
	PREFERRED DRUG LIST

This program is designed to educate you on the use of generic and other low cost brand name drugs. This program is designed to help you find drugs within the same therapeutic class as a drug you may currently be taking. Most of all, this program is designed to save you money on your prescription drug costs.

Tiers indicate retail pharmacy pricing and position. Drug quantities listed must be adhered to in order to receive tier pricing at participating retail network pharmacies. Any change in quantity may result in higher prices. Company cannot be responsible for changes in network pharmacies which accept this program. A mail order option is available for additional savings based upon a three month supply. Mail order tiers will vary due to differing quantities.

Drug pricing is based on the quantity indicated by the retail and mail order columns. This may or may not be a 30 day supply based on how your Doctor prescribed your dosage. Quantities greater than those listed will result in a higher member cost.

* By law, schedule II drugs are only allowed to be dispensed for a 30 day supply through the mail order pharmacy.
* Pricing is subject to change without notice.

Search Results for Keyword: l

Drug Name Retail Qty Retail Mail Order
(3 x Retail Qty)
Labetalol HCl Tab 100 MG 30 $7.13 $19.22
Labetalol HCl Tab 200 MG 30 $9.03 $28.07
Lactulose Solution 10 GM/15ML 473 $8.68 $30.59
LADY LITE MIS LANCETS 100 $6.01 $8.78
LAMPRENE CAP 50MG 30 $8.12 $14.45
LANCET SUPER MIS THIN 100 $7.84 $13.69
LANCETS MIS 23G 100 $6.67 $10.55
LANCETS MIS COLORED 100 $7.84 $13.69
LANCETS MIS FUNCOLOR 200 $9.70 $18.70
LANCETS MIS ORIGINAL 100 $7.87 $13.76
LANCETS MIS THIN 100 $7.87 $13.76
LANCETS MIS THIN 28G 100 $6.67 $10.55
LANCETS MIS THIN 30G 100 $7.84 $13.69
LANCETS THIN MIS 100 $8.57 $15.65
LANCETS THIN MIS 23G 100 $5.23 $6.67
LANCETS ULTR MIS THIN 100 $7.97 $14.04
LANOXICAPS CAP 0.05MG 30 $9.78 $18.92
LARTUS LIQ 118 $9.49 $18.14
Levobunolol HCl Ophth Soln 0.25% 5 $8.19 $18.98
Levobunolol HCl Ophth Soln 0.5% 5 $5.03 $19.97
Levothyroxine Sodium Tab 100 MCG 30 $7.24 $10.98
Levothyroxine Sodium Tab 100 MCG 30 $7.24 $15.08
Levothyroxine Sodium Tab 100 MCG 30 $7.24 $15.83
Levothyroxine Sodium Tab 112 MCG 30 $8.16 $13.97
Levothyroxine Sodium Tab 112 MCG 30 $8.16 $15.08
Levothyroxine Sodium Tab 112 MCG 30 $8.16 $18.31
Levothyroxine Sodium Tab 125 MCG 30 $7.66 $18.56
Levothyroxine Sodium Tab 137 MCG 30 $8.33 $14.36
Levothyroxine Sodium Tab 137 MCG 30 $8.33 $18.82
Levothyroxine Sodium Tab 150 MCG 30 $8.11 $13.25
Levothyroxine Sodium Tab 150 MCG 30 $8.11 $15.08
Levothyroxine Sodium Tab 150 MCG 30 $8.11 $17.16
Levothyroxine Sodium Tab 175 MCG 30 $9.65 $15.08
Levothyroxine Sodium Tab 175 MCG 30 $9.65 $17.32
Levothyroxine Sodium Tab 175 MCG 30 $9.42 $22.70
Levothyroxine Sodium Tab 200 MCG 30 $8.44 $15.08
Levothyroxine Sodium Tab 200 MCG 30 $8.44 $17.36
Levothyroxine Sodium Tab 200 MCG 30 $8.44 $22.75
Levothyroxine Sodium Tab 25 MCG 30 $6.47 $9.39
Levothyroxine Sodium Tab 25 MCG 30 $6.47 $12.31
Levothyroxine Sodium Tab 25 MCG 30 $6.47 $15.08
Levothyroxine Sodium Tab 50 MCG 30 $8.02 $9.70
Levothyroxine Sodium Tab 50 MCG 30 $8.02 $13.98
Levothyroxine Sodium Tab 50 MCG 30 $8.02 $15.08
Levothyroxine Sodium Tab 75 MCG 30 $8.52 $10.71
Levothyroxine Sodium Tab 75 MCG 30 $8.52 $15.08
Levothyroxine Sodium Tab 75 MCG 30 $8.52 $15.44
Levothyroxine Sodium Tab 88 MCG 30 $7.43 $11.98
Levothyroxine Sodium Tab 88 MCG 30 $7.43 $15.08
Levothyroxine Sodium Tab 88 MCG 30 $7.43 $15.71
Lidocaine HCl Gel 2% 15 $7.46 $7.13
Lidocaine HCl Viscous Soln 2% 100 $5.55 $17.04
Lidocaine-Prilocaine Cream 2.5-2.5% 25 $10.00 $1152.00
Lisinopril & Hydrochlorothiazide Tab 10-12.5 MG 30 $5.57 $40.46
Lisinopril & Hydrochlorothiazide Tab 20-12.5 MG 30 $5.89 $43.74
Lisinopril Tab 10 MG 30 $7.57 $36.15
Lisinopril Tab 2.5 MG 30 $5.23 $23.60
Lisinopril Tab 30 MG 30 $8.16 $54.40
Lisinopril Tab 5 MG 30 $9.00 $35.01
LITHIUM CARB CAP 150MG 30 $7.65 $13.18
LITHIUM CARB TAB 300MG 30 $9.49 $18.13
Lithium Carbonate Cap 300 MG 30 $4.69 $7.84
LONGS LANCET MIS ADULT 200 $9.70 $18.70
LONGS LANCET MIS THIN 200 $9.70 $18.70
Loperamide HCl Cap 2 MG 30 $5.84 $25.29
Lorazepam Tab 0.5 MG 30 $4.89 $25.47 *
Lorazepam Tab 1 MG 30 $4.89 $33.18 *
Lorazepam Tab 2 MG 30 $5.70 $48.36 *
Lovastatin Tab 10 MG 30 $7.86 $48.44
Lovastatin Tab 20 MG 30 $9.00 $86.95
Lovastatin Tab 40 MG 30 $9.00 $153.77
LURIDE CHW 0.25MG 30 $4.36 $4.33
LURIDE CHW 0.5MG 30 $4.44 $4.55
LURIDE CHW 1MG 30 $4.36 $4.33

Drug Name Retail Qty Retail Mail Order
(3 x Retail Qty)
Labetalol HCl Tab 300 MG 30 $16.20 $38.03
Lactic Acid (Ammonium Lactate) Cream 12% 184 $14.04 $23.94
Lactic Acid (Ammonium Lactate) Cream 12% 140 $10.13 $11.40
Lactic Acid (Ammonium Lactate) Cream 12% 280 $19.80 $45.96
Lactic Acid (Ammonium Lactate) Lotion 12% 225 $11.64 $39.66
Lactic Acid (Ammonium Lactate) Lotion 12% 225 $11.64 $45.74
LACTOCAL-F TAB 30 $13.48 $28.85
LAGESIC TAB 66-600MG 30 $18.54 $42.47
LAMISIL GRA 125MG 1 $11.14 $22.57
LAMISIL GRA 187.5MG 1 $15.32 $33.82
LAMISIL AT CRE 1% 30 $15.15 $33.35
LAMISIL AT SPR 30 $10.14 $19.87
LANCETS MIS 100 $16.67 $37.44
LANCETS MIS 21G 200 $13.19 $28.08
LANCETS MIS 26G 200 $13.19 $28.08
LANCETS MIS 28 GAUGE 100 $12.09 $25.11
LANCETS MIS 28G 100 $11.45 $23.40
LANCETS MIS 30G 200 $14.93 $32.76
LANCETS MIS 31G 100 $10.15 $19.89
LANCETS THIN MIS 28G 200 $15.55 $34.34
LANCETS THIN MIS 30G 100 $10.43 $20.60
LANOXICAPS CAP 0.1MG 30 $11.95 $24.75
LANOXICAPS CAP 0.2MG 30 $13.46 $28.80
LANOXIN TAB 0.125MG 30 $14.11 $30.56
LANOXIN TAB 0.25MG 30 $14.11 $30.56
LARODOPA TAB 500MG 30 $19.50 $45.05
LASIX TAB 20MG 30 $12.36 $25.85
LASIX TAB 40MG 30 $11.98 $24.84
LEMOHIST CAP PLUS 30 $12.14 $25.24
Leucovorin Calcium For Inj 200 MG 1 $13.80 $17.28
Leucovorin Calcium For Inj 350 MG 1 $13.35 $16.56
Levetiracetam Tab 250 MG 30 $14.06 $105.62
Levonorgestrel-Eth Estra Tab 0.05-30/0.075-40/0.125-30MG 28 $19.52 $32.98
Levothyroxine Sodium Tab 125 MCG 30 $11.59 $15.08
Levothyroxine Sodium Tab 125 MCG 30 $11.04 $12.87
Levothyroxine Sodium Tab 300 MCG 30 $10.88 $15.08
Levothyroxine Sodium Tab 300 MCG 30 $10.88 $23.63
Levothyroxine Sodium Tab 300 MCG 30 $10.88 $29.79
Lidocaine HCl Soln 4% 100 $13.72 $282.49
LIFESCAN FIN MIS LANCETS 100 $11.89 $24.57
LINCOCIN INJ 300MG/ML 2 $18.28 $41.78
LIORESAL INT INJ 10/20ML 1 $13.97 $30.19
LIPEX TAB 10MG 30 $15.80 $35.10
LIQUIBID-D TAB 40-600CR 30 $16.74 $37.63
Lisinopril & Hydrochlorothiazide Tab 20-25 MG 30 $15.90 $44.24
Lisinopril Tab 20 MG 30 $12.00 $38.70
Lisinopril Tab 40 MG 30 $18.00 $56.60
LITE TOUCH MIS LANCETS 200 $13.19 $28.08
LITHIUM CARB CAP 600MG 30 $15.00 $32.94
Lithium Carbonate Tab CR 300 MG 30 $10.62 $17.82
Lithium Carbonate Tab CR 450 MG 30 $10.97 $21.12
Lithium Citrate Syrup 8 mEq/5ML 500 $12.03 $85.88
LITHOBID TAB 300MG SR 30 $19.12 $44.04
LIVER/FE/VIT INJ 30 $16.03 $35.71
LOBAC CAP 30 $15.48 $34.24
LODRANE 12D TAB 6-45MG 30 $17.11 $38.61
LODRANE 12HR TAB 12 HOUR 30 $15.13 $33.31
Lorazepam Inj 4 MG/ML 1 $11.62 $13.79 *
LORCET-HD CAP 500-5MG 30 $19.18 $44.18 *
Loxapine Succinate Cap 10 MG 30 $18.27 $45.80
LUDIOMIL TAB 25MG 30 $19.01 $43.73
LURIDE DRO 0.5MG/ML 50 $10.63 $21.20
LUSONEX TAB 30 $18.15 $41.43
LUSONEX TAB 20-800 30 $16.14 $36.02
LUSONEX PLUS TAB 30 $19.51 $45.08

Drug Name Retail Qty Retail Mail Order
(3 x Retail Qty)
LAC-HYDRIN CRE 12% 280 $45.23 $114.26
LAC-HYDRIN LOT 12% 225 $43.33 $109.14
Lactated Ringer's Solution 6000 $38.10 $56.16
Lactic Acid (Ammonium Lactate) Cream 12% 385 $26.10 $58.72
Lactic Acid (Ammonium Lactate) Lotion 10% 355 $29.61 $68.21
Lactic Acid w/ Vitamin E Cream 10%-3500 Unit/30GM 113 $21.79 $30.06
Lactic Acid w/ Vitamin E Cream 10%-3500 Unit/30GM 227 $45.41 $67.86
LACTINOL-E CRE 113 $48.83 $123.95
Lamotrigine Tab 100 MG 30 $33.00 $171.04
Lamotrigine Tab 150 MG 30 $36.30 $215.18
Lamotrigine Tab 200 MG 30 $25.88 $204.09
Lamotrigine Tab 25 MG 30 $35.40 $149.75
LANCET MIS 2MM 100 $20.24 $47.03
LANCETS MIS ORANGE 100 $28.85 $70.20
LANOXIN INJ 0.25MG/1 20 $28.83 $70.15
LANOXIN PED ELX 0.05/ML 60 $36.51 $90.82
LASIX TAB 80MG 30 $24.54 $58.59
LEMONGRASS OIL FCC 100 $48.43 $122.85
LEMOTUSSIN LIQ DM 473 $37.71 $94.05
LEUCOVOR CA INJ 10MG/ML 25 $21.24 $49.73
LEUCOVOR CA INJ 50MG 10 $34.07 $84.24
LEUCOVORIN INJ CALCIUM 1 $24.00 $57.14
Leucovorin Calcium For Inj 100 MG 1 $45.19 $67.50
Leucovorin Calcium Tab 5 MG 30 $34.01 $177.64
LEVALL G CAP 90-400MG 30 $42.66 $107.36
LEVAQUIN INJ 25MG/ML 20 $42.47 $106.82
LEVAQUIN/D5W INJ 250/50ML 50 $22.61 $53.42
LEVAQUIN/D5W INJ 500/100 100 $42.47 $106.82
Levetiracetam Tab 1000 MG 30 $34.43 $253.31
Levetiracetam Tab 500 MG 30 $36.00 $129.10
Levetiracetam Tab 750 MG 30 $23.20 $174.89
LEVLEN TAB CONTR PK 28 $35.83 $88.97
LEVLEN-28 TAB 28 $35.83 $88.97
LEVLITE TAB -28 28 $36.55 $90.92
LEVO DROMORA INJ 2MG/ML 10 $42.23 $106.19 *
Levocarnitine Oral Soln 10% 118 $25.31 $35.70
Levocarnitine Tab 330 MG 30 $22.36 $30.98
Levonorgestrel & Ethinyl Estradiol Tab 0.10 MG-20 MCG 28 $24.07 $41.96
Levonorgestrel & Ethinyl Estradiol Tab 0.10 MG-20 MCG 28 $24.07 $42.19
Levonorgestrel & Ethinyl Estradiol Tab 0.10 MG-20 MCG 28 $24.07 $42.19
Levonorgestrel & Ethinyl Estradiol Tab 0.15 MG-30 MCG 28 $25.12 $37.12
LEVORPHANOL TAB 2MG 30 $30.74 $75.28 *
Levothyroxine Sodium For Inj 200 MCG 1 $33.56 $48.89
Levothyroxine Sodium For Inj 500 MCG 1 $36.26 $53.21
LEVSIN DRO 0.125/ML 15 $43.81 $110.45
LEVSIN TAB 0.125MG 30 $27.05 $65.36
LEVSINEX CAP 0.375 CR 30 $46.77 $118.39
LEVSIN-PB DRO 15-.125 15 $30.97 $75.91
LEVSIN-PB TAB 15-.125 30 $21.28 $49.84
LEXXEL TAB 5-2.5MG 30 $48.02 $121.77
LIBRIUM CAP 10MG 30 $45.67 $115.44 *
LIBRIUM CAP 5MG 30 $25.47 $61.10 *
LIDAMANTLE CRE 3% 28 $36.88 $91.80
LIDAMANTLE CRE HC3-0.5% 28 $40.27 $100.92
LIDEX CRE 0.05% 15 $46.75 $118.36
LIDEX GEL 0.05% 15 $46.75 $118.36
LIDEX OIN 0.05% 15 $46.75 $118.36
LIDEX-E CRE 0.05% 15 $46.75 $118.36
LIDOCAINE OIN 5% 50 $26.56 $64.05
Lidocaine HCl Cream 3% 28 $29.33 $42.13
Lidocaine HCl Gel 2% 125 $43.04 $239.40
Lidocaine HCl Local Inj 0.5% 1250 $45.43 $67.88
Lidocaine HCl Local Inj 1.5% 100 $24.52 $34.43
Lidocaine HCl Local Inj 2% 50 $39.00 $57.60
Lidocaine HCl Local Inj 4% 125 $46.36 $69.37
Lidocaine Inj 1% w/ Epinephrine-1:200000 150 $26.22 $37.15
Lidocaine Inj 1.5% w/ Epinephrine-1:200000 50 $27.75 $39.60
Lidocaine Inj 2% w/ Epinephrine-1:200000 100 $34.22 $49.96
Lidocaine-Hydrocortisone Acetate Cream 3-0.5% 28 $26.13 $46.32
Lidocaine-Hydrocortisone Acetate Rectal Cream 3-0.5% 98 $47.18 $70.68
Lidocaine-Hydrocortisone Acetate Rectal Cream Kit 3-1% 20 $22.12 $168.31
LIFE MEDICAL TES 50 $25.47 $61.12
LIFESCAN MIS UNISTIK2 100 $21.24 $49.73
LIMBITROL TAB 5-12.5MG 30 $34.83 $86.30 *
LIMBREL CAP 250MG 30 $46.36 $117.29
LIORESAL INT INJ 10MG/5ML 1 $47.64 $120.74
LIORESAL INT INJ 40MG/20 1 $47.64 $120.74
Liothyronine Sodium Tab 25 MCG 30 $26.40 $38.23
Liothyronine Sodium Tab 25 MCG 30 $26.40 $38.23
Liothyronine Sodium Tab 25 MCG 30 $26.40 $38.23
LIPOCHOL TAB PLUS 30 $23.03 $54.55
LIPOFEN CAP 50MG 30 $41.47 $104.13
LIQUIBID-D TAB 40-1200 30 $35.41 $87.85
LIQUIBID-D TAB 40-650MG 30 $31.57 $77.52
LIQUIBID-PD TAB 30 $29.65 $72.35
LIQUIBID-PD TAB 25-275MG 30 $21.45 $50.28
LITHOSTAT TAB 250MG 30 $47.77 $121.10
LIVOSTIN SUS 0.05% OP 5 $49.06 $124.56
LODINE CAP 200MG 30 $43.27 $108.98
LODINE CAP 300MG 30 $48.63 $123.41
LODINE XL TAB 400MG 30 $47.26 $119.71
LODINE XL TAB 500MG 30 $49.26 $125.10
LODRANE LIQ 4-60/5ML 480 $37.11 $92.43
LODRANE 24D CAP 12-90MG 30 $41.83 $105.11
LOESTRIN FE TAB 1.5/30 28 $42.60 $107.19
LOESTRIN FE TAB 1/20 28 $42.60 $107.19
LOFIBRA CAP 67MG 30 $29.95 $73.16
LOFIBRA TAB 54MG 30 $29.95 $73.15
LOMOTIL LIQ 2.5/5 60 $30.28 $74.04 *
LOMOTIL TAB 2.5MG 30 $27.09 $65.47 *
LONG TES 50 $27.63 $66.92
LONITEN TAB 2.5MG 30 $27.73 $67.17
LOPRESS HCT TAB 50/25MG 30 $38.29 $95.58
LOPRESSOR TAB 100MG 30 $49.28 $125.14
LOPRESSOR TAB 50MG 30 $33.74 $83.35
LORABID SUS 100/5ML 100 $45.75 $115.67
LORAZEPAM CON 2MG/ML 30 $44.54 $112.39 *
LORCET PLUS TAB 7.5-650 30 $35.21 $87.31 *
LORTAB 10 TAB 30 $44.55 $112.43 *
LORTAB 2.5 TAB 30 $25.89 $62.24 *
LORTAB 5 TAB 30 $38.75 $96.82 *
LORTAB 7.5 TAB 30 $42.62 $107.24 *
LOTEMAX SUS 0.5% 2 $34.57 $85.60
LOTENSIN TAB 10MG 30 $35.64 $88.46
LOTENSIN TAB 20MG 30 $35.64 $88.46
LOTENSIN TAB 40MG 30 $35.64 $88.46
LOTENSIN TAB 5MG 30 $35.64 $88.46
LOTENSIN HCT TAB 10-12.5 30 $35.64 $88.46
LOTENSIN HCT TAB 20-12.5 30 $35.64 $88.46
LOTENSIN HCT TAB 20-25MG 30 $35.64 $88.46
LOTENSIN HCT TAB 5-6.25MG 30 $35.64 $88.46
LOTRISONE CRE 15 $41.81 $105.07
LOVAZA CAP 1GM 30 $38.73 $96.25
Loxapine Succinate Cap 25 MG 30 $26.00 $69.28
Loxapine Succinate Cap 5 MG 30 $25.35 $35.76
Loxapine Succinate Cap 50 MG 30 $33.86 $92.58
LOXITANE CAP 5MG 30 $48.26 $122.40
LOZOL TAB 1.25MG 30 $30.48 $74.58
LUMINAL INJ 130MG/ML 10 $43.26 $108.95 *
LUMINAL INJ 60MG/ML 10 $33.88 $83.73 *
LUNELLE INJ 0 $26.23 $63.16
LYBREL TAB 90-20MCG 30 $49.16 $122.51
LYNOX TAB 2.5-300 30 $37.01 $92.14 *
LYNOX TAB 5-300MG 30 $46.14 $116.71 *
LYNOX TAB 7.5-300 30 $49.40 $125.48 *

Drug Name Retail Qty Retail Mail Order
(3 x Retail Qty)
Labetalol HCl IV Soln 5 MG/ML
$265.50
$420.00

LACRISERT MIS 5MG OP
$193.06
$511.88

Lactated Ringer's for Irrigation
$233.40
$368.64

LACTINOL LOT 10%
$76.02
$197.07

Lactulose Syrup 10 GM/15ML
$78.34
$120.55

LAMICTAL CHW 25MG
$153.94
$406.64

LAMICTAL CHW 5MG
$143.58
$378.79

LAMICTAL KIT START 35
$172.56
$456.73

LAMICTAL KIT START 49
$245.32
$652.42

LAMICTAL KIT START 98
$487.85
$1304.74

LAMICTAL TAB 100MG
$169.00
$447.16

LAMICTAL TAB 150MG
$184.96
$490.09

LAMICTAL TAB 200MG
$201.11
$533.52

LAMICTAL TAB 25MG
$148.29
$391.46

LAMICTAL ODT TAB 100MG
$166.60
$437.99

LAMICTAL ODT TAB 200MG
$198.26
$522.61

LAMICTAL ODT TAB 25MG
$146.21
$383.48

LAMICTAL ODT TAB 50MG
$156.39
$410.70

LAMISIL SPR 1%
$79.60
$206.69

LAMISIL TAB 250MG
$460.73
$1231.80

Lamotrigine Tab Disp 25 MG
$74.96
$115.13

Lamotrigine Tab Disp 5 MG
$71.70
$109.92

LANCETS MIS FINE PT.
$68.26
$176.20

LANOXIN INJ 0.1MG/ML
$65.38
$168.46

LANTUS INJ 100/ML (10 ML)
$99.08
$257.66

LANTUS INJ 100/ML (3 ML PKGS)
$188.88
$497.83

LANTUS INJ SOLOSTAR
$188.88
$497.83

LARIAM TAB 250MG
$340.26
$907.80

LAVOCLEN-4 LIQ CREM WSH
$50.63
$128.77

LAVOCLEN-8 LIQ CREM WSH
$52.56
$133.96

LAZERFORMALY SOL 10%
$52.48
$133.75

LEFLUNOMIDE TAB 10MG
$430.94
$1151.68

LEFLUNOMIDE TAB 20MG
$430.94
$1151.68

LESCOL CAP 20MG
$92.78
$242.15

LESCOL CAP 40MG
$92.78
$242.15

LESCOL XL TAB 80MG
$118.07
$310.16

LETAIRIS TAB 10MG
$5907.88
$15882.75

LETAIRIS TAB 5MG
$5907.88
$15882.75

LEUCOVOR CA TAB 10MG
$200.52
$531.94

LEUCOVOR CA TAB 15MG
$279.65
$744.76

Leucovorin Calcium Inj 10 MG/ML
$79.17
$121.87

Leucovorin Calcium Tab 25 MG
$231.33
$890.42

LEUKERAN TAB 2MG
$107.77
$282.46

LEUKINE INJ 250MCG
$930.72
$2495.92

LEUKINE INJ 500 MCG
$347.22
$926.50

LEUKINE SOL 500MCG
$343.49
$916.48

Leuprolide Acetate Inj Kit 5 MG/ML
$124.32
$462.40

LEUSTATIN INJ 1MG/ML
$934.20
$2505.28

LEVALL SOL
$90.70
$236.55

LEVALL SOL 5-15-100
$93.52
$244.12

LEVALL SYP
$90.70
$236.55

LEVALL 5.0 SOL
$90.70
$236.55

LEVALL 5.0 SYP
$90.70
$236.55

LEVALL-12 SUS 25-30MG
$170.85
$452.13

LEVALL-12 SUS 30-30MG
$148.94
$393.19

LEVAQUIN TAB 250MG
$351.26
$937.37

LEVAQUIN TAB 500MG
$402.17
$1074.31

LEVAQUIN TAB 750MG
$824.73
$2210.84

LEVAQUIN TAB LEVA-PAK
$750.69
$2011.70

LEVAQUIN/D5W INJ 750/150
$55.46
$141.78

LEVATOL TAB 20MG
$80.30
$208.58

LEVBID TAB 0.375 ER
$62.89
$161.77

LEVEMIR INJ
$86.60
$220.38

LEVEMIR INJ FLEXPEN
$110.75
$283.83

Levetiracetam Oral Soln 100 MG/ML
$51.39
$448.62

LEVITRA TAB 10MG
$171.89
$454.92

LEVITRA TAB 2.5MG
$171.89
$454.92

LEVITRA TAB 20MG
$171.89
$454.92

LEVITRA TAB 5MG
$171.89
$454.92

Levocarnitine Inj 200 MG/ML
$291.00
$460.80

LEVO-DROMORA TAB 2MG
$53.89
$137.55

Levonorgestrel & Ethinyl Estradiol (91-Day) Tab 0.15-0.03 MG
$117.02
$192.81

Levonorgestrel & Ethinyl Estradiol (91-Day) Tab 0.15-0.03 MG
$117.02
$192.84

LEVOPHED INJ 1MG/ML
$116.50
$305.96

LEVSIN ELX 0.125/5
$109.06
$285.93

LEVSIN INJ 0.5MG/ML
$121.64
$319.78

LEVSIN/SL SUB 0.125MG
$86.77
$225.98

LEVULAN KERA SOL 20%
$982.59
$2635.43

LEXAPRO SOL 5MG/5ML
$144.97
$379.96

LEXAPRO TAB 10MG
$99.34
$259.78

LEXAPRO TAB 20MG
$103.80
$271.80

LEXAPRO TAB 5MG
$88.29
$228.51

LEXIVA SUS 50MG/ML
$123.47
$324.70

LEXIVA TAB 700MG
$396.72
$1059.63

LEXXEL TAB 5-5MG
$60.04
$154.09

LIALDA TAB 1.2GM
$167.77
$443.84

LIBRAX CAP 5-2.5MG
$170.94
$452.37

LIBRIUM CAP 25MG
$59.38
$152.32

LIBRIUM INJ 100MG
$231.67
$615.72

LIDAMANTLE LOT 3%
$225.98
$600.42

LIDAMANTLE LOT HC3-0.5%
$250.90
$667.42

LIDEX SOL 0.05%
$101.85
$266.55

LIDO/DEXTROS INJ 5-7.5%
$61.48
$157.95

LIDOCAINE INJ 100MG/ML
$128.36
$337.85

Lidocaine HCl For IV Admixture 200 MG/ML
$182.30
$286.88

Lidocaine HCl IV Inj 10 MG/ML
$94.98
$147.17

Lidocaine HCl IV Inj 20 MG/ML
$99.30
$154.08

Lidocaine HCl Lotion 3%
$74.40
$114.24

Lidocaine Inj 0.5% w/ Epinephrine-1:200000
$58.55
$88.88

Lidocaine IV Infusion in D5W Inj 2 MG/ML
$370.08
$587.16

Lidocaine IV Infusion in D5W Inj 4 MG/ML
$132.78
$207.72

Lidocaine IV Infusion in D5W Inj 8 MG/ML
$118.02
$183.96

LIDOCAINE/HC CRE 3%-1%
$1033.73
$2772.97

Lidocaine-Hydrocortisone Acetate Lotion 3-0.5%
$187.62
$295.39

Lidocaine-Hydrocortisone Acetate Lotion 3-0.5%
$82.37
$126.99

Lidocaine-Hydrocortisone Acetate Rectal Cream Kit 3-0.5%
$240.27
$379.63

Lidocaine-Hydrocortisone Acetate Rectal Cream Kit 3-0.5%
$98.12
$152.20

Lidocaine-Hydrocortisone Acetate Rectal Cream Kit 3-0.5%
$99.89
$155.02

Lidocaine-Hydrocortisone Acetate Rectal Gel Kit 3-2.5%
$138.76
$217.21

LIDODERM DIS 5%
$189.46
$495.00

LIDOSITE DIS SYSTEM
$263.75
$702.00

LIMBITROL DS TAB 10-25MG
$54.00
$137.84

LIMBREL CAP 500MG
$52.91
$134.91

LINDANE LOT 1%
$110.55
$289.95

Lindane Shampoo 1%
$95.93
$148.69

LIORESAL INT INJ 0.05MG/1
$75.83
$196.56

Liothyronine Sodium IV Soln 10 MCG/ML
$348.00
$552.00

LIPITOR TAB 10MG
$87.31
$223.24

LIPITOR TAB 20MG
$123.37
$318.43

LIPITOR TAB 40MG
$129.40
$334.35

LIPITOR TAB 80MG
$129.40
$334.36

LIPOFEN CAP 150MG
$85.57
$222.77

LIPOSYN II INJ 10%
$421.06
$1125.11

LIPOSYN II INJ 20%
$264.71
$704.52

LIPOSYN III INJ 10%
$538.95
$1442.20

LIPOSYN III INJ 20%
$318.95
$850.50

LIQUADD SOL 5MG/5ML
$154.99
$409.48

LIQUICET SOL 10-500MG
$177.65
$470.41

LIQUI-COAT SUS HD 210%
$79.43
$206.17

LIQUIHEP KIT 500U
$128.90
$339.30

LIQUIHEP II KIT 500U
$119.33
$313.56

LISTER-V CAP
$86.99
$226.58

LITH HEPARIN KIT 100UNIT
$134.12
$353.34

LITH HEPARIN KIT 500U
$104.54
$273.78

LITH HEPARIN KIT 70U
$107.15
$280.80

Liver Extract Inj 2 MCG/ML
$97.50
$151.20

LMD 10%/D5W INJ
$279.41
$744.12

LO/OVRAL TAB -28
$56.04
$143.34

LOCAL INFILT KIT 22GX2""
$261.35
$695.54

LOCOID CRE 0.1%
$53.91
$137.59

LOCOID OIN 0.1%
$51.51
$131.16

LOCOID SOL 0.1%
$67.77
$174.89

LOCOID LIPO CRE 0.1%
$61.24
$157.32

LODOSYN TAB 25MG
$73.84
$191.20

LODRANE D SUS
$78.44
$203.59

LOESTRIN TAB 1/20-21
$69.66
$179.97

LOESTRIN 21 TAB 1.5/30
$69.66
$179.97

LOESTRIN 24 TAB FE
$78.54
$203.85

LOFIBRA CAP 134MG
$55.14
$140.91

LOFIBRA CAP 200MG
$84.34
$219.46

LOFIBRA TAB 160MG
$84.34
$219.46

LONITEN TAB 10MG
$57.61
$147.57

LOPID TAB 600MG
$75.29
$195.10

LOPRESS HCT TAB 100/25MG
$58.28
$149.35

LOPRESS HCT TAB 100/50MG
$61.64
$158.40

LOPRESSOR INJ 5MG/5ML
$177.42
$469.81

LOPROX CRE 0.77%
$54.24
$138.48

LOPROX GEL TOPICAL
$197.63
$524.15

LOPROX SHA 1%
$117.92
$309.77

LOPROX SUS 0.77%
$96.94
$253.33

LORABID CAP 200MG
$125.75
$330.84

LORABID CAP 400MG
$175.89
$465.70

LORABID SUS 200/5ML
$72.96
$188.84

LORCET TAB 10/650
$53.39
$136.22

LORTAB ELX
$134.97
$355.63

LORTUSS DM LIQ
$56.30
$144.03

LORTUSS HC LIQ
$56.30
$144.03

LOTREL CAP 10-20MG
$136.99
$361.05

LOTREL CAP 10-40MG
$150.67
$397.84

LOTREL CAP 2.5-10MG
$65.74
$169.43

LOTREL CAP 5-10MG
$112.16
$294.28

LOTREL CAP 5-20MG
$70.59
$182.46

LOTREL CAP 5-40MG
$125.19
$329.33

LOTRISONE LOT
$83.76
$217.90

LOTRONEX TAB 0.5MG
$375.96
$1003.81

LOTRONEX TAB 1MG
$431.56
$1153.36

LOVENOX INJ 100/1ML
$821.21
$2201.38

LOVENOX INJ 120/0.8
$985.23
$2642.54

LOVENOX INJ 150/1ML
$1230.87
$3303.21

LOVENOX INJ 30/0.3ML
$248.02
$659.69

LOVENOX INJ 300/3ML
$248.02
$659.69

LOVENOX INJ 40/0.4ML
$329.75
$879.53

LOVENOX INJ 60/0.6ML
$493.83
$1320.85

LOVENOX INJ 80/0.8ML
$657.53
$1761.14

LOXITANE CAP 10MG
$61.55
$158.15

LOXITANE CAP 25MG
$91.60
$238.97

LOXITANE CAP 50MG
$121.30
$318.85

LOXITANE INJ 50MG/ML
$104.17
$272.80

LTA 360 KIT SOL 4%
$143.31
$378.06

LUCENTIS SOL
$2123.38
$5703.75

LUFYLLIN ELX 100/15ML
$117.07
$307.48

LUFYLLIN TAB 200MG
$92.62
$241.71

LUFYLLIN TAB 400MG
$134.71
$354.93

LUFYLLIN-GG ELX 100-100
$264.20
$703.20

LUFYLLIN-GG TAB 200-200
$102.96
$269.53

LUMBAR PUNCT KIT 18GX3.5""
$329.94
$880.03

LUMBAR PUNCT KIT 20GX3.5""
$157.83
$417.11

LUMBAR PUNCT KIT 22GX1.5""
$319.40
$851.67

LUMBAR PUNCT KIT 22GX2.5""
$157.83
$417.11

LUMBAR PUNCT KIT 22GX3.5""
$329.94
$880.03

LUMIGAN SOL 0.03%
$83.99
$218.51

LUNESTA TAB 1MG
$139.91
$364.61

LUNESTA TAB 2MG
$139.92
$364.62

LUNESTA TAB 3MG
$139.92
$364.62

LUPR DEP-PED INJ 11.25MG
$1365.08
$3664.21

LUPR DEP-PED INJ 15MG
$1503.20
$4035.70

LUPR DEP-PED INJ 7.5MG
$753.13
$2018.27

LUPRON INJ 2 WEEK
$541.40
$1448.79

LUPRON 6-PK INJ 5MG/ML
$3234.65
$8692.70

LUPRON DEPOT INJ 11.25MG
$1874.06
$5033.18

LUPRON DEPOT INJ 22.5MG
$2232.67
$5997.72

LUPRON DEPOT INJ 3.75MG
$626.51
$1677.69

LUPRON DEPOT INJ 30MG
$2975.98
$7996.97

LUPRON DEPOT INJ 7.5MG
$746.07
$1999.27

LUSTRA CRE 4%
$110.92
$290.93

LUSTRA-AF CRE 4%
$121.69
$319.90

LUSTRA-ULTRA CRE 4%
$130.39
$343.30

LUTREPULSE INJ 0.8MG
$135.16
$356.12

LUTREPULSE INJ 3.2MG
$433.35
$1158.16

LUVOX TAB 100MG
$77.84
$201.97

LUVOX CR CAP 100MG
$160.98
$425.59

LUVOX CR CAP 150MG
$172.40
$456.30

LUXIQ AER 0.12%
$154.98
$409.45

LYMPHAZURIN INJ 1%
$806.63
$2162.16

LYNOX TAB 10-300MG
$54.30
$138.65

LYPHOLYTE INJ
$1041.83
$2794.80

LYPHOLYTE-II INJ
$228.41
$606.96

LYRICA CAP 100MG
$83.60
$216.24

LYRICA CAP 150MG
$83.60
$216.24

LYRICA CAP 200MG
$76.25
$196.60

LYRICA CAP 225MG
$76.25
$196.60

LYRICA CAP 25MG
$76.25
$196.60

LYRICA CAP 300MG
$76.25
$196.60

LYRICA CAP 50MG
$83.60
$216.24

LYRICA CAP 75MG
$83.60
$216.24

LYSODREN TAB 500MG
$142.11
$374.83

LYTENSOPRIL PAK
$242.83
$645.72

A	B	C	D	E	F
G	H	I	J	K	L
M	N	O	P	Q	R
S	T	U	V	W	X
Y	Z

	Home FAQ's Pharmacy Network Preferred Drug List Program Enrollment Mail Order Contact Us

	* This is not an insured product *	Copyright © 2010 Rx Options, Inc.