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RUGBY Products
FIBERCON® FIBER-LAX POLYCARBOPHIL TABLETS
FLEET® ENEMA ENEMA DISPOSABLE
FLINTSTONES® CHEWABLE-VITE TABLETS
FLINTSTONES® PLUS IRON CHEWABLE-VITE W/IRON TABLETS
LACTAID® LAC-DOSE® CAPTABS
LIQUIFILM® TEARS ARTIFICIAL TEARS SOLUTION STERILE
MAALOX® ADVANCED REG. STRENGTH RULOX ANTACID SUSP-MINT FLAVOR
MEGA RED® KRILL OIL SOFTGEL CAPS
METAMUCIL® REGULOID® CAPSULES & POWDER
MINERAL ICE® BLUE GEL/MUSCULAR PAIN RELIEF
MYLANTA® ALMACONE® ANTACID LIQUID
MYLANTA® DOUBLE STRENGTH ALMACONE® DOUBLE STRENGTH ANTACID
MYLANTA® GAS SIMETHICONE GAS RELIEF TABLETS
MYLANTA® GAS MAX STR SIMETHICONE MAX STR GAS RELIEF TABLETS
MYLICON® SIMETHICONE GAS RELIEF DROPS
NEO-CALGLUCON® CALCIONATE SYRUP
NICORETTE® GUM NICOTINE POLACRILEX GUM
OCEAN® NASAL MIST SALINE MIST
OCUVITE® I-VITE TABLETS
OCUVITE® PRESERVISION® I-VITE PROTECT TABLETS
ONE-A-DAY® ESSENTIAL DAILY-VITE TABLETS
OS-CAL® 250+D TABS OYSCO® D TABLETS
OS-CAL® 500 OYSCO® 500 TABLETS
OS-CAL® CHEWABLE OYSCO® 500+D CHEW TABS
OS-CAL® 500+D OYSCO® 500+D TABLETS
OXY BALANCE® BENZOYL PEROX/ACNE MED 5% GEL
OXY-10 BALANCE® BENZOYL PEROX/ACNE MED 10% GEL
PEDIALYTE® ORALYTE® SOLUTION & FREEZER POPS
PEPTO-BISMOL® PEPTIC RELIEF CHEW TABLETS
PERCOGESIC® ACETA-GESIC® PAIN TABLETS
PERI-COLACE® DOC SOD & SENNA TABLETS
PHAZYME® SIMETHICONE GAS RELIEF SOFTGELS
PHILLIPS’® MILK OF MAGNESIA
BRAND TO GENERIC REFERENCE CHART
2
COMPARE TO DESCRIPTION
RUGBY Products
POLY-VI-SOL® POLY VITAMIN CHEW TABLETS & DROPS
POLY-VI-SOL® WITH IRON POLY VITAMIN W/IRON CHEW TABS & DROPS
PREVACID®24HR LANSOPRAZOLE DR CAPSULES
ROBITUSSIN® GUAIFENESIN COUGH SYRUP
ROBITUSSIN® DM GUAIFENESIN DM EXTRA ACTN COUGH SYRUP
SEBULEX® SEBEX SHAMPOO
SELSUN BLUE® SELENIUM SULF/ANTI-DANDRUFF SHAMPOO
SENOKOT® SENEXON® NATURAL VEG LAXATIVE LIQUID & TABS
SENOKOT-S® SENEXON®-S NATURAL VEG LAXATIVE TABS
SLOW FE® FERROUS SULFATE ER TABLETS
STRESSTABS® VI-STRESS TABLETS
STUART PRENATAL® PRENAVITE® TABLETS FC
SUDAFED® PSEUDOEPHEDRINE/NASAL DECON TABLETS
SURFAK® DOC CAL/STL SOFT-DC SGEL CAPS
TEARS NATURALE® NATURE’S TEARS
THERAGRAN® THEREMS® FILM COATED TABLETS
THERAGRAN-M® ADV THEREMS®-M FILM COATED TABLETS
TINACTIN® TOLNAFTATE 1% ANTIFUNGAL POWDER
TRIPLE FLEX® GLUCOSAMINE, CHONDROITIN AND MSM
TRI-VI-SOL® TRI-VITAMIN DROPS
TUMS® CAL-GEST® ANTACID CHEW TABLETS
TYLENOL® APAP PAIN/FEVER TABLETS
TYLENOL®, CHILDREN’S APAP PAIN/FEVER CHILDREN’S CHEW TABS
TYLENOL®, CHILDREN’S APAP PAIN/FEVER ORAL SOLUTION
TYLENOL® EXTRA STR APAP PAIN/FEVER X-STR TABLETS/CAPTABS
TYLENOL® INFANTS’ DROPS APAP PAIN/FEVER CONCENTRATED DROPS
TYLENOL® INFANTS’ ORAL SUSP APAP PAIN/FEVER CHILDREN’S ORAL SUSP
TYLENOL® PM APAP/DIPH CAPTABS
UNICAP-M® UNICOMPLEX-M TABLETS
VISINE® TETRAHYDROZOLINE/EYE DROPS
Z-BEC® BEE-ZEE TABLETS
ZOSTRIX® CAPSAICIN 0.025% CREAM
ZYRTEC® CETIRIZINE HCL TABLETS
BRAND TO GENERIC REFERENCE CHART
3
COMPARE TO DESCRIPTION
4/A
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
360501 ACETA-GESIC® PAIN TABLETS 100 PERCOGESIC® $2.40 305363605016
718001 ACIDOPHILUS CAPTABS® 100 $4.43 005367180013
718101 ACIDOPHILUS EXTRA STRENGTH CAPTABS® 100 $4.43 005367181010
750001 ALCOHOL PREPS STERILE PADS 100 $3.01 305367500010
037097 ALLER-CHLOR® SYRUP 4 OZ CHLOR-TRIMETON® $3.27 305360370979
346701 ALLER-CHLOR®/CPM 4 MG TABLETS 100 CHLOR-TRIMETON® $5.70 305363467010
346710 ALLER-CHLOR®/CPM 4 MG TABLETS 1000 CHLOR-TRIMETON® $17.17 305363467102
346735 ALLER-CHLOR®/CPM 4 MG TABLETS BL/PK 24 CHLOR-TRIMETON® $3.06 305363467355
002583 ALMACONE® ANTACID LIQUID 12 OZ MYLANTA® $3.10 305360025831
350401 ALMACONE® CHEW TABS MLT 100 $3.78 305363504012
001583 ALMACONE® DOUBLE STRENGTH ANTACID 12 OZMYLANTA®
$4.45 305360015832DOUBLE STRENGTH
009185 ALUMINUM HYDROXIDE GEL PT AMPHOJEL® $5.60 305360091850
558806 ANTIOXIDANT FORMULA SGEL CAPS 50 $5.40 005365588064
558908 ANTIOXIDANT ULTRA FORMULA SGEL CAPS 60 $13.43 005365589085
193672 APAP PAIN/FEVER 15 ML TYLENOL® INFANTS’ DROPS $3.15 305361936723CONCENTRATED DROPS
012285 APAP ORAL SOL PAIN/FEVER – CHERRY PT TYLENOL®, CHILDREN’S $8.25 305360122851
012297 APAP ORAL SOL PAIN/FEVER – CHERRY 4 OZ TYLENOL®, CHILDREN’S $3.78 305360122974
322201 APAP 325 MG PAIN/FEVER TABLETS 100 TYLENOL® $4.20 305363222015
322210 APAP 325 MG PAIN/FEVER TABLETS 1000 TYLENOL® $22.42 305363222107
323307 APAP 80 MG PAIN/FEVER 30 TYLENOL®, CHILDREN’S $2.63 305363233073CHILD’S CHEWTABS – FRUIT
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
NO.
1
5
9
13
17
2
6
10
14
18
3
7
11
15
19
4
8
12
16
20
21
25
29
33
37
22
26
30
34
38
23
27
31
35
39
24
28
32
36
40
360696 APAP 160 MG PAIN/FEVER 2 OZ INFANTS’ TYLENOL® $3.94 305363606969CHILD’S ORAL SUSP-CHERRY
321801 APAP 500 MG PAIN/FEVER X-STR CAPTABS 100 TYLENOL® EXTRA STR $5.10 305363218018
321810 APAP 500 MG PAIN/FEVER X-STR CAPTABS 1000 TYLENOL® EXTRA STR $29.93 305363218100
323101 APAP 500 MG PAIN/FEVER X-STR TABLETS 100 TYLENOL® EXTRA STR $4.72 305363231017
323110 APAP 500 MG PAIN/FEVER X-STR TABLETS 1000 TYLENOL® EXTRA STR $29.85 305363231109
347906 APAP 500 MG/DIPH 25 MG CAPTABS 50 TYLENOL® PM $5.27 305363479068
655091 ARTIFICIAL TEARS OPHTH OINTMENT 1 DZ $44.39 305366550917
197072 ARTIFICIAL TEARS SOLUTION STERILE 15 ML LIQUIFILM® TEARS $4.38 305361970727
329736 ASPIRIN 1 1/4 GR CHEW TABLETS 36 BAYER® CHILDREN’S $2.25 305363297365
308610 ASPIRIN 81 MG EC TABLETS 1000 BAYER®, ASPIRIN REGIMEN$45.66 305363086105
308641 ASPIRIN 81 MG EC TABLETS 120 BAYER®, ASPIRIN REGIMEN $5.48 305363086419
331301 ASPIRIN 325 MG TABLETS EC ORANGE 100 ECOTRIN® $4.20 305363313010
331310 ASPIRIN 325 MG TABLETS EC ORANGE 1000 ECOTRIN® $26.55 305363313102
330501 ASPIRIN 325 MG TABLETS 100 BAYER®, GENUINE $3.45 305363305015MICRO-COATED WHITE
330510ASPIRIN 325 MG TABLETS
1000 BAYER®, GENUINE $20.25 305363305107MICRO-COATED WHITE
335708 BEE-ZEE TABLETS 60 Z-BEC® $5.25 005363357082
409256 BENZOYL PEROX GEL/ACNE MED 10% TB OXY-10 BALANCE® $6.91 305364092563
408956 BENZOYL PEROX GEL/ACNE MED 5% TB OXY BALANCE® $5.68 305364089563
081595 BENZOYL PEROX LOTION/ACNE MED 10% 1 OZ $3.45 305360815951
081095 BENZOYL PEROX LOTION/ACNE MED 5% 1 OZ $3.02 305360810956
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
6/A-B
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.NDC
DESCRIPTION SIZE COMPARE
SWPUPC
00536- TO CODE
41
45
49
53
57
42
46
50
54
58
43
47
51
55
59
44
48
52
56
60
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
8/B-C
490201 BETA CAROTENE 25,000 IU SGEL CAPS 100 $6.00 005364902014
665901 BIOTIN 300 MCG TABLETS 100 $3.74 005366659015
230259 BLUE GEL /MUSCULAR PAIN RELIEF 8 OZ MINERAL ICE® $3.97 305362302596
379201 CALCI-CHEW CHERRY 100 $11.66 005363792012
379101 CALCI-MIX 100 $13.71 005363791015
277085 CALCIONATE SYRUP PT NEO-CALGLUCON® $19.73 005362770851
342608 CALCIUM 600 TABLETS 60 CALTRATE® 600 $4.79 005363426085
342408 CALCIUM 600-D TABLETS 60 CALTRATE® 600 + D $4.79 005363424081
341410 CALCIUM CARBONATE 10 GR TABLETS 1000 $15.75 305363414106
688908 CALCIUM 500 MG CHEW TABLETS 60 $4.35 005366889085
341610 CALCIUM GLUCONATE 10 GR TABLETS 1000 $17.32 005363416109
342201 CALCIUM LACTATE 10 GR TABLETS 100 $3.46 005363422018
342210 CALCIUM LACTATE 10 GR TABLETS 1000 $18.15 005363422100
474297 CAL-GEST® ANTACID CHEW TABLETS 150 TUMS® $4.13 305364742970
252525 CAPSAICIN 0.025% CREAM 60 GM ZOSTRIX® $9.95 305362525254
344238 CEROVITE® TABLETS ADVANCED FORMULA 130 CENTRUM® $6.45 005363442382
344308 CEROVITE® JR. CHEW TABLETS 60 CENTRUM KIDS® COMPLETE $3.82 005363443082
279059 CEROVITE® LIQUID 8 OZ CENTRUM® LIQUID $5.40 005362790590
344508 CEROVITE® SENIOR TABLETS 60 CENTRUM® SILVER® $4.65 005363445086
408888 CETIRIZINE HCL 10 MG TABLETS 14 ZYRTEC® $3.69 305364088887
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
61
65
69
73
77
62
66
70
74
78
63
67
71
75
79
64
68
72
76
80
408807 CETIRIZINE HCL 10 MG TABLETS 30 ZYRTEC® $4.60 305364088078
408811 CETIRIZINE HCL 10 MG TABLETS 90 ZYRTEC® $10.43 305364088115
344801 CHEWABLE VITE TABLETS 100 FLINTSTONES® $5.25 005363448018
344901 CHEWABLE VITE W/IRON TABLETS 100 FLINTSTONES® PLUS IRON $5.47 005363449015
345101 CHLOROPHYLL TABLETS 100 $2.78 005363451018
666808 CHROMIUM (PICOLINATE) 200 MCG 60 $7.43 005366668086SGEL CAPS
322408 CITRUS CALCIUM + D TABLETS 60 CITRACAL® MAXIMUM $5.10 005363224087
322301 CITRUS CALCIUM W/VITAMIN D TABLETS 100 CITRACAL® PETITES $5.10 005363223011
638401 COD LIVER OIL SGEL CAPS 100 $3.30 005366384016
193807 COENZYME Q10 100 MG SGEL CAPS 30 $14.85 005361938078
203007 COENZYME Q10 200 MG SGEL CAPS 30 $17.34 005362030078
999512 CONDOMS PREM. LUBRICATED (BOX 12) 1 $3.78 305369995128
354701 DAILY-VITE TABLETS 100 ONE-A-DAY® ESSENTIAL $4.19 005363547018
354710 DAILY-VITE TABLETS 1000 ONE-A-DAY® ESSENTIAL $20.92 005363547100
354601 DAILY-VITE TABLETS W/IRON 100 $3.52 005363546011
354610 DAILY-VITE TABLETS W/IRON 1000 $20.92 005363546103
059085 DIOCTO LIQUID PT COLACE® LIQUID $12.00 305360590858
060085 DIOCTO SYRUP PT COLACE® $5.70 305360600854
359701 DIPHENHIST® 25 MG CAPTABS 100 BENADRYL® ALLERGY $6.38 305363597014
359401 DIPHENHIST® 25 MG BANDED CAPSULES 100 BENADRYL® ALLERGY $6.38 305363594013
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
10/C-D
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
81
85
89
93
97
82
86
90
94
98
83
87
91
95
99
84
88
92
96
100
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
12/D-F
077097 DIPHENHIST® ORAL SOLUTION BOXED 4 OZ BENADRYL® ALLERGY LIQ $3.78 305360770977
077085 DIPHENHIST® ORAL SOLUTION PT BENADRYL® ALLERGY LIQ $7.42 305360770854
377206 DIPHENHYDRAMINE HCL 50 MG TABLETS 50 COMPOZ® $4.43 305363772060
375501 DOC CAL/STL SOFT-DC 240 MG SGEL CAPS 100 SURFAK® $9.14 305363755018
375510 DOC CAL/STL SOFT-DC 240 MG SGEL CAPS 1000 SURFAK® $77.48 305363755100
375505 DOC CAL/STL SOFT-DC 240 MG SGEL CAPS 500 SURFAK® $40.91 305363755056
375701 DOC SOD/STL SOFT 250 MG X-STR SGEL CAPS 100 $6.57 305363757012
375710 DOC SOD/STL SOFT 250 MG X-STR SGEL CAPS 1000 $40.83 305363757104
375601 DOC SOD/STL SOFT 100 MG –RED SGEL CAPS 100 COLACE® $5.92 305363756015
375610 DOC SOD/STL SOFT 100 MG –RED SGEL CAPS 1000 COLACE® $32.40 305363756107
035510 DOCUSATE SODIUM 50 MG & 1000 PERI-COLACE® $31.95 305360355105SENNA 8.6 MG TABS
035501 DOCUSATE SODIUM 50 MG & 100 PERI-COLACE® $4.95 305360355013SENNA 8.6 MG TABS
300094 EARWAX TREATMENT DROPS 15 ML DEBROX® $2.54 305363000941
741551 ENEMA DISPOSABLE 4.5 OZ FLEET® ENEMA $0.79 305367415512
090197 EYE IRRIGATING SOLUTION 4 OZ $4.12 305360901975
589001 FERROUS SULFATE 325 MG 100 $4.04 005365890013(5 GR) FC RED TABLETS
071080 FER-IRON DROPS 50 ML FER-IN-SOL® DROPS $5.24 005360710804
065085 FERROUS SULFATE ELIXIR PT FEOSOL® ELIXIR $5.93 005360650858
348107 FERROUS SULFATE ER 140 MG TABLETS 30 SLOW FE® $5.81 005363481077
348108 FERROUS SULFATE ER 140 MG TABLETS 60 SLOW FE® $9.90 005363481084
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
101
105
109
113
117
102
106
110
114
118
103
107
111
115
119
104
108
112
116
120
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
14/F-I
430605 FIBER-LAX POLYCARBOPHIL 500 MG TABLETS 500 FIBERCON® $44.62 305364306059
430608 FIBER-LAX POLYCARBOPHIL 500 MG TABLETS 60 FIBERCON® $6.59 305364306080
430611 FIBER-LAX POLYCARBOPHIL 500 MG TABLETS 90 FIBERCON® $11.24 305364306110
384401 FOLIC ACID 400 MCG TABLETS 100 $2.10 005363844018
384301 FOLIC ACID 800 MCG TABLETS 100 $2.40 005363843011
311108 GLUCOSAMINE, CHONDROITIN AND MSM 60 TRIPLE FLEX® $12.76 005363111080
082597 GUAIFENESIN COUGH SYRUP BOXED 4 OZ ROBITUSSIN® $2.79 305360825974
082585 GUAIFENESIN COUGH SYRUP PT ROBITUSSIN® $4.94 305360825851
097085 GUAIFENESIN DM EXTRA ACTN COUGH SYRUP PT ROBITUSSIN® DM $8.09 305360970858
097097 GUAIFENESIN DM EXTRA ACTN COUGH SYRUP 4 OZ ROBITUSSIN® DM $3.27 305360970971
138912 HEMORRHOIDAL SUPPOSITORIES 12 $3.30 305361389123
510895 HYDROCORTISONE 1% CREAM/HYDROSKIN® 1 OZ CORTIZONE-10® $2.85 305365108959
510597 HYDROCORTISONE 1% LOTION/HYDROSKIN® 4 OZ $8.09 305365105972
360330 IBUPROFEN 200 MG SOFTGEL CAPSULES 80 ADVIL® LIQUI-GELS® $6.32 305363603302
358701 IBUPROFEN 200 MG TAB BROWN ROUND 100 ADVIL® $4.67 305363587015
358710 IBUPROFEN 200 MG TAB BROWN ROUND 1000 ADVIL® $46.83 305363587107
358702 IBUPROFEN 200 MG TAB BROWN ROUND 250 ADVIL® $9.33 305363587022
358706 IBUPROFEN 200 MG TAB BROWN ROUND 50 ADVIL® $2.92 305363587060
398401 INOSITOL 500 MG TABLETS 100 $8.24 005363984011
509008 I-VITE TABLETS 60 OCUVITE® $4.64 005365090086
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
121
129
133
137
122
126
130
134
138
123
127
131
135
139
124
128
132
136
140
125
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
16/I-M
417841 I-VITE PROTECT TABLETS 120 OCUVITE® PRESERVISION® $10.31 005364178419
231097 KIDKARE COUGH & COLD LIQUID 4 OZ $3.15 305362310973
348008 KRILL OIL 300 MG SOFTGEL CAPS 60 MEGA RED® $21.55 005363480087
408706 LAC-DOSE® CAPTABS 50 LACTAID® $5.70 005364087063
412288 LANSOPRAZOLE DR 15 MG CAPS 14 PREVACID®24HR $9.64 305364122888
338101 LAXATIVE EC TABS/BISACODYL 5 MG 100 DULCOLAX® $7.41 305363381019
338110 LAXATIVE EC TABS/BISACODYL 5 MG 1000 DULCOLAX® $27.55 305363381101
135501 LAXATIVE SUPPOSITORIES/BISACODYL 10 MG 100 DULCOLAX® SUPP $15.75 305361355012
135512 LAXATIVE SUPPOSITORIES/BISACODYL 10 MG 12 DULCOLAX® SUPP $4.17 305361355128
741008 L-CARNITINE 250 MG CAPS 60 $37.99 005367410080
390808 LIPOGEN SGEL CAPS 60 $6.45 005363908086
673101 L-LYSINE 500 MG TABLETS 100 $3.52 005366731018
704906 L-TYROSINE 500 MG CAPTABS® 50 $6.30 005367049068
668001 MAGNESIUM 27 MG CHELATED TABLETS 100 $3.37 005366680019
352141 MAGNESIUM OXIDE 400 MG TABLETS 120 $8.25 005363521414
398501 MECLIZINE HCL 12.5 MG TABLETS 100 $4.72 305363985019
398510 MECLIZINE HCL 12.5 MG TABLETS 1000 $42.48 305363985101
399001 MECLIZINE HCL 25 MG CHEW TABLETS 100 BONINE® $4.80 305363990013
399010 MECLIZINE HCL 25 MG CHEW TABLETS 1000 BONINE® $43.20 305363990105
641208 MELATONIN 3 MG TABLETS 60 $12.95 005366412085
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
141
145
149
153
157
142
146
150
154
158
143
147
151
155
159
144
148
152
160
156
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
18/M-N
247083 MILK OF MAGNESIA 12 OZ PHILLIPS’® $2.92 305362470837
247085 MILK OF MAGNESIA PT PHILLIPS’® $3.60 305362470851
404401 MULTILEX TABLETS 100 $5.70 005364044011
406001 MULTILEX T&M TABLETS 100 $6.83 005364060011
404610 MULTIVITAMINS TABLETS (8 VITAMINS) 1000 $19.12 005364046107
411306 NAPROXEN SODIUM 220 MG CAPTABS 50 ALEVE® $4.53 305364113060
623772 NATURE’S TEARS 15 ML TEARS NATURALE® $4.35 305366237726
730001 NEPHRO-VITE® TABLETS 100 $16.54 005367300015
407601 NIACIN 100 MG TABLETS (NICOTINIC) 100 $2.55 005364076012
407610 NIACIN 100 MG TABLETS (NICOTINIC) 1000 $21.39 005364076104
407810 NIACIN 500 MG TABLETS (NICOTINIC) 1000 $27.50 005364078108
407001 NIACIN 50 MG TABLETS (NICOTINIC) 100 $2.10 005364070010
407401 NIACIN 250 MG ER CAPSULES (NICOTINIC) 100 $8.42 005364074018
407701 NIACIN 500 MG ER CAPSULES (NICOTINIC) 100 $11.21 005364077019
703801 NIACIN 1000 MG TR CAPTABS® (NICOTINIC) 100 $8.25 005367038017
703001 NIACIN 500 MG TR TABLETS (NICOTINIC) 100 $6.30 005367030011
703301 NIACIN 750 MG TR TABLETS (NICOTINIC) 100 $7.42 005367033012
406801 NIACINAMIDE 100 MG TABLETS 100 $2.40 005364068017
406901 NIACINAMIDE 500 MG TABLETS 100 $3.45 005364069014
136234 NICOTINE GUM 2 MG MINT 20 NICORETTE® GUM $11.99 305361362348
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
20/N
136206 NICOTINE GUM 2 MG MINT 50 NICORETTE® GUM $21.36 305361362065
137234 NICOTINE GUM 4 MG MINT 20 NICORETTE® GUM $13.32 305361372347
137206 NICOTINE GUM 4 MG MINT 50 NICORETTE® GUM $25.81 305361372064
136223 NICOTINE GUM 2 MG MINT 110 NICORETTE® GUM $30.98 305361362232
137223 NICOTINE GUM 4 MG MINT 110 NICORETTE® GUM $41.96 305361372231
302934 NICOTINE GUM 2 MG ORIGINAL 20 NICORETTE® GUM $11.99 305363029348
302906 NICOTINE GUM 2 MG ORIGINAL 50 NICORETTE® GUM $21.36 305363029065
302923 NICOTINE GUM 2 MG ORIGINAL 110 NICORETTE® GUM $30.98 305363029232
303006 NICOTINE GUM 4 MG ORIGINAL 50 NICORETTE® GUM $25.81 305363030061
303023 NICOTINE GUM 4 MG ORIGINAL 110 NICORETTE® GUM $41.96 305363030238
340437 NICOTINE GUM 2 MG COATED CINNAMON 40NICORETTE® CINNAMONSURGE™ COATED GUM
$23.40 305363404374
340401 NICOTINE GUM 2 MG COATED CINNAMON 100 NICORETTE® CINNAMONSURGE™ COATED GUM
$39.50 305363404015
340537 NICOTINE GUM 4 MG COATED CINNAMON 40 NICORETTE® CINNAMONSURGE™ COATED GUM
$24.63 305363405371
340501 NICOTINE GUM 4 MG COATED CINNAMON 100 NICORETTE® CINNAMONSURGE™ COATED GUM
$41.58 305363405012
338637 NICOTINE GUM 2 MG COATED FRUIT 40 NICORETTE® FRUIT CHILL™COATED GUM
$23.40 305363386373
338601 NICOTINE GUM 2 MG COATED FRUIT 100 NICORETTE® FRUIT CHILL™COATED GUM
$39.50 305363386014
338737 NICOTINE GUM 4 MG COATED FRUIT 40 NICORETTE® FRUIT CHILL™$24.63 305363387370COATED GUM
338701 NICOTINE GUM 4 MG COATED FRUIT 100 NICORETTE® FRUIT CHILL™$41.58 305363387011COATED GUM
311237 NICOTINE GUM 2 MG COATED MINT 40 NICORETTE® FRESH MINT™$23.40 305363112378COATED GUM
311201 NICOTINE GUM 2 MG COATED MINT 100 NICORETTE® FRESH MINT™$39.50 305363112019COATED GUM
161
165
169
177
162
166
170
178
163
167
171
175
179
164
168
172
180
176174173
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
22/N-P
NO.
311337 NICOTINE GUM 4 MG COATED MINT 40 NICORETTE® FRESH MINT™$24.63 305363113375COATED GUM
311301 NICOTINE GUM 4 MG COATED MINT 100 NICORETTE® FRESH MINT™$41.58 305363113016COATED GUM
500572 NRS®-NASAL RELIEF SPRAY 15 ML AFRIN® SPRAY $3.38 305365005722
500575 NRS®-NASAL RELIEF SPRAY 30 ML AFRIN® SPRAY $4.42 305365005753
139517 ORALYTE® FREEZER POPS 16 PEDIALYTE® $6.58 305361395179
093686 ORALYTE® SOLUTION – BUBBLE GUM 33 OZ PEDIALYTE® $6.58 305360936861
093586 ORALYTE® SOLUTION – FRUIT 33 OZ PEDIALYTE® $6.58 305360935864
138586 ORALYTE® SOLUTION – GRAPE 33 OZ PEDIALYTE® $6.58 305361385866
000486 ORALYTE® SOLUTION – UNFLAVORED 33 OZ PEDIALYTE® $6.58 305360004867
781708 OYSCO® 500 + D TABLETS 60 OS-CAL® 500 + D $4.35 005367817087
781710 OYSCO® 500 + D TABLETS 1000 OS-CAL® 500 + D $14.49 005367817100
339908 OYSCO® 500 + D CHEW TABS 60 OS-CAL® CHEWABLE $5.67 005363399082
410602 OYSCO® 500 TABLETS 250 OS-CAL® 500 $13.42 005364106023
410608 OYSCO® 500 TABLETS 60 OS-CAL® 500 $4.35 005364106085
410301 OYSCO® D/CALCIUM SUPPLEMENT TABLETS 100 OS-CAL® 250 + D TABS $3.52 005364103015
410310 OYSCO® D/CALCIUM SUPPLEMENT TABLETS 1000 OS-CAL® 250 + D TABS $22.43 005364103107
410302 OYSCO® D/CALCIUM SUPPLEMENT TABLETS 250 OS-CAL® 250 + D TABS $7.95 005364103022
671701 PANTOTHENIC ACID 500 MG TABLETS 100 $5.62 005366717012
650601 PAPAYA ENZYME TABLETS 100 $2.90 005366506012
430107 PEPTIC RELIEF CHEW TABLETS 30 PEPTO-BISMOL® $2.93 305364301078
181
185
189
193
197
182
186
190
194
198
183
187
191
195
199
184
192
196
200
188
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
201
205
209
213
217
202
206
210
214
218
203
207
211
215
219
204
208
212
216
220
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
24/P-R
181059 PEPTIC RELIEF LIQUID 8 OZ $3.12 305361810597
242558 PHENASEPTIC THROAT SPRAY 6 OZ CHLORASEPTIC® $2.93 305362425585
430401 POLY VITAMIN CHEW TABLETS 100 POLY-VI-SOL® $4.43 005364304016
781601 POLY VITAMIN CHEW W/IRON TABS 100 POLY-VI-SOL® WITH IRON $4.65 005367816011
845080 POLY VITAMIN DROPS 50 ML POLY-VI-SOL® $5.24 005368450801
853080 POLY VITAMIN DROPS W/IRON 50 ML POLY-VI-SOL® WITH IRON $5.24 005368530800
408501 PRENAVITE® TABLETS FC 100 STUART PRENATAL® $6.21 005364085014
406301 PRENAVITE® TABLETS PROTEIN COATED 100 $6.21 005364063012
311607 PROBIOTIC FORMULA CAPSULES 30 $9.94 005363116078
185097 PSEUDOEPHEDRINE/NASAL DCON. 4 OZ $3.15 305361850975LIQUID BOX
185085 PSEUDOEPHEDRINE/NASAL DCON. LIQUID PT $7.42 305361850852
439135 PSEUDOEPHEDRINE/NASAL DCON. TABS BL/PK 24 SUDAFED® $2.47 305364391352
150060 REGULOID® CAPSULES 160 METAMUCIL® $9.70 305361500603
187579 REGULOID® S-FREE LAX POWDER ORANGE 10 OZ METAMUCIL® ORANGE $6.42 305361875794
187516 REGULOID® S-FREE LAX POWDER ORANGE 15 OZ METAMUCIL® ORANGE $7.96 305361875169
188179 REGULOID® S-FREE LAX POWDER REGULAR 10 OZ METAMUCIL® $6.42 305361881795
188116 REGULOID® S-FREE LAX POWDER REGULAR 15 OZ METAMUCIL® $7.96 305361881160
444554 REGULOID®/NAT VEGETABLE 13 OZ METAMUCIL® ORANGE $5.25 305364445543LAX POWDER ORANGE
444589 REGULOID®/NAT VEGETABLE 19 OZ METAMUCIL® ORANGE $7.42 305364445895LAX POWDER ORANGE
444454REGULOID®/NAT VEGETABLE
13 OZ METAMUCIL® $5.25 305364444546LAX POWDER REGULAR
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
221
225
229
233
237
222
226
230
234
238
223
227
231
235
239
224
228
232
236
240
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
26/R-S
444489 REGULOID®/NAT VEGETABLE 19 OZ METAMUCIL® $7.42 305364444898LAX POWDER REGULAR
194583 RULOX ANTACID SUSP-MINT FLAVOR 19 OZMAALOX® ADVANCED
$2.85 305361945831REG. STRENGTH
250676 SALINE MIST 45 ML OCEAN® NASAL MIST $2.32 005362506764
718601 SEA OMEGA® 30 SGEL CAPS 100 $6.75 005367186015
718706 SEA OMEGA® 50 SGEL CAPS 50 $7.07 005367187067
196297 SEBEX SHAMPOO 4 OZ SEBULEX® $4.43 305361962975
199553 SELENIUM SULF/ANTI-DANDRUFF SHAMPOO 7 OZ SELSUN BLUE® $4.57 305361995539
127559 SENEXON® LIQUID 8 OZ SENOKOT® $17.52 305361275594
590401 SENEXON® NATURAL VEG LAXATIVE TABS 100 SENOKOT® $4.77 305365904018
590410 SENEXON® NATURAL VEG LAXATIVE TABS 1000 SENOKOT® $27.75 305365904100
408601 SENEXON®-S 50/8.6 MG TABS 100 SENOKOT-S® $4.95 305364086012
408610 SENEXON®-S 50/8.6 MG TABS 1000 SENOKOT-S® $31.95 305364086104
453408 SIMETHICONE 125 MG GAS RELIEF TABLETS 60 MYLANTA® GAS MAX STR $5.02 305364534087
453301 SIMETHICONE 80 MG GAS RELIEF TABLETS 100 MYLANTA® GAS $6.30 305364533011
222075 SIMETHICONE/GAS RELIEF DROPS 30 ML MYLICON® $7.05 305362220753
360408 SIMETHICONE 180 MG GAS RELIEF SOFTGELS 60 PHAZYME® $3.05 305363604088
454410 SODIUM BICARBONATE 10 GR TABLETS 1000 $13.65 305364544109
454010 SODIUM BICARBONATE 5 GR TABLETS 1000 $11.55 305364540101
991601 SYRINGE INS 1/2 CC 28 G X 1/2 IN U100 100 $23.85 005369916016
991501 SYRINGE INS 1 CC 28 G X 1/2 IN U100 100 $23.85 005369915019
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
241
245
249
253
257
242
246
250
254
258
243
247
251
255
259
244
248
252
256
260
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
28/S-V
993001 SYRINGE INS 1CC 31 G X 5/16 IN U100 100 $16.55 005369930012
094094 TETRAHYDROZOLINE/EYE DROPS 15 ML VISINE® $2.10 305360940943
466010 THEREMS® FILM COATED TABLETS 1000 THERAGRAN® $36.83 005364660105
466038 THEREMS® FILM COATED TABLETS 130 THERAGRAN® $7.35 005364660389
466711 THEREMS®-H TABLETS 90 $8.50 005364667111
466110 THEREMS®-M FILM COATED TABLETS 1000 THERAGRAN-M® ADV $39.02 005364661102
466138 THEREMS®-M FILM COATED TABLETS 130 THERAGRAN-M® ADV $7.60 005364661386
515026 TOLNAFTATE 1% ANTIFUNGAL POWDER 45 GM TINACTIN® $3.37 305365150262
850180 TRI-VITAMIN DROPS 50 ML TRI-VI-SOL® $8.07 005368501800
475011 UNICOMPLEX-M TABLETS 90 UNICAP-M® $4.50 005364750110
475308 VI-STRESS TABLETS 60 STRESSTABS® $5.47 005364753081
478701 VIT B COMPLEX SGEL CAPS 100 $3.35 005364787017
355601 VIT B-12 1000 MCG TABLETS 100 $5.02 005363556010CYANOCOBALAMIN
354201VIT B-12 100 MCG TABLETS
100 $2.25 005363542013CYANOCOBALAMIN
355101 VIT B-12 500 MCG TABLETS 100 $3.60 005363551015CYANOCOBALAMIN
440601 VIT B-6 25 MG TABLETS PYRIDOX HCL 100 $3.44 005364406017
440901 VIT B-6 100 MG TABLETS PYRIDOX HCL 100 $3.30 005364409018
440801 VIT B-6 50 MG TABLETS PYRIDOX HCL 100 $3.89 005364408011
440810 VIT B-6 50 MG TABLETS PYRIDOX HCL 1000 $15.67 005364408103
468001 VIT B-1 100 MG TABLETS THIAMINE 100 $4.50 005364680011
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
262
266
263 264
NDCDESCRIPTION SIZE
COMPARESWP
UPC00536- TO CODE
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
30/V-Z
468010 VIT B-1 100 MG TABLETS THIAMINE 1000 $20.25 005364680103
467801 VIT B-1 50 MG TABLETS THIAMINE 100 $2.17 005364678018
329201 VIT C 500 MG TABLETS 100 $4.12 005363292017
329210 VIT C 500 MG TABLETS 1000 $29.25 005363292109
329101 VIT C 500 MG CHEW TABLETS 100 $5.47 005363291010
016097 VIT C 500 MG SYRUP 4 OZ $4.88 005360160975
016085 VIT C 500 MG SYRUP PT $14.25 005360160852
333401 VIT D 1000 IU TABLETS 100 $2.85 005363334014
379001 VIT D 2000 IU SGEL CAPS 100 $6.80 005363790018
479301 VIT E 100 IU SGEL CAPS 100 $3.78 005364793018
479901 VIT E 400 IU SGEL CAPS 100 $6.44 005364799010
476301 VITA-BEE W/C CAPTABS® 100 ALLBEE® WITH C $4.58 005364763011
718301 ZINC & C LOZENGES 100 $3.90 005367183014
667101 ZINC CHELATED 50 MG TABLETS 100 $2.85 005366671017
570098 ZINC OXIDE OINTMENT 1 LB $6.75 305365700986
245001 ZINC SULFATE 220 MG TABLETS 100 $7.50 005362450012
268267
270
261
269
265
271 272
274273 275 276
Prices subject to change without notice. Third-party trademarks are the property of their respective owners.
Medicaid reimbursable in most states.
NO.
32
Other Useful Phone Numbers Important Contact InformationNOTES
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