Amitriptyline Hydrochloride Heart Health & BP Amlodipine Besylate 5mg Norvasc Antibiotics Amoxicillin 500 mg Amoxil
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1 Antiviral Acyclovir 400mg Zovirax Asthma Advair Diskus Diskus 250/50 Fluticasone/Salmeterol Asthma Albuterol Sulfate 2.5 mg/3 ml Proventil Arthritis and Pain Allendronate Sodium 70 mg Fosamax Arthritis and Pain Allopurinol 300 mg Zyloprim Mental Amitriptyline Hydrochloride 10mg Elavil Heart & BP Amlodipine Besylate 5mg Norvasc 500 mg Amoxil 125 mg/5 ml Amoxil 400 mg/5 ml Amoxil 250 mg/5 ml Amoxil /Pot Clav 875mg-125 mg Augmentin Other Conditions Antipyrine/Benzocaine % Auralgan Heart & BP Atenelol 50mg Tenormin Heart & BP Atenolol 25mg Tenormin Heart & BP Atenolol 100 mg Tenormin Cholesterol Atorvastatin 20 mg Lipitor Azithromycin 250 mg Zithromax Skin Conditions Azithromycin Bacitracin Ointment (OTC) 200mg/5cc Zithromax Heart & BP Benazepril HCL 20mg Lotensin Bacitracin Ointment 1 Revised 10/15/2014
2 Mental Bupropion XL 150mg Wellbutrin XL Cefdinir 250 mg/5cc Omnicef Cefdinir 300 mg capsules Omnicef Cephalexin 500 mg Keflex Ciprofloxacin HCL 500 mg Cipro Mental Citalopram 20mg Celexa Mental Citalopram 40mg Celexa Arthritis and Pain Cyclobenzaprine 10mg Flexeril Heart & BP Diovan 160mg Valsartan Heart and BP Doxazosin 4 mg Cardura Heart & BP Enalapril Maleate 10 mg Vasotec Other Conditions EpiPen 2 pak EpiPen Other Conditions EpiPen Jr. 2 pak EpiPen Allergies/Cold/Flu Flovent Inhaler 110 mcg Fluticasone propianate Fungal Infection Fluconazole 150mg Diflucan Mental Fluoxetine HCL 20mg Prozac Allergies/Cold/Flu Fluticasone Nasal Spray 50 mcg Flonase Heart & BP Furosemide 40mg Lasix Arthritis and Pain Gabapentin 300 mg Neurontin Cholesterol Gemfibrozil 600mg Lopid Diabetes Glimepiride 4mg Amaryl Heart & BP Hydrochlorothiazide 25mg HydroDiuril Heart & BP Hydrochlorothiazide 12.5mg HydroDiuril Skin Conditions Hydrocortisone Cream 2.5% Hytone Arthritis and Pain Ibuprofen 600 mg Motrin 2 Revised 10/15/2014
3 Thyroid Condition Levothyroxine 112 mcg Synthroid Thyroid Conditions Levothyroxine 88 mcg Synthroid Thyroid Conditions Levothyroxine 125 mcg Synthroid Thyroid Conditions Levothyroxine 100 mcg Synthroid Thyroid Conditions Levothyroxine 50 mcg Synthroid Heart & BP Lisinopril 5mg Zestril Heart & BP Lisinopril 10mg Zestril Heart & BP Lisinopril 20mg Zestril Heart & BP Lisinopril/HCTZ 10/12.5mg Zestoretic Heart & BP Losartan Potassium 50mg Cozaar Arthritis and Pain Meloxicam 7.5 mg Mobic Diabetes Metformin 1000mg Glucophage Diabetes Metformin 500mg Glucophage Diabetes Metformin ER 500mg Glucophage Heart & BP Metoprolol 50mg Lopressor Heart & BP Metoprolol Succinate 100mg ER Toprol XL Heart & BP Metoprolol Tartrate 100mg Lopressor Heart & BP Metoprolol Tartrate 50 mg daily Lopressor Heart & BP Metoprolol Tartrate 25 mg Lopressor Antibiotic Minocycline 100 mg Minocin Asthma Montelukast 10mg Singulair Asthma Montelukast 5mg chewable Singulair Other Conditions Neo/Poly HC Otic 10ml Cortisporin OTIC Heart & BP Nitroglycerin 0.4mg Nitrostat Omeprazole 40 mg Prilosec 3 Revised 10/15/2014
4 Mental Paroxetine HCL 20mg Paxil Other Conditions Potassium Chloride 10 meq XR K-Dur Other Conditions Potassium Chloride 20 meq XR K-Dur Other Conditions Pramipexole 20 mg Mirapex Cholesterol Pravastatin Sodium 20mg Pravachol Cholesterol Pravastatin Sodium 40mg Pravachol Steroid Prednisone 10mg Deltasone Steroid Prednisone 5 mg Deltasone Promethazine Suppository 25 mg Phenergan Mental Sertraline HCL 100mg Zoloft Mental Sertraline HCL 50mg Zoloft Simvastatin 20mg Zocor Simvastatin 40mg Zocor Sulfamethozazole- TMP mg Bactrim DS Migraine Sumatriptan 50 mg Imitrex Prostate Tamsulosin 0.4 mg Flomax Eye Tobramycin Opthalmic Drops 0.30% Tobrex Seizures Topiramate 100mg Topamax Mental Skin Conditions Trazodone Hydrochloride Triamcinolone Acetonide Cream 100mg Desyrel Kenalog Heart & BP Triamterene/HCTZ 37.5/25mg Maxzide 4 Revised 10/15/2014
5 Women's Trinessa 0.180/0.035mg Ortho Tri Clyclen Mental Venlafaxine HCL ER 75mg Effexor ER Asthma Ventolin HFA as directed Albuterol Inhaler Heart & BP Verapamil ER 120mg Calan SR Heart & BP Verapamil HCL 120mg Calan Heart & BP Warfarin 1mg Coumadin Heart & BP Warfarin 5mg Coumadin 5 Revised 10/15/2014
Amitriptyline Hydrochloride Heart Health & BP Amlodipine Besylate 5mg Norvasc Antibiotics Amoxicillin 500 mg Amoxil
School Corp Formulary Antiviral Acyclovir 400mg Zovirax Asthma Advair Diskus Diskus 250/50 Fluticasone/Salmeterol Asthma Albuterol Sulfate 2.5 mg/3 ml Proventil Arthritis and Pain Allendronate Sodium 70
CareHere, LLC Pasco County ISD
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GENERIC DISCOUNT FORMULARY March 2015
Antibiotic Amoxicillin Amoxil 250mg Amoxicillin Amoxil 500mg Amoxicillin Amoxil 125mg/5ml Amoxicillin Amoxil 250mg/5ml Amoxicillin Bid Amoxil 400mg/5ml Amoxicillin Bid Amoxil 200mg/5ml Ampicillin Polycillin
Penicillin VK Vcillin K 250gm/5ml Penicillin VK Vcillin K 250mg Sulfameth/Trimeth Bactrim 400/80mg Sulfameth/Trimeth Bactrim/Septra DS 800/160mg
Antibiotic Amoxicillin Amoxil 250mg Amoxicillin Amoxil 500mg Amoxicillin Amoxil 125mg/5ml Amoxicillin Amoxil 250mg/5ml Amoxicillin Bid Amoxil 400mg/5ml Amoxicillin Bid Amoxil 200mg/5ml Ampicillin Polycillin
MAJOR HEALTH PARTNERS MEDICATION FORMULARY ALPHABETICAL
GENERIC NAME TRADE NAME STRENGTH UNITS Disp Qty FORM Max Qty AGAMATRIX PRESTO METER PRESTO METER 1 EA 1 meter ALBUTEROL NEB SOLN UD VENTOLIN, PROVENTIL 2.5 MCG/3 ML 90 ML 90 days ALCOHOL SWABS ALCOHOL
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Cash Wise Pharmacy $4 GENERIC MEDICATION FORMULARY. Cash Wise Pharmacy s $4 generic medication formulary is sorted by medical condition.
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Acyclovir Capsules 200mg Viruses 30 90 Albuterol Syrup 2mg/5ml Asthma 120 360 Albuterol Sulfate Solution 0.05% * Asthma ----- ----- 20 60 Albuterol Sulfate Solution 0.083% Asthma ----- ----- 75 225 Alendronate
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Riesbeck's Pharmacy Reward Club Generic Medication List February 2018 $4 30 Day Supply
Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
Riesbeck's Pharmacy Reward Club Generic Medication List September 2017
Drug Category Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Riesbeck's Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml 2160ml Hydroxyzine
Riesbeck's Pharmacy Reward Club Generic Medication List October 2017
Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
Everyday Low Cost Generics
Antibiotics Antifungal Antiviral Arthritis/ Pain 30 Day Qty* Free AMOXICILLIN 125 MG/5 ML (150 ML BOTTLE) AMOXICILLIN 125 MG/5 ML (100 ML BOTTLE) AMOXICILLIN 125 MG/5 ML (80 ML BOTTLE) AMOXICILLIN 200
90-Day Generic Drug Discount List Treatment Medication Strength Dose Quantity Price Allergy/Cold&Flu Benzonatate 100mg Tablet 42 $15.
90-Day Generic Drug Discount List Treatment Medication Strength Dose Quantity Price Allergy/Cold&Flu Benzonatate 100mg Tablet 42 $15.00 Allergy/Cold&Flu C-Phen Drops n/a Drops 90 $15.00 Allergy/Cold&Flu
Note: This list is not an all-inclusive list. If the medication you are taking is not on the list, we still may be able to assist.
The Society of St. Vincent de Paul Charitable Pharmacy is a fully licensed pharmacy operating on a stand-alone basis and providing prescribed medications at no charge to those low-income individuals who
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1 ACYCLOVIR 200 MG CAPSULE BUPROPION HCL 150 MG TAB ER 24H ACYCLOVIR 200 MG/5ML BUPROPION HCL 150 MG TABLET ER ACYCLOVIR 400 MG TABLET BUPROPION HCL 150 MG TABLET ER ACYCLOVIR 800 MG TABLET BUPROPION HCL
Allergy, Cough and Cold. Analgesic. Anti-Anxiety. Antibiotic
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Allergies & Cold and Flu Benzonatate 100mg 14 42 Ceron DM syrup 120ml 360ml Ceron drops* 30ml 90ml Dec-Chlorphen drops* 30ml 90ml Dec-Chlorphen DM syrup* 118ml 354ml Loratadine 10mg 30 90 Promethazine
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Allergies & Cold and Flu Benzonatate 100mg 14 Ceron DM syrup Ceron drops Dec-Chlorphen drops Dec-Chlorphen DM syrup 118ml* Loratadine 10mg Promethazine DM syrup Trivent DPC syrup * Antibiotic Treatments
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Allergies & Cold and Flu $4, 30-day $10, 90-day Benzonatate 100mg cap 14 42 Loratadine 10mg tab 30 90 Promethazine DM syrup 120ml 360ml Antibiotic Treatments Amoxicillin 125mg/5ml susp (80ml bottle) 1
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Abstral (fentanyl) sl tab all strength Acetaminophen Actonel Actonel 35mg Adderall XR 5mg, 10mg, 15mg Advair Diskus Advair HFA Aero Chambers and Spacers Aerobid Aerobid M Albuterol HFA 90mcg Akynzeo Aldara
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Prepared for Regence BlueCross BlueShield of Oregon Producers Only. Not intended for distribution to Regence consumers or members.
Revised date: 10/17/16 Issue Brief: Jan. 1, 2017, Formulary Changes OmedaRx regularly evaluates the performance and impact of medications using one of the most rigorous, evidence-based assessment processes
Realized Savings from Generic Drugs in Upstate New York
T H E F A C T S A B O U T Realized Savings from Generic Drugs in Upstate New York More Than $130 Million Saved in 2006 Compared With 2005 Finger Lakes Region Estimated generic savings: $29 million Generic
DT Description Price Category Price change
Tariff T Watch October 2014 Readers are no doubt aware of this quarter's bad news for primary care prescribing allocations: NHS England has d the remuneration mechanism for community pharmacies gaining
THERAPEUTIC AREA NAME STRENGTH DOSAGE FORM
Value Based Tier Drugs are selected for the management of Asthma, Diabetes, Hypertension and Hyperlipidemia. These drugs are covered at no charge or at a reduced cost share. Medications are under continual
Members enjoy more Pharmacy savings *
Sam s Plus Members enjoy more Pharmacy savings 5 prescription drugs available for FREE Generic medications: Donepezil, Pioglitazone, Escitalopram, Finasteride and Vitamin D2 50,000 IU are $ 0 for a 30-day
Members enjoy more Pharmacy savings *
Sam s Plus Members enjoy more Pharmacy savings 5 prescription drugs available for FREE Generic medications: Donepezil, Pioglitazone, Escitalopram, Finasteride and Vitamin D2 50,000 IU are $ 0 for a 30-day
Additional Drug Coverage
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$0 Preferred Generics List
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THERAPEUTIC AREA NAME STRENGTH DOSAGE FORM
Value Based Tier Drugs are selected for the management of Asthma, Diabetes, Hypertension and Hyperlipidemia. These drugs are covered at no charge or at a reduced cost share. Medications are under continual
Nebraska Medicaid Program NE Weekly MAC Price Change List For Period: 12/14/ /20/2017
1 Medicaid Run : 12/21/17 NE Weekly List Old AMIODARONE HCL 200 MG TABLET ORAL 12/20/2017 0.15321 0.14370 6.6 HYDRALAZINE HCL 10 MG TABLET ORAL 12/20/2017 0.05226 0.05213 0.2 LISINOPRIL 10 MG TABLET ORAL
Hospital Unit Dose Unit Dose Plus BARCODE LISTING. Spring See our new Barcode Scanning Guide on page 30
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