Comparison of VA to Prescription Drug Plan (PDP) Formulary Coverage and Tier Placement for Top 200 Drugs. Coverage on Non- Preferred Brand Tier
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- Cody Rodgers
- 6 years ago
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Transcription
1 Comparis of to Plan (PDP) Formulary and Placement for Top 200 Drugs Drug Name N Brand Abilify Yes 100.0% 0.0% 0.0% 3.1% 96.9% 0.0% Acetaminophen-Codeine Yes 100.0% 0.0% 76.0% 24.0% 0.0% 0.0% Acyclovir (Oral) Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Acyclovir (Topical) Yes 90.02% 10.0% 13.40% 0.01% 76.62% 0.00% Advair Diskus No 76.5% 23.5% 0.0% 56.6% 20.0% 0.0% Alendrate Sodium Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Allopurinol Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Alprazolam Yes 96.8% 3.2% 65.7% 14.9% 16.2% 0.0% Amiodare HCl Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Amitriptyline HCl Yes 100.0% 0.0% 49.0% 27.3% 23.8% 0.0% Amlodipine Besylate Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Amlodipine Besylate-Benazepril No 69.0% 31.0% 40.9% 28.1% 0.0% 0.0% Amox TR-Potassium Clavulanate Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Amoxicillin Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Atenolol Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Atorvastatin Calcium Yes 100.0% 0.0% 98.1% 0.0% 1.9% 0.0% Avodart No 69.9% 30.1% 0.0% 52.0% 17.9% 0.0% Azithromycin Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Baclofen Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Benazepril HCl Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Benicar No 82.8% 17.2% 0.0% 82.8% 0.0% 0.0% Benztropine Mesylate Yes 100.0% 0.0% 57.5% 20.2% 22.3% 0.0% Bumetanide Yes 100.0% 0.0% 92.8% 7.2% 0.0% 0.0% Bupropi HCl SR Yes 100.0% 0.0% 51.4% 48.6% 0.0% 0.0% Bupropi Xl Yes 100.0% 0.0% 51.4% 48.6% 0.0% 0.0% Buspire HCl Yes 100.0% 0.0% 80.9% 19.1% 0.0% 0.0% Bystolic No 63.3% 36.7% 0.0% 33.5% 29.8% 0.0% Carbamazepine Yes 100.0% 0.0% 74.4% 25.6% 0.0% 0.0% Carbidopa-Levodopa Yes 100.0% 0.0% 56.9% 43.1% 0.0% 0.0% Carisoprodol No 54.6% 45.4% 23.1% 31.5% 0.0% 0.0% Carvedilol Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Celebrex No 51.7% 48.3% 0.0% 3.3% 48.5% 0.0% Cephalexin Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Chlorhexidine Glucate Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Chlorthalide Yes 100.0% 0.0% 96.8% 0.0% 3.2% 0.0% Ciprofloxacin HCl (Oral) Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Ciprofloxacin HCl (Ophthalmic) Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Citalopram HBr Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Clindamycin HCl Yes 100.0% 0.0% 98.1% 0.0% 1.9% 0.0% Clobetasol Propiate Yes 100.0% 0.0% 55.3% 44.7% 0.0% 0.0% Clazepam Yes 100.0% 0.0% 68.9% 7.8% 23.4% 0.0% Clidine HCl Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Clopidogrel Yes 100.0% 0.0% 98.5% 1.5% 0.0% 0.0% Clotrimazole-Betamethase No 79.0% 21.0% 22.0% 57.0% 0.0% 0.0% Colcrys Yes 100.0% 0.0% 0.0% 100.0% 0.0% 0.0% Crestor No 96.3% 3.7% 0.0% 88.5% 7.8% 0.0% Cyclobenzaprine HCl Yes 100.0% 0.0% 20.6% 7.2% 72.2% 0.0% Cymbalta Yes 100.0% 0.0% 18.0% 56.9% 25.1% 0.0% Detrol La No 54.3% 45.7% 8.0% 22.5% 23.8% 0.0% Dexilant No 84.2% 15.8% 0.0% 22.8% 61.4% 0.0% Diazepam Yes 100.0% 0.0% 66.9% 1.7% 31.4% 0.0% Diclofenac Sodium (Topical) Yes 43.0% 57.0% 3.7% 1.7% 8.2% 29.3% Diclofenac Sodium (Ophthalmic) Yes 93.0% 7.0% 91.0% 0.0% 1.9% 0.0% Dicyclomine HCl Yes 100.0% 0.0% 92.8% 0.0% 7.2% 0.0% Digox Yes 100.0% 0.0% 98.5% 1.5% 0.0% 0.0% Diltiazem 24Hr CD Yes 100.0% 0.0% 32.1% 66.0% 1.9% 0.0% Diltiazem 24Hr ER Yes 93.0% 7.0% 29.9% 61.2% 1.9% 0.0% Diltiazem ER Yes 100.0% 0.0% 32.1% 66.0% 1.9% 0.0% Diovan Yes 37.9% 62.1% 0.0% 9.9% 28.0% 0.0% Divalproex Sodium Yes 100.0% 0.0% 52.2% 38.7% 9.1% 0.0% Divalproex Sodium ER Yes 100.0% 0.0% 41.0% 8.6% 50.4% 0.0% Depezil HCl Yes 100.0% 0.0% 80.9% 19.1% 0.0% 0.0% Dorzolamide-Timolol Yes 99.6% 0.4% 78.3% 21.3% 0.0% 0.0% Doxazosin Mesylate Yes 100.0% 0.0% 80.9% 19.1% 0.0% 0.0% Doxycycline Hyclate Yes 100.0% 0.0% 36.1% 56.7% 7.2% 0.0% Enalapril Maleate Yes 100.0% 0.0% 81.4% 18.6% 0.0% 0.0% Escitalopram Oxalate Yes 100.0% 0.0% 66.1% 26.8% 7.2% 0.0% Page 1 of 3
2 Drug Name N Brand Estradiol Yes 100.0% 0.0% 74.5% 1.7% 23.8% 0.0% Evista No 100.0% 0.0% 23.2% 76.8% 0.0% 0.0% Exel No 100.0% 0.0% 13.9% 43.9% 42.3% 0.0% Famotidine Yes 100.0% 0.0% 81.4% 18.6% 0.0% 0.0% Fenofibrate No 100.0% 0.0% 67.2% 32.8% 0.0% 0.0% Fentanyl Yes 100.0% 0.0% 13.7% 34.1% 52.2% 0.0% Finasteride Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Flucazole Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Fluoxetine HCl Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Fluticase Propiate (Topical) Yes 99.6% 0.4% 74.0% 25.6% 0.0% 0.0% Fluticase Propiate (Nasal Spray) Yes 100.0% 0.0% 96.6% 1.5% 1.9% 0.0% Furosemide Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Gabapentin Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Gemfibrozil Yes 100.0% 0.0% 78.9% 19.1% 1.9% 0.0% Glimepiride No 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Glipizide Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Glipizide ER No 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Glyburide No 69.9% 30.1% 34.0% 25.6% 10.3% 0.0% Humalog No 64.1% 35.9% 0.0% 63.2% 1.0% 0.0% Hydralazine HCl Yes 100.0% 0.0% 80.9% 19.1% 0.0% 0.0% Hydrochlorothiazide Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Hydrocode-Acetaminophen Yes 100.0% 0.0% 35.2% 57.7% 7.2% 0.0% Hydroxychloroquine Sulfate Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Hydroxyzine HCl Yes 83.8% 16.2% 18.6% 18.6% 46.7% 0.0% Ibuprofen Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Irbesartan No 74.0% 26.0% 71.5% 2.5% 0.0% 0.0% Isosorbide Mitrate ER Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Januvia No 70.3% 29.7% 0.0% 60.5% 9.8% 0.0% Ketocazole (Oral) Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Ketocazole (Topical) Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Klor-C 10 Yes 90.6% 9.4% 65.0% 25.6% 0.0% 0.0% Klor-C M20 Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Labetalol Hcl Yes 100.0% 0.0% 78.9% 19.1% 1.9% 0.0% Lactulose Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Lamotrigine Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Lansoprazole No 68.3% 31.7% 16.6% 26.1% 25.6% 0.0% Lantus Yes 92.5% 7.5% 0.0% 91.9% 0.5% 0.0% Lantus Solostar No 92.5% 7.5% 0.0% 89.0% 3.5% 0.0% Latanoprost Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Levetiracetam Yes 100.0% 0.0% 73.9% 26.1% 0.0% 0.0% Levofloxacin (Oral/IV) Yes 100.0% 0.0% 67.8% 32.2% 0.0% 0.0% Levofloxacin (Ophthalmic) Yes 61.4% 38.6% 16.6% 44.8% 0.0% 0.0% Levothyroxine Sodium Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Lidoderm Yes 100.0% 0.0% 22.0% 52.5% 25.5% 0.0% Lisinopril Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Lisinopril-Hydrochlorothiazide Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Lithium Carbate Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Lorazepam Yes 100.0% 0.0% 85.1% 14.9% 0.0% 0.0% Losartan Potassium Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Losartan-Hydrochlorothiazide No 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Lovastatin Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Lovaza No 100.0% 0.0% 23.2% 25.9% 50.9% 0.0% Lumigan Yes 91.4% 8.6% 0.0% 85.7% 5.7% 0.0% Lyrica No 100.0% 0.0% 0.0% 62.5% 37.5% 0.0% Meclizine HCl Yes 100.0% 0.0% 83.8% 16.2% 0.0% 0.0% Meloxicam Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Metformin HCl Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Metformin HCl ER Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Methade HCl Yes 100.0% 0.0% 50.5% 33.3% 16.2% 0.0% Methotrexate Yes 100.0% 0.0% 80.0% 20.0% 0.0% 0.0% Methylprednisole Yes 100.0% 0.0% 77.2% 16.2% 6.6% 0.0% Metoclopramide HCl Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Metoprolol Succinate Yes 100.0% 0.0% 60.4% 37.7% 1.9% 0.0% Metoprolol Tartrate Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Metridazole (Oral) Yes 100.0% 0.0% 74.4% 25.6% 0.0% 0.0% Metridazole (Topical) Yes 100.0% 0.0% 19.9% 30.7% 49.4% 0.0% Mirtazapine Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Mtelukast Sodium Yes 100.0% 0.0% 98.5% 1.5% 0.0% 0.0% Morphine Sulfate ER Yes 100.0% 0.0% 16.2% 74.7% 9.1% 0.0% Mupirocin Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Namenda Yes 92.0% 8.0% 0.0% 89.5% 2.5% 0.0% Naproxen Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Page 2 of 3
3 Drug Name N Brand Nasex Yes 52.7% 47.3% 0.0% 25.8% 26.9% 0.0% Nexium No 65.0% 35.0% 0.0% 38.3% 26.7% 0.0% Niaspan Yes 89.1% 10.9% 23.2% 27.5% 38.5% 0.0% Nifedipine ER Yes 85.3% 14.7% 42.8% 40.6% 1.9% 0.0% Nitrofurantoin Mo-Macro Yes 100.0% 0.0% 11.4% 31.7% 56.8% 0.0% Nitrostat Yes 100.0% 0.0% 0.0% 92.3% 7.7% 0.0% Nortriptyline HCl Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Novolog Yes 78.8% 21.2% 0.0% 78.2% 0.6% 0.0% Novolog Flexpen No 78.6% 21.4% 0.0% 78.2% 0.3% 0.0% Nystatin (Suspensi) Yes 100.0% 0.0% 64.7% 35.3% 0.0% 0.0% Nystatin (Topical) Yes 100.0% 0.0% 80.9% 19.1% 0.0% 0.0% Olanzapine Yes 100.0% 0.0% 47.8% 24.0% 28.2% 0.0% Omeprazole Yes 100.0% 0.0% 79.5% 18.6% 1.9% 0.0% Ondansetr HCl Yes 100.0% 0.0% 71.8% 26.3% 1.9% 0.0% Oxybutynin Chloride Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Oxybutynin Chloride ER Yes 99.6% 0.4% 24.3% 75.3% 0.0% 0.0% Oxycode HCl Yes 100.0% 0.0% 17.8% 73.1% 9.1% 0.0% Oxycode-Acetaminophen Yes 100.0% 0.0% 16.3% 74.6% 9.1% 0.0% Oxyctin Yes 47.8% 52.2% 0.0% 39.1% 8.7% 0.0% Pantoprazole Sodium Yes 82.4% 17.6% 60.4% 20.1% 1.9% 0.0% Paroxetine HCl Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Phenytoin Sodium Extended Yes 100.0% 0.0% 98.3% 1.7% 0.0% 0.0% Pioglitaze HCl No 100.0% 0.0% 64.3% 33.7% 1.9% 0.0% Polyethylene Glycol 3350 Yes 100.0% 0.0% 82.3% 17.7% 0.0% 0.0% Potassium Chloride Yes 96.8% 3.2% 60.0% 0.0% 36.6% 0.0% Pradaxa Yes 100.0% 0.0% 0.0% 92.2% 7.8% 0.0% Pramipexole Dihydrochloride No 100.0% 0.0% 48.5% 51.5% 0.0% 0.0% Pravastatin Sodium Yes 100.0% 0.0% 98.1% 0.0% 1.9% 0.0% Prednisole Acetate No 92.2% 7.8% 48.5% 43.6% 0.0% 0.0% Prednise Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Premarin Yes 93.4% 6.6% 0.0% 72.8% 20.6% 0.0% Proair HFA No 100.0% 0.0% 0.0% 98.1% 1.9% 0.0% Promethazine HCL Yes 97.5% 2.5% 36.6% 6.1% 54.9% 0.0% Propranolol HCL Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Quetiapine Fumarate Yes 100.0% 0.0% 70.1% 1.7% 28.2% 0.0% Quinapril HCL No 93.0% 7.0% 74.4% 0.0% 18.6% 0.0% Ramipril Yes 93.0% 7.0% 74.4% 18.6% 0.0% 0.0% Ranitidine HCL Yes 100.0% 0.0% 81.4% 18.6% 0.0% 0.0% Restasis Yes 100.0% 0.0% 0.0% 77.8% 22.2% 0.0% Risperide Yes 100.0% 0.0% 80.9% 19.1% 0.0% 0.0% Ropinirole HCL Yes 100.0% 0.0% 79.2% 20.8% 0.0% 0.0% Sertraline HCL Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Simvastatin Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Spiriva Yes 94.3% 5.7% 0.0% 74.2% 20.2% 0.0% Spirolacte Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Sulfamethoxazole-Trimethoprim Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Symbicort Yes 86.0% 14.0% 0.0% 83.8% 2.1% 0.0% Tamsulosin HCL Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Temazepam Yes 88.2% 11.8% 38.2% 0.0% 50.0% 0.0% Terazosin HCL Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Timolol Maleate No 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Tizanidine HCL Yes 100.0% 0.0% 80.9% 19.1% 0.0% 0.0% Topiramate Yes 100.0% 0.0% 73.7% 19.1% 7.2% 0.0% Tramadol HCL Yes 100.0% 0.0% 97.2% 0.8% 1.9% 0.0% Travatan Z No 100.0% 0.0% 0.0% 87.2% 12.8% 0.0% Trazode HCL Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Triamcinole Acetide (Topical) Yes 100.0% 0.0% 74.4% 25.6% 0.0% 0.0% Triamcinole Acetide (Nasal Spray) Yes 47.9% 52.1% 11.8% 6.7% 29.4% 0.0% Triamterene-HCTZ Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Valacyclovir Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Valsartan-Hydrochlorothiazide No 91.7% 8.3% 65.5% 26.2% 0.0% 0.0% Venlafaxine HCl ER Yes 100.0% 0.0% 80.9% 19.1% 0.0% 0.0% Verapamil ER Yes 100.0% 0.0% 100.0% 0.0% 0.0% 0.0% Vesicare No 74.7% 25.3% 0.0% 47.5% 27.2% 0.0% Voltaren Yes 99.8% 0.2% 0.0% 75.1% 24.7% 0.0% Warfarin Sodium Yes 100.0% 0.0% 98.1% 0.0% 1.9% 0.0% Xarelto Yes 94.3% 5.7% 0.0% 94.3% 0.0% 0.0% Zetia No 100.0% 0.0% 0.0% 67.4% 32.6% 0.0% Zolpidem Tartrate Yes 99.8% 0.2% 48.6% 20.2% 30.9% 0.0% Zostavax Yes 100.0% 0.0% 0.0% 26.5% 73.3% 0.0% Page 3 of 3
4 Comparis of to Plan (PDP) Formulary and Placement for Top 200 Drugs, by Class Drug Class Number of Top 200 Drugs in Class N Brand Adrenals % 95.3% 4.7% 59.1% 33.3% 2.9% alpha-adrenergic Blocking Agents % 100.0% 0.0% 90.4% 9.6% 0.0% Ammia Detoxicants % 100.0% 0.0% 100.0% 0.0% 0.0% Angiotensin II Receptor Antagists % 81.1% 18.9% 56.2% 20.2% 4.7% Angiotensin-Cverting Enzyme Inhibitors % 97.7% 2.3% 88.4% 6.2% 3.1% Antiarrhythmic Agents % 100.0% 0.0% 100.0% 0.0% 0.0% Antibacterials % 90.3% 9.7% 59.1% 18.9% 12.4% Antibacterials, Miscellaneous % 100.0% 0.0% 98.1% 0.0% 1.9% Anticoagulants % 98.1% 1.9% 32.7% 62.2% 3.3% Anticvulsants, Miscellaneous % 100.0% 0.0% 64.4% 22.6% 13.0% Antidepressants % 100.0% 0.0% 79.8% 16.2% 4.0% Antifungals % 93.0% 7.0% 67.6% 25.4% 0.0% Antihistamines % 100.0% 0.0% 83.8% 16.2% 0.0% Anti-inflammatory Agents % 99.9% 0.1% 67.9% 31.9% 0.0% Antilipemic Agents, Miscellaneous % 94.6% 5.4% 23.2% 26.7% 44.7% Antimalarials % 100.0% 0.0% 100.0% 0.0% 0.0% Antimanic Agents % 100.0% 0.0% 100.0% 0.0% 0.0% Antimuscarinics/Antispasmodics % 97.2% 2.8% 46.4% 37.1% 13.7% Antineoplastic Agents % 100.0% 0.0% 80.0% 20.0% 0.0% Antiprotozoals, Miscellaneous % 100.0% 0.0% 74.4% 25.6% 0.0% Antipruritics and Local Anesthetics % 100.0% 0.0% 22.0% 52.5% 25.5% Antipsychotics % 100.0% 0.0% 49.7% 12.0% 38.3% Antivirals % 90.0% 10.0% 13.4% 0.0% 76.6% Anxiolytics, Sedatives, & Hypnotics Misc % 94.5% 5.5% 49.3% 19.3% 25.9% Azoles % 100.0% 0.0% 100.0% 0.0% 0.0% Benzodiazepines % 97.0% 3.0% 64.9% 7.9% 24.2% beta-adrenergic Agists 2 0.0% 88.3% 11.7% 0.0% 77.3% 10.9% beta-adrenergic Blocking Agents % 95.4% 4.6% 79.9% 11.3% 4.2% Biguanides % 100.0% 0.0% 100.0% 0.0% 0.0% Calcium-Channel Blocking Agents, Misc % 98.2% 1.8% 48.5% 48.3% 1.5% Carbic Anhydrase Inhibitors % 99.6% 0.4% 78.3% 21.3% 0.0% Cardiotic Agents % 100.0% 0.0% 98.5% 1.5% 0.0% Cathartics and Laxatives % 100.0% 0.0% 82.3% 17.7% 0.0% Central Alpha-Agists % 100.0% 0.0% 100.0% 0.0% 0.0% Central Nervous System Agents, Misc % 92.0% 8.0% 0.0% 89.5% 2.5% Centrally Acting Skeletal Muscle Relaxants % 84.9% 15.1% 41.5% 19.3% 24.1% Cephalosporins % 100.0% 0.0% 100.0% 0.0% 0.0% Cholesterol Absorpti Inhibitors % 100.0% 0.0% 0.0% 67.4% 32.6% Corticosteroids % 73.2% 26.8% 39.2% 19.4% 14.6% Dihydropyridines % 84.8% 15.2% 61.2% 22.9% 0.6% Dipeptidyl Peptidase IV (DPP-4) Inhibitors 1 0.0% 70.3% 29.7% 0.0% 60.5% 9.8% Direct Vasodilators % 100.0% 0.0% 80.9% 19.1% 0.0% EENT Anti-infectives, Miscellaneous % 100.0% 0.0% 100.0% 0.0% 0.0% EENT Anti-inflammatory Agents, Misc % 100.0% 0.0% 0.0% 77.8% 22.2% Estrogen Agist-Antagists 1 0.0% 100.0% 0.0% 23.2% 76.8% 0.0% Estrogens % 96.7% 3.3% 37.3% 37.2% 22.2% Fibric Acid Derivatives % 100.0% 0.0% 73.1% 26.0% 1.0% GABA-derivative Skeletal Muscle Relaxants % 100.0% 0.0% 100.0% 0.0% 0.0% Histamine H2-Antagists % 100.0% 0.0% 81.4% 18.6% 0.0% HMG-CoA Reductase Inhibitors % 99.3% 0.7% 79.2% 17.7% 2.3% Hydantoins % 100.0% 0.0% 98.3% 1.7% 0.0% Insulins % 81.3% 18.7% 0.0% 80.1% 1.2% Leukotriene Modifiers % 100.0% 0.0% 98.5% 1.5% 0.0% Loop Diuretics % 100.0% 0.0% 96.4% 3.6% 0.0% Macrolides % 100.0% 0.0% 100.0% 0.0% 0.0% Mineralocorticoid (Aldost) Recept Antag % 100.0% 0.0% 100.0% 0.0% 0.0% Nitrates and Nitrites % 100.0% 0.0% 50.0% 46.1% 3.8% Nsteroidal Anti-inflammatory Agents % 88.9% 11.1% 78.2% 0.7% 10.1% Nucleosides and Nucleotides % 100.0% 0.0% 58.7% 39.4% 1.9% Opiate Agists % 94.2% 5.8% 35.9% 45.7% 12.6% Other % 93.2% 6.8% 56.4% 30.6% 6.2% Parasympathomimetic (Cholinergic) Agents % 100.0% 0.0% 47.4% 31.5% 21.1% Penicillins % 100.0% 0.0% 100.0% 0.0% 0.0% Phenothiazine Derivatives % 97.5% 2.5% 36.6% 6.1% 54.9% Platelet-Aggregati Inhibitors % 100.0% 0.0% 98.5% 1.5% 0.0% Polyenes % 100.0% 0.0% 64.7% 35.3% 0.0% Potassium-sparing Diuretics % 100.0% 0.0% 100.0% 0.0% 0.0% Prokinetic Agents % 100.0% 0.0% 100.0% 0.0% 0.0% Prostaglandin Analogs % 97.1% 2.9% 33.3% 57.6% 6.2% Prot-pump Inhibitors % 80.0% 20.0% 31.3% 25.2% 23.5% Quinoles % 100.0% 0.0% 83.9% 16.1% 0.0% Replacement Preparatis % 95.8% 4.2% 75.0% 8.5% 12.2% Page 1 of 2
5 Drug Class Number of Top 200 Drugs in Class N Brand Skin and Mucous Membrane Agents, Misc % 71.4% 28.6% 1.8% 38.4% 16.5% Sulfamides % 100.0% 0.0% 100.0% 0.0% 0.0% Sulfylureas % 92.5% 7.5% 83.5% 6.4% 2.6% Tetracyclines % 100.0% 0.0% 36.1% 56.7% 7.2% Thiazide Diuretics % 100.0% 0.0% 100.0% 0.0% 0.0% Thiazide-like Diuretics % 100.0% 0.0% 96.8% 0.0% 3.2% Thiazolidinedies % 100.0% 0.0% 64.3% 33.7% 1.9% Thyroid Agents % 100.0% 0.0% 100.0% 0.0% 0.0% Urinary Anti-infectives % 100.0% 0.0% 11.4% 31.7% 56.8% Vaccines % 100.0% 0.0% 0.0% 26.5% 73.3% Page 2 of 2
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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
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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
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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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AMANTADINE 50 MG/5 ML SYRUP ACYCLOVIR 200 MG CAPSULES ACYCLOVIR 400 MG TABLETS ACYCLOVIR 800 MG TABLETS 30 90
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