|
CanaRx Group Inc.
<br />MEDICATION COST ANALYSIS
<br />FOR
<br />.INbI`4'N,'RIVbk-I36C'
<br />Brand,Aailn' e".Medications
<br />Top 100 Drugs by Plan Paid
<br />Claims Period: 8/1/2013 - 7/31/2014
<br />(Prepared on September 29, 2014)
<br />MA a
<br />" 43
<br />-q .,Tplan Raid �iid TR a ed
<br />enj1bjeir'P'3id,- C Saving's av
<br />• MediCaiti6n A ......
<br />''-Quantity z
<br />Uffit,
<br />r
<br />`CmV,".
<br />-C
<br />C
<br />C x
<br />NEXIUM CAP 40MG
<br />T_�&V1b_EP�4_dA'P 240MG
<br />18,675
<br />1,4
<br />17,080.00
<br />990.00
<br />$
<br />$
<br />125,938.67
<br />115,408.00
<br />$
<br />$
<br />6.74
<br />80.14
<br />2.45
<br />8
<br />$
<br />$
<br />45,753.75
<br />69,235.20_�_ji1._fH,81
<br />$
<br />&_qq
<br />80,184.92 -i, -A63
<br />'3-6
<br />SPIRIVA CAP HANDIHLR
<br />5,760 $
<br />5,810.00 $
<br />'J40
<br />47,951.24
<br />$
<br />8.32 $
<br />3.36
<br />.4,
<br />$ 19,353.60 $ 28,597.64 'V�'�'`6.
<br />5
<br />.32 _0263f.7'
<br />6-
<br />4.6i
<br />CRESTOR TAB 10MG
<br />6595
<br />$
<br />7, 00
<br />32,364._4�
<br />$
<br />1,6 7��l
<br />20,6
<br />SORIATANE CAP 25MG
<br />ZYTIGA TAB 250MG
<br />900
<br />480
<br />$
<br />$
<br />410.00 $
<br />140.00 $
<br />31,195.31
<br />27,658.44
<br />$
<br />$
<br />34.66 $ 1.99
<br />57.62 $ 41.26
<br />$ 1,791.00
<br />$ 19,804.80
<br />'iO,902.00
<br />$
<br />$
<br />29 404.31 W!'94`3 A
<br />7,853.64
<br />jAhU\AA_-f,kb ioblvlb
<br />3,450_-$
<br />7.97
<br />$
<br />3.16$__
<br />$
<br />16,589.73 3% g,
<br />--
<br />DIOVAN TAB 160Md'
<br />WB I Cl FY TAB _10MG
<br />1,035 $
<br />�,_j 6 _6_6*_�_ZC�'_
<br />5
<br />1,650.00 $
<br />70.63
<br />24,415.33
<br />$
<br />$
<br />3.49
<br />23.59
<br />$ 1.35 $
<br />$ 7.57 $
<br />-.2.-.-50-
<br />10,165.50
<br />7,834.95
<br />$
<br />$
<br />16105.13
<br />16,580.3
<br />- L I KC6,k T96 1.2 G M
<br />3,210
<br />f .60
<br />$
<br />19,974.81
<br />$
<br />$
<br />8,b25.00
<br />$
<br />11,949.81
<br />02
<br />LETAIRIS TAB 10MG
<br />CRESTOR TAB 20MG
<br />9 0
<br />3,690
<br />_�,745.00
<br />$
<br />18,157.14
<br />$
<br />219.18 $ 153.28 $ 13,795.20
<br />4.92 $ 1.77 $ 6,531.30
<br />....
<br />$ 5, 1.15 0
<br />$ 11,625.84 ow�
<br />-.
<br />A�N2 _fK6 W6
<br />ASACOL HD TAB XELJ
<br />- 8 06 Wd
<br />4ib
<br />3,750
<br />$
<br />.0 0
<br />1,085.00
<br />$
<br />17,3 31
<br />16,471.55_-T
<br />$
<br />36.19
<br />4.39
<br />$
<br />$
<br />.*
<br />32.96
<br />1.61
<br />$
<br />$
<br />15,820.80
<br />6,037.50
<br />$
<br />$
<br />1
<br />10434.05 163'39%'�----
<br />AIR DISKU AER 250/50
<br />ADV
<br />3,960
<br />-61
<br />$
<br />1,925.00
<br />$
<br />16,139.20 $
<br />4.08
<br />$
<br />1.56
<br />$
<br />6,177.60
<br />$
<br />9,961.60 `61-7W,;�,.
<br />OR TAB 5MG
<br />CREST-
<br />3,3
<br />3,325.00
<br />$
<br />16,061.35
<br />$
<br />487
<br />$
<br />1.67
<br />$
<br />5,512.67
<br />$
<br />_48. 8 t5 t/,
<br />10�5.
<br />LATUDA TAB 80MG
<br />720
<br />$
<br />650.00
<br />$
<br />15,350.43
<br />$
<br />21.32
<br />$
<br />639
<br />$___4,600.80
<br />$
<br />10,749.63
<br />DIOVAN TAB 320MG
<br />3,210
<br />-40
<br />$
<br />3,115.00
<br />$
<br />14,703.98
<br />$
<br />4.58
<br />$ 1.59
<br />$
<br />5,103.90
<br />$
<br />9,600.08
<br />Zff _1A YA§__1 W-6
<br />:370
<br />3,1' 5.00
<br />8
<br />$
<br />14,622.14
<br />$
<br />4.81
<br />$
<br />2.08
<br />$
<br />6,323.20
<br />$
<br />8,298.94
<br />CYMBALTA CAP 60MG 2,250
<br />$2,700.00
<br />$
<br />14,059.35
<br />$
<br />6.25
<br />$
<br />2.49
<br />$
<br />5,602.50
<br />$
<br />8,45685 0 o',
<br />ADVAIR DISKU AER 500/50
<br />2,520
<br />$
<br />1,190.00
<br />$
<br />13,892.65
<br />$
<br />5.51
<br />$
<br />1.97_$
<br />4,964.40
<br />$
<br />8,928.25
<br />64.3%
<br />W1LFrN7'fAB MG585
<br />$
<br />1,050.00
<br />$
<br />13,711 82
<br />$
<br />23.44
<br />$
<br />8.45
<br />$
<br />4,943.25
<br />$
<br />8.768.57
<br />63.9%
<br />DIOVAN TAB 80MG
<br />4,365
<br />$
<br />4,445.00
<br />$
<br />13,671.62
<br />$
<br />3.13
<br />$
<br />1.14
<br />$
<br />4,976.10
<br />$
<br />8,695.52
<br />CELEBREX CAP 200MG
<br />2,265
<br />$
<br />2,250.00
<br />$
<br />Y 11,527.31
<br />$
<br />5.09
<br />$
<br />1.72
<br />$
<br />3,895.80
<br />$
<br />7,631.51
<br />,;66.2%'
<br />LOVAZA CAP 1 GIVI7,560
<br />$
<br />2,130.00
<br />$
<br />11,360.59
<br />$
<br />1.50
<br />$
<br />1.32
<br />$
<br />9,979.20
<br />$
<br />1,381
<br />XARELTO TAB 20M
<br />1,320 1,320
<br />$
<br />1,540.00
<br />$
<br />10,893.61
<br />$
<br />8.25
<br />$
<br />4.56
<br />$
<br />6,019.20
<br />$
<br />4,81
<br />DEXILANT CAP 60MG DR
<br />2,504
<br />$
<br />3,800.00
<br />$
<br />10,538.12
<br />$
<br />4.21
<br />$
<br />3.43
<br />$
<br />8,58872
<br />$
<br />1,949.40
<br />_
<br />L
<br />Page 1 of 2
<br />
|