Choice Plan - Express Scripts

ifampin.................................................................. 5RILUTEK ............................................................ 25riluzole ................................................................. 25rimantadine hcl ...................................................... 3ringers injection ................................................... 40RISPERDAL CONSTA....................................... 17risperidone ........................................................... 17risperidone odt ..................................................... 17RITALIN LA ....................................................... 17RITUXAN ............................................................. 9rivastigmine tartrate ............................................ 12rizatriptan benzoate ............................................. 11rizatriptan benzoate odt ....................................... 11ropinirole er ......................................................... 11ropinirole hcl ....................................................... 11ROTATEQ ........................................................... 33ROXICET ............................................................ 14SSABRIL ............................................................... 10SAMSCA ............................................................. 29SANCTURA XR ................................................. 39SANCUSO ........................................................... 31SANDIMMUNE .................................................... 9SANDOSTATIN LAR DEPOT ............................ 9SANTYL .............................................................. 24SAPHRIS ............................................................. 17SAVELLA ........................................................... 34SAVELLA TITRATION PACK ......................... 34selegiline hcl ........................................................ 11selenium sulfide ................................................... 22SELZENTRY ........................................................ 3SENSIPAR .......................................................... 29SEREVENT DISKUS ......................................... 38SEROMYCIN ........................................................ 5SEROQUEL XR .................................................. 17sertraline hcl ........................................................ 17SIGNIFOR ............................................................. 9sildenafil citrate ................................................... 38SILENOR ............................................................ 17silver sulfadiazine ................................................ 22SIMBRINZA ....................................................... 36SIMCOR .............................................................. 22SIMPONI ............................................................. 34SIMPONI ARIA .................................................. 34SIMULECT ........................................................... 9simvastatin ........................................................... 22SINGULAIR ........................................................ 38SIRTURO .............................................................. 5SKELID ............................................................... 25SKLICE ............................................................... 24sodium chloride ............................................. 25, 40sodium chloride 0.45% viaflex ............................ 40sodium chloride 0.9% .......................................... 25sodium fluoride .................................................... 41sodium phenylbutyrate ......................................... 25sodium polystyrene sulfonate ............................... 25sodium sulfacetamide ........................................... 37SOLARAZE ........................................................ 23SOLTAMOX ......................................................... 9SOLU-CORTEF .................................................. 26SOLU-MEDROL ................................................. 26SOMATULINE DEPOT ....................................... 9SOMAVERT ....................................................... 29SORIATANE ....................................................... 22sorine ................................................................... 18sotalol hcl ............................................................. 18sotalol hcl (af) ...................................................... 18spinosad ............................................................... 24SPIRIVA HANDIHALER................................... 38spironolactone ..................................................... 21spironolactone/hydrochlorothiazide .................... 21SPORANOX .......................................................... 1sprintec 28 ........................................................... 35SPRYCEL .............................................................. 9sronyx ................................................................... 35ssd ........................................................................ 22stagesic ................................................................ 14STALEVO 100 .................................................... 11STALEVO 125 .................................................... 11STALEVO 150 .................................................... 11STALEVO 200 .................................................... 11STALEVO 50 ...................................................... 11STALEVO 75 ...................................................... 11stavudine ................................................................ 3STIMATE ............................................................ 2958