2018 Drug Lists with WAC (Wholesale Acquisition Cost) as required by NRS 439B.630
NDC Drug WAC Manufacturer
64764-0151-04 ACTOS 15 MG TABLET $12.95 TAKEDA PHARMACE
64764-0301-14 ACTOS 30 MG TABLET $19.79 TAKEDA PHARMACE
64764-0451-24 ACTOS 45 MG TABLET $21.47 TAKEDA PHARMACE
47918-0878-90 AFREZZA ((REGULAR INSULIN) 8 UN $6.07 MANNKIND CORPOR
47918-0891-90 AFREZZA (REGULAR INSULIN) 12 UN $9.11 MANNKIND CORPOR
47918-0874-90 AFREZZA (REGULAR INSULIN) 4 UNI $3.04 MANNKIND CORPOR
47918-0902-18 AFREZZA (REGULAR INSULIN) 60-4 $6.07 MANNKIND CORPOR
47918-0880-18 AFREZZA (REGULAR INSULIN) 90-4 $4.55 MANNKIND CORPOR
00039-0221-10 AMARYL 1 MG TABLET $1.33 SANOFI-AVENTIS
00088-2500-33 APIDRA 100 UNIT/ML VIAL $26.99 SANOFI-AVENTIS
00088-2502-05 APIDRA SOLOSTAR 100 UNIT/ML $34.76 SANOFI-AVENTIS
00002-7715-01 BASAGLAR 100 UNIT/ML KWIKPEN $21.76 ELI LILLY & CO.
00002-7715-59 BASAGLAR 100 UNIT/ML KWIKPEN $21.76 ELI LILLY & CO.
00310-6530-04 BYDUREON 2 MG PEN INJECT $165.04 ASTRAZENECA
00310-6540-04 BYDUREON BCISE 2 MG AUTOINJECT $194.16 ASTRAZENECA
00310-6520-04 Bydureon 2mg Vial $165.04 ASTRAZENECA
00310-6524-01 BYETTA 10 MCG DOSE PEN INJ $295.16 ASTRAZENECA
00310-6512-01 BYETTA 5 MCG DOSE PEN INJ $590.32 ASTRAZENECA
00310-6210-30 FARXIGA 10 MG TABLET $15.48 ASTRAZENECA
00310-6205-30 FARXIGA 5 MG TABLET $15.48 ASTRAZENECA
59630-0575-60 FORTAMET ER 1,000 MG TABLET $35.14 SHIONOGI PHARMA
59630-0574-60 FORTAMET ER 500 MG TABLET $35.14 SHIONOGI PHARMA
00093-7254-01 GLIMEPIRIDE 1 MG TABLET $0.11 TEVA USA
16729-0001-01 GLIMEPIRIDE 1 MG TABLET $0.09 ACCORD HEALTHCA
16729-0001-16 GLIMEPIRIDE 1 MG TABLET $0.09 ACCORD HEALTHCA
55111-0320-01 GLIMEPIRIDE 1 MG TABLET $0.09 DR.REDDY'S LAB
55111-0320-05 GLIMEPIRIDE 1 MG TABLET $0.09 DR.REDDY'S LAB
61442-0115-01 GLIMEPIRIDE 1 MG TABLET $0.07 CARLSBAD TECH
68001-0177-00 GLIMEPIRIDE 1 MG TABLET $0.35 BLUEPOINT LABOR
69452-0128-20 GLIMEPIRIDE 1 MG TABLET $0.09 BIONPHARMA INC.
69452-0128-30 GLIMEPIRIDE 1 MG TABLET $0.09 BIONPHARMA INC.
69543-0123-10 GLIMEPIRIDE 1 MG TABLET $0.08 VIRTUS PHARMACE
69543-0123-50 GLIMEPIRIDE 1 MG TABLET $0.07 VIRTUS PHARMACE
00093-7255-01 GLIMEPIRIDE 2 MG TABLET $0.17 TEVA USA
00378-4012-01 GLIMEPIRIDE 2 MG TABLET $0.16 MYLAN
16729-0002-01 GLIMEPIRIDE 2 MG TABLET $0.14 ACCORD HEALTHCA
16729-0002-16 GLIMEPIRIDE 2 MG TABLET $0.14 ACCORD HEALTHCA
54458-0967-16 GLIMEPIRIDE 2 MG TABLET $0.20 INTERNATIONAL L
55111-0321-01 GLIMEPIRIDE 2 MG TABLET $0.14 DR.REDDY'S LAB
55111-0321-05 GLIMEPIRIDE 2 MG TABLET $0.14 DR.REDDY'S LAB
61442-0116-01 GLIMEPIRIDE 2 MG TABLET $0.08 CARLSBAD TECH
61442-0116-05 GLIMEPIRIDE 2 MG TABLET $0.08 CARLSBAD TECH
68001-0178-00 GLIMEPIRIDE 2 MG TABLET $0.56 BLUEPOINT LABOR
68001-0178-03 GLIMEPIRIDE 2 MG TABLET $0.56 BLUEPOINT LABOR
69452-0129-20 GLIMEPIRIDE 2 MG TABLET $0.14 BIONPHARMA INC.
69543-0124-10 GLIMEPIRIDE 2 MG TABLET $0.14 VIRTUS PHARMACE
69543-0124-50 GLIMEPIRIDE 2 MG TABLET $0.13 VIRTUS PHARMACE
00093-7256-01 GLIMEPIRIDE 4 MG TABLET $0.32 TEVA USA
00093-7256-52 GLIMEPIRIDE 4 MG TABLET $0.32 TEVA USA
00378-4013-01 GLIMEPIRIDE 4 MG TABLET $0.31 MYLAN
16729-0003-01 GLIMEPIRIDE 4 MG TABLET $0.27 ACCORD HEALTHCA
16729-0003-16 GLIMEPIRIDE 4 MG TABLET $0.27 ACCORD HEALTHCA
51079-0426-20 GLIMEPIRIDE 4 MG TABLET $0.44 MYLAN INSTITUTI
54458-0966-16 GLIMEPIRIDE 4 MG TABLET $0.40 INTERNATIONAL L
55111-0322-01 GLIMEPIRIDE 4 MG TABLET $0.27 DR.REDDY'S LAB
55111-0322-05 GLIMEPIRIDE 4 MG TABLET $0.27 DR.REDDY'S LAB
61442-0117-01 GLIMEPIRIDE 4 MG TABLET $0.13 CARLSBAD TECH
61442-0117-05 GLIMEPIRIDE 4 MG TABLET $0.13 CARLSBAD TECH
68001-0179-00 GLIMEPIRIDE 4 MG TABLET $1.06 BLUEPOINT LABOR
68001-0179-03 GLIMEPIRIDE 4 MG TABLET $1.06 BLUEPOINT LABOR
69452-0130-20 GLIMEPIRIDE 4 MG TABLET $0.27 BIONPHARMA INC.
69452-0130-30 GLIMEPIRIDE 4 MG TABLET $0.26 BIONPHARMA INC.
69543-0125-10 GLIMEPIRIDE 4 MG TABLET $0.23 VIRTUS PHARMACE
69543-0125-50 GLIMEPIRIDE 4 MG TABLET $0.22 VIRTUS PHARMACE
00378-1110-01 GLIPIZIDE 10 MG TABLET $0.09 MYLAN
00378-1110-05 GLIPIZIDE 10 MG TABLET $0.09 MYLAN
00591-0461-01 GLIPIZIDE 10 MG TABLET $0.06 ACTAVIS/TEVA
00591-0461-05 GLIPIZIDE 10 MG TABLET $0.06 ACTAVIS/TEVA
00591-0461-10 GLIPIZIDE 10 MG TABLET $0.06 ACTAVIS/TEVA
00781-1453-01 GLIPIZIDE 10 MG TABLET $0.06 SANDOZ
00781-1453-10 GLIPIZIDE 10 MG TABLET $0.06 SANDOZ
16729-0140-00 GLIPIZIDE 10 MG TABLET $0.06 ACCORD HEALTHCA
16729-0140-16 GLIPIZIDE 10 MG TABLET $0.06 ACCORD HEALTHCA
51079-0811-20 GLIPIZIDE 10 MG TABLET $0.63 MYLAN INSTITUTI
60505-0142-00 GLIPIZIDE 10 MG TABLET $0.06 APOTEX CORP
60505-0142-01 GLIPIZIDE 10 MG TABLET $0.06 APOTEX CORP
60505-0142-02 GLIPIZIDE 10 MG TABLET $0.06 APOTEX CORP
60505-0142-04 GLIPIZIDE 10 MG TABLET $0.10 APOTEX CORP
00378-1105-01 GLIPIZIDE 5 MG TABLET $0.06 MYLAN
00378-1105-05 GLIPIZIDE 5 MG TABLET $0.06 MYLAN
00591-0460-01 GLIPIZIDE 5 MG TABLET $0.04 ACTAVIS/TEVA
00591-0460-05 GLIPIZIDE 5 MG TABLET $0.04 ACTAVIS/TEVA
00591-0460-10 GLIPIZIDE 5 MG TABLET $0.04 ACTAVIS/TEVA
00781-1452-01 GLIPIZIDE 5 MG TABLET $0.04 SANDOZ
00781-1452-10 GLIPIZIDE 5 MG TABLET $0.04 SANDOZ
16729-0139-00 GLIPIZIDE 5 MG TABLET $0.04 ACCORD HEALTHCA
16729-0139-16 GLIPIZIDE 5 MG TABLET $0.04 ACCORD HEALTHCA
51079-0810-20 GLIPIZIDE 5 MG TABLET $0.32 MYLAN INSTITUTI
57664-0398-13 GLIPIZIDE 5 MG TABLET $0.05 CARACO/SUN PHAR
60505-0141-00 GLIPIZIDE 5 MG TABLET $0.04 APOTEX CORP
60505-0141-01 GLIPIZIDE 5 MG TABLET $0.04 APOTEX CORP
60505-0141-02 GLIPIZIDE 5 MG TABLET $0.04 APOTEX CORP
00591-0845-01 GLIPIZIDE ER 10 MG TABLET $0.57 ACTAVIS/TEVA
00591-0845-10 GLIPIZIDE ER 10 MG TABLET $0.54 ACTAVIS/TEVA
10370-0746-01 GLIPIZIDE ER 10 MG TABLET $0.57 PAR PHARM.
10370-0746-05 GLIPIZIDE ER 10 MG TABLET $0.57 PAR PHARM.
64980-0281-01 GLIPIZIDE ER 10 MG TABLET $0.25 RISING PHARM
64980-0281-05 GLIPIZIDE ER 10 MG TABLET $0.25 RISING PHARM
68084-0112-01 GLIPIZIDE ER 10 MG TABLET $0.73 AHP
00591-0900-30 GLIPIZIDE ER 2.5 MG TABLET $0.29 ACTAVIS/TEVA
64980-0279-03 GLIPIZIDE ER 2.5 MG TABLET $0.21 RISING PHARM
68084-0295-21 GLIPIZIDE ER 2.5 MG TABLET $0.99 AHP
00591-0844-01 GLIPIZIDE ER 5 MG TABLET $0.29 ACTAVIS/TEVA
00591-0844-10 GLIPIZIDE ER 5 MG TABLET $0.28 ACTAVIS/TEVA
10370-0745-01 GLIPIZIDE ER 5 MG TABLET $0.29 PAR PHARM.
10370-0745-05 GLIPIZIDE ER 5 MG TABLET $0.29 PAR PHARM.
64980-0280-01 GLIPIZIDE ER 5 MG TABLET $0.13 RISING PHARM
64980-0280-05 GLIPIZIDE ER 5 MG TABLET $0.12 RISING PHARM
68084-0111-01 GLIPIZIDE ER 5 MG TABLET $0.60 AHP
00378-0340-93 GLIPIZIDE ER 2.5 MG TABLET $0.29 MYLAN
10370-0190-01 GLIPIZIDE ER 5 MG TABLET $0.29 PAR PHARM.
10370-0191-01 GLIPIZIDE ER 10 MG TABLET $0.57 PAR PHARM.
59762-0542-01 GLIPIZIDE XL 10 MG TABLET $0.32 GREENSTONE LLC.
59762-0542-02 GLIPIZIDE XL 10 MG TABLET $0.31 GREENSTONE LLC.
59762-0540-01 GLIPIZIDE XL 2.5 MG TABLET $0.27 GREENSTONE LLC.
59762-0541-01 GLIPIZIDE XL 5 MG TABLET $0.16 GREENSTONE LLC.
59762-0541-02 GLIPIZIDE XL 5 MG TABLET $0.16 GREENSTONE LLC.
00093-7455-01 GLIPIZIDE-METFORMIN 2.5-250 MG $0.62 TEVA USA
00093-7456-01 GLIPIZIDE-METFORMIN 2.5-500 MG $0.74 TEVA USA
00378-3132-01 GLIPIZIDE-METFORMIN 2.5-500 MG $0.74 MYLAN
23155-0116-01 GLIPIZIDE-METFORMIN 2.5-500 MG $0.74 AVET PHARMACEUT
68382-0185-01 GLIPIZIDE-METFORMIN 2.5-500 MG $0.74 ZYDUS PHARMACEU
00093-7457-01 GLIPIZIDE-METFORMIN 5-500 MG $0.74 TEVA USA
00378-3133-01 GLIPIZIDE-METFORMIN 5-500 MG $0.74 MYLAN
23155-0117-01 GLIPIZIDE-METFORMIN 5-500 MG $0.74 AVET PHARMACEUT
68382-0186-01 GLIPIZIDE-METFORMIN 5-500 MG $0.74 ZYDUS PHARMACEU
00087-6060-05 GLUCOPHAGE 500MG TABLET $0.99 BRISTOL-MYERS SQUIBB
00087-6071-11 GLUCOPHAGE 1000MG TABLET $2.04 BRISTOL-MYERS SQUIBB
00087-6064-13 GLUCOPHAGE XR 750MG TABLET $1.51 BRISTOL-MYERS SQUIBB
00049-4120-66 GLUCOTROL 10 MG TABLET $3.08 PFIZER US PHARM
00049-4110-66 GLUCOTROL 5 MG TABLET $1.65 PFIZER US PHARM
00049-0178-07 GLUCOTROL XL 10 MG TABLET $3.18 PFIZER US PHARM
00049-0178-08 GLUCOTROL XL 10 MG TABLET $3.03 PFIZER US PHARM
00049-0170-01 GLUCOTROL XL 2.5 MG TABLET $1.64 PFIZER US PHARM
00049-0174-02 GLUCOTROL XL 5 MG TABLET $1.64 PFIZER US PHARM
00049-0174-03 GLUCOTROL XL 5 MG TABLET $1.64 PFIZER US PHARM
68012-0003-16 GLUMETZA ER 1,000 MG TABLET $111.33 SANTARUS INC/SA
00009-5014-01 GLYSET 100 MG TABLET $3.56 PHARMACI/PFIZER
00009-5012-01 GLYSET 25 MG TABLET $2.75 PHARMACI/PFIZER
00009-5013-01 GLYSET 50 MG TABLET $3.02 PHARMACI/PFIZER
00597-0182-30 GLYXAMBI 10 MG-5 MG TABLET $17.45 BOEHRINGER ING.
00597-0182-39 GLYXAMBI 10 MG-5 MG TABLET $17.45 BOEHRINGER ING.
00597-0182-90 GLYXAMBI 10 MG-5 MG TABLET $17.45 BOEHRINGER ING.
00597-0164-30 GLYXAMBI 25 MG-5 MG TABLET $17.45 BOEHRINGER ING.
00597-0164-39 GLYXAMBI 25 MG-5 MG TABLET $17.45 BOEHRINGER ING.
00597-0164-90 GLYXAMBI 25 MG-5 MG TABLET $17.45 BOEHRINGER ING.
00002-7516-59 HUMALOG 100 UNIT/ML CARTRIDGE $34.03 ELI LILLY & CO.
00002-8799-01 HUMALOG 100 UNIT/ML KWIKPEN $35.36 ELI LILLY & CO.
00002-8799-59 HUMALOG 100 UNIT/ML KWIKPEN $35.36 ELI LILLY & CO.
00002-7510-01 HUMALOG 100 UNIT/ML VIAL $27.47 ELI LILLY & CO.
00002-7510-17 HUMALOG 100 UNIT/ML VIAL $27.47 ELI LILLY & CO.
00002-7712-01 HUMALOG 200 UNIT/ML KWIKPEN $70.72 ELI LILLY & CO.
00002-7712-27 HUMALOG 200 UNIT/ML KWIKPEN $70.72 ELI LILLY & CO.
00002-7714-59 HUMALOG JR 100 UNIT/ML KWIKPEN $35.36 ELI LILLY & CO.
00002-8798-01 HUMALOG MIX 50-50 KWIKPEN $35.36 ELI LILLY & CO.
00002-8798-59 HUMALOG MIX 50-50 KWIKPEN $35.36 ELI LILLY & CO.
00002-7512-01 HUMALOG MIX 50-50 VIAL $28.47 ELI LILLY & CO.
00002-8797-59 HUMALOG MIX 75-25 KWIKPEN $35.36 ELI LILLY & CO.
00002-7511-01 HUMALOG MIX 75-25 VIAL $28.47 ELI LILLY & CO.
00002-8803-01 HUMULIN 70/30 KWIKPEN $31.42 ELI LILLY & CO.
00002-8803-59 HUMULIN 70/30 KWIKPEN $31.42 ELI LILLY & CO.
00002-8715-01 HUMULIN 70-30 VIAL $14.87 ELI LILLY & CO.
00002-8715-17 HUMULIN 70-30 VIAL $14.87 ELI LILLY & CO.
00002-8805-59 HUMULIN N 100 UNIT/ML KWIKPEN $31.42 ELI LILLY & CO.
00002-8315-01 HUMULIN N 100 UNIT/ML VIAL $14.87 ELI LILLY & CO.
00002-8315-17 HUMULIN N 100 UNIT/ML VIAL $14.87 ELI LILLY & CO.
00002-8215-01 HUMULIN R 100 UNIT/ML VIAL $14.87 ELI LILLY & CO.
00002-8215-17 HUMULIN R 100 UNIT/ML VIAL $14.87 ELI LILLY & CO.
00002-8824-27 HUMULIN R 500 UNIT/ML KWIKPEN $95.70 ELI LILLY & CO.
00002-8501-01 HUMULIN R 500 UNIT/ML VIAL $74.35 ELI LILLY & CO.
50458-0543-60 INVOKAMET 150-1,000 MG TABLET $7.74 JANSSEN PHARM.
50458-0542-60 INVOKAMET 150-500 MG TABLET $7.74 JANSSEN PHARM.
50458-0541-60 INVOKAMET 50-1,000 MG TABLET $7.74 JANSSEN PHARM.
50458-0540-60 INVOKAMET 50-500 MG TABLET $7.74 JANSSEN PHARM.
50458-0943-01 INVOKAMET XR 150-1,000 MG TAB $7.74 JANSSEN PHARM.
50458-0942-01 INVOKAMET XR 150-500 MG TABLET $7.74 JANSSEN PHARM.
50458-0941-01 INVOKAMET XR 50-1,000 MG TAB $7.74 JANSSEN PHARM.
50458-0940-01 INVOKAMET XR 50-500 MG TABLET $7.74 JANSSEN PHARM.
50458-0140-30 INVOKANA 100 MG TABLET $15.49 JANSSEN PHARM.
50458-0140-90 INVOKANA 100 MG TABLET $15.49 JANSSEN PHARM.
50458-0141-30 INVOKANA 300 MG TABLET $15.49 JANSSEN PHARM.
50458-0141-90 INVOKANA 300 MG TABLET $15.49 JANSSEN PHARM.
00006-0577-61 JANUMET 50-1,000 MG TABLET $7.16 MERCK SHARP & D
00006-0577-62 JANUMET 50-1,000 MG TABLET $7.16 MERCK SHARP & D
00006-0577-82 JANUMET 50-1,000 MG TABLET $7.16 MERCK SHARP & D
00006-0575-61 JANUMET 50-500 MG TABLET $7.16 MERCK SHARP & D
00006-0575-62 JANUMET 50-500 MG TABLET $7.16 MERCK SHARP & D
00006-0575-82 JANUMET 50-500 MG TABLET $7.16 MERCK SHARP & D
00006-0081-31 JANUMET XR 100-1,000 MG TABLET $14.32 MERCK SHARP & D
00006-0081-54 JANUMET XR 100-1,000 MG TABLET $14.32 MERCK SHARP & D
00006-0081-82 JANUMET XR 100-1,000 MG TABLET $14.32 MERCK SHARP & D
00006-0080-61 JANUMET XR 50-1,000 MG TABLET $7.16 MERCK SHARP & D
00006-0080-62 JANUMET XR 50-1,000 MG TABLET $7.16 MERCK SHARP & D
00006-0080-82 JANUMET XR 50-1,000 MG TABLET $7.16 MERCK SHARP & D
00006-0078-61 JANUMET XR 50-500 MG TABLET $7.16 MERCK SHARP & D
00006-0078-62 JANUMET XR 50-500 MG TABLET $7.16 MERCK SHARP & D
00006-0277-01 JANUVIA 100 MG TABLET null MERCK SHARP & D
00006-0277-02 JANUVIA 100 MG TABLET $14.32 MERCK SHARP & D
00006-0277-28 JANUVIA 100 MG TABLET $14.32 MERCK SHARP & D
00006-0277-31 JANUVIA 100 MG TABLET $14.32 MERCK SHARP & D
00006-0277-54 JANUVIA 100 MG TABLET $14.32 MERCK SHARP & D
00006-0277-82 JANUVIA 100 MG TABLET $14.32 MERCK SHARP & D
00006-0221-28 JANUVIA 25 MG TABLET $14.32 MERCK SHARP & D
00006-0221-31 JANUVIA 25 MG TABLET $14.32 MERCK SHARP & D
00006-0221-54 JANUVIA 25 MG TABLET $14.32 MERCK SHARP & D
00006-0112-28 JANUVIA 50 MG TABLET $14.32 MERCK SHARP & D
00006-0112-31 JANUVIA 50 MG TABLET $14.32 MERCK SHARP & D
00006-0112-54 JANUVIA 50 MG TABLET $14.32 MERCK SHARP & D
00597-0152-30 JARDIANCE 10 MG TABLET $15.50 BOEHRINGER ING.
00597-0152-37 JARDIANCE 10 MG TABLET $15.50 BOEHRINGER ING.
00597-0152-90 JARDIANCE 10 MG TABLET $15.50 BOEHRINGER ING.
00597-0153-30 JARDIANCE 25 MG TABLET $15.50 BOEHRINGER ING.
00597-0153-37 JARDIANCE 25 MG TABLET $15.50 BOEHRINGER ING.
00597-0153-90 JARDIANCE 25 MG TABLET $15.50 BOEHRINGER ING.
00597-0148-18 JENTADUETO 2.5 MG-1,000 MG TAB $6.86 BOEHRINGER ING.
00597-0148-60 JENTADUETO 2.5 MG-1,000 MG TAB $6.86 BOEHRINGER ING.
00597-0146-18 JENTADUETO 2.5 MG-500 MG TAB $6.86 BOEHRINGER ING.
00597-0146-60 JENTADUETO 2.5 MG-500 MG TAB $6.86 BOEHRINGER ING.
00597-0147-18 JENTADUETO 2.5 MG-850 MG TAB $6.86 BOEHRINGER ING.
00597-0147-60 JENTADUETO 2.5 MG-850 MG TAB $6.86 BOEHRINGER ING.
00597-0270-73 JENTADUETO XR 2.5 MG-1,000 MG $6.86 BOEHRINGER ING.
00597-0270-94 JENTADUETO XR 2.5 MG-1,000 MG $6.86 BOEHRINGER ING.
00597-0275-33 JENTADUETO XR 5 MG-1,000 MG TB $13.72 BOEHRINGER ING.
00597-0275-81 JENTADUETO XR 5 MG-1,000 MG TB $13.72 BOEHRINGER ING.
00310-6125-60 KOMBIGLYZE XR 2.5-1,000 MG TAB $6.80 ASTRAZENECA
00310-6145-30 KOMBIGLYZE XR 5-1,000 MG TAB $13.61 ASTRAZENECA
00310-6135-30 KOMBIGLYZE XR 5-500 MG TABLET $13.61 ASTRAZENECA
00088-2220-33 LANTUS 100 UNIT/ML VIAL $25.60 SANOFI-AVENTIS
00088-5021-01 LANTUS 100 UNIT/ML VIAL $25.60 SANOFI-AVENTIS
00088-2219-05 LANTUS SOLOSTAR 100 UNIT/ML $25.60 SANOFI-AVENTIS
00088-5020-05 LANTUS SOLOSTAR 100 UNIT/ML $25.60 SANOFI-AVENTIS
00169-3687-12 LEVEMIR 100 UNIT/ML VIAL $27.98 NOVO NORDISK
00169-6438-10 LEVEMIR FLEXTOUCH 100 UNIT/ML $27.98 NOVO NORDISK
49483-0620-10 METFORMIN HCL 1,000 MG TABLET $0.03 TIME-CAP LABS
67877-0563-01 METFORMIN HCL 1,000 MG TABLET $0.06 ASCEND LABORATO
67877-0563-05 METFORMIN HCL 1,000 MG TABLET $0.05 ASCEND LABORATO
67877-0563-10 METFORMIN HCL 1,000 MG TABLET $0.04 ASCEND LABORATO
67877-0561-01 METFORMIN HCL 500 MG TABLET $0.03 ASCEND LABORATO
67877-0561-05 METFORMIN HCL 500 MG TABLET $0.02 ASCEND LABORATO
67877-0561-10 METFORMIN HCL 500 MG TABLET $0.02 ASCEND LABORATO
49483-0621-10 METFORMIN HCL 850 MG TABLET $0.02 TIME-CAP LABS
60687-0143-01 METFORMIN HCL 850 MG TABLET $0.15 AHP
67877-0562-05 METFORMIN HCL 850 MG TABLET $0.05 ASCEND LABORATO
67877-0562-10 METFORMIN HCL 850 MG TABLET $0.04 ASCEND LABORATO
49483-0623-01 METFORMIN HCL ER 500 MG TABLET $0.04 TIME-CAP LABS
49483-0623-09 METFORMIN HCL ER 500 MG TABLET $0.04 TIME-CAP LABS
49483-0623-10 METFORMIN HCL ER 500 MG TABLET $0.03 TIME-CAP LABS
49483-0623-50 METFORMIN HCL ER 500 MG TABLET $0.03 TIME-CAP LABS
67877-0159-01 METFORMIN HCL ER 500 MG TABLET $0.05 ASCEND LABORATO
67877-0159-05 METFORMIN HCL ER 500 MG TABLET $0.04 ASCEND LABORATO
49483-0624-01 METFORMIN HCL ER 750 MG TABLET $0.06 TIME-CAP LABS
64764-0125-30 NESINA 12.5 MG TABLET $12.48 TAKEDA PHARMACE
64764-0250-30 NESINA 25 MG TABLET $12.48 TAKEDA PHARMACE
64764-0625-30 NESINA 6.25 MG TABLET $12.48 TAKEDA PHARMACE
00169-1837-11 NOVOLIN 70-30 100 UNIT/ML VIAL $13.77 NOVO NORDISK
00169-1834-11 NOVOLIN N 100 UNIT/ML VIAL $13.77 NOVO NORDISK
00169-1833-11 NOVOLIN R 100 UNIT/ML VIAL $13.77 NOVO NORDISK
00169-6339-10 NOVOLOG 100 UNIT/ML FLEXPEN $35.48 NOVO NORDISK
00169-7501-11 NOVOLOG 100 UNIT/ML VIAL $27.56 NOVO NORDISK
00169-3696-19 NOVOLOG MIX 70-30 FLEXPEN $35.48 NOVO NORDISK
00169-3685-12 NOVOLOG MIX 70-30 VIAL $28.58 NOVO NORDISK
00169-3303-12 NOVOLOG PENFILL 100 UNIT/ML $34.13 NOVO NORDISK
00310-6100-30 ONGLYZA 2.5 MG TABLET $13.61 ASTRAZENECA
00310-6100-90 ONGLYZA 2.5 MG TABLET $13.61 ASTRAZENECA
00310-6105-30 ONGLYZA 5 MG TABLET $13.61 ASTRAZENECA
00310-6105-90 ONGLYZA 5 MG TABLET $13.61 ASTRAZENECA
00093-7271-56 PIOGLITAZONE HCL 15 MG TABLET $0.28 TEVA USA
00093-7271-98 PIOGLITAZONE HCL 15 MG TABLET $0.28 TEVA USA
00378-0048-77 PIOGLITAZONE HCL 15 MG TABLET $0.28 MYLAN
00378-0048-93 PIOGLITAZONE HCL 15 MG TABLET $0.28 MYLAN
00781-5420-31 PIOGLITAZONE HCL 15 MG TABLET $0.37 SANDOZ
00781-5420-92 PIOGLITAZONE HCL 15 MG TABLET $0.37 SANDOZ
33342-0054-07 PIOGLITAZONE HCL 15 MG TABLET $0.13 MACLEODS PHARMA
33342-0054-10 PIOGLITAZONE HCL 15 MG TABLET $0.13 MACLEODS PHARMA
33342-0054-15 PIOGLITAZONE HCL 15 MG TABLET $0.13 MACLEODS PHARMA
00093-7272-56 PIOGLITAZONE HCL 30 MG TABLET $0.43 TEVA USA
00093-7272-98 PIOGLITAZONE HCL 30 MG TABLET $0.43 TEVA USA
00378-0228-77 PIOGLITAZONE HCL 30 MG TABLET $0.43 MYLAN
00378-0228-93 PIOGLITAZONE HCL 30 MG TABLET $0.43 MYLAN
00781-5421-31 PIOGLITAZONE HCL 30 MG TABLET $0.56 SANDOZ
00781-5421-92 PIOGLITAZONE HCL 30 MG TABLET $0.56 SANDOZ
33342-0055-07 PIOGLITAZONE HCL 30 MG TABLET $0.18 MACLEODS PHARMA
33342-0055-10 PIOGLITAZONE HCL 30 MG TABLET $0.18 MACLEODS PHARMA
33342-0055-15 PIOGLITAZONE HCL 30 MG TABLET $0.18 MACLEODS PHARMA
00093-7273-56 PIOGLITAZONE HCL 45 MG TABLET $0.47 TEVA USA
00093-7273-98 PIOGLITAZONE HCL 45 MG TABLET $0.47 TEVA USA
00378-0318-93 PIOGLITAZONE HCL 45 MG TABLET $0.47 MYLAN
00781-5422-31 PIOGLITAZONE HCL 45 MG TABLET $0.61 SANDOZ
00781-5422-92 PIOGLITAZONE HCL 45 MG TABLET $0.61 SANDOZ
33342-0056-07 PIOGLITAZONE HCL 45 MG TABLET $0.19 MACLEODS PHARMA
33342-0056-10 PIOGLITAZONE HCL 45 MG TABLET $0.19 MACLEODS PHARMA
60846-0882-01 PRANDIN 1 MG TABLET $6.56 GEMINI/AMNEAL
60846-0884-01 PRANDIN 2 MG TABLET $6.56 GEMINI/AMNEAL
50419-0862-51 PRECOSE 100 MG TABLET $1.21 BAYER,PHARM DIV
50419-0863-51 PRECOSE 25 MG TABLET $0.94 BAYER,PHARM DIV
50419-0861-51 PRECOSE 50 MG TABLET $1.01 BAYER,PHARM DIV
00169-1837-02 RELION NOVOLIN 70-30 VIAL $13.77 NOVO NORDISK-WA
00169-1834-02 RELION NOVOLIN N 100 UNIT/ML $13.77 NOVO NORDISK-WA
00169-1833-02 RELION NOVOLIN R 100 UNIT/ML $13.77 NOVO NORDISK-WA
10631-0206-01 RIOMET 500 MG/5 ML SOLUTION $1.30 SUN PHARMACEUTI
10631-0206-02 RIOMET 500 MG/5 ML SOLUTION $1.30 SUN PHARMACEUTI
10631-0238-01 RIOMET 500 MG/5 ML SOLUTION $1.30 SUN PHARMACEUTI
10631-0238-02 RIOMET 500 MG/5 ML SOLUTION $1.30 SUN PHARMACEUTI
00024-5761-05 SOLIQUA 100 UNIT-33 MCG/ML PEN $44.79 SANOFI-AVENTIS
00078-0352-05 STARLIX 120 MG TABLET $3.74 NOVARTIS
00078-0351-05 STARLIX 60 MG TABLET $3.60 NOVARTIS
00310-6627-02 SYMLINPEN 120 PEN INJECTOR $196.51 ASTRAZENECA
00310-6615-02 SYMLINPEN 60 PEN INJECTOR $297.86 ASTRAZENECA
00597-0168-18 SYNJARDY 12.5-1,000 MG TABLET $7.75 BOEHRINGER ING.
00597-0168-60 SYNJARDY 12.5-1,000 MG TABLET $7.75 BOEHRINGER ING.
00597-0180-18 SYNJARDY 12.5-500 MG TABLET $7.75 BOEHRINGER ING.
00597-0180-60 SYNJARDY 12.5-500 MG TABLET $7.75 BOEHRINGER ING.
00597-0175-18 SYNJARDY 5-1,000 MG TABLET $7.75 BOEHRINGER ING.
00597-0175-60 SYNJARDY 5-1,000 MG TABLET $7.75 BOEHRINGER ING.
00597-0159-18 SYNJARDY 5-500 MG TABLET $7.75 BOEHRINGER ING.
00597-0159-60 SYNJARDY 5-500 MG TABLET $7.75 BOEHRINGER ING.
00597-0280-73 SYNJARDY XR 10-1,000 MG TABLET $15.50 BOEHRINGER ING.
00597-0280-90 SYNJARDY XR 10-1,000 MG TABLET $15.50 BOEHRINGER ING.
00597-0300-45 SYNJARDY XR 12.5-1,000 MG TAB $7.75 BOEHRINGER ING.
00597-0300-93 SYNJARDY XR 12.5-1,000 MG TAB $7.75 BOEHRINGER ING.
00597-0295-78 SYNJARDY XR 25-1,000 MG TABLET $15.50 BOEHRINGER ING.
00597-0295-88 SYNJARDY XR 25-1,000 MG TABLET $15.50 BOEHRINGER ING.
00597-0290-59 SYNJARDY XR 5-1,000 MG TABLET $7.75 BOEHRINGER ING.
00597-0290-74 SYNJARDY XR 5-1,000 MG TABLET $7.75 BOEHRINGER ING.
00024-5869-03 TOUJEO SOLOSTAR 300 UNIT/ML $78.58 SANOFI-AVENTIS
00597-0140-30 TRADJENTA 5 MG TABLET $13.72 BOEHRINGER ING.
00597-0140-61 TRADJENTA 5 MG TABLET $13.72 BOEHRINGER ING.
00597-0140-90 TRADJENTA 5 MG TABLET $13.72 BOEHRINGER ING.
00169-2660-15 TRESIBA FLEXTOUCH 100 UNIT/ML $30.77 NOVO NORDISK
00169-2550-13 TRESIBA FLEXTOUCH 200 UNIT/ML $61.55 NOVO NORDISK
00002-1433-80 TRULICITY 0.75 MG/0.5 ML PEN $338.00 ELI LILLY & CO.
00002-1434-80 TRULICITY 1.5 MG/0.5 ML PEN $338.00 ELI LILLY & CO.
00169-4060-12 VICTOZA 2-PAK 18 MG/3 ML PEN $89.63 NOVO NORDISK
00169-4060-13 VICTOZA 3-PAK 18 MG/3 ML PEN $89.63 NOVO NORDISK
65597-0902-30 WELCHOL 3.75G PACKET $19.80 DAIICHI SANKYO,
65597-0701-18 WELCHOL 625 MG TABLET $3.30 DAIICHI SANKYO,
00310-6280-30 XIGDUO XR 10 MG-1,000 MG TAB $15.48 ASTRAZENECA
00310-6270-30 XIGDUO XR 10 MG-500 MG TABLET $15.48 ASTRAZENECA
00310-6260-60 XIGDUO XR 5 MG-1,000 MG TABLET $7.74 ASTRAZENECA
00310-6250-30 XIGDUO XR 5 MG-500 MG TABLET $15.48 ASTRAZENECA
00169-2911-15 XULTOPHY 100 UNIT-3.6 MG/ML PEN $66.09 NOVO NORDISK

**Selected from data included with permission and copyrighted by FDB, Inc.**