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Pharmacy Name : 
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Plan available in all states
Prices do not include dispensing fees which may vary from pharmacy to pharmacy
If your drug does NOT appear on the list SAVINGS MAY STILL APPLY, please contact us for assistance.
Preferred Drug List
Drug quantities listed must be adhered to in order to receive Tier pricing. Any change in listed quantity may result in higher prices. Company cannot be responsible for changes in network pharmacies which accept this program.
Search Results for Letter : S
01  TIER ONE - UPTO $10
DRUG NAME(DOSE) DRUG CATEGORY TYPE QUANTITY PRICE
Spironolact Tab 25mg Diuretics GENERIC 4 $7.84
Sudafed 24hr Tab Non-drow Antiasthmatic & Respiratory Agents BRAND 10 $8.27
Sea Soft Spr 0.65% Antiasthmatic & Respiratory Agents GENERIC 45 $7.79
Scopohist Syp Cough/cold/allergy Products GENERIC 120 $9.34
Stool Soften Cap 100mg Laxatives GENERIC 60 $7.95
Sodium Bicar Tab 650mg Gastrointestinal Agents GENERIC 120 $3.86
Sertraline Tab 25mg Antidepressants GENERIC 30 $8.77
Sertraline Tab 50mg Antidepressants GENERIC 30 $9.79
Slo-niacin Tab 500mg Cr Vitamins & Minerals BRAND 30 $6.05
Sod Fluoride Tab 0.5mg F Dental/fluoride Agents BRAND 30 $3.75
Sod Fluoride Tab 1mg F Dental/fluoride Agents GENERIC 30 $3.80
Sod Fluoride Chw 0.55mg Dental/fluoride Agents GENERIC 30 $3.33
Sod Fluoride Chw 1.1mg Dental/fluoride Agents GENERIC 30 $3.33
Sod Fluoride Chw 2.2mg Dental/fluoride Agents GENERIC 30 $3.33
Sod Fluoride Dro 0.5mg/ml Dental/fluoride Agents GENERIC 5 $6.51
Sski Sol 1gm/ml Vitamins & Minerals BRAND 30 $8.56
Sod Chloride Inj 0.9% Vitamins & Minerals GENERIC 10 $3.35
Sf 5000 Plus Cre 1.1% Dental/fluoride Agents GENERIC 51 $9.58
Sf Gel 1.1% Dental/fluoride Agents GENERIC 56 $9.50
Selan + Zinc Cre Dermatologicals BRAND 120 $3.99

02  TIER TWO - UPTO $20
DRUG NAME(DOSE) DRUG CATEGORY TYPE QUANTITY PRICE
Suprax Tab 400mg Antibiotics BRAND 1 $13.19
Synthroid Tab 25mcg Thyroid Medication BRAND 30 $14.50
Synthroid Tab 50mcg Thyroid Medication BRAND 30 $16.13
Synthroid Tab 75mcg Thyroid Medication BRAND 30 $17.56
Synthroid Tab 88mcg Thyroid Medication BRAND 30 $17.82
Synthroid Tab 100mcg Thyroid Medication BRAND 30 $17.92
Sm Loratadin Syp 5mg/5ml Antihistamines GENERIC 150 $17.24
Sildec Syp 4-45/5ml Cough/cold/allergy Products GENERIC 70 $14.63
Sinuhist Tab Cough/cold/allergy Products GENERIC 14 $12.91
Suclor Cap 8-120 Cr Cough/cold/allergy Products GENERIC 60 $13.75
Scopohist Tab Cough/cold/allergy Products GENERIC 20 $11.06
Scopohist-pe Tab Cough/cold/allergy Products GENERIC 15 $13.41
Stahist Tab Cough/cold/allergy Products BRAND 14 $14.93
Statuss Dm Syp Cough/cold/allergy Products GENERIC 180 $17.40
Sudatuss Dm Syp Cough/cold/allergy Products GENERIC 473 $11.64
Sinutuss Dm Tab Cough/cold/allergy Products BRAND 20 $18.23
Suttar-2 Syp Cough/cold/allergy Products BRAND 473 $17.80
Suttar-sf Syp Cough/cold/allergy Products BRAND 473 $18.41
Senna-gen Tab 8.6mg Laxatives GENERIC 180 $12.46
Senna S Tab 8.6-50mg Laxatives GENERIC 60 $12.59
Symax Fastab Tab 0.125mg Gastrointestinal Agents GENERIC 20 $19.08
Sertraline Tab 100mg Antidepressants GENERIC 30 $12.01
Somnote Cap 500mg Hypnotic & Sedative Agents BRAND 12 $19.01
Stagesic Cap 500-5mg Analgesics GENERIC 30 $19.12
Strovite Tab Vitamins & Minerals BRAND 30 $16.13
Strovite Tab Advance Vitamins & Minerals BRAND 30 $17.10
Strovite One Tab Vitamins & Minerals BRAND 30 $18.01
Supervite Ec Tab Vitamins & Minerals BRAND 30 $16.85
Se-natal One Tab Prenatal Vitamins GENERIC 30 $14.63
Se-natal 19 Chw Prenatal Vitamins GENERIC 30 $13.78
Se-natal 19 Tab Prenatal Vitamins GENERIC 30 $12.23
Slow-mag Tab Vitamins & Minerals BRAND 60 $11.31
Sm Iron Tab 325mg Hematological Agents GENERIC 60 $10.19
Sulfacet Sod Sol 10% Op Ophthalmic Agents GENERIC 15 $11.05
Sod Sulfacet Sol 10% Op Ophthalmic Agents GENERIC 15 $11.08
Sod Fluoride Sol 0.2%mint Dental/fluoride Agents GENERIC 473 $10.31
Selenium Sul Lot 2.5% Dermatologicals GENERIC 120 $17.40
Ssd Cre 1% Dermatologicals GENERIC 50 $10.38
Ssd Af Cre 1% Dermatologicals GENERIC 50 $11.11
Silver Sulfa Cre 1% Dermatologicals GENERIC 50 $14.22

03  TIER THREE - UPTO $40
DRUG NAME(DOSE) DRUG CATEGORY TYPE QUANTITY PRICE
Smz-tmp Tab 400-80mg Antibiotics GENERIC 30 $25.94
Smz/tmp Ds Tab 800-160 Antibiotics GENERIC 20 $24.18
Sterapred Pak 5mg 12dy Corticosteroids BRAND 21 $33.22
Sterapred Ds Pak 10mg 12d Corticosteroids BRAND 21 $34.66
Solia Tab Contraceptives GENERIC 28 $36.52
Sronyx Tab Contraceptives GENERIC 28 $35.62
Sprintec 28 Tab 28 Day Contraceptives GENERIC 28 $38.23
Synthroid Tab 112mcg Thyroid Medication BRAND 30 $20.32
Synthroid Tab 125mcg Thyroid Medication BRAND 30 $20.57
Synthroid Tab 137mcg Thyroid Medication BRAND 30 $20.98
Synthroid Tab 150mcg Thyroid Medication BRAND 30 $21.10
Synthroid Tab 175mcg Thyroid Medication BRAND 30 $24.63
Synthroid Tab 200mcg Thyroid Medication BRAND 30 $24.67
Synthroid Tab 300mcg Thyroid Medication BRAND 30 $32.68
Spironolact Tab 50mg Diuretics GENERIC 30 $30.47
Spirono/hctz Tab 25/25 Diuretics GENERIC 30 $21.12
Sudatrate Tab Cough/cold/allergy Products GENERIC 20 $20.91
Sildec-pe Syp Cough/cold/allergy Products GENERIC 240 $36.95
Sudahist Tab 12-120mg Cough/cold/allergy Products GENERIC 30 $22.33
Sudal 12 Tan Chw 4-30mg Cough/cold/allergy Products BRAND 20 $32.89
Seradex Liq Cough/cold/allergy Products BRAND 100 $22.59
Sildec Dm Syp Cough/cold/allergy Products GENERIC 120 $26.55
Sinuvent Pe Tab 15-600mg Cough/cold/allergy Products BRAND 30 $24.81
Simuc-gp Tab 25-1200 Cough/cold/allergy Products GENERIC 14 $22.54
Sal-tropine Tab 0.4mg Gastrointestinal Agents BRAND 60 $20.83
Scopace Tab 0.4mg Anti-nauseants BRAND 90 $31.53
Sulfasalazin Tab 500mg Gastrointestinal Agents GENERIC 120 $32.24
Sulfazine Tab 500mg Gastrointestinal Agents GENERIC 120 $35.04
Salsalate Tab 750mg Analgesics GENERIC 90 $34.49
Sumatriptan Tab 50mg Migraine Treatment BRAND 1 $23.87
Strovite For Tab Vitamins & Minerals BRAND 30 $20.44
Strovite Plu Tab Vitamins & Minerals GENERIC 30 $26.09
Siderol Tab Vitamins & Minerals BRAND 30 $28.00
Se-care Tab Gesture Prenatal Vitamins GENERIC 30 $38.39
Select-ob Chw Prenatal Vitamins BRAND 30 $20.74
Se-care Chw Prenatal Vitamins GENERIC 30 $29.25
Se-natal 90 Tab Prenatal Vitamins GENERIC 100 $26.96
Slow Fe Tab 160mg Cr Hematological Agents BRAND 100 $26.84
Sulfamylon Cre 85mg/gm Dermatologicals BRAND 57 $21.88
Silvadene Cre 1% Dermatologicals BRAND 50 $20.22
Silver Nitra Oin 10% Dermatologicals BRAND 30 $33.31
Skin Bleach Cre 4% Dermatologicals GENERIC 28 $34.00

04  TIER FOUR - SPECIAL DISCOUNTED PRICE
DRUG NAME(DOSE) DRUG CATEGORY TYPE QUANTITY PRICE
Spectracef Tab 200mg Antibiotics BRAND 14 $76.95
Spectracef Tab 400mg Antibiotics BRAND 14 $137.86
Solodyn Tab 45mg Antibiotics BRAND 30 $549.29
Solodyn Tab 90mg Antibiotics BRAND 30 $573.90
Solodyn Tab 135mg Antibiotics BRAND 30 $549.29
Sulfadiazine Tab 500mg Antibiotics BRAND 90 $161.73
Seromycin Cap 250mg Antibiotics BRAND 60 $321.25
Sporanox Cap 100mg Antifungals BRAND 60 $718.18
Sporanox Cap Pulsepak Antifungals BRAND 60 $720.14
Selzentry Tab 150mg Antivirals BRAND 60 $977.71
Selzentry Tab 300mg Antivirals BRAND 60 $977.71
Stavudine Cap 15mg Antivirals GENERIC 60 $371.08
Stavudine Cap 20mg Antivirals GENERIC 60 $385.64
Stavudine Cap 30mg Antivirals GENERIC 60 $409.25
Stavudine Cap 40mg Antivirals GENERIC 60 $416.70
Sustiva Cap 50mg Antivirals BRAND 360 $535.86
Sustiva Cap 200mg Antivirals BRAND 90 $535.50
Sustiva Tab 600mg Antivirals BRAND 30 $535.50
Septra Tab 400-80mg Antibiotics BRAND 30 $40.59
Septra Ds Tab 800-160 Antibiotics BRAND 20 $45.86
Sterapred Pak 5mg Corticosteroids BRAND 21 $52.41
Seasonale Tab Contraceptives BRAND 91 $205.55
Seasonique Tab Contraceptives BRAND 91 $169.77
Symlin Inj 600mcg Antidiabetics BRAND 10 $336.62
Symlnpen 120 Inj 1000mcg Antidiabetics BRAND 3 $146.01
Symlinpen 60 Inj 1000mcg Antidiabetics BRAND 3 $153.36
Starlix Tab 60mg Antidiabetics BRAND 90 $143.80
Starlix Tab 120mg Antidiabetics BRAND 90 $149.30
Skelid Tab 200mg Endocrine And Metabolic Drugs BRAND 60 $611.70
Serophene Tab 50mg Endocrine And Metabolic Drugs GENERIC 5 $55.22
Sensipar Tab 30mg Endocrine And Metabolic Drugs BRAND 30 $366.84
Sensipar Tab 60mg Endocrine And Metabolic Drugs BRAND 30 $731.16
Sotalol Hcl Tab 80mg Heart/high Blood Pressure Medications GENERIC 60 $159.77
Sotalol Hcl Tab 120mg Heart/high Blood Pressure Medications GENERIC 60 $211.13
Sotalol Hcl Tab 160mg Heart/high Blood Pressure Medications GENERIC 60 $262.47
Sotalol Hcl Tab 240mg Heart/high Blood Pressure Medications GENERIC 60 $339.35
Sotalol Af Tab 80mg Heart/high Blood Pressure Medications GENERIC 60 $159.75
Sotalol Af Tab 120mg Heart/high Blood Pressure Medications GENERIC 60 $211.13
Sotalol Af Tab 160mg Heart/high Blood Pressure Medications GENERIC 60 $262.47
Sectral Cap 200mg Heart/high Blood Pressure Medications BRAND 30 $91.61
Sectral Cap 400mg Heart/high Blood Pressure Medications BRAND 30 $120.97
Sular Tab 8.5mg Heart/high Blood Pressure Medications BRAND 30 $78.60
Sular Tab 10mg Cr Heart/high Blood Pressure Medications BRAND 30 $60.41
Sular Tab 17mg Heart/high Blood Pressure Medications BRAND 30 $97.88
Sular Tab 20mg Cr Heart/high Blood Pressure Medications BRAND 30 $75.08
Sular Tab 25.5mg Heart/high Blood Pressure Medications BRAND 30 $106.51
Sular Tab 34mg Heart/high Blood Pressure Medications BRAND 30 $106.51
Sular Tab 40mg Cr Heart/high Blood Pressure Medications BRAND 30 $81.60
Spironolact Tab 100mg Diuretics GENERIC 30 $48.72
Simvastatin Tab 5mg Cholesterol-lowering Agents GENERIC 30 $68.78
Simvastatin Tab 10mg Cholesterol-lowering Agents GENERIC 30 $90.60
Simvastatin Tab 20mg Cholesterol-lowering Agents GENERIC 30 $153.62
Simvastatin Tab 40mg Cholesterol-lowering Agents GENERIC 30 $152.79
Simvastatin Tab 80mg Cholesterol-lowering Agents GENERIC 30 $153.62
Simcor Tab 500-20mg Cholesterol-lowering Agents BRAND 30 $66.08
Simcor Tab 750-20mg Cholesterol-lowering Agents BRAND 30 $93.18
Simcor Tab 1000-20 Cholesterol-lowering Agents BRAND 30 $114.95
Semprex-d Cap 8-60mg Cough/cold/allergy Products BRAND 60 $87.10
Seradex-la Tab 6-19mg Cough/cold/allergy Products GENERIC 60 $47.07
Sildec Pe-dm Syp Cough/cold/allergy Products GENERIC 180 $45.96
Sina-12x Tab 25-200mg Cough/cold/allergy Products BRAND 28 $70.54
Simuc-dm Sol Cough/cold/allergy Products GENERIC 240 $45.88
Spiriva Cap Handihlr Antiasthmatic & Respiratory Agents BRAND 30 $173.04
Symbicort Aer 80-4.5 Antiasthmatic & Respiratory Agents BRAND 10 $170.37
Symbicort Aer 160-4.5 Antiasthmatic & Respiratory Agents BRAND 10 $194.37
Singulair Tab 10mg Antiasthmatic & Respiratory Agents BRAND 30 $118.70
Singulair Chw 4mg Antiasthmatic & Respiratory Agents BRAND 30 $118.70
Singulair Chw 5mg Antiasthmatic & Respiratory Agents BRAND 30 $118.70
Symax Duotab Tab Gastrointestinal Agents BRAND 60 $100.25
Symax-sr Tab 0.375mg Gastrointestinal Agents GENERIC 60 $77.09
Servira Tab 48mg Gastrointestinal Agents GENERIC 60 $76.72
Sucralfate Tab 1gm Gastrointestinal Agents GENERIC 120 $93.54
Sulfasalazin Tab 500mg Dr Gastrointestinal Agents GENERIC 120 $50.00
Sulfazine Ec Tab 500mg Gastrointestinal Agents GENERIC 120 $52.10
Sanctura Tab 20mg Genitourinary Products BRAND 60 $145.07
Sanctura Xr Cap 60mg Genitourinary Products BRAND 30 $120.00
Surmontil Cap 25mg Antidepressants BRAND 90 $184.46
Surmontil Cap 50mg Antidepressants BRAND 60 $200.94
Surmontil Cap 100mg Antidepressants BRAND 30 $146.75
Seroquel Tab 25mg Antipsychotics BRAND 60 $158.23
Seroquel Tab 50mg Antipsychotics BRAND 30 $130.45
Seroquel Tab 100mg Antipsychotics BRAND 30 $136.12
Seroquel Tab 200mg Antipsychotics BRAND 30 $254.58
Seroquel Tab 300mg Antipsychotics BRAND 30 $333.01
Seroquel Tab 400mg Antipsychotics BRAND 30 $390.93
Seroquel Xr Tab 50mg Antipsychotics BRAND 30 $117.89
Seroquel Xr Tab 150mg Antipsychotics BRAND 30 $209.69
Seroquel Xr Tab 200mg Antipsychotics BRAND 30 $230.41
Seroquel Xr Tab 300mg Antipsychotics BRAND 30 $301.49
Seroquel Xr Tab 400mg Antipsychotics BRAND 30 $353.88
Seconal Cap 100mg Hypnotic & Sedative Agents BRAND 30 $122.03
Sonata Cap 5mg Hypnotic & Sedative Agents BRAND 30 $119.51
Sonata Cap 10mg Hypnotic & Sedative Agents BRAND 30 $122.70
Strattera Cap 10mg Central Nervous System Stimulants BRAND 30 $146.03
Strattera Cap 18mg Central Nervous System Stimulants BRAND 30 $146.03
Strattera Cap 25mg Central Nervous System Stimulants BRAND 60 $289.56
Strattera Cap 40mg Central Nervous System Stimulants BRAND 30 $158.31
Strattera Cap 60mg Central Nervous System Stimulants BRAND 30 $158.31
Strattera Cap 80mg Central Nervous System Stimulants BRAND 30 $170.61
Strattera Cap 100mg Central Nervous System Stimulants BRAND 30 $170.61
Selfemra Cap 10mg Psychotherapeutic Agents - Misc. GENERIC 28 $178.98
Selfemra Cap 20mg Psychotherapeutic Agents - Misc. GENERIC 30 $196.11
Sarafem Tab 10mg Psychotherapeutic Agents - Misc. BRAND 60 $378.84
Sarafem Tab 20mg Psychotherapeutic Agents - Misc. BRAND 30 $195.49
Symbyax Cap 3-25mg Psychotherapeutic Agents - Misc. BRAND 30 $229.14
Symbyax Cap 6-25mg Psychotherapeutic Agents - Misc. BRAND 15 $157.41
Symbyax Cap 6-50mg Psychotherapeutic Agents - Misc. BRAND 10 $105.78
Symbyax Cap 12-25mg Psychotherapeutic Agents - Misc. BRAND 30 $469.15
Symbyax Cap 12-50mg Psychotherapeutic Agents - Misc. BRAND 30 $469.15
Salsalate Tab 500mg Analgesics GENERIC 180 $42.40
Sedapap Tab 50-650mg Analgesics BRAND 90 $69.90
Staflex Tab 55-500mg Analgesics BRAND 90 $47.98
Synalgos Dc Cap Analgesics BRAND 40 $69.29
Sulindac Tab 150mg Analgesics GENERIC 60 $62.40
Sulindac Tab 200mg Analgesics GENERIC 60 $78.36
Sumatriptan Spr 20mg/act Migraine Treatment BRAND 18 $597.47
Sumatriptan Tab 25mg Migraine Treatment BRAND 4 $94.48
Sumatriptan Tab 100mg Migraine Treatment BRAND 9 $194.82
Sumatriptan Inj 6mg/0.5 Migraine Treatment BRAND 3 $388.58
Stavzor Cap 125mg Anticonvulsants BRAND 90 $82.50
Stavzor Cap 250mg Anticonvulsants BRAND 90 $152.29
Stavzor Cap 500mg Anticonvulsants BRAND 60 $195.67
Sinemet Tab 10/100 Parkinsons Drugs BRAND 90 $84.89
Sinemet Tab 25/100 Parkinsons Drugs BRAND 90 $95.52
Sinemet Tab 25/250 Parkinsons Drugs BRAND 60 $81.52
Sinemet Cr Tab 25/100 Parkinsons Drugs BRAND 90 $106.54
Sinemet Cr Tab 50/200 Parkinsons Drugs BRAND 90 $202.94
Stalevo 50 Tab Parkinsons Drugs BRAND 60 $155.12
Stalevo 75 Tab Parkinsons Drugs BRAND 60 $169.91
Stalevo 100 Tab Parkinsons Drugs BRAND 60 $165.04
Stalevo 125 Tab Parkinsons Drugs BRAND 60 $169.91
Stalevo 150 Tab Parkinsons Drugs BRAND 60 $169.91
Stalevo 200 Tab Parkinsons Drugs BRAND 60 $169.91
Selegiline Cap 5mg Parkinsons Drugs GENERIC 60 $144.24
Selegiline Tab 5mg Parkinsons Drugs BRAND 90 $163.28
Soma Tab 250mg Muscle Relaxants BRAND 30 $83.43
Soma Tab 350mg Muscle Relaxants BRAND 90 $417.62
Skelaxin Tab 800mg Muscle Relaxants BRAND 30 $105.61
Strovite For Syp Vitamins & Minerals BRAND 473 $42.04
Support-500 Cap Vitamins & Minerals BRAND 120 $49.93
Se-plete Dha Cap Prenatal Vitamins GENERIC 30 $44.70
Sentra Pm Cap Nutritional Products BRAND 30 $80.84
Sentra Am Cap Nutritional Products BRAND 30 $89.00
Salagen Tab 5mg Mouth/throat/dental Agents BRAND 120 $216.70
Salagen Tab 7.5mg Mouth/throat/dental Agents BRAND 60 $133.83
Sotret Cap 10mg Acne Products GENERIC 30 $216.99
Sotret Cap 20mg Acne Products GENERIC 30 $256.20
Sotret Cap 30mg Acne Products GENERIC 60 $512.10
Sotret Cap 40mg Acne Products GENERIC 30 $296.69
Sulfacetamid Lot 10% Acne Products GENERIC 118 $116.48
Suphera Cre 10-5% Acne Products GENERIC 113 $52.64
Sulfatol C Cre 10-5% Acne Products GENERIC 113 $179.82
Sulfacet-r Lot Acne Products BRAND 25 $49.73
Sulfatol-m Lot 10-5% Acne Products GENERIC 25 $51.37
Soriatane Cap 25mg Dermatologicals BRAND 30 $617.35
Seb-prev Liq Wash Dermatologicals GENERIC 340 $129.95
Seb-prev Cre 10% Dermatologicals GENERIC 45 $72.40
Solaraze Gel 3% W/w Dermatologicals BRAND 50 $181.60
Santyl Oin 250/gm Dermatologicals BRAND 30 $69.39
Salacyn Cre 6% Dermatologicals GENERIC 400 $50.31
Salitop Cre 6% Dermatologicals GENERIC 400 $85.22
Salicylic Ac Cre 6% Dermatologicals GENERIC 400 $104.71
Skin Bleach Cre Sunscree Dermatologicals GENERIC 57 $62.10
Solage Sol 0.01-2% Dermatologicals BRAND 30 $151.08
Syprine Cap 250mg Miscellaneous Products BRAND 90 $418.19
Sotradecol Inj 3% Miscellaneous Products BRAND 2 $55.41


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