
	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: o

Drug Name Retail Qty Retail Mail Order
(3 x Retail Qty)
O-CAL TAB PRENATAL 30 $7.35 $12.38
Ondansetron HCl Inj 2 MG/ML 10 $7.69 $14.06
Ophthalmic Irrigation Solution 18 $7.85 $14.54
ORAMAGICRX SUS 60 $8.69 $15.98
ORASEP SOL 30 $8.23 $14.74
ORASEP SPR 30 $8.49 $15.44
OTIX DROPS SOL 1 $6.80 $10.88
Oxacillin Sodium For Soln 250 MG/5ML 100 $7.13 $12.38
Oxybutynin Chloride Tab 5 MG 30 $9.60 $8.60
Oxycodone HCl Cap 5 MG 30 $9.00 $16.47 *
Oxycodone w/ Acetaminophen Tab 5-325 MG 30 $9.90 $34.58 *
Oxycodone w/ Acetaminophen Tab 5-325 MG 30 $9.90 $40.69 *

Drug Name Retail Qty Retail Mail Order
(3 x Retail Qty)
OBSTETRIX TAB -100 30 $13.97 $30.19
OBTREX TAB 30 $13.08 $27.79
O-CAL FA TAB 30 $10.50 $20.85
OMNII GEL 0.4% GRA 122 $10.14 $19.89
OMNII GEL 0.4%CINN 122 $10.14 $19.89
OMNII GEL 0.4%MINT 122 $10.14 $19.89
OMNII GEL 0.4%NATU 122 $10.14 $19.89
OMNII GEL 0.4%RASP 122 $10.14 $19.89
OMNII MED GEL 0.4% 210 $10.15 $19.89
ONE TOUCH MIS LANCETS 200 $14.55 $31.73
ONE TOUCH US MIS LANCETS 100 $11.67 $23.99
OPHTHETIC SOL 0.5% OP 15 $16.55 $37.11
ORATUSS 12 TAB 30 $18.89 $43.42
OXACILLIN INJ 1GM 1 $13.55 $29.04
Oxaprozin Tab 600 MG 30 $17.40 $18.60
Oxazepam Cap 10 MG 30 $12.00 $39.38 *
Oxazepam Cap 15 MG 30 $16.04 $62.56 *
OXIPLEN RX CAP 30 $17.39 $39.38
OXIPLEN RX TAB 30 $18.85 $43.31
OXYCODONE TAB 10MG 30 $17.15 $38.73 *
Oxycodone HCl Tab 15 MG 30 $19.59 $41.42 *
Oxycodone HCl Tab 5 MG 30 $10.50 $14.22 *
Oxycodone HCl Tab 5 MG 30 $10.50 $14.22 *
Oxycodone HCl Tab 5 MG 30 $10.50 $14.22 *
Oxycodone w/ Acetaminophen Cap 5-500 MG 30 $13.50 $15.92 *
OXYIR CAP 5MG 30 $13.01 $27.60 *
Oxytetracycline-Polymyxin B Ophth Oint 4 $13.91 $32.74

Drug Name Retail Qty Retail Mail Order
(3 x Retail Qty)
OB COMPLETE TAB 30 $35.78 $88.85
OCL SOL 4050 $43.53 $109.71
OCTRON INJ 10 $47.99 $121.68
OCUFEN SOL 0.03% OP 2 $21.46 $50.31
OCUPRESS SOL 1% OP 5 $31.24 $76.64
OCUSERT DIS PILO-20 8 $42.01 $105.60
OCUSERT DIS PILO-40 8 $41.99 $105.53
OGEN TAB 0.625 30 $36.34 $90.35
OGEN TAB 1.25 30 $39.20 $98.04
OLEYL ALCOH LIQ NF 100 $20.37 $47.39
OMACOR CAP 1GM 30 $36.68 $91.26
Omeprazole Cap Delayed Release 10 MG 30 $48.38 $59.12
Omeprazole Cap Delayed Release 20 MG 30 $27.57 $38.19
OMNIHIST II TAB LA 30 $25.26 $60.55
ONE TOUCH TES 25 $29.12 $70.93
ONE TOUCH TES ULTRA 25 $28.03 $68.00
OPANA INJ 1MG/ML 10 $31.08 $76.19 *
OPTINATE MIS 30 $40.86 $102.49
OPTIPRANOLOL SOL 0.3% OP 5 $24.83 $59.39
OPTIUM TES 50 $45.28 $114.38
OPTIVAR DRO 0.05% 3 $43.21 $108.83
Oral Wound Care Products - For Soln Rinse 210 $22.19 $57.58
ORAMORPH SR TAB 15MG 30 $28.30 $68.72 *
ORAP TAB 1MG 30 $34.55 $85.52
ORAP TAB 2MG 30 $45.15 $114.03
Orphenadrine Citrate Tab CR 100 MG 30 $42.69 $119.08
Orphenadrine Citrate Tab SR 12HR 100 MG 30 $31.50 $69.48
Orphenadrine w/ Aspirin & Caffeine Tab 25-385-30 MG 30 $22.97 $59.91
ORTHO EVRA DIS WEEK 1 $23.37 $55.46
ORTHO MICRON TAB DIALPAK 28 $34.00 $84.04
ORTHO TRI- TAB CYCLEN 28 $31.31 $76.81
ORTHO-CYCLEN TAB 0.25/35 28 $31.31 $76.81
ORTHO-NOVUM TAB 7/7/7-21 21 $28.71 $69.83
ORTHO-NOVUM TAB 7/7/7-28 28 $28.64 $69.64
OSTIVA TAB 30 $31.46 $77.22
OVCON 35 FE CHW 28 $46.10 $116.58
OVCON-35 21 TAB 21 $32.31 $79.51
OVCON-35 28 TAB 28 $41.10 $103.15
OVRETTE 28 TAB 0.075MG 28 $36.77 $91.49
OXACILLIN INJ 2GM 1 $20.25 $47.06
Oxazepam Cap 30 MG 30 $26.68 $106.27 *
Oxcarbazepine Tab 150 MG 30 $35.16 $65.49
OXICAL MIS 112 $31.98 $78.62
OXISTAT CRE 1% 15 $33.00 $81.36
Oxybutynin Chloride Syrup 5 MG/5ML 473 $35.79 $95.73
OXYCODONE TAB 20MG 30 $26.57 $64.06 *
Oxycodone HCl Conc 20 MG/ML 30 $20.46 $73.68 *
Oxycodone HCl Conc 20 MG/ML 30 $20.46 $73.68 *
Oxycodone HCl Conc 20 MG/ML 30 $20.46 $73.68 *
Oxycodone HCl Soln 5 MG/5ML 500 $30.62 $83.25 *
Oxycodone HCl Tab 30 MG 30 $34.98 $73.96 *
Oxycodone HCl Tab SR 12HR 10 MG 30 $36.03 $99.08 *
Oxycodone w/ Acetaminophen Tab 10-325 MG 30 $33.86 $77.18 *
Oxycodone w/ Acetaminophen Tab 10-325 MG 30 $33.86 $77.18 *
Oxycodone w/ Acetaminophen Tab 10-650 MG 30 $35.10 $85.13 *
Oxycodone w/ Acetaminophen Tab 10-650 MG 30 $35.10 $85.13 *
Oxycodone w/ Acetaminophen Tab 7.5-325 MG 30 $27.00 $74.03 *
Oxycodone w/ Acetaminophen Tab 7.5-325 MG 30 $27.00 $74.03 *
Oxycodone w/ Acetaminophen Tab 7.5-500 MG 30 $22.50 $55.52 *
Oxycodone w/ Acetaminophen Tab 7.5-500 MG 30 $22.50 $55.52 *
Oxycodone w/ Aspirin Tab Full Strength 30 $28.44 $76.77 *
Oxycodone-Ibuprofen Tab 5-400 MG 30 $36.13 $99.40 *
OXYCONTIN TAB 10MG CR 30 $49.04 $124.51 *

Drug Name Retail Qty Retail Mail Order
(3 x Retail Qty)
OB COMPLETE CAP WITH DHA
$52.74
$134.44

OCTREOSCAN KIT
$2611.88
$7017.66

Octreotide Acetate Inj 0.2 MG/ML
$163.84
$351.56

Octreotide Acetate Inj 1 MG/ML
$794.41
$2374.22

OCUFLOX SOL 0.3% OP
$52.68
$134.29

Ofloxacin Ophth Soln 0.3%
$53.00
$52.74

Ofloxacin Otic Soln 0.3%
$98.33
$83.82

Ofloxacin Tab 200 MG
$60.41
$289.53

Ofloxacin Tab 300 MG
$71.32
$384.29

Ofloxacin Tab 400 MG
$138.09
$405.26

OGEN TAB 2.5
$84.42
$219.66

OLUX AER 0.05%
$204.62
$542.95

OLUX OLUX-E MIS COMP PK
$312.84
$834.05

OLUX-E AER 0.05%
$312.84
$834.05

Omeprazole Cap Delayed Release 40 MG
$169.42
$499.26

OMNARIS SPR
$92.35
$241.00

OMNICEF CAP 300MG
$165.96
$438.97

OMNICEF SUS 125MG/5
$57.00
$145.92

OMNICEF SUS 250MG/5
$170.35
$450.78

OMNIPAQUE INJ 140MG/ML
$366.24
$977.66

OMNIPAQUE INJ 180MG/ML
$216.91
$576.02

OMNIPAQUE INJ 210MG/ML
$463.14
$1238.28

OMNIPAQUE INJ 240MG/ML
$2033.03
$5460.75

OMNIPAQUE INJ 300MG/ML
$4382.90
$11781.15

OMNIPAQUE INJ 350MG/ML
$4448.75
$11958.15

OMNIPRED SUS 1% OP
$61.26
$157.37

OMNISCAN INJ 287MG/ML
$644.08
$1724.96

OMNISCAN KIT SAFEPAK
$1123.52
$3014.48

OMNITROPE INJ 5.8MG
$1730.08
$4645.93

ONCASPAR INJ 750IU/ML
$2856.35
$7675.20

ONDANSETRON SOL 32MG/50M
$394.25
$1053.00

ONDANSETRON SOL HCL
$211.38
$561.16

ONDANSETRON TAB 24MG
$2782.66
$7477.00

Ondansetron HCl Inj 32 MG/50ML
$182.69
$539.06

Ondansetron HCl Tab 4 MG
$541.20
$130.92

Ondansetron HCl Tab 8 MG
$935.78
$210.00

Ondansetron Orally Disintegrating Tab 4 MG
$531.81
$1586.43

Ondansetron Orally Disintegrating Tab 8 MG
$883.82
$2642.45

ONE TOUCH MIS COMBO
$68.26
$176.20

ONTAK INJ 150/ML
$1481.75
$3978.00

OPANA TAB 10MG
$164.35
$434.64

OPANA TAB 5MG
$91.75
$239.37

OPANA ER TAB 10MG
$100.47
$262.83

OPANA ER TAB 15MG
$138.27
$364.50

OPANA ER TAB 20MG
$176.06
$466.16

OPANA ER TAB 30MG
$252.21
$670.96

OPANA ER TAB 40MG
$328.36
$875.77

OPANA ER TAB 5MG
$53.64
$136.88

OPANA ER TAB 7.5MG
$77.05
$199.85

Ophthalmic Irrigation Solution - Intraocular
$76.38
$220.14

Ophthalmic Irrigation Solution - Intraocular
$197.40
$583.20

OPIUM TIN 10%
$99.63
$260.58

OPTASE GEL
$60.05
$154.11

OPTIMARK INJ 330.9MG/
$296.11
$789.05

OPTIRAY 300 INJ 64%
$1076.66
$2888.44

OPTIRAY 350 INJ 74%
$2694.32
$7239.42

OPTISON INJ 10MG/ML
$600.88
$1608.75

ORACEA CAP 40MG
$194.42
$515.53

ORACIT SOL
$143.69
$379.08

ORAMORPH SR TAB 100MG
$138.62
$365.43

ORAMORPH SR TAB 30MG
$66.80
$172.27

ORAMORPH SR TAB 60MG
$89.13
$232.33

ORAPRED SOL 15MG/5ML
$225.98
$600.40

ORAPRED ODT TAB 10MG
$103.38
$270.65

ORAPRED ODT TAB 15MG
$154.07
$407.00

ORAPRED ODT TAB 30MG
$218.37
$579.94

ORATUSS LIQ 20-75MG/
$73.88
$191.31

ORFADIN CAP 10MG
$7675.54
$20637.16

ORFADIN CAP 2MG
$1537.31
$4127.43

ORFADIN CAP 5MG
$3839.15
$10318.59

ORGANIDIN NR LIQ 100/5ML
$197.40
$523.55

Orphenadrine Citrate Inj 30 MG/ML
$169.53
$499.59

Orphenadrine w/ Aspirin & Caffeine Tab 50-770-60 MG
$61.93
$123.66

ORTHO TRI-CY TAB LO
$64.64
$166.47

ORTHO-CEPT TAB 28
$50.88
$129.46

ORTHOCLONE INJ OKT3
$1188.82
$3190.12

ORTHO-NOVUM TAB 1/35-28
$50.88
$129.46

ORTHO-NOVUM TAB 1/50-28
$50.89
$129.47

ORTHO-NOVUM TAB 10/11-28
$55.25
$141.21

ORTHOVISC INJ 15MG/ML
$237.65
$631.80

ORUVAIL CAP 200MG ER
$91.47
$238.62

OSMOGLYN SOL 50%
$366.20
$977.57

OSMOPREP TAB 1.5GM
$75.56
$195.83

OTIC EDGE SOL OTIC
$142.52
$375.92

OTICIN HC DRO
$56.52
$144.61

OTILAM EAR LIQ DROPS
$50.77
$129.17

OTILAM NR SOL 1.4-5.4%
$57.04
$146.02

OVACE AER 10%
$144.73
$381.86

OVACE CRE 10%
$60.28
$154.74

OVACE GEL 10%
$60.28
$154.74

OVACE WASH LIQ
$71.21
$184.14

OVACE WASH LIQ PLUS 10%
$170.48
$451.13

OVCON 50 TAB 28
$69.13
$178.53

OVIDE LOT 0.5%
$111.10
$291.42

OVIDREL INJ
$84.44
$219.71

OVIDREL INJ 250MCG
$66.39
$171.17

OVRAL TAB -28
$52.83
$134.70

OXACILLIN INJ 10GM
$67.68
$174.63

OXANDRIN TAB 10MG
$726.49
$1946.62

OXANDRIN TAB 2.5MG
$216.18
$574.06

Oxandrolone Tab 10 MG
$424.89
$1265.66

Oxandrolone Tab 2.5 MG
$127.41
$373.24

Oxcarbazepine Tab 300 MG
$61.73
$99.46

Oxcarbazepine Tab 600 MG
$110.95
$181.43

OXISTAT LOT 1%
$51.67
$131.58

OXSORALEN LOT 1%
$498.48
$1333.36

OXSORALEN-UL CAP 10MG
$965.21
$2588.70

Oxybutynin Chloride Tab SR 24HR 10 MG
$76.97
$203.15

Oxybutynin Chloride Tab SR 24HR 15 MG
$78.81
$203.15

Oxybutynin Chloride Tab SR 24HR 5 MG
$76.89
$203.15

OXYCEL COTTN PAD 2""X1""X1""
$425.05
$1135.84

OXYCEL GAUZE PAD 18""X2""
$580.69
$1554.46

OXYCEL GAUZE PAD 3""X3""
$488.47
$1306.42

OXYCEL GAUZE PAD 36""X1/2""
$694.84
$1861.47

OXYCEL GAUZE PAD 5""X1/2""
$303.42
$808.70

Oxycodone HCl Tab SR 12HR 20 MG
$66.20
$189.59

Oxycodone HCl Tab SR 12HR 40 MG
$115.14
$336.41

Oxycodone HCl Tab SR 12HR 80 MG
$213.88
$596.82

OXYCONTIN TAB 15MG
$78.43
$201.32

OXYCONTIN TAB 160MG CR
$483.44
$1292.89

OXYCONTIN TAB 20MG CR
$91.33
$238.26

OXYCONTIN TAB 30MG
$139.63
$364.09

OXYCONTIN TAB 40MG CR
$159.81
$422.44

OXYCONTIN TAB 60MG
$252.45
$664.20

OXYCONTIN TAB 80MG CR
$298.29
$794.89

Oxytocin Inj 10 Unit/ML
$87.38
$253.13

OXYTROL DIS 3.9MG/24
$148.20
$391.22

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