| |
Medication Name |
Type
|
Strength
|
Qty
|
Units
|
Price
|
 |
Ibuprofen 200mg OTC
|
Brand
|
|
100
|
tablets
|
$6.78
|
|
|
Ibuprofen 200mg OTC
|
Brand
|
|
250
|
tablets
|
$11.63
|
|
|
Ibuprofen 200mg OTC
|
Brand
|
|
1000
|
tablets
|
$29.09
|
|
 |
Imdur (Isosorbide Mononitrate)
|
Brand
|
60mg
|
90
|
tablets
|
$114.46
|
|
|
Imdur (Isosorbide Mononitrate)
|
Brand
|
60mg
|
28
|
tablets
|
$48.50
|
|
|
Imdur (Isosorbide Mononitrate)
|
Generic
|
30mg
|
100
|
tablets
|
$17.46
|
|
|
Imdur (Isosorbide Mononitrate)
|
Generic
|
120mg
|
100
|
tablets
|
$17.46
|
|
|
Imdur (Isosorbide Mononitrate)
|
Generic
|
60mg
|
90
|
tablets
|
$39.77
|
|
|
Imitrex (Sumatriptan)
|
Brand
|
50mg DF
|
12
|
tablets
|
$145.50
|
|
|
Imitrex (Sumatriptan)
|
Brand
|
100mg DF
|
12
|
tablets
|
$224.07
|
|
|
Imitrex (Sumatriptan)
|
Brand
|
25mg DF
|
6
|
tablets
|
$98.94
|
|
|
Imitrex (Sumatriptan)
|
Brand
|
25mg DF
|
12
|
tablets
|
$181.39
|
|
|
Imitrex (Sumatriptan)
|
Brand
|
50mg DF
|
6
|
tablets
|
$75.66
|
|
|
Imitrex (Sumatriptan)
|
Brand
|
100mg DF
|
6
|
tablets
|
$128.04
|
|
|
Imitrex (Sumatriptan)
|
Generic
|
25mg DF
|
6
|
tablets
|
$68.87
|
|
|
Imitrex (Sumatriptan)
|
Generic
|
25mg DF
|
12
|
tablets
|
$131.92
|
|
|
Imitrex (Sumatriptan)
|
Generic
|
50mg DF
|
6
|
tablets
|
$68.87
|
|
|
Imitrex (Sumatriptan)
|
Generic
|
50mg DF
|
12
|
tablets
|
$131.92
|
|
|
Imitrex (Sumatriptan)
|
Generic
|
100mg DF
|
6
|
tablets
|
$68.87
|
|
|
Imitrex (Sumatriptan)
|
Generic
|
100mg DF
|
12
|
tablets
|
$131.92
|
|
|
Imitrex 0.5mL Autoinjector Refill Cartridges
|
Brand
|
|
2
|
prefills
|
$103.79
|
|
|
Imitrex Injection 0.5mL Vials
|
Brand
|
1
|
5
|
vial(s)
|
$237.65
|
|
|
Imitrex Injection Statdose System Autoinjector Kit
|
Brand
|
|
1
|
kit
|
$109.61
|
|
|
Imitrex Nasal Spray (Sumatriptan)
|
Brand
|
5mg UD
|
2
|
no unit
|
$50.44
|
|
|
Imitrex Nasal Spray (Sumatriptan)
|
Brand
|
20mg UD
|
2
|
no unit
|
$50.44
|
|
|
Imitrex Nasal Spray (Sumatriptan)
|
Generic
|
20mg
|
10
|
dose
|
$32.98
|
|
|
Implanon (Etonogestrel Implant)
|
Brand
|
68mg
|
1
|
each
|
$164.90
|
|
|
Imuran (Azathioprine)
|
Brand
|
50mg
|
100
|
tablets
|
$89.24
|
|
|
Imuran (Azathioprine)
|
Generic
|
50mg
|
100
|
tablets
|
$42.68
|
|
|
Indapamide (2)
|
Generic
|
2.5mg
|
100
|
tablets
|
$31.04
|
|
|
Indapamide (2)
|
Generic
|
1.25mg
|
90
|
tablets
|
$29.10
|
|
|
Inderal (Propranolol)
|
Generic
|
10mg
|
100
|
tablets
|
$25.22
|
|
|
Inderal (Propranolol)
|
Generic
|
20mg
|
100
|
tablets
|
$19.40
|
|
|
Inderal (Propranolol)
|
Generic
|
40mg
|
100
|
tablets
|
$19.40
|
|
|
Inderal (Propranolol)
|
Generic
|
60mg
|
100
|
tablets
|
$82.45
|
|
|
Inderal (Propranolol)
|
Generic
|
80mg
|
100
|
tablets
|
$24.25
|
|
|
Inderal (Propranolol)
|
Generic
|
120mg
|
100
|
tablets
|
$30.07
|
|
|
Inderal LA (Propranolol LA)
|
Brand
|
80mg
|
112
|
Capsules
|
$84.39
|
|
|
Inderal LA (Propranolol LA)
|
Brand
|
160mg
|
112
|
Capsules
|
$127.07
|
|
|
Inderal LA (Propranolol LA)
|
Generic
|
40mg
|
100
|
tablets
|
$53.35
|
|
| |
|
|
|
|
|
|
|
