Pharmacy Price List

Drug Name

Price

 

Vaginal Preparations

Price

Adderall 20mg Gen

$1.00 per Tablet

 

Vandazole Generic

$90.00

Adderall 30mg Gen

$1.00 per Tablet

     

Adderall XR 20mg

$145.00 per 30 capsule

 

MISC

Price

Adderall XR 30mg

$145.00 per 30 capsule

 

Allegra 180 mg Gen.

#30- $10.00

Vyvanse 30 mg

$265.00 per 30 capsule

 

Allegra 180 mg Gen.

Flonase Spray Generic

#60- $20.00

$10.00

Vyvanse 50 mg

$265.00 per 30 capsule

 

Tamiflu

$40.00

Vyvanse 60 mg

Vyvanse 70 mg

$265.00 per 30 capsule

$265.00 per 30 capsule

 

Valtrex 1 g

$1.00 per TAB

Birth Control

Price

 

Ventolin HFA 50 puff Inhaler

$20.00

Enpresse

*********SEE KEY********

 

 

 

Nortrel .5/30

*********SEE KEY********

 

 

 

Nortrel 1/35

*********SEE KEY********

 

 

 

Portia

*********SEE KEY********

 

Vaccinations

Price

Tri Spintec

*********SEE KEY********

 

Engerix B-Hepatitis B

$35.00

Sprintec

*********SEE KEY********

 

Havrix-Hepatitis A

$25.00

Aviane

*********SEE KEY******** 

 

Hepatitis A/B

$55.00

Apri

*********SEE KEY********

 

Menveo

$90.00

Junel 1/20

*********SEE KEY********

 

MMR

$55.00

Junel 1.5/30

*********SEE KEY********

  Tetanus (Adacel) (T-Dap)

$35.00

Kariva

*********SEE KEY********

 

Tetanus Tenivac (TD)

$25.00

Velivet

*********SEE KEY********

 

Varicella

$95.00

Nuva Ring

$60.00

 

 

 

Depo Provera

$65.00

     

Jolessa

$50.00

     

Ortho Evra

$75.00

     

Ella 30MG Tablet

$30.00

 

Updated 07/28/2017

 

Yaz (Gianvi gen.)

$50.00

     

Necon 1/50

$20.00

     

Zovia 1/50

$20.00

     

Key

     

**BC Pricing

1 pack

$15

   

 

3 packs

$30

   

 

12 packs

$100

   

 

Pharmacy Formulary Updated July 28, 2017

  • Oral Anti-Infectives
    •   Acyclovir 400mg & 800mg tabs
    •   Amoxicillin 250mg & 500mg caps, 250mg/5ml susp
    •   Augmentin 875mg (generic) tabs
    •   Cephalexin 250mg & 500mg caps & 250mg/5ml susp 
    •   Ciprofloxacin 500mg tabs
    •   Clindamycin 300mg cap
    •   Clotrimazole 10mg oral lozenge
    •   Doxycycline 100mg caps
    •   Lamisil 250mg (generic) tabs
    •   Levofloxacin 500mg tab
    •   Ketoconazole 200mg tabs
    •   Macrobid 100mg (generic) caps 
    •   Metronidaozle 250mg & 500mg
    •   Penicillin VK 250mg & 500mg tabs
    •   Rifampin 300mg caps
    •   Sulfatrim DS Tabs
    •   Tamiflu 75mg caps
    •   Valtrex 1gram (generic) tabs
    •   Zithromax 250mg & 500mg (generic) tabs
    •   Z-Pack (generic) 250mg & 500mg tabs
  • Anti-Infective (Injections)
    •   Bi-cillin L-A 1.2mu 
    •   Clindamycin 300mg/2ml  
    •   Lincocin 300mg/ml (generic)
    •   Rocephin 250mg & 500g & 1gm (generic)
  • Vaccines and Misc. Injectables
    •   Adacel Tetanus
    •   Benadryl 50mg/ml (generic)
    •   Cyanocobalamin 1000mcg/ml 
    •   Depo-Medrol 80mg/ml  
    •   Hepatitis A (Havrix) 
    •   Hepatitis A/B (Twinrix) 
    •   Hepatitis B (Engerix-B) 
    •   Hydroxyzine 50mg/ml 
    •   Ketorolac 30mg/ml 
    •   Menveo
    •   MMR II
    •   Promethazine 25mg/ml  
    •   Solu-Cortef 100 mg 
    •   Solu-Medrol 125mg/ml 
    •   Tuberculin 
    •   Varicella (live virus) 
  • Ophthalmic Preparations
    •   Ciprofloxacin 0.3% solution
    •   Gentamicin ointment
    •   Gentamicin opth sol
    •   Neomycin/polymix.B/Dexameth ointment & susp
    •   Prednisone 1% solution
    •   Sulfacetamide 10% solution
    •    Visine allergy/Naphcon-A
  • Otic Preparations
    •   Debrox solution gen 
    •   Neomycin/Polymix.B/dex susp 
  • Misc. Oral Meds
    •   Adderall XR 20mg & 30mg (generic) caps
    •   Allopurinol 100mg
    •   Amitriptyline 10mg, 25mg, 50mg, & 75mg
    •   Amlodipine 5mg
    •   Amphentamine Salts 20mg tabs
    •   Amphetamine Salts 30mg tabs
    •   Bupropion ER 150mg tabs
    •   Buspar gen 10mg tab
    •   Citalopram 20mg tab  
    •   Claritin 10mg gen tab
    •   Cyclobenzaprine 10mg tab
    •   Depakote DR 500mg gen tab
    •   Duloxetine 30mg & 60mg
    •   Dicyclomine 20mg
    •   Diphenoxyate/Atropine Tabs (Lomotil generic)
    •   Escitalopram 10mg & 20mg tab
    •   Ferrous Sulfate 325mg tab
    •   Fluoxetine “Prozac Generic ” 10mg & 20mg caps
    •   Fluvoxamine 100mg tab
    •   Glipizide XL 5mg
    •   Humabid 400mg IR tabs
    •   Hydrochlorothiazide 12.5 mg cap & 25mg tab
    •   Hydroxyzine HCL 10mg
    •   Hyroxyzine Pamoate 25mg caps
    •   Ibuprofen 600mg & 800mg tabs & Oral Suspension 100mg/5ml
    •   Inderal LA 80mg caps (generic)
    •   Inderal 10mg & 20mg tabs (generic) 
    •   Indomethacin 25mg & 50mg caps
    •   Lamotrigine 25mg, 100mg, 150mg, & 200mg tabs
    •   Limited pain meds
    •   Lisinopril 10mg, 20mg, 30mg, & 40mg tabs
    •   Lithium 300mg
    •   Loperamide 2mg cap
    •   Meclizine 25mg tabs
    •   Medrol Dos Pak (generic)
    •   Meloxicam 15mg tab
    •   Metformin 500mg IR & 500mg XR tabs
    •   Methocarbamol 500mg & 750mg tabs
    •   Metoclopramide 10mg tab
    •   Metoprolol 25mg, 50mg, & 100mg tabs
    •   Naproxen 500mg tabs
    •   Olanzapine 2.5mg & 5mg tab
    •   Omeprazole 20mg Caps
    •   Ondansetron 8mg ODT tabs
    •   Paroxetine 10mg, 20mg, & 40mg tab
    •   Phenazopyridine 95mg tab
    •   Prednisone 5mg, 10mg & 20mg tabs 
    •   Promethazine 25mg   
    •   Promethazine DM    
    •   Provera 10mg generic tabs
    •   Quetiapine 25mg, 50mg, 100mg, & 400mg
    •   Ranitidine 150mg & 300mg tabs
    •   Sumatriptan 100mg
    •   Toradol 10mg generic tabs
    •   Trazadone 50mg tabs
    •   Venlafaxine XR 75mg tabs
    •   Verapamil XR 75mg cap  
    •   Vyvanse 30mg, 50mg, 60mg, & 70mg caps
    •   Zoloft 50mg &100mg tab (generic)
  • Misc. Meds
    •   Betadine(Povidine-Iodine 10%) solution 
    •   Betamethasone 0.5% cream
    •   Clindamycin 1% topical solution 
    •   Clotrimazole 1% cream 
    •   Flonase Generic Nasal Spray
    •   Hibiclens 
    •   Hydrocortisone 1% cream & lotion 
    •   Miconazole 2% cream 
    •   Permethrine 5% cream 
    •   Selenium 2.5% lotion 
    •   Silvadene 1% cream 
    •    Ventolin HFA oral inhaler
  • Contraceptives
    •   Apri 
    •   Aviane 28
    •   Condoms 
    •   Depo Provera 150mg (generic) 
    •   Junel Fe 1.5/30 (28)  
    •   Junel Fe 1/20 (28)  
    •   Kariva 28  
    •   Nortrel 0.5/35 (28)  
    •   Nuva Ring 
    •   Portia 28  
    •   Previfem (Sprintec)
    •   Tri Spintec 28  
    •   Velivet 
    •   Yasmin (generic)
    •   
  • Vaginal Preparations
    •   Clotrimazole 1% cream
    •   Metronidazole 0.75% gel  
  • OTC Medications
    •   Abreva10% cream 
    •   Analgesic balm 
    •   Benzocaine 20% Oral Swab 
    •   Bisacodyl 5mg tabs & 10mg susp  
    •   Calamine lotion 
    •   Chapstick (generic)
    •   Chlorpheniramine 4mg tab 
    •   Claritin 10mg generic tabs 
    •   Cold & Cough tabs 
    •   Cough Drops 
    •   Daily vitamins & Prenatal Vitamins & Multivitamin w/ Iron
    •   Dulcolax 5mg gen tab 
    •   Diphenhydramine 25mg cap 
    •   Docusate 100mg caps 
    •   Driminate 50mg tab 
    •   Fleet enema 
    •   Ibuprofen 200mg tabs 
    •   Lip Balm
    •   Metamucil packs 
    •   Miconazole 2% cream 
    •   Mintox ES susp 
    •   Naproxen 220mg tabs 
    •   Nasal decongestant nose spray 
    •   Peptobismol chew tabs & susp 
    •   Permethrin lice treatment shampoo 
    •   Robafen DM liquid 
    •   Robafen plain liquid
    •   Sore throat lozenges  
    •   Sudogest 30mg tabs 
    •   Triple antibiotic ointment 
    •   Tylenol 325mg & 500mg