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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:  w

First Tier
Drug NameRetail QtyRetailMail Order
(3 x Retail Qty)
W&F LANCETS MIS 21G100$7.97$14.04
W&F LANCETS MIS 26G100$7.97$14.04
Warfarin Sodium Tab 1 MG30$6.69$17.71
Warfarin Sodium Tab 1 MG30$6.69$21.89
Warfarin Sodium Tab 2 MG30$6.69$18.49
Warfarin Sodium Tab 2 MG30$6.69$23.01
Warfarin Sodium Tab 2.5 MG30$6.69$19.01
Warfarin Sodium Tab 2.5 MG30$6.69$23.75
Warfarin Sodium Tab 3 MG30$7.57$19.01
Warfarin Sodium Tab 3 MG30$7.57$23.65
Warfarin Sodium Tab 4 MG30$7.05$19.01
Warfarin Sodium Tab 4 MG30$7.05$23.71
Warfarin Sodium Tab 5 MG30$6.69$19.79
Warfarin Sodium Tab 5 MG30$6.69$24.27
Warfarin Sodium Tab 6 MG30$7.05$25.52
Warfarin Sodium Tab 6 MG30$7.05$34.13
Warfarin Sodium Tab 7.5 MG30$7.05$26.56
Warfarin Sodium Tab 7.5 MG30$7.05$34.39
Water For Inject, Bacteriostatic30$4.88$3.00
Water For Inject, Bacteriostatic Benzyl Alcohol30$4.50$2.40
Water For IV Injection1200$5.88$4.61
WD LANCETS MIS100$7.08$11.65
WD LANCETS MIS THIN100$7.09$11.68
Witch Hazel-Glycerin Cleansing Pads100$4.94$3.11
Wound Dressings - Gel1$9.89$11.03

Second Tier
Drug NameRetail QtyRetailMail Order
(3 x Retail Qty)
Warfarin Sodium Tab 10 MG30$19.86$27.35
Warfarin Sodium Tab 10 MG30$19.86$35.91
WESTCORT CRE 0.2%15$18.00$41.02

Third Tier
Drug NameRetail QtyRetailMail Order
(3 x Retail Qty)
WELCHOL TAB 625MG30$39.94$100.04
WESTCORT OIN 0.2%15$20.23$47.01
WINN DIXIE TES MEDIC50$27.63$66.92
WINSTROL TAB 2MG30$28.71$69.81 *
WITEPSOL MIS500$36.59$91.01

Fourth Tier
Drug NameRetail QtyRetailMail Order
(3 x Retail Qty)
Water For Irrigation, Sterile Irrigation Soln

$204.36

$322.20

WELLBUTRIN TAB 100MG

$99.22

$259.48

WELLBUTRIN TAB 100MG SR

$102.13

$267.29

WELLBUTRIN TAB 150MG SR

$109.25

$286.46

WELLBUTRIN TAB 200MG SR

$200.53

$531.96

WELLBUTRIN TAB 75MG

$75.09

$194.57

WELLBUTRIN TAB XL 150MG

$174.40

$461.67

WELLBUTRIN TAB XL 300MG

$229.32

$609.38

WHEAT GERM OIL

$89.54

$233.42

WILD CHERRY EXT BARK

$67.61

$174.45

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