Choice Plan - Express Scripts

HHALAVEN ............................................................ 8HALDOL ............................................................. 16HALDOL DECANOATE 100 ............................ 16HALDOL DECANOATE 50 .............................. 16HALFLYTELY BOWEL PREP/FLAVORPACKS ................................................................ 30halobetasol propionate ........................................ 24haloperidol ........................................................... 16haloperidol decanoate ......................................... 16haloperidol lactate ............................................... 16HAVRIX ........................................................ 32, 33heparin sodium .................................................... 21heparin sodium/d5w............................................. 21heparin sodium/nacl 0.45% ................................. 21heparin sodium/sodium chloride 0.9% premix .... 21HEPATAMINE ................................................... 41HEPATASOL ...................................................... 41HEPSERA.............................................................. 1HERCEPTIN ......................................................... 8HEXALEN ............................................................ 8HUMALOG ......................................................... 27HUMALOG KWIKPEN ..................................... 27HUMALOG MIX 50/50 ...................................... 27HUMALOG MIX 50/50 KWIKPEN ................... 27HUMALOG MIX 75/25 ...................................... 27HUMALOG MIX 75/25 KWIKPEN ................... 27HUMIRA ............................................................. 33HUMIRA PEN-CROHNS DISEASESTARTER33HUMULIN 70/30 ................................................ 27HUMULIN 70/30 PEN ........................................ 27HUMULIN N ....................................................... 27HUMULIN N U-100 PEN ................................... 27HUMULIN R ....................................................... 27HUMULIN R U-500 (CONCENTRATED) ........ 27hydralazine hcl ..................................................... 20hydrochlorothiazide ............................................. 20hydrocodone bitartrate/acetaminophen ......... 12, 13hydrocodone/acetaminophen ............................... 13hydrocodone/ibuprofen ........................................ 13hydrocortisone ......................................... 24, 26, 30hydrocortisone butyrate ....................................... 24hydrocortisone valerate ....................................... 24hydrocortisone/acetic acid ................................... 26hydromorphone hcl .............................................. 13hydroxychloroquine sulfate ................................... 5hydroxyurea ........................................................... 8hydroxyzine hcl .................................................... 37Iibandronate sodium ............................................. 33ibuprofen .............................................................. 14ICLUSIG ................................................................ 8idarubicin hcl ......................................................... 8IFEX ...................................................................... 8ifosfamide ............................................................... 8ILEVRO ............................................................... 36imipenem/cilastatin ................................................ 5imipramine hcl ..................................................... 16imipramine pamoate ............................................ 16imiquimod ............................................................ 23IMOVAX RABIES (H.D.C.V.) ........................... 33INCIVEK ............................................................... 1INCRELEX .......................................................... 25indapamide .......................................................... 20indomethacin ........................................................ 14indomethacin er ................................................... 14INFANRIX .......................................................... 33INLYTA ................................................................ 8INSULIN PEN NEEDLE .................................... 27INSULIN SYRINGE (DISP) U-100 0.3 ML ...... 27INSULIN SYRINGE (DISP) U-100 1 ML ......... 27INSULIN SYRINGE (DISP) U-100 1/2 ML ...... 27INTELENCE ..................................................... 1, 2INTRALIPID ....................................................... 41INTRON-A .......................................................... 32INTRON-A W/DILUENT ................................... 32introvale ............................................................... 35INTUNIV ............................................................. 16INVEGA .............................................................. 16INVEGA SUSTENNA ........................................ 16INVIRASE ............................................................. 2INVOKANA ........................................................ 27IONOSOL-B/DEXTROSE 5% ........................... 41IONOSOL-MB/DEXTROSE 5% ........................ 41IOPIDINE ............................................................ 3750