WOMEN’S HEALTH Birth Control IMPORTANT: In order to receive a medication at the listed price, your prescription must be written for the exact quantity indicated.
hydrochlorothiazide 12.5mg, 90 capsules $ 29.00
(generic of Proventil 90mcg, Ventolin 90mcg)
CARDIOVASCULAR
(generic of Micronor 28-day, Errin 28-day)
Blood Pressure Lowering Breast Cancer
(generic of Lo/Ovral 28-day, Cryselle 28-day)
Menopause
Microgestin 1.5/30 21-day, 3 cycle packs $ 49.00
(generic of Zestoretic/Prinzide 20-12.5mg)
medroxyprogesterone 2.5mg, 90 tablets $ 19.00
Microgestin FE 1/20 28-day, 3 cycle packs$ 49.00
Microgestin FE 1.5/30 28-day, 3 cycle packs $ 49.00
The drug names listed here are the registered and/or
unregistered trademarks of third-party pharmaceutical
companies unrelated to and unaffiliated with Caremark.
These trademarks are included here for informational
purposes only and are not intended to imply or suggest
any affiliation between Caremark and such third-party
Norinyl 1/35 28-day, Nortrel 1/35 28-day)
NOTE: Brand name drugs in parentheses are listed for reference
only and are not available for purchase at the program price.
Prices may vary on a quarterly basis. For an updated list of drugs
and their prices, visit https://rxpl.advancerx.com.
health improvement services, touching the
(generic of Nor-QD 28-day, Camila 28-day)
lives of more than 75 million individuals
NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase through thisservice. Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com.
Copyright 2004 Caremark Inc. All rights reserved. CARDIOVASCULAR cont. DIABETES CENTRAL NERVOUS SYSTEM Muscle Relaxants Anxiety
triamterene w/HCTZ 37.5-25mg, 90 capsules $ 19.00
triamterene w/HCTZ 37.5-25mg, 90 tablets $ 19.00
triamterene w/HCTZ 75-50mg, 90 tablets $ 14.00
Pain Rheumatoid Arthritis
hydroxychloroquine 200mg, 180 tablets $ 69.00
Depression Cholesterol Lowering GASTROINTESTINAL GERD/Peptic Ulcer NUTRITIONAL/OTHER THYROID REPLACEMENT
levothyroxine sodium 50mcg, 90 tablets $ 19.00
levothyroxine sodium 75mcg, 90 tablets $ 19.00
Heart Conditions Inflammatory Bowel Disease
levothyroxine sodium 100mcg, 90 tablets $ 19.00
UROLOGICAL Prostate Parkinson’s Disease
carbidopa/levodopa 25/100, 270 tablets $ 99.00
Intermittent Claudication Seizures/Other MUSCULOSKELETAL Anti-inflammatory Potassium Replacement
NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase through this
phenytoin sod ext 100mg, 270 capsules $ 49.00
service. Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com. CARDIOVASCULAR cont. DIABETES CENTRAL NERVOUS SYSTEM Muscle Relaxants Anxiety
triamterene w/HCTZ 37.5-25mg, 90 capsules $ 19.00
triamterene w/HCTZ 37.5-25mg, 90 tablets $ 19.00
triamterene w/HCTZ 75-50mg, 90 tablets $ 14.00
Pain Rheumatoid Arthritis
hydroxychloroquine 200mg, 180 tablets $ 69.00
Depression Cholesterol Lowering GASTROINTESTINAL GERD/Peptic Ulcer NUTRITIONAL/OTHER THYROID REPLACEMENT
levothyroxine sodium 50mcg, 90 tablets $ 19.00
levothyroxine sodium 75mcg, 90 tablets $ 19.00
Heart Conditions Inflammatory Bowel Disease
levothyroxine sodium 100mcg, 90 tablets $ 19.00
UROLOGICAL Prostate Parkinson’s Disease
carbidopa/levodopa 25/100, 270 tablets $ 99.00
Intermittent Claudication Seizures/Other MUSCULOSKELETAL Anti-inflammatory Potassium Replacement
NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase through this
phenytoin sod ext 100mg, 270 capsules $ 49.00
service. Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com. WOMEN’S HEALTH Birth Control IMPORTANT: In order to receive a medication at the listed price, your prescription must be written for the exact quantity indicated.
hydrochlorothiazide 12.5mg, 90 capsules $ 29.00
(generic of Proventil 90mcg, Ventolin 90mcg)
CARDIOVASCULAR
(generic of Micronor 28-day, Errin 28-day)
Blood Pressure Lowering Breast Cancer
(generic of Lo/Ovral 28-day, Cryselle 28-day)
Menopause
Microgestin 1.5/30 21-day, 3 cycle packs $ 49.00
(generic of Zestoretic/Prinzide 20-12.5mg)
medroxyprogesterone 2.5mg, 90 tablets $ 19.00
Microgestin FE 1/20 28-day, 3 cycle packs$ 49.00
Microgestin FE 1.5/30 28-day, 3 cycle packs $ 49.00
The drug names listed here are the registered and/or
unregistered trademarks of third-party pharmaceutical
companies unrelated to and unaffiliated with Caremark.
These trademarks are included here for informational
purposes only and are not intended to imply or suggest
any affiliation between Caremark and such third-party
Norinyl 1/35 28-day, Nortrel 1/35 28-day)
NOTE: Brand name drugs in parentheses are listed for reference
only and are not available for purchase at the program price.
Prices may vary on a quarterly basis. For an updated list of drugs
and their prices, visit https://rxpl.advancerx.com.
health improvement services, touching the
(generic of Nor-QD 28-day, Camila 28-day)
lives of more than 75 million individuals
NOTE: Brand name drugs in parentheses are listed for reference only and are not available for purchase through thisservice. Prices may vary on a quarterly basis. For an updated list of drugs and their prices, visit https://rxpl.advancerx.com.
Copyright 2004 Caremark Inc. All rights reserved.
Allegato - A - migliori offerenti/aggiudicatari Prezzo di Miglior offerente PA richiesto Forma dosaggio Richiesto Nome commerciale Valore totale HUMIRA in 2 siringhe preriempite - Lista N777MICRONOAN 5 Soluzione rettale - Lista Lista A494SYNAGIS 50mg polvere e solvente - Lista A493ZEMPLAR 5mcg/ml soluz. iniettabile - Lista P715TYTMONORM 150mg cpr rivestite - Lista M096RYTMO
Onderzoek Luchtkwaliteit Deze bijlage bevat het luchtkwaliteitsonderzoek en is de verantwoording voor de toelichting (para- graaf 5.10). In de eerste paragraaf van deze bijlage zijn het geldende beleid en de daarbij horende normering weergeven. De tweede paragraaf is gebruikt om het daadwerkelijke uitgevoerde lucht- kwaliteitsonderzoek weer te geven met daarin onder andere de uitgangspunten e