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`_,H^;1 �.,IVledication;�`
<br />iTRILEPTAL TAB 600MG
<br />IORACEA CAP 40MG
<br />IONGLYZA TAB 5MG
<br />NAMENDA TAB 10MG
<br />iTRADJENTA TAB 5MG_
<br />PRISTIQ TAB 100MG
<br />IJANUMET TAB 50-1000
<br />IVYTORIN TAB 1_0-40M_G_
<br />!PREMARIN VAG CRE 0.625MG
<br />QC ansa°R
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<br />CanaRx Group Inc.
<br />MEDICATION COST ANALYSIS
<br />FOR
<br />INDIANRIVER.BCC
<br />BrandwNam'&, bdications
<br />Top 100 Drugs by Plan Paid
<br />Claims,Period:�8/1'72013 - 7/31/201.4
<br />(Prepared on September 29, 2014)
<br />_ 1,260_
<br />$
<br />_.. 850.00_
<br />$_
<br />_ 10:041.558
<br />$
<br />7.97 _.
<br />$
<br />1.59
<br />$
<br />_2,003.40
<br />$ _
<br />8,038 18
<br />750
<br />$
<br />1,250.00
<br />$
<br />9,819.39
<br />$
<br />13.09
<br />$
<br />1.61
<br />$
<br />1,207.50
<br />$
<br />8,611.89
<br />1,170
<br />$
<br />1,190.00
<br />—$
<br />9,391.40
<br />$_
<br />_ _ 8_03
<br />$
<br />3.17
<br />$_
<br />3,708.90
<br />$
<br />5,682.50
<br />2,282
<br />$._
<br />_ —1,015.00
<br />_ $
<br />_ _9,359.93
<br />_$
<br />_ _ 4.10
<br />$ ..__
<br />_ __. 2.12
<br />$
<br />4,837.84
<br />—$
<br />_ 4,522.09
<br />1,200
<br />$
<br />1,850.00
<br />$
<br />8,993.44
<br />$
<br />7.49
<br />$
<br />4.13
<br />$
<br />4,956.00
<br />$
<br />4,037.44
<br />T1,747
<br />$
<br />2,743.69
<br />$
<br />_8,467.24_$_
<br />_ _ 4.85_$
<br />2.53
<br />$
<br />_4,419.91
<br />$
<br />_4,047.33
<br />—$
<br />8,323.52
<br />+8,154.27
<br />$ _—
<br />_ 4.0_2_ +
<br />$ _—
<br />1_50
<br />$
<br />3,1_05.00
<br />$_
<br />5,218.52
<br />2,500.00
<br />_
<br />$
<br />4.38
<br />$
<br />2.36
<br />$�
<br />4,389.60
<br />_
<br />$
<br />_
<br />3,764.67
<br />1,320
<br />$
<br />1,540.00
<br />$
<br />7,379.97
<br />$
<br />5.59
<br />$
<br />1.72
<br />$
<br />2,270.40
<br />$
<br />5,109.57
<br />Top 100 Summary:
<br />36 - Medications available through the CanaRx program.
<br />64 - Medications not available on the program.
<br />The CanaRx price shown includes all costs to the plan. There are no further charges such as, electronic transaction fees or per member per month administration costs.
<br />All medications are supplied through certified pharmacies in Canada,
<br />the United Kingdom, Australia and New Zealand (Tier -One countries).
<br />P.O. Box 44650, Detroit, MI 48244-0650
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