Alphabetical Formulary List
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- Crystal Dorsey
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1 Alphabetical Formulary List Acetaminophen 120mg Suppositories 12 $5 Amoxicillin 400mg/5ml Suspension 100 $5 Acetaminophen 325mg Suppositories 12 $5 Amoxicillin 400mg/5ml Suspension 50 $5 (50ml) Acetaminophen 650mg Suppositories 12 $5 Amoxicillin 400mg/5ml Suspension 75 $5 (75ml) Acetic Acid/Aluminum Acetate 2% 60 $5 Amoxicillin 875mg 20 $5 Acyclovir 200mg Capsule 180 $15 Amoxil 125/5ml Suspension (150ml) 150 $5 Acyclovir 400mg 180 $15 Amoxil 250mg/5ml Suspension 100 $5 Acyclovir 800mg 90 $15 Amoxil 500mg Capsule 30 $5 Advanced Natalcare 90 $15 Amoxil 50mg/ml Suspension (15ml) 30 $5 Albuterol 0.083% Nebules 225 $10 Amoxil 50mg/ml Suspension (30ml) 60 $5 Albuterol 2mg 90 $5 Ampicillin 250mg Capsule 28 $5 Albuterol 2mg/5ml Syrup 360 $5 Ampicillin 500mg Capsule 28 $5 Albuterol 4mg 60 $5 Antipyrine and Benzocaine Otic 10 $5 Albuterol 5mg/ml 20 $5 Anucort-HC 25mg Suppositories 12 $5 Alendronate 35mg 4 $15 Apri day 28 $25 Alendronate 70mg 4 $15 Aranelle 28 day 28 $25 Allopurinol 100mg 90 $10 Atenolol 100mg 90 $10 Allopurinol 300mg 90 $10 Atenolol 25mg 90 $10 Amiloride-HCTZ 5mg-50mg 90 $10 Atenolol 50mg 90 $10 Amitriptyline 100mg 90 $10 Atenolol-Chlorthalidone 100mg-25mg 90 $10 Amitriptyline 10mg 90 $10 Atenolol-Chlorthalidone 50mg-25mg 90 $10 Amitriptyline 150mg 180 $15 Atropine 1% Ophthalmic 5 $5 Amitriptyline 25mg 90 $10 Aviane 28 day 28 $25 Amitriptyline 50mg 90 $10 Bacitracin Ophthalmic Ointment 4 $5 Amitriptyline 75mg 90 $10 Baclofen 10mg 270 $15 Amlodipine 10mg 90 $15 Baclofen 20mg 180 $15 Amlodipine 2.5mg 90 $15 Belladonna Alkaloid/Phenobarbital 180 $10 Amlodipine 5mg 90 $15 Benazepril 10mg 90 $10 Ammonium Lactate 12% Cream 144 $5 Benazepril 20mg 90 $10 Amoxicillin 125mg Chewable 20 $5 Benazepril 40mg 90 $10 Amoxicillin 125mg/5ml Suspension 100 $5 Benazepril 5mg 90 $10 Amoxicillin 125mg/5ml Suspension 80 $5 Benazepril/HCTZ 10mg/12.5mg 90 $15 (80ml) Amoxicillin 200mg Chewable 20 $5 Benazepril/HCTZ 20mg/12.5mg 90 $15 Amoxicillin 200mg/5ml Suspension 100 $5 Benazepril/HCTZ 20mg/25mg 90 $15 Amoxicillin 200mg/5ml Suspension 50 $5 Benazepril/HCTZ 5mg/6.25mg 90 $15 (50ml) Amoxicillin 200mg/5ml Suspension 75 $5 Benzonatate 100mg Capsule 21 $5 (75ml) Amoxicillin 250mg Capsule 30 $5 Benzonatate 200mg Capsule 14 $5 Amoxicillin 250mg Chewable 30 $5 Benzoyl Peroxide 10% Gel 60 $25 Amoxicillin 250mg 30 $5 Benzoyl Peroxide 10% Gel 90 $25 Amoxicillin 250mg/5ml Suspension (150ml) 150 $5 Benztropine 0.5mg 180 $10
2 Alphabetical Formulary List Benztropine 1mg 180 $10 Cetirizine 10mg 90 $15 Benztropine 2mg 90 $10 Chlorhexidine Gluconate 0.12% 473 $5 Betamethasone Dip. 0.05% Cream 15 $5 Chlorpropamide 100mg 90 $15 Betamethasone Dip. 0.05% Cream 45 $5 Chlorthalidone 25mg 90 $10 (45gm) Betamethasone Dip. 0.05% Lotion 60 $5 Chlorthalidone 50mg 90 $10 (60ml) Betamethasone Dip. 0.05% Ointment 15 $5 Chlorzoxazone 500mg 90 $15 Betamethasone Dip. 0.05% Ointment 45 $5 Cimetidine 200mg 180 $15 (45gm) Betamethasone Valerate 0.1% Cream 15 $5 Cimetidine 300mg 360 $15 Betamethasone Valerate 0.1% Cream 45 $5 Cimetidine 400mg 180 $15 (45gm) Betamethasone Valerate 0.1% Lotion 60 $5 Cimetidine 800mg 90 $15 (60ml) Betamethasone Valerate 0.1% 15 $5 Ciprofloxacin 250mg 20 $5 Ointment Betamethasone Valerate 0.1% 45 $5 Ciprofloxacin 500mg 20 $5 Ointment (45gm) Bisoprolol-HCTZ 10mg 90 $10 Ciprofloxacin 750mg 20 $5 Bisoprolol-HCTZ 2.5mg 90 $10 Citalopram 10mg 90 $10 Bisoprolol-HCTZ 5mg 90 $10 Citalopram 20mg 90 $10 Bumetanide 0.5mg 90 $10 Citalopram 40mg 90 $10 Bumetanide 1mg 90 $10 Clindamycin 1% 30 $5 Bumetanide 2mg 90 $15 Clindamycin 150mg Capsule 28 $5 Buspirone 10mg 180 $10 Clobetasol 0.05% Cream 15 $5 Buspirone 15mg 90 $15 Clobetasol 0.05% Ointment 15 $5 Buspirone 5mg 180 $10 Clomiphene 50mg tablet 10 $25 Calcitriol 0.25mcg Capsule 30 $25 Clomipramine 25mg Capsule 90 $15 Calcium + Vitamin D 600mg/200mg Tab 60 $5 Clomipramine 50mg Capsule 90 $15 Calcium Carbonate 1250mg 60 $5 Clonidine 0.1mg 90 $10 Camila 0.35mg 28 day 28 $25 Clonidine 0.2mg 90 $10 Captopril 100mg 180 $10 Clonidine 0.3mg 90 $10 Captopril 12.5mg 180 $10 Clotrimazole and Betamethasone 45 $5 Cream Captopril 25mg 180 $10 Colchicine 0.6mg 90 $10 Captopril 50mg 180 $10 C-Phen DM Syrup 180 $5 Captopril/HCTZ 25-15mg 180 $15 Cryselle 28 day 28 $25 Captopril/HCTZ 25-25mg 180 $15 Cyclobenzaprine 10mg 90 $10 Carbamazepine 100mg 180 $10 Cyclobenzaprine 5mg 90 $10 Carbamazepine 200mg 180 $10 Cyproheptadine 4mg 30 $5 Carvedilol 12.5mg 180 $10 Cytra $10 Carvedilol 25mg 180 $10 De-chlor DM Syrup 180 $5 Carvedilol 3.125mg 180 $10 Desonide 0.05% Cream 15 $5 Carvedilol 6.25mg 180 $10 Dex PC Syrup 180 $5 Cephalexin 250mg Capsule 40 $5 Dexamethasone 0.5mg 90 $5 Cephalexin 500mg Capsule 28 $5 Dexamethasone 0.75mg 36 $5 Ceron-DM Syrup 180 $5 Dexamethasone 4mg 18 $5
3 Dicyclomine 10mg Capsule 270 $10 Estropipate 0.75mg 90 $10 Dicyclomine 20mg 180 $10 Estropipate 1.5mg 90 $10 Digoxin 0.125mg 90 $10 Famotidine 20mg 180 $10 Digoxin 0.25mg 90 $10 Famotidine 40mg 90 $10 Diltiazem 120mg 90 $10 Ferrous Sulfate 325mg 180 $15 Diltiazem 30mg 180 $10 Fluconazole 150mg 1 $5 Diltiazem 60mg 180 $10 Fluocinolone 0.01% 60 $5 Diltiazem 90mg 180 $10 Fluocinolone 0.01% Cream 15 $5 Diphenhydramine 25mg Capsule 28 $5 Fluocinolone 0.01% Cream (60gm) 60 $5 Diphenhydramine 50mg Capsule 28 $5 Fluocinonide 0.05% Cream 15 $5 Doxazosin 1mg 90 $10 Fluocinonide 0.05% Cream (30gm) 30 $5 Doxazosin 2mg 90 $10 Fluocinonide 0.05% Ointment 15 $5 Doxazosin 4mg 90 $10 Fluocinonide 0.05% Ointment (30gm) 30 $5 Doxazosin 8mg 90 $10 Fluoxetine 10mg Capsule 90 $10 Doxepin 100mg Capsule 90 $10 Fluoxetine 10mg 90 $10 Doxepin 10mg Capsule 90 $10 Fluoxetine 20mg Capsule 180 $10 Doxepin 25mg Capsule 90 $10 Fluphenazine 1mg 90 $10 Doxepin 50mg Capsule 90 $10 Fluphenazine 5mg 90 $15 Doxepin 75mg Capsule 90 $10 Flurbiprofen 100mg 180 $15 Doxycycline Hyclate 100mg Capsule 20 $5 Folic Acid 1mg 90 $10 Doxycycline Hyclate 100mg 20 $5 Folic acid/ Vit B12/ Vit B6 30 $25 Doxycycline Hyclate 50mg Capsule 20 $5 Fortical Nasal Spray 4 $25 Enalapril 10mg 180 $10 Furosemide 20mg 90 $10 Enalapril 2.5mg 180 $10 Furosemide 40mg 90 $10 Enalapril 20mg 180 $10 Furosemide 80mg 90 $10 Enalapril 5mg 180 $10 Gani-Tuss-DM 100mg-10mg/5ml Syrup 180 $5 Enalapril-HCTZ 10mg-25mg 90 $10 Gentamicin 0.1% Cream 15 $5 Enalapril-HCTZ 5mg-12.5mg 90 $10 Gentamicin 0.1% Cream (30gm) 30 $5 Enpresse 28 day 28 $25 Gentamicin 0.1% Ointment 15 $5 Errin 0.35mg 28 day 28 $25 Gentamicin 0.1% Ointment (30gm) 30 $5 Erythrocin Stearate 250mg 40 $5 Gentamicin 3mg/ml Ophthalmic 5 $5 Erythrocin Stearate 500mg 28 $5 Glimepiride 1mg 90 $10 Erythromycin 2% Gel 60 $25 Glimepiride 2mg 90 $10 Erythromycin 2% 60 $25 Glimepiride 4mg 90 $10 Erythromycin Benzoyl Peroxide Gel 23 $25 Glipizide 10mg 180 $10 Erythromycin Ethylsuccinate 400mg 28 $5 Glipizide 5mg 90 $10 Erythromycin Ophthalmic Ointment 4 $5 Glyburide 1.25mg 180 $10 Estradiol 0.025mg Patch 4 $25 Glyburide 2.5mg 180 $10 Estradiol mg Patch 4 $25 Glyburide 5mg 180 $10 Estradiol 0.05mg Patch 4 $25 Glyburide Micronized 3mg 90 $10 Estradiol 0.06mg Patch 4 $25 Glyburide Micronized 6mg 90 $10 Estradiol 0.075mg Patch 4 $25 Guanfacine 1mg 90 $10 Estradiol 0.1mg Patch 4 $25 Guanfacine 2mg 90 $10 Estradiol 0.5mg 90 $10 Haloperidol 0.5mg 90 $10 Estradiol 1mg 90 $10 Haloperidol 1mg 90 $10 Estradiol 2mg 90 $10 Haloperidol 2mg 90 $10
4 Haloperidol 5mg 90 $10 Klor-con 10meq 90 $10 Hydralazine 10mg 90 $15 Klor-con 8meq 90 $10 Hydralazine 25mg 90 $15 Klor-con M 10meq 90 $10 Hydrochlorothiazide 12.5mg Capsule 90 $10 Lactulose 10g/15ml Syrup 711 $10 Hydrochlorothiazide 25mg 90 $10 Leflunomide 10mg 30 $25 Hydrochlorothiazide 50mg 90 $10 Leflunomide 20mg 30 $25 Hydrocortisone 2.5% Cream 30 $5 Lessina 0.1/0.02mg 28 day 28 $25 Hydrocortisone 2.5% Ointment 20 $5 Levobunolol 0.5% Ophthalmic 15 $10 Hydroquinone 4% Sunscreen Cream 28 $25 Levothyroxine 100mcg 90 $15 Hydroxyzine Pamoate 25mg Capsule 180 $15 Levothyroxine 112mcg 90 $15 Hydroxyzine Pamoate 50mg Capsule 180 $15 Levothyroxine 125mcg 90 $15 Ibuprofen 100mg/5ml Suspension 240 $5 Levothyroxine 137mcg 90 $15 Ibuprofen 400mg 360 $10 Levothyroxine 150mcg 90 $15 Ibuprofen 600mg 360 $10 Levothyroxine 175mcg 90 $15 Ibuprofen 800mg 270 $10 Levothyroxine 200mcg 90 $15 Inatal Advance 90 $15 Levothyroxine 25mcg 90 $15 Inatal Ultra 90 $15 Levothyroxine 50mcg 90 $15 Indapamide 1.25mg 90 $10 Levothyroxine 75mcg 90 $15 Indapamide 2.5mg 90 $10 Levothyroxine 88mcg 90 $15 Indomethacin 25mg Capsule 180 $15 Lidocaine 2% Viscous 100 $5 Ipratropium 0.02% Nebules 225 $10 Lisinopril 10mg 90 $10 Isoniazid 300mg 90 $10 Lisinopril 2.5mg 90 $10 Isosorbide Dinitrate 10mg 270 $15 Lisinopril 20mg 90 $10 Isosorbide Dinitrate 20mg 270 $15 Lisinopril 30mg 90 $10 Isosorbide Dinitrate 30mg 180 $15 Lisinopril 40mg 90 $10 Isosorbide Dinitrate 5mg 270 $15 Lisinopril 5mg 90 $10 Isosorbide Mononitrate ER 120mg 90 $10 Lisinopril-HCTZ mg 90 $10 Isosorbide Mononitrate ER 30mg 90 $10 Lisinopril-HCTZ mg 90 $10 Isosorbide Mononitrate ER 60mg 90 $10 Lisinopril-HCTZ 20mg-25mg 90 $10 Jantoven 10mg 90 $10 Lithium Carbonate 300mg Capsule 270 $15 Jantoven 1mg 90 $10 Loperamide 2mg Capsule 270 $15 Jantoven 2.5mg 90 $10 Loratadine 10mg 90 $15 Jantoven 2mg 90 $10 Mag $10 Jantoven 3mg 90 $10 Mag Oxide 400mg 90 $10 Jantoven 4mg 90 $10 Medroxyprogesteron Acetate 150mg Inj 1 $25 Jantoven 5mg 90 $10 Medroxyprogesterone 10mg 90 $10 Jantoven 6mg 90 $10 Medroxyprogesterone 2.5mg 90 $10 Jantoven 7.5mg 90 $10 Medroxyprogesterone 5mg 90 $10 Junel 1.5/30 21 day 21 $25 Megestrol Acetate 20mg 90 $15 Junel 1/20 21 day 21 $25 Meloxicam 15mg 90 $10 Junel FE day 28 $25 Meloxicam 7.5mg 90 $10 Junel FE 1/20 28 day 28 $25 Metformin 1000mg 180 $10 Kelnor 1/35 28 day 28 $25 Metformin 500mg ER 180 $10 Ketorolac 10mg 20 $5 Metformin 500mg 180 $10
5 Metformin 750mg ER 90 $10 Nitroglycerin 0.4mg Sublingual 100 $15 Metformin 850mg 180 $10 Nitroglycerin 0.6mg Sublingual 100 $15 Methocarbamol 500mg 180 $15 Nortrel 0.5/35 28 day 28 $25 Methocarbamol 750mg 180 $15 Nortrel 1/35 28 $25 Methyldopa 250mg 180 $15 Nortrel 7/7/7 28 day 28 $25 Methyldopa 500mg 90 $15 Nortriptyline 10mg Capsule 180 $15 Methylprednisolone 4mg Pak 21 $5 Nortriptyline 25mg Capsule 180 $15 Methylprednisolone 4mg 21 $5 Nortriptyline 50mg Capsule 180 $15 Methyltestosterone Estrogen DS 30 $25 Nortriptyline 75mg Capsule 180 $15 Methyltestosterone Estrogen HS 30 $25 Nutrispire Tab 90 $15 Metoclopramide 10mg 270 $15 Nystatin U Suspension 60 $5 Metoclopramide 5mg 360 $15 Nystatin 100MU/gm Cream 15 $5 Metoclopramide 5mg/5ml Syrup 180 $10 Nystatin 100MU/gm Cream (30gm) 30 $5 Metoprolol Tartrate 100mg 180 $10 Nystatin 100MU/gm Ointment 15 $5 Metoprolol Tartrate 25mg 180 $10 Nystatin 100MU/gm Ointment (30gm) 30 $5 Metoprolol Tartrate 50mg 180 $10 Nystatin/Triamcinolone 100MU $5 Cream Metronidazole 0.75% Cream 45 $25 Nystatin/Triamcinolone 100MU $5 Cream (30gm) Metronidazole 0.75% Gel 45 $25 Nystatin/Triamcinolone 100MU $5 Cream (60gm) Metronidazole 0.75% Vaginal Gel 70 $25 Nystatin/Triamcinolone 100MU-0.1 Oint 15 $5 Metronidazole 250mg 28 $5 Nystatin/Triamcinolone 100MU-0.1 Oint 30 $5 (30gm) Metronidazole 500mg 21 $5 Nystatin/Triamcinolone 100MU-0.1 Oint 60 $5 (60gm) Nadolol 20mg 90 $15 Ofloxacin 0.3% Ophthalmic 5 $5 Nadolol 40mg 90 $15 Oxybutynin 5mg 180 $10 Naproxen 250mg 180 $10 Papaverine 150mg CR Capsule 180 $15 Naproxen 375mg 180 $10 Paroxetine 10mg 90 $15 Naproxen 500mg 180 $10 Paroxetine 20mg 90 $15 Naproxen Sodium 550mg 30 $5 Paroxetine 30mg 90 $15 NataCaps Capsule 90 $15 Paroxetine 40mg 90 $15 Natalcare Plus 90 $15 Penicillin VK 125mg/5ml Suspension 100 $5 Natatab RX 90 $15 Penicillin VK 125mg/5ml Suspension 200 $5 (200ml) Necon 1/50 28 day 28 $25 Penicillin VK 250mg 28 $5 Neomycin/Poly B /Dex 0.1% Ophthalmic Oint Neomycin/Poly B /Dex 0.1% Ophthalmic Susp 4 $5 Penicillin VK 250mg/5ml Suspension 5 $5 Penicillin VK 250mg/5ml Suspension (200ml) 100 $5 200 $5 Nicardipine 20mg Capsule 180 $15 Penicillin VK 500mg 28 $5 Nicardipine 30mg Capsule 180 $15 Pentoxifylline 400mg 270 $15 Nitrofurantoin 100mg Capsule 42 $25 Phenazopyridine 100mg 20 $5 Nitrofurantoin Macrocrystals 50mg Cap 42 $25 Phenazopyridine 200mg 20 $5 Nitroglycerin 0.3mg Sublingual 100 $15 Pilocarpine 1% Ophthalmic 45 $10
6 Pilocarpine 2% Ophthalmic 45 $10 Salsalate 750mg 180 $15 Pindolol 10mg 90 $10 Sertraline 100mg 90 $15 Pindolol 5mg 90 $10 Sertraline 25mg 90 $15 Piroxicam 10mg Capsule 180 $10 Sertraline 50mg 90 $15 Piroxicam 20mg Capsule 90 $10 Silver Sulfadiazine 1% Cream (50gm) 50 $5 Portia 28 day 28 $25 Simvastatin 10mg 90 $15 Potassium Chloride 10% Liquid 1419 $10 Simvastatin 20mg 90 $15 Pravastatin 10mg 90 $15 Simvastatin 40mg 90 $15 Pravastatin 20mg 90 $15 Simvastatin 5mg 90 $15 Pravastatin 40mg 90 $15 Simvastatin 80mg 90 $15 Prazosin 1mg Capsule 90 $15 Sodium Fluoride 1.1% Gel (Freshmint) 56 $5 Prazosin 2mg Capsule 90 $15 Sodium Fluoride 5000 Plus 1.1% Gel 51 $5 (Spearmint) Prednisolone 15mg/5ml Syrup 120 $5 Sotalol 80mg 90 $10 Prednisolone 6.7mg/5ml Syrup 120 $5 Sotalol AF 80mg 90 $15 Prednisone 10mg Pak 63 $15 Spironolactone 25mg 90 $10 Prednisone 10mg 90 $10 Sprintec 28 day 28 $10 Prednisone 2.5mg 90 $10 Sulfacetamide Sodium 10% Ophthalmic 15 $5 Sol. Prednisone 20mg 90 $10 Sulfasalazine 500mg 180 $15 Prednisone 5mg Pak 144 $15 Tamoxifen 10mg 180 $25 Prednisone 5mg 90 $10 Tamoxifen 20mg 90 $25 PrenaTabs FA 90 $15 Terazosin 10mg Capsule 90 $10 PrenaTabs RX 90 $15 Terazosin 1mg Capsule 90 $10 Prenatal AD 90 $15 Terazosin 2mg Capsule 90 $10 Prenatal Plus 27-1mg 90 $15 Terazosin 5mg Capsule 90 $10 Prochloroperazine 5mg 40 $5 Terbinafine 250mg 90 $15 Prochlorperazine10mg 90 $10 Terconazole 0.8% Vaginal Cream 20 $25 Promethazine 25mg 36 $10 Tetracycline 250mg Capsule 60 $5 Promethazine DM Syrup 180 $5 Tetracycline 500mg Capsule 60 $5 Promethazine Plain Syrup 180 $5 Therobec Plus 90 $15 Propranolol 10mg 180 $10 Therobec 90 $15 Propranolol 20mg 180 $10 Thioridazine 25mg 90 $10 Propranolol 40mg 180 $10 Thioridazine 50mg 90 $10 Propranolol 80mg 180 $10 Thiothixene 2mg Capsule 90 $15 Propranolol/HCTZ 40mg/25mg 90 $15 Timolol Maleate 0.25% Ophthalmic 15 $10 Propranolol/HCTZ 80mg/25mg 90 $15 Timolol Maleate 0.5% Ophthalmic 15 $10 PSE Brom DM Syrup 150 $5 Tizanidine 2mg 180 $15 Quinapril 10mg 90 $15 Tizanidine 4mg 180 $15 Quinapril 20mg 90 $15 Tobramycin 0.3% Ophthalmic 5 $5 Quinapril 40mg 90 $15 Trazodone 100mg 90 $10 Quinapril 5mg 90 $15 Trazodone 150mg 90 $10 Ranitidine 150mg 180 $10 Trazodone 50mg 90 $10 Ranitidine 300mg 90 $10 Triam/HCTZ 37.5mg/25mg Capsule 90 $10 Rena-vite RX 90 $15 Triam/HCTZ 37.5mg/25mg 90 $10 Rena-vite 90 $15 Triam/HCTZ 75mg/50mg 90 $10 Salsalate 500mg 180 $10 Triamcinolone Acetonide 0.025% Cream 15 $5
7 Alphabetical Formulary List Triamcinolone Acetonide 0.025% 80 $5 Velivet 28 day 28 $25 Cream (80gm) Triamcinolone Acetonide 0.025% 80 $5 Verapamil 120mg 90 $10 Ointment (80gm) Triamcinolone Acetonide 0.1% Cream 15 $5 Verapamil 80mg 90 $10 Triamcinolone Acetonide 0.1% Cream 80 $5 Vica-Forte Capsule 90 $10 (80gm) Triamcinolone Acetonide 0.1% 15 $5 Vinate GT 90 $15 Ointment Triamcinolone Acetonide 0.1% 80 $5 Vinate M 90 $15 Ointment (80gm) Triamcinolone Acetonide 0.5% Cream 15 $5 Vinate Ultra 90 $15 Triamcinolone Acetonide 0.5% 15 $5 Vitamin D 50000IU Capsule 14 $25 Ointment Trihexyphenidyl 2mg 180 $10 Warfarin 10mg 90 $10 Trimethoprim and Poly B Ophthalmic 10 $5 Warfarin 1mg 90 $10 Trimethoprim and SMZ 200mg- 240 $5 Warfarin 2.5mg 90 $10 40mg/5ml Susp Trimethoprim and SMZ 400mg-80mg 28 $5 Warfarin 2mg 90 $10 Trimethoprim and SMZ DS 800mg- 20 $5 Warfarin 3mg 90 $10 160mg Trinate 90 $15 Warfarin 4mg 90 $10 Tri-sprintec 28 day 28 $10 Warfarin 5mg 90 $10 Ultra Natalcare 90 $15 Warfarin 6mg 90 $10 Vandazole 0.75% Vaginal Gel 70 $25 Warfarin 7.5mg 90 $10
$4, 30-day $10, 90-day
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