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Cost Savings: Mail Service Pharmacy
The following is a list of the most frequently prescribed medications for PBM Plus members. The Mail Service Price represents the price you should expect to pay through the PBM Plus Mail Service Prescription PlanTM
for a 90 day supply (the quantities used to calculate the prices are an average quantity for a 90 days supply). The prices were effective the date*** the list was generated. The savings column represents
an estimated savings comparing the Omnicare Mail Service Prescription Plan price to the average price submitted by retail pharmacies.*
For the most up-to-date price, please use the Price Look-Up.
| Medication |
QTY |
Average Pharmacy
Charge* |
Mail Service
Price** |
$ Savings |
% Savings |
| ACIPHEX TAB 20MG |
30 |
$161.06 |
$117.68 |
$43.38 |
26.93% |
| ACTONEL
TAB 35MG |
4 |
$88.89 |
$63.41 |
$25.48 |
28.66% |
| ADVAIR DISKU MIS 100/50 |
60 |
$129.99 |
$108.12 |
$21.87 |
16.82% |
| ADVAIR DISKU MIS 250/50 |
60 |
$195.36 |
$136.32 |
$59.04 |
30.22% |
| ALBUTEROL AER
90MCG |
17 |
$21.80 |
$10.16 |
$11.64 |
53.39% |
| ALLEGRA
TAB 180MG |
30 |
$85.04 |
$64.72 |
$20.32 |
23.89% |
| ALLEGRA-D TAB
60-120ER |
60 |
$83.16 |
$75.55 |
$7.61 |
9.15% |
| ALPRAZOLAM TAB
0.25MG |
30 |
$15.28 |
$3.20 |
$12.08 |
79.06% |
| ALPRAZOLAM TAB
0.5MG |
30 |
$22.68 |
$3.20 |
$19.48 |
85.89% |
| ALPRAZOLAM TAB
1MG |
90 |
$34.37 |
$5.60 |
$28.77 |
83.71% |
| AMBIEN
TAB 10MG |
30 |
$88.97 |
$81.10 |
$7.87 |
8.85% |
| AMOX/K CLAV TAB
875MG |
20 |
$89.40 |
$52.52 |
$36.89 |
41.25% |
| AMOXICILLIN CAP
500MG |
30 |
$9.62 |
$4.62 |
$5.00 |
51.98% |
| APAP/CODEINE TAB 300-30MG |
30 |
$15.93 |
$6.50 |
$9.43 |
59.20% |
| ATENOLOL TAB
25MG |
30 |
$20.07 |
$4.10 |
$15.97 |
79.57% |
| ATENOLOL TAB
50MG |
30 |
$19.11 |
$3.80 |
$15.31 |
80.12% |
| CARISOPRODOL TAB 350MG |
60 |
$33.89 |
$6.80 |
$27.09 |
79.94% |
| CELEBREX CAP
200MG |
30 |
$128.46 |
$78.79 |
$49.67 |
38.67% |
| CELEXA
TAB 20MG |
30 |
$88.87 |
$68.87 |
$19.99 |
22.50% |
| CEPHALEXIN CAP
500MG |
30 |
$19.02 |
$8.30 |
$10.72 |
56.36% |
| CLONAZEPAM TAB
0.5MG |
60 |
$32.64 |
$6.00 |
$26.64 |
81.62% |
| CYCLOBENZAPR TAB 10MG |
30 |
$26.21 |
$4.40 |
$21.81 |
83.21% |
| DIFLUCAN TAB
150MG |
1 |
$26.02 |
$14.80 |
$11.22 |
43.12% |
| DIGITEK
TAB 0.125MG |
30 |
$9.73 |
$3.80 |
$5.93 |
60.95% |
| EFFEXOR XR CAP
150MG |
30 |
$132.09 |
$93.50 |
$38.58 |
29.21% |
| EFFEXOR XR CAP
75MG |
30 |
$175.52 |
$86.01 |
$89.50 |
51.00% |
| EVISTA
TAB 60MG |
30 |
$126.38 |
$71.80 |
$54.58 |
43.19% |
| FLOMAX
CAP 0.4MG |
30 |
$86.96 |
$53.11 |
$33.85 |
38.93% |
| FLONASE
SPR 0.05% |
16 |
$77.21 |
$60.92 |
$16.29 |
21.10% |
| FLUOXETINE CAP
20MG |
30 |
$64.97 |
$11.00 |
$53.97 |
83.07% |
| FOSAMAX
TAB 70MG |
4 |
$97.34 |
$65.21 |
$32.13 |
33.01% |
| FUROSEMIDE TAB
20MG |
30 |
$8.34 |
$3.80 |
$4.54 |
54.44% |
| FUROSEMIDE TAB
40MG |
30 |
$9.55 |
$2.60 |
$6.95 |
72.77% |
| HUMALOG
INJ 100U/ML |
10 |
$143.32 |
$59.51 |
$83.81 |
58.48% |
| HYDROCHLOROT TAB 25MG |
30 |
$7.80 |
$3.20 |
$4.60 |
58.97% |
| HYDROCO/APAP TAB 10-500MG |
60 |
$40.54 |
$16.98 |
$23.57 |
58.12% |
| HYDROCO/APAP TAB 5-500MG |
30 |
$15.24 |
$4.30 |
$10.94 |
71.78% |
| HYDROCO/APAP TAB 7.5-500 |
30 |
$21.53 |
$4.87 |
$16.66 |
77.38% |
| HYDROCO/APAP TAB 7.5-750 |
30 |
$19.99 |
$5.10 |
$14.89 |
74.49% |
| IBUPROFEN TAB
800MG |
90 |
$13.16 |
$8.30 |
$4.86 |
36.93% |
| KLOR-CON M20 TAB 20MEQ ER |
60 |
$31.74 |
$17.87 |
$13.87 |
43.70% |
| LANTUS
INJ 100U/ML |
10 |
$81.86 |
$52.02 |
$29.84 |
36.45% |
| LEVAQUIN TAB
500MG |
10 |
$110.90 |
$93.14 |
$17.76 |
16.01% |
| LEXAPRO
TAB 10MG |
30 |
$70.76 |
$59.03 |
$11.73 |
16.58% |
| LEXAPRO
TAB 20MG |
30 |
$91.99 |
$61.51 |
$30.48 |
33.13% |
| LIPITOR
TAB 10MG |
30 |
$112.47 |
$65.72 |
$46.75 |
41.57% |
| LIPITOR
TAB 20MG |
30 |
$139.04 |
$94.46 |
$44.58 |
32.06% |
| LIPITOR
TAB 40MG |
30 |
$138.32 |
$94.46 |
$43.87 |
31.71% |
| LISINOPRIL TAB
10MG |
30 |
$23.97 |
$7.29 |
$16.68 |
69.59% |
| LISINOPRIL TAB
20MG |
30 |
$30.09 |
$9.52 |
$20.57 |
68.36% |
| LISINOPRIL TAB
40MG |
30 |
$47.33 |
$14.87 |
$32.46 |
68.58% |
| LORAZEPAM TAB
1MG |
30 |
$26.78 |
$4.70 |
$22.08 |
82.45% |
| LOTREL
CAP 5-20MG |
30 |
$113.58 |
$63.63 |
$49.95 |
43.98% |
| METFORMIN TAB
1000MG |
60 |
$75.77 |
$16.18 |
$59.59 |
78.65% |
| METFORMIN TAB
500MG |
60 |
$40.85 |
$13.20 |
$27.65 |
67.69% |
| METFORMIN TAB
500MG ER |
60 |
$47.12 |
$24.25 |
$22.86 |
48.54% |
| METHYLPRED PAK
4MG |
21 |
$13.39 |
$8.30 |
$5.09 |
38.01% |
| METOPROLOL TAB
50MG |
30 |
$19.51 |
$3.50 |
$16.01 |
82.06% |
| NAPROXEN TAB
500MG |
60 |
$27.80 |
$11.60 |
$16.20 |
58.27% |
| NASACORT AQ AER
55MCG/AC |
16.5 |
$77.03 |
$63.27 |
$13.76 |
17.86% |
| NEURONTIN CAP
300MG |
90 |
$130.43 |
$111.42 |
$19.01 |
14.57% |
| NEXIUM
CAP 40MG |
30 |
$153.70 |
$122.05 |
$31.65 |
20.59% |
| NORVASC
TAB 10MG |
30 |
$66.23 |
$57.90 |
$8.33 |
12.58% |
| NORVASC
TAB 5MG |
30 |
$52.23 |
$42.73 |
$9.50 |
18.19% |
| OMEPRAZOLE CAP
20MG |
30 |
$118.04 |
$90.50 |
$27.54 |
23.33% |
| OXYCOD/APAP TAB
5-325MG |
30 |
$17.84 |
$4.10 |
$13.74 |
77.02% |
| PAROXETINE TAB
20MG |
30 |
$76.72 |
$41.65 |
$35.07 |
45.71% |
| PLAVIX
TAB 75MG |
30 |
$155.64 |
$114.18 |
$41.46 |
26.64% |
| PRECISION XT TES STRIPS |
100 |
$127.02 |
$73.25 |
$53.78 |
42.33% |
| PREDNISONE TAB
10MG |
30 |
$8.17 |
$2.90 |
$5.27 |
64.50% |
| PREMARIN TAB
0.625MG |
30 |
$40.36 |
$29.34 |
$11.02 |
27.30% |
| PREVACID CAP
30MG DR |
30 |
$192.04 |
$121.93 |
$70.12 |
36.51% |
| PROMETHAZINE TAB 25MG |
30 |
$14.81 |
$11.00 |
$3.81 |
25.73% |
| PROPO-N/APAP TAB 100-650 |
30 |
$19.30 |
$5.30 |
$14.00 |
72.54% |
| PROTONIX TAB
40MG |
30 |
$138.47 |
$96.32 |
$42.14 |
30.44% |
| RANITIDINE TAB
150MG |
60 |
$51.13 |
$6.20 |
$44.93 |
87.87% |
| SINGULAIR TAB
10MG |
30 |
$100.26 |
$82.88 |
$17.37 |
17.33% |
| SMZ/TMP DS TAB
800-160 |
20 |
$15.51 |
$4.40 |
$11.11 |
71.63% |
| SPIRONOLACT TAB
25MG |
30 |
$22.02 |
$8.90 |
$13.12 |
59.58% |
| SYNTHROID TAB
100MCG |
30 |
$18.75 |
$15.01 |
$3.74 |
19.95% |
| SYNTHROID TAB
50MCG |
30 |
$20.06 |
$13.50 |
$6.56 |
32.70% |
| SYNTHROID TAB
75MCG |
30 |
$21.58 |
$14.70 |
$6.88 |
31.88% |
| TOPROL XL TAB
100MG |
30 |
$47.58 |
$33.63 |
$13.95 |
29.32% |
| TOPROL XL TAB
25MG |
30 |
$38.61 |
$23.05 |
$15.56 |
40.30% |
| TOPROL XL TAB
50MG |
30 |
$34.09 |
$23.05 |
$11.04 |
32.38% |
| TRAMADOL HCL TAB 50MG |
60 |
$49.62 |
$10.51 |
$39.12 |
78.82% |
| TRAZODONE TAB
50MG |
30 |
$14.35 |
$3.20 |
$11.15 |
77.70% |
| TRIAM/HCTZ CAP
37.5-25 |
30 |
$11.80 |
$10.40 |
$1.40 |
11.86% |
| TRIAMT/HCTZ TAB
37.5-25 |
30 |
$14.65 |
$7.70 |
$6.95 |
47.44% |
| TRICOR
TAB 160MG |
30 |
$145.40 |
$88.77 |
$56.64 |
38.95% |
| TRIMOX
CAP 500MG |
30 |
$10.53 |
$4.62 |
$5.91 |
56.13% |
| VIOXX
TAB 25MG |
30 |
$98.24 |
$79.88 |
$18.35 |
18.69% |
| WELLBUTRIN TAB
150MG SR |
60 |
$140.67 |
$108.15 |
$32.52 |
23.12% |
| ZITHROMAX TAB
Z-PAK |
6 |
$48.16 |
$42.63 |
$5.53 |
11.48% |
| ZOCOR
TAB 20MG |
30 |
$147.93 |
$120.05 |
$27.88 |
18.85% |
| ZOCOR
TAB 40MG |
30 |
$138.88 |
$120.05 |
$18.83 |
13.56% |
| ZOLOFT
TAB 100MG |
30 |
$106.63 |
$72.86 |
$33.77 |
31.67% |
| ZOLOFT
TAB 50MG |
30 |
$115.31 |
$72.86 |
$42.45 |
36.81% |
| ZYRTEC
SYP 5MG/5ML |
150 |
$47.82 |
$35.02 |
$12.79 |
26.77% |
| ZYRTEC
TAB 10MG |
30 |
$75.25 |
$56.23 |
$19.02 |
25.28% |
*The Average Pharmacy Charge is
provided for comparison only. It is not intended to be indicative of the prices
charged by any particular retail pharmacy. The pharmacy charge is the average
of prices submitted to PBM Plus by retail pharmacies for prescriptions filled
by them. Generally these prescriptions were filled for smaller quantities than
those filled at a mail service pharmacy. The actual price you would pay at a
retail pharmacy may be higher or lower than the prices indicated as the Average
Pharmacy Charge.
**Due to possible price changes made by pharmaceutical
manufacturers, which can occur at any time, prices in effect on the day the
presciption is filled may vary from the prices quoted.
***August 25, 2004
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