Blood Pressure/Heart Health Continued
PROPRANOLOL 60MG TAB 3 60 180 SIMVASTATIN 40MG TAB 2 30 90
BENAZEPRIL 40MG TAB 2 30 90
QUINAPRIL 5MG TAB 2 30 90 SIMVASTATIN 80MG TAB 2 30 90
BISOPROLOL FUMARATE 5MG TAB 2 30 90
QUINAPRIL 10MG TAB 2 30 90
BISOPROLOL/HCTZ 2.5MG/6.25MG TAB 2 30 90
QUINAPRIL 20MG TAB 3 30 90
Cough/Cold/Allergy
BISOPROLOL/HCTZ 5MG/6.25MG TAB 2 30 90
QUINAPRIL 40MG TAB 2 30 90
Quantity
BISOPROLOL/HCTZ 10MG/6.25MG TAB 2 30 90
RAMIPRIL 1.25MG CAP 3 30 90
Drug Name Tier 30 90
CARVEDILOL 3.125MG TAB 2 60 180
SOTALOL 120MG TAB 2 60 180
ALLER-CHLOR 4MG TAB 1 100 300
CARVEDILOL 6.25MG TAB 2 60 180
SPIRONOLACTONE 25MG TAB 2 30 90
BENZONATATE 100MG CAP 2 30 90
CARVEDILOL 12.5MG TAB 2 60 180
SPIRONOLACTONE 50MG TAB 2 30 90
BENZONATATE 200MG CAP 3 30 90
CARVEDILOL 25MG TAB 2 60 180
TERAZOSIN 1MG CAP 2 30 90
CETIRIZINE 1MG/ML SYRUP 3 120 360
CLONIDINE 0.1MG TAB 2 60 180
TERAZOSIN 2MG CAP 2 30 90
CYPROHEPTADINE 2MG/5ML SYRUP 3 120 360
CLONIDINE 0.2MG TAB 2 60 180
TERAZOSIN 5MG CAP 2 30 90
DE-CHLOR DM LIQUID 2 120 360
CLONIDINE 0.3MG TAB 2 60 180
TERAZOSIN 10MG CAP 2 30 90
DE-CHLOR DR SYRUP 2 180
540
DILTIAZEM 30MG TAB 2 60 180
TICLOPIDINE 250MG TAB 3 60 180
DEHISTINE SYRUP 3 240 720
DILTIAZEM 60MG TAB 3 60 180
TORSEMIDE 5MG TAB 3 30 90
DIPHENHYDRAMINE 50MG CAP 2 30 90
DILTIAZEM 120MG TAB 2 30 90
TORSEMIDE 10MG TAB 3 30 90
FLUTICASONE NASAL SP (120INH) 16GM 3 16 48
DOXAZOSIN 1MG TAB 3 30 90
TORSEMIDE 20MG TAB 3 30 90
LORATADINE 10MG TAB 1 30 90
DOXAZOSIN 2MG TAB 3 30 90
TRANDOLAPRIL 1MG TAB 2 30 90
NOHIST TAB 3 30 90
DOXAZOSIN 4MG TAB 3 30 90
TRANDOLAPRIL 2MG TAB 2 30 90
ORGAN-I NR 200MG TAB 3 120 360
ENALAPRIL 2.5MG TAB 2 60 180
TRANDOLAPRIL 4MG TAB 2 30 90
PBM ALLERGY SYRUP 3 120 360
ENALAPRIL 5MG TAB 2 60 180
TRIAMTERENE 37.5MG/ HCTZ 25MG CAP 2 30 90
PHENYLTOLOXAMINE PE CPM SYRUP 2 240 720
ENALAPRIL-HCTZ 5-12.5MG TAB 2 60 180
TRIAMTERENE 37.5MG/ HCTZ 25MG TAB 3 30 90
PROMETHAZINE 12.5MG TAB 2 30 90
ENALAPRIL-HCTZ 10-25MG TAB 2 30 90
TRIAMTERENE 75MG/ HCTZ 50MG TAB 1 30 90
PROMETHAZINE 25MG TAB 1 12 36
FOSINOPRIL 10MG TAB 2 30 90
VERAPAMIL 40MG TAB 3 60 180
PROMETHAZINE 50MG TAB 2 60 180
FOSINOPRIL 20MG TAB
2 30 90
VERAPAMIL 80MG TAB 1 30 90
PROMETHAZINE DM SYRUP 2 180 540
FOSINOPRIL 40MG TAB 3 30 90
VERAPAMIL 120MG TAB 2 30 90
QUARTUSS DM DROPS 30ML 3 30 90
FUROSEMIDE 10MG/ML ORAL SOLN 60ML 3 90 270
WARFARIN SOD 1MG TAB 2 30 90
QV-ALLERGY SYRUP 3 240 720
FUROSEMIDE 20MG TAB 1 60 180
WARFARIN SOD 2.5MG TAB 2 30 90
REME TUSSIN DM SYRUP 3 150 450
FUROSEMIDE 40MG TAB 1 60 180
WARFARIN SOD 2MG TAB 2 30 90
SILDEC PE-DM SYRUP 1 120 360
FUROSEMIDE 80MG TAB 1 30 90
WARFARIN SOD 3MG TAB 2 30 90
SILDEC-PE SYRUP 1 120 360
GUANFACINE 1MG TAB 2 30 90
WARFARIN SOD 4MG TAB 2 30 90
SUPRESS-DX PED DROPS 30ML 3 30 90
GUANFACINE 2MG TAB 2 30 90
WARFARIN SOD 5MG TAB 2 30 90
TRIPOHIST LIQUID 3 120 360
HYDRALAZINE 10MG TAB 1 60 90
WARFARIN SOD 6MG TAB 2 30 90
HYDRALAZINE 25MG TAB 2 60 180
WARFARIN SOD 7.5MG TAB 2 30 90
Diabetes
HYDROCHLOROTHIAZIDE 12.5MG CAP 2 30 90
WARFARIN SOD 10MG** TAB 2 30 90
Quantity
YDROCHLOROTHIAZIDE 12.5MG TAB 3 30 90
Drug Name Tier 30 90
HYDROCHLOROTHIAZIDE 25MG TAB 1 30 90
Cholestrol
GLIMEPIRIDE 1MG TAB 1 30 90
HYDROCHLOROTHIAZIDE 50MG TAB 1 30 90
Quantity
GLIMEPIRIDE 2MG TAB 1 30 90
INDAPAMIDE 1.25MG TAB 2 30 90
Drug Name Tier 30 90
GLIMEPIRIDE 4MG TAB 2 30 90
INDAPAMIDE 2.5MG TAB 2 30 90
ATORVASTATIN 10MG TAB 3 30 90
GLIPIZIDE 5MG TAB 1 30 90
ISOSORBIDE DINITRATE 2.5MG SL TAB 2 30 90
ATORVASTATIN 20MG TAB 3 30 90
GLIPIZIDE 10MG TAB 2 60 180
ISOSORBIDE DINITRATE 5MG SUBL TAB 3 120 360
ATORVASTATIN 40MG TAB 3 30 90
GLIPIZIDE ER 10MG TAB 3 30 90
ISOSORBIDE MONONITRATE 30MG ER TAB 2 30 90
ATORVASTATIN 80MG TAB 3 30 90
GLIPIZIDE XL 2.5MG TAB 3 60 180
ISOSORBIDE MONONITRATE 60MG ER TAB 2 30 90
FENOFIBRATE 54MG TAB 3 30 90
GLIPIZIDE XL 5MG TAB 3 30 90
LISINOPRIL 2.5MG TAB 2 30 90
GEMFIBROZIL 600MG TAB 3 60 180
GLYBURIDE 1.25MG TAB 1 30 90
LISINOPRIL 5MG TAB 2 30 90
LOVASTATIN 10MG TAB 2 30 90
GLYBURIDE 2.5MG TAB 2 30 90
LISINOPRIL 10MG TAB 1 30 90
LOVASTATIN 20MG TAB 2 30 90
GLYBURIDE 5MG TAB 2 30 90
LISINOPRIL 20MG TAB 1 30 90
LOVASTATIN 40MG TAB 2 30 90
GLYBURIDE MICRO 1.5MG TAB 1 30 90
LISINOPRIL 30MG TAB
2 30 90
PRAVASTATIN 10MG TAB 2 30 90
GLYBURIDE MICRO 3MG TAB 1 30 90
LISINOPRIL 40MG TAB 2 30 90
PRAVASTATIN 20MG TAB 2 30 90
GLYBURIDE MICRO 6MG TAB 2 30 90
LISINOPRIL-HCTZ 10/12.5MG TAB 2 30 90
PRAVASTATIN 40MG TAB 2 30 90
GLYBURIDE/METFORMIN 1.25/250MG TAB 2 60 180
LISINOPRIL-HCTZ 20/12.5MG TAB 2 30 90
PRAVASTATIN 80MG TAB 2 30 90
GLYBURIDE/METFORMIN 2.5/500MG TAB 2 60 180
LISINOPRIL-HCTZ 20/25MG TAB 2 30 90
ROSUVASTATIN 5MG TAB 3 30 90
METFORMIN 500MG TAB 1 90 270
METHYLDOPA 250MG TAB 3 60 180
ROSUVASTATIN 10MG TAB 3 30 90
METFORMIN 850MG TAB 1 90 270
METHYLDOPA 500MG TAB 3 60 180
ROSUVASTATIN 20MG TAB 3 30 90
METFORMIN 1000MG TAB 1 60 180
METOPROLOL TARTRATE 25MG TAB 2 60 180
ROSUVASTATIN 40MG TAB 3 30 90
METFORMIN ER 500MG 24HR TAB 1 60 180
METOPROLOL TARTRATE 50MG TAB 2 60 180
SIMVASTATIN 5MG TAB 2 30 90
METOPROLOL TARTRATE 100MG TAB 2 60 180
SIMVASTATIN 10MG TAB 2 30 90
PRAZOSIN 1MG CAP 3 30 90
SIMVASTATIN 20MG TAB 2 30 90