Oct-2021 Add Delete Increase October 1, 2021 Pricing ...

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Oct-2021

NAME OF GENERIC DRUG STRENGTH FORM

October 1, 2021 Pricing

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0.9 % sodium chloride 0.9 % solution $0.0041/Milliliter

0.9 % sodium chloride 0.9 % solution $0.0430/Milliliter

abacavir sulfate 300 MG tablet $0.3745/Each

abacavir sulfate 20 MG/ML Solution $0.5720/Milliliter

abacavir sulfate/lamivudine 600-300MG tablet $2.0015/Each

abacavir/lamivudine/zidovudine 150-300MG tablet $20.3355/Each

abiraterone acetate 250 MG tablet $2.0450/Each

abiraterone acetate 500 MG tablet $140.3554/Each

acamprosate calcium 333 mg tablet, delayed release (enteric coated) $0.4245/Each

acarbose 100 mg tablet $0.2252/Each

acarbose 50 mg tablet $0.1590/Each

acarbose 25 mg tablet $0.1230/Each

acebutolol hcl 200 mg capsule $0.1922/Each

acebutolol hcl 400 mg capsule $0.2500/Each

acetaminophen 500 mg capsule $0.0345/Each

acetaminophen 120 mg Suppository $0.2365/Each

acetaminophen 325 MG Suppository $0.3816/Each

acetaminophen 650 mg Suppository $0.3275/Each

acetaminophen 650 MG Caplet $0.0615/Each

acetaminophen 160 mg/5 ml Elixir $0.0000

acetaminophen 160 MG/5ML Elixir $0.0105/Milliliter

acetaminophen 500MG/15ML Liquid $0.0132/Milliliter

acetaminophen 100 mg/ml Drops $0.0000

acetaminophen 325 mg Caplet $0.0120/Each

acetaminophen 500 mg Caplet $0.0240/Each

acetaminophen 160 MG Tablet, Chewable $0.0718/Each

acetaminophen 80 mg soft chew $0.0386/Each

acetaminophen 80 MG meltaway $0.0505/Each

acetaminophen 160 MG meltaway $0.0715/Each

acetaminophen 80mg/0.8ml Drops, Suspension $0.1318/Milliliter

acetaminophen 160 mg/5ml Liquid $0.0203/Milliliter

acetaminophen 160 MG/5ML suspension $0.2980/Milliliter

acetaminophen 1000MG/100 solution $0.3960/Milliliter

acetaminophen w/codeine 120 mg; 12 mg Elixir $0.0000

acetaminophen w/codeine 300 mg; 15 mg tablet $0.1428/Each

acetaminophen w/codeine 300 mg; 30 mg tablet $0.1099/Each

acetaminophen w/codeine 300 mg; 60 mg tablet $0.2255/Each

acetaminophen with codeine 120-12MG/5 Elixir $0.2778/Milliliter

acetaminophen with codeine 300MG/12.5 Elixir $0.1555/Milliliter

acetaminophen with codeine 120-12MG/5 Solution $0.0128/Milliliter

acetaminophen/butalbital/caffeine 500 mg/50 mg/40 mg Caplet $0.0000

acetaminophen/diphenhydramine tablets 500 mg; 25 mg Caplet $0.0425/Each

acetazolamide 500 mg capsule, extended release $0.3300/Each

acetazolamide 125 mg tablet $0.6165/Each

acetazolamide 250 mg tablet $0.3350/Each

acetic acid 0.25 % Solution $0.0046/Milliliter

acetic acid 2% 15 ml Solution $1.2487/Milliliter

acetic acid\aluminum acetate 0.02 Drops $0.0000

acetic acid\hydrocortisone 2% - 1% Drops $5.8627/Milliliter

acetylcysteine 100 mg/ml Solution $0.3908/Milliliter

acetylcysteine 200 mg/ml Solution $0.3575/Milliliter

acetylcysteine 200 MG/ML Solution $2.8500/Milliliter

acetylcysteine 10% 4 ml Solution $0.0000

acetylcysteine 10% 10 ml Solution $0.0000

acetylcysteine 10% 30 ml Solution $0.0000

acetylcysteine 20% 4 ml Solution $0.0000

acetylcysteine 20% 10 ml Solution $0.0000

acetylcysteine 20% 30 ml Solution $0.0000

acitretin 10 MG capsule $5.7674/Each Decrease

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NAME OF GENERIC DRUG STRENGTH FORM

October 1, 2021 Pricing

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acitretin 25 MG capsule $10.0665/Each

acitretin 17.5 MG capsule $23.0775/Each

acyclovir 800 mg tablet $0.1350/Each

acyclovir 400 mg tablet $0.0575/Each

acyclovir 5 % Ointment $0.9567/Gram Decrease

acyclovir 200 mg/5 ml Suspension $0.3555/Milliliter

acyclovir 200 mg capsule $0.0975/Each

acyclovir sodium 500 mg/vial Solution $0.0000

acyclovir sodium 1 gm/vial Solution $0.0000

acyclovir sodium 50 MG/ML Solution $0.4500/Milliliter

adapalene 0.001 Gel $0.8120/Gram

adapalene 0.001 Cream $0.0000

adapalene 0.3 % Gel $0.0000

adapalene 0.3% gel 0.3% Gel $1.3170/Gram

adapalene/benzoyl peroxide 0.1 %-2.5% Gel $1.0550/Gram

adefovir dipivoxil 10 MG tablet $22.8785/Each

adenosine 3 MG/ML solution $3.3393/Milliliter

albendazole 200 MG tablet $32.5800/Each Decrease

albuterol 90 mcg Aerosol $0.0000

albuterol sulfate 0.63 mg/3 ml Solution $0.2045/Milliliter

albuterol sulfate 1.25 mg/3 ml Solution $0.2065/Milliliter

albuterol sulfate 2 mg tablet $1.8162/Each

albuterol sulfate 4 mg tablet $0.7650/Each

albuterol sulfate 2 mg/5 ml Syrup $0.0134/Milliliter

albuterol sulfate 4 mg tablet, extended release $1.3345/Each

albuterol sulfate 8 mg tablet, extended release $2.4100/Each

albuterol sulfate 0.5% (5mg/ml) Solution $0.8910/Milliliter

albuterol sulfate 0.083% Solution $0.0422/Milliliter

alclometasone dipropionate 0.05% Cream $1.3825/Gram

alclometasone dipropionate 0.0005 Ointment $0.7950/Gram

alendronate sodium 35 mg tablet $0.3368/Each

alendronate sodium 70 mg/75 mL solution, oral $0.7183/Milliliter

alendronate sodium 10 mg tablet $0.1650/Each

alendronate sodium 40 mg tablet $2.3520/Each

alendronate sodium 5 mg tablet $0.1440/Each

alendronate sodium 70 mg tablet $0.2550/Each

alfuzosin hcl 10 mg tablet, extended release $0.1341/Each

aliskiren hemifumarate 300 MG tablet $7.6425/Each

aliskiren hemifumarate 150 MG tablet $4.9375/Each

allopurinol 100 mg tablet $0.0300/Each

allopurinol 300 mg tablet $0.0750/Each

almotriptan malate 12.5 mg tablet $20.0975/Each

almotriptan malate 6.25 mg tablet $33.8701/Each

alosetron hcl 0.5 mg tablet $9.1160/Each

alosetron hcl 1 mg tablet $10.9413/Each

alprazolam 0.25 mg tablet $0.0185/Each

alprazolam 0.5 mg tablet $0.0135/Each

alprazolam 1 mg tablet $0.0258/Each

alprazolam 2 mg tablet $0.0525/Each

alprazolam 0.5 mg tablet, extended release $0.1818/Each

alprazolam 1 mg tablet, extended release $0.1212/Each

alprazolam 2 mg tablet, extended release $0.1538/Each

alprazolam 3 mg tablet, extended release $0.1725/Each

alprazolam 0.25 MG Tablet,disintegrating $1.0855/Each

alprazolam 0.5 MG Tablet,disintegrating $1.1760/Each

alprazolam 1 MG Tablet,disintegrating $1.1025/Each

alprazolam 2 MG Tablet,disintegrating $3.3550/Each

amantadine hcl 100 mg capsule $0.3075/Each

amantadine hcl 100 MG tablet $0.5560/Each

amantadine hcl 50 mg/5 ml Solution $0.0205/Milliliter

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NAME OF GENERIC DRUG STRENGTH FORM

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ambrisentan 5 MG tablet $36.6500/Each

ambrisentan 10 MG tablet $36.6500/Each

amikacin sulfate 500 MG/2ML Solution $3.5240/Milliliter

amikacin sulfate 1000MG/4ML Solution $0.0000

amikacin sulfate/preservative free 100 mg/2 ml Solution $0.0000

amiloride hcl 5 mg tablet $0.2739/Each

amiloride/hydrochlorothiazide 5 MG-50 MG tablet $0.3658/Each

aminocaproic acid 250 MG/ML solution $0.3085/Milliliter

aminocaproic acid 250 mg/ml Solution $0.0000

aminocaproic acid 500 mg tablet $0.0000

aminophylline 200 mg tablet $0.0000

amiodarone hcl 200 mg tablet $0.1235/Each

amiodarone hcl 100 MG tablet $1.4250/Each

amiodarone hcl 400 MG tablet $1.8700/Each

amiodarone HCl 50 MG/ML solution $0.3735/Milliliter

amitriptyline hcl 10 mg tablet $0.0300/Each

amitriptyline hcl 100 mg tablet $0.2550/Each

amitriptyline hcl 150 mg tablet $0.5655/Each

amitriptyline hcl 25 mg tablet $0.0553/Each

amitriptyline hcl 50 mg tablet $0.1775/Each

amitriptyline hcl 75 mg tablet $0.2550/Each

amitriptyline/chlordiazepoxide 12.5MG-5MG tablet $1.1550/Each

amitriptyline/chlordiazepoxide 25 MG-10MG tablet $1.5872/Each

amitriptyline; perphenazine 10 mg; 4 mg tablet $0.0000

amitriptyline; perphenazine 10 mg; 2 mg tablet $0.0000

amitriptyline; perphenazine 25 mg; 2 mg tablet $0.0000

amitriptyline; perphenazine 25 mg; 4 mg tablet $0.0000

amitriptyline; perphenazine 50 mg; 4 mg tablet $0.0000

amlodipine bes/olmesartan med 5 MG-20 MG tablet $0.2550/Each

amlodipine bes/olmesartan med 10 MG-20MG tablet $0.5500/Each

amlodipine bes/olmesartan med 5 MG-40 MG tablet $0.3150/Each

amlodipine bes/olmesartan med 10 MG-40MG tablet $0.2550/Each

amlodipine besylate 2.5 mg tablet $0.0150/Each

amlodipine besylate 10 mg tablet $0.0195/Each

amlodipine besylate 5 mg tablet $0.0150/Each

amlodipine besylate/benazepril 10 mg; 20 mg capsule $0.1212/Each

amlodipine besylate/benazepril 5 mg; 20 mg capsule $0.1110/Each

amlodipine besylate/benazepril 5 mg; 10 mg capsule $0.1052/Each

amlodipine besylate/benazepril 2.5 mg; 10 mg capsule $0.1143/Each

amlodipine besylate/benazepril hcl 5 mg-40 mg capsule $0.1385/Each

amlodipine besylate/benazepril hcl 10 mg-40 mg capsule $0.1465/Each

amlodipine/atorvastatin 5 MG-10 MG tablet $1.9755/Each

amlodipine/atorvastatin 5 MG-20 MG tablet $1.5527/Each Decrease

amlodipine/atorvastatin 5 MG-40 MG tablet $2.2450/Each Decrease

amlodipine/atorvastatin 5 MG-80 MG tablet $5.1000/Each

amlodipine/atorvastatin 10 MG-10MG tablet $1.8875/Each

amlodipine/atorvastatin 10 MG-20MG tablet $2.2735/Each

amlodipine/atorvastatin 10 MG-40MG tablet $2.1650/Each

amlodipine/atorvastatin 10 MG-80MG tablet $2.6850/Each

amlodipine/atorvastatin 2.5MG-10MG tablet $3.7320/Each

amlodipine/atorvastatin 2.5MG-20MG tablet $2.8000/Each

amlodipine/atorvastatin 2.5MG-40MG tablet $3.7481/Each

amlodipine/valsartan 5MG-160MG tablet $0.4250/Each

amlodipine/valsartan 10MG-160MG tablet $0.4130/Each

amlodipine/valsartan 5MG-320MG tablet $0.5435/Each

amlodipine/valsartan 10MG-320MG tablet $0.5820/Each

amlodipine/valsartan/hcthiazid 5-160-12.5 tablet $0.7700/Each

amlodipine/valsartan/hcthiazid 10 mg-160 mg tablet $1.1175/Each

amlodipine/valsartan/hcthiazid 5-160-25MG tablet $0.7445/Each

amlodipine/valsartan/hcthiazid 10-160-25 tablet $0.9534/Each

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NAME OF GENERIC DRUG STRENGTH FORM

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amlodipine/valsartan/hcthiazid 10-320-25 tablet $1.1635/Each

ammonium and potassium iodides Tincture $0.0662/Milliliter

ammonium lactate 12% Cream $0.0739/Gram

amox/potassium clavulanate 600-42.9/5 Suspension $0.0334/Milliliter

amox/potassium clavulanate 500-125 mg tablet $0.2400/Each

amox/potassium clavulanate 875-125 mg tablet $0.2165/Each

amox/potassium clavulanate 400-57 mg Tablet, Chewable $2.0000/Each

amox/potassium clavulanate 200-28.5mg Tablet, Chewable $2.3755/Each

amox/potassium clavulanate 400-57/5 Suspension $0.0555/Milliliter

amox/potassium clavulanate 200-28.5/5 Suspension $0.0550/Milliliter

amoxapine 150 mg tablet $0.0000

amoxicillin 875 mg tablet $0.1195/Each

amoxicillin 125 mg Tablet, Chewable $0.0000

amoxicillin 250 mg Tablet, Chewable $0.2306/Each

amoxicillin 125 mg/5 ml Suspension $0.0199/Milliliter

amoxicillin 250 mg/5 ml Suspension $0.0165/Milliliter

amoxicillin 400 mg Tablet, Chewable $0.0000

amoxicillin 200 mg/5 ml Suspension $0.0299/Milliliter

amoxicillin (trihydrate) 250 mg capsule $0.0754/Each

amoxicillin (trihydrate) 500 mg capsule $0.0595/Each

amoxicillin os 400 mg/5 ml Suspension $0.0353/Milliliter

amoxicillin trihydrate 500 mg tablet $0.1230/Each

amoxicillin trihydrate/potassium clavulanate 250-125mg tablet $1.5125/Each

amoxicillin trihydrate/potassium clavulanate 250 - 62.5/5 ml Suspension $0.4385/Milliliter

amoxicillin trihydrate/potassium clavulanate 1000-62.5 tablet, extended release $4.8852/Each

amphet asp/amphet/d-amphet 10 mg capsule, extended release $0.0000

amphet asp/amphet/d-amphet 20 mg capsule, extended release $0.0000

amphet asp/amphet/d-amphet 30 mg capsule, extended release $0.0000

amphet asp/amphet/d-amphet 5 mg capsule, extended release $0.0000

amphet asp/amphet/d-amphet 15 mg capsule, extended release $0.0000

amphet asp/amphet/d-amphet 25 mg capsule, extended release $0.0000

amphet asp/amphet/d-amphet 15 mg tablet $0.2655/Each

amphetamine sulfate 10 MG tablet $3.7125/Each

amphetamine sulfate 5 MG tablet $4.7835/Each

amphetamine/d-amphetamine salts 7.5 mg tablet $0.5035/Each

amphetamine/d-amphetamine salts 12.5 mg tablet $0.4555/Each

amphetamine/d-amphetamine salts 5 mg tablet $0.1575/Each

amphetamine/d-amphetamine salts 10 mg tablet $0.2055/Each

amphetamine/d-amphetamine salts 30 mg tablet $0.4415/Each

amphetamine/d-amphetamine salts 20 mg tablet $0.2055/Each

ampicillin sodium 1 G Solution $2.0500/Each

ampicillin sodium 10 G Solution $33.5500/Each

ampicillin sodium 2 G Solution $3.2500/Each

ampicillin sodium 250 MG Solution $0.8250/Each

ampicillin sodium 500 MG Solution $1.1250/Each

ampicillin sodium/sulbactam Na 1.5 G Solution $1.9500/Each

ampicillin sodium/sulbactam Na 15 G Solution $16.9550/Each

ampicillin sodium/sulbactam sodium 3 gm Solution $5.6280/Each

ampicillin trihydrate 250 mg capsule $0.0000

ampicillin trihydrate 500 mg capsule $0.1115/Each

ampicillin trihydrate 125 mg/5 ml Suspension $0.0000

amylase/lipase/protease 48,000 units; 16,000 units; 48,000 units capsule,delayed release (e.c.) $0.0000

amylase/lipase/protease 65,000 units; 20,000 units; 65,000 units capsule,delayed release (e.c.) $0.0000

amylase/lipase/protease 56,000 units; 20,000 units; 44,000 units capsule,delayed release (e.c.) $0.0000

amylase/lipase/protease 33,200 units; 10,000 units; 38,000 units capsule,delayed release (e.c.) $0.0000

amylase/lipase/protease 20,000 units; 4,500 units; 25,000 units capsule,delayed release (e.c.) $0.0000

amylase/lipase/protease 66,400 units; 20,000 units; 75,000 units capsule,delayed release (e.c.) $0.0000

anagrelide hcl 0.5 mg capsule $0.3860/Each

anagrelide hcl 1 mg capsule $1.0025/Each

anastrozole 1 mg tablet $0.1070/Each

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NAME OF GENERIC DRUG STRENGTH FORM

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antipyrine/benzocaine otic 5.4%/1.4% Drops $0.0000

aprepitant 80 MG capsule $158.2940/Each

aprepitant 125 MG capsule $247.0687/Each

aprepitant 125MG-80MG capsule $149.4000/Each

aprepitant 40 MG capsule $74.7045/Each

arformoterol tartrate 15MCG/2ML solution $6.0415/Milliliter

aripiprazole 10 MG tablet $0.1890/Each

aripiprazole 15 MG tablet $0.1855/Each

aripiprazole 20 MG tablet $0.2458/Each

aripiprazole 30 MG tablet $0.2456/Each

aripiprazole 5 MG tablet $0.1830/Each

aripiprazole 1 MG/ML Solution $1.2150/Milliliter

aripiprazole 2 MG tablet $0.1655/Each

aripiprazole 10 MG Tablet,disintegrating $26.1890/Each

aripiprazole 15 MG Tablet,disintegrating $28.4142/Each

armodafinil 200 MG tablet $0.6095/Each

armodafinil 150 MG tablet $0.9199/Each

armodafinil 50 MG tablet $0.1465/Each

armodafinil 250 MG tablet $0.8912/Each

arsenic trioxide 10 MG/10ML solution $20.5750/Milliliter

aspirin 81 mg tablet, delayed release (enteric coated) $0.0150/Each

aspirin 325 mg Caplet $0.0120/Each

aspirin 81 mg Caplet $0.0075/Each

aspirin 5 gr Caplet $0.0150/Each

aspirin buffered 325 mg Caplet $0.0000

aspirin w/codeine 325 mg; 30 mg tablet $0.0000

aspirin w/codeine 325 mg; 60 mg tablet $0.0000

aspirin/acetaminophen/caffeine 250-250-65 tablet $0.0350/Each

aspirin/butalbital/caffeine/codeine 30 mg capsule $1.0443/Each

aspirin/dipyridamole 25mg-200mg capsule, extended release $0.8650/Each

atazanavir sulfate 150 MG capsule $4.5855/Each

atazanavir sulfate 200 MG capsule $3.9550/Each

atazanavir sulfate 300 MG capsule $5.9201/Each Decrease

atenolol 100 mg tablet $0.0210/Each

atenolol 50 mg tablet $0.0150/Each

atenolol 25 mg tablet $0.0150/Each

atenolol; chlorthal 50 mg; 25 mg tablet $0.3750/Each

atenolol; chlorthal 100 mg; 25 mg tablet $0.4095/Each

atomoxetine HCl 10 MG capsule $1.0150/Each

atomoxetine HCl 18 MG capsule $0.8602/Each

atomoxetine HCl 25 MG capsule $0.8530/Each

atomoxetine HCl 40 MG capsule $1.0660/Each

atomoxetine HCl 60 MG capsule $1.9015/Each

atomoxetine HCl 80 MG capsule $1.6652/Each

atomoxetine HCl 100 MG capsule $0.9510/Each

atorvastatin calcium 10 mg tablet $0.0300/Each

atorvastatin calcium 20 mg tablet $0.0300/Each

atorvastatin calcium 40 mg tablet $0.0500/Each

atorvastatin calcium 80 mg tablet $0.1000/Each

atovaquone 750 mg/5 ml Suspension $1.0763/Milliliter

atovaquone/proguanil hcl 250-100 MG tablet $2.6555/Each

atovaquone/proguanil hcl 62.5-25 MG tablet $0.9115/Each

atropine sulfate 0.4 MG/ML solution $4.7225/Milliliter

atropine sulfate 0.01 Drops $0.0000

atropine sulfate 1%, 15 ml Drops $0.0000

azacitidine 100 MG Solution $114.5000/Each

azathioprine 50 mg tablet $0.2700/Each

azelaic acid 15 % gel $1.1250/Gram

azelastine hcl 205.5MCG Spray, Non-Aerosol $0.4965/Milliliter

azelastine hcl 137 mcg Aerosol, Spray $0.2825/Milliliter

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NAME OF GENERIC DRUG STRENGTH FORM

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azelastine hcl 0.0005 Drops $0.9375/Milliliter

azelastine/fluticasone 137-50 MCG spray, non-aerosol $4.9524/Gram Decrease

azithromycin 100 mg/5 ml Suspension $0.4677/Milliliter

azithromycin 250 mg tablet $0.2833/Each

azithromycin 600 mg tablet $1.4075/Each

azithromycin 500 MG Solution $3.5020/Each

azithromycin 500 mg tablet $0.7575/Each

azithromycin 200 mg/5 ml Suspension $0.3500/Milliliter

azithromycin 200 MG/5ML Suspension $0.0000

azithromycin 200 MG/5ML Suspension $0.0000

azithromycin 200 MG/5ML Suspension $0.0000

bacitracin 500 units/gm Ointment $0.0766/Gram

bacitracin 50000 UNIT Solution $6.1599/Each

bacitracin zinc/polymyxin B 500-10K/G ointment $0.0835/Gram

bacitracin/neomycin sulfate/polymyxin b 400 units/3.5 mg/5,000 units per gm Ointment $0.1095/Gram Decrease

bacitracin/neomycin/polymyxin b/hc 3.5 gr Ointment $0.0000

bacitracin/polymyxin b sulfate 500-10K/G Ointment $0.0000

bacitracin/polymyxin b sulfate 500-10K/G Ointment $2.7000/Gram

bacitracin/polymyxin b sulfate 15 gr Ointment $0.0000

baclofen 10 mg tablet $0.0772/Each

baclofen 20 mg tablet $0.0930/Each

baclofen 5 MG tablet $0.8156/Each

balanced salt irrig soln no.2 solution $0.1987/Milliliter

balsalazide disodium 750 mg capsule $0.3255/Each

benazepril hcl 5 mg tablet $0.0252/Each

benazepril hcl 10 mg tablet $0.0292/Each

benazepril hcl 20 mg tablet $0.0435/Each

benazepril hcl 40 mg tablet $0.0600/Each

benazepril/hctz 5-6.25 mg tablet $1.1000/Each

benazepril/hctz 10-12.5 mg tablet $0.6235/Each

benazepril/hctz 20-12.5 mg tablet $0.0655/Each

benazepril/hctz 20-25 mg tablet $0.4952/Each

benzocaine/menthol 15MG-3.6MG lozenge $0.1058/Each

benzonatate 150 MG capsule $0.2375/Each

benzonatate 100 mg capsule $0.0840/Each

benzonatate 200 mg capsule $0.1405/Each

benzoyl peroxide 9% Cleanser $0.0000

benzoyl peroxide 10 % Gel $0.0725/Gram

benzoyl peroxide 0.05 Gel $0.2335/Gram

benzoyl peroxide 2.5 % Gel $0.2260/Gram

benzoyl peroxide 4 % Cleanser $0.0000

benzoyl peroxide 10 % Cleanser $0.0520/Gram

benzoyl peroxide 10 % Lotion $0.0799/Milliliter

benzoyl peroxide 8 % Cleanser $0.0000

benzoyl peroxide 3 % Cleanser $0.0000

benzoyl peroxide 6 % Cleanser $0.0755/Gram

benzoyl peroxide 5 % Cleanser $0.0448/Gram

benztropine mesylate 0.5 mg tablet $0.0945/Each

benztropine mesylate 1 mg tablet $0.0933/Each

benztropine mesylate 2 mg tablet $0.1145/Each

bepotastine besilate 1.5 % drops $40.7950/Milliliter

betamethasone acetate,sod phos 6 MG/ML Suspension $7.5550/Milliliter

betamethasone dipropionate 0.05 % cream $0.6510/Gram

betamethasone dipropionate 0.05%, 15 gm Cream $0.0000

betamethasone dipropionate 0.05%, 45 gm Cream $0.0000

betamethasone dipropionate 0.0005 Ointment $1.8360/Gram

betamethasone dipropionate 0.05%, 15 gm Ointment $2.1595/Gram

betamethasone dipropionate 0.05%, 45 gm Ointment $1.0650/Gram

betamethasone dipropionate 0.05%, 50 gm Ointment $0.0000

betamethasone dipropionate 0.05%, 60 ml Lotion $0.4475/Milliliter

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NAME OF GENERIC DRUG STRENGTH FORM

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betamethasone dipropionate 0.05% Gel $0.6204/Gram

betamethasone dipropionate augmented 0.05% Cream $0.1245/Gram

betamethasone dipropionate augmented 0.0005 Ointment $1.0267/Gram

betamethasone valerate 0.1 % Cream $0.4145/Gram

betamethasone valerate 0.1%, 15 gm Cream $0.0000

betamethasone valerate 0.1%, 45 gm Cream $0.0000

betamethasone valerate 0.001 Ointment $0.4665/Gram

betamethasone valerate 0.1%, 15 gm Ointment $0.0000

betamethasone valerate 0.1%, 45 gm Ointment $0.0000

betamethasone valerate 0.1%, 60 ml Lotion $0.5442/Milliliter

betamethasone valerate 0.12 % Foam $0.7575/Gram

betamethasone/propylene glyc 0.05 % Lotion $1.0276/Milliliter Decrease

betaxolol hcl 10 MG tablet $0.5500/Each

betaxolol HCl 20 MG tablet $0.8850/Each

betaxolol hcl 0.5 % Drops $7.2000/Milliliter

bethanechol chloride 10 mg tablet $0.1515/Each

bethanechol chloride 25 mg tablet $0.4215/Each

bethanechol chloride 5 mg tablet $0.0840/Each

bethanechol chloride 50 mg tablet $0.4242/Each Decrease

bexarotene 75 MG capsule $40.8295/Each

bicalutamide 50 mg tablet $0.1765/Each

bimatoprost 0.03 % drops $35.4500/Milliliter

bisacodyl 5 mg Caplet $0.0000

bisacodyl 10 mg Suppository $0.0840/Each

bisacodyl 5 mg tablet, delayed release (enteric coated) $0.0216/Each

bismuth subsalicylate 262 mg Tablet, Chewable $0.0538/Each

bismuth subsalicylate 262 MG Caplet $0.0621/Each

bismuth subsalicylate 262mg/15ml Liquid $0.0088/Milliliter

bismuth subsalicylate 525MG/15ML liquid $0.0095/Milliliter

bisoprolol fumarate 10 mg tablet $0.2725/Each

bisoprolol fumarate 5 mg tablet $0.2530/Each

bisoprolol/hctz 2.5/6.25 tablet $0.0447/Each

bisoprolol/hctz 5/6.25 tablet $0.0606/Each

bisoprolol/hctz 10/6.25 tablet $0.0393/Each

bivalirudin 250 MG Solution $135.2500/Each

bleomycin sulfate 15 unit Solution $44.3850/Each

bleomycin sulfate 30 unit Solution $82.6210/Each

brimonide tartrate 0.15% Drops $20.7060/Milliliter

brimonidine tartrate 0.002 Drops $0.3756/Milliliter

bromfenac sodium 0.09% Drops $42.0400/Milliliter

bromocriptine mesylate 5 mg capsule $3.6395/Each

bromocriptine mesylate 2.5 mg tablet $1.6395/Each

brompheniramin/pseudoephedrine 1-15MG/5ML Elixir $0.0095/Milliliter

brompheniramine/phenylephrine 1-2.5 MG/5 Elixir $0.0180/Milliliter

brompheniramine/phenylephrine 4MG-10MG tablet $0.6445/Each

budesonide 0.25MG/2ML suspension $0.6355/Milliliter

budesonide 0.5 MG/2ML suspension $0.6735/Milliliter

budesonide 3 mg Capsule, Delayed and Extended Release $0.9045/Each

budesonide 9 MG Tablet, Delayed and Extended Release $25.6740/Each

budesonide 32MCG Spray, Non-Aerosol $1.1724/Milliliter

budesonide 1 MG/2 ML suspension $3.3585/Milliliter

budesonide 32 mcg Spray, Non-Aerosol $0.0000

bumetanide 0.25 MG/ML solution $0.4402/Milliliter

bumetanide 0.5 mg tablet $0.3355/Each

bumetanide 1 mg tablet $0.2550/Each

bumetanide 2 mg tablet $0.3559/Each

bupivacaine HCl/epinephrine 0.25-.0005 solution $0.1881/Milliliter

buprenorphine HCl 0.3 MG/ML solution $14.3950/Milliliter

buprenorphine hcl 2 mg Tablet, Sublingual $0.2345/Each

buprenorphine hcl 8 mg Tablet, Sublingual $0.7520/Each

Page 7 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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buprenorphine hcl/naloxone hcl 2 mg-0.5mg Tablet, Sublingual $1.0555/Each

buprenorphine hcl/naloxone hcl 8 mg-2 mg Tablet, Sublingual $1.2550/Each

bupropion hcl 75 mg tablet $0.0888/Each

bupropion hcl 100 mg tablet $0.1765/Each

bupropion hcl 150 mg tablet, extended release $0.0790/Each

bupropion hcl 100 mg tablet, extended release $0.0750/Each

bupropion hcl 200 mg tablet, extended release $0.1575/Each

bupropion hcl 150 mg tablet, extended release $0.1096/Each

bupropion hcl 300 mg tablet, extended release $0.1867/Each

bupropion hcl 150 mg tablet, extended release $0.2725/Each

bupropion HCl 450 MG tablet, extended release $7.6550/Each

buspirone hcl 7.5 MG tablet $0.2752/Each

buspirone hcl 5 mg tablet $0.0213/Each

buspirone hcl 10 mg tablet $0.0290/Each

buspirone hcl 15 mg tablet $0.0435/Each

buspirone hcl 30 mg tablet $0.2205/Each

busulfan 60 MG/10ML solution $21.5500/Milliliter

butalb/acetaminophen/caffeine 50-325/15 solution $2.2985/Milliliter

butalb/acetaminophen/caffeine 50-325-40 capsule $1.6288/Each

butalbit/acetamin/caff/codeine 50-300-30 capsule $4.8785/Each

butalbital/acetaminophen 50MG-300MG tablet $6.8875/Each

butalbital/acetaminophen 50MG-300MG capsule $10.9616/Each

butalbital/acetaminophen 50MG-325MG tablet $0.8885/Each

butalbital/acetaminophen/caffeine 50-300-40 capsule $0.5040/Each

butalbital/apap/caffeine compound 50 mg/325 mg/40 mg tablet $0.2199/Each

butalbital/apap/caffeine/codeine 50 mg/325 mg/40 mg/30 mg capsule $0.9251/Each

butalbital/aspirin/caff 50 mg/325 mg/40 mg capsule $0.8695/Each

butalbital/aspirin/caffeine 50 mg/325 mg/40 mg tablet $0.0000

butorphanol tartrate 10 mg/ml Spray, Non-Aerosol $11.7260/Milliliter

cabergoline 0.5 mg tablet $2.5150/Each

caffeine 200 MG tablet $0.0890/Each

caffeine citrate 60 MG/3 ML solution $7.4190/Milliliter

caffeine citrated 60 mg/3 ml Solution $0.0000

calamine/zinc oxide 8 %-8 % lotion $0.0088/Milliliter

calcipotriene 0.005 % ointment $2.2095/Gram

calcipotriene 0.005 % Cream $0.0000

calcipotriene 0.00005 Solution $1.0575/Milliliter

calcipotriene/betamethasone 0.005-.064 Ointment $4.6852/Gram Decrease

calcipotriene/betamethasone 0.005-.064 suspension $7.3185/Gram

calcitonin,salmon,synthetic 200 units/dose Spray, Non-Aerosol $7.7135/Milliliter

calcitriol 1 MCG/ML solution $7.2275/Milliliter

calcitriol 1 mcg/ml Solution $4.7971/Milliliter Decrease

calcitriol 0.25 mcg capsule $0.2225/Each

calcitriol 0.5 mcg capsule $0.3180/Each

calcium acetate 667 mg capsule $0.1746/Each

calcium acetate 667 MG tablet $0.0000

calcium carbonate 1250 mg Caplet $0.0240/Each

calcium carbonate 600 MG tablet $0.0175/Each

calcium carbonate 500 MG/5ML Suspension $0.0168/Milliliter

calcium carbonate 200(500)mg Tablet, Chewable $0.0150/Each

calcium carbonate 300MG(750) Tablet, Chewable $0.0115/Each

calcium carbonate 400(1000) tablet,chewable $0.0300/Each

calcium carbonate 320MG(750) tablet,chewable $0.0320/Each

calcium carbonate 215(500)MG Tablet, Chewable $0.0138/Each

calcium carbonate/cholecalciferol (vitamin d3) 600 mg-400 Caplet $0.0168/Each

calcium carbonate/cholecalciferol (vitamin d3) 500 mg-200 Caplet $0.0316/Each

calcium carbonate/cyanocobalamin/folic acid/pyridoxine 200-12-1 tablet, extended release $0.2000/Each

calcium polycarbophil 625 mg Caplet $0.0600/Each

camphor Spirit $0.0400/Milliliter

candesartan cilexetil 4 mg tablet $0.5597/Each

Page 8 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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candesartan cilexetil 8 mg tablet $0.5640/Each

candesartan cilexetil 16 mg tablet $0.7200/Each

candesartan cilexetil 32 mg tablet $1.0200/Each

candesartan/hydrochlorothiazid 32mg-25mg tablet $1.5095/Each

candesartan/hydrochlorothiazid 16-12.5mg tablet $2.1315/Each

candesartan/hydrochlorothiazid 32-12.5mg tablet $1.3590/Each

capecitabine 150 MG tablet $0.2915/Each

capecitabine 500 mg tablet $0.4765/Each

captopril 100 mg tablet $1.3205/Each

captopril 25 mg tablet $0.7395/Each

captopril 50 mg tablet $0.8670/Each

captopril 12.5 mg tablet $0.4635/Each Decrease

captopril; hydrochlorothiazide 25 mg; 15 mg tablet $0.0263/Each

captopril; hydrochlorothiazide 25 mg; 25 mg tablet $0.0568/Each

captopril; hydrochlorothiazide 50 mg; 15 mg tablet $0.0665/Each

captopril; hydrochlorothiazide 50 mg; 25 mg tablet $0.0000

carbamazepine 200 mg tablet $0.2850/Each

carbamazepine 100 mg Tablet, Chewable $0.2845/Each

carbamazepine 200 mg capsule, extended release $0.6365/Each

carbamazepine 300 mg capsule, extended release $1.3015/Each

carbamazepine 100 mg capsule, extended release $0.5155/Each

carbamazepine 100 MG/5ML suspension $0.6049/Milliliter

carbamazepine 100 MG tablet, extended release $0.6255/Each

carbamazepine 200 mg tablet, extended release $1.1700/Each

carbamazepine 400 mg tablet, extended release $2.0885/Each

carbamazepine 100 mg/5 ml Suspension $0.1210/Milliliter

carbamide peroxide 6.5 % Drops $0.1005/Milliliter

carbetapentane/ephedrine/phenylephrine/chlorpheniramine 30-5-5-4 mg/5 ml Liquid $0.0000

carbidopa 25 MG tablet $3.5125/Each

carbidopa/levodopa 10mg-100mg Tablet,disintegrating $0.6300/Each

carbidopa/levodopa 25MG-100MG Tablet,disintegrating $0.6850/Each

carbidopa/levodopa 25MG-250MG Tablet,disintegrating $0.8700/Each

carbidopa/levodopa/entacapone 18.75-75MG tablet $1.2960/Each

carbidopa/levodopa/entacapone 31.25-125 tablet $0.9350/Each

carbidopa/levodopa/entacapone 37.5-150MG tablet $1.0825/Each

carbidopa/levodopa/entacapone 25-100-200 tablet $0.9870/Each

carbidopa/levodopa/entacapone 12.5-50 MG tablet $0.9550/Each

carbidopa/levodopa/entacapone 50-200-200 tablet $0.8335/Each

carbidopa; levodopa 10 mg; 100 mg tablet $0.0922/Each

carbidopa; levodopa 25 mg; 100 mg tablet $0.0750/Each

carbidopa; levodopa 25 mg; 250 mg tablet $0.1255/Each

carbidopa; levodopa er 50 mg; 200 mg tablet, extended release $0.3382/Each

carbidopa; levodopa er 25 mg; 100 mg tablet, extended release $0.1650/Each

carbinoxamine maleate 4 mg/5 ml Liquid $0.0712/Milliliter

carbinoxamine maleate 4 MG tablet $0.2240/Each

carbinoxamine maleate; pseudoephedrine; dextrometh hbr 15-60-4/5 Syrup $0.0000

carbinoxamine maleate; pseudoephedrine; dextrometh hbr 4-15-1 Drops $0.0000

carbinoxamine maleate; pseudoephedrine; dextrometh hbr 4-15-2 Drops $0.0000

carbinoxamine maleate; pseudoephedrine; dextrometh hbr 4 mg; 60 mg; 15 mg per 5 ml Syrup $0.0000

carboplatin 10 mg/ ml Solution $0.7545/Milliliter

carboplatin 50 mg Solution $0.0000

carboplatin 150 mg Solution $0.0000

carboplatin 450 mg Solution $0.0000

carboxymethylcellulose sodium 0.5 % drops $0.2030/Milliliter

carboxymethylcellulose sodium 0.5 % Dropperette $0.1815/Each

car-b-pen ta/phenylephrine/pyr 30 mg; 5 mg; 30 mg/5 ml Suspension $0.0000

carisoprodol 350 mg tablet $0.0621/Each

carisoprodol 250 MG tablet $1.3335/Each

carisoprodol/asa compound 200 mg; 325 mg tablet $0.4334/Each

carisoprodol/aspirin/codeine 200-325-16 tablet $1.9000/Each

Page 9 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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carmustine 100 MG solution $2925.0000/Each

carteolol hcl 0.01 Drops $0.9528/Milliliter

carvedilol 25 mg tablet $0.0295/Each

carvedilol 12.5 mg tablet $0.0195/Each

carvedilol 3.125 mg tablet $0.0150/Each

carvedilol 6.25 mg tablet $0.0308/Each

carvedilol phosphate 20 MG capsule, extended release $5.9530/Each

caspofungin acetate 50 MG Solution $74.5550/Each

caspofungin acetate 70 MG Solution $79.5550/Each

cefaclor 500 mg tablet, extended release $0.0000

cefaclor 250 mg capsule $0.7453/Each

cefaclor 500 mg capsule $1.1355/Each

cefaclor 125 mg/5 ml Suspension $0.0000

cefaclor 250 mg/5 ml Suspension $0.0000

cefaclor 187 mg/5 ml Suspension $0.0000

cefaclor 375 mg/5 ml Suspension $0.0000

cefadroxil 500 mg capsule $0.2000/Each

cefadroxil 1 gm tablet $3.9000/Each

cefadroxil hydrate 250 mg/5 ml Suspension $0.1935/Milliliter

cefadroxil hydrate 500 mg/5 ml Suspension $0.2595/Milliliter

cefazolin sodium 1 gm Solution $1.1550/Each

cefazolin sodium 10 gm Solution $10.5798/Each

cefazolin sodium 500 MG Solution $1.6200/Each

cefdinir 250 mg/5 ml Suspension $0.0809/Milliliter

cefdinir 300 mg capsule $0.4379/Each

cefdinir 125 mg/5 ml Suspension $0.0905/Milliliter

cefepime HCl 1 G Solution $4.7150/Each

cefepime hcl 2 gm Solution $9.4103/Each

cefixime 400 MG capsule $11.3300/Each

cefixime 100 MG/5ML Suspension $2.8775/Milliliter

cefixime 200 MG/5ML Suspension $5.6945/Milliliter

cefotetan disodium 1 G Solution $11.0250/Each

cefoxitin sodium 1 G Solution $3.8995/Each

cefoxitin sodium 2 G Solution $8.3000/Each

cefoxitin sodium 10 G Solution $30.8000/Each

cefpodoxime 100 mg tablet $2.9355/Each

cefpodoxime 200 mg tablet $4.3805/Each

cefpodoxime proxetil 50 MG/5 ML Suspension $0.5800/Milliliter

cefpodoxime proxetil 100 mg/5 ml Suspension $1.2500/Milliliter

cefprozil 250 mg tablet $0.7400/Each

cefprozil 500 mg tablet $0.9355/Each

cefprozil 125 mg/5 ml Suspension $0.2175/Milliliter

cefprozil 250 mg/5 ml Suspension $0.2130/Milliliter

ceftazidime pentahydrate 1 gm Solution $5.3880/Each

ceftazidime pentahydrate 2 gm Solution $9.8062/Each

ceftazidime pentahydrate 6 gm Solution $24.0786/Each

ceftriaxone sodium 250 mg Solution $1.5926/Each

ceftriaxone sodium 500 mg Solution $1.1805/Each

ceftriaxone sodium 1 gm Solution $1.4885/Each

ceftriaxone sodium 2 gm Solution $4.4352/Each

ceftriaxone sodium 10 gm Solution $20.7648/Each

cefuroxime 250 mg tablet $0.3660/Each

cefuroxime 500 mg tablet $0.7175/Each

cefuroxime axetil 250 mg/5 ml Suspension $0.0000

cefuroxime axetil 125 mg/5 ml Suspension $0.0000

cefuroxime sodium 750 MG solution $2.8225/Each

cefuroxime sodium 7.5 G Solution $19.9500/Each

cefuroxime sodium 1.5 G solution $5.4299/Each

celecoxib 400 MG capsule $0.4950/Each

celecoxib 100 MG capsule $0.0600/Each

Page 10 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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celecoxib 200 MG capsule $0.1450/Each

celecoxib 50 MG capsule $0.1500/Each

cephalexin 750 MG capsule $3.8152/Each

cephalexin 250 mg capsule $0.0890/Each

cephalexin 500 mg capsule $0.0755/Each

cephalexin 125 mg/5 ml Suspension $0.0605/Milliliter

cephalexin 250 mg/5 ml Suspension $0.0665/Milliliter

cetirizine hcl 5 mg Tablet, Chewable $1.3735/Each

cetirizine hcl 10 mg Tablet, Chewable $1.8075/Each

cetirizine HCl 5 MG/5 ML solution $0.0235/Milliliter

cetirizine hcl 1 mg/ml Solution $0.0000

cetirizine hcl 10 mg tablet $0.0000

cetirizine hcl 5 mg tablet $0.0338/Each

cevimeline hcl 30 mg capsule $1.1155/Each

chloral hydrate 500 mg capsule $0.0000

chlordiazepoxide 10 mg capsule $0.0700/Each

chlordiazepoxide 25 mg capsule $0.0700/Each

chlordiazepoxide 5 mg capsule $0.0895/Each

chlorhexidine 0.12% Liquid $0.0048/Milliliter

chlorhexidine gluconate 4 % Cleanser $0.0176/Milliliter

chloroquine phosphate 250 MG tablet $2.0080/Each

chloroquine phosphate 500 MG tablet $3.5550/Each

chlorothiazide 250 mg tablet $0.0000

chlorothiazide 500 mg tablet $0.0000

chlorpheniramin/pseudoephed/dm 1-15-5MG/5 Elixir $0.0200/Milliliter

chlorpheniramine maleate 4 mg Caplet $0.0000

chlorpheniramine/dextromethorp 4 MG-30 MG tablet $0.0975/Each

chlorpheniramine/phenylephrine 4MG-10MG tablet $0.1700/Each

chlorpromazine hcl 10 mg tablet $1.5655/Each

chlorpromazine hcl 25 mg tablet $1.8136/Each Decrease

chlorpromazine hcl 50 mg tablet $2.7350/Each

chlorpromazine hcl 100 mg tablet $3.2953/Each Decrease

chlorpromazine hcl 200 mg tablet $6.6835/Each

chlorpropamide 100 mg tablet $0.0000

chlorpropamide 250 mg tablet $0.0000

chlorthalidone 100 mg tablet $0.0000

chlorthalidone 25 mg tablet $0.1870/Each

chlorthalidone 50 mg tablet $0.3270/Each

chlorzoxazone 500 mg Caplet $0.2284/Each

chlorzoxazone 375 MG tablet $5.6725/Each

chlorzoxazone 750 MG tablet $3.3425/Each

cholecalciferol (vitamin d3) 1000 UNIT tablet $0.0219/Each

cholecalciferol (vitamin d3) 2000 UNIT capsule $0.0375/Each

cholestyramine 4 gm Powder $0.1215/Gram

cholestyramine lite 4 gm Packet $1.3725/Each

cholestyramine lite 4 gm Powder $0.1415/Gram

cholestyramine/sucrose 4 gm Packet $1.2183/Each

choline magnesium trisalicylate 500 mg Caplet $0.0000

choline magnesium trisalicylate 750 mg Caplet $0.0000

choline magnesium trisalicylate 1000 mg Caplet $0.0000

ciclopirox 0.08 Solution $1.5630/Milliliter

ciclopirox 0.0077 Gel $0.5895/Gram

ciclopirox 0.01 Shampoo $0.3235/Milliliter

ciclopirox 0.77% Cream $0.1215/Gram

ciclopirox 0.77% Lotion $0.9115/Milliliter

cidofovir 75 MG/ML solution $147.6500/Milliliter

cilostazol 100 mg tablet $0.1035/Each

cilostazol 50 mg tablet $0.0845/Each

cimetidine 200 mg tablet $0.1380/Each

cimetidine 300 mg tablet $0.2556/Each

Page 11 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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cimetidine 400 mg tablet $0.5665/Each

cimetidine 800 mg tablet $0.5656/Each

cimetidine hcl 300 MG/5ML Liquid $0.0000

cinacalcet HCl 30 MG tablet $1.9683/Each Decrease

cinacalcet HCl 60 MG tablet $1.6770/Each

cinacalcet HCl 90 MG tablet $3.5550/Each

ciprofloxacin 0.003 Drops $0.9450/Milliliter

ciprofloxacin 250 mg tablet $0.0945/Each

ciprofloxacin 500 mg tablet $0.1075/Each

ciprofloxacin 750 mg tablet $0.2000/Each

ciprofloxacin 250 MG/5ML suspension $0.8168/Milliliter

ciprofloxacin 500 MG/5ML suspension $0.9561/Milliliter

ciprofloxacin in 5 % dextrose 200MG/0.1L solution $0.0299/Milliliter

ciprofloxacin lactate/d5w 400 mg/200 ml Solution $0.0210/Milliliter

ciprofloxacin/ciprofloxa hcl 500 mg tablet, extended release $0.0000

ciprofloxacin/ciprofloxa hcl 1000 mg tablet, extended release $0.0000

cisplatin 1 MG/ML Solution $0.2025/Milliliter

citalopram 20 mg tablet $0.0295/Each

citalopram 40 mg tablet $0.0375/Each

citalopram 10 mg/5 ml Solution $0.2563/Milliliter

citalopram 10 mg tablet $0.0348/Each

citric acid/sodium citrate 334-500MG Solution $0.0200/Milliliter

cladribine 10 mg/10 ml Solution $28.3030/Milliliter

clarithromycin 125 mg/5 ml Suspension $0.8157/Milliliter

clarithromycin 250 mg/5 ml Suspension $1.2246/Milliliter

clarithromycin 500 mg tablet, extended release $2.7825/Each

clarithromycin 500 mg tablet $0.6265/Each

clarithromycin 250 mg tablet $0.5095/Each

clemastine fumarate 1.34 MG tablet $0.1775/Each

clidinium/chlordiazepoxide 2.5 mg/5 mg capsule $0.0000

clindamycin hcl 150 mg capsule $0.0972/Each

clindamycin HCl 75 MG capsule $0.2000/Each

clindamycin hcl 300 mg capsule $0.1504/Each

clindamycin palmitate hcl 75 mg/5 ml Solution $0.1886/Milliliter

clindamycin phos/benzoyl perox 1.2%-2.5% gel $2.2025/Gram

clindamycin phos/benzoyl perox 1 %-5 % Gel $1.9815/Gram

clindamycin phosphate 0.02 Cream $1.4150/Gram

clindamycin phosphate 150 mg/ml Solution $0.9231/Milliliter

clindamycin phosphate 1% 0.01 Foam $3.0020/Gram

clindamycin phosphate 1% 1% Solution $0.2285/Milliliter

clindamycin phosphate 1% 1% Lotion $0.7950/Milliliter

clindamycin phosphate 1% 1% Gel $0.8465/Gram

clindamycin phosphate 1% 1% pledget $0.2754/Each

clindamycin phosphate/benzoyl peroxide 1% - 5% Gel $1.1545/Gram

clindamycin phosphate/benzoyl peroxide 1.2(1)%-5% Gel $1.0065/Gram

clindamycin phosphate/dextrose 5 % in water 300MG/50ML Solution $0.1722/Milliliter

clindamycin phosphate/dextrose 5 % in water 600MG/50ML Solution $0.2597/Milliliter

clindamycin phosphate/dextrose 5 % in water 900MG/50ML Solution $0.3172/Milliliter

clindamycin/tretinoin 1.2-0.025% Gel $10.0588/Gram

clobazam 20 MG tablet $0.6765/Each

clobazam 10 MG tablet $0.3642/Each

clobazam 2.5 MG/ML Suspension $0.7335/Milliliter

clobetasol propionate 0.05% Solution $0.4380/Milliliter

clobetasol propionate 0.05% Gel $0.2765/Gram

clobetasol propionate 0.0005 Shampoo $0.8685/Milliliter

clobetasol propionate 0.05 % Spray, Non-Aerosol $0.7775/Milliliter

clobetasol propionate 0.05% Ointment $0.4545/Gram

clobetasol propionate 0.05% Cream $0.5745/Gram

clobetasol propionate 0.05 % Lotion $0.8515/Milliliter

clobetasol propionate 0.0005 Foam $1.1525/Gram

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clobetasol propionate/emollient 0.05% Cream $0.8161/Gram Decrease

clobetasol propionate/emollient 0.05 % Foam $2.6255/Gram

clofarabine 20 MG/20ML solution $52.1500/Milliliter

clomiphene citrate 50 mg tablet $0.0000

clomipramine hcl 25 mg capsule $1.4865/Each

clomipramine hcl 50 mg capsule $1.7525/Each

clomipramine hcl 75 mg capsule $0.4005/Each

clonazepam 0.5 mg tablet $0.0150/Each

clonazepam 1 mg tablet $0.0281/Each

clonazepam 2 mg tablet $0.0417/Each

clonazepam odt 0.125 mg Tablet,disintegrating $0.5000/Each

clonazepam odt 0.25 mg Tablet,disintegrating $0.6850/Each

clonazepam odt 0.5 mg Tablet,disintegrating $0.5765/Each

clonazepam odt 1 mg Tablet,disintegrating $0.5265/Each

clonazepam odt 2 mg Tablet,disintegrating $0.8485/Each

clonidine 0.1 mg/24 hr Patch, Transdermal Weekly $0.0000

clonidine 0.2 mg/24 hr Patch, Transdermal Weekly $0.0000

clonidine 0.3 mg/24 hr Patch, Transdermal Weekly $0.0000

clonidine hcl 0.1 mg tablet $0.0246/Each

clonidine hcl 0.2 mg tablet $0.0265/Each

clonidine hcl 0.3 mg tablet $0.0395/Each

clonidine hcl 0.1 MG tablet, extended release $0.3500/Each

clopidogrel 75 MG tablet $0.0792/Each

clopidogrel bisulfate 300 MG tablet $9.8135/Each

clorazepate dipotassium 15 mg capsule $0.0000

clorazepate dipotassium 3.75 mg capsule $0.0000

clorazepate dipotassium 7.5 mg capsule $0.0000

clorazepate dipotassium 15 mg tablet $0.4716/Each

clorazepate dipotassium 3.75 mg tablet $0.9075/Each

clorazepate dipotassium 7.5 mg tablet $1.3625/Each

clotrimazole 10 mg Troche $0.3585/Each

clotrimazole 0.01 Cream $0.0739/Gram

clotrimazole 0.01 Cream $0.0813/Gram

clotrimazole 0.01 Liquid $1.3075/Milliliter

clotrimazole/betamethasone dipropionate 1-0.05%, 15 gm Cream $0.2055/Gram

clotrimazole/betamethasone dipropionate 1-0.05%, 45 gm Cream $0.1935/Gram

clotrimazole/betamethasone dipropionate 1-0.05% Lotion $2.4395/Milliliter

clozapine 25 mg tablet $0.2900/Each

clozapine 100 mg tablet $0.5875/Each

clozapine 50 mg tablet $0.5762/Each

clozapine 25 MG Tablet,disintegrating $2.0080/Each

clozapine 100 MG Tablet,disintegrating $4.7245/Each

clozapine 200 mg tablet $1.4145/Each

coal tar 0.5 % Shampoo $0.0115/Milliliter

codeine sulfate 15 MG tablet $0.4374/Each

codeine sulfate 30 MG tablet $0.3315/Each

codeine sulfate 60 MG tablet $0.7832/Each

colchicine 0.6 mg tablet $0.8141/Each Decrease

colchicine 0.6 MG capsule $1.3850/Each Add

colesevelam HCl 625 MG tablet $0.3675/Each

colesevelam HCl 3.75 G Granules $6.7830/Each

colestipol hcl 5 G Granules $2.0800/Each

colestipol hcl 1 gm tablet $0.6335/Each

colistimethate sodium 150 mg Solution $15.1800/Each

cosyntropin 0.25 MG solution $23.5500/Each

cromolyn sodium 20 MG/ML Concentrate $0.2585/Milliliter

cromolyn sodium 10 mg/ml Solution $0.0000

cromolyn sodium 5.2 MG solution $0.2085/Milliliter

cromolyn sodium 0.04 Drops $0.2625/Milliliter

cyanocobalamin (vitamin b-12) 1000 MCG Caplet $0.0554/Each

Page 13 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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cyanocobalamin (vitamin b-12) 1000 MCG Caplet $0.0000

cyanocobalamin (vitamin b-12) 1000MCG/ML Solution $1.1015/Milliliter

cyanocobalamin/folic ac/vit B6 1-2.2-25MG tablet $0.1560/Each

cyclobenzaprine hcl 5 mg tablet $0.0360/Each

cyclobenzaprine hcl 10 mg tablet $0.0240/Each

cyclobenzaprine HCl 15 MG capsule, extended release $7.4050/Each

cyclobenzaprine HCl 30 MG capsule, extended release $13.1075/Each

cyclobenzaprine hcl 7.5 MG tablet $1.4415/Each

cyclopentolate HCl 0.005 Drops $4.1050/Milliliter

cyclopentolate hcl 1%, 2 ml Drops $1.4055/Milliliter

cyclopentolate HCl 0.02 Drops $2.9500/Milliliter

cyclophosphamide 25 MG capsule $4.9500/Each

cyclophosphamide 50 MG capsule $5.6950/Each

cyclophosphamide 1 G Solution $360.0000/Each

cyclophosphamide 500 MG Solution $179.9500/Each

cyclophosphamide 2 G Solution $719.7500/Each

cyclophosphamide 50 mg tablet $0.0000

cycloserine 250 MG capsule $57.7500/Each

cyclosporine 100 MG capsule $5.9365/Each

cyclosporine 25 MG capsule $1.7640/Each

cyclosporine, modified 50 MG capsule $0.8745/Each

cyclosporine, modified 100 mg/ml Solution $2.6035/Milliliter

cyclosporine, modified 25 mg capsule $0.3505/Each

cyclosporine, modified 100 mg capsule $1.2515/Each

cyproheptadine hcl 2 mg/5 ml Solution $0.0357/Milliliter

cyproheptadine hcl 4 mg tablet $0.0600/Each

cytarabine/PF 20 MG/ML solution $0.6585/Milliliter

cytarabine/pf 2 g/20 ml Solution $0.9720/Milliliter

cytarabine/PF 100 MG/5ML solution $0.7655/Milliliter

dacarbazine 200 mg Solution $14.2010/Each

dactinomycin 0.5 MG solution $925.8500/Each

dalfampridine 10 MG tablet, extended release $0.8550/Each

danazol 100 MG capsule $3.8080/Each

danazol 200 mg capsule $3.5765/Each

danazol 50 MG capsule $3.0095/Each

dantrolene sodium 100 mg capsule $1.2545/Each

dantrolene sodium 25 mg capsule $0.5899/Each

dantrolene sodium 50 mg capsule $1.1879/Each

dantrolene sodium 20 MG solution $69.6000/Each

dapsone 5 % Gel $2.8252/Gram Decrease

dapsone 100 MG tablet $0.6974/Each

dapsone 25 MG tablet $0.7442/Each

daptomycin 500 MG Solution $28.2300/Each Decrease

daptomycin 350 MG solution $40.1825/Each

darifenacin hydrobromide 7.5 MG tablet, extended release $1.8285/Each

darifenacin hydrobromide 15 MG tablet, extended release $0.4350/Each

daunorubicin hcl 5 mg/ml Solution $18.2247/Milliliter

decitabine 50 MG Solution $241.8185/Each

deferasirox 125 MG Tablet, Dispersible $2.5000/Each

deferasirox 250 MG Tablet, Dispersible $5.0000/Each

deferasirox 500 MG Tablet, Dispersible $10.0000/Each

deferasirox 90 MG tablet $7.6000/Each

deferasirox 180 MG tablet $1.4500/Each

deferasirox 360 MG tablet $23.7055/Each

deferasirox 90 MG granules $35.0200/Each

deferasirox 180 MG granules $70.0500/Each

deferasirox 360 MG granules $140.1150/Each

deferiprone 500 MG tablet $60.2500/Each

deferoxamine mesylate 500 mg Solution $12.2985/Each

deferoxamine mesylate 2 gm Solution $25.1358/Each

Page 14 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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demeclocycline 150 mg tablet $3.0165/Each

demeclocycline 300 mg tablet $5.3145/Each

desipramine hcl 10 mg tablet $0.4345/Each

desipramine hcl 100 mg tablet $0.3885/Each

desipramine hcl 150 mg tablet $1.0845/Each

desipramine hcl 25 mg tablet $0.1334/Each

desipramine hcl 50 mg tablet $0.6240/Each

desipramine hcl 75 mg tablet $2.1575/Each

desloratadine 5 mg tablet $0.2805/Each

desmopressin 0.1 mg/ml Aerosol, Spray $8.7690/Milliliter

desmopressin acetate 4 mcg/ml Solution $0.0000

desmopressin acetate 4 mcg/ml Solution $0.0000

desmopressin acetate 0.1 mg tablet $0.2945/Each

desmopressin acetate 0.2 mg tablet $0.4805/Each

desogestrel/ethiny estradiol (desogen, ortho-cept, apri) 0.15 mg/30 mcg tablet $0.0000

desogestrel/ethiny estradiol (desogen, ortho-cept, apri) 0.15 mg/30 mcg tablet $0.1600/Each Decrease

desogestrel/ethiny estradiol (kariva, mircette) 0.15 mg/20 mcg tablet $0.3500/Each

desogestrel/ethiny estradiol 7-7-7 (cyclessa, velivet) 0.1-25/0.125-25/0.15-25 mg-mcg tablet $0.3375/Each

desonide 0.05 % Cream $0.5365/Gram

desonide 0.05%; 15 gm Cream $0.0000

desonide 0.05%; 60 gm Cream $0.0000

desonide 0.05 % ointment $0.7500/Gram

desonide 0.05%; 15 gm Ointment $0.0000

desonide 0.05%; 60 gm Ointment $0.0000

desonide 0.0005 Lotion $1.1150/Milliliter

desoximetasone 0.05%; 15 gm Gel $3.4550/Gram

desoximetasone 0.05%; 60 gm Gel $2.5030/Gram

desoximetasone 0.05 % ointment $2.9805/Gram

desoximetasone 0.25 % ointment $0.4000/Gram

desoximetasone 0.25%; 15 gm Ointment $0.0000

desoximetasone 0.25%; 60 gm Ointment $0.0000

desoximetasone 0.05 % Cream $0.0000

desoximetasone 0.05%; 15 gm Cream $0.0000

desoximetasone 0.05%; 60 gm Cream $0.0000

desoximetasone 0.0025 Cream $0.4585/Gram

desoximetasone 0.25%; 15 gm Cream $0.0000

desoximetasone 0.25%; 60 gm Cream $0.0000

desoximetasone 0.25 % spray, non-aerosol $1.2835/Milliliter

desvenlafaxine succinate 25 MG tablet, extended release $0.6054/Each

desvenlafaxine succinate 50 MG tablet, extended release $0.4300/Each

desvenlafaxine succinate 100 MG tablet, extended release $0.4050/Each

dexamethasone 1.5MG (21) tablet $0.0767/Each

dexamethasone 1.5MG (51) tablet $0.0767/Each

dexamethasone 0.5 mg/5 ml Elixir $0.1055/Milliliter

dexamethasone 0.5 MG/5ML solution $0.0356/Milliliter

dexamethasone 0.5 mg tablet $0.0674/Each

dexamethasone 0.75 MG tablet $0.1000/Each

dexamethasone 1.5 MG tablet $0.0767/Each

dexamethasone 4 mg tablet $0.1199/Each

dexamethasone 6 MG tablet $0.5695/Each

dexamethasone 1.5MG (27) tablet $0.0767/Each

dexamethasone 1.5 MG(49) tablet $0.0767/Each

dexamethasone 1.5 MG(39) tablet $0.0767/Each

dexamethasone 1.5MG (35) tablet $0.0767/Each

dexamethasone sodium phosp/PF 10 MG/ML solution $4.4000/Milliliter

dexamethasone sodium phosphate 10 MG/ML solution $0.5500/Milliliter

dexamethasone sodium phosphate 4 MG/ML solution $0.1756/Milliliter

dexmedetomidine HCl 200MCG/2ML solution $3.2950/Milliliter

dexmedetomidine in 0.9 % NaCl 200 MCG/50 solution $1.0385/Milliliter

dexmedetomidine in 0.9 % NaCl 400MCG/100 solution $1.0750/Milliliter

Page 15 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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dexmethylphenidate hcl 2.5 mg tablet $0.1520/Each

dexmethylphenidate hcl 5 mg tablet $0.2475/Each

dexmethylphenidate hcl 10 mg tablet $0.2550/Each

dexmethylphenidate hcl 5 mg capsule, extended release $0.0000

dexmethylphenidate hcl 10 mg capsule, extended release $0.0000

dexmethylphenidate hcl 20 mg capsule, extended release $0.0000

dexmethylphenidate hcl 30 MG capsule, extended release $0.0000

dexmethylphenidate hcl 40 MG capsule, extended release $0.0000

dexmethylphenidate hcl 15 MG capsule, extended release $0.0000

dexrazoxane HCl 250 MG Solution $215.8750/Each

dexrazoxane HCl 500 MG Solution $286.0000/Each

dextroamphetamine sulfate 10 mg capsule, extended release $1.1945/Each

dextroamphetamine sulfate 15 mg capsule, extended release $1.2535/Each

dextroamphetamine sulfate 5 mg capsule, extended release $0.9545/Each

dextroamphetamine sulfate 10 mg tablet $0.4855/Each

dextroamphetamine sulfate 5 mg tablet $0.2815/Each

dextroamphetamine sulfate 5 MG/5 ML Solution $0.0000

dextromethorphan hb/doxylamine 15-6.25/15 liquid $0.0115/Milliliter

dextromethorphan HBr 15 MG/5 ML liquid $0.0165/Milliliter

dextromethorphan hbr/phenylephrine hcl/chlorpheniramine 15-12.5-4 Syrup $0.0000

dextrose 4 G tablet,chewable $0.0200/Each

dextrose 5 % and 0.9 % NaCl 5 %-0.9 % solution $0.0035/Milliliter

dextrose 5 % in water 5 % Solution $0.0141/Milliliter

dhcodeine bt/acetaminophn/caff 32-713-60 tablet $0.0000

diazepam 5 MG/ML solution $12.9251/Milliliter

diazepam 10 mg tablet $0.0271/Each

diazepam 2 mg tablet $0.0240/Each

diazepam 5 mg tablet $0.0185/Each

diazepam 5 MG/ML Concentrate $0.9485/Milliliter

diclofenac potassium 50 mg tablet $0.4435/Each

diclofenac sodium 1.5 % drops $0.1515/Milliliter

diclofenac sodium 0.001 Drops $1.5173/Milliliter

diclofenac sodium 25 mg tablet, delayed release (enteric coated) $0.8100/Each

diclofenac sodium 50 mg tablet, delayed release (enteric coated) $0.1195/Each

diclofenac sodium 75 mg tablet, delayed release (enteric coated) $0.0985/Each

diclofenac sodium 1 % Gel $0.0660/Gram

diclofenac sodium 3 % Gel $0.3990/Gram

diclofenac sodium xr 100 mg tablet, extended release $0.1755/Each

diclofenac sodium/misoprostol 75 MG-200 tablet, delayed release (enteric coated) $1.5500/Each

diclofenac sodium/misoprostol 50 MG-200 tablet, delayed release (enteric coated) $1.5500/Each

dicloxacillin sodium 250 mg capsule $0.2990/Each

dicloxacillin sodium 500 mg capsule $0.5700/Each

dicyclomine hcl 10 mg capsule $0.0438/Each

dicyclomine hcl 20 mg tablet $0.0567/Each

dicyclomine HCl 10 MG/5 ML solution $0.2015/Milliliter

didanosine 250 mg capsule,delayed release (e.c.) $4.9895/Each

didanosine 400 mg capsule,delayed release (e.c.) $3.1975/Each

didanosine 125 mg capsule,delayed release (e.c.) $1.5960/Each

didanosine 200 mg capsule,delayed release (e.c.) $6.4841/Each

diflorasone diacetate 0.05% Cream $10.4165/Gram

diflorasone diacetate 0.05% Ointment $2.8476/Gram

diflunisal 250 mg tablet $0.0000

diflunisal 500 mg tablet $1.0685/Each

digoxin 50 MCG/ML Elixir $2.0999/Milliliter

digoxin .125 mg tablet $0.1605/Each

digoxin .250 mg tablet $0.2895/Each

dihydroergotamine mesylate 1 MG/ML Solution $85.4555/Milliliter

dihydroergotamine mesylate 0.5MG/SPRY spray, non-aerosol $119.3562/Milliliter

diltiazem hcl 90 mg capsule, extended release $2.3545/Each

diltiazem hcl 120 mg capsule, extended release $3.1045/Each

Page 16 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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diltiazem hcl 60 mg capsule, extended release $1.4000/Each

diltiazem hcl 180 mg capsule, extended release $0.2251/Each

diltiazem hcl 240 mg capsule, extended release $0.2550/Each

diltiazem hcl 300 mg capsule, extended release $0.3150/Each

diltiazem hcl 120 mg capsule, extended release $0.1500/Each

diltiazem hcl 360 mg capsule, extended release $0.5498/Each

diltiazem hcl 180 mg capsule, extended release $0.3510/Each

diltiazem hcl 120 mg capsule, extended release $0.2250/Each

diltiazem hcl 240 mg capsule, extended release $0.3750/Each

diltiazem hcl 300 mg capsule, extended release $0.5685/Each

diltiazem hcl 30 mg tablet $0.1095/Each

diltiazem hcl 60 mg tablet $0.1699/Each

diltiazem hcl 90 mg Caplet $0.2806/Each

diltiazem hcl 120 mg Caplet $0.3000/Each

diltiazem HCl 5 MG/ML Solution $0.2900/Milliliter

diltiazem hcl 360 mg capsule, extended release $1.6550/Each

diltiazem hcl 180 mg capsule, extended release $0.4455/Each

diltiazem hcl 240 mg capsule, extended release $0.4825/Each

diltiazem hcl 120 mg capsule, extended release $0.3435/Each

diltiazem hcl 180 MG tablet, extended release $1.9294/Each

diltiazem hcl 240 MG tablet, extended release $2.3400/Each

diltiazem hcl 300 MG tablet, extended release $2.6707/Each

diltiazem hcl 360 MG tablet, extended release $3.2710/Each

diltiazem hcl 420 MG tablet, extended release $3.5520/Each

diltiazem hcl 420 mg capsule, extended release $0.2265/Each

dimenhydrinate 50 MG tablet $0.0443/Each

dimethyl fumarate 120-240 MG capsule,delayed release (e.c.) $7.5200/Each

dimethyl fumarate 120 MG capsule,delayed release (e.c.) $8.7500/Each

dimethyl fumarate 240 MG capsule,delayed release (e.c.) $3.6250/Each

diphenhydra/phenyleph/acetamin 12.5-5-325 tablet $0.0745/Each

diphenhydramine 25 mg Caplet $0.0240/Each

diphenhydramine 50 mg capsule $0.0235/Each

diphenhydramine HCl 25 MG tablet $0.0300/Each

diphenhydramine HCl 50 MG capsule $0.0220/Each

diphenhydramine hcl 25 MG capsule $0.1397/Each

diphenhydramine HCl 50 MG/30ML liquid $0.0125/Milliliter

diphenhydramine HCl 6.25MG/ML Drops $1.6500/Milliliter

diphenhydramine HCl 50 MG/ML Solution $1.6555/Milliliter

diphenhydramine hcl 50 MG/ML Solution $0.6401/Milliliter

diphenhydramine HCl 25 MG tablet $0.0100/Each

diphenhydramine HCl/zinc acet 2 %-0.1 % Cream $0.0200/Gram

diphenoxylate hcl; atropine sulfate 2.5 mg; 0.025 mg/5 ml Liquid $0.0000

diphenoxylate hcl; atropine sulfate 2.5 mg; 0.025 mg tablet $0.2248/Each

dipyridamole 25 mg tablet $0.2555/Each

dipyridamole 50 mg tablet $0.0834/Each

dipyridamole 75 mg tablet $0.1200/Each

disopyramide 100 mg capsule $0.5520/Each

disopyramide 150 mg capsule $0.0000

disopyramide cr 150 mg capsule, extended release $0.0000

disulfiram 250 mg tablet $1.2379/Each

disulfiram 500 MG tablet $3.4555/Each

divalproex sodium 250 mg tablet, delayed release (enteric coated) $0.0692/Each

divalproex sodium 500 mg tablet, delayed release (enteric coated) $0.0780/Each

divalproex sodium 125 mg tablet, delayed release (enteric coated) $0.0355/Each

divalproex sodium 125 mg Capsule, Delayed Release Sprinkle $0.2970/Each

divalproex sodium 500 mg tablet, extended release $0.2455/Each

divalproex sodium 250 mg tablet, extended release $0.1605/Each

DM/acetaminophen/doxylamine 15MG-325MG capsule $0.1635/Each

DM/PE/acetaminophen/doxylamine 5-325MG/15 liquid $0.0140/Milliliter

d-methorp tan/p-epd tan/d-cp 25 mg; 75 mg; 2.5 mg/5 ml Suspension $0.0000

Page 17 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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d-methorphan hb/pe/chlorphenir 15 mg; 6 mg; 2 mg/5 ml Liquid $0.0000

d-methorphan hb/p-epd hcl/bpm 15 mg; 45 mg; 4 mg/5 ml Syrup $0.0000

d-methorphan hb/p-epd hcl/bpm 4 mg; 15 mg; 1 mg/ml Drops $0.0000

d-methorphan hb/p-epd hcl/bpm 3 mg; 12.5 mg;1 mg/ml Drops $0.0000

d-methorphan hb/p-epd hcl/bpm 30 mg; 60 mg; 4 mg/5 ml Syrup $0.0000

d-methorphan hb/p-epd hcl/bpm 10 mg; 30 mg; 2 mg/5 ml Liquid $0.0000

d-methorphan/PE/acetaminophen 20-10-650 powder $0.5365/Each

d-methorphan/PE/acetaminophen 10-5-325MG tablet $0.0899/Each

d-methorphan/PE/acetaminophen 20-10-500 powder $0.4775/Each

d-methorphan/PE/acetaminophen 5-325MG/15 liquid $0.0140/Milliliter

docetaxel 20MG/ML(1) Solution $26.5000/Milliliter

docetaxel 80 MG/4 ML Solution $21.3500/Milliliter

docetaxel 160 MG/8ML solution $20.5417/Milliliter

docetaxel 80 MG/8 ML Solution $17.6500/Milliliter

docetaxel 20 MG/2 ML Solution $17.7500/Milliliter

docetaxel 160MG/16ML Solution $34.7555/Milliliter

docosanol 10 % cream $6.2035/Gram

docusate calcium 240 mg capsule $0.0600/Each

docusate sodium 100 mg capsule $0.0175/Each

docusate sodium 50 mg capsule $0.2760/Each

docusate sodium 150 mg/15 ml Liquid $0.0109/Milliliter

docusate sodium 60 MG/15ML Liquid $0.0091/Milliliter

docusate sodium 100 MG Caplet $0.0233/Each

docusate sodium 283 mg Enema $2.0647/Each

docusate sodium 283 MG/5ML Enema $0.4402/Milliliter

docusate sodium/casanthranol 100 mg/30 mg capsule $0.0000

docusate sodium/casanthranol 60 mg/30 mg per 15 ml Liquid $0.0000

dofetilide 125 MCG capsule $1.2095/Each Decrease

dofetilide 250 MCG capsule $1.2752/Each Decrease

dofetilide 500 MCG capsule $0.9800/Each Decrease

donepezil hcl 10 mg tablet $0.0367/Each

donepezil hcl 5 mg tablet $0.0367/Each

donepezil hcl 5 mg Tablet,disintegrating $0.1680/Each

donepezil hcl 10 mg Tablet,disintegrating $0.1765/Each

donepezil hcl 23 mg tablet $0.6995/Each

dorzolamide hcl 0.02 Drops $1.2429/Milliliter

doxazosin mesylate 1 mg tablet $0.0390/Each

doxazosin mesylate 2 mg tablet $0.0300/Each

doxazosin mesylate 4 mg tablet $0.1355/Each

doxazosin mesylate 8 mg tablet $0.1175/Each

doxepin hcl 10 mg capsule $0.3145/Each

doxepin hcl 100 mg capsule $0.7065/Each

doxepin hcl 150 mg capsule $0.6425/Each

doxepin hcl 25 mg capsule $0.3490/Each

doxepin hcl 50 mg capsule $0.5055/Each

doxepin hcl 75 mg capsule $0.4153/Each

doxepin hcl 10 MG/ML Concentrate $0.0600/Milliliter

doxepin HCl 3 MG tablet $8.6925/Each

doxepin HCl 6 MG tablet $7.6000/Each

doxercalciferol 4MCG/2ML solution $1.6950/Milliliter

doxercalciferol 0.5 MCG capsule $9.6520/Each

doxercalciferol 1 MCG capsule $17.0100/Each Decrease

doxercalciferol 2.5 MCG capsule $19.1560/Each

doxorubicin HCl 10 MG solution $29.9950/Each

doxorubicin HCl 50 MG solution $299.8550/Each

doxorubicin hcl 2 mg/ ml Solution $1.6797/Milliliter

doxorubicin hcl 10 mg/5 ml Solution $2.2680/Milliliter

doxorubicin hcl 50 mg/25 ml Solution $0.7785/Milliliter

doxorubicin hcl 20 mg/10 ml Solution $1.8475/Milliliter

doxorubicin hcl peg-liposomal 2 MG/ML Suspension $78.7555/Milliliter

Page 18 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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doxycycline hyclate 20 mg tablet $0.1935/Each

doxycycline hyclate 75 MG tablet, delayed release (enteric coated) $6.0555/Each

doxycycline hyclate 100 MG tablet, delayed release (enteric coated) $5.3715/Each

doxycycline hyclate 200 MG tablet, delayed release (enteric coated) $26.4555/Each

doxycycline hyclate 75 MG tablet $19.4555/Each

doxycycline hyclate 150 MG tablet $10.0555/Each

doxycycline hyclate 50 MG tablet, delayed release (enteric coated) $8.0555/Each

doxycycline hyclate 100 mg capsule $0.1050/Each

doxycycline hyclate 50 mg capsule $0.2580/Each

doxycycline hyclate 100 mg tablet $0.0555/Each

doxycycline hyclate 150 MG tablet, delayed release (enteric coated) $8.8255/Each

doxycycline monohydrate 50 mg tablet $0.2505/Each

doxycycline monohydrate 75 MG tablet $0.5550/Each

doxycycline monohydrate 150 mg tablet $5.8035/Each

doxycycline monohydrate 100 mg Caplet $0.2250/Each

doxycycline monohydrate 25 MG/5 ML suspension $0.2700/Milliliter

doxycycline monohydrate 100 mg capsule $0.3275/Each

doxycycline monohydrate 50 mg capsule $0.1215/Each

doxycycline monohydrate 75 MG capsule $8.8800/Each

doxycycline monohydrate 150 mg capsule $10.5710/Each

doxylamine succinate 25 MG tablet $0.1225/Each

doxylamine succinate/vit B6 10 MG-10MG tablet, delayed release (enteric coated) $4.2065/Each

dronabinol 2.5 mg capsule $0.8400/Each

dronabinol 5 mg capsule $2.2585/Each

dronabinol 10 mg capsule $3.0230/Each

drospir/eth estra/levomefol ca 3-0.02(24) tablet $2.1555/Each Decrease

drospir/eth estra/levomefol Ca 3-0.03(21) tablet $2.9400/Each

droxidopa 100 MG capsule $3.7866/Each

droxidopa 200 MG capsule $7.0341/Each

droxidopa 300 MG capsule $11.6514/Each

duloxetine hcl 20 mg capsule,delayed release (e.c.) $0.0952/Each

duloxetine hcl 30 mg capsule,delayed release (e.c.) $0.0780/Each

duloxetine hcl 60 mg capsule,delayed release (e.c.) $0.0900/Each

duloxetine hcl 40 MG capsule,delayed release (e.c.) $2.1000/Each

dutasteride 0.5 MG capsule $0.2345/Each

dutasteride/tamsulosin hcl 0.5-0.4 MG capsule, extended release $2.2755/Each

econazole nitrate 1% Cream $0.1850/Gram

econazole nitrate 1% Cream $0.0000

econazole nitrate 1% Cream $0.0000

econazole nitrate 1% Cream $0.0000

efavirenz 600 MG tablet $6.2800/Each

efavirenz/emtricit/tenofovr df 600-200MG tablet $6.7586/Each Decrease

electrolyte oral solution 540 ml Liquid $0.0000

electrolyte oral solution 1000 ml Liquid $0.0000

eletriptan hydrobromide 20 MG tablet $1.8459/Each

eletriptan hydrobromide 40 MG tablet $2.4845/Each

emtricitabine/tenofovir (TDF) 200-300 MG tablet $0.7569/Each

emtricitabine/tenofovir (TDF) 100-150 MG tablet $30.5250/Each

emtricitabine/tenofovir (TDF) 133-200 MG tablet $30.5250/Each

emtricitabine/tenofovir (TDF) 167-250 MG tablet $30.5250/Each

enalapril maleate 5 mg tablet $0.1705/Each

enalapril maleate 10 mg tablet $0.1745/Each

enalapril maleate 20 mg tablet $0.1965/Each

enalapril maleate 2.5 mg tablet $0.1215/Each

enalapril maleate/hctz 10 mg/25 mg Caplet $0.1890/Each

enalapril maleate/hctz 5 mg/12.5 mg tablet $0.1382/Each

enalaprilat dihydrate 1.25 mg/ml Injectable $3.0240/Milliliter

enoxaparin sodium 30 mg/0.3 ml Solution $9.6015/Milliliter

enoxaparin sodium 150 mg/ml Solution $9.6015/Milliliter

enoxaparin sodium 120 mg/0.8 ml Solution $9.6015/Milliliter

Page 19 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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enoxaparin sodium 60 mg/0.6 ml Solution $8.2500/Milliliter

enoxaparin sodium 80 mg/0.8 ml Solution $9.6015/Milliliter

enoxaparin sodium 100 mg/ml Solution $8.3595/Milliliter

enoxaparin sodium 40 mg/0.4 ml Solution $9.6015/Milliliter

enoxaparin sodium 300MG/3ML Solution $9.6015/Milliliter

entacapone 200 MG tablet $0.3945/Each

entecavir 0.5 MG tablet $0.7575/Each

entecavir 1 mg tablet $1.2210/Each

epinastine hcl 0.05 % Drops $4.3685/Milliliter

epinephrine 1 MG/ML(1) Solution $2.0775/Milliliter

epinephrine 0.1 MG/ML Solution $0.4500/Milliliter

epinephrine 0.15MG/0.3 solution $143.7500/Each

epirubicin hcl 50 mg/25 ml Solution $2.1175/Milliliter

epirubicin hcl 200 mg/0.1 l Solution $1.9688/Milliliter

eplerenone 25 mg tablet $0.6292/Each

eplerenone 50 mg tablet $0.8552/Each

epoprostenol na 0.5 mg Solution $0.0000

epoprostenol na 1.5 mg Solution $0.0000

eptifibatide 75MG/100ML solution $3.5951/Milliliter

eptifibatide 2 MG/ML solution $11.4255/Milliliter

ergocalciferol (vitamin d2) 8000/ML Drops $0.5400/Milliliter

ergocalciferol (vitamin d2) 50000 unit capsule $0.0990/Each

erlotinib HCl 150 MG tablet $14.9500/Each

erlotinib HCl 100 MG tablet $13.0000/Each

erlotinib HCl 25 MG tablet $9.9500/Each

ertapenem sodium 1 G solution $79.8345/Each

erythromycin 0.005 Ointment $1.8501/Gram

erythromycin 2% Solution $0.4189/Milliliter

erythromycin base 250 MG capsule,delayed release (e.c.) $4.3800/Each

erythromycin base 250 mg tablet $9.0744/Each

erythromycin base 500 mg tablet $14.1135/Each

erythromycin base 250 MG tablet, delayed release (enteric coated) $4.7213/Each Decrease

erythromycin base 333 mg Caplet $0.0000

erythromycin base 500 MG tablet, delayed release (enteric coated) $10.0542/Each

erythromycin base/benzoyl peroxide 3%; 5% Gel $1.8995/Gram

erythromycin base/ethanol 2% Gel $0.8552/Gram

erythromycin base/ethanol 2 % pledget $0.8950/Each

erythromycin ethylsuccinate 200 MG/5ML Suspension $0.0000 Delete

erythromycin ethylsuccinate 400 MG/5ML suspension $0.0000 Delete

erythromycin/sulfisoxazole 200 mg/600 mg per 5 ml Suspension $0.0000

escitalopram oxalate 10 MG tablet $0.0445/Each

escitalopram oxalate 20 MG tablet $0.0569/Each

escitalopram oxalate 5 MG tablet $0.0300/Each

escitalopram oxalate 5 MG/5 ML Solution $0.3525/Milliliter

esomeprazole magnesium 20 mg capsule,delayed release (e.c.) $0.2795/Each

esomeprazole magnesium 40 mg capsule,delayed release (e.c.) $0.1500/Each

esomeprazole sodium 40 MG solution $7.5500/Each

estazolam 1 mg tablet $0.5335/Each

estazolam 2 mg tablet $0.5365/Each

esterified estrogens/methyltestosterone (h.s.) 0.625-1.25 mg tablet $0.0000

esterified estrogens/methyltestosterone (h.s.) 1.25-2.5 mg tablet $0.0000

estradiol 1 mg tablet $0.0852/Each

estradiol 2 mg tablet $0.0885/Each

estradiol 0.5 mg tablet $0.0850/Each

estradiol 0.06mg/24h Patch, Transdermal Weekly $10.0005/Each

estradiol .0375mg/24 Patch, Transdermal Weekly $12.1015/Each

estradiol 10 MCG insert $10.1655/Each

estradiol 0.05 mg/24hr Patch, Transdermal Semiweekly $7.1141/Each Decrease

estradiol 0.1 mg/24 hr Patch, Transdermal Semiweekly $6.9075/Each

estradiol .025 mg/24hr Patch, Transdermal Semiweekly $7.4925/Each

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NAME OF GENERIC DRUG STRENGTH FORM

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estradiol .075 mg/24hr Patch, Transdermal Semiweekly $6.8999/Each Decrease

estradiol .1 mg Patch, Transdermal Weekly $12.8748/Each Decrease

estradiol .05 mg Patch, Transdermal Weekly $13.3472/Each

estradiol .0375 mg/24hr Patch, Transdermal Semiweekly $7.3495/Each

estradiol .025 mg Patch, Transdermal Weekly $12.5905/Each

estradiol .075 mg Patch, Transdermal Weekly $12.7545/Each

estradiol 0.01 % Cream $1.5500/Gram

estradiol valerate 20 MG/ML Oil $18.3415/Milliliter

estradiol valerate 40 MG/ML Oil $0.0000

estradiol valerate/dienogest 3-2-1(28) tablet $0.0000

estradiol/norethindrone acetate 0.5-0.1mg tablet $1.2270/Each

estradiol/norethindrone acetate (activella) 1-0.5 mg tablet $1.4820/Each

estropipate 0.75 mg tablet $0.0000

estropipate 1.5 mg tablet $0.0000

estropipate 3 mg tablet $0.0000

eszopiclone 3 mg tablet $0.1445/Each

eszopiclone 2 mg tablet $0.2275/Each

eszopiclone 1 mg tablet $0.1115/Each

ethacrynic acid 25 MG tablet $3.0000/Each

ethambutol hcl 100 MG tablet $0.3075/Each

ethambutol hcl 400 mg tablet $0.5225/Each

ethinyl estradiol/drospirenone 0.02-3(24) tablet $0.4305/Each

ethinyl estradiol/drospirenone (yasmin, ocella) 0.03-3 mg tablet $0.1205/Each Decrease

ethosuximide 250 mg capsule $0.3900/Each

ethosuximide 250 mg/5 ml Solution $0.1150/Milliliter

ethynodiol diacetate/ethinyl estradiol (demulen 1/35, zovia 1/35e) 1 mg/35 mcg tablet $0.3375/Each

ethynodiol diacetate/ethinyl estradiol (demulen 1/50, zovia 1/50e) 1 mg/50 mcg tablet $0.5000/Each

etodolac 200 mg capsule $0.6105/Each

etodolac 300 mg capsule $0.2745/Each

etodolac 400 mg tablet $0.3855/Each

etodolac 600 mg tablet, extended release $1.8445/Each

etodolac 400 mg tablet, extended release $1.6050/Each

etodolac 500 mg tablet $0.4275/Each

etodolac 500 mg tablet, extended release $1.3325/Each

etonogestrel/ethinyl estradiol .12-.015MG Ring, Vaginal $95.1500/Each

etoposide 20 mg/ml Solution $1.4500/Milliliter

etoposide 50 mg capsule $71.5000/Each

eucalyptus oil/menthol/camphor 1.2%-4.8% ointment $0.0185/Gram

everolimus 5 MG tablet $232.4590/Each

everolimus 0.25 MG tablet $7.8850/Each

everolimus 0.5 MG tablet $15.7460/Each

everolimus 0.75 MG tablet $23.6210/Each

everolimus 2.5 MG tablet $226.9726/Each

everolimus 7.5 MG tablet $237.4097/Each

exemestane 25 mg tablet $1.6248/Each Decrease

ezetimibe 10 MG tablet $0.1025/Each

ezetimibe/simvastatin 10 MG-10MG tablet $1.1755/Each

ezetimibe/simvastatin 10 MG-20MG tablet $0.6544/Each

ezetimibe/simvastatin 10 MG-80MG tablet $1.3525/Each

ezetimibe/simvastatin 10 MG-40MG tablet $0.8981/Each

famciclovir 125 mg tablet $0.2532/Each

famciclovir 500 mg tablet $0.7125/Each

famciclovir 250 mg tablet $0.4665/Each

famotidine 40 mg/5 ml Suspension $0.0000

famotidine 10 MG/ML solution $0.4588/Milliliter

famotidine 20 mg tablet $0.0347/Each

famotidine 40 mg tablet $0.0480/Each

famotidine 10 mg tablet $0.0842/Each

famotidine/calcium carbonate/magnesium 10-800-165 Tablet, Chewable $0.2135/Each

famotidine/PF 20 MG/2 ML solution $0.4234/Milliliter

Page 21 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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febuxostat 40 MG tablet $0.8550/Each

febuxostat 80 MG tablet $0.8550/Each

felbamate 600 mg/5 ml Suspension $1.3125/Milliliter

felbamate 400 mg Caplet $1.9535/Each

felbamate 600 mg Caplet $2.2750/Each

felodipine 2.5 mg tablet, extended release $0.1295/Each

felodipine 5 mg tablet, extended release $0.2167/Each

felodipine 10 mg tablet, extended release $0.1215/Each

fenofibrate 160 mg tablet $0.2835/Each

fenofibrate 54 mg tablet $0.0963/Each

fenofibrate 40 MG tablet $8.3050/Each Add

fenofibrate 120 MG tablet $14.0080/Each

fenofibrate nanocrystallized 48 MG tablet $0.1785/Each

fenofibrate nanocrystallized 145MG tablet $0.1516/Each

fenofibrate,micronized 43 mg capsule $0.6480/Each

fenofibrate,micronized 130 mg capsule $0.9850/Each

fenofibrate,micronized 134 mg capsule $0.1845/Each

fenofibrate,micronized 200 mg capsule $0.3540/Each

fenofibrate,micronized 67 mg capsule $0.2125/Each

fenofibric acid (choline) 45 MG capsule,delayed release (e.c.) $0.4325/Each

fenofibric acid (choline) 135 MG capsule,delayed release (e.c.) $0.7895/Each

fenoprofen calcium 600 mg tablet $0.0000

fentanyl 25 mcg Patch, Transdermal 72 Hours $2.2215/Each

fentanyl 50 mcg Patch, Transdermal 72 Hours $3.8550/Each

fentanyl 75 mcg Patch, Transdermal 72 Hours $5.7550/Each

fentanyl 100 mcg Patch, Transdermal 72 Hours $5.7550/Each

fentanyl 12 mcg/hr Patch, Transdermal 72 Hours $6.4930/Each

fentanyl 62.5MCG/HR Patch, Transdermal 72 Hours $48.6500/Each

fentanyl 87.5MCG/HR Patch, Transdermal 72 Hours $66.2500/Each

fentanyl 37.5MCG/HR Patch, Transdermal 72 Hours $39.9425/Each

fentanyl citrate 600 mcg lozenge on a handle $11.8550/Each

fentanyl citrate 800 mcg lozenge on a handle $14.5211/Each

fentanyl citrate 1,200 mcg lozenge on a handle $17.2550/Each

fentanyl citrate 1,600 mcg lozenge on a handle $24.4550/Each

fentanyl citrate 200 mcg lozenge on a handle $17.1116/Each

fentanyl citrate 400 mcg lozenge on a handle $15.7236/Each

fentanyl citrate/PF 50 MCG/ML solution $0.7177/Milliliter

fentanyl citrate/PF 50 MCG/ML solution $0.3610/Milliliter

ferrous fumarate 324(106)MG tablet $0.2972/Each

ferrous fumarate/docusate sodium/folic acid 106-50-1mg tablet $0.2000/Each

ferrous fumarate/folic acid 106 mg; 1 mg tablet $0.0000

ferrous sulfate 220 mg/5 ml Elixir $0.0000

ferrous sulfate 75 mg/0.6 ml; 50 ml Drops $0.0000

ferrous sulfate 325 mg tablet $0.0150/Each

ferrous sulfate 15 MG/ML Drops $0.0530/Milliliter

fexofenadine hcl 30 mg tablet $0.0000

fexofenadine hcl 60 mg tablet $0.3360/Each

fexofenadine hcl 180 mg gelcap $0.2028/Each

fexofenadine hcl/pseudoephedrine hcl 60mg-120mg tablet, extended release $0.6220/Each

finasteride 1 MG tablet $0.0000

finasteride 5 mg tablet $0.0600/Each

flavoxate hcl 100 mg tablet $0.7245/Each

flecainide acetate 100 mg tablet $0.1500/Each

flecainide acetate 50 mg tablet $0.0900/Each

flecainide acetate 150 mg tablet $0.2850/Each

floxuridine 500 MG solution $115.0000/Each

fluconazole 100 mg tablet $0.2891/Each

fluconazole 200 mg tablet $0.6530/Each

fluconazole 50 mg tablet $0.1720/Each

fluconazole 150 mg tablet $0.6585/Each

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NAME OF GENERIC DRUG STRENGTH FORM

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fluconazole 40 mg/ml Suspension $0.3412/Milliliter

fluconazole 10 mg/ml Suspension $0.3095/Milliliter

fluconazole in dextrose,iso-os 200MG/0.1L solution $0.0000

fluconazole in dextrose,iso-os 400MG/0.2L solution $0.0000

fluconazole in saline, iso-osmotic 400 mg/200 ml Solution $0.0580/Milliliter

flucytosine 250 MG capsule $30.7599/Each

flucytosine 500 MG capsule $33.6137/Each

fludarabine phosphate 50 mg/2 ml Solution $125.6101/Milliliter

fludarabine phosphate 50 mg Solution $95.2560/Each

fludrocortisone acetate 0.1 mg tablet $0.3315/Each

flumazenil 0.1 MG/ML Solution $0.8500/Milliliter

flunisolide 0.00025 Spray, Non-Aerosol $0.0000

flunisolide 0.00025 Aerosol, Spray $1.7606/Milliliter

fluocinolone 0.01% Cream $1.1715/Gram

fluocinolone 0.025% Cream $1.3425/Gram

fluocinolone 0.025% Ointment $1.1115/Gram

fluocinolone 0.01%, 60 mL Solution $0.7115/Milliliter

fluocinolone acetonide 0.01 % Oil $0.1995/Milliliter

fluocinolone acetonide oil 0.01 % Drops $1.5450/Milliliter

fluocinolone/shower cap 0.01 % Oil $0.3249/Milliliter

fluocinonide 0.1 % Cream $1.1650/Gram

fluocinonide 0.05% Gel $0.9397/Gram Decrease

fluocinonide 0.05% Cream $0.6995/Gram

fluocinonide 0.05% Ointment $0.3600/Gram

fluocinonide 0.05% Solution $0.5374/Milliliter

fluocinonide/emollient 0.05% Cream $0.7375/Gram

fluoride (sodium) 1.1 % Gel $0.0659/Gram

fluorometholone 0.1% Drops, Suspension $12.6900/Milliliter

fluorouracil 0.05 Cream $1.7917/Gram

fluorouracil 0.05 Solution $4.8115/Milliliter

fluorouracil 50 mg/ml Solution $0.0000

fluorouracil 50 mg/ml; 10 ml Solution $0.2015/Milliliter

fluorouracil 50 mg/ml; 20 ml Solution $0.2325/Milliliter

fluorouracil 50 mg/ml; 50 ml Solution $0.3911/Milliliter

fluorouracil 50 mg/ml; 100 ml Solution $0.1445/Milliliter

fluoxetine hcl 90 mg capsule,delayed release (e.c.) $25.7400/Each

fluoxetine hcl 10 mg capsule $0.0389/Each

fluoxetine hcl 20 mg capsule $0.0263/Each

fluoxetine hcl 40 mg capsule $0.0450/Each

fluoxetine hcl 10 mg tablet $0.0389/Each

fluoxetine hcl 20 mg/5 ml Solution $0.0450/Milliliter

fluoxetine hcl 20 mg tablet $0.0263/Each

fluoxetine hcl 60 MG tablet $1.1250/Each

fluphenazine 1 mg tablet $2.2500/Each

fluphenazine 10 mg tablet $5.9500/Each

fluphenazine 2.5 mg tablet $3.0695/Each

fluphenazine 5 mg tablet $0.1920/Each

fluphenazine decanoate 25 mg/ml Solution $12.2500/Milliliter

flurandrenolide 0.05 % cream $5.4655/Gram

flurandrenolide 0.05 % ointment $7.5655/Gram

flurandrenolide 0.05 % lotion $1.7085/Milliliter

flurazepam hcl 15 mg capsule $0.3442/Each

flurazepam hcl 30 mg capsule $0.4148/Each

flurbiprofen 50 mg tablet $0.0000

flurbiprofen 100 mg tablet $0.3300/Each

flurbiprofen sodium 0.03 % Drops $1.1580/Milliliter

flutamide 125 MG capsule $0.4305/Each

fluticasone propionate 0.05 % Lotion $3.1550/Milliliter

fluticasone propionate 0.05% Cream $0.2295/Gram

fluticasone propionate 0.005% Ointment $0.3015/Gram

Page 23 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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fluticasone propionate 50 mcg Spray, Suspension $0.2375/Gram

fluvastatin sodium 20 MG capsule $2.5550/Each

fluvastatin sodium 40 MG capsule $2.5550/Each

fluvastatin sodium 80 mg tablet, extended release $5.2137/Each

fluvoxamine 25 mg tablet $0.1200/Each

fluvoxamine 50 mg tablet $0.1992/Each

fluvoxamine 100 mg tablet $0.2791/Each

fluvoxamine maleate 100 mg capsule, extended release $3.9925/Each

fluvoxamine maleate 150 mg capsule, extended release $4.4115/Each

folic acid 1 mg tablet $0.0110/Each

folic acid 0.4 MG tablet $0.0110/Each

folic acid/vitamin b comp w-c 1 mg capsule $0.1350/Each

fomepizole 1 G/ML solution $551.9500/Milliliter

fondaparinux sodium 2.5 mg/0.5 Solution $28.9044/Milliliter

fondaparinux sodium 5mg/0.4ml Solution $122.8500/Milliliter

fondaparinux sodium 7.5mg/0.6 Solution $64.0595/Milliliter

fondaparinux sodium 10mg/0.8ml Solution $51.6490/Milliliter

formoterol fumarate 20 MCG/2ML solution $7.8596/Milliliter

fosamprenavir calcium 700 MG tablet $12.6245/Each

fosaprepitant dimeglumine 150 MG solution $144.5255/Each

fosinopril sodium 40 mg tablet $0.2097/Each

fosinopril sodium 10 mg tablet $0.1193/Each

fosinopril sodium 20 mg tablet $0.1237/Each

fosinopril sodium/hctz 20-12.5 mg tablet $0.6521/Each

fosinopril sodium/hctz 10-12.5 mg tablet $0.4275/Each

fosphenytoin sodium 100MG PE/2 Solution $0.8675/Milliliter

fosphenytoin sodium 500 PE/10 Solution $0.6000/Milliliter

frovatriptan succinate 2.5 MG tablet $11.4025/Each

fulvestrant 250 MG/5ML solution $115.8500/Milliliter

furosemide 10 MG/ML Solution $0.5152/Milliliter

furosemide 10 mg/ml Solution $0.0655/Milliliter

furosemide 20 mg tablet $0.0135/Each

furosemide 40 mg tablet $0.0120/Each

furosemide 80 mg tablet $0.0340/Each

gabapentin 100 mg capsule $0.0295/Each

gabapentin 300 mg capsule $0.0473/Each

gabapentin 400 mg capsule $0.0632/Each

gabapentin 250 mg/5 ml Solution $0.1055/Milliliter

gabapentin 250 MG/5ML solution $0.3250/Milliliter Add

gabapentin 300 MG/6ML solution $0.3333/Milliliter

gabapentin 800 mg tablet $0.1298/Each

gabapentin 600 mg tablet $0.0570/Each

galantamine hydrobromide 8 mg capsule, extended release $1.1950/Each

galantamine hydrobromide 16 mg capsule, extended release $0.9568/Each

galantamine hydrobromide 24 mg capsule, extended release $0.9568/Each

galantamine hydrobromide 12 mg tablet $0.5005/Each

galantamine hydrobromide 4 mg tablet $0.4805/Each

galantamine hydrobromide 8 mg tablet $0.4645/Each

gatifloxacin 0.5 % Drops $13.9972/Milliliter Decrease

gemcitabine hcl 2 g Solution $123.8743/Each

gemcitabine HCl 1 G/26.3ML Solution $0.9000/Milliliter

gemcitabine HCl 2 G/52.6ML Solution $1.0550/Milliliter

gemcitabine HCl 200MG/5.26 solution $1.3250/Milliliter

gemcitabine hcl 200 mg Solution $7.5355/Each

gemcitabine hcl 1 g Solution $41.5800/Each

gemfibrozil 600 mg tablet $0.1062/Each

gentamicin sulfate 0.1% Cream $1.6775/Gram

gentamicin sulfate 0.1% Ointment $1.3900/Gram

gentamicin sulfate 0.3 % Ointment $2.8457/Gram

gentamicin sulfate 0.3% Drops $0.5000/Milliliter

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NAME OF GENERIC DRUG STRENGTH FORM

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gentamicin sulfate 0.3%, 15 ml Drops $0.0000

gentamicin sulfate 40 mg/ml Solution $0.4800/Milliliter

glatiramer acetate 40 MG/ML Solution $0.0000

glimepiride 1 mg tablet $0.0150/Each

glimepiride 2 mg tablet $0.0255/Each

glimepiride 4 mg tablet $0.0150/Each

glipizide 5 mg tablet $0.0251/Each

glipizide 10 mg tablet $0.0300/Each

glipizide 10 mg tablet, extended release $0.1850/Each

glipizide 5 mg tablet, extended release $0.1355/Each

glipizide 2.5 mg tablet, extended release $0.1275/Each

glipizide/metformin hcl 2.5-250 mg tablet $0.2490/Each

glipizide/metformin hcl 2.5-500 mg tablet $0.1620/Each

glipizide/metformin hcl 5 mg; 500 mg tablet $0.1575/Each

glyburide 1.25 mg tablet $0.0450/Each

glyburide 2.5 mg tablet $0.0336/Each

glyburide 5 mg tablet $0.0550/Each

glyburide, micronized 1.5 mg tablet $0.0345/Each

glyburide, micronized 3 mg tablet $0.0323/Each

glyburide, micronized 6 mg tablet $0.0660/Each

glyburide/metformin hcl 1.25/250 mg tablet $0.0450/Each

glyburide/metformin hcl 5/500 mg tablet $0.0256/Each

glyburide/metformin hcl 2.5/500 mg tablet $0.0506/Each

glycerin ADULT Suppository $0.4228/Each

glycerin pediatric Suppository $0.0668/Each

glycerin Liquid $0.0334/Milliliter

glycerin 99.5 % liquid $0.0265/Milliliter

glycerin/witch hazel leaf Pads, Medicated $0.0255/Each

glycopyrrolate 0.2 MG/ML Solution $7.0555/Milliliter

glycopyrrolate 1 mg tablet $0.1200/Each

glycopyrrolate 2 mg tablet $0.3651/Each

granisetron hcl 1 mg tablet $1.8900/Each

granisetron hcl 1 mg/ml; MDV Solution $7.1094/Milliliter

granisetron hcl 1 mg/ml; SDV Solution $6.6000/Milliliter

griseofulvin ultramicrosize 125 MG tablet $2.6000/Each

griseofulvin ultramicrosize 250 MG tablet $2.9450/Each

griseofulvin, microsize 500 MG tablet $6.4130/Each

griseofulvin,microsize 125 mg/5 ml Suspension $0.1835/Milliliter

guaifen/dextromethorphan/pe 5-2.5 MG/5 liquid $0.0355/Milliliter

guaifen/dextromethorphan/pe 18-10MG/15 liquid $0.0980/Milliliter

guaifen/dm hb/p-ephedrine 100 mg; 15 mg; 40 mg/5 ml Syrup $0.0000

guaifen/phenyleph/acetaminophn 200-5-325 tablet $0.1800/Each

guaifenesin 100 mg/5 ml Syrup $0.0000

guaifenesin 200 mg Caplet $0.0000

guaifenesin 1200 mg Caplet $0.0000

guaifenesin 600 mg Caplet $0.0000

guaifenesin 100 mg/5 ml Liquid $0.0000

guaifenesin; codeine phosphate 100 mg; 10 mg Liquid $0.0000

guaifenesin; codeine phosphate (sugar-free) 100 mg; 10 mg Liquid $0.0000

guaifenesin; dextromethorphan hbr 100 mg; 10 mg Liquid $0.0000

guaifenesin; dextromethorphan hbr 100 mg; 10 mg Liquid $0.0000

guaifenesin; hydrocodone bitartrate 100 mg; 5 mg Liquid $0.0000

guaifenesin; phenylephrine hcl 600 mg; 40 mg tablet, extended release $0.0000

guaifenesin; pseudoephedrine hcl 100 mg; 30 mg Liquid $0.0000

guaifenesin; pseudoephedrine hcl 600 mg; 120 mg Caplet $0.0000

guaifenesin; pseudoephedrine hcl; codeine 100 mg; 30 mg; 10 mg Liquid $0.0000

guanfacine 1 mg tablet $0.4035/Each

guanfacine 2 mg tablet $0.6755/Each

guanfacine hcl 1 mg tablet, extended release $0.1665/Each

guanfacine hcl 2 mg tablet, extended release $0.2250/Each

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NAME OF GENERIC DRUG STRENGTH FORM

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guanfacine hcl 3 mg tablet, extended release $0.2400/Each

guanfacine hcl 4 mg tablet, extended release $0.1995/Each

halobetasol propionate 0.05% Ointment $1.2050/Gram

halobetasol propionate 0.05% Cream $0.9215/Gram

haloperidol 0.5 mg tablet $0.1975/Each

haloperidol 1 mg tablet $0.3189/Each

haloperidol 10 mg tablet $0.4359/Each

haloperidol 2 mg tablet $0.3792/Each

haloperidol 20 mg tablet $0.9525/Each

haloperidol 5 mg tablet $0.3425/Each

haloperidol decanoate 50 mg/ml Solution $8.5410/Milliliter

haloperidol decanoate 100 mg/ml Solution $31.9800/Milliliter

haloperidol decanoate 100 mg/ml Solution $0.0000

haloperidol lactate 5 MG/ML Solution $0.8275/Milliliter

haloperidol lactate 2 MG/ML Concentrate $0.2500/Milliliter

haloperidol lactate 2 mg/ml; 15 ml Concentrate $0.0000

haloperidol lactate 2 mg/ml; 120 ml Concentrate $0.0000

hc acetate/lidocaine hcl 0.5%; 3% Cream $0.8252/Gram

heparin sodium,porcine 5000/ML Solution $1.0779/Milliliter

heparin sodium,porcine 10000/ML Solution $1.8925/Milliliter

heparin sodium,porcine 1000/ML solution $0.1650/Milliliter

hydralazine HCl 20 MG/ML Solution $3.7500/Milliliter

hydralazine hcl 10 mg tablet $0.0448/Each

hydralazine hcl 100 mg tablet $0.0900/Each

hydralazine hcl 25 mg tablet $0.0300/Each

hydralazine hcl 50 mg tablet $0.0545/Each

hydrochlorothiazide 12.5 MG tablet $0.0375/Each

hydrochlorothiazide 12.5 mg capsule $0.0374/Each

hydrochlorothiazide 25 mg tablet $0.0096/Each

hydrochlorothiazide 50 mg tablet $0.0177/Each

hydrocodone bit/acetaminophen 7.5-325/15 Solution $0.0845/Milliliter

hydrocodone bit/acetaminophen 10MG-300MG tablet $0.5585/Each

hydrocodone bit/homatropine 5-1.5 mg/5 Solution $0.1080/Milliliter

hydrocodone/acetaminophen 5MG-300MG tablet $0.1945/Each

hydrocodone/acetaminophen 7.5-300MG tablet $0.6575/Each

hydrocodone/acetaminophen 7.5-325/15 solution $0.2175/Milliliter

hydrocodone/acetaminophen 2.5-108/5 solution $0.6175/Milliliter

hydrocodone/acetaminophen 5-217MG/10 solution $0.3185/Milliliter

hydrocodone/apap 5 mg; 325 mg tablet $0.0455/Each

hydrocodone/apap 7.5 mg; 325 mg tablet $0.0695/Each

hydrocodone/apap 7.5/500 mg Elixir $0.0000

hydrocodone/apap 10 mg; 325 mg tablet $0.0845/Each

hydrocodone/apap 5 mg; 500 mg tablet $0.0000

hydrocodone/apap 10 mg; 650 mg tablet $0.0000

hydrocodone/apap 7.5 mg; 650 mg tablet $0.0000

hydrocodone/apap 10 mg; 500 mg tablet $0.0000

hydrocodone/apap 7.5 mg; 750 mg tablet $0.0000

hydrocodone/apap 2.5 mg; 500 mg tablet $0.0000

hydrocodone/apap 7.5 mg; 500 mg tablet $0.0000

hydrocodone/apap 10 mg; 660 mg tablet $0.0000

hydrocodone/apap 10 mg; 750 mg tablet $0.0000

hydrocodone/cpm/pseudoephed 5-4-60MG/5 Solution $0.0000

hydrocodone/ibuprofen 5MG-200MG tablet $2.6500/Each

hydrocodone/ibuprofen 7.5 mg; 200 mg tablet $0.2500/Each

hydrocodone/ibuprofen 10MG-200MG tablet $2.0663/Each

hydrocortisone 10 MG tablet $0.1680/Each

hydrocortisone 20 mg tablet $0.3350/Each

hydrocortisone 5 MG tablet $0.1128/Each

hydrocortisone 2.5 % Cream $0.4550/Gram

hydrocortisone 2.5% Cream $0.0000

Page 26 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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hydrocortisone 0.5% Cream $0.0980/Gram

hydrocortisone 1% Cream $0.0395/Gram

hydrocortisone 2.5% Cream $0.1100/Gram

hydrocortisone 0.5% Ointment $0.1100/Gram

hydrocortisone 1% Ointment $0.0765/Gram

hydrocortisone 2.5% Ointment $0.0865/Gram

hydrocortisone 1% Lotion $0.0662/Milliliter

hydrocortisone 2.5% Lotion $0.1450/Milliliter

hydrocortisone 100MG/60ML Enema $0.0743/Milliliter

hydrocortisone acetate 25 mg Suppository $0.0000

hydrocortisone acetate 1 % Cream $0.0000

hydrocortisone butyrate 0.001 Cream $1.4045/Gram

hydrocortisone butyrate 0.1 % Ointment $1.2224/Gram

hydrocortisone butyrate 0.1 % Solution $1.2224/Milliliter

hydrocortisone butyrate 0.1 % lotion $6.4925/Milliliter

hydrocortisone butyrate/emoll 0.1 % Cream $2.9350/Gram

hydrocortisone powder NA Powder $0.0000

hydrocortisone valerate 0.2% Ointment $2.8215/Gram

hydrocortisone valerate 0.2% Cream $0.8875/Gram

hydromorphone hcl 2 mg tablet $0.0806/Each

hydromorphone hcl 4 mg tablet $0.1173/Each

hydromorphone hcl 8 mg tablet $0.2715/Each

hydromorphone hcl 1 MG/ML Liquid $0.2455/Milliliter

hydromorphone hcl 12 MG tablet, extended release $8.8455/Each

hydromorphone HCl 32 MG tablet, extended release $28.3550/Each

hydromorphone hcl 16 MG tablet, extended release $7.7075/Each

hydromorphone hcl 8 MG tablet, extended release $6.4855/Each

hydroquinone 4% 0.04 Cream $0.9755/Gram

hydroquinone 4% 4% Gel $0.0000

hydroquinone 4% w/ sunscreen 0.04 Cream $0.0000

hydroxocobalamin 1000MCG/ML solution $1.0369/Milliliter

hydroxychloroquine sulfate 200 mg tablet $0.2615/Each

hydroxyprogesterone caproat/PF 250 MG/ML oil $285.0000/Milliliter

hydroxyprogesterone caproate 250 MG/ML Oil $236.8500/Milliliter

hydroxyprogesterone caproate 250 MG/ML oil $352.4425/Milliliter

hydroxyurea 500 mg capsule $0.2165/Each

hydroxyzine 10 mg/5 ml Solution $0.0269/Milliliter

hydroxyzine hcl 10 mg tablet $0.0375/Each

hydroxyzine hcl 25 mg tablet $0.0445/Each

hydroxyzine hcl 50 mg tablet $0.0765/Each

hydroxyzine pam 25 mg capsule $0.0695/Each

hydroxyzine pam 50 mg capsule $0.0750/Each

hydroxyzine pamoate 100 MG capsule $0.4315/Each

hyoscyamine sulfate 0.125 mg Tablet,disintegrating $0.0918/Each

hyoscyamine sulfate 0.375 mg capsule, extended release $0.0000

hyoscyamine sulfate 125MCG/5ML Elixir $0.0658/Milliliter

hyoscyamine sulfate 0.125 mg/ml Drops $0.7825/Milliliter

hyoscyamine sulfate 0.375 mg tablet, extended release $0.1666/Each

hyoscyamine sulfate 0.125 mg tablet $0.0992/Each

hyoscyamine sulfate 0.125 mg Tablet, Sublingual $0.1516/Each

ibandronate sodium 150 MG tablet $5.6025/Each

ibandronate sodium 3 mg/3 ml Solution $41.1525/Milliliter

ibuprofen 200 mg capsule $0.0993/Each

ibuprofen 400 mg Caplet $0.0535/Each

ibuprofen 600 mg Caplet $0.0445/Each

ibuprofen 200 mg Caplet $0.0392/Each

ibuprofen 800 mg Caplet $0.0500/Each

ibuprofen 100 MG Tablet, Chewable $0.1318/Each

ibuprofen 100 mg/5 ml Liquid $0.0299/Milliliter

ibuprofen 50 mg/1.25 Drops, Suspension $0.2435/Milliliter

Page 27 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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ibuprofen/diphenhydramine cit 200MG-38MG tablet $0.1195/Each

ibuprofen/oxycodone hcl 400 mg; 5 mg tablet $1.2370/Each

icatibant acetate 30 MG/3 ML solution $1145.7500/Milliliter

icosapent ethyl 1 G capsule $2.4598/Each

idarubicin hcl 1 mg/ml Solution $16.8714/Milliliter

ifosfamide 1 g Solution $26.1820/Each

ifosfamide 3 g Solution $110.2046/Each

ifosfamide 1 G/20 ML solution $3.6500/Milliliter

ifosfamide 3 G/60 ML solution $2.4500/Milliliter

imatinib mesylate 400 MG tablet $3.3930/Each Decrease

imatinib mesylate 100 MG tablet $1.6125/Each

imipenem/cilastatin sodium 250 mg Solution $5.9063/Each

imipenem/cilastatin sodium 500 mg Solution $9.1000/Each

imipramine hcl 10 mg tablet $0.1140/Each

imipramine hcl 25 mg tablet $0.0905/Each

imipramine hcl 50 mg tablet $0.1230/Each

imipramine pamoate 100 mg capsule $3.5805/Each

imipramine pamoate 125 mg capsule $8.2500/Each

imipramine pamoate 150 mg capsule $6.4800/Each

imipramine pamoate 75 mg capsule $3.7765/Each

imiquimod 5 % Cream $0.9363/Each

indapamide 2.5 mg tablet $0.1193/Each

indapamide 1.25 mg tablet $0.1050/Each

indomethacin 25 mg capsule $0.0459/Each

indomethacin 50 mg capsule $0.0542/Each

indomethacin sr 75 mg capsule, extended release $0.4415/Each

iodine/sodium iodide 2 % Tincture $0.0678/Milliliter

ipratropium bromide 0.2 mg/ml Solution $0.0425/Milliliter

ipratropium bromide 0.0006 Spray, Non-Aerosol $1.3708/Milliliter

ipratropium bromide 0.0003 Spray, Non-Aerosol $0.7795/Milliliter

ipratropium/albuterol sulfate 0.5-2.5 mg/3 ml Solution $0.0589/Milliliter

irbesartan 150 MG tablet $0.1223/Each

irbesartan 300 MG tablet $0.1539/Each

irbesartan 75 MG tablet $0.0668/Each

irbesartan/hydrochlorothiazide 150-12.5MG tablet $0.0960/Each

irbesartan/hydrochlorothiazide 300-12.5MG tablet $0.2964/Each

irinotecan hcl 40 mg/2 ml Solution $6.4793/Milliliter

irinotecan hcl 100 mg/5 ml Solution $3.1440/Milliliter

irinotecan hcl 500 mg/25 ml Solution $0.0000

iron polysaccharides complex 150 mg capsule $0.1120/Each

iron,carbonyl/ascorbic acid/cyanocobalamin/folic acid 100-250-1 tablet $0.3155/Each

iron,carbonyl/ascorbic acid/cyanocobalamin/folic acid 100-320-1 capsule, extended release $0.2000/Each

isoniazid 300 mg tablet $0.1215/Each

isoproterenol HCl 0.2 MG/ML solution $44.6875/Milliliter

isosorbide dinitrate 10 mg tablet $0.2615/Each

isosorbide dinitrate 20 mg tablet $0.3435/Each

isosorbide dinitrate 30 mg tablet $0.6270/Each

isosorbide dinitrate 5 mg tablet $0.3300/Each Decrease

isosorbide dinitrate 40 mg tablet, extended release $0.0000

isosorbide dinitrate 5 mg Tablet, Sublingual $0.0000

isosorbide dinitrate 2.5 mg Tablet, Sublingual $0.0000

isosorbide mononitrate 20 mg tablet $0.1560/Each

isosorbide mononitrate 10 mg tablet $0.1920/Each

isosorbide mononitrate 60 mg tablet, extended release $0.1050/Each

isosorbide mononitrate 120 mg tablet, extended release $0.4200/Each

isosorbide mononitrate 30 mg tablet, extended release $0.0675/Each

isotretinoin 30 MG capsule $3.0350/Each

isotretinoin 25 MG capsule $28.9420/Each

isotretinoin 35 MG capsule $28.9420/Each

isotretinoin 10 mg capsule $2.2952/Each

Page 28 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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isotretinoin 20 mg capsule $2.4958/Each

isotretinoin 40 mg capsule $2.7958/Each

isradipine 2.5 MG capsule $0.7675/Each

isradipine 5 MG capsule $1.2625/Each

itraconazole 10 MG/ML solution $1.7850/Milliliter

itraconazole 200 mg capsule $0.9078/Each Decrease

ivermectin 3 MG tablet $3.9125/Each

ketoconazole 2% Shampoo $0.0590/Milliliter

ketoconazole 2% Cream $0.3975/Gram

ketoconazole 2 % Cream $0.0000

ketoconazole 2 % Cream $0.0000

ketoconazole 2 % Cream $0.0000

ketoconazole 200 mg tablet $1.2460/Each

ketoconazole 2 % Foam $3.2959/Gram

ketoprofen 200 mg capsule, extended release $6.1160/Each

ketoprofen 50 mg capsule $0.3840/Each

ketoprofen 75 mg capsule $0.4560/Each

ketorolac tromethamine 0.4% Drops $6.5885/Milliliter

ketorolac tromethamine 30 MG/ML solution $3.8000/Milliliter

ketorolac tromethamine 10 mg tablet $0.7385/Each

ketorolac tromethamine 60 mg/2 ml Solution $1.0365/Milliliter

ketorolac tromethamine 15 MG/ML solution $1.7904/Milliliter

ketorolac tromethamine 30MG/ML(1) Solution $1.0789/Milliliter

ketorolac tromethamine 30 mg/ml Cartridge $0.0000

ketorolac tromethamine 15 mg/ml Cartridge $0.0000

ketorolac tromethamine 0.5% Drops $1.4649/Milliliter

labetalol hcl 300 mg tablet $0.2342/Each

labetalol hcl 200 mg tablet $0.1385/Each

labetalol hcl 100 mg tablet $0.0900/Each

lactase 3000 UNIT tablet $0.1005/Each

lactase 9000 UNIT tablet $0.2400/Each

lactulose 10 gm/15 ml Solution $0.0150/Milliliter

lactulose 10 gm/15 ml Solution $0.0000

lactulose 10 gm/15 ml Solution $0.0120/Milliliter

lactulose 20 G/30 ML solution $0.0288/Milliliter

lactulose 10 G/15 ML solution $0.0675/Milliliter

lamivudine 300 MG tablet $1.0375/Each

lamivudine 150 MG tablet $0.2389/Each

lamivudine 10 MG/ML Solution $0.2645/Milliliter

lamivudine 100 mg tablet $2.3555/Each

lamivudine/zidovudine 150 - 300 mg tablet $0.6985/Each

lamotrigine 50 mg Tablet,disintegrating $3.5805/Each

lamotrigine 25 mg Tablet,disintegrating $4.4155/Each

lamotrigine 100 mg Tablet,disintegrating $5.1325/Each

lamotrigine 200 mg Tablet,disintegrating $6.3132/Each

lamotrigine 25MG (35) tablet $6.4150/Each

lamotrigine 25 MG tablet, extended release $1.3795/Each

lamotrigine 50 MG tablet, extended release $1.5232/Each

lamotrigine 100 MG tablet, extended release $1.3350/Each Decrease

lamotrigine 200 MG tablet, extended release $1.9023/Each Decrease

lamotrigine 300 MG tablet, extended release $2.2250/Each

lamotrigine 250 MG tablet, extended release $4.9995/Each

lamotrigine 100 mg tablet $0.0525/Each

lamotrigine 25 mg tablet $0.0320/Each

lamotrigine 25 mg Tablet, Chewable Dispersible $0.1775/Each

lamotrigine 5 mg Tablet, Chewable Dispersible $0.1525/Each

lamotrigine 150 mg tablet $0.0645/Each

lamotrigine 200 mg tablet $0.0755/Each

lansoprazole 15 mg capsule,delayed release (e.c.) $0.2215/Each

lansoprazole 30 mg capsule,delayed release (e.c.) $0.0655/Each

Page 29 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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lansoprazole 15 mg tablet, delayed release (enteric coated) $5.1445/Each

lansoprazole 30 mg tablet, delayed release (enteric coated) $5.7045/Each

lansoprazole/amoxicillin/clarithromycin 30-500-500 capsule $2.5725/Each

lanthanum carbonate 1000 MG Tablet, Chewable $7.9500/Each

latanoprost 0.00005 Drops $1.8288/Milliliter

leflunomide 10 mg tablet $0.7650/Each

leflunomide 20 mg tablet $1.0175/Each

letrozole 2.5 mg tablet $0.1155/Each

leucovorin calcium 100 MG Solution $1.1735/Each

leucovorin calcium 350 MG Solution $14.9265/Each

leucovorin calcium 50 MG Solution $6.0960/Each

leucovorin calcium 10 MG tablet $5.4972/Each

leucovorin calcium 15 MG tablet $4.9585/Each

leucovorin calcium 25 mg tablet $5.6675/Each

leucovorin calcium 5 mg tablet $0.6000/Each

leucovorin calcium 200 MG Solution $14.7000/Each

leucovorin calcium 500 MG solution $94.8950/Each

leuprolide acetate 1 mg/0.2 ml Kit $148.2500/Each

levalbuterol hcl 0.31MG/3ML Solution $0.3035/Milliliter

levalbuterol HCl 1.25MG/0.5 Solution $3.3595/Each

levalbuterol hcl 0.63MG/3ML Solution $0.2115/Milliliter

levalbuterol hcl 1.25MG/3ML Solution $0.2030/Milliliter

levetiracetam 500 mg tablet, extended release $0.2225/Each

levetiracetam 500 MG/5ML Solution $0.0352/Milliliter

levetiracetam 100 mg/ml Solution $0.0375/Milliliter

levetiracetam 750 mg tablet, extended release $0.4956/Each

levetiracetam 500 mg/5 ml Solution $1.3126/Milliliter

levetiracetam 750 mg tablet $0.1485/Each

levetiracetam 250 mg tablet $0.0775/Each

levetiracetam 500 mg tablet $0.0901/Each

levetiracetam 1000 mg tablet $0.2189/Each

levobunolol hcl 0.50% Drops $0.4717/Milliliter

levobunolol hcl 0.25% Drops $0.0000

levocarnitine 330 mg tablet $0.0000

levocarnitine 200 mg/ml Solution $2.1370/Milliliter

levocarnitine 100 mg/ml Liquid $0.2409/Milliliter

levocetirizine dihydrochloride 5 mg tablet $0.0000

levocetirizine dihydrochloride 2.5 mg/5 ml Solution $0.2375/Milliliter

levofloxacin 250MG/10ML Solution $0.9425/Milliliter

levofloxacin 25 MG/ML solution $0.9510/Milliliter

levofloxacin 250 mg tablet $0.1265/Each

levofloxacin 500 mg tablet $0.1500/Each

levofloxacin 0.005 Drops $6.3035/Milliliter

levofloxacin 750 mg tablet $0.3055/Each

levofloxacin in dextrose 5 % 250MG/50ML solution $0.0559/Milliliter

levofloxacin in dextrose 5 % 500MG/0.1L solution $0.0275/Milliliter

levofloxacin in dextrose 5 % 750MG/.15L solution $0.0230/Milliliter

levoleucovorin calcium 10 MG/ML solution $6.5500/Milliliter

levoleucovorin calcium 50 MG Solution $104.6320/Each

levonorgestrel 1.5 mg tablet $10.3075/Each

levonorgestrel 0.75 mg tablet $0.0000

levonorgestrel/ethinyl estradiol (alesse, levlite, aviane) 0.1 mg/20 mcg tablet $0.1825/Each

levonorgestrel/ethinyl estradiol (alesse, levlite, aviane) 0.1 mg/20 mcg tablet $0.0000

levonorgestrel/ethinyl estradiol (levlen, nordette, levora 0.15/30) 0.15 mg/30 mcg tablet $0.1065/Each

levonorgestrel/ethinyl estradiol (levlen, nordette, levora 0.15/30) 0.15 mg/30 mcg tablet $0.0000

levonorgestrel/ethinyl estradiol (seasonale, jolessa, quasense) 0.15 mg/30 mcg tablet $0.1175/Each Decrease

levonorgestrel/ethinyl estradiol triphasic (tri-levlen, triphasil, trivora-28) 0.05 mg/30 mcg; 0.075 mg/40 mcg; 0.125 mg/30 mcg tablet $0.2000/Each

levonorgestrel/ethinyl estradiol triphasic (tri-levlen, triphasil, trivora-28) 0.05 mg/30 mcg; 0.075 mg/40 mcg; 0.125 mg/30 mcg tablet $0.0000

levonorgestrel-eth estra 90-20mcg tablet $0.7155/Each

levonorgestrel-eth estra/ethinyl estradiol 100-20(84) tablet $0.3699/Each

Page 30 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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levonorgestrel-eth estra/ethinyl estradiol 150-30 (84) tablet $0.3564/Each

levorphanol tartrate 2 MG tablet $44.2500/Each

levothyroxine 112 mcg tablet $0.2515/Each

levothyroxine 25 mcg tablet $0.1765/Each

levothyroxine 50 mcg tablet $0.2099/Each

levothyroxine 100 mcg tablet $0.2250/Each

levothyroxine 75 mcg tablet $0.2505/Each

levothyroxine 200 mcg tablet $0.2800/Each

levothyroxine 125 mcg tablet $0.2425/Each

levothyroxine 150 mcg tablet $0.1515/Each

levothyroxine 175 mcg tablet $0.3335/Each

levothyroxine 300 mcg tablet $0.2500/Each

levothyroxine 88 mcg tablet $0.2759/Each

levothyroxine 137 mcg tablet $0.2315/Each

levothyroxine sodium 100 MCG Solution $99.1940/Each

lidocaine 2% Gel $0.3008/Milliliter

lidocaine 5 % Ointment $0.2955/Gram

lidocaine 5 % Adhesive Patch, Medicated $2.2595/Each

lidocaine 5 % Cream $0.4265/Gram

lidocaine HCl 0.02 Gel $0.4700/Milliliter

lidocaine hcl 10 MG/ML Solution $0.0412/Milliliter

lidocaine hcl 2% Solution $0.0409/Milliliter

lidocaine HCl 40 MG/ML Solution $0.4800/Milliliter

lidocaine hcl 3 % Cream $0.6785/Gram

lidocaine HCl/PF 10 MG/ML solution $0.0820/Milliliter

lidocaine/aloe vera 0.5 % Aerosol, Spray $0.0244/Gram

lidocaine/prilocaine 2.5-2.5% Cream $0.2055/Gram

lindane 1% Lotion $0.0000

lindane 1% Shampoo $0.0000

linezolid 600 mg tablet $2.0550/Each

linezolid 100 MG/5ML Suspension $2.7050/Milliliter

linezolid 600MG/300 Solution $0.1350/Milliliter

liothyronine sodium 25 mcg tablet $0.5125/Each

liothyronine sodium 5 mcg tablet $0.4000/Each

liothyronine sodium 50 mcg tablet $0.8325/Each

lisinopril 5 mg tablet $0.0155/Each

lisinopril 10 mg tablet $0.0180/Each

lisinopril 20 mg tablet $0.0220/Each

lisinopril 40 mg tablet $0.0435/Each

lisinopril 2.5 mg tablet $0.0141/Each

lisinopril 30 mg tablet $0.0450/Each

lisinopril/hctz 20 mg/12.5 mg tablet $0.0330/Each

lisinopril/hctz 20 mg/25 mg tablet $0.0389/Each

lisinopril/hctz 10 mg/12.5 mg tablet $0.0296/Each

lithium carbonate 300 mg capsule $0.0360/Each

lithium carbonate 150 mg capsule $0.0552/Each

lithium carbonate 600 MG capsule $0.1080/Each

lithium carbonate 300 mg tablet $0.1666/Each

lithium carbonate 450 mg tablet, extended release $0.1955/Each

lithium carbonate 300 mg tablet, extended release $0.1355/Each

lithium citrate 8 mEq/5 ml Solution $0.2273/Milliliter

loperamide hcl 2 mg capsule $0.1185/Each

loperamide hcl 2 mg Caplet $0.1030/Each

loperamide hcl 1 mg/5 ml Liquid $0.0362/Milliliter

loperamide HCl 1MG/7.5ML liquid $0.0248/Milliliter

lopinavir/ritonavir 400-100/5 Solution $2.5300/Milliliter

loratadine 10 mg Tablet,disintegrating $0.0000

loratadine 5 mg/5 ml Solution $0.0000

loratadine 10 mg tablet $0.0000

loratadine 5 MG tablet,chewable $0.4053/Each

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NAME OF GENERIC DRUG STRENGTH FORM

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lorazepam 2 mg/ml Solution $0.6575/Milliliter

lorazepam 2 mg/ml Solution $0.0000

lorazepam 0.5 mg tablet $0.0240/Each

lorazepam 1 mg tablet $0.0274/Each

lorazepam 2 mg tablet $0.0450/Each

lorazepam 2 mg/ml Concentrate $0.4808/Milliliter

losartan potassium 25 mg tablet $0.0385/Each

losartan potassium 50 mg tablet $0.0355/Each

losartan potassium 100 mg tablet $0.0462/Each

losartan potassium/hydrochlorothiazide 50-12.5 mg tablet $0.0750/Each

losartan potassium/hydrochlorothiazide 100 mg-25 mg tablet $0.0775/Each

losartan potassium/hydrochlorothiazide 100-12.5 mg tablet $0.1048/Each

loteprednol etabonate 0.5 % Drops, Gel $0.0000

loteprednol etabonate 0.5 % drops, suspension $0.0000

lovastatin 20 mg tablet $0.0400/Each

lovastatin 40 mg tablet $0.0420/Each

lovastatin 10 mg tablet $0.0325/Each

loxapine succinate 10 mg capsule $0.4100/Each

loxapine succinate 25 mg capsule $0.6476/Each

loxapine succinate 5 mg capsule $0.2465/Each

loxapine succinate 50 mg capsule $0.8115/Each

lysine 500 MG tablet $0.0225/Each

mag carb/aluminum hydrox/algin 358-95/15 liquid $0.0127/Milliliter

mag hydrox/aluminum hyd/simeth 400-400-40 liquid $0.0080/Milliliter

mag hydrox/aluminum hyd/simeth 200-200-25 tablet,chewable $0.0247/Each

magnesium carb/aluminum hydrox 105-160MG tablet,chewable $0.0300/Each

magnesium citrate solution $0.0050/Milliliter

magnesium hydroxide/aluminum hydroxide/simethicone 200-200-20 Gel $0.0074/Milliliter

magnesium oxide 400 mg Caplet $0.0185/Each

magnesium oxide 200 MG tablet $0.0000

magnesium sulfate 495 MG/5 G Granules $0.0170/Gram

malathion 0.005 Lotion $3.5915/Milliliter

maprotiline hcl 25 mg tablet $0.0000

maprotiline hcl 50 mg tablet $0.0000

maprotiline hcl 75 mg tablet $0.0000

meclizine hcl 12.5 mg Caplet $0.0720/Each

meclizine hcl 25 mg tablet $0.1275/Each

meclizine HCl 25 MG tablet,chewable $0.0175/Each

meclofenamate sodium 100 mg capsule $0.0000

meclofenamate sodium 50 mg capsule $0.0000

medroxyprogesterone acet 150 mg/ml Suspension $24.3230/Milliliter

medroxyprogesterone acet 150 mg/ml Suspension $35.6800/Milliliter

medroxyprogesterone acetate 10 mg tablet $0.1680/Each

medroxyprogesterone acetate 2.5 mg tablet $0.1360/Each

medroxyprogesterone acetate 5 mg tablet $0.1560/Each

mefenamic acid 250 mg capsule $1.7265/Each Decrease

mefloquine hcl 250 MG tablet $3.3525/Each

megestrol acetate 625mg/5ml Suspension $1.6350/Milliliter

megestrol acetate 400MG/10ML suspension $0.3760/Milliliter

megestrol acetate 20 mg tablet $0.1250/Each

megestrol acetate 40 mg tablet $0.2076/Each

megestrol acetate 40 mg/ml Suspension $0.0981/Milliliter

meloxicam 7.5 mg tablet $0.0195/Each

meloxicam 15 mg tablet $0.0195/Each

meloxicam, submicronized 5 MG capsule $24.5900/Each

meloxicam, submicronized 10 MG capsule $24.5900/Each

melphalan HCl 50 MG solution $260.0000/Each

memantine hcl 10 mg tablet $0.0895/Each

memantine hcl 5 mg tablet $0.1265/Each

memantine HCl 2 MG/ML Solution $1.2000/Milliliter

Page 32 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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memantine HCl 7 MG Capsule Sprinkle, Extended Release $1.9975/Each

memantine HCl 14 MG Capsule Sprinkle, Extended Release $1.3125/Each

memantine HCl 21 MG Capsule Sprinkle, Extended Release $1.5556/Each Decrease

memantine HCl 28 MG Capsule Sprinkle, Extended Release $1.3125/Each

menthol 5.8 MG lozenge $0.0295/Each

menthol 5.4 MG lozenge $0.0247/Each

menthol 2 % gel $0.0290/Gram

meperidine hcl 100 mg tablet $1.0250/Each

meperidine hcl 50 mg tablet $0.5175/Each

meprobamate 200 mg tablet $0.0000

meprobamate 400 mg tablet $2.9699/Each

mercaptopurine 50 mg tablet $0.7189/Each

meropenem 500 mg Solution $6.1688/Each

meropenem 1 G Solution $10.9200/Each

mesalamine 0.375G capsule, extended release $2.3460/Each

mesalamine 800 MG tablet, delayed release (enteric coated) $4.9645/Each

mesalamine 400 MG capsule (with delayed release tablets) $1.8365/Each

mesalamine 4g/60ml Enema $0.1317/Milliliter

mesalamine 1000 MG Suppository $4.5405/Each

mesalamine w/cleansing wipes 4 G/60 ML Enema $130.5365/Each

mesna 100 MG/ML Solution $1.1000/Milliliter

metaxalone 800 mg tablet $0.5055/Each

metformin 500 mg tablet $0.0188/Each

metformin 850 mg tablet $0.0404/Each

metformin 1000 mg tablet $0.0237/Each

metformin hcl 750 mg tablet, extended release $0.0675/Each

metformin hcl 1000 MG tablet, extended release $1.1430/Each

metformin hcl 500 MG tablet, extended release $1.1290/Each Decrease

metformin hcl 500 mg tablet, extended release $0.0285/Each

metformin hcl 500 MG tablet, extended release $4.3695/Each

metformin hcl 1000 MG tablet, extended release $7.1185/Each

meth/meblue/sod phos/psal/hyos 81-0.12MG tablet $6.1822/Each

methadone HCl 5 MG/5 ML solution $0.2412/Milliliter

methadone HCl 10 MG/5 ML solution $0.4825/Milliliter

methadone hcl 10 mg/ml Concentrate $0.0494/Milliliter

methadone hcl 10 mg tablet $0.1324/Each

methadone hcl 5 mg tablet $0.1275/Each

methadone hcl 40 mg tablet $0.3125/Each

methamphetamine hydrochloride 5 mg tablet $3.5985/Each

methazolamide 50 MG tablet $3.5890/Each

methazolamide 25 MG tablet $3.1095/Each

methenam/sod phos/mblue/hyoscy 81.6-.12MG tablet $3.3625/Each

methenamine hippurate 1 g tablet $0.9000/Each

methenamine mandelate 1 G tablet $1.2805/Each

methenamine mandelate 500 MG tablet $0.6300/Each

methimazole 10 mg tablet $0.0750/Each

methimazole 5 mg tablet $0.0555/Each

methocarbamol 100 MG/ML solution $2.2087/Milliliter

methocarbamol 500 mg tablet $0.0575/Each

methocarbamol 750 mg tablet $0.0755/Each

methotrexate 2.5 mg tablet $0.5325/Each

methotrexate sodium 25 mg/ml Solution $1.8840/Milliliter

methotrexate sodium/pf 25 mg/ml Solution $1.4160/Milliliter

methotrexate sodium/PF 1 G solution $62.4950/Each

methoxsalen 10 MG capsule $46.3555/Each

methscopolamine bromide 2.5 MG tablet $0.3595/Each

methscopolamine bromide 5 mg tablet $1.5055/Each

methyl salicylate/menthol 15%-10% Cream $0.0245/Gram

methylcellulose 500 MG tablet $0.0545/Each

methyldopa 250 mg tablet $0.0615/Each

Page 33 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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methyldopa 500 mg tablet $0.1005/Each

methylergonovine maleate .2MG/ML(1) solution $13.2800/Milliliter

methylergonovine maleate 0.2 MG tablet $29.4645/Each

methylphenidate hcl 54 MG tablet, extended release $0.0000

methylphenidate hcl 18 MG tablet, extended release $0.0000

methylphenidate hcl 36 MG tablet, extended release $0.0000

methylphenidate hcl 10 mg tablet $0.1325/Each

methylphenidate hcl 5 mg tablet $0.1215/Each

methylphenidate hcl 20 mg tablet $0.2695/Each

methylphenidate hcl 20 mg tablet, extended release $0.7385/Each

methylphenidate hcl 27 mg tablet, extended release $0.0000

methylphenidate hcl 10 MG capsule, extended release $1.5174/Each Decrease

methylphenidate hcl 20 MG capsule, extended release $1.2950/Each

methylphenidate hcl 30 MG capsule, extended release $1.8500/Each

methylphenidate hcl 20 MG capsule, extended release $1.4335/Each Decrease

methylphenidate hcl 30 MG capsule, extended release $1.4860/Each Decrease

methylphenidate hcl 40 MG capsule, extended release $1.1887/Each Decrease

methylphenidate HCl 10 MG capsule, extended release $2.8425/Each

methylphenidate hcl 2.5 MG Tablet, Chewable $1.8500/Each

methylphenidate hcl 5 MG Tablet, Chewable $2.7000/Each

methylphenidate hcl 10 MG Tablet, Chewable $3.1500/Each

methylphenidate hcl 5 MG/5 ML Solution $0.1035/Milliliter

methylphenidate hcl 10 MG/5 ML Solution $0.1470/Milliliter

methylphenidate hcl 40 MG capsule, extended release $2.4264/Each Decrease

methylphenidate hcl 50 MG capsule, extended release $3.3245/Each

methylphenidate hcl 60 MG capsule, extended release $2.4179/Each Decrease

methylphenidate HCl 60 MG capsule, extended release $7.4245/Each

methylphenidate HCl 72 MG tablet, extended release $7.5000/Each

methylphenidate hcl 10 MG tablet, extended release $0.6479/Each Decrease

methylphenidate HCl 10 MG Capsule Sprinkle, Extended Release $6.0450/Each

methylphenidate HCl 15 MG Capsule Sprinkle, Extended Release $6.0450/Each

methylphenidate HCl 20 MG Capsule Sprinkle, Extended Release $6.0450/Each

methylphenidate HCl 30 MG Capsule Sprinkle, Extended Release $6.0450/Each

methylphenidate HCl 40 MG Capsule Sprinkle, Extended Release $6.0450/Each

methylphenidate HCl 50 MG Capsule Sprinkle, Extended Release $6.0450/Each

methylphenidate HCl 60 MG Capsule Sprinkle, Extended Release $6.0450/Each

methylprednisolone 16 MG tablet $2.0550/Each

methylprednisolone 32 MG tablet $2.9875/Each

methylprednisolone 4 mg tablet $0.2175/Each

methylprednisolone 8 MG tablet $1.2150/Each

methylprednisolone acetate 40 MG/ML suspension $5.7000/Milliliter

methylprednisolone acetate 80 MG/ML Suspension $6.8400/Milliliter

methylprednisolone dosepak 4 mg tablet $0.1650/Each

methylprednisolone sod succ 1000 MG Solution $24.1000/Each

methylprednisolone sod succ 125 MG solution $9.1500/Each

methylprednisolone sod succ 40 MG Solution $3.9500/Each

methyltestosterone 10 MG capsule $68.7350/Each

metipranolol 0.3 % Drops $0.0000

metoclopramide hcl 5 mg/5 ml Solution $0.0150/Milliliter

metoclopramide hcl 10 mg Caplet $0.0240/Each

metoclopramide hcl 5 mg tablet $0.0274/Each

metolazone 10 mg tablet $0.9024/Each

metolazone 2.5 mg tablet $1.0285/Each

metolazone 5 mg tablet $0.6475/Each

metoprolol succinate 25 mg tablet, extended release $0.1245/Each

metoprolol succinate 50 mg tablet, extended release $0.1100/Each

metoprolol succinate 100 mg tablet, extended release $0.1835/Each

metoprolol succinate 200 mg tablet, extended release $0.3775/Each

metoprolol tartrate 25 mg tablet $0.0168/Each

metoprolol tartrate 100 mg tablet $0.0300/Each

Page 34 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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metoprolol tartrate 50 mg tablet $0.0240/Each

metoprolol tartrate 37.5 MG tablet $0.0655/Each

metoprolol tartrate 75 MG tablet $0.2025/Each

metoprolol/hydrochlorothiazide 50 MG-25MG tablet $0.7679/Each

metoprolol/hydrochlorothiazide 100MG-25MG tablet $1.2132/Each

metoprolol/hydrochlorothiazide 100MG-50MG tablet $1.4500/Each

metronidazole 1 % Gel $1.6975/Gram

metronidazole 1 % Gel $1.0905/Gram

metronidazole 750 mg tablet, extended release $0.0000

metronidazole 250 mg tablet $0.1935/Each

metronidazole 500 mg tablet $0.1229/Each

metronidazole 375 mg capsule $3.1080/Each

metronidazole 0.75 % Lotion $2.1215/Milliliter

metronidazole 0.0075 Gel $0.5170/Gram

metronidazole 0.0075 Cream $0.8723/Gram

metronidazole 0.75% Gel $0.5865/Gram

mexiletine hcl 150 mg capsule $0.0000

mexiletine hcl 200 mg capsule $0.7470/Each

mexiletine hcl 250 mg capsule $0.0000

micafungin sodium 50 MG solution $91.6300/Each

micafungin sodium 100 MG solution $183.2600/Each

miconazole nitrate 2 % Cream $0.1050/Gram

miconazole nitrate 100 MG Suppository $0.7396/Each

miconazole nitrate 200 MG suppository $11.2415/Each

miconazole nitrate 2 % Cream $0.1200/Gram

midazolam HCl 5 MG/5 ML solution $0.3088/Milliliter

midazolam HCl 10 MG/2 ML solution $1.7225/Milliliter

midazolam HCl 5 MG/ML(1) solution $1.7533/Milliliter

midazolam HCl 5 MG/ML Solution $0.2500/Milliliter

midazolam HCl 2 MG/ML Syrup $0.6205/Milliliter

midodrine hcl 10 mg tablet $0.4030/Each

midodrine hcl 5 mg tablet $0.2820/Each

midodrine hcl 2.5 mg tablet $0.3275/Each

miglitol 25 MG tablet $2.0400/Each

miglitol 50 MG tablet $2.2502/Each

miglitol 100 MG tablet $2.6553/Each

miglustat 100 MG capsule $260.8700/Each

milrinone lactate 1 mg/ml Solution $0.2955/Milliliter

milrinone lactate/d5w 20MG/100ML Solution $0.1596/Milliliter

milrinone lactate/d5w 40MG/200ML Solution $0.1675/Milliliter

mineral oil Oil $0.0120/Milliliter

mineral oil Enema $0.0175/Milliliter

mineral oil/petrolatum,hydrophilic Ointment $0.0263/Gram

mineral oil/petrolatum,white 15 %-83 % Ointment $0.6855/Gram

minocycline HCl 75 MG tablet $1.8500/Each

minocycline hcl 45 MG tablet, extended release $3.0280/Each

minocycline hcl 90 MG tablet, extended release $5.9832/Each

minocycline hcl 135MG tablet, extended release $3.0280/Each

minocycline HCl 65 MG tablet, extended release $6.6445/Each

minocycline HCl 115MG tablet, extended release $6.6455/Each

minocycline HCl 55 MG tablet, extended release $20.4805/Each

minocycline HCl 80 MG tablet, extended release $3.4255/Each

minocycline HCl 105 MG tablet, extended release $4.8335/Each

minocycline hcl 100 mg capsule $0.3300/Each

minocycline hcl 50 mg capsule $0.1919/Each

minocycline hcl 100 mg tablet $1.8725/Each

minocycline hcl 50 MG tablet $0.9599/Each

minocycline hcl 75 mg capsule $0.4200/Each

minoxidil 10 mg tablet $0.1600/Each

minoxidil 2.5 mg tablet $0.0955/Each

Page 35 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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mirtazapine 15 mg tablet $0.0795/Each

mirtazapine 30 mg tablet $0.1040/Each

mirtazapine 45 mg tablet $0.1146/Each

mirtazapine 7.5 mg tablet $0.7445/Each

mirtazapine soltab 15 mg Tablet,disintegrating $0.5645/Each

mirtazapine soltab 30 mg Tablet,disintegrating $0.6535/Each

mirtazapine soltab 45 mg Tablet,disintegrating $0.7325/Each

misoprostol 200 mcg tablet $0.7078/Each

misoprostol 100 mcg tablet $0.4188/Each

mitomycin 20 mg Solution $139.2800/Each

mitomycin 5 mg Solution $102.5000/Each

mitomycin 40 MG Solution $262.5120/Each

mitoxantrone hcl 2 mg/ml Concentrate $23.3718/Milliliter

modafinil 100 mg tablet $0.4365/Each

modafinil 200 mg tablet $0.4025/Each

moexipril hcl 7.5 mg tablet $0.8630/Each

moexipril hcl 15 mg tablet $0.7186/Each

moexipril hcl/hctz 15-12.5 mg tablet $0.0000

moexipril hcl/hctz 15-25 mg tablet $0.0000

moexipril hcl/hctz 7.5-12.5 mg tablet $0.0000

mometasone furoate 0.1 % Lotion $0.2620/Milliliter

mometasone furoate 0.1% Cream $0.3050/Gram

mometasone furoate 0.1% Ointment $0.2025/Gram

mometasone furoate 50 MCG Spray, Non-Aerosol $1.8075/Gram

montelukast sodium 4 MG Granules $0.8740/Each

montelukast sodium 4 mg Tablet, Chewable $0.0675/Each

montelukast sodium 5 mg Tablet, Chewable $0.0825/Each

montelukast sodium 10 mg tablet $0.0565/Each

morphine sulfate 10 MG/5 ML Solution $0.0690/Milliliter

morphine sulfate 20 MG/5 ML solution $0.1005/Milliliter

morphine sulfate 20 mg/ml Solution $0.2365/Milliliter

morphine sulfate 15 mg tablet $0.1980/Each

morphine sulfate 30 mg tablet $0.3275/Each

morphine sulfate 200 mg tablet, extended release $2.1439/Each

morphine sulfate 30 mg tablet, extended release $0.2425/Each

morphine sulfate 60 mg tablet, extended release $0.5683/Each

morphine sulfate 100 mg tablet, extended release $1.0060/Each

morphine sulfate 15 mg tablet, extended release $0.2000/Each

morphine sulfate 120 MG capsule, extended release $18.8204/Each

morphine sulfate 10 MG capsule, extended release $2.2455/Each

morphine sulfate 20 MG capsule, extended release $2.5665/Each

morphine sulfate 50 MG capsule, extended release $3.4345/Each

morphine sulfate 100 MG capsule, extended release $10.2955/Each

morphine sulfate 80 MG capsule, extended release $10.6495/Each

morphine sulfate 30 MG capsule, extended release $1.8550/Each

morphine sulfate 60 MG capsule, extended release $4.4635/Each

moxifloxacin HCl 0.5 % drops $5.5545/Milliliter

moxifloxacin hcl 400 MG tablet $1.5475/Each

multivit/iron sulf/folic acid 15MG-0.4MG tablet $0.0184/Each

multivitamin gummie $0.0240/Each

multivitamin Caplet $0.0272/Each

multivitamin with folic acid 400 MCG tablet $0.0367/Each

multivitamin with minerals Caplet $0.0568/Each

multivitamin w-minerals/lutein Caplet $0.0665/Each

multivitamins with iron Tablet, Chewable $0.0342/Each

multivit-mins no.63/iron/folic 27 MG-1 MG tablet $0.0000

multivit-mins60/iron fum/folic 27 MG-1 MG tablet $0.1500/Each

mupirocin 2% Ointment $0.1720/Gram

mupirocin calcium 2 % Cream $6.6134/Gram Decrease

mycophenolate mofetil 250 mg capsule $0.1455/Each

Page 36 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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mycophenolate mofetil 500 mg tablet $0.1855/Each

mycophenolate mofetil 200 MG/ML Suspension $4.3750/Milliliter

mycophenolate sodium 180 MG tablet, delayed release (enteric coated) $0.6000/Each

mycophenolate sodium 360 MG tablet, delayed release (enteric coated) $1.5940/Each

nabumetone 500 mg tablet $0.1358/Each

nabumetone 750 mg tablet $0.1800/Each

nadolol 120 mg tablet $0.0000

nadolol 160 mg tablet $0.0000

nadolol 40 mg tablet $0.4750/Each

nadolol 80 mg tablet $0.4960/Each

nadolol 20 mg tablet $0.4620/Each

nafcillin sodium 1 G Solution $8.0555/Each

nafcillin sodium 10 G Solution $49.2555/Each

nafcillin sodium 2 G Solution $8.5555/Each

naftifine hcl 2 % Cream $4.4860/Gram

naloxone HCl 1 MG/ML solution $16.2938/Milliliter

naloxone HCl 0.4 MG/ML Solution $5.8000/Milliliter

naltrexone hcl 50 mg tablet $0.5965/Each

naphazoline HCl/glycerin 0.012-0.2% drops $0.1275/Milliliter

naproxen 250 mg tablet $0.0488/Each

naproxen 375 mg tablet $0.0604/Each

naproxen 500 mg tablet $0.0610/Each

naproxen 125 MG/5ML suspension $1.7425/Milliliter

naproxen ec 375 mg tablet, delayed release (enteric coated) $0.1335/Each

naproxen ec 500 mg tablet, delayed release (enteric coated) $0.1913/Each

naproxen sodium 220 MG capsule $0.1375/Each

naproxen sodium 500 mg tablet, extended release $0.0000

naproxen sodium 275 mg tablet $0.2865/Each

naproxen sodium 550 mg tablet $0.3975/Each

naproxen sodium 220 mg Caplet $0.0600/Each

naproxen sodium 375 MG tablet, extended release $7.5550/Each

naproxen sodium/pseudoephedrin 220-120MG tablet, extended release $0.2515/Each

naratriptan hcl 2.5 MG tablet $1.2250/Each

naratriptan hcl 1 MG tablet $1.0200/Each

nateglinide 60 mg tablet $0.2035/Each

nateglinide 120 mg tablet $0.4685/Each

nefazodone hcl 50 mg tablet $0.0000

nefazodone hcl 100 mg tablet $0.0000

nefazodone hcl 150 mg tablet $0.0000

nefazodone hcl 200 mg tablet $0.0000

nefazodone hcl 250 mg tablet $0.0000

neomy sulf/polymyx b sulf/hc 3.5-10,000-10 Drops, Suspension $0.0000

neomycin sulf/bacitracin/poly 3.5MG-400 ointment $7.1205/Gram

neomycin sulf/polymyxin B sulf 40-200K/ML solution $8.1250/Milliliter

neomycin sulfate 500 MG tablet $0.6300/Each

neomycin sulfate/polymyxin b sulfate/gramicidin d 1.75 mg-10k Drops $3.7550/Milliliter

neomycin/bacit/p-myx/hydrocort 3.5-10K-1 ointment $3.3750/Gram

neomycin/polymyxin b/dexamethasone 0.1% Ointment $3.2025/Gram

neomycin/polymyxin b/dexamethasone 3.5 mg/10,000 units/0.1% per ml Drops, Suspension $2.6695/Milliliter

neomycin/polymyxin b/dexamethasone 3.5 mg/10,000 units/0.1% per gm Ointment $0.0000

neomycin/polymyxin b/hc 0.01 Solution $2.4585/Milliliter

neomycin/polymyxin b/hc 3.5 mg/10,000 units/10 mg per ml Drops, Suspension $5.1593/Milliliter

neomycn/bacitrc/polymyx/pramox 3.5-10K-10 ointment $0.1325/Gram

nevirapine 400 mg tablet, extended release $1.6965/Each

nevirapine 100 MG tablet, extended release $5.2655/Each

nevirapine 200 mg tablet $0.1025/Each

niacin 500 mg tablet, extended release $0.4748/Each

niacin 750 mg tablet, extended release $0.3600/Each

niacin 1000 mg tablet, extended release $0.4920/Each

niacin 500 MG capsule, extended release $0.0615/Each

Page 37 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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niacin 250 mg capsule, extended release $0.0000

niacin 500 MG tablet $0.0190/Each

niacin 500 mg Caplet $0.0000

niacin 750 MG tablet, extended release $0.0885/Each

nicardipine hcl 20 mg capsule $1.5335/Each

nicardipine hcl 30 mg capsule $2.3125/Each

nicotine 7 mg/24 hr Patch, Transdermal 24 Hours $1.4800/Each

nicotine 14 mg/24 hr Patch, Transdermal 24 Hours $1.4800/Each

nicotine 21 mg/24 hr Patch, Transdermal 24 Hours $1.4800/Each

nicotine 11MG/24HR Patch, Transdermal 24 Hours $0.0000

nicotine 22 MG/24HR Patch, Transdermal 24 Hours $0.0000

nicotine 15MG/16HR Patch, Transdermal 24 Hours $0.0000

nicotine 21-14-7MG Patch, Transdermal Daily, Sequential $0.8828/Each

nicotine polacrilex 2 MG Gum $0.2033/Each

nicotine polacrilex 4 MG Gum $0.2598/Each

nicotine polacrilex 4 MG lozenge $0.3875/Each

nicotine polacrilex 2 MG lozenge $0.3745/Each

nicotine polacrilex 4 MG lozenge $0.3945/Each

nicotine polacrilex 2 MG lozenge $0.3925/Each

nifedipine 10 mg capsule $0.5200/Each

nifedipine 20 mg capsule $1.4895/Each

nifedipine cc 30 mg tablet, extended release $0.1050/Each

nifedipine cc 60 mg tablet, extended release $0.1200/Each

nifedipine cc 90 mg tablet, extended release $0.4000/Each

nifedipine er 30 mg tablet, extended release $0.1755/Each

nifedipine er 60 mg tablet, extended release $0.2422/Each

nifedipine er 90 mg tablet, extended release $0.4135/Each

nilutamide 150 MG tablet $115.4565/Each

nimodipine 30 mg capsule $6.3715/Each

nisoldipine 8.5mg tablet, extended release $3.5860/Each

nisoldipine 17 mg tablet, extended release $4.2785/Each

nisoldipine 25.5 mg tablet, extended release $5.8925/Each

nisoldipine 34 mg tablet, extended release $5.3585/Each

nitrofurantoin 25 MG/5 ML Suspension $0.0000

nitrofurantoin 100 mg capsule $0.4475/Each

nitrofurantoin macrocrystal 25 MG capsule $3.4164/Each Decrease

nitrofurantoin macrocrystals 100 mg capsule $0.6310/Each

nitrofurantoin macrocrystals 50 mg capsule $0.5675/Each

nitroglycerin 2.5 mg capsule, extended release $0.4200/Each

nitroglycerin 6.5 mg capsule, extended release $0.4950/Each

nitroglycerin 9 mg capsule, extended release $0.9885/Each

nitroglycerin 0.4 mg/HR Patch, Transdermal 24 Hours $0.5080/Each

nitroglycerin 0.1MG/HR Patch, Transdermal 24 Hours $0.4665/Each

nitroglycerin 0.2 mg/HR Patch, Transdermal 24 Hours $0.3695/Each

nitroglycerin 0.6 mg/HR Patch, Transdermal 24 Hours $0.7025/Each

nitroglycerin 0.3 mg Tablet, Sublingual $0.2395/Each

nitroglycerin 0.4 mg Tablet, Sublingual $0.3205/Each

nitroglycerin 0.6 mg Tablet, Sublingual $0.2055/Each

nitroglycerin 400MCG/SPR Spray, Non-Aerosol $13.5546/Gram Decrease

nitroprusside sodium 25 MG/ML solution $8.7455/Milliliter

nizatidine 150 mg/10 ml Solution $0.8445/Milliliter

nizatidine 150 mg capsule $0.2265/Each

nizatidine 300 mg capsule $0.4400/Each

norelgestromin/ethin.estradiol 150-35/24H Patch, Transdermal Weekly $0.0000

noreth a-et estra/fe fumarate (loestrin fe, junel fe, microgestin fe) 1.5-0.03 mg tablet $0.2250/Each

noreth a-et estra/fe fumarate (loestrin fe, junel fe, microgestin fe) 1-0.02mg tablet $0.2000/Each

noreth-ethinyl estradiol/iron 0.8-25(24) Tablet, Chewable $2.0835/Each

norethindrone (errin, camila, jolivette, ortho micronor) 0.35 mg tablet $0.1200/Each

norethindrone acetate 5 mg tablet $0.5500/Each

norethindrone acetate/ethinyl estradiol biphasic (ortho-novum 10/11, necon 10/11) 0.5 mg/35 mcg; 1 mg/35 mcg tablet $0.0000

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NAME OF GENERIC DRUG STRENGTH FORM

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norethindrone ac-eth estradiol 0.5MG-2.5 tablet $1.5250/Each

norethindrone ac-eth estradiol 1MG-5MCG tablet $1.2215/Each

norethindrone a-e estradiol (junel, microgestin, loestrin) 1.5-0.030 mg tablet $0.4600/Each

norethindrone a-e estradiol (junel, microgestin, loestrin) 1-0.02mg tablet $0.3000/Each

norethindrone a-e estradiol/ferrous fumarate (estrostep fe, tri-legest fe, tilia fe) 5-7-9-7 tablet $0.7500/Each

norethindrone/ethinyl estradiol 1 mg/35 mcg tablet $0.2215/Each

norethindrone/ethinyl estradiol (balziva, ovcon-35, zenchent) 0.4 mg/35 mcg tablet $0.1905/Each Decrease

norethindrone/ethinyl estradiol (brevicon, modicon, necon 0.5/35) 0.5 mg/35 mcg tablet $0.3900/Each

norethindrone/ethinyl estradiol (brevicon, modicon, necon 0.5/35) 0.5 mg/35 mcg tablet $0.0000

norethindrone/ethinyl estradiol (necon 1/35, norinyl 1+35, ortho-novum 1/35) 1 mg/35 mcg tablet $0.3156/Each

norethindrone/ethinyl estradiol (necon 7/7/7, nortrel 7/7/7, ortho-novum 7/7/7) .5-35/0.75-35/1-35 mg-mcg tablet $0.2500/Each

norethindrone/mestranol (necon 1/50, norinyl 1+50, ortho-novum 1/50 1 mg/50 mcg tablet $0.0000

norethindrone-e.estradiol-iron 1 mg-20(24) tablet $0.3000/Each

norethindrone-e.estradiol-iron 1MG-20(24) tablet $0.8550/Each

norethindrone-ethinyl estradiol 7-9-5 tablet $0.3500/Each

norethindrone-ethinyl estradiol 7-9-5 tablet $0.0000

norethindrone-ethinyl estradiol/ferrous fumarate 0.4-35(21) tablet $0.5615/Each

norgestimate-ethinyl estradiol 7 days X 3 LO tablet $0.2348/Each

norgestimate-ethinyl estradiol (ortho-cyclen, sprintec, mononessa) 0.25 mg/35 mcg tablet $0.1465/Each

norgestimate-ethinyl estradiol (ortho-cyclen, sprintec, mononessa) 0.25 mg/35 mcg tablet $0.0000

norgestimate-ethinyl estradiol (tri-sprintec, ortho tri-cyclen, trinessa) 7-7-7 tablet $0.1975/Each

norgestrel/ethinyl estradiol (lo/ovral, low-ogestrel) 0.3 mg/30 mcg tablet $0.3500/Each

norgestrel/ethinyl estradiol (ogestrel) 0.5 mg/50 mcg tablet $0.6865/Each

nortriptyline hcl 10 mg capsule $0.0705/Each

nortriptyline hcl 25 mg capsule $0.0955/Each

nortriptyline hcl 50 mg capsule $0.0905/Each

nortriptyline hcl 75 mg capsule $0.1655/Each

nortriptyline hcl 10 mg/5 ml Solution $0.2155/Milliliter

nystatin 100,000 units/gm Cream $0.1935/Gram

nystatin 100,000 units/gm Ointment $0.2500/Gram

nystatin 100,000 units/gm Powder $0.2500/Gram

nystatin 100,000 units/ml Suspension $0.1020/Milliliter

nystatin 500,000 units tablet $0.3582/Each

nystatin/triamcinolone 100,000 units/gm; 0.1% Cream $0.3655/Gram

nystatin/triamcinolone 100,000 units/gm; 0.1% Ointment $0.3325/Gram

octreotide acetate 50 MCG/ML Solution $2.8735/Milliliter

octreotide acetate 500 mcg/ml Solution $15.0085/Milliliter

octreotide acetate 100 mcg/ml Solution $2.9295/Milliliter

octreotide acetate 50 MCG/ML Solution $14.0668/Milliliter

octreotide acetate 100 MCG/ML Solution $2.8755/Milliliter

octreotide acetate 500 MCG/ML Solution $128.4684/Milliliter

octreotide acetate 200 mcg/ml Solution $6.3965/Milliliter

octreotide acetate 1000 mcg/ml Solution $30.8000/Milliliter

ofloxacin 0.003 Drops $1.8720/Milliliter

ofloxacin 0.3% Drops $1.9355/Milliliter

ofloxacin 200 mg tablet $0.0000

ofloxacin 300 mg tablet $0.0000

ofloxacin 400 mg tablet $3.1615/Each

olanzapine 7.5 mg tablet $0.0765/Each

olanzapine 10 mg tablet $0.1135/Each

olanzapine 5 mg tablet $0.0885/Each

olanzapine 2.5 mg tablet $0.0765/Each

olanzapine 15 mg tablet $0.1595/Each

olanzapine 20 mg tablet $0.2125/Each

olanzapine 10 MG Solution $26.9765/Each

olanzapine 15 mg Tablet,disintegrating $0.8295/Each

olanzapine 20 mg Tablet,disintegrating $0.1855/Each

olanzapine 5 mg Tablet,disintegrating $0.4425/Each

olanzapine 10 mg Tablet,disintegrating $0.5495/Each

olanzapine/fluoxetine hcl 6MG-25MG capsule $5.0775/Each

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NAME OF GENERIC DRUG STRENGTH FORM

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olanzapine/fluoxetine hcl 6MG-50MG capsule $5.0775/Each

olanzapine/fluoxetine HCl 12MG-25MG capsule $6.7120/Each

olanzapine/fluoxetine hcl 12MG-50MG capsule $8.9825/Each

olanzapine/fluoxetine hcl 3 mg-25 mg capsule $3.4545/Each

olmesartan medoxomil 5 MG tablet $0.0450/Each

olmesartan medoxomil 20 MG tablet $0.0688/Each

olmesartan medoxomil 40 MG tablet $0.1200/Each

olmesartan/amlodipin/hcthiazid 20-5-12.5 tablet $1.3865/Each

olmesartan/amlodipin/hcthiazid 40-5-12.5 tablet $1.7750/Each

olmesartan/amlodipin/hcthiazid 40-5-25 MG tablet $1.4565/Each

olmesartan/amlodipin/hcthiazid 40-10-12.5 tablet $1.7058/Each

olmesartan/amlodipin/hcthiazid 40-10-25MG tablet $1.9465/Each

olmesartan/hydrochlorothiazide 20-12.5 MG tablet $0.1401/Each

olmesartan/hydrochlorothiazide 40-12.5 MG tablet $0.1951/Each

olmesartan/hydrochlorothiazide 40 MG-25MG tablet $0.1951/Each

olopatadine hcl 0.1 % Drops $2.1745/Milliliter

olopatadine hcl 0.2 % Drops $2.9640/Milliliter

olopatadine hcl 0.6 % Spray, Non-Aerosol $0.1335/Gram

omega-3 acid ethyl esters 1 G capsule $0.2317/Each

omeprazole 20 mg capsule,delayed release (e.c.) $0.0225/Each

omeprazole 20 mg tablet, delayed release (enteric coated) $0.4445/Each

omeprazole 10 mg capsule,delayed release (e.c.) $0.1462/Each

omeprazole 40 mg capsule,delayed release (e.c.) $0.0622/Each

omeprazole magnesium 20 mg tablet, delayed release (enteric coated) $0.6050/Each

omeprazole/sodium bicarbonate 20MG-1.1G capsule $0.5550/Each

omeprazole/sodium bicarbonate 40MG-1.1G capsule $1.2385/Each Decrease

omeprazole/sodium bicarbonate 20-1680MG Powder $34.4555/Each

omeprazole/sodium bicarbonate 40-1680MG Powder $18.5165/Each

ondansetron 4 mg Tablet,disintegrating $0.1675/Each

ondansetron 8 mg Tablet,disintegrating $0.0384/Each

ondansetron hcl 2 mg/ml; MDV Solution $0.0000

ondansetron hcl 4 mg/5 ml Solution $0.1685/Milliliter

ondansetron hcl 4 mg tablet $0.0488/Each

ondansetron hcl 8 mg tablet $0.0545/Each

ondansetron hcl 4 mg/2 ml; SDV Solution $0.1895/Milliliter

ondansetron hcl/d5w/pf 32 mg/50 ml Solution $0.0000

ondansetron HCl/PF 4 MG/2 ML solution $0.7625/Milliliter

opium tincture 10 MG/ML Tincture $2.9900/Milliliter

orphenadrine citrate 30 MG/ML solution $3.1700/Milliliter

orphenadrine citrate 100 mg tablet, extended release $0.3005/Each

orphenadrine with aspirin and caffeine 25 mg; 385 mg; 30 mg tablet $0.0000

orphenadrine with aspirin and caffeine 50 mg; 770 mg; 60 mg tablet $0.0000

oseltamivir phosphate 6 MG/ML Suspension $0.5043/Milliliter

oseltamivir phosphate 75 MG capsule $2.2252/Each

oseltamivir phosphate 30 MG capsule $2.8500/Each

oseltamivir phosphate 45 MG capsule $3.1500/Each

oxacillin sodium 1 G solution $8.9000/Each

oxacillin sodium 10 G solution $53.2500/Each

oxacillin sodium 2 G solution $11.2500/Each

oxaliplatin 50 MG Solution $20.0000/Each

oxaliplatin 100 MG solution $124.0000/Each

oxaliplatin 50 mg/10 ml Solution $2.5095/Milliliter

oxaliplatin 100 mg/20 ml Solution $4.0875/Milliliter

oxandrolone 2.5 mg tablet $2.7960/Each

oxandrolone 10 mg tablet $13.3980/Each

oxaprozin 600 mg Caplet $0.9200/Each

oxazepam 10 mg capsule $0.4735/Each

oxazepam 15 mg capsule $0.4406/Each

oxazepam 30 mg capsule $1.2905/Each

oxcarbazepine 300 mg tablet $0.1405/Each

Page 40 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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oxcarbazepine 600 mg tablet $0.2490/Each

oxcarbazepine 300 mg/5 ml Suspension $0.2490/Milliliter

oxcarbazepine 150 mg tablet $0.1146/Each

oxiconazole nitrate 1 % Cream $3.4625/Gram

oxybutynin 5 mg/5 ml Syrup $0.0198/Milliliter

oxybutynin 5 mg tablet $0.0780/Each

oxybutynin chloride 5 mg tablet, extended release $0.1850/Each

oxybutynin chloride 10 mg tablet, extended release $0.1440/Each

oxybutynin chloride 15 mg tablet, extended release $0.1650/Each

oxycodone / apap 7.5 mg; 325 mg tablet $0.1055/Each

oxycodone / apap 10/325 mg tablet $0.1360/Each

oxycodone / apap 7.5 mg; 500 mg tablet $0.0000

oxycodone / apap 10 mg; 650 mg tablet $0.0000

oxycodone / apap 5 mg; 325 mg tablet $0.0500/Each

oxycodone / apap 5 mg; 500 mg capsule $0.0000

oxycodone hcl 5 MG/5 ML Solution $0.1245/Milliliter

oxycodone hcl 20 mg/ml Concentrate $1.5585/Milliliter

oxycodone hcl 10 mg tablet, extended release $0.0000

oxycodone hcl 20 mg tablet, extended release $0.0000

oxycodone hcl 40 mg tablet, extended release $0.0000

oxycodone hcl 5 mg capsule $0.5842/Each

oxycodone hcl 80 mg tablet, extended release $0.0000

oxycodone hcl 5 mg tablet $0.0585/Each

oxycodone hcl 10 MG tablet $0.0800/Each

oxycodone hcl 15 mg tablet $0.1355/Each

oxycodone hcl 30 mg tablet $0.1955/Each

oxycodone hcl 20 MG tablet $0.2285/Each

oxycodone HCl 10 MG tablet, extended release $0.0000

oxycodone HCl 20 MG tablet, extended release $0.0000

oxycodone HCl 40 MG tablet, extended release $0.0000

oxycodone HCl 80 MG tablet, extended release $0.0000

oxycodone HCl/acetaminophen 2.5-325 MG tablet $1.3815/Each

oxycodone hcl/aspirin 4.8355-325 tablet $0.3341/Each

oxycodone/aspirin 4.88-325 mg tablet $0.0000

oxymetazoline HCl 0.05 % spray, non-aerosol $0.0580/Milliliter

oxymorphone hcl 5 mg tablet $0.5345/Each

oxymorphone hcl 10 mg tablet $1.1425/Each

oxymorphone hcl 5 mg tablet, extended release $1.6095/Each

oxymorphone hcl 10 mg tablet, extended release $3.1287/Each

oxymorphone hcl 20 mg tablet, extended release $5.4839/Each

oxymorphone hcl 40 mg tablet, extended release $8.5855/Each

oxymorphone hcl 30 mg tablet, extended release $7.1268/Each

paclitaxel 6 mg/ml Concentrate $0.9435/Milliliter

paliperidone 1.5 mg tablet, extended release $4.8300/Each

paliperidone 3 mg tablet, extended release $6.2105/Each

paliperidone 6 mg tablet, extended release $5.8442/Each Decrease

paliperidone 9 mg tablet, extended release $8.0200/Each

palonosetron HCl 0.25MG/5ML Solution $7.3850/Milliliter

palonosetron HCl 0.25MG/5ML solution $8.7950/Milliliter

pamidronate disodium 30 mg Solution $0.0000

pamidronate disodium 90 mg Solution $0.0000

pamidronate disodium 3 mg/ml Solution $1.2625/Milliliter

pamidronate disodium 9 mg/ml Solution $8.2031/Milliliter

pantoprazole sodium 40 MG solution $2.9999/Each

pantoprazole sodium 40 mg tablet, delayed release (enteric coated) $0.0575/Each

pantoprazole sodium 20 mg tablet, delayed release (enteric coated) $0.0550/Each

paricalcitol 2 MCG/ML solution $3.9667/Milliliter

paricalcitol 1 MCG capsule $1.0255/Each

paricalcitol 2 MCG capsule $2.7720/Each

paricalcitol 4MCG capsule $11.0145/Each

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NAME OF GENERIC DRUG STRENGTH FORM

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paricalcitol 5 MCG/ML solution $9.8750/Milliliter

paromomycin sulfate 250 MG capsule $3.7450/Each

paroxetine hcl 10 mg tablet $0.0450/Each

paroxetine hcl 20 mg tablet $0.0699/Each

paroxetine hcl 30 mg tablet $0.1200/Each

paroxetine hcl 40 mg tablet $0.1110/Each

paroxetine hcl 10 mg/5 ml Suspension $0.0000

paroxetine hcl 25 mg tablet, extended release $1.0500/Each

paroxetine hcl 12.5 mg tablet, extended release $0.9765/Each

paroxetine hcl 37.5 mg tablet, extended release $0.7335/Each

paroxetine mesylate 7.5 MG capsule $2.5675/Each

ped mvit a,c,d3 no.21/fluoride 0.25 MG/ML Drops $0.1334/Milliliter

pedi multivit 45/fluoride/iron 0.25-10/ML drops $0.1500/Milliliter

pedi multivit no.17 w-fluoride 0.5 MG Tablet, Chewable $0.0700/Each

peg 3350/sod sulf anhyd/sodium bicarbonate/sod chloride/kcl 236 - 22.74 g Solution $0.0046/Milliliter

peg3350/sod sul/NaCl/KCl/asb/C 7.5-2.691G powder $73.9500/Each

pemoline 18.75 mg tablet $0.0000

pemoline 37.5 mg tablet $0.0000

pemoline 75 mg tablet $0.0000

penicillin G potassium 5MM UNIT solution $9.0000/Each

penicillin G potassium 20MM UNIT Solution $51.6500/Each

penicillin v potassium 125 mg/5 ml, 100 ml Solution $0.0613/Milliliter

penicillin v potassium 250 mg/5 ml Solution $0.0507/Milliliter

penicillin v potassium 250 mg tablet $0.0600/Each

penicillin v potassium 500 mg tablet $0.1045/Each

pentazocine/naloxone hcl 50 mg/0.5 mg tablet $1.7750/Each

pentoxifylline 400 mg tablet, extended release $0.1675/Each

p-ephed hcl/brompheniramin 45 mg; 4 mg/5 ml Syrup $0.0000

perindopril erbumine 2 mg tablet $0.4155/Each

perindopril erbumine 4 mg tablet $0.3210/Each

perindopril erbumine 8 mg tablet $0.4995/Each

permethrin 5% Cream $0.2915/Gram

perphenazine 16 mg tablet $0.5800/Each

perphenazine 2 mg tablet $0.2235/Each

perphenazine 4 mg tablet $0.4568/Each

perphenazine 8 mg tablet $0.0225/Each

phenazopyridine hcl 100 mg tablet $0.5925/Each

phenazopyridine hcl 200 mg Caplet $0.6844/Each

phenazopyridine HCl 95 MG tablet $0.1065/Each

phenazopyridine HCl 97.5 MG tablet $0.1775/Each

phenelzine sulfate 15 MG tablet $0.5329/Each

phenobarb/hyoscy/atropine/scop 16.2MG/5ML elixir $1.7551/Milliliter

phenobarbital 20 mg/5 ml Elixir $0.1000/Milliliter

phenobarbital 15 mg tablet $0.0302/Each

phenobarbital 60 mg tablet $0.0000

phenobarbital 30 mg tablet $0.0000

phenobarbital 100 mg tablet $0.4105/Each

phenobarbital 16.2 mg tablet $0.2555/Each

phenobarbital 32.4 MG tablet $0.4733/Each

phenobarbital 64.8 MG tablet $0.4055/Each

phenobarbital 97.2MG tablet $0.4250/Each

phenobarbital sodium 130MG/ML solution $65.0982/Milliliter

phenobarbital sodium 65 MG/ML solution $25.0800/Milliliter

phenol 1.4 % Aerosol, Spray $0.0103/Milliliter

phenoxybenzamine HCl 10 MG capsule $49.9055/Each

phentermine hcl 30 mg capsule $0.0000

phentermine hcl 37.5 mg Caplet $0.0000

phentolamine mesylate 5 MG solution $375.5000/Each

phenyleph/mineral oil/petrolat 0.25 %-14% ointment $0.0430/Gram

phenyleph/pramoxin/glycr/w.pet 0.25%-1% Cream $0.0475/Gram

Page 42 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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phenylephrine HCl 10 MG tablet $0.0440/Each

phenylephrine HCl 1 % spray, non-aerosol $0.0588/Milliliter

phenylephrine HCl 1 % drops $0.0650/Milliliter

phenylephrine HCl 0.25 % Suppository $0.1086/Each

phenylephrine HCl/acetaminophn 5 MG-325MG tablet $0.0549/Each

phenylephrine hcl/chlor-mal 12.5-4 mg/5 Syrup $0.0000

phenylephrine HCl/cocoa butter 0.25-88.44 Suppository $0.2000/Each

phenylephrine hcl/cod/prometh 5-10-6.25 Syrup $0.0000

phenylephrine/acetaminophn/cpm 5-325-2MG tablet $0.0725/Each

phenylephrine/chlorpheniramine 5-4.5 mg/5 ml Suspension $0.0000

phenylephrine/DM/acetaminop/GG 5-325-200 tablet $0.1700/Each

phenylephrine/hydrocodone/chlorpheniramine 5-2.5-2 mg/5 ml Liquid $0.0000

phenylephrine/pyril tan/cp 5 mg; 12.5 mg; 2 mg/5 ml Suspension $0.0000

phenytoin 50 MG Tablet, Chewable $0.2550/Each

phenytoin 100 MG/4ML suspension $1.6188/Milliliter

phenytoin sodium 125 mg/5 ml Suspension $0.0795/Milliliter

phenytoin sodium 100 mg capsule $0.1662/Each

phenytoin sodium extended 300 MG capsule $1.0140/Each

phenytoin sodium extended 200 MG capsule $1.0515/Each

phosphorated carbo(dext-fruct) liquid $0.0165/Milliliter

phytonadione (vit K1) 5 MG tablet $40.8375/Each

phytonadione (vit K1) 10 MG/ML solution $44.9500/Milliliter

pilocarpine hcl 7.5 mg tablet $0.6825/Each

pilocarpine hcl 5 mg tablet $0.3829/Each

pilocarpine hcl 0.5% Drops $0.0000

pilocarpine hcl 1% Drops $4.1696/Milliliter

pilocarpine hcl 2% Drops $0.0000

pilocarpine hcl 4% Drops $4.6425/Milliliter

pilocarpine hcl 6% Drops $0.0000

pimecrolimus 1 % Cream $0.0000

pindolol 10 mg tablet $0.7526/Each

pindolol 5 mg tablet $0.6285/Each

pioglitazone hcl 15 MG tablet $0.0600/Each

pioglitazone hcl 30 MG tablet $0.0600/Each

pioglitazone hcl 45 MG tablet $0.0840/Each

pioglitazone hcl/glimepiride 30 mg-4 mg tablet $8.7850/Each

pioglitazone hcl/glimepiride 30 mg-2 mg tablet $8.7850/Each

pioglitazone hcl/metformin hcl 15MG-500MG tablet $0.4500/Each

pioglitazone hcl/metformin hcl 15MG-850MG tablet $0.4500/Each

piperacillin sodium/tazobactam sodium 2.25 gm Solution $5.7750/Each

piperacillin sodium/tazobactam sodium 3.375 gm Solution $4.3000/Each

piperacillin sodium/tazobactam sodium 4.5 gm Solution $7.4900/Each Decrease

piperacillin sodium/tazobactam sodium 40.5 gm Solution $128.9178/Each

piperonyl butoxide/pyrethrins 4%-0.33% Shampoo $0.0350/Milliliter

piroxicam 10 mg capsule $0.2555/Each

piroxicam 20 mg capsule $0.3945/Each

pnv #116/iron fumarate/fa/dha 28-800-200 capsule $0.2000/Each

pnv #78/iron asp gly/fa#1/dha 18-1-300MG capsule $0.2000/Each

pnv #86/iron poly/fa/dha/epa 32-1-120MG capsule $0.2000/Each

PNV 102/iron/folate/dha 90-1-200MG capsule $0.2000/Each

pnv 112/iron/fa/om-3s/dha/epa 3.33-.33MG gummie $0.2000/Each

PNV 119/iron fum/folic acid 29 MG-1 MG tablet $0.2000/Each

PNV 12/iron/methylfolate/dha 29-1-350MG capsule,delayed release (e.c.) $0.2000/Each

pnv 156/iron/lmfol/om3/dha/epa 27MG-0.8MG capsule $0.2000/Each

pnv cmb#82/iron ps cmplx/folic acid/omega 3/dha/epa/fish oil 13.5-0.5mg tablet, delayed release (enteric coated) $0.2000/Each

pnv cmb#95/ferrous fumarate/fa 28mg-0.8mg Caplet $0.2000/Each

pnv comb.12/iron,carbonyl/fa cmb #1/docusate sodium/dha 90-0.4-250 Combination Package $0.2000/Each

pnv comb.no26/iron asp gly/fa/docusate sodium/fat combo no.7 30-1-50mg capsule $0.2000/Each

pnv comb.no5/fe asp gly/docusate/folic acid/fat combo no.4 30-50-1mg capsule $0.2000/Each

pnv comb.no58/iron bisgly/fa 10MG-0.4MG capsule $0.2000/Each

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pnv no.100/iron/fa/dha/epa 27 MG-1 MG capsule $0.2000/Each

pnv no.106/iron/folate #6/dha 27.5MG-1MG capsule $0.2000/Each

pnv no.111/iron/folate/dha 38-1-225MG capsule $0.2000/Each

pnv no.115/iron fumarate/fa 29 MG-1 MG Tablet, Chewable $0.2000/Each

pnv no.118/iron fumarate/fa 29 MG-1 MG Tablet, Chewable $0.2000/Each

pnv no.121/iron/folic acid 28MG-0.8MG tablet $0.2000/Each

pnv no.122/iron/folic acid 27MG-0.8MG tablet $0.2000/Each

PNV no.139/iron,carb/folic/dha 33MG-0.8MG capsule $0.2000/Each

PNV no.143/iron/methylfolate 29 MG-1 MG tablet $0.2000/Each

PNV no.153/FA/om3/dha/epa/fish 400-35-25 gummie $0.2000/Each

PNV no.162/iron glu/folic acid 12 MG-1 MG tablet $0.2000/Each

PNV no.163/iron/folate no.10 20 MG-1 MG tablet $0.2000/Each

PNV no.165/iron fum/folic acid 13 MG-1 MG tablet,chewable $0.2000/Each

pnv no.20/iron fumarate/fa/docusate na/fish oil conc/dha/epa 27-1-500mg capsule $0.2000/Each

pnv no.35/iron fumarate/folate comb. #6/dha 29-1-300mg capsule $0.0000

pnv no.63/iron,carbonyl/fa/dha 27-800-200 capsule $0.2000/Each

pnv no.66/iron,carbonyl/fa/dha 20-1-320MG capsule $0.2000/Each

pnv no.74/iron fum/fa/coq10 18-1-125MG capsule $0.2000/Each

pnv no.74/iron fum/fa/dha 27-1-300MG capsule $0.2000/Each

pnv no.80/iron/mfolate/dss/dha 38-1-25 MG capsule $0.2000/Each

pnv no.81/iron cbn&gluc/fa/dss 27-1-50 MG tablet $0.2000/Each

pnv no.86/iron/mfolate/dss/dha 38-1-50 MG capsule,delayed release (e.c.) $0.2000/Each

pnv no.88/iron ps,heme/fa/dha 28-6-1 MG capsule $0.2000/Each

pnv no.90/iron fum & ps/fa/dha 32-1.25 MG capsule $0.2000/Each

pnv no17/iron,carb/iron bisgly/fa/fish oil/dha/omega 3,6 #1 35-5-1.2mg capsule $0.2000/Each

pnv no18/iron,carbonyl/folic acid/docusate na/ubidecar/dha 15-0.5-25 tablet $0.0000

pnv with ca #37/iron carb, asp, & gly/fa/omega-3 fatty acids 27-1-330mg capsule $0.2000/Each

pnv with ca no.37/iron carb & asp gly/fa/omega-3 fatty acids 27-1-330mg capsule $0.0000

pnv with ca,no.72/iron,carb/fa 29 MG-1 MG tablet $0.2000/Each

pnv#102/iron/fa/dha/lutein 27-800-200 capsule $0.2000/Each

pnv#102/iron/folate #1/dss/dha 90-1-200mg capsule $0.2000/Each

pnv#31/iron,el.&glu/fa/dss/dha 35-1-50 MG capsule $0.2000/Each

pnv#64/iron/lmfolate/algal/soy 27-1.13 MG capsule $0.2000/Each

pnv#64/iron/lmfolate/algal/soy 27-1.13 MG capsule $0.2000/Each

pnv#67/iron ps/fa cmb#1/dha 29-1-200MG capsule $0.2000/Each

pnv#71/iron/folic acid/dha 30-1.4-200 capsule,delayed release (e.c.) $0.2000/Each

pnv#75/iron fum/fa/om3/dha/epa 28-800-223 capsule $0.2000/Each

pnv#85/iron carb./iron asp.glycinate/folic acid/dha/fish oil 40-10-1 mg capsule $0.2000/Each

pnv,ca,no.35/iron,carbonyl & asp gly/fa/dss/omega-3 27-1-50mg capsule $0.2000/Each

pnv/fa/b6/calcium carb/ginger 1.2-42 MG tablet $0.2000/Each

pnv/fa/b6/calcium phos/ginger 1.2-40-100 tablet $0.2000/Each

pnv/fa/b6/calcium phos/ginger 1.2-42 MG tablet $0.0000

pnv/fe bisgly/omega-3/fa 29-250-1MG Combination Package $0.2000/Each

pnv/fe sulf/fa/min aa chel 14-0.25MG tablet $0.2000/Each

pnv/ferrous fumarate/doss/fa 65 MG-1 MG tablet $0.2000/Each

pnv/ferrous sulfate/folic acid 27MG-0.8MG tablet $0.2000/Each

pnv/ferrous sulfate/folic acid 40-1MG/15 Liquid $0.2000/Milliliter

pnv/ferrous sulfate/folic acid 27-<0.5MG tablet $0.2000/Each

pnv/iron,carbonyl/docusate/fa 95-50-1MG capsule $0.2000/Each

pnv/iron,carbonyl/docusate/fa 100-1MG Caplet $0.2000/Each

pnv/iron,carbonyl/folic acid 65 MG-1 MG tablet $0.2000/Each

pnv/iron/dha/epa/omega-3/fa 60 MG-1 MG Combination Package $0.2000/Each

pnv/iron/docusate/fa/lmefolate 90-50-1MG tablet $0.2000/Each

pnv/iron/folic acid 40-1MG Tablet, Chewable $0.2000/Each

pnv100/iron edta&ps/fa/omega3 27-1-374MG capsule,delayed release (e.c.) $0.2000/Each

pnv103/fa/omega3/dha/fish oil 0.4-32.5mg gummie $0.2000/Each

pnv103/fe/fa/dha/epa/other om3 27 MG-1 MG Capsule, Soft Chewable $0.2000/Each

pnv105/iron/fa/omega 3/dha/epa 27-1-380MG capsule,delayed release (e.c.) $0.2000/Each

pnv106/iron/fa/om3/dha/epa 25-1-400MG capsule $0.2000/Each

pnv106/iron/fa/om3/dha/epa 25-1-430MG capsule $0.2000/Each

Page 44 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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pnv107/iron/fa/om3/dha/epa 25-1-400MG capsule,delayed release (e.c.) $0.2000/Each

pnv107/iron/fa/om3/dha/epa 25-1-430MG capsule,delayed release (e.c.) $0.2000/Each

pnv110/iron/fa/omega 3/dha/epa 26-1-278 mg capsule $0.2000/Each

pnv113/fe/l-mef/om3/dha/epa/fs 4.5-1-150 Liquid $0.2000/Each

pnv113/iron/fa/omega-3/dha/epa 24-1-272MG capsule $0.2000/Each

pnv115/iron fumarate/fa/dss 29-1-25 MG tablet $0.2000/Each

pnv117/iron/fa/om3/dha/epa 25 MG-1 MG capsule $0.2000/Each

pnv119/iron fumarate/fa/dss 29-1-25 MG tablet $0.2000/Each

pnv120/levomefolate/omega3/dha 267MCG-321 capsule $0.2000/Each

pnv133/ferrous fumarate/fa 28MG-0.8MG tablet $0.2000/Each

pnv135/iron/l-mefol/omega3/dha 18-800-290 capsule $0.2000/Each

pnv14/fe fum/fa#1/dha/doss ca 27-1-50 MG capsule $0.2000/Each

PNV151/iron/FA/o3/dha/epa/fish 27-800-260 capsule $0.2000/Each

PNV157/iron/FA/o3/dha/epa/fish 4-0.5-150 capsule $0.2000/Each

PNV158/iron/FA/o3/dha/epa/fish 13.5-0.5MG capsule $0.2000/Each

pnv166/iron/FA/o3/dha/epa/fish 27MG-0.8MG capsule $0.2000/Each

pnv174/iron/FA/o3/dha/epa/fish 28-1-35 MG capsule $0.2000/Each

pnv2/iron b-g suc-p/fa/omega-3 29-1-300MG capsule,delayed release (e.c.) $0.2000/Each

pnv2/iron b-g suc-p/fa/omega-3 29-1-300MG Combination Package $0.2000/Each

pnv34/iron,carb&fum/fa/dss/dha 27-1-50 MG capsule $0.2000/Each

pnv34/iron,carbonyl/fa/dss/dha 29-1-50 MG capsule $0.2000/Each

pnv50/iron fum&bisglycinate/fa 25 MG-1 MG tablet $0.2000/Each

pnv53/iron fum/fa/docusate/dha 29-1.25-55 capsule $0.2000/Each

pnv59/iron,carb&fum/fa/dss/dha 27-1-50MG capsule $0.2000/Each

pnv59/iron,carbonyl/fa/dss/dha 29-1-50 MG capsule $0.2000/Each

pnv62/fa/om3/dha/epa/fish oil 400-35-25 gummie $0.2000/Each

pnv72/iron,carb&glu/fa/dss/dha 90-1-300MG capsule $0.2000/Each

pnv73/iron,carb&glu/fa/dss/dha 35-1-50 MG capsule $0.2000/Each

pnv76/iron,carb&glu/fa/dss/dha 27-1-50 MG capsule $0.2000/Each

podofilox 0.5 % Solution $12.7500/Milliliter

polyethylene glycol 17 gm Powder $1.1961/Each

polyethylene glycol NA Powder $0.0195/Gram

polyvinyl alcohol/povidone 0.5%-0.6% drops $0.0940/Milliliter

posaconazole 100 MG tablet, delayed release (enteric coated) $37.3685/Each

potassium bicarb/citrate 25 mEq tablet, effervescent $0.2160/Each

potassium chloride 8 MEQ capsule, extended release $0.1680/Each

potassium chloride 10 mEq capsule, extended release $0.1555/Each

potassium chloride 20 mEq Packet $1.0605/Each

potassium chloride 40 mEq/15 ml Liquid $0.5350/Milliliter

potassium chloride 20 mEq/15 ml Liquid $0.2425/Milliliter

potassium chloride 10 mEq tablet, extended release $0.1410/Each

potassium chloride 10 mEq tablet, extended release $0.1275/Each

potassium chloride 20 mEq tablet, extended release $0.2075/Each

potassium chloride 8 mEq tablet, extended release $0.2220/Each

potassium chloride 20 MEQ tablet, extended release $0.2280/Each

potassium chloride 15 MEQ tablet, extended release $0.8218/Each

potassium chloride/bicarb 25 mEq tablet, effervescent $0.0000

potassium citrate 5 MEQ tablet, extended release $0.5962/Each

potassium citrate 10 MEQ tablet, extended release $0.5265/Each

potassium citrate 15 MEQ tablet, extended release $0.8790/Each

potassium citrate/citric acid 1100-334/5 Solution $0.0789/Milliliter

potassium iodide 1 G/ML Solution $0.0000

povidone iodine 0.1 Ointment $0.0000

povidone iodine 0.1 Solution $0.0177/Milliliter

pramipexole di-hcl 0.75 mg tablet, extended release $6.0521/Each

pramipexole di-hcl 0.375 mg tablet, extended release $8.6500/Each

pramipexole di-hcl 1.5 mg tablet, extended release $7.4584/Each Decrease

pramipexole di-hcl 3 mg tablet, extended release $7.8215/Each

pramipexole di-HCl 4.5 MG tablet, extended release $9.2000/Each

pramipexole di-HCl 2.25 MG tablet, extended release $10.8950/Each

Page 45 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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pramipexole di-hcl 0.75 mg tablet $0.1217/Each

pramipexole dihydrochloride 1 mg tablet $0.0450/Each

pramipexole dihydrochloride 1.5 mg tablet $0.0585/Each

pramipexole dihydrochloride 0.125 mg tablet $0.0300/Each

pramipexole dihydrochloride 0.25 mg tablet $0.0300/Each

pramipexole dihydrochloride 0.5 mg tablet $0.0515/Each

pramoxine HCl/calamine 1 %-8 % lotion $0.0140/Milliliter

pramoxine HCl/camph/zinc acet lotion $0.0160/Milliliter

prasugrel hcl 5 MG tablet $0.3570/Each

prasugrel hcl 10 MG tablet $0.3145/Each

pravastatin sodium 80 mg tablet $0.1505/Each

pravastatin sodium 10 mg tablet $0.0725/Each

pravastatin sodium 20 mg tablet $0.0725/Each

pravastatin sodium 40 mg tablet $0.0725/Each

prazosin hcl 1 mg capsule $0.1800/Each

prazosin hcl 2 mg capsule $0.2250/Each

prazosin hcl 5 mg capsule $0.3825/Each

prednisolone 15 mg/5 ml Solution $0.0340/Milliliter

prednisolone acetate 1% Drops, Suspension $5.3046/Milliliter

prednisolone sod phosphate 5 MG/5 ML Solution $0.5465/Milliliter

prednisolone sod phosphate 10 MG Tablet,disintegrating $8.4800/Each

prednisolone sod phosphate 15 MG Tablet,disintegrating $14.1400/Each

prednisolone sod phosphate 30 MG Tablet,disintegrating $18.1800/Each

prednisolone sod phosphate 1 % Drops $4.7525/Milliliter

prednisolone sod phosphate 10 MG/5 ML Solution $2.5750/Milliliter

prednisolone sodium phosphate 20 MG/5 ML solution $3.6015/Milliliter

prednisolone sodium phosphate 15 mg/5 ml Solution $0.0625/Milliliter

prednisolone sodium phosphate 25 MG/5 ML solution $1.2373/Milliliter

prednisone 1 mg tablet $0.0450/Each

prednisone 10 mg tablet $0.0985/Each

prednisone 2.5 mg tablet $0.1368/Each

prednisone 20 mg tablet $0.1135/Each

prednisone 5 mg tablet $0.0775/Each

prednisone 50 MG tablet $0.2840/Each

prednisone 5 MG tablet $0.5669/Each

prednisone 10 mg tablet $0.6880/Each

pregabalin 25 MG capsule $0.1347/Each

pregabalin 50 MG capsule $0.0455/Each

pregabalin 75 MG capsule $0.0555/Each

pregabalin 100 MG capsule $0.0657/Each

pregabalin 150 MG capsule $0.0695/Each

pregabalin 200 MG capsule $0.1450/Each

pregabalin 300 MG capsule $0.1665/Each

pregabalin 225 MG capsule $0.1459/Each

pregabalin 20 MG/ML solution $0.1665/Milliliter

pregabalin 82.5 MG tablet, extended release $9.0980/Each

pregabalin 165 MG tablet, extended release $9.0980/Each

pregabalin 330 MG tablet, extended release $9.0980/Each

prenatal #103/iron fumarate/fa 27 MG-1 MG tablet $0.2000/Each

prenatal #108/iron,carbonyl/fa 30 MG-1 MG tablet $0.2000/Each

prenatal #48/iron cb&glu/fa/b6 20-1-25 MG tablet $0.2000/Each

prenatal #57/iron/fa/dss/dha 29-1.25-55 capsule $0.2000/Each

prenatal #58/iron/fa/dss/dha 29-1.25-55 capsule $0.2000/Each

prenatal #79/iron asp gly/fa#1 20 MG-1 MG tablet $0.2000/Each

prenatal #92/iron/fa #8/ps-dha 1.5-8.73MG capsule,delayed release (e.c.) $0.2000/Each

prenatal 147/iron/folic acid 13 MG-1 MG tablet $0.2000/Each

prenatal 148/iron/folate 6/dha 27-1-205 capsule $0.2000/Each

prenatal 168/iron/folic/omega3 27-800-235 capsule $0.2000/Each

prenatal cmb#95/iron/fa/dha 28-800-200 capsule $0.2000/Each

prenatal comb no.42/folic acid 1.4 MG Tablet, Chewable $0.2000/Each

Page 46 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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prenatal no.123/iron/folic ac 50-1.25 MG Caplet $0.2000/Each

prenatal no.13/iron ps/fa cb#1 29 MG-1 MG Caplet $0.2000/Each

prenatal no.137/iron/folic acd 27MG-0.8MG tablet $0.2000/Each

prenatal no.144/folic acid 400 MCG gummie $0.2000/Each

prenatal no.25/iron/fa #6/dha 30-1-200MG capsule $0.2000/Each

prenatal no.29/iron carb & asp.glycinate/fa/dha/fish oil 40-10-1 mg capsule $0.2000/Each

prenatal no.30/iron carbonly & asparto glycinate/fa/omega3 30-10-1 mg capsule $0.2000/Each

prenatal no.40/iron/fa/dha 27-0.8-250 capsule $0.2000/Each

prenatal no.52/iron/fa/dha 28-1-200MG capsule $0.2000/Each

prenatal no.56/iron carbonyl & asparto glycinate/fa/dha 35-5-1 mg capsule $0.2000/Each

prenatal no.75/iron/folate #1 18 MG-1 MG tablet $0.2000/Each

prenatal no.77/iron asp gly/fa 20 MG-1 MG tablet $0.2000/Each

prenatal no.82/iron/folate #2 27 MG-1 MG tablet $0.2000/Each

prenatal no.93/iron/fa #9/dha 31-1-200 mg capsule $0.2000/Each

prenatal vit #105/iron/fa/dha 30-1.4-300 capsule $0.2000/Each

prenatal vit #113/iron/folate 4.5 MG-1MG Tablet, Chewable $0.2000/Each

prenatal vit #116/iron/fa/dha 28-800-200 capsule $0.2000/Each

prenatal vit #16/iron fum & ps complex/folic acid/omega-3 35-1-200mg capsule $0.2000/Each

prenatal vit #49/iron fum/fa 6.75-0.2MG tablet $0.2000/Each

prenatal vit #60/iron fum/fa 27 MG-1 MG tablet $0.2000/Each

prenatal vit #68/iron/fa#6/dha 28-1-400MG capsule $0.2000/Each

prenatal vit #69/iron/fa#6/dha 27-1-400MG capsule $0.2000/Each

prenatal vit #83/iron/fa#6/dha 29-1-150MG capsule $0.2000/Each

prenatal vit #91/fe fum/fa/dha 28-975-200 capsule $0.2000/Each

prenatal vit comb no.4/iron carbonyl-iron gluconate/fa/doss 27-1-50mg tablet $0.2000/Each

prenatal vit no.109/iron/fa 40-1MG Tablet, Chewable $0.2000/Each

prenatal vit no.112/folic acid 1 MG Tablet, Chewable $0.2000/Each

prenatal vit no.114/fa/ginger 1MG-500MG tablet $0.2000/Each

prenatal vit no.124/iron/fa 27MG-0.8MG tablet $0.2000/Each

prenatal vit no.126/iron/fa 28MG-0.8MG tablet $0.2000/Each

prenatal vit no.128/iron/fa 28MG-0.8MG tablet $0.2000/Each

prenatal vit no.129/iron/fa 27MG-0.8MG tablet $0.2000/Each

prenatal vit no.130/iron/fa 27MG-0.8MG tablet $0.2000/Each

prenatal vit no.131/iron/fa 28MG-0.8MG tablet $0.2000/Each

prenatal vit no.138/folic/dha 0.4MG-25MG tablet,chewable $0.2000/Each

prenatal vit no.170/iron/folic 27 MG-1 MG tablet $0.2000/Each

prenatal vit no.44/iron/fa/dha 29-1-350MG capsule $0.0000

prenatal vit no.87/iron/fa/dha 18-1-350MG capsule $0.2000/Each

prenatal vit w/o calc no.10/iron fum&polysac comp/fa/omega-3 30-1-310.1 capsule $0.2000/Each

prenatal vit w-ca,fe,fa(<1 mg) Combination Package $0.2000/Each

prenatal vit w-ca,fe,fa(<1 mg) capsule $0.2000/Each

prenatal vit with ca #75/iron fum/folic acid/omega-3/dha/epa 28-800-440 capsule $0.2000/Each

prenatal vit with ca no.64/iron carb&gluc/folic acid/dss/dha 90-1-300mg capsule $0.2000/Each

prenatal vit with ca no.68/iron fumarate/folic acid #1/dha 28-1-300mg capsule $0.2000/Each

prenatal vit with calcium #32/iron/fa/fish oil 27-1-880mg capsule $0.2000/Each

prenatal vit with calcium #34/iron/folic acid 28 mg-1 mg tablet, extended release $0.2000/Each

prenatal vit with calcium #34/iron/folic acid/dha 28-1-250mg capsule $0.2000/Each

prenatal vit with calcium #60/iron/folic acid/dha 27-1-250mg capsule $0.2000/Each

prenatal vit with calcium #69/iron,carbon/folic acid/dss/dha 27-1-50mg capsule $0.2000/Each

prenatal vit with calcium #69/iron,carbon/folic acid/dss/dha 28-1-50 mg capsule $0.2000/Each

prenatal vit with calcium cmb 11/ferrous fumarate/folic acid 65 mg-1 mg Caplet $0.2000/Each

prenatal vit with calcium comb no.63/iron,carbonyl/fa/b6 20-1-25 mg tablet $0.2000/Each

prenatal vit with calcium comb no.65/iron polysacch cmplx/fa 60 mg-1 mg capsule $0.2000/Each

prenatal vit with calcium no. 40/iron fumarate/fa cmb no.1 27 mg-1 mg tablet $0.2000/Each

prenatal vit with calcium no.39/iron fum/folic acid/dss/dha 30-1.2-55 capsule $0.2000/Each

prenatal vit with calcium no.39/iron fum/folic acid/dss/dha 30-1.24-55 capsule $0.0000

prenatal vit with calcium no.61/iron fumarate/folic acid/dha 28-975-200 capsule $0.2000/Each

prenatal vit with calcium no.66/iron fum/folic acid/dss/dha 26-1.2-55 capsule $0.2000/Each

prenatal vit with calcium no.66/iron fum/folic acid/dss/dha 27-1.25-55 capsule $0.2000/Each

prenatal vit with calcium no.80/iron fum/folic acid/dss/dha 27-1.25-55 capsule $0.2000/Each

Page 47 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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prenatal vit with calcium no.80/iron fum/folic acid/dss/dha 29-1.25-55 capsule $0.2000/Each

prenatal vit with calcium no42/iron fum/fa/l-mefolate ca/dha 27-1.13 mg capsule $0.2000/Each

prenatal vit with calcium no42/iron fum/fa/l-mefolate ca/dha 27-400-1 capsule $0.2000/Each

prenatal vit with calcium no42/iron fum/fa/l-mefolate ca/dha 27mg-400 capsule $0.2000/Each

prenatal vit with calcium no8-iron ps cmplx,fa& levomefolate 29-400-1 Caplet $0.2000/Each

prenatal vit with calcium no8-iron ps cmplx,fa,l-mefolate ca 29-1.13 mg tablet $0.2000/Each

prenatal vit#101/iron/fa/dha 27-800-200 capsule $0.2000/Each

prenatal vit#118/iron/fa#6/dha 30-1-300MG capsule $0.2000/Each

prenatal vit#42/fa cmb#6 1 mg Tablet, Chewable $0.2000/Each

prenatal vit#65/iron fum&ps/fa 40-1.25 MG capsule $0.2000/Each

prenatal vit#84/iron/fa#1/dha 18-1-300MG capsule $0.2000/Each

prenatal vit#85/iron/fa#1/dha 10-1-200MG capsule $0.2000/Each

prenatal vit#96/ferrous fum/fa 27MG-0.8MG tablet $0.2000/Each

prenatal vit#98/ferrous fum/fa 9MG-267MCG tablet $0.2000/Each

prenatal vit/fe fumarate/fa 28-1 mg tablet $0.2000/Each

prenatal vit/fe fumarate/fa 27 mg; 1 mg tablet $0.2000/Each

prenatal vit/iron fumarate/fa 60MG-0.8MG tablet $0.2000/Each

prenatal vit/iron fumarate/fa 45-1MG tablet $0.2000/Each

prenatal vit/iron fumarate/fa 45MG-0.8MG tablet $0.2000/Each

prenatal vit/iron fumarate/fa 29MG-0.8MG tablet $0.2000/Each

prenatal vit/iron fumarate/fa 29 MG-1 MG tablet $0.2000/Each

prenatal vit/iron fumarate/fa 108.9-0.4 tablet $0.2000/Each

prenatal vit/iron,carb/doss/fa 90 mg; 50 mg; 1 mg Caplet $0.2000/Each

prenatal vit/iron,carbonyl/fa 60 MG-1 MG tablet $0.2000/Each

prenatal vit28&calcium/iron/fa 60 MG-1 MG tablet $0.2000/Each

prenatal vitamin #55/iron fumarate & bisglycinate/folic acid 28 mg-1 mg Tablet, Chewable $0.2000/Each

prenatal vitamin 27 with calcium/ferrous fumarate/folic acid 60 mg-1 mg tablet $0.2000/Each

prenatal vitamin comb no.42/iron fumarat/fa/levomefolate/dha 27-400-1 capsule $0.2000/Each

prenatal vitamin comb no.79/iron fumarat/fa/lmefolate ca/dha 27-1.13 mg capsule $0.0000

prenatal vitamin combination no.19/iron/folic acid/dha 22-6-1-200 capsule $0.2000/Each

prenatal vitamin combination no.8/iron/folic acid/dha 22-6-1-200 capsule $0.2000/Each

prenatal vitamin combo no.22/iron/folic acid/omega-3/dha 28-6-1-203 capsule $0.2000/Each

prenatal vitamin combo no.8/iron ps cmplx & aspgl/fa/dha 22-6-1-200 capsule $0.2000/Each

prenatal vitamin no.15/iron,carbonyl/folic acid/docusate sod 90-1-50 mg tablet $0.2000/Each

prenatal vitamin no.16/iron,carbonyl/folic acid/docusate sod 90-1-50 mg tablet $0.2000/Each

prenatal vitamin no.17/iron,carbonyl/folic acid/docusate sod 90-1-50 mg tablet $0.2000/Each

prenatal vitamin no.18/iron,carbonyl/folic acid/docusate sod 90-1-50 mg tablet $0.2000/Each

prenatal vitamin no.67/sodium feredetate-iron poly/fa/omega3 27-1-300mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamin no.77/sodium feredetate-iron poly/fa/omega3 27-1-430mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamin no.81/sodium feredetate-iron poly/fa/omega3 27-1-430mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamin no.86/iron bis-glycinate/folic acid 32 mg-1 mg tablet $0.2000/Each

prenatal vitamin no.88/iron ps complex/fa/l-mefolate ca/dha 29-0.5-1.4 Caplet $0.2000/Each

prenatal vitamin no.94/sodium feredetate-iron poly/fa/omega3 26-1-374mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamin w-o calcium/fe bisgly/folic acid 29 mg-1 mg tablet $0.2000/Each

prenatal vitamin w-o calcium/ferrous gluconate/folic acid 30-0.8mg tablet $0.2000/Each

prenatal vitamin w-o calcium/iron polysaccharides complex/fa 29 mg-1 mg Caplet $0.2000/Each

prenatal vitamin w-o calcium/iron,carbonyl/docusate/fa 29-50-1mg Caplet $0.2000/Each

prenatal vitamin w-o calcium/iron,carbonyl/docusate/fa 29-50-1mg Caplet $0.2000/Each

prenatal vitamin w-o vit a/fe carbonyl-fe fumarate/fa 30mg-1mg tablet $0.2000/Each

prenatal vitamin w-o vit a/fe carbonyl-fe fumarate/fa 40-1mg Caplet $0.2000/Each

prenatal vitamin w-o vit a/ferrous fumarate/docusate/fa 28 mg-1 mg capsule $0.2000/Each

prenatal vitamin w-o vit a/ferrous fumarate/docusate/fa/zinc 28-1-66mg capsule $0.2000/Each

prenatal vitamin w-o vit a/ferrous fumarate/folic acid 40-1mg Tablet, Chewable $0.2000/Each

prenatal vitamin w-o vit a/ferrous fumarate/folic acid 40-1mg Caplet $0.2000/Each

prenatal vitamins #39/iron amino acid chelate/fa combo#6/dha 30-1-300 mg capsule $0.2000/Each

prenatal vitamins #45/iron/fa 28 MG-1 MG Tablet, Chewable $0.2000/Each

prenatal vitamins comb #83/iron,carbonyl/iron asparto gly/fa 30-20-1 mg tablet $0.2000/Each

prenatal vitamins comb 10/ferrous fumarate/folic acid 65 mg-1 mg Caplet $0.2000/Each

prenatal vitamins comb 10/ferrous fumarate/folic acid/dha 65-1-250mg Caplet $0.2000/Each

prenatal vitamins comb no.1/iron,carbonyl/docusate/fa 90-50-1mg tablet $0.2000/Each

Page 48 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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prenatal vitamins comb no.19/iron bg hcl suc-prot/fa/omega-3 29-1-400mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamins comb no.19/iron bg hcl&succ-p2/fa/omega-3 29-1-400mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamins comb no.19/iron b-g suc che-pr/fa/omega-3 29-1-400mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamins comb no.2/iron b-g suc-p/fa/omega-3 29-1-250mg capsule $0.2000/Each

prenatal vitamins comb no.20/iron bisgly/folic acid/dha 26-1-200mg Caplet $0.2000/Each

prenatal vitamins comb no.21/iron/folic acid 14mg-0.4mg Caplet $0.2000/Each

prenatal vitamins comb no.25/iron bisgly/folic acid 25mg-1mg Caplet $0.2000/Each

prenatal vitamins comb no.3/fe fumarate-fe gluconate/fa 20mg-0.8mg tablet $0.2000/Each

prenatal vitamins comb no.43/iron,carbonyl/fa/docusate sod 29-1-50mg Caplet $0.2000/Each

prenatal vitamins comb no.44/iron,carbonyl/folic acid 29 mg-1 mg tablet $0.2000/Each

prenatal vitamins comb no.47/ferrous fumarate/fa cmb #1/dha 27-1-300mg capsule $0.2000/Each

prenatal vitamins comb no.48/iron na feredetate/fa/omega-3 30-1-440mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamins comb no.52/iron b-g suc-p/folic acid 29 mg-1 mg Caplet $0.2000/Each

prenatal vitamins comb no.53/iron b-g hcl suc-p/fa/omega-3 29-1-400mg capsule $0.2000/Each

prenatal vitamins comb no.53/iron b-g suc-p/fa/omega-3 29-1-400mg capsule $0.2000/Each

prenatal vitamins comb no.54/iron b-g hcl suc-p/fa/omega-3 29-1-430mg capsule $0.2000/Each

prenatal vitamins comb no.54/iron b-g suc-p/fa/omega-3 29-1-430mg capsule $0.2000/Each

prenatal vitamins comb no.55/iron bg hcl suc-prot/fa/omega-3 29-1-430mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamins comb no.55/iron bg hcl&succ-p2/fa/omega-3 29-1-430mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamins comb no.55/iron b-g suc che-pr/fa/omega-3 29-1-430mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamins comb no.59/ferrous sulfate/folic acid/dha 28-975-200 Powder, Effervescent $0.2000/Each

prenatal vitamins comb no.62/ferrous fumarate/folic acid/dha 27-1-250mg capsule $0.2000/Each

prenatal vitamins comb no.7/fe asp gly/docusate/folic acid 30-50-1mg Caplet $0.2000/Each

prenatal vitamins comb no.70/ferrous fumarate/folic acid/dha 28-1-250mg capsule $0.0000

prenatal vitamins comb no.72/ferrous fumarate/folic acid 27 mg-1 mg tablet $0.2000/Each

prenatal vitamins comb no.73/ferrous fumarate/folic acid 28 mg-1 mg tablet $0.2000/Each

prenatal vitamins comb no.74/ferrous fumarate/folic acid 27 mg-1 mg tablet $0.2000/Each

prenatal vitamins comb no.76/iron,carbonyl/folic acid 29 mg-1 mg tablet $0.2000/Each

prenatal vitamins comb no.78/ferrous fumarate/folic acid 29 mg-1 mg tablet $0.2000/Each

prenatal vitamins comb no.84/iron,carbonyl/folic acid/dha 20-1-100mg Tablet, Chewable $0.2000/Each

prenatal vitamins comb no.87/iron bisgly/folic acid/dha 32-1-230mg capsule $0.2000/Each

prenatal vitamins comb no.89/ferrous fumarate/folic acid 25mg-0.8mg tablet $0.2000/Each

prenatal vitamins comb no.90/ferrous fumarate/folic acid 9 mg-0.5mg tablet $0.2000/Each

prenatal vitamins comb. no.21 with iron & folic acid 28-6-1 mg tablet $0.2000/Each

prenatal vitamins combo #36/ferrous fumarate/folate combo #6 26 mg-1 mg tablet $0.2000/Each

prenatal vitamins combo no.14/ferrous fumarate/folic acid 29 mg-1 mg Tablet, Chewable $0.2000/Each

prenatal vitamins combo no.23/iron ps complex/folic acid 155 mg-1mg capsule $0.0000

prenatal vitamins combo no.25/ferrous fumarate/fa/dha 30-975-200 capsule $0.2000/Each

prenatal vitamins combo no.28/ferrous fumarate/folic acid 27 mg-1 mg tablet $0.2000/Each

prenatal vitamins combo no.33/iron ps cmplx/folic acid/dha 29-1-250mg Caplet $0.2000/Each

prenatal vitamins combo no.34/iron,carb/folic acid/dss/dha 30-1-50 mg capsule $0.2000/Each

prenatal vitamins combo no.37/ferrous fumarate/folic acid 29 mg-1 mg Tablet, Chewable $0.2000/Each

prenatal vitamins combo no.8/iron ps cmplx & aspgly/fa 22-6-1mg tablet $0.2000/Each

prenatal vitamins no.11/ferrous fumarate/folic acid/omega-3 28-1-200mg capsule $0.2000/Each

prenatal vitamins no.12/iron,carbonyl/fa/docusate na/omega-3 29-1-50mg capsule,delayed release (e.c.) $0.2000/Each

prenatal vitamins no.13/iron,carbonyl/fa/docusate na/dha 90-1-250mg Combination Package $0.2000/Each

prenatal vitamins no.15/iron fumarate & polysac comp/fa 85 mg-1 mg capsule $0.2000/Each

prenatal vitamins no.18/iron,carbonyl/fa/ubidecarenone/dha 15-0.5-50 tablet $0.2000/Each

prenatal vitamins no.22/iron cbn & gluc/folic acid/dss 27-1-50mg tablet $0.2000/Each

prenatal vitamins no.22/iron cbn&glucon/folic acid/dss/dha 27-1-50mg Caplet $0.2000/Each

prenatal vitamins no.22/iron,carbonyl/fa/docusate na/dha 90-1-250mg Caplet $0.2000/Each

prenatal vitamins no.24/iron amino acid chelate/fa/dha 30-975-300 capsule $0.2000/Each

prenatal vitamins no.24/iron amino acid chelate/folic acid 30 mg-975 tablet $0.2000/Each

prenatal vitamins no.24/iron cbn&glucon/folic acid/doss/dha 30-1-75mg Combination Package $0.2000/Each

prenatal vitamins no.26/iron polysaccharides/fa/dha 29-1-200 mg capsule $0.2000/Each

prenatal vitamins no.27/iron carbonyl & fumarate/folic acid 60 mg-1 mg tablet $0.2000/Each

prenatal vitamins no.38/iron cbn&glucon/folic acid/dss/dha 35-1-50mg capsule $0.2000/Each

prenatal vitamins no.38/iron fumarate/folate comb no.6/dha 28-1-300mg capsule $0.0000

prenatal vitamins no.4/ferrous fumarate/folic acid 106 mg-1mg capsule $0.2000/Each

prenatal vitamins no.4/iron cbn&gluconat/folic acid/doss/dha 27-1-50mg Combination Package $0.2000/Each

Page 49 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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prenatal vitamins no.45/iron,carbonyl/fa/docusate sod/dha 90-1-250mg Combination Package $0.2000/Each

prenatal vitamins no.46/iron,carbonyl/folic acid/dha 7-400-100 tablet $0.2000/Each

prenatal vitamins without calcium no.9/iron/folic acid 60 mg-1 mg tablet $0.2000/Each

prenatal vitamins w-o ca comb. no. 8 with iron & folic acid 22-6-1mg tablet $0.2000/Each

prenatal vitamins/fe carbonyl-fe sulfate/folic acid 60 mg-1 mg tablet $0.2000/Each

prenatal vitamins/ferrous bis-glycinate chelate/folic acid 27 mg-1 mg tablet $0.2000/Each

prenatal vitamins/ferrous bis-glycinate chelate/folic acid 29 mg-1 mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/docusate/folic acid 90-50-1mg Caplet $0.2000/Each

prenatal vitamins/ferrous fumarate/docusate/folic acid 29 mg-1 mg Caplet $0.2000/Each

prenatal vitamins/ferrous fumarate/docusate/folic acid 40-25-1mg Caplet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 60 mg-1 mg Caplet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 65 mg-1 mg Caplet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 40-1mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 65 mg-1 mg capsule $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 66-1mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 27-0.5mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 27mg-0.8mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 75-1mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 28mg-0.8mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 35-1mg Tablet, Chewable $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 17mg-1mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 15-1mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 27 mg-1 mg Bar $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 28 mg-1 mg Bar $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid 29 mg-1 mg Tablet, Chewable $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid/fatty acids 30mg-1mg Combination Package $0.2000/Each

prenatal vitamins/ferrous fumarate/folic acid/selenium 27 mg-1 mg tablet $0.2000/Each

prenatal vitamins/ferrous fumarate/omega-3/fa/fat combo no.1 30-300-1mg Combination Package $0.2000/Each

prenatal vitamins/ferrous gluconate/folic acid 30-0.4mg tablet $0.2000/Each

prenatal vitamins/ferrous gluconate/folic acid 30-0.8mg tablet $0.2000/Each

prenatal vitamins/ferrous gluconate/folic acid 2.2-.1-455 Powder $0.2000/Gram

prenatal vitamins/iron fumarate & bis-glycinat/fa/aspartame 29 mg-1 mg Tablet, Chewable $0.2000/Each

prenatal vitamins/iron fumarate & bis-glycinat/folic acid 29 mg-1 mg tablet $0.2000/Each

prenatal vitamins/iron polysaccharides complex/folic acid 60 mg-1 mg tablet $0.2000/Each

prenatal vitamins/iron,carbonyl/docusate/calcium/folic acid 90-1-600mg Combination Package $0.2000/Each

prenatal vitamins/iron,carbonyl/folic acid 29 mg-1 mg tablet $0.2000/Each

prenatal vitamins/iron,carbonyl/folic acid 50-1mg tablet $0.2000/Each

prenatal vitamins/iron,carbonyl/omega-3/fa/fat combo no.1 27-300-1mg capsule $0.2000/Each

prenatal vitamins/iron,carbonyl/omega-3/fa/min aa chel 29-600-1mg Combination Package $0.2000/Each

prenatal vits #32/iron/fa/dha 27-1-150MG capsule $0.2000/Each

prenatal vits #4/iron fumarate & polysacc complex/folic acid 106 mg-1mg capsule $0.2000/Each

prenatal vits #43/iron/fa/dha 27-1-200mg capsule $0.2000/Each

prenatal vits #92/iron/fa/dha 28MG-0.8MG capsule,delayed release (e.c.) $0.2000/Each

prenatal vits #93/iron fum/fa 9MG-267MCG tablet $0.2000/Each

prenatal vits cmb w-o ca no.1/fe bisgly/folic acid 28 mg-1 mg Caplet $0.2000/Each

prenatal vits cmb w-o ca no.2 106 mg-1mg capsule $0.2000/Each

prenatal vits w-ca,fe,fa(<1mg) Caplet $0.2000/Each

prenatal vits w-ca,fe,fa(1mg) capsule $0.2000/Each

prenatal vits w-ca,fe,fa(1mg) Caplet $0.2000/Each

prenatal vits w-ca,fe,fa(1mg)/selenium tablet $0.2000/Each

prenatal vits with calcium #36/ferrous fumarate/folic acid 13.5-0.4mg capsule $0.2000/Each

prenatal vits without calc no3/ferrous fumarate/folic acid 106 mg-1mg capsule $0.2000/Each

prenatal vits without calc no4/ferrous fumarate/folic acid 106.5-1mg capsule $0.2000/Each

prenatal vits without calc no5/ferrous fumarate/folic acid 106.5-1mg capsule $0.2000/Each

prenatal vits w-o ca comb. no. 7 w/ iron & folic acid & dha 28-1.25mg capsule $0.2000/Each

prenatal72/iron fum/fa/om3/dha 27-1-250MG capsule $0.2000/Each

prenatl vit6/iron/fa/b12/ca/d3 35MG-1.1MG tablet $0.2000/Each

prenatl vit6/iron/fa/b12/ca/d3 35 MG-5 MG tablet $0.2000/Each

primidone 250 mg tablet $0.1340/Each

primidone 50 mg tablet $0.0621/Each

Page 50 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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probenecid 0.5 gm tablet $0.4745/Each

probenecid w/colchicine 0.5 gm/0.5 mg tablet $0.0000

probenecid/colchicine 500-0.5 MG tablet $0.6485/Each

prochlorperazine edisylate 10 MG/2 ML solution $2.8850/Milliliter

prochlorperazine maleate 25 mg Suppository $7.1345/Each

prochlorperazine maleate 10 mg tablet $0.0584/Each

prochlorperazine maleate 5 mg tablet $0.0421/Each

progesterone 50 MG/ML Oil $2.3000/Milliliter

progesterone,micronized 100 MG capsule $0.2100/Each

progesterone,micronized 200 MG capsule $0.6265/Each

promethazine hcl 25 mg/ml Solution $1.1025/Milliliter

promethazine hcl 50 mg/ml Solution $2.3310/Milliliter

promethazine hcl 25 mg/ml Solution $1.0865/Milliliter

promethazine hcl 50 mg/ml Solution $2.4192/Milliliter

promethazine hcl 25 mg Suppository $4.8255/Each

promethazine hcl 50 mg Suppository $24.4775/Each

promethazine hcl 12.5 mg Suppository $2.9895/Each

promethazine hcl 6.25 mg/5 ml Solution $0.0120/Milliliter

promethazine hcl 12.5 mg tablet $0.0675/Each

promethazine hcl 25 mg tablet $0.0392/Each

promethazine hcl 50 mg tablet $0.0750/Each

promethazine vc 6.25 mg/5 mg per 5 ml Syrup $0.0000

promethazine vc w/codeine 6.25 mg/5 mg/10 mg per 5 ml Syrup $0.0000

promethazine w/dm 6.25-15/5 Solution $0.0000

promethazine/codeine 10-6.25/5 ml Syrup $0.0205/Milliliter

propafenone hcl 150 mg tablet $0.1920/Each

propafenone hcl 300 mg tablet $0.4926/Each

propafenone hcl 225 mg tablet $0.2700/Each

propafenone hcl 225 mg capsule, extended release $1.1224/Each

propafenone hcl 325 mg capsule, extended release $1.2720/Each

propafenone hcl 425 mg capsule, extended release $3.0290/Each

proparacaine HCl 0.5 % Drops $1.4745/Milliliter

propofol 10 MG/ML emulsion $0.1045/Milliliter

propoxyphene hcl 65 mg capsule $0.0000

propoxyphene napsylate; apap 100 mg; 650 mg tablet $0.0000

propoxyphene; apap 65/650 mg tablet $0.0000

Page 51 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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propranolol hcl 80 mg capsule, extended release $0.4040/Each

propranolol hcl 120 mg capsule, extended release $0.4267/Each

propranolol hcl 160 mg capsule, extended release $0.8591/Each Decrease

propranolol hcl 60 mg capsule, extended release $0.5649/Each

propranolol hcl 10 mg tablet $0.0746/Each

propranolol hcl 20 mg tablet $0.1245/Each

propranolol hcl 40 mg tablet $0.1690/Each

propranolol hcl 60 mg tablet $0.2395/Each

propranolol hcl 80 mg tablet $0.1560/Each

propranolol HCl 20 MG/5 ML solution $0.1115/Milliliter

propranolol/hctz 40 mg; 25 mg tablet $0.0000

propranolol/hctz 80 mg; 25 mg tablet $0.0000

propylthiouracil 50 mg tablet $0.6355/Each

protriptyline hcl 10 mg tablet $1.6795/Each

protriptyline hcl 5 mg tablet $1.3800/Each

pseudoephedrine HCl 15 MG/5 ML liquid $0.0105/Milliliter

pseudoephedrine hcl 30 mg Caplet $0.0361/Each

pseudoephedrine hcl 60 mg tablet $0.0329/Each

pseudoephedrine hcl/cetirizine hcl 120 mg; 5 mg tablet, extended release $0.0000

pseudoephedrine hcl; chlorpheniramine maleate 120 mg; 8 mg capsule, extended release $0.0000

pseudoephedrine hcl; chlorpheniramine maleate 30 mg; 2 mg per 5 ml Solution $0.0000

pseudoephedrine sulfate/loratadine 240-10 mg tablet, extended release $0.0000

psyllium NA Powder $0.0346/Gram

psyllium husk 0.52G capsule $0.0530/Each

psyllium husk (with sugar) 3.4 G/7 G powder $0.0125/Gram

psyllium husk/aspartame 3.4G/5.8G powder $0.0185/Gram

psyllium seed (with dextrose) Powder $0.0137/Gram

psyllium seed/sucrose oral powder NA Powder $0.0122/Gram

psyllium/sucrose oral packet NA Packet $0.0000

pv w-o vit a/fe fumarate/fa 106 MG-1MG capsule $0.2000/Each

pv w-o vit a/iron,carbonyl/fa 29 MG-1 MG tablet $0.2000/Each

pyrazinamide 500 MG tablet $2.7466/Each

pyridostigmine bromide 60 MG/5 ML syrup $2.3300/Milliliter

pyridostigmine bromide 60 mg tablet $0.3665/Each

pyridostigmine bromide 180 mg tablet, extended release $2.5050/Each

quetiapine fumarate 150 MG tablet, extended release $0.2340/Each

quetiapine fumarate 50 mg tablet $0.0330/Each

quetiapine fumarate 400 mg tablet $0.1615/Each

quetiapine fumarate 25 mg tablet $0.0315/Each

quetiapine fumarate 100 mg tablet $0.0665/Each

quetiapine fumarate 200 mg tablet $0.0855/Each

quetiapine fumarate 300 mg tablet $0.1297/Each

quetiapine fumarate 200 MG tablet, extended release $0.2215/Each

quetiapine fumarate 300 MG tablet, extended release $0.3231/Each

quetiapine fumarate 400 MG tablet, extended release $0.4545/Each

quetiapine fumarate 50 MG tablet, extended release $0.1295/Each

quinapril hcl 10 mg tablet $0.0663/Each

quinapril hcl 20 mg tablet $0.1015/Each

quinapril hcl 5 mg tablet $0.0663/Each

quinapril hcl 40 mg tablet $0.1015/Each

quinapril hcl/hctz 10-12.5 mg tablet $0.3625/Each

quinapril hcl/hctz 20-12.5 mg tablet $0.2760/Each

quinapril hcl/hctz 20-25 mg tablet $0.1675/Each

quinidine gluconate 324 mg tablet, extended release $0.0000

quinidine sulfate 200 mg tablet $0.0000

quinine sulfate 324 MG capsule $1.5045/Each

quinine sulfate 325 mg capsule $0.0000

quinine sulfate 260 mg tablet $0.0000

rabeprazole sodium 20 MG tablet, delayed release (enteric coated) $0.1800/Each

raloxifene hcl 60 MG tablet $0.3150/Each

Page 52 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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ramelteon 8 MG tablet $1.8600/Each

ramipril 1.25 mg capsule $0.0975/Each

ramipril 2.5 mg capsule $0.0598/Each

ramipril 5 mg capsule $0.0450/Each

ramipril 10 mg capsule $0.0750/Each

ranitidine hcl 150 mg tablet $0.0395/Each

ranitidine hcl 300 mg tablet $0.0685/Each

ranitidine hcl 150 mg/10 ml Solution $0.0225/Milliliter

ranitidine hcl 150 mg capsule $0.2625/Each

ranitidine hcl 300 mg capsule $0.5825/Each

ranolazine 500 MG tablet, extended release $0.3524/Each

ranolazine 1000 MG tablet, extended release $0.6065/Each

rasagiline mesylate 1 MG tablet $1.6305/Each

rasagiline mesylate 0.5 MG tablet $2.6907/Each Decrease

repaglinide 0.5 MG tablet $0.1875/Each

repaglinide 1 MG tablet $0.1155/Each

repaglinide 2 MG tablet $0.1050/Each

ribavirin 200 mg capsule $0.3515/Each

ribavirin 200 mg tablet $0.4695/Each

rifabutin 150 mg capsule $11.3500/Each

rifampin 150 MG capsule $0.8085/Each

rifampin 300 mg capsule $0.7075/Each

rifampin 600 MG solution $83.3500/Each

riluzole 50 MG tablet $0.4345/Each

rimantadine hcl 100 mg tablet $1.7590/Each

Ringer's solution solution $0.0047/Milliliter

ringer's solution,lactated Solution $0.0022/Milliliter

Ringer's solution,lactated solution $0.0032/Milliliter

risedronate sodium 35 mg tablet $2.2650/Each

risedronate sodium 35 mg tablet, delayed release (enteric coated) $27.2275/Each

risedronate sodium 30 MG tablet $24.2500/Each

risedronate sodium 5 MG tablet $4.7555/Each

risedronate sodium 150 mg tablet $11.1345/Each Decrease

risperidone 1 mg/ml Solution $0.3175/Milliliter

risperidone 1 mg tablet $0.0473/Each

risperidone 2 mg tablet $0.0635/Each

risperidone 3 mg tablet $0.0600/Each

risperidone 4 mg tablet $0.0945/Each

risperidone 1 mg Tablet,disintegrating $0.8725/Each

risperidone 2 mg Tablet,disintegrating $0.7162/Each

risperidone 0.5 mg Tablet,disintegrating $0.4575/Each

risperidone 0.25 MG Tablet,disintegrating $2.0455/Each

risperidone 3 mg Tablet,disintegrating $1.5585/Each

risperidone 4 mg Tablet,disintegrating $1.9065/Each

risperidone 0.25 mg tablet $0.0150/Each

risperidone 0.5 mg tablet $0.0270/Each

ritonavir 100 MG tablet $0.0000

rivastigmine tartrate 1.5 MG capsule $0.3882/Each

rivastigmine tartrate 3 MG capsule $0.3255/Each

rivastigmine tartrate 4.5 MG capsule $0.3845/Each

rivastigmine tartrate 6 MG capsule $0.4040/Each

rizatriptan benzoate 5 MG tablet $0.8055/Each

rizatriptan benzoate 10 MG tablet $0.5832/Each

rizatriptan benzoate 5 MG Tablet,disintegrating $0.9862/Each

rizatriptan benzoate 10 MG Tablet,disintegrating $0.8945/Each

rocuronium bromide 10 MG/ML solution $0.5635/Milliliter

ropinirole hcl 12 MG tablet, extended release $2.6361/Each Decrease

ropinirole hcl 6 MG tablet, extended release $1.9350/Each

ropinirole hcl 0.25 mg tablet $0.0248/Each

ropinirole hcl 1 mg tablet $0.0569/Each

Page 53 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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ropinirole hcl 2 mg tablet $0.0628/Each

ropinirole hcl 5 mg tablet $0.0705/Each

ropinirole hcl 0.5 mg tablet $0.0254/Each

ropinirole hcl 4 mg tablet $0.0576/Each

ropinirole hcl 3 mg tablet $0.0705/Each

ropinirole hcl 2 MG tablet, extended release $0.4950/Each

ropinirole hcl 4 MG tablet, extended release $0.4950/Each

ropinirole hcl 8 MG tablet, extended release $0.9895/Each

ropivacaine HCl/PF 2 MG/ML solution $0.2607/Milliliter

ropivacaine HCl/PF 5 MG/ML solution $0.3528/Milliliter

rosuvastatin calcium 10 MG tablet $0.0855/Each

rosuvastatin calcium 20 MG tablet $0.0600/Each

rosuvastatin calcium 40 MG tablet $0.1415/Each

rosuvastatin calcium 5 MG tablet $0.0550/Each

salicylic acid 17 % Liquid $0.2535/Milliliter

salicylic acid 27.5 % Film-Forming Liquid with Applicator $4.8025/Milliliter

salicylic acid 6 % Cream $0.0565/Gram

salicylic acid 6 % Shampoo $0.1320/Milliliter

salsalate 500 mg tablet $0.5695/Each

salsalate 750 mg Caplet $0.5500/Each

sanctura 20 MG tablet $0.4935/Each

sapropterin dihydrochloride 100 MG powder $30.6200/Each

sapropterin dihydrochloride 100 MG Tablet, Soluble $32.2000/Each

scopolamine 1 MG/3 DAY Patch,Transdermal 3 day $12.6282/Each Decrease

selegiline hcl 5 mg tablet $0.9455/Each

selegiline hcl 5 mg capsule $1.0675/Each

selenium sulfide 2.25 % Shampoo $0.5000/Milliliter

selenium sulfide 2.5% Lotion $0.0000

selenium sulfide 2.3 % shampoo $1.1676/Milliliter

sennosides 8.6 mg tablet $0.0197/Each

sennosides 15 MG tablet $0.1300/Each

sennosides 8.8MG/5ML Liquid $0.0400/Milliliter

sennosides 25 MG tablet $0.1075/Each

sennosides/docusate sodium 8.6mg-50mg tablet $0.0282/Each

sertraline hcl 25 mg tablet $0.0345/Each

sertraline hcl 50 mg tablet $0.0396/Each

sertraline hcl 100 mg tablet $0.0475/Each

sertraline hcl 20 mg/ml Concentrate $0.4695/Milliliter

sevelamer carbonate 0.8 G Powder $9.4600/Each

sevelamer carbonate 2.4 G Powder $9.9355/Each

sevelamer carbonate 800 MG tablet $0.3180/Each

sevoflurane liquid $0.5200/Milliliter

sildenafil citrate 20 MG tablet $0.0885/Each

sildenafil citrate 10 MG/ML suspension $17.4075/Milliliter

silodosin 4 MG capsule $1.0800/Each

silodosin 8 MG capsule $0.9385/Each

silver sulfadiazine 1% Cream $0.1500/Gram

simethicone 40mg/0.6ml Drops, Suspension $0.0720/Milliliter

simethicone 80 mg Tablet, Chewable $0.0260/Each

simethicone 125 MG Tablet, Chewable $0.0440/Each

simethicone 125 MG capsule $0.0769/Each

simethicone 180 MG capsule $0.0562/Each

simvastatin 5 mg tablet $0.0200/Each

simvastatin 10 mg tablet $0.0360/Each

simvastatin 20 mg tablet $0.0212/Each

simvastatin 40 mg tablet $0.0371/Each

simvastatin 80 mg tablet $0.0903/Each

sirolimus 1 mg tablet $5.7690/Each

sirolimus 2 mg tablet $11.6595/Each

sirolimus 0.5 mg tablet $3.9635/Each

Page 54 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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sod phos di, mono/k phos mono 250 MG Caplet $0.3100/Each

sodium benzoate/sod phenylacet 10 %-10 % solution $202.4500/Milliliter

sodium bicarbonate 1 MEQ/ML Solution $0.1720/Milliliter

sodium bicarbonate 650 MG tablet $0.0135/Each

sodium chloride 0.9%; 3 ml Solution $0.0000

sodium chloride 0.9%; 25 ml Solution $0.0000

sodium chloride 0.9%; 50 ml Solution $0.0000

sodium chloride 0.9%; 100 ml Solution $0.0000

sodium chloride 0.9%; 150 ml Solution $0.0000

sodium chloride 0.9%; 250 ml Solution $0.0000

sodium chloride 0.9%; 500 ml Solution $0.0000

sodium chloride 0.9%; 1000 ml Solution $0.0000

sodium chloride 4 MEQ/ML solution $0.0921/Milliliter

sodium chloride 2.5 MEQ/ML solution $0.0778/Milliliter

sodium chloride 0.9%; 10 ml Solution $0.0000

sodium chloride 5 % Ointment $2.1943/Gram

sodium chloride 5 % Drops $0.3475/Milliliter

sodium chloride 0.65 % Aerosol, Spray $0.0240/Milliliter

sodium chloride 0.9 % (flush) 0.009 solution $0.0450/Milliliter

sodium chloride for inhalation 0.9 % solution $0.0850/Milliliter

sodium chloride/sodium bicarbonate 420 g Solution $0.0041/Milliliter

sodium ferric gluconat/sucrose 62.5MG/5ML solution $1.6000/Milliliter

sodium fluoride 1.1% Cream $0.0720/Gram

sodium fluoride 0.5 mg/ml Drops $0.1355/Milliliter

sodium fluoride 0.25(0.55) Tablet, Chewable $0.0450/Each

sodium fluoride .5 mg Tablet, Chewable $0.0300/Each

sodium fluoride 1 mg Tablet, Chewable $0.0450/Each

sodium phenylbutyrate 0.94 G/G powder $17.7000/Gram

sodium phosphate,monobasic/sodium phosphate,dibasic 19g-7g/118 Enema $0.0065/Milliliter

sodium polystyrene sulfonate Powder $0.0955/Gram

sodium sulfate/sodium chloride/sodium bicarbonate/potassium chloride/polyethylene glycol N/A Solution $0.0035/Milliliter

sofosbuvir/velpatasvir 400-100 MG tablet $280.0000/Each Add

solifenacin succinate 5 MG tablet $0.1800/Each

solifenacin succinate 10 MG tablet $0.1950/Each

sotalol hcl 160 mg tablet $0.1800/Each

sotalol hcl 80 mg tablet $0.0540/Each

sotalol hcl 240 mg tablet $0.1500/Each

sotalol hcl 120 mg tablet $0.1190/Each

spironolactone 100 mg tablet $0.1856/Each

spironolactone 25 mg tablet $0.0534/Each

spironolactone 50 mg tablet $0.1151/Each

spironolactone/hctz 25 mg/25 mg tablet $0.6054/Each

stavudine 15 mg capsule $1.2625/Each

stavudine 20 mg capsule $0.8880/Each

stavudine 30 mg capsule $1.3345/Each

stavudine 40 mg capsule $0.8160/Each

sucralfate 1 G/10 ML suspension $0.3845/Milliliter

sucralfate 1 gm tablet $0.1650/Each

sulfacetamide sodium 10% Drops $2.3885/Milliliter

sulfacetamide sodium 10 % Lotion $0.6865/Milliliter

sulfacetamide sodium 10 % Cleanser $0.2100/Milliliter

sulfacetamide sodium/sulfur 10-5%(w/w) Cream $0.0000

sulfacetamide sodium/sulfur 10%-5% Pads, Medicated $7.6612/Each

sulfacetamide sodium/sulfur 10 %-2 % Cream $5.9160/Gram

sulfacetamide sodium/sulfur 8 %-4 % Suspension $0.1650/Milliliter

sulfacetamide sodium/sulfur 9.8%-4.8% Cleanser $0.6841/Gram

sulfacetamide sodium/sulfur 10-5%(w/w) Cleanser $0.1443/Gram

sulfacetamide/prednisolone sp 10 %-0.23% Drops $1.7824/Milliliter

sulfadiazine 500 MG tablet $3.6700/Each

sulfamethoxazole/trimethoprim 800-160/20 suspension $0.2591/Milliliter

Page 55 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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sulfasalazine 500 mg tablet $0.1714/Each

sulfasalazine 500 mg tablet, delayed release (enteric coated) $0.1645/Each

sulindac 150 mg tablet $0.1455/Each

sulindac 200 mg tablet $0.1825/Each

sumatriptan 5 mg Spray, Non-Aerosol $41.6225/Each

sumatriptan 20 mg Spray, Non-Aerosol $38.5123/Each Decrease

sumatriptan succ/naproxen sod 85MG-500MG tablet $20.3700/Each Decrease

sumatriptan succinate 50 mg tablet $0.4995/Each

sumatriptan succinate 100 mg tablet $0.5552/Each

sumatriptan succinate 25 mg tablet $0.4085/Each

sumatriptan succinate 6 mg/0.5 ml Cartridge $105.9533/Milliliter Decrease

sumatriptan succinate 4 mg/0.5 ml Solution $128.0965/Milliliter

sumatriptan succinate 4 mg/0.5 ml Solution $147.7300/Milliliter

sumatriptan succinate 6 mg/0.5 ml Pen Injector $75.8015/Milliliter

sumatriptan succinate 6 mg/0.5 ml Solution $22.4170/Milliliter Decrease

tacrolimus 0.03 % Ointment $2.6143/Gram Decrease

tacrolimus 0.1 % Ointment $2.0345/Gram

tacrolimus anhydrous 1 mg capsule $0.0000

tacrolimus anhydrous 5 mg capsule $0.0000

tacrolimus anhydrous 0.5 mg capsule $0.0000

tadalafil 20 MG tablet $0.7705/Each

tamoxifen citrate 10 mg tablet $0.2700/Each

tamoxifen citrate 20 mg tablet $0.4900/Each

tamsulosin hcl 0.4 mg capsule, extended release $0.0675/Each

tavaborole 5 % solution $92.5400/Milliliter

tazarotene 0.001 Cream $2.9550/Gram

telmisartan 40 MG tablet $0.2100/Each

telmisartan 80 MG tablet $0.2575/Each

telmisartan 20 mg tablet $0.2575/Each

telmisartan/amlodipine 40 MG-5 MG tablet $2.4925/Each

telmisartan/amlodipine 40 MG-10MG tablet $3.8804/Each

telmisartan/amlodipine 80 MG-5 MG tablet $3.0815/Each

telmisartan/amlodipine 80 MG-10MG tablet $4.5840/Each

telmisartan/hydrochlorothiazide 40 mg-12.5 mg tablet $0.7175/Each

telmisartan/hydrochlorothiazide 80-12.5 mg tablet $0.5890/Each

telmisartan/hydrochlorothiazide 80 mg-25 mg tablet $1.0255/Each

temazepam 15 mg capsule $0.0471/Each

temazepam 30 mg capsule $0.0644/Each

temazepam 7.5 mg capsule $1.6310/Each

temazepam 22.5 mg capsule $3.0715/Each

temozolomide 5 MG capsule $0.9165/Each

temozolomide 20 MG capsule $1.7035/Each

temozolomide 100 MG capsule $7.8635/Each

temozolomide 250 MG capsule $15.9165/Each

temozolomide 140 MG capsule $11.9850/Each Decrease

temozolomide 180 MG capsule $14.6400/Each

temsirolimus FDN 30MG/3 solution $975.0000/Milliliter

tenofovir disoproxil fumarate 300 MG tablet $0.3950/Each

terazosin 1 mg capsule $0.1038/Each

terazosin 2 mg capsule $0.1012/Each

terazosin 5 mg capsule $0.0915/Each

terazosin 10 mg capsule $0.0845/Each

terbinafine hcl 250 mg tablet $0.1345/Each

terbutaline sulfate 5 MG tablet $0.9600/Each

terbutaline sulfate 2.5 MG tablet $0.0000

terbutaline sulfate 1 MG/ML solution $7.9300/Milliliter

terconazole 80 mg Suppository $23.7928/Each

terconazole 0.4% Cream $0.4488/Gram

terconazole 0.8% Cream $1.1632/Gram

testosterone 1.25g (1%) Gel $0.8525/Gram

Page 56 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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testosterone 30MG/1.5ML solution $1.0575/Milliliter

testosterone 20.25/1.25 gel $0.7426/Gram Decrease

testosterone 1.25G-1.62 gel $10.3175/Gram

testosterone 2.5G-1.62% gel $9.4045/Gram

testosterone 25mg(1%) Gel $1.6650/Gram

testosterone 50 mg (1%) Gel $1.0348/Gram

testosterone 50 mg (1%) Gel $1.1129/Gram

testosterone 10 MG (2%) gel $5.4655/Gram

testosterone cypionate 100 MG/ML Oil $3.5450/Milliliter

testosterone cypionate 200 MG/ML Oil $0.0000

testosterone cypionate 200 MG/ML Oil $9.9500/Milliliter

testosterone cypionate 2000 MG/10 ML Oil $3.9500/Milliliter

testosterone enanthate 200 MG/ML Oil $11.7355/Milliliter

tetrabenazine 12.5 MG tablet $6.0650/Each

tetrabenazine 25 MG tablet $2.5155/Each

tetracaine hcl 0.5 % Drops $0.5355/Milliliter

tetracycline hcl 250 mg capsule $0.2445/Each

tetracycline hcl 500 mg capsule $1.2350/Each

tetrahydroz/dext 70/peg 400/pv 0.05-.1-1% drops $0.0932/Milliliter

tetrahydrozoline HCl 0.05 % drops $0.0795/Milliliter

theophylline 300 mg capsule, extended release $0.0000

theophylline 200 mg tablet, extended release $0.4446/Each

theophylline 300 mg tablet, extended release $0.4455/Each

theophylline anhydrous 100 MG tablet, extended release $0.3603/Each

theophylline anhydrous 400 MG tablet, extended release $0.5100/Each

theophylline anhydrous 600 MG tablet, extended release $0.8100/Each

theophylline anhydrous 80 MG/15ML liquid $0.1575/Milliliter

thiamine HCl 100 MG/ML solution $4.0407/Milliliter

thioridazine hcl 100 mg/ml Concentrate $0.0000

thioridazine hcl 30 mg/ml Concentrate $0.0000

thioridazine hcl 25 mg tablet $0.5111/Each

thioridazine hcl 50 mg tablet $0.3720/Each

thioridazine hcl 10 mg tablet $0.4650/Each

thioridazine hcl 100 mg tablet $0.7320/Each

thioridazine hcl 15 mg tablet $0.0000

thioridazine hcl 200 mg tablet $0.0000

thiotepa 15 MG solution $701.6550/Each

thiothixene 1 mg capsule $0.6120/Each

thiothixene 10 mg capsule $1.7400/Each

thiothixene 2 mg capsule $1.1346/Each

thiothixene 5 mg capsule $1.2360/Each

thyroid,pork 15 MG tablet $0.3225/Each

thyroid,pork 30 MG tablet $0.3899/Each

thyroid,pork 60 MG tablet $0.4205/Each

thyroid,pork 90 MG tablet $0.7126/Each

thyroid,pork 120 MG tablet $0.9750/Each

tiagabine hcl 4 mg tablet $3.7765/Each

tiagabine hcl 2 mg tablet $4.0915/Each

ticlopidine hcl 250 mg tablet $0.0000

tigecycline 50 MG solution $74.0850/Each

timolol maleate 10 mg tablet $0.0000

timolol maleate 5 MG tablet $0.9950/Each

timolol maleate 0.0025 Drops $0.5079/Milliliter

timolol maleate 0.005 Drops $0.6605/Milliliter

timolol maleate 0.0025 Gel-Forming Solution $21.0452/Milliliter

timolol maleate 0.005 Gel-Forming Solution $22.0275/Milliliter

timolol maleate/dorzolamide hcl 0.5%-2% Drops $0.8970/Milliliter

timolol maleate/PF 0.5 % solution $5.4250/Each

tinidazole 250 MG tablet $1.9142/Each

tinidazole 500 MG tablet $1.8335/Each

Page 57 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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tioconazole 6.5 % ointment $2.1545/Gram

tizanidine hcl 2 mg tablet $0.0645/Each

tizanidine hcl 4 mg tablet $0.0300/Each

tizanidine hcl 2 MG capsule $0.1935/Each

tizanidine hcl 4 MG capsule $0.1212/Each

tizanidine hcl 6 MG capsule $0.5580/Each

tobramycin 0.3 % drops $0.9600/Milliliter

tobramycin 0.003 OPTH SOLN $0.0000

tobramycin in 0.225% nacl 300 MG/5ML Solution $3.7754/Milliliter Decrease

tobramycin sulfate 1.2 gm Solution $101.9813/Each

tobramycin sulfate 40 mg/ml Solution $0.6773/Milliliter

tobramycin sulfate/dexamethasone 0.3 - 0.1% Drops, Suspension $13.6896/Milliliter Decrease

tolbutamide 500 mg tablet $0.0000

tolcapone 100 MG tablet $94.2004/Each

tolmetin sodium 400 mg capsule $0.0000

tolmetin sodium 200 mg tablet $0.0000

tolmetin sodium 600 mg tablet $0.0000

tolnaftate 1 % Aerosol Powder $0.0265/Gram

tolnaftate 1 % Cream $0.0800/Gram

tolterodine tartrate 4 MG capsule, extended release $1.2615/Each

tolterodine tartrate 2 MG capsule, extended release $1.6005/Each

tolterodine tartrate 1 MG tablet $0.7465/Each

tolterodine tartrate 2 MG tablet $0.5550/Each

topiramate 50 mg tablet $0.0325/Each

topiramate 100 mg tablet $0.0665/Each

topiramate 200 mg tablet $0.0965/Each

topiramate 25 mg tablet $0.0285/Each

topiramate 15 mg Capsule, Sprinkle $0.3476/Each

topiramate 25 mg Capsule, Sprinkle $0.3545/Each

topotecan hcl 4 mg Solution $126.0000/Each

topotecan HCl 4 MG/4 ML solution $11.2150/Milliliter

toremifene citrate 60 MG tablet $25.5500/Each

torsemide 5 mg tablet $0.0665/Each

torsemide 10 mg tablet $0.0675/Each

torsemide 20 mg tablet $0.0866/Each

torsemide 100 mg tablet $0.1875/Each

tramadol 50 mg tablet $0.0176/Each

tramadol hcl 100 mg tablet, extended release $0.7745/Each

tramadol hcl 200 mg tablet, extended release $1.3200/Each

tramadol hcl 300 MG tablet, extended release $2.2566/Each

tramadol hcl 100 mg tablet, extended release $1.4035/Each

tramadol hcl 200 MG tablet, extended release $2.0035/Each

tramadol hcl 300 mg tablet, extended release $3.1935/Each

tramadol hcl/apap 37.5/325 mg tablet $0.1200/Each

trandolapril 1 mg tablet $0.1910/Each

trandolapril 2 mg tablet $0.1290/Each

trandolapril 4 mg tablet $0.1910/Each

trandolapril/verapamil HCl 2 mg-180 mg tablet,immed and extend rel biphase 24hr $4.8330/Each

trandolapril/verapamil HCl 1 mg-240 mg tablet,immed and extend rel biphase 24hr $3.4915/Each

trandolapril/verapamil HCl 2 mg-240 mg tablet,immed and extend rel biphase 24hr $3.5000/Each

trandolapril/verapamil HCl 4 mg-240 mg tablet,immed and extend rel biphase 24hr $4.8330/Each

tranexamic acid 650 MG tablet $1.5565/Each

tranexamic acid 1000 MG/10 Solution $1.9000/Milliliter

tranylcypromine sulfate 10 mg tablet $1.1175/Each

travoprost 0.004 % drops $0.0000

trazodone hcl 50 mg tablet $0.0475/Each

trazodone hcl 100 mg tablet $0.0625/Each

trazodone hcl 150 mg tablet $0.0900/Each

trazodone hcl 300 mg tablet $1.2695/Each

treprostinil sodium 1 MG/ML solution $37.7755/Milliliter

Page 58 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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treprostinil sodium 2.5 MG/ML solution $94.4285/Milliliter

treprostinil sodium 5 MG/ML solution $188.8565/Milliliter

treprostinil sodium 10 MG/ML solution $377.7135/Milliliter

tretinoin 0.0001 Gel $0.0000

tretinoin 0.00025 Gel $0.0000

tretinoin 0.05 % gel $4.3315/Gram

tretinoin 0.0005 Cream $0.0000

tretinoin 0.001 Cream $0.0000

tretinoin 0.00025 Cream $0.0000

tretinoin 0.0005 Liquid $0.0000

tretinoin 10 mg capsule $18.8855/Each

tretinoin microspheres 0.04 % Gel $7.2525/Gram

tretinoin microspheres 0.1 % Gel $7.7465/Gram

tretinoin microspheres 0.04 % Gel $6.2735/Gram

tretinoin microspheres 0.1 % Gel $4.9295/Gram

triamcinolone acetonide 40 MG/ML suspension $6.4500/Milliliter

triamcinolone acetonide 0.025 % Cream $0.0805/Gram

triamcinolone acetonide 0.025%, 15gm Cream $0.0000

triamcinolone acetonide 0.025%, 80gm Cream $0.0000

triamcinolone acetonide 0.001 Cream $0.0388/Gram

triamcinolone acetonide 0.005 Cream $0.1605/Gram

triamcinolone acetonide 0.025 % Ointment $0.0935/Gram

triamcinolone acetonide 0.025%, 80gm Ointment $0.0000

triamcinolone acetonide 0.001 Ointment $0.0545/Gram

triamcinolone acetonide 0.5 % Ointment $0.2580/Gram

triamcinolone acetonide 0.00025 Lotion $0.3885/Milliliter

triamcinolone acetonide 0.001 Lotion $0.2795/Milliliter

triamcinolone acetonide 0.001 Paste $4.0500/Gram

triamcinolone acetonide 55 MCG Aerosol, Spray $0.6625/Milliliter

triamterene & hydrochlorothiazide 50 mg; 25 mg capsule $0.0000

triamterene & hydrochlorothiazide 37.5 mg; 25 mg capsule $0.1643/Each

triamterene & hydrochlorothiazide 75 mg; 50 mg tablet $0.0840/Each

triamterene & hydrochlorothiazide 37.5 mg; 25 mg tablet $0.0810/Each

triazolam 0.25 mg tablet $1.0150/Each

triazolam 0.125 mg tablet $0.8412/Each

trientine HCl 250 MG capsule $50.0000/Each

trifluoperazine hcl 1 mg tablet $0.5800/Each

trifluoperazine hcl 10 mg tablet $1.3403/Each

trifluoperazine hcl 2 mg tablet $0.7500/Each

trifluoperazine hcl 5 mg tablet $0.8935/Each

trifluridine 1 % Drops $16.9400/Milliliter

trihexyphenidyl HCl 2 MG/5 ML Elixir $0.0505/Milliliter

trihexyphenidyl hcl 2 mg tablet $0.0660/Each

trihexyphenidyl hcl 5 mg tablet $0.1080/Each

trimethobenzamide 100 mg Suppository $0.0000

trimethobenzamide 200 mg Suppository $0.0000

trimethobenzamide hcl 300 mg capsule $0.9628/Each

trimethoprim 100 mg tablet $0.2388/Each

trimethoprim and sulfamethoxazole 40 mg; 200 mg per 5 ml Suspension $0.1005/Milliliter

trimethoprim and sulfamethoxazole ds 160 mg; 800 mg Caplet $0.0480/Each

trimethoprim and sulfamethoxazole ss 80 mg; 400 mg tablet $0.0435/Each

trimethoprim/polymyxin b 1 mg/10,000 units/ml Drops $0.3828/Milliliter

trimipramine maleate 100 MG capsule $3.7555/Each

trimipramine maleate 25 MG capsule $3.1555/Each

trimipramine maleate 50 MG capsule $4.4555/Each

triprolidine HCl 0.625MG/ML drops $1.2000/Milliliter

triprolidine HCl 0.313MG/ML drops $1.5000/Milliliter

trolamine salicylate 10 % Cream $0.0295/Gram

tropicamide 0.5 % Drops $0.0000

tropicamide 1 % Drops $0.0000

Page 59 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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trospium chloride 60 MG capsule, extended release $3.6255/Each

urea 10 % Cream $0.0000

urea 40 % Cream $0.2550/Gram

urea 50 % Cream $0.0000

urea 50 % Ointment $0.0000

urea 40 % Foam $2.0615/Gram

ursodiol 300 mg capsule $0.5790/Each

ursodiol 250 mg tablet $0.5265/Each

ursodiol 500 mg tablet $1.3135/Each

valacyclovir hcl 500 mg Caplet $0.2675/Each

valacyclovir hcl 1000 mg Caplet $0.4849/Each

valganciclovir hcl 450 mg tablet $3.4815/Each

valganciclovir HCl 50 MG/ML solution $8.5095/Milliliter

valproic acid 250 mg capsule $0.1548/Each

valproic acid 250 mg/5 ml Solution $0.0150/Milliliter

valproic acid (as sodium salt) 250 MG/5ML solution $0.1385/Milliliter

valproic acid (as sodium salt) 500MG/10ML solution $0.0960/Milliliter

valsartan 320 MG tablet $0.1289/Each

valsartan 160 MG tablet $0.1590/Each

valsartan 80 MG tablet $0.0700/Each

valsartan 40 MG tablet $0.0875/Each

valsartan/hydrochlorothiazide 80-12.5MG tablet $0.1365/Each

valsartan/hydrochlorothiazide 160-12.5MG tablet $0.1956/Each

valsartan/hydrochlorothiazide 160-25MG tablet $0.2553/Each

valsartan/hydrochlorothiazide 320MG-25MG tablet $0.2335/Each

valsartan/hydrochlorothiazide 320-12.5MG tablet $0.2285/Each

vancomycin hcl 500 mg Solution $0.0000

vancomycin HCl 750 MG solution $10.0955/Each

vancomycin hcl 500 mg Solution $3.8536/Each

vancomycin hcl 1 gm Solution $4.7350/Each

vancomycin HCl 10 G Solution $33.3500/Each

vancomycin hcl 5 gm Solution $19.6419/Each

vancomycin hcl 125 MG capsule $1.9814/Each Decrease

vancomycin hcl 250 MG capsule $3.3735/Each

venlafaxine hcl 37.5 MG tablet, extended release $2.2855/Each

venlafaxine hcl 75 MG tablet, extended release $2.0845/Each

venlafaxine hcl 150 MG tablet, extended release $1.7500/Each

venlafaxine hcl 225 MG tablet, extended release $2.4650/Each Decrease

venlafaxine hcl 25 mg tablet $0.0850/Each

venlafaxine hcl 37.5 mg tablet $0.0600/Each

venlafaxine hcl 50 mg tablet $0.0725/Each

venlafaxine hcl 75 mg tablet $0.0690/Each

venlafaxine hcl 100 mg tablet $0.0945/Each

venlafaxine hcl 37.5 MG capsule, extended release $0.0955/Each

venlafaxine hcl 75 MG capsule, extended release $0.0930/Each

venlafaxine hcl 150 MG capsule, extended release $0.1515/Each

verapamil HCl 2.5 MG/ML solution $7.3290/Milliliter

verapamil hcl 120 mg tablet $0.0923/Each

verapamil hcl 80 mg tablet $0.0440/Each

verapamil hcl 180 mg capsule, extended release $0.6435/Each

verapamil hcl 240 mg capsule, extended release $0.9672/Each

verapamil hcl 120 mg capsule, extended release $0.8213/Each

verapamil hcl 360 mg capsule, extended release $4.2588/Each

verapamil hcl 240 mg Caplet $0.0826/Each

verapamil hcl 180 mg Caplet $0.1435/Each

verapamil hcl 120 mg Caplet $0.1745/Each

verapamil HCl 40 MG tablet $0.1310/Each

verapamil hcl 100 mg capsule, extended release $0.7855/Each

verapamil hcl 200 mg capsule, extended release $1.1625/Each

verapamil hcl 300 mg capsule, extended release $1.6215/Each

Page 60 of 61

NAME OF GENERIC DRUG STRENGTH FORM

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vigabatrin 500 MG Powder $0.0000

vincristine sulfate 1 mg/ ml Solution $5.1000/Milliliter

vincristine sulfate 2 mg/2 ml Solution $7.0274/Milliliter

vinorelbine tartrate 10 mg/ml Solution $20.4750/Milliliter

vinorelbine tartrate 50 mg/5 ml Solution $11.6725/Milliliter

vits A and D/white pet/lanolin ointment $0.0220/Gram

voriconazole 50 mg tablet $2.2265/Each

voriconazole 200 mg tablet $2.5650/Each Decrease

voriconazole 200 MG Solution $29.5500/Each

voriconazole 200 MG/5ML Suspension $9.4750/Milliliter

warfarin sodium 10 mg tablet $0.0685/Each

warfarin sodium 2 mg tablet $0.1050/Each

warfarin sodium 1 mg tablet $0.0685/Each

warfarin sodium 5 mg tablet $0.0540/Each

warfarin sodium 2.5 mg tablet $0.0645/Each

warfarin sodium 7.5 mg tablet $0.0725/Each

warfarin sodium 3 mg tablet $0.0995/Each

warfarin sodium 4 mg tablet $0.0775/Each

warfarin sodium 6 mg tablet $0.0725/Each

water for injection, bacteriostatic vial NA Solution $0.0000

water for injection, sterile iv solution NA Solution $0.0000

water for injection,sterile Solution $0.0838/Milliliter

water for irrigation, sterile solution NA Solution $0.0000

witch hazel 86 % solution $0.0055/Milliliter

zafirlukast 20 mg tablet $0.5330/Each

zafirlukast 10 mg tablet $1.0645/Each

zaleplon 5 mg capsule $0.1724/Each

zaleplon 10 mg capsule $0.1728/Each

zidovudine 50 mg/5 ml Syrup $0.1235/Milliliter

zidovudine 100 mg capsule $1.3950/Each

zidovudine 300 mg tablet $0.2345/Each

zileuton 600 MG tablet, extended release $13.5020/Each

zinc oxide 10 % Ointment $0.0528/Gram

zinc oxide 20 % Ointment $0.0812/Gram

zinc oxide 40 % ointment $0.0174/Gram

ziprasidone hcl 20 mg capsule $0.2625/Each

ziprasidone hcl 40 mg capsule $0.2445/Each

ziprasidone hcl 60 mg capsule $0.2550/Each

ziprasidone hcl 80 mg capsule $0.3155/Each

ziprasidone mesylate FNL 20MG/1 solution $42.2633/Each

zoledronic acid 4 MG/5 ML Solution $7.4000/Milliliter

zoledronic acid/mannitol-water 5 MG/100ML Solution $1.1000/Milliliter

zoledronic acid/mannitol-water 5 MG/100ML solution $1.1000/Milliliter

zolmitriptan 5 MG Tablet,disintegrating $2.8115/Each

zolmitriptan 2.5 MG Tablet,disintegrating $2.5935/Each

zolmitriptan 2.5 MG tablet $1.2275/Each

zolmitriptan 5 MG tablet $1.1475/Each

zolpidem tartrate 5 mg tablet $0.0318/Each

zolpidem tartrate 10 mg tablet $0.0275/Each

zolpidem tartrate 6.25 mg tablet, extended release $0.1595/Each

zolpidem tartrate 12.5 mg tablet, extended release $0.2165/Each

zolpidem tartrate 1.75 MG Tablet, Sublingual $6.7865/Each

zolpidem tartrate 3.5 MG Tablet, Sublingual $5.8565/Each

zonisamide 25 mg capsule $0.0845/Each

zonisamide 50 mg capsule $0.1350/Each

zonisamide 100 mg capsule $0.1201/Each

Page 61 of 61