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Top 30 Maintenance Medications - Mail Order Pharmacy

Name Strength Qty Brand\Generic Form MOP Price General Use
Albuterol 90mcg 1 generic Inhaler $13.70 Asthma
Atenolol 25mg 30 generic Tablet $10.78 Hypertension
Azmacort 100mcg 1 brand Inhaler $59.66 Asthma
Cardizem 90mg 30 brand Tablet $37.63 Cardiovascular
Cardura 4mg 30 brand Tablet $30.50 Cardiovascular
Celebrex 100mg 30 brand Tablet $45.81 Arthritis
Coumadin 2mg 30 brand Tablet $19.41 Anti-Coagulant
Diazepam 5mg 30 generic Tablet $3.19 Anxiety
Fluoxetine 20mg 30 generic Tablet

$53.77

Depression
Fosamax 70mg 4 brand Tablet $59.66 Post-Menopausal Osteoporosis
Furosemide 40mg 30 generic Tablet $3.06 Hypertension
Glucophage 850mg 30 brand Tablet $36.02 Diabetes
Hydro-
chlorothiazide
25mg 30 generic Tablet $1.52 Hypertension
Imdur 60mg 30 brand Tablet $49.39 Cardiovascular
Lipitor 10mg 30 brand Tablet $53.08 Cardiovascular (Cholesterol)
Medro-
xyprogestone
2.5mg 30 generic Tablet $5.57 Estrogen
Metformin 500mg 30 generic Tablet $13.51 Diabetes
Norvasc 10mg 30 brand Tablet $56.75 Cardiovascular
Premarin 0.625mg 30 brand Tablet $20.16 Estrogen
Prempro 0.625/
2.5mg
28 brand Tablet $31.66 Estrogen
Prevacid 15mg 30 brand Tablet $114.11 Gastro-
Intestinal
Prilosec 20mg 30 brand Tablet $120.43 Gastro-
Intestinal
Prozac 20mg 30 brand Tablet $86.93 Depression
Synthroid 0.1mg 30 brand Tablet $9.46 Thyroid
Triam/HCTZ 37.5/
25mg
30 generic Tablet $6.76 Cardiovascular
Verapamil 180mg SR 30 generic Tablet $13.05 Hypertension
Vioxx 50mg 30 brand Tablet $109.60 Arthritis
Wellbutrin SR 100mg 30 brand Tablet $46.64 Depression
Xanax 0.5mg 30 brand Tablet $34.77 Tranquilizer
Zocor 10mg 30 brand Tablet $108.66 Cholesterol Reducer

Prices shown here are for example purposes only. PRICES SHOWN ARE NOT GUARANTEED AND ARE SUBJECT TO CHANGE AT ANY TIME WITHOUT NOTICE. Mail order pharmacy guarantees to beat the member's local retail pharmacy price (on medications priced at $10 or more) by a minimum of $5.00. Current members may call 800-800-7516 with their valid member number and group number to receive price quotes guaranteed for 30 days.

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