Drug Retail Price List October 2015

DRUG RETAIL PRICE LIST OCTOBER 2015

NOTIFY YOUR PHARMACIST AND HEALTH CARE PRACTITIONER OF ALL MEDICATIONS YOU ARE TAKING AND ASK HOW TO AVOID HARMFUL DRUG INTERACTIONS

DRUG / QUANTITY / PRICE /
ACETAMINOPHEN WITH CODEINE 30MG TAB (TYLENOL WITH CODEINE) / 30
ADVAIR DISKUS 250/50 INH / 60
ALBUTEROL 0.083% INHAL SOLN (PROVENTIL) / 75ML
ALENDRONATE 70MG TAB (FOSAMAX) / 4
ALLOPURINOL 100MG TAB (ZYLOPRIM) / 30
ALPHAGAN-P 0.1% OPHTH SOL / 5ML
ALPRAZOLAM 0.5MG TAB (XANAX) / 90
AMITRIPTYLINE 50 MG TAB (ELAVIL) / 90
AMLODIPINE 10MG TAB (NORVASC) / 30
AMOX TR-K CLV 875-125 MG TAB (AUGMENTIN) / 20
AMOXICILLIN 400MG/5ML SUSP (AMOXIL) / 100ML
AMOXICILLIN 500MG CAP (AMOXIL) / 30
AMPHETAMINE MIX SALT XR 10MG CAP (ADDERALL XR) / 30
ANDROGEL 1.62% PUMP GEL / 75G
ARIPIPRAZOLE 10MG TAB (ABILIFY) / 30
ATENOLOL 50MG TAB (TENORMIN) / 30
ATORVASTATIN 10MG TAB (LIPITOR) / 30
ATORVASTATIN 20MG TAB (LIPITOR) / 30
ATRIPLA TAB / 30
AZITHROMYCIN 100MG/5ML SUSP (ZITHROMYCIN) / 15ML
AZITHROMYCIN 250MG TAB (ZITHROMYCIN/Z-PAK) / 6
BENICAR 20MG TAB / 30
BUPROPION XL 300MG TAB (WELLBUTRIN XL) / 30
BYSTOLIC 10MG TAB / 30
CARVEDILOL 6.25MG TAB (COREG) / 60
CELECOXIB 200MG CAP (CELEBREX) / 30
CEPHALEXIN 500MG CAP (KEFLEX) / 28
CIALIS 5MG TAB / 30
CIPROFLOXACIN 500MG TAB (CIPRO) / 20
CITALOPRAM 20MG TAB (CELEXA) / 30
CLONAZEPAM 1MG TAB (KLONOPIN) / 90
CLOPIDOGREL 75MG TAB (PLAVIX) / 30
COMBIVENT RESPIMAT 20/100MCG 120 INH / 4
CRESTOR 10MG TAB / 30
CYCLOBENZAPRINE 10MG TAB (FLEXERIL) / 30
DEXILANT 60MG CAP / 30
DIGOXIN 0.125MG TAB (LANOXIN) / 30
DIVALPROEX 500MG EC TAB (DEPAKOTE) / 90
DONEPEZIL 10 MG TAB (ARICEPT) / 30
DOXYCYCLINE 100MG CAP (VIBRAMYCIN) / 30
DULOXETINE 60MG DR CAP (CYMBALTA) / 30
ELIQUIS 5MG TAB / 60
ENALAPRIL 10MG TAB (VASOTEC) / 30
ESCITALOPRAM 10MG TAB (LEXAPRO) / 30
ESOMEPRAZOLE 40MG CAP (NEXIUM) / 30
FENOFIBRATE 145MG CAP (TRICOR) / 30
FLOVENT HFA 110MCG INHALER / 12 GRAM
FLUCONAZOLE 150MG TAB (DIFLUCAN) / 1
FLUOXETINE 20MG CAP (PROZAC) / 30
FLUTICASONE 50MCG NASAL (FLONASE) / 16 GRAM
FUROSEMIDE 40MG TAB (LASIX) / 30
GABAPENTIN 300MG CAP (NEUROTIN) / 90
GLIMEPIRIDE 4MG TAB (AMARYL) / 30
GLIPIZIDE ER 10MG TAB (GLUCOTROL XL) / 30
HUMALOG KWIKPEN 100 units/mL / 5 x 3ML
HUMALOG MIX 75-25 KWIKPEN / 5 X 3ML
HYDROCHLOROTHIAZIDE 25MG TAB (HYDRODIURIL) / 30
HYDROCHLOROTHIAZIDE 12.5MG CAP (MICROZIDE) / 30
HYDROCODONE / ACETAMINOPHEN 5/325 TAB (NORCO) / 60
HYDROCORTISONE 2.5% CREAM (HYTONE) / 30 GRAM
IBUPROFEN 600MG TAB (MOTRIN) / 90
IBUPROFEN 800MG TAB (MOTRIN) / 60
INVOKANA 100MG TAB / 30
ISOSORBIDE MONOHYDRATE 30MG TAB (IMDUR) / 30
JANUVIA 100MG TAB / 30
LAMOTRIGINE 25MG TAB (LAMICTAL) / 30
LANSOPRAZOLE 30MG CAP (PREVACID) / 30
LANTUS SOLOSTAR 100 UNITS/ML / 5 X 3 ML
LANTUS VIAL / 10
LATANOPROST 0.005% DROPS (XALATAN) / 2.5 ML
LEVEMIR FLEXTOUCH PREFILLED SYR / 5 X 3ML
LEVOTHYROXINE 100MCG (SYNTHROID) / 30
LEVOTHYROXINE 50MCG (SYNTHROID) / 30
LISINOPRIL 10MG TAB (ZESTRIL) / 30
LISINOPRIL 20MG TAB (ZESTRIL) / 30
LISINOPRIL/HCTZ 20/12.5MG (ZESTORETIC) / 30
LOSARTAN 50MG TAB (COZAAR) / 30
LUMIGAN 0.01% OPHTH SOL / 2.5ML
LYRICA 50MG CAP / 60
MELOXICAM 7.5MG TAB (MOBIC) / 30
MEMANTINE 10MG TAB (NAMENDA) / 30
METFORMIN HCL 1,000 MG TABLET (GLUCOPHAGE) / 60
METFORMIN HCL 500 MG TABLET (GLUCOPHAGE) / 60
METFORMIN XR 500MG TAB (GLUCOPHAGE XR) / 60
METHYLPHENIDATE ER 20MG TAB (RITALIN ER) / 30
METHYLPREDNISOLONE 4MG DOSEPACK (MEDROL) / 21
METOPROLOL 50MG TAB (LOPRESSOR) / 60
METOPROLOL XL 50MG TAB (TOPROL XL) / 30
METRONIDAZOLE 500MG TAB (FLAGYL) / 20
MONTELUKAST SOD 10 MG TABLET (SINGULAIR) / 30
MUPIROCIN OINTMENT (BACTROBAN) / 22 GRAM
NAPROXEN 500MG TAB (NAPROSYN) / 60
NITROFURANTOIN MONO 100MG CAP (MACROBID) / 14
NORETHINDRONE 0.35MG TAB (MICRONOR/NOR-QD/ NORA-BE) / 28
NOVOLOG MIX 70-30 FLEXPEN SYRN / 5 X 3 ML
NUVARING INSERT / 1
OLANZAPINE 5MG TAB (ZYPREXA) / 30
OMEGA 3 ACID GELCAPS 1GM (LOVAZA) / 120
OMEPRAZOLE 20MG CAP (PRILOSEC) / 30
ORTHO TRI CYCLEN LO TAB / 28
OXYCODONE / ACETAMINOPHEN 5/325MG TAB (PERCOCET) / 90
PANTOPRAZOLE 40MG TAB (PROTONIX) / 30
PAROXETINE 20MG TAB (PAXIL) / 30
PATADAY 0.2% OPHTH SOL / 2.5ML
PENICILLIN -VK 500MG TAB / 40
PHENYTOIN SOD EXT 100MG CAP (DILANTIN) / 90
POTASSIUM 20MEQ TAB (K-DUR) / 30
PRADAXA 150MG CAP / 60
PREDNISONE 10MG TAB / 30
PREMARIN VAGINAL CREAM 0.625MG/GM / 30 GRAM
PROAIR INHALER / 8.5 GRAM
PROVENTIL HFA INHALER / 6.7 GRAM
QUETIAPINE 100MG TAB (SEROQUEL) / 30
RAMIPRIL 5MG CAP (ALTACE) / 30
RANITIDINE 150MG TAB (ZANTAC) / 30
RALOXIFENE 60MG TAB (EVISTA) / 30
RESTASIS OPHTH EMUL 0.05% 0.4ML / 30
RISPERIDONE 1MG TAB (RISPERDAL) / 30
SERTRALINE 50MG TAB (ZOLOFT) / 30
SIMVASTATIN 40MG TAB (ZOCOR) / 30
SPIRIVA 18MCG HANDIHALER / 30
SUBOXONE 8MG/2MG SUBLINGUAL FILM / 30
SULFAMETH/TRIMETH DS TAB (BACTRIM DS) / 20
SYMBICORT 160/4.5MG INHALATION / 10.2 GRAM
SYNTHROID 0.1MG TAB / 30
TAMIFLU 75MG CAP / 10
TAMSULOSIN 0.4MG CAP (FLOMAX) / 30
TERCONAZOLE 0.8% VAGINAL CREAM (TERAZOL) / 20
TOPIRAMATE 50MG TAB (TOPAMAX) / 30
TRAMADOL 50MG TAB (ULTRAM) / 60
TRAZODONE 50MG TAB (DESYREL) / 30
TRIAMTERENE / HCTZ 37.5MG TAB (MAXZIDE) / 30
TRI-SPRINTEC TAB (ORTHO TRI-CYCLEN) / 28
TRUVADA TAB / 30
VALACYCLOVIR 500MG TAB (VALTREX) / 30
VALSARTAN 160MG TAB (DIOVAN) / 30
VALSARTAN-HCT 160MG/25MG TAB (DIOVAN-HCT) / 30
VENLAFAXINE XR 75MG CAP (EFFEXOR XR) / 30
VENTOLIN HFA INHALER / 18 GRAM
VESICARE 5MG TAB / 30
VIAGRA 100MG TAB / 6
VICTOZA INJ 0.6MG/1.2MG/1.8MG / 3
VITAMIN D 50,000 CAP / 4
VOLTAREN 1% GEL / 100G
VYVANSE 30MG CAP / 30
WARFARIN 5MG TAB (COUMADIN) / 30
XARELTO 20MG TAB / 30
ZETIA 10MG TAB / 30
ZOLPIDEM 10MG TAB (AMBIEN) / 30
ZOLPIDEM CR 12.5MG TAB (AMBIEN CR) / 30

Updated 10/1/15 Page 1 of 4