Exhibit 57c - Cal Yr 2025 YTD as of Jul - City of Miami CIGNA Pharmacy RX Dispensed Report.xlsx

XLSX spreadsheet 8 MB Posted

Attached to
RFP No. 2130386 - Employee Health Benefits Plan
Solicitation number
RFP No. 2130386
Issued by
Florida

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Other files

File Type Posted
Exhibit 50 - Cal Yr 2024 City of Miami CIGNA Vision Plans Claim Summary Report.pdf PDF
Exhibit 39 - Cal Yr 2024 City of Miami Stop Loss - High Claimant Report De-ID Dx.xlsx XLSX spreadsheet
Exhibit 14b - Cal Yr 2025 City of Miami CIGNA Medicare Benefits - Comp EEs No Rx Plan 70 Percent Ded 300 Max Out Of Pocket 1K ASO69.pdf PDF
Questionnaire No. 2 - Stop Loss Insurance.pdf PDF
Exhibit 46 - Cal Yr 2025 City of Miami Benefit Eligible Employees as of Sep 2025.xlsx XLSX spreadsheet
Exhibit 69 - Cal Yr 2024 City of Miami RX CAP Report Plan Exec Summ and Top 20 Therapeutic Drugs.ppt PPT presentation
Exhibit 01a - Cal Yr 2025 YTD as of June City of Miami Monthly Healthcare Detail Experience - Stop Loss ALL claims.xlsx XLSX spreadsheet
Exhibit 68 - Cal Yr 2024 City of Miami RX Stats by Ther Class _ Brand Healthcare Spend and Trend.xlsx XLSX spreadsheet
Exhibit 57b - Cal Yr 2025 City of Miami YTD as of Apr Stats by Ther Class _ Brand - Healthcare Spend and Trend - Pharmacy - Paid.xlsx XLSX spreadsheet
Exhibit 51 - Cal Yr 2023 City of Miami CIGNA Claims by Benefits and ASO Fees Monthly Healthcare Experience by Benefit Option Rolling 12 BenOpt-1.xlsx XLSX spreadsheet
Exhibit 52a - Cal Yr 2022 City of Miami CIGNA Pooled Stop Loss High Claims Greater than 50K Experience De-ID.xlsx XLSX spreadsheet
Questionnaire No. 7 - Flexible Spending Accounts.pdf PDF
Exhibit 06c - Cal Yr 2025 City of Miami CIGNA Dental PPO Certificate Riders and Coverage for other states ETALLD25B Plan 3202272 HC-IMP35.pdf PDF
Exhibit 47 - Cal Yr 2023 City of Miami CIGNA Dental Exp.xlsx XLSX spreadsheet
Questionnaire No. 5 - Group Benefit Vision Plan.pdf PDF
Exhibit 29 - Cal Yr 2025 City of Miami CIGNA OAP No Rx PlanMedical Benefits - Summary Benefits Coverage POST 65.pdf PDF
Exhibit 25 - Cal Yr 2025 City of Miami Cobra Monthly Premiums.pdf PDF
Exhibit 03 - City of Miami AFSCME 1907 General Employees Union Contract Oct 1 2023 - Sep 30 2026.pdf PDF
Exhibit 45 - Cal Yr 2024 City of Miami EAP - EAP Utilization.pptx PPTX presentation
Exhibit 05 - Cal Yr 2024 City of Miami CIGNA Dental HMO Plan Document.pdf PDF
2130386 - Sample PSA.pdf PDF
Exhibit 38 - Cal Yr 2023 City of Miami Stop Loss - Greater than 50K High Claimant Report De-ID Dx.xlsx XLSX spreadsheet
Exhibit 44 - Cal Yrs 2025 _ 2026 EAP Renewal Letter.pdf PDF
Exhibit 74 - Cal Yr 2023 City of Miami ASO Fixed Charges and Fees Per Product Type Monthly Healthcare Detail Experience.xlsx XLSX spreadsheet
Exhibit 37 - Cal Yr 2022 City of Miami Stop Loss - Greater than 50K High Claimant Report De-ID Dx.xlsx XLSX spreadsheet
Questionnaire No. 8 - COBRA.pdf PDF
Exhibit 55 - Cal Yr 2025 as of Apr EAP Network Analysis Report Access 118974.pdf PDF
Exhibit 08 - Cal Yr 2024 City of Miami CIGNA EGWP Medicare Formulary.pdf PDF
Exhibit 62 - Cal Yr 2025 City of Miami CIGNA FSA Healthcare - Summary Plan Document.pdf PDF
Exhibit 16 - Cal Yr 2024 City of Miami CIGNA Open Access Plan (OAP) Medicare No Rx - Comp EEs Plan 80 Percent Ded 500 Max Out of Pocket 2K ASO66.pdf PDF
Exhibit 49 - Cal Yr 2023 City of Miami CIGNA Vision Plans Claim Summary Report.pdf PDF
Exhibit 54b - Cal Yr 2025 City of Miami Stop CIGNA ISL and ASL Coverage Information Amendment Plan 3202272 CSL-SCH(10-15).pdf PDF
Exhibit 34 - Cal Yr 2025 City of Miami CIGNA Dental HMO Summary with Patient Charge Schedule.pdf PDF
Exhibit 42 - Cal Yr 2025 City of Miami CIGNA TC19 Disruption Report - Total Records Total Claimants Total Eligible Charges Summary.xlsx XLSX spreadsheet
Exhibit 61 - Cal Yr 2025 City of Miami CIGNA FSA Dependent Care - Summary Plan Document.pdf PDF
Exhibit 41a - Cal Yr 2025 City of Miami CIGNA Medical - Disruption Detail with Provider TIN - Option 1 - OAP-OA001 RITM9284277_TC19.xlsx XLSX spreadsheet
Exhibit 59 - City of Miami CIGNA Medical - Professional Services Agreement AMENDMENT NO 1 May 6 2021 ASO Agreement with Fees.pdf PDF
Exhibit 02 - City of Miami AFSCME 871 Sanitation Employees Union Contract Oct 1 2023 - Sep 30 2026.pdf PDF
Exhibit 15 - City of Miami Cal Yr 2024 CIGNA Medical - Comp EEs Plan 70 Percent Ded 300 Max Out of Pocket 1K ASO64.pdf PDF
Exhibit 30a - Cal Yr 2025 City of MIami CIGNA VIS Vision Benefit imbedded in Medical Plan Document ASO71.pdf PDF
Exhibit 18 - Cal Yrs 2023 _ 2024 City of Miami CIGNA FIXED Charges Report - PRR.xlsx XLSX spreadsheet
Exhibit 22 - Cal Yr 2025 City of Miami CIGNA Sum Ben Cov Comp EEs No Rx- Out Of Area Plan - Plan 70 Pct Ded 300 Max Out of Pocket 1K ASO67.pdf PDF
Attachment A - City of Miami Living Wage Ordinance.pdf PDF
Exhibit 19 - Cal Yr 2025 City of Miami CIGNA Medical - SBC Comp Ded 300 Max Out of Pocket 1K.pdf PDF
Exhibit 63 - Aug 2024 to Jul 2025 City of Miami CIGNA Claims by Benefits and ASO Fees Monthlty Healthcare Experience by Ben Option Rlg 12.xlsx XLSX spreadsheet
Exhibit 17c - Cal Yr 2025 City of Miami CIGNA Healthcare Massachusetts Rider for OAP Plans HC-RDR1.pdf PDF
Exhibit 54a - Cal Yr 2025 City of Miami CIGNA Medical - Administrative Services Only ASO And Stop Loss Fees Schedule.pdf PDF
Exhibit 05c - Cal Yr 2025 City of Miami CIGNA Dental HMO Certificate Riders and Coverage for 7 States ETALLD25A Plan 3202272 HC-ETRDR.pdf PDF
Exhibit 06d - Cal Yr 2025 City of Miami CIGNA Dental PPO Territorial Legislation - 23 States ETALLD25B.pdf PDF
Exhibit 31 - Cal Yr 2024 City of Miami CIGNA Lag Report Incurred Date included - Monthly Healthcare Experience by Acct Rolling 12-1.xlsx XLSX spreadsheet
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CITY OF MIAMI Pharmacy Report_R

EXHIBIT 57c
NDC_NUMLABEL_NMFILL_DTBGMAILFORMULARYSPECIALTY_INDTIERMAINT_DRUG_INDCOMPOUND_DRUG_INDDISP_INDMBR_NO_SCRAMBLEDPRESCRB_NPI_IDNABP_PHARMCY_NUMPHARMCY_NMDAYS_SUP_QTYPLAN_METRC_QTYAWP_UNIT_PRICEAWP_INGRD_CST_AMTUNC_AMTINGRD_CST_AMTDISP_FEESALES_TAX_AMTGROSS_COSTTOT_PD_AMTMBR_PAIDPRC_SRCPLAN_OF_BENRX_ACCT_NUM
29300030916QUETIAPINE ER 150 MG TABLET7/22/25GMYN11N02648775650018619998071562760EXPRESS SCRIPTS909015.924671433.221453.2221.460021.4621.460POAPAE3202272
00006008082JANUMET XR 50-1,000 MG TABLET7/21/25BMYN21N02657761670016999778841562760EXPRESS SCRIPTS90906.6594614403.9200403.92323.9280YOAPAE3202272
00003089421ELIQUIS 5 MG TABLET7/22/25BMYN21N02675534410014575457091562760EXPRESS SCRIPTS9018012.125832182.652202.651484.2001484.21404.280YOAPAE3202272
82009006610LISINOPRIL 40 MG TABLET7/21/25GMYN11N05893601650018614249391562760EXPRESS SCRIPTS90901.54138.6158.611.290011.2911.290POAPAE3202272
82009000210ATORVASTATIN 20 MG TABLET7/23/25GMYN11N05934473950012957253071562760EXPRESS SCRIPTS90905.7736519.62446.885.220085.2285.220POAPAE3202272
69097083412SERTRALINE HCL 50 MG TABLET7/24/25GRYN11N05954289440018012587514823248CVS90902.714244.26100.999.88009.889.880POAPAE3202272
68462015713ONDANSETRON ODT 4 MG TABLET7/19/25GRYN1N05954289440012858361894842553PATIENT FIRST71023.11333231.1355.52.280.602.8802.88POAPAE3202272
42571014726DORZOLAMIDE-TIMOLOL EYE DROPS7/20/25GRYN11N02627118560111841213605700124WALGREENS301012.212220.7920.190.6020.795.7915MOAPAE3202272
29300046810CLONIDINE HCL 0.1 MG TABLET7/22/25GRYN11N05890444720212758320325730824PUBLIX30300.250127.513.951.40.60202POAPAE3202272
65862020299LOSARTAN POTASSIUM 50 MG TAB7/21/25GRYN11N07710739770116391275255742209REMEDY BOX PHARMACY30302.2625467.8892.233.60.604.204.2POAPAE3202272
00472037945CLOTRIMAZOLE-BETAMETHASONE CRM7/17/25GMYN1N05898733450014078787621562760EXPRESS SCRIPTS681351.85422250.32213.2550.520050.5250.520POAPAE3202272
00591544210PREDNISONE 10 MG TABLET7/23/25GRYN1N05954079310213061979754845206WALGREENS2260.233126.0617.293.730.604.3304.33POAPAE3202272
70756040411NITROFURANTOIN MONO-MCR 100 MG7/21/25GRYN1N05828708680119423628685300190DOCTORS CHOICE PHARMACY7144.083557.17201.877.360.607.9607.96POAPAE3202272
51672419303CLOBETASOL PROP 0.05% FOAM7/24/25GRYN1N02628906970011442587245700124WALGREENS30501.17658.8306.9940.250.6040.8525.8515POAPAE3202272
24979020103DICYCLOMINE 10 MG CAPSULE7/23/25GMYN11N05912201840010233076341562760EXPRESS SCRIPTS902700.50057135.15130.919.010019.0119.010POAPAE3202272
00597015230JARDIANCE 10 MG TABLET7/17/25BRYN21N05901437740015987202295707926TREASURE COAST COMMUNITY HLTH303025.17733755.32948.54581.70.60582.3557.325YOAPAE3202272
00472040492CLOBETASOL 0.05% TOPICAL LOTN7/24/25GRYN1N05801126270019125719515729871AMAZON PHARMACY #00329594.89763288.96231.2862.070.6062.6747.6715POAPAE3202272
68382005105MELOXICAM 15 MG TABLET7/21/25GRYN11N05846396590013262205265709348PUBLIX30304.8449145.3516.722.510.603.1103.11POAPAE3202272
60505257909ATORVASTATIN 20 MG TABLET7/22/25GRYN11N02656438660019725693415710276CVS90905.77367519.63362.99121.4800121.48121.480POAPAE3202272
72578000105DOXYCYCLINE HYCLATE 100 MG TAB7/18/25GRYN1N05943712130010437872295719755CVS10204.7709895.4264.593.950.604.5504.55POAPAE3202272
68382009405CARVEDILOL 12.5 MG TABLET7/19/25GRYN11N05944479280012456584755729871AMAZON PHARMACY #003901802.13688384.64307.813.430013.4313.430POAPAE3202272
00006412102GARDASIL 9 SYRINGE7/19/25BRYN2N03131990150110739160865730355PUBLIX10.5737.964368.98310.95285.3525.60310.95310.950MOAPAE3202272
43547042150LISINOPRIL-HCTZ 20-12.5 MG TAB7/24/25GRYN11N02438624750011342159325709348PUBLIX901801.2128218.372.9511.160011.1611.160POAPAE3202272
00378877035ESTRADIOL 0.01% CREAM7/21/25GRYN11N03494885100117506972805710276CVS3042.57.29906310.21111.9962.670.6063.2748.2715POAPAE3202272
00781185220AMOX-CLAV 875-125 MG TABLET7/18/25GRYN1N05943712130010437872295719755CVS7145.051570.7232.995.080.605.6805.68POAPAE3202272
00093317431ALBUTEROL HFA 90 MCG INHALER7/18/25GRYN11N05943712130010437872295719755CVS308.58.7082474.0242.9927.840.6028.4413.4415POAPAE3202272
70756066199SODIUM CHLORIDE 0.9% INHAL VL7/18/25GRYN1N05943712130010437872295719755CVS253000.11534.544.0924.120.6024.729.7215POAPAE3202272
68645058054AMLODIPINE BESYLATE 10 MG TAB7/22/25GRYN11N02615514810113261270445730153WALMART90902.37333213.6246.29006.296.290POAPAE3202272
64850055501LISDEXAMFETAMINE 60 MG CAPSULE7/16/25GRYN11N05890444720212758320325730824PUBLIX303013.655409.65428.95142.470.60143.07128.0715POAPAE3202272
67877044090ROSUVASTATIN CALCIUM 10 MG TAB7/22/25GRYN11N02263997880019129567155743972CARE RESOURCE PHARMACY30308.61333258.4316.0774.310.6074.9174.910POAPAE3202272
24979007815TESTOSTERONE 1.62% GEL PUMP7/22/25GRYN11N02263997880019129567155743972CARE RESOURCE PHARMACY301501.416212.4260.87120.960.60121.56106.5615POAPAE3202272
69452015120VITAMIN D2 1.25MG(50,000 UNIT)7/21/25GRYN11N02263997880019129567155743972CARE RESOURCE PHARMACY2840.71942.889.441.250.601.8501.85POAPAE3202272
65862035430EMTRICITABINE-TENOFV 200-300MG7/24/25GRYY11N04357586270016396460865743972CARE RESOURCE PHARMACY909070.006676300.67566.713307.81003307.813307.810POAPAE3202272
00781713593MOXIFLOXACIN 0.5% EYE DROPS7/23/25GRYN1N0946416310010937309965746625BAPTIST HEALTH PHARMACY #10120358.11174.33219.1914.160.6014.76014.76POAPAE3202272
61314063710PREDNISOLONE AC 1% EYE DROP7/23/25GRYN1N0946416310010937309965746625BAPTIST HEALTH PHARMACY #101341011.054110.54142.6449.150.6049.7534.7515POAPAE3202272
68462026290ROSUVASTATIN CALCIUM 10 MG TAB7/21/25GRYN11N07710739770116391275255742209REMEDY BOX PHARMACY30308.94489268.35352.8574.310.6074.9174.910POAPAE3202272
00074372790LEVOTHYROXINE 137 MCG TABLET7/21/25GMYN11N57694039010010533788931562760EXPRESS SCRIPTS90900.667860.177.826.340026.3426.340POAPAE3202272
00074518219LEVOTHYROXINE 75 MCG TABLET7/21/25GMYN11N52663106460119829543921562760EXPRESS SCRIPTS90900.548249.3423.422.640022.6422.640POAPAE3202272
82009013005MELOXICAM 15 MG TABLET7/23/25GMYN11N02646349380015586818171562760EXPRESS SCRIPTS60604.8444290.66310.664.69004.694.690POAPAE3202272
82009000210ATORVASTATIN 20 MG TABLET7/21/25GMYN11N07724039860018414519291562760EXPRESS SCRIPTS90905.7736519.62446.885.220085.2285.220POAPAE3202272
50111064803FLUOXETINE HCL 20 MG CAPSULE7/22/25GRYN11N02628906970412358576325700124WALGREENS30302.6147478.4431.992.710.603.3103.31POAPAE3202272
82009000210ATORVASTATIN 20 MG TABLET7/21/25GMYN11N07724039860118414519291562760EXPRESS SCRIPTS90905.7736519.62446.885.220085.2285.220POAPAE3202272
82009002210OMEPRAZOLE DR 20 MG CAPSULE7/19/25GMYN11N0516424630015583136271562760EXPRESS SCRIPTS90904.1515373.6439110.20010.210.20POAPAE3202272
82009012605CARVEDILOL 6.25 MG TABLET7/23/25GMYN11N07705832820012558352291562760EXPRESS SCRIPTS901802.134384.12404.1210.820010.8210.820POAPAE3202272
00832046560NYAMYC 100,000 UNIT/GM POWDER7/21/25GRYN1N05900389090017301379695702849PUBLIX PHARMACY30602.17867130.7211119.090.6019.694.6915POAPAE3202272
69238183207LEVOTHYROXINE 75 MCG TABLET7/24/25GRYN11N03396221960010133142105704552WALGREENS30300.5481116.4411.996.910.607.5107.51POAPAE3202272
42806034401DEXTROAMP-AMPHETAMIN 20 MG TAB7/21/25GRYN11N05956332630012959460025710757PUBLIX30602.0574123.4499.3337.330.6037.9322.9315POAPAE3202272
08627007701DEXCOM G7 SENSOR7/22/25BRYN21N05932296180214670818695702849PUBLIX PHARMACY303156.92470.76501.95371.90.60372.5332.540YOAPAE3202272
00002149580MOUNJARO 5 MG/0.5 ML PEN7/23/25BRYN21N05900389090118911835625702849PUBLIX PHARMACY282647.861295.721350.951008.620.601009.22984.2225YOAPAE3202272
43547035411LISINOPRIL 20 MG TABLET7/24/25GRYN11N02627135530011644122765703079WALGREENS30301.0631.818.992.540.603.1403.14POAPAE3202272
00003218851ORENCIA CLICKJECT 125 MG/ML7/21/25BRNY31N05935779250112756242645710365SMP PHARMACY SOLUTIONS2841785.46757141.878932.346427.680.606428.286368.2860YOAPAE3202272
55111072590MONTELUKAST SOD 10 MG TABLET7/22/25GRYN11N07709419200012354995425712270NAVARRO DISCOUNT PHARMACY90905.65667509.1279.9915.780015.7815.780POAPAE3202272
60505257909ATORVASTATIN 20 MG TABLET7/24/25GRYN11N07703677250116799469825712941CVS90905.77367519.63362.99121.4800121.48121.480POAPAE3202272
00527076437DEXTROAMP-AMPHETAMIN 15 MG TAB7/18/25GRYN11N05956332630112959460025710757PUBLIX30301.71451.4249.9516.60.6017.22.215POAPAE3202272
68180098103LISINOPRIL 20 MG TABLET7/23/25GRYN11N02619708770011846977325712941CVS90901.0534194.8143.397.63007.637.630POAPAE3202272
67877041401METFORMIN HCL ER 750 MG TABLET7/24/25GRYN11N07703677250116799469825712941CVS90901.195107.5581.5920.620020.6220.620POAPAE3202272
21922002507KETOCONAZOLE 2% CREAM7/22/25GRYN1N05943712130215587466935719755CVS30604.616276.96100.9931.830.6032.4317.4315POAPAE3202272
50111056001TRAZODONE 50 MG TABLET7/20/25GRYN11N0161973100010031000665719755CVS90901.073996.6543.0912.990012.9912.990POAPAE3202272
68308034260DAPSONE 7.5% GEL PUMP7/24/25GRYN1N05935147810312856892325720265VILLAGE PHARMACY606012.73067763.84926.6549.9600549.96549.960YOAPAE3202272
35573046330TADALAFIL 20 MG TABLET7/22/25GRYN11N05945125920014775266715734113CVS303072.0642161.921467.9954.920.6055.5240.5215POAPAE3202272
00536110688NICOTINE 7 MG/24HR PATCH7/24/25GRNN1N02665364060013164002115748073MAIN PHARMACY28282.1421459.987047.380.6047.9847.980YOAPAE3202272
50881000705OPZELURA 1.5% CREAM7/21/25BRNN3N05924080310312856892325720265VILLAGE PHARMACY306041.882512.83025.351985.110.601985.711925.7160YOAPAE3202272
00299382345SOOLANTRA 1% CREAM7/22/25BRYN1N97682034880016593762185720265VILLAGE PHARMACY304519.47067876.181061.41692.180.60692.78677.7815YOAPAE3202272
69584085350SPIRONOLACTONE 50 MG TABLET7/21/25GRYN11N02067020300014675575465720556PUBLIX90900.776269.8650.412.370012.3712.370POAPAE3202272
69315090505LORAZEPAM 1 MG TABLET7/19/25GRYN1N05933439640019626033405734113CVS301200.8104897.2694.9916.340.6016.941.9415POAPAE3202272
62332000191FAMOTIDINE 20 MG TABLET7/24/25GRYN11N05890139810112752138785730999PUBLIX901801.7345312.21119.714.290014.2914.290POAPAE3202272
00169413013OZEMPIC 1 MG/DOSE (4 MG/3 ML)7/22/25BRYN21N05945125920313567315255734113CVS283399.033331197.11176.99945.710.60946.31906.3140YOAPAE3202272
70752020411FOLIC ACID 1 MG TABLET7/20/25GRYN11N05933439640019023375125734113CVS90900.079057.1132.995.12005.125.120YOAPAE3202272
70700028922TESTOSTERONE CYP 200 MG/ML7/24/25GRYN11N05945125920012152726385734113CVS28423.1892.72119.9972.880.6073.4858.4815POAPAE3202272
60505257909ATORVASTATIN 20 MG TABLET7/23/25GRYN11N02629901050018412530445734113CVS90905.77367519.63362.99121.4800121.48121.480POAPAE3202272
00002146080MOUNJARO 12.5 MG/0.5 ML PEN7/21/25BRYN21N08194965010019221938955746625BAPTIST HEALTH PHARMACY #101282647.861295.721564.851008.620.601009.22984.2225YOAPAE3202272
75834025701ATORVASTATIN 40 MG TABLET7/24/25GRYN11N02665364060013164002115748073MAIN PHARMACY30305.77367173.21183.34.790.605.3905.39POAPAE3202272
70677119301FT NICOTINE 4 MG CHEWING GUM7/24/25GRNN1N02665364060013164002115748073MAIN PHARMACY251000.1937319.3729.415.30.6015.915.90YOAPAE3202272
43598071901CHLORTHALIDONE 25 MG TABLET7/24/25GRYN11N02665364060013164002115748073MAIN PHARMACY30301.206936.2146.25.960.606.5606.56POAPAE3202272
00781107710ALPRAZOLAM 0.5 MG TABLET7/24/25GRYN1N0134073530116391280515749493PUBLIX30300.822824.6823.13.360.603.9603.96POAPAE3202272
70756040411NITROFURANTOIN MONO-MCR 100 MG7/24/25GRYN1N0134073530116391280515749493PUBLIX7144.083557.1727.727.360.607.9607.96POAPAE3202272
82009002710AMLODIPINE BESYLATE 5 MG TAB7/23/25GMYN11N07705832820014777287231562760EXPRESS SCRIPTS90901.72989155.69173.25.89005.895.890POAPAE3202272
61442011505GLIMEPIRIDE 1 MG TABLET7/21/25GMYN11N02634118980018716432621562760EXPRESS SCRIPTS901800.97046174.6884.115.480015.4815.480POAPAE3202272
82009005005SERTRALINE HCL 100 MG TABLET7/22/25GMYN11N05893007130011543984771562760EXPRESS SCRIPTS90902.714244.26264.2611.130011.1311.130POAPAE3202272
49884025601MINOXIDIL 2.5 MG TABLET7/23/25GMYN11N05945055340011947108711562760EXPRESS SCRIPTS90900.781770.3575.19.89009.899.890POAPAE3202272
00074518219LEVOTHYROXINE 75 MCG TABLET7/21/25GMYN11N52616993240116691878521562760EXPRESS SCRIPTS90900.548249.3423.422.640022.6422.640POAPAE3202272
82009011405METOPROLOL SUCC ER 50 MG TAB7/23/25GMYN11N05945055340011947108711562760EXPRESS SCRIPTS90901.053894.8446.817.980017.9817.980POAPAE3202272
82009002030ROSUVASTATIN CALCIUM 40 MG TAB7/23/25GMYN11N05945055340111747415651562760EXPRESS SCRIPTS90908.94467805.02825.0222.780022.7822.780POAPAE3202272
68382000105PAROXETINE HCL 40 MG TABLET7/20/25GRYN11N02663106460119625945805705136WALGREENS SPECIALTY PHARMACY30302.97389.1955.999.620.6010.22010.22POAPAE3202272
00002147180MOUNJARO 10 MG/0.5 ML PEN7/23/25BRYN21N05824951220015387163115705136WALGREENS SPECIALTY PHARMACY282647.861295.721297.091008.620.601009.22984.2225YOAPAE3202272
62332000191FAMOTIDINE 20 MG TABLET7/20/25GRYN11N05895217810218313987915723879PUBLIX5101.734517.3513.950.90.601.501.5POAPAE3202272
57237011490ALFUZOSIN HCL ER 10 MG TABLET7/21/25GRYN11N07710739770016391275255742209REMEDY BOX PHARMACY30304.21356126.41168.3310.150.6010.75010.75POAPAE3202272
43547040211FUROSEMIDE 40 MG TABLET6/21/25GRYN11N05938004260013068399801005621CVS90900.159514.3629.993.29003.293.290POAPAE3202272
65862000899METFORMIN HCL 500 MG TABLET6/21/25GRYN11N05938004260013068399801005621CVS901800.688123.8457.598.24008.248.240POAPAE3202272
55111046705METOPROLOL SUCC ER 50 MG TAB6/20/25GRYN11N05895896210116795728791005621CVS90901.053894.8444.4922.830022.8322.830POAPAE3202272
42806054701VITAMIN D2 1.25MG(50,000 UNIT)6/20/25GRYN11N05950575600114577769401024342WALGREENS2841.97197.8915.391.250.601.8501.85POAPAE3202272
42806054701VITAMIN D2 1.25MG(50,000 UNIT)6/24/25GRYN11N05901825120118110824491024342WALGREENS2841.97197.8915.391.250.601.8501.85POAPAE3202272
65862047605RAMIPRIL 5 MG CAPSULE6/18/25GRYN11N05941034140013563857361025306WALGREENS30301.894956.8549.994.750.605.3505.35POAPAE3202272
00002146080MOUNJARO 12.5 MG/0.5 ML PEN6/20/25BRYN21N05949455750017702898521028857WALGREENS282647.861295.721297.091008.620.601009.22984.2225YOAPAE3202272
33342028207AMLODIPINE-VALSARTAN 10-320 MG6/19/25GRYN11N05899029160019629408091054092PUBLIX90907.87267708.54535.3564.270064.2764.270POAPAE3202272
50228014605HYDROCHLOROTHIAZIDE 12.5 MG CP6/19/25GRYN11N05899029160019629408091054092PUBLIX90900.424538.2116.567.91007.917.910POAPAE3202272
68462026310ROSUVASTATIN CALCIUM 20 MG TAB6/21/25GRYN11N03866261570015085185801058684WALGREENS30308.94489268.3591.295.770.606.3706.37POAPAE3202272
29300039710AMLODIPINE BESYLATE 5 MG TAB6/21/25GRYN11N02643784240017604834815729542PUBLIX PHARMACY771.7317812.1213.950.360.600.9600.96POAPAE3202272
00054074287ALBUTEROL HFA 90 MCG INHALER6/23/25GRYN11N05952323080312958312201024342WALGREENS166.713.5671690.921.8921.290.6021.896.8915MOAPAE3202272
64380071207BENZONATATE 100 MG CAPSULE6/22/25GRYN1N07711026270312650340291052733CVS10202.269545.3913.992.20.602.802.8POAPAE3202272
68462015713ONDANSETRON ODT 4 MG TABLET6/23/25GRYN1N05899029160019629408091054092PUBLIX31023.11333231.1345.632.280.602.8802.88POAPAE3202272
65862073260AMIODARONE HCL 200 MG TABLET6/23/25GRYN11N02665757940018012490321077076WALGREENS30603.38183202.91112.9919.90.6020.55.515POAPAE3202272
00378001805METOPROLOL TARTRATE 25 MG TAB6/23/25GRYN11N02665757940018012490321077076WALGREENS30600.242514.5522.992.950.603.5503.55POAPAE3202272
29300022705METRONIDAZOLE 500 MG TABLET6/20/25GRYN1N05955618240319524886601083574WALGREENS7140.69159.6822.993.230.603.8303.83POAPAE3202272
43598009905ATORVASTATIN 20 MG TABLET6/23/25GRYN11N02665757940018012490321077076WALGREENS30305.7672173.0297.7955.160.6055.7655.760POAPAE3202272
83257001233SEMGLEE (YFGN) 100 UNIT/ML PEN6/19/25BRYN21N01385253990011342159321085112JACKSON MEMORIAL HOSP OUTPT PH401532.32333484.85509.05349.0900349.09349.090YOAPAE3202272
00078065920ENTRESTO 24 MG-26 MG TABLET6/23/25BRYN21N02665757940018012490321077076WALGREENS306014.10417846.25900.99668.540.60669.14629.1440YOAPAE3202272
68382020906ANASTROZOLE 1 MG TABLET6/19/25GRYN11N05902654440014174516671077076WALGREENS303013.47867404.36183.99104.870.60105.47105.470POAPAE3202272
65862094601DORZOLAMIDE-TIMOLOL EYE DROPS6/22/25GRYN11N01176882550119524403721095466CVS501012.2122104.9931.610031.6131.610POAPAE3202272
68180051902LISINOPRIL-HCTZ 20-12.5 MG TAB6/21/25GRYN11N07683806430013760103141077076WALGREENS30301.212836.3822.992.90.603.503.5POAPAE3202272
59762033302LATANOPROST 0.005% EYE DROPS6/20/25GRYN11N02669560500011443695621095454CVS252.538.10895.2729.295.440.606.0406.04POAPAE3202272
65862050320AMOX-CLAV 875-125 MG TABLET6/23/25GRYN1N05920412980011546944791083574WALGREENS10205.0715101.4330.397.250.607.8507.85POAPAE3202272
43547035411LISINOPRIL 20 MG TABLET6/24/25GRYN11N05956182960011644122761095620WALGREENS30301.0631.819.992.540.603.1403.14POAPAE3202272
51672404003ENALAPRIL MALEATE 20 MG TAB6/24/25GRYN11N07332086640015184044821096230CVS90902.76606248.9552.9926.660026.6626.660POAPAE3202272
00169430730RYBELSUS 7 MG TABLET6/24/25BRYN21N05838640950010232198624541567CVS303039.903331197.11176.99945.710.60946.31906.3140YOAPAE3202272
70954066210KETOCONAZOLE 2% SHAMPOO6/19/25GRYN1N02628906970413266770145700124WALGREENS151200.2520830.2514.9914.390.6014.99014.99MOAPAE3202272
42571036299CLOBETASOL 0.05% SOLUTION6/19/25GRYN1N02628906970413266770145700124WALGREENS15504.1262206.3176.3926.930.6027.5312.5315POAPAE3202272
00378685677LISDEXAMFETAMINE 30 MG CAPSULE6/19/25GRYN11N04294768510214173354804537253WALGREENS303014.03544421.06244.09136.750.60137.35122.3515POAPAE3202272
45802001402HYDROCORTISONE 2.5% OINTMENT6/19/25GRYN1N02628906970413266770145700124WALGREENS7200.2484.9616.993.780.604.3804.38POAPAE3202272
31722070430VALACYCLOVIR HCL 500 MG TABLET6/21/25GRYN11N05954079310214771725424851792CVS20207.224144.4843.397.480.608.0808.08POAPAE3202272
59651042801SPIRONOLACTONE 100 MG TABLET6/19/25GRYN11N02628906970413266770145700124WALGREENS28191.42927.1511.995.660.606.2606.26POAPAE3202272
27808023402DOXYCYCLINE HYCLATE 100 MG TAB6/23/25GRYN1N05936050180315886102325729871AMAZON PHARMACY #00330306.14692184.41147.65.930.606.5306.53POAPAE3202272
13668033005TRAZODONE 50 MG TABLET6/19/25GRYN11N05944479280012456584755729871AMAZON PHARMACY #00315300.8384825.1525.84.510.605.1105.11POAPAE3202272
55111014512FLUCONAZOLE 150 MG TABLET6/21/25GRYN1N02615514810116490152155730153WALMART1113.9333313.934.81.330.601.9301.93POAPAE3202272
65862001705AMOXICILLIN 500 MG CAPSULE6/21/25GRYN1N02615514810116490152155730153WALMART7210.38186.283.390.603.9903.99POAPAE3202272
68645056259IBUPROFEN 600 MG TABLET6/21/25GRYN11N02615514810116490152155730153WALMART7210.29046.142.670.603.2703.27POAPAE3202272
68462039610OMEPRAZOLE DR 20 MG CAPSULE6/23/25GRYN11N02627984950115684407820323624WALGREENS30304.3002129.0168.993.150.603.7503.75POAPAE3202272
58406003204ENBREL 50 MG/ML SURECLICK6/24/25BRYY21N05953870430214376822750903028GW MEDICAL FACULTY ASSOC PHCY2842447.289789.1211752.958810.210.608810.818770.8140YOAPAE3202272
67877019710AMLODIPINE BESYLATE 2.5 MG TAB6/20/25GRYN11N02612959610014070456441005657CVS90901.74389156.95119.995.63005.635.630POAPAE3202272
64380080707IBUPROFEN 800 MG TABLET6/19/25GRYN11N05895896210110638950761005621CVS10300.68520.5513.994.560.605.1605.16POAPAE3202272
68462039790OMEPRAZOLE DR 40 MG CAPSULE6/20/25GRYN11N05895896210118812144761005621CVS90907.39533665.58305.9910.330010.3310.330POAPAE3202272
65862029699ROSUVASTATIN CALCIUM 40 MG TAB6/20/25GRYN11N02612959610014070456441005657CVS90908.945805.05418.9920.710020.7120.710POAPAE3202272
59762033302LATANOPROST 0.005% EYE DROPS6/19/25GRYN11N01548299200119624558241005671CVS907.538.108285.8187.9913.390013.3913.390POAPAE3202272
00430042014LO LOESTRIN FE 1-10 TABLET6/24/25BRNN31N07724051520213669976031005796CVS84848.08193678.88672.99488.800488.8488.80YOAPAE3202272
00378427677VALACYCLOVIR HCL 1 GRAM TABLET6/22/25GRYN11N05892509450018919579401028857WALGREENS101012.642126.4241.399.390.609.9909.99POAPAE3202272
17270074000ALBUTEROL HFA 90 MCG INHALER6/22/25GRYN11N25892509450010236450411028857WALGREENS348.58.7082474.0229.2927.840.6028.4413.4415POAPAE3202272
00054032756FLUTICASONE-SALMETEROL 250-506/22/25GRYN11N05892509450010236450411028857WALGREENS30607.48467449.08152.69152.040.60152.64137.6415POAPAE3202272
70954066210KETOCONAZOLE 2% SHAMPOO6/22/25GRYN1N05932741000015082192621029152PUBLIX301200.2520830.254217.140.6017.742.7415POAPAE3202272
45802009735ESTRADIOL 0.01% CREAM6/22/25GRYN11N05932741000014775892401029152PUBLIX14842.52.82353120110.9560.070060.0760.070POAPAE3202272
27241011703FENOFIBRATE 160 MG TABLET6/24/25GRYN11N05935147810017505149641030179NAVARRO DISCOUNT PHARMACY90452.87978129.5966.999.06009.069.060POAPAE3202272
23155072301LABETALOL HCL 100 MG TABLET6/23/25GRYN11N03866261570114974317121058684WALGREENS302700.5028135.7660.0949.650.6050.2535.2515POAPAE3202272
68682010930NIFEDIPINE ER 60 MG TABLET6/23/25GRYN11N03866261570114974317121058684WALGREENS30602.1758130.55113.9925.840.6026.4411.4415POAPAE3202272
65862029599ROSUVASTATIN CALCIUM 20 MG TAB6/24/25GRYN11N05935147810017505149641030179NAVARRO DISCOUNT PHARMACY90458.945402.53206.996.29006.296.290POAPAE3202272
00378395205ATORVASTATIN 40 MG TABLET6/23/25GRYN11N03866261570114974317121058684WALGREENS30305.76728173.0293.494.790.605.3905.39POAPAE3202272
69238183807LEVOTHYROXINE 150 MCG TABLET6/21/25GRYN11N03866261570015085185801058684WALGREENS30300.6779220.3412.3911.150.6011.75011.75POAPAE3202272
68382013210TAMSULOSIN HCL 0.4 MG CAPSULE6/23/25GRYN11N03866261570114974317121058684WALGREENS30304.2136126.4188.494.250.604.8504.85POAPAE3202272
31722052201HYDRALAZINE 100 MG TABLET6/24/25GRYN11N03866261570114974317121058684WALGREENS30901.012891.1565.3917.730.6018.333.3315POAPAE3202272
65862001105SERTRALINE HCL 25 MG TABLET6/23/25GRYN11N03866261570114974317121058684WALGREENS30302.848385.4529.991.680.602.2802.28POAPAE3202272
42806054701VITAMIN D2 1.25MG(50,000 UNIT)6/24/25GRYN11N07683806430013760103141077076WALGREENS2841.97197.8915.391.250.601.8501.85POAPAE3202272
69452032420CIMETIDINE 300 MG TABLET6/23/25GRYN11N02676154970017302523961077076WALGREENS30601.606496.3852.1933.610.6034.2119.2115POAPAE3202272
68180072103AMLODIPINE BESYLATE 10 MG TAB6/23/25GRYN11N05952951300119720031351077076WALGREENS30302.3764771.2948.992.10.602.702.7POAPAE3202272
27241021601CHLORTHALIDONE 25 MG TABLET6/23/25GRYN11N05952951300119720031351077076WALGREENS30301.206936.2112.195.960.606.5606.56POAPAE3202272
08290320109BD UF SHORT PEN NEEDLE 8MMX31G6/19/25BRYN11N01385253990011342159321085112JACKSON MEMORIAL HOSP OUTPT PH301200.79194.9298.9274.990.6075.5975.590YOAPAE3202272
83980000101HYDROXYCHLOROQUINE 200 MG TAB6/22/25GRYN11N05937844130114473726851085237WALGREENS30604.0875245.2573.5923.710.6024.319.3115POAPAE3202272
13668072205ROSUVASTATIN CALCIUM 20 MG TAB6/24/25GRYN11N05920775250015786621101086164PUBLIX90908.945805.05269.9512.580012.5812.580POAPAE3202272
43547031409VALSARTAN-HCTZ 320-12.5 MG TAB6/19/25GRYN11N05913049270117806406071086164PUBLIX90904.99344449.41383.460.560060.5660.560POAPAE3202272
27241021601CHLORTHALIDONE 25 MG TABLET6/24/25GRYN11N07332086640015184044821096230CVS90901.2069108.6269.9916.30016.316.30POAPAE3202272
55111029236SUMATRIPTAN SUCC 50 MG TABLET6/19/25GRYN1N12646305260012957253071096610CVS301525.13972377.1255.9913.830.6014.43014.43POAPAE3202272
00781713883ESTRADIOL 0.0375MG PATCH(2/WK)6/21/25GRYN11N05917695210014573372711096672CVS902413.58625326.07205.9988.940088.9488.940POAPAE3202272
00115992101DEXMETHYLPHENIDATE ER 20 MG CP6/20/25GRYN11N05932296180311044074855702849PUBLIX PHARMACY30309.3553280.66492.994.070.6094.6779.6715POAPAE3202272
59651042801SPIRONOLACTONE 100 MG TABLET6/19/25GRYN11N05917695210014573372711096672CVS90901.429128.61131.9920.190020.1920.190POAPAE3202272
08627007701DEXCOM G7 SENSOR6/24/25BRYN21N05932296180214670818695702849PUBLIX PHARMACY303156.92470.76501.95371.90.60372.5332.540YOAPAE3202272
29300038105DIVALPROEX SOD ER 500 MG TAB6/20/25GRYN11N02675704520019725862955705136WALGREENS SPECIALTY PHARMACY30304.0749122.2540.3913.790.6014.39014.39POAPAE3202272
70010078105METOPROLOL SUCC ER 50 MG TAB6/23/25GRYN11N03131990150015785328005730355PUBLIX90901.221109.8977.6322.830022.8322.830POAPAE3202272
00002147180MOUNJARO 10 MG/0.5 ML PEN6/23/25BRYN21N05824951220015387163115705136WALGREENS SPECIALTY PHARMACY282647.861295.721297.091008.620.601009.22984.2225YOAPAE3202272
16571075610ESCITALOPRAM 10 MG TABLET6/22/25GRYN11N02648102960019727901525730191PUBLIX90904.7152424.37225.955.33005.335.330POAPAE3202272
70700015010OMEPRAZOLE DR 20 MG CAPSULE6/23/25GRYN11N03131990150111443981575730355PUBLIX90904.1515373.64122.48.89008.898.890POAPAE3202272
69367013705ACYCLOVIR 400 MG TABLET6/24/25GRYN11N02670273540011842989525730759PUBLIX30601.7917107.532.9513.610.6014.21014.21POAPAE3202272
00116200116CHLORHEXIDINE 0.12% RINSE6/24/25GRYN1N07705870530010739675195731004PUBLIX164730.025371224.959.480.6010.08010.08YOAPAE3202272
69367031101SODIUM FLUORIDE 5000 PPM PASTE6/24/25GRNN11N07705870530010739675195731004PUBLIX301000.15815.826.9512.480.6013.08013.08YOAPAE3202272
62332051910DORZOLAMIDE HCL 2% EYE DROPS6/19/25GRYN11N02999887850018917108515731270CVS50106.6866.859.9917.070017.0717.070POAPAE3202272
69452015120VITAMIN D2 1.25MG(50,000 UNIT)6/19/25GRYN11N05958464450014772279731005544CVS90130.71949.3531.393.82003.823.820POAPAE3202272
69238183507LEVOTHYROXINE 112 MCG TABLET6/20/25GRYN11N0925247950019220323411005582CVS90900.649758.4738.9926.280026.2826.280POAPAE3202272
43547040650CLONAZEPAM 0.5 MG TABLET6/20/25GRYN11N0925247950019220323411005582CVS30300.74922.4721.292.870.603.4703.47POAPAE3202272
00378668910PANTOPRAZOLE SOD DR 40 MG TAB6/23/25GRYN11N02614972920014779383551005582CVS90905.26714474.04257.9914.690014.6914.690POAPAE3202272
59651071901DICYCLOMINE 10 MG CAPSULE6/1/25GRYN11N04294768510014173354801073535WALGREENS30300.544116.3216.994.710.605.3105.31POAPAE3202272
65862056099PANTOPRAZOLE SOD DR 40 MG TAB6/2/25GRYN11N04294768510014977207261073535WALGREENS30305.26711158.01101.594.910.605.5105.51POAPAE3202272
50742062101NIFEDIPINE ER 60 MG TABLET6/3/25GRYN11N02664196730018518501271077723WALGREENS30302.483174.4961.1911.570.6012.17012.17POAPAE3202272
69238183407LEVOTHYROXINE 100 MCG TABLET5/29/25GRYN11N05908300590019121354191002156WALGREENS1260.561853.3711.992.190.602.7902.79POAPAE3202272
00378827052ALBUTEROL SUL 2.5 MG/3 ML SOLN5/30/25GRYN11N01194621460113664893201005532CVS302250.4437399.8456.5920.990.6021.596.5915POAPAE3202272
68382000305AZATHIOPRINE 50 MG TABLET6/4/25GRYY11N05958090920017709612031077723WALGREENS30602.11126.685.9985.390.6085.9970.9915MOAPAE3202272
60505056000OFLOXACIN 0.3% EYE DROPS6/5/25GRYN1N05955618240013169188991083574WALGREENS1254.18820.9460.598.520.609.1209.12POAPAE3202272
00002148480MOUNJARO 7.5 MG/0.5 ML PEN6/4/25BRYN21N05955618240011843544091083574WALGREENS282647.861295.721297.091008.620.601009.22984.2225YOAPAE3202272
00002145780MOUNJARO 15 MG/0.5 ML PEN6/3/25BRYN21N05955618240311843544091083574WALGREENS282647.861295.721297.091008.620.601009.22984.2225YOAPAE3202272
08627001601DEXCOM G6 TRANSMITTER6/2/25BRYN21N0912909420114277758811083574WALGREENS901296.88296.88296.99213.7500213.75133.7580YOAPAE3202272
43547028011ESCITALOPRAM 5 MG TABLET6/2/25GRYN11N05899037810118414519291085085WALGREENS30304.15124.576.994.090.604.6904.69POAPAE3202272
08627005303DEXCOM G6 SENSOR6/2/25BRYN21N0912909420114277758811083574WALGREENS303156.92333470.77473.99371.910.60372.51332.5140YOAPAE3202272
42806031205DOXYCYCLINE HYCLATE 100 MG TAB6/4/25GRYN1N02668365000511449337971078244WALGREENS14146.1469286.0652.192.770.603.3703.37POAPAE3202272
68180086573BLISOVI FE 1-20 TABLET6/3/25GRYN11N05945281100213366895121085085WALGREENS28281.0234528.6612.199.10.609.79.70POAPAE3202272
00406055201OXYCODONE HCL (IR) 5 MG TABLET6/3/25GRYN1N05954456300413860111041085112JACKSON MEMORIAL HOSP OUTPT PH7280.541115.1519.153.030.603.6303.63POAPAE3202272
55111072590MONTELUKAST SOD 10 MG TABLET6/4/25GRYN11N05924080310217100341291005532CVS30305.65667169.797.995.280.605.8805.88POAPAE3202272
55111046605METOPROLOL SUCC ER 25 MG TAB6/4/25GRYN11N05953266020018810310451005532CVS90901.053894.8436.79180018180POAPAE3202272
70010020410SERTRALINE HCL 50 MG TABLET6/4/25GRYN11N05953266020116896478691005532CVS90902.8483256.3597.999.88009.889.880POAPAE3202272
43598029390PREGABALIN 75 MG CAPSULE6/6/25GRYN11N05959594580010735676401005532CVS30308.42733252.82196.996.490.607.0907.09POAPAE3202272
72205001890PREGABALIN 300 MG CAPSULE6/5/25GRYN11N0544801860016494728791048380WALGREENS30608.42733505.64161.7915.730.6016.331.3315POAPAE3202272
70010020410SERTRALINE HCL 50 MG TABLET6/1/25GRYN11N05959594580010735676401005532CVS90902.8483256.3597.999.88009.889.880POAPAE3202272
50111056101TRAZODONE 100 MG TABLET6/1/25GRYN11N05959594580010735676401005532CVS90901.3918125.2634.8910.940010.9410.940POAPAE3202272
70700015010OMEPRAZOLE DR 20 MG CAPSULE6/4/25GRYN11N02675372370010733147611006039CVS14284.1515116.2459.992.940.603.5403.54POAPAE3202272
00169418113OZEMPIC 0.25-0.5 MG/DOSE PEN6/5/25BRYN21N01125827770015381071151006192CVS283399.033331197.11176.99945.710.60946.31906.3140YOAPAE3202272
64380071306BENZONATATE 200 MG CAPSULE6/2/25GRYN1N05928549880111243484381006659WALGREENS7214.737399.4832.392.570.603.1703.17POAPAE3202272
50111056101TRAZODONE 100 MG TABLET6/2/25GRYN11N02675372370018114238581006039CVS90901.3918125.2634.8910.940010.9410.940POAPAE3202272
60505257809ATORVASTATIN 10 MG TABLET6/5/25GRYN11N01125827770015381071151006192CVS90904.04756364.28270.9984.60084.684.60POAPAE3202272
00781808926AZITHROMYCIN 250 MG TABLET6/2/25GRYN1N05928549880111243484381006659WALGREENS567.7833346.714.192.650.603.2503.25POAPAE3202272
65862035705CLOPIDOGREL 75 MG TABLET6/6/25GRYN11N0305011470018012490321018654WALGREENS30306.95166208.55108.494.70.605.305.3POAPAE3202272
00378003210METOPROLOL TARTRATE 50 MG TAB6/6/25GRYN11N0305011470018012490321018654WALGREENS30300.544316.3313.691.660.602.2602.26POAPAE3202272
43547035211LISINOPRIL 5 MG TABLET6/6/25GRYN11N0305011470018012490321018654WALGREENS30300.9628.819.991.760.602.3602.36POAPAE3202272
65862007175AMOXICILLIN 400 MG/5 ML SUSP6/2/25GRYN1N05892660170418119292011018654WALGREENS101500.0973314.625.997.30.607.907.9POAPAE3202272
50228037905EZETIMIBE 10 MG TABLET6/4/25GRYN11N05957357530115981133671018654WALGREENS303011.29678338.962.997.870.608.4708.47POAPAE3202272
00169418113OZEMPIC 0.25-0.5 MG/DOSE PEN6/2/25BRYN21N05906194070012651276411034127CVS283399.033331197.11176.99945.710.60946.31906.3140YOAPAE3202272
00555097202DEXTROAMP-AMPHETAMIN 10 MG TAB6/4/25GRYN11N05944037600311245387641036032WALGREENS30601.714102.84114.9932.460.6033.0618.0615POAPAE3202272
58160081552TWINRIX VACCINE SYRINGE6/6/25BRYN2N02612954880017900225641036501PUBLIX11158.617158.62159125.3125.60150.91150.910YOAPAE3202272
00781729685ALBUTEROL HFA 90 MCG INHALER6/1/25GRYN11N0706221810018113174071036020WALGREENS256.76.7134344.9821.8921.290.6021.896.8915MOAPAE3202272
50111033401METRONIDAZOLE 500 MG TABLET6/3/25GRYN1N05891724830017900126561037109CVS7140.727910.1915.893.230.603.8303.83POAPAE3202272
00603188016LIDOCAINE 5% PATCH6/5/25GRYN1N0544801860016494728791048380WALGREENS306010.27567616.54217.9989.860.6090.4675.4615POAPAE3202272
70010006599METFORMIN HCL 1,000 MG TABLET6/5/25GRYN11N02625311800011543084501048378WALGREENS30601.44286.5221.593.350.603.9503.95POAPAE3202272
00406052301OXYCODONE-ACETAMINOPHEN 10-3256/5/25GRYN1N0544801860016494728791048380WALGREENS281123.5508397.69264.4934.440.6035.0420.0415POAPAE3202272
57599080000FREESTYLE LIBRE 2 SENSOR6/6/25BRYN21N02625311800011543084501048378WALGREENS28286.58173.16179.99136.80.60137.497.440YOAPAE3202272
58160082415PRIORIX VIAL6/6/25BRYN2N02647180600113565349941064562CVS11113.791113.79121.9989.8925.60115.49115.490YOAPAE3202272
49281086010IPOL VIAL6/6/25BRYN2N02647180600113565349941064562CVS10.5107.05653.5363.5937.9925.6063.5963.590MOAPAE3202272
00002149580MOUNJARO 5 MG/0.5 ML PEN6/2/25BRYN21N05954787490113563826421048380WALGREENS282647.861295.721297.091008.620.601009.22984.2225YOAPAE3202272
59651021430AZELASTINE 0.1% (137 MCG) SPRY6/4/25GRYN11N05932829670016797250481064562CVS50303.508105.2458.5913.170013.1713.170POAPAE3202272
43547028303TELMISARTAN 20 MG TABLET6/2/25GRYN11N02647180600018919501501064562CVS90904.34033390.63429.9939.090039.0939.090POAPAE3202272
69238183607LEVOTHYROXINE 125 MCG TABLET6/2/25GRYN11N05955075370014577570801065095WALGREENS15150.658729.8811.993.970.604.5704.57POAPAE3202272
69238183507LEVOTHYROXINE 112 MCG TABLET6/1/25GRYN11N02647180600011746975691064562CVS90900.649758.4738.9926.280026.2826.280POAPAE3202272
65862056099PANTOPRAZOLE SOD DR 40 MG TAB6/2/25GRYN11N04294768510114977207261073535WALGREENS30305.26711158.01101.594.910.605.5105.51POAPAE3202272
68645013054FLUOXETINE HCL 20 MG CAPSULE6/6/25GRYN11N07680566990419427277221065209WALMART90902.66989240.29248.11008.118.110POAPAE3202272
00832121600JANTOVEN 5 MG TABLET6/2/25GRYN11N02619741030119729159651074498PUBLIX30350.687324.0620.958.810.609.4109.41POAPAE3202272
65862047099LOSARTAN-HCTZ 100-25 MG TAB6/2/25GRYN11N04294768510114173354801073535WALGREENS30303.40778102.2330.696.420.607.0207.02POAPAE3202272
00169413013OZEMPIC 1 MG/DOSE (4 MG/3 ML)6/2/25BRYN21N02619741030112250521031074498PUBLIX283399.033331197.11248.95945.710.60946.31906.3140YOAPAE3202272
70010006310METFORMIN HCL 500 MG TABLET6/2/25GRYN11N05912451160017006519081077723WALGREENS30300.70421.1214.991.410.602.0102.01POAPAE3202272
00169418113OZEMPIC 0.25-0.5 MG/DOSE PEN6/5/25BRYN21N05912451160012455375701077723WALGREENS283399.033331197.11196.99945.710.60946.31906.3140YOAPAE3202272
29300016915TIZANIDINE HCL 4 MG TABLET6/5/25GRYN11N07717800430111048369721085085WALGREENS30301.465243.9638.995.770.606.3706.37POAPAE3202272
43547028111ESCITALOPRAM 10 MG TABLET6/2/25GRYN11N05899037810118414519291085085WALGREENS30304.33129.961.592.710.603.3103.31POAPAE3202272
00002149580MOUNJARO 5 MG/0.5 ML PEN6/1/25BRYN21N12066074540110433721471005532CVS302647.861295.721273.991008.620.601009.22984.2225YOAPAE3202272
64980026501METHIMAZOLE 10 MG TABLET6/1/25GRYN11N15929042700013061725721005532CVS903601.5356552.82272.99107.5300107.53107.530POAPAE3202272
59651042801SPIRONOLACTONE 100 MG TABLET6/3/25GRYN11N05932670950011748114001006659WALGREENS30301.42942.8713.098.930.609.5309.53POAPAE3202272
00169477212OZEMPIC 2 MG/DOSE (8 MG/3 ML)6/3/25BRYN21N05932670950017008175741006659WALGREENS283399.033331197.11250.09945.710.60946.31906.3140YOAPAE3202272
65162076210WARFARIN SODIUM 2 MG TABLET6/4/25GRYN11N02638125780018214966211007930JACKSON PHARMACY SOLUTIONS90390.634524.7528.758.87008.878.870POAPAE3202272
70700010616CLOBETASOL 0.05% OINTMENT6/2/25GRYN1N05929042700013365343041005532CVS30308.65833259.75210.9911.170.6011.77011.77POAPAE3202272
00002147180MOUNJARO 10 MG/0.5 ML PEN6/5/25BRYN21N07670502530012657433061005532CVS302647.861295.721273.991008.620.601009.22984.2225YOAPAE3202272
00002149580MOUNJARO 5 MG/0.5 ML PEN6/1/25BRYN21N02656934360013169024551005544CVS282647.861295.721273.991008.620.601009.22984.2225YOAPAE3202272
00555077702DEXTROAMP-AMPHETAMIN 15 MG TAB6/4/25GRYN11N07703698300312355350301006659WALGREENS30301.71451.4255.4916.60.6017.22.215POAPAE3202272
29300039710AMLODIPINE BESYLATE 5 MG TAB6/2/25GRYN11N07690249780013260123031006659WALGREENS30301.7317851.9544.991.540.602.1402.14POAPAE3202272
00406052301OXYCODONE-ACETAMINOPHEN 10-3256/2/25GRYN1N02642709830014978700831018654WALGREENS393.550831.9626.792.770.603.3703.37POAPAE3202272
68462026310ROSUVASTATIN CALCIUM 20 MG TAB6/5/25GRYN11N05916705790019721705951006659WALGREENS30308.94489268.3591.295.770.606.3706.37POAPAE3202272
65862018601CLINDAMYCIN HCL 300 MG CAPSULE6/2/25GRYN1N02642709830014978700831018654WALGREENS8263.717196.6458.798.860.609.4609.46POAPAE3202272
00378395105ATORVASTATIN 20 MG TABLET6/6/25GRYN11N02642709830112957253071018654WALGREENS30305.76728173.0297.7955.160.6055.7655.760POAPAE3202272
72205014399LOSARTAN POTASSIUM 100 MG TAB6/6/25GRYN11N02642709830112957253071018654WALGREENS30303.0818992.4658.797.440.608.0408.04POAPAE3202272
23155083410HYDRALAZINE 50 MG TABLET6/2/25GRYN11N02638125780018214966211007930JACKSON PHARMACY SOLUTIONS301800.562101.16105.1624.570.6025.1710.1715POAPAE3202272
00228207710TEMAZEPAM 30 MG CAPSULE6/4/25GRYN1N02642709830117204501661018654WALGREENS30300.884526.5423.997.630.608.2308.23POAPAE3202272
62332000231FAMOTIDINE 40 MG TABLET6/1/25GRYN11N07684882370011642917871037604NAVARRO DISCOUNT PHARMACY90903.3498301.4880.997.75007.757.750POAPAE3202272
00378668910PANTOPRAZOLE SOD DR 40 MG TAB6/1/25GRYN11N07684882370011642917871037604NAVARRO DISCOUNT PHARMACY90905.26714474.04257.9914.690014.6914.690POAPAE3202272
62332025209AZITHROMYCIN 500 MG TABLET6/4/25GRYN1N02619933310012059221351037604NAVARRO DISCOUNT PHARMACY3315.5655646.746.592.180.602.7802.78POAPAE3202272
69238183107LEVOTHYROXINE 50 MCG TABLET6/5/25GRYN11N05919304310117105429981037604NAVARRO DISCOUNT PHARMACY90900.49644.6435.1918.960018.9618.960POAPAE3202272
00169413013OZEMPIC 1 MG/DOSE (4 MG/3 ML)6/6/25BRYN21N07684882370012251565651037604NAVARRO DISCOUNT PHARMACY283399.033331197.11176.99945.710.60946.31906.3140YOAPAE3202272
00603188016LIDOCAINE 5% PATCH6/3/25GRYN1N05911198170110639646661048380WALGREENS303010.27567308.27111.9944.930.6045.5330.5315POAPAE3202272
43598009805ATORVASTATIN 10 MG TABLET6/4/25GRYN11N01096234630016290951121048380WALGREENS30304.0432121.368.5935.170.6035.7735.770POAPAE3202272
68180031909BUPROPION HCL XL 150 MG TABLET6/4/25GRYN11N05911124220013769186311048380WALGREENS30304.77333143.299.3916.30.6016.91.915POAPAE3202272
24979020001DICYCLOMINE 20 MG TABLET5/31/25GRYN11N05911124220114272881091048380WALGREENS5150.776411.6515.993.250.603.8503.85POAPAE3202272
13668000810ZOLPIDEM TARTRATE 10 MG TABLET6/3/25GRYN1N02674961950016694395921005950CVS30304.6251138.7562.592.790.603.3903.39POAPAE3202272
68462039710OMEPRAZOLE DR 40 MG CAPSULE5/27/25GRYN11N02674961950016694395921005950CVS90907.3953665.58317.9910.330010.3310.330POAPAE3202272
65862029599ROSUVASTATIN CALCIUM 20 MG TAB6/1/25GRYN11N03494676200119129842201005974CVS90908.945805.05409.9912.580012.5812.580POAPAE3202272
72205009592LEVETIRACETAM 500 MG TABLET6/6/25GRYN11N02676728850015987158801005962CVS903603.514251265.13869.9958.030058.0358.030POAPAE3202272
65862069130SILDENAFIL 100 MG TABLET6/5/25GRYN11N02679504490117503477531006039CVS7766.464465.25319.999.880.6010.48010.48POAPAE3202272
13668054130ESLICARBAZEPINE 800 MG TABLET6/12/25GRYN11N07012500930217001701801093905CVS9013548.493676546.655574.994713.58004713.584713.580YOAPAE3202272
65862064169AZITHROMYCIN 250 MG TABLET6/10/25GRYN1N02651119370019324564231094072PUBLIX567.7833346.727.482.650.603.2503.25POAPAE3202272
00487950103ALBUTEROL SUL 2.5 MG/3 ML SOLN6/10/25GRYN11N02651119370019324564231094072PUBLIX7900.2666724188.40.60909POAPAE3202272
65862047090LOSARTAN-HCTZ 100-25 MG TAB6/15/25GRYN11N05891051320612052186091095466CVS90903.40778306.7236.9917.470017.4717.470POAPAE3202272
00002148480MOUNJARO 7.5 MG/0.5 ML PEN6/11/25BRYN21N05944479280013664736135729871AMAZON PHARMACY #003282647.861295.7211231008.620.601009.22984.2225YOAPAE3202272
68382009101BENZONATATE 200 MG CAPSULE6/10/25GRYN1N02651119370019324564231094072PUBLIX5151.977329.6613.951.830.602.4302.43POAPAE3202272
60219170801PREDNISONE 20 MG TABLET6/10/25GRYN1N02651119370019324564231094072PUBLIX550.2591.313.951.020.601.6201.62YOAPAE3202272
43528000305HEPLISAV-B 20 MCG/0.5 ML SYRNG6/7/25BRYN2N05890740240017107964531094072PUBLIX10.5373.8186.9200147.6525.60173.25173.250YOAPAE3202272
00046110511PREMPRO 0.3 MG-1.5 MG TABLET6/9/25BMYN21N05920787150018513992243148423EXPRESS SCRIPTS848410.61179891.39911.39606.1500606.15526.1580YOAPAE3202272
00002148480MOUNJARO 7.5 MG/0.5 ML PEN6/9/25BMYN21N02613303020013161112063148423EXPRESS SCRIPTS846647.863887.163913.362638.27002638.272563.2775YOAPAE3202272
83017057403NANO 2 GEN PEN NEEDLE 32G 4MM6/9/25BMYN11N05916418230013563056013148423EXPRESS SCRIPTS903600.588211.68231.68143.9400143.94143.940YOAPAE3202272
00002147180MOUNJARO 10 MG/0.5 ML PEN6/7/25BMYN21N05695885400017806798603148423EXPRESS SCRIPTS846647.863887.163912.352638.27002638.272563.2775YOAPAE3202272
68462072029DROSPIRENONE-EE 3-0.02 MG TAB6/7/25GRYN11N05949164110219123855194450564WALGREENS28283.6181101.3135.9924.950.6025.5525.550POAPAE3202272
65862055990PANTOPRAZOLE SOD DR 20 MG TAB6/12/25GRYN11N05981034000019321536085730759PUBLIX90905.26711474.04257.413.780013.7813.780POAPAE3202272
55111072590MONTELUKAST SOD 10 MG TABLET6/12/25GRYN11N05838640950010232198624541567CVS30305.65667169.797.995.280.605.8805.88POAPAE3202272
71093011906TRAMADOL HCL 50 MG TABLET6/11/25GRYN1N02670273540012558061705730759PUBLIX4120.8410.0813.950.830.601.4301.43POAPAE3202272
70710116506OSELTAMIVIR 6 MG/ML SUSPENSION6/12/25GRYN1N05981034000216294985975730759PUBLIX51202.73383328.06268.9555.960.6056.5641.5615POAPAE3202272
62332000231FAMOTIDINE 40 MG TABLET6/10/25GRYN11N03131990150111443981575730355PUBLIX30303.3498100.4974.184.070.604.6704.67POAPAE3202272
43547031209VALSARTAN-HCTZ 160-12.5 MG TAB6/12/25GRYN11N05981034000019321536085730759PUBLIX90903.99633359.67364.9537.570037.5737.570POAPAE3202272
43547036011LOSARTAN POTASSIUM 25 MG TAB6/12/25GRYN11N02617174820011846226985731004PUBLIX90901.67778151110.759.21009.219.210POAPAE3202272
00378718705METFORMIN HCL 1,000 MG TABLET6/9/25GRYN11N05906903770114679848981077723WALGREENS30601.458721.593.350.603.9503.95POAPAE3202272
23155083201HYDRALAZINE 10 MG TABLET6/10/25GRYN11N07705870530017609324045731004PUBLIX45900.411537.0420.957.93007.937.930POAPAE3202272
68382000801LAMOTRIGINE 100 MG TABLET6/11/25GRYN11N02676728850015987158801005962CVS901805.194934.92327.9919.040019.0419.040POAPAE3202272
61442010360DICLOFENAC SOD DR 75 MG TAB6/9/25GRYN11N02679504490112554403841006039CVS30601.1423368.5452.5913.690.6014.29014.29POAPAE3202272
00378395205ATORVASTATIN 40 MG TABLET6/11/25GRYN11N05902224180119028568751000392WALGREENS30305.76728173.0293.494.790.605.3905.39POAPAE3202272
00781107705ALPRAZOLAM 0.5 MG TABLET6/11/25GRYN1N02646155980019020572431005974CVS15300.8444425.3318.993.360.603.9603.96POAPAE3202272
57237001405TAMSULOSIN HCL 0.4 MG CAPSULE6/8/25GRYN11N03494676200110139004141005974CVS90904.2135379.22229.9911.570011.5711.570POAPAE3202272

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