walmart drug list

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=26.25% BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="112f2f02egerdp.jpg"> <div> <A HREF="index.htm" TARGET="_top" TITLE="_"><U><B>RETURN TO HOMEPAGE</B></U></A></div> <div> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="195" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="LEFT" HSPACE="0" VSPACE="0" BGCOLOR=#FFFFFF > <tR> <tD VALIGN=TOP BGCOLOR=#66FFFF HEIGHT= 23 WIDTH="195"><div> <B> </B><A HREF="id91.htm" TARGET="_top" TITLE="BRUCE ROSEMAN, M.D. 330 West 58th Stree"><U><B>CONTACT ME</B></U></A></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFCC99 HEIGHT= 23 WIDTH="195"><div> <B> </B><A HREF="id17.htm" TARGET="_top" TITLE="office info"><U><B>OFFICE INFO</B></U></A></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFF99 HEIGHT= 23 WIDTH="195"><div> <B> </B><A HREF="id116.htm" 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ALIGN="bottom" WIDTH="195" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <div> <FONT SIZE="2" COLOR="#660099" FACE="Arial" >                    </FONT><B>     </B><A HREF="index.htm" TARGET="_top" TITLE="_"><U><B>HOME</B></U></A></div> </td> <td valign="top" BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="115f0f03.jpg"> <div> <I>walmart drug list</I></div> <div> <B>Prescription Program Drug List </B><FONT SIZE="1" COLOR="#660099" FACE="Arial" >November 7, 2008 </FONT></div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="405" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="COLS" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="321"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0 WIDTH="69"><div> <B>$10 </B></div> </tD> </tR> </TABLE></div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="407" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="245"><div> <B>Allergies & Cold and Flu </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Benzonatate 100mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 14 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 42 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Ceron DM syrup </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 120ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 360ml </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="245"><div> C-Phenrops* (30ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> dDex PC syrup* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 120ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 360ml </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Loratadine 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Promethazine DM syrup </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 120ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 360ml </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="282"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="245"><div> <B>Antibiotic Treatments </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 125mg/5ml susp (80ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 125mg/5ml susp (100ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 125mg/5ml susp (150ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 200mg/5ml susp (50ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 200mg/5ml susp* (75ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 200mg/5ml susp* (100ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 250mg/5ml susp (80ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 250mg/5ml susp (100ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 250mg/5ml susp (150ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 400mg/5ml susp (50ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 400mg/5ml susp* (75ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxicillin 400mg/5ml susp* (100ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Amoxicillin 250mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Amoxicillin 500mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Amoxil 50mg/ml drops* (30ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Cephalexin 250mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 28 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 84 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Cephalexin 500mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Ciprofloxacin 250mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 14 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 42 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Ciprofloxacin 500mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 20 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 60 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Doxycycline Hyclate 50mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Doxycycline Hyclate 100mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 20 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 60 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Doxycycline Hyclate 100mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 20 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 60 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Erythrocin 250mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 40 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> N/A </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Erythromycin EC 250mg cap* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 28 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 84 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Metronidazole 250mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 28 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 84 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Metronidazole 500mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 14 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 42 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Penicillin VK 250mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 28 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 84 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Penicillin VK 125mg/5ml susp (100ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Penicillin VK 125mg/5ml susp (200ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Penicillin VK 250mg/5ml susp (100ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> SMZ-TMP 200mg-40mg/5ml susp. </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 120ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 360ml </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> SMZ-TMP 400mg-80mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 28 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 84 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> SMZ-TMP DS 800mg-160mg tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 20 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 60 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Tetracycline 250mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Tetracycline 500mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="282"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="245"><div> <B>Arthritis & Pain </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Allopurinol 100mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Allopurinol 300mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Baclofen 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Colchicine 0.6mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Cyclobenzaprine 5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Cyclobenzaprine 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Dexamethasone 0.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Dexamethasone 0.75mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 12 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 36 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Dexamethasone 4mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 6 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 18 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Diclofenac DR 75mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Ibuprofen 100mg/5ml susp* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 120ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 360ml </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Ibuprofen 400mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 90 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 270 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Ibuprofen 600mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Ibuprofen 800mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Indomethacin 25mg cap* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Meloxicam 7.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Meloxicam 15mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Naproxen 375mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Naproxen 500mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Piroxicam 20mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Salsalate 500mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="282"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="245"><div> <B>Asthma </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Albuterol 2mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 90 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 270 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Albuterol 4mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Albuterol 2mg/5ml syrup </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 120ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 360ml </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Albuterol 0.5% nebulizer soln (20ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 25 WIDTH="245"><div> Albuterol 0.083% nebulizer soln* (25x3ml vials)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 25 WIDTH="245"><div> Ipratropium 0.02% nebulizer soln* (25x2.5ml vials)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="282"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="245"><div> <B>Cholesterol </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Lovastatin 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Lovastatin 20mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Pravastatin 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Pravastatin 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Pravastatin 40mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="282"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="245"><div> <B>Diabetes </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Chlorpropamide 100mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glimepiride 1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glimepiride 2mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glimepiride 4mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glipizide 5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glipizide 10mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glyburide 2.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glyburide 5mg tab (blue) </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glyburide 5mg tab (green) </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glyburide, micronized 3mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Glyburide, micronized 6mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Metformin 500mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Metformin 850mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Metformin 1000mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="245"><div> Metformin 500mg ER tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="492" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="367"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="330"><div> <B>Ear Health </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Antipyrine/Benzocaine otic (10ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="367"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="330"><div> <B>Fungal Infections </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Fluconazole 150mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Nystatin/Triamcin cream (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Nystatin/Triamcin cream (30gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Nystatin/Triamcin ointment (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Nystatin cream (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Nystatin cream (30gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Nystatin ointment (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Nystatin ointment (30gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Terbinafine 250mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="367"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="330"><div> <B>Gastrointestinal Health </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Belladonna Alkaloid/PB tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Cimetidine 800mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Cytra2 solution </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 180ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 540ml </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Dicyclomine 10mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 90 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 270 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Dicyclomine 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Famotidine 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Lactulose syrup </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 237ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 711ml </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Metoclopramide 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Metoclopramide syrup </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180ml </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Promethazine 25mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 12 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 36 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Promethazine plain syrup* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 180ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 540ml </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Ranitidine 150mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Ranitidine 300mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="367"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="330"><div> <B>Glaucoma & Eye Care </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Atropine Sulfate 1% op. soln (5ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Bacitracin op. ointment (3.5gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Erythromycin op. ointment (3.5gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Gentamicin 0.3% op. soln (5ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Levobunolol 0.5% op soln (5ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 25 WIDTH="330"><div> Neomycin/Polymyxin/Dexamethasone 0.1% op. ointment (3.5gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Neomycin/Polymyxin/Dexamethasone 0.1% op. susp (5ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Pilocarpine 1% op. soln (15ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Pilocarpine 2% op. soln (15ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Polymyxin Sulfate/TMP op. soln* (10ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Sulfacet Sodium 10% op. soln (15ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Timolol Maleate 0.25% op. soln (5ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Timolol Maleate 0.5% op soln (5ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 WIDTH="330"><div> Tobramycin 0.3% op. soln (5ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="367"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="330"><div> <B>Heart Health & Blood Pressure </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Amiloride-HCTZ 5mg-50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Atenolol-Chlorthalidone 50mg-25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Atenolol-Chlorthalidone 100mg-25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Atenolol 25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Atenolol 50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Atenolol 100mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Benazepril 5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Benazepril 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Benazepril 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Benazepril 40mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Bisoprolol-HCTZ 2.5mg-6.25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Bisoprolol-HCTZ 5mg-6.25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Bisoprolol-HCTZ 10mg-6.25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Bumetanide 0.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Bumetanide 1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Captopril 12.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Captopril 25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Captopril 50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Captopril 100mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Carvedilol 3.125mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Carvedilol 6.25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Carvedilol 12.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Carvedilol 25mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Chlorthalidone 25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Chlorthalidone 50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Clonidine 0.1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Clonidine 0.2mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Digoxin 0.125mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Digoxin 0.25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Diltiazem 30mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Diltiazem 60mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Diltiazem 90mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Diltiazem 120mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Doxazosin 1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Doxazosin 2mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Doxazosin 4mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Doxazosin 8mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Enalapril-HCTZ 5mg-12.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Enalapril 2.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Enalapril 5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Enalapril 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Enalapril 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Furosemide 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Furosemide 40mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Furosemide 80mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Guanfacine 1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Hydralazine 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Hydralazine 25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Hydrochlorothiazide(HCTZ)12.5mg cap* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Hydrochlorothiazide (HCTZ) 25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="330"><div> Hydrochlorothiazide (HCTZ) 50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="423" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="298"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 ><NOBR><div> <B>Heart Health & Blood Pressure Con't </B></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Indapamide 1.25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Indapamide 2.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> Isosorbide Mononitrate 30mg ER tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> Isosorbide Mononitrate 60mg ER tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Lisinopril-HCTZ 10mg-12.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> Lisinopril-HCTZ 20mg-12.5mg tab* </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Lisinopril-HCTZ 20mg-25mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Lisinopril 2.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Lisinopril 5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Lisinopril 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Lisinopril 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Methyldopa 250mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Methyldopa 500mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Metoprolol Tartrate 25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Metoprolol Tartrate 50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Metoprolol Tartrate 100mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Nadolol 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Nadolol 40mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Nitroquick 0.3mg sub tab* (100 count bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Nitroquick 0.4mg sub tab* (25 count)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Nitroquick 0.4mg sub tab* (100 count bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Pindolol 5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Pindolol 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Prazosin HCL 1mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Prazosin HCL 2mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Prazosin HCL 5mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Propranolol 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Propranolol 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Propranolol 40mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Propranolol 80mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Sotalol HCL 80mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Spironolactone 25mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Terazosin 1mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Terazosin 2mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Terazosin 5mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Terazosin 10mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> Triamterene-HCTZ 37.5mg-25mg cap </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> Triamterene-HCTZ 37.5mg-25mg tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> Triamterene-HCTZ 75mg-50mg tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Verapamil 80mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Verapamil 120mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Warfarin 1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Warfarin 2mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Warfarin 2.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Warfarin 3mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Warfarin 4mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Warfarin 5mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Warfarin 6mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Warfarin 7.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Warfarin 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="298"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="261"><div> <B>Mental health </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Amitriptyline 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Amitriptyline 25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Amitriptyline 50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Amitriptyline 75mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Amitriptyline 100mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Benztropine 2mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Buspirone 5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Buspirone 10mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Carbamazepine 200mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Citalopram 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Citalopram 40mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Doxepin HCL 10mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Doxepin HCL 25mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Doxepin HCL 50mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Doxepin HCL 75mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Doxepin HCL 100mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Fluoxetine 10mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Fluoxetine 10mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Fluoxetine 20mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Fluoxetine 40mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Fluphenazine 1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Haloperidol 0.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Haloperidol 1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Haloperidol 2mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Haloperidol 5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Lithium Carbonate 300mg cap* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 90 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 270 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Nortriptyline 10mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Nortriptyline 25mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Paroxetine 10mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Paroxetine 20mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Prochlorperazine 10mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Thioridazine 25mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Thioridazine 50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Thiothixene 2mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Trazodone 50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Trazodone 100mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Trazodone 150mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="261"><div> Trihexyphenidyl 2mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="298"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="261"><div> <B>Skin Conditions </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 25 WIDTH="261"><div> Benzoyl Peroxide 4% creamy wash* (170.1ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> N/A </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 25 WIDTH="261"><div> Betamethasone Dipropionate 0.05% cream(15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 25 WIDTH="261"><div> Betamethasone Dipropionate 0.05% cream(45gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Betamethasone Valerate 0.1% cream (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Betamethasone Val. 0.1% cream (45gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="404" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="279"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="242"><div> <B>Skin Conditions Con't </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 25 WIDTH="242"><div> Betamethasone Val. 0.1% ointment (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 25 WIDTH="242"><div> Betamethasone Val. 0.1% ointment (45gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Fluocinolone Acet. 0.01% soln (60ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Fluocinonide 0.05% cream (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Fluocinonide 0.05% cream (30gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Gentamicin 0.1% cream (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Gentamicin 0.1% ointment (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Hydrocortisone 1% cream (<FONT SIZE="1" COLOR="#000000" FACE="Arial" >28.35-30g tube</FONT>)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Hydrocortisone 2.5% cream (30gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Selenium Sulfide 2.5% lotion* (120ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Silver Sulfadiazine 1% cream* (50gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Triamcinolone 0.025% cream (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Triamcinolone 0.025% cream (80gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Triamcinolone 0.1% cream (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Triamcinolone 0.1% cream (80gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Triamcinolone 0.1% ointment (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Triamcinolone 0.1% ointment (80gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Triamcinolone 0.5% cream (15gm tube)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="279"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="242"><div> <B>Thyroid Conditions </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 25mcg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 50mcg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 75mcg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 88mcg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 100mcg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 112mcg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 125mcg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 137mcg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 150mcg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 175mcg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Levothyroxine 200mcg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="279"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="242"><div> <B>Viruses </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Acyclovir 200mg cap </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="279"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="242"><div> <B>Vitamins & Nutritional Health </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Ethedent 0.25mg chewable* (120 count bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> N/A </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Folic Acid 1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Klorcon 8 8mEq ER tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Klorcon 10 10mEq ER tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Klorcon M10 10mEq tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Mag 64 64mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Magnesium Oxide 400mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Prenatal Plus qty 30* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Potassium Chloride 10% liquid </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 473ml </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 1419ml </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="279"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="242"><div> <B>Women's Health </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Estradiol 0.5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Estradiol 1mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Estradiol 2mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Estropipate 0.75mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Estropipate 1.5mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> MedroxyprogesteroneAcetate 2.5mg tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> Medroxyprogesterone Acetate 5mg tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> Medroxyprogesterone Acetate 10mg tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 10 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 30 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="279"><div> <B>$9 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$24 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="242"><div> <B>Women's Health </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 12 WIDTH="242"><div> Alendronate SOD 35mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFFFFF WIDTH="71"><div> 4 </div> </tD> <tD VALIGN=TOP BGCOLOR=#FFFFFF WIDTH="69"><div> 12 </div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 12 WIDTH="242"><div> Alendronate SOD 70mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFFFFF WIDTH="71"><div> 4 </div> </tD> <tD VALIGN=TOP BGCOLOR=#FFFFFF WIDTH="69"><div> 12 </div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 12 WIDTH="242"><div> Clomiphene 50mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFFFFF WIDTH="71"><div> 5 </div> </tD> <tD VALIGN=TOP BGCOLOR=#FFFFFF WIDTH="69"><div> 15 </div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 12 ><NOBR><div> EST Estrogen/Methyl Testost HS tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFFFFF WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP BGCOLOR=#FFFFFF WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 12 ><NOBR><div> EST Estrogen/Methyl Testost DS tab </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFFFFF WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP BGCOLOR=#FFFFFF WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 12 WIDTH="242"><div> Sprintec 28-day tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFFFFF WIDTH="71"><div> 28 </div> </tD> <tD VALIGN=TOP BGCOLOR=#FFFFFF WIDTH="69"><div> N/A </div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 12 WIDTH="242"><div> Tri-Sprintec 28-day tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFFFFF WIDTH="71"><div> 28 </div> </tD> <tD VALIGN=TOP BGCOLOR=#FFFFFF WIDTH="69"><div> N/A </div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 13 WIDTH="242"><div> Ta<FONT SIZE="1" COLOR="#000000" FACE="Verdana" >moxifen 10mg tab </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFFFFF WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP BGCOLOR=#FFFFFF WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 12 WIDTH="242"><div> Tamoxifen 20mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP BGCOLOR=#FFFFFF WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="279"><div> <B>$4 </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0 WIDTH="106"><div> <B>$10 </B></div> </tD> </tR> <tR> <tD VALIGN=TOP BGCOLOR=#C0C0C0 HEIGHT= 12 WIDTH="242"><div> <B>Other Medical Conditions </B></div> </tD> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#C0C0C0><NOBR><div> <B>30-day QTY </B></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#C0C0C0><NOBR><div> <B>90-day QTY </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 25 WIDTH="242"><div> Chlorhexidine Gluconate 0.12% soln (473ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 ><NOBR><div> Hydrocortisone AC 25mg suppositories </div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 12 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 36 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Isoniazid 300mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Lidocaine 2% viscous solution (100ml bottle)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Megestrol 20mg tab* </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Methylpred 4mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 21 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 63 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Methylpred 4mg dose pak (21 tablets)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Oxybutynin 5mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 60 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 180 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Phenazopyridine 100mg tab </div> </tD> <tD VALIGN=TOP COLSPAN=2 WIDTH="71"><div> 6 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 18 </div> </tD> </tR> </TABLE></div> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="400" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Phenazopyridine 200mg tab </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Prednisone 2.5mg tab </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Prednisone 5mg tab </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Prednisone 5mg dose pak (21 tablets)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="69"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Prednisone 5mg dose pak* (48 tablets)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="69"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Prednisone 10mg tab </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Prednisone 10mg dose pak (21 tablets)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="69"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 3 </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 13 ><NOBR><div> Prednisone 10mg dose pak* (48 tablets)<FONT SIZE="1" COLOR="#000000" FACE="Arial" >† </FONT></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="69"><div> 1 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> N/A </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 12 WIDTH="242"><div> Prednisone 20mg tab </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 30 </div> </tD> <tD VALIGN=TOP WIDTH="69"><div> 90 </div> </tD> </tR> </TABLE></div> <bR> </td> </tr></table></body>