| 2019 TOP MEDICATIONS |
| Medication Name |
Avg. Market Price |
Avg. Cost Member |
Avg. Cost for the Plan |
| B-NORVASC \ AMOLODIPINE 5MG |
0.87 |
0.11 |
0.45 |
| B-PLAVIX 75 MG TABL-ORAL\CLOPIDOGREL BISULFATE |
3.56 |
0.57 |
1.82 |
| G-APROVEL 300MG TABL-ORAL\IRBESARTAN |
1.68 |
0.27 |
0.86 |
| G- EUTIROX 100mcg TABL-ORAL\LEVOTHYROXINE SODIUM |
0.40 |
0.06 |
0.26 |
| B- NEXIUM 40MG CAPS-ORAL\ESOMEPRAZOLE MAGNESIUM |
2.61 |
0.42 |
1.67 |
| B-CRESTOR 10MG TABL-ORAL\ROSUVASTATIN CALCIUM |
1.71 |
0.22 |
0.88 |
| B-LIPITOR 20MG TABL-ORAL\ATORVASTATIN CALCIUM |
2.46 |
0.39 |
1.58 |
| G-TAFIL 0.5MG TABL-ORAL\ALPRAZOLAM |
0.53 |
0.08 |
0.34 |
| G-NATRILIX SR´ 1.5MG TABL-ORAL\INDAPAMIDE |
0.80 |
0.13 |
0.51 |
| G-LASIX 40MG TABL-ORAL\FUROSEMIDE |
0.46 |
0.07 |
0.30 |
| B-KEPPRA 500MG TABL-ORAL\LEVETIRACETAM |
1.85 |
0.30 |
1.18 |
| B-LIPITOR 10MG TABL-ORAL\ATORVASTATIN CALCIUM |
1.44 |
0.23 |
0.92 |
| G-CILOSTAL 100MG TABL-ORAL\CILOSTAZOL |
1.75 |
0.28 |
1.12 |
| G-ISOPTIN 120MG TABL-ORAL\VERAPAMIL HCL |
1.20 |
0.19 |
0.77 |
| G-OMEPRAZOLE 20MG TABL-ORAL do not use |
0.57 |
0.09 |
0.37 |
| G- CONCOR 5MG TABL-ORAL\BISOPROLOL FUMARATE |
1.80 |
0.29 |
1.15 |
| G-GLISULIN 500MG TABL-ORAL/METFORMIN CLORHIDRATO |
0.54 |
0.09 |
0.34 |
| B- COREG 6.25MG TABL-ORAL\CARVEDILOL |
0.67 |
0.11 |
0.43 |
| G-AKATINOL 10MG TABL-ORAL\MEMANTINE HCL |
0.70 |
0.11 |
0.45 |
| B-ALDACTONE 25MG TABL-ORAL\SPIRONOLACTONE |
0.72 |
0.12 |
0.46 |
| G- TAMSULOSIN 0.4MG CAP |
2.03 |
0.33 |
1.30 |
| G-CO-APROVEL\ IRBERSARTAN HIDROCLOROTIAZIDA 300/12.5MG |
1.79 |
0.29 |
1.14 |
| G-ELIQUIS 5 MG TABLET;ORAL \ APIXABAN |
1.93 |
0.31 |
1.24 |
| B-CRESTOR 20MG TABL-ORAL\ROSUVASTATIN CALCIUM |
2.74 |
0.44 |
1.75 |
| B-LAMICTAL 100MG TABL-ORAL\LAMOTRIGINE |
3.20 |
0.51 |
2.05 |
| G- EUTIROX 50mcg TABL-ORAL\LEVOTHYROXINE SODIUM |
0.21 |
0.03 |
0.13 |
| G-TRIACIL 25*50MG CAPS-ORAL\TRIAMTERENE+HCTZ |
0.43 |
0.07 |
0.28 |
| G-CO-APROVEL\ IRBERSARTAN HIDROCLOROTIAZIDA 300/25MG |
1.79 |
0.29 |
1.14 |
| G-NEBILET 5MG TABL-ORAL\NEBIVOLOL HCL |
1.76 |
0.28 |
1.13 |
| B-ALOPRIM 300MG TABL-ORAL\ALLOPURINOL |
0.54 |
0.09 |
0.34 |
| B-NEXIUM 20MG CAPS-ORAL\ESOMEPRAZOLE MAGNESIUM |
1.86 |
0.30 |
1.19 |
| B-NEURONTIN 300MG CAPS-ORAL\GABAPENTIN |
1.79 |
0.29 |
1.15 |
| G-TORSEMIDE 10MG TABL-ORAL |
0.80 |
0.13 |
0.51 |
| B-EXFORGE 10/320/25MG \ AMLODIPINE BESYLATE HCT |
2.14 |
0.34 |
1.37 |
| G-CORYOL 6.25 MG TABL-ORAL\CARVEDILOL |
0.54 |
0.09 |
0.35 |
| G-LISINOPRIL 20MG TABL-ORAL |
0.50 |
0.08 |
0.32 |
| B-KEPPRA 1GM TABL-ORAL\LEVETIRACETAM |
3.50 |
0.56 |
2.24 |
| B-NORVASC 10MG TABL-ORAL\AMLODIPINE BESYLATE |
2.28 |
0.36 |
1.46 |
| G-CELEBRA 200MG CAPS-ORAL\CELECOXIB |
2.86 |
0.46 |
1.83 |
| G- CONCOR 2.5MG TABL-ORAL\BISOPROLOL FUMARATE |
1.75 |
0.28 |
1.12 |
| G-EUTIROX 75mcg TABL-ORAL\LEVOTHYROXINE SODIUM |
0.33 |
0.05 |
0.21 |
| G-DUODART 0.5MG; 0.4MG \ DUTASTERIDE AND TAMSULOSIN HYDROCHLORIDE |
2.65 |
0.42 |
1.70 |
| B-CORDARONE 200MG TABL-ORAL\AMIODARONE HCL |
0.54 |
0.09 |
0.35 |
| G-TRAMACET 37.5*325MG TABL-ORAL\TRAMADOL HCL+ACETAMINOPHEN |
2.24 |
0.36 |
1.43 |
| G-CONTROLIP 160MG CAPS-ORAL\FENOFIBRATE |
1.80 |
0.29 |
1.15 |
| G-QUETIAZIC 25MG TABL-ORAL \ QUETIAPINE FUMARATE |
1.30 |
0.21 |
0.83 |
| G-APROVEL 150MG TABL-ORAL\IRBESARTAN |
2.37 |
0.38 |
1.52 |
| G-ESPONTAL 0.4MG CAPS-ORAL\TAMSULOSIN HCL |
1.69 |
0.27 |
1.08 |
| B-EXFORGE 10/320MG \ AMLODIPINE BESYLATE |
2.04 |
0.33 |
1.30 |
| B-ISOSORBIDE DINITRATE 10MG TABL-ORAL |
0.21 |
0.03 |
0.13 |