 | Rasuvo | Methotrexate | Pre-Filled Syringe 15/0.3 mg/ml 1.2 ml | $570 | No |
102934 | Rasuvo | Methotrexate | Pre-Filled Syringe 17.5/0.35 mg/ml 1.4 ml | $570 | No |
102935 | Rasuvo | Methotrexate | Pre-Filled Syringe 20/0.4 mg/ml 1.6 ml | $570 | No |
102936 | Rasuvo | Methotrexate | Pre-Filled Syringe 22.5/0.45 mg/ml 1.8 ml | $570 | No |
102937 | Rasuvo | Methotrexate | Pre-Filled Syringe 25/0.5 mg/ml 2 ml | $570 | No |
102938 | Rasuvo | Methotrexate | Pre-Filled Syringe 30/0.6 mg/ml 2.4 ml | $570 | No |
101271 | Abilify | Aripiprazole | Tablet 5 mg 30 tab | $576 | No |
8001 | Aimovig SureClick | Erenumab | Autoinjector 70 mg/ml 1 Auto-Injector | $576 | Yes |
8003 | Aimovig SureClick | Erenumab | Autoinjector 140 mg/ml 1 Auto-Injector | $576 | Yes |
5559 | Saxenda | Liraglutide | Autoinjector 6 mg/ml 15 ml | $576 | Yes |
103169 | Somavert | Pegvisomant | Vial Kit 20 mg 1 Vial | $576 | Yes |
8325 | Synvisc | Hyaluronic Acid | Pre-Filled Syringe 16/2 mg/ml 6 ml | $576 | No |
8323 | Synvisc-One | Hyaluronic Acid | Pre-Filled Syringe 48/6 mg/ml 6 ml | $576 | No |
90308 | Vesanoid | Tretinoin | Capsule 10 mg 100 cap | $576 | No |
8788 | Aricept | Donepezil | Tablet 5 mg 90 tab | $588 | No |
8790 | Aricept | Donepezil | Tablet 10 mg 90 tab | $588 | No |
11687 | Innohep | Tinzaparin Sodium | Pre-Filled Syringe 16000/0.8 iu/ml 8 ml | $588 | No |
12613 | Venofer | Iron Sucrose | Vial 20 mg 50 ml | $588 | No |
7802 | Erbitux | Cetuximab | Vial 2 mg/ml 50 ml | $599 | No |
8692 | Abilify | Aripiprazole | Tablet 10 mg 90 tab | $600 | No |
8694 | Abilify | Aripiprazole | Tablet 15 mg 90 tab | $600 | No |
8696 | Abilify | Aripiprazole | Tablet 20 mg 90 tab | $600 | No |
8700 | Abilify | Aripiprazole | Tablet 30 mg 90 tab | $600 | No |
101273 | Accrufer | Ferric Maltol | Capsule 30 mg 60 cap | $600 | No |
101305 | Aduhelm | Aducanumab | Vial 170/1.7 mg/ml 1.7 ml | $600 | Yes |
10955 | Advagraf ER | Tacrolimus | Capsule 3 mg 50 cap | $600 | No |
100043 | Advate | Antihemophilic Factor (Recombinant) | Vial 250IU (200-400) IU 250 IU | $600 | No |
7119 | Aldara P | Imiquimod | Cream 5 % 7.5 g | $600 | No |
11898 | Alkeran | Melphalan | Injection Kit 50 mg 1 Vial | $600 | No |
101456 | Astagraf XL | Tacrolimus | Capsule 5 mg 30 cap | $600 | No |
101532 | Breztri Aerosphere | Budesonide/Glycopyrrolate/Formoterol | Inhaler 160/9/4.8 mcg/mcg/mcg 10.7 g | $600 | No |
101573 | Carac | Fluorouracil | Cream Tube 0.5 % 30 g | $600 | No |
101581 | Caverject | Alprostadil | Injection Kit 20 mcg 6 Vial | $600 | No |
101645 | Creon | Pancrelipase | Capsule 36,000 USP 100 cap | $600 | No |
100241 | Cyclophosphamide | Cyclophosphamide | Powder Vial 1 g 1 Vial | $600 | No |
100242 | Cyclophosphamide | Cyclophosphamide | Powder Vial 1 g 1 Vial | $600 | No |
100243 | Cyclophosphamide | Cyclophosphamide | Powder Vial 1 g 1 Vial | $600 | No |
100274 | Deferasirox | Deferasirox | Tablet 125 mg 30 Tab | $600 | No |
101685 | Depakote DR | Divalproex Sodium | Tablet 500 mg 100 tab | $600 | No |
101740 | Effexor XR | Venlafaxine Hcl | Capsule 37.5 mg 90 cap | $600 | No |
101798 | Entresto | Sacubitril/Valsartan | Tablet 24.3/25.7 mg/mg 60 tab | $600 | No |
101799 | Entresto | Sacubitril/Valsartan | Tablet 48.6/51.4 mg/mg 60 tab | $600 | No |
101800 | Entresto | Sacubitril/Valsartan | Tablet 97.2/102.8 mg/mg 60 tab | $600 | No |
100358 | Epivir | Lamivudine | Tablet 300 mg 30 Tab | $600 | No |
101813 | Epivir HBV | Lamivudine | Tablet 100 mg 60 tab | $600 | No |
101836 | Estrace | Estradiol | Tablet 0.5 mg 100 tab | $600 | No |
101837 | Estrace | Estradiol | Tablet 1 mg 100 tab | $600 | No |
6762 | Famvir | Famciclovir | Tablet 250 mg 90 tab | $600 | No |
101892 | Femring | Estradiol Acetate | Vaginal Ring 0.05 mg/day 1 Ring | $600 | No |
101893 | Femring | Estradiol Acetate | Vaginal Ring 0.1 mg/day 1 Ring | $600 | No |
6776 | Fetzima | Levomilnacipran | Capsule 120 mg 90 cap | $600 | No |
7427 | Fosrenol | Lanthanum | Chewable Tablet 1000 mg 90 tab | $600 | No |
101924 | Fosrenol | Lanthanum Carbonate | Oral Powder 1000 mg 90 Packet | $600 | No |
101971 | Genotropin | Somatropin | Cartridge 5 mg 1 Cartridge | $600 | Yes |
101974 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 0.6 mg 1.75 ml | $600 | Yes |
11618 | Gonal-F | Follitropin Alfa | Autoinjector 450 iu 1 Autoinjector | $600 | No |
102081 | Humulin R U-500 | Insulin Regular | Vial 500 u/ml 20 ml | $600 | Yes |
102130 | Imitrex | Sumatriptan Succinate | Tablet 100 mg 9 tab | $600 | No |
100559 | Infliximab | Infliximab | Vial 100 mg 1 Kit | $600 | Yes |
100576 | Isotretinoin | Isotretinoin | Capsule 20 mg 30 Cap | $600 | No |
102206 | Jalyn | Dutasteride/Tamsulosin Hcl | Capsule 0.5/0.4 mg/mg 30 cap | $600 | No |
102239 | Jublia | Efinaconazole | Topical Solution 10 % 4 ml | $600 | No |
102268 | Keppra | Levetiracetam | Oral Solution 100 mg/ml 473 ml | $600 | No |
102275 | Keppra XR | Levetiracetam | Tablet 750 mg 60 tab | $600 | No |
21154 | Klisyri | Tirbanibulin | Ointment 1 % 5 Sachet | $600 | No |
102316 | Kyprolis | Carfilzomib | Powder Vial 10 mg 1 Vial | $600 | Yes |
102366 | Liletta | Levonorgestrel | IUD 52 mcg 1 IUD | $600 | No |
11805 | Lokelma | Sodium Zirconium Cyclosilicate | Sachet 5 g 30 Sachet | $600 | No |
102408 | Lunesta | Eszopiclone | Tablet 1 mg 30 tab | $600 | No |
102409 | Lunesta | Eszopiclone | Tablet 2 mg 30 tab | $600 | No |
102410 | Lunesta | Eszopiclone | Tablet 3 mg 30 tab | $600 | No |
5601 | Lupron | Leuprolide | Injection Kit 7.5 mg 1 Kit | $600 | No |
102437 | Lyrica | Pregabalin | Capsule 100 mg 90 cap | $600 | No |
102439 | Lyrica | Pregabalin | Capsule 150 mg 90 cap | $600 | No |
102440 | Lyrica | Pregabalin | Capsule 200 mg 90 cap | $600 | No |
102441 | Lyrica | Pregabalin | Capsule 225 mg 90 cap | $600 | No |
102442 | Lyrica | Pregabalin | Capsule 25 mg 90 cap | $600 | No |
102443 | Lyrica | Pregabalin | Capsule 300 mg 90 cap | $600 | No |
102445 | Lyrica | Pregabalin | Capsule 50 mg 90 cap | $600 | No |
102447 | Lyrica | Pregabalin | Capsule 75 mg 90 cap | $600 | No |
102451 | Lyrica | Pregabalin | Oral Solution 20 mg/ml 473 ml | $600 | No |
102455 | Lyumjev Kwikpen Junior | Insulin Lispro-aabc | Autoinjector 200/ units/ml 15 ml | $600 | No |
6672 | Menopur | Menotropin | Injection 75 iu 5 Vial | $600 | No |
102521 | Multaq | Dronedarone Hcl | Tablet 400 mg 60 tab | $600 | No |
8343 | Mvasi | Bevacizumab | Vial 25 mg/ml 4 ml | $600 | Yes |
100720 | Mycophenolate | Mycophenolate Mofetil | Tablet 500 mg 100 Tab | $600 | No |
102539 | Naftin | Naftifine Hcl | Gel Tube 2 % 60 g | $600 | No |
102552 | Neoral | Cyclosporine, Modified | Oral Solution 100 mg/ml 50 ml | $600 | No |
102591 | Nocdurna ODT | Desmopressin Acetate | Tablet 27.7 mcg 30 tab | $600 | No |
102592 | Nocdurna ODT | Desmopressin Acetate | Tablet 55.3 mcg 30 tab | $600 | No |
102596 | Norditropin FlexPro | Somatropin | Autoinjector 5/1.5 mg/ml 1.5 ml | $600 | Yes |
102600 | Norvasc | Amlodipine Besylate | Tablet 10 mg 100 tab | $600 | No |
102601 | Norvasc | Amlodipine Besylate | Tablet 5 mg 100 tab | $600 | No |
102606 | Novoeight | Antihemophilic Factor Viii (Recombinant) | Injection Kit 250 IU 250 IU | $600 | No |
100786 | Octagam | Immun Globg(Igg)/Malt/Iga Ov50 | Vial 2.5/50 g/ml 50 ml | $600 | No |
100792 | Octreotide | Octreotide Acetate | Vial 500 mcg/ml 10 ml | $600 | Yes |
80013 | Orgovyx | Relugolix | Tablet 120 mg 30 tab | $600 | No |
102725 | Otrexup | Methotrexate | Autoinjector 10/0.4 mg/ml 1.6 ml | $600 | No |
102726 | Otrexup | Methotrexate | Autoinjector 12.5/0.4 mg/ml 1.6 ml | $600 | No |
102727 | Otrexup | Methotrexate | Autoinjector 15/0.4 mg/ml 1.6 ml | $600 | No |
102728 | Otrexup | Methotrexate | Autoinjector 17.5/0.4 mg/ml 1.6 ml | $600 | No |
102729 | Otrexup | Methotrexate | Autoinjector 20/0.4 mg/ml 1.6 ml | $600 | No |
102730 | Otrexup | Methotrexate | Autoinjector 22.5/0.4 mg/ml 1.6 ml | $600 | No |
102731 | Otrexup | Methotrexate | Autoinjector 25/0.4 mg/ml 1.6 ml | $600 | No |
102738 | Oxytrol | Oxybutynin | Transdermal Patch 36 mg 8 Patch | $600 | No |
100843 | Panzyga | Immune Globulin | Vial 2.5/25 g/ml 25 ml | $600 | No |
102791 | Pertzye | Pancrelipase | Capsule 16000 USP 100 cap | $600 | No |
12278 | Prevymis | Letermovir | Injection Solution 480 mg 1 Vial | $600 | No |
102863 | Procrit | Epoetin Alfa | Vial 4,000 units/ml 6 ml | $600 | Yes |
7993 | Procrit | Epoetin Alfa | Pre-Filled Syringe 30000 iu w/ Protec 0.75 ml | $600 | Yes |
102872 | Prograf | Tacrolimus | Capsule 1 mg 100 cap | $600 | No |
102898 | Pulmicort Respules | Budesonide | Ampule 1/2 mg/ml 60 ml | $600 | No |
7026 | Rebif | Interferon Beta-1a | Pre-Filled Syringe 22 mcg 3 PFS | $600 | Yes |
102956 | Recombinate | Factor VIII, Recombinant Human | Injection Kit 250 IU 250 IU | $600 | No |
102982 | Restasis | Cyclosporine | Ophthalmic Emulsion 0.0005 % 5.5 ml | $600 | No |
100943 | Retacrit | Epoetin Alfa-epbx | Vial 4000 iu/ml 10 ml | $600 | Yes |
103058 | Ruxience | Rituximab-pvvr | Vial 100/10 mg/ml 10 ml | $600 | Yes |
8264 | Ruxience | Rituximab | Vial 100/10 mg/ml 10 ml | $600 | No |
103073 | Rythmol SR | Propafenone | Capsule 225 mg 60 cap | $600 | No |
7412 | Sabril | Vigabatrin | Tablet 500 mg 200 tab | $600 | No |
103082 | Sancuso | Granisetron | Transdermal Patch 3.1/24 mg/HR 1 Patch | $600 | No |
100977 | Sandimmune | Cyclosporine | Capsule 100 mg 30 Cap | $600 | No |
63538 | Saxenda | Liraglutide | Autoinjector 6 mg/ml 15 ml | $600 | Yes |
103113 | Sensipar | Cinacalcet Hcl | Tablet 30 mg 30 tab | $600 | No |
103175 | Soolantra | Ivermectin | Topical Cream 1 % 60 g | $600 | No |
103196 | Stalevo | Carbidopa/Levodopa/Entacapone | Tablet 125/31.25/200 mg 100 tab | $600 | No |
103197 | Stalevo | Carbidopa/Levodopa/Entacapone | Tablet 100/25/200 mg 100 tab | $600 | No |
103198 | Stalevo | Carbidopa/Levodopa/Entacapone | Tablet 50/12.5/200 mg 100 tab | $600 | No |
103199 | Stalevo | Carbidopa/Levodopa/Entacapone | Tablet 75/18.75/200 mg 100 tab | $600 | No |
7295 | Sustiva | Efavirenz | Capsule 200 mg 90 cap | $600 | No |
7296 | Sustiva | Efavirenz | Tablet 600 mg 30 tab | $600 | No |
8076 | Tarceva | Erlotinib | Tablet 25 mg 30 tab | $600 | No |
9424 | Tasmar | Tolcapone | Tablet 100 mg 200 tab | $600 | No |
103371 | Tikosyn | Dofetilite | Capsule 125 mcg 60 cap | $600 | No |
103373 | Tikosyn | Dofetilite | Capsule 250 mcg 60 cap | $600 | No |
103375 | Tikosyn | Dofetilite | Capsule 500 mcg 60 cap | $600 | No |
103466 | Tyrvaya | Varenicline Tartrate | Nasal Spray 0.03 mg 8.4 ml | $600 | No |
101156 | Ursodiol | Ursodiol | Capsule 300 mg 100 Cap | $600 | No |
7395 | Valcyte | Valganciclovir | Oral Solution 50 mg /ml 100 ml | $600 | No |
12606 | Veltassa | Patiromer | Oral Suspension Powder 16.8 g 30 sachet | $600 | No |
12607 | Veltassa | Patiromer | Oral Suspension Powder 8.4 g 30 sachet | $600 | No |
103540 | Venofer | Iron Sucrose | Vial 100/5 mg/ml 50 ml | $600 | No |
103542 | Venofer | Iron Sucrose | Vial 200/10 mg/ml 50 ml | $600 | No |
12623 | Vfend | Voriconazole | Tablet 50 mg 30 tab | $600 | No |
103573 | Viread | Tenofovir Disoproxil Fumarate | Oral Powder 40 mg 60 g | $600 | No |
97053 | Vraylar | Cariprazine | Capsule 4.5 mg 30 cap | $600 | No |
78373 | Vraylar | Cariprazine | Capsule 3 mg 30 cap | $600 | No |
78403 | Vraylar | Cariprazine | Capsule 6 mg 30 cap | $600 | No |
78405 | Vraylar | Cariprazine | Capsule 1.5 mg 30 cap | $600 | No |
103633 | Xanax | Alprazolam | Tablet 0.5 mg 100 tab | $600 | No |
103684 | Xiidra | Lifitegrast | Ophthalmic Solution 5 % 60 Vial | $600 | No |
103710 | Xyosted | Testosterone Enanthate | Autoinjector 100/0.5 mg/ml 2 ml | $600 | No |
103711 | Xyosted | Testosterone Enanthate | Autoinjector 50/0.5 mg/ml 2 ml | $600 | No |
103712 | Xyosted | Testosterone Enanthate | Autoinjector 75/0.5 mg/ml 2 ml | $600 | No |
101230 | Zarxio | Filgrastim-sndz | Pre-Filled Syringe 480/0.8 mcg/ml 0.8 ml | $600 | Yes |
103736 | Zegalogue | Dasiglucagon Hcl | Autoinjector 0.6/0.6 mg/ml 1.2 ml | $600 | No |
103740 | Zegalogue | Dasiglucagon Hcl | Pre-Filled Syringe 0.6/0.6 mg/ml 1.2 ml | $600 | No |
103741 | Zegalogue | Dasiglucagon Hcl | Pre-Filled Syringe 0.6/0.6 mg/ml 1.2 ml | $600 | No |
7034 | Ziagen | Abacavir | Tablet 300 mg 60 tab | $600 | No |
103773 | Zirabev | Bevacizumab-bvzr | Vial 100/4 mg/ml 4 ml | $600 | Yes |
8345 | Zirabev | Bevacizumab | Vial 100/4 mg/ml 4 ml | $600 | Yes |
103805 | Zyprexa | Olanzapine | Tablet 10 mg 30 tab | $600 | No |
101587 | Cequa | Cyclosporine | Ophthalmic Solution 0.09 % 60 ml | $606 | No |
7481 | Synarel | Nafarelin | Nasal Solution 2 mg/ml 8 ml | $606 | No |
100575 | Isentress | Raltegravir Potassium | Tablet 100 mg 60 Tab | $612 | No |
101269 | Abilify | Aripiprazole | Tablet 2 mg 30 tab | $618 | No |
12096 | Noxafil | Posaconazole | Vial 300 mg 16.7 ml | $624 | Yes |
101095 | Temozolomide | Temozolomide | Capsule 20 mg 14 Cap | $624 | No |
100100 | Apriso | Mesalamine | Capsule 0.375 g 120 Cap | $630 | No |
101411 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 25/0.42 mcg/ml 1.68 ml | $630 | Yes |
101418 | Aranesp | Darbepoetin Alfa | Vial 25 mcg/ml 4 ml | $630 | Yes |
101631 | Corlanor | Ivabradine | Tablet 5 mg 60 tab | $630 | No |
101632 | Corlanor | Ivabradine | Tablet 7.5 mg 60 tab | $630 | No |
100311 | Eligard | Leuprolide Acetate | Injection Kit 7.5 mg 1 Kit | $630 | Yes |
102252 | Kaletra | Lopinavir/Ritonavir | Solution 400-100/5 mg-mg/ml 160 ml | $630 | No |
100877 | Praluent | Alirocumab | Autoinjector 150 mg/ml 2 ml | $630 | Yes |
101452 | Aspruzyo Sprinkle | Ranolazine | Capsule 1000 mg 60 cap | $636 | No |
100491 | Granix | tbo-Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 0.8 ml | $636 | Yes |
100894 | Procrit | Epoetin Alfa | Vial 3000 iu w/ Protec 6 ml | $636 | Yes |
8800 | Breo Ellipta | Fluticasone/Vilanterol | Inhaler 200/25 mcg 180 blisters | $648 | No |
6208 | Intuniv XR | Guanfacine | Tablet 2 mg 100 tab | $648 | No |
6936 | Praluent | Alirocumab | Autoinjector 150 mg/ml 2 PFS | $648 | Yes |
6939 | Praluent | Alirocumab | Autoinjector 75 mg/ml 2 PFS | $648 | Yes |
7381 | Zoladex | Goserelin | Implant 3.6 mg 1 Implant | $648 | No |
12685 | Zometa | Zoledronic Acid | IV Solution 4/5 mg/ml 5 ml | $648 | No |
100019 | Acitretin | Acitretin | Capsule 10 mg 30 Cap | $660 | No |
100025 | Actemra | Tocilizumab | Vial 80/4 mg/ml 4 ml | $660 | Yes |
10937 | Actemra | Tocilizumab | Vial 200/10 mg/ml 10 ml | $660 | Yes |
101347 | Aimovig | Erenumab | Autoinjector 140 mg/ml 1 ml | $660 | Yes |
101346 | Aimovig SureClick | Erenumab | Autoinjector 70 mg/ml 1 ml | $660 | Yes |
111319 | Ajovy | Fremanezumab | Autoinjector 225/1.5 mg/ml 1.5 ml | $660 | Yes |
111321 | Ajovy | Fremanezumab | Pre-Filled Syringe 225/1.5 mg/ml 1.5 ml | $660 | Yes |
101351 | Akynzeo | Netupitant/Palonosetron | Capsule 300/0.5 mg/mg 1 cap | $660 | No |
100096 | Anoro Ellipta | Umeclidinium/Vilanterol | Inhaler 62.5/25 mcg/Act 60 Blisters | $660 | No |
100177 | Breo | Fluticasone/Vilanterol | Inhaler 100/25 mcg 60 Blisters | $660 | No |
100202 | Cinacalcet | Cinacalcet | Tablet 30 mg 30 Tab | $660 | No |
8698 | Cingal | Hyaluronic Acid/Triamcinolone Hexacetonide | Injection 88/18 mg 4 ml | $660 | No |
69598 | Durolane | Hyaluronic Acid | Pre-Filled Syringe 60/3 mg/ml 3 ml | $660 | Yes |
101732 | Dysport | Abobotulinumtoxina | Powder Vial 300 units 1 Vial | $660 | Yes |
101748 | Elepsia XR | Levetiracetam | Tablet 1000 mg 30 tab | $660 | No |
100348 | Envarsus XR | Tacrolimus | Tablet 0.75 mg 100 Tab | $660 | No |
101823 | Epogen | Epoetin Alfa | Vial 4000 units/ml 10 ml | $660 | Yes |
100363 | Epogen | Epoetin Alfa | Vial 3000 iu/ml 10 ml | $660 | Yes |
101841 | Eucrisa | Crisaborole | Topical Ointment 0.02 % 60 g | $660 | No |
101849 | Exelon | Rivastigmine | Transdermal Patch 4.6/24 mg/hr 30 Patch | $660 | No |
101850 | Exelon | Rivastigmine | Transdermal Patch 9.5/24 mg/hr 30 Patch | $660 | No |
101851 | Exelon | Rivastigmine | Transdermal Patch 13.3/24 mg/hr 30 Patch | $660 | No |
100405 | Firmagon | Degarelix | Vial Kit 80 mg 1 ml | $660 | No |
101962 | Gamunex-C | Immune Globulin (Human) | Vial 5/50 g/ml 50 ml | $660 | Yes |
100451 | Gelsyn-3 | Sodium Hyaluronate | Pre-Filled Syringe 16.8/2 mg/ml 2 ea | $660 | No |
100578 | Isotretinoin | Isotretinoin | Capsule 40 mg 30 Cap | $660 | No |
102276 | Kerendia | Finerenone | Tablet 10 mg 30 tab | $660 | No |
102278 | Kerendia | Finerenone | Tablet 20 mg 30 tab | $660 | No |
102405 | Lumigan | Bimatoprost | Ophthalmic Solution 0.01 % 7.5 ml | $660 | No |
102456 | Lyumjev Kwikpen | Insulin Lispro-aabc | Autoinjector 100/ units/ml 15 ml | $660 | No |
102644 | Nutropin AQ | Somatropin | Autoinjector 10/2 mg/ml 2 ml | $660 | Yes |
102675 | Omegaven | Fish Oil Triglycerides | Injectable Emulsion 5/50 g/ml 500 ml | $660 | No |
102810 | Plavix | Clopidogrel Bisulfate | Tablet 75 mg 90 tab | $660 | No |
7983 | Procrit | Epoetin Alfa | Pre-Filled Syringe 5000 iu w/ Protec 3 ml | $660 | Yes |
102986 | Restoril | Temazepam | Capsule 7.5 mg 30 cap | $660 | No |
103027 | Rhogam Ultra-Filtered Plus | Rho D Immune Globulin | Pre-Filled Syringe 1500 IU 5 PFS | $660 | Yes |
100959 | Ribavirin | Ribavirin | Capsule 200 mg 84 Cap | $660 | No |
103078 | Saizen | Somatropin | Powder Vial 5 mg 1 Vial | $660 | No |
6268 | Seroquel | Quetiapine | Tablet 300 mg 100 tab | $660 | No |
101006 | Sirolimus | Sirolimus | Tablet 0.5 mg 100 Tab | $660 | No |
17034 | Truvada | Emtricitabine/Tenofovir | Tablet 200/300 mg 30 tab | $660 | No |
103511 | Valtrex | Valacyclovir Hcl | Tablet 1000 mg 30 tab | $660 | No |
103637 | Xanax XR | Alprazolam | Tablet 1 mg 60 tab | $660 | No |
101210 | Xeomin | Incobotulinumtoxina | Powder Vial 100 Unit 1 Vial | $660 | No |
103811 | Zyprexa Zydis | Olanzapine | Tablet 10 mg 30 tab | $660 | No |
11688 | Innohep | Tinzaparin Sodium | Pre-Filled Syringe 18000/0.9 iu/ml 9 ml | $666 | No |
101838 | Estrace | Estradiol | Tablet 2 mg 100 tab | $672 | No |
6061 | Abilify | Aripiprazole | Injection Kit 300 mg 1 Vial | $684 | No |
6062 | Abilify | Aripiprazole | Injection Kit 400 mg 1 Vial | $684 | No |
11702 | Innohep | Tinzaparin Sodium | Vial 10000 iu/ml 20 ml | $684 | No |
12138 | Omnitrope | Somatropin | Cartridge 15/1.5 mg/ml 1.5 ml | $684 | Yes |
6237 | Zyprexa | Olanzapine | Tablet 7.5 mg 84 tab | $684 | No |
20346 | Xifaxan | Rifaximin | Tablet 550 mg 60 tab | $687 | No |
101534 | Brilinta Hospital Unit | Ticagrelor | Tablet 90 mg 100 tab | $690 | No |
101655 | Cuvposa | Glycopyrrolate | Oral Solution 1/5 mg/ml 473 ml | $690 | No |
102019 | Gvoke | Glucagon | Autoinjector 0.5/0.1 mg/ml 0.2 ml | $690 | No |
102020 | Gvoke | Glucagon | Autoinjector 1/0.2 mg/ml 0.4 ml | $690 | No |
103624 | Winlevi | Clascoterone | Cream Tube 0.01 % 60 g | $690 | Yes |
11895 | Megace | Megestrol | Suspension 40 mg/ml 240 ml | $696 | No |
6981 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 40 mcg/ml 1.6 ml | $708 | Yes |
6805 | Bicillin LA | Penicillin G Benzathine | Injection 1200/2 mu/ml 20 ml | $708 | No |
5614 | Invega Sustenna | Paliperidone | Injection Kit 75/0.75 mg/ml 1 Kit | $708 | No |
5616 | Invega Sustenna | Paliperidone | Injection Kit 100 mg/ml 1 Kit | $708 | No |
12335 | Risperdal Consta | Risperidone | Vial Kit 50 mg 1 Kit | $708 | No |
12605 | Velphoro | Sucroferric Oxyhydroxide | Chewable Tablet 500 mg 90 tab | $708 | No |
6209 | Intuniv XR | Guanfacine | Tablet 3 mg 100 tab | $714 | No |
44793 | Abrilada | Adalimumab | Pre-Filled Syringe 20/0.4 mg/ml 2 PFS | $720 | Yes |
9312 | Afinitor | Everolimus | Tablet 2.5 mg 30 tab | $720 | No |
101352 | Akynzeo | Netupitant/Palonosetron | Vial 235-0.25/20 mg-mg/ml 20 ml | $720 | No |
100073 | Alphanate | Antihemophilic Factor/Vwf | Vial Kit 500 IU 500 IU | $720 | No |
100141 | Avsola | Infliximab-Axxq | Vial 100 mg 1 Vial | $720 | Yes |
101487 | Baqsimi | Glucagon | 3 mg/Device 2 Dose | $720 | No |
101520 | Bivigam | Immune Globulin | Vial 5/50 g/ml 50 ml | $720 | Yes |
101554 | Byetta | Exenatide | Autoinjector 10 mcg/dose 2.4 ml | $720 | Yes |
101555 | Byetta | Exenatide | Autoinjector 5 mcg/dose 1.2 ml | $720 | Yes |
101583 | Cellcept | Mycophenolate | Capsule 250 mg 100 cap | $720 | No |
100208 | Claravis | Isotretinoin | Capsule 30 mg 30 Cap | $720 | No |
101625 | Comtan | Entacapone | Tablet 200 mg 100 tab | $720 | No |
45609 | Creon | Pancreatic Enzyme | Capsule 25000 Units 600 Caps | $720 | No |
11329 | Cuvposa | Glycopyrrolate | Oral Solution 1/5 mg/ml 473 ml | $720 | No |
7584 | Edurant | Rilpivirine | Tablet 25 mg 30 tab | $720 | No |
101777 | Emend Tri-Pack | Aprepitant | Capsule 125-80 mg-mg 3 cap | $720 | No |
100330 | Emtriva | Emtricitabine | Capsule 200 mg 30 Tab | $720 | No |
101891 | Femara | Letrozole | Tablet 2.5 mg 30 tab | $720 | No |
100410 | Flebogamma | Immune Globulin (Human) | Vial 5/100 g/ml 100 ml | $720 | No |
101906 | Flomax | Tamsulosin | Capsule 0.4 mg 100 cap | $720 | No |
101915 | Follistim AQ | Follitropin Beta | Vial 300/0.36 IU/ml 0.36 ml | $720 | Yes |
12301 | Follistim AQ | Follitropin Beta | Injection 600 IU 0.72 ml | $720 | No |
100421 | Fulvestrant | Fulvestrant | Pre-Filled Syringe 250/5 mg/ml 10 ml | $720 | Yes |
24983 | Fycompa | Perampanel | Tablet 6 mg 28 tab | $720 | No |
25030 | Fycompa | Perampanel | Tablet 4 mg 28 tab | $720 | No |
25031 | Fycompa | Perampanel | Tablet 8 mg 28 tab | $720 | No |
25032 | Fycompa | Perampanel | Tablet 10 mg 28 tab | $720 | No |
25033 | Fycompa | Perampanel | Tablet 12 mg 28 tab | $720 | No |
101975 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 0.8 mg 1.75 ml | $720 | Yes |
9479 | Gleevec | Imatinib | Tablet 100 mg 60 tab | $720 | No |
102022 | Gvoke | Glucagon | Pre-Filled Syringe 1/0.2 mg/ml 0.4 ml | $720 | No |
17933 | Hexalen | Altretamine | Capsule 50 mg 100 cap | $720 | No |
102046 | Hizentra | Immune Globulin (Human) | Pre-Filled Syringe 4/20 g/ml 20 ml | $720 | No |
102050 | Hizentra | Immune Globulin (Human) | Vial 4/20 g/ml 20 ml | $720 | No |
44795 | Hulio | Adalimumab | Pre-Filled Syringe 20/0.4 mg/ml 2 ea | $720 | Yes |
100540 | Hyqvia | Immune Globulin (Human) | Vial 2.5/25 g/ml 26.25 ml | $720 | Yes |
107493 | Hyrimoz | Adalimumab | Pre-Filled Syringe 20/0.2 mg/ml 0.4 ml | $720 | Yes |
44799 | Hyrimoz | Adalimumab | Pre-Filled Syringe 20/0.4 mg/ml 0.8 ml | $720 | Yes |
102135 | Imuran | Azathioprine | Tablet 50 mg 100 tab | $720 | No |
102149 | Inpefa | Sotagliflozin | Tablet 200 mg 30 tab | $720 | No |
102162 | Invega ER | Paliperidone | Tablet 9 mg 30 tab | $720 | No |
102222 | Jatenzo | Testosterone Undecanoate | Capsule 158 mg 120 cap | $720 | No |
102223 | Jatenzo | Testosterone Undecanoate | Capsule 198 mg 120 cap | $720 | No |
100654 | Leuprolide | Leuprolide Acetate | Injection Kit 1/0.2 mg/ml 1 Kit | $720 | No |
102376 | Livalo | Pitavastatin Calcium | Tablet 2 mg 90 tab | $720 | No |
102377 | Livalo | Pitavastatin Calcium | Tablet 4 mg 90 tab | $720 | No |
115025 | Lo Loestrin FE | Norethindrone-Ethinyl Estradiol/Ethinyl Estradiol/Ferrous Fumarate | Tablet 10/10/2001 12:00:00 AM mg-mcg/mg 140 tab | $720 | No |
102436 | Lyrica | Pregabalin | Capsule 100 mg 100 cap | $720 | No |
102438 | Lyrica | Pregabalin | Capsule 150 mg 100 cap | $720 | No |
102444 | Lyrica | Pregabalin | Capsule 50 mg 100 cap | $720 | No |
102446 | Lyrica | Pregabalin | Capsule 75 mg 100 cap | $720 | No |
100691 | Mayzent | Siponimod | Tablet 0.25 mg 7 Tab | $720 | Yes |
102530 | Myfortic | Mycophenolate Sodium | Tablet 180 mg 120 tab | $720 | No |
100738 | Neupogen | Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 0.8 ml | $720 | Yes |
102564 | Neupro | Rotigotine | Transdermal Patch 1 mg 30 Patch | $720 | No |
102565 | Neupro | Rotigotine | Transdermal Patch 2 mg 30 Patch | $720 | No |
102566 | Neupro | Rotigotine | Transdermal Patch 3 mg 30 Patch | $720 | No |
102567 | Neupro | Rotigotine | Transdermal Patch 4 mg 30 Patch | $720 | No |
102568 | Neupro | Rotigotine | Transdermal Patch 6 mg 30 Patch | $720 | No |
102569 | Neupro | Rotigotine | Transdermal Patch 8 mg 30 Patch | $720 | No |
102643 | Nurtec ODT | Rimegepant Sulfate | Tablet 75 mg 8 tab | $720 | No |
100813 | Orthovisc | Hyaluronate Sodium | Pre-Filled Syringe 30/2 mg/ml 2 ml | $720 | No |
102797 | Pertzye | Pancrelipase | Capsule 8000 USP 250 cap | $720 | No |
7266 | Pifeltro | Doravirine | Tablet 100 mg 30 tab | $720 | No |
100878 | Praluent | Alirocumab | Autoinjector 150 mg/ml 2 ml | $720 | Yes |
100879 | Praluent | Alirocumab | Autoinjector 75 mg/ml 2 ml | $720 | Yes |
102871 | Profilnine | Factor Ix Complex | Vial Kit 500 Unit 500 Unit | $720 | No |
55831 | Prolastin-C | Alpha 1-Proteinase Inhibitor | Powder For Solution 1000 mg 1 Vial | $720 | Yes |
6983 | Prolia | Denosumab | Pre-Filled Syringe 60 mg/ml 1 PFS | $720 | Yes |
7027 | Rebif | Interferon Beta-1a | Pre-Filled Syringe 44 mcg 3 PFS | $720 | Yes |
8260 | Renflexis | Infliximab | Vial 100 mg 1 Vial | $720 | Yes |
102984 | Restoril | Temazepam | Capsule 22.5 mg 30 cap | $720 | No |
103029 | Riabni | Rituximab-arrx | Vial 100/10 mg/ml 10 ml | $720 | Yes |
103074 | Rythmol SR | Propafenone | Capsule 325 mg 60 cap | $720 | No |
103075 | Rythmol SR | Propafenone | Capsule 425 mg 60 cap | $720 | No |
103108 | Selzentry | Maraviroc | Tablet 25 mg 120 tab | $720 | No |
6673 | Sensipar | Cinacalcet | Tablet 60 mg 30 tab | $720 | No |
7313 | Trelstar SR | Triptorelin | Injection Kit 3.75 mg 1 Kit | $720 | Yes |
103450 | Trulicity | Dulaglutide | Autoinjector 0.75/0.5 mg/ml 2 ml | $720 | Yes |
103451 | Trulicity | Dulaglutide | Autoinjector 1.5/0.5 mg/ml 2 ml | $720 | Yes |
103462 | Twyneo | Tretinoin/Benzoyl Peroxide | Cream 0.1/0.3 %/% 30 g | $720 | Yes |
103545 | Veozah | Fezolinetant | Tablet 45 mg 30 tab | $720 | No |
103547 | Verquvo | Vericiguat | Tablet 10 mg 30 tab | $720 | No |
103548 | Verquvo | Vericiguat | Tablet 2.5 mg 30 tab | $720 | No |
103549 | Verquvo | Vericiguat | Tablet 5 mg 30 tab | $720 | No |
103561 | Victoza | Liraglutide | Autoinjector 18/3 mg/ml 9 ml | $720 | Yes |
17633 | Wakix | Pitolisant | Tablet 5 mg 30 tab | $720 | No |
17634 | Wakix | Pitolisant | Tablet 20 mg 30 tab | $720 | No |
103658 | Xeloda | Capecitabine | Tablet 150 mg 60 tab | $720 | No |
103666 | Xenical | Orlistat | Capsule 120 mg 90 cap | $720 | No |
103671 | Xeomin | Incobotulinumtoxina | Powder Vial 100 units 1 Vial | $720 | No |
103678 | Xhance | Fluticasone Propionate | Nasal Spray 93 mcg 16 ml | $720 | No |
44811 | Yuflyma | Adalimumab | Pre-Filled Syringe 40/0.4 mg/ml 1 PFS | $720 | Yes |
24913 | Zeposia | Ozanimod Hydrochloride | Starter Kit 0.23/0.46 mg 6 Tab | $720 | No |
13047 | Zevtera | Ceftobiprole Medocaril Sodium | Vial 500 mg 10 Vial | $720 | No |
103768 | Ziagen | Abacavir Sulfate | Tablet 300 mg 60 tab | $720 | No |
103771 | Zilxi | Minocycline | Aerosol Foam 0.015 % 30 g | $720 | Yes |
100481 | Gleostine | Lomustine | Capsule 10 mg 5 Cap | $744 | No |
6838 | Botox | OnabotulinumtoxinA | Vial 200 Unit 1 Vial | $750 | Yes |
101643 | Creon | Pancrelipase | Capsule 24,000 USP 100 cap | $750 | No |
101675 | Darzalex | Daratumumab | Vial 100/5 mg/ml 5 ml | $750 | Yes |
100621 | Kyprolis | Carfilzomib | Powder Vial 10 mg 1 Vial | $750 | Yes |
102411 | Lunsumio | Mosunetuzumab-axgb | Vial 1 mg/ml 1 ml | $750 | Yes |
102759 | Palynziq | Pegvaliase-pqpz | Pre-Filled Syringe 10/0.5 mg/ml 0.5 ml | $750 | Yes |
102760 | Palynziq | Pegvaliase-pqpz | Pre-Filled Syringe 2.5/0.5 mg/ml 0.5 ml | $750 | Yes |
102761 | Palynziq | Pegvaliase-pqpz | Pre-Filled Syringe 20 mg/ml 1 ml | $750 | Yes |
102974 | Renflexis | Sevelamer Carbonate | Powder Vial 100 mg 1 Vial | $750 | Yes |
11085 | Arranon | Nelarabine | Vial 5 mg/ml 50 ml | $756 | No |
8784 | Invega | Paliperidone | Tablet 6 mg 90 tab | $756 | No |
7581 | Mycobutin | Rifabutin | Capsule 150 mg 100 cap | $756 | No |
10992 | Agrylin | Anagrelide | Capsule 0.5 mg 100 cap | $768 | No |
101268 | Abilify | Aripiprazole | Tablet 20 mg 30 tab | $780 | No |
101270 | Abilify | Aripiprazole | Tablet 30 mg 30 tab | $780 | No |
100020 | Acitretin | Acitretin | Capsule 25 mg 30 Cap | $780 | No |
100021 | Acitretin | Acitretin | Capsule 25 mg 30 Cap | $780 | No |
101322 | Adynovate | Antihemophilic Factor (Recombinant) | Vial Kit 250 IU 250 IU | $780 | Yes |
10993 | Ajovy | Fremanezumab-Vfrm | Pre-Filled Syringe 225 mg/ml 1.5 ml | $780 | No |
19173 | Ajovy | Fremanezumab-Vfrm | Autoinjector 225 mg/ml 1.5 ml | $780 | Yes |
100101 | Aralast | Alpha-1-Proteinase Inhibitor (Human) | Vial 1000 mg 1000 mg | $780 | No |
11106 | Avsola | Infliximab | Vial 100 mg 1 Vial | $780 | Yes |
101502 | Benlysta | Belimumab | Vial 120/5 mg/ml 1 Vial | $780 | Yes |
101699 | Differin | Adapalene | Gel Pump 0.003 % 45 g | $780 | No |
100292 | Doxorubicin | Doxorubicin HCL | Vial 2 mg/ml 10 ml | $780 | Yes |
101755 | Eliquis | Apixaban | Tablet 2.5 mg 100 tab | $780 | No |
101757 | Eliquis | Apixaban | Tablet 5 mg 100 tab | $780 | No |
101770 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 250 IU 250 IU | $780 | No |
100418 | Fragmin | Dalteparin Sodium | Pre-Filled Syringe 5000/0.2 iu/ml 2 ml | $780 | No |
101953 | Gammagard Liquid | Immune Globulin (Human) | Vial 5/50 g/ml 50 ml | $780 | No |
11577 | Gemcitabine | Gemcitabine | Injection 40 mg/ml 50 ml | $780 | No |
100474 | Glassia | Alpha-1 Proteinase Inhibitor (Human) | Vial 100/50 mg/ml 1 ml | $780 | Yes |
22338 | Imitrex | Sumatriptan | Tablet 100 mg 36 tab | $780 | No |
102139 | Inflectra | Infliximab-dyyb | Vial 100 mg 1 Vial | $780 | Yes |
8256 | Inflectra | Infliximab | Vial 100 mg 1 Vial | $780 | Yes |
100569 | Intron | INTERFERON ALFA-2B,RECOMB. | Vial 18000000 IU 5 ml | $780 | Yes |
102331 | Lamictal XR | Lamotrigine | Tablet 50 mg 30 tab | $780 | No |
100626 | Lamivudine | Lamivudine | Tablet 150-300 mg 60 Tab | $780 | No |
102350 | Leqembi | Lecanemab-Irmb | Vial 500/5 mg/ml 5 ml | $780 | Yes |
11773 | Lexiva | Fosamprenavir | Tablet 700 mg 60 tab | $780 | No |
100695 | Mesalamine | Mesalamine | Capsule 400 mg 180 Cap | $780 | No |
102548 | Nayzilam | Midazolam | Nasal Spray 5 mg 2 Unit | $780 | No |
102648 | Nuvigil | Armodafinil | Tablet 150 mg 30 tab | $780 | No |
102649 | Nuvigil | Armodafinil | Tablet 200 mg 30 tab | $780 | No |
102650 | Nuvigil | Armodafinil | Tablet 250 mg 30 tab | $780 | No |
7038 | Orencia | Abatacept | Vial w/ Syringe 250 mg/15ml 15 ml | $780 | Yes |
102858 | Privigen | Immun Glob G(Igg)-Pro-Iga 0-50 | Vial 5/50 g/ml 50 ml | $780 | No |
7985 | Procrit | Epoetin Alfa | Pre-Filled Syringe 6000 iu w/ Protec 3.6 ml | $780 | Yes |
7995 | Procrit | Epoetin Alfa | Pre-Filled Syringe 40000 iu w/ Protec 1 ml | $780 | Yes |
103024 | Rhofade | Oxymetazoline Hcl | Cream Tube 0.01 % 30 g | $780 | No |
103123 | Silenor | Doxepin Hcl | Tablet 3 mg 30 tab | $780 | No |
103124 | Silenor | Doxepin Hcl | Tablet 6 mg 30 tab | $780 | No |
103156 | Soliqua | Insulin Glargine/Lixisenatide | Autoinjector 100/33 u/mcg/ml 15 ml | $780 | Yes |
103161 | Soma | Carisoprodol | Tablet 350 mg 100 tab | $780 | No |
103171 | Somavert | Pegvisomant | Vial Kit 25 mg 1 Vial | $780 | Yes |
103186 | Sporanox | Itraconazole | Capsule 100 mg 30 cap | $780 | No |
103250 | Symlipen 60 | Pramlintide Acetate | Autoinjector 1500/1.5 mcg/ml 3 ml | $780 | Yes |
103391 | Tosymra | Sumatriptan | Nasal Spray 10 mg 6 Unit | $780 | No |
103405 | Treanda | Bendamustine Hcl | Powder Vial 25 mg 1 Vial | $780 | No |
103410 | Trelstar SR | Triptorelin Pamoate | Injection 3.75 mg 1 Kit | $780 | No |
33181 | Ubrelvy | Ubrogepant | Tablet 50 mg 10 tab | $780 | No |
33183 | Ubrelvy | Ubrogepant | Tablet 100 mg 10 tab | $780 | No |
9449 | Vraylar | Cariprazine | Capsule 1.5 mg 90 Caps | $780 | No |
9450 | Vraylar | Cariprazine | Capsule 3 mg 90 Caps | $780 | No |
9451 | Vraylar | Cariprazine | Capsule 4.5 mg 90 Caps | $780 | No |
9452 | Vraylar | Cariprazine | Capsule 6 mg 90 Caps | $780 | No |
103634 | Xanax | Alprazolam | Tablet 1 mg 100 tab | $780 | No |
103748 | Zembrace SymTouch | Sumatriptan Succinate | Autoinjector 3/0.5 mg/ml 2 ml | $780 | No |
101252 | Zomacton | Somatropin (rDNA origin) | Injection Kit 10 mg 1 Kit | $780 | Yes |
103803 | Zyprexa Relprevv | Olanzapine Pamoate | Vial Kit 300 mg 1 Kit | $780 | No |
6210 | Intuniv XR | Guanfacine | Tablet 4 mg 100 tab | $810 | No |
102525 | Mvasi | Bevacizumab-awwb | Vial 100/4 mg/ml 4 ml | $810 | Yes |
102682 | Ongentys | Opicapone | Capsule 25 mg 30 cap | $810 | No |
102683 | Ongentys | Opicapone | Capsule 50 mg 30 cap | $810 | No |
102794 | Pertzye | Pancrelipase | Capsule 24000 USP 80 cap | $810 | No |
101247 | Zirabev | Bevacizumab-bvzr | Vial 100/4 mg/ml 4 ml | $810 | Yes |
11511 | Invanz | Ertapenem Vial | Injection 1 g 10 Vial | $816 | No |
12100 | Nutropin AQ | Somatropin | Pen Cartridge 10/2 mg/ml 2 ml | $816 | Yes |
8854 | Viread | Tenofovir Disoproxil Fumarate | Tablet 300 mg 30 tab | $816 | No |
6238 | Zyprexa | Olanzapine | Tablet 10 mg 84 tab | $816 | No |
12690 | Zyvox | Linezolid | Oral Suspension 100/5 mg/ml 150 ml | $816 | No |
11706 | Invirase | Saquinavir | Tablet 500 mg 120 tab | $828 | No |
10930 | Epzicom | Abacavir/Lamivudine | Tablet 600/300 mg 30 tab | $834 | No |
101355 | Alimta | Pemetrexed | Powder Vial 100 mg 1 Vial | $840 | No |
101378 | Alymsys | Bevacizumab-maly | Vial 100/4 mg/ml 4 ml | $840 | Yes |
100084 | Amicar | Aminocaproic Acid | Tablet 500 mg 30 Tab | $840 | No |
7217 | Ampyra | Dalfampridine | Tablet 10 mg 56 tab | $840 | No |
101390 | Anafranil | Clomipramine Hcl | Capsule 25 mg 30 cap | $840 | No |
101391 | Anafranil | Clomipramine Hcl | Capsule 50 mg 30 cap | $840 | No |
101392 | Anafranil | Clomipramine Hcl | Capsule 75 mg 30 cap | $840 | No |
11069 | Aredia | Pamidronate Disodium | Vial 90 mg 1 Vial | $840 | No |
8339 | Avastin | Bevacizumab | Vial 25 mg/ml 4 ml | $840 | Yes |
101474 | Azilect | Rasagiline | Tablet 0.5 mg 30 tab | $840 | No |
101475 | Azilect | Rasagiline | Tablet 1 mg 30 tab | $840 | No |
101525 | Botox | Onabotulinumtoxina | Vial 100 Unit 1 Vial | $840 | Yes |
100172 | Botox | Onabotulinumtoxina | Vial 100 IU 1 Vial | $840 | Yes |
100207 | Claravis | Isotretinoin | Capsule 20 mg 30 Cap | $840 | No |
7846 | Cyramza | Ramucirumab | Vial 100 mg/ml 1 Vial | $840 | Yes |
101697 | Dexilant | Dexlansoprazole | Capsule 60 mg 90 cap | $840 | No |
100307 | Efavirenz | Efavirenz | Tablet 600 mg 30 Tab | $840 | No |
101749 | Elepsia XR | Levetiracetam | Tablet 1500 mg 30 tab | $840 | No |
100315 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 250 IU 250 IU | $840 | Yes |
11479 | Emgality | Galcanezumab-gnlm | Autoinjector 120 mg/ml 1 Auto-Injector | $840 | Yes |
11481 | Emgality | Galcanezumab-gnlm | Pre-Filled Syringe 120 mg/ml 1 PFS | $840 | Yes |
101804 | Envarsus XR | Tacrolimus | Tablet 1 mg 100 tab | $840 | No |
100402 | Ferumoxytol | Ferumoxytol | Vial 510/17 mg/ml 17 ml | $840 | No |
100464 | Genotropin | Somatropin | Pre-Filled Syringe 0.6 mg 7 PFS | $840 | Yes |
102008 | Gonal F RFF Rediject | Follitropin Alfa | Injection Kit 300/0.5 IU/ml 0.5 ml | $840 | Yes |
102010 | Gralise ER | Gabapentin | Tablet 300 mg 90 tab | $840 | No |
102011 | Gralise ER | Gabapentin | Tablet 450 mg 60 tab | $840 | No |
102012 | Gralise ER | Gabapentin | Tablet 600 mg 90 tab | $840 | No |
102013 | Gralise ER | Gabapentin | Tablet 750 mg 60 tab | $840 | No |
11636 | Herzuma | Trastuzumab | Vial 150 mg 1 Vial | $840 | Yes |
102069 | Humatrope | Somatropin | Cartridge 6 mg 1 Cartridge | $840 | Yes |
8362 | Jadenu | Deferasirox | Tablet 90 mg 30 tab | $840 | No |
102269 | Keppra | Levetiracetam | Tablet 1000 mg 60 tab | $840 | No |
102270 | Keppra | Levetiracetam | Tablet 250 mg 120 tab | $840 | No |
102327 | Lamictal XR | Lamotrigine | Tablet 100 mg 30 tab | $840 | No |
102375 | Livalo | Pitavastatin Calcium | Tablet 1 mg 90 tab | $840 | No |
7726 | Mepron | Atovaquone | Suspension 750/6 mg/ml 210 ml | $840 | No |
100699 | Mesalamine | Mesalamine | Suppository 1000 mg 30 Suppository | $840 | No |
100700 | Mesalamine | Mesalamine | Suppository 1000 mg 30 Suppository | $840 | No |
100723 | Mycophenolate | Mycophenolate Mofetil | Tablet 360 mg 120 Tab | $840 | No |
100730 | Myobloc | RimabotulinumtoxinB | Vial 5000 IU/ml 1 ml | $840 | Yes |
102535 | Myrbetriq | Mirabegron | Tablet 25 mg 90 tab | $840 | No |
102537 | Myrbetriq | Mirabegron | Tablet 50 mg 90 tab | $840 | No |
12082 | Norditropin FlexPro | Somatropin | Autoinjector 15/1.5 mg/ml 1.5 ml | $840 | Yes |
102637 | Nucynta | Tapentadol Hcl | Tablet 50 mg 100 tab | $840 | No |
102638 | Nucynta | Tapentadol Hcl | Tablet 75 mg 100 tab | $840 | No |
102631 | Nucynta ER | Tapentadol Hcl | Tablet 100 mg 60 tab | $840 | No |
100771 | Nutropin AQ Nuspin | Somatropin | Autoinjector 5/0 mg/ml 2 ml | $840 | Yes |
102653 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 500 IU 500 IU | $840 | Yes |
102664 | Octagam | Immun Globg(Igg)/Malt/Iga Ov48 | Vial 5/100 g/ml 100 ml | $840 | No |
12114 | Ogivri | Trastuzumab | Vial 150 mg/Vial 1 Vial | $840 | No |
9421 | Ongentys | Opicapone | Tablet 50 mg 90 tab | $840 | No |
102704 | Orenitram ER | Treprostinil | Tablet 0.125 mg 100 tab | $840 | No |
102747 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 12 mg 45 cap | $840 | No |
102748 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 120 mg 30 cap | $840 | No |
102749 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 160 mg 60 cap | $840 | No |
102750 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 20 mg 15 cap | $840 | No |
102751 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 200 mg 30 cap | $840 | No |
102752 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 240 mg 60 cap | $840 | No |
102753 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 3 mg 45 cap | $840 | No |
102754 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 40 mg 30 cap | $840 | No |
102755 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 6 mg 90 cap | $840 | No |
102756 | Palforzia | Peanut Allergen Powder-dnfp | Capsule 80 mg 60 cap | $840 | No |
102757 | Palforzia | Peanut Allergen Powder-dnfp | Oral Powder 300 mg 15 Oral Powder | $840 | No |
102772 | Paragard T 380-A | Copper IUD | 313.4 mg 1 Unit | $840 | No |
12195 | Pegasys | Peginterferon Alfa-2a | Pre-Filled Syringe 180/0.5 mcg/ml 0.5 ml | $840 | No |
100895 | Procrit | Epoetin Alfa | Vial 4000 iu w/ Protec 6 ml | $840 | Yes |
31907 | Qulipta | Atogepant | Tablet 30 mg 30 tab | $840 | No |
31909 | Qulipta | Atogepant | Tablet 60 mg 30 tab | $840 | No |
33185 | Qulipta | Atogepant | Tablet 10 mg 30 tab | $840 | No |
100912 | Rasuvo | Methotrexate | Pre-Filled Syringe 10/0.5 mg/ml 0.8 ml | $840 | No |
100913 | Rasuvo | Methotrexate | Pre-Filled Syringe 12.5/0.25 mg/ml 1 ml | $840 | No |
100914 | Rasuvo | Methotrexate | Pre-Filled Syringe 15/0.3 mg/ml 1.2 ml | $840 | No |
100915 | Rasuvo | Methotrexate | Pre-Filled Syringe 17.5/0.35 mg/ml 1.4 ml | $840 | No |
100916 | Rasuvo | Methotrexate | Pre-Filled Syringe 20/0.4 mg/ml 1.6 ml | $840 | No |
100917 | Rasuvo | Methotrexate | Pre-Filled Syringe 22.5/0.45 mg/ml 1.8 ml | $840 | No |
100918 | Rasuvo | Methotrexate | Pre-Filled Syringe 25/0.5 mg/ml 2 ml | $840 | No |
100919 | Rasuvo | Methotrexate | Pre-Filled Syringe 30/0.6 mg/ml 2.4 ml | $840 | No |
100920 | Rasuvo | Methotrexate | Pre-Filled Syringe 7.5/0.15 mg/ml 0.6 ml | $840 | No |
100938 | Repatha Sureclick | Evolocumab | Autoinjector 140 mg/ml 2 ml | $840 | Yes |
103038 | Risperdal Consta | Risperidone | Vial Kit 37.5 mg 1 Kit | $840 | Yes |
103089 | Santyl | Collagenase Clostridium Hist. | Topical Ointment 250 U/g 90 g | $840 | No |
103173 | Somavert | Pegvisomant | Vial Kit 30 mg 1 Vial | $840 | Yes |
101052 | Tabloid | Thioguanine | Tablet 40 mg 25 Tab | $840 | No |
18689 | Tecfidera | Dimethyl Fumarate | Capsule 240 mg 56 cap | $840 | No |
103342 | Tenoretic 50 | Atenolol/Chlorthalidone | Tablet 50/25 mg 90 tab | $840 | No |
103346 | Tepadina | Thiotepa | Powder Vial 15 mg 1 Vial | $840 | Yes |
103358 | Thiotepa | Thiotepa | Vial 15 mg 1 Vial | $840 | Yes |
103360 | Thymoglobulin | Anti-Thymocyte Globulin (Rabbit) | Vial 25 mg 1 Vial | $840 | Yes |
7953 | Tivicay | Dolutegravir | Tablet 50 mg 30 tab | $840 | No |
103382 | Tlando | Testosterone Undecanoate | Capsule 112.5 mg 120 cap | $840 | No |
12542 | Trazimera | Trastuzumab | Powder Vial 150 mg 1 Vial | $840 | No |
103455 | Truxima | Rituximab-abbs | Vial 100/10 mg/ml 10 ml | $840 | Yes |
89730 | Valtrex | Valacyclovir | Tablet 500 mg 180 tab | $840 | No |
103524 | Vectical | Calcitriol | Topical Ointment 3 mcg/gr 100 g | $840 | No |
12608 | Vemlidy | Tenofovir Alafenamide | Tablet 25 mg 30 tab | $840 | No |
101171 | Venofer | Iron Sucrose | Vial 20 mg/ml 50 ml | $840 | No |
101173 | Vidaza | Azacitidine | Vial 100 mg 1 Vial | $840 | No |
103606 | Vytorin | Ezetimibe/Simvastatin | Tablet 10/10 mg/mg 90 tab | $840 | No |
103607 | Vytorin | Ezetimibe/Simvastatin | Tablet 10/20 mg/mg 90 tab | $840 | No |
103608 | Vytorin | Ezetimibe/Simvastatin | Tablet 10/40 mg/mg 90 tab | $840 | No |
103609 | Vytorin | Ezetimibe/Simvastatin | Tablet 10/80 mg/mg 90 tab | $840 | No |
103663 | Xembify | Immune Globulin, Human-klhw 20% | Vial 4/20 g/ml 20 ml | $840 | Yes |
103687 | Xolair | Omalizumab | Pre-Filled Syringe 75/0.5 mg/ml 0.5 ml | $840 | Yes |
116879 | Zenpep | Pancrelipase | Capsule 20000 USP 100 cap | $840 | No |
101710 | Dsuvia | Sufentanil | Tablet 30 mcg 10 tab | $846 | No |
100037 | Adefovir Dipivoxil | Adefovir Dipivoxil | Tablet 10 mg 30 Tab | $870 | No |
100038 | Adefovir Dipivoxil | Adefovir Dipivoxil | Tablet 10 mg 30 Tab | $870 | No |
101345 | Agrylin | Anagrelide HCl | Capsule 0.5 mg 100 cap | $870 | No |
100164 | Bivigam | Immune Globulin | Vial 5/50 g/ml 50 ml | $870 | Yes |
100659 | Linzess | Linaclotide | Capsule 145 mcg 30 Cap | $870 | No |
100660 | Linzess | Linaclotide | Capsule 290 mcg 30 Cap | $870 | No |
100661 | Linzess | Linaclotide | Capsule 72 mcg 30 Cap | $870 | No |
101253 | Zortress | Everolimus | Tablet 0.25 mg 60 Tab | $870 | No |
9353 | Ampyra | Dalfampridine | Tablet 10 mg 168 Tabs | $876 | No |
10956 | Astagraf XL | Tacrolimus | Capsule 5 mg 50 cap | $876 | No |
11896 | Megace | Megestrol | Tablet 160 mg 100 tab | $882 | No |
11059 | Aptiom | Eslicarbazepine Acetate | Tablet 600 mg 60 tab | $888 | No |
12320 | Rilutek | Riluzole | Tablet 50 mg 60 tab | $888 | No |
100060 | Akynzeo | Netupitant/Palonosetron | Vial 235/0.25 mg 1 Vial | $900 | Yes |
100061 | Akynzeo | Netupitant/Palonosetron | Powder Vial 235/0.25 mg 1 Vial | $900 | Yes |
100093 | Anagrelide | Anagrelide Hydrochloride | Capsule 0.5 mg 100 Cap | $900 | No |
100097 | Aprepitant | Aprepitant | Capsule 80 mg 6 Cap | $900 | No |
101403 | Aptiom | Eslicarbazepine Acetate | Tablet 200 mg 30 tab | $900 | No |
6982 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 50 mcg 2 ml | $900 | Yes |
101445 | Aromasin | Exemestane | Tablet 25 mg 30 tab | $900 | No |
101488 | Baraclude | Entecavir | Oral Solution 0.05 mg/ml 210 ml | $900 | No |
100180 | Bynfezia | Octreotide Acetate | Autoinjector 2500 mcg/ml 2.8 ml | $900 | Yes |
101588 | Cerebyx | Fosphenytoin Sodium | Vial 100/2 PE/ml 50 ml | $900 | Yes |
101626 | Contrave ER | Naltrexone Hcl/Bupropion Hcl | Tablet 8/90 mg/mg 120 tab | $900 | No |
100233 | Cutaquig | Immune Globulin Subcutaneous (Human) - hipp | Vial 4/24 g/ml 24 ml | $900 | No |
100273 | Deferasirox | Deferasirox | Tablet 90 mg 30 Tab | $900 | No |
6613 | Dysport | AbobotulinumtoxinA | Powder Vial 500 Unit 1 Vial | $900 | No |
101741 | Effexor XR | Venlafaxine Hcl | Capsule 75 mg 90 cap | $900 | No |
101779 | Emgality | Galcanezumab-Gnlm | Autoinjector 120 mg/ml 1 ml | $900 | Yes |
101781 | Emgality | Galcanezumab-Gnlm | Pre-Filled Syringe 120 mg/ml 1 ml | $900 | Yes |
100364 | Epogen | Epoetin Alfa | Vial 4000 iu/ml 10 ml | $900 | Yes |
8091 | Erelzi | Etanercept | Pre-Filled Syringe 25 mg 2 ml | $900 | Yes |
101956 | Gammaked | Immune Globulin (Human) | Vial 5/50 g/ml 50 ml | $900 | No |
100447 | Gamunex-C | Immune Globulin (Human) | Vial 5/50 g/ml 50 ml | $900 | Yes |
101993 | Glassia | Alpha-1 Proteinase Inhibitor (Human) | Vial 1/50 g/ml 50 ml | $900 | Yes |
101999 | Gleostine | Lomustine | Capsule 10 mg 5 cap | $900 | No |
102037 | Hemofil M | Factor VIII, Human Plasma-Derived | Injection Kit 500 IU 500 IU | $900 | No |
102136 | Inbrija | Levodopa | Capsule 42 mg 60 cap | $900 | No |
102156 | Intuniv XR | Guanfacine Hcl | Tablet 1 mg 100 tab | $900 | No |
102157 | Intuniv XR | Guanfacine Hcl | Tablet 2 mg 100 tab | $900 | No |
102158 | Intuniv XR | Guanfacine Hcl | Tablet 3 mg 100 tab | $900 | No |
102159 | Intuniv XR | Guanfacine Hcl | Tablet 4 mg 100 tab | $900 | No |
5617 | Invega Sustenna | Paliperidone | Injection Kit 150/1.5 mg/ml 1 Kit | $900 | No |
100598 | Kerendia | Finerenone | Tablet 10 mg 30 Tab | $900 | No |
102328 | Lamictal XR | Lamotrigine | Tablet 200 mg 30 tab | $900 | No |
102380 | Lokelma | Sodium Zirconium Cyclosilicate | Packets 10 g 30 Packet | $900 | No |
102381 | Lokelma | Sodium Zirconium Cyclosilicate | Packets 5 g 30 Packet | $900 | No |
102389 | Lotronex | Alosetron | Tablet 0.5 mg 30 tab | $900 | No |
100696 | Mesalamine | Mesalamine | Tablet 1.2 g 120 Tab | $900 | No |
100697 | Mesalamine | Mesalamine | Tablet 1.2 g 120 Tab | $900 | No |
100698 | Mesalamine | Mesalamine | Tablet 1.2 g 120 Tab | $900 | No |
12011 | MonoFerric | Ferric Derisomaltose | Vial 1000/10 mg/ml 10 ml | $900 | No |
102783 | Pegasys | Peginterferon alfa-2a | Vial 180 mcg/ml 1 ml | $900 | Yes |
102849 | Prialt | Ziconotide Acetate | Vial 100 mcg/ml 1 ml | $900 | Yes |
102918 | Qulipta | Atogepant | Tablet 10 mg 30 tab | $900 | No |
102919 | Qulipta | Atogepant | Tablet 30 mg 30 tab | $900 | No |
102920 | Qulipta | Atogepant | Tablet 60 mg 30 tab | $900 | No |
6645 | Repatha | Evolocumab | Autoinjector 140 mg/ml 2 ml | $900 | Yes |
6646 | Repatha Automated Mini Doser | Evolocumab | Autoinjector 420/3.5 mg/ml 3.5 ml | $900 | Yes |
100936 | Repatha Pushtronex | Evolocumab | On-Body Injector 420 mg/3.5ml 3.5 ml | $900 | Yes |
100972 | Ruxience | Rituximab-pvvr | Vial 100/10 mg/ml 10 ml | $900 | Yes |
103092 | Sarclisa | Isatuximab-irfc | Vial 100/5 mg/ml 5 ml | $900 | Yes |
6682 | Sensipar | Cinacalcet | Tablet 60 mg 30 tab | $900 | No |
103118 | Seroquel | Quetiapine Fumarate | Tablet 300 mg 60 tab | $900 | No |
101020 | Soltamox | Tamoxifen | Oral Solution 10/5 mg/ml 150 ml | $900 | No |
103227 | Sunosi | Solriamfetol Hcl | Tablet 150 mg 30 tab | $900 | No |
103229 | Sunosi | Solriamfetol Hcl | Tablet 75 mg 30 tab | $900 | No |
103231 | Sustiva | Efavirenz | Tablet 600 mg 30 tab | $900 | No |
101099 | Tenofovir | Tenofovir Disoproxil Fumarate | Tablet 300 mg 30 Tab | $900 | No |
103350 | Terlivaz | Terlipressin Acetate | Vial 0.85 mg 1 Vial | $900 | Yes |
103442 | Trokendi XR | Topiramate | Capsule 100 mg 30 cap | $900 | No |
103479 | Ubrelvy | Ubrogepant | Tablet 50 mg 10 tab | $900 | No |
103501 | Urso Forte | Ursodiol | Tablet 500 mg 100 tab | $900 | No |
103507 | Valtoco | Diazepam | Nasal Spray 10 mg 2 Device | $900 | No |
103508 | Valtoco | Diazepam | Nasal Spray 10(20) mg(mg) 4 Device | $900 | No |
103509 | Valtoco | Diazepam | Nasal Spray 5 mg 2 Device | $900 | No |
103510 | Valtoco | Diazepam | Nasal Spray 7.5(15) mg(mg) 4 Device | $900 | No |
103525 | Vegzelma | Bevacizumab-adcd | Vial 100/4 mg/ml 4 ml | $900 | Yes |
103530 | Veltassa | Patiromer Calcium Sorbitex | Oral Powder 16.8 g 30 Packet | $900 | Yes |
103531 | Veltassa | Patiromer Calcium Sorbitex | Oral Powder 25.2 g 30 Packet | $900 | Yes |
103532 | Veltassa | Patiromer Calcium Sorbitex | Oral Powder 8.4 g 30 Packet | $900 | Yes |
103638 | Xanax XR | Alprazolam | Tablet 2 mg 60 tab | $900 | No |
101209 | Xembify | Immune Globulin, Human-klhw 20% | Vial 4/20 g/ml 20 ml | $900 | Yes |
7238 | Exjade | Deferasirox | Tablet 250 mg 28 tab | $924 | No |
100485 | Granisetron | Granisetron HCl | Tablet 1 mg 20 Tab | $924 | No |
101404 | Aptiom | Eslicarbazepine Acetate | Tablet 400 mg 30 tab | $930 | No |
101406 | Aptiom | Eslicarbazepine Acetate | Tablet 800 mg 30 tab | $930 | No |
7211 | Casodex | Bicalutamide | Tablet 50 mg 90 tab | $948 | No |
8368 | Jadenu | Deferasirox | Tablet 180 mg 30 tab | $948 | No |
100062 | Akynzeo | Netupitant/Palonosetron | Capsule 300/0.5 mg 1 Cap | $960 | No |
7888 | Alimta | Pemetrexed | Powder Vial 100 mg 1 vial | $960 | Yes |
101435 | Arixtra | Fondaparinux | Pre-Filled Syringe 10/0.8 mg/ml 8 ml | $960 | No |
101437 | Arixtra | Fondaparinux | Pre-Filled Syringe 5/0.4 mg/ml 4 ml | $960 | No |
101438 | Arixtra | Fondaparinux | Pre-Filled Syringe 7.5/0.6 mg/ml 6 ml | $960 | No |
100125 | Atovaquone | Atovaquone | Oral Suspension 750/5 mg/ml 210 ml | $960 | No |
7882 | Baraclude | Entecavir | Tablet 0.5 mg 30 tab | $960 | No |
101603 | Cimerli | Ranibizumab-Eqrn | Vial 0.3/0.05 mg/ml 0.05 ml | $960 | Yes |
7834 | Cinqair | Reslizumab | Vial 10 mg/ml 10 ml | $960 | No |
100209 | Claravis | Isotretinoin | Capsule 40 mg 30 Cap | $960 | No |
101656 | Cycloset | Bromocriptine Mesylate | Tablet 0.8 mg 200 tab | $960 | No |
100263 | Darzalex | Daratumumab | Vial 100/5 mg/ml 5 ml | $960 | Yes |
7567 | Diacomit | Stiripentol | Capsule 500 mg 60 cap | $960 | No |
101717 | Duobrii | Halobetasol Propionate/Tazarotene | Topical Lotion 0.01/0.045 % 100 g | $960 | No |
101761 | Elmiron | Pentosan Polysulfate | Capsule 100 mg 100 cap | $960 | No |
100320 | Emgality | Galcanezumab-Gnlm | Autoinjector 120 mg/ml 1 ml | $960 | Yes |
100321 | Emgality | Galcanezumab-Gnlm | Pre-Filled Syringe 120 mg/ml 1 ml | $960 | Yes |
100340 | Entecavir | Entecavir | Tablet 0.5 mg 30 Tab | $960 | No |
100341 | Entecavir | Entecavir | Tablet 0.5 mg 30 Tab | $960 | No |
100342 | Entecavir | Entecavir | Tablet 0.5 mg 30 Tab | $960 | No |
100343 | Entecavir | Entecavir | Tablet 0.5 mg 30 Tab | $960 | No |
100344 | Entecavir | Entecavir | Tablet 0.5 mg 30 Tab | $960 | No |
100345 | Entecavir | Entecavir | Tablet 1 mg 30 Tab | $960 | No |
100346 | Entecavir | Entecavir | Tablet 1 mg 30 Tab | $960 | No |
101880 | Fareston | Ttoremifene Citrate | Tablet 60 mg 30 tab | $960 | No |
100413 | Fondaparinux | Fondaparinux Sodium Subcutaneous | Pre-Filled Syringe 7.5/0.6 mg/ml 6 ml | $960 | No |
7780 | Forteo | Teriparatide Pre-Filled Pen Injection | Injection 250 mcg/ml 2.4 ml | $960 | Yes |
100429 | Gammagard | Immune Globulin (Human) | Vial 5/50 g/ml 50 ml | $960 | Yes |
105721 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 1 mg 7 PFS | $960 | Yes |
101976 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 1 mg 1.75 ml | $960 | Yes |
102065 | Humate-P | Antihemophilic Factor/Vwf | Vial Kit 500 IU 600 IU | $960 | No |
100518 | Humate-P | Antihemophilic Factor/VWF | Vial Kit 500 IU 500 IU | $960 | No |
11639 | Humatrope | Somatropin | Cartridge 12 mg 1 Cartridge | $960 | Yes |
8786 | Invega | Paliperidone | Tablet 9 mg 90 tab | $960 | No |
102271 | Keppra | Levetiracetam | Tablet 500 mg 120 tab | $960 | No |
102297 | Klisyri | Tirbanibulin | Topical Ointment 1 % 5 Packet | $960 | No |
102324 | Lamictal | Lamotrigine | Tablet 150 mg 60 tab | $960 | No |
102337 | Latuda | Lurasidone Hcl | Tablet 20 mg 30 tab | $960 | No |
102338 | Latuda | Lurasidone Hcl | Tablet 40 mg 30 tab | $960 | No |
102339 | Latuda | Lurasidone Hcl | Tablet 60 mg 30 tab | $960 | No |
102340 | Latuda | Lurasidone Hcl | Tablet 80 mg 30 tab | $960 | No |
102362 | Lialda | Mesalamine | Tablet 1200 mg 120 tab | $960 | No |
102370 | Lipitor | Atorvastatin Calcium | Tablet 10 mg 90 tab | $960 | No |
116101 | Mesnex | Mesna | Tablet 400 mg 10 tab | $960 | No |
102492 | Miebo | Perfluorohexyloctane | Ophthalmic Solution 100 % 3 ml | $960 | No |
102505 | Mirena | Levonorgestrel | IUD 52 mg 1 IUD | $960 | No |
100716 | Mvasi | Bevacizumab-awwb | Vial 100/4 mg/ml 4 ml | $960 | Yes |
28975 | Myfembree | Relugolix/Estradiol/Norethindrone acetate | Tablet 40/1/0.5 mg 84 tab | $960 | Yes |
102572 | Neurontin | Gabapentin | Tablet 600 mg 100 tab | $960 | No |
102771 | Panzyga | Immune globulin | Solution 5/50 g/ml 50 ml | $960 | Yes |
100856 | Pentasa | Mesalamine | Capsule 500 mg 120 Cap | $960 | No |
102869 | Profilnine | Factor Ix Complex | Vial Kit 1000 Unit 1000 Unit | $960 | No |
100898 | Prograf | Tacrolimus | Capsule 1 mg 100 Cap | $960 | No |
7587 | Rapamune | Sirolimus | Solution 1 mg/ml 60 ml | $960 | Yes |
102968 | Remicade | Infliximab-abda | Powder Vial 100 mg 1 Vial | $960 | Yes |
7701 | Reyataz | Atazanavir | Capsule 150 mg 60 cap | $960 | No |
7705 | Reyataz | Atazanavir | Capsule 200 mg 60 cap | $960 | No |
7707 | Reyataz | Atazanavir | Capsule 300 mg 60 cap | $960 | No |
100957 | Riabni | Rituximab-arrx | Vial 100/10 mg/ml 10 ml | $960 | Yes |
103042 | Rituxan | Rituximab | Vial 100/10 mg/ml 10 ml | $960 | Yes |
7124 | Riximyo | Rituximab | Injection 100 mg/10ml 20 ml | $960 | Yes |
103253 | Sympazan | Clobazam | Oral Film 5 mg 60 Film | $960 | No |
103430 | Trileptal | Oxcarbazepine | Tablet 300 mg 100 tab | $960 | No |
7126 | Truxima | Rituximab | Injection 100 mg/10ml 20 ml | $960 | Yes |
103478 | Ubrelvy | Ubrogepant | Tablet 100 mg 10 tab | $960 | No |
7909 | Vectibix | Panitumumab | Vial 100/5 mg/ml 5 ml | $960 | Yes |
8032 | Viracept | Nelfinavir | Tablet 250 mg 300 tab | $960 | No |
8034 | Viracept | Nelfinavir | Tablet 625 mg 120 tab | $960 | No |
103626 | Winrho SDF | Rho-D Immune Globulin | Vial 2500 IU 2.2 ml | $960 | Yes |
101216 | Xolair | Omalizumab | Pre-Filled Syringe 75/0.5 mg/ml 0.5 ml | $960 | Yes |
7918 | Xolair | Omalizumab | Pre-Filled Syringe 150 mg/ml 1 PFS | $960 | Yes |
7920 | Xolair | Omalizumab | Vial 150 mg 1 Vial | $960 | Yes |
103749 | Zenpep | Pancrelipase | Capsule 25000 IU 100 cap | $960 | No |
103806 | Zyprexa | Olanzapine | Tablet 15 mg 30 tab | $960 | No |
103812 | Zyprexa Zydis | Olanzapine | Tablet 15 mg 30 tab | $960 | No |
102397 | Lucemyra | Lofexidine Hcl | Tablet 0.18 mg 36 tab | $966 | No |
100399 | Femara | Letrozole | Tablet 2.5 mg 30 Tab | $990 | No |
103018 | Reyvow | Lasmiditan Succinate | Tablet 100 mg 8 tab | $990 | No |
103019 | Reyvow | Lasmiditan Succinate | Tablet 50 mg 8 tab | $990 | No |
103188 | Spravato | Esketamine Hcl | Nasal Spray 28 mg 2 Device | $996 | No |
101306 | Aduhelm | Aducanumab | Vial 300/3 mg/ml 3 ml | $1020 | Yes |
101318 | Advate | Antihemophilic Factor (Recombinant) | Vial 500 IU 500 IU | $1020 | Yes |
101336 | Afrezza | insulin human | Inhalation Powder 8 Units 90 Cartridge | $1020 | Yes |
99714 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 60/0.3 mcg/ml 1.2 ml | $1020 | Yes |
101413 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 40/0.4 mcg/ml 1.6 ml | $1020 | Yes |
101419 | Aranesp | Darbepoetin Alfa | Vial 40 mcg/ml 4 ml | $1020 | Yes |
101463 | Avastin | Bevacizumab | Vial 100/4 mg/ml 4 ml | $1020 | Yes |
100137 | Avastin | Bevacizumab | Vial 25 mg/ml 4 ml | $1020 | Yes |
101499 | Benefix | Coagulation Factor IX (Recombinant) | Vial Kit 500 IU 500 IU | $1020 | Yes |
7285 | Combivir | Lamivudine/Zidovudine | Tablet 150/300 mg 60 tab | $1020 | No |
101747 | Elelyso | Taliglucerase Alfa | Powder Vial 200 units 1 Vial | $1020 | Yes |
100318 | Emend | Aprepitant | Capsule 125/80 mg 3 Cap | $1020 | No |
7033 | Epzicom | Abacavir/Lamivudine | Tablet 600/300 mg 30 tab | $1020 | No |
101825 | Erbitux | Cetuximab | Vial 100/50 mg/ml 50 ml | $1020 | Yes |
100366 | Erbitux | Cetuximab | Vial 2 mg/ml 50 ml | $1020 | Yes |
7693 | Evotaz | Atazanavir/Cobicistat | Tablet 300/150 mg 30 tab | $1020 | No |
101937 | Fycompa | Perampanel | Tablet 10 mg 30 tab | $1020 | No |
101938 | Fycompa | Perampanel | Tablet 12 mg 30 tab | $1020 | No |
101940 | Fycompa | Perampanel | Tablet 4 mg 30 tab | $1020 | No |
101941 | Fycompa | Perampanel | Tablet 6 mg 30 tab | $1020 | No |
101942 | Fycompa | Perampanel | Tablet 8 mg 30 tab | $1020 | No |
100471 | Genotropin | Somatropin | Cartridge 5 mg 1 Cartridge | $1020 | Yes |
102089 | Hyqvia | Immune Globulin (Human) | Vial 5/50 g/ml 50 ml | $1020 | Yes |
7328 | Intelence | Etravirine | Tablet 100 mg 120 tab | $1020 | No |
7329 | Intelence | Etravirine | Tablet 200 mg 60 tab | $1020 | No |
100567 | Intron | INTERFERON ALFA-2B,RECOMB. | Vial 6000000 iu/ml 3.8 ml | $1020 | Yes |
100724 | Myfortic | Mycophenolate Sodium | Tablet 180 mg 120 Tab | $1020 | No |
102763 | Pamelor | Nortriptyline Hcl | Capsule 10 mg 30 cap | $1020 | No |
102764 | Pamelor | Nortriptyline Hcl | Capsule 25 mg 30 cap | $1020 | No |
102765 | Pamelor | Nortriptyline Hcl | Capsule 50 mg 30 cap | $1020 | No |
102766 | Pamelor | Nortriptyline Hcl | Capsule 75 mg 30 cap | $1020 | No |
102774 | Parsabiv | Etelcalcetide Hydrochloride | Vial 2.5/0.5 mg/ml 5 ml | $1020 | Yes |
100853 | PegIntron | Peginterferon Alfa-2A | Kit 50/0.5 mcg/ml 1 Kit | $1020 | Yes |
100869 | Plerixafor | Plerixafor | Vial 24/1.2 mcg/ml 1.2 ml | $1020 | No |
8591 | Prezista | Darunavir | Tablet 800 mg 30 tab | $1020 | No |
7987 | Procrit | Epoetin Alfa | Pre-Filled Syringe 8000 iu w/ Protec 4.8 ml | $1020 | Yes |
12314 | Reclast | Zoledronic Acid | Solution 5/100 mg/ml 100 ml | $1020 | No |
100933 | Renflexis | Infliximab-abda | Powder Vial 100 mg 1 Vial | $1020 | Yes |
100934 | Renflexis | Infliximab-abda | Powder Vial 100 mg 1 Vial | $1020 | Yes |
100983 | Sapropterin | Sapropterin Dihydrochloride | Powder for Oral Solution 100 mg 30 Packet | $1020 | No |
103155 | Sogroya | Somapacitan-beco | Autoinjector 5/1.5 mg/ml 1.5 ml | $1020 | Yes |
103226 | Sunosi | Solriamfetol Hcl | Tablet 150 mg 30 tab | $1020 | No |
103228 | Sunosi | Solriamfetol Hcl | Tablet 75 mg 30 tab | $1020 | No |
101129 | Treanda | Bendamustine HCl | Powder Vial 25 mg 1 Vial | $1020 | No |
112040 | Trulicity | Dulaglutide | Autoinjector 4.5/0.5 mg/ml 2 ml | $1020 | Yes |
87889 | Trulicity | Dulaglutide | Autoinjector 3/0.5 mg/ml 2 ml | $1020 | Yes |
103570 | Vimpat | Lacosamide | Vial 200/20 mg/ml 200 ml | $1020 | No |
103610 | Vyvanse | Lisdexamfetamine Dimesylate | Capsule 20 mg 100 cap | $1020 | No |
101195 | Wilate | Antihemophilic Factors | Vial Kit 500 IU 500 IU | $1020 | No |
6816 | Xeloda | Capecitabine | Tablet 500 mg 120 cap | $1020 | No |
111318 | Yusimry | Adalimumab-aqvh | Autoinjector 40/0.8 mg/ml 1.6 ml | $1020 | Yes |
7645 | Firmagon | Degarelix | Injection Kit 120 mg 2 Vial | $1050 | No |
6850 | Kaletra | Lopinavir/Ritonavir | Tablet 200/50 mg 120 tab | $1050 | No |
11705 | Invanz | Ertapenem | Vial 1 g 10 Vial | $1056 | No |
100002 | Abacavir/Lamivudine | Abacavir/Lamivudine | Tablet 600-300 mg 30 Tab | $1080 | No |
25026 | Abraxane | Paclitaxel | Powder Vial 100 mg 1 Vial | $1080 | No |
6350 | Adcirca | Tadalafil | Tablet 20 mg 60 tab | $1080 | No |
100055 | Agrylin | Anagrelide HCl | Capsule 0.5 mg 100 Cap | $1080 | No |
101353 | Aldurazyme | Iaronidase | Vial 2.9/5 mg/ml 5 ml | $1080 | Yes |
100064 | Alimta | Pemetrexed | Powder Vial 100 mg 1 Vial | $1080 | No |
100105 | Aranesp | Darbepoetin Alfa | Vial 25 mcg/ml 4 ml | $1080 | Yes |
100123 | Atazanavir | Atazanavir Sulfate | Capsule 200 mg 60 Cap | $1080 | No |
56517 | CellCept | Mycophenolate | Capsule 500 mg 100 Caps | $1080 | No |
101585 | Cellcept | Mycophenolate | Oral Suspension 200 mg/ml 225 ml | $1080 | No |
101589 | Cerebyx | Fosphenytoin Sodium | Vial 500/10 PE/ml 100 ml | $1080 | Yes |
100239 | Cuvitru | Immune Globulin | Vial 4/20 g/ml 20 ml | $1080 | No |
100248 | Cyclophosphamide | Cyclophosphamide | Capsule 50 mg 100 Cap | $1080 | No |
101691 | Detrol LA | Tolterodine | Capsule 2 mg 90 cap | $1080 | No |
101692 | Detrol LA | Tolterodine | Capsule 4 mg 90 cap | $1080 | No |
100289 | Docetaxel | Docetaxel | Vial 80/8 mg/ml 8 ml | $1080 | No |
11466 | Doxil | Pegylated Liposomal Doxorubicin Hydrochloride | Vial 2 mg/ml 10 ml | $1080 | No |
100305 | Dysport | Abobotulinumtoxina | Powder Vial 500 IU 1 Vial | $1080 | Yes |
101826 | Ergomar | Ergotamine Tartrate | Tablet 2 mg 20 tab | $1080 | No |
7651 | Evenity | Romosozumab | Pre-Filled Syringe 105/1.17 mg/ml 2 PFS | $1080 | Yes |
101871 | Fabior | Tazarotene | Aerosol Foam 0.001 % 100 g | $1080 | No |
101889 | Felbatol | Felbamate | Tablet 400 mg 100 tab | $1080 | No |
12302 | Follistim AQ | Follitropin Beta | Injection 900 IU 1.08 ml | $1080 | No |
101932 | Frova | Frovatriptan | Tablet 2.5 mg 9 tab | $1080 | No |
20055 | Halaven | Eribulin | Vial 1/2 mg/ml 2 ml | $1080 | No |
102038 | Hepsera | Adefovir Dipivoxil | Tablet 10 mg 30 tab | $1080 | No |
100512 | Hizentra | Immune Globulin (Human) | Vial 4/20 g/ml 20 ml | $1080 | No |
100515 | Hizentra | Immune Globulin (Human) | Pre-Filled Syringe 4/20 g/ml 20 ml | $1080 | No |
102212 | Januvia | Sitagliptin Phosphate | Tablet 100 mg 100 tab | $1080 | No |
102214 | Januvia | Sitagliptin Phosphate | Tablet 25 mg 100 tab | $1080 | No |
102216 | Januvia | Sitagliptin Phosphate | Tablet 50 mg 100 tab | $1080 | No |
102219 | Jardiance | Empagliflozin | Tablet 10 mg 90 tab | $1080 | No |
102221 | Jardiance | Empagliflozin | Tablet 25 mg 90 tab | $1080 | No |
100591 | Jublia | Efinaconazole | Topical Solution 10 % 4 ml | $1080 | No |
100619 | Kovaltry | Antihemophilic Factor Viii (Recombinant) | Vial Kit 250 IU 250 IU | $1080 | No |
24993 | Kuvan | Tetrahydrobiopterin | Powder 100 mg 30 Packet | $1080 | No |
7790 | Kyprolis | Carfilzomib | Vial 30 mg 1 Vial | $1080 | No |
102325 | Lamictal | Lamotrigine | Tablet 200 mg 60 tab | $1080 | No |
102361 | Lexiva | Fosamprenavir Calcium | Tablet 700 mg 60 tab | $1080 | No |
102399 | Lucentis | Ranibizumab | Pre-Filled Syringe 0.3/0.05 mg/ml 0.05 ml | $1080 | Yes |
102577 | Nexplanon | Etonogestrel | Implant 68 mg 1 Implant | $1080 | No |
102639 | Nuedexta | Dextromethorphan/Quinidine | Capsule 20/10 mg/mg 60 cap | $1080 | No |
100779 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 500 IU 500 IU | $1080 | Yes |
102674 | Omegaven | Fish Oil Triglycerides | Injectable Emulsion 10/100 g/ml 1000 ml | $1080 | No |
102677 | Omnitrope | Somatropin | Cartridge 10/1.5 mg/ml 1.5 ml | $1080 | Yes |
102680 | Onfi | Clobazam | Oral Suspension 2.5 mg/ml 120 ml | $1080 | No |
102703 | Orencia | Abatacept | Vial 250/15 mg/ml 15 ml | $1080 | Yes |
100816 | Otrexup | Methotrexate | Autoinjector 10/0.4 mg/ml 1.6 ml | $1080 | No |
100817 | Otrexup | Methotrexate | Autoinjector 12.5/0.4 mg/ml 1.6 ml | $1080 | No |
100818 | Otrexup | Methotrexate | Autoinjector 15/0.4 mg/ml 1.6 ml | $1080 | No |
100819 | Otrexup | Methotrexate | Autoinjector 17.5/0.4 mg/ml 1.6 ml | $1080 | No |
100820 | Otrexup | Methotrexate | Autoinjector 20/0.4 mg/ml 1.6 ml | $1080 | No |
100821 | Otrexup | Methotrexate | Autoinjector 22.5/0.4 mg/ml 1.6 ml | $1080 | No |
100822 | Otrexup | Methotrexate | Autoinjector 25/0.4 mg/ml 1.6 ml | $1080 | No |
6731 | Prezista | Darunavir | Tablet 800 mg 30 tab | $1080 | No |
102850 | Prialt | Ziconotide Acetate | Vial 5000/5 mcg/ml 5 ml | $1080 | Yes |
100888 | Privigen | Immun Glob G(Igg)-Pro-Iga 0-50 | Vial 5/50 g/ml 50 ml | $1080 | No |
12293 | Proleukin | Aldesleukin | Vial 1.3 mg 1 Vial | $1080 | No |
102890 | Provigil | Modafinil | Tablet 100 mg 30 tab | $1080 | No |
102973 | Renagel | Sevelamer Hcl | Tablet 800 mg 180 tab | $1080 | No |
102987 | Retacrit | Epoetin Alfa-epbx | Vial 10,000 Units/ml 10 ml | $1080 | Yes |
100960 | Ribavirin | Ribavirin | Tablet 200 mg 168 Tab | $1080 | No |
103079 | Saizen | Somatropin | Powder Vial 8.8 mg 1 Vial | $1080 | No |
12347 | Saizen | Somatropin | Cartridge 12 mg 1 Cartridge | $1080 | Yes |
103091 | Saphris | Asenapine Maleate | Tablet 10 mg 60 tab | $1080 | No |
6676 | Sensipar | Cinacalcet | Tablet 90 mg 30 tab | $1080 | No |
100990 | Sensipar | Cinacalcet Hcl | Tablet 30 mg 30 Tab | $1080 | No |
103137 | Skyla | Levonorgestrel | IUD 13.5 mg 1 Unit | $1080 | No |
103282 | Synvisc | Hylan G-F 20 | Pre-Filled Syringe 16/2 mg/ml 6 ml | $1080 | No |
103283 | Synvisc-One | Hylan G-F 20 | Pre-Filled Syringe 48/6 mg/ml 6 ml | $1080 | No |
103300 | Talvey | Talquetamab | Vial 3/1.5 mg/ml 1.5 ml | $1080 | Yes |
7524 | Temodar | Temozolomide | Capsule 100 mg 5 cap | $1080 | No |
103343 | Tenormin | Atenolol | Tablet 100 mg 90 tab | $1080 | No |
103344 | Tenormin | Atenolol | Tablet 50 mg 90 tab | $1080 | No |
103378 | Tivicay | Dolutegravir Sodium | Tablet 10 mg 30 tab | $1080 | No |
103379 | Tivicay | Dolutegravir Sodium | Tablet 25 mg 30 tab | $1080 | No |
103402 | Trazimera | Trastuzumab-qyyp | Powder Vial 150 mg 1 Vial | $1080 | No |
101151 | Uceris | Budesonide | Rectal Foam 2 mg/Act 66.8 g | $1080 | No |
103574 | Viread | Tenofovir Disoproxil Fumarate | Tablet 150 mg 30 tab | $1080 | No |
103575 | Viread | Tenofovir Disoproxil Fumarate | Tablet 200 mg 30 tab | $1080 | No |
103576 | Viread | Tenofovir Disoproxil Fumarate | Tablet 250 mg 30 tab | $1080 | No |
101184 | Voriconazole | Voriconazole | Tablet 200 mg 30 Tab | $1080 | No |
103628 | Xadago | Safinamide Mesylate | Tablet 100 mg 30 tab | $1080 | No |
103629 | Xadago | Safinamide Mesylate | Tablet 50 mg 30 tab | $1080 | No |
101204 | Xeloda | Capecitabine | Tablet 150 mg 60 Tab | $1080 | No |
7461 | Xenazine | Tetrabenazine | Tablet 25 mg 112 tab | $1080 | No |
103667 | Xenleta | Lefamulin Acetate | Tablet 600 mg 10 tab | $1080 | No |
103674 | Xerese | Acyclovir/Hydrocortisone | Cream Tube 5/1 %/% 5 g | $1080 | No |
103704 | Xultophy | Insulin Degludec/Liraglutide | Autoinjector 100-3.6 u/ml-mg/ml 15 ml | $1080 | Yes |
101234 | Zenpep | Pancrelipase | Capsule 20000-63000 IU 100 Cap | $1080 | No |
103757 | Zestoretic | Lisinopril/Hydrochlorothiazide | Tablet 10/12.5 mg 90 tab | $1080 | No |
103758 | Zestoretic | Lisinopril/Hydrochlorothiazide | Tablet 20/12.5 mg 90 tab | $1080 | No |
103759 | Zestoretic | Lisinopril/Hydrochlorothiazide | Tablet 20/25 mg 90 tab | $1080 | No |
103760 | Zestril | Lisinopril | Tablet 10 mg 90 tab | $1080 | No |
103761 | Zestril | Lisinopril | Tablet 2.5 mg 90 tab | $1080 | No |
103762 | Zestril | Lisinopril | Tablet 20 mg 90 tab | $1080 | No |
103763 | Zestril | Lisinopril | Tablet 30 mg 90 tab | $1080 | No |
103764 | Zestril | Lisinopril | Tablet 40 mg 90 tab | $1080 | No |
103765 | Zestril | Lisinopril | Tablet 5 mg 90 tab | $1080 | No |
103779 | Zoladex | Goserelin Acetate | Implant 3.6 mg 1 Implant | $1080 | No |
103787 | Zortress | Everolimus | Tablet 0.5 mg 60 tab | $1080 | No |
103792 | Zyclara | Imiquimod | Cream Packets 3.75 % 28 Packet | $1080 | No |
103793 | Zyclara | Imiquimod | Cream Pump 2.5 % 7.5 g | $1080 | No |
103794 | Zyclara | Imiquimod | Cream Pump 3.75 % 7.5 g | $1080 | No |
103804 | Zyprexa Relprevv | Olanzapine Pamoate | Vial Kit 405 mg 1 Kit | $1080 | No |
11782 | Zyvox | Linezolid | Tablet 600 mg 20 tab | $1080 | No |
100190 | Cellcept | Mycophenolate | Capsule 250 mg 100 Cap | $1092 | No |
101134 | Trelstar | Triptorelin Pamoate | Injection 3.75 mg (1 Month) 1 Kit | $1128 | No |
101344 | Afstyla | Antihemophilic Factor (Recombinant), Single Chain | Vial Kit 500 IU 1 IU | $1140 | Yes |
100112 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 25/0.42 mcg/ml 1.68 ml | $1140 | Yes |
101446 | Arranon | Nelarabine | Vial Kit 250/50 mg/ml 50 ml | $1140 | No |
100150 | Benefix | Coagulation Factor IX (Recombinant) | Vial Kit 500 IU 500 IU | $1140 | No |
101811 | Epidiolex | Cannabidiol (Cbd) | Oral Solution 100 mg/ml 60 ml | $1140 | No |
101890 | Felbatol | Felbamate | Tablet 600 mg 100 tab | $1140 | No |
100465 | Genotropin | Somatropin | Pre-Filled Syringe 0.8 mg 7 PFS | $1140 | Yes |
11633 | Hepsera | Adefovir Dipivoxil | Tablet 10 mg 30 tab | $1140 | No |
102083 | Hycamtin | Topotecan Hcl | Capsule 0.25 mg 10 cap | $1140 | Yes |
100616 | Kogenate FS | Antihemophilic Factor Viii (Recombinant) | Vial Kit 500 IU 500 IU | $1140 | No |
102458 | Makena | Hydroxyprogesterone Caproate | Autoinjector 275/1.1 mg/ml 1.1 ml | $1140 | No |
100789 | Octagam | Immun Globg(Igg)/Malt/Iga Ov53 | Vial 5/100 g/ml 100 ml | $1140 | No |
100790 | Octagam | Immun Globg(Igg)/Malt/Iga Ov54 | Vial 5/50 g/ml 50 ml | $1140 | No |
102713 | Oriahnn | Elagolix/Estradiol/Norethindrn | Capsule 300/1/0.5 mg/mg/mg 56 cap | $1140 | No |
102714 | Orilissa | Elagolix Sodium | Tablet 150 mg 28 tab | $1140 | No |
102715 | Orilissa | Elagolix Sodium | Tablet 200 mg 56 tab | $1140 | No |
7270 | Prezcobix | Darunavir/Cobicistat | Tablet 800/150 mg 30 tab | $1140 | No |
102921 | Qutenza | Capsaicin | Gel Tube 8 % 1 Kit | $1140 | No |
103039 | Risperdal Consta | Risperidone | Vial Kit 50 mg 1 Kit | $1140 | Yes |
100982 | Santyl | Collagenase Clostridium Hist. | Ointment 250 unit/g 90 g | $1140 | No |
103288 | Taclonex | Calcipotriene/Betamethasone | Topical Ointment 0.005/0.05 %/% 60 g | $1140 | No |
101088 | Temozolomide | Temozolomide | Capsule 100 mg 5 Cap | $1140 | No |
103445 | Trokendi XR | Topiramate | Capsule 25 mg 100 cap | $1140 | No |
103541 | Venofer | Iron Sucrose | Vial 100/5 mg/ml 125 ml | $1140 | No |
103577 | Viread | Tenofovir Disoproxil Fumarate | Tablet 300 mg 30 tab | $1140 | No |
103709 | Xyntha | Antihemophilic Factor (Recombinant) | Vial Kit 250 IU 250 IU | $1140 | Yes |
101275 | Actemra | Tocilizumab | Pre-Filled Syringe 162/0.9 mg/ml 0.9 ml | $1200 | Yes |
101274 | Actemra Actpen | Tocilizumab | Autoinjector 162/0.9 mg/ml 0.9 ml | $1200 | Yes |
101293 | Adempas | Riociguat | Tablet 0.5 mg 9 tab | $1200 | No |
101295 | Adempas | Riociguat | Tablet 1.5 mg 9 tab | $1200 | No |
101297 | Adempas | Riociguat | Tablet 1 mg 9 tab | $1200 | No |
101299 | Adempas | Riociguat | Tablet 2.5 mg 9 tab | $1200 | No |
101301 | Adempas | Riociguat | Tablet 2 mg 9 tab | $1200 | No |
100046 | Advate | Antihemophilic Factor (Recombinant) | Vial 500IU (401-800) IU 500 IU | $1200 | No |
100056 | Aimovig | Erenumab | Autoinjector 70 mg/ml 1 ml | $1200 | Yes |
100057 | Aimovig | Erenumab | Autoinjector 140 mg/ml 1 ml | $1200 | Yes |
100058 | Ajovy | Fremanezumab | Autoinjector 225/1.5 mg/ml 1.5 ml | $1200 | Yes |
100059 | Ajovy | Fremanezumab | Pre-Filled Syringe 225/1.5 mg/ml 1.5 ml | $1200 | Yes |
101361 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 250 IU 250 IU | $1200 | Yes |
101410 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 200/0.4 mcg/ml 0.4 ml | $1200 | Yes |
101421 | Arava | Leflunomide | Tablet 10 mg 30 tab | $1200 | No |
101422 | Arava | Leflunomide | Tablet 20 mg 30 tab | $1200 | No |
100122 | Astagraf XL | Tacrolimus | Capsule 5 mg 30 Cap | $1200 | No |
101489 | Baraclude | Entecavir | Tablet 0.5 mg 30 tab | $1200 | No |
101490 | Baraclude | Entecavir | Tablet 1 mg 30 tab | $1200 | No |
56615 | Cellcept | Mycophenolate Mofetil | Oral Suspension 200 mg/ml 175 ml | $1200 | No |
100244 | Cyclophosphamide | Cyclophosphamide | Powder Vial 2 g 1 Vial | $1200 | No |
100275 | Deferasirox | Deferasirox | Tablet 250 mg 30 Tab | $1200 | No |
101726 | Dyanavel XR | Amphetamine | Oral Suspension 2.5 mg/ml 464 ml | $1200 | No |
101738 | Edurant | Rilpivirine | Tablet 25 mg 30 tab | $1200 | No |
101739 | Effexor XR | Venlafaxine Hcl | Capsule 150 mg 90 cap | $1200 | No |
101751 | Eligard | Leuprolide Acetate | Injection Kit 22.5 mg 1 Kit | $1200 | Yes |
101795 | Enstilar | Calcipotriene/Betamethasone | Foam 0.05/0.005 % 60 g | $1200 | No |
9532 | Epzicom | Abacavir/Lamivudine | Tablet 600/300 mg 90 tab | $1200 | No |
101873 | Fabrazyme | Agalsidase Beta | Powder Vial 5 mg 1 Vial | $1200 | Yes |
101875 | Fanapt | Iloperidone | Tablet 1 mg 60 tab | $1200 | No |
101876 | Fanapt | Iloperidone | Tablet 2 mg 60 tab | $1200 | No |
101877 | Fanapt | Iloperidone | Tablet 4 mg 60 tab | $1200 | No |
101928 | Fragmin | Dalteparin Sodium | Pre-Filled Syringe 12500/0.5 iu/ml 5 ml | $1200 | No |
101936 | Fycompa | Perampanel | Oral Suspension 0.5 mg/ml 340 ml | $1200 | No |
100435 | Gammaked | Immune Globulin (Human) | Vial 5/50 g/ml 50 ml | $1200 | Yes |
100440 | Gammaplex | Immune Globulin (Human) | Vial 5/100 g/ml 100 ml | $1200 | No |
100441 | Gammaplex | Immune Globulin (Human) | Vial 5/50 g/ml 50 ml | $1200 | No |
101957 | Gamunex-C | Immune Globulin (Human) | Vial 10/100 g/ml 100 ml | $1200 | Yes |
105715 | Genotropin | Somatropin | Cartridge 12 mg 1 Cartridge | $1200 | Yes |
101970 | Genotropin | Somatropin | Cartridge 12 mg 1 Cartridge | $1200 | Yes |
105722 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 1.2 mg 7 PFS | $1200 | Yes |
101977 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 1.2 mg 1.75 ml | $1200 | Yes |
101982 | Geodon | Ziprasidone Hcl | Capsule 20 mg 60 cap | $1200 | No |
101983 | Geodon | Ziprasidone Hcl | Capsule 40 mg 60 cap | $1200 | No |
9480 | Gleevec | Imatinib | Tablet 400 mg 60 Tabs | $1200 | No |
11619 | Gonal-F | Follitropin Alfa | Autoinjector 900 iu 1 Autoinjector | $1200 | No |
102014 | Gralise ER | Gabapentin | Tablet 900 mg 60 tab | $1200 | No |
102016 | Granix | tbo-Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 2.5 ml | $1200 | Yes |
11621 | Hadlima | Adalimumab | Autoinjector 40/0.8 mg/ml 1.6 ml | $1200 | Yes |
11622 | Hadlima | Adalimumab | Pre-Filled Syringe 40/0.8 mg/ml 1.6 ml | $1200 | Yes |
58693 | Hadlima | Adalimumab | Pre-Filled Syringe 40/0.4 mg/ml 0.8 ml | $1200 | Yes |
58695 | Hadlima Pushtouch | Adalimumab | Autoinjector 40/0.4 mg/ml 0.8 ml | $1200 | Yes |
102041 | Herzuma | Trastuzumab-kkrb | Powder Vial 150 mg 1 Vial | $1200 | Yes |
102099 | Icatibant | Icatibant | Pre-Filled Syringe 30/3 mg/ml 3 ml | $1200 | No |
102122 | Imfinzi | Durvalumab | Vial 120/2.4 mg/ml 2.4 ml | $1200 | Yes |
11667 | Imfinzi | Durvalumab | Vial 120 mg 2.4 ml | $1200 | Yes |
100558 | Inflectra | Infliximab-dyyb | Vial 100 mg 1 ml | $1200 | Yes |
102144 | Injectafer | Ferric Carboxymaltose | Vial 50 mg/ml 15 ml | $1200 | No |
102154 | Intelence | Etravirine | Tablet 100 mg 120 tab | $1200 | No |
102155 | Intelence | Etravirine | Tablet 200 mg 60 tab | $1200 | No |
102240 | Jublia | Efinaconazole | Topical Solution 10 % 8 ml | $1200 | No |
102262 | Kanjinti | Trastuzumab-anns | Vial 150 mg 1 Vial | $1200 | Yes |
102290 | Kineret | Anakinra | Pre-Filled Syringe 100/0.67 mg/ml 4.69 ml | $1200 | Yes |
102309 | Kovaltry | Antihemophilic Factor Viii (Recombinant) | Vial Kit 500 IU 500 IU | $1200 | Yes |
102312 | Kuvan | Sapropterin Dihydrochloride | Oral Powder 100 mg 30 Packet | $1200 | No |
102315 | Kyleena | Levonorgestrel | IUD 19.5 mg 1 IUD | $1200 | No |
102326 | Lamictal | Lamotrigine | Tablet 25 mg 100 tab | $1200 | No |
102330 | Lamictal XR | Lamotrigine | Tablet 300 mg 30 tab | $1200 | No |
102336 | Latuda | Lurasidone Hcl | Tablet 120 mg 30 tab | $1200 | No |
10000002 | Lexapro | Escitalopram Oxalate | Tablet 20 mg 100 tab | $1200 | No |
102358 | Lexapro | Escitalopram Oxalate | Tablet 10 mg 100 tab | $1200 | No |
11804 | Lokelma | Sodium Zirconium Cyclosilicate | Sachet 10 g 30 Sachet | $1200 | No |
102406 | Lumizyme | Alglucosidase Alfa | Powder Vial 50 mg 1 Vial | $1200 | Yes |
102416 | Lupron Depot | Leuprolide Acetate | Injection Kit 3.75 mg 1 Kit | $1200 | No |
100690 | Mayzent | Siponimod | Tablet 0.25 mg 12 Tab | $1200 | Yes |
102484 | Mestinon SR | Pyridostigmine Bromide | Tablet 180 mg 30 tab | $1200 | No |
100704 | Mitomycin | Mitomycin | Powder Vial 40 mg 1 Vial | $1200 | No |
102529 | Myfembree | Relugolix/Estradiol/Norethindr | Tablet 40/1/0.5 mg/mg/mg 28 tab | $1200 | No |
105726 | Norditropin FlexPro | Somatropin | Autoinjector 10/1.5 mg/ml 1.5 ml | $1200 | Yes |
102608 | Novoeight | Antihemophilic Factor Viii (Recombinant) | Injection Kit 500 IU 500 IU | $1200 | No |
102636 | Nucynta | Tapentadol Hcl | Tablet 100 mg 100 tab | $1200 | No |
102632 | Nucynta ER | Tapentadol Hcl | Tablet 150 mg 60 tab | $1200 | No |
102640 | Nulojix | Belatacept | Powder Vial 250 mg 1 Vial | $1200 | Yes |
102669 | Ogivri | Trastuzumab-dkst | Vial 150 mg 1 Vial | $1200 | Yes |
102684 | Onglyza | Saxagliptin Hcl | Tablet 5 mg 90 tab | $1200 | No |
100846 | Panzyga | Immune Globulin | Vial 5/50 g/ml 50 ml | $1200 | No |
100854 | Pemetrexed | Pemetrexed | Vial 1/40 g/ml 40 ml | $1200 | Yes |
102809 | Plaquenil | Hydroxychloroquine Sulfate | Tablet 200 mg 100 tab | $1200 | No |
8098 | Plavix | Clopidogrel | Tablet 300 mg 90 tab | $1200 | No |
102844 | Prezista | Darunavir Ethanolate | Oral Suspension 100 mg/ml 200 ml | $1200 | No |
102859 | Procrit | Epoetin Alfa | Pre-Filled Syringe 10,000 iu/ml 6 ml | $1200 | Yes |
7989 | Procrit | Epoetin Alfa | Pre-Filled Syringe 10000 iu w/ Protec 6 ml | $1200 | Yes |
102883 | Protonix | Pantoprazole Sodium | Tablet 20 mg 90 tab | $1200 | No |
102884 | Protonix | Pantoprazole Sodium | Tablet 40 mg 90 tab | $1200 | No |
102915 | Quillichew | Methylphenidate Hcl | Tablet 20 mg 100 tab | $1200 | No |
102916 | Quillichew | Methylphenidate Hcl | Tablet 30 mg 100 tab | $1200 | No |
102917 | Quillichew | Methylphenidate Hcl | Tablet 40 mg 100 tab | $1200 | No |
7585 | Rapamune | Sirolimus | Tablet 1 mg 100 tab | $1200 | No |
102957 | Recombinate | Factor VIII, Recombinant Human | Injection Kit 500 IU 500 IU | $1200 | No |
100932 | Remicade | Infliximab-abda | Powder Vial 100 mg 1 Vial | $1200 | Yes |
31911 | Remodulin | Treprostinil | Vial 1 mg/ml 20 ml | $1200 | No |
103032 | Ridaura | Auranofin | Capsule 3 mg 60 cap | $1200 | No |
100967 | Rituxan | Rituximab | Vial 100/10 mg/10ml 10 ml | $1200 | Yes |
103084 | Sandostatin | Octreotide Acetate | Ampule 500 mcg/ml 10 ml | $1200 | Yes |
103114 | Sensipar | Cinacalcet Hcl | Tablet 60 mg 30 tab | $1200 | No |
103127 | Simponi Aria | Golimumab | Vial 50/4 mg/ml 4 ml | $1200 | Yes |
101009 | Sitavig | ACYCLOVIR | Tablet 50 mg 2 Tab | $1200 | No |
7593 | Sylvant | Siltuximab | Vial 100 mg 1 Vial | $1200 | No |
103340 | Temodar | Temozolomide | Powder Vial 100 mg 1 Vial | $1200 | Yes |
103388 | Topamax | Topiramate | Tablet 200 mg 60 tab | $1200 | No |
103444 | Trokendi XR | Topiramate | Capsule 200 mg 30 cap | $1200 | No |
101143 | Truxima | Rituximab-abbs | Vial 100 mg/10ml 10 ml | $1200 | Yes |
103520 | Vaseretic | Enalapril/Hydrochlorothiazide | Tablet 10/25 mg/mg 100 tab | $1200 | No |
103571 | Viracept | Nelfinavir Mesylate | Tablet 250 mg 300 tab | $1200 | No |
103572 | Viracept | Nelfinavir Mesylate | Tablet 625 mg 120 tab | $1200 | No |
103578 | Visudyne | Verteporfin | Powder Vial 15 mg 1 Vial | $1200 | No |
13037 | Vocabria | Cabotegravir | Tablet 30 mg 30 tab | $1200 | No |
103635 | Xanax | Alprazolam | Tablet 2 mg 100 tab | $1200 | No |
103685 | Xolair | Omalizumab | Powder Vial 150 mg 1 Vial | $1200 | Yes |
103718 | Yupelri | Revefenacin | Vial 175/3 mcg/ml 90 ml | $1200 | No |
103817 | Zepbound | Tirzepatide | Autoinjector 2.5/0.5 mg/ml 2 ml | $1200 | Yes |
103818 | Zepbound | Tirzepatide | Autoinjector 5/0.5 mg/ml 2 ml | $1200 | Yes |
103819 | Zepbound | Tirzepatide | Autoinjector 7.5/0.5 mg/ml 2 ml | $1200 | Yes |
103820 | Zepbound | Tirzepatide | Autoinjector 10/0.5 mg/ml 2 ml | $1200 | Yes |
103821 | Zepbound | Tirzepatide | Autoinjector 12.5/0.5 mg/ml 2 ml | $1200 | Yes |
103822 | Zepbound | Tirzepatide | Autoinjector 15/0.5 mg/ml 2 ml | $1200 | Yes |
103808 | Zyprexa | Olanzapine | Tablet 20 mg 30 tab | $1200 | No |
103813 | Zyprexa Zydis | Olanzapine | Tablet 20 mg 30 tab | $1200 | No |
8589 | Prezista | Darunavir | Tablet 600 mg 60 tab | $1224 | No |
8631 | Truvada | Emtricitabine/Tenofovir | Tablet 200/300 mg 30 tab | $1224 | No |
6737 | Descovy | Emtricitabine/Tenofovir Alafenamide | Tablet 200/10 mg 30 tab | $1230 | No |
6739 | Descovy | Emtricitabine/Tenofovir Alafenamide | Tablet 200/25 mg 30 tab | $1230 | No |
103437 | Triumeq | Abacavir/Dolutegravir/Lamivudi | Tablet 5/60/30 mg 90 tab | $1230 | No |
101417 | Aranesp | Darbepoetin Alfa | Vial 200 mcg/ml 1 ml | $1260 | Yes |
7563 | Isentress | Raltegravir | Tablet 400 mg 60 tab | $1260 | No |
7564 | Isentress HD | Raltegravir | Tablet 600 mg 60 tab | $1260 | No |
100767 | Nulojix | Belatacept | Powder Vial 250 mg 1 Vial | $1260 | Yes |
8258 | Remicade | Infliximab | Powder Vial 100 mg 1 Vial | $1260 | Yes |
6684 | Sensipar | Cinacalcet | Tablet 90 mg 30 tab | $1260 | No |
7774 | Xgeva | Denosumab | Injection Kit 120/1.7 mg/ml 1.7 ml | $1260 | Yes |
101250 | Zoladex | Goserelin Acetate | Implant 3.6 mg 1 Kit | $1260 | No |
8593 | Prezista | Darunavir | Tablet 75 mg 480 tab | $1284 | No |
8595 | Prezista | Darunavir | Tablet 150 mg 240 tab | $1290 | No |
100033 | Adalimumab-fkjp | Adalimumab-fkjp | Autoinjector 40/0.8 mg/ml 1 Kit | $1320 | Yes |
9313 | Afinitor | Everolimus | Tablet 5 mg 30 tab | $1320 | No |
101480 | Azstarys | Serdexmethylphenidate/Dexmethylphenidate | Capsule 26.1/5.2 mg/mg 100 cap | $1320 | No |
101481 | Azstarys | Serdexmethylphenidate/Dexmethylphenidate | Capsule 39.2/7.8 mg/mg 100 cap | $1320 | No |
101482 | Azstarys | Serdexmethylphenidate/Dexmethylphenidate | Capsule 52.3/10.4 mg/mg 100 cap | $1320 | No |
100203 | Cinacalcet | Cinacalcet | Tablet 60 mg 30 Tab | $1320 | No |
101608 | Cinqair | Reslizumab | Vial 100/10 mg/ml 10 ml | $1320 | Yes |
101702 | Dipentum | Olsalazine Sodium | Capsule 250 mg 100 cap | $1320 | No |
101824 | Epzicom | Abacavir/Lamivudine | Tablet 600/300 mg/mg 30 tab | $1320 | No |
100378 | Everolimus | Everolimus | Tablet 0.75 mg 60 Tab | $1320 | No |
101861 | Exjade | Deferasirox | Tablet 125 mg 30 tab | $1320 | No |
100431 | Gammagard | Immune Globulin (Human) | Solution 5 g 1 Kit | $1320 | Yes |
116664 | Gemtesa | Vibegron | Tablet 75 mg 90 tab | $1320 | No |
101969 | Gemtesa | Vibegron | Tablet 75 mg 90 tab | $1320 | No |
101978 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 1.4 mg 1.75 ml | $1320 | Yes |
102025 | Hadlima | Adalimumab-bwwd | Pre-Filled Syringe 40/0.8 mg/ml 1.6 ml | $1320 | Yes |
102024 | Hadlima CF | Adalimumab-bwwd | Pre-Filled Syringe 40/0.4 mg/ml 0.8 ml | $1320 | Yes |
102026 | Hadlima Pushtouch | Adalimumab-bwwd | Autoinjector 40/0.4 mg/ml 0.8 ml | $1320 | Yes |
102027 | Hadlima Pushtouch | Adalimumab-bwwd | Autoinjector 40/0.8 mg/ml 1.6 ml | $1320 | Yes |
100521 | Humatrope | Somatropin | Cartridge 6 mg 1 Cartridge | $1320 | Yes |
102109 | Igalmi | Dexmedetomidine | Film 120 mg 10 Film | $1320 | No |
102110 | Igalmi | Dexmedetomidine | Film 180 mg 10 Film | $1320 | No |
100556 | Imuran | Azathioprine | Tablet 50 mg 100 Tab | $1320 | No |
100566 | Intron | INTERFERON ALFA-2B,RECOMB. | Vial 10000000 iu/ml 3.2 ml | $1320 | Yes |
102190 | Ixinity | Factor IX, Recombinant Human | Injection Kit 500 IU 500 IU | $1320 | No |
102229 | Jentadueto | Linagliptin, metformin HCl; | Tablet 2.5/500 mg/mg 180 tab | $1320 | No |
102230 | Jentadueto | Linagliptin, metformin HCl; | Tablet 2.5/850 mg/mg 180 tab | $1320 | No |
102231 | Jentadueto | Linagliptin, metformin HCl; | Tablet 2.5/1000 mg/mg 180 tab | $1320 | No |
102232 | Jentadueto ER | Linagliptin, metformin HCl; | Tablet 2.5/1000 mg/mg 180 tab | $1320 | No |
105629 | Jentadueto XR | Linagliptin/Metformin | Tablet ER 2.5/1000 mg 180 tab | $1320 | No |
102233 | Jentadueto XR | Linagliptin, metformin HCl; | Tablet 5/1000 mg/mg 90 tab | $1320 | No |
102254 | Kaletra | Lopinavir/Ritonavir | Tablet 200/50 mg/mg 120 tab | $1320 | No |
100595 | Kaletra | Lopinavir/Ritonavir | Tablet 200/50 mg 120 Tab | $1320 | Yes |
102355 | Leukine | Sargramostim | Powder Vial 250 mg 5 Vial | $1320 | Yes |
18741 | Lonsurf | Trifluridine/Tipiracil | Tablet 15/6.14 mg 20 Tabs | $1320 | No |
8036 | Lysodren | Mitotane | Tablet 500 mg 100 tab | $1320 | No |
100754 | Norditropin | Somatropin | Autoinjector 5/1.5 mg/ml 1.5 ml | $1320 | Yes |
102645 | Nutropin AQ | Somatropin | Autoinjector 20/2 mg/ml 2 ml | $1320 | Yes |
102758 | Palforzia | Peanut Allergen Powder-dnfp | Oral Powder 300 mg 30 Oral Powder | $1320 | No |
100849 | Parsabiv | Etelcalcetide Hydrochloride | Vial 2.5/0.5 mg/ml 5 ml | $1320 | Yes |
100851 | Pegasys | Peginterferon Alfa-2A | Vial 180 mcg/ml 1 ml | $1320 | Yes |
102792 | Pertzye | Pancrelipase | Capsule 16000 USP 250 cap | $1320 | No |
102977 | Renvela | Sevelamer Carbonate | Tablet 800 mg 270 tab | $1320 | No |
102989 | Retacrit | Epoetin Alfa-epbx | Vial 20,000 Units/2ml 20 ml | $1320 | Yes |
103016 | Reyataz | Atazanavir Sulfate | Capsule 200 mg 60 cap | $1320 | No |
103017 | Reyataz | Atazanavir Sulfate | Capsule 300 mg 30 cap | $1320 | No |
103100 | Saxenda | Liraglutide | Autoinjector 18/3 mg/ml 15 ml | $1320 | Yes |
103103 | Segluromet | Ertugliflozin/Metformin | Tablet 2.5/1000 mg/mg 180 tab | $1320 | No |
103104 | Segluromet | Ertugliflozin/Metformin | Tablet 2.5/500 mg/mg 180 tab | $1320 | No |
103105 | Segluromet | Ertugliflozin/Metformin | Tablet 7.5/1000 mg/mg 180 tab | $1320 | No |
103106 | Segluromet | Ertugliflozin/Metformin | Tablet 7.5/500 mg/mg 180 tab | $1320 | No |
100993 | Sevelamer | Sevelamer Carbonate | Tablet 800 mg 270 Tab | $1320 | No |
12409 | Simponi Aria | Golimumab | IV Solution 50/4 mg/ml 4 ml | $1320 | Yes |
101007 | Sirolimus | Sirolimus | Tablet 1 mg 100 Tab | $1320 | No |
103189 | Spravato | Esketamine Hcl | Nasal Spray 28 mg 3 Device | $1320 | No |
103259 | Synjardy | Empagliflozin/Metformin Hcl | Tablet 12.5/1000 mg/mg 180 tab | $1320 | No |
103261 | Synjardy | Empagliflozin/Metformin Hcl | Tablet 12.5/500 mg/mg 180 tab | $1320 | No |
103263 | Synjardy | Empagliflozin/Metformin Hcl | Tablet 5/1000 mg/mg 180 tab | $1320 | No |
103265 | Synjardy | Empagliflozin/Metformin Hcl | Tablet 5/500 mg/mg 180 tab | $1320 | No |
90006 | Synjardy XR | Empagliflozin/Metformin | Tablet 25/1000 mg 90 tab | $1320 | No |
90013 | Synjardy XR | Empagliflozin/Metformin | Tablet 5/1000 mg 180 tab | $1320 | No |
90014 | Synjardy XR | Empagliflozin/Metformin | Tablet 10/1000 mg 90 tab | $1320 | No |
90015 | Synjardy XR | Empagliflozin/Metformin | Tablet 12.5/1000 mg 180 tab | $1320 | No |
103480 | Uceris | Budesonide | Tablet 9 mg 30 tab | $1320 | No |
101166 | Veltassa | Patiromer Calcium Sorbitex | Sachet 16.8 g 30 g | $1320 | Yes |
101167 | Veltassa | Patiromer Calcium Sorbitex | Sachet 25.2 g 30 g | $1320 | Yes |
101168 | Veltassa | Patiromer Calcium Sorbitex | Sachet 8.4 g 30 g | $1320 | Yes |
103627 | Winrho SDF | Rho-D Immune Globulin | Vial 5000 IU 4.4 ml | $1320 | Yes |
103639 | Xanax XR | Alprazolam | Tablet 3 mg 60 tab | $1320 | No |
103646 | Xcopri | Cenobamate | Tablet 100 mg 30 tab | $1320 | No |
103647 | Xcopri | Cenobamate | Tablet 150 mg 30 tab | $1320 | No |
103648 | Xcopri | Cenobamate | Tablet 200 mg 30 tab | $1320 | No |
103649 | Xcopri | Cenobamate | Tablet 50 mg 30 tab | $1320 | No |
103644 | Xcopri Maintenance Pack | Cenobamate | Tablet 100/150 mg 56 tab | $1320 | No |
103650 | Xcopri Titration Pack | Cenobamate | Tablet 150/200 mg 28 tab | $1320 | No |
103651 | Xcopri Titration Pack | Cenobamate | Tablet 50/100 mg 28 tab | $1320 | No |
103672 | Xeomin | Incobotulinumtoxina | Powder Vial 200 units 1 Vial | $1320 | No |
103733 | Zavzpret | Zavegepant | Nasal Spray 10 mg 6 Unit | $1320 | No |
101276 | Actemra | Tocilizumab | Vial 200/10 mg/ml 10 ml | $1380 | Yes |
10938 | Actemra | Tocilizumab | Vial 400/20 mg/ml 20 ml | $1380 | Yes |
100144 | Baraclude | Entecavir | Oral Solution 0.05 mg/ml 210 ml | $1380 | No |
100407 | Flebogamma | Immune Globulin (Human) | Vial 10/100 g/ml 100 ml | $1380 | No |
100495 | Hadlima | Adalimumab-bwwd | Autoinjector 40/0.4 mg/ml 0.8 ml | $1380 | Yes |
100496 | Hadlima | Adalimumab-bwwd | Autoinjector 40/0.8 mg/ml 1.6 ml | $1380 | Yes |
100497 | Hadlima | Adalimumab-bwwd | Pre-Filled Syringe 40/0.4 mg/ml 0.8 ml | $1380 | Yes |
100498 | Hadlima | Adalimumab-bwwd | Pre-Filled Syringe 40/0.8 mg/ml 1.6 ml | $1380 | Yes |
102200 | Jadenu | Deferasirox | Tablet 90 mg 30 tab | $1380 | No |
102197 | Jadenu Sprinkle | Deferasirox | Granules 90 mg 30 Granule | $1380 | No |
5603 | Lupron | Leuprolide | Injection Kit 11.25 mg 1 Kit | $1380 | No |
103271 | Synribo | Omacetaxine Mepesuccinate | Vial 3.5 mg 1 Vial | $1380 | No |
103447 | Trokendi XR | Topiramate | Capsule 50 mg 100 cap | $1380 | No |
44788 | Abrilada | Adalimumab | Autoinjector 40/0.8 mg/ml 2 Autoinjector | $1440 | Yes |
44791 | Abrilada | Adalimumab | Pre-Filled Syringe 40/0.8 mg/ml 2 PFS | $1440 | Yes |
101333 | Afrezza | insulin human | Inhalation Powder 12 Units 90 Cartridge | $1440 | Yes |
101335 | Afrezza | insulin human | Inhalation Powder 4-8-12 Units 180 Cartridge | $1440 | Yes |
100067 | Alosetron | Alosetron | Tablet 1 mg 30 Tab | $1440 | No |
100068 | Alosetron | Alosetron | Tablet 1 mg 30 Tab | $1440 | No |
101429 | Arimidex | Anastrozole | Tablet 1 mg 30 tab | $1440 | No |
100124 | Atazanavir | Atazanavir Sulfate | Capsule 300 mg 30 Cap | $1440 | No |
20146 | Aubagio | Teriflunomide | Tablet 14 mg 28 Tabs | $1440 | No |
100156 | Bicalutamide | Bicalutamide | Tablet 50 mg 100 Tab | $1440 | No |
101519 | Bivigam | Immune Globulin | Vial 10/100 g/ml 100 ml | $1440 | Yes |
11155 | Bridion | Sugammadex | Vial 100 mg/ml 20 ml | $1440 | No |
101540 | Briviact | Brivaracetam | Tablet 10 mg 60 tab | $1440 | No |
101543 | Briviact | Brivaracetam | Tablet 75 mg 60 tab | $1440 | No |
100179 | Budesonide | Budesonide | Capsule 3 mg 100 Cap | $1440 | No |
101584 | Cellcept | Mycophenolate | Capsule 500 mg 100 cap | $1440 | No |
101647 | Cresemba | Isavuconazonium Sulfate | Capsule 186 mg 14 cap | $1440 | No |
101668 | Dacogen | Decitabine | Powder Vial 50 mg 1 Vial | $1440 | No |
100268 | Decitabine | Decitabine | Solution 50 mg 1 Vial | $1440 | No |
7951 | Delstrigo | Doravirine/Lamivudine/Tenofovir Disoproxil Fumarate | Tablet 100/300/300 mg 30 tab | $1440 | No |
7957 | Dovato | Dolutegravir/Lamivudine | Tablet 50/300 mg 30 tab | $1440 | No |
100324 | Emtricitabine-Tenofovir DF | Emtricitabine-Tenofovir DF | Tablet 100-150 mg 30 Tab | $1440 | No |
100325 | Emtricitabine-Tenofovir DF | Emtricitabine-Tenofovir DF | Tablet 133-200 mg 30 Tab | $1440 | No |
100326 | Emtricitabine-Tenofovir DF | Emtricitabine-Tenofovir DF | Tablet 200-300 mg 30 Tab | $1440 | No |
100327 | Emtricitabine-Tenofovir DF | Emtricitabine-Tenofovir DF | Tablet 200-300 mg 30 Tab | $1440 | No |
100328 | Emtricitabine-Tenofovir DF | Emtricitabine-Tenofovir DF | Tablet 200-300 mg 30 Tab | $1440 | No |
100329 | Emtricitabine-Tenofovir DF | Emtricitabine-Tenofovir DF | Tablet 200-300 mg 30 Tab | $1440 | No |
101846 | Evomela | Melphalan | Powder Vial 50 mg 1 Vial | $1440 | No |
101878 | Fanapt | Iloperidone | Tablet 6 mg 60 tab | $1440 | No |
101879 | Fanapt | Iloperidone | Tablet 8 mg 60 tab | $1440 | No |
101929 | Fragmin | Dalteparin Sodium | Pre-Filled Syringe 15000/0.6 iu/ml 6 ml | $1440 | No |
101948 | Gammagard Liquid | Immune Globulin (Human) | Vial 10/100 g/ml 100 ml | $1440 | No |
100466 | Genotropin | Somatropin | Pre-Filled Syringe 1 mg 7 PFS | $1440 | Yes |
101984 | Geodon | Ziprasidone Hcl | Capsule 60 mg 60 cap | $1440 | No |
101986 | Giapreza | Angiotension Ii | IV Solution 2.5 mg/mL 1 ml | $1440 | Yes |
101994 | Glatopa | Glatiramer Acetate | Pre-Filled Syringe 20 mg/ml 30 ml | $1440 | Yes |
101995 | Glatopa | Glatiramer Acetate | Pre-Filled Syringe 40 mg/ml 12 ml | $1440 | Yes |
102004 | Glyxambi | Empagliflozin/Linagliptin | Tablet 10/5 mg/mg 90 tab | $1440 | No |
102005 | Glyxambi | Empagliflozin/Linagliptin | Tablet 25/5 mg/mg 90 tab | $1440 | No |
102040 | Herceptin | Trastuzumab | Powder Vial 150 mg 1 Vial | $1440 | Yes |
100537 | Hycamtin | Topotecan Hcl | Capsule 0.25 mg 10 Cap | $1440 | Yes |
100543 | Hyqvia | Immune Globulin (Human) | Vial 5/50 g/ml 52.5 ml | $1440 | Yes |
44797 | Hyrimoz | Adalimumab | Pre-Filled Syringe 40/0.8 mg/ml 1.6 ml | $1440 | Yes |
44798 | Hyrimoz | Adalimumab | Autoinjector 40/0.8 mg/ml 1.6 ml | $1440 | Yes |
102098 | Icatibant | Icatibant Acetate | Pre-Filled Syringe 30/3 mg/ml 3 ml | $1440 | No |
44800 | Idacio | Adalimumab | Autoinjector 40/0.8 mg/ml 1 kit | $1440 | Yes |
44801 | Idacio | Adalimumab | Pre-Filled Syringe 40/0.8 mg/ml 1 kit | $1440 | Yes |
102186 | Isentress | Raltegravir Potassium | Tablet 400 mg 60 tab | $1440 | No |
102224 | Jatenzo | Testosterone Undecanoate | Capsule 237 mg 120 cap | $1440 | No |
102272 | Keppra | Levetiracetam | Tablet 750 mg 120 tab | $1440 | No |
102323 | Lamictal | Lamotrigine | Tablet 100 mg 100 tab | $1440 | No |
102371 | Lipitor | Atorvastatin Calcium | Tablet 20 mg 90 tab | $1440 | No |
102372 | Lipitor | Atorvastatin Calcium | Tablet 40 mg 90 tab | $1440 | No |
102373 | Lipitor | Atorvastatin Calcium | Tablet 80 mg 90 tab | $1440 | No |
100663 | Livalo | Pitavastatin Calcium | Tablet 2 mg 90 Tab | $1440 | No |
100664 | Livalo | Pitavastatin Calcium | Tablet 4 mg 90 Tab | $1440 | No |
5605 | Lupron | Leuprolide | Injection Kit 22.5 mg 1 Kit | $1440 | No |
102419 | Lupron Depot | Leuprolide Acetate | Injection Kit 7.5 mg 1 Kit | $1440 | No |
102424 | Lupron Depot PED | Leuprolide Acetate | Injection Kit 7.5 mg 1 Kit | $1440 | No |
102477 | Mekinist | Trametinib Dimethyl Sulfoxide | Oral Solution 0.05 mg/ml 90 ml | $1440 | Yes |
102482 | Mepron | Atovaquone | Oral Suspension 750/5 mg/ml 210 ml | $1440 | No |
102528 | Mycobutin | Rifabutin | Capsule 150 mg 100 cap | $1440 | No |
102531 | Myfortic | Mycophenolate Sodium | Tablet 360 mg 120 tab | $1440 | No |
12095 | Noxafil | Posaconazole | Oral Suspension 40 mg/ml 105 ml | $1440 | No |
102623 | Nplate | Romiplostim | Powder Vial 125 mcg 1 Vial | $1440 | Yes |
7655 | Nplate | Romiplostim | Powder Vial 250 mcg 1 Vial | $1440 | No |
44820 | Nucala | Mepolizumab | Pre-Filled Syringe 40/0.4 mg/ml 0.4 ml | $1440 | Yes |
102633 | Nucynta ER | Tapentadol Hcl | Tablet 200 mg 60 tab | $1440 | No |
100768 | Nurtec | Rimegepant Sulfate | Tablet 75 mg 8 Tab | $1440 | No |
12903 | Omnitrope | Somatropin | Cartridge 5/1.5 mg/ml 7.5 ml | $1440 | Yes |
102681 | Onfi | Clobazam | Tablet 10 mg 100 tab | $1440 | No |
102687 | Ontruzant | Trastuzumab-dttb | Powder Vial 150 mg 1 Vial | $1440 | Yes |
100808 | Oravig | Miconazole | Tablet 50 mg 14 Tab | $1440 | No |
12279 | Primaxin | Imipenem/Cilastatin | Powder Vial 500 mg 25 ml | $1440 | No |
102855 | Privigen | Immun Glob G(Igg)-Pro-Iga 0-50 | Vial 10/100 g/ml 100 ml | $1440 | No |
102875 | Prolia | Denosumab | Pre-Filled Syringe 60 mg/ml 1 ml | $1440 | Yes |
102891 | Prozac | Fluoxetine Hcl | Capsule 10 mg 100 cap | $1440 | No |
102892 | Prozac | Fluoxetine Hcl | Capsule 20 mg 100 cap | $1440 | No |
102960 | Releuko | Filgrastim-ayow | Pre-Filled Syringe 300/0.5 mcg/ml 5 ml | $1440 | Yes |
102975 | Renvela | Sevelamer Carbonate | Oral Powder 0.8 g 90 Packet | $1440 | No |
102976 | Renvela | Sevelamer Carbonate | Oral Powder 2.4 g 90 Packet | $1440 | No |
103010 | Rexulti | Brexpiprazole | Tablet 0.25 mg 30 tab | $1440 | No |
103011 | Rexulti | Brexpiprazole | Tablet 0.5 mg 30 tab | $1440 | No |
103012 | Rexulti | Brexpiprazole | Tablet 1 mg 30 tab | $1440 | No |
103013 | Rexulti | Brexpiprazole | Tablet 2 mg 30 tab | $1440 | No |
103014 | Rexulti | Brexpiprazole | Tablet 3 mg 30 tab | $1440 | No |
103015 | Rexulti | Brexpiprazole | Tablet 4 mg 30 tab | $1440 | No |
99206 | Selzentry | Maraviroc | Tablet 150 mg 60 tab | $1440 | No |
18738 | Selzentry | Maraviroc | Tablet 150 mg 60 Tabs | $1440 | No |
18740 | Selzentry | Maraviroc | Tablet 300 mg 60 Tabs | $1440 | No |
100997 | Sildenafil | Sildenafil Citrate | Tablet 20 mg 90 Tab | $1440 | No |
44802 | Simlandi | Adalimumab | Autoinjector 40/0.4 mg/ml 2 Autoinjector | $1440 | Yes |
44803 | Simlandi | Adalimumab | Pre-Filled Syringe 40/0.4 mg/ml 2 PFS | $1440 | Yes |
44804 | Simlandi | Adalimumab | Pre-Filled Syringe 80/0.8 mg/ml 1 PFS | $1440 | Yes |
101005 | Sirolimus | Sirolimus | Oral Solution 1 mg/ml 60 ml | $1440 | Yes |
103248 | Symfi LO | Efavirenz/Lamivudine/Tenofovir Disoproxil Fumarate | Tablet 400/300/300 mg/mg/mg 30 tab | $1440 | No |
5996 | Tecfidera | Dimethyl Fumarate | Capsule 120 mg 56 cap | $1440 | No |
101149 | Ubrelvy | Ubrogepant | Tablet 100 mg 10 Tab | $1440 | No |
103528 | Velphoro | Sucroferric Oxyhydroxide | Tablet 500 mg 90 tab | $1440 | No |
103546 | Veregen | Sinecatechins | Topical Ointment 0.15 % 30 g | $1440 | Yes |
103559 | Viberzi | Eluxadoline | Tablet 100 mg 60 tab | $1440 | No |
103560 | Viberzi | Eluxadoline | Tablet 75 mg 60 tab | $1440 | No |
103583 | Vivitrol | Naltrexone | Injection Kit 380 mg 1 Kit | $1440 | Yes |
103600 | Vtama | Tapinarof | Cream Tube 0.01 % 60 g | $1440 | No |
44807 | Yuflyma | Adalimumab | Autoinjector 80/0.8 mg/ml 1 Autoinjector | $1440 | Yes |
44809 | Yuflyma | Adalimumab | Autoinjector 40/0.4 mg/ml 2 Autoinjector | $1440 | Yes |
10000001 | Yusimry | Adalimumab-aqvh | Autoinjector 40/0.8 mg/ml 1.6 ml | $1440 | Yes |
103723 | Zaltrap | ziv-Aflibercept | Vial 100/4 mg/ml 4 ml | $1440 | Yes |
103750 | Zenpep | Pancrelipase | Capsule 40000 IU 100 cap | $1440 | No |
101235 | Zenpep | Pancrelipase | Capsule 25000-79000 IU 100 Cap | $1440 | No |
101257 | Zuplenz | Ondansetron | Oral Film 4 mg 30 Tab | $1440 | No |
101258 | Zuplenz | Ondansetron | Oral Film 8 mg 30 Tab | $1440 | No |
6239 | Zyprexa | Olanzapine | Tablet 15 mg 84 tab | $1440 | No |
102028 | Halaven | Eribulin Mesylate | Vial 1/2 mg/ml 2 ml | $1470 | No |
6727 | Prezista | Darunavir | Tablet 600 mg 60 tab | $1494 | No |
100069 | Alphanate | Antihemophilic Factor/Vwf | Vial Kit 1000 IU 1000 IU | $1500 | No |
101399 | Aplenzin | Bupropion Hydrobromide | Tablet 174 mg 30 tab | $1500 | No |
101415 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 60/0.3 mcg/ml 1.2 ml | $1500 | Yes |
101420 | Aranesp | Darbepoetin Alfa | Vial 60 mcg/ml 4 ml | $1500 | Yes |
100118 | Aromasin | Trientine Hydrochloride | Tablet 25 mg 30 Tab | $1500 | No |
101465 | Aveed | Testosterone Undecanoate | Vial 750/3 mg/ml 3 ml | $1500 | No |
101483 | Banzel | Rufinamide | Oral Suspension 40 mg/ml 460 ml | $1500 | No |
101484 | Banzel | Rufinamide | Tablet 200 mg 120 tab | $1500 | No |
100261 | Darunavir | DARUNAVIR ETHANOLATE | Tablet 800 mg 30 Tab | $1500 | No |
101724 | Durolane | Hyaluronic Acid | Pre-Filled Syringe 60/3 mg/ml 3 ml | $1500 | No |
101835 | Esperoct | Antihemophilic Factor (Recombinant) | Vial Kit 500 IU 500 IU | $1500 | No |
100398 | Feiba | Prothrombin Complex Concentrate, Activated, From Human Plasma | Injection Kit 500 IU 500 IU | $1500 | No |
101888 | Feiba NF | Prothrombin Complex Concentrate, Activated, From Human Plasma | Injection Kit 500 IU 500 IU | $1500 | No |
102103 | Idelvion | Coagulation Factor IX (Recombinant) | Powder Vial 250 IU 250 IU | $1500 | No |
102147 | Innopran XL | Propranolol Hydrochloride | Capsule 120 mg 30 cap | $1500 | No |
102148 | Innopran XL | Propranolol Hydrochloride | Capsule 80 mg 30 cap | $1500 | No |
102317 | Kyprolis | Carfilzomib | Powder Vial 30 mg 1 Vial | $1500 | Yes |
100718 | Mycophenolate | Mycophenolate Mofetil | Capsule 250 mg 500 Cap | $1500 | No |
102694 | Opdivo | Nivolumab | Vial 40/4 mg/ml 4 ml | $1500 | Yes |
102705 | Orenitram ER | Treprostinil | Tablet 0.25 mg 100 tab | $1500 | No |
102940 | Rayaldee | Calcifediol | Capsule 30 mg 30 cap | $1500 | No |
102955 | Reclast | Zoledronic Acid/Mannitol-Water | Solution 5/100 mg/ml 100 ml | $1500 | No |
100931 | Relistor | Methylnaltrexone Bromide | Pre-Filled Syringe 8/0.4 mg/ml 2.8 ml | $1500 | No |
100939 | Retacrit | Epoetin Alfa-epbx | Vial 10000 iu/ml 10 ml | $1500 | Yes |
103120 | Seysara | Sarecycline Hcl | Tablet 100 mg 30 tab | $1500 | No |
103121 | Seysara | Sarecycline Hcl | Tablet 150 mg 30 tab | $1500 | No |
103122 | Seysara | Sarecycline Hcl | Tablet 60 mg 30 tab | $1500 | No |
101114 | Tivicay | Dolutegravir Sodium | Tablet 25 mg 30 Tab | $1500 | No |
101126 | Trazimera | Trastuzumab-qyyp | Powder Vial 150 mg 1 Vial | $1500 | Yes |
103454 | Truvada | Emtricitabine/Tenofovir (Tdf) | Tablet 200/300 mg 30 tab | $1500 | No |
103240 | Sylvant | Siltuximab | Powder Vial 100 mg 1 Vial | $1512 | Yes |
101324 | Adynovate | Antihemophilic Factor (Recombinant) | Vial Kit 500 IU 500 IU | $1530 | Yes |
100224 | Creon | Pancrelipase | Capsule 36000-114000 IU 100 Cap | $1530 | No |
11580 | Genotropin GoQuick | Somatropin | Autoinjector 5.3 mg 5 Autoinjector | $1536 | Yes |
8028 | Nimotop | Nimodipine | Tablet 30 mg 100 tab | $1536 | No |
100026 | Actemra | Tocilizumab | Pre-Filled Syringe 162/0.9 mg/ml 0.9 ml | $1560 | Yes |
100022 | Actemra ACTPen | Tocilizumab | Autoinjector 162/0.9 mg/ml 0.9 ml | $1560 | Yes |
101367 | Altuviiio | Antihemophilic Factor (Recombinant) | Injection Kit 250 IU 250 IU | $1560 | Yes |
101382 | Ambien | Zolpidem Tartrate | Tablet 10 mg 100 tab | $1560 | No |
101383 | Ambien | Zolpidem Tartrate | Tablet 5 mg 100 tab | $1560 | No |
101380 | Ambien CR | Zolpidem Tartrate | Tablet 12.5 mg 100 tab | $1560 | No |
101381 | Ambien CR | Zolpidem Tartrate | Tablet 6.25 mg 100 tab | $1560 | No |
101385 | Amjevita (CF) | Adalimumab | Autoinjector 40/0.8 mg/ml 0.8 ml | $1560 | Yes |
6976 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 100 mcg/ml 2 ml | $1560 | Yes |
55840 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 300 mcg 0.6 ml | $1560 | Yes |
11123 | Benlysta | Belimumab | Vial 400 mg 20 ml | $1560 | Yes |
11153 | Bosulif | Bosutinib | Tablet 100 mg 28 tab | $1560 | No |
8083 | Brenzys | Etanercept | Autoinjector 50 mg/ml 4 Auto-Injector | $1560 | Yes |
101604 | Cimerli | Ranibizumab-Eqrn | Vial 0.5/0.05 mg/ml 0.05 ml | $1560 | Yes |
100304 | Durolane | Hyaluronic Acid | Pre-Filled Syringe 60/3 mg/ml 3 ml | $1560 | No |
101768 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 500 IU 500 IU | $1560 | No |
101774 | Emcyt | Estramustine Phosphate Sodium | Capsule 140 mg 100 cap | $1560 | No |
101786 | Emsam | Selegiline | Patch 6 mg/hr 30 Patch | $1560 | No |
115825 | Enbrel | Etanercept | Pre-Filled Syringe 25/0.5 mg/ml 2 ml | $1560 | Yes |
101788 | Enbrel | Etanercept | Pre-Filled Syringe 25/0.5 mg/ml 2 ml | $1560 | Yes |
101790 | Enbrel | Etanercept | Vial 25/0.5 mg/ml 2 ml | $1560 | Yes |
11494 | Envarsus PA | Tacrolimus | Tablet 4 mg 100 tab | $1560 | No |
101818 | Epogen | Epoetin Alfa | Vial 10000 units/ml 10 ml | $1560 | Yes |
8092 | Erelzi | Etanercept | Pre-Filled Syringe 50 mg/ml 4 ml | $1560 | Yes |
8094 | Erelzi | Etanercept | Autoinjector 50 mg/ml 4 ml | $1560 | Yes |
101847 | Evotaz | Atazanavir/Cobicistat | Tablet 300/150 mg/mg 30 tab | $1560 | No |
100400 | Feraheme | Ferumoxytol | Vial 510/17 mg/ml 17 ml | $1560 | No |
101916 | Follistim AQ | Follitropin Beta | Vial 600/0.72 IU/ml 0.72 ml | $1560 | Yes |
100450 | Gel-One | Sodium Hyaluronate | Pre-Filled Syringe 30/3 mg/ml 3 ea | $1560 | No |
105724 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 1.8 mg 7 PFS | $1560 | Yes |
101979 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 1.8 mg 1.75 ml | $1560 | Yes |
102165 | Invega Sustenna | Paliperidone Palmitate | Pre-Filled Syringe 117/0.75 mg/ml 0.75 ml | $1560 | No |
7955 | Juluca | Dolutegravir/Rilpivirine | Tablet 50/25 mg 30 tab | $1560 | No |
100656 | Lexiva | Fosamprenavir Calcium | Tablet 700 mg 60 Tab | $1560 | No |
100657 | Lialda | Mesalamine | Tablet 1.2 g 120 Tab | $1560 | No |
18742 | Lonsurf | Trifluridine/Tipiracil | Tablet 20/8.19 mg 20 Tabs | $1560 | No |
102493 | Migranal | Dihydroergotamine Mesylate | Nasal Spray 4 mg/ml 3 ml | $1560 | No |
24163 | Nutropin AQ | Somatropin | Pen Cartridge 20/2 mg/ml 2 ml | $1560 | Yes |
100798 | Omnitrope | Somatropin | Cartridge 10/1.5 mg/ml 1.5 ml | $1560 | Yes |
102928 | Radicava | Edaravone | Solution 30/100 mg/ml 200 ml | $1560 | No |
100929 | Reclast | Zoledronic Acid/Mannitol-Water | Solution 5/100 mg/ml 100 ml | $1560 | No |
8308 | Revatio | Sildenafil | Tablet 20 mg 90 tab | $1560 | No |
103109 | Selzentry | Maraviroc | Tablet 300 mg 60 tab | $1560 | No |
103206 | Stendra | Avanafil | Tablet 100 mg 30 tab | $1560 | No |
103207 | Stendra | Avanafil | Tablet 200 mg 30 tab | $1560 | No |
9509 | Tarceva | Erlotinib | Tablet 100 mg 30 tab | $1560 | No |
7525 | Temodar | Temozolomide | Capsule 140 mg 5 cap | $1560 | No |
101090 | Temozolomide | Temozolomide | Capsule 140 mg 5 Cap | $1560 | No |
103533 | Vemlidy | Tenofovir Alafenamide | Tablet 25 mg 30 tab | $1560 | No |
103596 | Vraylar | Cariprazine Hcl | Capsule 1.5 mg 30 cap | $1560 | No |
103597 | Vraylar | Cariprazine Hcl | Capsule 3 mg 30 cap | $1560 | No |
103598 | Vraylar | Cariprazine Hcl | Capsule 4.5 mg 30 cap | $1560 | No |
103599 | Vraylar | Cariprazine Hcl | Capsule 6 mg 30 cap | $1560 | No |
103686 | Xolair | Omalizumab | Pre-Filled Syringe 150 mg/ml 1 ml | $1560 | Yes |
12689 | Zyvox | Linezolid | IV Solution 2 mg/ml 3000 ml | $1560 | No |
101338 | Afstyla | Antihemophilic Factor (Recombinant), Single Chain | Vial Kit 1000 IU 1 IU | $1620 | Yes |
101526 | Botox | Onabotulinumtoxina | Vial 200 Unit 1 Vial | $1620 | Yes |
101817 | Epkinly | Epcoritamab-bysp | Vial 4/0.8 mg/ml 0.8 ml | $1620 | Yes |
103107 | Selzentry | Maraviroc | Tablet 150 mg 60 tab | $1620 | No |
7036 | Trizivir | Abacavir/Lamivudine/Zidovudine | Tablet 300 mg 60 tab | $1620 | No |
103522 | Vectibix | Panitumumab | Vial 100/5 mg/ml 5 ml | $1620 | Yes |
101174 | Viracept | Nelfinavir Mesylate | Tablet 250 mg 300 Tab | $1620 | No |
101175 | Viracept | Nelfinavir Mesylate | Tablet 625 mg 120 Tab | $1620 | No |
101176 | Viread | Tenofovir Disoproxil Fumarate | Tablet 150 mg 30 Tab | $1620 | No |
101177 | Viread | Tenofovir Disoproxil Fumarate | Tablet 300 mg 30 Tab | $1620 | No |
101254 | Zortress | Everolimus | Tablet 0.5 mg 60 Tab | $1620 | No |
8272 | Cosentyx | Secukinumab | Pre-Filled Syringe 150 mg/ml 1 PFS | $1650 | Yes |
8274 | Cosentyx Sensoready Pen | Secukinumab | Autoinjector 150 mg/ml 1 PFP | $1650 | Yes |
100023 | Actemra | Tocilizumab | Vial 200/10 mg/ml 10 ml | $1680 | Yes |
101384 | Amjevita (CF) | Adalimumab | Autoinjector 40/0.8 mg/ml 0.8 ml | $1680 | Yes |
7510 | Aptivus | Tipranavir | Capsule 250 mg 120 cap | $1680 | No |
100106 | Aranesp | Darbepoetin Alfa | Vial 40 mcg/ml 4 ml | $1680 | Yes |
100173 | Botox | Onabotulinumtoxina | Vial 200 IU 1 Vial | $1680 | Yes |
100191 | Cellcept | Mycophenolate | Oral Suspension 200 mg/ml 160 ml | $1680 | No |
100198 | Cimduo | Lamivudine/Tenofovir Disoproxil Fumarate | Tablet 300/300 mg 30 Tab | $1680 | No |
20053 | Dalvance | Dalbavancin | Powder Vial 500 mg 1 Vial | $1680 | No |
100282 | Dimethyl Fumarate | Dimethyl Fumarate | Capsule 120 mg 14 Cap | $1680 | No |
76622 | Doptelet | Avatrombopag | Tablet 20 mg 10 tab | $1680 | No |
101752 | Eligard | Leuprolide Acetate | Injection Kit 30 mg 1 Kit | $1680 | Yes |
100365 | Epzicom | Abacavir/Lamivudine | Tablet 600/300 mg 30 Tab | $1680 | No |
100376 | Euflexxa | Sodium Hyaluronate | Pre-Filled Syringe 20/2 mg/ml 6 ml | $1680 | No |
100389 | Fareston | Ttoremifene Citrate | Tablet 60 mg 30 Tab | $1680 | No |
100467 | Genotropin | Somatropin | Pre-Filled Syringe 1.2 mg 7 PFS | $1680 | Yes |
105725 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 2 mg 7 PFS | $1680 | Yes |
101980 | Genotropin Miniquick | Somatropin | Pre-Filled Syringe 2 mg 1.75 ml | $1680 | Yes |
24988 | Hizentra | Immune Globulin | Vial 0.2 10g/50ml 1 Vial | $1680 | Yes |
102054 | Hulio (Cf) | Adalimumab-fkjp | Pre-Filled Syringe 20/0.4 mg/ml 2 PFS | $1680 | Yes |
102055 | Hulio (Cf) | Adalimumab-fkjp | Pre-Filled Syringe 40/0.8 mg/ml 2 PFS | $1680 | Yes |
102053 | Hulio (Cf) Pen | Adalimumab-fkjp | Autoinjector 40/0.8 mg/ml 2 Autoinjector | $1680 | Yes |
102067 | Humatrope | Somatropin | Cartridge 12 mg 1 Cartridge | $1680 | Yes |
102070 | Humira | Adalimumab | Autoinjector 40/0.8 mg/ml 2 Autoinjector | $1680 | Yes |
102076 | Humira | Adalimumab | Pre-Filled Syringe 40/0.8 mg/ml 2 PFS | $1680 | Yes |
102093 | Hyrimoz (Cf) | Adalimumab-adaz | Pre-Filled Syringe 40/0.4 mg/ml 0.8 ml | $1680 | Yes |
102090 | Hyrimoz (Cf) Pen | Adalimumab-adaz | Autoinjector 40/0.4 mg/ml 0.8 ml | $1680 | Yes |
11683 | Inlyta | Axitinib | Tablet 1 mg 60 tab | $1680 | No |
102183 | Isentress HD | Raltegravir Potassium | Tablet 600 mg 60 tab | $1680 | No |
102238 | Jivi | Antihemophilic Factor Viii (Recombinant) | Vial 500 IU 500 IU | $1680 | Yes |
100606 | Kineret | Anakinra Subcutaneous Soln | Pre-Filled Syringe 100/0.67 mg/ml 4.69 ml | $1680 | Yes |
100728 | Myobloc | RimabotulinumtoxinB | Vial 1000/2 IU/ml 2 ml | $1680 | Yes |
100769 | Nutropin AQ Nuspin | Somatropin | Autoinjector 10/2 mg/ml 2 ml | $1680 | Yes |
116617 | Prezista | Darunavir Ethanolate | Tablet 600 mg 60 tab | $1680 | No |
116619 | Prezista | Darunavir Ethanolate | Tablet 800 mg 30 tab | $1680 | No |
102845 | Prezista | Darunavir Ethanolate | Tablet 150 mg 240 tab | $1680 | No |
102846 | Prezista | Darunavir Ethanolate | Tablet 600 mg 60 tab | $1680 | No |
102847 | Prezista | Darunavir Ethanolate | Tablet 75 mg 480 tab | $1680 | No |
102848 | Prezista | Darunavir Ethanolate | Tablet 800 mg 30 tab | $1680 | No |
102861 | Procrit | Epoetin Alfa | Vial 20,000 units/ml 4 ml | $1680 | Yes |
102870 | Profilnine | Factor Ix Complex | Vial Kit 1500 Unit 1500 Unit | $1680 | No |
6452 | Prograf | Tacrolimus | Capsule 5 mg 100 cap | $1680 | No |
102929 | Rapamune | Sirolimus | Oral Solution 1 mg/ml 60 ml | $1680 | Yes |
102959 | Regranex | Becaplermin | Gel Tube 0.0001 % 15 g | $1680 | Yes |
102971 | Remodulin | Treprostinil Sodium | Vial 20/20 mg/ml 20 ml | $1680 | No |
102993 | Retacrit | Epoetin Alfa-epbx | Vial 40,000 Units/ml 4 ml | $1680 | Yes |
100961 | Riluzole | Riluzole | Tablet 50 mg 60 Tab | $1680 | No |
5623 | Rituxan | Rituximab | Injection 100/10 mg/ml 20 ml | $1680 | No |
103257 | Synagis | Palivizumab | Vial 50/0.5 mg/ml 0.5 ml | $1680 | Yes |
101057 | Tadalafil | Tadalafil | Tablet 20 mg 30 Tab | $1680 | No |
6865 | Triumeq | Abacavir/Dolutegravir/Lamivudine | Tablet 50/600/300 mg 30 tab | $1680 | No |
103438 | Trizivir | Abacavir/Lamivudine/Zidovudine | Tablet 300/150/300 mg 60 tab | $1680 | No |
61739 | Venclexta | Venetoclax | Tablet 10 mg 168 Tabs | $1680 | No |
101183 | Vonvendi | Von Willebrand Factor (Recombinant) | Vial Kit 450-850 IU 650 IU | $1680 | Yes |
103705 | Xyntha | Antihemophilic Factor (Recombinant) | Vial Kit 1000 IU 1000 IU | $1680 | Yes |
103788 | Zortress | Everolimus | Tablet 0.75 mg 60 tab | $1680 | No |
102652 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 1000 IU 1000 IU | $1728 | Yes |
105054 | Abraxane | Paclitaxel | Powder Vial 100 mg 1 mg | $1740 | No |
101689 | Descovy | Emtricitabine/Tenofovir Alafenamide | Tablet 200/25 mg/mg 30 tab | $1740 | No |
101690 | Descovy | Emtricitabine/Tenofovir Alafenamide | Tablet 200/25 mg/mg 30 tab | $1740 | No |
102063 | Humate-P | Antihemophilic Factor/Vwf | Vial Kit 1000 IU 1200 IU | $1740 | No |
102655 | Nuzyra | Omadacycline Tosylate | Tablet 150 mg 6 tab | $1740 | No |
102710 | Orenitram ER Titration Pack | Treprostinil | Tablet 0.125-0.25 mg-mg 168 tab | $1740 | No |
103110 | Selzentry | Maraviroc | Tablet 75 mg 120 tab | $1740 | No |
105052 | Abilify Maintena | Aripiprazole | Injection Kit 300 mg 1 Kit | $1800 | No |
100028 | Adalimumab-adbm | Adalimumab-adbm | Autoinjector 40/0.8 mg/ml 1 Kit | $1800 | Yes |
100029 | Adalimumab-adbm | Adalimumab-adbm | Pre-Filled Syringe Kit 10/0.2 mg/ml 1 Kit | $1800 | Yes |
100030 | Adalimumab-adbm | Adalimumab-adbm | Pre-Filled Syringe Kit 20/0.4 mg/ml 1 Kit | $1800 | Yes |
100031 | Adalimumab-adbm | Adalimumab-adbm | Pre-Filled Syringe Kit 40/0.8 mg/ml 1 Kit | $1800 | Yes |
101313 | Advate | Antihemophilic Factor (Recombinant) | Vial 1000 IU 1000 IU | $1800 | Yes |
111320 | Ajovy | Fremanezumab | Autoinjector 225/1.5 mg/ml 4.5 ml | $1800 | Yes |
100094 | Anagrelide | Anagrelide Hydrochloride | Capsule 1 mg 100 Cap | $1800 | No |
101405 | Aptiom | Eslicarbazepine Acetate | Tablet 600 mg 60 tab | $1800 | No |
101407 | Aptivus | Tipranavir | Capsule 250 mg 120 cap | $1800 | Yes |
100114 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 40 mcg/ml 1.6 ml | $1800 | Yes |
7732 | Bavencio | Avelumab | Vial 20 mg/ml 1 Vial | $1800 | No |
101495 | Benefix | Coagulation Factor IX (Recombinant) | Vial Kit 1000 IU 1000 IU | $1800 | Yes |
100163 | Bivigam | Immune Globulin | Vial 10/100 g/ml 100 ml | $1800 | Yes |
101557 | Byooviz | Ranibizumab-Nuna | Vial 0.5/0.05 mg/ml 0.05 ml | $1800 | Yes |
100204 | Cinacalcet | Cinacalcet | Tablet 90 mg 30 Tab | $1800 | No |
100234 | Cutaquig | Immune Globulin Subcutaneous (Human) - hipp | Vial 8/48 g/ml 48 ml | $1800 | No |
100235 | Cutaquig | Immune Globulin Subcutaneous (Human) - hipp | Vial 8/48 g/ml 48 ml | $1800 | No |
101666 | Cyramza | Ramucirumab | Vial 100/10 mg/ml 10 ml | $1800 | Yes |
100269 | Deferasirox | Deferasirox | Sachet 180 mg 30 Sachet | $1800 | No |
100272 | Deferasirox | Deferasirox | Tablet 180 mg 30 Tab | $1800 | No |
100336 | Endari | GLUTAMINE | Sachet 5 g 60 Sachet | $1800 | No |
7237 | Exjade | Deferasirox | Tablet 500 mg 28 tab | $1800 | No |
11530 | Faslodex | Fulvestrant | Pre-Filled Syringe 250/5 mg/ml 10 ml | $1800 | Yes |
11562 | Forteo | Teriparatide | Autoinjector 250 mcg/ml 2.4 ml | $1800 | Yes |
101954 | Gammaked | Immune Globulin (Human) | Vial 10/100 g/ml 100 ml | $1800 | No |
100443 | Gamunex-C | Immune Globulin (Human) | Vial 10/100 g/ml 100 ml | $1800 | Yes |
100499 | Halaven | Eribulin Mesylate | Vial 1/2 mg/ml 2 ml | $1800 | No |
102047 | Hizentra | Immune Globulin (Human) | Vial 10/50 g/ml 50 ml | $1800 | No |
100516 | Humate-P | Antihemophilic Factor/VWF | Vial Kit 1000 IU 1000 IU | $1800 | No |
6733 | Invega Trinza | Paliperidone | Pre-Filled Syringe 175/0.875 mg/ml 1 PFS | $1800 | No |
102188 | Ixempra | Ixabepilone | Vial Kit 15 mg 1 Kit | $1800 | Yes |
100596 | Kanjinti | Trastuzumab-anns | Vial 150 mg 1 Vial | $1800 | Yes |
102277 | Kerendia | Finerenone | Tablet 10 mg 90 tab | $1800 | No |
102279 | Kerendia | Finerenone | Tablet 20 mg 90 tab | $1800 | No |
100653 | Leukine | SARGRAMOSTIM | Powder Vial 250 mcg 5 ml | $1800 | Yes |
102390 | Lotronex | Alosetron | Tablet 1 mg 30 tab | $1800 | No |
102400 | Lucentis | Ranibizumab | Pre-Filled Syringe 0.5/0.05 mg/ml 0.05 ml | $1800 | Yes |
102426 | Lybalvi | Olanzapine/Samidorphan | Tablet 10/10 mg/mg 30 tab | $1800 | No |
102428 | Lybalvi | Olanzapine/Samidorphan | Tablet 15/10 mg/mg 30 tab | $1800 | No |
102430 | Lybalvi | Olanzapine/Samidorphan | Tablet 20/10 mg/mg 30 tab | $1800 | No |
102432 | Lybalvi | Olanzapine/Samidorphan | Tablet 5/10 mg/mg 30 tab | $1800 | No |
102507 | Monjuvi | Tafasitamab-cxix | Vial 200 mg 1 Vial | $1800 | Yes |
102589 | Nivestym | Filgrastim-aafi | Vial 300 mcg/ml 10 ml | $1800 | Yes |
105727 | Norditropin FlexPro | Somatropin | Autoinjector 15/1.5 mg/ml 1.5 ml | $1800 | Yes |
100761 | Nplate | Romiplostim | Powder Vial 125 mcg/ml 1 Vial | $1800 | Yes |
102629 | Nucala | Mepolizumab | Pre-Filled Syringe 40/0.4 mg/ml 0.4 ml | $1800 | Yes |
102634 | Nucynta ER | Tapentadol Hcl | Tablet 250 mg 60 tab | $1800 | No |
102661 | Octagam | Immun Globg(Igg)/Malt/Iga Ov49 | Vial 10/200 g/ml 200 ml | $1800 | No |
7009 | Odefsey | Emtricitabine/Rilpivirine/Tenofovir Alafenammide | Tablet 200/25/25 mg 30 tab | $1800 | No |
100806 | Opdivo | Nivolumab | Vial 40/4 mg/ml 4 ml | $1800 | Yes |
100810 | Orencia | Abatacept | Vial 250 mg 1 ml | $1800 | Yes |
102743 | Ozurdex | Dexamethasone | Implant 0.7 mg 1 Implant | $1800 | No |
102767 | Panzyga | Immune globulin | Solution 10/100 g/ml 100 ml | $1800 | Yes |
102775 | Parsabiv | Etelcalcetide Hydrochloride | Vial 5 mg/ml 10 ml | $1800 | Yes |
16905 | Pulmozyme | Dornase Alfa | Ampule 1 mg/ml 75 ml | $1800 | Yes |
102964 | Relistor | Methylnaltrexone Bromide | Tablet 150 mg 90 tab | $1800 | No |
93252 | Rymti | Etanercept | Pre-Filled Syringe 50 mg/ml 4 ml | $1800 | Yes |
93253 | Rymti | Etanercept | Autoinjector 50 mg/ml 4 ml | $1800 | Yes |
12348 | Saizen | Somatropin | Cartridge 20 mg 1 Cartridge | $1800 | Yes |
100985 | Saxenda | Liraglutide | Autoinjector 18/3 mg/ml 15 ml | $1800 | Yes |
103115 | Sensipar | Cinacalcet Hcl | Tablet 90 mg 30 tab | $1800 | No |
12427 | Somatuline Autogel | Lanreotide | Pre-Filled Syringe 60/0.2 mg/ml 0.2 ml | $1800 | Yes |
103251 | Sympazan | Clobazam | Oral Film 10 mg 60 Film | $1800 | No |
101055 | Tadalafil | Tadalafil | Tablet 20 mg 30 Tab | $1800 | No |
103380 | Tivicay | Dolutegravir Sodium | Tablet 50 mg 30 tab | $1800 | No |
24921 | Torisel | Temsirolimus | Injection Kit 25 mg/ml 1.2 ml | $1800 | Yes |
103500 | Uroxatral | Alfuzosin Hcl | Tablet 10 mg 100 tab | $1800 | No |
27377 | Vumerity | Diroximel Fumarate | Capsule 231 mg 120 Caps | $1800 | No |
103755 | Zeposia Starter Kit | Ozanimod Hydrochloride | Capsule Kit 0.23/0.46 mg 6 Cap | $1800 | No |
7382 | Zoladex LA | Goserelin | Implant 10.8 mg 1 Implant | $1800 | No |
6240 | Zyprexa | Olanzapine | Tablet 20 mg 84 tab | $1800 | No |
99795 | Epidiolex | Cannabidiol | Oral Solution 100 mg/ml 100 ml | $1860 | No |
103527 | Velcade | Bortezomib | Powder Vial 3.5 mg 1 Vial | $1860 | No |
10944 | Zovirax | Acyclovir Vial | Injection 50 mg/ml 100 ml | $1860 | No |
11024 | Amjevita | Adalimumab | Pre-Filled Syringe 40/0.8 mg/ml 1.6 ml | $1920 | Yes |
27775 | Amjevita | Adalimumab | Autoinjector 40/0.8 mg/ml 1.6 ml | $1920 | Yes |
101400 | Aplenzin | Bupropion Hydrobromide | Tablet 348 mg 30 tab | $1920 | No |
101412 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 300/0.6 mcg/ml 0.6 ml | $1920 | Yes |
101432 | Aristada | Aripiprazole Lauroxil | Injection Kit 441/1.6 mg/ml 1.6 ml | $1920 | No |
7292 | Atripla | Efavirenz/Emtricitabine/Tenofovir | Tablet 600/200/300 mg 30 tab | $1920 | No |
100145 | Baraclude | Entecavir | Tablet 0.5 mg 30 Tab | $1920 | No |
100146 | Baraclude | Entecavir | Tablet 1 mg 30 Tab | $1920 | No |
11174 | Cabenuva | Cabotegravir/Rilpivirine | Kit 400/600 mg/mg 4 ml | $1920 | No |
101595 | Cialis | Tadalafil | Tablet 10 mg 30 tab | $1920 | No |
101597 | Cialis | Tadalafil | Tablet 20 mg 30 tab | $1920 | No |
11320 | Complera | Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate | Tablet 200/25/300 mg 30 tab | $1920 | No |
100260 | Dalfampridine ER | Dalfampridine | Tablet 10 mg 60 Tab | $1920 | No |
100293 | Doxorubicin | Doxorubicin HCL | Vial 2 mg/ml 25 ml | $1920 | Yes |
101718 | Duopa | Carbidopa/Levodopa | Suspension 4.63/20 mg/mg/ml 700 ml | $1920 | Yes |
100306 | Edurant | Rilpivirine | Tablet 25 mg 30 Tab | $1920 | No |
76368 | Enbrel | Etanercept | Pre-Filled Syringe 25/0.5 mg/ml 4 PFS | $1920 | Yes |
101797 | Entocort | Budesonide | Capsule 3 mg 100 cap | $1920 | No |
101810 | Epidiolex | Cannabidiol (Cbd) | Oral Solution 100 mg/ml 100 ml | $1920 | No |
100468 | Genotropin | Somatropin | Pre-Filled Syringe 1.4 mg 7 PFS | $1920 | Yes |
11595 | Genvoya | Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide | Tablet 150/150/200/10 mg 30 tab | $1920 | No |
18694 | Hulio | Adalimumab | Autoinjector 40/0.8 mg/ml 2 Autoinjector | $1920 | Yes |
18696 | Hulio | Adalimumab | Pre-Filled Syringe 40/0.8 mg/ml 2 PFS | $1920 | Yes |
11640 | Humatrope | Somatropin | Cartridge 24 mg 1 Cartridge | $1920 | Yes |
100560 | Injectafer | Ferric Carboxymaltose | Vial 750/15 mg/ml 15 ml | $1920 | No |
100564 | Intelence | Etravirine | Tablet 100 mg 120 Tab | $1920 | No |
100565 | Intelence | Etravirine | Tablet 200 mg 60 Tab | $1920 | No |
102166 | Invega Sustenna | Paliperidone Palmitate | Pre-Filled Syringe 156 mg/ml 1 ml | $1920 | No |
100584 | Jadenu | Deferasirox | Tablet 90 mg 30 Tab | $1920 | No |
102306 | Kovaltry | Antihemophilic Factor Viii (Recombinant) | Vial Kit 1000 IU 1000 IU | $1920 | Yes |
102586 | Nivestym | Filgrastim-aafi | Pre-Filled Syringe 300/0.5 mcg/ml 5 ml | $1920 | Yes |
7113 | Otezla | Apremilast | Tablet 30 mg 56 tab | $1920 | No |
102793 | Pertzye | Pancrelipase | Capsule 24000 USP 200 cap | $1920 | No |
102963 | Releuko | Filgrastim-ayow | Vial 480/1.6 mcg/ml 16 ml | $1920 | Yes |
100953 | Reyataz | Atazanavir Sulfate | Capsule 150 mg 60 Cap | $1920 | No |
100954 | Reyataz | Atazanavir Sulfate | Capsule 200 mg 60 Cap | $1920 | No |
100955 | Reyataz | Atazanavir Sulfate | Capsule 300 mg 30 Cap | $1920 | No |
103044 | Rixubis | Factor Ix Human Recombinant | Vial Kit 1000 IU 1000 IU | $1920 | No |
101049 | Synvisc | Hylan G-F 20 | Pre-Filled Syringe 16/2 mg/ml 6 ml | $1920 | No |
101050 | Synvisc | Hylan G-F 20 | Pre-Filled Syringe 48/6 mg/ml 6 ml | $1920 | No |
9510 | Tarceva | Erlotinib | Tablet 150 mg 30 tab | $1920 | No |
101169 | Vemlidy | Tenofovir Alafenamide | Tablet 25 mg 30 Tab | $1920 | No |
103567 | Viltepso | Viltolarsen | Vial 250/5 mg/ml 5 ml | $1920 | Yes |
103568 | Vimizim | Elosulfase Alfa | Vial 5/5 mg/ml 5 ml | $1920 | Yes |
103595 | Vpriv | Velaglucerase Alfa | Powder Vial 400 units 1 Vial | $1920 | Yes |
103670 | Xenpozyme | Olipudase Alfa-rpcp | Powder Vial 4 mg 1 Vial | $1920 | Yes |
101215 | Xolair | Omalizumab | Pre-Filled Syringe 150 mg/ml 1 ml | $1920 | Yes |
101217 | Xolair | Omalizumab | Powder Vial 150 mg 1 Vial | $1920 | Yes |
6738 | Biktarvy | Bictagravir/Emtricitabine/Tenofovir | Tablet 50/200/25 mg 30 tab | $1950 | No |
101544 | Brixadi | Buprenorphine | Pre-Filled Syringe 128 mg 0.36 ml | $1980 | No |
101548 | Brixadi | Buprenorphine | Pre-Filled Syringe 64 mg 0.18 ml | $1980 | No |
101550 | Brixadi | Buprenorphine | Pre-Filled Syringe 96 mg 0.27 ml | $1980 | No |
100489 | Granix | tbo-Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 2.5 ml | $1980 | Yes |
100671 | Lupaneta | Leuprolide Acetate/Norethindrone acetate | Kit 3.75/5 mg 1 Kit | $1980 | No |
100706 | Monovisc | Sodium Hyaluronate | Pre-Filled Syringe 88/4 mg/ml 4 ml | $1980 | No |
100725 | Myfortic | Mycophenolate Sodium | Tablet 360 mg 120 Tab | $1980 | No |
102962 | Releuko | Filgrastim-ayow | Vial 300 mcg/ml 10 ml | $1980 | Yes |
10932 | Abiraterone | Abiraterone | Tablet 250 mg 60 tab | $2040 | No |
101325 | Adynovate | Antihemophilic Factor (Recombinant) | Vial Kit 750 IU 750 IU | $2040 | Yes |
100089 | Amjevita | Adalimumab-atto | Autoinjector 40/0.8 mg/ml 1 Auto-Injector | $2040 | Yes |
100130 | Auryxia | Ferric Citrate | Tablet 210 mg 200 Tab | $2040 | No |
7758 | Beovu | Brolucizumab | Pre-Filled Syringe 6/0.05 mg/ml 1 PFS | $2040 | No |
115019 | Caplyta | Lumateperone | Capsule 10.5 mg 30 cap | $2040 | No |
105435 | Caplyta | Lumateperone | Capsule 42 mg 30 cap | $2040 | No |
101571 | Caplyta | Lumateperone | Capsule 21 mg 30 cap | $2040 | No |
101633 | Cosela | Trilaciclib | Vial 300 mg 1 Vial | $2040 | No |
101669 | Dalvance | Dalbavancin Hcl | Vial 500 mg 1 Vial | $2040 | No |
100267 | Decitabine | Decitabine | Solution 50 mg 1 Vial | $2040 | No |
101688 | Descovy | Emtricitabine/Tenofovir Alafenamide | Tablet 120/15 mg/mg 30 tab | $2040 | No |
100367 | Erbitux | Cetuximab | Vial 200/100 mg/ml 100 ml | $2040 | Yes |
100385 | Exjade | Deferasirox | Tablet 125 mg 30 Tab | $2040 | No |
101868 | Eylea | Aflibercept | Pre-Filled Syringe 2/0.05 mg/ml 0.05 ml | $2040 | Yes |
101869 | Eylea | Aflibercept | Vial Kit 2/0.05 mg/ml 0.05 ml | $2040 | Yes |
11526 | Eylea | Aflibercept | Vial 2/0.05 mg/ml 0.05 ml | $2040 | Yes |
100404 | Firmagon | Degarelix | Vial Kit 120 mg 2 ml | $2040 | No |
101930 | Fragmin | Dalteparin Sodium | Pre-Filled Syringe 18000/0.72 iu/ml 7.2 ml | $2040 | No |
102085 | Hyqvia | Immune Globulin (Human) | Vial 10/100 g/ml 100 ml | $2040 | Yes |
102097 | Ibsrela | Tenapanor | Tablet 50 mg 60 tab | $2040 | No |
100570 | Intron | INTERFERON ALFA-2B,RECOMB. | Vial 50000000 IU 5 ml | $2040 | Yes |
8373 | Jadenu | Deferasirox | Tablet 360 mg 30 tab | $2040 | No |
5607 | Lupron | Leuprolide | Injection Kit 30 mg 1 Kit | $2040 | No |
7037 | Orencia | Abatacept | Pre-Filled Syringe 125/1 mg/1ml 4 PFS | $2040 | Yes |
103031 | RiaSTAP | Fibrinogen, Concentrate From Human Plasma | Vial 935 mg 1 Vial | $2040 | Yes |
103153 | Sogroya | Somapacitan-beco | Autoinjector 10/1.5 mg/ml 1.5 ml | $2040 | Yes |
27025 | Stribild | Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil Fumarate | Tablet 150/150/200/245 mg 30 tab | $2040 | No |
101092 | Temozolomide | Temozolomide | Capsule 180 mg 5 Cap | $2040 | No |
103390 | Torisel | Temsirolimus | Injection Kit 25 mg/ml 1 Kit | $2040 | Yes |
12544 | Treanda | Bendamustine | Powder Vial 100 mg/ml 1 Vial | $2040 | No |
7310 | Trelstar LA | Triptorelin | Injection Kit 11.25 mg 1 Kit | $2040 | Yes |
7387 | Valcyte | Valganciclovir | Tablet 450 mg 60 tab | $2040 | No |
7122 | Xeljanz | Tofacitinib | Tablet 5 mg 60 tab | $2040 | No |
103660 | Xembify | Immune Globulin, Human-klhw 20% | Vial 10/50 g/ml 50 ml | $2040 | Yes |
103778 | Zoladex | Goserelin Acetate | Implant 10.8 mg 1 Implant | $2040 | No |
101290 | Adbry | Tralokinumab | Pre-Filled Syringe 150 mg/ml 2 ml | $2100 | Yes |
101388 | Amonyds-45 | Casimersen | Vial 100/2 mg/m 2 ml | $2100 | Yes |
100425 | Gammagard | Immune Globulin (Human) | Vial 10/100 g/ml 100 ml | $2100 | Yes |
100508 | Herceptin | Trastuzumab | Powder Vial 150 mg 1 Vial | $2100 | Yes |
51757 | Kevzara | Sarilumab | Autoinjector 150/1.14 mg/ml 2 Autoinjector | $2100 | Yes |
51760 | Kevzara | Sarilumab | Autoinjector 200/1.14 mg/ml 2 Autoinjector | $2100 | Yes |
51761 | Kevzara | Sarilumab | Pre-Filled Syringe 200/1.14 mg/ml 2 PFS | $2100 | Yes |
102698 | Opzelura | Ruxolitinib Phosphate | Cream Tube 0.015 % 60 g | $2100 | No |
102805 | Pifeltro | Doravirine | Tablet 100 mg 30 tab | $2100 | No |
100935 | Renvela | Sevelamer Carbonate | Tablet 800 mg 270 Tab | $2100 | No |
7380 | Rinvoq ER | Upadacitinib | Tablet 15 mg 30 tab | $2100 | No |
101140 | Trizivir | Abacavir/Lamivudine/Zidovudine | Tablet 300/150/300 mg 60 Tab | $2100 | No |
101364 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 500 IU 500 IU | $2160 | Yes |
101394 | Annovera | Segesterone Acetate/Ethinyl Estradiol | Vaginal Ring 0.15/0.013 mg/mg 1 Ring | $2160 | No |
100104 | Aranesp | Darbepoetin Alfa | Vial 200 mcg/ml 1 ml | $2160 | Yes |
100111 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 200/0.4 mcg/ml 0.4 ml | $2160 | Yes |
55836 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 150 mcg 1.2 ml | $2160 | Yes |
55841 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 500 mcg 1 ml | $2160 | Yes |
100117 | Arimidex | Anastrozole | Tablet 1 mg 30 Tab | $2160 | No |
101494 | Bendeka | Bendamustine Hcl | Vial 100/4 mg/ml 4 ml | $2160 | Yes |
100148 | Benefix | Coagulation Factor IX (Recombinant) | Vial Kit 1000 IU 1000 IU | $2160 | No |
101590 | Cerezyme | Imiglucerase | Powder Vial 400 Unit 1 Vial | $2160 | Yes |
100240 | Cuvitru | Immune Globulin | Vial 8/40 g/ml 40 ml | $2160 | No |
100294 | Droxidopa | Droxidopa | Capsule 100 mg 90 Cap | $2160 | No |
101737 | Edecrin | Ethacrynic Acid | Tablet 25 mg 100 tab | $2160 | No |
101769 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 750 IU 750 IU | $2160 | No |
101780 | Emgality | Galcanezumab-Gnlm | Pre-Filled Syringe 100 mg/ml 3 ml | $2160 | Yes |
100360 | Epogen | Epoetin Alfa | Vial 10000 iu/ml 10 ml | $2160 | Yes |
100372 | Erlotinib HCl | Erlotinib HCl | Tablet 25 mg 30 Tab | $2160 | No |
100383 | Evotaz | Atazanavir/Cobicistat | Tablet 300/150 mg 30 Tab | $2160 | No |
101865 | Exondys 51 | Eteplirsen | Vial 100/2 mg/ml 2 ml | $2160 | Yes |
101917 | Follistim AQ | Follitropin Beta | Vial 900/1.08 IU/ml 1.08 ml | $2160 | Yes |
101933 | Fulphila | Pegfilgrastim-jmdb | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $2160 | Yes |
100469 | Genotropin | Somatropin | Pre-Filled Syringe 1.6 mg 7 PFS | $2160 | Yes |
101988 | Gilenya | Fingolimod | Capsule 0.5 mg 7 cap | $2160 | No |
11603 | Glatect | Glatiramer Acetate | Pre-Filled Syringe 20 mg/ml 30 ml | $2160 | Yes |
102018 | Granix | tbo-Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 4 ml | $2160 | Yes |
11723 | Kanjinti | Trastuzumab | Vial 420 mg 1 Vial | $2160 | No |
7792 | Kyprolis | Carfilzomib | Vial 60 mg 1 Vial | $2160 | No |
102624 | Nplate | Romiplostim | Powder Vial 250 mcg 1 Vial | $2160 | Yes |
100772 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 1000 IU 1000 IU | $2160 | Yes |
12115 | Ogivri | Trastuzumab | Powder For Solution 420 mg/Vial 1 Vial | $2160 | No |
7166 | Olumiant | Baricitinib | Tablet 2 mg 30 tab | $2160 | No |
100834 | Paclitaxel | Paclitaxel | Vial 100 mg 1 ml | $2160 | No |
102843 | Prezcobix | Darunavir/Cobicistat | Tablet 800/150 mg/mg 30 tab | $2160 | No |
100885 | Privigen | Immun Glob G(Igg)-Pro-Iga 0-50 | Vial 10/100 g/ml 100 ml | $2160 | No |
100890 | Procrit | Epoetin Alfa | Vial 10000 iu/ml 6 ml | $2160 | Yes |
20148 | Promacta | Eltrombopag | Tablet 25 mg 28 Tabs | $2160 | No |
102983 | Restoril | Temazepam | Capsule 15 mg 100 cap | $2160 | No |
102990 | Retacrit | Epoetin Alfa-epbx | Vial 20,000 Units/ml 10 ml | $2160 | Yes |
12360 | Sandostatin LAR | Octreotide | Injection Kit 10 mg 1 Vial | $2160 | Yes |
100991 | Sensipar | Cinacalcet Hcl | Tablet 60 mg 30 Tab | $2160 | No |
8074 | Tarceva | Erlotinib | Tablet 100 mg 30 tab | $2160 | No |
103327 | Tecvayli | Teclistamab-cqyv | Vial 30/3 mg/ml 3 ml | $2160 | Yes |
12543 | Trazimera | Trastuzumab | Powder Vial 440 mg 1 Vial | $2160 | No |
101165 | Velcade | Bortezomib | Powder Vial 3.5 mg 1 Vial | $2160 | No |
114101 | Velsipity | Etrasimod | Tablet 2 mg 30 tab | $2160 | No |
101178 | Vivitrol | Naltrexone | Kit 380 mg 1 Kit | $2160 | Yes |
103602 | Vyepti | Eptinezumab-jjmr | Vial 100 mg/ml 1 ml | $2160 | Yes |
103605 | Vyondys 53 | Golodirsen | IV Solution 100/2 mg/ml 2 ml | $2160 | Yes |
7495 | Xeljanz XR | Tofacitinib | Tablet 11 mg 30 tab | $2160 | No |
101226 | Zaltrap | ziv-Aflibercept | Vial 100/4 mg/ml 4 ml | $2160 | Yes |
101237 | Zenpep | Pancrelipase | Capsule 40000-126000 IU 100 Cap | $2160 | No |
101238 | Zenpep | Pancrelipase | Capsule 40000-126000 IU 100 Cap | $2160 | No |
103774 | Zirabev | Bevacizumab-bvzr | Vial 400/16 mg/ml 16 ml | $2160 | Yes |
100018 | Abraxane | Paclitaxel | Powder Vial 100 mg 1 Vial | $2220 | No |
100070 | Alphanate | Antihemophilic Factor/Vwf | Vial Kit 1500 IU 1500 IU | $2220 | No |
100193 | Cellcept | Mycophenolate | Tablet 500 mg 100 Tab | $2220 | No |
6504 | Copaxone | Glatiramer Acetate | Pre-Filled Syringe 20 mg/ml 30 PFS | $2220 | Yes |
102398 | Lucemyra | Lofexidine Hcl | Tablet 0.18 mg 96 tab | $2220 | No |
102826 | Pombiliti | Cipaglucosidase Alfa-atga | Powder Vial 105 mg 1 Vial | $2220 | Yes |
102985 | Restoril | Temazepam | Capsule 30 mg 100 cap | $2220 | No |
101207 | Xembify | Immune Globulin, Human-klhw 20% | Vial 10/50 g/ml 50 ml | $2220 | Yes |
100622 | Kyprolis | Carfilzomib | Powder Vial 30 mg 1 Vial | $2250 | Yes |
100040 | Advate | Antihemophilic Factor (Recombinant) | Vial 1000IU (801-1200) IU 1000 IU | $2280 | No |
101492 | Bavencio | Avelumab | IV Solution 200/10 mg/ml 10 ml | $2280 | Yes |
101493 | Beleodaq | Belinostat | Powder Vial 500 mg 1 Vial | $2280 | No |
101504 | Beovu | Brolucizumab | Pre-Filled Syringe 6/0.05 mg/ml 0.05 ml | $2280 | Yes |
101505 | Beovu | Brolucizumab | Vial 6/0.05 mg/ml 0.05 ml | $2280 | Yes |
100308 | Efavirenz-Emtricitab-Tenofo | Efavirenz-Emtricitab-Tenofo | Tablet 600/200/300 mg 30 Tab | $2280 | No |
100316 | Emcyt | Estramustine Phosphate Sodium | Capsule 140 mg 100 Cap | $2280 | Yes |
100613 | Kogenate FS | Antihemophilic Factor Viii (Recombinant) | Vial Kit 1000 IU 1000 IU | $2280 | No |
106446 | Litfulo | Ritlecitinib | Capsule 50 mg 28 cap | $2280 | No |
100672 | Lupron Depot | Leuprolide Acetate | Injection Kit 3.75 mg 1 Kit | $2280 | No |
102474 | Mayzent | Siponimod | Tablet 0.25 mg 28 tab | $2280 | Yes |
102578 | Nexviazyme | Avalglucosidase Alfa-ngpt | Vial 100 mg 1 Vial | $2280 | Yes |
106878 | Ngenla | Somatrogon | Autoinjector 60/1.2 mg/ml 1.2 ml | $2280 | Yes |
12136 | Omnitrope | Somatropin | Cartridge 10/1.5 mg/ml 7.5 ml | $2280 | Yes |
100859 | Pifeltro | Doravirine | Tablet 100 mg 30 Tab | $2280 | No |
12312 | Rebif | Interferon Beta-1a | Cartridge 22 mcg 12 Cartridge | $2280 | Yes |
17646 | Symtuza | Darunavir/Cobicistat/Emtricitabine/Tenofovir | Tablet 800/150/200/10 mg 30 tab | $2280 | No |
103289 | Taclonex | Calcipotriene/Betamethasone | Topical Suspension 0.005/0.05 %/% 120 g | $2280 | No |
103408 | Trelstar LA | Triptorelin Pamoate | Injection 11.25 mg 1 Kit | $2280 | No |
101150 | Uceris | Budesonide | Tablet 9 mg(24 Hours) 30 Tab | $2280 | No |
103519 | Vasculera | Diosmiplex | Tablet 630 mg 30 tab | $2280 | No |
101163 | Vectibix | Panitumumab | Vial 100/5 mg/ml 5 ml | $2280 | Yes |
12621 | Vfend | Voriconazole | Tablet 200 mg 30 tab | $2280 | No |
103555 | Viagra | Sildenafil Citrate | Tablet 100 mg 30 tab | $2280 | No |
103556 | Viagra | Sildenafil Citrate | Tablet 25 mg 30 tab | $2280 | No |
103557 | Viagra | Sildenafil Citrate | Tablet 50 mg 30 tab | $2280 | No |
103569 | Vimovo | Naproxen/Esomeprazole Magnesium | Tablet 500/20 mg/mg 60 tab | $2280 | No |
103623 | Wellbutrin XL | Bupropion Hcl | Tablet 300 mg 30 tab | $2280 | No |
103789 | Zortress | Everolimus | Tablet 1 mg 60 tab | $2280 | No |
12688 | Zyvox | Linezolid | Tablet 600 mg 20 tab | $2280 | No |
102191 | Ixinity | Factor IX, Recombinant Human | Injection Kit 1000 IU 1000 IU | $2340 | No |
8276 | Actemra | Tocilizumab | Autoinjector 162/0.9 mg/ml 3.6 ml | $2400 | Yes |
8278 | Actemra | Tocilizumab | Pre-Filled Syringe 162/0.9 mg/ml 3.6 ml | $2400 | Yes |
9311 | Afinitor | Everolimus | Tablet 10 mg 30 tab | $2400 | No |
101337 | Afrezza | insulin human | Inhalation Powder 8-12 Units 180 Cartridge | $2400 | Yes |
101339 | Afstyla | Antihemophilic Factor (Recombinant), Single Chain | Vial Kit 1500 IU 1 IU | $2400 | Yes |
101458 | Atripla | Efavirenz/Emtricitabine/Tenofovir | Tablet 600/200/300 mg 30 tab | $2400 | No |
101539 | Briviact | Brivaracetam | Tablet 100 mg 100 tab | $2400 | No |
101541 | Briviact | Brivaracetam | Tablet 25 mg 100 tab | $2400 | No |
101542 | Briviact | Brivaracetam | Tablet 50 mg 100 tab | $2400 | No |
7133 | Cimzia | Certolizumab Pegol | Autoinjector 200 mg/ml 2 Autoinjector | $2400 | Yes |
7134 | Cimzia | Certolizumab Pegol | Pre-Filled Syringe 200 mg/ml 2 PFS | $2400 | Yes |
101636 | Cosentyx | Secukinumab | Pre-Filled Syringe 75/0.5 mg/ml 0.5 ml | $2400 | Yes |
100276 | Deferasirox | Deferasirox | Tablet 500 mg 30 Tab | $2400 | No |
100298 | Dupixent | Dupilumab | Autoinjector 200/1.14 mg/ml 1.14 ml | $2400 | Yes |
100300 | Dupixent | Dupilumab | Autoinjector 300/2 mg/ml 2 ml | $2400 | Yes |
8087 | Enbrel | Etanercept | Pre-Filled Syringe 50 mg/ml 4 PFS | $2400 | Yes |
90004 | Enbrel Mini | Etanercept | Cartridge 50 mg/ml 4 ml | $2400 | Yes |
89998 | Enbrel Sureclick | Etanercept | Autoinjector 50 mg/ml 4 ml | $2400 | Yes |
8089 | Enbrel Sureclick Pen | Etanercept | Autoinjector 50 mg/ml 4 PFP | $2400 | Yes |
11519 | Extavia | Interferon Beta-1b | Vial 0.3 mg 15 Vial | $2400 | No |
101874 | Fanapt | Iloperidone | Tablet 12 mg 60 tab | $2400 | No |
7894 | Fulphila | Pegfilgrastim | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $2400 | No |
100433 | Gammaked | Immune Globulin (Human) | Vial 10/100 g/ml 100 ml | $2400 | Yes |
100436 | Gammaplex | Immune Globulin (Human) | Vial 10/100 g/ml 100 ml | $2400 | No |
100437 | Gammaplex | Immune Globulin (Human) | Vial 10/200 g/ml 200 ml | $2400 | No |
101960 | Gamunex-C | Immune Globulin (Human) | Vial 20/200 g/ml 200 ml | $2400 | Yes |
100470 | Genotropin | Somatropin | Cartridge 12 mg 1 Cartridge | $2400 | Yes |
102009 | Gonal F RFF Rediject | Follitropin Alfa | Injection Kit 900/1.5 IU/ml 1.5 ml | $2400 | Yes |
11637 | Herzuma | Trastuzumab | Vial 440 mg 1 Vial | $2400 | Yes |
7675 | Ibavyr | Ribavirin | Tablet 200 mg 100 tab | $2400 | No |
6734 | Invega Trinza | Paliperidone | Pre-Filled Syringe 263/1.315 mg/ml 1 PFS | $2400 | No |
6735 | Invega Trinza | Paliperidone | Pre-Filled Syringe 350/1.75 mg/ml 1 PFS | $2400 | No |
17289 | Lenvima | Lenvatinib | Capsule 4 mg 30 cap | $2400 | No |
11810 | Lucentis | Ranibizumab | Pre-Filled Syringe 10 mg/ml 0.05 ml | $2400 | No |
11811 | Lucentis | Ranibizumab | Vial 10 mg/ml 0.23 ml | $2400 | Yes |
8342 | Mvasi | Bevacizumab | Vial 25 mg/ml 16 ml | $2400 | Yes |
102576 | Nexobrid | Anacaulase-bcdb | Topical Gel 8.8 % 55 g | $2400 | Yes |
100751 | Norditropin | Somatropin | Autoinjector 10/1.5 mg/ml 1.5 ml | $2400 | Yes |
102603 | Novoeight | Antihemophilic Factor Viii (Recombinant) | Injection Kit 1000 IU 1000 IU | $2400 | No |
102619 | Novoseven RT with MixPro | Coagulation Factor Viia (Recombinant) | Powder Vial 1 mg 1000 mcg | $2400 | No |
12110 | Nyvepria | Pegfilgrastim | Pre-Filled Syringe 6 mg/0.6ml 0.6 ml | $2400 | Yes |
100783 | Octagam | Immun Globg(Igg)/Malt/Iga Ov47 | Vial 10/100 g/ml 100 ml | $2400 | No |
100784 | Octagam | Immun Globg(Igg)/Malt/Iga Ov48 | Vial 10/200 g/ml 200 ml | $2400 | No |
111506 | Ofev | Nintedanib Esylate | Capsule 100 mg 60 cap | $2400 | No |
9284 | Ofev | Nintedanib | Capsule 100 mg 60 Caps | $2400 | No |
110396 | Otezla | Apremilast | Tablet 30 mg 60 tab | $2400 | No |
100842 | Panzyga | Immune Globulin | Vial 10/100 g/ml 100 ml | $2400 | No |
25014 | Pheburane | Sodium Phenylbutyrate | Granule 483 mg/g 174 g | $2400 | No |
100902 | Prolia | Denosumab | Pre-Filled Syringe 60 mg/ml 1 ml | $2400 | Yes |
5566 | Promacta | Eltrombopag | Tablet 25 mg 28 tab | $2400 | No |
102941 | Rayos | Prednisone | Tablet 1 mg 30 tab | $2400 | No |
102942 | Rayos | Prednisone | Tablet 2 mg 30 tab | $2400 | No |
102943 | Rayos | Prednisone | Tablet 5 mg 30 tab | $2400 | No |
102958 | Recombinate | Factor VIII, Recombinant Human | Injection Kit 1000 IU 1000 IU | $2400 | No |
102961 | Releuko | Filgrastim-ayow | Pre-Filled Syringe 480/0.8 mcg/ml 8 ml | $2400 | Yes |
100944 | Retacrit | Epoetin Alfa-epbx | Vial 40000 iu/ml 4 ml | $2400 | Yes |
103026 | Rhogam Ultra-Filtered Plus | Rho D Immune Globulin | Pre-Filled Syringe 1500 IU 25 PFS | $2400 | Yes |
12319 | Riabni | Rituximab | Vial 500/50 mg/ml 50 ml | $2400 | No |
7125 | Riximyo | Rituximab | Injection 500 mg/50ml 50 ml | $2400 | Yes |
8263 | Ruxience | Rituximab | Vial 500/50 mg/ml 50 ml | $2400 | No |
100988 | Selzentry | Maraviroc | Tablet 150 mg 60 Tab | $2400 | No |
100989 | Selzentry | Maraviroc | Tablet 300 mg 60 Tab | $2400 | No |
101000 | Simponi | Golimumab | Vial 50/4 mg/ml 4 ml | $2400 | Yes |
101008 | Sirolimus | Sirolimus | Tablet 2 mg 100 Tab | $2400 | No |
103146 | Skytrofa | Lonapegsomatropin-tcgd | Cartridge 3 mg 4 Cartridge | $2400 | Yes |
12428 | Somatuline Autogel | Lanreotide | Pre-Filled Syringe 90/0.3 mg/ml 0.3 ml | $2400 | Yes |
103258 | Synarel | Nafarelin Acetate | Nasal Spray 2 mg/ml 8 ml | $2400 | No |
103310 | Tarceva | Erlotinib Hcl | Tablet 25 mg 30 tab | $2400 | No |
103359 | Thrombate III | Antithrombin III | Powder Vial 500 units 500 Vial | $2400 | No |
101142 | Truvada | Emtricitabine/Tenofovir (Tdf) | Tablet 200/300 mg 30 Tab | $2400 | No |
7127 | Truxima | Rituximab | Injection 500 mg/50ml 50 ml | $2400 | Yes |
103506 | Valstar | Valrubicin | Vial 200/5 mg/ml 5 ml | $2400 | Yes |
13033 | Venclexta Starting Pack | Venetoclax | Tablet 10-50-100 mg 28 Tab | $2400 | No |
8855 | Viread | Tenofovir Disoproxil Fumarate | Tablet 300 mg 90 tab | $2400 | No |
103729 | Zarxio | Filgrastim-sndz | Pre-Filled Syringe 300/0.5 mcg/ml 5 ml | $2400 | Yes |
103731 | Zarxio | Filgrastim-sndz | Pre-Filled Syringe 480/0.8 mcg/ml 8 ml | $2400 | Yes |
7898 | Ziextenzo | Pegfilgrastim | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $2400 | No |
8347 | Zirabev | Bevacizumab | Vial 400/16 mg/ml 16 ml | $2400 | Yes |
103784 | Zonegran | Zonisamide | Capsule 25 mg 100 cap | $2400 | No |
101255 | Zortress | Everolimus | Tablet 0.75 mg 60 Tab | $2400 | No |
101503 | Benlysta | Belimumab | Vial 400/20 mg/ml 1 Vial | $2460 | Yes |
100222 | Creon | Pancrelipase | Capsule 24000-76000 IU 250 Cap | $2460 | No |
100573 | Isentress | Raltegravir Potassium | Tablet 600 mg 60 Tab | $2460 | No |
100574 | Isentress | Raltegravir Potassium | Tablet 400 mg 60 Tab | $2460 | No |
100580 | Ixempra | Ixabepilone | Vial Kit 15 mg 1 ml | $2460 | Yes |
100617 | Kovaltry | Antihemophilic Factor Viii (Recombinant) | Vial Kit 1000 IU 1000 IU | $2460 | No |
7305 | Trelstar LA | Triptorelin | Injection Kit 22.5 mg (6 Month) 1 Kit | $2460 | Yes |
101416 | Aranesp | Darbepoetin Alfa | Vial 100 mcg/ml 4 ml | $2520 | Yes |
100116 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 60/0.3 mcg/ml 1.2 ml | $2520 | Yes |
11140 | Betaseron | Interferon Beta-1b | Pre-Filled Syringe 0.3 mg 15 ml | $2520 | No |
101513 | Bicnu | Carmustine | Vial Kit 100 mg 1 Kit | $2520 | Yes |
100237 | Cuvitru | Immune Globulin | Vial 10/50 g/ml 50 ml | $2520 | No |
76624 | Doptelet | Avatrombopag | Tablet 20 mg 15 tab | $2520 | No |
101725 | Durysta | Bimatoprost | Implant 10 mcg 1 Implant | $2520 | Yes |
101753 | Eligard | Leuprolide Acetate | Injection Kit 45 mg 1 Kit | $2520 | Yes |
100319 | Emgality | Galcanezumab-Gnlm | Pre-Filled Syringe 100 mg/ml 1 ml | $2520 | Yes |
101805 | Envarsus XR | Tacrolimus | Tablet 4 mg 100 tab | $2520 | No |
101885 | Faslodex | Fulvestrant | Pre-Filled Syringe 250/5 mg/ml 10 ml | $2520 | Yes |
101886 | Feiba NF | Prothrombin Complex Concentrate, Activated, From Human Plasma | Injection Kit 1000 IU 1000 IU | $2520 | No |
100519 | Humatrope | Somatropin | Cartridge 12 mg 1 Cartridge | $2520 | Yes |
102685 | Onivyde | Irinotecan Liposomal | Vial 43/10 mg/ml 10 ml | $2520 | Yes |
102790 | Perseris | Risperidone | Pre-Filled Syringe 90 mg 1 PFS | $2520 | Yes |
103023 | Rezzayo | Rezafungin | Powder Vial 200 mg 1 Vial | $2520 | No |
101059 | Tadliq | Tadalafil | Oral Suspension 20/5 mg/ml 150 ml | $2520 | No |
103645 | Xcopri Maintenance Pack | Cenobamate | Tablet 150/200 mg 56 tab | $2520 | No |
103652 | Xdemvy | Lotilaner | Ophthalmic Solution 0.25 % 10 ml | $2520 | No |
12561 | Tykerb | Lapatinib | Tablet 250 mg 70 tab | $2544 | No |
101831 | Esperoct | Antihemophilic Factor (Recombinant) | Vial Kit 1000 IU 1000 IU | $2580 | No |
100395 | Faslodex | Fulvestrant | Pre-Filled Syringe 50 mg/ml 10 ml | $2580 | Yes |
102952 | Rebinyn | Coagulation Factor Ix (Recombinant), Glycopegylated | Vial 500 IU 500 IU | $2580 | No |
11480 | Emgality | Galcanezumab-Gnlm | Pre-Filled Syringe 100 mg/ml 3 ml | $2592 | Yes |
105053 | Abilify Maintena | Aripiprazole | Injection Kit 400 mg 1 Kit | $2640 | No |
114755 | Adbry | Tralokinumab | Autoinjector 300/2 mg/ml 4 ml | $2640 | Yes |
100034 | Adbry | Tralokinumab | Pre-Filled Syringe 150 mg/ml 2 ml | $2640 | Yes |
101358 | Alphanate | Antihemophilic Factor/Vwf | Vial Kit 2000 IU 2000 IU | $2640 | No |
100107 | Aranesp | Darbepoetin Alfa | Vial 60 mcg/ml 4 ml | $2640 | Yes |
101430 | Aristada Initio | Aripiprazole Lauroxil | Injection Kit 675/2.4 mg/ml 2.4 ml | $2640 | No |
41136 | Aubagio | Teriflunomide | Tablet 14 mg 28 tab | $2640 | No |
101843 | Evenity | Romosozumab-aqqg | Pre-Filled Syringe 105/1.17 mg/ml 2.34 ml | $2640 | Yes |
101862 | Exjade | Deferasirox | Tablet 250 mg 30 tab | $2640 | No |
100419 | Fulphila | Pegfilgrastim-jmdb | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $2640 | Yes |
100420 | Fulphila | Pegfilgrastim-jmdb | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $2640 | Yes |
100430 | Gammagard | Immune Globulin (Human) | Solution 10 g 1 Kit | $2640 | Yes |
100510 | Hizentra | Immune Globulin (Human) | Vial 10/50 g/ml 50 ml | $2640 | No |
6442 | Humira | Adalimumab | Pre-Filled Syringe 40/0.8 mg/ml 2 PFS | $2640 | Yes |
7131 | Humira | Adalimumab | Autoinjector 40/0.8 mg/ml 2 Autoinjector | $2640 | Yes |
100539 | Hyqvia | Immune Globulin (Human) | Vial 10/100 g/ml 105 ml | $2640 | Yes |
102359 | Intelence | Etravirine | Tablet 200 mg 180 tab | $2640 | No |
100673 | Lupron Depot | Leuprolide Acetate | Injection Kit 7.5 mg 1 Kit | $2640 | No |
102460 | Margenza | Margetuximab-cmkb | Vial 250/10 mg/ml 10 ml | $2640 | Yes |
102526 | Mvasi | Bevacizumab-awwb | Vial 400/16 mg/ml 16 ml | $2640 | Yes |
102540 | Naglazyme | Galsulfase | Vial 5/5 mg/ml 5 ml | $2640 | Yes |
102579 | Ngenla | Somatrogon-ghla | Autoinjector 24/1.2 mg/ml 1.2 ml | $2640 | Yes |
12099 | Nucala | Mepolizumab | Vial 100 mg/ml 1 Vial | $2640 | Yes |
12097 | Nucala | Mepolizumab | Autoinjector 100 mg/ml 1 Autoinjector | $2640 | Yes |
12098 | Nucala | Mepolizumab | Pre-Filled Syringe 100 mg/ml 1 PFS | $2640 | Yes |
100910 | Rapamune | Sirolimus | Oral Solution 1 mg/ml 60 ml | $2640 | Yes |
12313 | Rebif | Interferon Beta-1a | Cartridge 44 mcg 12 Cartridge | $2640 | Yes |
103067 | Ryplazim | Plasminogen | Powder Vial 68.8 mg 1 Vial | $2640 | No |
12368 | Serostim | Somatropin | Vial 5 mg 7 ml | $2640 | Yes |
72600 | Sotyktu | Deucravacitinib | Tablet 6 mg 28 tab | $2640 | No |
12453 | Sutent | Sunitinib | Capsule 12.5 mg 28 cap | $2640 | No |
103239 | Syfovre | Pegcetacoplan | Vial 15/0.1 mg/ml 0.1 ml | $2640 | Yes |
7024 | Taltz | Ixekizumab | Pre-Filled Syringe 80 mg/ml 1 PFS | $2640 | Yes |
7025 | Taltz | Ixekizumab | Autoinjector 80 mg/ml 1 Autoinjector | $2640 | Yes |
5998 | Tecfidera | Dimethyl Fumarate | Capsule 240 mg 56 cap | $2640 | No |
101125 | Torisel | Temsirolimus | Injection Kit 25 mg/ml 1 ml | $2640 | Yes |
103474 | Tyvaso | Treprostinil | Vial 1.74/2.9 mg/ml 11.6 ml | $2640 | No |
103503 | Vabysmo | Faricimab | Vial 6/0.05 mg/ml 0.05 ml | $2640 | Yes |
101314 | Advate | Antihemophilic Factor (Recombinant) | Vial 1500 IU 1500 IU | $2700 | Yes |
102194 | Izervay | Avacincaptad Pegol | Solution Kit 2/0.1 mg/ml 0.1 ml | $2700 | Yes |
102407 | Lumoxiti | Moxetumomab Pasudotox-tdfk | Powder Vial 1 mg 1 Vial | $2700 | Yes |
102584 | Nipent | Pentostatin | Powder Vial 10 mg 1 Vial | $2700 | Yes |
8248 | Simponi | Golimumab | Autoinjector 50 mg 0.5 ml | $2700 | Yes |
8250 | Simponi | Golimumab | Pre-Filled Syringe 50 mg 0.5 ml | $2700 | Yes |
8252 | Simponi | Golimumab | Pre-Filled Syringe 100 mg 1 ml | $2700 | Yes |
8254 | Simponi | Golimumab | Autoinjector 100 mg 1 ml | $2700 | Yes |
103439 | Trodelvy | Sacituzumab Govitecan-hziy | Powder Vial 180 mg 1 Vial | $2700 | Yes |
101277 | Actemra | Tocilizumab | Vial 400/20 mg/ml 20 ml | $2760 | Yes |
100074 | Alphanate/VWF | Antihemophilic Factor/Vwf | Powder Vial 2000 IU 2000 IU | $2760 | No |
101379 | Alymsys | Bevacizumab-maly | Vial 400/16 mg/ml 16 ml | $2760 | Yes |
90118 | Avonex | Interferon Beta-1a | Autoinjector 30/0.5 mcg/ml 1 Kit | $2760 | Yes |
90234 | Avonex | Interferon Beta-1a | Pre-Filled Syringe 30/0.5 mcg/ml 1 Kit | $2760 | Yes |
101640 | Cosentyx | Secukinumab | Vial 125/5 mg/ml 5 ml | $2760 | Yes |
112919 | Ebglyss | Lebrikizumab | Pre-Filled Pen 250/2 mg/ml 2 ml | $2760 | Yes |
101762 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 1000 IU 1000 IU | $2760 | No |
101784 | Empliciti | Elotuzumab | Vial 300 mg 1 Vial | $2760 | Yes |
101793 | Enjaymo | Sutimlimab-jome | Vial 1100/22 mg/ml 22 ml | $2760 | Yes |
101802 | Entyvio | Vedolizumab | Autoinjector 108/0.68 mg/ml 0.68 ml | $2760 | Yes |
100409 | Flebogamma | Immune Globulin (Human) | Vial 20/200 g/ml 200 ml | $2760 | No |
100417 | Fragmin | Dalteparin Sodium | Pre-Filled Syringe 18000/0.72 iu/ml 7.2ml | $2760 | No |
100680 | Lupron Depot-Ped | Leuprolide Acetate | Injection Kit 7.5 mg 1 Kit | $2760 | No |
12069 | Neupogen | Filgrastim | Vial 300 mcg/ml 10 ml | $2760 | Yes |
100745 | Nivestym | Filgrastim-aafi | Vial 300 mcg/ml 10 ml | $2760 | Yes |
100748 | Nivestym | Filgrastim-aafi | Pre-Filled Syringe 300/0.5 mcg/ml 5 ml | $2760 | Yes |
103033 | Rilutek | Riluzole | Tablet 50 mg 60 tab | $2760 | No |
101033 | Stelara | Ustekinumab | Vial 130/26 mg/ml 26 ml | $2760 | Yes |
7526 | Temodar | Temozolomide | Capsule 250 mg 5 cap | $2760 | No |
101096 | Temozolomide | Temozolomide | Capsule 250 mg 5 Cap | $2760 | No |
101105 | Tetrabenazine | Tetrabenazine | Tablet 25 mg 112 Tab | $2760 | No |
25020 | Tezspire | Tezepelumab-ekko | Autoinjector 210/1.91 mg/ml 1.91 ml | $2760 | Yes |
25022 | Tezspire | Tezepelumab-ekko | Pre-Filled Syringe 210/1.91 mg/ml 1.91 ml | $2760 | Yes |
12513 | Thyrogen | Thyrotropin Alfa | Powder Vial 0.9 mg/ml 2.2 ml | $2760 | No |
103404 | Treanda | Bendamustine Hcl | Powder Vial 100 mg 1 Vial | $2760 | No |
103465 | Tymlos | Abaloparatide | Autoinjector 3120/1.56 mcg/ml 1.56 ml | $2760 | Yes |
103677 | Xgeva | Denosumab | Vial 120/1.7 mg/ml 1.7 ml | $2760 | Yes |
103680 | Xifaxan | Rifaximin | Tablet 550 mg 60 tab | $2760 | No |
101624 | Complera | Emtricitabine/Rilpivirine/Tenofovir | Tablet 200/25/300 mg/mg/mg 30 tab | $2820 | No |
24966 | Dupixent | Dupilumab | Pre-Filled Syringe 200/1.14 mg/ml 2.28 ml | $2820 | Yes |
24964 | Dupixent | Dupilumab | Pre-Filled Syringe 300/2 mg/ml 4 ml | $2820 | Yes |
25123 | Dupixent | Dupilumab | Autoinjector 300/2 mg/ml 4 ml | $2820 | Yes |
100883 | Prezista | Darunavir Ethanolate | Tablet 600 mg 60 Tab | $2820 | No |
100884 | Prezista | Darunavir Ethanolate | Tablet 800 mg 30 Tab | $2820 | No |
101240 | Zeposia | Ozanimod Hydrochloride | Capsule 0.23/0.46 mg 7 Cap | $2820 | No |
101387 | Amjevita | Adalimumab | Autoinjector 40/0.8 mg/ml 1.6 ml | $2880 | Yes |
101386 | Amjevita (CF) | Adalimumab | Autoinjector 40/0.8 mg/ml 1.6 ml | $2880 | Yes |
55839 | Avastin | Bevacizumab | Vial 25 mg/ml 16 ml | $2880 | Yes |
11104 | Avonex | Interferon Beta-1a | Autoinjector 30/0.5 mcg/ml 1 Kit | $2880 | Yes |
11105 | Avonex | Interferon Beta-1a | Pre-Filled Syringe 30/0.5 mcg/ml 1 Kit | $2880 | Yes |
101496 | Benefix | Coagulation Factor IX (Recombinant) | Vial Kit 2000 IU 2000 IU | $2880 | Yes |
101510 | Bethkis | Tobramycin | Ampule 300/4 mg/ml 112 ml | $2880 | Yes |
101676 | Darzalex | Daratumumab | Vial 400/20 mg/ml 20 ml | $2880 | Yes |
100279 | Descovy | Emtricitabine/Tenofovir Alafenamide | Tablet 200/10 mg 30 Tab | $2880 | No |
100280 | Descovy | Emtricitabine/Tenofovir Alafenamide | Tablet 200/25 mg 30 Tab | $2880 | No |
81874 | Dificid | Fidaxomicin | Tablet 200 mg 20 tab | $2880 | No |
100322 | Empliciti | Elotuzumab | Vial 300 mg 1 Vial | $2880 | Yes |
102198 | Jadenu | Deferasirox | Tablet 180 mg 30 tab | $2880 | No |
102195 | Jadenu Sprinkle | Deferasirox | Granules 180 mg 30 Granule | $2880 | No |
7673 | Kisqali | Ribociclib | Tablet 200 mg 21 tab | $2880 | No |
12067 | Neupogen | Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 5 ml | $2880 | No |
7657 | Nplate | Romiplostim | Powder Vial 500 mcg 1 Vial | $2880 | No |
100891 | Procrit | Epoetin Alfa | Vial 10000 iu/ml 8 ml | $2880 | Yes |
100893 | Procrit | Epoetin Alfa | Vial 20000 iu w/ Protec 4 ml | $2880 | Yes |
102930 | Rapamune | Sirolimus | Tablet 1 mg 100 tab | $2880 | No |
12361 | Sandostatin LAR | Octreotide | Injection Kit 20 mg 1 Kit | $2880 | Yes |
103132 | Simulect | Basiliximab | Powder Vial 10 mg 1 Vial | $2880 | Yes |
103668 | Xenleta | Lefamulin Acetate | Tablet 600 mg 30 tab | $2880 | No |
101289 | Adakveo | Crizanlizumab | Vial 100/10 mg/ml 10 ml | $3000 | Yes |
100071 | Alphanate | Antihemophilic Factor/Vwf | Vial Kit 2000 IU 2000 IU | $3000 | No |
101370 | Altuviiio | Antihemophilic Factor (Recombinant) | Injection Kit 500 IU 500 IU | $3000 | Yes |
101408 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 100/0.5 mcg/ml 2 ml | $3000 | Yes |
101433 | Aristada | Aripiprazole Lauroxil | Injection Kit 662/2.4 mg/ml 2.4 ml | $3000 | No |
101485 | Banzel | Rufinamide | Tablet 400 mg 120 tab | $3000 | No |
17183 | Benlysta | Belimumab | Autoinjector 200 mg/ml 4 ml | $3000 | Yes |
81280 | Dupixent | Dupilumab | Autoinjector 200 200mg/1.14mL 2.28 ml | $3000 | No |
81725 | Dupixent | Dupilumab | Pre-Filled Syringe 200 mg/1.14mL 2.28 ml | $3000 | No |
81728 | Dupixent | Dupilumab | Pre-Filled Syringe 300 mg/2mL 4 ml | $3000 | No |
81731 | Dupixent | Dupilumab | Autoinjector 300 mg/2mL 4 ml | $3000 | No |
101759 | Elitek | Rasburicase | Powder Vial 1.5 mg 3 Vial | $3000 | Yes |
17970 | Entyvio | Vedolizumab | Autoinjector 108/0.68 mg/ml 1.36 ml | $3000 | Yes |
100396 | Feiba | Prothrombin Complex Concentrate, Activated, From Human Plasma | Injection Kit 1000 IU 1000 IU | $3000 | No |
101951 | Gammagard Liquid | Immune Globulin (Human) | Vial 20/200 g/ml 200 ml | $3000 | No |
11579 | Genotropin GoQuick | Somatropin | Autoinjector 12 mg 5 Autoinjector | $3000 | Yes |
7062 | Gilotrif | Afatinib | Tablet 20 mg 28 tab | $3000 | No |
7063 | Gilotrif | Afatinib | Tablet 30 mg 28 tab | $3000 | No |
7064 | Gilotrif | Afatinib | Tablet 40 mg 28 tab | $3000 | No |
102000 | Gleostine | Lomustine | Capsule 40 mg 5 cap | $3000 | No |
100483 | Gleostine | Lomustine | Capsule 40 mg 5 Cap | $3000 | No |
102104 | Idelvion | Coagulation Factor IX (Recombinant) | Powder Vial 500 IU 500 IU | $3000 | No |
102167 | Invega Sustenna | Paliperidone Palmitate | Pre-Filled Syringe 234/1.5 mg/ml 1.5 ml | $3000 | No |
102168 | Invega Trinza | Paliperidone Palmitate | Pre-Filled Syringe 273/0.88 mg/ml 0.88 ml | $3000 | No |
6736 | Invega Trinza | Paliperidone | Pre-Filled Syringe 525/2.625 mg/ml 1 PFS | $3000 | No |
102235 | Jivi | Antihemophilic Factor Viii (Recombinant) | Vial 1000 IU 1000 IU | $3000 | Yes |
100588 | Jivi | Antihemophilic Factor Viii (Recombinant) | Vial 1000 IU 1000 IU | $3000 | No |
102302 | Koselugo | Selumetinib | Capsule 10 mg 28 cap | $3000 | No |
102318 | Kyprolis | Carfilzomib | Powder Vial 60 mg 1 Vial | $3000 | Yes |
102470 | Mavyret | Glecaprevir/Pibrentasvir | Oral Pellet 50/20 mg/mg 28 Pellet | $3000 | No |
100687 | Mayzent | Siponimod | Tablet 0.25 mg 28 Tab | $3000 | Yes |
102508 | Monoferric | Ferric Derisomaltose | Vial 1000/10 mg/ml 10 ml | $3000 | No |
102527 | Mycapssa | Ocreotide | Capsule 20 mg 28 cap | $3000 | No |
100721 | Mycophenolate | Mycophenolate Mofetil | Tablet 500 mg 500 Tab | $3000 | No |
102549 | Neoprofen | Ibuprofen Lysine | Vial 20/2 mg/ml 6 ml | $3000 | No |
102590 | Nivestym | Filgrastim-aafi | Vial 480/1.6 mcg/ml 16 ml | $3000 | Yes |
100807 | Opzelura | Ruxolitinib Phosphate | Cream Tube 1.5 % 60 g | $3000 | No |
102712 | Orgovyx | Relugolix | Tablet 120 mg 30 tab | $3000 | No |
102782 | Pegasys | Peginterferon alfa-2a | Pre-Filled Syringe 180/0.5 mcg/ml 2 ml | $3000 | Yes |
102856 | Privigen | Immun Glob G(Igg)-Pro-Iga 0-50 | Vial 20/200 g/ml 200 ml | $3000 | No |
100941 | Retacrit | Epoetin Alfa-epbx | Vial 20000 iu/ml 10 ml | $3000 | Yes |
103030 | Riabni | Rituximab-arrx | Vial 500/50 mg/ml 50 ml | $3000 | Yes |
103059 | Ruxience | Rituximab-pvvr | Vial 500/50 mg/ml 50 ml | $3000 | Yes |
103086 | Sandostatin LAR Depot | Octreotide Acetate | Vial Kit 10 mg 1 Kit | $3000 | Yes |
103145 | Skytrofa | Lonapegsomatropin-tcgd | Cartridge 3.6 mg 4 Cartridge | $3000 | Yes |
103154 | Sogroya | Somapacitan-beco | Autoinjector 15/1.5 mg/ml 1.5 ml | $3000 | Yes |
12426 | Somatuline Autogel | Lanreotide | Pre-Filled Syringe 120/0.5 mg/ml 0.5 ml | $3000 | Yes |
103256 | Synagis | Palivizumab | Vial 100 mg/ml 1 ml | $3000 | Yes |
8072 | Tarceva | Erlotinib | Tablet 150 mg 30 tab | $3000 | No |
101084 | Tecfidera | Dimethyl Fumarate | Capsule 120 mg 14 Cap | $3000 | No |
101104 | Teriparatide | Teriparatide | Autoinjector 620/2.48 mcg/ml 2.48 ml | $3000 | Yes |
101115 | Tivicay | Dolutegravir Sodium | Tablet 50 mg 30 Tab | $3000 | No |
103403 | Trazimera | Trastuzumab-qyyp | Powder Vial 420 mg 1 Vial | $3000 | Yes |
103441 | Trokendi XR | Topiramate | Capsule 100 mg 100 cap | $3000 | No |
8337 | Velcade | Bortezomib | Powder Vial 3.5 mg/Vial 1 Vial | $3000 | No |
101198 | Xatmep | Methotrexate | Oral Solution 2.5 mg/ml 120 ml | $3000 | Yes |
103653 | Xeljanz | Tofacitinib Citrate | Oral Solution 1 mg/ml 240 ml | $3000 | No |
103655 | Xeljanz | Tofacitinib Citrate | Tablet 5 mg 60 tab | $3000 | No |
103654 | Xeljanz | Tofacitinib Citrate | Tablet 10 mg 60 tab | $3000 | No |
103659 | Xeloda | Capecitabine | Tablet 500 mg 120 tab | $3000 | No |
103706 | Xyntha | Antihemophilic Factor (Recombinant) | Vial Kit 2000 IU 2000 IU | $3000 | Yes |
103724 | Zaltrap | ziv-Aflibercept | Vial 200/8 mg/ml 8 ml | $3000 | Yes |
12670 | Zelboraf | Vemurafenib | Tablet 240 mg 56 tab | $3000 | No |
24914 | Zeposia | Ozanimod Hydrochloride | Capsule 0.92 mg 28 cap | $3000 | No |
103783 | Zonegran | Zonisamide | Capsule 100 mg 100 cap | $3000 | No |
100081 | Altuviiio | Antihemophilic Factor (Recombinant) | Injection Kit 500 IU 500 IU | $3120 | Yes |
101414 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 500 mcg/ml 1 ml | $3120 | Yes |
100113 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 300 mcg/ml 0.6 ml | $3120 | Yes |
100136 | Austedo XR | Deutetrabenazine | Tablet 6 mg(24 Hours) 30 Tab | $3120 | No |
101579 | Casodex | Bicalutamide | Tablet 50 mg 30 tab | $3120 | No |
101616 | Columvi | Glofitamab-gxbm | Vial 2.5/2.5 mg/ml 2.5 ml | $3120 | Yes |
101682 | Delstrigo | Doravirine/Lamivu/Tenofov Disoproxil Fumarate | Tablet 100/300/300 mg/mg/mg 30 tab | $3120 | No |
101819 | Epogen | Epoetin Alfa | Vial 20000/2 units/ml 20 ml | $3120 | Yes |
101820 | Epogen | Epoetin Alfa | Vial 20000 units/ml 10 ml | $3120 | Yes |
100493 | Granix | tbo-Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 4 ml | $3120 | Yes |
102100 | Icatibant | Icatibant | Pre-Filled Syringe 30/3 mg/ml 3 ml | $3120 | No |
102483 | Mepsevii | Vestronidase Alfa-vjbk | IV Solution 10/5 mg/ml 5 ml | $3120 | Yes |
102597 | Northera | Droxidopa | Capsule 100 mg 90 cap | $3120 | No |
100773 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 1500 IU 1500 IU | $3120 | Yes |
102671 | Olumiant | Baricitinib | Tablet 1 mg 30 tab | $3120 | No |
102672 | Olumiant | Baricitinib | Tablet 2 mg 30 tab | $3120 | No |
100882 | Prezcobix | Darunavir/Cobicistat | Tablet 800/150 mg 30 Tab | $3120 | No |
6732 | Prezista | Darunavir | Tablet 800 mg 90 tab | $3120 | No |
102899 | Pulmozyme | Dornase Alfa | Ampule 1 mg/ml 75 ml | $3120 | Yes |
17651 | Rinvoq ER | Upadacitinib | Tablet 30 mg 30 tab | $3120 | No |
100994 | Sevenfact | Coagulation Factor VIIa (Recom) | Powder Vial 1 mg 1000 mcg | $3120 | No |
101089 | Temozolomide | Temozolomide | Capsule 100 mg 14 Cap | $3120 | No |
101182 | Vonvendi | Von Willebrand Factor (Recombinant) | Vial Kit 900-1700 IU 1300 IU | $3120 | Yes |
8271 | Cosentyx | Secukinumab | Pre-Filled Syringe 150 mg/ml 2 PFS | $3150 | Yes |
8273 | Cosentyx Sensoready Pen | Secukinumab | Autoinjector 150 mg/ml 2 PFP | $3150 | Yes |
101792 | Enhertu | fam-Trastuzumab Deruxtecan-nxki | Vial 100 mg 1 Vial | $3180 | Yes |
101130 | Trelstar | Triptorelin Pamoate | Injection 11.25 mg 1 Kit | $3180 | No |
100027 | Adakveo | Crizanlizumab | Vial 100/10 mg/ml 10 ml | $3240 | Yes |
101340 | Afstyla | Antihemophilic Factor (Recombinant), Single Chain | Vial Kit 2000 IU 1 IU | $3240 | Yes |
103413 | Apretude | Cabotegravir | Injection Kit 600/3 mg/ml 3 ml | $3240 | Yes |
100147 | Bendeka | Bendamustine HCl | Vial 100/4 mg/ml 4 ml | $3240 | Yes |
24971 | Enhertu | Trastuzumab Deruxtecan | Vial 100 mg 5 ml | $3240 | Yes |
100377 | Evenity | Romosozumab-aqqg | Pre-Filled Syringe 105/1.17 mg/ml 2.34 ml | $3240 | Yes |
90007 | Forteo | Teriparatide | Autoinjector 600/2.4 mg/ml 2.4 ml | $3240 | Yes |
5875 | Gilenya | Fingolimod | Capsule 0.5 mg 28 cap | $3240 | No |
11596 | Gilenya | Fingolimod | Capsule 0.25 mg 28 cap | $3240 | No |
100486 | Granix | tbo-Filgrastim | Vial 300 mcg/ml 10 ml | $3240 | Yes |
100490 | Granix | tbo-Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 5 ml | $3240 | Yes |
17690 | Iressa | Gefitinib | Tablet 250 mg 30 tab | $3240 | No |
11721 | Kadcyla | Trastuzumab Emtansine | Vial 100 mg 1 Vial | $3240 | No |
102744 | Padcev | Enfortumab Vedotin-ejfv | Powder Vial 20 mg 1 Vial | $3240 | Yes |
102789 | Perseris | Risperidone | Pre-Filled Syringe 120 mg 1 PFS | $3240 | Yes |
100992 | Sensipar | Cinacalcet Hcl | Tablet 90 mg 30 Tab | $3240 | No |
103319 | Tavneos | Avacopan | Capsule 10 mg 30 cap | $3240 | No |
103440 | Trogarzo | Ibalizumab-uiyk | Vial 200/1.33 mg/ml 2.66 ml | $3240 | Yes |
103534 | Venclexta Starter Pack | Venetoclax | Tablet 10/50/100 mg 42 tab | $3240 | No |
101248 | Zirabev | Bevacizumab-bvzr | Vial 400/16 mg/ml 16 ml | $3240 | Yes |
100184 | Capecitabine | Capecitabine | Tablet 500 mg 120 Tab | $3300 | No |
102192 | Ixinity | Factor IX, Recombinant Human | Injection Kit 1500 IU 1500 IU | $3300 | No |
102561 | Neupogen | Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 5 ml | $3300 | Yes |
101256 | Zortress | Everolimus | Tablet 1 mg 60 Tab | $3300 | No |
100024 | Actemra | Tocilizumab | Vial 400/20 mg/ml 20 ml | $3360 | Yes |
100041 | Advate | Antihemophilic Factor (Recombinant) | Vial 1500IU (1201-1800) IU 1500 IU | $3360 | No |
101464 | Avastin | Bevacizumab | Vial 400/16 mg/ml 16 ml | $3360 | Yes |
101506 | Berinert | C1 Esterase Inhibitor (Human) | Vial Kit 500 IU 1 Kit | $3360 | Yes |
101613 | Clolar | Clofarabine | Vial 20/20 mg/ml 20 ml | $3360 | No |
100270 | Deferasirox | Deferasirox | Sachet 360 mg 30 Sachet | $3360 | No |
100278 | Delstrigo | Doravirine/Lamivu/Tenofov Disoproxil Fumarate | Tablet 100/300/300 mg 30 Tab | $3360 | No |
100286 | Docetaxel | Docetaxel | Vial 160/16 mg/ml 16 ml | $3360 | No |
101709 | Dovato | Dolutegravir/Lamivudine | Tablet 50/300 mg/mg 30 tab | $3360 | No |
100337 | Enhertu | Fam-Trastuzumab Deruxtecan-nxki | Vial 100 mg/Vial 1 ml | $3360 | Yes |
100350 | Envarsus XR | Tacrolimus | Tablet 4 mg 100 Tab | $3360 | No |
102064 | Humate-P | Antihemophilic Factor/Vwf | Vial Kit 2000 IU 2400 IU | $3360 | No |
102068 | Humatrope | Somatropin | Cartridge 24 mg 1 Cartridge | $3360 | Yes |
102091 | Hyrimoz (Cf) | Adalimumab-adaz | Pre-Filled Syringe 10/0.1 mg/ml 0.2 ml | $3360 | Yes |
102092 | Hyrimoz (Cf) | Adalimumab-adaz | Pre-Filled Syringe 20/0.2 mg/ml 0.4 ml | $3360 | Yes |
24918 | Istodax | Romidepsin | Vial Kit 10 mg 1 Kit | $3360 | No |
102420 | Lupron Depot | Leuprolide Acetate | Injection Kit 11.25 mg 1 Kit | $3360 | No |
102425 | Lupron Depot | Leuprolide Acetate | Pre-Filled Syringe 11.25 mg 1 PFS | $3360 | No |
102421 | Lupron Depot PED | Leuprolide Acetate | Injection Kit 15 mg 1 Kit | $3360 | No |
102588 | Nivestym | Filgrastim-aafi | Pre-Filled Syringe 480/0.8 mcg/ml 8 ml | $3360 | Yes |
100762 | Nplate | Romiplostim | Powder Vial 250 mcg/ml 1 Vial | $3360 | Yes |
100770 | Nutropin AQ Nuspin | Somatropin | Autoinjector 20/2 mg/ml 2 ml | $3360 | Yes |
102657 | Nyvepria | Pegfilgrastim-apgf | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $3360 | Yes |
100799 | Omnitrope | Somatropin | Vial 5.8 mg 8 Vial | $3360 | Yes |
12139 | Omnitrope | Somatropin | Cartridge 15/1.5 mg/ml 7.5 ml | $3360 | Yes |
90236 | Plegridy | Peginterferon Beta-1a | Pre-Filled Syringe 125/0.5 mcg/ml 1 ml | $3360 | Yes |
90240 | Plegridy | Peginterferon Beta-1a | Pre-Filled Pen 125/0.5 mcg/ml 1 ml | $3360 | Yes |
102864 | Procrit | Epoetin Alfa | Vial 40,000 units/ml 4 ml | $3360 | Yes |
31910 | Remodulin | Treprostinil | Vial 2.5 mg/ml 20 ml | $3360 | No |
101131 | Trelstar | Triptorelin Pamoate | Injection 11.25 mg (3 Month) 1 Kit | $3360 | No |
103436 | Triumeq | Abacavir/Dolutegravir/Lamivudi | Tablet 50/600/300 mg 30 tab | $3360 | No |
103588 | Vonvendi | Von Willebrand Factor (Recombinant) | Vial Kit 900-1700 IU 1300 IU | $3360 | Yes |
100003 | Abilify Maintena | Aripiprazole | Injection Kit 400 mg 1 Kit | $3480 | No |
101292 | Adcirca | Tadalafil | Tablet 20 mg 60 tab | $3480 | No |
101315 | Advate | Antihemophilic Factor (Recombinant) | Vial 2000 IU 2000 IU | $3480 | Yes |
101434 | Aristada | Aripiprazole Lauroxil | Injection Kit 882/3.2 mg/ml 3.2 ml | $3480 | No |
101609 | Cinryze | C1 Esterase Inhibitor (Human) | Vial 500 IU 1 Vial | $3480 | No |
101785 | Empliciti | Elotuzumab | Vial 400 mg 1 Vial | $3480 | Yes |
25023 | Leqvio | Inclisiran | Pre-Filled Syringe 284/1.5 mg/ml 1.5 ml | $3480 | No |
100670 | Lotronex | Alosetron HCl | Tablet 1 mg 30 Tab | $3480 | No |
103147 | Skytrofa | Lonapegsomatropin-tcgd | Cartridge 4.3 mg 4 Cartridge | $3480 | Yes |
7227 | Sprycel | Dasatinib | Tablet 20 mg 60 tab | $3480 | No |
103292 | Tafinlar | Dabrafenib Mesylate | Tablet 10 mg 210 tab | $3480 | No |
8632 | Truvada | Emtricitabine/Tenofovir | Tablet 200/300 mg 90 tab | $3480 | No |
103537 | Venclexta | Venetoclax | Tablet 100 mg 28 tab | $3480 | No |
101249 | Zoladex | Goserelin Acetate | Implant 10.8 mg 1 Kit | $3480 | No |
100032 | Adalimumab-adbm(Ps/UV | Adalimumab-adbm | Autoinjector 40/0.8 mg/ml 1 Kit | $3600 | Yes |
55663 | Adbry | Tralokinumab | Pre-Filled Syringe 150 mg/mL 4 ml | $3600 | Yes |
101320 | Adynovate | Antihemophilic Factor (Recombinant) | Vial Kit 1500 IU 1500 IU | $3600 | Yes |
7892 | Alimta | Pemetrexed | Powder Vial 500 mg 1 Vial | $3600 | Yes |
101375 | Alunbrig | Brigatinib | Tablet 90 mg 7 tab | $3600 | No |
100082 | Alyq | Tadalafil | Tablet 20 mg 60 Tab | $3600 | No |
101457 | Atgam | Lymphocyte Immune Globulin | Vial Kit 50 mg/ml 5 ml | $3600 | Yes |
11175 | Cabenuva | Cabotegravir/Rilpivirine | Kit 600/900 mg/mg 6 ml | $3600 | No |
24960 | Cibinqo | Abroticinib | Tablet 50 mg 30 tab | $3600 | No |
24962 | Cibinqo | Abroticinib | Tablet 100 mg 30 tab | $3600 | No |
24963 | Cibinqo | Abroticinib | Tablet 200 mg 30 tab | $3600 | No |
101634 | Cosentyx | Secukinumab | Pre-Filled Syringe 150 mg/ml 1 ml | $3600 | Yes |
101637 | Cosentyx Sensoready | Secukinumab | Autoinjector 150 mg/ml 1 ml | $3600 | Yes |
100271 | Deferasirox | Deferasirox | Sachet 360 mg 30 Sachet | $3600 | No |
101746 | Elaprase | Idursulfase | Vial 6/3 mg/ml 3 ml | $3600 | Yes |
100310 | Eligard | Leuprolide Acetate | Injection Kit 45 mg 1 Kit | $3600 | Yes |
73804 | Esbriet | Pirfenidone | Tablet 267 mg 270 tab | $3600 | No |
101934 | Fuzeon | Enfuvirtide | Vial Kit 90 mg 60 Kit | $3600 | No |
101955 | Gammaked | Immune Globulin (Human) | Vial 20/200 g/ml 200 ml | $3600 | No |
100445 | Gamunex-C | Immune Globulin (Human) | Vial 20/200 g/ml 200 ml | $3600 | Yes |
102003 | Glumetza | Metformin Hcl | Tablet 500 mg 100 tab | $3600 | No |
102006 | Gocovri | Amantadine | Capsule 137 mg 60 cap | $3600 | No |
102007 | Gocovri | Amantadine | Capsule 68.5 mg 60 cap | $3600 | No |
102042 | Herzuma | Trastuzumab-pkrb | Powder Vial 420 mg 1 Vial | $3600 | Yes |
102187 | Istodax | Romidepsin | Vial Kit 100 mg 1 Kit | $3600 | No |
102261 | Kanjinti | Trastuzumab-anns | Vial 420 mg 1 Vial | $3600 | Yes |
11724 | Kesimpta | Ofatumumab | Autoinjector 20/0.4 mg/ml 0.4 ml | $3600 | Yes |
102282 | Kevzara | Sarilumab | Autoinjector 150/1.14 mg/ml 2.28 ml | $3600 | Yes |
102283 | Kevzara | Sarilumab | Autoinjector 200/1.14 mg/ml 2.28 ml | $3600 | Yes |
102284 | Kevzara | Sarilumab | Pre-Filled Syringe 150/1.14 mg/ml 2.28 ml | $3600 | Yes |
102285 | Kevzara | Sarilumab | Pre-Filled Syringe 200/1.14 mg/ml 2.28 ml | $3600 | Yes |
102363 | Librax | Chlordiazepoxide/Clidinium | Capsule 5/2.5 mg/mg 100 cap | $3600 | No |
102414 | Lupron Depot | Leuprolide Acetate | Injection Kit 11.25 mg 1 Kit | $3600 | No |
100684 | Mavyret | Glecaprevir/Pibrentasvir | Oral Pellet 50/20 mg 28 Packet | $3600 | No |
7480 | Mekinist | Trametinib | Tablet 0.5 mg 30 tab | $3600 | No |
7896 | Neulasta | Pegfilgrastim | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $3600 | Yes |
100752 | Norditropin | Somatropin | Autoinjector 15/1.5 mg/ml 1.5 ml | $3600 | Yes |
102604 | Novoeight | Antihemophilic Factor Viii (Recombinant) | Injection Kit 1500 IU 1500 IU | $3600 | No |
102630 | Nucala | Mepolizumab | Vial 100 mg/ml 1 ml | $3600 | Yes |
102665 | Odefsey | Emtricitabine/Rilpivirine/Tenofovir Alafenamide | Tablet 200/25/25 mg/mg/mg 30 tab | $3600 | No |
102670 | Ogivri | Trastuzumab-dkst | Vial Kit 420 mg 1 Kit | $3600 | Yes |
100795 | Olumiant | Baricitinib | Tablet 1 mg 30 Tab | $3600 | No |
100796 | Olumiant | Baricitinib | Tablet 2 mg 30 Tab | $3600 | No |
102688 | Ontruzant | Trastuzumab-dttb | Powder Vial 420 mg 1 Vial | $3600 | Yes |
102691 | Opdivo | Nivolumab | Vial 100/10 mg/ml 10 ml | $3600 | Yes |
89997 | Orencia | Abatacept | PFS 125 mg/ml 4 ml | $3600 | Yes |
90003 | Orencia ClickJect | Abatacept | Autoinjector 125 mg/ml 4 ml | $3600 | Yes |
102769 | Panzyga | Immune globulin | Solution 20/200 g/ml 200 ml | $3600 | Yes |
102773 | Parsabiv | Etelcalcetide Hydrochloride | Vial 10/2 mg/ml 20 ml | $3600 | Yes |
12214 | Plegridy | Peginterferon Beta-1a | Autoinjector 125/0.5 mcg/ml 1 ml | $3600 | No |
12215 | Plegridy | Peginterferon Beta-1a | Autoinjector Starter Pack 63/94 mcg 1 ml | $3600 | No |
102972 | Remodulin | Treprostinil Sodium | Vial 50/20 mg/ml 20 ml | $3600 | No |
103045 | Rixubis | Factor Ix Human Recombinant | Vial Kit 2000 IU 2000 IU | $3600 | No |
12362 | Sandostatin LAR | Octreotide | Injection Kit 30 mg 1 Kit | $3600 | Yes |
103119 | Serostim | Somatropin | Vial 5 mg 7 Vial | $3600 | No |
103133 | Simulect | Basiliximab | Powder Vial 20 mg 1 Vial | $3600 | Yes |
57309 | Sotyktu | Deucravacitinib | Tablet 6 mg 28 tab | $3600 | No |
103252 | Sympazan | Clobazam | Oral Film 20 mg 60 Film | $3600 | No |
103456 | Truxima | Rituximab-abbs | Vial 500/50 mg/ml 50 ml | $3600 | Yes |
101148 | Tymlos | Abaloparatide | Autoinjector 3120/1.56 mcg/ml 1.56 ml | $3600 | Yes |
103526 | Vegzelma | Bevacizumab-adcd | Vial 400/16 mg/ml 16 ml | $3600 | Yes |
103625 | Winrho SDF | Rho-D Immune Globulin | Vial 15000 IU 13 ml | $3600 | Yes |
7494 | Xeljanz | Tofacitinib | Tablet 10 mg 60 tab | $3600 | No |
103656 | Xeljanz XR | Tofacitinib Citrate | Tablet 11 mg 30 tab | $3600 | No |
103657 | Xeljanz XR | Tofacitinib Citrate | Tablet 22 mg 30 tab | $3600 | No |
24922 | Yondelis | Trabectedin | Powder For Solution 1 mg 1 Vial | $3600 | Yes |
101229 | Zarxio | Filgrastim-sndz | Pre-Filled Syringe 300/0.5 mcg/ml 5 ml | $3600 | Yes |
103770 | Ziextenzo | Pegfilgrastim-bmez | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $3600 | Yes |
103797 | Zyflo | Zileuton | Tablet 600 mg 120 tab | $3600 | No |
100083 | Amicar | Aminocaproic Acid | Oral Solution 0.25 g/ml 236.5 ml | $3720 | No |
100582 | Jadenu | Deferasirox | Tablet 180 mg 30 Tab | $3720 | No |
100585 | Jadenu | Deferasirox | Sachet 180 mg 30 Sachet | $3720 | No |
101103 | Teriparatide | Teriparatide | Autoinjector 600/2.4 mcg/ml 2.4 ml | $3720 | Yes |
101832 | Esperoct | Antihemophilic Factor (Recombinant) | Vial Kit 1500 IU 1500 IU | $3780 | No |
101409 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 150/0.3 mcg/ml 1.2 ml | $3840 | Yes |
100264 | Darzalex | Daratumumab | Vial 400/20 mg/ml 20 ml | $3840 | Yes |
100290 | Dovato | Dolutegravir/Lamivudine | Tablet 50/300 mg 30 Tab | $3840 | No |
87537 | Dupixent | Dupilumab | Autoinjector 300/2 mg/ml 4 ml | $3840 | Yes |
87540 | Dupixent | Dupilumab | Autoinjector 200/1.14 mg/ml 2.28 ml | $3840 | Yes |
87542 | Dupixent | Dupilumab | Pre-Filled Syringe 200/1.14 mg/ml 2.28 ml | $3840 | Yes |
87544 | Dupixent | Dupilumab | Pre-Filled Syringe 300/2 mg/ml 4 ml | $3840 | Yes |
102035 | Hemlibra | Emicizumab-kxwh | Vial 30 mg/ml 1 ml | $3840 | Yes |
87442 | Humira CF | Adalimumab | Autoinjector 40/0.4 mg/ml 2 Autoinjector | $3840 | Yes |
102073 | Humira CF | Adalimumab | Pre-Filled Syringe 10/0.1 mg/ml 2 PFS | $3840 | Yes |
102074 | Humira CF | Adalimumab | Pre-Filled Syringe 20/0.2 mg/ml 2 PFS | $3840 | Yes |
102075 | Humira CF | Adalimumab | Pre-Filled Syringe 40/0.4 mg/ml 2 PFS | $3840 | Yes |
102087 | Hyqvia | Immune Globulin (Human) | Vial 20/200 g/ml 200 ml | $3840 | Yes |
102241 | Juluca | Dolutegravir/Rilpivirine | Tablet 50/25 mg/mg 30 tab | $3840 | No |
102351 | Leqvio | Inclisiran Sodium | Pre-Filled Syringe 284/1.5 mg/ml 1.5 ml | $3840 | No |
100658 | Linezolid | Linezolid | Tablet 600 mg 30 Tab | $3840 | No |
102478 | Mekinist | Trametinib Dimethyl Sulfoxide | Tablet 0.5 mg 30 tab | $3840 | Yes |
100717 | Mvasi | Bevacizumab-awwb | Vial 400/16 mg/ml 16 ml | $3840 | Yes |
102605 | Novoeight | Antihemophilic Factor Viii (Recombinant) | Injection Kit 2000 IU 2000 IU | $3840 | No |
103220 | Stribild | Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil | Tablet 150/150/200/245 mg 30 tab | $3840 | No |
103224 | Sunlenca | Lenacapavir Sodium | Tablet 300 mg 4 tab | $3840 | No |
101077 | Tarceva | Erlotinib HCl | Tablet 25 mg 30 Tab | $3840 | No |
100126 | Atripla | Efavirenz/Emtricitabine/Tenofovir | Tablet 600/200/300 mg 30 Tab | $3900 | No |
100323 | Empliciti | Elotuzumab | Vial 400 mg 1 Vial | $3900 | Yes |
102131 | Imjudo | Tremelimumab-actl | Vial 25/1.25 mg/ml 1.25 ml | $3900 | Yes |
102627 | Nucala | Mepolizumab | Autoinjector 100 mg/ml 1 ml | $3900 | Yes |
102628 | Nucala | Mepolizumab | Pre-Filled Syringe 100 mg/ml 1 ml | $3900 | Yes |
101128 | Treanda | Bendamustine HCl | Powder Vial 100 mg 1 Vial | $3900 | No |
101359 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 1000 IU 1000 IU | $3960 | Yes |
101707 | Doptelet | Avatrombopag | Tablet 20 mg 10 tab | $3960 | No |
101763 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 1500 IU 1500 IU | $3960 | No |
103443 | Trokendi XR | Topiramate | Capsule 200 mg 100 cap | $3960 | No |
103481 | Udenyca | Pegfilgrastim-cbqv | Autoinjector 6/0.6 mg/ml 0.6 ml | $3960 | Yes |
103482 | Udenyca | Pegfilgrastim-cbqv | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $3960 | Yes |
7910 | Vectibix | Panitumumab | Vial 400/20 mg/ml 20 ml | $3960 | Yes |
103715 | Yondelis | Trabectedin | Powder Vial 1 mg 1 Vial | $3960 | Yes |
103063 | Rybrevant | Amivantamab-vmjw | Vial 350/7 mg/ml 7 ml | $4020 | Yes |
101341 | Afstyla | Antihemophilic Factor (Recombinant), Single Chain | Vial Kit 2500 IU 1 IU | $4080 | Yes |
101356 | Alimta | Pemetrexed | Powder Vial 500 mg 1 Vial | $4080 | No |
100090 | Amjevita | Adalimumab-atto | Autoinjector 40/0.8 mg/ml 2 Auto-Injector | $4080 | Yes |
100091 | Amjevita | Adalimumab-atto | Pre-Filled Syringe 40/0.8 mg/ml 1 PFS | $4080 | Yes |
100092 | Amjevita-Ped (15kg to <30kg) | Adalimumab-atto | Pre-Filled Syringe 20/0.4 mg/ml 1 PFS | $4080 | Yes |
101431 | Aristada | Aripiprazole Lauroxil | Injection Kit 1064/3.9 mg/ml 3.9 ml | $4080 | No |
100138 | Avastin | Bevacizumab | Vial 25 mg/ml 16 ml | $4080 | Yes |
100386 | Exjade | Deferasirox | Tablet 250 mg 30 Tab | $4080 | No |
101981 | Genvoya | Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide | Tablet 150/150/200/10 mg/mg/mg/mg 30 tab | $4080 | No |
100475 | Glatiramer | Glatiramer Acetate | Pre-Filled Syringe 20 mg/ml 30 ml | $4080 | Yes |
100476 | Glatiramer | Glatiramer Acetate | Pre-Filled Syringe 40 mg/ml 12 ml | $4080 | Yes |
100477 | Glatopa | Glatiramer Acetate | Pre-Filled Syringe 20 mg/ml 30 ml | $4080 | Yes |
100478 | Glatopa | Glatiramer Acetate | Pre-Filled Syringe 40 mg/ml 12 ml | $4080 | Yes |
102374 | Litfulo | Ritlecitinib | Capsule 50 mg 28 cap | $4080 | No |
20149 | Promacta | Eltrombopag | Tablet 50 mg 28 Tabs | $4080 | No |
101127 | Trazimera | Trastuzumab-qyyp | Powder Vial 440 mg 1 Vial | $4080 | Yes |
101141 | Trogarzo | Ibalizumab-uiyk | Vial 200/1.33 mg/ml 2.66 ml | $4080 | Yes |
10933 | Zytiga | Abiraterone | Tablet 500 mg 60 tab | $4080 | No |
101279 | Activase | Alteplase | Suspension Kit 50 mg 1 Kit | $4200 | No |
100143 | Banzel | Rufinamide | Tablet 400 mg 120 Tab | $4200 | No |
101605 | Cimzia | Certolizumab Pegol | Pre-Filled Syringe Kit 200 mg/ml 1 Kit | $4200 | Yes |
101627 | Copaxone | Glatiramer Acetate | Pre-Filled Syringe 20 mg/ml 30 ml | $4200 | Yes |
101628 | Copaxone | Glatiramer Acetate | Pre-Filled Syringe 40 mg/ml 12 ml | $4200 | Yes |
7850 | Cyramza | Ramucirumab | Vial 500 mg/ml 1 Vial | $4200 | Yes |
100295 | Droxidopa | Droxidopa | Capsule 200 mg 90 Cap | $4200 | No |
101721 | Dupixent | Dupilumab | Pre-Filled Syringe 100/0.67 mg/ml 1.34 ml | $4200 | Yes |
100312 | Elitek | Rasburicase | Powder Vial 1.5 mg 1 Vial | $4200 | Yes |
101842 | Eulexin | Flutamide | Capsule 125 mg 180 cap | $4200 | No |
100427 | Gammagard | Immune Globulin (Human) | Vial 20/200 g/ml 200 ml | $4200 | Yes |
101952 | Gammagard Liquid | Immune Globulin (Human) | Vial 30/300 g/ml 300 ml | $4200 | No |
100505 | Hemlibra | Emicizumab-kxwh | Vial 30 mg/ml 1 ml | $4200 | Yes |
11635 | Herceptin SC | Trastuzumab | Vial 600/5 mg/ml 5 ml | $4200 | Yes |
73488 | Lenvima | Lenvatinib | Capsule 4 mg 30 cap | $4200 | No |
73490 | Lenvima | Lenvatinib | Capsule 10 mg 30 cap | $4200 | No |
100705 | Monoferric | Ferric Derisomaltose | Vial 1000/10 mg/ml 10 ml | $4200 | No |
100733 | Neupogen | Filgrastim | Vial 300 mcg/ml 10 ml | $4200 | Yes |
102595 | Norditropin FlexPro | Somatropin | Autoinjector 30/3 mg/ml 3 ml | $4200 | Yes |
100774 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 2000 IU 2000 IU | $4200 | Yes |
100803 | Opdivo | Nivolumab | Vial 40/4 mg/ml 10 ml | $4200 | Yes |
24916 | Polivy | Polatuzumab Vedotin | Powder For Solution 30 mg 1 Kit | $4200 | Yes |
102851 | Prialt | Ziconotide Acetate | Vial 500/20 mcg/ml 20 ml | $4200 | Yes |
113068 | Qutenza | Capsaicin | Topical System 8 % 1 Kit | $4200 | No |
103002 | Revatio | Sildenafil Citrate | Tablet 20 mg 90 tab | $4200 | No |
60495 | Rinvoq ER | Upadacitinib | Tablet 45 mg 28 tab | $4200 | No |
36898 | Rinvoq ER | Upadacitinib | Tablet 45 mg 28 tab | $4200 | No |
103043 | Rituxan | Rituximab | Vial 500/50 mg/ml 50 ml | $4200 | Yes |
5767 | Rituxan | Rituximab | Injection 500 mg/50ml 50 ml | $4200 | No |
103049 | Rolvedon | Eflapegrastim-xnst | Pre-Filled Syringe 13.2/0.6 mg/ml 0.6 ml | $4200 | Yes |
103087 | Sandostatin LAR Depot | Octreotide Acetate | Vial Kit 20 mg 1 Kit | $4200 | Yes |
103148 | Skytrofa | Lonapegsomatropin-tcgd | Cartridge 5.2 mg 4 Cartridge | $4200 | Yes |
103232 | Sustol | Granisetron | Injection Kit 10/0.4 mg/ml 0.4 ml | $4200 | Yes |
103345 | Tepadina | Thiotepa | Powder Vial 100 mg 1 Vial | $4200 | Yes |
103352 | Tezspire | Tezepelumab-ekko | Autoinjector 210/1.91 mg/ml 1.91 ml | $4200 | Yes |
103353 | Tezspire | Tezepelumab-ekko | Pre-Filled Syringe 210/1.91 mg/ml 1.91 ml | $4200 | Yes |
103357 | Thalomid | Thalidomide | Capsule 50 mg 28 cap | $4200 | No |
7520 | TNKase | Tenecteplase | Vial 50 mg/Vial 10 ml | $4200 | No |
13032 | Venclexta | Venetoclax | Tablet 50 mg 84 Tabs | $4200 | No |
113966 | Verzenio | Abemaciclib | Tablet 50 mg 56 tab | $4200 | No |
103550 | Verzenio | Abemaciclib | Tablet 100 mg 14 tab | $4200 | No |
103551 | Verzenio | Abemaciclib | Tablet 150 mg 14 tab | $4200 | No |
103552 | Verzenio | Abemaciclib | Tablet 200 mg 14 tab | $4200 | No |
103553 | Verzenio | Abemaciclib | Tablet 50 mg 14 tab | $4200 | No |
7039 | Verzenio | Abemaciclib | Tablet 50 mg 28 tab | $4200 | No |
7040 | Verzenio | Abemaciclib | Tablet 100 mg 28 tab | $4200 | No |
7041 | Verzenio | Abemaciclib | Tablet 150 mg 28 tab | $4200 | No |
7042 | Verzenio | Abemaciclib | Tablet 200 mg 28 tab | $4200 | No |
100103 | Aranesp | Darbepoetin Alfa | Vial 100 mcg/ml 4 ml | $4320 | Yes |
100109 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 100 mcg/ml 2 ml | $4320 | Yes |
101515 | Biktarvy | Bictegravir/Emtricitabine/Tenofovir | Tablet 50/200/25 mg/mg/mg 30 tab | $4320 | No |
101516 | Biktarvy | Bictegravir/Emtricitabine/Tenofovir | Tablet 50/200/25 mg/mg/mg 30 tab | $4320 | No |
101517 | Biktarvy | Bictegravir/Emtricitabine/Tenofovir | Tablet 30/120/15 mg/mg/mg 30 tab | $4320 | No |
7653 | Blincyto | Blinatumomab | Vial 38.5 mg/Vial 1 Vial | $4320 | No |
100359 | Epogen | Epoetin Alfa | Vial 20000/2 iu/ml 20 ml | $4320 | Yes |
100362 | Epogen | Epoetin Alfa | Vial 20000 iu/ml 10 ml | $4320 | Yes |
11634 | Herceptin | Trastuzumab | Powder Vial 440 mg 1 Vial | $4320 | Yes |
100579 | Istodax | Romidepsin | Vial Kit 10 mg 1 ml | $4320 | No |
102382 | Lonsurf | Trifluridine/Tipiracil Hcl | Tablet 15/6.14 mg/mg 20 tab | $4320 | No |
7589 | Mayzent | Siponimod | Tablet 2 mg 28 tab | $4320 | Yes |
12070 | Neupogen | Filgrastim | Vial 480/1.6 mcg/ml 16 ml | $4320 | Yes |
102625 | Nplate | Romiplostim | Powder Vial 500 mcg 1 Vial | $4320 | Yes |
7631 | Nubeqa | Darolutamide | Tablet 300 mg 120 tab | $4320 | No |
100886 | Privigen | Immun Glob G(Igg)-Pro-Iga 0-50 | Vial 20/200 g/ml 200 ml | $4320 | No |
101091 | Temozolomide | Temozolomide | Capsule 140 mg 14 Cap | $4320 | No |
101212 | Xgeva | Denosumab | Vial 120/1.7 mg/ml 1.7 ml | $4320 | Yes |
101214 | Xifaxan | Rifaximin | Tablet 550 mg 60 Tab | $4320 | No |
101221 | Xyntha | Antihemophilic Factor (Recombinant) | Vial Kit 2000 IU 2000 IU | $4320 | Yes |
101227 | Zaltrap | ziv-Aflibercept | Vial 200/8 mg/ml 8 ml | $4320 | Yes |
100075 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 1000 IU 1000 IU | $4380 | Yes |
101122 | Tolvaptan | Tolvaptan | Tablet 15 mg 10 Tab | $4380 | No |
102249 | Kadcyla | Ado-Trastuzumab Emtansine | Powder Vial 100 mg 1 Vial | $4440 | Yes |
12068 | Neupogen | Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 8 ml | $4440 | No |
12094 | Noxafil | Posaconazole | Tablet 100 mg 60 tab | $4440 | No |
102817 | Polivy | Polatuzumab Vedotin-piiq | Powder Vial 30 mg 1 Vial | $4440 | Yes |
102828 | Ponvory Starter Pack | Ponesimod | Tablet 2-10 mg-mg 14 tab | $4440 | No |
103093 | Sarclisa | Isatuximab-irfc | Vial 500/25 mg/ml 25 ml | $4440 | Yes |
5610 | Tasigna | Nilotinib | Capsule 150 mg 112 cap | $4440 | No |
101402 | Apretude | Cabotegravir | Injection Kit 600/3 mg/ml 3 ml | $4500 | No |
100211 | Complera | Emtricitabine/Rilpivirine/Tenofovir | Tablet 200/25/300 mg 30 Tab | $4500 | No |
100623 | Kyprolis | Carfilzomib | Powder Vial 60 mg 1 Vial | $4500 | Yes |
100735 | Neupogen | Filgrastim | Pre-Filled Syringe 300/0.5 mcg/ml 5 ml | $4500 | Yes |
100741 | Nilutamide | Nilutamide | Tablet 150 mg 30 Tab | $4500 | No |
102692 | Opdivo | Nivolumab | Vial 120/12 mg/ml 12 ml | $4500 | Yes |
102709 | Orenitram ER Titration Pack | Treprostinil | Tablet 0.125-0.25 mg-mg 336 tab | $4500 | No |
100973 | Ruxience | Rituximab-pvvr | Vial 500/50 mg/ml 50 ml | $4500 | Yes |
100042 | Advate | Antihemophilic Factor (Recombinant) | Vial 2000IU (1801-2400) IU 2000 IU | $4560 | No |
100047 | Adynovate | Antihemophilic Factor (Recombinant) | Vial Kit 1500 IU 1500 IU | $4560 | No |
101401 | Aplenzin | Bupropion Hydrobromide | Tablet 522 mg 30 tab | $4560 | No |
101700 | Dificid | Fidaxomicin | Granules 40 mg/ml 136 ml | $4560 | No |
101701 | Dificid | Fidaxomicin | Tablet 200 mg 20 tab | $4560 | No |
102084 | Hycamtin | Topotecan Hcl | Capsule 1 mg 10 cap | $4560 | Yes |
100592 | Juluca | Dolutegravir/Rilpivirine | Tablet 50/25 mg 30 Tab | $4560 | No |
100614 | Kogenate FS | Antihemophilic Factor Viii (Recombinant) | Vial Kit 2000 IU 2000 IU | $4560 | No |
24991 | Kuvan | Tetrahydrobiopterin | Tablet 100 mg 120 tab | $4560 | No |
17290 | Lenvima | Lenvatinib | Capsule 8 mg 60 cap | $4560 | No |
102641 | Nuplazid | Pimavanserin | Capsule 34 mg 30 cap | $4560 | No |
102642 | Nuplazid | Pimavanserin | Tablet 10 mg 30 tab | $4560 | No |
102656 | Nuzyra | Omadacycline Tosylate | Vial 100 mg 10 Vial | $4560 | No |
102953 | Reblozyl | Luspatercept-aamt | Powder Vial 25 mg 1 Vial | $4560 | Yes |
100979 | Sandostatin | Octreotide Acetate | Vial Kit 10 mg 1 Kit | $4560 | Yes |
101123 | Tolvaptan | Tolvaptan | Tablet 30 mg 10 Tab | $4560 | No |
6746 | Xtandi | Enzalutamide | Capsule 40 mg 120 cap | $4560 | No |
20106 | Zytiga | Abiraterone Acetate | Tablet 250 mg 120 Tabs | $4560 | No |
103772 | Zinplava | Bezlotoxumab | Solution 1000/40 mg/ml 40 ml | $4620 | Yes |
46663 | Tobi Podhaler | Tobramycin | Capsule 28 mg 224 cap | $4638 | No |
100422 | Fuzeon | Enfuvirtide | Vial Kit 90 mg 60 ml | $4680 | No |
102427 | Lybalvi | Olanzapine/Samidorphan | Tablet 10/10 mg/mg 90 tab | $4680 | No |
102429 | Lybalvi | Olanzapine/Samidorphan | Tablet 15/10 mg/mg 90 tab | $4680 | No |
102431 | Lybalvi | Olanzapine/Samidorphan | Tablet 20/10 mg/mg 90 tab | $4680 | No |
102745 | Padcev | Enfortumab Vedotin-ejfv | Powder Vial 30 mg 1 Vial | $4680 | Yes |
103409 | Trelstar LA | Triptorelin Pamoate | Injection 22.5 mg 1 Kit | $4680 | No |
12546 | Tremfya | Guselkumab | Autoinjector 100 mg/ml 1 One-Press Auto-Injector | $4680 | Yes |
12551 | Tremfya | Guselkumab | Pre-Filled Syringe 100 mg/ml 1 PFS | $4680 | Yes |
7596 | Sylvant | Siltuximab | Vial 400 mg 1 Vial | $4800 | No |
101321 | Adynovate | Antihemophilic Factor (Recombinant) | Vial Kit 2000 IU 2000 IU | $4800 | Yes |
101343 | Afstyla | Antihemophilic Factor (Recombinant), Single Chain | Vial Kit 3000 IU 1 IU | $4800 | Yes |
105055 | Austedo | Deutetrabenazine | Tablet 6 mg 60 tab | $4800 | No |
101498 | Benefix | Coagulation Factor IX (Recombinant) | Vial Kit 3000 IU 3000 IU | $4800 | Yes |
100155 | Bexarotene | Bexarotene | Capsule 75 mg 100 Cap | $4800 | No |
100218 | Cosentyx | Secukinumab | Pre-Filled Syringe 75/0.5 mg/ml 1 ml | $4800 | Yes |
100277 | Deferiprone | Deferiprone | Tablet 500 mg 100 Tab | $4800 | No |
100301 | Dupixent | Dupilumab | Autoinjector 300/2 mg/ml 4 ml | $4800 | Yes |
100302 | Dupixent | Dupilumab | Pre-Filled Syringe 200/1.14 mg/ml 2.28 ml | $4800 | Yes |
100303 | Dupixent | Dupilumab | Pre-Filled Syringe 300/2 mg/ml 4 ml | $4800 | Yes |
100314 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 1500 IU 1500 IU | $4800 | Yes |
101833 | Esperoct | Antihemophilic Factor (Recombinant) | Vial Kit 2000 IU 2000 IU | $4800 | No |
100434 | Gammaked | Immune Globulin (Human) | Vial 20/200 g/ml 200 ml | $4800 | Yes |
100438 | Gammaplex | Immune Globulin (Human) | Vial 20/200 g/ml 200 ml | $4800 | No |
100439 | Gammaplex | Immune Globulin (Human) | Vial 20/400 g/ml 400 ml | $4800 | No |
101961 | Gamunex-C | Immune Globulin (Human) | Vial 40/400 g/ml 400 ml | $4800 | Yes |
102039 | Herceptin Hylecta | Trastuzumab/Hyaluronidase | Vial 120/2000 mg/iu/ml 5 ml | $4800 | Yes |
7677 | Ibavyr | Ribavirin | Tablet 400 mg 100 tab | $4800 | No |
102123 | Imfinzi | Durvalumab | Vial 500/10 mg/ml 10 ml | $4800 | Yes |
102137 | Increlex | Mecasermin | Vial 40/4 mg/ml 4 ml | $4800 | Yes |
41150 | Inqovi | Decitabine/Cedazuridine | Tablet 35/100 mg 5 tab | $4800 | No |
102169 | Invega Trinza | Paliperidone Palmitate | Pre-Filled Syringe 410/1.32 mg/ml 1.32 ml | $4800 | No |
102189 | Ixempra | Ixabepilone | Vial Kit 45 mg 1 Kit | $4800 | Yes |
11722 | Kadcyla | Trastuzumab Emtansine | Vial 160 mg 1 Vial | $4800 | No |
102314 | Kuvan | Sapropterin Dihydrochloride | Tablet 100 mg 120 tab | $4800 | No |
17291 | Lenvima | Lenvatinib | Capsule 10 mg 30 cap | $4800 | No |
100662 | Litfulo | Ritlecitinib Tosylate | Capsule 50 mg 28 Cap | $4800 | No |
8038 | Lorbrena | Lorlatinib | Tablet 25 mg 30 tab | $4800 | No |
102415 | Lupron Depot | Leuprolide Acetate | Injection Kit 22.5 mg 1 Kit | $4800 | No |
100678 | Lupron Depot-Ped | Leuprolide Acetate | Injection Kit 11.25 mg 1 Kit | $4800 | No |
102452 | Lytgobi | Futibatinib | Tablet 12 mg 21 tab | $4800 | No |
7588 | Mayzent | Siponimod | Tablet 0.25 mg 120 tab | $4800 | Yes |
102486 | Methitest | Methyltestosterone | Tablet 10 mg 100 tab | $4800 | No |
100746 | Nivestym | Filgrastim-aafi | Vial 480/1.6 mcg/ml 16 ml | $4800 | Yes |
100750 | Nivestym | Filgrastim-aafi | Pre-Filled Syringe 480/0.8 mcg/ml 8 ml | $4800 | Yes |
100756 | Novoeight | Antihemophilic Factor Viii (Recombinant) | Injection Kit 2000 IU 2000 IU | $4800 | No |
102620 | Novoseven RT with MixPro | Coagulation Factor Viia (Recombinant) | Powder Vial 2 mg 2000 mcg | $4800 | No |
100764 | Nucala | Mepolizumab | Autoinjector 100 mg/ml 1 ml | $4800 | Yes |
100765 | Nucala | Mepolizumab | Pre-Filled Syringe 100 mg/ml 1 ml | $4800 | Yes |
100766 | Nucala | Mepolizumab | Vial 100 mg/ml 1 ml | $4800 | No |
25012 | Ocaliva | Obeticholic Acid | Tablet 5 mg 30 tab | $4800 | No |
25013 | Ocaliva | Obeticholic Acid | Tablet 10 mg 30 tab | $4800 | No |
100787 | Octagam | Immun Globg(Igg)/Malt/Iga Ov51 | Vial 20/200 g/ml 200 ml | $4800 | No |
100793 | Odefsey | Emtricitabine/Rilpivirine/Tenofovir Alafenamide | Tablet 200/25/25 mg 30 Tab | $4800 | No |
111515 | Ofev | Nintedanib Esylate | Capsule 150 mg 60 cap | $4800 | No |
9412 | Ofev | Nintedanib | Capsule 150 mg 60 Caps | $4800 | No |
102701 | Orencia | Abatacept | Pre-Filled Syringe 50/0.4 mg/ml 1.6 ml | $4800 | Yes |
102702 | Orencia | Abatacept | Pre-Filled Syringe 87.5/0.7 mg/ml 2.8 ml | $4800 | Yes |
100844 | Panzyga | Immune Globulin | Vial 20/200 g/ml 200 ml | $4800 | No |
100880 | Prevymis | Letermovir | Tablet 240 mg 14 Tab | $4800 | No |
100881 | Prevymis | Letermovir | Tablet 480 mg 14 Tab | $4800 | No |
100899 | Prograf | Tacrolimus | Capsule 5 mg 100 Cap | $4800 | No |
102876 | Promacta | Eltrombopag Olamine | Tablet 12.5 mg 30 tab | $4800 | No |
102877 | Promacta | Eltrombopag Olamine | Tablet 25 mg 30 tab | $4800 | No |
5568 | Promacta | Eltrombopag | Tablet 50 mg 28 tab | $4800 | No |
100909 | Pulmozyme | Dornase Alfa | Ampule 1 mg/ml 75 ml | $4800 | Yes |
102939 | Ravicti | Glycerol Phenylbutyrate | Oral Liquid 1.1 g/ml 25 ml | $4800 | No |
100958 | Riabni | Rituximab-arrx | Vial 500/50 mg/ml 50 ml | $4800 | Yes |
103080 | Samsca | Tolvaptan | Tablet 15 mg 10 tab | $4800 | No |
103081 | Samsca | Tolvaptan | Tablet 30 mg 10 tab | $4800 | No |
103125 | Siliq | Brodalumab | Pre-Filled Syringe 210/1.5 mg/ml 3 ml | $4800 | Yes |
103129 | Simponi | Golimumab | Autoinjector 50/0.5 mg/ml 0.5 ml | $4800 | Yes |
103131 | Simponi | Golimumab | Pre-Filled Syringe 50/0.5 mg/ml 0.5 ml | $4800 | Yes |
101038 | Sunitinib | Sunitinib Malate | Capsule 12.5 mg 28 Cap | $4800 | No |
12460 | Sutent | Sunitinib | Capsule 25 mg 28 cap | $4800 | No |
103339 | Temodar | Temozolomide | Capsule 250 mg 5 cap | $4800 | No |
103505 | Valcyte | Valganciclovir Hcl | Tablet 450 mg 60 tab | $4800 | No |
103622 | Wellbutrin XL | Bupropion Hcl | Tablet 150 mg 90 tab | $4800 | No |
104695 | Wezlana | Ustekinumab-auub | Pre-Filled Syringe 45/0.5 mg/ml 0.5 ml | $4800 | Yes |
103708 | Xyntha | Antihemophilic Factor (Recombinant) | 3000 IU 3000 Unit | $4800 | Yes |
103746 | Zelapar ODT | Vemurafenib | Tablet 1.25 mg 60 tab | $4800 | No |
105051 | Abilify Asimtufii | Aripiprazole | Pre-Filled Syringe 720/2.4 mg/ml 2.4 ml | $4920 | No |
11668 | Imfinzi | Durvalumab | Vial 500 mg 10 ml | $4920 | Yes |
100618 | Kovaltry | Antihemophilic Factor Viii (Recombinant) | Vial Kit 2000 IU 2000 IU | $4920 | No |
81524 | Bimzelx | Bimekizumab-bkzx | Autoinjector 40/0.8 mg/ml 1.6 ml | $5040 | Yes |
81529 | Bimzelx | Bimekizumab-bkzx | PFS 40/0.8 mg/ml 1.6 ml | $5040 | Yes |
101521 | Blincyto | Blinatumomab | Vial Kit 35 mg 1 Kit | $5040 | Yes |
101599 | Cibinqo | Abrocitinib | Tablet 100 mg 30 tab | $5040 | No |
101600 | Cibinqo | Abrocitinib | Tablet 200 mg 30 tab | $5040 | No |
101601 | Cibinqo | Abrocitinib | Tablet 50 mg 30 tab | $5040 | No |
101651 | Crysvita | Burosumab-Twza | Vial 10 mg/ml 1 ml | $5040 | Yes |
76619 | Doptelet | Avatrombopag | Tablet 20 mg 30 tab | $5040 | No |
101760 | Elitek | Rasburicase | Powder Vial 7.5 mg 1 Vial | $5040 | Yes |
101764 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 2000 IU 2000 IU | $5040 | No |
101783 | Empaveli | Pegcetacoplan | Vial 1080/20 mg/ml 20 ml | $5040 | Yes |
100472 | Genvoya | Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide | Tablet 150/150/200/10 mg 30 Tab | $5040 | No |
100520 | Humatrope | Somatropin | Cartridge 24 mg 1 Cartridge | $5040 | Yes |
100597 | Kanjinti | Trastuzumab-anns | Vial 420 mg 1 Vial | $5040 | Yes |
102580 | Ngenla | Somatrogon-ghla | Autoinjector 60/1.2 mg/ml 1.2 ml | $5040 | Yes |
102770 | Panzyga | Immune globulin | Solution 30/300 g/ml 300 ml | $5040 | Yes |
100984 | Sapropterin | Sapropterin Dihydrochloride | Powder for Oral Solution 500 mg 30 Packet | $5040 | No |
103255 | Symtuza | Darunavir/Cobicistat/Emtricitabine/Tenof Alafenamide | Tablet 800/150/200/10 mg 30 tab | $5040 | No |
103558 | Vibativ | Telavancin Hcl | Powder Vial 750 mg 12 Vial | $5040 | Yes |
7043 | Zytiga | Abiraterone | Tablet 250 mg 120 tab | $5040 | No |
7044 | Zytiga | Abiraterone | Tablet 500 mg 60 tab | $5040 | No |
100099 | Apretude | Cabotegravir | Injection Kit 600/3 mg/ml 3 ml | $5100 | No |
100593 | Kadcyla | Ado-Trastuzumab Emtansine | Powder Vial 100 mg 1 Vial | $5100 | Yes |
100635 | Lenvima | Lenvatinib Mesylate | Capsule 10 mg daily 5 Cap | $5100 | No |
100637 | Lenvima | Lenvatinib Mesylate | Capsule 12 mg daily 15 Cap | $5100 | No |
100639 | Lenvima | Lenvatinib Mesylate | Capsule 14 mg daily 10 Cap | $5100 | No |
100641 | Lenvima | Lenvatinib Mesylate | Capsule 18 mg daily 15 Cap | $5100 | No |
100643 | Lenvima | Lenvatinib Mesylate | Capsule 20 mg daily 10 Cap | $5100 | No |
100645 | Lenvima | Lenvatinib Mesylate | Capsule 24 mg daily 15 Cap | $5100 | No |
100647 | Lenvima | Lenvatinib Mesylate | Capsule 4 mg daily 5 Cap | $5100 | No |
100649 | Lenvima | Lenvatinib Mesylate | Capsule 8 mg daily 10 Cap | $5100 | No |
100692 | Mekinist | Trametinib Dimethyl Sulfoxide | Tablet 0.5 mg 30 Tab | $5100 | Yes |
102563 | Neupogen | Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 8 ml | $5100 | Yes |
100804 | Opdivo | Nivolumab | Vial 120/12 mg/ml 12 ml | $5100 | Yes |
100927 | Reblozyl | Luspatercept-aamt | Powder Vial 25 mg 1 Vial | $5100 | Yes |
101139 | Triumeq | Abacavir/Dolutegravir/Lamivudi | Tablet 50/600/300 mg 30 Tab | $5100 | No |
101172 | Verzenio | Abemaciclib | Tablet 150 mg 14 Tab | $5100 | No |
101245 | Ziextenzo | Pegfilgrastim-bmez | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $5100 | Yes |
101246 | Zinplava | Bezlotoxumab | Vial 1000/40 mg/ml 40 ml | $5100 | Yes |
101316 | Advate | Antihemophilic Factor (Recombinant) | Vial 3000 IU 3000 IU | $5160 | Yes |
101462 | Austedo | Deutetrabenazine | Tablet 9 mg 60 tab | $5160 | No |
101500 | Benlysta | Belimumab | Autoinjector 200 mg/ml 4 ml | $5160 | Yes |
101501 | Benlysta | Belimumab | Pre-Filled Syringe 200 mg/ml 4 ml | $5160 | Yes |
100159 | Biktarvy | Bictegravir/Emtricitabine/Tenofovir | Tablet 30/120/15 mg 30 Tab | $5160 | No |
100160 | Biktarvy | Bictegravir/Emtricitabine/Tenofovir | Tablet 50-200-25 mg 30 Tab | $5160 | No |
101558 | Cabenuva | Cabotegravir/Rilpivirine | Injection Kit 400/600 mg/mg 4 ml | $5160 | Yes |
101607 | Cimzia | Certolizumab Pegol | Vial Kit 200 mg/ml 1 Vial | $5160 | Yes |
7649 | Fasenra | Benralizumab | Pre-Filled Syringe 30 mg/ml 1 PFS | $5160 | Yes |
11529 | Fasenra | Benralizumab | Autoinjector 30 mg/ml 1 ml | $5160 | Yes |
100780 | Nyvepria | Pegfilgrastim-apgf | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $5160 | Yes |
7884 | Perjeta | Pertuzumab | Vial 420 mg 14 ml | $5160 | Yes |
103225 | Sunlenca | Lenacapavir Sodium | Tablet 300 mg 5 tab | $5160 | No |
12560 | Tukysa | Tucatinib | Tablet 50 mg 60 tab | $5160 | No |
103504 | Valchlor | Mechlorethamine | Gel Tube 0.00016 % 60 g | $5160 | Yes |
7628 | Vizimpro | Dacomitinib | Tablet 15 mg 30 tab | $5160 | No |
7629 | Vizimpro | Dacomitinib | Tablet 30 mg 30 tab | $5160 | No |
7630 | Vizimpro | Dacomitinib | Tablet 45 mg 30 tab | $5160 | No |
104693 | Wezlana | Ustekinumab-auub | Pre-Filled Syringe 90 mg/ml 1 ml | $5160 | Yes |
100035 | Adbry | Tralokinumab | Pre-Filled Syringe 150 mg/ml 4 ml | $5280 | Yes |
100036 | Adcirca | Tadalafil | Tablet 20 mg 60 Tab | $5280 | No |
100065 | Alimta | Pemetrexed | Powder Vial 500 mg 1 Vial | $5280 | No |
100066 | Alinia | Nitazoxanide | Tablet 500 mg 30 Tab | $5280 | No |
100299 | Dupixent | Dupilumab | Autoinjector 200/1.4 mg/ml 2.28 ml | $5280 | Yes |
7197 | Esbriet | Pirfenidone | Tablet 267 mg 270 tab | $5280 | No |
100494 | Granix | tbo-Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 8 ml | $5280 | Yes |
100541 | Hyqvia | Immune Globulin (Human) | Vial 20/200 g/ml 210 ml | $5280 | Yes |
100848 | Parsabiv | Etelcalcetide Hydrochloride | Vial 10/2 mg/ml 20 ml | $5280 | Yes |
102829 | Portrazza | Necitumumab | Vial 800/50 mg/ml 50 ml | $5280 | Yes |
7198 | Esbriet | Pirfenidone | Tablet 801 mg 90 tab | $5350 | No |
101373 | Alunbrig | Brigatinib | Tablet 30 mg 30 tab | $5400 | No |
100115 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 500 mcg/ml 1 ml | $5400 | Yes |
100181 | Cabenuva | Cabotegravir/Rilpivirine | Injection Kit 400/600 mg/ml 4 ml | $5400 | Yes |
101635 | Cosentyx | Secukinumab | Pre-Filled Syringe 150 mg/ml 2 ml | $5400 | Yes |
107517 | Cosentyx Sensoready | Secukinumab | Autoinjector 150 mg/ml 2 ml | $5400 | Yes |
107516 | Cosentyx Unoready | Secukinumab | Autoinjector 300/2 mg/ml 2 ml | $5400 | Yes |
100332 | Enbrel | Etanercept | Vial 25/0.5 mg/ml 2 ml | $5400 | Yes |
100333 | Enbrel | Etanercept | Pre-Filled Syringe 25 mg/ml 2 ml | $5400 | Yes |
109905 | Erleada | Apalutamide | Tablet 240 mg 30 tab | $5400 | No |
56856 | Erleada | Apalutamide | Tablet 60 mg 120 tab | $5400 | No |
100370 | Erlotinib HCl | Erlotinib HCl | Tablet 100 mg 30 Tab | $5400 | No |
17701 | Esbriet | Pirfenidone | Capsule 267 mg 270 cap | $5400 | No |
101863 | Exjade | Deferasirox | Tablet 500 mg 30 tab | $5400 | No |
100414 | Forteo | Teriparatide | Autoinjector 250 mcg/ml 2.4 ml | $5400 | Yes |
102088 | Hyqvia | Immune Globulin (Human) | Vial 30/300 g/ml 300 ml | $5400 | Yes |
102105 | Idelvion | Coagulation Factor IX (Recombinant) | Powder Vial 1000 IU 1000 IU | $5400 | No |
102199 | Jadenu | Deferasirox | Tablet 360 mg 30 tab | $5400 | No |
102196 | Jadenu Sprinkle | Deferasirox | Granules 360 mg 30 Granule | $5400 | No |
102236 | Jivi | Antihemophilic Factor Viii (Recombinant) | Vial 2000 IU 2000 IU | $5400 | Yes |
100600 | Kevzara | Sarilumab | Autoinjector 200/1.14 mg/ml 2.28 ml | $5400 | Yes |
100601 | Kevzara | Sarilumab | Autoinjector 200/1.14 mg/ml 2.28 ml | $5400 | Yes |
100602 | Kevzara | Sarilumab | Pre-Filled Syringe 150/1.14 mg/ml 2.28 ml | $5400 | Yes |
100603 | Kevzara | Sarilumab | Pre-Filled Syringe 200/1.14 mg/ml 2.28 ml | $5400 | Yes |
100679 | Lupron Depot-Ped | Leuprolide Acetate | Injection Kit 15 mg 1 Kit | $5400 | No |
102433 | Lybalvi | Olanzapine/Samidorphan | Tablet 5/10 mg/mg 90 tab | $5400 | No |
100776 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 2500 IU 2500 IU | $5400 | Yes |
89377 | Omvoh | Mirikizumab | Autoinjector 100/2 mg/ml 4 ml | $5400 | Yes |
89385 | Omvoh | Mirikizumab | Vial 20 mg/ml 15 ml | $5400 | Yes |
102696 | Opsumit | Macitentan | Tablet 10 mg 15 tab | $5400 | No |
100852 | Pegasys | Peginterferon Alfa-2A | Pre-Filled Syringe 180/0.5 mcg/ml 2 ml | $5400 | Yes |
102949 | Rebinyn | Coagulation Factor Ix (Recombinant), Glycopegylated | Vial 1000 IU 1000 IU | $5400 | No |
24919 | Retevmo | Relpercatinib | Capsule 40 mg 60 cap | $5400 | No |
103046 | Rixubis | Factor Ix Human Recombinant | Vial Kit 3000 IU 3000 IU | $5400 | No |
25019 | Rukobia | Fostemsavir | Tablet 600 mg 60 tab | $5400 | No |
103128 | Simponi | Golimumab | Autoinjector 100 mg/ml 1 ml | $5400 | Yes |
103130 | Simponi | Golimumab | Pre-Filled Syringe 100 mg/ml 1 ml | $5400 | Yes |
103149 | Skytrofa | Lonapegsomatropin-tcgd | Cartridge 6.3 mg 4 Cartridge | $5400 | Yes |
101037 | Stribild | Elviteg/Cob/Emtri/Tenofo Disop | Tablet 150/150/200/245 mg 30 Tab | $5400 | No |
103241 | Sylvant | Siltuximab | Powder Vial 400 mg 1 Vial | $5400 | Yes |
103361 | Thyrogen | Thyrotropin Alfa | Powder Vial 0.9 mg 2 Vial | $5400 | Yes |
101112 | Thyrogen | Thyrotropin Alfa | Powder Vial 0.9 mg 2 Vial | $5400 | Yes |
101118 | Tobramycin | Tobramycin | Nebule 300/4 mg/ml 224 ml | $5400 | Yes |
101152 | Udenyca | Pegfilgrastim-cbqv | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $5400 | Yes |
101365 | Altuviiio | Antihemophilic Factor (Recombinant) | Injection Kit 1000 IU 1000 IU | $5490 | Yes |
101706 | Dojolvi | Triheptanoin | Oral Liquid 100 % 500 ml | $5520 | No |
6806 | Gleevec | Imatinib | Tablet 100 mg 120 tab | $5520 | No |
6807 | Gleevec | Imatinib | Tablet 400 mg 30 tab | $5520 | No |
102289 | Kimyrsa | Oritavancin | Powder Vial 1200 mg 1 Vial | $5520 | No |
103034 | Rinvoq | Upadacitinib | Tablet 15 mg 30 tab | $5520 | No |
103035 | Rinvoq | Upadacitinib | Tablet 30 mg 30 tab | $5520 | No |
102383 | Lonsurf | Trifluridine/Tipiracil Hcl | Tablet 20/8.19 mg/mg 20 tab | $5640 | No |
102830 | Poteligeo | Mogamulizumab-kpkc | Vial 20/5 mg/ml 5 ml | $5640 | No |
100896 | Procrit | Epoetin Alfa | Vial 40000 iu w/ Protec 4 ml | $5640 | Yes |
7230 | Sprycel | Dasatinib | Tablet 80 mg 30 tab | $5640 | No |
101093 | Temozolomide | Temozolomide | Capsule 180 mg 14 Cap | $5640 | No |
103383 | TNKase | Tenecteplase | Vial Kit 50 mg 1 Kit | $5640 | Yes |
101119 | Tobramycin | Tobramycin | Nebule 300/5 mg/ml 280 ml | $5640 | Yes |
100876 | Ponvory | Ponesimod | Tablet 2-10 mg 14 Tab | $5700 | No |
101449 | Asceniv | Immune Globulin | Vial 5/50 g/ml 50 ml | $5760 | Yes |
101511 | Bethkis | Tobramycin | Ampule 300/4 mg/ml 224 ml | $5760 | Yes |
100538 | Hycamtin | Topotecan Hcl | Capsule 1 mg 10 Cap | $5760 | Yes |
24995 | Kuvan | Tetrahydrobiopterin | Powder 500 mg 30 Sachet | $5760 | No |
7924 | Lynparza | Olaparib | Tablet 100 mg 60 tab | $5760 | No |
7926 | Lynparza | Olaparib | Tablet 150 mg 60 tab | $5760 | No |
102607 | Novoeight | Antihemophilic Factor Viii (Recombinant) | Injection Kit 3000 IU 3000 IU | $5760 | No |
102857 | Privigen | Immun Glob G(Igg)-Pro-Iga 0-50 | Vial 40/400 g/ml 400 ml | $5760 | No |
12337 | Rituxan SC | Rituximab | Vial 120 mg/ml 20 ml | $5760 | No |
103679 | Xiaflex | Collagenase Clostridium Histolyticum | Powder Vial 0.9 mg 1 Vial | $5760 | Yes |
101708 | Doptelet | Avatrombopag | Tablet 20 mg 15 tab | $5880 | No |
17292 | Lenvima | Lenvatinib | Capsule 14 mg 60 cap | $5880 | No |
102673 | Olumiant | Baricitinib | Tablet 4 mg 30 tab | $5880 | No |
102802 | Pheburane | Sodium Phenylbutyrate | Granules 483 mg/g 174 g | $5880 | No |
103177 | Sotyktu | Deucravacitinib | Tablet 6 mg 30 tab | $5880 | No |
7900 | Votrient | Pazopanib | Tablet 200 mg 120 tab | $5880 | No |
100119 | Asceniv | Immune Globulin | Vial 5/50 g/ml 50 ml | $6000 | Yes |
101466 | Avonex | Interferon Beta-1A | Autoinjector 30/0.5 mcg/ml 1 Kit | $6000 | Yes |
101467 | Avonex | Interferon Beta-1A | Pre-Filled Syringe 30/0.5 mcg/ml 1 Kit | $6000 | Yes |
100283 | Dimethyl Fumarate | Dimethyl Fumarate | Capsule 240 mg 60 Cap | $6000 | No |
100284 | Dimethyl Fumarate | Dimethyl Fumarate | Capsule 120/240 mg 60 Cap | $6000 | No |
17969 | Entyvio | Vedolizumab | Vial 300 mg 1 Vial | $6000 | Yes |
100371 | Erlotinib HCl | Erlotinib HCl | Tablet 150 mg 30 Tab | $6000 | No |
101883 | Fasenra | Benralizumab | Autoinjector 30 mg/ml 1 ml | $6000 | Yes |
101884 | Fasenra | Benralizumab | Pre-Filled Syringe 30 mg/ml 1 ml | $6000 | Yes |
24975 | Firazyr | Icatibant | Pre-Filled Syringe 30/3 mg/ml 1 PFS | $6000 | Yes |
101918 | Folotyn | Pralatrexate | Vial 20 mg/ml 1 ml | $6000 | Yes |
100428 | Gammagard | Immune Globulin (Human) | Vial 30/300 g/ml 300 ml | $6000 | Yes |
100507 | Herceptin Hylecta | Trastuzumab/Hyaluronidase | Vial 600/5 mg/ml 5 ml | $6000 | Yes |
9481 | Ibrance | Palbociclib | Tablet 75 mg 21 Tabs | $6000 | No |
9482 | Ibrance | Palbociclib | Tablet 100 mg 21 Tabs | $6000 | No |
9489 | Ibrance | Palbociclib | Tablet 125 mg 21 Tabs | $6000 | No |
102193 | Ixinity | Factor IX, Recombinant Human | Injection Kit 3000 IU 3000 IU | $6000 | No |
100589 | Jivi | Antihemophilic Factor Viii (Recombinant) | Vial 2000 IU 2000 IU | $6000 | No |
11726 | Keytruda | Pembrolizumab | Vial 100/4 mg/ml 4 ml | $6000 | No |
102294 | Kisqali Femara Copack | Ribociclib | Tablet 200/2.5 mg/mg 49 tab | $6000 | No |
102303 | Koselugo | Selumetinib | Capsule 10 mg 60 cap | $6000 | No |
102308 | Kovaltry | Antihemophilic Factor Viii (Recombinant) | Vial Kit 3000 IU 3000 IU | $6000 | Yes |
102313 | Kuvan | Sapropterin Dihydrochloride | Oral Powder 500 mg 30 Packet | $6000 | No |
102417 | Lupron Depot | Leuprolide Acetate | Injection Kit 30 mg 1 Kit | $6000 | No |
102453 | Lytgobi | Futibatinib | Tablet 16 mg 28 tab | $6000 | No |
102559 | Neulasta | Pegfilgrastim | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $6000 | Yes |
102558 | Neulasta Onpro | Pegfilgrastim | Injection Kit 6/0.6 mg/ml 0.6 ml | $6000 | Yes |
102706 | Orenitram ER | Treprostinil | Tablet 1 mg 100 tab | $6000 | No |
102865 | Procysbi | Cysteamine Bitartrate | Capsule 25 mg 60 cap | $6000 | Yes |
102868 | Procysbi | Cysteamine Bitartrate | Granule Packet 75 mg 60 Packet | $6000 | Yes |
31912 | Remodulin | Treprostinil | Vial 5 mg/ml 20 ml | $6000 | No |
100968 | Rituxan | Rituximab | Vial 500/50 mg/50ml 50 ml | $6000 | Yes |
103076 | Sabril | Vigabatrin | Powder Sachet 500 mg 50 Sachet | $6000 | No |
100980 | Sandostatin | Octreotide Acetate | Vial Kit 20 mg 1 Kit | $6000 | Yes |
103088 | Sandostatin LAR Depot | Octreotide Acetate | Vial Kit 30 mg 1 Kit | $6000 | Yes |
103090 | Saphnelo | Anifrolumab-fnia | Vial 300/2 mg/ml 2 ml | $6000 | Yes |
25748 | Scemblix | Asciminib | Tablet 20 mg 60 tab | $6000 | No |
101043 | Sustol | Granisetron | Pre-Filled Syringe 10/0.4 mg/ml 2.4 ml | $6000 | Yes |
103235 | Sutent | Sunitinib Malate | Capsule 12.5 mg 28 cap | $6000 | No |
101048 | Symtuza | Darunavir/Cob/Emtri/Tenof Alaf | Tablet 800/150/200/10 mg 30 Tab | $6000 | No |
103285 | Tabloid | Thioguanine | Tablet 40 mg 25 tab | $6000 | No |
103298 | Taltz | Ixekizumab | Autoinjector 80 mg/ml 1 ml | $6000 | Yes |
103299 | Taltz | Ixekizumab | Pre-Filled Syringe 80 mg/ml 1 ml | $6000 | Yes |
103325 | Tecfidera | Dimethyl Fumarate | Capsule 240 mg 60 cap | $6000 | No |
101107 | Tezspire | Tezepelumab-ekko | Autoinjector 210/1.91 mg/ml 1.91 ml | $6000 | Yes |
101144 | Truxima | Rituximab-abbs | Vial 500 mg/50ml 50 ml | $6000 | Yes |
103523 | Vectibix | Panitumumab | Vial 400/20 mg/ml 20 ml | $6000 | Yes |
101199 | Xeljanz | Tofacitinib Citrate | Oral Solution 1 mg/ml 240 ml | $6000 | No |
101231 | Zarxio | Filgrastim-sndz | Pre-Filled Syringe 480/0.8 mcg/ml 8 ml | $6000 | Yes |
101357 | Aliqopa | Copanlisib | Vial 60 mg 1 Vial | $6120 | Yes |
101120 | Tobramycin | Tobramycin | Nebule 300/5 mg/ml 280 ml | $6120 | Yes |
100079 | Altuviiio | Antihemophilic Factor (Recombinant) | Injection Kit 1000 IU 1000 IU | $6240 | Yes |
100110 | Aranesp | Darbepoetin Alfa | Pre-Filled Syringe 150/0.3 mcg/ml 1.2 ml | $6240 | Yes |
102291 | Kisqali 200mg daily | Ribociclib | Tablet 200 mg 21 tab | $6240 | No |
100758 | Novoseven RT | Coagulation Factor Viia (Recombinant) | Powder Vial 2 mg 2000 mcg | $6240 | No |
103150 | Skytrofa | Lonapegsomatropin-tcgd | Cartridge 7.6 mg 4 Cartridge | $6240 | Yes |
5612 | Tasigna | Nilotinib | Capsule 200 mg 112 cap | $6240 | No |
100132 | Austedo | Deutetrabenazine | Tablet 6 mg 60 Tab | $6300 | No |
100134 | Austedo XR | Deutetrabenazine | Tablet 12 mg(24 Hours) 30 Tab | $6300 | No |
100149 | Benefix | Coagulation Factor IX (Recombinant) | Vial Kit 3000 IU 3000 IU | $6300 | No |
100281 | Dificid | Fidaxomicin | Tablet 200 mg 20 Tab | $6300 | No |
102170 | Invega Trinza | Paliperidone Palmitate | Pre-Filled Syringe 546/1.75 mg/ml 1.75 ml | $6300 | No |
18684 | Mavenclad | Cladribine | Tablet 10 mg 1 tab | $6300 | No |
101080 | Tasigna | Nilotinib | Capsule 150 mg 28 Cap | $6300 | No |
101082 | Tasigna | Nilotinib | Capsule 200 mg 28 Cap | $6300 | No |
101106 | Tezspire | Tezepelumab-ekko | Pre-Filled Syringe 210/1.91 mg/ml 1.91 ml | $6300 | Yes |
103040 | Rituxan Hycela | Rituximab/Hyaluronidase | Vial 1400/11.7 mg/ml 11.7 ml | $6360 | Yes |
7228 | Sprycel | Dasatinib | Tablet 50 mg 60 tab | $6360 | No |
7231 | Sprycel | Dasatinib | Tablet 100 mg 30 tab | $6360 | No |
101132 | Trelstar | Triptorelin Pamoate | Injection 22.5 mg 1 Kit | $6360 | No |
101553 | Buphenyl | Sodium Phenylbutyrate | Tablet 500 mg 250 tab | $6480 | No |
101659 | Cyltezo CF | Adalimumab-Adbm | Autoinjector 40/0.8 mg/ml 2 Autoinjector | $6480 | Yes |
101662 | Cyltezo CF | Adalimumab-Adbm | Pre-Filled Syringe 40/0.8 mg/ml 2 PFS | $6480 | Yes |
102598 | Northera | Droxidopa | Capsule 200 mg 90 cap | $6480 | No |
102903 | Pyrukynd Taper Pack | Mitapivat Sulfate | Tablet 20/50 mg/mg 14 tab | $6480 | No |
102904 | Pyrukynd Taper Pack | Mitapivat Sulfate | Tablet 5/20 mg/mg 14 tab | $6480 | No |
101263 | Abilify Asimtufii | Aripiprazole | Pre-Filled Syringe 960/3.2 mg/ml 3.2 ml | $6600 | No |
101317 | Advate | Antihemophilic Factor (Recombinant) | Vial 4000 IU 4000 IU | $6600 | Yes |
100044 | Advate | Antihemophilic Factor (Recombinant) | Vial 3000IU (2401-3600) IU 3000 IU | $6600 | No |
11154 | Bosulif | Bosutinib | Tablet 500 mg 28 tab | $6600 | No |
57675 | Cablivi | Caplacizumab | Powder Vial 11 mg 1 cap | $6600 | Yes |
55842 | Camzyos | Mavacamten | Capsule 10 mg 30 cap | $6600 | No |
55843 | Camzyos | Mavacamten | Capsule 15 mg 30 cap | $6600 | No |
55844 | Camzyos | Mavacamten | Capsule 5 mg 30 cap | $6600 | No |
55845 | Camzyos | Mavacamten | Capsule 2.5 mg 30 cap | $6600 | No |
101687 | Depen | Penicillamine | Tablet 250 mg 100 tab | $6600 | No |
100296 | Droxidopa | Droxidopa | Capsule 300 mg 90 Cap | $6600 | No |
101887 | Feiba NF | Prothrombin Complex Concentrate, Activated, From Human Plasma | Injection Kit 2500 IU 2500 IU | $6600 | No |
102134 | Imlygic | Talimogene Laherparepvec | Vial 100,000,000 PFU/ml 1 ml | $6600 | Yes |
102182 | Iressa | Gefitinib | Tablet 250 mg 30 tab | $6600 | No |
102286 | Keytruda | Pembrolizumab | Vial 100/4 mg/ml 4 ml | $6600 | Yes |
100674 | Lupron Depot | Leuprolide Acetate | Injection Kit 11.25 mg 1 Kit | $6600 | No |
102422 | Lupron Depot PED | Leuprolide Acetate | Injection Kit 30 mg 1 Kit | $6600 | No |
100734 | Neupogen | Filgrastim | Vial 480/1.6 mcg/ml 16 ml | $6600 | Yes |
100740 | Ngenla | Somatrogon-ghla | Autoinjector 60/1.2 mg/ml 1.2 ml | $6600 | Yes |
100753 | Norditropin | Somatropin | Autoinjector 30/3 mg/ml 3 ml | $6600 | Yes |
100763 | Nplate | Romiplostim | Powder Vial 500 mcg/ml 1 Vial | $6600 | Yes |
100777 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 3000 IU 3000 IU | $6600 | Yes |
102788 | Perjeta | Pertuzumab | Vial 420/14 mg/ml 14 ml | $6600 | Yes |
103041 | Rituxan Hycela | Rituximab/Hyaluronidase | Vial 1600/13.4 mg/ml 13.4 ml | $6600 | Yes |
12399 | Signifor LAR | Pasireotide | Injection Kit 20 mg/Vial 1 Kit | $6600 | Yes |
12400 | Signifor LAR | Pasireotide | Injection Kit 30 mg/Vial 1 Kit | $6600 | Yes |
12405 | Signifor LAR | Pasireotide | Injection Kit 40 mg/Vial 1 Kit | $6600 | Yes |
12406 | Signifor LAR | Pasireotide | Injection Kit 60 mg/Vial 1 Kit | $6600 | Yes |
100998 | Siliq | Brodalumab | Pre-Filled Syringe 210/1.5 mg/ml 3 ml | $6600 | Yes |
103192 | Sprycel | Dasatinib | Tablet 20 mg 60 tab | $6600 | No |
103222 | Sucraid | Sacrosidase | Oral Solution 8500 IU/ml 236 ml | $6600 | Yes |
103308 | Tarceva | Erlotinib Hcl | Tablet 100 mg 30 tab | $6600 | No |
7717 | Tecentriq | Atezolizumab | Vial 60 mg/ml 14 ml | $6600 | No |
103354 | Thalomid | Thalidomide | Capsule 100 mg 28 cap | $6600 | No |
101111 | Thalomid | Thalidomide | Capsule 50 mg 28 Cap | $6600 | No |
103460 | Tukysa | Tucatinib | Tablet 50 mg 60 tab | $6600 | No |
103612 | Vyvgart | Efgartigimod Alfa-fcab | Vial 400/20 mg/ml 20 ml | $6600 | Yes |
103751 | Zepatier | Elbasvir/Grazoprevir | Tablet 50/100 mg/mg 28 tab | $6600 | No |
9490 | Zolinza | Vorinostat | Capsule 100 mg 120 cap | $6600 | No |
101323 | Adynovate | Antihemophilic Factor (Recombinant) | Vial Kit 3000 IU 3000 IU | $6720 | Yes |
101133 | Trelstar | Triptorelin Pamoate | Injection 22.5 mg (6 Month) 1 Kit | $6720 | No |
101460 | Austedo | Deutetrabenazine | Tablet 12 mg 60 tab | $6840 | No |
102250 | Kadcyla | Ado-Trastuzumab Emtansine | Powder Vial 160 mg 1 Vial | $6840 | Yes |
100615 | Kogenate FS | Antihemophilic Factor Viii (Recombinant) | Vial Kit 3000 IU 3000 IU | $6840 | No |
103747 | Zelboraf | Vemurafenib | Tablet 240 mg 112 tab | $6840 | No |
100133 | Austedo | Deutetrabenazine | Tablet 9 mg 60 Tab | $6900 | No |
102711 | Orenitram ER Titration Pack | Treprostinil | Tablet 0.125-0.25 mg-mg 252 tab | $6900 | No |
100814 | Otezla | Apremilast | Tablet 30 mg 60 Tab | $6900 | No |
100815 | Otezla | Apremilast | Tablet 10/20/30 mg 55 Tab | $6900 | No |
100976 | Samsca | Tolvaptan | Tablet 15 mg 10 Tab | $6900 | No |
101396 | Aphexda | Motixafortide | Powder Vial 62 mg 1 Vial | $6960 | Yes |
101660 | Cyltezo CF | Adalimumab-Adbm | Pre-Filled Syringe 10/0.2 mg/ml 2 PFS | $6960 | Yes |
101661 | Cyltezo CF | Adalimumab-Adbm | Pre-Filled Syringe 20/0.4 mg/ml 2 PFS | $6960 | Yes |
102969 | Remodulin | Treprostinil Sodium | Vial 100/20 mg/ml 20 ml | $6960 | No |
7232 | Sprycel | Dasatinib | Tablet 140 mg 30 tab | $6960 | No |
103303 | Talzenna | Talazoparib Tosylate | Capsule 0.25 mg 30 cap | $6960 | No |
101162 | Valcyte | Valganciclovir HCl | Tablet 450 mg 60 Tab | $6960 | No |
10000007 | Fruzaqla | Fruquintinib | Capsule 1 mg 21 cap | $7080 | No |
7229 | Sprycel | Dasatinib | Tablet 70 mg 60 tab | $7080 | No |
11045 | Antizol | Fomepizole | Vial 1 g/ml 6 ml | $7200 | No |
101509 | Betaseron | Interferon Beta-1B | Powder Vial 0.3 mg 14 Vial | $7200 | No |
101744 | Egrifta SV | Tesamorelin | Vial 2 mg 30 Vial | $7200 | No |
101745 | Elahere | Mirvetuximab Soravtansine-Gynx | Vial 100/20 mg/ml 20 ml | $7200 | Yes |
100313 | Elitek | Rasburicase | Powder Vial 7.5 mg 1 Vial | $7200 | Yes |
101834 | Esperoct | Antihemophilic Factor (Recombinant) | Vial Kit 3000 IU 3000 IU | $7200 | No |
101867 | Extavia | Interferon Beta-1B | Powder Vial 0.3 mg 15 Vial | $7200 | No |
101872 | Fabrazyme | Agalsidase Beta | Powder Vial 35 mg 1 Vial | $7200 | Yes |
100446 | Gamunex-C | Immune Globulin (Human) | Vial 40/400 g/ml 400 ml | $7200 | Yes |
17930 | Gazyva | Obinutuzumab | Vial 25 mg/ml 40 ml | $7200 | Yes |
101996 | Gleevec | Imatinib | Tablet 100 mg 90 tab | $7200 | No |
102002 | Glumetza | Metformin Hcl | Tablet 1000 mg 90 tab | $7200 | No |
102036 | Hemlibra | Emicizumab-kxwh | Vial 60/0.4 mg/ml 0.4 ml | $7200 | Yes |
17694 | Ibrance | Palbociclib | Capsule 75 mg 21 cap | $7200 | No |
17698 | Ibrance | Palbociclib | Capsule 125 mg 21 cap | $7200 | No |
5615 | Ibrance | Palbociclib | Tablet 75 mg 21 tab | $7200 | No |
5618 | Ibrance | Palbociclib | Tablet 100 mg 21 tab | $7200 | No |
5619 | Ibrance | Palbociclib | Tablet 125 mg 21 tab | $7200 | No |
17696 | Ibrance | Palbociclib | Capsule 100 mg 21 cap | $7200 | No |
7019 | Jakafi | Ruxolitinib | Tablet 5 mg 56 tab | $7200 | No |
7020 | Jakafi | Ruxolitinib | Tablet 10 mg 56 tab | $7200 | No |
7021 | Jakafi | Ruxolitinib | Tablet 15 mg 56 tab | $7200 | No |
7022 | Jakafi | Ruxolitinib | Tablet 20 mg 56 tab | $7200 | No |
100604 | Keytruda | Pembrolizumab | Vial 100/4 mg/ml 4 ml | $7200 | Yes |
102304 | Koselugo | Selumetinib | Capsule 25 mg 28 cap | $7200 | No |
17293 | Lenvima | Lenvatinib | Capsule 18 mg 90 cap | $7200 | No |
102352 | Letairis | Ambrisentan | Tablet 10 mg 30 tab | $7200 | No |
102353 | Letairis | Ambrisentan | Tablet 5 mg 30 tab | $7200 | No |
102378 | Livtencity | Maribavir | Tablet 200 mg 28 tab | $7200 | No |
100666 | Lonsurf | Trifluridine/Tipiracil Hcl | Tablet 20/8.18 mg 20 Tab | $7200 | No |
102454 | Lytgobi | Futibatinib | Tablet 20 mg 35 tab | $7200 | No |
102533 | Mylotarg | Gemtuzumab Ozogamicin | Vial 4.5 mg 1 Vial | $7200 | Yes |
100737 | Neupogen | Filgrastim | Pre-Filled Syringe 480/0.8 mcg/ml 8 ml | $7200 | Yes |
100757 | Novoeight | Antihemophilic Factor Viii (Recombinant) | Injection Kit 3000 IU 3000 IU | $7200 | No |
100788 | Octagam | Immun Globg(Igg)/Malt/Iga Ov52 | Vial 25/500 g/ml 300 ml | $7200 | No |
100797 | Olumiant | Baricitinib | Tablet 4 mg 30 Tab | $7200 | No |
102762 | Palynziq | Pegvaliase-pqpz | Pre-Filled Syringe 20 mg/ml 10 ml | $7200 | Yes |
100845 | Panzyga | Immune Globulin | Vial 30/300 g/ml 300 ml | $7200 | No |
102874 | Proleukin | Aldesleukin | Vial 22,000,000 (1.3) IU (mg) 1 Vial | $7200 | Yes |
102944 | Rebif | Interferon Beta-1A | Pre-Filled Syringe 22/0.5 mcg/ml 6 ml | $7200 | Yes |
102945 | Rebif | Interferon Beta-1A | Pre-Filled Syringe 44/0.5 mcg/ml 6 ml | $7200 | Yes |
102946 | Rebif Rebidose | Interferon Beta-1A | Autoinjector 22/0.5 mcg/ml 6 ml | $7200 | Yes |
102947 | Rebif Rebidose | Interferon Beta-1A | Autoinjector 44/0.5 mcg/ml 6 ml | $7200 | Yes |
102948 | Rebif Rebidose Titration Pack | Interferon Beta-1A | Autoinjector 8.8-22/0.5 mcg-mcg/ml 6 ml | $7200 | Yes |
100946 | Revatio | Sildenafil Citrate | Tablet 20 mg 90 Tab | $7200 | No |
103051 | Rozlytrek | Entrectinib | Capsule 100 mg 30 cap | $7200 | No |
103068 | Rystiggo | Rozanolixizumab-noli | Vial 280/2 mg/ml 2 ml | $7200 | Yes |
25749 | Scemblix | Asciminib | Tablet 40 mg 60 tab | $7200 | No |
7663 | Skyrizi | Risankizumab | Vial 600/10 mg/ml 10 ml | $7200 | Yes |
103166 | Somavert | Pegvisomant | Vial Kit 10 mg 30 Vial | $7200 | Yes |
6579 | Stelara | Ustekinumab | Pre-Filled Syringe 45/0.5 mg/ml 0.5 ml | $7200 | Yes |
7624 | Tafinlar | Dabrafenib | Capsule 50 mg 120 cap | $7200 | No |
103309 | Tarceva | Erlotinib Hcl | Tablet 150 mg 30 tab | $7200 | No |
103355 | Thalomid | Thalidomide | Capsule 150 mg 28 cap | $7200 | No |
103384 | Tobi | Tobramycin | Ampule 300/5 mg/ml 280 ml | $7200 | Yes |
52673 | Verzenio | Abemaciclib | Tablet 150 mg 56 Tabs | $7200 | No |
52377 | Verzenio | Abemaciclib | Tablet 100 mg 56 Tabs | $7200 | No |
103601 | Vumerity | Diroximel Fumarate | Capsule 231 mg 120 cap | $7200 | No |
101205 | Xeloda | Capecitabine | Tablet 500 mg 120 Tab | $7200 | No |
103675 | Xermelo | Telotristat Etiprate | Tablet 250 mg 84 tab | $7200 | No |
103676 | Xermelo | Telotristat Etiprate | Tablet 250 mg 84 tab | $7200 | No |
103754 | Zeposia Starter Kit | Ozanimod Hydrochloride | Capsule Kit 0.23(4)-0.46(3)-0.92(21) mg 28 Cap | $7200 | No |
100581 | Ixempra | Ixabepilone | Vial Kit 45 mg 1 ml | $7260 | Yes |
100586 | Jadenu | Deferasirox | Sachet 360 mg 30 Sachet | $7320 | No |
100583 | Jadenu | Deferasirox | Tablet 360 mg 30 Tab | $7380 | No |
101559 | Cabenuva | Cabotegravir/Rilpivirine | Injection Kit 600/900 mg/mg 6 ml | $7440 | Yes |
103157 | Soliris | Eculizumab | Vial 300/30 mg/ml 30 ml | $7440 | Yes |
103486 | Ultomiris | Ravulizumab-cwvz | Vial 300/3 mg/ml 3 ml | $7440 | Yes |
7396 | Zydelig | Idelalisib | Tablet 100 mg 60 tab | $7440 | No |
7397 | Zydelig | Idelalisib | Tablet 150 mg 60 tab | $7440 | No |
100200 | Cimzia | Certolizumab Pegol | Vial Kit 200 mg 2 Kit | $7500 | Yes |
100397 | Feiba | Prothrombin Complex Concentrate, Activated, From Human Plasma | Injection Kit 2500 IU 2500 IU | $7500 | No |
100403 | Fingolimod | Fingolimod | Capsule 0.5 mg 30 Cap | $7500 | No |
100809 | Orencia | Abatacept | Autoinjector 125 mg/ml 4 ml | $7500 | Yes |
100811 | Orencia | Abatacept | Pre-Filled Syringe 50/0.4 mg/ml 1.6 ml | $7500 | Yes |
100812 | Orencia | Abatacept | Pre-Filled Syringe 87.5/0.7 mg/ml 2.8 ml | $7500 | Yes |
101233 | Zelboraf | Vemurafenib | Tablet 240 mg 112 Tab | $7500 | No |
101765 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 3000 IU 3000 IU | $7560 | No |
102101 | Idacio (Cf) | Adalimumab-aacf | Autoinjector 40/0.8 mg/ml 2 Autoinjector | $7560 | Yes |
102385 | Lorbrena | Lorlatinib | Tablet 25 mg 30 tab | $7560 | No |
7573 | Nexavar | Sorafenib | Tablet 200 mg 112 tab | $7560 | No |
103163 | Somatuline Depot | Lanreotide Acetate | Pre-Filled Syringe 60/0.2 mg/ml 0.2 ml | $7560 | Yes |
101101 | Teriflunomide | Teriflunomide | Tablet 14 mg 30 Tab | $7560 | No |
101102 | Teriflunomide | Teriflunomide | Tablet 7 mg 30 Tab | $7560 | No |
19069 | Skyrizi | Risankizumab | Autoinjector 150/1 mg/ml 1 ml | $7620 | Yes |
101360 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 2000 IU 2000 IU | $7680 | Yes |
87464 | Humira CF | Adalimumab | Autoinjector 80/0.8 mg/ml 2 Autoinjector | $7680 | Yes |
100996 | Sildenafil | Sildenafil Citrate | Oral Suspension 10 mg/ml 112 ml | $7680 | No |
6583 | Stelara | Ustekinumab | Pre-Filled Syringe 90/1 mg/ml 1 ml | $7680 | Yes |
103717 | Yuflyma CF | Adalimumab-aaty | Autoinjector 40/0.4 mg/ml 0.8 ml | $7680 | Yes |
10986 | Afinitor Disperz | Everolimus | Tablet 2 mg 30 tab | $7800 | No |
10987 | Afinitor Disperz | Everolimus | Tablet 3 mg 30 tab | $7800 | No |
10988 | Afinitor Disperz | Everolimus | Tablet 5 mg 30 tab | $7800 | No |
24954 | Cayston | Aztreonam | Vial 75 mg 84 Vial | $7800 | Yes |
101667 | Cyramza | Ramucirumab | Vial 500/50 mg/ml 50 ml | $7800 | Yes |
101801 | Entyvio | Vedolizumab | Powder Vial 300 mg 1 Vial | $7800 | Yes |
100393 | Fasenra | Benralizumab | Autoinjector 30 mg/ml 1 ml | $7800 | Yes |
100394 | Fasenra | Benralizumab | Pre-Filled Syringe 30 mg/ml 1 ml | $7800 | Yes |
101946 | Gamifant | Emapalumab-lzsg | Vial 10/2 mg/ml 2 ml | $7800 | Yes |
101998 | Gleostine | Lomustine | Capsule 100 mg 5 cap | $7800 | No |
102140 | Ingrezza | Valbenazine Tosylate | Capsule 40 mg 30 cap | $7800 | No |
102226 | Jaypirca | Pirtobrutinib | Tablet 50 mg 30 tab | $7800 | No |
100594 | Kadcyla | Ado-Trastuzumab Emtansine | Powder Vial 160 mg 1 Vial | $7800 | Yes |
17294 | Lenvima | Lenvatinib | Capsule 20 mg 60 cap | $7800 | No |
100675 | Lupron Depot | Leuprolide Acetate | Injection Kit 22.5 mg 1 Kit | $7800 | No |
102654 | Nuzyra | Omadacycline Tosylate | Tablet 150 mg 30 tab | $7800 | No |
102811 | Plegridy | Peginterferon Beta-1A | Autoinjector 125/0.5 mcg/ml 1 ml | $7800 | Yes |
102812 | Plegridy | Peginterferon Beta-1A | Pre-Filled Syringe 125/0.5 mcg/ml 1 ml | $7800 | Yes |
102813 | Plegridy | Peginterferon Beta-1A | Pre-Filled Syringe 125/0.5 mcg/ml 1 ml | $7800 | Yes |
102814 | Plegridy Starter Pack | Peginterferon Beta-1A | Autoinjector 63-94/0.5 mcg/ml 1 ml | $7800 | Yes |
102815 | Plegridy Starter Pack | Peginterferon Beta-1A | Pre-Filled Syringe 63-94/0.5 mcg/ml 1 ml | $7800 | Yes |
102841 | Prevymis | Letermovir | Tablet 240 mg 28 tab | $7800 | No |
102842 | Prevymis | Letermovir | Tablet 480 mg 28 tab | $7800 | No |
100906 | Promacta | Eltrombopag Olamine | Tablet 50 mg 14 Tab | $7800 | No |
103001 | Revatio | Sildenafil Citrate | Oral Powder 10 mg/ml 112 ml | $7800 | No |
103056 | Ruconest | C1 Esterase Inhibitor, Recomb | Powder Vial 2100 U 1 Vial | $7800 | No |
103151 | Skytrofa | Lonapegsomatropin-tcgd | Cartridge 9.1 mg 4 Cartridge | $7800 | Yes |
101017 | Solesta | Dextranomer/Hyaluronic Acid | Gel 50-15 mg/ml 4 ml | $7800 | No |
103164 | Somatuline Depot | Lanreotide Acetate | Pre-Filled Syringe 90/0.3 mg/ml 0.3 ml | $7800 | Yes |
101069 | Talzenna | Talazoparib Tosylate | Capsule 0.25 mg 30 Cap | $7800 | No |
103377 | Tivdak | Tisotumab Vedotin-tftv | Powder Vial 40 mg 1 Vial | $7800 | Yes |
103467 | Tysabri | Natalizumab | Vial 300/15 mg/ml 1 ml | $7800 | Yes |
103529 | Velsipity | Etrasimod | Tablet 2 mg 30 tab | $7800 | No |
41179 | Vitrakvi | Larotrectinib | Capsule 25 mg 56 cap | $7800 | No |
101190 | Vyvgart | Efgartigimod Alfa-fcab | Vial 400/20 mg/ml 20 ml | $7800 | Yes |
101200 | Xeljanz | Tofacitinib Citrate | Tablet 10 mg 60 Tab | $7800 | No |
101201 | Xeljanz | Tofacitinib Citrate | Tablet 5 mg 60 Tab | $7800 | No |
101202 | Xeljanz XR | Tofacitinib Citrate | Tablet 11 mg 30 Tab | $7800 | No |
101203 | Xeljanz XR | Tofacitinib Citrate | Tablet 22 mg 30 Tab | $7800 | No |
103742 | Zejula | Niraparib Tosylate | Capsule 100 mg 30 cap | $7800 | No |
103752 | Zeposia | Ozanimod Hydrochloride | Capsule 0.92 mg 30 cap | $7800 | No |
100542 | Hyqvia | Immune Globulin (Human) | Vial 30/300 g/ml 315 ml | $7920 | Yes |
7840 | Stivarga | Regorafenib | Tablet 40 mg 84 tab | $7920 | No |
103791 | Zulresso | Brexanolone | Vial 100/20 mg/ml 20 ml | $8040 | Yes |
100088 | Amjevita | Adalimumab-atto | Autoinjector 40/0.8 mg/ml 2 Auto-Injector | $8100 | Yes |
10977 | Afinitor | Everolimus | Tablet 10 mg 30 tab | $8160 | No |
10978 | Afinitor | Everolimus | Tablet 2.5 mg 30 tab | $8160 | No |
10985 | Afinitor | Everolimus | Tablet 5 mg 30 tab | $8160 | No |
100387 | Exjade | Deferasirox | Tablet 500 mg 30 Tab | $8160 | No |
100482 | Gleostine | Lomustine | Capsule 100 mg 5 Cap | $8160 | No |
102994 | Retevmo | Selpercatinib | Capsule 40 mg 60 cap | $8160 | No |
103669 | Xenpozyme | Olipudase Alfa-rpcp | Powder Vial 20 mg 1 Vial | $8160 | Yes |
12430 | Somavert | Pegvisomant | Vial 15 mg 30 Vial | $8280 | No |
100004 | Abiraterone | Abiraterone Acetate | Tablet 250 mg 120 Tab | $8400 | No |
100005 | Abiraterone | Abiraterone Acetate | Tablet 250 mg 120 Tab | $8400 | No |
100006 | Abiraterone | Abiraterone Acetate | Tablet 250 mg 120 Tab | $8400 | No |
100007 | Abiraterone | Abiraterone Acetate | Tablet 250 mg 120 Tab | $8400 | No |
100008 | Abiraterone | Abiraterone Acetate | Tablet 250 mg 120 Tab | $8400 | No |
100009 | Abiraterone | Abiraterone Acetate | Tablet 250 mg 120 Tab | $8400 | No |
100010 | Abiraterone | Abiraterone Acetate | Tablet 250 mg 120 Tab | $8400 | No |
100011 | Abiraterone | Abiraterone Acetate | Tablet 500 mg 60 Tab | $8400 | No |
100012 | Abiraterone | Abiraterone Acetate | Tablet 500 mg 60 Tab | $8400 | No |
100013 | Abiraterone | Abiraterone Acetate | Tablet 500 mg 60 Tab | $8400 | No |
100014 | Abiraterone | Abiraterone Acetate | Tablet 500 mg 60 Tab | $8400 | No |
100015 | Abiraterone | Abiraterone Acetate | Tablet 500 mg 60 Tab | $8400 | No |
100016 | Abiraterone | Abiraterone Acetate | Tablet 500 mg 60 Tab | $8400 | No |
100017 | Abiraterone | Abiraterone Acetate | Tablet 500 mg 60 Tab | $8400 | No |
100166 | Bosentan | Bosentan | Tablet 125 mg 60 Tab | $8400 | No |
100167 | Bosentan | Bosentan | Tablet 62.5 mg 60 Tab | $8400 | No |
24765 | Braftovi | Encorafenib | Capsule 75 mg 120 cap | $8400 | No |
100182 | Cabenuva | Cabotegravir/Rilpivirine | Injection Kit 600/900 mg/ml 6 ml | $8400 | Yes |
100195 | Cibinqo | Abrocitinib | Tablet 100 mg 30 Tab | $8400 | No |
100196 | Cibinqo | Abrocitinib | Tablet 200 mg 30 Tab | $8400 | No |
100197 | Cibinqo | Abrocitinib | Tablet 50 mg 30 Tab | $8400 | No |
100201 | Cimzia | Certolizumab Pegol | Pre-Filled Syringe Kit 200 mg/ml 2 Kit | $8400 | Yes |
100213 | Copaxone | Glatiramer Acetate | Pre-Filled Syringe 40 mg/ml 12 ml | $8400 | Yes |
101935 | Fyarro | Sirolimus Protein-Bound | Powder Vial 100 mg 1 Vial | $8400 | Yes |
101966 | Gazyva | Obinutuzumab | Vial 1000/40 mg/ml 40 ml | $8400 | Yes |
101987 | Gilenya | Fingolimod | Capsule 0.5 mg 30 cap | $8400 | No |
100506 | Hemlibra | Emicizumab-kxwh | Vial 60/0.4 mg/ml 0.4 ml | $8400 | Yes |
100551 | Idacio | Adalimumab-aacf | Injection Kit 40/0.8 mg/ml 1 Kit | $8400 | Yes |
102141 | Ingrezza | Valbenazine Tosylate | Capsule 60 mg 30 cap | $8400 | No |
102142 | Ingrezza | Valbenazine Tosylate | Capsule 80 mg 30 cap | $8400 | No |
102237 | Jivi | Antihemophilic Factor Viii (Recombinant) | Vial 3000 IU 3000 IU | $8400 | Yes |
102281 | Kesimpta | Ofatumumab | Autoinjector 20/0.4 mg/ml 0.4 ml | $8400 | Yes |
100731 | Neulasta | Pegfilgrastim | Injection Kit 6/0.6 mg/ml 0.6 ml | $8400 | Yes |
100732 | Neulasta | Pegfilgrastim | Pre-Filled Syringe 6/0.6 mg/ml 0.6 ml | $8400 | Yes |
100778 | Nuwiq | Antihemophilic Factor Viii (Recombinant) | Injection Kit 4000 IU 4000 IU | $8400 | Yes |
102658 | Ocaliva | Obeticholic Acid | Tablet 10 mg 30 tab | $8400 | No |
102659 | Ocaliva | Obeticholic Acid | Tablet 5 mg 30 tab | $8400 | No |
102693 | Opdivo | Nivolumab | Vial 240/24 mg/ml 24 ml | $8400 | Yes |
102722 | Orserdu | Elacestrant | Tablet 86 mg 30 tab | $8400 | No |
7081 | Piqray | Alpelisib | Tablet 150 mg 56 tab | $8400 | No |
7082 | Piqray | Alpelisib | Tablet 200 mg 28 tab | $8400 | No |
7083 | Piqray | Alpelisib | Tablet 200/50 mg 56 tab | $8400 | No |
100966 | Rituxan Hycela | Rituximab/Hyaluronidase | Vial 1400-23400/11.7 mg-unit/ml 11.7 ml | $8400 | Yes |
103142 | Skyrizi | Risankizumab-rzaa | Vial 600/10 mg/ml 10 ml | $8400 | Yes |
32660 | Skyrizi | Risankizumab | On-Body Injector 360/2.4 mg/ml 2.4 ml | $8400 | Yes |
101044 | Sutent | Sunitinib Malate | Capsule 12.5 mg 28 Cap | $8400 | No |
103356 | Thalomid | Thalidomide | Capsule 200 mg 28 cap | $8400 | No |
103435 | Trisenox | Arsenic Trioxide | Vial 12/6 mg/ml 60 ml | $8400 | No |
101154 | Ultomiris | Ravulizumab-cwvz | Vial 300/3 mg/ml 3 ml | $8400 | Yes |
7616 | Uptravi | Selexipag | Tablet 800 mcg 60 tab | $8400 | No |
7617 | Uptravi | Selexipag | Tablet 600 mcg 60 tab | $8400 | No |
7619 | Uptravi | Selexipag | Tablet 400 mcg 60 tab | $8400 | No |
7620 | Uptravi | Selexipag | Tablet 200 mcg 60 tab | $8400 | No |
7621 | Uptravi | Selexipag | Tablet 1600 mcg 60 tab | $8400 | No |
7622 | Uptravi | Selexipag | Tablet 1200 mcg 60 tab | $8400 | No |
7623 | Uptravi | Selexipag | Tablet 1000 mcg 60 tab | $8400 | No |
101164 | Vectibix | Panitumumab | Vial 400/20 mg/ml 20 ml | $8400 | Yes |
101508 | Besremi | Ropeginterferon Alfa-2B-Njft | Pre-Filled Syringe 500 mcg/ml 1 ml | $8640 | Yes |
101566 | Camzyos | Mavacamten | Capsule 10 mg 30 cap | $8640 | No |
101567 | Camzyos | Mavacamten | Capsule 15 mg 30 cap | $8640 | No |
101568 | Camzyos | Mavacamten | Capsule 2.5 mg 30 cap | $8640 | No |
101569 | Camzyos | Mavacamten | Capsule 5 mg 30 cap | $8640 | No |
102143 | Ingrezza Initiation Pack | Valbenazine Tosylate | Capsule 40-80 mg 28 cap | $8640 | No |
100857 | Perjeta | Pertuzumab | Vial 420 mg 14 ml | $8640 | Yes |
100887 | Privigen | Immun Glob G(Igg)-Pro-Iga 0-50 | Vial 40/400 g/ml 400 ml | $8640 | No |
103756 | Zepzelca | Lurbinectedin | Powder Vial 4 mg 1 Vial | $8640 | Yes |
100076 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 2000 IU 2000 IU | $8700 | Yes |
100253 | Cyltezo | Adalimumab-Adbm | Injection Kit 40/0.8 mg/ml 2 Autoinjector | $8700 | Yes |
100254 | Cyltezo | Adalimumab-Adbm | Pre-Filled Syringe Kit 10/0.2 mg/ml 2 PFS | $8700 | Yes |
100255 | Cyltezo | Adalimumab-Adbm | Pre-Filled Syringe Kit 20/0.4 mg/ml 2 PFS | $8700 | Yes |
100256 | Cyltezo | Adalimumab-Adbm | Pre-Filled Syringe Kit 40/0.8 mg/ml 2 PFS | $8700 | Yes |
100412 | Folotyn | Pralatrexate | Vial 20 mg/ml 1 ml | $8700 | Yes |
100969 | Rozlytrek | Entrectinib | Capsule 100 mg 30 Cap | $8700 | No |
101019 | Soliris | Eculizumab | Vial 300/30 mg/ml 30 ml | $8700 | Yes |
101024 | Sotyktu | Deucravacitinib | Tablet 6 mg 30 Tab | $8700 | No |
101771 | Elrexfio | Elranatamab-Bcmm | Vial 44/1.1 mg/ml 1.1 ml | $8760 | Yes |
102475 | Mayzent | Siponimod | Tablet 1 mg 30 tab | $8760 | Yes |
102476 | Mayzent | Siponimod | Tablet 2 mg 30 tab | $8760 | Yes |
12275 | Prevymis | Letermovir | Tablet 240 mg 28 tab | $8760 | No |
12277 | Prevymis | Letermovir | Tablet 480 mg 28 tab | $8760 | No |
100863 | Pirfenidone | Pirfenidone | Tablet 267 mg 270 Tab | $8880 | No |
100864 | Pirfenidone | Pirfenidone | Tablet 801 mg 90 Tab | $8880 | No |
101291 | Adcetris | Brentuximab Vedotin | Powder Vial 50 mg 1 Vial | $9000 | Yes |
100045 | Advate | Antihemophilic Factor (Recombinant) | Vial 4000IU (3601-4800) IU 4000 IU | $9000 | No |
100048 | Adynovate | Antihemophilic Factor (Recombinant) | Vial Kit 3000 IU 3000 IU | $9000 | No |
100135 | Austedo XR | Deutetrabenazine | Tablet 24 mg(24 Hours) 30 Tab | $9000 | No |
109911 | Balversa | Erdafitinib | Tablet 4 mg 28 tab | $9000 | No |
101560 | Cablivi | Caplacizumab | Injection Kit 11 mg 1 Kit | $9000 | Yes |
100212 | Copaxone | Glatiramer Acetate | Pre-Filled Syringe 20 mg/ml 30 ml | $9000 | Yes |
100214 | Cosentyx | Secukinumab | Pre-Filled Syringe 150 mg/ml 2 ml | $9000 | Yes |
100217 | Cosentyx | Secukinumab | Pre-Filled Syringe 150 mg/ml 1 ml | $9000 | Yes |
100215 | Cosentyx Sensoready Pen | Secukinumab | Autoinjector 150 mg/ml 2 ml | $9000 | Yes |
100216 | Cosentyx Sensoready Pen | Secukinumab | Autoinjector 150 mg/ml 2 ml | $9000 | Yes |
100219 | Cosentyx UnoReady Pen | Secukinumab | Autoinjector 300/2 mg/ml 2 ml | $9000 | Yes |
101641 | Cotellic | Cobimetinib | Tablet 20 mg 63 tab | $9000 | No |
101997 | Gleevec | Imatinib | Tablet 400 mg 90 tab | $9000 | No |
100522 | Humira | Adalimumab | Injection Kit 40/0.4 mg/ml 2 ml | $9000 | Yes |
100523 | Humira | Adalimumab | Injection Kit 40/0.8 mg/ml 2 ml | $9000 | Yes |
100525 | Humira | Adalimumab | Pre-Filled Syringe 10/0.1 mg/ml 2 ml | $9000 | Yes |
100526 | Humira | Adalimumab | Pre-Filled Syringe 40/0.8 mg/ml 2 ml | $9000 | Yes |
100527 | Humira | Adalimumab | Pre-Filled Syringe 40/0.4 mg/ml 2 ml | $9000 | Yes |
100528 | Humira | Adalimumab | Pre-Filled Syringe 20/0.5 mg/ml 2 ml | $9000 | Yes |
102117 | Imbruvica | Ibrutinib | Oral Suspension 70 mg/ml 108 ml | $9000 | No |
100590 | Jivi | Antihemophilic Factor Viii (Recombinant) | Vial 3000 IU 3000 IU | $9000 | No |
102266 | Kepivance | Palifermin | Powder Vial 5.16 mg 3 Vial | $9000 | Yes |
100607 | Kisqali | Ribociclib | Tablet 200(200) mg 21 Tab | $9000 | No |
100610 | Kisqali | Ribociclib | Tablet 200/2.5(200) mg 49 Tab | $9000 | No |
100669 | Lorbrena | Lorlatinib | Tablet 25 mg 30 Tab | $9000 | No |
102418 | Lupron Depot | Leuprolide Acetate | Injection Kit 45 mg 1 Kit | $9000 | No |
102434 | Lynparza | Olaparib | Tablet 100 mg 60 tab | $9000 | No |
102435 | Lynparza | Olaparib | Tablet 150 mg 60 tab | $9000 | No |
102532 | Myleran | Busulfan | Tablet 2 mg 25 tab | $9000 | No |
100726 | Myleran | Busulfan | Tablet 2 mg 25 Tab | $9000 | No |
91609 | Phesgo | Pertuzumab/Trastuzumab/Hyaluronidase | Vial 600/600/20000 iu 10 ml | $9000 | Yes |
102804 | Phesgo | Pertuzumab-Trastuzumab-Hyaluronidase-zzxf | Vial 600-600-20,000/10 mg-mg-Units/ml 10 ml | $9000 | Yes |
102827 | Ponvory | Ponesimod | Capsule 20 mg 30 cap | $9000 | No |
100911 | Rapamune | Sirolimus | Tablet 2 mg 100 Tab | $9000 | No |
100962 | Rinvoq | Upadacitinib | Tablet 15 mg(24 Hours) 30 Tab | $9000 | No |
100963 | Rinvoq | Upadacitinib | Tablet 30 mg(24 Hours) 30 Tab | $9000 | No |
100981 | Sandostatin | Octreotide Acetate | Vial Kit 30 mg 1 Kit | $9000 | Yes |
101002 | Simponi | Golimumab | Autoinjector 50 mg/ml 0.5 ml | $9000 | Yes |
101004 | Simponi | Golimumab | Pre-Filled Syringe 50 mg/ml 0.5 ml | $9000 | Yes |
103162 | Somatuline Depot | Lanreotide Acetate | Pre-Filled Syringe 120/0.5 mg/ml 0.5 ml | $9000 | Yes |
103233 | Susvimo | Ranibizumab | Injection Kit 10/0.1 mg/ml 0.1 ml | $9000 | Yes |
103234 | Susvimo | Ranibizumab | Vial 10/0.1 mg/ml 0.1 ml | $9000 | Yes |
101063 | Taltz | Ixekizumab | Autoinjector 80 mg/ml 1 ml | $9000 | Yes |
101066 | Taltz | Ixekizumab | Autoinjector 80 mg/ml 1 ml | $9000 | Yes |
101067 | Taltz | Ixekizumab | Pre-Filled Syringe 80 mg/ml 1 ml | $9000 | Yes |
103464 | Tykerb | Lapatinib Ditosylate | Tablet 250 mg 150 tab | $9000 | No |
103513 | Vanflyta | Quizartinib Dihydrochloride | Tablet 17.7 mg 14 tab | $9000 | No |
103515 | Vanflyta | Quizartinib Dihydrochloride | Tablet 26.5 mg 14 tab | $9000 | No |
103716 | Yonsa | Abiraterone Acetate | Tablet 125 mg 120 tab | $9000 | No |
103815 | Zytiga | Abiraterone Acetate | Tablet 250 mg 120 tab | $9000 | No |
103816 | Zytiga | Abiraterone Acetate | Tablet 500 mg 60 tab | $9000 | No |
101652 | Crysvita | Burosumab-Twza | Vial 20 mg/ml 1 ml | $9360 | Yes |
100903 | Promacta | Eltrombopag Olamine | Sachet 25 mg 30 Sachet | $9360 | No |
100904 | Promacta | Eltrombopag Olamine | Tablet 12.5 mg 30 Tab | $9360 | No |
100905 | Promacta | Eltrombopag Olamine | Tablet 25 mg 30 Tab | $9360 | No |
103714 | Yervoy | Ipilimumab | Vial 50/10 mg/ml 10 ml | $9360 | Yes |
101329 | Afinitor | Everolimus | Tablet 10 mg 28 tab | $9600 | No |
101330 | Afinitor | Everolimus | Tablet 2.5 mg 28 tab | $9600 | No |
101331 | Afinitor | Everolimus | Tablet 5 mg 28 tab | $9600 | No |
101332 | Afinitor | Everolimus | Tablet 7.5 mg 28 tab | $9600 | No |
101326 | Afinitor Disperz | Everolimus | Tablet 2 mg 28 tab | $9600 | No |
101327 | Afinitor Disperz | Everolimus | Tablet 3 mg 28 tab | $9600 | No |
101328 | Afinitor Disperz | Everolimus | Tablet 5 mg 28 tab | $9600 | No |
100131 | Austedo | Deutetrabenazine | Tablet 12 mg 60 Tab | $9600 | No |
7828 | Cotellic | Cobimetinib | Tablet 20 mg 63 tab | $9600 | No |
101674 | Darzalex Faspro | Daratumumab-Hyaluronidase-Fihj | Vial 1800-30000/15 mg-units/ml 15 ml | $9600 | Yes |
100309 | Egrifta | Tesamorelin | Vial 2 mg 30 Vial | $9600 | No |
20142 | Erivedge | Vismodegib | Capsule 150 mg 28 cap | $9600 | No |
101866 | Exondys 51 | Eteplirsen | Vial 500/10 mg/ml 10 ml | $9600 | Yes |
102066 | Humatin | Paromomycin Sulfate | Capsule 250 mg 100 cap | $9600 | No |
102150 | Inqovi | Decitabine/Cedazuridine | Tablet 35/100 mg/mg 5 tab | $9600 | No |
102171 | Invega Trinza | Paliperidone Palmitate | Pre-Filled Syringe 819/2.63 mg/ml 2.63 ml | $9600 | No |
102242 | Jynarque | Tolvaptan | Tablet 15 mg 30 tab | $9600 | No |
102244 | Jynarque | Tolvaptan | Tablet 30 mg 30 tab | $9600 | No |
102599 | Northera | Droxidopa | Capsule 300 mg 90 cap | $9600 | No |
102878 | Promacta | Eltrombopag Olamine | Tablet 50 mg 30 tab | $9600 | No |
102950 | Rebinyn | Coagulation Factor Ix (Recombinant), Glycopegylated | Vial 2000 IU 2000 IU | $9600 | No |
103053 | Rubraca | Rucaparib Camsylate | Tablet 200 mg 60 tab | $9600 | No |
103054 | Rubraca | Rucaparib Camsylate | Tablet 250 mg 60 tab | $9600 | No |
103055 | Rubraca | Rucaparib Camsylate | Tablet 300 mg 60 tab | $9600 | No |
103057 | Rukobia | Fostemsavir Tromethamine | Tablet 600 mg 60 tab | $9600 | No |
101001 | Simponi | Golimumab | Autoinjector 100 mg/ml 1 ml | $9600 | Yes |
101003 | Simponi | Golimumab | Pre-Filled Syringe 100 mg/ml 1 ml | $9600 | Yes |
103143 | Skytrofa | Lonapegsomatropin-tcgd | Cartridge 11 mg 4 Cartridge | $9600 | Yes |
103204 | Stelara | Ustekinumab | Pre-Filled Syringe 45/0.5 mg/ml 0.5 ml | $9600 | Yes |
101039 | Sunitinib | Sunitinib Malate | Capsule 25 mg 28 Cap | $9600 | No |
12461 | Sutent | Sunitinib | Capsule 50 mg 28 cap | $9600 | No |
103290 | Tafinlar | Dabrafenib Mesylate | Capsule 50 mg 120 cap | $9600 | No |
103316 | Tasmar | Tolcapone | Tablet 100 mg 90 tab | $9600 | No |
73081 | Tecentriq | Atezolizumab | Vial 1200/20 mg/ml 20 ml | $9600 | Yes |
107518 | Tremfya | Guselkumab | Autoinjector 100 mg/ml 1 ml | $9600 | Yes |
107519 | Tremfya | Guselkumab | Pre-Filled Syringe 100 mg/ml 1 ml | $9600 | Yes |
12559 | Tukysa | Tucatinib | Tablet 150 mg 60 tab | $9600 | No |
101239 | Zepatier | Elbasvir/Grazoprevir | Tablet 50-100 mg 28 Tab | $9600 | No |
103753 | Zeposia Starter Kit | Ozanimod Hydrochloride | Capsule Kit 0.23(4)-0.46(3)-0.92(30) mg 37 Cap | $9600 | No |
102520 | Mulpleta | Lusutrombopag | Tablet 3 mg 7 tab | $9720 | No |
101766 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 4000 IU 4000 IU | $9840 | No |
101075 | Tarceva | Erlotinib HCl | Tablet 100 mg 30 Tab | $9900 | No |
101108 | Thalomid | Thalidomide | Capsule 100 mg 28 Cap | $9900 | No |
103324 | Tecentriq | Atezolizumab | Vial 840/14 mg/ml 14 ml | $9960 | Yes |
100858 | Phenoxybenzamine | Phenoxybenzamine HCl | Capsule 10 mg 100 Cap | $10080 | No |
101366 | Altuviiio | Antihemophilic Factor (Recombinant) | Injection Kit 2000 IU 2000 IU | $10200 | Yes |
100129 | Aubagio | Teriflunomide | Tablet 7 mg 28 Tab | $10200 | No |
100176 | Braftovi | Encorafenib | Capsule 75 mg 90 Cap | $10200 | No |
101582 | Cayston | Aztreonam | Vial 75 mg 84 Vial | $10200 | Yes |
100220 | Cotellic | Cobimetinib | Tablet 20 mg 63 Tab | $10200 | No |
100380 | Everolimus | Everolimus | Tablet 2.5 mg 28 Tab | $10200 | No |
101845 | Evkeeza | Evinacumab-dgnb | Vial 345/2.3 mg/ml 2.3 ml | $10200 | Yes |
100388 | Extavia | Interferon Beta-1B | Powder Vial 0.3 mg 15 Blister | $10200 | No |
101989 | Gilotrif | Afatinib | Tablet 20 mg 30 tab | $10200 | No |
101990 | Gilotrif | Afatinib | Tablet 30 mg 30 tab | $10200 | No |
101991 | Gilotrif | Afatinib | Tablet 40 mg 30 tab | $10200 | No |
102114 | Iluvien | Fluocinolone Acetonide | Implant 0.19 mg 1 Implant | $10200 | No |
100676 | Lupron Depot | Leuprolide Acetate | Injection Kit 30 mg 1 Kit | $10200 | No |
102461 | Margenza | Margetuximab-cmkb | Vial 250/10 mg/ml 40 ml | $10200 | Yes |
25007 | Ninlaro | Ixazomib | Capsule 2.3 mg 3 cap | $10200 | No |
25009 | Ninlaro | Ixazomib | Capsule 3 mg 3 cap | $10200 | No |
25011 | Ninlaro | Ixazomib | Capsule 4 mg 3 cap | $10200 | No |
100805 | Opdivo | Nivolumab | Vial 240/24 mg/ml 24 ml | $10200 | Yes |
102697 | Opsumit | Macitentan | Tablet 10 mg 30 tab | $10200 | No |
103065 | Rydapt | Midostaurin | Capsule 25 mg 56 cap | $10200 | No |
101016 | Sofosbuvir-Velpatasvir | Sofosbuvir-Velpatasvir | Tablet 400-100 mg 28 Tab | $10200 | No |
103176 | Sorafenib | Sorafenib Tosylate | Tablet 200 mg 120 tab | $10200 | No |
103326 | Tecvayli | Teclistamab-cqyv | Vial 153/1.7 mg/ml 1.7 ml | $10200 | Yes |
103338 | Temodar | Temozolomide | Capsule 180 mg 14 cap | $10200 | No |
103720 | Yutiq | Fluocinolone Acetonide | Implant 0.18 mg 1 Implant | $10200 | No |
17295 | Lenvima | Lenvatinib | Capsule 24 mg 90 cap | $10320 | No |
102364 | Libtayo | Cemiplimab-rwlc | Vial 350/7 mg/ml 7 ml | $10320 | Yes |
102519 | Mozobil | Plerixafor | Vial 24/1.2 mg/ml 1.2 ml | $10320 | No |
101294 | Adempas | Riociguat | Tablet 0.5 mg 90 tab | $10800 | No |
101296 | Adempas | Riociguat | Tablet 1.5 mg 90 tab | $10800 | No |
101298 | Adempas | Riociguat | Tablet 1 mg 90 tab | $10800 | No |
101300 | Adempas | Riociguat | Tablet 2.5 mg 90 tab | $10800 | No |
101302 | Adempas | Riociguat | Tablet 2 mg 90 tab | $10800 | No |
24953 | Brukinsa | Zanubrutinib | Capsule 80 mg 120 cap | $10800 | No |
100334 | Enbrel | Etanercept | Pre-Filled Syringe 50 mg/ml 4 ml | $10800 | Yes |
100331 | Enbrel Mini | Etanercept | Cartridge 50 mg/ml 4 Cartridges | $10800 | Yes |
100335 | Enbrel Sureclick | Etanercept | Autoinjector 50 mg/ml 4 ml | $10800 | Yes |
100379 | Everolimus | Everolimus | Tablet 10 mg 28 Tab | $10800 | No |
100449 | Gazyva | Obinutuzumab | Vial 25 mg/ml 40 ml | $10800 | Yes |
100479 | Gleevec | Imatinib Mesylate | Tablet 100 mg 90 Tab | $10800 | No |
102106 | Idelvion | Coagulation Factor IX (Recombinant) | Powder Vial 2000 IU 2000 IU | $10800 | No |
65673 | Ilumya | Tildrakizumab | Pre-Filled Syringe 100 mg/ml 1 ml | $10800 | Yes |
100599 | Kesimpta | Ofatumumab | Autoinjector 20/0.4 mg/ml 0.4 ml | $10800 | Yes |
24168 | Mektovi | Binimetinib | Tablet 15 mg 180 tab | $10800 | No |
102686 | Onpattro | Patisiran Sodium,Lipid Complex | Vial 10/5 mg/ml 5 ml | $10800 | Yes |
102732 | Oxbryta | Voxelotor | Tablet 300 mg 60 tab | $10800 | No |
102733 | Oxbryta | Voxelotor | Tablet 300 mg 60 tab | $10800 | No |
100865 | Plegridy | Peginterferon Beta-1A | Autoinjector 63/0.5-94/0.5 mcg/ml 1 ml | $10800 | Yes |
100866 | Plegridy | Peginterferon Beta-1A | Pre-Filled Syringe 63/0.5-94/0.5 mcg/ml 1 ml | $10800 | Yes |
100867 | Plegridy | Peginterferon Beta-1A | Autoinjector 125/0.5 mcg/ml 1 ml | $10800 | Yes |
100868 | Plegridy | Peginterferon Beta-1A | Pre-Filled Syringe 125/0.5 mcg/ml 1 ml | $10800 | Yes |
24920 | Retevmo | Relpercatinib | Capsule 80 mg 60 cap | $10800 | No |
103144 | Skytrofa | Lonapegsomatropin-tcgd | Cartridge 13.3 mg 4 Cartridge | $10800 | Yes |
101022 | Somatuline | Lanreotide Acetate | Pre-Filled Syringe 90/0.3 mg/ml 0.3 ml | $10800 | Yes |
103168 | Somavert | Pegvisomant | Vial Kit 15 mg 30 Vial | $10800 | Yes |
7625 | Tafinlar | Dabrafenib | Capsule 75 mg 120 cap | $10800 | No |
101109 | Thalomid | Thalidomide | Capsule 150 mg 28 Cap | $10800 | No |
101116 | Tobi | Tobramycin | Nebule 300/5 mg/ml 280 ml | $10800 | Yes |
103385 | Tobi Podhaler | Tobramycin | Inhalation Device 25 mg 224 Cap | $10800 | No |
103397 | Tracleer | Bosentan | Tablet 32 mg 56 tab | $10800 | No |
103398 | Tracleer | Bosentan | Tablet 32 mg 56 tab | $10800 | No |
7610 | Xalkori | Crizotinib | Capsule 200 mg 60 cap | $10800 | No |
7612 | Xalkori | Crizotinib | Capsule 250 mg 60 cap | $10800 | No |
79283 | Zejula | Niraparib Tosylate | Tablet 100 mg 56 tab | $10800 | No |
12669 | Zejula | Niraparib | Capsule 100 mg 56 cap | $10800 | No |
101243 | Zeposia | Ozanimod Hydrochloride | Capsule 0.23-0.46-0.92 mg 28 Cap | $10800 | No |
100192 | Cellcept | Mycophenolate | Tablet 500 mg 500 Tab | $11040 | No |
100347 | Entyvio | Vedolizumab | Powder Vial 300 mg 1 Vial | $11100 | Yes |
101829 | Esbriet | Pirfenidone | Tablet 267 mg 270 tab | $11100 | No |
101362 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 3000 IU 3000 IU | $11160 | Yes |
101393 | Andexxa | Coagulation Factor Xa (Recombinant) | Powder Vial 200 mg 4 Vial | $11160 | Yes |
109900 | Balversa | Erdafitinib | Tablet 5 mg 28 tab | $11400 | No |
101538 | Briumvi | Ublituximab-Xiiy | Vial 150/6 mg/ml 6 ml | $11400 | Yes |
7772 | Cabometyx | Cabozantinib | Tablet 20 mg 30 tab | $11400 | No |
7776 | Cabometyx | Cabozantinib | Tablet 40 mg 30 tab | $11400 | No |
7778 | Cabometyx | Cabozantinib | Tablet 60 mg 30 tab | $11400 | No |
101830 | Esbriet | Pirfenidone | Tablet 801 mg 90 tab | $11400 | No |
100381 | Everolimus | Everolimus | Tablet 5 mg 28 Tab | $11400 | No |
100382 | Everolimus | Everolimus | Tablet 7.5 mg 28 Tab | $11400 | No |
101964 | Gavreto | Pralsetinib | Capsule 100 mg 60 cap | $11400 | No |
100627 | Lanreotide | Lanreotide Acetate | Pre-Filled Syringe 120/0.5 mg/ml 0.5 ml | $11400 | Yes |
100971 | Rukobia | Fostemsavir Tromethamine | Tablet 600 mg(12 Hours) 60 Tab | $11400 | No |
103301 | Talvey | Talquetamab | Vial 40 mg/ml 1 ml | $11400 | Yes |
101076 | Tarceva | Erlotinib HCl | Tablet 150 mg 30 Tab | $11400 | No |
103323 | Tecentriq | Atezolizumab | Vial 1200/20 mg/ml 20 ml | $11400 | Yes |
101110 | Thalomid | Thalidomide | Capsule 200 mg 28 Cap | $11400 | No |
103396 | Tracleer | Bosentan | Tablet 125 mg 60 tab | $11400 | No |
103399 | Tracleer | Bosentan | Tablet 62.5 mg 60 tab | $11400 | No |
101188 | Vumerity | Diroximel Fumarate | Capsule 231 mg 120 Cap | $11400 | No |
101223 | Yervoy | Ipilimumab | Vial 50/10 mg/ml 10 ml | $11400 | Yes |
101232 | Zejula | Niraparib Tosylate | Capsule 100 mg 30 Cap | $11400 | No |
101241 | Zeposia | Ozanimod Hydrochloride | Capsule 0.92 mg 30 Cap | $11400 | No |
103592 | Voxzogo | Vosoritide | Injection Kit 0.4 mg 10 Kit | $11520 | Yes |
103593 | Voxzogo | Vosoritide | Injection Kit 0.56 mg 10 Kit | $11520 | Yes |
103594 | Voxzogo | Vosoritide | Injection Kit 1.2 mg 10 Kit | $11520 | Yes |
101681 | Defitelio | Defibrotide | Vial 200/2.5 mg/ml 25 ml | $11640 | No |
31913 | Remodulin | Treprostinil | Vial 10 mg/ml 20 ml | $11640 | No |
101087 | Temodar | Temozolomide | Capsule 140 mg 14 Cap | $11700 | No |
100139 | Avonex | Interferon Beta-1A | Injection Kit 30/0.5 mcg/ml 1 Kit | $11880 | Yes |
100140 | Avonex | Interferon Beta-1A | Pre-Filled Syringe Kit 30/0.5 mcg/ml 1 Kit | $11880 | Yes |
102996 | Retevmo | Selpercatinib | Capsule 80 mg 60 cap | $11880 | No |
100127 | Aubagio | Teriflunomide | Tablet 14 mg 30 Tab | $12000 | No |
100128 | Aubagio | Teriflunomide | Tablet 7 mg 30 Tab | $12000 | No |
100152 | Betaseron | Interferon Beta-1B | Powder Vial 0.3 mg 14 Vial | $12000 | No |
25024 | Braftovi | Encorafenib | Capsule 75 mg 180 cap | $12000 | No |
101552 | Buphenyl | Sodium Phenylbutyrate | Oral Powder 0.94 g/g 250 g | $12000 | No |
75113 | Calquence | Acalabrutinib | Tablet 100 mg 60 tab | $12000 | No |
7045 | Calquence | Acalabrutinib | Capsule 100 mg 60 cap | $12000 | No |
101606 | Cimzia Starter Kit | Certolizumab Pegol | Pre-Filled Syringe Kit 200 mg/ml 3 Kit | $12000 | Yes |
101615 | Columvi | Glofitamab-gxbm | Vial 10/10 mg/ml 10 ml | $12000 | Yes |
101767 | Eloctate | Antihemophilic Factor (Recombinant) | Vial Kit 5000 IU 5000 IU | $12000 | No |
101827 | Erivedge | Vismodegib | Capsule 150 mg 28 cap | $12000 | No |
101919 | Folotyn | Pralatrexate | Vial 40/2 mg/ml 2 ml | $12000 | Yes |
102033 | Hemlibra | Emicizumab-kxwh | Vial 105/0.7 mg/ml 0.7 ml | $12000 | Yes |
102116 | Imbruvica | Ibrutinib | Capsule 70 mg 28 cap | $12000 | No |
102118 | Imbruvica | Ibrutinib | Tablet 140 mg 28 tab | $12000 | No |
102119 | Imbruvica | Ibrutinib | Tablet 280 mg 28 tab | $12000 | No |
102120 | Imbruvica | Ibrutinib | Tablet 420 mg 28 tab | $12000 | No |
102121 | Imbruvica | Ibrutinib | Tablet 560 mg 28 tab | $12000 | No |
11665 | Imbruvica | Ibrutinib | Capsule 140 mg 90 cap | $12000 | No |
102201 | Jakafi | Ruxolitinib Phosphate | Tablet 10 mg 60 tab | $12000 | No |
102202 | Jakafi | Ruxolitinib Phosphate | Tablet 15 mg 60 tab | $12000 | No |
102203 | Jakafi | Ruxolitinib Phosphate | Tablet 20 mg 60 tab | $12000 | No |
102204 | Jakafi | Ruxolitinib Phosphate | Tablet 25 mg 60 tab | $12000 | No |
102205 | Jakafi | Ruxolitinib Phosphate | Tablet 5 mg 60 tab | $12000 | No |
24759 | Jemperli | Dostarlimab | Vial 500/10 mg/ml 10 ml | $12000 | Yes |
102292 | Kisqali 400mg daily | Ribociclib | Tablet 200 mg 42 tab | $12000 | No |
102295 | Kisqali Femara Copack | Ribociclib | Tablet 200/2.5 mg/mg 70 tab | $12000 | No |
100688 | Mayzent | Siponimod | Tablet 1 mg 30 Tab | $12000 | Yes |
100689 | Mayzent | Siponimod | Tablet 2 mg 30 Tab | $12000 | Yes |
100715 | Mulpleta | Lusutrombopag | Tablet 3 mg 7 Tab | $12000 | No |
102621 | Novoseven RT with MixPro | Coagulation Factor Viia (Recombinant) | Powder Vial 5 mg 5000 mcg | $12000 | No |
8009 | Ocrevus | Ocrelizumab | Vial 30 mg/ml 10 ml | $12000 | Yes |
102667 | Ofev | Nintedanib Esylate | Capsule 100 mg 60 cap | $12000 | No |
102668 | Ofev | Nintedanib Esylate | Capsule 150 mg 60 cap | $12000 | No |
102970 | Remodulin | Treprostinil Sodium | Vial 200/20 mg/ml 20 ml | $12000 | No |
7969 | Rozlytrek | Entrectinib | Capsule 200 mg 90 cap | $12000 | No |
12346 | Rydapt | Midostaurin | Capsule 25 mg 56 cap | $12000 | No |
103077 | Sabril | Vigabatrin | Tablet 500 mg 100 tab | $12000 | No |
103190 | Sprycel | Dasatinib | Tablet 100 mg 30 tab | $12000 | No |
103191 | Sprycel | Dasatinib | Tablet 140 mg 30 tab | $12000 | No |
103195 | Sprycel | Dasatinib | Tablet 80 mg 30 tab | $12000 | No |
103236 | Sutent | Sunitinib Malate | Capsule 25 mg 28 cap | $12000 | No |
103286 | Tabrecta | Capmatinib Hydrochloride | Tablet 150 mg 56 tab | $12000 | No |
103287 | Tabrecta | Capmatinib Hydrochloride | Tablet 200 mg 56 tab | $12000 | No |
103291 | Tafinlar | Dabrafenib Mesylate | Capsule 75 mg 120 cap | $12000 | No |
8005 | Tagrisso | Osimertinib | Tablet 40 mg 30 tab | $12000 | No |
8007 | Tagrisso | Osimertinib | Tablet 80 mg 30 tab | $12000 | No |
101085 | Tecfidera | Dimethyl Fumarate | Capsule 240 mg 60 Cap | $12000 | No |
101086 | Tecfidera | Dimethyl Fumarate | Capsule 120/240 mg 60 Cap | $12000 | No |
61740 | Venclexta | Venetoclax | Tablet 100 mg 120 Tabs | $12000 | No |
41182 | Vitrakvi | Larotrectinib | Oral Solution 20 mg/ml 100 ml | $12000 | Yes |
25017 | Xpovio | Selinexor | Tablet 20 mg 20 tab | $12000 | No |
103701 | Xtandi | Enzalutamide | Capsule 40 mg 120 cap | $12000 | No |
103702 | Xtandi | Enzalutamide | Tablet 40 mg 120 tab | $12000 | No |
103703 | Xtandi | Enzalutamide | Tablet 80 mg 60 tab | $12000 | No |
103795 | Zydelig | Idelalisib | Tablet 100 mg 60 tab | $12000 | No |
103796 | Zydelig | Idelalisib | Tablet 150 mg 60 tab | $12000 | No |
100262 | Darzalex Faspro | Daratumumab-Hyaluronidase-Fihj | Vial 1800-30000/15 mg-iu/ml 15 ml | $12600 | Yes |
102228 | Jemperli | Dostarlimab-gxly | Vial 500/10 mg/ml 10 ml | $12600 | No |
102234 | Jevtana | Cabazitaxel | Vial Kit 60/1.5 mg/ml 1.5 ml | $12600 | No |
102263 | Kanuma | Sebelipase Alfa | Vial 20/10 mg/ml 10 ml | $12600 | Yes |
100714 | Mozobil | Plerixafor | Vial 24/1.5 mg/ml 1.2 ml | $12600 | No |
100727 | Mylotarg | Gemtuzumab Ozogamicin | Vial 4.5 mg 1 Vial | $12600 | Yes |
102581 | Ninlaro | Ixazomib Citrate | Capsule 2.3 mg 3 cap | $12600 | No |
102582 | Ninlaro | Ixazomib Citrate | Capsule 3 mg 3 cap | $12600 | No |
102583 | Ninlaro | Ixazomib Citrate | Capsule 4 mg 3 cap | $12600 | No |
102736 | Oxbryta | Voxelotor | Tablet 500 mg 90 tab | $12600 | No |
100875 | Ponvory | Ponesimod | Tablet 20 mg 30 Tab | $12600 | No |
102954 | Reblozyl | Luspatercept-aamt | Powder Vial 75 mg 1 Vial | $12600 | Yes |
102967 | Relyvrio | Sod Phenylbutyrat/Taurursodiol | Oral Suspension 3/1 g 56 Packet | $12600 | No |
101021 | Somatuline | Lanreotide Acetate | Pre-Filled Syringe 120/0.5 mg/ml 0.5 ml | $12600 | Yes |
103459 | Tukysa | Tucatinib | Tablet 150 mg 60 tab | $12600 | No |
101147 | Tykerb | Lapatinib Ditosylate | Tablet 250 mg 150 Tab | $12600 | No |
114102 | Zykadia | Ceritinib | Tablet 150 mg 150 Cap | $12600 | No |
101658 | Cyltezo CF Pen Psoriasis-UV | Adalimumab-Adbm | Injection Kit 40/0.8 mg/ml 4 Autoinjector | $12960 | Yes |
7065 | Alecensa | Alectinib | Capsule 150 mg 240 cap | $13080 | No |
100077 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 3000 IU 3000 IU | $13200 | Yes |
101428 | Arikayce | Amikacin Liposomal | Oral Inhalation 590/8.4 mg/ml 235.2 ml | $13200 | Yes |
101527 | Braftovi | Encorafenib | Capsule 75 mg 120 cap | $13200 | No |
11490 | Enspryng | Satralizumab | Pre-Filled Syringe 120 mg/ml 1 ml | $13200 | Yes |
100373 | Esbriet | Pirfenidone | Capsule 267 mg 270 Cap | $13200 | No |
100374 | Esbriet | Pirfenidone | Tablet 801 mg 90 Tab | $13200 | No |
100480 | Gleevec | Imatinib Mesylate | Tablet 400 mg 30 Tab | $13200 | No |
102287 | Keytruda | Pembrolizumab | Vial 100/4 mg/ml 8 ml | $13200 | Yes |
102479 | Mekinist | Trametinib Dimethyl Sulfoxide | Tablet 2 mg 30 tab | $13200 | Yes |
7482 | Mekinist | Trametinib | Tablet 2 mg 30 tab | $13200 | No |
102553 | Nerlynx | Neratinib Maleate | Tablet 40 mg 133 tab | $13200 | Yes |
100800 | Omvoh | Mirikizumab | Vial 300/15 mg/ml 15 ml | $13200 | Yes |
102781 | Pedmark | Sodium Thiosulfate | Vial 12.5/100 g/ml 100 ml | $13200 | No |
91605 | Phesgo | Pertuzumab/Trastuzumab/Hyaluronidase | Vial 1200/600/30000 iu 15 ml | $13200 | Yes |
102803 | Phesgo | Pertuzumab-Trastuzumab-Hyaluronidase-zzxf | Vial 1200-600-30,000/15 mg-mg-Units/ml 15 ml | $13200 | Yes |
100945 | Revatio | Sildenafil Citrate | Oral Powder 10 mg/ml 112 ml | $13200 | No |
101011 | Skyrizi | Risankizumab-rzaa | Vial 600/10 mg/ml 10 ml | $13200 | Yes |
103193 | Sprycel | Dasatinib | Tablet 50 mg 60 tab | $13200 | No |
103194 | Sprycel | Dasatinib | Tablet 70 mg 60 tab | $13200 | No |
103317 | Tavalisse | Fostamatinib Disodium | Tablet 100 mg 60 tab | $13200 | No |
103318 | Tavalisse | Fostamatinib Disodium | Tablet 150 mg 60 tab | $13200 | No |
103348 | Tepmetko | Tepotinib Hcl | Tablet 225 mg 30 tab | $13200 | No |
103492 | Uptravi | Selexipag | Tablet 200 mcg 60 tab | $13200 | No |
101224 | Yonsa | Abiraterone Acetate | Tablet 125 mg 120 Tab | $13200 | No |
101242 | Zeposia | Ozanimod Hydrochloride | Capsule 0.23-0.46-0.92 mg 37 Cap | $13200 | No |
7290 | Zolinza | Vorinostat | Capsule 100 mg 120 cap | $13200 | No |
103798 | Zykadia | Ceritinib | Tablet 150 mg 84 tab | $13200 | No |
100178 | Briumvi | Ublituximab-Xiiy | Vial 150/6 mg/ml 6 ml | $13500 | Yes |
24927 | Alunbrig | Brigatinib | Tablet 180 mg 28 tab | $13800 | No |
24929 | Alunbrig | Brigatinib | Starter Pack 90 mg 180 tab | $13800 | No |
109899 | Balversa | Erdafitinib | Tablet 3 mg 56 tab | $13800 | No |
101653 | Crysvita | Burosumab-Twza | Vial 30 mg/ml 1 ml | $13800 | Yes |
101848 | Evrysdi | Risdiplam | Oral Solution 0.75 mg/ml 80 ml | $13800 | Yes |
100473 | Gilenya | Fingolimod | Capsule 0.5 mg 30 Cap | $13800 | No |
102413 | Lupkynis | Voclosporin | Capsule 7.9 mg 180 cap | $13800 | No |
102471 | Mavyret | Glecaprevir/Pibrentasvir | Tablet 100/40 mg/mg 84 tab | $13800 | No |
102472 | Mavyret | Glecaprevir/Pibrentasvir | Tablet 100/40 mg/mg 84 tab | $13800 | No |
102626 | Nubeqa | Darolutamide | Tablet 300 mg 120 tab | $13800 | No |
102707 | Orenitram ER | Treprostinil | Tablet 2.5 mg 100 tab | $13800 | No |
100924 | Rebif | Interferon Beta-1A | Pre-Filled Syringe 22/0.5 mcg/ml 6 ml | $13800 | Yes |
100925 | Rebif | Interferon Beta-1A | Pre-Filled Syringe 44/0.5 mcg/ml 6 ml | $13800 | Yes |
100926 | Rebif | Interferon Beta-1A | Pre-Filled Syringe 8.8-22/0.5 mcg 4.2 ml | $13800 | Yes |
100921 | Rebif Rebidose | Interferon Beta-1A | Autoinjector 22/0.5 mcg/ml 6 ml | $13800 | Yes |
100922 | Rebif Rebidose | Interferon Beta-1A | Autoinjector 44/0.5 mcg/ml 6 ml | $13800 | Yes |
100923 | Rebif Rebidose | Interferon Beta-1A | Autoinjector 8.8-22/0.5 mcg 4.2 ml | $13800 | Yes |
101029 | Sprycel | Dasatinib | Tablet 20 mg 60 Tab | $13800 | No |
101083 | Tecentriq | Atezolizumab | Vial 1200/20 mg/ml 20 ml | $13800 | Yes |
103535 | Venclexta | Venetoclax | Tablet 100 mg 120 tab | $13800 | No |
102666 | Odomzo | Sonidegib Phosphate | Capsule 200 mg 30 cap | $14040 | No |
82926 | Evrysdi | Risdiplam | Powder for Oral Solution OR KIT 0.75 mg/ml 80 ml | $14160 | No |
101372 | Alunbrig | Brigatinib | Tablet 180 mg 30 tab | $14400 | No |
101374 | Alunbrig | Brigatinib | Tablet 90 mg 30 tab | $14400 | No |
101371 | Alunbrig Initiation Pack | Brigatinib | Tablet 90/180 mg/mg 30 tab | $14400 | No |
101772 | Elrexfio | Elranatamab-Bcmm | Vial 76/1.9 mg/ml 1.9 ml | $14400 | Yes |
100503 | Hemlibra | Emicizumab-kxwh | Vial 105/0.7 mg/ml 0.7 ml | $14400 | Yes |
100531 | Humira-Ped<40kg | Adalimumab | Pre-Filled Syringe 80/0.8-40/0.4 mg/ml 2 ml | $14400 | Yes |
102094 | Ibrance | Palbociclib | Tablet 100 mg 21 tab | $14400 | No |
102095 | Ibrance | Palbociclib | Tablet 125 mg 21 tab | $14400 | No |
102096 | Ibrance | Palbociclib | Tablet 75 mg 21 tab | $14400 | No |
102102 | Idacio (Cf) Pen Psoriasis | Adalimumab-aacf | Autoinjector 40/0.8 mg/ml 4 Autoinjector | $14400 | Yes |
102115 | Imbruvica | Ibrutinib | Capsule 140 mg 90 cap | $14400 | No |
102145 | Inlyta | Axitinib | Tablet 1 mg 180 tab | $14400 | No |
102146 | Inlyta | Axitinib | Tablet 5 mg 60 tab | $14400 | No |
102163 | Invega Hafyera | Paliperidone Palmitate | Injection Kit 1092/3.5 mg/ml 3.5 ml | $14400 | No |
100605 | Keytruda | Pembrolizumab | Vial 1004 mg/ml 8 ml | $14400 | Yes |
102305 | Koselugo | Selumetinib | Capsule 25 mg 60 cap | $14400 | No |
102379 | Livtencity | Maribavir | Tablet 200 mg 56 tab | $14400 | No |
8040 | Lorbrena | Lorlatinib | Tablet 100 mg 30 tab | $14400 | No |
100681 | Lupron Depot-Ped | Leuprolide Acetate | Injection Kit 11.25 mg 1 Kit | $14400 | No |
102462 | Marqibo | Vincristine Sulfate Liposomal | Injection Kit 5/31 mg/ml 31 ml | $14400 | Yes |
24912 | Nerlynx | Neratinib | Tablet 40 mg 180 tab | $14400 | No |
100742 | Ninlaro | Ixazomib | Capsule 2.3 mg 3 Cap | $14400 | No |
100743 | Ninlaro | Ixazomib | Capsule 3 mg 3 Cap | $14400 | No |
100744 | Ninlaro | Ixazomib | Capsule 4 mg 3 Cap | $14400 | No |
102734 | Oxbryta | Voxelotor | Tablet 300 mg 90 tab | $14400 | No |
102735 | Oxbryta | Voxelotor | Tablet 300 mg 90 tab | $14400 | No |
100850 | Pazopanib | Pazopanib HCl | Tablet 200 mg 120 Tab | $14400 | No |
102879 | Promacta | Eltrombopag Olamine | Tablet 75 mg 30 tab | $14400 | No |
102926 | Radicava ORS | Edaravone | Oral Suspension 105/5 mg/ml 50 ml | $14400 | Yes |
102951 | Rebinyn | Coagulation Factor Ix (Recombinant), Glycopegylated | Vial 3000 IU 3000 IU | $14400 | No |
100974 | Rydapt | Midostaurin | Capsule 25 mg 56 Cap | $14400 | No |
103170 | Somavert | Pegvisomant | Vial Kit 20 mg 30 Vial | $14400 | Yes |
103217 | Strensiq | Asfotase Alfa | Vial 18/0.45 mg/ml 5.4 ml | $14400 | Yes |
101040 | Sunitinib | Sunitinib Malate | Capsule 37.5 mg 28 Cap | $14400 | No |
101060 | Tafinlar | Dabrafenib Mesylate | Capsule 50 mg 120 Cap | $14400 | No |
101117 | Tobi | Tobramycin | Inhaler 28 mg 224 Cap | $14400 | No |
103591 | Votrient | Pazopanib Hcl | Tablet 200 mg 120 tab | $14400 | No |
103780 | Zolinza | Vorinostat | Capsule 100 mg 120 cap | $14400 | No |
101260 | Zytiga | Abiraterone Acetate | Tablet 250 mg 120 Tab | $14400 | No |
102480 | Mektovi | Binimetinib | Tablet 15 mg 180 tab | $14760 | No |
101363 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 4000 IU 4000 IU | $15000 | Yes |
101368 | Altuviiio | Antihemophilic Factor (Recombinant) | Injection Kit 3000 IU 3000 IU | $15000 | Yes |
101828 | Erleada | Apalutamide | Tablet 60 mg 120 tab | $15000 | No |
102113 | Ilumya | Tildrakizumab-asmn | Pre-Filled Syringe 100 mg/ml 1 ml | $15000 | Yes |
102251 | Kalbitor | Ecallantide | Vial 10 mg/ml 3 ml | $15000 | Yes |
102293 | Kisqali 600mg daily | Ribociclib | Tablet 200 mg 63 tab | $15000 | No |
102296 | Kisqali Femara Copack | Ribociclib | Tablet 200/2.5 mg/mg 91 tab | $15000 | No |
100628 | Ledipasvir-Sofosbuvir | Ledipasvir-Sofosbuvir | Tablet 90-400 mg 28 Tab | $15000 | No |
100995 | Sevenfact | Coagulation Factor VIIa (Recom) | Powder Vial 5 mg 5000 mcg | $15000 | No |
101053 | Tabrecta | Capmatinib Hydrochloride | Tablet 150 mg 56 Tab | $15000 | No |
101054 | Tabrecta | Capmatinib Hydrochloride | Tablet 200 mg 56 Tab | $15000 | No |
103475 | Tzield | Teplizumab-mzwv | Vial 2/2 mg/ml 1 ml | $15000 | No |
103580 | Vitrakvi | Larotrectinib Sulfate | Capsule 25 mg 60 cap | $15000 | No |
101522 | Bosulif | Bosutinib | Tablet 100 mg 120 tab | $15600 | No |
101523 | Bosulif | Bosutinib | Tablet 400 mg 30 tab | $15600 | No |
101524 | Bosulif | Bosutinib | Tablet 500 mg 30 tab | $15600 | No |
102301 | Korlym | Mifepristone | Tablet 300 mg 28 tab | $15600 | No |
100677 | Lupron Depot | Leuprolide Acetate | Injection Kit 45 mg 1 Kit | $15600 | No |
100682 | Lupron Depot-Ped | Leuprolide Acetate | Injection Kit 30 mg 1 Kit | $15600 | No |
100759 | Novoseven RT | Coagulation Factor Viia (Recombinant) | Powder Vial 5 mg 5000 mcg | $15600 | No |
102689 | Onureg | Azacitidine | Tablet 200 mg 7 tab | $15600 | No |
102690 | Onureg | Azacitidine | Tablet 300 mg 7 tab | $15600 | No |
102695 | Opdualag | Nivolumab-Relatlimab-rmbw | Vial 240-80 mg/ml 20 ml | $15600 | Yes |
100928 | Reblozyl | Luspatercept-aamt | Powder Vial 75 mg 1 Vial | $15600 | Yes |
57644 | Revlimid | Lenalidomide | Capsule 5 mg 21 cap | $15600 | No |
56871 | Revlimid | Lenalidomide | Capsule 25 mg 21 cap | $15600 | No |
57580 | Revlimid | Lenalidomide | Capsule 15 mg 21 cap | $15600 | No |
57636 | Revlimid | Lenalidomide | Capsule 10 mg 21 cap | $15600 | No |
80188 | Somavert | Pegvisomant | Vial Kit 30 mg 1 Kit | $15600 | Yes |
103295 | Takhzyro | Lanadelumab-flyo | Pre-Filled Syringe 150 mg/ml 1 ml | $15600 | Yes |
103743 | Zejula | Niraparib Tosylate | Tablet 100 mg 30 tab | $15600 | No |
103744 | Zejula | Niraparib Tosylate | Tablet 200 mg 30 tab | $15600 | No |
103745 | Zejula | Niraparib Tosylate | Tablet 300 mg 30 tab | $15600 | No |
103801 | Zynyz | Retifanlimab-dlwr | Vial 500/20 mg/ml 20 ml | $15600 | Yes |
101528 | Braftovi | Encorafenib | Capsule 75 mg 180 cap | $16200 | No |
101551 | Brukinsa | Zanubrutinib | Capsule 80 mg 120 cap | $16200 | No |
100665 | Lonsurf | Trifluridine/Tipiracil Hcl | Tablet 15-6.14 mg 60 Tab | $16200 | No |
100801 | Onureg | Azacitidine | Tablet 200 mg 7 Tab | $16200 | No |
100802 | Onureg | Azacitidine | Tablet 300 mg 7 Tab | $16200 | No |
103066 | Rylaze | Asparaginase Erwinia-rywn | Vial 10/0.5 mg/ml 1.5 ml | $16200 | Yes |
103582 | Vitrakvi | Larotrectinib Sulfate | Oral Solution 2000/100 mg/ml 100 ml | $16200 | Yes |
101424 | Arcalyst | Rilonacept | Powder Vial 220 mg 4 Vial | $16800 | Yes |
100258 | Cyltezo-Psoriasis/UV | Adalimumab-Adbm | Injection Kit 40/0.8 mg/ml 4 Autoinjector | $16800 | Yes |
102034 | Hemlibra | Emicizumab-kxwh | Vial 150 mg/ml 1 ml | $16800 | Yes |
102246 | Jynarque | Tolvaptan | Tablet 45/15 mg/mg 56 tab | $16800 | No |
102247 | Jynarque | Tolvaptan | Tablet 60/30 mg/mg 56 tab | $16800 | No |
102248 | Jynarque | Tolvaptan | Tablet 90/30 mg/mg 56 tab | $16800 | No |
100794 | Odomzo | Sonidegib Phosphate | Capsule 200 mg 30 Cap | $16800 | No |
24915 | Polivy | Polatuzumab Vedotin | Powder For Solution 140 mg 1 Kit | $16800 | Yes |
103005 | Revlimid | Lenalidomide | Capsule 15 mg 21 cap | $16800 | No |
103007 | Revlimid | Lenalidomide | Capsule 20 mg 21 cap | $16800 | No |
103008 | Revlimid | Lenalidomide | Capsule 25 mg 21 cap | $16800 | No |
101041 | Sunitinib | Sunitinib Malate | Capsule 50 mg 28 Cap | $16800 | No |
101045 | Sutent | Sunitinib Malate | Capsule 25 mg 28 Cap | $16800 | No |
103284 | Syprine | Trientine Hydrochloride | Capsule 250 mg 100 cap | $16800 | Yes |
24176 | Tabrecta | Capmatinib | Tablet 150 mg 120 tab | $16800 | No |
24755 | Tabrecta | Capmatinib | Tablet 200 mg 120 tab | $16800 | No |
103313 | Tasigna | Nilotinib Hcl | Capsule 150 mg 112 cap | $16800 | No |
103314 | Tasigna | Nilotinib Hcl | Capsule 200 mg 112 cap | $16800 | No |
103315 | Tasigna | Nilotinib Hcl | Capsule 50 mg 120 cap | $16800 | No |
41159 | Tepmetko | Tepotinib | Tablet 225 mg 60 tab | $16800 | No |
24756 | Unituxin | Dinutuximab | Injection Kit 17.5/5 mg/ml 5 ml | $16800 | Yes |
103584 | Vizimpro | Dacomitinib | Tablet 15 mg 30 tab | $16800 | No |
103585 | Vizimpro | Dacomitinib | Tablet 30 mg 30 tab | $16800 | No |
103586 | Vizimpro | Dacomitinib | Tablet 45 mg 30 tab | $16800 | No |
101259 | Zykadia | Ceritinib | Tablet 150 mg 84 Tab | $16800 | No |
103611 | Vyvgart Hytrulo | Efgartigimod Alfa And Hyaluronidase-qvfc | Vial 1008-11200/5.6 mg-u/ml 5.6 ml | $17160 | Yes |
101565 | Calquence | Acalabrutinib | Tablet 100 mg 60 tab | $17400 | No |
101816 | Epkinly | Epcoritamab-bysp | Vial 48/0.8 mg/ml 0.8 ml | $17400 | Yes |
101965 | Gavreto | Pralsetinib | Capsule 100 mg 60 cap | $17400 | No |
100587 | Jevtana | Cabazitaxel | Vial Kit 60/1.5 mg/ml 1.5 ml | $17400 | No |
100693 | Mekinist | Trametinib Dimethyl Sulfoxide | Tablet 2 mg 30 Tab | $17400 | Yes |
100907 | Promacta | Eltrombopag Olamine | Tablet 50 mg 30 Tab | $17400 | No |
96777 | Rezurock | Belumosudil Mesylate | Tablet 200 mg 30 tab | $17400 | No |
110405 | Skyrizi | Risankizumab | Autoinjector 150 mg/ml 1 ml | $17400 | Yes |
110408 | Skyrizi | Risankizumab | Pre-Filled Syringe 150 mg/ml 1 ml | $17400 | Yes |
110410 | Skyrizi | Risankizumab | On-Body Injector 360/2.4 mg/ml 2.4 ml | $17400 | Yes |
110411 | Stelara | Ustekinumab | Pre-Filled Syringe 90 mg/ml 1 ml | $17400 | Yes |
105283 | Tepezza | Teprotumumab-trbw | Vial 500 mg 1 Vial | $17400 | Yes |
103514 | Vanflyta | Quizartinib Dihydrochloride | Tablet 17.7 mg 28 tab | $17400 | No |
103516 | Vanflyta | Quizartinib Dihydrochloride | Tablet 26.5 mg 28 tab | $17400 | No |
103581 | Vitrakvi | Larotrectinib Sulfate | Oral Solution 1000/50 mg/ml 100 ml | $17400 | Yes |
100078 | Alprolix | Coagulation Factor Ix (Recombinant) | Vial Kit 4000 IU 4000 IU | $18000 | Yes |
101621 | Cometriq | Cabozantinib | Capsule 20 mg 84 cap | $18000 | No |
101622 | Cometriq | Cabozantinib | Capsule 80-20 mg-mg 56 cap | $18000 | No |
101623 | Cometriq | Cabozantinib | Capsule 80-20 mg-mg 112 cap | $18000 | No |
101672 | Daraprim | Pyrimethamine | Tablet 25 mg 30 tab | $18000 | No |
101794 | Enspryng | Satralizumab-mwge | Pre-Filled Syringe 120 mg/ml 1 ml | $18000 | Yes |
100368 | Erivedge | Vismodegib | Capsule 0.3 mg 28 Cap | $18000 | No |
20161 | Gavreto | Pralsetinib | Capsule 100 mg 120 cap | $18000 | No |
100524 | Humira | Adalimumab | Injection Kit 80/0.8 mg/ml 2 ml | $18000 | Yes |
100534 | Humira-Ps/UV/Adol | Adalimumab | Injection Kit 40/0.8 mg/ml 4 ml | $18000 | Yes |
100535 | Humira-Psoriasis/Uveit | Adalimumab | Injection Kit 80/0.8-40/0.4 mg/ml 3 ml | $18000 | Yes |
102243 | Jynarque | Tolvaptan | Tablet 15 mg 56 tab | $18000 | No |
102245 | Jynarque | Tolvaptan | Tablet 30/15 mg 56 tab | $18000 | No |
102267 | Kepivance | Palifermin | Powder Vial 5.16 mg 6 Vial | $18000 | Yes |
100608 | Kisqali | Ribociclib | Tablet 200(400) mg 42 Tab | $18000 | No |
100611 | Kisqali | Ribociclib | Tablet 200/2.5(400) mg 70 Tab | $18000 | No |
102354 | Leukeran | Chlorambucil | Tablet 2 mg 25 tab | $18000 | Yes |
100652 | Leukeran | Chlorambucil | Tablet 2 mg 25 Tab | $18000 | Yes |
31917 | Lumakras | Sotorasib | Tablet 120 mg 240 tab | $18000 | No |
100685 | Mavyret | Glecaprevir/Pibrentasvir | Tablet 100/40 mg 84 Tab | $18000 | No |
100686 | Mavyret | Glecaprevir/Pibrentasvir | Tablet 100/40 mg 84 Tab | $18000 | No |
102554 | Nerlynx | Neratinib Maleate | Tablet 40 mg 180 tab | $18000 | Yes |
102622 | Novoseven RT with MixPro | Coagulation Factor Viia (Recombinant) | Powder Vial 8 mg 8000 mcg | $18000 | No |
102816 | Polivy | Polatuzumab Vedotin-piiq | Powder Vial 140 mg 1 Vial | $18000 | Yes |
103020 | Rezlidhia | Olutasidenib | Capsule 150 mg 30 cap | $18000 | No |
100964 | Rinvoq | Upadacitinib | Tablet 45 mg(24 Hours) 28 Tab | $18000 | No |
103172 | Somavert | Pegvisomant | Vial Kit 25 mg 30 Vial | $18000 | Yes |
101034 | Stelara | Ustekinumab | Vial 45/0.5 mg/ml 0.5 ml | $18000 | Yes |
101035 | Stelara | Ustekinumab | Pre-Filled Syringe 45/0.5 mg/ml 0.5 ml | $18000 | Yes |
103209 | Stivarga | Regorafenib | Tablet 40 mg 84 tab | $18000 | No |
103237 | Sutent | Sunitinib Malate | Capsule 37.5 mg 28 cap | $18000 | No |
103293 | Tagrisso | Osimertinib Mesylate | Tablet 40 mg 30 tab | $18000 | No |
103294 | Tagrisso | Osimertinib Mesylate | Tablet 80 mg 30 tab | $18000 | No |
101064 | Taltz | Ixekizumab | Autoinjector 80 mg/ml 2 ml | $18000 | Yes |
101138 | Trientine | Trientine HCl | Capsule 250 mg 100 Cap | $18000 | No |
103664 | Xenazine | Tetrabenazine | Tablet 12.5 mg 112 tab | $18000 | No |
101354 | Alecensa | Alectinib Hcl | Capsule 150 mg 240 cap | $18600 | No |
100080 | Altuviiio | Antihemophilic Factor (Recombinant) | Injection Kit 3000 IU 3000 IU | $18600 | Yes |
100161 | Bimzelx | Bimekizumab-bkzx | Autoinjector 160 mg/ml 2 ml | $18600 | Yes |
100162 | Bimzelx | Bimekizumab-bkzx | Pre-Filled Syringe 160 mg/ml 2 ml | $18600 | Yes |
102819 | Pomalyst | Pomalidomide | Capsule 1 mg 21 cap | $18600 | No |
102821 | Pomalyst | Pomalidomide | Capsule 2 mg 21 cap | $18600 | No |
102823 | Pomalyst | Pomalidomide | Capsule 3 mg 21 cap | $18600 | No |
102825 | Pomalyst | Pomalidomide | Capsule 4 mg 21 cap | $18600 | No |
103138 | Skyrizi | Risankizumab-rzaa | On-Body Injector 180/1.2 mg/ml 1.2 ml | $18600 | Yes |
101061 | Tafinlar | Dabrafenib Mesylate | Capsule 75 mg 120 Cap | $18660 | No |
101369 | Altuviiio | Antihemophilic Factor (Recombinant) | Injection Kit 4000 IU 4000 IU | $19200 | Yes |
101657 | Cyltezo CF Pen Crohn's-UC-HS | Adalimumab-Adbm | Injection Kit 40/0.8 mg/ml 6 Autoinjector | $19200 | Yes |
100390 | Farydak | Panobinostat | Capsule 10 mg 6 Cap | $19200 | No |
100391 | Farydak | Panobinostat | Capsule 15 mg 6 Cap | $19200 | No |
100392 | Farydak | Panobinostat | Capsule 20 mg 6 Cap | $19200 | No |
101947 | Gamifant | Emapalumab-lzsg | Vial 50/10 mg/ml 10 ml | $19200 | Yes |
100703 | Miglustat | Miglustat | Capsule 100 mg 90 Cap | $19200 | No |
102660 | Ocrevus | Ocrelizumab | Vial 300/10 mg/ml 10 ml | $19200 | Yes |
102997 | Retisert | Fluocinolone Acetonide | Implant 0.59 mg 1 Implant | $19200 | No |
103004 | Revlimid | Lenalidomide | Capsule 10 mg 28 cap | $19200 | No |
103006 | Revlimid | Lenalidomide | Capsule 2.5 mg 28 cap | $19200 | No |
103009 | Revlimid | Lenalidomide | Capsule 5 mg 28 cap | $19200 | No |
103021 | Rezurock | Belumosudil Mesylate | Tablet 200 mg 30 tab | $19200 | No |
101023 | Sorafenib | Sorafenib | Tablet 200 mg 120 Tab | $19200 | No |
103302 | Talzenna | Talazoparib Tosylate | Capsule 0.1 mg 30 cap | $19200 | No |
103304 | Talzenna | Talazoparib Tosylate | Capsule 0.35 mg 30 cap | $19200 | No |
103305 | Talzenna | Talazoparib Tosylate | Capsule 0.5 mg 30 cap | $19200 | No |
103306 | Talzenna | Talazoparib Tosylate | Capsule 0.75 mg 30 cap | $19200 | No |
103307 | Talzenna | Talazoparib Tosylate | Capsule 1 mg 30 cap | $19200 | No |
101135 | Tremfya | Guselkumab | Autoinjector 100 mg/ml 1 ml | $19200 | Yes |
101136 | Tremfya | Guselkumab | Pre-Filled Syringe 100 mg/ml 1 ml | $19200 | Yes |
103630 | Xalkori | Crizotinib | Capsule 200 mg 60 cap | $19200 | No |
103631 | Xalkori | Crizotinib | Capsule 250 mg 60 cap | $19200 | No |
101218 | Xtandi | Enzalutamide | Capsule 40 mg 120 Cap | $19200 | No |
101219 | Xtandi | Enzalutamide | Tablet 40 mg 120 Tab | $19200 | No |
101220 | Xtandi | Enzalutamide | Tablet 80 mg 60 Tab | $19200 | No |
100369 | Erleada | Apalutamide | Tablet 240 mg 30 Tab | $19800 | No |
102111 | Ilaris | Canakinumab | Vial 150 mg/ml 1 ml | $19800 | No |
100630 | Lenalidomide | Lenalidomide | Capsule 15 mg 21 Cap | $19800 | No |
100632 | Lenalidomide | Lenalidomide | Capsule 20 mg 21 Cap | $19800 | No |
100633 | Lenalidomide | Lenalidomide | Capsule 25 mg 21 Cap | $19800 | No |
100694 | Mektovi | Binimetinib | Tablet 15 mg 180 Tab | $19800 | Yes |
101251 | Zolinza | Vorinostat | Capsule 100 mg 120 Cap | $19800 | No |
100153 | Bexarotene | Bexarotene | Gel 1 % 60 g | $20400 | No |
100174 | Braftovi | Encorafenib | Capsule 75 mg 90 Cap | $20400 | No |
100175 | Braftovi | Encorafenib | Capsule 75 mg 60 Cap | $20400 | No |
101654 | Cuprimine | Penicillamine | Capsule 250 mg 100 cap | $20400 | No |
101806 | Epclusa | Sofosbuvir/Velpatasvir | Oral Pellet 200/50 mg/mg 28 Pellet | $20400 | No |
101807 | Epclusa | Sofosbuvir/Velpatasvir | Tablet 150/37.5 mg/mg 28 tab | $20400 | No |
101808 | Epclusa | Sofosbuvir/Velpatasvir | Tablet 200/50 mg/mg 28 tab | $20400 | No |
101809 | Epclusa | Sofosbuvir/Velpatasvir | Tablet 400/100 mg/mg 28 tab | $20400 | No |
100547 | Ibrance | Palbociclib | Capsule 100 mg 21 Cap | $20400 | No |
100548 | Ibrance | Palbociclib | Capsule 125 mg 21 Cap | $20400 | No |
100549 | Ibrance | Palbociclib | Capsule 75 mg 21 Cap | $20400 | No |
102412 | Lunsumio | Mosunetuzumab-axgb | Vial 30/30 mg/ml 30 ml | $20400 | Yes |
102784 | Pemazyre | Pemigatinib | Tablet 13.5 mg 14 tab | $20400 | No |
102785 | Pemazyre | Pemigatinib | Tablet 4.5 mg 14 tab | $20400 | No |
102786 | Pemazyre | Pemigatinib | Tablet 9 mg 14 tab | $20400 | No |
102806 | Piqray | Alpelisib | Tablet 150 mg 56 tab | $20400 | No |
102807 | Piqray | Alpelisib | Tablet 200 mg 28 tab | $20400 | No |
102808 | Piqray | Alpelisib | Tablet 200/50 mg/mg 56 tab | $20400 | No |
102927 | Radicava ORS Starter Kit | Edaravone | Oral Suspension Kit 105/5 mg/ml 70 ml | $20400 | Yes |
103052 | Rozlytrek | Entrectinib | Capsule 200 mg 90 cap | $20400 | No |
103064 | Rydapt | Midostaurin | Capsule 25 mg 112 cap | $20400 | No |
103238 | Sutent | Sunitinib Malate | Capsule 50 mg 28 cap | $20400 | No |
103322 | Tazverik | Tazemetostat Hydrobromide | Tablet 200 mg 240 tab | $20400 | No |
101170 | Venclexta | Venetoclax | Tablet 100 mg 120 Tab | $20400 | No |
101187 | Votrient | Pazopanib Hcl | Tablet 200 mg 120 Tab | $20400 | No |
100504 | Hemlibra | Emicizumab-kxwh | Vial 150 mg/ml 1 ml | $21000 | Yes |
102164 | Invega Hafyera | Paliperidone Palmitate | Injection Kit 1560/5 mg/ml 5 ml | $21000 | No |
100667 | Lonsurf | Trifluridine/Tipiracil Hcl | Tablet 20-8.19 mg 60 Tab | $21000 | No |
101100 | Tepezza | Teprotumumab-trbw | Vial 500 mg 1 ml | $21000 | Yes |
103488 | Uptravi | Selexipag | Tablet 1000 mcg 60 tab | $21000 | No |
103489 | Uptravi | Selexipag | Tablet 1200 mcg 60 tab | $21000 | No |
103490 | Uptravi | Selexipag | Tablet 1400 mcg 60 tab | $21000 | No |
103491 | Uptravi | Selexipag | Tablet 1600 mcg 60 tab | $21000 | No |
103494 | Uptravi | Selexipag | Tablet 400 mcg 60 tab | $21000 | No |
103495 | Uptravi | Selexipag | Tablet 600 mcg 60 tab | $21000 | No |
103496 | Uptravi | Selexipag | Tablet 800 mcg 60 tab | $21000 | No |
103536 | Venclexta | Venetoclax | Tablet 100 mg 180 tab | $21000 | No |
101179 | Vizimpro | Dacomitinib | Tablet 15 mg 30 Tab | $21000 | No |
101180 | Vizimpro | Dacomitinib | Tablet 30 mg 30 Tab | $21000 | No |
101181 | Vizimpro | Dacomitinib | Tablet 45 mg 30 Tab | $21000 | No |
101189 | Vyvgart | Efgartigimod Alfa And Hyaluronidase-qvfc | Vial 180-2000 mg-iu/ml 5.6 ml | $21000 | Yes |
100154 | Bexarotene | Bexarotene | Gel 1 % 60 g | $21600 | No |
100339 | Enspryng | Satralizumab-mwge | Pre-Filled Syringe 120 mg/ml 1 ml | $21600 | Yes |
100448 | Gavreto | Pralsetinib | Capsule 100 mg 90 Cap | $21600 | No |
102043 | Hetlioz | Tasimelteon | Capsule 20 mg 30 cap | $21600 | No |
102341 | Lenvima | Lenvatinib Mesylate | Capsule 10 mg 30 cap | $21600 | No |
102342 | Lenvima | Lenvatinib Mesylate | Capsule 12 mg 90 cap | $21600 | No |
102343 | Lenvima | Lenvatinib Mesylate | Capsule 14 mg 60 cap | $21600 | No |
102344 | Lenvima | Lenvatinib Mesylate | Capsule 18 mg 90 cap | $21600 | No |
102345 | Lenvima | Lenvatinib Mesylate | Capsule 20 mg 60 cap | $21600 | No |
102346 | Lenvima | Lenvatinib Mesylate | Capsule 24 mg 90 cap | $21600 | No |
102347 | Lenvima | Lenvatinib Mesylate | Capsule 4 mg 30 cap | $21600 | No |
102348 | Lenvima | Lenvatinib Mesylate | Capsule 8 mg 60 cap | $21600 | No |
102384 | Lorbrena | Lorlatinib | Tablet 100 mg 30 tab | $21600 | No |
102573 | Nexavar | Sorafenib Tosylate | Tablet 200 mg 120 tab | $21600 | No |
102679 | Oncaspar | Pegaspargase | Vial 3750/5 IU/ml 5 ml | $21600 | Yes |
103101 | Scemblix | Asciminib Hydrochloride | Tablet 20 mg 60 tab | $21600 | No |
103102 | Scemblix | Asciminib Hydrochloride | Tablet 40 mg 60 tab | $21600 | No |
103174 | Somavert | Pegvisomant | Vial Kit 30 mg 30 Vial | $21600 | Yes |
103223 | Sunlenca | Lenacapavir Sodium | Injection Kit 463.5/1.5 mg/ml 1.5 ml | $21600 | No |
101062 | Tagrisso | Osimertinib Mesylate | Tablet 80 mg 30 Tab | $21600 | No |
103434 | Triptodur | Triptorelin Pamoate | Injection Kit 22.5 mg 1 Kit | $21600 | No |
41181 | Vitrakvi | Larotrectinib | Capsule 100 mg 56 cap | $21600 | No |
25016 | Vyndamax | Tafamidis | Capsule 61 mg 30 cap | $21600 | No |
103689 | Xpovio | Selinexor | Tablet 20 mg 20 tab | $21600 | No |
103690 | Xpovio | Selinexor | Tablet 20 mg 8 tab | $21600 | No |
103691 | Xpovio | Selinexor | Tablet 20 mg 16 tab | $21600 | No |
103692 | Xpovio | Selinexor | Tablet 20 mg 12 tab | $21600 | No |
103694 | Xpovio | Selinexor | Tablet 20 mg 16 tab | $21600 | No |
101677 | Daurismo | Glasdegib Maleate | Tablet 100 mg 30 tab | $22200 | No |
101678 | Daurismo | Glasdegib Maleate | Tablet 25 mg 60 tab | $22200 | No |
102401 | Lumakras | Sotorasib | Tablet 120 mg 240 tab | $22200 | No |
103613 | Vyxeos | Daunorubicin, Cytarabine | Powder Vial 44/100 mg/mg 2 Vial | $22200 | Yes |
100049 | Afinitor Disperz | Everolimus | Tablet 2 mg 28 Tab | $22800 | No |
101629 | Copiktra | Duvelisib | Capsule 15 mg 56 cap | $22800 | No |
101630 | Copiktra | Duvelisib | Capsule 25 mg 56 cap | $22800 | No |
100553 | Ilumya | Tildrakizumab-asmn | Pre-Filled Syringe 100 mg/ml 1 ml | $22800 | Yes |
102225 | Jaypirca | Pirtobrutinib | Tablet 100 mg 60 tab | $22800 | No |
100609 | Kisqali | Ribociclib | Tablet 200(600) mg 63 Tab | $22800 | No |
100612 | Kisqali | Ribociclib | Tablet 200/2.5(600) mg 91 Tab | $22800 | No |
102310 | Krazati | Adagrasib | Tablet 200 mg 180 tab | $22800 | No |
102402 | Lumakras | Sotorasib | Tablet 320 mg 90 tab | $22800 | No |
100870 | Polivy | Polatuzumab Vedotin-piiq | Powder Vial 140 mg 1 Vial | $22800 | Yes |
102995 | Retevmo | Selpercatinib | Capsule 80 mg 120 cap | $22800 | No |
100948 | Revlimid | Lenalidomide | Capsule 15 mg 21 Cap | $22800 | No |
100950 | Revlimid | Lenalidomide | Capsule 20 mg 21 Cap | $22800 | No |
100951 | Revlimid | Lenalidomide | Capsule 25 mg 21 Cap | $22800 | No |
7582 | Sovaldi | Sofosbuvir | Tablet 400 mg 28 tab | $22800 | No |
103218 | Strensiq | Asfotase Alfa | Vial 28/0.7 mg/ml 8.4 ml | $22800 | Yes |
25057 | Viekira Pak | Ombitasvir/Ritonavir/Paritaprevir/Dasabuvir | Tablet, Kit 12.5/75/50/250 mg 112 tab | $22800 | No |
101186 | Votrient | Pazopanib Hcl | Tablet 200 mg 120 Tab | $22800 | No |
100052 | Afinitor | Everolimus | Tablet 2.5 mg 28 Tab | $23400 | No |
100063 | Alecensa | Alectinib Hcl | Capsule 150 mg 240 Cap | $23400 | No |
103458 | Tukysa | Tucatinib | Tablet 150 mg 120 tab | $23400 | No |
103603 | Vyndamax | Tafamidis | Capsule 61 mg 30 cap | $23400 | No |
103604 | Vyndaqel | Tafamidis Meglumine | Capsule 20 mg 120 cap | $23400 | No |
100051 | Afinitor | Everolimus | Tablet 10 mg 28 Tab | $24000 | No |
101507 | Besponsa | Inotuzumab Ozogamicin | Vial 0.9 mg 1 Vial | $24000 | Yes |
101561 | Cabometyx | Cabozantinib | Tablet 20 mg 30 tab | $24000 | No |
101562 | Cabometyx | Cabozantinib | Tablet 40 mg 30 tab | $24000 | No |
101563 | Cabometyx | Cabozantinib | Tablet 60 mg 30 tab | $24000 | No |
100199 | Cimzia Starter Kit | Certolizumab Pegol | Pre-Filled Syringe Kit 200 mg/ml 6 Kit | $24000 | Yes |
102031 | Harvoni | Ledipasvir/Sofosbuvir | Tablet 45/200 mg/mg 28 tab | $24000 | No |
102032 | Harvoni | Ledipasvir/Sofosbuvir | Tablet 90/400 mg/mg 28 tab | $24000 | No |
102029 | Harvoni Pellet Packet | Ledipasvir/Sofosbuvir | Oral Pellet 33.75/150 mg 28 Pellet | $24000 | No |
102288 | Kimmtrak | Tebentafusp | Injection Kit 100/0.5 mcg/ml 0.5 ml | $24000 | Yes |
11828 | Mavyret | Glecaprevir/Pibrentasvir | Tablet 100/40 mg 84 tab | $24000 | No |
102720 | Orkambi | Lumacaftor/Ivacaftor | Tablet 200/125 mg/mg 112 tab | $24000 | No |
102721 | Orserdu | Elacestrant | Tablet 345 mg 30 tab | $24000 | No |
102866 | Procysbi | Cysteamine Bitartrate | Capsule 75 mg 250 cap | $24000 | Yes |
102867 | Procysbi | Cysteamine Bitartrate | Granule Packet 300 mg 60 Packet | $24000 | Yes |
101027 | Sprycel | Dasatinib | Tablet 100 mg 30 Tab | $24000 | No |
101028 | Sprycel | Dasatinib | Tablet 140 mg 30 Tab | $24000 | No |
101032 | Sprycel | Dasatinib | Tablet 80 mg 30 Tab | $24000 | No |
101068 | Talzenna | Talazoparib Tosylate | Capsule 0.1 mg 30 Cap | $24000 | No |
101070 | Talzenna | Talazoparib Tosylate | Capsule 0.35 mg 30 Cap | $24000 | No |
101071 | Talzenna | Talazoparib Tosylate | Capsule 0.5 mg 30 Cap | $24000 | No |
101072 | Talzenna | Talazoparib Tosylate | Capsule 0.75 mg 30 Cap | $24000 | No |
101073 | Talzenna | Talazoparib Tosylate | Capsule 1 mg 30 Cap | $24000 | No |
103311 | Targretin | Bexarotene | Capsule 75 mg 100 cap | $24000 | No |
103312 | Targretin | Bexarotene | Gel Tube 0.01 % 60 g | $24000 | No |
103461 | Turalio | Pexidartinib | Capsule 125 mg 120 cap | $24000 | No |
103468 | Tyvaso DPI | Treprostinil | Cartridge 16 mcg 112 Cartridge | $24000 | Yes |
103469 | Tyvaso DPI | Treprostinil | Cartridge 32 mcg 112 Cartridge | $24000 | Yes |
103470 | Tyvaso DPI | Treprostinil | Cartridge 48 mcg 112 Cartridge | $24000 | Yes |
103471 | Tyvaso DPI | Treprostinil | Cartridge 64 mcg 112 Cartridge | $24000 | Yes |
103472 | Tyvaso DPI Titration Kit | Treprostinil | Cartridge Kit 16(112)-32(112)-48(28) mcg 252 Cartridge | $24000 | Yes |
103473 | Tyvaso DPI Titration Kit | Treprostinil | Cartridge Kit 16(112)-32(84) mcg 196 Cartridge | $24000 | Yes |
103587 | Vonjo | Pacritinib Citrate | Capsule 100 mg 120 cap | $24000 | No |
12631 | Vyndaqel | Tafamidis Meglumine | Capsule 20 mg 120 cap | $24000 | No |
103732 | Zavesca | Miglustat | Capsule 100 mg 90 cap | $24000 | No |
100053 | Afinitor | Everolimus | Tablet 5 mg 28 Tab | $24600 | No |
100054 | Afinitor | Everolimus | Tablet 7.5 mg 28 Tab | $24600 | No |
100050 | Afinitor Disperz | Everolimus | Tablet 5 mg 28 Tab | $24600 | No |
102227 | Jelmyto | Mitomycin | Vial Kit 45 mg 1 Kit | $24600 | No |
100257 | Cyltezo-CD/UC/HS | Adalimumab-Adbm | Injection Kit 40/0.8 mg/ml 6 Autoinjector | $25200 | Yes |
101670 | Danyelza | Naxitamab-Gqgk | Vial 40/10 mg/ml 10 ml | $25200 | Yes |
7577 | Epclusa | Sofosbuvir/Velpatasvir | Tablet 400/100 mg 28 tab | $25200 | No |
101894 | Fensolvi | Leuprolide Acetate | Injection Kit 45 mg 1 Kit | $25200 | Yes |
107180 | Krystexxa | Pegloticase | Vial 8 mg/ml 1 ml | $25200 | Yes |
102423 | Lupron Depot PED | Leuprolide Acetate | Injection Kit 45 mg 1 Kit | $25200 | No |
100781 | Ocrevus | Ocrelizumab | Vial 300/10 mg/ml 10 ml | $25200 | Yes |
102716 | Orkambi | Lumacaftor/Ivacaftor | Oral Granules 100/125 mg/mg 56 Granule | $25200 | No |
102718 | Orkambi | Lumacaftor/Ivacaftor | Oral Granules 75/94 mg/mg 56 Granule | $25200 | No |
102719 | Orkambi | Lumacaftor/Ivacaftor | Tablet 100/125 mg/mg 112 tab | $25200 | No |
102900 | Pyrukynd | Mitapivat Sulfate | Tablet 20 mg 56 tab | $25200 | No |
102901 | Pyrukynd | Mitapivat Sulfate | Tablet 50 mg 56 tab | $25200 | No |
102902 | Pyrukynd | Mitapivat Sulfate | Tablet 5 mg 56 tab | $25200 | No |
101046 | Sutent | Sunitinib Malate | Capsule 37.5 mg 28 Cap | $25200 | No |
103485 | Ultomiris | Ravulizumab-cwvz | Vial 1100/11 mg/ml 11 ml | $25680 | Yes |
100168 | Bosulif | Bosutinib | Tablet 100 mg 120 Tab | $25800 | No |
100169 | Bosulif | Bosutinib | Tablet 400 mg 30 Tab | $25800 | No |
100170 | Bosulif | Bosutinib | Tablet 500 mg 30 Tab | $25800 | No |
100908 | Promacta | Eltrombopag Olamine | Tablet 75 mg 30 Tab | $25800 | No |
103296 | Takhzyro | Lanadelumab-flyo | Pre-Filled Syringe 300/2 mg/ml 2 ml | $25800 | Yes |
103297 | Takhzyro | Lanadelumab-flyo | Vial 300/2 mg/ml 2 ml | $25800 | Yes |
103349 | Tepmetko | Tepotinib Hcl | Tablet 225 mg 60 tab | $25800 | No |
103590 | Vosevi | Sofosbuvir/Velpatas/Voxilaprev | Tablet 400/100/100 mg 28 tab | $25800 | No |
10000008 | Fruzaqla | Fruquintinib | Capsule 5 mg 21 cap | $26400 | No |
24986 | Galafold | Migalastat | Capsule 123 mg 14 cap | $26400 | No |
100529 | Humira-CD/UC/HS | Adalimumab | Injection Kit 40/0.8 mg/ml 6 ml | $26400 | Yes |
100530 | Humira-CD/UC/HS | Adalimumab | Injection Kit 80/0.8 mg/ml 3 ml | $26400 | Yes |
100532 | Humira-Ped>/=40kg | Adalimumab | Pre-Filled Syringe 80/0.8 mg/ml 3 ml | $26400 | Yes |
100550 | Icatibant | Icatibant Acetate | Pre-Filled Syringe 30/3 mg/ml 9 ml | $26400 | No |
100561 | Inlyta | Axitinib | Tablet 1 mg 180 Tab | $26400 | No |
100562 | Inlyta | Axitinib | Tablet 5 mg 60 Tab | $26400 | No |
102151 | Inrebic | Fedratinib Dihydrochloride | Capsule 100 mg 120 cap | $26400 | No |
100760 | Novoseven RT | Coagulation Factor Viia (Recombinant) | Powder Vial 8 mg 8000 mcg | $26400 | No |
102708 | Orenitram ER | Treprostinil | Tablet 5 mg 100 tab | $26400 | No |
100970 | Rozlytrek | Entrectinib | Capsule 200 mg 90 Cap | $26400 | No |
101030 | Sprycel | Dasatinib | Tablet 50 mg 60 Tab | $26400 | No |
101031 | Sprycel | Dasatinib | Tablet 70 mg 60 Tab | $26400 | No |
101065 | Taltz | Ixekizumab | Autoinjector 80 mg/ml 3 ml | $26400 | Yes |
101081 | Tasigna | Nilotinib | Capsule 200 mg 112 Cap | $26400 | No |
31914 | Trikafta | Elexacaftor/Tezacaftor/Ivacaftor | Tablet 100/50/75 mg 84 tab | $26400 | No |
31916 | Trikafta | Elexacaftor/Tezacaftor/Ivacaftor | Tablet 50/25/37.5 mg 84 tab | $26400 | No |
103589 | Voraxaze | Glucarpidase | Powder Vial 1000 IU 1 Vial | $26400 | Yes |
100629 | Lenalidomide | Lenalidomide | Capsule 10 mg 28 Cap | $27000 | No |
100631 | Lenalidomide | Lenalidomide | Capsule 2.5 mg 28 Cap | $27000 | No |
100634 | Lenalidomide | Lenalidomide | Capsule 5 mg 28 Cap | $27000 | No |
103246 | Symdeko | Tezacaftor/Ivacaftor | Tablet 100/150 mg/mg 56 tab | $27000 | No |
103247 | Symdeko | Tezacaftor/Ivacaftor | Tablet 50/75 mg/mg 56 tab | $27000 | No |
103427 | Trikafta | Elexacaftor/Tezacaftor/Ivacaft | Tablet 100/50/75 mg 84 tab | $27000 | No |
101451 | Asparlas | Calaspargase Pegol-Mknl | Vial 3750/5 U/ml 5 ml | $27600 | Yes |
102001 | Gliadel | Carmustine | Wafer 7.7 mg 8 Wafer | $27600 | Yes |
100668 | Lorbrena | Lorlatinib | Tablet 100 mg 30 Tab | $27600 | No |
101010 | Skyrizi | Risankizumab-rzaa | Pre-Filled Syringe Kit 75/0.83 mg/ml 1 ml | $27600 | Yes |
101051 | Syprine | Trientine HCl | Capsule 250 mg 100 Cap | $27600 | Yes |
7583 | Vosevi | Sofosbuvir/Velpatasvir/Voxilaprevir | Tablet 400/100/100 mg 28 tab | $27600 | No |
103693 | Xpovio | Selinexor | Tablet 20 mg 24 tab | $27600 | No |
103696 | Xpovio | Selinexor | Tablet 40 mg 4 tab | $27600 | No |
103699 | Xpovio | Selinexor | Tablet 50 mg 8 tab | $27600 | No |
103700 | Xpovio | Selinexor | Tablet 60 mg 4 tab | $27600 | No |
103800 | Zynlonta | Loncastuximab Tesirine-lpyl | Powder Vial 10 mg 1 Vial | $27600 | No |
100151 | Besponsa | Inotuzumab Ozogamicin | Vial 0.9 mg/ml 1 Vial | $28200 | Yes |
100265 | Daurismo | Glasdegib Maleate | Tablet 100 mg 30 Tab | $28200 | No |
100266 | Daurismo | Glasdegib Maleate | Tablet 25 mg 60 Tab | $28200 | No |
101904 | Firazyr | Icatibant Acetate | Pre-Filled Syringe 30/3 mg/ml 9 ml | $28800 | No |
102030 | Harvoni Pellet Packet | Ledipasvir/Sofosbuvir | Oral Pellet 45/200 mg 28 Pellet | $28800 | No |
102255 | Kalydeco | Ivacaftor | Oral Granules 13.4 mg 56 Granule | $28800 | No |
102256 | Kalydeco | Ivacaftor | Oral Granules 25 mg 56 Granule | $28800 | No |
102257 | Kalydeco | Ivacaftor | Oral Granules 5.8 mg 56 Granule | $28800 | No |
102258 | Kalydeco | Ivacaftor | Oral Granules 50 mg 56 Granule | $28800 | No |
102259 | Kalydeco | Ivacaftor | Oral Granules 75 mg 56 Granule | $28800 | No |
102260 | Kalydeco | Ivacaftor | Tablet 150 mg 56 tab | $28800 | No |
100860 | Piqray | Alpelisib | Tablet 200(200) mg 28 Tab | $28800 | No |
100861 | Piqray | Alpelisib | Tablet 200/50(250) mg 56 Tab | $28800 | No |
100862 | Piqray | Alpelisib | Tablet 2/150(300) mg 56 Tab | $28800 | No |
100975 | Rydapt | Midostaurin | Capsule 25 mg 112 Cap | $28800 | No |
100986 | Scemblix | Asciminib Hydrochloride | Tablet 20 mg 60 Tab | $28800 | No |
100987 | Scemblix | Asciminib Hydrochloride | Tablet 40 mg 60 Tab | $28800 | No |
101012 | Skyrizi | Risankizumab-rzaa | Autoinjector 150/1 mg/ml 1 ml | $28800 | Yes |
101013 | Skyrizi | Risankizumab-rzaa | On-Body Injector 180/1.2 mg/ml 1.2 ml | $28800 | Yes |
101014 | Skyrizi | Risankizumab-rzaa | On-Body Injector 360/2.4 mg/ml 2.4 ml | $28800 | Yes |
101015 | Skyrizi | Risankizumab-rzaa | Pre-Filled Syringe 150/1 mg/ml 1 ml | $28800 | Yes |
103178 | Sovaldi | Sofosbuvir | Oral Pellet 150 mg 28 Pellet | $28800 | No |
103179 | Sovaldi | Sofosbuvir | Oral Pellet 200 mg 28 Pellet | $28800 | No |
101047 | Sutent | Sunitinib Malate | Capsule 50 mg 28 Cap | $28800 | No |
103369 | Tibsovo | Ivosidenib | Tablet 250 mg 60 tab | $28800 | No |
103425 | Trikafta | Elexacaftor/Tezacaftor/Ivacaft | Oral Granules 100/50/75 mg 56 Granule | $28800 | No |
103426 | Trikafta | Elexacaftor/Tezacaftor/Ivacaft | Oral Granules 80/40/60 mg 56 Granule | $28800 | No |
103428 | Trikafta | Elexacaftor/Tezacaftor/Ivacaft | Tablet 50/25/37.5 mg 84 tab | $28800 | No |
101196 | Xalkori | Crizotinib | Capsule 200 mg 2000 Cap | $28800 | No |
101197 | Xalkori | Crizotinib | Capsule 250 mg 60 Cap | $28800 | No |
103180 | Sovaldi | Sofosbuvir | Tablet 200 mg 28 tab | $29400 | No |
103181 | Sovaldi | Sofosbuvir | Tablet 400 mg 28 tab | $29400 | No |
103688 | Xospata | Gilteritinib Fumarate | Tablet 40 mg 90 tab | $29400 | No |
101864 | Exkivity | Mobocertinib | Capsule 40 mg 120 cap | $30000 | No |
41139 | Firdapse | Amifampridine | Tablet 10 mg 240 tab | $30000 | No |
101925 | Fotivda | Tivozanib | Capsule 0.89 mg 21 cap | $30000 | No |
101926 | Fotivda | Tivozanib | Capsule 1.34 mg 21 cap | $30000 | No |
12032 | Mylotarg | Gemtuzumab Ozogamicin | Vial 4.5 mg 1 Vial | $30000 | Yes |
100871 | Pomalyst | Pomalidomide | Capsule 1 mg 21 Cap | $30000 | No |
100872 | Pomalyst | Pomalidomide | Capsule 2 mg 21 Cap | $30000 | No |
100873 | Pomalyst | Pomalidomide | Capsule 3 mg 21 Cap | $30000 | No |
100874 | Pomalyst | Pomalidomide | Capsule 4 mg 21 Cap | $30000 | No |
100947 | Revlimid | Lenalidomide | Capsule 10 mg 28 Cap | $30000 | No |
100949 | Revlimid | Lenalidomide | Capsule 2.5 mg 28 Cap | $30000 | No |
100952 | Revlimid | Lenalidomide | Capsule 5 mg 28 Cap | $30000 | No |
103621 | Welireg | Belzutifan | Tablet 40 mg 90 tab | $30000 | No |
24768 | Xospata | Gilteritinib | Tablet 40 mg 90 tab | $30000 | No |
100636 | Lenvima | Lenvatinib Mesylate | Capsule 10 mg daily 30 Cap | $30600 | No |
100638 | Lenvima | Lenvatinib Mesylate | Capsule 12 mg daily 90 Cap | $30600 | No |
100640 | Lenvima | Lenvatinib Mesylate | Capsule 14 mg daily 60 Cap | $30600 | No |
100642 | Lenvima | Lenvatinib Mesylate | Capsule 18 mg daily 90 Cap | $30600 | No |
100644 | Lenvima | Lenvatinib Mesylate | Capsule 20 mg daily 60 Cap | $30600 | No |
100646 | Lenvima | Lenvatinib Mesylate | Capsule 24 mg daily 90 Cap | $30600 | No |
100648 | Lenvima | Lenvatinib Mesylate | Capsule 4 mg daily 30 Cap | $30600 | No |
100650 | Lenvima | Lenvatinib Mesylate | Capsule 8 mg daily 60 Cap | $30600 | No |
101773 | Elzonris | Tagraxofusp-Erzs | Vial 1 mg/ml 1 ml | $31200 | No |
7580 | Harvoni | Ledipasvir/Sofosbuvir | Tablet 90/400 mg 28 tab | $31200 | No |
100683 | Lupron Depot-Ped | Leuprolide Acetate | Injection Kit 45 mg 1 Kit | $31200 | No |
54878 | Qinlock | Ripretinib | Tablet 50 mg 90 tab | $31200 | No |
101153 | Ultomiris | Ravulizumab-cwvz | Vial 1100/11 mg/ml 11 ml | $31200 | Yes |
103493 | Uptravi | Selexipag | Tablet 200 mg 140 tab | $31200 | No |
103497 | Uptravi Titration Pack | Selexipag | Tablet 200/800 mcg/mcg 200 tab | $31200 | No |
103564 | Vijoice | Alpelisib | Tablet 125 mg 28 tab | $31200 | No |
103565 | Vijoice | Alpelisib | Tablet 28x200-28x50 mg 56 tab | $31200 | No |
103566 | Vijoice | Alpelisib | Tablet 50 mg 28 tab | $31200 | No |
101185 | Vosevi | Sofosbuvir/Velpatas/Voxilaprev | Tablet 400/100/100 mg 28 Tab | $31200 | No |
100353 | Epclusa | Sofosbuvir/Velpatasvir | Tablet 200/50 mg 28 Tab | $32400 | No |
100354 | Epclusa | Sofosbuvir/Velpatasvir | Tablet 400/100 mg 28 Tab | $32400 | No |
100351 | Epclusa Oral Pellet | Sofosbuvir/Velpatasvir | Tablet 150/37.5 mg 28 Tab | $32400 | No |
100352 | Epclusa Oral Pellet | Sofosbuvir/Velpatasvir | Oral Pellet 200/50 mg 28 Tab | $32400 | No |
101943 | Galafold | Migalastat | Capsule 123 mg 14 cap | $32400 | No |
102107 | Idhifa | Enasidenib Mesylate | Tablet 100 mg 30 tab | $32400 | No |
102108 | Idhifa | Enasidenib Mesylate | Tablet 50 mg 30 tab | $32400 | No |
101079 | Targretin | Bexarotene | Capsule 75 mg 100 Cap | $32400 | No |
101145 | Tukysa | Tucatinib | Tablet 150 mg 120 Tab | $32400 | No |
103697 | Xpovio | Selinexor | Tablet 40 mg 8 tab | $32400 | No |
103698 | Xpovio | Selinexor | Tablet 40 mg 8 tab | $32400 | No |
103695 | Xpovio | Selinexor | Tablet 20 mg 32 tab | $33000 | No |
102464 | Mavenclad | Cladribine | Tablet 10 mg 4 tab | $33600 | No |
103230 | Supprelin LA | Histrelin Acetate | Implant 50 mg 1 Implant | $33600 | Yes |
103368 | Tibsovo | Ivosidenib | Tablet 250 mg 60 tab | $33600 | No |
100226 | Cuprimine | Penicillamine | Capsule 250 mg 100 Cap | $34200 | No |
100563 | Inrebic | Fedratinib Dihydrochloride | Capsule 100 mg 120 Cap | $34800 | No |
79544 | Qinlock | Ripretinib | Tablet 50 mg 90 tab | $35880 | No |
101844 | Evkeeza | Evinacumab-dgnb | Vial 1200/8 mg/ml 8 ml | $36000 | Yes |
101945 | Gamifant | Emapalumab-lzsg | Vial 100/20 mg/ml 20 ml | $36000 | Yes |
100533 | Humira-Ped>/=40kg | Adalimumab | Injection Kit 80/0.8 mg/ml 4 ml | $36000 | Yes |
101025 | Sovaldi | Sofosbuvir | Tablet 200 mg 28 Tab | $36000 | No |
101026 | Sovaldi | Sofosbuvir | Tablet 400 mg 28 Tab | $36000 | No |
101036 | Stelara | Ustekinumab | Pre-Filled Syringe 90 mg/ml 1 ml | $36000 | Yes |
103713 | Yervoy | Ipilimumab | Vial 200/40 mg/ml 40 ml | $36000 | Yes |
101537 | Brineura | Cerliponase Alfa | Injection Kit 300/10 mg/ml 10 ml | $36600 | Yes |
100620 | Krystexxa | Pegloticase | Vial 8 mg/ml 1 ml | $38400 | Yes |
101078 | Targretin | Bexarotene | Gel 1 % 60 g | $38400 | No |
103665 | Xenazine | Tetrabenazine | Tablet 25 mg 112 tab | $38400 | No |
101469 | Ayvakit | Avapritinib | Tablet 100 mg 30 tab | $39600 | No |
101470 | Ayvakit | Avapritinib | Tablet 200 mg 30 tab | $39600 | No |
101471 | Ayvakit | Avapritinib | Tablet 25 mg 30 tab | $39600 | No |
101472 | Ayvakit | Avapritinib | Tablet 300 mg 30 tab | $39600 | No |
101473 | Ayvakit | Avapritinib | Tablet 50 mg 30 tab | $39600 | No |
100194 | Cerdelga | Eliglustat Tartrate | Capsule 84 mg 14 Cap | $39600 | No |
100500 | Harvoni | Ledipasvir/Sofosbuvir | Oral Pellet 33.75/150 mg 28 Tab | $39600 | No |
100501 | Harvoni | Ledipasvir/Sofosbuvir | Tablet 45/200 mg 28 Tab | $39600 | No |
100502 | Harvoni | Ledipasvir/Sofosbuvir | Tablet 90/400 mg 28 Tab | $39600 | No |
103333 | Tegsedi | Inotersen Sodium | Pre-Filled Syringe 284/1.5 mg/ml 6 ml | $39600 | Yes |
101963 | Gattex | Teduglutide | Vial Kit 5 mg 1 Kit | $40800 | Yes |
102132 | Imjudo | Tremelimumab-actl | Vial 300/15 mg/ml 15 ml | $42000 | Yes |
101113 | Tibsovo | Ivosidenib | Tablet 250 mg 60 Tab | $42000 | No |
102465 | Mavenclad | Cladribine | Tablet 10 mg 5 tab | $43200 | No |
102908 | Qinlock | Ripretinib | Tablet 50 mg 90 tab | $43200 | No |
101992 | Givlaari | Givosiran | Vial 189 mg/ml 1 ml | $44400 | No |
100552 | IDHIFA | Enasidenib Mesylate | Tablet 50 mg 30 Tab | $44400 | No |
103579 | Vitrakvi | Larotrectinib Sulfate | Capsule 100 mg 60 cap | $44400 | No |
101222 | Yervoy | Ipilimumab | Vial 200/40 mg/ml 40 ml | $45000 | Yes |
103415 | Tretten | Coagulation Factor XIII | Injection Kit 2500 IU 2500 Units | $51000 | Yes |
102466 | Mavenclad | Cladribine | Tablet 10 mg 6 tab | $52800 | No |
103182 | Spevigo | Spesolimab-sbzo | Vial 450/7.5 mg/ml 15 ml | $55200 | Yes |
101137 | Tretten | Coagulation Factor XIII | Powder Vial 2500 IU 2500 IU | $55200 | Yes |
102886 | Provenge | Sipuleucel-T | Injection Kit 50,000,000 cells 250 ml | $60000 | Yes |
101042 | Supprelin LA | Histrelin Acetate | Implant 50 mg 1 Kit | $60000 | Yes |
102467 | Mavenclad | Cladribine | Tablet 10 mg 7 tab | $62400 | No |
102737 | Oxlumo | Lumasiran | Vial 94.5/0.5 mg/ml 0.5 ml | $62400 | No |
103219 | Strensiq | Asfotase Alfa | Vial 80/0.8 mg/ml 9.6 ml | $66000 | Yes |
101671 | Daraprim | Pyrimethamine | Tablet 25 mg 100 tab | $72000 | No |
102468 | Mavenclad | Cladribine | Tablet 10 mg 8 tab | $72000 | No |
102469 | Mavenclad | Cladribine | Tablet 10 mg 9 tab | $81600 | No |
102818 | Pomalyst | Pomalidomide | Capsule 1 mg 100 cap | $84000 | No |
102820 | Pomalyst | Pomalidomide | Capsule 2 mg 100 cap | $84000 | No |
102822 | Pomalyst | Pomalidomide | Capsule 3 mg 100 cap | $84000 | No |
102824 | Pomalyst | Pomalidomide | Capsule 4 mg 100 cap | $84000 | No |
102463 | Mavenclad | Cladribine | Tablet 10 mg 10 tab | $88800 | No |
101389 | Amvuttra | Vutrisiran | Pre-Filled Syringe 25/0.5 mg/ml 0.5 ml | $127200 | No |
103476 | Tzield | Teplizumab-mzwv | Vial 2/2 mg/ml 20 ml | $144000 | Yes |
103487 | Uplizna | Inebilizumab-cdon | Vial 100/10 mg/ml 30 ml | $145200 | Yes |
103183 | Spinraza | Nusinersen Sodium | Vial 12/5 mg/ml 5 ml | $150000 | Yes |
101155 | Uplizna | Inebilizumab-cdon | Vial 100/10 mg/ml 30 ml | $174000 | Yes |
103477 | Tzield | Teplizumab-mzwv | Vial 2/2 mg/ml 28 ml | $201600 | Yes |
63537 | Ozempic | Semaglutide | Autoinjector 4/3 mg-mg/ml 3 ml | $389 | Yes |
64202 | Ozempic | Semaglutide | Autoinjector 0.5-2/1.5 mg-mg/ml 3 ml | $389 | Yes |
63536 | Ozempic | Semaglutide | Autoinjector 0.25-2/1.5 mg-mg/ml 1.5 ml | $389 | Yes |
87446 | Ozempic | Semaglutide | Autoinjector 8/3 mg/ml 3 ml | $683 | Yes |
87460 | Ozempic | Semaglutide | Autoinjector 2/3 mg/ml 3 ml | $683 | Yes |
87461 | Ozempic | Semaglutide | Autoinjector 4/3 mg/ml 3 ml | $683 | Yes |
100829 | Ozempic | Semaglutide | Autoinjector 2/1.5 mg/ml 3 ml | $1155 | Yes |
100830 | Ozempic | Semaglutide | Autoinjector 4/3 mg/ml 3 ml | $1155 | Yes |
100831 | Ozempic | Semaglutide | Autoinjector 8/3 mg/ml 3 ml | $1155 | Yes |
6680 | Ozempic | Semaglutide | Autoinjector 2/3 mg/ml 3 ml | $447 | Yes |
81889 | Mounjaro | Tirzepatide | Multi Dose Autoinjector 5 mg/dose 2 ml | $578 | No |
81902 | Mounjaro | Tirzepatide | Multi Dose Autoinjector 2.5 mg/dose 2 ml | $578 | No |
96240 | Mounjaro | Tirzepatide | Multi Dose Autoinjector 7.5 mg/dose 2 ml | $578 | No |
96248 | Mounjaro | Tirzepatide | Multi Dose Autoinjector 10 mg/dose 2 ml | $578 | No |
96249 | Mounjaro | Tirzepatide | Multi Dose Autoinjector 12.5 mg/dose 2 ml | $578 | No |
102511 | Mounjaro | Tirzepatide | Autoinjector 10/0.5 mg/ml 2 ml | $998 | Yes |
102512 | Mounjaro | Tirzepatide | Autoinjector 12.5/0.5 mg/ml 2 ml | $998 | Yes |
102513 | Mounjaro | Tirzepatide | Autoinjector 15/0.5 mg/ml 2 ml | $998 | Yes |
102514 | Mounjaro | Tirzepatide | Autoinjector 2.5/0.5 mg/ml 2 ml | $998 | Yes |
102515 | Mounjaro | Tirzepatide | Autoinjector 5/0.5 mg/ml 2 ml | $998 | Yes |
102516 | Mounjaro | Tirzepatide | Autoinjector 7.5/0.5 mg/ml 2 ml | $998 | Yes |
100708 | Mounjaro | Tirzepatide | Autoinjector 10/0.5 mg/ml 2 ml | $1260 | Yes |
100709 | Mounjaro | Tirzepatide | Autoinjector 12.5/0.5 mg/ml 2 ml | $1260 | Yes |
100710 | Mounjaro | Tirzepatide | Autoinjector 15/0.5 mg/ml 2 ml | $1260 | Yes |
100711 | Mounjaro | Tirzepatide | Autoinjector 2.5/0.5 mg/ml 2 ml | $1260 | Yes |
100712 | Mounjaro | Tirzepatide | Autoinjector 5/0.5 mg/ml 2 ml | $1260 | Yes |
100713 | Mounjaro | Tirzepatide | Autoinjector 7.5/0.5 mg/ml 2 ml | $1260 | Yes |
101225 | Mounjaro | Tirzepatide | Multi Dose Autoinjector 15 mg/dose 4 dose | $578 | Yes |
57680 | Mounjaro | Tirzepatide | Vial 2.5/0.5 mg/ml 2 ml | $578 | Yes |
57682 | Mounjaro | Tirzepatide | Vial 5/0.5 mg/ml 2 ml | $578 | Yes |
57684 | Mounjaro | Tirzepatide | Vial 7.5/0.5 mg/ml 2 ml | $578 | Yes |
57685 | Mounjaro | Tirzepatide | Vial 10/0.5 mg/ml 2 ml | $578 | Yes |
57686 | Mounjaro | Tirzepatide | Vial 12.5/0.5 mg/ml 2 ml | $578 | Yes |
103616 | Wegovy | Semaglutide | Autoinjector 0.25/0.5 mg/ml 2 ml | $1155 | Yes |
103617 | Wegovy | Semaglutide | Autoinjector 0.5/0.5 mg/ml 2 ml | $1155 | Yes |
103618 | Wegovy | Semaglutide | Autoinjector 1.7/0.75 mg/ml 3 ml | $1155 | Yes |
103619 | Wegovy | Semaglutide | Autoinjector 1/0.5 mg/ml 2 ml | $1155 | Yes |
103620 | Wegovy | Semaglutide | Autoinjector 2.4/0.75 mg/ml 3 ml | $1155 | Yes |
101191 | Wegovy | Semaglutide | Autoinjector 0.25/0.5 mg/ml 2 ml | $1575 | Yes |
101192 | Wegovy | Semaglutide | Autoinjector 0.5/0.5 mg/ml 2 ml | $1575 | Yes |
101193 | Wegovy | Semaglutide | Autoinjector 1.7/0.75 mg/ml 3 ml | $1575 | Yes |
101194 | Wegovy | Semaglutide | Autoinjector 2.4/0.75 mg/ml 3 ml | $1575 | Yes |
88409 | Wegovy FlexTouch | Semaglutide | Multi Dose Autoinjector 6.8/3 mg/ml 3 ml | $420 | Yes |
88417 | Wegovy FlexTouch | Semaglutide | Multi Dose Autoinjector 4/3 mg/ml 3 ml | $420 | Yes |
88425 | Wegovy FlexTouch | Semaglutide | Multi Dose Autoinjector 2/1.5 mg/ml 2 ml | $420 | Yes |
88426 | Wegovy FlexTouch | Semaglutide | Multi Dose Autoinjector 1/1.5 mg/ml 2 ml | $420 | Yes |
63533 | Rybelsus | Semaglutide | Tablet 7 mg 30 tab | $389 | No |
63535 | Rybelsus | Semaglutide | Tablet 3 mg 30 tab | $389 | No |
63534 | Rybelsus | Semaglutide | Tablet 14 mg 30 tab | $389 | No |
84220 | Rybelsus | Semaglutide | Tablet 7 mg 30 tab | $389 | No |
84222 | Rybelsus | Semaglutide | Tablet 3 mg 30 tab | $389 | No |
103060 | Rybelsus | Semaglutide | Tablet 14 mg 30 tab | $735 | No |
103061 | Rybelsus | Semaglutide | Tablet 3 mg 30 tab | $735 | No |
103062 | Rybelsus | Semaglutide | Tablet 7 mg 30 tab | $735 | No |
100839 | Rybelsus | Semaglutide | Tablet 14 mg 90 tab | $1166 | No |
7685 | Rybelsus | Semaglutide | Tablet 3 mg 30 tab | $389 | No |
7690 | Rybelsus | Semaglutide | Tablet 7 mg 30 tab | $389 | No |
7691 | Rybelsus | Semaglutide | Tablet 14 mg 30 tab | $389 | No |
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.
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
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12 Mental Health (Yr)
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Couples
Plan-
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Coverage For Up To 2 Members
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12 Primary Care (Yr) Per Member
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12 Urgent Care (Yr) Per Member
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12 Mental Health (Yr) Per Member
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1,000+ Prescriptions Included
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Save 50%+ on Brand Name Rx
Family
Plan-
Nationwide Coverage
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24/7 Access
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Secure Consultations
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Coverage For Up To 6 Members
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12 Primary Care (Yr) Per Member
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12 Urgent Care (Yr) Per Member
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12 Mental Health (Yr) Per Member
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1,000+ Prescriptions Included
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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.
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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
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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:
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The mental health support has been a lifesaver. Nu Health RX truly cares about its members.
No more waiting rooms, this is the future of healthcare. Fast, affordable, and reliable.
Getting healthcare has never been easier. I connected with a doctor in minutes and saved on my prescriptions.