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13226 15168-093 rxdirect price

WOMEN’S HEALTH
Birth Control
IMPORTANT: In order to receive a medication at the listed price, your prescription must be written for the exact quantity indicated.
hydrochlorothiazide 12.5mg, 90 capsules $ 29.00 (generic of Proventil 90mcg, Ventolin 90mcg) CARDIOVASCULAR
(generic of Micronor 28-day, Errin 28-day) Blood Pressure Lowering
Breast Cancer
(generic of Lo/Ovral 28-day, Cryselle 28-day) Menopause
Microgestin 1.5/30 21-day, 3 cycle packs $ 49.00 (generic of Zestoretic/Prinzide 20-12.5mg) medroxyprogesterone 2.5mg, 90 tablets $ 19.00 Microgestin FE 1/20 28-day, 3 cycle packs$ 49.00 Microgestin FE 1.5/30 28-day, 3 cycle packs $ 49.00 The drug names listed here are the registered and/or unregistered trademarks of third-party pharmaceutical companies unrelated to and unaffiliated with Caremark. These trademarks are included here for informational purposes only and are not intended to imply or suggest any affiliation between Caremark and such third-party Norinyl 1/35 28-day, Nortrel 1/35 28-day) NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase at the program price.
Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com.
health improvement services, touching the (generic of Nor-QD 28-day, Camila 28-day) lives of more than 75 million individuals NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase through thisservice. Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com.
Copyright 2004 Caremark Inc. All rights reserved.
CARDIOVASCULAR cont.
DIABETES
CENTRAL NERVOUS SYSTEM
Muscle Relaxants
Anxiety
triamterene w/HCTZ 37.5-25mg, 90 capsules $ 19.00 triamterene w/HCTZ 37.5-25mg, 90 tablets $ 19.00 triamterene w/HCTZ 75-50mg, 90 tablets $ 14.00 Pain
Rheumatoid Arthritis
hydroxychloroquine 200mg, 180 tablets $ 69.00 Depression
Cholesterol Lowering
GASTROINTESTINAL
GERD/Peptic Ulcer
NUTRITIONAL/OTHER
THYROID REPLACEMENT
levothyroxine sodium 50mcg, 90 tablets $ 19.00 levothyroxine sodium 75mcg, 90 tablets $ 19.00 Heart Conditions
Inflammatory Bowel Disease
levothyroxine sodium 100mcg, 90 tablets $ 19.00 UROLOGICAL
Prostate
Parkinson’s Disease
carbidopa/levodopa 25/100, 270 tablets $ 99.00 Intermittent Claudication
Seizures/Other
MUSCULOSKELETAL
Anti-inflammatory
Potassium Replacement
NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase through this phenytoin sod ext 100mg, 270 capsules $ 49.00 service. Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com.
CARDIOVASCULAR cont.
DIABETES
CENTRAL NERVOUS SYSTEM
Muscle Relaxants
Anxiety
triamterene w/HCTZ 37.5-25mg, 90 capsules $ 19.00 triamterene w/HCTZ 37.5-25mg, 90 tablets $ 19.00 triamterene w/HCTZ 75-50mg, 90 tablets $ 14.00 Pain
Rheumatoid Arthritis
hydroxychloroquine 200mg, 180 tablets $ 69.00 Depression
Cholesterol Lowering
GASTROINTESTINAL
GERD/Peptic Ulcer
NUTRITIONAL/OTHER
THYROID REPLACEMENT
levothyroxine sodium 50mcg, 90 tablets $ 19.00 levothyroxine sodium 75mcg, 90 tablets $ 19.00 Heart Conditions
Inflammatory Bowel Disease
levothyroxine sodium 100mcg, 90 tablets $ 19.00 UROLOGICAL
Prostate
Parkinson’s Disease
carbidopa/levodopa 25/100, 270 tablets $ 99.00 Intermittent Claudication
Seizures/Other
MUSCULOSKELETAL
Anti-inflammatory
Potassium Replacement
NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase through this phenytoin sod ext 100mg, 270 capsules $ 49.00 service. Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com.
WOMEN’S HEALTH
Birth Control
IMPORTANT: In order to receive a medication at the listed price, your prescription must be written for the exact quantity indicated.
hydrochlorothiazide 12.5mg, 90 capsules $ 29.00 (generic of Proventil 90mcg, Ventolin 90mcg) CARDIOVASCULAR
(generic of Micronor 28-day, Errin 28-day) Blood Pressure Lowering
Breast Cancer
(generic of Lo/Ovral 28-day, Cryselle 28-day) Menopause
Microgestin 1.5/30 21-day, 3 cycle packs $ 49.00 (generic of Zestoretic/Prinzide 20-12.5mg) medroxyprogesterone 2.5mg, 90 tablets $ 19.00 Microgestin FE 1/20 28-day, 3 cycle packs$ 49.00 Microgestin FE 1.5/30 28-day, 3 cycle packs $ 49.00 The drug names listed here are the registered and/or unregistered trademarks of third-party pharmaceutical companies unrelated to and unaffiliated with Caremark. These trademarks are included here for informational purposes only and are not intended to imply or suggest any affiliation between Caremark and such third-party Norinyl 1/35 28-day, Nortrel 1/35 28-day) NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase at the program price.
Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com.
health improvement services, touching the (generic of Nor-QD 28-day, Camila 28-day) lives of more than 75 million individuals NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase through thisservice. Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com.
Copyright 2004 Caremark Inc. All rights reserved.

Source: http://www.dukescounty.net/Pages/DukesCountyMA_Intentions/RxDirect_PriceList%5B2%5D.pdf

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WEST CHESTER G.I. ASSOCIATES Procedure Date: _______/______/______ Bowel Preparation with Gatorade, Dulcolax & Miralax □ DO NOT EAT OR DRINK ANYTHING 4 HOURS BEFORE YOUR SCHEDULED ARRIVAL TIME. □ You must be accompanied by a friend or relative to drive and/or assist you home. We WILL NOT discharge you to a cab, bus or other transportation service without a responsible

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