rx_claim_id,member_id,fill_date,paid_date,pharmacy_npi,prescriber_npi,plan_id,bin_number,pcn_code,ndc_11,drug_name_generic,drug_name_brand,therapeutic_class,atc_code,formulary_tier,days_supply,quantity_dispensed,refill_number,pharmacy_type,dispense_as_written_code,specialty_rx_flag,compounded_flag,ingredient_cost,dispensing_fee,gross_amount_due,copay_amount,plan_paid,dir_fee_amount,awp_per_unit,nadac_per_unit,early_refill_flag,fraud_label_rx,diversion_flag,controlled_substance_flag,end_date
RX0000000001,MBR00000001,2022-12-13,2022-12-14,1590578332,1118471142,PLN7705,724092,PCN717,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,1,Mail Order,0,0,0,74.67,10.16,84.83,37.0,42.63,5.2,12.8,9.0667,0,0,0,0,2022-12-20
RX0000000002,MBR00000001,2023-05-29,2023-06-01,1731969319,1254965152,PLN8384,780927,PCN385,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,11,Retail,0,0,0,18.0,11.62,29.62,5.0,23.46,1.16,0.72,0.51,0,0,0,0,2023-06-28
RX0000000003,MBR00000001,2021-06-21,2021-06-23,1455251738,1450214366,PLN4358,307916,PCN814,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,8,Retail,1,0,0,45.0,7.99,52.99,9.0,41.47,2.52,1.8,1.275,0,0,0,0,2021-07-21
RX0000000004,MBR00000001,2021-09-16,2021-09-19,1359792468,1285763753,PLN8215,657449,PCN324,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,4,Retail,0,0,0,10.0,4.31,14.31,5.0,8.62,0.69,0.4,0.2833,1,0,0,0,2021-10-16
RX0000000005,MBR00000001,2023-11-06,2023-11-07,1875783433,1100734493,PLN7526,363560,PCN462,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,2,Retail,0,0,0,8.5,4.72,13.22,9.0,3.76,0.46,0.34,0.2408,1,0,0,0,2023-12-06
RX0000000006,MBR00000001,2021-07-27,2021-07-30,1420365978,1997322827,PLN3977,134836,PCN126,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,94,4,Retail,0,0,0,84.0,5.65,89.65,4.0,81.49,4.16,1.12,0.7933,0,0,0,0,2021-10-25
RX0000000007,MBR00000001,2021-04-22,2021-04-26,1964623996,1479493712,PLN5085,953735,PCN985,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,6,Retail,0,0,0,18.0,11.1,29.1,3.0,24.78,1.32,0.72,0.51,1,0,0,0,2021-05-22
RX0000000008,MBR00000001,2022-07-15,2022-07-18,1974518237,1490284034,PLN7892,749476,PCN100,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,63,5,Retail,0,0,0,130.0,1.88,131.88,40.0,85.81,6.07,2.6,1.8417,0,0,0,0,2022-09-13
RX0000000009,MBR00000001,2022-05-28,2022-05-29,1437937837,1469291697,PLN2094,998792,PCN717,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,89,11,Retail,0,0,0,30.0,4.6,34.6,9.0,23.86,1.74,0.4,0.2833,0,0,0,0,2022-08-26
RX0000000010,MBR00000001,2021-12-20,2021-12-22,1485520614,1387960997,PLN6778,867566,PCN689,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,6,Retail,0,0,0,18.0,7.28,25.28,7.0,16.85,1.43,0.72,0.51,0,0,0,0,2022-01-19
RX0000000011,MBR00000001,2022-05-31,2022-06-03,1732946949,1684018170,PLN6592,638435,PCN437,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,7,Retail,0,1,0,12.0,11.94,23.94,151.0,0.0,1.51,0.48,0.34,0,0,0,0,2022-06-30
RX0000000012,MBR00000001,2022-10-21,2022-10-22,1269758519,1559880999,PLN5918,282666,PCN927,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,5,Specialty,1,0,0,18.0,39.94,57.94,2.0,55.94,0.0,0.72,0.51,0,0,0,0,2022-11-20
RX0000000013,MBR00000001,2023-02-05,2023-02-08,1414991851,1315004348,PLN8890,346130,PCN461,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,8,Retail,3,0,0,15.0,6.83,21.83,0.0,21.0,0.83,0.6,0.425,0,0,0,0,2023-03-07
RX0000000014,MBR00000001,2022-06-08,2022-06-12,1330699710,1554318670,PLN8011,857253,PCN275,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,1,Retail,0,0,0,650.0,10.71,660.71,36.0,580.7,44.01,26.0,18.4167,0,0,0,0,2022-07-08
RX0000000015,MBR00000001,2023-04-28,2023-05-01,1278074994,1948685833,PLN2917,333935,PCN309,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,1,Retail,0,0,0,38.0,1.54,39.54,31.0,6.82,1.72,1.52,1.0767,0,0,0,0,2023-05-28
RX0000000016,MBR00000001,2022-01-02,2022-01-03,1940646402,1555841497,PLN3572,112130,PCN418,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,83,7,Retail,0,0,0,27.0,8.18,35.18,10.0,23.86,1.32,0.36,0.255,0,0,0,0,2022-04-02
RX0000000017,MBR00000001,2023-03-15,2023-03-17,1785926438,1263880586,PLN4596,142157,PCN149,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,5,Retail,0,0,0,18.0,7.49,25.49,0.0,23.8,1.69,0.72,0.51,0,0,0,0,2023-04-14
RX0000000018,MBR00000001,2021-06-08,2021-06-10,1553249211,1872408255,PLN3249,811990,PCN634,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,86,0,Retail,0,1,0,36.0,4.8,40.8,153.0,0.0,1.24,0.48,0.34,0,0,0,0,2021-09-06
RX0000000019,MBR00000001,2021-09-16,2021-09-19,1203281292,1389207626,PLN7344,272462,PCN319,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,2,Mail Order,0,0,0,4.2,4.34,8.54,3.0,5.11,0.43,0.72,0.51,0,0,0,0,2021-09-23
RX0000000020,MBR00000001,2021-12-24,2021-12-25,1530944115,1538272018,PLN9142,908328,PCN348,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,82,11,Retail,0,0,0,42.0,7.99,49.99,5.0,42.94,2.05,0.56,0.3967,0,0,0,0,2022-03-24
RX0000000021,MBR00000001,2022-07-11,2022-07-12,1412962281,1994561180,PLN5039,526670,PCN391,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,60,6,Mail Order,0,1,0,24.0,1.99,25.99,148.0,0.0,0.93,0.48,0.34,0,0,0,0,2022-09-09
RX0000000022,MBR00000001,2022-07-22,2022-07-23,1813615392,1783973495,PLN2423,867970,PCN852,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,84,4,Retail,3,0,0,36.0,6.86,42.86,7.0,32.91,2.95,0.48,0.34,0,0,0,0,2022-10-20
RX0000000023,MBR00000001,2022-07-26,2022-07-30,1889668659,1333216794,PLN3652,760195,PCN205,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,2,Retail,0,0,0,14.0,11.82,25.82,0.0,24.81,1.01,0.56,0.3967,0,0,0,0,2022-08-25
RX0000000024,MBR00000001,2021-05-30,2021-06-03,1652311428,1599700893,PLN5318,741341,PCN820,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,10,Retail,0,0,0,65.0,3.14,68.14,32.0,32.71,3.43,2.6,1.8417,0,0,0,0,2021-06-29
RX0000000025,MBR00000001,2022-02-02,2022-02-04,1712250994,1514049688,PLN5857,616147,PCN411,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,6,Retail,0,0,0,54.0,8.17,62.17,34.0,24.77,3.4,0.72,0.51,0,0,0,0,2022-05-03
RX0000000026,MBR00000001,2022-12-21,2022-12-24,1415932338,1941501046,PLN6198,180605,PCN712,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,6,Retail,0,1,0,12.0,11.09,23.09,150.0,0.0,1.21,0.48,0.34,0,0,0,0,2023-01-20
RX0000000027,MBR00000001,2022-01-10,2022-01-12,1424944019,1610099983,PLN7375,886077,PCN994,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,5,Mail Order,0,0,0,310.0,9.53,319.53,31.0,274.97,13.56,12.4,8.7833,0,0,0,0,2022-02-09
RX0000000028,MBR00000001,2022-11-04,2022-11-08,1671952036,1417555233,PLN3693,885167,PCN809,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,4,Retail,0,0,0,2.57,9.14,11.71,5.0,6.33,0.38,0.44,0.3117,0,0,0,0,2022-11-11
RX0000000029,MBR00000001,2021-04-17,2021-04-20,1138297873,1854883303,PLN6032,521245,PCN382,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,2,Retail,0,0,0,8.5,10.59,19.09,7.0,11.02,1.07,0.34,0.2408,0,0,0,0,2021-05-17
RX0000000030,MBR00000001,2022-06-05,2022-06-08,1145319743,1627500844,PLN8361,614237,PCN191,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,4,Retail,0,0,0,380.0,10.3,390.3,37.0,333.55,19.75,15.2,10.7667,0,0,0,0,2022-07-05
RX0000000031,MBR00000001,2022-04-12,2022-04-13,1111633837,1753868091,PLN1939,434426,PCN925,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,3,Specialty,0,0,0,45.0,17.19,62.19,0.0,62.19,0.0,1.8,1.275,0,0,0,0,2022-05-12
RX0000000032,MBR00000001,2021-02-23,2021-02-26,1140797828,1268933716,PLN7909,610595,PCN665,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,5,Specialty,0,0,1,6.53,34.22,40.75,1.0,39.75,0.0,1.12,0.7933,0,0,0,0,2021-03-02
RX0000000033,MBR00000001,2022-07-11,2022-07-12,1843738474,1308960812,PLN2866,454306,PCN424,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,7,Retail,0,0,0,3.5,6.23,9.73,5.0,4.37,0.36,0.6,0.425,0,0,0,0,2022-07-18
RX0000000034,MBR00000001,2022-02-10,2022-02-13,1305423669,1747180960,PLN5610,990045,PCN129,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,4,Mail Order,0,0,0,950.0,6.3,956.3,36.0,883.03,37.27,38.0,26.9167,0,0,0,0,2022-03-12
RX0000000035,MBR00000001,2022-02-03,2022-02-04,1356501150,1192988386,PLN1560,623655,PCN492,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,93,9,Specialty,0,0,0,30.0,26.45,56.45,9.0,47.45,0.0,0.4,0.2833,0,0,0,0,2022-05-04
RX0000000036,MBR00000001,2022-11-08,2022-11-11,1982104243,1723416598,PLN7110,512317,PCN498,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,83,6,Retail,0,0,0,555.0,7.24,562.24,39.0,492.8,30.44,7.4,5.2417,0,0,0,0,2023-02-06
RX0000000037,MBR00000001,2023-11-13,2023-11-17,1497314571,1369021177,PLN6556,654897,PCN140,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,7,Retail,0,0,0,380.0,3.89,383.89,36.0,329.14,18.75,15.2,10.7667,0,0,0,0,2023-12-13
RX0000000038,MBR00000001,2023-05-02,2023-05-06,1132326751,1215969596,PLN9710,181543,PCN514,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,1,LTC,0,0,0,185.0,10.95,195.95,31.0,153.16,11.79,7.4,5.2417,0,0,0,0,2023-06-01
RX0000000039,MBR00000001,2021-11-18,2021-11-19,1667372331,1967415588,PLN1284,448297,PCN554,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,0,Specialty,0,1,0,8500.0,8.16,8508.16,154.0,8354.16,0.0,340.0,240.8333,0,0,0,0,2021-12-18
RX0000000040,MBR00000001,2023-06-20,2023-06-23,1433480487,1565973811,PLN4982,677114,PCN499,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,0,Mail Order,0,0,0,10.0,10.99,20.99,8.0,11.55,1.44,0.4,0.2833,0,0,0,0,2023-07-20
RX0000000041,MBR00000001,2023-07-26,2023-07-29,1709868198,1234817217,PLN8282,785475,PCN547,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,2,Retail,2,1,0,18600.0,4.9,18604.9,146.0,17643.67,815.23,248.0,175.6667,0,0,0,0,2023-10-24
RX0000000042,MBR00000001,2021-07-26,2021-07-28,1194142383,1341066760,PLN1247,769780,PCN707,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,2,Specialty,0,0,0,9.0,41.42,50.42,10.0,40.42,0.0,0.36,0.255,0,0,0,0,2021-08-25
RX0000000043,MBR00000001,2021-04-07,2021-04-08,1382117753,1754020032,PLN4273,387821,PCN249,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,3,Retail,0,0,0,38.0,4.7,42.7,39.0,0.79,2.91,1.52,1.0767,0,0,0,0,2021-05-07
RX0000000044,MBR00000001,2021-08-24,2021-08-26,1591639084,1196045465,PLN7177,263866,PCN848,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,11,Specialty,0,0,0,12.0,22.54,34.54,8.0,26.54,0.0,0.48,0.34,1,0,0,0,2021-09-23
RX0000000045,MBR00000001,2023-12-08,2023-12-11,1109495672,1863579379,PLN2259,178118,PCN279,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,84,1,Retail,1,0,0,2250.0,1.87,2251.87,30.0,2097.98,123.89,30.0,21.25,0,0,0,0,2024-03-07
RX0000000046,MBR00000001,2021-11-13,2021-11-16,1790239737,1859415218,PLN2470,714446,PCN462,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,7,Retail,0,0,0,10.0,11.5,21.5,5.0,15.49,1.01,0.4,0.2833,0,0,0,0,2021-12-13
RX0000000047,MBR00000001,2021-05-04,2021-05-05,1270439142,1730962730,PLN7877,256649,PCN864,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,2,Retail,2,0,0,10.0,9.7,19.7,8.0,10.93,0.77,0.4,0.2833,0,0,0,0,2021-06-03
RX0000000048,MBR00000001,2021-10-06,2021-10-08,1609624270,1593105835,PLN2220,668129,PCN271,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,92,3,Retail,0,0,0,33.0,5.45,38.45,5.0,31.55,1.9,0.44,0.3117,1,0,0,0,2022-01-04
RX0000000049,MBR00000001,2021-03-30,2021-04-01,1895714118,1985276924,PLN7061,639527,PCN649,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,89,8,Retail,0,0,0,30.0,9.14,39.14,0.0,37.01,2.13,0.4,0.2833,0,0,0,0,2021-06-28
RX0000000050,MBR00000002,2021-12-29,2021-12-30,1676433881,1687328787,PLN8471,581930,PCN764,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,8,Retail,0,0,0,12.5,7.44,19.94,7.0,12.07,0.87,0.5,0.3542,0,1,0,0,2022-01-28
RX0000000051,MBR00000002,2022-03-08,2022-03-11,1459284154,1303886014,PLN8897,905230,PCN939,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,82,6,Specialty,0,0,0,930.0,9.0,939.0,39.0,900.0,0.0,12.4,8.7833,1,0,0,0,2022-06-06
RX0000000052,MBR00000002,2023-09-09,2023-09-13,1778592315,1254018554,PLN2296,412647,PCN216,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,4,Retail,0,0,0,8.5,7.64,16.14,3.0,12.06,1.08,0.34,0.2408,0,0,0,0,2023-10-09
RX0000000053,MBR00000002,2023-04-18,2023-04-22,1634227593,1682241087,PLN5026,793364,PCN102,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,6,Retail,0,0,0,11.0,12.0,23.0,8.0,13.69,1.31,0.44,0.3117,0,0,0,0,2023-05-18
RX0000000054,MBR00000002,2023-12-17,2023-12-21,1796061087,1511155300,PLN5896,667595,PCN545,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,90,3,Retail,0,0,0,36.0,8.56,44.56,6.0,36.61,1.95,0.48,0.34,0,0,0,0,2024-03-16
RX0000000055,MBR00000002,2021-08-23,2021-08-25,1307539806,1887722719,PLN6578,661780,PCN653,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,8,Retail,0,0,1,10.0,3.45,13.45,10.0,2.84,0.61,0.4,0.2833,0,0,0,0,2021-09-22
RX0000000056,MBR00000002,2023-10-27,2023-10-29,1368351961,1313409388,PLN2335,926420,PCN123,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,7,Retail,0,0,0,8.5,2.62,11.12,2.0,8.64,0.48,0.34,0.2408,0,0,0,0,2023-11-26
RX0000000057,MBR00000002,2022-04-21,2022-04-24,1991901513,1556523153,PLN4203,898494,PCN804,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,90,8,Mail Order,0,0,0,525.0,8.46,533.46,38.0,462.59,32.87,7.0,4.9583,0,0,0,0,2022-07-20
RX0000000058,MBR00000002,2023-08-16,2023-08-20,1463250825,1502875421,PLN9387,767335,PCN326,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,0,Retail,0,0,0,2.33,11.16,13.5,5.0,7.82,0.68,0.4,0.2833,0,0,0,0,2023-08-23
RX0000000059,MBR00000002,2023-01-10,2023-01-11,1625418882,1653890482,PLN5761,751235,PCN144,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,2,Mail Order,1,1,0,1.87,4.08,5.94,146.0,0.0,0.3,0.32,0.2267,1,0,0,0,2023-01-17
RX0000000060,MBR00000002,2021-02-21,2021-02-22,1517659741,1595696898,PLN5952,707570,PCN464,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,5,Mail Order,0,0,0,480.0,4.09,484.09,31.0,435.26,17.83,19.2,13.6,0,0,0,0,2021-03-23
RX0000000061,MBR00000002,2023-09-27,2023-09-28,1998647956,1518967225,PLN7877,342110,PCN677,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,1,Retail,3,0,0,11.0,4.03,15.03,2.0,12.4,0.63,0.44,0.3117,0,0,0,0,2023-10-27
RX0000000062,MBR00000002,2022-04-26,2022-04-30,1947226575,1373513821,PLN1771,726488,PCN199,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,0,Retail,0,0,0,11.0,7.95,18.95,5.0,12.65,1.3,0.44,0.3117,0,0,0,0,2022-05-26
RX0000000063,MBR00000002,2023-07-15,2023-07-19,1948053734,1159620798,PLN7318,507428,PCN719,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,4,Retail,0,0,0,14.0,6.81,20.81,0.0,19.53,1.28,0.56,0.3967,0,0,0,0,2023-08-14
RX0000000064,MBR00000002,2022-10-16,2022-10-18,1828953233,1803167404,PLN2332,687701,PCN552,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,2,Retail,3,0,0,480.0,2.23,482.23,38.0,429.08,15.15,19.2,13.6,0,0,0,0,2022-11-15
RX0000000065,MBR00000002,2022-09-01,2022-09-03,1450820820,1857762529,PLN7955,210842,PCN517,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,11,Mail Order,0,1,0,8500.0,6.87,8506.87,145.0,8081.93,279.94,340.0,240.8333,0,0,0,0,2022-10-01
RX0000000066,MBR00000002,2021-11-06,2021-11-07,1357414101,1729224743,PLN9951,530962,PCN840,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,88,0,Specialty,0,0,0,36.0,11.02,47.02,4.0,43.02,0.0,0.48,0.34,0,1,0,0,2022-02-04
RX0000000067,MBR00000002,2022-01-07,2022-01-11,1240565249,1419350117,PLN5418,969124,PCN146,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,2,Retail,0,0,0,18.0,2.52,20.52,3.0,16.14,1.38,0.72,0.51,0,0,0,0,2022-02-06
RX0000000068,MBR00000002,2023-07-05,2023-07-07,1253619027,1362877520,PLN5623,933927,PCN836,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,6,Mail Order,0,0,0,221.67,4.86,226.53,35.0,183.65,7.88,38.0,26.9167,0,0,0,0,2023-07-12
RX0000000069,MBR00000002,2021-03-16,2021-03-18,1959097854,1555311649,PLN6976,556738,PCN469,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,2,Retail,0,0,0,12.0,8.18,20.18,4.0,15.12,1.06,0.48,0.34,1,0,0,0,2021-04-15
RX0000000070,MBR00000002,2021-03-13,2021-03-15,1250327807,1112838946,PLN8670,923623,PCN532,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,91,0,Retail,0,0,0,22.5,7.28,29.78,7.0,21.5,1.28,0.3,0.2125,0,0,0,0,2021-06-11
RX0000000071,MBR00000002,2021-04-07,2021-04-11,1940751931,1576644262,PLN7150,736142,PCN671,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,3,Retail,0,0,0,18.0,8.9,26.9,6.0,19.73,1.17,0.72,0.51,0,0,0,0,2021-05-07
RX0000000072,MBR00000002,2022-08-23,2022-08-27,1242433034,1661481645,PLN2737,414125,PCN466,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,2,Retail,0,0,0,10.0,11.87,21.87,9.0,12.08,0.79,0.4,0.2833,0,0,0,0,2022-09-22
RX0000000073,MBR00000002,2021-02-18,2021-02-20,1893744248,1576697233,PLN7645,217767,PCN587,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,95,8,LTC,0,0,0,195.0,9.09,204.09,36.0,155.25,12.84,2.6,1.8417,0,0,0,0,2021-05-19
RX0000000074,MBR00000002,2022-03-09,2022-03-11,1196695982,1413782672,PLN2737,726423,PCN133,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,10,LTC,0,0,0,10.0,9.67,19.67,0.0,18.97,0.7,0.4,0.2833,0,0,0,0,2022-04-08
RX0000000075,MBR00000002,2021-04-23,2021-04-26,1301137012,1561156266,PLN1457,689375,PCN409,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,96,1,Retail,0,0,0,42.0,10.44,52.44,4.0,46.05,2.39,0.56,0.3967,0,0,0,0,2021-07-22
RX0000000076,MBR00000002,2021-01-04,2021-01-06,1862770537,1142638982,PLN3286,777558,PCN181,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,0,Retail,0,0,0,320.0,10.16,330.16,35.0,279.87,15.29,12.8,9.0667,0,1,1,0,2021-02-03
RX0000000077,MBR00000002,2022-01-03,2022-01-04,1452130165,1684962992,PLN6410,653806,PCN414,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,5,Retail,0,0,0,12.5,7.16,19.66,7.0,11.91,0.75,0.5,0.3542,0,0,0,0,2022-02-02
RX0000000078,MBR00000002,2022-12-07,2022-12-11,1821360711,1838671778,PLN5194,347620,PCN742,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,92,0,Retail,2,0,0,30.0,9.9,39.9,4.0,34.26,1.64,0.4,0.2833,0,0,0,0,2023-03-07
RX0000000079,MBR00000002,2023-10-18,2023-10-21,1348400180,1608727812,PLN1091,527707,PCN877,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,10,Retail,0,0,0,65.0,6.74,71.74,31.0,37.63,3.11,2.6,1.8417,0,0,0,0,2023-11-17
RX0000000080,MBR00000002,2022-10-14,2022-10-18,1855111496,1973011373,PLN8823,337835,PCN771,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,4,Mail Order,0,0,0,10.0,5.29,15.29,2.0,12.33,0.96,0.4,0.2833,0,0,0,0,2022-11-13
RX0000000081,MBR00000002,2022-12-01,2022-12-04,1469965226,1417875119,PLN8778,814739,PCN900,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,91,1,Retail,0,0,0,930.0,2.47,932.47,38.0,845.7,48.77,12.4,8.7833,0,0,0,0,2023-03-01
RX0000000082,MBR00000003,2021-04-29,2021-05-03,1829337007,1633510708,PLN9916,983837,PCN781,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,96,8,Retail,0,1,0,36.0,8.94,44.94,146.0,0.0,2.03,0.48,0.34,0,0,0,0,2021-07-28
RX0000000083,MBR00000003,2022-03-10,2022-03-11,1966128234,1319670797,PLN9918,911513,PCN634,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,2,Specialty,1,0,0,15.0,40.17,55.17,3.0,52.17,0.0,0.6,0.425,0,0,0,0,2022-04-09
RX0000000084,MBR00000003,2023-04-25,2023-04-27,1421288956,1802256532,PLN9307,136485,PCN580,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,58,0,Mail Order,1,1,0,24.0,4.19,28.19,145.0,0.0,1.88,0.48,0.34,0,0,0,0,2023-06-24
RX0000000085,MBR00000003,2022-09-02,2022-09-04,1653211230,1105486281,PLN9065,699437,PCN749,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,10,Retail,0,0,0,5.13,8.97,14.1,7.0,6.29,0.81,0.88,0.6233,0,0,0,0,2022-09-09
RX0000000086,MBR00000003,2021-09-13,2021-09-15,1721796956,1538210118,PLN8084,687250,PCN475,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,4,Specialty,0,0,0,12.5,24.59,37.09,9.0,28.09,0.0,0.5,0.3542,0,0,0,0,2021-10-13
RX0000000087,MBR00000003,2023-12-14,2023-12-15,1142101215,1810373946,PLN7329,381679,PCN409,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,58,5,Retail,0,1,0,12400.0,2.39,12402.39,147.0,11452.11,803.28,248.0,175.6667,0,0,0,0,2024-02-12
RX0000000088,MBR00000003,2022-03-10,2022-03-11,1152736038,1452704399,PLN7066,182553,PCN614,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,0,Mail Order,0,1,0,8500.0,4.3,8504.3,154.0,7934.75,415.55,340.0,240.8333,0,0,0,0,2022-04-09
RX0000000089,MBR00000003,2022-02-03,2022-02-06,1419015730,1912931249,PLN9833,292256,PCN936,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,64,5,Retail,0,0,0,1500.0,7.3,1507.3,31.0,1420.3,56.0,30.0,21.25,0,0,0,0,2022-04-04
RX0000000090,MBR00000003,2022-07-19,2022-07-23,1199848791,1630015037,PLN5537,410161,PCN901,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,7,Retail,0,0,0,10.0,8.93,18.93,1.0,16.82,1.11,0.4,0.2833,0,0,0,0,2022-08-18
RX0000000091,MBR00000003,2022-03-08,2022-03-09,1408092928,1730035053,PLN1341,550584,PCN634,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,1,Retail,0,0,0,28.0,10.25,38.25,1.0,35.68,1.57,1.12,0.7933,0,0,0,0,2022-04-07
RX0000000092,MBR00000003,2022-10-04,2022-10-08,1919727671,1213754515,PLN5094,268655,PCN119,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,0,Retail,3,0,0,650.0,11.9,661.9,30.0,591.39,40.51,26.0,18.4167,0,0,0,0,2022-11-03
RX0000000093,MBR00000003,2023-11-22,2023-11-24,1344918708,1965054701,PLN4786,307325,PCN202,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,5,Retail,0,0,0,45.0,6.18,51.18,9.0,39.3,2.88,1.8,1.275,0,0,0,0,2023-12-22
RX0000000094,MBR00000003,2022-07-21,2022-07-24,1603495359,1196642611,PLN5963,396174,PCN691,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,8,Mail Order,0,0,0,185.0,2.4,187.4,36.0,143.46,7.94,7.4,5.2417,0,0,0,0,2022-08-20
RX0000000095,MBR00000003,2021-02-22,2021-02-24,1270893258,1106796312,PLN8854,323259,PCN383,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,11,Retail,0,0,0,3.27,5.86,9.12,7.0,1.67,0.45,0.56,0.3967,0,0,0,0,2021-03-01
RX0000000096,MBR00000003,2021-10-14,2021-10-15,1573169299,1671455264,PLN5097,391722,PCN750,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,59,3,Retail,0,0,0,90.0,4.42,94.42,7.0,81.35,6.07,1.8,1.275,0,0,0,0,2021-12-13
RX0000000097,MBR00000003,2022-02-15,2022-02-16,1218422416,1505075617,PLN5815,660816,PCN857,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,10,Retail,2,0,0,14.0,6.3,20.3,6.0,13.14,1.16,0.56,0.3967,0,0,0,0,2022-03-17
RX0000000098,MBR00000003,2023-08-30,2023-09-02,1714382165,1935393378,PLN1531,701892,PCN412,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,82,5,Retail,0,0,0,33.0,3.59,36.59,0.0,35.37,1.22,0.44,0.3117,0,0,0,0,2023-11-28
RX0000000099,MBR00000003,2022-07-23,2022-07-24,1676445593,1822519427,PLN8674,430465,PCN745,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,7,Retail,0,0,0,750.0,8.36,758.36,32.0,677.64,48.72,30.0,21.25,0,0,0,0,2022-08-22
RX0000000100,MBR00000003,2022-10-28,2022-11-01,1160661721,1250611773,PLN6549,575104,PCN214,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,4,Mail Order,0,0,0,38.0,8.04,46.04,3.0,41.13,1.91,1.52,1.0767,0,0,0,0,2022-11-27
RX0000000101,MBR00000003,2021-02-16,2021-02-20,1398554872,1396842913,PLN4760,965854,PCN705,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,83,4,Retail,0,1,0,36.0,9.26,45.26,147.0,0.0,1.84,0.48,0.34,0,0,0,0,2021-05-17
RX0000000102,MBR00000003,2022-10-19,2022-10-20,1299799606,1297796296,PLN4457,456343,PCN106,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,87,8,Retail,0,0,0,990.0,3.78,993.78,40.0,901.58,52.2,13.2,9.35,1,0,0,0,2023-01-17
RX0000000103,MBR00000003,2021-03-03,2021-03-05,1976776770,1616537884,PLN4097,282432,PCN744,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,11,Mail Order,3,1,0,6200.0,5.89,6205.89,149.0,5683.42,373.47,248.0,175.6667,0,0,0,0,2021-04-02
RX0000000104,MBR00000003,2021-01-01,2021-01-02,1215279232,1386725277,PLN3084,699764,PCN657,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,90,6,Retail,0,0,0,42.0,6.15,48.15,9.0,37.56,1.59,0.56,0.3967,0,0,0,0,2021-04-01
RX0000000105,MBR00000003,2023-12-10,2023-12-13,1589496663,1740550688,PLN1239,611063,PCN585,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,0,0,0,320.0,7.34,327.34,33.0,283.31,11.03,12.8,9.0667,0,0,0,0,2024-01-09
RX0000000106,MBR00000003,2021-03-05,2021-03-06,1604986959,1892812063,PLN3110,651515,PCN418,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,5,Specialty,0,0,0,15.0,18.54,33.54,8.0,25.54,0.0,0.6,0.425,0,0,0,0,2021-04-04
RX0000000107,MBR00000003,2021-12-31,2022-01-02,1337530064,1560587094,PLN7181,691818,PCN879,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,56,9,Retail,0,0,0,1900.0,3.5,1903.5,36.0,1805.79,61.71,38.0,26.9167,0,0,0,0,2022-03-01
RX0000000108,MBR00000003,2023-09-17,2023-09-21,1618751185,1936857623,PLN7044,193743,PCN290,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,11,Retail,0,0,0,16.0,11.96,27.96,5.0,21.47,1.49,0.64,0.4533,0,0,0,0,2023-10-17
RX0000000109,MBR00000003,2023-11-08,2023-11-10,1499571012,1730178173,PLN2024,185736,PCN490,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,11,Mail Order,0,0,0,175.0,3.84,178.84,33.0,135.27,10.57,7.0,4.9583,0,0,0,0,2023-12-08
RX0000000110,MBR00000003,2022-08-12,2022-08-13,1501262686,1384839652,PLN9068,944978,PCN229,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,10,Retail,0,0,0,1.75,8.27,10.02,7.0,2.7,0.32,0.3,0.2125,0,0,0,0,2022-08-19
RX0000000111,MBR00000003,2022-07-29,2022-07-31,1348513223,1189106967,PLN5064,486396,PCN397,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,88,6,Retail,0,0,0,48.0,6.49,54.49,7.0,45.64,1.85,0.64,0.4533,0,0,0,0,2022-10-27
RX0000000112,MBR00000003,2021-01-28,2021-01-30,1864158518,1411979201,PLN2703,676861,PCN590,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,59,6,Retail,0,0,0,36.0,5.08,41.08,8.0,31.47,1.61,0.72,0.51,0,0,0,0,2021-03-29
RX0000000113,MBR00000003,2021-02-18,2021-02-21,1415245894,1911135067,PLN4556,290041,PCN839,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,2,Retail,0,0,0,10.0,10.21,20.21,2.0,17.45,0.76,0.4,0.2833,0,0,0,0,2021-03-20
RX0000000114,MBR00000003,2023-01-08,2023-01-10,1168586690,1499900125,PLN4360,145027,PCN550,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,5,Specialty,0,0,0,650.0,26.08,676.08,38.0,638.08,0.0,26.0,18.4167,0,0,0,0,2023-02-07
RX0000000115,MBR00000003,2022-05-28,2022-05-30,1522959733,1661649407,PLN8587,989759,PCN865,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,96,1,Retail,0,0,0,33.0,1.98,34.98,4.0,29.74,1.24,0.44,0.3117,0,0,0,0,2022-08-26
RX0000000116,MBR00000003,2021-09-25,2021-09-26,1334313766,1992431176,PLN9805,614060,PCN452,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,98,6,Retail,0,0,0,30.0,7.6,37.6,1.0,35.34,1.26,0.4,0.2833,0,0,0,0,2021-12-24
RX0000000117,MBR00000003,2023-03-10,2023-03-11,1886934002,1250936480,PLN9233,687521,PCN883,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,8,Mail Order,0,1,0,1.87,5.7,7.56,150.0,0.0,0.46,0.32,0.2267,0,0,0,0,2023-03-17
RX0000000118,MBR00000003,2021-02-02,2021-02-04,1484306965,1109113790,PLN5914,199630,PCN744,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,7,Retail,0,0,0,10.0,8.86,18.86,7.0,10.67,1.19,0.4,0.2833,1,0,0,0,2021-03-04
RX0000000119,MBR00000003,2021-02-02,2021-02-04,1429754290,1671816184,PLN2090,216780,PCN911,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,4,Specialty,0,0,0,950.0,42.54,992.54,38.0,954.54,0.0,38.0,26.9167,0,0,0,0,2021-03-04
RX0000000120,MBR00000003,2021-06-18,2021-06-20,1768545188,1361526776,PLN9986,505428,PCN346,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,5,Retail,0,0,0,3.5,8.93,12.43,2.0,9.72,0.71,0.6,0.425,0,0,0,0,2021-06-25
RX0000000121,MBR00000003,2021-05-28,2021-06-01,1829431184,1467080508,PLN8707,935114,PCN889,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,5,Mail Order,0,0,0,11.0,7.56,18.56,10.0,7.97,0.59,0.44,0.3117,0,0,0,0,2021-06-27
RX0000000122,MBR00000003,2023-05-04,2023-05-06,1100537954,1252097606,PLN7289,476271,PCN975,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,10,Retail,0,0,0,10.0,10.09,20.09,6.0,13.18,0.91,0.4,0.2833,0,0,0,0,2023-06-03
RX0000000123,MBR00000003,2022-01-04,2022-01-07,1426699132,1338929443,PLN8894,547566,PCN496,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,88,0,Specialty,0,0,0,66.0,27.65,93.65,1.0,92.65,0.0,0.88,0.6233,0,0,0,0,2022-04-04
RX0000000124,MBR00000003,2023-08-17,2023-08-21,1190377344,1653821502,PLN9780,582635,PCN677,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,7,Retail,0,0,0,285.0,3.47,288.47,40.0,231.69,16.78,11.4,8.075,0,0,0,0,2023-09-16
RX0000000125,MBR00000003,2021-06-20,2021-06-21,1475315203,1744344742,PLN1956,445651,PCN582,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,0,Retail,0,0,0,12.0,10.16,22.16,0.0,20.97,1.19,0.48,0.34,0,0,0,0,2021-07-20
RX0000000126,MBR00000003,2023-09-09,2023-09-11,1706019788,1642828633,PLN8125,325036,PCN448,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,94,7,Mail Order,0,0,0,84.0,4.42,88.42,7.0,77.91,3.51,1.12,0.7933,0,0,0,0,2023-12-08
RX0000000127,MBR00000003,2022-12-07,2022-12-08,1174455308,1536748255,PLN9635,517683,PCN575,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,11,Retail,2,0,0,45.0,11.0,56.0,10.0,42.11,3.89,1.8,1.275,0,0,0,0,2023-01-06
RX0000000128,MBR00000003,2022-09-03,2022-09-06,1172587150,1112036032,PLN1115,311159,PCN374,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,11,Retail,0,0,0,480.0,6.28,486.28,30.0,435.81,20.47,19.2,13.6,0,0,0,0,2022-10-03
RX0000000129,MBR00000003,2022-07-02,2022-07-04,1205058755,1584009210,PLN4186,103120,PCN381,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,0,Retail,0,0,0,15.0,8.46,23.46,5.0,17.56,0.9,0.6,0.425,0,0,0,0,2022-08-01
RX0000000130,MBR00000003,2021-03-06,2021-03-09,1957601894,1483427585,PLN4987,862404,PCN835,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,97,5,Retail,0,1,0,8400.0,7.48,8407.48,152.0,7790.2,465.28,112.0,79.3333,0,0,0,0,2021-06-04
RX0000000131,MBR00000003,2022-11-30,2022-12-02,1731261984,1488152359,PLN5472,651535,PCN287,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,4,Retail,0,0,0,18.0,11.39,29.39,36.0,0.0,1.04,0.72,0.51,0,0,0,0,2022-12-30
RX0000000132,MBR00000003,2021-10-01,2021-10-05,1344918355,1737527681,PLN1128,776029,PCN675,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,9,Retail,0,0,0,330.0,7.23,337.23,40.0,286.0,11.23,13.2,9.35,0,0,0,0,2021-10-31
RX0000000133,MBR00000003,2023-08-13,2023-08-15,1343995587,1508528210,PLN3786,995452,PCN351,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,6,Retail,0,1,0,6200.0,11.07,6211.07,155.0,5703.47,352.6,248.0,175.6667,0,0,0,0,2023-09-12
RX0000000134,MBR00000003,2022-02-01,2022-02-05,1217694471,1985482816,PLN1335,155129,PCN483,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,1,Specialty,0,0,0,45.0,44.83,89.83,2.0,87.83,0.0,1.8,1.275,0,0,0,0,2022-03-03
RX0000000135,MBR00000003,2021-06-24,2021-06-26,1966646138,1197788031,PLN5739,491173,PCN872,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,2,Retail,0,0,0,18.0,5.14,23.14,6.0,15.57,1.57,0.72,0.51,0,0,0,0,2021-07-24
RX0000000136,MBR00000003,2022-08-18,2022-08-22,1191117027,1597360977,PLN8599,250674,PCN274,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,0,Retail,0,0,0,65.0,6.86,71.86,37.0,30.78,4.08,2.6,1.8417,0,0,0,0,2022-09-17
RX0000000137,MBR00000003,2023-11-28,2023-12-02,1698719427,1470099699,PLN3458,889839,PCN976,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,10,Mail Order,0,0,0,8.5,8.88,17.38,3.0,13.43,0.95,0.34,0.2408,0,0,0,0,2023-12-28
RX0000000138,MBR00000003,2023-10-31,2023-11-04,1828102353,1904795701,PLN1128,724911,PCN381,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,1,Retail,0,0,0,380.0,6.89,386.89,36.0,338.06,12.83,15.2,10.7667,0,0,0,0,2023-11-30
RX0000000139,MBR00000003,2022-06-17,2022-06-20,1354706021,1663489338,PLN4590,695462,PCN162,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,3,Retail,0,0,0,18.0,6.36,24.36,1.0,22.15,1.21,0.72,0.51,0,0,0,0,2022-07-17
RX0000000140,MBR00000003,2022-01-29,2022-02-01,1495413373,1467840765,PLN7431,444496,PCN912,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,10,Retail,0,0,0,10.5,6.57,17.07,10.0,6.13,0.94,1.8,1.275,0,0,0,0,2022-02-05
RX0000000141,MBR00000003,2022-11-29,2022-12-01,1483822519,1664736864,PLN6411,640363,PCN956,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,0,Retail,0,1,0,12.0,3.11,15.11,148.0,0.0,0.75,0.48,0.34,0,1,1,0,2022-12-29
RX0000000142,MBR00000003,2023-02-13,2023-02-14,1721419024,1732590953,PLN3565,246767,PCN300,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,96,6,Mail Order,2,0,0,2250.0,8.5,2258.5,34.0,2124.73,99.77,30.0,21.25,0,0,0,0,2023-05-14
RX0000000143,MBR00000003,2021-06-01,2021-06-02,1828209367,1756572103,PLN1113,743191,PCN910,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,3,Mail Order,0,0,0,3.5,6.56,10.06,3.0,6.36,0.7,0.6,0.425,0,0,0,0,2021-06-08
RX0000000144,MBR00000003,2022-09-25,2022-09-26,1232642209,1209692531,PLN7561,912661,PCN237,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,98,9,Mail Order,0,0,0,30.0,5.13,35.13,3.0,30.05,2.08,0.4,0.2833,0,0,0,0,2022-12-24
RX0000000145,MBR00000003,2022-05-15,2022-05-17,1989036545,1552743411,PLN1625,589988,PCN538,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,9,Mail Order,0,0,0,10.0,4.63,14.63,6.0,7.64,0.99,0.4,0.2833,0,0,0,0,2022-06-14
RX0000000146,MBR00000003,2021-05-14,2021-05-18,1719640354,1285139572,PLN5345,866043,PCN560,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,3,Retail,0,0,0,480.0,7.31,487.31,31.0,426.84,29.47,19.2,13.6,0,0,0,0,2021-06-13
RX0000000147,MBR00000004,2022-01-13,2022-01-14,1270902613,1405672231,PLN9884,628574,PCN579,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,83,2,Retail,0,0,0,25.5,2.44,27.94,3.0,23.27,1.67,0.34,0.2408,0,0,0,0,2022-04-13
RX0000000148,MBR00000004,2022-02-16,2022-02-19,1156413090,1971318356,PLN4863,449658,PCN152,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,88,11,Retail,0,0,0,25.5,4.24,29.74,1.0,27.66,1.08,0.34,0.2408,0,0,0,0,2022-05-17
RX0000000149,MBR00000004,2023-03-03,2023-03-06,1413915310,1987330446,PLN9142,437958,PCN497,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,2,Retail,0,0,0,12.0,11.87,23.87,8.0,14.85,1.02,0.48,0.34,0,0,0,0,2023-04-02
RX0000000150,MBR00000004,2022-03-17,2022-03-21,1152267909,1724437291,PLN5523,272918,PCN392,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,11,Mail Order,3,0,0,45.0,3.63,48.63,10.0,36.02,2.61,1.8,1.275,0,0,0,0,2022-04-16
RX0000000151,MBR00000004,2021-03-12,2021-03-13,1699840492,1830791765,PLN8412,290379,PCN858,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,6,Retail,0,0,0,18.0,1.68,19.68,0.0,18.55,1.13,0.72,0.51,0,0,0,0,2021-04-11
RX0000000152,MBR00000004,2022-03-09,2022-03-10,1773763384,1538627056,PLN7440,618600,PCN233,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,56,0,Retail,0,0,0,32.0,2.04,34.04,0.0,32.13,1.91,0.64,0.4533,0,0,0,0,2022-05-08
RX0000000153,MBR00000004,2021-12-20,2021-12-21,1505140504,1187778680,PLN1284,925763,PCN360,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,83,3,Retail,3,0,1,525.0,10.71,535.71,32.0,474.77,28.94,7.0,4.9583,0,1,1,0,2022-03-20
RX0000000154,MBR00000004,2022-02-24,2022-02-27,1295706050,1408920140,PLN6982,341073,PCN575,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,4,Retail,0,0,0,12.0,3.75,15.75,8.0,6.77,0.98,0.48,0.34,0,0,0,0,2022-03-26
RX0000000155,MBR00000004,2021-11-10,2021-11-12,1364423190,1805796985,PLN3716,742149,PCN517,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,7,Retail,0,0,0,18.0,4.45,22.45,8.0,13.75,0.7,0.72,0.51,0,0,0,0,2021-12-10
RX0000000156,MBR00000004,2023-01-15,2023-01-18,1358998322,1549611913,PLN9574,969067,PCN718,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,5,Retail,0,0,0,15.0,5.63,20.63,5.0,14.93,0.7,0.6,0.425,0,0,0,0,2023-02-14
RX0000000157,MBR00000004,2023-07-30,2023-07-31,1380171700,1105061851,PLN8145,318789,PCN533,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,2,Retail,0,0,0,11.0,8.88,19.88,0.0,18.99,0.89,0.44,0.3117,0,0,0,0,2023-08-29
RX0000000158,MBR00000004,2022-11-05,2022-11-09,1651815261,1277618233,PLN5230,430787,PCN892,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,9,Mail Order,3,0,0,285.0,4.46,289.46,35.0,235.29,19.17,11.4,8.075,0,0,0,0,2022-12-05
RX0000000159,MBR00000004,2022-04-08,2022-04-12,1634156882,1969862876,PLN6121,499136,PCN543,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,6,Mail Order,0,1,0,653.33,10.51,663.84,148.0,471.73,44.11,112.0,79.3333,0,0,0,0,2022-04-15
RX0000000160,MBR00000004,2021-09-19,2021-09-21,1245845112,1296848270,PLN4518,134556,PCN712,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,2,Retail,0,0,0,2.33,6.18,8.51,9.0,0.0,0.5,0.4,0.2833,0,0,0,0,2021-09-26
RX0000000161,MBR00000004,2021-01-17,2021-01-21,1636814298,1554237242,PLN1443,508316,PCN220,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,10,Retail,0,0,0,16.0,11.81,27.81,6.0,20.7,1.11,0.64,0.4533,0,0,0,0,2021-02-16
RX0000000162,MBR00000004,2021-12-18,2021-12-19,1149901126,1833792979,PLN1175,611252,PCN833,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,56,3,LTC,0,0,0,350.0,8.06,358.06,30.0,315.47,12.59,7.0,4.9583,0,0,0,0,2022-02-16
RX0000000163,MBR00000004,2021-08-12,2021-08-16,1123677760,1549943638,PLN7763,518615,PCN273,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,54,10,Retail,1,0,0,24.0,2.12,26.12,1.0,23.86,1.26,0.48,0.34,0,0,0,0,2021-10-11
RX0000000164,MBR00000004,2021-05-15,2021-05-17,1875524846,1201896803,PLN9733,408870,PCN456,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,2,Mail Order,3,0,0,14.0,7.58,21.58,3.0,17.33,1.25,0.56,0.3967,0,0,0,0,2021-06-14
RX0000000165,MBR00000004,2021-11-30,2021-12-01,1550191532,1987130620,PLN9985,773457,PCN127,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,94,1,Mail Order,0,0,0,42.0,2.41,44.41,8.0,33.54,2.87,0.56,0.3967,0,0,0,0,2022-02-28
RX0000000166,MBR00000004,2023-02-18,2023-02-19,1541619219,1300345630,PLN2429,125388,PCN175,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,1,Retail,0,0,0,10.0,3.31,13.31,2.0,10.84,0.47,0.4,0.2833,0,0,0,0,2023-03-20
RX0000000167,MBR00000004,2021-02-16,2021-02-20,1936712891,1811214621,PLN6344,409535,PCN298,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,0,Mail Order,0,0,0,18.0,10.48,28.48,2.0,25.42,1.06,0.72,0.51,0,0,0,0,2021-03-18
RX0000000168,MBR00000004,2023-08-18,2023-08-21,1800147074,1734105552,PLN8176,996206,PCN251,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,56,10,Retail,0,0,0,44.0,9.3,53.3,10.0,40.73,2.57,0.88,0.6233,0,0,0,0,2023-10-17
RX0000000169,MBR00000004,2022-01-21,2022-01-22,1268660044,1673474942,PLN1019,871073,PCN543,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,4,Retail,0,0,0,370.0,3.94,373.94,36.0,315.78,22.16,14.8,10.4833,1,0,0,0,2022-02-20
RX0000000170,MBR00000004,2021-10-05,2021-10-07,1862856584,1687886685,PLN3668,344844,PCN273,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,7,Mail Order,0,0,0,370.0,2.82,372.82,34.0,320.59,18.23,14.8,10.4833,0,0,0,0,2021-11-04
RX0000000171,MBR00000004,2021-04-26,2021-04-27,1103934324,1922909705,PLN2933,668161,PCN227,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,2,Retail,0,0,0,9.0,2.64,11.64,7.0,4.01,0.63,0.36,0.255,0,0,0,0,2021-05-26
RX0000000172,MBR00000004,2021-01-03,2021-01-07,1929054790,1649855998,PLN5461,653073,PCN212,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,92,5,Retail,0,0,0,36.0,2.33,38.33,0.0,36.79,1.54,0.48,0.34,0,0,0,0,2021-04-03
RX0000000173,MBR00000004,2023-10-03,2023-10-06,1704910705,1571977643,PLN5774,413122,PCN804,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,98,1,Retail,0,0,0,30.0,6.59,36.59,7.0,27.11,2.48,0.4,0.2833,0,0,0,0,2024-01-01
RX0000000174,MBR00000004,2023-04-25,2023-04-26,1474158070,1707850595,PLN2786,769192,PCN772,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,5,Specialty,0,1,0,2.8,27.21,30.01,146.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-05-02
RX0000000175,MBR00000004,2022-06-20,2022-06-24,1569155086,1666152793,PLN5150,442653,PCN293,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,1,Retail,0,0,0,86.33,11.88,98.21,31.0,63.61,3.6,14.8,10.4833,0,0,0,0,2022-06-27
RX0000000176,MBR00000004,2022-08-05,2022-08-06,1711951989,1688718441,PLN5437,453098,PCN164,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,11,Mail Order,0,0,0,185.0,5.27,190.27,37.0,142.92,10.35,7.4,5.2417,0,0,0,0,2022-09-04
RX0000000177,MBR00000004,2022-07-21,2022-07-25,1310524041,1862169925,PLN1152,121306,PCN974,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,8,Retail,0,0,0,65.0,9.52,74.52,33.0,36.59,4.93,2.6,1.8417,0,0,0,0,2022-08-20
RX0000000178,MBR00000004,2022-08-19,2022-08-21,1904972692,1447793261,PLN6786,859962,PCN641,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,7,Mail Order,0,0,0,8.5,4.97,13.47,7.0,5.86,0.61,0.34,0.2408,0,0,0,0,2022-09-18
RX0000000179,MBR00000004,2023-08-23,2023-08-26,1565304890,1496214395,PLN1511,313164,PCN194,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,3,Mail Order,0,0,0,28.0,4.98,32.98,2.0,29.73,1.25,1.12,0.7933,0,0,0,0,2023-09-22
RX0000000180,MBR00000004,2022-07-27,2022-07-29,1869950516,1890913722,PLN5212,327260,PCN739,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,6,Retail,0,1,0,6200.0,2.35,6202.35,151.0,5667.27,384.08,248.0,175.6667,0,0,0,0,2022-08-26
RX0000000181,MBR00000004,2022-07-01,2022-07-03,1582094289,1324622302,PLN1994,483553,PCN532,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,1,Specialty,0,0,0,38.0,15.92,53.92,0.0,53.92,0.0,1.52,1.0767,0,0,0,0,2022-07-31
RX0000000182,MBR00000004,2023-01-21,2023-01-23,1666023590,1613205811,PLN9953,692300,PCN158,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,54,5,Mail Order,0,0,0,28.0,2.27,30.27,10.0,18.6,1.67,0.56,0.3967,0,0,0,0,2023-03-22
RX0000000183,MBR00000004,2022-07-11,2022-07-12,1461154491,1559181679,PLN5102,767118,PCN796,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,5,Retail,3,1,0,8500.0,7.27,8507.27,145.0,7817.88,544.39,340.0,240.8333,0,0,0,0,2022-08-10
RX0000000184,MBR00000004,2021-07-17,2021-07-20,1811061808,1796368025,PLN3961,792924,PCN412,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,6,Retail,0,0,0,650.0,2.9,652.9,31.0,600.32,21.58,26.0,18.4167,0,0,0,0,2021-08-16
RX0000000185,MBR00000004,2021-12-23,2021-12-25,1396408870,1544124395,PLN5643,690438,PCN861,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,3,Retail,0,1,0,8.0,11.53,19.53,146.0,0.0,1.17,0.32,0.2267,0,0,0,0,2022-01-22
RX0000000186,MBR00000004,2022-06-23,2022-06-27,1446137097,1103806739,PLN5238,502072,PCN107,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,7,Mail Order,0,0,0,310.0,11.66,321.66,33.0,269.26,19.4,12.4,8.7833,0,0,0,0,2022-07-23
RX0000000187,MBR00000004,2023-07-29,2023-08-02,1544854620,1420253578,PLN1864,729321,PCN323,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,11,Retail,1,0,0,175.0,2.62,177.62,38.0,127.46,12.16,7.0,4.9583,0,0,0,0,2023-08-28
RX0000000188,MBR00000004,2023-06-03,2023-06-04,1106187518,1879672626,PLN2326,564342,PCN343,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,88,2,Retail,0,0,0,48.0,11.19,59.19,4.0,51.05,4.14,0.64,0.4533,0,0,0,0,2023-09-01
RX0000000189,MBR00000004,2022-03-28,2022-03-31,1156914983,1733064112,PLN5789,158033,PCN749,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,2,Mail Order,1,0,0,370.0,11.82,381.82,39.0,323.43,19.39,14.8,10.4833,0,0,0,0,2022-04-27
RX0000000190,MBR00000004,2021-08-15,2021-08-17,1247330984,1435933952,PLN7241,792015,PCN685,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,64,0,Retail,0,0,0,32.0,10.89,42.89,4.0,37.5,1.39,0.64,0.4533,0,0,0,0,2021-10-14
RX0000000191,MBR00000004,2023-03-14,2023-03-16,1223288083,1629570298,PLN2615,561834,PCN331,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,0,Mail Order,0,0,0,2.57,8.75,11.32,6.0,4.55,0.77,0.44,0.3117,0,0,0,0,2023-03-21
RX0000000192,MBR00000004,2022-05-07,2022-05-08,1584041592,1119721321,PLN9895,198320,PCN349,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,7,Retail,0,0,0,65.0,6.92,71.92,40.0,27.2,4.72,2.6,1.8417,0,0,0,0,2022-06-06
RX0000000193,MBR00000004,2021-06-23,2021-06-26,1761484321,1431360436,PLN4402,542093,PCN733,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,61,2,Retail,0,1,0,5600.0,4.65,5604.65,154.0,5099.47,351.18,112.0,79.3333,0,0,0,0,2021-08-22
RX0000000194,MBR00000004,2023-12-09,2023-12-13,1178626739,1196239271,PLN1910,608323,PCN211,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,380.0,11.42,391.42,36.0,341.09,14.33,15.2,10.7667,0,0,0,0,2024-01-08
RX0000000195,MBR00000004,2021-07-30,2021-07-31,1224390430,1769863319,PLN9827,471279,PCN857,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,89,8,Mail Order,0,0,0,30.0,4.73,34.73,1.0,32.19,1.54,0.4,0.2833,1,0,0,0,2021-10-28
RX0000000196,MBR00000004,2021-12-04,2021-12-08,1248650971,1248122576,PLN8353,264199,PCN922,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,6,Mail Order,0,0,0,10.0,5.29,15.29,5.0,9.5,0.79,0.4,0.2833,0,0,0,0,2022-01-03
RX0000000197,MBR00000004,2021-06-26,2021-06-28,1537134431,1146773310,PLN3162,536104,PCN499,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,11,Retail,1,0,0,9.0,5.44,14.44,6.0,7.45,0.99,0.36,0.255,0,0,0,0,2021-07-26
RX0000000198,MBR00000004,2021-02-09,2021-02-10,1630761286,1197280995,PLN8188,589352,PCN666,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,87,11,Retail,0,0,0,54.0,5.12,59.12,10.0,46.99,2.13,0.72,0.51,0,0,0,0,2021-05-10
RX0000000199,MBR00000004,2023-09-05,2023-09-06,1124556024,1156131344,PLN3565,561617,PCN421,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,1,Specialty,0,0,0,18.0,25.38,43.38,9.0,34.38,0.0,0.72,0.51,0,0,0,0,2023-10-05
RX0000000200,MBR00000005,2023-12-09,2023-12-12,1706502911,1657574916,PLN7224,228925,PCN928,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,5,Retail,0,0,0,18.0,5.19,23.19,7.0,15.33,0.86,0.72,0.51,0,0,0,0,2024-01-08
RX0000000201,MBR00000005,2023-02-13,2023-02-16,1374041886,1719640891,PLN5088,254272,PCN359,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,7,Mail Order,0,0,0,12.0,5.82,17.82,2.0,15.04,0.78,0.48,0.34,0,0,0,0,2023-03-15
RX0000000202,MBR00000005,2021-02-03,2021-02-05,1787172371,1744692730,PLN9326,487386,PCN513,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,3,Mail Order,0,0,0,22.0,2.66,24.66,2.0,21.8,0.86,0.88,0.6233,0,0,0,0,2021-03-05
RX0000000203,MBR00000005,2022-06-10,2022-06-14,1494796397,1345383570,PLN6178,350840,PCN257,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,2,Specialty,0,0,0,112.0,32.09,144.09,38.0,106.09,0.0,19.2,13.6,0,0,0,0,2022-06-17
RX0000000204,MBR00000005,2022-05-10,2022-05-11,1914536120,1739852937,PLN2997,312839,PCN912,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,6,Retail,0,1,0,2800.0,9.35,2809.35,155.0,2557.36,96.99,112.0,79.3333,0,0,0,0,2022-06-09
RX0000000205,MBR00000005,2023-06-18,2023-06-21,1389526820,1431189594,PLN1834,507308,PCN137,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,91,11,Mail Order,0,0,0,195.0,3.06,198.06,34.0,151.22,12.84,2.6,1.8417,0,0,0,0,2023-09-16
RX0000000206,MBR00000005,2021-10-22,2021-10-24,1620102344,1973779190,PLN5251,993744,PCN842,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,2,Retail,0,0,0,11.0,3.45,14.45,1.0,12.5,0.95,0.44,0.3117,0,0,0,0,2021-11-21
RX0000000207,MBR00000005,2022-02-03,2022-02-04,1147202149,1261596638,PLN1892,879166,PCN774,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,6,Mail Order,0,0,1,45.0,7.77,52.77,3.0,47.56,2.21,1.8,1.275,0,0,0,0,2022-03-05
RX0000000208,MBR00000005,2023-04-19,2023-04-20,1926224842,1238545802,PLN6590,869763,PCN102,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,1,Specialty,1,0,0,12.0,36.54,48.54,4.0,44.54,0.0,0.48,0.34,0,0,0,0,2023-05-19
RX0000000209,MBR00000005,2022-01-23,2022-01-25,1885701245,1893391663,PLN2166,582512,PCN400,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,3,Retail,0,0,0,480.0,8.83,488.83,36.0,421.1,31.73,19.2,13.6,1,0,0,0,2022-02-22
RX0000000210,MBR00000005,2021-10-14,2021-10-18,1963275145,1768852608,PLN3148,304399,PCN121,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,9,Retail,0,0,0,185.0,1.85,186.85,35.0,138.82,13.03,7.4,5.2417,0,0,0,0,2021-11-13
RX0000000211,MBR00000005,2023-05-29,2023-06-01,1260890510,1930943351,PLN9816,524728,PCN515,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,82,3,Retail,0,0,0,1950.0,11.32,1961.32,40.0,1808.96,112.36,26.0,18.4167,0,0,0,0,2023-08-27
RX0000000212,MBR00000005,2021-01-12,2021-01-16,1489497273,1644056746,PLN7928,852427,PCN100,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,1,Retail,0,0,1,2.33,3.67,6.0,0.0,5.78,0.22,0.4,0.2833,0,0,0,0,2021-01-19
RX0000000213,MBR00000006,2022-02-09,2022-02-11,1722381906,1123198418,PLN7881,130452,PCN571,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,91,6,Mail Order,0,0,0,42.0,1.61,43.61,6.0,34.92,2.69,0.56,0.3967,0,1,0,0,2022-05-10
RX0000000214,MBR00000006,2021-03-20,2021-03-21,1545062686,1231848426,PLN2854,390094,PCN442,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,90,1,Mail Order,0,0,0,42.0,7.38,49.38,4.0,43.32,2.06,0.56,0.3967,0,0,0,0,2021-06-18
RX0000000215,MBR00000006,2021-07-10,2021-07-14,1462802551,1729103809,PLN5282,819375,PCN608,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,4,Retail,0,0,0,18.0,8.99,26.99,7.0,18.48,1.51,0.72,0.51,0,0,0,0,2021-08-09
RX0000000216,MBR00000006,2023-06-07,2023-06-11,1636675213,1701039159,PLN1367,691603,PCN839,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,8,Retail,0,0,0,750.0,8.08,758.08,39.0,681.07,38.01,30.0,21.25,1,0,0,0,2023-07-07
RX0000000217,MBR00000006,2022-11-20,2022-11-21,1148293039,1529721432,PLN2909,857921,PCN312,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,82,0,Retail,0,0,0,25.5,11.68,37.18,3.0,32.25,1.93,0.34,0.2408,0,0,0,0,2023-02-18
RX0000000218,MBR00000006,2023-02-09,2023-02-11,1237331724,1123216567,PLN1424,659544,PCN467,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,3,Retail,0,0,0,11.0,3.83,14.83,10.0,4.23,0.6,0.44,0.3117,0,0,0,0,2023-03-11
RX0000000219,MBR00000006,2022-09-17,2022-09-18,1232570980,1276454367,PLN4132,363832,PCN476,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,11,Retail,2,0,0,45.0,6.98,51.98,4.0,44.44,3.54,1.8,1.275,0,0,0,0,2022-10-17
RX0000000220,MBR00000006,2022-09-23,2022-09-24,1319684701,1946708619,PLN6088,885477,PCN525,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,0,Mail Order,0,0,0,3.73,2.27,6.0,1.0,4.78,0.22,0.64,0.4533,0,0,0,0,2022-09-30
RX0000000221,MBR00000006,2022-03-19,2022-03-20,1743973849,1120187726,PLN3502,572739,PCN832,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,89,6,Retail,0,0,0,36.0,3.38,39.38,9.0,28.95,1.43,0.48,0.34,0,0,0,0,2022-06-17
RX0000000222,MBR00000006,2021-02-09,2021-02-13,1160323695,1570072191,PLN7948,126924,PCN542,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,59,8,Retail,0,0,0,28.0,1.59,29.59,0.0,28.02,1.57,0.56,0.3967,0,0,0,0,2021-04-10
RX0000000223,MBR00000006,2022-04-08,2022-04-12,1664372739,1320315215,PLN9912,412116,PCN948,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,83,3,Retail,0,0,0,66.0,5.15,71.15,65.0,3.35,2.8,0.88,0.6233,0,0,0,0,2022-07-07
RX0000000224,MBR00000006,2023-06-29,2023-07-01,1394534335,1572987865,PLN4521,554512,PCN966,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,8,Mail Order,0,0,0,4.2,4.25,8.45,39.0,0.0,0.37,0.72,0.51,0,0,0,0,2023-07-06
RX0000000225,MBR00000006,2023-12-16,2023-12-17,1563818919,1383199804,PLN4764,116923,PCN420,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,5,Retail,0,0,0,320.0,6.25,326.25,39.0,267.85,19.4,12.8,9.0667,1,0,0,0,2024-01-15
RX0000000226,MBR00000006,2023-11-10,2023-11-14,1248396005,1162842759,PLN9300,335945,PCN808,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,5,Retail,0,0,0,320.0,6.01,326.01,32.0,281.24,12.77,12.8,9.0667,0,1,1,0,2023-12-10
RX0000000227,MBR00000006,2022-09-28,2022-10-01,1988129508,1599682626,PLN6541,383936,PCN675,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,4,Mail Order,0,0,0,18.0,4.64,22.64,1.0,20.33,1.31,0.72,0.51,0,0,0,0,2022-10-28
RX0000000228,MBR00000006,2023-10-31,2023-11-04,1296971437,1569850124,PLN4375,641181,PCN703,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,10,Mail Order,0,0,0,15.0,4.34,19.34,1.0,17.07,1.27,0.6,0.425,0,0,0,0,2023-11-30
RX0000000229,MBR00000006,2023-01-05,2023-01-06,1562347214,1581870624,PLN1357,820979,PCN978,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,6,Retail,1,0,0,310.0,1.61,311.61,33.0,266.0,12.61,12.4,8.7833,0,0,0,0,2023-02-04
RX0000000230,MBR00000006,2021-09-01,2021-09-05,1948612705,1563222389,PLN9112,637727,PCN935,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,98,8,Retail,0,0,0,54.0,5.2,59.2,7.0,48.1,4.1,0.72,0.51,1,0,0,0,2021-11-30
RX0000000231,MBR00000006,2022-01-27,2022-01-28,1560913158,1631916033,PLN5480,373909,PCN837,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,5,Specialty,0,0,0,28.0,44.51,72.51,6.0,66.51,0.0,1.12,0.7933,0,0,0,0,2022-02-26
RX0000000232,MBR00000006,2021-08-25,2021-08-26,1553400691,1598602198,PLN9093,146439,PCN701,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,4,Mail Order,0,1,0,2800.0,9.59,2809.59,152.0,2468.96,188.63,112.0,79.3333,0,0,0,0,2021-09-24
RX0000000233,MBR00000006,2023-12-28,2023-12-29,1680846363,1324101589,PLN1264,155901,PCN203,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,96,8,Retail,0,0,0,54.0,7.25,61.25,10.0,47.37,3.88,0.72,0.51,0,0,0,0,2024-03-27
RX0000000234,MBR00000006,2021-07-22,2021-07-23,1370496745,1548905284,PLN3737,862112,PCN787,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,2,Retail,0,0,0,9.0,5.5,14.5,6.0,7.7,0.8,0.36,0.255,0,0,0,0,2021-08-21
RX0000000235,MBR00000006,2023-09-27,2023-09-30,1650594370,1744925522,PLN5374,817085,PCN626,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,1,Retail,0,0,0,9.0,4.27,13.27,3.0,9.82,0.45,0.36,0.255,0,0,0,0,2023-10-27
RX0000000236,MBR00000006,2023-01-13,2023-01-14,1457653936,1767065461,PLN3266,100415,PCN157,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,90,5,Mail Order,0,0,0,30.0,9.52,39.52,8.0,29.39,2.13,0.4,0.2833,0,0,0,0,2023-04-13
RX0000000237,MBR00000006,2022-06-26,2022-06-28,1122451283,1167971929,PLN9948,635811,PCN982,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,9,Retail,0,0,0,480.0,8.88,488.88,40.0,422.74,26.14,19.2,13.6,0,0,0,0,2022-07-26
RX0000000238,MBR00000006,2023-01-10,2023-01-11,1599485382,1231767785,PLN4926,567821,PCN493,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,97,8,Specialty,0,1,0,24.0,34.94,58.94,149.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-04-10
RX0000000239,MBR00000006,2021-08-16,2021-08-19,1729379731,1351786539,PLN4009,837309,PCN365,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,11,Retail,0,0,0,4.2,8.09,12.29,9.0,2.73,0.56,0.72,0.51,0,0,0,0,2021-08-23
RX0000000240,MBR00000006,2023-12-27,2023-12-30,1612520146,1649984635,PLN9977,679890,PCN858,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,4,Retail,1,0,0,7.5,5.42,12.92,8.0,4.14,0.78,0.3,0.2125,0,0,0,0,2024-01-26
RX0000000241,MBR00000006,2021-07-02,2021-07-03,1602682575,1604552146,PLN8740,117257,PCN388,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,0,Retail,0,0,0,2.92,8.42,11.34,1.0,9.96,0.38,0.5,0.3542,0,1,0,0,2021-07-09
RX0000000242,MBR00000006,2021-08-20,2021-08-21,1579764538,1346002311,PLN8884,700458,PCN904,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,8,Mail Order,0,0,0,320.0,8.54,328.54,40.0,267.21,21.33,12.8,9.0667,0,0,0,0,2021-09-19
RX0000000243,MBR00000006,2023-01-08,2023-01-10,1513073588,1126624884,PLN1494,267468,PCN791,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,1,Mail Order,0,0,0,15.0,1.92,16.92,0.0,16.29,0.63,0.6,0.425,0,0,0,0,2023-02-07
RX0000000244,MBR00000006,2022-09-26,2022-09-29,1124254693,1607154205,PLN7123,384981,PCN221,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,4,Retail,0,0,0,12.5,7.29,19.79,4.0,15.07,0.72,0.5,0.3542,0,0,0,0,2022-10-26
RX0000000245,MBR00000006,2023-12-28,2023-12-31,1734665067,1176489599,PLN9806,889827,PCN755,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,7,Retail,0,0,0,45.0,9.64,54.64,4.0,47.26,3.38,1.8,1.275,0,0,0,0,2024-01-27
RX0000000246,MBR00000006,2023-01-15,2023-01-18,1923076139,1308103264,PLN5299,298166,PCN626,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,9,Retail,0,0,1,10.0,3.91,13.91,6.0,7.29,0.62,0.4,0.2833,0,0,0,0,2023-02-14
RX0000000247,MBR00000006,2023-12-09,2023-12-11,1610661279,1536632820,PLN8926,527497,PCN904,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,8,Retail,0,1,0,2800.0,11.67,2811.67,155.0,2529.07,127.6,112.0,79.3333,0,0,0,0,2024-01-08
RX0000000248,MBR00000006,2023-05-14,2023-05-15,1138209950,1681495095,PLN7746,713978,PCN477,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,0,Retail,0,0,0,14.0,11.57,25.57,5.0,18.81,1.76,0.56,0.3967,0,0,0,0,2023-06-13
RX0000000249,MBR00000006,2021-08-04,2021-08-05,1770998548,1591209851,PLN6543,568476,PCN685,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,0,Retail,0,0,0,175.0,3.41,178.41,31.0,137.83,9.58,7.0,4.9583,0,0,0,0,2021-09-03
RX0000000250,MBR00000006,2021-11-02,2021-11-06,1994447925,1641363394,PLN9441,891961,PCN795,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,8,Mail Order,0,0,0,66.5,3.29,69.79,30.0,35.29,4.5,11.4,8.075,0,0,0,0,2021-11-09
RX0000000251,MBR00000006,2022-01-28,2022-01-29,1732206188,1162510919,PLN7397,723310,PCN286,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,0,Retail,0,0,0,310.0,11.82,321.82,33.0,266.44,22.38,12.4,8.7833,0,0,0,0,2022-02-27
RX0000000252,MBR00000006,2023-05-05,2023-05-07,1514020901,1661362786,PLN4299,579515,PCN770,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,7,Mail Order,0,0,0,10.0,6.77,16.77,4.0,11.84,0.93,0.4,0.2833,0,0,0,0,2023-06-04
RX0000000253,MBR00000006,2021-03-19,2021-03-22,1284505226,1809264806,PLN4891,475575,PCN439,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,3,Mail Order,0,0,0,310.0,11.94,321.94,40.0,260.72,21.22,12.4,8.7833,0,1,1,0,2021-04-18
RX0000000254,MBR00000006,2021-05-07,2021-05-08,1176455218,1870443638,PLN7055,784908,PCN975,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,58,3,Retail,0,0,0,44.0,9.22,53.22,10.0,39.94,3.28,0.88,0.6233,0,0,0,0,2021-07-06
RX0000000255,MBR00000006,2023-11-16,2023-11-20,1815221391,1144764343,PLN9673,727634,PCN198,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,9,Retail,0,0,0,12.0,4.94,16.94,5.0,10.96,0.98,0.48,0.34,0,0,0,0,2023-12-16
RX0000000256,MBR00000006,2021-09-18,2021-09-22,1106231639,1559748018,PLN5170,468261,PCN313,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,1,Retail,1,0,0,330.0,8.02,338.02,36.0,284.3,17.72,13.2,9.35,0,0,0,0,2021-10-18
RX0000000257,MBR00000006,2022-10-09,2022-10-11,1315214904,1994233563,PLN6240,665963,PCN481,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,3,Retail,0,0,0,18.0,3.88,21.88,4.0,16.57,1.31,0.72,0.51,0,0,0,0,2022-11-08
RX0000000258,MBR00000006,2023-03-05,2023-03-06,1755013686,1618274445,PLN8337,937933,PCN424,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,1,Retail,0,0,0,175.0,10.83,185.83,33.0,140.6,12.23,7.0,4.9583,0,0,0,0,2023-04-04
RX0000000259,MBR00000006,2021-11-01,2021-11-03,1491590632,1163195395,PLN8662,242028,PCN517,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,9,Retail,0,0,0,10.0,2.34,12.34,5.0,6.77,0.57,0.4,0.2833,0,0,0,0,2021-12-01
RX0000000260,MBR00000006,2022-08-20,2022-08-23,1253019982,1419270566,PLN9289,778769,PCN434,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,55,4,Retail,2,0,0,20.0,1.7,21.7,6.0,14.62,1.08,0.4,0.2833,0,1,0,0,2022-10-19
RX0000000261,MBR00000006,2023-07-09,2023-07-10,1575201737,1853532140,PLN5911,156325,PCN844,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,85,7,Mail Order,0,0,0,135.0,11.97,146.97,0.0,142.12,4.85,1.8,1.275,1,0,0,0,2023-10-07
RX0000000262,MBR00000006,2021-03-16,2021-03-20,1326646037,1981489038,PLN3968,513659,PCN169,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,6,Retail,0,0,0,9.0,10.3,19.3,6.0,12.3,1.0,0.36,0.255,0,0,0,0,2021-04-15
RX0000000263,MBR00000006,2022-10-31,2022-11-02,1373754129,1764818735,PLN7022,885072,PCN697,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,84,10,Retail,0,0,0,66.0,11.89,77.89,9.0,63.76,5.13,0.88,0.6233,0,0,0,0,2023-01-29
RX0000000264,MBR00000006,2021-01-15,2021-01-19,1227718262,1104751558,PLN7506,450503,PCN873,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,82,0,Retail,0,1,0,18600.0,5.47,18605.47,155.0,17353.59,1096.88,248.0,175.6667,0,0,0,0,2021-04-15
RX0000000265,MBR00000006,2021-11-17,2021-11-19,1585265642,1575014633,PLN7820,582001,PCN871,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,8,Specialty,0,0,0,175.0,46.71,221.71,32.0,189.71,0.0,7.0,4.9583,0,0,0,0,2021-12-17
RX0000000266,MBR00000006,2021-12-17,2021-12-19,1239919853,1865636947,PLN5843,301219,PCN521,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,4,Retail,0,0,0,8.87,2.18,11.05,0.0,10.34,0.71,1.52,1.0767,0,0,0,0,2021-12-24
RX0000000267,MBR00000006,2022-04-29,2022-05-02,1230452493,1921895799,PLN9121,362299,PCN446,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,6,Retail,1,0,0,8.87,4.59,13.46,6.0,6.92,0.54,1.52,1.0767,0,0,0,0,2022-05-06
RX0000000268,MBR00000006,2021-04-24,2021-04-27,1268117353,1186184415,PLN4650,252623,PCN271,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,0,Retail,1,0,0,480.0,3.18,483.18,37.0,429.4,16.78,19.2,13.6,0,0,0,0,2021-05-24
RX0000000269,MBR00000006,2021-06-17,2021-06-20,1305935015,1473029627,PLN2362,769919,PCN870,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,85,0,Specialty,0,0,0,54.0,12.73,66.73,4.0,62.73,0.0,0.72,0.51,0,0,0,0,2021-09-15
RX0000000270,MBR00000006,2021-08-23,2021-08-26,1670342485,1684980019,PLN7160,628921,PCN491,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,5,Retail,0,0,0,22.0,2.5,24.5,73.0,0.0,1.37,0.88,0.6233,1,0,0,0,2021-09-22
RX0000000271,MBR00000006,2021-09-30,2021-10-01,1627588149,1604296166,PLN6890,307043,PCN366,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,7,Mail Order,0,0,0,7.5,8.72,16.22,8.0,7.5,0.72,0.3,0.2125,0,0,0,0,2021-10-30
RX0000000272,MBR00000006,2021-05-22,2021-05-23,1965319817,1793781790,PLN9676,245910,PCN596,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,2,Retail,0,0,0,18.0,8.77,26.77,6.0,19.39,1.38,0.72,0.51,0,0,0,0,2021-06-21
RX0000000273,MBR00000006,2023-07-04,2023-07-07,1747104900,1405110626,PLN8583,751006,PCN542,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,0,Retail,0,0,0,10.0,11.13,21.13,8.0,11.78,1.35,0.4,0.2833,0,0,0,0,2023-08-03
RX0000000274,MBR00000006,2023-05-03,2023-05-07,1250246380,1225942849,PLN4054,245613,PCN323,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,10,Mail Order,0,0,0,43.17,10.02,53.19,30.0,20.35,2.84,7.4,5.2417,0,0,0,0,2023-05-10
RX0000000275,MBR00000006,2023-06-21,2023-06-23,1875693686,1843145410,PLN5636,425565,PCN314,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,2,Mail Order,0,0,0,22.0,8.08,30.08,67.0,0.0,1.4,0.88,0.6233,0,0,0,0,2023-07-21
RX0000000276,MBR00000006,2021-12-24,2021-12-26,1837870782,1796154109,PLN9777,357858,PCN431,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,8,Retail,3,0,0,22.0,6.45,28.45,4.0,22.73,1.72,0.88,0.6233,0,0,0,0,2022-01-23
RX0000000277,MBR00000006,2021-05-27,2021-05-30,1373301369,1178937824,PLN2917,949540,PCN815,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,3,Retail,0,0,0,18.0,2.61,20.61,2.0,17.83,0.78,0.72,0.51,0,0,0,0,2021-06-26
RX0000000278,MBR00000006,2021-05-17,2021-05-21,1402204089,1921464182,PLN6310,664540,PCN846,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,64,8,Retail,1,0,0,18.0,6.67,24.67,2.0,21.8,0.87,0.36,0.255,0,1,0,0,2021-07-16
RX0000000279,MBR00000006,2022-11-21,2022-11-22,1528604333,1986570601,PLN2212,737704,PCN301,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,8,Retail,2,0,0,28.0,11.24,39.24,0.0,36.92,2.32,1.12,0.7933,1,0,0,0,2022-12-21
RX0000000280,MBR00000006,2023-05-28,2023-06-01,1731567923,1131040131,PLN6553,947179,PCN970,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,57,8,Specialty,0,0,0,15.0,40.82,55.82,1.0,54.82,0.0,0.3,0.2125,0,0,0,0,2023-07-27
RX0000000281,MBR00000006,2023-06-30,2023-07-03,1559578864,1368383239,PLN3271,675374,PCN178,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,3,Mail Order,0,0,0,370.0,11.66,381.66,34.0,321.62,26.04,14.8,10.4833,0,0,0,0,2023-07-30
RX0000000282,MBR00000006,2022-05-04,2022-05-06,1451089467,1858422433,PLN5011,806917,PCN911,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,94,6,Retail,0,0,0,1140.0,5.77,1145.77,30.0,1040.21,75.56,15.2,10.7667,1,0,0,0,2022-08-02
RX0000000283,MBR00000006,2022-05-17,2022-05-20,1898413433,1833080703,PLN3087,217289,PCN918,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,10,Retail,1,0,0,18.0,6.24,24.24,8.0,15.04,1.2,0.72,0.51,0,0,0,0,2022-06-16
RX0000000284,MBR00000006,2023-12-13,2023-12-14,1690641790,1535675605,PLN3632,271359,PCN154,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,7,LTC,0,0,0,2.1,8.32,10.42,2.0,8.11,0.31,0.36,0.255,1,0,0,0,2023-12-20
RX0000000285,MBR00000007,2021-05-18,2021-05-19,1870332793,1308750228,PLN1703,283013,PCN375,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,10,Retail,0,1,0,2800.0,6.46,2806.46,149.0,2507.77,149.69,112.0,79.3333,0,0,0,0,2021-06-17
RX0000000286,MBR00000007,2023-10-28,2023-10-31,1200014107,1360026960,PLN7142,961047,PCN766,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,5,Mail Order,0,0,0,18.0,5.63,23.63,6.0,16.29,1.34,0.72,0.51,0,1,0,0,2023-11-27
RX0000000287,MBR00000007,2022-04-18,2022-04-21,1580155580,1566250932,PLN2449,935442,PCN450,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,1,Retail,0,0,0,16.0,7.36,23.36,10.0,12.35,1.01,0.64,0.4533,0,0,0,0,2022-05-18
RX0000000288,MBR00000007,2022-10-05,2022-10-06,1948548884,1166279972,PLN8437,668120,PCN211,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,86,7,Mail Order,0,0,0,855.0,3.2,858.2,40.0,787.88,30.32,11.4,8.075,0,0,0,0,2023-01-03
RX0000000289,MBR00000007,2022-10-10,2022-10-12,1282010639,1152950896,PLN5953,512736,PCN449,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,8,Retail,0,0,0,45.0,11.08,56.08,1.0,51.69,3.39,1.8,1.275,0,1,0,0,2022-11-09
RX0000000290,MBR00000007,2022-09-13,2022-09-15,1855024395,1354503249,PLN5322,732244,PCN185,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,4,Mail Order,0,1,0,8.0,4.11,12.11,155.0,0.0,0.42,0.32,0.2267,0,0,0,0,2022-10-13
RX0000000291,MBR00000007,2021-08-16,2021-08-19,1240062637,1240486289,PLN5500,710428,PCN292,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,5,Specialty,3,0,0,18.0,13.64,31.64,9.0,22.64,0.0,0.72,0.51,0,0,0,0,2021-09-15
RX0000000292,MBR00000007,2022-04-06,2022-04-10,1768416458,1639696647,PLN3037,567839,PCN482,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,4,Specialty,0,0,0,14.0,23.01,37.01,10.0,27.01,0.0,0.56,0.3967,0,0,0,0,2022-05-06
RX0000000293,MBR00000007,2023-09-29,2023-10-02,1514871346,1295676733,PLN7571,240917,PCN908,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,2,Retail,1,0,0,15.0,8.37,23.37,7.0,15.01,1.36,0.6,0.425,0,0,0,0,2023-10-29
RX0000000294,MBR00000007,2023-05-13,2023-05-14,1677090286,1690713204,PLN1727,137787,PCN421,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,3,Retail,1,0,0,14.0,4.25,18.25,5.0,12.65,0.6,0.56,0.3967,1,0,0,0,2023-06-12
RX0000000295,MBR00000007,2022-03-07,2022-03-11,1152985648,1105549982,PLN4971,810451,PCN296,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,0,Retail,0,0,0,12.0,4.55,16.55,1.0,14.66,0.89,0.48,0.34,0,0,0,0,2022-04-06
RX0000000296,MBR00000007,2023-01-10,2023-01-11,1103289003,1794670064,PLN3536,898726,PCN668,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,97,3,Retail,0,0,0,1950.0,6.89,1956.89,37.0,1787.35,132.54,26.0,18.4167,0,0,0,0,2023-04-10
RX0000000297,MBR00000007,2021-12-26,2021-12-29,1793303550,1978149045,PLN5734,636250,PCN635,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,56,8,Retail,2,0,0,36.0,10.81,46.81,5.0,39.99,1.82,0.72,0.51,0,0,0,0,2022-02-24
RX0000000298,MBR00000007,2022-09-26,2022-09-27,1532202249,1464365872,PLN3609,890903,PCN529,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,94,5,Retail,0,0,0,37.5,10.87,48.37,0.0,46.11,2.26,0.5,0.3542,0,0,0,0,2022-12-25
RX0000000299,MBR00000007,2021-09-05,2021-09-08,1841754483,1854960026,PLN5365,627373,PCN253,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,60,3,Retail,0,0,0,30.0,4.87,34.87,5.0,28.67,1.2,0.6,0.425,0,0,0,0,2021-11-04
RX0000000300,MBR00000007,2022-11-20,2022-11-21,1697240612,1787492602,PLN7980,297469,PCN270,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,10,Mail Order,0,0,0,151.67,5.45,157.12,32.0,116.75,8.37,26.0,18.4167,0,0,0,0,2022-11-27
RX0000000301,MBR00000007,2022-09-05,2022-09-07,1923112247,1957278571,PLN1678,860595,PCN304,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,85,9,Retail,0,0,0,30.0,1.87,31.87,7.0,22.66,2.21,0.4,0.2833,0,0,0,0,2022-12-04
RX0000000302,MBR00000007,2021-12-11,2021-12-14,1697726880,1637726378,PLN4763,179968,PCN468,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,4,Retail,0,0,0,14.0,9.53,23.53,0.0,22.4,1.13,0.56,0.3967,0,0,0,0,2022-01-10
RX0000000303,MBR00000007,2022-09-22,2022-09-25,1575543931,1313983039,PLN7814,447223,PCN216,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,83,1,Retail,0,0,0,33.0,10.24,43.24,6.0,35.59,1.65,0.44,0.3117,0,0,0,0,2022-12-21
RX0000000304,MBR00000007,2023-05-03,2023-05-04,1725456691,1267056951,PLN6110,718259,PCN981,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,58,2,Retail,0,0,0,20.0,7.15,27.15,8.0,18.31,0.84,0.4,0.2833,0,0,0,0,2023-07-02
RX0000000305,MBR00000007,2022-05-23,2022-05-24,1243526832,1528331261,PLN5195,144822,PCN682,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,82,9,Retail,0,0,0,30.0,11.53,41.53,3.0,35.85,2.68,0.4,0.2833,0,0,0,0,2022-08-21
RX0000000306,MBR00000007,2023-07-11,2023-07-12,1601723278,1142356159,PLN3886,780628,PCN459,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,57,4,Specialty,2,1,0,17000.0,22.2,17022.2,155.0,16867.2,0.0,340.0,240.8333,0,0,0,0,2023-09-09
RX0000000307,MBR00000007,2022-04-09,2022-04-11,1567119297,1248049017,PLN8902,772571,PCN134,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,62,4,Mail Order,0,0,0,56.0,5.64,61.64,10.0,47.47,4.17,1.12,0.7933,0,0,0,0,2022-06-08
RX0000000308,MBR00000007,2022-06-18,2022-06-19,1893250703,1334393967,PLN6970,871509,PCN785,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,3,Retail,0,0,0,950.0,7.02,957.02,40.0,867.27,49.75,38.0,26.9167,0,0,0,0,2022-07-18
RX0000000309,MBR00000007,2021-01-17,2021-01-20,1261011226,1415043714,PLN4376,287583,PCN740,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,6,Retail,0,0,0,9.0,10.88,19.88,0.0,18.84,1.04,0.36,0.255,0,0,0,0,2021-02-16
RX0000000310,MBR00000007,2022-09-03,2022-09-05,1931052291,1246389070,PLN5694,254450,PCN200,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,8,Specialty,0,1,0,8500.0,21.39,8521.39,151.0,8370.39,0.0,340.0,240.8333,0,0,0,0,2022-10-03
RX0000000311,MBR00000007,2023-12-19,2023-12-22,1515401417,1695001803,PLN2463,136859,PCN993,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,86,4,Retail,0,0,0,960.0,9.73,969.73,32.0,884.8,52.93,12.8,9.0667,0,0,0,0,2024-03-18
RX0000000312,MBR00000007,2023-11-01,2023-11-04,1790305733,1352044736,PLN6995,746013,PCN733,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,89,0,Retail,0,0,0,960.0,7.35,967.35,40.0,864.15,63.2,12.8,9.0667,0,0,0,0,2024-01-30
RX0000000313,MBR00000007,2021-11-04,2021-11-08,1717670541,1419467433,PLN1634,429510,PCN180,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,0,Retail,0,0,0,750.0,10.94,760.94,30.0,696.39,34.55,30.0,21.25,0,0,0,0,2021-12-04
RX0000000314,MBR00000007,2023-02-17,2023-02-18,1684732521,1525716578,PLN2762,590534,PCN418,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,3,Retail,0,0,0,175.0,11.15,186.15,31.0,143.26,11.89,7.0,4.9583,0,0,0,0,2023-03-19
RX0000000315,MBR00000007,2023-07-26,2023-07-27,1253285274,1131553038,PLN8315,771978,PCN549,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,2,Mail Order,0,0,0,10.0,3.42,13.42,9.0,3.97,0.45,0.4,0.2833,1,0,0,0,2023-08-25
RX0000000316,MBR00000007,2021-04-02,2021-04-03,1878486358,1838720506,PLN9595,433673,PCN696,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,61,11,Retail,0,0,0,28.0,4.9,32.9,5.0,26.28,1.62,0.56,0.3967,0,0,0,0,2021-06-01
RX0000000317,MBR00000007,2022-11-15,2022-11-18,1492768625,1109513836,PLN1272,356957,PCN967,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,1,Specialty,0,0,0,3.27,27.12,30.39,10.0,20.39,0.0,0.56,0.3967,1,0,0,0,2022-11-22
RX0000000318,MBR00000007,2022-03-13,2022-03-15,1726732377,1735218019,PLN4510,158694,PCN656,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,11,Retail,0,0,0,28.0,4.06,32.06,2.0,28.97,1.09,1.12,0.7933,0,0,0,0,2022-04-12
RX0000000319,MBR00000007,2022-11-14,2022-11-17,1777803344,1471288408,PLN3947,658088,PCN903,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,88,7,Retail,0,0,0,135.0,6.93,141.93,0.0,133.9,8.03,1.8,1.275,0,1,0,0,2023-02-12
RX0000000320,MBR00000007,2021-12-31,2022-01-02,1554248924,1187223019,PLN9033,693491,PCN610,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,4,Retail,3,0,0,950.0,7.84,957.84,35.0,865.49,57.35,38.0,26.9167,0,0,0,0,2022-01-30
RX0000000321,MBR00000007,2023-10-17,2023-10-18,1460590382,1867223926,PLN5463,472839,PCN239,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,9,Retail,0,0,0,74.67,4.33,78.99,37.0,37.96,4.03,12.8,9.0667,0,0,0,0,2023-10-24
RX0000000322,MBR00000007,2023-02-03,2023-02-05,1443154168,1741957359,PLN7376,418187,PCN673,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,85,0,Mail Order,1,0,0,33.0,6.37,39.37,7.0,30.9,1.47,0.44,0.3117,0,0,0,0,2023-05-04
RX0000000323,MBR00000007,2022-08-31,2022-09-01,1101838124,1792028355,PLN4296,925837,PCN849,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,7,Retail,1,1,0,8.0,5.46,13.46,152.0,0.0,0.77,0.32,0.2267,0,0,0,0,2022-09-30
RX0000000324,MBR00000007,2022-11-20,2022-11-22,1362265806,1826168569,PLN7980,629930,PCN655,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,2,Retail,0,0,0,38.0,11.18,49.18,34.0,12.44,2.74,1.52,1.0767,0,0,0,0,2022-12-20
RX0000000325,MBR00000007,2023-09-16,2023-09-19,1957444146,1523114930,PLN7692,494750,PCN584,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,9,Retail,0,0,0,15.0,4.54,19.54,6.0,12.49,1.05,0.6,0.425,0,0,0,0,2023-10-16
RX0000000326,MBR00000007,2022-01-15,2022-01-19,1611516533,1639140185,PLN8476,675953,PCN918,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,54,0,Retail,0,0,0,15.0,2.14,17.14,10.0,6.29,0.85,0.3,0.2125,0,0,0,0,2022-03-16
RX0000000327,MBR00000007,2022-02-20,2022-02-22,1720252709,1729953268,PLN4957,153741,PCN256,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,63,6,Retail,1,0,0,44.0,7.85,51.85,72.0,0.0,1.87,0.88,0.6233,0,0,0,0,2022-04-21
RX0000000328,MBR00000007,2021-10-24,2021-10-25,1693671922,1525572466,PLN2973,820589,PCN561,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,2,Retail,0,0,0,11.0,10.0,21.0,7.0,12.91,1.09,0.44,0.3117,0,0,0,0,2021-11-23
RX0000000329,MBR00000007,2023-02-10,2023-02-11,1928149510,1575147324,PLN5183,536029,PCN901,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,57,0,Mail Order,1,0,0,56.0,6.28,62.28,2.0,57.26,3.02,1.12,0.7933,0,0,0,0,2023-04-11
RX0000000330,MBR00000008,2022-06-28,2022-07-02,1941004692,1253254073,PLN7395,285944,PCN147,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,4,Retail,1,0,1,750.0,7.77,757.77,34.0,689.61,34.16,30.0,21.25,0,0,0,0,2022-07-28
RX0000000331,MBR00000008,2021-06-07,2021-06-10,1430339948,1589839645,PLN1100,589358,PCN554,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,97,9,Retail,0,0,0,27.0,5.52,32.52,9.0,22.47,1.05,0.36,0.255,0,0,0,0,2021-09-05
RX0000000332,MBR00000008,2022-11-20,2022-11-24,1699480567,1924375666,PLN3383,920034,PCN172,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,86,3,Specialty,0,0,0,555.0,43.67,598.67,35.0,563.67,0.0,7.4,5.2417,0,0,0,0,2023-02-18
RX0000000333,MBR00000008,2022-11-22,2022-11-26,1766415817,1340236281,PLN8470,130314,PCN416,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,4,Retail,0,0,0,10.0,10.97,20.97,0.0,19.96,1.01,0.4,0.2833,0,0,0,0,2022-12-22
RX0000000334,MBR00000008,2023-01-25,2023-01-27,1757258516,1635582146,PLN2618,910652,PCN365,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,60,5,Retail,0,0,0,36.0,2.16,38.16,5.0,30.77,2.39,0.72,0.51,0,0,0,0,2023-03-26
RX0000000335,MBR00000008,2021-10-12,2021-10-13,1753944079,1112635393,PLN1122,277007,PCN100,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,6,Retail,0,0,0,15.0,4.28,19.28,9.0,9.17,1.11,0.6,0.425,0,0,0,0,2021-11-11
RX0000000336,MBR00000008,2022-07-29,2022-07-31,1381712152,1761073118,PLN7853,921629,PCN838,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,64,9,Mail Order,0,0,0,760.0,10.56,770.56,38.0,685.29,47.27,15.2,10.7667,0,0,0,0,2022-09-27
RX0000000337,MBR00000008,2023-10-27,2023-10-30,1285692285,1881602492,PLN7663,157391,PCN956,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,2,Specialty,0,0,0,175.0,20.87,195.87,34.0,161.87,0.0,7.0,4.9583,0,0,0,0,2023-11-26
RX0000000338,MBR00000008,2023-08-01,2023-08-02,1723970402,1507590692,PLN9013,670368,PCN200,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,82,9,Mail Order,0,0,0,1140.0,1.78,1141.78,34.0,1054.62,53.16,15.2,10.7667,0,0,0,0,2023-10-30
RX0000000339,MBR00000008,2023-03-24,2023-03-25,1163510321,1225198778,PLN8957,207800,PCN592,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,8,Retail,0,1,1,1.87,11.94,13.81,151.0,0.0,0.47,0.32,0.2267,0,0,0,0,2023-03-31
RX0000000340,MBR00000008,2021-10-06,2021-10-07,1463367744,1418501837,PLN4058,196038,PCN415,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,6,Retail,0,0,0,14.0,4.74,18.74,3.0,14.6,1.14,0.56,0.3967,0,0,0,0,2021-11-05
RX0000000341,MBR00000008,2021-09-08,2021-09-10,1452975822,1435079081,PLN5952,946349,PCN698,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,8,Retail,0,0,0,8.87,8.33,17.2,2.0,14.63,0.57,1.52,1.0767,0,0,0,0,2021-09-15
RX0000000342,MBR00000008,2021-08-15,2021-08-16,1738990385,1664726690,PLN5017,510342,PCN882,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,6,Specialty,0,0,0,2.8,32.25,35.05,3.0,32.05,0.0,0.48,0.34,0,0,0,0,2021-08-22
RX0000000343,MBR00000008,2023-12-15,2023-12-16,1937639407,1672469523,PLN4411,492715,PCN288,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,10,Retail,0,0,0,12.0,4.81,16.81,5.0,10.86,0.95,0.48,0.34,0,0,0,0,2024-01-14
RX0000000344,MBR00000008,2021-03-15,2021-03-17,1526854375,1464243367,PLN7952,941473,PCN958,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,11,Retail,0,0,0,112.0,1.93,113.93,40.0,69.91,4.02,19.2,13.6,0,0,0,0,2021-03-22
RX0000000345,MBR00000008,2021-12-20,2021-12-24,1178776008,1693439941,PLN6385,245210,PCN290,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,3,Retail,0,0,0,480.0,2.73,482.73,36.0,421.62,25.11,19.2,13.6,0,0,0,0,2022-01-19
RX0000000346,MBR00000008,2023-12-20,2023-12-21,1599349718,1281212254,PLN8084,581081,PCN648,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,11,Retail,0,0,0,4.2,6.57,10.77,7.0,3.32,0.45,0.72,0.51,0,0,0,0,2023-12-27
RX0000000347,MBR00000008,2023-12-12,2023-12-15,1141215965,1264405230,PLN8318,348695,PCN995,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,3,Mail Order,0,0,0,14.0,1.81,15.81,8.0,6.79,1.02,0.56,0.3967,0,0,0,0,2024-01-11
RX0000000348,MBR00000008,2022-03-14,2022-03-17,1925152750,1457316182,PLN8933,379416,PCN249,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,4,Retail,0,0,0,18.0,4.77,22.77,4.0,17.68,1.09,0.72,0.51,0,0,0,0,2022-04-13
RX0000000349,MBR00000008,2022-06-25,2022-06-26,1448739379,1713005053,PLN1923,388572,PCN815,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,11,Retail,0,0,0,650.0,2.07,652.07,39.0,573.56,39.51,26.0,18.4167,0,0,0,0,2022-07-25
RX0000000350,MBR00000008,2022-12-05,2022-12-09,1499472038,1484773955,PLN8207,655943,PCN427,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,11,Specialty,0,0,0,16.0,20.35,36.35,3.0,33.35,0.0,0.64,0.4533,0,0,0,0,2023-01-04
RX0000000351,MBR00000008,2023-08-24,2023-08-25,1112896967,1409337556,PLN7756,130495,PCN806,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,63,10,Retail,0,0,0,20.0,8.65,28.65,3.0,23.95,1.7,0.4,0.2833,0,0,0,0,2023-10-23
RX0000000352,MBR00000008,2023-09-28,2023-10-01,1584929417,1969274430,PLN8400,333796,PCN980,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,7,Retail,0,1,0,12.0,11.38,23.38,145.0,0.0,1.05,0.48,0.34,0,0,0,0,2023-10-28
RX0000000353,MBR00000008,2022-01-08,2022-01-09,1621604854,1134599154,PLN5614,547688,PCN554,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,98,7,Retail,0,0,0,1140.0,8.96,1148.96,33.0,1038.06,77.9,15.2,10.7667,0,0,0,0,2022-04-08
RX0000000354,MBR00000008,2022-03-10,2022-03-14,1787000342,1290939735,PLN3280,791123,PCN545,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Retail,1,0,0,38.0,2.7,40.7,5.0,33.51,2.19,1.52,1.0767,1,0,0,0,2022-04-09
RX0000000355,MBR00000008,2022-02-11,2022-02-12,1354408347,1493032140,PLN9698,433972,PCN709,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,11,Retail,0,0,0,320.0,11.91,331.91,30.0,282.52,19.39,12.8,9.0667,0,0,0,0,2022-03-13
RX0000000356,MBR00000008,2023-04-12,2023-04-13,1791173108,1479494197,PLN3727,478218,PCN465,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,9,Retail,0,0,0,114.0,9.04,123.04,1.0,114.83,7.21,1.52,1.0767,0,0,0,0,2023-07-11
RX0000000357,MBR00000008,2022-03-30,2022-04-01,1127736343,1983427951,PLN7990,786016,PCN363,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,9,Retail,0,0,0,380.0,5.86,385.86,40.0,328.82,17.04,15.2,10.7667,0,0,0,0,2022-04-29
RX0000000358,MBR00000008,2023-11-13,2023-11-17,1940776836,1822607981,PLN5680,131853,PCN142,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,85,11,Retail,0,0,0,30.0,11.24,41.24,5.0,33.92,2.32,0.4,0.2833,0,0,0,0,2024-02-11
RX0000000359,MBR00000008,2021-09-23,2021-09-24,1677995716,1809620718,PLN8110,424655,PCN720,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,4,Retail,0,0,0,9.0,5.23,14.23,10.0,3.27,0.96,0.36,0.255,0,0,0,0,2021-10-23
RX0000000360,MBR00000008,2021-04-02,2021-04-05,1391744358,1352988615,PLN6312,407842,PCN299,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,2,Retail,0,0,0,175.0,2.74,177.74,38.0,131.74,8.0,7.0,4.9583,0,0,0,0,2021-05-02
RX0000000361,MBR00000008,2023-10-05,2023-10-08,1159688692,1746427918,PLN3655,574099,PCN243,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,6,Mail Order,0,0,0,320.0,3.54,323.54,32.0,273.83,17.71,12.8,9.0667,0,0,0,0,2023-11-04
RX0000000362,MBR00000008,2023-03-31,2023-04-04,1291690904,1811394580,PLN6141,742292,PCN556,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,11,Retail,0,1,0,8500.0,5.63,8505.63,152.0,7949.56,404.07,340.0,240.8333,0,0,0,0,2023-04-30
RX0000000363,MBR00000008,2021-11-05,2021-11-08,1306575100,1481679859,PLN4879,626176,PCN559,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,92,3,Retail,0,0,0,1950.0,9.69,1959.69,34.0,1803.98,121.71,26.0,18.4167,0,0,0,0,2022-02-03
RX0000000364,MBR00000008,2023-06-13,2023-06-14,1797894843,1154844802,PLN4519,729033,PCN118,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,9,Retail,0,0,0,22.0,7.1,29.1,67.0,0.0,1.56,0.88,0.6233,0,0,0,0,2023-07-13
RX0000000365,MBR00000008,2023-03-22,2023-03-23,1390125105,1988889720,PLN3414,785296,PCN347,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,94,5,Retail,0,1,0,25500.0,3.89,25503.89,147.0,23878.7,1478.19,340.0,240.8333,0,0,0,0,2023-06-20
RX0000000366,MBR00000008,2023-03-29,2023-03-30,1477314488,1773952069,PLN3735,183613,PCN306,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,3,Retail,0,0,0,12.0,7.53,19.53,10.0,8.18,1.35,0.48,0.34,0,0,0,0,2023-04-28
RX0000000367,MBR00000008,2023-05-07,2023-05-11,1837743980,1862359474,PLN6082,968145,PCN872,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,2,Specialty,0,1,0,2.8,36.46,39.26,148.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-05-14
RX0000000368,MBR00000008,2021-07-07,2021-07-08,1792539901,1750447919,PLN2266,772437,PCN271,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,11,Mail Order,0,0,0,77.0,4.92,81.92,35.0,43.23,3.69,13.2,9.35,0,0,0,0,2021-07-14
RX0000000369,MBR00000008,2021-09-29,2021-10-01,1345645825,1780861817,PLN4177,396721,PCN866,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,63,6,Mail Order,0,0,0,24.0,11.8,35.8,8.0,25.3,2.5,0.48,0.34,1,0,0,0,2021-11-28
RX0000000370,MBR00000008,2023-06-07,2023-06-10,1875114303,1711886855,PLN6306,574770,PCN389,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,9,Mail Order,0,0,0,65.0,1.99,66.99,34.0,30.36,2.63,2.6,1.8417,0,0,0,0,2023-07-07
RX0000000371,MBR00000008,2022-01-01,2022-01-02,1231373584,1661007327,PLN8996,408630,PCN243,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,4,Retail,0,0,0,45.0,10.35,55.35,9.0,43.24,3.11,1.8,1.275,0,0,0,0,2022-01-31
RX0000000372,MBR00000008,2022-12-27,2022-12-28,1877368128,1687508384,PLN6927,958338,PCN496,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,2,Retail,1,0,0,12.0,8.73,20.73,0.0,19.59,1.14,0.48,0.34,0,0,0,0,2023-01-26
RX0000000373,MBR00000008,2021-05-10,2021-05-12,1801283277,1642010225,PLN9328,761762,PCN133,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,10,Mail Order,0,0,0,18.0,10.65,28.65,7.0,20.41,1.24,0.72,0.51,0,0,0,0,2021-06-09
RX0000000374,MBR00000008,2023-07-15,2023-07-18,1276635820,1188391824,PLN4671,828160,PCN541,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,93,8,Retail,0,0,0,195.0,10.15,205.15,36.0,162.72,6.43,2.6,1.8417,0,0,0,0,2023-10-13
RX0000000375,MBR00000008,2021-02-01,2021-02-05,1412514596,1444549524,PLN8732,676325,PCN296,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,7,Retail,0,0,0,2.8,9.9,12.7,7.0,5.17,0.53,0.48,0.34,0,0,0,0,2021-02-08
RX0000000376,MBR00000008,2023-01-12,2023-01-15,1960876164,1186934365,PLN7320,298005,PCN570,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,65,1,Mail Order,0,0,0,32.0,10.53,42.53,1.0,40.02,1.51,0.64,0.4533,0,0,0,0,2023-03-13
RX0000000377,MBR00000008,2021-07-27,2021-07-29,1788325406,1408904038,PLN1324,441175,PCN278,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,5,Retail,0,0,0,185.0,5.74,190.74,35.0,143.15,12.59,7.4,5.2417,0,0,0,0,2021-08-26
RX0000000378,MBR00000008,2022-01-25,2022-01-28,1872517402,1376206888,PLN9454,342985,PCN212,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,9,Retail,0,0,0,10.0,5.11,15.11,2.0,12.5,0.61,0.4,0.2833,0,0,0,0,2022-02-24
RX0000000379,MBR00000008,2021-07-15,2021-07-17,1183424527,1526107810,PLN5656,299560,PCN664,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,6,Mail Order,3,0,0,320.0,7.0,327.0,38.0,266.97,22.03,12.8,9.0667,0,0,0,0,2021-08-14
RX0000000380,MBR00000008,2022-07-30,2022-08-02,1683557653,1709013759,PLN7672,507925,PCN856,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,98,2,Retail,0,0,0,855.0,4.78,859.78,32.0,800.55,27.23,11.4,8.075,0,0,0,0,2022-10-28
RX0000000381,MBR00000008,2021-10-01,2021-10-04,1280819759,1196047212,PLN1593,420795,PCN134,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,92,3,Retail,0,1,0,36.0,5.6,41.6,147.0,0.0,2.01,0.48,0.34,1,0,0,0,2021-12-30
RX0000000382,MBR00000008,2023-02-25,2023-03-01,1220710236,1121002944,PLN2169,255480,PCN490,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,0,Retail,1,0,0,221.67,4.55,226.22,37.0,178.64,10.58,38.0,26.9167,0,0,0,0,2023-03-04
RX0000000383,MBR00000008,2021-06-29,2021-07-02,1271632004,1694922725,PLN5254,925433,PCN463,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,89,0,Mail Order,0,0,0,48.0,6.62,54.62,5.0,47.38,2.24,0.64,0.4533,0,0,0,0,2021-09-27
RX0000000384,MBR00000008,2021-10-03,2021-10-06,1683661120,1176134625,PLN2791,507430,PCN321,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,9,Retail,0,0,0,10.0,4.9,14.9,9.0,5.28,0.62,0.4,0.2833,0,0,0,0,2021-11-02
RX0000000385,MBR00000008,2021-02-23,2021-02-24,1385464217,1576302177,PLN8764,591187,PCN580,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,60,10,Retail,0,0,0,24.0,4.25,28.25,1.0,26.1,1.15,0.48,0.34,0,0,0,0,2021-04-24
RX0000000386,MBR00000009,2022-06-26,2022-06-27,1740281920,1208390674,PLN4038,120622,PCN760,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,62,5,LTC,0,1,0,16.0,5.43,21.43,150.0,0.0,0.68,0.32,0.2267,0,0,0,0,2022-08-25
RX0000000387,MBR00000009,2023-07-22,2023-07-23,1422062596,1477706194,PLN9302,674777,PCN189,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,11,Retail,0,1,0,6200.0,9.84,6209.84,145.0,5683.32,381.52,248.0,175.6667,0,0,0,0,2023-08-21
RX0000000388,MBR00000009,2021-03-27,2021-03-29,1320739852,1893476938,PLN6056,613114,PCN520,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,83,9,Retail,0,0,0,36.0,2.43,38.43,10.0,26.99,1.44,0.48,0.34,0,0,0,0,2021-06-25
RX0000000389,MBR00000009,2022-01-27,2022-01-31,1289978220,1875879431,PLN1836,727685,PCN359,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,1,Retail,0,0,0,12.0,8.2,20.2,6.0,13.32,0.88,0.48,0.34,0,0,0,0,2022-02-26
RX0000000390,MBR00000009,2023-03-16,2023-03-19,1713244502,1542531676,PLN2240,825351,PCN958,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,11,Retail,0,1,0,653.33,3.81,657.14,146.0,491.14,20.0,112.0,79.3333,0,0,0,0,2023-03-23
RX0000000391,MBR00000009,2023-03-07,2023-03-10,1159061101,1447821007,PLN4144,511280,PCN134,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,65,4,Retail,0,0,0,44.0,11.38,55.38,6.0,46.14,3.24,0.88,0.6233,0,0,0,0,2023-05-06
RX0000000392,MBR00000009,2023-10-06,2023-10-10,1961501879,1313276990,PLN6319,203650,PCN410,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,92,10,Retail,0,0,0,990.0,10.05,1000.05,36.0,915.38,48.67,13.2,9.35,0,0,0,0,2024-01-04
RX0000000393,MBR00000009,2022-01-03,2022-01-05,1780809422,1357155937,PLN7940,696927,PCN969,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,7,Retail,0,0,0,22.0,3.08,25.08,75.0,0.0,1.4,0.88,0.6233,0,0,0,0,2022-02-02
RX0000000394,MBR00000009,2021-09-22,2021-09-24,1952049994,1163353740,PLN5745,986329,PCN171,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,8,Specialty,2,0,0,12.0,21.64,33.64,2.0,31.64,0.0,0.48,0.34,0,0,0,0,2021-10-22
RX0000000395,MBR00000009,2021-06-13,2021-06-14,1862665172,1336980054,PLN9414,914741,PCN690,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,91,0,Retail,0,0,0,37.5,11.31,48.81,2.0,44.16,2.65,0.5,0.3542,0,0,0,0,2021-09-11
RX0000000396,MBR00000009,2023-10-31,2023-11-04,1802688589,1388915480,PLN3638,640564,PCN827,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,61,10,Retail,0,0,0,30.0,9.95,39.95,4.0,34.73,1.22,0.6,0.425,0,0,0,0,2023-12-30
RX0000000397,MBR00000009,2022-02-16,2022-02-18,1516629284,1974178287,PLN4861,644901,PCN976,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,10,Retail,0,0,0,14.0,7.8,21.8,0.0,20.7,1.1,0.56,0.3967,0,0,0,0,2022-03-18
RX0000000398,MBR00000009,2021-02-09,2021-02-10,1166879773,1242543703,PLN7207,868471,PCN586,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,4,Mail Order,0,0,0,45.0,6.13,51.13,3.0,45.04,3.09,1.8,1.275,0,0,0,0,2021-03-11
RX0000000399,MBR00000010,2022-08-20,2022-08-22,1718669669,1971278536,PLN9653,897703,PCN292,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,63,2,Mail Order,0,0,0,44.0,1.87,45.87,66.0,0.0,2.3,0.88,0.6233,0,0,0,0,2022-10-19
RX0000000400,MBR00000010,2021-12-21,2021-12-25,1814293431,1529505534,PLN5371,768568,PCN807,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,5,Retail,0,0,0,45.0,2.59,47.59,8.0,36.39,3.2,1.8,1.275,0,0,0,0,2022-01-20
RX0000000401,MBR00000010,2023-03-06,2023-03-07,1114353261,1748805588,PLN3875,570700,PCN400,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,84,4,Retail,0,0,0,33.0,1.6,34.6,8.0,25.44,1.16,0.44,0.3117,0,0,0,0,2023-06-04
RX0000000402,MBR00000010,2022-05-09,2022-05-12,1765431632,1920971207,PLN3024,537198,PCN441,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,1,Retail,3,0,0,950.0,11.46,961.46,40.0,868.99,52.47,38.0,26.9167,0,0,0,0,2022-06-08
RX0000000403,MBR00000010,2021-07-24,2021-07-28,1852839851,1211038314,PLN7883,207625,PCN324,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,8,Retail,0,0,0,320.0,1.97,321.97,30.0,270.45,21.52,12.8,9.0667,0,0,0,0,2021-08-23
RX0000000404,MBR00000010,2022-01-04,2022-01-08,1519361425,1542980910,PLN9414,656450,PCN365,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,4,Retail,0,0,0,9.0,2.64,11.64,3.0,7.88,0.76,0.36,0.255,0,0,0,0,2022-02-03
RX0000000405,MBR00000010,2023-08-08,2023-08-09,1467950508,1151920504,PLN7934,775215,PCN149,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,55,8,Retail,1,1,0,16.0,5.98,21.98,153.0,0.0,1.1,0.32,0.2267,0,0,0,0,2023-10-07
RX0000000406,MBR00000010,2023-07-31,2023-08-04,1955306532,1581823394,PLN9442,153726,PCN388,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,10,Retail,0,0,0,285.0,2.91,287.91,34.0,239.64,14.27,11.4,8.075,0,0,0,0,2023-08-30
RX0000000407,MBR00000010,2022-05-31,2022-06-01,1226473688,1200450570,PLN8543,965026,PCN203,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,62,8,Retail,0,0,0,18.0,7.93,25.93,5.0,20.11,0.82,0.36,0.255,0,0,0,0,2022-07-30
RX0000000408,MBR00000010,2022-09-13,2022-09-15,1269414896,1716098836,PLN1314,448502,PCN857,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,11,Retail,0,0,0,12.0,3.91,15.91,10.0,4.94,0.97,0.48,0.34,0,0,0,0,2022-10-13
RX0000000409,MBR00000010,2023-01-26,2023-01-27,1103489098,1464740092,PLN8371,751705,PCN457,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,6,Retail,0,0,0,9.0,6.66,15.66,2.0,12.6,1.06,0.36,0.255,0,0,0,0,2023-02-25
RX0000000410,MBR00000010,2022-12-28,2022-12-29,1403425534,1113448069,PLN1142,918349,PCN525,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,61,8,Retail,0,0,0,44.0,7.35,51.35,7.0,40.99,3.36,0.88,0.6233,0,0,0,0,2023-02-26
RX0000000411,MBR00000010,2021-04-24,2021-04-25,1134775620,1935475945,PLN8519,964828,PCN798,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,4,Retail,0,0,0,22.0,3.13,25.13,4.0,19.47,1.66,0.88,0.6233,0,0,0,0,2021-05-24
RX0000000412,MBR00000010,2022-10-21,2022-10-23,1546081471,1269806901,PLN4914,762631,PCN325,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,65,7,Retail,2,0,0,30.0,2.75,32.75,10.0,20.53,2.22,0.6,0.425,0,0,0,0,2022-12-20
RX0000000413,MBR00000010,2023-06-29,2023-07-02,1730314924,1292043660,PLN7155,193898,PCN827,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,0,Retail,0,0,0,650.0,10.95,660.95,30.0,604.78,26.17,26.0,18.4167,0,0,0,0,2023-07-29
RX0000000414,MBR00000010,2022-01-29,2022-02-01,1443314348,1771395112,PLN7010,743131,PCN807,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,2,Mail Order,0,0,0,12.0,11.86,23.86,2.0,21.07,0.79,0.48,0.34,0,0,0,0,2022-02-28
RX0000000415,MBR00000010,2023-03-13,2023-03-16,1385912755,1883733921,PLN2785,311114,PCN531,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,65,6,LTC,0,0,0,640.0,8.02,648.02,33.0,572.51,42.51,12.8,9.0667,0,0,0,0,2023-05-12
RX0000000416,MBR00000010,2021-09-22,2021-09-26,1352563948,1597476068,PLN1261,389526,PCN667,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,9,Specialty,0,0,0,650.0,23.6,673.6,32.0,641.6,0.0,26.0,18.4167,1,0,0,0,2021-10-22
RX0000000417,MBR00000010,2022-10-13,2022-10-17,1547324387,1362962337,PLN2217,283550,PCN332,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,10,Retail,0,0,0,3.73,8.1,11.83,8.0,3.06,0.77,0.64,0.4533,0,0,0,0,2022-10-20
RX0000000418,MBR00000010,2021-10-08,2021-10-11,1351482181,1280802554,PLN5948,592148,PCN777,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,10,Retail,0,0,0,2.1,10.98,13.08,6.0,6.24,0.84,0.36,0.255,0,0,0,0,2021-10-15
RX0000000419,MBR00000010,2022-07-20,2022-07-24,1807628734,1846010766,PLN5369,487817,PCN648,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,3,Mail Order,3,0,0,45.0,4.67,49.67,4.0,43.9,1.77,1.8,1.275,0,0,0,0,2022-08-19
RX0000000420,MBR00000010,2023-07-07,2023-07-08,1531073368,1446361355,PLN2835,511272,PCN140,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,10,Retail,0,0,0,310.0,7.24,317.24,38.0,260.56,18.68,12.4,8.7833,0,0,0,0,2023-08-06
RX0000000421,MBR00000010,2023-11-11,2023-11-13,1482839064,1897564961,PLN1877,522006,PCN361,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,5,Retail,0,0,0,9.0,11.08,20.08,8.0,10.8,1.28,0.36,0.255,0,0,0,0,2023-12-11
RX0000000422,MBR00000010,2022-08-10,2022-08-14,1655204057,1165566603,PLN4240,166358,PCN251,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,5,Retail,0,0,0,10.0,9.07,19.07,1.0,16.91,1.16,0.4,0.2833,0,0,0,0,2022-09-09
RX0000000423,MBR00000010,2023-10-10,2023-10-14,1969453800,1597166114,PLN8036,400607,PCN427,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,10,Retail,0,0,1,11.0,3.16,14.16,0.0,13.22,0.94,0.44,0.3117,1,0,0,0,2023-11-09
RX0000000424,MBR00000010,2021-10-31,2021-11-04,1366953616,1275401388,PLN1347,895209,PCN113,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,96,2,Retail,0,0,0,54.0,10.59,64.59,34.0,27.51,3.08,0.72,0.51,0,0,0,0,2022-01-29
RX0000000425,MBR00000010,2021-09-02,2021-09-03,1181743333,1548084645,PLN9503,916284,PCN871,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,5,Specialty,0,0,0,45.0,10.08,55.08,4.0,51.08,0.0,1.8,1.275,0,0,0,0,2021-10-02
RX0000000426,MBR00000010,2023-01-06,2023-01-09,1270572999,1350345823,PLN1066,366802,PCN875,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,7,Retail,1,0,0,15.0,8.39,23.39,4.0,17.91,1.48,0.6,0.425,0,0,0,0,2023-02-05
RX0000000427,MBR00000010,2023-12-31,2024-01-03,1426892881,1675540158,PLN3018,334607,PCN184,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,0,Retail,0,0,0,12.0,10.18,22.18,7.0,14.22,0.96,0.48,0.34,0,0,0,0,2024-01-30
RX0000000428,MBR00000010,2022-07-10,2022-07-11,1375240552,1787936595,PLN5246,694814,PCN422,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,84,0,Mail Order,0,0,0,114.0,3.54,117.54,31.0,78.99,7.55,1.52,1.0767,0,0,0,0,2022-10-08
RX0000000429,MBR00000010,2021-08-22,2021-08-23,1751514273,1134518638,PLN6230,192553,PCN996,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,4,LTC,0,0,0,18.0,1.52,19.52,39.0,0.0,0.73,0.72,0.51,0,0,0,0,2021-09-21
RX0000000430,MBR00000010,2021-10-16,2021-10-18,1866103529,1662122855,PLN7607,449707,PCN986,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,10,Mail Order,2,0,0,380.0,11.36,391.36,38.0,337.22,16.14,15.2,10.7667,0,0,0,0,2021-11-15
RX0000000431,MBR00000010,2022-12-24,2022-12-26,1103073814,1101206888,PLN1632,207098,PCN640,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,6,Retail,3,0,0,950.0,10.63,960.63,39.0,857.88,63.75,38.0,26.9167,0,0,0,0,2023-01-23
RX0000000432,MBR00000010,2021-08-01,2021-08-04,1968029618,1200089826,PLN6549,511215,PCN590,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,0,Mail Order,0,0,0,8.87,2.66,11.53,34.0,0.0,0.8,1.52,1.0767,0,0,0,0,2021-08-08
RX0000000433,MBR00000010,2022-07-08,2022-07-12,1968111077,1892373583,PLN6367,222810,PCN584,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,10,Retail,0,0,0,14.0,2.95,16.95,9.0,6.82,1.13,0.56,0.3967,0,0,0,0,2022-08-07
RX0000000434,MBR00000010,2023-08-04,2023-08-06,1808686901,1342678173,PLN9759,190190,PCN334,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,8,Retail,0,0,0,2.33,9.19,11.53,9.0,1.78,0.75,0.4,0.2833,0,0,0,0,2023-08-11
RX0000000435,MBR00000010,2021-04-08,2021-04-10,1173373695,1739633534,PLN9866,242513,PCN650,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,9,Retail,0,1,0,8.0,8.17,16.17,145.0,0.0,0.7,0.32,0.2267,0,0,0,0,2021-05-08
RX0000000436,MBR00000010,2023-11-03,2023-11-04,1428681358,1244965352,PLN1167,216682,PCN609,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,1,Retail,0,0,0,22.0,3.11,25.11,71.0,0.0,0.79,0.88,0.6233,1,0,0,0,2023-12-03
RX0000000437,MBR00000010,2021-10-18,2021-10-19,1609574649,1125894887,PLN2589,633457,PCN193,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,6,Mail Order,0,0,0,16.0,3.82,19.82,8.0,10.94,0.88,0.64,0.4533,0,0,0,0,2021-11-17
RX0000000438,MBR00000010,2021-09-30,2021-10-02,1286146738,1817794013,PLN5202,511456,PCN337,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,1,Specialty,0,0,0,380.0,32.67,412.67,34.0,378.67,0.0,15.2,10.7667,0,0,0,0,2021-10-30
RX0000000439,MBR00000011,2023-08-09,2023-08-13,1788217594,1209965542,PLN1226,208996,PCN503,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,82,7,Retail,0,1,0,36.0,11.05,47.05,147.0,0.0,1.65,0.48,0.34,0,0,0,0,2023-11-07
RX0000000440,MBR00000011,2022-04-22,2022-04-26,1283627152,1912146753,PLN8597,825530,PCN468,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,9,Retail,0,0,0,10.0,9.72,19.72,6.0,12.35,1.37,0.4,0.2833,0,0,0,0,2022-05-22
RX0000000441,MBR00000011,2021-07-02,2021-07-05,1356589032,1513054585,PLN9527,605976,PCN792,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,8,Mail Order,0,0,0,9.0,11.89,20.89,6.0,14.24,0.65,0.36,0.255,0,0,0,0,2021-08-01
RX0000000442,MBR00000011,2022-07-21,2022-07-22,1550148624,1424042110,PLN3964,980752,PCN273,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,5,Retail,0,0,0,36.0,4.57,40.57,10.0,28.55,2.02,0.48,0.34,0,0,0,0,2022-10-19
RX0000000443,MBR00000011,2022-04-06,2022-04-09,1147653445,1966628468,PLN8423,302718,PCN581,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,7,Specialty,0,0,0,14.0,14.48,28.48,7.0,21.48,0.0,0.56,0.3967,0,0,0,0,2022-05-06
RX0000000444,MBR00000011,2023-01-29,2023-01-30,1522746473,1512399532,PLN4346,148750,PCN186,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,85,0,Retail,0,0,0,27.0,9.39,36.39,10.0,25.27,1.12,0.36,0.255,0,0,0,0,2023-04-29
RX0000000445,MBR00000011,2023-04-27,2023-04-30,1243933425,1927571776,PLN1786,715062,PCN611,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,4,Retail,0,0,0,9.0,8.45,17.45,5.0,11.39,1.06,0.36,0.255,0,0,0,0,2023-05-27
RX0000000446,MBR00000011,2022-09-15,2022-09-17,1532376699,1813493640,PLN8387,816780,PCN255,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,1,Retail,0,0,0,370.0,2.44,372.44,38.0,320.57,13.87,14.8,10.4833,0,0,0,0,2022-10-15
RX0000000447,MBR00000011,2021-06-24,2021-06-25,1365712633,1839465696,PLN5706,312565,PCN755,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,97,7,Mail Order,0,0,0,84.0,5.54,89.54,7.0,76.85,5.69,1.12,0.7933,0,0,0,0,2021-09-22
RX0000000448,MBR00000011,2021-02-04,2021-02-06,1594983673,1323263282,PLN6379,686120,PCN121,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,9,Retail,3,1,0,8.0,1.92,9.92,153.0,0.0,0.65,0.32,0.2267,0,0,0,0,2021-03-06
RX0000000449,MBR00000011,2022-07-23,2022-07-24,1118773472,1310165135,PLN3868,836046,PCN836,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,1,Mail Order,0,0,0,8.5,7.5,16.0,4.0,11.28,0.72,0.34,0.2408,0,0,0,0,2022-08-22
RX0000000450,MBR00000011,2021-01-01,2021-01-04,1849551495,1537432630,PLN1006,178571,PCN701,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,7,Specialty,0,0,0,65.0,16.92,81.92,35.0,46.92,0.0,2.6,1.8417,0,0,0,0,2021-01-31
RX0000000451,MBR00000011,2022-04-22,2022-04-23,1714590652,1400091174,PLN5242,804587,PCN431,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,54,5,Mail Order,3,0,0,28.0,10.24,38.24,7.0,28.91,2.33,0.56,0.3967,0,0,0,0,2022-06-21
RX0000000452,MBR00000011,2023-10-14,2023-10-15,1674895178,1336718243,PLN3446,222225,PCN709,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,64,0,Retail,0,1,0,17000.0,9.09,17009.09,149.0,16185.08,675.01,340.0,240.8333,0,0,0,0,2023-12-13
RX0000000453,MBR00000011,2023-03-13,2023-03-15,1404919486,1986865942,PLN6793,816595,PCN107,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,92,4,Specialty,0,0,0,54.0,10.71,64.71,9.0,55.71,0.0,0.72,0.51,0,0,0,0,2023-06-11
RX0000000454,MBR00000011,2023-06-15,2023-06-16,1737056602,1706703917,PLN7658,209802,PCN635,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,3,Retail,0,0,0,45.0,3.27,48.27,3.0,42.13,3.14,1.8,1.275,0,0,0,0,2023-07-15
RX0000000455,MBR00000011,2023-05-19,2023-05-21,1350467519,1951591977,PLN6482,885238,PCN496,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,11,Specialty,0,0,0,5.13,27.91,33.04,9.0,24.04,0.0,0.88,0.6233,0,0,0,0,2023-05-26
RX0000000456,MBR00000011,2021-04-16,2021-04-17,1671485996,1697704500,PLN2280,124588,PCN140,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,91,4,Retail,3,0,0,22.5,10.58,33.08,9.0,22.86,1.22,0.3,0.2125,0,0,0,0,2021-07-15
RX0000000457,MBR00000011,2022-10-19,2022-10-21,1226218810,1786396332,PLN2988,276617,PCN273,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,4,Retail,3,0,0,10.0,6.04,16.04,9.0,6.48,0.56,0.4,0.2833,0,1,0,0,2022-11-18
RX0000000458,MBR00000011,2021-09-08,2021-09-09,1316039480,1553317540,PLN5325,480343,PCN429,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,83,11,Mail Order,0,0,0,45.0,3.67,48.67,2.0,44.78,1.89,0.6,0.425,0,0,0,0,2021-12-07
RX0000000459,MBR00000011,2021-12-25,2021-12-27,1773750883,1554862033,PLN9685,736737,PCN871,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,380.0,8.71,388.71,32.0,332.4,24.31,15.2,10.7667,0,0,0,0,2022-01-24
RX0000000460,MBR00000011,2021-09-27,2021-09-29,1251558458,1507335673,PLN1843,732597,PCN252,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,55,7,Retail,0,0,0,22.0,3.52,25.52,10.0,13.79,1.73,0.44,0.3117,0,0,0,0,2021-11-26
RX0000000461,MBR00000011,2022-08-09,2022-08-12,1816277303,1678137174,PLN2104,115182,PCN550,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,3,Retail,0,0,0,12.0,3.05,15.05,5.0,9.33,0.72,0.48,0.34,0,0,0,0,2022-09-08
RX0000000462,MBR00000011,2023-02-23,2023-02-26,1141445246,1783154177,PLN8372,713292,PCN300,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,1,Retail,0,0,0,10.0,2.0,12.0,0.0,11.34,0.66,0.4,0.2833,0,0,0,0,2023-03-25
RX0000000463,MBR00000011,2022-03-29,2022-04-02,1289003322,1933112909,PLN3908,274749,PCN709,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,5,Mail Order,0,0,0,10.0,4.58,14.58,9.0,4.74,0.84,0.4,0.2833,0,0,0,0,2022-04-28
RX0000000464,MBR00000011,2023-12-12,2023-12-16,1939763112,1727573787,PLN5743,984304,PCN789,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,84,4,Specialty,0,0,0,27.0,41.97,68.97,6.0,62.97,0.0,0.36,0.255,0,1,0,0,2024-03-11
RX0000000465,MBR00000011,2023-04-06,2023-04-07,1570526316,1496506368,PLN5579,353629,PCN807,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,86,8,Specialty,0,0,0,37.5,14.02,51.52,3.0,48.52,0.0,0.5,0.3542,0,0,0,0,2023-07-05
RX0000000466,MBR00000011,2021-05-19,2021-05-20,1661745589,1850923286,PLN8660,134754,PCN865,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,2,Mail Order,2,0,0,480.0,5.51,485.51,33.0,436.16,16.35,19.2,13.6,0,0,0,0,2021-06-18
RX0000000467,MBR00000011,2022-01-02,2022-01-03,1234908383,1214730771,PLN2744,183216,PCN280,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,2,Retail,0,0,0,14.0,9.29,23.29,9.0,13.04,1.25,0.56,0.3967,0,0,0,0,2022-02-01
RX0000000468,MBR00000011,2023-09-12,2023-09-14,1750050191,1109950301,PLN7214,134135,PCN330,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,64,0,Retail,0,1,1,5600.0,3.55,5603.55,149.0,5081.52,373.03,112.0,79.3333,0,0,0,0,2023-11-11
RX0000000469,MBR00000011,2021-09-01,2021-09-03,1716153860,1743197794,PLN3832,882581,PCN182,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,7,Mail Order,0,0,0,175.0,11.95,186.95,33.0,143.08,10.87,7.0,4.9583,0,0,0,0,2021-10-01
RX0000000470,MBR00000011,2021-07-22,2021-07-26,1470701360,1280129242,PLN1670,794207,PCN948,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,92,6,Retail,0,0,0,135.0,10.67,145.67,0.0,136.29,9.38,1.8,1.275,0,0,0,0,2021-10-20
RX0000000471,MBR00000011,2022-08-28,2022-08-29,1404553622,1836867408,PLN7388,269165,PCN207,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,55,10,Retail,0,1,0,5600.0,11.24,5611.24,147.0,5157.53,306.71,112.0,79.3333,0,0,0,0,2022-10-27
RX0000000472,MBR00000011,2022-08-25,2022-08-26,1769877371,1977017781,PLN1273,218815,PCN192,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,5,Retail,0,0,0,480.0,3.66,483.66,35.0,421.81,26.85,19.2,13.6,0,0,0,0,2022-09-24
RX0000000473,MBR00000011,2023-10-13,2023-10-17,1636126008,1697954794,PLN7717,801584,PCN234,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,11,Retail,0,0,0,18.0,9.56,27.56,6.0,19.99,1.57,0.72,0.51,0,0,0,0,2023-11-12
RX0000000474,MBR00000011,2023-11-16,2023-11-17,1806789735,1934955921,PLN7779,180632,PCN205,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,3,Specialty,0,0,0,43.17,30.33,73.49,31.0,42.49,0.0,7.4,5.2417,0,0,0,0,2023-11-23
RX0000000475,MBR00000011,2021-11-22,2021-11-23,1962029516,1286461398,PLN5010,919916,PCN491,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,11,Retail,0,1,0,2800.0,7.78,2807.78,153.0,2568.85,85.93,112.0,79.3333,0,0,0,0,2021-12-22
RX0000000476,MBR00000011,2022-07-09,2022-07-10,1568903281,1589463253,PLN3310,710978,PCN124,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,1,Retail,0,0,0,310.0,11.89,321.89,34.0,274.14,13.75,12.4,8.7833,0,0,0,0,2022-08-08
RX0000000477,MBR00000011,2022-06-27,2022-06-28,1908873846,1186310762,PLN9180,676204,PCN135,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,94,3,Mail Order,1,0,0,54.0,3.0,57.0,4.0,49.93,3.07,0.72,0.51,0,0,0,0,2022-09-25
RX0000000478,MBR00000011,2021-04-14,2021-04-15,1748726661,1362871445,PLN3548,776688,PCN566,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,9,Retail,0,0,0,12.0,9.0,21.0,4.0,16.11,0.89,0.48,0.34,0,0,0,0,2021-05-14
RX0000000479,MBR00000011,2021-10-30,2021-11-03,1171597801,1840520124,PLN1943,711808,PCN714,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,89,4,Retail,0,0,0,2850.0,3.87,2853.87,37.0,2700.33,116.54,38.0,26.9167,0,0,0,0,2022-01-28
RX0000000480,MBR00000011,2021-07-06,2021-07-07,1677493529,1667623166,PLN9660,688064,PCN566,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,5,Specialty,0,1,0,24.0,49.14,73.14,153.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-10-04
RX0000000481,MBR00000011,2022-06-16,2022-06-18,1643999172,1922343229,PLN3481,448265,PCN947,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,11,Retail,0,0,0,18.0,7.38,25.38,36.0,0.0,1.64,0.72,0.51,0,0,0,0,2022-07-16
RX0000000482,MBR00000011,2022-01-30,2022-02-02,1362603668,1897237762,PLN1611,355961,PCN129,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,84,8,Retail,3,1,0,36.0,5.28,41.28,153.0,0.0,2.44,0.48,0.34,0,0,0,0,2022-04-30
RX0000000483,MBR00000011,2021-07-25,2021-07-26,1914418151,1120028396,PLN2837,302673,PCN268,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,7,Retail,0,0,0,3.5,4.4,7.9,3.0,4.56,0.34,0.6,0.425,1,0,0,0,2021-08-01
RX0000000484,MBR00000011,2021-03-09,2021-03-13,1608620388,1437154032,PLN7806,824432,PCN194,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,1,Mail Order,0,1,0,12.0,4.55,16.55,152.0,0.0,0.54,0.48,0.34,0,0,0,0,2021-04-08
RX0000000485,MBR00000011,2021-09-28,2021-10-02,1956567267,1703629485,PLN6619,941770,PCN499,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,91,6,Retail,0,0,0,27.0,6.74,33.74,8.0,24.29,1.45,0.36,0.255,0,0,0,0,2021-12-27
RX0000000486,MBR00000012,2023-11-18,2023-11-22,1362851196,1745413333,PLN5237,734791,PCN943,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,95,1,Retail,0,0,0,37.5,5.28,42.78,0.0,40.81,1.97,0.5,0.3542,0,0,0,0,2024-02-16
RX0000000487,MBR00000012,2022-05-30,2022-06-01,1618068106,1446677229,PLN5648,339690,PCN793,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,84,4,Retail,0,0,0,30.0,5.99,35.99,2.0,32.65,1.34,0.4,0.2833,0,0,0,0,2022-08-28
RX0000000488,MBR00000012,2023-09-08,2023-09-12,1690932032,1567175821,PLN4486,311401,PCN688,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,98,8,Retail,0,0,0,54.0,10.49,64.49,39.0,22.67,2.82,0.72,0.51,0,0,0,0,2023-12-07
RX0000000489,MBR00000012,2023-07-18,2023-07-20,1510929833,1384795000,PLN2362,334919,PCN822,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,2,Specialty,0,0,0,12.0,15.13,27.13,6.0,21.13,0.0,0.48,0.34,0,0,0,0,2023-08-17
RX0000000490,MBR00000012,2021-10-29,2021-11-01,1803592196,1772758780,PLN5018,371718,PCN898,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,95,5,Retail,0,0,0,1110.0,8.36,1118.36,38.0,1031.86,48.5,14.8,10.4833,0,0,0,0,2022-01-27
RX0000000491,MBR00000012,2021-09-11,2021-09-12,1752575345,1392066358,PLN6181,898582,PCN236,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,0,Retail,0,0,0,950.0,9.51,959.51,38.0,858.26,63.25,38.0,26.9167,0,0,0,0,2021-10-11
RX0000000492,MBR00000012,2021-12-07,2021-12-11,1706112338,1821835325,PLN1548,274529,PCN504,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,0,Retail,0,1,0,8.0,10.35,18.35,155.0,0.0,0.83,0.32,0.2267,0,1,1,0,2022-01-06
RX0000000493,MBR00000012,2021-05-31,2021-06-02,1521782728,1182399487,PLN9470,152594,PCN254,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,11,Mail Order,0,0,0,12.0,11.98,23.98,1.0,21.52,1.46,0.48,0.34,0,0,0,0,2021-06-30
RX0000000494,MBR00000012,2022-04-18,2022-04-19,1158375271,1228862665,PLN4404,320539,PCN192,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,82,3,Specialty,0,0,0,135.0,49.05,184.05,3.0,181.05,0.0,1.8,1.275,0,0,0,0,2022-07-17
RX0000000495,MBR00000012,2023-08-29,2023-09-02,1504106902,1927169274,PLN6621,654192,PCN800,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,1,Retail,0,0,0,11.0,8.64,19.64,0.0,18.59,1.05,0.44,0.3117,0,0,0,0,2023-09-28
RX0000000496,MBR00000012,2022-02-23,2022-02-27,1263636190,1677765459,PLN6000,913253,PCN206,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,11,Retail,0,0,0,7.5,8.05,15.55,1.0,13.75,0.8,0.3,0.2125,0,0,0,0,2022-03-25
RX0000000497,MBR00000012,2021-01-14,2021-01-18,1875056490,1532007962,PLN9301,643686,PCN272,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,8,Retail,0,0,0,9.0,10.61,19.61,2.0,16.34,1.27,0.36,0.255,1,0,0,0,2021-02-13
RX0000000498,MBR00000012,2023-05-16,2023-05-18,1347379768,1975849306,PLN1088,988427,PCN393,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,11,Retail,2,0,0,175.0,7.38,182.38,32.0,140.46,9.92,7.0,4.9583,0,0,0,0,2023-06-15
RX0000000499,MBR00000012,2023-02-08,2023-02-11,1113429032,1201518041,PLN7399,463529,PCN148,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,9,Retail,0,0,0,38.0,9.36,47.36,7.0,38.18,2.18,1.52,1.0767,0,0,0,0,2023-03-10
RX0000000500,MBR00000012,2023-02-20,2023-02-21,1166457482,1541329357,PLN3585,752985,PCN873,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,98,3,Retail,0,0,0,42.0,6.88,48.88,7.0,40.29,1.59,0.56,0.3967,0,0,0,0,2023-05-21
RX0000000501,MBR00000012,2021-06-17,2021-06-20,1917862703,1780273581,PLN3117,821270,PCN718,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,82,5,Retail,0,0,0,27.0,3.49,30.49,9.0,20.15,1.34,0.36,0.255,0,0,0,0,2021-09-15
RX0000000502,MBR00000012,2023-01-30,2023-01-31,1692882966,1687920486,PLN8108,737730,PCN192,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,8,Retail,0,0,0,16.0,8.23,24.23,9.0,14.45,0.78,0.64,0.4533,0,0,0,0,2023-03-01
RX0000000503,MBR00000012,2021-03-31,2021-04-01,1109491359,1999915328,PLN1755,955582,PCN819,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,6,Retail,0,0,0,7.5,5.36,12.86,3.0,9.23,0.63,0.3,0.2125,1,0,0,0,2021-04-30
RX0000000504,MBR00000012,2021-03-08,2021-03-12,1275463209,1105352261,PLN8867,837312,PCN346,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,7,Mail Order,0,0,0,45.0,11.41,56.41,1.0,53.2,2.21,1.8,1.275,0,0,0,0,2021-04-07
RX0000000505,MBR00000012,2021-12-14,2021-12-15,1318774419,1706581131,PLN3579,214836,PCN194,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,2,Retail,0,0,0,65.0,8.86,73.86,38.0,32.01,3.85,2.6,1.8417,0,0,0,0,2022-01-13
RX0000000506,MBR00000012,2022-12-30,2023-01-03,1138880641,1817258481,PLN5708,343254,PCN680,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,11,Retail,0,0,0,6.53,10.73,17.26,10.0,6.2,1.06,1.12,0.7933,0,0,0,0,2023-01-06
RX0000000507,MBR00000012,2022-01-09,2022-01-12,1784209103,1217880301,PLN6776,914444,PCN666,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,5,Retail,0,0,0,10.0,4.03,14.03,0.0,13.33,0.7,0.4,0.2833,0,0,0,0,2022-02-08
RX0000000508,MBR00000012,2021-01-26,2021-01-27,1462961844,1605819772,PLN2304,868817,PCN384,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,3,Retail,0,0,0,285.0,8.19,293.19,30.0,251.96,11.23,11.4,8.075,0,0,0,0,2021-02-25
RX0000000509,MBR00000012,2023-12-19,2023-12-20,1440967128,1579235786,PLN4652,679334,PCN402,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,11,Mail Order,0,1,0,8500.0,5.48,8505.48,147.0,7944.25,414.23,340.0,240.8333,0,0,0,0,2024-01-18
RX0000000510,MBR00000012,2021-12-09,2021-12-11,1480582746,1507003283,PLN9096,873102,PCN262,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,2,Retail,2,0,0,10.0,3.24,13.24,3.0,9.72,0.52,0.4,0.2833,0,0,0,0,2022-01-08
RX0000000511,MBR00000012,2023-11-19,2023-11-23,1333083175,1172827053,PLN4517,676004,PCN170,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,3,Retail,0,0,0,10.0,8.6,18.6,2.0,15.33,1.27,0.4,0.2833,0,0,0,0,2023-12-19
RX0000000512,MBR00000012,2023-08-01,2023-08-03,1304008058,1838621283,PLN8751,635859,PCN634,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,7,Specialty,0,0,0,9.0,16.68,25.68,4.0,21.68,0.0,0.36,0.255,0,0,0,0,2023-08-31
RX0000000513,MBR00000012,2022-09-19,2022-09-21,1282015890,1772776763,PLN9327,837155,PCN772,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,11,Mail Order,0,0,0,22.0,5.29,27.29,68.0,0.0,1.2,0.88,0.6233,0,0,0,0,2022-10-19
RX0000000514,MBR00000012,2021-11-20,2021-11-22,1764022391,1487755620,PLN2386,865322,PCN814,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,58,1,Retail,0,1,0,24.0,8.73,32.73,155.0,0.0,1.06,0.48,0.34,0,0,0,0,2022-01-19
RX0000000515,MBR00000012,2021-04-06,2021-04-10,1649749298,1613142474,PLN6903,434643,PCN598,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,6,Retail,0,0,0,330.0,8.16,338.16,37.0,283.47,17.69,13.2,9.35,0,0,0,0,2021-05-06
RX0000000516,MBR00000012,2021-09-16,2021-09-20,1878736820,1754324029,PLN9641,495140,PCN798,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,8,Retail,0,0,0,40.83,10.62,51.45,39.0,10.42,2.03,7.0,4.9583,0,0,0,0,2021-09-23
RX0000000517,MBR00000012,2023-08-05,2023-08-06,1493926918,1317119653,PLN2735,150139,PCN429,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,9,Retail,0,0,1,12.0,11.17,23.17,8.0,14.03,1.14,0.48,0.34,0,0,0,0,2023-09-04
RX0000000518,MBR00000012,2022-07-28,2022-07-29,1929453448,1567781383,PLN3449,526716,PCN781,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,10,Specialty,0,0,0,11.0,42.7,53.7,3.0,50.7,0.0,0.44,0.3117,0,0,0,0,2022-08-27
RX0000000519,MBR00000012,2023-05-18,2023-05-21,1963816160,1565633637,PLN8497,579232,PCN277,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,96,8,Retail,0,0,0,22.5,10.73,33.23,6.0,25.0,2.23,0.3,0.2125,0,0,0,0,2023-08-16
RX0000000520,MBR00000012,2021-06-30,2021-07-04,1880120056,1990525611,PLN4159,137056,PCN100,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,5,Mail Order,0,0,0,18.0,4.98,22.98,0.0,21.9,1.08,0.72,0.51,0,0,0,0,2021-07-30
RX0000000521,MBR00000012,2021-02-11,2021-02-12,1461671917,1387972426,PLN5952,770444,PCN515,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,86,5,Retail,0,0,0,2250.0,8.91,2258.91,39.0,2085.45,134.46,30.0,21.25,0,0,0,0,2021-05-12
RX0000000522,MBR00000012,2023-02-04,2023-02-06,1502054913,1631053764,PLN6547,253335,PCN685,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,6,Retail,0,0,0,175.0,10.51,185.51,35.0,138.52,11.99,7.0,4.9583,1,0,0,0,2023-03-06
RX0000000523,MBR00000012,2022-09-02,2022-09-03,1447553467,1876898822,PLN1908,248677,PCN757,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,6,Retail,0,0,0,370.0,4.26,374.26,40.0,313.79,20.47,14.8,10.4833,0,1,1,0,2022-10-02
RX0000000524,MBR00000012,2023-09-16,2023-09-18,1771425895,1871946328,PLN5773,439219,PCN469,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,54,11,Retail,0,0,0,15.0,9.76,24.76,7.0,16.55,1.21,0.3,0.2125,0,0,0,0,2023-11-15
RX0000000525,MBR00000012,2023-02-20,2023-02-24,1274231558,1458248481,PLN4662,693682,PCN971,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,93,4,Retail,0,0,0,2250.0,8.17,2258.17,30.0,2135.7,92.47,30.0,21.25,0,0,0,0,2023-05-21
RX0000000526,MBR00000012,2022-03-15,2022-03-19,1288524393,1487348147,PLN6524,182008,PCN559,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,9,Retail,0,0,0,14.0,8.79,22.79,4.0,17.28,1.51,0.56,0.3967,0,0,0,0,2022-04-14
RX0000000527,MBR00000012,2021-12-14,2021-12-18,1598922593,1266324745,PLN2789,716478,PCN539,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,2,Retail,0,0,0,11.0,1.55,12.55,9.0,2.68,0.87,0.44,0.3117,0,0,0,0,2022-01-13
RX0000000528,MBR00000012,2021-09-22,2021-09-24,1926067964,1895532941,PLN3847,881867,PCN489,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,61,0,LTC,0,0,0,22.0,3.44,25.44,3.0,21.12,1.32,0.44,0.3117,0,0,0,0,2021-11-21
RX0000000529,MBR00000012,2023-01-24,2023-01-27,1289458310,1350644566,PLN3443,243993,PCN997,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,8,Specialty,3,0,0,14.0,12.38,26.38,5.0,21.38,0.0,0.56,0.3967,0,0,0,0,2023-02-23
RX0000000530,MBR00000012,2022-04-19,2022-04-22,1674177324,1109981736,PLN7469,350375,PCN892,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,9,Mail Order,0,0,0,11.0,3.56,14.56,8.0,5.68,0.88,0.44,0.3117,0,0,0,0,2022-05-19
RX0000000531,MBR00000012,2021-07-10,2021-07-13,1683133262,1291949500,PLN3449,809788,PCN949,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,10,Mail Order,0,0,0,16.0,3.31,19.31,9.0,8.98,1.33,0.64,0.4533,0,0,0,0,2021-08-09
RX0000000532,MBR00000012,2021-09-01,2021-09-05,1131187379,1270026801,PLN2818,724714,PCN844,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,57,7,Mail Order,0,0,0,350.0,4.23,354.23,39.0,296.94,18.29,7.0,4.9583,1,0,0,0,2021-10-31
RX0000000533,MBR00000012,2021-10-14,2021-10-18,1900683836,1849055109,PLN9523,156195,PCN433,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,62,0,Retail,0,0,0,76.0,3.9,79.9,7.0,68.16,4.74,1.52,1.0767,0,0,0,0,2021-12-13
RX0000000534,MBR00000012,2021-09-12,2021-09-16,1120887060,1399381613,PLN3615,413186,PCN355,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,98,6,Retail,0,0,0,25.5,4.57,30.07,5.0,23.23,1.84,0.34,0.2408,0,0,0,0,2021-12-11
RX0000000535,MBR00000012,2022-12-10,2022-12-11,1690483424,1279172295,PLN8488,112732,PCN670,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,6,Mail Order,0,0,0,175.0,5.46,180.46,33.0,136.51,10.95,7.0,4.9583,0,0,0,0,2023-01-09
RX0000000536,MBR00000012,2022-10-15,2022-10-17,1362001291,1923260344,PLN7352,762854,PCN398,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,10,Retail,0,0,0,12.0,11.78,23.78,1.0,21.3,1.48,0.48,0.34,0,0,0,0,2022-11-14
RX0000000537,MBR00000012,2022-05-28,2022-05-31,1270309703,1434651044,PLN4678,401205,PCN717,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,7,Retail,0,1,0,2800.0,3.22,2803.22,154.0,2529.1,120.12,112.0,79.3333,0,0,0,0,2022-06-27
RX0000000538,MBR00000012,2021-04-09,2021-04-10,1980562408,1674960730,PLN1034,429605,PCN118,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,9,Retail,0,0,0,330.0,3.23,333.23,30.0,291.97,11.26,13.2,9.35,1,0,0,0,2021-05-09
RX0000000539,MBR00000012,2023-10-15,2023-10-17,1602186850,1257951209,PLN6025,676718,PCN194,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,6,Mail Order,1,0,0,10.5,9.9,20.4,0.0,18.97,1.43,1.8,1.275,1,0,0,0,2023-10-22
RX0000000540,MBR00000012,2021-06-07,2021-06-09,1941653064,1683543177,PLN7721,657723,PCN438,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,0,Retail,0,0,0,8.5,10.12,18.62,9.0,8.5,1.12,0.34,0.2408,0,0,0,0,2021-07-07
RX0000000541,MBR00000012,2021-10-13,2021-10-17,1591414557,1478248989,PLN6932,420890,PCN833,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,6,Retail,0,0,1,18.0,3.73,21.73,10.0,10.37,1.36,0.72,0.51,0,0,0,0,2021-11-12
RX0000000542,MBR00000012,2021-02-10,2021-02-12,1396646647,1732930215,PLN3807,565893,PCN793,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,81,3,LTC,0,0,0,195.0,1.72,196.72,31.0,156.4,9.32,2.6,1.8417,0,0,0,0,2021-05-11
RX0000000543,MBR00000012,2023-01-30,2023-01-31,1685668581,1283257131,PLN8681,150960,PCN926,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,2,Retail,3,0,0,12.0,6.97,18.97,9.0,8.89,1.08,0.48,0.34,0,0,0,0,2023-03-01
RX0000000544,MBR00000012,2022-05-08,2022-05-09,1149003211,1119978253,PLN7648,229456,PCN215,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,82,9,Mail Order,0,0,0,1110.0,3.38,1113.38,39.0,1007.28,67.1,14.8,10.4833,0,0,0,0,2022-08-06
RX0000000545,MBR00000012,2023-03-05,2023-03-06,1397846058,1359330075,PLN1393,800311,PCN391,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,9,Retail,0,0,0,9.0,3.11,12.11,3.0,8.44,0.67,0.36,0.255,1,0,0,0,2023-04-04
RX0000000546,MBR00000012,2021-09-20,2021-09-24,1947850033,1698427104,PLN5139,636924,PCN692,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,0,Retail,0,1,0,2800.0,4.38,2804.38,147.0,2565.92,91.46,112.0,79.3333,0,0,0,0,2021-10-20
RX0000000547,MBR00000012,2022-04-05,2022-04-06,1445816744,1872112179,PLN7043,565342,PCN772,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,97,9,Specialty,0,1,0,8400.0,36.27,8436.27,155.0,8281.27,0.0,112.0,79.3333,1,0,0,0,2022-07-04
RX0000000548,MBR00000012,2022-03-29,2022-03-31,1848929279,1396430217,PLN2651,203271,PCN263,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,6,Retail,2,0,0,950.0,3.37,953.37,35.0,856.21,62.16,38.0,26.9167,0,0,0,0,2022-04-28
RX0000000549,MBR00000012,2023-08-12,2023-08-15,1541127428,1473063106,PLN9062,314373,PCN362,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,0,Retail,0,0,0,10.0,3.59,13.59,5.0,7.72,0.87,0.4,0.2833,0,0,0,0,2023-09-11
RX0000000550,MBR00000012,2023-10-10,2023-10-13,1942038466,1850954303,PLN6521,716019,PCN905,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,87,10,Mail Order,0,0,0,54.0,11.4,65.4,4.0,58.03,3.37,0.72,0.51,0,0,0,0,2024-01-08
RX0000000551,MBR00000012,2022-03-05,2022-03-07,1431801982,1169998198,PLN2045,848830,PCN779,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,81,9,Retail,0,0,0,114.0,3.71,117.71,31.0,80.23,6.48,1.52,1.0767,0,0,0,0,2022-06-03
RX0000000552,MBR00000012,2023-02-01,2023-02-05,1365529855,1446697236,PLN1989,150800,PCN738,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,11,Retail,2,0,0,320.0,1.86,321.86,34.0,277.39,10.47,12.8,9.0667,0,0,0,0,2023-03-03
RX0000000553,MBR00000012,2021-02-21,2021-02-25,1956080206,1467292774,PLN7918,765621,PCN250,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,4,Retail,0,0,0,45.0,11.04,56.04,5.0,48.76,2.28,1.8,1.275,1,0,0,0,2021-03-23
RX0000000554,MBR00000012,2021-03-17,2021-03-19,1587096724,1130454579,PLN5014,393748,PCN139,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,8,Mail Order,0,0,0,12.0,10.28,22.28,3.0,18.1,1.18,0.48,0.34,0,0,0,0,2021-04-16
RX0000000555,MBR00000012,2022-01-07,2022-01-08,1812664792,1714828399,PLN3432,570560,PCN467,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,61,9,Retail,0,0,0,24.0,7.07,31.07,3.0,27.09,0.98,0.48,0.34,0,0,0,0,2022-03-08
RX0000000556,MBR00000012,2022-12-14,2022-12-15,1102466097,1642291900,PLN8465,255067,PCN644,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,5,Retail,0,0,0,38.0,4.56,42.56,39.0,2.22,1.34,1.52,1.0767,0,0,0,0,2023-01-13
RX0000000557,MBR00000012,2022-08-31,2022-09-04,1774295004,1707503623,PLN6969,246490,PCN412,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,6,Mail Order,0,0,0,2.1,9.66,11.76,6.0,5.4,0.36,0.36,0.255,0,0,0,0,2022-09-07
RX0000000558,MBR00000012,2023-12-12,2023-12-14,1141656917,1976452500,PLN8091,390283,PCN482,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,82,2,Mail Order,0,0,0,54.0,7.36,61.36,5.0,52.72,3.64,0.72,0.51,1,0,0,0,2024-03-11
RX0000000559,MBR00000012,2023-04-15,2023-04-19,1681217443,1790401799,PLN2903,577361,PCN380,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,90,1,Retail,0,0,0,33.0,8.48,41.48,8.0,30.64,2.84,0.44,0.3117,0,0,0,0,2023-07-14
RX0000000560,MBR00000013,2021-02-19,2021-02-20,1444505305,1316192546,PLN5107,752579,PCN122,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,94,4,Specialty,0,0,0,48.0,28.49,76.49,3.0,73.49,0.0,0.64,0.4533,0,0,0,0,2021-05-20
RX0000000561,MBR00000013,2023-04-28,2023-05-02,1549729755,1872376821,PLN6661,883575,PCN225,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,98,8,Retail,0,0,0,84.0,9.38,93.38,3.0,84.64,5.74,1.12,0.7933,0,0,0,0,2023-07-27
RX0000000562,MBR00000013,2021-02-23,2021-02-24,1982500511,1848447996,PLN1449,490166,PCN788,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,2,Retail,0,0,0,750.0,5.48,755.48,39.0,678.15,38.33,30.0,21.25,0,0,0,0,2021-03-25
RX0000000563,MBR00000013,2021-12-12,2021-12-14,1437659729,1574978488,PLN7835,713210,PCN403,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,92,8,Retail,0,0,0,30.0,10.95,40.95,5.0,33.25,2.7,0.4,0.2833,0,0,0,0,2022-03-12
RX0000000564,MBR00000013,2021-06-16,2021-06-20,1186753365,1578536562,PLN7089,976851,PCN510,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,94,0,Retail,0,0,0,1440.0,5.23,1445.23,30.0,1320.07,95.16,19.2,13.6,0,0,0,0,2021-09-14
RX0000000565,MBR00000013,2022-03-09,2022-03-12,1914171004,1358846948,PLN1922,864780,PCN565,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,82,8,Retail,0,0,0,22.5,3.39,25.89,6.0,18.68,1.21,0.3,0.2125,0,0,0,0,2022-06-07
RX0000000566,MBR00000013,2023-04-29,2023-05-01,1110303941,1410852736,PLN6298,210532,PCN849,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,89,5,Retail,0,0,0,27.0,4.78,31.78,10.0,19.9,1.88,0.36,0.255,0,0,0,0,2023-07-28
RX0000000567,MBR00000013,2023-01-28,2023-01-31,1785235957,1641402378,PLN5423,529455,PCN945,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,65,1,Retail,0,0,0,30.0,4.17,34.17,4.0,29.07,1.1,0.6,0.425,0,0,0,0,2023-03-29
RX0000000568,MBR00000013,2022-08-02,2022-08-03,1626654636,1428287335,PLN3794,252754,PCN208,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,84,4,Retail,0,0,0,48.0,6.17,54.17,2.0,48.83,3.34,0.64,0.4533,0,0,0,0,2022-10-31
RX0000000569,MBR00000013,2021-09-16,2021-09-18,1218778421,1472003183,PLN4768,402252,PCN305,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,7,Retail,0,0,0,16.0,8.76,24.76,9.0,14.93,0.83,0.64,0.4533,0,0,0,0,2021-10-16
RX0000000570,MBR00000013,2022-10-15,2022-10-19,1505972329,1695171166,PLN5865,808919,PCN320,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,86,4,Retail,0,0,0,1440.0,2.0,1442.0,40.0,1313.32,88.68,19.2,13.6,0,0,0,0,2023-01-13
RX0000000571,MBR00000013,2023-03-04,2023-03-06,1236439409,1671521684,PLN6269,210748,PCN491,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,54,0,Retail,0,0,0,640.0,1.8,641.8,37.0,580.41,24.39,12.8,9.0667,0,0,0,0,2023-05-03
RX0000000572,MBR00000013,2022-04-24,2022-04-25,1729356470,1618471130,PLN6063,301396,PCN389,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,6,Retail,0,1,0,12.0,4.53,16.53,153.0,0.0,0.85,0.48,0.34,0,0,0,0,2022-05-24
RX0000000573,MBR00000013,2023-02-28,2023-03-01,1274888123,1518540980,PLN1916,268921,PCN697,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,98,9,Retail,0,0,0,30.0,2.58,32.58,3.0,28.1,1.48,0.4,0.2833,0,0,0,0,2023-05-29
RX0000000574,MBR00000013,2022-05-02,2022-05-03,1482121113,1763095833,PLN7667,837368,PCN713,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,0,Retail,0,0,0,9.0,1.57,10.57,1.0,8.94,0.63,0.36,0.255,0,0,0,0,2022-06-01
RX0000000575,MBR00000013,2021-02-19,2021-02-20,1578413084,1726148769,PLN3432,348166,PCN502,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,6,Retail,0,1,0,12.0,5.93,17.93,154.0,0.0,0.68,0.48,0.34,0,0,0,0,2021-03-21
RX0000000576,MBR00000013,2021-11-16,2021-11-19,1354370029,1711688380,PLN5126,187001,PCN399,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,5,Retail,0,0,0,10.0,1.96,11.96,2.0,9.13,0.83,0.4,0.2833,0,0,0,0,2021-12-16
RX0000000577,MBR00000013,2021-06-24,2021-06-27,1233490839,1825493425,PLN5213,749756,PCN156,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,3,Mail Order,0,0,0,750.0,3.84,753.84,37.0,679.58,37.26,30.0,21.25,0,0,0,0,2021-07-24
RX0000000578,MBR00000013,2023-12-21,2023-12-22,1496559610,1791687366,PLN3697,468619,PCN514,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,9,Retail,0,0,0,7.5,11.26,18.76,6.0,11.5,1.26,0.3,0.2125,0,0,0,0,2024-01-20
RX0000000579,MBR00000013,2023-10-30,2023-11-01,1824687145,1317146049,PLN6289,258181,PCN762,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,10,Retail,0,1,0,12.0,9.07,21.07,152.0,0.0,1.14,0.48,0.34,0,0,0,0,2023-11-29
RX0000000580,MBR00000013,2021-06-20,2021-06-24,1461874469,1577132729,PLN7558,503407,PCN646,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,95,7,Specialty,0,0,0,30.0,11.62,41.62,0.0,41.62,0.0,0.4,0.2833,0,0,0,0,2021-09-18
RX0000000581,MBR00000013,2023-06-23,2023-06-25,1613355953,1119045855,PLN9247,779417,PCN930,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,8,Retail,0,0,0,14.0,3.43,17.43,4.0,12.55,0.88,0.56,0.3967,0,0,0,0,2023-07-23
RX0000000582,MBR00000013,2022-01-06,2022-01-07,1788682147,1427795433,PLN3356,949200,PCN685,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,91,2,Retail,0,0,0,1140.0,2.43,1142.43,37.0,1035.53,69.9,15.2,10.7667,0,0,0,0,2022-04-06
RX0000000583,MBR00000013,2023-02-05,2023-02-09,1275464451,1990869886,PLN4400,183625,PCN161,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,9,Retail,0,0,0,14.0,7.51,21.51,4.0,16.27,1.24,0.56,0.3967,0,0,0,0,2023-03-07
RX0000000584,MBR00000013,2023-05-01,2023-05-05,1300839932,1735895911,PLN3103,169877,PCN654,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,2,Retail,0,1,0,2800.0,9.44,2809.44,148.0,2493.2,168.24,112.0,79.3333,0,0,0,0,2023-05-31
RX0000000585,MBR00000013,2022-09-26,2022-09-27,1777177478,1418225274,PLN3996,636836,PCN950,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,3,Retail,3,1,0,8500.0,10.03,8510.03,151.0,8099.67,259.36,340.0,240.8333,0,0,0,0,2022-10-26
RX0000000586,MBR00000013,2022-02-20,2022-02-21,1513876447,1728787940,PLN7881,201360,PCN224,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,88,11,Retail,0,1,0,36.0,3.87,39.87,152.0,0.0,1.97,0.48,0.34,0,0,0,0,2022-05-21
RX0000000587,MBR00000013,2023-07-13,2023-07-16,1277268122,1632062368,PLN5582,117772,PCN934,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,3,Retail,0,0,0,18.0,9.58,27.58,0.0,26.26,1.32,0.72,0.51,0,0,0,0,2023-08-12
RX0000000588,MBR00000013,2023-08-06,2023-08-07,1484043700,1698088904,PLN9192,316832,PCN780,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,7,Retail,0,0,0,175.0,7.97,182.97,39.0,136.04,7.93,7.0,4.9583,0,0,0,0,2023-09-05
RX0000000589,MBR00000013,2021-04-11,2021-04-13,1840738406,1491347184,PLN5744,626111,PCN716,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,83,9,Retail,0,0,0,42.0,6.35,48.35,0.0,45.04,3.31,0.56,0.3967,0,0,0,0,2021-07-10
RX0000000590,MBR00000013,2022-09-27,2022-09-30,1712727696,1200385913,PLN6120,493918,PCN444,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,81,10,Retail,2,0,0,27.0,4.44,31.44,2.0,27.83,1.61,0.36,0.255,0,0,0,0,2022-12-26
RX0000000591,MBR00000013,2022-04-17,2022-04-20,1880558369,1586376131,PLN7829,644144,PCN958,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,81,11,Mail Order,3,0,0,27.0,10.26,37.26,0.0,35.23,2.03,0.36,0.255,0,0,0,0,2022-07-16
RX0000000592,MBR00000013,2022-08-20,2022-08-24,1703159664,1342261205,PLN9424,833128,PCN183,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,1,Mail Order,0,0,0,12.0,2.45,14.45,5.0,8.85,0.6,0.48,0.34,0,0,0,0,2022-09-19
RX0000000593,MBR00000013,2023-08-17,2023-08-20,1538271284,1339981699,PLN3472,696327,PCN881,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,8,Retail,0,0,0,14.0,7.69,21.69,1.0,19.52,1.17,0.56,0.3967,0,0,0,0,2023-09-16
RX0000000594,MBR00000013,2022-04-26,2022-04-28,1132976652,1164119544,PLN3465,668653,PCN674,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,5,Retail,0,0,0,175.0,2.76,177.76,33.0,134.62,10.14,7.0,4.9583,0,0,0,0,2022-05-26
RX0000000595,MBR00000013,2022-03-10,2022-03-13,1449982932,1776423642,PLN6306,215150,PCN958,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,8,Retail,0,0,0,38.0,2.47,40.47,39.0,0.0,2.03,1.52,1.0767,0,0,0,0,2022-04-09
RX0000000596,MBR00000013,2023-07-28,2023-07-31,1223967866,1134427844,PLN7804,239490,PCN766,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,0,Retail,0,0,0,9.0,1.61,10.61,8.0,2.14,0.47,0.36,0.255,0,0,0,0,2023-08-27
RX0000000597,MBR00000013,2021-01-28,2021-01-30,1120914057,1733577750,PLN3669,755897,PCN518,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,6,Retail,0,0,0,18.0,11.36,29.36,31.0,0.0,1.23,0.72,0.51,0,0,0,0,2021-02-27
RX0000000598,MBR00000013,2023-07-03,2023-07-07,1898262444,1887125987,PLN4271,686124,PCN771,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,62,3,Mail Order,0,0,0,25.0,4.93,29.93,3.0,25.7,1.23,0.5,0.3542,0,0,0,0,2023-09-01
RX0000000599,MBR00000013,2021-10-29,2021-11-01,1345250882,1672099397,PLN3614,850161,PCN466,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,54,0,Retail,3,1,0,16.0,4.66,20.66,154.0,0.0,0.78,0.32,0.2267,0,0,0,0,2021-12-28
RX0000000600,MBR00000013,2023-04-18,2023-04-21,1995712090,1377487576,PLN3123,502237,PCN435,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,0,Retail,0,0,0,380.0,5.53,385.53,37.0,328.16,20.37,15.2,10.7667,0,0,0,0,2023-05-18
RX0000000601,MBR00000013,2021-10-10,2021-10-12,1533880728,1611238608,PLN3346,975310,PCN328,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,10,Mail Order,1,0,0,15.0,1.84,16.84,3.0,13.18,0.66,0.6,0.425,0,1,0,0,2021-11-09
RX0000000602,MBR00000013,2022-02-01,2022-02-04,1957611580,1378016127,PLN4264,708127,PCN158,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,11,Specialty,0,0,0,12.0,16.09,28.09,8.0,20.09,0.0,0.48,0.34,0,0,0,0,2022-03-03
RX0000000603,MBR00000013,2021-04-12,2021-04-16,1719154186,1976647821,PLN6820,930394,PCN390,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,8,Retail,0,0,0,38.0,3.8,41.8,32.0,8.41,1.39,1.52,1.0767,1,0,0,0,2021-05-12
RX0000000604,MBR00000013,2021-06-22,2021-06-25,1841205400,1316649919,PLN2700,851696,PCN287,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,98,11,Retail,0,0,0,33.0,10.54,43.54,8.0,32.69,2.85,0.44,0.3117,0,0,0,0,2021-09-20
RX0000000605,MBR00000013,2022-01-25,2022-01-29,1245762610,1155335721,PLN6441,639053,PCN479,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,7,Mail Order,1,0,0,285.0,9.99,294.99,39.0,243.43,12.56,11.4,8.075,0,0,0,0,2022-02-24
RX0000000606,MBR00000013,2021-01-18,2021-01-22,1812734680,1894479729,PLN5826,897033,PCN153,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,10,Retail,0,1,0,12.0,9.89,21.89,153.0,0.0,1.47,0.48,0.34,0,0,0,0,2021-02-17
RX0000000607,MBR00000013,2021-04-23,2021-04-26,1467334305,1381986871,PLN9885,705810,PCN912,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,91,3,Retail,0,0,0,22.5,10.86,33.36,2.0,29.28,2.08,0.3,0.2125,0,0,0,0,2021-07-22
RX0000000608,MBR00000013,2023-01-22,2023-01-23,1244054024,1574471873,PLN4387,656205,PCN937,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,4,Retail,0,0,0,66.0,5.42,71.42,0.0,68.2,3.22,0.88,0.6233,0,0,0,0,2023-04-22
RX0000000609,MBR00000013,2023-05-19,2023-05-20,1612671094,1316135114,PLN4351,287807,PCN166,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,7,Mail Order,0,0,0,10.0,11.15,21.15,7.0,12.74,1.41,0.4,0.2833,0,0,0,0,2023-06-18
RX0000000610,MBR00000014,2021-01-08,2021-01-09,1474096554,1604232808,PLN1939,680873,PCN967,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,9,Specialty,0,0,0,45.0,37.76,82.76,9.0,73.76,0.0,1.8,1.275,0,0,0,0,2021-02-07
RX0000000611,MBR00000014,2023-07-23,2023-07-25,1385374108,1229142176,PLN3931,248111,PCN659,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,89,3,Mail Order,0,0,0,45.0,3.67,48.67,6.0,40.98,1.69,0.6,0.425,0,0,0,0,2023-10-21
RX0000000612,MBR00000014,2023-08-02,2023-08-03,1179595854,1264704300,PLN6586,365333,PCN800,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,3,Retail,0,0,0,175.0,5.23,180.23,30.0,137.7,12.53,7.0,4.9583,0,0,0,0,2023-09-01
RX0000000613,MBR00000014,2022-08-04,2022-08-05,1653205486,1671112844,PLN2360,905401,PCN477,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,1,Mail Order,0,0,1,12.0,9.9,21.9,6.0,15.07,0.83,0.48,0.34,0,0,0,0,2022-09-03
RX0000000614,MBR00000014,2023-06-03,2023-06-04,1350862419,1125345836,PLN9649,647466,PCN588,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,94,2,Mail Order,0,0,0,990.0,11.59,1001.59,39.0,894.04,68.55,13.2,9.35,0,0,0,0,2023-09-01
RX0000000615,MBR00000014,2023-02-18,2023-02-19,1207417020,1256191569,PLN6727,297411,PCN757,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,57,4,Retail,0,0,0,76.0,3.36,79.36,34.0,42.38,2.98,1.52,1.0767,0,0,0,0,2023-04-19
RX0000000616,MBR00000014,2022-07-27,2022-07-31,1321253814,1725721021,PLN5044,512192,PCN106,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,7,Retail,0,1,0,12.0,7.78,19.78,153.0,0.0,0.74,0.48,0.34,0,0,0,0,2022-08-26
RX0000000617,MBR00000014,2022-05-26,2022-05-30,1269779726,1135777341,PLN8344,927330,PCN403,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,90,2,Retail,0,0,0,1440.0,4.83,1444.83,37.0,1343.46,64.37,19.2,13.6,0,0,0,0,2022-08-24
RX0000000618,MBR00000014,2022-06-22,2022-06-24,1207356567,1945194258,PLN9949,841117,PCN185,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,89,1,Retail,0,1,0,25500.0,11.52,25511.52,154.0,24474.01,883.51,340.0,240.8333,0,0,0,0,2022-09-20
RX0000000619,MBR00000014,2022-01-11,2022-01-13,1793942606,1920807726,PLN6413,107754,PCN551,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,8,Retail,0,0,0,18.0,5.98,23.98,9.0,13.68,1.3,0.72,0.51,0,0,0,0,2022-02-10
RX0000000620,MBR00000014,2021-07-15,2021-07-16,1738083868,1732474927,PLN5730,994009,PCN140,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,7,Retail,1,0,0,18.0,2.22,20.22,38.0,0.0,0.66,0.72,0.51,0,0,0,0,2021-08-14
RX0000000621,MBR00000014,2021-07-19,2021-07-23,1395538539,1221499392,PLN8850,247815,PCN165,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,90,11,Mail Order,0,0,0,54.0,5.84,59.84,1.0,55.68,3.16,0.72,0.51,0,0,0,0,2021-10-17
RX0000000622,MBR00000014,2022-10-07,2022-10-11,1732890298,1150624892,PLN8596,955347,PCN291,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,91,8,Retail,0,0,0,48.0,10.42,58.42,2.0,53.58,2.84,0.64,0.4533,0,0,0,0,2023-01-05
RX0000000623,MBR00000014,2023-10-14,2023-10-16,1708507032,1163352477,PLN1873,612888,PCN802,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,7,Retail,0,0,0,9.0,5.04,14.04,10.0,3.23,0.81,0.36,0.255,1,0,0,0,2023-11-13
RX0000000624,MBR00000014,2021-02-04,2021-02-08,1987823714,1815771802,PLN2945,101310,PCN564,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,1,Mail Order,3,0,0,950.0,3.68,953.68,35.0,871.7,46.98,38.0,26.9167,0,0,0,0,2021-03-06
RX0000000625,MBR00000014,2022-03-11,2022-03-12,1752539045,1215125169,PLN1036,531217,PCN145,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,5,Retail,0,0,0,370.0,9.7,379.7,34.0,332.68,13.02,14.8,10.4833,0,0,0,0,2022-04-10
RX0000000626,MBR00000014,2023-07-02,2023-07-05,1200068236,1602576862,PLN4838,161289,PCN544,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,3,Retail,0,0,0,10.0,8.53,18.53,8.0,9.61,0.92,0.4,0.2833,0,0,0,0,2023-08-01
RX0000000627,MBR00000014,2022-01-06,2022-01-09,1681063766,1261264830,PLN2409,255708,PCN840,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,7,Retail,0,1,0,8500.0,9.17,8509.17,149.0,7803.52,556.65,340.0,240.8333,0,0,0,0,2022-02-05
RX0000000628,MBR00000014,2022-12-29,2022-12-30,1405650584,1703093447,PLN4909,991651,PCN219,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,5,Retail,0,0,0,45.0,5.48,50.48,7.0,41.7,1.78,1.8,1.275,0,0,0,0,2023-01-28
RX0000000629,MBR00000014,2021-04-12,2021-04-16,1106829804,1919703878,PLN3922,744376,PCN437,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,81,9,Retail,0,1,0,25500.0,10.5,25510.5,145.0,24318.95,1046.55,340.0,240.8333,0,0,0,0,2021-07-11
RX0000000630,MBR00000014,2021-08-23,2021-08-26,1198767008,1495523594,PLN5658,753342,PCN812,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,1,Retail,1,0,0,28.0,9.58,37.58,0.0,35.8,1.78,1.12,0.7933,0,1,0,0,2021-09-22
RX0000000631,MBR00000014,2023-11-05,2023-11-09,1296662128,1891079395,PLN7112,130186,PCN426,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,89,6,Retail,0,1,0,24.0,6.89,30.89,145.0,0.0,1.2,0.32,0.2267,0,0,0,0,2024-02-03
RX0000000632,MBR00000014,2021-07-27,2021-07-28,1677455378,1376031326,PLN5098,715656,PCN763,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,2,Retail,0,0,0,18.0,7.93,25.93,6.0,18.7,1.23,0.72,0.51,0,0,0,0,2021-08-26
RX0000000633,MBR00000014,2022-05-27,2022-05-28,1924849662,1865912774,PLN3721,391185,PCN875,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,2,Mail Order,0,0,0,14.0,8.43,22.43,8.0,13.5,0.93,0.56,0.3967,0,0,0,0,2022-06-26
RX0000000634,MBR00000014,2021-08-26,2021-08-29,1916530214,1392684059,PLN8099,445197,PCN413,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,2,Retail,0,0,0,14.0,4.16,18.16,0.0,17.47,0.69,0.56,0.3967,1,1,0,0,2021-09-25
RX0000000635,MBR00000014,2021-10-28,2021-11-01,1450829030,1544048346,PLN3175,931864,PCN594,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,7,Retail,0,0,0,11.0,11.79,22.79,9.0,12.45,1.34,0.44,0.3117,0,0,0,0,2021-11-27
RX0000000636,MBR00000014,2021-12-13,2021-12-15,1887605473,1774600567,PLN3604,738303,PCN812,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,7,Mail Order,0,1,0,6200.0,3.14,6203.14,146.0,5840.47,216.67,248.0,175.6667,0,0,0,0,2022-01-12
RX0000000637,MBR00000014,2021-08-15,2021-08-18,1122845792,1564221912,PLN4952,406808,PCN296,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,93,6,Specialty,0,0,0,66.0,31.56,97.56,4.0,93.56,0.0,0.88,0.6233,0,0,0,0,2021-11-13
RX0000000638,MBR00000014,2022-12-22,2022-12-23,1283458058,1734779221,PLN6645,382108,PCN565,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,98,2,Retail,0,0,0,555.0,7.76,562.76,33.0,508.01,21.75,7.4,5.2417,0,0,0,0,2023-03-22
RX0000000639,MBR00000014,2022-09-23,2022-09-26,1171274909,1175055488,PLN9162,270686,PCN450,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,58,8,Retail,0,0,0,1500.0,2.55,1502.55,37.0,1409.69,55.86,30.0,21.25,0,0,0,0,2022-11-22
RX0000000640,MBR00000014,2022-07-05,2022-07-07,1481150989,1182725955,PLN2808,229757,PCN584,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,0,Retail,0,0,0,285.0,6.66,291.66,30.0,242.28,19.38,11.4,8.075,0,0,0,0,2022-08-04
RX0000000641,MBR00000014,2022-12-23,2022-12-25,1480701923,1900785947,PLN2967,116843,PCN399,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,2,Mail Order,1,0,0,10.0,2.85,12.85,6.0,6.44,0.41,0.4,0.2833,0,0,0,0,2023-01-22
RX0000000642,MBR00000014,2022-09-02,2022-09-05,1991002480,1593464343,PLN3122,863064,PCN342,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,87,7,Retail,0,0,0,45.0,4.9,49.9,4.0,43.43,2.47,0.6,0.425,0,0,0,0,2022-12-01
RX0000000643,MBR00000014,2021-12-30,2022-01-01,1557612371,1732365312,PLN6987,240487,PCN293,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,3,Retail,0,0,0,2.1,9.39,11.49,8.0,3.07,0.42,0.36,0.255,0,0,0,0,2022-01-06
RX0000000644,MBR00000014,2022-06-24,2022-06-26,1955227260,1731602938,PLN1548,756471,PCN412,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,81,9,Specialty,3,0,0,2850.0,18.89,2868.89,30.0,2838.89,0.0,38.0,26.9167,0,0,0,0,2022-09-22
RX0000000645,MBR00000014,2021-04-05,2021-04-08,1375298930,1622986049,PLN2778,310332,PCN457,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,1,Retail,0,0,0,330.0,6.27,336.27,34.0,284.06,18.21,13.2,9.35,0,0,0,0,2021-05-05
RX0000000646,MBR00000014,2023-08-22,2023-08-24,1924128061,1312186147,PLN6749,855146,PCN818,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,83,9,Retail,0,1,0,36.0,7.54,43.54,148.0,0.0,2.08,0.48,0.34,0,0,0,0,2023-11-20
RX0000000647,MBR00000014,2022-08-10,2022-08-14,1829706867,1288837237,PLN7779,177275,PCN206,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,82,1,Retail,0,0,0,45.0,11.31,56.31,1.0,51.87,3.44,0.6,0.425,0,0,0,0,2022-11-08
RX0000000648,MBR00000014,2021-12-01,2021-12-02,1670881916,1730332386,PLN5105,487000,PCN708,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,58,7,Retail,0,0,0,22.0,3.67,25.67,4.0,19.98,1.69,0.44,0.3117,0,0,0,0,2022-01-30
RX0000000649,MBR00000014,2021-11-25,2021-11-28,1332860452,1673740599,PLN6193,693297,PCN343,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,7,Retail,0,0,0,185.0,7.59,192.59,40.0,141.56,11.03,7.4,5.2417,0,0,0,0,2021-12-25
RX0000000650,MBR00000014,2022-02-05,2022-02-09,1411378298,1234937482,PLN7682,404422,PCN952,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,86,9,Mail Order,3,0,0,84.0,7.99,91.99,2.0,84.89,5.1,1.12,0.7933,0,0,0,0,2022-05-06
RX0000000651,MBR00000014,2021-09-18,2021-09-19,1765185297,1452383725,PLN4550,183399,PCN233,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,285.0,7.28,292.28,36.0,247.03,9.25,11.4,8.075,0,0,0,0,2021-10-18
RX0000000652,MBR00000014,2021-01-29,2021-02-01,1765506628,1390577698,PLN4170,612292,PCN407,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,11,Retail,0,0,0,38.0,8.88,46.88,8.0,37.02,1.86,1.52,1.0767,0,0,0,0,2021-02-28
RX0000000653,MBR00000014,2023-11-17,2023-11-18,1478079982,1987184017,PLN8307,607719,PCN439,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,56,9,Mail Order,0,0,0,350.0,7.86,357.86,30.0,309.83,18.03,7.0,4.9583,0,0,0,0,2024-01-16
RX0000000654,MBR00000014,2023-03-31,2023-04-04,1542984481,1356425871,PLN1822,385260,PCN149,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,61,7,Mail Order,2,0,0,44.0,2.64,46.64,73.0,0.0,1.7,0.88,0.6233,0,0,0,0,2023-05-30
RX0000000655,MBR00000014,2021-04-08,2021-04-12,1104605494,1351582266,PLN9689,589588,PCN114,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,55,2,Retail,0,0,0,760.0,1.68,761.68,30.0,706.36,25.32,15.2,10.7667,0,0,0,0,2021-06-07
RX0000000656,MBR00000014,2022-02-12,2022-02-13,1446000009,1532878546,PLN5103,796688,PCN513,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,4,Retail,0,0,0,38.0,10.1,48.1,31.0,15.14,1.96,1.52,1.0767,0,0,0,0,2022-03-14
RX0000000657,MBR00000014,2022-07-29,2022-07-30,1907681421,1213852168,PLN6253,458295,PCN398,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,3,Mail Order,3,0,0,22.0,6.39,28.39,2.0,25.34,1.05,0.88,0.6233,0,0,0,0,2022-08-28
RX0000000658,MBR00000014,2023-03-09,2023-03-11,1200465264,1420366654,PLN2070,460434,PCN915,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,10,Retail,0,0,0,3.5,10.33,13.83,4.0,9.13,0.7,0.6,0.425,1,0,0,0,2023-03-16
RX0000000659,MBR00000014,2021-04-20,2021-04-23,1415716734,1626994394,PLN7124,874772,PCN855,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,3,Retail,0,0,0,12.0,8.02,20.02,0.0,19.28,0.74,0.48,0.34,0,0,0,0,2021-05-20
RX0000000660,MBR00000014,2023-11-25,2023-11-28,1269131852,1921788925,PLN2833,481463,PCN327,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,6,Retail,0,1,0,8.0,6.75,14.75,150.0,0.0,0.9,0.32,0.2267,0,0,0,0,2023-12-25
RX0000000661,MBR00000014,2023-10-19,2023-10-20,1868901299,1142512472,PLN5942,636259,PCN528,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,9,Mail Order,0,0,0,8.87,11.94,20.81,39.0,0.0,0.81,1.52,1.0767,0,0,0,0,2023-10-26
RX0000000662,MBR00000014,2023-01-20,2023-01-22,1736374110,1237036604,PLN2810,759007,PCN832,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,58,9,Retail,0,0,0,44.0,4.57,48.57,69.0,0.0,2.49,0.88,0.6233,0,0,0,0,2023-03-21
RX0000000663,MBR00000014,2021-01-17,2021-01-19,1423199670,1582667609,PLN7556,763538,PCN295,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,87,8,Retail,0,0,0,27.0,6.73,33.73,9.0,23.45,1.28,0.36,0.255,0,0,0,0,2021-04-17
RX0000000664,MBR00000014,2022-12-21,2022-12-25,1604044367,1817675553,PLN1377,724892,PCN894,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,90,5,Mail Order,0,0,0,1950.0,10.48,1960.48,39.0,1815.93,105.55,26.0,18.4167,0,0,0,0,2023-03-21
RX0000000665,MBR00000014,2021-06-11,2021-06-12,1912290248,1810274653,PLN6091,171165,PCN102,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,11,LTC,0,0,0,380.0,2.9,382.9,37.0,322.71,23.19,15.2,10.7667,0,0,0,0,2021-07-11
RX0000000666,MBR00000014,2021-09-27,2021-10-01,1258109989,1505940230,PLN4916,373885,PCN357,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,11,Specialty,0,1,0,12.0,29.34,41.34,147.0,0.0,0.0,0.48,0.34,0,0,0,0,2021-10-27
RX0000000667,MBR00000014,2023-10-29,2023-11-02,1387450133,1351454874,PLN3454,939953,PCN722,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,4,Retail,0,0,0,2.1,11.57,13.67,1.0,12.11,0.56,0.36,0.255,0,0,0,0,2023-11-05
RX0000000668,MBR00000014,2023-05-16,2023-05-19,1179069534,1810579755,PLN6923,448265,PCN402,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,0,Specialty,0,0,0,38.0,8.14,46.14,8.0,38.14,0.0,1.52,1.0767,0,0,0,0,2023-06-15
RX0000000669,MBR00000015,2021-11-08,2021-11-11,1167738230,1746090245,PLN8456,908426,PCN420,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,7,Retail,1,0,0,10.0,7.22,17.22,1.0,15.12,1.1,0.4,0.2833,0,0,0,0,2021-12-08
RX0000000670,MBR00000015,2022-07-14,2022-07-18,1235798317,1833969459,PLN8727,550156,PCN946,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,8,Retail,0,1,0,2800.0,9.53,2809.53,154.0,2570.81,84.72,112.0,79.3333,1,0,0,0,2022-08-13
RX0000000671,MBR00000015,2021-11-08,2021-11-10,1469766581,1976298145,PLN8153,645640,PCN913,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,96,10,Mail Order,0,0,0,2250.0,7.16,2257.16,38.0,2086.15,133.01,30.0,21.25,0,0,0,0,2022-02-06
RX0000000672,MBR00000015,2023-02-14,2023-02-17,1629420582,1343226032,PLN2441,672359,PCN560,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,95,10,Specialty,0,0,0,36.0,37.94,73.94,5.0,68.94,0.0,0.48,0.34,0,0,0,0,2023-05-15
RX0000000673,MBR00000015,2022-10-08,2022-10-12,1974948208,1827704661,PLN2917,383851,PCN710,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,4,Retail,0,0,0,330.0,5.13,335.13,30.0,286.94,18.19,13.2,9.35,0,0,0,0,2022-11-07
RX0000000674,MBR00000015,2022-10-01,2022-10-02,1570163693,1483258569,PLN1961,858524,PCN651,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,7,Retail,0,0,0,12.0,7.98,19.98,4.0,14.74,1.24,0.48,0.34,0,0,0,0,2022-10-31
RX0000000675,MBR00000015,2023-10-16,2023-10-19,1762246680,1997984927,PLN4239,510249,PCN139,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,7,Retail,0,0,0,12.0,6.39,18.39,5.0,12.81,0.58,0.48,0.34,1,0,0,0,2023-11-15
RX0000000676,MBR00000015,2021-01-19,2021-01-21,1837028751,1144556457,PLN9929,549187,PCN644,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,84,8,Retail,0,0,0,84.0,1.51,85.51,0.0,82.64,2.87,1.12,0.7933,0,0,0,0,2021-04-19
RX0000000677,MBR00000015,2022-05-24,2022-05-25,1674517821,1424739136,PLN6095,670858,PCN274,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,9,Retail,0,0,0,33.0,9.01,42.01,4.0,35.51,2.5,0.44,0.3117,0,0,0,0,2022-08-22
RX0000000678,MBR00000015,2021-04-11,2021-04-13,1335368697,1800749159,PLN3197,636649,PCN606,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,0,Retail,2,1,0,12.0,11.87,23.87,152.0,0.0,1.46,0.48,0.34,0,0,0,0,2021-05-11
RX0000000679,MBR00000015,2023-08-07,2023-08-08,1188543154,1220316190,PLN6285,725568,PCN747,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,7,Retail,0,0,0,370.0,4.36,374.36,34.0,315.69,24.67,14.8,10.4833,0,0,0,0,2023-09-06
RX0000000680,MBR00000015,2021-03-09,2021-03-13,1406977101,1258494458,PLN5524,153820,PCN119,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,90,3,Mail Order,0,0,0,525.0,2.16,527.16,34.0,471.09,22.07,7.0,4.9583,0,0,0,0,2021-06-07
RX0000000681,MBR00000015,2022-06-19,2022-06-20,1513374559,1921187730,PLN6949,166001,PCN564,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,1,Specialty,0,0,0,10.0,24.7,34.7,5.0,29.7,0.0,0.4,0.2833,0,0,0,0,2022-07-19
RX0000000682,MBR00000015,2021-05-18,2021-05-22,1318390885,1716548990,PLN9521,661743,PCN342,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,92,0,Retail,0,0,0,45.0,2.34,47.34,4.0,41.39,1.95,0.6,0.425,0,0,0,0,2021-08-16
RX0000000683,MBR00000015,2022-10-23,2022-10-27,1493312767,1912126180,PLN7846,932550,PCN989,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,1,Retail,1,0,1,380.0,10.35,390.35,39.0,326.93,24.42,15.2,10.7667,0,0,0,0,2022-11-22
RX0000000684,MBR00000015,2022-09-04,2022-09-05,1415101245,1254776453,PLN5745,788364,PCN608,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,59,7,Retail,2,0,0,18.0,2.47,20.47,6.0,13.43,1.04,0.36,0.255,0,0,0,0,2022-11-03
RX0000000685,MBR00000015,2022-12-12,2022-12-16,1983949656,1290530018,PLN3128,664965,PCN876,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,6,LTC,1,0,0,320.0,10.82,330.82,30.0,283.32,17.5,12.8,9.0667,0,0,0,0,2023-01-11
RX0000000686,MBR00000015,2021-04-14,2021-04-15,1264271989,1152388407,PLN6029,507195,PCN296,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,85,5,Mail Order,0,0,0,84.0,2.61,86.61,9.0,72.91,4.7,1.12,0.7933,0,0,0,0,2021-07-13
RX0000000687,MBR00000015,2023-04-12,2023-04-15,1984384081,1898627967,PLN2915,401781,PCN825,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,11,Mail Order,0,0,0,11.0,10.29,21.29,0.0,19.81,1.48,0.44,0.3117,0,0,0,0,2023-05-12
RX0000000688,MBR00000015,2021-11-25,2021-11-29,1985727080,1602033892,PLN4454,215083,PCN263,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,6,LTC,2,0,0,310.0,9.85,319.85,39.0,265.11,15.74,12.4,8.7833,1,0,0,0,2021-12-25
RX0000000689,MBR00000015,2021-12-11,2021-12-14,1486402185,1891004777,PLN8943,102092,PCN239,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,62,8,Retail,0,0,0,22.0,6.87,28.87,0.0,27.04,1.83,0.44,0.3117,0,0,0,0,2022-02-09
RX0000000690,MBR00000015,2021-11-11,2021-11-12,1599710938,1679101733,PLN6665,610790,PCN466,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,9,Mail Order,0,0,0,22.0,1.66,23.66,75.0,0.0,1.39,0.88,0.6233,0,0,0,0,2021-12-11
RX0000000691,MBR00000015,2021-12-21,2021-12-24,1391061961,1867488897,PLN7472,866720,PCN950,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,1,Retail,3,1,0,8500.0,1.54,8501.54,151.0,8078.36,272.18,340.0,240.8333,0,0,0,0,2022-01-20
RX0000000692,MBR00000015,2022-02-12,2022-02-15,1125813194,1283187429,PLN1202,323490,PCN549,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,7,LTC,0,0,0,12.5,5.02,17.52,7.0,9.98,0.54,0.5,0.3542,0,1,0,0,2022-03-14
RX0000000693,MBR00000015,2023-07-01,2023-07-02,1433752085,1543344960,PLN2156,826772,PCN593,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,94,7,Retail,0,0,0,960.0,8.33,968.33,38.0,875.59,54.74,12.8,9.0667,0,0,0,0,2023-09-29
RX0000000694,MBR00000015,2021-05-21,2021-05-23,1537601480,1409684193,PLN9660,479198,PCN949,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,11,Specialty,0,0,0,9.0,15.33,24.33,1.0,23.33,0.0,0.36,0.255,0,0,0,0,2021-06-20
RX0000000695,MBR00000015,2021-04-30,2021-05-01,1459542370,1404368735,PLN2550,885861,PCN661,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,4,Retail,0,0,0,10.0,3.27,13.27,10.0,2.56,0.71,0.4,0.2833,0,0,0,0,2021-05-30
RX0000000696,MBR00000015,2023-07-18,2023-07-22,1287299845,1803641259,PLN1805,423543,PCN243,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,3,Retail,1,0,0,28.0,10.66,38.66,6.0,30.44,2.22,1.12,0.7933,0,0,0,0,2023-08-17
RX0000000697,MBR00000015,2023-09-26,2023-09-29,1878685341,1980072658,PLN8814,870342,PCN186,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,3,Retail,0,0,0,320.0,11.81,331.81,33.0,279.53,19.28,12.8,9.0667,0,0,0,0,2023-10-26
RX0000000698,MBR00000015,2021-04-02,2021-04-06,1526316936,1891136135,PLN2938,488776,PCN122,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,1,Retail,0,0,0,12.0,10.65,22.65,1.0,20.27,1.38,0.48,0.34,0,0,0,0,2021-05-02
RX0000000699,MBR00000015,2022-03-25,2022-03-26,1498144254,1881948346,PLN1320,753537,PCN856,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,4,Retail,0,0,0,2.8,5.54,8.34,1.0,6.95,0.39,0.48,0.34,0,0,0,0,2022-04-01
RX0000000700,MBR00000015,2023-04-01,2023-04-03,1273646209,1685136991,PLN5371,617300,PCN524,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,87,6,Retail,1,0,0,54.0,6.28,60.28,1.0,56.9,2.38,0.72,0.51,0,0,0,0,2023-06-30
RX0000000701,MBR00000015,2023-04-30,2023-05-01,1167440249,1424060599,PLN4547,579865,PCN115,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,0,Retail,3,0,0,185.0,3.58,188.58,39.0,138.3,11.28,7.4,5.2417,0,0,0,0,2023-05-30
RX0000000702,MBR00000015,2023-04-23,2023-04-25,1886604289,1361006157,PLN5918,409063,PCN378,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,87,10,Mail Order,1,0,0,30.0,8.15,38.15,8.0,28.91,1.24,0.4,0.2833,0,0,0,0,2023-07-22
RX0000000703,MBR00000015,2023-06-10,2023-06-13,1198366898,1682915084,PLN9318,756171,PCN891,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,5,Retail,0,0,0,9.0,8.41,17.41,4.0,12.32,1.09,0.36,0.255,0,0,0,0,2023-07-10
RX0000000704,MBR00000015,2022-02-15,2022-02-17,1465294804,1485648695,PLN6632,379324,PCN600,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,2,Retail,0,0,0,11.0,5.63,16.63,4.0,12.07,0.56,0.44,0.3117,0,0,0,0,2022-03-17
RX0000000705,MBR00000016,2023-08-11,2023-08-14,1413868205,1258342101,PLN5333,669110,PCN509,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,1,Retail,0,0,0,14.0,7.6,21.6,2.0,18.41,1.19,0.56,0.3967,0,0,0,0,2023-09-10
RX0000000706,MBR00000016,2022-05-04,2022-05-07,1169539812,1226790403,PLN9491,847693,PCN647,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,8,Retail,0,0,0,65.0,2.3,67.3,35.0,29.37,2.93,2.6,1.8417,0,0,0,0,2022-06-03
RX0000000707,MBR00000016,2021-10-05,2021-10-08,1838697224,1178492008,PLN6030,606504,PCN700,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,7,Retail,0,0,0,18.0,4.83,22.83,40.0,0.0,1.15,0.72,0.51,0,0,0,0,2021-11-04
RX0000000708,MBR00000016,2021-06-15,2021-06-16,1860118698,1259908184,PLN1449,306995,PCN377,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,0,Retail,0,0,0,4.2,11.47,15.67,1.0,14.03,0.64,0.72,0.51,0,0,0,0,2021-06-22
RX0000000709,MBR00000016,2023-09-23,2023-09-27,1910764454,1460240314,PLN5371,420550,PCN997,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,3,Retail,0,1,0,8.0,9.89,17.89,149.0,0.0,1.05,0.32,0.2267,0,0,0,0,2023-10-23
RX0000000710,MBR00000016,2022-02-27,2022-03-02,1840116427,1562924804,PLN3955,578859,PCN516,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,87,9,Retail,0,0,0,30.0,9.0,39.0,0.0,37.81,1.19,0.4,0.2833,0,0,0,0,2022-05-28
RX0000000711,MBR00000016,2021-04-13,2021-04-14,1669142821,1999928399,PLN7813,585822,PCN547,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,5,Retail,0,0,0,10.0,8.25,18.25,2.0,15.1,1.15,0.4,0.2833,0,0,0,0,2021-05-13
RX0000000712,MBR00000016,2023-07-31,2023-08-03,1166968127,1694239831,PLN7785,665209,PCN681,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,97,0,Retail,2,0,0,33.0,3.08,36.08,10.0,23.9,2.18,0.44,0.3117,0,0,0,0,2023-10-29
RX0000000713,MBR00000016,2021-02-23,2021-02-27,1610507886,1318526834,PLN6255,343565,PCN244,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,8,Mail Order,0,0,0,22.0,4.39,26.39,1.0,24.35,1.04,0.88,0.6233,0,0,0,0,2021-03-25
RX0000000714,MBR00000016,2023-05-12,2023-05-14,1104422681,1804707668,PLN3955,249988,PCN509,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,5,Mail Order,0,0,0,3.5,4.39,7.89,10.0,0.0,0.29,0.6,0.425,0,0,0,0,2023-05-19
RX0000000715,MBR00000016,2021-09-06,2021-09-07,1519375101,1188518466,PLN9628,769770,PCN409,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,3,Retail,0,1,0,6200.0,1.62,6201.62,154.0,5722.56,325.06,248.0,175.6667,0,0,0,0,2021-10-06
RX0000000716,MBR00000016,2023-07-30,2023-08-03,1567089250,1184325690,PLN4540,254333,PCN140,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,8,Mail Order,2,0,0,320.0,5.14,325.14,32.0,280.79,12.35,12.8,9.0667,0,1,1,0,2023-08-29
RX0000000717,MBR00000016,2021-11-25,2021-11-27,1428738111,1595126741,PLN9799,788234,PCN391,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,89,9,Retail,0,1,0,25500.0,3.29,25503.29,151.0,24425.92,926.37,340.0,240.8333,0,0,0,0,2022-02-23
RX0000000718,MBR00000016,2021-04-25,2021-04-26,1427743760,1369195182,PLN5028,293694,PCN630,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,3,Retail,0,0,0,380.0,3.31,383.31,33.0,330.42,19.89,15.2,10.7667,1,0,0,0,2021-05-25
RX0000000719,MBR00000016,2022-11-04,2022-11-06,1159399519,1467102584,PLN6502,207485,PCN247,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,0,Mail Order,0,0,0,11.0,8.27,19.27,5.0,13.14,1.13,0.44,0.3117,0,0,0,0,2022-12-04
RX0000000720,MBR00000016,2022-10-06,2022-10-08,1495264514,1113618179,PLN6026,250372,PCN927,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,91,7,Retail,0,0,0,1140.0,11.62,1151.62,34.0,1075.0,42.62,15.2,10.7667,1,0,0,0,2023-01-04
RX0000000721,MBR00000016,2023-08-20,2023-08-22,1332185479,1928750293,PLN5376,596034,PCN509,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,6,Retail,0,0,0,18.0,5.91,23.91,10.0,13.01,0.9,0.72,0.51,0,0,0,0,2023-09-19
RX0000000722,MBR00000017,2022-11-18,2022-11-21,1852762077,1136247599,PLN1073,311925,PCN623,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,62,2,Retail,0,0,0,28.0,10.51,38.51,7.0,29.44,2.07,0.56,0.3967,0,0,0,0,2023-01-17
RX0000000723,MBR00000017,2023-11-02,2023-11-04,1225139051,1902672783,PLN9955,738605,PCN605,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,2,Retail,0,1,0,8500.0,7.21,8507.21,155.0,7948.74,403.47,340.0,240.8333,0,0,0,0,2023-12-02
RX0000000724,MBR00000017,2022-07-06,2022-07-09,1619775055,1189066882,PLN1206,293179,PCN224,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,83,2,Retail,0,0,0,48.0,5.12,53.12,3.0,46.72,3.4,0.64,0.4533,0,0,0,0,2022-10-04
RX0000000725,MBR00000017,2022-05-01,2022-05-04,1624279113,1152341986,PLN4791,935352,PCN763,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,60,5,Retail,0,0,0,90.0,1.56,91.56,4.0,82.26,5.3,1.8,1.275,0,0,0,0,2022-06-30
RX0000000726,MBR00000017,2021-03-09,2021-03-13,1193346696,1967650974,PLN5592,149991,PCN224,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,7,Retail,0,0,1,9.0,7.76,16.76,0.0,15.63,1.13,0.36,0.255,0,0,0,0,2021-04-08
RX0000000727,MBR00000017,2021-04-06,2021-04-07,1803862538,1394112381,PLN9036,276580,PCN748,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,6,Retail,1,0,0,310.0,6.53,316.53,37.0,268.57,10.96,12.4,8.7833,0,0,0,0,2021-05-06
RX0000000728,MBR00000017,2021-12-24,2021-12-27,1448866323,1715346823,PLN7153,177847,PCN209,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,7,Retail,2,0,0,11.0,6.86,17.86,9.0,7.61,1.25,0.44,0.3117,0,0,0,0,2022-01-23
RX0000000729,MBR00000017,2022-07-16,2022-07-20,1784986742,1634740511,PLN1978,289541,PCN932,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,98,5,Retail,3,0,0,855.0,7.59,862.59,37.0,783.67,41.92,11.4,8.075,0,0,0,0,2022-10-14
RX0000000730,MBR00000017,2022-04-15,2022-04-17,1271436181,1176501078,PLN7531,156655,PCN334,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,92,10,Specialty,0,0,0,54.0,27.47,81.47,4.0,77.47,0.0,0.72,0.51,0,0,0,0,2022-07-14
RX0000000731,MBR00000017,2022-11-25,2022-11-27,1815032449,1589485226,PLN4441,922546,PCN658,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,98,11,Retail,3,0,0,30.0,8.48,38.48,10.0,26.52,1.96,0.4,0.2833,0,0,0,0,2023-02-23
RX0000000732,MBR00000017,2021-10-18,2021-10-22,1243499095,1181766570,PLN1103,702605,PCN832,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,3,Retail,0,0,0,950.0,3.86,953.86,40.0,855.75,58.11,38.0,26.9167,0,0,0,0,2021-11-17
RX0000000733,MBR00000017,2023-10-06,2023-10-07,1589393063,1806063732,PLN5753,516759,PCN348,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,54,4,Specialty,0,0,0,20.0,14.46,34.46,5.0,29.46,0.0,0.4,0.2833,0,0,0,0,2023-12-05
RX0000000734,MBR00000017,2023-07-13,2023-07-17,1242123674,1281714857,PLN5140,107673,PCN513,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,11,Retail,0,0,0,855.0,3.88,858.88,30.0,782.0,46.88,11.4,8.075,0,0,0,0,2023-10-11
RX0000000735,MBR00000017,2022-02-21,2022-02-25,1736405110,1796560123,PLN1650,508885,PCN311,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,11,Mail Order,0,0,0,185.0,3.99,188.99,35.0,143.38,10.61,7.4,5.2417,0,0,0,0,2022-03-23
RX0000000736,MBR00000017,2022-03-12,2022-03-14,1745300605,1353809954,PLN3904,665628,PCN261,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,2,Specialty,1,0,0,66.0,48.93,114.93,9.0,105.93,0.0,0.88,0.6233,0,0,0,0,2022-06-10
RX0000000737,MBR00000017,2023-01-31,2023-02-02,1564458530,1395074426,PLN2276,546777,PCN422,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,4,Retail,0,0,0,7.5,2.55,10.05,1.0,8.74,0.31,0.3,0.2125,0,0,0,0,2023-03-02
RX0000000738,MBR00000017,2022-03-13,2022-03-17,1901783791,1938631682,PLN4882,101444,PCN863,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,5,Retail,0,0,0,2.57,2.88,5.45,1.0,4.13,0.32,0.44,0.3117,1,0,0,0,2022-03-20
RX0000000739,MBR00000017,2023-03-08,2023-03-11,1499552566,1497721301,PLN9223,997933,PCN344,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,3,Retail,0,0,0,12.5,3.82,16.32,4.0,11.48,0.84,0.5,0.3542,0,1,0,0,2023-04-07
RX0000000740,MBR00000017,2021-09-22,2021-09-26,1802743270,1936451252,PLN3669,108635,PCN407,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,1,Specialty,3,0,0,38.0,18.57,56.57,10.0,46.57,0.0,1.52,1.0767,0,0,0,0,2021-10-22
RX0000000741,MBR00000017,2022-05-04,2022-05-08,1625399130,1704681896,PLN8102,684982,PCN830,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,88,10,Retail,0,0,0,25.5,11.46,36.96,3.0,32.33,1.63,0.34,0.2408,0,0,0,0,2022-08-02
RX0000000742,MBR00000017,2022-03-20,2022-03-22,1125433777,1886594918,PLN9573,233060,PCN886,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,6,Mail Order,0,0,0,22.0,9.87,31.87,67.0,0.0,2.02,0.88,0.6233,0,0,0,0,2022-04-19
RX0000000743,MBR00000017,2023-05-24,2023-05-26,1383519242,1782500341,PLN7282,496827,PCN847,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,2,Retail,1,0,0,320.0,8.0,328.0,31.0,277.37,19.63,12.8,9.0667,0,0,0,0,2023-06-23
RX0000000744,MBR00000017,2021-08-21,2021-08-23,1380131107,1281936739,PLN4441,680850,PCN710,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,91,8,Mail Order,0,1,0,36.0,11.62,47.62,151.0,0.0,2.2,0.48,0.34,0,0,0,0,2021-11-19
RX0000000745,MBR00000017,2022-11-23,2022-11-26,1416701952,1335129864,PLN4918,483306,PCN294,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,11,Retail,0,0,0,950.0,3.92,953.92,38.0,886.78,29.14,38.0,26.9167,0,0,0,0,2022-12-23
RX0000000746,MBR00000017,2023-01-04,2023-01-07,1918549652,1539322556,PLN6768,169876,PCN234,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,96,6,Retail,0,0,0,45.0,10.25,55.25,1.0,51.09,3.16,0.6,0.425,0,0,0,0,2023-04-04
RX0000000747,MBR00000017,2022-10-07,2022-10-10,1494894123,1118645885,PLN8103,464274,PCN716,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,3,Retail,0,0,0,12.5,11.85,24.35,6.0,16.88,1.47,0.5,0.3542,0,0,0,0,2022-11-06
RX0000000748,MBR00000017,2023-08-19,2023-08-20,1333329774,1862355427,PLN2032,492103,PCN599,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,6,Mail Order,0,0,0,2.8,1.97,4.77,4.0,0.59,0.18,0.48,0.34,0,0,0,0,2023-08-26
RX0000000749,MBR00000017,2021-09-25,2021-09-27,1467924295,1410243368,PLN6005,452132,PCN803,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,59,8,Mail Order,0,0,0,28.0,3.12,31.12,0.0,29.93,1.19,0.56,0.3967,0,0,0,0,2021-11-24
RX0000000750,MBR00000017,2022-10-15,2022-10-16,1132343733,1772310577,PLN8507,493347,PCN143,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,83,7,Mail Order,0,0,0,30.0,5.88,35.88,6.0,27.63,2.25,0.4,0.2833,0,0,0,0,2023-01-13
RX0000000751,MBR00000017,2021-06-03,2021-06-07,1234578177,1436206208,PLN8993,729565,PCN560,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,0,Retail,0,0,0,28.0,6.85,34.85,8.0,25.71,1.14,1.12,0.7933,0,0,0,0,2021-07-03
RX0000000752,MBR00000017,2022-03-04,2022-03-05,1574445127,1783316724,PLN8839,149515,PCN870,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,6,Specialty,0,1,0,6200.0,17.38,6217.38,146.0,6071.38,0.0,248.0,175.6667,0,0,0,0,2022-04-03
RX0000000753,MBR00000017,2021-07-25,2021-07-27,1103066384,1852411905,PLN6133,382217,PCN619,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,8,Retail,0,0,0,9.0,5.16,14.16,3.0,10.73,0.43,0.36,0.255,0,0,0,0,2021-08-24
RX0000000754,MBR00000017,2021-09-26,2021-09-27,1321950795,1108298909,PLN4307,466015,PCN790,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,89,1,LTC,0,0,0,30.0,5.59,35.59,10.0,24.12,1.47,0.4,0.2833,0,0,0,0,2021-12-25
RX0000000755,MBR00000017,2022-02-21,2022-02-25,1310457402,1659886810,PLN7152,232338,PCN293,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,7,Specialty,0,0,0,7.5,11.82,19.32,3.0,16.32,0.0,0.3,0.2125,0,0,0,0,2022-03-23
RX0000000756,MBR00000017,2023-08-15,2023-08-17,1963605810,1721234597,PLN6697,367544,PCN963,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,8,Retail,0,0,0,14.0,1.54,15.54,2.0,12.56,0.98,0.56,0.3967,0,0,0,0,2023-09-14
RX0000000757,MBR00000017,2021-03-28,2021-03-29,1788816620,1822931859,PLN6300,383921,PCN173,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,2,Specialty,0,0,0,650.0,32.12,682.12,30.0,652.12,0.0,26.0,18.4167,0,0,0,0,2021-04-27
RX0000000758,MBR00000017,2022-11-09,2022-11-10,1670442122,1292385134,PLN3762,388379,PCN569,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,3,Mail Order,0,0,0,10.0,4.03,14.03,0.0,13.11,0.92,0.4,0.2833,0,0,0,0,2022-12-09
RX0000000759,MBR00000017,2022-03-31,2022-04-02,1120674099,1532357377,PLN2473,439474,PCN921,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,62,8,Retail,0,0,0,620.0,1.6,621.6,33.0,556.23,32.37,12.4,8.7833,0,0,0,0,2022-05-30
RX0000000760,MBR00000017,2023-04-16,2023-04-20,1530910107,1563534912,PLN2618,639187,PCN215,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,5,Retail,0,0,1,28.0,11.53,39.53,7.0,31.0,1.53,1.12,0.7933,0,0,0,0,2023-05-16
RX0000000761,MBR00000017,2021-12-24,2021-12-25,1555320906,1565397303,PLN9708,613386,PCN875,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,89,11,Specialty,0,0,0,66.0,20.98,86.98,9.0,77.98,0.0,0.88,0.6233,0,0,0,0,2022-03-24
RX0000000762,MBR00000017,2023-06-10,2023-06-11,1834262347,1998987286,PLN9591,241577,PCN395,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,90,4,Retail,0,0,0,25.5,8.84,34.34,9.0,24.01,1.33,0.34,0.2408,0,0,0,0,2023-09-08
RX0000000763,MBR00000017,2021-01-05,2021-01-07,1788526343,1936287285,PLN5384,706809,PCN751,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,10,Mail Order,0,0,0,8.5,7.16,15.66,8.0,6.71,0.95,0.34,0.2408,0,0,0,0,2021-02-04
RX0000000764,MBR00000017,2021-12-01,2021-12-04,1967396444,1423384477,PLN4083,527810,PCN920,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,95,5,Retail,0,0,0,114.0,6.44,120.44,37.0,79.4,4.04,1.52,1.0767,0,0,0,0,2022-03-01
RX0000000765,MBR00000017,2023-09-05,2023-09-07,1354911874,1375605029,PLN4445,862969,PCN520,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,370.0,1.99,371.99,31.0,315.4,25.59,14.8,10.4833,0,0,0,0,2023-10-05
RX0000000766,MBR00000018,2022-09-15,2022-09-19,1423037673,1308190419,PLN1034,112455,PCN388,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,11,Retail,0,0,0,18.0,8.29,26.29,4.0,21.13,1.16,0.72,0.51,1,0,0,0,2022-10-15
RX0000000767,MBR00000018,2021-03-28,2021-03-31,1550535878,1384076297,PLN8405,150092,PCN302,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,90,11,Mail Order,0,0,0,66.0,2.47,68.47,6.0,59.07,3.4,0.88,0.6233,0,0,0,0,2021-06-26
RX0000000768,MBR00000018,2023-08-17,2023-08-18,1191334618,1511610249,PLN7548,801264,PCN454,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,4,Retail,0,1,0,8.0,8.53,16.53,150.0,0.0,0.75,0.32,0.2267,0,0,0,0,2023-09-16
RX0000000769,MBR00000018,2022-02-24,2022-02-25,1599710988,1770218723,PLN6040,121149,PCN161,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,11,Mail Order,0,0,0,9.0,1.59,10.59,6.0,4.26,0.33,0.36,0.255,0,0,0,0,2022-03-26
RX0000000770,MBR00000018,2022-12-23,2022-12-25,1805807878,1475658070,PLN4440,419943,PCN272,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,2,Retail,0,0,0,42.0,4.93,46.93,7.0,38.22,1.71,0.56,0.3967,0,0,0,0,2023-03-23
RX0000000771,MBR00000018,2021-08-05,2021-08-07,1556275548,1249223275,PLN8960,108040,PCN560,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,11,Retail,0,0,0,221.67,7.97,229.63,39.0,178.0,12.63,38.0,26.9167,0,0,0,0,2021-08-12
RX0000000772,MBR00000018,2023-05-01,2023-05-02,1792378254,1569701778,PLN7518,609027,PCN174,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,3,Retail,0,0,0,285.0,3.16,288.16,39.0,236.85,12.31,11.4,8.075,1,0,0,0,2023-05-31
RX0000000773,MBR00000018,2021-09-29,2021-10-02,1936839792,1728322552,PLN7031,970786,PCN138,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,0,Retail,3,0,0,18.0,6.69,24.69,5.0,18.22,1.47,0.72,0.51,0,0,0,0,2021-10-29
RX0000000774,MBR00000018,2021-10-09,2021-10-10,1151396439,1626361359,PLN7796,197413,PCN221,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,2,Retail,0,0,0,11.0,3.53,14.53,4.0,9.64,0.89,0.44,0.3117,0,0,0,0,2021-11-08
RX0000000775,MBR00000018,2023-11-06,2023-11-08,1479917885,1860646684,PLN6838,551852,PCN328,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,2,Mail Order,0,1,0,1.87,2.35,4.21,152.0,0.0,0.26,0.32,0.2267,0,0,0,0,2023-11-13
RX0000000776,MBR00000018,2022-06-24,2022-06-28,1636933221,1138741307,PLN6949,139407,PCN535,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,2,Retail,0,0,0,185.0,7.11,192.11,30.0,152.66,9.45,7.4,5.2417,0,0,0,0,2022-07-24
RX0000000777,MBR00000018,2021-06-23,2021-06-26,1792685249,1539427317,PLN2882,870270,PCN937,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,2,Retail,0,1,0,12.0,2.52,14.52,154.0,0.0,0.9,0.48,0.34,0,1,1,0,2021-07-23
RX0000000778,MBR00000018,2022-11-18,2022-11-20,1346446761,1758880664,PLN9259,665417,PCN919,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,83,8,Mail Order,0,0,0,114.0,7.98,121.98,33.0,83.08,5.9,1.52,1.0767,0,0,0,0,2023-02-16
RX0000000779,MBR00000018,2021-04-04,2021-04-06,1446485406,1426230667,PLN2067,937007,PCN358,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,91,10,Retail,0,0,0,45.0,3.87,48.87,0.0,46.85,2.02,0.6,0.425,0,0,0,0,2021-07-03
RX0000000780,MBR00000018,2022-06-21,2022-06-23,1656756189,1883611954,PLN9882,324019,PCN843,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,0,Specialty,0,0,0,45.0,16.61,61.61,5.0,56.61,0.0,1.8,1.275,0,0,0,0,2022-07-21
RX0000000781,MBR00000018,2021-12-10,2021-12-13,1988262614,1156500858,PLN1210,688784,PCN111,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,8,Mail Order,0,0,0,10.0,5.13,15.13,1.0,13.63,0.5,0.4,0.2833,0,0,0,0,2022-01-09
RX0000000782,MBR00000018,2022-12-14,2022-12-17,1589908828,1227542304,PLN2746,261054,PCN962,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,6,Mail Order,0,0,0,8.5,7.35,15.85,5.0,10.12,0.73,0.34,0.2408,0,0,0,0,2023-01-13
RX0000000783,MBR00000019,2022-11-22,2022-11-25,1521482326,1629647250,PLN3831,838191,PCN782,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,7,Retail,0,1,0,8.0,4.64,12.64,146.0,0.0,0.55,0.32,0.2267,0,0,0,0,2022-12-22
RX0000000784,MBR00000019,2022-02-07,2022-02-10,1335094209,1674624589,PLN3775,702459,PCN908,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,5,Retail,0,0,1,370.0,8.02,378.02,37.0,321.32,19.7,14.8,10.4833,1,0,0,0,2022-03-09
RX0000000785,MBR00000019,2023-07-24,2023-07-25,1451835151,1972676740,PLN6374,802005,PCN904,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,3,Retail,0,1,0,2800.0,3.52,2803.52,146.0,2491.66,165.86,112.0,79.3333,0,0,0,0,2023-08-23
RX0000000786,MBR00000019,2021-08-28,2021-08-31,1335072904,1665717196,PLN6923,947208,PCN623,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,11,LTC,0,0,0,3.27,2.12,5.38,7.0,0.0,0.34,0.56,0.3967,0,0,0,0,2021-09-04
RX0000000787,MBR00000019,2022-07-12,2022-07-16,1687294091,1856987688,PLN9135,117730,PCN342,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,8,Retail,0,1,0,8500.0,11.91,8511.91,152.0,7980.46,379.45,340.0,240.8333,0,0,0,0,2022-08-11
RX0000000788,MBR00000019,2023-08-26,2023-08-29,1700129902,1801337342,PLN9107,569518,PCN506,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,6,Retail,0,0,0,15.0,7.46,22.46,3.0,18.32,1.14,0.6,0.425,0,0,0,0,2023-09-25
RX0000000789,MBR00000019,2023-09-14,2023-09-15,1454209365,1265725887,PLN4066,670427,PCN315,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,0,Retail,0,0,0,9.0,6.87,15.87,7.0,7.99,0.88,0.36,0.255,0,0,0,0,2023-10-14
RX0000000790,MBR00000019,2021-07-20,2021-07-21,1515961260,1393951326,PLN3411,556226,PCN945,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,1,Retail,0,0,0,15.0,10.82,25.82,6.0,18.92,0.9,0.6,0.425,0,0,0,0,2021-08-19
RX0000000791,MBR00000019,2023-04-05,2023-04-07,1261321119,1199748649,PLN2315,783589,PCN444,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,92,9,Retail,0,1,0,24.0,8.06,32.06,147.0,0.0,1.48,0.32,0.2267,0,0,0,0,2023-07-04
RX0000000792,MBR00000019,2022-11-06,2022-11-08,1649208647,1376859053,PLN2014,870226,PCN189,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,82,4,Mail Order,0,0,0,30.0,2.53,32.53,6.0,24.84,1.69,0.4,0.2833,0,0,0,0,2023-02-04
RX0000000793,MBR00000019,2022-09-26,2022-09-27,1745632160,1555437047,PLN6298,631783,PCN423,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,97,2,Specialty,0,0,0,42.0,24.6,66.6,0.0,66.6,0.0,0.56,0.3967,0,0,0,0,2022-12-25
RX0000000794,MBR00000019,2021-11-22,2021-11-26,1513085403,1505278339,PLN5455,419938,PCN293,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,98,8,Retail,0,0,0,54.0,4.14,58.14,1.0,53.97,3.17,0.72,0.51,0,0,0,0,2022-02-20
RX0000000795,MBR00000019,2021-09-30,2021-10-01,1824929532,1934696932,PLN4649,942174,PCN243,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,4,Retail,1,1,0,8.0,7.05,15.05,150.0,0.0,0.97,0.32,0.2267,0,0,0,0,2021-10-30
RX0000000796,MBR00000019,2023-04-17,2023-04-21,1549925195,1419046066,PLN3246,203458,PCN261,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,3,Retail,0,0,0,195.0,9.98,204.98,31.0,163.23,10.75,2.6,1.8417,0,0,0,0,2023-07-16
RX0000000797,MBR00000019,2023-06-15,2023-06-19,1243087152,1890981237,PLN1793,424796,PCN129,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,10,Mail Order,0,0,0,2.57,4.24,6.81,8.0,0.0,0.34,0.44,0.3117,0,0,0,0,2023-06-22
RX0000000798,MBR00000019,2021-03-18,2021-03-20,1396644939,1802170027,PLN2866,765486,PCN364,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,9,Retail,0,1,0,8.0,2.39,10.39,147.0,0.0,0.53,0.32,0.2267,0,0,0,0,2021-04-17
RX0000000799,MBR00000019,2022-05-13,2022-05-17,1555332250,1406188014,PLN9191,273238,PCN807,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,11,Mail Order,0,0,0,9.0,1.59,10.59,7.0,3.02,0.57,0.36,0.255,0,0,0,0,2022-06-12
RX0000000800,MBR00000019,2021-05-18,2021-05-21,1750440418,1844991816,PLN4252,138502,PCN506,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,5,Retail,0,0,0,16.0,8.48,24.48,1.0,22.62,0.86,0.64,0.4533,0,0,0,0,2021-06-17
RX0000000801,MBR00000019,2023-03-15,2023-03-18,1890849191,1659910941,PLN7662,177391,PCN938,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,64,2,Retail,0,0,0,640.0,4.47,644.47,39.0,571.56,33.91,12.8,9.0667,0,0,0,0,2023-05-14
RX0000000802,MBR00000019,2022-11-29,2022-11-30,1441742858,1388931013,PLN1927,160289,PCN599,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,5,Retail,0,0,0,9.0,5.48,14.48,9.0,4.77,0.71,0.36,0.255,0,0,0,0,2022-12-29
RX0000000803,MBR00000019,2023-11-12,2023-11-13,1473316586,1739729490,PLN1519,470071,PCN493,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,94,5,Retail,0,0,0,42.0,11.6,53.6,3.0,48.39,2.21,0.56,0.3967,0,0,0,0,2024-02-10
RX0000000804,MBR00000019,2023-07-19,2023-07-23,1294446570,1848520640,PLN3871,550122,PCN110,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,63,9,Retail,0,0,0,1900.0,6.25,1906.25,36.0,1801.6,68.65,38.0,26.9167,0,0,0,0,2023-09-17
RX0000000805,MBR00000019,2023-07-30,2023-07-31,1212360762,1931650056,PLN5033,205368,PCN477,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,3,Specialty,0,0,0,15.0,29.04,44.04,2.0,42.04,0.0,0.6,0.425,0,0,0,0,2023-08-29
RX0000000806,MBR00000019,2021-10-10,2021-10-14,1481089494,1370886573,PLN4316,261574,PCN173,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,6,Retail,0,0,0,750.0,5.01,755.01,39.0,688.37,27.64,30.0,21.25,0,0,0,0,2021-11-09
RX0000000807,MBR00000019,2023-06-15,2023-06-17,1486056588,1257514028,PLN7157,658061,PCN488,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,10,Specialty,0,0,0,12.0,22.71,34.71,3.0,31.71,0.0,0.48,0.34,0,0,0,0,2023-07-15
RX0000000808,MBR00000019,2023-06-06,2023-06-10,1339702680,1849178440,PLN1638,103579,PCN958,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,2,Retail,0,0,0,10.0,8.89,18.89,0.0,17.71,1.18,0.4,0.2833,0,0,0,0,2023-07-06
RX0000000809,MBR00000019,2021-11-30,2021-12-02,1554821603,1910257181,PLN4833,140172,PCN526,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,10,Retail,0,0,0,3.27,10.43,13.7,6.0,7.28,0.42,0.56,0.3967,0,0,0,0,2021-12-07
RX0000000810,MBR00000019,2023-05-31,2023-06-04,1961775621,1707601729,PLN8168,329144,PCN504,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,60,8,Specialty,0,0,0,570.0,14.41,584.41,30.0,554.41,0.0,11.4,8.075,0,0,0,0,2023-07-30
RX0000000811,MBR00000019,2023-02-16,2023-02-20,1130108015,1734805608,PLN6670,580749,PCN811,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,7,Retail,0,0,0,15.0,2.64,17.64,1.0,15.82,0.82,0.6,0.425,0,0,0,0,2023-03-18
RX0000000812,MBR00000019,2021-05-06,2021-05-09,1923449309,1796580703,PLN9165,811650,PCN612,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,9,Retail,0,0,1,40.83,2.45,43.28,37.0,3.6,2.68,7.0,4.9583,1,0,0,0,2021-05-13
RX0000000813,MBR00000019,2023-06-08,2023-06-12,1170118255,1522744264,PLN5419,716833,PCN609,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,90,0,Specialty,3,0,0,2850.0,41.2,2891.2,30.0,2861.2,0.0,38.0,26.9167,0,0,0,0,2023-09-06
RX0000000814,MBR00000019,2023-08-22,2023-08-25,1859185659,1924357731,PLN1635,269973,PCN655,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,81,11,Retail,0,1,0,18600.0,8.35,18608.35,150.0,17259.81,1198.54,248.0,175.6667,1,0,0,0,2023-11-20
RX0000000815,MBR00000019,2022-09-28,2022-09-29,1596002899,1629001435,PLN3664,318697,PCN720,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,5,Retail,0,0,0,10.0,2.04,12.04,6.0,5.55,0.49,0.4,0.2833,0,0,0,0,2022-10-28
RX0000000816,MBR00000019,2021-05-30,2021-06-02,1212300261,1197484085,PLN4236,573496,PCN274,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,10,Retail,3,0,0,18.0,7.79,25.79,2.0,22.3,1.49,0.72,0.51,0,0,0,0,2021-06-29
RX0000000817,MBR00000019,2021-11-03,2021-11-07,1824939624,1798892548,PLN8235,468897,PCN211,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,5,Retail,0,0,0,950.0,2.94,952.94,37.0,876.64,39.3,38.0,26.9167,0,0,0,0,2021-12-03
RX0000000818,MBR00000019,2022-07-24,2022-07-25,1476862693,1755746657,PLN8134,113501,PCN651,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,88,0,Retail,3,0,0,135.0,7.01,142.01,6.0,126.96,9.05,1.8,1.275,0,0,0,0,2022-10-22
RX0000000819,MBR00000019,2022-09-28,2022-10-02,1829825826,1917161225,PLN9147,323994,PCN117,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,2,Retail,2,0,0,18.0,5.4,23.4,10.0,12.64,0.76,0.72,0.51,0,0,0,0,2022-10-28
RX0000000820,MBR00000019,2023-10-09,2023-10-13,1821725000,1729265764,PLN3894,563489,PCN614,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,90,3,Retail,0,0,0,42.0,1.54,43.54,7.0,34.83,1.71,0.56,0.3967,0,0,0,0,2024-01-07
RX0000000821,MBR00000019,2021-07-16,2021-07-20,1493229894,1856277904,PLN6289,679498,PCN548,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,94,5,Mail Order,0,0,0,30.0,7.45,37.45,8.0,28.15,1.3,0.4,0.2833,0,0,0,0,2021-10-14
RX0000000822,MBR00000019,2022-11-08,2022-11-11,1152499535,1942126148,PLN5613,291728,PCN163,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,6,Retail,3,0,0,10.0,1.74,11.74,9.0,2.2,0.54,0.4,0.2833,1,0,0,0,2022-12-08
RX0000000823,MBR00000019,2022-02-24,2022-02-26,1733564800,1920888104,PLN6865,582074,PCN625,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,93,5,Retail,0,0,0,30.0,5.84,35.84,9.0,25.61,1.23,0.4,0.2833,0,0,0,0,2022-05-25
RX0000000824,MBR00000019,2023-12-10,2023-12-13,1683058805,1251162497,PLN8679,535124,PCN455,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,8,Retail,0,0,0,14.0,2.29,16.29,2.0,13.64,0.65,0.56,0.3967,0,0,0,0,2024-01-09
RX0000000825,MBR00000019,2021-08-27,2021-08-31,1547576748,1501351075,PLN8935,457568,PCN202,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,0,Specialty,0,0,0,18.0,33.81,51.81,6.0,45.81,0.0,0.72,0.51,0,0,0,0,2021-09-26
RX0000000826,MBR00000019,2023-12-20,2023-12-21,1279109886,1545556408,PLN2052,590524,PCN407,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,9,Retail,0,1,0,6200.0,2.71,6202.71,151.0,5724.89,326.82,248.0,175.6667,0,0,0,0,2024-01-19
RX0000000827,MBR00000019,2022-06-27,2022-06-29,1960590984,1152585531,PLN2278,546206,PCN176,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,11,Retail,0,0,0,151.67,10.17,161.84,39.0,116.51,6.33,26.0,18.4167,0,0,0,0,2022-07-04
RX0000000828,MBR00000019,2022-02-15,2022-02-16,1489237246,1370923498,PLN4008,228824,PCN836,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,1,Retail,0,0,0,480.0,11.16,491.16,31.0,426.14,34.02,19.2,13.6,0,0,0,0,2022-03-17
RX0000000829,MBR00000019,2022-09-11,2022-09-12,1986868911,1623889196,PLN2877,865326,PCN433,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,11,Specialty,0,0,1,7.5,25.69,33.19,4.0,29.19,0.0,0.3,0.2125,0,0,0,0,2022-10-11
RX0000000830,MBR00000019,2021-10-02,2021-10-03,1904532141,1484612597,PLN2617,280139,PCN463,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,7,Mail Order,0,1,0,8500.0,1.58,8501.58,153.0,7964.87,383.71,340.0,240.8333,0,0,0,0,2021-11-01
RX0000000831,MBR00000019,2022-09-28,2022-10-02,1291832575,1473889313,PLN9728,770639,PCN180,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,11,Retail,0,0,0,12.0,2.09,14.09,9.0,4.23,0.86,0.48,0.34,0,0,0,0,2022-10-28
RX0000000832,MBR00000020,2022-04-16,2022-04-17,1968699677,1245293379,PLN5036,257938,PCN587,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,7,Mail Order,0,0,0,175.0,6.08,181.08,31.0,138.14,11.94,7.0,4.9583,0,0,0,0,2022-05-16
RX0000000833,MBR00000020,2023-05-20,2023-05-22,1754440075,1778855708,PLN8143,577636,PCN295,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,61,11,Mail Order,0,0,0,24.0,6.26,30.26,9.0,19.24,2.02,0.48,0.34,0,0,0,0,2023-07-19
RX0000000834,MBR00000020,2023-09-22,2023-09-26,1879433267,1355947446,PLN9446,141870,PCN821,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,7,Retail,2,1,0,8500.0,6.19,8506.19,146.0,8089.35,270.84,340.0,240.8333,0,0,0,0,2023-10-22
RX0000000835,MBR00000020,2022-06-25,2022-06-26,1447500156,1890971399,PLN6506,497049,PCN186,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,3,Retail,0,0,0,12.0,5.5,17.5,9.0,7.5,1.0,0.48,0.34,0,0,0,0,2022-07-25
RX0000000836,MBR00000020,2021-05-01,2021-05-05,1190430856,1209003182,PLN8026,672614,PCN126,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,2,Mail Order,0,0,0,9.0,4.07,13.07,1.0,11.46,0.61,0.36,0.255,0,0,0,0,2021-05-31
RX0000000837,MBR00000020,2022-09-01,2022-09-02,1551006360,1441575226,PLN2330,934265,PCN257,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,56,5,Retail,0,0,0,90.0,5.98,95.98,7.0,84.17,4.81,1.8,1.275,0,0,0,0,2022-10-31
RX0000000838,MBR00000020,2021-01-11,2021-01-12,1150546688,1776311318,PLN5945,271750,PCN174,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,87,5,Mail Order,0,0,0,30.0,11.67,41.67,2.0,37.9,1.77,0.4,0.2833,0,0,0,0,2021-04-11
RX0000000839,MBR00000020,2021-12-15,2021-12-18,1753070850,1583577864,PLN5828,954142,PCN985,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,2,Retail,0,0,0,11.0,8.79,19.79,6.0,12.94,0.85,0.44,0.3117,0,0,0,0,2022-01-14
RX0000000840,MBR00000020,2023-03-18,2023-03-19,1181817074,1893029054,PLN6103,673049,PCN554,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,91,5,Retail,0,0,0,36.0,9.45,45.45,2.0,41.18,2.27,0.48,0.34,0,0,0,0,2023-06-16
RX0000000841,MBR00000020,2023-07-23,2023-07-24,1354811061,1789944206,PLN6658,957259,PCN916,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,10,Retail,0,0,0,14.0,8.78,22.78,10.0,11.22,1.56,0.56,0.3967,0,0,0,0,2023-08-22
RX0000000842,MBR00000020,2022-08-06,2022-08-07,1643586627,1627880994,PLN3779,189931,PCN564,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,5,Retail,0,0,0,18.0,7.41,25.41,33.0,0.0,0.98,0.72,0.51,1,0,0,0,2022-09-05
RX0000000843,MBR00000020,2023-02-12,2023-02-16,1897400583,1952623079,PLN3729,768833,PCN408,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,3,Retail,1,0,0,38.0,7.2,45.2,9.0,33.57,2.63,1.52,1.0767,0,0,0,0,2023-03-14
RX0000000844,MBR00000020,2023-05-29,2023-05-30,1582226162,1113136515,PLN7196,553476,PCN862,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,1,Retail,0,0,0,45.0,2.31,47.31,7.0,37.09,3.22,1.8,1.275,0,0,0,0,2023-06-28
RX0000000845,MBR00000020,2023-06-12,2023-06-15,1895032228,1700984475,PLN2411,244759,PCN461,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,85,4,Mail Order,0,0,0,36.0,9.88,45.88,3.0,40.79,2.09,0.48,0.34,1,0,0,0,2023-09-10
RX0000000846,MBR00000020,2021-11-28,2021-11-29,1881974386,1246510776,PLN4857,343413,PCN921,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,10,Mail Order,0,0,0,380.0,2.84,382.84,34.0,327.15,21.69,15.2,10.7667,0,0,0,0,2021-12-28
RX0000000847,MBR00000020,2022-06-08,2022-06-11,1299244321,1831072206,PLN1668,487453,PCN422,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,98,9,Retail,0,1,0,18600.0,9.97,18609.97,152.0,17781.51,676.46,248.0,175.6667,0,0,0,0,2022-09-06
RX0000000848,MBR00000020,2023-08-27,2023-08-31,1877286477,1368022555,PLN3140,954852,PCN991,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,9,Mail Order,0,0,0,12.5,3.18,15.68,5.0,9.79,0.89,0.5,0.3542,0,0,0,0,2023-09-26
RX0000000849,MBR00000020,2023-03-21,2023-03-23,1327687596,1395203046,PLN9571,257629,PCN324,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,11,Retail,1,0,0,10.0,6.93,16.93,8.0,8.16,0.77,0.4,0.2833,1,1,0,0,2023-04-20
RX0000000850,MBR00000020,2022-02-18,2022-02-22,1844115697,1545996838,PLN8276,453850,PCN599,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,6,Retail,3,0,0,8.87,3.97,12.84,4.0,8.06,0.78,1.52,1.0767,0,0,0,0,2022-02-25
RX0000000851,MBR00000020,2022-05-11,2022-05-14,1184001064,1279544170,PLN9472,681712,PCN511,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,3,Mail Order,0,0,0,320.0,3.9,323.9,40.0,268.15,15.75,12.8,9.0667,0,0,0,0,2022-06-10
RX0000000852,MBR00000020,2022-10-05,2022-10-06,1269287740,1499381519,PLN9532,594768,PCN145,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,81,11,Retail,0,0,0,36.0,8.82,44.82,5.0,37.15,2.67,0.48,0.34,0,0,0,0,2023-01-03
RX0000000853,MBR00000020,2023-04-16,2023-04-17,1954297844,1932120576,PLN9879,916170,PCN444,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,96,7,Retail,0,0,0,66.0,10.37,76.37,3.0,70.34,3.03,0.88,0.6233,1,0,0,0,2023-07-15
RX0000000854,MBR00000020,2021-04-30,2021-05-01,1442242042,1754061027,PLN6668,989086,PCN780,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,91,2,Retail,0,0,0,1110.0,9.6,1119.6,35.0,1046.54,38.06,14.8,10.4833,0,0,0,0,2021-07-29
RX0000000855,MBR00000020,2023-04-30,2023-05-01,1351691156,1634221976,PLN6963,786069,PCN343,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,3,Retail,0,0,0,2.1,5.33,7.43,6.0,0.94,0.49,0.36,0.255,0,0,0,0,2023-05-07
RX0000000856,MBR00000020,2021-03-13,2021-03-15,1728212751,1217139557,PLN6783,697057,PCN304,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,91,5,Retail,0,0,0,30.0,3.25,33.25,3.0,28.96,1.29,0.4,0.2833,0,0,0,0,2021-06-11
RX0000000857,MBR00000020,2021-06-30,2021-07-02,1144774903,1624583088,PLN9730,994845,PCN318,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,2,Retail,2,0,0,11.0,2.84,13.84,5.0,8.36,0.48,0.44,0.3117,1,0,0,0,2021-07-30
RX0000000858,MBR00000020,2023-09-21,2023-09-22,1226817501,1460689661,PLN1779,904570,PCN242,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,10,Specialty,0,0,0,14.0,49.79,63.79,9.0,54.79,0.0,0.56,0.3967,0,0,0,0,2023-10-21
RX0000000859,MBR00000020,2022-05-19,2022-05-20,1594974822,1484850832,PLN6900,266702,PCN411,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,81,1,Retail,0,0,0,30.0,11.89,41.89,5.0,34.71,2.18,0.4,0.2833,0,0,0,0,2022-08-17
RX0000000860,MBR00000020,2021-10-10,2021-10-12,1179640079,1938944220,PLN3213,491514,PCN248,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,11,Mail Order,0,0,0,10.0,4.16,14.16,8.0,5.4,0.76,0.4,0.2833,0,0,0,0,2021-11-09
RX0000000861,MBR00000020,2022-09-26,2022-09-29,1609949498,1124307519,PLN3290,282873,PCN380,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,65,1,Mail Order,0,0,0,1900.0,9.6,1909.6,30.0,1780.64,98.96,38.0,26.9167,0,1,1,0,2022-11-25
RX0000000862,MBR00000020,2023-10-15,2023-10-16,1404335392,1388472140,PLN5248,867102,PCN403,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,61,10,Retail,0,1,0,5600.0,2.66,5602.66,152.0,5165.87,284.79,112.0,79.3333,0,0,0,0,2023-12-14
RX0000000863,MBR00000020,2022-06-15,2022-06-17,1888915539,1249634798,PLN3520,761502,PCN873,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,11,Mail Order,0,1,0,12.0,4.8,16.8,148.0,0.0,0.79,0.48,0.34,0,0,0,0,2022-07-15
RX0000000864,MBR00000020,2021-09-27,2021-09-30,1530901540,1834734408,PLN7446,310114,PCN748,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,56,10,Retail,0,0,0,570.0,8.32,578.32,40.0,520.75,17.57,11.4,8.075,0,0,0,0,2021-11-26
RX0000000865,MBR00000020,2022-06-29,2022-06-30,1220735567,1494958281,PLN4795,372058,PCN676,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,60,4,Mail Order,0,0,0,28.0,11.85,39.85,6.0,31.14,2.71,0.56,0.3967,0,0,0,0,2022-08-28
RX0000000866,MBR00000020,2023-12-09,2023-12-11,1268641683,1784200473,PLN8453,604202,PCN673,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,83,7,Mail Order,0,0,0,930.0,5.62,935.62,37.0,840.8,57.82,12.4,8.7833,0,0,0,0,2024-03-08
RX0000000867,MBR00000020,2023-04-12,2023-04-16,1229878573,1851213795,PLN8048,916498,PCN545,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,93,7,Specialty,0,0,0,54.0,39.03,93.03,34.0,59.03,0.0,0.72,0.51,0,0,0,0,2023-07-11
RX0000000868,MBR00000020,2021-01-30,2021-02-01,1147674948,1149421736,PLN3220,836863,PCN635,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,11,Specialty,1,0,0,15.0,16.97,31.97,1.0,30.97,0.0,0.6,0.425,1,0,0,0,2021-03-01
RX0000000869,MBR00000020,2022-04-17,2022-04-18,1621826141,1607789428,PLN5612,662263,PCN895,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,90,10,Retail,0,0,0,30.0,7.51,37.51,8.0,28.08,1.43,0.4,0.2833,0,0,0,0,2022-07-16
RX0000000870,MBR00000020,2023-12-11,2023-12-13,1699070214,1747109601,PLN1232,776089,PCN710,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,9,Specialty,2,0,0,38.0,12.5,50.5,8.0,42.5,0.0,1.52,1.0767,0,0,0,0,2024-01-10
RX0000000871,MBR00000020,2021-07-11,2021-07-12,1406527236,1395033804,PLN6476,547248,PCN981,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,6,Mail Order,0,1,0,1983.33,10.9,1994.23,148.0,1712.24,133.99,340.0,240.8333,0,0,0,0,2021-07-18
RX0000000872,MBR00000020,2022-09-04,2022-09-06,1933235385,1101539877,PLN4069,535479,PCN762,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,7,Mail Order,0,0,0,33.0,6.09,39.09,1.0,36.8,1.29,0.44,0.3117,0,0,0,0,2022-12-03
RX0000000873,MBR00000020,2023-04-26,2023-04-28,1354206578,1917585758,PLN4829,932072,PCN998,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,98,7,Retail,0,1,0,24.0,5.72,29.72,150.0,0.0,1.2,0.32,0.2267,0,0,0,0,2023-07-25
RX0000000874,MBR00000020,2021-10-11,2021-10-15,1186913670,1570677685,PLN3610,898801,PCN828,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,7,Retail,0,0,0,1.75,9.44,11.19,9.0,1.61,0.58,0.3,0.2125,0,0,0,0,2021-10-18
RX0000000875,MBR00000020,2023-11-07,2023-11-10,1482922926,1847341063,PLN6000,790927,PCN316,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,91,3,Retail,0,1,0,36.0,10.77,46.77,149.0,0.0,1.45,0.48,0.34,0,0,0,0,2024-02-05
RX0000000876,MBR00000020,2021-10-24,2021-10-25,1270419137,1745750107,PLN3013,706755,PCN729,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,9,Retail,0,0,0,9.0,7.94,16.94,9.0,6.92,1.02,0.36,0.255,0,0,0,0,2021-11-23
RX0000000877,MBR00000020,2022-12-29,2023-01-01,1719770173,1927013332,PLN7631,106663,PCN826,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,11,Retail,0,0,0,15.0,6.73,21.73,9.0,11.92,0.81,0.6,0.425,1,0,0,0,2023-01-28
RX0000000878,MBR00000020,2023-11-19,2023-11-22,1311245207,1878959507,PLN3433,362931,PCN698,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,11,Retail,0,0,0,22.0,7.53,29.53,71.0,0.0,1.22,0.88,0.6233,0,0,0,0,2023-12-19
RX0000000879,MBR00000020,2023-01-14,2023-01-17,1451272235,1895195424,PLN5299,114741,PCN115,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,11,Retail,0,1,0,8.0,6.63,14.63,145.0,0.0,0.85,0.32,0.2267,0,0,0,0,2023-02-13
RX0000000880,MBR00000020,2022-11-20,2022-11-21,1846025157,1411016759,PLN6642,779815,PCN611,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,89,0,Retail,0,0,0,30.0,1.87,31.87,8.0,21.88,1.99,0.4,0.2833,0,0,0,0,2023-02-18
RX0000000881,MBR00000020,2022-04-14,2022-04-18,1674266177,1213685474,PLN8892,126125,PCN414,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,64,9,Mail Order,0,0,0,32.0,5.54,37.54,0.0,35.49,2.05,0.64,0.4533,0,0,0,0,2022-06-13
RX0000000882,MBR00000021,2023-10-06,2023-10-07,1133602013,1438367343,PLN1799,924232,PCN910,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,2,Retail,0,0,0,18.0,1.52,19.52,6.0,12.86,0.66,0.72,0.51,0,0,0,0,2023-11-05
RX0000000883,MBR00000021,2023-06-28,2023-07-01,1894555429,1778213298,PLN3387,369254,PCN565,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,11,Mail Order,0,0,0,7.5,2.3,9.8,8.0,1.4,0.4,0.3,0.2125,0,0,0,0,2023-07-28
RX0000000884,MBR00000021,2023-02-14,2023-02-15,1167186041,1409748687,PLN5639,558205,PCN873,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,1,Mail Order,0,0,0,28.0,4.66,32.66,3.0,28.24,1.42,1.12,0.7933,0,0,0,0,2023-03-16
RX0000000885,MBR00000021,2021-01-12,2021-01-14,1213527165,1930028942,PLN3028,516789,PCN709,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,55,1,Retail,0,0,0,30.0,2.62,32.62,2.0,28.42,2.2,0.6,0.425,0,0,0,0,2021-03-13
RX0000000886,MBR00000021,2022-06-07,2022-06-08,1671806459,1809055109,PLN8329,160589,PCN282,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,1,Retail,0,0,0,4.2,5.98,10.18,7.0,2.72,0.46,0.72,0.51,1,0,0,0,2022-06-14
RX0000000887,MBR00000021,2021-03-12,2021-03-14,1256755343,1918289103,PLN9099,479036,PCN837,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,5,Retail,0,0,1,12.0,4.21,16.21,9.0,6.12,1.09,0.48,0.34,0,0,0,0,2021-04-11
RX0000000888,MBR00000021,2022-05-02,2022-05-06,1671575372,1524600991,PLN1741,809703,PCN855,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,4,Retail,0,1,0,12.0,4.03,16.03,152.0,0.0,0.77,0.48,0.34,0,0,0,0,2022-06-01
RX0000000889,MBR00000021,2021-07-09,2021-07-10,1683168139,1492965677,PLN6973,540668,PCN483,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,10,Retail,0,0,1,950.0,2.88,952.88,34.0,857.2,61.68,38.0,26.9167,0,0,0,0,2021-08-08
RX0000000890,MBR00000021,2021-07-18,2021-07-21,1818574901,1758867511,PLN6310,273313,PCN432,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,1,Mail Order,0,0,0,38.0,10.05,48.05,36.0,10.44,1.61,1.52,1.0767,0,0,0,0,2021-08-17
RX0000000891,MBR00000021,2021-03-02,2021-03-04,1277283821,1509556200,PLN7148,195972,PCN672,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,5,Mail Order,0,0,0,72.33,2.06,74.4,39.0,32.25,3.15,12.4,8.7833,0,0,0,0,2021-03-09
RX0000000892,MBR00000021,2021-10-19,2021-10-21,1483075184,1557548284,PLN5662,900541,PCN282,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,5,Retail,0,0,0,750.0,2.35,752.35,36.0,682.82,33.53,30.0,21.25,0,0,0,0,2021-11-18
RX0000000893,MBR00000021,2021-05-15,2021-05-18,1843463829,1558601427,PLN7226,109848,PCN211,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,11,Mail Order,0,0,0,855.0,11.5,866.5,31.0,779.2,56.3,11.4,8.075,0,0,0,0,2021-08-13
RX0000000894,MBR00000021,2023-11-15,2023-11-16,1339670685,1483714058,PLN6560,290757,PCN691,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,8,Retail,0,0,0,112.0,7.91,119.91,32.0,81.86,6.05,19.2,13.6,0,0,0,0,2023-11-22
RX0000000895,MBR00000021,2021-10-22,2021-10-23,1596029830,1429180479,PLN9403,440413,PCN725,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,1,Retail,0,0,0,8.87,7.84,16.71,9.0,6.9,0.81,1.52,1.0767,0,0,0,0,2021-10-29
RX0000000896,MBR00000021,2021-04-16,2021-04-18,1957340020,1694547536,PLN7590,569932,PCN474,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,2,Retail,0,0,0,15.0,10.4,25.4,3.0,21.44,0.96,0.6,0.425,0,0,0,0,2021-05-16
RX0000000897,MBR00000021,2023-10-26,2023-10-30,1982908920,1357972430,PLN1063,502420,PCN245,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,5,Specialty,3,0,0,9.0,47.75,56.75,7.0,49.75,0.0,0.36,0.255,0,0,0,0,2023-11-25
RX0000000898,MBR00000021,2021-05-09,2021-05-13,1995937137,1178414303,PLN6346,899456,PCN151,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,5,Mail Order,0,0,0,15.0,3.81,18.81,5.0,13.2,0.61,0.6,0.425,0,0,0,0,2021-06-08
RX0000000899,MBR00000021,2021-08-29,2021-08-31,1790946112,1331627416,PLN4934,968901,PCN228,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,5,LTC,0,0,0,12.0,4.14,16.14,8.0,7.26,0.88,0.48,0.34,0,0,0,0,2021-09-28
RX0000000900,MBR00000021,2021-02-04,2021-02-05,1628183491,1431479821,PLN6576,962686,PCN535,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,2,Mail Order,0,0,0,12.0,10.5,22.5,3.0,18.47,1.03,0.48,0.34,0,0,0,0,2021-03-06
RX0000000901,MBR00000021,2022-10-04,2022-10-06,1359547626,1738223070,PLN1250,546083,PCN132,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,3,Retail,0,0,0,310.0,9.26,319.26,33.0,276.41,9.85,12.4,8.7833,0,0,0,0,2022-11-03
RX0000000902,MBR00000021,2022-04-20,2022-04-22,1874193388,1846758276,PLN1058,787981,PCN141,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,10,Retail,0,0,0,380.0,9.34,389.34,40.0,329.59,19.75,15.2,10.7667,0,0,0,0,2022-05-20
RX0000000903,MBR00000021,2022-11-11,2022-11-13,1777525252,1663507630,PLN3647,434462,PCN243,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,11,Retail,0,0,1,18.0,9.9,27.9,10.0,16.31,1.59,0.72,0.51,0,0,0,0,2022-12-11
RX0000000904,MBR00000021,2021-01-14,2021-01-16,1949291874,1494902306,PLN2515,119274,PCN958,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,87,9,Retail,0,0,0,990.0,1.79,991.79,30.0,898.98,62.81,13.2,9.35,0,0,0,0,2021-04-14
RX0000000905,MBR00000021,2021-09-29,2021-10-02,1297648460,1948898185,PLN6473,422838,PCN731,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,91,5,Retail,0,0,0,36.0,7.84,43.84,5.0,36.24,2.6,0.48,0.34,0,0,0,0,2021-12-28
RX0000000906,MBR00000021,2023-06-03,2023-06-06,1491465292,1703431491,PLN1468,322249,PCN138,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,5,Retail,1,0,0,15.0,8.47,23.47,0.0,21.96,1.51,0.6,0.425,1,0,0,0,2023-07-03
RX0000000907,MBR00000021,2021-05-11,2021-05-14,1908928506,1122180418,PLN9514,879723,PCN995,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,93,11,Retail,0,0,0,84.0,1.95,85.95,2.0,79.33,4.62,1.12,0.7933,0,0,0,0,2021-08-09
RX0000000908,MBR00000021,2023-10-15,2023-10-16,1331666188,1501663595,PLN6179,489578,PCN304,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,11,Mail Order,0,0,0,18.0,10.33,28.33,8.0,18.35,1.98,0.72,0.51,0,0,0,0,2023-11-14
RX0000000909,MBR00000021,2021-08-01,2021-08-02,1615598065,1832095024,PLN6174,371265,PCN795,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,10,Retail,1,0,0,14.0,9.45,23.45,8.0,14.6,0.85,0.56,0.3967,0,0,0,0,2021-08-31
RX0000000910,MBR00000021,2022-05-31,2022-06-01,1354498362,1683661956,PLN4481,637514,PCN906,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,57,11,Mail Order,0,0,0,56.0,7.0,63.0,2.0,56.66,4.34,1.12,0.7933,0,0,0,0,2022-07-30
RX0000000911,MBR00000021,2023-06-24,2023-06-28,1727867465,1356697871,PLN4829,659212,PCN563,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,2,Retail,0,1,0,2.8,7.15,9.95,153.0,0.0,0.61,0.48,0.34,0,0,0,0,2023-07-01
RX0000000912,MBR00000021,2021-04-26,2021-04-30,1215545314,1866745974,PLN2047,287518,PCN344,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,4,Retail,0,0,0,12.0,9.81,21.81,3.0,17.98,0.83,0.48,0.34,0,0,0,0,2021-05-26
RX0000000913,MBR00000021,2022-03-20,2022-03-24,1873810824,1362901425,PLN6185,454438,PCN249,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,10,Retail,0,0,0,14.0,4.1,18.1,6.0,11.29,0.81,0.56,0.3967,0,0,0,0,2022-04-19
RX0000000914,MBR00000021,2021-03-01,2021-03-02,1685734155,1123411139,PLN9455,514036,PCN780,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,10,Retail,0,0,0,9.0,7.75,16.75,9.0,7.24,0.51,0.36,0.255,0,0,0,0,2021-03-31
RX0000000915,MBR00000021,2021-06-08,2021-06-10,1877772802,1586213055,PLN4833,615597,PCN845,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,3,Specialty,0,0,0,11.0,43.26,54.26,9.0,45.26,0.0,0.44,0.3117,0,0,0,0,2021-07-08
RX0000000916,MBR00000021,2021-05-02,2021-05-05,1480128059,1220415161,PLN9438,989219,PCN450,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,4,Retail,0,0,0,370.0,2.3,372.3,33.0,315.44,23.86,14.8,10.4833,0,0,0,0,2021-06-01
RX0000000917,MBR00000021,2022-07-08,2022-07-09,1436208957,1749374141,PLN8697,467856,PCN193,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,6,Mail Order,1,0,0,320.0,10.45,330.45,38.0,278.84,13.61,12.8,9.0667,0,0,0,0,2022-08-07
RX0000000918,MBR00000021,2022-06-07,2022-06-08,1699918315,1602107042,PLN3926,957757,PCN808,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,0,Retail,0,0,0,2.33,8.76,11.09,0.0,10.65,0.44,0.4,0.2833,0,0,0,0,2022-06-14
RX0000000919,MBR00000021,2021-07-30,2021-08-01,1792319200,1518540328,PLN2283,277432,PCN724,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,5,Retail,0,0,0,6.53,4.07,10.61,7.0,3.26,0.35,1.12,0.7933,0,0,0,0,2021-08-06
RX0000000920,MBR00000021,2022-12-06,2022-12-10,1182455931,1937900548,PLN9330,548675,PCN892,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,7,Retail,3,0,0,2.57,8.21,10.78,7.0,3.44,0.34,0.44,0.3117,0,0,0,0,2022-12-13
RX0000000921,MBR00000021,2022-07-11,2022-07-14,1628830607,1320449199,PLN8120,305637,PCN144,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,11,Retail,0,0,0,18.0,7.72,25.72,6.0,18.07,1.65,0.72,0.51,0,0,0,0,2022-08-10
RX0000000922,MBR00000021,2022-05-12,2022-05-14,1965834162,1175910523,PLN3135,881603,PCN517,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,1,Mail Order,0,1,0,8.0,2.59,10.59,153.0,0.0,0.67,0.32,0.2267,0,0,0,0,2022-06-11
RX0000000923,MBR00000021,2022-03-18,2022-03-21,1436683389,1433622284,PLN3690,737868,PCN701,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,94,3,Retail,0,0,0,30.0,5.03,35.03,1.0,32.0,2.03,0.4,0.2833,0,0,0,0,2022-06-16
RX0000000924,MBR00000021,2022-06-07,2022-06-11,1980645984,1193728548,PLN1429,206952,PCN418,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,93,9,Retail,1,0,0,33.0,4.67,37.67,2.0,33.69,1.98,0.44,0.3117,0,0,0,0,2022-09-05
RX0000000925,MBR00000021,2022-01-26,2022-01-27,1605776394,1167930705,PLN2531,265972,PCN400,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,11,Retail,0,0,0,370.0,7.1,377.1,35.0,319.79,22.31,14.8,10.4833,0,0,0,0,2022-02-25
RX0000000926,MBR00000021,2021-11-05,2021-11-09,1969993856,1353164901,PLN2390,838728,PCN591,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,81,6,LTC,0,1,0,24.0,3.26,27.26,148.0,0.0,1.55,0.32,0.2267,0,0,0,0,2022-02-03
RX0000000927,MBR00000021,2022-04-19,2022-04-21,1643179943,1494862432,PLN9580,381762,PCN394,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,7,Mail Order,0,0,0,9.0,4.74,13.74,4.0,8.79,0.95,0.36,0.255,0,0,0,0,2022-05-19
RX0000000928,MBR00000021,2023-08-01,2023-08-05,1921501415,1696896455,PLN8094,733571,PCN622,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,9,Retail,0,0,0,950.0,2.6,952.6,32.0,863.51,57.09,38.0,26.9167,0,0,0,0,2023-08-31
RX0000000929,MBR00000021,2021-02-19,2021-02-20,1825846622,1527497840,PLN4939,810728,PCN954,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,2,Specialty,0,0,0,3.5,29.28,32.78,0.0,32.78,0.0,0.6,0.425,0,0,0,0,2021-02-26
RX0000000930,MBR00000022,2021-01-30,2021-01-31,1171052660,1991779048,PLN9502,858132,PCN976,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,95,7,Retail,3,0,0,960.0,7.49,967.49,36.0,881.6,49.89,12.8,9.0667,0,0,0,0,2021-04-30
RX0000000931,MBR00000022,2023-09-27,2023-09-29,1319390342,1742007473,PLN3525,231798,PCN786,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,0,Retail,0,1,0,8500.0,6.24,8506.24,151.0,7849.19,506.05,340.0,240.8333,0,0,0,0,2023-10-27
RX0000000932,MBR00000022,2021-10-20,2021-10-22,1598495183,1289234149,PLN5020,254039,PCN977,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,4,Retail,0,0,0,3.5,9.77,13.27,3.0,9.4,0.87,0.6,0.425,0,0,0,0,2021-10-27
RX0000000933,MBR00000022,2021-12-12,2021-12-16,1353305921,1790289487,PLN5478,310761,PCN478,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,7,Retail,0,0,0,380.0,4.26,384.26,37.0,328.18,19.08,15.2,10.7667,0,0,0,0,2022-01-11
RX0000000934,MBR00000022,2022-04-23,2022-04-24,1591070725,1227593007,PLN2789,323987,PCN321,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,5,Retail,3,0,0,175.0,9.19,184.19,40.0,136.8,7.39,7.0,4.9583,0,0,0,0,2022-05-23
RX0000000935,MBR00000022,2022-06-19,2022-06-22,1389630241,1844226436,PLN3772,999894,PCN345,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,88,9,Retail,2,0,0,27.0,2.62,29.62,8.0,20.32,1.3,0.36,0.255,0,0,0,0,2022-09-17
RX0000000936,MBR00000022,2023-11-28,2023-11-30,1288130690,1566056528,PLN4400,362875,PCN841,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,11,Retail,0,0,0,16.0,3.06,19.06,5.0,12.97,1.09,0.64,0.4533,0,0,0,0,2023-12-28
RX0000000937,MBR00000022,2021-10-11,2021-10-14,1586849342,1198147638,PLN5519,865694,PCN186,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,6,Retail,0,0,0,11.0,10.51,21.51,4.0,16.42,1.09,0.44,0.3117,0,0,0,0,2021-11-10
RX0000000938,MBR00000022,2023-09-27,2023-09-30,1463528585,1201554474,PLN1632,511054,PCN924,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,2,Retail,0,0,0,12.0,2.55,14.55,1.0,12.71,0.84,0.48,0.34,1,0,0,0,2023-10-27
RX0000000939,MBR00000022,2022-02-15,2022-02-16,1904146129,1294076369,PLN2642,440918,PCN204,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,62,7,Retail,0,0,0,130.0,5.86,135.86,39.0,91.09,5.77,2.6,1.8417,0,0,0,0,2022-04-16
RX0000000940,MBR00000022,2021-01-03,2021-01-06,1901792773,1444270359,PLN9167,659729,PCN371,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,0,Retail,0,0,0,88.67,10.9,99.57,37.0,57.26,5.31,15.2,10.7667,0,0,0,0,2021-01-10
RX0000000941,MBR00000022,2023-10-27,2023-10-30,1154404924,1471171168,PLN1981,921632,PCN200,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,6,Retail,0,0,0,8.5,7.86,16.36,4.0,11.72,0.64,0.34,0.2408,0,0,0,0,2023-11-26
RX0000000942,MBR00000022,2021-02-03,2021-02-07,1166745633,1862789540,PLN9671,990658,PCN359,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,2,Retail,0,0,0,8.5,8.44,16.94,10.0,6.01,0.93,0.34,0.2408,0,0,0,0,2021-03-05
RX0000000943,MBR00000022,2021-12-03,2021-12-05,1226763367,1691140717,PLN2639,774421,PCN348,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,94,4,Mail Order,0,0,0,66.0,11.06,77.06,68.0,4.11,4.95,0.88,0.6233,0,0,0,0,2022-03-03
RX0000000944,MBR00000022,2022-12-15,2022-12-19,1332035780,1812707163,PLN9582,277075,PCN978,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,11,Mail Order,0,0,0,750.0,1.6,751.6,33.0,672.52,46.08,30.0,21.25,0,0,0,0,2023-01-14
RX0000000945,MBR00000022,2021-02-12,2021-02-14,1994172552,1537834322,PLN6356,285126,PCN528,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,2,Retail,0,0,0,15.0,11.43,26.43,10.0,15.41,1.02,0.6,0.425,0,0,0,0,2021-03-14
RX0000000946,MBR00000022,2023-09-24,2023-09-26,1914824996,1961784923,PLN6949,355672,PCN691,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,63,1,Mail Order,0,0,0,25.0,5.79,30.79,3.0,26.76,1.03,0.5,0.3542,0,0,0,0,2023-11-23
RX0000000947,MBR00000022,2023-05-09,2023-05-11,1263171206,1488511132,PLN3059,905116,PCN584,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,85,1,Retail,0,0,0,2850.0,2.24,2852.24,34.0,2644.4,173.84,38.0,26.9167,0,0,0,0,2023-08-07
RX0000000948,MBR00000022,2023-08-15,2023-08-18,1889375982,1538351561,PLN8994,987508,PCN424,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,3,Retail,0,0,0,12.0,3.12,15.12,3.0,11.31,0.81,0.48,0.34,0,0,0,0,2023-09-14
RX0000000949,MBR00000022,2021-01-13,2021-01-16,1345171100,1967649640,PLN1520,616978,PCN850,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,2,Retail,0,0,0,66.5,7.42,73.92,30.0,41.58,2.34,11.4,8.075,0,0,0,0,2021-01-20
RX0000000950,MBR00000022,2023-08-26,2023-08-28,1707417162,1914247180,PLN5420,136847,PCN761,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,88,10,Retail,3,0,0,1440.0,5.38,1445.38,40.0,1310.28,95.1,19.2,13.6,0,0,0,0,2023-11-24
RX0000000951,MBR00000022,2023-11-23,2023-11-25,1838695188,1951109963,PLN7124,754008,PCN896,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,2,Retail,0,0,0,3.27,5.56,8.83,3.0,5.39,0.44,0.56,0.3967,0,1,0,0,2023-11-30
RX0000000952,MBR00000022,2021-05-02,2021-05-05,1462959112,1288762289,PLN9357,698608,PCN688,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,5,Retail,0,0,0,320.0,6.31,326.31,30.0,285.53,10.78,12.8,9.0667,0,0,0,0,2021-06-01
RX0000000953,MBR00000022,2022-08-26,2022-08-28,1614647820,1675126446,PLN6624,608052,PCN760,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,7,Retail,2,0,0,11.0,7.39,18.39,8.0,9.21,1.18,0.44,0.3117,0,0,0,0,2022-09-25
RX0000000954,MBR00000022,2023-09-11,2023-09-14,1866572160,1455254841,PLN9826,280886,PCN967,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,95,11,Retail,0,0,0,135.0,3.33,138.33,7.0,124.0,7.33,1.8,1.275,0,0,0,0,2023-12-10
RX0000000955,MBR00000022,2022-12-15,2022-12-18,1303593486,1381908514,PLN8574,146410,PCN549,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,98,0,Specialty,0,0,0,30.0,14.48,44.48,3.0,41.48,0.0,0.4,0.2833,0,0,0,0,2023-03-15
RX0000000956,MBR00000022,2022-07-24,2022-07-26,1171157137,1141149353,PLN9345,901323,PCN537,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,7,Specialty,0,0,0,175.0,8.11,183.11,30.0,153.11,0.0,7.0,4.9583,0,0,0,0,2022-08-23
RX0000000957,MBR00000023,2022-11-16,2022-11-17,1266473932,1391502146,PLN4119,354821,PCN249,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,91,4,Retail,0,0,0,114.0,2.24,116.24,39.0,70.04,7.2,1.52,1.0767,0,0,0,0,2023-02-14
RX0000000958,MBR00000023,2022-08-16,2022-08-18,1222753852,1926908587,PLN8346,289667,PCN536,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,1,Retail,0,0,0,9.0,10.69,19.69,4.0,14.53,1.16,0.36,0.255,1,0,0,0,2022-09-15
RX0000000959,MBR00000023,2022-09-14,2022-09-15,1863302965,1306371428,PLN3286,813479,PCN429,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,94,11,Mail Order,0,0,0,42.0,2.69,44.69,2.0,39.79,2.9,0.56,0.3967,0,0,0,0,2022-12-13
RX0000000960,MBR00000023,2023-12-04,2023-12-07,1112570330,1545267375,PLN6692,898071,PCN872,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,63,4,Retail,3,1,0,17000.0,11.95,17011.95,153.0,15838.25,1020.7,340.0,240.8333,0,0,0,0,2024-02-02
RX0000000961,MBR00000023,2023-06-10,2023-06-13,1306887175,1766425898,PLN7552,647103,PCN509,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,89,8,Retail,0,0,0,42.0,5.91,47.91,8.0,36.57,3.34,0.56,0.3967,0,0,0,0,2023-09-08
RX0000000962,MBR00000023,2022-04-04,2022-04-07,1336200909,1273694891,PLN4390,673171,PCN450,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,4,Retail,2,0,0,38.0,11.74,49.74,2.0,44.39,3.35,1.52,1.0767,0,0,0,0,2022-05-04
RX0000000963,MBR00000023,2021-10-26,2021-10-27,1269109035,1412807182,PLN8054,118656,PCN832,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,96,6,Retail,0,0,0,930.0,8.16,938.16,33.0,866.02,39.14,12.4,8.7833,0,1,1,0,2022-01-24
RX0000000964,MBR00000023,2022-04-12,2022-04-15,1506496337,1336403855,PLN9608,923688,PCN609,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,7,Retail,0,0,0,14.0,3.7,17.7,5.0,11.65,1.05,0.56,0.3967,0,0,0,0,2022-05-12
RX0000000965,MBR00000023,2022-01-06,2022-01-10,1975414731,1329689598,PLN4059,425148,PCN438,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,6,Retail,0,0,0,480.0,5.68,485.68,31.0,439.59,15.09,19.2,13.6,0,0,0,0,2022-02-05
RX0000000966,MBR00000023,2022-01-06,2022-01-10,1972448083,1146680872,PLN8233,570603,PCN545,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,63,2,Retail,0,0,0,36.0,3.69,39.69,5.0,32.47,2.22,0.72,0.51,0,0,0,0,2022-03-07
RX0000000967,MBR00000023,2022-05-08,2022-05-10,1110405899,1422462291,PLN6556,790173,PCN811,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,1,Retail,0,1,0,8.0,3.19,11.19,154.0,0.0,0.74,0.32,0.2267,0,0,0,0,2022-06-07
RX0000000968,MBR00000023,2023-10-08,2023-10-09,1971443013,1154885494,PLN7075,676493,PCN116,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,8,Retail,0,0,0,650.0,8.89,658.89,35.0,580.77,43.12,26.0,18.4167,0,0,0,0,2023-11-07
RX0000000969,MBR00000023,2023-05-14,2023-05-18,1777330338,1977176637,PLN3465,436750,PCN209,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,82,0,Retail,0,1,0,18600.0,11.97,18611.97,151.0,17807.0,653.97,248.0,175.6667,0,0,0,0,2023-08-12
RX0000000970,MBR00000023,2022-01-03,2022-01-07,1720135300,1598606148,PLN5937,141322,PCN250,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,5,LTC,0,0,0,18.0,3.9,21.9,34.0,0.0,1.0,0.72,0.51,1,0,0,0,2022-02-02
RX0000000971,MBR00000023,2022-05-02,2022-05-04,1275394910,1430718302,PLN2907,661400,PCN226,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,0,Retail,0,0,0,28.0,6.01,34.01,0.0,31.74,2.27,1.12,0.7933,0,0,0,0,2022-06-01
RX0000000972,MBR00000023,2022-01-26,2022-01-27,1387394971,1617024652,PLN2258,730564,PCN431,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,0,Retail,0,1,0,6200.0,6.47,6206.47,155.0,5750.02,301.45,248.0,175.6667,0,0,0,0,2022-02-25
RX0000000973,MBR00000023,2021-05-30,2021-06-01,1620348394,1692420618,PLN8376,362834,PCN677,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,98,10,Retail,0,0,0,36.0,11.01,47.01,3.0,41.95,2.06,0.48,0.34,0,0,0,0,2021-08-28
RX0000000974,MBR00000023,2022-05-31,2022-06-02,1879239824,1983940105,PLN6413,434391,PCN908,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,60,11,Retail,0,0,0,90.0,3.23,93.23,0.0,89.8,3.43,1.8,1.275,0,0,0,0,2022-07-30
RX0000000975,MBR00000023,2021-04-19,2021-04-20,1446475991,1853859265,PLN3731,580193,PCN581,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,9,Retail,0,0,0,14.0,4.45,18.45,2.0,15.33,1.12,0.56,0.3967,0,0,0,0,2021-05-19
RX0000000976,MBR00000023,2023-06-03,2023-06-05,1449788110,1309087796,PLN5496,661774,PCN796,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,8,Mail Order,0,0,0,370.0,6.16,376.16,32.0,319.65,24.51,14.8,10.4833,0,0,0,0,2023-07-03
RX0000000977,MBR00000023,2023-12-26,2023-12-27,1573561879,1600765863,PLN8769,299136,PCN714,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,9,Retail,3,0,0,380.0,6.36,386.36,37.0,323.73,25.63,15.2,10.7667,0,0,0,0,2024-01-25
RX0000000978,MBR00000023,2022-06-07,2022-06-09,1745066624,1497754267,PLN3921,219578,PCN320,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,5,Mail Order,0,0,0,18.0,9.44,27.44,10.0,16.26,1.18,0.72,0.51,0,0,0,0,2022-07-07
RX0000000979,MBR00000023,2022-07-20,2022-07-21,1586662534,1309569821,PLN5589,766351,PCN543,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,5,Retail,0,0,0,11.0,10.51,21.51,8.0,12.68,0.83,0.44,0.3117,0,0,0,0,2022-08-19
RX0000000980,MBR00000023,2022-02-18,2022-02-22,1828267531,1552618646,PLN5239,725140,PCN603,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,60,3,Retail,0,1,0,12400.0,6.44,12406.44,147.0,11670.4,589.04,248.0,175.6667,0,0,0,0,2022-04-19
RX0000000981,MBR00000023,2022-06-27,2022-06-29,1136473345,1487953629,PLN8212,480091,PCN803,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,6,Mail Order,1,0,0,320.0,2.5,322.5,35.0,276.75,10.75,12.8,9.0667,0,0,0,0,2022-07-27
RX0000000982,MBR00000023,2023-01-23,2023-01-27,1930852777,1964188844,PLN5187,866114,PCN119,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,0,Specialty,0,0,0,45.0,13.57,58.57,9.0,49.57,0.0,1.8,1.275,0,0,0,0,2023-02-22
RX0000000983,MBR00000023,2021-10-04,2021-10-07,1638053822,1243143470,PLN7124,470083,PCN950,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,10,Retail,1,0,0,9.0,11.64,20.64,10.0,9.37,1.27,0.36,0.255,0,0,0,0,2021-11-03
RX0000000984,MBR00000023,2023-03-03,2023-03-04,1306666533,1165889873,PLN9369,158941,PCN485,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,81,8,Retail,0,0,0,1140.0,7.51,1147.51,36.0,1070.87,40.64,15.2,10.7667,1,0,0,0,2023-06-01
RX0000000985,MBR00000023,2022-12-30,2023-01-01,1211368780,1210847187,PLN9054,557457,PCN740,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,8,Retail,0,1,0,24.0,11.24,35.24,150.0,0.0,2.4,0.32,0.2267,0,0,0,0,2023-03-30
RX0000000986,MBR00000023,2023-05-02,2023-05-06,1254155194,1824786989,PLN7421,160037,PCN507,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,4,Retail,0,0,0,10.0,6.77,16.77,10.0,5.74,1.03,0.4,0.2833,0,0,0,0,2023-06-01
RX0000000987,MBR00000023,2021-10-02,2021-10-03,1125705840,1967177525,PLN5431,484510,PCN501,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,10,Retail,0,0,0,12.0,8.53,20.53,6.0,13.26,1.27,0.48,0.34,0,0,0,0,2021-11-01
RX0000000988,MBR00000023,2022-04-20,2022-04-23,1984601546,1842707323,PLN6772,507765,PCN375,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,6,Retail,0,1,0,6200.0,7.48,6207.48,153.0,5781.91,272.57,248.0,175.6667,0,0,0,0,2022-05-20
RX0000000989,MBR00000023,2023-04-01,2023-04-02,1931905377,1351009788,PLN7372,592890,PCN734,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,97,11,Mail Order,0,0,0,22.5,6.74,29.24,5.0,22.77,1.47,0.3,0.2125,0,1,0,0,2023-06-30
RX0000000990,MBR00000023,2023-04-18,2023-04-22,1572203980,1927652542,PLN1407,881240,PCN313,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,58,8,Retail,0,0,0,1300.0,9.05,1309.05,35.0,1202.12,71.93,26.0,18.4167,0,0,0,0,2023-06-17
RX0000000991,MBR00000023,2021-05-22,2021-05-24,1615424283,1793303774,PLN3442,247612,PCN504,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,7,Retail,3,0,0,10.0,4.32,14.32,1.0,12.46,0.86,0.4,0.2833,0,0,0,0,2021-06-21
RX0000000992,MBR00000023,2023-05-21,2023-05-22,1434168127,1884658383,PLN1275,448926,PCN726,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,6,Specialty,0,0,0,10.0,14.95,24.95,7.0,17.95,0.0,0.4,0.2833,0,1,0,0,2023-06-20
RX0000000993,MBR00000023,2021-02-25,2021-03-01,1319497429,1114377537,PLN1398,750647,PCN752,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,60,11,Retail,2,0,0,56.0,11.47,67.47,4.0,60.08,3.39,1.12,0.7933,0,0,0,0,2021-04-26
RX0000000994,MBR00000023,2022-08-09,2022-08-11,1858294756,1632142695,PLN1551,615131,PCN272,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,11,Retail,0,0,0,2.1,9.46,11.56,5.0,5.86,0.7,0.36,0.255,0,0,0,0,2022-08-16
RX0000000995,MBR00000023,2021-11-13,2021-11-16,1467928618,1927622545,PLN7187,662948,PCN525,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,8,Mail Order,0,0,0,38.0,8.73,46.73,38.0,7.25,1.48,1.52,1.0767,1,0,0,0,2021-12-13
RX0000000996,MBR00000023,2021-09-12,2021-09-13,1309265114,1843191370,PLN3191,129308,PCN631,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,10,Retail,0,1,0,6200.0,11.37,6211.37,153.0,5631.93,426.44,248.0,175.6667,0,0,0,0,2021-10-12
RX0000000997,MBR00000023,2021-02-28,2021-03-03,1772552423,1853442514,PLN6206,453944,PCN775,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,2,Mail Order,0,0,0,750.0,4.03,754.03,35.0,696.34,22.69,30.0,21.25,0,0,0,0,2021-03-30
RX0000000998,MBR00000023,2023-10-19,2023-10-20,1654724737,1644955218,PLN9552,350268,PCN601,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,8,Mail Order,0,0,0,16.0,1.72,17.72,0.0,16.84,0.88,0.64,0.4533,1,0,0,0,2023-11-18
RX0000000999,MBR00000023,2023-12-12,2023-12-16,1797062330,1758791947,PLN9910,473977,PCN762,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,2,Retail,0,0,0,8.87,11.83,20.69,10.0,9.62,1.07,1.52,1.0767,0,0,0,0,2023-12-19
RX0000001000,MBR00000023,2023-01-08,2023-01-12,1714771177,1429427387,PLN8461,521051,PCN794,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,95,8,Mail Order,0,0,0,1440.0,10.92,1450.92,32.0,1343.55,75.37,19.2,13.6,0,0,0,0,2023-04-08
RX0000001001,MBR00000023,2021-05-22,2021-05-25,1184469629,1500755050,PLN5698,469076,PCN817,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,10,Mail Order,0,0,0,310.0,11.5,321.5,35.0,267.1,19.4,12.4,8.7833,0,0,0,0,2021-06-21
RX0000001002,MBR00000023,2022-10-24,2022-10-28,1752846760,1671047272,PLN8711,333189,PCN838,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,2,Mail Order,0,0,0,10.0,5.23,15.23,0.0,14.18,1.05,0.4,0.2833,1,0,0,0,2022-11-23
RX0000001003,MBR00000023,2021-11-21,2021-11-23,1733485572,1920138049,PLN9778,550867,PCN580,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,87,11,Mail Order,2,0,0,960.0,9.11,969.11,30.0,896.44,42.67,12.8,9.0667,0,0,0,0,2022-02-19
RX0000001004,MBR00000023,2022-02-28,2022-03-01,1628755559,1330689120,PLN8128,716868,PCN221,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,8,Retail,0,0,0,10.0,2.28,12.28,4.0,7.54,0.74,0.4,0.2833,0,0,0,0,2022-03-30
RX0000001005,MBR00000023,2022-06-21,2022-06-25,1900606085,1760215087,PLN1742,896600,PCN345,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,4,Mail Order,2,1,0,2800.0,7.96,2807.96,149.0,2478.78,180.18,112.0,79.3333,0,1,1,0,2022-07-21
RX0000001006,MBR00000023,2021-12-24,2021-12-27,1479346323,1873466739,PLN8605,713072,PCN933,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,86,4,Retail,0,0,0,33.0,11.36,44.36,4.0,37.43,2.93,0.44,0.3117,0,0,0,0,2022-03-24
RX0000001007,MBR00000024,2021-11-03,2021-11-06,1204358869,1630334660,PLN2934,435286,PCN560,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,1,Mail Order,0,0,0,320.0,6.1,326.1,34.0,272.96,19.14,12.8,9.0667,0,0,0,0,2021-12-03
RX0000001008,MBR00000024,2021-09-15,2021-09-17,1346367803,1556799981,PLN8288,898454,PCN392,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,55,6,Retail,0,1,0,24.0,10.19,34.19,152.0,0.0,1.57,0.48,0.34,0,0,0,0,2021-11-14
RX0000001009,MBR00000024,2023-04-08,2023-04-11,1506304270,1263345082,PLN1881,195149,PCN406,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,0,Specialty,0,0,0,175.0,37.32,212.32,33.0,179.32,0.0,30.0,21.25,0,0,0,0,2023-04-15
RX0000001010,MBR00000024,2021-09-26,2021-09-28,1121436268,1628644670,PLN6123,519994,PCN696,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,5,Retail,0,0,0,9.0,11.36,20.36,3.0,16.09,1.27,0.36,0.255,0,0,0,0,2021-10-26
RX0000001011,MBR00000024,2021-04-01,2021-04-02,1282504826,1970276803,PLN9410,538901,PCN971,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,9,Retail,0,1,0,8.0,4.9,12.9,147.0,0.0,0.9,0.32,0.2267,0,0,0,0,2021-05-01
RX0000001012,MBR00000024,2023-10-07,2023-10-09,1359905972,1758911283,PLN6106,712371,PCN985,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,10,Mail Order,0,0,0,72.33,9.53,81.86,38.0,38.47,5.39,12.4,8.7833,1,0,0,0,2023-10-14
RX0000001013,MBR00000024,2023-03-23,2023-03-26,1510776510,1820571408,PLN5155,640569,PCN395,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,86,7,Retail,0,0,0,42.0,7.67,49.67,8.0,40.08,1.59,0.56,0.3967,0,0,0,0,2023-06-21
RX0000001014,MBR00000024,2021-09-26,2021-09-28,1511072310,1240653366,PLN6933,657124,PCN898,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,1,Retail,0,0,0,185.0,11.64,196.64,35.0,151.6,10.04,7.4,5.2417,0,0,0,0,2021-10-26
RX0000001015,MBR00000024,2022-03-19,2022-03-23,1549707387,1434658455,PLN4303,502136,PCN766,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,11,Specialty,0,0,0,3.5,20.27,23.77,7.0,16.77,0.0,0.6,0.425,0,0,0,0,2022-03-26
RX0000001016,MBR00000024,2021-01-29,2021-02-02,1981814189,1585688461,PLN1201,859404,PCN111,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,63,6,Retail,0,0,0,130.0,1.84,131.84,40.0,85.35,6.49,2.6,1.8417,0,0,0,0,2021-03-30
RX0000001017,MBR00000024,2021-10-08,2021-10-11,1418201632,1779635875,PLN6012,933867,PCN833,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,4,Specialty,0,0,0,310.0,33.98,343.98,32.0,311.98,0.0,12.4,8.7833,0,0,0,0,2021-11-07
RX0000001018,MBR00000024,2021-09-21,2021-09-25,1427581374,1278614857,PLN3828,847273,PCN915,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,95,6,Retail,0,0,0,1110.0,11.33,1121.33,38.0,1047.81,35.52,14.8,10.4833,0,0,0,0,2021-12-20
RX0000001019,MBR00000024,2021-01-06,2021-01-07,1800221549,1145570791,PLN9330,252559,PCN241,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,96,10,Retail,0,1,0,18600.0,5.87,18605.87,147.0,17363.08,1095.79,248.0,175.6667,0,0,0,0,2021-04-06
RX0000001020,MBR00000024,2021-06-26,2021-06-27,1770099713,1916493337,PLN1750,112047,PCN993,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,8,Retail,0,0,0,3.5,5.54,9.04,4.0,4.49,0.55,0.6,0.425,0,0,0,0,2021-07-03
RX0000001021,MBR00000024,2022-11-08,2022-11-10,1548055900,1960814348,PLN5188,972792,PCN738,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,0,Retail,0,0,0,370.0,3.65,373.65,33.0,322.39,18.26,14.8,10.4833,0,0,0,0,2022-12-08
RX0000001022,MBR00000024,2021-11-12,2021-11-15,1414054150,1536469933,PLN4857,298023,PCN883,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,10,Mail Order,0,0,0,185.0,2.67,187.67,34.0,147.0,6.67,7.4,5.2417,1,0,0,0,2021-12-12
RX0000001023,MBR00000024,2023-08-22,2023-08-24,1382368232,1974218449,PLN2478,223449,PCN865,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,6,Mail Order,0,0,0,11.0,4.45,15.45,9.0,5.43,1.02,0.44,0.3117,0,0,0,0,2023-09-21
RX0000001024,MBR00000024,2023-02-02,2023-02-06,1947804098,1762653558,PLN1415,657544,PCN273,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,82,4,Retail,0,0,0,855.0,9.85,864.85,30.0,794.35,40.5,11.4,8.075,0,0,0,0,2023-05-03
RX0000001025,MBR00000024,2023-04-18,2023-04-22,1613837116,1555395556,PLN6446,119384,PCN267,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,5,LTC,1,0,0,15.0,10.74,25.74,3.0,21.14,1.6,0.6,0.425,0,0,0,0,2023-05-18
RX0000001026,MBR00000024,2023-09-09,2023-09-10,1751268487,1393990879,PLN3518,342851,PCN618,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,7,Mail Order,0,0,0,18.0,6.27,24.27,9.0,14.53,0.74,0.72,0.51,0,0,0,0,2023-10-09
RX0000001027,MBR00000024,2021-10-04,2021-10-06,1151900962,1696075759,PLN8312,451446,PCN387,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,6,Retail,0,1,0,6200.0,6.62,6206.62,146.0,5692.83,367.79,248.0,175.6667,0,0,0,0,2021-11-03
RX0000001028,MBR00000024,2021-08-15,2021-08-18,1919893019,1360983875,PLN5238,727825,PCN750,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,0,Retail,0,0,1,7.5,4.51,12.01,7.0,4.51,0.5,0.3,0.2125,0,0,0,0,2021-09-14
RX0000001029,MBR00000024,2021-07-03,2021-07-05,1176013414,1891821463,PLN6498,247104,PCN139,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,10,Retail,0,0,0,9.0,9.22,18.22,5.0,12.53,0.69,0.36,0.255,0,0,0,0,2021-08-02
RX0000001030,MBR00000024,2023-09-25,2023-09-28,1732676011,1388057203,PLN1305,640163,PCN542,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,9,Retail,0,0,0,45.0,8.98,53.98,9.0,42.22,2.76,1.8,1.275,0,0,0,0,2023-10-25
RX0000001031,MBR00000024,2023-01-21,2023-01-25,1328471473,1179773783,PLN2084,237274,PCN691,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,89,2,Retail,0,0,0,990.0,3.14,993.14,34.0,904.89,54.25,13.2,9.35,0,0,0,0,2023-04-21
RX0000001032,MBR00000024,2022-04-10,2022-04-12,1163070609,1966886507,PLN1755,220529,PCN901,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,950.0,2.72,952.72,39.0,872.08,41.64,38.0,26.9167,0,0,0,0,2022-05-10
RX0000001033,MBR00000024,2022-02-19,2022-02-21,1871963947,1283232203,PLN7675,828544,PCN910,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,10,Specialty,0,1,0,18600.0,21.32,18621.32,154.0,18467.32,0.0,248.0,175.6667,0,0,0,0,2022-05-20
RX0000001034,MBR00000024,2021-08-04,2021-08-06,1587989340,1175612524,PLN4161,844489,PCN920,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,0,Mail Order,0,0,0,4.2,4.57,8.77,36.0,0.0,0.4,0.72,0.51,0,0,0,0,2021-08-11
RX0000001035,MBR00000024,2022-01-01,2022-01-04,1663953073,1561734634,PLN5846,630253,PCN699,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,3,Retail,0,1,0,12.0,2.09,14.09,153.0,0.0,0.76,0.48,0.34,0,0,0,0,2022-01-31
RX0000001036,MBR00000024,2022-06-28,2022-06-29,1277064158,1505492921,PLN2889,444728,PCN320,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,8,Retail,0,0,0,3.73,11.36,15.09,8.0,6.17,0.92,0.64,0.4533,0,0,0,0,2022-07-05
RX0000001037,MBR00000024,2022-09-24,2022-09-26,1764353481,1629678396,PLN3882,476709,PCN515,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,5,Retail,0,1,0,2800.0,9.9,2809.9,152.0,2555.88,102.02,112.0,79.3333,0,0,0,0,2022-10-24
RX0000001038,MBR00000024,2023-05-21,2023-05-23,1814280748,1203247413,PLN8719,575444,PCN344,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,62,10,Mail Order,0,0,0,130.0,3.23,133.23,33.0,91.65,8.58,2.6,1.8417,1,0,0,0,2023-07-20
RX0000001039,MBR00000024,2021-01-25,2021-01-29,1651395244,1244426297,PLN9088,409083,PCN153,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,10,Retail,0,0,0,650.0,11.83,661.83,38.0,589.82,34.01,26.0,18.4167,0,0,0,0,2021-02-24
RX0000001040,MBR00000024,2023-12-31,2024-01-03,1662357498,1527598498,PLN5491,810206,PCN446,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,83,8,Retail,0,0,0,54.0,5.24,59.24,2.0,54.52,2.72,0.72,0.51,0,0,0,0,2024-03-30
RX0000001041,MBR00000024,2023-07-22,2023-07-24,1400991409,1788050200,PLN2142,283906,PCN803,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,8,Specialty,3,0,0,14.0,12.17,26.17,6.0,20.17,0.0,0.56,0.3967,0,0,0,0,2023-08-21
RX0000001042,MBR00000024,2023-02-10,2023-02-12,1418613601,1888896758,PLN8261,326108,PCN290,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,1,Retail,0,1,0,8.0,8.73,16.73,153.0,0.0,1.07,0.32,0.2267,0,0,0,0,2023-03-12
RX0000001043,MBR00000024,2022-05-14,2022-05-16,1240339254,1655614458,PLN2168,712268,PCN748,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,4,Retail,0,0,0,18.0,2.38,20.38,6.0,13.18,1.2,0.72,0.51,0,0,0,0,2022-06-13
RX0000001044,MBR00000024,2023-02-19,2023-02-21,1572663828,1736399617,PLN2908,301961,PCN879,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,2,Retail,3,0,0,14.0,10.35,24.35,5.0,18.29,1.06,0.56,0.3967,0,0,0,0,2023-03-21
RX0000001045,MBR00000024,2023-10-14,2023-10-15,1651771319,1302103325,PLN3283,382381,PCN938,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,1,Specialty,0,0,0,65.0,26.42,91.42,31.0,60.42,0.0,2.6,1.8417,0,0,0,0,2023-11-13
RX0000001046,MBR00000024,2021-01-22,2021-01-24,1474505245,1309716821,PLN4119,630604,PCN401,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,11,Retail,0,0,1,320.0,3.31,323.31,39.0,263.24,21.07,12.8,9.0667,0,0,0,0,2021-02-21
RX0000001047,MBR00000024,2021-03-29,2021-03-30,1608177620,1762972308,PLN9351,115860,PCN849,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,1,Retail,0,0,0,9.0,2.66,11.66,3.0,8.24,0.42,0.36,0.255,1,0,0,0,2021-04-28
RX0000001048,MBR00000024,2023-08-17,2023-08-19,1310606111,1491638422,PLN7821,474567,PCN974,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,1,Retail,0,0,0,11.0,6.62,17.62,8.0,8.8,0.82,0.44,0.3117,1,0,0,0,2023-09-16
RX0000001049,MBR00000024,2023-08-10,2023-08-12,1997699306,1840869525,PLN5755,349881,PCN723,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,3,Mail Order,0,0,0,380.0,6.59,386.59,37.0,329.02,20.57,15.2,10.7667,0,0,0,0,2023-09-09
RX0000001050,MBR00000024,2022-11-04,2022-11-08,1557169969,1696714332,PLN8673,467801,PCN347,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,8,Specialty,0,0,0,18.0,47.28,65.28,10.0,55.28,0.0,0.72,0.51,0,0,0,0,2022-12-04
RX0000001051,MBR00000024,2022-09-07,2022-09-09,1920778477,1449992691,PLN7262,202258,PCN488,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,3,Retail,0,0,0,12.5,9.34,21.84,0.0,20.75,1.09,0.5,0.3542,0,0,0,0,2022-10-07
RX0000001052,MBR00000024,2023-05-25,2023-05-29,1764787379,1919034140,PLN4132,723587,PCN806,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,3,Retail,0,0,0,54.0,5.35,59.35,37.0,19.4,2.95,0.72,0.51,0,0,0,0,2023-08-23
RX0000001053,MBR00000024,2022-10-09,2022-10-13,1858139102,1585616642,PLN1446,543880,PCN647,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,6,Retail,0,0,0,3.5,7.23,10.73,10.0,0.15,0.58,0.6,0.425,0,0,0,0,2022-10-16
RX0000001054,MBR00000024,2021-07-03,2021-07-05,1111398759,1861359696,PLN7135,175239,PCN378,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,86,0,Mail Order,0,0,0,42.0,9.58,51.58,5.0,44.48,2.1,0.56,0.3967,0,0,0,0,2021-10-01
RX0000001055,MBR00000024,2022-07-14,2022-07-17,1750781348,1322146114,PLN8011,384339,PCN992,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,0,Mail Order,0,0,0,22.0,7.78,29.78,1.0,27.73,1.05,0.88,0.6233,0,0,0,0,2022-08-13
RX0000001056,MBR00000024,2021-06-16,2021-06-17,1782182819,1615814164,PLN7064,676176,PCN781,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,9,Mail Order,3,0,0,18.0,9.6,27.6,1.0,25.13,1.47,0.72,0.51,0,1,0,0,2021-07-16
RX0000001057,MBR00000024,2021-05-02,2021-05-03,1575790610,1251002147,PLN6664,544579,PCN534,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,5,Retail,3,1,0,1.87,10.69,12.56,155.0,0.0,0.59,0.32,0.2267,0,0,0,0,2021-05-09
RX0000001058,MBR00000024,2023-07-05,2023-07-07,1518910897,1687232251,PLN5783,841857,PCN328,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,61,4,Retail,3,0,0,28.0,6.55,34.55,7.0,26.1,1.45,0.56,0.3967,0,0,0,0,2023-09-03
RX0000001059,MBR00000024,2021-10-08,2021-10-11,1132791747,1202452015,PLN8399,353765,PCN819,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,2,Retail,0,0,0,45.0,5.86,50.86,3.0,46.2,1.66,1.8,1.275,0,1,0,0,2021-11-07
RX0000001060,MBR00000024,2022-10-15,2022-10-18,1406763769,1241666342,PLN7423,352143,PCN990,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,0,Specialty,0,0,0,380.0,21.81,401.81,30.0,371.81,0.0,15.2,10.7667,0,0,0,0,2022-11-14
RX0000001061,MBR00000024,2023-08-16,2023-08-17,1265782714,1796217354,PLN3051,268493,PCN151,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,59,10,Retail,0,0,0,960.0,6.78,966.78,39.0,863.59,64.19,19.2,13.6,0,0,0,0,2023-10-15
RX0000001062,MBR00000024,2021-01-21,2021-01-24,1466063594,1775547721,PLN8780,792754,PCN455,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,8,Retail,0,0,0,12.5,2.65,15.15,6.0,8.3,0.85,0.5,0.3542,0,0,0,0,2021-02-20
RX0000001063,MBR00000024,2022-06-14,2022-06-17,1646965579,1562853641,PLN1426,798849,PCN600,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,3,Retail,0,0,0,12.0,4.34,16.34,8.0,7.75,0.59,0.48,0.34,0,0,0,0,2022-07-14
RX0000001064,MBR00000024,2021-05-14,2021-05-16,1640710757,1427841210,PLN3974,176732,PCN694,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,6,Retail,0,0,0,18.0,11.22,29.22,38.0,0.0,1.68,0.72,0.51,0,0,0,0,2021-06-13
RX0000001065,MBR00000024,2021-10-21,2021-10-22,1628611393,1868613149,PLN9942,208302,PCN409,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,0,Retail,2,1,0,12.0,2.38,14.38,150.0,0.0,0.55,0.48,0.34,0,0,0,0,2021-11-20
RX0000001066,MBR00000024,2023-11-27,2023-11-30,1848027161,1709339440,PLN3935,478348,PCN165,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,2,Retail,0,0,0,16.0,11.32,27.32,6.0,19.77,1.55,0.64,0.4533,0,0,0,0,2023-12-27
RX0000001067,MBR00000024,2023-10-01,2023-10-03,1765340812,1232227708,PLN8788,817572,PCN421,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,8,Retail,0,0,0,65.0,9.58,74.58,33.0,36.58,5.0,2.6,1.8417,0,1,1,0,2023-10-31
RX0000001068,MBR00000024,2022-08-14,2022-08-16,1176273972,1289444005,PLN9416,158877,PCN505,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,1,Retail,3,0,0,10.0,2.76,12.76,5.0,7.14,0.62,0.4,0.2833,0,0,0,0,2022-09-13
RX0000001069,MBR00000024,2023-04-29,2023-04-30,1848951194,1292805910,PLN8990,798492,PCN300,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,9,Retail,0,0,0,22.0,4.57,26.57,7.0,18.57,1.0,0.88,0.6233,0,0,0,0,2023-05-29
RX0000001070,MBR00000024,2022-09-06,2022-09-07,1573256493,1528379550,PLN1729,302729,PCN740,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,94,7,Mail Order,0,0,0,30.0,3.33,33.33,6.0,25.34,1.99,0.4,0.2833,0,0,0,0,2022-12-05
RX0000001071,MBR00000025,2023-05-15,2023-05-16,1156551018,1159373840,PLN7364,450428,PCN635,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,1,Mail Order,0,0,0,18.0,10.16,28.16,37.0,0.0,1.66,0.72,0.51,1,0,0,0,2023-06-14
RX0000001072,MBR00000025,2022-03-20,2022-03-24,1439498097,1888008035,PLN2253,765526,PCN623,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,93,1,Specialty,0,0,0,33.0,43.2,76.2,6.0,70.2,0.0,0.44,0.3117,0,0,0,0,2022-06-18
RX0000001073,MBR00000025,2021-04-11,2021-04-14,1731616139,1391776172,PLN8367,790775,PCN913,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,11,Mail Order,0,1,0,8500.0,3.37,8503.37,151.0,7826.7,525.67,340.0,240.8333,0,0,0,0,2021-05-11
RX0000001074,MBR00000025,2021-03-07,2021-03-10,1235465908,1564333146,PLN6705,744261,PCN851,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,8,Retail,1,0,0,7.5,1.65,9.15,10.0,0.0,0.28,0.3,0.2125,0,0,0,0,2021-04-06
RX0000001075,MBR00000025,2021-03-06,2021-03-10,1905973160,1433329617,PLN4939,849259,PCN172,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,1,Mail Order,0,0,0,285.0,11.81,296.81,36.0,244.53,16.28,11.4,8.075,0,0,0,0,2021-04-05
RX0000001076,MBR00000025,2022-06-02,2022-06-05,1336432888,1818345380,PLN7590,504932,PCN230,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,9,Retail,0,1,0,6200.0,3.46,6203.46,148.0,5733.75,321.71,248.0,175.6667,0,0,0,0,2022-07-02
RX0000001077,MBR00000025,2021-06-13,2021-06-15,1778763366,1138075542,PLN9040,270191,PCN126,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,96,10,Retail,1,0,0,54.0,6.17,60.17,10.0,47.92,2.25,0.72,0.51,0,0,0,0,2021-09-11
RX0000001078,MBR00000025,2022-05-23,2022-05-26,1858661796,1494067057,PLN8442,390878,PCN737,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,4,Retail,0,0,0,330.0,11.5,341.5,31.0,299.57,10.93,13.2,9.35,0,0,0,0,2022-06-22
RX0000001079,MBR00000025,2022-01-06,2022-01-09,1484969579,1205788897,PLN7057,251724,PCN119,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,11,Retail,0,0,0,15.0,5.7,20.7,3.0,16.87,0.83,0.6,0.425,0,0,0,0,2022-02-05
RX0000001080,MBR00000025,2021-05-12,2021-05-16,1482833890,1915303055,PLN2048,916105,PCN221,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,9,Retail,0,0,0,9.0,6.64,15.64,6.0,8.9,0.74,0.36,0.255,0,0,0,0,2021-06-11
RX0000001081,MBR00000025,2021-08-04,2021-08-06,1657857918,1615282512,PLN2916,101351,PCN430,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,10,Mail Order,0,0,0,9.0,5.37,14.37,6.0,7.57,0.8,0.36,0.255,0,0,0,0,2021-09-03
RX0000001082,MBR00000025,2022-02-11,2022-02-12,1491902147,1458884143,PLN5263,568191,PCN996,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,9,Retail,0,1,0,2800.0,1.75,2801.75,153.0,2520.26,128.49,112.0,79.3333,0,0,0,0,2022-03-13
RX0000001083,MBR00000025,2022-12-28,2022-12-30,1248707384,1538438547,PLN2634,968678,PCN328,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,1,Retail,0,0,0,310.0,7.69,317.69,34.0,272.35,11.34,12.4,8.7833,1,0,0,0,2023-01-27
RX0000001084,MBR00000025,2023-11-30,2023-12-03,1981751689,1937824341,PLN4609,556165,PCN841,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,57,10,Specialty,0,0,0,20.0,30.1,50.1,1.0,49.1,0.0,0.4,0.2833,0,0,0,0,2024-01-29
RX0000001085,MBR00000025,2022-08-17,2022-08-18,1326402862,1891580448,PLN5327,256569,PCN235,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,89,1,Retail,0,0,0,36.0,4.55,40.55,10.0,28.89,1.66,0.48,0.34,0,0,0,0,2022-11-15
RX0000001086,MBR00000025,2023-06-27,2023-06-28,1270680176,1851294165,PLN9666,423104,PCN231,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,1,Retail,0,0,0,15.0,4.21,19.21,2.0,16.63,0.58,0.6,0.425,0,0,0,0,2023-07-27
RX0000001087,MBR00000025,2023-07-13,2023-07-17,1361119057,1123091634,PLN2715,521615,PCN991,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,96,1,Retail,0,0,0,30.0,5.83,35.83,6.0,27.78,2.05,0.4,0.2833,0,0,0,0,2023-10-11
RX0000001088,MBR00000025,2023-07-20,2023-07-22,1876649019,1600126375,PLN2877,806414,PCN159,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,86,10,Retail,0,0,0,1440.0,9.13,1449.13,39.0,1360.79,49.34,19.2,13.6,1,0,0,0,2023-10-18
RX0000001089,MBR00000025,2022-07-07,2022-07-11,1393371400,1515427775,PLN4349,694447,PCN378,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,8,Mail Order,0,0,0,14.0,9.37,23.37,4.0,17.8,1.57,0.56,0.3967,0,0,0,0,2022-08-06
RX0000001090,MBR00000025,2022-02-15,2022-02-18,1674717153,1578435569,PLN1307,895416,PCN228,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,56,4,Mail Order,0,0,0,740.0,7.84,747.84,36.0,674.29,37.55,14.8,10.4833,0,0,0,0,2022-04-16
RX0000001091,MBR00000025,2021-02-13,2021-02-17,1935212850,1459090222,PLN9334,865445,PCN388,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,1,Retail,0,0,0,10.0,5.35,15.35,9.0,5.85,0.5,0.4,0.2833,0,0,0,0,2021-03-15
RX0000001092,MBR00000025,2021-09-19,2021-09-20,1216845789,1236966819,PLN3005,169901,PCN619,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,6,Retail,2,0,0,10.0,3.65,13.65,3.0,9.75,0.9,0.4,0.2833,0,0,0,0,2021-10-19
RX0000001093,MBR00000025,2023-10-07,2023-10-11,1139664989,1675932395,PLN2257,520552,PCN887,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,10,Retail,0,1,0,1446.67,3.61,1450.27,148.0,1237.98,64.29,248.0,175.6667,1,0,0,0,2023-10-14
RX0000001094,MBR00000025,2023-06-02,2023-06-03,1870043701,1419243248,PLN9567,364608,PCN821,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,6,Retail,0,0,0,11.0,3.11,14.11,3.0,10.29,0.82,0.44,0.3117,0,0,0,0,2023-07-02
RX0000001095,MBR00000025,2021-09-25,2021-09-27,1134080550,1683317091,PLN6747,147084,PCN919,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,9,Retail,0,0,0,2.33,6.96,9.3,1.0,8.0,0.3,0.4,0.2833,0,0,0,0,2021-10-02
RX0000001096,MBR00000025,2021-01-29,2021-01-31,1921366395,1132607881,PLN7257,965489,PCN643,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,84,2,Retail,0,0,0,30.0,9.92,39.92,7.0,30.57,2.35,0.4,0.2833,1,0,0,0,2021-04-29
RX0000001097,MBR00000025,2022-09-12,2022-09-13,1940349002,1607665948,PLN4996,964440,PCN310,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,9,Retail,0,1,0,2800.0,7.07,2807.07,151.0,2534.58,121.49,112.0,79.3333,1,0,0,0,2022-10-12
RX0000001098,MBR00000025,2023-02-10,2023-02-11,1946313049,1148654351,PLN6888,560698,PCN757,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,3,Specialty,0,0,0,14.0,31.96,45.96,2.0,43.96,0.0,0.56,0.3967,0,0,0,0,2023-03-12
RX0000001099,MBR00000025,2021-05-10,2021-05-14,1993845119,1580817291,PLN4714,344059,PCN506,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,83,10,Specialty,0,0,0,37.5,28.66,66.16,5.0,61.16,0.0,0.5,0.3542,0,0,0,0,2021-08-08
RX0000001100,MBR00000025,2022-02-24,2022-02-26,1761621301,1958639500,PLN9446,153827,PCN936,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,6,Retail,0,0,0,10.0,5.61,15.61,6.0,8.73,0.88,0.4,0.2833,1,0,0,0,2022-03-26
RX0000001101,MBR00000025,2023-06-30,2023-07-01,1992351695,1532599656,PLN8597,732348,PCN741,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,62,1,Retail,0,0,0,740.0,9.06,749.06,34.0,663.25,51.81,14.8,10.4833,0,1,1,0,2023-08-29
RX0000001102,MBR00000025,2022-09-15,2022-09-19,1429113622,1374111013,PLN5126,232681,PCN274,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,11,Mail Order,1,0,0,480.0,11.23,491.23,36.0,423.49,31.74,19.2,13.6,0,0,0,0,2022-10-15
RX0000001103,MBR00000025,2021-07-05,2021-07-08,1332377466,1127650368,PLN5134,400446,PCN608,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,0,Mail Order,0,0,0,10.0,10.68,20.68,8.0,11.69,0.99,0.4,0.2833,0,0,0,0,2021-08-04
RX0000001104,MBR00000025,2022-09-25,2022-09-29,1432055929,1788774361,PLN7339,306028,PCN502,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,2,LTC,0,0,0,38.0,2.85,40.85,40.0,0.0,2.19,1.52,1.0767,0,0,0,0,2022-10-25
RX0000001105,MBR00000025,2021-02-08,2021-02-12,1827642674,1854589407,PLN5862,334318,PCN538,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,85,6,Mail Order,2,0,0,25.5,1.57,27.07,8.0,17.85,1.22,0.34,0.2408,0,0,0,0,2021-05-09
RX0000001106,MBR00000025,2022-05-29,2022-05-30,1551759398,1416068606,PLN5471,802035,PCN313,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,88,3,LTC,0,0,0,1140.0,7.08,1147.08,34.0,1048.44,64.64,15.2,10.7667,0,0,0,0,2022-08-27
RX0000001107,MBR00000025,2021-09-06,2021-09-07,1549733313,1114322551,PLN7578,924026,PCN916,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,93,9,Mail Order,0,0,0,66.0,4.97,70.97,3.0,64.69,3.28,0.88,0.6233,1,0,0,0,2021-12-05
RX0000001108,MBR00000025,2023-12-04,2023-12-07,1384760838,1469880842,PLN1197,613670,PCN427,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,1,Retail,0,0,0,36.0,10.33,46.33,1.0,43.33,2.0,0.48,0.34,0,0,0,0,2024-03-03
RX0000001109,MBR00000025,2022-06-20,2022-06-22,1550422513,1378112312,PLN4878,233257,PCN297,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,10,Retail,0,0,0,18.0,7.28,25.28,7.0,17.27,1.01,0.72,0.51,1,0,0,0,2022-07-20
RX0000001110,MBR00000025,2021-02-20,2021-02-24,1453495920,1356137819,PLN9972,845373,PCN833,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,11,Retail,0,0,0,18.0,4.06,22.06,8.0,13.21,0.85,0.72,0.51,1,0,0,0,2021-03-22
RX0000001111,MBR00000025,2021-08-06,2021-08-07,1843732630,1518541404,PLN8646,668674,PCN862,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,8,Retail,0,0,0,77.0,3.19,80.19,33.0,44.61,2.58,13.2,9.35,0,0,0,0,2021-08-13
RX0000001112,MBR00000025,2022-02-16,2022-02-19,1307078320,1868619091,PLN4879,182193,PCN711,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,9,Retail,0,0,0,10.5,10.7,21.2,6.0,13.94,1.26,1.8,1.275,0,0,0,0,2022-02-23
RX0000001113,MBR00000025,2021-04-02,2021-04-05,1541180183,1951072385,PLN6856,635030,PCN834,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,4,Retail,1,0,0,12.0,6.93,18.93,2.0,15.63,1.3,0.48,0.34,0,0,0,0,2021-05-02
RX0000001114,MBR00000025,2023-02-03,2023-02-05,1946410996,1472253483,PLN5750,571167,PCN305,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,2,Specialty,0,0,0,22.0,28.91,50.91,1.0,49.91,0.0,0.88,0.6233,0,0,0,0,2023-03-05
RX0000001115,MBR00000025,2021-10-15,2021-10-18,1203326174,1430470376,PLN2208,895798,PCN433,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,96,4,Retail,0,0,0,30.0,11.64,41.64,1.0,39.24,1.4,0.4,0.2833,0,0,0,0,2022-01-13
RX0000001116,MBR00000026,2023-02-27,2023-03-01,1117013423,1326221399,PLN5371,630306,PCN821,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,63,5,Mail Order,0,0,0,22.0,11.22,33.22,1.0,30.09,2.13,0.44,0.3117,0,0,0,0,2023-04-28
RX0000001117,MBR00000026,2022-05-21,2022-05-25,1791073641,1590562969,PLN9271,818848,PCN391,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,8,Retail,0,0,0,285.0,8.78,293.78,36.0,240.22,17.56,11.4,8.075,0,0,0,0,2022-06-20
RX0000001118,MBR00000026,2022-07-26,2022-07-29,1671611490,1165395701,PLN2156,287274,PCN251,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,11,Retail,0,0,0,45.0,7.32,52.32,0.0,48.7,3.62,1.8,1.275,0,0,0,0,2022-08-25
RX0000001119,MBR00000026,2023-07-11,2023-07-12,1600896837,1500363729,PLN3310,400519,PCN415,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,11,Retail,1,0,0,175.0,10.47,185.47,39.0,133.56,12.91,7.0,4.9583,0,0,0,0,2023-08-10
RX0000001120,MBR00000026,2022-08-19,2022-08-21,1792936337,1525979927,PLN5873,954986,PCN303,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,4,Specialty,0,1,0,8.0,14.75,22.75,155.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-09-18
RX0000001121,MBR00000026,2023-05-07,2023-05-11,1326314719,1351221260,PLN1563,866479,PCN202,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,85,10,Mail Order,0,0,0,135.0,4.53,139.53,1.0,134.27,4.26,1.8,1.275,0,1,0,0,2023-08-05
RX0000001122,MBR00000026,2022-01-11,2022-01-14,1532428314,1995390925,PLN1836,761785,PCN541,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,0,Retail,0,0,0,38.0,6.1,44.1,8.0,33.5,2.6,1.52,1.0767,0,0,0,0,2022-02-10
RX0000001123,MBR00000026,2021-04-03,2021-04-05,1165231665,1490221892,PLN9591,222764,PCN175,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,2,Retail,0,0,1,10.0,8.87,18.87,7.0,10.91,0.96,0.4,0.2833,0,0,0,0,2021-05-03
RX0000001124,MBR00000026,2023-03-28,2023-03-30,1136701352,1487991440,PLN9261,719210,PCN714,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,0,Retail,0,0,0,18.0,6.75,24.75,5.0,18.94,0.81,0.72,0.51,0,0,0,0,2023-04-27
RX0000001125,MBR00000026,2023-01-31,2023-02-02,1603542908,1860822790,PLN6607,864774,PCN599,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,86,7,Mail Order,0,0,0,30.0,6.76,36.76,10.0,25.41,1.35,0.4,0.2833,0,0,0,0,2023-05-01
RX0000001126,MBR00000026,2023-03-12,2023-03-16,1224224824,1958564149,PLN5460,467645,PCN237,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,7,Mail Order,0,0,0,9.0,2.46,11.46,9.0,2.09,0.37,0.36,0.255,0,0,0,0,2023-04-11
RX0000001127,MBR00000026,2021-11-06,2021-11-08,1771299939,1231755183,PLN1076,872703,PCN659,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,8,Mail Order,3,0,0,3.5,6.76,10.26,3.0,6.57,0.69,0.6,0.425,0,0,0,0,2021-11-13
RX0000001128,MBR00000026,2022-12-02,2022-12-03,1595414350,1206396082,PLN8698,583157,PCN986,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,95,8,Mail Order,0,0,0,1950.0,9.64,1959.64,37.0,1826.78,95.86,26.0,18.4167,0,1,1,0,2023-03-02
RX0000001129,MBR00000026,2021-01-02,2021-01-04,1349494821,1949989057,PLN5317,855139,PCN860,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,62,11,Retail,0,0,0,30.0,6.4,36.4,6.0,28.07,2.33,0.6,0.425,0,0,0,0,2021-03-03
RX0000001130,MBR00000026,2021-03-18,2021-03-19,1246749023,1788423695,PLN6387,154888,PCN531,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,0,Specialty,0,0,0,9.0,45.15,54.15,6.0,48.15,0.0,0.36,0.255,0,0,0,0,2021-04-17
RX0000001131,MBR00000027,2022-06-08,2022-06-11,1599004544,1645878349,PLN6408,931261,PCN143,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,0,Retail,0,0,0,2.57,8.74,11.31,7.0,3.78,0.53,0.44,0.3117,0,0,0,0,2022-06-15
RX0000001132,MBR00000027,2023-10-05,2023-10-09,1216994439,1729616929,PLN9771,863473,PCN950,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,3,Retail,0,0,0,10.0,5.45,15.45,4.0,10.39,1.06,0.4,0.2833,0,0,0,0,2023-11-04
RX0000001133,MBR00000027,2022-11-11,2022-11-14,1653198156,1389147997,PLN3679,989578,PCN897,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,10,Retail,0,0,0,4.2,11.71,15.91,5.0,10.0,0.91,0.72,0.51,0,0,0,0,2022-11-18
RX0000001134,MBR00000027,2021-04-24,2021-04-27,1425078231,1785195481,PLN2735,938831,PCN290,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,83,11,Retail,0,0,0,555.0,5.98,560.98,36.0,507.43,17.55,7.4,5.2417,0,0,0,0,2021-07-23
RX0000001135,MBR00000027,2021-12-20,2021-12-24,1415309783,1841854359,PLN2768,310092,PCN768,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,98,6,Retail,0,0,0,1110.0,3.31,1113.31,36.0,1023.26,54.05,14.8,10.4833,0,0,0,0,2022-03-20
RX0000001136,MBR00000027,2021-01-02,2021-01-04,1854464397,1160343476,PLN5498,672561,PCN304,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,8,Mail Order,0,0,0,12.0,10.92,22.92,8.0,13.78,1.14,0.48,0.34,0,0,0,0,2021-02-01
RX0000001137,MBR00000027,2023-09-29,2023-10-02,1257293308,1912139788,PLN7488,521091,PCN794,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,1,Retail,0,0,0,10.0,4.19,14.19,1.0,12.24,0.95,0.4,0.2833,0,0,0,0,2023-10-29
RX0000001138,MBR00000027,2021-04-17,2021-04-18,1295001369,1305636540,PLN8632,448582,PCN475,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,3,Retail,0,0,0,3.27,2.93,6.2,8.0,0.0,0.36,0.56,0.3967,0,0,0,0,2021-04-24
RX0000001139,MBR00000027,2023-09-20,2023-09-22,1172560788,1701662841,PLN5764,680533,PCN816,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,95,10,Retail,0,0,0,2250.0,4.9,2254.9,33.0,2109.52,112.38,30.0,21.25,1,0,0,0,2023-12-19
RX0000001140,MBR00000027,2021-07-16,2021-07-19,1515128127,1507521982,PLN1865,924221,PCN658,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,3,Retail,0,0,0,10.0,8.06,18.06,2.0,15.22,0.84,0.4,0.2833,0,0,0,0,2021-08-15
RX0000001141,MBR00000027,2022-12-28,2022-12-29,1826146638,1951415532,PLN8411,809256,PCN210,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,6,Retail,0,0,0,72.33,5.04,77.38,34.0,39.8,3.58,12.4,8.7833,0,0,0,0,2023-01-04
RX0000001142,MBR00000027,2023-08-27,2023-08-28,1902398955,1738999531,PLN8950,359145,PCN898,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,4,Retail,0,0,0,18.0,11.54,29.54,0.0,27.52,2.02,0.72,0.51,0,0,0,0,2023-09-26
RX0000001143,MBR00000027,2022-03-06,2022-03-09,1522025824,1611695743,PLN7640,698624,PCN246,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,3,Retail,0,0,0,14.0,3.25,17.25,10.0,6.25,1.0,0.56,0.3967,0,0,0,0,2022-04-05
RX0000001144,MBR00000027,2022-11-03,2022-11-06,1564801995,1345388091,PLN2630,150016,PCN210,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,60,6,Mail Order,0,0,0,20.0,9.46,29.46,1.0,26.54,1.92,0.4,0.2833,0,0,0,0,2023-01-02
RX0000001145,MBR00000027,2023-09-08,2023-09-09,1148181788,1978254232,PLN6656,689549,PCN969,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,9,Mail Order,0,0,0,380.0,8.2,388.2,32.0,339.17,17.03,15.2,10.7667,0,0,0,0,2023-10-08
RX0000001146,MBR00000027,2022-12-23,2022-12-26,1512571842,1581987619,PLN8866,386024,PCN260,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,11,Retail,0,0,0,11.0,11.67,22.67,2.0,19.29,1.38,0.44,0.3117,0,0,0,0,2023-01-22
RX0000001147,MBR00000027,2023-02-23,2023-02-27,1666467564,1971748129,PLN2866,931112,PCN250,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,11,Retail,0,0,0,11.0,7.36,18.36,0.0,17.12,1.24,0.44,0.3117,0,0,0,0,2023-03-25
RX0000001148,MBR00000027,2021-03-06,2021-03-10,1642967659,1630576883,PLN3038,796432,PCN318,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,10,Retail,0,1,0,24.0,1.58,25.58,151.0,0.0,1.42,0.32,0.2267,1,0,0,0,2021-06-04
RX0000001149,MBR00000027,2022-11-08,2022-11-09,1827908895,1452810886,PLN3781,386943,PCN725,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,0,Retail,0,0,0,65.0,9.58,74.58,33.0,39.21,2.37,2.6,1.8417,0,0,0,0,2022-12-08
RX0000001150,MBR00000027,2023-01-17,2023-01-21,1633302285,1779996132,PLN1375,746178,PCN869,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,94,7,Retail,0,0,0,22.5,2.5,25.0,1.0,23.03,0.97,0.3,0.2125,0,0,0,0,2023-04-17
RX0000001151,MBR00000027,2021-06-04,2021-06-07,1464265397,1400809584,PLN5705,573036,PCN801,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,6,Retail,1,0,0,15.0,8.46,23.46,5.0,17.0,1.46,0.6,0.425,0,0,0,0,2021-07-04
RX0000001152,MBR00000027,2023-11-27,2023-11-29,1605635575,1890429696,PLN5213,873543,PCN801,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,9,Retail,0,0,0,750.0,9.63,759.63,40.0,682.93,36.7,30.0,21.25,0,0,0,0,2023-12-27
RX0000001153,MBR00000027,2021-12-31,2022-01-02,1791009174,1954959820,PLN1206,589605,PCN988,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,0,Mail Order,3,1,0,6200.0,10.06,6210.06,154.0,5762.41,293.65,248.0,175.6667,0,0,0,0,2022-01-30
RX0000001154,MBR00000027,2023-12-02,2023-12-03,1936562812,1523485781,PLN3277,790214,PCN704,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,89,4,Retail,1,0,0,30.0,7.05,37.05,3.0,31.93,2.12,0.4,0.2833,0,0,0,0,2024-03-01
RX0000001155,MBR00000027,2023-09-23,2023-09-27,1278353320,1536322595,PLN8535,928397,PCN544,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,98,1,Retail,0,0,0,27.0,5.5,32.5,10.0,20.96,1.54,0.36,0.255,0,0,0,0,2023-12-22
RX0000001156,MBR00000027,2021-08-09,2021-08-12,1765424980,1673821322,PLN3533,656913,PCN698,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,5,Retail,3,0,0,320.0,5.96,325.96,36.0,275.69,14.27,12.8,9.0667,1,0,0,0,2021-09-08
RX0000001157,MBR00000027,2022-07-14,2022-07-17,1152807691,1770785611,PLN4433,701478,PCN469,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,58,6,Retail,0,0,0,25.0,7.9,32.9,2.0,28.68,2.22,0.5,0.3542,0,0,0,0,2022-09-12
RX0000001158,MBR00000027,2023-09-20,2023-09-23,1166489300,1586597627,PLN3293,528294,PCN465,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,96,4,Mail Order,0,0,0,30.0,1.61,31.61,2.0,28.29,1.32,0.4,0.2833,1,0,0,0,2023-12-19
RX0000001159,MBR00000027,2021-12-08,2021-12-10,1322500794,1189678611,PLN5579,616787,PCN652,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,1,Retail,3,0,0,750.0,10.84,760.84,30.0,691.12,39.72,30.0,21.25,0,0,0,0,2022-01-07
RX0000001160,MBR00000027,2023-08-15,2023-08-19,1189542887,1950755843,PLN7614,921231,PCN513,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,4,Retail,0,1,0,6200.0,1.87,6201.87,147.0,5684.37,370.5,248.0,175.6667,0,1,1,0,2023-09-14
RX0000001161,MBR00000027,2022-01-03,2022-01-04,1259116427,1117791641,PLN3589,760320,PCN546,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,5,Retail,0,0,0,10.0,10.96,20.96,3.0,17.06,0.9,0.4,0.2833,0,0,0,0,2022-02-02
RX0000001162,MBR00000027,2021-04-22,2021-04-24,1132846981,1708130865,PLN4328,854173,PCN712,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,60,6,Retail,0,0,0,30.0,8.89,38.89,3.0,33.69,2.2,0.6,0.425,0,0,0,0,2021-06-21
RX0000001163,MBR00000027,2021-12-05,2021-12-06,1777160082,1321660434,PLN1699,556772,PCN890,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,4,Retail,0,0,0,12.0,7.38,19.38,9.0,9.11,1.27,0.48,0.34,0,0,0,0,2022-01-04
RX0000001164,MBR00000027,2022-06-18,2022-06-21,1177918224,1631904878,PLN3486,804364,PCN226,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,0,Mail Order,0,0,0,650.0,9.16,659.16,32.0,597.41,29.75,26.0,18.4167,0,0,0,0,2022-07-18
RX0000001165,MBR00000027,2023-01-03,2023-01-06,1929243623,1717003114,PLN7373,235325,PCN350,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,4,Retail,0,0,0,27.0,3.79,30.79,0.0,29.38,1.41,0.36,0.255,0,0,0,0,2023-04-03
RX0000001166,MBR00000028,2022-08-30,2022-08-31,1711723788,1884090996,PLN2620,517787,PCN681,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,0,Mail Order,1,0,0,9.0,2.74,11.74,0.0,11.31,0.43,0.36,0.255,0,0,0,0,2022-09-29
RX0000001167,MBR00000028,2023-10-07,2023-10-08,1276320771,1811000706,PLN6635,949258,PCN706,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,64,1,Retail,0,0,0,24.0,6.37,30.37,7.0,22.05,1.32,0.48,0.34,0,0,0,0,2023-12-06
RX0000001168,MBR00000028,2022-03-05,2022-03-09,1469583744,1987172103,PLN2474,345653,PCN214,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,86,4,Retail,0,0,0,54.0,3.8,57.8,1.0,52.76,4.04,0.72,0.51,0,0,0,0,2022-06-03
RX0000001169,MBR00000028,2023-04-11,2023-04-12,1696553211,1309057141,PLN1294,453953,PCN362,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,3,Retail,0,0,0,2.8,10.19,12.99,5.0,7.23,0.76,0.48,0.34,0,0,0,0,2023-04-18
RX0000001170,MBR00000028,2021-09-18,2021-09-19,1372809583,1350510507,PLN4388,111830,PCN222,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,11,Retail,0,0,0,370.0,11.02,381.02,37.0,321.65,22.37,14.8,10.4833,0,0,0,0,2021-10-18
RX0000001171,MBR00000028,2023-09-27,2023-09-28,1862531502,1703703409,PLN1380,190488,PCN227,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,57,1,Specialty,0,0,0,20.0,44.25,64.25,7.0,57.25,0.0,0.4,0.2833,0,0,0,0,2023-11-26
RX0000001172,MBR00000028,2021-01-30,2021-01-31,1399661264,1916492447,PLN7914,522969,PCN107,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,5,Mail Order,0,0,0,11.0,5.93,16.93,2.0,14.16,0.77,0.44,0.3117,0,0,0,0,2021-03-01
RX0000001173,MBR00000028,2022-07-24,2022-07-27,1613009964,1415788639,PLN8512,678323,PCN904,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,6,Retail,0,0,0,10.0,8.16,18.16,6.0,11.53,0.63,0.4,0.2833,0,0,0,0,2022-08-23
RX0000001174,MBR00000028,2021-10-12,2021-10-15,1829470064,1994219244,PLN7599,813232,PCN476,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,95,8,Mail Order,0,0,0,30.0,9.61,39.61,2.0,36.08,1.53,0.4,0.2833,0,0,0,0,2022-01-10
RX0000001175,MBR00000028,2022-03-24,2022-03-28,1720412452,1756480923,PLN1243,579972,PCN652,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,0,Retail,2,0,0,4.2,10.37,14.57,10.0,3.61,0.96,0.72,0.51,0,0,0,0,2022-03-31
RX0000001176,MBR00000028,2021-11-03,2021-11-06,1360687867,1296307088,PLN7654,231710,PCN931,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,9,Retail,0,0,0,11.0,11.31,22.31,9.0,11.78,1.53,0.44,0.3117,0,0,0,0,2021-12-03
RX0000001177,MBR00000029,2022-06-09,2022-06-13,1400261584,1903184779,PLN4398,153755,PCN659,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,8,Specialty,0,1,0,8.0,26.21,34.21,151.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-07-09
RX0000001178,MBR00000029,2023-09-20,2023-09-21,1428355957,1189460710,PLN4817,544789,PCN327,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,3,Retail,0,1,0,2800.0,11.91,2811.91,155.0,2472.79,184.12,112.0,79.3333,0,0,0,0,2023-10-20
RX0000001179,MBR00000029,2023-02-23,2023-02-27,1645215240,1271874622,PLN9876,264687,PCN684,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,0,Retail,0,0,0,28.0,4.26,32.26,2.0,28.76,1.5,1.12,0.7933,0,0,0,0,2023-03-25
RX0000001180,MBR00000029,2022-10-29,2022-11-01,1514420563,1828226114,PLN5056,411896,PCN500,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,4,Retail,0,0,0,10.0,6.04,16.04,8.0,7.37,0.67,0.4,0.2833,0,0,0,0,2022-11-28
RX0000001181,MBR00000029,2021-11-08,2021-11-09,1125944251,1466577689,PLN6238,366225,PCN964,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,0,Specialty,0,0,0,15.0,47.72,62.72,4.0,58.72,0.0,0.6,0.425,0,0,0,0,2021-12-08
RX0000001182,MBR00000029,2022-09-13,2022-09-17,1304957145,1402041218,PLN6366,491881,PCN730,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,97,0,Retail,0,0,0,960.0,9.54,969.54,35.0,876.0,58.54,12.8,9.0667,0,0,0,0,2022-12-12
RX0000001183,MBR00000029,2021-02-06,2021-02-10,1272861482,1276290982,PLN2836,506980,PCN604,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,0,Retail,0,0,0,14.0,10.62,24.62,2.0,20.97,1.65,0.56,0.3967,0,0,0,0,2021-03-08
RX0000001184,MBR00000029,2022-07-11,2022-07-15,1346928254,1720035139,PLN2726,368433,PCN171,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,95,1,Retail,0,0,0,36.0,1.61,37.61,3.0,33.19,1.42,0.48,0.34,0,1,0,0,2022-10-09
RX0000001185,MBR00000029,2021-01-23,2021-01-25,1592816074,1657694918,PLN2010,812947,PCN842,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,9,Retail,0,0,0,380.0,9.08,389.08,35.0,330.08,24.0,15.2,10.7667,0,0,0,0,2021-02-22
RX0000001186,MBR00000029,2021-05-01,2021-05-02,1378638973,1703638301,PLN7325,514875,PCN604,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,8,Mail Order,0,0,0,175.0,6.23,181.23,34.0,141.16,6.07,7.0,4.9583,0,0,0,0,2021-05-31
RX0000001187,MBR00000029,2022-05-28,2022-05-29,1789169442,1824502608,PLN3220,283275,PCN792,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,59,10,LTC,1,0,0,15.0,4.99,19.99,3.0,15.6,1.39,0.3,0.2125,0,0,0,0,2022-07-27
RX0000001188,MBR00000029,2021-08-13,2021-08-14,1666215693,1839877636,PLN7835,548123,PCN942,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,98,5,Mail Order,0,0,0,33.0,7.16,40.16,7.0,31.41,1.75,0.44,0.3117,0,0,0,0,2021-11-11
RX0000001189,MBR00000029,2021-01-27,2021-01-31,1559582840,1451120645,PLN2324,815596,PCN496,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,81,1,Mail Order,0,0,0,25.5,5.06,30.56,6.0,23.13,1.43,0.34,0.2408,0,0,0,0,2021-04-27
RX0000001190,MBR00000029,2023-01-16,2023-01-20,1844377060,1510374092,PLN7789,190877,PCN730,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,89,1,Retail,0,0,0,33.0,11.13,44.13,7.0,35.02,2.11,0.44,0.3117,0,0,0,0,2023-04-16
RX0000001191,MBR00000029,2021-09-09,2021-09-10,1793481673,1555951829,PLN5680,739057,PCN729,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,7,Retail,0,0,0,10.0,5.3,15.3,2.0,12.47,0.83,0.4,0.2833,0,0,0,0,2021-10-09
RX0000001192,MBR00000029,2022-08-06,2022-08-07,1689272809,1858454146,PLN3403,706153,PCN486,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,8,Retail,0,0,0,18.0,11.44,29.44,36.0,0.0,1.81,0.72,0.51,0,0,0,0,2022-09-05
RX0000001193,MBR00000029,2022-09-28,2022-10-02,1814923353,1554398722,PLN9299,155161,PCN306,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,5,Retail,0,0,0,14.0,5.94,19.94,0.0,19.08,0.86,0.56,0.3967,0,0,0,0,2022-10-28
RX0000001194,MBR00000029,2022-02-22,2022-02-23,1382480067,1213186925,PLN6942,540376,PCN444,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,1,Retail,0,0,0,15.0,6.26,21.26,1.0,18.88,1.38,0.6,0.425,0,0,0,0,2022-03-24
RX0000001195,MBR00000029,2022-10-05,2022-10-09,1669759529,1510598066,PLN2192,655736,PCN226,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,87,8,Retail,0,0,0,54.0,6.34,60.34,4.0,52.31,4.03,0.72,0.51,0,0,0,0,2023-01-03
RX0000001196,MBR00000029,2021-03-03,2021-03-05,1341173163,1824326053,PLN3372,337015,PCN558,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,11,Specialty,0,0,0,15.0,20.93,35.93,8.0,27.93,0.0,0.6,0.425,0,0,0,0,2021-04-02
RX0000001197,MBR00000030,2022-05-19,2022-05-23,1842607167,1223811408,PLN5365,133106,PCN603,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,97,8,Retail,0,0,0,855.0,8.14,863.14,30.0,784.25,48.89,11.4,8.075,0,0,0,0,2022-08-17
RX0000001198,MBR00000030,2023-02-13,2023-02-14,1495921530,1354353813,PLN2625,515908,PCN121,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,82,10,Retail,0,0,0,27.0,8.03,35.03,5.0,28.46,1.57,0.36,0.255,0,0,0,0,2023-05-14
RX0000001199,MBR00000030,2023-06-13,2023-06-16,1130683335,1862867001,PLN6735,413131,PCN681,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,7,Mail Order,2,0,0,10.0,1.61,11.61,6.0,4.95,0.66,0.4,0.2833,0,0,0,0,2023-07-13
RX0000001200,MBR00000030,2021-08-26,2021-08-30,1765037544,1167368006,PLN8955,607146,PCN232,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,11,Retail,0,0,0,9.0,9.03,18.03,1.0,16.12,0.91,0.36,0.255,0,0,0,0,2021-09-25
RX0000001201,MBR00000030,2021-07-12,2021-07-15,1801249574,1511771179,PLN5430,734736,PCN672,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,84,1,Mail Order,0,0,0,135.0,4.76,139.76,0.0,134.12,5.64,1.8,1.275,1,0,0,0,2021-10-10
RX0000001202,MBR00000030,2022-06-30,2022-07-04,1763043499,1327325745,PLN9931,960404,PCN708,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,7,Retail,2,0,0,18.0,1.89,19.89,7.0,11.79,1.1,0.72,0.51,0,0,0,0,2022-07-30
RX0000001203,MBR00000030,2022-06-05,2022-06-06,1190794182,1577791466,PLN2914,768616,PCN468,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,54,9,Retail,2,0,0,36.0,4.3,40.3,30.0,7.69,2.61,0.72,0.51,0,0,0,0,2022-08-04
RX0000001204,MBR00000030,2022-08-16,2022-08-19,1756875123,1279650074,PLN3910,450653,PCN124,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,84,10,Specialty,3,0,0,42.0,35.7,77.7,1.0,76.7,0.0,0.56,0.3967,0,0,0,0,2022-11-14
RX0000001205,MBR00000030,2021-09-29,2021-10-02,1534041308,1182457055,PLN5450,650839,PCN229,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,6,Retail,0,0,0,10.0,2.35,12.35,0.0,11.68,0.67,0.4,0.2833,0,0,0,0,2021-10-29
RX0000001206,MBR00000030,2023-09-29,2023-10-01,1695131904,1716843903,PLN1166,923193,PCN146,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,62,2,Mail Order,0,0,0,24.0,4.71,28.71,3.0,24.8,0.91,0.48,0.34,1,0,0,0,2023-11-28
RX0000001207,MBR00000030,2021-01-05,2021-01-08,1122607751,1485695300,PLN6522,562644,PCN646,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,11,Retail,0,0,0,310.0,4.87,314.87,35.0,269.94,9.93,12.4,8.7833,0,0,0,0,2021-02-04
RX0000001208,MBR00000030,2022-10-21,2022-10-22,1843025986,1403300323,PLN9066,994664,PCN475,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,5,Retail,3,0,0,18.0,10.26,28.26,38.0,0.0,1.01,0.72,0.51,0,0,0,0,2022-11-20
RX0000001209,MBR00000030,2022-04-27,2022-05-01,1329256012,1258919405,PLN9986,887422,PCN376,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,7,Retail,0,0,0,151.67,11.83,163.49,37.0,118.6,7.89,26.0,18.4167,0,0,0,0,2022-05-04
RX0000001210,MBR00000030,2022-11-12,2022-11-16,1862168501,1709347459,PLN7839,982059,PCN820,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,1,Retail,0,0,0,9.0,8.19,17.19,10.0,6.11,1.08,0.36,0.255,0,0,0,0,2022-12-12
RX0000001211,MBR00000030,2021-02-09,2021-02-13,1577397054,1139695854,PLN9265,824212,PCN520,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,4,Specialty,0,0,0,1.75,43.09,44.84,1.0,43.84,0.0,0.3,0.2125,0,0,0,0,2021-02-16
RX0000001212,MBR00000030,2021-09-15,2021-09-18,1265852961,1527288522,PLN5624,131119,PCN332,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,0,Retail,0,0,0,480.0,3.9,483.9,40.0,425.42,18.48,19.2,13.6,0,0,0,0,2021-10-15
RX0000001213,MBR00000030,2022-10-17,2022-10-18,1841786259,1282371955,PLN5472,453163,PCN637,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,10,Mail Order,0,0,0,2.1,10.68,12.78,8.0,4.18,0.6,0.36,0.255,0,0,0,0,2022-10-24
RX0000001214,MBR00000030,2023-11-15,2023-11-17,1208082428,1570468243,PLN9500,103723,PCN911,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,7,Mail Order,0,0,0,15.0,9.23,24.23,10.0,12.91,1.32,0.6,0.425,1,0,0,0,2023-12-15
RX0000001215,MBR00000030,2023-08-20,2023-08-24,1423106625,1568552165,PLN9518,312801,PCN828,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,1,Retail,0,0,0,10.0,3.26,13.26,1.0,11.38,0.88,0.4,0.2833,0,0,0,0,2023-09-19
RX0000001216,MBR00000030,2022-08-03,2022-08-04,1935700983,1810008198,PLN5060,410198,PCN835,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,6,Retail,0,0,0,12.5,11.58,24.08,4.0,18.96,1.12,0.5,0.3542,0,0,0,0,2022-09-02
RX0000001217,MBR00000030,2022-04-25,2022-04-27,1274838256,1874890692,PLN8151,966778,PCN617,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,0,Retail,0,1,0,8.0,10.51,18.51,149.0,0.0,0.62,0.32,0.2267,0,0,0,0,2022-05-25
RX0000001218,MBR00000030,2021-11-26,2021-11-30,1957682369,1574651337,PLN3653,740964,PCN755,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,9,Retail,0,0,0,4.2,8.46,12.66,38.0,0.0,0.43,0.72,0.51,0,0,0,0,2021-12-03
RX0000001219,MBR00000030,2021-08-06,2021-08-08,1261345084,1280518203,PLN1069,798531,PCN659,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,7,Retail,0,0,0,30.0,3.25,33.25,2.0,30.21,1.04,0.4,0.2833,0,0,0,0,2021-11-04
RX0000001220,MBR00000030,2023-12-16,2023-12-18,1176199801,1507160439,PLN3369,533036,PCN695,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,11,Mail Order,0,0,0,310.0,5.73,315.73,33.0,269.59,13.14,12.4,8.7833,0,0,0,0,2024-01-15
RX0000001221,MBR00000030,2022-10-22,2022-10-25,1382614741,1854845599,PLN1182,537801,PCN209,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,9,Specialty,0,0,0,3.73,25.92,29.65,9.0,20.65,0.0,0.64,0.4533,1,0,0,0,2022-10-29
RX0000001222,MBR00000030,2021-11-20,2021-11-21,1436562799,1701564592,PLN3660,255758,PCN781,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,10,Mail Order,0,0,0,45.0,10.63,55.63,6.0,46.97,2.66,1.8,1.275,0,0,0,0,2021-12-20
RX0000001223,MBR00000030,2023-01-16,2023-01-20,1811181006,1333734955,PLN6435,540162,PCN672,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,11,LTC,0,0,0,38.0,3.2,41.2,34.0,5.0,2.2,1.52,1.0767,0,0,0,0,2023-02-15
RX0000001224,MBR00000030,2021-02-23,2021-02-26,1157178173,1177170609,PLN2550,651046,PCN600,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,2,Retail,0,0,0,9.0,1.7,10.7,10.0,0.02,0.68,0.36,0.255,0,0,0,0,2021-03-25
RX0000001225,MBR00000030,2022-10-28,2022-11-01,1219335285,1457352658,PLN1172,286250,PCN737,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,61,2,Retail,3,1,0,12400.0,11.45,12411.45,147.0,11571.67,692.78,248.0,175.6667,0,0,0,0,2022-12-27
RX0000001226,MBR00000030,2022-08-25,2022-08-27,1454833305,1143054908,PLN8755,642577,PCN223,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,85,7,Mail Order,0,0,0,66.0,4.61,70.61,67.0,0.32,3.29,0.88,0.6233,0,0,0,0,2022-11-23
RX0000001227,MBR00000030,2022-03-20,2022-03-24,1877365385,1133757280,PLN8948,420356,PCN930,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,91,11,Retail,0,0,0,30.0,3.47,33.47,5.0,26.72,1.75,0.4,0.2833,0,0,0,0,2022-06-18
RX0000001228,MBR00000030,2023-02-05,2023-02-09,1317038050,1455069559,PLN7211,465383,PCN136,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,83,3,Retail,0,0,0,1950.0,7.66,1957.66,31.0,1825.9,100.76,26.0,18.4167,0,0,0,0,2023-05-06
RX0000001229,MBR00000030,2022-02-17,2022-02-20,1796775451,1836331762,PLN7764,125097,PCN605,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,82,2,Retail,0,1,0,24.0,9.41,33.41,155.0,0.0,1.98,0.32,0.2267,0,0,0,0,2022-05-18
RX0000001230,MBR00000030,2023-09-13,2023-09-15,1639168401,1236093818,PLN6491,181657,PCN971,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,0,Retail,0,0,0,18.0,9.37,27.37,8.0,17.64,1.73,0.72,0.51,0,0,0,0,2023-10-13
RX0000001231,MBR00000030,2022-09-25,2022-09-26,1344225642,1971798406,PLN7156,501728,PCN175,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,5,Mail Order,0,0,0,11.0,3.93,14.93,5.0,9.47,0.46,0.44,0.3117,0,1,0,0,2022-10-25
RX0000001232,MBR00000030,2023-12-05,2023-12-07,1162723983,1608494189,PLN8860,746546,PCN633,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,5,Mail Order,2,0,0,12.0,6.91,18.91,8.0,9.98,0.93,0.48,0.34,0,0,0,0,2024-01-04
RX0000001233,MBR00000030,2021-09-20,2021-09-21,1384128394,1597874028,PLN8204,521219,PCN907,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,7,Specialty,0,0,0,18.0,41.15,59.15,0.0,59.15,0.0,0.72,0.51,0,0,0,0,2021-10-20
RX0000001234,MBR00000030,2023-06-29,2023-07-03,1565994174,1896281597,PLN6669,804418,PCN956,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,1,Retail,0,0,0,175.0,11.59,186.59,31.0,142.56,13.03,30.0,21.25,0,0,0,0,2023-07-06
RX0000001235,MBR00000030,2021-02-11,2021-02-14,1410521829,1714261684,PLN2727,887115,PCN233,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,9,Retail,0,0,0,10.0,7.71,17.71,1.0,15.81,0.9,0.4,0.2833,0,0,0,0,2021-03-13
RX0000001236,MBR00000030,2021-09-16,2021-09-18,1682679931,1475309897,PLN4386,933606,PCN438,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,10,Retail,0,0,0,9.0,11.03,20.03,9.0,10.21,0.82,0.36,0.255,0,0,0,0,2021-10-16
RX0000001237,MBR00000030,2021-04-07,2021-04-08,1269299092,1790301329,PLN5462,591154,PCN198,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,2,Specialty,0,0,0,42.0,22.26,64.26,3.0,61.26,0.0,0.56,0.3967,0,0,0,0,2021-07-06
RX0000001238,MBR00000030,2022-01-17,2022-01-21,1896723282,1462196525,PLN7432,723801,PCN141,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,9,Retail,0,0,0,12.0,2.86,14.86,9.0,5.22,0.64,0.48,0.34,1,0,0,0,2022-02-16
RX0000001239,MBR00000030,2022-05-04,2022-05-06,1616947425,1150745315,PLN7275,626849,PCN673,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,4,Retail,0,0,0,18.0,9.71,27.71,6.0,20.11,1.6,0.72,0.51,0,0,0,0,2022-06-03
RX0000001240,MBR00000030,2023-11-03,2023-11-04,1617407667,1778748716,PLN2340,931391,PCN944,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,8,Retail,0,0,0,9.0,10.44,19.44,3.0,15.39,1.05,0.36,0.255,0,0,0,0,2023-12-03
RX0000001241,MBR00000030,2022-05-05,2022-05-07,1154028898,1991011308,PLN9880,775264,PCN210,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,64,4,Mail Order,0,0,0,1900.0,7.84,1907.84,33.0,1811.23,63.61,38.0,26.9167,0,1,1,0,2022-07-04
RX0000001242,MBR00000031,2022-01-02,2022-01-06,1512647774,1682412953,PLN2374,662276,PCN537,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,82,8,Retail,0,0,0,54.0,6.49,60.49,5.0,52.18,3.31,0.72,0.51,0,0,0,0,2022-04-02
RX0000001243,MBR00000031,2023-02-20,2023-02-22,1775234963,1689098581,PLN7669,640863,PCN794,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,11,Retail,0,0,0,27.0,4.99,31.99,7.0,23.59,1.4,0.36,0.255,0,0,0,0,2023-05-21
RX0000001244,MBR00000031,2023-02-09,2023-02-13,1814575496,1820145556,PLN5110,290030,PCN238,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,5,Retail,0,0,0,22.0,5.33,27.33,73.0,0.0,1.63,0.88,0.6233,0,0,0,0,2023-03-11
RX0000001245,MBR00000031,2022-01-16,2022-01-19,1557979213,1754083920,PLN6455,978429,PCN876,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,1,Retail,0,0,0,18.0,7.7,25.7,8.0,16.37,1.33,0.72,0.51,0,0,0,0,2022-02-15
RX0000001246,MBR00000031,2022-04-19,2022-04-20,1202458599,1375624037,PLN9027,205489,PCN658,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,3,Retail,0,0,0,7.5,5.98,13.48,5.0,7.93,0.55,0.3,0.2125,0,0,0,0,2022-05-19
RX0000001247,MBR00000031,2023-11-10,2023-11-13,1204024752,1297057592,PLN8676,520776,PCN624,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,87,11,Retail,0,0,0,1110.0,7.12,1117.12,35.0,1035.45,46.67,14.8,10.4833,0,0,0,0,2024-02-08
RX0000001248,MBR00000031,2021-07-26,2021-07-28,1678830525,1488892920,PLN9748,454767,PCN919,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,2,Retail,0,0,0,18.0,4.58,22.58,5.0,16.16,1.42,0.72,0.51,0,0,0,0,2021-08-25
RX0000001249,MBR00000031,2022-05-20,2022-05-23,1458151062,1847239860,PLN3647,394198,PCN998,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,91,5,Retail,0,0,0,42.0,2.73,44.73,10.0,32.79,1.94,0.56,0.3967,0,0,0,0,2022-08-18
RX0000001250,MBR00000031,2021-11-07,2021-11-10,1475045987,1745656163,PLN6265,576207,PCN729,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,91,7,Retail,0,0,0,30.0,4.53,34.53,9.0,23.16,2.37,0.4,0.2833,0,0,0,0,2022-02-05
RX0000001251,MBR00000031,2021-05-19,2021-05-22,1175530739,1826798442,PLN9602,626597,PCN887,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,95,4,Retail,0,0,0,54.0,8.01,62.01,40.0,18.43,3.58,0.72,0.51,1,0,0,0,2021-08-17
RX0000001252,MBR00000031,2023-06-25,2023-06-28,1129498858,1266240318,PLN9025,685075,PCN920,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,86,11,Specialty,0,0,0,22.5,15.8,38.3,4.0,34.3,0.0,0.3,0.2125,0,0,0,0,2023-09-23
RX0000001253,MBR00000031,2021-10-17,2021-10-19,1358157634,1961671524,PLN8384,130835,PCN847,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,2,Retail,0,0,0,285.0,4.08,289.08,35.0,240.22,13.86,11.4,8.075,0,0,0,0,2021-11-16
RX0000001254,MBR00000031,2023-05-24,2023-05-25,1234808935,1897996747,PLN1176,964683,PCN108,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,1,Retail,0,1,0,6200.0,5.42,6205.42,151.0,5758.72,295.7,248.0,175.6667,0,0,0,0,2023-06-23
RX0000001255,MBR00000031,2023-04-27,2023-04-28,1264988355,1700531913,PLN9723,508893,PCN375,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,11,Retail,0,1,0,2800.0,5.38,2805.38,151.0,2519.91,134.47,112.0,79.3333,0,0,0,0,2023-05-27
RX0000001256,MBR00000031,2023-11-12,2023-11-15,1623785162,1408360650,PLN1990,551796,PCN582,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,11,Mail Order,0,0,0,10.0,8.02,18.02,9.0,8.36,0.66,0.4,0.2833,0,0,0,0,2023-12-12
RX0000001257,MBR00000031,2023-07-20,2023-07-22,1827836239,1129457784,PLN8131,965327,PCN787,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,2,Retail,0,0,0,10.0,7.44,17.44,5.0,11.9,0.54,0.4,0.2833,0,0,0,0,2023-08-19
RX0000001258,MBR00000031,2023-12-28,2023-12-31,1877965923,1968423709,PLN6145,688937,PCN492,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,96,6,Retail,0,0,0,84.0,5.41,89.41,6.0,78.19,5.22,1.12,0.7933,0,0,0,0,2024-03-27
RX0000001259,MBR00000031,2021-07-20,2021-07-21,1214146477,1240353171,PLN7402,430979,PCN487,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,91,9,Retail,0,0,0,2250.0,2.33,2252.33,36.0,2078.22,138.11,30.0,21.25,0,0,0,0,2021-10-18
RX0000001260,MBR00000031,2022-08-12,2022-08-16,1327906447,1409931316,PLN6504,192505,PCN880,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,6,Mail Order,0,0,0,16.0,4.16,20.16,8.0,11.23,0.93,0.64,0.4533,0,0,0,0,2022-09-11
RX0000001261,MBR00000031,2021-05-19,2021-05-23,1504325416,1705228079,PLN7157,504939,PCN781,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,3,Retail,0,0,0,43.17,1.81,44.98,33.0,8.85,3.13,7.4,5.2417,0,0,0,0,2021-05-26
RX0000001262,MBR00000031,2021-08-02,2021-08-05,1940327507,1257996303,PLN5911,579756,PCN244,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,57,0,Retail,0,0,0,44.0,8.59,52.59,1.0,49.03,2.56,0.88,0.6233,0,0,0,0,2021-10-01
RX0000001263,MBR00000031,2022-11-20,2022-11-24,1330555705,1186443605,PLN5366,898673,PCN955,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,1,Mail Order,0,1,0,6200.0,2.74,6202.74,150.0,5834.4,218.34,248.0,175.6667,0,0,0,0,2022-12-20
RX0000001264,MBR00000031,2021-05-09,2021-05-10,1657724664,1978698639,PLN4673,255448,PCN809,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,58,8,Retail,0,0,0,1900.0,8.32,1908.32,30.0,1790.88,87.44,38.0,26.9167,0,0,0,0,2021-07-08
RX0000001265,MBR00000031,2023-01-28,2023-01-31,1505383486,1975069242,PLN1650,345315,PCN902,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,1,Retail,0,0,0,12.0,4.41,16.41,0.0,15.65,0.76,0.48,0.34,0,0,0,0,2023-02-27
RX0000001266,MBR00000031,2021-01-28,2021-01-31,1331642917,1189802284,PLN2422,326368,PCN748,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,4,Retail,0,0,0,2.8,2.2,5.0,9.0,0.0,0.25,0.48,0.34,0,0,0,0,2021-02-04
RX0000001267,MBR00000031,2022-12-27,2022-12-31,1406730912,1210294229,PLN5977,561647,PCN665,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,4,Retail,0,0,0,38.0,8.66,46.66,31.0,13.25,2.41,1.52,1.0767,1,0,0,0,2023-01-26
RX0000001268,MBR00000031,2022-11-30,2022-12-03,1664626614,1420959078,PLN5951,366656,PCN367,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,0,Mail Order,0,0,0,2.8,9.08,11.88,6.0,5.25,0.63,0.48,0.34,0,0,0,0,2022-12-07
RX0000001269,MBR00000031,2023-04-26,2023-04-29,1428125719,1225134613,PLN1729,921176,PCN364,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,87,8,Retail,0,0,0,66.0,10.3,76.3,72.0,1.76,2.54,0.88,0.6233,0,0,0,0,2023-07-25
RX0000001270,MBR00000031,2023-05-12,2023-05-15,1966418478,1852902205,PLN7272,727334,PCN315,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,8,Retail,0,0,0,16.0,7.38,23.38,1.0,21.62,0.76,0.64,0.4533,0,0,0,0,2023-06-11
RX0000001271,MBR00000031,2023-05-30,2023-06-02,1560632794,1396753815,PLN5591,781091,PCN187,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,6,Retail,0,0,0,45.0,11.82,56.82,2.0,52.73,2.09,1.8,1.275,0,0,0,0,2023-06-29
RX0000001272,MBR00000031,2022-01-16,2022-01-17,1597480802,1806667048,PLN6819,646900,PCN204,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,1,Retail,3,0,0,310.0,3.08,313.08,36.0,258.04,19.04,12.4,8.7833,0,0,0,0,2022-02-15
RX0000001273,MBR00000031,2023-06-28,2023-06-29,1158752425,1420715765,PLN9235,699577,PCN415,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,11,Mail Order,0,0,0,28.0,11.88,39.88,3.0,34.89,1.99,1.12,0.7933,0,0,0,0,2023-07-28
RX0000001274,MBR00000031,2021-04-01,2021-04-02,1475061298,1875632457,PLN9423,629774,PCN291,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,5,Retail,0,0,0,950.0,9.19,959.19,31.0,883.82,44.37,38.0,26.9167,0,0,0,0,2021-05-01
RX0000001275,MBR00000031,2021-01-19,2021-01-23,1883183978,1402105023,PLN2400,267136,PCN471,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,4,Mail Order,0,0,0,330.0,3.76,333.76,31.0,282.1,20.66,13.2,9.35,0,0,0,0,2021-02-18
RX0000001276,MBR00000031,2022-02-01,2022-02-04,1510733898,1369596742,PLN7443,139351,PCN741,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,86,1,Mail Order,0,0,0,66.0,2.03,68.03,3.0,62.48,2.55,0.88,0.6233,0,0,0,0,2022-05-02
RX0000001277,MBR00000031,2021-06-12,2021-06-14,1315941162,1479192151,PLN3095,655517,PCN796,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,57,0,Specialty,0,0,0,76.0,28.64,104.64,4.0,100.64,0.0,1.52,1.0767,0,0,0,0,2021-08-11
RX0000001278,MBR00000031,2023-05-15,2023-05-17,1396204582,1155026826,PLN1877,679771,PCN648,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,8,Retail,1,0,0,22.0,6.38,28.38,2.0,24.97,1.41,0.88,0.6233,0,0,0,0,2023-06-14
RX0000001279,MBR00000031,2022-05-19,2022-05-20,1606234538,1352220662,PLN4441,381802,PCN513,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,3,Retail,0,0,0,7.5,2.6,10.1,2.0,7.52,0.58,0.3,0.2125,1,0,0,0,2022-06-18
RX0000001280,MBR00000031,2022-11-26,2022-11-30,1962061763,1642890604,PLN6344,206454,PCN456,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,87,7,Retail,0,0,0,27.0,5.76,32.76,7.0,24.03,1.73,0.36,0.255,0,0,0,0,2023-02-24
RX0000001281,MBR00000031,2021-03-27,2021-03-30,1389239282,1273988857,PLN1317,366839,PCN454,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,11,Mail Order,0,0,0,11.0,8.05,19.05,8.0,10.17,0.88,0.44,0.3117,0,0,0,0,2021-04-26
RX0000001282,MBR00000031,2023-06-24,2023-06-25,1215420590,1426903030,PLN1494,396042,PCN931,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,7,Retail,0,0,0,310.0,2.29,312.29,37.0,261.27,14.02,12.4,8.7833,0,0,0,0,2023-07-24
RX0000001283,MBR00000032,2023-07-29,2023-07-31,1851996414,1272879820,PLN7513,656027,PCN552,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,11,Mail Order,0,0,0,10.0,7.23,17.23,4.0,12.68,0.55,0.4,0.2833,0,0,0,0,2023-08-28
RX0000001284,MBR00000032,2021-02-19,2021-02-20,1146833589,1925655932,PLN1731,145046,PCN773,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,93,6,Mail Order,0,1,0,24.0,8.73,32.73,154.0,0.0,1.76,0.32,0.2267,0,0,0,0,2021-05-20
RX0000001285,MBR00000032,2022-05-31,2022-06-04,1289127628,1634789141,PLN9304,207297,PCN513,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,86,3,Retail,0,0,0,36.0,9.92,45.92,3.0,40.74,2.18,0.48,0.34,0,0,0,0,2022-08-29
RX0000001286,MBR00000032,2023-09-03,2023-09-07,1733604863,1533875266,PLN6781,734297,PCN962,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,3,Mail Order,0,1,0,8500.0,2.45,8502.45,155.0,7838.7,508.75,340.0,240.8333,0,0,0,0,2023-10-03
RX0000001287,MBR00000032,2021-01-24,2021-01-26,1950768058,1128373508,PLN5805,177425,PCN872,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,97,5,Specialty,0,0,0,990.0,22.53,1012.53,36.0,976.53,0.0,13.2,9.35,0,0,0,0,2021-04-24
RX0000001288,MBR00000032,2021-08-26,2021-08-29,1937391741,1840680501,PLN4269,948622,PCN492,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,98,0,Retail,0,0,0,555.0,10.33,565.33,30.0,517.79,17.54,7.4,5.2417,0,0,0,0,2021-11-24
RX0000001289,MBR00000032,2021-02-26,2021-02-28,1433712094,1132540424,PLN1827,871604,PCN446,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,8,Retail,0,1,0,8.0,4.77,12.77,151.0,0.0,0.39,0.32,0.2267,0,0,0,0,2021-03-28
RX0000001290,MBR00000032,2022-11-23,2022-11-26,1195025283,1908597697,PLN7601,546176,PCN379,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,0,Mail Order,2,0,0,38.0,3.16,41.16,36.0,2.29,2.87,1.52,1.0767,0,0,0,0,2022-12-23
RX0000001291,MBR00000032,2021-07-15,2021-07-16,1357305702,1800145752,PLN4721,916381,PCN278,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,11,Specialty,0,0,0,12.0,34.13,46.13,1.0,45.13,0.0,0.48,0.34,0,1,0,0,2021-08-14
RX0000001292,MBR00000032,2021-09-19,2021-09-20,1639560159,1553647438,PLN1389,923282,PCN184,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,6,Retail,0,0,0,7.5,10.01,17.51,7.0,9.9,0.61,0.3,0.2125,0,0,0,0,2021-10-19
RX0000001293,MBR00000032,2023-09-08,2023-09-12,1831689030,1686362494,PLN9116,110195,PCN339,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,5,Retail,3,0,0,9.0,6.44,15.44,1.0,13.38,1.06,0.36,0.255,0,0,0,0,2023-10-08
RX0000001294,MBR00000032,2023-04-26,2023-04-28,1510844324,1545107249,PLN3017,128644,PCN622,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,83,7,Retail,0,0,0,2850.0,7.51,2857.51,31.0,2709.78,116.73,38.0,26.9167,0,0,0,0,2023-07-25
RX0000001295,MBR00000032,2021-08-03,2021-08-05,1383875386,1622943758,PLN7897,548686,PCN751,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,1,Retail,0,0,0,14.0,11.97,25.97,10.0,14.76,1.21,0.56,0.3967,1,0,0,0,2021-09-02
RX0000001296,MBR00000032,2023-08-05,2023-08-07,1812625006,1713342717,PLN9471,945269,PCN218,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,0,Specialty,0,0,0,1110.0,20.75,1130.75,30.0,1100.75,0.0,14.8,10.4833,0,0,0,0,2023-11-03
RX0000001297,MBR00000032,2021-01-17,2021-01-20,1375156777,1143282597,PLN6062,811027,PCN752,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,94,10,Retail,0,0,0,30.0,4.06,34.06,5.0,26.69,2.37,0.4,0.2833,0,0,0,0,2021-04-17
RX0000001298,MBR00000032,2022-11-10,2022-11-14,1688630177,1923495529,PLN9781,758546,PCN502,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,97,3,Retail,1,0,0,30.0,1.98,31.98,10.0,20.34,1.64,0.4,0.2833,0,0,0,0,2023-02-08
RX0000001299,MBR00000032,2023-12-05,2023-12-09,1233186843,1193097190,PLN1978,715800,PCN230,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,87,6,Retail,1,0,0,54.0,2.79,56.79,5.0,47.9,3.89,0.72,0.51,0,0,0,0,2024-03-04
RX0000001300,MBR00000032,2021-05-03,2021-05-05,1317488413,1122768289,PLN7211,728536,PCN374,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,11,Retail,0,0,0,4.2,8.13,12.33,4.0,7.78,0.55,0.72,0.51,0,0,0,0,2021-05-10
RX0000001301,MBR00000032,2022-12-21,2022-12-22,1207240497,1944731923,PLN8786,929792,PCN833,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,8,Mail Order,0,0,0,285.0,9.29,294.29,32.0,243.7,18.59,11.4,8.075,0,0,0,0,2023-01-20
RX0000001302,MBR00000032,2023-01-09,2023-01-13,1381873414,1184952611,PLN4698,848171,PCN823,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,1,Retail,0,0,0,38.0,3.55,41.55,35.0,4.37,2.18,1.52,1.0767,0,0,0,0,2023-02-08
RX0000001303,MBR00000032,2021-02-24,2021-02-26,1185359275,1405360884,PLN2923,612249,PCN384,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,11,Mail Order,2,0,0,650.0,2.45,652.45,30.0,585.98,36.47,26.0,18.4167,0,0,0,0,2021-03-26
RX0000001304,MBR00000032,2022-02-11,2022-02-15,1441055300,1562234587,PLN9135,390549,PCN366,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,7,Mail Order,0,0,0,28.0,4.36,32.36,4.0,27.32,1.04,1.12,0.7933,0,0,0,0,2022-03-13
RX0000001305,MBR00000032,2022-06-04,2022-06-06,1986849299,1598065460,PLN1868,914554,PCN655,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,9,Mail Order,0,0,0,185.0,7.83,192.83,36.0,145.69,11.14,7.4,5.2417,0,0,0,0,2022-07-04
RX0000001306,MBR00000032,2021-05-14,2021-05-15,1175167045,1392668384,PLN6288,785028,PCN631,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,88,7,Retail,0,0,0,33.0,8.09,41.09,0.0,39.25,1.84,0.44,0.3117,0,0,0,0,2021-08-12
RX0000001307,MBR00000032,2021-09-23,2021-09-26,1463406411,1427955148,PLN4116,248570,PCN543,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,4,Mail Order,2,0,0,14.0,6.77,20.77,0.0,19.52,1.25,0.56,0.3967,0,0,0,0,2021-10-23
RX0000001308,MBR00000032,2023-09-18,2023-09-22,1655468884,1577293538,PLN7778,958069,PCN281,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,9,Retail,0,0,0,14.0,4.03,18.03,10.0,6.88,1.15,0.56,0.3967,0,0,0,0,2023-10-18
RX0000001309,MBR00000032,2023-01-14,2023-01-17,1587508991,1325287243,PLN4703,553287,PCN800,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,10,Retail,0,0,0,18.0,1.89,19.89,0.0,18.72,1.17,0.72,0.51,0,0,0,0,2023-02-13
RX0000001310,MBR00000032,2021-07-22,2021-07-26,1556812425,1361433816,PLN1495,962256,PCN663,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,8,Retail,0,0,0,28.0,7.12,35.12,1.0,32.03,2.09,1.12,0.7933,0,0,0,0,2021-08-21
RX0000001311,MBR00000032,2023-04-18,2023-04-20,1364023590,1224626413,PLN4859,357540,PCN534,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,6,Retail,0,0,0,10.0,3.4,13.4,3.0,9.88,0.52,0.4,0.2833,0,0,0,0,2023-05-18
RX0000001312,MBR00000032,2023-12-15,2023-12-19,1323091057,1897810468,PLN6276,853281,PCN992,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,1,Retail,0,0,0,18.0,6.42,24.42,7.0,16.33,1.09,0.72,0.51,0,0,0,0,2024-01-14
RX0000001313,MBR00000032,2022-02-06,2022-02-09,1338512138,1519139341,PLN1068,407718,PCN666,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,3,Retail,0,0,0,12.0,3.98,15.98,2.0,13.44,0.54,0.48,0.34,0,0,0,0,2022-03-08
RX0000001314,MBR00000032,2022-03-01,2022-03-03,1601091671,1280779550,PLN3012,731043,PCN984,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,1,Retail,0,1,0,8500.0,5.83,8505.83,153.0,7825.15,527.68,340.0,240.8333,0,0,0,0,2022-03-31
RX0000001315,MBR00000032,2021-12-12,2021-12-14,1731102732,1608971939,PLN2317,981758,PCN243,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,3,Specialty,0,0,0,18.0,43.23,61.23,0.0,61.23,0.0,0.72,0.51,0,0,0,0,2022-01-11
RX0000001316,MBR00000032,2023-02-06,2023-02-10,1685998884,1246729091,PLN4791,691358,PCN779,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,1,Retail,1,0,0,2.92,8.45,11.36,10.0,0.95,0.41,0.5,0.3542,1,0,0,0,2023-02-13
RX0000001317,MBR00000032,2023-06-29,2023-06-30,1377913505,1616865874,PLN6134,151465,PCN771,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,9,Mail Order,0,0,0,9.0,8.3,17.3,8.0,8.75,0.55,0.36,0.255,0,0,0,0,2023-07-29
RX0000001318,MBR00000032,2022-12-13,2022-12-17,1975499055,1380713587,PLN2897,349508,PCN515,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,97,2,Retail,0,0,0,30.0,5.0,35.0,2.0,31.33,1.67,0.4,0.2833,0,0,0,0,2023-03-13
RX0000001319,MBR00000032,2022-08-10,2022-08-12,1328266769,1458082774,PLN7156,318929,PCN858,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,96,0,Specialty,0,0,0,37.5,34.55,72.05,2.0,70.05,0.0,0.5,0.3542,0,0,0,0,2022-11-08
RX0000001320,MBR00000032,2021-07-22,2021-07-26,1156597304,1735644761,PLN9938,398474,PCN896,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,83,11,Mail Order,0,0,0,1140.0,6.09,1146.09,30.0,1057.31,58.78,15.2,10.7667,0,0,0,0,2021-10-20
RX0000001321,MBR00000032,2021-08-31,2021-09-01,1687744523,1673075845,PLN4263,323513,PCN482,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,98,10,Retail,0,0,0,2250.0,5.78,2255.78,38.0,2139.18,78.6,30.0,21.25,0,0,0,0,2021-11-29
RX0000001322,MBR00000032,2022-02-12,2022-02-14,1385764830,1764860857,PLN4477,268917,PCN755,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,3,Mail Order,0,0,0,18.0,5.33,23.33,8.0,14.0,1.33,0.72,0.51,0,0,0,0,2022-03-14
RX0000001323,MBR00000032,2023-09-26,2023-09-28,1667239707,1279689219,PLN3564,326137,PCN182,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,0,Specialty,1,0,0,151.67,12.9,164.57,38.0,126.57,0.0,26.0,18.4167,0,0,0,0,2023-10-03
RX0000001324,MBR00000032,2023-02-12,2023-02-15,1389198955,1341859501,PLN8408,392390,PCN126,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,6,Retail,0,0,0,380.0,2.77,382.77,34.0,336.98,11.79,15.2,10.7667,1,0,0,0,2023-03-14
RX0000001325,MBR00000032,2022-11-12,2022-11-15,1691237636,1376414927,PLN8078,483273,PCN375,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,83,5,Retail,0,0,0,54.0,1.77,55.77,1.0,51.85,2.92,0.72,0.51,0,0,0,0,2023-02-10
RX0000001326,MBR00000032,2022-08-04,2022-08-06,1637674397,1483499896,PLN5363,571134,PCN808,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,10,Retail,0,0,0,11.0,5.82,16.82,3.0,12.91,0.91,0.44,0.3117,0,0,0,0,2022-09-03
RX0000001327,MBR00000032,2023-12-30,2023-12-31,1798047738,1924498055,PLN5835,456462,PCN248,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,1,Retail,0,0,0,11.0,5.5,16.5,1.0,14.79,0.71,0.44,0.3117,0,0,0,0,2024-01-29
RX0000001328,MBR00000032,2023-06-12,2023-06-13,1399936300,1948113065,PLN6153,200440,PCN541,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,60,7,Retail,0,0,0,1300.0,9.47,1309.47,31.0,1219.13,59.34,26.0,18.4167,0,0,0,0,2023-08-11
RX0000001329,MBR00000032,2023-09-20,2023-09-23,1348212754,1212142183,PLN7430,482890,PCN530,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,8,Retail,0,0,0,14.0,5.31,19.31,7.0,11.44,0.87,0.56,0.3967,0,0,0,0,2023-10-20
RX0000001330,MBR00000032,2022-05-02,2022-05-06,1672750150,1414873962,PLN4132,309125,PCN775,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,89,0,Mail Order,0,0,0,48.0,2.33,50.33,0.0,48.79,1.54,0.64,0.4533,0,0,0,0,2022-07-31
RX0000001331,MBR00000032,2022-11-17,2022-11-21,1958217883,1350101404,PLN2100,700258,PCN268,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,64,11,Retail,0,0,0,90.0,1.6,91.6,2.0,85.56,4.04,1.8,1.275,1,0,0,0,2023-01-16
RX0000001332,MBR00000032,2023-06-13,2023-06-14,1452384755,1832607902,PLN3080,636065,PCN922,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,2,Retail,1,0,0,22.0,3.13,25.13,5.0,18.52,1.61,0.88,0.6233,0,0,0,0,2023-07-13
RX0000001333,MBR00000032,2021-09-17,2021-09-19,1685906409,1594036656,PLN9189,870205,PCN599,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,91,0,Mail Order,0,0,0,30.0,8.27,38.27,3.0,32.71,2.56,0.4,0.2833,0,0,0,0,2021-12-16
RX0000001334,MBR00000032,2021-05-05,2021-05-09,1204548875,1626190052,PLN5752,480285,PCN721,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,62,5,Retail,1,0,0,44.0,5.27,49.27,67.0,0.0,2.72,0.88,0.6233,1,0,0,0,2021-07-04
RX0000001335,MBR00000032,2021-03-30,2021-04-02,1330705651,1922930836,PLN5480,140865,PCN373,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,4,Retail,0,0,0,18.0,6.64,24.64,2.0,21.26,1.38,0.72,0.51,0,0,0,0,2021-04-29
RX0000001336,MBR00000032,2023-06-11,2023-06-14,1811596158,1714765961,PLN4383,482932,PCN846,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,10,Retail,3,1,0,653.33,2.3,655.64,151.0,458.96,45.68,112.0,79.3333,0,0,0,0,2023-06-18
RX0000001337,MBR00000032,2022-10-13,2022-10-17,1928117596,1840311687,PLN4106,862414,PCN436,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,98,4,Retail,0,0,0,135.0,7.04,142.04,6.0,129.86,6.18,1.8,1.275,0,0,0,0,2023-01-11
RX0000001338,MBR00000032,2023-11-20,2023-11-21,1585706244,1747813207,PLN1794,916216,PCN634,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,95,11,Retail,0,0,0,48.0,2.46,50.46,8.0,40.82,1.64,0.64,0.4533,0,0,0,0,2024-02-18
RX0000001339,MBR00000032,2023-12-29,2023-12-31,1533929938,1375240459,PLN9213,220618,PCN779,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,84,3,Mail Order,0,1,0,24.0,1.83,25.83,145.0,0.0,1.51,0.32,0.2267,0,0,0,0,2024-03-28
RX0000001340,MBR00000032,2021-07-04,2021-07-05,1891986217,1623763227,PLN4417,324210,PCN357,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,9,LTC,1,0,0,8.5,8.79,17.29,4.0,12.44,0.85,0.34,0.2408,0,0,0,0,2021-08-03
RX0000001341,MBR00000032,2022-04-06,2022-04-08,1609966884,1473114751,PLN6914,364222,PCN441,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,4,Retail,0,0,0,11.0,7.21,18.21,9.0,8.57,0.64,0.44,0.3117,0,0,0,0,2022-05-06
RX0000001342,MBR00000032,2022-10-01,2022-10-04,1886499689,1101445435,PLN1793,827627,PCN484,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,9,Retail,1,1,0,12.0,5.23,17.23,148.0,0.0,1.08,0.48,0.34,0,0,0,0,2022-10-31
RX0000001343,MBR00000032,2023-03-30,2023-04-02,1201086348,1707844460,PLN5752,208127,PCN668,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,0,Retail,0,0,0,10.0,5.32,15.32,6.0,8.69,0.63,0.4,0.2833,0,0,0,0,2023-04-29
RX0000001344,MBR00000032,2023-07-13,2023-07-15,1780819762,1519525668,PLN4883,689788,PCN631,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,0,Mail Order,0,0,0,10.0,8.9,18.9,3.0,15.13,0.77,0.4,0.2833,0,0,0,0,2023-08-12
RX0000001345,MBR00000032,2023-10-15,2023-10-16,1583756031,1796952651,PLN9135,965204,PCN283,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,0,Mail Order,1,0,0,2.33,4.79,7.12,7.0,0.0,0.37,0.4,0.2833,0,0,0,0,2023-10-22
RX0000001346,MBR00000032,2023-04-12,2023-04-16,1307844538,1668737662,PLN5086,655600,PCN958,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,86,3,Retail,0,0,0,45.0,3.33,48.33,3.0,42.44,2.89,0.6,0.425,0,0,0,0,2023-07-11
RX0000001347,MBR00000032,2023-12-19,2023-12-22,1643694750,1495252470,PLN9055,167278,PCN827,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,54,3,Retail,2,0,0,36.0,11.24,47.24,7.0,38.38,1.86,0.72,0.51,1,1,0,0,2024-02-17
RX0000001348,MBR00000033,2021-03-05,2021-03-06,1527473605,1151803567,PLN6078,963605,PCN103,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,2,Specialty,3,0,0,45.0,42.8,87.8,6.0,81.8,0.0,1.8,1.275,0,0,0,0,2021-04-04
RX0000001349,MBR00000033,2021-12-29,2021-12-31,1685725215,1824541833,PLN6273,425954,PCN323,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,56,1,Mail Order,0,0,0,36.0,5.04,41.04,10.0,29.59,1.45,0.72,0.51,0,0,0,0,2022-02-27
RX0000001350,MBR00000033,2023-06-21,2023-06-23,1519841941,1940167068,PLN3665,544405,PCN525,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,3,Retail,2,0,0,10.0,5.1,15.1,10.0,4.09,1.01,0.4,0.2833,0,0,0,0,2023-07-21
RX0000001351,MBR00000033,2021-04-16,2021-04-17,1850596104,1499440610,PLN8579,514207,PCN239,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,97,1,Retail,0,0,0,36.0,8.93,44.93,0.0,43.44,1.49,0.48,0.34,0,0,0,0,2021-07-15
RX0000001352,MBR00000033,2022-08-09,2022-08-11,1511641894,1103315903,PLN9740,938403,PCN901,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,9,Retail,0,0,0,28.0,6.45,34.45,8.0,25.13,1.32,1.12,0.7933,0,0,0,0,2022-09-08
RX0000001353,MBR00000033,2021-09-24,2021-09-28,1375544770,1601576956,PLN1174,607609,PCN386,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,3,Retail,0,0,0,38.0,8.99,46.99,2.0,42.49,2.5,1.52,1.0767,0,0,0,0,2021-10-24
RX0000001354,MBR00000033,2023-01-08,2023-01-12,1767189054,1750557251,PLN4197,505675,PCN655,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,88,9,Retail,0,0,0,30.0,3.58,33.58,5.0,26.51,2.07,0.4,0.2833,0,0,0,0,2023-04-08
RX0000001355,MBR00000033,2022-12-11,2022-12-15,1140316155,1659278180,PLN9290,136668,PCN387,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,3,Retail,1,0,0,14.0,2.85,16.85,4.0,11.76,1.09,0.56,0.3967,0,0,0,0,2023-01-10
RX0000001356,MBR00000033,2021-05-22,2021-05-25,1589029035,1214711551,PLN2817,616974,PCN573,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,5,Mail Order,0,0,0,950.0,2.37,952.37,31.0,870.42,50.95,38.0,26.9167,0,0,0,0,2021-06-21
RX0000001357,MBR00000033,2021-03-19,2021-03-22,1391046664,1555195755,PLN9608,746979,PCN611,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,9,Mail Order,0,0,0,14.0,11.66,25.66,6.0,18.83,0.83,0.56,0.3967,0,0,0,0,2021-04-18
RX0000001358,MBR00000033,2022-08-29,2022-09-01,1612366443,1676112652,PLN6506,558764,PCN338,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,9,LTC,0,0,0,40.83,7.6,48.43,30.0,16.06,2.37,7.0,4.9583,0,0,0,0,2022-09-05
RX0000001359,MBR00000033,2021-04-27,2021-04-29,1243911388,1681723214,PLN7937,482532,PCN676,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,89,10,Mail Order,0,0,0,54.0,7.91,61.91,5.0,54.94,1.97,0.72,0.51,0,0,0,0,2021-07-26
RX0000001360,MBR00000033,2023-08-26,2023-08-27,1864120619,1619430974,PLN3365,682916,PCN238,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,10,Retail,0,0,0,14.0,2.79,16.79,5.0,11.05,0.74,0.56,0.3967,0,0,0,0,2023-09-25
RX0000001361,MBR00000033,2023-04-25,2023-04-28,1494247922,1539627638,PLN6501,134173,PCN322,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,0,Retail,0,0,0,18.0,10.36,28.36,6.0,20.61,1.75,0.72,0.51,0,0,0,0,2023-05-25
RX0000001362,MBR00000033,2023-04-04,2023-04-05,1638453440,1644417907,PLN2582,840451,PCN188,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,87,6,Mail Order,0,0,0,114.0,7.32,121.32,6.0,106.92,8.4,1.52,1.0767,0,0,0,0,2023-07-03
RX0000001363,MBR00000033,2021-02-26,2021-02-27,1151084454,1888134911,PLN5572,229369,PCN609,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,82,0,Retail,1,0,0,27.0,10.09,37.09,9.0,25.58,2.51,0.36,0.255,0,0,0,0,2021-05-27
RX0000001364,MBR00000033,2022-04-30,2022-05-04,1860420603,1110200008,PLN5210,306323,PCN726,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,8,Retail,0,0,0,11.0,11.2,22.2,3.0,18.11,1.09,0.44,0.3117,0,0,0,0,2022-05-30
RX0000001365,MBR00000033,2021-02-15,2021-02-19,1198509919,1484001557,PLN5071,865825,PCN920,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,9,Retail,0,0,0,11.0,4.74,15.74,3.0,11.94,0.8,0.44,0.3117,0,0,0,0,2021-03-17
RX0000001366,MBR00000033,2021-06-17,2021-06-18,1276023990,1714911219,PLN1187,824067,PCN818,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,96,4,Retail,1,0,0,37.5,3.21,40.71,5.0,33.93,1.78,0.5,0.3542,0,0,0,0,2021-09-15
RX0000001367,MBR00000033,2022-03-14,2022-03-15,1661838319,1599161418,PLN4815,763578,PCN831,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,8,Retail,0,0,0,45.0,2.44,47.44,7.0,38.81,1.63,1.8,1.275,0,0,0,0,2022-04-13
RX0000001368,MBR00000033,2023-03-11,2023-03-12,1175816592,1517021105,PLN4835,508091,PCN992,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,5,Retail,0,1,0,8500.0,9.12,8509.12,150.0,7976.65,382.47,340.0,240.8333,0,0,0,0,2023-04-10
RX0000001369,MBR00000033,2021-02-20,2021-02-22,1868980261,1264967761,PLN2062,211792,PCN362,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,4,Specialty,0,0,0,5.13,35.8,40.93,5.0,35.93,0.0,0.88,0.6233,0,0,0,0,2021-02-27
RX0000001370,MBR00000033,2023-07-27,2023-07-30,1508286430,1932373020,PLN5758,333398,PCN350,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,58,3,Retail,0,0,0,760.0,5.5,765.5,32.0,704.2,29.3,15.2,10.7667,0,0,0,0,2023-09-25
RX0000001371,MBR00000033,2023-09-02,2023-09-06,1552438098,1796866917,PLN7084,129168,PCN873,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,89,5,Retail,0,0,0,30.0,6.82,36.82,5.0,30.46,1.36,0.4,0.2833,0,0,0,0,2023-12-01
RX0000001372,MBR00000033,2023-08-30,2023-09-01,1622923927,1773998947,PLN5013,429195,PCN195,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,98,6,Retail,0,0,0,33.0,11.64,44.64,5.0,36.78,2.86,0.44,0.3117,0,0,0,0,2023-11-28
RX0000001373,MBR00000033,2023-12-16,2023-12-17,1880584271,1282742275,PLN3512,829057,PCN119,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,10,Retail,0,0,0,14.0,10.26,24.26,6.0,16.85,1.41,0.56,0.3967,1,0,0,0,2024-01-15
RX0000001374,MBR00000033,2023-10-08,2023-10-09,1586052160,1715809836,PLN5117,544943,PCN558,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,4,Retail,0,0,0,950.0,5.51,955.51,31.0,863.37,61.14,38.0,26.9167,0,0,0,0,2023-11-07
RX0000001375,MBR00000033,2021-01-22,2021-01-26,1484059393,1885299628,PLN8323,476872,PCN997,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,9,Mail Order,0,0,0,14.0,7.9,21.9,6.0,15.07,0.83,0.56,0.3967,0,0,0,0,2021-02-21
RX0000001376,MBR00000033,2021-10-16,2021-10-20,1361992385,1325750072,PLN4740,389063,PCN330,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,11,Mail Order,0,0,0,4.2,7.45,11.65,9.0,1.98,0.67,0.72,0.51,0,0,0,0,2021-10-23
RX0000001377,MBR00000033,2021-02-02,2021-02-03,1796814191,1455802142,PLN6245,836716,PCN527,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,10,Retail,0,0,0,12.5,9.23,21.73,0.0,20.91,0.82,0.5,0.3542,0,0,0,0,2021-03-04
RX0000001378,MBR00000033,2022-10-28,2022-10-29,1367171207,1251456208,PLN7858,425024,PCN277,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,8,Retail,2,0,0,8.5,8.49,16.99,6.0,10.24,0.75,0.34,0.2408,0,0,0,0,2022-11-27
RX0000001379,MBR00000033,2023-01-10,2023-01-14,1688740938,1527480259,PLN5865,839747,PCN682,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,97,11,Retail,0,0,0,30.0,8.28,38.28,8.0,27.84,2.44,0.4,0.2833,0,0,0,0,2023-04-10
RX0000001380,MBR00000033,2021-01-23,2021-01-27,1215037771,1280829151,PLN2115,367879,PCN441,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,91,0,Retail,0,0,0,48.0,5.89,53.89,8.0,44.04,1.85,0.64,0.4533,0,1,0,0,2021-04-23
RX0000001381,MBR00000033,2022-03-10,2022-03-12,1412637451,1333331804,PLN9377,307561,PCN675,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,11,Retail,0,0,0,480.0,2.93,482.93,35.0,430.83,17.1,19.2,13.6,0,0,0,0,2022-04-09
RX0000001382,MBR00000033,2022-06-27,2022-06-30,1109292953,1524186605,PLN9205,101957,PCN392,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,9,Retail,0,0,0,12.0,9.74,21.74,1.0,20.07,0.67,0.48,0.34,0,0,0,0,2022-07-27
RX0000001383,MBR00000033,2023-06-16,2023-06-19,1731683159,1503991127,PLN3826,790333,PCN309,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,7,Retail,0,0,0,175.0,9.0,184.0,35.0,136.77,12.23,7.0,4.9583,0,0,0,0,2023-07-16
RX0000001384,MBR00000033,2022-09-20,2022-09-22,1796581985,1624625328,PLN1873,921564,PCN503,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,97,9,Retail,0,0,0,27.0,3.45,30.45,4.0,24.96,1.49,0.36,0.255,0,0,0,0,2022-12-19
RX0000001385,MBR00000033,2023-10-17,2023-10-21,1928449248,1871898898,PLN8536,960531,PCN737,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,9,Retail,0,0,0,12.5,11.15,23.65,1.0,21.42,1.23,0.5,0.3542,0,0,0,0,2023-11-16
RX0000001386,MBR00000033,2021-11-24,2021-11-27,1953968928,1983104400,PLN2418,326363,PCN114,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,9,Specialty,0,0,0,45.0,40.95,85.95,5.0,80.95,0.0,1.8,1.275,1,0,0,0,2021-12-24
RX0000001387,MBR00000033,2021-10-22,2021-10-25,1632976891,1981247256,PLN3194,299380,PCN545,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,61,2,Mail Order,0,0,0,740.0,7.02,747.02,34.0,677.72,35.3,14.8,10.4833,0,0,0,0,2021-12-21
RX0000001388,MBR00000033,2021-11-12,2021-11-13,1787823555,1954590848,PLN6672,416690,PCN513,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,5,Mail Order,0,0,0,9.0,6.81,15.81,0.0,15.04,0.77,0.36,0.255,1,0,0,0,2021-12-12
RX0000001389,MBR00000033,2022-08-14,2022-08-17,1521971958,1846589750,PLN7582,785011,PCN790,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,9,Retail,0,0,0,38.0,11.91,49.91,6.0,40.84,3.07,1.52,1.0767,0,0,0,0,2022-09-13
RX0000001390,MBR00000033,2021-03-28,2021-04-01,1973877730,1717899192,PLN7787,349463,PCN674,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,7,Retail,0,0,0,151.67,6.6,158.26,33.0,117.1,8.16,26.0,18.4167,0,0,0,0,2021-04-04
RX0000001391,MBR00000033,2021-07-21,2021-07-24,1777326558,1169272418,PLN1135,288863,PCN297,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,85,3,Mail Order,1,1,0,25500.0,2.48,25502.48,145.0,24041.05,1316.43,340.0,240.8333,0,0,0,0,2021-10-19
RX0000001392,MBR00000033,2023-11-24,2023-11-26,1166943194,1737934607,PLN6140,343671,PCN267,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,54,2,Retail,0,0,0,36.0,1.53,37.53,5.0,30.96,1.57,0.72,0.51,0,0,0,0,2024-01-23
RX0000001393,MBR00000033,2023-07-23,2023-07-27,1813195619,1925054143,PLN7718,873479,PCN486,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,5,Retail,0,0,0,15.0,2.03,17.03,6.0,10.07,0.96,0.6,0.425,0,0,0,0,2023-08-22
RX0000001394,MBR00000033,2023-05-30,2023-05-31,1913232776,1792478279,PLN2499,170884,PCN285,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,8,Retail,0,0,0,45.0,7.87,52.87,5.0,44.93,2.94,1.8,1.275,0,0,0,0,2023-06-29
RX0000001395,MBR00000033,2023-03-10,2023-03-11,1468598519,1944309946,PLN4484,143512,PCN947,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,7,Retail,0,0,0,16.0,5.74,21.74,7.0,13.25,1.49,0.64,0.4533,0,0,0,0,2023-04-09
RX0000001396,MBR00000034,2023-02-17,2023-02-21,1792028299,1517252150,PLN5417,361986,PCN593,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,59,5,Retail,0,1,0,17000.0,9.95,17009.95,149.0,16029.74,831.21,340.0,240.8333,0,0,0,0,2023-04-18
RX0000001397,MBR00000034,2022-09-25,2022-09-27,1559208588,1774704413,PLN2416,422807,PCN517,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,6,Retail,0,0,0,16.0,2.93,18.93,3.0,15.26,0.67,0.64,0.4533,1,0,0,0,2022-10-25
RX0000001398,MBR00000034,2023-08-07,2023-08-11,1485223429,1766289018,PLN8446,531146,PCN168,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,7,Retail,0,0,0,12.0,1.98,13.98,1.0,12.12,0.86,0.48,0.34,0,0,0,0,2023-09-06
RX0000001399,MBR00000034,2022-09-02,2022-09-03,1404281906,1849740877,PLN1069,889043,PCN224,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,93,9,Retail,0,0,0,54.0,2.32,56.32,5.0,47.68,3.64,0.72,0.51,0,0,0,0,2022-12-01
RX0000001400,MBR00000034,2023-05-05,2023-05-07,1462915742,1637196602,PLN5382,594816,PCN785,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,5,Mail Order,0,0,0,45.0,7.67,52.67,0.0,49.95,2.72,1.8,1.275,0,0,0,0,2023-06-04
RX0000001401,MBR00000034,2021-01-13,2021-01-15,1796644501,1100242468,PLN5214,801045,PCN232,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,5,Specialty,0,0,0,950.0,10.38,960.38,39.0,921.38,0.0,38.0,26.9167,0,0,0,0,2021-02-12
RX0000001402,MBR00000034,2022-06-08,2022-06-11,1550984917,1653497522,PLN1063,537416,PCN562,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,60,1,Retail,0,0,0,90.0,2.92,92.92,0.0,88.57,4.35,1.8,1.275,0,0,0,0,2022-08-07
RX0000001403,MBR00000034,2023-09-08,2023-09-09,1778160399,1310875230,PLN8747,957518,PCN147,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,4,Mail Order,2,0,0,2.1,8.88,10.98,4.0,6.58,0.4,0.36,0.255,0,0,0,0,2023-09-15
RX0000001404,MBR00000034,2023-11-22,2023-11-26,1102936515,1626760705,PLN5629,691023,PCN549,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,93,11,Specialty,0,0,0,33.0,15.84,48.84,4.0,44.84,0.0,0.44,0.3117,0,1,0,0,2024-02-20
RX0000001405,MBR00000034,2021-07-30,2021-08-01,1389009060,1185124196,PLN2702,860552,PCN499,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,3,Retail,0,0,0,175.0,1.68,176.68,36.0,129.4,11.28,7.0,4.9583,0,0,0,0,2021-08-29
RX0000001406,MBR00000034,2022-08-04,2022-08-05,1347624429,1930974767,PLN3524,733568,PCN184,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,63,3,Retail,0,0,0,620.0,11.97,631.97,32.0,577.9,22.07,12.4,8.7833,0,0,0,0,2022-10-03
RX0000001407,MBR00000034,2022-03-07,2022-03-09,1167341501,1612585066,PLN6839,410988,PCN382,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,8,Specialty,0,0,0,45.0,20.63,65.63,3.0,62.63,0.0,1.8,1.275,0,0,0,0,2022-04-06
RX0000001408,MBR00000034,2022-05-21,2022-05-22,1404869673,1526906908,PLN9615,368246,PCN310,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,87,6,Retail,0,0,0,36.0,8.02,44.02,3.0,38.73,2.29,0.48,0.34,0,0,0,0,2022-08-19
RX0000001409,MBR00000034,2021-07-26,2021-07-30,1944924248,1520059572,PLN1239,852532,PCN965,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,1,Retail,2,0,0,65.0,4.88,69.88,38.0,27.68,4.2,2.6,1.8417,0,0,0,0,2021-08-25
RX0000001410,MBR00000034,2021-01-25,2021-01-28,1500775420,1760666228,PLN5991,199337,PCN206,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,90,8,Retail,0,0,0,54.0,1.78,55.78,1.0,52.96,1.82,0.72,0.51,0,0,0,0,2021-04-25
RX0000001411,MBR00000034,2022-10-20,2022-10-23,1195075626,1572983544,PLN2927,732671,PCN695,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,62,10,Specialty,0,0,1,24.0,40.09,64.09,8.0,56.09,0.0,0.48,0.34,0,0,0,0,2022-12-19
RX0000001412,MBR00000034,2022-05-30,2022-06-01,1924045380,1129945321,PLN5808,459553,PCN661,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,86,8,Retail,0,0,0,33.0,11.46,44.46,8.0,34.93,1.53,0.44,0.3117,0,0,0,0,2022-08-28
RX0000001413,MBR00000034,2021-07-03,2021-07-04,1229630630,1321323553,PLN7809,744406,PCN340,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,3,Retail,0,0,0,310.0,7.15,317.15,33.0,264.14,20.01,12.4,8.7833,0,0,0,0,2021-08-02
RX0000001414,MBR00000034,2022-05-12,2022-05-15,1159521276,1263526484,PLN5275,288499,PCN352,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,90,11,Retail,0,0,0,1950.0,6.24,1956.24,32.0,1849.26,74.98,26.0,18.4167,0,1,1,0,2022-08-10
RX0000001415,MBR00000034,2022-12-06,2022-12-10,1427849732,1986498717,PLN1203,677717,PCN810,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,11,Mail Order,0,0,0,2.8,7.8,10.6,8.0,1.89,0.71,0.48,0.34,0,0,0,0,2022-12-13
RX0000001416,MBR00000034,2021-04-06,2021-04-08,1352347698,1860259089,PLN6152,457638,PCN656,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,91,2,Retail,0,0,0,555.0,10.53,565.53,32.0,507.47,26.06,7.4,5.2417,0,0,0,0,2021-07-05
RX0000001417,MBR00000034,2022-06-12,2022-06-13,1304039892,1979251403,PLN1174,346331,PCN538,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,92,3,Retail,0,0,0,855.0,8.94,863.94,32.0,773.76,58.18,11.4,8.075,0,0,0,0,2022-09-10
RX0000001418,MBR00000034,2022-10-08,2022-10-11,1862572856,1837594767,PLN5381,274225,PCN620,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,0,Specialty,0,0,0,12.5,33.34,45.84,4.0,41.84,0.0,0.5,0.3542,0,0,0,0,2022-11-07
RX0000001419,MBR00000034,2021-06-02,2021-06-04,1188751604,1887017761,PLN3886,242721,PCN843,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,5,Mail Order,2,0,0,12.0,11.84,23.84,7.0,16.11,0.73,0.48,0.34,0,0,0,0,2021-07-02
RX0000001420,MBR00000034,2021-01-15,2021-01-17,1763395465,1704021628,PLN6213,926673,PCN292,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,55,2,Specialty,0,0,0,20.0,29.54,49.54,6.0,43.54,0.0,0.4,0.2833,0,0,0,0,2021-03-16
RX0000001421,MBR00000034,2023-01-31,2023-02-02,1760556006,1899192317,PLN7558,993634,PCN607,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,90,4,Retail,0,0,0,855.0,10.15,865.15,33.0,800.22,31.93,11.4,8.075,0,0,0,0,2023-05-01
RX0000001422,MBR00000034,2023-11-06,2023-11-10,1615038275,1791731658,PLN1306,735050,PCN803,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,4,Retail,0,0,0,5.13,3.02,8.15,66.0,0.0,0.32,0.88,0.6233,0,0,0,0,2023-11-13
RX0000001423,MBR00000035,2023-04-20,2023-04-23,1919560538,1614444794,PLN5157,992928,PCN779,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,11,Retail,0,0,0,15.0,1.54,16.54,10.0,5.44,1.1,0.6,0.425,0,0,0,0,2023-05-20
RX0000001424,MBR00000035,2022-09-24,2022-09-26,1872548182,1762036708,PLN3695,973131,PCN612,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,1,Retail,0,0,0,10.5,2.68,13.18,0.0,12.6,0.58,1.8,1.275,0,0,0,0,2022-10-01
RX0000001425,MBR00000035,2021-09-23,2021-09-26,1232107615,1710288219,PLN2201,520813,PCN189,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,6,Retail,0,0,0,38.0,11.66,49.66,30.0,17.63,2.03,1.52,1.0767,0,1,1,0,2021-10-23
RX0000001426,MBR00000035,2022-06-01,2022-06-05,1376083604,1326881170,PLN2352,506175,PCN821,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,95,2,Retail,0,0,0,36.0,5.57,41.57,2.0,38.18,1.39,0.48,0.34,0,0,0,0,2022-08-30
RX0000001427,MBR00000035,2021-05-18,2021-05-21,1945953595,1542151409,PLN6475,726192,PCN148,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,3,Retail,0,0,0,4.2,10.68,14.88,6.0,7.87,1.01,0.72,0.51,0,0,0,0,2021-05-25
RX0000001428,MBR00000035,2021-11-19,2021-11-23,1155638900,1338810007,PLN9173,705358,PCN624,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,0,Retail,3,0,0,5.13,2.13,7.26,68.0,0.0,0.48,0.88,0.6233,0,0,0,0,2021-11-26
RX0000001429,MBR00000035,2022-07-30,2022-08-02,1664344508,1416161458,PLN6315,368357,PCN936,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,92,3,Retail,0,0,0,25.5,3.56,29.06,3.0,24.37,1.69,0.34,0.2408,0,0,0,0,2022-10-28
RX0000001430,MBR00000035,2023-09-02,2023-09-06,1573552919,1517442153,PLN3524,192450,PCN234,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,97,1,Mail Order,0,0,0,33.0,1.52,34.52,0.0,32.58,1.94,0.44,0.3117,0,0,0,0,2023-12-01
RX0000001431,MBR00000035,2021-09-07,2021-09-08,1621288169,1819103829,PLN7732,861797,PCN853,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,5,Retail,0,0,0,18.0,7.3,25.3,4.0,20.29,1.01,0.72,0.51,0,0,0,0,2021-10-07
RX0000001432,MBR00000035,2023-04-05,2023-04-08,1389360040,1767870364,PLN3240,281028,PCN761,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,4,LTC,0,0,0,22.0,11.86,33.86,6.0,26.8,1.06,0.88,0.6233,0,0,0,0,2023-05-05
RX0000001433,MBR00000035,2021-01-21,2021-01-22,1334862963,1798394403,PLN1594,883071,PCN803,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,0,Mail Order,0,0,0,10.0,9.37,19.37,6.0,12.65,0.72,0.4,0.2833,0,0,0,0,2021-02-20
RX0000001434,MBR00000035,2023-10-30,2023-11-02,1216312951,1117066438,PLN1094,628758,PCN707,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,10,Mail Order,0,0,0,2.57,8.1,10.66,9.0,1.29,0.37,0.44,0.3117,0,0,0,0,2023-11-06
RX0000001435,MBR00000035,2023-01-01,2023-01-03,1293741452,1279398902,PLN3257,374132,PCN108,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,6,Retail,0,0,0,45.0,4.69,49.69,10.0,37.36,2.33,1.8,1.275,0,0,0,0,2023-01-31
RX0000001436,MBR00000035,2022-02-27,2022-03-01,1572570509,1836963567,PLN5076,884338,PCN270,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,1,Retail,3,1,0,12.0,11.75,23.75,152.0,0.0,1.32,0.48,0.34,0,0,0,0,2022-03-29
RX0000001437,MBR00000035,2023-12-17,2023-12-20,1649516091,1726372218,PLN6905,296152,PCN228,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,10,Retail,2,0,0,2.57,4.21,6.77,1.0,5.44,0.33,0.44,0.3117,0,0,0,0,2023-12-24
RX0000001438,MBR00000035,2023-02-10,2023-02-12,1881434771,1497124143,PLN7812,897189,PCN177,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,4,Retail,0,0,0,310.0,10.53,320.53,37.0,266.34,17.19,12.4,8.7833,0,0,0,0,2023-03-12
RX0000001439,MBR00000035,2023-06-19,2023-06-23,1930000876,1262374054,PLN3866,759121,PCN435,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,55,3,Retail,0,0,0,370.0,8.9,378.9,39.0,326.28,13.62,7.4,5.2417,0,0,0,0,2023-08-18
RX0000001440,MBR00000035,2021-03-31,2021-04-02,1839102587,1233855345,PLN2214,194952,PCN787,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,10,Mail Order,0,0,1,9.0,9.57,18.57,1.0,16.98,0.59,0.36,0.255,0,0,0,0,2021-04-30
RX0000001441,MBR00000035,2021-11-19,2021-11-22,1221998402,1223542260,PLN1851,891925,PCN512,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,7,Retail,0,0,0,185.0,5.35,190.35,36.0,141.42,12.93,7.4,5.2417,0,0,0,0,2021-12-19
RX0000001442,MBR00000035,2022-07-09,2022-07-11,1836643134,1320756354,PLN8705,439310,PCN663,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,9,Retail,0,0,0,14.0,3.85,17.85,10.0,6.97,0.88,0.56,0.3967,1,0,0,0,2022-08-08
RX0000001443,MBR00000035,2023-01-31,2023-02-03,1539965638,1888387409,PLN6781,538985,PCN493,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,4,Retail,0,0,0,10.5,2.38,12.88,1.0,11.34,0.54,1.8,1.275,0,0,0,0,2023-02-07
RX0000001444,MBR00000035,2022-06-04,2022-06-07,1189749811,1545739081,PLN2918,261462,PCN474,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,94,6,Retail,3,0,0,54.0,1.61,55.61,6.0,46.19,3.42,0.72,0.51,0,0,0,0,2022-09-02
RX0000001445,MBR00000035,2021-11-22,2021-11-24,1820850465,1876355649,PLN7772,219220,PCN543,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,4,Retail,0,0,0,7.5,2.47,9.97,8.0,1.37,0.6,0.3,0.2125,0,0,0,0,2021-12-22
RX0000001446,MBR00000035,2023-10-15,2023-10-17,1579363561,1363084491,PLN5998,810316,PCN529,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,81,11,LTC,0,0,0,30.0,5.61,35.61,1.0,32.63,1.98,0.4,0.2833,1,0,0,0,2024-01-13
RX0000001447,MBR00000035,2021-04-04,2021-04-06,1843877590,1723882863,PLN9164,854608,PCN485,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,1,Retail,0,0,0,45.0,8.24,53.24,5.0,45.44,2.8,1.8,1.275,0,0,0,0,2021-05-04
RX0000001448,MBR00000035,2022-09-22,2022-09-25,1148721239,1229369724,PLN3700,725912,PCN730,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,95,4,Mail Order,0,1,0,25500.0,2.97,25502.97,153.0,24222.8,1127.17,340.0,240.8333,0,0,0,0,2022-12-21
RX0000001449,MBR00000035,2023-06-19,2023-06-21,1469106137,1959935407,PLN7985,483284,PCN234,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,1,Retail,0,0,0,14.0,3.05,17.05,0.0,16.34,0.71,0.56,0.3967,0,0,0,0,2023-07-19
RX0000001450,MBR00000035,2021-10-14,2021-10-16,1590851262,1270422223,PLN5134,912823,PCN558,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,9,Specialty,0,0,0,9.0,23.71,32.71,8.0,24.71,0.0,0.36,0.255,0,0,0,0,2021-11-13
RX0000001451,MBR00000035,2021-05-23,2021-05-25,1245605849,1705522493,PLN1797,471450,PCN553,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,3,Mail Order,0,0,0,330.0,10.51,340.51,33.0,291.59,15.92,13.2,9.35,0,0,0,0,2021-06-22
RX0000001452,MBR00000035,2023-10-10,2023-10-13,1369747333,1832617611,PLN4577,197352,PCN350,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,3,Mail Order,2,0,0,6.53,7.16,13.7,2.0,10.9,0.8,1.12,0.7933,0,0,0,0,2023-10-17
RX0000001453,MBR00000035,2023-12-28,2024-01-01,1256457615,1403946442,PLN5912,576369,PCN427,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,4,LTC,0,0,0,14.0,9.02,23.02,4.0,18.24,0.78,0.56,0.3967,0,0,0,0,2024-01-27
RX0000001454,MBR00000035,2022-07-11,2022-07-14,1394626951,1961674639,PLN5288,772692,PCN841,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,8,Retail,0,0,0,3.73,4.46,8.19,7.0,0.71,0.48,0.64,0.4533,0,0,0,0,2022-07-18
RX0000001455,MBR00000035,2021-09-07,2021-09-09,1783896810,1414263094,PLN2259,485644,PCN163,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,5,Mail Order,0,0,0,65.0,5.61,70.61,38.0,29.71,2.9,2.6,1.8417,0,0,0,0,2021-10-07
RX0000001456,MBR00000035,2022-04-23,2022-04-26,1716918632,1539401157,PLN9396,540443,PCN557,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,0,Retail,0,0,0,66.0,5.33,71.33,1.0,67.73,2.6,0.88,0.6233,0,0,0,0,2022-07-22
RX0000001457,MBR00000035,2021-11-04,2021-11-07,1356933304,1609798124,PLN3032,642496,PCN252,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,11,Retail,0,0,0,14.0,5.47,19.47,2.0,16.52,0.95,0.56,0.3967,0,0,0,0,2021-12-04
RX0000001458,MBR00000035,2021-04-10,2021-04-13,1621808126,1319094115,PLN5246,862658,PCN241,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,11,Specialty,3,0,0,18.0,29.46,47.46,33.0,14.46,0.0,0.72,0.51,0,0,0,0,2021-05-10
RX0000001459,MBR00000036,2023-03-19,2023-03-23,1432368653,1696391633,PLN6065,217865,PCN808,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,91,8,Retail,0,0,0,525.0,8.74,533.74,30.0,470.13,33.61,7.0,4.9583,0,0,0,0,2023-06-17
RX0000001460,MBR00000036,2022-12-12,2022-12-15,1271231806,1744265064,PLN1951,239108,PCN495,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,3,Retail,0,0,0,9.0,10.0,19.0,10.0,8.14,0.86,0.36,0.255,0,0,0,0,2023-01-11
RX0000001461,MBR00000036,2023-04-29,2023-05-01,1554987734,1744853567,PLN6075,592945,PCN339,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,85,5,Mail Order,0,0,0,25.5,9.81,35.31,2.0,31.31,2.0,0.34,0.2408,0,0,0,0,2023-07-28
RX0000001462,MBR00000036,2022-10-30,2022-11-02,1805798292,1718890258,PLN6038,384964,PCN406,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,83,7,Mail Order,3,0,0,33.0,4.76,37.76,4.0,31.9,1.86,0.44,0.3117,0,0,0,0,2023-01-28
RX0000001463,MBR00000036,2022-09-27,2022-10-01,1156080951,1371642703,PLN4948,252326,PCN385,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,60,2,Mail Order,0,1,0,16.0,2.65,18.65,148.0,0.0,1.2,0.32,0.2267,0,0,0,0,2022-11-26
RX0000001464,MBR00000036,2022-12-22,2022-12-26,1679792534,1350676769,PLN7788,519149,PCN267,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,3,Mail Order,0,0,0,18.0,10.86,28.86,1.0,26.9,0.96,0.72,0.51,0,0,0,0,2023-01-21
RX0000001465,MBR00000036,2022-09-12,2022-09-16,1976194280,1869469353,PLN7865,516732,PCN526,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,98,4,Retail,0,0,0,36.0,11.32,47.32,3.0,41.7,2.62,0.48,0.34,0,0,0,0,2022-12-11
RX0000001466,MBR00000036,2023-05-11,2023-05-13,1147156352,1833048778,PLN1667,676815,PCN316,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,10,Retail,0,0,0,22.0,4.96,26.96,66.0,0.0,1.15,0.88,0.6233,0,0,0,0,2023-06-10
RX0000001467,MBR00000036,2022-08-14,2022-08-18,1158809235,1225871256,PLN8137,981244,PCN892,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,11,Retail,0,0,0,11.0,2.13,13.13,10.0,2.4,0.73,0.44,0.3117,1,0,0,0,2022-09-13
RX0000001468,MBR00000036,2022-07-03,2022-07-05,1598070558,1723936779,PLN3358,936144,PCN428,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,83,6,Retail,0,0,0,960.0,6.3,966.3,32.0,888.63,45.67,12.8,9.0667,0,0,0,0,2022-10-01
RX0000001469,MBR00000036,2021-12-27,2021-12-29,1383228183,1525608589,PLN2466,424211,PCN262,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,97,7,Retail,0,0,0,990.0,3.89,993.89,32.0,908.13,53.76,13.2,9.35,0,0,0,0,2022-03-27
RX0000001470,MBR00000036,2022-07-01,2022-07-02,1850005172,1377740981,PLN9688,303369,PCN121,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,60,2,Retail,0,0,0,20.0,9.34,29.34,9.0,18.54,1.8,0.4,0.2833,0,0,0,0,2022-08-30
RX0000001471,MBR00000036,2023-05-11,2023-05-14,1123699733,1497204814,PLN9924,547512,PCN118,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,0,Retail,0,0,0,5.13,3.6,8.74,68.0,0.0,0.54,0.88,0.6233,0,0,0,0,2023-05-18
RX0000001472,MBR00000036,2022-12-21,2022-12-23,1356590129,1132950698,PLN5289,178036,PCN994,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,2,Retail,3,0,0,2.33,9.09,11.43,6.0,4.95,0.48,0.4,0.2833,0,0,0,0,2022-12-28
RX0000001473,MBR00000036,2022-06-01,2022-06-02,1576541794,1552028200,PLN9972,246139,PCN163,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,8,Retail,1,0,0,285.0,5.23,290.23,38.0,243.23,9.0,11.4,8.075,0,0,0,0,2022-07-01
RX0000001474,MBR00000036,2022-07-02,2022-07-03,1548968474,1118316969,PLN1743,212302,PCN888,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,5,Mail Order,0,0,0,480.0,4.18,484.18,37.0,414.34,32.84,19.2,13.6,0,0,0,0,2022-08-01
RX0000001475,MBR00000036,2022-10-17,2022-10-19,1397309329,1791411494,PLN9597,790584,PCN536,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,8,Retail,0,0,0,10.0,8.02,18.02,3.0,14.31,0.71,0.4,0.2833,0,0,0,0,2022-11-16
RX0000001476,MBR00000036,2022-08-23,2022-08-27,1467092503,1958580068,PLN2060,728601,PCN119,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,1,Retail,0,1,0,2800.0,7.48,2807.48,150.0,2556.22,101.26,112.0,79.3333,0,1,1,0,2022-09-22
RX0000001477,MBR00000036,2022-05-24,2022-05-28,1852159842,1607042712,PLN8402,164514,PCN625,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,0,Mail Order,2,0,0,65.0,2.66,67.66,33.0,30.84,3.82,2.6,1.8417,0,1,1,0,2022-06-23
RX0000001478,MBR00000036,2023-04-17,2023-04-21,1457177063,1637798123,PLN3384,142587,PCN748,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,9,Retail,0,0,0,9.0,7.32,16.32,8.0,7.56,0.76,0.36,0.255,0,0,0,0,2023-05-17
RX0000001479,MBR00000036,2022-07-26,2022-07-27,1853074523,1810936552,PLN3766,535543,PCN530,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,380.0,6.6,386.6,38.0,329.3,19.3,15.2,10.7667,0,0,0,0,2022-08-25
RX0000001480,MBR00000036,2021-07-12,2021-07-14,1470429746,1116249698,PLN4410,230254,PCN852,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,0,Retail,0,0,0,320.0,1.71,321.71,33.0,267.89,20.82,12.8,9.0667,0,0,0,0,2021-08-11
RX0000001481,MBR00000036,2023-01-06,2023-01-10,1651327898,1625907746,PLN2098,927903,PCN905,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,10,Retail,0,0,0,22.0,6.22,28.22,10.0,16.53,1.69,0.88,0.6233,0,0,0,0,2023-02-05
RX0000001482,MBR00000036,2021-05-11,2021-05-13,1820235470,1565089510,PLN7517,367690,PCN452,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,8,Retail,1,0,0,15.0,4.26,19.26,1.0,16.99,1.27,0.6,0.425,0,0,0,0,2021-06-10
RX0000001483,MBR00000036,2021-08-27,2021-08-30,1594019953,1544220029,PLN4211,512620,PCN558,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,84,4,Retail,0,0,0,525.0,5.34,530.34,34.0,470.83,25.51,7.0,4.9583,0,0,0,0,2021-11-25
RX0000001484,MBR00000037,2023-01-09,2023-01-11,1623545991,1883824787,PLN2016,509500,PCN626,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,8,Retail,0,0,0,11.0,9.13,20.13,1.0,18.15,0.98,0.44,0.3117,0,0,0,0,2023-02-08
RX0000001485,MBR00000037,2022-08-20,2022-08-24,1195983570,1771387789,PLN4255,539693,PCN142,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,83,8,Retail,0,0,0,33.0,8.24,41.24,4.0,35.85,1.39,0.44,0.3117,0,0,0,0,2022-11-18
RX0000001486,MBR00000037,2021-06-24,2021-06-25,1172385284,1197070312,PLN5984,934610,PCN334,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,85,10,Retail,0,0,0,42.0,11.13,53.13,9.0,42.22,1.91,0.56,0.3967,0,0,0,0,2021-09-22
RX0000001487,MBR00000037,2023-12-18,2023-12-22,1142115900,1135079256,PLN7433,268641,PCN969,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,3,Retail,0,0,0,22.0,4.33,26.33,7.0,17.71,1.62,0.88,0.6233,0,0,0,0,2024-01-17
RX0000001488,MBR00000037,2021-04-25,2021-04-27,1582009128,1914719000,PLN3458,413308,PCN415,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,94,1,LTC,0,1,0,36.0,2.28,38.28,148.0,0.0,1.49,0.48,0.34,0,0,0,0,2021-07-24
RX0000001489,MBR00000037,2023-02-09,2023-02-11,1809685338,1639627103,PLN6448,687854,PCN325,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,9,Retail,0,1,0,8500.0,11.82,8511.82,151.0,7826.28,534.54,340.0,240.8333,0,0,0,0,2023-03-11
RX0000001490,MBR00000037,2023-04-26,2023-04-29,1448916251,1623491337,PLN8561,587001,PCN666,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,11,Retail,0,0,0,28.0,6.28,34.28,3.0,28.89,2.39,1.12,0.7933,0,0,0,0,2023-05-26
RX0000001491,MBR00000037,2022-05-05,2022-05-07,1557502548,1980458424,PLN9301,733937,PCN518,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,5,Mail Order,0,0,0,10.0,11.38,21.38,3.0,17.37,1.01,0.4,0.2833,0,0,0,0,2022-06-04
RX0000001492,MBR00000037,2022-12-14,2022-12-16,1155647067,1235827153,PLN8200,540341,PCN264,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,63,4,Mail Order,0,1,0,24.0,4.22,28.22,149.0,0.0,1.67,0.48,0.34,0,0,0,0,2023-02-12
RX0000001493,MBR00000037,2022-09-22,2022-09-23,1621917664,1218087056,PLN4245,541100,PCN165,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,4,Retail,0,0,0,650.0,7.21,657.21,39.0,582.46,35.75,26.0,18.4167,0,0,0,0,2022-10-22
RX0000001494,MBR00000037,2022-11-08,2022-11-12,1980509450,1793962724,PLN5377,725659,PCN932,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,87,0,Retail,0,0,0,114.0,10.79,124.79,34.0,84.96,5.83,1.52,1.0767,0,0,0,0,2023-02-06
RX0000001495,MBR00000037,2022-08-13,2022-08-16,1461816750,1413270824,PLN7061,920866,PCN327,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,10,Retail,0,0,0,950.0,2.37,952.37,36.0,875.44,40.93,38.0,26.9167,0,0,0,0,2022-09-12
RX0000001496,MBR00000037,2023-12-28,2023-12-31,1334919213,1153018966,PLN4326,981723,PCN293,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,0,Mail Order,0,0,0,6.53,10.7,17.24,2.0,14.22,1.02,1.12,0.7933,0,0,0,0,2024-01-04
RX0000001497,MBR00000037,2023-09-30,2023-10-02,1272800373,1727113308,PLN9684,830310,PCN630,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,59,2,Mail Order,0,0,0,22.0,5.85,27.85,3.0,23.43,1.42,0.44,0.3117,1,0,0,0,2023-11-29
RX0000001498,MBR00000037,2021-05-17,2021-05-18,1674546954,1754978198,PLN1419,644456,PCN770,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,92,4,Retail,0,0,0,25.5,11.21,36.71,10.0,24.26,2.45,0.34,0.2408,1,0,0,0,2021-08-15
RX0000001499,MBR00000037,2023-07-15,2023-07-18,1628006236,1475616204,PLN7393,765151,PCN622,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,6,Mail Order,0,0,0,370.0,10.1,380.1,31.0,323.35,25.75,14.8,10.4833,0,0,0,0,2023-08-14
RX0000001500,MBR00000037,2022-02-04,2022-02-08,1621286501,1935344377,PLN8413,877594,PCN899,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,6,Retail,0,0,0,10.0,9.5,19.5,10.0,8.81,0.69,0.4,0.2833,0,0,0,0,2022-03-06
RX0000001501,MBR00000037,2022-12-02,2022-12-06,1425510419,1321908715,PLN2968,739582,PCN743,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,90,3,Retail,2,0,0,45.0,11.29,56.29,10.0,42.69,3.6,0.6,0.425,0,0,0,0,2023-03-02
RX0000001502,MBR00000037,2021-05-02,2021-05-06,1208396151,1821631017,PLN9398,423974,PCN620,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,0,Mail Order,0,0,0,480.0,1.69,481.69,35.0,428.73,17.96,19.2,13.6,0,0,0,0,2021-06-01
RX0000001503,MBR00000038,2021-07-09,2021-07-10,1535764373,1164820136,PLN3521,781101,PCN572,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,56,2,Mail Order,0,0,0,30.0,10.31,40.31,5.0,33.29,2.02,0.6,0.425,0,0,0,0,2021-09-07
RX0000001504,MBR00000038,2023-08-27,2023-08-31,1241147343,1488009471,PLN3309,226110,PCN459,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,3,Retail,0,0,0,18.0,10.38,28.38,36.0,0.0,1.69,0.72,0.51,0,0,0,0,2023-09-26
RX0000001505,MBR00000038,2021-10-07,2021-10-11,1647129324,1152663650,PLN6762,334617,PCN186,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,6,Retail,0,0,0,10.0,9.03,19.03,7.0,10.84,1.19,0.4,0.2833,0,0,0,0,2021-11-06
RX0000001506,MBR00000038,2023-07-07,2023-07-08,1913598984,1362299103,PLN4121,869993,PCN120,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,2,Retail,3,0,0,38.0,11.41,49.41,9.0,37.61,2.8,1.52,1.0767,0,0,0,0,2023-08-06
RX0000001507,MBR00000038,2021-06-29,2021-07-02,1570233708,1963011178,PLN7287,355372,PCN664,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,54,1,Specialty,0,0,0,56.0,19.14,75.14,9.0,66.14,0.0,1.12,0.7933,0,0,0,0,2021-08-28
RX0000001508,MBR00000038,2021-03-07,2021-03-11,1534200765,1644483404,PLN1627,856332,PCN990,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,1,Specialty,0,0,0,7.5,33.08,40.58,2.0,38.58,0.0,0.3,0.2125,0,1,0,0,2021-04-06
RX0000001509,MBR00000038,2023-07-26,2023-07-27,1111059019,1779908469,PLN6074,944251,PCN580,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,88,6,Retail,0,0,0,1440.0,3.62,1443.62,30.0,1351.66,61.96,19.2,13.6,0,0,0,0,2023-10-24
RX0000001510,MBR00000038,2021-09-28,2021-09-30,1998124410,1755381100,PLN7367,999696,PCN657,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,92,0,Retail,0,0,0,36.0,3.72,39.72,5.0,32.78,1.94,0.48,0.34,0,0,0,0,2021-12-27
RX0000001511,MBR00000038,2022-08-01,2022-08-04,1240001848,1855247777,PLN1281,811302,PCN586,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,11,Retail,0,0,0,950.0,5.86,955.86,33.0,876.37,46.49,38.0,26.9167,0,0,0,0,2022-08-31
RX0000001512,MBR00000038,2023-05-26,2023-05-30,1391009851,1579615241,PLN2144,855720,PCN452,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,87,3,Retail,0,0,0,42.0,2.71,44.71,8.0,34.6,2.11,0.56,0.3967,0,0,0,0,2023-08-24
RX0000001513,MBR00000038,2022-07-19,2022-07-23,1118623960,1680394573,PLN2656,959495,PCN785,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,4,Specialty,2,0,0,22.0,42.4,64.4,65.0,0.0,0.0,0.88,0.6233,1,0,0,0,2022-08-18
RX0000001514,MBR00000038,2021-07-29,2021-07-31,1620562726,1631167380,PLN6951,936340,PCN432,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,88,7,Mail Order,0,0,0,855.0,3.21,858.21,32.0,773.39,52.82,11.4,8.075,0,1,1,0,2021-10-27
RX0000001515,MBR00000038,2021-09-13,2021-09-17,1988735590,1457988603,PLN4690,201205,PCN408,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,10,Retail,0,0,0,10.0,4.32,14.32,9.0,4.76,0.56,0.4,0.2833,0,0,0,0,2021-10-13
RX0000001516,MBR00000038,2023-11-30,2023-12-02,1549040518,1357573848,PLN9311,181741,PCN190,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,94,6,Retail,0,1,0,8400.0,8.25,8408.25,154.0,7917.44,336.81,112.0,79.3333,0,1,1,0,2024-02-28
RX0000001517,MBR00000038,2022-01-28,2022-01-30,1484920131,1129215760,PLN9643,113328,PCN212,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,4,Retail,0,0,0,18.0,5.76,23.76,0.0,22.94,0.82,0.72,0.51,0,0,0,0,2022-02-27
RX0000001518,MBR00000038,2021-08-17,2021-08-20,1112801060,1987380985,PLN1376,553311,PCN627,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,61,6,Retail,0,0,0,20.0,4.79,24.79,10.0,13.08,1.71,0.4,0.2833,0,0,0,0,2021-10-16
RX0000001519,MBR00000038,2022-11-23,2022-11-25,1623961099,1857832792,PLN7625,187431,PCN861,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,4,Retail,3,0,0,2.57,3.11,5.67,1.0,4.42,0.25,0.44,0.3117,0,0,0,0,2022-11-30
RX0000001520,MBR00000038,2023-11-04,2023-11-06,1533350139,1743177037,PLN6681,959730,PCN217,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,6,Mail Order,0,0,0,380.0,7.15,387.15,30.0,342.06,15.09,15.2,10.7667,0,0,0,0,2023-12-04
RX0000001521,MBR00000038,2022-01-13,2022-01-17,1543958909,1427887031,PLN8842,388694,PCN399,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,60,8,Retail,0,0,0,28.0,4.34,32.34,4.0,27.33,1.01,0.56,0.3967,0,0,0,0,2022-03-14
RX0000001522,MBR00000038,2022-03-10,2022-03-11,1439485528,1691220441,PLN9139,377403,PCN967,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,1,Retail,0,0,0,38.0,6.06,44.06,37.0,5.43,1.63,1.52,1.0767,0,0,0,0,2022-04-09
RX0000001523,MBR00000038,2022-09-20,2022-09-24,1584793696,1969116480,PLN9719,665097,PCN795,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,8,Retail,3,1,0,8500.0,3.7,8503.7,155.0,8051.92,296.78,340.0,240.8333,0,0,0,0,2022-10-20
RX0000001524,MBR00000038,2023-01-04,2023-01-06,1180219523,1816944348,PLN5183,652380,PCN568,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,7,Retail,0,0,0,9.0,4.82,13.82,3.0,10.17,0.65,0.36,0.255,0,0,0,0,2023-02-03
RX0000001525,MBR00000038,2022-03-10,2022-03-13,1241215200,1237150240,PLN9593,923002,PCN201,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,7,Mail Order,0,0,0,28.0,10.99,38.99,3.0,33.46,2.53,1.12,0.7933,0,0,0,0,2022-04-09
RX0000001526,MBR00000038,2021-11-19,2021-11-22,1712222647,1422140197,PLN8423,332894,PCN449,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,3,Retail,0,0,0,38.0,9.24,47.24,31.0,13.13,3.11,1.52,1.0767,0,0,0,0,2021-12-19
RX0000001527,MBR00000038,2021-02-08,2021-02-10,1808944627,1106422780,PLN9802,712591,PCN904,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,1,Retail,0,0,0,650.0,10.25,660.25,35.0,585.14,40.11,26.0,18.4167,0,0,0,0,2021-03-10
RX0000001528,MBR00000038,2022-10-18,2022-10-19,1758001601,1942710824,PLN2665,194200,PCN518,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,92,6,Retail,0,0,0,1140.0,9.49,1149.49,37.0,1062.35,50.14,15.2,10.7667,0,1,1,0,2023-01-16
RX0000001529,MBR00000038,2023-01-10,2023-01-12,1292194487,1745292548,PLN6156,879728,PCN450,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,7,Retail,3,0,0,380.0,10.1,390.1,33.0,336.41,20.69,15.2,10.7667,0,0,0,0,2023-02-09
RX0000001530,MBR00000038,2023-09-15,2023-09-19,1795212714,1969412186,PLN9684,633890,PCN987,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,5,Mail Order,0,0,0,45.0,9.44,54.44,0.0,51.02,3.42,1.8,1.275,0,0,0,0,2023-10-15
RX0000001531,MBR00000038,2023-03-03,2023-03-05,1983108100,1189874920,PLN7977,516520,PCN289,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,6,Mail Order,1,0,0,285.0,2.24,287.24,35.0,236.55,15.69,11.4,8.075,0,0,0,0,2023-04-02
RX0000001532,MBR00000038,2022-02-04,2022-02-08,1331459252,1116180030,PLN7347,183625,PCN839,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,4,Retail,0,0,0,185.0,5.82,190.82,39.0,143.62,8.2,7.4,5.2417,0,0,0,0,2022-03-06
RX0000001533,MBR00000038,2023-01-25,2023-01-28,1735135562,1509702695,PLN2145,823212,PCN853,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,4,Retail,0,0,0,480.0,7.91,487.91,32.0,433.88,22.03,19.2,13.6,0,0,0,0,2023-02-24
RX0000001534,MBR00000039,2023-08-28,2023-09-01,1950065831,1386673339,PLN9894,391338,PCN248,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,1,Retail,0,0,0,10.0,4.24,14.24,9.0,4.8,0.44,0.4,0.2833,0,0,0,0,2023-09-27
RX0000001535,MBR00000039,2021-01-01,2021-01-04,1950722283,1681766249,PLN8144,534201,PCN982,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,81,7,LTC,3,0,0,25.5,7.27,32.77,6.0,24.94,1.83,0.34,0.2408,0,0,0,0,2021-04-01
RX0000001536,MBR00000039,2022-09-29,2022-10-01,1557403460,1700168058,PLN5231,943336,PCN753,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,55,10,Retail,0,0,0,760.0,11.23,771.23,40.0,680.2,51.03,15.2,10.7667,0,0,0,0,2022-11-28
RX0000001537,MBR00000039,2021-09-22,2021-09-23,1643414886,1795409209,PLN4439,872637,PCN476,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,5,Retail,0,1,0,1983.33,11.01,1994.34,151.0,1753.21,90.13,340.0,240.8333,0,0,0,0,2021-09-29
RX0000001538,MBR00000039,2022-06-23,2022-06-26,1483939709,1953880542,PLN6685,522775,PCN206,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,96,9,Mail Order,0,0,0,54.0,10.58,64.58,2.0,58.08,4.5,0.72,0.51,0,0,0,0,2022-09-21
RX0000001539,MBR00000039,2023-10-31,2023-11-01,1419935336,1862320826,PLN9773,858452,PCN711,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,7,Retail,0,0,0,2.8,7.67,10.47,0.0,9.86,0.61,0.48,0.34,0,0,0,0,2023-11-07
RX0000001540,MBR00000039,2022-03-14,2022-03-16,1569330057,1179831829,PLN3444,431555,PCN161,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,2,Retail,0,0,0,2.33,7.65,9.98,1.0,8.61,0.37,0.4,0.2833,1,0,0,0,2022-03-21
RX0000001541,MBR00000039,2021-06-11,2021-06-15,1593314465,1241920228,PLN3086,157813,PCN715,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,94,4,Specialty,0,0,0,1950.0,41.53,1991.53,39.0,1952.53,0.0,26.0,18.4167,0,0,0,0,2021-09-09
RX0000001542,MBR00000039,2021-09-20,2021-09-21,1899938516,1811144687,PLN2853,648899,PCN572,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,86,4,Mail Order,0,0,0,2850.0,6.46,2856.46,40.0,2682.61,133.85,38.0,26.9167,0,0,0,0,2021-12-19
RX0000001543,MBR00000039,2022-10-09,2022-10-13,1766131005,1809133075,PLN1020,782913,PCN557,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,9,Retail,0,0,0,22.0,8.36,30.36,4.0,25.01,1.35,0.88,0.6233,0,0,0,0,2022-11-08
RX0000001544,MBR00000039,2021-09-16,2021-09-20,1824187200,1325865014,PLN6945,183204,PCN752,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,95,2,Retail,0,0,0,48.0,10.52,58.52,5.0,51.76,1.76,0.64,0.4533,0,0,0,0,2021-12-15
RX0000001545,MBR00000039,2021-04-24,2021-04-26,1904695352,1774419172,PLN3827,146586,PCN455,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,3,Retail,0,0,0,18.0,2.21,20.21,34.0,0.0,0.9,0.72,0.51,0,0,0,0,2021-05-24
RX0000001546,MBR00000039,2021-09-12,2021-09-16,1671298810,1112608842,PLN8096,425693,PCN273,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,95,8,Retail,0,0,0,45.0,8.82,53.82,9.0,41.66,3.16,0.6,0.425,0,0,0,0,2021-12-11
RX0000001547,MBR00000039,2021-08-31,2021-09-04,1351665681,1338743133,PLN6143,737075,PCN456,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,6,Specialty,0,0,0,330.0,47.47,377.47,40.0,337.47,0.0,13.2,9.35,0,0,0,0,2021-09-30
RX0000001548,MBR00000039,2021-10-15,2021-10-16,1819249983,1616612550,PLN4156,449313,PCN273,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,4,Specialty,0,0,0,10.0,43.42,53.42,10.0,43.42,0.0,0.4,0.2833,0,0,0,0,2021-11-14
RX0000001549,MBR00000039,2022-09-20,2022-09-22,1351166197,1210801088,PLN1990,304612,PCN301,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,0,Retail,0,0,0,12.0,8.91,20.91,0.0,20.17,0.74,0.48,0.34,0,0,0,0,2022-10-20
RX0000001550,MBR00000039,2022-01-10,2022-01-13,1288158889,1564344557,PLN8671,879176,PCN876,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,6,Retail,0,0,0,18.0,5.26,23.26,8.0,13.95,1.31,0.72,0.51,0,0,0,0,2022-02-09
RX0000001551,MBR00000039,2022-09-20,2022-09-22,1994035159,1195154883,PLN7997,543218,PCN981,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,9,Mail Order,0,0,0,14.0,8.83,22.83,0.0,21.56,1.27,0.56,0.3967,0,0,0,0,2022-10-20
RX0000001552,MBR00000039,2022-02-11,2022-02-14,1829615175,1983200200,PLN6376,624583,PCN528,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,9,Retail,0,0,1,8.87,3.84,12.71,38.0,0.0,0.72,1.52,1.0767,0,0,0,0,2022-02-18
RX0000001553,MBR00000039,2022-08-07,2022-08-08,1902813928,1893625947,PLN3836,660983,PCN290,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,5,Retail,0,0,0,28.0,9.67,37.67,0.0,36.25,1.42,1.12,0.7933,0,0,0,0,2022-09-06
RX0000001554,MBR00000039,2021-02-20,2021-02-24,1234872701,1161640864,PLN4113,972758,PCN800,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,2,Retail,0,1,0,2800.0,11.9,2811.9,146.0,2544.73,121.17,112.0,79.3333,0,0,0,0,2021-03-22
RX0000001555,MBR00000039,2023-03-27,2023-03-28,1280935319,1988881737,PLN3866,808814,PCN112,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,2,Retail,0,0,0,65.0,11.44,76.44,39.0,33.39,4.05,2.6,1.8417,0,0,0,0,2023-04-26
RX0000001556,MBR00000039,2021-05-09,2021-05-12,1875980895,1795748663,PLN2378,358315,PCN501,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,91,4,Retail,0,0,0,1950.0,2.0,1952.0,36.0,1812.85,103.15,26.0,18.4167,0,0,0,0,2021-08-07
RX0000001557,MBR00000039,2022-01-01,2022-01-05,1447231764,1384528953,PLN5993,357181,PCN766,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,62,2,Retail,1,0,0,20.0,10.83,30.83,6.0,22.85,1.98,0.4,0.2833,0,0,0,0,2022-03-02
RX0000001558,MBR00000039,2021-04-09,2021-04-12,1235887152,1859780148,PLN7113,496436,PCN707,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,4,Retail,3,0,0,10.0,9.28,19.28,1.0,17.48,0.8,0.4,0.2833,0,0,0,0,2021-05-09
RX0000001559,MBR00000039,2021-10-27,2021-10-30,1905373257,1897647553,PLN9682,327049,PCN198,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,6,Retail,0,0,0,3.5,6.17,9.67,4.0,5.02,0.65,0.6,0.425,0,0,0,0,2021-11-03
RX0000001560,MBR00000039,2022-11-29,2022-11-30,1265843317,1294034923,PLN1161,849366,PCN870,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,6,Specialty,0,0,0,22.0,27.69,49.69,1.0,48.69,0.0,0.88,0.6233,0,1,0,0,2022-12-29
RX0000001561,MBR00000039,2021-05-01,2021-05-04,1668501411,1277808697,PLN8344,124508,PCN211,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,95,4,Retail,0,0,0,1440.0,4.66,1444.66,34.0,1337.02,73.64,19.2,13.6,1,0,0,0,2021-07-30
RX0000001562,MBR00000039,2021-06-16,2021-06-18,1365361965,1949233953,PLN7356,729965,PCN616,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,2,Retail,0,0,0,18.0,7.38,25.38,7.0,16.77,1.61,0.72,0.51,0,0,0,0,2021-07-16
RX0000001563,MBR00000039,2021-01-08,2021-01-10,1737697209,1689541357,PLN5289,454600,PCN340,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,95,11,Retail,2,0,0,25.5,8.95,34.45,8.0,24.3,2.15,0.34,0.2408,0,0,0,0,2021-04-08
RX0000001564,MBR00000039,2022-09-15,2022-09-18,1868380690,1866197206,PLN2528,448187,PCN943,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,6,Specialty,0,1,0,12.0,44.98,56.98,151.0,0.0,0.0,0.48,0.34,0,0,0,0,2022-10-15
RX0000001565,MBR00000039,2023-07-03,2023-07-07,1616389914,1484757054,PLN5241,344889,PCN823,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,0,LTC,0,0,0,3.27,4.7,7.97,9.0,0.0,0.56,0.56,0.3967,0,1,0,0,2023-07-10
RX0000001566,MBR00000040,2021-09-23,2021-09-25,1454666852,1423057997,PLN4368,608798,PCN722,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,2,Mail Order,0,0,0,175.0,5.4,180.4,35.0,137.53,7.87,30.0,21.25,0,0,0,0,2021-09-30
RX0000001567,MBR00000040,2021-10-28,2021-10-31,1118196623,1349122145,PLN1617,949199,PCN561,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,6,Mail Order,2,0,0,18.0,7.28,25.28,34.0,0.0,0.94,0.72,0.51,0,0,0,0,2021-11-27
RX0000001568,MBR00000040,2021-10-10,2021-10-12,1305893732,1866965577,PLN4733,135642,PCN548,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,8,Retail,0,0,0,370.0,10.07,380.07,32.0,327.48,20.59,14.8,10.4833,0,0,0,0,2021-11-09
RX0000001569,MBR00000040,2023-07-19,2023-07-20,1583751962,1153508912,PLN5146,486342,PCN902,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,0,Retail,0,0,0,45.0,7.39,52.39,10.0,40.64,1.75,1.8,1.275,0,0,0,0,2023-08-18
RX0000001570,MBR00000040,2021-02-25,2021-02-26,1453592969,1806365207,PLN2980,731799,PCN312,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,8,Retail,0,0,0,22.0,10.13,32.13,10.0,20.6,1.53,0.88,0.6233,0,0,0,0,2021-03-27
RX0000001571,MBR00000040,2023-12-04,2023-12-05,1569359306,1967062190,PLN1223,176111,PCN491,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,9,Mail Order,0,0,0,185.0,5.15,190.15,31.0,149.31,9.84,7.4,5.2417,0,0,0,0,2024-01-03
RX0000001572,MBR00000040,2022-05-28,2022-05-31,1293284834,1269697785,PLN9342,881463,PCN310,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,0,Retail,0,0,0,45.0,2.91,47.91,9.0,36.0,2.91,1.8,1.275,0,0,0,0,2022-06-27
RX0000001573,MBR00000040,2023-07-31,2023-08-04,1547358010,1184966518,PLN1411,752327,PCN713,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,87,3,Retail,0,0,0,855.0,6.86,861.86,39.0,788.15,34.71,11.4,8.075,0,0,0,0,2023-10-29
RX0000001574,MBR00000040,2021-08-15,2021-08-18,1572584709,1951452492,PLN1682,184292,PCN144,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,8,Mail Order,0,0,0,14.0,9.41,23.41,6.0,16.58,0.83,0.56,0.3967,0,0,0,0,2021-09-14
RX0000001575,MBR00000040,2022-04-06,2022-04-08,1688358622,1570530872,PLN3763,730171,PCN579,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,5,Retail,0,0,0,11.0,2.0,13.0,1.0,11.21,0.79,0.44,0.3117,0,0,0,0,2022-05-06
RX0000001576,MBR00000040,2021-09-04,2021-09-08,1594011035,1939944139,PLN8112,176052,PCN926,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,94,10,Retail,0,0,0,45.0,4.83,49.83,9.0,38.59,2.24,0.6,0.425,0,0,0,0,2021-12-03
RX0000001577,MBR00000040,2022-06-13,2022-06-15,1117487366,1958439576,PLN4003,999919,PCN727,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,81,9,Mail Order,0,1,0,36.0,2.57,38.57,151.0,0.0,1.79,0.48,0.34,0,0,0,0,2022-09-11
RX0000001578,MBR00000040,2021-07-16,2021-07-19,1552075115,1385715971,PLN4415,202968,PCN291,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,5,Retail,1,0,0,2.8,6.91,9.71,4.0,5.11,0.6,0.48,0.34,0,0,0,0,2021-07-23
RX0000001579,MBR00000040,2021-11-03,2021-11-07,1906153115,1848688071,PLN9273,364988,PCN270,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,2,Retail,0,1,0,12.0,1.95,13.95,155.0,0.0,0.57,0.48,0.34,0,0,0,0,2021-12-03
RX0000001580,MBR00000040,2021-07-23,2021-07-26,1537415135,1484181390,PLN6866,115244,PCN390,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,6,Retail,0,0,0,7.5,6.95,14.45,5.0,8.59,0.86,0.3,0.2125,0,0,0,0,2021-08-22
RX0000001581,MBR00000040,2023-11-12,2023-11-15,1533882666,1315105466,PLN2106,713386,PCN570,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,85,6,Retail,0,0,0,555.0,2.11,557.11,32.0,497.09,28.02,7.4,5.2417,1,0,0,0,2024-02-10
RX0000001582,MBR00000040,2022-02-07,2022-02-10,1301916465,1693112253,PLN8525,573913,PCN647,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,9,Specialty,0,1,0,6200.0,36.4,6236.4,154.0,6082.4,0.0,248.0,175.6667,0,0,0,0,2022-03-09
RX0000001583,MBR00000040,2023-04-14,2023-04-15,1784264542,1520170879,PLN6243,559021,PCN779,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,11,Retail,0,1,0,8500.0,5.07,8505.07,155.0,8000.67,349.4,340.0,240.8333,1,0,0,0,2023-05-14
RX0000001584,MBR00000040,2022-05-24,2022-05-28,1835237270,1987382986,PLN9801,523121,PCN932,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,92,1,Retail,0,0,0,114.0,4.7,118.7,10.0,101.49,7.21,1.52,1.0767,0,0,0,0,2022-08-22
RX0000001585,MBR00000040,2021-05-10,2021-05-12,1813144127,1198479122,PLN3374,473781,PCN888,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,6,Retail,2,0,0,18.0,9.65,27.65,3.0,22.73,1.92,0.72,0.51,0,0,0,0,2021-06-09
RX0000001586,MBR00000040,2022-06-02,2022-06-06,1953479302,1264952301,PLN8670,743322,PCN946,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,56,3,Retail,0,1,0,24.0,2.23,26.23,149.0,0.0,1.83,0.48,0.34,0,0,0,0,2022-08-01
RX0000001587,MBR00000040,2021-07-15,2021-07-16,1201139491,1799767266,PLN6367,152791,PCN125,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,56,0,Retail,0,0,0,76.0,10.45,86.45,10.0,71.97,4.48,1.52,1.0767,0,0,0,0,2021-09-13
RX0000001588,MBR00000040,2021-02-22,2021-02-23,1502113772,1487535940,PLN5574,207986,PCN205,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,56,8,Retail,0,0,0,740.0,7.13,747.13,31.0,682.97,33.16,14.8,10.4833,0,0,0,0,2021-04-23
RX0000001589,MBR00000040,2023-03-03,2023-03-06,1387286526,1517931473,PLN1767,865682,PCN412,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,8,Retail,0,0,0,185.0,1.71,186.71,37.0,136.87,12.84,7.4,5.2417,1,1,1,0,2023-04-02
RX0000001590,MBR00000040,2022-05-13,2022-05-14,1784756576,1869439078,PLN9536,741610,PCN600,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,6,Retail,0,0,0,14.0,8.03,22.03,0.0,20.91,1.12,0.56,0.3967,1,0,0,0,2022-06-12
RX0000001591,MBR00000040,2023-04-10,2023-04-12,1626439059,1879670002,PLN7758,429936,PCN728,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,98,0,Retail,0,0,1,855.0,7.29,862.29,33.0,779.78,49.51,11.4,8.075,0,0,0,0,2023-07-09
RX0000001592,MBR00000040,2022-09-23,2022-09-24,1646255967,1395939530,PLN5154,723933,PCN927,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,6,Retail,0,0,0,12.5,10.31,22.81,8.0,14.09,0.72,0.5,0.3542,0,0,0,0,2022-10-23
RX0000001593,MBR00000040,2023-01-09,2023-01-13,1446507217,1281480841,PLN2428,858271,PCN996,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,9,Retail,0,0,0,320.0,3.26,323.26,39.0,265.59,18.67,12.8,9.0667,0,0,0,0,2023-02-08
RX0000001594,MBR00000040,2023-11-27,2023-11-29,1857134402,1461598631,PLN5777,985741,PCN443,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,7,Retail,0,0,0,14.0,2.39,16.39,1.0,14.28,1.11,0.56,0.3967,0,0,0,0,2023-12-27
RX0000001595,MBR00000040,2022-01-27,2022-01-29,1282530930,1491582527,PLN4403,879099,PCN288,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,97,0,Mail Order,0,0,0,36.0,8.87,44.87,8.0,34.33,2.54,0.48,0.34,0,0,0,0,2022-04-27
RX0000001596,MBR00000040,2023-02-10,2023-02-11,1518791442,1444246729,PLN4964,132474,PCN805,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,4,Retail,0,0,0,480.0,9.01,489.01,33.0,422.74,33.27,19.2,13.6,0,0,0,0,2023-03-12
RX0000001597,MBR00000040,2022-10-24,2022-10-26,1755598775,1420503953,PLN2857,170098,PCN951,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,60,5,Retail,2,0,0,36.0,11.28,47.28,0.0,45.84,1.44,0.72,0.51,0,1,0,0,2022-12-23
RX0000001598,MBR00000040,2022-07-01,2022-07-04,1144056328,1983587765,PLN1389,543750,PCN236,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,94,2,Retail,0,0,0,84.0,8.23,92.23,2.0,84.67,5.56,1.12,0.7933,0,1,0,0,2022-09-29
RX0000001599,MBR00000040,2021-10-04,2021-10-06,1373145124,1114182640,PLN4649,842552,PCN239,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,10,Retail,0,0,0,10.0,1.75,11.75,8.0,3.21,0.54,0.4,0.2833,1,0,0,0,2021-11-03
RX0000001600,MBR00000040,2023-03-02,2023-03-05,1839738932,1221239225,PLN1525,293675,PCN172,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,3,Retail,0,1,0,2800.0,1.73,2801.73,152.0,2541.41,108.32,112.0,79.3333,0,0,0,0,2023-04-01
RX0000001601,MBR00000040,2021-11-09,2021-11-13,1889830808,1807530651,PLN3679,268029,PCN615,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,95,10,Retail,0,0,0,42.0,5.26,47.26,0.0,44.56,2.7,0.56,0.3967,1,0,0,0,2022-02-07
RX0000001602,MBR00000040,2023-07-13,2023-07-14,1655287416,1668082922,PLN8394,775247,PCN538,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,10,Mail Order,0,0,0,380.0,1.56,381.56,38.0,323.24,20.32,15.2,10.7667,0,0,0,0,2023-08-12
RX0000001603,MBR00000040,2023-05-18,2023-05-20,1963869656,1213937109,PLN9617,453161,PCN998,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,83,2,Mail Order,0,0,0,27.0,7.8,34.8,8.0,25.44,1.36,0.36,0.255,0,0,0,0,2023-08-16
RX0000001604,MBR00000040,2021-02-21,2021-02-23,1711989459,1128210426,PLN4129,421060,PCN930,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,3,Mail Order,2,0,0,3.27,9.63,12.89,4.0,8.3,0.59,0.56,0.3967,0,0,0,0,2021-02-28
RX0000001605,MBR00000040,2021-10-25,2021-10-26,1411821341,1815125798,PLN1041,215083,PCN917,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,87,1,Mail Order,3,0,0,30.0,5.98,35.98,8.0,25.98,2.0,0.4,0.2833,0,0,0,0,2022-01-23
RX0000001606,MBR00000040,2021-05-03,2021-05-07,1866961932,1427018907,PLN1247,697067,PCN189,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,56,1,Specialty,0,0,0,18.0,42.65,60.65,8.0,52.65,0.0,0.36,0.255,0,0,0,0,2021-07-02
RX0000001607,MBR00000040,2021-09-06,2021-09-07,1257173394,1715193054,PLN1390,662993,PCN944,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,5,Mail Order,0,0,0,18.0,10.89,28.89,8.0,19.15,1.74,0.72,0.51,0,0,0,0,2021-10-06
RX0000001608,MBR00000040,2022-10-31,2022-11-03,1809966576,1789951716,PLN7287,739905,PCN734,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,7,Retail,0,1,0,2800.0,11.17,2811.17,148.0,2530.43,132.74,112.0,79.3333,0,0,0,0,2022-11-30
RX0000001609,MBR00000040,2023-07-08,2023-07-10,1453996877,1283886039,PLN5363,490988,PCN370,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,0,Retail,0,1,0,6200.0,4.13,6204.13,153.0,5734.77,316.36,248.0,175.6667,0,0,0,0,2023-08-07
RX0000001610,MBR00000040,2022-02-15,2022-02-16,1427146542,1668997183,PLN8033,246909,PCN163,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,3,Retail,0,0,0,15.0,4.58,19.58,0.0,18.76,0.82,0.6,0.425,0,0,0,0,2022-03-17
RX0000001611,MBR00000040,2021-01-06,2021-01-07,1777561850,1131236123,PLN2445,896312,PCN674,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,3,Retail,0,0,0,10.0,11.34,21.34,6.0,14.44,0.9,0.4,0.2833,0,1,0,0,2021-02-05
RX0000001612,MBR00000040,2022-03-28,2022-03-29,1606717686,1940039547,PLN5549,981361,PCN585,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,11,Retail,0,0,0,12.0,11.64,23.64,4.0,18.32,1.32,0.48,0.34,0,0,0,0,2022-04-27
RX0000001613,MBR00000040,2023-07-05,2023-07-08,1489841937,1674268564,PLN8005,815924,PCN570,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,98,2,Mail Order,0,0,0,33.0,7.87,40.87,7.0,32.47,1.4,0.44,0.3117,0,0,0,0,2023-10-03
RX0000001614,MBR00000040,2021-03-12,2021-03-16,1232359926,1696452753,PLN1174,447140,PCN125,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,5,Retail,0,1,0,12.0,9.98,21.98,148.0,0.0,1.4,0.48,0.34,0,0,0,0,2021-04-11
RX0000001615,MBR00000040,2023-12-02,2023-12-03,1930445192,1989234620,PLN3628,996671,PCN564,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,98,3,Mail Order,0,1,0,25500.0,1.84,25501.84,149.0,24431.74,921.1,340.0,240.8333,0,1,1,0,2024-03-01
RX0000001616,MBR00000040,2023-04-04,2023-04-08,1155348195,1926311446,PLN8619,619760,PCN973,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,6,Retail,0,1,0,6200.0,8.52,6208.52,148.0,5697.08,363.44,248.0,175.6667,0,0,0,0,2023-05-04
RX0000001617,MBR00000040,2021-06-29,2021-07-03,1593569187,1590250925,PLN2917,510910,PCN395,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,97,2,Retail,0,0,0,33.0,9.67,42.67,9.0,31.66,2.01,0.44,0.3117,0,0,0,0,2021-09-27
RX0000001618,MBR00000040,2021-02-18,2021-02-20,1904653129,1861763805,PLN2262,196166,PCN913,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,1,Mail Order,0,0,0,8.5,9.7,18.2,5.0,12.06,1.14,0.34,0.2408,0,0,0,0,2021-03-20
RX0000001619,MBR00000040,2021-04-10,2021-04-13,1699289038,1454725391,PLN5136,193117,PCN749,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,90,11,Mail Order,0,1,0,24.0,1.5,25.5,151.0,0.0,0.83,0.32,0.2267,0,0,0,0,2021-07-09
RX0000001620,MBR00000040,2021-09-22,2021-09-23,1315471534,1176592094,PLN4911,958973,PCN159,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,11,Specialty,0,0,0,28.0,25.41,53.41,7.0,46.41,0.0,1.12,0.7933,0,0,0,0,2021-10-22
RX0000001621,MBR00000040,2023-09-15,2023-09-17,1905171391,1650331374,PLN8232,668512,PCN759,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,7,Specialty,0,0,0,22.0,19.54,41.54,75.0,0.0,0.0,0.88,0.6233,0,0,0,0,2023-10-15
RX0000001622,MBR00000040,2023-04-06,2023-04-09,1944732725,1756808484,PLN4086,765713,PCN159,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,90,10,Retail,2,0,0,2250.0,2.4,2252.4,35.0,2143.55,73.85,30.0,21.25,0,0,0,0,2023-07-05
RX0000001623,MBR00000040,2021-12-18,2021-12-20,1179048693,1633752816,PLN2391,142700,PCN193,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,90,9,Retail,0,1,0,36.0,6.2,42.2,153.0,0.0,1.48,0.48,0.34,0,0,0,0,2022-03-18
RX0000001624,MBR00000040,2021-09-07,2021-09-11,1340569251,1500311493,PLN6461,110718,PCN335,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,0,Retail,0,0,0,4.2,1.9,6.1,32.0,0.0,0.38,0.72,0.51,0,0,0,0,2021-09-14
RX0000001625,MBR00000041,2021-01-14,2021-01-15,1241233714,1374149321,PLN9790,964089,PCN368,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,9,Retail,3,0,0,11.0,5.97,16.97,6.0,10.09,0.88,0.44,0.3117,0,0,0,0,2021-02-13
RX0000001626,MBR00000041,2023-06-04,2023-06-07,1860821864,1480320849,PLN6425,558165,PCN465,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,0,Mail Order,0,1,0,12.0,7.83,19.83,148.0,0.0,0.85,0.48,0.34,0,0,0,0,2023-07-04
RX0000001627,MBR00000041,2022-11-11,2022-11-13,1529646338,1671116494,PLN6220,811931,PCN819,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,3,Mail Order,3,0,0,33.0,8.91,41.91,1.0,38.02,2.89,0.44,0.3117,0,0,0,0,2023-02-09
RX0000001628,MBR00000041,2021-05-31,2021-06-03,1892617412,1100681755,PLN6886,640481,PCN193,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,90,1,Retail,2,0,0,36.0,1.81,37.81,10.0,26.34,1.47,0.48,0.34,0,0,0,0,2021-08-29
RX0000001629,MBR00000041,2023-03-05,2023-03-08,1336958242,1655780500,PLN8375,849848,PCN753,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,55,0,Retail,2,0,0,18.0,10.19,28.19,7.0,19.52,1.67,0.36,0.255,0,0,0,0,2023-05-04
RX0000001630,MBR00000041,2022-11-05,2022-11-06,1843121842,1677432745,PLN9298,775848,PCN266,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,9,Retail,0,0,0,7.5,7.6,15.1,4.0,10.11,0.99,0.3,0.2125,0,0,0,0,2022-12-05
RX0000001631,MBR00000041,2023-04-29,2023-05-01,1522993690,1351956917,PLN8043,355246,PCN667,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,5,Retail,0,0,0,750.0,8.67,758.67,36.0,696.85,25.82,30.0,21.25,0,0,0,0,2023-05-29
RX0000001632,MBR00000041,2022-12-05,2022-12-09,1241287881,1745319746,PLN2036,177590,PCN871,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,9,Retail,0,0,0,38.0,4.82,42.82,1.0,39.97,1.85,1.52,1.0767,0,0,0,0,2023-01-04
RX0000001633,MBR00000041,2021-09-04,2021-09-08,1491075385,1603200807,PLN6681,400264,PCN634,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,98,5,Specialty,0,0,0,930.0,42.61,972.61,36.0,936.61,0.0,12.4,8.7833,0,0,0,0,2021-12-03
RX0000001634,MBR00000041,2022-11-13,2022-11-15,1739213407,1674923750,PLN5676,677270,PCN105,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,11,Mail Order,0,0,0,15.0,6.4,21.4,0.0,20.42,0.98,0.6,0.425,0,0,0,0,2022-12-13
RX0000001635,MBR00000041,2021-12-11,2021-12-13,1507562003,1639113693,PLN2134,397005,PCN148,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,60,2,Retail,0,0,0,28.0,6.08,34.08,10.0,22.38,1.7,0.56,0.3967,0,0,0,0,2022-02-09
RX0000001636,MBR00000041,2021-05-08,2021-05-11,1842571991,1152926764,PLN8513,202073,PCN133,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,94,8,Retail,0,0,0,66.0,9.74,75.74,75.0,0.0,4.63,0.88,0.6233,0,0,0,0,2021-08-06
RX0000001637,MBR00000041,2021-09-22,2021-09-25,1623656132,1467233071,PLN6034,111741,PCN695,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,7,Retail,2,0,0,650.0,5.81,655.81,31.0,602.16,22.65,26.0,18.4167,0,0,0,0,2021-10-22
RX0000001638,MBR00000041,2022-01-18,2022-01-22,1270289361,1695771141,PLN1198,967581,PCN931,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,11,Retail,0,1,0,12.0,8.11,20.11,155.0,0.0,1.14,0.48,0.34,0,0,0,0,2022-02-17
RX0000001639,MBR00000041,2021-05-31,2021-06-04,1515486586,1119230013,PLN7869,845928,PCN481,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,5,Mail Order,0,0,0,5.13,9.88,15.02,5.0,9.18,0.84,0.88,0.6233,0,0,0,0,2021-06-07
RX0000001640,MBR00000041,2023-12-28,2024-01-01,1101446644,1462296183,PLN7602,365013,PCN362,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,4,Retail,0,0,0,9.0,3.62,12.62,0.0,11.83,0.79,0.36,0.255,0,0,0,0,2024-01-27
RX0000001641,MBR00000041,2021-01-21,2021-01-23,1840165559,1784850338,PLN6852,243044,PCN445,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,81,1,Retail,0,0,0,54.0,7.2,61.2,31.0,27.66,2.54,0.72,0.51,0,0,0,0,2021-04-21
RX0000001642,MBR00000041,2023-06-15,2023-06-19,1926919343,1869971462,PLN1066,419668,PCN288,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,90,4,Mail Order,0,0,0,33.0,11.46,44.46,5.0,37.94,1.52,0.44,0.3117,0,0,0,0,2023-09-13
RX0000001643,MBR00000041,2023-05-01,2023-05-02,1996565192,1776162307,PLN3199,673991,PCN854,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,11,Retail,0,0,0,14.0,8.49,22.49,1.0,20.64,0.85,0.56,0.3967,0,0,0,0,2023-05-31
RX0000001644,MBR00000041,2022-04-14,2022-04-15,1706843390,1453363425,PLN7967,688709,PCN208,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,55,10,Retail,0,0,0,1900.0,2.04,1902.04,35.0,1793.24,73.8,38.0,26.9167,0,0,0,0,2022-06-13
RX0000001645,MBR00000041,2023-02-12,2023-02-15,1879254090,1834152400,PLN2744,212839,PCN331,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,89,2,Retail,0,1,0,24.0,8.15,32.15,150.0,0.0,1.16,0.32,0.2267,1,0,0,0,2023-05-13
RX0000001646,MBR00000041,2021-04-25,2021-04-28,1284201171,1364932482,PLN1445,970284,PCN666,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,7,Mail Order,2,0,0,22.0,11.09,33.09,3.0,28.11,1.98,0.88,0.6233,0,0,0,0,2021-05-25
RX0000001647,MBR00000041,2021-12-11,2021-12-12,1820902913,1574922768,PLN9707,758528,PCN988,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,5,Retail,0,0,0,14.0,4.54,18.54,3.0,14.71,0.83,0.56,0.3967,1,0,0,0,2022-01-10
RX0000001648,MBR00000041,2021-04-23,2021-04-26,1393605747,1901520335,PLN7535,144933,PCN269,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,56,9,Retail,0,0,0,370.0,2.69,372.69,37.0,318.12,17.57,7.4,5.2417,0,0,0,0,2021-06-22
RX0000001649,MBR00000041,2022-01-09,2022-01-12,1220134110,1922614138,PLN4796,320160,PCN779,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,95,10,Mail Order,1,0,0,855.0,5.37,860.37,39.0,790.73,30.64,11.4,8.075,0,0,0,0,2022-04-09
RX0000001650,MBR00000041,2021-07-04,2021-07-08,1180374006,1364458199,PLN5693,244443,PCN957,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,93,5,Mail Order,0,0,0,45.0,11.2,56.2,9.0,44.26,2.94,0.6,0.425,0,0,0,0,2021-10-02
RX0000001651,MBR00000041,2022-02-11,2022-02-13,1360021914,1215911258,PLN6077,235752,PCN250,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,2,Mail Order,0,0,0,66.5,6.97,73.47,38.0,32.31,3.16,11.4,8.075,0,0,0,0,2022-02-18
RX0000001652,MBR00000041,2021-05-18,2021-05-22,1713792282,1483292611,PLN9358,822611,PCN980,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,3,Retail,1,0,0,18.0,11.31,29.31,39.0,0.0,1.06,0.72,0.51,1,0,0,0,2021-06-17
RX0000001653,MBR00000042,2021-07-25,2021-07-29,1786683841,1702748375,PLN4583,403565,PCN439,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,6,Retail,3,0,0,12.5,8.32,20.82,8.0,11.38,1.44,0.5,0.3542,0,0,0,0,2021-08-24
RX0000001654,MBR00000042,2022-01-06,2022-01-07,1509954276,1627463324,PLN1620,564487,PCN953,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,10,Retail,0,0,0,22.0,9.88,31.88,3.0,26.69,2.19,0.88,0.6233,0,0,0,0,2022-02-05
RX0000001655,MBR00000042,2021-04-15,2021-04-19,1412285087,1682535498,PLN8887,431248,PCN424,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,6,Retail,0,1,0,8.0,6.36,14.36,154.0,0.0,0.72,0.32,0.2267,0,0,0,0,2021-05-15
RX0000001656,MBR00000042,2022-02-22,2022-02-25,1748365816,1444237397,PLN1408,878011,PCN450,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,54,3,Retail,0,0,0,76.0,11.58,87.58,33.0,49.58,5.0,1.52,1.0767,0,0,0,0,2022-04-23
RX0000001657,MBR00000042,2021-03-08,2021-03-09,1482379694,1553087806,PLN7545,354575,PCN134,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,58,6,Retail,3,0,0,56.0,6.61,62.61,5.0,54.27,3.34,1.12,0.7933,0,0,0,0,2021-05-07
RX0000001658,MBR00000042,2021-10-10,2021-10-13,1277784072,1325096475,PLN9592,704595,PCN583,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,6,Mail Order,0,0,0,16.0,10.54,26.54,6.0,19.09,1.45,0.64,0.4533,0,0,0,0,2021-11-09
RX0000001659,MBR00000042,2023-04-10,2023-04-13,1988703324,1874067387,PLN8826,109679,PCN284,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,81,6,Retail,0,0,0,2850.0,1.62,2851.62,38.0,2638.65,174.97,38.0,26.9167,1,0,0,0,2023-07-09
RX0000001660,MBR00000042,2023-01-30,2023-02-03,1974401374,1514873811,PLN4460,338865,PCN330,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,2,Retail,0,0,0,18.0,4.44,22.44,10.0,11.71,0.73,0.72,0.51,0,0,0,0,2023-03-01
RX0000001661,MBR00000042,2023-10-23,2023-10-24,1999702568,1738572540,PLN7412,975210,PCN935,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,1,Retail,1,1,0,12.0,10.11,22.11,153.0,0.0,1.05,0.48,0.34,0,0,0,0,2023-11-22
RX0000001662,MBR00000042,2022-04-18,2022-04-20,1649130354,1407653339,PLN8302,253449,PCN577,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,3,Retail,0,0,0,175.0,4.97,179.97,37.0,135.42,7.55,7.0,4.9583,0,0,0,0,2022-05-18
RX0000001663,MBR00000042,2021-05-15,2021-05-19,1637155664,1489792106,PLN7063,531960,PCN518,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,0,Retail,0,0,0,38.0,5.71,43.71,3.0,38.07,2.64,1.52,1.0767,0,0,0,0,2021-06-14
RX0000001664,MBR00000042,2021-11-18,2021-11-20,1490561980,1919904654,PLN3858,524889,PCN324,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,83,8,Retail,2,0,0,37.5,4.3,41.8,0.0,40.37,1.43,0.5,0.3542,1,0,0,0,2022-02-16
RX0000001665,MBR00000042,2023-04-27,2023-04-29,1982547560,1948883185,PLN5848,940832,PCN111,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,83,4,Retail,0,0,1,27.0,10.97,37.97,5.0,31.14,1.83,0.36,0.255,0,0,0,0,2023-07-26
RX0000001666,MBR00000042,2021-02-06,2021-02-10,1560756541,1698060504,PLN9230,993079,PCN365,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,11,Retail,3,0,0,221.67,10.9,232.57,30.0,193.32,9.25,38.0,26.9167,0,0,0,0,2021-02-13
RX0000001667,MBR00000042,2023-01-14,2023-01-16,1494035834,1294878925,PLN4251,858675,PCN312,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,11,Specialty,0,0,0,10.0,37.46,47.46,9.0,38.46,0.0,0.4,0.2833,0,0,0,0,2023-02-13
RX0000001668,MBR00000042,2021-07-10,2021-07-13,1744073497,1358936952,PLN1310,570715,PCN107,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,11,Mail Order,2,0,0,18.0,9.23,27.23,5.0,21.29,0.94,0.72,0.51,0,0,0,0,2021-08-09
RX0000001669,MBR00000042,2021-08-30,2021-09-01,1645590570,1285523355,PLN5846,292983,PCN568,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,54,11,Retail,0,0,0,760.0,5.14,765.14,32.0,705.06,28.08,15.2,10.7667,0,0,0,0,2021-10-29
RX0000001670,MBR00000042,2023-08-02,2023-08-06,1307525244,1116544089,PLN3131,547031,PCN382,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,2,Mail Order,0,0,0,2.1,11.36,13.46,3.0,9.74,0.72,0.36,0.255,0,1,0,0,2023-08-09
RX0000001671,MBR00000042,2021-09-27,2021-10-01,1961727276,1186329792,PLN6022,800427,PCN930,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,97,7,Mail Order,0,0,0,30.0,3.39,33.39,4.0,28.17,1.22,0.4,0.2833,0,0,0,0,2021-12-26
RX0000001672,MBR00000042,2021-12-17,2021-12-18,1385759234,1524043682,PLN5032,219071,PCN858,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,61,1,Retail,0,0,0,90.0,9.07,99.07,7.0,86.49,5.58,1.8,1.275,0,0,0,0,2022-02-15
RX0000001673,MBR00000042,2022-07-14,2022-07-16,1768679062,1942670110,PLN4218,128414,PCN137,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,87,11,Retail,0,0,0,555.0,3.36,558.36,32.0,500.17,26.19,7.4,5.2417,0,0,0,0,2022-10-12
RX0000001674,MBR00000042,2021-10-01,2021-10-02,1579089100,1429392548,PLN7451,501454,PCN634,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,2,Mail Order,0,0,0,2.33,4.14,6.47,6.0,0.22,0.25,0.4,0.2833,0,0,0,0,2021-10-08
RX0000001675,MBR00000042,2022-01-22,2022-01-25,1873472651,1413284725,PLN1785,639981,PCN189,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,61,8,Retail,0,0,0,22.0,9.74,31.74,0.0,29.77,1.97,0.44,0.3117,0,0,0,0,2022-03-23
RX0000001676,MBR00000042,2021-06-12,2021-06-14,1497341967,1659328880,PLN5455,785285,PCN613,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,87,11,Retail,0,0,0,930.0,8.96,938.96,37.0,852.38,49.58,12.4,8.7833,0,0,0,0,2021-09-10
RX0000001677,MBR00000042,2022-01-06,2022-01-08,1254505356,1733609823,PLN7019,565325,PCN332,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,0,LTC,2,0,0,10.0,1.78,11.78,3.0,8.3,0.48,0.4,0.2833,0,0,0,0,2022-02-05
RX0000001678,MBR00000042,2021-05-05,2021-05-06,1838043049,1974427039,PLN9248,795283,PCN310,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,4,Specialty,0,0,0,38.0,28.38,66.38,39.0,27.38,0.0,1.52,1.0767,0,0,0,0,2021-06-04
RX0000001679,MBR00000042,2022-07-26,2022-07-30,1413946424,1537706744,PLN2644,196198,PCN438,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,7,Retail,0,0,0,480.0,8.7,488.7,40.0,428.1,20.6,19.2,13.6,0,0,0,0,2022-08-25
RX0000001680,MBR00000042,2022-11-01,2022-11-05,1364528852,1662461664,PLN4028,469521,PCN477,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,3,Retail,0,0,0,175.0,7.34,182.34,35.0,140.08,7.26,7.0,4.9583,1,0,0,0,2022-12-01
RX0000001681,MBR00000042,2023-06-22,2023-06-24,1534135244,1578433287,PLN8329,488869,PCN981,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,8,Retail,0,0,0,14.0,4.17,18.17,8.0,9.5,0.67,0.56,0.3967,0,0,0,0,2023-07-22
RX0000001682,MBR00000042,2023-11-19,2023-11-21,1212289383,1421465868,PLN1069,888305,PCN649,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,98,7,Retail,0,0,0,135.0,8.43,143.43,0.0,133.56,9.87,1.8,1.275,0,0,0,0,2024-02-17
RX0000001683,MBR00000042,2021-02-11,2021-02-13,1692189559,1847903080,PLN5744,446927,PCN934,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,3,Retail,0,0,0,45.0,8.47,53.47,5.0,46.57,1.9,1.8,1.275,0,0,0,0,2021-03-13
RX0000001684,MBR00000042,2023-11-04,2023-11-05,1472894512,1141771003,PLN5971,689678,PCN256,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,10,Mail Order,0,0,0,40.83,10.49,51.32,39.0,9.47,2.85,7.0,4.9583,0,0,0,0,2023-11-11
RX0000001685,MBR00000042,2022-02-18,2022-02-20,1829286388,1722134624,PLN9900,221050,PCN179,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,6,Retail,0,0,0,38.0,2.23,40.23,34.0,4.27,1.96,1.52,1.0767,0,0,0,0,2022-03-20
RX0000001686,MBR00000042,2022-02-09,2022-02-13,1352798072,1698645703,PLN2062,953888,PCN192,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,92,2,Retail,0,0,0,45.0,6.86,51.86,4.0,46.16,1.7,0.6,0.425,0,0,0,0,2022-05-10
RX0000001687,MBR00000042,2022-10-06,2022-10-08,1938758522,1212411794,PLN4250,544371,PCN650,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,9,Retail,0,0,0,9.0,7.68,16.68,4.0,11.86,0.82,0.36,0.255,0,0,0,0,2022-11-05
RX0000001688,MBR00000042,2021-07-31,2021-08-02,1919624796,1520134333,PLN2032,973518,PCN465,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,8,LTC,0,0,0,12.0,8.95,20.95,8.0,11.93,1.02,0.48,0.34,0,0,0,0,2021-08-30
RX0000001689,MBR00000042,2021-05-26,2021-05-27,1233297949,1231826633,PLN8293,639096,PCN396,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,2,Retail,0,0,0,10.0,6.67,16.67,2.0,14.15,0.52,0.4,0.2833,0,0,0,0,2021-06-25
RX0000001690,MBR00000042,2022-07-23,2022-07-25,1885910905,1763230810,PLN7476,150482,PCN330,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,7,Retail,0,0,0,285.0,2.4,287.4,37.0,233.64,16.76,11.4,8.075,0,0,0,0,2022-08-22
RX0000001691,MBR00000042,2022-08-31,2022-09-02,1614732582,1216240502,PLN2782,601901,PCN880,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,1,Mail Order,1,0,0,10.0,6.21,16.21,5.0,10.57,0.64,0.4,0.2833,0,0,0,0,2022-09-30
RX0000001692,MBR00000042,2021-09-09,2021-09-13,1832536156,1718662719,PLN9294,920505,PCN964,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,4,Retail,0,0,0,38.0,1.94,39.94,8.0,29.68,2.26,1.52,1.0767,0,0,0,0,2021-10-09
RX0000001693,MBR00000042,2021-09-17,2021-09-19,1523585947,1324981935,PLN2819,808573,PCN439,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,6,Specialty,0,0,0,28.0,32.23,60.23,5.0,55.23,0.0,1.12,0.7933,0,0,0,0,2021-10-17
RX0000001694,MBR00000042,2023-12-28,2023-12-31,1202173373,1511430478,PLN8764,866439,PCN822,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,8,Retail,0,0,0,12.0,5.1,17.1,4.0,12.38,0.72,0.48,0.34,0,0,0,0,2024-01-27
RX0000001695,MBR00000042,2021-01-28,2021-01-29,1265224514,1794729665,PLN3084,351307,PCN463,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,6,Retail,0,1,0,6200.0,11.6,6211.6,154.0,5651.4,406.2,248.0,175.6667,0,0,0,0,2021-02-27
RX0000001696,MBR00000042,2021-11-29,2021-12-01,1264111767,1111149402,PLN7581,398456,PCN842,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,6,Retail,0,0,0,22.0,9.22,31.22,3.0,26.54,1.68,0.88,0.6233,0,0,0,0,2021-12-29
RX0000001697,MBR00000042,2021-08-02,2021-08-05,1752605962,1236185575,PLN4481,797831,PCN453,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,4,Retail,0,0,0,15.0,3.79,18.79,10.0,7.9,0.89,0.6,0.425,0,0,0,0,2021-09-01
RX0000001698,MBR00000042,2021-01-21,2021-01-24,1330554650,1799660205,PLN3106,396630,PCN769,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,5,Mail Order,0,0,0,38.0,9.52,47.52,37.0,8.94,1.58,1.52,1.0767,0,0,0,0,2021-02-20
RX0000001699,MBR00000042,2021-06-29,2021-07-03,1286597881,1416919126,PLN3089,191098,PCN171,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,9,Mail Order,2,1,0,8500.0,9.81,8509.81,153.0,8050.46,306.35,340.0,240.8333,0,0,0,0,2021-07-29
RX0000001700,MBR00000042,2021-09-01,2021-09-02,1286825140,1814349972,PLN8133,736614,PCN296,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,1,Mail Order,0,0,0,72.33,6.02,78.35,33.0,40.53,4.82,12.4,8.7833,0,0,0,0,2021-09-08
RX0000001701,MBR00000042,2021-08-02,2021-08-06,1280926214,1798503573,PLN1737,673550,PCN539,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,11,Retail,0,0,0,11.0,2.64,13.64,2.0,10.98,0.66,0.44,0.3117,0,0,0,0,2021-09-01
RX0000001702,MBR00000042,2021-01-16,2021-01-20,1128098295,1700659954,PLN3662,733109,PCN804,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,7,Mail Order,0,0,0,370.0,2.19,372.19,40.0,313.54,18.65,14.8,10.4833,0,0,0,0,2021-02-15
RX0000001703,MBR00000043,2021-06-24,2021-06-26,1592901521,1977164954,PLN3826,832294,PCN659,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,6,Retail,0,0,0,12.0,5.47,17.47,3.0,13.39,1.08,0.48,0.34,0,0,0,0,2021-07-24
RX0000001704,MBR00000043,2023-04-30,2023-05-01,1959598068,1539461682,PLN6535,714210,PCN954,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,11,Mail Order,0,0,0,12.0,3.99,15.99,4.0,11.06,0.93,0.48,0.34,1,0,0,0,2023-05-30
RX0000001705,MBR00000043,2023-03-29,2023-04-02,1480157975,1732542276,PLN7432,430178,PCN816,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,11,Retail,0,0,0,8.5,4.8,13.3,4.0,8.85,0.45,0.34,0.2408,0,0,0,0,2023-04-28
RX0000001706,MBR00000043,2022-10-22,2022-10-26,1614823304,1983013548,PLN1482,544431,PCN543,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,84,3,Mail Order,2,0,0,990.0,8.59,998.59,33.0,915.33,50.26,13.2,9.35,0,0,0,0,2023-01-20
RX0000001707,MBR00000043,2021-07-21,2021-07-22,1573267542,1214849607,PLN6208,211227,PCN933,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,55,9,Retail,0,0,0,44.0,9.08,53.08,3.0,47.18,2.9,0.88,0.6233,1,0,0,0,2021-09-19
RX0000001708,MBR00000043,2022-06-02,2022-06-03,1714711844,1556242372,PLN8059,483605,PCN138,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,11,Retail,3,0,0,12.0,2.41,14.41,6.0,7.57,0.84,0.48,0.34,0,0,0,0,2022-07-02
RX0000001709,MBR00000043,2022-12-16,2022-12-19,1164744390,1623365445,PLN5986,495004,PCN309,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,83,0,Retail,0,0,0,27.0,2.45,29.45,2.0,25.86,1.59,0.36,0.255,0,0,0,0,2023-03-16
RX0000001710,MBR00000043,2023-02-04,2023-02-05,1172468387,1411631415,PLN7493,692192,PCN186,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,96,0,LTC,0,0,0,1440.0,5.26,1445.26,33.0,1359.84,52.42,19.2,13.6,0,0,0,0,2023-05-05
RX0000001711,MBR00000043,2023-12-07,2023-12-08,1605422606,1163233432,PLN4820,292596,PCN850,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,88,8,Mail Order,0,0,0,30.0,3.25,33.25,9.0,22.84,1.41,0.4,0.2833,1,0,0,0,2024-03-06
RX0000001712,MBR00000043,2022-02-14,2022-02-18,1810622671,1831979592,PLN6307,885983,PCN197,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,5,Retail,0,0,0,650.0,6.88,656.88,38.0,591.5,27.38,26.0,18.4167,0,0,0,0,2022-03-16
RX0000001713,MBR00000043,2023-03-26,2023-03-29,1632454224,1277282312,PLN6190,451550,PCN483,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,4,Retail,3,0,0,28.0,8.75,36.75,3.0,32.51,1.24,1.12,0.7933,0,0,0,0,2023-04-25
RX0000001714,MBR00000043,2021-11-04,2021-11-05,1179461002,1902976063,PLN6282,798078,PCN895,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,7,Retail,0,1,0,6200.0,7.61,6207.61,149.0,5642.79,415.82,248.0,175.6667,0,0,0,0,2021-12-04
RX0000001715,MBR00000043,2022-10-17,2022-10-18,1830282654,1724914694,PLN4065,299723,PCN396,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,8,Retail,0,0,0,4.2,11.57,15.77,37.0,0.0,0.64,0.72,0.51,0,0,0,0,2022-10-24
RX0000001716,MBR00000043,2022-02-04,2022-02-05,1117005027,1223360691,PLN6757,540603,PCN996,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,86,9,Retail,0,0,0,855.0,2.84,857.84,34.0,772.44,51.4,11.4,8.075,0,0,0,0,2022-05-05
RX0000001717,MBR00000043,2021-12-19,2021-12-23,1920748363,1886522215,PLN2900,161930,PCN903,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,2,Retail,0,0,0,12.0,2.57,14.57,3.0,10.97,0.6,0.48,0.34,0,0,0,0,2022-01-18
RX0000001718,MBR00000043,2022-03-21,2022-03-22,1184966136,1682343331,PLN5903,749565,PCN342,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,0,Specialty,0,0,0,22.0,24.87,46.87,9.0,37.87,0.0,0.88,0.6233,0,0,0,0,2022-04-20
RX0000001719,MBR00000043,2022-06-16,2022-06-17,1212831723,1848917343,PLN4008,291781,PCN258,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,1,Retail,0,0,0,12.0,8.3,20.3,9.0,9.99,1.31,0.48,0.34,0,0,0,0,2022-07-16
RX0000001720,MBR00000043,2023-03-23,2023-03-24,1971377088,1821994990,PLN5579,117291,PCN406,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,60,9,Retail,0,0,0,30.0,2.75,32.75,4.0,27.45,1.3,0.6,0.425,0,0,0,0,2023-05-22
RX0000001721,MBR00000043,2021-07-23,2021-07-24,1849964354,1755145461,PLN5882,667699,PCN228,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,11,Retail,0,0,0,3.73,8.41,12.14,6.0,5.44,0.7,0.64,0.4533,0,0,0,0,2021-07-30
RX0000001722,MBR00000043,2022-08-26,2022-08-29,1836413254,1899684431,PLN2706,634048,PCN508,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,10,Mail Order,1,1,0,2800.0,4.95,2804.95,150.0,2496.74,158.21,112.0,79.3333,0,0,0,0,2022-09-25
RX0000001723,MBR00000043,2021-07-27,2021-07-29,1927708651,1459524176,PLN6184,320149,PCN259,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,84,0,Retail,0,1,0,24.0,3.66,27.66,154.0,0.0,1.4,0.32,0.2267,0,0,0,0,2021-10-25
RX0000001724,MBR00000043,2021-05-26,2021-05-28,1453993088,1484449830,PLN8118,375346,PCN141,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,64,8,Retail,0,0,0,130.0,11.53,141.53,32.0,103.82,5.71,2.6,1.8417,0,0,0,0,2021-07-25
RX0000001725,MBR00000043,2023-10-26,2023-10-30,1324297641,1669243429,PLN9712,393877,PCN478,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,82,0,Retail,0,0,0,990.0,8.33,998.33,35.0,931.98,31.35,13.2,9.35,0,0,0,0,2024-01-24
RX0000001726,MBR00000043,2022-10-20,2022-10-22,1572305635,1817250368,PLN5909,121516,PCN940,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,55,0,Retail,1,0,0,28.0,1.62,29.62,10.0,17.82,1.8,0.56,0.3967,0,0,0,0,2022-12-19
RX0000001727,MBR00000043,2023-05-04,2023-05-05,1113771714,1131576628,PLN6494,449423,PCN636,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,0,Retail,0,1,0,8.0,9.85,17.85,148.0,0.0,0.84,0.32,0.2267,0,0,0,0,2023-06-03
RX0000001728,MBR00000043,2022-02-03,2022-02-05,1607810683,1312509762,PLN4692,713159,PCN815,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,8,Retail,0,0,0,15.0,8.61,23.61,6.0,16.0,1.61,0.6,0.425,0,0,0,0,2022-03-05
RX0000001729,MBR00000043,2023-09-22,2023-09-25,1868135803,1364934556,PLN3504,167538,PCN574,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,10,Mail Order,0,0,0,27.0,7.14,34.14,10.0,21.98,2.16,0.36,0.255,0,0,0,0,2023-12-21
RX0000001730,MBR00000043,2022-05-27,2022-05-31,1420175847,1536234091,PLN8450,221486,PCN800,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,87,8,Retail,3,0,0,960.0,4.86,964.86,33.0,876.63,55.23,12.8,9.0667,0,0,0,0,2022-08-25
RX0000001731,MBR00000043,2022-12-28,2022-12-29,1194964836,1378453765,PLN2973,638236,PCN734,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,2,Retail,0,0,0,18.0,10.0,28.0,0.0,26.56,1.44,0.72,0.51,0,0,0,0,2023-01-27
RX0000001732,MBR00000043,2022-05-01,2022-05-03,1325364028,1519460017,PLN3970,526796,PCN292,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,55,2,Retail,0,0,0,36.0,10.94,46.94,39.0,5.27,2.67,0.72,0.51,0,0,0,0,2022-06-30
RX0000001733,MBR00000043,2022-01-02,2022-01-05,1324433669,1564698236,PLN8925,266646,PCN331,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,2,Mail Order,0,0,0,12.0,10.57,22.57,0.0,21.73,0.84,0.48,0.34,1,0,0,0,2022-02-01
RX0000001734,MBR00000043,2023-10-10,2023-10-14,1830375392,1206855839,PLN3837,221798,PCN381,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,9,Retail,0,0,0,10.5,10.1,20.6,1.0,18.28,1.32,1.8,1.275,0,0,0,0,2023-10-17
RX0000001735,MBR00000043,2022-02-01,2022-02-05,1680059833,1651367873,PLN5001,204769,PCN242,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,3,Mail Order,0,0,0,4.2,11.69,15.89,34.0,0.0,0.91,0.72,0.51,0,0,0,0,2022-02-08
RX0000001736,MBR00000043,2022-03-02,2022-03-03,1870877787,1108999962,PLN5582,389440,PCN448,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,1,Retail,0,0,0,14.0,2.54,16.54,0.0,15.69,0.85,0.56,0.3967,0,0,0,0,2022-04-01
RX0000001737,MBR00000043,2022-09-25,2022-09-29,1961228441,1681534794,PLN6892,463248,PCN132,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,82,8,Retail,0,0,0,2250.0,2.69,2252.69,32.0,2134.95,85.74,30.0,21.25,0,0,0,0,2022-12-24
RX0000001738,MBR00000043,2021-10-08,2021-10-10,1587389336,1740573327,PLN2603,688368,PCN421,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,6,Retail,0,1,0,2.8,3.09,5.89,148.0,0.0,0.2,0.48,0.34,0,0,0,0,2021-10-15
RX0000001739,MBR00000043,2021-07-12,2021-07-14,1735492063,1469104162,PLN2677,326836,PCN504,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,97,10,Specialty,0,0,0,135.0,14.01,149.01,3.0,146.01,0.0,1.8,1.275,0,0,0,0,2021-10-10
RX0000001740,MBR00000043,2023-03-12,2023-03-16,1414662555,1627983689,PLN9606,240941,PCN676,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,95,6,Retail,0,0,0,2250.0,2.34,2252.34,34.0,2139.45,78.89,30.0,21.25,0,0,0,0,2023-06-10
RX0000001741,MBR00000043,2023-08-24,2023-08-27,1789497233,1643710275,PLN7881,387386,PCN256,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,88,11,Retail,3,1,0,18600.0,7.51,18607.51,154.0,17544.15,909.36,248.0,175.6667,0,0,0,0,2023-11-22
RX0000001742,MBR00000043,2022-06-02,2022-06-05,1580904522,1642518481,PLN8315,440222,PCN506,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,5,Retail,0,0,0,22.0,8.24,30.24,9.0,20.01,1.23,0.88,0.6233,0,0,0,0,2022-07-02
RX0000001743,MBR00000043,2021-10-30,2021-10-31,1192174340,1701387082,PLN7696,613049,PCN944,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,4,Retail,0,0,0,320.0,9.2,329.2,35.0,280.64,13.56,12.8,9.0667,0,0,0,0,2021-11-29
RX0000001744,MBR00000043,2023-02-16,2023-02-20,1998817216,1661773216,PLN5456,710241,PCN135,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,54,11,Mail Order,0,0,0,56.0,9.26,65.26,10.0,51.54,3.72,1.12,0.7933,0,0,0,0,2023-04-17
RX0000001745,MBR00000043,2021-11-17,2021-11-19,1903846094,1224718592,PLN9243,519177,PCN898,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,9,Retail,0,0,0,750.0,11.08,761.08,30.0,691.2,39.88,30.0,21.25,0,0,0,0,2021-12-17
RX0000001746,MBR00000044,2021-11-02,2021-11-05,1925458613,1515132939,PLN2124,407930,PCN427,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,83,4,Retail,0,0,0,36.0,11.83,47.83,2.0,44.39,1.44,0.48,0.34,0,0,0,0,2022-01-31
RX0000001747,MBR00000044,2023-02-24,2023-02-25,1665342875,1681668555,PLN2027,727519,PCN713,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,55,4,Retail,0,0,0,76.0,10.11,86.11,2.0,79.03,5.08,1.52,1.0767,0,0,0,0,2023-04-25
RX0000001748,MBR00000044,2023-11-12,2023-11-16,1554827485,1352347236,PLN5347,447874,PCN535,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,6,Retail,0,0,0,12.5,7.77,20.27,0.0,19.03,1.24,0.5,0.3542,0,0,0,0,2023-12-12
RX0000001749,MBR00000044,2022-05-15,2022-05-17,1394268690,1270917859,PLN1871,881348,PCN526,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,2,Retail,0,0,0,15.0,6.94,21.94,9.0,11.76,1.18,0.6,0.425,0,0,0,0,2022-06-14
RX0000001750,MBR00000044,2022-11-23,2022-11-27,1550700598,1361328794,PLN5486,358367,PCN739,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,0,Retail,0,0,0,10.0,5.34,15.34,4.0,10.38,0.96,0.4,0.2833,0,0,0,0,2022-12-23
RX0000001751,MBR00000044,2021-02-07,2021-02-08,1562533736,1239236605,PLN9583,584417,PCN248,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,0,Mail Order,0,0,0,18.0,7.39,25.39,9.0,14.93,1.46,0.72,0.51,0,1,0,0,2021-03-09
RX0000001752,MBR00000044,2022-11-20,2022-11-24,1725493196,1333167856,PLN7395,737132,PCN496,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,93,5,Retail,0,1,0,25500.0,4.76,25504.76,148.0,24359.77,996.99,340.0,240.8333,0,0,0,0,2023-02-18
RX0000001753,MBR00000044,2021-04-29,2021-05-01,1675522683,1160961548,PLN5907,975454,PCN193,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,5,Retail,0,0,0,330.0,5.16,335.16,39.0,283.29,12.87,13.2,9.35,0,0,0,0,2021-05-29
RX0000001754,MBR00000044,2023-05-31,2023-06-03,1671437968,1242646304,PLN5568,312540,PCN153,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,1,Retail,0,0,0,9.0,5.66,14.66,8.0,6.09,0.57,0.36,0.255,0,0,0,0,2023-06-30
RX0000001755,MBR00000044,2021-03-09,2021-03-13,1526645226,1569741124,PLN2618,268959,PCN649,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,93,4,Retail,0,0,0,33.0,8.93,41.93,0.0,40.38,1.55,0.44,0.3117,0,1,0,0,2021-06-07
RX0000001756,MBR00000044,2023-07-20,2023-07-21,1687830430,1538829120,PLN7542,752452,PCN586,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,87,8,Retail,0,0,0,2250.0,9.05,2259.05,35.0,2135.19,88.86,30.0,21.25,0,0,0,0,2023-10-18
RX0000001757,MBR00000044,2022-07-10,2022-07-14,1510262281,1303956853,PLN7705,846000,PCN662,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,9,Retail,0,0,0,28.0,10.09,38.09,0.0,36.66,1.43,1.12,0.7933,1,0,0,0,2022-08-09
RX0000001758,MBR00000044,2022-01-01,2022-01-04,1704666799,1232569518,PLN7534,823489,PCN281,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,1,Mail Order,2,0,0,18.0,10.29,28.29,1.0,25.86,1.43,0.72,0.51,1,0,0,0,2022-01-31
RX0000001759,MBR00000044,2021-08-18,2021-08-19,1678181819,1735814475,PLN7892,129910,PCN820,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,10,Retail,0,0,0,77.0,2.0,79.0,38.0,38.34,2.66,13.2,9.35,0,0,0,0,2021-08-25
RX0000001760,MBR00000044,2021-01-06,2021-01-08,1140715539,1904756322,PLN3348,720408,PCN297,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,64,0,Retail,0,0,1,350.0,2.58,352.58,38.0,292.45,22.13,7.0,4.9583,0,0,0,0,2021-03-07
RX0000001761,MBR00000044,2022-04-16,2022-04-20,1758161729,1479770089,PLN1971,208778,PCN850,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,61,1,Retail,1,0,0,1900.0,3.54,1903.54,34.0,1761.31,108.23,38.0,26.9167,0,0,0,0,2022-06-15
RX0000001762,MBR00000044,2022-12-31,2023-01-01,1625985959,1547884690,PLN7761,978834,PCN445,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,6,Mail Order,0,1,0,12.0,4.58,16.58,149.0,0.0,0.71,0.48,0.34,1,0,0,0,2023-01-30
RX0000001763,MBR00000044,2021-02-15,2021-02-16,1988181112,1569636268,PLN3659,482238,PCN734,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,8,Mail Order,3,0,0,11.0,8.78,19.78,9.0,9.8,0.98,0.44,0.3117,0,0,0,0,2021-03-17
RX0000001764,MBR00000044,2021-10-10,2021-10-14,1672861096,1858520203,PLN7459,893423,PCN925,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,3,Mail Order,0,0,0,320.0,11.9,331.9,40.0,279.51,12.39,12.8,9.0667,0,0,0,0,2021-11-09
RX0000001765,MBR00000044,2023-05-27,2023-05-30,1495229983,1183047827,PLN7270,340614,PCN633,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,10,Retail,0,0,0,16.0,6.06,22.06,5.0,16.16,0.9,0.64,0.4533,0,0,0,0,2023-06-26
RX0000001766,MBR00000044,2021-10-10,2021-10-12,1334066377,1342879595,PLN3260,974097,PCN505,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,11,Mail Order,0,0,0,22.0,2.69,24.69,6.0,17.86,0.83,0.88,0.6233,0,0,0,0,2021-11-09
RX0000001767,MBR00000044,2023-09-14,2023-09-15,1538096728,1260923598,PLN1926,354488,PCN186,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,0,Mail Order,0,0,0,86.33,6.55,92.88,36.0,51.65,5.23,14.8,10.4833,0,0,0,0,2023-09-21
RX0000001768,MBR00000044,2023-06-06,2023-06-08,1609701876,1874992515,PLN4589,339933,PCN187,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,11,Mail Order,0,0,0,22.0,3.79,25.79,1.0,23.18,1.61,0.88,0.6233,0,0,0,0,2023-07-06
RX0000001769,MBR00000044,2022-09-26,2022-09-27,1860109408,1477525883,PLN3461,591686,PCN597,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,5,Retail,1,0,0,45.0,5.77,50.77,9.0,38.74,3.03,1.8,1.275,1,0,0,0,2022-10-26
RX0000001770,MBR00000044,2021-07-07,2021-07-11,1568453056,1254932550,PLN2651,352623,PCN307,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,83,3,Retail,0,0,0,990.0,2.5,992.5,37.0,897.7,57.8,13.2,9.35,0,1,1,0,2021-10-05
RX0000001771,MBR00000044,2022-04-09,2022-04-12,1551393370,1315855519,PLN3108,199297,PCN692,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,9,Mail Order,1,0,0,950.0,3.84,953.84,38.0,873.06,42.78,38.0,26.9167,0,0,0,0,2022-05-09
RX0000001772,MBR00000044,2021-09-03,2021-09-05,1248209844,1601254211,PLN9624,816709,PCN310,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,1,Retail,0,0,0,11.0,1.8,12.8,2.0,10.05,0.75,0.44,0.3117,0,0,0,0,2021-10-03
RX0000001773,MBR00000044,2023-01-23,2023-01-27,1849674275,1195103545,PLN2093,963189,PCN707,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,98,10,Retail,1,0,0,555.0,8.81,563.81,40.0,496.09,27.72,7.4,5.2417,0,0,0,0,2023-04-23
RX0000001774,MBR00000044,2023-10-13,2023-10-16,1833245908,1301517677,PLN2696,106261,PCN786,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,6,Mail Order,0,0,0,27.0,5.55,32.55,6.0,24.54,2.01,0.36,0.255,0,0,0,0,2024-01-11
RX0000001775,MBR00000044,2022-08-02,2022-08-06,1387330211,1749201022,PLN6038,621829,PCN620,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,7,Mail Order,0,1,0,8.0,3.78,11.78,153.0,0.0,0.41,0.32,0.2267,0,0,0,0,2022-09-01
RX0000001776,MBR00000045,2021-07-30,2021-08-02,1393327625,1958338562,PLN7493,137718,PCN585,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,0,Retail,0,0,0,4.2,6.72,10.92,38.0,0.0,0.57,0.72,0.51,0,0,0,0,2021-08-06
RX0000001777,MBR00000045,2021-04-11,2021-04-15,1512239292,1308477338,PLN9848,616628,PCN453,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,62,0,Retail,0,0,0,36.0,9.84,45.84,7.0,36.52,2.32,0.72,0.51,0,0,0,0,2021-06-10
RX0000001778,MBR00000045,2023-03-24,2023-03-27,1326730533,1940707809,PLN1490,515116,PCN190,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,1,Retail,0,0,0,10.0,11.11,21.11,0.0,19.85,1.26,0.4,0.2833,0,1,0,0,2023-04-23
RX0000001779,MBR00000045,2021-02-13,2021-02-14,1217767794,1827908918,PLN8836,370926,PCN239,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,93,11,Mail Order,0,0,0,135.0,11.64,146.64,6.0,132.71,7.93,1.8,1.275,0,0,0,0,2021-05-14
RX0000001780,MBR00000045,2023-07-25,2023-07-27,1741498082,1336693587,PLN9597,469036,PCN273,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,92,4,Specialty,0,0,0,33.0,17.27,50.27,2.0,48.27,0.0,0.44,0.3117,0,0,0,0,2023-10-23
RX0000001781,MBR00000045,2023-11-12,2023-11-15,1159862385,1607040328,PLN2411,296043,PCN395,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,9,Retail,0,0,0,330.0,8.93,338.93,34.0,287.99,16.94,13.2,9.35,0,0,0,0,2023-12-12
RX0000001782,MBR00000045,2021-08-20,2021-08-22,1855677004,1763607221,PLN9950,303501,PCN296,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,62,0,Retail,0,1,0,24.0,10.64,34.64,150.0,0.0,2.26,0.48,0.34,0,0,0,0,2021-10-19
RX0000001783,MBR00000045,2021-03-23,2021-03-26,1422164928,1602903156,PLN7749,916158,PCN479,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,54,10,Retail,2,0,0,620.0,4.8,624.8,34.0,552.37,38.43,12.4,8.7833,0,0,0,0,2021-05-22
RX0000001784,MBR00000045,2022-08-05,2022-08-08,1571748925,1157004796,PLN6248,594216,PCN310,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,7,Retail,0,0,0,36.0,3.54,39.54,6.0,32.23,1.31,0.48,0.34,0,0,0,0,2022-11-03
RX0000001785,MBR00000045,2023-12-23,2023-12-27,1290788082,1718522770,PLN3452,663454,PCN740,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,81,11,Retail,0,0,0,37.5,3.7,41.2,7.0,31.59,2.61,0.5,0.3542,0,0,0,0,2024-03-22
RX0000001786,MBR00000045,2021-12-01,2021-12-04,1902672916,1578557736,PLN7686,353544,PCN857,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,89,3,Retail,0,1,0,24.0,8.19,32.19,153.0,0.0,1.83,0.32,0.2267,0,0,0,0,2022-03-01
RX0000001787,MBR00000045,2021-10-24,2021-10-25,1861480681,1908622637,PLN3995,672752,PCN486,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,87,6,Retail,0,0,0,990.0,6.87,996.87,40.0,917.21,39.66,13.2,9.35,1,0,0,0,2022-01-22
RX0000001788,MBR00000045,2023-10-04,2023-10-06,1771558710,1621350054,PLN9143,157269,PCN523,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,2,Retail,0,0,0,14.0,7.59,21.59,7.0,13.58,1.01,0.56,0.3967,0,0,0,0,2023-11-03
RX0000001789,MBR00000045,2023-02-02,2023-02-04,1310825650,1257374692,PLN3754,415066,PCN393,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,4,Mail Order,0,0,0,310.0,8.43,318.43,36.0,270.73,11.7,12.4,8.7833,0,1,1,0,2023-03-04
RX0000001790,MBR00000045,2021-02-27,2021-02-28,1220208757,1935245481,PLN2221,661355,PCN393,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,1,Retail,0,0,0,38.0,8.54,46.54,32.0,13.14,1.4,1.52,1.0767,0,0,0,0,2021-03-29
RX0000001791,MBR00000045,2022-09-07,2022-09-08,1729750295,1904218063,PLN1736,652077,PCN428,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,84,11,Retail,0,1,0,25500.0,5.99,25505.99,150.0,24010.63,1345.36,340.0,240.8333,1,0,0,0,2022-12-06
RX0000001792,MBR00000045,2022-04-10,2022-04-11,1898791844,1305049763,PLN6288,231639,PCN202,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,10,Retail,0,0,0,650.0,6.72,656.72,34.0,579.41,43.31,26.0,18.4167,0,0,0,0,2022-05-10
RX0000001793,MBR00000045,2021-06-18,2021-06-22,1217534170,1465794953,PLN6977,449106,PCN687,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,3,Retail,0,0,0,10.0,11.6,21.6,1.0,19.8,0.8,0.4,0.2833,0,0,0,0,2021-07-18
RX0000001794,MBR00000045,2022-07-27,2022-07-28,1446604896,1895295844,PLN9114,518043,PCN314,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,0,Mail Order,0,0,0,38.0,7.82,45.82,1.0,43.32,1.5,1.52,1.0767,0,0,0,0,2022-08-26
RX0000001795,MBR00000045,2023-06-19,2023-06-21,1951546838,1632595900,PLN9604,467486,PCN282,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,10,Retail,3,0,0,14.0,10.84,24.84,8.0,15.53,1.31,0.56,0.3967,0,0,0,0,2023-07-19
RX0000001796,MBR00000045,2023-01-01,2023-01-05,1510714864,1175335049,PLN5463,875430,PCN504,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,97,10,Retail,0,0,0,555.0,4.53,559.53,36.0,503.41,20.12,7.4,5.2417,0,0,0,0,2023-04-01
RX0000001797,MBR00000045,2022-06-23,2022-06-24,1344590570,1623352848,PLN7831,296517,PCN317,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,3,Retail,0,0,0,65.0,11.77,76.77,30.0,41.9,4.87,2.6,1.8417,1,0,0,0,2022-07-23
RX0000001798,MBR00000045,2022-01-31,2022-02-03,1849876331,1304200684,PLN8064,602552,PCN739,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,0,Mail Order,0,0,0,5.13,2.23,7.36,5.0,2.01,0.35,0.88,0.6233,0,0,0,0,2022-02-07
RX0000001799,MBR00000045,2021-06-29,2021-06-30,1195235901,1171623798,PLN7294,221028,PCN819,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,7,Retail,0,0,0,66.5,4.35,70.85,38.0,30.33,2.52,11.4,8.075,0,0,0,0,2021-07-06
RX0000001800,MBR00000045,2022-09-17,2022-09-20,1459167860,1206623790,PLN1593,555627,PCN927,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,0,Retail,0,0,0,18.0,9.44,27.44,35.0,0.0,1.36,0.72,0.51,0,0,0,0,2022-10-17
RX0000001801,MBR00000045,2022-06-12,2022-06-14,1897808816,1280725505,PLN3299,433415,PCN168,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,4,Retail,0,0,0,11.0,2.77,13.77,7.0,5.93,0.84,0.44,0.3117,0,0,0,0,2022-07-12
RX0000001802,MBR00000045,2023-09-10,2023-09-13,1385673951,1283623545,PLN6837,729294,PCN234,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,56,0,LTC,0,0,0,25.0,4.58,29.58,4.0,23.8,1.78,0.5,0.3542,0,0,0,0,2023-11-09
RX0000001803,MBR00000045,2022-12-14,2022-12-15,1190315270,1496410453,PLN3958,455080,PCN689,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,0,Mail Order,3,0,0,38.0,11.94,49.94,8.0,39.43,2.51,1.52,1.0767,0,0,0,0,2023-01-13
RX0000001804,MBR00000045,2023-05-16,2023-05-19,1672211241,1719177305,PLN5599,251320,PCN610,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,5,Retail,2,0,0,650.0,11.12,661.12,33.0,590.01,38.11,26.0,18.4167,0,0,0,0,2023-06-15
RX0000001805,MBR00000045,2021-08-24,2021-08-26,1330144337,1186957859,PLN8885,792122,PCN777,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,56,3,Retail,0,0,0,570.0,9.21,579.21,39.0,513.15,27.06,11.4,8.075,0,0,0,0,2021-10-23
RX0000001806,MBR00000045,2022-03-09,2022-03-13,1333912975,1184445074,PLN3465,259166,PCN786,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,2,Retail,3,1,0,12.0,3.79,15.79,154.0,0.0,0.51,0.48,0.34,0,0,0,0,2022-04-08
RX0000001807,MBR00000045,2023-07-27,2023-07-29,1261062286,1371445553,PLN9151,574787,PCN759,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,7,Retail,0,0,0,3.27,6.93,10.19,8.0,1.81,0.38,0.56,0.3967,0,0,0,0,2023-08-03
RX0000001808,MBR00000045,2022-06-26,2022-06-30,1943999610,1308599919,PLN5035,131389,PCN201,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,8,Retail,0,0,0,10.0,8.18,18.18,5.0,12.04,1.14,0.4,0.2833,0,0,0,0,2022-07-26
RX0000001809,MBR00000045,2021-09-17,2021-09-18,1556089091,1186444531,PLN2252,880835,PCN642,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,3,Retail,0,0,0,12.0,11.64,23.64,0.0,22.78,0.86,0.48,0.34,0,0,0,0,2021-10-17
RX0000001810,MBR00000045,2023-05-03,2023-05-06,1294062689,1195721993,PLN4627,806646,PCN788,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,54,1,Retail,0,0,0,36.0,5.43,41.43,8.0,31.55,1.88,0.72,0.51,0,0,0,0,2023-07-02
RX0000001811,MBR00000045,2021-11-09,2021-11-10,1701490578,1906542634,PLN8868,321900,PCN995,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,57,7,Retail,0,0,0,30.0,9.64,39.64,3.0,34.43,2.21,0.6,0.425,1,0,0,0,2022-01-08
RX0000001812,MBR00000045,2021-11-03,2021-11-07,1759611029,1210602216,PLN9048,897573,PCN852,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,11,Retail,0,0,0,7.5,4.52,12.02,7.0,4.58,0.44,0.3,0.2125,0,0,0,0,2021-12-03
RX0000001813,MBR00000045,2022-11-10,2022-11-13,1780961782,1136469622,PLN9221,875124,PCN218,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,92,6,Mail Order,0,0,0,54.0,6.88,60.88,37.0,20.33,3.55,0.72,0.51,0,0,0,0,2023-02-08
RX0000001814,MBR00000045,2022-08-07,2022-08-10,1346712962,1836210660,PLN3104,428430,PCN488,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,8,Mail Order,1,1,0,6200.0,11.89,6211.89,148.0,5740.23,323.66,248.0,175.6667,0,0,0,0,2022-09-06
RX0000001815,MBR00000045,2021-02-11,2021-02-12,1462728319,1720021364,PLN9215,165230,PCN899,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,8,Mail Order,0,0,0,18.0,8.17,26.17,2.0,22.93,1.24,0.72,0.51,0,0,0,0,2021-03-13
RX0000001816,MBR00000045,2023-10-23,2023-10-26,1266236715,1855066381,PLN1736,393611,PCN508,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,7,Mail Order,0,0,0,10.0,5.7,15.7,3.0,11.98,0.72,0.4,0.2833,0,0,0,0,2023-11-22
RX0000001817,MBR00000045,2022-09-05,2022-09-09,1276370736,1475080548,PLN5365,505355,PCN885,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,4,Retail,0,0,0,285.0,9.09,294.09,31.0,247.02,16.07,11.4,8.075,0,0,0,0,2022-10-05
RX0000001818,MBR00000045,2023-07-04,2023-07-05,1355603464,1202178505,PLN6876,311691,PCN875,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,9,Retail,2,0,0,2.8,10.38,13.18,8.0,4.71,0.47,0.48,0.34,0,0,0,0,2023-07-11
RX0000001819,MBR00000045,2022-06-04,2022-06-06,1827250090,1950376285,PLN9718,825202,PCN182,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,59,0,Retail,0,0,0,76.0,6.05,82.05,34.0,44.84,3.21,1.52,1.0767,0,0,0,0,2022-08-03
RX0000001820,MBR00000045,2022-05-17,2022-05-20,1534279429,1802485738,PLN6817,500351,PCN642,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,58,11,Mail Order,0,0,0,130.0,3.27,133.27,38.0,86.42,8.85,2.6,1.8417,0,0,0,0,2022-07-16
RX0000001821,MBR00000045,2023-05-04,2023-05-05,1487189163,1977115381,PLN6383,186885,PCN657,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,6,Retail,0,0,0,18.0,7.09,25.09,7.0,16.56,1.53,0.72,0.51,0,0,0,0,2023-06-03
RX0000001822,MBR00000045,2021-07-19,2021-07-22,1116762139,1577131070,PLN5677,517482,PCN388,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,96,0,Retail,1,0,0,84.0,4.15,88.15,2.0,81.69,4.46,1.12,0.7933,0,0,0,0,2021-10-17
RX0000001823,MBR00000045,2023-01-11,2023-01-14,1476699217,1672969419,PLN9344,148597,PCN446,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,8,Specialty,0,0,0,750.0,36.64,786.64,31.0,755.64,0.0,30.0,21.25,0,0,0,0,2023-02-10
RX0000001824,MBR00000045,2021-08-31,2021-09-04,1126423766,1277491231,PLN1165,573550,PCN883,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,90,5,Retail,0,0,0,42.0,8.52,50.52,6.0,41.23,3.29,0.56,0.3967,0,1,0,0,2021-11-29
RX0000001825,MBR00000045,2021-08-25,2021-08-27,1463028739,1560867400,PLN3266,302416,PCN687,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,6,Mail Order,0,0,0,27.0,10.0,37.0,3.0,31.75,2.25,0.36,0.255,0,0,0,0,2021-11-23
RX0000001826,MBR00000045,2023-12-13,2023-12-14,1146901142,1558558656,PLN3497,236739,PCN227,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,8,LTC,0,0,0,8.5,5.25,13.75,10.0,2.96,0.79,0.34,0.2408,0,0,0,0,2024-01-12
RX0000001827,MBR00000045,2023-11-16,2023-11-19,1298637733,1604485879,PLN7886,885749,PCN824,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,4,Retail,0,0,0,38.0,11.49,49.49,10.0,37.81,1.68,1.52,1.0767,0,0,0,0,2023-12-16
RX0000001828,MBR00000045,2023-01-14,2023-01-18,1162772142,1608189089,PLN2691,937706,PCN813,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,11,Specialty,0,0,0,950.0,10.73,960.73,36.0,924.73,0.0,38.0,26.9167,0,0,0,0,2023-02-13
RX0000001829,MBR00000045,2022-07-05,2022-07-09,1662758778,1110303060,PLN6584,227523,PCN433,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,90,1,Mail Order,0,0,0,42.0,11.97,53.97,1.0,50.08,2.89,0.56,0.3967,0,0,0,0,2022-10-03
RX0000001830,MBR00000045,2021-05-19,2021-05-22,1268670106,1643872354,PLN7432,213568,PCN442,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,95,2,Mail Order,0,0,0,66.0,8.01,74.01,65.0,6.52,2.49,0.88,0.6233,0,0,0,0,2021-08-17
RX0000001831,MBR00000045,2023-05-11,2023-05-12,1162260828,1301664229,PLN6395,162101,PCN591,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,5,Retail,0,0,0,480.0,8.07,488.07,36.0,418.87,33.2,19.2,13.6,0,0,0,0,2023-06-10
RX0000001832,MBR00000045,2022-07-20,2022-07-23,1436033639,1278202858,PLN4356,392267,PCN821,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,7,Retail,0,0,1,4.2,6.15,10.35,0.0,9.94,0.41,0.72,0.51,0,0,0,0,2022-07-27
RX0000001833,MBR00000045,2023-09-30,2023-10-01,1850910391,1619118744,PLN4332,925790,PCN382,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,95,2,Mail Order,0,0,0,42.0,7.9,49.9,5.0,42.28,2.62,0.56,0.3967,0,0,0,0,2023-12-29
RX0000001834,MBR00000045,2021-03-24,2021-03-27,1492662536,1416580844,PLN8061,713346,PCN583,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,8,Retail,0,0,0,22.0,9.43,31.43,69.0,0.0,2.14,0.88,0.6233,0,0,0,0,2021-04-23
RX0000001835,MBR00000045,2022-05-25,2022-05-29,1791690251,1440242907,PLN7898,929869,PCN374,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,5,Retail,0,0,0,65.0,9.69,74.69,31.0,39.2,4.49,2.6,1.8417,0,0,0,0,2022-06-24
RX0000001836,MBR00000045,2021-06-02,2021-06-04,1671599203,1513125560,PLN5264,996930,PCN416,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,10,Retail,0,0,0,10.0,7.79,17.79,6.0,10.92,0.87,0.4,0.2833,0,0,0,0,2021-07-02
RX0000001837,MBR00000045,2023-09-03,2023-09-05,1749394587,1809533875,PLN7562,754388,PCN886,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,3,Retail,0,0,0,10.0,10.15,20.15,4.0,15.36,0.79,0.4,0.2833,0,0,0,0,2023-10-03
RX0000001838,MBR00000045,2023-05-10,2023-05-14,1719578836,1785016387,PLN4678,456676,PCN894,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,54,6,Mail Order,0,0,0,620.0,5.81,625.81,35.0,564.53,26.28,12.4,8.7833,1,0,0,0,2023-07-09
RX0000001839,MBR00000045,2022-08-20,2022-08-23,1618080152,1798186918,PLN2277,283884,PCN399,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,6,Specialty,0,0,0,175.0,22.42,197.42,30.0,167.42,0.0,7.0,4.9583,0,0,0,0,2022-09-19
RX0000001840,MBR00000046,2022-02-16,2022-02-20,1951939752,1585228921,PLN2112,929304,PCN879,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,3,Retail,0,1,0,6200.0,6.58,6206.58,147.0,5685.65,373.93,248.0,175.6667,0,0,0,0,2022-03-18
RX0000001841,MBR00000046,2022-02-27,2022-02-28,1555813353,1774614187,PLN3376,294809,PCN585,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,1,Retail,0,0,0,310.0,9.68,319.68,33.0,271.21,15.47,12.4,8.7833,0,1,1,0,2022-03-29
RX0000001842,MBR00000046,2023-04-24,2023-04-28,1903312617,1725182478,PLN3870,507823,PCN236,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,9,Retail,0,0,0,38.0,10.38,48.38,36.0,10.73,1.65,1.52,1.0767,0,0,0,0,2023-05-24
RX0000001843,MBR00000046,2023-06-21,2023-06-25,1746766971,1359928523,PLN9112,939119,PCN913,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,0,Mail Order,0,0,0,175.0,11.48,186.48,36.0,141.05,9.43,7.0,4.9583,0,0,0,0,2023-07-21
RX0000001844,MBR00000046,2022-08-28,2022-08-29,1778773027,1766731183,PLN3625,441689,PCN416,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,3,Mail Order,1,0,0,480.0,2.4,482.4,37.0,414.42,30.98,19.2,13.6,0,0,0,0,2022-09-27
RX0000001845,MBR00000046,2023-01-26,2023-01-27,1295119561,1469692739,PLN3792,696260,PCN657,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,91,11,LTC,0,0,0,66.0,8.31,74.31,71.0,0.38,2.93,0.88,0.6233,1,0,0,0,2023-04-26
RX0000001846,MBR00000046,2022-08-18,2022-08-19,1653325642,1255878367,PLN4316,687909,PCN300,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,5,Retail,0,0,0,15.0,8.24,23.24,8.0,14.23,1.01,0.6,0.425,0,0,0,0,2022-09-17
RX0000001847,MBR00000046,2023-06-16,2023-06-17,1687421373,1283721882,PLN9517,542804,PCN983,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,10,Retail,0,1,0,8500.0,9.66,8509.66,153.0,7961.2,395.46,340.0,240.8333,0,0,0,0,2023-07-16
RX0000001848,MBR00000046,2023-07-30,2023-07-31,1710971683,1302562551,PLN7032,456653,PCN688,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,4,Mail Order,0,0,0,950.0,4.28,954.28,30.0,894.15,30.13,38.0,26.9167,0,0,0,0,2023-08-29
RX0000001849,MBR00000046,2022-01-12,2022-01-14,1134744311,1496080069,PLN4500,195486,PCN969,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,82,5,Mail Order,0,0,0,135.0,4.59,139.59,0.0,135.22,4.37,1.8,1.275,1,0,0,0,2022-04-12
RX0000001850,MBR00000046,2021-09-04,2021-09-08,1841123931,1160912743,PLN4422,605675,PCN174,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,7,Specialty,0,0,0,14.0,32.73,46.73,6.0,40.73,0.0,0.56,0.3967,0,0,0,0,2021-10-04
RX0000001851,MBR00000046,2022-10-13,2022-10-15,1710108554,1401968919,PLN5426,703344,PCN959,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,7,Retail,0,1,0,2800.0,2.29,2802.29,146.0,2467.56,188.73,112.0,79.3333,0,0,0,0,2022-11-12
RX0000001852,MBR00000046,2022-06-24,2022-06-28,1160278687,1483243601,PLN7197,849641,PCN190,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,1,Retail,0,0,0,2.33,9.45,11.78,10.0,1.34,0.44,0.4,0.2833,1,0,0,0,2022-07-01
RX0000001853,MBR00000046,2022-02-28,2022-03-02,1361566226,1106367938,PLN7963,426479,PCN247,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,58,7,Specialty,0,0,0,17.0,30.92,47.92,9.0,38.92,0.0,0.34,0.2408,0,0,0,0,2022-04-29
RX0000001854,MBR00000046,2021-09-21,2021-09-24,1724514584,1890112568,PLN1149,623473,PCN653,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,92,3,Specialty,0,0,0,30.0,40.21,70.21,5.0,65.21,0.0,0.4,0.2833,0,0,0,0,2021-12-20
RX0000001855,MBR00000046,2021-02-07,2021-02-10,1265867847,1886984844,PLN1756,253740,PCN401,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,97,3,Mail Order,0,0,0,135.0,8.4,143.4,9.0,125.86,8.54,1.8,1.275,0,0,0,0,2021-05-08
RX0000001856,MBR00000046,2023-03-29,2023-03-30,1981140798,1140806709,PLN8201,427003,PCN705,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,7,Retail,0,0,0,8.5,3.79,12.29,5.0,6.88,0.41,0.34,0.2408,0,0,0,0,2023-04-28
RX0000001857,MBR00000046,2022-11-11,2022-11-15,1803217158,1842575163,PLN6461,362181,PCN685,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,8,Retail,0,0,0,18.0,4.84,22.84,2.0,19.66,1.18,0.72,0.51,0,0,0,0,2022-12-11
RX0000001858,MBR00000046,2021-03-30,2021-03-31,1174935742,1123903281,PLN6984,504803,PCN678,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,10,Mail Order,0,1,0,12.0,11.65,23.65,155.0,0.0,1.57,0.48,0.34,0,0,0,0,2021-04-29
RX0000001859,MBR00000046,2023-05-12,2023-05-13,1870838150,1684845989,PLN9754,458633,PCN254,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,1,Mail Order,0,0,0,15.17,5.68,20.85,33.0,0.0,0.64,2.6,1.8417,0,0,0,0,2023-05-19
RX0000001860,MBR00000046,2021-03-23,2021-03-24,1762768377,1361394707,PLN7733,142949,PCN732,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,5,Retail,0,0,0,9.0,2.27,11.27,5.0,5.85,0.42,0.36,0.255,0,0,0,0,2021-04-22
RX0000001861,MBR00000046,2023-12-13,2023-12-17,1238360634,1727016698,PLN7665,187470,PCN936,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,4,Retail,3,0,0,15.0,5.51,20.51,7.0,12.33,1.18,0.6,0.425,0,0,0,0,2024-01-12
RX0000001862,MBR00000046,2022-08-18,2022-08-20,1262641878,1963614370,PLN5162,580060,PCN453,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,10,Retail,1,0,0,12.0,11.22,23.22,2.0,19.75,1.47,0.48,0.34,0,0,0,0,2022-09-17
RX0000001863,MBR00000046,2021-07-23,2021-07-27,1847112785,1309570224,PLN3896,122428,PCN361,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,2,Mail Order,0,1,0,2800.0,10.44,2810.44,148.0,2483.22,179.22,112.0,79.3333,0,0,0,0,2021-08-22
RX0000001864,MBR00000046,2023-10-23,2023-10-27,1637156996,1615626655,PLN3344,397129,PCN761,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,11,Retail,0,0,0,86.33,10.88,97.21,32.0,58.87,6.34,14.8,10.4833,0,0,0,0,2023-10-30
RX0000001865,MBR00000046,2023-09-05,2023-09-08,1308794692,1697963821,PLN9508,637891,PCN562,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,55,7,Retail,3,0,0,570.0,5.98,575.98,39.0,511.31,25.67,11.4,8.075,0,0,0,0,2023-11-04
RX0000001866,MBR00000046,2022-10-26,2022-10-29,1415422118,1689563606,PLN5756,437797,PCN872,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,1,Mail Order,0,0,0,45.0,10.92,55.92,8.0,46.11,1.81,1.8,1.275,0,0,0,0,2022-11-25
RX0000001867,MBR00000046,2021-03-13,2021-03-17,1955067467,1915810924,PLN3434,787426,PCN740,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,84,2,Specialty,0,0,0,42.0,46.82,88.82,9.0,79.82,0.0,0.56,0.3967,0,0,0,0,2021-06-11
RX0000001868,MBR00000046,2021-04-30,2021-05-02,1566705217,1715236688,PLN2063,284600,PCN725,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,2,Retail,0,0,0,7.5,4.36,11.86,8.0,3.49,0.37,0.3,0.2125,0,0,0,0,2021-05-30
RX0000001869,MBR00000046,2022-09-18,2022-09-21,1944276716,1619371312,PLN8720,533128,PCN338,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,8,Retail,0,0,0,11.0,11.68,22.68,3.0,18.28,1.4,0.44,0.3117,0,0,0,0,2022-10-18
RX0000001870,MBR00000046,2022-07-16,2022-07-20,1928969229,1349130375,PLN7177,515568,PCN223,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,62,6,Retail,0,1,0,16.0,8.36,24.36,153.0,0.0,1.38,0.32,0.2267,0,1,1,0,2022-09-14
RX0000001871,MBR00000046,2022-03-22,2022-03-24,1241019559,1805735778,PLN9989,677278,PCN205,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,85,3,Mail Order,0,0,0,930.0,3.69,933.69,36.0,868.44,29.25,12.4,8.7833,0,0,0,0,2022-06-20
RX0000001872,MBR00000046,2022-12-10,2022-12-11,1635743657,1235426738,PLN9124,256711,PCN492,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,55,1,Retail,0,0,0,24.0,11.55,35.55,0.0,33.77,1.78,0.48,0.34,0,1,0,0,2023-02-08
RX0000001873,MBR00000046,2022-01-24,2022-01-28,1593071320,1401267809,PLN7917,472529,PCN883,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,98,3,Mail Order,0,0,0,1440.0,2.74,1442.74,30.0,1331.92,80.82,19.2,13.6,0,0,0,0,2022-04-24
RX0000001874,MBR00000046,2023-03-13,2023-03-14,1395933852,1116681084,PLN2556,896478,PCN818,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,83,3,Mail Order,0,0,0,1140.0,2.27,1142.27,33.0,1074.25,35.02,15.2,10.7667,0,0,0,0,2023-06-11
RX0000001875,MBR00000046,2022-08-24,2022-08-27,1297973873,1817121153,PLN1716,311740,PCN706,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,5,Retail,0,0,0,14.0,10.36,24.36,5.0,17.75,1.61,0.56,0.3967,0,1,0,0,2022-09-23
RX0000001876,MBR00000046,2021-03-29,2021-03-31,1526993731,1485790159,PLN6683,891387,PCN397,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,4,Retail,0,0,0,950.0,3.33,953.33,39.0,866.75,47.58,38.0,26.9167,0,0,0,0,2021-04-28
RX0000001877,MBR00000046,2022-08-06,2022-08-08,1235069201,1683388747,PLN2333,629676,PCN542,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,85,3,Retail,0,0,0,54.0,4.63,58.63,4.0,52.23,2.4,0.72,0.51,0,0,0,0,2022-11-04
RX0000001878,MBR00000046,2023-10-08,2023-10-12,1209143282,1846213044,PLN1309,976879,PCN653,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,4,Retail,0,1,0,8.0,8.09,16.09,145.0,0.0,0.99,0.32,0.2267,0,0,0,0,2023-11-07
RX0000001879,MBR00000046,2021-02-23,2021-02-27,1815356117,1682079387,PLN7229,982414,PCN413,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,7,Retail,2,0,0,12.0,4.09,16.09,6.0,9.31,0.78,0.48,0.34,0,0,0,0,2021-03-25
RX0000001880,MBR00000046,2023-11-22,2023-11-23,1260352534,1179498181,PLN1507,634933,PCN921,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,5,Retail,3,0,1,10.0,6.24,16.24,5.0,10.46,0.78,0.4,0.2833,0,0,0,0,2023-12-22
RX0000001881,MBR00000046,2021-11-08,2021-11-10,1772226369,1787128998,PLN7712,655982,PCN581,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,2,Retail,1,0,0,185.0,7.06,192.06,32.0,148.37,11.69,7.4,5.2417,0,0,0,0,2021-12-08
RX0000001882,MBR00000046,2022-03-04,2022-03-05,1384191004,1551859171,PLN1800,697877,PCN931,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,7,Retail,1,0,0,18.0,5.92,23.92,7.0,16.06,0.86,0.72,0.51,0,0,0,0,2022-04-03
RX0000001883,MBR00000046,2022-02-24,2022-02-25,1740526810,1548707880,PLN2077,406226,PCN283,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,96,2,Retail,0,0,0,525.0,4.82,529.82,38.0,461.36,30.46,7.0,4.9583,0,0,0,0,2022-05-25
RX0000001884,MBR00000046,2023-04-07,2023-04-11,1493208637,1749453953,PLN7775,781917,PCN923,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,89,7,Retail,0,0,0,855.0,9.74,864.74,39.0,776.57,49.17,11.4,8.075,0,0,0,0,2023-07-06
RX0000001885,MBR00000046,2023-03-31,2023-04-02,1801563705,1310397841,PLN9548,824092,PCN782,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,89,11,Mail Order,0,0,0,2850.0,7.45,2857.45,33.0,2694.39,130.06,38.0,26.9167,0,0,0,0,2023-06-29
RX0000001886,MBR00000046,2023-09-03,2023-09-07,1460244274,1334342549,PLN7264,592148,PCN890,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,6,Retail,0,0,0,285.0,11.93,296.93,36.0,241.43,19.5,11.4,8.075,0,0,0,0,2023-10-03
RX0000001887,MBR00000046,2023-03-25,2023-03-28,1807295839,1129147682,PLN3223,402640,PCN647,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,86,4,Retail,0,0,0,66.0,8.24,74.24,2.0,69.63,2.61,0.88,0.6233,0,0,0,0,2023-06-23
RX0000001888,MBR00000046,2021-03-15,2021-03-16,1384212987,1317445790,PLN9819,933803,PCN884,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,0,Retail,1,0,0,370.0,4.13,374.13,37.0,313.42,23.71,14.8,10.4833,0,0,0,0,2021-04-14
RX0000001889,MBR00000046,2022-04-27,2022-04-30,1824867311,1249879246,PLN9448,977184,PCN442,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,2,Retail,0,0,0,12.0,9.78,21.78,1.0,19.52,1.26,0.48,0.34,0,0,0,0,2022-05-27
RX0000001890,MBR00000046,2022-04-29,2022-05-02,1622693436,1457161802,PLN8761,544199,PCN641,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,94,2,Retail,0,1,0,8400.0,5.46,8405.46,150.0,7810.96,444.5,112.0,79.3333,0,0,0,0,2022-07-28
RX0000001891,MBR00000046,2023-12-12,2023-12-14,1644520175,1479477184,PLN2447,963198,PCN261,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,3,Retail,0,1,0,24.0,5.59,29.59,153.0,0.0,1.3,0.32,0.2267,0,0,0,0,2024-03-11
RX0000001892,MBR00000046,2023-01-14,2023-01-17,1739159167,1980214067,PLN3068,364751,PCN544,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,92,3,Retail,0,0,0,84.0,11.81,95.81,4.0,88.62,3.19,1.12,0.7933,0,0,0,0,2023-04-14
RX0000001893,MBR00000046,2022-05-11,2022-05-12,1799716461,1625540666,PLN1883,117046,PCN588,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,320.0,3.62,323.62,40.0,261.52,22.1,12.8,9.0667,0,0,0,0,2022-06-10
RX0000001894,MBR00000046,2021-05-15,2021-05-19,1422598348,1933232949,PLN3962,664436,PCN827,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,8,Specialty,0,0,0,18.0,35.66,53.66,1.0,52.66,0.0,0.72,0.51,0,0,0,0,2021-06-14
RX0000001895,MBR00000046,2021-12-11,2021-12-13,1484054713,1258258953,PLN5874,902131,PCN798,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,93,2,Retail,0,0,0,1950.0,9.2,1959.2,37.0,1815.9,106.3,26.0,18.4167,0,0,0,0,2022-03-11
RX0000001896,MBR00000046,2022-08-13,2022-08-17,1912463378,1325596283,PLN2419,517189,PCN685,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,5,Retail,0,0,0,38.0,11.63,49.63,8.0,39.32,2.31,1.52,1.0767,0,0,0,0,2022-09-12
RX0000001897,MBR00000046,2021-06-21,2021-06-25,1547181599,1283568391,PLN6755,786207,PCN503,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,0,Retail,0,0,0,14.0,6.88,20.88,3.0,17.01,0.87,0.56,0.3967,0,0,0,0,2021-07-21
RX0000001898,MBR00000046,2023-06-16,2023-06-20,1286481963,1649437030,PLN2764,109953,PCN402,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,60,8,Retail,0,0,0,56.0,1.5,57.5,7.0,48.09,2.41,1.12,0.7933,0,0,0,0,2023-08-15
RX0000001899,MBR00000046,2021-07-27,2021-07-31,1866788209,1539246316,PLN6574,710429,PCN501,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,91,4,Specialty,0,0,0,30.0,36.68,66.68,5.0,61.68,0.0,0.4,0.2833,0,0,0,0,2021-10-25
RX0000001900,MBR00000047,2022-07-02,2022-07-06,1719527057,1871327598,PLN8625,427640,PCN249,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,96,4,Retail,0,0,0,45.0,8.47,53.47,2.0,48.76,2.71,0.6,0.425,0,0,0,0,2022-09-30
RX0000001901,MBR00000047,2023-07-01,2023-07-04,1901462401,1180479320,PLN4330,355469,PCN899,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,10,Retail,0,0,0,10.0,9.06,19.06,3.0,15.15,0.91,0.4,0.2833,0,0,0,0,2023-07-31
RX0000001902,MBR00000047,2022-09-27,2022-09-29,1463009497,1220762540,PLN4736,428735,PCN642,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,81,11,Retail,0,1,0,18600.0,2.13,18602.13,152.0,17768.5,681.63,248.0,175.6667,0,0,0,0,2022-12-26
RX0000001903,MBR00000047,2022-06-23,2022-06-27,1135683523,1468879264,PLN8570,950178,PCN259,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,55,5,Retail,0,0,0,15.0,7.41,22.41,5.0,16.74,0.67,0.3,0.2125,1,0,0,0,2022-08-22
RX0000001904,MBR00000047,2021-12-08,2021-12-10,1278997451,1761533168,PLN5012,338469,PCN164,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,96,10,Retail,3,0,0,1110.0,6.89,1116.89,31.0,1011.94,73.95,14.8,10.4833,0,0,0,0,2022-03-08
RX0000001905,MBR00000047,2021-02-02,2021-02-06,1690443709,1852735958,PLN5572,457549,PCN463,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,59,11,Mail Order,0,0,0,1900.0,4.68,1904.68,40.0,1750.11,114.57,38.0,26.9167,0,0,0,0,2021-04-03
RX0000001906,MBR00000047,2022-07-21,2022-07-23,1285237117,1941217750,PLN3647,680049,PCN531,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,11,Retail,0,0,0,2.8,12.0,14.8,10.0,3.97,0.83,0.48,0.34,0,0,0,0,2022-07-28
RX0000001907,MBR00000047,2023-07-14,2023-07-17,1647963113,1294719231,PLN9199,573260,PCN130,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,8,Retail,0,0,0,22.0,4.15,26.15,65.0,0.0,0.91,0.88,0.6233,0,0,0,0,2023-08-13
RX0000001908,MBR00000047,2023-02-14,2023-02-16,1485820936,1888284082,PLN1303,553244,PCN195,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,7,Retail,0,0,0,2.1,3.95,6.05,1.0,4.86,0.19,0.36,0.255,0,0,0,0,2023-02-21
RX0000001909,MBR00000047,2021-12-14,2021-12-17,1308506893,1780005702,PLN7123,219077,PCN799,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,65,8,Retail,0,0,0,36.0,4.28,40.28,2.0,36.69,1.59,0.72,0.51,0,0,0,0,2022-02-12
RX0000001910,MBR00000047,2023-07-13,2023-07-15,1192642057,1525583131,PLN7144,310334,PCN578,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,2,Retail,0,1,0,653.33,4.22,657.55,147.0,487.24,23.31,112.0,79.3333,0,0,0,0,2023-07-20
RX0000001911,MBR00000047,2021-09-01,2021-09-04,1406077530,1431606864,PLN2157,748048,PCN333,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,3,Specialty,0,0,1,3.27,29.41,32.68,10.0,22.68,0.0,0.56,0.3967,1,0,0,0,2021-09-08
RX0000001912,MBR00000047,2022-07-16,2022-07-20,1931869968,1496532110,PLN2736,330432,PCN429,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,96,3,Specialty,0,0,0,33.0,29.8,62.8,10.0,52.8,0.0,0.44,0.3117,0,0,0,0,2022-10-14
RX0000001913,MBR00000047,2021-03-10,2021-03-13,1319717340,1553495464,PLN5167,902985,PCN576,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,6,Retail,2,0,0,18.0,4.95,22.95,1.0,20.63,1.32,0.72,0.51,0,0,0,0,2021-04-09
RX0000001914,MBR00000047,2023-10-04,2023-10-05,1124732690,1903958826,PLN4878,537199,PCN542,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,10,Retail,0,0,0,14.0,5.99,19.99,9.0,9.77,1.22,0.56,0.3967,0,0,0,0,2023-11-03
RX0000001915,MBR00000047,2022-02-27,2022-03-01,1903315191,1366500143,PLN7273,668739,PCN296,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,59,10,Retail,0,0,0,56.0,4.88,60.88,3.0,53.69,4.19,1.12,0.7933,0,0,0,0,2022-04-28
RX0000001916,MBR00000047,2023-12-24,2023-12-27,1300451728,1977323576,PLN1466,555012,PCN151,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,9,Mail Order,0,0,0,22.0,5.56,27.56,6.0,19.7,1.86,0.88,0.6233,0,0,0,0,2024-01-23
RX0000001917,MBR00000047,2023-10-28,2023-10-30,1224121335,1605432104,PLN8419,633819,PCN172,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,9,Retail,0,0,0,10.0,7.35,17.35,1.0,15.64,0.71,0.4,0.2833,0,0,0,0,2023-11-27
RX0000001918,MBR00000047,2021-10-14,2021-10-16,1658341146,1293586751,PLN1401,348055,PCN549,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,3,Retail,0,1,0,8.0,7.39,15.39,153.0,0.0,0.68,0.32,0.2267,0,0,0,0,2021-11-13
RX0000001919,MBR00000047,2022-04-30,2022-05-03,1774337042,1130359417,PLN4659,669776,PCN481,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,94,0,Retail,0,0,0,855.0,9.17,864.17,32.0,782.0,50.17,11.4,8.075,0,0,0,0,2022-07-29
RX0000001920,MBR00000047,2023-12-05,2023-12-07,1768714350,1592097860,PLN7352,617481,PCN512,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,11,Retail,0,0,0,10.0,7.96,17.96,2.0,15.15,0.81,0.4,0.2833,0,0,0,0,2024-01-04
RX0000001921,MBR00000047,2023-07-28,2023-07-31,1625308652,1288039188,PLN3189,240711,PCN614,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,81,2,Retail,0,0,0,1950.0,11.77,1961.77,34.0,1844.96,82.81,26.0,18.4167,0,0,0,0,2023-10-26
RX0000001922,MBR00000047,2023-04-22,2023-04-25,1208349687,1114126324,PLN8925,326137,PCN780,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,54,4,Retail,3,1,0,12400.0,4.89,12404.89,154.0,11382.65,868.24,248.0,175.6667,0,0,0,0,2023-06-21
RX0000001923,MBR00000047,2022-09-14,2022-09-15,1225239830,1640637740,PLN6362,431480,PCN416,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,9,Retail,0,0,0,9.0,6.84,15.84,9.0,6.21,0.63,0.36,0.255,0,0,0,0,2022-10-14
RX0000001924,MBR00000047,2021-12-08,2021-12-10,1716802835,1725826711,PLN3800,202721,PCN674,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,2,Retail,0,0,0,12.5,11.64,24.14,8.0,14.7,1.44,0.5,0.3542,0,0,0,0,2022-01-07
RX0000001925,MBR00000047,2021-06-04,2021-06-05,1553797746,1862469997,PLN2050,166827,PCN106,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,1,Retail,0,1,0,8.0,3.58,11.58,155.0,0.0,0.74,0.32,0.2267,0,0,0,0,2021-07-04
RX0000001926,MBR00000047,2023-06-06,2023-06-09,1640542624,1872329928,PLN7655,372210,PCN715,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,4,Retail,0,1,0,6200.0,9.86,6209.86,154.0,5652.3,403.56,248.0,175.6667,0,0,0,0,2023-07-06
RX0000001927,MBR00000047,2023-03-30,2023-04-03,1846733032,1701020446,PLN9253,422843,PCN667,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,82,1,Retail,0,0,0,2850.0,2.09,2852.09,37.0,2679.19,135.9,38.0,26.9167,1,0,0,0,2023-06-28
RX0000001928,MBR00000048,2023-10-20,2023-10-21,1500307433,1794204580,PLN9318,196202,PCN700,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,7,Retail,0,0,0,18.0,7.89,25.89,5.0,20.03,0.86,0.72,0.51,0,0,0,0,2023-11-19
RX0000001929,MBR00000048,2021-11-05,2021-11-09,1730465084,1295457189,PLN9027,765333,PCN616,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,3,Mail Order,0,0,0,45.0,8.0,53.0,3.0,48.37,1.63,1.8,1.275,0,0,0,0,2021-12-05
RX0000001930,MBR00000048,2021-05-05,2021-05-09,1992926413,1292858062,PLN5483,435573,PCN762,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,93,10,Retail,0,0,0,135.0,11.51,146.51,3.0,133.88,9.63,1.8,1.275,0,0,0,0,2021-08-03
RX0000001931,MBR00000048,2021-03-27,2021-03-29,1927008854,1992468359,PLN7294,269211,PCN829,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,4,Mail Order,0,1,0,2800.0,4.54,2804.54,155.0,2495.12,154.42,112.0,79.3333,0,0,0,0,2021-04-26
RX0000001932,MBR00000048,2021-12-15,2021-12-18,1983566926,1992075818,PLN3799,935809,PCN793,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,56,0,Retail,0,0,0,44.0,10.16,54.16,74.0,0.0,1.69,0.88,0.6233,0,0,0,0,2022-02-13
RX0000001933,MBR00000048,2021-05-14,2021-05-17,1269860202,1993901343,PLN8729,274433,PCN584,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,5,Retail,0,1,0,8500.0,10.53,8510.53,145.0,7771.09,594.44,340.0,240.8333,0,0,0,0,2021-06-13
RX0000001934,MBR00000048,2023-03-24,2023-03-25,1924541747,1956667377,PLN8019,153135,PCN447,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,10,Mail Order,0,0,0,310.0,9.33,319.33,36.0,263.26,20.07,12.4,8.7833,0,0,0,0,2023-04-23
RX0000001935,MBR00000048,2023-08-30,2023-09-01,1533980235,1261640045,PLN3865,127520,PCN911,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,10,LTC,0,1,0,12.0,8.64,20.64,149.0,0.0,1.11,0.48,0.34,0,0,0,0,2023-09-29
RX0000001936,MBR00000048,2022-06-04,2022-06-06,1892347737,1569874875,PLN6590,526660,PCN717,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,95,11,Retail,0,0,0,1110.0,2.86,1112.86,32.0,1023.66,57.2,14.8,10.4833,0,0,0,0,2022-09-02
RX0000001937,MBR00000048,2021-06-03,2021-06-07,1939420945,1445250844,PLN3604,650584,PCN459,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,1,Retail,0,0,0,8.5,8.78,17.28,6.0,10.33,0.95,0.34,0.2408,0,0,0,0,2021-07-03
RX0000001938,MBR00000048,2023-08-23,2023-08-26,1593298962,1555487842,PLN6832,450792,PCN322,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,3,Mail Order,0,0,0,8.5,9.85,18.35,1.0,16.29,1.06,0.34,0.2408,0,0,0,0,2023-09-22
RX0000001939,MBR00000048,2022-03-16,2022-03-19,1902836872,1250835563,PLN7914,416625,PCN192,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,5,Retail,0,0,0,18.0,11.17,29.17,5.0,22.51,1.66,0.72,0.51,0,0,0,0,2022-04-15
RX0000001940,MBR00000048,2022-06-24,2022-06-28,1477774965,1312040521,PLN2699,640442,PCN185,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,3,Retail,0,0,0,8.5,11.85,20.35,4.0,15.39,0.96,0.34,0.2408,0,0,0,0,2022-07-24
RX0000001941,MBR00000048,2023-10-19,2023-10-22,1529045231,1407930575,PLN7629,235724,PCN907,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,58,8,Retail,0,0,0,76.0,8.92,84.92,2.0,77.79,5.13,1.52,1.0767,1,0,0,0,2023-12-18
RX0000001942,MBR00000048,2022-09-06,2022-09-09,1915544642,1374025500,PLN3105,339398,PCN407,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,11,Specialty,0,0,0,22.0,28.41,50.41,66.0,0.0,0.0,0.88,0.6233,0,0,0,0,2022-10-06
RX0000001943,MBR00000048,2021-12-19,2021-12-22,1605191235,1512591778,PLN1930,601804,PCN130,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,4,Retail,2,0,0,45.0,4.16,49.16,1.0,45.82,2.34,1.8,1.275,0,0,0,0,2022-01-18
RX0000001944,MBR00000048,2021-05-15,2021-05-17,1323626515,1471519480,PLN3367,485170,PCN650,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,285.0,5.68,290.68,31.0,242.3,17.38,11.4,8.075,0,0,0,0,2021-06-14
RX0000001945,MBR00000048,2023-09-09,2023-09-12,1830600980,1518318037,PLN7657,757464,PCN395,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,3,Mail Order,0,0,0,14.0,4.7,18.7,2.0,15.82,0.88,0.56,0.3967,0,0,0,0,2023-10-09
RX0000001946,MBR00000049,2021-07-26,2021-07-27,1661672047,1460725009,PLN1329,899255,PCN608,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,85,5,Retail,0,1,0,8400.0,6.29,8406.29,149.0,7796.61,460.68,112.0,79.3333,0,0,0,0,2021-10-24
RX0000001947,MBR00000049,2022-01-21,2022-01-22,1793759021,1409791854,PLN1225,506273,PCN232,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,3,Retail,0,0,0,12.5,7.61,20.11,8.0,11.09,1.02,0.5,0.3542,1,0,0,0,2022-02-20
RX0000001948,MBR00000049,2021-11-29,2021-12-03,1819747291,1208228731,PLN8490,728095,PCN935,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,57,11,Retail,0,0,0,17.0,8.16,25.16,3.0,20.74,1.42,0.34,0.2408,0,0,0,0,2022-01-28
RX0000001949,MBR00000049,2021-05-14,2021-05-17,1812515847,1839054076,PLN7589,148184,PCN502,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,0,Retail,2,0,0,650.0,6.8,656.8,34.0,591.96,30.84,26.0,18.4167,0,1,1,0,2021-06-13
RX0000001950,MBR00000049,2023-08-07,2023-08-10,1947626104,1470802970,PLN2168,140383,PCN760,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,83,10,Retail,0,0,0,1440.0,8.03,1448.03,35.0,1335.44,77.59,19.2,13.6,0,0,0,0,2023-11-05
RX0000001951,MBR00000049,2021-11-12,2021-11-15,1620134016,1683041432,PLN6394,795629,PCN308,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,94,3,Retail,0,1,0,36.0,6.99,42.99,147.0,0.0,2.44,0.48,0.34,0,0,0,0,2022-02-10
RX0000001952,MBR00000049,2022-09-16,2022-09-17,1424798870,1839544355,PLN3385,948475,PCN489,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,87,8,Mail Order,0,0,0,1950.0,2.1,1952.1,32.0,1853.98,66.12,26.0,18.4167,0,0,0,0,2022-12-15
RX0000001953,MBR00000049,2022-02-02,2022-02-05,1208315684,1196064121,PLN1750,834363,PCN456,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,10,Retail,0,0,0,28.0,6.82,34.82,5.0,27.5,2.32,1.12,0.7933,1,0,0,0,2022-03-04
RX0000001954,MBR00000049,2021-04-25,2021-04-29,1420627373,1787609875,PLN3095,956219,PCN570,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,93,6,Retail,0,0,0,1440.0,2.84,1442.84,35.0,1321.4,86.44,19.2,13.6,0,0,0,0,2021-07-24
RX0000001955,MBR00000049,2023-01-09,2023-01-11,1770113145,1801016663,PLN7899,633654,PCN150,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,82,8,Retail,2,0,0,30.0,6.57,36.57,8.0,26.56,2.01,0.4,0.2833,0,0,0,0,2023-04-09
RX0000001956,MBR00000049,2022-08-26,2022-08-30,1121861359,1836052636,PLN4740,406099,PCN481,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,5,Retail,0,0,0,750.0,8.3,758.3,34.0,695.84,28.46,30.0,21.25,0,0,0,0,2022-09-25
RX0000001957,MBR00000049,2022-11-20,2022-11-21,1845824715,1250408199,PLN8034,742502,PCN779,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,1,Retail,0,1,0,8.0,9.32,17.32,151.0,0.0,0.8,0.32,0.2267,0,0,0,0,2022-12-20
RX0000001958,MBR00000049,2023-06-30,2023-07-02,1105852962,1413905338,PLN6959,832658,PCN566,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,8,Retail,0,0,0,480.0,11.32,491.32,30.0,430.61,30.71,19.2,13.6,0,0,0,0,2023-07-30
RX0000001959,MBR00000049,2021-08-31,2021-09-04,1851777691,1771917861,PLN3731,220857,PCN311,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,10,Specialty,0,0,0,2.8,29.68,32.48,7.0,25.48,0.0,0.48,0.34,0,0,0,0,2021-09-07
RX0000001960,MBR00000049,2023-04-27,2023-04-30,1339292342,1678638654,PLN2556,652785,PCN400,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,9,Retail,0,0,0,14.0,7.2,21.2,5.0,15.21,0.99,0.56,0.3967,0,0,0,0,2023-05-27
RX0000001961,MBR00000049,2021-03-04,2021-03-06,1793256018,1227286358,PLN1333,858822,PCN791,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,10,LTC,2,0,0,11.0,2.7,13.7,4.0,9.06,0.64,0.44,0.3117,0,0,0,0,2021-04-03
RX0000001962,MBR00000049,2022-07-18,2022-07-22,1666962857,1687154527,PLN9222,153775,PCN201,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,0,Retail,0,0,0,15.0,8.01,23.01,10.0,11.9,1.11,0.6,0.425,0,0,0,0,2022-08-17
RX0000001963,MBR00000049,2021-11-04,2021-11-05,1689213766,1928199208,PLN8290,425013,PCN904,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,2,Retail,0,0,0,10.5,4.31,14.81,9.0,5.21,0.6,1.8,1.275,0,0,0,0,2021-11-11
RX0000001964,MBR00000049,2022-03-27,2022-03-30,1657944643,1635175624,PLN6593,408052,PCN481,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,3,Retail,0,0,0,28.0,6.88,34.88,6.0,26.59,2.29,1.12,0.7933,0,0,0,0,2022-04-26
RX0000001965,MBR00000049,2022-01-07,2022-01-10,1249458608,1968248741,PLN1644,366032,PCN797,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,2,Mail Order,2,0,0,330.0,4.71,334.71,39.0,277.95,17.76,13.2,9.35,0,0,0,0,2022-02-06
RX0000001966,MBR00000049,2023-11-20,2023-11-23,1702069937,1251656986,PLN5752,274324,PCN653,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,1,Retail,2,0,0,750.0,9.64,759.64,37.0,694.43,28.21,30.0,21.25,0,0,0,0,2023-12-20
RX0000001967,MBR00000049,2022-08-28,2022-09-01,1463123553,1102468478,PLN8902,423910,PCN793,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,91,9,Mail Order,0,0,0,525.0,9.46,534.46,34.0,474.34,26.12,7.0,4.9583,0,0,0,0,2022-11-26
RX0000001968,MBR00000049,2023-11-15,2023-11-18,1488558278,1873079297,PLN6565,434844,PCN506,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,4,Retail,0,0,0,22.0,8.84,30.84,75.0,0.0,1.1,0.88,0.6233,0,0,0,0,2023-12-15
RX0000001969,MBR00000049,2022-09-20,2022-09-21,1418537942,1450631002,PLN8743,124762,PCN279,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,98,3,Retail,0,1,0,25500.0,4.49,25504.49,151.0,24027.49,1326.0,340.0,240.8333,0,0,0,0,2022-12-19
RX0000001970,MBR00000049,2022-10-15,2022-10-18,1588414382,1745960853,PLN9051,622965,PCN157,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,1,Retail,0,1,0,2800.0,4.76,2804.76,148.0,2570.9,85.86,112.0,79.3333,0,0,0,0,2022-11-14
RX0000001971,MBR00000049,2021-11-29,2021-12-02,1227850040,1694021190,PLN2187,379710,PCN144,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,1,Specialty,0,0,0,185.0,37.67,222.67,31.0,191.67,0.0,7.4,5.2417,0,0,0,0,2021-12-29
RX0000001972,MBR00000049,2022-04-12,2022-04-15,1734271041,1365739947,PLN2435,323175,PCN551,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,2,Mail Order,0,0,0,12.0,3.77,15.77,4.0,10.7,1.07,0.48,0.34,0,0,0,0,2022-05-12
RX0000001973,MBR00000049,2021-05-14,2021-05-15,1811125637,1956860922,PLN4456,981583,PCN978,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,58,2,Retail,0,0,0,740.0,11.11,751.11,38.0,673.8,39.31,14.8,10.4833,0,0,0,0,2021-07-13
RX0000001974,MBR00000049,2023-12-30,2023-12-31,1149843553,1113684576,PLN9498,577464,PCN138,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,3,Retail,0,0,0,18.0,4.53,22.53,3.0,18.15,1.38,0.72,0.51,0,0,0,0,2024-01-29
RX0000001975,MBR00000049,2021-03-09,2021-03-11,1275278005,1971166772,PLN1769,250035,PCN790,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,7,Retail,0,0,0,3.73,9.55,13.28,8.0,4.58,0.7,0.64,0.4533,0,0,0,0,2021-03-16
RX0000001976,MBR00000049,2021-12-19,2021-12-20,1921259045,1711307945,PLN5763,856065,PCN292,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,3,Specialty,0,0,0,4.2,17.85,22.05,10.0,12.05,0.0,0.72,0.51,0,0,0,0,2021-12-26
RX0000001977,MBR00000049,2022-01-08,2022-01-11,1693545320,1684651530,PLN7838,277077,PCN315,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,81,6,Mail Order,0,0,0,30.0,7.46,37.46,9.0,26.12,2.34,0.4,0.2833,0,0,0,0,2022-04-08
RX0000001978,MBR00000049,2023-12-06,2023-12-09,1381600898,1625932218,PLN7205,830861,PCN503,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,1,Mail Order,0,0,0,10.0,11.54,21.54,1.0,19.43,1.11,0.4,0.2833,0,0,0,0,2024-01-05
RX0000001979,MBR00000049,2021-02-11,2021-02-15,1902379156,1804009642,PLN6362,683664,PCN557,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,2,Retail,0,0,0,9.0,1.59,10.59,3.0,6.86,0.73,0.36,0.255,0,0,0,0,2021-03-13
RX0000001980,MBR00000049,2023-01-22,2023-01-23,1958948074,1280285100,PLN3332,975910,PCN256,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,82,10,Retail,0,0,0,42.0,5.61,47.61,2.0,44.1,1.51,0.56,0.3967,0,0,0,0,2023-04-22
RX0000001981,MBR00000049,2023-06-09,2023-06-10,1865072137,1381670429,PLN2581,245241,PCN759,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,3,Retail,0,0,0,185.0,8.22,193.22,38.0,144.41,10.81,7.4,5.2417,0,0,0,0,2023-07-09
RX0000001982,MBR00000049,2022-12-17,2022-12-19,1242604675,1904226795,PLN9555,471814,PCN738,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,59,1,Retail,0,0,0,350.0,4.01,354.01,32.0,299.53,22.48,7.0,4.9583,0,0,0,0,2023-02-15
RX0000001983,MBR00000049,2023-02-17,2023-02-19,1944897873,1813285563,PLN5866,650351,PCN412,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,85,9,Retail,0,0,0,855.0,10.83,865.83,40.0,780.62,45.21,11.4,8.075,0,0,0,0,2023-05-18
RX0000001984,MBR00000049,2021-10-31,2021-11-02,1878363814,1357915601,PLN6395,831814,PCN829,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,86,8,Mail Order,0,1,0,24.0,4.74,28.74,145.0,0.0,1.89,0.32,0.2267,0,0,0,0,2022-01-29
RX0000001985,MBR00000049,2023-09-03,2023-09-05,1724724562,1497451761,PLN5851,250759,PCN598,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,55,8,Retail,0,0,0,56.0,11.72,67.72,8.0,56.67,3.05,1.12,0.7933,0,1,0,0,2023-11-02
RX0000001986,MBR00000049,2023-11-10,2023-11-13,1667229428,1326865873,PLN6122,949525,PCN346,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,9,Mail Order,2,0,0,38.0,11.91,49.91,39.0,8.96,1.95,1.52,1.0767,0,0,0,0,2023-12-10
RX0000001987,MBR00000049,2021-05-15,2021-05-17,1753338742,1650700264,PLN3825,787883,PCN380,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,7,Retail,0,0,0,18.0,5.56,23.56,30.0,0.0,0.79,0.72,0.51,0,0,0,0,2021-06-14
RX0000001988,MBR00000050,2023-05-04,2023-05-06,1799254958,1697470794,PLN2371,648682,PCN614,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,6,Retail,0,1,0,2800.0,7.3,2807.3,151.0,2494.48,161.82,112.0,79.3333,0,0,0,0,2023-06-03
RX0000001989,MBR00000050,2023-02-27,2023-03-02,1258031362,1722248472,PLN7918,845206,PCN666,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,87,5,Mail Order,0,0,0,66.0,8.06,74.06,1.0,69.6,3.46,0.88,0.6233,0,0,0,0,2023-05-28
RX0000001990,MBR00000050,2021-01-29,2021-01-31,1250132663,1691444342,PLN2561,100292,PCN266,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,9,Mail Order,0,0,0,12.5,2.52,15.02,2.0,12.27,0.75,0.5,0.3542,0,0,0,0,2021-02-28
RX0000001991,MBR00000050,2023-03-27,2023-03-31,1204382886,1302616620,PLN3196,935457,PCN993,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,5,Mail Order,0,0,0,22.0,6.61,28.61,3.0,24.27,1.34,0.88,0.6233,1,0,0,0,2023-04-26
RX0000001992,MBR00000050,2021-08-05,2021-08-09,1448215144,1743133022,PLN1928,152287,PCN922,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,1,Retail,2,0,0,4.2,6.68,10.88,6.0,4.2,0.68,0.72,0.51,1,0,0,0,2021-08-12
RX0000001993,MBR00000050,2022-05-30,2022-05-31,1229195174,1626423048,PLN3298,502128,PCN988,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,61,0,Mail Order,3,0,0,28.0,6.79,34.79,6.0,27.16,1.63,0.56,0.3967,0,0,0,0,2022-07-29
RX0000001994,MBR00000050,2023-11-26,2023-11-30,1487279515,1472334341,PLN1961,510892,PCN568,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,11,Retail,0,0,0,2.1,2.59,4.69,8.0,0.0,0.21,0.36,0.255,0,1,0,0,2023-12-03
RX0000001995,MBR00000050,2021-09-13,2021-09-15,1106917075,1195294885,PLN1768,512113,PCN844,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,64,2,Retail,0,0,0,25.0,11.67,36.67,2.0,32.36,2.31,0.5,0.3542,0,0,0,0,2021-11-12
RX0000001996,MBR00000050,2022-04-25,2022-04-28,1477923270,1321752256,PLN7717,827615,PCN844,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,87,1,Retail,0,0,0,135.0,2.39,137.39,2.0,126.46,8.93,1.8,1.275,0,0,0,0,2022-07-24
RX0000001997,MBR00000050,2022-01-06,2022-01-08,1568461901,1919349442,PLN5069,949516,PCN184,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,6,Mail Order,0,0,0,480.0,6.21,486.21,38.0,426.11,22.1,19.2,13.6,0,0,0,0,2022-02-05
RX0000001998,MBR00000050,2023-03-09,2023-03-13,1186673763,1789646050,PLN2714,119708,PCN128,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,4,Retail,3,0,0,12.0,8.45,20.45,1.0,18.57,0.88,0.48,0.34,0,0,0,0,2023-04-08
RX0000001999,MBR00000050,2021-10-29,2021-10-30,1370963570,1920491543,PLN1002,660539,PCN720,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,83,9,Retail,0,0,0,42.0,11.4,53.4,2.0,49.62,1.78,0.56,0.3967,0,0,0,0,2022-01-27
RX0000002000,MBR00000050,2022-11-20,2022-11-23,1727363249,1224824242,PLN6605,866331,PCN400,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,10,Retail,0,1,0,8500.0,7.55,8507.55,147.0,7828.65,531.9,340.0,240.8333,0,0,0,0,2022-12-20
RX0000002001,MBR00000050,2022-08-12,2022-08-15,1352344890,1783408818,PLN1320,784318,PCN394,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,7,Retail,0,0,0,10.0,10.97,20.97,3.0,16.8,1.17,0.4,0.2833,0,0,0,0,2022-09-11
RX0000002002,MBR00000050,2021-07-14,2021-07-15,1940678543,1407365855,PLN1972,204709,PCN378,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,2,Mail Order,0,0,0,185.0,7.82,192.82,31.0,155.42,6.4,7.4,5.2417,0,0,0,0,2021-08-13
RX0000002003,MBR00000051,2023-09-07,2023-09-11,1752705808,1637038774,PLN1050,391072,PCN352,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,8,Retail,0,0,0,10.0,2.27,12.27,3.0,8.52,0.75,0.4,0.2833,0,0,0,0,2023-10-07
RX0000002004,MBR00000051,2023-02-28,2023-03-02,1298080199,1942420973,PLN5753,799103,PCN619,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,1,Mail Order,0,0,0,151.67,10.17,161.84,35.0,119.13,7.71,26.0,18.4167,0,0,0,0,2023-03-07
RX0000002005,MBR00000051,2021-08-01,2021-08-03,1604924744,1467021879,PLN5809,785459,PCN448,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,7,Mail Order,1,1,0,6200.0,5.98,6205.98,148.0,5778.68,279.3,248.0,175.6667,0,0,0,0,2021-08-31
RX0000002006,MBR00000051,2021-04-06,2021-04-07,1978396854,1793645036,PLN3826,575456,PCN310,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,10,Mail Order,0,0,0,22.0,3.08,25.08,75.0,0.0,1.3,0.88,0.6233,0,0,0,0,2021-05-06
RX0000002007,MBR00000051,2023-11-08,2023-11-09,1114892720,1162520983,PLN7398,964111,PCN797,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,1,Retail,0,1,0,6200.0,2.94,6202.94,146.0,5693.39,363.55,248.0,175.6667,1,0,0,0,2023-12-08
RX0000002008,MBR00000051,2023-08-23,2023-08-25,1128434079,1501847555,PLN1387,270777,PCN944,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,8,Retail,0,0,0,175.0,11.6,186.6,40.0,135.54,11.06,30.0,21.25,0,0,0,0,2023-08-30
RX0000002009,MBR00000051,2021-06-10,2021-06-14,1352165943,1783138647,PLN1167,243937,PCN747,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,7,Retail,0,0,0,480.0,9.41,489.41,40.0,429.06,20.35,19.2,13.6,1,0,0,0,2021-07-10
RX0000002010,MBR00000051,2022-08-15,2022-08-18,1204631331,1784913413,PLN8739,461828,PCN910,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,11,Mail Order,0,0,0,10.0,8.26,18.26,7.0,10.58,0.68,0.4,0.2833,0,0,0,0,2022-09-14
RX0000002011,MBR00000051,2021-04-09,2021-04-10,1226346469,1819993321,PLN7527,828122,PCN956,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,62,0,Retail,0,0,0,30.0,10.78,40.78,7.0,31.88,1.9,0.6,0.425,0,0,0,0,2021-06-08
RX0000002012,MBR00000051,2021-08-18,2021-08-19,1620821944,1896669568,PLN4522,974377,PCN258,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,10,Retail,0,0,0,5.13,4.82,9.95,75.0,0.0,0.56,0.88,0.6233,0,0,0,0,2021-08-25
RX0000002013,MBR00000051,2022-06-17,2022-06-19,1406662655,1406030934,PLN7139,915646,PCN310,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,81,11,Specialty,0,0,0,1440.0,11.25,1451.25,40.0,1411.25,0.0,19.2,13.6,0,0,0,0,2022-09-15
RX0000002014,MBR00000051,2023-05-04,2023-05-06,1741879679,1869891204,PLN3915,592753,PCN360,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,93,0,Retail,0,0,0,27.0,9.15,36.15,5.0,28.75,2.4,0.36,0.255,0,0,0,0,2023-08-02
RX0000002015,MBR00000051,2021-09-27,2021-10-01,1690767747,1961873157,PLN8858,463034,PCN375,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,92,2,Retail,0,0,0,54.0,3.27,57.27,7.0,47.6,2.67,0.72,0.51,0,0,0,0,2021-12-26
RX0000002016,MBR00000051,2021-05-08,2021-05-10,1547553590,1555507552,PLN9221,765628,PCN325,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,57,3,Retail,0,1,0,12400.0,2.25,12402.25,145.0,11813.59,443.66,248.0,175.6667,0,0,0,0,2021-07-07
RX0000002017,MBR00000051,2022-12-28,2022-12-30,1506011509,1842057204,PLN2555,264613,PCN156,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,11,Retail,0,0,0,65.0,5.6,70.6,35.0,32.0,3.6,2.6,1.8417,1,0,0,0,2023-01-27
RX0000002018,MBR00000051,2022-12-20,2022-12-24,1360708804,1216519591,PLN1709,619564,PCN977,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,6,Retail,0,0,0,185.0,7.5,192.5,40.0,144.89,7.61,7.4,5.2417,0,0,0,0,2023-01-19
RX0000002019,MBR00000051,2023-08-28,2023-08-31,1499349912,1334935078,PLN9303,472146,PCN747,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,10,Retail,1,1,0,8500.0,1.95,8501.95,151.0,8043.21,307.74,340.0,240.8333,0,0,0,0,2023-09-27
RX0000002020,MBR00000051,2021-12-14,2021-12-18,1653424292,1263366489,PLN3547,381173,PCN406,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,7,Retail,1,0,0,18.0,8.99,26.99,3.0,22.93,1.06,0.72,0.51,0,0,0,0,2022-01-13
RX0000002021,MBR00000052,2021-06-05,2021-06-06,1786185978,1204473237,PLN6448,950548,PCN441,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,63,11,Retail,0,0,0,32.0,6.55,38.55,1.0,35.41,2.14,0.64,0.4533,0,0,0,0,2021-08-04
RX0000002022,MBR00000052,2021-07-26,2021-07-27,1324625251,1841730039,PLN3364,805078,PCN438,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,3,Specialty,0,0,0,27.0,31.07,58.07,2.0,56.07,0.0,0.36,0.255,0,0,0,0,2021-10-24
RX0000002023,MBR00000052,2021-09-22,2021-09-26,1247462050,1103250665,PLN6593,837715,PCN655,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,54,7,Mail Order,0,0,0,18.0,11.05,29.05,5.0,22.48,1.57,0.36,0.255,0,0,0,0,2021-11-21
RX0000002024,MBR00000052,2021-06-11,2021-06-14,1174724757,1324435835,PLN9221,752599,PCN933,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,1,Retail,0,0,0,9.0,7.99,16.99,3.0,13.01,0.98,0.36,0.255,0,0,0,0,2021-07-11
RX0000002025,MBR00000052,2022-02-25,2022-02-26,1771318212,1965371166,PLN8243,353476,PCN483,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,97,10,Mail Order,0,0,0,1440.0,4.31,1444.31,40.0,1317.89,86.42,19.2,13.6,0,0,0,0,2022-05-26
RX0000002026,MBR00000052,2021-12-05,2021-12-06,1338543198,1984303662,PLN1877,508262,PCN187,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,1,Retail,0,0,0,14.0,11.11,25.11,8.0,15.96,1.15,0.56,0.3967,0,0,0,0,2022-01-04
RX0000002027,MBR00000052,2023-07-28,2023-07-29,1559572760,1546761801,PLN1259,487813,PCN735,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,10,Retail,0,0,0,10.0,9.55,19.55,3.0,15.71,0.84,0.4,0.2833,0,1,0,0,2023-08-27
RX0000002028,MBR00000052,2021-03-20,2021-03-23,1423496371,1697289373,PLN3111,724025,PCN934,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,8,Retail,0,0,0,185.0,7.6,192.6,35.0,146.3,11.3,7.4,5.2417,0,0,0,0,2021-04-19
RX0000002029,MBR00000052,2023-01-17,2023-01-18,1619045011,1188775634,PLN2459,963766,PCN776,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,7,Mail Order,0,0,0,9.0,6.44,15.44,1.0,13.75,0.69,0.36,0.255,0,0,0,0,2023-02-16
RX0000002030,MBR00000052,2023-09-15,2023-09-17,1863295247,1718733956,PLN7691,210867,PCN183,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,8,Retail,2,0,0,7.5,11.42,18.92,2.0,15.93,0.99,0.3,0.2125,0,0,0,0,2023-10-15
RX0000002031,MBR00000052,2023-09-06,2023-09-07,1231997938,1923964646,PLN7015,736016,PCN712,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,2,Mail Order,0,0,0,65.0,10.06,75.06,32.0,37.95,5.11,2.6,1.8417,0,0,0,0,2023-10-06
RX0000002032,MBR00000052,2021-01-08,2021-01-12,1214715799,1848301691,PLN1838,731713,PCN490,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,10,Mail Order,0,0,0,18.0,11.42,29.42,4.0,23.98,1.44,0.72,0.51,1,0,0,0,2021-02-07
RX0000002033,MBR00000052,2022-05-27,2022-05-29,1186704586,1515302207,PLN5914,370981,PCN629,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,97,4,Retail,0,1,0,8400.0,1.88,8401.88,151.0,7802.89,447.99,112.0,79.3333,0,0,0,0,2022-08-25
RX0000002034,MBR00000052,2022-03-09,2022-03-12,1798692402,1420371479,PLN4594,354089,PCN143,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,86,1,Retail,0,0,0,135.0,9.53,144.53,7.0,133.12,4.41,1.8,1.275,0,0,0,0,2022-06-07
RX0000002035,MBR00000052,2022-02-24,2022-02-28,1371963202,1944990718,PLN6171,247469,PCN511,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,62,6,Retail,0,0,0,20.0,10.54,30.54,8.0,21.5,1.04,0.4,0.2833,0,0,0,0,2022-04-25
RX0000002036,MBR00000052,2021-04-20,2021-04-23,1932365952,1715893408,PLN7617,686202,PCN485,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,10,Retail,0,0,0,18.0,3.59,21.59,35.0,0.0,1.5,0.72,0.51,0,0,0,0,2021-05-20
RX0000002037,MBR00000052,2021-12-07,2021-12-09,1636853461,1778481921,PLN1799,575469,PCN154,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,0,Retail,2,0,0,8.5,10.71,19.21,2.0,16.57,0.64,0.34,0.2408,0,0,0,0,2022-01-06
RX0000002038,MBR00000052,2022-03-05,2022-03-09,1786473693,1398560742,PLN5344,588058,PCN332,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,6,Retail,0,0,0,8.5,11.27,19.77,3.0,16.05,0.72,0.34,0.2408,0,0,0,0,2022-04-04
RX0000002039,MBR00000052,2021-04-29,2021-04-30,1222899682,1693953192,PLN7256,964938,PCN398,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,3,Retail,0,0,0,28.0,4.04,32.04,5.0,25.55,1.49,1.12,0.7933,0,0,0,0,2021-05-29
RX0000002040,MBR00000052,2023-11-28,2023-11-29,1536842307,1481368075,PLN1540,456705,PCN674,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,11,Retail,0,1,0,8500.0,7.81,8507.81,152.0,7879.44,476.37,340.0,240.8333,0,0,0,0,2023-12-28
RX0000002041,MBR00000053,2022-02-11,2022-02-13,1187367271,1476147676,PLN5159,896147,PCN210,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,1,Retail,0,0,0,66.5,7.17,73.67,39.0,31.33,3.34,11.4,8.075,0,0,0,0,2022-02-18
RX0000002042,MBR00000053,2023-07-07,2023-07-08,1152198248,1757979052,PLN1858,597281,PCN906,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,93,10,Retail,0,0,0,25.5,2.2,27.7,7.0,19.65,1.05,0.34,0.2408,0,0,0,0,2023-10-05
RX0000002043,MBR00000053,2021-10-17,2021-10-21,1965450116,1539000634,PLN3333,691828,PCN281,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,1,Specialty,0,0,0,11.0,31.7,42.7,6.0,36.7,0.0,0.44,0.3117,0,0,0,0,2021-11-16
RX0000002044,MBR00000053,2022-07-14,2022-07-18,1611289019,1540386939,PLN2385,406314,PCN104,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,63,5,Mail Order,0,1,0,5600.0,8.68,5608.68,146.0,5263.16,199.52,112.0,79.3333,0,0,0,0,2022-09-12
RX0000002045,MBR00000053,2023-01-22,2023-01-24,1570518778,1339737944,PLN3462,966296,PCN292,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,96,10,Retail,2,0,0,36.0,1.81,37.81,1.0,35.38,1.43,0.48,0.34,0,1,0,0,2023-04-22
RX0000002046,MBR00000053,2021-11-02,2021-11-05,1328875645,1972692476,PLN8988,396528,PCN495,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,2,Retail,0,0,0,2.8,9.14,11.94,9.0,2.11,0.83,0.48,0.34,0,0,0,0,2021-11-09
RX0000002047,MBR00000053,2023-05-07,2023-05-10,1953493212,1439792732,PLN2573,134618,PCN162,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,2,Retail,0,0,0,28.0,3.7,31.7,7.0,23.16,1.54,1.12,0.7933,0,0,0,0,2023-06-06
RX0000002048,MBR00000053,2022-07-08,2022-07-10,1179585261,1682313301,PLN8382,463390,PCN225,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,94,10,Retail,0,0,0,54.0,8.68,62.68,38.0,22.31,2.37,0.72,0.51,0,0,0,0,2022-10-06
RX0000002049,MBR00000053,2021-02-07,2021-02-10,1752398456,1715244350,PLN7966,852926,PCN165,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,0,Retail,0,0,0,10.0,3.89,13.89,0.0,13.25,0.64,0.4,0.2833,0,0,0,0,2021-03-09
RX0000002050,MBR00000053,2023-07-04,2023-07-07,1127635050,1409637428,PLN1966,458325,PCN278,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,82,7,Retail,0,0,0,37.5,8.65,46.15,0.0,44.42,1.73,0.5,0.3542,0,0,0,0,2023-10-02
RX0000002051,MBR00000053,2022-05-21,2022-05-25,1548100488,1343277846,PLN7522,546730,PCN692,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,2,LTC,0,0,0,221.67,5.14,226.8,40.0,179.01,7.79,38.0,26.9167,0,0,0,0,2022-05-28
RX0000002052,MBR00000053,2022-09-20,2022-09-22,1788472611,1684552011,PLN2162,112001,PCN279,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,3,Retail,0,0,0,45.0,5.78,50.78,0.0,47.56,3.22,1.8,1.275,0,0,0,0,2022-10-20
RX0000002053,MBR00000053,2022-08-15,2022-08-19,1446221529,1606443124,PLN9109,944563,PCN234,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,2,Mail Order,0,0,0,380.0,6.21,386.21,33.0,340.5,12.71,15.2,10.7667,0,0,0,0,2022-09-14
RX0000002054,MBR00000053,2022-05-01,2022-05-04,1785477592,1523121740,PLN4510,943816,PCN756,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,3,Retail,0,0,0,45.0,7.53,52.53,1.0,48.75,2.78,1.8,1.275,0,0,0,0,2022-05-31
RX0000002055,MBR00000053,2022-09-30,2022-10-03,1139369318,1249173304,PLN8679,722888,PCN318,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,10,Retail,0,0,0,28.0,2.91,30.91,4.0,25.15,1.76,1.12,0.7933,0,0,0,0,2022-10-30
RX0000002056,MBR00000053,2023-01-12,2023-01-16,1112928788,1228244261,PLN5546,859588,PCN390,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,10,Retail,0,0,0,9.0,8.61,17.61,6.0,10.53,1.08,0.36,0.255,0,0,0,0,2023-02-11
RX0000002057,MBR00000053,2021-01-03,2021-01-04,1462546678,1179966771,PLN3433,355400,PCN177,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,7,Retail,0,0,0,285.0,8.16,293.16,36.0,237.16,20.0,11.4,8.075,0,0,0,0,2021-02-02
RX0000002058,MBR00000053,2021-07-24,2021-07-25,1353970275,1605080586,PLN4443,238263,PCN604,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,63,2,Retail,0,0,0,90.0,3.71,93.71,2.0,88.85,2.86,1.8,1.275,0,0,0,0,2021-09-22
RX0000002059,MBR00000053,2022-05-02,2022-05-05,1392650127,1690391535,PLN5598,478902,PCN920,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,96,0,Retail,0,0,0,84.0,3.29,87.29,7.0,75.3,4.99,1.12,0.7933,0,0,0,0,2022-07-31
RX0000002060,MBR00000053,2023-07-15,2023-07-16,1774423156,1775992387,PLN8283,760919,PCN981,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,85,1,Mail Order,0,0,0,36.0,3.9,39.9,5.0,33.45,1.45,0.48,0.34,1,0,0,0,2023-10-13
RX0000002061,MBR00000053,2021-01-15,2021-01-17,1260509370,1427175172,PLN9192,348029,PCN659,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,82,10,Retail,0,0,0,33.0,7.78,40.78,6.0,32.0,2.78,0.44,0.3117,0,0,0,0,2021-04-15
RX0000002062,MBR00000053,2023-06-08,2023-06-11,1781731197,1594521970,PLN5476,411831,PCN354,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,0,Retail,0,0,0,45.0,6.79,51.79,0.0,50.2,1.59,1.8,1.275,0,0,0,0,2023-07-08
RX0000002063,MBR00000053,2023-12-01,2023-12-03,1686893994,1798897730,PLN9294,410419,PCN372,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,98,2,Mail Order,0,0,0,36.0,4.56,40.56,10.0,29.3,1.26,0.48,0.34,0,0,0,0,2024-02-29
RX0000002064,MBR00000053,2022-11-27,2022-12-01,1951762624,1299068355,PLN9357,151356,PCN509,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,7,Retail,1,0,0,320.0,9.33,329.33,34.0,275.92,19.41,12.8,9.0667,0,0,0,0,2022-12-27
RX0000002065,MBR00000053,2021-11-18,2021-11-22,1157642918,1114055951,PLN1543,187717,PCN633,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,54,8,Retail,0,0,0,20.0,3.63,23.63,5.0,17.45,1.18,0.4,0.2833,0,0,0,0,2022-01-17
RX0000002066,MBR00000053,2022-02-07,2022-02-09,1637073913,1930150012,PLN2749,195128,PCN309,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,89,10,Retail,3,0,0,66.0,7.55,73.55,68.0,2.09,3.46,0.88,0.6233,0,0,0,0,2022-05-08
RX0000002067,MBR00000053,2023-02-15,2023-02-17,1928062727,1772839097,PLN9611,244303,PCN786,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,11,Mail Order,0,1,0,12.0,10.04,22.04,154.0,0.0,1.17,0.48,0.34,0,0,0,0,2023-03-17
RX0000002068,MBR00000053,2021-06-05,2021-06-09,1540045375,1199194416,PLN7766,907858,PCN895,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,0,Retail,3,0,0,10.0,4.48,14.48,10.0,3.56,0.92,0.4,0.2833,0,0,0,0,2021-07-05
RX0000002069,MBR00000053,2021-03-12,2021-03-16,1343384098,1295626961,PLN4290,309395,PCN327,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,96,2,Retail,0,0,0,2250.0,1.58,2251.58,34.0,2060.92,156.66,30.0,21.25,0,0,0,0,2021-06-10
RX0000002070,MBR00000053,2022-12-17,2022-12-18,1518350324,1362851610,PLN2902,446401,PCN785,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,54,2,Retail,0,0,0,17.0,3.83,20.83,3.0,16.52,1.31,0.34,0.2408,0,0,0,0,2023-02-15
RX0000002071,MBR00000053,2023-12-08,2023-12-10,1415466137,1220188905,PLN9685,568600,PCN869,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,82,11,Retail,0,0,1,36.0,2.4,38.4,7.0,29.22,2.18,0.48,0.34,0,0,0,0,2024-03-07
RX0000002072,MBR00000053,2023-11-03,2023-11-06,1192970018,1611336268,PLN1783,919176,PCN597,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,8,Specialty,0,0,0,2.33,39.95,42.29,1.0,41.29,0.0,0.4,0.2833,0,0,0,0,2023-11-10
RX0000002073,MBR00000053,2022-01-21,2022-01-22,1940108589,1102376668,PLN2388,910048,PCN392,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,9,Mail Order,0,0,0,5.13,11.97,17.11,74.0,0.0,0.92,0.88,0.6233,0,0,0,0,2022-01-28
RX0000002074,MBR00000053,2021-03-28,2021-03-31,1288236131,1407467306,PLN1075,561188,PCN306,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,7,Mail Order,0,0,0,15.0,4.53,19.53,4.0,14.79,0.74,0.6,0.425,0,0,0,0,2021-04-27
RX0000002075,MBR00000053,2021-11-08,2021-11-11,1327890507,1872189977,PLN1556,208535,PCN339,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,7,Retail,0,0,0,4.2,10.3,14.5,36.0,0.0,0.48,0.72,0.51,0,0,0,0,2021-11-15
RX0000002076,MBR00000053,2023-02-16,2023-02-17,1623076223,1353181463,PLN7886,805361,PCN250,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,1,Retail,0,1,0,2800.0,2.14,2802.14,152.0,2472.57,177.57,112.0,79.3333,0,0,0,0,2023-03-18
RX0000002077,MBR00000053,2022-06-12,2022-06-15,1539677525,1276532940,PLN5509,265938,PCN333,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,1,LTC,0,0,0,285.0,8.82,293.82,30.0,251.27,12.55,11.4,8.075,0,0,0,0,2022-07-12
RX0000002078,MBR00000053,2021-10-22,2021-10-24,1365378881,1841141298,PLN1602,357485,PCN669,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,95,4,Retail,0,0,0,2250.0,2.63,2252.63,37.0,2061.73,153.9,30.0,21.25,0,0,0,0,2022-01-20
RX0000002079,MBR00000053,2022-12-14,2022-12-17,1191860773,1379827772,PLN7460,865974,PCN394,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,90,9,Retail,0,0,0,66.0,11.47,77.47,1.0,71.87,4.6,0.88,0.6233,0,0,0,0,2023-03-14
RX0000002080,MBR00000053,2022-09-06,2022-09-07,1973161382,1160084009,PLN6985,295255,PCN446,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,1,Retail,2,0,0,8.5,4.91,13.41,1.0,11.85,0.56,0.34,0.2408,0,0,0,0,2022-10-06
RX0000002081,MBR00000053,2021-06-11,2021-06-12,1483113992,1836713522,PLN6140,636170,PCN255,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,91,4,Retail,0,0,0,990.0,3.71,993.71,39.0,888.7,66.01,13.2,9.35,0,0,0,0,2021-09-09
RX0000002082,MBR00000053,2021-01-12,2021-01-15,1565169318,1470090961,PLN2119,576362,PCN924,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,6,Retail,0,0,0,370.0,4.61,374.61,33.0,321.0,20.61,14.8,10.4833,0,0,0,0,2021-02-11
RX0000002083,MBR00000053,2021-05-16,2021-05-17,1188086513,1944472166,PLN4635,820445,PCN232,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,3,Retail,3,0,0,3.5,8.71,12.21,1.0,10.82,0.39,0.6,0.425,0,0,0,0,2021-05-23
RX0000002084,MBR00000053,2023-11-11,2023-11-15,1936511544,1562607595,PLN3132,997382,PCN321,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,8,Retail,0,0,0,9.0,1.56,10.56,9.0,1.18,0.38,0.36,0.255,0,0,0,0,2023-12-11
RX0000002085,MBR00000053,2021-01-24,2021-01-27,1271144140,1759818857,PLN2211,269800,PCN477,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,65,3,Retail,3,0,0,620.0,10.84,630.84,40.0,569.21,21.63,12.4,8.7833,0,0,0,0,2021-03-25
RX0000002086,MBR00000053,2022-05-13,2022-05-15,1576558125,1893062745,PLN3964,342339,PCN395,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,3,Specialty,0,0,0,11.0,23.02,34.02,3.0,31.02,0.0,0.44,0.3117,0,0,0,0,2022-06-12
RX0000002087,MBR00000053,2022-01-04,2022-01-05,1776469628,1130439455,PLN7075,458359,PCN837,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,11,Retail,0,0,0,9.0,11.87,20.87,9.0,10.46,1.41,0.36,0.255,1,0,0,0,2022-02-03
RX0000002088,MBR00000054,2021-04-02,2021-04-06,1405426026,1633477199,PLN9303,339436,PCN423,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,94,3,Retail,0,0,0,84.0,8.58,92.58,1.0,87.67,3.91,1.12,0.7933,0,0,0,0,2021-07-01
RX0000002089,MBR00000054,2022-05-25,2022-05-29,1638281013,1256674319,PLN5691,190539,PCN481,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,8,Retail,0,0,0,380.0,11.64,391.64,33.0,331.8,26.84,15.2,10.7667,0,0,0,0,2022-06-24
RX0000002090,MBR00000054,2023-05-16,2023-05-20,1655679412,1183749210,PLN2399,970990,PCN875,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,5,Retail,0,0,0,7.5,10.76,18.26,7.0,10.68,0.58,0.3,0.2125,0,0,0,0,2023-06-15
RX0000002091,MBR00000054,2023-11-30,2023-12-01,1514449408,1570890555,PLN9128,257092,PCN997,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,54,9,Retail,0,0,0,660.0,1.64,661.64,30.0,598.58,33.06,13.2,9.35,0,0,0,0,2024-01-29
RX0000002092,MBR00000054,2023-02-06,2023-02-10,1689797879,1827993158,PLN8290,630117,PCN466,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,11,Retail,0,1,0,1983.33,6.9,1990.23,147.0,1782.1,61.13,340.0,240.8333,0,0,0,0,2023-02-13
RX0000002093,MBR00000054,2021-08-24,2021-08-26,1496860698,1239004306,PLN1514,392749,PCN613,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,8,Retail,0,0,0,18.0,7.51,25.51,6.0,18.34,1.17,0.72,0.51,0,0,0,0,2021-09-23
RX0000002094,MBR00000054,2023-11-11,2023-11-15,1260406118,1411730753,PLN2273,361563,PCN396,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,11,Retail,3,0,0,15.0,5.13,20.13,1.0,18.11,1.02,0.6,0.425,0,1,0,0,2023-12-11
RX0000002095,MBR00000054,2023-06-02,2023-06-04,1810277719,1604939620,PLN6086,390050,PCN917,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,84,5,Retail,0,0,0,2250.0,7.31,2257.31,32.0,2146.81,78.5,30.0,21.25,0,0,0,0,2023-08-31
RX0000002096,MBR00000054,2021-11-26,2021-11-28,1504493621,1542744462,PLN9803,178150,PCN204,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,1,Retail,1,0,0,18.0,3.12,21.12,10.0,9.93,1.19,0.72,0.51,0,0,0,0,2021-12-26
RX0000002097,MBR00000054,2021-11-26,2021-11-28,1261293320,1807095588,PLN2122,330703,PCN236,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,10,Retail,0,1,0,2800.0,11.33,2811.33,145.0,2581.38,84.95,112.0,79.3333,0,0,0,0,2021-12-26
RX0000002098,MBR00000054,2021-07-30,2021-07-31,1533799256,1861643348,PLN9669,509950,PCN396,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,2,Retail,0,0,0,22.0,2.59,24.59,3.0,20.41,1.18,0.88,0.6233,0,0,0,0,2021-08-29
RX0000002099,MBR00000054,2021-08-17,2021-08-21,1177931111,1698211428,PLN3328,398103,PCN297,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,6,Retail,2,0,0,9.0,5.69,14.69,5.0,9.19,0.5,0.36,0.255,0,0,0,0,2021-09-16
RX0000002100,MBR00000054,2021-12-30,2021-12-31,1968133161,1403888526,PLN1512,894596,PCN630,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,10,Retail,1,0,0,320.0,11.05,331.05,32.0,289.0,10.05,12.8,9.0667,0,0,0,0,2022-01-29
RX0000002101,MBR00000054,2023-01-21,2023-01-22,1499732923,1236210379,PLN4521,154490,PCN230,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,10,Retail,0,0,0,185.0,3.17,188.17,40.0,141.83,6.34,7.4,5.2417,0,0,0,0,2023-02-20
RX0000002102,MBR00000054,2023-08-04,2023-08-08,1516903797,1291714589,PLN5083,917876,PCN486,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,2,Retail,0,0,0,285.0,7.58,292.58,32.0,248.59,11.99,11.4,8.075,0,0,0,0,2023-09-03
RX0000002103,MBR00000054,2023-07-17,2023-07-20,1629971652,1466488166,PLN8997,494849,PCN791,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,11,Retail,0,0,0,9.0,10.15,19.15,2.0,16.22,0.93,0.36,0.255,0,0,0,0,2023-08-16
RX0000002104,MBR00000054,2023-06-27,2023-07-01,1893504910,1882217871,PLN9470,999013,PCN952,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,8,Retail,0,0,0,221.67,3.53,225.2,32.0,181.33,11.87,38.0,26.9167,0,0,0,0,2023-07-04
RX0000002105,MBR00000054,2022-11-08,2022-11-10,1774997306,1232907582,PLN6180,396012,PCN144,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,62,4,Retail,0,0,0,25.0,1.68,26.68,3.0,22.17,1.51,0.5,0.3542,0,0,0,0,2023-01-07
RX0000002106,MBR00000054,2021-10-17,2021-10-21,1587523321,1479416668,PLN8361,973819,PCN122,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,1,Retail,0,0,0,175.0,4.02,179.02,39.0,134.03,5.99,7.0,4.9583,0,0,0,0,2021-11-16
RX0000002107,MBR00000054,2021-10-03,2021-10-06,1779386997,1105599039,PLN1336,881177,PCN310,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,8,Retail,1,1,0,2800.0,6.9,2806.9,155.0,2477.45,174.45,112.0,79.3333,0,0,0,0,2021-11-02
RX0000002108,MBR00000054,2021-07-24,2021-07-28,1318071097,1111703571,PLN1056,474833,PCN225,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,10,Retail,0,0,0,8.5,2.73,11.23,4.0,6.67,0.56,0.34,0.2408,0,0,0,0,2021-08-23
RX0000002109,MBR00000054,2021-05-14,2021-05-15,1900624170,1115964234,PLN5782,317225,PCN299,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,63,0,Retail,3,0,0,760.0,6.69,766.69,40.0,676.43,50.26,15.2,10.7667,0,0,0,0,2021-07-13
RX0000002110,MBR00000054,2023-02-27,2023-03-02,1609675439,1536976888,PLN3850,896520,PCN309,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,0,Mail Order,2,0,0,12.5,5.98,18.48,6.0,11.22,1.26,0.5,0.3542,0,0,0,0,2023-03-29
RX0000002111,MBR00000054,2023-06-03,2023-06-04,1239240353,1671628273,PLN3857,430817,PCN622,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,92,4,Retail,0,0,0,33.0,7.54,40.54,9.0,30.29,1.25,0.44,0.3117,0,0,0,0,2023-09-01
RX0000002112,MBR00000054,2022-04-21,2022-04-24,1916476712,1563956784,PLN6157,204807,PCN892,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,10,Retail,1,0,0,9.0,11.25,20.25,3.0,16.11,1.14,0.36,0.255,0,0,0,0,2022-05-21
RX0000002113,MBR00000054,2023-11-10,2023-11-14,1416746432,1672664077,PLN8411,684191,PCN965,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,91,1,Mail Order,0,0,0,36.0,6.95,42.95,6.0,34.22,2.73,0.48,0.34,0,0,0,0,2024-02-08
RX0000002114,MBR00000054,2021-05-04,2021-05-07,1927296505,1242735498,PLN7679,338231,PCN808,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,82,9,Retail,0,0,0,30.0,9.05,39.05,9.0,27.53,2.52,0.4,0.2833,0,0,0,0,2021-08-02
RX0000002115,MBR00000054,2023-10-23,2023-10-25,1647147752,1647990674,PLN2968,866245,PCN753,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,9,Retail,0,0,0,10.0,3.19,13.19,9.0,3.38,0.81,0.4,0.2833,0,0,0,0,2023-11-22
RX0000002116,MBR00000054,2022-05-15,2022-05-16,1893878406,1346849583,PLN8070,654708,PCN709,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,60,3,Mail Order,3,0,0,20.0,10.8,30.8,1.0,27.64,2.16,0.4,0.2833,0,0,0,0,2022-07-14
RX0000002117,MBR00000054,2022-09-11,2022-09-12,1981684013,1560417229,PLN6667,134833,PCN576,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,56,9,Retail,0,0,0,350.0,8.38,358.38,32.0,307.71,18.67,7.0,4.9583,0,0,0,0,2022-11-10
RX0000002118,MBR00000054,2023-01-21,2023-01-25,1668717257,1596644794,PLN5520,281642,PCN369,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,1,Mail Order,0,1,0,8.0,11.81,19.81,145.0,0.0,0.61,0.32,0.2267,0,0,0,0,2023-02-20
RX0000002119,MBR00000054,2023-12-24,2023-12-28,1885886485,1554142472,PLN5337,437102,PCN342,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,93,10,Retail,0,0,0,1140.0,2.66,1142.66,39.0,1068.94,34.72,15.2,10.7667,0,0,0,0,2024-03-23
RX0000002120,MBR00000054,2021-04-27,2021-04-30,1416972025,1356484010,PLN4921,399377,PCN228,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,90,10,Retail,0,0,0,1950.0,2.11,1952.11,30.0,1790.12,131.99,26.0,18.4167,0,0,0,0,2021-07-26
RX0000002121,MBR00000054,2022-06-26,2022-06-30,1832606861,1959824996,PLN2098,891751,PCN737,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,7,Retail,0,0,0,320.0,1.88,321.88,38.0,261.78,22.1,12.8,9.0667,0,0,0,0,2022-07-26
RX0000002122,MBR00000054,2022-07-18,2022-07-21,1327888580,1554674519,PLN1623,575725,PCN998,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,8,Retail,0,0,0,9.0,2.56,11.56,8.0,3.08,0.48,0.36,0.255,0,0,0,0,2022-08-17
RX0000002123,MBR00000054,2023-12-12,2023-12-15,1864268673,1125518440,PLN4750,446576,PCN339,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,1,Retail,0,0,0,185.0,9.61,194.61,30.0,151.89,12.72,7.4,5.2417,0,0,0,0,2024-01-11
RX0000002124,MBR00000054,2021-07-21,2021-07-24,1508361270,1409231250,PLN4196,719232,PCN868,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,61,6,Retail,0,0,0,90.0,4.33,94.33,1.0,87.45,5.88,1.8,1.275,0,0,0,0,2021-09-19
RX0000002125,MBR00000054,2023-02-17,2023-02-20,1147199935,1170846521,PLN4061,847439,PCN512,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,8,Retail,0,0,0,22.0,3.38,25.38,2.0,22.59,0.79,0.88,0.6233,0,0,0,0,2023-03-19
RX0000002126,MBR00000054,2022-08-28,2022-08-31,1500613432,1982208328,PLN1527,139787,PCN202,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,2,Retail,0,0,0,7.5,9.27,16.77,0.0,16.17,0.6,0.3,0.2125,1,0,0,0,2022-09-27
RX0000002127,MBR00000054,2021-04-27,2021-04-29,1237158020,1646767271,PLN3116,810492,PCN155,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,56,6,Retail,0,0,0,1500.0,10.36,1510.36,30.0,1400.48,79.88,30.0,21.25,0,0,0,0,2021-06-26
RX0000002128,MBR00000054,2022-10-09,2022-10-12,1512511396,1998468775,PLN6132,677340,PCN927,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,2,Retail,0,0,0,18.0,6.08,24.08,7.0,15.85,1.23,0.72,0.51,0,0,0,0,2022-11-08
RX0000002129,MBR00000054,2022-04-07,2022-04-11,1689416006,1973986352,PLN8410,207847,PCN401,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,7,Mail Order,0,0,0,10.0,5.81,15.81,3.0,12.12,0.69,0.4,0.2833,0,0,0,0,2022-05-07
RX0000002130,MBR00000054,2022-10-23,2022-10-24,1329977424,1121813235,PLN6105,888406,PCN238,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,89,3,Retail,0,0,0,1140.0,7.69,1147.69,39.0,1031.49,77.2,15.2,10.7667,1,0,0,0,2023-01-21
RX0000002131,MBR00000054,2021-08-03,2021-08-07,1267367224,1935086473,PLN2818,835668,PCN891,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,4,Retail,0,0,1,370.0,2.1,372.1,40.0,319.62,12.48,14.8,10.4833,0,0,0,0,2021-09-02
RX0000002132,MBR00000054,2023-11-24,2023-11-26,1968219047,1643692310,PLN3830,836480,PCN272,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,1,Retail,0,0,0,77.0,8.42,85.42,30.0,50.51,4.91,13.2,9.35,0,0,0,0,2023-12-01
RX0000002133,MBR00000055,2023-11-28,2023-12-02,1835282305,1208777862,PLN4595,821969,PCN252,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,93,6,Retail,0,0,0,1950.0,9.78,1959.78,35.0,1850.73,74.05,26.0,18.4167,0,0,0,0,2024-02-26
RX0000002134,MBR00000055,2023-10-16,2023-10-20,1116443718,1787031772,PLN5730,688297,PCN413,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,4,Retail,0,0,0,8.5,7.49,15.99,3.0,12.5,0.49,0.34,0.2408,0,0,0,0,2023-11-15
RX0000002135,MBR00000055,2021-03-24,2021-03-26,1422757825,1812357250,PLN5964,971285,PCN185,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,56,10,Retail,0,0,0,25.0,2.04,27.04,6.0,19.68,1.36,0.5,0.3542,0,0,0,0,2021-05-23
RX0000002136,MBR00000055,2023-12-04,2023-12-08,1494351239,1282713439,PLN6423,116433,PCN976,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,96,11,Specialty,0,0,0,855.0,40.64,895.64,38.0,857.64,0.0,11.4,8.075,0,0,0,0,2024-03-03
RX0000002137,MBR00000055,2021-04-08,2021-04-12,1900120936,1645566532,PLN3304,888616,PCN469,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,10,Retail,0,0,0,14.0,11.06,25.06,8.0,15.36,1.7,0.56,0.3967,1,0,0,0,2021-05-08
RX0000002138,MBR00000055,2023-11-20,2023-11-24,1899864454,1219070895,PLN3670,155998,PCN909,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,6,Mail Order,0,1,0,2.8,9.16,11.96,150.0,0.0,0.8,0.48,0.34,0,0,0,0,2023-11-27
RX0000002139,MBR00000055,2023-12-30,2024-01-02,1379328917,1595583432,PLN1597,490483,PCN188,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,60,8,Retail,2,0,0,760.0,1.71,761.71,40.0,689.02,32.69,15.2,10.7667,0,0,0,0,2024-02-28
RX0000002140,MBR00000055,2022-03-27,2022-03-30,1323860394,1331152293,PLN9832,632234,PCN785,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,1,Retail,0,0,0,18.0,2.52,20.52,34.0,0.0,0.9,0.72,0.51,0,0,0,0,2022-04-26
RX0000002141,MBR00000055,2023-08-24,2023-08-27,1919030948,1984499972,PLN7322,642975,PCN193,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,11,LTC,0,0,0,320.0,6.23,326.23,35.0,269.79,21.44,12.8,9.0667,0,0,0,0,2023-09-23
RX0000002142,MBR00000055,2023-12-18,2023-12-21,1254623608,1306925442,PLN4806,561792,PCN811,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,3,Retail,2,0,0,10.0,4.16,14.16,3.0,10.56,0.6,0.4,0.2833,0,0,0,0,2024-01-17
RX0000002143,MBR00000055,2021-02-10,2021-02-12,1759028251,1538478625,PLN4841,855589,PCN191,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,5,Retail,2,0,0,18.0,4.75,22.75,3.0,18.56,1.19,0.72,0.51,0,0,0,0,2021-03-12
RX0000002144,MBR00000055,2021-08-19,2021-08-21,1789538740,1267557178,PLN3440,650801,PCN471,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,4,Retail,0,0,0,18.0,3.82,21.82,0.0,20.57,1.25,0.72,0.51,0,0,0,0,2021-09-18
RX0000002145,MBR00000055,2023-11-09,2023-11-10,1336117099,1897823436,PLN5432,344372,PCN446,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,0,Retail,2,0,0,10.0,3.15,13.15,6.0,6.49,0.66,0.4,0.2833,0,0,0,0,2023-12-09
RX0000002146,MBR00000055,2023-08-06,2023-08-08,1348117256,1739053828,PLN7516,334283,PCN479,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,3,Mail Order,0,0,0,112.0,4.19,116.19,36.0,73.29,6.9,19.2,13.6,0,0,0,0,2023-08-13
RX0000002147,MBR00000055,2022-08-01,2022-08-02,1639214445,1353040412,PLN7286,349549,PCN535,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,87,0,Mail Order,0,0,0,30.0,5.21,35.21,5.0,28.71,1.5,0.4,0.2833,0,0,0,0,2022-10-30
RX0000002148,MBR00000055,2021-03-07,2021-03-11,1866581031,1212219960,PLN3208,250053,PCN728,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,0,Retail,0,1,0,6200.0,6.01,6206.01,145.0,5826.99,234.02,248.0,175.6667,0,0,0,0,2021-04-06
RX0000002149,MBR00000055,2021-08-18,2021-08-21,1586887404,1407359104,PLN5180,468647,PCN671,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,2,Retail,0,0,0,11.0,8.19,19.19,9.0,9.08,1.11,0.44,0.3117,0,0,0,0,2021-09-17
RX0000002150,MBR00000055,2021-10-03,2021-10-07,1821343593,1467511279,PLN1353,849323,PCN324,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,0,Retail,0,0,0,11.0,11.37,22.37,1.0,20.07,1.3,0.44,0.3117,0,0,0,0,2021-11-02
RX0000002151,MBR00000055,2022-12-14,2022-12-15,1360501194,1752096841,PLN7988,934179,PCN244,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,93,3,Specialty,0,0,0,195.0,36.78,231.78,35.0,196.78,0.0,2.6,1.8417,0,0,0,0,2023-03-14
RX0000002152,MBR00000055,2023-07-10,2023-07-13,1282083831,1140103552,PLN5868,372091,PCN186,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,8,Retail,0,0,0,11.0,4.5,15.5,9.0,5.84,0.66,0.44,0.3117,0,0,0,0,2023-08-09
RX0000002153,MBR00000055,2021-05-10,2021-05-11,1642238779,1901220443,PLN4544,754769,PCN211,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,56,8,Retail,0,0,0,25.0,7.66,32.66,1.0,30.06,1.6,0.5,0.3542,0,0,0,0,2021-07-09
RX0000002154,MBR00000055,2023-08-21,2023-08-25,1507060086,1892069577,PLN1472,971377,PCN242,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,9,Retail,0,0,0,28.0,11.06,39.06,0.0,37.04,2.02,1.12,0.7933,0,0,0,0,2023-09-20
RX0000002155,MBR00000055,2022-11-18,2022-11-22,1929654129,1701012710,PLN1200,790034,PCN941,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,84,3,Specialty,0,1,0,8400.0,37.61,8437.61,155.0,8282.61,0.0,112.0,79.3333,0,0,0,0,2023-02-16
RX0000002156,MBR00000055,2021-06-23,2021-06-26,1726898800,1313652059,PLN7916,244398,PCN287,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,1,Mail Order,0,0,0,9.0,3.83,12.83,7.0,4.99,0.84,0.36,0.255,0,0,0,0,2021-07-23
RX0000002157,MBR00000055,2023-03-28,2023-03-30,1730986498,1204358844,PLN1440,589828,PCN220,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,8,Retail,1,0,0,7.5,4.63,12.13,4.0,7.3,0.83,0.3,0.2125,0,0,0,0,2023-04-27
RX0000002158,MBR00000055,2022-06-25,2022-06-28,1241848905,1357439414,PLN7456,794110,PCN842,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,10,Retail,2,0,0,2.33,5.77,8.11,10.0,0.0,0.26,0.4,0.2833,0,0,0,0,2022-07-02
RX0000002159,MBR00000055,2021-03-16,2021-03-18,1259978838,1881157603,PLN1439,702204,PCN352,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,7,Retail,0,0,0,9.0,6.09,15.09,7.0,7.1,0.99,0.36,0.255,1,0,0,0,2021-04-15
RX0000002160,MBR00000055,2023-04-25,2023-04-29,1287553531,1251422303,PLN4981,585457,PCN113,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,8,Retail,1,0,0,3.27,7.54,10.81,9.0,1.35,0.46,0.56,0.3967,0,0,0,0,2023-05-02
RX0000002161,MBR00000055,2021-10-11,2021-10-14,1385944685,1611431368,PLN4558,486676,PCN681,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,3,Retail,0,1,0,2800.0,3.35,2803.35,146.0,2464.02,193.33,112.0,79.3333,0,0,0,0,2021-11-10
RX0000002162,MBR00000055,2023-03-24,2023-03-27,1714475591,1914827014,PLN6715,430567,PCN327,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,2,Retail,3,0,0,12.0,6.18,18.18,4.0,13.48,0.7,0.48,0.34,0,0,0,0,2023-04-23
RX0000002163,MBR00000055,2023-06-13,2023-06-16,1117382690,1639452747,PLN9633,923893,PCN660,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,54,6,Mail Order,0,0,0,370.0,10.3,380.3,37.0,320.9,22.4,7.4,5.2417,0,0,0,0,2023-08-12
RX0000002164,MBR00000055,2021-11-27,2021-11-30,1736195307,1569114635,PLN1678,201249,PCN480,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,4,Mail Order,0,0,0,38.0,6.44,44.44,9.0,33.7,1.74,1.52,1.0767,0,0,0,0,2021-12-27
RX0000002165,MBR00000055,2021-11-28,2021-12-01,1404903336,1489751288,PLN5470,594151,PCN758,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,1,Retail,0,0,0,9.0,2.62,11.62,7.0,3.93,0.69,0.36,0.255,0,0,0,0,2021-12-28
RX0000002166,MBR00000055,2023-06-25,2023-06-28,1619489732,1687940227,PLN9254,775459,PCN282,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,9,Retail,3,0,0,10.0,3.6,13.6,7.0,5.89,0.71,0.4,0.2833,0,0,0,0,2023-07-25
RX0000002167,MBR00000055,2023-09-22,2023-09-25,1285775636,1784862393,PLN8959,199841,PCN632,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,91,0,Retail,0,0,0,114.0,6.06,120.06,0.0,115.01,5.05,1.52,1.0767,0,0,0,0,2023-12-21
RX0000002168,MBR00000055,2022-07-19,2022-07-23,1605245705,1280576109,PLN3587,381120,PCN317,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,8,Retail,0,0,0,11.0,8.93,19.93,9.0,9.79,1.14,0.44,0.3117,1,0,0,0,2022-08-18
RX0000002169,MBR00000055,2022-12-29,2022-12-31,1480396194,1369852466,PLN2586,133269,PCN485,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,65,2,Retail,0,0,0,350.0,9.14,359.14,31.0,309.68,18.46,7.0,4.9583,0,0,0,0,2023-02-27
RX0000002170,MBR00000055,2023-01-01,2023-01-05,1692882621,1654756395,PLN4066,397695,PCN168,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,10,Mail Order,0,0,0,28.0,1.85,29.85,2.0,26.2,1.65,1.12,0.7933,0,0,0,0,2023-01-31
RX0000002171,MBR00000055,2022-08-22,2022-08-25,1420836298,1516923751,PLN2501,542586,PCN446,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,2,Retail,0,0,0,380.0,2.5,382.5,32.0,336.26,14.24,15.2,10.7667,0,0,0,0,2022-09-21
RX0000002172,MBR00000056,2021-03-28,2021-04-01,1517162907,1312466239,PLN1101,408710,PCN633,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,7,Mail Order,2,0,0,88.67,8.35,97.01,30.0,60.5,6.51,15.2,10.7667,0,0,0,0,2021-04-04
RX0000002173,MBR00000056,2022-11-07,2022-11-09,1660149006,1821018996,PLN7225,896976,PCN549,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,2,Specialty,0,0,0,2.8,23.44,26.24,6.0,20.24,0.0,0.48,0.34,0,0,0,0,2022-11-14
RX0000002174,MBR00000056,2021-05-29,2021-05-30,1333017229,1364654481,PLN7824,496434,PCN804,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,3,Retail,0,0,0,10.0,4.59,14.59,9.0,4.97,0.62,0.4,0.2833,0,0,0,0,2021-06-28
RX0000002175,MBR00000056,2022-03-25,2022-03-29,1377724146,1414647436,PLN3321,665686,PCN622,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,3,Mail Order,0,0,0,310.0,7.3,317.3,38.0,265.61,13.69,12.4,8.7833,0,0,0,0,2022-04-24
RX0000002176,MBR00000056,2023-07-16,2023-07-19,1756805367,1263403944,PLN6007,846196,PCN969,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,81,6,Retail,0,0,0,42.0,9.86,51.86,3.0,45.83,3.03,0.56,0.3967,0,0,0,0,2023-10-14
RX0000002177,MBR00000056,2022-09-14,2022-09-15,1485183330,1577749454,PLN3400,902705,PCN491,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,4,Retail,0,0,0,2.33,8.59,10.92,0.0,10.4,0.52,0.4,0.2833,0,1,0,0,2022-09-21
RX0000002178,MBR00000056,2022-07-30,2022-07-31,1881322649,1480576479,PLN9827,823056,PCN555,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,7,Retail,2,0,0,310.0,9.07,319.07,36.0,267.47,15.6,12.4,8.7833,0,0,0,0,2022-08-29
RX0000002179,MBR00000056,2022-09-03,2022-09-07,1441665285,1128515169,PLN6619,985323,PCN165,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,9,Retail,1,1,0,12.0,11.66,23.66,149.0,0.0,1.13,0.48,0.34,0,0,0,0,2022-10-03
RX0000002180,MBR00000056,2023-10-15,2023-10-17,1449046510,1184040552,PLN7316,240416,PCN886,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,60,11,Specialty,0,0,0,350.0,31.17,381.17,33.0,348.17,0.0,7.0,4.9583,0,0,0,0,2023-12-14
RX0000002181,MBR00000056,2023-01-11,2023-01-14,1125547294,1922573311,PLN9591,477354,PCN816,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,3,Retail,0,0,0,3.5,2.91,6.41,2.0,4.2,0.21,0.6,0.425,0,0,0,0,2023-01-18
RX0000002182,MBR00000056,2022-03-25,2022-03-28,1738303381,1806439728,PLN8170,260688,PCN416,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,1,LTC,0,0,0,3.27,7.18,10.45,8.0,1.74,0.71,0.56,0.3967,0,0,0,0,2022-04-01
RX0000002183,MBR00000056,2022-10-27,2022-10-29,1300898844,1872976377,PLN9802,470947,PCN200,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,1,Retail,0,0,0,320.0,4.14,324.14,34.0,268.23,21.91,12.8,9.0667,0,0,0,0,2022-11-26
RX0000002184,MBR00000056,2023-05-03,2023-05-06,1422854632,1220624791,PLN4517,300192,PCN754,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,9,Mail Order,0,0,0,480.0,11.81,491.81,30.0,446.13,15.68,19.2,13.6,0,0,0,0,2023-06-02
RX0000002185,MBR00000056,2021-01-03,2021-01-05,1739989774,1210974402,PLN4087,203993,PCN370,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,93,7,Retail,0,0,0,114.0,2.39,116.39,6.0,102.47,7.92,1.52,1.0767,1,0,0,0,2021-04-03
RX0000002186,MBR00000056,2022-01-25,2022-01-29,1802008277,1152398787,PLN2050,140908,PCN751,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,55,9,Specialty,0,0,0,660.0,43.67,703.67,39.0,664.67,0.0,13.2,9.35,0,0,0,0,2022-03-26
RX0000002187,MBR00000056,2021-02-11,2021-02-14,1526386087,1402969609,PLN3770,764716,PCN882,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,5,Mail Order,0,0,0,10.0,11.02,21.02,7.0,12.73,1.29,0.4,0.2833,0,0,0,0,2021-03-13
RX0000002188,MBR00000056,2023-08-18,2023-08-22,1116592827,1865536192,PLN6365,909604,PCN860,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,56,7,Retail,0,0,0,370.0,7.19,377.19,35.0,319.13,23.06,7.4,5.2417,0,0,0,0,2023-10-17
RX0000002189,MBR00000056,2022-12-11,2022-12-13,1313056491,1733025855,PLN6992,176209,PCN186,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,85,10,Retail,2,0,0,45.0,7.24,52.24,6.0,43.77,2.47,0.6,0.425,0,0,0,0,2023-03-11
RX0000002190,MBR00000056,2022-08-26,2022-08-29,1722911219,1920648877,PLN1794,495495,PCN278,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,8,Retail,0,0,0,18.0,2.1,20.1,4.0,15.02,1.08,0.72,0.51,0,0,0,0,2022-09-25
RX0000002191,MBR00000056,2021-10-14,2021-10-15,1402654466,1345874296,PLN8817,287178,PCN105,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,9,Retail,0,0,0,320.0,6.98,326.98,38.0,273.59,15.39,12.8,9.0667,0,0,0,0,2021-11-13
RX0000002192,MBR00000056,2021-08-01,2021-08-05,1194197046,1590928921,PLN4803,590483,PCN961,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,2,Retail,0,0,0,2.33,5.3,7.64,8.0,0.0,0.35,0.4,0.2833,0,0,0,0,2021-08-08
RX0000002193,MBR00000056,2022-06-20,2022-06-21,1580539872,1179304243,PLN7218,220191,PCN299,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,5,Retail,0,0,0,2.33,6.91,9.24,7.0,1.96,0.28,0.4,0.2833,0,0,0,0,2022-06-27
RX0000002194,MBR00000056,2021-01-18,2021-01-21,1494075391,1685929244,PLN2713,672780,PCN928,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,4,Retail,3,0,0,10.0,2.13,12.13,7.0,4.36,0.77,0.4,0.2833,0,0,0,0,2021-02-17
RX0000002195,MBR00000056,2021-10-11,2021-10-12,1754184966,1440081155,PLN8092,812303,PCN408,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,10,Mail Order,0,0,0,320.0,10.98,330.98,30.0,290.72,10.26,12.8,9.0667,0,0,0,0,2021-11-10
RX0000002196,MBR00000056,2021-05-26,2021-05-30,1483611750,1640264875,PLN9900,701083,PCN732,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,9,Retail,0,0,0,2.33,1.54,3.87,2.0,1.67,0.2,0.4,0.2833,1,0,0,0,2021-06-02
RX0000002197,MBR00000056,2021-07-20,2021-07-21,1421566587,1393777401,PLN6794,405701,PCN561,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,85,2,Retail,0,0,0,27.0,6.7,33.7,4.0,27.7,2.0,0.36,0.255,0,0,0,0,2021-10-18
RX0000002198,MBR00000056,2023-11-21,2023-11-23,1654221631,1185306246,PLN1672,275979,PCN425,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,0,Retail,0,0,0,380.0,11.43,391.43,37.0,339.9,14.53,15.2,10.7667,0,0,0,0,2023-12-21
RX0000002199,MBR00000056,2022-03-17,2022-03-21,1335141797,1958958298,PLN8260,238590,PCN284,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,10,Retail,0,0,0,22.0,11.74,33.74,68.0,0.0,1.06,0.88,0.6233,0,0,0,0,2022-04-16
RX0000002200,MBR00000056,2021-04-05,2021-04-07,1988455032,1705317395,PLN7599,873145,PCN784,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,5,Mail Order,0,0,0,38.0,9.27,47.27,36.0,9.01,2.26,1.52,1.0767,0,0,0,0,2021-05-05
RX0000002201,MBR00000056,2022-04-02,2022-04-05,1901524911,1898377830,PLN3138,997764,PCN448,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,10,Retail,0,0,0,2.8,8.34,11.14,7.0,3.8,0.34,0.48,0.34,1,0,0,0,2022-04-09
RX0000002202,MBR00000056,2021-06-03,2021-06-05,1790120636,1724466197,PLN2099,630833,PCN290,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,2,Retail,1,0,0,22.0,10.41,32.41,65.0,0.0,1.75,0.88,0.6233,0,0,0,0,2021-07-03
RX0000002203,MBR00000056,2021-12-30,2022-01-02,1397479154,1802806814,PLN7169,756653,PCN412,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,83,2,Retail,0,0,0,45.0,4.11,49.11,9.0,37.67,2.44,0.6,0.425,1,0,0,0,2022-03-30
RX0000002204,MBR00000056,2022-06-14,2022-06-15,1691924957,1990905833,PLN8346,743257,PCN387,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,94,8,Retail,0,0,0,2250.0,11.61,2261.61,37.0,2148.47,76.14,30.0,21.25,0,0,0,0,2022-09-12
RX0000002205,MBR00000056,2022-05-18,2022-05-20,1641765608,1851218538,PLN4604,439489,PCN989,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,2,Retail,0,1,0,12.0,2.01,14.01,150.0,0.0,0.6,0.48,0.34,0,0,0,0,2022-06-17
RX0000002206,MBR00000056,2021-01-15,2021-01-16,1629185777,1247896644,PLN1955,647326,PCN112,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,2,Retail,2,0,0,38.0,9.75,47.75,5.0,39.93,2.82,1.52,1.0767,0,0,0,0,2021-02-14
RX0000002207,MBR00000056,2023-10-31,2023-11-04,1334491516,1285721687,PLN1324,677310,PCN549,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,9,Retail,0,0,0,72.33,10.09,82.43,38.0,41.41,3.02,12.4,8.7833,0,0,0,0,2023-11-07
RX0000002208,MBR00000056,2021-11-12,2021-11-16,1138610655,1131107469,PLN1626,654030,PCN696,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,8,Mail Order,0,0,0,11.0,6.02,17.02,8.0,8.02,1.0,0.44,0.3117,0,0,0,0,2021-12-12
RX0000002209,MBR00000056,2021-01-24,2021-01-25,1553926777,1471261363,PLN2824,338705,PCN673,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,1,Retail,0,0,0,38.0,9.72,47.72,34.0,11.13,2.59,1.52,1.0767,0,0,0,0,2021-02-23
RX0000002210,MBR00000056,2022-07-12,2022-07-13,1134883119,1354890111,PLN2806,941643,PCN807,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,11,Retail,0,0,0,175.0,5.92,180.92,36.0,132.61,12.31,7.0,4.9583,0,0,0,0,2022-08-11
RX0000002211,MBR00000056,2021-03-30,2021-03-31,1361304051,1795934005,PLN2949,261559,PCN814,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,59,5,Mail Order,0,0,0,30.0,1.54,31.54,6.0,23.97,1.57,0.6,0.425,0,0,0,0,2021-05-29
RX0000002212,MBR00000056,2023-03-27,2023-03-29,1129262357,1639727702,PLN6580,154968,PCN727,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,58,3,Specialty,0,0,0,30.0,9.05,39.05,10.0,29.05,0.0,0.6,0.425,0,0,0,0,2023-05-26
RX0000002213,MBR00000056,2023-09-13,2023-09-14,1877851174,1785704565,PLN5161,348266,PCN454,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,4,Specialty,0,0,0,65.0,36.7,101.7,37.0,64.7,0.0,2.6,1.8417,0,0,0,0,2023-10-13
RX0000002214,MBR00000056,2023-02-16,2023-02-19,1643552878,1107277503,PLN2436,261414,PCN968,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,11,Retail,0,0,0,18.0,3.24,21.24,3.0,17.34,0.9,0.72,0.51,0,0,0,0,2023-03-18
RX0000002215,MBR00000056,2021-02-06,2021-02-07,1141222627,1530941165,PLN1983,699228,PCN114,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,97,5,Retail,0,0,0,135.0,3.36,138.36,7.0,124.44,6.92,1.8,1.275,0,0,0,0,2021-05-07
RX0000002216,MBR00000056,2022-04-26,2022-04-28,1783101307,1680695276,PLN7235,336852,PCN811,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,2,Retail,0,0,0,11.0,5.58,16.58,2.0,13.44,1.14,0.44,0.3117,0,0,0,0,2022-05-26
RX0000002217,MBR00000056,2023-04-20,2023-04-24,1357013339,1312822849,PLN4728,523765,PCN175,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,7,Specialty,0,1,0,1446.67,19.35,1466.02,153.0,1313.02,0.0,248.0,175.6667,0,0,0,0,2023-04-27
RX0000002218,MBR00000056,2021-07-16,2021-07-17,1586960229,1991203162,PLN4025,748754,PCN779,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,65,5,Retail,0,0,1,20.0,8.63,28.63,2.0,25.23,1.4,0.4,0.2833,0,0,0,0,2021-09-14
RX0000002219,MBR00000056,2023-03-08,2023-03-10,1647488206,1647281372,PLN4103,528181,PCN313,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,10,Retail,0,0,0,45.0,10.95,55.95,5.0,48.97,1.98,1.8,1.275,0,0,0,0,2023-04-07
RX0000002220,MBR00000056,2022-05-13,2022-05-17,1410659383,1350336082,PLN6883,780304,PCN823,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,56,0,Mail Order,3,0,0,36.0,11.69,47.69,4.0,41.2,2.49,0.72,0.51,0,0,0,0,2022-07-12
RX0000002221,MBR00000056,2023-01-08,2023-01-09,1511422221,1563183583,PLN7561,783279,PCN837,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,81,11,Mail Order,0,1,0,18600.0,7.68,18607.68,146.0,17223.69,1237.99,248.0,175.6667,0,0,0,0,2023-04-08
RX0000002222,MBR00000056,2023-08-09,2023-08-10,1616713472,1899184297,PLN2370,932656,PCN539,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,3,Retail,0,0,0,2.33,7.11,9.44,3.0,6.01,0.43,0.4,0.2833,0,0,0,0,2023-08-16
RX0000002223,MBR00000056,2021-03-10,2021-03-11,1535838434,1187642143,PLN9734,708360,PCN310,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,6,Retail,0,0,0,1.75,6.78,8.53,5.0,3.01,0.52,0.3,0.2125,0,0,0,0,2021-03-17
RX0000002224,MBR00000056,2023-02-02,2023-02-05,1809354396,1401570105,PLN9497,988936,PCN877,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,6,Retail,0,1,0,8.0,3.6,11.6,146.0,0.0,0.52,0.32,0.2267,0,0,0,0,2023-03-04
RX0000002225,MBR00000057,2023-07-27,2023-07-28,1865297849,1515739188,PLN7908,137472,PCN788,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,4,Retail,0,0,0,950.0,8.0,958.0,32.0,877.31,48.69,38.0,26.9167,0,0,0,0,2023-08-26
RX0000002226,MBR00000057,2021-04-10,2021-04-12,1600300299,1253183568,PLN8225,414667,PCN304,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,58,9,Retail,0,0,0,640.0,6.56,646.56,33.0,575.14,38.42,12.8,9.0667,0,0,0,0,2021-06-09
RX0000002227,MBR00000057,2022-04-20,2022-04-23,1908512039,1271577573,PLN3100,353637,PCN518,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,4,Specialty,0,0,0,310.0,24.13,334.13,32.0,302.13,0.0,12.4,8.7833,0,0,0,0,2022-05-20
RX0000002228,MBR00000057,2022-07-11,2022-07-15,1751751021,1439240895,PLN3978,968190,PCN829,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,2,Specialty,0,0,0,10.0,20.1,30.1,1.0,29.1,0.0,0.4,0.2833,0,0,0,0,2022-08-10
RX0000002229,MBR00000057,2022-08-22,2022-08-23,1225024384,1690863035,PLN6803,766470,PCN302,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,5,Retail,3,1,0,2800.0,10.35,2810.35,155.0,2557.54,97.81,112.0,79.3333,0,0,0,0,2022-09-21
RX0000002230,MBR00000057,2023-12-05,2023-12-06,1857889867,1669941962,PLN2377,896918,PCN349,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,7,Mail Order,2,0,0,40.83,7.03,47.86,31.0,14.12,2.74,7.0,4.9583,1,0,0,0,2023-12-12
RX0000002231,MBR00000057,2021-01-01,2021-01-03,1863915892,1116111365,PLN6014,838733,PCN438,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,81,4,Retail,0,0,0,84.0,6.57,90.57,0.0,84.51,6.06,1.12,0.7933,0,0,0,0,2021-04-01
RX0000002232,MBR00000057,2021-06-17,2021-06-18,1253291297,1874478181,PLN7523,469154,PCN883,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,89,6,Mail Order,0,0,0,25.5,6.98,32.48,6.0,24.53,1.95,0.34,0.2408,0,0,0,0,2021-09-15
RX0000002233,MBR00000057,2022-01-30,2022-02-01,1848477776,1940807119,PLN1983,623987,PCN876,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,60,4,Retail,0,0,1,22.0,11.17,33.17,4.0,28.14,1.03,0.44,0.3117,0,0,0,0,2022-03-31
RX0000002234,MBR00000057,2023-03-22,2023-03-24,1395393130,1826608921,PLN6319,318461,PCN976,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,10,Mail Order,3,0,0,18.0,11.97,29.97,3.0,25.38,1.59,0.72,0.51,1,0,0,0,2023-04-21
RX0000002235,MBR00000057,2022-05-23,2022-05-26,1779584681,1575849879,PLN4360,259778,PCN247,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,81,7,Retail,0,0,0,36.0,8.95,44.95,0.0,43.22,1.73,0.48,0.34,1,0,0,0,2022-08-21
RX0000002236,MBR00000057,2023-01-30,2023-02-03,1241127367,1608024970,PLN1978,155564,PCN554,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,81,8,Retail,0,0,0,84.0,4.03,88.03,1.0,84.02,3.01,1.12,0.7933,1,0,0,0,2023-04-30
RX0000002237,MBR00000057,2022-03-03,2022-03-05,1489088367,1692579411,PLN4240,763645,PCN339,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,11,Retail,0,0,0,320.0,2.93,322.93,32.0,271.17,19.76,12.8,9.0667,1,0,0,0,2022-04-02
RX0000002238,MBR00000057,2022-08-26,2022-08-29,1304933954,1519818233,PLN8214,877372,PCN883,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,7,Retail,0,0,0,10.0,3.65,13.65,3.0,10.19,0.46,0.4,0.2833,0,0,0,0,2022-09-25
RX0000002239,MBR00000057,2022-06-04,2022-06-08,1138853277,1256298243,PLN5098,731555,PCN587,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,10,Mail Order,0,0,0,9.0,11.24,20.24,4.0,15.36,0.88,0.36,0.255,0,0,0,0,2022-07-04
RX0000002240,MBR00000057,2023-08-25,2023-08-28,1712210262,1771427490,PLN7924,140357,PCN261,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,57,4,Retail,0,0,0,24.0,8.01,32.01,5.0,25.49,1.52,0.48,0.34,0,0,0,0,2023-10-24
RX0000002241,MBR00000057,2022-02-21,2022-02-23,1358909945,1568192768,PLN4745,230491,PCN857,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,82,7,Mail Order,3,1,0,8400.0,9.57,8409.57,151.0,7717.27,541.3,112.0,79.3333,0,0,0,0,2022-05-22
RX0000002242,MBR00000057,2022-08-16,2022-08-18,1977371891,1836999674,PLN1975,880089,PCN188,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,3,Mail Order,0,0,0,330.0,5.62,335.62,30.0,292.88,12.74,13.2,9.35,0,0,0,0,2022-09-15
RX0000002243,MBR00000057,2022-03-14,2022-03-18,1478260301,1127230394,PLN3706,218879,PCN476,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,7,Mail Order,0,0,0,18.0,2.16,20.16,8.0,11.3,0.86,0.72,0.51,0,0,0,0,2022-04-13
RX0000002244,MBR00000057,2023-08-22,2023-08-23,1819366890,1437149372,PLN5619,323951,PCN794,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,4,Retail,0,0,0,950.0,6.05,956.05,30.0,895.61,30.44,38.0,26.9167,0,0,0,0,2023-09-21
RX0000002245,MBR00000057,2021-01-21,2021-01-25,1194357588,1284767561,PLN8023,357624,PCN209,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,10,Mail Order,0,0,0,185.0,8.2,193.2,36.0,147.85,9.35,7.4,5.2417,0,0,0,0,2021-02-20
RX0000002246,MBR00000057,2023-01-03,2023-01-05,1899521707,1166601476,PLN2940,590716,PCN822,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,11,Retail,0,1,0,6200.0,4.74,6204.74,152.0,5744.65,308.09,248.0,175.6667,0,0,0,0,2023-02-02
RX0000002247,MBR00000057,2023-06-30,2023-07-01,1160878122,1686918459,PLN7282,450553,PCN492,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,5,Retail,0,0,0,370.0,11.06,381.06,35.0,332.32,13.74,14.8,10.4833,0,0,0,0,2023-07-30
RX0000002248,MBR00000057,2021-08-03,2021-08-04,1372161596,1233303065,PLN6495,710682,PCN628,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,3,Retail,0,0,0,18.0,5.09,23.09,9.0,13.3,0.79,0.72,0.51,0,0,0,0,2021-09-02
RX0000002249,MBR00000057,2023-12-15,2023-12-16,1667382465,1528256514,PLN4989,272810,PCN294,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,8,Retail,2,0,0,370.0,2.89,372.89,37.0,322.04,13.85,14.8,10.4833,0,0,0,0,2024-01-14
RX0000002250,MBR00000057,2023-11-19,2023-11-22,1484541763,1225482634,PLN1070,142512,PCN102,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,7,Retail,0,0,0,4.2,8.97,13.17,0.0,12.26,0.91,0.72,0.51,0,0,0,0,2023-11-26
RX0000002251,MBR00000057,2022-02-17,2022-02-19,1496553763,1735650990,PLN9708,980542,PCN667,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,2,Specialty,0,0,0,175.0,42.42,217.42,34.0,183.42,0.0,7.0,4.9583,0,0,0,0,2022-03-19
RX0000002252,MBR00000057,2023-03-05,2023-03-09,1490493320,1189598929,PLN4834,717734,PCN455,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,11,Mail Order,0,0,0,22.0,8.99,30.99,67.0,0.0,1.72,0.88,0.6233,0,0,0,0,2023-04-04
RX0000002253,MBR00000057,2021-12-13,2021-12-17,1811698574,1952679868,PLN4431,247555,PCN435,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,5,Retail,1,0,0,10.0,4.8,14.8,8.0,5.81,0.99,0.4,0.2833,0,0,0,0,2022-01-12
RX0000002254,MBR00000057,2021-03-31,2021-04-04,1129621215,1226775602,PLN6410,346264,PCN739,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,1,Retail,3,0,0,45.0,9.8,54.8,0.0,51.44,3.36,1.8,1.275,0,0,0,0,2021-04-30
RX0000002255,MBR00000057,2021-03-18,2021-03-20,1673931011,1100039488,PLN4216,714355,PCN110,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,11,Retail,0,0,0,175.0,8.87,183.87,31.0,140.38,12.49,30.0,21.25,0,0,0,0,2021-03-25
RX0000002256,MBR00000057,2022-06-09,2022-06-12,1217723062,1460844223,PLN9308,297287,PCN359,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,1,Mail Order,0,0,0,2.8,3.82,6.62,1.0,5.33,0.29,0.48,0.34,0,0,0,0,2022-06-16
RX0000002257,MBR00000057,2023-04-29,2023-05-03,1164544386,1551486268,PLN7675,399562,PCN556,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,4,Retail,0,0,0,2.1,11.11,13.21,8.0,4.55,0.66,0.36,0.255,0,0,0,0,2023-05-06
RX0000002258,MBR00000057,2023-06-01,2023-06-03,1331984969,1619093350,PLN4144,759119,PCN585,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,4,Retail,0,0,0,370.0,4.91,374.91,37.0,325.68,12.23,14.8,10.4833,0,0,0,0,2023-07-01
RX0000002259,MBR00000057,2021-09-29,2021-10-01,1847197967,1843397407,PLN3384,297310,PCN206,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,0,Specialty,0,0,0,285.0,8.76,293.76,32.0,261.76,0.0,11.4,8.075,0,0,0,0,2021-10-29
RX0000002260,MBR00000057,2021-10-07,2021-10-08,1654265055,1775192649,PLN6399,855989,PCN990,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,6,Retail,0,0,0,45.0,1.5,46.5,2.0,41.3,3.2,1.8,1.275,0,0,0,0,2021-11-06
RX0000002261,MBR00000057,2022-03-07,2022-03-10,1694323928,1357382506,PLN4619,100289,PCN728,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,56,10,Mail Order,0,0,0,370.0,3.19,373.19,36.0,320.06,17.13,7.4,5.2417,0,0,0,0,2022-05-06
RX0000002262,MBR00000057,2023-10-14,2023-10-16,1400845071,1221994194,PLN9837,332727,PCN233,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,7,Retail,1,0,0,2.1,6.45,8.55,2.0,6.26,0.29,0.36,0.255,0,0,0,0,2023-10-21
RX0000002263,MBR00000057,2023-02-18,2023-02-22,1604264355,1774855960,PLN2685,523306,PCN310,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,1,Retail,0,0,0,285.0,3.21,288.21,37.0,237.71,13.5,11.4,8.075,0,0,0,0,2023-03-20
RX0000002264,MBR00000057,2021-03-13,2021-03-14,1797743591,1692985180,PLN7523,444032,PCN318,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,1,Retail,3,1,0,6200.0,10.61,6210.61,151.0,5834.71,224.9,248.0,175.6667,0,0,0,0,2021-04-12
RX0000002265,MBR00000058,2022-11-26,2022-11-27,1187824291,1574376713,PLN8299,124291,PCN957,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,85,11,Specialty,0,0,0,114.0,20.98,134.98,34.0,100.98,0.0,1.52,1.0767,0,0,0,0,2023-02-24
RX0000002266,MBR00000058,2023-02-26,2023-03-01,1563061709,1785533883,PLN3928,451708,PCN117,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,10,Mail Order,0,0,0,65.0,11.83,76.83,33.0,40.24,3.59,2.6,1.8417,0,0,0,0,2023-03-28
RX0000002267,MBR00000058,2023-05-02,2023-05-03,1663744615,1923584496,PLN3847,768233,PCN254,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,8,Retail,0,0,0,45.0,5.75,50.75,5.0,44.1,1.65,1.8,1.275,0,0,0,0,2023-06-01
RX0000002268,MBR00000058,2023-02-03,2023-02-05,1225560074,1967040834,PLN3731,956179,PCN643,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,92,2,Retail,0,0,0,66.0,3.26,69.26,3.0,63.81,2.45,0.88,0.6233,0,0,0,0,2023-05-04
RX0000002269,MBR00000058,2022-08-30,2022-09-01,1247442053,1671230212,PLN6413,678252,PCN629,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,1,Retail,0,0,0,320.0,6.66,326.66,40.0,267.14,19.52,12.8,9.0667,0,0,0,0,2022-09-29
RX0000002270,MBR00000058,2023-05-16,2023-05-19,1484975487,1293818046,PLN5958,969652,PCN125,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,8,Specialty,0,0,0,112.0,22.67,134.67,32.0,102.67,0.0,19.2,13.6,1,0,0,0,2023-05-23
RX0000002271,MBR00000058,2022-08-22,2022-08-26,1569530159,1851927202,PLN4974,622789,PCN971,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,87,9,Retail,0,0,0,2250.0,9.54,2259.54,37.0,2066.03,156.51,30.0,21.25,0,1,1,0,2022-11-20
RX0000002272,MBR00000058,2022-05-02,2022-05-06,1307088702,1570344664,PLN8508,965333,PCN587,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,0,Mail Order,0,0,0,12.0,6.78,18.78,4.0,14.14,0.64,0.48,0.34,0,0,0,0,2022-06-01
RX0000002273,MBR00000058,2023-05-20,2023-05-23,1613789304,1510609920,PLN7913,389649,PCN792,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,9,Retail,0,0,0,66.0,11.42,77.42,10.0,64.88,2.54,0.88,0.6233,0,0,0,0,2023-08-18
RX0000002274,MBR00000058,2021-02-06,2021-02-10,1802764064,1657997753,PLN4902,688282,PCN593,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,9,Retail,0,0,0,8.5,2.23,10.73,6.0,4.18,0.55,0.34,0.2408,0,0,0,0,2021-03-08
RX0000002275,MBR00000058,2023-11-03,2023-11-07,1561025093,1473904685,PLN8772,999055,PCN898,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,6,Retail,0,0,0,14.0,11.77,25.77,6.0,18.78,0.99,0.56,0.3967,0,0,0,0,2023-12-03
RX0000002276,MBR00000058,2021-05-03,2021-05-06,1806459451,1537645626,PLN7141,872143,PCN514,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,89,6,Retail,0,0,0,27.0,4.75,31.75,0.0,30.45,1.3,0.36,0.255,0,0,0,0,2021-08-01
RX0000002277,MBR00000058,2023-10-08,2023-10-12,1207602644,1723486643,PLN5110,103429,PCN450,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,98,7,Retail,3,1,0,24.0,9.56,33.56,146.0,0.0,1.76,0.32,0.2267,0,0,0,0,2024-01-06
RX0000002278,MBR00000058,2022-10-07,2022-10-10,1356459775,1386920205,PLN1552,972719,PCN411,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,10,Retail,0,0,0,18.0,11.6,29.6,37.0,0.0,1.59,0.72,0.51,0,0,0,0,2022-11-06
RX0000002279,MBR00000058,2021-08-05,2021-08-07,1460640424,1378242343,PLN4595,672512,PCN312,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,91,11,Retail,0,0,0,42.0,9.45,51.45,10.0,39.86,1.59,0.56,0.3967,0,0,0,0,2021-11-03
RX0000002280,MBR00000058,2022-02-08,2022-02-12,1313874101,1731785305,PLN1060,328915,PCN113,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,4,Retail,1,1,0,8500.0,1.98,8501.98,153.0,8059.44,289.54,340.0,240.8333,0,0,0,0,2022-03-10
RX0000002281,MBR00000058,2021-09-17,2021-09-20,1953120083,1462497748,PLN2299,696169,PCN556,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,7,Mail Order,0,0,0,320.0,9.2,329.2,30.0,286.66,12.54,12.8,9.0667,0,0,0,0,2021-10-17
RX0000002282,MBR00000058,2022-08-23,2022-08-26,1931445514,1413504883,PLN3633,743679,PCN599,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,7,Mail Order,0,0,0,480.0,7.95,487.95,32.0,434.97,20.98,19.2,13.6,0,0,0,0,2022-09-22
RX0000002283,MBR00000058,2021-03-29,2021-03-30,1910016655,1518118195,PLN7622,217556,PCN765,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,5,Retail,1,0,0,4.2,4.61,8.81,39.0,0.0,0.4,0.72,0.51,0,0,0,0,2021-04-05
RX0000002284,MBR00000058,2023-10-30,2023-10-31,1796522398,1680929845,PLN8284,641573,PCN211,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,98,6,Mail Order,0,0,0,525.0,3.63,528.63,33.0,461.77,33.86,7.0,4.9583,0,0,0,0,2024-01-28
RX0000002285,MBR00000058,2021-12-12,2021-12-15,1166416274,1438946266,PLN3463,969668,PCN157,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,10,Mail Order,2,0,0,28.0,1.65,29.65,4.0,24.24,1.41,1.12,0.7933,0,0,0,0,2022-01-11
RX0000002286,MBR00000058,2021-03-02,2021-03-05,1718490411,1217795972,PLN5113,789656,PCN511,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,1,Retail,0,0,0,14.0,3.94,17.94,9.0,8.22,0.72,0.56,0.3967,0,0,0,0,2021-04-01
RX0000002287,MBR00000058,2023-06-15,2023-06-17,1584567266,1703049041,PLN7591,120888,PCN871,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,2,Mail Order,0,0,0,3.5,3.37,6.87,3.0,3.48,0.39,0.6,0.425,0,0,0,0,2023-06-22
RX0000002288,MBR00000058,2023-12-22,2023-12-24,1480204320,1203993402,PLN2531,820151,PCN523,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,0,Retail,3,0,0,114.0,9.29,123.29,3.0,111.88,8.41,1.52,1.0767,0,0,0,0,2024-03-21
RX0000002289,MBR00000058,2022-01-10,2022-01-12,1375958209,1792624654,PLN2629,843878,PCN260,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,98,1,Retail,0,1,1,18600.0,11.26,18611.26,155.0,17682.96,773.3,248.0,175.6667,0,0,0,0,2022-04-10
RX0000002290,MBR00000058,2023-07-07,2023-07-09,1364362281,1859722584,PLN9392,131827,PCN285,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,91,5,Mail Order,3,0,0,135.0,2.06,137.06,0.0,131.23,5.83,1.8,1.275,0,0,0,0,2023-10-05
RX0000002291,MBR00000058,2021-07-24,2021-07-25,1907844342,1150003051,PLN2961,722323,PCN297,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,61,10,Mail Order,0,0,0,620.0,5.32,625.32,39.0,567.06,19.26,12.4,8.7833,0,0,0,0,2021-09-22
RX0000002292,MBR00000058,2022-08-27,2022-08-31,1831680230,1214534480,PLN1910,278645,PCN750,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,9,Mail Order,0,0,0,28.0,10.24,38.24,2.0,34.84,1.4,1.12,0.7933,0,0,0,0,2022-09-26
RX0000002293,MBR00000058,2021-01-21,2021-01-25,1120138763,1185031070,PLN5779,793996,PCN366,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,5,Retail,0,0,0,18.0,11.06,29.06,40.0,0.0,1.6,0.72,0.51,0,0,0,0,2021-02-20
RX0000002294,MBR00000058,2022-09-14,2022-09-18,1929081994,1302840843,PLN1627,342112,PCN118,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,65,7,Retail,0,0,0,28.0,5.54,33.54,1.0,31.04,1.5,0.56,0.3967,0,0,0,0,2022-11-13
RX0000002295,MBR00000058,2022-10-16,2022-10-17,1689502754,1201650732,PLN6537,984199,PCN775,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,5,Retail,0,0,0,12.5,1.9,14.4,2.0,11.75,0.65,0.5,0.3542,0,0,0,0,2022-11-15
RX0000002296,MBR00000058,2022-11-16,2022-11-20,1152319901,1741224941,PLN1924,210970,PCN672,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,5,Retail,2,0,0,14.0,9.13,23.13,6.0,16.02,1.11,0.56,0.3967,0,0,0,0,2022-12-16
RX0000002297,MBR00000058,2021-03-27,2021-03-30,1323040328,1508590224,PLN6210,869932,PCN538,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,6,Retail,3,0,0,28.0,6.93,34.93,6.0,27.34,1.59,1.12,0.7933,0,0,0,0,2021-04-26
RX0000002298,MBR00000058,2023-10-16,2023-10-19,1809169403,1501380007,PLN5895,353123,PCN101,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,88,9,Retail,0,0,0,135.0,9.27,144.27,6.0,131.8,6.47,1.8,1.275,0,0,0,0,2024-01-14
RX0000002299,MBR00000058,2022-04-28,2022-04-29,1759909345,1583939560,PLN1423,674434,PCN544,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,11,Specialty,3,0,0,18.0,16.79,34.79,7.0,27.79,0.0,0.72,0.51,0,0,0,0,2022-05-28
RX0000002300,MBR00000058,2023-02-02,2023-02-06,1906928037,1699319157,PLN6758,514599,PCN896,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,54,4,Mail Order,0,0,0,1300.0,10.2,1310.2,37.0,1217.11,56.09,26.0,18.4167,0,0,0,0,2023-04-03
RX0000002301,MBR00000058,2022-05-25,2022-05-27,1911933586,1600556130,PLN7983,800791,PCN942,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,1,Retail,0,0,0,151.67,7.74,159.41,36.0,116.26,7.15,26.0,18.4167,0,0,0,0,2022-06-01
RX0000002302,MBR00000058,2023-05-07,2023-05-09,1391019478,1498589280,PLN6175,892364,PCN673,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,2,Mail Order,0,0,0,2.92,8.56,11.47,0.0,10.91,0.56,0.5,0.3542,0,0,0,0,2023-05-14
RX0000002303,MBR00000058,2022-06-29,2022-06-30,1977425754,1734232019,PLN7518,512259,PCN738,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,5,Retail,0,0,0,14.0,8.44,22.44,4.0,17.43,1.01,0.56,0.3967,1,0,0,0,2022-07-29
RX0000002304,MBR00000058,2022-01-01,2022-01-02,1793816541,1422196545,PLN5940,117293,PCN621,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,9,Retail,0,0,0,10.0,11.43,21.43,5.0,15.41,1.02,0.4,0.2833,0,0,0,0,2022-01-31
RX0000002305,MBR00000058,2021-08-14,2021-08-18,1860305582,1435180795,PLN6397,952968,PCN270,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,5,Specialty,0,0,0,22.0,22.59,44.59,66.0,0.0,0.0,0.88,0.6233,1,0,0,0,2021-09-13
RX0000002306,MBR00000058,2023-11-26,2023-11-28,1166796876,1960990573,PLN5495,531298,PCN967,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,11,Mail Order,0,0,0,27.0,4.57,31.57,7.0,22.37,2.2,0.36,0.255,1,0,0,0,2024-02-24
RX0000002307,MBR00000058,2021-01-26,2021-01-29,1603315079,1687352898,PLN5239,700939,PCN489,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,96,11,Retail,0,0,0,555.0,7.59,562.59,37.0,505.04,20.55,7.4,5.2417,0,0,0,0,2021-04-26
RX0000002308,MBR00000059,2023-09-27,2023-09-29,1277273426,1381003091,PLN4303,709283,PCN536,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,4,Retail,0,1,0,1.87,7.16,9.03,151.0,0.0,0.33,0.32,0.2267,0,0,0,0,2023-10-04
RX0000002309,MBR00000059,2022-11-24,2022-11-25,1306963005,1247337431,PLN1991,833193,PCN210,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,5,Specialty,0,0,0,8.5,30.6,39.1,5.0,34.1,0.0,0.34,0.2408,0,0,0,0,2022-12-24
RX0000002310,MBR00000059,2022-06-12,2022-06-15,1421911400,1888613722,PLN3321,318134,PCN840,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,5,Retail,0,0,0,45.0,6.46,51.46,1.0,47.81,2.65,1.8,1.275,0,0,0,0,2022-07-12
RX0000002311,MBR00000059,2023-02-20,2023-02-24,1510873392,1614511511,PLN9672,111709,PCN682,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,3,Retail,0,0,0,10.0,11.82,21.82,0.0,21.09,0.73,0.4,0.2833,0,0,0,0,2023-03-22
RX0000002312,MBR00000059,2021-08-22,2021-08-26,1128209635,1794160330,PLN5235,785103,PCN839,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,2,Retail,0,0,0,480.0,11.02,491.02,30.0,426.92,34.1,19.2,13.6,0,0,0,0,2021-09-21
RX0000002313,MBR00000059,2023-09-13,2023-09-14,1346189277,1735383197,PLN9356,504414,PCN590,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,0,Retail,0,0,0,650.0,11.41,661.41,35.0,580.64,45.77,26.0,18.4167,0,0,0,0,2023-10-13
RX0000002314,MBR00000059,2022-09-29,2022-10-03,1143699303,1792484045,PLN3230,452443,PCN181,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,1,Retail,1,0,0,950.0,8.09,958.09,32.0,875.77,50.32,38.0,26.9167,0,0,0,0,2022-10-29
RX0000002315,MBR00000059,2022-11-12,2022-11-13,1497994014,1523586556,PLN8598,839147,PCN304,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,85,10,Mail Order,0,0,0,525.0,7.76,532.76,30.0,480.55,22.21,7.0,4.9583,0,0,0,0,2023-02-10
RX0000002316,MBR00000059,2022-11-04,2022-11-06,1473808028,1234610609,PLN9234,465956,PCN841,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,8,Retail,0,0,0,18.0,11.48,29.48,7.0,21.27,1.21,0.72,0.51,1,0,0,0,2022-12-04
RX0000002317,MBR00000059,2021-08-22,2021-08-25,1835439184,1115026429,PLN4778,155299,PCN402,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,10,Mail Order,0,0,0,22.0,6.13,28.13,10.0,16.43,1.7,0.88,0.6233,0,0,0,0,2021-09-21
RX0000002318,MBR00000059,2021-05-17,2021-05-21,1954369747,1502093791,PLN5529,186159,PCN965,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,89,3,Specialty,0,0,0,33.0,13.81,46.81,9.0,37.81,0.0,0.44,0.3117,0,0,0,0,2021-08-15
RX0000002319,MBR00000059,2023-01-30,2023-02-02,1370446557,1638290770,PLN7814,451499,PCN124,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,65,5,Retail,2,0,0,20.0,5.5,25.5,10.0,13.73,1.77,0.4,0.2833,0,0,0,0,2023-03-31
RX0000002320,MBR00000059,2023-05-11,2023-05-14,1930265491,1204547869,PLN7603,488787,PCN422,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,89,8,Retail,3,0,0,33.0,2.63,35.63,4.0,29.18,2.45,0.44,0.3117,0,0,0,0,2023-08-09
RX0000002321,MBR00000059,2023-02-26,2023-03-01,1215937921,1744545071,PLN4437,877332,PCN347,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,5,Retail,0,0,0,10.0,2.13,12.13,1.0,10.42,0.71,0.4,0.2833,0,0,0,0,2023-03-28
RX0000002322,MBR00000059,2022-08-10,2022-08-13,1426790641,1980212278,PLN1941,395359,PCN800,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,6,Retail,0,0,0,45.0,6.85,51.85,4.0,46.24,1.61,1.8,1.275,0,0,0,0,2022-09-09
RX0000002323,MBR00000059,2021-01-04,2021-01-07,1277784914,1793722505,PLN2355,441471,PCN626,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,6,Retail,0,0,0,9.0,2.05,11.05,6.0,4.43,0.62,0.36,0.255,0,0,0,0,2021-02-03
RX0000002324,MBR00000059,2021-01-09,2021-01-13,1663911254,1251597351,PLN6690,359146,PCN457,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,82,11,Retail,0,0,0,36.0,8.91,44.91,10.0,31.98,2.93,0.48,0.34,0,0,0,0,2021-04-09
RX0000002325,MBR00000060,2022-04-01,2022-04-02,1865965772,1138521649,PLN7606,131769,PCN264,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,65,7,Retail,0,0,0,30.0,4.51,34.51,1.0,32.3,1.21,0.6,0.425,0,0,0,0,2022-05-31
RX0000002326,MBR00000060,2023-03-05,2023-03-09,1973334661,1101237756,PLN6744,806820,PCN600,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,89,4,Retail,0,0,0,54.0,5.38,59.38,35.0,20.69,3.69,0.72,0.51,0,0,0,0,2023-06-03
RX0000002327,MBR00000060,2023-06-10,2023-06-13,1756112124,1200807490,PLN4904,584225,PCN271,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,4,Retail,0,1,0,2800.0,10.22,2810.22,146.0,2553.68,110.54,112.0,79.3333,0,0,0,0,2023-07-10
RX0000002328,MBR00000060,2021-08-03,2021-08-06,1293390335,1195837819,PLN4901,378268,PCN761,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,90,1,Retail,0,0,0,22.5,3.26,25.76,0.0,24.64,1.12,0.3,0.2125,0,0,0,0,2021-11-01
RX0000002329,MBR00000060,2022-06-18,2022-06-19,1697786870,1413972342,PLN3800,901062,PCN893,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,1,Retail,2,0,0,12.0,4.54,16.54,8.0,7.81,0.73,0.48,0.34,0,0,0,0,2022-07-18
RX0000002330,MBR00000060,2023-09-16,2023-09-18,1677396268,1294413324,PLN5500,906922,PCN594,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,3,Mail Order,0,0,0,65.0,3.35,68.35,30.0,33.7,4.65,2.6,1.8417,0,0,0,0,2023-10-16
RX0000002331,MBR00000060,2022-12-04,2022-12-07,1678234053,1539142016,PLN2627,414655,PCN708,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,7,Specialty,0,0,0,7.5,26.18,33.68,1.0,32.68,0.0,0.3,0.2125,0,0,0,0,2023-01-03
RX0000002332,MBR00000060,2023-08-24,2023-08-25,1769159780,1735582250,PLN3238,634290,PCN870,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,3,Retail,0,0,0,18.0,7.64,25.64,37.0,0.0,1.71,0.72,0.51,0,0,0,0,2023-09-23
RX0000002333,MBR00000060,2022-12-26,2022-12-27,1993972421,1155359064,PLN6902,989655,PCN364,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,8,Retail,0,0,0,38.0,1.62,39.62,3.0,33.97,2.65,1.52,1.0767,0,0,0,0,2023-01-25
RX0000002334,MBR00000060,2022-12-23,2022-12-25,1195058075,1724962961,PLN8125,575688,PCN909,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,0,Retail,0,0,0,1.75,11.87,13.62,2.0,11.16,0.46,0.3,0.2125,0,0,0,0,2022-12-30
RX0000002335,MBR00000061,2021-05-29,2021-06-01,1749268413,1902910804,PLN5321,835867,PCN393,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,8,Mail Order,0,0,0,370.0,6.17,376.17,30.0,322.06,24.11,14.8,10.4833,0,0,0,0,2021-06-28
RX0000002336,MBR00000061,2021-03-22,2021-03-25,1980185063,1228666159,PLN5517,225968,PCN560,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,56,4,Retail,0,0,0,130.0,9.92,139.92,36.0,95.3,8.62,2.6,1.8417,0,0,0,0,2021-05-21
RX0000002337,MBR00000061,2023-12-19,2023-12-22,1538177684,1785821569,PLN7238,827193,PCN870,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,4,Retail,0,0,0,18.0,9.02,27.02,9.0,16.31,1.71,0.72,0.51,0,0,0,0,2024-01-18
RX0000002338,MBR00000061,2023-08-16,2023-08-17,1888660728,1969194575,PLN9738,185006,PCN270,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,87,2,Retail,0,0,0,36.0,8.12,44.12,6.0,36.45,1.67,0.48,0.34,0,0,0,0,2023-11-14
RX0000002339,MBR00000061,2021-12-24,2021-12-26,1486809134,1919248303,PLN7716,920255,PCN519,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,81,4,Mail Order,0,0,0,45.0,10.4,55.4,10.0,43.13,2.27,0.6,0.425,0,0,0,0,2022-03-24
RX0000002340,MBR00000061,2022-06-22,2022-06-26,1584969410,1612223856,PLN4124,223410,PCN798,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,4,Mail Order,0,0,0,380.0,5.96,385.96,30.0,330.08,25.88,15.2,10.7667,1,0,0,0,2022-07-22
RX0000002341,MBR00000061,2022-03-28,2022-03-31,1825247174,1959751183,PLN7185,775496,PCN118,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,92,1,Specialty,0,0,0,135.0,28.99,163.99,3.0,160.99,0.0,1.8,1.275,1,0,0,0,2022-06-26
RX0000002342,MBR00000061,2021-03-26,2021-03-27,1168783822,1116416546,PLN2940,358196,PCN489,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,10,Mail Order,0,0,0,10.0,1.79,11.79,5.0,6.0,0.79,0.4,0.2833,0,0,0,0,2021-04-25
RX0000002343,MBR00000061,2021-12-26,2021-12-28,1797408412,1958635644,PLN5371,441348,PCN125,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,89,2,Retail,0,0,0,48.0,10.48,58.48,3.0,52.98,2.5,0.64,0.4533,0,0,0,0,2022-03-26
RX0000002344,MBR00000061,2022-01-02,2022-01-04,1699928504,1808265942,PLN9514,157755,PCN367,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,63,5,Retail,0,0,0,30.0,6.96,36.96,9.0,26.05,1.91,0.6,0.425,0,0,0,0,2022-03-03
RX0000002345,MBR00000061,2022-12-02,2022-12-04,1615679335,1395113025,PLN4035,670767,PCN480,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,9,Mail Order,0,0,0,11.0,6.48,17.48,4.0,12.34,1.14,0.44,0.3117,0,0,0,0,2023-01-01
RX0000002346,MBR00000061,2022-10-27,2022-10-31,1901038209,1254633002,PLN3036,607978,PCN524,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,10,Retail,0,0,0,8.5,5.11,13.61,3.0,9.97,0.64,0.34,0.2408,1,0,0,0,2022-11-26
RX0000002347,MBR00000061,2022-06-28,2022-07-02,1230862388,1510699763,PLN9131,467364,PCN716,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,5,Retail,0,0,0,380.0,2.64,382.64,38.0,319.76,24.88,15.2,10.7667,0,0,0,0,2022-07-28
RX0000002348,MBR00000061,2023-01-10,2023-01-14,1666301367,1521367091,PLN5948,448406,PCN466,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,9,Mail Order,2,0,0,175.0,10.91,185.91,35.0,143.23,7.68,30.0,21.25,0,0,0,0,2023-01-17
RX0000002349,MBR00000061,2021-04-19,2021-04-21,1369498844,1206909355,PLN3924,368188,PCN515,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,4,Retail,0,0,0,12.0,5.43,17.43,7.0,9.69,0.74,0.48,0.34,1,0,0,0,2021-05-19
RX0000002350,MBR00000061,2023-10-14,2023-10-18,1733220586,1404169008,PLN6284,518534,PCN929,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,7,Mail Order,0,0,0,38.0,8.24,46.24,6.0,37.17,3.07,1.52,1.0767,0,0,0,0,2023-11-13
RX0000002351,MBR00000061,2022-01-18,2022-01-19,1645076365,1267211834,PLN6235,846542,PCN692,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,93,6,Retail,0,0,0,36.0,7.19,43.19,6.0,34.56,2.63,0.48,0.34,0,0,0,0,2022-04-18
RX0000002352,MBR00000061,2022-12-16,2022-12-18,1782520222,1802628072,PLN2117,900294,PCN345,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,85,5,Retail,0,0,0,48.0,6.48,54.48,8.0,43.99,2.49,0.64,0.4533,0,0,0,0,2023-03-16
RX0000002353,MBR00000061,2022-01-10,2022-01-14,1199924803,1385393710,PLN2705,333578,PCN167,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,10,Retail,2,0,0,15.17,11.89,27.05,38.0,0.0,1.69,2.6,1.8417,0,0,0,0,2022-01-17
RX0000002354,MBR00000061,2022-11-26,2022-11-27,1862748490,1808269575,PLN7649,770934,PCN138,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,7,Retail,0,0,0,2.1,3.51,5.61,1.0,4.31,0.3,0.36,0.255,0,0,0,0,2022-12-03
RX0000002355,MBR00000061,2022-03-02,2022-03-04,1979407255,1384740333,PLN4169,987024,PCN171,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,5,Retail,0,0,0,14.0,4.26,18.26,4.0,13.38,0.88,0.56,0.3967,0,0,0,0,2022-04-01
RX0000002356,MBR00000061,2022-06-17,2022-06-19,1669212009,1239083063,PLN7158,336478,PCN375,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,92,5,Retail,0,0,0,33.0,5.79,38.79,6.0,31.12,1.67,0.44,0.3117,0,0,0,0,2022-09-15
RX0000002357,MBR00000061,2021-05-11,2021-05-15,1709546437,1648593544,PLN8508,222448,PCN498,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,84,11,Retail,0,0,0,960.0,8.3,968.3,35.0,870.71,62.59,12.8,9.0667,1,0,0,0,2021-08-09
RX0000002358,MBR00000061,2022-01-30,2022-02-01,1864797944,1738089318,PLN2998,742532,PCN960,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,1,Retail,0,0,0,14.0,3.86,17.86,4.0,12.99,0.87,0.56,0.3967,0,1,0,0,2022-03-01
RX0000002359,MBR00000061,2021-03-13,2021-03-17,1458781309,1167175901,PLN7252,984740,PCN954,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,84,6,Mail Order,1,0,0,114.0,6.09,120.09,31.0,81.34,7.75,1.52,1.0767,0,0,0,0,2021-06-11
RX0000002360,MBR00000061,2021-06-01,2021-06-02,1647123701,1818416335,PLN5581,198118,PCN573,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,0,Retail,1,0,0,14.0,9.63,23.63,8.0,14.53,1.1,0.56,0.3967,0,0,0,0,2021-07-01
RX0000002361,MBR00000061,2021-05-06,2021-05-09,1601987397,1396449417,PLN4893,100742,PCN297,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,11,Retail,0,0,0,9.0,9.04,18.04,10.0,6.94,1.1,0.36,0.255,0,0,0,0,2021-06-05
RX0000002362,MBR00000061,2023-07-13,2023-07-16,1690332780,1949539770,PLN8004,516702,PCN773,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,85,11,Mail Order,0,0,0,30.0,5.4,35.4,2.0,31.41,1.99,0.4,0.2833,0,0,0,0,2023-10-11
RX0000002363,MBR00000061,2021-09-25,2021-09-28,1955487813,1298831912,PLN8967,491124,PCN768,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,61,10,Retail,0,0,0,30.0,10.02,40.02,3.0,34.64,2.38,0.6,0.425,0,0,0,0,2021-11-24
RX0000002364,MBR00000061,2023-06-12,2023-06-14,1294851505,1397606193,PLN1907,124182,PCN115,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,10,Mail Order,0,0,0,175.0,2.54,177.54,33.0,137.57,6.97,7.0,4.9583,0,0,0,0,2023-07-12
RX0000002365,MBR00000061,2023-05-08,2023-05-10,1984988549,1950245957,PLN4553,525223,PCN831,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,8,Retail,0,0,0,750.0,5.05,755.05,35.0,684.35,35.7,30.0,21.25,0,0,0,0,2023-06-07
RX0000002366,MBR00000061,2023-01-26,2023-01-27,1746857213,1741238609,PLN6528,802098,PCN696,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,5,Mail Order,0,0,0,175.0,1.53,176.53,38.0,128.41,10.12,7.0,4.9583,0,0,0,0,2023-02-25
RX0000002367,MBR00000061,2022-03-12,2022-03-14,1418524513,1395031978,PLN7419,203036,PCN243,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,87,0,Retail,0,0,0,990.0,7.59,997.59,38.0,891.72,67.87,13.2,9.35,0,0,0,0,2022-06-10
RX0000002368,MBR00000061,2021-10-30,2021-11-03,1436742949,1674174139,PLN4856,607058,PCN456,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,11,Retail,0,0,0,12.5,7.56,20.06,10.0,8.75,1.31,0.5,0.3542,0,0,0,0,2021-11-29
RX0000002369,MBR00000061,2022-11-18,2022-11-19,1516288535,1867382592,PLN7331,483567,PCN447,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,93,0,Retail,0,0,0,54.0,7.85,61.85,6.0,51.7,4.15,0.72,0.51,0,0,0,0,2023-02-16
RX0000002370,MBR00000061,2022-09-27,2022-10-01,1636002055,1486460085,PLN2847,810644,PCN114,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,11,Retail,0,0,0,310.0,11.94,321.94,32.0,272.56,17.38,12.4,8.7833,0,0,0,0,2022-10-27
RX0000002371,MBR00000061,2023-10-06,2023-10-10,1835895353,1853915625,PLN7740,332689,PCN241,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,3,Mail Order,0,0,0,38.0,10.56,48.56,33.0,13.13,2.43,1.52,1.0767,0,0,0,0,2023-11-05
RX0000002372,MBR00000061,2022-02-06,2022-02-08,1544722078,1929094196,PLN5290,668179,PCN478,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,0,Mail Order,0,0,0,18.0,9.39,27.39,10.0,16.46,0.93,0.72,0.51,0,0,0,0,2022-03-08
RX0000002373,MBR00000061,2023-06-29,2023-07-02,1460500465,1295432235,PLN9478,838125,PCN195,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,7,Retail,0,0,0,9.0,2.34,11.34,5.0,5.67,0.67,0.36,0.255,0,0,0,0,2023-07-29
RX0000002374,MBR00000061,2022-12-31,2023-01-03,1498181200,1682250394,PLN5821,736041,PCN406,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,0,Retail,0,0,0,320.0,7.12,327.12,33.0,280.56,13.56,12.8,9.0667,0,1,1,0,2023-01-30
RX0000002375,MBR00000061,2022-12-11,2022-12-15,1766732651,1850798190,PLN6299,731891,PCN135,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,11,Retail,0,0,0,88.67,5.05,93.72,40.0,50.22,3.5,15.2,10.7667,0,0,0,0,2022-12-18
RX0000002376,MBR00000061,2023-05-29,2023-06-01,1838145995,1357034431,PLN5918,345538,PCN721,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,8,Mail Order,0,0,0,10.0,3.07,13.07,5.0,7.35,0.72,0.4,0.2833,0,0,0,0,2023-06-28
RX0000002377,MBR00000061,2023-10-22,2023-10-25,1910249528,1553439231,PLN2231,587306,PCN604,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,7,Retail,0,0,0,380.0,4.06,384.06,35.0,332.59,16.47,15.2,10.7667,0,0,0,0,2023-11-21
RX0000002378,MBR00000061,2022-10-15,2022-10-19,1275018278,1534793880,PLN1721,718916,PCN784,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,10,Retail,0,0,0,2.33,9.39,11.73,5.0,6.18,0.55,0.4,0.2833,0,0,0,0,2022-10-22
RX0000002379,MBR00000061,2023-07-15,2023-07-17,1551590658,1592882949,PLN7011,971526,PCN219,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,11,Retail,0,0,0,185.0,2.99,187.99,39.0,141.19,7.8,7.4,5.2417,0,0,0,0,2023-08-14
RX0000002380,MBR00000062,2021-04-14,2021-04-17,1323591330,1485666451,PLN2047,696215,PCN481,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,0,Mail Order,0,0,0,4.2,7.2,11.4,6.0,4.66,0.74,0.72,0.51,0,0,0,0,2021-04-21
RX0000002381,MBR00000062,2021-03-22,2021-03-24,1569972935,1297447488,PLN3363,107668,PCN356,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,89,8,Retail,0,0,0,45.0,3.96,48.96,3.0,44.37,1.59,0.6,0.425,0,0,0,0,2021-06-20
RX0000002382,MBR00000062,2022-01-27,2022-01-31,1213430251,1126125021,PLN9185,686692,PCN218,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,95,2,Retail,1,0,0,42.0,2.72,44.72,10.0,32.63,2.09,0.56,0.3967,0,0,0,0,2022-04-27
RX0000002383,MBR00000062,2023-03-14,2023-03-17,1738650931,1807806792,PLN6927,954597,PCN625,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,6,Mail Order,0,0,0,380.0,11.39,391.39,35.0,332.39,24.0,15.2,10.7667,0,0,0,0,2023-04-13
RX0000002384,MBR00000062,2022-11-05,2022-11-06,1266771797,1252865924,PLN3284,136793,PCN220,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,10,Retail,1,0,1,320.0,8.22,328.22,31.0,283.92,13.3,12.8,9.0667,0,0,0,0,2022-12-05
RX0000002385,MBR00000062,2021-11-26,2021-11-30,1476522941,1902512130,PLN4569,505774,PCN719,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,6,Retail,0,0,0,15.0,10.71,25.71,4.0,19.91,1.8,0.6,0.425,0,0,0,0,2021-12-26
RX0000002386,MBR00000062,2023-02-14,2023-02-15,1818954824,1316681879,PLN6323,573332,PCN195,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,85,6,Retail,0,0,0,930.0,9.09,939.09,38.0,839.56,61.53,12.4,8.7833,0,0,0,0,2023-05-15
RX0000002387,MBR00000062,2021-07-02,2021-07-05,1326256318,1975309406,PLN2746,575761,PCN676,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,2,Retail,0,0,0,15.0,6.85,21.85,9.0,12.1,0.75,0.6,0.425,0,0,0,0,2021-08-01
RX0000002388,MBR00000062,2023-10-07,2023-10-08,1636048334,1248234670,PLN9694,231818,PCN626,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,0,Retail,0,0,0,45.0,7.26,52.26,0.0,48.73,3.53,1.8,1.275,0,0,0,0,2023-11-06
RX0000002389,MBR00000062,2022-12-13,2022-12-17,1497649567,1775047877,PLN2178,829991,PCN820,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,4,Specialty,0,0,0,65.0,29.79,94.79,37.0,57.79,0.0,2.6,1.8417,0,0,0,0,2023-01-12
RX0000002390,MBR00000062,2023-05-27,2023-05-31,1803901367,1686550345,PLN4586,996603,PCN367,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,6,Mail Order,0,0,0,45.0,9.61,54.61,6.0,46.42,2.19,1.8,1.275,0,0,0,0,2023-06-26
RX0000002391,MBR00000062,2022-07-28,2022-07-31,1122344652,1721505194,PLN7475,472985,PCN486,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,7,LTC,0,0,0,185.0,8.15,193.15,33.0,149.17,10.98,7.4,5.2417,0,0,0,0,2022-08-27
RX0000002392,MBR00000062,2022-04-18,2022-04-22,1766420560,1996618365,PLN6714,794960,PCN379,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,62,8,Mail Order,1,0,0,56.0,11.28,67.28,6.0,57.79,3.49,1.12,0.7933,0,0,0,0,2022-06-17
RX0000002393,MBR00000062,2023-06-12,2023-06-15,1114226234,1645960756,PLN1472,529389,PCN130,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,8,Retail,0,0,0,15.0,8.15,23.15,4.0,18.12,1.03,0.6,0.425,1,0,0,0,2023-07-12
RX0000002394,MBR00000062,2023-10-28,2023-10-30,1379151258,1754308145,PLN9516,132695,PCN616,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,97,9,Retail,0,1,0,25500.0,8.9,25508.9,151.0,23654.35,1703.55,340.0,240.8333,0,0,0,0,2024-01-26
RX0000002395,MBR00000062,2021-04-19,2021-04-22,1586806194,1484386371,PLN3937,596036,PCN778,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,9,Specialty,0,0,0,88.67,24.33,113.0,36.0,77.0,0.0,15.2,10.7667,0,0,0,0,2021-04-26
RX0000002396,MBR00000062,2022-05-12,2022-05-16,1390378644,1314432114,PLN9746,370164,PCN739,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,98,6,Retail,0,0,0,54.0,6.68,60.68,6.0,51.86,2.82,0.72,0.51,0,0,0,0,2022-08-10
RX0000002397,MBR00000062,2022-06-22,2022-06-23,1470526351,1783380643,PLN8283,627316,PCN376,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,2,Retail,0,0,0,12.0,3.26,15.26,4.0,10.31,0.95,0.48,0.34,0,0,0,0,2022-07-22
RX0000002398,MBR00000062,2021-02-18,2021-02-22,1208977347,1494168000,PLN6295,984670,PCN214,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,6,Retail,0,0,0,15.0,11.46,26.46,9.0,16.47,0.99,0.6,0.425,0,0,0,0,2021-03-20
RX0000002399,MBR00000062,2022-01-10,2022-01-14,1851606317,1350586534,PLN8958,844318,PCN474,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,1,Mail Order,0,0,0,15.0,4.75,19.75,0.0,19.08,0.67,0.6,0.425,0,0,0,0,2022-02-09
RX0000002400,MBR00000062,2021-06-22,2021-06-25,1994586172,1988494646,PLN6923,241552,PCN670,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,2,Mail Order,0,0,0,14.0,11.59,25.59,7.0,17.45,1.14,0.56,0.3967,0,0,0,0,2021-07-22
RX0000002401,MBR00000062,2022-02-12,2022-02-13,1606547534,1575766229,PLN5810,515391,PCN298,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,0,Retail,0,0,0,65.0,6.72,71.72,37.0,31.89,2.83,2.6,1.8417,0,0,0,0,2022-03-14
RX0000002402,MBR00000062,2021-07-04,2021-07-06,1314388546,1850102678,PLN7747,322275,PCN213,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,58,7,Retail,3,0,0,36.0,11.97,47.97,32.0,13.26,2.71,0.72,0.51,0,0,0,0,2021-09-02
RX0000002403,MBR00000062,2023-08-14,2023-08-17,1498129652,1423570399,PLN8398,267030,PCN111,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,9,Retail,0,0,0,10.0,4.35,14.35,1.0,12.58,0.77,0.4,0.2833,0,0,0,0,2023-09-13
RX0000002404,MBR00000062,2022-04-28,2022-04-29,1480680061,1407582201,PLN6914,761741,PCN709,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,9,Retail,0,1,0,6200.0,2.15,6202.15,145.0,5677.47,379.68,248.0,175.6667,0,0,0,0,2022-05-28
RX0000002405,MBR00000062,2022-09-08,2022-09-12,1426519292,1328589404,PLN1176,239696,PCN662,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,0,Retail,0,0,1,310.0,3.19,313.19,38.0,263.32,11.87,12.4,8.7833,0,0,0,0,2022-10-08
RX0000002406,MBR00000062,2021-06-16,2021-06-18,1191970591,1766369988,PLN8713,444863,PCN694,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,59,10,Retail,0,0,0,350.0,7.63,357.63,31.0,311.45,15.18,7.0,4.9583,0,0,0,0,2021-08-15
RX0000002407,MBR00000062,2022-12-29,2023-01-02,1711794464,1711783465,PLN9372,168716,PCN398,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,3,Retail,0,0,0,6.53,11.28,17.81,10.0,6.93,0.88,1.12,0.7933,0,0,0,0,2023-01-05
RX0000002408,MBR00000062,2023-10-19,2023-10-20,1918213155,1640461991,PLN5624,490195,PCN283,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,11,Retail,0,0,0,5.13,11.51,16.65,9.0,6.62,1.03,0.88,0.6233,0,0,0,0,2023-10-26
RX0000002409,MBR00000062,2021-06-27,2021-06-29,1165185062,1657824902,PLN5119,244271,PCN957,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,0,Mail Order,0,0,0,285.0,7.87,292.87,37.0,237.18,18.69,11.4,8.075,0,0,0,0,2021-07-27
RX0000002410,MBR00000062,2022-07-18,2022-07-19,1493539977,1576223089,PLN4403,224348,PCN537,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,8,Mail Order,3,0,0,45.0,3.82,48.82,7.0,40.26,1.56,1.8,1.275,0,0,0,0,2022-08-17
RX0000002411,MBR00000062,2023-08-14,2023-08-15,1708721821,1159792062,PLN6607,763039,PCN655,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,2,Retail,0,0,0,15.0,11.16,26.16,10.0,15.03,1.13,0.6,0.425,0,0,0,0,2023-09-13
RX0000002412,MBR00000062,2021-10-17,2021-10-21,1950058556,1390916034,PLN1223,567452,PCN108,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,5,Retail,2,0,0,18.0,2.17,20.17,6.0,13.1,1.07,0.72,0.51,0,0,0,0,2021-11-16
RX0000002413,MBR00000062,2022-07-20,2022-07-21,1353170580,1291088823,PLN7823,842917,PCN397,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,82,2,Specialty,1,0,0,54.0,46.79,100.79,6.0,94.79,0.0,0.72,0.51,0,0,0,0,2022-10-18
RX0000002414,MBR00000062,2021-06-22,2021-06-25,1952837070,1657891401,PLN9632,208078,PCN421,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,97,2,Mail Order,0,0,0,1950.0,3.47,1953.47,36.0,1793.14,124.33,26.0,18.4167,0,0,0,0,2021-09-20
RX0000002415,MBR00000062,2022-09-29,2022-10-03,1534892839,1964273126,PLN3645,575029,PCN105,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,56,8,Retail,0,0,0,22.0,8.86,30.86,0.0,29.59,1.27,0.44,0.3117,0,0,0,0,2022-11-28
RX0000002416,MBR00000062,2021-07-22,2021-07-25,1638835706,1570344160,PLN1772,673583,PCN225,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,88,8,Retail,0,0,0,555.0,11.76,566.76,37.0,505.52,24.24,7.4,5.2417,1,0,0,0,2021-10-20
RX0000002417,MBR00000062,2022-02-15,2022-02-16,1657528657,1744460206,PLN7051,180439,PCN951,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,91,2,Retail,0,0,0,930.0,2.76,932.76,31.0,865.39,36.37,12.4,8.7833,1,0,0,0,2022-05-16
RX0000002418,MBR00000062,2022-04-03,2022-04-06,1951175343,1631881177,PLN2472,222865,PCN825,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,81,5,Retail,0,0,0,27.0,3.83,30.83,6.0,23.66,1.17,0.36,0.255,0,0,0,0,2022-07-02
RX0000002419,MBR00000063,2023-09-30,2023-10-04,1406074908,1530501168,PLN2113,573020,PCN509,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,7,Retail,2,0,0,38.0,7.63,45.63,36.0,6.58,3.05,1.52,1.0767,0,0,0,0,2023-10-30
RX0000002420,MBR00000063,2023-11-10,2023-11-13,1146573792,1137787823,PLN7665,433627,PCN822,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,10,Retail,0,0,0,18.0,7.57,25.57,32.0,0.0,0.79,0.72,0.51,0,0,0,0,2023-12-10
RX0000002421,MBR00000063,2021-06-29,2021-06-30,1574588422,1193300792,PLN4643,780324,PCN192,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,86,2,Retail,0,0,0,54.0,10.07,64.07,5.0,54.98,4.09,0.72,0.51,0,0,0,0,2021-09-27
RX0000002422,MBR00000063,2023-12-15,2023-12-19,1397462445,1701974573,PLN1726,469921,PCN227,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,3,Retail,0,0,0,22.0,4.01,26.01,72.0,0.0,1.67,0.88,0.6233,0,0,0,0,2024-01-14
RX0000002423,MBR00000063,2023-03-29,2023-04-02,1582964531,1248219724,PLN2698,131756,PCN442,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,4,Mail Order,0,0,0,18.0,3.77,21.77,9.0,11.61,1.16,0.72,0.51,0,0,0,0,2023-04-28
RX0000002424,MBR00000063,2023-05-30,2023-06-01,1283765542,1598252572,PLN5075,651415,PCN585,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,1,Retail,0,0,0,320.0,2.44,322.44,36.0,265.79,20.65,12.8,9.0667,0,1,1,0,2023-06-29
RX0000002425,MBR00000063,2021-04-28,2021-05-02,1749748748,1939466184,PLN6584,893564,PCN892,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,0,Retail,0,0,0,22.0,6.31,28.31,75.0,0.0,1.94,0.88,0.6233,0,0,0,0,2021-05-28
RX0000002426,MBR00000063,2023-12-05,2023-12-08,1793584605,1961985693,PLN8695,384702,PCN710,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,285.0,7.57,292.57,31.0,244.63,16.94,11.4,8.075,0,0,0,0,2024-01-04
RX0000002427,MBR00000063,2023-01-22,2023-01-24,1588163596,1377170095,PLN4629,417542,PCN134,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,4,Retail,0,0,0,310.0,2.12,312.12,36.0,263.21,12.91,12.4,8.7833,1,0,0,0,2023-02-21
RX0000002428,MBR00000063,2022-02-10,2022-02-11,1488852875,1827096630,PLN9817,851548,PCN386,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,3,Retail,0,1,0,8.0,11.22,19.22,152.0,0.0,1.05,0.32,0.2267,0,0,0,0,2022-03-12
RX0000002429,MBR00000063,2022-09-27,2022-09-30,1852491766,1483170071,PLN3881,159209,PCN698,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,0,Retail,0,0,0,22.0,9.44,31.44,9.0,21.01,1.43,0.88,0.6233,0,0,0,0,2022-10-27
RX0000002430,MBR00000063,2022-10-28,2022-10-31,1593340428,1249374351,PLN3865,340269,PCN121,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,83,10,Mail Order,0,0,0,30.0,2.84,32.84,10.0,21.62,1.22,0.4,0.2833,0,0,0,0,2023-01-26
RX0000002431,MBR00000063,2021-08-07,2021-08-10,1991583414,1879228294,PLN8393,170951,PCN481,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,8,Mail Order,0,0,0,2.8,3.7,6.5,10.0,0.0,0.24,0.48,0.34,0,0,0,0,2021-08-14
RX0000002432,MBR00000063,2022-04-12,2022-04-13,1446381966,1232163273,PLN6114,113486,PCN362,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,60,8,Mail Order,0,0,0,350.0,5.03,355.03,40.0,301.79,13.24,7.0,4.9583,0,0,0,0,2022-06-11
RX0000002433,MBR00000063,2021-06-30,2021-07-01,1351986135,1166728391,PLN3718,720101,PCN840,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,3,Retail,0,0,0,380.0,1.79,381.79,40.0,323.73,18.06,15.2,10.7667,0,0,0,0,2021-07-30
RX0000002434,MBR00000063,2023-05-31,2023-06-02,1340488072,1168164659,PLN8386,924188,PCN105,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,10,Mail Order,0,0,0,42.0,8.32,50.32,7.0,39.85,3.47,0.56,0.3967,0,0,0,0,2023-08-29
RX0000002435,MBR00000063,2021-04-14,2021-04-17,1581238236,1867032269,PLN2721,952123,PCN954,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,8,Mail Order,0,1,0,8500.0,9.8,8509.8,151.0,7842.95,515.85,340.0,240.8333,1,0,0,0,2021-05-14
RX0000002436,MBR00000063,2021-02-21,2021-02-22,1966111724,1774662163,PLN8635,947747,PCN862,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,2,Mail Order,0,0,0,2.57,2.81,5.37,8.0,0.0,0.21,0.44,0.3117,0,0,0,0,2021-02-28
RX0000002437,MBR00000063,2023-08-09,2023-08-13,1666082961,1511024287,PLN1579,515755,PCN172,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,7,Retail,0,0,0,185.0,3.86,188.86,38.0,138.46,12.4,7.4,5.2417,0,0,0,0,2023-09-08
RX0000002438,MBR00000063,2022-05-16,2022-05-18,1354159467,1620203689,PLN5711,129955,PCN256,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,8,Retail,1,0,0,4.2,11.32,15.52,2.0,12.97,0.55,0.72,0.51,0,0,0,0,2022-05-23
RX0000002439,MBR00000063,2022-04-29,2022-04-30,1323934673,1299371565,PLN1127,233273,PCN213,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,10,Retail,0,0,0,8.5,7.5,16.0,8.0,7.13,0.87,0.34,0.2408,0,0,0,0,2022-05-29
RX0000002440,MBR00000063,2021-03-15,2021-03-17,1740581201,1288167929,PLN2685,768184,PCN312,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,0,Retail,0,0,0,12.0,4.18,16.18,6.0,9.26,0.92,0.48,0.34,0,0,0,0,2021-04-14
RX0000002441,MBR00000063,2022-12-25,2022-12-28,1137978920,1202149800,PLN2167,622068,PCN323,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,10,Mail Order,0,0,0,310.0,6.02,316.02,38.0,260.14,17.88,12.4,8.7833,0,0,0,0,2023-01-24
RX0000002442,MBR00000063,2023-10-24,2023-10-27,1992969423,1455271031,PLN5160,706996,PCN780,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,1,Retail,0,0,0,175.0,7.96,182.96,37.0,137.84,8.12,7.0,4.9583,0,0,0,0,2023-11-23
RX0000002443,MBR00000063,2023-12-27,2023-12-29,1354691811,1170849238,PLN8821,432443,PCN290,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,1,Mail Order,0,0,0,7.5,10.21,17.71,8.0,9.13,0.58,0.3,0.2125,0,0,0,0,2024-01-26
RX0000002444,MBR00000063,2023-08-18,2023-08-20,1427443516,1684590657,PLN6948,310989,PCN841,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,10,Retail,0,0,0,65.0,4.55,69.55,33.0,34.23,2.32,2.6,1.8417,0,0,0,0,2023-09-17
RX0000002445,MBR00000063,2022-11-12,2022-11-14,1922913626,1311318224,PLN2780,835676,PCN227,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,9,Retail,0,0,0,175.0,4.69,179.69,33.0,134.72,11.97,7.0,4.9583,0,0,0,0,2022-12-12
RX0000002446,MBR00000063,2021-03-07,2021-03-10,1798557709,1269386790,PLN5934,362266,PCN380,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,8,Retail,0,0,0,480.0,9.47,489.47,38.0,435.93,15.54,19.2,13.6,0,0,0,0,2021-04-06
RX0000002447,MBR00000063,2023-04-27,2023-04-30,1113416955,1624308326,PLN9282,829369,PCN500,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,11,Specialty,0,0,0,370.0,47.45,417.45,39.0,378.45,0.0,14.8,10.4833,0,0,0,0,2023-05-27
RX0000002448,MBR00000063,2022-06-07,2022-06-11,1620566070,1768275999,PLN2493,434447,PCN697,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,86,5,Retail,0,0,0,855.0,11.09,866.09,38.0,776.99,51.1,11.4,8.075,0,0,0,0,2022-09-05
RX0000002449,MBR00000063,2021-11-04,2021-11-06,1337801939,1101818205,PLN1496,911480,PCN971,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,8,Mail Order,0,1,0,6200.0,6.12,6206.12,154.0,5731.64,320.48,248.0,175.6667,0,0,0,0,2021-12-04
RX0000002450,MBR00000063,2021-12-19,2021-12-20,1324946933,1607637237,PLN7005,759130,PCN898,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,10,Retail,0,0,0,10.0,3.18,13.18,2.0,10.49,0.69,0.4,0.2833,0,0,0,0,2022-01-18
RX0000002451,MBR00000063,2021-06-23,2021-06-25,1928730521,1804866603,PLN5372,424764,PCN449,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,90,8,Retail,0,0,0,114.0,6.75,120.75,2.0,112.08,6.67,1.52,1.0767,0,0,0,0,2021-09-21
RX0000002452,MBR00000063,2022-12-29,2023-01-02,1166636403,1463463789,PLN8971,125899,PCN397,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,91,1,Specialty,0,1,0,24.0,8.75,32.75,155.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-03-29
RX0000002453,MBR00000063,2021-12-28,2022-01-01,1270502862,1281022738,PLN7768,178483,PCN773,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,1,Mail Order,0,0,0,45.0,8.64,53.64,3.0,46.89,3.75,1.8,1.275,0,0,0,0,2022-01-27
RX0000002454,MBR00000063,2021-06-06,2021-06-10,1457140264,1885712062,PLN7442,168750,PCN745,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,1,Retail,2,0,0,11.0,11.13,22.13,2.0,19.46,0.67,0.44,0.3117,0,0,0,0,2021-07-06
RX0000002455,MBR00000063,2022-07-12,2022-07-13,1157270767,1274933583,PLN2288,621430,PCN237,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,7,Retail,0,0,0,12.0,11.23,23.23,8.0,14.27,0.96,0.48,0.34,0,0,0,0,2022-08-11
RX0000002456,MBR00000063,2021-03-27,2021-03-29,1657970271,1867095539,PLN7846,283505,PCN470,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,65,8,Retail,0,1,0,24.0,7.35,31.35,150.0,0.0,1.71,0.48,0.34,0,0,0,0,2021-05-26
RX0000002457,MBR00000063,2021-10-26,2021-10-28,1861101843,1611816026,PLN2415,614635,PCN416,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,92,11,Retail,0,0,0,114.0,11.84,125.84,8.0,109.36,8.48,1.52,1.0767,0,0,0,0,2022-01-24
RX0000002458,MBR00000063,2022-09-23,2022-09-27,1327727213,1874546460,PLN1813,858299,PCN237,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,8,Retail,1,0,0,185.0,10.14,195.14,30.0,154.31,10.83,7.4,5.2417,0,1,1,0,2022-10-23
RX0000002459,MBR00000064,2021-12-29,2021-12-31,1484274525,1815036040,PLN7881,786053,PCN994,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,7,Retail,0,0,0,370.0,3.01,373.01,30.0,318.34,24.67,14.8,10.4833,0,0,0,0,2022-01-28
RX0000002460,MBR00000064,2021-11-11,2021-11-14,1575021205,1802663529,PLN9291,108918,PCN729,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,3,Retail,0,0,0,330.0,6.28,336.28,40.0,283.32,12.96,13.2,9.35,0,0,0,0,2021-12-11
RX0000002461,MBR00000064,2023-03-12,2023-03-16,1173521845,1445608547,PLN8832,515078,PCN534,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,87,5,Mail Order,0,0,0,45.0,2.95,47.95,8.0,37.7,2.25,0.6,0.425,0,0,0,0,2023-06-10
RX0000002462,MBR00000064,2022-05-29,2022-06-02,1721289180,1844006836,PLN3569,633441,PCN947,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,91,0,Retail,0,0,0,2250.0,9.41,2259.41,31.0,2147.98,80.43,30.0,21.25,0,0,0,0,2022-08-27
RX0000002463,MBR00000064,2022-08-27,2022-08-28,1518816077,1401887444,PLN6813,575955,PCN594,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,5,Retail,0,1,0,1983.33,5.11,1988.45,149.0,1742.47,96.98,340.0,240.8333,0,0,0,0,2022-09-03
RX0000002464,MBR00000064,2022-11-09,2022-11-11,1607450587,1684110117,PLN4230,396596,PCN108,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,7,Mail Order,0,0,0,330.0,8.23,338.23,38.0,289.72,10.51,13.2,9.35,0,0,0,0,2022-12-09
RX0000002465,MBR00000064,2021-12-15,2021-12-16,1792598867,1414676568,PLN5647,451627,PCN917,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,5,Retail,0,1,0,12.0,10.46,22.46,151.0,0.0,0.81,0.48,0.34,0,0,0,0,2022-01-14
RX0000002466,MBR00000064,2023-01-10,2023-01-14,1409720280,1947459536,PLN7078,316303,PCN545,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,93,4,Retail,0,0,0,114.0,5.24,119.24,36.0,78.15,5.09,1.52,1.0767,0,0,0,0,2023-04-10
RX0000002467,MBR00000064,2023-03-16,2023-03-20,1584782427,1613287117,PLN5002,385117,PCN564,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,90,2,Retail,1,0,0,42.0,2.04,44.04,0.0,41.13,2.91,0.56,0.3967,0,0,0,0,2023-06-14
RX0000002468,MBR00000064,2023-09-28,2023-09-29,1917372153,1886567037,PLN6166,507646,PCN321,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,4,Retail,2,0,0,2.8,8.99,11.79,6.0,5.38,0.41,0.48,0.34,0,0,0,0,2023-10-05
RX0000002469,MBR00000064,2023-04-29,2023-05-01,1328578991,1593467497,PLN3539,503988,PCN148,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,0,Retail,0,0,0,11.0,9.37,20.37,0.0,19.71,0.66,0.44,0.3117,0,0,0,0,2023-05-29
RX0000002470,MBR00000064,2022-04-23,2022-04-24,1969153429,1122268229,PLN6915,413837,PCN441,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,92,6,Retail,0,0,0,37.5,9.59,47.09,2.0,43.39,1.7,0.5,0.3542,0,0,0,0,2022-07-22
RX0000002471,MBR00000064,2021-02-25,2021-03-01,1719283029,1871016260,PLN8509,923908,PCN506,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,57,8,Retail,0,0,0,25.0,11.16,36.16,9.0,25.48,1.68,0.5,0.3542,1,0,0,0,2021-04-26
RX0000002472,MBR00000064,2022-06-05,2022-06-06,1116383477,1997209859,PLN4351,839674,PCN791,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,0,Specialty,0,1,0,8500.0,34.18,8534.18,145.0,8389.18,0.0,340.0,240.8333,0,0,0,0,2022-07-05
RX0000002473,MBR00000064,2022-06-04,2022-06-08,1677937410,1795054274,PLN3756,499327,PCN751,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,10,Mail Order,0,0,0,15.0,4.13,19.13,8.0,10.03,1.1,0.6,0.425,0,0,0,0,2022-07-04
RX0000002474,MBR00000064,2023-12-07,2023-12-10,1527095905,1884365027,PLN3959,367506,PCN950,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,95,2,Retail,0,0,0,42.0,5.02,47.02,7.0,37.36,2.66,0.56,0.3967,0,0,0,0,2024-03-06
RX0000002475,MBR00000064,2023-02-07,2023-02-09,1861594726,1930297789,PLN5289,876080,PCN158,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,2,Retail,0,1,0,2.8,3.14,5.94,146.0,0.0,0.25,0.48,0.34,0,0,0,0,2023-02-14
RX0000002476,MBR00000064,2022-03-21,2022-03-25,1289093097,1442114313,PLN9784,121301,PCN291,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,82,3,Specialty,0,0,0,36.0,41.49,77.49,0.0,77.49,0.0,0.48,0.34,0,0,0,0,2022-06-19
RX0000002477,MBR00000064,2022-07-04,2022-07-06,1742875592,1914984461,PLN6274,875711,PCN468,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,5,Retail,0,0,0,650.0,6.85,656.85,39.0,596.78,21.07,26.0,18.4167,0,0,0,0,2022-08-03
RX0000002478,MBR00000064,2021-02-08,2021-02-12,1595204360,1102424579,PLN3334,411892,PCN576,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,95,10,Mail Order,0,0,0,2250.0,11.08,2261.08,36.0,2138.48,86.6,30.0,21.25,0,0,0,0,2021-05-09
RX0000002479,MBR00000064,2022-02-07,2022-02-09,1554632425,1163400160,PLN8219,939659,PCN355,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,7,Retail,0,1,0,653.33,3.93,657.26,148.0,480.1,29.16,112.0,79.3333,0,0,0,0,2022-02-14
RX0000002480,MBR00000064,2021-03-07,2021-03-09,1777332000,1776610008,PLN8455,282065,PCN813,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,98,3,Retail,0,0,0,1140.0,11.16,1151.16,30.0,1044.04,77.12,15.2,10.7667,0,0,0,0,2021-06-05
RX0000002481,MBR00000064,2023-05-09,2023-05-10,1220074909,1498012657,PLN1952,172066,PCN712,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,94,7,Mail Order,0,0,0,42.0,9.14,51.14,1.0,46.6,3.54,0.56,0.3967,0,0,0,0,2023-08-07
RX0000002482,MBR00000064,2022-07-30,2022-08-02,1774180052,1185908263,PLN3794,181413,PCN484,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,5,Retail,0,0,0,65.0,4.19,69.19,40.0,24.69,4.5,2.6,1.8417,0,0,0,0,2022-08-29
RX0000002483,MBR00000064,2021-06-24,2021-06-28,1577287347,1189212018,PLN9363,235361,PCN589,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,6,Retail,0,0,0,12.5,6.81,19.31,7.0,11.67,0.64,0.5,0.3542,0,0,0,0,2021-07-24
RX0000002484,MBR00000064,2023-12-11,2023-12-12,1263423018,1283295310,PLN7712,425893,PCN188,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,370.0,9.39,379.39,36.0,329.66,13.73,14.8,10.4833,0,0,0,0,2024-01-10
RX0000002485,MBR00000064,2022-12-07,2022-12-11,1981246318,1862265147,PLN9214,103019,PCN344,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,92,5,Retail,0,0,0,135.0,3.06,138.06,9.0,123.24,5.82,1.8,1.275,0,0,0,0,2023-03-07
RX0000002486,MBR00000064,2023-03-08,2023-03-09,1771281082,1894602157,PLN9884,471920,PCN344,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,7,Specialty,3,0,0,114.0,11.72,125.72,1.0,124.72,0.0,1.52,1.0767,0,0,0,0,2023-06-06
RX0000002487,MBR00000064,2023-07-07,2023-07-08,1953296817,1362074676,PLN6980,800178,PCN227,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,7,Retail,0,0,0,10.0,11.58,21.58,1.0,19.84,0.74,0.4,0.2833,0,0,0,0,2023-08-06
RX0000002488,MBR00000064,2022-09-21,2022-09-22,1738225473,1304856654,PLN9241,217415,PCN992,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,60,1,Retail,0,1,0,5600.0,5.22,5605.22,155.0,5179.0,271.22,112.0,79.3333,0,0,0,0,2022-11-20
RX0000002489,MBR00000064,2023-06-21,2023-06-23,1480789995,1842623951,PLN9325,101212,PCN656,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,9,Retail,0,0,0,185.0,8.89,193.89,38.0,143.65,12.24,7.4,5.2417,0,0,0,0,2023-07-21
RX0000002490,MBR00000064,2021-04-17,2021-04-19,1619648510,1781535182,PLN9388,293895,PCN623,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,82,4,Mail Order,0,1,0,24.0,3.84,27.84,146.0,0.0,1.38,0.32,0.2267,0,0,0,0,2021-07-16
RX0000002491,MBR00000064,2022-04-18,2022-04-20,1727301274,1148079397,PLN2373,616101,PCN396,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,10,Mail Order,0,0,0,9.0,4.13,13.13,6.0,6.54,0.59,0.36,0.255,0,0,0,0,2022-05-18
RX0000002492,MBR00000064,2023-02-06,2023-02-08,1115892417,1781963378,PLN8819,738402,PCN524,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,9,Retail,0,0,0,12.0,3.84,15.84,5.0,10.1,0.74,0.48,0.34,0,0,0,0,2023-03-08
RX0000002493,MBR00000064,2022-10-06,2022-10-09,1930449477,1517751046,PLN3501,620143,PCN476,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,5,Mail Order,0,0,0,950.0,2.4,952.4,37.0,859.6,55.8,38.0,26.9167,0,1,1,0,2022-11-05
RX0000002494,MBR00000064,2022-10-17,2022-10-21,1747924126,1613025925,PLN6585,829284,PCN814,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,63,6,Retail,0,0,0,620.0,5.67,625.67,39.0,547.84,38.83,12.4,8.7833,0,0,0,0,2022-12-16
RX0000002495,MBR00000064,2021-11-28,2021-12-01,1667680888,1696775131,PLN7872,821261,PCN452,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,88,10,Retail,0,0,0,135.0,6.59,141.59,6.0,130.04,5.55,1.8,1.275,0,0,0,0,2022-02-26
RX0000002496,MBR00000064,2021-12-11,2021-12-15,1659859488,1733633637,PLN6196,584127,PCN899,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,88,4,Retail,0,0,0,855.0,11.14,866.14,40.0,783.05,43.09,11.4,8.075,0,0,0,0,2022-03-11
RX0000002497,MBR00000064,2023-09-04,2023-09-08,1368957375,1104970328,PLN2685,566167,PCN226,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,88,2,Retail,1,0,0,27.0,8.23,35.23,5.0,29.04,1.19,0.36,0.255,0,0,0,0,2023-12-03
RX0000002498,MBR00000064,2021-10-31,2021-11-03,1862494237,1222393917,PLN3442,786239,PCN251,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,8,Retail,0,0,0,750.0,3.31,753.31,37.0,672.44,43.87,30.0,21.25,0,0,0,0,2021-11-30
RX0000002499,MBR00000064,2022-04-27,2022-04-29,1831307794,1687638482,PLN7640,865332,PCN967,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,58,9,Retail,0,0,0,90.0,10.65,100.65,2.0,94.98,3.67,1.8,1.275,0,0,0,0,2022-06-26
RX0000002500,MBR00000064,2021-09-25,2021-09-26,1498482141,1633877373,PLN7733,308051,PCN176,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,11,Specialty,0,0,0,3.27,23.33,26.6,10.0,16.6,0.0,0.56,0.3967,0,0,0,0,2021-10-02
RX0000002501,MBR00000064,2023-04-19,2023-04-21,1602781709,1950812665,PLN3435,933468,PCN547,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,7,Mail Order,0,0,0,9.0,6.12,15.12,8.0,6.3,0.82,0.36,0.255,0,0,0,0,2023-05-19
RX0000002502,MBR00000064,2022-12-15,2022-12-16,1284709470,1271681458,PLN9839,323158,PCN190,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,2,Retail,2,1,0,1983.33,3.97,1987.3,150.0,1748.91,88.39,340.0,240.8333,0,0,0,0,2022-12-22
RX0000002503,MBR00000064,2021-05-19,2021-05-21,1164680893,1933443068,PLN4561,202495,PCN483,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,2,Mail Order,2,0,0,65.0,8.99,73.99,39.0,32.13,2.86,2.6,1.8417,0,0,0,0,2021-06-18
RX0000002504,MBR00000064,2022-10-02,2022-10-03,1917873396,1663457471,PLN9966,195197,PCN987,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,61,10,Retail,0,1,0,12400.0,3.23,12403.23,155.0,11813.4,434.83,248.0,175.6667,0,0,0,0,2022-12-01
RX0000002505,MBR00000064,2022-01-21,2022-01-24,1793547706,1108369168,PLN9390,901121,PCN499,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,7,Retail,2,0,0,10.0,11.66,21.66,0.0,20.83,0.83,0.4,0.2833,0,0,0,0,2022-02-20
RX0000002506,MBR00000064,2022-04-16,2022-04-18,1936920231,1421807226,PLN5299,932087,PCN530,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,55,4,Specialty,0,0,0,20.0,24.5,44.5,9.0,35.5,0.0,0.4,0.2833,0,0,0,0,2022-06-15
RX0000002507,MBR00000064,2022-06-30,2022-07-03,1122451488,1605138609,PLN9335,394692,PCN767,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,4,Mail Order,0,0,0,330.0,1.63,331.63,35.0,284.64,11.99,13.2,9.35,0,0,0,0,2022-07-30
RX0000002508,MBR00000064,2023-04-24,2023-04-26,1478473791,1562374383,PLN1462,902657,PCN152,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,58,0,Retail,0,1,0,17000.0,11.17,17011.17,154.0,16203.94,653.23,340.0,240.8333,0,1,1,0,2023-06-23
RX0000002509,MBR00000064,2021-08-13,2021-08-15,1145930286,1491991778,PLN3992,220221,PCN587,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,4,Retail,0,0,0,18.0,10.54,28.54,35.0,0.0,1.75,0.72,0.51,0,0,0,0,2021-09-12
RX0000002510,MBR00000064,2021-09-08,2021-09-10,1686258355,1193251638,PLN9662,187948,PCN608,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,3,LTC,0,1,0,2800.0,5.27,2805.27,150.0,2544.07,111.2,112.0,79.3333,0,0,0,0,2021-10-08
RX0000002511,MBR00000065,2023-04-12,2023-04-13,1711920574,1262809812,PLN3943,441023,PCN306,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,6,Specialty,1,0,0,10.0,42.59,52.59,10.0,42.59,0.0,0.4,0.2833,0,0,0,0,2023-05-12
RX0000002512,MBR00000065,2021-05-16,2021-05-19,1568122021,1516659626,PLN4287,946423,PCN232,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,4,Retail,0,1,0,12.0,3.09,15.09,152.0,0.0,0.62,0.48,0.34,0,0,0,0,2021-06-15
RX0000002513,MBR00000065,2021-12-28,2021-12-31,1100234662,1150383481,PLN4092,295258,PCN879,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,6,Retail,0,0,0,650.0,6.46,656.46,33.0,584.38,39.08,26.0,18.4167,0,0,0,0,2022-01-27
RX0000002514,MBR00000065,2023-10-02,2023-10-04,1597950116,1978167056,PLN5396,403435,PCN599,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,3,Mail Order,3,0,0,330.0,4.7,334.7,40.0,274.38,20.32,13.2,9.35,0,0,0,0,2023-11-01
RX0000002515,MBR00000065,2022-06-22,2022-06-24,1369575252,1526857719,PLN6532,117960,PCN828,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,10,Retail,0,0,0,10.0,4.23,14.23,0.0,13.6,0.63,0.4,0.2833,0,0,0,0,2022-07-22
RX0000002516,MBR00000065,2022-12-13,2022-12-16,1589647218,1522434948,PLN2578,713258,PCN577,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,3,Mail Order,0,0,0,12.0,3.42,15.42,2.0,12.9,0.52,0.48,0.34,0,0,0,0,2023-01-12
RX0000002517,MBR00000065,2022-11-08,2022-11-12,1490845914,1921438236,PLN7680,377007,PCN367,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,9,Retail,0,0,0,12.0,7.8,19.8,7.0,12.02,0.78,0.48,0.34,0,0,0,0,2022-12-08
RX0000002518,MBR00000065,2021-03-31,2021-04-04,1888015556,1875380093,PLN5986,409959,PCN427,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,7,Retail,0,0,0,45.0,3.18,48.18,6.0,39.92,2.26,1.8,1.275,0,1,0,0,2021-04-30
RX0000002519,MBR00000065,2023-05-16,2023-05-18,1503878898,1797929572,PLN7675,123984,PCN396,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,81,9,Mail Order,3,0,0,48.0,6.08,54.08,9.0,41.35,3.73,0.64,0.4533,0,0,0,0,2023-08-14
RX0000002520,MBR00000065,2022-12-28,2022-12-30,1649118889,1517011439,PLN9295,538890,PCN510,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,2,Retail,0,0,0,14.0,11.23,25.23,9.0,14.94,1.29,0.56,0.3967,0,0,0,0,2023-01-27
RX0000002521,MBR00000065,2022-12-08,2022-12-11,1424941786,1181867177,PLN6172,252952,PCN538,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,3,Retail,0,0,0,11.0,11.65,22.65,3.0,18.34,1.31,0.44,0.3117,0,0,0,0,2023-01-07
RX0000002522,MBR00000065,2023-05-18,2023-05-20,1772053604,1397867246,PLN8974,124247,PCN962,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,6,Retail,0,0,0,480.0,9.82,489.82,40.0,416.77,33.05,19.2,13.6,0,0,0,0,2023-06-17
RX0000002523,MBR00000065,2022-02-20,2022-02-24,1495463283,1693845891,PLN7891,966406,PCN729,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,9,Mail Order,0,1,0,8.0,7.96,15.96,148.0,0.0,0.96,0.32,0.2267,0,0,0,0,2022-03-22
RX0000002524,MBR00000065,2022-06-12,2022-06-14,1190737385,1842844680,PLN5497,311860,PCN529,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,85,6,Retail,0,0,0,36.0,6.47,42.47,2.0,38.07,2.4,0.48,0.34,1,0,0,0,2022-09-10
RX0000002525,MBR00000065,2021-05-15,2021-05-17,1970846014,1150666480,PLN7712,996869,PCN572,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,92,1,Retail,0,0,0,114.0,9.66,123.66,34.0,85.64,4.02,1.52,1.0767,0,0,0,0,2021-08-13
RX0000002526,MBR00000065,2023-04-13,2023-04-14,1891632757,1651175334,PLN5143,508613,PCN801,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,3,0,0,320.0,3.74,323.74,37.0,273.04,13.7,12.8,9.0667,0,0,0,0,2023-05-13
RX0000002527,MBR00000065,2022-02-11,2022-02-14,1952243228,1622581410,PLN8076,331498,PCN498,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,61,9,Retail,0,0,0,90.0,11.23,101.23,4.0,90.54,6.69,1.8,1.275,0,0,0,0,2022-04-12
RX0000002528,MBR00000065,2023-07-03,2023-07-06,1758291884,1842541952,PLN4150,315290,PCN297,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,10,Retail,0,0,0,15.0,6.65,21.65,9.0,11.3,1.35,0.6,0.425,0,0,0,0,2023-08-02
RX0000002529,MBR00000065,2022-01-27,2022-01-29,1133140962,1196347530,PLN6349,575056,PCN141,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,3,Specialty,0,0,0,380.0,46.0,426.0,37.0,389.0,0.0,15.2,10.7667,0,0,0,0,2022-02-26
RX0000002530,MBR00000065,2023-01-16,2023-01-17,1156109041,1465448583,PLN6468,544486,PCN982,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,2,Retail,0,0,0,9.0,10.04,19.04,1.0,16.95,1.09,0.36,0.255,0,0,0,0,2023-02-15
RX0000002531,MBR00000065,2022-12-22,2022-12-26,1299996681,1682161685,PLN6368,564769,PCN477,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,82,11,LTC,3,0,0,45.0,1.75,46.75,1.0,44.03,1.72,0.6,0.425,0,0,0,0,2023-03-22
RX0000002532,MBR00000065,2023-04-14,2023-04-17,1135474785,1965989064,PLN2119,735740,PCN993,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,98,5,Retail,0,0,0,66.0,7.3,73.3,0.0,70.06,3.24,0.88,0.6233,0,0,0,0,2023-07-13
RX0000002533,MBR00000065,2022-11-15,2022-11-19,1978973939,1530685970,PLN7170,183372,PCN809,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,2,Specialty,0,0,0,7.5,34.84,42.34,5.0,37.34,0.0,0.3,0.2125,0,0,0,0,2022-12-15
RX0000002534,MBR00000065,2021-11-04,2021-11-07,1196165111,1114424961,PLN5216,105254,PCN433,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,3,Retail,0,0,0,480.0,11.48,491.48,30.0,428.03,33.45,19.2,13.6,1,0,0,0,2021-12-04
RX0000002535,MBR00000065,2022-10-10,2022-10-11,1638023468,1454843796,PLN6798,864162,PCN687,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,7,Retail,0,0,0,185.0,8.01,193.01,30.0,151.18,11.83,7.4,5.2417,0,0,0,0,2022-11-09
RX0000002536,MBR00000065,2022-09-18,2022-09-19,1233000060,1692331775,PLN6779,422836,PCN620,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,5,Specialty,0,1,0,8.0,34.33,42.33,151.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-10-18
RX0000002537,MBR00000065,2023-07-28,2023-07-30,1295782873,1108616068,PLN3254,391460,PCN620,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,5,Retail,0,0,0,14.0,4.26,18.26,0.0,17.36,0.9,0.56,0.3967,0,0,0,0,2023-08-27
RX0000002538,MBR00000065,2022-02-10,2022-02-14,1272493822,1989914772,PLN2790,328254,PCN334,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,93,9,Mail Order,0,0,0,135.0,4.8,139.8,0.0,135.34,4.46,1.8,1.275,0,0,0,0,2022-05-11
RX0000002539,MBR00000065,2021-12-04,2021-12-05,1379591563,1692402826,PLN3537,707141,PCN681,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,89,0,Retail,0,0,0,54.0,1.88,55.88,1.0,51.74,3.14,0.72,0.51,0,0,0,0,2022-03-04
RX0000002540,MBR00000065,2022-10-12,2022-10-13,1840857323,1718530450,PLN5083,418774,PCN377,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,81,8,Retail,0,0,0,27.0,5.38,32.38,7.0,24.2,1.18,0.36,0.255,0,0,0,0,2023-01-10
RX0000002541,MBR00000065,2022-02-18,2022-02-22,1221599118,1980175972,PLN8751,851294,PCN314,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,59,9,Retail,2,0,0,640.0,2.4,642.4,35.0,566.21,41.19,12.8,9.0667,0,0,0,0,2022-04-19
RX0000002542,MBR00000065,2021-11-28,2021-12-02,1433120865,1613125915,PLN1569,785462,PCN932,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,97,6,Retail,0,0,0,45.0,1.76,46.76,4.0,40.08,2.68,0.6,0.425,0,0,0,0,2022-02-26
RX0000002543,MBR00000065,2023-12-05,2023-12-06,1345355240,1197748667,PLN7659,945477,PCN763,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,10,Retail,0,0,0,650.0,4.95,654.95,37.0,596.62,21.33,26.0,18.4167,0,0,0,0,2024-01-04
RX0000002544,MBR00000065,2022-02-25,2022-02-27,1737134512,1894826479,PLN1734,870711,PCN715,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,83,1,Retail,3,0,0,54.0,4.51,58.51,8.0,48.28,2.23,0.72,0.51,0,0,0,0,2022-05-26
RX0000002545,MBR00000065,2022-06-20,2022-06-21,1615666357,1179548168,PLN9578,390537,PCN792,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,56,2,Retail,0,1,0,17000.0,7.47,17007.47,149.0,15929.28,929.19,340.0,240.8333,0,0,0,0,2022-08-19
RX0000002546,MBR00000065,2021-12-23,2021-12-24,1340425825,1721389212,PLN3539,281523,PCN976,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,11,Retail,0,0,0,380.0,10.95,390.95,40.0,332.95,18.0,15.2,10.7667,0,1,1,0,2022-01-22
RX0000002547,MBR00000065,2023-10-09,2023-10-10,1727638204,1212027593,PLN4136,652798,PCN752,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,89,11,Mail Order,0,0,0,135.0,10.76,145.76,2.0,135.33,8.43,1.8,1.275,0,0,0,0,2024-01-07
RX0000002548,MBR00000065,2022-11-04,2022-11-05,1705316695,1847697865,PLN4869,332060,PCN281,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,5,Retail,0,1,0,12.0,1.59,13.59,151.0,0.0,0.48,0.48,0.34,0,0,0,0,2022-12-04
RX0000002549,MBR00000065,2022-07-25,2022-07-27,1230962746,1777231844,PLN2416,225107,PCN307,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,2,Retail,0,0,0,5.13,10.28,15.41,5.0,9.77,0.64,0.88,0.6233,0,0,0,0,2022-08-01
RX0000002550,MBR00000065,2023-11-06,2023-11-10,1420778826,1302630487,PLN1780,269598,PCN793,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,86,7,Retail,0,0,0,48.0,5.62,53.62,3.0,48.29,2.33,0.64,0.4533,0,0,0,0,2024-02-04
RX0000002551,MBR00000066,2023-07-15,2023-07-19,1867091423,1330207528,PLN5049,670286,PCN583,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,86,9,Retail,0,0,0,195.0,9.37,204.37,39.0,158.53,6.84,2.6,1.8417,0,0,0,0,2023-10-13
RX0000002552,MBR00000066,2022-07-07,2022-07-11,1611185109,1911123044,PLN5357,615918,PCN321,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,84,5,Retail,0,0,0,36.0,6.61,42.61,2.0,38.4,2.21,0.48,0.34,0,0,0,0,2022-10-05
RX0000002553,MBR00000066,2023-12-02,2023-12-04,1953571196,1990426315,PLN3977,412256,PCN258,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,0,Specialty,0,0,0,7.5,44.89,52.39,7.0,45.39,0.0,0.3,0.2125,0,0,0,0,2024-01-01
RX0000002554,MBR00000066,2022-01-26,2022-01-30,1585549260,1830537859,PLN8818,434116,PCN392,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,4,Retail,0,0,0,8.5,9.84,18.34,8.0,9.18,1.16,0.34,0.2408,0,0,0,0,2022-02-25
RX0000002555,MBR00000066,2021-05-07,2021-05-09,1570610619,1458789652,PLN6188,197035,PCN313,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,2,Retail,0,0,0,320.0,7.66,327.66,40.0,272.52,15.14,12.8,9.0667,0,0,0,0,2021-06-06
RX0000002556,MBR00000066,2022-05-30,2022-06-01,1338007389,1818172811,PLN1762,756169,PCN286,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,58,3,Mail Order,0,0,0,740.0,11.67,751.67,34.0,681.34,36.33,14.8,10.4833,0,0,0,0,2022-07-29
RX0000002557,MBR00000066,2021-04-24,2021-04-26,1377816791,1722342730,PLN3087,554642,PCN468,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,1,Retail,2,0,0,8.5,11.33,19.83,3.0,15.67,1.16,0.34,0.2408,0,0,0,0,2021-05-24
RX0000002558,MBR00000066,2023-04-18,2023-04-19,1445360644,1966400193,PLN2485,749670,PCN229,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,8,Mail Order,0,0,0,4.2,8.01,12.21,5.0,6.79,0.42,0.72,0.51,0,0,0,0,2023-04-25
RX0000002559,MBR00000066,2021-06-16,2021-06-19,1884620770,1325332978,PLN2134,509612,PCN478,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,97,2,Retail,0,0,0,555.0,8.3,563.3,34.0,512.4,16.9,7.4,5.2417,0,0,0,0,2021-09-14
RX0000002560,MBR00000066,2021-12-29,2021-12-30,1307079584,1733738836,PLN6656,734913,PCN126,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,6,Specialty,0,1,0,1983.33,19.83,2003.16,152.0,1851.16,0.0,340.0,240.8333,0,0,0,0,2022-01-05
RX0000002561,MBR00000066,2022-06-20,2022-06-23,1120269062,1934326455,PLN6878,721058,PCN432,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,89,2,Retail,3,0,0,36.0,1.57,37.57,8.0,28.34,1.23,0.48,0.34,0,0,0,0,2022-09-18
RX0000002562,MBR00000066,2022-07-11,2022-07-14,1989666660,1481696838,PLN8597,189188,PCN603,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,9,Mail Order,0,0,0,9.0,2.96,11.96,4.0,7.45,0.51,0.36,0.255,0,0,0,0,2022-08-10
RX0000002563,MBR00000066,2022-06-12,2022-06-15,1499234419,1815387758,PLN1106,397866,PCN425,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,56,6,Retail,0,0,0,36.0,2.69,38.69,6.0,31.47,1.22,0.72,0.51,0,0,0,0,2022-08-11
RX0000002564,MBR00000066,2023-02-12,2023-02-13,1716896708,1765854535,PLN6345,215488,PCN795,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,3,Retail,0,0,0,18.0,6.32,24.32,2.0,20.89,1.43,0.72,0.51,0,0,0,0,2023-03-14
RX0000002565,MBR00000066,2023-03-01,2023-03-04,1712116737,1848753545,PLN1505,244853,PCN237,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,2,Mail Order,0,0,0,15.0,6.17,21.17,6.0,14.24,0.93,0.6,0.425,0,0,0,0,2023-03-31
RX0000002566,MBR00000066,2022-07-17,2022-07-19,1929542298,1330584369,PLN1737,995717,PCN227,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,2,Retail,1,0,0,185.0,6.2,191.2,32.0,150.68,8.52,7.4,5.2417,0,0,0,0,2022-08-16
RX0000002567,MBR00000066,2023-03-23,2023-03-25,1563480894,1165410196,PLN1528,401264,PCN822,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,4,Specialty,0,0,0,3.27,19.88,23.15,4.0,19.15,0.0,0.56,0.3967,0,0,0,0,2023-03-30
RX0000002568,MBR00000066,2022-11-22,2022-11-26,1980529077,1699617063,PLN9560,585301,PCN386,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,4,Retail,0,0,0,8.5,10.31,18.81,1.0,16.71,1.1,0.34,0.2408,0,0,0,0,2022-12-22
RX0000002569,MBR00000066,2022-08-02,2022-08-04,1357236682,1929222791,PLN5097,783873,PCN115,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,59,2,Retail,0,0,0,18.0,6.36,24.36,3.0,20.42,0.94,0.36,0.255,0,0,0,0,2022-10-01
RX0000002570,MBR00000066,2022-09-12,2022-09-15,1453402456,1257373883,PLN5659,268513,PCN881,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,5,Mail Order,0,0,0,9.0,11.43,20.43,1.0,18.4,1.03,0.36,0.255,0,0,0,0,2022-10-12
RX0000002571,MBR00000066,2022-11-12,2022-11-13,1233245473,1191952890,PLN3888,137389,PCN853,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,90,10,Retail,0,0,0,22.5,10.09,32.59,0.0,30.98,1.61,0.3,0.2125,0,0,0,0,2023-02-10
RX0000002572,MBR00000066,2021-02-19,2021-02-22,1587624903,1702940532,PLN9109,150063,PCN664,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,3,Retail,0,1,0,6200.0,6.98,6206.98,152.0,5682.26,372.72,248.0,175.6667,0,0,0,0,2021-03-21
RX0000002573,MBR00000066,2023-10-17,2023-10-19,1329369021,1676181284,PLN2048,780675,PCN453,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,7,Retail,1,0,0,3.27,4.59,7.86,3.0,4.49,0.37,0.56,0.3967,0,0,0,0,2023-10-24
RX0000002574,MBR00000066,2023-06-08,2023-06-10,1528198825,1336648351,PLN2372,269615,PCN458,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,84,9,Retail,0,0,0,27.0,8.35,35.35,9.0,24.1,2.25,0.36,0.255,0,0,0,0,2023-09-06
RX0000002575,MBR00000066,2021-11-27,2021-11-29,1361927535,1397543798,PLN3289,970063,PCN596,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,82,8,Retail,0,0,0,54.0,2.73,56.73,0.0,53.28,3.45,0.72,0.51,0,0,0,0,2022-02-25
RX0000002576,MBR00000066,2023-05-26,2023-05-28,1647439755,1363555881,PLN4419,874864,PCN249,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,8,Mail Order,0,0,0,750.0,3.72,753.72,36.0,684.06,33.66,30.0,21.25,0,1,1,0,2023-06-25
RX0000002577,MBR00000066,2021-02-03,2021-02-06,1771083850,1680923094,PLN1174,350205,PCN138,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,8,Retail,0,0,0,38.0,8.47,46.47,3.0,40.51,2.96,1.52,1.0767,0,0,0,0,2021-03-05
RX0000002578,MBR00000066,2021-04-23,2021-04-26,1541972937,1317890889,PLN7073,768832,PCN823,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,2,Retail,0,0,0,10.0,11.45,21.45,0.0,20.76,0.69,0.4,0.2833,0,0,0,0,2021-05-23
RX0000002579,MBR00000066,2023-09-17,2023-09-20,1992075709,1182528768,PLN4078,186696,PCN524,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,1,Retail,0,0,0,112.0,4.45,116.45,30.0,81.97,4.48,19.2,13.6,0,0,0,0,2023-09-24
RX0000002580,MBR00000066,2022-10-05,2022-10-07,1882262371,1231561621,PLN1715,477397,PCN479,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,0,Retail,0,1,0,6200.0,4.16,6204.16,153.0,5776.85,274.31,248.0,175.6667,0,0,0,0,2022-11-04
RX0000002581,MBR00000066,2023-07-07,2023-07-10,1954169817,1194253410,PLN6418,785514,PCN385,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,9,Mail Order,0,0,0,750.0,11.71,761.71,30.0,678.63,53.08,30.0,21.25,0,0,0,0,2023-08-06
RX0000002582,MBR00000066,2022-05-31,2022-06-01,1306836552,1854098482,PLN3977,561529,PCN964,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,59,8,Mail Order,0,0,0,28.0,1.65,29.65,7.0,20.77,1.88,0.56,0.3967,0,0,0,0,2022-07-30
RX0000002583,MBR00000066,2021-01-26,2021-01-28,1919281260,1132676178,PLN8226,625196,PCN157,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,5,Retail,0,0,0,4.2,11.84,16.04,0.0,15.37,0.67,0.72,0.51,0,0,0,0,2021-02-02
RX0000002584,MBR00000066,2022-04-13,2022-04-15,1859383715,1551970996,PLN4941,378376,PCN275,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,7,Mail Order,0,0,0,11.0,2.43,13.43,9.0,3.82,0.61,0.44,0.3117,0,0,0,0,2022-05-13
RX0000002585,MBR00000066,2023-06-11,2023-06-14,1484858687,1190001871,PLN3932,203787,PCN840,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,88,10,Mail Order,0,0,0,1110.0,5.68,1115.68,36.0,1019.04,60.64,14.8,10.4833,0,0,0,0,2023-09-09
RX0000002586,MBR00000066,2021-01-16,2021-01-18,1145171310,1949591466,PLN2834,348122,PCN912,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,84,8,Retail,0,0,0,135.0,2.3,137.3,3.0,127.41,6.89,1.8,1.275,0,0,0,0,2021-04-16
RX0000002587,MBR00000066,2021-06-09,2021-06-13,1971235348,1496954311,PLN8018,525571,PCN472,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,7,Mail Order,0,0,0,8.87,2.69,11.56,38.0,0.0,0.52,1.52,1.0767,1,0,0,0,2021-06-16
RX0000002588,MBR00000066,2022-05-22,2022-05-25,1200711225,1548407481,PLN5123,266603,PCN956,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,2,Retail,0,0,0,2.33,10.1,12.43,8.0,3.78,0.65,0.4,0.2833,0,0,0,0,2022-05-29
RX0000002589,MBR00000066,2021-03-28,2021-03-31,1784629027,1267423642,PLN7836,663901,PCN218,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,0,Retail,0,0,0,2.33,3.81,6.15,10.0,0.0,0.32,0.4,0.2833,0,0,0,0,2021-04-04
RX0000002590,MBR00000066,2023-07-09,2023-07-10,1643547454,1886045892,PLN9842,548768,PCN962,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,88,0,Retail,0,0,0,66.0,11.33,77.33,2.0,71.91,3.42,0.88,0.6233,0,0,0,0,2023-10-07
RX0000002591,MBR00000066,2022-08-26,2022-08-27,1372168773,1884945743,PLN7585,701569,PCN115,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,5,Retail,0,0,0,9.0,3.07,12.07,7.0,4.57,0.5,0.36,0.255,0,0,0,0,2022-09-25
RX0000002592,MBR00000066,2023-03-20,2023-03-24,1553471271,1604136658,PLN8980,187015,PCN703,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,6,Specialty,0,0,0,2.8,26.72,29.52,5.0,24.52,0.0,0.48,0.34,0,0,0,0,2023-03-27
RX0000002593,MBR00000067,2022-10-03,2022-10-06,1525164024,1243532550,PLN2205,120884,PCN164,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,4,Retail,0,0,0,320.0,8.37,328.37,36.0,271.33,21.04,12.8,9.0667,0,0,0,0,2022-11-02
RX0000002594,MBR00000067,2021-07-17,2021-07-19,1955677323,1563839659,PLN6393,464115,PCN802,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,7,Retail,0,0,0,7.5,4.82,12.32,0.0,11.61,0.71,0.3,0.2125,0,0,0,0,2021-08-16
RX0000002595,MBR00000067,2022-04-18,2022-04-22,1629714894,1539581608,PLN7901,253844,PCN904,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,2,Mail Order,0,0,0,45.0,1.8,46.8,4.0,39.66,3.14,1.8,1.275,0,0,0,0,2022-05-18
RX0000002596,MBR00000067,2022-06-07,2022-06-09,1364011190,1119714872,PLN1530,990052,PCN578,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,8,Retail,0,0,0,370.0,3.54,373.54,32.0,315.71,25.83,14.8,10.4833,0,0,0,0,2022-07-07
RX0000002597,MBR00000067,2021-02-26,2021-02-27,1562199922,1656408085,PLN4430,620643,PCN472,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,84,1,Mail Order,2,0,0,22.5,3.7,26.2,4.0,20.43,1.77,0.3,0.2125,0,0,0,0,2021-05-27
RX0000002598,MBR00000067,2022-03-21,2022-03-24,1595169259,1342107943,PLN1295,248894,PCN690,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,0,Retail,3,0,0,12.5,9.98,22.48,1.0,20.65,0.83,0.5,0.3542,0,0,0,0,2022-04-20
RX0000002599,MBR00000067,2021-03-21,2021-03-23,1173956776,1811051772,PLN6184,689314,PCN819,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,11,Specialty,0,0,0,65.0,9.16,74.16,32.0,42.16,0.0,2.6,1.8417,0,0,0,0,2021-04-20
RX0000002600,MBR00000067,2022-05-10,2022-05-13,1572962710,1638176287,PLN6393,781865,PCN887,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,88,8,Mail Order,0,1,0,25500.0,8.83,25508.83,151.0,24075.72,1282.11,340.0,240.8333,0,0,0,0,2022-08-08
RX0000002601,MBR00000067,2023-04-14,2023-04-17,1286130000,1195657797,PLN5737,436623,PCN943,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,92,11,Retail,0,0,0,30.0,11.52,41.52,5.0,34.84,1.68,0.4,0.2833,0,0,0,0,2023-07-13
RX0000002602,MBR00000067,2023-06-10,2023-06-12,1475843003,1591707304,PLN1062,258858,PCN870,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,61,2,Mail Order,0,1,0,12400.0,7.77,12407.77,146.0,11832.39,429.38,248.0,175.6667,0,0,0,0,2023-08-09
RX0000002603,MBR00000067,2023-09-21,2023-09-24,1346084962,1766672456,PLN2368,817840,PCN797,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,0,Retail,0,1,0,2800.0,4.51,2804.51,147.0,2514.96,142.55,112.0,79.3333,0,0,0,0,2023-10-21
RX0000002604,MBR00000067,2022-02-05,2022-02-06,1528009447,1675108348,PLN7251,404620,PCN242,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,86,2,Retail,0,0,0,2250.0,4.78,2254.78,32.0,2116.41,106.37,30.0,21.25,1,0,0,0,2022-05-06
RX0000002605,MBR00000067,2021-09-10,2021-09-11,1971235551,1621089269,PLN6564,449762,PCN781,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,83,11,Retail,0,0,0,25.5,4.13,29.63,2.0,26.3,1.33,0.34,0.2408,0,0,0,0,2021-12-09
RX0000002606,MBR00000067,2022-02-14,2022-02-16,1823070975,1571957805,PLN8652,681915,PCN417,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,7,Mail Order,0,0,0,12.0,11.13,23.13,5.0,17.22,0.91,0.48,0.34,0,0,0,0,2022-03-16
RX0000002607,MBR00000067,2022-06-03,2022-06-04,1722936467,1357103291,PLN8637,976855,PCN771,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,7,Retail,0,0,0,1.75,10.03,11.78,7.0,4.19,0.59,0.3,0.2125,0,0,0,0,2022-06-10
RX0000002608,MBR00000067,2021-09-19,2021-09-21,1452987588,1543120682,PLN5338,866065,PCN804,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,87,0,Retail,0,0,0,525.0,3.69,528.69,30.0,469.97,28.72,7.0,4.9583,0,0,0,0,2021-12-18
RX0000002609,MBR00000067,2023-10-30,2023-11-02,1100855332,1729897605,PLN3266,851370,PCN584,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,9,Retail,3,0,0,9.0,10.56,19.56,1.0,17.5,1.06,0.36,0.255,0,0,0,0,2023-11-29
RX0000002610,MBR00000067,2022-07-15,2022-07-19,1606354188,1667559329,PLN9184,215896,PCN681,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,85,2,Mail Order,0,0,0,37.5,6.88,44.38,2.0,39.79,2.59,0.5,0.3542,0,0,0,0,2022-10-13
RX0000002611,MBR00000067,2022-04-29,2022-04-30,1102503308,1939996662,PLN7827,416898,PCN375,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,54,5,Retail,1,0,0,90.0,10.35,100.35,1.0,96.08,3.27,1.8,1.275,1,0,0,0,2022-06-28
RX0000002612,MBR00000067,2021-02-04,2021-02-08,1907615214,1348084872,PLN4827,713391,PCN933,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,87,1,Mail Order,0,1,0,25500.0,9.03,25509.03,148.0,23907.72,1453.31,340.0,240.8333,0,0,0,0,2021-05-05
RX0000002613,MBR00000067,2021-08-27,2021-08-30,1537437654,1330848893,PLN4831,340185,PCN576,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,4,Retail,0,0,0,10.0,2.95,12.95,0.0,12.51,0.44,0.4,0.2833,0,0,0,0,2021-09-26
RX0000002614,MBR00000067,2023-05-07,2023-05-08,1415442817,1223009415,PLN7165,779135,PCN488,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,7,Specialty,0,1,0,8.0,44.46,52.46,152.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-06-06
RX0000002615,MBR00000067,2022-05-28,2022-05-31,1352538333,1354369632,PLN1555,346528,PCN390,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,8,Retail,0,0,0,22.0,7.85,29.85,75.0,0.0,1.43,0.88,0.6233,0,0,0,0,2022-06-27
RX0000002616,MBR00000067,2022-09-23,2022-09-26,1860525542,1319476915,PLN8102,306574,PCN694,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,84,1,Mail Order,0,1,0,8400.0,9.18,8409.18,155.0,7918.34,335.84,112.0,79.3333,1,0,0,0,2022-12-22
RX0000002617,MBR00000067,2022-11-26,2022-11-29,1970064918,1498450066,PLN3351,685484,PCN134,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,9,Mail Order,0,0,0,14.0,3.7,17.7,7.0,9.72,0.98,0.56,0.3967,0,0,0,0,2022-12-26
RX0000002618,MBR00000067,2021-01-19,2021-01-20,1279609952,1959210874,PLN4286,155696,PCN939,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,8,Retail,0,0,0,310.0,9.58,319.58,32.0,277.35,10.23,12.4,8.7833,0,0,0,0,2021-02-18
RX0000002619,MBR00000067,2023-08-09,2023-08-10,1471312393,1632822966,PLN2034,912857,PCN797,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,6,Retail,3,0,0,2.8,9.0,11.8,2.0,9.39,0.41,0.48,0.34,0,0,0,0,2023-08-16
RX0000002620,MBR00000067,2022-07-24,2022-07-25,1498402115,1488196545,PLN5041,783606,PCN712,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,4,Retail,0,0,0,12.5,10.48,22.98,3.0,18.42,1.56,0.5,0.3542,1,0,0,0,2022-08-23
RX0000002621,MBR00000067,2021-03-29,2021-03-31,1826796812,1598474353,PLN6121,451944,PCN648,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,7,Retail,0,0,1,12.0,7.73,19.73,4.0,14.63,1.1,0.48,0.34,0,0,0,0,2021-04-28
RX0000002622,MBR00000067,2023-03-23,2023-03-25,1839810184,1693497425,PLN5140,586410,PCN117,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,94,7,Retail,1,0,0,1140.0,4.23,1144.23,31.0,1068.73,44.5,15.2,10.7667,0,0,0,0,2023-06-21
RX0000002623,MBR00000067,2021-01-02,2021-01-05,1521909132,1853555662,PLN8649,372521,PCN123,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,85,4,Retail,0,0,0,45.0,2.92,47.92,4.0,41.38,2.54,0.6,0.425,0,1,0,0,2021-04-02
RX0000002624,MBR00000067,2022-02-06,2022-02-07,1229777522,1287125850,PLN9632,211772,PCN553,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,2,Retail,0,0,0,310.0,10.15,320.15,32.0,267.33,20.82,12.4,8.7833,0,0,0,0,2022-03-08
RX0000002625,MBR00000067,2021-07-30,2021-08-02,1708322169,1847538461,PLN6933,623644,PCN969,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,57,6,Retail,0,0,0,640.0,2.76,642.76,36.0,563.47,43.29,12.8,9.0667,0,0,0,0,2021-09-28
RX0000002626,MBR00000067,2023-05-03,2023-05-05,1291488542,1495639885,PLN4806,448984,PCN430,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,3,Retail,0,0,0,320.0,7.97,327.97,38.0,275.5,14.47,12.8,9.0667,0,0,0,0,2023-06-02
RX0000002627,MBR00000067,2023-07-11,2023-07-12,1714456757,1873191866,PLN5052,359763,PCN912,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,4,Retail,0,0,0,10.0,2.35,12.35,5.0,6.88,0.47,0.4,0.2833,0,0,0,0,2023-08-10
RX0000002628,MBR00000067,2022-11-26,2022-11-27,1248377679,1642396015,PLN8193,817035,PCN589,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,1,Retail,0,0,0,175.0,8.01,183.01,40.0,133.78,9.23,7.0,4.9583,0,0,0,0,2022-12-26
RX0000002629,MBR00000067,2023-07-24,2023-07-27,1639533737,1446193789,PLN3361,560337,PCN922,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,1,Retail,0,0,0,370.0,6.68,376.68,40.0,322.06,14.62,14.8,10.4833,0,0,0,0,2023-08-23
RX0000002630,MBR00000067,2023-12-14,2023-12-16,1984139863,1543725161,PLN8338,990460,PCN466,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,10,Retail,0,0,0,12.0,11.0,23.0,9.0,12.75,1.25,0.48,0.34,0,0,0,0,2024-01-13
RX0000002631,MBR00000067,2021-06-16,2021-06-20,1264535688,1152447507,PLN8183,411552,PCN510,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,11,Retail,0,0,0,15.0,2.31,17.31,8.0,8.5,0.81,0.6,0.425,0,0,0,0,2021-07-16
RX0000002632,MBR00000067,2023-03-09,2023-03-10,1721189545,1557216114,PLN6410,402201,PCN901,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,6,Retail,0,1,0,1446.67,3.12,1449.78,154.0,1194.72,101.06,248.0,175.6667,0,0,0,0,2023-03-16
RX0000002633,MBR00000068,2021-11-06,2021-11-10,1246165796,1964415417,PLN5285,720070,PCN229,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,8,Mail Order,0,0,0,11.0,3.45,14.45,7.0,6.7,0.75,0.44,0.3117,0,0,0,0,2021-12-06
RX0000002634,MBR00000068,2023-09-04,2023-09-07,1367177862,1979118545,PLN6180,620984,PCN221,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,8,Mail Order,0,0,0,285.0,10.51,295.51,39.0,235.86,20.65,11.4,8.075,1,0,0,0,2023-10-04
RX0000002635,MBR00000068,2023-03-06,2023-03-09,1370816933,1415565759,PLN8722,989728,PCN918,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,7,Retail,0,0,0,22.0,11.9,33.9,9.0,22.8,2.1,0.88,0.6233,0,0,0,0,2023-04-05
RX0000002636,MBR00000068,2022-05-04,2022-05-05,1550205909,1166042835,PLN3526,544968,PCN226,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,7,Retail,0,1,0,653.33,3.21,656.54,145.0,471.59,39.95,112.0,79.3333,0,0,0,0,2022-05-11
RX0000002637,MBR00000068,2023-12-18,2023-12-21,1215733451,1653407792,PLN7496,472121,PCN593,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,3,Retail,0,0,0,42.0,11.1,53.1,1.0,49.11,2.99,0.56,0.3967,0,0,0,0,2024-03-17
RX0000002638,MBR00000068,2022-08-15,2022-08-17,1537732222,1583956914,PLN5361,567295,PCN104,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,4,Retail,0,0,0,750.0,11.02,761.02,36.0,686.67,38.35,30.0,21.25,0,0,0,0,2022-09-14
RX0000002639,MBR00000068,2021-05-15,2021-05-17,1365675254,1342050052,PLN2605,246911,PCN314,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,83,2,Specialty,0,0,0,30.0,44.74,74.74,5.0,69.74,0.0,0.4,0.2833,0,0,0,0,2021-08-13
RX0000002640,MBR00000068,2023-02-18,2023-02-19,1142230907,1367161190,PLN3466,234206,PCN900,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,2,Retail,0,0,0,175.0,8.88,183.88,30.0,144.39,9.49,7.0,4.9583,0,0,0,0,2023-03-20
RX0000002641,MBR00000068,2023-08-04,2023-08-05,1464974576,1857779465,PLN7085,630345,PCN536,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,6,Retail,0,0,0,10.5,4.06,14.56,2.0,12.08,0.48,1.8,1.275,0,0,0,0,2023-08-11
RX0000002642,MBR00000068,2022-10-27,2022-10-30,1567485907,1969449449,PLN3911,802972,PCN913,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,7,Retail,3,0,0,18.0,2.34,20.34,4.0,15.06,1.28,0.72,0.51,0,0,0,0,2022-11-26
RX0000002643,MBR00000068,2022-04-09,2022-04-13,1833502044,1636947183,PLN7404,863848,PCN754,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,1,Specialty,0,0,0,45.0,16.49,61.49,2.0,59.49,0.0,1.8,1.275,0,0,0,0,2022-05-09
RX0000002644,MBR00000068,2023-09-02,2023-09-03,1821906355,1905423870,PLN5684,389993,PCN966,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,2,Retail,0,0,0,950.0,5.86,955.86,39.0,871.15,45.71,38.0,26.9167,0,0,0,0,2023-10-02
RX0000002645,MBR00000068,2021-08-07,2021-08-09,1820675478,1665905160,PLN7819,749924,PCN990,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,8,Retail,2,0,0,380.0,2.69,382.69,36.0,322.84,23.85,15.2,10.7667,0,0,0,0,2021-09-06
RX0000002646,MBR00000068,2022-04-20,2022-04-21,1284952792,1426742357,PLN4919,516075,PCN535,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,85,11,LTC,0,0,0,1140.0,6.3,1146.3,35.0,1042.96,68.34,15.2,10.7667,0,0,0,0,2022-07-19
RX0000002647,MBR00000068,2021-09-22,2021-09-23,1841351953,1955272426,PLN3858,799183,PCN515,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,8,Retail,0,0,1,16.0,10.91,26.91,2.0,23.05,1.86,0.64,0.4533,0,0,0,0,2021-10-22
RX0000002648,MBR00000068,2022-02-24,2022-02-25,1276746210,1662144456,PLN8270,650321,PCN695,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,55,11,Retail,0,0,0,24.0,3.43,27.43,1.0,25.54,0.89,0.48,0.34,0,0,0,0,2022-04-25
RX0000002649,MBR00000068,2021-11-08,2021-11-09,1797874335,1365257571,PLN4738,852446,PCN933,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,0,Specialty,0,0,0,28.0,14.03,42.03,1.0,41.03,0.0,1.12,0.7933,0,0,0,0,2021-12-08
RX0000002650,MBR00000068,2022-06-25,2022-06-26,1684739261,1595039505,PLN2810,240217,PCN343,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,0,Retail,0,0,0,12.0,5.41,17.41,8.0,8.36,1.05,0.48,0.34,0,0,0,0,2022-07-25
RX0000002651,MBR00000068,2023-05-03,2023-05-05,1612028983,1235402627,PLN2539,650592,PCN375,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,0,Specialty,3,0,0,18.0,26.4,44.4,8.0,36.4,0.0,0.72,0.51,0,0,0,0,2023-06-02
RX0000002652,MBR00000068,2022-03-26,2022-03-27,1968432602,1600790157,PLN4158,379581,PCN419,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,60,3,Retail,0,0,0,130.0,2.33,132.33,39.0,85.64,7.69,2.6,1.8417,0,0,0,0,2022-05-25
RX0000002653,MBR00000068,2023-08-16,2023-08-17,1587155300,1265844416,PLN9124,168122,PCN312,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,57,1,Retail,0,0,0,620.0,10.7,630.7,31.0,566.98,32.72,12.4,8.7833,0,0,0,0,2023-10-15
RX0000002654,MBR00000068,2022-05-01,2022-05-05,1615266380,1899970809,PLN5788,299960,PCN470,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,8,Retail,0,0,0,320.0,9.52,329.52,30.0,282.33,17.19,12.8,9.0667,0,0,0,0,2022-05-31
RX0000002655,MBR00000068,2022-07-17,2022-07-19,1501974774,1459963305,PLN3744,329852,PCN926,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,4,Mail Order,0,0,0,650.0,4.34,654.34,36.0,588.55,29.79,26.0,18.4167,0,0,0,0,2022-08-16
RX0000002656,MBR00000068,2023-04-21,2023-04-23,1374167964,1984361978,PLN5474,275324,PCN666,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,0,Retail,2,0,0,15.0,2.9,17.9,8.0,9.09,0.81,0.6,0.425,0,0,0,0,2023-05-21
RX0000002657,MBR00000068,2021-06-07,2021-06-11,1190062916,1210010573,PLN9404,762177,PCN451,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,62,9,Retail,0,0,0,370.0,3.4,373.4,37.0,314.43,21.97,7.4,5.2417,0,0,0,0,2021-08-06
RX0000002658,MBR00000068,2022-11-21,2022-11-23,1375014331,1153109009,PLN7166,748755,PCN391,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,4,Retail,0,0,0,9.0,2.53,11.53,5.0,5.92,0.61,0.36,0.255,0,0,0,0,2022-12-21
RX0000002659,MBR00000068,2023-10-28,2023-11-01,1914157225,1845236691,PLN9384,192851,PCN333,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,1,Specialty,0,0,0,480.0,47.7,527.7,35.0,492.7,0.0,19.2,13.6,0,0,0,0,2023-11-27
RX0000002660,MBR00000068,2023-08-02,2023-08-05,1217661234,1753240650,PLN6785,293502,PCN169,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,98,6,Retail,0,0,0,45.0,9.71,54.71,10.0,42.18,2.53,0.6,0.425,0,0,0,0,2023-10-31
RX0000002661,MBR00000068,2022-01-21,2022-01-24,1992876196,1342292148,PLN6253,658491,PCN778,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,94,0,Mail Order,0,0,0,45.0,10.27,55.27,0.0,53.04,2.23,0.6,0.425,0,0,0,0,2022-04-21
RX0000002662,MBR00000068,2022-11-17,2022-11-20,1228678787,1460047761,PLN5692,852563,PCN422,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,90,10,Mail Order,0,1,1,8400.0,4.6,8404.6,151.0,7944.81,308.79,112.0,79.3333,0,1,1,0,2023-02-15
RX0000002663,MBR00000068,2021-02-21,2021-02-22,1748269088,1111446514,PLN7740,474118,PCN872,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,0,Mail Order,0,0,0,310.0,7.63,317.63,30.0,270.59,17.04,12.4,8.7833,0,0,0,0,2021-03-23
RX0000002664,MBR00000068,2022-11-25,2022-11-26,1846748196,1280622292,PLN3525,613159,PCN115,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,1,Specialty,0,0,0,950.0,20.69,970.69,31.0,939.69,0.0,38.0,26.9167,0,0,0,0,2022-12-25
RX0000002665,MBR00000068,2021-11-23,2021-11-25,1829700071,1142794494,PLN1112,910134,PCN836,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,94,1,Mail Order,3,0,0,135.0,4.82,139.82,5.0,127.28,7.54,1.8,1.275,0,0,0,0,2022-02-21
RX0000002666,MBR00000069,2021-08-20,2021-08-23,1769879098,1201491540,PLN6266,865403,PCN319,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,9,Mail Order,0,0,0,14.0,11.66,25.66,8.0,16.75,0.91,0.56,0.3967,0,0,0,0,2021-09-19
RX0000002667,MBR00000069,2022-05-18,2022-05-19,1234006924,1646333330,PLN2813,695610,PCN577,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,98,2,Retail,0,0,0,27.0,3.28,30.28,2.0,26.27,2.01,0.36,0.255,0,0,0,0,2022-08-16
RX0000002668,MBR00000069,2023-03-03,2023-03-06,1464071183,1848628094,PLN8309,242827,PCN352,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,84,0,Retail,0,0,0,45.0,11.99,56.99,0.0,54.23,2.76,0.6,0.425,0,0,0,0,2023-06-01
RX0000002669,MBR00000069,2023-07-10,2023-07-13,1720380624,1741991394,PLN8307,555327,PCN752,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,82,7,Retail,0,0,0,22.5,10.24,32.74,4.0,26.68,2.06,0.3,0.2125,0,0,0,0,2023-10-08
RX0000002670,MBR00000069,2021-01-26,2021-01-30,1443406184,1255104985,PLN6076,653527,PCN701,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,82,2,Retail,0,1,0,24.0,3.36,27.36,145.0,0.0,1.03,0.32,0.2267,0,0,0,0,2021-04-26
RX0000002671,MBR00000069,2022-06-03,2022-06-04,1845252350,1645554753,PLN8277,292570,PCN851,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,93,2,Mail Order,3,0,0,36.0,3.3,39.3,9.0,28.27,2.03,0.48,0.34,0,0,0,0,2022-09-01
RX0000002672,MBR00000069,2022-03-01,2022-03-04,1992360936,1794682737,PLN8544,541747,PCN320,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,10,Retail,0,0,0,38.0,3.83,41.83,6.0,32.99,2.84,1.52,1.0767,1,0,0,0,2022-03-31
RX0000002673,MBR00000069,2022-06-01,2022-06-02,1713459746,1167720735,PLN6756,187745,PCN120,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,86,1,Retail,0,0,0,45.0,11.19,56.19,9.0,44.19,3.0,0.6,0.425,0,0,0,0,2022-08-30
RX0000002674,MBR00000069,2021-07-09,2021-07-12,1493117332,1520354844,PLN8060,486076,PCN299,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,0,Retail,0,0,0,38.0,8.21,46.21,34.0,10.24,1.97,1.52,1.0767,0,0,0,0,2021-08-08
RX0000002675,MBR00000069,2021-09-03,2021-09-07,1220799267,1465611288,PLN7681,475343,PCN374,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,81,4,Retail,0,0,0,54.0,7.17,61.17,10.0,48.7,2.47,0.72,0.51,0,0,0,0,2021-12-02
RX0000002676,MBR00000069,2021-06-06,2021-06-07,1594495327,1836073471,PLN4187,985350,PCN968,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,8,Retail,0,0,0,14.0,8.89,22.89,4.0,18.12,0.77,0.56,0.3967,0,0,0,0,2021-07-06
RX0000002677,MBR00000069,2023-12-14,2023-12-17,1988671731,1682624252,PLN1155,333719,PCN922,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,89,5,Retail,1,0,0,36.0,3.49,39.49,3.0,34.79,1.7,0.48,0.34,1,0,0,0,2024-03-13
RX0000002678,MBR00000070,2021-05-22,2021-05-24,1612668537,1482895097,PLN4186,268894,PCN581,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,4,Retail,0,0,0,18.0,10.75,28.75,35.0,0.0,1.92,0.72,0.51,0,0,0,0,2021-06-21
RX0000002679,MBR00000070,2022-01-14,2022-01-17,1770546390,1458750237,PLN4980,272410,PCN511,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,2,Retail,0,0,0,11.0,3.78,14.78,2.0,11.95,0.83,0.44,0.3117,0,0,0,0,2022-02-13
RX0000002680,MBR00000070,2021-04-07,2021-04-09,1333677968,1185484640,PLN7841,170822,PCN672,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,97,4,Retail,0,0,0,30.0,5.28,35.28,5.0,28.89,1.39,0.4,0.2833,0,0,0,0,2021-07-06
RX0000002681,MBR00000070,2023-02-28,2023-03-02,1460617982,1315863328,PLN4594,142988,PCN243,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,1,Retail,0,0,0,22.0,4.22,26.22,3.0,22.36,0.86,0.88,0.6233,0,0,0,0,2023-03-30
RX0000002682,MBR00000070,2022-12-08,2022-12-11,1433202160,1559256762,PLN9637,373383,PCN869,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,90,5,Retail,0,0,0,36.0,2.97,38.97,8.0,29.68,1.29,0.48,0.34,0,0,0,0,2023-03-08
RX0000002683,MBR00000070,2021-02-06,2021-02-09,1274649882,1915319190,PLN9084,290440,PCN740,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,0,Specialty,0,0,0,18.0,30.24,48.24,9.0,39.24,0.0,0.72,0.51,0,0,0,0,2021-03-08
RX0000002684,MBR00000070,2021-07-11,2021-07-12,1253243694,1146165918,PLN5102,313341,PCN718,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,7,Retail,1,0,0,480.0,9.97,489.97,35.0,426.79,28.18,19.2,13.6,0,0,0,0,2021-08-10
RX0000002685,MBR00000070,2022-01-13,2022-01-16,1126310972,1443383531,PLN5782,243980,PCN893,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,2,Retail,0,0,0,10.0,2.61,12.61,9.0,3.13,0.48,0.4,0.2833,0,0,0,0,2022-02-12
RX0000002686,MBR00000070,2023-12-25,2023-12-26,1663814533,1566237770,PLN8845,320860,PCN898,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,54,10,Retail,0,0,0,25.0,10.0,35.0,3.0,30.35,1.65,0.5,0.3542,0,0,0,0,2024-02-23
RX0000002687,MBR00000070,2022-10-23,2022-10-26,1862580105,1856257400,PLN5578,359029,PCN213,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,87,1,Retail,0,0,0,33.0,6.21,39.21,3.0,34.81,1.4,0.44,0.3117,0,0,0,0,2023-01-21
RX0000002688,MBR00000070,2022-02-17,2022-02-18,1516727210,1652169682,PLN8838,706746,PCN422,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,5,Retail,0,0,0,12.5,3.23,15.73,2.0,13.22,0.51,0.5,0.3542,0,0,0,0,2022-03-19
RX0000002689,MBR00000070,2022-08-01,2022-08-05,1902236056,1967354563,PLN5849,827977,PCN625,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,8,Retail,3,0,0,285.0,9.28,294.28,30.0,250.24,14.04,11.4,8.075,0,0,0,0,2022-08-31
RX0000002690,MBR00000070,2023-01-02,2023-01-03,1428946382,1986385277,PLN5751,806220,PCN608,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,3,Retail,0,0,0,22.0,11.06,33.06,4.0,27.53,1.53,0.88,0.6233,0,0,0,0,2023-02-01
RX0000002691,MBR00000070,2023-01-27,2023-01-29,1742885034,1691659164,PLN6869,314875,PCN685,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,1,Mail Order,0,0,0,18.0,9.17,27.17,7.0,19.3,0.87,0.72,0.51,0,0,0,0,2023-02-26
RX0000002692,MBR00000070,2023-11-21,2023-11-25,1227976213,1272468200,PLN4037,546620,PCN575,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,63,5,Mail Order,0,0,0,20.0,8.04,28.04,4.0,22.38,1.66,0.4,0.2833,0,0,0,0,2024-01-20
RX0000002693,MBR00000070,2022-08-08,2022-08-10,1351039008,1424874394,PLN4684,765463,PCN387,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,8,Retail,0,0,0,18.0,5.77,23.77,4.0,18.3,1.47,0.72,0.51,0,0,0,0,2022-09-07
RX0000002694,MBR00000070,2021-04-02,2021-04-03,1449360169,1144194310,PLN6578,468323,PCN639,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,9,Specialty,2,0,0,45.0,31.94,76.94,10.0,66.94,0.0,1.8,1.275,0,0,0,0,2021-05-02
RX0000002695,MBR00000070,2021-07-06,2021-07-07,1675966804,1556747787,PLN2468,670231,PCN627,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,3,Retail,0,0,0,480.0,7.69,487.69,33.0,432.77,21.92,19.2,13.6,0,0,0,0,2021-08-05
RX0000002696,MBR00000070,2023-04-04,2023-04-06,1413350453,1404946408,PLN3376,552295,PCN590,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,1,Retail,0,0,0,16.0,3.74,19.74,5.0,13.49,1.25,0.64,0.4533,0,0,0,0,2023-05-04
RX0000002697,MBR00000070,2021-01-29,2021-01-30,1290920358,1253535973,PLN7866,998361,PCN246,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,2,Retail,0,0,0,38.0,9.02,47.02,2.0,43.07,1.95,1.52,1.0767,0,1,0,0,2021-02-28
RX0000002698,MBR00000070,2023-09-21,2023-09-24,1771858550,1775372616,PLN1234,679055,PCN903,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,98,9,Retail,0,0,0,135.0,11.56,146.56,1.0,136.62,8.94,1.8,1.275,0,0,0,0,2023-12-20
RX0000002699,MBR00000070,2023-07-29,2023-08-01,1243619196,1667666364,PLN4897,202738,PCN888,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,64,5,Retail,0,0,0,370.0,11.79,381.79,40.0,329.27,12.52,7.4,5.2417,0,0,0,0,2023-09-27
RX0000002700,MBR00000070,2021-12-06,2021-12-07,1690494959,1337946236,PLN4885,531031,PCN295,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,55,1,Mail Order,0,1,0,17000.0,7.26,17007.26,152.0,16244.18,611.08,340.0,240.8333,0,0,0,0,2022-02-04
RX0000002701,MBR00000070,2023-01-03,2023-01-06,1647133472,1493747008,PLN1612,797771,PCN971,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,6,Retail,1,0,0,8.5,1.53,10.03,1.0,8.36,0.67,0.34,0.2408,0,0,0,0,2023-02-02
RX0000002702,MBR00000070,2021-01-01,2021-01-05,1334891433,1163549485,PLN7456,859816,PCN328,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,0,Retail,0,0,0,285.0,3.07,288.07,37.0,232.38,18.69,11.4,8.075,0,0,0,0,2021-01-31
RX0000002703,MBR00000070,2021-11-19,2021-11-23,1894478328,1393009278,PLN4559,164653,PCN306,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,56,3,Specialty,0,0,0,44.0,41.34,85.34,71.0,14.34,0.0,0.88,0.6233,1,0,0,0,2022-01-18
RX0000002704,MBR00000070,2023-05-30,2023-06-02,1835621708,1745354130,PLN4693,110477,PCN702,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,81,2,Retail,0,0,0,990.0,4.81,994.81,40.0,891.68,63.13,13.2,9.35,0,0,0,0,2023-08-28
RX0000002705,MBR00000070,2022-12-02,2022-12-06,1186105872,1436542389,PLN2318,244378,PCN880,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,0,Retail,0,0,0,18.0,4.32,22.32,5.0,16.17,1.15,0.72,0.51,0,0,0,0,2023-01-01
RX0000002706,MBR00000070,2022-01-09,2022-01-10,1671924573,1427160983,PLN8264,751978,PCN187,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,58,3,Retail,0,0,0,350.0,6.62,356.62,30.0,310.77,15.85,7.0,4.9583,0,0,0,0,2022-03-10
RX0000002707,MBR00000070,2022-12-03,2022-12-05,1848745039,1192209941,PLN5745,594402,PCN668,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,84,0,Retail,2,0,0,27.0,6.49,33.49,4.0,28.13,1.36,0.36,0.255,0,0,0,0,2023-03-03
RX0000002708,MBR00000070,2021-09-29,2021-09-30,1885477302,1641704030,PLN7982,805880,PCN454,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,5,Retail,0,0,0,18.0,9.29,27.29,39.0,0.0,1.87,0.72,0.51,0,0,0,0,2021-10-29
RX0000002709,MBR00000070,2021-09-12,2021-09-13,1620929581,1684908153,PLN7914,805130,PCN951,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,3,Retail,0,0,0,175.0,4.53,179.53,30.0,138.33,11.2,7.0,4.9583,0,0,0,0,2021-10-12
RX0000002710,MBR00000070,2022-08-21,2022-08-24,1831799673,1281462488,PLN7936,644710,PCN173,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,1,Retail,0,0,0,38.0,11.69,49.69,38.0,9.37,2.32,1.52,1.0767,0,0,0,0,2022-09-20
RX0000002711,MBR00000070,2023-03-13,2023-03-17,1236902937,1266434794,PLN8623,169557,PCN721,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,54,3,Retail,0,0,0,24.0,11.94,35.94,6.0,28.52,1.42,0.48,0.34,0,0,0,0,2023-05-12
RX0000002712,MBR00000070,2023-04-08,2023-04-09,1989983381,1137720489,PLN6800,108320,PCN342,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,95,9,Retail,0,0,0,930.0,9.7,939.7,32.0,857.5,50.2,12.4,8.7833,0,0,0,0,2023-07-07
RX0000002713,MBR00000071,2022-02-12,2022-02-14,1678539580,1781284756,PLN2380,289102,PCN818,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,1,LTC,0,0,0,10.0,9.88,19.88,9.0,10.04,0.84,0.4,0.2833,0,0,0,0,2022-03-14
RX0000002714,MBR00000071,2021-09-25,2021-09-26,1365865255,1463942215,PLN5892,268090,PCN267,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,86,6,Retail,0,0,0,555.0,9.07,564.07,36.0,499.05,29.02,7.4,5.2417,0,0,0,0,2021-12-24
RX0000002715,MBR00000071,2023-09-14,2023-09-15,1554825755,1503832664,PLN7188,835738,PCN326,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,2,Mail Order,0,0,0,10.0,9.37,19.37,5.0,13.65,0.72,0.4,0.2833,0,0,0,0,2023-10-14
RX0000002716,MBR00000071,2022-05-13,2022-05-14,1821704964,1354943482,PLN5234,913704,PCN680,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,56,0,Retail,0,0,0,570.0,4.53,574.53,38.0,514.78,21.75,11.4,8.075,0,0,0,0,2022-07-12
RX0000002717,MBR00000071,2023-12-07,2023-12-08,1183796223,1329277816,PLN4842,495057,PCN693,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,94,10,Retail,0,0,0,37.5,7.02,44.52,5.0,37.3,2.22,0.5,0.3542,0,0,0,0,2024-03-06
RX0000002718,MBR00000071,2022-12-25,2022-12-28,1388801684,1752524785,PLN4306,955950,PCN155,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,83,10,Retail,0,0,0,114.0,3.3,117.3,35.0,74.27,8.03,1.52,1.0767,0,1,1,0,2023-03-25
RX0000002719,MBR00000071,2021-03-20,2021-03-21,1552605046,1225020396,PLN9491,216031,PCN203,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,91,5,Retail,3,0,0,960.0,10.5,970.5,36.0,871.88,62.62,12.8,9.0667,0,0,0,0,2021-06-18
RX0000002720,MBR00000071,2023-05-13,2023-05-16,1827648828,1862842593,PLN7420,817473,PCN710,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,0,Retail,0,0,0,1440.0,4.79,1444.79,32.0,1333.34,79.45,19.2,13.6,0,0,0,0,2023-08-11
RX0000002721,MBR00000071,2021-01-15,2021-01-16,1364485846,1386630136,PLN6515,175641,PCN765,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,4,Retail,0,0,0,950.0,10.57,960.57,38.0,880.86,41.71,38.0,26.9167,0,0,0,0,2021-02-14
RX0000002722,MBR00000071,2022-09-04,2022-09-08,1202781365,1480491339,PLN1271,424547,PCN458,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,6,Mail Order,0,0,0,370.0,8.22,378.22,40.0,313.23,24.99,14.8,10.4833,1,1,1,0,2022-10-04
RX0000002723,MBR00000071,2021-01-13,2021-01-17,1519104373,1549932686,PLN5061,610561,PCN636,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,87,1,Retail,1,0,0,525.0,3.45,528.45,30.0,469.07,29.38,7.0,4.9583,0,0,0,0,2021-04-13
RX0000002724,MBR00000071,2023-01-07,2023-01-09,1206353068,1417439572,PLN2292,641002,PCN609,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,10,Retail,0,0,0,38.0,9.94,47.94,3.0,43.02,1.92,1.52,1.0767,0,0,0,0,2023-02-06
RX0000002725,MBR00000071,2021-03-04,2021-03-05,1835236600,1872728414,PLN3253,366918,PCN299,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,82,1,Mail Order,0,1,0,25500.0,3.33,25503.33,148.0,24098.69,1256.64,340.0,240.8333,1,0,0,0,2021-06-02
RX0000002726,MBR00000071,2021-07-20,2021-07-23,1564473228,1345029191,PLN8025,498863,PCN227,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,7,Mail Order,0,1,0,12.0,2.3,14.3,155.0,0.0,0.87,0.48,0.34,0,0,0,0,2021-08-19
RX0000002727,MBR00000071,2022-01-04,2022-01-08,1836636697,1554256285,PLN2800,645151,PCN538,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,6,Retail,2,0,0,10.0,11.98,21.98,6.0,14.59,1.39,0.4,0.2833,0,0,0,0,2022-02-03
RX0000002728,MBR00000071,2021-11-28,2021-11-30,1672514838,1280101546,PLN1060,276645,PCN146,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,9,Retail,0,0,0,28.0,9.31,37.31,8.0,27.62,1.69,1.12,0.7933,0,0,0,0,2021-12-28
RX0000002729,MBR00000071,2022-06-11,2022-06-14,1459099473,1993785066,PLN5547,163064,PCN962,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,96,7,Retail,0,0,0,33.0,5.56,38.56,5.0,32.05,1.51,0.44,0.3117,0,0,0,0,2022-09-09
RX0000002730,MBR00000071,2023-01-28,2023-01-31,1275626217,1712393790,PLN1381,573433,PCN426,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,7,Retail,0,0,0,9.0,8.24,17.24,5.0,11.21,1.03,0.36,0.255,0,0,0,0,2023-02-27
RX0000002731,MBR00000071,2021-09-29,2021-10-01,1764799009,1912934629,PLN6398,460370,PCN973,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,82,11,Retail,0,0,0,27.0,5.18,32.18,4.0,27.18,1.0,0.36,0.255,0,0,0,0,2021-12-28
RX0000002732,MBR00000071,2023-04-13,2023-04-14,1523545553,1814095271,PLN1695,695916,PCN196,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,9,Retail,0,0,0,380.0,9.81,389.81,30.0,341.24,18.57,15.2,10.7667,0,0,0,0,2023-05-13
RX0000002733,MBR00000071,2021-05-29,2021-05-30,1874405263,1226741261,PLN5884,583004,PCN838,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,83,9,Retail,0,0,0,990.0,3.78,993.78,31.0,904.76,58.02,13.2,9.35,0,0,0,0,2021-08-27
RX0000002734,MBR00000071,2022-05-09,2022-05-13,1955661857,1484888120,PLN5630,158457,PCN267,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,61,7,Retail,0,0,0,660.0,8.35,668.35,37.0,596.8,34.55,13.2,9.35,0,0,0,0,2022-07-08
RX0000002735,MBR00000071,2022-08-30,2022-09-02,1213311503,1909195480,PLN9443,412358,PCN150,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,63,7,Retail,0,0,0,36.0,4.55,40.55,9.0,29.5,2.05,0.72,0.51,0,0,0,0,2022-10-29
RX0000002736,MBR00000071,2022-08-01,2022-08-03,1621931000,1973473274,PLN3792,719007,PCN854,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,89,11,Mail Order,3,0,0,135.0,9.69,144.69,10.0,125.96,8.73,1.8,1.275,0,0,0,0,2022-10-30
RX0000002737,MBR00000072,2023-02-02,2023-02-03,1728953148,1485570804,PLN2536,978207,PCN603,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,7,Retail,0,0,0,28.0,2.03,30.03,2.0,26.75,1.28,1.12,0.7933,0,0,0,0,2023-03-04
RX0000002738,MBR00000072,2022-06-01,2022-06-05,1909824510,1925078406,PLN8385,525603,PCN974,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,83,10,LTC,0,0,0,54.0,9.95,63.95,10.0,50.32,3.63,0.72,0.51,0,0,0,0,2022-08-30
RX0000002739,MBR00000072,2023-10-14,2023-10-16,1543234129,1462787986,PLN7190,306408,PCN663,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,9,LTC,2,1,0,6200.0,8.13,6208.13,154.0,5787.48,266.65,248.0,175.6667,0,0,0,0,2023-11-13
RX0000002740,MBR00000072,2023-12-25,2023-12-26,1175963248,1203644004,PLN1001,172812,PCN220,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,7,Retail,0,0,0,18.0,10.05,28.05,8.0,18.36,1.69,0.72,0.51,0,0,0,0,2024-01-24
RX0000002741,MBR00000072,2022-12-04,2022-12-06,1716993926,1725174683,PLN4677,931511,PCN812,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,0,Mail Order,0,0,0,285.0,10.45,295.45,30.0,256.35,9.1,11.4,8.075,0,0,0,0,2023-01-03
RX0000002742,MBR00000072,2021-02-26,2021-03-02,1368542305,1287091827,PLN3965,733381,PCN442,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,9,Retail,0,1,0,1983.33,7.94,1991.27,149.0,1739.0,103.27,340.0,240.8333,0,0,0,0,2021-03-05
RX0000002743,MBR00000072,2023-04-25,2023-04-27,1766946652,1448849335,PLN8449,705168,PCN954,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,2,Retail,0,0,0,650.0,11.01,661.01,36.0,583.78,41.23,26.0,18.4167,0,0,0,0,2023-05-25
RX0000002744,MBR00000072,2023-07-08,2023-07-12,1340939920,1294553639,PLN1110,774765,PCN564,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,11,Retail,0,0,0,5.13,9.22,14.35,5.0,8.74,0.61,0.88,0.6233,0,0,0,0,2023-07-15
RX0000002745,MBR00000072,2023-11-28,2023-12-02,1994073520,1361382739,PLN4386,765144,PCN547,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,65,3,Mail Order,0,0,0,660.0,10.43,670.43,34.0,606.06,30.37,13.2,9.35,0,0,0,0,2024-01-27
RX0000002746,MBR00000072,2022-02-15,2022-02-17,1558721745,1226184859,PLN2127,563836,PCN138,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,2,Retail,0,1,0,24.0,7.37,31.37,146.0,0.0,1.42,0.32,0.2267,0,0,0,0,2022-05-16
RX0000002747,MBR00000072,2022-07-16,2022-07-18,1280659833,1152262387,PLN8939,829620,PCN391,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,97,6,Retail,0,0,0,30.0,8.79,38.79,0.0,36.26,2.53,0.4,0.2833,0,0,0,0,2022-10-14
RX0000002748,MBR00000072,2022-04-30,2022-05-02,1495828699,1523501839,PLN6684,596194,PCN306,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,1,Retail,0,0,0,18.0,6.93,24.93,7.0,16.34,1.59,0.72,0.51,0,0,0,0,2022-05-30
RX0000002749,MBR00000072,2021-07-04,2021-07-07,1448458135,1452068373,PLN2458,551362,PCN887,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,93,2,Retail,0,0,0,27.0,9.68,36.68,7.0,28.37,1.31,0.36,0.255,0,0,0,0,2021-10-02
RX0000002750,MBR00000072,2023-09-10,2023-09-12,1217448765,1467771770,PLN5226,329892,PCN829,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,90,1,Retail,0,0,0,135.0,11.99,146.99,2.0,139.61,5.38,1.8,1.275,0,0,0,0,2023-12-09
RX0000002751,MBR00000072,2023-03-02,2023-03-04,1208877005,1857784222,PLN9823,751996,PCN152,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,5,Retail,0,0,0,380.0,4.99,384.99,34.0,328.2,22.79,15.2,10.7667,0,0,0,0,2023-04-01
RX0000002752,MBR00000072,2023-02-14,2023-02-17,1295418541,1270702862,PLN5482,547364,PCN787,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,6,Retail,0,0,1,10.0,10.69,20.69,6.0,13.44,1.25,0.4,0.2833,0,0,0,0,2023-03-16
RX0000002753,MBR00000072,2021-07-05,2021-07-06,1264637475,1827467213,PLN4788,363383,PCN501,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,85,10,Retail,0,0,0,36.0,10.1,46.1,9.0,34.74,2.36,0.48,0.34,0,0,0,0,2021-10-03
RX0000002754,MBR00000072,2021-12-29,2022-01-02,1398598826,1855589688,PLN5666,193346,PCN515,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,84,9,Mail Order,0,0,0,30.0,3.43,33.43,3.0,29.42,1.01,0.4,0.2833,0,0,0,0,2022-03-29
RX0000002755,MBR00000072,2022-01-21,2022-01-22,1862300614,1102259910,PLN5589,140779,PCN554,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,82,10,Retail,1,0,0,1950.0,10.4,1960.4,33.0,1823.55,103.85,26.0,18.4167,0,0,0,0,2022-04-21
RX0000002756,MBR00000072,2021-07-29,2021-07-31,1863036476,1990346323,PLN4655,354801,PCN606,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,9,Retail,0,0,0,330.0,11.75,341.75,35.0,291.72,15.03,13.2,9.35,0,0,0,0,2021-08-28
RX0000002757,MBR00000072,2023-04-22,2023-04-26,1726296590,1406189249,PLN4590,699464,PCN992,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,63,4,Retail,0,1,0,17000.0,11.98,17011.98,147.0,16178.27,686.71,340.0,240.8333,0,0,0,0,2023-06-21
RX0000002758,MBR00000072,2022-07-21,2022-07-25,1681077025,1161798452,PLN5742,331338,PCN482,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,94,10,Retail,0,0,0,84.0,4.64,88.64,6.0,77.97,4.67,1.12,0.7933,0,0,0,0,2022-10-19
RX0000002759,MBR00000072,2021-01-20,2021-01-24,1996447909,1126257840,PLN8884,453211,PCN335,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,7,Retail,0,0,0,22.0,2.05,24.05,8.0,14.38,1.67,0.88,0.6233,0,0,0,0,2021-02-19
RX0000002760,MBR00000072,2023-07-01,2023-07-04,1837110334,1655299958,PLN6155,897758,PCN862,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,59,1,Retail,0,0,0,18.0,4.98,22.98,10.0,11.53,1.45,0.36,0.255,0,0,0,0,2023-08-30
RX0000002761,MBR00000072,2021-03-31,2021-04-01,1194975697,1629417410,PLN6078,636640,PCN801,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,10,Retail,2,0,0,14.0,3.75,17.75,6.0,11.13,0.62,0.56,0.3967,0,0,0,0,2021-04-30
RX0000002762,MBR00000073,2022-12-16,2022-12-19,1891372468,1832772440,PLN1343,372778,PCN793,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,0,Retail,1,0,0,9.0,3.72,12.72,3.0,9.11,0.61,0.36,0.255,0,0,0,0,2023-01-15
RX0000002763,MBR00000073,2023-06-30,2023-07-01,1297812293,1836639853,PLN9177,502369,PCN324,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,0,Retail,0,0,0,10.0,10.41,20.41,6.0,13.01,1.4,0.4,0.2833,0,1,0,0,2023-07-30
RX0000002764,MBR00000073,2022-04-26,2022-04-27,1394566414,1767707482,PLN4503,727198,PCN895,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,6,Retail,0,0,0,5.13,7.3,12.43,72.0,0.0,0.58,0.88,0.6233,0,0,0,0,2022-05-03
RX0000002765,MBR00000073,2023-08-30,2023-09-02,1653414280,1157272305,PLN2668,300230,PCN180,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,9,Mail Order,1,0,0,380.0,10.77,390.77,34.0,338.58,18.19,15.2,10.7667,0,0,0,0,2023-09-29
RX0000002766,MBR00000073,2023-06-08,2023-06-11,1305968086,1609301081,PLN8985,866285,PCN480,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,81,4,Retail,0,1,0,24.0,9.23,33.23,149.0,0.0,1.88,0.32,0.2267,0,0,0,0,2023-09-06
RX0000002767,MBR00000073,2022-03-21,2022-03-23,1390193372,1376976504,PLN2101,303853,PCN160,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,11,Retail,0,0,0,370.0,3.26,373.26,30.0,330.63,12.63,14.8,10.4833,0,0,0,0,2022-04-20
RX0000002768,MBR00000073,2021-01-06,2021-01-07,1924730258,1505099891,PLN5405,399146,PCN757,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,9,Retail,0,0,0,480.0,5.3,485.3,32.0,436.69,16.61,19.2,13.6,0,0,0,0,2021-02-05
RX0000002769,MBR00000073,2023-07-14,2023-07-17,1989797886,1468691353,PLN6925,998208,PCN691,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,3,Retail,0,0,0,10.0,8.71,18.71,5.0,12.91,0.8,0.4,0.2833,0,0,0,0,2023-08-13
RX0000002770,MBR00000073,2021-04-28,2021-04-29,1293073242,1290917920,PLN8460,696112,PCN692,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,93,2,Retail,0,0,0,54.0,8.03,62.03,0.0,59.52,2.51,0.72,0.51,0,0,0,0,2021-07-27
RX0000002771,MBR00000073,2022-05-26,2022-05-29,1855760073,1673950431,PLN9587,548139,PCN221,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,0,Retail,0,0,0,310.0,9.63,319.63,33.0,273.59,13.04,12.4,8.7833,0,0,0,0,2022-06-25
RX0000002772,MBR00000073,2022-06-04,2022-06-06,1107249432,1751766795,PLN3788,763287,PCN105,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,90,5,Retail,0,1,0,36.0,1.75,37.75,150.0,0.0,2.3,0.48,0.34,0,0,0,0,2022-09-02
RX0000002773,MBR00000073,2022-03-03,2022-03-04,1903918996,1710246344,PLN2246,750473,PCN231,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,8,Retail,0,0,0,18.0,9.3,27.3,8.0,17.61,1.69,0.72,0.51,0,0,0,0,2022-04-02
RX0000002774,MBR00000073,2021-09-20,2021-09-23,1497664166,1294278324,PLN2704,203161,PCN420,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,65,11,Retail,0,0,0,18.0,6.38,24.38,8.0,14.91,1.47,0.36,0.255,0,0,0,0,2021-11-19
RX0000002775,MBR00000073,2021-02-01,2021-02-04,1577101656,1922045084,PLN1038,997982,PCN652,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,10,Retail,0,0,0,185.0,8.91,193.91,31.0,156.55,6.36,7.4,5.2417,0,0,0,0,2021-03-03
RX0000002776,MBR00000073,2021-08-21,2021-08-22,1269590907,1771095972,PLN4721,590780,PCN898,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,94,1,Mail Order,0,0,0,30.0,8.4,38.4,4.0,32.83,1.57,0.4,0.2833,0,0,0,0,2021-11-19
RX0000002777,MBR00000073,2021-11-29,2021-12-02,1174557949,1126482647,PLN7354,599333,PCN240,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,7,Retail,0,0,0,10.0,10.74,20.74,10.0,9.99,0.75,0.4,0.2833,0,0,0,0,2021-12-29
RX0000002778,MBR00000073,2023-03-10,2023-03-14,1209762325,1119567621,PLN8334,785798,PCN749,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,4,Mail Order,0,0,0,1.98,7.94,9.92,0.0,9.33,0.59,0.34,0.2408,0,0,0,0,2023-03-17
RX0000002779,MBR00000073,2022-07-28,2022-08-01,1206513612,1664086923,PLN3664,102584,PCN901,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,10,Specialty,0,0,0,14.0,11.05,25.05,8.0,17.05,0.0,0.56,0.3967,0,0,0,0,2022-08-27
RX0000002780,MBR00000073,2021-01-21,2021-01-24,1696687586,1339653923,PLN8111,218347,PCN760,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,88,2,Retail,1,0,0,22.5,4.17,26.67,7.0,18.69,0.98,0.3,0.2125,0,0,0,0,2021-04-21
RX0000002781,MBR00000073,2022-11-12,2022-11-15,1692239707,1362448980,PLN1826,577533,PCN322,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,10,Retail,0,0,0,10.0,10.82,20.82,2.0,17.46,1.36,0.4,0.2833,0,0,0,0,2022-12-12
RX0000002782,MBR00000073,2023-05-08,2023-05-11,1687555414,1768528023,PLN9392,952628,PCN204,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,5,Retail,0,0,0,15.0,3.65,18.65,6.0,11.44,1.21,0.6,0.425,0,0,0,0,2023-06-07
RX0000002783,MBR00000073,2022-02-03,2022-02-07,1586411976,1408912084,PLN3970,786958,PCN624,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,0,Retail,0,0,0,175.0,8.18,183.18,37.0,140.55,5.63,7.0,4.9583,0,0,0,0,2022-03-05
RX0000002784,MBR00000073,2021-01-10,2021-01-12,1231615804,1654872855,PLN3235,922365,PCN549,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,3,Retail,0,0,0,3.27,6.69,9.95,8.0,1.43,0.52,0.56,0.3967,0,0,0,0,2021-01-17
RX0000002785,MBR00000073,2023-01-15,2023-01-18,1990185011,1943103239,PLN3192,376599,PCN707,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,96,5,Mail Order,0,0,0,1950.0,2.71,1952.71,38.0,1834.56,80.15,26.0,18.4167,0,0,0,0,2023-04-15
RX0000002786,MBR00000073,2021-01-13,2021-01-14,1226210796,1141054780,PLN9256,673589,PCN639,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,6,Mail Order,0,0,0,9.0,5.72,14.72,1.0,12.95,0.77,0.36,0.255,0,0,0,0,2021-02-12
RX0000002787,MBR00000073,2023-12-20,2023-12-24,1826446172,1437044542,PLN3193,224302,PCN218,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,84,7,Retail,0,1,0,24.0,10.54,34.54,146.0,0.0,1.74,0.32,0.2267,1,0,0,0,2024-03-19
RX0000002788,MBR00000073,2023-01-08,2023-01-09,1897408108,1574390085,PLN1916,708141,PCN329,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,0,Specialty,0,0,0,18.0,26.04,44.04,0.0,44.04,0.0,0.72,0.51,0,0,0,0,2023-02-07
RX0000002789,MBR00000073,2023-10-04,2023-10-08,1891809666,1619994043,PLN4014,443002,PCN466,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,60,5,Retail,0,0,0,32.0,4.45,36.45,5.0,29.63,1.82,0.64,0.4533,0,1,0,0,2023-12-03
RX0000002790,MBR00000073,2022-07-12,2022-07-14,1269156488,1764257016,PLN6193,407179,PCN124,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,84,9,Retail,0,0,0,30.0,10.77,40.77,9.0,30.22,1.55,0.4,0.2833,0,0,0,0,2022-10-10
RX0000002791,MBR00000073,2021-11-18,2021-11-19,1920422369,1101293298,PLN1147,778293,PCN568,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,84,1,Retail,0,0,0,54.0,2.02,56.02,0.0,54.1,1.92,0.72,0.51,0,0,0,0,2022-02-16
RX0000002792,MBR00000073,2022-12-29,2022-12-31,1668312496,1665214557,PLN9321,865459,PCN342,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,11,Retail,0,0,0,38.0,6.9,44.9,40.0,3.0,1.9,1.52,1.0767,0,0,0,0,2023-01-28
RX0000002793,MBR00000073,2021-03-01,2021-03-04,1490957423,1481447413,PLN2709,342274,PCN222,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,4,Retail,0,0,0,8.5,3.22,11.72,9.0,2.06,0.66,0.34,0.2408,0,0,0,0,2021-03-31
RX0000002794,MBR00000073,2022-05-27,2022-05-31,1772966281,1281795717,PLN4780,481260,PCN660,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,4,Retail,0,0,0,3.27,3.07,6.34,5.0,1.15,0.19,0.56,0.3967,0,0,0,0,2022-06-03
RX0000002795,MBR00000073,2022-03-20,2022-03-22,1431164488,1323480680,PLN1816,299391,PCN541,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,93,5,Retail,0,0,0,2850.0,11.27,2861.27,37.0,2716.0,108.27,38.0,26.9167,0,0,0,0,2022-06-18
RX0000002796,MBR00000073,2022-10-16,2022-10-19,1250256200,1504720110,PLN6316,609621,PCN869,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,84,1,Retail,0,0,0,30.0,10.64,40.64,8.0,30.83,1.81,0.4,0.2833,0,0,0,0,2023-01-14
RX0000002797,MBR00000073,2023-03-24,2023-03-27,1754468801,1980187220,PLN1717,262573,PCN118,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,1,Retail,0,0,0,10.0,10.82,20.82,5.0,14.75,1.07,0.4,0.2833,0,0,0,0,2023-04-23
RX0000002798,MBR00000073,2021-03-25,2021-03-27,1921923894,1360643971,PLN1147,635697,PCN476,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,88,0,Retail,0,0,0,2250.0,9.96,2259.96,34.0,2135.16,90.8,30.0,21.25,0,0,0,0,2021-06-23
RX0000002799,MBR00000073,2021-03-25,2021-03-26,1752640920,1145424439,PLN7377,562498,PCN190,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,63,4,Retail,0,0,0,24.0,4.86,28.86,5.0,22.86,1.0,0.48,0.34,0,0,0,0,2021-05-24
RX0000002800,MBR00000073,2021-11-15,2021-11-16,1568788033,1355865458,PLN9510,696702,PCN973,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,2,Retail,0,0,0,14.0,8.35,22.35,6.0,14.94,1.41,0.56,0.3967,0,0,0,0,2021-12-15
RX0000002801,MBR00000073,2021-08-12,2021-08-13,1148163325,1744207857,PLN6282,630065,PCN803,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,10,Retail,0,0,0,18.0,10.13,28.13,5.0,21.94,1.19,0.72,0.51,0,0,0,0,2021-09-11
RX0000002802,MBR00000073,2022-12-09,2022-12-12,1382134838,1907328534,PLN8574,228907,PCN439,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,86,4,Retail,0,0,0,42.0,11.39,53.39,5.0,46.17,2.22,0.56,0.3967,0,0,0,0,2023-03-09
RX0000002803,MBR00000073,2023-06-02,2023-06-04,1303358722,1668589571,PLN4698,998974,PCN542,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,91,6,Retail,0,0,0,22.5,4.93,27.43,3.0,23.42,1.01,0.3,0.2125,1,0,0,0,2023-08-31
RX0000002804,MBR00000073,2022-02-04,2022-02-05,1382307083,1252401697,PLN8384,835556,PCN973,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,9,Retail,0,0,0,12.5,9.72,22.22,3.0,17.74,1.48,0.5,0.3542,0,0,0,0,2022-03-06
RX0000002805,MBR00000073,2021-10-15,2021-10-17,1423790108,1633617134,PLN5791,942258,PCN763,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,5,Retail,0,0,0,650.0,10.75,660.75,39.0,601.83,19.92,26.0,18.4167,0,0,0,0,2021-11-14
RX0000002806,MBR00000073,2023-05-02,2023-05-06,1446981497,1937077777,PLN7372,467927,PCN857,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,1,Mail Order,0,0,0,12.5,5.07,17.57,7.0,9.85,0.72,0.5,0.3542,0,0,0,0,2023-06-01
RX0000002807,MBR00000073,2022-04-20,2022-04-23,1526638403,1703539512,PLN1578,812490,PCN772,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,10,Retail,0,0,0,10.0,5.66,15.66,10.0,4.72,0.94,0.4,0.2833,0,0,0,0,2022-05-20
RX0000002808,MBR00000073,2023-02-14,2023-02-16,1261477998,1799474479,PLN1829,713150,PCN304,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,89,5,Retail,0,0,0,27.0,3.94,30.94,6.0,23.58,1.36,0.36,0.255,0,0,0,0,2023-05-15
RX0000002809,MBR00000073,2021-08-17,2021-08-19,1689701764,1807135730,PLN3136,136051,PCN713,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,4,Retail,0,0,0,370.0,3.51,373.51,31.0,321.51,21.0,14.8,10.4833,0,0,0,0,2021-09-16
RX0000002810,MBR00000073,2022-01-06,2022-01-08,1707733532,1684969733,PLN2122,267956,PCN749,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,61,5,Retail,0,0,0,570.0,11.8,581.8,40.0,508.62,33.18,11.4,8.075,0,0,0,0,2022-03-07
RX0000002811,MBR00000073,2023-09-25,2023-09-29,1561428283,1676933356,PLN6143,614682,PCN116,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,56,2,Retail,0,0,0,44.0,2.85,46.85,68.0,0.0,2.71,0.88,0.6233,0,0,0,0,2023-11-24
RX0000002812,MBR00000073,2022-08-01,2022-08-03,1385170445,1738045860,PLN7259,414627,PCN360,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,90,5,Specialty,0,0,0,36.0,42.43,78.43,7.0,71.43,0.0,0.48,0.34,0,0,0,0,2022-10-30
RX0000002813,MBR00000073,2023-10-10,2023-10-13,1725500489,1508125511,PLN1446,853917,PCN582,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,2,Retail,0,0,0,10.0,6.4,16.4,0.0,15.45,0.95,0.4,0.2833,0,0,0,0,2023-11-09
RX0000002814,MBR00000073,2023-10-13,2023-10-16,1947544373,1330634082,PLN3269,112234,PCN556,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,7,Retail,0,1,0,2800.0,7.1,2807.1,148.0,2572.61,86.49,112.0,79.3333,0,0,0,0,2023-11-12
RX0000002815,MBR00000073,2023-10-19,2023-10-20,1246114111,1296320345,PLN4666,172317,PCN643,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,8,Mail Order,0,0,0,45.0,9.99,54.99,3.0,48.86,3.13,1.8,1.275,0,0,0,0,2023-11-18
RX0000002816,MBR00000073,2021-08-04,2021-08-08,1214142481,1468025289,PLN8445,755230,PCN190,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,6,Retail,0,0,0,10.0,2.42,12.42,4.0,7.93,0.49,0.4,0.2833,0,0,0,0,2021-09-03
RX0000002817,MBR00000074,2023-04-28,2023-05-02,1832912243,1495913126,PLN6251,113695,PCN197,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,2,Retail,0,0,0,18.0,10.03,28.03,7.0,20.09,0.94,0.72,0.51,0,0,0,0,2023-05-28
RX0000002818,MBR00000074,2023-01-05,2023-01-08,1149115330,1223819193,PLN7462,195544,PCN502,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,2,Retail,3,0,0,9.0,9.76,18.76,1.0,17.13,0.63,0.36,0.255,0,0,0,0,2023-02-04
RX0000002819,MBR00000074,2021-03-04,2021-03-05,1349774949,1259047623,PLN7392,385502,PCN282,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,5,Retail,0,0,0,320.0,2.72,322.72,33.0,273.58,16.14,12.8,9.0667,0,0,0,0,2021-04-03
RX0000002820,MBR00000074,2023-06-06,2023-06-07,1576462991,1166366160,PLN7925,468250,PCN559,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,8,Mail Order,0,0,0,38.0,7.41,45.41,8.0,35.04,2.37,1.52,1.0767,0,0,0,0,2023-07-06
RX0000002821,MBR00000074,2022-12-22,2022-12-26,1827025643,1258167461,PLN8496,768819,PCN832,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,1,Specialty,0,0,0,28.0,10.87,38.87,4.0,34.87,0.0,1.12,0.7933,0,0,0,0,2023-01-21
RX0000002822,MBR00000074,2023-08-02,2023-08-04,1794100796,1675583941,PLN3089,249782,PCN288,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,4,LTC,0,0,0,750.0,5.63,755.63,30.0,683.35,42.28,30.0,21.25,0,0,0,0,2023-09-01
RX0000002823,MBR00000074,2021-02-19,2021-02-22,1488398438,1207017058,PLN3552,236074,PCN637,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,11,Retail,0,1,0,8.0,9.07,17.07,145.0,0.0,1.18,0.32,0.2267,0,0,0,0,2021-03-21
RX0000002824,MBR00000074,2022-11-05,2022-11-09,1961421098,1444188423,PLN9058,183942,PCN563,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,1,Mail Order,0,0,0,7.5,2.46,9.96,7.0,2.64,0.32,0.3,0.2125,0,0,0,0,2022-12-05
RX0000002825,MBR00000074,2023-02-18,2023-02-20,1521762844,1811979680,PLN2830,940553,PCN200,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,0,Retail,0,0,0,65.0,10.64,75.64,37.0,33.85,4.79,2.6,1.8417,0,0,0,0,2023-03-20
RX0000002826,MBR00000074,2021-08-17,2021-08-20,1458654721,1296065201,PLN6748,540059,PCN549,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,11,Retail,0,0,0,8.5,1.74,10.24,4.0,5.8,0.44,0.34,0.2408,0,0,0,0,2021-09-16
RX0000002827,MBR00000074,2022-10-10,2022-10-11,1731855859,1298475854,PLN1516,932174,PCN280,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,1,Mail Order,1,0,0,10.5,8.51,19.01,3.0,15.34,0.67,1.8,1.275,1,0,0,0,2022-10-17
RX0000002828,MBR00000074,2023-09-14,2023-09-15,1788041212,1661309921,PLN8013,921564,PCN163,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,6,Retail,0,0,0,12.0,6.19,18.19,2.0,15.5,0.69,0.48,0.34,0,0,0,0,2023-10-14
RX0000002829,MBR00000074,2021-03-04,2021-03-07,1627224602,1337567491,PLN3852,910620,PCN872,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,88,3,Retail,0,0,1,42.0,8.5,50.5,5.0,43.4,2.1,0.56,0.3967,0,0,0,0,2021-06-02
RX0000002830,MBR00000074,2021-12-20,2021-12-22,1522700975,1824179795,PLN4668,267286,PCN497,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,11,Retail,0,1,0,12.0,3.88,15.88,153.0,0.0,0.58,0.48,0.34,1,0,0,0,2022-01-19
RX0000002831,MBR00000074,2021-09-23,2021-09-26,1180027757,1792560431,PLN5727,999535,PCN847,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,4,Retail,0,1,0,8500.0,11.28,8511.28,155.0,7818.96,537.32,340.0,240.8333,0,0,0,0,2021-10-23
RX0000002832,MBR00000074,2022-08-07,2022-08-09,1468831199,1638923902,PLN5990,698223,PCN832,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,65,5,Specialty,0,0,0,28.0,12.59,40.59,0.0,40.59,0.0,0.56,0.3967,0,0,0,0,2022-10-06
RX0000002833,MBR00000074,2021-12-06,2021-12-07,1831567488,1333103504,PLN5635,344046,PCN846,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,1,Retail,0,0,0,15.0,1.92,16.92,0.0,16.29,0.63,0.6,0.425,0,0,0,0,2022-01-05
RX0000002834,MBR00000074,2021-06-14,2021-06-18,1754015517,1560261618,PLN3065,617357,PCN501,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,6,LTC,0,0,0,2.33,7.52,9.85,5.0,4.17,0.68,0.4,0.2833,0,0,0,0,2021-06-21
RX0000002835,MBR00000074,2023-05-24,2023-05-26,1848880300,1327505374,PLN4696,956835,PCN635,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,8,Retail,0,1,0,8500.0,7.35,8507.35,155.0,7825.63,526.72,340.0,240.8333,0,0,0,0,2023-06-23
RX0000002836,MBR00000074,2023-11-17,2023-11-21,1472120414,1119348017,PLN8490,379660,PCN361,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,3,Mail Order,0,0,0,72.33,2.03,74.37,33.0,37.38,3.99,12.4,8.7833,0,0,0,0,2023-11-24
RX0000002837,MBR00000074,2022-12-15,2022-12-19,1423449257,1821822881,PLN8626,608786,PCN755,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,90,10,Retail,0,0,0,45.0,5.79,50.79,0.0,47.63,3.16,0.6,0.425,0,0,0,0,2023-03-15
RX0000002838,MBR00000074,2023-08-07,2023-08-10,1270230131,1617862037,PLN1519,539470,PCN425,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,98,5,Retail,0,0,0,36.0,5.17,41.17,0.0,38.86,2.31,0.48,0.34,0,0,0,0,2023-11-05
RX0000002839,MBR00000074,2022-04-21,2022-04-22,1940774866,1784219744,PLN1215,491474,PCN296,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,10,Retail,0,0,0,9.0,8.2,17.2,0.0,16.14,1.06,0.36,0.255,0,0,0,0,2022-05-21
RX0000002840,MBR00000074,2023-03-12,2023-03-13,1354647036,1296515226,PLN7890,521639,PCN717,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,3,Retail,0,0,0,750.0,8.64,758.64,30.0,692.95,35.69,30.0,21.25,0,0,0,0,2023-04-11
RX0000002841,MBR00000074,2022-12-19,2022-12-22,1460028141,1566076656,PLN7059,648982,PCN791,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,8,Retail,0,0,0,15.0,9.18,24.18,8.0,15.37,0.81,0.6,0.425,0,0,0,0,2023-01-18
RX0000002842,MBR00000074,2022-07-07,2022-07-11,1247660822,1824319802,PLN4562,451600,PCN652,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,98,8,Specialty,0,0,0,54.0,43.98,97.98,9.0,88.98,0.0,0.72,0.51,0,0,0,0,2022-10-05
RX0000002843,MBR00000074,2023-03-28,2023-03-30,1376856496,1900124324,PLN7695,505041,PCN857,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,8,Specialty,0,0,0,285.0,35.78,320.78,32.0,288.78,0.0,11.4,8.075,0,0,0,0,2023-04-27
RX0000002844,MBR00000074,2022-11-21,2022-11-25,1827508279,1867751958,PLN7575,789269,PCN553,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,0,Retail,0,0,0,9.0,11.13,20.13,4.0,15.52,0.61,0.36,0.255,0,0,0,0,2022-12-21
RX0000002845,MBR00000074,2021-10-11,2021-10-13,1767816842,1429464934,PLN5248,195697,PCN574,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,4,Retail,3,0,0,7.5,2.01,9.51,3.0,6.21,0.3,0.3,0.2125,0,0,0,0,2021-11-10
RX0000002846,MBR00000074,2023-11-10,2023-11-13,1470318086,1640121433,PLN4766,825704,PCN218,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,63,0,LTC,0,0,0,25.0,11.1,36.1,8.0,26.89,1.21,0.5,0.3542,0,0,0,0,2024-01-09
RX0000002847,MBR00000074,2023-09-06,2023-09-08,1861124185,1703393496,PLN8044,737554,PCN221,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,9,Mail Order,0,0,0,370.0,8.3,378.3,40.0,323.62,14.68,14.8,10.4833,0,0,0,0,2023-10-06
RX0000002848,MBR00000075,2022-10-25,2022-10-27,1790316124,1738783680,PLN1044,563382,PCN799,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,10,Retail,0,0,0,3.5,2.41,5.91,5.0,0.63,0.28,0.6,0.425,0,0,0,0,2022-11-01
RX0000002849,MBR00000075,2022-09-16,2022-09-17,1969517953,1565392192,PLN7138,212968,PCN271,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,90,0,Retail,0,0,0,135.0,11.1,146.1,5.0,135.54,5.56,1.8,1.275,0,0,0,0,2022-12-15
RX0000002850,MBR00000075,2022-12-30,2022-12-31,1183883381,1775317857,PLN2674,692228,PCN472,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,83,5,Retail,0,0,0,36.0,6.3,42.3,9.0,31.79,1.51,0.48,0.34,0,0,0,0,2023-03-30
RX0000002851,MBR00000075,2022-07-03,2022-07-06,1851133467,1370913318,PLN7294,147785,PCN406,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,1,Retail,0,0,0,10.5,6.94,17.44,0.0,16.71,0.73,1.8,1.275,0,0,0,0,2022-07-10
RX0000002852,MBR00000075,2023-08-27,2023-08-28,1600994134,1850372967,PLN7719,507628,PCN628,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,90,5,Retail,0,0,0,990.0,4.69,994.69,37.0,905.99,51.7,13.2,9.35,0,0,0,0,2023-11-25
RX0000002853,MBR00000075,2021-03-13,2021-03-17,1781449957,1600994179,PLN9817,729427,PCN139,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,0,Retail,0,0,0,12.0,7.49,19.49,2.0,16.47,1.02,0.48,0.34,0,0,0,0,2021-04-12
RX0000002854,MBR00000075,2023-02-26,2023-02-28,1909398178,1716389213,PLN9317,570422,PCN963,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,55,11,Retail,0,0,0,90.0,11.75,101.75,10.0,87.04,4.71,1.8,1.275,0,0,0,0,2023-04-27
RX0000002855,MBR00000075,2023-03-18,2023-03-20,1869077983,1620219026,PLN7170,183981,PCN893,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,85,0,Mail Order,0,0,0,42.0,9.84,51.84,3.0,45.5,3.34,0.56,0.3967,0,0,0,0,2023-06-16
RX0000002856,MBR00000075,2022-07-12,2022-07-14,1503287587,1475772331,PLN7289,746795,PCN841,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,3,Retail,0,0,0,22.0,3.48,25.48,70.0,0.0,1.44,0.88,0.6233,0,0,0,0,2022-08-11
RX0000002857,MBR00000075,2023-02-01,2023-02-02,1480880451,1932032892,PLN5287,324061,PCN218,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,93,7,Retail,0,0,0,54.0,6.88,60.88,2.0,54.67,4.21,0.72,0.51,0,0,0,0,2023-05-02
RX0000002858,MBR00000075,2021-05-09,2021-05-11,1319925903,1694949066,PLN7958,869137,PCN557,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,65,6,Mail Order,2,0,0,36.0,4.51,40.51,37.0,1.61,1.9,0.72,0.51,0,0,0,0,2021-07-08
RX0000002859,MBR00000075,2022-11-11,2022-11-14,1601877705,1730477817,PLN3281,551590,PCN101,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,85,1,Mail Order,0,0,0,30.0,6.58,36.58,9.0,26.0,1.58,0.4,0.2833,0,0,0,0,2023-02-09
RX0000002860,MBR00000075,2022-01-22,2022-01-26,1297385256,1137787723,PLN8403,504542,PCN800,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,94,4,Retail,0,0,0,195.0,7.89,202.89,39.0,155.04,8.85,2.6,1.8417,1,0,0,0,2022-04-22
RX0000002861,MBR00000075,2021-05-10,2021-05-14,1835291962,1258168821,PLN2975,713655,PCN561,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,90,8,Retail,0,0,0,135.0,3.97,138.97,10.0,123.61,5.36,1.8,1.275,0,0,0,0,2021-08-08
RX0000002862,MBR00000075,2022-06-21,2022-06-22,1361563972,1391529595,PLN9806,696212,PCN226,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,6,Specialty,0,0,0,14.0,37.98,51.98,10.0,41.98,0.0,0.56,0.3967,0,0,0,0,2022-07-21
RX0000002863,MBR00000076,2022-10-11,2022-10-13,1188731573,1298488141,PLN2038,234917,PCN616,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,1,Mail Order,0,0,0,12.0,8.25,20.25,1.0,18.27,0.98,0.48,0.34,0,0,0,0,2022-11-10
RX0000002864,MBR00000076,2022-03-30,2022-04-03,1678383384,1645222079,PLN4143,683022,PCN947,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,8,Retail,0,0,0,10.0,4.63,14.63,7.0,7.07,0.56,0.4,0.2833,0,0,0,0,2022-04-29
RX0000002865,MBR00000076,2023-04-20,2023-04-24,1570543591,1361050604,PLN1978,458652,PCN747,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,96,8,Retail,0,0,0,84.0,6.71,90.71,9.0,77.72,3.99,1.12,0.7933,0,0,0,0,2023-07-19
RX0000002866,MBR00000076,2022-01-06,2022-01-07,1358270938,1786691121,PLN6754,969076,PCN945,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,64,8,Retail,0,0,0,22.0,5.52,27.52,0.0,25.8,1.72,0.44,0.3117,0,0,0,0,2022-03-07
RX0000002867,MBR00000076,2021-06-07,2021-06-11,1758109217,1693834843,PLN2959,697554,PCN734,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,4,Mail Order,0,0,0,16.0,10.8,26.8,0.0,24.95,1.85,0.64,0.4533,0,0,0,0,2021-07-07
RX0000002868,MBR00000076,2021-08-24,2021-08-27,1879073884,1899098455,PLN3618,215553,PCN299,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,8,Mail Order,0,0,0,9.0,3.51,12.51,6.0,6.13,0.38,0.36,0.255,0,0,0,0,2021-09-23
RX0000002869,MBR00000076,2023-08-13,2023-08-15,1629214801,1935689968,PLN7858,804759,PCN778,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,2,Retail,0,0,0,6.53,8.61,15.15,0.0,14.42,0.73,1.12,0.7933,0,0,0,0,2023-08-20
RX0000002870,MBR00000076,2021-03-22,2021-03-23,1710393558,1581186986,PLN8131,848922,PCN673,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,97,8,Retail,0,0,0,114.0,5.04,119.04,10.0,102.24,6.8,1.52,1.0767,0,0,0,0,2021-06-20
RX0000002871,MBR00000076,2022-03-24,2022-03-25,1781737765,1119579269,PLN5462,572157,PCN193,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,98,11,Retail,0,0,0,84.0,4.56,88.56,9.0,74.67,4.89,1.12,0.7933,0,0,0,0,2022-06-22
RX0000002872,MBR00000076,2021-04-03,2021-04-04,1881805163,1374918245,PLN5418,284864,PCN915,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,4,Mail Order,0,1,0,12.0,2.47,14.47,150.0,0.0,0.92,0.48,0.34,0,0,0,0,2021-05-03
RX0000002873,MBR00000076,2022-01-06,2022-01-07,1412056625,1639567619,PLN4681,526247,PCN252,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,1,Retail,3,0,0,18.0,10.91,28.91,0.0,27.03,1.88,0.72,0.51,0,0,0,0,2022-02-05
RX0000002874,MBR00000076,2023-09-27,2023-09-28,1152954438,1892070891,PLN5070,710885,PCN946,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,65,5,Retail,3,0,1,44.0,1.61,45.61,10.0,33.19,2.42,0.88,0.6233,0,0,0,0,2023-11-26
RX0000002875,MBR00000076,2023-06-20,2023-06-22,1915291533,1545373715,PLN5590,223713,PCN951,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,9,Retail,0,0,0,10.5,8.04,18.54,6.0,11.69,0.85,1.8,1.275,0,0,0,0,2023-06-27
RX0000002876,MBR00000076,2023-04-10,2023-04-11,1335382452,1523324625,PLN8348,716532,PCN967,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,1,Retail,0,0,0,10.0,8.14,18.14,9.0,8.12,1.02,0.4,0.2833,0,0,0,0,2023-05-10
RX0000002877,MBR00000076,2022-04-13,2022-04-15,1944325920,1683436972,PLN2948,910695,PCN848,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,3,Retail,0,1,0,8500.0,3.71,8503.71,147.0,7807.96,548.75,340.0,240.8333,0,0,0,0,2022-05-13
RX0000002878,MBR00000076,2022-10-17,2022-10-21,1183166982,1198192714,PLN5387,137119,PCN685,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,60,1,Mail Order,0,0,0,20.0,4.52,24.52,8.0,14.85,1.67,0.4,0.2833,0,0,0,0,2022-12-16
RX0000002879,MBR00000076,2021-07-19,2021-07-20,1524066132,1473097643,PLN1290,782334,PCN681,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,2,Retail,0,0,0,12.5,2.03,14.53,0.0,13.58,0.95,0.5,0.3542,1,0,0,0,2021-08-18
RX0000002880,MBR00000076,2021-06-08,2021-06-11,1125398091,1798212274,PLN8246,820414,PCN818,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,6,Retail,0,0,0,185.0,9.28,194.28,37.0,146.42,10.86,7.4,5.2417,0,0,0,0,2021-07-08
RX0000002881,MBR00000076,2023-08-24,2023-08-26,1429176558,1292704921,PLN9105,650311,PCN522,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,1,Retail,3,0,0,15.0,6.52,21.52,7.0,13.6,0.92,0.6,0.425,0,0,0,0,2023-09-23
RX0000002882,MBR00000076,2023-11-13,2023-11-14,1315637200,1686465544,PLN4035,255823,PCN934,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,10,Mail Order,0,0,0,15.0,4.56,19.56,4.0,14.56,1.0,0.6,0.425,0,0,0,0,2023-12-13
RX0000002883,MBR00000076,2022-10-21,2022-10-23,1706889404,1583302895,PLN3449,194499,PCN180,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,95,2,Retail,1,1,0,36.0,3.79,39.79,149.0,0.0,1.93,0.48,0.34,0,0,0,0,2023-01-19
RX0000002884,MBR00000076,2022-04-11,2022-04-12,1249516968,1207879359,PLN6276,294899,PCN492,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,91,7,Retail,0,0,0,36.0,5.66,41.66,3.0,36.94,1.72,0.48,0.34,0,1,0,0,2022-07-10
RX0000002885,MBR00000076,2021-12-16,2021-12-18,1700601063,1148891153,PLN3039,291709,PCN758,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,6,Retail,0,0,0,3.27,5.59,8.86,10.0,0.0,0.27,0.56,0.3967,0,0,0,0,2021-12-23
RX0000002886,MBR00000077,2023-01-10,2023-01-11,1418664941,1740992742,PLN3873,380375,PCN131,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,6,Mail Order,0,0,0,45.0,5.2,50.2,1.0,46.67,2.53,1.8,1.275,0,0,0,0,2023-02-09
RX0000002887,MBR00000077,2022-10-23,2022-10-24,1317656562,1623763605,PLN9356,354869,PCN136,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,98,6,LTC,0,0,0,990.0,11.57,1001.57,37.0,905.56,59.01,13.2,9.35,0,0,0,0,2023-01-21
RX0000002888,MBR00000077,2021-08-15,2021-08-18,1186030151,1620238702,PLN5485,602696,PCN877,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,9,Retail,0,0,0,5.13,5.51,10.64,66.0,0.0,0.53,0.88,0.6233,0,0,0,0,2021-08-22
RX0000002889,MBR00000077,2023-09-09,2023-09-11,1928241531,1515083771,PLN9017,405440,PCN931,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,9,Retail,0,1,0,8500.0,10.5,8510.5,154.0,7912.89,443.61,340.0,240.8333,0,0,0,0,2023-10-09
RX0000002890,MBR00000077,2022-02-06,2022-02-10,1437638282,1444846198,PLN5645,867208,PCN908,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,7,Retail,0,0,0,22.0,7.88,29.88,72.0,0.0,1.53,0.88,0.6233,0,0,0,0,2022-03-08
RX0000002891,MBR00000077,2023-02-23,2023-02-27,1342677435,1939276481,PLN4113,849239,PCN240,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,10,Specialty,0,0,0,14.0,27.15,41.15,7.0,34.15,0.0,0.56,0.3967,0,0,0,0,2023-03-25
RX0000002892,MBR00000077,2021-04-06,2021-04-07,1121668942,1918441651,PLN8199,651552,PCN706,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,11,Retail,0,0,0,14.0,2.75,16.75,4.0,11.71,1.04,0.56,0.3967,0,0,0,0,2021-05-06
RX0000002893,MBR00000077,2023-05-30,2023-06-02,1821327310,1375990877,PLN3941,442079,PCN596,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,81,5,Retail,0,0,0,30.0,8.49,38.49,4.0,33.03,1.46,0.4,0.2833,0,0,0,0,2023-08-28
RX0000002894,MBR00000077,2021-03-13,2021-03-16,1560606938,1791333492,PLN7322,977672,PCN213,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,4,Retail,0,0,0,45.0,6.43,51.43,5.0,44.68,1.75,1.8,1.275,0,0,0,0,2021-04-12
RX0000002895,MBR00000077,2021-10-05,2021-10-09,1943420159,1860129509,PLN5015,277961,PCN166,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,7,Mail Order,0,0,0,221.67,5.98,227.65,40.0,179.42,8.23,38.0,26.9167,0,0,0,0,2021-10-12
RX0000002896,MBR00000077,2022-04-03,2022-04-05,1296119423,1890775177,PLN5143,382193,PCN694,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,10,Specialty,3,0,0,285.0,10.05,295.05,31.0,264.05,0.0,11.4,8.075,0,0,0,0,2022-05-03
RX0000002897,MBR00000077,2023-10-11,2023-10-12,1211977644,1290744502,PLN9482,896042,PCN178,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,1,Retail,0,0,0,7.5,7.57,15.07,4.0,10.05,1.02,0.3,0.2125,0,0,0,0,2023-11-10
RX0000002898,MBR00000077,2022-01-09,2022-01-11,1601496710,1938372796,PLN7624,912736,PCN722,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,55,2,Mail Order,0,0,0,56.0,6.48,62.48,8.0,52.46,2.02,1.12,0.7933,0,0,0,0,2022-03-10
RX0000002899,MBR00000077,2022-04-15,2022-04-16,1716459317,1559618453,PLN5765,784055,PCN121,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,3,Retail,0,0,0,10.0,8.83,18.83,1.0,16.75,1.08,0.4,0.2833,0,0,0,0,2022-05-15
RX0000002900,MBR00000077,2023-12-15,2023-12-17,1609884471,1825820860,PLN4203,992382,PCN429,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,65,11,Mail Order,0,0,0,44.0,7.12,51.12,2.0,46.68,2.44,0.88,0.6233,0,0,0,0,2024-02-13
RX0000002901,MBR00000077,2021-04-24,2021-04-27,1795154468,1284214036,PLN9974,156205,PCN535,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,61,4,Retail,3,0,0,22.0,10.82,32.82,9.0,21.81,2.01,0.44,0.3117,0,0,0,0,2021-06-23
RX0000002902,MBR00000077,2023-11-18,2023-11-21,1305886540,1602768467,PLN4260,700394,PCN491,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,2,Retail,0,0,0,370.0,11.06,381.06,31.0,334.58,15.48,14.8,10.4833,0,0,0,0,2023-12-18
RX0000002903,MBR00000077,2022-02-08,2022-02-12,1520544691,1790557791,PLN2586,105293,PCN883,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,7,Retail,2,0,0,195.0,4.09,199.09,37.0,155.74,6.35,2.6,1.8417,0,0,0,0,2022-05-09
RX0000002904,MBR00000077,2021-11-29,2021-12-03,1793297875,1311049838,PLN6652,609316,PCN762,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,7,Retail,0,0,0,285.0,4.87,289.87,30.0,248.05,11.82,11.4,8.075,1,0,0,0,2021-12-29
RX0000002905,MBR00000077,2023-09-05,2023-09-07,1737253219,1288981872,PLN7399,942384,PCN157,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,93,8,Mail Order,2,0,0,525.0,9.75,534.75,32.0,474.13,28.62,7.0,4.9583,1,0,0,0,2023-12-04
RX0000002906,MBR00000077,2021-08-04,2021-08-05,1841351709,1518818026,PLN5584,114743,PCN487,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,9,Mail Order,0,0,0,10.0,3.34,13.34,2.0,10.78,0.56,0.4,0.2833,0,0,0,0,2021-09-03
RX0000002907,MBR00000077,2022-10-12,2022-10-15,1728943271,1242879756,PLN8641,683650,PCN866,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,9,Retail,0,0,1,22.0,6.72,28.72,66.0,0.0,1.9,0.88,0.6233,0,0,0,0,2022-11-11
RX0000002908,MBR00000077,2022-10-14,2022-10-16,1663994561,1124396660,PLN7448,990936,PCN905,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,2,Specialty,0,0,0,6.53,10.39,16.92,8.0,8.92,0.0,1.12,0.7933,0,0,0,0,2022-10-21
RX0000002909,MBR00000078,2022-08-21,2022-08-23,1782837635,1505027561,PLN4078,534843,PCN848,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,88,2,Retail,0,0,0,36.0,11.2,47.2,3.0,41.0,3.2,0.48,0.34,0,0,0,0,2022-11-19
RX0000002910,MBR00000078,2023-08-24,2023-08-25,1189733802,1790064519,PLN1403,804823,PCN220,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,9,Specialty,2,0,0,10.0,12.21,22.21,4.0,18.21,0.0,0.4,0.2833,0,0,0,0,2023-09-23
RX0000002911,MBR00000078,2022-02-13,2022-02-17,1992288804,1509500405,PLN9413,204722,PCN799,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,6,Retail,0,0,0,950.0,2.0,952.0,30.0,860.46,61.54,38.0,26.9167,0,0,0,0,2022-03-15
RX0000002912,MBR00000078,2023-02-17,2023-02-19,1436256775,1770182913,PLN8143,190162,PCN402,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,54,9,Mail Order,0,0,0,20.0,11.07,31.07,7.0,23.07,1.0,0.4,0.2833,0,0,0,0,2023-04-18
RX0000002913,MBR00000078,2021-02-01,2021-02-02,1943305199,1567183065,PLN4687,863611,PCN950,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,81,10,Retail,0,0,1,555.0,5.29,560.29,31.0,510.77,18.52,7.4,5.2417,0,0,0,0,2021-05-02
RX0000002914,MBR00000078,2021-06-29,2021-07-02,1533964862,1589564750,PLN1178,577020,PCN512,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,6,Retail,0,0,0,3.27,3.67,6.93,3.0,3.62,0.31,0.56,0.3967,0,0,0,0,2021-07-06
RX0000002915,MBR00000078,2021-10-23,2021-10-24,1591069715,1436266012,PLN5907,700513,PCN968,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,9,Retail,0,0,0,8.5,11.15,19.65,2.0,16.4,1.25,0.34,0.2408,0,0,0,0,2021-11-22
RX0000002916,MBR00000078,2022-10-31,2022-11-01,1338860038,1325879033,PLN4591,799044,PCN609,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,81,3,Mail Order,0,0,0,45.0,3.25,48.25,7.0,38.5,2.75,0.6,0.425,0,1,0,0,2023-01-29
RX0000002917,MBR00000078,2023-10-15,2023-10-17,1815531882,1123174563,PLN7199,110052,PCN695,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,0,Retail,2,1,0,18600.0,9.53,18609.53,154.0,17778.59,676.94,248.0,175.6667,0,0,0,0,2024-01-13
RX0000002918,MBR00000078,2022-04-18,2022-04-20,1992631979,1276714201,PLN7392,336811,PCN442,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,9,Retail,0,0,0,480.0,3.85,483.85,39.0,426.84,18.01,19.2,13.6,0,0,0,0,2022-05-18
RX0000002919,MBR00000078,2023-12-13,2023-12-16,1191257132,1375169865,PLN8943,755553,PCN452,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,1,Retail,0,0,0,950.0,10.2,960.2,37.0,876.91,46.29,38.0,26.9167,0,0,0,0,2024-01-12
RX0000002920,MBR00000078,2022-02-24,2022-02-25,1910355565,1816842245,PLN4804,863996,PCN328,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,1,Mail Order,0,1,0,12.0,6.13,18.13,147.0,0.0,1.13,0.48,0.34,0,0,0,0,2022-03-26
RX0000002921,MBR00000078,2021-09-04,2021-09-07,1419040873,1653768710,PLN8387,203463,PCN746,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,8,Retail,3,0,0,10.0,11.3,21.3,5.0,15.24,1.06,0.4,0.2833,0,0,0,0,2021-10-04
RX0000002922,MBR00000078,2023-11-27,2023-11-30,1409573054,1167370300,PLN4706,710117,PCN695,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,90,11,Retail,0,0,0,525.0,3.55,528.55,38.0,469.2,21.35,7.0,4.9583,0,0,0,0,2024-02-25
RX0000002923,MBR00000078,2023-10-19,2023-10-20,1210758465,1377200388,PLN1763,260000,PCN688,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,8,Retail,0,0,0,12.0,3.27,15.27,1.0,13.22,1.05,0.48,0.34,0,0,0,0,2023-11-18
RX0000002924,MBR00000078,2021-08-14,2021-08-16,1906644489,1721065481,PLN5121,157889,PCN676,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,4,Mail Order,0,0,0,14.0,3.47,17.47,8.0,8.81,0.66,0.56,0.3967,0,0,0,0,2021-09-13
RX0000002925,MBR00000078,2023-10-04,2023-10-07,1394882302,1859464709,PLN9360,977969,PCN881,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,1,Mail Order,2,0,0,18.0,4.26,22.26,38.0,0.0,1.56,0.72,0.51,0,0,0,0,2023-11-03
RX0000002926,MBR00000078,2022-02-04,2022-02-07,1907754065,1484317133,PLN1320,939156,PCN278,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,86,3,Retail,0,1,0,36.0,11.73,47.73,151.0,0.0,3.08,0.48,0.34,0,0,0,0,2022-05-05
RX0000002927,MBR00000078,2022-09-30,2022-10-03,1549001474,1211319540,PLN1513,425127,PCN141,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,0,Retail,0,0,0,12.0,8.09,20.09,5.0,14.09,1.0,0.48,0.34,0,0,0,0,2022-10-30
RX0000002928,MBR00000078,2021-02-17,2021-02-21,1411525235,1973756499,PLN3382,766270,PCN645,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,0,Retail,1,0,0,16.0,9.84,25.84,9.0,15.97,0.87,0.64,0.4533,0,0,0,0,2021-03-19
RX0000002929,MBR00000078,2023-08-03,2023-08-07,1294080528,1324964591,PLN9534,432991,PCN992,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,95,6,Retail,0,0,0,30.0,2.86,32.86,10.0,20.62,2.24,0.4,0.2833,0,0,0,0,2023-11-01
RX0000002930,MBR00000078,2021-03-14,2021-03-16,1696610012,1607378315,PLN1854,468266,PCN951,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,10,Mail Order,0,0,0,38.0,4.2,42.2,4.0,36.42,1.78,1.52,1.0767,0,0,0,0,2021-04-13
RX0000002931,MBR00000078,2021-08-09,2021-08-13,1173436178,1119184986,PLN4692,722162,PCN952,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,11,Specialty,2,0,0,9.0,38.95,47.95,3.0,44.95,0.0,0.36,0.255,0,0,0,0,2021-09-08
RX0000002932,MBR00000078,2023-11-13,2023-11-16,1904685091,1823363616,PLN5959,627194,PCN140,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,6,Retail,0,0,0,38.0,1.88,39.88,30.0,7.41,2.47,1.52,1.0767,0,0,0,0,2023-12-13
RX0000002933,MBR00000078,2021-05-28,2021-06-01,1971780167,1870811892,PLN2339,841519,PCN974,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,9,Retail,0,0,0,12.5,4.05,16.55,9.0,6.58,0.97,0.5,0.3542,0,0,0,0,2021-06-27
RX0000002934,MBR00000078,2022-08-03,2022-08-04,1597465607,1816306008,PLN6084,960209,PCN194,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,11,LTC,0,1,0,8.0,6.49,14.49,147.0,0.0,0.88,0.32,0.2267,0,0,0,0,2022-09-02
RX0000002935,MBR00000078,2021-09-12,2021-09-15,1103664261,1159247478,PLN5550,828324,PCN744,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,57,8,Retail,0,0,0,1500.0,5.42,1505.42,34.0,1369.08,102.34,30.0,21.25,0,0,0,0,2021-11-11
RX0000002936,MBR00000078,2023-01-19,2023-01-22,1310042484,1149114255,PLN6334,158546,PCN256,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,11,LTC,0,0,0,16.0,1.85,17.85,3.0,13.95,0.9,0.64,0.4533,0,0,0,0,2023-02-18
RX0000002937,MBR00000078,2021-11-18,2021-11-22,1700942077,1816114728,PLN2690,921416,PCN378,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,9,Retail,0,0,0,12.0,11.08,23.08,6.0,15.53,1.55,0.48,0.34,0,0,0,0,2021-12-18
RX0000002938,MBR00000078,2023-04-09,2023-04-10,1227360177,1224179929,PLN2898,321391,PCN170,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,1,Mail Order,0,0,0,9.0,11.78,20.78,9.0,10.92,0.86,0.36,0.255,0,0,0,0,2023-05-09
RX0000002939,MBR00000078,2023-02-15,2023-02-16,1365642050,1802801206,PLN1084,884584,PCN245,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,91,3,Mail Order,0,0,0,42.0,3.72,45.72,0.0,42.85,2.87,0.56,0.3967,0,0,0,0,2023-05-16
RX0000002940,MBR00000078,2023-06-20,2023-06-23,1871019591,1219128827,PLN4163,776450,PCN181,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,2,Retail,0,0,0,15.0,11.9,26.9,5.0,20.04,1.86,0.6,0.425,0,0,0,0,2023-07-20
RX0000002941,MBR00000078,2023-11-18,2023-11-20,1546880453,1810349695,PLN2033,567016,PCN387,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,7,LTC,0,0,0,14.0,1.64,15.64,10.0,4.72,0.92,0.56,0.3967,0,0,0,0,2023-12-18
RX0000002942,MBR00000078,2023-01-23,2023-01-25,1825017691,1311403453,PLN9229,736741,PCN159,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,91,2,Retail,0,0,0,30.0,2.81,32.81,3.0,28.63,1.18,0.4,0.2833,0,1,0,0,2023-04-23
RX0000002943,MBR00000078,2022-04-22,2022-04-24,1791793669,1610230581,PLN7205,776795,PCN758,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,8,Retail,0,0,0,370.0,4.62,374.62,36.0,314.91,23.71,14.8,10.4833,0,0,0,0,2022-05-22
RX0000002944,MBR00000078,2021-01-04,2021-01-08,1255266945,1491154842,PLN1842,699190,PCN242,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,11,Retail,0,0,0,18.0,11.96,29.96,40.0,0.0,1.17,0.72,0.51,1,0,0,0,2021-02-03
RX0000002945,MBR00000078,2022-12-24,2022-12-27,1154325377,1891349942,PLN1296,542613,PCN989,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,84,1,Mail Order,0,0,0,1950.0,9.26,1959.26,39.0,1798.04,122.22,26.0,18.4167,0,0,0,0,2023-03-24
RX0000002946,MBR00000078,2021-10-17,2021-10-21,1548269024,1577784109,PLN9909,189013,PCN356,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,2,Mail Order,0,0,0,12.0,11.86,23.86,10.0,13.12,0.74,0.48,0.34,0,0,0,0,2021-11-16
RX0000002947,MBR00000078,2021-11-05,2021-11-06,1160946973,1943813009,PLN7254,215939,PCN651,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,0,Retail,0,1,0,1983.33,8.46,1991.8,145.0,1737.32,109.48,340.0,240.8333,0,0,0,0,2021-11-12
RX0000002948,MBR00000078,2022-06-15,2022-06-17,1628626921,1932776397,PLN3051,305117,PCN976,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,9,Retail,0,0,0,22.0,2.32,24.32,73.0,0.0,1.42,0.88,0.6233,0,0,0,0,2022-07-15
RX0000002949,MBR00000078,2021-09-29,2021-10-02,1908704150,1526945628,PLN2482,589936,PCN354,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,9,Retail,0,0,0,18.0,7.8,25.8,3.0,22.02,0.78,0.72,0.51,0,0,0,0,2021-10-29
RX0000002950,MBR00000078,2023-12-25,2023-12-26,1234820192,1707938231,PLN9112,139855,PCN256,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,4,Retail,0,0,0,1.98,5.23,7.22,4.0,2.77,0.45,0.34,0.2408,0,0,0,0,2024-01-01
RX0000002951,MBR00000078,2021-07-18,2021-07-20,1175823058,1875027614,PLN4502,278560,PCN759,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,1,Retail,0,0,0,12.0,10.2,22.2,5.0,16.02,1.18,0.48,0.34,0,0,0,0,2021-08-17
RX0000002952,MBR00000079,2023-04-13,2023-04-16,1330146657,1599737302,PLN3087,975034,PCN996,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,10,Retail,0,0,0,15.0,4.76,19.76,9.0,9.39,1.37,0.6,0.425,0,0,0,0,2023-05-13
RX0000002953,MBR00000079,2021-06-15,2021-06-18,1264243565,1912357705,PLN4899,941281,PCN109,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,83,11,Specialty,3,0,0,135.0,14.27,149.27,2.0,147.27,0.0,1.8,1.275,0,0,0,0,2021-09-13
RX0000002954,MBR00000079,2021-03-24,2021-03-25,1436773534,1593324175,PLN4447,171904,PCN364,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,5,Specialty,0,0,0,65.0,40.3,105.3,37.0,68.3,0.0,2.6,1.8417,0,0,0,0,2021-04-23
RX0000002955,MBR00000079,2021-07-31,2021-08-03,1222696529,1793598776,PLN3612,937909,PCN973,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,56,5,Mail Order,1,0,0,17.0,3.72,20.72,0.0,19.92,0.8,0.34,0.2408,0,0,0,0,2021-09-29
RX0000002956,MBR00000079,2021-07-15,2021-07-19,1964242665,1157146359,PLN9376,933007,PCN526,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,10,Mail Order,0,0,0,22.0,6.9,28.9,3.0,24.91,0.99,0.88,0.6233,0,0,0,0,2021-08-14
RX0000002957,MBR00000079,2023-02-12,2023-02-13,1856835503,1391809123,PLN9146,337027,PCN800,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,4,Retail,0,0,0,320.0,4.04,324.04,37.0,267.71,19.33,12.8,9.0667,0,0,0,0,2023-03-14
RX0000002958,MBR00000079,2021-04-13,2021-04-14,1711942491,1427483486,PLN8175,716975,PCN372,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,88,11,Retail,0,0,0,37.5,5.75,43.25,5.0,36.93,1.32,0.5,0.3542,0,0,0,0,2021-07-12
RX0000002959,MBR00000079,2023-07-29,2023-07-31,1694813952,1634198324,PLN1170,310772,PCN373,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,4,Retail,0,0,0,12.5,6.63,19.13,10.0,8.36,0.77,0.5,0.3542,0,0,0,0,2023-08-28
RX0000002960,MBR00000079,2021-08-03,2021-08-07,1771634239,1816774601,PLN6995,380539,PCN202,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,4,Mail Order,0,0,0,18.0,9.65,27.65,6.0,20.07,1.58,0.72,0.51,0,0,0,0,2021-09-02
RX0000002961,MBR00000079,2023-06-15,2023-06-16,1533228163,1201882116,PLN3748,716361,PCN225,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,8,Mail Order,0,0,0,11.0,9.63,20.63,6.0,13.98,0.65,0.44,0.3117,0,0,0,0,2023-07-15
RX0000002962,MBR00000079,2021-08-10,2021-08-11,1529838498,1402014395,PLN2451,673876,PCN414,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,11,Mail Order,1,0,0,18.0,1.75,19.75,10.0,8.89,0.86,0.72,0.51,0,0,0,0,2021-09-09
RX0000002963,MBR00000079,2023-11-13,2023-11-16,1196313816,1739170968,PLN8588,985754,PCN292,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,0,Retail,0,0,0,9.0,7.95,16.95,3.0,13.38,0.57,0.36,0.255,0,0,0,0,2023-12-13
RX0000002964,MBR00000079,2023-06-29,2023-07-03,1104503626,1426077026,PLN9633,859431,PCN897,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,11,Mail Order,0,0,0,11.0,3.52,14.52,1.0,12.96,0.56,0.44,0.3117,0,0,0,0,2023-07-29
RX0000002965,MBR00000079,2023-03-10,2023-03-11,1646214098,1577059534,PLN3569,659658,PCN604,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,81,9,Specialty,0,0,0,930.0,17.14,947.14,38.0,909.14,0.0,12.4,8.7833,0,1,1,0,2023-06-08
RX0000002966,MBR00000079,2023-05-10,2023-05-14,1821206948,1370388087,PLN5158,768911,PCN722,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,10,Retail,0,0,0,8.5,4.27,12.77,8.0,4.05,0.72,0.34,0.2408,0,0,0,0,2023-06-09
RX0000002967,MBR00000079,2022-09-11,2022-09-13,1282428678,1324161852,PLN1251,213157,PCN197,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,4,Mail Order,0,0,0,7.5,6.13,13.63,5.0,7.69,0.94,0.3,0.2125,0,0,0,0,2022-10-11
RX0000002968,MBR00000079,2021-07-07,2021-07-11,1990488793,1434059530,PLN7292,477157,PCN796,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,11,Retail,0,0,0,38.0,4.17,42.17,3.0,36.98,2.19,1.52,1.0767,1,0,0,0,2021-08-06
RX0000002969,MBR00000079,2022-07-08,2022-07-11,1485531895,1734011264,PLN9047,166829,PCN779,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,1,Retail,0,0,0,285.0,2.37,287.37,40.0,229.98,17.39,11.4,8.075,0,0,0,0,2022-08-07
RX0000002970,MBR00000079,2022-04-10,2022-04-13,1733838891,1362836412,PLN9784,944572,PCN144,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,9,Mail Order,0,0,0,22.0,1.6,23.6,75.0,0.0,1.41,0.88,0.6233,0,0,0,0,2022-05-10
RX0000002971,MBR00000079,2023-05-14,2023-05-17,1333377572,1521048608,PLN6659,753750,PCN889,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,90,5,Retail,0,0,0,855.0,6.95,861.95,31.0,805.05,25.9,11.4,8.075,0,0,0,0,2023-08-12
RX0000002972,MBR00000079,2021-04-26,2021-04-29,1259780299,1997703475,PLN9989,709164,PCN387,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,65,9,Retail,0,1,0,12400.0,5.51,12405.51,152.0,11615.91,637.6,248.0,175.6667,0,0,0,0,2021-06-25
RX0000002973,MBR00000079,2022-09-06,2022-09-08,1837900508,1774312646,PLN1613,107572,PCN406,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,11,Retail,0,0,0,18.0,2.42,20.42,6.0,13.22,1.2,0.72,0.51,0,0,0,0,2022-10-06
RX0000002974,MBR00000079,2021-05-31,2021-06-01,1587166817,1120758817,PLN3265,998450,PCN494,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,0,Specialty,0,0,0,9.0,12.64,21.64,3.0,18.64,0.0,0.36,0.255,0,0,0,0,2021-06-30
RX0000002975,MBR00000079,2021-04-11,2021-04-12,1401881759,1956147057,PLN2365,212148,PCN398,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,96,0,Retail,3,0,1,36.0,11.04,47.04,8.0,35.9,3.14,0.48,0.34,0,0,0,0,2021-07-10
RX0000002976,MBR00000079,2022-06-12,2022-06-15,1663620538,1589071108,PLN8706,129313,PCN463,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,7,Retail,0,0,0,9.0,4.41,13.41,9.0,4.01,0.4,0.36,0.255,0,0,0,0,2022-07-12
RX0000002977,MBR00000079,2022-08-21,2022-08-24,1870106381,1535747608,PLN9515,302808,PCN951,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,3,Retail,0,0,0,18.0,4.34,22.34,6.0,14.91,1.43,0.72,0.51,0,0,0,0,2022-09-20
RX0000002978,MBR00000079,2022-01-29,2022-01-31,1514131449,1822337369,PLN2622,180281,PCN336,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,58,6,Retail,0,0,0,18.0,10.0,28.0,10.0,16.75,1.25,0.36,0.255,0,0,0,0,2022-03-30
RX0000002979,MBR00000079,2021-08-31,2021-09-02,1185916706,1655655565,PLN9505,171326,PCN674,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,54,7,Retail,0,0,0,90.0,10.54,100.54,9.0,84.67,6.87,1.8,1.275,0,0,0,0,2021-10-30
RX0000002980,MBR00000079,2023-09-29,2023-10-02,1824353271,1839862334,PLN8833,221318,PCN182,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,81,1,Retail,0,0,0,36.0,9.27,45.27,7.0,35.95,2.32,0.48,0.34,0,0,0,0,2023-12-28
RX0000002981,MBR00000079,2022-08-25,2022-08-28,1617653335,1583222496,PLN8641,992826,PCN672,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,4,Specialty,0,0,0,10.0,24.32,34.32,0.0,34.32,0.0,0.4,0.2833,0,0,0,0,2022-09-24
RX0000002982,MBR00000079,2021-08-11,2021-08-14,1634340957,1554572033,PLN8647,809349,PCN288,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,5,Specialty,2,0,0,285.0,23.86,308.86,31.0,277.86,0.0,11.4,8.075,0,0,0,0,2021-09-10
RX0000002983,MBR00000079,2022-08-16,2022-08-20,1260191939,1234036793,PLN2568,954703,PCN139,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,4,LTC,0,0,0,4.2,1.86,6.06,0.0,5.64,0.42,0.72,0.51,0,0,0,0,2022-08-23
RX0000002984,MBR00000079,2023-02-24,2023-02-25,1639842431,1992277789,PLN2829,527896,PCN108,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,89,8,Retail,0,0,0,36.0,6.07,42.07,7.0,33.36,1.71,0.48,0.34,0,0,0,0,2023-05-25
RX0000002985,MBR00000079,2021-10-24,2021-10-26,1786440083,1601760136,PLN3017,410638,PCN275,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,7,Retail,0,0,0,10.0,7.89,17.89,0.0,16.88,1.01,0.4,0.2833,0,0,0,0,2021-11-23
RX0000002986,MBR00000079,2022-10-03,2022-10-04,1383045889,1446476148,PLN5436,880881,PCN879,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,5,Retail,3,0,0,950.0,2.46,952.46,37.0,879.84,35.62,38.0,26.9167,0,0,0,0,2022-11-02
RX0000002987,MBR00000079,2023-12-27,2023-12-30,1899485304,1727602260,PLN3967,310073,PCN473,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,1,Retail,0,0,0,15.0,10.64,25.64,9.0,15.13,1.51,0.6,0.425,0,0,0,0,2024-01-26
RX0000002988,MBR00000079,2023-10-01,2023-10-05,1926185687,1745574906,PLN5973,977527,PCN412,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,11,Retail,0,0,0,1.98,1.86,3.84,9.0,0.0,0.26,0.34,0.2408,0,0,0,0,2023-10-08
RX0000002989,MBR00000080,2023-02-11,2023-02-15,1307154360,1365004932,PLN3210,975403,PCN611,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,6,Retail,0,0,0,72.33,11.66,84.0,34.0,46.9,3.1,12.4,8.7833,0,0,0,0,2023-02-18
RX0000002990,MBR00000080,2022-03-30,2022-04-03,1324689882,1474881170,PLN2051,867870,PCN476,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,63,2,Mail Order,0,0,0,22.0,10.26,32.26,9.0,21.42,1.84,0.44,0.3117,0,0,0,0,2022-05-29
RX0000002991,MBR00000080,2022-08-30,2022-09-01,1257695944,1653983636,PLN4775,615179,PCN729,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,1,Retail,0,0,0,11.0,8.75,19.75,8.0,10.38,1.37,0.44,0.3117,0,0,0,0,2022-09-29
RX0000002992,MBR00000080,2023-08-11,2023-08-13,1534484676,1127782706,PLN7816,922916,PCN381,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,7,Retail,0,0,0,320.0,11.58,331.58,31.0,281.36,19.22,12.8,9.0667,0,0,0,0,2023-09-10
RX0000002993,MBR00000080,2023-01-23,2023-01-25,1288404110,1413113247,PLN1759,194269,PCN836,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,86,10,Specialty,0,0,0,855.0,41.08,896.08,35.0,861.08,0.0,11.4,8.075,0,0,0,0,2023-04-23
RX0000002994,MBR00000080,2023-05-07,2023-05-11,1590335121,1845607883,PLN6909,364559,PCN708,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,4,Retail,1,0,0,950.0,2.66,952.66,34.0,876.08,42.58,38.0,26.9167,0,1,1,0,2023-06-06
RX0000002995,MBR00000080,2022-04-15,2022-04-16,1633164078,1587565085,PLN7578,649680,PCN712,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,0,Mail Order,0,0,0,950.0,8.0,958.0,40.0,863.02,54.98,38.0,26.9167,0,0,0,0,2022-05-15
RX0000002996,MBR00000080,2021-05-09,2021-05-13,1443872283,1474928196,PLN5699,715998,PCN554,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,85,2,Mail Order,0,0,0,27.0,7.73,34.73,4.0,28.8,1.93,0.36,0.255,0,0,0,0,2021-08-07
RX0000002997,MBR00000080,2023-01-12,2023-01-14,1630309279,1998962991,PLN5382,924279,PCN720,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,11,Retail,2,0,0,7.5,6.73,14.23,2.0,11.55,0.68,0.3,0.2125,0,0,0,0,2023-02-11
RX0000002998,MBR00000080,2023-07-29,2023-08-02,1948826269,1609629012,PLN8518,261217,PCN766,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,8,Retail,0,0,0,320.0,11.35,331.35,39.0,277.23,15.12,12.8,9.0667,0,0,0,0,2023-08-28
RX0000002999,MBR00000080,2023-04-18,2023-04-22,1790425953,1135281065,PLN8824,872275,PCN178,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,5,Retail,0,0,0,11.0,7.5,18.5,10.0,7.43,1.07,0.44,0.3117,0,0,0,0,2023-05-18
RX0000003000,MBR00000080,2022-08-31,2022-09-03,1954399040,1760571403,PLN4931,599944,PCN573,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,90,5,Retail,3,0,0,36.0,5.73,41.73,9.0,31.22,1.51,0.48,0.34,0,0,0,0,2022-11-29
RX0000003001,MBR00000080,2022-01-13,2022-01-15,1833574917,1959454622,PLN2085,870164,PCN899,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,8,Mail Order,3,0,0,18.0,6.59,24.59,33.0,0.0,0.86,0.72,0.51,0,0,0,0,2022-02-12
RX0000003002,MBR00000080,2021-11-29,2021-12-03,1104486181,1699733995,PLN8625,193514,PCN305,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,3,Retail,2,1,0,6200.0,4.49,6204.49,146.0,5699.7,358.79,248.0,175.6667,0,0,0,0,2021-12-29
RX0000003003,MBR00000080,2021-01-07,2021-01-08,1805608857,1298125710,PLN6992,628813,PCN217,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,0,Retail,0,0,0,9.0,5.31,14.31,3.0,10.43,0.88,0.36,0.255,0,0,0,0,2021-02-06
RX0000003004,MBR00000080,2022-10-24,2022-10-25,1611208613,1209898315,PLN1627,806944,PCN304,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,7,Retail,0,1,0,8500.0,1.59,8501.59,155.0,8068.26,278.33,340.0,240.8333,0,0,0,0,2022-11-23
RX0000003005,MBR00000080,2021-05-30,2021-06-01,1301105447,1192298485,PLN7466,687976,PCN404,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,96,8,Retail,0,0,0,42.0,5.39,47.39,7.0,37.25,3.14,0.56,0.3967,0,0,0,0,2021-08-28
RX0000003006,MBR00000080,2021-05-29,2021-06-01,1734994823,1132601687,PLN3711,382169,PCN523,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,8,Mail Order,0,0,0,28.0,10.76,38.76,10.0,26.56,2.2,1.12,0.7933,0,0,0,0,2021-06-28
RX0000003007,MBR00000080,2023-11-01,2023-11-05,1496876431,1662894252,PLN8535,594408,PCN320,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,1,Retail,0,0,0,650.0,8.89,658.89,31.0,588.48,39.41,26.0,18.4167,0,0,0,0,2023-12-01
RX0000003008,MBR00000080,2023-10-10,2023-10-12,1253395458,1958703745,PLN7210,942178,PCN139,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,5,Retail,0,1,0,12.0,1.61,13.61,150.0,0.0,0.42,0.48,0.34,0,0,0,0,2023-11-09
RX0000003009,MBR00000080,2022-04-28,2022-04-29,1289189942,1619186981,PLN1005,940068,PCN122,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,5,Specialty,0,0,0,950.0,45.57,995.57,31.0,964.57,0.0,38.0,26.9167,0,0,0,0,2022-05-28
RX0000003010,MBR00000080,2023-12-16,2023-12-18,1860623656,1632690563,PLN7352,501369,PCN308,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,88,3,Retail,3,0,0,525.0,10.18,535.18,30.0,489.01,16.17,7.0,4.9583,0,0,0,0,2024-03-15
RX0000003011,MBR00000080,2023-02-22,2023-02-24,1463802264,1602366243,PLN2082,105447,PCN720,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,4,Retail,0,0,0,370.0,10.17,380.17,34.0,333.17,13.0,14.8,10.4833,0,0,0,0,2023-03-24
RX0000003012,MBR00000080,2021-10-19,2021-10-20,1942947335,1121627261,PLN7977,606567,PCN133,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,7,Retail,0,0,0,285.0,3.78,288.78,39.0,233.58,16.2,11.4,8.075,0,0,0,0,2021-11-18
RX0000003013,MBR00000080,2021-07-04,2021-07-05,1790264145,1543117707,PLN6699,148743,PCN694,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,10,Mail Order,0,0,0,330.0,9.13,339.13,32.0,292.11,15.02,13.2,9.35,0,0,0,0,2021-08-03
RX0000003014,MBR00000080,2023-04-05,2023-04-08,1829105414,1644661293,PLN4938,675641,PCN854,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,5,Specialty,0,0,0,38.0,40.32,78.32,30.0,48.32,0.0,1.52,1.0767,0,0,0,0,2023-05-05
RX0000003015,MBR00000080,2022-06-23,2022-06-25,1776497827,1605106099,PLN7649,506158,PCN626,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,10,Retail,0,0,0,7.5,5.78,13.28,6.0,6.81,0.47,0.3,0.2125,0,0,0,0,2022-07-23
RX0000003016,MBR00000080,2023-02-17,2023-02-18,1187875536,1166355029,PLN7336,635550,PCN642,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,85,7,Mail Order,0,0,0,36.0,10.16,46.16,5.0,38.17,2.99,0.48,0.34,0,0,0,0,2023-05-18
RX0000003017,MBR00000080,2022-12-04,2022-12-06,1470877558,1608166130,PLN1999,843924,PCN810,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,82,2,Retail,0,0,0,84.0,9.5,93.5,3.0,84.4,6.1,1.12,0.7933,0,0,0,0,2023-03-04
RX0000003018,MBR00000080,2023-02-04,2023-02-06,1144556718,1970083427,PLN5442,215839,PCN174,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,64,6,Retail,0,0,0,28.0,6.51,34.51,0.0,33.42,1.09,0.56,0.3967,0,0,0,0,2023-04-05
RX0000003019,MBR00000080,2022-01-30,2022-02-01,1452817719,1615641810,PLN5132,236172,PCN142,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,62,4,LTC,1,0,0,640.0,6.61,646.61,30.0,587.72,28.89,12.8,9.0667,0,0,0,0,2022-03-31
RX0000003020,MBR00000080,2023-07-09,2023-07-11,1330199563,1624381546,PLN4425,660490,PCN267,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,1,Retail,0,0,0,18.0,11.35,29.35,8.0,19.75,1.6,0.72,0.51,0,0,0,0,2023-08-08
RX0000003021,MBR00000080,2023-03-14,2023-03-18,1827334419,1586887576,PLN8205,466533,PCN444,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,9,Retail,0,0,0,45.0,7.47,52.47,7.0,43.46,2.01,1.8,1.275,0,0,0,0,2023-04-13
RX0000003022,MBR00000080,2021-11-12,2021-11-14,1541621938,1580300985,PLN9606,526867,PCN813,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,56,9,Retail,0,0,0,570.0,9.82,579.82,34.0,526.82,19.0,11.4,8.075,0,0,0,0,2022-01-11
RX0000003023,MBR00000080,2023-07-16,2023-07-18,1572138689,1800403928,PLN3388,758029,PCN124,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,11,Retail,0,0,0,950.0,4.45,954.45,36.0,872.26,46.19,38.0,26.9167,0,0,0,0,2023-08-15
RX0000003024,MBR00000080,2021-05-21,2021-05-22,1274638651,1631169882,PLN1676,532905,PCN397,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,7,Specialty,0,0,0,750.0,43.74,793.74,40.0,753.74,0.0,30.0,21.25,0,0,0,0,2021-06-20
RX0000003025,MBR00000080,2021-03-21,2021-03-23,1406855642,1115428843,PLN6573,567270,PCN837,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,85,2,LTC,0,1,0,18600.0,6.03,18606.03,154.0,17556.62,895.41,248.0,175.6667,0,0,0,0,2021-06-19
RX0000003026,MBR00000080,2021-09-06,2021-09-09,1938616214,1928165585,PLN5174,344767,PCN982,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,2,Retail,0,0,0,22.0,5.19,27.19,67.0,0.0,1.84,0.88,0.6233,1,0,0,0,2021-10-06
RX0000003027,MBR00000080,2022-09-05,2022-09-09,1794844050,1816851339,PLN9389,234464,PCN302,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,97,8,Retail,3,0,0,45.0,5.33,50.33,10.0,37.5,2.83,0.6,0.425,1,0,0,0,2022-12-04
RX0000003028,MBR00000080,2021-02-25,2021-02-27,1145215006,1974684752,PLN9620,539830,PCN377,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,4,Mail Order,2,0,1,9.0,2.52,11.52,8.0,3.05,0.47,0.36,0.255,0,0,0,0,2021-03-27
RX0000003029,MBR00000080,2023-02-20,2023-02-23,1969547520,1114965102,PLN9409,838310,PCN541,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,84,7,Retail,0,0,0,22.5,8.96,31.46,8.0,21.7,1.76,0.3,0.2125,0,0,0,0,2023-05-21
RX0000003030,MBR00000080,2023-01-09,2023-01-13,1142992471,1950362834,PLN1668,915892,PCN737,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,2,Specialty,0,0,1,9.0,9.16,18.16,4.0,14.16,0.0,0.36,0.255,0,0,0,0,2023-02-08
RX0000003031,MBR00000080,2021-09-20,2021-09-24,1131619212,1336441038,PLN1113,559226,PCN200,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,87,4,Retail,3,0,0,1110.0,11.7,1121.7,33.0,1031.51,57.19,14.8,10.4833,0,0,0,0,2021-12-19
RX0000003032,MBR00000080,2023-05-23,2023-05-27,1384226384,1628788894,PLN8750,619641,PCN752,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,81,10,Retail,0,0,0,195.0,4.38,199.38,30.0,159.44,9.94,2.6,1.8417,0,0,0,0,2023-08-21
RX0000003033,MBR00000080,2022-05-22,2022-05-23,1956809218,1952792839,PLN3081,450801,PCN520,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,6,Retail,0,0,0,10.0,5.65,15.65,9.0,5.61,1.04,0.4,0.2833,0,0,0,0,2022-06-21
RX0000003034,MBR00000080,2022-02-17,2022-02-21,1342118431,1565114622,PLN6464,290811,PCN107,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,10,Retail,0,0,0,15.0,2.07,17.07,1.0,15.05,1.02,0.6,0.425,0,0,0,0,2022-03-19
RX0000003035,MBR00000080,2021-03-30,2021-04-02,1157548492,1490954553,PLN3365,596628,PCN837,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,1,LTC,0,0,0,950.0,10.72,960.72,31.0,872.87,56.85,38.0,26.9167,0,0,0,0,2021-04-29
RX0000003036,MBR00000080,2023-02-18,2023-02-22,1709948466,1261569040,PLN3397,819984,PCN829,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,8,Retail,0,0,0,11.0,5.47,16.47,6.0,9.93,0.54,0.44,0.3117,0,0,0,0,2023-03-20
RX0000003037,MBR00000080,2023-02-23,2023-02-25,1742307159,1555806293,PLN6972,272458,PCN321,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,62,2,Retail,0,0,0,20.0,2.57,22.57,9.0,12.02,1.55,0.4,0.2833,1,0,0,0,2023-04-24
RX0000003038,MBR00000081,2023-03-27,2023-03-29,1164201261,1911531789,PLN6729,622929,PCN349,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,95,6,Mail Order,2,1,0,8400.0,5.88,8405.88,150.0,7927.28,328.6,112.0,79.3333,1,0,0,0,2023-06-25
RX0000003039,MBR00000081,2023-10-26,2023-10-29,1817121659,1226351436,PLN6657,828158,PCN360,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,8,Mail Order,0,0,0,11.0,2.03,13.03,4.0,8.51,0.52,0.44,0.3117,0,0,0,0,2023-11-25
RX0000003040,MBR00000081,2022-03-14,2022-03-15,1181750826,1642591952,PLN9601,339614,PCN758,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,92,2,Retail,0,0,0,555.0,11.79,566.79,38.0,494.94,33.85,7.4,5.2417,0,0,0,0,2022-06-12
RX0000003041,MBR00000081,2023-05-11,2023-05-14,1177501166,1421574236,PLN7891,457646,PCN378,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,8,Retail,0,0,0,10.0,8.54,18.54,8.0,9.69,0.85,0.4,0.2833,0,0,0,0,2023-06-10
RX0000003042,MBR00000081,2022-09-05,2022-09-09,1140460143,1850215589,PLN4704,106018,PCN173,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,0,Retail,0,0,0,12.0,11.58,23.58,1.0,20.98,1.6,0.48,0.34,0,0,0,0,2022-10-05
RX0000003043,MBR00000081,2023-07-09,2023-07-13,1146210259,1707988124,PLN6676,648092,PCN862,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,5,Retail,0,1,0,8.0,2.74,10.74,149.0,0.0,0.71,0.32,0.2267,0,0,0,0,2023-08-08
RX0000003044,MBR00000081,2023-03-12,2023-03-15,1226475224,1888520869,PLN8148,753683,PCN665,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,4,Mail Order,0,1,0,8.0,9.04,17.04,152.0,0.0,0.67,0.32,0.2267,0,0,0,0,2023-04-11
RX0000003045,MBR00000081,2021-05-11,2021-05-14,1126329131,1996798454,PLN4195,291769,PCN383,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,6,Retail,1,0,0,310.0,9.73,319.73,30.0,272.74,16.99,12.4,8.7833,0,0,0,0,2021-06-10
RX0000003046,MBR00000081,2022-03-01,2022-03-03,1734397926,1881235891,PLN2679,217880,PCN133,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,1,Specialty,0,0,0,14.0,25.15,39.15,6.0,33.15,0.0,0.56,0.3967,0,0,0,0,2022-03-31
RX0000003047,MBR00000081,2021-10-04,2021-10-08,1831734737,1391451597,PLN9151,258486,PCN470,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,11,Retail,0,0,0,310.0,4.82,314.82,32.0,271.53,11.29,12.4,8.7833,0,0,0,0,2021-11-03
RX0000003048,MBR00000081,2022-11-29,2022-12-02,1284025398,1736085731,PLN6650,468437,PCN618,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,7,Retail,0,0,0,42.0,2.65,44.65,4.0,37.64,3.01,0.56,0.3967,0,0,0,0,2023-02-27
RX0000003049,MBR00000081,2021-09-01,2021-09-04,1885738548,1203314147,PLN5494,248634,PCN783,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,84,4,Retail,0,0,0,48.0,4.33,52.33,4.0,44.98,3.35,0.64,0.4533,0,0,0,0,2021-11-30
RX0000003050,MBR00000081,2022-01-08,2022-01-11,1849290992,1824406230,PLN4951,441644,PCN288,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,3,Specialty,0,0,0,28.0,22.83,50.83,4.0,46.83,0.0,1.12,0.7933,0,0,0,0,2022-02-07
RX0000003051,MBR00000081,2022-12-28,2023-01-01,1473677921,1459919453,PLN5302,882679,PCN237,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,4,Retail,2,0,0,18.0,8.04,26.04,3.0,22.11,0.93,0.72,0.51,0,0,0,0,2023-01-27
RX0000003052,MBR00000081,2021-11-26,2021-11-28,1293909204,1711193629,PLN8712,546202,PCN104,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,98,3,Mail Order,0,0,0,2250.0,2.44,2252.44,31.0,2112.14,109.3,30.0,21.25,0,0,0,0,2022-02-24
RX0000003053,MBR00000081,2022-05-14,2022-05-18,1945812660,1783879137,PLN7172,352727,PCN390,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,6,Specialty,0,0,0,18.0,26.79,44.79,0.0,44.79,0.0,0.72,0.51,0,0,0,0,2022-06-13
RX0000003054,MBR00000081,2023-10-05,2023-10-09,1571576052,1854958359,PLN5951,213605,PCN293,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,3,Retail,0,0,0,12.0,10.59,22.59,0.0,21.24,1.35,0.48,0.34,0,0,0,0,2023-11-04
RX0000003055,MBR00000081,2021-01-02,2021-01-03,1697693252,1928532901,PLN1944,229827,PCN336,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,5,Retail,0,0,0,9.0,10.66,19.66,5.0,13.63,1.03,0.36,0.255,0,0,0,0,2021-02-01
RX0000003056,MBR00000081,2021-06-10,2021-06-13,1516729460,1462823737,PLN5228,322773,PCN496,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,1,Retail,0,0,0,12.0,2.14,14.14,1.0,12.53,0.61,0.48,0.34,0,0,0,0,2021-07-10
RX0000003057,MBR00000081,2021-04-07,2021-04-09,1415857979,1938981134,PLN4996,216076,PCN773,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,0,Mail Order,0,1,0,12.0,10.8,22.8,152.0,0.0,0.82,0.48,0.34,0,0,0,0,2021-05-07
RX0000003058,MBR00000081,2021-12-13,2021-12-16,1937389715,1802710153,PLN9097,934914,PCN455,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,8,Retail,0,0,0,175.0,3.62,178.62,34.0,134.6,10.02,7.0,4.9583,0,0,0,0,2022-01-12
RX0000003059,MBR00000081,2023-01-11,2023-01-13,1449015968,1987555099,PLN2751,460763,PCN108,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,92,8,Retail,0,0,0,30.0,3.57,33.57,5.0,26.89,1.68,0.4,0.2833,0,0,0,0,2023-04-11
RX0000003060,MBR00000081,2021-10-27,2021-10-31,1760972474,1417909822,PLN5154,558168,PCN306,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,95,1,Retail,0,0,0,36.0,5.34,41.34,2.0,37.46,1.88,0.48,0.34,0,0,0,0,2022-01-25
RX0000003061,MBR00000081,2023-03-14,2023-03-18,1178099905,1165705080,PLN7829,702609,PCN189,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,7,Retail,0,0,0,12.0,5.9,17.9,5.0,12.14,0.76,0.48,0.34,0,0,0,0,2023-04-13
RX0000003062,MBR00000081,2022-05-27,2022-05-30,1869222797,1181859716,PLN2789,420132,PCN500,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,10,Retail,0,0,0,43.17,5.46,48.62,40.0,6.04,2.58,7.4,5.2417,0,0,0,0,2022-06-03
RX0000003063,MBR00000081,2023-10-01,2023-10-03,1588476045,1493991550,PLN3706,931170,PCN992,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,3,Retail,0,0,0,38.0,10.93,48.93,36.0,11.41,1.52,1.52,1.0767,0,0,0,0,2023-10-31
RX0000003064,MBR00000081,2021-07-07,2021-07-11,1316444260,1277556086,PLN3787,458594,PCN865,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,4,Retail,1,0,0,3.73,8.4,12.14,7.0,4.71,0.43,0.64,0.4533,0,0,0,0,2021-07-14
RX0000003065,MBR00000081,2022-08-29,2022-08-31,1212957123,1479514822,PLN3543,202515,PCN988,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,62,11,Retail,0,0,0,36.0,8.32,44.32,0.0,41.3,3.02,0.72,0.51,0,0,0,0,2022-10-28
RX0000003066,MBR00000081,2021-07-06,2021-07-09,1854665150,1666123843,PLN6006,852387,PCN375,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,4,Retail,0,0,0,8.5,7.67,16.17,9.0,6.34,0.83,0.34,0.2408,0,0,0,0,2021-08-05
RX0000003067,MBR00000081,2022-03-20,2022-03-23,1735783908,1814166295,PLN2653,821260,PCN373,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,81,11,Retail,0,0,0,30.0,6.78,36.78,10.0,24.68,2.1,0.4,0.2833,0,0,0,0,2022-06-18
RX0000003068,MBR00000081,2021-09-04,2021-09-08,1317091786,1627852421,PLN3962,522249,PCN497,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,0,Retail,0,0,0,14.0,5.48,19.48,2.0,16.37,1.11,0.56,0.3967,0,0,0,0,2021-10-04
RX0000003069,MBR00000081,2023-02-10,2023-02-12,1864363806,1118699784,PLN6091,238259,PCN923,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,6,Retail,2,0,0,18.0,11.72,29.72,32.0,0.0,1.94,0.72,0.51,1,0,0,0,2023-03-12
RX0000003070,MBR00000081,2022-06-24,2022-06-28,1483640397,1861276202,PLN6756,536806,PCN707,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,4,Specialty,0,0,0,12.0,41.61,53.61,9.0,44.61,0.0,0.48,0.34,0,0,0,0,2022-07-24
RX0000003071,MBR00000081,2023-04-04,2023-04-07,1732774468,1853659088,PLN6704,525506,PCN926,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,91,9,Retail,0,0,0,555.0,7.45,562.45,37.0,491.38,34.07,7.4,5.2417,0,0,0,0,2023-07-03
RX0000003072,MBR00000081,2021-03-20,2021-03-24,1818473750,1679942942,PLN2865,330340,PCN523,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,8,Mail Order,0,0,0,18.0,10.24,28.24,2.0,24.43,1.81,0.72,0.51,0,0,0,0,2021-04-19
RX0000003073,MBR00000081,2021-10-01,2021-10-04,1327820806,1192933233,PLN5569,242199,PCN846,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,62,5,Specialty,0,0,0,36.0,25.7,61.7,8.0,53.7,0.0,0.72,0.51,0,0,0,0,2021-11-30
RX0000003074,MBR00000081,2021-01-05,2021-01-06,1509639052,1164504942,PLN4096,361524,PCN629,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,95,3,Retail,0,0,0,135.0,5.23,140.23,8.0,126.38,5.85,1.8,1.275,0,0,0,0,2021-04-05
RX0000003075,MBR00000081,2021-12-31,2022-01-01,1525133459,1279158250,PLN4817,830464,PCN609,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,4,Retail,3,0,0,14.0,9.1,23.1,7.0,14.85,1.25,0.56,0.3967,1,0,0,0,2022-01-30
RX0000003076,MBR00000081,2021-01-06,2021-01-08,1777468531,1557778848,PLN2753,337397,PCN406,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,7,Retail,3,0,0,38.0,1.57,39.57,33.0,4.34,2.23,1.52,1.0767,0,0,0,0,2021-02-05
RX0000003077,MBR00000081,2023-01-05,2023-01-06,1804806388,1776382715,PLN7445,486773,PCN104,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,82,7,Mail Order,0,1,0,24.0,6.36,30.36,150.0,0.0,2.07,0.32,0.2267,0,0,0,0,2023-04-05
RX0000003078,MBR00000081,2022-09-18,2022-09-19,1305957368,1372270748,PLN4828,419997,PCN523,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,11,Retail,0,0,0,8.5,10.47,18.97,5.0,12.8,1.17,0.34,0.2408,0,0,0,0,2022-10-18
RX0000003079,MBR00000081,2023-09-25,2023-09-29,1939202097,1600423566,PLN4722,633034,PCN759,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,4,Retail,0,0,0,8.87,9.57,18.44,0.0,17.58,0.86,1.52,1.0767,0,0,0,0,2023-10-02
RX0000003080,MBR00000081,2022-12-20,2022-12-24,1572739686,1750631929,PLN7271,490420,PCN255,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,2,Retail,0,0,0,12.0,5.95,17.95,4.0,13.01,0.94,0.48,0.34,0,0,0,0,2023-01-19
RX0000003081,MBR00000081,2021-10-18,2021-10-22,1577103470,1334042529,PLN5198,852455,PCN503,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,98,10,Retail,3,0,0,48.0,10.99,58.99,9.0,46.74,3.25,0.64,0.4533,0,0,0,0,2022-01-16
RX0000003082,MBR00000081,2021-05-15,2021-05-18,1841320312,1537593909,PLN9328,680693,PCN246,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,9,Mail Order,0,0,0,22.0,8.49,30.49,0.0,29.01,1.48,0.88,0.6233,0,0,0,0,2021-06-14
RX0000003083,MBR00000081,2023-12-13,2023-12-16,1777336720,1433181671,PLN7609,686396,PCN742,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,85,10,Mail Order,0,0,0,37.5,11.71,49.21,4.0,43.31,1.9,0.5,0.3542,0,0,0,0,2024-03-12
RX0000003084,MBR00000081,2023-07-05,2023-07-06,1119465661,1140129772,PLN1439,299129,PCN374,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,60,6,Retail,0,0,0,740.0,6.94,746.94,32.0,673.48,41.46,14.8,10.4833,0,0,0,0,2023-09-03
RX0000003085,MBR00000081,2022-08-25,2022-08-27,1356860766,1898347953,PLN7153,236401,PCN226,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,4,Retail,0,0,0,16.0,10.51,26.51,0.0,25.04,1.47,0.64,0.4533,0,0,0,0,2022-09-24
RX0000003086,MBR00000081,2022-11-28,2022-11-29,1255005230,1553281657,PLN6981,767795,PCN487,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,3,Specialty,3,0,0,3.27,32.68,35.95,2.0,33.95,0.0,0.56,0.3967,1,0,0,0,2022-12-05
RX0000003087,MBR00000081,2022-06-15,2022-06-19,1357972759,1671848346,PLN7539,635717,PCN891,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,92,1,Retail,0,0,0,555.0,7.05,562.05,35.0,497.61,29.44,7.4,5.2417,0,0,0,0,2022-09-13
RX0000003088,MBR00000081,2021-09-25,2021-09-29,1874254488,1519750818,PLN9751,816925,PCN510,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,10,Retail,0,0,0,28.0,4.98,32.98,1.0,29.75,2.23,1.12,0.7933,0,0,0,0,2021-10-25
RX0000003089,MBR00000081,2021-05-18,2021-05-20,1693176970,1718353626,PLN6486,486039,PCN479,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,2,Mail Order,0,0,0,480.0,6.79,486.79,32.0,431.9,22.89,19.2,13.6,0,0,0,0,2021-06-17
RX0000003090,MBR00000081,2022-01-16,2022-01-17,1888182134,1677801667,PLN1553,513144,PCN361,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,2,Retail,0,1,0,8500.0,5.48,8505.48,153.0,7758.54,593.94,340.0,240.8333,0,0,0,0,2022-02-15
RX0000003091,MBR00000082,2021-11-13,2021-11-16,1922971245,1393854874,PLN7656,661930,PCN220,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,81,11,LTC,0,0,0,37.5,7.4,44.9,10.0,32.22,2.68,0.5,0.3542,0,0,0,0,2022-02-11
RX0000003092,MBR00000082,2023-04-12,2023-04-15,1312923266,1949982885,PLN9761,801621,PCN530,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,6,Retail,0,0,0,9.0,10.32,19.32,9.0,9.65,0.67,0.36,0.255,0,0,0,0,2023-05-12
RX0000003093,MBR00000082,2022-03-31,2022-04-03,1754095047,1462345407,PLN1453,480685,PCN978,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,60,4,Mail Order,1,0,0,30.0,4.91,34.91,1.0,32.85,1.06,0.6,0.425,0,0,0,0,2022-05-30
RX0000003094,MBR00000082,2023-08-24,2023-08-27,1875027496,1303379865,PLN1174,623572,PCN294,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,11,Mail Order,0,0,0,950.0,8.66,958.66,35.0,860.55,63.11,38.0,26.9167,0,0,0,0,2023-09-23
RX0000003095,MBR00000082,2021-04-14,2021-04-17,1176958058,1591429876,PLN3858,894610,PCN948,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,650.0,7.71,657.71,35.0,581.39,41.32,26.0,18.4167,0,0,0,0,2021-05-14
RX0000003096,MBR00000082,2023-12-07,2023-12-10,1873494124,1485154696,PLN8787,431988,PCN322,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,91,11,Retail,0,0,0,195.0,2.65,197.65,40.0,150.29,7.36,2.6,1.8417,0,0,0,0,2024-03-06
RX0000003097,MBR00000082,2023-03-19,2023-03-23,1952836229,1805797092,PLN8717,910186,PCN164,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,54,2,Specialty,0,0,0,25.0,47.16,72.16,0.0,72.16,0.0,0.5,0.3542,0,0,0,0,2023-05-18
RX0000003098,MBR00000082,2022-03-16,2022-03-19,1412323502,1541530809,PLN3082,477454,PCN773,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,2,Mail Order,0,0,0,65.0,11.65,76.65,32.0,40.34,4.31,2.6,1.8417,0,0,0,0,2022-04-15
RX0000003099,MBR00000082,2023-12-18,2023-12-22,1680587115,1144901185,PLN3589,582025,PCN751,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,92,8,Retail,0,0,0,42.0,2.65,44.65,0.0,43.21,1.44,0.56,0.3967,0,0,0,0,2024-03-17
RX0000003100,MBR00000082,2022-01-17,2022-01-21,1326258887,1883796824,PLN6177,133793,PCN198,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,11,Retail,0,0,0,18.0,8.03,26.03,36.0,0.0,1.6,0.72,0.51,0,0,0,0,2022-02-16
RX0000003101,MBR00000082,2023-09-05,2023-09-07,1608342882,1999154734,PLN1225,849123,PCN441,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,6,Retail,2,0,0,66.5,7.6,74.1,36.0,33.12,4.98,11.4,8.075,0,0,0,0,2023-09-12
RX0000003102,MBR00000082,2022-11-14,2022-11-17,1424544354,1518009421,PLN9868,926917,PCN373,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,7,Mail Order,0,0,0,11.0,6.86,17.86,0.0,16.67,1.19,0.44,0.3117,0,0,0,0,2022-12-14
RX0000003103,MBR00000082,2023-10-25,2023-10-27,1549481434,1719663318,PLN3141,774807,PCN827,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,84,0,Retail,0,0,0,930.0,6.86,936.86,31.0,852.94,52.92,12.4,8.7833,0,0,0,0,2024-01-23
RX0000003104,MBR00000082,2021-08-07,2021-08-09,1310459118,1626751675,PLN7006,562837,PCN779,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,7,Retail,0,0,0,12.0,4.33,16.33,7.0,8.41,0.92,0.48,0.34,0,0,0,0,2021-09-06
RX0000003105,MBR00000082,2023-03-13,2023-03-16,1525854907,1551179317,PLN8747,654300,PCN118,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,97,3,LTC,0,0,0,2250.0,1.53,2251.53,30.0,2066.81,154.72,30.0,21.25,0,0,0,0,2023-06-11
RX0000003106,MBR00000082,2022-12-21,2022-12-23,1443918603,1375214387,PLN9345,627490,PCN269,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,6,Retail,0,0,0,45.0,10.74,55.74,0.0,51.98,3.76,1.8,1.275,0,0,0,0,2023-01-20
RX0000003107,MBR00000082,2023-01-18,2023-01-19,1505084459,1923139587,PLN2528,781187,PCN693,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,96,3,Retail,0,0,0,54.0,5.07,59.07,5.0,50.23,3.84,0.72,0.51,0,0,0,0,2023-04-18
RX0000003108,MBR00000082,2023-09-22,2023-09-24,1361162810,1272125373,PLN2280,909879,PCN314,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,85,1,Retail,0,0,0,27.0,6.55,33.55,10.0,21.84,1.71,0.36,0.255,0,1,0,0,2023-12-21
RX0000003109,MBR00000082,2023-10-31,2023-11-03,1601005587,1956884638,PLN4760,142391,PCN536,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,2,Retail,0,0,0,12.5,4.39,16.89,7.0,9.14,0.75,0.5,0.3542,0,0,0,0,2023-11-30
RX0000003110,MBR00000082,2021-01-15,2021-01-16,1466555858,1148338102,PLN2483,784751,PCN146,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,5,Specialty,3,0,0,12.0,46.91,58.91,10.0,48.91,0.0,0.48,0.34,0,0,0,0,2021-02-14
RX0000003111,MBR00000082,2023-06-18,2023-06-20,1145449357,1733279479,PLN8879,413721,PCN726,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,85,6,Retail,0,0,0,30.0,5.2,35.2,8.0,26.12,1.08,0.4,0.2833,0,0,0,0,2023-09-16
RX0000003112,MBR00000082,2022-10-12,2022-10-13,1885625522,1766263583,PLN5846,847900,PCN668,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,4,Mail Order,2,0,0,15.0,11.87,26.87,6.0,19.9,0.97,0.6,0.425,0,0,0,0,2022-11-11
RX0000003113,MBR00000082,2021-12-12,2021-12-16,1967849536,1406141149,PLN5274,585665,PCN756,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,57,2,Retail,0,0,0,620.0,4.61,624.61,36.0,551.94,36.67,12.4,8.7833,0,0,0,0,2022-02-10
RX0000003114,MBR00000082,2022-07-22,2022-07-26,1625543487,1201912681,PLN7919,993270,PCN395,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,81,0,Retail,0,0,0,1950.0,7.71,1957.71,40.0,1839.09,78.62,26.0,18.4167,0,0,0,0,2022-10-20
RX0000003115,MBR00000082,2022-12-25,2022-12-28,1553779348,1303412768,PLN4071,895437,PCN938,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,0,Retail,0,0,0,175.0,3.24,178.24,39.0,128.26,10.98,7.0,4.9583,0,0,0,0,2023-01-24
RX0000003116,MBR00000082,2022-07-26,2022-07-30,1335744837,1780381774,PLN3879,791599,PCN593,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,9,Mail Order,2,0,0,9.0,3.03,12.03,9.0,2.59,0.44,0.36,0.255,0,1,0,0,2022-08-25
RX0000003117,MBR00000082,2021-05-18,2021-05-22,1316126247,1868205804,PLN9293,517395,PCN866,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,7,Retail,0,0,0,43.17,5.7,48.87,35.0,10.51,3.36,7.4,5.2417,0,0,0,0,2021-05-25
RX0000003118,MBR00000082,2023-11-04,2023-11-08,1847555799,1999904858,PLN3142,837511,PCN198,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,6,Retail,0,0,0,10.0,2.52,12.52,10.0,1.7,0.82,0.4,0.2833,0,0,0,0,2023-12-04
RX0000003119,MBR00000082,2022-05-27,2022-05-31,1196628959,1819421915,PLN1541,386532,PCN449,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,55,11,Retail,0,0,0,24.0,8.49,32.49,10.0,20.8,1.69,0.48,0.34,0,0,0,0,2022-07-26
RX0000003120,MBR00000082,2022-08-10,2022-08-11,1413224521,1258610301,PLN4258,594882,PCN319,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,0,Retail,0,0,0,14.0,3.83,17.83,7.0,9.67,1.16,0.56,0.3967,0,0,0,0,2022-09-09
RX0000003121,MBR00000082,2021-07-13,2021-07-16,1281198555,1104279914,PLN8704,164282,PCN726,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,4,Retail,0,0,0,18.0,2.13,20.13,5.0,14.32,0.81,0.72,0.51,0,0,0,0,2021-08-12
RX0000003122,MBR00000083,2021-04-10,2021-04-11,1932242319,1340708803,PLN6219,368030,PCN340,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,1,Mail Order,0,0,0,18.0,8.81,26.81,4.0,21.22,1.59,0.72,0.51,0,0,0,0,2021-05-10
RX0000003123,MBR00000083,2021-03-13,2021-03-17,1497268501,1841892751,PLN5472,104283,PCN269,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,4,Retail,2,0,0,10.0,4.49,14.49,9.0,4.89,0.6,0.4,0.2833,0,0,0,0,2021-04-12
RX0000003124,MBR00000083,2021-12-30,2022-01-03,1350055961,1449723865,PLN6670,211701,PCN395,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,9,Retail,0,0,0,14.0,9.49,23.49,10.0,12.73,0.76,0.56,0.3967,0,1,0,0,2022-01-29
RX0000003125,MBR00000083,2022-12-09,2022-12-10,1738335171,1769226229,PLN4311,391589,PCN421,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,7,LTC,0,0,0,380.0,6.39,386.39,40.0,319.69,26.7,15.2,10.7667,0,1,1,0,2023-01-08
RX0000003126,MBR00000083,2023-09-07,2023-09-09,1514377860,1784627352,PLN8313,270992,PCN961,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,61,1,Retail,1,0,1,24.0,4.02,28.02,1.0,25.57,1.45,0.48,0.34,0,0,0,0,2023-11-06
RX0000003127,MBR00000083,2022-12-05,2022-12-08,1497497516,1127955594,PLN2778,784896,PCN771,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,92,11,Retail,0,0,0,25.5,1.7,27.2,4.0,22.12,1.08,0.34,0.2408,0,0,0,0,2023-03-05
RX0000003128,MBR00000083,2021-08-30,2021-09-01,1700052503,1610577821,PLN1613,813445,PCN120,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,5,Retail,0,0,0,1440.0,5.19,1445.19,39.0,1331.87,74.32,19.2,13.6,0,0,0,0,2021-11-28
RX0000003129,MBR00000083,2022-05-06,2022-05-09,1700145750,1858559197,PLN5819,373880,PCN836,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,5,Mail Order,1,0,0,18.0,8.29,26.29,4.0,21.25,1.04,0.72,0.51,0,0,0,0,2022-06-05
RX0000003130,MBR00000083,2021-10-08,2021-10-12,1968856312,1908313348,PLN6223,258509,PCN528,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,2,Retail,0,0,0,22.0,1.8,23.8,2.0,20.93,0.87,0.88,0.6233,0,0,0,0,2021-11-07
RX0000003131,MBR00000083,2023-08-22,2023-08-23,1829828793,1519200244,PLN9253,209950,PCN328,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,3,Mail Order,2,0,0,2.33,8.59,10.92,1.0,9.32,0.6,0.4,0.2833,0,0,0,0,2023-08-29
RX0000003132,MBR00000083,2022-05-08,2022-05-10,1626462019,1604194779,PLN5767,327976,PCN966,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,9,Retail,0,0,0,22.0,10.23,32.23,74.0,0.0,1.25,0.88,0.6233,0,0,0,0,2022-06-07
RX0000003133,MBR00000083,2023-06-21,2023-06-22,1808278567,1748060809,PLN2021,174141,PCN946,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,10,Retail,0,0,0,4.2,7.5,11.7,9.0,2.07,0.63,0.72,0.51,0,0,0,0,2023-06-28
RX0000003134,MBR00000083,2021-05-15,2021-05-17,1820034977,1338198141,PLN2180,442906,PCN795,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,81,6,LTC,3,0,0,42.0,3.62,45.62,0.0,42.43,3.19,0.56,0.3967,0,0,0,0,2021-08-13
RX0000003135,MBR00000083,2023-01-19,2023-01-20,1138401052,1555960008,PLN7216,381856,PCN406,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,1,Retail,2,0,0,4.2,9.81,14.01,6.0,7.1,0.91,0.72,0.51,1,0,0,0,2023-01-26
RX0000003136,MBR00000083,2023-11-23,2023-11-26,1148241252,1690008035,PLN2111,906416,PCN123,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,57,6,Mail Order,2,0,0,44.0,5.94,49.94,68.0,0.0,2.59,0.88,0.6233,0,0,0,0,2024-01-22
RX0000003137,MBR00000083,2023-09-14,2023-09-15,1728239774,1296021850,PLN2806,157000,PCN877,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,96,3,Retail,0,0,0,114.0,6.01,120.01,5.0,111.28,3.73,1.52,1.0767,0,0,0,0,2023-12-13
RX0000003138,MBR00000083,2021-05-14,2021-05-17,1153441089,1168234257,PLN8205,833735,PCN935,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,2,Retail,2,0,0,175.0,10.38,185.38,38.0,137.69,9.69,7.0,4.9583,0,0,0,0,2021-06-13
RX0000003139,MBR00000083,2022-01-17,2022-01-19,1694457958,1310543975,PLN5297,111317,PCN732,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,8,Retail,2,0,0,9.0,5.18,14.18,6.0,7.19,0.99,0.36,0.255,0,0,0,0,2022-02-16
RX0000003140,MBR00000083,2021-01-04,2021-01-08,1629673469,1793411687,PLN4433,791662,PCN149,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,11,Retail,0,0,0,175.0,2.36,177.36,35.0,134.7,7.66,7.0,4.9583,0,0,0,0,2021-02-03
RX0000003141,MBR00000083,2022-04-16,2022-04-19,1671524387,1733743082,PLN2019,501299,PCN228,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,5,Retail,0,0,1,18.0,10.14,28.14,5.0,21.65,1.49,0.72,0.51,0,0,0,0,2022-05-16
RX0000003142,MBR00000083,2023-05-05,2023-05-07,1926729790,1349070147,PLN6834,376078,PCN353,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,9,Retail,0,0,0,22.0,10.34,32.34,5.0,25.28,2.06,0.88,0.6233,0,0,0,0,2023-06-04
RX0000003143,MBR00000083,2022-04-22,2022-04-25,1329161314,1806114293,PLN5311,229523,PCN567,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,94,7,Mail Order,0,0,0,30.0,11.11,41.11,7.0,31.85,2.26,0.4,0.2833,0,0,0,0,2022-07-21
RX0000003144,MBR00000083,2022-08-21,2022-08-24,1677094258,1673011142,PLN1879,453545,PCN794,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,2,Retail,0,0,0,8.5,2.11,10.61,6.0,4.08,0.53,0.34,0.2408,0,0,0,0,2022-09-20
RX0000003145,MBR00000083,2023-10-19,2023-10-23,1635837762,1329381375,PLN9697,696318,PCN290,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,11,Mail Order,0,0,0,10.0,4.02,14.02,6.0,7.45,0.57,0.4,0.2833,0,0,0,0,2023-11-18
RX0000003146,MBR00000083,2021-09-10,2021-09-13,1138401945,1662538492,PLN8455,738447,PCN295,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,1,Retail,0,1,0,6200.0,11.27,6211.27,153.0,5663.97,394.3,248.0,175.6667,0,0,0,0,2021-10-10
RX0000003147,MBR00000083,2022-05-12,2022-05-14,1117834833,1656300387,PLN1551,934943,PCN588,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,8,Mail Order,0,0,0,151.67,10.4,162.07,37.0,115.25,9.82,26.0,18.4167,0,0,0,0,2022-05-19
RX0000003148,MBR00000083,2022-01-27,2022-01-28,1120330452,1504085574,PLN3391,959758,PCN367,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,2,Mail Order,0,0,0,480.0,2.71,482.71,33.0,434.17,15.54,19.2,13.6,0,1,1,0,2022-02-26
RX0000003149,MBR00000083,2023-12-26,2023-12-27,1916012975,1567737416,PLN4644,570135,PCN951,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,58,2,Retail,0,0,0,1900.0,3.16,1903.16,36.0,1786.33,80.83,38.0,26.9167,0,0,0,0,2024-02-24
RX0000003150,MBR00000083,2022-09-24,2022-09-27,1480436937,1821374186,PLN1734,438649,PCN401,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,9,Mail Order,0,0,0,185.0,9.78,194.78,36.0,146.59,12.19,7.4,5.2417,0,0,0,0,2022-10-24
RX0000003151,MBR00000083,2023-07-15,2023-07-19,1323270354,1849320410,PLN4208,980634,PCN369,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,11,Mail Order,0,0,0,185.0,7.82,192.82,30.0,152.42,10.4,7.4,5.2417,0,0,0,0,2023-08-14
RX0000003152,MBR00000083,2023-01-08,2023-01-09,1460571282,1572278723,PLN2830,639620,PCN470,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,0,Retail,0,0,0,12.0,5.2,17.2,9.0,7.28,0.92,0.48,0.34,0,0,0,0,2023-02-07
RX0000003153,MBR00000083,2022-06-17,2022-06-18,1707304918,1418480214,PLN6285,656980,PCN850,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,11,Retail,3,0,0,16.0,10.44,26.44,9.0,15.68,1.76,0.64,0.4533,0,0,0,0,2022-07-17
RX0000003154,MBR00000083,2022-10-19,2022-10-22,1272345261,1240710812,PLN5161,644935,PCN633,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,3,Mail Order,0,0,0,14.0,8.85,22.85,4.0,17.95,0.9,0.56,0.3967,0,0,0,0,2022-11-18
RX0000003155,MBR00000083,2023-09-06,2023-09-08,1737496873,1760312516,PLN8565,610658,PCN723,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,84,1,Retail,0,0,0,990.0,4.92,994.92,39.0,923.39,32.53,13.2,9.35,0,0,0,0,2023-12-05
RX0000003156,MBR00000083,2022-05-18,2022-05-20,1292368661,1371355248,PLN8013,736481,PCN576,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,3,Retail,3,0,0,12.0,3.5,15.5,1.0,13.53,0.97,0.48,0.34,0,0,0,0,2022-06-17
RX0000003157,MBR00000083,2023-08-28,2023-08-31,1845553050,1435525616,PLN6146,975058,PCN737,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,86,2,Retail,0,0,0,42.0,1.54,43.54,1.0,39.9,2.64,0.56,0.3967,0,0,0,0,2023-11-26
RX0000003158,MBR00000083,2021-12-09,2021-12-10,1156398106,1956870359,PLN1849,366662,PCN585,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,89,0,Retail,2,0,0,36.0,7.41,43.41,4.0,36.79,2.62,0.48,0.34,0,0,0,0,2022-03-09
RX0000003159,MBR00000083,2023-10-24,2023-10-25,1255878000,1604681023,PLN4527,221721,PCN769,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,0,Specialty,0,0,0,9.0,37.67,46.67,10.0,36.67,0.0,0.36,0.255,0,0,0,0,2023-11-23
RX0000003160,MBR00000083,2022-06-12,2022-06-13,1249139556,1205394681,PLN8070,173479,PCN117,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,9,Retail,0,0,0,185.0,3.5,188.5,39.0,140.32,9.18,7.4,5.2417,0,0,0,0,2022-07-12
RX0000003161,MBR00000083,2022-09-30,2022-10-04,1817682780,1143597232,PLN2455,367834,PCN920,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,55,5,LTC,0,0,0,36.0,6.31,42.31,0.0,40.82,1.49,0.72,0.51,0,0,0,0,2022-11-29
RX0000003162,MBR00000083,2023-07-08,2023-07-11,1646816121,1790411642,PLN8581,698102,PCN230,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,2,Mail Order,0,0,1,54.0,3.32,57.32,30.0,24.91,2.41,0.72,0.51,0,0,0,0,2023-10-06
RX0000003163,MBR00000083,2023-09-09,2023-09-12,1360416891,1911412229,PLN1969,921975,PCN440,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,6,Retail,0,0,0,950.0,2.83,952.83,38.0,876.2,38.63,38.0,26.9167,0,0,0,0,2023-10-09
RX0000003164,MBR00000083,2022-04-28,2022-04-29,1913814533,1948224757,PLN7266,703646,PCN204,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,90,1,Retail,0,0,0,25.5,2.41,27.91,1.0,25.5,1.41,0.34,0.2408,0,0,0,0,2022-07-27
RX0000003165,MBR00000083,2022-01-03,2022-01-07,1789581165,1152274958,PLN3969,836143,PCN825,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,8,Specialty,0,0,0,10.0,18.12,28.12,9.0,19.12,0.0,0.4,0.2833,1,0,0,0,2022-02-02
RX0000003166,MBR00000083,2022-02-11,2022-02-15,1933880281,1592236461,PLN2841,582823,PCN944,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,5,Retail,3,1,0,8.0,3.42,11.42,155.0,0.0,0.67,0.32,0.2267,0,0,0,0,2022-03-13
RX0000003167,MBR00000083,2021-01-10,2021-01-11,1793484872,1134007762,PLN3397,480523,PCN871,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,98,3,Specialty,0,0,0,66.0,44.7,110.7,3.0,107.7,0.0,0.88,0.6233,0,0,0,0,2021-04-10
RX0000003168,MBR00000083,2022-09-28,2022-09-29,1750212810,1713328654,PLN6341,781206,PCN381,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,97,7,Retail,1,0,0,30.0,10.89,40.89,9.0,30.02,1.87,0.4,0.2833,0,0,0,0,2022-12-27
RX0000003169,MBR00000083,2021-04-10,2021-04-11,1705891796,1326869656,PLN6027,774030,PCN214,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,84,8,Retail,0,0,0,30.0,9.39,39.39,3.0,34.25,2.14,0.4,0.2833,0,0,0,0,2021-07-09
RX0000003170,MBR00000083,2023-07-01,2023-07-05,1214326444,1503266058,PLN9103,464991,PCN481,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,90,8,Specialty,0,0,0,30.0,49.85,79.85,8.0,71.85,0.0,0.4,0.2833,0,0,0,0,2023-09-29
RX0000003171,MBR00000083,2022-08-25,2022-08-29,1539414129,1919709693,PLN9629,495789,PCN622,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,83,5,Retail,0,1,0,24.0,1.81,25.81,150.0,0.0,1.68,0.32,0.2267,0,0,0,0,2022-11-23
RX0000003172,MBR00000083,2021-08-22,2021-08-23,1280741035,1825309136,PLN5875,936173,PCN780,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,0,Retail,0,0,0,9.0,2.91,11.91,7.0,4.54,0.37,0.36,0.255,0,1,0,0,2021-09-21
RX0000003173,MBR00000083,2023-11-12,2023-11-14,1172228109,1732261617,PLN7514,200428,PCN228,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,65,8,Retail,0,0,0,76.0,10.83,86.83,4.0,79.32,3.51,1.52,1.0767,0,0,0,0,2024-01-11
RX0000003174,MBR00000083,2021-09-18,2021-09-19,1675419052,1560810335,PLN6751,849386,PCN425,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,88,2,Mail Order,0,0,0,135.0,2.48,137.48,6.0,123.54,7.94,1.8,1.275,0,0,0,0,2021-12-17
RX0000003175,MBR00000083,2022-11-25,2022-11-26,1378712650,1597142402,PLN2185,576740,PCN623,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,88,8,Mail Order,0,0,0,990.0,4.52,994.52,38.0,923.62,32.9,13.2,9.35,0,0,0,0,2023-02-23
RX0000003176,MBR00000083,2023-03-17,2023-03-19,1101499980,1954068547,PLN7779,996033,PCN467,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,7,Retail,0,0,0,18.0,3.02,21.02,30.0,0.0,1.08,0.72,0.51,0,0,0,0,2023-04-16
RX0000003177,MBR00000083,2023-11-13,2023-11-16,1914771978,1863296269,PLN4125,718004,PCN800,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,81,6,Retail,0,0,0,27.0,7.55,34.55,9.0,24.15,1.4,0.36,0.255,1,0,0,0,2024-02-11
RX0000003178,MBR00000083,2021-03-15,2021-03-18,1902443187,1359759469,PLN4322,805467,PCN478,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,7,Mail Order,0,0,0,4.2,8.33,12.53,10.0,2.09,0.44,0.72,0.51,0,0,0,0,2021-03-22
RX0000003179,MBR00000083,2021-12-28,2021-12-29,1544608274,1693258304,PLN4477,482567,PCN680,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,54,2,Retail,0,0,0,36.0,3.7,39.7,0.0,37.81,1.89,0.72,0.51,0,0,0,0,2022-02-26
RX0000003180,MBR00000084,2021-05-21,2021-05-24,1349102700,1841620042,PLN1315,555071,PCN202,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,10,Retail,0,0,0,16.0,10.09,26.09,7.0,18.3,0.79,0.64,0.4533,0,0,0,0,2021-06-20
RX0000003181,MBR00000084,2022-03-31,2022-04-02,1887297638,1259795655,PLN4791,960400,PCN118,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,11,Mail Order,0,0,0,18.0,3.31,21.31,38.0,0.0,0.84,0.72,0.51,0,0,0,0,2022-04-30
RX0000003182,MBR00000084,2021-02-03,2021-02-04,1489782740,1251209698,PLN9575,523057,PCN331,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,57,0,Retail,2,0,0,24.0,3.96,27.96,5.0,21.33,1.63,0.48,0.34,0,0,0,0,2021-04-04
RX0000003183,MBR00000084,2021-09-18,2021-09-19,1936156854,1301803157,PLN3584,992402,PCN617,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,7,Retail,0,0,0,185.0,11.07,196.07,35.0,148.46,12.61,7.4,5.2417,0,0,0,0,2021-10-18
RX0000003184,MBR00000084,2022-11-20,2022-11-23,1246729651,1372192744,PLN8846,270521,PCN306,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,97,4,Retail,0,0,0,555.0,8.41,563.41,35.0,505.22,23.19,7.4,5.2417,0,0,0,0,2023-02-18
RX0000003185,MBR00000084,2022-06-03,2022-06-04,1420929906,1736378773,PLN7645,222677,PCN961,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,10,Retail,0,0,0,12.5,7.62,20.12,10.0,8.85,1.27,0.5,0.3542,0,0,0,0,2022-07-03
RX0000003186,MBR00000084,2022-05-20,2022-05-24,1727806652,1250032878,PLN1096,340849,PCN476,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,88,2,Retail,0,0,0,22.5,2.31,24.81,6.0,17.42,1.39,0.3,0.2125,0,0,0,0,2022-08-18
RX0000003187,MBR00000084,2023-05-29,2023-06-01,1433157975,1424890936,PLN2325,997348,PCN891,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,9,Retail,3,0,0,330.0,3.45,333.45,33.0,290.21,10.24,13.2,9.35,0,0,0,0,2023-06-28
RX0000003188,MBR00000084,2021-01-29,2021-02-02,1340142124,1141653583,PLN4500,822332,PCN108,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,0,Specialty,0,0,0,8.5,48.92,57.42,0.0,57.42,0.0,0.34,0.2408,0,0,0,0,2021-02-28
RX0000003189,MBR00000084,2021-08-28,2021-08-31,1601610654,1700286221,PLN6882,188701,PCN915,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,9,Retail,0,0,0,38.0,10.58,48.58,30.0,16.73,1.85,1.52,1.0767,0,0,0,0,2021-09-27
RX0000003190,MBR00000084,2023-10-06,2023-10-09,1329856513,1984646865,PLN1129,536823,PCN415,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,59,10,Mail Order,3,0,0,76.0,11.38,87.38,9.0,73.64,4.74,1.52,1.0767,0,0,0,0,2023-12-05
RX0000003191,MBR00000084,2021-03-21,2021-03-24,1236260310,1886272255,PLN6042,855993,PCN399,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,4,Retail,1,0,0,22.0,6.45,28.45,72.0,0.0,1.53,0.88,0.6233,0,0,0,0,2021-04-20
RX0000003192,MBR00000084,2022-08-19,2022-08-20,1760580496,1326612711,PLN4666,964770,PCN769,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,10,Mail Order,0,0,0,38.0,8.86,46.86,4.0,39.91,2.95,1.52,1.0767,0,0,0,0,2022-09-18
RX0000003193,MBR00000084,2023-04-22,2023-04-24,1629741984,1904982766,PLN8544,113060,PCN403,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,57,4,Specialty,0,0,0,17.0,33.61,50.61,10.0,40.61,0.0,0.34,0.2408,0,0,0,0,2023-06-21
RX0000003194,MBR00000084,2022-05-15,2022-05-19,1829819194,1254677656,PLN5324,898011,PCN664,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,98,5,Retail,0,0,0,54.0,5.1,59.1,1.0,55.54,2.56,0.72,0.51,0,0,0,0,2022-08-13
RX0000003195,MBR00000084,2023-06-03,2023-06-06,1581082697,1430017895,PLN1692,991863,PCN263,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,55,10,Retail,0,0,0,36.0,10.1,46.1,6.0,38.09,2.01,0.72,0.51,0,0,0,0,2023-08-02
RX0000003196,MBR00000085,2021-10-31,2021-11-02,1333963998,1158460360,PLN2780,388004,PCN869,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,7,Retail,0,0,0,16.0,4.98,20.98,8.0,11.74,1.24,0.64,0.4533,0,0,0,0,2021-11-30
RX0000003197,MBR00000085,2021-01-31,2021-02-01,1856142603,1453908361,PLN4722,563880,PCN426,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,7,Retail,0,0,0,11.0,6.68,17.68,2.0,14.53,1.15,0.44,0.3117,0,0,0,0,2021-03-02
RX0000003198,MBR00000085,2023-03-13,2023-03-14,1710095306,1391470717,PLN4066,269305,PCN859,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,96,11,Specialty,0,0,0,114.0,46.23,160.23,10.0,150.23,0.0,1.52,1.0767,0,0,0,0,2023-06-11
RX0000003199,MBR00000085,2023-11-25,2023-11-26,1790601364,1167950768,PLN3052,323977,PCN842,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,4,Retail,0,0,0,950.0,2.82,952.82,36.0,873.6,43.22,38.0,26.9167,0,0,0,0,2023-12-25
RX0000003200,MBR00000085,2021-11-12,2021-11-15,1733811994,1175092427,PLN3013,709296,PCN689,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,83,11,Retail,0,0,0,22.5,3.13,25.63,3.0,21.42,1.21,0.3,0.2125,0,0,0,0,2022-02-10
RX0000003201,MBR00000085,2021-10-10,2021-10-13,1497011393,1952880465,PLN8941,731414,PCN988,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,97,0,Retail,0,0,0,195.0,5.8,200.8,31.0,162.1,7.7,2.6,1.8417,0,0,0,0,2022-01-08
RX0000003202,MBR00000085,2023-12-21,2023-12-24,1169146195,1408532122,PLN3929,614311,PCN780,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,98,0,Retail,1,0,0,2850.0,3.83,2853.83,32.0,2651.36,170.47,38.0,26.9167,0,0,0,0,2024-03-20
RX0000003203,MBR00000085,2022-04-13,2022-04-17,1720218086,1597239311,PLN7698,878705,PCN765,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,6,Retail,0,0,0,38.0,10.87,48.87,1.0,44.63,3.24,1.52,1.0767,0,0,0,0,2022-05-13
RX0000003204,MBR00000085,2023-10-10,2023-10-14,1526826952,1957630524,PLN6386,935714,PCN925,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,10,Retail,0,0,0,12.5,6.99,19.49,6.0,12.63,0.86,0.5,0.3542,0,0,0,0,2023-11-09
RX0000003205,MBR00000085,2023-05-02,2023-05-06,1814157950,1554489409,PLN2652,694959,PCN531,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,4,Mail Order,0,0,0,18.0,11.41,29.41,2.0,25.6,1.81,0.72,0.51,0,0,0,0,2023-06-01
RX0000003206,MBR00000085,2022-11-14,2022-11-15,1630408637,1285354191,PLN8825,123397,PCN743,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,0,Retail,3,1,1,1.87,8.57,10.44,154.0,0.0,0.42,0.32,0.2267,0,0,0,0,2022-11-21
RX0000003207,MBR00000086,2022-07-29,2022-07-30,1465686617,1306817810,PLN5295,280018,PCN242,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,9,Mail Order,0,0,0,480.0,7.39,487.39,37.0,429.47,20.92,19.2,13.6,0,0,0,0,2022-08-28
RX0000003208,MBR00000086,2022-01-05,2022-01-09,1226166252,1867158068,PLN2659,734379,PCN534,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,89,11,Retail,0,0,0,36.0,5.24,41.24,9.0,30.7,1.54,0.48,0.34,1,0,0,0,2022-04-05
RX0000003209,MBR00000086,2023-07-10,2023-07-11,1933047027,1208884191,PLN9726,448865,PCN500,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,6,Retail,0,0,0,950.0,2.26,952.26,30.0,875.71,46.55,38.0,26.9167,0,0,0,0,2023-08-09
RX0000003210,MBR00000086,2021-07-05,2021-07-08,1884548145,1506974612,PLN6190,872528,PCN608,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,60,10,Retail,0,0,1,640.0,11.62,651.62,39.0,580.37,32.25,12.8,9.0667,0,0,0,0,2021-09-03
RX0000003211,MBR00000086,2022-12-09,2022-12-12,1859232466,1335475070,PLN6413,376789,PCN415,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,83,9,Retail,0,0,0,30.0,6.69,36.69,4.0,31.36,1.33,0.4,0.2833,1,0,0,0,2023-03-09
RX0000003212,MBR00000086,2023-01-21,2023-01-24,1811362843,1222286901,PLN6628,767428,PCN373,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,2,Specialty,0,0,0,10.0,21.34,31.34,10.0,21.34,0.0,0.4,0.2833,0,0,0,0,2023-02-20
RX0000003213,MBR00000086,2021-05-14,2021-05-16,1905266715,1574507445,PLN2843,686145,PCN833,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,5,Retail,0,0,0,3.73,9.92,13.65,7.0,5.7,0.95,0.64,0.4533,0,0,0,0,2021-05-21
RX0000003214,MBR00000086,2022-04-06,2022-04-10,1303404576,1149286342,PLN2526,606751,PCN120,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,6,Retail,2,0,0,45.0,6.16,51.16,9.0,40.26,1.9,1.8,1.275,0,0,0,0,2022-05-06
RX0000003215,MBR00000086,2021-09-12,2021-09-15,1736481180,1488758863,PLN4405,191819,PCN157,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,2,Retail,0,0,0,16.0,5.25,21.25,10.0,10.36,0.89,0.64,0.4533,0,0,0,0,2021-10-12
RX0000003216,MBR00000086,2022-09-05,2022-09-06,1732572043,1807990655,PLN9149,162692,PCN623,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,0,Retail,1,1,0,2800.0,5.7,2805.7,154.0,2461.81,189.89,112.0,79.3333,0,0,0,0,2022-10-05
RX0000003217,MBR00000086,2023-03-13,2023-03-16,1696881321,1511708474,PLN1574,401465,PCN208,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,83,5,Specialty,0,0,0,22.5,42.94,65.44,3.0,62.44,0.0,0.3,0.2125,0,0,0,0,2023-06-11
RX0000003218,MBR00000086,2023-02-11,2023-02-13,1991841740,1114015121,PLN3021,643795,PCN574,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,11,Retail,0,0,0,9.0,3.99,12.99,9.0,3.16,0.83,0.36,0.255,0,0,0,0,2023-03-13
RX0000003219,MBR00000086,2021-09-05,2021-09-07,1365837338,1648414241,PLN2717,871481,PCN344,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,3,Retail,0,0,0,650.0,5.49,655.49,37.0,576.05,42.44,26.0,18.4167,1,0,0,0,2021-10-05
RX0000003220,MBR00000086,2021-02-11,2021-02-14,1885879375,1946282831,PLN8347,202288,PCN771,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,3,Retail,0,1,0,6200.0,9.13,6209.13,154.0,5729.75,325.38,248.0,175.6667,0,0,0,0,2021-03-13
RX0000003221,MBR00000086,2023-02-10,2023-02-14,1643341054,1695758502,PLN2655,474590,PCN380,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,81,2,Retail,0,0,0,195.0,3.5,198.5,35.0,150.56,12.94,2.6,1.8417,0,0,0,0,2023-05-11
RX0000003222,MBR00000086,2021-07-06,2021-07-10,1116054377,1536449152,PLN2066,679848,PCN118,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,83,7,Retail,0,0,0,30.0,9.0,39.0,4.0,32.68,2.32,0.4,0.2833,0,0,0,0,2021-10-04
RX0000003223,MBR00000086,2021-11-03,2021-11-06,1246225970,1750679978,PLN9369,987584,PCN849,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,85,8,Retail,0,0,0,30.0,5.46,35.46,4.0,29.78,1.68,0.4,0.2833,0,0,0,0,2022-02-01
RX0000003224,MBR00000086,2023-04-26,2023-04-27,1136188698,1949971130,PLN1603,999163,PCN730,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,2,Retail,0,0,0,22.0,10.34,32.34,68.0,0.0,0.97,0.88,0.6233,0,0,0,0,2023-05-26
RX0000003225,MBR00000087,2021-06-03,2021-06-04,1257780858,1945086850,PLN9861,687152,PCN350,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,81,9,Retail,0,0,0,22.5,4.17,26.67,9.0,16.72,0.95,0.3,0.2125,0,0,0,0,2021-09-01
RX0000003226,MBR00000087,2022-11-01,2022-11-03,1589857592,1183552550,PLN7710,289050,PCN982,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,3,Retail,0,0,0,36.0,1.59,37.59,1.0,34.19,2.4,0.48,0.34,1,0,0,0,2023-01-30
RX0000003227,MBR00000087,2022-07-20,2022-07-21,1204133146,1263885793,PLN6812,702061,PCN275,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,6,Retail,0,1,0,8.0,8.73,16.73,150.0,0.0,0.65,0.32,0.2267,0,0,0,0,2022-08-19
RX0000003228,MBR00000087,2023-05-31,2023-06-04,1242073109,1139829890,PLN8278,413445,PCN986,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,7,Retail,0,0,0,12.5,1.66,14.16,6.0,7.42,0.74,0.5,0.3542,0,0,0,0,2023-06-30
RX0000003229,MBR00000087,2021-11-13,2021-11-16,1755264238,1237172287,PLN6022,481108,PCN548,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,81,10,Retail,0,0,0,22.5,7.17,29.67,8.0,20.43,1.24,0.3,0.2125,0,0,0,0,2022-02-11
RX0000003230,MBR00000087,2021-08-28,2021-08-30,1557066743,1216340644,PLN1402,639153,PCN800,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,6,Mail Order,0,0,0,9.0,10.09,19.09,2.0,16.48,0.61,0.36,0.255,0,0,0,0,2021-09-27
RX0000003231,MBR00000087,2023-08-01,2023-08-03,1306656650,1658519942,PLN9247,565689,PCN365,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,3,Retail,2,0,0,2.33,3.22,5.55,2.0,3.29,0.26,0.4,0.2833,0,0,0,0,2023-08-08
RX0000003232,MBR00000087,2021-09-30,2021-10-01,1417857380,1515736943,PLN5772,889041,PCN451,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,7,Mail Order,0,0,0,370.0,4.56,374.56,34.0,322.47,18.09,14.8,10.4833,0,0,0,0,2021-10-30
RX0000003233,MBR00000087,2022-10-23,2022-10-24,1878927242,1983758931,PLN8880,285345,PCN800,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,10,Retail,0,0,0,10.0,3.66,13.66,6.0,6.92,0.74,0.4,0.2833,0,0,0,0,2022-11-22
RX0000003234,MBR00000087,2021-04-16,2021-04-18,1259231024,1687801013,PLN4468,772786,PCN349,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,380.0,11.94,391.94,36.0,330.44,25.5,15.2,10.7667,0,0,0,0,2021-05-16
RX0000003235,MBR00000087,2023-04-09,2023-04-13,1458954808,1281626474,PLN9546,893583,PCN363,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,0,Mail Order,0,0,1,10.0,10.39,20.39,4.0,14.99,1.4,0.4,0.2833,0,0,0,0,2023-05-09
RX0000003236,MBR00000087,2022-02-22,2022-02-24,1272222177,1978416553,PLN3859,854826,PCN775,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,92,5,Retail,2,0,0,84.0,6.43,90.43,6.0,79.13,5.3,1.12,0.7933,0,0,0,0,2022-05-23
RX0000003237,MBR00000087,2021-08-24,2021-08-25,1404220724,1982395029,PLN9614,821110,PCN787,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,0,Retail,0,0,0,42.0,6.91,48.91,4.0,42.26,2.65,0.56,0.3967,0,0,0,0,2021-11-22
RX0000003238,MBR00000087,2022-12-20,2022-12-24,1158182107,1567235982,PLN3723,816796,PCN271,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,90,8,Retail,3,0,0,54.0,6.53,60.53,5.0,52.29,3.24,0.72,0.51,0,0,0,0,2023-03-20
RX0000003239,MBR00000087,2022-08-15,2022-08-19,1623771188,1645402655,PLN6824,371702,PCN191,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,2,Retail,0,0,0,480.0,10.71,490.71,32.0,438.83,19.88,19.2,13.6,0,0,0,0,2022-09-14
RX0000003240,MBR00000087,2021-06-03,2021-06-06,1373316362,1497876902,PLN3400,677405,PCN345,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,6,Mail Order,0,0,0,185.0,9.86,194.86,38.0,149.15,7.71,7.4,5.2417,0,0,0,0,2021-07-03
RX0000003241,MBR00000087,2021-09-27,2021-09-30,1811692451,1813707277,PLN3223,565670,PCN261,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,2,Mail Order,0,0,0,480.0,10.95,490.95,36.0,427.39,27.56,19.2,13.6,0,0,0,0,2021-10-27
RX0000003242,MBR00000087,2023-11-11,2023-11-13,1764005659,1693373974,PLN6656,839924,PCN499,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,1,Mail Order,0,0,0,10.0,6.65,16.65,4.0,11.58,1.07,0.4,0.2833,0,0,0,0,2023-12-11
RX0000003243,MBR00000087,2023-06-10,2023-06-14,1571453239,1196439952,PLN8000,562581,PCN528,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,4,Mail Order,0,0,0,14.0,5.19,19.19,9.0,9.34,0.85,0.56,0.3967,0,0,0,0,2023-07-10
RX0000003244,MBR00000087,2022-05-21,2022-05-25,1315062501,1286126937,PLN7588,737116,PCN962,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,7,Retail,0,0,0,285.0,6.69,291.69,38.0,244.15,9.54,11.4,8.075,0,0,0,0,2022-06-20
RX0000003245,MBR00000087,2023-07-14,2023-07-18,1681675184,1935946687,PLN3961,850174,PCN243,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,8,Retail,0,0,0,4.2,11.18,15.38,0.0,14.53,0.85,0.72,0.51,1,0,0,0,2023-07-21
RX0000003246,MBR00000087,2022-09-27,2022-10-01,1976879704,1906385197,PLN1653,701403,PCN278,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,93,11,Retail,0,0,0,36.0,8.47,44.47,0.0,41.71,2.76,0.48,0.34,0,0,0,0,2022-12-26
RX0000003247,MBR00000087,2022-05-05,2022-05-08,1227406074,1486844086,PLN2515,804630,PCN558,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,9,Retail,0,0,0,14.0,7.98,21.98,1.0,20.14,0.84,0.56,0.3967,0,0,0,0,2022-06-04
RX0000003248,MBR00000087,2023-01-17,2023-01-18,1870499344,1312291442,PLN6945,175736,PCN286,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,6,Retail,0,0,0,45.0,6.94,51.94,2.0,47.01,2.93,1.8,1.275,0,0,0,0,2023-02-16
RX0000003249,MBR00000087,2021-04-17,2021-04-19,1481621016,1185462253,PLN8815,527921,PCN574,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,0,Retail,0,0,0,18.0,4.67,22.67,3.0,18.69,0.98,0.72,0.51,0,0,0,0,2021-05-17
RX0000003250,MBR00000087,2022-08-22,2022-08-25,1606740532,1954854055,PLN4224,181609,PCN531,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,6,Mail Order,0,0,0,9.0,3.87,12.87,10.0,2.09,0.78,0.36,0.255,0,0,0,0,2022-09-21
RX0000003251,MBR00000087,2022-08-08,2022-08-12,1820691188,1130531318,PLN2790,668169,PCN946,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,97,5,Retail,0,0,0,114.0,8.01,122.01,9.0,106.88,6.13,1.52,1.0767,0,0,0,0,2022-11-06
RX0000003252,MBR00000087,2021-12-10,2021-12-14,1433928252,1201685538,PLN4906,318604,PCN315,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,3,Retail,0,0,0,8.87,7.81,16.68,6.0,9.8,0.88,1.52,1.0767,0,1,0,0,2021-12-17
RX0000003253,MBR00000087,2022-05-31,2022-06-02,1377853795,1145165491,PLN9796,594516,PCN508,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,3,Retail,0,1,0,6200.0,6.06,6206.06,151.0,5659.83,395.23,248.0,175.6667,0,0,0,0,2022-06-30
RX0000003254,MBR00000087,2023-05-01,2023-05-02,1296950967,1369626041,PLN1794,471749,PCN410,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,6,Retail,0,1,0,8.0,9.63,17.63,145.0,0.0,0.88,0.32,0.2267,0,0,0,0,2023-05-31
RX0000003255,MBR00000087,2022-04-08,2022-04-09,1128273441,1269401970,PLN3691,540481,PCN613,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,3,Mail Order,0,0,0,12.0,2.67,14.67,7.0,6.83,0.84,0.48,0.34,0,0,0,0,2022-05-08
RX0000003256,MBR00000087,2021-03-19,2021-03-21,1988418680,1907435003,PLN3022,198442,PCN245,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,97,6,Retail,0,0,0,45.0,1.57,46.57,9.0,34.97,2.6,0.6,0.425,0,0,0,0,2021-06-17
RX0000003257,MBR00000087,2022-12-10,2022-12-12,1320251635,1561030733,PLN1596,146909,PCN146,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,8,Retail,0,0,0,175.0,6.81,181.81,33.0,138.43,10.38,7.0,4.9583,0,0,0,0,2023-01-09
RX0000003258,MBR00000087,2023-11-08,2023-11-10,1914540440,1984104154,PLN8012,159155,PCN410,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,5,Specialty,0,0,0,2.57,48.17,50.73,10.0,40.73,0.0,0.44,0.3117,0,0,0,0,2023-11-15
RX0000003259,MBR00000087,2022-02-03,2022-02-06,1855688947,1471298621,PLN1397,945428,PCN516,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,7,Mail Order,3,1,0,8500.0,2.97,8502.97,153.0,7985.0,364.97,340.0,240.8333,0,0,0,0,2022-03-05
RX0000003260,MBR00000087,2023-12-09,2023-12-10,1976191277,1322023239,PLN6120,267211,PCN349,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,0,Retail,0,0,0,480.0,5.43,485.43,34.0,432.07,19.36,19.2,13.6,0,0,0,0,2024-01-08
RX0000003261,MBR00000087,2022-07-23,2022-07-25,1938651555,1954567199,PLN9909,318281,PCN797,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,6,Retail,0,0,0,10.0,3.41,13.41,1.0,11.53,0.88,0.4,0.2833,0,0,0,0,2022-08-22
RX0000003262,MBR00000087,2022-07-30,2022-07-31,1475133061,1865032006,PLN3320,167810,PCN734,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,81,3,Mail Order,0,0,0,30.0,9.78,39.78,4.0,33.92,1.86,0.4,0.2833,0,0,0,0,2022-10-28
RX0000003263,MBR00000087,2023-11-18,2023-11-22,1898090949,1547546792,PLN2446,497818,PCN168,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,2,Mail Order,0,0,0,16.0,11.36,27.36,3.0,22.74,1.62,0.64,0.4533,0,0,0,0,2023-12-18
RX0000003264,MBR00000087,2021-10-27,2021-10-29,1754095582,1979449709,PLN7413,786913,PCN995,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,2,Mail Order,0,0,0,14.0,6.97,20.97,5.0,14.73,1.24,0.56,0.3967,0,0,0,0,2021-11-26
RX0000003265,MBR00000087,2023-09-15,2023-09-17,1262750357,1896246179,PLN8835,259856,PCN931,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,59,2,Retail,0,0,0,760.0,7.28,767.28,37.0,681.51,48.77,15.2,10.7667,0,0,0,0,2023-11-14
RX0000003266,MBR00000087,2021-08-10,2021-08-13,1364233272,1793507869,PLN6650,693354,PCN284,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,4,Retail,0,0,0,3.5,10.92,14.42,10.0,3.43,0.99,0.6,0.425,0,0,0,0,2021-08-17
RX0000003267,MBR00000087,2021-03-10,2021-03-11,1949025567,1442969200,PLN5538,829014,PCN947,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,91,3,Retail,0,0,0,45.0,9.05,54.05,9.0,42.12,2.93,0.6,0.425,0,0,0,0,2021-06-08
RX0000003268,MBR00000088,2023-01-23,2023-01-24,1681249881,1313474475,PLN6270,475576,PCN831,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,9,Retail,0,0,0,320.0,5.19,325.19,36.0,272.93,16.26,12.8,9.0667,0,0,0,0,2023-02-22
RX0000003269,MBR00000088,2022-03-05,2022-03-07,1996126433,1654415854,PLN3983,301037,PCN278,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,1,Retail,0,1,0,6200.0,1.87,6201.87,155.0,5615.8,431.07,248.0,175.6667,0,0,0,0,2022-04-04
RX0000003270,MBR00000088,2022-06-05,2022-06-07,1935237414,1726038899,PLN5232,465145,PCN818,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,4,Mail Order,0,0,0,310.0,6.93,316.93,39.0,265.8,12.13,12.4,8.7833,0,0,0,0,2022-07-05
RX0000003271,MBR00000088,2023-08-11,2023-08-14,1168263722,1652678676,PLN4646,877702,PCN339,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,60,2,Retail,0,0,0,20.0,8.24,28.24,10.0,16.95,1.29,0.4,0.2833,0,0,0,0,2023-10-10
RX0000003272,MBR00000088,2022-03-15,2022-03-16,1502495873,1101668579,PLN6994,941095,PCN115,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,8,Mail Order,0,1,0,6200.0,2.37,6202.37,155.0,5659.62,387.75,248.0,175.6667,0,0,0,0,2022-04-14
RX0000003273,MBR00000088,2022-10-20,2022-10-24,1737794304,1191346245,PLN1348,296531,PCN566,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,11,Mail Order,0,0,0,650.0,3.18,653.18,35.0,576.19,41.99,26.0,18.4167,1,0,0,0,2022-11-19
RX0000003274,MBR00000088,2022-03-25,2022-03-28,1980987529,1353131430,PLN7887,721284,PCN288,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,98,1,Mail Order,0,0,0,990.0,5.01,995.01,36.0,909.25,49.76,13.2,9.35,0,0,0,0,2022-06-23
RX0000003275,MBR00000088,2021-08-18,2021-08-22,1398465576,1394619446,PLN1455,639125,PCN400,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,63,11,Retail,0,0,0,28.0,8.11,36.11,0.0,34.19,1.92,0.56,0.3967,0,0,0,0,2021-10-17
RX0000003276,MBR00000088,2022-05-29,2022-05-31,1863636106,1659086436,PLN1929,924604,PCN486,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,5,Specialty,0,0,0,12.5,12.9,25.4,2.0,23.4,0.0,0.5,0.3542,0,0,0,0,2022-06-28
RX0000003277,MBR00000088,2021-10-20,2021-10-23,1325344032,1493747892,PLN6517,336276,PCN184,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,56,5,Mail Order,0,0,0,32.0,9.99,41.99,5.0,34.56,2.43,0.64,0.4533,0,0,0,0,2021-12-19
RX0000003278,MBR00000088,2022-05-25,2022-05-29,1102818702,1159126689,PLN1445,886680,PCN230,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,9,Mail Order,0,0,0,12.0,9.26,21.26,2.0,18.15,1.11,0.48,0.34,0,0,0,0,2022-06-24
RX0000003279,MBR00000088,2023-09-17,2023-09-18,1409999600,1917922135,PLN1641,485822,PCN667,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,4,Mail Order,0,0,0,4.2,8.26,12.46,0.0,11.61,0.85,0.72,0.51,0,0,0,0,2023-09-24
RX0000003280,MBR00000088,2021-06-17,2021-06-21,1627540708,1585805289,PLN6416,882738,PCN586,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,3,Retail,0,0,0,480.0,2.6,482.6,33.0,427.09,22.51,19.2,13.6,1,0,0,0,2021-07-17
RX0000003281,MBR00000088,2021-04-08,2021-04-11,1934063381,1320717256,PLN4037,813970,PCN139,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,0,Retail,0,0,0,330.0,2.89,332.89,30.0,282.19,20.7,13.2,9.35,0,0,0,0,2021-05-08
RX0000003282,MBR00000088,2023-03-24,2023-03-25,1337845969,1456346001,PLN8412,528932,PCN205,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,2,Mail Order,0,0,0,40.83,10.31,51.15,34.0,15.43,1.72,7.0,4.9583,0,1,1,0,2023-03-31
RX0000003283,MBR00000088,2021-09-22,2021-09-26,1234492417,1738649611,PLN5087,356756,PCN759,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,61,5,Retail,0,0,0,18.0,7.47,25.47,3.0,21.28,1.19,0.36,0.255,1,0,0,0,2021-11-21
RX0000003284,MBR00000088,2023-04-19,2023-04-20,1533894918,1692774361,PLN5590,267780,PCN188,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,7,Retail,0,0,0,10.5,8.77,19.27,9.0,9.45,0.82,1.8,1.275,0,0,0,0,2023-04-26
RX0000003285,MBR00000088,2022-11-10,2022-11-11,1550040431,1984730477,PLN4922,957155,PCN528,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,82,10,Mail Order,0,0,0,66.0,2.73,68.73,71.0,0.0,2.16,0.88,0.6233,0,0,0,0,2023-02-08
RX0000003286,MBR00000088,2022-08-12,2022-08-15,1487903877,1769678020,PLN1774,182884,PCN576,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,7,Retail,0,0,0,650.0,5.9,655.9,34.0,589.38,32.52,26.0,18.4167,0,0,0,0,2022-09-11
RX0000003287,MBR00000088,2022-02-27,2022-03-01,1216011870,1562081715,PLN8070,774174,PCN241,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,2,Mail Order,0,0,0,8.5,5.76,14.26,5.0,8.63,0.63,0.34,0.2408,0,0,0,0,2022-03-29
RX0000003288,MBR00000088,2023-12-22,2023-12-23,1877185248,1713798578,PLN2701,344133,PCN891,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,0,Mail Order,0,0,0,151.67,6.25,157.92,40.0,111.58,6.34,26.0,18.4167,0,0,0,0,2023-12-29
RX0000003289,MBR00000088,2022-12-12,2022-12-16,1272966114,1332190503,PLN8787,585737,PCN729,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,7,Retail,0,0,0,285.0,9.08,294.08,31.0,249.7,13.38,11.4,8.075,0,0,0,0,2023-01-11
RX0000003290,MBR00000088,2023-06-29,2023-07-01,1469995412,1494945277,PLN8837,298826,PCN936,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,1,Retail,0,0,0,10.0,10.3,20.3,5.0,14.35,0.95,0.4,0.2833,0,0,0,0,2023-07-29
RX0000003291,MBR00000088,2021-09-19,2021-09-23,1938968335,1763602800,PLN8510,765706,PCN987,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,10,Retail,0,0,0,650.0,9.77,659.77,38.0,587.81,33.96,26.0,18.4167,0,0,0,0,2021-10-19
RX0000003292,MBR00000088,2021-09-28,2021-10-01,1767457955,1717907227,PLN5683,708897,PCN423,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,1,Mail Order,1,0,0,15.0,7.24,22.24,6.0,15.02,1.22,0.6,0.425,0,0,0,0,2021-10-28
RX0000003293,MBR00000088,2022-12-18,2022-12-19,1169297156,1547941276,PLN4549,263992,PCN737,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,5,Mail Order,0,1,0,6200.0,7.64,6207.64,147.0,5774.49,286.15,248.0,175.6667,0,0,0,0,2023-01-17
RX0000003294,MBR00000088,2023-06-24,2023-06-27,1725292578,1591627431,PLN1279,119640,PCN541,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,90,6,Retail,0,0,0,37.5,6.58,44.08,9.0,32.41,2.67,0.5,0.3542,0,0,0,0,2023-09-22
RX0000003295,MBR00000088,2022-07-22,2022-07-26,1284430589,1637078933,PLN2814,541262,PCN354,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,0,Retail,0,0,0,65.0,2.72,67.72,31.0,32.63,4.09,2.6,1.8417,0,0,0,0,2022-08-21
RX0000003296,MBR00000088,2021-02-20,2021-02-24,1901507489,1586767824,PLN9629,684479,PCN123,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,5,Specialty,0,0,0,15.0,37.84,52.84,6.0,46.84,0.0,0.6,0.425,0,0,0,0,2021-03-22
RX0000003297,MBR00000088,2021-01-17,2021-01-18,1594046284,1624242030,PLN8618,612265,PCN948,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,4,Retail,0,0,0,285.0,5.61,290.61,37.0,236.21,17.4,11.4,8.075,0,0,0,0,2021-02-16
RX0000003298,MBR00000089,2023-05-04,2023-05-07,1246682286,1102364143,PLN4000,773061,PCN538,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,8,Retail,0,0,0,8.5,9.57,18.07,9.0,8.36,0.71,0.34,0.2408,0,0,0,0,2023-06-03
RX0000003299,MBR00000089,2023-06-11,2023-06-15,1764273858,1887506927,PLN7004,202177,PCN845,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,4,Retail,0,0,0,7.5,10.92,18.42,1.0,16.72,0.7,0.3,0.2125,0,0,0,0,2023-07-11
RX0000003300,MBR00000089,2022-05-21,2022-05-22,1924789182,1263206934,PLN2455,948295,PCN725,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,97,9,Retail,0,0,0,45.0,11.88,56.88,4.0,49.87,3.01,0.6,0.425,0,0,0,0,2022-08-19
RX0000003301,MBR00000089,2022-09-06,2022-09-10,1312714118,1659985929,PLN5235,189959,PCN283,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,6,Retail,1,0,0,38.0,10.54,48.54,37.0,8.85,2.69,1.52,1.0767,0,0,0,0,2022-10-06
RX0000003302,MBR00000089,2022-12-18,2022-12-22,1460181818,1600975709,PLN7781,463141,PCN192,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,6,Retail,0,0,0,330.0,10.46,340.46,39.0,281.34,20.12,13.2,9.35,0,0,0,0,2023-01-17
RX0000003303,MBR00000089,2021-05-02,2021-05-05,1514656208,1172843190,PLN6321,784315,PCN571,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,9,Retail,0,0,0,185.0,3.13,188.13,37.0,142.21,8.92,7.4,5.2417,0,0,0,0,2021-06-01
RX0000003304,MBR00000089,2021-05-07,2021-05-08,1690856544,1619176168,PLN6778,624031,PCN191,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,1,Mail Order,0,0,0,10.0,9.54,19.54,7.0,11.21,1.33,0.4,0.2833,0,0,0,0,2021-06-06
RX0000003305,MBR00000089,2022-11-02,2022-11-04,1642723753,1276170636,PLN1949,353025,PCN116,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,1,Retail,0,0,0,3.27,10.15,13.42,6.0,6.79,0.63,0.56,0.3967,1,0,0,0,2022-11-09
RX0000003306,MBR00000089,2021-05-01,2021-05-02,1769696987,1960883902,PLN9637,261575,PCN734,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,96,5,Retail,0,0,0,36.0,10.31,46.31,8.0,35.93,2.38,0.48,0.34,0,0,0,0,2021-07-30
RX0000003307,MBR00000089,2021-12-31,2022-01-02,1503800497,1228889653,PLN1757,565418,PCN817,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,2,Retail,2,0,0,2.8,11.8,14.6,8.0,5.63,0.97,0.48,0.34,0,0,0,0,2022-01-07
RX0000003308,MBR00000089,2023-05-09,2023-05-13,1772086039,1991313736,PLN5325,732709,PCN150,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,63,8,Mail Order,0,0,0,76.0,11.62,87.62,37.0,47.5,3.12,1.52,1.0767,0,0,0,0,2023-07-08
RX0000003309,MBR00000089,2021-05-04,2021-05-07,1804424498,1102299857,PLN2759,748634,PCN456,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,3,Retail,0,0,0,40.83,3.78,44.61,33.0,9.58,2.03,7.0,4.9583,1,0,0,0,2021-05-11
RX0000003310,MBR00000089,2021-05-05,2021-05-06,1307141654,1111414343,PLN3923,107724,PCN231,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,91,11,Retail,0,0,0,114.0,5.4,119.4,9.0,102.48,7.92,1.52,1.0767,0,0,0,0,2021-08-03
RX0000003311,MBR00000089,2021-12-03,2021-12-06,1787699733,1589259861,PLN5349,814867,PCN835,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,6,Retail,0,0,0,9.0,3.6,12.6,7.0,4.82,0.78,0.36,0.255,0,0,0,0,2022-01-02
RX0000003312,MBR00000089,2023-01-21,2023-01-24,1106847544,1970079195,PLN9350,772311,PCN532,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,5,Retail,0,0,0,16.0,9.75,25.75,3.0,21.68,1.07,0.64,0.4533,1,0,0,0,2023-02-20
RX0000003313,MBR00000089,2022-02-25,2022-02-27,1588151330,1407782885,PLN7901,698944,PCN101,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,9,Retail,0,0,0,18.0,8.22,26.22,0.0,25.35,0.87,0.72,0.51,0,0,0,0,2022-03-27
RX0000003314,MBR00000089,2021-11-08,2021-11-11,1829391876,1170969174,PLN4287,848426,PCN942,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,11,Retail,0,0,1,9.0,8.57,17.57,6.0,10.54,1.03,0.36,0.255,0,0,0,0,2021-12-08
RX0000003315,MBR00000090,2021-06-27,2021-06-28,1381862180,1451680938,PLN6750,118404,PCN342,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,86,2,Retail,0,0,0,990.0,9.47,999.47,39.0,900.05,60.42,13.2,9.35,0,0,0,0,2021-09-25
RX0000003316,MBR00000090,2021-01-07,2021-01-08,1134324445,1445583626,PLN8690,769834,PCN598,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,62,8,Retail,0,1,0,17000.0,2.0,17002.0,154.0,15888.09,959.91,340.0,240.8333,0,0,0,0,2021-03-08
RX0000003317,MBR00000090,2022-03-15,2022-03-18,1168443620,1730350430,PLN9480,384652,PCN391,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,0,Retail,0,1,0,1446.67,4.89,1451.56,151.0,1199.48,101.08,248.0,175.6667,0,0,0,0,2022-03-22
RX0000003318,MBR00000090,2021-04-27,2021-04-30,1692058405,1950298424,PLN6242,766418,PCN533,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,5,Retail,3,0,0,22.0,11.06,33.06,71.0,0.0,1.55,0.88,0.6233,0,0,0,0,2021-05-27
RX0000003319,MBR00000090,2022-10-15,2022-10-19,1272799795,1370029026,PLN2698,146000,PCN653,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,87,0,Retail,0,0,0,960.0,3.21,963.21,40.0,883.18,40.03,12.8,9.0667,0,0,0,0,2023-01-13
RX0000003320,MBR00000090,2022-09-11,2022-09-12,1364060435,1408382166,PLN9714,889806,PCN253,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,63,2,Mail Order,0,0,0,90.0,6.48,96.48,8.0,81.77,6.71,1.8,1.275,0,0,0,0,2022-11-10
RX0000003321,MBR00000090,2022-04-10,2022-04-14,1128585575,1281083550,PLN6376,385342,PCN453,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,3,Retail,0,0,0,370.0,11.13,381.13,39.0,322.41,19.72,14.8,10.4833,0,1,1,0,2022-05-10
RX0000003322,MBR00000090,2023-08-05,2023-08-06,1738384606,1366132121,PLN9052,614549,PCN794,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,2,Specialty,0,0,0,380.0,12.87,392.87,35.0,357.87,0.0,15.2,10.7667,0,0,0,0,2023-09-04
RX0000003323,MBR00000090,2022-09-08,2022-09-12,1270592348,1499316493,PLN7823,350632,PCN334,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,1,Specialty,0,0,0,45.0,8.45,53.45,9.0,44.45,0.0,1.8,1.275,0,1,0,0,2022-10-08
RX0000003324,MBR00000090,2022-08-07,2022-08-11,1683161238,1607448575,PLN4203,366651,PCN172,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,10,Specialty,0,0,0,28.0,10.41,38.41,2.0,36.41,0.0,1.12,0.7933,0,0,0,0,2022-09-06
RX0000003325,MBR00000090,2022-06-11,2022-06-13,1780919366,1699807923,PLN4910,733908,PCN160,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,8,Retail,0,0,0,4.2,4.2,8.4,7.0,0.99,0.41,0.72,0.51,0,0,0,0,2022-06-18
RX0000003326,MBR00000090,2021-08-30,2021-09-03,1426050955,1923486965,PLN5263,793141,PCN675,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,11,Retail,0,0,0,650.0,2.95,652.95,31.0,586.97,34.98,26.0,18.4167,0,0,0,0,2021-09-29
RX0000003327,MBR00000090,2022-10-07,2022-10-11,1824430596,1911842084,PLN7915,101330,PCN190,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,5,Retail,0,0,0,2.8,2.47,5.27,10.0,0.0,0.35,0.48,0.34,0,1,0,0,2022-10-14
RX0000003328,MBR00000090,2023-01-01,2023-01-03,1350003926,1966079352,PLN8148,133605,PCN808,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,91,9,Retail,0,1,0,24.0,11.73,35.73,152.0,0.0,1.38,0.32,0.2267,0,0,0,0,2023-04-01
RX0000003329,MBR00000090,2022-10-30,2022-11-02,1849378232,1379585783,PLN9038,366864,PCN542,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,89,3,Retail,2,0,0,48.0,3.93,51.93,4.0,45.43,2.5,0.64,0.4533,0,0,0,0,2023-01-28
RX0000003330,MBR00000090,2021-08-04,2021-08-06,1713399793,1395454098,PLN2200,709617,PCN285,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,11,Specialty,0,0,0,320.0,27.59,347.59,33.0,314.59,0.0,12.8,9.0667,0,0,0,0,2021-09-03
RX0000003331,MBR00000090,2022-12-05,2022-12-06,1849841726,1472873981,PLN7321,717118,PCN828,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,9,Retail,0,0,0,11.0,2.72,13.72,3.0,9.87,0.85,0.44,0.3117,0,0,0,0,2023-01-04
RX0000003332,MBR00000090,2022-01-21,2022-01-23,1318748347,1683102894,PLN4179,231563,PCN359,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,2,Retail,0,0,0,9.0,1.89,10.89,3.0,7.43,0.46,0.36,0.255,0,0,0,0,2022-02-20
RX0000003333,MBR00000090,2022-11-22,2022-11-25,1240496294,1905314986,PLN5548,504077,PCN229,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,6,Mail Order,0,0,0,12.5,11.53,24.03,0.0,23.06,0.97,0.5,0.3542,1,0,0,0,2022-12-22
RX0000003334,MBR00000090,2022-10-19,2022-10-20,1936975153,1695096152,PLN4786,654323,PCN926,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,97,10,Mail Order,0,0,0,1950.0,5.5,1955.5,35.0,1800.24,120.26,26.0,18.4167,0,0,0,0,2023-01-17
RX0000003335,MBR00000090,2023-01-11,2023-01-12,1839517071,1662748505,PLN7745,428811,PCN801,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,89,9,Mail Order,0,0,0,2850.0,8.5,2858.5,31.0,2707.92,119.58,38.0,26.9167,0,0,0,0,2023-04-11
RX0000003336,MBR00000090,2021-10-30,2021-11-02,1894937138,1609269791,PLN6951,928729,PCN776,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,3,Mail Order,0,0,0,185.0,10.68,195.68,33.0,150.66,12.02,7.4,5.2417,0,0,0,0,2021-11-29
RX0000003337,MBR00000090,2023-02-11,2023-02-14,1723156266,1809555797,PLN2809,338287,PCN698,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,90,11,Mail Order,0,0,0,135.0,6.73,141.73,0.0,132.98,8.75,1.8,1.275,0,0,0,0,2023-05-12
RX0000003338,MBR00000090,2021-05-08,2021-05-09,1357974125,1550172846,PLN3233,180149,PCN480,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,83,10,Retail,0,0,0,37.5,7.43,44.93,9.0,34.42,1.51,0.5,0.3542,0,0,0,0,2021-08-06
RX0000003339,MBR00000090,2022-03-09,2022-03-11,1261187497,1615892485,PLN4272,988118,PCN886,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,10,Retail,0,1,0,6200.0,9.81,6209.81,150.0,5745.63,314.18,248.0,175.6667,0,0,0,0,2022-04-08
RX0000003340,MBR00000090,2022-04-10,2022-04-12,1947923986,1544702882,PLN4847,593021,PCN963,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,58,5,Retail,0,0,0,36.0,2.61,38.61,5.0,31.94,1.67,0.72,0.51,0,0,0,0,2022-06-09
RX0000003341,MBR00000090,2022-05-16,2022-05-17,1268199478,1312970436,PLN4665,585662,PCN819,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,5,Retail,0,0,1,40.83,7.08,47.92,39.0,7.23,1.69,7.0,4.9583,0,0,0,0,2022-05-23
RX0000003342,MBR00000090,2022-09-02,2022-09-05,1943246340,1463209624,PLN7929,692289,PCN676,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,97,10,Retail,0,0,0,33.0,1.98,34.98,8.0,25.71,1.27,0.44,0.3117,0,0,0,0,2022-12-01
RX0000003343,MBR00000090,2023-12-10,2023-12-13,1970142499,1526215282,PLN5481,526519,PCN654,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,5,Retail,0,0,0,12.0,3.85,15.85,10.0,5.02,0.83,0.48,0.34,0,0,0,0,2024-01-09
RX0000003344,MBR00000090,2021-01-06,2021-01-09,1215061716,1271136759,PLN4378,640904,PCN773,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,90,1,Retail,0,0,0,930.0,9.98,939.98,31.0,846.6,62.38,12.4,8.7833,0,0,0,0,2021-04-06
RX0000003345,MBR00000090,2021-07-19,2021-07-20,1823844181,1505404443,PLN7139,558838,PCN103,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,11,Retail,0,0,0,11.0,6.34,17.34,5.0,11.14,1.2,0.44,0.3117,0,0,0,0,2021-08-18
RX0000003346,MBR00000090,2021-05-31,2021-06-02,1345076021,1454848974,PLN4189,672451,PCN595,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,1,Mail Order,0,1,0,8500.0,3.7,8503.7,152.0,7919.56,432.14,340.0,240.8333,0,0,0,0,2021-06-30
RX0000003347,MBR00000090,2022-02-17,2022-02-20,1234019437,1293756252,PLN9706,342088,PCN834,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,63,1,Mail Order,0,0,0,24.0,2.66,26.66,7.0,18.2,1.46,0.48,0.34,0,0,0,0,2022-04-18
RX0000003348,MBR00000090,2022-09-03,2022-09-05,1518426821,1760156844,PLN7696,610193,PCN759,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,1,Mail Order,1,0,0,330.0,4.59,334.59,34.0,277.46,23.13,13.2,9.35,0,0,0,0,2022-10-03
RX0000003349,MBR00000090,2022-08-16,2022-08-20,1306110808,1509799409,PLN9051,485545,PCN310,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,91,0,Retail,0,0,0,22.5,8.28,30.78,6.0,22.85,1.93,0.3,0.2125,0,0,0,0,2022-11-14
RX0000003350,MBR00000090,2022-03-23,2022-03-25,1641579530,1518569274,PLN5508,907447,PCN664,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,8,Retail,0,0,0,10.0,11.93,21.93,10.0,10.73,1.2,0.4,0.2833,0,0,0,0,2022-04-22
RX0000003351,MBR00000090,2023-06-03,2023-06-06,1274329818,1597712333,PLN2681,916402,PCN863,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,94,8,Mail Order,3,0,0,30.0,2.36,32.36,7.0,23.32,2.04,0.4,0.2833,0,0,0,0,2023-09-01
RX0000003352,MBR00000090,2022-08-20,2022-08-21,1899981887,1157388599,PLN6687,488678,PCN689,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,98,0,Retail,0,0,0,30.0,9.67,39.67,6.0,31.59,2.08,0.4,0.2833,0,0,0,0,2022-11-18
RX0000003353,MBR00000090,2023-04-24,2023-04-26,1882679825,1917797532,PLN9793,339704,PCN734,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,9,Mail Order,0,0,0,185.0,7.81,192.81,40.0,144.59,8.22,7.4,5.2417,0,0,0,0,2023-05-24
RX0000003354,MBR00000090,2022-05-12,2022-05-15,1465011523,1284538781,PLN2561,830500,PCN177,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,96,5,Retail,0,0,0,1950.0,7.33,1957.33,35.0,1836.24,86.09,26.0,18.4167,0,0,0,0,2022-08-10
RX0000003355,MBR00000090,2022-12-22,2022-12-23,1789863206,1318097753,PLN7021,690987,PCN853,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,2,Mail Order,0,0,0,9.0,5.96,14.96,5.0,9.46,0.5,0.36,0.255,0,0,0,0,2023-01-21
RX0000003356,MBR00000090,2021-12-19,2021-12-23,1544882877,1311955705,PLN9619,875739,PCN670,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,97,5,Retail,0,0,0,135.0,8.99,143.99,6.0,133.14,4.85,1.8,1.275,0,0,0,0,2022-03-19
RX0000003357,MBR00000090,2022-06-23,2022-06-26,1945747687,1913287742,PLN6383,233284,PCN484,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,97,6,Retail,0,0,0,54.0,5.38,59.38,2.0,55.44,1.94,0.72,0.51,0,0,0,0,2022-09-21
RX0000003358,MBR00000091,2022-01-14,2022-01-16,1293069780,1916339263,PLN8568,874572,PCN466,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,2,Retail,0,0,0,10.0,8.0,18.0,2.0,15.11,0.89,0.4,0.2833,0,0,0,0,2022-02-13
RX0000003359,MBR00000091,2022-08-18,2022-08-22,1609546206,1464698737,PLN7472,784249,PCN113,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,60,10,Retail,0,0,0,18.0,9.52,27.52,4.0,21.79,1.73,0.36,0.255,0,0,0,0,2022-10-17
RX0000003360,MBR00000091,2021-06-07,2021-06-08,1327304682,1744455261,PLN5505,708014,PCN707,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,1,Specialty,1,0,0,11.0,8.05,19.05,7.0,12.05,0.0,0.44,0.3117,0,0,0,0,2021-07-07
RX0000003361,MBR00000091,2022-11-21,2022-11-24,1901438583,1432388928,PLN8251,723012,PCN492,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,1,Specialty,0,0,0,45.0,31.72,76.72,1.0,75.72,0.0,1.8,1.275,0,0,0,0,2022-12-21
RX0000003362,MBR00000091,2023-09-22,2023-09-26,1416119484,1772731963,PLN8159,694978,PCN851,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,63,7,Retail,0,0,0,18.0,3.1,21.1,1.0,18.82,1.28,0.36,0.255,0,0,0,0,2023-11-21
RX0000003363,MBR00000091,2021-10-12,2021-10-15,1679331480,1935247089,PLN1990,477616,PCN512,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,7,Specialty,0,0,0,12.5,40.92,53.42,9.0,44.42,0.0,0.5,0.3542,0,0,0,0,2021-11-11
RX0000003364,MBR00000091,2023-05-24,2023-05-26,1791304097,1292660176,PLN1570,179560,PCN384,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,10,Retail,0,0,0,380.0,3.3,383.3,31.0,331.18,21.12,15.2,10.7667,0,0,0,0,2023-06-23
RX0000003365,MBR00000091,2021-03-16,2021-03-17,1860126541,1137106979,PLN3710,556950,PCN831,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,95,9,Mail Order,0,0,0,33.0,7.2,40.2,4.0,33.95,2.25,0.44,0.3117,0,0,0,0,2021-06-14
RX0000003366,MBR00000091,2023-07-21,2023-07-25,1471864572,1834263111,PLN3073,220242,PCN399,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,10,Mail Order,0,0,0,38.0,9.81,47.81,32.0,13.75,2.06,1.52,1.0767,0,0,0,0,2023-08-20
RX0000003367,MBR00000091,2023-03-11,2023-03-13,1216828542,1383462097,PLN7748,308593,PCN563,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,9,Mail Order,0,0,0,10.0,11.92,21.92,6.0,14.83,1.09,0.4,0.2833,0,0,0,0,2023-04-10
RX0000003368,MBR00000091,2023-06-21,2023-06-23,1407965341,1388489374,PLN9129,316894,PCN610,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,9,Retail,0,0,0,18.0,5.01,23.01,9.0,12.8,1.21,0.72,0.51,0,0,0,0,2023-07-21
RX0000003369,MBR00000091,2022-07-11,2022-07-14,1469114079,1984963702,PLN5314,188569,PCN318,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,1,Retail,0,0,0,18.0,7.42,25.42,4.0,19.77,1.65,0.72,0.51,0,0,0,0,2022-08-10
RX0000003370,MBR00000091,2023-05-15,2023-05-16,1953877021,1727011348,PLN6065,954854,PCN809,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,5,Retail,3,0,0,650.0,5.8,655.8,37.0,598.16,20.64,26.0,18.4167,0,0,0,0,2023-06-14
RX0000003371,MBR00000091,2023-04-25,2023-04-27,1153974348,1770478162,PLN7962,617929,PCN366,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,87,3,Retail,0,0,0,30.0,11.07,41.07,9.0,29.93,2.14,0.4,0.2833,0,0,0,0,2023-07-24
RX0000003372,MBR00000091,2021-09-29,2021-10-03,1692570989,1971290445,PLN8126,637019,PCN803,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,8,Mail Order,3,0,0,38.0,7.77,45.77,7.0,36.44,2.33,1.52,1.0767,0,0,0,0,2021-10-29
RX0000003373,MBR00000092,2023-07-19,2023-07-23,1172472453,1616835670,PLN9902,450942,PCN940,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,8,Retail,0,0,0,7.5,11.24,18.74,7.0,10.92,0.82,0.3,0.2125,0,0,0,0,2023-08-18
RX0000003374,MBR00000092,2021-12-27,2021-12-30,1170250310,1430979586,PLN1910,267861,PCN230,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,9,Mail Order,0,0,0,650.0,4.63,654.63,38.0,589.19,27.44,26.0,18.4167,0,0,0,0,2022-01-26
RX0000003375,MBR00000092,2022-07-18,2022-07-20,1811034705,1608777884,PLN7711,919489,PCN889,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,10,Mail Order,0,0,0,950.0,5.35,955.35,30.0,885.63,39.72,38.0,26.9167,0,0,0,0,2022-08-17
RX0000003376,MBR00000092,2021-08-24,2021-08-25,1542871927,1802460080,PLN6571,605005,PCN211,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,90,8,Retail,0,0,0,37.5,4.81,42.31,0.0,39.36,2.95,0.5,0.3542,0,0,0,0,2021-11-22
RX0000003377,MBR00000092,2022-03-14,2022-03-16,1801435574,1292689664,PLN9974,561188,PCN499,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,2,Retail,0,1,0,6200.0,7.56,6207.56,147.0,5839.79,220.77,248.0,175.6667,0,0,0,0,2022-04-13
RX0000003378,MBR00000092,2021-12-13,2021-12-15,1609032778,1176130453,PLN5274,719091,PCN164,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,4,Retail,0,0,0,750.0,8.23,758.23,40.0,673.37,44.86,30.0,21.25,0,0,0,0,2022-01-12
RX0000003379,MBR00000092,2023-12-29,2024-01-01,1485861068,1837931883,PLN6899,689513,PCN397,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,8,Retail,2,0,0,5.13,7.51,12.64,65.0,0.0,0.44,0.88,0.6233,1,0,0,0,2024-01-05
RX0000003380,MBR00000092,2021-02-08,2021-02-10,1202370957,1622282261,PLN6343,879727,PCN876,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,81,10,Retail,1,1,0,8400.0,2.13,8402.13,145.0,7699.2,557.93,112.0,79.3333,0,0,0,0,2021-05-09
RX0000003381,MBR00000092,2021-06-14,2021-06-17,1442468367,1783051513,PLN4454,556736,PCN749,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,2,Retail,0,0,0,8.5,7.35,15.85,4.0,10.9,0.95,0.34,0.2408,0,0,0,0,2021-07-14
RX0000003382,MBR00000092,2022-02-19,2022-02-23,1311848906,1768582171,PLN7652,178786,PCN693,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,60,9,Retail,0,0,0,36.0,3.3,39.3,36.0,1.4,1.9,0.72,0.51,0,0,0,0,2022-04-20
RX0000003383,MBR00000092,2023-02-07,2023-02-11,1237163692,1198999361,PLN5021,182943,PCN995,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,3,Retail,0,0,0,15.0,4.74,19.74,5.0,13.94,0.8,0.6,0.425,0,0,0,0,2023-03-09
RX0000003384,MBR00000092,2023-03-22,2023-03-26,1468201731,1180110774,PLN5097,921263,PCN855,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,4,Mail Order,0,0,0,38.0,11.7,49.7,9.0,38.73,1.97,1.52,1.0767,0,0,0,0,2023-04-21
RX0000003385,MBR00000092,2023-04-12,2023-04-16,1977827285,1141919733,PLN6439,462189,PCN353,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,2,Retail,0,1,0,8500.0,6.97,8506.97,148.0,8046.05,312.92,340.0,240.8333,0,1,1,0,2023-05-12
RX0000003386,MBR00000092,2022-06-04,2022-06-07,1485708808,1920525290,PLN2807,427476,PCN216,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,3,Retail,0,0,0,750.0,7.07,757.07,31.0,692.7,33.37,30.0,21.25,0,0,0,0,2022-07-04
RX0000003387,MBR00000092,2023-07-15,2023-07-19,1569128128,1915887696,PLN8053,427835,PCN339,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,2,Retail,0,0,0,7.5,4.04,11.54,5.0,5.93,0.61,0.3,0.2125,0,0,0,0,2023-08-14
RX0000003388,MBR00000092,2023-02-21,2023-02-22,1951430654,1256818857,PLN7807,928887,PCN896,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,89,4,Retail,0,1,0,36.0,6.38,42.38,145.0,0.0,1.62,0.48,0.34,0,0,0,0,2023-05-22
RX0000003389,MBR00000092,2023-12-12,2023-12-13,1151495350,1244478068,PLN3702,311166,PCN229,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,7,LTC,0,0,0,14.0,9.85,23.85,7.0,15.51,1.34,0.56,0.3967,0,1,0,0,2024-01-11
RX0000003390,MBR00000092,2022-10-09,2022-10-10,1330658170,1512257468,PLN3791,377181,PCN115,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,54,10,Retail,0,0,0,20.0,8.96,28.96,1.0,26.07,1.89,0.4,0.2833,0,0,0,0,2022-12-08
RX0000003391,MBR00000092,2021-03-10,2021-03-14,1519377618,1178914432,PLN5176,954877,PCN132,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,87,2,Retail,0,0,0,27.0,5.83,32.83,7.0,24.36,1.47,0.36,0.255,0,0,0,0,2021-06-08
RX0000003392,MBR00000092,2022-01-30,2022-02-01,1202754636,1709300549,PLN4484,907406,PCN324,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,89,3,Retail,0,0,1,1440.0,6.65,1446.65,31.0,1321.53,94.12,19.2,13.6,0,0,0,0,2022-04-30
RX0000003393,MBR00000092,2023-12-27,2023-12-31,1608479775,1494887790,PLN1252,721682,PCN974,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,5,Retail,0,0,0,12.0,5.57,17.57,2.0,14.91,0.66,0.48,0.34,0,1,0,0,2024-01-26
RX0000003394,MBR00000092,2022-08-14,2022-08-17,1676128037,1708435259,PLN4105,263001,PCN218,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,5,Retail,0,0,0,320.0,9.85,329.85,30.0,288.43,11.42,12.8,9.0667,0,0,0,0,2022-09-13
RX0000003395,MBR00000092,2021-12-29,2022-01-02,1237687033,1715627435,PLN9429,933598,PCN869,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,3,Retail,0,1,0,8.0,1.92,9.92,145.0,0.0,0.32,0.32,0.2267,0,0,0,0,2022-01-28
RX0000003396,MBR00000092,2021-05-26,2021-05-29,1760879338,1905519631,PLN9549,234010,PCN640,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,0,LTC,1,1,0,2800.0,2.28,2802.28,155.0,2511.3,135.98,112.0,79.3333,0,0,0,0,2021-06-25
RX0000003397,MBR00000092,2022-03-08,2022-03-10,1168735274,1107218289,PLN8956,771854,PCN576,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,4,Specialty,0,0,0,10.0,34.9,44.9,0.0,44.9,0.0,0.4,0.2833,0,0,0,0,2022-04-07
RX0000003398,MBR00000092,2021-11-17,2021-11-21,1305310147,1206208359,PLN9685,816728,PCN801,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,0,Retail,0,0,0,38.0,9.68,47.68,36.0,10.24,1.44,1.52,1.0767,0,0,0,0,2021-12-17
RX0000003399,MBR00000092,2022-03-16,2022-03-18,1707108561,1907363968,PLN7244,717076,PCN793,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,5,Retail,0,0,0,15.0,4.81,19.81,5.0,14.0,0.81,0.6,0.425,0,0,0,0,2022-04-15
RX0000003400,MBR00000092,2023-05-11,2023-05-12,1523129419,1812990140,PLN5656,905851,PCN947,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,95,5,LTC,0,0,0,135.0,8.98,143.98,7.0,127.14,9.84,1.8,1.275,0,0,0,0,2023-08-09
RX0000003401,MBR00000092,2021-04-20,2021-04-24,1320859039,1439601936,PLN7954,894610,PCN754,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,6,Mail Order,0,0,0,22.0,2.53,24.53,7.0,15.89,1.64,0.88,0.6233,0,0,0,0,2021-05-20
RX0000003402,MBR00000092,2021-11-02,2021-11-03,1422147568,1724096368,PLN3194,942587,PCN931,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,11,Retail,2,0,0,750.0,4.29,754.29,30.0,683.1,41.19,30.0,21.25,0,0,0,0,2021-12-02
RX0000003403,MBR00000092,2023-03-19,2023-03-22,1486998708,1322457654,PLN3577,873610,PCN949,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,8,Retail,0,0,1,750.0,3.47,753.47,40.0,690.86,22.61,30.0,21.25,0,0,0,0,2023-04-18
RX0000003404,MBR00000092,2021-09-25,2021-09-26,1833172638,1675153782,PLN6642,858727,PCN976,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,10,Retail,2,0,0,45.0,4.12,49.12,2.0,44.01,3.11,1.8,1.275,0,0,0,0,2021-10-25
RX0000003405,MBR00000092,2022-01-26,2022-01-28,1412573179,1500509877,PLN3222,319653,PCN666,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,4,Mail Order,0,0,0,12.5,2.59,15.09,10.0,4.04,1.05,0.5,0.3542,0,1,0,0,2022-02-25
RX0000003406,MBR00000092,2023-10-04,2023-10-07,1209170624,1584034292,PLN4873,804161,PCN569,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,8,Mail Order,0,0,0,45.0,5.21,50.21,10.0,37.09,3.12,1.8,1.275,0,0,0,0,2023-11-03
RX0000003407,MBR00000092,2023-01-13,2023-01-15,1827765376,1969389337,PLN7924,716697,PCN755,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,10,Retail,0,0,0,45.0,9.17,54.17,5.0,46.94,2.23,1.8,1.275,0,0,0,0,2023-02-12
RX0000003408,MBR00000092,2023-05-11,2023-05-14,1468423546,1590201566,PLN2784,132545,PCN746,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,3,Retail,0,0,0,10.0,6.67,16.67,0.0,16.09,0.58,0.4,0.2833,0,0,0,0,2023-06-10
RX0000003409,MBR00000092,2023-12-10,2023-12-11,1587331319,1911127346,PLN5057,360137,PCN408,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,91,8,Mail Order,0,0,0,1440.0,8.47,1448.47,31.0,1335.32,82.15,19.2,13.6,0,0,0,0,2024-03-09
RX0000003410,MBR00000092,2022-05-18,2022-05-19,1468399336,1411817095,PLN4658,737148,PCN614,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,58,8,Retail,0,0,0,18.0,10.25,28.25,1.0,25.79,1.46,0.36,0.255,0,0,0,0,2022-07-17
RX0000003411,MBR00000092,2021-08-09,2021-08-11,1750834673,1427873701,PLN5952,969982,PCN694,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,9,Specialty,0,0,0,9.0,25.6,34.6,4.0,30.6,0.0,0.36,0.255,0,0,0,0,2021-09-08
RX0000003412,MBR00000092,2023-10-20,2023-10-23,1327417834,1736923402,PLN1082,622738,PCN835,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,95,8,Retail,3,0,0,525.0,9.28,534.28,31.0,481.08,22.2,7.0,4.9583,0,0,0,0,2024-01-18
RX0000003413,MBR00000092,2023-04-23,2023-04-27,1638738374,1191910087,PLN4492,398799,PCN631,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,11,Mail Order,0,1,0,6200.0,10.32,6210.32,149.0,5768.83,292.49,248.0,175.6667,0,0,0,0,2023-05-23
RX0000003414,MBR00000092,2023-05-06,2023-05-07,1761942532,1157702374,PLN7075,622808,PCN861,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,3,Retail,0,0,0,22.0,6.8,28.8,3.0,24.15,1.65,0.88,0.6233,0,0,0,0,2023-06-05
RX0000003415,MBR00000093,2021-09-14,2021-09-16,1880200834,1928306279,PLN6583,122907,PCN751,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,2,Retail,0,1,0,6200.0,9.74,6209.74,148.0,5770.73,291.01,248.0,175.6667,0,0,0,0,2021-10-14
RX0000003416,MBR00000093,2023-09-24,2023-09-28,1170517737,1929724480,PLN3191,255827,PCN653,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,7,Retail,0,0,0,72.33,7.82,80.16,36.0,39.26,4.9,12.4,8.7833,0,0,0,0,2023-10-01
RX0000003417,MBR00000093,2023-11-07,2023-11-08,1485042858,1850989264,PLN6786,400846,PCN686,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,1,Specialty,0,1,0,12.0,22.57,34.57,153.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-12-07
RX0000003418,MBR00000093,2023-04-05,2023-04-08,1809989684,1226255850,PLN9922,594411,PCN776,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,64,11,Retail,0,0,0,20.0,5.8,25.8,1.0,23.22,1.58,0.4,0.2833,0,0,0,0,2023-06-04
RX0000003419,MBR00000093,2021-02-18,2021-02-19,1283300526,1714763131,PLN5505,971800,PCN871,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,11,Mail Order,2,0,0,11.0,10.67,21.67,0.0,20.45,1.22,0.44,0.3117,0,0,0,0,2021-03-20
RX0000003420,MBR00000093,2023-07-08,2023-07-09,1464593949,1351426577,PLN5761,639610,PCN888,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,1,Retail,0,0,0,185.0,6.63,191.63,30.0,151.33,10.3,7.4,5.2417,0,0,0,0,2023-08-07
RX0000003421,MBR00000093,2022-04-17,2022-04-19,1765706397,1221806345,PLN6971,462955,PCN444,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,89,2,Mail Order,0,1,0,24.0,5.62,29.62,152.0,0.0,1.63,0.32,0.2267,0,0,0,0,2022-07-16
RX0000003422,MBR00000093,2023-06-12,2023-06-16,1590114846,1735619354,PLN5680,389237,PCN337,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,61,7,Retail,3,1,0,17000.0,9.94,17009.94,155.0,16089.62,765.32,340.0,240.8333,0,0,0,0,2023-08-11
RX0000003423,MBR00000093,2021-02-20,2021-02-24,1848093946,1743593507,PLN4659,194553,PCN657,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,81,2,Retail,0,0,0,42.0,4.95,46.95,5.0,40.42,1.53,0.56,0.3967,0,0,0,0,2021-05-21
RX0000003424,MBR00000093,2023-08-18,2023-08-20,1218927537,1458733445,PLN2817,174585,PCN851,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,2,Mail Order,0,0,0,11.0,11.37,22.37,4.0,17.48,0.89,0.44,0.3117,1,0,0,0,2023-09-17
RX0000003425,MBR00000093,2023-05-11,2023-05-15,1341406487,1942596902,PLN7202,615273,PCN987,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,11,Retail,0,0,0,4.2,11.09,15.29,10.0,4.33,0.96,0.72,0.51,0,0,0,0,2023-05-18
RX0000003426,MBR00000093,2023-12-01,2023-12-03,1341223075,1815047658,PLN4821,370003,PCN693,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,88,10,Mail Order,0,0,0,195.0,11.25,206.25,33.0,159.68,13.57,2.6,1.8417,0,0,0,0,2024-02-29
RX0000003427,MBR00000093,2023-09-30,2023-10-03,1596480847,1567231027,PLN3718,659889,PCN101,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,5,Specialty,0,0,0,10.0,11.25,21.25,7.0,14.25,0.0,0.4,0.2833,0,0,0,0,2023-10-30
RX0000003428,MBR00000093,2022-02-09,2022-02-13,1544120236,1807877530,PLN3602,565365,PCN701,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,85,2,Retail,0,0,1,54.0,4.45,58.45,34.0,22.27,2.18,0.72,0.51,0,0,0,0,2022-05-10
RX0000003429,MBR00000093,2022-08-13,2022-08-17,1998680240,1877807955,PLN7686,649110,PCN274,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,5,Retail,0,0,0,370.0,11.4,381.4,36.0,323.14,22.26,14.8,10.4833,0,0,0,0,2022-09-12
RX0000003430,MBR00000093,2023-04-07,2023-04-11,1770145168,1269518140,PLN5999,561185,PCN157,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,5,Retail,3,1,0,2800.0,2.88,2802.88,146.0,2497.44,159.44,112.0,79.3333,0,0,0,0,2023-05-07
RX0000003431,MBR00000093,2021-03-20,2021-03-24,1256430128,1153500076,PLN5926,106968,PCN705,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,93,2,Retail,0,0,0,1440.0,8.02,1448.02,38.0,1329.66,80.36,19.2,13.6,0,0,0,0,2021-06-18
RX0000003432,MBR00000093,2023-03-07,2023-03-09,1977801624,1763428640,PLN8495,777735,PCN492,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,10,Retail,0,0,0,65.0,5.46,70.46,31.0,34.61,4.85,2.6,1.8417,0,0,0,0,2023-04-06
RX0000003433,MBR00000093,2023-06-10,2023-06-13,1493171685,1320808907,PLN2351,189400,PCN618,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,98,4,Mail Order,0,0,0,114.0,1.84,115.84,6.0,101.95,7.89,1.52,1.0767,0,0,0,0,2023-09-08
RX0000003434,MBR00000093,2023-07-16,2023-07-18,1842691374,1423397563,PLN9996,308869,PCN826,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,11,Retail,0,0,0,8.5,3.09,11.59,5.0,5.95,0.64,0.34,0.2408,0,0,0,0,2023-08-15
RX0000003435,MBR00000093,2022-03-14,2022-03-18,1131099461,1419499176,PLN6290,192251,PCN617,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,59,11,Specialty,0,0,0,90.0,37.75,127.75,8.0,119.75,0.0,1.8,1.275,0,0,0,0,2022-05-13
RX0000003436,MBR00000093,2022-03-18,2022-03-20,1791221166,1381150840,PLN8499,305254,PCN553,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,0,Retail,0,1,0,6200.0,2.37,6202.37,155.0,5730.51,316.86,248.0,175.6667,0,0,0,0,2022-04-17
RX0000003437,MBR00000093,2023-08-29,2023-08-31,1380595763,1618171860,PLN1730,944971,PCN676,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,57,6,Retail,0,0,0,44.0,7.91,51.91,3.0,45.76,3.15,0.88,0.6233,0,0,0,0,2023-10-28
RX0000003438,MBR00000093,2021-03-13,2021-03-17,1132454709,1311517441,PLN8261,372489,PCN658,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,0,Retail,0,0,0,18.0,8.53,26.53,6.0,18.7,1.83,0.72,0.51,0,0,0,0,2021-04-12
RX0000003439,MBR00000093,2023-06-26,2023-06-30,1411659284,1594284670,PLN9723,124100,PCN829,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,3,Mail Order,1,0,0,175.0,5.09,180.09,36.0,135.65,8.44,30.0,21.25,0,1,1,0,2023-07-03
RX0000003440,MBR00000093,2023-05-24,2023-05-28,1745006435,1312239897,PLN5251,104434,PCN485,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,85,10,Specialty,0,0,0,66.0,48.45,114.45,75.0,39.45,0.0,0.88,0.6233,0,0,0,0,2023-08-22
RX0000003441,MBR00000093,2021-08-12,2021-08-14,1311018340,1894208050,PLN9811,784449,PCN804,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,10,Retail,0,0,0,370.0,8.96,378.96,37.0,324.45,17.51,14.8,10.4833,0,0,0,0,2021-09-11
RX0000003442,MBR00000093,2023-05-09,2023-05-13,1302617697,1903604855,PLN9484,606551,PCN398,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,10,Retail,0,0,0,114.0,7.06,121.06,2.0,114.66,4.4,1.52,1.0767,0,0,0,0,2023-08-07
RX0000003443,MBR00000093,2021-12-18,2021-12-20,1477259469,1481596483,PLN9686,994164,PCN896,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,11,Mail Order,0,0,0,38.0,4.33,42.33,39.0,0.81,2.52,1.52,1.0767,1,0,0,0,2022-01-17
RX0000003444,MBR00000093,2021-01-30,2021-02-01,1123204628,1661127082,PLN2991,914943,PCN380,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,11,Retail,0,1,0,2.8,5.49,8.29,145.0,0.0,0.27,0.48,0.34,1,0,0,0,2021-02-06
RX0000003445,MBR00000093,2021-02-16,2021-02-20,1955725779,1558353996,PLN2628,361287,PCN911,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,7,Mail Order,0,1,0,2800.0,9.54,2809.54,155.0,2486.7,167.84,112.0,79.3333,0,0,0,0,2021-03-18
RX0000003446,MBR00000093,2023-11-08,2023-11-09,1220858162,1768785037,PLN9991,379939,PCN710,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,61,4,Retail,0,0,0,17.0,8.22,25.22,3.0,20.58,1.64,0.34,0.2408,0,0,0,0,2024-01-07
RX0000003447,MBR00000093,2023-11-30,2023-12-01,1811937449,1495216627,PLN9572,975055,PCN190,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,82,8,Retail,0,0,0,2250.0,8.18,2258.18,37.0,2090.47,130.71,30.0,21.25,0,0,0,0,2024-02-28
RX0000003448,MBR00000093,2021-12-16,2021-12-18,1593394108,1390372459,PLN8081,673299,PCN550,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,62,1,Retail,0,0,0,20.0,4.85,24.85,8.0,15.98,0.87,0.4,0.2833,0,0,0,0,2022-02-14
RX0000003449,MBR00000093,2023-06-24,2023-06-26,1285606626,1353440722,PLN4951,754908,PCN347,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,6,Retail,0,0,0,38.0,7.45,45.45,40.0,2.72,2.73,1.52,1.0767,1,0,0,0,2023-07-24
RX0000003450,MBR00000094,2023-02-19,2023-02-22,1663739937,1377257845,PLN2939,905257,PCN171,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,3,Mail Order,0,1,0,12.0,9.16,21.16,146.0,0.0,1.14,0.48,0.34,0,0,0,0,2023-03-21
RX0000003451,MBR00000094,2023-01-12,2023-01-15,1796487178,1533366167,PLN7480,325410,PCN147,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,5,Retail,0,0,0,9.0,1.6,10.6,6.0,3.98,0.62,0.36,0.255,0,0,0,0,2023-02-11
RX0000003452,MBR00000094,2021-01-05,2021-01-08,1953314112,1155769250,PLN9882,762283,PCN352,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,4,Retail,0,0,0,2.57,9.7,12.26,9.0,2.71,0.55,0.44,0.3117,0,0,0,0,2021-01-12
RX0000003453,MBR00000094,2021-07-29,2021-07-30,1821461505,1274957781,PLN5778,747980,PCN660,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,3,Specialty,0,0,1,10.0,42.64,52.64,6.0,46.64,0.0,0.4,0.2833,0,0,0,0,2021-08-28
RX0000003454,MBR00000094,2022-01-08,2022-01-09,1781691219,1107546073,PLN6625,812659,PCN504,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,59,0,Retail,0,0,0,1300.0,6.34,1306.34,33.0,1228.24,45.1,26.0,18.4167,0,0,0,0,2022-03-09
RX0000003455,MBR00000094,2021-11-27,2021-12-01,1338161533,1761508091,PLN5437,262519,PCN838,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,2,Retail,0,0,0,18.0,6.06,24.06,3.0,19.41,1.65,0.72,0.51,0,0,0,0,2021-12-27
RX0000003456,MBR00000094,2021-10-09,2021-10-11,1984317932,1837139909,PLN9378,854756,PCN684,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,94,0,Retail,0,1,0,8400.0,4.79,8404.79,153.0,7827.68,424.11,112.0,79.3333,0,0,0,0,2022-01-07
RX0000003457,MBR00000094,2022-12-11,2022-12-13,1944251493,1364148863,PLN7002,815944,PCN433,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,4,LTC,0,0,0,2.1,4.14,6.24,2.0,4.01,0.23,0.36,0.255,0,0,0,0,2022-12-18
RX0000003458,MBR00000094,2022-05-01,2022-05-02,1376963487,1535502062,PLN1343,672032,PCN729,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,2,Retail,0,1,0,8500.0,7.79,8507.79,148.0,7884.91,474.88,340.0,240.8333,0,0,0,0,2022-05-31
RX0000003459,MBR00000094,2021-04-12,2021-04-13,1737095624,1330220581,PLN8421,221449,PCN139,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,6,Specialty,0,0,0,380.0,42.93,422.93,35.0,387.93,0.0,15.2,10.7667,0,0,0,0,2021-05-12
RX0000003460,MBR00000094,2023-11-19,2023-11-21,1763527202,1447517691,PLN2706,366598,PCN114,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,2,Specialty,1,0,0,12.5,11.34,23.84,9.0,14.84,0.0,0.5,0.3542,0,0,0,0,2023-12-19
RX0000003461,MBR00000094,2023-09-05,2023-09-09,1486960358,1974067816,PLN6727,516603,PCN311,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,89,6,Retail,0,0,0,48.0,4.02,52.02,7.0,42.32,2.7,0.64,0.4533,0,0,0,0,2023-12-04
RX0000003462,MBR00000094,2022-09-16,2022-09-17,1356849791,1485165249,PLN1315,290877,PCN254,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,54,7,Retail,0,0,0,44.0,2.93,46.93,71.0,0.0,3.2,0.88,0.6233,1,0,0,0,2022-11-15
RX0000003463,MBR00000094,2021-11-09,2021-11-12,1616577216,1640412940,PLN9461,210995,PCN794,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,7,Retail,1,0,0,4.2,6.49,10.69,3.0,6.97,0.72,0.72,0.51,0,0,0,0,2021-11-16
RX0000003464,MBR00000094,2021-08-05,2021-08-07,1977537359,1399039455,PLN1306,328655,PCN341,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,60,8,Retail,0,0,0,44.0,5.43,49.43,0.0,47.02,2.41,0.88,0.6233,0,0,0,0,2021-10-04
RX0000003465,MBR00000094,2022-01-07,2022-01-10,1297605613,1593311311,PLN2042,707828,PCN631,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,5,Retail,0,0,0,330.0,2.8,332.8,38.0,282.72,12.08,13.2,9.35,0,0,0,0,2022-02-06
RX0000003466,MBR00000094,2022-10-10,2022-10-11,1443213596,1156496439,PLN6608,558324,PCN951,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,9,Retail,0,0,0,650.0,8.3,658.3,34.0,596.14,28.16,26.0,18.4167,0,0,0,0,2022-11-09
RX0000003467,MBR00000094,2023-07-24,2023-07-26,1124882486,1902358391,PLN4163,313071,PCN397,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,10,Specialty,0,1,0,12.0,10.36,22.36,148.0,0.0,0.0,0.48,0.34,1,0,0,0,2023-08-23
RX0000003468,MBR00000094,2022-10-07,2022-10-09,1891882866,1332447723,PLN4142,382864,PCN801,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,2,Mail Order,0,0,0,18.0,2.77,20.77,40.0,0.0,1.22,0.72,0.51,0,0,0,0,2022-11-06
RX0000003469,MBR00000094,2021-12-30,2021-12-31,1912607874,1679084315,PLN5620,472630,PCN711,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,2,Retail,0,0,0,380.0,6.07,386.07,38.0,323.36,24.71,15.2,10.7667,0,0,0,0,2022-01-29
RX0000003470,MBR00000094,2023-10-10,2023-10-14,1562749368,1183500650,PLN4522,950488,PCN680,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,87,9,Retail,1,0,0,2850.0,1.89,2851.89,40.0,2632.17,179.72,38.0,26.9167,0,0,0,0,2024-01-08
RX0000003471,MBR00000094,2021-09-01,2021-09-05,1887015279,1631982119,PLN8591,482292,PCN987,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,10,Mail Order,0,0,0,45.0,7.57,52.57,0.0,50.69,1.88,1.8,1.275,0,0,0,0,2021-10-01
RX0000003472,MBR00000094,2022-01-13,2022-01-15,1602904638,1636975408,PLN7008,876022,PCN695,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,4,Retail,1,0,0,22.0,7.09,29.09,70.0,0.0,1.89,0.88,0.6233,0,0,0,0,2022-02-12
RX0000003473,MBR00000094,2022-07-03,2022-07-04,1564127608,1595840644,PLN1244,953198,PCN855,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,88,7,Mail Order,0,0,0,1140.0,3.06,1143.06,35.0,1045.82,62.24,15.2,10.7667,0,0,0,0,2022-10-01
RX0000003474,MBR00000094,2022-10-04,2022-10-06,1268902170,1741799306,PLN2564,574404,PCN538,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,90,7,Mail Order,0,0,0,1950.0,10.1,1960.1,32.0,1818.6,109.5,26.0,18.4167,0,0,0,0,2023-01-02
RX0000003475,MBR00000094,2022-06-28,2022-06-29,1345780710,1879407023,PLN6365,207715,PCN294,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,10,Retail,0,0,0,9.0,8.15,17.15,7.0,9.62,0.53,0.36,0.255,0,1,0,0,2022-07-28
RX0000003476,MBR00000094,2023-10-22,2023-10-25,1799478359,1833421537,PLN2558,563306,PCN571,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,94,6,Mail Order,0,0,0,195.0,4.39,199.39,32.0,155.85,11.54,2.6,1.8417,0,0,0,0,2024-01-20
RX0000003477,MBR00000094,2021-08-26,2021-08-28,1591418651,1881194400,PLN8874,759960,PCN432,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,8,Mail Order,0,0,0,65.0,8.66,73.66,35.0,33.65,5.01,2.6,1.8417,0,0,0,0,2021-09-25
RX0000003478,MBR00000094,2022-09-10,2022-09-11,1915616494,1335811820,PLN8752,300431,PCN256,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,61,11,Mail Order,0,0,0,18.0,2.28,20.28,2.0,17.23,1.05,0.36,0.255,0,0,0,0,2022-11-09
RX0000003479,MBR00000094,2021-02-01,2021-02-02,1620638559,1778221863,PLN4510,227343,PCN558,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,95,5,Retail,0,1,0,18600.0,11.28,18611.28,152.0,17225.21,1234.07,248.0,175.6667,1,0,0,0,2021-05-02
RX0000003480,MBR00000094,2022-06-24,2022-06-26,1601073979,1261376287,PLN4100,897669,PCN732,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,8,Retail,0,0,0,18.0,11.38,29.38,10.0,17.79,1.59,0.72,0.51,1,0,0,0,2022-07-24
RX0000003481,MBR00000094,2022-01-03,2022-01-04,1339781977,1897330529,PLN3178,318335,PCN851,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,6,Retail,0,0,0,10.0,4.01,14.01,10.0,3.06,0.95,0.4,0.2833,0,0,0,0,2022-02-02
RX0000003482,MBR00000094,2021-10-29,2021-11-02,1587720074,1494957744,PLN9712,473557,PCN153,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,63,9,Retail,0,0,0,36.0,11.11,47.11,39.0,6.03,2.08,0.72,0.51,0,0,0,0,2021-12-28
RX0000003483,MBR00000094,2021-05-05,2021-05-06,1430382571,1725484852,PLN1545,137327,PCN217,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,1,Specialty,2,0,0,9.0,29.38,38.38,1.0,37.38,0.0,0.36,0.255,0,0,0,0,2021-06-04
RX0000003484,MBR00000094,2022-06-23,2022-06-25,1479984863,1126845494,PLN3878,825737,PCN725,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,64,11,Specialty,0,0,0,44.0,38.58,82.58,4.0,78.58,0.0,0.88,0.6233,1,0,0,0,2022-08-22
RX0000003485,MBR00000095,2022-01-25,2022-01-27,1538591266,1585213752,PLN6604,362754,PCN219,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,5,Mail Order,3,0,0,54.0,3.16,57.16,35.0,20.3,1.86,0.72,0.51,0,0,0,0,2022-04-25
RX0000003486,MBR00000095,2021-08-08,2021-08-10,1715888232,1185193495,PLN1155,886414,PCN236,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,7,Retail,0,0,0,380.0,10.02,390.02,34.0,335.91,20.11,15.2,10.7667,0,0,0,0,2021-09-07
RX0000003487,MBR00000095,2022-07-22,2022-07-23,1936834070,1939754711,PLN1512,694593,PCN664,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Mail Order,0,0,0,38.0,5.88,43.88,5.0,36.18,2.7,1.52,1.0767,0,0,0,0,2022-08-21
RX0000003488,MBR00000095,2023-10-23,2023-10-27,1289397066,1457337232,PLN6944,370162,PCN560,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,54,9,Mail Order,0,0,0,28.0,9.49,37.49,0.0,35.21,2.28,0.56,0.3967,0,0,0,0,2023-12-22
RX0000003489,MBR00000095,2022-04-12,2022-04-13,1359103593,1957276470,PLN7682,672067,PCN285,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,9,Retail,0,0,0,310.0,5.05,315.05,38.0,255.99,21.06,12.4,8.7833,0,0,0,0,2022-05-12
RX0000003490,MBR00000095,2022-09-15,2022-09-17,1292188343,1254731401,PLN6528,543679,PCN864,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,3,Mail Order,0,0,0,65.0,5.55,70.55,31.0,35.83,3.72,2.6,1.8417,0,0,0,0,2022-10-15
RX0000003491,MBR00000095,2021-02-26,2021-03-02,1815407100,1310423987,PLN6064,337401,PCN134,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,11,Retail,0,0,0,22.0,2.03,24.03,74.0,0.0,0.81,0.88,0.6233,0,0,0,0,2021-03-28
RX0000003492,MBR00000095,2023-02-20,2023-02-22,1126722630,1877865186,PLN6837,435271,PCN397,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,9,Mail Order,0,1,0,2800.0,5.33,2805.33,150.0,2558.27,97.06,112.0,79.3333,0,0,0,0,2023-03-22
RX0000003493,MBR00000095,2022-09-18,2022-09-19,1441163353,1103331796,PLN1583,506375,PCN386,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,7,Retail,0,0,0,11.0,10.04,21.04,2.0,18.11,0.93,0.44,0.3117,0,0,0,0,2022-10-18
RX0000003494,MBR00000095,2023-07-18,2023-07-19,1712348920,1744311215,PLN9463,564015,PCN906,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,8,Mail Order,0,0,0,10.0,9.76,19.76,1.0,18.15,0.61,0.4,0.2833,0,0,0,0,2023-08-17
RX0000003495,MBR00000095,2023-04-18,2023-04-22,1776937540,1854728521,PLN2816,494932,PCN503,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,3,Retail,0,0,0,45.0,7.51,52.51,10.0,40.08,2.43,1.8,1.275,0,0,0,0,2023-05-18
RX0000003496,MBR00000095,2023-02-15,2023-02-19,1141842335,1951007805,PLN5501,431859,PCN483,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,2,Retail,0,0,1,28.0,10.9,38.9,8.0,29.63,1.27,1.12,0.7933,0,0,0,0,2023-03-17
RX0000003497,MBR00000095,2022-11-19,2022-11-21,1227876439,1345879418,PLN2051,353938,PCN571,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,2,Retail,0,1,0,8.0,7.38,15.38,152.0,0.0,0.49,0.32,0.2267,0,1,1,0,2022-12-19
RX0000003498,MBR00000095,2023-05-06,2023-05-08,1660291061,1203369195,PLN7081,818180,PCN821,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,84,10,Mail Order,0,0,0,25.5,9.98,35.48,10.0,23.94,1.54,0.34,0.2408,0,0,0,0,2023-08-04
RX0000003499,MBR00000095,2023-02-09,2023-02-13,1744890052,1771663058,PLN7528,439470,PCN708,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,7,Retail,0,0,0,7.5,6.57,14.07,3.0,10.1,0.97,0.3,0.2125,0,0,0,0,2023-03-11
RX0000003500,MBR00000095,2021-01-09,2021-01-11,1353348626,1682970501,PLN3079,712252,PCN440,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,8,Retail,0,0,0,12.5,2.7,15.2,2.0,12.65,0.55,0.5,0.3542,0,0,0,0,2021-02-08
RX0000003501,MBR00000095,2021-02-22,2021-02-24,1354121803,1722495767,PLN6325,802287,PCN648,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,94,4,Retail,0,1,0,18600.0,6.23,18606.23,151.0,17698.07,757.16,248.0,175.6667,0,0,0,0,2021-05-23
RX0000003502,MBR00000095,2023-11-19,2023-11-20,1202510766,1590108272,PLN2107,943379,PCN930,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,0,Retail,0,0,0,16.0,8.49,24.49,2.0,20.92,1.57,0.64,0.4533,0,0,0,0,2023-12-19
RX0000003503,MBR00000095,2022-02-08,2022-02-11,1483478962,1484359478,PLN9245,436060,PCN310,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,11,Retail,0,0,0,6.53,9.94,16.48,7.0,8.86,0.62,1.12,0.7933,0,0,0,0,2022-02-15
RX0000003504,MBR00000095,2022-02-25,2022-02-27,1316795955,1883697507,PLN8439,179798,PCN672,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,6,Retail,0,0,0,3.27,2.96,6.23,9.0,0.0,0.24,0.56,0.3967,0,0,0,0,2022-03-04
RX0000003505,MBR00000095,2022-08-05,2022-08-09,1298266031,1582185093,PLN2505,777182,PCN926,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,96,10,Mail Order,0,0,0,114.0,7.51,121.51,35.0,81.16,5.35,1.52,1.0767,0,0,0,0,2022-11-03
RX0000003506,MBR00000095,2023-01-26,2023-01-27,1365712768,1552030385,PLN2281,569750,PCN675,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,84,11,Retail,0,0,0,54.0,7.04,61.04,1.0,55.89,4.15,0.72,0.51,0,0,0,0,2023-04-26
RX0000003507,MBR00000096,2021-08-19,2021-08-22,1746011294,1552601196,PLN7248,423144,PCN377,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,57,8,Retail,0,0,0,1900.0,7.27,1907.27,31.0,1768.0,108.27,38.0,26.9167,0,0,0,0,2021-10-18
RX0000003508,MBR00000096,2021-04-17,2021-04-19,1367600902,1167198567,PLN6517,712787,PCN684,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,55,4,LTC,0,0,0,44.0,6.78,50.78,3.0,46.13,1.65,0.88,0.6233,0,0,0,0,2021-06-16
RX0000003509,MBR00000096,2021-01-30,2021-02-02,1702476074,1514067500,PLN6536,151136,PCN518,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,4,Retail,0,0,0,9.0,11.1,20.1,5.0,14.37,0.73,0.36,0.255,0,0,0,0,2021-03-01
RX0000003510,MBR00000096,2021-12-30,2022-01-01,1766152621,1345516081,PLN2259,760391,PCN366,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,4,Mail Order,3,0,0,12.0,11.2,23.2,0.0,21.77,1.43,0.48,0.34,0,0,0,0,2022-01-29
RX0000003511,MBR00000096,2023-05-02,2023-05-06,1793357805,1272908265,PLN3779,974044,PCN184,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,2,Retail,0,0,0,330.0,1.93,331.93,34.0,275.43,22.5,13.2,9.35,0,0,0,0,2023-06-01
RX0000003512,MBR00000096,2022-09-07,2022-09-08,1841272607,1546980599,PLN9288,789598,PCN317,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,95,4,Mail Order,0,0,0,33.0,2.01,35.01,6.0,26.95,2.06,0.44,0.3117,0,0,0,0,2022-12-06
RX0000003513,MBR00000096,2022-10-26,2022-10-29,1508126862,1706106722,PLN1860,814553,PCN954,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,83,3,Retail,0,0,0,42.0,3.45,45.45,8.0,34.51,2.94,0.56,0.3967,0,0,0,0,2023-01-24
RX0000003514,MBR00000096,2021-01-28,2021-02-01,1373869442,1442891755,PLN2944,267825,PCN201,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,97,0,Retail,0,0,0,30.0,6.79,36.79,0.0,35.0,1.79,0.4,0.2833,0,0,0,0,2021-04-28
RX0000003515,MBR00000096,2022-06-24,2022-06-27,1896056612,1836493742,PLN1566,924258,PCN489,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,7,Retail,0,1,0,12.0,2.65,14.65,149.0,0.0,0.49,0.48,0.34,0,0,0,0,2022-07-24
RX0000003516,MBR00000096,2022-04-09,2022-04-13,1740665345,1399636879,PLN8388,639201,PCN402,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,0,LTC,0,0,0,14.0,4.19,18.19,1.0,16.24,0.95,0.56,0.3967,0,0,0,0,2022-05-09
RX0000003517,MBR00000096,2023-09-22,2023-09-23,1581044703,1151825231,PLN9138,604178,PCN377,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,82,7,Mail Order,2,0,0,930.0,2.96,932.96,38.0,855.42,39.54,12.4,8.7833,0,0,0,0,2023-12-21
RX0000003518,MBR00000096,2022-03-18,2022-03-20,1155847981,1815822509,PLN5247,446147,PCN816,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,65,6,Specialty,0,0,0,90.0,32.5,122.5,9.0,113.5,0.0,1.8,1.275,0,0,0,0,2022-05-17
RX0000003519,MBR00000096,2021-11-28,2021-12-01,1512924111,1171462209,PLN1419,470327,PCN416,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,10,Retail,0,0,0,14.0,2.12,16.12,5.0,10.58,0.54,0.56,0.3967,0,0,0,0,2021-12-28
RX0000003520,MBR00000096,2021-12-30,2022-01-02,1631919911,1143474979,PLN9691,382770,PCN311,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,8,Retail,0,0,0,22.0,10.14,32.14,9.0,21.02,2.12,0.88,0.6233,1,0,0,0,2022-01-29
RX0000003521,MBR00000096,2021-04-27,2021-05-01,1872205061,1200024475,PLN4483,578526,PCN651,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,97,10,Retail,0,0,0,960.0,9.66,969.66,37.0,877.6,55.06,12.8,9.0667,0,0,0,0,2021-07-26
RX0000003522,MBR00000096,2023-08-18,2023-08-22,1644057836,1985584498,PLN5785,688092,PCN933,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,88,2,Retail,0,0,0,1950.0,11.45,1961.45,32.0,1800.28,129.17,26.0,18.4167,0,0,0,0,2023-11-16
RX0000003523,MBR00000096,2022-04-04,2022-04-05,1253343299,1895586987,PLN1387,906942,PCN859,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,10,Mail Order,0,0,0,65.0,3.02,68.02,35.0,28.56,4.46,2.6,1.8417,0,0,0,0,2022-05-04
RX0000003524,MBR00000096,2023-08-26,2023-08-27,1173956767,1555787840,PLN5253,976037,PCN532,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,4,Retail,0,0,0,65.0,3.31,68.31,31.0,33.53,3.78,2.6,1.8417,1,0,0,0,2023-09-25
RX0000003525,MBR00000096,2021-07-15,2021-07-17,1297135477,1107108939,PLN6249,111507,PCN506,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,92,4,Mail Order,0,0,0,42.0,4.63,46.63,3.0,41.44,2.19,0.56,0.3967,0,0,0,0,2021-10-13
RX0000003526,MBR00000096,2023-05-17,2023-05-20,1118637372,1609828162,PLN6483,258542,PCN461,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,11,Retail,0,0,0,28.0,6.27,34.27,6.0,26.3,1.97,1.12,0.7933,0,0,0,0,2023-06-16
RX0000003527,MBR00000096,2022-09-15,2022-09-19,1767200930,1603024681,PLN5690,158630,PCN374,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,4,Retail,0,0,0,7.5,6.01,13.51,7.0,5.88,0.63,0.3,0.2125,0,0,0,0,2022-10-15
RX0000003528,MBR00000096,2023-08-02,2023-08-03,1660726251,1654314973,PLN8066,682046,PCN934,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,98,6,Retail,0,0,0,22.5,5.82,28.32,3.0,23.72,1.6,0.3,0.2125,0,0,0,0,2023-10-31
RX0000003529,MBR00000096,2022-09-20,2022-09-24,1468250311,1600357399,PLN5162,526632,PCN102,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,58,11,Retail,1,0,0,760.0,10.79,770.79,39.0,697.46,34.33,15.2,10.7667,0,0,0,0,2022-11-19
RX0000003530,MBR00000096,2022-04-11,2022-04-13,1576892602,1497106665,PLN2362,231293,PCN319,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,2,Mail Order,0,0,0,15.0,2.62,17.62,1.0,15.84,0.78,0.6,0.425,0,0,0,0,2022-05-11
RX0000003531,MBR00000096,2021-06-20,2021-06-22,1720055542,1610575918,PLN9836,636924,PCN497,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,57,7,Retail,0,0,0,1300.0,9.44,1309.44,33.0,1211.65,64.79,26.0,18.4167,0,0,0,0,2021-08-19
RX0000003532,MBR00000096,2021-11-15,2021-11-17,1762012737,1461357137,PLN1525,606249,PCN298,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,6,Retail,1,0,0,45.0,3.09,48.09,3.0,43.16,1.93,1.8,1.275,0,0,0,0,2021-12-15
RX0000003533,MBR00000096,2022-07-02,2022-07-03,1175604922,1514481555,PLN7017,472031,PCN632,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,0,Retail,0,0,0,12.5,3.52,16.02,8.0,7.53,0.49,0.5,0.3542,0,0,0,0,2022-08-01
RX0000003534,MBR00000096,2023-10-14,2023-10-17,1347872972,1583541814,PLN9749,592886,PCN639,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,3,Retail,0,0,0,10.0,10.19,20.19,2.0,16.91,1.28,0.4,0.2833,0,0,0,0,2023-11-13
RX0000003535,MBR00000096,2023-07-12,2023-07-15,1331176708,1624856252,PLN5167,349377,PCN636,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,5,Retail,0,0,0,11.0,7.23,18.23,8.0,9.0,1.23,0.44,0.3117,0,0,0,0,2023-08-11
RX0000003536,MBR00000096,2022-03-10,2022-03-14,1840393946,1695309422,PLN5453,204094,PCN491,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,0,Specialty,0,1,0,6200.0,26.26,6226.26,155.0,6071.26,0.0,248.0,175.6667,0,0,0,0,2022-04-09
RX0000003537,MBR00000096,2023-11-28,2023-11-29,1307240589,1918282890,PLN1786,724269,PCN920,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,5,Mail Order,0,0,0,480.0,9.28,489.28,34.0,421.39,33.89,19.2,13.6,0,0,0,0,2023-12-28
RX0000003538,MBR00000096,2021-02-15,2021-02-18,1223936023,1141241786,PLN2754,838172,PCN857,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,89,5,Mail Order,0,0,0,45.0,5.69,50.69,2.0,46.93,1.76,0.6,0.425,1,0,0,0,2021-05-16
RX0000003539,MBR00000096,2022-10-12,2022-10-13,1586740927,1163027370,PLN8802,293995,PCN690,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,2,Retail,0,0,0,8.5,4.92,13.42,2.0,10.88,0.54,0.34,0.2408,0,0,0,0,2022-11-11
RX0000003540,MBR00000096,2021-03-23,2021-03-26,1424294324,1487547246,PLN2588,241195,PCN784,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,83,7,Retail,0,0,0,990.0,7.32,997.32,33.0,901.87,62.45,13.2,9.35,0,0,0,0,2021-06-21
RX0000003541,MBR00000096,2023-05-28,2023-05-29,1431758989,1571613327,PLN4365,456856,PCN673,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,62,2,Mail Order,0,0,0,90.0,9.14,99.14,5.0,88.04,6.1,1.8,1.275,0,0,0,0,2023-07-27
RX0000003542,MBR00000096,2021-06-14,2021-06-17,1596034425,1415820502,PLN6198,819334,PCN391,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,11,Retail,0,0,0,11.0,8.35,19.35,6.0,12.46,0.89,0.44,0.3117,0,0,0,0,2021-07-14
RX0000003543,MBR00000096,2022-08-08,2022-08-11,1691781701,1600796576,PLN4583,108149,PCN683,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,5,Retail,0,0,0,480.0,7.71,487.71,30.0,435.31,22.4,19.2,13.6,0,0,0,0,2022-09-07
RX0000003544,MBR00000096,2022-06-27,2022-07-01,1284232165,1146247569,PLN2345,766461,PCN310,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,3,Retail,0,0,0,43.17,7.72,50.89,39.0,9.55,2.34,7.4,5.2417,0,0,0,0,2022-07-04
RX0000003545,MBR00000097,2023-02-01,2023-02-04,1848596592,1493001243,PLN7955,924564,PCN166,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,10,Retail,0,0,1,65.0,8.45,73.45,34.0,36.63,2.82,2.6,1.8417,0,0,0,0,2023-03-03
RX0000003546,MBR00000097,2022-03-02,2022-03-05,1188875807,1182365784,PLN6641,758746,PCN979,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,98,9,Retail,0,0,0,1440.0,7.91,1447.91,36.0,1344.19,67.72,19.2,13.6,0,0,0,0,2022-05-31
RX0000003547,MBR00000097,2023-02-13,2023-02-17,1735390733,1388507273,PLN2822,529622,PCN816,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,90,8,Retail,0,1,0,18600.0,8.49,18608.49,149.0,17748.79,710.7,248.0,175.6667,0,0,0,0,2023-05-14
RX0000003548,MBR00000097,2023-07-22,2023-07-26,1529923319,1785885304,PLN7935,901818,PCN867,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,11,Mail Order,0,0,0,7.5,4.28,11.78,3.0,8.35,0.43,0.3,0.2125,0,0,0,0,2023-08-21
RX0000003549,MBR00000097,2021-03-30,2021-03-31,1223110539,1566528318,PLN9139,827006,PCN592,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,11,Mail Order,0,0,0,9.0,11.51,20.51,8.0,11.88,0.63,0.36,0.255,0,0,0,0,2021-04-29
RX0000003550,MBR00000097,2023-11-27,2023-11-28,1120100258,1487373739,PLN5740,402193,PCN807,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,3,Retail,0,0,0,18.0,11.27,29.27,3.0,25.22,1.05,0.72,0.51,0,0,0,0,2023-12-27
RX0000003551,MBR00000097,2022-04-13,2022-04-16,1140830922,1616491627,PLN4694,952729,PCN666,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,8,Specialty,0,0,0,18.0,29.32,47.32,39.0,8.32,0.0,0.72,0.51,0,0,0,0,2022-05-13
RX0000003552,MBR00000097,2021-07-17,2021-07-21,1431571516,1463129763,PLN8216,878525,PCN686,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,9,Retail,3,1,0,6200.0,7.47,6207.47,154.0,5703.93,349.54,248.0,175.6667,0,0,0,0,2021-08-16
RX0000003553,MBR00000097,2021-05-02,2021-05-04,1235709820,1693713468,PLN3182,153207,PCN235,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,3,Retail,0,0,0,27.0,1.92,28.92,7.0,20.96,0.96,0.36,0.255,1,0,0,0,2021-07-31
RX0000003554,MBR00000097,2022-05-02,2022-05-05,1752753533,1133746557,PLN7454,136155,PCN745,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,6,Specialty,0,0,0,18.0,24.35,42.35,36.0,6.35,0.0,0.72,0.51,0,0,0,0,2022-06-01
RX0000003555,MBR00000097,2021-08-08,2021-08-10,1369732727,1321923048,PLN6723,722634,PCN837,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,3,Retail,0,0,0,16.0,8.95,24.95,1.0,22.97,0.98,0.64,0.4533,0,0,0,0,2021-09-07
RX0000003556,MBR00000097,2022-09-02,2022-09-04,1984785930,1153359438,PLN9246,858896,PCN300,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,56,11,Retail,0,0,0,640.0,8.01,648.01,33.0,585.58,29.43,12.8,9.0667,1,0,0,0,2022-11-01
RX0000003557,MBR00000097,2023-10-06,2023-10-09,1833144409,1378219225,PLN1535,884835,PCN977,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,55,5,Retail,0,0,0,56.0,4.56,60.56,10.0,47.95,2.61,1.12,0.7933,0,0,0,0,2023-12-05
RX0000003558,MBR00000097,2021-10-07,2021-10-10,1250602799,1824656028,PLN4720,527951,PCN611,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,97,11,Retail,0,0,0,1950.0,6.06,1956.06,34.0,1859.22,62.84,26.0,18.4167,0,0,0,0,2022-01-05
RX0000003559,MBR00000097,2023-03-26,2023-03-29,1168303831,1582558986,PLN2998,463402,PCN413,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,5,Retail,0,0,0,45.0,2.33,47.33,2.0,43.22,2.11,1.8,1.275,0,0,0,0,2023-04-25
RX0000003560,MBR00000097,2023-08-30,2023-09-02,1406766788,1506887097,PLN2288,524739,PCN954,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,62,11,Retail,0,1,0,12400.0,1.85,12401.85,149.0,11387.12,865.73,248.0,175.6667,0,0,0,0,2023-10-29
RX0000003561,MBR00000097,2021-02-08,2021-02-10,1941124887,1482698792,PLN8968,389307,PCN140,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,1,Retail,0,0,0,380.0,2.95,382.95,33.0,329.17,20.78,15.2,10.7667,0,0,0,0,2021-03-10
RX0000003562,MBR00000097,2022-11-02,2022-11-06,1509628667,1888582224,PLN8455,440110,PCN169,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,11,Retail,0,0,0,2.8,8.67,11.47,1.0,10.08,0.39,0.48,0.34,0,1,0,0,2022-11-09
RX0000003563,MBR00000097,2021-06-04,2021-06-07,1240320148,1715608434,PLN1818,428426,PCN179,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,10,Specialty,0,0,0,22.0,41.7,63.7,65.0,0.0,0.0,0.88,0.6233,0,0,0,0,2021-07-04
RX0000003564,MBR00000097,2022-10-03,2022-10-06,1379283977,1395694514,PLN4071,948821,PCN317,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,5,Mail Order,0,0,0,15.17,10.77,25.94,40.0,0.0,1.26,2.6,1.8417,0,0,0,0,2022-10-10
RX0000003565,MBR00000097,2022-10-02,2022-10-05,1608253588,1662803299,PLN9920,641659,PCN852,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,95,3,Retail,0,0,0,525.0,4.24,529.24,38.0,472.58,18.66,7.0,4.9583,1,0,0,0,2022-12-31
RX0000003566,MBR00000097,2023-07-10,2023-07-11,1337976285,1361437253,PLN7249,616738,PCN742,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,56,1,Retail,0,0,0,36.0,10.86,46.86,5.0,38.89,2.97,0.72,0.51,1,0,0,0,2023-09-08
RX0000003567,MBR00000097,2022-06-08,2022-06-12,1561290009,1997249918,PLN3307,652838,PCN958,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,3,Retail,2,1,0,12.0,11.84,23.84,145.0,0.0,1.55,0.48,0.34,0,0,0,0,2022-07-08
RX0000003568,MBR00000097,2021-11-20,2021-11-24,1956849892,1563959465,PLN9931,581508,PCN401,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,62,10,Mail Order,0,1,0,17000.0,8.68,17008.68,147.0,15956.68,905.0,340.0,240.8333,0,0,0,0,2022-01-19
RX0000003569,MBR00000097,2023-05-07,2023-05-10,1414641541,1606827186,PLN1650,974258,PCN504,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,57,9,Retail,0,0,0,740.0,2.19,742.19,33.0,684.88,24.31,14.8,10.4833,0,0,0,0,2023-07-06
RX0000003570,MBR00000097,2023-08-02,2023-08-05,1221929179,1623523014,PLN1833,552546,PCN655,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,4,Mail Order,0,0,0,12.5,9.9,22.4,7.0,13.97,1.43,0.5,0.3542,0,0,0,0,2023-09-01
RX0000003571,MBR00000097,2022-03-20,2022-03-23,1359831835,1909208184,PLN6206,850861,PCN642,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,1,Retail,0,0,0,4.2,5.03,9.23,3.0,5.59,0.64,0.72,0.51,0,0,0,0,2022-03-27
RX0000003572,MBR00000097,2021-08-23,2021-08-25,1558681075,1462489448,PLN9719,609897,PCN807,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,95,4,Retail,0,0,0,2850.0,8.89,2858.89,40.0,2705.72,113.17,38.0,26.9167,0,0,0,0,2021-11-21
RX0000003573,MBR00000097,2023-02-23,2023-02-24,1305196593,1389521397,PLN6672,912137,PCN882,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,4,Retail,0,0,0,8.87,3.27,12.13,33.0,0.0,0.49,1.52,1.0767,0,0,0,0,2023-03-02
RX0000003574,MBR00000097,2021-05-22,2021-05-25,1889406902,1963822838,PLN9601,304153,PCN632,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,2,Retail,0,0,0,18.0,2.85,20.85,3.0,17.15,0.7,0.72,0.51,0,0,0,0,2021-06-21
RX0000003575,MBR00000097,2023-02-12,2023-02-15,1655659764,1718408863,PLN7546,973006,PCN621,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,1,Retail,0,0,0,38.0,9.5,47.5,33.0,12.83,1.67,1.52,1.0767,0,0,0,0,2023-03-14
RX0000003576,MBR00000097,2022-08-24,2022-08-25,1903967917,1756657851,PLN7521,409085,PCN934,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,8,Retail,3,0,0,18.0,9.25,27.25,10.0,16.27,0.98,0.72,0.51,0,0,0,0,2022-09-23
RX0000003577,MBR00000097,2023-03-16,2023-03-18,1940854216,1276827081,PLN7651,179808,PCN555,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,2,Mail Order,0,0,0,14.0,3.04,17.04,0.0,16.34,0.7,0.56,0.3967,0,0,0,0,2023-04-15
RX0000003578,MBR00000097,2022-01-24,2022-01-28,1340202156,1370957078,PLN5654,644341,PCN587,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,8,LTC,1,0,0,12.0,4.41,16.41,5.0,10.68,0.73,0.48,0.34,0,0,0,0,2022-02-23
RX0000003579,MBR00000097,2022-11-08,2022-11-12,1984919550,1421327899,PLN5770,753003,PCN474,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,6,Retail,0,0,0,370.0,6.23,376.23,39.0,315.95,21.28,14.8,10.4833,0,0,0,0,2022-12-08
RX0000003580,MBR00000098,2023-05-15,2023-05-17,1843091801,1260781114,PLN2132,751736,PCN725,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,93,4,Retail,0,0,0,36.0,5.39,41.39,4.0,35.11,2.28,0.48,0.34,0,0,0,0,2023-08-13
RX0000003581,MBR00000098,2022-11-01,2022-11-05,1143118683,1181150377,PLN8670,443636,PCN114,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,2,Mail Order,0,0,0,8.5,2.39,10.89,3.0,7.35,0.54,0.34,0.2408,0,0,0,0,2022-12-01
RX0000003582,MBR00000098,2021-10-20,2021-10-22,1801916852,1315218060,PLN9310,728248,PCN413,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,63,10,Retail,0,0,0,44.0,3.68,47.68,74.0,0.0,1.99,0.88,0.6233,1,0,0,0,2021-12-19
RX0000003583,MBR00000098,2022-09-08,2022-09-09,1372654067,1165005022,PLN5768,726972,PCN307,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,2,Mail Order,0,0,1,750.0,8.22,758.22,36.0,698.89,23.33,30.0,21.25,0,0,0,0,2022-10-08
RX0000003584,MBR00000098,2023-05-19,2023-05-20,1743848981,1891525417,PLN1731,345663,PCN718,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,9,Retail,1,0,0,12.5,11.27,23.77,10.0,12.83,0.94,0.5,0.3542,0,0,0,0,2023-06-18
RX0000003585,MBR00000098,2021-12-24,2021-12-26,1560287211,1226539074,PLN1819,251452,PCN120,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,5,Mail Order,0,0,0,151.67,5.47,157.14,34.0,114.47,8.67,26.0,18.4167,0,0,0,0,2021-12-31
RX0000003586,MBR00000098,2021-09-05,2021-09-06,1516821479,1768671662,PLN6495,692697,PCN322,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,6,Mail Order,0,0,0,18.0,9.37,27.37,2.0,24.28,1.09,0.72,0.51,0,0,0,0,2021-10-05
RX0000003587,MBR00000098,2021-02-07,2021-02-08,1489001181,1626923531,PLN8583,879762,PCN369,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,81,4,Retail,0,0,0,45.0,3.84,48.84,8.0,38.73,2.11,0.6,0.425,0,0,0,0,2021-05-08
RX0000003588,MBR00000098,2021-01-21,2021-01-25,1902759001,1181876490,PLN1631,467657,PCN629,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,8,Retail,0,0,0,750.0,7.18,757.18,36.0,696.41,24.77,30.0,21.25,0,0,0,0,2021-02-20
RX0000003589,MBR00000098,2023-04-26,2023-04-29,1892204822,1666297440,PLN5462,869157,PCN295,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,97,3,Mail Order,0,0,0,66.0,6.06,72.06,6.0,61.38,4.68,0.88,0.6233,0,0,0,0,2023-07-25
RX0000003590,MBR00000098,2022-01-15,2022-01-19,1135661363,1105456613,PLN6822,923286,PCN840,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,62,7,Mail Order,1,0,0,22.0,7.33,29.33,6.0,22.25,1.08,0.44,0.3117,0,0,0,0,2022-03-16
RX0000003591,MBR00000098,2022-05-28,2022-05-30,1399507881,1485956503,PLN5663,191910,PCN606,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,57,2,Retail,1,0,0,960.0,7.5,967.5,33.0,879.5,55.0,19.2,13.6,0,0,0,0,2022-07-27
RX0000003592,MBR00000098,2023-11-10,2023-11-14,1355925884,1448326575,PLN7260,403845,PCN548,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,2,Retail,0,0,0,18.0,4.03,22.03,33.0,0.0,1.17,0.72,0.51,0,0,0,0,2023-12-10
RX0000003593,MBR00000098,2021-05-13,2021-05-17,1253505932,1329213395,PLN7045,732669,PCN300,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,5,Mail Order,3,0,0,22.0,9.58,31.58,74.0,0.0,1.26,0.88,0.6233,0,0,0,0,2021-06-12
RX0000003594,MBR00000098,2021-10-21,2021-10-25,1304863275,1567833429,PLN4952,191137,PCN674,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,98,2,Mail Order,0,1,0,18600.0,10.11,18610.11,147.0,17391.49,1071.62,248.0,175.6667,0,0,0,0,2022-01-19
RX0000003595,MBR00000098,2021-03-31,2021-04-03,1872176956,1612948383,PLN5272,579770,PCN696,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,88,6,Retail,1,0,0,54.0,9.93,63.93,39.0,20.76,4.17,0.72,0.51,1,0,0,0,2021-06-29
RX0000003596,MBR00000099,2022-12-19,2022-12-23,1115189505,1150287693,PLN2940,836071,PCN529,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,7,Mail Order,0,0,0,650.0,10.02,660.02,37.0,598.14,24.88,26.0,18.4167,0,0,0,0,2023-01-18
RX0000003597,MBR00000099,2023-06-10,2023-06-12,1989827694,1112651675,PLN5131,362873,PCN675,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,83,1,Retail,0,1,0,24.0,7.78,31.78,145.0,0.0,2.14,0.32,0.2267,0,0,0,0,2023-09-08
RX0000003598,MBR00000099,2022-07-04,2022-07-05,1641838648,1598250308,PLN7473,311899,PCN611,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,57,10,Retail,1,0,0,20.0,10.77,30.77,1.0,27.87,1.9,0.4,0.2833,0,0,0,0,2022-09-02
RX0000003599,MBR00000099,2023-02-06,2023-02-07,1728961898,1256121754,PLN2473,137428,PCN347,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,64,9,Specialty,0,0,0,960.0,49.46,1009.46,32.0,977.46,0.0,19.2,13.6,0,0,0,0,2023-04-07
RX0000003600,MBR00000099,2023-02-11,2023-02-14,1436578396,1977720168,PLN5493,904711,PCN672,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,1,Retail,0,0,0,175.0,3.18,178.18,39.0,127.98,11.2,7.0,4.9583,0,0,0,0,2023-03-13
RX0000003601,MBR00000099,2023-08-29,2023-09-01,1182622174,1790858234,PLN8725,231625,PCN622,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,10,Retail,0,1,0,6200.0,3.1,6203.1,150.0,5654.2,398.9,248.0,175.6667,0,0,0,0,2023-09-28
RX0000003602,MBR00000099,2023-03-05,2023-03-09,1133552874,1857386979,PLN3430,879417,PCN955,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,5,Mail Order,0,0,0,12.0,10.03,22.03,10.0,11.04,0.99,0.48,0.34,0,0,0,0,2023-04-04
RX0000003603,MBR00000099,2022-04-30,2022-05-02,1250883360,1443453725,PLN3102,324929,PCN875,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,88,2,Specialty,0,0,0,33.0,11.03,44.03,7.0,37.03,0.0,0.44,0.3117,0,0,0,0,2022-07-29
RX0000003604,MBR00000099,2021-12-30,2022-01-03,1268402805,1763574291,PLN3912,402508,PCN775,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,5,Retail,0,0,0,10.0,9.53,19.53,0.0,18.59,0.94,0.4,0.2833,0,0,0,0,2022-01-29
RX0000003605,MBR00000099,2022-05-14,2022-05-16,1129501125,1881491606,PLN6203,906349,PCN307,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,91,11,Mail Order,0,0,0,36.0,7.69,43.69,1.0,41.18,1.51,0.48,0.34,0,1,0,0,2022-08-12
RX0000003606,MBR00000099,2022-08-07,2022-08-11,1792113230,1603068205,PLN4141,667463,PCN507,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,11,Retail,0,0,0,18.0,11.4,29.4,40.0,0.0,1.09,0.72,0.51,0,0,0,0,2022-09-06
RX0000003607,MBR00000099,2021-11-24,2021-11-25,1242930620,1684480716,PLN5932,536431,PCN846,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,9,Retail,0,0,0,14.0,2.62,16.62,7.0,8.88,0.74,0.56,0.3967,0,0,0,0,2021-12-24
RX0000003608,MBR00000099,2021-11-19,2021-11-22,1746234533,1308534039,PLN7127,277149,PCN186,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,4,Retail,1,1,0,8.0,2.7,10.7,145.0,0.0,0.58,0.32,0.2267,0,0,0,0,2021-12-19
RX0000003609,MBR00000099,2022-03-21,2022-03-23,1617224562,1423887488,PLN9496,202194,PCN367,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,9,Retail,0,1,0,2800.0,7.36,2807.36,149.0,2486.25,172.11,112.0,79.3333,0,0,0,0,2022-04-20
RX0000003610,MBR00000099,2023-10-14,2023-10-15,1688871740,1994753673,PLN8845,787466,PCN750,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,11,Retail,0,0,0,14.0,3.14,17.14,9.0,7.04,1.1,0.56,0.3967,0,0,0,0,2023-11-13
RX0000003611,MBR00000099,2021-07-26,2021-07-29,1954115467,1990598049,PLN9643,581078,PCN557,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,9,Retail,0,0,0,15.0,3.45,18.45,6.0,11.65,0.8,0.6,0.425,0,0,0,0,2021-08-25
RX0000003612,MBR00000099,2021-07-28,2021-07-31,1372030074,1343875840,PLN7795,849914,PCN116,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,96,6,Retail,1,0,0,54.0,10.79,64.79,3.0,57.52,4.27,0.72,0.51,0,0,0,0,2021-10-26
RX0000003613,MBR00000099,2022-05-25,2022-05-27,1270157997,1384330018,PLN8655,109310,PCN765,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,5,Retail,0,0,0,8.87,1.67,10.53,1.0,9.19,0.34,1.52,1.0767,1,0,0,0,2022-06-01
RX0000003614,MBR00000100,2021-06-08,2021-06-11,1610060698,1388081412,PLN8875,848479,PCN586,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,90,10,Retail,0,0,0,54.0,8.66,62.66,10.0,49.34,3.32,0.72,0.51,0,0,0,0,2021-09-06
RX0000003615,MBR00000100,2021-12-11,2021-12-15,1714431532,1676807423,PLN5457,624593,PCN303,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,3,Retail,0,0,0,12.0,10.7,22.7,8.0,13.52,1.18,0.48,0.34,0,0,0,0,2022-01-10
RX0000003616,MBR00000100,2022-04-06,2022-04-07,1764877339,1118552178,PLN9920,288649,PCN238,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Mail Order,0,0,0,38.0,11.75,49.75,9.0,37.8,2.95,1.52,1.0767,0,0,0,0,2022-05-06
RX0000003617,MBR00000100,2021-08-08,2021-08-11,1250354695,1238667843,PLN5960,812636,PCN504,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,60,2,Mail Order,0,0,0,960.0,8.75,968.75,38.0,897.77,32.98,19.2,13.6,0,0,0,0,2021-10-07
RX0000003618,MBR00000100,2022-02-06,2022-02-10,1623824429,1281687464,PLN5002,919850,PCN979,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,5,Mail Order,0,0,0,9.0,5.68,14.68,9.0,4.65,1.03,0.36,0.255,0,0,0,0,2022-03-08
RX0000003619,MBR00000100,2022-09-07,2022-09-11,1527093758,1838676419,PLN1195,155041,PCN452,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,55,2,Retail,0,0,0,760.0,8.54,768.54,34.0,681.84,52.7,15.2,10.7667,0,0,0,0,2022-11-06
RX0000003620,MBR00000100,2022-11-24,2022-11-25,1558497858,1351317221,PLN2734,487705,PCN595,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,86,1,Retail,0,0,0,960.0,7.37,967.37,33.0,895.92,38.45,12.8,9.0667,0,0,0,0,2023-02-22
RX0000003621,MBR00000100,2023-03-21,2023-03-25,1909432608,1912107821,PLN2424,860230,PCN266,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,6,Retail,0,1,0,653.33,7.17,660.5,152.0,472.85,35.65,112.0,79.3333,0,0,0,0,2023-03-28
RX0000003622,MBR00000100,2023-08-26,2023-08-28,1635182489,1277677896,PLN2304,154537,PCN319,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,2,Retail,0,0,0,151.67,4.03,155.7,39.0,107.89,8.81,26.0,18.4167,0,0,0,0,2023-09-02
RX0000003623,MBR00000100,2023-08-17,2023-08-21,1273942808,1723291593,PLN2261,934042,PCN617,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,8,Retail,0,0,0,1110.0,4.2,1114.2,38.0,999.44,76.76,14.8,10.4833,0,0,0,0,2023-11-15
RX0000003624,MBR00000100,2021-01-05,2021-01-07,1941473122,1221110248,PLN6193,208362,PCN729,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,82,8,Retail,0,0,0,54.0,4.69,58.69,30.0,25.32,3.37,0.72,0.51,0,0,0,0,2021-04-05
RX0000003625,MBR00000100,2022-03-10,2022-03-12,1920478978,1617877449,PLN1270,692326,PCN855,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,92,8,Retail,0,0,0,66.0,11.86,77.86,8.0,64.89,4.97,0.88,0.6233,0,0,0,0,2022-06-08
RX0000003626,MBR00000100,2022-11-12,2022-11-14,1648804016,1572627150,PLN7446,559968,PCN586,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,7,Retail,0,0,0,42.0,9.4,51.4,5.0,43.83,2.57,0.56,0.3967,0,0,0,0,2023-02-10
RX0000003627,MBR00000100,2021-05-05,2021-05-09,1421210344,1880349462,PLN3162,501199,PCN926,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,65,2,Mail Order,0,0,0,18.0,10.94,28.94,2.0,25.05,1.89,0.36,0.255,0,0,0,0,2021-07-04
RX0000003628,MBR00000100,2023-08-13,2023-08-17,1342134928,1548130171,PLN3218,939275,PCN541,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,81,2,Specialty,0,0,0,45.0,33.98,78.98,2.0,76.98,0.0,0.6,0.425,0,0,0,0,2023-11-11
RX0000003629,MBR00000100,2022-05-10,2022-05-13,1358620571,1322028996,PLN7864,465118,PCN675,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,4,Retail,0,0,0,45.0,7.24,52.24,9.0,39.97,3.27,1.8,1.275,0,0,0,0,2022-06-09
RX0000003630,MBR00000100,2023-12-12,2023-12-15,1480716372,1857063503,PLN9314,175420,PCN880,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,86,10,Mail Order,0,1,0,8400.0,9.87,8409.87,150.0,7970.5,289.37,112.0,79.3333,0,0,0,0,2024-03-11
RX0000003631,MBR00000100,2022-03-05,2022-03-09,1881104312,1370106922,PLN6350,640503,PCN425,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,93,8,Retail,3,0,0,195.0,5.85,200.85,37.0,152.19,11.66,2.6,1.8417,0,0,0,0,2022-06-03
RX0000003632,MBR00000100,2022-07-16,2022-07-19,1652271023,1541401255,PLN8546,855185,PCN752,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,0,Retail,0,0,0,45.0,11.47,56.47,9.0,44.23,3.24,1.8,1.275,0,0,0,0,2022-08-15
RX0000003633,MBR00000100,2022-08-01,2022-08-05,1866233890,1826591313,PLN6765,217616,PCN283,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,86,11,Retail,0,1,0,24.0,6.1,30.1,151.0,0.0,1.7,0.32,0.2267,0,0,0,0,2022-10-30
RX0000003634,MBR00000100,2022-03-13,2022-03-16,1379684527,1524538200,PLN7486,189247,PCN519,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,1,Mail Order,3,1,0,12.0,11.62,23.62,148.0,0.0,1.17,0.48,0.34,0,0,0,0,2022-04-12
RX0000003635,MBR00000100,2022-11-24,2022-11-25,1333920225,1969925415,PLN4042,162375,PCN622,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,2,Retail,0,0,0,18.0,4.3,22.3,31.0,0.0,1.1,0.72,0.51,0,0,0,0,2022-12-24
RX0000003636,MBR00000100,2023-05-17,2023-05-18,1513348226,1665474012,PLN7775,415659,PCN978,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,2,Retail,0,0,0,7.5,9.51,17.01,3.0,13.31,0.7,0.3,0.2125,0,0,0,0,2023-06-16
RX0000003637,MBR00000100,2023-05-08,2023-05-11,1204010130,1753544903,PLN3850,181462,PCN797,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,61,0,Retail,0,0,0,22.0,3.73,25.73,1.0,23.85,0.88,0.44,0.3117,0,0,0,0,2023-07-07
RX0000003638,MBR00000100,2021-10-27,2021-10-29,1187916715,1333543535,PLN1116,197905,PCN722,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,88,8,Retail,0,1,1,25500.0,6.15,25506.15,153.0,24287.35,1065.8,340.0,240.8333,0,0,0,0,2022-01-25
RX0000003639,MBR00000100,2022-07-19,2022-07-20,1408017253,1642143662,PLN3074,671445,PCN101,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,89,9,Retail,0,0,0,66.0,10.54,76.54,66.0,7.71,2.83,0.88,0.6233,0,0,0,0,2022-10-17
RX0000003640,MBR00000100,2022-07-13,2022-07-16,1755056089,1296624925,PLN5692,741390,PCN253,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,81,10,Retail,2,0,0,42.0,6.53,48.53,10.0,35.19,3.34,0.56,0.3967,0,0,0,0,2022-10-11
RX0000003641,MBR00000100,2021-10-14,2021-10-18,1170742656,1138638411,PLN7798,399519,PCN644,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,2,Retail,0,0,0,10.0,5.81,15.81,0.0,15.2,0.61,0.4,0.2833,0,0,0,0,2021-11-13
RX0000003642,MBR00000100,2022-05-06,2022-05-09,1439436124,1886986768,PLN6079,901297,PCN278,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,11,Specialty,0,0,0,9.0,13.53,22.53,9.0,13.53,0.0,0.36,0.255,1,0,0,0,2022-06-05
RX0000003643,MBR00000100,2022-07-02,2022-07-04,1129520596,1778729488,PLN3995,213236,PCN665,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,8,Retail,0,0,0,12.0,11.59,23.59,8.0,14.69,0.9,0.48,0.34,0,0,0,0,2022-08-01
RX0000003644,MBR00000100,2021-11-22,2021-11-23,1500616037,1963404641,PLN9258,639144,PCN157,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,82,2,Retail,0,0,0,990.0,2.78,992.78,40.0,908.59,44.19,13.2,9.35,0,0,0,0,2022-02-20
RX0000003645,MBR00000100,2023-03-03,2023-03-07,1398006718,1270734417,PLN2127,765177,PCN996,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,8,Mail Order,0,0,0,14.0,4.12,18.12,5.0,11.93,1.19,0.56,0.3967,0,0,0,0,2023-04-02
RX0000003646,MBR00000100,2022-09-28,2022-10-02,1532814053,1294775776,PLN1879,203502,PCN310,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,92,7,Mail Order,0,1,0,8400.0,3.11,8403.11,155.0,7682.75,565.36,112.0,79.3333,1,0,0,0,2022-12-27
RX0000003647,MBR00000100,2022-11-10,2022-11-13,1500132611,1359965451,PLN5437,551110,PCN117,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,9,Retail,2,0,0,10.0,5.92,15.92,3.0,12.3,0.62,0.4,0.2833,0,0,0,0,2022-12-10
RX0000003648,MBR00000100,2021-05-25,2021-05-27,1140769641,1399377255,PLN3908,595054,PCN568,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,9,Retail,0,0,0,310.0,3.15,313.15,30.0,266.29,16.86,12.4,8.7833,0,0,0,0,2021-06-24
RX0000003649,MBR00000100,2023-10-10,2023-10-11,1146929972,1595024391,PLN4927,932999,PCN103,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,8,Retail,0,0,0,14.0,6.33,20.33,0.0,19.65,0.68,0.56,0.3967,0,0,0,0,2023-11-09
RX0000003650,MBR00000100,2023-02-05,2023-02-07,1659741975,1916385410,PLN2154,292750,PCN765,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,0,Mail Order,0,0,0,18.0,3.37,21.37,6.0,14.13,1.24,0.72,0.51,0,0,0,0,2023-03-07
RX0000003651,MBR00000100,2021-09-07,2021-09-08,1133327164,1619486531,PLN7023,969295,PCN286,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,2,Retail,0,0,0,370.0,7.68,377.68,36.0,329.5,12.18,14.8,10.4833,0,0,0,0,2021-10-07
RX0000003652,MBR00000100,2023-02-14,2023-02-18,1551574752,1791895281,PLN7992,202041,PCN998,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,94,6,Specialty,0,0,0,36.0,35.68,71.68,9.0,62.68,0.0,0.48,0.34,0,0,0,0,2023-05-15
RX0000003653,MBR00000100,2023-06-15,2023-06-16,1138907554,1467462776,PLN4200,672562,PCN181,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,1,Retail,0,0,0,175.0,10.95,185.95,39.0,139.26,7.69,30.0,21.25,0,0,0,0,2023-06-22
RX0000003654,MBR00000100,2022-11-30,2022-12-03,1694999968,1604190973,PLN5779,618141,PCN762,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,11,Retail,0,0,0,18.0,3.62,21.62,3.0,17.9,0.72,0.72,0.51,0,0,0,0,2022-12-30
RX0000003655,MBR00000100,2023-12-05,2023-12-08,1401519345,1119742658,PLN7324,797625,PCN654,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,11,Mail Order,0,0,0,3.73,3.13,6.87,10.0,0.0,0.41,0.64,0.4533,1,0,0,0,2023-12-12
RX0000003656,MBR00000100,2023-09-20,2023-09-22,1281639780,1888013697,PLN3787,907681,PCN291,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,1,Retail,0,0,0,2.1,9.0,11.1,7.0,3.62,0.48,0.36,0.255,0,0,0,0,2023-09-27
RX0000003657,MBR00000100,2021-03-10,2021-03-13,1801131329,1175668957,PLN2349,877037,PCN935,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,2,Retail,0,0,0,2.33,9.09,11.43,1.0,9.79,0.64,0.4,0.2833,0,0,0,0,2021-03-17
RX0000003658,MBR00000100,2023-09-21,2023-09-25,1189766400,1467188613,PLN1481,985102,PCN220,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,3,Retail,0,0,0,11.0,11.65,22.65,5.0,16.08,1.57,0.44,0.3117,0,0,0,0,2023-10-21
RX0000003659,MBR00000100,2021-08-31,2021-09-01,1634348241,1794067017,PLN4117,522563,PCN105,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,2,Retail,0,0,0,15.0,6.57,21.57,2.0,18.61,0.96,0.6,0.425,0,0,0,0,2021-09-30
RX0000003660,MBR00000100,2021-09-06,2021-09-10,1686332176,1302728154,PLN3635,876453,PCN950,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,1,Retail,1,0,0,38.0,5.14,43.14,33.0,8.0,2.14,1.52,1.0767,0,0,0,0,2021-10-06
RX0000003661,MBR00000100,2021-12-15,2021-12-18,1957140678,1414357320,PLN5630,416785,PCN780,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,0,Retail,2,0,0,14.0,1.92,15.92,8.0,7.39,0.53,0.56,0.3967,0,0,0,0,2022-01-14
RX0000003662,MBR00000100,2023-10-19,2023-10-20,1206147556,1844847544,PLN4025,809561,PCN834,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,750.0,4.93,754.93,38.0,691.97,24.96,30.0,21.25,0,0,0,0,2023-11-18
RX0000003663,MBR00000100,2021-12-08,2021-12-12,1252067596,1432865995,PLN5473,476434,PCN190,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,3,Mail Order,0,0,0,45.0,8.63,53.63,8.0,42.91,2.72,0.6,0.425,0,1,0,0,2022-03-08
RX0000003664,MBR00000100,2022-09-03,2022-09-05,1181012647,1986552500,PLN3835,354842,PCN401,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,7,Retail,0,0,0,330.0,5.01,335.01,37.0,277.19,20.82,13.2,9.35,0,0,0,0,2022-10-03
RX0000003665,MBR00000100,2021-07-18,2021-07-20,1804484676,1592649709,PLN3787,728220,PCN898,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,0,Mail Order,1,0,0,9.0,10.2,19.2,8.0,10.59,0.61,0.36,0.255,0,0,0,0,2021-08-17
RX0000003666,MBR00000100,2021-11-18,2021-11-22,1422642118,1443063905,PLN2728,465383,PCN813,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,10,Retail,0,0,0,750.0,8.52,758.52,38.0,683.6,36.92,30.0,21.25,0,0,0,0,2021-12-18
RX0000003667,MBR00000100,2022-11-09,2022-11-10,1156207929,1658325471,PLN3038,501586,PCN998,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,93,3,Mail Order,3,0,0,2850.0,3.22,2853.22,30.0,2674.47,148.75,38.0,26.9167,0,0,0,0,2023-02-07
RX0000003668,MBR00000100,2021-07-19,2021-07-23,1821560234,1169611633,PLN6733,396337,PCN787,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,90,9,Retail,0,0,0,525.0,9.7,534.7,36.0,462.44,36.26,7.0,4.9583,0,0,0,0,2021-10-17
RX0000003669,MBR00000101,2023-10-15,2023-10-17,1139651162,1526272164,PLN9803,281234,PCN883,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,10,Mail Order,0,1,0,24.0,9.53,33.53,151.0,0.0,1.03,0.32,0.2267,0,0,0,0,2024-01-13
RX0000003670,MBR00000101,2023-04-22,2023-04-23,1695071172,1553609623,PLN7440,240376,PCN759,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,2,Mail Order,0,0,0,650.0,5.82,655.82,32.0,585.07,38.75,26.0,18.4167,0,0,0,0,2023-05-22
RX0000003671,MBR00000101,2022-11-06,2022-11-07,1929554308,1323578134,PLN2855,604445,PCN603,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,88,0,Mail Order,2,0,0,2250.0,11.78,2261.78,35.0,2129.62,97.16,30.0,21.25,0,0,0,0,2023-02-04
RX0000003672,MBR00000101,2022-07-17,2022-07-18,1334322902,1418259569,PLN5807,742016,PCN896,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,4,Retail,0,0,0,45.0,3.49,48.49,7.0,39.54,1.95,1.8,1.275,0,0,0,0,2022-08-16
RX0000003673,MBR00000101,2021-12-15,2021-12-16,1926448019,1911153216,PLN6368,635903,PCN306,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,88,3,Mail Order,0,0,0,36.0,2.26,38.26,2.0,34.84,1.42,0.48,0.34,0,1,0,0,2022-03-15
RX0000003674,MBR00000101,2021-10-25,2021-10-28,1570446101,1298995938,PLN7613,962371,PCN288,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,89,0,Retail,0,0,0,42.0,10.71,52.71,7.0,43.54,2.17,0.56,0.3967,0,0,0,0,2022-01-23
RX0000003675,MBR00000101,2023-11-29,2023-12-02,1642161394,1506278958,PLN4700,939620,PCN555,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,64,10,Mail Order,0,0,0,18.0,4.06,22.06,2.0,19.33,0.73,0.36,0.255,0,0,0,0,2024-01-28
RX0000003676,MBR00000101,2023-08-28,2023-08-29,1199597026,1694942754,PLN1438,689859,PCN466,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,97,8,Retail,0,0,0,855.0,7.14,862.14,40.0,790.41,31.73,11.4,8.075,0,0,0,0,2023-11-26
RX0000003677,MBR00000101,2023-01-21,2023-01-25,1872566256,1122872461,PLN6883,396078,PCN465,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,92,6,Specialty,0,1,0,18600.0,30.1,18630.1,155.0,18475.1,0.0,248.0,175.6667,1,0,0,0,2023-04-21
RX0000003678,MBR00000101,2021-11-05,2021-11-07,1814373350,1672962503,PLN8119,387010,PCN909,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,96,7,Specialty,0,0,0,930.0,20.44,950.44,40.0,910.44,0.0,12.4,8.7833,0,0,0,0,2022-02-03
RX0000003679,MBR00000101,2021-03-20,2021-03-23,1919187374,1535378789,PLN1666,557077,PCN748,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,2,Retail,0,0,0,370.0,8.87,378.87,35.0,321.53,22.34,14.8,10.4833,0,0,0,0,2021-04-19
RX0000003680,MBR00000101,2023-07-24,2023-07-28,1579624195,1379209636,PLN5363,106988,PCN776,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,11,Retail,0,0,0,480.0,2.0,482.0,40.0,410.54,31.46,19.2,13.6,0,0,0,0,2023-08-23
RX0000003681,MBR00000101,2021-02-28,2021-03-04,1818485515,1500132110,PLN1958,195370,PCN575,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,5,Retail,0,0,0,320.0,6.0,326.0,38.0,269.15,18.85,12.8,9.0667,0,0,0,0,2021-03-30
RX0000003682,MBR00000101,2023-08-07,2023-08-11,1200164634,1978398191,PLN5202,567137,PCN251,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,7,Retail,0,0,0,8.5,10.47,18.97,9.0,8.91,1.06,0.34,0.2408,0,0,0,0,2023-09-06
RX0000003683,MBR00000101,2023-04-01,2023-04-05,1917738139,1965245996,PLN7385,268945,PCN831,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,8,Retail,0,0,0,650.0,2.0,652.0,31.0,579.76,41.24,26.0,18.4167,0,0,0,0,2023-05-01
RX0000003684,MBR00000101,2022-02-24,2022-02-26,1429255268,1683587477,PLN3457,862926,PCN272,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,8,Retail,2,0,0,30.0,11.05,41.05,0.0,39.47,1.58,0.4,0.2833,0,0,0,0,2022-05-25
RX0000003685,MBR00000101,2023-08-23,2023-08-25,1359737779,1293185339,PLN4388,772714,PCN328,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,3,Mail Order,1,0,0,16.0,10.75,26.75,4.0,21.07,1.68,0.64,0.4533,0,0,0,0,2023-09-22
RX0000003686,MBR00000101,2022-04-12,2022-04-15,1574662132,1874950835,PLN9344,269509,PCN678,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,82,8,Mail Order,0,0,0,30.0,9.02,39.02,9.0,27.52,2.5,0.4,0.2833,0,0,0,0,2022-07-11
RX0000003687,MBR00000101,2023-12-23,2023-12-26,1979290171,1114736776,PLN4126,847035,PCN522,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,8,Mail Order,0,0,0,8.87,9.42,18.28,38.0,0.0,0.63,1.52,1.0767,0,0,0,0,2023-12-30
RX0000003688,MBR00000101,2023-08-17,2023-08-20,1474437176,1649940779,PLN4573,209867,PCN293,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,62,7,Retail,0,0,0,76.0,10.69,86.69,10.0,71.31,5.38,1.52,1.0767,0,0,0,0,2023-10-16
RX0000003689,MBR00000101,2023-12-22,2023-12-25,1381694308,1841127303,PLN7356,591524,PCN499,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,4,Retail,0,0,0,480.0,3.61,483.61,36.0,415.55,32.06,19.2,13.6,0,0,0,0,2024-01-21
RX0000003690,MBR00000101,2022-04-06,2022-04-09,1972079705,1166675813,PLN9835,147336,PCN770,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,58,4,Mail Order,0,0,0,30.0,1.8,31.8,0.0,30.44,1.36,0.6,0.425,0,0,0,0,2022-06-05
RX0000003691,MBR00000101,2023-06-29,2023-07-03,1152361473,1638097117,PLN1170,511245,PCN605,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,9,Retail,0,0,0,18.0,10.21,28.21,10.0,16.49,1.72,0.72,0.51,0,0,0,0,2023-07-29
RX0000003692,MBR00000101,2022-06-29,2022-07-01,1384455373,1259665656,PLN6461,848967,PCN573,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,61,1,Retail,0,0,0,36.0,8.67,44.67,32.0,9.82,2.85,0.72,0.51,1,0,0,0,2022-08-28
RX0000003693,MBR00000101,2022-01-15,2022-01-18,1449626924,1327202765,PLN3389,318977,PCN120,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,9,Mail Order,0,0,0,3.27,5.41,8.68,6.0,2.29,0.39,0.56,0.3967,0,0,0,0,2022-01-22
RX0000003694,MBR00000101,2023-07-20,2023-07-24,1605865259,1830141017,PLN8104,257648,PCN326,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,11,Mail Order,3,0,0,112.0,6.97,118.97,31.0,82.5,5.47,19.2,13.6,0,0,0,0,2023-07-27
RX0000003695,MBR00000101,2023-06-07,2023-06-10,1737906375,1202758342,PLN2456,721286,PCN168,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,59,5,LTC,0,1,0,12400.0,10.11,12410.11,155.0,11609.57,645.54,248.0,175.6667,0,0,0,0,2023-08-06
RX0000003696,MBR00000101,2022-12-26,2022-12-27,1936800806,1879690130,PLN2075,295178,PCN113,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,95,8,Mail Order,0,0,0,45.0,11.93,56.93,7.0,46.49,3.44,0.6,0.425,0,0,0,0,2023-03-26
RX0000003697,MBR00000101,2022-06-27,2022-06-29,1744350555,1335851838,PLN3506,648040,PCN815,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,56,10,Mail Order,0,0,0,56.0,11.18,67.18,10.0,53.34,3.84,1.12,0.7933,0,0,0,0,2022-08-26
RX0000003698,MBR00000101,2021-02-18,2021-02-21,1603780263,1249309197,PLN4662,908124,PCN605,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,7,Mail Order,0,0,0,2.1,1.56,3.66,9.0,0.0,0.19,0.36,0.255,0,0,0,0,2021-02-25
RX0000003699,MBR00000101,2022-04-20,2022-04-24,1978426023,1789596627,PLN9967,493316,PCN112,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,98,1,Mail Order,0,0,0,960.0,9.55,969.55,35.0,887.59,46.96,12.8,9.0667,0,0,0,0,2022-07-19
RX0000003700,MBR00000101,2023-03-10,2023-03-12,1756031498,1950356923,PLN4936,354613,PCN320,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,96,2,Retail,0,0,0,2250.0,11.56,2261.56,38.0,2127.57,95.99,30.0,21.25,0,0,0,0,2023-06-08
RX0000003701,MBR00000101,2022-04-02,2022-04-03,1579435867,1902526202,PLN7028,982044,PCN214,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,10,Retail,2,0,0,10.0,3.23,13.23,2.0,10.57,0.66,0.4,0.2833,0,0,0,0,2022-05-02
RX0000003702,MBR00000101,2023-11-25,2023-11-26,1920423285,1669385182,PLN7962,698658,PCN130,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,8,Retail,0,1,0,6200.0,2.37,6202.37,154.0,5683.14,365.23,248.0,175.6667,0,0,0,0,2023-12-25
RX0000003703,MBR00000101,2022-07-07,2022-07-10,1766883389,1906934540,PLN6697,284800,PCN237,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,5,Retail,0,0,0,10.0,4.21,14.21,1.0,12.24,0.97,0.4,0.2833,0,0,0,0,2022-08-06
RX0000003704,MBR00000101,2023-12-01,2023-12-05,1493913558,1212742777,PLN6440,307494,PCN731,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,11,Mail Order,0,0,0,28.0,5.15,33.15,4.0,27.11,2.04,1.12,0.7933,0,0,0,0,2023-12-31
RX0000003705,MBR00000101,2023-03-28,2023-03-30,1187035040,1811034518,PLN1218,734397,PCN299,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,4,Retail,0,0,0,221.67,9.22,230.89,39.0,184.34,7.55,38.0,26.9167,0,0,0,0,2023-04-04
RX0000003706,MBR00000101,2022-07-11,2022-07-12,1271673181,1561296677,PLN7841,959373,PCN238,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,59,9,Retail,0,0,0,620.0,9.9,629.9,37.0,554.14,38.76,12.4,8.7833,0,1,1,0,2022-09-09
RX0000003707,MBR00000101,2021-11-08,2021-11-10,1165650659,1652267714,PLN7543,700664,PCN505,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,10,Mail Order,0,0,0,28.0,7.09,35.09,7.0,26.28,1.81,1.12,0.7933,0,0,0,0,2021-12-08
RX0000003708,MBR00000101,2021-03-20,2021-03-21,1471586545,1784960919,PLN4535,652208,PCN162,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,7,Mail Order,0,1,0,8.0,7.99,15.99,146.0,0.0,0.69,0.32,0.2267,0,0,0,0,2021-04-19
RX0000003709,MBR00000101,2021-12-16,2021-12-17,1250022919,1801097194,PLN9516,650313,PCN591,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,85,6,Retail,0,0,0,1440.0,3.04,1443.04,36.0,1358.73,48.31,19.2,13.6,0,0,0,0,2022-03-16
RX0000003710,MBR00000101,2021-12-21,2021-12-22,1255325224,1958970766,PLN6514,238615,PCN405,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,85,4,Mail Order,0,0,0,30.0,3.33,33.33,5.0,26.73,1.6,0.4,0.2833,0,0,0,0,2022-03-21
RX0000003711,MBR00000101,2021-10-10,2021-10-13,1805668105,1254461154,PLN6241,394198,PCN130,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,60,0,Retail,0,0,0,30.0,1.93,31.93,7.0,23.53,1.4,0.6,0.425,0,0,0,0,2021-12-09
RX0000003712,MBR00000101,2022-11-04,2022-11-06,1484543705,1315975179,PLN3877,422738,PCN318,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,5,Retail,0,0,0,18.0,11.49,29.49,7.0,21.29,1.2,0.72,0.51,0,0,0,0,2022-12-04
RX0000003713,MBR00000101,2022-11-21,2022-11-25,1642725621,1216499142,PLN9041,842568,PCN831,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,64,5,Retail,0,0,0,20.0,7.51,27.51,3.0,22.65,1.86,0.4,0.2833,1,0,0,0,2023-01-20
RX0000003714,MBR00000101,2021-07-24,2021-07-26,1288566041,1668558965,PLN4227,396285,PCN102,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,6,LTC,0,0,0,12.0,10.22,22.22,1.0,20.22,1.0,0.48,0.34,0,0,0,0,2021-08-23
RX0000003715,MBR00000101,2021-10-09,2021-10-12,1175666405,1713585070,PLN3433,488042,PCN317,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,8,Retail,0,0,0,15.0,10.79,25.79,5.0,19.23,1.56,0.6,0.425,0,0,0,0,2021-11-08
RX0000003716,MBR00000101,2022-05-29,2022-05-31,1666013481,1631846274,PLN2907,578103,PCN198,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,10,Retail,0,0,0,14.0,7.19,21.19,9.0,11.1,1.09,0.56,0.3967,0,0,0,0,2022-06-28
RX0000003717,MBR00000101,2021-04-03,2021-04-05,1721442517,1342865412,PLN7116,190981,PCN758,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,0,Retail,0,0,0,38.0,2.0,40.0,1.0,37.56,1.44,1.52,1.0767,0,0,0,0,2021-05-03
RX0000003718,MBR00000101,2023-03-04,2023-03-05,1727612936,1274321912,PLN3205,255115,PCN483,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,4,Retail,0,0,0,650.0,2.15,652.15,39.0,582.07,31.08,26.0,18.4167,0,0,0,0,2023-04-03
RX0000003719,MBR00000101,2021-08-12,2021-08-15,1701102448,1760022681,PLN1489,400594,PCN316,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,8,Mail Order,0,0,0,12.0,7.98,19.98,8.0,11.03,0.95,0.48,0.34,0,0,0,0,2021-09-11
RX0000003720,MBR00000101,2023-09-28,2023-09-30,1871522155,1797155994,PLN4531,999646,PCN141,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,2,Retail,3,1,0,8.0,11.72,19.72,152.0,0.0,1.07,0.32,0.2267,0,0,0,0,2023-10-28
RX0000003721,MBR00000101,2022-05-02,2022-05-05,1684492384,1976431837,PLN4959,729990,PCN587,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,91,4,Retail,0,1,0,36.0,8.2,44.2,155.0,0.0,2.34,0.48,0.34,0,0,0,0,2022-07-31
RX0000003722,MBR00000101,2023-07-02,2023-07-03,1178075124,1812935573,PLN6758,377468,PCN944,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,65,2,Retail,0,0,0,1900.0,3.26,1903.26,32.0,1778.98,92.28,38.0,26.9167,0,0,0,0,2023-08-31
RX0000003723,MBR00000101,2021-07-31,2021-08-03,1497523162,1755212611,PLN6267,331501,PCN556,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,63,6,Retail,0,0,0,570.0,10.92,580.92,38.0,507.06,35.86,11.4,8.075,0,0,0,0,2021-09-29
RX0000003724,MBR00000101,2021-11-04,2021-11-06,1945785342,1252131644,PLN7250,617191,PCN108,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,55,6,Mail Order,0,0,0,960.0,6.22,966.22,31.0,886.59,48.63,19.2,13.6,0,0,0,0,2022-01-03
RX0000003725,MBR00000101,2021-10-21,2021-10-22,1552819889,1658216749,PLN6226,210849,PCN584,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,2,Retail,0,0,0,10.0,7.63,17.63,8.0,8.99,0.64,0.4,0.2833,0,0,0,0,2021-11-20
RX0000003726,MBR00000101,2023-02-24,2023-02-28,1180112962,1621820840,PLN5075,469736,PCN319,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,2,Mail Order,1,1,0,12.0,9.6,21.6,153.0,0.0,0.73,0.48,0.34,0,0,0,0,2023-03-26
RX0000003727,MBR00000101,2023-02-23,2023-02-25,1595117948,1588980255,PLN1327,264922,PCN549,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,91,5,Specialty,0,0,0,54.0,29.33,83.33,32.0,51.33,0.0,0.72,0.51,0,0,0,0,2023-05-24
RX0000003728,MBR00000101,2022-12-13,2022-12-15,1922207562,1966259482,PLN9288,826290,PCN386,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,8,Retail,1,0,0,285.0,7.32,292.32,39.0,240.85,12.47,11.4,8.075,0,0,0,0,2023-01-12
RX0000003729,MBR00000101,2021-11-12,2021-11-13,1513405654,1562871165,PLN1785,182494,PCN844,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,5,Mail Order,0,0,0,285.0,5.34,290.34,35.0,239.86,15.48,11.4,8.075,0,0,0,0,2021-12-12
RX0000003730,MBR00000101,2022-05-14,2022-05-17,1568515469,1860057859,PLN3781,689487,PCN579,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,10,Mail Order,3,0,0,86.33,6.36,92.69,40.0,49.18,3.51,14.8,10.4833,0,0,0,0,2022-05-21
RX0000003731,MBR00000102,2021-02-10,2021-02-13,1644400167,1825369931,PLN1606,435125,PCN309,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,8,Retail,0,0,0,14.0,6.19,20.19,6.0,12.81,1.38,0.56,0.3967,0,0,0,0,2021-03-12
RX0000003732,MBR00000102,2023-09-07,2023-09-08,1593188127,1616473865,PLN9235,267438,PCN235,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,1,0,0,330.0,7.44,337.44,30.0,288.88,18.56,13.2,9.35,1,0,0,0,2023-10-07
RX0000003733,MBR00000102,2023-10-01,2023-10-03,1818879498,1871738953,PLN4425,631443,PCN166,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,90,5,Retail,0,0,0,990.0,11.02,1001.02,35.0,896.81,69.21,13.2,9.35,0,1,1,0,2023-12-30
RX0000003734,MBR00000102,2022-01-29,2022-01-31,1909979682,1304682030,PLN5727,861073,PCN532,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,10,Retail,2,0,0,8.87,8.96,17.82,31.0,0.0,0.67,1.52,1.0767,0,1,1,0,2022-02-05
RX0000003735,MBR00000102,2022-11-14,2022-11-15,1149489030,1502556270,PLN7357,762215,PCN399,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,8,Mail Order,1,0,0,10.0,8.87,18.87,2.0,16.1,0.77,0.4,0.2833,0,0,0,0,2022-12-14
RX0000003736,MBR00000102,2023-09-13,2023-09-15,1787014230,1136418345,PLN4206,686084,PCN854,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,0,Retail,3,0,0,12.0,2.91,14.91,3.0,11.34,0.57,0.48,0.34,0,0,0,0,2023-10-13
RX0000003737,MBR00000102,2022-12-25,2022-12-26,1390944739,1773638375,PLN4326,416993,PCN921,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,8,Retail,0,0,0,285.0,9.66,294.66,35.0,249.87,9.79,11.4,8.075,0,0,0,0,2023-01-24
RX0000003738,MBR00000102,2022-10-19,2022-10-22,1198212993,1115814417,PLN6532,937924,PCN481,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,54,4,Retail,0,0,0,350.0,6.36,356.36,40.0,296.44,19.92,7.0,4.9583,0,0,0,0,2022-12-18
RX0000003739,MBR00000102,2023-10-07,2023-10-10,1548552754,1607896062,PLN3665,748458,PCN422,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,0,Retail,0,0,0,9.0,2.95,11.95,6.0,5.26,0.69,0.36,0.255,0,1,0,0,2023-11-06
RX0000003740,MBR00000102,2023-03-21,2023-03-25,1413735271,1831038396,PLN6605,819882,PCN623,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,56,11,Retail,0,0,0,20.0,4.38,24.38,3.0,20.61,0.77,0.4,0.2833,0,1,0,0,2023-05-20
RX0000003741,MBR00000102,2023-04-14,2023-04-17,1323146175,1939709455,PLN7183,871310,PCN615,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,10,Retail,0,0,0,310.0,1.82,311.82,40.0,251.22,20.6,12.4,8.7833,0,0,0,0,2023-05-14
RX0000003742,MBR00000102,2021-01-18,2021-01-22,1454991359,1676701905,PLN6080,688367,PCN741,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,9,Mail Order,0,0,0,16.0,4.65,20.65,2.0,17.44,1.21,0.64,0.4533,0,0,0,0,2021-02-17
RX0000003743,MBR00000102,2021-01-23,2021-01-24,1545344139,1776491936,PLN3038,996279,PCN774,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,95,6,Retail,0,0,0,42.0,6.0,48.0,6.0,39.49,2.51,0.56,0.3967,0,0,0,0,2021-04-23
RX0000003744,MBR00000102,2022-10-20,2022-10-23,1792702639,1324399505,PLN5825,730098,PCN607,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,11,Retail,0,0,0,4.2,6.53,10.73,9.0,1.22,0.51,0.72,0.51,0,0,0,0,2022-10-27
RX0000003745,MBR00000102,2021-01-17,2021-01-20,1602668348,1574564352,PLN3210,559949,PCN713,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,63,9,Mail Order,0,0,0,28.0,8.35,36.35,7.0,27.13,2.22,0.56,0.3967,0,0,0,0,2021-03-18
RX0000003746,MBR00000102,2023-09-01,2023-09-05,1951440700,1834858001,PLN1957,989909,PCN946,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,2,Mail Order,1,0,0,14.0,2.64,16.64,0.0,15.95,0.69,0.56,0.3967,0,0,0,0,2023-10-01
RX0000003747,MBR00000102,2021-09-14,2021-09-16,1556327048,1545553780,PLN7756,977353,PCN832,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,5,Retail,0,0,0,10.0,5.67,15.67,10.0,4.59,1.08,0.4,0.2833,0,0,0,0,2021-10-14
RX0000003748,MBR00000102,2021-11-11,2021-11-14,1612910195,1727874421,PLN6386,102396,PCN251,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,3,Retail,0,0,0,2.8,10.68,13.48,0.0,12.57,0.91,0.48,0.34,0,0,0,0,2021-11-18
RX0000003749,MBR00000102,2023-11-16,2023-11-19,1813766197,1312241008,PLN1195,258030,PCN554,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,11,Retail,0,0,0,11.0,2.48,13.48,5.0,7.61,0.87,0.44,0.3117,1,0,0,0,2023-12-16
RX0000003750,MBR00000102,2023-04-08,2023-04-11,1503884277,1473324457,PLN6361,295934,PCN456,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,96,9,Retail,0,0,0,114.0,6.77,120.77,38.0,78.3,4.47,1.52,1.0767,0,0,0,0,2023-07-07
RX0000003751,MBR00000102,2022-11-25,2022-11-27,1660816523,1976198204,PLN8976,887546,PCN703,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,4,Mail Order,3,0,0,72.33,5.51,77.85,36.0,39.36,2.49,12.4,8.7833,0,0,0,0,2022-12-02
RX0000003752,MBR00000102,2021-07-25,2021-07-26,1764594408,1200138810,PLN8808,838889,PCN628,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,98,4,Mail Order,0,0,0,195.0,8.57,203.57,34.0,156.87,12.7,2.6,1.8417,0,0,0,0,2021-10-23
RX0000003753,MBR00000102,2022-01-25,2022-01-26,1155249384,1168234430,PLN7979,644240,PCN303,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,11,Retail,0,0,0,7.5,11.32,18.82,0.0,18.01,0.81,0.3,0.2125,1,0,0,0,2022-02-24
RX0000003754,MBR00000102,2023-02-21,2023-02-25,1735807824,1253582055,PLN1665,417030,PCN589,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,2,Retail,2,0,0,8.5,3.4,11.9,0.0,11.2,0.7,0.34,0.2408,0,0,0,0,2023-03-23
RX0000003755,MBR00000102,2021-11-04,2021-11-05,1870951541,1151694504,PLN5809,982110,PCN505,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,11,Retail,1,0,0,2.33,11.35,13.68,9.0,4.08,0.6,0.4,0.2833,1,0,0,0,2021-11-11
RX0000003756,MBR00000102,2023-11-18,2023-11-19,1355195012,1919955019,PLN3758,204828,PCN692,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,8,Retail,0,0,0,18.0,3.43,21.43,2.0,18.57,0.86,0.72,0.51,0,0,0,0,2023-12-18
RX0000003757,MBR00000102,2021-01-30,2021-02-02,1429717379,1935403902,PLN7319,749402,PCN378,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,62,11,Mail Order,0,0,0,28.0,8.87,36.87,10.0,25.51,1.36,0.56,0.3967,0,0,0,0,2021-03-31
RX0000003758,MBR00000102,2023-07-20,2023-07-23,1654838165,1595716549,PLN2288,684802,PCN909,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,54,9,Retail,0,0,0,1300.0,10.53,1310.53,34.0,1223.68,52.85,26.0,18.4167,0,0,0,0,2023-09-18
RX0000003759,MBR00000102,2022-10-25,2022-10-26,1694417813,1531962686,PLN6698,470174,PCN576,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,8,Retail,0,1,0,8.0,7.59,15.59,153.0,0.0,0.77,0.32,0.2267,0,0,0,0,2022-11-24
RX0000003760,MBR00000102,2021-12-06,2021-12-08,1551078454,1430660321,PLN5814,332560,PCN609,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,6,Mail Order,0,0,0,650.0,11.75,661.75,33.0,583.57,45.18,26.0,18.4167,0,0,0,0,2022-01-05
RX0000003761,MBR00000102,2021-02-13,2021-02-15,1634703850,1277945532,PLN3382,944805,PCN594,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,4,Mail Order,0,0,0,320.0,1.54,321.54,31.0,269.87,20.67,12.8,9.0667,1,0,0,0,2021-03-15
RX0000003762,MBR00000102,2021-11-03,2021-11-04,1228766523,1529758047,PLN5808,283819,PCN322,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,94,6,Mail Order,0,0,0,42.0,6.48,48.48,10.0,36.16,2.32,0.56,0.3967,0,0,0,0,2022-02-01
RX0000003763,MBR00000102,2022-07-05,2022-07-09,1279316792,1662031966,PLN7444,746620,PCN112,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,61,10,Mail Order,0,0,0,18.0,10.65,28.65,9.0,18.5,1.15,0.36,0.255,0,0,0,0,2022-09-03
RX0000003764,MBR00000102,2022-07-11,2022-07-14,1247353617,1780036221,PLN4409,283340,PCN393,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,1,Retail,0,0,0,12.0,3.63,15.63,7.0,7.65,0.98,0.48,0.34,0,1,0,0,2022-08-10
RX0000003765,MBR00000102,2022-09-01,2022-09-03,1485002973,1844227376,PLN8897,821311,PCN947,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,6,Retail,0,0,0,370.0,6.88,376.88,40.0,323.54,13.34,14.8,10.4833,0,0,0,0,2022-10-01
RX0000003766,MBR00000102,2021-01-02,2021-01-06,1494065836,1206678986,PLN4885,642996,PCN690,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,5,Mail Order,0,0,0,370.0,9.98,379.98,31.0,324.93,24.05,14.8,10.4833,0,0,0,0,2021-02-01
RX0000003767,MBR00000102,2021-04-21,2021-04-22,1520132689,1554652898,PLN4030,256444,PCN473,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,7,Retail,0,0,1,16.0,3.71,19.71,2.0,16.56,1.15,0.64,0.4533,0,0,0,0,2021-05-21
RX0000003768,MBR00000102,2021-10-01,2021-10-03,1525989737,1112217632,PLN1070,910270,PCN874,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,9,Retail,0,0,0,10.0,10.68,20.68,1.0,18.46,1.22,0.4,0.2833,0,0,0,0,2021-10-31
RX0000003769,MBR00000102,2023-10-31,2023-11-01,1258148629,1797802814,PLN6916,441348,PCN748,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,10,Retail,0,0,0,2.8,1.97,4.77,4.0,0.54,0.23,0.48,0.34,1,0,0,0,2023-11-07
RX0000003770,MBR00000102,2023-08-18,2023-08-20,1440286026,1242882592,PLN2367,903606,PCN847,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,9,Retail,0,0,0,65.0,2.25,67.25,30.0,33.26,3.99,2.6,1.8417,0,0,0,0,2023-09-17
RX0000003771,MBR00000102,2021-07-01,2021-07-04,1497702973,1388476258,PLN4726,222783,PCN632,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,1,Retail,0,0,0,8.5,11.72,20.22,8.0,11.42,0.8,0.34,0.2408,0,0,0,0,2021-07-31
RX0000003772,MBR00000102,2021-03-28,2021-03-30,1988328017,1843125400,PLN3450,200554,PCN806,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,9,Retail,0,0,0,28.0,10.82,38.82,7.0,29.71,2.11,1.12,0.7933,0,0,0,0,2021-04-27
RX0000003773,MBR00000102,2023-09-11,2023-09-13,1707810894,1917379214,PLN4997,471864,PCN912,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,5,Retail,0,0,0,12.0,10.19,22.19,6.0,15.3,0.89,0.48,0.34,0,0,0,0,2023-10-11
RX0000003774,MBR00000102,2023-11-27,2023-11-29,1999690725,1593931115,PLN4744,776060,PCN634,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,6,Mail Order,0,0,0,221.67,4.16,225.82,37.0,178.58,10.24,38.0,26.9167,0,0,0,0,2023-12-04
RX0000003775,MBR00000103,2023-05-12,2023-05-13,1516866625,1759777899,PLN5967,670039,PCN786,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,96,3,Mail Order,0,0,0,66.0,7.4,73.4,6.0,63.68,3.72,0.88,0.6233,0,0,0,0,2023-08-10
RX0000003776,MBR00000103,2021-10-06,2021-10-08,1281014746,1708136128,PLN9423,141710,PCN358,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,9,Retail,0,0,0,65.0,4.4,69.4,34.0,32.96,2.44,2.6,1.8417,0,0,0,0,2021-11-05
RX0000003777,MBR00000103,2021-01-04,2021-01-07,1447693527,1552383532,PLN2921,231257,PCN535,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,94,0,Retail,0,0,0,33.0,8.19,41.19,4.0,34.32,2.87,0.44,0.3117,0,0,0,0,2021-04-04
RX0000003778,MBR00000103,2023-10-30,2023-10-31,1196744137,1247713131,PLN7455,264196,PCN346,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,96,0,Retail,0,0,0,27.0,3.33,30.33,0.0,29.2,1.13,0.36,0.255,0,0,0,0,2024-01-28
RX0000003779,MBR00000103,2022-05-31,2022-06-01,1349360668,1422494921,PLN5966,897125,PCN182,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,0,Retail,2,0,0,14.0,4.75,18.75,9.0,8.82,0.93,0.56,0.3967,0,1,0,0,2022-06-30
RX0000003780,MBR00000103,2021-07-18,2021-07-19,1878089597,1681627330,PLN3830,927851,PCN380,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,2,Mail Order,0,0,0,45.0,4.95,49.95,10.0,38.21,1.74,1.8,1.275,0,0,0,0,2021-08-17
RX0000003781,MBR00000103,2023-06-27,2023-07-01,1662779223,1696408096,PLN6555,911282,PCN372,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,7,Retail,0,0,0,12.5,9.42,21.92,2.0,18.44,1.48,0.5,0.3542,0,0,0,0,2023-07-27
RX0000003782,MBR00000103,2023-07-02,2023-07-06,1335403331,1548354093,PLN1062,374335,PCN502,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,3,Mail Order,0,0,0,185.0,8.51,193.51,34.0,146.85,12.66,7.4,5.2417,0,0,0,0,2023-08-01
RX0000003783,MBR00000103,2021-02-24,2021-02-25,1725353986,1191104166,PLN9398,480357,PCN962,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,98,1,Mail Order,0,0,1,48.0,5.87,53.87,2.0,49.62,2.25,0.64,0.4533,0,0,0,0,2021-05-25
RX0000003784,MBR00000103,2022-10-29,2022-10-31,1971015317,1587348332,PLN8354,851476,PCN729,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,81,2,Mail Order,1,0,0,54.0,1.89,55.89,32.0,20.19,3.7,0.72,0.51,0,0,0,0,2023-01-27
RX0000003785,MBR00000103,2021-11-05,2021-11-08,1890814900,1825789620,PLN1708,133741,PCN795,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,98,6,Retail,0,0,0,48.0,9.61,57.61,7.0,48.01,2.6,0.64,0.4533,0,0,0,0,2022-02-03
RX0000003786,MBR00000103,2023-03-26,2023-03-28,1851072335,1755989132,PLN9263,853537,PCN317,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,4,Retail,0,0,0,22.0,9.81,31.81,74.0,0.0,1.39,0.88,0.6233,0,0,0,0,2023-04-25
RX0000003787,MBR00000103,2022-09-03,2022-09-07,1702640891,1600608797,PLN2447,176453,PCN698,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,0,Retail,0,0,0,3.73,8.18,11.91,10.0,1.37,0.54,0.64,0.4533,0,0,0,0,2022-09-10
RX0000003788,MBR00000103,2022-11-22,2022-11-26,1479381270,1584502347,PLN8354,771325,PCN525,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,60,5,Retail,0,0,0,28.0,2.24,30.24,9.0,20.03,1.21,0.56,0.3967,0,0,0,0,2023-01-21
RX0000003789,MBR00000103,2021-06-17,2021-06-21,1633348046,1839886805,PLN4804,552346,PCN698,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,64,10,Specialty,0,0,0,76.0,26.17,102.17,40.0,62.17,0.0,1.52,1.0767,0,0,0,0,2021-08-16
RX0000003790,MBR00000103,2021-09-17,2021-09-18,1283230215,1138902986,PLN7312,800427,PCN707,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,5,Retail,2,0,0,2.57,5.1,7.67,1.0,6.19,0.48,0.44,0.3117,0,0,0,0,2021-09-24
RX0000003791,MBR00000103,2023-01-25,2023-01-26,1843022479,1165062305,PLN7587,823247,PCN116,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,60,2,Retail,0,0,0,24.0,7.69,31.69,9.0,21.53,1.16,0.48,0.34,0,0,0,0,2023-03-26
RX0000003792,MBR00000103,2023-03-30,2023-04-03,1781931458,1439335414,PLN1087,961235,PCN479,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,1,Retail,0,0,0,22.0,4.47,26.47,73.0,0.0,1.27,0.88,0.6233,0,0,0,0,2023-04-29
RX0000003793,MBR00000103,2021-09-24,2021-09-25,1964659582,1969207129,PLN6393,508350,PCN126,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,91,11,Retail,0,1,0,25500.0,6.22,25506.22,155.0,24496.65,854.57,340.0,240.8333,0,0,0,0,2021-12-23
RX0000003794,MBR00000104,2023-07-31,2023-08-04,1391621832,1504037032,PLN1327,148035,PCN369,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,0,Retail,0,0,0,12.0,3.13,15.13,1.0,13.36,0.77,0.48,0.34,0,0,0,0,2023-08-30
RX0000003795,MBR00000104,2022-11-01,2022-11-05,1208385343,1300513479,PLN3501,426760,PCN234,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,0,Retail,3,0,0,18.0,10.64,28.64,10.0,17.2,1.44,0.72,0.51,0,0,0,0,2022-12-01
RX0000003796,MBR00000104,2022-12-26,2022-12-28,1994959016,1129782722,PLN1178,302109,PCN599,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,1,Mail Order,0,0,0,4.2,10.03,14.23,3.0,10.55,0.68,0.72,0.51,0,0,0,0,2023-01-02
RX0000003797,MBR00000104,2022-06-21,2022-06-23,1594408816,1918777406,PLN7304,463325,PCN305,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,8,Retail,0,0,0,10.0,6.9,16.9,0.0,15.99,0.91,0.4,0.2833,0,0,0,0,2022-07-21
RX0000003798,MBR00000104,2023-01-28,2023-02-01,1302819397,1237318641,PLN9895,659605,PCN282,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,11,Mail Order,0,0,0,22.0,4.3,26.3,74.0,0.0,1.68,0.88,0.6233,0,0,0,0,2023-02-27
RX0000003799,MBR00000104,2023-08-27,2023-08-31,1761341759,1805419769,PLN2489,328578,PCN655,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,5,Retail,0,0,0,175.0,8.55,183.55,40.0,135.31,8.24,30.0,21.25,0,0,0,0,2023-09-03
RX0000003800,MBR00000104,2021-09-03,2021-09-05,1738845884,1797233575,PLN7813,680474,PCN298,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,56,6,Retail,2,0,0,30.0,3.35,33.35,10.0,21.75,1.6,0.6,0.425,0,0,0,0,2021-11-02
RX0000003801,MBR00000104,2023-12-05,2023-12-07,1526130686,1484977210,PLN9779,437207,PCN401,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,9,Specialty,0,0,0,320.0,40.01,360.01,33.0,327.01,0.0,12.8,9.0667,0,0,0,0,2024-01-04
RX0000003802,MBR00000104,2022-02-05,2022-02-08,1656760310,1510334298,PLN5057,549046,PCN276,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,11,Specialty,0,0,0,1.98,15.37,17.35,6.0,11.35,0.0,0.34,0.2408,0,0,0,0,2022-02-12
RX0000003803,MBR00000104,2022-06-26,2022-06-30,1660385960,1679052590,PLN2905,795550,PCN453,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,4,Retail,0,0,0,285.0,5.98,290.98,40.0,241.7,9.28,11.4,8.075,0,0,0,0,2022-07-26
RX0000003804,MBR00000104,2021-12-01,2021-12-04,1261584962,1488136374,PLN1235,818364,PCN288,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,3,Retail,0,0,0,12.0,1.95,13.95,0.0,13.15,0.8,0.48,0.34,0,0,0,0,2021-12-31
RX0000003805,MBR00000104,2023-03-18,2023-03-20,1704415190,1245066000,PLN6074,102134,PCN688,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,81,3,Retail,0,0,0,1110.0,10.54,1120.54,39.0,1041.32,40.22,14.8,10.4833,0,0,0,0,2023-06-16
RX0000003806,MBR00000104,2023-07-16,2023-07-19,1763704415,1511722495,PLN9305,363319,PCN577,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,8,Retail,0,0,0,9.0,1.75,10.75,10.0,0.33,0.42,0.36,0.255,1,0,0,0,2023-08-15
RX0000003807,MBR00000104,2022-02-03,2022-02-07,1699627455,1671920408,PLN5804,899041,PCN111,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,2,Mail Order,1,1,0,8500.0,1.95,8501.95,147.0,7826.99,527.96,340.0,240.8333,0,0,0,0,2022-03-05
RX0000003808,MBR00000104,2023-02-20,2023-02-22,1825351714,1184787054,PLN9168,787420,PCN269,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,7,Mail Order,0,0,0,3.27,9.82,13.08,5.0,7.17,0.91,0.56,0.3967,0,0,0,0,2023-02-27
RX0000003809,MBR00000104,2023-04-03,2023-04-06,1732619003,1429182025,PLN9438,902842,PCN556,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,9,Specialty,0,0,0,151.67,14.02,165.69,32.0,133.69,0.0,26.0,18.4167,0,0,0,0,2023-04-10
RX0000003810,MBR00000104,2023-02-15,2023-02-19,1801738570,1744354037,PLN3578,455497,PCN488,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,83,10,Mail Order,0,0,0,42.0,4.4,46.4,9.0,34.7,2.7,0.56,0.3967,0,0,0,0,2023-05-16
RX0000003811,MBR00000104,2022-03-27,2022-03-31,1396600098,1867444422,PLN7565,125223,PCN369,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,8,Retail,0,0,0,22.0,6.47,28.47,4.0,23.05,1.42,0.88,0.6233,0,0,0,0,2022-04-26
RX0000003812,MBR00000104,2023-07-15,2023-07-17,1201229155,1341956068,PLN7595,305243,PCN320,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,6,Retail,0,0,0,8.87,2.61,11.47,35.0,0.0,0.73,1.52,1.0767,0,0,0,0,2023-07-22
RX0000003813,MBR00000104,2022-12-05,2022-12-07,1693591291,1468853434,PLN6141,575248,PCN682,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,8,Mail Order,0,0,0,18.0,8.97,26.97,5.0,20.92,1.05,0.72,0.51,0,0,0,0,2023-01-04
RX0000003814,MBR00000104,2021-05-03,2021-05-04,1645942815,1157595697,PLN6379,990274,PCN159,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,6,Retail,0,0,0,74.67,2.65,77.32,31.0,43.77,2.55,12.8,9.0667,0,0,0,0,2021-05-10
RX0000003815,MBR00000104,2023-09-16,2023-09-20,1755771694,1471247030,PLN9131,137239,PCN476,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,6,Mail Order,0,1,0,6200.0,4.69,6204.69,148.0,5672.52,384.17,248.0,175.6667,0,0,0,0,2023-10-16
RX0000003816,MBR00000104,2023-02-14,2023-02-15,1626475351,1542986644,PLN5013,706251,PCN559,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,5,Retail,0,0,0,10.0,9.79,19.79,0.0,18.99,0.8,0.4,0.2833,0,0,0,0,2023-03-16
RX0000003817,MBR00000104,2021-01-30,2021-01-31,1612882600,1476762118,PLN5608,120526,PCN223,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,5,Specialty,0,0,0,380.0,35.91,415.91,30.0,385.91,0.0,15.2,10.7667,1,0,0,0,2021-03-01
RX0000003818,MBR00000104,2021-02-01,2021-02-05,1641897482,1466092685,PLN5071,772365,PCN861,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,6,Retail,0,0,0,11.0,5.21,16.21,6.0,9.14,1.07,0.44,0.3117,0,0,0,0,2021-03-03
RX0000003819,MBR00000104,2022-06-21,2022-06-24,1132282379,1861756130,PLN8678,367259,PCN150,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,94,1,Retail,0,0,0,66.0,5.17,71.17,8.0,59.62,3.55,0.88,0.6233,0,0,0,0,2022-09-19
RX0000003820,MBR00000104,2023-07-12,2023-07-13,1524524234,1911623995,PLN8200,621823,PCN294,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,58,2,Mail Order,0,0,0,620.0,11.68,631.68,37.0,569.04,25.64,12.4,8.7833,0,0,0,0,2023-09-10
RX0000003821,MBR00000104,2021-09-28,2021-10-02,1310785694,1980036687,PLN9323,220224,PCN644,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,5,Retail,0,0,0,3.27,1.84,5.11,1.0,3.88,0.23,0.56,0.3967,0,0,0,0,2021-10-05
RX0000003822,MBR00000104,2021-06-27,2021-06-28,1680276379,1267185760,PLN3126,277496,PCN278,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,0,Mail Order,0,1,0,1983.33,10.63,1993.96,151.0,1781.04,61.92,340.0,240.8333,0,0,0,0,2021-07-04
RX0000003823,MBR00000104,2022-02-22,2022-02-25,1348493582,1547295878,PLN4531,739148,PCN729,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,82,11,Specialty,0,0,0,42.0,22.09,64.09,6.0,58.09,0.0,0.56,0.3967,0,0,0,0,2022-05-23
RX0000003824,MBR00000104,2023-11-29,2023-11-30,1126657930,1275178700,PLN4107,582707,PCN659,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,1,Retail,1,0,0,65.0,10.1,75.1,31.0,40.01,4.09,2.6,1.8417,0,0,0,0,2023-12-29
RX0000003825,MBR00000104,2021-10-01,2021-10-02,1690659265,1939204736,PLN8693,159632,PCN134,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,3,Retail,0,0,0,10.0,7.95,17.95,1.0,16.14,0.81,0.4,0.2833,0,1,0,0,2021-10-31
RX0000003826,MBR00000104,2022-04-09,2022-04-11,1161723919,1316872939,PLN1210,258161,PCN491,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,91,5,Mail Order,0,0,0,22.5,11.86,34.36,0.0,33.1,1.26,0.3,0.2125,0,0,0,0,2022-07-08
RX0000003827,MBR00000104,2023-11-02,2023-11-04,1825970296,1400698554,PLN5922,814926,PCN301,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,6,Mail Order,0,0,0,14.0,10.08,24.08,9.0,14.19,0.89,0.56,0.3967,0,0,0,0,2023-12-02
RX0000003828,MBR00000104,2022-08-27,2022-08-31,1935920157,1684210291,PLN6437,347816,PCN389,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,9,Retail,0,0,0,14.0,9.91,23.91,5.0,17.33,1.58,0.56,0.3967,0,0,0,0,2022-09-26
RX0000003829,MBR00000104,2021-10-12,2021-10-13,1980270935,1461631603,PLN3446,345588,PCN753,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,7,Mail Order,0,0,0,12.0,9.34,21.34,0.0,20.02,1.32,0.48,0.34,0,0,0,0,2021-11-11
RX0000003830,MBR00000104,2022-01-16,2022-01-17,1418920443,1947835296,PLN2872,706149,PCN976,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,7,Retail,0,0,0,15.0,4.16,19.16,10.0,8.5,0.66,0.6,0.425,0,0,0,0,2022-02-15
RX0000003831,MBR00000104,2023-05-24,2023-05-28,1990211101,1283772185,PLN3936,787487,PCN160,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,10,Retail,0,0,0,10.0,2.69,12.69,8.0,3.9,0.79,0.4,0.2833,0,0,0,0,2023-06-23
RX0000003832,MBR00000104,2022-09-07,2022-09-11,1698661363,1265447208,PLN5597,643160,PCN538,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,87,0,Retail,0,0,0,42.0,4.43,46.43,5.0,38.2,3.23,0.56,0.3967,0,0,0,0,2022-12-06
RX0000003833,MBR00000104,2023-03-19,2023-03-20,1699725433,1398768731,PLN4317,256526,PCN764,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,5,Mail Order,0,0,0,9.0,1.94,10.94,5.0,5.3,0.64,0.36,0.255,0,0,0,0,2023-04-18
RX0000003834,MBR00000104,2023-12-24,2023-12-27,1524370677,1567175564,PLN5040,927551,PCN813,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,88,10,Mail Order,0,0,0,33.0,6.59,39.59,2.0,35.17,2.42,0.44,0.3117,0,0,0,0,2024-03-23
RX0000003835,MBR00000104,2021-11-05,2021-11-09,1954165252,1703657583,PLN5934,934492,PCN359,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,8,Retail,0,0,0,22.0,4.18,26.18,10.0,14.49,1.69,0.88,0.6233,1,0,0,0,2021-12-05
RX0000003836,MBR00000104,2022-10-22,2022-10-25,1262640141,1434421544,PLN7500,956889,PCN847,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,93,5,Mail Order,0,0,0,36.0,10.48,46.48,3.0,41.47,2.01,0.48,0.34,1,1,0,0,2023-01-20
RX0000003837,MBR00000104,2023-12-26,2023-12-28,1459853973,1143012313,PLN4966,672170,PCN947,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,3,Retail,0,0,0,8.5,9.07,17.57,4.0,12.38,1.19,0.34,0.2408,0,0,0,0,2024-01-25
RX0000003838,MBR00000104,2022-01-08,2022-01-09,1978552857,1609468564,PLN1639,937562,PCN463,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,4,Retail,0,0,0,750.0,10.75,760.75,31.0,703.42,26.33,30.0,21.25,0,0,0,0,2022-02-07
RX0000003839,MBR00000104,2021-12-15,2021-12-16,1809253614,1468525920,PLN3470,855231,PCN463,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,8,Mail Order,0,0,0,22.0,8.14,30.14,2.0,26.35,1.79,0.88,0.6233,0,0,0,0,2022-01-14
RX0000003840,MBR00000104,2022-06-16,2022-06-19,1922806420,1506229995,PLN3629,729440,PCN312,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,1,Retail,0,0,0,28.0,11.89,39.89,0.0,37.95,1.94,1.12,0.7933,0,0,0,0,2022-07-16
RX0000003841,MBR00000104,2022-01-15,2022-01-18,1456527116,1380982053,PLN3166,119079,PCN716,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,97,7,Retail,0,0,0,84.0,6.39,90.39,2.0,84.61,3.78,1.12,0.7933,0,0,0,0,2022-04-15
RX0000003842,MBR00000104,2022-02-18,2022-02-21,1332001766,1448113458,PLN4813,986561,PCN906,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,7,Retail,1,1,1,8.0,7.19,15.19,145.0,0.0,0.47,0.32,0.2267,0,0,0,0,2022-03-20
RX0000003843,MBR00000105,2023-12-24,2023-12-26,1500766460,1794003444,PLN7515,323156,PCN608,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,8,Mail Order,0,1,0,8.0,10.6,18.6,151.0,0.0,1.14,0.32,0.2267,0,0,0,0,2024-01-23
RX0000003844,MBR00000105,2022-11-05,2022-11-09,1115519350,1544684620,PLN7360,242174,PCN850,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,58,11,Specialty,0,0,0,1300.0,22.3,1322.3,30.0,1292.3,0.0,26.0,18.4167,0,0,0,0,2023-01-04
RX0000003845,MBR00000105,2023-06-26,2023-06-27,1359176869,1599197963,PLN3032,702023,PCN143,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,11,Retail,2,0,0,185.0,2.11,187.11,38.0,137.46,11.65,7.4,5.2417,0,0,0,0,2023-07-26
RX0000003846,MBR00000105,2022-04-12,2022-04-15,1738449309,1564012534,PLN6178,487789,PCN593,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,56,11,Retail,0,0,0,24.0,9.04,33.04,3.0,28.99,1.05,0.48,0.34,0,0,0,0,2022-06-11
RX0000003847,MBR00000105,2021-09-24,2021-09-27,1363884006,1154220271,PLN6469,718784,PCN942,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,63,9,Retail,0,0,0,1900.0,1.81,1901.81,39.0,1750.77,112.04,38.0,26.9167,0,0,0,0,2021-11-23
RX0000003848,MBR00000105,2023-05-05,2023-05-06,1873414105,1641456025,PLN2026,780550,PCN515,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,3,Retail,0,0,0,10.0,3.82,13.82,5.0,8.29,0.53,0.4,0.2833,0,0,0,0,2023-06-04
RX0000003849,MBR00000105,2022-02-15,2022-02-16,1191901414,1542866145,PLN6456,911618,PCN319,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,8,Retail,0,0,0,12.0,6.33,18.33,5.0,12.27,1.06,0.48,0.34,0,0,0,0,2022-03-17
RX0000003850,MBR00000105,2023-06-01,2023-06-02,1105111989,1205265735,PLN8688,392593,PCN453,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,5,Retail,0,0,0,9.0,9.51,18.51,9.0,8.52,0.99,0.36,0.255,0,0,0,0,2023-07-01
RX0000003851,MBR00000105,2021-06-25,2021-06-26,1361381200,1520894434,PLN9972,613043,PCN298,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,95,9,Retail,0,1,0,25500.0,3.66,25503.66,148.0,23874.57,1481.09,340.0,240.8333,0,0,0,0,2021-09-23
RX0000003852,MBR00000105,2023-12-04,2023-12-05,1159817279,1835446504,PLN1875,119076,PCN478,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,64,10,Retail,0,0,0,30.0,11.88,41.88,6.0,34.6,1.28,0.6,0.425,0,0,0,0,2024-02-02
RX0000003853,MBR00000105,2023-10-17,2023-10-18,1730264553,1488028728,PLN4906,454687,PCN393,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,4,Retail,0,0,0,380.0,9.26,389.26,34.0,336.08,19.18,15.2,10.7667,0,0,0,0,2023-11-16
RX0000003854,MBR00000105,2021-06-15,2021-06-17,1636433953,1956432762,PLN3062,219512,PCN141,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,63,7,Mail Order,0,1,0,16.0,9.24,25.24,147.0,0.0,1.51,0.32,0.2267,0,0,0,0,2021-08-14
RX0000003855,MBR00000105,2023-01-23,2023-01-27,1379267553,1994656336,PLN4063,615052,PCN688,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,4,Retail,0,0,0,18.0,8.45,26.45,5.0,20.21,1.24,0.72,0.51,0,0,0,0,2023-02-22
RX0000003856,MBR00000105,2023-08-26,2023-08-28,1443409786,1151864181,PLN8142,776115,PCN853,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,81,1,Retail,0,0,0,33.0,9.35,42.35,4.0,35.61,2.74,0.44,0.3117,1,0,0,0,2023-11-24
RX0000003857,MBR00000105,2022-08-30,2022-08-31,1528543242,1860257956,PLN2686,634767,PCN638,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,6,Retail,0,0,0,12.0,5.47,17.47,8.0,8.59,0.88,0.48,0.34,0,0,0,0,2022-09-29
RX0000003858,MBR00000105,2021-04-22,2021-04-25,1257035648,1642489690,PLN6795,955128,PCN858,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,82,8,Mail Order,0,0,0,33.0,7.68,40.68,8.0,31.16,1.52,0.44,0.3117,0,0,0,0,2021-07-21
RX0000003859,MBR00000105,2023-11-03,2023-11-05,1697457559,1887500231,PLN3472,742702,PCN165,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,84,2,Retail,0,0,0,2250.0,7.26,2257.26,38.0,2135.01,84.25,30.0,21.25,0,0,0,0,2024-02-01
RX0000003860,MBR00000105,2022-04-02,2022-04-06,1622374310,1738860321,PLN9914,215313,PCN371,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,87,9,Retail,0,0,0,33.0,9.04,42.04,10.0,29.34,2.7,0.44,0.3117,0,0,0,0,2022-07-01
RX0000003861,MBR00000105,2023-08-30,2023-09-03,1732392614,1138849788,PLN6971,686608,PCN730,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,85,10,Retail,0,0,0,42.0,8.6,50.6,6.0,42.02,2.58,0.56,0.3967,0,0,0,0,2023-11-28
RX0000003862,MBR00000105,2023-11-01,2023-11-02,1819727096,1135039558,PLN8293,755207,PCN867,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,5,Retail,0,0,0,320.0,3.16,323.16,38.0,272.96,12.2,12.8,9.0667,0,0,0,0,2023-12-01
RX0000003863,MBR00000105,2022-04-15,2022-04-16,1186744333,1794082085,PLN6430,592186,PCN109,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,0,Specialty,0,0,0,10.0,12.46,22.46,4.0,18.46,0.0,0.4,0.2833,0,0,0,0,2022-05-15
RX0000003864,MBR00000105,2021-03-31,2021-04-02,1774677933,1586334377,PLN9669,955562,PCN543,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,62,1,Retail,0,1,0,24.0,10.9,34.9,153.0,0.0,1.91,0.48,0.34,0,0,0,0,2021-05-30
RX0000003865,MBR00000105,2022-11-01,2022-11-05,1335418118,1750282176,PLN4113,172173,PCN725,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,4,Mail Order,0,0,0,380.0,7.48,387.48,36.0,335.34,16.14,15.2,10.7667,1,0,0,0,2022-12-01
RX0000003866,MBR00000105,2023-11-21,2023-11-22,1739011385,1232015945,PLN8787,504916,PCN272,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,2,Retail,2,0,0,14.0,3.16,17.16,1.0,15.37,0.79,0.56,0.3967,0,0,0,0,2023-12-21
RX0000003867,MBR00000105,2021-04-17,2021-04-18,1427245554,1344460921,PLN8956,874031,PCN118,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,7,Retail,0,1,0,6200.0,7.22,6207.22,153.0,5635.31,418.91,248.0,175.6667,0,0,0,0,2021-05-17
RX0000003868,MBR00000105,2022-06-15,2022-06-16,1947782029,1234931637,PLN5130,337484,PCN261,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,9,Retail,0,0,1,38.0,11.36,49.36,5.0,40.95,3.41,1.52,1.0767,0,0,0,0,2022-07-15
RX0000003869,MBR00000105,2021-09-21,2021-09-23,1188716436,1965809818,PLN3473,283687,PCN428,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,59,11,Retail,0,1,0,17000.0,6.9,17006.9,155.0,15983.02,868.88,340.0,240.8333,0,0,0,0,2021-11-20
RX0000003870,MBR00000105,2021-02-26,2021-02-28,1462917691,1452088167,PLN5874,197374,PCN339,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,6,Specialty,0,0,0,480.0,42.2,522.2,40.0,482.2,0.0,19.2,13.6,0,0,0,0,2021-03-28
RX0000003871,MBR00000105,2021-07-22,2021-07-26,1685629358,1971295753,PLN6509,213986,PCN548,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,1,Retail,0,0,0,15.0,6.44,21.44,8.0,12.38,1.06,0.6,0.425,0,0,0,0,2021-08-21
RX0000003872,MBR00000105,2021-05-31,2021-06-04,1787808500,1576985454,PLN8035,873661,PCN930,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,2,Specialty,0,0,0,15.0,18.83,33.83,5.0,28.83,0.0,0.6,0.425,0,0,0,0,2021-06-30
RX0000003873,MBR00000105,2021-04-05,2021-04-07,1575529294,1103151768,PLN6915,216461,PCN804,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,6,Retail,0,0,0,10.0,6.99,16.99,4.0,12.05,0.94,0.4,0.2833,0,0,0,0,2021-05-05
RX0000003874,MBR00000105,2023-07-08,2023-07-12,1523175622,1288556075,PLN4553,973925,PCN371,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,11,Retail,0,0,0,285.0,10.94,295.94,40.0,235.5,20.44,11.4,8.075,0,0,0,0,2023-08-07
RX0000003875,MBR00000105,2023-10-02,2023-10-05,1176588019,1108562080,PLN6043,213309,PCN366,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,4,Mail Order,0,1,0,8.0,10.1,18.1,154.0,0.0,0.74,0.32,0.2267,0,0,0,0,2023-11-01
RX0000003876,MBR00000105,2022-05-16,2022-05-19,1234103656,1871266790,PLN1755,205394,PCN412,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,0,Mail Order,0,0,0,12.0,1.53,13.53,2.0,10.67,0.86,0.48,0.34,0,0,0,0,2022-06-15
RX0000003877,MBR00000105,2023-11-13,2023-11-15,1722772673,1829692914,PLN3364,980396,PCN657,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,8,Specialty,0,0,0,18.0,20.53,38.53,30.0,8.53,0.0,0.72,0.51,0,0,0,0,2023-12-13
RX0000003878,MBR00000105,2021-06-15,2021-06-16,1617327889,1427785234,PLN6609,551273,PCN776,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,1,Retail,0,0,0,650.0,4.0,654.0,36.0,585.56,32.44,26.0,18.4167,0,0,0,0,2021-07-15
RX0000003879,MBR00000105,2022-08-07,2022-08-11,1554039882,1787211208,PLN4893,404985,PCN413,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,2,Retail,1,0,0,9.0,2.18,11.18,4.0,6.43,0.75,0.36,0.255,0,0,0,0,2022-09-06
RX0000003880,MBR00000105,2021-04-14,2021-04-17,1857094912,1362925885,PLN7010,611287,PCN111,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,88,5,Retail,0,0,0,66.0,6.94,72.94,8.0,62.16,2.78,0.88,0.6233,0,0,0,0,2021-07-13
RX0000003881,MBR00000105,2022-07-02,2022-07-04,1595898450,1314644609,PLN8808,662786,PCN296,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,56,5,Retail,0,0,0,25.0,8.18,33.18,5.0,27.13,1.05,0.5,0.3542,0,0,0,0,2022-08-31
RX0000003882,MBR00000105,2021-04-30,2021-05-03,1234698469,1865744110,PLN9767,135598,PCN196,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,6,Retail,0,0,0,12.0,6.38,18.38,4.0,13.59,0.79,0.48,0.34,0,0,0,0,2021-05-30
RX0000003883,MBR00000105,2021-04-23,2021-04-27,1872225191,1841191347,PLN5363,574245,PCN905,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,1,Specialty,0,0,0,7.5,26.28,33.78,3.0,30.78,0.0,0.3,0.2125,0,0,0,0,2021-05-23
RX0000003884,MBR00000105,2023-10-30,2023-10-31,1300000936,1885662487,PLN8813,877315,PCN573,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,3,Mail Order,0,1,0,653.33,1.52,654.85,148.0,473.28,33.57,112.0,79.3333,0,0,0,0,2023-11-06
RX0000003885,MBR00000105,2021-08-13,2021-08-17,1492727914,1349378653,PLN9947,655138,PCN888,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,8,Retail,0,1,0,6200.0,7.68,6207.68,151.0,5730.75,325.93,248.0,175.6667,0,0,0,0,2021-09-12
RX0000003886,MBR00000105,2023-07-16,2023-07-17,1522117762,1820915631,PLN6701,760824,PCN575,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,10,Retail,0,1,1,12.0,11.76,23.76,145.0,0.0,1.55,0.48,0.34,0,0,0,0,2023-08-15
RX0000003887,MBR00000105,2022-12-23,2022-12-27,1803338068,1161147112,PLN9245,973448,PCN572,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,10,Retail,0,1,0,6200.0,3.28,6203.28,155.0,5728.35,319.93,248.0,175.6667,0,0,0,0,2023-01-22
RX0000003888,MBR00000105,2023-11-15,2023-11-16,1581364363,1533338855,PLN7375,528132,PCN937,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,2,Retail,0,0,0,8.5,7.0,15.5,6.0,8.54,0.96,0.34,0.2408,1,0,0,0,2023-12-15
RX0000003889,MBR00000105,2021-12-19,2021-12-21,1110332662,1721269359,PLN9140,441087,PCN865,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,3,Mail Order,0,0,0,43.17,5.19,48.35,36.0,9.32,3.03,7.4,5.2417,0,0,0,0,2021-12-26
RX0000003890,MBR00000105,2021-02-01,2021-02-03,1174560189,1642252914,PLN4726,529641,PCN812,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,9,Retail,0,0,0,18.0,9.37,27.37,1.0,25.49,0.88,0.72,0.51,0,0,0,0,2021-03-03
RX0000003891,MBR00000105,2023-11-30,2023-12-02,1878951615,1400277978,PLN6730,727062,PCN163,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,64,10,Retail,0,0,0,18.0,6.54,24.54,7.0,16.59,0.95,0.36,0.255,0,0,0,0,2024-01-29
RX0000003892,MBR00000105,2023-02-21,2023-02-24,1110427497,1372300508,PLN6317,473062,PCN784,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,9,Retail,1,1,0,6200.0,5.46,6205.46,154.0,5752.5,298.96,248.0,175.6667,0,0,0,0,2023-03-23
RX0000003893,MBR00000105,2021-10-22,2021-10-25,1478142595,1530657476,PLN1413,779651,PCN670,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,1,Retail,0,0,0,480.0,10.85,490.85,32.0,442.63,16.22,19.2,13.6,0,0,0,0,2021-11-21
RX0000003894,MBR00000105,2021-07-20,2021-07-21,1809478373,1365031152,PLN9838,302801,PCN662,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,92,2,Retail,0,0,0,54.0,11.88,65.88,7.0,54.53,4.35,0.72,0.51,0,0,0,0,2021-10-18
RX0000003895,MBR00000105,2021-05-15,2021-05-16,1474924586,1692032822,PLN1509,416808,PCN804,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,9,Retail,0,0,0,74.67,2.06,76.73,36.0,36.83,3.9,12.8,9.0667,0,0,0,0,2021-05-22
RX0000003896,MBR00000105,2021-01-13,2021-01-14,1391136299,1283989620,PLN1967,226619,PCN805,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,11,Retail,0,0,0,10.0,8.62,18.62,4.0,13.8,0.82,0.4,0.2833,0,0,0,0,2021-02-12
RX0000003897,MBR00000105,2022-07-19,2022-07-21,1603316278,1838188673,PLN5481,906242,PCN814,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,90,2,Retail,0,0,0,1140.0,7.48,1147.48,31.0,1078.9,37.58,15.2,10.7667,0,0,0,0,2022-10-17
RX0000003898,MBR00000105,2021-09-14,2021-09-15,1991393591,1511892237,PLN2718,112661,PCN144,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,0,Retail,1,0,0,45.0,5.77,50.77,5.0,42.87,2.9,1.8,1.275,0,0,0,0,2021-10-14
RX0000003899,MBR00000105,2021-10-01,2021-10-02,1181982153,1315704004,PLN1743,652585,PCN683,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,11,Retail,0,0,0,38.0,4.75,42.75,33.0,8.14,1.61,1.52,1.0767,1,0,0,0,2021-10-31
RX0000003900,MBR00000105,2022-03-13,2022-03-17,1298890491,1265113909,PLN1950,793592,PCN944,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,1,Mail Order,0,0,0,320.0,5.61,325.61,39.0,268.3,18.31,12.8,9.0667,0,0,0,0,2022-04-12
RX0000003901,MBR00000105,2021-05-09,2021-05-13,1720423109,1668544913,PLN1069,677797,PCN499,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,1,Mail Order,1,0,0,11.0,4.17,15.17,10.0,4.27,0.9,0.44,0.3117,1,1,0,0,2021-06-08
RX0000003902,MBR00000105,2021-02-11,2021-02-12,1606100805,1963012407,PLN4978,616238,PCN212,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,60,6,Retail,0,0,0,1500.0,9.56,1509.56,33.0,1427.78,48.78,30.0,21.25,0,0,0,0,2021-04-12
RX0000003903,MBR00000105,2022-09-24,2022-09-28,1945921491,1278879454,PLN2659,272193,PCN335,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,11,Retail,0,0,0,88.67,10.09,98.76,36.0,57.19,5.57,15.2,10.7667,0,0,0,0,2022-10-01
RX0000003904,MBR00000105,2023-02-18,2023-02-20,1460121878,1110750119,PLN4733,893816,PCN216,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,9,Retail,0,0,0,650.0,9.82,659.82,31.0,584.59,44.23,26.0,18.4167,0,0,0,0,2023-03-20
RX0000003905,MBR00000106,2023-08-31,2023-09-04,1133812387,1284621079,PLN7430,513302,PCN292,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,8,Retail,0,0,0,380.0,10.0,390.0,34.0,337.79,18.21,15.2,10.7667,0,0,0,0,2023-09-30
RX0000003906,MBR00000106,2022-08-27,2022-08-29,1835083177,1458687459,PLN1729,930116,PCN241,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,2,Mail Order,0,1,0,2.8,8.66,11.46,147.0,0.0,0.67,0.48,0.34,0,0,0,0,2022-09-03
RX0000003907,MBR00000106,2022-03-21,2022-03-22,1896427940,1231645458,PLN3944,489906,PCN180,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,93,3,Retail,0,0,0,33.0,1.65,34.65,6.0,26.79,1.86,0.44,0.3117,0,0,0,0,2022-06-19
RX0000003908,MBR00000106,2022-09-15,2022-09-17,1789018831,1689881380,PLN1985,918405,PCN636,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,1,Mail Order,0,0,0,18.0,3.71,21.71,8.0,12.28,1.43,0.72,0.51,0,0,0,0,2022-10-15
RX0000003909,MBR00000106,2022-09-16,2022-09-20,1461071681,1466794291,PLN2955,539906,PCN535,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,84,11,Retail,0,0,0,66.0,6.62,72.62,69.0,0.59,3.03,0.88,0.6233,0,0,0,0,2022-12-15
RX0000003910,MBR00000106,2022-01-15,2022-01-16,1703061126,1553535602,PLN7809,418085,PCN661,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,0,Retail,2,0,0,22.0,7.35,29.35,73.0,0.0,1.49,0.88,0.6233,0,0,0,0,2022-02-14
RX0000003911,MBR00000106,2022-09-20,2022-09-23,1953555187,1218257684,PLN3991,970988,PCN377,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,8,Retail,0,0,0,10.0,11.37,21.37,8.0,12.42,0.95,0.4,0.2833,0,0,0,0,2022-10-20
RX0000003912,MBR00000106,2023-03-29,2023-03-31,1998250980,1862047523,PLN3820,240708,PCN984,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,11,Retail,0,0,0,175.0,7.77,182.77,37.0,133.11,12.66,7.0,4.9583,0,0,0,0,2023-04-28
RX0000003913,MBR00000106,2022-06-12,2022-06-14,1777562645,1228365949,PLN9371,335172,PCN184,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,1,Retail,3,0,0,12.0,4.42,16.42,3.0,12.43,0.99,0.48,0.34,0,1,0,0,2022-07-12
RX0000003914,MBR00000106,2021-08-20,2021-08-24,1945494912,1832411751,PLN7290,524753,PCN416,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,4,Mail Order,0,0,0,18.0,2.89,20.89,6.0,13.74,1.15,0.72,0.51,0,0,0,0,2021-09-19
RX0000003915,MBR00000106,2022-01-09,2022-01-11,1661413073,1602131137,PLN3980,589287,PCN423,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,7,Mail Order,0,0,0,38.0,7.68,45.68,0.0,43.76,1.92,1.52,1.0767,0,0,0,0,2022-02-08
RX0000003916,MBR00000106,2023-04-05,2023-04-07,1948576547,1560210114,PLN1416,821962,PCN656,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,0,Retail,0,0,0,22.0,11.01,33.01,9.0,22.58,1.43,0.88,0.6233,0,0,0,0,2023-05-05
RX0000003917,MBR00000106,2021-01-17,2021-01-21,1969625652,1677605784,PLN5217,441526,PCN854,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,5,Retail,0,0,0,320.0,5.79,325.79,34.0,273.74,18.05,12.8,9.0667,0,0,0,0,2021-02-16
RX0000003918,MBR00000106,2023-07-09,2023-07-11,1541261201,1513997452,PLN8081,311502,PCN704,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,8,Retail,0,1,0,12.0,8.69,20.69,150.0,0.0,1.07,0.48,0.34,0,0,0,0,2023-08-08
RX0000003919,MBR00000106,2021-09-29,2021-10-02,1816308274,1820883730,PLN8495,110831,PCN554,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,4,Retail,1,0,0,480.0,6.67,486.67,31.0,440.06,15.61,19.2,13.6,0,0,0,0,2021-10-29
RX0000003920,MBR00000106,2022-08-21,2022-08-25,1946680965,1863901160,PLN8185,871982,PCN648,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,0,Retail,0,0,0,8.5,10.84,19.34,6.0,12.74,0.6,0.34,0.2408,0,0,0,0,2022-09-20
RX0000003921,MBR00000106,2023-01-04,2023-01-05,1332484544,1450007849,PLN4815,231807,PCN972,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,88,6,Retail,2,0,0,930.0,4.86,934.86,40.0,841.17,53.69,12.4,8.7833,0,1,1,0,2023-04-04
RX0000003922,MBR00000106,2022-09-24,2022-09-25,1270854286,1984592535,PLN6550,872312,PCN657,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,60,2,Retail,2,0,0,30.0,5.5,35.5,6.0,28.41,1.09,0.6,0.425,0,0,0,0,2022-11-23
RX0000003923,MBR00000106,2022-02-27,2022-03-01,1649056246,1426609400,PLN4576,167443,PCN440,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,8,Retail,0,0,0,18.0,4.99,22.99,10.0,12.04,0.95,0.72,0.51,0,0,0,0,2022-03-29
RX0000003924,MBR00000106,2021-01-23,2021-01-26,1105427296,1802596881,PLN4860,805451,PCN730,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,87,8,Mail Order,0,0,0,1110.0,10.35,1120.35,40.0,1014.27,66.08,14.8,10.4833,0,0,0,0,2021-04-23
RX0000003925,MBR00000106,2021-08-16,2021-08-20,1621837828,1801720026,PLN4648,454062,PCN556,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,9,Mail Order,0,0,0,1.98,3.51,5.49,8.0,0.0,0.36,0.34,0.2408,0,0,0,0,2021-08-23
RX0000003926,MBR00000106,2021-04-30,2021-05-01,1532487252,1737853436,PLN5926,181660,PCN358,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,91,2,Retail,0,0,0,27.0,9.7,36.7,10.0,24.55,2.15,0.36,0.255,1,0,0,0,2021-07-29
RX0000003927,MBR00000106,2022-09-19,2022-09-20,1189351624,1671585072,PLN7472,735725,PCN765,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,11,Retail,0,0,0,15.0,6.98,21.98,10.0,10.88,1.1,0.6,0.425,1,0,0,0,2022-10-19
RX0000003928,MBR00000106,2021-03-07,2021-03-09,1542237710,1810409797,PLN3747,810464,PCN713,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,94,5,Specialty,0,0,0,36.0,18.29,54.29,2.0,52.29,0.0,0.48,0.34,0,0,0,0,2021-06-05
RX0000003929,MBR00000106,2023-06-06,2023-06-08,1201800510,1104987452,PLN5522,564752,PCN478,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,4,Specialty,0,0,0,175.0,25.41,200.41,37.0,163.41,0.0,7.0,4.9583,0,0,0,0,2023-07-06
RX0000003930,MBR00000106,2023-04-08,2023-04-11,1629148639,1686289762,PLN6551,539293,PCN502,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,10,Retail,0,0,0,380.0,3.01,383.01,33.0,338.37,11.64,15.2,10.7667,0,0,0,0,2023-05-08
RX0000003931,MBR00000106,2021-01-07,2021-01-08,1377798748,1462559844,PLN3922,601396,PCN314,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,0,Mail Order,0,0,0,65.0,4.53,69.53,31.0,36.16,2.37,2.6,1.8417,0,0,0,0,2021-02-06
RX0000003932,MBR00000106,2023-03-25,2023-03-26,1665530396,1822900856,PLN5988,863995,PCN149,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,9,Retail,0,0,0,185.0,7.83,192.83,33.0,153.16,6.67,7.4,5.2417,0,0,0,0,2023-04-24
RX0000003933,MBR00000106,2021-01-08,2021-01-09,1147990596,1478673685,PLN8612,458579,PCN629,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,7,Retail,3,0,0,750.0,9.71,759.71,35.0,686.75,37.96,30.0,21.25,0,0,0,0,2021-02-07
RX0000003934,MBR00000106,2021-10-14,2021-10-16,1995024349,1792974257,PLN9870,224949,PCN515,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,92,5,Retail,0,1,0,36.0,3.51,39.51,148.0,0.0,1.44,0.48,0.34,0,0,0,0,2022-01-12
RX0000003935,MBR00000106,2021-05-01,2021-05-05,1770636927,1888801988,PLN5501,516684,PCN803,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,5,Mail Order,0,0,0,330.0,11.7,341.7,30.0,291.08,20.62,13.2,9.35,0,0,0,0,2021-05-31
RX0000003936,MBR00000106,2021-03-06,2021-03-08,1492467616,1815135204,PLN1830,978804,PCN347,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,93,6,Retail,0,0,0,36.0,2.49,38.49,5.0,31.4,2.09,0.48,0.34,0,0,0,0,2021-06-04
RX0000003937,MBR00000106,2023-05-18,2023-05-22,1917474285,1347835104,PLN4802,398633,PCN471,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,62,6,Retail,0,0,0,1900.0,6.24,1906.24,31.0,1776.24,99.0,38.0,26.9167,0,0,0,0,2023-07-17
RX0000003938,MBR00000106,2022-11-20,2022-11-23,1610410980,1405049875,PLN4855,344860,PCN994,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,9,Retail,1,0,0,16.0,8.71,24.71,9.0,14.03,1.68,0.64,0.4533,0,0,0,0,2022-12-20
RX0000003939,MBR00000106,2022-05-15,2022-05-18,1713683821,1411815395,PLN8110,642614,PCN628,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,8,Retail,0,0,0,38.0,5.3,43.3,33.0,7.35,2.95,1.52,1.0767,0,0,0,0,2022-06-14
RX0000003940,MBR00000106,2021-07-04,2021-07-05,1476761791,1706558930,PLN4285,259256,PCN413,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,3,Retail,0,0,0,2.57,5.65,8.22,5.0,2.94,0.28,0.44,0.3117,0,0,0,0,2021-07-11
RX0000003941,MBR00000106,2022-01-09,2022-01-10,1254374724,1466730850,PLN6822,561003,PCN870,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,89,6,Retail,0,0,0,135.0,10.18,145.18,9.0,128.04,8.14,1.8,1.275,0,0,0,0,2022-04-09
RX0000003942,MBR00000106,2023-05-18,2023-05-22,1303430637,1971543635,PLN2212,991532,PCN678,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,82,9,Mail Order,0,0,0,1950.0,11.24,1961.24,37.0,1823.78,100.46,26.0,18.4167,1,0,0,0,2023-08-16
RX0000003943,MBR00000106,2022-03-08,2022-03-10,1491485670,1507777808,PLN3982,944158,PCN750,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,2,Mail Order,0,0,0,12.0,2.56,14.56,0.0,13.83,0.73,0.48,0.34,0,0,0,0,2022-04-07
RX0000003944,MBR00000106,2021-04-27,2021-04-28,1597810950,1170035782,PLN1401,753308,PCN440,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,9,Retail,3,0,1,2.33,4.39,6.72,0.0,6.3,0.42,0.4,0.2833,0,0,0,0,2021-05-04
RX0000003945,MBR00000106,2023-10-23,2023-10-26,1611286529,1182249508,PLN1012,646532,PCN384,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,11,Retail,0,0,0,9.0,2.23,11.23,7.0,3.55,0.68,0.36,0.255,0,0,0,0,2023-11-22
RX0000003946,MBR00000106,2023-09-01,2023-09-04,1195887704,1188580237,PLN3546,623026,PCN366,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,2,Retail,0,1,0,12.0,8.79,20.79,146.0,0.0,1.06,0.48,0.34,0,0,0,0,2023-10-01
RX0000003947,MBR00000106,2022-09-10,2022-09-12,1240075512,1999956309,PLN7098,423264,PCN660,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,88,7,Retail,0,0,0,195.0,8.11,203.11,35.0,157.04,11.07,2.6,1.8417,0,0,0,0,2022-12-09
RX0000003948,MBR00000106,2023-05-26,2023-05-29,1127306952,1674975573,PLN2628,260733,PCN477,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,82,8,Retail,0,0,0,960.0,3.58,963.58,40.0,859.83,63.75,12.8,9.0667,0,0,0,0,2023-08-24
RX0000003949,MBR00000107,2021-08-29,2021-09-01,1247712698,1512085166,PLN3162,103119,PCN888,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,92,1,Retail,0,1,0,8400.0,9.27,8409.27,146.0,7932.95,330.32,112.0,79.3333,0,0,0,0,2021-11-27
RX0000003950,MBR00000107,2021-09-09,2021-09-11,1923977137,1892839948,PLN1774,111168,PCN433,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,10,Retail,0,0,0,45.0,2.47,47.47,2.0,43.17,2.3,1.8,1.275,0,0,0,0,2021-10-09
RX0000003951,MBR00000107,2023-01-08,2023-01-10,1861857195,1822017334,PLN5200,680509,PCN908,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,5,Specialty,0,0,0,9.0,32.31,41.31,9.0,32.31,0.0,0.36,0.255,0,0,0,0,2023-02-07
RX0000003952,MBR00000107,2021-02-07,2021-02-10,1589253118,1439417842,PLN4714,452229,PCN413,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,4,Specialty,2,0,0,9.0,31.08,40.08,10.0,30.08,0.0,0.36,0.255,0,0,0,0,2021-03-09
RX0000003953,MBR00000107,2022-02-21,2022-02-23,1405838818,1617177722,PLN7211,361982,PCN209,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,9,Retail,0,1,0,8500.0,3.82,8503.82,145.0,7990.86,367.96,340.0,240.8333,0,0,0,0,2022-03-23
RX0000003954,MBR00000107,2021-10-29,2021-11-01,1985235210,1347143091,PLN4113,581855,PCN885,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,11,Retail,0,0,0,650.0,8.27,658.27,34.0,594.66,29.61,26.0,18.4167,0,0,0,0,2021-11-28
RX0000003955,MBR00000107,2023-04-29,2023-05-02,1466594270,1732063328,PLN1472,128942,PCN185,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,2,Retail,0,0,0,33.0,8.89,41.89,1.0,39.48,1.41,0.44,0.3117,1,0,0,0,2023-07-28
RX0000003956,MBR00000107,2022-11-12,2022-11-16,1699435459,1714821520,PLN7331,343037,PCN380,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,4,Retail,0,0,0,175.0,4.27,179.27,32.0,136.59,10.68,7.0,4.9583,0,0,0,0,2022-12-12
RX0000003957,MBR00000107,2021-04-14,2021-04-18,1989105426,1581919427,PLN8603,290894,PCN731,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,54,4,Specialty,0,0,0,24.0,45.01,69.01,1.0,68.01,0.0,0.48,0.34,0,0,0,0,2021-06-13
RX0000003958,MBR00000107,2023-01-24,2023-01-28,1513805813,1513792993,PLN9103,856922,PCN789,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,9,Retail,0,0,0,310.0,11.29,321.29,36.0,273.89,11.4,12.4,8.7833,0,0,0,0,2023-02-23
RX0000003959,MBR00000107,2023-12-30,2024-01-01,1570849459,1358726993,PLN8723,577070,PCN597,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,11,Mail Order,0,0,0,65.0,4.69,69.69,34.0,32.77,2.92,2.6,1.8417,0,0,0,0,2024-01-29
RX0000003960,MBR00000107,2022-06-13,2022-06-15,1305708579,1805581713,PLN9273,821895,PCN232,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,93,0,Specialty,0,0,0,27.0,32.56,59.56,2.0,57.56,0.0,0.36,0.255,0,0,0,0,2022-09-11
RX0000003961,MBR00000107,2021-05-17,2021-05-20,1712693133,1798135968,PLN9619,570565,PCN360,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,3,Mail Order,0,0,0,750.0,4.26,754.26,31.0,684.75,38.51,30.0,21.25,0,0,0,0,2021-06-16
RX0000003962,MBR00000107,2021-01-31,2021-02-02,1580205553,1445932024,PLN3252,233029,PCN211,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,65,6,Retail,0,0,0,28.0,10.29,38.29,7.0,28.95,2.34,0.56,0.3967,0,0,0,0,2021-04-01
RX0000003963,MBR00000107,2022-12-30,2022-12-31,1624130820,1394366035,PLN2625,504103,PCN732,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,11,Retail,0,0,0,65.0,1.66,66.66,39.0,24.24,3.42,2.6,1.8417,1,0,0,0,2023-01-29
RX0000003964,MBR00000107,2021-12-02,2021-12-05,1452086435,1656979030,PLN3402,265303,PCN686,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,9,Mail Order,0,0,0,38.0,7.54,45.54,7.0,36.27,2.27,1.52,1.0767,0,0,0,0,2022-01-01
RX0000003965,MBR00000107,2021-04-18,2021-04-20,1761607874,1337487013,PLN8435,823662,PCN932,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,2,Retail,0,0,1,2.92,6.26,9.17,1.0,7.69,0.48,0.5,0.3542,0,0,0,0,2021-04-25
RX0000003966,MBR00000107,2021-08-23,2021-08-24,1226462548,1787244576,PLN6057,433419,PCN113,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,61,3,Retail,2,0,0,370.0,7.3,377.3,35.0,317.36,24.94,7.4,5.2417,0,0,0,0,2021-10-22
RX0000003967,MBR00000107,2021-11-25,2021-11-26,1645429447,1162026416,PLN8253,828208,PCN180,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,2,Retail,0,0,0,22.0,3.52,25.52,5.0,18.77,1.75,0.88,0.6233,0,0,0,0,2021-12-25
RX0000003968,MBR00000107,2021-09-25,2021-09-28,1864811889,1669339935,PLN9066,443103,PCN254,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,6,Retail,2,0,0,7.5,3.26,10.76,9.0,1.14,0.62,0.3,0.2125,0,0,0,0,2021-10-25
RX0000003969,MBR00000107,2021-11-04,2021-11-07,1271728413,1667212047,PLN5843,793239,PCN225,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,3,Retail,0,0,0,380.0,6.91,386.91,33.0,336.83,17.08,15.2,10.7667,0,0,0,0,2021-12-04
RX0000003970,MBR00000107,2022-11-29,2022-12-01,1433059999,1886004286,PLN7078,423425,PCN491,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,3,Mail Order,2,0,0,22.0,10.64,32.64,8.0,22.42,2.22,0.88,0.6233,0,0,0,0,2022-12-29
RX0000003971,MBR00000107,2023-06-05,2023-06-08,1335995392,1207665056,PLN3131,436010,PCN354,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,4,Retail,0,0,0,14.0,9.43,23.43,4.0,18.12,1.31,0.56,0.3967,0,0,0,0,2023-07-05
RX0000003972,MBR00000107,2022-02-16,2022-02-18,1152630414,1462954938,PLN9058,499334,PCN390,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,83,11,Retail,0,0,0,27.0,5.75,32.75,10.0,21.12,1.63,0.36,0.255,1,0,0,0,2022-05-17
RX0000003973,MBR00000107,2021-09-08,2021-09-09,1303756462,1360945930,PLN8600,337800,PCN817,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,0,Retail,0,1,0,8500.0,3.74,8503.74,151.0,7777.25,575.49,340.0,240.8333,0,0,0,0,2021-10-08
RX0000003974,MBR00000107,2023-11-05,2023-11-08,1480756837,1340038118,PLN4520,201536,PCN568,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,0,Retail,0,0,0,9.0,6.92,15.92,9.0,6.14,0.78,0.36,0.255,0,0,0,0,2023-12-05
RX0000003975,MBR00000107,2023-07-01,2023-07-05,1752485843,1547250182,PLN9233,766098,PCN300,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,63,9,Retail,0,1,0,17000.0,11.56,17011.56,145.0,15921.6,944.96,340.0,240.8333,0,0,0,0,2023-08-30
RX0000003976,MBR00000107,2022-05-17,2022-05-20,1686193688,1109550459,PLN2472,636151,PCN837,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,57,1,Retail,0,1,0,5600.0,3.34,5603.34,147.0,5115.91,340.43,112.0,79.3333,1,0,0,0,2022-07-16
RX0000003977,MBR00000107,2022-01-20,2022-01-21,1377433817,1161047826,PLN2916,586738,PCN224,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,0,Retail,0,0,0,9.0,2.25,11.25,8.0,2.72,0.53,0.36,0.255,0,0,0,0,2022-02-19
RX0000003978,MBR00000107,2023-01-25,2023-01-26,1992807681,1422479029,PLN8601,509982,PCN648,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,11,Mail Order,0,0,0,370.0,7.9,377.9,30.0,327.4,20.5,14.8,10.4833,1,0,0,0,2023-02-24
RX0000003979,MBR00000107,2023-12-12,2023-12-16,1885023815,1681587251,PLN4563,420515,PCN784,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,9,Mail Order,0,0,0,18.0,4.72,22.72,0.0,21.81,0.91,0.72,0.51,0,0,0,0,2024-01-11
RX0000003980,MBR00000107,2021-01-27,2021-01-29,1905953697,1612767658,PLN7330,578760,PCN988,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,6,Retail,0,0,0,18.0,4.22,22.22,3.0,18.3,0.92,0.72,0.51,0,0,0,0,2021-02-26
RX0000003981,MBR00000107,2023-02-25,2023-02-26,1123808808,1491866606,PLN6895,250949,PCN657,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,8,Mail Order,0,0,0,1.75,6.52,8.27,0.0,7.96,0.31,0.3,0.2125,0,0,0,0,2023-03-04
RX0000003982,MBR00000107,2023-08-14,2023-08-16,1175753959,1572937508,PLN3970,260274,PCN819,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,9,Retail,0,0,0,10.0,10.11,20.11,7.0,11.7,1.41,0.4,0.2833,0,0,0,0,2023-09-13
RX0000003983,MBR00000107,2022-10-15,2022-10-17,1639012460,1545767562,PLN7502,670343,PCN921,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,85,2,Retail,0,0,0,42.0,4.14,46.14,7.0,36.65,2.49,0.56,0.3967,0,0,0,0,2023-01-13
RX0000003984,MBR00000107,2022-07-18,2022-07-22,1175512980,1253038114,PLN3440,751334,PCN713,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,4,Retail,0,0,0,15.0,11.15,26.15,3.0,21.86,1.29,0.6,0.425,0,0,0,0,2022-08-17
RX0000003985,MBR00000107,2022-02-08,2022-02-12,1380168511,1905934694,PLN5409,108602,PCN670,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,5,Retail,0,0,0,2.8,7.8,10.6,3.0,7.1,0.5,0.48,0.34,0,0,0,0,2022-02-15
RX0000003986,MBR00000107,2023-12-22,2023-12-24,1329044257,1171377849,PLN1382,849147,PCN377,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,96,9,Retail,2,0,0,25.5,7.7,33.2,6.0,26.13,1.07,0.34,0.2408,0,0,0,0,2024-03-21
RX0000003987,MBR00000107,2021-08-10,2021-08-14,1957085757,1792488228,PLN1706,428392,PCN537,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,98,5,Specialty,0,0,0,135.0,10.93,145.93,4.0,141.93,0.0,1.8,1.275,0,0,0,0,2021-11-08
RX0000003988,MBR00000107,2022-02-22,2022-02-25,1936889995,1713456474,PLN1795,961322,PCN992,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,11,Mail Order,0,1,0,8500.0,3.12,8503.12,153.0,8073.44,276.68,340.0,240.8333,0,0,0,0,2022-03-24
RX0000003989,MBR00000108,2023-12-08,2023-12-12,1306065718,1609941565,PLN9958,893523,PCN524,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,1,Retail,0,0,0,8.5,11.84,20.34,0.0,19.51,0.83,0.34,0.2408,0,0,0,0,2024-01-07
RX0000003990,MBR00000108,2021-08-13,2021-08-14,1846545390,1202720309,PLN4660,842741,PCN121,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,8,Specialty,0,0,0,86.33,20.74,107.07,40.0,67.07,0.0,14.8,10.4833,0,0,0,0,2021-08-20
RX0000003991,MBR00000108,2021-06-03,2021-06-04,1519080628,1454981073,PLN2245,278811,PCN742,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,82,10,Retail,0,1,0,24.0,5.45,29.45,153.0,0.0,1.1,0.32,0.2267,0,0,0,0,2021-09-01
RX0000003992,MBR00000108,2021-12-11,2021-12-15,1370539204,1564697077,PLN7016,960260,PCN429,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,62,11,Retail,2,0,0,24.0,2.38,26.38,10.0,15.1,1.28,0.48,0.34,0,0,0,0,2022-02-09
RX0000003993,MBR00000108,2021-03-14,2021-03-15,1185918719,1708965479,PLN3260,518556,PCN345,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,9,Mail Order,0,0,0,10.0,10.04,20.04,1.0,17.64,1.4,0.4,0.2833,0,0,0,0,2021-04-13
RX0000003994,MBR00000108,2021-12-30,2022-01-03,1754475779,1974842282,PLN8004,931104,PCN808,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,90,9,Retail,0,1,0,25500.0,6.23,25506.23,149.0,24270.81,1086.42,340.0,240.8333,0,0,0,0,2022-03-30
RX0000003995,MBR00000108,2022-09-25,2022-09-26,1203816319,1794769976,PLN8057,769359,PCN123,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,7,Retail,0,1,0,2800.0,4.49,2804.49,145.0,2522.01,137.48,112.0,79.3333,0,0,0,0,2022-10-25
RX0000003996,MBR00000108,2023-05-10,2023-05-13,1564548322,1490860639,PLN7174,299058,PCN382,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,83,7,Retail,1,0,0,960.0,3.24,963.24,39.0,883.99,40.25,12.8,9.0667,0,1,1,0,2023-08-08
RX0000003997,MBR00000108,2023-03-08,2023-03-10,1478330166,1548925308,PLN7704,639971,PCN614,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,6,Mail Order,0,0,0,950.0,11.96,961.96,30.0,882.94,49.02,38.0,26.9167,0,0,0,0,2023-04-07
RX0000003998,MBR00000108,2022-09-13,2022-09-16,1449393149,1795409114,PLN1727,754531,PCN159,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,0,Retail,0,0,0,28.0,8.21,36.21,7.0,26.79,2.42,1.12,0.7933,0,0,0,0,2022-10-13
RX0000003999,MBR00000108,2023-05-22,2023-05-23,1655614141,1390022620,PLN2270,755647,PCN857,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,9,Retail,0,0,0,2.92,3.89,6.8,9.0,0.0,0.43,0.5,0.3542,0,0,0,0,2023-05-29
RX0000004000,MBR00000108,2023-04-20,2023-04-24,1998991989,1975953218,PLN5814,289348,PCN283,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,4,Retail,0,0,0,22.0,8.21,30.21,7.0,22.3,0.91,0.88,0.6233,0,0,0,0,2023-05-20
RX0000004001,MBR00000108,2021-03-30,2021-03-31,1150564335,1184660573,PLN8940,581339,PCN268,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,7,Retail,0,0,1,11.0,7.7,18.7,10.0,7.99,0.71,0.44,0.3117,0,0,0,0,2021-04-29
RX0000004002,MBR00000108,2022-01-06,2022-01-07,1899881215,1898815234,PLN6327,244556,PCN472,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,91,10,Retail,3,0,0,84.0,7.84,91.84,0.0,86.1,5.74,1.12,0.7933,0,0,0,0,2022-04-06
RX0000004003,MBR00000108,2023-10-31,2023-11-02,1922218437,1271138740,PLN5345,408902,PCN771,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,6,Retail,0,0,0,14.0,3.09,17.09,7.0,9.12,0.97,0.56,0.3967,0,0,0,0,2023-11-30
RX0000004004,MBR00000108,2021-07-30,2021-08-02,1262054713,1389111393,PLN4423,268207,PCN554,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,0,Mail Order,0,1,0,6200.0,5.99,6205.99,155.0,5715.77,335.22,248.0,175.6667,0,0,0,0,2021-08-29
RX0000004005,MBR00000108,2022-11-09,2022-11-11,1892746456,1205418064,PLN3304,206971,PCN921,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,4,Retail,2,0,0,370.0,6.76,376.76,35.0,324.02,17.74,14.8,10.4833,0,0,0,0,2022-12-09
RX0000004006,MBR00000108,2021-08-09,2021-08-13,1543391113,1981664809,PLN6916,743719,PCN319,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,63,10,Retail,0,0,0,90.0,2.05,92.05,9.0,79.18,3.87,1.8,1.275,0,0,0,0,2021-10-08
RX0000004007,MBR00000108,2023-05-07,2023-05-11,1213751282,1614857161,PLN3846,852111,PCN896,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,10,Retail,0,0,0,45.0,7.57,52.57,10.0,40.04,2.53,1.8,1.275,0,0,0,0,2023-06-06
RX0000004008,MBR00000108,2021-05-02,2021-05-06,1568838700,1209013439,PLN4451,285631,PCN680,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,8,Retail,2,0,0,285.0,4.22,289.22,36.0,241.63,11.59,11.4,8.075,0,0,0,0,2021-06-01
RX0000004009,MBR00000108,2021-01-01,2021-01-03,1426557153,1381108932,PLN4400,550579,PCN633,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,8,Mail Order,0,0,0,12.0,4.05,16.05,1.0,14.37,0.68,0.48,0.34,0,0,0,0,2021-01-31
RX0000004010,MBR00000108,2023-11-30,2023-12-02,1360285839,1658188204,PLN3096,480905,PCN358,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,3,Retail,0,0,0,380.0,1.87,381.87,39.0,326.86,16.01,15.2,10.7667,0,0,0,0,2023-12-30
RX0000004011,MBR00000108,2023-12-20,2023-12-23,1512014598,1687815026,PLN4700,621868,PCN740,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,89,9,Retail,0,0,0,114.0,10.48,124.48,1.0,116.79,6.69,1.52,1.0767,0,0,0,0,2024-03-19
RX0000004012,MBR00000108,2021-11-26,2021-11-29,1494205489,1221085173,PLN9877,376757,PCN692,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,1,Retail,0,0,0,185.0,9.22,194.22,38.0,149.46,6.76,7.4,5.2417,0,0,0,0,2021-12-26
RX0000004013,MBR00000108,2023-05-31,2023-06-03,1772881370,1638351701,PLN5645,178050,PCN329,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,4,Retail,0,0,0,15.0,5.1,20.1,0.0,19.45,0.65,0.6,0.425,0,0,0,0,2023-06-30
RX0000004014,MBR00000108,2022-08-31,2022-09-01,1546179063,1873921866,PLN2114,739058,PCN741,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,1,Retail,0,0,0,15.0,6.75,21.75,4.0,16.89,0.86,0.6,0.425,0,0,0,0,2022-09-30
RX0000004015,MBR00000108,2021-08-31,2021-09-01,1812240375,1435194655,PLN6476,879071,PCN772,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,4,Retail,1,0,0,9.0,5.05,14.05,7.0,6.37,0.68,0.36,0.255,0,0,0,0,2021-09-30
RX0000004016,MBR00000109,2022-07-30,2022-08-01,1852796446,1364297997,PLN2415,836807,PCN111,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,0,Specialty,0,0,0,16.0,10.47,26.47,10.0,16.47,0.0,0.64,0.4533,0,0,0,0,2022-08-29
RX0000004017,MBR00000109,2021-07-30,2021-08-02,1695639393,1552499588,PLN2925,668657,PCN547,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,6,Mail Order,0,0,1,18.0,6.89,24.89,1.0,22.84,1.05,0.72,0.51,0,0,0,0,2021-08-29
RX0000004018,MBR00000109,2022-10-29,2022-11-01,1847520615,1360933533,PLN8438,675658,PCN230,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,10,Retail,0,0,0,18.0,8.9,26.9,7.0,18.64,1.26,0.72,0.51,0,1,0,0,2022-11-28
RX0000004019,MBR00000109,2022-12-26,2022-12-28,1304899744,1787137296,PLN2777,813495,PCN862,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,84,6,Retail,0,0,0,2250.0,3.94,2253.94,33.0,2144.48,76.46,30.0,21.25,0,0,0,0,2023-03-26
RX0000004020,MBR00000109,2021-12-05,2021-12-07,1803853172,1801363085,PLN5314,929482,PCN195,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,97,6,Retail,0,0,0,525.0,10.15,535.15,35.0,463.91,36.24,7.0,4.9583,0,0,0,0,2022-03-05
RX0000004021,MBR00000109,2023-11-12,2023-11-13,1264633875,1641141922,PLN4486,564776,PCN131,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,98,2,Mail Order,2,0,0,22.5,8.78,31.28,4.0,26.26,1.02,0.3,0.2125,0,0,0,0,2024-02-10
RX0000004022,MBR00000109,2022-05-04,2022-05-06,1634305695,1753404518,PLN1560,598569,PCN703,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,8,Retail,0,0,0,330.0,4.98,334.98,34.0,281.56,19.42,13.2,9.35,0,0,0,0,2022-06-03
RX0000004023,MBR00000109,2022-07-10,2022-07-11,1978539348,1792961855,PLN4430,286056,PCN983,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,3,Specialty,3,1,0,6200.0,31.34,6231.34,149.0,6082.34,0.0,248.0,175.6667,1,0,0,0,2022-08-09
RX0000004024,MBR00000109,2021-04-12,2021-04-15,1480468479,1118385513,PLN8925,606968,PCN730,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,0,Retail,0,0,0,330.0,7.17,337.17,38.0,281.03,18.14,13.2,9.35,0,0,0,0,2021-05-12
RX0000004025,MBR00000109,2023-01-30,2023-02-03,1835232876,1295360861,PLN6532,865767,PCN558,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,93,8,Retail,0,0,0,42.0,7.95,49.95,4.0,42.66,3.29,0.56,0.3967,0,0,0,0,2023-04-30
RX0000004026,MBR00000109,2021-09-27,2021-09-29,1858205216,1520567174,PLN9236,372498,PCN713,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,54,1,Retail,0,1,0,12400.0,5.04,12405.04,154.0,11600.41,650.63,248.0,175.6667,0,0,0,0,2021-11-26
RX0000004027,MBR00000109,2023-10-31,2023-11-02,1130494227,1336575390,PLN7326,411876,PCN603,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,0,Retail,0,0,1,12.0,9.09,21.09,3.0,17.44,0.65,0.48,0.34,0,0,0,0,2023-11-30
RX0000004028,MBR00000109,2021-10-29,2021-10-31,1635383109,1472357094,PLN2439,727880,PCN175,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,6,Retail,0,0,0,380.0,6.62,386.62,34.0,330.79,21.83,15.2,10.7667,1,0,0,0,2021-11-28
RX0000004029,MBR00000109,2022-05-28,2022-05-30,1877530301,1391406424,PLN6951,170795,PCN277,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,93,0,Mail Order,0,0,0,36.0,4.2,40.2,8.0,30.31,1.89,0.48,0.34,0,0,0,0,2022-08-26
RX0000004030,MBR00000109,2021-12-31,2022-01-01,1726207739,1881794833,PLN4444,421692,PCN461,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,1,Retail,0,0,0,2.33,9.03,11.36,5.0,5.73,0.63,0.4,0.2833,0,0,0,0,2022-01-07
RX0000004031,MBR00000109,2021-12-12,2021-12-14,1747378101,1586924945,PLN6979,452020,PCN798,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,8,Retail,0,0,0,10.0,4.29,14.29,10.0,3.65,0.64,0.4,0.2833,0,0,0,0,2022-01-11
RX0000004032,MBR00000110,2023-09-24,2023-09-27,1836703916,1447915918,PLN6630,253480,PCN546,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,2,Retail,0,0,0,4.2,2.93,7.13,5.0,1.66,0.47,0.72,0.51,0,0,0,0,2023-10-01
RX0000004033,MBR00000110,2021-09-01,2021-09-04,1601304919,1279123240,PLN2554,203900,PCN779,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,93,10,Retail,0,0,0,36.0,6.39,42.39,5.0,35.48,1.91,0.48,0.34,0,0,0,0,2021-11-30
RX0000004034,MBR00000110,2022-04-26,2022-04-27,1665720131,1990127730,PLN2387,921079,PCN641,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,0,Retail,0,0,0,12.0,3.58,15.58,0.0,14.81,0.77,0.48,0.34,0,0,0,0,2022-05-26
RX0000004035,MBR00000110,2021-04-07,2021-04-08,1684910977,1908755381,PLN6501,901011,PCN206,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,9,Mail Order,0,0,0,9.0,4.04,13.04,5.0,7.23,0.81,0.36,0.255,0,0,0,0,2021-05-07
RX0000004036,MBR00000110,2021-10-20,2021-10-24,1227405116,1163491127,PLN9424,654288,PCN775,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,11,Retail,0,0,0,7.5,4.8,12.3,5.0,6.71,0.59,0.3,0.2125,0,0,0,0,2021-11-19
RX0000004037,MBR00000110,2021-12-24,2021-12-27,1709518432,1800099518,PLN1141,216826,PCN895,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,7,Mail Order,0,0,0,14.0,10.53,24.53,3.0,19.97,1.56,0.56,0.3967,0,0,0,0,2022-01-23
RX0000004038,MBR00000110,2022-01-23,2022-01-24,1728031607,1530525402,PLN7397,589193,PCN455,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,1,LTC,0,0,0,10.0,3.01,13.01,7.0,5.28,0.73,0.4,0.2833,0,0,0,0,2022-02-22
RX0000004039,MBR00000110,2023-05-28,2023-05-31,1506753211,1151300870,PLN9722,519317,PCN529,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,95,3,Retail,1,0,0,27.0,3.25,30.25,4.0,24.42,1.83,0.36,0.255,0,1,0,0,2023-08-26
RX0000004040,MBR00000110,2021-01-14,2021-01-16,1445935380,1573033399,PLN1933,494453,PCN430,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,5,Mail Order,2,0,0,10.0,3.37,13.37,7.0,5.65,0.72,0.4,0.2833,0,0,0,0,2021-02-13
RX0000004041,MBR00000110,2021-03-20,2021-03-22,1712457273,1924773305,PLN6327,729044,PCN547,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,58,7,Mail Order,0,0,0,960.0,10.37,970.37,30.0,905.12,35.25,19.2,13.6,0,0,0,0,2021-05-19
RX0000004042,MBR00000110,2021-01-08,2021-01-12,1597524090,1790698871,PLN5461,355985,PCN378,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,3,Retail,3,0,0,38.0,6.92,44.92,4.0,38.68,2.24,1.52,1.0767,0,0,0,0,2021-02-07
RX0000004043,MBR00000110,2021-10-28,2021-10-30,1603340604,1537560989,PLN1161,239365,PCN356,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,94,4,Retail,0,0,0,1950.0,2.3,1952.3,35.0,1803.25,114.05,26.0,18.4167,1,0,0,0,2022-01-26
RX0000004044,MBR00000110,2021-09-29,2021-10-02,1939647933,1495778565,PLN9166,581528,PCN370,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,3,Retail,0,0,0,175.0,3.4,178.4,33.0,133.75,11.65,7.0,4.9583,0,0,0,0,2021-10-29
RX0000004045,MBR00000110,2022-07-03,2022-07-05,1603839374,1477599172,PLN6771,103234,PCN205,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,5,Retail,0,0,0,16.0,10.78,26.78,6.0,19.36,1.42,0.64,0.4533,0,0,0,0,2022-08-02
RX0000004046,MBR00000110,2021-03-25,2021-03-28,1261124134,1535182487,PLN2008,251323,PCN943,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,84,9,Retail,0,0,0,1110.0,11.65,1121.65,39.0,1016.49,66.16,14.8,10.4833,0,0,0,0,2021-06-23
RX0000004047,MBR00000110,2021-04-25,2021-04-28,1445559616,1479469721,PLN5598,209468,PCN692,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,6,Retail,0,0,0,10.0,11.46,21.46,4.0,16.09,1.37,0.4,0.2833,0,0,0,0,2021-05-25
RX0000004048,MBR00000110,2023-02-15,2023-02-16,1185882676,1136423678,PLN4197,317096,PCN574,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,4,Retail,0,1,0,8.0,4.76,12.76,146.0,0.0,0.5,0.32,0.2267,0,0,0,0,2023-03-17
RX0000004049,MBR00000110,2022-01-11,2022-01-13,1683320528,1866633213,PLN3282,541013,PCN189,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,4,Mail Order,0,0,0,112.0,2.99,114.99,37.0,72.48,5.51,19.2,13.6,1,0,0,0,2022-01-18
RX0000004050,MBR00000110,2023-05-31,2023-06-02,1423807648,1636851310,PLN3198,532692,PCN190,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,4,Retail,1,0,0,2.8,6.62,9.42,5.0,3.93,0.49,0.48,0.34,0,0,0,0,2023-06-07
RX0000004051,MBR00000110,2021-06-18,2021-06-21,1888809653,1801579032,PLN1438,822655,PCN778,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,2,Mail Order,0,0,0,14.0,8.13,22.13,7.0,14.28,0.85,0.56,0.3967,0,0,0,0,2021-07-18
RX0000004052,MBR00000110,2022-08-15,2022-08-18,1195714691,1722118030,PLN4964,612334,PCN968,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,4,Mail Order,3,0,0,77.0,6.57,83.57,40.0,40.51,3.06,13.2,9.35,0,0,0,0,2022-08-22
RX0000004053,MBR00000110,2022-06-10,2022-06-11,1189205687,1966901470,PLN1121,258105,PCN906,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,92,9,Retail,0,0,0,36.0,5.96,41.96,1.0,38.63,2.33,0.48,0.34,1,0,0,0,2022-09-08
RX0000004054,MBR00000110,2021-05-22,2021-05-24,1537027204,1515852187,PLN7705,696983,PCN304,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,94,8,Retail,0,0,0,27.0,8.02,35.02,2.0,31.56,1.46,0.36,0.255,0,0,0,0,2021-08-20
RX0000004055,MBR00000110,2023-12-04,2023-12-05,1407099016,1690829886,PLN5530,124561,PCN624,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,0,Retail,1,0,0,18.0,7.71,25.71,10.0,14.16,1.55,0.72,0.51,0,0,0,0,2024-01-03
RX0000004056,MBR00000110,2023-09-29,2023-10-01,1377689181,1562334884,PLN4755,578122,PCN797,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,8,Retail,0,0,0,114.0,6.11,120.11,10.0,103.76,6.35,1.52,1.0767,0,0,0,0,2023-12-28
RX0000004057,MBR00000110,2021-04-01,2021-04-02,1849268668,1939264979,PLN2058,894198,PCN748,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,89,2,Retail,0,0,0,36.0,6.59,42.59,10.0,29.85,2.74,0.48,0.34,0,0,0,0,2021-06-30
RX0000004058,MBR00000110,2023-02-21,2023-02-22,1129831901,1397646985,PLN3685,613239,PCN834,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,84,6,Retail,0,0,0,33.0,2.93,35.93,5.0,28.65,2.28,0.44,0.3117,0,0,0,0,2023-05-22
RX0000004059,MBR00000110,2022-04-08,2022-04-10,1252264472,1442117127,PLN7589,978302,PCN812,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,0,Retail,0,0,0,11.0,3.22,14.22,0.0,13.42,0.8,0.44,0.3117,0,0,0,0,2022-05-08
RX0000004060,MBR00000110,2023-08-02,2023-08-06,1256942590,1198680901,PLN4042,422155,PCN709,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,1,Retail,0,0,0,11.0,9.58,20.58,5.0,14.47,1.11,0.44,0.3117,0,0,0,0,2023-09-01
RX0000004061,MBR00000110,2023-07-21,2023-07-23,1297651360,1517519489,PLN7151,745043,PCN731,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,10,Mail Order,0,0,0,750.0,4.69,754.69,34.0,693.04,27.65,30.0,21.25,0,0,0,0,2023-08-20
RX0000004062,MBR00000110,2023-08-02,2023-08-03,1261226751,1518549799,PLN3625,960753,PCN972,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,64,11,Retail,0,0,0,20.0,2.49,22.49,3.0,18.33,1.16,0.4,0.2833,0,0,0,0,2023-10-01
RX0000004063,MBR00000110,2022-05-30,2022-06-01,1879312360,1556095897,PLN5665,166232,PCN344,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,0,Specialty,0,0,0,650.0,36.45,686.45,38.0,648.45,0.0,26.0,18.4167,0,1,1,0,2022-06-29
RX0000004064,MBR00000110,2021-09-22,2021-09-23,1516934158,1179059114,PLN9709,738349,PCN213,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,1,Retail,0,0,0,14.0,2.58,16.58,10.0,5.69,0.89,0.56,0.3967,0,0,0,0,2021-10-22
RX0000004065,MBR00000110,2023-03-26,2023-03-30,1842774451,1585149551,PLN1157,765503,PCN528,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,7,LTC,0,0,0,38.0,9.59,47.59,10.0,36.01,1.58,1.52,1.0767,0,0,0,0,2023-04-25
RX0000004066,MBR00000110,2023-04-27,2023-04-28,1536986921,1541536259,PLN7962,599825,PCN577,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,0,Mail Order,1,0,0,12.5,6.51,19.01,9.0,9.24,0.77,0.5,0.3542,0,0,0,0,2023-05-27
RX0000004067,MBR00000110,2022-02-04,2022-02-05,1242847536,1174642323,PLN3859,108550,PCN835,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,5,Retail,0,0,0,11.0,9.06,20.06,0.0,19.19,0.87,0.44,0.3117,0,0,0,0,2022-03-06
RX0000004068,MBR00000110,2021-04-06,2021-04-09,1817619103,1343678974,PLN2050,156862,PCN825,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,62,1,Retail,0,0,0,640.0,6.26,646.26,40.0,561.68,44.58,12.8,9.0667,0,0,0,0,2021-06-05
RX0000004069,MBR00000110,2021-08-11,2021-08-13,1890915832,1520956929,PLN8788,603260,PCN170,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,84,3,Retail,2,0,0,66.0,4.83,70.83,68.0,0.0,2.84,0.88,0.6233,0,1,1,0,2021-11-09
RX0000004070,MBR00000110,2022-01-07,2022-01-10,1899915942,1158640778,PLN6002,748122,PCN452,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,63,8,Retail,0,1,0,5600.0,8.02,5608.02,150.0,5234.9,223.12,112.0,79.3333,1,0,0,0,2022-03-08
RX0000004071,MBR00000110,2021-05-07,2021-05-09,1381052192,1488806606,PLN4818,102970,PCN216,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,8,Mail Order,0,0,0,950.0,4.97,954.97,39.0,869.55,46.42,38.0,26.9167,1,0,0,0,2021-06-06
RX0000004072,MBR00000110,2023-03-23,2023-03-25,1376677840,1538395660,PLN8709,913888,PCN149,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,92,2,Retail,0,0,0,855.0,8.26,863.26,38.0,786.74,38.52,11.4,8.075,0,0,0,0,2023-06-21
RX0000004073,MBR00000110,2022-07-02,2022-07-03,1795254947,1938479628,PLN3397,572271,PCN177,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,61,0,Specialty,0,0,0,640.0,22.59,662.59,33.0,629.59,0.0,12.8,9.0667,0,0,0,0,2022-08-31
RX0000004074,MBR00000110,2021-10-05,2021-10-08,1877851907,1704168326,PLN3518,971906,PCN796,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,82,1,Mail Order,0,1,0,36.0,2.77,38.77,153.0,0.0,1.59,0.48,0.34,0,0,0,0,2022-01-03
RX0000004075,MBR00000110,2023-12-01,2023-12-04,1787302649,1788341930,PLN8280,944494,PCN523,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,4,Retail,0,0,0,18.0,11.08,29.08,8.0,19.21,1.87,0.72,0.51,0,0,0,0,2023-12-31
RX0000004076,MBR00000110,2021-09-09,2021-09-11,1987309422,1525756991,PLN9804,381954,PCN924,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,11,Mail Order,0,0,0,151.67,2.87,154.53,38.0,111.2,5.33,26.0,18.4167,0,0,0,0,2021-09-16
RX0000004077,MBR00000110,2021-03-11,2021-03-15,1770109158,1113263366,PLN1368,809032,PCN103,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,6,Mail Order,0,0,0,9.0,2.42,11.42,1.0,9.83,0.59,0.36,0.255,0,0,0,0,2021-04-10
RX0000004078,MBR00000110,2021-10-26,2021-10-27,1556354094,1764480597,PLN1054,987096,PCN734,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,82,3,Retail,0,0,0,37.5,5.47,42.97,3.0,38.01,1.96,0.5,0.3542,1,0,0,0,2022-01-24
RX0000004079,MBR00000111,2022-12-10,2022-12-11,1119898781,1224936431,PLN3106,452642,PCN534,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,86,9,LTC,0,0,0,990.0,9.9,999.9,38.0,901.6,60.3,13.2,9.35,0,0,0,0,2023-03-10
RX0000004080,MBR00000111,2023-12-15,2023-12-18,1696385603,1746538137,PLN6418,788907,PCN680,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,1,Mail Order,0,0,0,18.0,1.74,19.74,6.0,12.39,1.35,0.72,0.51,0,0,0,0,2024-01-14
RX0000004081,MBR00000111,2022-12-01,2022-12-02,1907803880,1451269188,PLN9339,638049,PCN507,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,8,Retail,0,0,0,8.5,6.19,14.69,9.0,4.94,0.75,0.34,0.2408,0,0,0,0,2022-12-31
RX0000004082,MBR00000111,2022-12-10,2022-12-13,1428982566,1716962619,PLN7500,293219,PCN510,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,91,4,Specialty,0,0,0,30.0,9.82,39.82,5.0,34.82,0.0,0.4,0.2833,0,0,0,0,2023-03-10
RX0000004083,MBR00000111,2022-01-22,2022-01-23,1549693453,1191324427,PLN5062,541998,PCN235,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,7,Mail Order,0,0,0,22.0,11.29,33.29,71.0,0.0,1.41,0.88,0.6233,0,0,0,0,2022-02-21
RX0000004084,MBR00000111,2022-10-24,2022-10-27,1849925381,1869955005,PLN9876,440563,PCN238,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,58,11,Mail Order,2,0,0,30.0,7.41,37.41,8.0,27.09,2.32,0.6,0.425,0,0,0,0,2022-12-23
RX0000004085,MBR00000111,2021-06-14,2021-06-15,1515084442,1216791602,PLN3625,994058,PCN786,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,83,8,Retail,0,0,0,135.0,2.87,137.87,2.0,130.05,5.82,1.8,1.275,0,0,0,0,2021-09-12
RX0000004086,MBR00000111,2022-10-31,2022-11-02,1612793151,1109688956,PLN6780,667901,PCN529,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,0,Retail,0,0,0,380.0,2.16,382.16,36.0,320.08,26.08,15.2,10.7667,0,0,0,0,2022-11-30
RX0000004087,MBR00000111,2021-07-18,2021-07-19,1667005706,1454591613,PLN9684,133557,PCN743,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,4,Retail,0,0,0,310.0,10.04,320.04,34.0,274.13,11.91,12.4,8.7833,1,0,0,0,2021-08-17
RX0000004088,MBR00000111,2022-05-05,2022-05-09,1962485919,1798244334,PLN1018,881883,PCN413,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,93,2,Retail,0,0,0,930.0,7.43,937.43,39.0,857.96,40.47,12.4,8.7833,0,1,1,0,2022-08-03
RX0000004089,MBR00000111,2022-08-09,2022-08-11,1164406703,1263509067,PLN9606,747582,PCN940,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,7,Retail,0,0,0,10.0,6.18,16.18,2.0,13.67,0.51,0.4,0.2833,0,0,0,0,2022-09-08
RX0000004090,MBR00000111,2021-11-26,2021-11-27,1288824277,1762219516,PLN2734,144173,PCN358,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,2,Retail,0,0,0,12.5,3.18,15.68,9.0,5.79,0.89,0.5,0.3542,0,0,0,0,2021-12-26
RX0000004091,MBR00000111,2022-04-14,2022-04-16,1648364170,1477482865,PLN2050,144483,PCN360,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,8,Specialty,0,0,0,65.0,35.74,100.74,40.0,60.74,0.0,2.6,1.8417,0,0,0,0,2022-05-14
RX0000004092,MBR00000111,2022-05-04,2022-05-06,1675568427,1321094332,PLN1507,515808,PCN533,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,6,Retail,1,0,0,650.0,10.31,660.31,40.0,597.15,23.16,26.0,18.4167,0,0,0,0,2022-06-03
RX0000004093,MBR00000111,2021-01-27,2021-01-28,1478390042,1192832626,PLN1586,987358,PCN950,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,4,Retail,0,0,0,10.0,10.35,20.35,0.0,19.16,1.19,0.4,0.2833,0,0,0,0,2021-02-26
RX0000004094,MBR00000111,2021-12-24,2021-12-28,1695800536,1688141770,PLN4947,370375,PCN372,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,61,1,Mail Order,0,0,0,620.0,10.29,630.29,38.0,556.02,36.27,12.4,8.7833,0,0,0,0,2022-02-22
RX0000004095,MBR00000111,2023-12-12,2023-12-16,1894243581,1873400462,PLN1343,496754,PCN619,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,2,Retail,0,0,0,27.0,2.58,29.58,2.0,25.93,1.65,0.36,0.255,0,0,0,0,2024-03-11
RX0000004096,MBR00000111,2023-12-03,2023-12-07,1378618990,1845098364,PLN1686,778109,PCN328,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,2,Specialty,0,0,0,4.2,44.15,48.35,6.0,42.35,0.0,0.72,0.51,0,0,0,0,2023-12-10
RX0000004097,MBR00000111,2021-07-23,2021-07-24,1513597640,1483232710,PLN6845,418255,PCN443,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,2,Retail,0,0,0,74.67,2.93,77.59,38.0,35.67,3.92,12.8,9.0667,0,0,0,0,2021-07-30
RX0000004098,MBR00000111,2021-05-15,2021-05-16,1964724622,1847151401,PLN4089,523967,PCN847,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,2,Retail,0,0,0,18.0,11.01,29.01,4.0,23.86,1.15,0.72,0.51,0,0,0,0,2021-06-14
RX0000004099,MBR00000111,2022-02-25,2022-02-28,1478030934,1343107382,PLN1720,301248,PCN721,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,2,Specialty,0,0,0,12.0,36.71,48.71,4.0,44.71,0.0,0.48,0.34,0,1,0,0,2022-03-27
RX0000004100,MBR00000111,2021-03-30,2021-03-31,1288682253,1216523304,PLN5632,754117,PCN765,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,8,Retail,0,0,0,22.0,3.1,25.1,68.0,0.0,1.46,0.88,0.6233,0,0,0,0,2021-04-29
RX0000004101,MBR00000111,2022-11-27,2022-11-28,1156826729,1874072392,PLN1514,145041,PCN327,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,4,Mail Order,0,1,0,2800.0,3.26,2803.26,151.0,2560.44,91.82,112.0,79.3333,0,0,0,0,2022-12-27
RX0000004102,MBR00000111,2022-12-13,2022-12-16,1374258486,1109394617,PLN9777,682894,PCN633,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,93,3,Retail,0,0,0,45.0,2.57,47.57,1.0,43.72,2.85,0.6,0.425,0,0,0,0,2023-03-13
RX0000004103,MBR00000111,2023-03-12,2023-03-14,1170522610,1968628485,PLN2175,583732,PCN861,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,9,Retail,0,0,0,2.33,6.46,8.8,1.0,7.19,0.61,0.4,0.2833,0,0,0,0,2023-03-19
RX0000004104,MBR00000111,2021-04-28,2021-04-29,1689714808,1963554457,PLN7996,931559,PCN310,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,2,Retail,0,0,0,28.0,11.04,39.04,2.0,34.92,2.12,1.12,0.7933,1,0,0,0,2021-05-28
RX0000004105,MBR00000111,2022-04-28,2022-05-02,1799359953,1778192932,PLN7514,259958,PCN783,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,5,Retail,0,0,0,14.0,9.31,23.31,4.0,18.44,0.87,0.56,0.3967,0,0,0,0,2022-05-28
RX0000004106,MBR00000111,2022-11-30,2022-12-02,1808738552,1142591441,PLN2757,988678,PCN288,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,11,Specialty,0,0,0,10.0,29.22,39.22,9.0,30.22,0.0,0.4,0.2833,0,0,0,0,2022-12-30
RX0000004107,MBR00000111,2022-05-20,2022-05-23,1643507285,1559414172,PLN2506,844718,PCN939,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,11,Retail,3,0,0,38.0,7.65,45.65,36.0,7.29,2.36,1.52,1.0767,0,0,0,0,2022-06-19
RX0000004108,MBR00000111,2021-04-04,2021-04-07,1572386301,1340522527,PLN9948,904135,PCN887,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,81,2,Mail Order,0,0,1,30.0,4.2,34.2,9.0,23.68,1.52,0.4,0.2833,0,0,0,0,2021-07-03
RX0000004109,MBR00000111,2023-12-21,2023-12-24,1889708997,1171037374,PLN2616,993290,PCN127,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,10,Specialty,0,0,0,14.0,19.12,33.12,4.0,29.12,0.0,0.56,0.3967,1,0,0,0,2024-01-20
RX0000004110,MBR00000111,2023-05-18,2023-05-22,1152681788,1201587173,PLN2499,853084,PCN353,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,96,2,Retail,2,0,0,960.0,9.93,969.93,37.0,876.62,56.31,12.8,9.0667,1,0,0,0,2023-08-16
RX0000004111,MBR00000111,2022-06-21,2022-06-24,1768013054,1370283640,PLN2513,870266,PCN907,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,2,Mail Order,0,0,0,480.0,4.85,484.85,32.0,425.43,27.42,19.2,13.6,0,0,0,0,2022-07-21
RX0000004112,MBR00000111,2021-09-18,2021-09-21,1655494793,1917377024,PLN8541,858850,PCN861,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,9,Mail Order,3,1,0,1.87,5.47,7.34,146.0,0.0,0.31,0.32,0.2267,0,0,0,0,2021-09-25
RX0000004113,MBR00000111,2021-01-14,2021-01-16,1473887818,1816553332,PLN9909,444670,PCN402,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,6,Mail Order,0,0,0,10.0,2.72,12.72,6.0,6.07,0.65,0.4,0.2833,0,0,0,0,2021-02-13
RX0000004114,MBR00000111,2022-10-17,2022-10-21,1609187107,1129130170,PLN6454,186166,PCN359,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,6,Specialty,1,0,0,45.0,44.86,89.86,4.0,85.86,0.0,1.8,1.275,0,1,0,0,2022-11-16
RX0000004115,MBR00000111,2023-05-30,2023-06-03,1698590144,1265598757,PLN7831,997641,PCN302,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,11,Retail,0,0,0,38.0,11.92,49.92,6.0,42.38,1.54,1.52,1.0767,0,0,0,0,2023-06-29
RX0000004116,MBR00000111,2022-10-12,2022-10-13,1707254070,1180117743,PLN8945,203727,PCN944,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,60,2,Retail,0,0,0,36.0,10.15,46.15,4.0,39.44,2.71,0.72,0.51,0,0,0,0,2022-12-11
RX0000004117,MBR00000111,2023-07-24,2023-07-26,1397837467,1685566868,PLN5606,925712,PCN701,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,2,Retail,0,0,0,8.5,10.65,19.15,8.0,10.39,0.76,0.34,0.2408,0,0,0,0,2023-08-23
RX0000004118,MBR00000111,2021-01-14,2021-01-16,1452435686,1409401920,PLN1507,716994,PCN667,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,86,5,Specialty,0,0,0,1440.0,11.11,1451.11,30.0,1421.11,0.0,19.2,13.6,0,0,0,0,2021-04-14
RX0000004119,MBR00000111,2022-04-28,2022-04-29,1369369958,1365320189,PLN8032,124088,PCN867,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,86,5,Retail,1,0,0,25.5,8.09,33.59,9.0,22.92,1.67,0.34,0.2408,0,0,0,0,2022-07-27
RX0000004120,MBR00000111,2021-12-03,2021-12-05,1677557447,1112142786,PLN9552,196342,PCN205,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,83,9,Specialty,0,0,0,33.0,48.25,81.25,8.0,73.25,0.0,0.44,0.3117,0,0,0,0,2022-03-03
RX0000004121,MBR00000112,2022-09-20,2022-09-21,1812465036,1918780562,PLN6746,556968,PCN816,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,11,Retail,0,0,0,18.0,4.27,22.27,9.0,11.72,1.55,0.72,0.51,0,0,0,0,2022-10-20
RX0000004122,MBR00000112,2023-03-20,2023-03-23,1637587302,1944373441,PLN4751,529601,PCN613,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,3,Retail,0,0,0,330.0,7.1,337.1,38.0,276.58,22.52,13.2,9.35,0,0,0,0,2023-04-19
RX0000004123,MBR00000112,2022-12-31,2023-01-04,1322881886,1234952154,PLN5522,989766,PCN214,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,97,4,Retail,0,0,0,30.0,9.54,39.54,8.0,29.16,2.38,0.4,0.2833,0,0,0,0,2023-03-31
RX0000004124,MBR00000112,2023-07-23,2023-07-25,1968901108,1570607207,PLN8729,887450,PCN225,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,85,2,Retail,0,0,0,36.0,6.41,42.41,8.0,31.62,2.79,0.48,0.34,0,0,0,0,2023-10-21
RX0000004125,MBR00000112,2023-10-13,2023-10-15,1667597022,1393262182,PLN8675,288044,PCN807,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,7,Retail,1,0,0,11.0,4.91,15.91,10.0,5.09,0.82,0.44,0.3117,0,0,0,0,2023-11-12
RX0000004126,MBR00000112,2022-12-13,2022-12-17,1543507602,1715089698,PLN8863,288007,PCN171,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,10,Retail,0,0,0,45.0,7.71,52.71,10.0,40.43,2.28,1.8,1.275,0,0,0,0,2023-01-12
RX0000004127,MBR00000112,2021-08-28,2021-08-30,1782878931,1110162265,PLN5276,140670,PCN708,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,8,Retail,0,0,0,8.5,5.08,13.58,8.0,5.07,0.51,0.34,0.2408,0,0,0,0,2021-09-27
RX0000004128,MBR00000112,2022-05-18,2022-05-21,1666492751,1986730235,PLN2782,541987,PCN566,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,90,3,Retail,0,0,0,42.0,9.9,51.9,8.0,42.16,1.74,0.56,0.3967,0,0,0,0,2022-08-16
RX0000004129,MBR00000112,2023-08-21,2023-08-23,1830840037,1600726433,PLN3741,443028,PCN616,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,62,1,Mail Order,0,0,0,90.0,4.88,94.88,7.0,82.61,5.27,1.8,1.275,0,0,0,0,2023-10-20
RX0000004130,MBR00000112,2022-01-13,2022-01-14,1143526672,1711419121,PLN8937,545081,PCN550,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,56,6,Retail,0,0,0,130.0,7.31,137.31,40.0,90.16,7.15,2.6,1.8417,0,0,0,0,2022-03-14
RX0000004131,MBR00000112,2023-07-04,2023-07-07,1814572552,1239000433,PLN9541,298756,PCN389,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,7,Retail,1,0,0,45.0,2.47,47.47,8.0,37.93,1.54,1.8,1.275,0,0,0,0,2023-08-03
RX0000004132,MBR00000112,2021-02-20,2021-02-22,1600336995,1905603721,PLN6187,321508,PCN368,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,56,5,Specialty,0,0,0,22.0,32.49,54.49,5.0,49.49,0.0,0.44,0.3117,0,0,0,0,2021-04-21
RX0000004133,MBR00000112,2023-08-18,2023-08-22,1924787512,1394249440,PLN3138,967284,PCN816,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,8,Retail,0,0,0,185.0,6.24,191.24,38.0,143.75,9.49,7.4,5.2417,0,0,0,0,2023-09-17
RX0000004134,MBR00000112,2023-07-25,2023-07-26,1952360984,1598353471,PLN1038,276049,PCN114,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,1,Retail,0,0,0,380.0,1.53,381.53,38.0,328.18,15.35,15.2,10.7667,0,0,0,0,2023-08-24
RX0000004135,MBR00000112,2021-07-17,2021-07-20,1706956010,1484242681,PLN2892,213222,PCN625,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,3,Retail,0,0,0,38.0,11.23,49.23,34.0,12.34,2.89,1.52,1.0767,0,0,0,0,2021-08-16
RX0000004136,MBR00000112,2022-08-24,2022-08-25,1106989969,1458435393,PLN4126,280491,PCN257,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,1,Specialty,0,0,0,480.0,14.37,494.37,33.0,461.37,0.0,19.2,13.6,0,0,0,0,2022-09-23
RX0000004137,MBR00000112,2021-11-07,2021-11-08,1971084703,1291175028,PLN1508,839691,PCN196,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,2,Retail,0,0,0,14.0,1.94,15.94,5.0,9.86,1.08,0.56,0.3967,0,0,0,0,2021-12-07
RX0000004138,MBR00000112,2021-06-28,2021-07-02,1666292315,1433613608,PLN3911,871613,PCN313,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,11,Retail,0,0,0,11.0,6.89,17.89,0.0,16.81,1.08,0.44,0.3117,1,0,0,0,2021-07-28
RX0000004139,MBR00000113,2022-11-12,2022-11-16,1319661963,1906804350,PLN7347,967708,PCN813,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,55,0,Mail Order,0,0,0,1900.0,11.99,1911.99,30.0,1753.7,128.29,38.0,26.9167,0,0,0,0,2023-01-11
RX0000004140,MBR00000113,2022-03-12,2022-03-13,1764299736,1860597054,PLN1690,399654,PCN429,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,91,8,Retail,2,0,0,54.0,6.44,60.44,1.0,57.53,1.91,0.72,0.51,0,0,0,0,2022-06-10
RX0000004141,MBR00000113,2021-11-12,2021-11-14,1165844440,1605742876,PLN8515,210092,PCN125,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,89,3,Retail,0,0,0,27.0,2.34,29.34,6.0,21.38,1.96,0.36,0.255,0,0,0,0,2022-02-10
RX0000004142,MBR00000113,2021-08-22,2021-08-25,1222714820,1979864991,PLN8956,850531,PCN390,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,8,Mail Order,2,0,0,65.0,9.28,74.28,34.0,35.76,4.52,2.6,1.8417,0,0,0,0,2021-09-21
RX0000004143,MBR00000113,2021-04-04,2021-04-06,1805707861,1778747922,PLN7038,288415,PCN934,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,7,Mail Order,0,0,0,9.0,5.43,14.43,0.0,13.54,0.89,0.36,0.255,0,0,0,0,2021-05-04
RX0000004144,MBR00000113,2021-10-24,2021-10-28,1449998166,1347154972,PLN1478,356627,PCN561,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,54,10,Retail,0,0,0,56.0,2.91,58.91,5.0,50.83,3.08,1.12,0.7933,1,0,0,0,2021-12-23
RX0000004145,MBR00000113,2021-03-17,2021-03-18,1605703587,1192037480,PLN7410,913355,PCN623,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,6,Retail,1,0,0,185.0,9.72,194.72,36.0,148.69,10.03,7.4,5.2417,0,0,0,0,2021-04-16
RX0000004146,MBR00000113,2021-04-09,2021-04-11,1449683376,1655723602,PLN2433,180796,PCN663,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,63,7,Retail,0,0,0,36.0,1.97,37.97,30.0,6.48,1.49,0.72,0.51,0,0,0,0,2021-06-08
RX0000004147,MBR00000113,2023-10-05,2023-10-08,1110903154,1679748607,PLN7570,316947,PCN489,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,1,Retail,0,1,0,8500.0,5.18,8505.18,153.0,8028.21,323.97,340.0,240.8333,1,0,0,0,2023-11-04
RX0000004148,MBR00000113,2021-11-27,2021-11-30,1419163762,1263668959,PLN5028,430255,PCN489,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,11,Retail,0,0,1,38.0,8.75,46.75,31.0,12.78,2.97,1.52,1.0767,0,0,0,0,2021-12-27
RX0000004149,MBR00000113,2022-10-07,2022-10-08,1975964464,1192186574,PLN1272,852008,PCN926,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,9,Retail,0,1,0,8500.0,1.8,8501.8,151.0,7898.76,452.04,340.0,240.8333,0,0,0,0,2022-11-06
RX0000004150,MBR00000113,2023-11-07,2023-11-10,1868003961,1740280826,PLN1166,866260,PCN714,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,9,Retail,0,0,0,370.0,3.45,373.45,36.0,318.02,19.43,14.8,10.4833,0,0,0,0,2023-12-07
RX0000004151,MBR00000113,2021-05-12,2021-05-16,1706815165,1664519111,PLN8453,128650,PCN135,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,92,11,Retail,0,0,0,114.0,10.65,124.65,31.0,86.04,7.61,1.52,1.0767,0,0,0,0,2021-08-10
RX0000004152,MBR00000113,2022-03-15,2022-03-16,1957676203,1475163268,PLN3656,453387,PCN737,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,4,Retail,0,0,0,750.0,7.58,757.58,36.0,698.83,22.75,30.0,21.25,0,0,0,0,2022-04-14
RX0000004153,MBR00000113,2022-05-07,2022-05-09,1922329577,1448019371,PLN8822,953722,PCN449,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,57,0,Mail Order,0,0,0,30.0,3.97,33.97,6.0,26.14,1.83,0.6,0.425,0,0,0,0,2022-07-06
RX0000004154,MBR00000113,2023-02-26,2023-03-02,1793906998,1712396970,PLN9570,413721,PCN870,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,63,10,Retail,0,0,0,76.0,5.3,81.3,38.0,39.03,4.27,1.52,1.0767,0,0,0,0,2023-04-27
RX0000004155,MBR00000113,2023-11-20,2023-11-24,1328478537,1755575029,PLN7495,392193,PCN884,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,94,4,Specialty,0,0,0,930.0,14.89,944.89,36.0,908.89,0.0,12.4,8.7833,0,0,0,0,2024-02-18
RX0000004156,MBR00000114,2021-02-14,2021-02-17,1110257058,1496264185,PLN2807,778464,PCN169,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,94,11,Retail,0,1,0,24.0,9.37,33.37,148.0,0.0,1.8,0.32,0.2267,0,1,1,0,2021-05-15
RX0000004157,MBR00000114,2022-07-25,2022-07-27,1874876221,1447037144,PLN7944,861891,PCN712,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,86,0,Retail,0,0,0,195.0,7.02,202.02,32.0,158.34,11.68,2.6,1.8417,0,0,0,0,2022-10-23
RX0000004158,MBR00000114,2022-11-10,2022-11-12,1335508626,1902157334,PLN3536,455162,PCN632,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,3,Mail Order,0,0,0,15.0,7.78,22.78,9.0,12.27,1.51,0.6,0.425,0,0,0,0,2022-12-10
RX0000004159,MBR00000114,2023-02-28,2023-03-01,1874237942,1356846074,PLN2949,455997,PCN189,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,11,Retail,2,0,0,9.0,11.78,20.78,1.0,18.89,0.89,0.36,0.255,0,1,0,0,2023-03-30
RX0000004160,MBR00000114,2021-08-16,2021-08-20,1487378331,1829566878,PLN5125,577835,PCN681,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,5,Retail,0,0,0,22.0,6.22,28.22,65.0,0.0,1.45,0.88,0.6233,0,0,0,0,2021-09-15
RX0000004161,MBR00000114,2022-01-29,2022-02-02,1742351396,1901972126,PLN8696,254859,PCN966,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,65,10,Retail,0,0,1,24.0,7.53,31.53,5.0,25.03,1.5,0.48,0.34,0,0,0,0,2022-03-30
RX0000004162,MBR00000114,2023-11-11,2023-11-14,1300367504,1403759178,PLN8859,931419,PCN577,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,9,Mail Order,0,0,0,14.0,2.79,16.79,9.0,7.14,0.65,0.56,0.3967,0,0,0,0,2023-12-11
RX0000004163,MBR00000114,2022-10-01,2022-10-05,1311080819,1817218510,PLN6899,817680,PCN835,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,0,Retail,0,0,0,14.0,11.5,25.5,9.0,15.22,1.28,0.56,0.3967,0,0,0,0,2022-10-31
RX0000004164,MBR00000114,2022-07-01,2022-07-03,1153076088,1340338892,PLN1303,920809,PCN666,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,58,7,Retail,0,0,0,28.0,8.86,36.86,4.0,30.68,2.18,0.56,0.3967,1,0,0,0,2022-08-30
RX0000004165,MBR00000114,2021-01-23,2021-01-24,1661422472,1283888072,PLN4494,774618,PCN178,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,4,Retail,0,0,0,45.0,9.28,54.28,1.0,51.3,1.98,1.8,1.275,0,0,0,0,2021-02-22
RX0000004166,MBR00000114,2021-07-27,2021-07-30,1578381593,1650482023,PLN7726,453092,PCN735,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,86,5,Retail,0,1,0,36.0,11.82,47.82,153.0,0.0,1.54,0.48,0.34,0,0,0,0,2021-10-25
RX0000004167,MBR00000114,2022-02-28,2022-03-03,1650331077,1845340636,PLN8123,196097,PCN125,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,81,6,Retail,0,0,0,36.0,5.68,41.68,9.0,30.0,2.68,0.48,0.34,0,0,0,0,2022-05-29
RX0000004168,MBR00000114,2022-05-16,2022-05-18,1623958623,1870310398,PLN9687,120625,PCN745,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,9,Specialty,0,0,0,112.0,8.75,120.75,38.0,82.75,0.0,19.2,13.6,0,0,0,0,2022-05-23
RX0000004169,MBR00000114,2021-10-24,2021-10-27,1369011398,1942077690,PLN8656,966711,PCN214,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,60,2,Specialty,0,0,0,640.0,49.07,689.07,32.0,657.07,0.0,12.8,9.0667,0,0,0,0,2021-12-23
RX0000004170,MBR00000114,2023-06-11,2023-06-14,1464498731,1446150476,PLN1094,276369,PCN471,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,61,1,Retail,0,0,0,22.0,2.78,24.78,1.0,22.64,1.14,0.44,0.3117,0,0,0,0,2023-08-10
RX0000004171,MBR00000114,2023-11-02,2023-11-05,1781413182,1863514573,PLN3535,262614,PCN910,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,8,Retail,0,0,0,185.0,9.08,194.08,32.0,148.98,13.1,7.4,5.2417,0,0,0,0,2023-12-02
RX0000004172,MBR00000114,2022-04-17,2022-04-18,1371034038,1325036601,PLN5661,324664,PCN498,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,81,5,Retail,0,0,0,66.0,6.29,72.29,74.0,0.0,4.4,0.88,0.6233,0,0,0,0,2022-07-16
RX0000004173,MBR00000114,2021-04-05,2021-04-08,1927164374,1410803474,PLN6266,904561,PCN760,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,0,Retail,1,0,0,370.0,6.82,376.82,37.0,318.68,21.14,14.8,10.4833,0,0,0,0,2021-05-05
RX0000004174,MBR00000114,2022-03-27,2022-03-31,1107583168,1316609078,PLN6176,488846,PCN817,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,3,Retail,0,0,0,285.0,2.95,287.95,37.0,236.52,14.43,11.4,8.075,0,0,0,0,2022-04-26
RX0000004175,MBR00000114,2022-12-30,2023-01-03,1992741727,1653224034,PLN7880,808545,PCN994,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,8,Mail Order,0,0,0,2.8,10.85,13.65,3.0,9.9,0.75,0.48,0.34,0,0,0,0,2023-01-06
RX0000004176,MBR00000114,2023-06-03,2023-06-04,1925671771,1701105549,PLN6974,519666,PCN598,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,0,Retail,0,0,0,185.0,10.79,195.79,34.0,151.24,10.55,7.4,5.2417,0,0,0,0,2023-07-03
RX0000004177,MBR00000114,2023-06-09,2023-06-10,1329362360,1993049503,PLN6057,252213,PCN140,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,87,0,Retail,0,0,0,54.0,2.89,56.89,10.0,44.81,2.08,0.72,0.51,0,0,0,0,2023-09-07
RX0000004178,MBR00000114,2021-12-03,2021-12-05,1485953269,1648294021,PLN9993,417194,PCN587,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,5,Mail Order,0,0,0,22.0,8.78,30.78,0.0,28.94,1.84,0.88,0.6233,0,0,0,0,2022-01-02
RX0000004179,MBR00000114,2022-01-06,2022-01-08,1745561870,1567631322,PLN2060,277406,PCN377,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,6,Mail Order,0,0,0,2.1,5.34,7.44,10.0,0.0,0.5,0.36,0.255,0,0,0,0,2022-01-13
RX0000004180,MBR00000114,2022-10-19,2022-10-23,1333744957,1704764839,PLN7506,395408,PCN507,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,5,Retail,0,0,0,285.0,9.61,294.61,32.0,248.78,13.83,11.4,8.075,0,0,0,0,2022-11-18
RX0000004181,MBR00000114,2022-01-15,2022-01-19,1183626912,1614033682,PLN5085,720137,PCN436,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,11,Retail,0,0,0,3.5,6.48,9.98,1.0,8.41,0.57,0.6,0.425,0,0,0,0,2022-01-22
RX0000004182,MBR00000114,2023-03-15,2023-03-18,1601735680,1505104118,PLN5856,760426,PCN510,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,3,Retail,0,0,0,12.0,6.09,18.09,3.0,13.89,1.2,0.48,0.34,0,1,0,0,2023-04-14
RX0000004183,MBR00000114,2021-01-10,2021-01-11,1429812769,1551782683,PLN5719,499597,PCN588,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,8,Mail Order,0,0,0,3.5,6.65,10.15,10.0,0.0,0.43,0.6,0.425,0,0,0,0,2021-01-17
RX0000004184,MBR00000114,2022-05-17,2022-05-20,1924679636,1140023036,PLN5175,799044,PCN274,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,0,Retail,0,0,0,16.0,3.61,19.61,9.0,9.54,1.07,0.64,0.4533,0,0,0,0,2022-06-16
RX0000004185,MBR00000114,2021-10-21,2021-10-22,1992111460,1867360208,PLN7513,241460,PCN816,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,9,Retail,0,0,0,18.0,7.56,25.56,2.0,22.46,1.1,0.72,0.51,0,0,0,0,2021-11-20
RX0000004186,MBR00000114,2022-10-17,2022-10-18,1783092509,1131620376,PLN3963,992002,PCN184,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,95,1,Mail Order,1,0,0,960.0,2.21,962.21,32.0,887.9,42.31,12.8,9.0667,0,0,0,0,2023-01-15
RX0000004187,MBR00000114,2023-09-07,2023-09-10,1217782694,1296535388,PLN1585,485779,PCN149,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,1,Retail,0,1,0,12.0,5.59,17.59,148.0,0.0,0.86,0.48,0.34,0,0,0,0,2023-10-07
RX0000004188,MBR00000114,2021-11-23,2021-11-27,1959074200,1544834539,PLN8404,631479,PCN198,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,10,Specialty,0,0,0,8.5,33.02,41.52,5.0,36.52,0.0,0.34,0.2408,0,0,0,0,2021-12-23
RX0000004189,MBR00000114,2023-09-11,2023-09-15,1741498172,1224927638,PLN4239,506212,PCN870,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,2,Retail,0,0,0,12.5,4.16,16.66,8.0,7.94,0.72,0.5,0.3542,0,0,0,0,2023-10-11
RX0000004190,MBR00000114,2023-06-03,2023-06-07,1439246297,1986329907,PLN1459,367414,PCN533,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,4,Retail,3,0,0,185.0,6.88,191.88,36.0,143.72,12.16,7.4,5.2417,0,0,0,0,2023-07-03
RX0000004191,MBR00000114,2022-09-21,2022-09-22,1784166710,1812278538,PLN4478,129836,PCN295,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,2,Mail Order,0,0,0,310.0,3.3,313.3,33.0,260.01,20.29,12.4,8.7833,0,0,0,0,2022-10-21
RX0000004192,MBR00000114,2021-08-13,2021-08-17,1221761079,1901703641,PLN7903,364095,PCN467,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,84,0,Retail,0,0,0,2250.0,3.47,2253.47,36.0,2091.07,126.4,30.0,21.25,0,0,0,0,2021-11-11
RX0000004193,MBR00000114,2023-03-13,2023-03-16,1693610670,1624066168,PLN2929,537998,PCN693,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,11,Retail,0,0,0,175.0,8.32,183.32,39.0,133.23,11.09,7.0,4.9583,0,0,0,0,2023-04-12
RX0000004194,MBR00000115,2023-07-31,2023-08-04,1345682498,1791853044,PLN8266,864478,PCN751,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,4,Mail Order,0,0,0,8.5,3.46,11.96,0.0,11.49,0.47,0.34,0.2408,0,0,0,0,2023-08-30
RX0000004195,MBR00000115,2023-04-09,2023-04-10,1422708271,1910183762,PLN3846,666520,PCN760,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,9,Retail,0,0,0,12.5,8.79,21.29,6.0,14.58,0.71,0.5,0.3542,0,0,0,0,2023-05-09
RX0000004196,MBR00000115,2023-09-25,2023-09-28,1817658878,1638022063,PLN3994,143894,PCN173,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,11,Retail,0,0,0,36.0,6.07,42.07,0.0,40.61,1.46,0.48,0.34,0,0,0,0,2023-12-24
RX0000004197,MBR00000115,2022-02-05,2022-02-06,1249354418,1540247811,PLN5424,265052,PCN939,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,1,Retail,0,0,0,10.0,4.11,14.11,4.0,9.25,0.86,0.4,0.2833,0,0,0,0,2022-03-07
RX0000004198,MBR00000115,2022-09-25,2022-09-29,1847303955,1814662575,PLN5473,885444,PCN621,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,2,Retail,0,1,0,8500.0,7.21,8507.21,149.0,7840.59,517.62,340.0,240.8333,0,0,0,0,2022-10-25
RX0000004199,MBR00000115,2023-09-18,2023-09-21,1882871278,1556481589,PLN8975,714508,PCN935,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,81,3,Retail,0,0,0,30.0,4.36,34.36,9.0,23.43,1.93,0.4,0.2833,0,0,0,0,2023-12-17
RX0000004200,MBR00000115,2023-06-04,2023-06-05,1866403494,1956398933,PLN1025,671679,PCN149,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,10,Retail,0,0,0,14.0,6.58,20.58,8.0,11.66,0.92,0.56,0.3967,0,0,0,0,2023-07-04
RX0000004201,MBR00000115,2021-07-29,2021-08-01,1458555849,1636423848,PLN3726,566895,PCN216,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,98,0,Retail,0,0,0,45.0,11.43,56.43,8.0,45.35,3.08,0.6,0.425,0,0,0,0,2021-10-27
RX0000004202,MBR00000115,2021-03-19,2021-03-20,1529082765,1427544438,PLN4729,818394,PCN350,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,7,Mail Order,0,1,0,8.0,2.21,10.21,153.0,0.0,0.51,0.32,0.2267,0,0,0,0,2021-04-18
RX0000004203,MBR00000115,2022-01-26,2022-01-30,1464407860,1244822412,PLN5042,574930,PCN595,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,88,1,Retail,0,0,0,930.0,5.94,935.94,38.0,843.94,54.0,12.4,8.7833,0,0,0,0,2022-04-26
RX0000004204,MBR00000115,2023-07-08,2023-07-11,1661874908,1854415972,PLN8936,257185,PCN603,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,95,11,Retail,1,0,0,114.0,2.91,116.91,39.0,69.76,8.15,1.52,1.0767,0,0,0,0,2023-10-06
RX0000004205,MBR00000115,2023-07-06,2023-07-10,1307013789,1410062353,PLN7243,348189,PCN603,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,8,Retail,0,0,0,18.0,9.15,27.15,5.0,20.37,1.78,0.72,0.51,0,0,0,0,2023-08-05
RX0000004206,MBR00000115,2023-06-25,2023-06-27,1528328425,1488966911,PLN8846,672166,PCN300,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,63,4,Retail,0,0,0,640.0,9.81,649.81,39.0,578.5,32.31,12.8,9.0667,0,1,1,0,2023-08-24
RX0000004207,MBR00000115,2021-11-26,2021-11-29,1758485657,1334783344,PLN2766,408757,PCN758,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,8,Retail,0,0,0,750.0,8.65,758.65,39.0,677.69,41.96,30.0,21.25,0,0,0,0,2021-12-26
RX0000004208,MBR00000115,2023-02-08,2023-02-11,1729788248,1373279525,PLN2610,593697,PCN271,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,61,2,Retail,0,0,0,18.0,4.72,22.72,6.0,15.27,1.45,0.36,0.255,0,0,0,0,2023-04-09
RX0000004209,MBR00000115,2023-09-30,2023-10-02,1777264693,1570375590,PLN9752,438272,PCN243,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,1,Mail Order,0,1,0,8.0,3.12,11.12,150.0,0.0,0.43,0.32,0.2267,1,0,0,0,2023-10-30
RX0000004210,MBR00000115,2023-03-22,2023-03-26,1492694585,1909056327,PLN4897,904879,PCN889,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,8,Retail,1,0,0,175.0,3.73,178.73,32.0,136.69,10.04,7.0,4.9583,0,0,0,0,2023-04-21
RX0000004211,MBR00000115,2022-07-26,2022-07-30,1924521308,1100895672,PLN7901,163895,PCN333,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,89,2,Retail,2,0,0,27.0,5.54,32.54,0.0,30.4,2.14,0.36,0.255,0,0,0,0,2022-10-24
RX0000004212,MBR00000115,2023-04-10,2023-04-14,1425243564,1657879292,PLN1264,709748,PCN254,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,11,LTC,0,0,0,15.0,5.57,20.57,5.0,14.21,1.36,0.6,0.425,0,0,0,0,2023-05-10
RX0000004213,MBR00000115,2021-09-09,2021-09-13,1924486992,1340295272,PLN6599,118413,PCN602,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,11,Retail,0,0,0,8.87,4.43,13.3,37.0,0.0,0.46,1.52,1.0767,0,0,0,0,2021-09-16
RX0000004214,MBR00000115,2023-06-10,2023-06-14,1854807769,1337643158,PLN3131,494966,PCN720,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,6,Retail,0,0,0,18.0,9.8,27.8,1.0,25.43,1.37,0.72,0.51,0,0,0,0,2023-07-10
RX0000004215,MBR00000115,2021-07-27,2021-07-31,1931441215,1993007476,PLN1486,353775,PCN880,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,4,Retail,0,0,0,45.0,6.63,51.63,0.0,48.54,3.09,1.8,1.275,0,0,0,0,2021-08-26
RX0000004216,MBR00000115,2023-01-24,2023-01-28,1425570239,1247767606,PLN6305,405008,PCN809,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,58,9,Retail,0,0,0,350.0,10.25,360.25,39.0,299.88,21.37,7.0,4.9583,1,0,0,0,2023-03-25
RX0000004217,MBR00000115,2023-11-07,2023-11-10,1269034810,1726452176,PLN9667,337864,PCN820,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,0,Retail,0,0,0,36.0,5.65,41.65,8.0,31.55,2.1,0.48,0.34,0,0,0,0,2024-02-05
RX0000004218,MBR00000115,2022-05-24,2022-05-26,1540114728,1290824636,PLN4249,439121,PCN740,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,3,Mail Order,0,0,0,10.0,4.25,14.25,7.0,6.37,0.88,0.4,0.2833,0,0,0,0,2022-06-23
RX0000004219,MBR00000115,2023-12-15,2023-12-19,1395416578,1126254276,PLN3028,152064,PCN594,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,57,3,Retail,0,1,0,16.0,7.15,23.15,155.0,0.0,0.71,0.32,0.2267,0,0,0,0,2024-02-13
RX0000004220,MBR00000115,2021-05-17,2021-05-19,1433070848,1948298991,PLN9445,492913,PCN888,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,7,Retail,0,0,0,15.0,6.11,21.11,3.0,17.01,1.1,0.6,0.425,0,0,0,0,2021-06-16
RX0000004221,MBR00000115,2023-08-22,2023-08-25,1218311788,1740795228,PLN1971,741109,PCN456,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,3,Retail,2,0,0,3.5,5.07,8.57,8.0,0.06,0.51,0.6,0.425,0,0,0,0,2023-08-29
RX0000004222,MBR00000115,2021-02-10,2021-02-14,1544276436,1315368700,PLN6191,688011,PCN540,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,92,6,Retail,0,0,0,195.0,11.4,206.4,39.0,158.34,9.06,2.6,1.8417,0,0,0,0,2021-05-11
RX0000004223,MBR00000116,2022-03-10,2022-03-12,1787900160,1906167003,PLN9010,205419,PCN405,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,11,Retail,3,0,0,950.0,5.87,955.87,33.0,865.12,57.75,38.0,26.9167,0,0,0,0,2022-04-09
RX0000004224,MBR00000116,2023-05-24,2023-05-28,1606922577,1257921492,PLN2432,407285,PCN996,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,96,7,Retail,0,0,0,45.0,11.42,56.42,3.0,50.84,2.58,0.6,0.425,0,0,0,0,2023-08-22
RX0000004225,MBR00000116,2021-04-20,2021-04-23,1258675887,1946310756,PLN8118,683649,PCN769,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,85,10,Retail,0,0,0,1140.0,6.22,1146.22,35.0,1065.92,45.3,15.2,10.7667,0,0,0,0,2021-07-19
RX0000004226,MBR00000116,2021-06-19,2021-06-21,1242639612,1977137001,PLN1813,852859,PCN169,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,85,11,Mail Order,0,0,0,22.5,11.53,34.03,5.0,27.16,1.87,0.3,0.2125,0,0,0,0,2021-09-17
RX0000004227,MBR00000116,2023-10-21,2023-10-25,1239030836,1818812419,PLN3944,215784,PCN131,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,58,3,Retail,0,0,0,76.0,2.01,78.01,0.0,74.33,3.68,1.52,1.0767,0,0,0,0,2023-12-20
RX0000004228,MBR00000116,2022-07-20,2022-07-22,1856301048,1201962065,PLN6036,799657,PCN213,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,9,Retail,0,1,0,8.0,7.83,15.83,151.0,0.0,0.54,0.32,0.2267,0,1,1,0,2022-08-19
RX0000004229,MBR00000116,2022-01-20,2022-01-24,1921876008,1311662529,PLN8163,836115,PCN406,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,1,Mail Order,0,0,0,7.5,2.01,9.51,0.0,9.13,0.38,0.3,0.2125,0,0,0,0,2022-02-19
RX0000004230,MBR00000116,2023-03-13,2023-03-16,1967408664,1981465064,PLN4924,454505,PCN705,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,94,0,Retail,0,0,0,114.0,2.39,116.39,1.0,110.45,4.94,1.52,1.0767,0,0,0,0,2023-06-11
RX0000004231,MBR00000116,2021-09-09,2021-09-12,1336986254,1157350591,PLN4648,680940,PCN905,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,1,Retail,0,0,0,12.0,6.46,18.46,0.0,17.74,0.72,0.48,0.34,0,0,0,0,2021-10-09
RX0000004232,MBR00000116,2022-09-28,2022-10-02,1123935931,1990136712,PLN1825,289370,PCN404,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,2,Retail,0,0,0,320.0,2.33,322.33,38.0,267.07,17.26,12.8,9.0667,0,0,0,0,2022-10-28
RX0000004233,MBR00000116,2021-12-02,2021-12-03,1295343102,1442402749,PLN7479,890662,PCN716,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,0,Retail,0,0,0,18.0,4.3,22.3,4.0,16.88,1.42,0.72,0.51,0,0,0,0,2022-01-01
RX0000004234,MBR00000116,2023-11-10,2023-11-14,1458297899,1642420865,PLN4927,380879,PCN340,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,5,Retail,0,0,0,16.0,4.17,20.17,4.0,14.98,1.19,0.64,0.4533,0,0,0,0,2023-12-10
RX0000004235,MBR00000116,2022-09-09,2022-09-10,1324602292,1754962791,PLN2539,946273,PCN607,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,1,Retail,0,0,0,12.0,6.28,18.28,5.0,12.49,0.79,0.48,0.34,0,0,0,0,2022-10-09
RX0000004236,MBR00000116,2023-07-10,2023-07-12,1564891724,1644711394,PLN7279,264848,PCN737,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,83,4,Mail Order,0,0,0,2850.0,4.11,2854.11,30.0,2687.35,136.76,38.0,26.9167,0,0,0,0,2023-10-08
RX0000004237,MBR00000116,2022-12-21,2022-12-23,1439514283,1342504551,PLN4471,109509,PCN212,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,97,3,Mail Order,0,0,0,48.0,11.71,59.71,9.0,48.83,1.88,0.64,0.4533,0,0,0,0,2023-03-21
RX0000004238,MBR00000116,2022-03-30,2022-04-02,1969696809,1751483940,PLN2604,133526,PCN977,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,81,6,Retail,0,0,0,54.0,10.67,64.67,9.0,51.74,3.93,0.72,0.51,0,0,0,0,2022-06-28
RX0000004239,MBR00000116,2021-08-31,2021-09-04,1874720168,1283159138,PLN9381,973808,PCN252,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,90,1,Mail Order,0,0,0,42.0,4.53,46.53,10.0,34.38,2.15,0.56,0.3967,0,0,0,0,2021-11-29
RX0000004240,MBR00000116,2021-04-14,2021-04-18,1799356341,1900531449,PLN6134,947529,PCN581,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,2,LTC,0,0,0,370.0,8.29,378.29,31.0,327.56,19.73,14.8,10.4833,0,0,0,0,2021-05-14
RX0000004241,MBR00000116,2021-03-16,2021-03-20,1753607616,1746050946,PLN2800,780814,PCN355,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,5,Retail,0,0,0,18.0,11.03,29.03,5.0,23.0,1.03,0.72,0.51,0,0,0,0,2021-04-15
RX0000004242,MBR00000116,2021-01-28,2021-01-30,1571999897,1561959864,PLN1455,937491,PCN223,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,3,LTC,0,0,0,15.0,4.56,19.56,4.0,14.55,1.01,0.6,0.425,0,0,0,0,2021-02-27
RX0000004243,MBR00000116,2021-04-26,2021-04-28,1357089846,1273058907,PLN5148,451479,PCN582,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,63,8,Mail Order,0,0,0,640.0,2.96,642.96,37.0,563.2,42.76,12.8,9.0667,0,0,0,0,2021-06-25
RX0000004244,MBR00000116,2023-01-27,2023-01-31,1896037774,1908319177,PLN3470,547647,PCN679,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,11,Retail,0,0,1,480.0,9.49,489.49,36.0,433.96,19.53,19.2,13.6,0,0,0,0,2023-02-26
RX0000004245,MBR00000116,2021-11-19,2021-11-21,1365133688,1134321515,PLN2567,377986,PCN258,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,59,10,Mail Order,0,0,0,15.0,3.31,18.31,1.0,16.69,0.62,0.3,0.2125,0,0,0,0,2022-01-18
RX0000004246,MBR00000116,2021-04-06,2021-04-07,1534196974,1500725333,PLN7069,434005,PCN822,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,7,Retail,3,0,1,14.0,6.35,20.35,0.0,19.52,0.83,0.56,0.3967,0,0,0,0,2021-05-06
RX0000004247,MBR00000116,2023-11-17,2023-11-19,1972328298,1656667261,PLN5065,992827,PCN930,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,6,Retail,0,0,0,54.0,7.53,61.53,40.0,17.6,3.93,0.72,0.51,0,0,0,0,2024-02-15
RX0000004248,MBR00000116,2022-04-17,2022-04-20,1472803475,1224910988,PLN5187,302389,PCN703,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,2,Retail,0,0,0,2.8,3.24,6.04,2.0,3.68,0.36,0.48,0.34,0,0,0,0,2022-04-24
RX0000004249,MBR00000116,2022-03-20,2022-03-23,1600326987,1508462304,PLN3793,839874,PCN860,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,6,Retail,0,0,0,15.0,5.11,20.11,5.0,14.43,0.68,0.6,0.425,0,0,0,0,2022-04-19
RX0000004250,MBR00000116,2023-01-12,2023-01-16,1119055207,1519779027,PLN2517,226151,PCN856,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,6,Retail,0,0,0,12.0,7.98,19.98,8.0,11.09,0.89,0.48,0.34,0,0,0,0,2023-02-11
RX0000004251,MBR00000116,2022-12-24,2022-12-28,1505159461,1632642007,PLN2411,245931,PCN996,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,91,10,Retail,0,0,0,45.0,11.05,56.05,0.0,52.87,3.18,0.6,0.425,0,0,0,0,2023-03-24
RX0000004252,MBR00000116,2022-04-12,2022-04-13,1619241462,1297476600,PLN9059,258326,PCN844,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,91,6,Mail Order,0,1,0,8400.0,10.82,8410.82,152.0,7884.18,374.64,112.0,79.3333,1,1,1,0,2022-07-11
RX0000004253,MBR00000116,2021-11-25,2021-11-26,1147850375,1521734440,PLN5666,977282,PCN215,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,4,Retail,0,0,0,15.0,2.75,17.75,2.0,15.22,0.53,0.6,0.425,0,0,0,0,2021-12-25
RX0000004254,MBR00000116,2023-11-15,2023-11-16,1798945628,1364445127,PLN4650,727949,PCN221,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,7,Retail,0,0,0,750.0,5.22,755.22,35.0,683.95,36.27,30.0,21.25,0,0,0,0,2023-12-15
RX0000004255,MBR00000116,2021-10-08,2021-10-10,1333839612,1842143480,PLN8714,377563,PCN723,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,7,Retail,0,0,0,28.0,9.86,37.86,8.0,27.73,2.13,1.12,0.7933,0,0,0,0,2021-11-07
RX0000004256,MBR00000116,2023-05-15,2023-05-17,1936144277,1550667985,PLN6605,187832,PCN553,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,84,8,Retail,0,1,0,36.0,11.0,47.0,155.0,0.0,3.09,0.48,0.34,0,0,0,0,2023-08-13
RX0000004257,MBR00000116,2021-12-18,2021-12-22,1338201349,1735403340,PLN8448,187019,PCN692,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,4,Mail Order,0,0,0,10.0,3.82,13.82,4.0,9.38,0.44,0.4,0.2833,0,0,0,0,2022-01-17
RX0000004258,MBR00000116,2021-01-16,2021-01-19,1302415005,1707887770,PLN2249,128936,PCN825,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,0,Specialty,0,1,0,2800.0,26.89,2826.89,155.0,2671.89,0.0,112.0,79.3333,0,0,0,0,2021-02-15
RX0000004259,MBR00000116,2021-11-12,2021-11-16,1670117952,1328198383,PLN6471,384123,PCN585,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,1,Mail Order,0,0,0,950.0,7.41,957.41,36.0,870.24,51.17,38.0,26.9167,0,0,0,0,2021-12-12
RX0000004260,MBR00000116,2023-08-31,2023-09-04,1156289467,1223260315,PLN6796,532306,PCN660,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,6,Retail,0,1,0,12.0,8.77,20.77,150.0,0.0,1.38,0.48,0.34,1,0,0,0,2023-09-30
RX0000004261,MBR00000116,2021-07-12,2021-07-15,1172098356,1565760933,PLN5003,825546,PCN142,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,0,Retail,0,0,0,18.0,11.57,29.57,3.0,24.57,2.0,0.72,0.51,0,0,0,0,2021-08-11
RX0000004262,MBR00000116,2021-11-19,2021-11-20,1725599855,1854460925,PLN1074,363587,PCN762,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,87,2,Mail Order,0,0,0,2250.0,3.97,2253.97,32.0,2096.82,125.15,30.0,21.25,0,0,0,0,2022-02-17
RX0000004263,MBR00000116,2021-12-18,2021-12-19,1135229361,1647916795,PLN2539,840812,PCN142,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,4,Retail,0,0,0,14.0,3.47,17.47,0.0,16.46,1.01,0.56,0.3967,0,0,0,0,2022-01-17
RX0000004264,MBR00000116,2022-08-30,2022-09-03,1971951691,1406211091,PLN1528,261910,PCN681,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,11,Retail,0,0,0,10.0,2.39,12.39,0.0,11.61,0.78,0.4,0.2833,0,0,0,0,2022-09-29
RX0000004265,MBR00000116,2023-04-01,2023-04-03,1576719344,1880698595,PLN3565,672346,PCN922,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,97,8,Retail,0,0,0,555.0,5.83,560.83,33.0,504.53,23.3,7.4,5.2417,0,0,0,0,2023-06-30
RX0000004266,MBR00000116,2022-04-09,2022-04-10,1705004536,1370356137,PLN7722,246734,PCN689,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,6,Retail,0,1,0,12.0,4.44,16.44,152.0,0.0,0.69,0.48,0.34,0,0,0,0,2022-05-09
RX0000004267,MBR00000116,2021-06-03,2021-06-04,1548504366,1265567477,PLN5777,821595,PCN715,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,11,Mail Order,0,0,0,330.0,7.95,337.95,36.0,290.36,11.59,13.2,9.35,0,0,0,0,2021-07-03
RX0000004268,MBR00000116,2021-04-28,2021-05-02,1205249040,1856354667,PLN5039,491775,PCN858,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,11,Mail Order,0,0,0,185.0,3.89,188.89,37.0,145.35,6.54,7.4,5.2417,0,0,0,0,2021-05-28
RX0000004269,MBR00000116,2021-09-07,2021-09-09,1817209486,1682671790,PLN9704,999252,PCN891,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,2,Mail Order,0,0,0,380.0,4.65,384.65,38.0,319.8,26.85,15.2,10.7667,0,0,0,0,2021-10-07
RX0000004270,MBR00000116,2021-09-24,2021-09-27,1724614436,1571910212,PLN7924,731191,PCN874,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,61,2,Mail Order,0,0,0,570.0,9.82,579.82,36.0,504.37,39.45,11.4,8.075,0,0,0,0,2021-11-23
RX0000004271,MBR00000116,2023-12-12,2023-12-13,1703676456,1483704074,PLN5853,511796,PCN685,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,7,Retail,0,1,0,6200.0,7.75,6207.75,147.0,5694.21,366.54,248.0,175.6667,0,0,0,0,2024-01-11
RX0000004272,MBR00000116,2021-06-11,2021-06-12,1565582995,1697486311,PLN8924,743496,PCN805,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,7,Mail Order,0,1,0,8500.0,2.5,8502.5,149.0,7912.6,440.9,340.0,240.8333,1,0,0,0,2021-07-11
RX0000004273,MBR00000116,2021-04-15,2021-04-19,1956983185,1515728532,PLN9310,415878,PCN413,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,0,Retail,0,0,0,10.5,4.41,14.91,8.0,6.1,0.81,1.8,1.275,0,0,0,0,2021-04-22
RX0000004274,MBR00000116,2021-08-01,2021-08-05,1968854541,1859223662,PLN1801,495245,PCN309,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,9,Retail,0,0,0,10.0,5.39,15.39,0.0,14.48,0.91,0.4,0.2833,0,0,0,0,2021-08-31
RX0000004275,MBR00000116,2023-03-21,2023-03-25,1397978810,1703753945,PLN3975,935357,PCN517,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,1,Mail Order,0,0,0,2.33,2.43,4.76,3.0,1.6,0.16,0.4,0.2833,0,0,0,0,2023-03-28
RX0000004276,MBR00000116,2023-07-14,2023-07-18,1519557122,1839180826,PLN9502,760146,PCN841,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,81,9,Retail,1,0,0,30.0,8.46,38.46,2.0,33.97,2.49,0.4,0.2833,0,0,0,0,2023-10-12
RX0000004277,MBR00000116,2023-07-26,2023-07-29,1301766462,1609763311,PLN1665,856420,PCN893,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,8,Retail,0,0,0,11.0,5.36,16.36,3.0,12.75,0.61,0.44,0.3117,0,0,0,0,2023-08-25
RX0000004278,MBR00000116,2021-05-30,2021-06-02,1883820575,1856389019,PLN4155,894497,PCN303,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,10,Specialty,0,0,0,9.0,44.15,53.15,10.0,43.15,0.0,0.36,0.255,0,0,0,0,2021-06-29
RX0000004279,MBR00000116,2023-05-27,2023-05-30,1784688321,1901631966,PLN6762,658540,PCN269,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,3,Retail,0,1,0,6200.0,1.61,6201.61,145.0,5807.59,249.02,248.0,175.6667,0,0,0,0,2023-06-26
RX0000004280,MBR00000116,2021-05-27,2021-05-28,1286435524,1494393977,PLN1073,626189,PCN242,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,1,Retail,0,0,0,18.0,9.5,27.5,5.0,21.32,1.18,0.72,0.51,0,0,0,0,2021-06-26
RX0000004281,MBR00000116,2021-05-13,2021-05-16,1580673773,1173675579,PLN8989,698829,PCN356,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,58,1,Retail,0,0,0,90.0,6.91,96.91,0.0,91.48,5.43,1.8,1.275,0,0,0,0,2021-07-12
RX0000004282,MBR00000116,2022-06-30,2022-07-02,1186846464,1483489617,PLN6120,509796,PCN550,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,2,Retail,0,0,0,285.0,9.65,294.65,32.0,243.38,19.27,11.4,8.075,0,0,0,0,2022-07-30
RX0000004283,MBR00000116,2022-09-30,2022-10-04,1753570390,1243471859,PLN9313,830414,PCN562,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,4,Retail,0,0,0,11.0,8.21,19.21,5.0,13.18,1.03,0.44,0.3117,0,0,0,0,2022-10-30
RX0000004284,MBR00000117,2023-06-15,2023-06-19,1186551268,1328756208,PLN3995,586563,PCN617,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,2,Specialty,3,0,0,38.0,22.77,60.77,10.0,50.77,0.0,1.52,1.0767,0,0,0,0,2023-07-15
RX0000004285,MBR00000117,2021-02-08,2021-02-09,1262266632,1899815184,PLN5492,450599,PCN603,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,10,Retail,0,0,0,8.5,6.43,14.93,7.0,7.38,0.55,0.34,0.2408,0,0,0,0,2021-03-10
RX0000004286,MBR00000117,2022-09-26,2022-09-30,1347715220,1323438053,PLN7009,924918,PCN881,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,0,Retail,1,0,0,8.87,10.03,18.9,8.0,9.69,1.21,1.52,1.0767,0,0,0,0,2022-10-03
RX0000004287,MBR00000117,2022-09-16,2022-09-20,1817151204,1475788583,PLN3435,391563,PCN689,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,7,Retail,0,0,0,10.0,10.84,20.84,5.0,14.56,1.28,0.4,0.2833,0,0,0,0,2022-10-16
RX0000004288,MBR00000117,2022-04-26,2022-04-27,1276323946,1780897824,PLN7569,349807,PCN242,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,5,Retail,0,0,0,86.33,3.48,89.81,34.0,50.53,5.28,14.8,10.4833,0,0,0,0,2022-05-03
RX0000004289,MBR00000117,2021-09-20,2021-09-24,1846806953,1934850945,PLN2296,767810,PCN600,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,8,Retail,3,0,0,175.0,9.24,184.24,35.0,143.3,5.94,7.0,4.9583,0,0,0,0,2021-10-20
RX0000004290,MBR00000117,2022-03-09,2022-03-12,1114246295,1531049128,PLN9801,466969,PCN860,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,1,Mail Order,0,0,0,14.0,6.09,20.09,3.0,16.45,0.64,0.56,0.3967,0,0,0,0,2022-04-08
RX0000004291,MBR00000117,2022-08-31,2022-09-01,1441021788,1465705074,PLN1534,143695,PCN608,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,11,Specialty,0,0,0,10.5,40.97,51.47,1.0,50.47,0.0,1.8,1.275,0,0,0,0,2022-09-07
RX0000004292,MBR00000117,2023-12-20,2023-12-23,1719410312,1395967846,PLN1031,908475,PCN200,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,88,9,Mail Order,2,0,0,48.0,9.81,57.81,9.0,46.99,1.82,0.64,0.4533,0,0,0,0,2024-03-19
RX0000004293,MBR00000117,2021-04-13,2021-04-15,1976831106,1331152358,PLN3207,568733,PCN336,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,10,Retail,2,0,0,185.0,3.49,188.49,33.0,146.27,9.22,7.4,5.2417,0,0,0,0,2021-05-13
RX0000004294,MBR00000117,2022-02-28,2022-03-03,1522098650,1992977518,PLN2067,580970,PCN303,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,5,Retail,0,0,0,40.83,3.53,44.36,39.0,2.95,2.41,7.0,4.9583,0,0,0,0,2022-03-07
RX0000004295,MBR00000117,2021-12-08,2021-12-12,1465531168,1980010489,PLN7008,895192,PCN562,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,10,Retail,0,0,0,15.0,2.13,17.13,8.0,8.17,0.96,0.6,0.425,0,0,0,0,2022-01-07
RX0000004296,MBR00000117,2023-05-01,2023-05-02,1544556026,1194360916,PLN1703,417981,PCN850,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,8,Retail,0,0,0,650.0,9.4,659.4,30.0,587.46,41.94,26.0,18.4167,1,0,0,0,2023-05-31
RX0000004297,MBR00000117,2021-02-02,2021-02-06,1237464719,1229293526,PLN7323,611632,PCN230,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,3,Retail,0,0,0,2.92,3.36,6.27,8.0,0.0,0.31,0.5,0.3542,0,0,0,0,2021-02-09
RX0000004298,MBR00000117,2023-05-03,2023-05-07,1100461685,1197654154,PLN8953,332957,PCN301,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,2,Retail,0,0,0,480.0,8.87,488.87,39.0,432.43,17.44,19.2,13.6,0,0,0,0,2023-06-02
RX0000004299,MBR00000117,2021-08-13,2021-08-17,1362091830,1226347586,PLN5763,476203,PCN187,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,4,Mail Order,0,0,1,10.0,5.41,15.41,7.0,7.87,0.54,0.4,0.2833,1,0,0,0,2021-09-12
RX0000004300,MBR00000117,2023-09-04,2023-09-06,1895328499,1329408583,PLN3046,365690,PCN870,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,90,9,Retail,0,0,0,33.0,7.76,40.76,5.0,33.94,1.82,0.44,0.3117,0,0,0,0,2023-12-03
RX0000004301,MBR00000117,2021-02-04,2021-02-05,1333454091,1266689507,PLN6688,946326,PCN559,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,93,8,Retail,0,0,0,84.0,3.65,87.65,0.0,81.73,5.92,1.12,0.7933,0,0,0,0,2021-05-05
RX0000004302,MBR00000117,2021-08-02,2021-08-05,1730356405,1276224930,PLN2432,803828,PCN855,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,3,Retail,0,0,0,18.0,5.69,23.69,8.0,14.05,1.64,0.72,0.51,0,0,0,0,2021-09-01
RX0000004303,MBR00000117,2022-04-20,2022-04-22,1112929520,1745103903,PLN8425,964537,PCN118,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,94,8,Specialty,0,0,0,30.0,10.38,40.38,2.0,38.38,0.0,0.4,0.2833,0,0,0,0,2022-07-19
RX0000004304,MBR00000117,2021-05-31,2021-06-03,1380599307,1562552548,PLN1332,115380,PCN317,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,10,Mail Order,0,0,0,175.0,5.72,180.72,34.0,140.94,5.78,7.0,4.9583,0,0,0,0,2021-06-30
RX0000004305,MBR00000117,2022-01-26,2022-01-27,1865288689,1677909164,PLN3997,176335,PCN673,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,4,Retail,0,0,0,6.53,10.2,16.73,2.0,14.14,0.59,1.12,0.7933,0,0,0,0,2022-02-02
RX0000004306,MBR00000117,2021-02-02,2021-02-04,1979235097,1120608783,PLN4724,438019,PCN206,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,5,Retail,0,1,0,653.33,4.1,657.44,145.0,491.38,21.06,112.0,79.3333,1,0,0,0,2021-02-09
RX0000004307,MBR00000117,2022-10-21,2022-10-23,1418704580,1274948626,PLN1623,976899,PCN578,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,1,Retail,0,0,0,310.0,3.31,313.31,33.0,265.08,15.23,12.4,8.7833,0,0,0,0,2022-11-20
RX0000004308,MBR00000117,2023-10-09,2023-10-10,1483623210,1443989869,PLN1676,732358,PCN283,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,54,4,Mail Order,0,0,0,24.0,6.11,30.11,4.0,24.75,1.36,0.48,0.34,0,0,0,0,2023-12-08
RX0000004309,MBR00000117,2022-07-13,2022-07-16,1989841341,1132574013,PLN7182,153215,PCN272,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,88,9,Mail Order,0,0,0,930.0,6.17,936.17,33.0,841.72,61.45,12.4,8.7833,0,0,0,0,2022-10-11
RX0000004310,MBR00000117,2021-02-20,2021-02-23,1979160133,1776768840,PLN6274,405385,PCN176,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,92,2,Retail,0,0,0,33.0,10.91,43.91,6.0,36.05,1.86,0.44,0.3117,0,0,0,0,2021-05-21
RX0000004311,MBR00000117,2022-03-05,2022-03-06,1953078253,1754718751,PLN4427,268045,PCN448,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,1,Retail,0,0,0,480.0,6.4,486.4,39.0,428.18,19.22,19.2,13.6,0,0,0,0,2022-04-04
RX0000004312,MBR00000117,2021-02-09,2021-02-11,1964738615,1791942891,PLN3515,667875,PCN546,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,87,8,Mail Order,2,1,0,18600.0,2.92,18602.92,154.0,17802.15,646.77,248.0,175.6667,1,0,0,0,2021-05-10
RX0000004313,MBR00000117,2021-04-04,2021-04-08,1360849736,1508736468,PLN9801,893353,PCN285,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,0,Retail,0,0,0,175.0,8.02,183.02,36.0,135.97,11.05,7.0,4.9583,0,0,0,0,2021-05-04
RX0000004314,MBR00000117,2022-12-13,2022-12-16,1122022868,1596149224,PLN2764,933489,PCN385,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,4,Retail,0,0,0,9.0,3.32,12.32,3.0,8.59,0.73,0.36,0.255,0,0,0,0,2023-01-12
RX0000004315,MBR00000117,2023-05-22,2023-05-25,1506193577,1859367584,PLN2039,825223,PCN668,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,11,Retail,0,0,0,18.0,8.49,26.49,1.0,24.26,1.23,0.72,0.51,0,0,0,0,2023-06-21
RX0000004316,MBR00000117,2022-12-24,2022-12-25,1755262392,1508721873,PLN6020,254248,PCN611,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,3,LTC,2,0,0,18.0,8.35,26.35,7.0,18.41,0.94,0.72,0.51,0,0,0,0,2023-01-23
RX0000004317,MBR00000117,2023-08-17,2023-08-20,1927381954,1718880149,PLN4897,928169,PCN764,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,81,9,Mail Order,1,0,0,1140.0,1.78,1141.78,34.0,1059.86,47.92,15.2,10.7667,0,0,0,0,2023-11-15
RX0000004318,MBR00000117,2021-01-13,2021-01-15,1520740513,1643354901,PLN1137,276244,PCN497,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,8,Mail Order,0,1,0,8500.0,5.06,8505.06,145.0,8050.88,309.18,340.0,240.8333,0,0,0,0,2021-02-12
RX0000004319,MBR00000117,2021-02-26,2021-03-01,1491861333,1906889122,PLN7882,655462,PCN635,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,6,Retail,0,0,0,11.0,4.86,15.86,4.0,11.16,0.7,0.44,0.3117,0,0,0,0,2021-03-28
RX0000004320,MBR00000117,2023-03-22,2023-03-25,1393637600,1527098104,PLN4446,304611,PCN298,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,4,Retail,0,0,0,38.0,8.84,46.84,33.0,11.17,2.67,1.52,1.0767,0,0,0,0,2023-04-21
RX0000004321,MBR00000117,2021-11-28,2021-12-01,1152598188,1102233757,PLN6501,731009,PCN463,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,9,Retail,0,0,0,18.0,7.55,25.55,0.0,24.52,1.03,0.72,0.51,0,0,0,0,2021-12-28
RX0000004322,MBR00000117,2023-06-13,2023-06-17,1775126134,1286445811,PLN3099,523304,PCN708,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,1,Retail,0,0,0,11.0,8.12,19.12,1.0,17.17,0.95,0.44,0.3117,0,0,0,0,2023-07-13
RX0000004323,MBR00000117,2022-11-03,2022-11-06,1142344776,1466495207,PLN1004,261791,PCN758,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,7,Retail,0,0,0,175.0,5.87,180.87,38.0,131.69,11.18,7.0,4.9583,0,0,0,0,2022-12-03
RX0000004324,MBR00000117,2021-10-08,2021-10-09,1206097704,1597479909,PLN7236,940439,PCN694,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,54,0,Specialty,0,0,0,130.0,46.51,176.51,37.0,139.51,0.0,2.6,1.8417,0,1,1,0,2021-12-07
RX0000004325,MBR00000117,2021-02-28,2021-03-04,1820207938,1794075947,PLN4632,573038,PCN911,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,11,Retail,0,1,0,6200.0,6.46,6206.46,154.0,5691.44,361.02,248.0,175.6667,0,0,0,0,2021-03-30
RX0000004326,MBR00000117,2021-09-25,2021-09-29,1448971298,1151832268,PLN6384,274861,PCN290,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,10,Mail Order,2,0,0,750.0,7.13,757.13,37.0,696.25,23.88,30.0,21.25,0,0,0,0,2021-10-25
RX0000004327,MBR00000117,2022-07-21,2022-07-23,1115359634,1941586285,PLN3349,759329,PCN884,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,94,10,Retail,2,0,0,54.0,9.89,63.89,2.0,59.13,2.76,0.72,0.51,1,0,0,0,2022-10-19
RX0000004328,MBR00000117,2023-05-24,2023-05-27,1588708240,1139796855,PLN3077,112909,PCN289,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,1,Retail,0,0,0,650.0,3.64,653.64,33.0,598.92,21.72,26.0,18.4167,0,0,0,0,2023-06-23
RX0000004329,MBR00000117,2021-08-12,2021-08-13,1622641604,1438783530,PLN8906,866494,PCN465,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,8,Retail,0,0,0,380.0,10.57,390.57,31.0,332.89,26.68,15.2,10.7667,0,0,0,0,2021-09-11
RX0000004330,MBR00000117,2023-05-18,2023-05-21,1257412868,1637575480,PLN3749,853982,PCN406,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,82,8,Retail,0,0,1,114.0,3.04,117.04,33.0,80.46,3.58,1.52,1.0767,0,0,0,0,2023-08-16
RX0000004331,MBR00000117,2022-08-30,2022-09-01,1800093403,1546013352,PLN9555,868873,PCN685,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,8,Retail,0,0,0,22.0,3.39,25.39,3.0,21.17,1.22,0.88,0.6233,0,0,0,0,2022-09-29
RX0000004332,MBR00000117,2022-08-21,2022-08-23,1304598209,1453802638,PLN3839,626037,PCN907,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,8,Mail Order,0,0,0,9.0,11.9,20.9,4.0,16.27,0.63,0.36,0.255,0,0,0,0,2022-09-20
RX0000004333,MBR00000118,2021-07-23,2021-07-24,1803462710,1488994619,PLN8903,308062,PCN335,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,Mail Order,0,0,0,22.0,2.13,24.13,8.0,15.13,1.0,0.88,0.6233,0,0,0,0,2021-08-22
RX0000004334,MBR00000118,2023-08-06,2023-08-08,1700542267,1737622326,PLN1820,179285,PCN526,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,4,Mail Order,0,0,0,10.0,8.42,18.42,7.0,10.32,1.1,0.4,0.2833,0,0,0,0,2023-09-05
RX0000004335,MBR00000118,2021-05-08,2021-05-10,1204385759,1971572747,PLN2726,187064,PCN191,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,8,Retail,0,0,0,22.0,5.14,27.14,5.0,20.32,1.82,0.88,0.6233,0,0,0,0,2021-06-07
RX0000004336,MBR00000118,2021-10-15,2021-10-19,1984280808,1553307727,PLN7943,232325,PCN203,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,2,Retail,0,0,0,12.0,2.02,14.02,10.0,3.28,0.74,0.48,0.34,0,1,0,0,2021-11-14
RX0000004337,MBR00000118,2023-04-15,2023-04-16,1121555657,1502658295,PLN7060,114157,PCN688,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,11,Retail,3,0,0,650.0,3.19,653.19,35.0,576.52,41.67,26.0,18.4167,0,0,0,0,2023-05-15
RX0000004338,MBR00000118,2021-04-08,2021-04-12,1300383956,1103508571,PLN3041,761135,PCN729,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,11,Retail,0,1,0,12.0,10.46,22.46,150.0,0.0,1.52,0.48,0.34,0,0,0,0,2021-05-08
RX0000004339,MBR00000118,2021-03-25,2021-03-26,1559137682,1255384514,PLN6103,566353,PCN226,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,9,Retail,0,0,0,9.0,2.85,11.85,10.0,1.29,0.56,0.36,0.255,1,0,0,0,2021-04-24
RX0000004340,MBR00000118,2021-09-19,2021-09-20,1260061959,1357361215,PLN4140,312300,PCN261,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,97,1,Retail,0,0,0,2850.0,1.96,2851.96,36.0,2627.5,188.46,38.0,26.9167,0,0,0,0,2021-12-18
RX0000004341,MBR00000118,2022-05-31,2022-06-04,1901102566,1274542496,PLN1972,882903,PCN887,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,9,Retail,0,0,0,3.5,5.81,9.31,1.0,7.83,0.48,0.6,0.425,0,0,0,0,2022-06-07
RX0000004342,MBR00000118,2023-10-18,2023-10-20,1205136214,1220193301,PLN5985,147616,PCN869,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,97,3,Mail Order,0,1,0,24.0,6.77,30.77,150.0,0.0,1.25,0.32,0.2267,0,0,0,0,2024-01-16
RX0000004343,MBR00000118,2023-09-08,2023-09-10,1910073368,1743265726,PLN1650,925916,PCN821,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,56,4,Retail,2,0,0,17.0,3.37,20.37,5.0,14.15,1.22,0.34,0.2408,0,0,0,0,2023-11-07
RX0000004344,MBR00000118,2021-02-16,2021-02-19,1760815416,1312093344,PLN1842,950979,PCN377,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,9,Retail,0,0,0,18.0,9.93,27.93,9.0,17.37,1.56,0.72,0.51,0,0,0,0,2021-03-18
RX0000004345,MBR00000118,2023-08-18,2023-08-19,1415041024,1808254581,PLN7864,436533,PCN240,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,7,Retail,0,0,0,9.0,11.92,20.92,7.0,12.58,1.34,0.36,0.255,0,0,0,0,2023-09-17
RX0000004346,MBR00000118,2023-10-08,2023-10-10,1171826742,1610367728,PLN4402,271556,PCN987,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,91,10,Specialty,0,1,0,18600.0,16.83,18616.83,146.0,18470.83,0.0,248.0,175.6667,0,0,0,0,2024-01-06
RX0000004347,MBR00000118,2023-02-25,2023-02-26,1600496702,1892976714,PLN3538,283796,PCN921,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,8,Retail,0,0,0,185.0,10.13,195.13,35.0,150.42,9.71,7.4,5.2417,0,0,0,0,2023-03-27
RX0000004348,MBR00000118,2021-04-07,2021-04-08,1623676119,1926601377,PLN9327,655886,PCN856,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,5,Retail,3,0,0,2.33,9.09,11.42,3.0,7.84,0.58,0.4,0.2833,0,0,0,0,2021-04-14
RX0000004349,MBR00000118,2022-09-06,2022-09-09,1933777922,1123215728,PLN2539,334077,PCN510,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,7,Specialty,0,0,0,5.13,9.06,14.19,75.0,0.0,0.0,0.88,0.6233,0,0,0,0,2022-09-13
RX0000004350,MBR00000118,2023-01-17,2023-01-20,1351740997,1229161268,PLN9894,978623,PCN612,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,8,Retail,0,0,0,12.0,5.66,17.66,0.0,16.98,0.68,0.48,0.34,0,0,0,0,2023-02-16
RX0000004351,MBR00000118,2023-02-23,2023-02-24,1923749408,1779381956,PLN2655,612560,PCN138,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,88,7,Retail,0,0,0,855.0,2.68,857.68,36.0,775.7,45.98,11.4,8.075,0,0,0,0,2023-05-24
RX0000004352,MBR00000118,2023-11-05,2023-11-09,1424764464,1688660609,PLN8608,869556,PCN310,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,0,Mail Order,0,0,0,38.0,8.56,46.56,33.0,10.39,3.17,1.52,1.0767,0,0,0,0,2023-12-05
RX0000004353,MBR00000118,2023-04-28,2023-04-29,1676931202,1264884129,PLN7788,770486,PCN880,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,10,Retail,0,0,0,22.0,5.94,27.94,5.0,21.58,1.36,0.88,0.6233,0,0,0,0,2023-05-28
RX0000004354,MBR00000118,2023-02-22,2023-02-23,1568406307,1939320931,PLN6475,242137,PCN437,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,6,Retail,0,0,0,14.0,5.62,19.62,5.0,13.84,0.78,0.56,0.3967,0,0,0,0,2023-03-24
RX0000004355,MBR00000118,2022-10-14,2022-10-17,1246947622,1529465586,PLN6225,258757,PCN496,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,8,Mail Order,0,0,0,38.0,2.39,40.39,1.0,37.29,2.1,1.52,1.0767,0,0,0,0,2022-11-13
RX0000004356,MBR00000118,2021-12-07,2021-12-11,1577697723,1572972348,PLN2421,244484,PCN746,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,0,Retail,0,0,0,15.0,3.55,18.55,3.0,14.93,0.62,0.6,0.425,0,0,0,0,2022-01-06
RX0000004357,MBR00000118,2021-07-23,2021-07-25,1347578274,1611039889,PLN5181,253309,PCN459,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,10,Mail Order,0,0,0,370.0,11.88,381.88,38.0,322.59,21.29,14.8,10.4833,0,0,0,0,2021-08-22
RX0000004358,MBR00000118,2022-06-03,2022-06-04,1564800179,1298354922,PLN5687,217458,PCN388,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,9,Retail,0,0,0,10.0,10.22,20.22,5.0,14.47,0.75,0.4,0.2833,0,0,0,0,2022-07-03
RX0000004359,MBR00000118,2022-05-25,2022-05-29,1107986041,1937169508,PLN7251,486455,PCN880,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,91,8,Specialty,3,0,0,36.0,34.7,70.7,4.0,66.7,0.0,0.48,0.34,0,0,0,0,2022-08-23
RX0000004360,MBR00000118,2021-06-08,2021-06-12,1923128850,1462148211,PLN4697,865496,PCN448,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,1,Specialty,0,1,0,8500.0,24.5,8524.5,149.0,8375.5,0.0,340.0,240.8333,1,0,0,0,2021-07-08
RX0000004361,MBR00000118,2023-03-09,2023-03-12,1649164594,1164626172,PLN8821,569021,PCN351,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,7,Mail Order,0,0,0,9.0,9.23,18.23,7.0,10.57,0.66,0.36,0.255,0,0,0,0,2023-04-08
RX0000004362,MBR00000118,2023-03-14,2023-03-16,1494201286,1860478723,PLN1642,220692,PCN114,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,83,6,Retail,1,0,0,1950.0,6.47,1956.47,33.0,1855.72,67.75,26.0,18.4167,0,0,0,0,2023-06-12
RX0000004363,MBR00000118,2021-04-30,2021-05-04,1822449287,1607112979,PLN8521,223491,PCN695,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,92,11,Mail Order,0,0,0,45.0,7.27,52.27,5.0,43.65,3.62,0.6,0.425,0,0,0,0,2021-07-29
RX0000004364,MBR00000118,2023-01-26,2023-01-27,1570717680,1230167644,PLN5184,456427,PCN208,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,93,2,Retail,0,0,0,30.0,5.43,35.43,10.0,23.53,1.9,0.4,0.2833,0,0,0,0,2023-04-26
RX0000004365,MBR00000118,2021-01-06,2021-01-09,1862505732,1101934199,PLN3250,533710,PCN982,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,3,Mail Order,0,0,0,9.0,10.78,19.78,1.0,17.5,1.28,0.36,0.255,0,0,0,0,2021-02-05
RX0000004366,MBR00000118,2021-05-21,2021-05-25,1782079512,1809918084,PLN4531,262220,PCN841,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,5,Retail,0,0,0,7.5,1.85,9.35,6.0,2.72,0.63,0.3,0.2125,0,0,0,0,2021-06-20
RX0000004367,MBR00000118,2021-02-05,2021-02-06,1754877835,1420730140,PLN7926,307416,PCN590,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,87,7,Retail,0,0,0,42.0,2.72,44.72,7.0,34.61,3.11,0.56,0.3967,0,0,0,0,2021-05-06
RX0000004368,MBR00000118,2023-07-22,2023-07-23,1639041996,1785767438,PLN8698,241828,PCN449,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,0,Retail,0,0,0,18.0,10.15,28.15,8.0,18.75,1.4,0.72,0.51,0,1,0,0,2023-08-21
RX0000004369,MBR00000118,2021-10-24,2021-10-26,1105882077,1614674246,PLN4572,611616,PCN272,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,10,Retail,0,0,0,4.2,5.29,9.49,37.0,0.0,0.58,0.72,0.51,0,0,0,0,2021-10-31
RX0000004370,MBR00000118,2022-11-02,2022-11-05,1224747221,1864103439,PLN5277,837374,PCN476,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,5,Retail,0,0,0,650.0,6.82,656.82,39.0,591.83,25.99,26.0,18.4167,0,0,0,0,2022-12-02
RX0000004371,MBR00000118,2022-04-20,2022-04-21,1235050356,1668023867,PLN1084,695250,PCN686,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,5,Retail,0,0,0,15.0,9.06,24.06,6.0,16.72,1.34,0.6,0.425,0,0,0,0,2022-05-20
RX0000004372,MBR00000118,2022-12-21,2022-12-23,1810921410,1507592986,PLN5478,542444,PCN123,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,6,Retail,0,1,0,24.0,7.21,31.21,153.0,0.0,1.19,0.32,0.2267,1,1,1,0,2023-03-21
RX0000004373,MBR00000118,2021-10-30,2021-10-31,1910410007,1571180253,PLN5134,327092,PCN951,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,3,Mail Order,0,0,0,5.13,1.78,6.91,6.0,0.46,0.45,0.88,0.6233,0,0,0,0,2021-11-06
RX0000004374,MBR00000118,2023-10-20,2023-10-22,1799249194,1875109044,PLN5244,946658,PCN909,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,84,10,Mail Order,0,1,0,25500.0,3.71,25503.71,150.0,23990.7,1363.01,340.0,240.8333,0,0,0,0,2024-01-18
RX0000004375,MBR00000118,2023-11-23,2023-11-27,1968431322,1117174579,PLN9686,968608,PCN375,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,6,Retail,0,0,0,3.27,4.08,7.35,3.0,3.9,0.45,0.56,0.3967,0,0,0,0,2023-11-30
RX0000004376,MBR00000118,2022-11-21,2022-11-24,1434698648,1940406847,PLN6445,565430,PCN785,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,10,Specialty,0,0,0,9.0,13.42,22.42,7.0,15.42,0.0,0.36,0.255,0,0,0,0,2022-12-21
RX0000004377,MBR00000118,2021-01-31,2021-02-04,1267552675,1645885435,PLN1179,138244,PCN570,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,54,4,Retail,0,0,0,1500.0,6.85,1506.85,32.0,1396.73,78.12,30.0,21.25,0,1,1,0,2021-04-01
RX0000004378,MBR00000118,2021-11-10,2021-11-13,1793047555,1596922489,PLN6079,954579,PCN920,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,7,Retail,3,0,0,950.0,5.7,955.7,35.0,879.22,41.48,38.0,26.9167,0,0,0,0,2021-12-10
RX0000004379,MBR00000118,2022-12-02,2022-12-05,1674020409,1142600947,PLN6319,706148,PCN368,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,93,11,Retail,0,0,0,22.5,10.15,32.65,6.0,24.74,1.91,0.3,0.2125,1,0,0,0,2023-03-02
RX0000004380,MBR00000118,2021-01-16,2021-01-20,1638511443,1904078321,PLN6149,800284,PCN517,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,86,9,Retail,0,0,0,42.0,10.38,52.38,1.0,49.51,1.87,0.56,0.3967,0,0,0,0,2021-04-16
RX0000004381,MBR00000118,2022-04-20,2022-04-21,1695524296,1182067934,PLN3507,821853,PCN910,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,1,Retail,0,0,0,3.73,1.79,5.52,3.0,2.32,0.2,0.64,0.4533,0,0,0,0,2022-04-27
RX0000004382,MBR00000118,2021-10-17,2021-10-18,1791006609,1780027399,PLN5627,699483,PCN382,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,10,Retail,0,0,0,7.5,7.17,14.67,5.0,8.77,0.9,0.3,0.2125,0,0,0,0,2021-11-16
RX0000004383,MBR00000118,2021-07-26,2021-07-29,1108114432,1526964878,PLN2212,636355,PCN655,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,83,4,Retail,3,0,0,30.0,6.51,36.51,5.0,29.51,2.0,0.4,0.2833,0,0,0,0,2021-10-24
RX0000004384,MBR00000118,2021-03-06,2021-03-09,1838903454,1775935796,PLN8287,775388,PCN474,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,9,Retail,0,0,0,65.0,7.4,72.4,36.0,32.36,4.04,2.6,1.8417,0,0,0,0,2021-04-05
RX0000004385,MBR00000119,2021-06-21,2021-06-23,1597095506,1913198875,PLN4914,327792,PCN714,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,0,Retail,0,1,0,8500.0,4.65,8504.65,148.0,8049.04,307.61,340.0,240.8333,0,0,0,0,2021-07-21
RX0000004386,MBR00000119,2022-04-13,2022-04-16,1590775303,1699688492,PLN4155,927902,PCN659,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,5,Retail,0,0,0,18.0,4.86,22.86,34.0,0.0,1.14,0.72,0.51,0,0,0,0,2022-05-13
RX0000004387,MBR00000119,2022-01-05,2022-01-09,1972855897,1575040950,PLN9473,929504,PCN647,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,11,Retail,1,0,0,15.0,3.67,18.67,6.0,11.41,1.26,0.6,0.425,0,0,0,0,2022-02-04
RX0000004388,MBR00000119,2022-08-20,2022-08-22,1125024600,1515026140,PLN1120,268925,PCN424,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,5,Retail,1,0,0,112.0,4.31,116.31,34.0,77.99,4.32,19.2,13.6,0,0,0,0,2022-08-27
RX0000004389,MBR00000119,2023-03-09,2023-03-13,1725451506,1158691614,PLN9626,279676,PCN883,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,81,7,Retail,0,0,0,990.0,11.91,1001.91,32.0,913.45,56.46,13.2,9.35,0,0,0,0,2023-06-07
RX0000004390,MBR00000119,2023-02-08,2023-02-09,1475053983,1244329389,PLN2891,769866,PCN194,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,94,2,Retail,0,1,0,8400.0,3.1,8403.1,154.0,7850.89,398.21,112.0,79.3333,0,0,0,0,2023-05-09
RX0000004391,MBR00000119,2023-08-27,2023-08-28,1508560097,1548786661,PLN1467,333578,PCN946,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,2,Retail,0,1,0,18600.0,6.64,18606.64,154.0,17685.1,767.54,248.0,175.6667,0,0,0,0,2023-11-25
RX0000004392,MBR00000119,2021-12-08,2021-12-10,1614122449,1846521170,PLN2901,158020,PCN353,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,7,Retail,2,0,0,14.0,1.84,15.84,6.0,8.83,1.01,0.56,0.3967,0,0,0,0,2022-01-07
RX0000004393,MBR00000119,2022-03-21,2022-03-25,1847541228,1322502996,PLN5902,910643,PCN917,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,0,Retail,0,0,0,45.0,5.19,50.19,5.0,42.83,2.36,1.8,1.275,0,0,0,0,2022-04-20
RX0000004394,MBR00000119,2023-04-13,2023-04-14,1137755244,1332933937,PLN1816,535774,PCN196,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,5,Mail Order,0,0,0,15.0,6.56,21.56,4.0,16.66,0.9,0.6,0.425,0,0,0,0,2023-05-13
RX0000004395,MBR00000119,2023-07-16,2023-07-19,1102119348,1726447034,PLN8897,541308,PCN726,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,7,Retail,3,0,0,18.0,9.37,27.37,10.0,15.92,1.45,0.72,0.51,0,0,0,0,2023-08-15
RX0000004396,MBR00000119,2022-11-14,2022-11-15,1345939375,1432847770,PLN7545,781619,PCN370,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,8,Mail Order,1,0,0,2.57,10.48,13.04,9.0,3.29,0.75,0.44,0.3117,0,0,0,0,2022-11-21
RX0000004397,MBR00000119,2022-01-25,2022-01-27,1745298668,1876408724,PLN2021,387723,PCN508,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,1,Retail,0,0,0,22.0,6.52,28.52,67.0,0.0,1.65,0.88,0.6233,0,0,0,0,2022-02-24
RX0000004398,MBR00000119,2021-02-03,2021-02-05,1497028388,1975421089,PLN6687,243499,PCN767,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,65,11,Retail,0,0,0,960.0,2.83,962.83,36.0,868.0,58.83,19.2,13.6,1,0,0,0,2021-04-04
RX0000004399,MBR00000119,2021-02-15,2021-02-18,1478618371,1753689300,PLN5807,663307,PCN934,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,9,Retail,0,0,0,10.0,5.35,15.35,7.0,7.31,1.04,0.4,0.2833,0,0,0,0,2021-03-17
RX0000004400,MBR00000119,2021-04-01,2021-04-04,1350662464,1755744508,PLN8870,941910,PCN784,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,86,6,Retail,0,0,0,36.0,6.45,42.45,4.0,36.29,2.16,0.48,0.34,0,0,0,0,2021-06-30
RX0000004401,MBR00000119,2023-01-20,2023-01-21,1489294305,1582576678,PLN1695,282495,PCN512,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,3,Retail,1,0,0,18.0,6.15,24.15,5.0,17.94,1.21,0.72,0.51,0,0,0,0,2023-02-19
RX0000004402,MBR00000119,2021-02-23,2021-02-24,1622060162,1507423946,PLN7015,575814,PCN527,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,2,Mail Order,1,0,0,285.0,6.03,291.03,38.0,238.44,14.59,11.4,8.075,0,0,0,0,2021-03-25
RX0000004403,MBR00000119,2021-03-15,2021-03-19,1977048497,1593504475,PLN9714,331404,PCN745,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,0,Mail Order,0,0,0,3.5,7.59,11.09,2.0,8.5,0.59,0.6,0.425,0,0,0,0,2021-03-22
RX0000004404,MBR00000119,2023-12-19,2023-12-20,1324355184,1442751818,PLN2489,890516,PCN324,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,4,Retail,0,0,0,175.0,8.98,183.98,35.0,140.6,8.38,7.0,4.9583,0,0,0,0,2024-01-18
RX0000004405,MBR00000119,2022-04-10,2022-04-12,1152724077,1700859927,PLN5956,630379,PCN345,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,2,Retail,0,0,0,4.2,4.62,8.82,0.0,8.42,0.4,0.72,0.51,0,0,0,0,2022-04-17
RX0000004406,MBR00000119,2023-11-01,2023-11-02,1436588942,1909652367,PLN9696,150868,PCN744,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,2,Retail,2,0,0,2.92,3.55,6.47,10.0,0.0,0.43,0.5,0.3542,0,0,0,0,2023-11-08
RX0000004407,MBR00000119,2023-10-24,2023-10-27,1608896919,1321871241,PLN7213,593353,PCN650,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,10,Retail,0,1,0,2.8,11.19,13.99,155.0,0.0,0.72,0.48,0.34,0,0,0,0,2023-10-31
RX0000004408,MBR00000119,2022-05-11,2022-05-13,1480194867,1749474906,PLN7060,933887,PCN832,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,5,Mail Order,0,1,0,2.8,10.51,13.31,154.0,0.0,0.86,0.48,0.34,0,0,0,0,2022-05-18
RX0000004409,MBR00000119,2022-10-03,2022-10-07,1259110326,1664922680,PLN9506,646029,PCN885,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,0,Retail,0,0,0,175.0,11.57,186.57,30.0,148.7,7.87,7.0,4.9583,0,1,1,0,2022-11-02
RX0000004410,MBR00000119,2022-07-26,2022-07-29,1222493764,1967942024,PLN6247,183635,PCN822,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,5,Retail,0,1,0,8500.0,3.96,8503.96,153.0,8059.95,291.01,340.0,240.8333,0,0,0,0,2022-08-25
RX0000004411,MBR00000119,2022-03-19,2022-03-23,1145512564,1333050134,PLN5810,226484,PCN474,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,2,Retail,0,0,0,12.5,11.2,23.7,10.0,12.21,1.49,0.5,0.3542,0,0,0,0,2022-04-18
RX0000004412,MBR00000119,2021-06-27,2021-06-29,1679841686,1724804752,PLN5014,585056,PCN619,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,55,6,Retail,0,0,0,570.0,8.56,578.56,35.0,517.35,26.21,11.4,8.075,0,0,0,0,2021-08-26
RX0000004413,MBR00000119,2022-07-13,2022-07-16,1383244935,1505918394,PLN7391,777901,PCN813,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,6,Retail,0,0,0,7.5,7.19,14.69,5.0,8.92,0.77,0.3,0.2125,0,0,0,0,2022-08-12
RX0000004414,MBR00000119,2021-05-29,2021-06-02,1992766057,1741431593,PLN9952,528347,PCN737,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,89,10,Mail Order,0,0,0,27.0,5.88,32.88,3.0,28.84,1.04,0.36,0.255,0,0,0,0,2021-08-27
RX0000004415,MBR00000119,2022-08-13,2022-08-16,1932108080,1354519036,PLN9733,225769,PCN628,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,8,Retail,1,0,0,22.0,4.46,26.46,65.0,0.0,1.54,0.88,0.6233,0,0,0,0,2022-09-12
RX0000004416,MBR00000119,2022-03-24,2022-03-28,1945494193,1185646425,PLN9325,690875,PCN194,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,5,Retail,0,0,0,221.67,6.34,228.0,36.0,179.36,12.64,38.0,26.9167,0,0,0,0,2022-03-31
RX0000004417,MBR00000119,2022-12-26,2022-12-29,1857950792,1857843965,PLN3024,942037,PCN842,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,9,Retail,0,0,0,18.0,10.66,28.66,7.0,20.14,1.52,0.72,0.51,0,0,0,0,2023-01-25
RX0000004418,MBR00000119,2022-02-18,2022-02-19,1300450085,1311489437,PLN9063,215073,PCN785,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,7,Retail,0,0,0,12.0,5.22,17.22,2.0,14.49,0.73,0.48,0.34,1,0,0,0,2022-03-20
RX0000004419,MBR00000119,2022-04-16,2022-04-18,1968159162,1338739892,PLN6745,251989,PCN662,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,85,6,Retail,0,0,0,1110.0,5.1,1115.1,38.0,1004.57,72.53,14.8,10.4833,0,0,0,0,2022-07-15
RX0000004420,MBR00000119,2022-02-23,2022-02-24,1316882130,1119203868,PLN7047,223349,PCN843,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,8,Retail,0,0,0,18.0,8.2,26.2,5.0,19.44,1.76,0.72,0.51,0,0,0,0,2022-03-25
RX0000004421,MBR00000119,2022-09-06,2022-09-09,1660833064,1193038964,PLN9325,855890,PCN341,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,0,Mail Order,2,0,0,285.0,1.79,286.79,37.0,235.39,14.4,11.4,8.075,0,0,0,0,2022-10-06
RX0000004422,MBR00000120,2022-01-02,2022-01-05,1448408464,1283790721,PLN6759,506493,PCN843,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,0,Mail Order,0,0,0,45.0,6.56,51.56,10.0,38.24,3.32,1.8,1.275,0,0,0,0,2022-02-01
RX0000004423,MBR00000120,2021-02-27,2021-03-01,1724164803,1188482535,PLN7204,417024,PCN134,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,61,5,Retail,0,0,0,370.0,9.53,379.53,32.0,322.37,25.16,7.4,5.2417,0,0,0,0,2021-04-28
RX0000004424,MBR00000120,2022-10-31,2022-11-03,1268080441,1639203856,PLN8234,571757,PCN643,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,82,3,Retail,0,0,0,42.0,4.15,46.15,8.0,36.39,1.76,0.56,0.3967,0,0,0,0,2023-01-29
RX0000004425,MBR00000120,2022-09-25,2022-09-27,1981205083,1246488667,PLN1915,244785,PCN644,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,7,Retail,0,0,0,10.0,7.85,17.85,4.0,13.09,0.76,0.4,0.2833,0,0,0,0,2022-10-25
RX0000004426,MBR00000120,2021-06-09,2021-06-11,1141081474,1614304492,PLN2512,946280,PCN934,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,1,Mail Order,3,0,0,370.0,9.34,379.34,37.0,316.9,25.44,14.8,10.4833,0,0,0,0,2021-07-09
RX0000004427,MBR00000120,2023-01-24,2023-01-28,1198803074,1729455818,PLN4867,944485,PCN582,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,8,Retail,0,0,0,9.0,9.46,18.46,10.0,7.63,0.83,0.36,0.255,0,0,0,0,2023-02-23
RX0000004428,MBR00000120,2021-08-13,2021-08-16,1762999548,1425930761,PLN9162,892982,PCN933,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,8,Retail,0,0,0,650.0,1.6,651.6,33.0,590.07,28.53,26.0,18.4167,0,0,0,0,2021-09-12
RX0000004429,MBR00000120,2021-03-17,2021-03-20,1419968104,1702139593,PLN5390,351627,PCN969,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,9,Specialty,0,0,0,2.1,33.06,35.16,10.0,25.16,0.0,0.36,0.255,0,0,0,0,2021-03-24
RX0000004430,MBR00000120,2021-10-24,2021-10-28,1879770818,1599715580,PLN4300,808059,PCN523,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,4,Retail,1,0,0,7.5,9.24,16.74,6.0,10.11,0.63,0.3,0.2125,0,0,0,0,2021-11-23
RX0000004431,MBR00000120,2023-10-04,2023-10-08,1131945241,1862647484,PLN7687,986937,PCN227,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,58,5,Retail,0,0,0,15.0,8.36,23.36,10.0,12.5,0.86,0.3,0.2125,0,0,0,0,2023-12-03
RX0000004432,MBR00000120,2021-07-25,2021-07-27,1816886905,1932371759,PLN6679,457662,PCN579,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,0,Retail,0,0,0,10.0,7.76,17.76,0.0,17.17,0.59,0.4,0.2833,0,0,0,0,2021-08-24
RX0000004433,MBR00000120,2021-10-22,2021-10-24,1906808845,1435415962,PLN5619,742905,PCN819,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,95,8,Retail,0,0,0,30.0,3.92,33.92,10.0,22.81,1.11,0.4,0.2833,0,0,0,0,2022-01-20
RX0000004434,MBR00000120,2021-09-01,2021-09-02,1541163781,1351641871,PLN6498,468548,PCN620,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,5,Mail Order,0,0,0,16.0,9.68,25.68,0.0,24.75,0.93,0.64,0.4533,0,0,0,0,2021-10-01
RX0000004435,MBR00000120,2022-07-24,2022-07-26,1345350494,1458338258,PLN6792,119104,PCN937,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,11,Retail,0,0,0,221.67,11.99,233.66,30.0,189.68,13.98,38.0,26.9167,0,0,0,0,2022-07-31
RX0000004436,MBR00000120,2021-06-06,2021-06-07,1793927326,1537957506,PLN7189,636224,PCN872,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,1,Retail,0,0,0,38.0,11.85,49.85,35.0,12.13,2.72,1.52,1.0767,0,0,0,0,2021-07-06
RX0000004437,MBR00000120,2021-09-14,2021-09-16,1376436238,1524297250,PLN1919,712951,PCN126,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,8,Retail,0,0,0,14.0,8.33,22.33,2.0,19.62,0.71,0.56,0.3967,0,0,0,0,2021-10-14
RX0000004438,MBR00000120,2021-05-15,2021-05-18,1501334764,1212888724,PLN7305,818232,PCN716,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,1,Mail Order,0,0,0,11.0,2.8,13.8,6.0,7.16,0.64,0.44,0.3117,0,0,0,0,2021-06-14
RX0000004439,MBR00000120,2021-02-11,2021-02-12,1200983759,1679921117,PLN4955,823683,PCN863,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,11,Mail Order,0,0,0,750.0,6.25,756.25,40.0,677.72,38.53,30.0,21.25,0,0,0,0,2021-03-13
RX0000004440,MBR00000120,2023-07-10,2023-07-13,1330160425,1230608899,PLN5175,476468,PCN651,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,5,Retail,0,0,0,480.0,6.0,486.0,35.0,424.54,26.46,19.2,13.6,0,0,0,0,2023-08-09
RX0000004441,MBR00000120,2023-11-04,2023-11-08,1753399564,1556099527,PLN5269,360743,PCN432,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,98,1,Retail,0,0,0,30.0,6.43,36.43,4.0,30.93,1.5,0.4,0.2833,0,0,0,0,2024-02-02
RX0000004442,MBR00000120,2021-03-28,2021-03-29,1385745103,1448191285,PLN7590,473317,PCN592,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,94,0,Specialty,0,0,0,930.0,26.95,956.95,32.0,924.95,0.0,12.4,8.7833,0,0,0,0,2021-06-26
RX0000004443,MBR00000120,2022-07-29,2022-08-01,1205104099,1234233436,PLN6292,513232,PCN523,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,6,Retail,3,0,0,18.0,7.09,25.09,1.0,22.93,1.16,0.72,0.51,0,0,0,0,2022-08-28
RX0000004444,MBR00000120,2023-04-24,2023-04-26,1474423470,1517307315,PLN7993,889034,PCN383,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,3,Retail,1,0,0,650.0,5.85,655.85,32.0,590.87,32.98,26.0,18.4167,0,0,0,0,2023-05-24
RX0000004445,MBR00000120,2023-09-06,2023-09-09,1159957414,1904448711,PLN1585,418211,PCN856,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,1,Mail Order,1,0,0,18.0,5.92,23.92,1.0,21.28,1.64,0.72,0.51,0,0,0,0,2023-10-06
RX0000004446,MBR00000120,2022-12-13,2022-12-14,1355870739,1981797087,PLN8972,278097,PCN995,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,11,Retail,0,0,0,18.0,7.11,25.11,10.0,13.5,1.61,0.72,0.51,0,0,0,0,2023-01-12
RX0000004447,MBR00000120,2022-11-28,2022-11-30,1154157716,1467442975,PLN8785,801209,PCN767,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,7,Retail,2,1,0,8500.0,2.78,8502.78,148.0,7775.71,579.07,340.0,240.8333,0,0,0,0,2022-12-28
RX0000004448,MBR00000120,2022-06-25,2022-06-27,1580076160,1203927587,PLN6242,563626,PCN769,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,8,Retail,0,0,0,33.0,7.6,40.6,5.0,33.88,1.72,0.44,0.3117,0,0,0,0,2022-09-23
RX0000004449,MBR00000120,2021-11-05,2021-11-06,1105273111,1494687854,PLN4797,131416,PCN794,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,5,Retail,1,0,0,5.13,11.32,16.46,0.0,15.41,1.05,0.88,0.6233,0,0,0,0,2021-11-12
RX0000004450,MBR00000120,2023-06-08,2023-06-09,1266047961,1552057037,PLN1375,149211,PCN387,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,4,Specialty,0,0,1,10.0,41.61,51.61,3.0,48.61,0.0,0.4,0.2833,0,0,0,0,2023-07-08
RX0000004451,MBR00000120,2023-02-20,2023-02-21,1971996760,1626640848,PLN1888,177896,PCN928,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,0,Mail Order,0,1,0,2.8,3.75,6.55,152.0,0.0,0.27,0.48,0.34,0,1,1,0,2023-02-27
RX0000004452,MBR00000120,2022-05-05,2022-05-08,1348941117,1168749401,PLN2846,203690,PCN726,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,98,4,Retail,0,0,0,25.5,7.5,33.0,2.0,28.91,2.09,0.34,0.2408,1,0,0,0,2022-08-03
RX0000004453,MBR00000120,2022-05-07,2022-05-09,1530647483,1590233429,PLN8391,403841,PCN286,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,0,Retail,0,0,0,11.0,6.75,17.75,1.0,15.54,1.21,0.44,0.3117,0,0,0,0,2022-06-06
RX0000004454,MBR00000120,2022-06-29,2022-07-02,1176112885,1610396333,PLN6852,849532,PCN190,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,10,Specialty,0,0,0,11.0,34.51,45.51,2.0,43.51,0.0,0.44,0.3117,0,0,0,0,2022-07-29
RX0000004455,MBR00000120,2022-07-18,2022-07-20,1271871765,1887271442,PLN1690,439855,PCN708,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,8,Retail,3,0,0,2.33,4.88,7.21,6.0,0.78,0.43,0.4,0.2833,0,0,0,0,2022-07-25
RX0000004456,MBR00000120,2023-02-02,2023-02-04,1286950246,1853998320,PLN2878,362476,PCN872,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,5,Retail,0,0,0,950.0,5.4,955.4,33.0,879.57,42.83,38.0,26.9167,0,0,0,0,2023-03-04
RX0000004457,MBR00000120,2022-03-03,2022-03-04,1247762664,1553074219,PLN7191,451203,PCN319,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,9,Retail,3,0,0,45.0,4.69,49.69,0.0,46.43,3.26,1.8,1.275,0,0,0,0,2022-04-02
RX0000004458,MBR00000120,2023-06-12,2023-06-15,1501154642,1113935373,PLN2563,508281,PCN575,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,64,6,Mail Order,0,0,0,28.0,6.94,34.94,2.0,31.18,1.76,0.56,0.3967,0,0,0,0,2023-08-11
RX0000004459,MBR00000121,2021-03-31,2021-04-03,1656154989,1394965714,PLN2220,367004,PCN567,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,4,Retail,0,0,0,65.0,4.33,69.33,33.0,33.44,2.89,2.6,1.8417,0,0,0,0,2021-04-30
RX0000004460,MBR00000121,2021-02-06,2021-02-09,1261439944,1707125494,PLN5344,491298,PCN817,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,3,Retail,0,0,0,10.0,5.75,15.75,4.0,11.04,0.71,0.4,0.2833,0,0,0,0,2021-03-08
RX0000004461,MBR00000121,2021-06-22,2021-06-23,1615214101,1540894661,PLN8942,419654,PCN838,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,0,Retail,1,0,0,86.33,10.3,96.64,32.0,58.45,6.19,14.8,10.4833,0,0,0,0,2021-06-29
RX0000004462,MBR00000121,2021-10-02,2021-10-06,1669448798,1977964910,PLN1909,526167,PCN336,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,5,Mail Order,2,0,0,3.5,6.93,10.43,0.0,9.78,0.65,0.6,0.425,0,0,0,0,2021-10-09
RX0000004463,MBR00000121,2023-02-17,2023-02-20,1914886101,1137911840,PLN1935,805651,PCN813,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,56,5,Retail,0,0,0,90.0,5.29,95.29,9.0,80.02,6.27,1.8,1.275,0,0,0,0,2023-04-18
RX0000004464,MBR00000121,2021-06-28,2021-07-02,1175080270,1237918065,PLN6948,836235,PCN406,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,6,Retail,0,0,0,10.0,2.23,12.23,10.0,1.4,0.83,0.4,0.2833,0,0,0,0,2021-07-28
RX0000004465,MBR00000121,2021-02-22,2021-02-25,1733395384,1587651062,PLN6687,429837,PCN862,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,10,Retail,0,0,0,8.5,3.54,12.04,3.0,8.59,0.45,0.34,0.2408,0,0,0,0,2021-03-24
RX0000004466,MBR00000121,2022-03-05,2022-03-08,1186501627,1772446282,PLN1938,465312,PCN107,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,3,Retail,0,0,0,330.0,6.68,336.68,40.0,274.6,22.08,13.2,9.35,0,0,0,0,2022-04-04
RX0000004467,MBR00000121,2022-12-26,2022-12-29,1912389359,1125995031,PLN3010,668134,PCN446,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,11,Mail Order,0,0,0,11.0,2.73,13.73,7.0,5.79,0.94,0.44,0.3117,0,0,0,0,2023-01-25
RX0000004468,MBR00000121,2022-05-02,2022-05-05,1181258449,1948431432,PLN9939,517720,PCN452,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,60,0,Retail,0,0,0,36.0,2.4,38.4,8.0,28.45,1.95,0.72,0.51,0,0,0,0,2022-07-01
RX0000004469,MBR00000121,2021-10-28,2021-10-29,1646475825,1238964242,PLN9591,689417,PCN657,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,3,Mail Order,0,0,0,65.0,6.3,71.3,31.0,37.47,2.83,2.6,1.8417,0,0,0,0,2021-11-27
RX0000004470,MBR00000121,2021-06-17,2021-06-21,1795484320,1235603735,PLN4234,773902,PCN370,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,93,4,Mail Order,0,0,0,54.0,5.53,59.53,10.0,46.42,3.11,0.72,0.51,0,0,0,0,2021-09-15
RX0000004471,MBR00000121,2021-06-06,2021-06-08,1181368823,1984129931,PLN3118,476059,PCN724,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,82,8,Mail Order,0,0,0,54.0,10.05,64.05,8.0,53.29,2.76,0.72,0.51,0,0,0,0,2021-09-04
RX0000004472,MBR00000121,2022-10-02,2022-10-06,1354649822,1912743855,PLN2466,204460,PCN165,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,86,8,Mail Order,0,0,0,48.0,11.35,59.35,8.0,48.89,2.46,0.64,0.4533,0,0,0,0,2022-12-31
RX0000004473,MBR00000121,2022-08-10,2022-08-14,1527811732,1629772718,PLN3471,814252,PCN587,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,3,Retail,0,0,0,18.0,7.34,25.34,9.0,15.34,1.0,0.72,0.51,0,0,0,0,2022-09-09
RX0000004474,MBR00000121,2022-05-04,2022-05-07,1426818093,1526060999,PLN4830,544886,PCN264,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,2,Retail,0,0,0,10.0,5.92,15.92,9.0,6.32,0.6,0.4,0.2833,0,0,0,0,2022-06-03
RX0000004475,MBR00000121,2023-04-30,2023-05-01,1680230141,1854866533,PLN1451,651542,PCN503,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,7,Retail,0,0,0,175.0,7.77,182.77,34.0,141.48,7.29,7.0,4.9583,0,0,0,0,2023-05-30
RX0000004476,MBR00000121,2022-02-19,2022-02-23,1182076549,1883307571,PLN3717,281206,PCN679,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,93,7,Retail,0,0,0,1140.0,3.07,1143.07,40.0,1054.57,48.5,15.2,10.7667,0,1,1,0,2022-05-20
RX0000004477,MBR00000121,2021-10-23,2021-10-26,1714286422,1316171838,PLN6164,974788,PCN562,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,11,Retail,1,0,0,11.0,6.94,17.94,9.0,7.92,1.02,0.44,0.3117,0,0,0,0,2021-11-22
RX0000004478,MBR00000121,2023-10-22,2023-10-25,1213764132,1998099023,PLN9763,101827,PCN781,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,6,Retail,0,0,0,380.0,10.03,390.03,30.0,336.93,23.1,15.2,10.7667,0,0,0,0,2023-11-21
RX0000004479,MBR00000121,2021-04-07,2021-04-10,1280348850,1161035695,PLN6111,720685,PCN345,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,2,Retail,0,1,0,653.33,11.15,664.48,149.0,476.44,39.04,112.0,79.3333,0,0,0,0,2021-04-14
RX0000004480,MBR00000121,2021-08-19,2021-08-22,1858018464,1728094303,PLN3007,302195,PCN183,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,9,Mail Order,0,0,0,1.98,7.36,9.34,8.0,0.83,0.51,0.34,0.2408,0,0,0,0,2021-08-26
RX0000004481,MBR00000121,2023-08-14,2023-08-15,1903797950,1795031274,PLN9483,843296,PCN155,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,83,3,Retail,0,0,0,36.0,8.63,44.63,9.0,33.21,2.42,0.48,0.34,0,0,0,0,2023-11-12
RX0000004482,MBR00000121,2022-08-16,2022-08-18,1773305406,1522110642,PLN6933,680498,PCN578,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,1,Mail Order,0,0,0,285.0,9.23,294.23,37.0,246.95,10.28,11.4,8.075,0,0,0,0,2022-09-15
RX0000004483,MBR00000121,2023-09-06,2023-09-09,1341128564,1368543352,PLN7524,466401,PCN759,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,96,11,Mail Order,2,0,0,45.0,2.14,47.14,8.0,36.26,2.88,0.6,0.425,0,0,0,0,2023-12-05
RX0000004484,MBR00000121,2022-08-23,2022-08-24,1886774216,1350433259,PLN9772,790267,PCN796,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,1,Retail,0,0,0,9.0,6.83,15.83,0.0,14.86,0.97,0.36,0.255,0,0,0,0,2022-09-22
RX0000004485,MBR00000121,2021-06-15,2021-06-17,1446897125,1843209211,PLN4483,142453,PCN231,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,57,3,Mail Order,0,0,0,18.0,11.11,29.11,8.0,19.54,1.57,0.36,0.255,0,0,0,0,2021-08-14
RX0000004486,MBR00000121,2023-07-15,2023-07-18,1606566979,1130474339,PLN8422,668647,PCN544,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,88,2,Retail,0,0,0,30.0,7.28,37.28,0.0,36.12,1.16,0.4,0.2833,0,0,0,0,2023-10-13
RX0000004487,MBR00000121,2021-05-15,2021-05-16,1513728172,1996235636,PLN7478,808170,PCN594,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,10,Retail,0,0,0,12.0,11.26,23.26,8.0,13.86,1.4,0.48,0.34,0,0,0,0,2021-06-14
RX0000004488,MBR00000121,2023-09-07,2023-09-11,1946391620,1861336088,PLN1189,928077,PCN320,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,4,Mail Order,2,0,0,9.0,2.8,11.8,9.0,2.22,0.58,0.36,0.255,0,0,0,0,2023-10-07
RX0000004489,MBR00000121,2023-03-26,2023-03-30,1747284872,1210358880,PLN9528,870075,PCN801,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,62,11,Retail,2,1,0,12400.0,10.09,12410.09,147.0,11718.55,544.54,248.0,175.6667,0,1,1,0,2023-05-25
RX0000004490,MBR00000121,2021-05-07,2021-05-09,1337535002,1133138493,PLN5835,647261,PCN157,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,4,Retail,3,0,0,10.0,1.9,11.9,8.0,3.18,0.72,0.4,0.2833,0,0,0,0,2021-06-06
RX0000004491,MBR00000121,2021-03-28,2021-04-01,1387487757,1838427495,PLN1576,501529,PCN500,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,1,Retail,0,0,0,10.0,1.63,11.63,9.0,2.23,0.4,0.4,0.2833,0,0,0,0,2021-04-27
RX0000004492,MBR00000121,2022-04-02,2022-04-06,1631297315,1885271154,PLN1757,932356,PCN502,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,4,Retail,0,0,0,18.0,4.12,22.12,8.0,12.85,1.27,0.72,0.51,0,0,0,0,2022-05-02
RX0000004493,MBR00000121,2021-12-25,2021-12-29,1416306983,1613301433,PLN2409,270551,PCN258,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,86,3,Retail,0,0,0,1950.0,4.14,1954.14,36.0,1807.33,110.81,26.0,18.4167,0,0,0,0,2022-03-25
RX0000004494,MBR00000121,2023-11-25,2023-11-28,1119860541,1130377364,PLN4356,650974,PCN563,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,84,11,Mail Order,0,0,0,54.0,8.37,62.37,8.0,51.73,2.64,0.72,0.51,0,0,0,0,2024-02-23
RX0000004495,MBR00000121,2021-12-26,2021-12-30,1976278785,1492054773,PLN8505,805064,PCN627,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,83,11,Retail,0,0,0,114.0,6.86,120.86,7.0,110.18,3.68,1.52,1.0767,0,0,0,0,2022-03-26
RX0000004496,MBR00000121,2022-12-10,2022-12-12,1981866524,1267318461,PLN8750,190494,PCN826,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,8,Retail,0,0,1,15.0,7.29,22.29,0.0,20.89,1.4,0.6,0.425,0,0,0,0,2023-01-09
RX0000004497,MBR00000121,2021-04-07,2021-04-11,1324254354,1287264941,PLN2820,534755,PCN761,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,4,Retail,0,0,0,14.0,4.47,18.47,5.0,12.49,0.98,0.56,0.3967,0,0,0,0,2021-05-07
RX0000004498,MBR00000121,2021-10-07,2021-10-11,1642695018,1115503533,PLN2034,148833,PCN446,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,8,Mail Order,0,0,0,45.0,3.14,48.14,0.0,46.58,1.56,1.8,1.275,0,0,0,0,2021-11-06
RX0000004499,MBR00000121,2021-10-06,2021-10-09,1234931118,1446466809,PLN7787,571205,PCN425,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,7,Retail,0,1,0,6200.0,10.1,6210.1,155.0,5637.23,417.87,248.0,175.6667,0,0,0,0,2021-11-05
RX0000004500,MBR00000122,2022-09-03,2022-09-05,1839921418,1679992055,PLN5676,876191,PCN881,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,6,Retail,0,0,0,22.0,3.58,25.58,75.0,0.0,0.83,0.88,0.6233,0,0,0,0,2022-10-03
RX0000004501,MBR00000122,2022-08-07,2022-08-08,1790197224,1196443389,PLN7283,652926,PCN675,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,90,9,Specialty,2,0,0,45.0,8.02,53.02,4.0,49.02,0.0,0.6,0.425,0,0,0,0,2022-11-05
RX0000004502,MBR00000122,2023-12-16,2023-12-18,1951022581,1243340242,PLN5085,439142,PCN583,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,97,6,Specialty,0,0,0,2850.0,42.52,2892.52,34.0,2858.52,0.0,38.0,26.9167,0,0,0,0,2024-03-15
RX0000004503,MBR00000122,2021-09-25,2021-09-26,1305041699,1561170122,PLN8246,482573,PCN640,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,98,3,Mail Order,3,0,0,135.0,8.86,143.86,10.0,127.16,6.7,1.8,1.275,1,0,0,0,2021-12-24
RX0000004504,MBR00000122,2023-06-03,2023-06-06,1278605048,1303068115,PLN4453,893827,PCN709,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,8,Retail,0,0,0,320.0,4.0,324.0,35.0,272.09,16.91,12.8,9.0667,0,0,0,0,2023-07-03
RX0000004505,MBR00000122,2021-06-13,2021-06-16,1669753303,1111690516,PLN1039,193727,PCN105,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,5,Retail,0,0,0,77.0,3.4,80.4,38.0,37.98,4.42,13.2,9.35,1,0,0,0,2021-06-20
RX0000004506,MBR00000122,2023-01-08,2023-01-10,1497336699,1463062591,PLN7168,162950,PCN886,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,11,Specialty,3,0,0,5.13,43.02,48.15,72.0,0.0,0.0,0.88,0.6233,0,0,0,0,2023-01-15
RX0000004507,MBR00000122,2023-09-09,2023-09-10,1101464748,1238756498,PLN7602,770734,PCN152,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,6,Retail,0,0,0,151.67,3.51,155.18,30.0,118.46,6.72,26.0,18.4167,0,0,0,0,2023-09-16
RX0000004508,MBR00000122,2023-11-08,2023-11-10,1704879961,1840687019,PLN5442,318458,PCN889,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,87,6,Mail Order,0,0,0,36.0,2.56,38.56,10.0,27.04,1.52,0.48,0.34,0,0,0,0,2024-02-06
RX0000004509,MBR00000122,2023-08-16,2023-08-17,1986075906,1173437894,PLN1778,349712,PCN578,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,3,Retail,1,0,0,12.0,9.48,21.48,9.0,11.55,0.93,0.48,0.34,0,0,0,0,2023-09-15
RX0000004510,MBR00000122,2023-07-04,2023-07-08,1823186762,1706240265,PLN7523,416343,PCN729,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,5,Retail,1,0,0,74.67,9.9,84.57,35.0,44.01,5.56,12.8,9.0667,0,0,0,0,2023-07-11
RX0000004511,MBR00000122,2022-10-31,2022-11-03,1295870952,1837889172,PLN9961,859446,PCN295,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,6,Retail,0,0,0,175.0,9.86,184.86,39.0,138.59,7.27,7.0,4.9583,0,0,0,0,2022-11-30
RX0000004512,MBR00000122,2023-12-31,2024-01-01,1894876506,1649793535,PLN1347,585708,PCN307,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,8,Retail,0,0,0,18.0,8.57,26.57,6.0,19.14,1.43,0.72,0.51,0,0,0,0,2024-01-30
RX0000004513,MBR00000122,2022-10-13,2022-10-16,1368382502,1179932759,PLN4600,859223,PCN148,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,92,2,Retail,0,0,0,37.5,4.59,42.09,0.0,39.38,2.71,0.5,0.3542,0,0,0,0,2023-01-11
RX0000004514,MBR00000122,2023-01-24,2023-01-26,1654616168,1748782500,PLN1252,889621,PCN652,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,4,Retail,0,0,0,14.0,1.59,15.59,9.0,6.07,0.52,0.56,0.3967,0,0,0,0,2023-02-23
RX0000004515,MBR00000122,2022-01-01,2022-01-04,1337824753,1373301501,PLN7353,139743,PCN772,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,6,Mail Order,0,0,0,750.0,5.17,755.17,32.0,671.45,51.72,30.0,21.25,0,0,0,0,2022-01-31
RX0000004516,MBR00000122,2022-12-08,2022-12-09,1955516064,1298294810,PLN3038,846475,PCN712,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,82,8,Mail Order,0,0,1,855.0,10.54,865.54,37.0,774.16,54.38,11.4,8.075,0,0,0,0,2023-03-08
RX0000004517,MBR00000122,2022-04-26,2022-04-30,1613006303,1643825053,PLN1511,406776,PCN338,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,85,0,Retail,0,1,0,36.0,4.24,40.24,155.0,0.0,2.68,0.48,0.34,0,0,0,0,2022-07-25
RX0000004518,MBR00000122,2023-05-22,2023-05-26,1648585949,1576378497,PLN1197,683942,PCN602,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,7,Mail Order,0,0,0,2.33,6.72,9.06,9.0,0.0,0.46,0.4,0.2833,1,0,0,0,2023-05-29
RX0000004519,MBR00000122,2023-06-22,2023-06-24,1532419478,1603904839,PLN1480,523109,PCN748,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,56,1,LTC,0,0,0,56.0,7.35,63.35,5.0,54.13,4.22,1.12,0.7933,0,0,0,0,2023-08-21
RX0000004520,MBR00000122,2022-05-28,2022-05-30,1981016483,1398606149,PLN7871,739385,PCN910,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,6,Retail,1,0,0,285.0,5.86,290.86,39.0,242.22,9.64,11.4,8.075,0,0,0,0,2022-06-27
RX0000004521,MBR00000122,2023-07-21,2023-07-24,1321384496,1691693286,PLN1521,517117,PCN524,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,93,10,Retail,0,0,0,84.0,11.6,95.6,2.0,90.46,3.14,1.12,0.7933,0,1,0,0,2023-10-19
RX0000004522,MBR00000122,2023-06-24,2023-06-27,1840194941,1666270914,PLN1479,560211,PCN735,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,82,1,Retail,0,0,0,36.0,3.29,39.29,8.0,29.25,2.04,0.48,0.34,0,0,0,0,2023-09-22
RX0000004523,MBR00000122,2023-06-08,2023-06-12,1177718314,1683915038,PLN5549,933719,PCN472,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,90,0,Mail Order,0,0,0,30.0,11.09,41.09,7.0,32.36,1.73,0.4,0.2833,0,0,0,0,2023-09-06
RX0000004524,MBR00000122,2023-01-06,2023-01-10,1574191077,1664087414,PLN2429,662035,PCN583,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,97,5,Retail,0,0,0,195.0,11.18,206.18,32.0,164.48,9.7,2.6,1.8417,0,0,0,0,2023-04-06
RX0000004525,MBR00000122,2022-10-27,2022-10-28,1989662169,1717049358,PLN4164,741319,PCN400,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,5,Retail,0,0,0,38.0,4.42,42.42,37.0,3.41,2.01,1.52,1.0767,0,0,0,0,2022-11-26
RX0000004526,MBR00000122,2023-10-22,2023-10-24,1626969844,1954536621,PLN8491,681865,PCN733,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,9,Retail,0,1,0,6200.0,4.87,6204.87,155.0,5765.29,284.58,248.0,175.6667,0,0,0,0,2023-11-21
RX0000004527,MBR00000122,2021-09-23,2021-09-24,1865421311,1129746335,PLN6852,424490,PCN549,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,1,Retail,0,1,0,8500.0,8.79,8508.79,147.0,7795.35,566.44,340.0,240.8333,0,0,0,0,2021-10-23
RX0000004528,MBR00000122,2023-09-29,2023-10-01,1963394131,1585226600,PLN2507,399244,PCN631,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,9,Retail,3,0,0,28.0,1.66,29.66,5.0,22.85,1.81,1.12,0.7933,0,0,0,0,2023-10-29
RX0000004529,MBR00000122,2021-06-09,2021-06-10,1931956583,1531247247,PLN2438,780002,PCN667,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,7,Retail,0,0,0,15.0,5.69,20.69,0.0,19.92,0.77,0.6,0.425,1,0,0,0,2021-07-09
RX0000004530,MBR00000122,2021-07-28,2021-07-30,1551884534,1613805266,PLN5540,195920,PCN712,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,6,Mail Order,0,0,0,10.0,9.12,19.12,5.0,13.26,0.86,0.4,0.2833,0,0,0,0,2021-08-27
RX0000004531,MBR00000122,2021-07-18,2021-07-20,1860559924,1807313335,PLN5424,477417,PCN846,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,6,Retail,0,0,0,2.33,2.88,5.21,2.0,2.98,0.23,0.4,0.2833,0,0,0,0,2021-07-25
RX0000004532,MBR00000122,2023-07-11,2023-07-15,1769107765,1178699239,PLN9206,726599,PCN770,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,82,2,Mail Order,0,1,0,24.0,5.62,29.62,152.0,0.0,1.17,0.32,0.2267,0,0,0,0,2023-10-09
RX0000004533,MBR00000122,2023-09-18,2023-09-21,1952231486,1891057784,PLN6223,418818,PCN434,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,10,Retail,0,0,0,16.0,11.51,27.51,8.0,18.57,0.94,0.64,0.4533,0,0,0,0,2023-10-18
RX0000004534,MBR00000122,2022-10-05,2022-10-07,1480006466,1659815339,PLN9836,424146,PCN193,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,10,Retail,3,0,0,7.5,11.69,19.19,8.0,10.12,1.07,0.3,0.2125,0,0,0,0,2022-11-04
RX0000004535,MBR00000122,2021-09-23,2021-09-24,1854065036,1417052737,PLN9704,150936,PCN204,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,88,0,Retail,0,0,0,525.0,5.72,530.72,37.0,475.37,18.35,7.0,4.9583,0,0,0,0,2021-12-22
RX0000004536,MBR00000122,2021-06-22,2021-06-23,1839213689,1373609431,PLN5809,234314,PCN176,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,1,Specialty,0,0,0,12.0,40.18,52.18,10.0,42.18,0.0,0.48,0.34,0,0,0,0,2021-07-22
RX0000004537,MBR00000122,2023-06-21,2023-06-25,1858623660,1830891023,PLN7610,260930,PCN901,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,4,Retail,0,0,0,4.2,7.61,11.81,39.0,0.0,0.64,0.72,0.51,0,0,0,0,2023-06-28
RX0000004538,MBR00000122,2022-04-05,2022-04-09,1553117208,1842961656,PLN4247,921070,PCN159,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,0,Retail,0,0,0,950.0,4.77,954.77,37.0,876.42,41.35,38.0,26.9167,0,0,0,0,2022-05-05
RX0000004539,MBR00000122,2023-11-05,2023-11-08,1717536064,1418005771,PLN3798,680522,PCN516,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,97,6,Retail,3,0,0,1950.0,9.95,1959.95,39.0,1800.04,120.91,26.0,18.4167,0,0,0,0,2024-02-03
RX0000004540,MBR00000122,2023-09-29,2023-10-02,1864832449,1864669783,PLN3700,130043,PCN511,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,90,7,Retail,0,0,0,114.0,5.98,119.98,2.0,113.61,4.37,1.52,1.0767,0,0,0,0,2023-12-28
RX0000004541,MBR00000122,2022-07-04,2022-07-05,1238781935,1199080757,PLN2115,198878,PCN267,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,1,Retail,1,1,0,6200.0,4.19,6204.19,146.0,5638.61,419.58,248.0,175.6667,0,0,0,0,2022-08-03
RX0000004542,MBR00000122,2023-11-06,2023-11-08,1407836724,1245074854,PLN1828,748920,PCN597,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,5,Retail,0,0,0,14.0,9.3,23.3,3.0,18.78,1.52,0.56,0.3967,0,0,0,0,2023-12-06
RX0000004543,MBR00000122,2022-11-05,2022-11-07,1499126126,1994702110,PLN2005,518669,PCN842,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,93,3,Retail,0,0,0,30.0,4.91,34.91,1.0,32.03,1.88,0.4,0.2833,0,0,0,0,2023-02-03
RX0000004544,MBR00000122,2021-02-13,2021-02-14,1853451155,1938900838,PLN5362,165743,PCN675,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,11,Retail,0,0,0,12.0,5.21,17.21,4.0,12.24,0.97,0.48,0.34,0,1,0,0,2021-03-15
RX0000004545,MBR00000122,2023-09-06,2023-09-08,1870207227,1767264956,PLN5797,390245,PCN502,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,7,Retail,1,0,0,950.0,6.39,956.39,40.0,882.46,33.93,38.0,26.9167,0,0,0,0,2023-10-06
RX0000004546,MBR00000122,2023-05-22,2023-05-26,1619633001,1697664188,PLN6511,736083,PCN844,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,0,Retail,0,0,0,11.0,10.0,21.0,9.0,11.07,0.93,0.44,0.3117,0,0,0,0,2023-06-21
RX0000004547,MBR00000122,2021-02-17,2021-02-21,1130088071,1108544044,PLN1998,541634,PCN347,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,3,Retail,0,0,0,4.2,11.37,15.57,1.0,13.8,0.77,0.72,0.51,0,0,0,0,2021-02-24
RX0000004548,MBR00000122,2021-09-16,2021-09-17,1615284581,1688056434,PLN2508,117305,PCN688,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,9,Specialty,0,0,0,45.0,48.48,93.48,2.0,91.48,0.0,1.8,1.275,0,1,0,0,2021-10-16
RX0000004549,MBR00000123,2023-11-09,2023-11-10,1299599799,1201695664,PLN6663,852482,PCN565,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,10,Mail Order,0,1,0,8500.0,6.92,8506.92,155.0,8060.22,291.7,340.0,240.8333,0,0,0,0,2023-12-09
RX0000004550,MBR00000123,2021-01-27,2021-01-30,1947336040,1128759425,PLN5393,612843,PCN363,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,89,6,Retail,0,1,0,8400.0,7.76,8407.76,148.0,7687.56,572.2,112.0,79.3333,0,0,0,0,2021-04-27
RX0000004551,MBR00000123,2021-09-25,2021-09-28,1344587685,1984509763,PLN6313,194419,PCN268,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,95,8,Mail Order,2,0,0,855.0,7.39,862.39,39.0,788.07,35.32,11.4,8.075,0,0,0,0,2021-12-24
RX0000004552,MBR00000123,2023-07-13,2023-07-14,1915161296,1702640909,PLN8766,429895,PCN584,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,54,5,Retail,0,0,0,1300.0,10.09,1310.09,40.0,1202.14,67.95,26.0,18.4167,0,0,0,0,2023-09-11
RX0000004553,MBR00000123,2023-06-02,2023-06-05,1119612035,1174122094,PLN9726,321614,PCN216,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,0,LTC,0,0,0,11.0,9.03,20.03,7.0,12.07,0.96,0.44,0.3117,0,0,0,0,2023-07-02
RX0000004554,MBR00000123,2023-01-07,2023-01-11,1342552771,1237371102,PLN7845,561972,PCN576,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,7,Retail,0,0,0,14.0,9.78,23.78,0.0,22.8,0.98,0.56,0.3967,0,0,0,0,2023-02-06
RX0000004555,MBR00000123,2021-02-06,2021-02-07,1588059064,1523808648,PLN9931,554555,PCN314,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,87,11,Specialty,2,0,0,66.0,36.4,102.4,73.0,29.4,0.0,0.88,0.6233,0,0,0,0,2021-05-07
RX0000004556,MBR00000123,2022-11-16,2022-11-17,1114732884,1964276596,PLN6972,815395,PCN893,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,9,Mail Order,0,1,0,8500.0,8.16,8508.16,154.0,7844.46,509.7,340.0,240.8333,0,0,0,0,2022-12-16
RX0000004557,MBR00000123,2021-03-27,2021-03-31,1695164452,1261535040,PLN3150,379909,PCN534,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,1,Mail Order,0,0,0,18.0,7.84,25.84,0.0,24.28,1.56,0.72,0.51,0,0,0,0,2021-04-26
RX0000004558,MBR00000123,2021-03-10,2021-03-13,1164239360,1726591081,PLN3724,314486,PCN638,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,3,Mail Order,0,0,0,65.0,4.74,69.74,37.0,28.48,4.26,2.6,1.8417,0,0,0,0,2021-04-09
RX0000004559,MBR00000123,2021-12-11,2021-12-15,1806007666,1798865820,PLN8640,426309,PCN867,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,64,3,Mail Order,0,0,0,36.0,3.23,39.23,6.0,31.77,1.46,0.72,0.51,0,0,0,0,2022-02-09
RX0000004560,MBR00000123,2022-08-18,2022-08-19,1741340266,1675796043,PLN8008,678727,PCN753,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,85,9,Retail,2,0,0,33.0,6.99,39.99,4.0,34.73,1.26,0.44,0.3117,0,0,0,0,2022-11-16
RX0000004561,MBR00000123,2022-07-01,2022-07-05,1434618318,1446575549,PLN5995,936785,PCN192,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,54,2,Retail,0,0,0,1300.0,4.06,1304.06,39.0,1194.52,70.54,26.0,18.4167,0,0,0,0,2022-08-30
RX0000004562,MBR00000123,2023-09-01,2023-09-04,1733023371,1594234828,PLN4374,768506,PCN348,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,1,Retail,0,0,0,45.0,11.19,56.19,1.0,52.89,2.3,1.8,1.275,0,0,0,0,2023-10-01
RX0000004563,MBR00000123,2021-07-08,2021-07-12,1452877628,1955367161,PLN9802,517943,PCN278,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,2,Retail,0,1,0,8.0,3.77,11.77,146.0,0.0,0.49,0.32,0.2267,0,0,0,0,2021-08-07
RX0000004564,MBR00000123,2021-03-15,2021-03-18,1408471532,1917909311,PLN9375,712557,PCN219,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,91,9,Retail,0,0,0,54.0,7.12,61.12,0.0,58.41,2.71,0.72,0.51,0,0,0,0,2021-06-13
RX0000004565,MBR00000123,2023-07-16,2023-07-19,1298655637,1305163992,PLN6538,227371,PCN291,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,91,3,Specialty,0,0,0,36.0,9.41,45.41,10.0,35.41,0.0,0.48,0.34,0,0,0,0,2023-10-14
RX0000004566,MBR00000123,2021-04-17,2021-04-20,1490127632,1250797216,PLN7098,355104,PCN194,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,2,Retail,3,0,0,330.0,3.43,333.43,36.0,280.17,17.26,13.2,9.35,0,0,0,0,2021-05-17
RX0000004567,MBR00000123,2022-06-21,2022-06-22,1197277749,1829710124,PLN1539,849850,PCN148,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,90,8,Retail,0,0,0,84.0,7.81,91.81,10.0,78.29,3.52,1.12,0.7933,0,0,0,0,2022-09-19
RX0000004568,MBR00000123,2021-05-23,2021-05-27,1501893736,1308237222,PLN7783,747411,PCN237,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,8,Retail,0,0,0,650.0,4.25,654.25,32.0,594.53,27.72,26.0,18.4167,0,0,0,0,2021-06-22
RX0000004569,MBR00000123,2022-06-16,2022-06-20,1962732645,1119533657,PLN3557,653112,PCN351,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,5,Retail,0,0,0,9.0,10.7,19.7,6.0,13.06,0.64,0.36,0.255,0,0,0,0,2022-07-16
RX0000004570,MBR00000123,2021-08-03,2021-08-06,1880941144,1774919591,PLN6072,698927,PCN258,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,91,4,Retail,0,0,0,1140.0,6.23,1146.23,30.0,1058.82,57.41,15.2,10.7667,0,0,0,0,2021-11-01
RX0000004571,MBR00000124,2023-01-31,2023-02-01,1416653273,1357767736,PLN3443,913978,PCN654,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,9,Retail,0,0,0,12.0,3.61,15.61,7.0,8.04,0.57,0.48,0.34,0,0,0,0,2023-03-02
RX0000004572,MBR00000124,2021-01-26,2021-01-27,1804335924,1717710348,PLN8907,423098,PCN739,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,1,Mail Order,0,0,0,8.5,9.67,18.17,7.0,10.07,1.1,0.34,0.2408,1,0,0,0,2021-02-25
RX0000004573,MBR00000124,2022-08-09,2022-08-10,1117149364,1892888541,PLN6013,662466,PCN329,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,6,Mail Order,0,0,0,2.92,8.85,11.76,1.0,10.25,0.51,0.5,0.3542,0,0,0,0,2022-08-16
RX0000004574,MBR00000124,2021-08-30,2021-09-03,1504427368,1941132592,PLN1029,144460,PCN880,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,1,Retail,1,0,1,38.0,10.14,48.14,10.0,36.13,2.01,1.52,1.0767,0,0,0,0,2021-09-29
RX0000004575,MBR00000124,2021-03-15,2021-03-18,1665366091,1530867378,PLN5594,312567,PCN797,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,5,Retail,0,0,1,10.0,10.8,20.8,6.0,13.55,1.25,0.4,0.2833,0,0,0,0,2021-04-14
RX0000004576,MBR00000124,2023-03-25,2023-03-28,1703199410,1156025326,PLN1007,881335,PCN860,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,97,6,Retail,0,0,0,42.0,4.94,46.94,8.0,37.26,1.68,0.56,0.3967,1,0,0,0,2023-06-23
RX0000004577,MBR00000124,2023-03-09,2023-03-12,1442930178,1337063648,PLN5807,731623,PCN448,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,6,Retail,0,0,0,12.0,9.31,21.31,8.0,11.86,1.45,0.48,0.34,0,0,0,0,2023-04-08
RX0000004578,MBR00000124,2021-09-19,2021-09-21,1298844659,1814335485,PLN6369,244945,PCN357,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,81,3,Retail,0,0,0,1950.0,8.75,1958.75,31.0,1810.06,117.69,26.0,18.4167,0,0,0,0,2021-12-18
RX0000004579,MBR00000124,2022-10-26,2022-10-28,1730393980,1899693940,PLN4138,490824,PCN927,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,90,0,Mail Order,0,1,0,25500.0,8.31,25508.31,150.0,23965.09,1393.22,340.0,240.8333,0,0,0,0,2023-01-24
RX0000004580,MBR00000124,2023-01-20,2023-01-21,1518920288,1489688210,PLN7309,359084,PCN597,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,7,Retail,0,0,0,15.17,9.93,25.1,39.0,0.0,1.07,2.6,1.8417,0,0,0,0,2023-01-27
RX0000004581,MBR00000124,2021-06-11,2021-06-13,1524337069,1463825959,PLN7397,145682,PCN678,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,5,Specialty,0,0,0,14.0,22.64,36.64,6.0,30.64,0.0,0.56,0.3967,1,0,0,0,2021-07-11
RX0000004582,MBR00000124,2022-03-01,2022-03-04,1753021775,1989442384,PLN9947,700225,PCN595,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,5,Retail,0,0,0,9.0,5.47,14.47,1.0,12.84,0.63,0.36,0.255,0,0,0,0,2022-03-31
RX0000004583,MBR00000124,2023-01-03,2023-01-04,1168264759,1831774567,PLN6691,641328,PCN732,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,96,3,Retail,0,0,0,54.0,3.16,57.16,7.0,47.2,2.96,0.72,0.51,0,0,0,0,2023-04-03
RX0000004584,MBR00000124,2021-08-04,2021-08-07,1323650511,1224089607,PLN7492,395230,PCN168,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,2,Retail,0,0,0,10.0,10.33,20.33,10.0,9.29,1.04,0.4,0.2833,0,0,0,0,2021-09-03
RX0000004585,MBR00000124,2022-02-09,2022-02-12,1329899824,1291415150,PLN3657,914814,PCN292,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,5,Retail,0,0,0,18.0,9.44,27.44,38.0,0.0,1.86,0.72,0.51,0,0,0,0,2022-03-11
RX0000004586,MBR00000124,2021-05-12,2021-05-15,1954481227,1652047453,PLN3907,312800,PCN859,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,62,0,Retail,0,1,0,5600.0,10.53,5610.53,145.0,5266.34,199.19,112.0,79.3333,0,0,0,0,2021-07-11
RX0000004587,MBR00000124,2023-10-14,2023-10-16,1184987974,1176297981,PLN4078,316763,PCN645,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,89,11,Retail,0,0,0,42.0,2.78,44.78,8.0,33.97,2.81,0.56,0.3967,0,0,0,0,2024-01-12
RX0000004588,MBR00000124,2022-01-10,2022-01-14,1774930139,1577740396,PLN2602,718445,PCN153,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,11,Retail,0,0,0,650.0,1.62,651.62,35.0,576.33,40.29,26.0,18.4167,0,0,0,0,2022-02-09
RX0000004589,MBR00000124,2023-05-19,2023-05-20,1512999054,1607592183,PLN7953,974580,PCN439,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,0,Retail,0,0,0,45.0,4.46,49.46,0.0,46.57,2.89,1.8,1.275,0,0,0,0,2023-06-18
RX0000004590,MBR00000124,2023-05-05,2023-05-07,1745677646,1463850440,PLN6202,614466,PCN206,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,5,Retail,0,1,0,8.0,4.39,12.39,145.0,0.0,0.85,0.32,0.2267,0,0,0,0,2023-06-04
RX0000004591,MBR00000124,2022-05-11,2022-05-12,1406485642,1733713178,PLN7257,941239,PCN829,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,8,Retail,0,0,0,2.1,8.22,10.32,10.0,0.0,0.46,0.36,0.255,0,0,0,0,2022-05-18
RX0000004592,MBR00000124,2023-03-17,2023-03-18,1102540119,1335318803,PLN3419,870197,PCN860,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,84,5,Mail Order,0,0,0,54.0,8.89,62.89,34.0,25.09,3.8,0.72,0.51,0,0,0,0,2023-06-15
RX0000004593,MBR00000124,2022-02-10,2022-02-12,1178121963,1408950151,PLN4603,881282,PCN274,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,5,Mail Order,0,0,0,38.0,8.66,46.66,36.0,8.97,1.69,1.52,1.0767,0,0,0,0,2022-03-12
RX0000004594,MBR00000124,2021-12-04,2021-12-06,1307579517,1553108448,PLN1089,124674,PCN952,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,8,Specialty,3,0,0,750.0,28.85,778.85,36.0,742.85,0.0,30.0,21.25,0,0,0,0,2022-01-03
RX0000004595,MBR00000124,2022-11-19,2022-11-23,1337278409,1616611767,PLN1577,735237,PCN650,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,0,Retail,0,0,0,650.0,11.3,661.3,37.0,582.39,41.91,26.0,18.4167,0,0,0,0,2022-12-19
RX0000004596,MBR00000124,2021-05-18,2021-05-19,1464204064,1270660396,PLN4800,999579,PCN967,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,60,3,Mail Order,1,0,0,56.0,10.04,66.04,7.0,54.79,4.25,1.12,0.7933,0,0,0,0,2021-07-17
RX0000004597,MBR00000124,2023-02-06,2023-02-08,1860072940,1712670622,PLN3333,680732,PCN444,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,8,Retail,3,0,0,18.0,6.35,24.35,5.0,17.92,1.43,0.72,0.51,0,0,0,0,2023-03-08
RX0000004598,MBR00000124,2023-02-26,2023-03-01,1445586133,1995240568,PLN4700,545406,PCN334,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,6,Retail,0,0,0,36.0,10.6,46.6,9.0,35.21,2.39,0.48,0.34,0,0,0,0,2023-05-27
RX0000004599,MBR00000124,2023-10-30,2023-10-31,1492352917,1875220724,PLN1840,401956,PCN583,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,92,10,Mail Order,0,0,0,114.0,9.6,123.6,3.0,113.73,6.87,1.52,1.0767,0,0,0,0,2024-01-28
RX0000004600,MBR00000124,2021-12-05,2021-12-06,1728413749,1569642259,PLN5072,539105,PCN607,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,85,3,Retail,0,0,0,990.0,4.3,994.3,37.0,895.65,61.65,13.2,9.35,0,0,0,0,2022-03-05
RX0000004601,MBR00000124,2021-02-05,2021-02-06,1713902290,1515656161,PLN2635,774391,PCN947,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,97,2,Retail,0,0,0,555.0,8.06,563.06,30.0,508.77,24.29,7.4,5.2417,0,0,0,0,2021-05-06
RX0000004602,MBR00000125,2021-04-21,2021-04-25,1904459022,1254862500,PLN8506,380253,PCN554,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,8,Retail,0,0,0,11.0,6.71,17.71,4.0,12.87,0.84,0.44,0.3117,0,0,0,0,2021-05-21
RX0000004603,MBR00000125,2023-08-21,2023-08-24,1228432641,1501051619,PLN5341,433607,PCN598,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,3,Mail Order,0,0,0,9.0,2.01,11.01,6.0,4.56,0.45,0.36,0.255,0,0,0,0,2023-09-20
RX0000004604,MBR00000125,2022-09-19,2022-09-20,1698881804,1151876813,PLN9926,229371,PCN685,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,6,Retail,0,0,0,285.0,4.17,289.17,40.0,234.35,14.82,11.4,8.075,0,0,0,0,2022-10-19
RX0000004605,MBR00000125,2021-10-18,2021-10-20,1256089391,1896987986,PLN3250,775419,PCN188,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,55,7,Retail,0,1,0,24.0,5.1,29.1,146.0,0.0,0.98,0.48,0.34,0,0,0,0,2021-12-17
RX0000004606,MBR00000125,2021-06-30,2021-07-02,1583138748,1949874634,PLN9630,189281,PCN963,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,7,Retail,0,0,0,650.0,3.29,653.29,36.0,575.48,41.81,26.0,18.4167,0,0,0,0,2021-07-30
RX0000004607,MBR00000125,2023-09-02,2023-09-06,1246794011,1358013006,PLN9018,801717,PCN443,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,87,0,Retail,0,0,0,42.0,5.15,47.15,3.0,41.4,2.75,0.56,0.3967,0,0,0,0,2023-12-01
RX0000004608,MBR00000125,2022-01-22,2022-01-23,1811651077,1270802920,PLN7467,543448,PCN171,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,3,Retail,0,0,0,650.0,7.7,657.7,30.0,607.54,20.16,26.0,18.4167,0,0,0,0,2022-02-21
RX0000004609,MBR00000125,2022-02-01,2022-02-04,1598654368,1235756630,PLN8744,239639,PCN862,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,62,9,Mail Order,0,1,0,12400.0,6.35,12406.35,146.0,11518.41,741.94,248.0,175.6667,0,0,0,0,2022-04-02
RX0000004610,MBR00000125,2023-05-14,2023-05-18,1392864571,1354377654,PLN5485,580039,PCN408,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,6,LTC,0,0,0,175.0,6.14,181.14,32.0,138.78,10.36,30.0,21.25,0,0,0,0,2023-05-21
RX0000004611,MBR00000125,2021-11-01,2021-11-04,1677999952,1657183913,PLN6848,207746,PCN755,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,0,Retail,2,0,0,285.0,11.94,296.94,32.0,250.48,14.46,11.4,8.075,0,0,0,0,2021-12-01
RX0000004612,MBR00000126,2023-01-12,2023-01-15,1600239828,1151495229,PLN3789,393153,PCN517,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,55,0,Mail Order,0,0,0,30.0,10.89,40.89,8.0,31.62,1.27,0.6,0.425,0,0,0,0,2023-03-13
RX0000004613,MBR00000126,2023-10-13,2023-10-17,1193619540,1526542912,PLN7193,109456,PCN260,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,81,1,Retail,0,0,0,195.0,5.36,200.36,31.0,162.81,6.55,2.6,1.8417,0,0,0,0,2024-01-11
RX0000004614,MBR00000126,2022-06-03,2022-06-04,1230330652,1876861542,PLN9480,695154,PCN786,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,84,10,Retail,0,0,0,2850.0,4.37,2854.37,30.0,2737.24,87.13,38.0,26.9167,1,0,0,0,2022-09-01
RX0000004615,MBR00000126,2023-11-04,2023-11-05,1347218488,1240479103,PLN5942,238597,PCN615,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,7,Mail Order,0,0,0,28.0,3.57,31.57,7.0,23.59,0.98,1.12,0.7933,0,0,0,0,2023-12-04
RX0000004616,MBR00000126,2022-03-14,2022-03-15,1366719423,1248779447,PLN5193,110855,PCN813,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,0,LTC,0,0,0,18.0,9.54,27.54,3.0,22.7,1.84,0.72,0.51,0,0,0,0,2022-04-13
RX0000004617,MBR00000126,2021-12-18,2021-12-20,1706063118,1220356049,PLN9239,839166,PCN872,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,83,1,Mail Order,0,0,0,1950.0,2.95,1952.95,37.0,1828.71,87.24,26.0,18.4167,0,0,0,0,2022-03-18
RX0000004618,MBR00000126,2022-10-11,2022-10-14,1439865549,1430322485,PLN2824,545737,PCN230,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,93,0,Retail,0,0,0,54.0,8.56,62.56,5.0,54.78,2.78,0.72,0.51,0,0,0,0,2023-01-09
RX0000004619,MBR00000126,2022-04-05,2022-04-08,1661271586,1294404314,PLN9573,933133,PCN352,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,93,7,Retail,0,0,0,960.0,7.6,967.6,31.0,895.23,41.37,12.8,9.0667,0,0,0,0,2022-07-04
RX0000004620,MBR00000126,2021-03-28,2021-03-31,1500519780,1295585785,PLN2495,367526,PCN904,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,4,Mail Order,0,0,0,330.0,3.14,333.14,35.0,276.32,21.82,13.2,9.35,0,0,0,0,2021-04-27
RX0000004621,MBR00000126,2021-02-11,2021-02-12,1570793938,1259208572,PLN3331,697657,PCN440,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,7,Mail Order,0,0,0,4.2,10.09,14.29,34.0,0.0,0.8,0.72,0.51,0,0,0,0,2021-02-18
RX0000004622,MBR00000126,2023-11-16,2023-11-18,1606117249,1795892995,PLN7750,119858,PCN112,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,83,7,Mail Order,2,0,0,30.0,7.99,37.99,8.0,27.58,2.41,0.4,0.2833,0,0,0,0,2024-02-14
RX0000004623,MBR00000126,2023-07-23,2023-07-25,1682785311,1359668043,PLN4400,204769,PCN625,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,2,Retail,0,0,0,380.0,7.37,387.37,31.0,338.95,17.42,15.2,10.7667,0,0,0,0,2023-08-22
RX0000004624,MBR00000126,2021-04-17,2021-04-19,1163946436,1452692840,PLN5299,908553,PCN964,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,4,Retail,0,0,0,12.5,5.4,17.9,2.0,14.88,1.02,0.5,0.3542,0,0,0,0,2021-05-17
RX0000004625,MBR00000126,2023-09-12,2023-09-14,1838665997,1242249119,PLN8526,487536,PCN779,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,89,3,Specialty,0,0,0,42.0,45.21,87.21,1.0,86.21,0.0,0.56,0.3967,0,0,0,0,2023-12-11
RX0000004626,MBR00000126,2023-10-30,2023-11-01,1156220639,1291680799,PLN1225,439773,PCN164,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,0,Retail,0,0,0,15.0,11.64,26.64,4.0,20.97,1.67,0.6,0.425,0,0,0,0,2023-11-29
RX0000004627,MBR00000126,2022-05-10,2022-05-13,1984921346,1470545714,PLN1110,865695,PCN770,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,93,3,Retail,0,0,0,45.0,8.81,53.81,8.0,42.86,2.95,0.6,0.425,0,0,0,0,2022-08-08
RX0000004628,MBR00000126,2021-04-12,2021-04-14,1147935673,1636505152,PLN3154,847374,PCN886,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,90,6,Retail,0,0,0,990.0,3.41,993.41,32.0,913.27,48.14,13.2,9.35,0,0,0,0,2021-07-11
RX0000004629,MBR00000126,2022-04-23,2022-04-27,1739532826,1447107732,PLN4897,478500,PCN429,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,97,1,Specialty,3,0,0,990.0,12.48,1002.48,35.0,967.48,0.0,13.2,9.35,0,0,0,0,2022-07-22
RX0000004630,MBR00000126,2022-12-18,2022-12-21,1837332277,1119053695,PLN9289,813756,PCN979,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,3,Retail,0,1,0,1.87,8.84,10.71,145.0,0.0,0.42,0.32,0.2267,0,0,0,0,2022-12-25
RX0000004631,MBR00000126,2022-06-23,2022-06-26,1701320844,1627616229,PLN7638,945806,PCN936,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,8,Retail,0,0,0,72.33,2.0,74.33,38.0,32.13,4.2,12.4,8.7833,0,0,0,0,2022-06-30
RX0000004632,MBR00000126,2021-09-20,2021-09-21,1619575134,1357491700,PLN6711,904012,PCN811,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,3,Retail,0,0,0,380.0,8.51,388.51,40.0,332.51,16.0,15.2,10.7667,0,0,0,0,2021-10-20
RX0000004633,MBR00000126,2022-05-04,2022-05-07,1270404341,1635298300,PLN2227,520074,PCN502,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,2,Retail,0,0,0,65.0,3.72,68.72,37.0,28.47,3.25,2.6,1.8417,1,1,1,0,2022-06-03
RX0000004634,MBR00000126,2022-05-30,2022-05-31,1534678931,1872192541,PLN8505,809828,PCN695,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,2,Retail,0,0,0,65.0,5.38,70.38,39.0,27.77,3.61,2.6,1.8417,0,0,0,0,2022-06-29
RX0000004635,MBR00000126,2022-10-14,2022-10-16,1622432364,1405375217,PLN1048,456920,PCN578,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,0,Retail,0,1,0,8.0,4.78,12.78,149.0,0.0,0.82,0.32,0.2267,0,0,0,0,2022-11-13
RX0000004636,MBR00000126,2022-10-06,2022-10-10,1739413870,1462345833,PLN8808,664722,PCN333,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,4,Mail Order,0,0,0,22.0,5.08,27.08,7.0,18.8,1.28,0.88,0.6233,0,0,0,0,2022-11-05
RX0000004637,MBR00000126,2022-12-14,2022-12-16,1397331491,1294321942,PLN1285,879031,PCN694,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,3,Specialty,0,0,0,650.0,25.88,675.88,35.0,640.88,0.0,26.0,18.4167,0,1,1,0,2023-01-13
RX0000004638,MBR00000126,2023-09-24,2023-09-25,1270853120,1591278690,PLN4489,106343,PCN970,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,8,Mail Order,3,1,0,2800.0,5.63,2805.63,152.0,2463.33,190.3,112.0,79.3333,0,0,0,0,2023-10-24
RX0000004639,MBR00000126,2021-04-25,2021-04-29,1251107391,1556387813,PLN6759,341208,PCN461,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,7,Retail,2,0,0,310.0,9.86,319.86,31.0,277.23,11.63,12.4,8.7833,0,0,0,0,2021-05-25
RX0000004640,MBR00000126,2023-09-10,2023-09-12,1451431236,1574126927,PLN1124,241379,PCN184,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,9,Retail,0,0,0,9.0,4.73,13.73,2.0,11.07,0.66,0.36,0.255,0,0,0,0,2023-10-10
RX0000004641,MBR00000126,2023-05-15,2023-05-19,1305653726,1222136489,PLN2255,737575,PCN829,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,89,0,Mail Order,0,0,0,1440.0,5.94,1445.94,39.0,1339.99,66.95,19.2,13.6,0,0,0,0,2023-08-13
RX0000004642,MBR00000126,2022-09-12,2022-09-15,1991158023,1301026356,PLN9382,601553,PCN517,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,2,Retail,0,0,0,9.0,5.02,14.02,3.0,10.58,0.44,0.36,0.255,0,0,0,0,2022-10-12
RX0000004643,MBR00000127,2021-11-29,2021-12-02,1237851064,1645125347,PLN9298,866515,PCN575,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,96,5,Retail,0,0,0,42.0,9.65,51.65,6.0,43.06,2.59,0.56,0.3967,0,0,0,0,2022-02-27
RX0000004644,MBR00000127,2022-04-30,2022-05-02,1880912566,1625506216,PLN2772,479944,PCN281,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,3,Retail,0,0,0,10.0,5.67,15.67,6.0,8.85,0.82,0.4,0.2833,0,0,0,0,2022-05-30
RX0000004645,MBR00000127,2021-10-27,2021-10-28,1876618129,1744871715,PLN9135,854100,PCN786,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,10,Mail Order,0,0,0,8.5,7.13,15.63,7.0,7.63,1.0,0.34,0.2408,0,0,0,0,2021-11-26
RX0000004646,MBR00000127,2023-05-23,2023-05-24,1183635617,1217148756,PLN5498,965784,PCN130,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,8,Retail,0,0,0,65.0,11.7,76.7,32.0,40.35,4.35,2.6,1.8417,0,0,0,0,2023-06-22
RX0000004647,MBR00000127,2022-04-04,2022-04-05,1207746426,1116698196,PLN5944,238322,PCN878,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,96,2,Mail Order,0,0,0,30.0,7.71,37.71,8.0,27.28,2.43,0.4,0.2833,0,0,0,0,2022-07-03
RX0000004648,MBR00000127,2021-12-11,2021-12-13,1283725594,1597098212,PLN9846,504500,PCN726,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,82,2,Retail,0,0,0,54.0,8.96,62.96,8.0,50.83,4.13,0.72,0.51,0,0,0,0,2022-03-11
RX0000004649,MBR00000127,2023-09-15,2023-09-18,1119434973,1521037403,PLN9775,910248,PCN498,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,8,Retail,2,0,0,12.0,7.71,19.71,1.0,17.66,1.05,0.48,0.34,0,0,0,0,2023-10-15
RX0000004650,MBR00000127,2021-04-19,2021-04-20,1519066927,1214387953,PLN8828,332309,PCN495,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,56,5,Mail Order,0,0,0,36.0,4.19,40.19,8.0,29.93,2.26,0.72,0.51,0,0,0,0,2021-06-18
RX0000004651,MBR00000127,2021-07-04,2021-07-07,1379235517,1725939598,PLN3066,190456,PCN917,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,8,Retail,1,0,0,2.33,4.93,7.26,8.0,0.0,0.39,0.4,0.2833,0,0,0,0,2021-07-11
RX0000004652,MBR00000127,2021-06-18,2021-06-21,1224354636,1773756095,PLN5240,347462,PCN125,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,7,Retail,0,0,0,2.1,3.83,5.93,2.0,3.64,0.29,0.36,0.255,0,0,0,0,2021-06-25
RX0000004653,MBR00000127,2021-06-29,2021-07-02,1901299423,1704757238,PLN4735,117358,PCN700,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,11,Retail,3,1,0,6200.0,11.36,6211.36,146.0,5645.37,419.99,248.0,175.6667,0,0,0,0,2021-07-29
RX0000004654,MBR00000127,2023-12-01,2023-12-04,1942937994,1939763366,PLN6719,901030,PCN812,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,89,1,Mail Order,0,0,0,1140.0,4.89,1144.89,38.0,1039.65,67.24,15.2,10.7667,0,0,0,0,2024-02-29
RX0000004655,MBR00000127,2022-01-16,2022-01-19,1215640644,1516701824,PLN9410,188882,PCN851,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,11,Retail,0,0,0,18.0,3.49,21.49,3.0,17.09,1.4,0.72,0.51,0,0,0,0,2022-02-15
RX0000004656,MBR00000127,2021-03-22,2021-03-23,1738458066,1823879944,PLN9519,842519,PCN444,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,2,Retail,0,0,0,10.0,4.53,14.53,9.0,4.99,0.54,0.4,0.2833,0,0,0,0,2021-04-21
RX0000004657,MBR00000127,2023-10-22,2023-10-24,1920807529,1109838914,PLN3077,858884,PCN289,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,8,Specialty,0,0,0,10.0,45.38,55.38,10.0,45.38,0.0,0.4,0.2833,0,0,0,0,2023-11-21
RX0000004658,MBR00000127,2022-11-02,2022-11-03,1495412275,1925613796,PLN3054,955059,PCN124,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,3,Retail,3,0,0,750.0,5.96,755.96,36.0,690.43,29.53,30.0,21.25,1,0,0,0,2022-12-02
RX0000004659,MBR00000127,2022-04-21,2022-04-25,1647567417,1819186523,PLN3009,679188,PCN330,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,5,Retail,0,0,0,15.0,1.78,16.78,9.0,6.62,1.16,0.6,0.425,0,0,0,0,2022-05-21
RX0000004660,MBR00000127,2022-01-05,2022-01-06,1385002686,1720691955,PLN2741,692088,PCN291,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,8,Retail,0,0,0,11.0,2.34,13.34,1.0,11.7,0.64,0.44,0.3117,0,0,0,0,2022-02-04
RX0000004661,MBR00000127,2021-07-21,2021-07-24,1421015467,1980407371,PLN6081,338776,PCN621,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,96,5,Retail,0,0,0,2850.0,11.36,2861.36,40.0,2681.9,139.46,38.0,26.9167,1,0,0,0,2021-10-19
RX0000004662,MBR00000127,2023-10-07,2023-10-09,1118602195,1823621107,PLN5515,265092,PCN524,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,2,Retail,0,0,0,15.0,7.8,22.8,3.0,18.99,0.81,0.6,0.425,0,0,0,0,2023-11-06
RX0000004663,MBR00000127,2021-03-06,2021-03-07,1665920989,1142019264,PLN3435,216525,PCN985,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,4,Retail,0,0,0,320.0,5.42,325.42,32.0,274.93,18.49,12.8,9.0667,0,0,0,0,2021-04-05
RX0000004664,MBR00000127,2023-08-31,2023-09-02,1894831456,1574382168,PLN4556,994247,PCN232,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,8,Retail,0,1,0,24.0,3.45,27.45,151.0,0.0,1.03,0.32,0.2267,0,0,0,0,2023-11-29
RX0000004665,MBR00000127,2021-01-14,2021-01-17,1403688366,1456267747,PLN4767,192171,PCN198,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,61,10,Retail,0,0,0,36.0,2.42,38.42,3.0,33.58,1.84,0.72,0.51,0,0,0,0,2021-03-15
RX0000004666,MBR00000127,2022-11-05,2022-11-08,1474634255,1995591951,PLN8400,918766,PCN385,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,57,9,Mail Order,1,1,0,24.0,5.24,29.24,145.0,0.0,1.35,0.48,0.34,0,0,0,0,2023-01-04
RX0000004667,MBR00000127,2023-09-01,2023-09-05,1922776798,1277917454,PLN3866,467466,PCN391,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,7,Retail,0,0,0,950.0,9.23,959.23,38.0,854.94,66.29,38.0,26.9167,0,0,0,0,2023-10-01
RX0000004668,MBR00000127,2023-02-15,2023-02-18,1948700071,1745959746,PLN5410,630624,PCN197,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,2,Mail Order,0,0,0,310.0,10.59,320.59,31.0,272.27,17.32,12.4,8.7833,0,0,0,0,2023-03-17
RX0000004669,MBR00000127,2023-08-24,2023-08-25,1191649647,1936882868,PLN5503,409810,PCN163,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,11,Mail Order,0,0,0,38.0,1.92,39.92,36.0,1.19,2.73,1.52,1.0767,0,0,0,0,2023-09-23
RX0000004670,MBR00000127,2022-01-31,2022-02-02,1733080191,1907972215,PLN1737,821700,PCN973,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,60,4,Retail,0,0,0,30.0,2.98,32.98,0.0,31.2,1.78,0.6,0.425,0,0,0,0,2022-04-01
RX0000004671,MBR00000127,2023-01-15,2023-01-18,1485570843,1348926987,PLN3028,919020,PCN712,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,5,Retail,0,0,0,2.1,3.27,5.37,5.0,0.1,0.27,0.36,0.255,0,0,0,0,2023-01-22
RX0000004672,MBR00000127,2021-12-12,2021-12-16,1246798012,1269720275,PLN3316,579916,PCN289,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,6,Retail,0,0,0,380.0,11.63,391.63,34.0,343.63,14.0,15.2,10.7667,0,0,0,0,2022-01-11
RX0000004673,MBR00000127,2023-05-08,2023-05-11,1482708160,1785953429,PLN6745,730658,PCN668,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,6,Specialty,0,1,0,6200.0,19.08,6219.08,149.0,6070.08,0.0,248.0,175.6667,0,0,0,0,2023-06-07
RX0000004674,MBR00000127,2022-11-20,2022-11-24,1232780021,1733253925,PLN4273,952488,PCN395,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,3,Retail,0,0,0,10.0,3.2,13.2,3.0,9.55,0.65,0.4,0.2833,0,1,0,0,2022-12-20
RX0000004675,MBR00000127,2021-10-06,2021-10-10,1892020591,1425794148,PLN4443,153822,PCN716,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,2,Retail,0,0,0,370.0,7.29,377.29,34.0,320.95,22.34,14.8,10.4833,0,0,0,0,2021-11-05
RX0000004676,MBR00000127,2021-09-27,2021-09-29,1205748114,1394928279,PLN7388,988676,PCN308,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,2,Retail,0,0,0,7.5,4.92,12.42,10.0,1.89,0.53,0.3,0.2125,0,0,0,0,2021-10-27
RX0000004677,MBR00000127,2022-01-28,2022-02-01,1662872351,1493717085,PLN5069,670541,PCN168,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,5,Retail,3,0,0,10.0,6.35,16.35,2.0,13.79,0.56,0.4,0.2833,0,1,0,0,2022-02-27
RX0000004678,MBR00000128,2022-07-31,2022-08-04,1599727454,1113253531,PLN4857,626145,PCN413,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,89,3,Retail,0,0,0,30.0,4.44,34.44,10.0,22.28,2.16,0.4,0.2833,0,0,0,0,2022-10-29
RX0000004679,MBR00000128,2023-09-09,2023-09-13,1346424215,1135620036,PLN3808,627565,PCN272,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,2,Specialty,0,0,0,18.0,17.53,35.53,10.0,25.53,0.0,0.72,0.51,0,0,0,0,2023-10-09
RX0000004680,MBR00000128,2023-01-21,2023-01-22,1362588693,1622230710,PLN7668,384818,PCN838,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,90,4,Retail,0,0,0,54.0,6.67,60.67,9.0,49.67,2.0,0.72,0.51,0,0,0,0,2023-04-21
RX0000004681,MBR00000128,2023-01-14,2023-01-18,1245974553,1460199491,PLN9721,545612,PCN696,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,8,Mail Order,0,0,0,285.0,10.64,295.64,30.0,250.77,14.87,11.4,8.075,0,0,0,0,2023-02-13
RX0000004682,MBR00000128,2021-07-29,2021-07-30,1567828475,1615387568,PLN3318,742471,PCN552,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,0,Retail,0,0,0,22.0,10.84,32.84,67.0,0.0,1.85,0.88,0.6233,0,0,0,0,2021-08-28
RX0000004683,MBR00000128,2022-06-05,2022-06-08,1465377078,1650366004,PLN2807,822060,PCN290,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,10,Retail,0,0,0,22.0,6.85,28.85,5.0,22.18,1.67,0.88,0.6233,1,0,0,0,2022-07-05
RX0000004684,MBR00000128,2022-12-06,2022-12-07,1659589989,1122814815,PLN3690,486155,PCN191,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,64,6,Retail,0,0,0,44.0,10.35,54.35,2.0,50.58,1.77,0.88,0.6233,0,0,0,0,2023-02-04
RX0000004685,MBR00000128,2021-09-17,2021-09-21,1532972075,1768559925,PLN7517,827181,PCN122,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,94,6,Mail Order,0,0,0,2850.0,6.91,2856.91,31.0,2739.96,85.95,38.0,26.9167,0,0,0,0,2021-12-16
RX0000004686,MBR00000128,2023-05-26,2023-05-30,1508440279,1460859354,PLN6692,663817,PCN439,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,0,Retail,0,0,0,18.0,6.89,24.89,2.0,21.62,1.27,0.72,0.51,0,0,0,0,2023-06-25
RX0000004687,MBR00000128,2021-04-25,2021-04-27,1109758565,1709650241,PLN7659,828463,PCN649,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,64,7,Retail,0,0,0,22.0,8.31,30.31,6.0,22.45,1.86,0.44,0.3117,0,1,0,0,2021-06-24
RX0000004688,MBR00000128,2022-03-18,2022-03-21,1114397305,1202304608,PLN4231,512985,PCN643,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,3,Retail,0,0,0,22.0,9.29,31.29,70.0,0.0,2.18,0.88,0.6233,0,0,0,0,2022-04-17
RX0000004689,MBR00000128,2023-04-13,2023-04-14,1649174794,1249136788,PLN6287,318412,PCN207,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,6,Retail,0,0,0,38.0,11.06,49.06,37.0,9.37,2.69,1.52,1.0767,0,0,0,0,2023-05-13
RX0000004690,MBR00000128,2021-08-01,2021-08-02,1296838122,1473363617,PLN1038,561641,PCN668,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,5,Retail,0,0,0,750.0,3.3,753.3,33.0,683.49,36.81,30.0,21.25,0,0,0,0,2021-08-31
RX0000004691,MBR00000128,2021-01-31,2021-02-01,1775467174,1799809695,PLN2695,803222,PCN274,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,2,Retail,0,0,0,9.0,10.77,19.77,0.0,18.42,1.35,0.36,0.255,0,0,0,0,2021-03-02
RX0000004692,MBR00000128,2022-09-22,2022-09-25,1194341843,1198460558,PLN8493,270154,PCN242,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,59,6,Retail,2,0,0,44.0,10.86,54.86,71.0,0.0,2.39,0.88,0.6233,0,0,0,0,2022-11-21
RX0000004693,MBR00000128,2021-05-25,2021-05-27,1834876011,1877747144,PLN4673,939536,PCN271,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,0,Retail,0,1,0,6200.0,3.61,6203.61,148.0,5654.0,401.61,248.0,175.6667,0,0,0,0,2021-06-24
RX0000004694,MBR00000129,2023-07-06,2023-07-10,1174783775,1490194852,PLN7807,242001,PCN788,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,9,Retail,0,0,0,9.0,1.99,10.99,4.0,6.25,0.74,0.36,0.255,0,0,0,0,2023-08-05
RX0000004695,MBR00000129,2021-07-01,2021-07-04,1788025317,1490226863,PLN7278,149961,PCN569,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,1,Mail Order,0,0,0,9.0,2.29,11.29,9.0,1.89,0.4,0.36,0.255,0,0,0,0,2021-07-31
RX0000004696,MBR00000129,2023-03-13,2023-03-17,1789450323,1573550260,PLN8609,181669,PCN269,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,2,Retail,1,0,0,650.0,9.83,659.83,36.0,589.59,34.24,26.0,18.4167,0,0,0,0,2023-04-12
RX0000004697,MBR00000129,2021-09-22,2021-09-24,1708534758,1613059056,PLN4191,682478,PCN727,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,5,Retail,0,0,0,750.0,9.09,759.09,38.0,677.27,43.82,30.0,21.25,0,0,0,0,2021-10-22
RX0000004698,MBR00000129,2022-10-24,2022-10-28,1728628280,1339856335,PLN3409,902353,PCN581,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,84,10,Retail,0,0,0,990.0,11.39,1001.39,30.0,910.42,60.97,13.2,9.35,0,0,0,0,2023-01-22
RX0000004699,MBR00000129,2022-01-27,2022-01-28,1625336832,1240358656,PLN7991,717459,PCN934,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,85,3,Retail,0,0,0,84.0,5.91,89.91,4.0,81.86,4.05,1.12,0.7933,0,0,0,0,2022-04-27
RX0000004700,MBR00000129,2021-03-31,2021-04-01,1337433552,1374436745,PLN6399,175008,PCN149,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,64,6,Retail,0,0,0,30.0,3.16,33.16,9.0,21.95,2.21,0.6,0.425,0,0,0,0,2021-05-30
RX0000004701,MBR00000129,2021-10-29,2021-10-31,1536800965,1673785019,PLN4420,760504,PCN323,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,1,Retail,0,0,0,18.0,3.35,21.35,39.0,0.0,0.93,0.72,0.51,0,0,0,0,2021-11-28
RX0000004702,MBR00000129,2021-10-08,2021-10-12,1725287328,1690377921,PLN7375,465314,PCN707,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,3,Mail Order,1,0,0,480.0,6.74,486.74,33.0,436.46,17.28,19.2,13.6,0,0,0,0,2021-11-07
RX0000004703,MBR00000129,2021-08-13,2021-08-17,1668068602,1333964466,PLN9105,839286,PCN935,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,3,Mail Order,0,0,0,3.73,2.07,5.81,6.0,0.0,0.41,0.64,0.4533,0,0,0,0,2021-08-20
RX0000004704,MBR00000129,2023-01-27,2023-01-28,1982057424,1147696053,PLN6848,422289,PCN435,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,85,1,Retail,0,1,0,36.0,3.89,39.89,154.0,0.0,2.1,0.48,0.34,1,0,0,0,2023-04-27
RX0000004705,MBR00000129,2023-08-19,2023-08-21,1219266211,1826142293,PLN3006,408716,PCN234,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,2,Mail Order,0,0,0,10.5,1.91,12.41,8.0,3.9,0.51,1.8,1.275,1,0,0,0,2023-08-26
RX0000004706,MBR00000129,2021-10-20,2021-10-22,1535922888,1621716514,PLN3532,841412,PCN315,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,4,Retail,3,1,0,8.0,10.21,18.21,145.0,0.0,0.81,0.32,0.2267,0,0,0,0,2021-11-19
RX0000004707,MBR00000129,2022-10-08,2022-10-11,1296210243,1375275796,PLN1446,512572,PCN841,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,8,Retail,0,0,0,175.0,4.43,179.43,39.0,131.23,9.2,7.0,4.9583,0,0,0,0,2022-11-07
RX0000004708,MBR00000129,2023-11-06,2023-11-09,1854248826,1206650789,PLN3633,157101,PCN189,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,11,Mail Order,0,0,0,10.0,1.81,11.81,0.0,11.35,0.46,0.4,0.2833,0,0,0,0,2023-12-06
RX0000004709,MBR00000129,2023-03-21,2023-03-23,1277444699,1747656339,PLN9521,899278,PCN955,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,9,Retail,0,0,0,15.17,8.5,23.67,36.0,0.0,0.82,2.6,1.8417,0,0,0,0,2023-03-28
RX0000004710,MBR00000129,2022-09-21,2022-09-25,1233883590,1192941668,PLN2762,888652,PCN850,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,1,Retail,0,0,0,195.0,6.19,201.19,33.0,158.25,9.94,2.6,1.8417,0,0,0,0,2022-12-20
RX0000004711,MBR00000129,2021-02-03,2021-02-04,1368267414,1465999658,PLN2687,456764,PCN200,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,3,Mail Order,0,1,0,8.0,8.45,16.45,151.0,0.0,0.76,0.32,0.2267,0,0,0,0,2021-03-05
RX0000004712,MBR00000130,2021-06-01,2021-06-03,1897080020,1885523263,PLN7536,796033,PCN344,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,91,7,Retail,0,0,0,42.0,7.42,49.42,10.0,36.2,3.22,0.56,0.3967,0,0,0,0,2021-08-30
RX0000004713,MBR00000130,2021-12-20,2021-12-23,1838338999,1339108418,PLN2749,340036,PCN547,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,7,Specialty,0,0,0,11.0,20.04,31.04,5.0,26.04,0.0,0.44,0.3117,0,0,0,0,2022-01-19
RX0000004714,MBR00000130,2021-03-06,2021-03-08,1375724913,1570490020,PLN4549,881861,PCN951,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,2,Mail Order,0,0,0,45.0,10.76,55.76,10.0,42.0,3.76,1.8,1.275,0,0,0,0,2021-04-05
RX0000004715,MBR00000130,2021-07-22,2021-07-26,1100709456,1795701440,PLN9697,218790,PCN720,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,10,Retail,0,0,0,480.0,5.56,485.56,40.0,425.35,20.21,19.2,13.6,0,0,0,0,2021-08-21
RX0000004716,MBR00000130,2023-09-25,2023-09-29,1423242407,1814943576,PLN2501,496748,PCN483,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,57,4,Retail,0,0,0,90.0,10.34,100.34,9.0,87.17,4.17,1.8,1.275,0,0,0,0,2023-11-24
RX0000004717,MBR00000130,2022-01-12,2022-01-14,1405713677,1847912083,PLN9586,794943,PCN365,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,2,Retail,0,0,0,310.0,10.43,320.43,30.0,278.16,12.27,12.4,8.7833,0,0,0,0,2022-02-11
RX0000004718,MBR00000130,2022-05-05,2022-05-08,1457799337,1891685232,PLN3694,818909,PCN504,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,7,Mail Order,0,0,0,3.27,9.75,13.02,6.0,6.6,0.42,0.56,0.3967,0,0,0,0,2022-05-12
RX0000004719,MBR00000130,2021-05-19,2021-05-20,1169152328,1575167948,PLN2104,301450,PCN412,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,96,7,Mail Order,0,0,0,33.0,9.51,42.51,1.0,39.41,2.1,0.44,0.3117,0,0,0,0,2021-08-17
RX0000004720,MBR00000130,2023-04-05,2023-04-07,1448348108,1149650903,PLN3580,413865,PCN524,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,11,Retail,0,0,0,7.5,7.68,15.18,4.0,10.34,0.84,0.3,0.2125,0,0,0,0,2023-05-05
RX0000004721,MBR00000130,2022-03-03,2022-03-05,1820170716,1171334210,PLN7234,557525,PCN880,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,1,Retail,0,0,0,12.0,3.93,15.93,4.0,11.03,0.9,0.48,0.34,1,0,0,0,2022-04-02
RX0000004722,MBR00000130,2023-12-15,2023-12-19,1941469967,1622881847,PLN6977,659005,PCN958,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,2,Retail,0,0,0,370.0,7.15,377.15,38.0,320.78,18.37,14.8,10.4833,0,0,0,0,2024-01-14
RX0000004723,MBR00000130,2021-02-09,2021-02-10,1312638191,1418073455,PLN4179,923447,PCN977,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,2,Retail,0,1,0,8.0,11.1,19.1,154.0,0.0,0.86,0.32,0.2267,0,0,0,0,2021-03-11
RX0000004724,MBR00000130,2021-02-21,2021-02-23,1493725219,1861071464,PLN8387,467413,PCN104,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,57,11,Retail,0,0,0,15.0,8.73,23.73,9.0,13.5,1.23,0.3,0.2125,0,0,0,0,2021-04-22
RX0000004725,MBR00000130,2022-06-03,2022-06-04,1384868743,1896303989,PLN4998,876925,PCN688,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,3,Retail,0,0,0,12.0,11.86,23.86,6.0,16.4,1.46,0.48,0.34,0,0,0,0,2022-07-03
RX0000004726,MBR00000130,2023-01-01,2023-01-03,1418833303,1409791149,PLN6153,311682,PCN142,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,4,Mail Order,3,0,0,18.0,9.48,27.48,2.0,24.56,0.92,0.72,0.51,0,0,0,0,2023-01-31
RX0000004727,MBR00000130,2021-03-12,2021-03-16,1550395065,1999435728,PLN2877,735717,PCN699,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,5,Mail Order,0,0,0,12.5,11.1,23.6,1.0,21.64,0.96,0.5,0.3542,0,0,0,0,2021-04-11
RX0000004728,MBR00000130,2022-04-12,2022-04-14,1307040052,1698140019,PLN4944,794091,PCN565,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,84,5,Retail,0,1,0,36.0,10.45,46.45,146.0,0.0,2.26,0.48,0.34,0,0,0,0,2022-07-11
RX0000004729,MBR00000130,2023-07-30,2023-08-02,1287052158,1369400137,PLN8283,269762,PCN251,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,8,Specialty,0,0,0,2.57,47.72,50.29,6.0,44.29,0.0,0.44,0.3117,0,0,0,0,2023-08-06
RX0000004730,MBR00000130,2022-06-08,2022-06-10,1866090328,1143251411,PLN8431,903393,PCN960,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,4,Retail,0,0,0,36.0,7.7,43.7,4.0,38.3,1.4,0.48,0.34,0,0,0,0,2022-09-06
RX0000004731,MBR00000130,2021-12-23,2021-12-26,1378898164,1779985291,PLN7438,699219,PCN846,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,81,2,Retail,0,0,1,45.0,8.21,53.21,7.0,44.4,1.81,0.6,0.425,0,0,0,0,2022-03-23
RX0000004732,MBR00000130,2021-07-12,2021-07-14,1991022805,1993605493,PLN9916,730665,PCN827,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,3,Retail,2,0,0,22.0,6.26,28.26,3.0,24.21,1.05,0.88,0.6233,0,0,0,0,2021-08-11
RX0000004733,MBR00000130,2023-03-30,2023-04-02,1247433205,1864338720,PLN1933,304926,PCN319,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,11,Retail,0,0,0,7.5,4.38,11.88,2.0,9.37,0.51,0.3,0.2125,0,0,0,0,2023-04-29
RX0000004734,MBR00000130,2022-07-23,2022-07-24,1363787610,1106437463,PLN1779,274939,PCN330,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,89,10,Retail,0,0,0,22.5,7.16,29.66,4.0,24.05,1.61,0.3,0.2125,0,0,0,0,2022-10-21
RX0000004735,MBR00000130,2022-09-10,2022-09-12,1279426522,1200130426,PLN9106,871909,PCN127,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,94,2,Retail,0,0,0,42.0,1.51,43.51,5.0,36.03,2.48,0.56,0.3967,0,0,0,0,2022-12-09
RX0000004736,MBR00000130,2022-06-29,2022-07-01,1340823939,1720989772,PLN9221,352861,PCN761,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,6,Retail,0,0,0,380.0,6.82,386.82,34.0,340.6,12.22,15.2,10.7667,0,0,0,0,2022-07-29
RX0000004737,MBR00000130,2021-04-27,2021-04-29,1462508014,1221437082,PLN1366,430744,PCN811,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,7,Retail,2,0,0,28.0,3.82,31.82,6.0,24.07,1.75,1.12,0.7933,0,0,0,0,2021-05-27
RX0000004738,MBR00000130,2021-11-22,2021-11-23,1724443418,1607543651,PLN8938,786844,PCN996,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,Retail,0,0,0,22.0,2.37,24.37,10.0,13.4,0.97,0.88,0.6233,1,0,0,0,2021-12-22
RX0000004739,MBR00000130,2022-10-08,2022-10-11,1325537455,1909516027,PLN9455,315932,PCN503,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,3,Retail,0,0,0,22.0,8.95,30.95,8.0,21.45,1.5,0.88,0.6233,0,0,0,0,2022-11-07
RX0000004740,MBR00000130,2023-04-17,2023-04-20,1997086775,1416069203,PLN8612,233962,PCN249,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,5,Retail,0,0,0,10.0,3.13,13.13,10.0,2.49,0.64,0.4,0.2833,0,0,0,0,2023-05-17
RX0000004741,MBR00000130,2021-02-27,2021-03-02,1168276086,1480555357,PLN2848,411479,PCN578,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,3,Mail Order,3,0,0,12.0,7.0,19.0,9.0,9.02,0.98,0.48,0.34,0,1,0,0,2021-03-29
RX0000004742,MBR00000130,2022-05-06,2022-05-09,1311840269,1798800395,PLN3905,551074,PCN191,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,2,Retail,1,0,0,22.0,7.36,29.36,2.0,26.19,1.17,0.88,0.6233,0,0,0,0,2022-06-05
RX0000004743,MBR00000130,2021-08-21,2021-08-25,1201837226,1944357487,PLN7329,524114,PCN988,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,7,Retail,0,0,0,2.33,2.75,5.08,5.0,0.0,0.21,0.4,0.2833,0,0,0,0,2021-08-28
RX0000004744,MBR00000130,2021-09-23,2021-09-26,1402825300,1809067312,PLN1230,121874,PCN709,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,10,Retail,0,1,0,12.0,9.08,21.08,148.0,0.0,0.86,0.48,0.34,0,1,1,0,2021-10-23
RX0000004745,MBR00000130,2023-02-18,2023-02-22,1140714426,1289872359,PLN7439,439328,PCN691,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,5,Mail Order,0,1,0,8.0,7.95,15.95,151.0,0.0,0.66,0.32,0.2267,0,0,0,0,2023-03-20
RX0000004746,MBR00000130,2023-04-15,2023-04-18,1301929431,1961255449,PLN7252,201509,PCN888,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,9,Retail,0,0,0,185.0,5.67,190.67,35.0,149.32,6.35,7.4,5.2417,0,0,0,0,2023-05-15
RX0000004747,MBR00000130,2021-08-20,2021-08-24,1116214417,1420506932,PLN1688,698312,PCN723,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,10,Retail,0,0,0,14.0,9.28,23.28,2.0,19.99,1.29,0.56,0.3967,0,0,0,0,2021-09-19
RX0000004748,MBR00000130,2022-01-25,2022-01-28,1554448874,1228472944,PLN7565,525252,PCN359,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,65,5,Retail,3,1,0,5600.0,4.43,5604.43,150.0,5231.07,223.36,112.0,79.3333,0,0,0,0,2022-03-26
RX0000004749,MBR00000131,2021-03-03,2021-03-04,1757500731,1540381570,PLN2729,114091,PCN107,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,98,8,Retail,0,0,0,2850.0,1.74,2851.74,32.0,2623.94,195.8,38.0,26.9167,0,0,0,0,2021-06-01
RX0000004750,MBR00000131,2023-08-26,2023-08-30,1149996570,1958357451,PLN4575,937465,PCN601,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,81,2,Retail,0,0,0,48.0,10.85,58.85,8.0,47.37,3.48,0.64,0.4533,0,0,0,0,2023-11-24
RX0000004751,MBR00000131,2023-12-05,2023-12-06,1699378590,1909001350,PLN9430,103582,PCN696,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,88,5,Mail Order,0,1,0,36.0,1.83,37.83,145.0,0.0,1.16,0.48,0.34,0,0,0,0,2024-03-04
RX0000004752,MBR00000131,2021-09-22,2021-09-25,1563517364,1163061003,PLN3046,333297,PCN394,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,5,Retail,1,0,0,12.0,8.25,20.25,8.0,11.08,1.17,0.48,0.34,0,0,0,0,2021-10-22
RX0000004753,MBR00000131,2021-08-15,2021-08-16,1565954309,1863704169,PLN5538,801554,PCN861,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,10,Retail,0,1,0,8500.0,6.47,8506.47,153.0,7954.47,399.0,340.0,240.8333,0,0,0,0,2021-09-14
RX0000004754,MBR00000131,2021-08-29,2021-08-31,1234409265,1217719121,PLN3953,955043,PCN237,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,82,3,Mail Order,0,0,0,66.0,6.98,72.98,66.0,2.24,4.74,0.88,0.6233,0,0,0,0,2021-11-27
RX0000004755,MBR00000131,2023-07-01,2023-07-04,1900954434,1506704191,PLN8678,595770,PCN422,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,11,Retail,0,0,0,9.0,4.2,13.2,9.0,3.33,0.87,0.36,0.255,0,0,0,0,2023-07-31
RX0000004756,MBR00000131,2021-06-19,2021-06-21,1374977886,1655052809,PLN2126,897962,PCN356,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,6,Retail,0,0,0,18.0,7.4,25.4,7.0,17.01,1.39,0.72,0.51,0,0,0,0,2021-07-19
RX0000004757,MBR00000131,2023-05-21,2023-05-24,1277720256,1123846211,PLN9220,467391,PCN905,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,10,Retail,0,0,0,480.0,11.25,491.25,31.0,444.05,16.2,19.2,13.6,0,0,0,0,2023-06-20
RX0000004758,MBR00000131,2023-02-22,2023-02-26,1447855487,1220647794,PLN1350,530233,PCN437,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,6,Retail,0,0,0,4.2,6.94,11.14,10.0,0.57,0.57,0.72,0.51,0,0,0,0,2023-03-01
RX0000004759,MBR00000131,2021-05-12,2021-05-16,1606066825,1391596685,PLN4655,239062,PCN907,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,2,Retail,0,0,0,8.5,5.81,14.31,2.0,11.45,0.86,0.34,0.2408,0,0,0,0,2021-06-11
RX0000004760,MBR00000131,2021-10-10,2021-10-11,1408500178,1277142413,PLN7988,490860,PCN221,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,6,Retail,0,0,0,9.0,5.01,14.01,2.0,11.28,0.73,0.36,0.255,0,0,0,0,2021-11-09
RX0000004761,MBR00000131,2021-08-30,2021-09-02,1647123892,1728000834,PLN9013,667708,PCN995,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,10,Retail,0,0,0,45.0,10.2,55.2,6.0,47.34,1.86,1.8,1.275,0,0,0,0,2021-09-29
RX0000004762,MBR00000131,2021-03-20,2021-03-22,1275600566,1385029673,PLN6844,390308,PCN860,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,5,Retail,0,0,0,10.0,9.91,19.91,6.0,13.18,0.73,0.4,0.2833,0,0,0,0,2021-04-19
RX0000004763,MBR00000131,2023-10-26,2023-10-28,1776162553,1970121734,PLN3058,286703,PCN836,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,92,9,Mail Order,0,0,0,555.0,7.49,562.49,35.0,506.47,21.02,7.4,5.2417,0,0,0,0,2024-01-24
RX0000004764,MBR00000131,2023-11-26,2023-11-28,1917108511,1613001432,PLN8070,408004,PCN286,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,8,Retail,0,1,0,18600.0,9.77,18609.77,146.0,17329.87,1133.9,248.0,175.6667,0,0,0,0,2024-02-24
RX0000004765,MBR00000131,2021-03-03,2021-03-06,1198761186,1710725243,PLN8575,600985,PCN583,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,0,Retail,0,0,0,16.0,8.17,24.17,6.0,16.61,1.56,0.64,0.4533,0,0,0,0,2021-04-02
RX0000004766,MBR00000132,2023-09-26,2023-09-30,1217609914,1136179739,PLN9003,874713,PCN139,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,65,9,Retail,0,1,0,16.0,4.15,20.15,154.0,0.0,0.62,0.32,0.2267,0,0,0,0,2023-11-25
RX0000004767,MBR00000132,2022-09-21,2022-09-22,1805666088,1885975777,PLN7901,367567,PCN235,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,62,3,Mail Order,0,0,0,28.0,3.42,31.42,5.0,25.05,1.37,0.56,0.3967,0,0,0,0,2022-11-20
RX0000004768,MBR00000132,2022-09-24,2022-09-25,1108156059,1492660251,PLN2554,781617,PCN103,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,55,7,Mail Order,0,0,0,36.0,9.42,45.42,8.0,34.39,3.03,0.72,0.51,0,0,0,0,2022-11-23
RX0000004769,MBR00000132,2021-08-28,2021-08-30,1587189430,1720970743,PLN4259,293959,PCN575,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,4,Specialty,1,0,0,14.0,24.48,38.48,0.0,38.48,0.0,0.56,0.3967,0,0,0,0,2021-09-27
RX0000004770,MBR00000132,2021-07-17,2021-07-18,1566309348,1343203799,PLN3171,746231,PCN828,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,11,Mail Order,0,0,0,14.0,3.76,17.76,2.0,15.04,0.72,0.56,0.3967,0,0,0,0,2021-08-16
RX0000004771,MBR00000132,2022-01-30,2022-02-03,1930617171,1344433760,PLN9378,963860,PCN386,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,11,Retail,0,0,0,22.0,11.68,33.68,73.0,0.0,2.25,0.88,0.6233,0,0,0,0,2022-03-01
RX0000004772,MBR00000132,2023-08-21,2023-08-24,1753648133,1629256090,PLN1267,112744,PCN733,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,55,8,Retail,0,0,0,36.0,3.59,39.59,38.0,0.0,1.87,0.72,0.51,0,0,0,0,2023-10-20
RX0000004773,MBR00000132,2021-09-11,2021-09-12,1832856148,1766586071,PLN2679,478083,PCN940,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,87,0,Retail,2,0,0,48.0,1.76,49.76,3.0,43.97,2.79,0.64,0.4533,0,0,0,0,2021-12-10
RX0000004774,MBR00000132,2023-07-07,2023-07-10,1985806939,1554273160,PLN6733,302552,PCN748,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,4,Retail,0,1,0,8.0,8.79,16.79,155.0,0.0,1.06,0.32,0.2267,0,0,0,0,2023-08-06
RX0000004775,MBR00000132,2022-08-06,2022-08-09,1419814761,1754415350,PLN4747,316509,PCN245,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,81,2,Retail,0,0,0,1950.0,11.01,1961.01,32.0,1826.99,102.02,26.0,18.4167,0,0,0,0,2022-11-04
RX0000004776,MBR00000132,2023-04-03,2023-04-05,1288233276,1422011784,PLN3660,720960,PCN894,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,11,Retail,0,0,0,175.0,9.0,184.0,39.0,134.45,10.55,7.0,4.9583,0,0,0,0,2023-05-03
RX0000004777,MBR00000132,2022-10-06,2022-10-09,1180081405,1417181048,PLN5513,158724,PCN732,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,86,0,Retail,0,1,0,36.0,11.25,47.25,153.0,0.0,2.16,0.48,0.34,0,0,0,0,2023-01-04
RX0000004778,MBR00000132,2021-01-17,2021-01-21,1957533821,1611978569,PLN2984,739791,PCN307,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,94,0,Retail,0,0,0,1950.0,7.04,1957.04,36.0,1801.33,119.71,26.0,18.4167,0,0,0,0,2021-04-17
RX0000004779,MBR00000132,2023-01-01,2023-01-03,1308980802,1193004304,PLN3737,355641,PCN346,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,96,10,Retail,0,0,0,42.0,5.71,47.71,8.0,37.37,2.34,0.56,0.3967,0,0,0,0,2023-04-01
RX0000004780,MBR00000132,2021-04-17,2021-04-19,1138061749,1788602336,PLN7380,533527,PCN758,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,1,Retail,0,0,0,151.67,3.34,155.01,36.0,113.29,5.72,26.0,18.4167,0,0,0,0,2021-04-24
RX0000004781,MBR00000132,2023-11-17,2023-11-19,1719283206,1180296589,PLN4713,880972,PCN355,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,11,Mail Order,0,0,0,4.2,3.99,8.19,4.0,3.67,0.52,0.72,0.51,0,0,0,0,2023-11-24
RX0000004782,MBR00000132,2021-06-26,2021-06-28,1184965402,1558352462,PLN1264,971306,PCN736,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,2,Retail,1,0,0,2.8,10.03,12.83,5.0,7.08,0.75,0.48,0.34,0,0,0,0,2021-07-03
RX0000004783,MBR00000132,2021-05-12,2021-05-13,1341440872,1646245456,PLN8698,877142,PCN791,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,6,Retail,0,0,0,11.0,9.22,20.22,1.0,18.58,0.64,0.44,0.3117,0,0,0,0,2021-06-11
RX0000004784,MBR00000132,2021-12-15,2021-12-19,1598793114,1503278748,PLN8547,249981,PCN193,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,10,Retail,0,0,0,38.0,7.34,45.34,30.0,12.62,2.72,1.52,1.0767,0,0,0,0,2022-01-14
RX0000004785,MBR00000132,2022-01-15,2022-01-19,1230624395,1720860119,PLN7513,735549,PCN527,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,85,7,Retail,0,0,0,555.0,6.98,561.98,40.0,492.23,29.75,7.4,5.2417,0,0,0,0,2022-04-15
RX0000004786,MBR00000132,2021-07-01,2021-07-03,1447165347,1880017862,PLN6703,375025,PCN282,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,93,7,Retail,0,0,0,1140.0,2.1,1142.1,32.0,1063.45,46.65,15.2,10.7667,0,1,1,0,2021-09-29
RX0000004787,MBR00000132,2023-04-24,2023-04-27,1678690096,1924192733,PLN8647,338649,PCN839,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,11,Retail,2,0,0,285.0,9.91,294.91,37.0,238.37,19.54,11.4,8.075,0,0,0,0,2023-05-24
RX0000004788,MBR00000132,2023-02-18,2023-02-21,1988556009,1257699942,PLN2391,231439,PCN657,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,11,Retail,0,0,0,175.0,10.9,185.9,34.0,143.97,7.93,7.0,4.9583,0,0,0,0,2023-03-20
RX0000004789,MBR00000132,2022-02-16,2022-02-20,1453908770,1259497564,PLN6473,784606,PCN469,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,6,Retail,0,0,0,310.0,2.4,312.4,33.0,258.52,20.88,12.4,8.7833,1,0,0,0,2022-03-18
RX0000004790,MBR00000132,2021-01-31,2021-02-01,1714228924,1400011361,PLN6470,805978,PCN170,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,83,6,Retail,0,0,0,1950.0,11.88,1961.88,31.0,1855.03,75.85,26.0,18.4167,0,0,0,0,2021-05-01
RX0000004791,MBR00000132,2023-06-25,2023-06-26,1823213033,1386875771,PLN5287,589513,PCN384,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,3,Retail,0,0,0,10.0,7.34,17.34,2.0,14.6,0.74,0.4,0.2833,0,0,0,0,2023-07-25
RX0000004792,MBR00000132,2021-12-19,2021-12-20,1140274150,1248883167,PLN3289,968984,PCN758,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,88,8,Mail Order,0,0,0,45.0,8.08,53.08,3.0,46.7,3.38,0.6,0.425,0,0,0,0,2022-03-19
RX0000004793,MBR00000132,2021-01-23,2021-01-25,1309348056,1709417759,PLN6245,668246,PCN783,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,55,10,Mail Order,0,0,0,760.0,9.51,769.51,38.0,678.01,53.5,15.2,10.7667,0,0,0,0,2021-03-24
RX0000004794,MBR00000132,2022-05-14,2022-05-17,1958821868,1598392659,PLN1568,339244,PCN384,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,0,Retail,0,0,0,45.0,11.11,56.11,9.0,44.51,2.6,1.8,1.275,0,0,0,0,2022-06-13
RX0000004795,MBR00000132,2021-11-28,2021-11-29,1717868416,1754644495,PLN3445,598667,PCN170,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,8,Specialty,0,0,0,2.8,48.21,51.01,2.0,49.01,0.0,0.48,0.34,0,0,0,0,2021-12-05
RX0000004796,MBR00000132,2023-05-08,2023-05-12,1402397937,1169385778,PLN9273,602774,PCN198,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,58,8,Retail,3,0,0,350.0,4.63,354.63,37.0,294.14,23.49,7.0,4.9583,0,0,0,0,2023-07-07
RX0000004797,MBR00000132,2022-01-28,2022-02-01,1768517811,1450853259,PLN2659,988533,PCN400,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,81,8,Retail,0,0,0,66.0,3.28,69.28,72.0,0.0,4.53,0.88,0.6233,0,0,0,0,2022-04-28
RX0000004798,MBR00000132,2021-04-15,2021-04-17,1194056472,1681077797,PLN3726,427306,PCN659,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,93,2,Retail,0,0,0,54.0,9.22,63.22,10.0,50.77,2.45,0.72,0.51,0,0,0,0,2021-07-14
RX0000004799,MBR00000132,2022-10-02,2022-10-04,1604142912,1984502166,PLN6635,659195,PCN155,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,81,7,Mail Order,0,0,0,135.0,9.26,144.26,4.0,133.78,6.48,1.8,1.275,0,0,0,0,2022-12-31
RX0000004800,MBR00000132,2022-07-15,2022-07-18,1563190584,1861739721,PLN3022,429596,PCN774,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,83,7,Mail Order,0,0,0,36.0,3.98,39.98,6.0,32.03,1.95,0.48,0.34,0,0,0,0,2022-10-13
RX0000004801,MBR00000132,2021-12-23,2021-12-27,1180051229,1398508103,PLN8079,975097,PCN789,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,4,Mail Order,0,1,0,2800.0,6.55,2806.55,152.0,2468.94,185.61,112.0,79.3333,1,0,0,0,2022-01-22
RX0000004802,MBR00000132,2022-11-10,2022-11-13,1880711759,1630144448,PLN9414,548140,PCN993,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,9,Retail,1,0,0,185.0,11.54,196.54,38.0,150.66,7.88,7.4,5.2417,0,0,0,0,2022-12-10
RX0000004803,MBR00000132,2023-01-12,2023-01-14,1867652168,1241970705,PLN9670,620156,PCN567,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,3,LTC,0,0,0,2.1,2.38,4.48,9.0,0.0,0.19,0.36,0.255,0,0,0,0,2023-01-19
RX0000004804,MBR00000132,2021-04-29,2021-04-30,1303779010,1629100407,PLN7271,872416,PCN280,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,2,Mail Order,0,0,0,480.0,10.06,490.06,34.0,438.66,17.4,19.2,13.6,0,1,1,0,2021-05-29
RX0000004805,MBR00000132,2023-09-28,2023-09-29,1692816086,1579761586,PLN7801,791279,PCN149,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,3,Retail,0,0,0,10.0,2.82,12.82,7.0,5.16,0.66,0.4,0.2833,1,0,0,0,2023-10-28
RX0000004806,MBR00000132,2023-02-15,2023-02-16,1704191470,1346317086,PLN8329,208108,PCN956,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,4,Retail,3,0,0,10.0,5.28,15.28,0.0,14.43,0.85,0.4,0.2833,0,0,0,0,2023-03-17
RX0000004807,MBR00000132,2021-07-27,2021-07-28,1612846030,1863275563,PLN3083,105854,PCN777,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,8,Retail,0,0,0,7.5,1.76,9.26,3.0,5.81,0.45,0.3,0.2125,0,0,0,0,2021-08-26
RX0000004808,MBR00000132,2023-03-14,2023-03-18,1527782933,1190169438,PLN3062,399451,PCN769,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,4,Mail Order,0,0,0,22.0,7.98,29.98,75.0,0.0,1.51,0.88,0.6233,1,0,0,0,2023-04-13
RX0000004809,MBR00000132,2022-02-14,2022-02-16,1106669479,1222307740,PLN9301,999210,PCN755,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,2,Retail,3,1,0,6200.0,3.42,6203.42,155.0,5689.25,359.17,248.0,175.6667,0,0,0,0,2022-03-16
RX0000004810,MBR00000132,2023-12-20,2023-12-22,1609943331,1419292366,PLN1199,702245,PCN127,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,6,Retail,0,0,0,14.0,8.42,22.42,1.0,19.98,1.44,0.56,0.3967,0,0,0,0,2024-01-19
RX0000004811,MBR00000132,2023-06-08,2023-06-12,1654484894,1588511435,PLN9594,559985,PCN841,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,11,Retail,0,0,0,18.0,8.35,26.35,39.0,0.0,1.47,0.72,0.51,0,0,0,0,2023-07-08
RX0000004812,MBR00000132,2023-05-14,2023-05-16,1629642890,1321431311,PLN9070,509414,PCN481,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,1,Retail,3,0,0,66.5,4.66,71.16,34.0,33.57,3.59,11.4,8.075,0,0,0,0,2023-05-21
RX0000004813,MBR00000132,2021-03-01,2021-03-04,1609617089,1713156526,PLN3792,975154,PCN447,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,97,9,Retail,0,0,0,525.0,5.45,530.45,40.0,466.96,23.49,7.0,4.9583,0,0,0,0,2021-05-30
RX0000004814,MBR00000132,2021-11-26,2021-11-29,1279757534,1526943156,PLN5426,389753,PCN805,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,1,Mail Order,0,0,0,65.0,6.09,71.09,35.0,32.69,3.4,2.6,1.8417,0,0,0,0,2021-12-26
RX0000004815,MBR00000132,2022-01-11,2022-01-13,1350469084,1709085679,PLN2416,247667,PCN937,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,6,Retail,0,0,0,6.53,11.16,17.69,5.0,11.79,0.9,1.12,0.7933,0,0,0,0,2022-01-18
RX0000004816,MBR00000132,2021-09-07,2021-09-10,1229601377,1943484891,PLN7915,611389,PCN777,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,6,Retail,3,0,0,22.0,11.6,33.6,67.0,0.0,2.06,0.88,0.6233,1,0,0,0,2021-10-07
RX0000004817,MBR00000132,2021-09-29,2021-10-02,1874306816,1948919167,PLN7264,422913,PCN928,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,87,9,Retail,3,0,0,84.0,6.9,90.9,3.0,83.64,4.26,1.12,0.7933,0,0,0,0,2021-12-28
RX0000004818,MBR00000132,2023-01-22,2023-01-24,1203131357,1147807755,PLN8536,808031,PCN538,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,10,Specialty,0,0,0,14.0,24.32,38.32,4.0,34.32,0.0,0.56,0.3967,0,0,0,0,2023-02-21
RX0000004819,MBR00000132,2022-08-05,2022-08-08,1141616921,1819691934,PLN7153,899573,PCN578,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,8,Retail,0,0,0,10.0,2.26,12.26,2.0,9.54,0.72,0.4,0.2833,0,0,0,0,2022-09-04
RX0000004820,MBR00000132,2022-04-16,2022-04-19,1951997063,1597324389,PLN4196,342600,PCN680,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,5,Retail,0,1,0,12.0,9.71,21.71,153.0,0.0,0.88,0.48,0.34,0,0,0,0,2022-05-16
RX0000004821,MBR00000132,2023-12-24,2023-12-26,1958030449,1807096290,PLN7841,571315,PCN653,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,82,6,Retail,0,0,0,66.0,9.31,75.31,5.0,67.59,2.72,0.88,0.6233,0,0,0,0,2024-03-23
RX0000004822,MBR00000132,2021-02-11,2021-02-12,1908801959,1387923223,PLN5431,982630,PCN196,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,11,Retail,2,0,0,320.0,7.67,327.67,31.0,280.27,16.4,12.8,9.0667,0,0,0,0,2021-03-13
RX0000004823,MBR00000132,2022-05-28,2022-05-30,1654242791,1614164504,PLN1126,486947,PCN252,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,11,Retail,0,0,0,2.8,4.42,7.22,7.0,0.0,0.47,0.48,0.34,0,0,0,0,2022-06-04
RX0000004824,MBR00000133,2021-10-14,2021-10-15,1808704204,1129570241,PLN2094,764402,PCN642,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,5,Mail Order,0,1,0,1446.67,3.68,1450.35,153.0,1219.75,77.6,248.0,175.6667,0,0,0,0,2021-10-21
RX0000004825,MBR00000133,2023-10-25,2023-10-28,1575433010,1799105533,PLN7579,258362,PCN707,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,4,Retail,2,0,0,750.0,6.39,756.39,30.0,680.5,45.89,30.0,21.25,0,0,0,0,2023-11-24
RX0000004826,MBR00000133,2021-04-26,2021-04-28,1661423727,1630337817,PLN6882,124904,PCN666,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,3,Retail,3,0,0,175.0,7.87,182.87,30.0,140.33,12.54,7.0,4.9583,0,0,0,0,2021-05-26
RX0000004827,MBR00000133,2022-11-18,2022-11-20,1473525146,1369200938,PLN1132,741603,PCN138,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,7,Retail,0,0,0,10.0,10.2,20.2,3.0,16.15,1.05,0.4,0.2833,0,0,0,0,2022-12-18
RX0000004828,MBR00000133,2023-12-26,2023-12-27,1912597233,1794640454,PLN9931,307131,PCN703,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,1,Mail Order,0,1,0,6200.0,9.76,6209.76,151.0,5867.19,191.57,248.0,175.6667,0,0,0,0,2024-01-25
RX0000004829,MBR00000133,2022-03-13,2022-03-16,1331759421,1510828856,PLN8006,186283,PCN307,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,1,Retail,2,0,0,18.0,3.69,21.69,7.0,13.47,1.22,0.72,0.51,1,0,0,0,2022-04-12
RX0000004830,MBR00000133,2021-08-23,2021-08-26,1574053097,1286523238,PLN7164,270907,PCN501,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,85,9,Retail,0,1,0,8400.0,4.7,8404.7,145.0,7794.52,465.18,112.0,79.3333,0,0,0,0,2021-11-21
RX0000004831,MBR00000133,2022-01-01,2022-01-02,1927783014,1830954824,PLN7514,708072,PCN236,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,10,Retail,0,0,0,9.0,9.79,18.79,4.0,13.99,0.8,0.36,0.255,0,0,0,0,2022-01-31
RX0000004832,MBR00000133,2022-04-14,2022-04-17,1528151821,1629402726,PLN3309,534460,PCN672,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,5,Retail,0,0,0,45.0,6.91,51.91,7.0,42.96,1.95,1.8,1.275,0,0,0,0,2022-05-14
RX0000004833,MBR00000133,2022-11-06,2022-11-07,1657534410,1588295959,PLN8854,801357,PCN873,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,6,Retail,3,0,0,185.0,5.09,190.09,34.0,145.02,11.07,7.4,5.2417,0,0,0,0,2022-12-06
RX0000004834,MBR00000133,2022-03-14,2022-03-15,1527859932,1713656184,PLN9837,934307,PCN279,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,82,3,Retail,1,0,0,54.0,5.65,59.65,5.0,50.72,3.93,0.72,0.51,0,0,0,0,2022-06-12
RX0000004835,MBR00000133,2021-04-01,2021-04-03,1341933446,1611731317,PLN3631,528947,PCN491,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,5,Retail,0,0,0,38.0,9.17,47.17,36.0,9.42,1.75,1.52,1.0767,0,1,1,0,2021-05-01
RX0000004836,MBR00000133,2022-02-12,2022-02-14,1877805234,1808224434,PLN6167,392514,PCN406,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,97,8,Retail,0,0,0,855.0,3.75,858.75,33.0,786.08,39.67,11.4,8.075,0,0,0,0,2022-05-13
RX0000004837,MBR00000133,2021-08-18,2021-08-19,1549693707,1250822070,PLN6123,681125,PCN990,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,8,Retail,0,0,0,45.0,6.43,51.43,10.0,38.29,3.14,1.8,1.275,0,0,0,0,2021-09-17
RX0000004838,MBR00000133,2022-08-13,2022-08-17,1225415869,1428385635,PLN9016,561411,PCN206,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,10,Mail Order,0,0,0,15.0,9.36,24.36,3.0,20.04,1.32,0.6,0.425,0,0,0,0,2022-09-12
RX0000004839,MBR00000133,2021-02-06,2021-02-10,1993653731,1801270313,PLN5047,300227,PCN185,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,3,Retail,0,0,0,11.0,7.62,18.62,6.0,11.74,0.88,0.44,0.3117,0,0,0,0,2021-03-08
RX0000004840,MBR00000133,2022-05-23,2022-05-24,1442983227,1903262645,PLN1513,716979,PCN622,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,94,8,Retail,0,0,0,1110.0,9.74,1119.74,35.0,1050.85,33.89,14.8,10.4833,0,0,0,0,2022-08-21
RX0000004841,MBR00000133,2023-03-25,2023-03-28,1742368849,1156252927,PLN3718,976573,PCN639,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,10,Mail Order,0,0,0,5.13,4.29,9.42,65.0,0.0,0.63,0.88,0.6233,0,0,0,0,2023-04-01
RX0000004842,MBR00000133,2022-12-10,2022-12-14,1947656480,1256193337,PLN5326,392513,PCN965,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,10,Retail,1,0,0,175.0,7.86,182.86,39.0,132.65,11.21,7.0,4.9583,0,0,0,0,2023-01-09
RX0000004843,MBR00000133,2022-06-20,2022-06-21,1697402865,1464569841,PLN3026,906192,PCN792,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,5,Retail,0,0,0,9.0,7.67,16.67,3.0,12.81,0.86,0.36,0.255,0,0,0,0,2022-07-20
RX0000004844,MBR00000133,2022-05-30,2022-06-03,1331272750,1654457550,PLN1951,419062,PCN764,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,0,Mail Order,0,0,0,3.27,6.81,10.08,9.0,0.61,0.47,0.56,0.3967,0,0,0,0,2022-06-06
RX0000004845,MBR00000133,2022-02-09,2022-02-10,1381143857,1953183677,PLN5904,984322,PCN215,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,10,Mail Order,0,1,0,6200.0,10.14,6210.14,146.0,5798.06,266.08,248.0,175.6667,0,0,0,0,2022-03-11
RX0000004846,MBR00000133,2023-08-08,2023-08-10,1560288000,1540494345,PLN7308,389833,PCN748,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,2,Retail,0,0,0,22.0,11.07,33.07,5.0,26.91,1.16,0.88,0.6233,0,0,0,0,2023-09-07
RX0000004847,MBR00000133,2022-01-26,2022-01-29,1183743599,1698099827,PLN3828,719907,PCN405,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,6,Mail Order,0,0,0,10.5,8.49,18.99,2.0,16.25,0.74,1.8,1.275,0,0,0,0,2022-02-02
RX0000004848,MBR00000133,2021-09-16,2021-09-20,1813123505,1153995633,PLN6817,981808,PCN952,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,6,Retail,0,0,0,370.0,3.8,373.8,34.0,321.84,17.96,14.8,10.4833,0,0,0,0,2021-10-16
RX0000004849,MBR00000133,2022-07-14,2022-07-18,1186204773,1972633960,PLN3794,298743,PCN809,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,1,LTC,0,0,0,45.0,7.95,52.95,2.0,47.48,3.47,1.8,1.275,1,0,0,0,2022-08-13
RX0000004850,MBR00000133,2023-10-11,2023-10-13,1564753561,1306355519,PLN2095,180493,PCN454,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,4,Retail,0,0,0,380.0,4.6,384.6,33.0,327.12,24.48,15.2,10.7667,0,0,0,0,2023-11-10
RX0000004851,MBR00000133,2023-09-02,2023-09-05,1218871940,1265907185,PLN8352,211382,PCN981,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,97,1,Retail,0,0,0,135.0,10.53,145.53,4.0,133.6,7.93,1.8,1.275,0,0,0,0,2023-12-01
RX0000004852,MBR00000133,2023-09-30,2023-10-04,1649630393,1867235060,PLN1414,163669,PCN328,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,0,Retail,0,0,0,2.1,4.97,7.07,0.0,6.68,0.39,0.36,0.255,0,0,0,0,2023-10-07
RX0000004853,MBR00000133,2021-05-07,2021-05-08,1636430028,1932305924,PLN2668,868150,PCN489,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,6,Retail,0,1,0,8500.0,10.81,8510.81,154.0,7982.79,374.02,340.0,240.8333,0,0,0,0,2021-06-06
RX0000004854,MBR00000133,2021-12-31,2022-01-02,1342430106,1715429243,PLN5405,580407,PCN333,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,98,6,Retail,0,0,0,855.0,1.75,856.75,36.0,790.19,30.56,11.4,8.075,0,0,0,0,2022-03-31
RX0000004855,MBR00000133,2023-11-30,2023-12-02,1892763216,1789209723,PLN5053,811405,PCN863,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,6,Retail,0,0,0,10.0,8.45,18.45,7.0,10.74,0.71,0.4,0.2833,0,0,0,0,2023-12-30
RX0000004856,MBR00000133,2022-05-15,2022-05-17,1802866579,1397799262,PLN3970,549657,PCN732,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,3,Retail,0,0,0,12.0,10.24,22.24,4.0,16.79,1.45,0.48,0.34,1,0,0,0,2022-06-14
RX0000004857,MBR00000133,2021-04-16,2021-04-20,1743741612,1424420123,PLN1309,551606,PCN568,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,88,1,Retail,0,0,0,54.0,8.24,62.24,32.0,26.46,3.78,0.72,0.51,0,0,0,0,2021-07-15
RX0000004858,MBR00000133,2023-10-10,2023-10-14,1450975774,1376911594,PLN6220,923157,PCN230,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,8,Mail Order,0,1,0,12.0,10.55,22.55,152.0,0.0,1.12,0.48,0.34,0,0,0,0,2023-11-09
RX0000004859,MBR00000133,2023-07-05,2023-07-06,1455007184,1911462275,PLN8617,337852,PCN909,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,57,1,Mail Order,0,0,0,20.0,10.55,30.55,8.0,20.49,2.06,0.4,0.2833,0,0,0,0,2023-09-03
RX0000004860,MBR00000133,2021-12-09,2021-12-10,1889203492,1148172326,PLN3132,428166,PCN383,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,0,Retail,0,0,0,151.67,4.32,155.99,33.0,117.96,5.03,26.0,18.4167,0,0,0,0,2021-12-16
RX0000004861,MBR00000133,2021-10-08,2021-10-11,1168566095,1408799985,PLN5016,246792,PCN546,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,11,Mail Order,0,0,1,18.0,1.87,19.87,8.0,10.64,1.23,0.72,0.51,0,0,0,0,2021-11-07
RX0000004862,MBR00000133,2021-08-14,2021-08-17,1879997938,1295079726,PLN4866,465539,PCN862,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,91,8,Retail,0,0,0,30.0,1.7,31.7,10.0,19.87,1.83,0.4,0.2833,0,0,0,0,2021-11-12
RX0000004863,MBR00000133,2021-10-02,2021-10-06,1935817161,1992438822,PLN2561,645826,PCN359,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,58,0,Retail,0,0,0,15.0,8.7,23.7,1.0,21.32,1.38,0.3,0.2125,0,0,0,0,2021-12-01
RX0000004864,MBR00000134,2022-10-06,2022-10-07,1182582037,1991923125,PLN1089,993581,PCN274,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,4,Retail,0,0,0,1.75,4.82,6.57,0.0,6.12,0.45,0.3,0.2125,0,0,0,0,2022-10-13
RX0000004865,MBR00000134,2022-05-04,2022-05-06,1587303460,1772031728,PLN1835,909970,PCN244,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,3,Retail,0,0,0,14.0,9.43,23.43,8.0,14.72,0.71,0.56,0.3967,0,0,0,0,2022-06-03
RX0000004866,MBR00000134,2022-02-09,2022-02-10,1787055457,1676652331,PLN7390,366195,PCN575,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,7,Retail,0,1,0,8.0,2.18,10.18,154.0,0.0,0.36,0.32,0.2267,0,0,0,0,2022-03-11
RX0000004867,MBR00000134,2023-12-25,2023-12-28,1776387458,1101285096,PLN5489,113861,PCN109,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,57,10,Retail,0,0,0,570.0,3.14,573.14,31.0,522.47,19.67,11.4,8.075,0,0,0,0,2024-02-23
RX0000004868,MBR00000134,2023-07-26,2023-07-30,1567494442,1574859257,PLN7575,546864,PCN531,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,10,Retail,3,0,0,11.0,4.71,15.71,10.0,5.11,0.6,0.44,0.3117,0,0,0,0,2023-08-25
RX0000004869,MBR00000134,2022-11-16,2022-11-20,1579441897,1352149285,PLN9776,896898,PCN904,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,83,9,Mail Order,3,0,0,855.0,6.74,861.74,33.0,786.79,41.95,11.4,8.075,0,0,0,0,2023-02-14
RX0000004870,MBR00000134,2022-03-30,2022-04-02,1544732707,1219408718,PLN1959,338139,PCN936,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,10,Mail Order,2,0,0,480.0,10.35,490.35,39.0,427.91,23.44,19.2,13.6,0,0,0,0,2022-04-29
RX0000004871,MBR00000134,2023-04-09,2023-04-10,1353626237,1888587790,PLN7888,539228,PCN119,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,6,Specialty,2,1,0,8.0,20.95,28.95,150.0,0.0,0.0,0.32,0.2267,1,0,0,0,2023-05-09
RX0000004872,MBR00000134,2022-01-11,2022-01-13,1790148007,1318777463,PLN6036,600867,PCN178,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,3,Specialty,0,0,0,1.98,45.61,47.59,9.0,38.59,0.0,0.34,0.2408,1,0,0,0,2022-01-18
RX0000004873,MBR00000134,2023-08-28,2023-08-29,1781116787,1852465670,PLN1910,646359,PCN186,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,9,Mail Order,0,0,0,45.0,11.11,56.11,8.0,44.99,3.12,1.8,1.275,1,0,0,0,2023-09-27
RX0000004874,MBR00000134,2021-04-24,2021-04-26,1374393853,1932297639,PLN1363,728876,PCN996,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,54,0,LTC,0,0,0,620.0,9.14,629.14,34.0,574.16,20.98,12.4,8.7833,0,0,0,0,2021-06-23
RX0000004875,MBR00000134,2021-07-01,2021-07-03,1700543270,1264762345,PLN6793,796957,PCN987,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,1,Mail Order,0,0,0,185.0,11.4,196.4,30.0,159.44,6.96,7.4,5.2417,0,0,0,0,2021-07-31
RX0000004876,MBR00000134,2023-08-30,2023-09-01,1534901100,1363389690,PLN9748,510309,PCN838,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,60,1,Retail,0,0,0,28.0,7.33,35.33,5.0,28.23,2.1,0.56,0.3967,0,0,0,0,2023-10-29
RX0000004877,MBR00000134,2022-11-03,2022-11-06,1723859162,1187669152,PLN2744,352033,PCN726,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,1,Retail,0,0,1,45.0,8.62,53.62,4.0,47.56,2.06,1.8,1.275,0,0,0,0,2022-12-03
RX0000004878,MBR00000134,2023-01-15,2023-01-19,1980016784,1354068130,PLN9780,251621,PCN853,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,4,Mail Order,0,0,0,45.0,9.98,54.98,7.0,44.99,2.99,1.8,1.275,0,0,0,0,2023-02-14
RX0000004879,MBR00000134,2021-07-30,2021-07-31,1100904959,1110393900,PLN8906,602468,PCN453,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,9,Mail Order,0,0,0,28.0,9.58,37.58,2.0,33.65,1.93,1.12,0.7933,0,0,0,0,2021-08-29
RX0000004880,MBR00000134,2023-06-05,2023-06-09,1209481652,1737153906,PLN6704,100698,PCN434,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,2,Retail,1,0,0,14.0,6.94,20.94,8.0,12.19,0.75,0.56,0.3967,0,0,0,0,2023-07-05
RX0000004881,MBR00000134,2023-06-21,2023-06-25,1281574531,1462793565,PLN3878,883887,PCN695,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,5,Retail,0,0,0,8.5,5.2,13.7,1.0,12.12,0.58,0.34,0.2408,0,0,0,0,2023-07-21
RX0000004882,MBR00000134,2021-04-24,2021-04-25,1905987202,1987865495,PLN3703,343082,PCN737,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,83,1,Retail,0,0,0,114.0,9.88,123.88,1.0,119.04,3.84,1.52,1.0767,0,0,0,0,2021-07-23
RX0000004883,MBR00000134,2021-06-24,2021-06-26,1416077864,1924098928,PLN4154,629438,PCN363,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,6,Retail,2,0,0,185.0,8.8,193.8,33.0,154.65,6.15,7.4,5.2417,0,0,0,0,2021-07-24
RX0000004884,MBR00000134,2022-06-09,2022-06-11,1666982642,1995754551,PLN1044,619438,PCN539,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,95,11,Specialty,0,0,0,990.0,49.88,1039.88,38.0,1001.88,0.0,13.2,9.35,0,0,0,0,2022-09-07
RX0000004885,MBR00000134,2022-02-14,2022-02-15,1624957437,1533254439,PLN1920,589224,PCN399,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,59,11,Retail,0,0,0,570.0,5.29,575.29,37.0,514.54,23.75,11.4,8.075,0,0,0,0,2022-04-15
RX0000004886,MBR00000134,2023-07-26,2023-07-27,1916319978,1150960918,PLN7623,700990,PCN151,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,7,Retail,0,0,0,12.0,5.3,17.3,10.0,6.52,0.78,0.48,0.34,0,0,0,0,2023-08-25
RX0000004887,MBR00000134,2022-06-18,2022-06-22,1529781701,1967981644,PLN2538,744948,PCN572,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,54,5,Retail,0,0,0,25.0,10.48,35.48,5.0,29.17,1.31,0.5,0.3542,0,0,0,0,2022-08-17
RX0000004888,MBR00000134,2022-07-09,2022-07-13,1741473659,1460998407,PLN1968,602782,PCN125,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,3,Mail Order,0,0,0,18.0,1.7,19.7,40.0,0.0,1.24,0.72,0.51,0,0,0,0,2022-08-08
RX0000004889,MBR00000134,2022-07-06,2022-07-07,1605694338,1783986575,PLN4751,106631,PCN654,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,11,Retail,0,0,0,9.0,2.95,11.95,3.0,8.26,0.69,0.36,0.255,0,0,0,0,2022-08-05
RX0000004890,MBR00000134,2021-10-01,2021-10-03,1274951948,1408004137,PLN1567,893839,PCN802,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,6,Retail,0,0,0,22.0,10.08,32.08,6.0,23.87,2.21,0.88,0.6233,0,0,0,0,2021-10-31
RX0000004891,MBR00000134,2022-03-21,2022-03-25,1985095423,1754175240,PLN3458,996036,PCN144,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,8,Specialty,0,0,0,14.0,36.29,50.29,1.0,49.29,0.0,0.56,0.3967,0,0,0,0,2022-04-20
RX0000004892,MBR00000134,2023-04-05,2023-04-09,1977695352,1578819469,PLN1511,876581,PCN746,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,98,1,Retail,0,0,0,42.0,1.85,43.85,5.0,35.91,2.94,0.56,0.3967,0,0,0,0,2023-07-04
RX0000004893,MBR00000134,2023-10-28,2023-10-29,1365671585,1689529605,PLN6349,218717,PCN540,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,57,11,Retail,0,1,0,24.0,6.27,30.27,149.0,0.0,1.61,0.48,0.34,0,0,0,0,2023-12-27
RX0000004894,MBR00000134,2021-09-18,2021-09-19,1430042563,1963321800,PLN9398,332187,PCN438,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,86,9,Specialty,0,1,0,18600.0,32.89,18632.89,152.0,18480.89,0.0,248.0,175.6667,0,0,0,0,2021-12-17
RX0000004895,MBR00000134,2022-10-15,2022-10-17,1108398992,1814095902,PLN5235,860888,PCN370,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,5,Retail,0,0,0,74.67,6.35,81.01,38.0,40.32,2.69,12.8,9.0667,0,0,0,0,2022-10-22
RX0000004896,MBR00000134,2023-04-22,2023-04-24,1290674872,1905215913,PLN3936,897146,PCN922,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,8,Mail Order,3,0,0,185.0,2.4,187.4,30.0,144.71,12.69,7.4,5.2417,0,0,0,0,2023-05-22
RX0000004897,MBR00000135,2021-01-22,2021-01-23,1540919029,1500250365,PLN2664,663842,PCN667,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,7,Retail,0,0,0,10.5,2.69,13.19,7.0,5.59,0.6,1.8,1.275,0,0,0,0,2021-01-29
RX0000004898,MBR00000135,2022-12-11,2022-12-14,1940203720,1142408965,PLN9224,869271,PCN303,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,8,Retail,0,1,0,24.0,4.32,28.32,152.0,0.0,1.25,0.32,0.2267,0,0,0,0,2023-03-11
RX0000004899,MBR00000135,2023-10-28,2023-10-31,1876364550,1629774791,PLN3482,625654,PCN733,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,0,Retail,0,1,0,12.0,3.72,15.72,149.0,0.0,0.94,0.48,0.34,0,0,0,0,2023-11-27
RX0000004900,MBR00000135,2023-07-06,2023-07-08,1409967009,1947919020,PLN1510,834608,PCN267,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,11,Retail,0,0,0,12.5,8.89,21.39,9.0,11.34,1.05,0.5,0.3542,0,0,0,0,2023-08-05
RX0000004901,MBR00000135,2022-04-04,2022-04-06,1930112862,1786509099,PLN1677,948198,PCN326,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,89,10,Retail,0,0,0,45.0,2.87,47.87,8.0,37.52,2.35,0.6,0.425,0,0,0,0,2022-07-03
RX0000004902,MBR00000135,2022-10-14,2022-10-17,1703384608,1875291670,PLN4483,449855,PCN747,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,10,Retail,0,0,0,14.0,2.72,16.72,8.0,7.79,0.93,0.56,0.3967,0,0,0,0,2022-11-13
RX0000004903,MBR00000135,2022-08-20,2022-08-23,1910564666,1302662082,PLN3273,939074,PCN297,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,5,Mail Order,0,0,0,650.0,11.89,661.89,40.0,589.0,32.89,26.0,18.4167,0,0,0,0,2022-09-19
RX0000004904,MBR00000135,2021-10-21,2021-10-25,1418605966,1919884469,PLN1669,685492,PCN779,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,3,Retail,0,0,0,8.5,8.82,17.32,9.0,7.28,1.04,0.34,0.2408,0,0,0,0,2021-11-20
RX0000004905,MBR00000135,2023-03-20,2023-03-21,1691707525,1990683756,PLN1324,749465,PCN755,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,8,Retail,0,1,0,6200.0,3.68,6203.68,150.0,5676.58,377.1,248.0,175.6667,0,0,0,0,2023-04-19
RX0000004906,MBR00000135,2021-10-19,2021-10-22,1981639847,1338315006,PLN7794,517137,PCN236,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,5,Mail Order,0,0,0,1110.0,11.28,1121.28,38.0,1008.69,74.59,14.8,10.4833,0,0,0,0,2022-01-17
RX0000004907,MBR00000135,2022-06-26,2022-06-29,1778834175,1204424739,PLN5113,231524,PCN985,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,2,Mail Order,0,0,0,950.0,10.17,960.17,35.0,892.13,33.04,38.0,26.9167,0,0,0,0,2022-07-26
RX0000004908,MBR00000135,2023-12-22,2023-12-23,1816930556,1437655284,PLN3173,120822,PCN461,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,1,Retail,0,0,0,45.0,8.19,53.19,6.0,45.42,1.77,1.8,1.275,0,0,0,0,2024-01-21
RX0000004909,MBR00000135,2021-10-08,2021-10-11,1849347663,1545376445,PLN5472,182472,PCN118,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,6,Mail Order,0,0,0,45.0,6.6,51.6,4.0,45.07,2.53,1.8,1.275,0,0,0,0,2021-11-07
RX0000004910,MBR00000135,2023-12-26,2023-12-28,1451841615,1160168584,PLN4318,828495,PCN764,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,4,LTC,0,0,0,650.0,10.06,660.06,32.0,586.77,41.29,26.0,18.4167,0,0,0,0,2024-01-25
RX0000004911,MBR00000135,2022-06-28,2022-07-01,1397628574,1173862115,PLN9978,142623,PCN806,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,90,9,Retail,1,0,0,54.0,7.37,61.37,5.0,54.43,1.94,0.72,0.51,0,0,0,0,2022-09-26
RX0000004912,MBR00000135,2022-08-01,2022-08-05,1991580665,1609238087,PLN5399,255088,PCN108,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,7,Retail,0,0,0,38.0,11.21,49.21,38.0,7.82,3.39,1.52,1.0767,0,0,0,0,2022-08-31
RX0000004913,MBR00000135,2023-09-29,2023-10-03,1683513486,1296691856,PLN9505,550862,PCN973,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,7,Specialty,0,0,0,12.0,28.23,40.23,10.0,30.23,0.0,0.48,0.34,0,0,0,0,2023-10-29
RX0000004914,MBR00000135,2023-07-02,2023-07-06,1884881407,1444543465,PLN3461,592867,PCN881,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,1,Mail Order,0,0,0,950.0,7.75,957.75,31.0,865.93,60.82,38.0,26.9167,0,0,0,0,2023-08-01
RX0000004915,MBR00000135,2023-06-02,2023-06-04,1599680344,1892461326,PLN2372,183436,PCN332,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,9,Retail,3,1,0,8500.0,5.89,8505.89,152.0,8043.01,310.88,340.0,240.8333,0,0,0,0,2023-07-02
RX0000004916,MBR00000135,2023-10-22,2023-10-25,1200059598,1150431015,PLN7895,830910,PCN126,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,61,8,Mail Order,2,0,0,18.0,2.0,20.0,6.0,12.64,1.36,0.36,0.255,0,0,0,0,2023-12-21
RX0000004917,MBR00000135,2022-08-29,2022-08-31,1629057178,1724356083,PLN8950,542048,PCN981,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,3,Retail,0,0,0,86.33,9.37,95.7,34.0,58.48,3.22,14.8,10.4833,0,0,0,0,2022-09-05
RX0000004918,MBR00000135,2022-10-14,2022-10-17,1856844021,1510681466,PLN6287,352882,PCN827,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,95,10,Retail,0,0,0,135.0,3.06,138.06,0.0,130.91,7.15,1.8,1.275,1,0,0,0,2023-01-12
RX0000004919,MBR00000135,2023-03-24,2023-03-28,1665287979,1431716646,PLN7919,424819,PCN832,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,93,9,Mail Order,0,0,0,42.0,6.95,48.95,8.0,38.84,2.11,0.56,0.3967,0,1,0,0,2023-06-22
RX0000004920,MBR00000135,2022-08-04,2022-08-06,1114278535,1460097511,PLN8087,990360,PCN138,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,58,8,Retail,0,1,0,16.0,8.11,24.11,151.0,0.0,1.53,0.32,0.2267,0,0,0,0,2022-10-03
RX0000004921,MBR00000135,2022-02-05,2022-02-09,1913453520,1286883175,PLN3324,875457,PCN612,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,1,Mail Order,0,0,0,7.5,2.41,9.91,8.0,1.32,0.59,0.3,0.2125,0,0,0,0,2022-03-07
RX0000004922,MBR00000135,2022-03-12,2022-03-15,1558839184,1725965149,PLN1672,853815,PCN111,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,8,Retail,2,0,0,14.0,10.95,24.95,6.0,17.67,1.28,0.56,0.3967,0,0,0,0,2022-04-11
RX0000004923,MBR00000135,2022-05-07,2022-05-09,1193026015,1594956425,PLN5568,337206,PCN107,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,11,Mail Order,0,0,0,10.0,5.8,15.8,1.0,13.73,1.07,0.4,0.2833,0,0,0,0,2022-06-06
RX0000004924,MBR00000135,2021-07-12,2021-07-16,1412543390,1346999192,PLN1737,160300,PCN212,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,8,Mail Order,0,0,0,320.0,11.65,331.65,31.0,283.69,16.96,12.8,9.0667,0,0,0,0,2021-08-11
RX0000004925,MBR00000135,2022-09-26,2022-09-29,1514388974,1219056913,PLN4440,462891,PCN895,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,2,Mail Order,0,0,0,16.0,7.8,23.8,10.0,12.94,0.86,0.64,0.4533,0,0,0,0,2022-10-26
RX0000004926,MBR00000135,2022-01-20,2022-01-24,1121980621,1705557022,PLN8213,474254,PCN921,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,2,Retail,0,0,0,12.5,10.68,23.18,1.0,21.45,0.73,0.5,0.3542,0,0,0,0,2022-02-19
RX0000004927,MBR00000135,2022-07-13,2022-07-15,1924289560,1685915437,PLN4438,377832,PCN568,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,85,5,Retail,0,0,0,2850.0,9.82,2859.82,36.0,2669.3,154.52,38.0,26.9167,0,0,0,0,2022-10-11
RX0000004928,MBR00000135,2021-08-04,2021-08-07,1818431776,1675933253,PLN6490,775233,PCN419,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,11,Retail,1,0,0,950.0,11.96,961.96,36.0,877.73,48.23,38.0,26.9167,0,0,0,0,2021-09-03
RX0000004929,MBR00000135,2022-03-29,2022-04-02,1235133838,1404253465,PLN8086,751570,PCN231,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,7,Retail,0,0,0,65.0,9.95,74.95,34.0,36.99,3.96,2.6,1.8417,0,0,0,0,2022-04-28
RX0000004930,MBR00000135,2022-01-31,2022-02-02,1664756390,1416601225,PLN1670,144581,PCN223,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,3,Retail,0,0,0,14.0,10.15,24.15,7.0,15.81,1.34,0.56,0.3967,0,0,0,0,2022-03-02
RX0000004931,MBR00000135,2021-12-02,2021-12-06,1235468023,1571345865,PLN7591,651985,PCN705,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,1,Retail,0,0,0,3.73,9.16,12.89,7.0,5.0,0.89,0.64,0.4533,0,0,0,0,2021-12-09
RX0000004932,MBR00000135,2023-03-01,2023-03-05,1982193063,1793312512,PLN7397,189225,PCN468,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,11,Mail Order,0,1,0,6200.0,10.93,6210.93,153.0,5644.46,413.47,248.0,175.6667,0,0,0,0,2023-03-31
RX0000004933,MBR00000135,2023-05-31,2023-06-02,1920296081,1989727617,PLN4310,877686,PCN263,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,92,2,Mail Order,0,0,0,855.0,8.56,863.56,33.0,770.48,60.08,11.4,8.075,1,0,0,0,2023-08-29
RX0000004934,MBR00000135,2023-12-07,2023-12-11,1171505070,1997811030,PLN6576,859337,PCN668,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,9,Retail,0,1,0,8.0,3.01,11.01,152.0,0.0,0.42,0.32,0.2267,0,0,0,0,2024-01-06
RX0000004935,MBR00000135,2021-05-15,2021-05-16,1541535697,1521423954,PLN6925,550408,PCN471,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,56,1,Mail Order,0,0,0,76.0,10.28,86.28,33.0,47.98,5.3,1.52,1.0767,0,0,0,0,2021-07-14
RX0000004936,MBR00000136,2021-01-26,2021-01-30,1425698606,1828846085,PLN9675,459392,PCN649,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,8,Retail,0,0,0,38.0,10.08,48.08,3.0,43.52,1.56,1.52,1.0767,0,0,0,0,2021-02-25
RX0000004937,MBR00000136,2021-08-17,2021-08-21,1541739364,1224737620,PLN4942,112280,PCN358,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,84,4,Mail Order,0,0,0,30.0,6.89,36.89,6.0,29.29,1.6,0.4,0.2833,0,0,0,0,2021-11-15
RX0000004938,MBR00000136,2021-08-15,2021-08-18,1697100821,1289922247,PLN7984,831558,PCN542,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,10,Mail Order,0,1,0,2800.0,1.82,2801.82,145.0,2477.88,178.94,112.0,79.3333,0,0,0,0,2021-09-14
RX0000004939,MBR00000136,2021-12-06,2021-12-08,1286541893,1485970032,PLN8624,793505,PCN762,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,3,Mail Order,0,1,0,2800.0,3.87,2803.87,149.0,2476.76,178.11,112.0,79.3333,0,0,0,0,2022-01-05
RX0000004940,MBR00000136,2022-10-26,2022-10-27,1411879057,1395917026,PLN2073,135640,PCN879,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,81,10,Retail,0,0,0,54.0,4.78,58.78,39.0,15.71,4.07,0.72,0.51,1,0,0,0,2023-01-24
RX0000004941,MBR00000136,2022-05-26,2022-05-27,1229235939,1134070347,PLN1883,299556,PCN832,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,95,11,Retail,3,1,0,25500.0,6.63,25506.63,150.0,24554.65,801.98,340.0,240.8333,0,0,0,0,2022-08-24
RX0000004942,MBR00000136,2023-03-28,2023-03-31,1989204344,1340005742,PLN8676,923236,PCN269,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,10,Retail,0,0,0,310.0,3.51,313.51,36.0,255.77,21.74,12.4,8.7833,0,0,0,0,2023-04-27
RX0000004943,MBR00000136,2021-02-25,2021-02-26,1295582923,1863951992,PLN6572,451042,PCN694,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,1,Specialty,0,0,0,285.0,13.57,298.57,36.0,262.57,0.0,11.4,8.075,0,0,0,0,2021-03-27
RX0000004944,MBR00000136,2022-06-27,2022-07-01,1429458259,1706980581,PLN1889,211330,PCN238,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,9,Retail,0,0,0,5.13,11.62,16.76,74.0,0.0,0.64,0.88,0.6233,0,0,0,0,2022-07-04
RX0000004945,MBR00000136,2023-12-04,2023-12-08,1974899887,1367722727,PLN8478,475695,PCN721,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,98,2,Retail,0,0,0,33.0,4.54,37.54,2.0,34.2,1.34,0.44,0.3117,0,0,0,0,2024-03-03
RX0000004946,MBR00000136,2022-04-22,2022-04-26,1835975563,1550197535,PLN6359,721528,PCN735,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,7,Retail,0,0,0,380.0,4.42,384.42,33.0,335.49,15.93,15.2,10.7667,0,0,0,0,2022-05-22
RX0000004947,MBR00000137,2021-09-07,2021-09-10,1431038968,1462879797,PLN1033,915890,PCN340,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,4,Retail,0,0,1,10.0,6.85,16.85,1.0,15.03,0.82,0.4,0.2833,0,1,0,0,2021-10-07
RX0000004948,MBR00000137,2023-08-31,2023-09-01,1372236197,1726644680,PLN9234,250813,PCN123,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,11,Retail,0,0,0,12.0,1.56,13.56,6.0,6.63,0.93,0.48,0.34,0,0,0,0,2023-09-30
RX0000004949,MBR00000137,2022-05-13,2022-05-17,1333481783,1614381868,PLN4944,243631,PCN585,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,4,Retail,0,0,0,38.0,1.74,39.74,32.0,6.23,1.51,1.52,1.0767,0,0,0,0,2022-06-12
RX0000004950,MBR00000137,2023-04-09,2023-04-13,1842157118,1414690929,PLN1900,874013,PCN873,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,55,1,Retail,0,0,0,20.0,5.88,25.88,10.0,14.31,1.57,0.4,0.2833,0,0,0,0,2023-06-08
RX0000004951,MBR00000137,2021-09-06,2021-09-07,1511803780,1543747490,PLN8807,429941,PCN825,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,0,Retail,0,0,0,15.0,5.24,20.24,10.0,8.91,1.33,0.6,0.425,0,0,0,0,2021-10-06
RX0000004952,MBR00000137,2022-06-12,2022-06-16,1736938957,1389682850,PLN8339,813099,PCN785,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,93,3,LTC,0,0,0,37.5,10.25,47.75,3.0,41.95,2.8,0.5,0.3542,1,0,0,0,2022-09-10
RX0000004953,MBR00000137,2021-05-19,2021-05-20,1206268101,1207309097,PLN8394,776055,PCN325,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,85,10,Retail,0,1,0,8400.0,6.86,8406.86,145.0,7803.6,458.26,112.0,79.3333,0,1,1,0,2021-08-17
RX0000004954,MBR00000137,2021-09-07,2021-09-09,1524228656,1154980791,PLN6145,885004,PCN141,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,59,4,Mail Order,0,0,1,30.0,6.24,36.24,1.0,33.26,1.98,0.6,0.425,0,0,0,0,2021-11-06
RX0000004955,MBR00000137,2023-03-12,2023-03-13,1147924507,1246652724,PLN7413,901096,PCN639,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,9,Retail,0,0,0,14.0,3.21,17.21,4.0,12.59,0.62,0.56,0.3967,0,0,0,0,2023-04-11
RX0000004956,MBR00000137,2022-06-10,2022-06-13,1956100479,1869669891,PLN7001,295036,PCN636,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,11,Mail Order,2,1,0,8500.0,10.12,8510.12,147.0,7858.69,504.43,340.0,240.8333,0,0,0,0,2022-07-10
RX0000004957,MBR00000137,2023-07-02,2023-07-04,1147944366,1992684592,PLN7228,744055,PCN306,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,81,4,Retail,0,0,0,54.0,5.8,59.8,4.0,52.68,3.12,0.72,0.51,0,0,0,0,2023-09-30
RX0000004958,MBR00000137,2022-08-15,2022-08-18,1137190565,1609034122,PLN6311,383255,PCN516,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,61,10,Retail,0,0,0,36.0,10.73,46.73,0.0,43.51,3.22,0.72,0.51,0,0,0,0,2022-10-14
RX0000004959,MBR00000137,2021-11-30,2021-12-03,1811290036,1789971374,PLN4796,365386,PCN144,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,87,1,Retail,0,1,0,36.0,6.08,42.08,150.0,0.0,2.44,0.48,0.34,0,0,0,0,2022-02-28
RX0000004960,MBR00000137,2023-06-07,2023-06-09,1563428231,1352548438,PLN9562,645346,PCN193,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,90,6,Retail,0,0,0,855.0,4.37,859.37,36.0,790.88,32.49,11.4,8.075,0,0,0,0,2023-09-05
RX0000004961,MBR00000137,2023-02-25,2023-02-26,1704917761,1176981446,PLN3278,817708,PCN588,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,98,9,Retail,0,0,0,48.0,2.45,50.45,3.0,45.62,1.83,0.64,0.4533,0,0,0,0,2023-05-26
RX0000004962,MBR00000137,2023-09-23,2023-09-24,1236232362,1725976309,PLN5885,967038,PCN518,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,2,LTC,0,0,1,12.0,5.72,17.72,0.0,17.17,0.55,0.48,0.34,0,0,0,0,2023-10-23
RX0000004963,MBR00000137,2022-01-05,2022-01-08,1180958276,1203237674,PLN5345,469118,PCN247,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,87,9,Retail,0,0,0,36.0,10.18,46.18,0.0,44.41,1.77,0.48,0.34,0,0,0,0,2022-04-05
RX0000004964,MBR00000137,2021-05-29,2021-05-30,1191425246,1287038992,PLN3215,486288,PCN307,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,2,Retail,0,0,0,2.1,10.31,12.41,4.0,8.03,0.38,0.36,0.255,0,1,0,0,2021-06-05
RX0000004965,MBR00000137,2021-05-16,2021-05-17,1508651543,1453912911,PLN5300,919908,PCN576,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,98,10,Mail Order,0,0,0,22.5,2.83,25.33,9.0,14.69,1.64,0.3,0.2125,0,0,0,0,2021-08-14
RX0000004966,MBR00000137,2023-06-26,2023-06-30,1258724517,1954029581,PLN7445,251738,PCN883,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,4,Retail,0,0,0,12.0,1.62,13.62,2.0,10.73,0.89,0.48,0.34,0,0,0,0,2023-07-26
RX0000004967,MBR00000137,2021-05-04,2021-05-07,1396718213,1950728304,PLN8893,473344,PCN682,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,2,Retail,0,1,0,8500.0,5.64,8505.64,150.0,7807.59,548.05,340.0,240.8333,0,0,0,0,2021-06-03
RX0000004968,MBR00000137,2021-04-23,2021-04-26,1863099241,1584152698,PLN2270,107681,PCN574,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,11,Mail Order,0,0,0,480.0,6.53,486.53,34.0,437.62,14.91,19.2,13.6,0,0,0,0,2021-05-23
RX0000004969,MBR00000137,2023-12-12,2023-12-15,1173009548,1103086594,PLN2970,448296,PCN173,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,88,0,Retail,0,0,0,36.0,6.06,42.06,7.0,33.1,1.96,0.48,0.34,0,0,0,0,2024-03-11
RX0000004970,MBR00000137,2021-03-24,2021-03-26,1606320195,1326369249,PLN3971,539348,PCN471,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,9,Retail,0,0,0,4.2,9.4,13.6,9.0,3.88,0.72,0.72,0.51,0,0,0,0,2021-03-31
RX0000004971,MBR00000137,2021-12-22,2021-12-24,1578038309,1834674359,PLN4091,811434,PCN395,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,63,11,Retail,0,0,0,90.0,1.78,91.78,4.0,84.46,3.32,1.8,1.275,0,0,0,0,2022-02-20
RX0000004972,MBR00000137,2023-01-30,2023-02-01,1321356989,1833794334,PLN1478,103525,PCN553,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,9,Retail,0,0,0,320.0,4.11,324.11,34.0,268.78,21.33,12.8,9.0667,1,0,0,0,2023-03-01
RX0000004973,MBR00000137,2023-06-08,2023-06-11,1496421450,1249876868,PLN8905,344923,PCN367,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,11,Retail,0,0,0,9.0,5.49,14.49,0.0,13.52,0.97,0.36,0.255,0,0,0,0,2023-07-08
RX0000004974,MBR00000137,2021-12-22,2021-12-23,1615173017,1684819721,PLN8454,106820,PCN880,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,61,2,Specialty,0,0,0,1300.0,36.15,1336.15,31.0,1305.15,0.0,26.0,18.4167,1,0,0,0,2022-02-20
RX0000004975,MBR00000137,2022-01-02,2022-01-05,1454319839,1825348347,PLN7699,768761,PCN639,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,84,6,Retail,0,0,0,48.0,9.13,57.13,4.0,50.77,2.36,0.64,0.4533,0,0,0,0,2022-04-02
RX0000004976,MBR00000137,2021-01-07,2021-01-10,1374676716,1691430142,PLN7005,483319,PCN468,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,94,11,Mail Order,0,0,0,1110.0,8.84,1118.84,30.0,1024.8,64.04,14.8,10.4833,0,0,0,0,2021-04-07
RX0000004977,MBR00000137,2022-08-19,2022-08-20,1993058456,1618532394,PLN5053,330360,PCN823,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,97,10,Retail,0,0,0,135.0,7.26,142.26,5.0,127.92,9.34,1.8,1.275,0,0,0,0,2022-11-17
RX0000004978,MBR00000137,2021-06-06,2021-06-10,1630681734,1602883633,PLN3956,540968,PCN263,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,8,Retail,0,0,0,8.5,8.52,17.02,6.0,10.16,0.86,0.34,0.2408,0,0,0,0,2021-07-06
RX0000004979,MBR00000137,2021-10-06,2021-10-09,1369839094,1819992753,PLN9048,405879,PCN178,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,63,4,Mail Order,2,0,0,1900.0,9.92,1909.92,36.0,1806.03,67.89,38.0,26.9167,0,0,0,0,2021-12-05
RX0000004980,MBR00000137,2022-10-03,2022-10-06,1603753953,1118956078,PLN7731,967044,PCN307,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,9,Retail,2,0,0,175.0,9.2,184.2,39.0,138.33,6.87,7.0,4.9583,0,0,0,0,2022-11-02
RX0000004981,MBR00000137,2021-09-17,2021-09-18,1519750090,1737256099,PLN5043,650772,PCN731,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,2,Mail Order,0,0,0,8.5,8.97,17.47,1.0,15.39,1.08,0.34,0.2408,0,0,0,0,2021-10-17
RX0000004982,MBR00000137,2023-11-10,2023-11-14,1826325247,1118813543,PLN6788,953486,PCN795,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,4,Retail,0,0,0,7.5,8.47,15.97,9.0,6.25,0.72,0.3,0.2125,0,0,0,0,2023-12-10
RX0000004983,MBR00000137,2022-05-20,2022-05-22,1537377807,1964540160,PLN6737,431780,PCN433,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,84,9,Retail,0,0,0,990.0,9.01,999.01,38.0,929.14,31.87,13.2,9.35,0,1,1,0,2022-08-18
RX0000004984,MBR00000137,2023-03-21,2023-03-24,1569046349,1889925294,PLN1132,629594,PCN281,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,2,Retail,0,0,0,2.1,6.7,8.8,3.0,5.31,0.49,0.36,0.255,0,1,0,0,2023-03-28
RX0000004985,MBR00000137,2021-09-18,2021-09-21,1269645988,1652173279,PLN9296,659857,PCN757,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,54,3,Retail,0,0,0,36.0,8.4,44.4,8.0,34.53,1.87,0.72,0.51,0,0,0,0,2021-11-17
RX0000004986,MBR00000137,2021-12-27,2021-12-31,1714153643,1878101128,PLN1583,502462,PCN745,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,1,Retail,0,1,0,12.0,3.72,15.72,154.0,0.0,0.62,0.48,0.34,0,0,0,0,2022-01-26
RX0000004987,MBR00000137,2021-02-12,2021-02-14,1732065813,1881860285,PLN7331,728789,PCN715,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,3,Mail Order,0,0,0,175.0,3.45,178.45,32.0,137.94,8.51,7.0,4.9583,0,0,0,0,2021-03-14
RX0000004988,MBR00000137,2023-02-10,2023-02-12,1125828610,1194914442,PLN9106,977169,PCN496,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,3,Mail Order,1,0,0,45.0,7.56,52.56,3.0,46.0,3.56,1.8,1.275,0,0,0,0,2023-03-12
RX0000004989,MBR00000137,2023-07-20,2023-07-24,1974904459,1355186040,PLN4984,428555,PCN799,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,11,Mail Order,0,0,0,18.0,5.87,23.87,0.0,22.56,1.31,0.72,0.51,0,0,0,0,2023-08-19
RX0000004990,MBR00000137,2021-04-16,2021-04-18,1895299111,1343167981,PLN9623,431387,PCN509,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,8,Retail,0,0,0,3.27,8.31,11.58,10.0,0.97,0.61,0.56,0.3967,0,0,0,0,2021-04-23
RX0000004991,MBR00000137,2021-01-07,2021-01-10,1395391824,1822455216,PLN1612,670276,PCN299,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,60,6,Retail,1,0,0,56.0,11.53,67.53,7.0,57.17,3.36,1.12,0.7933,0,0,0,0,2021-03-08
RX0000004992,MBR00000137,2021-03-18,2021-03-19,1329781773,1299158484,PLN8896,431677,PCN447,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,9,Retail,0,0,0,380.0,11.56,391.56,34.0,337.66,19.9,15.2,10.7667,1,0,0,0,2021-04-17
RX0000004993,MBR00000137,2023-05-19,2023-05-21,1548335382,1149306901,PLN8642,371331,PCN388,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,5,Mail Order,0,0,0,8.87,2.73,11.6,35.0,0.0,0.47,1.52,1.0767,0,0,0,0,2023-05-26
RX0000004994,MBR00000137,2022-07-08,2022-07-11,1964646836,1220520508,PLN6293,259105,PCN216,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,5,Retail,0,0,0,45.0,11.57,56.57,4.0,48.99,3.58,1.8,1.275,0,0,0,0,2022-08-07
RX0000004995,MBR00000137,2023-02-10,2023-02-13,1313079759,1546607420,PLN2870,460385,PCN746,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,1,Retail,0,0,0,370.0,1.89,371.89,33.0,321.08,17.81,14.8,10.4833,0,0,0,0,2023-03-12
RX0000004996,MBR00000137,2023-04-18,2023-04-21,1856065059,1765723748,PLN7673,936342,PCN896,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,1,Retail,0,0,0,10.0,7.29,17.29,7.0,9.57,0.72,0.4,0.2833,0,0,0,0,2023-05-18
RX0000004997,MBR00000137,2023-01-14,2023-01-15,1263249063,1641757876,PLN4087,521989,PCN622,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,10,Retail,0,0,0,8.5,8.26,16.76,2.0,13.73,1.03,0.34,0.2408,0,0,0,0,2023-02-13
RX0000004998,MBR00000137,2021-04-29,2021-05-02,1728316463,1365696478,PLN9912,255941,PCN975,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,2,Retail,0,0,0,65.0,5.65,70.65,33.0,32.86,4.79,2.6,1.8417,0,0,0,0,2021-05-29
RX0000004999,MBR00000137,2021-06-18,2021-06-22,1542209594,1875451203,PLN8211,459368,PCN561,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,11,Retail,0,1,0,2.8,2.64,5.44,153.0,0.0,0.37,0.48,0.34,0,0,0,0,2021-06-25
RX0000005000,MBR00000137,2023-01-31,2023-02-03,1752084856,1476557362,PLN8489,389419,PCN967,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,11,Mail Order,0,0,0,10.0,6.86,16.86,1.0,15.03,0.83,0.4,0.2833,0,0,0,0,2023-03-02
RX0000005001,MBR00000137,2022-11-22,2022-11-23,1312103476,1414716261,PLN6652,862310,PCN235,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,8,Retail,1,0,0,7.5,3.27,10.77,2.0,8.27,0.5,0.3,0.2125,0,0,0,0,2022-12-22
RX0000005002,MBR00000137,2021-11-05,2021-11-08,1694700872,1228999559,PLN5250,791159,PCN136,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,2,Specialty,0,0,1,18.0,47.12,65.12,6.0,59.12,0.0,0.72,0.51,0,0,0,0,2021-12-05
RX0000005003,MBR00000137,2023-06-22,2023-06-23,1587389729,1962178197,PLN3258,531446,PCN485,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,4,Retail,0,0,0,43.17,2.35,45.52,38.0,4.52,3.0,7.4,5.2417,0,0,0,0,2023-06-29
RX0000005004,MBR00000137,2021-05-30,2021-06-01,1402586598,1265059939,PLN2397,439071,PCN635,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,1,Retail,0,0,0,750.0,2.23,752.23,35.0,687.29,29.94,30.0,21.25,0,0,0,0,2021-06-29
RX0000005005,MBR00000137,2022-12-29,2023-01-01,1539380459,1249730490,PLN5705,240983,PCN382,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,9,Retail,0,0,0,14.0,10.85,24.85,4.0,20.04,0.81,0.56,0.3967,0,0,0,0,2023-01-28
RX0000005006,MBR00000137,2023-09-23,2023-09-25,1315626173,1600609734,PLN5316,260161,PCN297,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,81,9,Retail,0,0,0,33.0,2.9,35.9,10.0,24.63,1.27,0.44,0.3117,0,0,0,0,2023-12-22
RX0000005007,MBR00000137,2021-11-30,2021-12-03,1185899095,1694855272,PLN2632,795711,PCN385,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,91,1,Retail,0,0,0,990.0,2.09,992.09,37.0,897.57,57.52,13.2,9.35,0,0,0,0,2022-02-28
RX0000005008,MBR00000137,2023-07-21,2023-07-24,1896297147,1988078337,PLN5114,276619,PCN175,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,85,0,Specialty,0,0,0,54.0,25.32,79.32,1.0,78.32,0.0,0.72,0.51,0,0,0,0,2023-10-19
RX0000005009,MBR00000138,2021-01-18,2021-01-20,1954183517,1361447025,PLN7261,447082,PCN294,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,85,2,Specialty,0,1,0,24.0,35.6,59.6,149.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-04-18
RX0000005010,MBR00000138,2021-11-12,2021-11-13,1426168964,1536169113,PLN9695,316014,PCN121,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,3,LTC,0,1,0,8.0,7.83,15.83,151.0,0.0,0.66,0.32,0.2267,0,0,0,0,2021-12-12
RX0000005011,MBR00000138,2021-08-02,2021-08-05,1372617256,1856432610,PLN7736,367481,PCN395,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,9,Mail Order,0,1,0,12.0,1.6,13.6,146.0,0.0,0.53,0.48,0.34,0,0,0,0,2021-09-01
RX0000005012,MBR00000138,2023-02-14,2023-02-18,1238201862,1731548631,PLN2403,980128,PCN906,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,0,Retail,2,0,1,2.33,2.46,4.79,8.0,0.0,0.31,0.4,0.2833,0,0,0,0,2023-02-21
RX0000005013,MBR00000138,2023-05-21,2023-05-24,1783707492,1793037022,PLN3978,480375,PCN925,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,81,1,Mail Order,0,0,0,42.0,10.92,52.92,1.0,49.49,2.43,0.56,0.3967,0,0,0,0,2023-08-19
RX0000005014,MBR00000138,2021-06-05,2021-06-08,1313709334,1515791654,PLN4142,339657,PCN282,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,11,Retail,0,1,0,8.0,11.62,19.62,155.0,0.0,0.97,0.32,0.2267,0,0,0,0,2021-07-05
RX0000005015,MBR00000138,2021-05-06,2021-05-09,1252738733,1733267975,PLN7964,265491,PCN831,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,1,Retail,0,0,0,2.33,11.83,14.16,6.0,7.39,0.77,0.4,0.2833,0,0,0,0,2021-05-13
RX0000005016,MBR00000138,2023-10-05,2023-10-08,1179843198,1516060608,PLN8476,499719,PCN336,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,2,Specialty,0,0,0,320.0,10.68,330.68,31.0,299.68,0.0,12.8,9.0667,0,0,0,0,2023-11-04
RX0000005017,MBR00000138,2022-08-07,2022-08-10,1252436664,1703951829,PLN6265,518352,PCN797,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,7,Mail Order,0,0,0,9.0,5.13,14.13,6.0,7.59,0.54,0.36,0.255,0,0,0,0,2022-09-06
RX0000005018,MBR00000138,2023-04-09,2023-04-13,1211755140,1596434783,PLN8069,726473,PCN498,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,64,4,LTC,1,0,0,18.0,9.4,27.4,10.0,15.93,1.47,0.36,0.255,0,0,0,0,2023-06-08
RX0000005019,MBR00000138,2023-05-20,2023-05-22,1852281617,1147441423,PLN5301,614619,PCN492,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,90,6,Retail,0,0,0,555.0,4.74,559.74,30.0,492.07,37.67,7.4,5.2417,0,0,0,0,2023-08-18
RX0000005020,MBR00000138,2022-11-30,2022-12-03,1376729324,1890334972,PLN8531,647873,PCN479,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,6,Retail,0,0,0,10.0,5.03,15.03,4.0,10.38,0.65,0.4,0.2833,0,0,0,0,2022-12-30
RX0000005021,MBR00000138,2023-06-13,2023-06-14,1567397381,1329685344,PLN3145,923199,PCN572,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,11,Retail,3,0,0,28.0,10.33,38.33,4.0,32.15,2.18,1.12,0.7933,0,0,0,0,2023-07-13
RX0000005022,MBR00000138,2022-05-29,2022-05-30,1290464035,1851661838,PLN4622,247119,PCN701,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,11,Retail,1,0,0,11.0,9.9,20.9,10.0,10.25,0.65,0.44,0.3117,0,0,0,0,2022-06-28
RX0000005023,MBR00000138,2021-09-16,2021-09-17,1205903333,1456166009,PLN4856,687529,PCN996,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,85,4,Retail,0,0,0,36.0,2.9,38.9,0.0,37.17,1.73,0.48,0.34,0,0,0,0,2021-12-15
RX0000005024,MBR00000138,2022-06-21,2022-06-23,1577013578,1290930494,PLN3752,408829,PCN382,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,7,Mail Order,0,0,0,12.0,6.54,18.54,2.0,15.65,0.89,0.48,0.34,0,0,0,0,2022-07-21
RX0000005025,MBR00000138,2021-08-26,2021-08-27,1657613950,1962919123,PLN4397,250110,PCN404,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,4,Specialty,0,0,0,480.0,9.36,489.36,31.0,458.36,0.0,19.2,13.6,0,0,0,0,2021-09-25
RX0000005026,MBR00000138,2022-09-18,2022-09-21,1444270200,1182066784,PLN6803,736395,PCN106,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,5,Retail,0,0,0,16.0,9.04,25.04,1.0,22.41,1.63,0.64,0.4533,0,0,0,0,2022-10-18
RX0000005027,MBR00000138,2022-06-06,2022-06-09,1296563811,1801154063,PLN3797,282850,PCN666,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,2,Retail,0,0,0,45.0,6.66,51.66,7.0,42.42,2.24,1.8,1.275,0,0,0,0,2022-07-06
RX0000005028,MBR00000138,2023-08-22,2023-08-24,1410155889,1481067013,PLN4893,776751,PCN442,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,3,Retail,2,0,0,9.0,8.04,17.04,1.0,15.14,0.9,0.36,0.255,0,0,0,0,2023-09-21
RX0000005029,MBR00000138,2023-04-25,2023-04-29,1333561795,1410532834,PLN3129,655365,PCN745,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,0,Retail,0,0,0,185.0,4.06,189.06,38.0,144.7,6.36,7.4,5.2417,0,0,0,0,2023-05-25
RX0000005030,MBR00000138,2021-07-03,2021-07-07,1171478649,1232532754,PLN7565,702469,PCN598,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,83,1,Retail,0,0,0,30.0,5.21,35.21,8.0,25.36,1.85,0.4,0.2833,0,0,0,0,2021-10-01
RX0000005031,MBR00000138,2022-02-24,2022-02-26,1425803273,1760985284,PLN3712,341971,PCN865,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,95,6,Retail,0,0,0,33.0,11.9,44.9,8.0,34.35,2.55,0.44,0.3117,0,0,0,0,2022-05-25
RX0000005032,MBR00000138,2023-03-17,2023-03-20,1575927643,1188256501,PLN5736,605300,PCN608,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,65,11,Retail,0,0,0,20.0,5.36,25.36,7.0,17.25,1.11,0.4,0.2833,0,0,0,0,2023-05-16
RX0000005033,MBR00000138,2023-12-28,2023-12-29,1611608874,1572608811,PLN8836,769911,PCN716,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,0,Retail,3,0,0,22.0,6.32,28.32,0.0,26.56,1.76,0.88,0.6233,0,0,0,0,2024-01-27
RX0000005034,MBR00000138,2023-01-29,2023-01-31,1971862542,1583498605,PLN4197,296886,PCN968,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,81,4,Retail,0,1,0,8400.0,10.42,8410.42,153.0,7718.68,538.74,112.0,79.3333,0,0,0,0,2023-04-29
RX0000005035,MBR00000138,2021-09-27,2021-10-01,1980322023,1214501601,PLN2103,579338,PCN346,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,2,Retail,0,1,0,12.0,10.74,22.74,150.0,0.0,0.91,0.48,0.34,0,0,0,0,2021-10-27
RX0000005036,MBR00000138,2021-03-02,2021-03-05,1253349425,1154039071,PLN7864,380140,PCN357,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,2,Retail,0,0,0,14.0,3.36,17.36,0.0,16.23,1.13,0.56,0.3967,0,0,0,0,2021-04-01
RX0000005037,MBR00000138,2023-03-20,2023-03-21,1806747191,1879963962,PLN6045,215094,PCN988,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,95,4,Retail,0,1,0,8400.0,10.16,8410.16,147.0,7912.59,350.57,112.0,79.3333,1,0,0,0,2023-06-18
RX0000005038,MBR00000138,2022-05-18,2022-05-21,1368406749,1594681493,PLN3281,157159,PCN752,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,5,Retail,0,1,0,2800.0,5.59,2805.59,149.0,2557.04,99.55,112.0,79.3333,0,0,0,0,2022-06-17
RX0000005039,MBR00000138,2022-01-04,2022-01-08,1212507235,1694551879,PLN6619,623032,PCN504,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,57,5,Retail,0,0,0,1500.0,10.5,1510.5,38.0,1414.87,57.63,30.0,21.25,0,1,1,0,2022-03-05
RX0000005040,MBR00000138,2021-07-18,2021-07-20,1694171951,1621108806,PLN1418,418940,PCN789,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,7,Retail,0,0,0,750.0,5.35,755.35,32.0,675.68,47.67,30.0,21.25,0,0,0,0,2021-08-17
RX0000005041,MBR00000138,2021-01-12,2021-01-13,1502394552,1793482187,PLN7432,835231,PCN434,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,3,Retail,0,0,0,9.0,3.35,12.35,6.0,5.53,0.82,0.36,0.255,0,0,0,0,2021-02-11
RX0000005042,MBR00000138,2021-03-11,2021-03-15,1195643658,1555123711,PLN7948,738205,PCN925,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,2,Mail Order,3,0,0,45.0,1.52,46.52,2.0,41.6,2.92,1.8,1.275,0,0,0,0,2021-04-10
RX0000005043,MBR00000138,2023-11-17,2023-11-20,1216885987,1200554086,PLN5146,641288,PCN705,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,9,Retail,0,1,0,2800.0,3.79,2803.79,149.0,2461.45,193.34,112.0,79.3333,0,0,0,0,2023-12-17
RX0000005044,MBR00000139,2022-09-13,2022-09-16,1449670653,1227145772,PLN6142,335393,PCN306,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,0,Retail,0,0,0,15.0,11.13,26.13,4.0,21.26,0.87,0.6,0.425,0,1,0,0,2022-10-13
RX0000005045,MBR00000139,2022-03-18,2022-03-22,1155997838,1159116571,PLN4694,898566,PCN101,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,81,10,Specialty,0,0,0,48.0,32.07,80.07,8.0,72.07,0.0,0.64,0.4533,0,0,0,0,2022-06-16
RX0000005046,MBR00000139,2023-11-19,2023-11-22,1773187032,1754185278,PLN3436,794468,PCN261,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,4,Mail Order,0,1,0,6200.0,4.28,6204.28,148.0,5669.7,386.58,248.0,175.6667,0,0,0,0,2023-12-19
RX0000005047,MBR00000139,2023-05-14,2023-05-16,1459439605,1114249734,PLN7006,648904,PCN549,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,4,Mail Order,0,0,0,285.0,5.99,290.99,40.0,239.55,11.44,11.4,8.075,0,0,0,0,2023-06-13
RX0000005048,MBR00000139,2022-09-18,2022-09-21,1797284864,1688330389,PLN7874,614270,PCN578,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,1,Retail,0,0,0,330.0,5.51,335.51,31.0,286.1,18.41,13.2,9.35,0,0,0,0,2022-10-18
RX0000005049,MBR00000139,2021-08-05,2021-08-06,1828546041,1288594014,PLN8751,793396,PCN602,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,60,11,Specialty,0,0,0,25.0,22.51,47.51,3.0,44.51,0.0,0.5,0.3542,0,0,0,0,2021-10-04
RX0000005050,MBR00000139,2023-02-13,2023-02-14,1863432399,1195999655,PLN2089,518684,PCN347,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,8,Retail,0,0,0,3.5,7.73,11.23,2.0,8.67,0.56,0.6,0.425,1,0,0,0,2023-02-20
RX0000005051,MBR00000139,2022-06-28,2022-06-29,1112749162,1116611369,PLN1924,528937,PCN849,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,8,Retail,0,0,0,15.17,4.3,19.46,40.0,0.0,1.03,2.6,1.8417,0,1,1,0,2022-07-05
RX0000005052,MBR00000139,2022-12-23,2022-12-27,1648635658,1683308316,PLN2377,967187,PCN688,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,54,7,Retail,0,0,0,44.0,10.02,54.02,66.0,0.0,3.44,0.88,0.6233,0,0,0,0,2023-02-21
RX0000005053,MBR00000139,2023-07-27,2023-07-31,1641359522,1749250021,PLN3921,817507,PCN886,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,56,4,Retail,0,0,0,22.0,5.84,27.84,4.0,22.1,1.74,0.44,0.3117,0,0,0,0,2023-09-25
RX0000005054,MBR00000139,2022-07-24,2022-07-26,1586387242,1120235658,PLN4584,667637,PCN796,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,10,Retail,0,0,0,320.0,6.59,326.59,38.0,269.4,19.19,12.8,9.0667,0,0,0,0,2022-08-23
RX0000005055,MBR00000139,2023-07-02,2023-07-03,1600753870,1371594942,PLN7667,858624,PCN251,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,8,Mail Order,0,0,0,14.0,2.49,16.49,10.0,5.54,0.95,0.56,0.3967,0,0,0,0,2023-08-01
RX0000005056,MBR00000139,2023-11-06,2023-11-10,1886955988,1534206464,PLN7260,908828,PCN974,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,4,Retail,0,0,0,22.0,8.14,30.14,69.0,0.0,1.55,0.88,0.6233,0,0,0,0,2023-12-06
RX0000005057,MBR00000139,2021-02-27,2021-03-01,1535210635,1276232102,PLN9336,274245,PCN961,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,63,3,Mail Order,0,1,0,17000.0,11.37,17011.37,150.0,16069.91,791.46,340.0,240.8333,0,0,0,0,2021-04-28
RX0000005058,MBR00000139,2022-05-09,2022-05-10,1214314529,1751375352,PLN9070,722543,PCN770,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,87,6,Mail Order,0,0,0,30.0,4.23,34.23,5.0,28.03,1.2,0.4,0.2833,1,0,0,0,2022-08-07
RX0000005059,MBR00000139,2022-05-03,2022-05-05,1847325005,1262224241,PLN1316,455747,PCN301,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,62,5,Retail,0,0,0,760.0,4.37,764.37,32.0,688.78,43.59,15.2,10.7667,0,0,0,0,2022-07-02
RX0000005060,MBR00000139,2021-10-11,2021-10-15,1307804301,1106067737,PLN8155,626037,PCN546,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,0,Retail,0,0,0,10.0,9.14,19.14,0.0,18.32,0.82,0.4,0.2833,0,0,0,0,2021-11-10
RX0000005061,MBR00000139,2022-10-21,2022-10-22,1687418741,1729521345,PLN4052,240116,PCN366,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,8,Mail Order,2,0,0,175.0,10.74,185.74,32.0,141.59,12.15,30.0,21.25,0,0,0,0,2022-10-28
RX0000005062,MBR00000139,2022-04-04,2022-04-06,1221769059,1881078360,PLN4752,569009,PCN664,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,1,Retail,0,0,0,18.0,2.14,20.14,1.0,18.32,0.82,0.72,0.51,0,0,0,0,2022-05-04
RX0000005063,MBR00000139,2022-06-23,2022-06-27,1130736849,1140969875,PLN9165,999067,PCN190,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,94,9,Retail,0,0,0,30.0,5.68,35.68,6.0,27.94,1.74,0.4,0.2833,0,0,0,0,2022-09-21
RX0000005064,MBR00000139,2023-08-31,2023-09-01,1526932722,1677723783,PLN3535,282021,PCN417,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,10,Retail,1,0,0,9.0,3.93,12.93,6.0,6.37,0.56,0.36,0.255,0,0,0,0,2023-09-30
RX0000005065,MBR00000139,2023-11-17,2023-11-21,1390960089,1570345792,PLN6635,330902,PCN995,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,7,Retail,1,0,0,45.0,10.09,55.09,5.0,47.69,2.4,1.8,1.275,0,0,0,0,2023-12-17
RX0000005066,MBR00000139,2023-06-16,2023-06-19,1136808689,1258858422,PLN4278,618423,PCN507,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,57,9,Retail,0,0,0,370.0,11.0,381.0,34.0,321.67,25.33,7.4,5.2417,0,0,0,0,2023-08-15
RX0000005067,MBR00000139,2023-07-10,2023-07-12,1699225032,1535252947,PLN2882,405875,PCN302,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,11,Retail,3,0,0,175.0,2.33,177.33,30.0,141.62,5.71,7.0,4.9583,0,0,0,0,2023-08-09
RX0000005068,MBR00000139,2023-09-17,2023-09-19,1181870254,1169434160,PLN8693,315254,PCN110,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,3,Retail,0,0,0,175.0,4.99,179.99,38.0,132.88,9.11,7.0,4.9583,0,0,0,0,2023-10-17
RX0000005069,MBR00000139,2021-09-28,2021-10-02,1309135750,1340935402,PLN9688,875599,PCN350,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,82,3,Retail,0,0,0,54.0,1.81,55.81,40.0,12.97,2.84,0.72,0.51,0,0,0,0,2021-12-27
RX0000005070,MBR00000139,2021-05-31,2021-06-04,1515888176,1359080168,PLN1406,269406,PCN817,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,63,1,Retail,0,0,0,24.0,3.86,27.86,9.0,17.7,1.16,0.48,0.34,0,0,0,0,2021-07-30
RX0000005071,MBR00000139,2021-12-16,2021-12-19,1852207678,1477328087,PLN4033,792269,PCN198,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,2,Retail,0,0,0,18.0,6.07,24.07,33.0,0.0,1.25,0.72,0.51,1,0,0,0,2022-01-15
RX0000005072,MBR00000139,2023-12-13,2023-12-17,1423687386,1749160878,PLN2104,624748,PCN736,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,98,4,Retail,0,0,0,30.0,11.95,41.95,8.0,32.13,1.82,0.4,0.2833,1,0,0,0,2024-03-12
RX0000005073,MBR00000139,2022-11-23,2022-11-27,1362215316,1907803570,PLN6043,448065,PCN806,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,6,Retail,0,0,0,28.0,5.92,33.92,9.0,22.7,2.22,1.12,0.7933,0,0,0,0,2022-12-23
RX0000005074,MBR00000139,2021-03-28,2021-04-01,1842652065,1713504645,PLN6767,991214,PCN246,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,96,2,Retail,0,0,0,25.5,2.35,27.85,10.0,16.9,0.95,0.34,0.2408,0,1,0,0,2021-06-26
RX0000005075,MBR00000139,2021-11-01,2021-11-04,1110662819,1725024173,PLN6421,311678,PCN288,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,93,11,Retail,0,0,0,36.0,1.57,37.57,8.0,27.09,2.48,0.48,0.34,0,0,0,0,2022-01-30
RX0000005076,MBR00000139,2022-04-28,2022-04-30,1394872117,1735211275,PLN4295,910104,PCN481,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,5,Retail,1,0,0,8.5,8.93,17.43,10.0,6.32,1.11,0.34,0.2408,0,0,0,0,2022-05-28
RX0000005077,MBR00000139,2022-09-21,2022-09-22,1491075909,1472866136,PLN5774,212747,PCN612,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,10,Retail,0,0,0,45.0,9.99,54.99,7.0,44.42,3.57,1.8,1.275,0,0,0,0,2022-10-21
RX0000005078,MBR00000139,2022-11-06,2022-11-07,1159760937,1278492569,PLN9255,390025,PCN495,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,93,1,Retail,0,0,0,930.0,8.43,938.43,36.0,872.8,29.63,12.4,8.7833,0,0,0,0,2023-02-04
RX0000005079,MBR00000139,2022-10-07,2022-10-08,1614585636,1906047605,PLN6965,587631,PCN522,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,90,9,Retail,0,1,0,36.0,9.02,45.02,152.0,0.0,2.87,0.48,0.34,0,0,0,0,2023-01-05
RX0000005080,MBR00000139,2023-01-17,2023-01-20,1959372214,1717179500,PLN4578,331834,PCN541,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,1,Retail,0,0,0,16.0,5.69,21.69,6.0,14.8,0.89,0.64,0.4533,0,0,0,0,2023-02-16
RX0000005081,MBR00000139,2022-10-27,2022-10-30,1547644251,1318361401,PLN8841,706417,PCN614,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,3,Retail,0,1,0,8.0,7.21,15.21,145.0,0.0,0.59,0.32,0.2267,0,0,0,0,2022-11-26
RX0000005082,MBR00000139,2021-01-10,2021-01-14,1200594907,1680049389,PLN1998,216988,PCN467,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,1,Mail Order,0,0,0,320.0,8.15,328.15,39.0,267.89,21.26,12.8,9.0667,0,0,0,0,2021-02-09
RX0000005083,MBR00000139,2021-10-01,2021-10-04,1794879568,1785782218,PLN6308,828224,PCN918,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,9,Specialty,0,0,0,10.0,24.38,34.38,9.0,25.38,0.0,0.4,0.2833,0,0,0,0,2021-10-31
RX0000005084,MBR00000139,2022-04-03,2022-04-05,1268047066,1879441779,PLN4457,109276,PCN611,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,10,Retail,0,1,0,8.0,4.38,12.38,151.0,0.0,0.87,0.32,0.2267,0,0,0,0,2022-05-03
RX0000005085,MBR00000139,2021-02-09,2021-02-13,1688330910,1417071435,PLN9677,445512,PCN254,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,10,Retail,0,0,0,9.0,3.14,12.14,10.0,1.35,0.79,0.36,0.255,0,0,0,0,2021-03-11
RX0000005086,MBR00000139,2022-12-09,2022-12-11,1466616771,1662462032,PLN6685,709211,PCN828,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,58,0,LTC,0,0,0,30.0,2.32,32.32,10.0,20.28,2.04,0.6,0.425,0,0,0,0,2023-02-07
RX0000005087,MBR00000139,2021-06-14,2021-06-17,1844478142,1939523288,PLN9875,392278,PCN987,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,5,Specialty,1,0,0,65.0,15.91,80.91,38.0,42.91,0.0,2.6,1.8417,0,0,0,0,2021-07-14
RX0000005088,MBR00000139,2022-03-12,2022-03-15,1829441908,1430570822,PLN8045,268343,PCN904,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,10,Specialty,0,0,0,480.0,31.26,511.26,34.0,477.26,0.0,19.2,13.6,0,0,0,0,2022-04-11
RX0000005089,MBR00000139,2022-06-05,2022-06-08,1445069738,1334665491,PLN1675,570734,PCN828,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,94,1,Retail,0,0,0,48.0,6.66,54.66,5.0,46.98,2.68,0.64,0.4533,1,0,0,0,2022-09-03
RX0000005090,MBR00000139,2023-11-29,2023-12-01,1285926745,1512064163,PLN3398,852318,PCN913,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,11,Specialty,3,0,0,185.0,33.73,218.73,34.0,184.73,0.0,7.4,5.2417,0,0,0,0,2023-12-29
RX0000005091,MBR00000140,2022-11-11,2022-11-15,1443261237,1833052700,PLN5425,933488,PCN614,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,56,8,Mail Order,0,0,0,56.0,1.53,57.53,5.0,48.79,3.74,1.12,0.7933,0,0,0,0,2023-01-10
RX0000005092,MBR00000140,2021-11-10,2021-11-11,1393657445,1971779139,PLN6730,688149,PCN776,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,9,Retail,0,0,0,15.0,5.04,20.04,0.0,18.68,1.36,0.6,0.425,0,0,0,0,2021-12-10
RX0000005093,MBR00000140,2021-12-27,2021-12-31,1129357265,1461605684,PLN9167,739338,PCN848,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,6,Retail,0,0,0,330.0,3.02,333.02,35.0,283.77,14.25,13.2,9.35,0,0,0,0,2022-01-26
RX0000005094,MBR00000140,2023-04-04,2023-04-07,1844415027,1396223950,PLN8788,645691,PCN896,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,84,9,Retail,0,0,0,27.0,3.11,30.11,7.0,21.05,2.06,0.36,0.255,0,0,0,0,2023-07-03
RX0000005095,MBR00000140,2023-09-17,2023-09-19,1746641934,1732398648,PLN3124,562247,PCN436,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,5,Mail Order,0,0,0,10.0,6.53,16.53,7.0,8.82,0.71,0.4,0.2833,0,0,0,0,2023-10-17
RX0000005096,MBR00000140,2022-11-26,2022-11-29,1915974349,1789376903,PLN5268,655468,PCN990,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,62,10,Retail,0,0,0,1500.0,11.09,1511.09,32.0,1394.88,84.21,30.0,21.25,0,0,0,0,2023-01-25
RX0000005097,MBR00000140,2023-08-30,2023-09-02,1644673267,1456705011,PLN3881,537063,PCN693,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,85,4,Retail,1,0,0,45.0,3.48,48.48,5.0,41.76,1.72,0.6,0.425,0,0,0,0,2023-11-28
RX0000005098,MBR00000140,2022-02-04,2022-02-05,1147176830,1807062899,PLN4942,665836,PCN750,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,8,Retail,0,0,0,28.0,8.98,36.98,4.0,30.46,2.52,1.12,0.7933,0,0,0,0,2022-03-06
RX0000005099,MBR00000140,2021-10-20,2021-10-21,1183943445,1675725875,PLN8326,986503,PCN715,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,81,9,Specialty,0,1,0,24.0,10.95,34.95,155.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-01-18
RX0000005100,MBR00000140,2022-07-10,2022-07-11,1391659249,1754566046,PLN6821,424613,PCN755,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,1,Mail Order,0,0,0,14.0,11.05,25.05,1.0,23.23,0.82,0.56,0.3967,0,0,0,0,2022-08-09
RX0000005101,MBR00000140,2021-02-20,2021-02-23,1484067797,1942249790,PLN4499,449209,PCN226,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,3,Retail,0,0,0,38.0,8.56,46.56,37.0,8.15,1.41,1.52,1.0767,0,0,0,0,2021-03-22
RX0000005102,MBR00000140,2022-04-06,2022-04-10,1396349326,1371305467,PLN8763,587857,PCN324,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,83,3,Specialty,0,0,1,36.0,22.32,58.32,6.0,52.32,0.0,0.48,0.34,0,0,0,0,2022-07-05
RX0000005103,MBR00000140,2021-01-07,2021-01-09,1189717354,1173173162,PLN3266,712849,PCN249,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,5,Specialty,0,0,0,330.0,15.49,345.49,34.0,311.49,0.0,13.2,9.35,0,0,0,0,2021-02-06
RX0000005104,MBR00000140,2022-07-10,2022-07-14,1758758330,1130574830,PLN4789,308977,PCN169,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,11,Mail Order,0,0,0,10.0,9.44,19.44,7.0,11.19,1.25,0.4,0.2833,0,0,0,0,2022-08-09
RX0000005105,MBR00000140,2023-06-03,2023-06-04,1464930107,1551491611,PLN3640,774180,PCN223,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,1,Retail,0,0,0,11.0,2.18,13.18,10.0,2.43,0.75,0.44,0.3117,0,0,0,0,2023-07-03
RX0000005106,MBR00000141,2023-06-30,2023-07-03,1905688814,1192855592,PLN6780,316772,PCN527,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,84,1,Retail,0,0,0,36.0,10.88,46.88,6.0,39.36,1.52,0.48,0.34,0,0,0,0,2023-09-28
RX0000005107,MBR00000141,2023-05-04,2023-05-07,1373301457,1255237003,PLN9211,251210,PCN686,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,11,Retail,0,0,0,16.0,10.73,26.73,9.0,16.53,1.2,0.64,0.4533,0,0,0,0,2023-06-03
RX0000005108,MBR00000141,2023-02-21,2023-02-24,1533176830,1100096032,PLN7953,189366,PCN426,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,2,Retail,0,0,0,370.0,7.55,377.55,36.0,328.79,12.76,14.8,10.4833,0,0,0,0,2023-03-23
RX0000005109,MBR00000141,2023-05-19,2023-05-20,1472857076,1901599560,PLN6406,979399,PCN935,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,3,Retail,0,0,0,310.0,5.68,315.68,35.0,261.9,18.78,12.4,8.7833,0,0,0,0,2023-06-18
RX0000005110,MBR00000141,2023-08-01,2023-08-04,1957056949,1438824575,PLN1610,768553,PCN694,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,4,Mail Order,0,0,0,10.0,9.84,19.84,1.0,17.49,1.35,0.4,0.2833,0,0,0,0,2023-08-31
RX0000005111,MBR00000141,2023-09-01,2023-09-05,1822157617,1611048534,PLN7986,390115,PCN980,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,97,11,Retail,0,1,0,36.0,7.65,43.65,150.0,0.0,1.64,0.48,0.34,0,0,0,0,2023-11-30
RX0000005112,MBR00000141,2022-02-13,2022-02-15,1940823943,1262399104,PLN7944,542752,PCN944,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,63,11,Retail,0,0,0,20.0,4.76,24.76,1.0,22.4,1.36,0.4,0.2833,1,0,0,0,2022-04-14
RX0000005113,MBR00000141,2021-11-01,2021-11-02,1340003167,1112951781,PLN3511,490277,PCN126,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,8,Retail,0,0,0,15.0,5.7,20.7,4.0,15.94,0.76,0.6,0.425,0,0,0,0,2021-12-01
RX0000005114,MBR00000141,2023-09-06,2023-09-07,1406551035,1409362283,PLN1872,176113,PCN962,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,5,Retail,0,0,0,9.0,8.47,17.47,10.0,6.83,0.64,0.36,0.255,0,0,0,0,2023-10-06
RX0000005115,MBR00000141,2022-12-04,2022-12-07,1813308594,1885554404,PLN7907,763687,PCN272,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,63,0,Retail,0,0,0,350.0,3.74,353.74,30.0,305.4,18.34,7.0,4.9583,0,0,0,0,2023-02-02
RX0000005116,MBR00000141,2021-08-24,2021-08-28,1939917590,1965961875,PLN7632,490850,PCN678,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,4,Retail,0,0,0,18.0,4.59,22.59,37.0,0.0,1.21,0.72,0.51,0,0,0,0,2021-09-23
RX0000005117,MBR00000141,2021-04-11,2021-04-15,1613046796,1207596810,PLN3862,445348,PCN518,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,91,7,Retail,0,0,0,25.5,5.76,31.26,10.0,19.49,1.77,0.34,0.2408,0,0,0,0,2021-07-10
RX0000005118,MBR00000141,2021-09-06,2021-09-08,1296116471,1848892714,PLN7220,350081,PCN579,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,64,0,Retail,3,0,0,44.0,1.94,45.94,8.0,35.3,2.64,0.88,0.6233,0,0,0,0,2021-11-05
RX0000005119,MBR00000141,2021-10-29,2021-10-31,1103292986,1505656151,PLN3618,458920,PCN197,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,11,Retail,0,0,0,18.0,3.15,21.15,7.0,13.25,0.9,0.72,0.51,0,0,0,0,2021-11-28
RX0000005120,MBR00000141,2022-09-25,2022-09-27,1961681227,1984377016,PLN6285,112149,PCN174,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,6,Retail,0,1,0,1983.33,8.41,1991.74,149.0,1771.18,71.56,340.0,240.8333,0,0,0,0,2022-10-02
RX0000005121,MBR00000141,2023-01-14,2023-01-15,1535942327,1827831273,PLN9853,127216,PCN455,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,81,3,Retail,0,0,0,36.0,9.32,45.32,10.0,32.7,2.62,0.48,0.34,0,0,0,0,2023-04-14
RX0000005122,MBR00000141,2022-11-29,2022-12-03,1236911900,1984589418,PLN9131,644690,PCN872,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,11,Mail Order,0,0,0,370.0,9.13,379.13,34.0,328.11,17.02,14.8,10.4833,0,0,0,0,2022-12-29
RX0000005123,MBR00000141,2023-03-15,2023-03-18,1274264132,1726553651,PLN5711,344872,PCN522,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,6,Retail,0,1,0,8.0,11.2,19.2,153.0,0.0,1.3,0.32,0.2267,0,0,0,0,2023-04-14
RX0000005124,MBR00000141,2021-07-12,2021-07-15,1831926879,1777523171,PLN7082,663889,PCN168,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,95,9,Specialty,0,0,0,27.0,18.23,45.23,0.0,45.23,0.0,0.36,0.255,0,0,0,0,2021-10-10
RX0000005125,MBR00000141,2022-11-19,2022-11-20,1985072415,1400217135,PLN6900,961083,PCN108,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,2,Retail,0,0,0,18.0,10.34,28.34,8.0,18.9,1.44,0.72,0.51,0,0,0,0,2022-12-19
RX0000005126,MBR00000141,2021-08-24,2021-08-28,1797036083,1871444604,PLN6980,569522,PCN329,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,8,Specialty,0,0,0,10.0,31.91,41.91,5.0,36.91,0.0,0.4,0.2833,0,0,0,0,2021-09-23
RX0000005127,MBR00000141,2023-07-31,2023-08-04,1804990651,1623274422,PLN7016,412697,PCN448,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,61,8,Retail,0,0,0,28.0,5.85,33.85,2.0,30.7,1.15,0.56,0.3967,0,0,0,0,2023-09-29
RX0000005128,MBR00000141,2023-12-16,2023-12-19,1860424268,1658180820,PLN3889,424304,PCN784,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,5,Mail Order,0,0,0,175.0,7.5,182.5,37.0,135.92,9.58,7.0,4.9583,0,0,0,0,2024-01-15
RX0000005129,MBR00000141,2023-03-22,2023-03-26,1569218002,1381212624,PLN4271,472460,PCN416,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,5,Retail,0,1,0,1983.33,2.37,1985.7,150.0,1712.39,123.31,340.0,240.8333,0,0,0,0,2023-03-29
RX0000005130,MBR00000141,2023-11-13,2023-11-14,1542942623,1311854338,PLN8993,781337,PCN507,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,65,1,Retail,0,0,0,44.0,11.88,55.88,74.0,0.0,2.3,0.88,0.6233,0,1,1,0,2024-01-12
RX0000005131,MBR00000141,2023-12-05,2023-12-09,1442453629,1723198361,PLN1356,865592,PCN608,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,0,Retail,1,1,0,1983.33,3.46,1986.79,153.0,1750.21,83.58,340.0,240.8333,0,0,0,0,2023-12-12
RX0000005132,MBR00000141,2022-11-15,2022-11-16,1160939641,1925855564,PLN1745,423537,PCN530,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,0,Retail,0,0,0,330.0,11.21,341.21,30.0,289.03,22.18,13.2,9.35,0,0,0,0,2022-12-15
RX0000005133,MBR00000141,2022-10-18,2022-10-22,1469580965,1451800142,PLN6355,187657,PCN281,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,10,Retail,0,0,0,10.0,4.4,14.4,2.0,11.79,0.61,0.4,0.2833,0,0,0,0,2022-11-17
RX0000005134,MBR00000141,2023-01-20,2023-01-22,1414376448,1596796632,PLN1512,370180,PCN918,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,93,7,Retail,0,0,0,30.0,5.05,35.05,0.0,33.12,1.93,0.4,0.2833,0,0,0,0,2023-04-20
RX0000005135,MBR00000141,2022-09-20,2022-09-21,1959135181,1209552910,PLN1439,354214,PCN378,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,10,Retail,1,0,0,88.67,3.05,91.72,31.0,54.85,5.87,15.2,10.7667,0,0,0,0,2022-09-27
RX0000005136,MBR00000141,2023-05-07,2023-05-09,1301689181,1321395438,PLN3543,145172,PCN991,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,11,Retail,0,0,0,1.75,7.62,9.37,5.0,3.86,0.51,0.3,0.2125,0,0,0,0,2023-05-14
RX0000005137,MBR00000141,2021-10-03,2021-10-04,1890285757,1757041256,PLN8691,622560,PCN211,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,83,0,Retail,0,0,0,54.0,7.68,61.68,6.0,51.74,3.94,0.72,0.51,0,0,0,0,2022-01-01
RX0000005138,MBR00000141,2022-09-17,2022-09-19,1244824088,1714368391,PLN5393,116280,PCN808,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,91,3,Retail,0,0,0,48.0,11.89,59.89,2.0,54.36,3.53,0.64,0.4533,0,0,0,0,2022-12-16
RX0000005139,MBR00000141,2022-11-18,2022-11-19,1853191961,1315922188,PLN6004,762793,PCN994,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,2,Specialty,2,0,0,7.5,47.01,54.51,8.0,46.51,0.0,0.3,0.2125,0,0,0,0,2022-12-18
RX0000005140,MBR00000141,2021-06-02,2021-06-03,1400941774,1342457604,PLN5741,783741,PCN513,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,90,2,Mail Order,0,0,0,114.0,6.62,120.62,40.0,74.78,5.84,1.52,1.0767,1,0,0,0,2021-08-31
RX0000005141,MBR00000141,2023-09-26,2023-09-28,1762902732,1276586256,PLN2233,919650,PCN755,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,3,Specialty,0,0,0,750.0,17.44,767.44,39.0,728.44,0.0,30.0,21.25,0,0,0,0,2023-10-26
RX0000005142,MBR00000141,2022-11-05,2022-11-07,1731092921,1705691373,PLN2353,292395,PCN924,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,95,10,Retail,0,0,0,25.5,10.2,35.7,6.0,27.96,1.74,0.34,0.2408,0,0,0,0,2023-02-03
RX0000005143,MBR00000141,2021-09-13,2021-09-17,1957273729,1194270972,PLN2461,640873,PCN314,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,10,Retail,0,0,0,22.0,11.63,33.63,5.0,26.47,2.16,0.88,0.6233,1,0,0,0,2021-10-13
RX0000005144,MBR00000141,2021-03-05,2021-03-07,1730538447,1702540651,PLN8737,339387,PCN838,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,86,5,Mail Order,2,0,0,22.5,11.35,33.85,5.0,27.3,1.55,0.3,0.2125,0,0,0,0,2021-06-03
RX0000005145,MBR00000141,2022-08-05,2022-08-06,1934592455,1340930273,PLN2354,779830,PCN215,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,6,Retail,0,0,0,330.0,1.96,331.96,40.0,278.41,13.55,13.2,9.35,0,0,0,0,2022-09-04
RX0000005146,MBR00000141,2021-09-05,2021-09-07,1280914470,1121373699,PLN7302,321223,PCN591,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,6,Retail,0,0,0,175.0,3.11,178.11,40.0,131.45,6.66,7.0,4.9583,0,0,0,0,2021-10-05
RX0000005147,MBR00000141,2023-06-09,2023-06-10,1855353536,1556882220,PLN1322,820375,PCN147,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,87,5,LTC,0,0,0,37.5,4.89,42.39,1.0,38.53,2.86,0.5,0.3542,0,0,0,0,2023-09-07
RX0000005148,MBR00000141,2022-11-29,2022-11-30,1662796248,1876335841,PLN1892,218184,PCN158,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,0,Mail Order,1,0,0,370.0,5.45,375.45,33.0,321.31,21.14,14.8,10.4833,0,0,0,0,2022-12-29
RX0000005149,MBR00000141,2021-02-21,2021-02-22,1974561252,1790489659,PLN5816,427007,PCN574,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,85,5,Retail,3,0,0,54.0,3.64,57.64,0.0,55.55,2.09,0.72,0.51,0,0,0,0,2021-05-22
RX0000005150,MBR00000142,2021-09-24,2021-09-26,1526348372,1683785942,PLN2581,821700,PCN464,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,1,Retail,0,0,0,12.5,10.59,23.09,9.0,13.34,0.75,0.5,0.3542,0,0,0,0,2021-10-24
RX0000005151,MBR00000142,2023-01-03,2023-01-05,1515225309,1594525452,PLN4675,247707,PCN379,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,54,8,Retail,0,0,0,56.0,3.16,59.16,4.0,52.65,2.51,1.12,0.7933,0,0,0,0,2023-03-04
RX0000005152,MBR00000142,2021-08-22,2021-08-24,1612271904,1860368386,PLN8419,912470,PCN484,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,8,Retail,0,0,0,175.0,7.82,182.82,30.0,143.68,9.14,7.0,4.9583,0,0,0,0,2021-09-21
RX0000005153,MBR00000142,2023-03-21,2023-03-24,1576919479,1233107780,PLN8240,900675,PCN404,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,81,6,Retail,0,0,0,990.0,9.89,999.89,36.0,924.75,39.14,13.2,9.35,0,0,0,0,2023-06-19
RX0000005154,MBR00000142,2022-09-23,2022-09-27,1169987315,1166133818,PLN2386,638381,PCN657,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,3,Retail,0,1,0,12.0,6.77,18.77,147.0,0.0,1.26,0.48,0.34,0,0,0,0,2022-10-23
RX0000005155,MBR00000142,2022-08-18,2022-08-21,1887910439,1247786518,PLN2177,660154,PCN191,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,96,3,Retail,0,0,0,36.0,2.7,38.7,3.0,33.33,2.37,0.48,0.34,0,0,0,0,2022-11-16
RX0000005156,MBR00000142,2023-12-10,2023-12-13,1635929932,1765927299,PLN1869,796137,PCN220,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,90,10,Retail,0,0,0,25.5,8.47,33.97,2.0,30.38,1.59,0.34,0.2408,0,0,0,0,2024-03-09
RX0000005157,MBR00000142,2022-08-06,2022-08-07,1854589383,1402602184,PLN1957,633837,PCN133,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,89,7,Mail Order,0,0,0,855.0,1.84,856.84,35.0,779.67,42.17,11.4,8.075,0,0,0,0,2022-11-04
RX0000005158,MBR00000142,2023-11-28,2023-12-01,1360238654,1901048308,PLN3222,277994,PCN203,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,2,Retail,0,0,0,14.0,7.8,21.8,4.0,16.47,1.33,0.56,0.3967,0,0,0,0,2023-12-28
RX0000005159,MBR00000142,2023-12-16,2023-12-18,1132868982,1818924359,PLN3788,752644,PCN294,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,58,11,Retail,0,0,0,28.0,8.44,36.44,3.0,31.5,1.94,0.56,0.3967,0,0,0,0,2024-02-14
RX0000005160,MBR00000142,2022-09-23,2022-09-24,1825625241,1457030204,PLN8607,695199,PCN280,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,2,Retail,0,1,0,8500.0,2.94,8502.94,148.0,8014.66,340.28,340.0,240.8333,0,0,0,0,2022-10-23
RX0000005161,MBR00000142,2022-12-30,2022-12-31,1807870385,1152656763,PLN4905,246169,PCN757,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,5,Retail,0,0,1,9.0,10.34,19.34,8.0,10.39,0.95,0.36,0.255,0,0,0,0,2023-01-29
RX0000005162,MBR00000142,2021-05-15,2021-05-17,1675281262,1171634443,PLN7663,507436,PCN183,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,91,11,Retail,0,0,0,195.0,10.64,205.64,33.0,164.81,7.83,2.6,1.8417,0,0,0,0,2021-08-13
RX0000005163,MBR00000142,2023-06-28,2023-06-29,1343471033,1741176049,PLN1688,992826,PCN297,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,81,4,Retail,0,0,0,84.0,7.51,91.51,5.0,80.8,5.71,1.12,0.7933,1,0,0,0,2023-09-26
RX0000005164,MBR00000142,2023-03-11,2023-03-15,1790767149,1714063169,PLN4088,735081,PCN246,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,0,Retail,0,0,0,12.5,8.53,21.03,7.0,12.69,1.34,0.5,0.3542,0,0,0,0,2023-04-10
RX0000005165,MBR00000142,2023-01-12,2023-01-16,1572835432,1263770032,PLN5690,775467,PCN788,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,3,Retail,0,0,0,45.0,7.07,52.07,2.0,47.61,2.46,1.8,1.275,0,0,0,0,2023-02-11
RX0000005166,MBR00000142,2022-11-03,2022-11-05,1352322824,1593211318,PLN9468,803954,PCN233,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,1,Retail,1,1,0,8.0,8.28,16.28,146.0,0.0,0.99,0.32,0.2267,0,0,0,0,2022-12-03
RX0000005167,MBR00000142,2022-12-03,2022-12-05,1945371954,1514441397,PLN7871,548119,PCN681,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,85,3,Retail,2,0,1,1140.0,3.95,1143.95,31.0,1058.45,54.5,15.2,10.7667,0,0,0,0,2023-03-03
RX0000005168,MBR00000142,2023-03-12,2023-03-14,1597550657,1982736059,PLN2509,862409,PCN486,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,98,3,Specialty,0,0,0,54.0,40.53,94.53,6.0,88.53,0.0,0.72,0.51,0,0,0,0,2023-06-10
RX0000005169,MBR00000142,2023-04-27,2023-04-29,1807735737,1120473768,PLN4828,621535,PCN423,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,6,Retail,0,0,0,7.5,11.74,19.24,10.0,8.25,0.99,0.3,0.2125,0,0,0,0,2023-05-27
RX0000005170,MBR00000142,2022-10-26,2022-10-28,1823444966,1883287478,PLN5290,423223,PCN994,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,8,Retail,2,1,0,18600.0,3.72,18603.72,148.0,17358.18,1097.54,248.0,175.6667,0,0,0,0,2023-01-24
RX0000005171,MBR00000142,2021-11-08,2021-11-12,1312832851,1554810483,PLN1343,269046,PCN328,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,5,Retail,0,0,0,10.0,4.57,14.57,5.0,8.65,0.92,0.4,0.2833,0,0,0,0,2021-12-08
RX0000005172,MBR00000142,2021-03-05,2021-03-09,1777793037,1331759873,PLN3956,575617,PCN680,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,0,Retail,0,0,0,14.0,10.93,24.93,4.0,19.25,1.68,0.56,0.3967,0,0,0,0,2021-04-04
RX0000005173,MBR00000142,2023-04-07,2023-04-09,1738140726,1145065594,PLN8917,892568,PCN475,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,3,Mail Order,0,1,0,6200.0,9.91,6209.91,151.0,5794.64,264.27,248.0,175.6667,0,0,0,0,2023-05-07
RX0000005174,MBR00000142,2022-06-25,2022-06-28,1484800888,1158843104,PLN8247,651965,PCN891,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,3,Specialty,0,0,0,12.0,41.47,53.47,2.0,51.47,0.0,0.48,0.34,0,0,0,0,2022-07-25
RX0000005175,MBR00000142,2021-05-19,2021-05-23,1912628544,1545152997,PLN5600,700808,PCN922,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,1,Retail,0,0,0,2.57,7.19,9.76,2.0,7.34,0.42,0.44,0.3117,0,0,0,0,2021-05-26
RX0000005176,MBR00000142,2021-04-23,2021-04-27,1754431482,1136064226,PLN8458,139793,PCN567,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,9,Retail,0,0,0,185.0,7.85,192.85,32.0,149.3,11.55,7.4,5.2417,0,0,0,0,2021-05-23
RX0000005177,MBR00000142,2023-12-06,2023-12-08,1791865260,1942337412,PLN2050,938031,PCN618,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,82,2,Retail,0,0,0,33.0,5.31,38.31,8.0,28.06,2.25,0.44,0.3117,0,0,0,0,2024-03-05
RX0000005178,MBR00000142,2022-01-13,2022-01-14,1295518795,1863258557,PLN8142,640391,PCN971,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,5,Mail Order,0,0,0,10.0,9.87,19.87,3.0,15.97,0.9,0.4,0.2833,0,0,0,0,2022-02-12
RX0000005179,MBR00000142,2023-01-24,2023-01-26,1706149993,1883792731,PLN7962,491937,PCN447,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,3,Mail Order,0,0,0,18.0,6.96,24.96,1.0,23.02,0.94,0.72,0.51,0,1,0,0,2023-02-23
RX0000005180,MBR00000142,2021-04-26,2021-04-27,1190569643,1954034095,PLN9154,254282,PCN309,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,89,1,Retail,0,1,0,8400.0,3.42,8403.42,146.0,7669.57,587.85,112.0,79.3333,0,0,0,0,2021-07-25
RX0000005181,MBR00000142,2023-01-07,2023-01-11,1801267024,1887994511,PLN1492,115877,PCN789,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,11,Retail,2,0,0,9.0,6.89,15.89,9.0,6.41,0.48,0.36,0.255,0,0,0,0,2023-02-06
RX0000005182,MBR00000142,2022-02-26,2022-03-01,1887351356,1922220871,PLN9957,535908,PCN743,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,60,8,Retail,0,0,0,17.0,4.92,21.92,8.0,12.86,1.06,0.34,0.2408,0,0,0,0,2022-04-27
RX0000005183,MBR00000142,2023-12-04,2023-12-06,1124986130,1227749629,PLN3846,896751,PCN306,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,3,Retail,0,0,0,950.0,4.28,954.28,34.0,874.97,45.31,38.0,26.9167,0,0,0,0,2024-01-03
RX0000005184,MBR00000142,2021-07-17,2021-07-18,1265927438,1104216724,PLN1811,775960,PCN427,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,7,Specialty,0,0,0,2.57,10.69,13.25,10.0,3.25,0.0,0.44,0.3117,0,0,0,0,2021-07-24
RX0000005185,MBR00000142,2023-04-19,2023-04-23,1774653239,1372555322,PLN5177,469540,PCN856,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,4,Retail,3,1,0,8500.0,7.07,8507.07,151.0,7904.95,451.12,340.0,240.8333,0,0,0,0,2023-05-19
RX0000005186,MBR00000143,2021-12-14,2021-12-17,1448602687,1898341012,PLN1718,392919,PCN976,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,81,5,Specialty,0,0,0,27.0,28.41,55.41,1.0,54.41,0.0,0.36,0.255,0,0,0,0,2022-03-14
RX0000005187,MBR00000143,2022-02-14,2022-02-18,1114923627,1890545491,PLN3295,709177,PCN685,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,9,Retail,0,0,0,8.5,5.61,14.11,2.0,11.55,0.56,0.34,0.2408,0,0,0,0,2022-03-16
RX0000005188,MBR00000143,2022-02-26,2022-02-28,1417189661,1166863226,PLN9083,998925,PCN740,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,60,5,LTC,0,0,0,130.0,6.93,136.93,35.0,94.89,7.04,2.6,1.8417,0,0,0,0,2022-04-27
RX0000005189,MBR00000143,2021-04-11,2021-04-13,1403707378,1471999065,PLN2649,331004,PCN384,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,5,Retail,0,0,0,10.0,5.85,15.85,1.0,14.05,0.8,0.4,0.2833,0,0,0,0,2021-05-11
RX0000005190,MBR00000143,2022-07-13,2022-07-17,1256361027,1136766547,PLN5716,652735,PCN869,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,59,5,Retail,0,0,0,18.0,6.87,24.87,7.0,16.49,1.38,0.36,0.255,0,0,0,0,2022-09-11
RX0000005191,MBR00000143,2021-01-14,2021-01-17,1526252508,1796085862,PLN1983,383401,PCN362,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,3,Retail,0,0,0,330.0,5.13,335.13,38.0,279.35,17.78,13.2,9.35,0,0,0,0,2021-02-13
RX0000005192,MBR00000143,2022-01-24,2022-01-25,1912999338,1125356122,PLN7800,974871,PCN953,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,10,Retail,0,0,0,38.0,5.34,43.34,2.0,39.62,1.72,1.52,1.0767,1,0,0,0,2022-02-23
RX0000005193,MBR00000143,2022-10-28,2022-10-30,1432025416,1505041514,PLN6650,825123,PCN114,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,87,4,Retail,0,0,0,2850.0,7.97,2857.97,40.0,2697.69,120.28,38.0,26.9167,0,0,0,0,2023-01-26
RX0000005194,MBR00000143,2022-09-17,2022-09-18,1563367985,1639302480,PLN8082,567771,PCN519,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,64,0,Retail,0,0,0,620.0,4.2,624.2,30.0,552.64,41.56,12.4,8.7833,0,0,0,0,2022-11-16
RX0000005195,MBR00000143,2022-01-12,2022-01-13,1711582530,1544847682,PLN9103,704246,PCN893,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,7,LTC,0,1,0,2800.0,8.02,2808.02,150.0,2478.4,179.62,112.0,79.3333,0,0,0,0,2022-02-11
RX0000005196,MBR00000143,2023-04-18,2023-04-21,1125790451,1678179139,PLN8489,785304,PCN469,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,60,9,Mail Order,0,0,0,15.0,2.25,17.25,3.0,13.44,0.81,0.3,0.2125,0,0,0,0,2023-06-17
RX0000005197,MBR00000143,2021-06-22,2021-06-25,1760737761,1642992128,PLN6174,261096,PCN534,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,5,Retail,0,0,0,18.0,3.02,21.02,4.0,16.02,1.0,0.72,0.51,0,0,0,0,2021-07-22
RX0000005198,MBR00000143,2021-10-28,2021-10-29,1711015191,1124039040,PLN8678,716089,PCN487,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,3,Retail,0,0,0,18.0,2.74,20.74,9.0,10.34,1.4,0.72,0.51,0,0,0,0,2021-11-27
RX0000005199,MBR00000143,2023-12-13,2023-12-14,1330907603,1767797438,PLN1080,357751,PCN529,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,3,Retail,0,0,0,18.0,10.74,28.74,9.0,18.84,0.9,0.72,0.51,0,0,0,0,2024-01-12
RX0000005200,MBR00000143,2023-11-28,2023-11-30,1274547595,1766653105,PLN6220,553447,PCN303,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,97,5,Retail,0,1,0,8400.0,8.03,8408.03,150.0,7803.75,454.28,112.0,79.3333,0,0,0,0,2024-02-26
RX0000005201,MBR00000143,2021-11-16,2021-11-19,1173171578,1736002169,PLN2831,391512,PCN453,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,1,LTC,0,0,0,72.33,11.55,83.88,34.0,45.02,4.86,12.4,8.7833,0,0,0,0,2021-11-23
RX0000005202,MBR00000143,2021-08-22,2021-08-26,1428194894,1518256562,PLN9602,602742,PCN603,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,6,Mail Order,3,0,0,12.0,3.43,15.43,2.0,12.66,0.77,0.48,0.34,0,0,0,0,2021-09-21
RX0000005203,MBR00000143,2023-09-26,2023-09-27,1413049253,1961302170,PLN1014,756034,PCN241,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,87,5,Mail Order,1,0,0,1950.0,4.04,1954.04,33.0,1860.96,60.08,26.0,18.4167,0,0,0,0,2023-12-25
RX0000005204,MBR00000143,2023-02-24,2023-02-26,1623697209,1340388243,PLN7157,564118,PCN841,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,1,Retail,0,0,0,12.0,3.48,15.48,6.0,8.87,0.61,0.48,0.34,0,0,0,0,2023-03-26
RX0000005205,MBR00000143,2021-09-14,2021-09-17,1183067848,1701702526,PLN6826,774340,PCN832,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,3,Specialty,2,0,0,18.0,27.43,45.43,1.0,44.43,0.0,0.72,0.51,0,0,0,0,2021-10-14
RX0000005206,MBR00000143,2022-10-18,2022-10-21,1217265315,1831349425,PLN5602,946146,PCN761,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,3,Retail,0,1,0,8500.0,4.67,8504.67,145.0,7829.3,530.37,340.0,240.8333,0,0,0,0,2022-11-17
RX0000005207,MBR00000143,2023-04-01,2023-04-05,1483870286,1298000564,PLN6666,993146,PCN960,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,86,10,Retail,0,0,0,37.5,5.37,42.87,2.0,38.4,2.47,0.5,0.3542,0,0,0,0,2023-06-30
RX0000005208,MBR00000143,2022-04-23,2022-04-24,1149688401,1216921764,PLN7704,405868,PCN496,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,2,Retail,0,0,0,54.0,10.99,64.99,38.0,24.02,2.97,0.72,0.51,0,0,0,0,2022-07-22
RX0000005209,MBR00000143,2022-01-25,2022-01-27,1559415847,1246263115,PLN4850,817708,PCN405,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,2,Mail Order,0,0,0,10.0,4.35,14.35,10.0,3.4,0.95,0.4,0.2833,0,0,0,0,2022-02-24
RX0000005210,MBR00000143,2021-04-01,2021-04-04,1678504391,1841438021,PLN3804,116279,PCN787,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,7,Retail,0,0,0,330.0,11.55,341.55,33.0,290.62,17.93,13.2,9.35,0,0,0,0,2021-05-01
RX0000005211,MBR00000143,2023-07-01,2023-07-03,1806780728,1887909358,PLN8642,549334,PCN146,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,86,0,Retail,0,0,0,555.0,10.45,565.45,35.0,501.31,29.14,7.4,5.2417,0,0,0,0,2023-09-29
RX0000005212,MBR00000143,2021-05-21,2021-05-22,1753028947,1692197915,PLN5451,547301,PCN352,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,61,3,Retail,0,0,0,20.0,4.66,24.66,8.0,14.98,1.68,0.4,0.2833,0,0,0,0,2021-07-20
RX0000005213,MBR00000143,2021-12-26,2021-12-28,1347593267,1260406050,PLN3096,634329,PCN286,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,83,6,Retail,0,0,0,48.0,4.83,52.83,3.0,47.0,2.83,0.64,0.4533,1,0,0,0,2022-03-26
RX0000005214,MBR00000143,2022-08-01,2022-08-02,1240109834,1385458517,PLN2472,681941,PCN498,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,92,6,Retail,0,0,0,990.0,3.5,993.5,40.0,912.1,41.4,13.2,9.35,0,0,0,0,2022-10-30
RX0000005215,MBR00000143,2022-11-01,2022-11-03,1453855121,1616728778,PLN7673,609001,PCN925,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,91,2,Retail,0,0,0,42.0,1.7,43.7,5.0,36.43,2.27,0.56,0.3967,0,0,0,0,2023-01-30
RX0000005216,MBR00000143,2021-11-10,2021-11-12,1510716648,1258781298,PLN6585,110999,PCN692,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,82,8,Retail,0,0,0,135.0,1.71,136.71,3.0,127.54,6.17,1.8,1.275,0,0,0,0,2022-02-08
RX0000005217,MBR00000143,2022-04-06,2022-04-09,1773725020,1836888967,PLN1548,940360,PCN741,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,86,5,Mail Order,0,0,0,84.0,11.41,95.41,7.0,83.94,4.47,1.12,0.7933,0,0,0,0,2022-07-05
RX0000005218,MBR00000143,2021-09-12,2021-09-14,1362139415,1830706278,PLN7918,440842,PCN484,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,1,Retail,0,0,0,45.0,10.17,55.17,4.0,49.23,1.94,1.8,1.275,0,0,0,0,2021-10-12
RX0000005219,MBR00000143,2021-07-01,2021-07-05,1869932284,1555121417,PLN7075,969755,PCN878,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,1,Mail Order,0,0,0,14.0,4.19,18.19,3.0,14.37,0.82,0.56,0.3967,0,0,0,0,2021-07-31
RX0000005220,MBR00000143,2022-08-17,2022-08-21,1217001538,1763729688,PLN1909,800993,PCN429,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,2,Specialty,2,0,0,10.0,27.8,37.8,2.0,35.8,0.0,0.4,0.2833,0,0,0,0,2022-09-16
RX0000005221,MBR00000143,2022-02-01,2022-02-03,1444433228,1709358620,PLN7063,623965,PCN708,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,93,6,Retail,0,0,0,555.0,1.81,556.81,39.0,479.7,38.11,7.4,5.2417,1,0,0,0,2022-05-02
RX0000005222,MBR00000143,2023-06-27,2023-07-01,1612805799,1889610988,PLN1296,684307,PCN989,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,8,Mail Order,0,0,0,18.0,3.57,21.57,2.0,18.32,1.25,0.72,0.51,0,0,0,0,2023-07-27
RX0000005223,MBR00000143,2023-01-20,2023-01-22,1732721561,1626454945,PLN8081,731484,PCN277,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,95,10,Retail,0,0,0,33.0,4.18,37.18,5.0,29.61,2.57,0.44,0.3117,1,0,0,0,2023-04-20
RX0000005224,MBR00000143,2021-08-07,2021-08-08,1202456846,1842190371,PLN7531,293391,PCN877,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,11,Retail,0,0,0,10.0,7.53,17.53,7.0,9.37,1.16,0.4,0.2833,0,0,0,0,2021-09-06
RX0000005225,MBR00000143,2021-01-08,2021-01-11,1702916464,1606419951,PLN3273,510102,PCN591,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,90,9,Retail,0,0,0,42.0,2.38,44.38,1.0,41.08,2.3,0.56,0.3967,0,0,0,0,2021-04-08
RX0000005226,MBR00000143,2021-10-28,2021-10-29,1677453158,1979276758,PLN2519,826302,PCN490,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,95,6,Retail,0,0,0,990.0,6.85,996.85,36.0,926.59,34.26,13.2,9.35,0,0,0,0,2022-01-26
RX0000005227,MBR00000143,2023-09-01,2023-09-04,1654618343,1950803491,PLN5565,556091,PCN408,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,11,Retail,0,0,0,12.5,9.69,22.19,9.0,12.29,0.9,0.5,0.3542,0,0,0,0,2023-10-01
RX0000005228,MBR00000143,2023-02-14,2023-02-16,1666608344,1250928948,PLN8125,247994,PCN652,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,7,Retail,3,0,0,14.0,8.14,22.14,0.0,21.08,1.06,0.56,0.3967,0,0,0,0,2023-03-16
RX0000005229,MBR00000143,2022-05-07,2022-05-11,1408477148,1932134447,PLN3937,886444,PCN472,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,0,Retail,0,0,0,2.57,2.76,5.33,2.0,3.13,0.2,0.44,0.3117,0,0,0,0,2022-05-14
RX0000005230,MBR00000143,2021-05-30,2021-06-02,1377037685,1244297439,PLN7494,589725,PCN262,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,4,Retail,0,0,0,114.0,8.0,122.0,8.0,109.24,4.76,1.52,1.0767,0,0,0,0,2021-08-28
RX0000005231,MBR00000143,2021-05-16,2021-05-17,1946211300,1891252200,PLN1641,296217,PCN876,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,58,7,Retail,0,0,0,36.0,5.36,41.36,4.0,34.7,2.66,0.72,0.51,0,0,0,0,2021-07-15
RX0000005232,MBR00000143,2021-06-23,2021-06-25,1673264198,1117147567,PLN2350,140387,PCN833,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,8,Retail,0,0,0,9.0,4.42,13.42,0.0,12.78,0.64,0.36,0.255,0,0,0,0,2021-07-23
RX0000005233,MBR00000143,2023-09-23,2023-09-24,1546047037,1139778980,PLN4289,889924,PCN303,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,10,Retail,0,0,0,15.17,9.64,24.81,36.0,0.0,1.58,2.6,1.8417,0,0,0,0,2023-09-30
RX0000005234,MBR00000143,2023-10-08,2023-10-11,1385233169,1590347099,PLN4128,141893,PCN525,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,64,4,Specialty,0,1,0,5600.0,12.26,5612.26,151.0,5461.26,0.0,112.0,79.3333,0,0,0,0,2023-12-07
RX0000005235,MBR00000143,2023-04-17,2023-04-18,1276466457,1572671337,PLN4696,389427,PCN897,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,11,Retail,0,0,0,2.57,6.48,9.04,5.0,3.48,0.56,0.44,0.3117,0,0,0,0,2023-04-24
RX0000005236,MBR00000143,2021-06-10,2021-06-11,1290561822,1404158852,PLN9818,609273,PCN162,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,61,0,Retail,0,0,0,350.0,8.01,358.01,37.0,309.2,11.81,7.0,4.9583,0,0,0,0,2021-08-09
RX0000005237,MBR00000143,2023-01-15,2023-01-19,1447854740,1473949603,PLN1675,587536,PCN618,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,10,Retail,0,0,0,310.0,5.5,315.5,35.0,266.08,14.42,12.4,8.7833,0,0,0,0,2023-02-14
RX0000005238,MBR00000143,2022-08-07,2022-08-11,1615658646,1662941388,PLN3209,473958,PCN126,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,0,Mail Order,0,0,0,14.0,8.29,22.29,7.0,14.14,1.15,0.56,0.3967,0,0,0,0,2022-09-06
RX0000005239,MBR00000143,2021-06-17,2021-06-21,1911599381,1554032952,PLN6668,924107,PCN814,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,65,1,Retail,0,0,0,22.0,8.57,30.57,8.0,21.32,1.25,0.44,0.3117,0,0,0,0,2021-08-16
RX0000005240,MBR00000144,2023-05-01,2023-05-03,1461401814,1622489597,PLN2815,787962,PCN764,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,7,Mail Order,0,0,0,9.0,10.41,19.41,7.0,11.66,0.75,0.36,0.255,0,0,0,0,2023-05-31
RX0000005241,MBR00000144,2022-08-23,2022-08-26,1184765262,1902730703,PLN6723,124291,PCN428,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,88,10,Mail Order,0,0,0,30.0,1.59,31.59,2.0,28.1,1.49,0.4,0.2833,0,0,0,0,2022-11-21
RX0000005242,MBR00000144,2022-12-02,2022-12-03,1728387094,1731777189,PLN8374,208775,PCN489,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,11,Specialty,0,0,0,1.98,23.34,25.33,0.0,25.33,0.0,0.34,0.2408,0,0,0,0,2022-12-09
RX0000005243,MBR00000144,2021-01-11,2021-01-13,1559863757,1411576996,PLN8937,625979,PCN561,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,89,5,Specialty,2,0,0,54.0,17.89,71.89,37.0,34.89,0.0,0.72,0.51,0,0,0,0,2021-04-11
RX0000005244,MBR00000144,2021-12-07,2021-12-10,1279899855,1881115995,PLN6751,192949,PCN653,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,2,Mail Order,2,0,0,18.0,4.15,22.15,7.0,14.21,0.94,0.72,0.51,0,0,0,0,2022-01-06
RX0000005245,MBR00000144,2021-04-10,2021-04-12,1814619445,1110847411,PLN3895,826163,PCN265,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,92,11,Retail,1,0,0,2250.0,7.31,2257.31,35.0,2120.02,102.29,30.0,21.25,0,0,0,0,2021-07-09
RX0000005246,MBR00000144,2023-05-30,2023-06-03,1332434667,1509986398,PLN1980,228181,PCN399,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,7,Retail,0,0,0,14.0,8.49,22.49,7.0,14.04,1.45,0.56,0.3967,0,0,0,0,2023-06-29
RX0000005247,MBR00000144,2023-03-16,2023-03-17,1490281515,1756189439,PLN6113,114904,PCN385,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,11,LTC,0,0,0,320.0,8.57,328.57,37.0,271.11,20.46,12.8,9.0667,0,0,0,0,2023-04-15
RX0000005248,MBR00000144,2023-11-18,2023-11-20,1909704607,1203355013,PLN7106,548240,PCN616,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,7,Retail,0,0,0,18.0,4.34,22.34,37.0,0.0,1.54,0.72,0.51,0,0,0,0,2023-12-18
RX0000005249,MBR00000144,2023-08-31,2023-09-04,1177515890,1589067731,PLN1647,327371,PCN119,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,6,Retail,0,0,0,310.0,11.51,321.51,35.0,265.22,21.29,12.4,8.7833,0,0,0,0,2023-09-30
RX0000005250,MBR00000144,2021-06-26,2021-06-28,1876652486,1941977188,PLN1849,327706,PCN277,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,11,Mail Order,0,0,0,10.0,4.1,14.1,3.0,10.62,0.48,0.4,0.2833,0,0,0,0,2021-07-26
RX0000005251,MBR00000144,2023-09-30,2023-10-01,1536344188,1498530892,PLN4397,563669,PCN956,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,0,Retail,1,0,0,10.5,6.61,17.11,2.0,13.94,1.17,1.8,1.275,0,0,0,0,2023-10-07
RX0000005252,MBR00000144,2022-05-24,2022-05-27,1460022420,1518924704,PLN9879,135297,PCN185,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,88,11,Retail,0,0,0,990.0,9.32,999.32,33.0,914.22,52.1,13.2,9.35,0,0,0,0,2022-08-22
RX0000005253,MBR00000144,2023-05-25,2023-05-28,1496891051,1359219661,PLN8364,502466,PCN286,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,82,1,Retail,0,0,0,1110.0,4.66,1114.66,33.0,1042.04,39.62,14.8,10.4833,0,0,0,0,2023-08-23
RX0000005254,MBR00000144,2022-08-02,2022-08-06,1220340651,1652056485,PLN8161,438010,PCN220,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,11,Retail,0,0,0,65.0,11.89,76.89,40.0,32.4,4.49,2.6,1.8417,0,0,0,0,2022-09-01
RX0000005255,MBR00000144,2021-01-20,2021-01-21,1895705479,1781689158,PLN6762,269847,PCN782,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,4,Retail,0,0,0,65.0,8.95,73.95,37.0,32.84,4.11,2.6,1.8417,0,0,0,0,2021-02-19
RX0000005256,MBR00000144,2023-04-03,2023-04-05,1374518983,1494751272,PLN2745,947826,PCN884,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,62,8,Retail,0,0,0,25.0,10.15,35.15,5.0,27.85,2.3,0.5,0.3542,0,0,0,0,2023-06-02
RX0000005257,MBR00000144,2023-01-01,2023-01-05,1450227910,1875871798,PLN4889,691793,PCN852,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,91,1,Retail,0,0,0,30.0,3.5,33.5,6.0,26.24,1.26,0.4,0.2833,0,0,0,0,2023-04-01
RX0000005258,MBR00000144,2022-04-09,2022-04-12,1606149214,1942368612,PLN3332,998757,PCN854,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,9,Mail Order,0,0,0,330.0,7.48,337.48,35.0,282.07,20.41,13.2,9.35,0,0,0,0,2022-05-09
RX0000005259,MBR00000144,2022-08-19,2022-08-22,1609861204,1830020899,PLN9727,662664,PCN714,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,1,Retail,0,0,0,330.0,2.29,332.29,37.0,275.45,19.84,13.2,9.35,0,0,0,0,2022-09-18
RX0000005260,MBR00000144,2022-03-23,2022-03-27,1520028153,1320546176,PLN8244,285588,PCN965,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,64,8,Retail,0,0,0,25.0,7.62,32.62,3.0,27.98,1.64,0.5,0.3542,0,0,0,0,2022-05-22
RX0000005261,MBR00000144,2023-09-28,2023-09-30,1982767604,1337008220,PLN3758,369228,PCN823,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,10,Retail,0,0,0,9.0,11.5,20.5,7.0,12.61,0.89,0.36,0.255,1,0,0,0,2023-10-28
RX0000005262,MBR00000144,2023-11-27,2023-11-29,1852052169,1817193925,PLN6793,925047,PCN396,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,55,9,Retail,1,0,0,56.0,6.2,62.2,4.0,53.87,4.33,1.12,0.7933,0,0,0,0,2024-01-26
RX0000005263,MBR00000144,2023-03-06,2023-03-07,1703348438,1534430020,PLN4364,539945,PCN746,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,2,Mail Order,0,0,0,175.0,10.96,185.96,37.0,136.46,12.5,7.0,4.9583,0,0,0,0,2023-04-05
RX0000005264,MBR00000144,2021-08-01,2021-08-05,1840813212,1775101094,PLN9216,495424,PCN569,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,95,10,Retail,0,1,0,36.0,8.89,44.89,145.0,0.0,2.73,0.48,0.34,0,0,0,0,2021-10-30
RX0000005265,MBR00000144,2021-07-06,2021-07-08,1469090084,1391999538,PLN2384,222685,PCN491,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,7,Retail,0,0,0,11.0,5.69,16.69,6.0,9.92,0.77,0.44,0.3117,0,0,0,0,2021-08-05
RX0000005266,MBR00000144,2023-01-07,2023-01-08,1643961453,1751918793,PLN4809,600024,PCN675,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,94,8,Specialty,0,0,0,37.5,13.8,51.3,2.0,49.3,0.0,0.5,0.3542,0,0,0,0,2023-04-07
RX0000005267,MBR00000144,2022-12-08,2022-12-10,1592457844,1566448996,PLN6098,124411,PCN945,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,5,Retail,0,0,0,28.0,11.14,39.14,4.0,32.96,2.18,1.12,0.7933,0,0,0,0,2023-01-07
RX0000005268,MBR00000144,2023-12-20,2023-12-21,1408619594,1327383241,PLN7778,711757,PCN872,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,1,Mail Order,0,0,1,3.27,9.49,12.76,1.0,10.92,0.84,0.56,0.3967,0,0,0,0,2023-12-27
RX0000005269,MBR00000144,2022-02-08,2022-02-11,1668849098,1535980746,PLN6707,777035,PCN537,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,7,Retail,0,0,0,15.0,5.78,20.78,1.0,18.55,1.23,0.6,0.425,0,0,0,0,2022-03-10
RX0000005270,MBR00000144,2022-03-17,2022-03-18,1500524610,1967273378,PLN9769,238321,PCN162,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,11,LTC,0,0,0,18.0,9.93,27.93,0.0,26.33,1.6,0.72,0.51,0,0,0,0,2022-04-16
RX0000005271,MBR00000144,2022-11-15,2022-11-16,1595651708,1199266101,PLN8879,703196,PCN509,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,5,Retail,0,1,0,6200.0,3.1,6203.1,150.0,5622.33,430.77,248.0,175.6667,0,0,0,0,2022-12-15
RX0000005272,MBR00000144,2023-06-02,2023-06-03,1877502318,1282530022,PLN2128,780446,PCN728,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,3,Retail,0,0,0,1.98,6.68,8.66,1.0,7.28,0.38,0.34,0.2408,0,0,0,0,2023-06-09
RX0000005273,MBR00000144,2022-06-22,2022-06-25,1226626268,1886160773,PLN5378,968744,PCN507,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,5,Mail Order,0,1,0,1983.33,7.85,1991.18,151.0,1701.25,138.93,340.0,240.8333,0,0,0,0,2022-06-29
RX0000005274,MBR00000144,2021-03-02,2021-03-05,1668028897,1892133113,PLN1171,270116,PCN823,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,10,Mail Order,0,0,0,6.53,2.28,8.81,9.0,0.0,0.39,1.12,0.7933,0,0,0,0,2021-03-09
RX0000005275,MBR00000144,2021-07-15,2021-07-19,1548726401,1929104575,PLN1052,764269,PCN886,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,6,Mail Order,3,0,0,11.0,1.59,12.59,9.0,3.1,0.49,0.44,0.3117,0,0,0,0,2021-08-14
RX0000005276,MBR00000144,2021-06-11,2021-06-15,1566199164,1826211822,PLN5377,334120,PCN837,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,5,Retail,0,0,0,18.0,2.37,20.37,5.0,14.75,0.62,0.72,0.51,0,0,0,0,2021-07-11
RX0000005277,MBR00000144,2023-04-02,2023-04-03,1125424882,1169359638,PLN8521,267117,PCN943,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,6,Retail,0,0,0,480.0,9.57,489.57,38.0,423.46,28.11,19.2,13.6,0,0,0,0,2023-05-02
RX0000005278,MBR00000144,2023-09-09,2023-09-10,1989702148,1302433899,PLN5627,214372,PCN449,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,5,Mail Order,0,0,0,11.0,3.0,14.0,8.0,5.04,0.96,0.44,0.3117,0,0,0,0,2023-10-09
RX0000005279,MBR00000144,2023-03-03,2023-03-04,1947328365,1348170079,PLN6761,784761,PCN620,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,89,2,Retail,0,0,0,25.5,6.0,31.5,0.0,29.81,1.69,0.34,0.2408,0,0,0,0,2023-06-01
RX0000005280,MBR00000145,2023-01-17,2023-01-18,1496997051,1214381287,PLN4876,167493,PCN538,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,3,Retail,0,0,0,185.0,9.33,194.33,38.0,148.85,7.48,7.4,5.2417,0,0,0,0,2023-02-16
RX0000005281,MBR00000145,2021-10-16,2021-10-17,1259656797,1297787746,PLN5853,512507,PCN160,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,58,3,Retail,2,0,0,28.0,2.86,30.86,7.0,22.08,1.78,0.56,0.3967,1,0,0,0,2021-12-15
RX0000005282,MBR00000145,2023-03-21,2023-03-23,1523420601,1930385662,PLN6400,784427,PCN161,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,93,4,Mail Order,0,0,0,114.0,4.11,118.11,10.0,102.33,5.78,1.52,1.0767,0,0,0,0,2023-06-19
RX0000005283,MBR00000145,2021-04-05,2021-04-06,1978695503,1820276148,PLN5876,287224,PCN142,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,62,11,Retail,1,0,0,350.0,6.06,356.06,37.0,295.75,23.31,7.0,4.9583,0,0,0,0,2021-06-04
RX0000005284,MBR00000145,2023-09-14,2023-09-15,1101152092,1614870558,PLN5153,471156,PCN690,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,56,6,Retail,0,0,0,20.0,2.0,22.0,3.0,18.11,0.89,0.4,0.2833,0,0,0,0,2023-11-13
RX0000005285,MBR00000145,2022-12-12,2022-12-13,1782634756,1792731906,PLN3206,854506,PCN373,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,4,Specialty,0,0,0,14.0,29.81,43.81,4.0,39.81,0.0,0.56,0.3967,0,0,0,0,2023-01-11
RX0000005286,MBR00000145,2023-07-21,2023-07-22,1671780413,1551702580,PLN8314,168619,PCN226,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,10,Mail Order,0,0,0,12.0,6.87,18.87,1.0,17.19,0.68,0.48,0.34,0,0,0,0,2023-08-20
RX0000005287,MBR00000145,2021-12-09,2021-12-11,1801697573,1592325560,PLN7587,743489,PCN685,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,85,2,Mail Order,0,0,0,30.0,2.52,32.52,1.0,29.53,1.99,0.4,0.2833,0,0,0,0,2022-03-09
RX0000005288,MBR00000145,2021-12-28,2022-01-01,1801469527,1121682431,PLN2503,505369,PCN771,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,98,4,Specialty,0,0,0,45.0,19.81,64.81,7.0,57.81,0.0,0.6,0.425,0,0,0,0,2022-03-28
RX0000005289,MBR00000145,2022-07-10,2022-07-13,1928139764,1900044083,PLN9420,596924,PCN899,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,3,Retail,0,0,0,45.0,4.58,49.58,3.0,44.71,1.87,0.6,0.425,0,0,0,0,2022-10-08
RX0000005290,MBR00000145,2023-03-03,2023-03-06,1295598808,1831731900,PLN1806,697615,PCN162,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,11,Retail,0,0,0,18.0,6.48,24.48,5.0,17.91,1.57,0.72,0.51,0,0,0,0,2023-04-02
RX0000005291,MBR00000145,2022-07-04,2022-07-08,1717446083,1351837545,PLN5665,181905,PCN481,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,1,Mail Order,0,0,0,10.0,8.34,18.34,0.0,17.73,0.61,0.4,0.2833,0,0,0,0,2022-08-03
RX0000005292,MBR00000145,2022-05-17,2022-05-21,1844258000,1931727909,PLN5246,829622,PCN782,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,0,Specialty,0,0,0,950.0,48.39,998.39,35.0,963.39,0.0,38.0,26.9167,0,0,0,0,2022-06-16
RX0000005293,MBR00000145,2022-10-14,2022-10-15,1185097874,1301234075,PLN2872,947139,PCN439,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,83,6,Retail,0,0,0,54.0,2.27,56.27,10.0,43.12,3.15,0.72,0.51,0,0,0,0,2023-01-12
RX0000005294,MBR00000145,2021-09-25,2021-09-27,1990704976,1390639027,PLN9775,822175,PCN295,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,91,10,Retail,0,0,0,25.5,9.23,34.73,9.0,23.49,2.24,0.34,0.2408,0,0,0,0,2021-12-24
RX0000005295,MBR00000145,2021-06-04,2021-06-05,1335677093,1710986144,PLN7240,549693,PCN722,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,5,LTC,0,0,0,3.27,2.69,5.95,10.0,0.0,0.23,0.56,0.3967,1,0,0,0,2021-06-11
RX0000005296,MBR00000145,2023-12-06,2023-12-10,1612152602,1513158521,PLN7452,951871,PCN778,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,1,Retail,0,0,0,2.57,11.16,13.73,8.0,5.27,0.46,0.44,0.3117,0,0,0,0,2023-12-13
RX0000005297,MBR00000145,2022-06-11,2022-06-14,1175148700,1419925401,PLN4834,174528,PCN156,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,96,5,Retail,0,0,0,1440.0,3.19,1443.19,30.0,1357.61,55.58,19.2,13.6,0,0,0,0,2022-09-09
RX0000005298,MBR00000145,2023-03-18,2023-03-21,1931358792,1149676398,PLN1373,835572,PCN897,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,0,Specialty,0,0,0,950.0,18.0,968.0,38.0,930.0,0.0,38.0,26.9167,0,0,0,0,2023-04-17
RX0000005299,MBR00000145,2023-08-06,2023-08-07,1787151607,1340460539,PLN1950,458041,PCN497,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,5,Specialty,0,0,0,18.0,12.03,30.03,5.0,25.03,0.0,0.72,0.51,0,0,0,0,2023-09-05
RX0000005300,MBR00000145,2022-11-05,2022-11-07,1636175012,1587273213,PLN9428,322276,PCN877,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,87,6,Specialty,0,0,0,1140.0,18.9,1158.9,34.0,1124.9,0.0,15.2,10.7667,0,0,0,0,2023-02-03
RX0000005301,MBR00000145,2023-01-12,2023-01-16,1893988753,1252690975,PLN5185,101793,PCN770,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,8,Retail,0,1,0,2800.0,5.67,2805.67,154.0,2522.25,129.42,112.0,79.3333,0,0,0,0,2023-02-11
RX0000005302,MBR00000145,2022-06-27,2022-06-30,1565846798,1220465652,PLN8782,309103,PCN602,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,86,11,Specialty,0,0,0,855.0,20.91,875.91,30.0,845.91,0.0,11.4,8.075,0,0,0,0,2022-09-25
RX0000005303,MBR00000145,2021-06-18,2021-06-19,1387213861,1919750353,PLN5131,468206,PCN503,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,1,Retail,0,0,0,36.0,5.37,41.37,1.0,37.48,2.89,0.48,0.34,0,0,0,0,2021-09-16
RX0000005304,MBR00000146,2023-06-08,2023-06-10,1284699135,1477804871,PLN4277,357126,PCN552,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,57,0,Mail Order,0,0,0,740.0,5.64,745.64,38.0,672.82,34.82,14.8,10.4833,0,0,0,0,2023-08-07
RX0000005305,MBR00000146,2021-10-18,2021-10-21,1242780973,1217483242,PLN1210,295009,PCN730,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,2,Specialty,0,0,0,750.0,40.38,790.38,38.0,752.38,0.0,30.0,21.25,0,0,0,0,2021-11-17
RX0000005306,MBR00000146,2023-03-31,2023-04-01,1887713163,1788359503,PLN3698,876877,PCN488,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,5,Retail,0,0,0,2.92,9.84,12.76,10.0,2.22,0.54,0.5,0.3542,0,0,0,0,2023-04-07
RX0000005307,MBR00000146,2023-09-17,2023-09-21,1116723325,1770396561,PLN3740,480903,PCN110,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,3,Retail,0,1,0,6200.0,10.81,6210.81,155.0,5847.92,207.89,248.0,175.6667,0,0,0,0,2023-10-17
RX0000005308,MBR00000146,2023-11-23,2023-11-27,1982034790,1976159820,PLN5401,106775,PCN199,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,4,Retail,2,0,0,45.0,5.58,50.58,3.0,45.27,2.31,1.8,1.275,0,0,0,0,2023-12-23
RX0000005309,MBR00000146,2022-06-19,2022-06-22,1714601740,1921045426,PLN2511,153391,PCN521,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,7,Retail,0,0,0,10.0,9.31,19.31,4.0,14.65,0.66,0.4,0.2833,0,0,0,0,2022-07-19
RX0000005310,MBR00000146,2021-04-10,2021-04-13,1352367091,1283495717,PLN2370,397804,PCN393,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,83,8,Mail Order,0,0,0,33.0,9.54,42.54,8.0,32.59,1.95,0.44,0.3117,0,0,0,0,2021-07-09
RX0000005311,MBR00000146,2022-02-09,2022-02-13,1454888028,1845150101,PLN3405,226874,PCN691,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,0,Specialty,1,0,0,11.0,18.95,29.95,4.0,25.95,0.0,0.44,0.3117,0,0,0,0,2022-03-11
RX0000005312,MBR00000146,2022-02-03,2022-02-05,1186514889,1471100773,PLN9956,746851,PCN281,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,9,Specialty,2,0,0,370.0,21.99,391.99,39.0,352.99,0.0,14.8,10.4833,1,0,0,0,2022-03-05
RX0000005313,MBR00000146,2022-06-23,2022-06-26,1679810394,1457436172,PLN5772,991051,PCN871,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,92,4,Retail,0,0,0,135.0,5.66,140.66,0.0,130.83,9.83,1.8,1.275,0,0,0,0,2022-09-21
RX0000005314,MBR00000146,2021-12-03,2021-12-05,1678822228,1825319832,PLN8633,631323,PCN481,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,96,2,Specialty,0,0,0,1110.0,43.88,1153.88,30.0,1123.88,0.0,14.8,10.4833,0,0,0,0,2022-03-03
RX0000005315,MBR00000146,2021-12-17,2021-12-21,1802144134,1436401795,PLN8654,534715,PCN584,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,7,Mail Order,0,0,0,7.5,4.41,11.91,4.0,7.12,0.79,0.3,0.2125,0,0,0,0,2022-01-16
RX0000005316,MBR00000146,2021-10-07,2021-10-11,1894373926,1121917691,PLN9631,130234,PCN478,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,93,1,Retail,0,0,0,42.0,7.84,49.84,5.0,41.35,3.49,0.56,0.3967,0,0,0,0,2022-01-05
RX0000005317,MBR00000146,2021-06-08,2021-06-09,1875838115,1810895170,PLN3699,692514,PCN328,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,4,Retail,0,0,0,22.0,9.33,31.33,70.0,0.0,1.73,0.88,0.6233,0,0,0,0,2021-07-08
RX0000005318,MBR00000146,2023-05-27,2023-05-30,1217543264,1958552854,PLN5326,706923,PCN109,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,88,7,Mail Order,0,0,0,114.0,7.65,121.65,33.0,81.66,6.99,1.52,1.0767,0,0,0,0,2023-08-25
RX0000005319,MBR00000146,2021-04-26,2021-04-29,1452484407,1968220785,PLN6886,560692,PCN144,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,3,Mail Order,0,0,0,16.0,10.39,26.39,7.0,18.4,0.99,0.64,0.4533,0,0,0,0,2021-05-26
RX0000005320,MBR00000146,2021-02-01,2021-02-05,1938482622,1372080343,PLN4331,891871,PCN663,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,98,7,Mail Order,0,0,0,42.0,4.32,46.32,4.0,40.36,1.96,0.56,0.3967,0,0,0,0,2021-05-02
RX0000005321,MBR00000146,2023-02-11,2023-02-14,1438859327,1859451407,PLN4864,202034,PCN522,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,11,Mail Order,0,0,0,5.13,2.49,7.63,9.0,0.0,0.46,0.88,0.6233,0,0,0,0,2023-02-18
RX0000005322,MBR00000146,2023-04-04,2023-04-06,1545543849,1698026858,PLN4400,990751,PCN361,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,6,Mail Order,0,0,0,15.0,3.68,18.68,10.0,7.64,1.04,0.6,0.425,1,0,0,0,2023-05-04
RX0000005323,MBR00000146,2022-10-10,2022-10-14,1180303354,1253437146,PLN9017,270781,PCN743,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,98,5,Retail,0,0,0,54.0,9.8,63.8,6.0,54.8,3.0,0.72,0.51,0,0,0,0,2023-01-08
RX0000005324,MBR00000146,2023-01-15,2023-01-19,1948736303,1131087049,PLN5957,621008,PCN400,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,3,Retail,0,0,0,185.0,9.11,194.11,36.0,146.98,11.13,7.4,5.2417,0,0,0,0,2023-02-14
RX0000005325,MBR00000146,2021-08-31,2021-09-04,1281504820,1623997046,PLN3956,433584,PCN569,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,4,Specialty,1,0,0,18.0,18.6,36.6,5.0,31.6,0.0,0.72,0.51,0,0,0,0,2021-09-30
RX0000005326,MBR00000146,2023-07-09,2023-07-13,1583007637,1696122046,PLN1787,788549,PCN142,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,8,Mail Order,1,0,0,15.0,2.16,17.16,7.0,9.6,0.56,0.6,0.425,0,0,0,0,2023-08-08
RX0000005327,MBR00000146,2022-09-01,2022-09-05,1951519950,1634512946,PLN8501,237085,PCN641,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,8,Retail,0,0,0,3.27,8.92,12.19,9.0,2.42,0.77,0.56,0.3967,0,0,0,0,2022-09-08
RX0000005328,MBR00000146,2023-03-25,2023-03-26,1400417236,1881104512,PLN5527,428968,PCN197,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,4,Retail,0,0,0,4.2,8.29,12.49,4.0,8.02,0.47,0.72,0.51,1,0,0,0,2023-04-01
RX0000005329,MBR00000146,2022-01-24,2022-01-25,1551502500,1940277953,PLN8152,122963,PCN862,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,7,Retail,0,1,0,8500.0,4.63,8504.63,153.0,8092.97,258.66,340.0,240.8333,0,0,0,0,2022-02-23
RX0000005330,MBR00000147,2023-05-02,2023-05-03,1337953958,1702051571,PLN3141,949701,PCN623,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,4,Mail Order,0,1,0,8.0,5.45,13.45,153.0,0.0,0.74,0.32,0.2267,1,0,0,0,2023-06-01
RX0000005331,MBR00000147,2022-08-28,2022-08-31,1119775303,1804693923,PLN6809,183386,PCN643,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,65,4,Mail Order,0,0,0,130.0,6.21,136.21,34.0,95.92,6.29,2.6,1.8417,0,0,0,0,2022-10-27
RX0000005332,MBR00000147,2022-07-22,2022-07-25,1755345808,1966515607,PLN6271,268714,PCN849,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,62,4,Retail,0,0,0,660.0,7.28,667.28,37.0,599.05,31.23,13.2,9.35,0,0,0,0,2022-09-20
RX0000005333,MBR00000147,2021-04-09,2021-04-12,1938368531,1658798560,PLN4911,787055,PCN271,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,9,Retail,0,0,0,45.0,7.96,52.96,6.0,45.01,1.95,1.8,1.275,0,0,0,0,2021-05-09
RX0000005334,MBR00000147,2022-05-07,2022-05-11,1707229676,1876711133,PLN9544,872637,PCN230,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,11,Specialty,0,0,0,10.0,12.81,22.81,10.0,12.81,0.0,0.4,0.2833,0,0,0,0,2022-06-06
RX0000005335,MBR00000147,2023-09-25,2023-09-28,1440228611,1837036945,PLN9513,562773,PCN287,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,4,Mail Order,1,0,0,320.0,2.53,322.53,33.0,267.2,22.33,12.8,9.0667,0,0,0,0,2023-10-25
RX0000005336,MBR00000147,2023-10-18,2023-10-22,1859570308,1226600289,PLN8942,534957,PCN975,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,9,Retail,0,0,0,15.0,7.36,22.36,5.0,15.86,1.5,0.6,0.425,0,0,0,0,2023-11-17
RX0000005337,MBR00000147,2022-02-21,2022-02-24,1437059529,1434846770,PLN9166,943804,PCN168,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,6,Mail Order,0,1,0,8500.0,2.25,8502.25,152.0,7947.63,402.62,340.0,240.8333,0,0,0,0,2022-03-23
RX0000005338,MBR00000147,2023-12-25,2023-12-28,1841146546,1393156948,PLN3364,430593,PCN472,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,0,Retail,0,0,0,38.0,2.89,40.89,34.0,4.82,2.07,1.52,1.0767,0,0,0,0,2024-01-24
RX0000005339,MBR00000147,2021-07-30,2021-07-31,1538253617,1954600859,PLN3215,901705,PCN613,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,8,Retail,1,0,0,370.0,3.44,373.44,30.0,321.58,21.86,14.8,10.4833,0,0,0,0,2021-08-29
RX0000005340,MBR00000147,2022-02-22,2022-02-26,1591601180,1658655909,PLN3454,747349,PCN101,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,9,Retail,0,0,0,8.5,6.95,15.45,0.0,14.4,1.05,0.34,0.2408,0,0,0,0,2022-03-24
RX0000005341,MBR00000147,2021-06-23,2021-06-27,1623246485,1455333139,PLN2972,574900,PCN532,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,57,10,Retail,0,0,0,25.0,6.31,31.31,0.0,29.2,2.11,0.5,0.3542,0,0,0,0,2021-08-22
RX0000005342,MBR00000147,2023-06-14,2023-06-17,1122629392,1872663231,PLN4225,986077,PCN947,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,6,Mail Order,0,1,0,1.87,11.87,13.74,145.0,0.0,0.72,0.32,0.2267,0,0,0,0,2023-06-21
RX0000005343,MBR00000147,2022-09-27,2022-10-01,1300643690,1831271831,PLN4383,782958,PCN912,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,7,Mail Order,0,0,0,86.33,5.34,91.68,30.0,56.18,5.5,14.8,10.4833,0,0,0,0,2022-10-04
RX0000005344,MBR00000147,2023-02-06,2023-02-10,1853262451,1289944672,PLN1008,998200,PCN360,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,3,Retail,0,0,0,38.0,9.9,47.9,4.0,41.33,2.57,1.52,1.0767,0,0,0,0,2023-03-08
RX0000005345,MBR00000147,2021-10-15,2021-10-18,1613370618,1626310148,PLN1850,790417,PCN429,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,7,Retail,0,0,0,370.0,5.9,375.9,32.0,324.4,19.5,14.8,10.4833,0,0,0,0,2021-11-14
RX0000005346,MBR00000147,2022-01-20,2022-01-22,1346278441,1701009808,PLN3363,169415,PCN557,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,11,Retail,0,0,0,370.0,9.13,379.13,32.0,332.07,15.06,14.8,10.4833,0,0,0,0,2022-02-19
RX0000005347,MBR00000147,2022-11-25,2022-11-29,1699702746,1761579241,PLN9755,426138,PCN158,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,88,8,Retail,0,0,0,66.0,8.64,74.64,5.0,67.1,2.54,0.88,0.6233,0,0,0,0,2023-02-23
RX0000005348,MBR00000147,2022-06-28,2022-07-01,1500023797,1737315430,PLN6293,293126,PCN118,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,11,Retail,0,0,0,10.0,7.67,17.67,4.0,12.46,1.21,0.4,0.2833,1,0,0,0,2022-07-28
RX0000005349,MBR00000147,2021-05-03,2021-05-04,1398748855,1629988922,PLN4335,937450,PCN550,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,9,Retail,0,0,0,950.0,8.12,958.12,33.0,895.17,29.95,38.0,26.9167,0,0,0,0,2021-06-02
RX0000005350,MBR00000147,2021-02-22,2021-02-23,1457546652,1877541736,PLN1756,833938,PCN371,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,0,Specialty,0,0,0,9.0,40.59,49.59,6.0,43.59,0.0,0.36,0.255,0,0,0,0,2021-03-24
RX0000005351,MBR00000147,2022-07-18,2022-07-19,1806226883,1574705889,PLN9749,661470,PCN226,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,1,Mail Order,0,0,0,15.0,10.33,25.33,5.0,19.07,1.26,0.6,0.425,0,0,0,0,2022-08-17
RX0000005352,MBR00000147,2021-04-22,2021-04-25,1689567823,1635088933,PLN1067,416451,PCN396,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,8,Mail Order,3,0,0,1.98,1.79,3.77,3.0,0.63,0.14,0.34,0.2408,0,0,0,0,2021-04-29
RX0000005353,MBR00000147,2021-02-26,2021-03-01,1973629591,1923915890,PLN7203,873660,PCN361,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,85,2,Retail,0,0,0,930.0,7.15,937.15,34.0,863.57,39.58,12.4,8.7833,0,0,0,0,2021-05-27
RX0000005354,MBR00000147,2023-06-02,2023-06-04,1600317782,1959934907,PLN3128,898010,PCN357,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,56,2,Retail,0,0,0,740.0,4.4,744.4,39.0,655.44,49.96,14.8,10.4833,0,0,0,0,2023-08-01
RX0000005355,MBR00000147,2023-08-29,2023-08-31,1629088097,1806627094,PLN8213,551813,PCN477,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,3,Specialty,0,0,0,2.33,36.39,38.73,8.0,30.73,0.0,0.4,0.2833,0,0,0,0,2023-09-05
RX0000005356,MBR00000148,2022-04-15,2022-04-17,1524415803,1347711280,PLN1624,842054,PCN573,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,84,6,Retail,2,1,0,25500.0,9.75,25509.75,155.0,24038.32,1316.43,340.0,240.8333,0,0,0,0,2022-07-14
RX0000005357,MBR00000148,2023-07-05,2023-07-06,1648311490,1199274717,PLN7197,714381,PCN534,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,1,Retail,2,0,0,320.0,6.5,326.5,30.0,284.99,11.51,12.8,9.0667,0,0,0,0,2023-08-04
RX0000005358,MBR00000148,2021-11-14,2021-11-15,1740032033,1756503155,PLN7292,933563,PCN482,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,0,Mail Order,0,0,0,9.0,5.5,14.5,2.0,11.64,0.86,0.36,0.255,0,0,0,0,2021-12-14
RX0000005359,MBR00000148,2022-06-27,2022-07-01,1152677229,1105438449,PLN5496,837660,PCN736,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,94,10,Mail Order,0,0,0,30.0,1.53,31.53,10.0,19.78,1.75,0.4,0.2833,0,0,0,0,2022-09-25
RX0000005360,MBR00000148,2021-02-08,2021-02-12,1557160587,1375453984,PLN1524,117608,PCN466,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,9,Mail Order,0,0,0,8.87,3.59,12.46,31.0,0.0,0.71,1.52,1.0767,0,0,0,0,2021-02-15
RX0000005361,MBR00000148,2022-11-18,2022-11-21,1100825067,1646877150,PLN8861,339466,PCN107,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,0,Retail,0,0,0,4.2,11.55,15.75,8.0,6.79,0.96,0.72,0.51,0,0,0,0,2022-11-25
RX0000005362,MBR00000148,2021-12-14,2021-12-18,1912807427,1146249600,PLN2575,565275,PCN622,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,64,9,Retail,0,0,0,22.0,7.81,29.81,6.0,22.48,1.33,0.44,0.3117,0,0,0,0,2022-02-12
RX0000005363,MBR00000148,2023-06-07,2023-06-09,1736555218,1356549323,PLN6663,342058,PCN638,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,92,2,Retail,0,0,0,25.5,3.79,29.29,9.0,19.07,1.22,0.34,0.2408,0,0,0,0,2023-09-05
RX0000005364,MBR00000148,2022-11-15,2022-11-17,1248768314,1496221899,PLN6650,129934,PCN362,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,2,Retail,0,0,0,2.33,5.03,7.36,9.0,0.0,0.27,0.4,0.2833,0,0,0,0,2022-11-22
RX0000005365,MBR00000148,2022-07-12,2022-07-14,1627440415,1264548363,PLN6214,293228,PCN406,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,0,Retail,0,0,0,480.0,3.39,483.39,37.0,429.33,17.06,19.2,13.6,0,0,0,0,2022-08-11
RX0000005366,MBR00000148,2021-02-21,2021-02-22,1339751001,1876106639,PLN5484,837498,PCN724,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,0,Retail,3,0,0,16.0,11.11,27.11,4.0,21.79,1.32,0.64,0.4533,0,0,0,0,2021-03-23
RX0000005367,MBR00000148,2023-08-25,2023-08-26,1147490370,1519224941,PLN1048,718136,PCN770,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,90,9,Retail,0,0,0,42.0,8.82,50.82,3.0,45.76,2.06,0.56,0.3967,0,0,0,0,2023-11-23
RX0000005368,MBR00000148,2021-06-28,2021-07-02,1748875023,1132786079,PLN1766,225631,PCN893,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,8,Retail,0,0,0,9.0,10.02,19.02,8.0,10.2,0.82,0.36,0.255,0,0,0,0,2021-07-28
RX0000005369,MBR00000148,2022-09-01,2022-09-03,1166515152,1474861972,PLN4009,307925,PCN875,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,2,Retail,0,0,0,9.0,3.98,12.98,7.0,5.26,0.72,0.36,0.255,0,0,0,0,2022-10-01
RX0000005370,MBR00000148,2022-04-30,2022-05-03,1631327305,1185114489,PLN1164,331786,PCN461,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,61,3,Retail,0,0,0,36.0,10.79,46.79,35.0,10.27,1.52,0.72,0.51,0,0,0,0,2022-06-29
RX0000005371,MBR00000148,2023-04-26,2023-04-30,1775830002,1315659196,PLN7715,201231,PCN684,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,92,3,Retail,0,0,0,54.0,7.48,61.48,1.0,57.86,2.62,0.72,0.51,1,0,0,0,2023-07-25
RX0000005372,MBR00000148,2021-09-02,2021-09-05,1720583730,1860629531,PLN1685,567317,PCN786,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,9,Mail Order,0,0,0,4.2,9.0,13.2,40.0,0.0,0.64,0.72,0.51,0,0,0,0,2021-09-09
RX0000005373,MBR00000148,2023-06-28,2023-07-02,1144518912,1488699910,PLN3041,105847,PCN659,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,7,Mail Order,0,0,0,330.0,4.64,334.64,30.0,288.18,16.46,13.2,9.35,0,0,0,0,2023-07-28
RX0000005374,MBR00000148,2021-08-03,2021-08-07,1744524668,1331537257,PLN1295,188896,PCN896,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,1,Retail,0,0,0,65.0,4.88,69.88,35.0,31.49,3.39,2.6,1.8417,1,0,0,0,2021-09-02
RX0000005375,MBR00000148,2022-09-05,2022-09-08,1667321819,1596087665,PLN1219,621666,PCN367,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,0,Mail Order,0,0,0,650.0,6.73,656.73,33.0,586.53,37.2,26.0,18.4167,0,0,0,0,2022-10-05
RX0000005376,MBR00000148,2023-09-17,2023-09-20,1874692714,1136647894,PLN1689,197059,PCN624,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,0,Specialty,0,0,0,12.0,38.83,50.83,10.0,40.83,0.0,0.48,0.34,0,0,0,0,2023-10-17
RX0000005377,MBR00000148,2022-07-28,2022-07-29,1483457648,1349529229,PLN3827,108393,PCN619,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,7,Mail Order,0,0,0,66.0,7.99,73.99,7.0,64.49,2.5,0.88,0.6233,0,0,0,0,2022-10-26
RX0000005378,MBR00000148,2021-06-06,2021-06-09,1709325224,1667834456,PLN4134,377048,PCN765,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,11,Specialty,0,0,0,12.0,10.17,22.17,10.0,12.17,0.0,0.48,0.34,0,0,0,0,2021-07-06
RX0000005379,MBR00000148,2021-08-13,2021-08-14,1773161404,1523105611,PLN7511,333610,PCN435,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,95,0,Retail,0,0,0,27.0,4.18,31.18,8.0,21.33,1.85,0.36,0.255,0,0,0,0,2021-11-11
RX0000005380,MBR00000148,2023-06-19,2023-06-21,1784208830,1137202162,PLN2053,146681,PCN710,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,1,Retail,0,0,0,45.0,6.53,51.53,10.0,39.65,1.88,1.8,1.275,0,0,0,0,2023-07-19
RX0000005381,MBR00000148,2021-03-02,2021-03-03,1974553977,1544899450,PLN1372,838023,PCN816,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,92,2,Mail Order,0,0,0,1950.0,6.96,1956.96,39.0,1810.97,106.99,26.0,18.4167,0,0,0,0,2021-05-31
RX0000005382,MBR00000148,2021-11-08,2021-11-12,1763891754,1367899768,PLN5392,350899,PCN257,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,9,Specialty,0,0,0,7.5,14.39,21.89,8.0,13.89,0.0,0.3,0.2125,0,0,0,0,2021-12-08
RX0000005383,MBR00000148,2021-12-09,2021-12-13,1373395755,1229326861,PLN7826,739129,PCN118,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,86,7,Specialty,0,0,0,36.0,39.98,75.98,9.0,66.98,0.0,0.48,0.34,0,0,0,0,2022-03-09
RX0000005384,MBR00000148,2021-03-03,2021-03-05,1868796201,1734687056,PLN8775,549601,PCN546,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,6,Mail Order,0,0,0,11.0,4.79,15.79,6.0,8.94,0.85,0.44,0.3117,0,0,0,0,2021-04-02
RX0000005385,MBR00000148,2023-12-18,2023-12-21,1403354336,1469300256,PLN4631,366160,PCN897,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,4,Retail,0,0,0,66.0,6.36,72.36,10.0,57.42,4.94,0.88,0.6233,0,0,0,0,2024-03-17
RX0000005386,MBR00000148,2021-05-30,2021-06-02,1447631213,1825391482,PLN8949,706952,PCN774,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,92,11,Specialty,0,0,0,30.0,11.87,41.87,7.0,34.87,0.0,0.4,0.2833,0,0,0,0,2021-08-28
RX0000005387,MBR00000148,2021-12-16,2021-12-17,1984120793,1588229296,PLN2249,766825,PCN869,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,7,Retail,3,0,0,12.5,2.76,15.26,1.0,13.29,0.97,0.5,0.3542,0,0,0,0,2022-01-15
RX0000005388,MBR00000148,2023-03-28,2023-03-29,1238148022,1700086336,PLN3521,912763,PCN449,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,55,8,Retail,0,1,0,24.0,10.57,34.57,155.0,0.0,1.22,0.48,0.34,0,0,0,0,2023-05-27
RX0000005389,MBR00000148,2022-10-03,2022-10-05,1837035025,1557305364,PLN2797,594966,PCN628,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,1,Retail,0,0,0,11.0,4.5,15.5,5.0,9.69,0.81,0.44,0.3117,0,0,0,0,2022-11-02
RX0000005390,MBR00000148,2023-05-06,2023-05-07,1951644395,1553026934,PLN8906,434149,PCN608,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,11,Mail Order,0,0,0,65.0,2.83,67.83,40.0,23.16,4.67,2.6,1.8417,0,0,0,0,2023-06-05
RX0000005391,MBR00000148,2022-09-25,2022-09-29,1570717362,1552548091,PLN5186,713041,PCN138,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,2,Retail,0,0,0,18.0,4.03,22.03,4.0,16.75,1.28,0.72,0.51,0,0,0,0,2022-10-25
RX0000005392,MBR00000148,2021-10-30,2021-11-02,1124478903,1320754852,PLN3405,551318,PCN769,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,6,Mail Order,0,1,0,8500.0,7.43,8507.43,148.0,7905.88,453.55,340.0,240.8333,0,0,0,0,2021-11-29
RX0000005393,MBR00000148,2021-12-29,2021-12-31,1567714471,1230304729,PLN1457,806054,PCN935,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,83,4,Retail,0,0,0,54.0,2.1,56.1,40.0,13.38,2.72,0.72,0.51,0,0,0,0,2022-03-29
RX0000005394,MBR00000148,2022-11-21,2022-11-22,1953377239,1822440204,PLN3652,810603,PCN497,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,4,Mail Order,0,0,0,185.0,4.42,189.42,37.0,145.9,6.52,7.4,5.2417,1,0,0,0,2022-12-21
RX0000005395,MBR00000148,2021-01-12,2021-01-16,1142315190,1532581909,PLN8191,828348,PCN603,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,5,Retail,0,0,0,330.0,11.13,341.13,30.0,297.36,13.77,13.2,9.35,0,0,0,0,2021-02-11
RX0000005396,MBR00000148,2022-02-13,2022-02-16,1179744665,1862602148,PLN9095,887135,PCN675,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,4,Retail,1,0,0,11.0,7.75,18.75,8.0,9.58,1.17,0.44,0.3117,0,0,0,0,2022-03-15
RX0000005397,MBR00000148,2021-12-21,2021-12-24,1267580557,1789042818,PLN2056,760083,PCN492,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,2,Retail,0,0,0,12.0,11.08,23.08,3.0,18.83,1.25,0.48,0.34,0,0,0,0,2022-01-20
RX0000005398,MBR00000148,2023-01-15,2023-01-19,1744852519,1761977550,PLN5996,654344,PCN984,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,56,1,Retail,0,0,0,570.0,10.21,580.21,31.0,518.35,30.86,11.4,8.075,0,0,0,0,2023-03-16
RX0000005399,MBR00000148,2023-01-31,2023-02-02,1492843932,1246422134,PLN4567,167281,PCN521,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,8,Mail Order,2,0,0,38.0,11.75,49.75,4.0,42.53,3.22,1.52,1.0767,0,0,0,0,2023-03-02
RX0000005400,MBR00000148,2021-02-11,2021-02-15,1391905497,1218086221,PLN7747,725054,PCN224,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,8,Retail,0,1,0,8.0,6.7,14.7,149.0,0.0,0.72,0.32,0.2267,0,0,0,0,2021-03-13
RX0000005401,MBR00000148,2021-11-16,2021-11-20,1370263627,1338125228,PLN8346,346871,PCN740,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,3,Specialty,0,1,0,1.87,25.14,27.01,149.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-11-23
RX0000005402,MBR00000149,2023-07-05,2023-07-08,1168868193,1189632323,PLN7203,679917,PCN538,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,11,Mail Order,0,0,0,28.0,10.25,38.25,4.0,32.92,1.33,1.12,0.7933,0,0,0,0,2023-08-04
RX0000005403,MBR00000149,2023-11-10,2023-11-11,1478217473,1442957419,PLN1295,400946,PCN947,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,2,Specialty,0,0,0,4.2,23.64,27.84,0.0,27.84,0.0,0.72,0.51,0,0,0,0,2023-11-17
RX0000005404,MBR00000149,2023-10-18,2023-10-21,1720430294,1516006609,PLN5778,123264,PCN615,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,3,Retail,0,0,0,18.0,7.69,25.69,32.0,0.0,1.03,0.72,0.51,0,0,0,0,2023-11-17
RX0000005405,MBR00000149,2023-09-29,2023-10-02,1739954432,1707678125,PLN2606,688643,PCN251,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,6,Specialty,0,0,0,185.0,40.27,225.27,38.0,187.27,0.0,7.4,5.2417,0,0,0,0,2023-10-29
RX0000005406,MBR00000149,2023-09-05,2023-09-06,1437441564,1300245234,PLN7163,104741,PCN832,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,4,Specialty,0,0,0,12.5,48.67,61.17,2.0,59.17,0.0,0.5,0.3542,0,0,0,0,2023-10-05
RX0000005407,MBR00000149,2023-05-02,2023-05-03,1452291187,1786253867,PLN5778,409500,PCN521,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,9,Retail,0,0,0,4.2,11.57,15.77,35.0,0.0,0.94,0.72,0.51,0,0,0,0,2023-05-09
RX0000005408,MBR00000149,2021-09-11,2021-09-14,1910111769,1223835296,PLN1497,255280,PCN451,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,62,11,Specialty,0,0,0,640.0,19.09,659.09,36.0,623.09,0.0,12.8,9.0667,0,0,0,0,2021-11-10
RX0000005409,MBR00000149,2022-08-11,2022-08-12,1691297459,1560534835,PLN8722,285243,PCN924,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,92,10,Retail,1,0,0,33.0,8.86,41.86,3.0,36.39,2.47,0.44,0.3117,0,0,0,0,2022-11-09
RX0000005410,MBR00000149,2021-08-15,2021-08-18,1539248074,1210633486,PLN2916,265668,PCN985,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,9,Retail,1,0,0,10.0,4.9,14.9,3.0,11.31,0.59,0.4,0.2833,0,0,0,0,2021-09-14
RX0000005411,MBR00000149,2021-04-29,2021-05-02,1771291670,1397515994,PLN3935,657196,PCN879,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,10,Mail Order,0,0,0,66.0,4.91,70.91,5.0,63.35,2.56,0.88,0.6233,0,0,0,0,2021-07-28
RX0000005412,MBR00000149,2021-09-27,2021-09-30,1748392708,1109476441,PLN8707,361220,PCN907,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,10,Mail Order,0,0,0,66.5,11.63,78.13,36.0,36.82,5.31,11.4,8.075,0,1,1,0,2021-10-04
RX0000005413,MBR00000149,2023-02-13,2023-02-17,1719558802,1531532384,PLN4712,111722,PCN645,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,11,Mail Order,1,0,0,650.0,6.07,656.07,36.0,599.13,20.94,26.0,18.4167,0,0,0,0,2023-03-15
RX0000005414,MBR00000149,2021-07-19,2021-07-23,1105741199,1623046461,PLN2640,114203,PCN290,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,82,2,Mail Order,0,1,0,18600.0,8.19,18608.19,149.0,17158.67,1300.52,248.0,175.6667,0,0,0,0,2021-10-17
RX0000005415,MBR00000149,2023-05-05,2023-05-07,1222360356,1461681415,PLN5344,287696,PCN508,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,3,Mail Order,0,0,0,11.0,1.76,12.76,7.0,4.99,0.77,0.44,0.3117,0,0,0,0,2023-06-04
RX0000005416,MBR00000149,2023-09-07,2023-09-08,1550574982,1704501656,PLN2047,743467,PCN804,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,2,Retail,2,0,0,310.0,2.61,312.61,37.0,256.23,19.38,12.4,8.7833,0,0,0,0,2023-10-07
RX0000005417,MBR00000149,2021-06-22,2021-06-26,1175558722,1966565639,PLN2901,944088,PCN481,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,92,1,Retail,3,0,0,54.0,8.56,62.56,7.0,53.06,2.5,0.72,0.51,0,0,0,0,2021-09-20
RX0000005418,MBR00000149,2022-12-07,2022-12-08,1142133750,1842026215,PLN3214,578852,PCN208,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,93,7,Retail,0,0,0,66.0,3.57,69.57,71.0,0.0,3.11,0.88,0.6233,0,0,0,0,2023-03-07
RX0000005419,MBR00000149,2022-06-30,2022-07-02,1252060580,1982038091,PLN2047,173012,PCN309,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,5,Retail,2,0,0,2.57,10.74,13.31,7.0,5.63,0.68,0.44,0.3117,0,0,0,0,2022-07-07
RX0000005420,MBR00000149,2022-06-17,2022-06-18,1765508816,1958744918,PLN9989,997663,PCN256,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,10,Mail Order,0,0,0,950.0,8.64,958.64,30.0,894.53,34.11,38.0,26.9167,0,0,0,0,2022-07-17
RX0000005421,MBR00000149,2021-04-12,2021-04-14,1359091336,1604776932,PLN7811,484217,PCN754,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,6,Retail,0,0,0,11.0,3.19,14.19,10.0,3.57,0.62,0.44,0.3117,0,0,0,0,2021-05-12
RX0000005422,MBR00000149,2022-07-21,2022-07-24,1958671023,1672253283,PLN6783,695957,PCN490,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,3,Retail,2,0,0,480.0,3.95,483.95,34.0,417.61,32.34,19.2,13.6,0,0,0,0,2022-08-20
RX0000005423,MBR00000149,2022-01-30,2022-01-31,1953968629,1906296451,PLN1918,407389,PCN711,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,98,11,Specialty,0,0,0,48.0,34.86,82.86,5.0,77.86,0.0,0.64,0.4533,0,0,0,0,2022-04-30
RX0000005424,MBR00000149,2023-06-20,2023-06-23,1444320662,1146755579,PLN5825,244832,PCN255,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,83,1,Specialty,0,0,0,1110.0,16.24,1126.24,34.0,1092.24,0.0,14.8,10.4833,0,0,0,0,2023-09-18
RX0000005425,MBR00000149,2023-12-18,2023-12-20,1300536734,1610784642,PLN5163,199507,PCN776,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,7,Retail,0,0,0,285.0,2.17,287.17,32.0,239.29,15.88,11.4,8.075,0,0,0,0,2024-01-17
RX0000005426,MBR00000149,2023-04-03,2023-04-04,1587253049,1483334169,PLN6894,567512,PCN199,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,10,Retail,3,0,0,15.17,3.69,18.86,38.0,0.0,0.95,2.6,1.8417,1,0,0,0,2023-04-10
RX0000005427,MBR00000149,2021-04-05,2021-04-08,1675317720,1613535809,PLN5396,701563,PCN226,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,6,Retail,0,0,0,15.0,2.8,17.8,3.0,14.23,0.57,0.6,0.425,0,0,0,0,2021-05-05
RX0000005428,MBR00000149,2021-09-22,2021-09-24,1333712332,1103867150,PLN3034,867763,PCN682,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,6,Retail,0,0,0,8.87,8.95,17.82,38.0,0.0,1.15,1.52,1.0767,0,0,0,0,2021-09-29
RX0000005429,MBR00000149,2022-09-09,2022-09-11,1437192650,1627583151,PLN1291,710541,PCN438,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,6,Retail,0,0,0,4.2,4.87,9.07,37.0,0.0,0.39,0.72,0.51,0,0,0,0,2022-09-16
RX0000005430,MBR00000150,2022-12-04,2022-12-07,1912482688,1270027701,PLN7159,674420,PCN689,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,5,Retail,0,0,0,16.0,5.81,21.81,5.0,15.92,0.89,0.64,0.4533,0,0,0,0,2023-01-03
RX0000005431,MBR00000150,2022-01-14,2022-01-18,1384720789,1905550795,PLN8726,686916,PCN304,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,63,9,Retail,0,1,0,5600.0,6.77,5606.77,146.0,5125.22,335.55,112.0,79.3333,0,0,0,0,2022-03-15
RX0000005432,MBR00000150,2021-08-19,2021-08-23,1490263096,1183293877,PLN3688,398171,PCN381,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,6,Retail,0,0,0,950.0,2.32,952.32,37.0,880.46,34.86,38.0,26.9167,0,0,0,0,2021-09-18
RX0000005433,MBR00000150,2023-03-02,2023-03-05,1837187399,1581872573,PLN2634,237180,PCN998,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,8,Mail Order,0,0,0,45.0,11.94,56.94,0.0,54.53,2.41,1.8,1.275,0,0,0,0,2023-04-01
RX0000005434,MBR00000150,2023-10-05,2023-10-08,1559305710,1340053923,PLN8028,468942,PCN730,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,94,2,Retail,0,0,0,54.0,8.73,62.73,35.0,23.49,4.24,0.72,0.51,0,0,0,0,2024-01-03
RX0000005435,MBR00000150,2023-12-21,2023-12-23,1159142268,1600386026,PLN2893,121973,PCN918,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,82,7,Retail,0,0,0,2850.0,10.99,2860.99,40.0,2685.58,135.41,38.0,26.9167,0,0,0,0,2024-03-20
RX0000005436,MBR00000150,2023-04-06,2023-04-09,1868000136,1237506829,PLN5027,324149,PCN710,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,3,Retail,0,1,0,8500.0,2.8,8502.8,148.0,8038.8,316.0,340.0,240.8333,0,0,0,0,2023-05-06
RX0000005437,MBR00000150,2021-08-19,2021-08-21,1712512749,1868965716,PLN9459,489404,PCN433,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,11,Specialty,2,0,0,14.0,37.7,51.7,2.0,49.7,0.0,0.56,0.3967,0,0,0,0,2021-09-18
RX0000005438,MBR00000150,2022-09-21,2022-09-23,1600523770,1726403716,PLN3117,441201,PCN459,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,83,4,Retail,0,0,0,45.0,6.07,51.07,1.0,46.67,3.4,0.6,0.425,0,0,0,0,2022-12-20
RX0000005439,MBR00000150,2022-01-30,2022-02-02,1600743831,1188736133,PLN2476,652423,PCN279,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,4,Specialty,3,1,0,8.0,15.03,23.03,154.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-03-01
RX0000005440,MBR00000150,2021-06-21,2021-06-23,1103970546,1134527031,PLN4123,479734,PCN807,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,0,Retail,3,1,0,8.0,9.47,17.47,150.0,0.0,1.0,0.32,0.2267,0,0,0,0,2021-07-21
RX0000005441,MBR00000150,2023-01-11,2023-01-15,1727660608,1545232174,PLN5092,224616,PCN911,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,7,Retail,0,0,0,22.0,8.76,30.76,7.0,22.14,1.62,0.88,0.6233,0,0,0,0,2023-02-10
RX0000005442,MBR00000150,2021-05-03,2021-05-05,1496824309,1232759471,PLN1789,275506,PCN808,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,0,LTC,0,0,0,10.0,5.25,15.25,9.0,5.57,0.68,0.4,0.2833,0,0,0,0,2021-06-02
RX0000005443,MBR00000150,2021-02-18,2021-02-19,1427035096,1145914384,PLN4875,934776,PCN625,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,11,Mail Order,0,1,0,1446.67,6.76,1453.43,154.0,1249.55,49.88,248.0,175.6667,0,0,0,0,2021-02-25
RX0000005444,MBR00000150,2022-02-15,2022-02-18,1694404999,1642693947,PLN2962,590444,PCN472,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,96,1,Mail Order,0,0,0,525.0,6.52,531.52,30.0,479.46,22.06,7.0,4.9583,1,0,0,0,2022-05-16
RX0000005445,MBR00000151,2021-03-29,2021-04-02,1516805202,1770307424,PLN4088,253810,PCN380,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,93,6,Specialty,0,0,0,30.0,41.96,71.96,7.0,64.96,0.0,0.4,0.2833,0,0,0,0,2021-06-27
RX0000005446,MBR00000151,2021-10-19,2021-10-21,1312905177,1472350088,PLN1737,547774,PCN360,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,0,Retail,0,0,1,14.0,3.11,17.11,4.0,12.16,0.95,0.56,0.3967,0,0,0,0,2021-11-18
RX0000005447,MBR00000151,2021-03-19,2021-03-21,1498478145,1597292501,PLN1998,884307,PCN945,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,11,Retail,0,0,0,320.0,9.76,329.76,38.0,270.11,21.65,12.8,9.0667,0,0,0,0,2021-04-18
RX0000005448,MBR00000151,2021-02-01,2021-02-03,1269147837,1610479398,PLN7951,350964,PCN992,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,92,6,Retail,0,0,0,42.0,6.55,48.55,5.0,41.15,2.4,0.56,0.3967,0,0,0,0,2021-05-02
RX0000005449,MBR00000151,2022-11-24,2022-11-26,1398543702,1612475295,PLN3672,810756,PCN643,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,9,Retail,3,0,0,750.0,4.7,754.7,38.0,669.95,46.75,30.0,21.25,0,0,0,0,2022-12-24
RX0000005450,MBR00000151,2021-08-01,2021-08-05,1395043595,1303421501,PLN6423,289679,PCN410,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,8,Retail,0,0,0,14.0,3.71,17.71,5.0,11.67,1.04,0.56,0.3967,0,0,0,0,2021-08-31
RX0000005451,MBR00000151,2022-08-13,2022-08-16,1956593837,1764180984,PLN6048,271083,PCN383,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,11,Retail,2,0,0,12.5,4.45,16.95,10.0,6.17,0.78,0.5,0.3542,0,0,0,0,2022-09-12
RX0000005452,MBR00000151,2023-01-30,2023-02-03,1291874358,1294604888,PLN8050,706968,PCN210,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,10,Retail,3,0,0,65.0,11.83,76.83,33.0,40.34,3.49,2.6,1.8417,0,0,0,0,2023-03-01
RX0000005453,MBR00000151,2022-11-26,2022-11-27,1324662568,1783309964,PLN7287,153133,PCN296,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,7,Retail,0,1,0,8500.0,8.62,8508.62,153.0,7940.08,415.54,340.0,240.8333,1,0,0,0,2022-12-26
RX0000005454,MBR00000151,2022-08-02,2022-08-06,1783358250,1572859243,PLN2740,688252,PCN478,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,11,Retail,0,0,0,10.5,8.17,18.67,10.0,7.42,1.25,1.8,1.275,0,0,0,0,2022-08-09
RX0000005455,MBR00000151,2023-07-12,2023-07-13,1809783807,1975661701,PLN8025,846139,PCN438,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,61,3,Retail,0,0,0,20.0,2.87,22.87,8.0,13.59,1.28,0.4,0.2833,0,0,0,0,2023-09-10
RX0000005456,MBR00000151,2023-08-28,2023-08-31,1669200985,1592355582,PLN7686,112983,PCN932,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,90,7,Retail,0,0,0,27.0,4.38,31.38,6.0,23.23,2.15,0.36,0.255,0,0,0,0,2023-11-26
RX0000005457,MBR00000151,2022-02-09,2022-02-10,1839418433,1639809671,PLN3562,827929,PCN544,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,11,Retail,3,0,0,3.27,1.91,5.17,2.0,2.92,0.25,0.56,0.3967,0,0,0,0,2022-02-16
RX0000005458,MBR00000151,2023-04-16,2023-04-18,1236833601,1172105731,PLN8945,814774,PCN395,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,3,Retail,0,0,0,11.0,4.51,15.51,9.0,5.75,0.76,0.44,0.3117,0,0,0,0,2023-05-16
RX0000005459,MBR00000151,2023-12-12,2023-12-14,1550977860,1706491866,PLN3997,645440,PCN349,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,1,Retail,0,0,0,14.0,8.91,22.91,1.0,21.07,0.84,0.56,0.3967,0,0,0,0,2024-01-11
RX0000005460,MBR00000151,2023-08-20,2023-08-21,1727767368,1753542253,PLN9522,386164,PCN492,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,10,Retail,0,0,0,65.0,10.8,75.8,32.0,41.46,2.34,2.6,1.8417,0,0,0,0,2023-09-19
RX0000005461,MBR00000151,2022-03-31,2022-04-01,1317815269,1383376105,PLN8386,358582,PCN370,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,89,10,Retail,0,0,0,1950.0,1.59,1951.59,32.0,1808.91,110.68,26.0,18.4167,1,0,0,0,2022-06-29
RX0000005462,MBR00000151,2022-02-07,2022-02-08,1927835037,1879893777,PLN6741,864902,PCN404,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,8,Mail Order,0,0,0,310.0,8.31,318.31,34.0,263.96,20.35,12.4,8.7833,0,0,0,0,2022-03-09
RX0000005463,MBR00000151,2021-03-16,2021-03-17,1382591410,1320157716,PLN2944,118493,PCN194,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,61,5,Mail Order,0,0,0,44.0,5.04,49.04,0.0,46.22,2.82,0.88,0.6233,0,0,0,0,2021-05-15
RX0000005464,MBR00000151,2023-04-05,2023-04-07,1254251846,1520662672,PLN6267,158977,PCN763,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,11,Retail,0,0,0,12.0,7.45,19.45,3.0,15.69,0.76,0.48,0.34,0,0,0,0,2023-05-05
RX0000005465,MBR00000151,2023-07-09,2023-07-11,1390170713,1877039570,PLN9684,173790,PCN141,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,8,LTC,0,0,0,38.0,1.69,39.69,2.0,35.78,1.91,1.52,1.0767,0,0,0,0,2023-08-08
RX0000005466,MBR00000151,2022-04-12,2022-04-14,1964357292,1299668776,PLN6750,259012,PCN445,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,0,Mail Order,1,0,0,7.5,11.34,18.84,5.0,12.86,0.98,0.3,0.2125,0,0,0,0,2022-05-12
RX0000005467,MBR00000151,2021-12-17,2021-12-21,1482334141,1267300381,PLN3270,729422,PCN169,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,10,Retail,1,0,0,14.0,3.62,17.62,5.0,11.97,0.65,0.56,0.3967,0,0,0,0,2022-01-16
RX0000005468,MBR00000151,2021-08-23,2021-08-26,1188688762,1411768285,PLN1332,656170,PCN514,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,63,9,Retail,0,0,0,130.0,2.75,132.75,33.0,95.51,4.24,2.6,1.8417,1,0,0,0,2021-10-22
RX0000005469,MBR00000151,2022-09-12,2022-09-16,1199938326,1193098358,PLN5638,627593,PCN786,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,95,9,Mail Order,0,0,0,54.0,8.26,62.26,32.0,27.67,2.59,0.72,0.51,0,0,0,0,2022-12-11
RX0000005470,MBR00000151,2023-10-04,2023-10-07,1900840169,1913007364,PLN3849,723722,PCN104,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,56,4,LTC,0,0,0,130.0,4.81,134.81,37.0,88.71,9.1,2.6,1.8417,0,0,0,0,2023-12-03
RX0000005471,MBR00000151,2021-06-04,2021-06-06,1998095064,1948795201,PLN2211,866855,PCN914,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,6,Mail Order,0,0,0,2.57,11.97,14.54,8.0,5.97,0.57,0.44,0.3117,0,0,0,0,2021-06-11
RX0000005472,MBR00000151,2022-07-14,2022-07-15,1240829850,1476792755,PLN2504,896772,PCN570,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,6,Retail,1,0,0,45.0,3.47,48.47,3.0,43.79,1.68,1.8,1.275,0,0,0,0,2022-08-13
RX0000005473,MBR00000151,2022-09-24,2022-09-25,1727759043,1622514866,PLN9667,244834,PCN445,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,97,5,Mail Order,0,0,0,48.0,6.46,54.46,6.0,45.09,3.37,0.64,0.4533,0,0,0,0,2022-12-23
RX0000005474,MBR00000151,2022-08-21,2022-08-23,1780292652,1655168030,PLN6624,421280,PCN105,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,89,0,Retail,0,0,0,42.0,11.61,53.61,2.0,49.63,1.98,0.56,0.3967,0,0,0,0,2022-11-19
RX0000005475,MBR00000151,2021-10-08,2021-10-09,1613921505,1481439321,PLN9726,348150,PCN507,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,90,7,Mail Order,0,0,0,37.5,8.7,46.2,6.0,38.38,1.82,0.5,0.3542,0,0,0,0,2022-01-06
RX0000005476,MBR00000151,2021-10-14,2021-10-17,1936477052,1816158232,PLN1780,640696,PCN912,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,60,2,Retail,0,0,0,22.0,4.79,26.79,9.0,16.24,1.55,0.44,0.3117,1,0,0,0,2021-12-13
RX0000005477,MBR00000151,2023-02-10,2023-02-12,1547724094,1367895161,PLN2240,645581,PCN704,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,81,4,Retail,0,0,0,27.0,8.54,35.54,3.0,30.61,1.93,0.36,0.255,0,0,0,0,2023-05-11
RX0000005478,MBR00000151,2023-12-12,2023-12-16,1628340327,1333453042,PLN7291,181071,PCN471,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,11,Retail,0,0,0,14.0,5.12,19.12,9.0,8.96,1.16,0.56,0.3967,0,0,0,0,2024-01-11
RX0000005479,MBR00000151,2021-03-18,2021-03-22,1289764814,1190180207,PLN3804,172945,PCN702,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,63,10,Retail,0,0,0,370.0,2.44,372.44,32.0,328.45,11.99,7.4,5.2417,0,0,0,0,2021-05-17
RX0000005480,MBR00000151,2023-07-15,2023-07-19,1536838081,1205290129,PLN4184,485708,PCN437,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,6,Retail,0,0,0,9.0,8.31,17.31,7.0,9.62,0.69,0.36,0.255,0,0,0,0,2023-08-14
RX0000005481,MBR00000151,2023-02-18,2023-02-19,1779135429,1105211406,PLN2144,338933,PCN526,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,5,Mail Order,0,1,0,12.0,4.23,16.23,147.0,0.0,0.89,0.48,0.34,0,0,0,0,2023-03-20
RX0000005482,MBR00000151,2022-12-16,2022-12-17,1991312768,1534379194,PLN2794,739078,PCN675,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,3,Retail,3,1,0,6200.0,5.75,6205.75,152.0,5829.67,224.08,248.0,175.6667,0,0,0,0,2023-01-15
RX0000005483,MBR00000151,2021-04-28,2021-04-29,1805741333,1543481723,PLN6782,664112,PCN393,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,11,Mail Order,0,0,0,175.0,7.63,182.63,37.0,137.2,8.43,7.0,4.9583,0,0,0,0,2021-05-28
RX0000005484,MBR00000151,2022-12-13,2022-12-17,1540549029,1484082627,PLN1170,407972,PCN446,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,57,3,Retail,2,0,0,32.0,8.14,40.14,7.0,31.6,1.54,0.64,0.4533,0,0,0,0,2023-02-11
RX0000005485,MBR00000151,2023-04-15,2023-04-17,1157169681,1974894656,PLN1163,608586,PCN242,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,91,11,Mail Order,0,0,0,1110.0,9.29,1119.29,40.0,1025.52,53.77,14.8,10.4833,0,0,0,0,2023-07-14
RX0000005486,MBR00000151,2023-02-22,2023-02-24,1258052441,1157930166,PLN6431,418654,PCN800,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,1,Retail,0,0,0,320.0,7.35,327.35,30.0,275.05,22.3,12.8,9.0667,0,1,1,0,2023-03-24
RX0000005487,MBR00000151,2023-07-11,2023-07-14,1767550083,1311811304,PLN1221,155629,PCN188,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,1,Retail,0,1,0,8500.0,8.45,8508.45,151.0,7814.2,543.25,340.0,240.8333,0,0,0,0,2023-08-10
RX0000005488,MBR00000151,2021-05-22,2021-05-24,1771077104,1742979193,PLN4798,654253,PCN154,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,98,9,Retail,0,0,0,1440.0,7.65,1447.65,36.0,1320.33,91.32,19.2,13.6,1,0,0,0,2021-08-20
RX0000005489,MBR00000151,2023-04-06,2023-04-10,1550343097,1980565201,PLN9667,426049,PCN715,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,6,Retail,0,0,0,14.0,2.53,16.53,3.0,12.83,0.7,0.56,0.3967,0,0,0,0,2023-05-06
RX0000005490,MBR00000151,2022-03-01,2022-03-04,1697413085,1234398183,PLN5336,639065,PCN407,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,2,Retail,2,0,0,9.0,10.27,19.27,0.0,18.66,0.61,0.36,0.255,1,0,0,0,2022-03-31
RX0000005491,MBR00000151,2023-05-09,2023-05-10,1445276949,1174038835,PLN6906,597591,PCN885,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,5,Retail,0,0,0,310.0,11.78,321.78,38.0,267.71,16.07,12.4,8.7833,0,0,0,0,2023-06-08
RX0000005492,MBR00000151,2021-08-30,2021-09-02,1598904064,1955919548,PLN3285,441953,PCN527,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,8,Retail,0,0,0,285.0,2.33,287.33,35.0,235.24,17.09,11.4,8.075,0,0,0,0,2021-09-29
RX0000005493,MBR00000151,2023-01-07,2023-01-08,1770060112,1552237037,PLN1057,725420,PCN732,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,5,Retail,0,1,0,8.0,1.77,9.77,155.0,0.0,0.53,0.32,0.2267,0,0,0,0,2023-02-06
RX0000005494,MBR00000151,2021-01-23,2021-01-27,1766019466,1449894092,PLN2679,674415,PCN413,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,8,Retail,0,0,0,86.33,5.7,92.03,36.0,50.6,5.43,14.8,10.4833,0,0,0,0,2021-01-30
RX0000005495,MBR00000151,2022-02-25,2022-02-28,1553093112,1502159286,PLN2072,900898,PCN444,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,10,Mail Order,0,0,0,10.0,4.54,14.54,8.0,5.66,0.88,0.4,0.2833,0,0,0,0,2022-03-27
RX0000005496,MBR00000152,2022-08-21,2022-08-24,1724944481,1821623207,PLN2195,127529,PCN389,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,94,7,Retail,0,0,0,27.0,2.53,29.53,10.0,17.89,1.64,0.36,0.255,0,0,0,0,2022-11-19
RX0000005497,MBR00000152,2022-08-06,2022-08-09,1708759305,1769470483,PLN6585,337536,PCN708,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,97,4,Specialty,0,0,0,930.0,14.67,944.67,36.0,908.67,0.0,12.4,8.7833,0,0,0,0,2022-11-04
RX0000005498,MBR00000152,2022-11-06,2022-11-09,1512661613,1663588192,PLN7221,217603,PCN744,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,83,3,Retail,0,0,0,27.0,9.62,36.62,7.0,28.14,1.48,0.36,0.255,0,0,0,0,2023-02-04
RX0000005499,MBR00000152,2022-04-28,2022-04-29,1716574403,1775849092,PLN6508,823075,PCN825,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,7,Retail,2,0,0,66.0,6.47,72.47,6.0,62.83,3.64,0.88,0.6233,0,0,0,0,2022-07-27
RX0000005500,MBR00000152,2023-08-15,2023-08-19,1738195703,1404513724,PLN1684,861730,PCN812,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,95,1,Retail,0,0,0,42.0,5.03,47.03,7.0,36.79,3.24,0.56,0.3967,1,0,0,0,2023-11-13
RX0000005501,MBR00000152,2022-08-13,2022-08-15,1752954566,1220644576,PLN3561,634735,PCN436,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,10,Retail,0,0,0,14.0,4.63,18.63,10.0,7.72,0.91,0.56,0.3967,0,0,0,0,2022-09-12
RX0000005502,MBR00000152,2023-10-05,2023-10-09,1926432024,1125045775,PLN1633,886489,PCN152,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,9,Retail,0,0,0,5.13,9.39,14.52,71.0,0.0,0.67,0.88,0.6233,0,0,0,0,2023-10-12
RX0000005503,MBR00000152,2023-06-21,2023-06-22,1882212083,1681328212,PLN6994,408163,PCN994,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,95,1,Specialty,3,0,0,42.0,24.9,66.9,6.0,60.9,0.0,0.56,0.3967,0,0,0,0,2023-09-19
RX0000005504,MBR00000152,2023-08-30,2023-09-03,1934258140,1137565734,PLN5842,691169,PCN647,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,92,6,Retail,0,0,0,27.0,6.32,33.32,2.0,29.35,1.97,0.36,0.255,0,0,0,0,2023-11-28
RX0000005505,MBR00000152,2021-04-21,2021-04-22,1509362418,1852656691,PLN3122,673006,PCN845,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,98,6,Retail,2,0,0,54.0,3.73,57.73,3.0,51.75,2.98,0.72,0.51,0,0,0,0,2021-07-20
RX0000005506,MBR00000152,2022-01-13,2022-01-16,1658317341,1786964313,PLN5969,617063,PCN137,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,6,Retail,0,0,0,38.0,10.97,48.97,38.0,8.84,2.13,1.52,1.0767,0,0,0,0,2022-02-12
RX0000005507,MBR00000152,2023-11-25,2023-11-28,1909086333,1906918282,PLN4236,867437,PCN223,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,10,Mail Order,2,0,0,310.0,6.63,316.63,40.0,266.07,10.56,12.4,8.7833,0,0,0,0,2023-12-25
RX0000005508,MBR00000152,2022-05-20,2022-05-22,1679508570,1218070297,PLN3309,455107,PCN811,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,5,Retail,3,0,0,175.0,6.26,181.26,36.0,132.84,12.42,7.0,4.9583,0,0,0,0,2022-06-19
RX0000005509,MBR00000152,2021-05-25,2021-05-27,1129962486,1547485675,PLN3912,872940,PCN292,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,9,Retail,0,0,0,750.0,10.94,760.94,33.0,694.65,33.29,30.0,21.25,0,0,0,0,2021-06-24
RX0000005510,MBR00000152,2021-12-17,2021-12-20,1438543476,1794876926,PLN2501,247399,PCN437,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,84,4,Retail,1,0,0,135.0,7.6,142.6,2.0,130.72,9.88,1.8,1.275,0,0,0,0,2022-03-17
RX0000005511,MBR00000152,2023-08-24,2023-08-27,1848444672,1567976409,PLN2165,783575,PCN420,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,5,Mail Order,0,0,0,10.5,4.6,15.1,2.0,12.11,0.99,1.8,1.275,0,0,0,0,2023-08-31
RX0000005512,MBR00000152,2022-01-24,2022-01-26,1555841111,1961804612,PLN1754,513131,PCN549,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,90,0,Retail,0,0,0,114.0,10.77,124.77,8.0,109.82,6.95,1.52,1.0767,0,0,0,0,2022-04-24
RX0000005513,MBR00000152,2021-02-03,2021-02-04,1560783641,1611768753,PLN4549,936720,PCN687,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,61,6,LTC,2,0,0,15.0,7.15,22.15,10.0,11.37,0.78,0.3,0.2125,0,0,0,0,2021-04-04
RX0000005514,MBR00000152,2022-01-26,2022-01-30,1109996323,1889789890,PLN1388,889797,PCN564,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,57,3,Mail Order,0,0,0,660.0,10.42,670.42,33.0,607.08,30.34,13.2,9.35,0,0,0,0,2022-03-27
RX0000005515,MBR00000152,2023-08-04,2023-08-07,1108646829,1917846717,PLN7809,930241,PCN942,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,98,10,Mail Order,0,0,0,30.0,9.98,39.98,5.0,33.19,1.79,0.4,0.2833,0,0,0,0,2023-11-02
RX0000005516,MBR00000152,2023-09-22,2023-09-24,1773421842,1823080823,PLN2765,476481,PCN406,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,95,9,Retail,0,0,0,1110.0,2.09,1112.09,31.0,1042.39,38.7,14.8,10.4833,0,0,0,0,2023-12-21
RX0000005517,MBR00000152,2023-11-07,2023-11-11,1999193065,1889625354,PLN3444,274741,PCN884,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,90,1,Retail,0,0,0,54.0,1.51,55.51,8.0,44.17,3.34,0.72,0.51,0,0,0,0,2024-02-05
RX0000005518,MBR00000152,2022-12-29,2022-12-31,1106262769,1184240397,PLN9836,616125,PCN280,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,86,4,Mail Order,0,0,0,37.5,1.89,39.39,9.0,29.01,1.38,0.5,0.3542,0,0,0,0,2023-03-29
RX0000005519,MBR00000152,2022-09-08,2022-09-09,1742426718,1573664099,PLN6917,503610,PCN616,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,4,Retail,0,0,0,12.0,5.88,17.88,9.0,7.64,1.24,0.48,0.34,0,0,0,0,2022-10-08
RX0000005520,MBR00000152,2023-10-19,2023-10-22,1749997442,1856138817,PLN5886,594304,PCN266,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,81,0,Retail,0,0,0,33.0,5.25,38.25,10.0,26.82,1.43,0.44,0.3117,0,0,0,0,2024-01-17
RX0000005521,MBR00000152,2022-10-09,2022-10-11,1506994050,1959415541,PLN8901,118632,PCN990,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,0,Retail,0,0,0,370.0,3.62,373.62,38.0,314.12,21.5,14.8,10.4833,0,0,0,0,2022-11-08
RX0000005522,MBR00000152,2022-06-10,2022-06-13,1125865938,1777981877,PLN1885,172369,PCN209,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,6,Mail Order,0,0,0,28.0,6.36,34.36,6.0,26.0,2.36,1.12,0.7933,0,0,0,0,2022-07-10
RX0000005523,MBR00000152,2021-09-24,2021-09-27,1677129184,1326864306,PLN6433,802730,PCN124,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,7,Retail,0,0,0,12.0,1.77,13.77,10.0,3.3,0.47,0.48,0.34,0,1,0,0,2021-10-24
RX0000005524,MBR00000152,2021-09-03,2021-09-07,1409118494,1741954533,PLN3927,443207,PCN603,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,7,Retail,0,0,0,12.0,8.31,20.31,7.0,12.42,0.89,0.48,0.34,0,0,0,0,2021-10-03
RX0000005525,MBR00000152,2022-04-23,2022-04-27,1877653714,1436032909,PLN5342,815638,PCN988,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,92,10,Retail,0,0,0,22.5,10.39,32.89,0.0,30.94,1.95,0.3,0.2125,0,0,0,0,2022-07-22
RX0000005526,MBR00000152,2022-06-05,2022-06-09,1297521701,1238599060,PLN1013,757695,PCN807,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,86,5,Retail,0,0,0,42.0,3.92,45.92,1.0,43.43,1.49,0.56,0.3967,0,0,0,0,2022-09-03
RX0000005527,MBR00000152,2023-02-28,2023-03-03,1185456720,1423114950,PLN1724,761404,PCN263,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,6,Retail,3,0,0,2.8,11.63,14.43,4.0,9.65,0.78,0.48,0.34,0,0,0,0,2023-03-07
RX0000005528,MBR00000152,2022-09-28,2022-10-02,1989692653,1206715740,PLN1702,289942,PCN949,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,650.0,3.72,653.72,32.0,596.15,25.57,26.0,18.4167,0,0,0,0,2022-10-28
RX0000005529,MBR00000152,2022-02-08,2022-02-10,1422524743,1314351639,PLN5382,781616,PCN254,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,7,Retail,0,0,0,12.0,3.23,15.23,10.0,4.46,0.77,0.48,0.34,0,0,0,0,2022-03-10
RX0000005530,MBR00000152,2022-02-15,2022-02-18,1863087195,1154110129,PLN4228,485656,PCN793,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,7,Retail,0,0,0,45.0,7.11,52.11,9.0,40.53,2.58,1.8,1.275,0,0,0,0,2022-03-17
RX0000005531,MBR00000152,2022-04-29,2022-05-01,1702726848,1804792230,PLN2581,960198,PCN778,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,10,Retail,0,0,0,11.0,8.68,19.68,0.0,18.54,1.14,0.44,0.3117,0,0,0,0,2022-05-29
RX0000005532,MBR00000152,2023-01-23,2023-01-24,1896192362,1762182360,PLN3562,223772,PCN965,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,1,Retail,0,0,0,380.0,4.76,384.76,36.0,325.29,23.47,15.2,10.7667,0,0,0,0,2023-02-22
RX0000005533,MBR00000152,2023-03-09,2023-03-13,1163621145,1319813508,PLN9541,905482,PCN751,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,9,Specialty,0,0,0,10.0,42.68,52.68,6.0,46.68,0.0,0.4,0.2833,0,0,0,0,2023-04-08
RX0000005534,MBR00000152,2022-12-04,2022-12-07,1237828847,1999691515,PLN9001,461779,PCN894,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,1,Mail Order,3,0,0,10.5,6.63,17.13,7.0,9.34,0.79,1.8,1.275,0,0,0,0,2022-12-11
RX0000005535,MBR00000152,2022-11-30,2022-12-01,1108069649,1693067826,PLN1035,802477,PCN820,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,91,6,LTC,0,0,0,1950.0,5.88,1955.88,33.0,1824.56,98.32,26.0,18.4167,0,0,0,0,2023-02-28
RX0000005536,MBR00000152,2023-01-15,2023-01-16,1318477357,1414786467,PLN2229,179204,PCN832,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,1,Specialty,1,0,0,2.57,40.39,42.96,3.0,39.96,0.0,0.44,0.3117,0,0,0,0,2023-01-22
RX0000005537,MBR00000152,2023-07-24,2023-07-28,1331574783,1705527369,PLN3957,852119,PCN933,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,86,9,Mail Order,0,0,0,855.0,7.3,862.3,36.0,778.11,48.19,11.4,8.075,0,0,0,0,2023-10-22
RX0000005538,MBR00000152,2021-10-03,2021-10-04,1855203601,1330320617,PLN1641,568673,PCN841,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,10,Mail Order,0,0,0,14.0,8.2,22.2,2.0,18.78,1.42,0.56,0.3967,0,0,0,0,2021-11-02
RX0000005539,MBR00000152,2022-01-31,2022-02-04,1474881620,1881333552,PLN8036,960834,PCN931,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,83,7,Retail,0,0,0,990.0,5.28,995.28,32.0,933.0,30.28,13.2,9.35,0,0,0,0,2022-05-01
RX0000005540,MBR00000152,2021-01-08,2021-01-10,1299747734,1234121538,PLN5870,441337,PCN491,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,7,Retail,0,0,0,750.0,10.28,760.28,33.0,678.9,48.38,30.0,21.25,1,0,0,0,2021-02-07
RX0000005541,MBR00000152,2023-02-09,2023-02-11,1606089687,1797468769,PLN3674,592054,PCN622,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,Mail Order,0,0,0,22.0,5.3,27.3,1.0,24.58,1.72,0.88,0.6233,0,0,0,0,2023-03-11
RX0000005542,MBR00000152,2023-02-18,2023-02-21,1721408441,1419553572,PLN1259,815769,PCN190,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,6,Retail,3,0,0,330.0,7.79,337.79,35.0,284.92,17.87,13.2,9.35,0,0,0,0,2023-03-20
RX0000005543,MBR00000152,2022-07-10,2022-07-11,1813955208,1995467866,PLN2188,103011,PCN824,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,62,10,Retail,0,0,0,20.0,7.77,27.77,10.0,16.66,1.11,0.4,0.2833,0,0,0,0,2022-09-08
RX0000005544,MBR00000152,2022-08-20,2022-08-24,1557390145,1998343908,PLN1599,518507,PCN625,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,7,Mail Order,1,0,0,310.0,7.82,317.82,34.0,270.9,12.92,12.4,8.7833,0,0,0,0,2022-09-19
RX0000005545,MBR00000152,2023-08-13,2023-08-14,1874001883,1748280861,PLN8623,356393,PCN498,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,84,1,Retail,0,0,0,54.0,6.54,60.54,7.0,51.57,1.97,0.72,0.51,0,0,0,0,2023-11-11
RX0000005546,MBR00000152,2021-09-03,2021-09-05,1478178641,1820610149,PLN5355,800393,PCN230,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,1,Specialty,0,0,0,38.0,48.4,86.4,9.0,77.4,0.0,1.52,1.0767,0,0,0,0,2021-10-03
RX0000005547,MBR00000152,2022-01-06,2022-01-09,1698485148,1537273485,PLN2704,203461,PCN384,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,4,Mail Order,0,1,0,2800.0,5.66,2805.66,154.0,2526.76,124.9,112.0,79.3333,0,0,0,0,2022-02-05
RX0000005548,MBR00000152,2022-05-09,2022-05-13,1715228535,1233313614,PLN9695,918866,PCN804,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,10,Mail Order,0,0,0,14.0,10.44,24.44,2.0,21.34,1.1,0.56,0.3967,0,0,0,0,2022-06-08
RX0000005549,MBR00000152,2023-12-23,2023-12-26,1126497255,1176079585,PLN4027,999393,PCN450,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,95,10,Mail Order,0,0,0,30.0,10.73,40.73,10.0,29.04,1.69,0.4,0.2833,0,0,0,0,2024-03-22
RX0000005550,MBR00000152,2023-09-08,2023-09-12,1740209972,1661488770,PLN5389,495820,PCN486,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,10,Retail,0,0,0,9.0,3.62,12.62,3.0,9.21,0.41,0.36,0.255,0,0,0,0,2023-10-08
RX0000005551,MBR00000152,2022-09-08,2022-09-11,1637313164,1754142513,PLN4780,528067,PCN929,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,1,Retail,0,0,0,10.5,6.99,17.49,8.0,8.48,1.01,1.8,1.275,0,0,0,0,2022-09-15
RX0000005552,MBR00000152,2022-01-08,2022-01-11,1305696140,1740566901,PLN8620,656982,PCN264,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,3,Retail,0,0,0,2.57,10.9,13.47,0.0,12.63,0.84,0.44,0.3117,0,0,0,0,2022-01-15
RX0000005553,MBR00000152,2023-04-05,2023-04-08,1283906930,1145585195,PLN3539,248193,PCN488,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,1,Retail,0,0,0,65.0,11.55,76.55,36.0,37.11,3.44,2.6,1.8417,0,0,0,0,2023-05-05
RX0000005554,MBR00000152,2022-04-20,2022-04-24,1432403258,1511635739,PLN3205,401185,PCN633,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,4,Retail,0,0,0,72.33,7.92,80.26,40.0,37.1,3.16,12.4,8.7833,0,0,0,0,2022-04-27
RX0000005555,MBR00000152,2023-05-22,2023-05-24,1640766352,1473358156,PLN5365,271618,PCN830,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,98,7,Retail,3,0,0,36.0,10.39,46.39,6.0,38.59,1.8,0.48,0.34,0,0,0,0,2023-08-20
RX0000005556,MBR00000152,2022-02-10,2022-02-12,1432142312,1623201110,PLN1615,831654,PCN614,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,8,Mail Order,1,0,0,12.0,6.55,18.55,8.0,9.73,0.82,0.48,0.34,0,0,0,0,2022-03-12
RX0000005557,MBR00000152,2022-09-30,2022-10-03,1878157951,1290253481,PLN7216,581082,PCN726,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,3,Specialty,0,0,0,320.0,28.81,348.81,35.0,313.81,0.0,12.8,9.0667,0,0,0,0,2022-10-30
RX0000005558,MBR00000152,2022-09-09,2022-09-13,1880688837,1328705814,PLN8676,668682,PCN313,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,2,Mail Order,0,0,0,330.0,10.76,340.76,31.0,289.26,20.5,13.2,9.35,0,0,0,0,2022-10-09
RX0000005559,MBR00000153,2022-08-20,2022-08-21,1399231892,1855483707,PLN8987,156430,PCN741,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,10,Retail,0,0,0,3.73,11.26,14.99,5.0,9.19,0.8,0.64,0.4533,1,0,0,0,2022-08-27
RX0000005560,MBR00000153,2022-10-26,2022-10-28,1880579675,1462391650,PLN5134,513836,PCN818,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,7,Retail,0,0,0,2.33,2.15,4.48,8.0,0.0,0.28,0.4,0.2833,0,0,0,0,2022-11-02
RX0000005561,MBR00000153,2022-10-09,2022-10-12,1631592505,1941670383,PLN8440,403264,PCN943,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,62,6,Retail,0,0,0,24.0,8.12,32.12,6.0,23.97,2.15,0.48,0.34,0,1,0,0,2022-12-08
RX0000005562,MBR00000153,2022-03-21,2022-03-23,1454598561,1721016762,PLN9908,286400,PCN331,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,5,Retail,1,0,0,12.5,10.44,22.94,8.0,14.2,0.74,0.5,0.3542,0,0,0,0,2022-04-20
RX0000005563,MBR00000153,2022-03-12,2022-03-15,1813211444,1170191573,PLN3959,260665,PCN609,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,58,10,Retail,0,0,0,740.0,11.88,751.88,31.0,678.14,42.74,14.8,10.4833,0,0,0,0,2022-05-11
RX0000005564,MBR00000153,2022-04-26,2022-04-27,1802448501,1224102615,PLN3664,546905,PCN687,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,95,8,Retail,0,0,0,1140.0,3.9,1143.9,40.0,1041.73,62.17,15.2,10.7667,0,0,0,0,2022-07-25
RX0000005565,MBR00000153,2022-02-10,2022-02-13,1655817408,1556274456,PLN3988,226556,PCN939,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,5,Retail,0,0,0,11.0,8.91,19.91,0.0,18.7,1.21,0.44,0.3117,0,0,0,0,2022-03-12
RX0000005566,MBR00000153,2022-04-26,2022-04-29,1399956644,1939305206,PLN1338,811332,PCN770,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,7,Retail,0,0,0,8.5,6.48,14.98,7.0,7.48,0.5,0.34,0.2408,0,0,0,0,2022-05-26
RX0000005567,MBR00000153,2023-03-22,2023-03-25,1922646420,1463363816,PLN6034,525396,PCN879,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,65,9,Specialty,0,0,0,24.0,41.63,65.63,4.0,61.63,0.0,0.48,0.34,0,0,0,0,2023-05-21
RX0000005568,MBR00000153,2021-09-01,2021-09-02,1307647623,1526318734,PLN8948,210247,PCN453,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,98,7,Retail,0,0,0,27.0,11.5,38.5,3.0,33.8,1.7,0.36,0.255,0,0,0,0,2021-11-30
RX0000005569,MBR00000153,2022-01-18,2022-01-21,1777022945,1385268355,PLN7334,646626,PCN748,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,9,Mail Order,0,0,0,185.0,2.03,187.03,31.0,147.63,8.4,7.4,5.2417,0,0,0,0,2022-02-17
RX0000005570,MBR00000153,2022-07-06,2022-07-09,1358246150,1582871466,PLN9170,352911,PCN725,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,5,Mail Order,0,0,0,185.0,2.8,187.8,35.0,141.38,11.42,7.4,5.2417,0,0,0,0,2022-08-05
RX0000005571,MBR00000153,2022-04-21,2022-04-25,1882041943,1536024877,PLN7115,735103,PCN538,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,2,Retail,0,0,0,9.0,4.99,13.99,7.0,6.36,0.63,0.36,0.255,0,0,0,0,2022-05-21
RX0000005572,MBR00000153,2022-06-03,2022-06-05,1713468649,1671498034,PLN8469,534003,PCN855,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,98,10,Retail,0,0,0,27.0,10.51,37.51,2.0,34.21,1.3,0.36,0.255,0,0,0,0,2022-09-01
RX0000005573,MBR00000153,2022-03-17,2022-03-20,1183550018,1175808844,PLN7758,906878,PCN727,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,7,Retail,0,1,0,1983.33,4.82,1988.15,150.0,1743.51,94.64,340.0,240.8333,0,0,0,0,2022-03-24
RX0000005574,MBR00000153,2023-09-20,2023-09-22,1431929499,1601683088,PLN4594,768376,PCN630,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,9,Retail,0,0,0,10.0,11.83,21.83,1.0,19.94,0.89,0.4,0.2833,0,0,0,0,2023-10-20
RX0000005575,MBR00000153,2022-05-21,2022-05-23,1736522942,1628420404,PLN7902,272774,PCN716,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,10,Retail,3,0,0,43.17,8.55,51.72,31.0,18.77,1.95,7.4,5.2417,0,0,0,0,2022-05-28
RX0000005576,MBR00000153,2022-02-12,2022-02-16,1790562582,1315026546,PLN1394,496798,PCN988,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,0,Specialty,0,0,0,950.0,31.8,981.8,34.0,947.8,0.0,38.0,26.9167,0,0,0,0,2022-03-14
RX0000005577,MBR00000153,2023-01-28,2023-01-31,1486839672,1861708753,PLN8671,748172,PCN634,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,96,8,Retail,0,0,0,42.0,10.22,52.22,2.0,47.16,3.06,0.56,0.3967,0,0,0,0,2023-04-28
RX0000005578,MBR00000154,2023-06-07,2023-06-09,1596333956,1840912455,PLN4445,910574,PCN968,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,96,7,Mail Order,0,0,0,114.0,3.15,117.15,31.0,80.1,6.05,1.52,1.0767,0,0,0,0,2023-09-05
RX0000005579,MBR00000154,2023-09-16,2023-09-20,1645294349,1810224311,PLN9814,392450,PCN535,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,85,11,Retail,0,0,0,36.0,4.86,40.86,7.0,31.52,2.34,0.48,0.34,0,0,0,0,2023-12-15
RX0000005580,MBR00000154,2023-08-24,2023-08-28,1592207621,1247562854,PLN9867,261139,PCN291,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,2,Mail Order,0,0,0,15.17,10.73,25.9,33.0,0.0,0.87,2.6,1.8417,0,0,0,0,2023-08-31
RX0000005581,MBR00000154,2023-06-26,2023-06-30,1528319172,1962974899,PLN9908,693334,PCN680,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,11,Specialty,0,1,0,6200.0,22.54,6222.54,151.0,6071.54,0.0,248.0,175.6667,0,1,1,0,2023-07-26
RX0000005582,MBR00000154,2022-08-13,2022-08-15,1392270875,1293860674,PLN2988,520603,PCN311,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,7,Specialty,0,0,0,22.0,18.24,40.24,6.0,34.24,0.0,0.88,0.6233,0,0,0,0,2022-09-12
RX0000005583,MBR00000154,2022-02-22,2022-02-25,1949891991,1860985672,PLN9918,906086,PCN327,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,96,8,Retail,0,0,0,30.0,10.0,40.0,7.0,30.59,2.41,0.4,0.2833,0,0,0,0,2022-05-23
RX0000005584,MBR00000154,2022-07-18,2022-07-21,1161017831,1301755570,PLN3732,121026,PCN603,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,89,6,Retail,0,0,0,42.0,11.57,53.57,9.0,42.37,2.2,0.56,0.3967,1,0,0,0,2022-10-16
RX0000005585,MBR00000154,2021-11-28,2021-11-30,1445381308,1242860138,PLN8117,211277,PCN298,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,9,Mail Order,0,0,0,11.0,1.52,12.52,5.0,7.01,0.51,0.44,0.3117,0,0,0,0,2021-12-28
RX0000005586,MBR00000154,2022-12-27,2022-12-30,1961574493,1975464920,PLN9715,216879,PCN534,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,1,Retail,0,0,0,9.0,1.63,10.63,6.0,4.17,0.46,0.36,0.255,0,0,0,0,2023-01-26
RX0000005587,MBR00000154,2021-05-25,2021-05-29,1106128088,1525170546,PLN7058,140241,PCN666,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,3,Retail,0,1,0,8.0,8.12,16.12,152.0,0.0,0.83,0.32,0.2267,0,0,0,0,2021-06-24
RX0000005588,MBR00000154,2022-10-11,2022-10-15,1875871729,1453156632,PLN4622,663223,PCN811,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,5,Retail,0,1,0,8500.0,8.04,8508.04,148.0,8005.88,354.16,340.0,240.8333,0,0,0,0,2022-11-10
RX0000005589,MBR00000154,2021-11-29,2021-12-03,1205115805,1858557531,PLN4096,519528,PCN733,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,0,Mail Order,0,0,0,370.0,8.21,378.21,32.0,324.35,21.86,14.8,10.4833,0,0,0,0,2021-12-29
RX0000005590,MBR00000154,2021-10-21,2021-10-22,1508877645,1815344841,PLN7991,699812,PCN626,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,4,Mail Order,2,0,0,480.0,8.32,488.32,37.0,422.82,28.5,19.2,13.6,0,0,0,0,2021-11-20
RX0000005591,MBR00000154,2021-05-27,2021-05-31,1117485797,1146555224,PLN1862,131157,PCN216,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,3,Mail Order,0,0,0,18.0,8.15,26.15,36.0,0.0,1.59,0.72,0.51,0,0,0,0,2021-06-26
RX0000005592,MBR00000154,2023-07-28,2023-07-30,1917234061,1792142906,PLN4073,188418,PCN288,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,10,Retail,3,0,0,10.0,11.03,21.03,0.0,20.18,0.85,0.4,0.2833,0,0,0,0,2023-08-27
RX0000005593,MBR00000154,2023-02-13,2023-02-15,1314451493,1916957181,PLN9681,862008,PCN425,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,2,Retail,0,0,0,10.5,8.22,18.72,10.0,7.83,0.89,1.8,1.275,0,0,0,0,2023-02-20
RX0000005594,MBR00000154,2023-08-22,2023-08-26,1874490313,1193569625,PLN6468,173639,PCN908,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,11,Retail,2,0,0,9.0,9.65,18.65,2.0,15.8,0.85,0.36,0.255,1,0,0,0,2023-09-21
RX0000005595,MBR00000154,2022-01-28,2022-01-29,1593715024,1240435383,PLN1580,528654,PCN181,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,10,Retail,0,0,0,10.0,7.26,17.26,10.0,6.1,1.16,0.4,0.2833,0,0,0,0,2022-02-27
RX0000005596,MBR00000154,2022-12-14,2022-12-18,1940567755,1418131699,PLN7432,937784,PCN800,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,7,Specialty,0,0,0,185.0,46.03,231.03,32.0,199.03,0.0,7.4,5.2417,0,0,0,0,2023-01-13
RX0000005597,MBR00000154,2021-10-14,2021-10-16,1813269713,1118188337,PLN8439,266027,PCN958,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,1,Mail Order,0,0,0,310.0,6.5,316.5,32.0,270.5,14.0,12.4,8.7833,0,0,0,0,2021-11-13
RX0000005598,MBR00000154,2021-07-03,2021-07-04,1876925492,1118016478,PLN2531,440639,PCN526,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,87,11,Retail,1,0,0,36.0,9.64,45.64,4.0,39.01,2.63,0.48,0.34,0,0,0,0,2021-10-01
RX0000005599,MBR00000154,2023-10-09,2023-10-10,1725430963,1853510497,PLN8004,379242,PCN894,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,82,3,Retail,1,0,0,135.0,4.92,139.92,0.0,133.94,5.98,1.8,1.275,0,0,0,0,2024-01-07
RX0000005600,MBR00000154,2022-12-29,2023-01-02,1461043464,1256279693,PLN2569,692526,PCN441,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,98,2,Mail Order,0,0,0,42.0,9.57,51.57,4.0,44.97,2.6,0.56,0.3967,0,1,0,0,2023-03-29
RX0000005601,MBR00000154,2023-08-21,2023-08-22,1798118150,1188839124,PLN6696,718981,PCN367,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,5,Mail Order,0,0,0,12.0,5.59,17.59,5.0,11.58,1.01,0.48,0.34,0,0,0,0,2023-09-20
RX0000005602,MBR00000154,2023-11-04,2023-11-08,1500447039,1125238864,PLN9656,199533,PCN568,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,9,Retail,0,0,0,750.0,6.46,756.46,31.0,697.48,27.98,30.0,21.25,0,0,0,0,2023-12-04
RX0000005603,MBR00000154,2021-08-30,2021-09-01,1127073553,1570535467,PLN9291,709295,PCN991,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,88,7,Retail,0,0,0,66.0,7.21,73.21,73.0,0.0,4.54,0.88,0.6233,0,0,0,0,2021-11-28
RX0000005604,MBR00000154,2021-08-07,2021-08-10,1200548151,1323996114,PLN1935,987657,PCN938,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,1,Specialty,0,0,0,5.13,41.77,46.9,66.0,0.0,0.0,0.88,0.6233,0,0,0,0,2021-08-14
RX0000005605,MBR00000154,2022-02-19,2022-02-23,1779765716,1342783759,PLN5231,303382,PCN574,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,3,Mail Order,0,0,0,380.0,11.73,391.73,35.0,337.64,19.09,15.2,10.7667,0,1,1,0,2022-03-21
RX0000005606,MBR00000154,2023-07-15,2023-07-18,1462370990,1679320141,PLN7163,337856,PCN688,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,9,Retail,0,0,0,12.0,3.8,15.8,6.0,9.08,0.72,0.48,0.34,0,0,0,0,2023-08-14
RX0000005607,MBR00000154,2021-09-02,2021-09-04,1299607540,1879794954,PLN2696,774432,PCN811,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,59,7,Retail,0,0,0,24.0,8.12,32.12,6.0,24.54,1.58,0.48,0.34,0,0,0,0,2021-11-01
RX0000005608,MBR00000154,2023-11-29,2023-12-03,1369472383,1910615265,PLN1200,510031,PCN987,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,92,1,Mail Order,0,0,0,33.0,10.35,43.35,10.0,31.22,2.13,0.44,0.3117,0,0,0,0,2024-02-27
RX0000005609,MBR00000154,2021-04-10,2021-04-14,1438753171,1673558243,PLN3618,648505,PCN317,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,10,Retail,0,0,0,10.0,3.59,13.59,8.0,4.84,0.75,0.4,0.2833,0,0,0,0,2021-05-10
RX0000005610,MBR00000155,2023-09-18,2023-09-22,1379137554,1612784788,PLN9154,950670,PCN733,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,94,9,Retail,0,0,0,1110.0,9.76,1119.76,36.0,1042.69,41.07,14.8,10.4833,0,0,0,0,2023-12-17
RX0000005611,MBR00000155,2023-11-15,2023-11-17,1227190067,1361881136,PLN3820,934594,PCN833,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,3,Retail,0,0,0,22.0,8.31,30.31,10.0,19.36,0.95,0.88,0.6233,0,0,0,0,2023-12-15
RX0000005612,MBR00000155,2023-06-29,2023-07-03,1217580577,1950062979,PLN4583,661715,PCN535,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,4,Retail,0,0,0,15.0,1.83,16.83,10.0,5.79,1.04,0.6,0.425,0,0,0,0,2023-07-29
RX0000005613,MBR00000155,2022-07-09,2022-07-13,1391847676,1997630856,PLN7468,997507,PCN199,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,4,Mail Order,0,0,0,14.0,11.04,25.04,3.0,21.22,0.82,0.56,0.3967,0,0,0,0,2022-08-08
RX0000005614,MBR00000155,2022-03-06,2022-03-10,1288566759,1731701571,PLN6413,702831,PCN127,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,8,Mail Order,0,0,0,18.0,7.7,25.7,0.0,24.54,1.16,0.72,0.51,0,0,0,0,2022-04-05
RX0000005615,MBR00000155,2021-03-10,2021-03-12,1320838774,1545898295,PLN4528,271652,PCN861,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,62,5,Retail,0,0,0,90.0,9.27,99.27,2.0,91.02,6.25,1.8,1.275,0,0,0,0,2021-05-09
RX0000005616,MBR00000155,2021-07-14,2021-07-15,1895296504,1120460464,PLN4012,821131,PCN485,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,3,Retail,1,0,0,10.0,10.69,20.69,7.0,12.71,0.98,0.4,0.2833,0,0,0,0,2021-08-13
RX0000005617,MBR00000155,2021-05-23,2021-05-27,1872387943,1900312144,PLN6880,110077,PCN452,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,2,Retail,0,0,0,2.92,3.34,6.25,9.0,0.0,0.35,0.5,0.3542,0,0,0,0,2021-05-30
RX0000005618,MBR00000155,2021-03-06,2021-03-08,1931893635,1471865583,PLN5469,384291,PCN274,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,8,Retail,0,0,0,18.0,11.22,29.22,0.0,27.6,1.62,0.72,0.51,0,0,0,0,2021-04-05
RX0000005619,MBR00000155,2021-10-05,2021-10-08,1203602963,1187522495,PLN2440,445755,PCN678,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,10,Retail,0,0,0,285.0,4.8,289.8,37.0,235.64,17.16,11.4,8.075,0,0,0,0,2021-11-04
RX0000005620,MBR00000155,2023-11-20,2023-11-24,1118952570,1872300151,PLN3278,757088,PCN670,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,7,Retail,0,0,0,18.0,4.61,22.61,39.0,0.0,1.45,0.72,0.51,0,0,0,0,2023-12-20
RX0000005621,MBR00000155,2023-07-09,2023-07-10,1818318420,1340408783,PLN8684,786825,PCN710,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,8,Retail,0,0,0,6.53,2.03,8.56,10.0,0.0,0.4,1.12,0.7933,0,0,0,0,2023-07-16
RX0000005622,MBR00000155,2022-03-28,2022-03-29,1519839807,1162463235,PLN5381,399013,PCN849,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,97,0,Retail,0,0,0,960.0,4.3,964.3,37.0,882.12,45.18,12.8,9.0667,0,0,0,0,2022-06-26
RX0000005623,MBR00000156,2021-12-27,2021-12-30,1668167925,1680882017,PLN8277,171721,PCN215,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,56,4,Retail,0,0,0,22.0,6.7,28.7,5.0,22.66,1.04,0.44,0.3117,0,0,0,0,2022-02-25
RX0000005624,MBR00000156,2021-12-14,2021-12-16,1962912108,1332766255,PLN5316,641879,PCN222,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,2,Mail Order,0,0,0,480.0,2.61,482.61,38.0,427.48,17.13,19.2,13.6,0,0,0,0,2022-01-13
RX0000005625,MBR00000156,2021-10-09,2021-10-11,1569302206,1642993725,PLN7327,365268,PCN432,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,7,Specialty,0,0,0,10.0,29.02,39.02,3.0,36.02,0.0,0.4,0.2833,0,0,0,0,2021-11-08
RX0000005626,MBR00000156,2022-06-26,2022-06-30,1513196806,1549217987,PLN6076,732108,PCN577,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,8,Mail Order,0,0,0,11.0,11.68,22.68,8.0,13.17,1.51,0.44,0.3117,0,0,0,0,2022-07-26
RX0000005627,MBR00000156,2023-10-27,2023-10-28,1327941252,1793354898,PLN4076,983223,PCN661,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,96,3,Retail,0,0,0,135.0,4.82,139.82,3.0,128.31,8.51,1.8,1.275,0,0,0,0,2024-01-25
RX0000005628,MBR00000156,2021-06-08,2021-06-11,1863698448,1187840787,PLN6690,407542,PCN502,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,9,Mail Order,0,0,0,45.0,5.04,50.04,7.0,40.45,2.59,1.8,1.275,0,0,0,0,2021-07-08
RX0000005629,MBR00000156,2021-03-03,2021-03-07,1448848281,1398819179,PLN1257,638017,PCN495,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,11,Retail,0,0,0,6.53,6.09,12.62,5.0,7.17,0.45,1.12,0.7933,1,0,0,0,2021-03-10
RX0000005630,MBR00000156,2023-10-01,2023-10-03,1761387359,1520937329,PLN4930,536110,PCN756,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,8,Retail,0,0,0,175.0,1.96,176.96,34.0,137.45,5.51,7.0,4.9583,1,0,0,0,2023-10-31
RX0000005631,MBR00000156,2023-10-28,2023-10-29,1660105101,1698607355,PLN2915,597354,PCN517,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,10,Retail,0,0,0,2.8,10.42,13.22,7.0,5.62,0.6,0.48,0.34,0,0,0,0,2023-11-04
RX0000005632,MBR00000156,2023-06-02,2023-06-03,1146646923,1932234010,PLN8108,541251,PCN549,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,0,Retail,0,0,0,380.0,4.92,384.92,32.0,333.42,19.5,15.2,10.7667,0,0,0,0,2023-07-02
RX0000005633,MBR00000156,2022-05-30,2022-06-01,1156593981,1376650397,PLN9257,578113,PCN454,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,95,9,Retail,0,0,0,114.0,6.01,120.01,34.0,78.46,7.55,1.52,1.0767,0,0,0,0,2022-08-28
RX0000005634,MBR00000156,2023-09-23,2023-09-25,1299990608,1749864422,PLN3760,130300,PCN705,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,11,Mail Order,0,0,0,185.0,10.12,195.12,39.0,146.42,9.7,7.4,5.2417,0,0,0,0,2023-10-23
RX0000005635,MBR00000156,2023-03-31,2023-04-03,1513603250,1302578103,PLN5705,436329,PCN917,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,1,Mail Order,0,0,0,1.98,4.85,6.83,9.0,0.0,0.43,0.34,0.2408,0,0,0,0,2023-04-07
RX0000005636,MBR00000156,2022-12-18,2022-12-22,1689879809,1198669285,PLN9347,484844,PCN752,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,10,Retail,0,0,0,1.75,5.45,7.2,5.0,1.79,0.41,0.3,0.2125,0,0,0,0,2022-12-25
RX0000005637,MBR00000156,2021-10-26,2021-10-27,1905268887,1421354341,PLN1210,545333,PCN831,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,7,Retail,0,0,0,9.0,11.56,20.56,5.0,14.76,0.8,0.36,0.255,0,0,0,0,2021-11-25
RX0000005638,MBR00000156,2022-02-06,2022-02-10,1521610323,1156317093,PLN4680,240657,PCN589,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,2,Mail Order,0,0,0,38.0,5.59,43.59,0.0,41.59,2.0,1.52,1.0767,0,0,0,0,2022-03-08
RX0000005639,MBR00000156,2021-08-06,2021-08-08,1419514430,1797579753,PLN4655,439863,PCN561,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,62,10,Retail,0,0,0,25.0,3.54,28.54,3.0,24.23,1.31,0.5,0.3542,0,0,0,0,2021-10-05
RX0000005640,MBR00000156,2022-07-21,2022-07-24,1900503685,1708141793,PLN2015,268820,PCN268,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,11,Retail,0,0,0,43.17,9.34,52.51,36.0,14.17,2.34,7.4,5.2417,0,0,0,0,2022-07-28
RX0000005641,MBR00000156,2023-07-22,2023-07-24,1828998516,1169808958,PLN9996,980890,PCN117,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,81,2,Specialty,0,0,0,30.0,15.63,45.63,10.0,35.63,0.0,0.4,0.2833,0,0,0,0,2023-10-20
RX0000005642,MBR00000156,2021-05-22,2021-05-23,1896988714,1327616676,PLN3539,962502,PCN291,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,89,11,Retail,0,0,0,1950.0,9.99,1959.99,40.0,1785.82,134.17,26.0,18.4167,0,0,0,0,2021-08-20
RX0000005643,MBR00000156,2021-01-12,2021-01-16,1385006647,1536039419,PLN2010,997086,PCN885,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,1,Retail,0,0,0,12.0,2.54,14.54,1.0,12.9,0.64,0.48,0.34,0,0,0,0,2021-02-11
RX0000005644,MBR00000156,2023-09-03,2023-09-07,1894981330,1904985088,PLN1417,682088,PCN834,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,3,Retail,0,0,0,10.0,3.92,13.92,5.0,8.49,0.43,0.4,0.2833,1,0,0,0,2023-10-03
RX0000005645,MBR00000156,2023-07-11,2023-07-15,1528484054,1737526071,PLN5578,551487,PCN911,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,95,10,Retail,0,0,0,33.0,1.55,34.55,10.0,23.14,1.41,0.44,0.3117,0,0,0,0,2023-10-09
RX0000005646,MBR00000156,2022-08-18,2022-08-19,1813893137,1341107883,PLN7632,889405,PCN668,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,9,Retail,0,0,0,3.27,11.55,14.81,5.0,9.09,0.72,0.56,0.3967,0,0,0,0,2022-08-25
RX0000005647,MBR00000156,2021-12-05,2021-12-09,1629597837,1763401517,PLN8826,231957,PCN108,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,3,Retail,0,0,0,650.0,4.81,654.81,40.0,572.27,42.54,26.0,18.4167,0,0,0,0,2022-01-04
RX0000005648,MBR00000156,2023-05-18,2023-05-20,1199330289,1971281120,PLN3601,695009,PCN414,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,7,Retail,0,0,0,14.0,10.88,24.88,4.0,19.79,1.09,0.56,0.3967,1,0,0,0,2023-06-17
RX0000005649,MBR00000156,2022-06-18,2022-06-19,1323217801,1868060905,PLN8616,704865,PCN405,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,98,2,Mail Order,0,0,0,36.0,2.63,38.63,2.0,34.41,2.22,0.48,0.34,0,0,0,0,2022-09-16
RX0000005650,MBR00000156,2023-03-14,2023-03-15,1531461815,1117232274,PLN3019,617860,PCN844,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,8,Mail Order,0,1,0,8.0,4.66,12.66,154.0,0.0,0.82,0.32,0.2267,0,0,0,0,2023-04-13
RX0000005651,MBR00000156,2023-03-09,2023-03-12,1648309980,1717107675,PLN6547,307195,PCN960,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,95,11,Retail,0,0,0,1110.0,3.7,1113.7,40.0,1031.45,42.25,14.8,10.4833,0,0,0,0,2023-06-07
RX0000005652,MBR00000156,2022-10-20,2022-10-22,1258580234,1310401392,PLN1178,554265,PCN807,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,10,Retail,0,0,0,11.0,8.93,19.93,2.0,17.14,0.79,0.44,0.3117,0,0,0,0,2022-11-19
RX0000005653,MBR00000156,2021-12-27,2021-12-31,1687322310,1974999599,PLN2899,343622,PCN857,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,85,0,Retail,1,0,0,1140.0,9.42,1149.42,37.0,1072.63,39.79,15.2,10.7667,0,0,0,0,2022-03-27
RX0000005654,MBR00000156,2021-06-19,2021-06-23,1851952847,1176591174,PLN1807,649678,PCN483,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,54,2,Retail,0,0,0,56.0,4.76,60.76,9.0,49.93,1.83,1.12,0.7933,0,0,0,0,2021-08-18
RX0000005655,MBR00000156,2022-01-03,2022-01-06,1697720132,1618231076,PLN2356,351684,PCN983,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,61,9,Retail,3,0,0,660.0,2.78,662.78,31.0,587.27,44.51,13.2,9.35,0,0,0,0,2022-03-04
RX0000005656,MBR00000156,2023-12-11,2023-12-12,1292739454,1238836715,PLN1684,920882,PCN949,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,9,Mail Order,0,0,0,16.0,8.02,24.02,6.0,17.05,0.97,0.64,0.4533,0,0,0,0,2024-01-10
RX0000005657,MBR00000156,2023-04-29,2023-05-01,1737254101,1151983301,PLN8305,246516,PCN450,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,11,Retail,0,0,0,10.0,3.66,13.66,0.0,12.82,0.84,0.4,0.2833,0,0,0,0,2023-05-29
RX0000005658,MBR00000157,2023-07-04,2023-07-05,1759037696,1587514874,PLN3447,356964,PCN307,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,8,Retail,0,0,0,8.5,5.15,13.65,9.0,3.85,0.8,0.34,0.2408,0,0,0,0,2023-08-03
RX0000005659,MBR00000157,2023-12-19,2023-12-22,1630467668,1197001995,PLN5273,151612,PCN770,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,5,Mail Order,0,0,0,9.0,8.38,17.38,1.0,15.42,0.96,0.36,0.255,1,0,0,0,2024-01-18
RX0000005660,MBR00000157,2023-08-13,2023-08-17,1299623641,1574547874,PLN8463,180160,PCN561,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,10,Retail,0,0,0,480.0,9.19,489.19,36.0,431.13,22.06,19.2,13.6,0,0,0,0,2023-09-12
RX0000005661,MBR00000157,2022-05-03,2022-05-06,1390761415,1357623953,PLN4956,399985,PCN866,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,7,Retail,3,0,0,9.0,9.48,18.48,2.0,15.68,0.8,0.36,0.255,0,0,0,0,2022-06-02
RX0000005662,MBR00000157,2023-02-25,2023-02-26,1528653360,1849032470,PLN7155,973167,PCN437,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,5,Mail Order,2,0,0,72.33,2.79,75.12,37.0,34.9,3.22,12.4,8.7833,0,0,0,0,2023-03-04
RX0000005663,MBR00000157,2022-10-10,2022-10-13,1998468865,1438195487,PLN8900,820562,PCN256,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,1,Mail Order,0,0,0,38.0,8.3,46.3,36.0,8.79,1.51,1.52,1.0767,1,0,0,0,2022-11-09
RX0000005664,MBR00000157,2021-08-10,2021-08-12,1643780256,1608205388,PLN4281,853016,PCN323,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,8,Retail,3,0,0,28.0,4.67,32.67,5.0,25.45,2.22,1.12,0.7933,0,0,0,0,2021-09-09
RX0000005665,MBR00000157,2021-06-25,2021-06-27,1697945786,1798314479,PLN3440,616234,PCN273,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,84,8,Retail,0,0,0,22.5,7.15,29.65,9.0,19.67,0.98,0.3,0.2125,0,0,0,0,2021-09-23
RX0000005666,MBR00000157,2022-05-26,2022-05-28,1992594495,1738309128,PLN7551,500749,PCN681,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,81,5,Retail,0,0,0,42.0,6.12,48.12,1.0,44.43,2.69,0.56,0.3967,1,0,0,0,2022-08-24
RX0000005667,MBR00000157,2021-12-05,2021-12-09,1752380949,1423748679,PLN6409,603771,PCN351,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,54,2,Retail,0,0,0,17.0,3.56,20.56,9.0,10.45,1.11,0.34,0.2408,0,0,0,0,2022-02-03
RX0000005668,MBR00000157,2023-08-30,2023-08-31,1212234421,1540626799,PLN7673,604704,PCN363,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,7,Retail,0,0,0,950.0,2.97,952.97,36.0,864.66,52.31,38.0,26.9167,0,0,0,0,2023-09-29
RX0000005669,MBR00000157,2022-06-19,2022-06-21,1750968716,1410495546,PLN1608,618735,PCN789,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,1,Retail,0,0,0,28.0,7.0,35.0,10.0,22.91,2.09,1.12,0.7933,0,0,0,0,2022-07-19
RX0000005670,MBR00000157,2021-04-29,2021-05-02,1351090203,1164155418,PLN2147,996294,PCN556,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,62,9,Specialty,1,0,0,18.0,15.67,33.67,8.0,25.67,0.0,0.36,0.255,1,0,0,0,2021-06-28
RX0000005671,MBR00000157,2022-02-02,2022-02-05,1720811988,1589802675,PLN9279,629401,PCN844,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,6,Retail,1,1,0,6200.0,9.23,6209.23,149.0,5666.97,393.26,248.0,175.6667,0,1,1,0,2022-03-04
RX0000005672,MBR00000157,2022-10-17,2022-10-18,1785577120,1882738636,PLN4053,333962,PCN829,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,1,Mail Order,0,0,0,10.0,6.94,16.94,5.0,11.05,0.89,0.4,0.2833,0,0,0,0,2022-11-16
RX0000005673,MBR00000157,2021-07-11,2021-07-13,1817861164,1826839282,PLN8795,272546,PCN501,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,3,Retail,0,0,0,18.0,6.47,24.47,1.0,22.12,1.35,0.72,0.51,1,0,0,0,2021-08-10
RX0000005674,MBR00000157,2022-01-23,2022-01-26,1567006131,1314595668,PLN4057,428756,PCN996,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,60,3,Retail,0,0,0,20.0,6.72,26.72,2.0,22.86,1.86,0.4,0.2833,0,0,0,0,2022-03-24
RX0000005675,MBR00000157,2023-10-04,2023-10-06,1813820431,1499119154,PLN4934,486082,PCN555,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,7,Retail,0,0,0,185.0,11.55,196.55,37.0,148.53,11.02,7.4,5.2417,0,0,0,0,2023-11-03
RX0000005676,MBR00000157,2021-01-03,2021-01-05,1202287650,1533740163,PLN4731,451699,PCN141,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,9,Specialty,0,0,0,10.0,26.68,36.68,7.0,29.68,0.0,0.4,0.2833,0,0,0,0,2021-02-02
RX0000005677,MBR00000157,2023-08-07,2023-08-10,1160929213,1922471242,PLN4879,809863,PCN148,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,2,Retail,0,0,0,950.0,6.03,956.03,36.0,887.73,32.3,38.0,26.9167,0,0,0,0,2023-09-06
RX0000005678,MBR00000157,2021-07-30,2021-07-31,1137700178,1964723332,PLN8694,178208,PCN167,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,3,Retail,3,0,0,14.0,8.71,22.71,8.0,13.25,1.46,0.56,0.3967,0,0,0,0,2021-08-29
RX0000005679,MBR00000157,2022-05-26,2022-05-29,1905908417,1246541986,PLN4494,513486,PCN896,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,8,Retail,0,0,0,9.0,11.36,20.36,8.0,11.39,0.97,0.36,0.255,0,0,0,0,2022-06-25
RX0000005680,MBR00000157,2023-06-15,2023-06-19,1581038552,1233915557,PLN7144,882666,PCN717,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,92,10,Retail,0,0,0,48.0,2.9,50.9,5.0,42.76,3.14,0.64,0.4533,0,0,0,0,2023-09-13
RX0000005681,MBR00000157,2021-09-05,2021-09-07,1360131778,1357441479,PLN4094,855700,PCN851,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,2,Retail,0,0,0,480.0,7.35,487.35,35.0,433.13,19.22,19.2,13.6,0,0,0,0,2021-10-05
RX0000005682,MBR00000157,2022-03-12,2022-03-14,1277766308,1628014139,PLN3405,850117,PCN247,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,9,Retail,0,0,0,185.0,10.98,195.98,31.0,156.29,8.69,7.4,5.2417,0,0,0,0,2022-04-11
RX0000005683,MBR00000157,2023-06-14,2023-06-17,1952140359,1357794205,PLN8778,803736,PCN794,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,9,Retail,0,0,0,2.1,5.92,8.02,8.0,0.0,0.35,0.36,0.255,0,0,0,0,2023-06-21
RX0000005684,MBR00000157,2022-06-22,2022-06-24,1521209610,1136756102,PLN7377,696932,PCN230,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,8,Retail,0,0,0,38.0,6.95,44.95,37.0,5.19,2.76,1.52,1.0767,1,0,0,0,2022-07-22
RX0000005685,MBR00000157,2023-09-20,2023-09-23,1994072504,1923370955,PLN4007,903376,PCN773,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,7,Mail Order,0,0,0,650.0,1.54,651.54,35.0,572.45,44.09,26.0,18.4167,1,0,0,0,2023-10-20
RX0000005686,MBR00000157,2022-02-26,2022-02-27,1910607556,1942633084,PLN8450,401640,PCN789,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,1,Retail,0,0,0,9.0,4.98,13.98,6.0,7.14,0.84,0.36,0.255,0,0,0,0,2022-03-28
RX0000005687,MBR00000157,2021-12-06,2021-12-08,1207403051,1585508358,PLN7711,979588,PCN582,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,10,Retail,0,0,0,950.0,6.14,956.14,35.0,879.25,41.89,38.0,26.9167,0,0,0,0,2022-01-05
RX0000005688,MBR00000157,2022-04-08,2022-04-11,1487715378,1192828548,PLN1429,541788,PCN493,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,8,Retail,0,0,0,18.0,4.65,22.65,1.0,20.28,1.37,0.72,0.51,0,0,0,0,2022-05-08
RX0000005689,MBR00000158,2022-07-14,2022-07-16,1697688526,1933225765,PLN3837,794803,PCN357,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,0,Mail Order,0,0,0,5.13,4.21,9.34,66.0,0.0,0.3,0.88,0.6233,0,0,0,0,2022-07-21
RX0000005690,MBR00000158,2021-12-27,2021-12-29,1974188346,1956300711,PLN7368,372040,PCN199,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,0,Retail,0,0,0,14.0,9.82,23.82,5.0,17.29,1.53,0.56,0.3967,0,0,0,0,2022-01-26
RX0000005691,MBR00000158,2022-03-02,2022-03-05,1700330217,1436652171,PLN5579,241296,PCN180,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,6,Retail,0,0,0,22.0,5.52,27.52,10.0,16.29,1.23,0.88,0.6233,0,0,0,0,2022-04-01
RX0000005692,MBR00000158,2022-05-29,2022-05-31,1101151779,1459769755,PLN9949,565780,PCN352,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,54,6,Retail,0,0,0,24.0,4.72,28.72,10.0,17.44,1.28,0.48,0.34,0,0,0,0,2022-07-28
RX0000005693,MBR00000158,2021-11-07,2021-11-10,1293585381,1172297668,PLN4796,288038,PCN614,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,10,Retail,0,0,0,45.0,3.63,48.63,8.0,38.6,2.03,1.8,1.275,0,0,0,0,2021-12-07
RX0000005694,MBR00000158,2023-07-21,2023-07-24,1513718713,1309615798,PLN8759,833314,PCN331,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,3,Specialty,0,0,0,2.1,44.22,46.32,5.0,41.32,0.0,0.36,0.255,1,0,0,0,2023-07-28
RX0000005695,MBR00000158,2023-02-15,2023-02-18,1612417113,1946612466,PLN1419,204114,PCN367,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,10,Retail,0,0,0,45.0,7.47,52.47,7.0,42.94,2.53,1.8,1.275,0,0,0,0,2023-03-17
RX0000005696,MBR00000158,2021-01-07,2021-01-08,1856575859,1629489638,PLN5400,695863,PCN667,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,8,Mail Order,0,0,0,16.0,3.7,19.7,9.0,9.82,0.88,0.64,0.4533,0,0,0,0,2021-02-06
RX0000005697,MBR00000158,2022-09-26,2022-09-27,1286757782,1279483555,PLN6933,743729,PCN287,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,9,Mail Order,0,0,0,12.5,4.55,17.05,2.0,14.22,0.83,0.5,0.3542,0,0,0,0,2022-10-26
RX0000005698,MBR00000158,2022-10-25,2022-10-27,1328696750,1796281499,PLN9955,157091,PCN648,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,4,Specialty,0,0,0,10.0,9.16,19.16,10.0,9.16,0.0,0.4,0.2833,0,0,0,0,2022-11-24
RX0000005699,MBR00000158,2021-09-25,2021-09-27,1596162088,1757888509,PLN9882,518357,PCN745,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,90,1,Mail Order,1,0,0,135.0,10.52,145.52,7.0,132.32,6.2,1.8,1.275,0,0,0,0,2021-12-24
RX0000005700,MBR00000158,2021-07-20,2021-07-21,1436710695,1466155148,PLN4416,818972,PCN918,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,7,Retail,0,0,0,320.0,8.53,328.53,37.0,269.5,22.03,12.8,9.0667,0,0,0,0,2021-08-19
RX0000005701,MBR00000158,2021-01-01,2021-01-05,1652623030,1813451899,PLN2762,156128,PCN111,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,94,1,Retail,0,0,0,42.0,2.32,44.32,1.0,40.26,3.06,0.56,0.3967,1,0,0,0,2021-04-01
RX0000005702,MBR00000158,2022-01-16,2022-01-17,1167433959,1284538126,PLN7164,951978,PCN145,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,7,Retail,0,0,0,22.0,3.06,25.06,1.0,23.05,1.01,0.88,0.6233,0,0,0,0,2022-02-15
RX0000005703,MBR00000158,2023-05-04,2023-05-07,1197750035,1366738294,PLN4504,222500,PCN586,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,65,4,Specialty,0,0,0,1500.0,39.17,1539.17,39.0,1500.17,0.0,30.0,21.25,0,0,0,0,2023-07-03
RX0000005704,MBR00000158,2023-01-29,2023-02-02,1219124879,1254215162,PLN7815,232249,PCN284,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,91,4,Retail,2,0,0,30.0,6.6,36.6,10.0,24.07,2.53,0.4,0.2833,0,0,0,0,2023-04-29
RX0000005705,MBR00000158,2023-01-01,2023-01-03,1685080613,1875818623,PLN4241,982406,PCN648,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,1,Mail Order,0,0,0,14.0,7.3,21.3,2.0,18.3,1.0,0.56,0.3967,0,0,0,0,2023-01-31
RX0000005706,MBR00000158,2021-08-15,2021-08-17,1429116055,1192849787,PLN7180,521019,PCN389,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,3,Mail Order,0,0,0,380.0,11.75,391.75,39.0,338.91,13.84,15.2,10.7667,0,0,0,0,2021-09-14
RX0000005707,MBR00000158,2023-10-15,2023-10-19,1168779815,1368213538,PLN8303,344481,PCN324,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,3,Retail,0,0,0,14.0,1.96,15.96,9.0,6.22,0.74,0.56,0.3967,0,0,0,0,2023-11-14
RX0000005708,MBR00000158,2022-04-22,2022-04-23,1513206274,1591810468,PLN9349,619228,PCN635,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,8,Retail,0,0,0,27.0,5.37,32.37,0.0,30.31,2.06,0.36,0.255,0,0,0,0,2022-07-21
RX0000005709,MBR00000158,2021-11-22,2021-11-25,1908485037,1147894923,PLN9992,711912,PCN454,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,7,Mail Order,0,0,0,2.1,4.55,6.65,5.0,1.45,0.2,0.36,0.255,0,0,0,0,2021-11-29
RX0000005710,MBR00000158,2021-11-16,2021-11-20,1205539227,1855482691,PLN5995,234856,PCN170,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,11,Retail,0,0,0,11.0,5.66,16.66,0.0,15.72,0.94,0.44,0.3117,0,0,0,0,2021-12-16
RX0000005711,MBR00000158,2021-06-11,2021-06-15,1193311022,1372450129,PLN6483,355558,PCN421,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,58,0,Retail,0,0,0,960.0,7.49,967.49,34.0,866.91,66.58,19.2,13.6,0,0,0,0,2021-08-10
RX0000005712,MBR00000158,2023-09-04,2023-09-07,1149897171,1594373955,PLN7966,780636,PCN423,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,9,Retail,0,0,0,8.5,1.63,10.13,5.0,4.5,0.63,0.34,0.2408,0,0,0,0,2023-10-04
RX0000005713,MBR00000158,2023-07-22,2023-07-25,1425789273,1928811255,PLN6486,407544,PCN237,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,9,Retail,0,0,0,45.0,10.6,55.6,9.0,43.12,3.48,1.8,1.275,0,0,0,0,2023-08-21
RX0000005714,MBR00000158,2021-01-30,2021-02-02,1553555402,1222341819,PLN7864,804788,PCN565,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,2,Specialty,0,0,0,950.0,46.2,996.2,32.0,964.2,0.0,38.0,26.9167,0,0,0,0,2021-03-01
RX0000005715,MBR00000158,2022-02-28,2022-03-01,1534858191,1722197174,PLN5408,393517,PCN794,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,93,6,Retail,3,0,0,36.0,10.43,46.43,3.0,41.16,2.27,0.48,0.34,0,0,0,0,2022-05-29
RX0000005716,MBR00000158,2021-12-14,2021-12-15,1323204009,1978025351,PLN9755,168344,PCN814,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,11,Retail,0,0,0,112.0,11.88,123.88,37.0,79.76,7.12,19.2,13.6,1,0,0,0,2021-12-21
RX0000005717,MBR00000158,2023-11-26,2023-11-30,1255014093,1223529675,PLN4503,534021,PCN993,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,1,Mail Order,0,0,0,175.0,5.84,180.84,39.0,131.1,10.74,7.0,4.9583,0,0,0,0,2023-12-26
RX0000005718,MBR00000158,2023-04-18,2023-04-22,1154189825,1340392161,PLN2381,814724,PCN333,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,84,7,Retail,0,0,0,855.0,10.84,865.84,34.0,771.69,60.15,11.4,8.075,0,0,0,0,2023-07-17
RX0000005719,MBR00000158,2023-02-17,2023-02-21,1139572345,1933865096,PLN1488,708965,PCN812,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,81,0,Mail Order,0,1,0,8400.0,10.37,8410.37,152.0,7970.32,288.05,112.0,79.3333,0,0,0,0,2023-05-18
RX0000005720,MBR00000158,2022-10-06,2022-10-08,1495222281,1958219143,PLN1745,866027,PCN697,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,10,Retail,0,0,1,151.67,2.49,154.16,30.0,117.7,6.46,26.0,18.4167,0,0,0,0,2022-10-13
RX0000005721,MBR00000158,2022-10-22,2022-10-23,1598892662,1721353044,PLN2574,839822,PCN265,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,0,Retail,3,0,0,40.83,4.07,44.9,40.0,2.98,1.92,7.0,4.9583,0,0,0,0,2022-10-29
RX0000005722,MBR00000158,2021-12-02,2021-12-03,1944698470,1126939777,PLN6084,147653,PCN108,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,10,Retail,0,0,0,285.0,11.66,296.66,40.0,240.96,15.7,11.4,8.075,0,0,0,0,2022-01-01
RX0000005723,MBR00000158,2023-10-06,2023-10-10,1920540912,1207779827,PLN9492,105185,PCN953,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,4,Retail,0,0,0,185.0,5.25,190.25,35.0,146.73,8.52,7.4,5.2417,0,0,0,0,2023-11-05
RX0000005724,MBR00000158,2022-11-10,2022-11-13,1431320793,1683447685,PLN6100,265523,PCN569,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,10,Retail,3,0,0,45.0,6.62,51.62,2.0,47.62,2.0,1.8,1.275,0,0,0,0,2022-12-10
RX0000005725,MBR00000158,2023-10-05,2023-10-07,1495024230,1203056961,PLN6615,296928,PCN286,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,2,Mail Order,0,0,0,7.5,10.55,18.05,4.0,13.06,0.99,0.3,0.2125,0,0,0,0,2023-11-04
RX0000005726,MBR00000158,2021-05-15,2021-05-16,1896012392,1685951856,PLN6453,614223,PCN529,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,5,Retail,0,0,0,18.0,11.6,29.6,8.0,20.51,1.09,0.72,0.51,0,0,0,0,2021-06-14
RX0000005727,MBR00000158,2021-04-09,2021-04-12,1665657641,1908613834,PLN1124,507989,PCN194,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,8,Retail,0,0,0,16.0,6.33,22.33,3.0,17.86,1.47,0.64,0.4533,0,0,0,0,2021-05-09
RX0000005728,MBR00000158,2022-05-10,2022-05-12,1591569040,1542634998,PLN1535,475823,PCN377,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,91,11,Retail,0,0,0,114.0,6.79,120.79,4.0,109.54,7.25,1.52,1.0767,0,0,0,0,2022-08-08
RX0000005729,MBR00000158,2023-06-16,2023-06-18,1230292826,1239045039,PLN9209,207491,PCN503,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,83,2,Retail,0,1,0,36.0,2.66,38.66,151.0,0.0,2.42,0.48,0.34,0,0,0,0,2023-09-14
RX0000005730,MBR00000158,2022-09-02,2022-09-04,1324794232,1114738602,PLN6658,288728,PCN496,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,0,Retail,1,0,0,310.0,11.94,321.94,35.0,266.14,20.8,12.4,8.7833,0,0,0,0,2022-10-02
RX0000005731,MBR00000158,2022-10-31,2022-11-04,1905556843,1948219955,PLN8905,812532,PCN264,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,5,Mail Order,1,1,0,8.0,10.95,18.95,155.0,0.0,0.9,0.32,0.2267,0,0,0,0,2022-11-30
RX0000005732,MBR00000158,2023-05-29,2023-06-02,1837495799,1636434312,PLN4463,433587,PCN408,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,83,4,Retail,0,0,0,54.0,4.9,58.9,9.0,45.96,3.94,0.72,0.51,0,0,0,0,2023-08-27
RX0000005733,MBR00000158,2022-11-24,2022-11-27,1975977968,1110671742,PLN3801,111119,PCN604,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,9,Mail Order,0,0,0,320.0,1.76,321.76,36.0,264.29,21.47,12.8,9.0667,0,0,0,0,2022-12-24
RX0000005734,MBR00000158,2022-03-11,2022-03-14,1347812268,1300408751,PLN6364,549351,PCN343,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,9,Retail,0,0,0,72.33,2.22,74.55,37.0,34.21,3.34,12.4,8.7833,0,0,0,0,2022-03-18
RX0000005735,MBR00000159,2023-03-07,2023-03-08,1832531691,1868917573,PLN5186,995144,PCN343,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,85,5,Retail,0,1,0,18600.0,8.1,18608.1,146.0,17780.55,681.55,248.0,175.6667,0,0,0,0,2023-06-05
RX0000005736,MBR00000159,2023-04-28,2023-05-02,1122097964,1984132703,PLN3730,573292,PCN899,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,56,2,Mail Order,0,0,0,570.0,1.71,571.71,39.0,499.84,32.87,11.4,8.075,0,0,0,0,2023-06-27
RX0000005737,MBR00000159,2023-09-28,2023-09-30,1790347565,1592135753,PLN5651,584176,PCN264,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,0,Retail,0,0,0,380.0,2.87,382.87,37.0,333.4,12.47,15.2,10.7667,0,1,1,0,2023-10-28
RX0000005738,MBR00000159,2021-02-13,2021-02-16,1891621341,1767080929,PLN1267,274365,PCN298,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,95,11,Mail Order,0,0,0,525.0,4.59,529.59,37.0,462.73,29.86,7.0,4.9583,0,0,0,0,2021-05-14
RX0000005739,MBR00000159,2022-10-26,2022-10-27,1772350918,1271251709,PLN7615,509866,PCN354,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,96,10,Specialty,0,0,0,1140.0,33.87,1173.87,40.0,1133.87,0.0,15.2,10.7667,0,0,0,0,2023-01-24
RX0000005740,MBR00000159,2022-06-05,2022-06-09,1415531929,1666061112,PLN5457,318810,PCN120,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,87,5,Retail,0,0,0,66.0,9.46,75.46,0.0,71.98,3.48,0.88,0.6233,1,0,0,0,2022-09-03
RX0000005741,MBR00000159,2021-06-22,2021-06-26,1208806545,1826186830,PLN7652,165785,PCN324,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,9,Retail,1,0,0,38.0,4.67,42.67,31.0,9.94,1.73,1.52,1.0767,0,0,0,0,2021-07-22
RX0000005742,MBR00000159,2023-02-15,2023-02-18,1390961273,1184356096,PLN7753,858629,PCN585,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,9,Retail,0,1,0,12.0,5.8,17.8,152.0,0.0,0.89,0.48,0.34,0,0,0,0,2023-03-17
RX0000005743,MBR00000159,2021-12-25,2021-12-26,1801455664,1355809323,PLN2564,417216,PCN583,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,4,Retail,0,0,0,18.0,7.35,25.35,6.0,18.53,0.82,0.72,0.51,0,0,0,0,2022-01-24
RX0000005744,MBR00000159,2023-09-22,2023-09-25,1177149646,1645331261,PLN9708,560368,PCN494,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,96,9,Retail,0,1,0,25500.0,8.12,25508.12,150.0,23780.03,1578.09,340.0,240.8333,0,0,0,0,2023-12-21
RX0000005745,MBR00000159,2023-07-06,2023-07-10,1624351209,1315804728,PLN7027,756057,PCN473,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,8,Retail,0,1,0,2800.0,11.65,2811.65,145.0,2558.9,107.75,112.0,79.3333,0,0,0,0,2023-08-05
RX0000005746,MBR00000159,2022-04-01,2022-04-05,1480815624,1321334806,PLN2958,143214,PCN308,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,2,Retail,0,1,0,12.0,3.38,15.38,153.0,0.0,1.06,0.48,0.34,0,0,0,0,2022-05-01
RX0000005747,MBR00000159,2022-02-04,2022-02-08,1243769402,1724217054,PLN8145,584231,PCN289,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,6,Specialty,2,0,1,16.0,24.31,40.31,9.0,31.31,0.0,0.64,0.4533,0,0,0,0,2022-03-06
RX0000005748,MBR00000159,2022-05-01,2022-05-05,1288378093,1467450157,PLN2420,723292,PCN786,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,83,0,Mail Order,0,0,0,66.0,8.77,74.77,66.0,5.61,3.16,0.88,0.6233,0,0,0,0,2022-07-30
RX0000005749,MBR00000159,2022-11-21,2022-11-23,1329927884,1364428841,PLN1141,376427,PCN528,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,11,Mail Order,0,0,0,2.92,5.12,8.04,7.0,0.67,0.37,0.5,0.3542,1,0,0,0,2022-11-28
RX0000005750,MBR00000159,2021-04-25,2021-04-29,1904942325,1441921185,PLN8902,483323,PCN242,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,7,Specialty,0,1,0,8500.0,20.31,8520.31,151.0,8369.31,0.0,340.0,240.8333,0,0,0,0,2021-05-25
RX0000005751,MBR00000159,2023-03-04,2023-03-06,1170340915,1681018303,PLN1324,635153,PCN730,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,2,Retail,0,0,0,380.0,2.5,382.5,30.0,327.24,25.26,15.2,10.7667,0,0,0,0,2023-04-03
RX0000005752,MBR00000159,2023-02-22,2023-02-26,1972057408,1640225303,PLN8309,102153,PCN728,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,0,Mail Order,0,0,0,320.0,4.12,324.12,35.0,277.82,11.3,12.8,9.0667,0,0,0,0,2023-03-24
RX0000005753,MBR00000159,2022-05-04,2022-05-07,1975852400,1964254258,PLN3101,196543,PCN868,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,11,Mail Order,0,0,0,18.0,6.68,24.68,3.0,20.28,1.4,0.72,0.51,0,0,0,0,2022-06-03
RX0000005754,MBR00000159,2021-04-09,2021-04-11,1553428538,1501047918,PLN6361,297833,PCN929,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,94,4,Mail Order,0,0,0,27.0,4.14,31.14,0.0,29.17,1.97,0.36,0.255,0,0,0,0,2021-07-08
RX0000005755,MBR00000159,2021-12-24,2021-12-28,1429580832,1187340305,PLN8515,206541,PCN884,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,2,Retail,0,1,0,12.0,5.29,17.29,147.0,0.0,0.86,0.48,0.34,0,0,0,0,2022-01-23
RX0000005756,MBR00000159,2021-10-16,2021-10-17,1137308977,1279095122,PLN1613,615304,PCN812,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,5,Retail,0,1,0,6200.0,6.7,6206.7,148.0,5763.94,294.76,248.0,175.6667,0,0,0,0,2021-11-15
RX0000005757,MBR00000159,2023-06-21,2023-06-24,1908515357,1541846090,PLN9489,803613,PCN478,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,8,Retail,0,0,0,40.83,6.66,47.49,34.0,10.54,2.95,7.0,4.9583,0,1,1,0,2023-06-28
RX0000005758,MBR00000159,2022-02-11,2022-02-12,1738343008,1499352101,PLN8006,629421,PCN379,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,3,Retail,0,0,0,175.0,5.97,180.97,31.0,138.48,11.49,7.0,4.9583,0,0,0,0,2022-03-13
RX0000005759,MBR00000159,2023-12-11,2023-12-13,1731166532,1394308954,PLN5402,165669,PCN543,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,1,Retail,0,1,0,1.87,6.36,8.23,155.0,0.0,0.34,0.32,0.2267,0,0,0,0,2023-12-18
RX0000005760,MBR00000159,2022-05-22,2022-05-24,1690804983,1899302253,PLN2602,188537,PCN258,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,88,5,Retail,0,0,0,66.0,2.26,68.26,74.0,0.0,3.33,0.88,0.6233,0,0,0,0,2022-08-20
RX0000005761,MBR00000159,2021-10-26,2021-10-28,1202350905,1638398074,PLN2716,359061,PCN669,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,4,Retail,0,0,0,10.0,4.24,14.24,1.0,12.31,0.93,0.4,0.2833,0,0,0,0,2021-11-25
RX0000005762,MBR00000159,2023-05-29,2023-05-31,1486677878,1190087838,PLN9528,361454,PCN355,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,6,Mail Order,0,0,0,11.0,2.24,13.24,6.0,6.61,0.63,0.44,0.3117,0,0,0,0,2023-06-28
RX0000005763,MBR00000159,2023-12-05,2023-12-07,1715493464,1517792419,PLN3248,774040,PCN362,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,9,Mail Order,0,0,0,4.2,9.7,13.9,0.0,13.19,0.71,0.72,0.51,0,0,0,0,2023-12-12
RX0000005764,MBR00000159,2021-08-04,2021-08-07,1490649417,1291025485,PLN2137,292547,PCN537,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,1,Retail,0,0,0,28.0,10.94,38.94,2.0,35.52,1.42,1.12,0.7933,0,0,0,0,2021-09-03
RX0000005765,MBR00000159,2022-08-23,2022-08-25,1350433851,1479744897,PLN3957,151167,PCN118,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,3,Retail,0,1,0,12.0,3.0,15.0,145.0,0.0,0.74,0.48,0.34,0,0,0,0,2022-09-22
RX0000005766,MBR00000159,2022-01-31,2022-02-01,1204995422,1700249133,PLN8746,329310,PCN378,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,94,4,Retail,0,0,0,45.0,9.94,54.94,9.0,42.71,3.23,0.6,0.425,0,0,0,0,2022-05-01
RX0000005767,MBR00000159,2023-02-15,2023-02-16,1657231859,1985286838,PLN7227,600582,PCN858,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,88,8,Retail,0,0,0,1110.0,5.34,1115.34,33.0,1048.83,33.51,14.8,10.4833,0,0,0,0,2023-05-16
RX0000005768,MBR00000159,2023-08-22,2023-08-24,1829662818,1273694081,PLN8817,970690,PCN437,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,95,5,Retail,3,0,0,54.0,6.35,60.35,8.0,50.28,2.07,0.72,0.51,1,0,0,0,2023-11-20
RX0000005769,MBR00000159,2022-01-26,2022-01-28,1335914588,1178173565,PLN6947,424150,PCN905,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,56,8,Retail,0,0,0,56.0,7.83,63.83,1.0,60.65,2.18,1.12,0.7933,0,0,0,0,2022-03-27
RX0000005770,MBR00000159,2023-10-19,2023-10-21,1485126386,1722391389,PLN6157,908709,PCN148,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,60,2,Retail,0,0,0,30.0,8.28,38.28,6.0,30.3,1.98,0.6,0.425,0,0,0,0,2023-12-18
RX0000005771,MBR00000159,2023-10-10,2023-10-13,1872975805,1202142092,PLN6081,964216,PCN135,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,6,Retail,0,0,0,14.0,4.89,18.89,10.0,8.1,0.79,0.56,0.3967,0,1,0,0,2023-11-09
RX0000005772,MBR00000159,2022-05-07,2022-05-10,1894263134,1864314206,PLN8265,653799,PCN610,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,3,Retail,0,0,0,77.0,9.34,86.34,36.0,44.75,5.59,13.2,9.35,0,0,0,0,2022-05-14
RX0000005773,MBR00000159,2021-12-08,2021-12-12,1107412465,1945179653,PLN6966,173043,PCN111,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,11,Retail,0,1,0,6200.0,9.99,6209.99,151.0,5719.95,339.04,248.0,175.6667,0,0,0,0,2022-01-07
RX0000005774,MBR00000159,2021-01-22,2021-01-23,1507340248,1903404994,PLN1122,562677,PCN632,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,0,Mail Order,0,1,0,8.0,10.43,18.43,152.0,0.0,1.21,0.32,0.2267,0,0,0,0,2021-02-21
RX0000005775,MBR00000159,2021-07-04,2021-07-06,1337962433,1229661566,PLN9293,536987,PCN737,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,83,0,Retail,0,1,0,25500.0,10.94,25510.94,150.0,24137.17,1223.77,340.0,240.8333,0,0,0,0,2021-10-02
RX0000005776,MBR00000159,2023-01-14,2023-01-16,1616522321,1438138187,PLN5009,655690,PCN226,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,61,8,Retail,0,0,0,20.0,4.81,24.81,10.0,13.88,0.93,0.4,0.2833,0,0,0,0,2023-03-15
RX0000005777,MBR00000159,2021-09-28,2021-09-30,1656374505,1358484536,PLN6361,124500,PCN625,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,10,Retail,0,0,0,18.0,5.23,23.23,5.0,16.82,1.41,0.72,0.51,0,0,0,0,2021-10-28
RX0000005778,MBR00000159,2022-11-02,2022-11-03,1702193045,1239528533,PLN8283,814970,PCN790,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,9,Mail Order,0,0,1,18.0,5.75,23.75,2.0,20.68,1.07,0.72,0.51,0,0,0,0,2022-12-02
RX0000005779,MBR00000159,2022-12-10,2022-12-11,1140035087,1151031396,PLN4117,607707,PCN532,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,8,Mail Order,0,0,0,45.0,2.93,47.93,7.0,38.16,2.77,1.8,1.275,0,0,0,0,2023-01-09
RX0000005780,MBR00000159,2022-09-30,2022-10-03,1231320026,1368733686,PLN4002,444837,PCN719,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,85,8,Retail,0,0,0,30.0,10.8,40.8,5.0,33.7,2.1,0.4,0.2833,0,0,0,0,2022-12-29
RX0000005781,MBR00000159,2021-12-08,2021-12-09,1243979461,1171779060,PLN4710,497845,PCN236,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,3,Retail,0,0,0,175.0,4.1,179.1,34.0,133.44,11.66,7.0,4.9583,0,0,0,0,2022-01-07
RX0000005782,MBR00000159,2023-10-20,2023-10-24,1204515582,1690161318,PLN7415,928872,PCN342,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,11,Specialty,0,0,0,4.2,23.16,27.36,36.0,0.0,0.0,0.72,0.51,0,0,0,0,2023-10-27
RX0000005783,MBR00000159,2023-05-19,2023-05-22,1107467514,1599369176,PLN7284,376384,PCN519,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,7,Retail,0,0,0,18.0,9.08,27.08,34.0,0.0,1.53,0.72,0.51,0,0,0,0,2023-06-18
RX0000005784,MBR00000159,2023-03-14,2023-03-16,1603344125,1373156427,PLN2352,182830,PCN787,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,10,Retail,1,0,0,10.0,7.07,17.07,7.0,9.13,0.94,0.4,0.2833,0,0,0,0,2023-04-13
RX0000005785,MBR00000159,2023-01-08,2023-01-12,1568908328,1372198796,PLN7933,539428,PCN703,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,7,Retail,0,0,0,750.0,9.95,759.95,30.0,698.57,31.38,30.0,21.25,0,0,0,0,2023-02-07
RX0000005786,MBR00000159,2021-12-01,2021-12-03,1873315262,1975055126,PLN5838,236181,PCN625,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,96,7,Retail,0,0,0,525.0,2.79,527.79,35.0,463.71,29.08,7.0,4.9583,0,0,0,0,2022-03-01
RX0000005787,MBR00000159,2022-06-02,2022-06-06,1804207809,1213506608,PLN1874,321079,PCN625,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,3,Mail Order,0,0,0,950.0,8.14,958.14,35.0,890.87,32.27,38.0,26.9167,0,0,0,0,2022-07-02
RX0000005788,MBR00000160,2023-04-24,2023-04-26,1916440128,1741071402,PLN9384,875275,PCN480,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,93,9,Mail Order,0,0,0,30.0,4.39,34.39,10.0,23.03,1.36,0.4,0.2833,0,0,0,0,2023-07-23
RX0000005789,MBR00000160,2023-02-13,2023-02-14,1725466346,1762724518,PLN7443,462752,PCN255,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,10,Retail,0,0,0,285.0,7.66,292.66,40.0,236.36,16.3,11.4,8.075,0,0,0,0,2023-03-15
RX0000005790,MBR00000160,2021-05-07,2021-05-10,1721298003,1989095683,PLN6337,202157,PCN361,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,83,3,Mail Order,0,0,0,33.0,3.0,36.0,4.0,30.24,1.76,0.44,0.3117,0,0,0,0,2021-08-05
RX0000005791,MBR00000160,2021-10-31,2021-11-04,1664771477,1888816671,PLN3101,413703,PCN225,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,98,7,Mail Order,0,0,0,42.0,6.66,48.66,9.0,36.71,2.95,0.56,0.3967,0,0,0,0,2022-01-29
RX0000005792,MBR00000160,2023-02-25,2023-02-26,1949231472,1127041857,PLN3502,524218,PCN533,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,7,Retail,0,0,0,3.5,11.82,15.32,4.0,10.61,0.71,0.6,0.425,0,0,0,0,2023-03-04
RX0000005793,MBR00000160,2022-01-06,2022-01-08,1974313636,1337535286,PLN4400,316859,PCN601,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,84,4,Retail,0,0,0,555.0,1.76,556.76,40.0,478.07,38.69,7.4,5.2417,0,0,0,0,2022-04-06
RX0000005794,MBR00000160,2022-01-02,2022-01-06,1913035758,1517985720,PLN1604,836958,PCN787,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,3,Mail Order,0,0,0,320.0,3.54,323.54,39.0,266.62,17.92,12.8,9.0667,0,0,0,0,2022-02-01
RX0000005795,MBR00000160,2021-03-16,2021-03-18,1491346706,1748487101,PLN9531,604627,PCN857,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,3,Specialty,0,1,0,8500.0,31.19,8531.19,150.0,8381.19,0.0,340.0,240.8333,1,0,0,0,2021-04-15
RX0000005796,MBR00000160,2022-03-31,2022-04-01,1140457029,1782222355,PLN5967,638766,PCN847,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,0,Retail,0,0,0,22.0,6.26,28.26,9.0,17.3,1.96,0.88,0.6233,0,0,0,0,2022-04-30
RX0000005797,MBR00000160,2022-05-04,2022-05-07,1998774610,1711602117,PLN6730,481980,PCN783,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,1,Retail,0,0,0,66.5,7.88,74.38,38.0,33.94,2.44,11.4,8.075,0,0,0,0,2022-05-11
RX0000005798,MBR00000160,2022-06-02,2022-06-06,1371896845,1966315502,PLN7514,267663,PCN670,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,5,Retail,1,0,0,8.5,6.41,14.91,1.0,13.02,0.89,0.34,0.2408,0,0,0,0,2022-07-02
RX0000005799,MBR00000160,2021-02-05,2021-02-07,1860086709,1322742509,PLN8101,496831,PCN939,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,6,Retail,0,0,0,38.0,4.02,42.02,3.0,37.25,1.77,1.52,1.0767,0,0,0,0,2021-03-07
RX0000005800,MBR00000160,2023-10-31,2023-11-01,1418957420,1805031942,PLN2588,872337,PCN965,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,6,Retail,1,0,0,38.0,5.75,43.75,7.0,35.16,1.59,1.52,1.0767,0,0,0,0,2023-11-30
RX0000005801,MBR00000160,2021-03-25,2021-03-26,1696750868,1247532914,PLN3854,206494,PCN694,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,11,Retail,0,1,0,2800.0,6.15,2806.15,151.0,2475.01,180.14,112.0,79.3333,0,0,0,0,2021-04-24
RX0000005802,MBR00000160,2023-06-18,2023-06-19,1120167319,1196610528,PLN3461,324705,PCN211,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,86,0,Retail,0,0,0,2250.0,1.55,2251.55,32.0,2080.73,138.82,30.0,21.25,0,0,0,0,2023-09-16
RX0000005803,MBR00000160,2022-11-07,2022-11-11,1404687272,1877343039,PLN2996,278485,PCN445,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,89,5,Mail Order,0,0,0,84.0,4.99,88.99,1.0,82.7,5.29,1.12,0.7933,1,0,0,0,2023-02-05
RX0000005804,MBR00000160,2023-08-11,2023-08-13,1274497130,1545972410,PLN5953,960677,PCN720,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,7,Retail,0,1,0,6200.0,9.63,6209.63,154.0,5812.42,243.21,248.0,175.6667,0,0,0,0,2023-09-10
RX0000005805,MBR00000160,2022-05-30,2022-06-01,1471814573,1622350839,PLN9148,880743,PCN112,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,2,Retail,0,0,0,11.0,5.0,16.0,6.0,9.09,0.91,0.44,0.3117,0,0,0,0,2022-06-29
RX0000005806,MBR00000160,2022-05-17,2022-05-20,1238604523,1839951370,PLN4716,872081,PCN414,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,96,8,Mail Order,0,0,0,1140.0,7.46,1147.46,38.0,1062.73,46.73,15.2,10.7667,0,0,0,0,2022-08-15
RX0000005807,MBR00000160,2022-01-06,2022-01-09,1638757262,1466857914,PLN3707,451966,PCN654,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,1,Retail,0,0,0,12.0,1.93,13.93,10.0,3.0,0.93,0.48,0.34,0,0,0,0,2022-02-05
RX0000005808,MBR00000160,2022-04-07,2022-04-11,1236858652,1626405890,PLN6864,387614,PCN250,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,11,Retail,0,1,0,2800.0,10.37,2810.37,147.0,2491.84,171.53,112.0,79.3333,0,1,1,0,2022-05-07
RX0000005809,MBR00000160,2022-09-29,2022-10-01,1487088191,1322477745,PLN1460,751786,PCN896,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,96,9,Specialty,0,0,0,54.0,37.53,91.53,8.0,83.53,0.0,0.72,0.51,0,0,0,0,2022-12-28
RX0000005810,MBR00000160,2022-04-21,2022-04-23,1670177124,1125394203,PLN8785,813755,PCN837,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,7,Mail Order,0,0,1,750.0,8.19,758.19,39.0,676.55,42.64,30.0,21.25,1,0,0,0,2022-05-21
RX0000005811,MBR00000160,2023-05-15,2023-05-19,1675849212,1663025730,PLN1296,558645,PCN794,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,0,Retail,0,0,0,950.0,5.53,955.53,30.0,864.23,61.3,38.0,26.9167,0,0,0,0,2023-06-14
RX0000005812,MBR00000160,2023-08-13,2023-08-14,1822378095,1784158827,PLN5506,929358,PCN372,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,6,Retail,0,1,0,8.0,5.93,13.93,146.0,0.0,0.71,0.32,0.2267,0,0,0,0,2023-09-12
RX0000005813,MBR00000160,2022-05-09,2022-05-12,1822756173,1853307795,PLN1714,260736,PCN459,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,4,Retail,0,0,0,9.0,4.24,13.24,1.0,11.44,0.8,0.36,0.255,0,0,0,0,2022-06-08
RX0000005814,MBR00000160,2021-01-02,2021-01-04,1598413161,1623057183,PLN9412,596993,PCN709,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,5,Retail,0,0,0,30.0,7.8,37.8,9.0,26.97,1.83,0.4,0.2833,0,0,0,0,2021-04-02
RX0000005815,MBR00000160,2023-01-24,2023-01-28,1272166867,1435654008,PLN6614,342411,PCN440,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,7,Mail Order,0,0,0,10.0,10.11,20.11,1.0,17.8,1.31,0.4,0.2833,0,0,0,0,2023-02-23
RX0000005816,MBR00000160,2021-08-10,2021-08-13,1674667745,1206895531,PLN9245,374991,PCN969,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,88,10,Retail,0,0,0,2850.0,8.75,2858.75,31.0,2739.33,88.42,38.0,26.9167,0,0,0,0,2021-11-08
RX0000005817,MBR00000160,2023-06-06,2023-06-09,1406049542,1161809999,PLN9123,891753,PCN862,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,5,Retail,0,0,0,175.0,4.46,179.46,39.0,131.42,9.04,7.0,4.9583,0,0,0,0,2023-07-06
RX0000005818,MBR00000160,2021-08-18,2021-08-19,1934571532,1259706683,PLN2665,990132,PCN416,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,54,4,Retail,0,0,0,20.0,4.63,24.63,1.0,22.46,1.17,0.4,0.2833,0,0,0,0,2021-10-17
RX0000005819,MBR00000160,2021-01-21,2021-01-23,1357523131,1147612214,PLN7429,392422,PCN194,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,7,Specialty,0,0,0,10.0,32.23,42.23,7.0,35.23,0.0,0.4,0.2833,0,0,0,0,2021-02-20
RX0000005820,MBR00000160,2023-04-19,2023-04-23,1711075495,1185337510,PLN9628,726215,PCN146,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,59,10,Retail,0,0,1,36.0,9.8,45.8,2.0,40.65,3.15,0.72,0.51,0,0,0,0,2023-06-18
RX0000005821,MBR00000160,2023-09-27,2023-09-30,1922584716,1820467220,PLN2337,803159,PCN114,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,61,7,Retail,3,1,0,16.0,7.26,23.26,145.0,0.0,1.35,0.32,0.2267,0,0,0,0,2023-11-26
RX0000005822,MBR00000160,2021-02-26,2021-03-02,1365872940,1210170678,PLN6706,677365,PCN346,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,4,Retail,2,0,0,330.0,10.19,340.19,39.0,278.81,22.38,13.2,9.35,1,0,0,0,2021-03-28
RX0000005823,MBR00000160,2023-06-23,2023-06-24,1778431571,1437445001,PLN9208,356130,PCN105,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,94,6,Retail,3,0,0,855.0,5.83,860.83,36.0,791.59,33.24,11.4,8.075,0,0,0,0,2023-09-21
RX0000005824,MBR00000160,2021-04-11,2021-04-15,1454004365,1114345610,PLN9759,111775,PCN994,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,55,2,Retail,0,0,0,25.0,6.56,31.56,8.0,22.52,1.04,0.5,0.3542,0,0,0,0,2021-06-10
RX0000005825,MBR00000160,2022-07-23,2022-07-26,1735304029,1794067035,PLN7417,832611,PCN783,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,1,Retail,0,0,0,320.0,8.8,328.8,33.0,276.67,19.13,12.8,9.0667,0,0,0,0,2022-08-22
RX0000005826,MBR00000160,2021-10-01,2021-10-04,1271407512,1376658900,PLN7136,587784,PCN213,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,3,Retail,0,0,0,12.0,5.18,17.18,5.0,10.98,1.2,0.48,0.34,0,0,0,0,2021-10-31
RX0000005827,MBR00000160,2023-08-15,2023-08-17,1481506496,1291910445,PLN6804,360707,PCN958,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,5,Retail,0,0,0,18.0,2.76,20.76,38.0,0.0,1.16,0.72,0.51,0,0,0,0,2023-09-14
RX0000005828,MBR00000160,2022-12-01,2022-12-03,1132940606,1513385812,PLN9956,474924,PCN274,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,6,Retail,0,0,0,1440.0,7.53,1447.53,36.0,1343.66,67.87,19.2,13.6,0,0,0,0,2023-03-01
RX0000005829,MBR00000160,2022-06-09,2022-06-11,1951452183,1873559666,PLN2222,459137,PCN915,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,89,3,Retail,0,0,0,54.0,6.08,60.08,3.0,54.79,2.29,0.72,0.51,0,0,0,0,2022-09-07
RX0000005830,MBR00000160,2021-01-15,2021-01-19,1681108830,1958296588,PLN7543,141437,PCN640,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,0,LTC,0,0,0,12.0,3.46,15.46,8.0,6.79,0.67,0.48,0.34,0,1,0,0,2021-02-14
RX0000005831,MBR00000160,2021-12-12,2021-12-16,1999375459,1747508539,PLN5958,852206,PCN611,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,2,Mail Order,0,0,0,12.5,9.15,21.65,2.0,18.5,1.15,0.5,0.3542,0,0,0,0,2022-01-11
RX0000005832,MBR00000160,2022-04-30,2022-05-03,1550247659,1250222361,PLN4434,428862,PCN268,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,90,4,Retail,1,1,0,24.0,3.45,27.45,150.0,0.0,1.71,0.32,0.2267,0,0,0,0,2022-07-29
RX0000005833,MBR00000160,2022-02-08,2022-02-10,1153831758,1498969265,PLN7267,511994,PCN885,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,7,Retail,0,1,0,8500.0,2.38,8502.38,150.0,8086.57,265.81,340.0,240.8333,0,0,0,0,2022-03-10
RX0000005834,MBR00000160,2022-11-09,2022-11-10,1965474568,1397963625,PLN5290,954440,PCN226,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,7,Retail,0,0,0,9.0,11.96,20.96,6.0,13.5,1.46,0.36,0.255,0,0,0,0,2022-12-09
RX0000005835,MBR00000160,2022-03-14,2022-03-15,1657607228,1858041627,PLN2718,252174,PCN794,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,0,Retail,0,0,0,2.1,3.8,5.9,6.0,0.0,0.31,0.36,0.255,0,0,0,0,2022-03-21
RX0000005836,MBR00000160,2021-01-29,2021-01-31,1285885076,1790199572,PLN6536,932157,PCN678,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,7,Mail Order,0,0,0,14.0,8.38,22.38,9.0,12.64,0.74,0.56,0.3967,0,1,0,0,2021-02-28
RX0000005837,MBR00000160,2021-09-05,2021-09-09,1310245767,1321075573,PLN1236,852866,PCN749,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,62,3,Retail,1,0,0,25.0,10.86,35.86,1.0,32.45,2.41,0.5,0.3542,0,0,0,0,2021-11-04
RX0000005838,MBR00000160,2021-11-26,2021-11-30,1865592443,1324474814,PLN5307,837655,PCN738,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,5,Retail,0,0,0,185.0,4.69,189.69,31.0,146.69,12.0,7.4,5.2417,0,0,0,0,2021-12-26
RX0000005839,MBR00000161,2021-12-05,2021-12-06,1577462941,1768027436,PLN7924,752902,PCN159,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,98,11,Retail,0,0,0,36.0,4.91,40.91,10.0,28.92,1.99,0.48,0.34,0,0,0,0,2022-03-05
RX0000005840,MBR00000161,2023-11-13,2023-11-15,1817377938,1861483383,PLN9283,168714,PCN914,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,10,Retail,0,1,0,2800.0,6.37,2806.37,148.0,2562.39,95.98,112.0,79.3333,0,0,0,0,2023-12-13
RX0000005841,MBR00000161,2022-07-09,2022-07-12,1266305320,1432712411,PLN4060,392263,PCN348,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,98,8,Retail,0,0,0,114.0,7.51,121.51,36.0,79.82,5.69,1.52,1.0767,0,0,0,0,2022-10-07
RX0000005842,MBR00000161,2021-04-28,2021-04-30,1270444700,1189791426,PLN8342,893930,PCN423,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,8,Retail,0,0,0,28.0,11.79,39.79,9.0,28.81,1.98,1.12,0.7933,0,0,0,0,2021-05-28
RX0000005843,MBR00000161,2021-03-30,2021-04-01,1894814728,1250969319,PLN8326,343418,PCN731,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,6,Retail,0,0,0,18.0,11.92,29.92,32.0,0.0,1.07,0.72,0.51,0,0,0,0,2021-04-29
RX0000005844,MBR00000161,2022-01-22,2022-01-23,1980664170,1981832615,PLN1035,229002,PCN907,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,2,Retail,0,0,0,14.0,2.07,16.07,2.0,13.5,0.57,0.56,0.3967,0,0,0,0,2022-02-21
RX0000005845,MBR00000161,2022-07-05,2022-07-08,1114287400,1657806052,PLN9949,736108,PCN915,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,9,Retail,0,0,0,14.0,11.7,25.7,5.0,19.51,1.19,0.56,0.3967,0,0,0,0,2022-08-04
RX0000005846,MBR00000161,2021-11-06,2021-11-10,1612917208,1813909020,PLN3511,835002,PCN353,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,11,Retail,0,0,0,1.98,9.28,11.27,9.0,1.76,0.51,0.34,0.2408,0,0,0,0,2021-11-13
RX0000005847,MBR00000161,2022-02-10,2022-02-12,1724538196,1146827048,PLN2816,756213,PCN114,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,2,Retail,0,0,0,22.0,9.79,31.79,74.0,0.0,1.77,0.88,0.6233,0,0,0,0,2022-03-12
RX0000005848,MBR00000161,2022-10-11,2022-10-14,1892660977,1691957469,PLN7381,664059,PCN587,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,6,Retail,0,0,0,9.0,7.53,16.53,3.0,12.55,0.98,0.36,0.255,0,0,0,0,2022-11-10
RX0000005849,MBR00000161,2022-08-12,2022-08-16,1404702000,1563230405,PLN4904,101575,PCN224,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,91,0,Mail Order,1,0,0,22.5,8.51,31.01,9.0,20.04,1.97,0.3,0.2125,0,0,0,0,2022-11-10
RX0000005850,MBR00000161,2023-02-25,2023-02-28,1636414464,1677291058,PLN5508,892408,PCN853,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,9,Retail,0,0,0,45.0,4.27,49.27,6.0,39.96,3.31,1.8,1.275,0,0,0,0,2023-03-27
RX0000005851,MBR00000161,2022-04-01,2022-04-02,1541509648,1841157940,PLN9248,301581,PCN262,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,57,9,Mail Order,0,0,0,36.0,11.14,47.14,2.0,42.28,2.86,0.72,0.51,0,0,0,0,2022-05-31
RX0000005852,MBR00000161,2021-02-10,2021-02-13,1318031873,1814790177,PLN9420,444028,PCN167,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,0,Retail,0,1,0,653.33,1.83,655.16,148.0,481.63,25.53,112.0,79.3333,0,0,0,0,2021-02-17
RX0000005853,MBR00000161,2022-04-21,2022-04-22,1718626835,1136389369,PLN8483,555385,PCN157,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,58,11,Retail,1,0,0,25.0,3.91,28.91,9.0,18.59,1.32,0.5,0.3542,0,0,0,0,2022-06-20
RX0000005854,MBR00000161,2021-03-22,2021-03-23,1546813487,1466650289,PLN2696,202709,PCN575,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,1,Retail,0,0,0,175.0,3.84,178.84,34.0,135.72,9.12,7.0,4.9583,0,0,0,0,2021-04-21
RX0000005855,MBR00000161,2022-07-09,2022-07-10,1574730991,1746352530,PLN8963,638963,PCN145,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,92,4,Mail Order,0,0,0,25.5,11.12,36.62,0.0,35.25,1.37,0.34,0.2408,0,0,0,0,2022-10-07
RX0000005856,MBR00000162,2021-01-22,2021-01-25,1743704305,1977343473,PLN6065,217615,PCN676,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,6,Specialty,0,0,0,27.0,18.04,45.04,6.0,39.04,0.0,0.36,0.255,0,0,0,0,2021-04-22
RX0000005857,MBR00000162,2023-05-19,2023-05-20,1474162276,1472800481,PLN7232,983938,PCN753,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,89,5,Retail,0,0,0,22.5,8.74,31.24,7.0,22.69,1.55,0.3,0.2125,0,0,0,0,2023-08-17
RX0000005858,MBR00000162,2021-03-11,2021-03-12,1146154950,1243882944,PLN3308,481336,PCN117,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,7,Retail,0,0,0,65.0,2.96,67.96,30.0,35.22,2.74,2.6,1.8417,0,0,0,0,2021-04-10
RX0000005859,MBR00000162,2021-09-18,2021-09-19,1527788824,1847261402,PLN7570,660090,PCN823,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,94,4,Mail Order,0,1,0,18600.0,6.9,18606.9,153.0,17563.19,890.71,248.0,175.6667,0,0,0,0,2021-12-17
RX0000005860,MBR00000162,2021-12-06,2021-12-07,1519533046,1368579089,PLN9970,912949,PCN448,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,3,Mail Order,0,0,0,28.0,10.25,38.25,7.0,29.2,2.05,1.12,0.7933,0,0,0,0,2022-01-05
RX0000005861,MBR00000162,2021-02-02,2021-02-03,1834165630,1915116759,PLN5291,270454,PCN698,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,92,7,Retail,0,0,0,1140.0,7.88,1147.88,37.0,1061.8,49.08,15.2,10.7667,0,0,0,0,2021-05-03
RX0000005862,MBR00000162,2023-02-24,2023-02-28,1468549414,1241875865,PLN9428,864307,PCN402,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,2,Specialty,0,0,0,11.0,22.02,33.02,4.0,29.02,0.0,0.44,0.3117,0,0,0,0,2023-03-26
RX0000005863,MBR00000162,2021-05-18,2021-05-20,1371995182,1305832344,PLN1577,146667,PCN506,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,87,3,Retail,0,1,0,24.0,11.69,35.69,154.0,0.0,1.5,0.32,0.2267,0,0,0,0,2021-08-16
RX0000005864,MBR00000162,2023-08-05,2023-08-09,1459099967,1874008306,PLN2614,757114,PCN486,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,7,Retail,0,0,0,185.0,2.42,187.42,34.0,146.95,6.47,7.4,5.2417,0,0,0,0,2023-09-04
RX0000005865,MBR00000162,2021-11-30,2021-12-04,1128078924,1630267745,PLN4523,764200,PCN750,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,11,Retail,0,0,0,9.0,2.0,11.0,6.0,4.32,0.68,0.36,0.255,0,0,0,0,2021-12-30
RX0000005866,MBR00000162,2021-07-21,2021-07-22,1567538003,1375579295,PLN3964,274076,PCN173,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,4,Retail,0,0,0,14.0,2.86,16.86,9.0,6.83,1.03,0.56,0.3967,0,0,0,0,2021-08-20
RX0000005867,MBR00000162,2023-06-06,2023-06-07,1539004734,1456284222,PLN2208,644490,PCN273,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,8,Retail,0,1,0,2800.0,1.86,2801.86,152.0,2535.23,114.63,112.0,79.3333,0,0,0,0,2023-07-06
RX0000005868,MBR00000162,2023-01-21,2023-01-22,1519596294,1653596961,PLN2482,467949,PCN648,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,7,Retail,0,0,0,12.0,4.35,16.35,5.0,10.56,0.79,0.48,0.34,0,0,0,0,2023-02-20
RX0000005869,MBR00000162,2022-12-06,2022-12-09,1287729168,1330694397,PLN7095,457502,PCN238,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,90,9,Retail,0,0,0,30.0,3.07,33.07,10.0,21.22,1.85,0.4,0.2833,0,0,0,0,2023-03-06
RX0000005870,MBR00000162,2021-05-18,2021-05-22,1462813269,1218831503,PLN7147,930081,PCN714,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,3,Retail,0,0,0,45.0,4.83,49.83,10.0,37.46,2.37,1.8,1.275,0,0,0,0,2021-06-17
RX0000005871,MBR00000162,2023-07-27,2023-07-28,1626958058,1565390957,PLN9942,440570,PCN248,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,10,Retail,0,0,0,950.0,9.74,959.74,38.0,865.12,56.62,38.0,26.9167,0,1,1,0,2023-08-26
RX0000005872,MBR00000162,2022-11-16,2022-11-18,1477525957,1440649680,PLN8849,973560,PCN687,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,3,Retail,0,0,0,650.0,2.69,652.69,34.0,580.88,37.81,26.0,18.4167,0,0,0,0,2022-12-16
RX0000005873,MBR00000162,2023-07-19,2023-07-23,1374889349,1713061328,PLN6988,905384,PCN813,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,81,6,Retail,0,0,0,2850.0,9.7,2859.7,39.0,2671.44,149.26,38.0,26.9167,0,0,0,0,2023-10-17
RX0000005874,MBR00000162,2023-06-19,2023-06-23,1427943997,1517156777,PLN7468,468523,PCN705,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,0,Retail,0,0,0,18.0,10.95,28.95,1.0,26.41,1.54,0.72,0.51,0,0,0,0,2023-07-19
RX0000005875,MBR00000162,2023-07-01,2023-07-02,1330473567,1712912919,PLN8834,385274,PCN808,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,11,Mail Order,0,0,0,112.0,3.14,115.14,34.0,76.08,5.06,19.2,13.6,0,0,0,0,2023-07-08
RX0000005876,MBR00000162,2023-06-10,2023-06-12,1952849415,1837646569,PLN2149,280920,PCN264,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,11,Retail,0,0,0,12.0,3.9,15.9,8.0,7.03,0.87,0.48,0.34,1,0,0,0,2023-07-10
RX0000005877,MBR00000162,2022-08-04,2022-08-08,1562570180,1614023994,PLN8448,936910,PCN248,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,5,Retail,0,0,0,330.0,8.01,338.01,30.0,297.63,10.38,13.2,9.35,0,0,0,0,2022-09-03
RX0000005878,MBR00000162,2021-10-16,2021-10-18,1329727701,1107886800,PLN6467,424729,PCN976,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,6,Retail,0,0,0,12.0,8.91,20.91,5.0,14.55,1.36,0.48,0.34,0,0,0,0,2021-11-15
RX0000005879,MBR00000162,2021-08-26,2021-08-27,1671342244,1784338728,PLN7772,199135,PCN990,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,8,Specialty,0,0,0,2.33,41.19,43.52,4.0,39.52,0.0,0.4,0.2833,0,0,0,0,2021-09-02
RX0000005880,MBR00000162,2023-09-27,2023-10-01,1217282043,1476051032,PLN8963,168065,PCN979,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,9,Retail,0,0,0,7.5,11.25,18.75,3.0,14.93,0.82,0.3,0.2125,1,0,0,0,2023-10-27
RX0000005881,MBR00000162,2023-10-20,2023-10-24,1893408569,1759425087,PLN2678,933072,PCN400,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,0,Retail,0,0,0,10.0,11.22,21.22,7.0,13.52,0.7,0.4,0.2833,0,0,0,0,2023-11-19
RX0000005882,MBR00000162,2021-11-27,2021-11-29,1956439414,1734060417,PLN3082,892312,PCN723,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,2,Retail,2,0,0,65.0,8.97,73.97,40.0,29.45,4.52,2.6,1.8417,0,0,0,0,2021-12-27
RX0000005883,MBR00000162,2023-11-29,2023-12-03,1531691741,1679879754,PLN6894,423738,PCN676,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,84,3,Retail,0,0,0,27.0,4.67,31.67,4.0,25.54,2.13,0.36,0.255,0,0,0,0,2024-02-27
RX0000005884,MBR00000162,2022-11-11,2022-11-14,1580862417,1966395661,PLN6105,768825,PCN401,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,8,Mail Order,3,0,0,285.0,2.17,287.17,40.0,237.98,9.19,11.4,8.075,0,0,0,0,2022-12-11
RX0000005885,MBR00000162,2023-03-15,2023-03-16,1219327435,1302701043,PLN7634,236221,PCN188,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,6,Mail Order,0,1,0,8500.0,9.74,8509.74,145.0,7964.76,399.98,340.0,240.8333,0,0,0,0,2023-04-14
RX0000005886,MBR00000162,2022-11-19,2022-11-21,1554546316,1988642122,PLN7673,732584,PCN134,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,56,8,Retail,0,0,0,760.0,6.03,766.03,39.0,685.82,41.21,15.2,10.7667,0,0,0,0,2023-01-18
RX0000005887,MBR00000162,2023-12-23,2023-12-25,1972253126,1378431526,PLN6503,424809,PCN591,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,7,Retail,3,0,0,4.2,8.98,13.18,8.0,4.72,0.46,0.72,0.51,0,0,0,0,2023-12-30
RX0000005888,MBR00000162,2022-12-23,2022-12-27,1721075150,1756570653,PLN1682,327511,PCN749,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,9,Specialty,3,0,0,9.0,19.86,28.86,3.0,25.86,0.0,0.36,0.255,0,0,0,0,2023-01-22
RX0000005889,MBR00000162,2023-04-15,2023-04-18,1419427103,1500011461,PLN3519,568482,PCN485,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,92,0,Mail Order,1,0,0,36.0,9.48,45.48,0.0,43.03,2.45,0.48,0.34,0,0,0,0,2023-07-14
RX0000005890,MBR00000162,2021-07-11,2021-07-15,1270397683,1874075505,PLN1963,248178,PCN967,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,10,Retail,0,0,0,65.0,11.99,76.99,32.0,40.8,4.19,2.6,1.8417,0,0,0,0,2021-08-10
RX0000005891,MBR00000162,2021-08-06,2021-08-08,1649487085,1187531605,PLN1707,355833,PCN640,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,10,Retail,3,1,0,2800.0,10.37,2810.37,152.0,2509.23,149.14,112.0,79.3333,0,0,0,0,2021-09-05
RX0000005892,MBR00000162,2021-05-03,2021-05-04,1856343843,1478765680,PLN6300,172209,PCN856,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,1,Retail,0,0,0,8.87,4.68,13.55,6.0,6.69,0.86,1.52,1.0767,0,0,0,0,2021-05-10
RX0000005893,MBR00000162,2023-08-24,2023-08-25,1536897956,1972197771,PLN3364,120320,PCN381,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,9,LTC,0,0,0,15.0,10.86,25.86,10.0,14.81,1.05,0.6,0.425,0,1,0,0,2023-09-23
RX0000005894,MBR00000162,2023-11-20,2023-11-24,1702980349,1924343300,PLN7078,191192,PCN277,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,3,Mail Order,0,0,0,285.0,5.21,290.21,40.0,240.68,9.53,11.4,8.075,0,0,0,0,2023-12-20
RX0000005895,MBR00000162,2021-12-29,2021-12-30,1634718263,1208639670,PLN3188,623983,PCN276,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,2,Retail,0,0,0,22.0,8.4,30.4,66.0,0.0,1.55,0.88,0.6233,0,0,0,0,2022-01-28
RX0000005896,MBR00000162,2021-12-04,2021-12-07,1823693971,1280091359,PLN4248,730794,PCN533,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,95,10,Mail Order,0,0,0,30.0,8.86,38.86,2.0,34.51,2.35,0.4,0.2833,1,0,0,0,2022-03-04
RX0000005897,MBR00000162,2021-01-21,2021-01-23,1193245725,1365000526,PLN9211,146120,PCN558,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,81,7,Retail,0,0,0,1110.0,1.67,1111.67,37.0,1006.91,67.76,14.8,10.4833,0,0,0,0,2021-04-21
RX0000005898,MBR00000162,2021-07-22,2021-07-25,1803180975,1354867774,PLN6187,672511,PCN956,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,7,Retail,0,1,0,8500.0,2.27,8502.27,152.0,7873.25,477.02,340.0,240.8333,0,0,0,0,2021-08-21
RX0000005899,MBR00000162,2022-06-30,2022-07-04,1248707717,1537714100,PLN9804,651501,PCN109,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,96,4,Mail Order,0,0,0,42.0,6.19,48.19,1.0,45.24,1.95,0.56,0.3967,0,0,0,0,2022-09-28
RX0000005900,MBR00000162,2021-11-08,2021-11-10,1433266286,1599925693,PLN1869,216155,PCN673,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,10,Specialty,0,0,0,151.67,27.73,179.39,31.0,148.39,0.0,26.0,18.4167,0,0,0,0,2021-11-15
RX0000005901,MBR00000162,2023-05-21,2023-05-24,1130623868,1197845334,PLN9723,476219,PCN781,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,4,Retail,2,0,0,14.0,4.43,18.43,3.0,14.5,0.93,0.56,0.3967,0,0,0,0,2023-06-20
RX0000005902,MBR00000162,2023-04-18,2023-04-21,1226916026,1382573856,PLN4848,151797,PCN184,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,92,2,Mail Order,0,0,0,855.0,8.8,863.8,32.0,798.28,33.52,11.4,8.075,0,0,0,0,2023-07-17
RX0000005903,MBR00000162,2021-06-16,2021-06-20,1265384528,1687402738,PLN5924,813706,PCN524,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,8,Retail,0,0,0,285.0,11.98,296.98,36.0,243.07,17.91,11.4,8.075,0,0,0,0,2021-07-16
RX0000005904,MBR00000162,2021-12-04,2021-12-05,1803172442,1197106309,PLN8390,582907,PCN908,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,85,1,LTC,0,1,0,24.0,8.52,32.52,149.0,0.0,2.07,0.32,0.2267,0,0,0,0,2022-03-04
RX0000005905,MBR00000162,2021-05-22,2021-05-25,1830728693,1514167886,PLN5302,673663,PCN781,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,2,Retail,2,0,0,18.0,7.37,25.37,2.0,21.67,1.7,0.72,0.51,0,0,0,0,2021-06-21
RX0000005906,MBR00000162,2021-11-01,2021-11-02,1489577537,1512097701,PLN6037,898324,PCN863,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,90,8,Retail,0,0,0,48.0,5.72,53.72,4.0,47.81,1.91,0.64,0.4533,0,0,0,0,2022-01-30
RX0000005907,MBR00000162,2023-03-28,2023-03-30,1480216295,1805241446,PLN7854,908129,PCN443,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,54,10,Retail,1,0,0,20.0,5.06,25.06,0.0,23.71,1.35,0.4,0.2833,0,0,0,0,2023-05-27
RX0000005908,MBR00000162,2021-03-05,2021-03-09,1972162437,1745952620,PLN2910,754646,PCN221,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,5,Mail Order,0,0,0,22.0,7.99,29.99,71.0,0.0,2.01,0.88,0.6233,1,0,0,0,2021-04-04
RX0000005909,MBR00000162,2022-08-23,2022-08-26,1845602704,1593710716,PLN1520,975193,PCN482,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,5,Mail Order,0,0,0,9.0,6.38,15.38,3.0,11.89,0.49,0.36,0.255,0,0,0,0,2022-09-22
RX0000005910,MBR00000162,2021-08-12,2021-08-14,1917172894,1425044883,PLN2224,774516,PCN650,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,89,3,Retail,0,0,0,42.0,9.35,51.35,8.0,40.96,2.39,0.56,0.3967,0,0,0,0,2021-11-10
RX0000005911,MBR00000162,2021-12-27,2021-12-28,1161151224,1122551082,PLN4164,868195,PCN201,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,10,Retail,2,0,0,320.0,10.03,330.03,34.0,273.48,22.55,12.8,9.0667,0,0,0,0,2022-01-26
RX0000005912,MBR00000163,2023-09-28,2023-09-30,1595603402,1558551953,PLN7729,274258,PCN749,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Retail,0,0,0,38.0,8.18,46.18,4.0,39.03,3.15,1.52,1.0767,0,0,0,0,2023-10-28
RX0000005913,MBR00000163,2022-05-07,2022-05-10,1501964660,1226828580,PLN7954,306926,PCN583,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,2,Retail,0,0,0,380.0,3.31,383.31,36.0,333.86,13.45,15.2,10.7667,0,0,0,0,2022-06-06
RX0000005914,MBR00000163,2022-10-31,2022-11-02,1816061050,1779410710,PLN9623,591195,PCN486,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,91,2,Retail,0,1,0,25500.0,2.67,25502.67,149.0,24216.29,1137.38,340.0,240.8333,0,0,0,0,2023-01-29
RX0000005915,MBR00000163,2021-11-04,2021-11-05,1213492334,1312147318,PLN3995,880879,PCN868,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,7,Retail,2,1,0,6200.0,1.84,6201.84,148.0,5679.9,373.94,248.0,175.6667,0,0,0,0,2021-12-04
RX0000005916,MBR00000163,2022-10-12,2022-10-14,1276364647,1932237702,PLN9348,328275,PCN982,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,3,Retail,0,0,0,6.53,11.39,17.92,8.0,9.2,0.72,1.12,0.7933,0,0,0,0,2022-10-19
RX0000005917,MBR00000163,2022-01-30,2022-02-01,1893994233,1398113266,PLN3157,950711,PCN376,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,9,Retail,0,0,0,10.0,5.26,15.26,7.0,7.75,0.51,0.4,0.2833,0,0,0,0,2022-03-01
RX0000005918,MBR00000163,2022-11-19,2022-11-21,1490039523,1346926211,PLN4047,387687,PCN214,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,4,Retail,0,0,0,54.0,2.43,56.43,33.0,20.65,2.78,0.72,0.51,0,0,0,0,2023-02-17
RX0000005919,MBR00000163,2022-09-07,2022-09-10,1433581249,1599514708,PLN8178,591710,PCN399,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,86,8,Retail,2,0,0,135.0,7.26,142.26,10.0,125.37,6.89,1.8,1.275,0,1,0,0,2022-12-06
RX0000005920,MBR00000163,2021-04-09,2021-04-11,1854072362,1209097057,PLN5444,923553,PCN441,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,2,Retail,0,0,0,10.0,3.3,13.3,5.0,7.39,0.91,0.4,0.2833,0,0,0,0,2021-05-09
RX0000005921,MBR00000163,2021-11-20,2021-11-22,1609679007,1473203061,PLN3295,692255,PCN210,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,8,Retail,0,0,0,14.0,10.13,24.13,8.0,14.7,1.43,0.56,0.3967,0,0,0,0,2021-12-20
RX0000005922,MBR00000163,2021-11-11,2021-11-12,1214713145,1256048390,PLN3395,315082,PCN414,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,6,Retail,0,0,0,7.5,3.37,10.87,4.0,6.44,0.43,0.3,0.2125,0,0,0,0,2021-12-11
RX0000005923,MBR00000163,2021-07-22,2021-07-23,1484053396,1431333003,PLN1258,619808,PCN842,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,11,LTC,0,0,0,22.0,6.62,28.62,74.0,0.0,1.86,0.88,0.6233,0,0,0,0,2021-08-21
RX0000005924,MBR00000163,2023-12-29,2023-12-30,1598336333,1117680277,PLN4227,239110,PCN881,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,9,Retail,0,1,0,6200.0,3.45,6203.45,152.0,5694.27,357.18,248.0,175.6667,0,0,0,0,2024-01-28
RX0000005925,MBR00000163,2021-09-24,2021-09-26,1339061718,1870101835,PLN1898,114170,PCN533,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,82,10,Retail,0,1,0,24.0,3.74,27.74,145.0,0.0,1.3,0.32,0.2267,0,0,0,0,2021-12-23
RX0000005926,MBR00000164,2023-02-21,2023-02-23,1408323205,1806654493,PLN4760,145675,PCN681,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,8,Mail Order,0,0,0,77.0,9.51,86.51,39.0,44.31,3.2,13.2,9.35,0,0,0,0,2023-02-28
RX0000005927,MBR00000164,2022-01-09,2022-01-12,1508335865,1287946242,PLN3949,222985,PCN210,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,55,11,Retail,0,1,0,12400.0,9.41,12409.41,146.0,11808.86,454.55,248.0,175.6667,0,0,0,0,2022-03-10
RX0000005928,MBR00000164,2021-09-21,2021-09-22,1785842384,1987140679,PLN7812,407717,PCN210,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,98,11,Mail Order,1,0,0,2850.0,11.88,2861.88,34.0,2707.68,120.2,38.0,26.9167,0,1,1,0,2021-12-20
RX0000005929,MBR00000164,2022-08-02,2022-08-05,1208873050,1881086354,PLN1904,263813,PCN517,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,11,Retail,0,1,0,8500.0,7.21,8507.21,146.0,7986.22,374.99,340.0,240.8333,0,0,0,0,2022-09-01
RX0000005930,MBR00000164,2023-01-16,2023-01-18,1744467315,1215194979,PLN4023,702432,PCN375,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,4,Retail,0,0,0,10.0,3.85,13.85,0.0,13.15,0.7,0.4,0.2833,0,0,0,0,2023-02-15
RX0000005931,MBR00000164,2023-05-04,2023-05-07,1353657791,1274283830,PLN4883,443680,PCN922,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,8,Retail,0,0,0,45.0,10.14,55.14,7.0,45.66,2.48,1.8,1.275,0,0,0,0,2023-06-03
RX0000005932,MBR00000164,2021-04-27,2021-04-28,1886551619,1554699700,PLN4464,591222,PCN974,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,1,Mail Order,0,0,0,750.0,2.69,752.69,31.0,680.4,41.29,30.0,21.25,0,0,0,0,2021-05-27
RX0000005933,MBR00000164,2022-01-24,2022-01-26,1979074898,1331359123,PLN8718,493058,PCN526,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,6,Mail Order,0,1,0,2800.0,6.19,2806.19,145.0,2568.64,92.55,112.0,79.3333,0,0,0,0,2022-02-23
RX0000005934,MBR00000164,2023-12-13,2023-12-15,1131693970,1191344465,PLN1315,987797,PCN153,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,2,Retail,0,0,0,16.0,8.88,24.88,4.0,20.05,0.83,0.64,0.4533,0,0,0,0,2024-01-12
RX0000005935,MBR00000164,2021-06-06,2021-06-07,1359912093,1731863293,PLN8684,237265,PCN991,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,10,Mail Order,0,0,0,320.0,7.21,327.21,39.0,265.98,22.23,12.8,9.0667,0,0,0,0,2021-07-06
RX0000005936,MBR00000164,2022-07-03,2022-07-07,1446222579,1389872920,PLN7387,610937,PCN827,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,4,Specialty,0,0,0,10.0,11.94,21.94,4.0,17.94,0.0,0.4,0.2833,0,0,0,0,2022-08-02
RX0000005937,MBR00000164,2022-04-07,2022-04-08,1934823937,1594299336,PLN7802,201891,PCN430,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,82,6,Mail Order,0,1,0,36.0,8.84,44.84,146.0,0.0,2.19,0.48,0.34,0,1,1,0,2022-07-06
RX0000005938,MBR00000164,2021-04-22,2021-04-23,1266996680,1800545363,PLN2669,410941,PCN104,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,5,Retail,2,0,0,175.0,11.47,186.47,37.0,137.41,12.06,7.0,4.9583,1,0,0,0,2021-05-22
RX0000005939,MBR00000164,2022-05-04,2022-05-06,1983219760,1315950756,PLN5603,184137,PCN494,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,8,Mail Order,0,0,0,2.92,4.07,6.98,0.0,6.72,0.26,0.5,0.3542,0,0,0,0,2022-05-11
RX0000005940,MBR00000165,2022-02-21,2022-02-24,1350579156,1101447476,PLN8733,116215,PCN734,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,90,2,Retail,0,1,0,18600.0,2.89,18602.89,153.0,17199.27,1250.62,248.0,175.6667,1,0,0,0,2022-05-22
RX0000005941,MBR00000165,2023-01-29,2023-01-31,1165515536,1629215068,PLN7458,521919,PCN189,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,0,Retail,2,0,0,750.0,11.05,761.05,40.0,696.3,24.75,30.0,21.25,0,0,0,0,2023-02-28
RX0000005942,MBR00000165,2021-12-10,2021-12-12,1419732058,1217472496,PLN4477,131033,PCN396,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,85,0,Retail,0,0,0,22.5,3.92,26.42,5.0,19.95,1.47,0.3,0.2125,0,0,0,0,2022-03-10
RX0000005943,MBR00000165,2022-04-28,2022-05-02,1292343291,1338014989,PLN8507,494456,PCN655,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,4,Retail,0,0,0,2.1,9.11,11.21,4.0,6.77,0.44,0.36,0.255,0,0,0,0,2022-05-05
RX0000005944,MBR00000165,2022-07-18,2022-07-19,1669948007,1757628430,PLN4497,910143,PCN464,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,3,Mail Order,0,0,0,22.0,10.37,32.37,65.0,0.0,1.19,0.88,0.6233,0,0,0,0,2022-08-17
RX0000005945,MBR00000165,2023-02-10,2023-02-13,1105128122,1286430424,PLN3358,940889,PCN821,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,86,11,Mail Order,0,0,0,1950.0,7.19,1957.19,30.0,1806.28,120.91,26.0,18.4167,0,0,0,0,2023-05-11
RX0000005946,MBR00000165,2021-05-14,2021-05-16,1630900577,1593429616,PLN5841,813795,PCN890,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,1,Retail,0,0,0,12.0,1.81,13.81,0.0,13.29,0.52,0.48,0.34,0,0,0,0,2021-06-13
RX0000005947,MBR00000165,2023-12-19,2023-12-22,1681065380,1782795272,PLN4439,298924,PCN493,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,1,Mail Order,0,0,0,14.0,5.17,19.17,2.0,15.88,1.29,0.56,0.3967,0,0,0,0,2024-01-18
RX0000005948,MBR00000165,2023-07-05,2023-07-09,1905557127,1128521221,PLN4347,949937,PCN704,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,0,Retail,0,0,0,12.5,3.97,16.47,3.0,12.67,0.8,0.5,0.3542,0,0,0,0,2023-08-04
RX0000005949,MBR00000165,2021-04-05,2021-04-06,1455757230,1985450117,PLN4578,110028,PCN864,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,89,8,Retail,0,0,0,135.0,11.74,146.74,3.0,133.64,10.1,1.8,1.275,0,0,0,0,2021-07-04
RX0000005950,MBR00000165,2023-06-17,2023-06-19,1370149770,1246331479,PLN4911,534510,PCN322,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,9,Mail Order,0,0,0,2.33,11.05,13.39,1.0,11.94,0.45,0.4,0.2833,0,0,0,0,2023-06-24
RX0000005951,MBR00000165,2023-07-14,2023-07-17,1835751487,1315553450,PLN5935,267705,PCN420,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,94,9,Mail Order,0,0,0,2250.0,3.27,2253.27,32.0,2134.87,86.4,30.0,21.25,0,0,0,0,2023-10-12
RX0000005952,MBR00000165,2021-06-02,2021-06-06,1143047817,1298250586,PLN9224,293053,PCN434,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,9,Retail,0,0,0,38.0,10.48,48.48,5.0,40.28,3.2,1.52,1.0767,0,0,0,0,2021-07-02
RX0000005953,MBR00000165,2021-04-11,2021-04-15,1554893658,1611529166,PLN1158,350423,PCN169,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,11,Retail,0,0,0,950.0,6.52,956.52,35.0,888.06,33.46,38.0,26.9167,0,0,0,0,2021-05-11
RX0000005954,MBR00000165,2023-03-25,2023-03-28,1498473441,1324292912,PLN4228,768800,PCN569,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,2,Retail,0,0,0,10.0,4.06,14.06,0.0,13.09,0.97,0.4,0.2833,0,0,0,0,2023-04-24
RX0000005955,MBR00000165,2023-07-06,2023-07-07,1108845785,1184285726,PLN9159,735806,PCN627,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,95,2,Retail,0,0,0,27.0,9.87,36.87,7.0,28.2,1.67,0.36,0.255,0,0,0,0,2023-10-04
RX0000005956,MBR00000165,2021-09-05,2021-09-07,1402379349,1843761517,PLN2727,477825,PCN303,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,6,Retail,0,0,0,8.5,5.3,13.8,5.0,7.85,0.95,0.34,0.2408,0,0,0,0,2021-10-05
RX0000005957,MBR00000165,2022-04-13,2022-04-14,1470526991,1270739480,PLN7367,534492,PCN810,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,64,2,Retail,0,1,0,5600.0,2.83,5602.83,148.0,5241.74,213.09,112.0,79.3333,0,0,0,0,2022-06-12
RX0000005958,MBR00000165,2023-05-19,2023-05-23,1983291263,1367582343,PLN2411,309975,PCN672,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,11,Retail,0,0,0,72.33,5.57,77.9,31.0,44.3,2.6,12.4,8.7833,0,0,0,0,2023-05-26
RX0000005959,MBR00000165,2022-06-11,2022-06-15,1825011062,1679902465,PLN8712,468287,PCN578,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,0,Mail Order,0,0,0,15.0,11.72,26.72,4.0,20.93,1.79,0.6,0.425,0,0,0,0,2022-07-11
RX0000005960,MBR00000165,2023-10-06,2023-10-10,1757849682,1489995678,PLN4274,848295,PCN592,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,3,Retail,0,1,0,6200.0,4.98,6204.98,146.0,5757.67,301.31,248.0,175.6667,0,0,0,0,2023-11-05
RX0000005961,MBR00000165,2022-08-25,2022-08-27,1418755685,1858336768,PLN4431,755944,PCN383,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,5,Retail,0,0,0,14.0,8.96,22.96,5.0,16.62,1.34,0.56,0.3967,0,0,0,0,2022-09-24
RX0000005962,MBR00000165,2021-02-20,2021-02-21,1719549654,1899244100,PLN8091,124342,PCN103,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,5,Retail,0,0,0,9.0,10.93,19.93,3.0,15.7,1.23,0.36,0.255,0,0,0,0,2021-03-22
RX0000005963,MBR00000165,2022-10-21,2022-10-25,1654785015,1889346552,PLN8270,182607,PCN895,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,86,1,Retail,0,0,0,25.5,2.68,28.18,0.0,26.64,1.54,0.34,0.2408,0,0,0,0,2023-01-19
RX0000005964,MBR00000165,2021-12-12,2021-12-15,1665500292,1196519116,PLN3910,864239,PCN698,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,94,11,Retail,0,0,0,2250.0,10.76,2260.76,40.0,2083.45,137.31,30.0,21.25,0,0,0,0,2022-03-12
RX0000005965,MBR00000165,2023-12-04,2023-12-05,1546905595,1652796469,PLN5270,692919,PCN722,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,8,Retail,0,0,0,65.0,2.9,67.9,38.0,25.9,4.0,2.6,1.8417,0,0,0,0,2024-01-03
RX0000005966,MBR00000165,2021-01-29,2021-02-01,1292270104,1254225875,PLN6061,174278,PCN769,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,7,Specialty,0,0,1,12.0,17.53,29.53,3.0,26.53,0.0,0.48,0.34,0,0,0,0,2021-02-28
RX0000005967,MBR00000165,2023-04-22,2023-04-24,1400252299,1923514651,PLN8952,723093,PCN548,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,5,Retail,2,0,0,15.0,6.92,21.92,9.0,11.82,1.1,0.6,0.425,0,0,0,0,2023-05-22
RX0000005968,MBR00000165,2023-04-04,2023-04-06,1798637497,1834938751,PLN1921,789343,PCN307,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,750.0,11.07,761.07,34.0,685.65,41.42,30.0,21.25,0,0,0,0,2023-05-04
RX0000005969,MBR00000165,2021-03-03,2021-03-06,1480444106,1961253698,PLN1800,268886,PCN686,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,1,Retail,0,0,0,9.0,3.79,12.79,6.0,5.92,0.87,0.36,0.255,0,0,0,0,2021-04-02
RX0000005970,MBR00000165,2023-06-08,2023-06-11,1649429395,1600745905,PLN1592,155772,PCN364,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,10,Retail,0,0,0,750.0,9.6,759.6,32.0,704.65,22.95,30.0,21.25,0,0,0,0,2023-07-08
RX0000005971,MBR00000165,2022-09-17,2022-09-19,1417659476,1599289846,PLN9805,268137,PCN243,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,4,Retail,0,0,0,15.0,3.22,18.22,5.0,12.48,0.74,0.6,0.425,0,0,0,0,2022-10-17
RX0000005972,MBR00000166,2022-09-18,2022-09-21,1515161620,1780152049,PLN1458,253469,PCN953,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,10,Retail,0,0,0,1110.0,8.77,1118.77,38.0,1021.82,58.95,14.8,10.4833,1,0,0,0,2022-12-17
RX0000005973,MBR00000166,2023-08-03,2023-08-04,1687280194,1708170193,PLN2111,527498,PCN697,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,94,4,Retail,0,0,0,27.0,7.69,34.69,0.0,32.89,1.8,0.36,0.255,0,0,0,0,2023-11-01
RX0000005974,MBR00000166,2021-03-15,2021-03-18,1208857734,1523829362,PLN1590,267963,PCN497,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,2,Retail,0,0,0,15.0,6.85,21.85,5.0,15.68,1.17,0.6,0.425,0,0,0,0,2021-04-14
RX0000005975,MBR00000166,2023-11-27,2023-11-28,1578724067,1366808141,PLN3157,132209,PCN614,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,5,Mail Order,0,0,0,12.0,3.07,15.07,4.0,10.11,0.96,0.48,0.34,0,0,0,0,2023-12-27
RX0000005976,MBR00000166,2023-12-31,2024-01-02,1645574051,1794576679,PLN7351,441471,PCN368,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,2,Specialty,0,0,0,950.0,45.16,995.16,33.0,962.16,0.0,38.0,26.9167,1,0,0,0,2024-01-30
RX0000005977,MBR00000166,2022-03-30,2022-03-31,1232793898,1842088381,PLN1797,214492,PCN414,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,11,Retail,0,0,0,310.0,5.9,315.9,34.0,261.08,20.82,12.4,8.7833,0,0,0,0,2022-04-29
RX0000005978,MBR00000166,2022-09-08,2022-09-12,1541196886,1871610994,PLN5781,957439,PCN389,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,8,Retail,2,0,0,310.0,7.01,317.01,40.0,264.89,12.12,12.4,8.7833,0,0,0,0,2022-10-08
RX0000005979,MBR00000166,2021-09-12,2021-09-15,1698874626,1750389265,PLN5279,624013,PCN779,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,81,2,Mail Order,0,0,0,25.5,8.03,33.53,10.0,21.66,1.87,0.34,0.2408,0,0,0,0,2021-12-11
RX0000005980,MBR00000166,2022-11-02,2022-11-05,1822387855,1626576381,PLN2648,295351,PCN754,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,7,Retail,3,0,0,45.0,8.15,53.15,4.0,45.85,3.3,1.8,1.275,0,0,0,0,2022-12-02
RX0000005981,MBR00000166,2021-02-18,2021-02-21,1813390526,1994549389,PLN5426,522159,PCN997,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,6,Retail,0,0,0,28.0,10.66,38.66,0.0,36.51,2.15,1.12,0.7933,0,0,0,0,2021-03-20
RX0000005982,MBR00000166,2022-05-25,2022-05-26,1835046375,1341268003,PLN2729,185833,PCN414,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,91,10,Retail,0,0,0,1950.0,6.49,1956.49,36.0,1812.17,108.32,26.0,18.4167,0,0,0,0,2022-08-23
RX0000005983,MBR00000166,2023-03-09,2023-03-10,1554655123,1560478937,PLN6652,686953,PCN671,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,8,Retail,0,0,0,3.27,2.96,6.23,7.0,0.0,0.4,0.56,0.3967,0,0,0,0,2023-03-16
RX0000005984,MBR00000166,2022-05-12,2022-05-16,1460257347,1177463318,PLN7193,202311,PCN268,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,56,4,Mail Order,0,0,0,22.0,2.17,24.17,1.0,22.18,0.99,0.44,0.3117,0,1,0,0,2022-07-11
RX0000005985,MBR00000166,2021-06-28,2021-06-29,1742532557,1606676597,PLN7176,636675,PCN297,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,65,7,Retail,0,0,0,36.0,7.28,43.28,7.0,33.57,2.71,0.72,0.51,0,0,0,0,2021-08-27
RX0000005986,MBR00000166,2022-02-07,2022-02-11,1109084154,1459024420,PLN9947,382469,PCN674,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,87,7,Specialty,0,0,0,66.0,14.96,80.96,3.0,77.96,0.0,0.88,0.6233,1,0,0,0,2022-05-08
RX0000005987,MBR00000166,2023-10-30,2023-10-31,1212618100,1122515653,PLN8584,447835,PCN945,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,87,8,Retail,0,0,0,37.5,1.51,39.01,8.0,28.35,2.66,0.5,0.3542,0,0,0,0,2024-01-28
RX0000005988,MBR00000166,2023-03-31,2023-04-04,1472461937,1443534919,PLN6828,164773,PCN867,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,8,Mail Order,0,0,0,5.13,1.94,7.08,5.0,1.73,0.35,0.88,0.6233,0,0,0,0,2023-04-07
RX0000005989,MBR00000166,2023-04-10,2023-04-14,1339275145,1499107869,PLN2140,875543,PCN133,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,1,Retail,0,0,0,10.0,5.3,15.3,0.0,14.47,0.83,0.4,0.2833,0,0,0,0,2023-05-10
RX0000005990,MBR00000166,2021-10-22,2021-10-24,1524367982,1119176353,PLN3651,811875,PCN644,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,6,Retail,3,0,0,9.0,9.39,18.39,9.0,8.18,1.21,0.36,0.255,0,0,0,0,2021-11-21
RX0000005991,MBR00000166,2021-05-05,2021-05-09,1269494697,1946538195,PLN2747,931209,PCN297,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,8,Mail Order,0,0,0,10.0,8.12,18.12,0.0,17.17,0.95,0.4,0.2833,0,1,0,0,2021-06-04
RX0000005992,MBR00000166,2021-05-28,2021-05-30,1991421762,1167283536,PLN6304,746805,PCN666,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,98,0,Retail,0,0,1,36.0,11.54,47.54,9.0,35.81,2.73,0.48,0.34,0,0,0,0,2021-08-26
RX0000005993,MBR00000166,2021-01-06,2021-01-09,1911451449,1328664842,PLN2140,495309,PCN728,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,10,Retail,2,0,0,10.0,6.64,16.64,1.0,14.89,0.75,0.4,0.2833,0,0,0,0,2021-02-05
RX0000005994,MBR00000166,2023-07-30,2023-08-03,1364364708,1460005238,PLN2313,903239,PCN446,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,11,Retail,0,0,0,10.0,3.75,13.75,9.0,3.97,0.78,0.4,0.2833,0,0,0,0,2023-08-29
RX0000005995,MBR00000166,2022-11-19,2022-11-20,1458451686,1189364245,PLN5252,706896,PCN326,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,2,Mail Order,0,0,0,10.0,8.58,18.58,1.0,16.87,0.71,0.4,0.2833,0,0,0,0,2022-12-19
RX0000005996,MBR00000166,2023-08-12,2023-08-13,1489247452,1626969408,PLN1482,124218,PCN732,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,5,Retail,0,0,1,855.0,4.83,859.83,34.0,775.31,50.52,11.4,8.075,0,0,0,0,2023-11-10
RX0000005997,MBR00000166,2021-09-15,2021-09-18,1478628315,1317095460,PLN5237,893943,PCN428,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,95,11,Retail,0,0,0,27.0,6.39,33.39,1.0,30.27,2.12,0.36,0.255,0,0,0,0,2021-12-14
RX0000005998,MBR00000166,2022-09-05,2022-09-09,1370617584,1251377860,PLN9687,897111,PCN234,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,4,Mail Order,0,0,0,8.87,3.75,12.62,38.0,0.0,0.65,1.52,1.0767,0,0,0,0,2022-09-12
RX0000005999,MBR00000166,2023-09-04,2023-09-08,1748217979,1816437693,PLN2582,293720,PCN969,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,5,Retail,0,0,0,14.0,11.58,25.58,1.0,23.76,0.82,0.56,0.3967,0,0,0,0,2023-10-04
RX0000006000,MBR00000166,2022-04-27,2022-04-28,1425378816,1884807116,PLN1304,481654,PCN635,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,6,Mail Order,0,0,0,285.0,5.64,290.64,39.0,242.12,9.52,11.4,8.075,0,0,0,0,2022-05-27
RX0000006001,MBR00000166,2021-01-30,2021-02-03,1708432174,1359739526,PLN2169,797542,PCN197,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,9,Retail,0,0,0,7.5,11.26,18.76,1.0,16.54,1.22,0.3,0.2125,0,0,0,0,2021-03-01
RX0000006002,MBR00000166,2023-08-17,2023-08-18,1528963023,1667263352,PLN7723,990935,PCN298,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,9,Retail,0,0,0,12.0,11.68,23.68,0.0,22.18,1.5,0.48,0.34,0,1,0,0,2023-09-16
RX0000006003,MBR00000166,2021-02-11,2021-02-12,1275064864,1969281336,PLN3985,835292,PCN566,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,64,8,Mail Order,0,0,0,20.0,9.66,29.66,7.0,20.93,1.73,0.4,0.2833,0,0,0,0,2021-04-12
RX0000006004,MBR00000166,2021-04-08,2021-04-11,1302761049,1245418329,PLN8832,962765,PCN511,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,9,Mail Order,0,1,0,12.0,7.44,19.44,147.0,0.0,0.91,0.48,0.34,0,0,0,0,2021-05-08
RX0000006005,MBR00000167,2022-01-23,2022-01-26,1531095396,1926101130,PLN2890,929585,PCN685,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,5,Mail Order,0,0,0,2.8,2.32,5.12,0.0,4.78,0.34,0.48,0.34,0,0,0,0,2022-01-30
RX0000006006,MBR00000167,2021-12-13,2021-12-15,1764378536,1882329084,PLN7647,882968,PCN182,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,9,Retail,0,0,0,45.0,3.67,48.67,1.0,45.47,2.2,1.8,1.275,0,0,0,0,2022-01-12
RX0000006007,MBR00000167,2021-06-16,2021-06-20,1922030724,1924435030,PLN5217,811539,PCN268,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,98,2,Mail Order,0,0,0,66.0,11.62,77.62,8.0,64.8,4.82,0.88,0.6233,0,0,0,0,2021-09-14
RX0000006008,MBR00000167,2022-06-29,2022-07-02,1359249108,1621877458,PLN4146,244461,PCN113,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,10,Mail Order,1,0,0,2.33,2.24,4.57,0.0,4.3,0.27,0.4,0.2833,0,0,0,0,2022-07-06
RX0000006009,MBR00000167,2021-06-22,2021-06-26,1619610202,1957248976,PLN8360,912649,PCN580,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,1,Retail,2,0,0,320.0,5.47,325.47,32.0,278.19,15.28,12.8,9.0667,0,0,0,0,2021-07-22
RX0000006010,MBR00000167,2022-05-24,2022-05-28,1777826218,1536775948,PLN1366,953055,PCN102,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,97,9,Retail,0,0,0,42.0,7.11,49.11,8.0,38.03,3.08,0.56,0.3967,1,0,0,0,2022-08-22
RX0000006011,MBR00000167,2021-02-11,2021-02-14,1232756594,1472041953,PLN3724,576499,PCN873,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,7,Retail,2,0,0,480.0,5.89,485.89,36.0,430.02,19.87,19.2,13.6,0,0,0,0,2021-03-13
RX0000006012,MBR00000167,2023-11-22,2023-11-25,1960511127,1181099997,PLN9041,441962,PCN887,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,1,Retail,0,0,0,3.27,8.67,11.94,7.0,4.23,0.71,0.56,0.3967,0,0,0,0,2023-11-29
RX0000006013,MBR00000167,2022-10-16,2022-10-19,1935604026,1486977232,PLN2522,259189,PCN327,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,5,Mail Order,0,1,0,12.0,5.06,17.06,153.0,0.0,0.63,0.48,0.34,0,0,0,0,2022-11-15
RX0000006014,MBR00000167,2022-12-09,2022-12-11,1761287390,1989222728,PLN9626,959524,PCN955,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,1,Retail,3,0,0,10.0,7.09,17.09,8.0,8.55,0.54,0.4,0.2833,0,0,0,0,2023-01-08
RX0000006015,MBR00000167,2022-03-05,2022-03-07,1330461264,1684296837,PLN5021,997087,PCN447,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,6,Retail,0,0,0,650.0,2.16,652.16,40.0,585.36,26.8,26.0,18.4167,0,0,0,0,2022-04-04
RX0000006016,MBR00000167,2021-04-07,2021-04-09,1804567665,1112679514,PLN2416,242309,PCN557,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,98,4,Mail Order,0,0,0,42.0,3.76,45.76,1.0,42.33,2.43,0.56,0.3967,0,0,0,0,2021-07-06
RX0000006017,MBR00000167,2022-12-03,2022-12-07,1147762359,1699408925,PLN2007,394371,PCN139,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,6,Mail Order,0,0,0,2.8,4.52,7.32,0.0,6.85,0.47,0.48,0.34,0,0,0,0,2022-12-10
RX0000006018,MBR00000167,2023-10-03,2023-10-06,1671213114,1235137583,PLN4173,127897,PCN161,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,0,Retail,3,0,1,14.0,9.44,23.44,2.0,20.3,1.14,0.56,0.3967,0,0,0,0,2023-11-02
RX0000006019,MBR00000167,2021-03-14,2021-03-18,1351430406,1452092040,PLN3119,360826,PCN335,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,9,Mail Order,2,1,0,1983.33,8.81,1992.14,149.0,1748.16,94.98,340.0,240.8333,0,1,1,0,2021-03-21
RX0000006020,MBR00000167,2022-06-28,2022-07-01,1452610913,1213448854,PLN7160,633799,PCN104,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,93,10,Retail,0,0,0,195.0,8.24,203.24,40.0,151.47,11.77,2.6,1.8417,0,0,0,0,2022-09-26
RX0000006021,MBR00000167,2021-08-02,2021-08-03,1179296031,1579175060,PLN7553,402017,PCN126,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,87,0,Mail Order,1,0,0,135.0,9.15,144.15,5.0,132.74,6.41,1.8,1.275,0,0,0,0,2021-10-31
RX0000006022,MBR00000167,2021-07-12,2021-07-14,1218761457,1774771632,PLN2722,810259,PCN408,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,1,Retail,0,0,0,10.0,6.02,16.02,0.0,15.47,0.55,0.4,0.2833,0,0,0,0,2021-08-11
RX0000006023,MBR00000167,2021-06-14,2021-06-15,1315281617,1180587596,PLN7754,323517,PCN207,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,86,11,Retail,2,0,0,22.5,5.56,28.06,1.0,25.59,1.47,0.3,0.2125,0,0,0,0,2021-09-12
RX0000006024,MBR00000167,2023-05-23,2023-05-24,1985153853,1731384709,PLN9086,190565,PCN526,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,10,Retail,0,0,0,40.83,10.14,50.97,30.0,18.71,2.26,7.0,4.9583,0,0,0,0,2023-05-30
RX0000006025,MBR00000167,2022-05-27,2022-05-29,1366265930,1188129702,PLN6860,309405,PCN607,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,9,Retail,0,1,0,6200.0,5.23,6205.23,147.0,5719.86,338.37,248.0,175.6667,1,0,0,0,2022-06-26
RX0000006026,MBR00000167,2021-08-05,2021-08-09,1831147693,1261065487,PLN2128,516668,PCN159,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,9,Retail,0,0,0,1440.0,10.46,1450.46,39.0,1330.86,80.6,19.2,13.6,0,0,0,0,2021-11-03
RX0000006027,MBR00000167,2022-01-18,2022-01-21,1621332873,1384886923,PLN5053,221671,PCN269,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,7,Retail,0,0,0,14.0,8.19,22.19,8.0,12.78,1.41,0.56,0.3967,0,0,0,0,2022-02-17
RX0000006028,MBR00000167,2023-12-11,2023-12-12,1341466045,1552470250,PLN9028,167117,PCN599,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,2,Retail,0,0,0,9.0,1.82,10.82,0.0,10.14,0.68,0.36,0.255,0,0,0,0,2024-01-10
RX0000006029,MBR00000167,2023-04-14,2023-04-18,1561831855,1483743839,PLN1194,932936,PCN799,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,0,Retail,0,0,0,2.33,7.03,9.36,7.0,1.9,0.46,0.4,0.2833,0,1,0,0,2023-04-21
RX0000006030,MBR00000167,2022-12-03,2022-12-06,1637712080,1309222257,PLN3784,503244,PCN598,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,3,Mail Order,2,0,0,380.0,3.89,383.89,30.0,333.88,20.01,15.2,10.7667,0,0,0,0,2023-01-02
RX0000006031,MBR00000167,2022-11-08,2022-11-10,1284546388,1971785770,PLN9917,284700,PCN682,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,3,Retail,3,0,0,3.27,6.13,9.39,6.0,2.86,0.53,0.56,0.3967,0,0,0,0,2022-11-15
RX0000006032,MBR00000167,2022-07-20,2022-07-22,1927595801,1144311171,PLN2050,134726,PCN957,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,91,10,Retail,0,0,0,1140.0,4.27,1144.27,34.0,1050.57,59.7,15.2,10.7667,0,0,0,0,2022-10-18
RX0000006033,MBR00000167,2022-01-23,2022-01-27,1214848256,1547003934,PLN9456,859888,PCN470,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,84,8,Retail,0,0,0,135.0,2.31,137.31,8.0,122.15,7.16,1.8,1.275,0,0,0,0,2022-04-23
RX0000006034,MBR00000167,2021-01-19,2021-01-20,1710275290,1245535770,PLN5991,424009,PCN654,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,98,2,Retail,0,1,0,36.0,3.02,39.02,145.0,0.0,2.55,0.48,0.34,0,0,0,0,2021-04-19
RX0000006035,MBR00000167,2022-03-27,2022-03-30,1285827150,1201180851,PLN7061,459162,PCN158,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,97,7,Mail Order,0,0,0,37.5,8.67,46.17,4.0,40.65,1.52,0.5,0.3542,0,0,0,0,2022-06-25
RX0000006036,MBR00000167,2021-07-19,2021-07-21,1500759747,1739472786,PLN4158,988067,PCN729,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,3,Retail,0,0,0,10.0,11.93,21.93,5.0,15.62,1.31,0.4,0.2833,1,0,0,0,2021-08-18
RX0000006037,MBR00000167,2021-07-24,2021-07-26,1600595729,1601522787,PLN9954,791678,PCN205,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,9,Retail,0,0,0,950.0,7.16,957.16,40.0,888.06,29.1,38.0,26.9167,0,0,0,0,2021-08-23
RX0000006038,MBR00000167,2021-12-01,2021-12-02,1643762018,1826141423,PLN1276,601037,PCN723,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,4,Retail,0,0,0,42.0,10.68,52.68,10.0,40.7,1.98,0.56,0.3967,0,0,0,0,2022-03-01
RX0000006039,MBR00000167,2023-11-09,2023-11-11,1825532279,1215123988,PLN3865,117944,PCN489,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,64,1,Specialty,0,0,0,25.0,33.57,58.57,4.0,54.57,0.0,0.5,0.3542,0,0,0,0,2024-01-08
RX0000006040,MBR00000167,2021-05-25,2021-05-27,1265118696,1332346105,PLN9013,900039,PCN540,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,2,Retail,0,1,0,6200.0,2.58,6202.58,149.0,5736.66,316.92,248.0,175.6667,0,0,0,0,2021-06-24
RX0000006041,MBR00000167,2022-07-10,2022-07-14,1835944945,1763866899,PLN2921,884692,PCN964,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,7,Retail,0,0,0,9.0,1.85,10.85,8.0,2.35,0.5,0.36,0.255,0,0,0,0,2022-08-09
RX0000006042,MBR00000167,2022-08-18,2022-08-22,1980023720,1653362001,PLN1518,234995,PCN890,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,0,Retail,0,0,0,330.0,7.21,337.21,30.0,294.31,12.9,13.2,9.35,0,0,0,0,2022-09-17
RX0000006043,MBR00000167,2023-01-24,2023-01-26,1687420740,1293589388,PLN5377,897339,PCN570,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,6,Retail,1,0,0,45.0,10.77,55.77,6.0,47.36,2.41,1.8,1.275,0,0,0,0,2023-02-23
RX0000006044,MBR00000167,2022-02-27,2022-03-03,1908580055,1952358408,PLN1324,629295,PCN710,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,88,5,Retail,0,0,0,2250.0,6.02,2256.02,34.0,2103.15,118.87,30.0,21.25,0,0,0,0,2022-05-28
RX0000006045,MBR00000167,2021-04-17,2021-04-20,1844678286,1199736656,PLN9686,608730,PCN982,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,64,7,Retail,2,0,0,30.0,4.16,34.16,7.0,26.05,1.11,0.6,0.425,0,0,0,0,2021-06-16
RX0000006046,MBR00000167,2021-01-09,2021-01-13,1459043391,1124036774,PLN4643,901096,PCN201,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,59,4,Retail,0,0,1,18.0,8.47,26.47,9.0,15.8,1.67,0.36,0.255,0,0,0,0,2021-03-10
RX0000006047,MBR00000167,2023-12-15,2023-12-17,1589378680,1237803373,PLN3293,171153,PCN643,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,58,1,Retail,0,1,0,17000.0,11.4,17011.4,153.0,16124.88,733.52,340.0,240.8333,0,0,0,0,2024-02-13
RX0000006048,MBR00000167,2023-01-16,2023-01-18,1814960875,1232133937,PLN8244,659158,PCN643,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,83,9,Retail,1,0,0,37.5,9.04,46.54,8.0,36.65,1.89,0.5,0.3542,0,0,0,0,2023-04-16
RX0000006049,MBR00000167,2021-03-05,2021-03-07,1817014697,1636202938,PLN1256,256236,PCN264,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,1,Retail,0,0,0,38.0,11.29,49.29,9.0,38.48,1.81,1.52,1.0767,0,0,0,0,2021-04-04
RX0000006050,MBR00000167,2023-06-17,2023-06-20,1242543530,1858782023,PLN3845,231984,PCN283,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,1,Specialty,0,0,0,380.0,38.12,418.12,35.0,383.12,0.0,15.2,10.7667,0,1,1,0,2023-07-17
RX0000006051,MBR00000167,2021-06-18,2021-06-19,1800387048,1841845458,PLN8562,886539,PCN764,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,89,1,Retail,0,0,0,1440.0,7.44,1447.44,37.0,1366.95,43.49,19.2,13.6,0,0,0,0,2021-09-16
RX0000006052,MBR00000167,2021-11-30,2021-12-04,1575233554,1803236830,PLN5742,460241,PCN902,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,58,9,Retail,0,0,0,17.0,3.54,20.54,3.0,16.61,0.93,0.34,0.2408,0,0,0,0,2022-01-29
RX0000006053,MBR00000167,2023-03-04,2023-03-06,1723631042,1365881012,PLN5571,287590,PCN463,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,92,1,Retail,0,0,0,30.0,1.77,31.77,0.0,30.39,1.38,0.4,0.2833,0,0,0,0,2023-06-02
RX0000006054,MBR00000167,2023-02-11,2023-02-12,1253205674,1713832168,PLN2128,395944,PCN239,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,96,3,Retail,0,1,0,25500.0,3.75,25503.75,152.0,24131.38,1220.37,340.0,240.8333,0,0,0,0,2023-05-12
RX0000006055,MBR00000167,2023-01-03,2023-01-05,1938265755,1859864711,PLN2419,272978,PCN468,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,2,Retail,0,0,0,650.0,3.26,653.26,30.0,601.83,21.43,26.0,18.4167,0,0,0,0,2023-02-02
RX0000006056,MBR00000167,2023-10-18,2023-10-20,1645444294,1957218607,PLN2402,704594,PCN602,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,4,Retail,0,0,0,15.0,11.23,26.23,5.0,20.26,0.97,0.6,0.425,0,0,0,0,2023-11-17
RX0000006057,MBR00000167,2023-08-22,2023-08-26,1733551981,1401218436,PLN4542,396632,PCN737,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,62,3,Retail,2,1,0,24.0,1.76,25.76,154.0,0.0,1.24,0.48,0.34,1,0,0,0,2023-10-21
RX0000006058,MBR00000167,2021-03-30,2021-03-31,1730071003,1286441360,PLN5090,198939,PCN945,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,6,Retail,0,0,0,28.0,6.38,34.38,9.0,23.49,1.89,1.12,0.7933,0,0,0,0,2021-04-29
RX0000006059,MBR00000167,2022-10-20,2022-10-24,1422457392,1861724943,PLN3612,874940,PCN429,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,5,Mail Order,0,0,0,9.0,4.7,13.7,4.0,9.12,0.58,0.36,0.255,1,0,0,0,2022-11-19
RX0000006060,MBR00000167,2021-05-10,2021-05-11,1438116585,1802724151,PLN2893,576166,PCN410,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,4,Retail,0,1,0,8500.0,1.83,8501.83,147.0,7832.3,522.53,340.0,240.8333,0,0,0,0,2021-06-09
RX0000006061,MBR00000167,2023-02-12,2023-02-14,1252720359,1507877753,PLN1654,729120,PCN381,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,5,Retail,0,0,0,12.0,2.23,14.23,4.0,9.43,0.8,0.48,0.34,0,0,0,0,2023-03-14
RX0000006062,MBR00000167,2023-02-03,2023-02-07,1744374514,1273552051,PLN9937,843019,PCN948,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,7,Mail Order,0,0,0,10.5,5.84,16.34,8.0,7.78,0.56,1.8,1.275,0,0,0,0,2023-02-10
RX0000006063,MBR00000167,2023-10-08,2023-10-11,1142744636,1560811940,PLN7699,697049,PCN226,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,3,Retail,0,0,0,10.0,5.75,15.75,8.0,6.71,1.04,0.4,0.2833,0,0,0,0,2023-11-07
RX0000006064,MBR00000167,2021-09-20,2021-09-21,1358559220,1542130233,PLN3664,345205,PCN306,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,0,Retail,0,0,0,2.1,8.23,10.33,7.0,2.74,0.59,0.36,0.255,0,0,0,0,2021-09-27
RX0000006065,MBR00000167,2023-03-17,2023-03-20,1245371978,1683972082,PLN4330,942981,PCN984,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,7,Retail,0,0,0,45.0,2.75,47.75,3.0,42.86,1.89,1.8,1.275,0,0,0,0,2023-04-16
RX0000006066,MBR00000167,2023-02-11,2023-02-12,1386876552,1171204270,PLN3227,461778,PCN271,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,9,Retail,0,0,0,77.0,2.1,79.1,30.0,44.85,4.25,13.2,9.35,0,0,0,0,2023-02-18
RX0000006067,MBR00000167,2022-01-13,2022-01-16,1387786420,1565834156,PLN7400,303157,PCN790,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,10,Specialty,0,1,0,2800.0,21.37,2821.37,145.0,2676.37,0.0,112.0,79.3333,0,0,0,0,2022-02-12
RX0000006068,MBR00000167,2022-11-23,2022-11-26,1405719091,1208521355,PLN5604,906978,PCN941,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,2,Retail,0,0,0,15.0,7.75,22.75,3.0,18.77,0.98,0.6,0.425,0,0,0,0,2022-12-23
RX0000006069,MBR00000167,2023-08-08,2023-08-09,1748162084,1442906344,PLN4848,326572,PCN764,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,94,8,Retail,0,0,0,30.0,4.28,34.28,2.0,30.46,1.82,0.4,0.2833,1,0,0,0,2023-11-06
RX0000006070,MBR00000168,2022-04-03,2022-04-05,1573919894,1469701839,PLN3819,683258,PCN969,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,1,Retail,1,0,0,10.0,11.41,21.41,6.0,14.44,0.97,0.4,0.2833,0,0,0,0,2022-05-03
RX0000006071,MBR00000168,2021-05-31,2021-06-01,1363366032,1234447690,PLN5533,624465,PCN506,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,84,8,Retail,0,0,0,66.0,8.58,74.58,66.0,5.44,3.14,0.88,0.6233,0,0,0,0,2021-08-29
RX0000006072,MBR00000168,2023-11-14,2023-11-18,1715483156,1420339478,PLN2279,239844,PCN350,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,2,Retail,0,1,0,12.0,1.83,13.83,145.0,0.0,0.65,0.48,0.34,0,0,0,0,2023-12-14
RX0000006073,MBR00000168,2022-11-22,2022-11-24,1828878751,1422725655,PLN8423,919500,PCN688,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,9,Specialty,0,0,0,380.0,42.43,422.43,36.0,386.43,0.0,15.2,10.7667,0,0,0,0,2022-12-22
RX0000006074,MBR00000168,2023-09-02,2023-09-03,1310988883,1860481249,PLN8702,700609,PCN310,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,94,9,Retail,0,0,0,135.0,4.28,139.28,5.0,125.34,8.94,1.8,1.275,0,0,0,0,2023-12-01
RX0000006075,MBR00000168,2021-08-13,2021-08-17,1356093839,1509213762,PLN8065,782948,PCN880,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,10,Retail,0,0,0,10.0,4.14,14.14,1.0,12.16,0.98,0.4,0.2833,0,0,0,0,2021-09-12
RX0000006076,MBR00000168,2021-02-15,2021-02-17,1880288053,1739313889,PLN4726,349161,PCN722,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,11,Retail,0,0,0,15.0,1.83,16.83,1.0,15.15,0.68,0.6,0.425,0,0,0,0,2021-03-17
RX0000006077,MBR00000168,2023-06-28,2023-07-01,1561625852,1552699274,PLN7052,231395,PCN669,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,2,Retail,0,0,0,36.0,6.02,42.02,6.0,34.41,1.61,0.48,0.34,0,0,0,0,2023-09-26
RX0000006078,MBR00000168,2023-12-21,2023-12-25,1345211003,1789441432,PLN2272,312578,PCN334,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,96,2,Retail,0,0,0,195.0,7.93,202.93,38.0,157.7,7.23,2.6,1.8417,0,0,0,0,2024-03-20
RX0000006079,MBR00000168,2022-08-05,2022-08-08,1316962821,1956159408,PLN2443,738085,PCN124,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,9,Retail,0,0,0,10.0,4.16,14.16,0.0,13.65,0.51,0.4,0.2833,0,0,0,0,2022-09-04
RX0000006080,MBR00000168,2022-03-03,2022-03-06,1736410173,1886180650,PLN6858,809278,PCN636,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,88,7,Mail Order,2,0,0,960.0,10.3,970.3,36.0,882.66,51.64,12.8,9.0667,0,0,0,0,2022-06-01
RX0000006081,MBR00000168,2021-11-03,2021-11-06,1426784664,1342354420,PLN5413,112589,PCN730,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,6,Retail,0,0,0,38.0,9.95,47.95,5.0,40.87,2.08,1.52,1.0767,0,0,0,0,2021-12-03
RX0000006082,MBR00000168,2023-11-10,2023-11-11,1173294473,1758085986,PLN9908,419704,PCN497,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,81,4,Mail Order,0,0,0,42.0,11.83,53.83,7.0,44.46,2.37,0.56,0.3967,0,0,0,0,2024-02-08
RX0000006083,MBR00000168,2022-01-20,2022-01-22,1868056497,1621262116,PLN9544,776560,PCN257,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,4,Retail,0,1,0,24.0,9.03,33.03,148.0,0.0,1.39,0.32,0.2267,0,0,0,0,2022-04-20
RX0000006084,MBR00000168,2023-03-28,2023-03-31,1832002735,1502078617,PLN6577,334233,PCN996,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,10,Retail,0,0,0,175.0,3.43,178.43,39.0,133.39,6.04,30.0,21.25,0,0,0,0,2023-04-04
RX0000006085,MBR00000168,2022-02-19,2022-02-21,1687905452,1622884481,PLN8511,316877,PCN519,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,59,0,Retail,0,0,0,660.0,8.42,668.42,34.0,602.06,32.36,13.2,9.35,0,0,0,0,2022-04-20
RX0000006086,MBR00000168,2021-05-09,2021-05-11,1591453471,1203850137,PLN8952,361609,PCN134,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,2,Retail,0,0,0,86.33,1.8,88.14,34.0,48.93,5.21,14.8,10.4833,0,0,0,0,2021-05-16
RX0000006087,MBR00000168,2021-08-10,2021-08-13,1171773729,1403301588,PLN5784,719942,PCN501,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,9,Mail Order,0,0,0,12.5,3.65,16.15,6.0,9.15,1.0,0.5,0.3542,0,0,0,0,2021-09-09
RX0000006088,MBR00000168,2021-05-13,2021-05-17,1328511337,1181611034,PLN1541,986626,PCN378,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,8,Retail,0,0,0,370.0,10.63,380.63,38.0,319.45,23.18,14.8,10.4833,0,0,0,0,2021-06-12
RX0000006089,MBR00000168,2022-10-04,2022-10-05,1806339194,1788372455,PLN6278,324480,PCN900,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,11,Mail Order,0,0,0,480.0,8.72,488.72,32.0,435.04,21.68,19.2,13.6,0,0,0,0,2022-11-03
RX0000006090,MBR00000168,2022-06-16,2022-06-17,1346739261,1258961971,PLN6739,244676,PCN239,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,58,8,Retail,0,0,0,20.0,3.66,23.66,2.0,20.92,0.74,0.4,0.2833,1,0,0,0,2022-08-15
RX0000006091,MBR00000168,2023-10-07,2023-10-08,1960015863,1190599481,PLN2668,474872,PCN711,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,3,Mail Order,0,0,0,38.0,10.3,48.3,32.0,14.51,1.79,1.52,1.0767,0,0,0,0,2023-11-06
RX0000006092,MBR00000168,2021-06-06,2021-06-07,1199576920,1171916887,PLN9782,299155,PCN850,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,5,Retail,0,0,0,15.0,9.27,24.27,6.0,17.38,0.89,0.6,0.425,1,0,0,0,2021-07-06
RX0000006093,MBR00000168,2021-02-11,2021-02-13,1686316410,1683089174,PLN9619,577862,PCN264,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,61,9,Retail,0,1,0,24.0,2.86,26.86,147.0,0.0,1.23,0.48,0.34,0,0,0,0,2021-04-12
RX0000006094,MBR00000168,2021-04-02,2021-04-03,1661805774,1529843924,PLN6336,780023,PCN116,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,7,Retail,0,0,0,310.0,9.64,319.64,39.0,270.79,9.85,12.4,8.7833,0,0,0,0,2021-05-02
RX0000006095,MBR00000168,2023-10-11,2023-10-14,1657917238,1910021921,PLN3378,365306,PCN417,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,59,5,Retail,0,1,0,12400.0,10.97,12410.97,151.0,11874.35,385.62,248.0,175.6667,0,0,0,0,2023-12-10
RX0000006096,MBR00000168,2023-03-28,2023-03-31,1523987352,1408612493,PLN2557,712377,PCN546,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,64,1,Retail,0,0,0,350.0,4.55,354.55,32.0,306.25,16.3,7.0,4.9583,0,0,0,0,2023-05-27
RX0000006097,MBR00000168,2021-10-12,2021-10-16,1946137231,1863116977,PLN3761,258041,PCN899,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,6,Retail,0,0,0,330.0,8.81,338.81,32.0,293.39,13.42,13.2,9.35,0,0,0,0,2021-11-11
RX0000006098,MBR00000168,2021-09-28,2021-09-29,1711495218,1474324371,PLN6213,461263,PCN634,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,96,1,Retail,0,0,0,30.0,10.95,40.95,6.0,32.24,2.71,0.4,0.2833,0,0,0,0,2021-12-27
RX0000006099,MBR00000168,2021-02-02,2021-02-04,1365747395,1477562647,PLN1296,516257,PCN741,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,4,Mail Order,0,0,0,38.0,9.83,47.83,5.0,39.72,3.11,1.52,1.0767,0,0,0,0,2021-03-04
RX0000006100,MBR00000168,2021-07-09,2021-07-13,1235109308,1556687805,PLN7083,470947,PCN356,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,7,Mail Order,0,0,0,16.0,11.46,27.46,8.0,17.59,1.87,0.64,0.4533,0,0,0,0,2021-08-08
RX0000006101,MBR00000168,2022-05-22,2022-05-25,1967927899,1183225231,PLN4607,302575,PCN197,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,54,10,Retail,0,0,0,20.0,10.33,30.33,0.0,29.0,1.33,0.4,0.2833,0,0,0,0,2022-07-21
RX0000006102,MBR00000168,2023-11-21,2023-11-25,1461639041,1196038868,PLN8421,496745,PCN958,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,1,Mail Order,0,1,0,2800.0,4.82,2804.82,152.0,2520.85,131.97,112.0,79.3333,0,0,0,0,2023-12-21
RX0000006103,MBR00000168,2023-07-22,2023-07-26,1307195506,1456957916,PLN9743,757705,PCN953,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,8,Retail,0,0,0,370.0,10.1,380.1,31.0,328.17,20.93,14.8,10.4833,0,0,0,0,2023-08-21
RX0000006104,MBR00000168,2022-08-25,2022-08-29,1238601326,1394221640,PLN7144,200137,PCN566,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,7,Mail Order,0,0,0,14.0,7.37,21.37,0.0,20.17,1.2,0.56,0.3967,0,0,0,0,2022-09-24
RX0000006105,MBR00000168,2023-02-03,2023-02-06,1930144917,1762113176,PLN3027,259322,PCN982,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,0,Retail,1,0,0,30.0,10.59,40.59,10.0,28.24,2.35,0.4,0.2833,0,0,0,0,2023-05-04
RX0000006106,MBR00000168,2021-02-22,2021-02-23,1328350896,1836056114,PLN4465,502060,PCN135,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,88,10,Retail,0,0,0,1950.0,4.61,1954.61,36.0,1802.45,116.16,26.0,18.4167,0,0,0,0,2021-05-23
RX0000006107,MBR00000168,2021-06-09,2021-06-12,1738244005,1440952415,PLN7827,157550,PCN412,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,64,1,Specialty,0,0,0,36.0,11.92,47.92,37.0,10.92,0.0,0.72,0.51,0,0,0,0,2021-08-08
RX0000006108,MBR00000168,2023-09-20,2023-09-22,1587469994,1928228175,PLN4278,911487,PCN298,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,0,Retail,0,0,0,12.5,2.95,15.45,4.0,10.78,0.67,0.5,0.3542,0,0,0,0,2023-10-20
RX0000006109,MBR00000168,2021-10-07,2021-10-08,1139664331,1577514540,PLN1992,134022,PCN715,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,8,Mail Order,0,0,0,380.0,6.48,386.48,34.0,339.5,12.98,15.2,10.7667,0,0,0,0,2021-11-06
RX0000006110,MBR00000168,2023-06-16,2023-06-20,1154002265,1640226494,PLN4178,250865,PCN280,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,96,10,Retail,0,1,0,36.0,11.52,47.52,150.0,0.0,1.82,0.48,0.34,0,0,0,0,2023-09-14
RX0000006111,MBR00000168,2021-07-27,2021-07-29,1181302902,1218485105,PLN2907,821452,PCN164,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,4,Retail,1,0,0,9.0,5.58,14.58,7.0,6.63,0.95,0.36,0.255,0,0,0,0,2021-08-26
RX0000006112,MBR00000168,2021-09-13,2021-09-17,1732175068,1450255086,PLN5262,775599,PCN930,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,86,3,Retail,0,0,0,36.0,11.23,47.23,10.0,35.36,1.87,0.48,0.34,0,0,0,0,2021-12-12
RX0000006113,MBR00000168,2023-04-11,2023-04-12,1519567210,1833548491,PLN3567,667926,PCN785,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,11,Retail,0,0,0,650.0,9.82,659.82,37.0,594.27,28.55,26.0,18.4167,0,0,0,0,2023-05-11
RX0000006114,MBR00000168,2021-04-28,2021-05-01,1454454544,1631817464,PLN6958,488223,PCN219,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,4,Retail,0,0,0,14.0,7.11,21.11,7.0,13.18,0.93,0.56,0.3967,0,0,0,0,2021-05-28
RX0000006115,MBR00000168,2022-07-09,2022-07-10,1113357873,1675302244,PLN2390,537162,PCN858,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,8,Mail Order,0,0,0,10.0,11.29,21.29,9.0,11.52,0.77,0.4,0.2833,0,0,0,0,2022-08-08
RX0000006116,MBR00000168,2021-01-23,2021-01-26,1476034978,1986624538,PLN6836,929448,PCN855,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,6,Retail,2,0,0,3.27,2.25,5.52,2.0,3.33,0.19,0.56,0.3967,0,0,0,0,2021-01-30
RX0000006117,MBR00000168,2021-08-08,2021-08-11,1144830691,1355844502,PLN8970,288878,PCN998,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,8,Specialty,0,0,0,310.0,37.11,347.11,30.0,317.11,0.0,12.4,8.7833,0,0,0,0,2021-09-07
RX0000006118,MBR00000168,2021-05-20,2021-05-21,1728555967,1180404298,PLN7253,380670,PCN283,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,56,4,Retail,0,0,0,32.0,4.25,36.25,6.0,28.92,1.33,0.64,0.4533,0,0,0,0,2021-07-19
RX0000006119,MBR00000168,2023-07-11,2023-07-15,1475875121,1104346458,PLN1945,352991,PCN232,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,9,Retail,0,0,0,45.0,10.44,55.44,5.0,48.24,2.2,1.8,1.275,0,0,0,0,2023-08-10
RX0000006120,MBR00000168,2023-09-28,2023-09-29,1677572117,1981023463,PLN5616,360045,PCN225,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,83,2,Mail Order,0,0,1,114.0,6.64,120.64,39.0,74.52,7.12,1.52,1.0767,0,0,0,0,2023-12-27
RX0000006121,MBR00000168,2022-09-19,2022-09-22,1343190023,1427611951,PLN4957,761041,PCN329,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,4,Retail,1,0,0,36.0,7.71,43.71,7.0,34.1,2.61,0.48,0.34,0,0,0,0,2022-12-18
RX0000006122,MBR00000169,2021-07-08,2021-07-09,1739528034,1324080796,PLN9460,796950,PCN622,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,8,Mail Order,0,1,0,1.87,8.5,10.37,151.0,0.0,0.44,0.32,0.2267,0,0,0,0,2021-07-15
RX0000006123,MBR00000169,2023-09-06,2023-09-09,1945284212,1827823077,PLN8546,191347,PCN765,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,1,Retail,0,0,0,195.0,3.02,198.02,32.0,155.34,10.68,2.6,1.8417,0,0,0,0,2023-12-05
RX0000006124,MBR00000169,2021-05-18,2021-05-21,1613517640,1928148559,PLN3260,960658,PCN988,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,10,Retail,0,0,0,11.0,9.18,20.18,5.0,14.21,0.97,0.44,0.3117,0,0,0,0,2021-06-17
RX0000006125,MBR00000169,2022-02-24,2022-02-27,1672928709,1157725852,PLN1217,223543,PCN890,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,57,3,Mail Order,0,0,0,660.0,6.01,666.01,38.0,585.22,42.79,13.2,9.35,0,0,0,0,2022-04-25
RX0000006126,MBR00000169,2023-09-14,2023-09-18,1168052479,1313760452,PLN6873,894492,PCN307,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,0,Retail,0,0,0,9.0,10.66,19.66,8.0,10.61,1.05,0.36,0.255,0,0,0,0,2023-10-14
RX0000006127,MBR00000169,2021-03-23,2021-03-26,1953285517,1388177828,PLN9953,163449,PCN511,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,3,Retail,0,0,0,66.5,6.51,73.01,39.0,30.99,3.02,11.4,8.075,0,0,0,0,2021-03-30
RX0000006128,MBR00000169,2021-09-21,2021-09-25,1909317610,1939489094,PLN6124,314498,PCN347,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,9,Retail,0,0,0,14.0,5.5,19.5,10.0,8.61,0.89,0.56,0.3967,0,0,0,0,2021-10-21
RX0000006129,MBR00000169,2022-06-17,2022-06-18,1474874035,1114654883,PLN8674,869027,PCN848,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,85,4,Retail,0,0,0,45.0,6.31,51.31,6.0,43.63,1.68,0.6,0.425,0,0,0,0,2022-09-15
RX0000006130,MBR00000169,2021-08-07,2021-08-11,1549744635,1807554869,PLN8337,849073,PCN214,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,85,9,Specialty,0,0,0,45.0,35.16,80.16,8.0,72.16,0.0,0.6,0.425,0,0,0,0,2021-11-05
RX0000006131,MBR00000169,2022-06-09,2022-06-13,1777084932,1415608512,PLN8080,527136,PCN187,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,5,Retail,3,0,0,11.0,9.22,20.22,8.0,11.4,0.82,0.44,0.3117,0,0,0,0,2022-07-09
RX0000006132,MBR00000169,2023-09-02,2023-09-03,1412913287,1509150816,PLN4268,418798,PCN547,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,320.0,7.55,327.55,36.0,277.28,14.27,12.8,9.0667,1,0,0,0,2023-10-02
RX0000006133,MBR00000169,2022-12-05,2022-12-07,1288849093,1339059434,PLN3501,270387,PCN849,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,5,Retail,0,0,0,11.0,11.43,22.43,7.0,14.55,0.88,0.44,0.3117,0,0,0,0,2023-01-04
RX0000006134,MBR00000169,2021-01-14,2021-01-18,1478949546,1127092779,PLN7189,579335,PCN538,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,95,2,Retail,0,0,0,42.0,6.39,48.39,7.0,38.04,3.35,0.56,0.3967,0,0,0,0,2021-04-14
RX0000006135,MBR00000169,2023-02-21,2023-02-23,1842419514,1881244059,PLN7157,388966,PCN388,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,9,Retail,0,1,0,6200.0,9.01,6209.01,150.0,5695.02,363.99,248.0,175.6667,0,0,0,0,2023-03-23
RX0000006136,MBR00000169,2022-09-29,2022-10-01,1738193294,1613802263,PLN7573,349009,PCN986,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,320.0,3.13,323.13,34.0,272.15,16.98,12.8,9.0667,0,0,0,0,2022-10-29
RX0000006137,MBR00000169,2021-03-04,2021-03-06,1776162974,1485208794,PLN6923,858309,PCN223,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,10,Retail,0,0,0,43.17,8.09,51.26,34.0,15.61,1.65,7.4,5.2417,0,0,0,0,2021-03-11
RX0000006138,MBR00000169,2021-10-28,2021-10-31,1726674334,1725566025,PLN1124,117854,PCN539,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,1,Retail,0,0,0,15.0,6.83,21.83,9.0,11.65,1.18,0.6,0.425,0,0,0,0,2021-11-27
RX0000006139,MBR00000169,2022-08-19,2022-08-21,1989507345,1856101979,PLN6429,254324,PCN774,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,1,Mail Order,0,0,0,7.5,4.26,11.76,9.0,2.07,0.69,0.3,0.2125,0,0,0,0,2022-09-18
RX0000006140,MBR00000169,2023-12-12,2023-12-14,1893857362,1945392085,PLN2556,451838,PCN338,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,93,10,Specialty,0,1,0,25500.0,31.74,25531.74,145.0,25386.74,0.0,340.0,240.8333,0,0,0,0,2024-03-11
RX0000006141,MBR00000169,2021-03-18,2021-03-22,1858048673,1297747405,PLN3924,608103,PCN238,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,7,Retail,0,0,0,11.0,11.87,22.87,3.0,18.67,1.2,0.44,0.3117,0,0,0,0,2021-04-17
RX0000006142,MBR00000169,2023-12-02,2023-12-06,1645174297,1869433352,PLN6661,187345,PCN169,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,7,LTC,0,0,0,10.0,9.04,19.04,4.0,14.01,1.03,0.4,0.2833,0,0,0,0,2024-01-01
RX0000006143,MBR00000169,2022-06-24,2022-06-25,1947887778,1834859649,PLN5590,917989,PCN959,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,91,4,Mail Order,0,0,0,525.0,3.67,528.67,36.0,470.39,22.28,7.0,4.9583,0,1,1,0,2022-09-22
RX0000006144,MBR00000169,2022-09-04,2022-09-05,1238963921,1499266198,PLN1651,320617,PCN543,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,7,Specialty,0,0,0,320.0,36.08,356.08,33.0,323.08,0.0,12.8,9.0667,1,0,0,0,2022-10-04
RX0000006145,MBR00000169,2021-02-09,2021-02-11,1471944169,1617345318,PLN2819,791598,PCN508,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,6,Retail,0,1,0,6200.0,7.85,6207.85,146.0,5703.77,358.08,248.0,175.6667,0,0,0,0,2021-03-11
RX0000006146,MBR00000169,2023-11-15,2023-11-16,1111465268,1963614411,PLN2129,680686,PCN742,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,89,9,Mail Order,1,0,0,54.0,8.41,62.41,3.0,55.14,4.27,0.72,0.51,1,0,0,0,2024-02-13
RX0000006147,MBR00000169,2022-07-28,2022-07-30,1673157199,1964321042,PLN5862,150595,PCN295,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,10,Retail,0,0,0,18.0,10.77,28.77,34.0,0.0,1.3,0.72,0.51,0,0,0,0,2022-08-27
RX0000006148,MBR00000170,2021-05-15,2021-05-18,1981447522,1783095529,PLN8897,728937,PCN966,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,97,0,LTC,0,0,0,36.0,8.78,44.78,6.0,36.23,2.55,0.48,0.34,0,0,0,0,2021-08-13
RX0000006149,MBR00000170,2023-06-17,2023-06-18,1760857861,1720196982,PLN4471,334972,PCN158,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,61,0,Mail Order,0,0,0,1900.0,2.0,1902.0,36.0,1733.28,132.72,38.0,26.9167,0,0,0,0,2023-08-16
RX0000006150,MBR00000170,2022-11-28,2022-12-01,1897991449,1756001709,PLN1502,304509,PCN211,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,95,9,Retail,1,0,0,1140.0,5.62,1145.62,39.0,1026.73,79.89,15.2,10.7667,0,1,1,0,2023-02-26
RX0000006151,MBR00000170,2021-10-04,2021-10-05,1313089139,1194167994,PLN9475,722307,PCN934,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,0,Retail,0,0,0,65.0,5.07,70.07,38.0,29.92,2.15,2.6,1.8417,0,0,0,0,2021-11-03
RX0000006152,MBR00000170,2023-08-28,2023-09-01,1595193629,1243933408,PLN6346,456427,PCN779,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,83,6,Retail,0,0,0,1950.0,9.58,1959.58,36.0,1808.23,115.35,26.0,18.4167,0,0,0,0,2023-11-26
RX0000006153,MBR00000170,2021-09-17,2021-09-19,1509939247,1405964141,PLN4063,326493,PCN480,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,11,Retail,0,0,0,3.27,5.82,9.09,8.0,0.64,0.45,0.56,0.3967,0,0,0,0,2021-09-24
RX0000006154,MBR00000170,2023-03-12,2023-03-16,1287504325,1412674745,PLN9594,449901,PCN715,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,9,Mail Order,0,0,0,2.33,8.63,10.96,4.0,6.5,0.46,0.4,0.2833,0,0,0,0,2023-03-19
RX0000006155,MBR00000170,2023-10-06,2023-10-07,1693082511,1248341217,PLN8950,180838,PCN434,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,60,8,Mail Order,0,0,0,740.0,4.3,744.3,32.0,668.28,44.02,14.8,10.4833,0,1,1,0,2023-12-05
RX0000006156,MBR00000170,2023-08-02,2023-08-04,1523146464,1329383109,PLN4618,838968,PCN365,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,1,Retail,0,0,0,28.0,4.2,32.2,10.0,20.22,1.98,1.12,0.7933,0,0,0,0,2023-09-01
RX0000006157,MBR00000170,2022-03-05,2022-03-06,1157934587,1755117903,PLN2387,708663,PCN960,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,11,Mail Order,0,0,0,18.0,9.73,27.73,7.0,18.93,1.8,0.72,0.51,0,0,0,0,2022-04-04
RX0000006158,MBR00000170,2021-01-28,2021-01-31,1347805239,1857973968,PLN6153,985626,PCN785,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,2,Mail Order,1,1,0,8500.0,8.1,8508.1,150.0,7920.31,437.79,340.0,240.8333,0,0,0,0,2021-02-27
RX0000006159,MBR00000170,2022-03-15,2022-03-18,1350634256,1826383763,PLN1934,372111,PCN488,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,61,10,Retail,3,0,0,90.0,6.52,96.52,7.0,83.91,5.61,1.8,1.275,0,0,0,0,2022-05-14
RX0000006160,MBR00000170,2022-02-09,2022-02-11,1666468783,1792274733,PLN1072,140644,PCN457,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,2,Retail,2,0,0,185.0,12.0,197.0,37.0,146.93,13.07,7.4,5.2417,0,0,0,0,2022-03-11
RX0000006161,MBR00000170,2021-11-08,2021-11-12,1234927808,1237961729,PLN4816,900790,PCN984,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,63,1,Retail,0,1,0,16.0,2.46,18.46,148.0,0.0,0.7,0.32,0.2267,0,0,0,0,2022-01-07
RX0000006162,MBR00000170,2022-07-21,2022-07-25,1996529513,1397086315,PLN8269,534483,PCN102,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,87,6,Mail Order,0,0,0,114.0,7.7,121.7,6.0,109.11,6.59,1.52,1.0767,0,0,0,0,2022-10-19
RX0000006163,MBR00000170,2023-06-22,2023-06-23,1986218057,1794700048,PLN8566,146181,PCN881,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,7,Retail,0,0,0,7.5,9.41,16.91,2.0,14.26,0.65,0.3,0.2125,0,0,0,0,2023-07-22
RX0000006164,MBR00000170,2022-12-03,2022-12-05,1247135412,1440192168,PLN2187,905235,PCN240,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,0,Retail,0,0,0,14.0,3.3,17.3,4.0,12.73,0.57,0.56,0.3967,0,0,0,0,2023-01-02
RX0000006165,MBR00000170,2022-09-05,2022-09-08,1439225950,1458027370,PLN4182,237253,PCN897,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,2,Retail,0,0,0,66.5,5.81,72.31,40.0,28.68,3.63,11.4,8.075,1,0,0,0,2022-09-12
RX0000006166,MBR00000170,2023-02-18,2023-02-22,1449112180,1998501055,PLN6943,219168,PCN987,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,56,10,Retail,0,0,0,660.0,6.82,666.82,33.0,593.48,40.34,13.2,9.35,0,0,0,0,2023-04-19
RX0000006167,MBR00000170,2021-07-13,2021-07-17,1104361600,1406877742,PLN6653,752620,PCN717,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,7,Retail,0,0,0,175.0,6.41,181.41,35.0,140.75,5.66,7.0,4.9583,0,1,1,0,2021-08-12
RX0000006168,MBR00000170,2023-01-28,2023-01-29,1798280773,1155962909,PLN9230,981128,PCN348,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,0,Retail,0,0,0,14.0,4.98,18.98,4.0,14.36,0.62,0.56,0.3967,0,0,0,0,2023-02-27
RX0000006169,MBR00000170,2022-11-21,2022-11-25,1834278865,1849240532,PLN2601,895779,PCN642,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,9,Retail,0,0,0,950.0,4.27,954.27,33.0,879.36,41.91,38.0,26.9167,0,0,0,0,2022-12-21
RX0000006170,MBR00000170,2022-09-17,2022-09-20,1903269807,1527697890,PLN8634,344943,PCN597,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,1,Retail,0,0,0,14.0,9.38,23.38,10.0,12.4,0.98,0.56,0.3967,0,0,0,0,2022-10-17
RX0000006171,MBR00000170,2022-05-25,2022-05-28,1102526735,1214665834,PLN5760,616322,PCN429,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,11,Mail Order,0,1,0,8.0,6.16,14.16,150.0,0.0,0.87,0.32,0.2267,0,0,0,0,2022-06-24
RX0000006172,MBR00000170,2023-11-22,2023-11-23,1394753895,1884288188,PLN9927,880134,PCN852,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,98,6,Retail,0,0,0,66.0,3.81,69.81,65.0,2.12,2.69,0.88,0.6233,0,0,0,0,2024-02-20
RX0000006173,MBR00000170,2022-10-07,2022-10-11,1868491119,1216426084,PLN9412,173862,PCN616,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,3,Specialty,0,0,0,18.0,10.76,28.76,1.0,27.76,0.0,0.72,0.51,0,0,0,0,2022-11-06
RX0000006174,MBR00000170,2022-11-27,2022-11-29,1684976968,1489942783,PLN6224,418716,PCN285,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,5,Retail,0,0,0,10.0,10.57,20.57,10.0,9.26,1.31,0.4,0.2833,0,0,0,0,2022-12-27
RX0000006175,MBR00000170,2021-01-11,2021-01-15,1550202940,1754729555,PLN9530,296418,PCN825,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,4,Mail Order,0,0,0,18.0,6.9,24.9,3.0,20.94,0.96,0.72,0.51,0,0,0,0,2021-02-10
RX0000006176,MBR00000170,2021-02-13,2021-02-17,1278532146,1797758941,PLN3924,430149,PCN218,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,8,Mail Order,0,0,0,320.0,4.76,324.76,30.0,280.26,14.5,12.8,9.0667,0,0,0,0,2021-03-15
RX0000006177,MBR00000170,2021-05-05,2021-05-07,1817724105,1373699552,PLN4828,858934,PCN952,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,750.0,3.63,753.63,31.0,686.22,36.41,30.0,21.25,0,0,0,0,2021-06-04
RX0000006178,MBR00000170,2021-07-24,2021-07-25,1234539796,1363310074,PLN6836,737169,PCN293,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,93,11,Specialty,2,0,0,66.0,49.15,115.15,1.0,114.15,0.0,0.88,0.6233,0,0,0,0,2021-10-22
RX0000006179,MBR00000170,2022-02-19,2022-02-20,1233723730,1958532766,PLN3895,126745,PCN167,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,5,Mail Order,0,1,0,653.33,10.53,663.86,155.0,483.34,25.52,112.0,79.3333,0,0,0,0,2022-02-26
RX0000006180,MBR00000170,2021-05-18,2021-05-19,1588348347,1460534051,PLN6355,796239,PCN504,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,7,Retail,0,0,0,11.0,5.8,16.8,10.0,6.15,0.65,0.44,0.3117,0,0,0,0,2021-06-17
RX0000006181,MBR00000170,2021-07-22,2021-07-25,1534084361,1583514468,PLN9907,525444,PCN777,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,5,Mail Order,0,1,0,8500.0,2.88,8502.88,151.0,7974.63,377.25,340.0,240.8333,0,0,0,0,2021-08-21
RX0000006182,MBR00000170,2022-02-11,2022-02-14,1115436035,1809094036,PLN2524,819717,PCN966,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,86,2,Retail,0,0,0,25.5,7.03,32.53,5.0,26.08,1.45,0.34,0.2408,0,0,0,0,2022-05-12
RX0000006183,MBR00000170,2022-01-16,2022-01-18,1823375737,1534771103,PLN5011,905099,PCN460,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,2,Retail,0,0,0,2.33,9.21,11.54,1.0,9.8,0.74,0.4,0.2833,0,0,0,0,2022-01-23
RX0000006184,MBR00000170,2021-12-22,2021-12-26,1545685170,1779869477,PLN3970,982665,PCN451,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,6,Retail,0,0,0,320.0,8.13,328.13,30.0,279.97,18.16,12.8,9.0667,0,0,0,0,2022-01-21
RX0000006185,MBR00000170,2022-06-12,2022-06-16,1707453639,1324474219,PLN2390,929518,PCN100,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,86,0,Mail Order,2,0,0,54.0,1.65,55.65,2.0,51.73,1.92,0.72,0.51,0,0,0,0,2022-09-10
RX0000006186,MBR00000170,2023-10-18,2023-10-21,1516721278,1623215542,PLN3503,954576,PCN748,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,6,Specialty,0,0,0,2.8,19.3,22.1,5.0,17.1,0.0,0.48,0.34,0,0,0,0,2023-10-25
RX0000006187,MBR00000170,2023-05-29,2023-06-02,1801690358,1562562693,PLN1901,835053,PCN773,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,65,3,Retail,0,0,0,570.0,4.83,574.83,35.0,520.97,18.86,11.4,8.075,0,0,0,0,2023-07-28
RX0000006188,MBR00000170,2023-11-16,2023-11-18,1671321063,1481963101,PLN5354,316112,PCN289,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Retail,0,0,0,38.0,8.97,46.97,3.0,41.85,2.12,1.52,1.0767,0,0,0,0,2023-12-16
RX0000006189,MBR00000170,2022-04-17,2022-04-19,1174452338,1977526463,PLN5434,664302,PCN249,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,6,Retail,0,0,0,3.27,11.85,15.12,5.0,9.21,0.91,0.56,0.3967,0,0,0,0,2022-04-24
RX0000006190,MBR00000170,2023-02-15,2023-02-18,1968480525,1454870931,PLN2980,355777,PCN383,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,2,Retail,0,0,0,65.0,10.4,75.4,38.0,33.8,3.6,2.6,1.8417,0,1,1,0,2023-03-17
RX0000006191,MBR00000170,2021-11-06,2021-11-08,1507639889,1988297254,PLN2178,219450,PCN282,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,10,Retail,0,0,0,18.0,10.01,28.01,9.0,17.82,1.19,0.72,0.51,0,0,0,0,2021-12-06
RX0000006192,MBR00000170,2023-05-12,2023-05-13,1253552411,1351555825,PLN8505,951629,PCN415,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,8,Retail,0,0,0,9.0,5.62,14.62,6.0,7.84,0.78,0.36,0.255,0,0,0,0,2023-06-11
RX0000006193,MBR00000170,2023-12-11,2023-12-12,1325595167,1459505851,PLN6182,945050,PCN492,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,9,Retail,0,0,0,7.5,10.09,17.59,1.0,15.59,1.0,0.3,0.2125,0,0,0,0,2024-01-10
RX0000006194,MBR00000170,2022-08-17,2022-08-18,1588783395,1903836217,PLN3552,800518,PCN240,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,83,4,Retail,0,1,0,8400.0,3.64,8403.64,155.0,7748.72,499.92,112.0,79.3333,0,0,0,0,2022-11-15
RX0000006195,MBR00000170,2023-04-21,2023-04-22,1677751014,1290706161,PLN9024,743614,PCN803,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,87,10,Retail,0,0,0,855.0,10.28,865.28,34.0,783.73,47.55,11.4,8.075,0,0,0,0,2023-07-20
RX0000006196,MBR00000170,2022-09-11,2022-09-12,1174498898,1971407164,PLN3942,157288,PCN101,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,96,0,Retail,0,0,0,30.0,1.6,31.6,1.0,29.43,1.17,0.4,0.2833,0,0,0,0,2022-12-10
RX0000006197,MBR00000170,2021-03-31,2021-04-04,1182231476,1382230099,PLN2175,314802,PCN618,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,1,Retail,0,0,0,2.57,2.62,5.18,3.0,1.87,0.31,0.44,0.3117,1,0,0,0,2021-04-07
RX0000006198,MBR00000170,2022-01-27,2022-01-30,1497498878,1713629629,PLN6784,992655,PCN116,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,3,Retail,0,0,0,175.0,4.67,179.67,31.0,138.48,10.19,7.0,4.9583,0,0,0,0,2022-02-26
RX0000006199,MBR00000170,2022-03-28,2022-04-01,1994624910,1836488442,PLN9022,897827,PCN163,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,2,Mail Order,0,0,0,40.83,10.79,51.62,34.0,15.74,1.88,7.0,4.9583,0,0,0,0,2022-04-04
RX0000006200,MBR00000170,2023-09-07,2023-09-09,1327410644,1185326062,PLN5743,982127,PCN947,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,11,Retail,0,0,0,9.0,6.77,15.77,5.0,10.04,0.73,0.36,0.255,0,0,0,0,2023-10-07
RX0000006201,MBR00000170,2022-04-27,2022-05-01,1879111994,1863062320,PLN4721,300698,PCN696,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,2,Specialty,2,0,0,12.0,48.33,60.33,4.0,56.33,0.0,0.48,0.34,0,0,0,0,2022-05-27
RX0000006202,MBR00000170,2022-01-04,2022-01-05,1600918395,1112972872,PLN4296,973712,PCN893,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,92,8,Retail,0,0,0,27.0,8.56,35.56,9.0,25.15,1.41,0.36,0.255,0,0,0,0,2022-04-04
RX0000006203,MBR00000170,2023-12-19,2023-12-20,1895666637,1290627281,PLN3826,833976,PCN792,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,2,Retail,0,0,0,22.0,11.92,33.92,68.0,0.0,2.21,0.88,0.6233,1,0,0,0,2024-01-18
RX0000006204,MBR00000170,2023-06-15,2023-06-16,1980577697,1825174092,PLN3538,321740,PCN591,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,0,Retail,0,0,0,480.0,3.21,483.21,40.0,419.33,23.88,19.2,13.6,0,0,0,0,2023-07-15
RX0000006205,MBR00000170,2023-10-02,2023-10-03,1104522596,1963962554,PLN4398,926246,PCN476,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,5,Retail,0,0,0,11.0,2.49,13.49,5.0,7.62,0.87,0.44,0.3117,0,0,0,0,2023-11-01
RX0000006206,MBR00000170,2023-12-19,2023-12-21,1518351786,1173049583,PLN8378,604632,PCN977,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,5,Retail,0,0,0,285.0,5.2,290.2,36.0,241.81,12.39,11.4,8.075,0,0,0,0,2024-01-18
RX0000006207,MBR00000171,2021-06-11,2021-06-13,1686956489,1299642755,PLN1935,432135,PCN600,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,1,Mail Order,1,0,0,18.0,2.2,20.2,36.0,0.0,0.74,0.72,0.51,0,0,0,0,2021-07-11
RX0000006208,MBR00000171,2021-10-27,2021-10-29,1179429823,1201995786,PLN2305,942025,PCN166,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,1,Mail Order,0,1,0,12.0,2.93,14.93,147.0,0.0,0.72,0.48,0.34,0,0,0,0,2021-11-26
RX0000006209,MBR00000171,2022-04-24,2022-04-26,1557048243,1641923502,PLN6117,381065,PCN897,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,91,6,Retail,0,0,0,42.0,6.94,48.94,0.0,47.38,1.56,0.56,0.3967,0,0,0,0,2022-07-23
RX0000006210,MBR00000171,2021-12-03,2021-12-07,1904391078,1296502522,PLN4854,816463,PCN369,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,54,6,Retail,0,0,0,1500.0,5.51,1505.51,30.0,1402.71,72.8,30.0,21.25,0,0,0,0,2022-02-01
RX0000006211,MBR00000171,2021-12-12,2021-12-13,1285253987,1401927784,PLN6480,387186,PCN437,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,9,Retail,0,0,0,30.0,10.73,40.73,7.0,32.25,1.48,0.4,0.2833,0,0,0,0,2022-03-12
RX0000006212,MBR00000171,2022-11-20,2022-11-22,1770522491,1519628137,PLN2504,524171,PCN543,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,95,2,Retail,0,0,0,1110.0,5.52,1115.52,30.0,1041.13,44.39,14.8,10.4833,0,0,0,0,2023-02-18
RX0000006213,MBR00000171,2022-12-28,2022-12-29,1158389201,1520707456,PLN4854,351080,PCN352,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,0,LTC,0,0,0,10.0,6.69,16.69,2.0,13.96,0.73,0.4,0.2833,0,0,0,0,2023-01-27
RX0000006214,MBR00000171,2021-01-29,2021-01-30,1888103966,1892724155,PLN6653,157546,PCN750,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,10,Retail,1,0,0,2.33,4.59,6.92,10.0,0.0,0.46,0.4,0.2833,0,0,0,0,2021-02-05
RX0000006215,MBR00000171,2021-07-30,2021-07-31,1392629053,1813904925,PLN1832,915683,PCN266,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,11,Mail Order,0,0,0,15.17,5.21,20.37,33.0,0.0,0.63,2.6,1.8417,0,0,0,0,2021-08-06
RX0000006216,MBR00000171,2023-03-03,2023-03-05,1995051602,1259782337,PLN2932,570037,PCN661,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,11,Retail,0,0,0,18.0,8.88,26.88,31.0,0.0,1.04,0.72,0.51,0,0,0,0,2023-04-02
RX0000006217,MBR00000171,2021-06-14,2021-06-18,1919657585,1945401938,PLN6874,155966,PCN101,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,5,Retail,3,0,0,370.0,11.21,381.21,34.0,323.09,24.12,14.8,10.4833,0,0,0,0,2021-07-14
RX0000006218,MBR00000171,2022-09-12,2022-09-14,1164865903,1584135124,PLN7575,624015,PCN552,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,11,Retail,0,0,0,2.8,5.09,7.89,0.0,7.38,0.51,0.48,0.34,1,0,0,0,2022-09-19
RX0000006219,MBR00000171,2022-04-19,2022-04-20,1502718043,1943165502,PLN9719,423119,PCN315,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,88,5,Retail,0,0,0,555.0,8.64,563.64,37.0,496.47,30.17,7.4,5.2417,0,1,1,0,2022-07-18
RX0000006220,MBR00000171,2023-09-21,2023-09-23,1488778195,1501158345,PLN9609,750882,PCN236,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,0,Retail,0,0,0,14.0,10.03,24.03,5.0,17.93,1.1,0.56,0.3967,0,0,0,0,2023-10-21
RX0000006221,MBR00000171,2022-12-02,2022-12-04,1372789739,1305256235,PLN5117,173250,PCN568,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,97,0,Retail,0,0,0,1110.0,6.81,1116.81,30.0,1045.57,41.24,14.8,10.4833,0,0,0,0,2023-03-02
RX0000006222,MBR00000171,2022-06-16,2022-06-18,1908636418,1875178988,PLN9986,947945,PCN950,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,89,0,Mail Order,0,1,0,25500.0,5.95,25505.95,147.0,23664.83,1694.12,340.0,240.8333,0,0,0,0,2022-09-14
RX0000006223,MBR00000171,2022-10-29,2022-11-01,1198396089,1195591715,PLN4924,490926,PCN740,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,1,Specialty,0,0,0,15.0,27.38,42.38,0.0,42.38,0.0,0.6,0.425,0,0,0,0,2022-11-28
RX0000006224,MBR00000171,2022-01-26,2022-01-30,1152140538,1703896554,PLN9841,659559,PCN778,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,5,Mail Order,3,0,1,380.0,4.97,384.97,30.0,337.64,17.33,15.2,10.7667,0,0,0,0,2022-02-25
RX0000006225,MBR00000171,2021-12-25,2021-12-27,1598191105,1297748963,PLN7803,369608,PCN272,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,8,Retail,0,0,0,65.0,4.07,69.07,30.0,35.67,3.4,2.6,1.8417,0,0,0,0,2022-01-24
RX0000006226,MBR00000171,2021-03-13,2021-03-17,1864831167,1175310687,PLN5351,292387,PCN720,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,63,4,Specialty,1,0,0,28.0,34.83,62.83,2.0,60.83,0.0,0.56,0.3967,0,0,0,0,2021-05-12
RX0000006227,MBR00000171,2022-11-02,2022-11-03,1251783106,1997317882,PLN4039,805151,PCN436,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,3,Mail Order,3,0,0,320.0,7.41,327.41,30.0,277.03,20.38,12.8,9.0667,1,0,0,0,2022-12-02
RX0000006228,MBR00000171,2021-03-31,2021-04-03,1906425244,1270934100,PLN8739,886364,PCN864,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,10,Retail,0,0,0,22.0,6.13,28.13,73.0,0.0,1.93,0.88,0.6233,0,0,0,0,2021-04-30
RX0000006229,MBR00000171,2021-03-31,2021-04-02,1646382907,1263898596,PLN5729,891125,PCN548,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,0,Mail Order,0,0,0,14.0,7.18,21.18,10.0,9.76,1.42,0.56,0.3967,0,0,0,0,2021-04-30
RX0000006230,MBR00000171,2022-02-28,2022-03-02,1566201239,1835318945,PLN4552,891383,PCN820,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,7,Mail Order,0,1,0,6200.0,10.45,6210.45,148.0,5782.63,279.82,248.0,175.6667,0,0,0,0,2022-03-30
RX0000006231,MBR00000171,2022-04-02,2022-04-03,1890630678,1396047315,PLN3991,845177,PCN100,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,94,11,Mail Order,0,0,0,42.0,8.38,50.38,6.0,41.36,3.02,0.56,0.3967,0,0,0,0,2022-07-01
RX0000006232,MBR00000171,2023-03-07,2023-03-11,1398228368,1274697233,PLN9774,783068,PCN470,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,98,1,Retail,0,0,0,30.0,5.92,35.92,3.0,31.12,1.8,0.4,0.2833,0,0,0,0,2023-06-05
RX0000006233,MBR00000171,2021-08-08,2021-08-12,1200655698,1880372484,PLN3595,730129,PCN694,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,0,Retail,0,1,0,8500.0,1.96,8501.96,145.0,7945.88,411.08,340.0,240.8333,0,0,0,0,2021-09-07
RX0000006234,MBR00000171,2023-03-28,2023-03-30,1485291824,1149044915,PLN3438,367291,PCN261,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,82,7,Retail,0,0,0,48.0,10.23,58.23,0.0,55.46,2.77,0.64,0.4533,0,0,0,0,2023-06-26
RX0000006235,MBR00000172,2023-06-22,2023-06-23,1262388839,1967074657,PLN6215,654950,PCN785,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,0,Retail,0,0,0,950.0,4.92,954.92,40.0,853.33,61.59,38.0,26.9167,0,0,0,0,2023-07-22
RX0000006236,MBR00000172,2022-05-18,2022-05-19,1405407415,1908740136,PLN4815,595617,PCN352,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,7,Retail,2,0,0,18.0,4.38,22.38,9.0,12.56,0.82,0.72,0.51,1,0,0,0,2022-06-17
RX0000006237,MBR00000172,2021-10-15,2021-10-17,1591805433,1789621321,PLN2819,101995,PCN938,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,11,Mail Order,2,0,0,18.0,1.69,19.69,8.0,11.06,0.63,0.72,0.51,0,0,0,0,2021-11-14
RX0000006238,MBR00000172,2021-04-27,2021-04-29,1423735694,1718123903,PLN1954,672871,PCN218,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,4,Retail,0,0,0,22.0,11.08,33.08,8.0,22.86,2.22,0.88,0.6233,0,0,0,0,2021-05-27
RX0000006239,MBR00000172,2023-05-15,2023-05-19,1242450162,1473920446,PLN1845,419988,PCN623,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,8,Retail,0,0,0,950.0,6.81,956.81,32.0,889.92,34.89,38.0,26.9167,0,0,0,0,2023-06-14
RX0000006240,MBR00000172,2022-04-27,2022-05-01,1877671262,1813052974,PLN1392,910781,PCN239,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,10,Retail,0,0,0,18.0,7.88,25.88,9.0,15.13,1.75,0.72,0.51,1,0,0,0,2022-05-27
RX0000006241,MBR00000172,2023-09-06,2023-09-09,1812313889,1311042017,PLN9075,987864,PCN563,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,55,9,Mail Order,0,0,0,76.0,7.67,83.67,30.0,48.58,5.09,1.52,1.0767,0,0,0,0,2023-11-05
RX0000006242,MBR00000172,2022-04-23,2022-04-27,1323714624,1762621370,PLN4914,151578,PCN165,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,96,5,Retail,0,0,0,2250.0,10.46,2260.46,30.0,2157.34,73.12,30.0,21.25,0,0,0,0,2022-07-22
RX0000006243,MBR00000172,2022-11-21,2022-11-22,1802238660,1928470830,PLN1398,303065,PCN444,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,91,2,Retail,3,0,0,66.0,9.87,75.87,1.0,69.86,5.01,0.88,0.6233,0,0,0,0,2023-02-19
RX0000006244,MBR00000172,2022-02-21,2022-02-23,1575099345,1934009228,PLN7331,785768,PCN385,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,84,6,Retail,0,0,0,30.0,5.24,35.24,9.0,24.22,2.02,0.4,0.2833,0,0,0,0,2022-05-22
RX0000006245,MBR00000172,2023-05-24,2023-05-28,1483444814,1960692452,PLN5008,879221,PCN445,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,7,Retail,0,0,0,22.0,7.44,29.44,66.0,0.0,1.84,0.88,0.6233,0,0,0,0,2023-06-23
RX0000006246,MBR00000172,2022-01-24,2022-01-25,1543848248,1533268953,PLN3187,417051,PCN108,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,9,Mail Order,0,0,0,330.0,9.86,339.86,40.0,279.64,20.22,13.2,9.35,0,0,0,0,2022-02-23
RX0000006247,MBR00000172,2023-08-19,2023-08-23,1339018462,1454926903,PLN3462,213965,PCN481,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,64,8,Retail,0,0,0,28.0,2.68,30.68,3.0,26.55,1.13,0.56,0.3967,0,0,0,0,2023-10-18
RX0000006248,MBR00000172,2023-02-19,2023-02-20,1281995415,1357456153,PLN5224,215055,PCN775,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,59,0,LTC,3,0,0,22.0,6.75,28.75,2.0,25.11,1.64,0.44,0.3117,0,0,0,0,2023-04-20
RX0000006249,MBR00000172,2023-11-22,2023-11-26,1917433223,1741358552,PLN3897,382352,PCN592,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,1,Retail,0,0,0,65.0,4.86,69.86,40.0,26.95,2.91,2.6,1.8417,0,0,0,0,2023-12-22
RX0000006250,MBR00000172,2021-12-17,2021-12-18,1856687886,1184080362,PLN1267,563595,PCN578,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,85,6,Retail,0,1,1,8400.0,10.94,8410.94,154.0,7695.2,561.74,112.0,79.3333,0,0,0,0,2022-03-17
RX0000006251,MBR00000172,2023-07-07,2023-07-11,1537556083,1325608885,PLN5198,639472,PCN977,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,4,Retail,0,0,0,2.1,6.28,8.38,0.0,8.11,0.27,0.36,0.255,0,0,0,0,2023-07-14
RX0000006252,MBR00000172,2023-06-09,2023-06-12,1219272989,1521179036,PLN4775,489823,PCN298,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,10,Mail Order,0,0,0,2.1,8.08,10.18,1.0,8.65,0.53,0.36,0.255,0,0,0,0,2023-06-16
RX0000006253,MBR00000172,2021-01-09,2021-01-10,1541648174,1604434326,PLN4275,241550,PCN128,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,86,7,Retail,0,0,0,555.0,4.08,559.08,37.0,489.36,32.72,7.4,5.2417,0,0,0,0,2021-04-09
RX0000006254,MBR00000172,2023-01-03,2023-01-06,1350583427,1271340307,PLN7477,893033,PCN895,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,5,Retail,0,0,0,320.0,6.65,326.65,39.0,267.52,20.13,12.8,9.0667,0,0,0,0,2023-02-02
RX0000006255,MBR00000172,2021-03-24,2021-03-28,1552610690,1951566238,PLN2874,841647,PCN216,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,1,Retail,0,0,0,12.0,7.3,19.3,4.0,14.35,0.95,0.48,0.34,0,1,0,0,2021-04-23
RX0000006256,MBR00000172,2022-07-28,2022-07-31,1988754313,1112971102,PLN3068,740962,PCN768,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,97,9,Retail,0,0,0,66.0,10.36,76.36,72.0,0.35,4.01,0.88,0.6233,0,0,0,0,2022-10-26
RX0000006257,MBR00000172,2022-11-12,2022-11-16,1403445888,1181946234,PLN3072,648133,PCN101,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,2,LTC,0,0,0,370.0,3.84,373.84,33.0,321.7,19.14,14.8,10.4833,0,0,0,0,2022-12-12
RX0000006258,MBR00000172,2021-04-06,2021-04-10,1655055109,1878132109,PLN5179,372226,PCN336,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,97,6,Retail,0,0,0,48.0,8.17,56.17,8.0,45.52,2.65,0.64,0.4533,0,0,0,0,2021-07-05
RX0000006259,MBR00000172,2021-07-17,2021-07-19,1456758192,1776692773,PLN5234,447677,PCN229,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,0,Retail,0,0,0,175.0,4.47,179.47,36.0,135.96,7.51,7.0,4.9583,0,0,0,0,2021-08-16
RX0000006260,MBR00000172,2023-10-26,2023-10-29,1940690246,1769295297,PLN5977,756756,PCN516,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,7,Retail,0,0,0,750.0,5.82,755.82,33.0,696.11,26.71,30.0,21.25,0,0,0,0,2023-11-25
RX0000006261,MBR00000172,2023-04-06,2023-04-07,1771703903,1928281331,PLN2955,863680,PCN693,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,4,Retail,0,0,0,14.0,8.48,22.48,0.0,21.52,0.96,0.56,0.3967,0,0,0,0,2023-05-06
RX0000006262,MBR00000172,2021-07-08,2021-07-10,1427353817,1679634758,PLN8770,834640,PCN458,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,10,Specialty,0,0,0,11.0,45.87,56.87,6.0,50.87,0.0,0.44,0.3117,0,0,0,0,2021-08-07
RX0000006263,MBR00000172,2021-07-15,2021-07-17,1221331102,1617787599,PLN4303,732669,PCN295,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,6,Retail,0,0,0,12.5,8.07,20.57,3.0,16.79,0.78,0.5,0.3542,0,0,0,0,2021-08-14
RX0000006264,MBR00000172,2023-04-07,2023-04-09,1357927890,1499052688,PLN3860,757674,PCN598,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,98,1,Mail Order,3,0,0,36.0,8.75,44.75,2.0,39.71,3.04,0.48,0.34,0,0,0,0,2023-07-06
RX0000006265,MBR00000172,2021-11-06,2021-11-07,1873911258,1396588904,PLN8333,218512,PCN786,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,7,Retail,0,0,0,9.0,8.27,17.27,3.0,13.34,0.93,0.36,0.255,0,0,0,0,2021-12-06
RX0000006266,MBR00000172,2021-11-04,2021-11-05,1438246558,1288066936,PLN3434,937706,PCN695,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,98,4,Mail Order,0,0,0,1440.0,9.17,1449.17,36.0,1323.73,89.44,19.2,13.6,0,0,0,0,2022-02-02
RX0000006267,MBR00000172,2021-04-28,2021-04-29,1285018088,1550924248,PLN9761,606432,PCN586,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,61,4,Mail Order,0,1,0,16.0,3.9,19.9,155.0,0.0,1.08,0.32,0.2267,0,0,0,0,2021-06-27
RX0000006268,MBR00000172,2022-11-05,2022-11-07,1144184769,1993201179,PLN7379,337488,PCN159,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,5,Retail,0,0,0,221.67,11.71,233.37,36.0,185.32,12.05,38.0,26.9167,1,0,0,0,2022-11-12
RX0000006269,MBR00000172,2023-08-23,2023-08-24,1957317364,1135455305,PLN9557,251983,PCN932,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,3,Retail,0,0,0,11.0,6.16,17.16,4.0,12.2,0.96,0.44,0.3117,0,0,0,0,2023-09-22
RX0000006270,MBR00000172,2023-08-07,2023-08-11,1643519118,1804819770,PLN1899,878436,PCN677,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,83,10,Retail,0,1,0,25500.0,4.77,25504.77,151.0,24027.81,1325.96,340.0,240.8333,0,0,0,0,2023-11-05
RX0000006271,MBR00000172,2023-06-29,2023-07-01,1439985945,1665080694,PLN6519,787741,PCN504,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,4,Retail,0,0,0,45.0,5.65,50.65,8.0,40.3,2.35,1.8,1.275,0,0,0,0,2023-07-29
RX0000006272,MBR00000173,2022-06-21,2022-06-25,1562583577,1515654826,PLN4116,620905,PCN167,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,61,10,Mail Order,0,0,0,20.0,9.61,29.61,5.0,22.58,2.03,0.4,0.2833,0,0,0,0,2022-08-20
RX0000006273,MBR00000173,2022-05-17,2022-05-18,1731919701,1761035116,PLN5504,343193,PCN883,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,0,Mail Order,0,0,0,12.0,4.08,16.08,5.0,10.13,0.95,0.48,0.34,0,0,0,0,2022-06-16
RX0000006274,MBR00000173,2022-03-23,2022-03-27,1439970851,1900065169,PLN2578,734308,PCN199,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,2,Retail,0,0,0,175.0,11.43,186.43,38.0,142.69,5.74,7.0,4.9583,0,0,0,0,2022-04-22
RX0000006275,MBR00000173,2021-09-23,2021-09-26,1988127667,1361061430,PLN4203,453184,PCN952,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,6,Retail,0,0,0,380.0,5.41,385.41,32.0,330.68,22.73,15.2,10.7667,0,0,0,0,2021-10-23
RX0000006276,MBR00000173,2022-06-04,2022-06-07,1451012915,1641793443,PLN4161,876114,PCN726,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,6,LTC,1,0,0,22.0,3.83,25.83,69.0,0.0,1.38,0.88,0.6233,0,0,0,0,2022-07-04
RX0000006277,MBR00000173,2022-02-12,2022-02-13,1262997830,1222839497,PLN4626,425850,PCN295,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,55,7,Retail,0,0,0,20.0,8.28,28.28,1.0,25.57,1.71,0.4,0.2833,0,0,0,0,2022-04-13
RX0000006278,MBR00000173,2023-10-22,2023-10-25,1622773109,1261677374,PLN9877,730200,PCN680,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,8,Specialty,0,0,0,12.0,8.39,20.39,7.0,13.39,0.0,0.48,0.34,0,0,0,0,2023-11-21
RX0000006279,MBR00000173,2021-08-16,2021-08-20,1463923547,1144654126,PLN2108,532612,PCN116,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,2,Specialty,0,1,0,6200.0,10.02,6210.02,155.0,6055.02,0.0,248.0,175.6667,1,0,0,0,2021-09-15
RX0000006280,MBR00000173,2022-12-10,2022-12-14,1307352555,1776939760,PLN5658,523040,PCN552,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,55,9,Specialty,0,0,0,20.0,22.31,42.31,6.0,36.31,0.0,0.4,0.2833,0,0,0,0,2023-02-08
RX0000006281,MBR00000173,2021-02-06,2021-02-07,1324068488,1424632559,PLN4318,414976,PCN656,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,87,6,Mail Order,0,0,0,33.0,3.42,36.42,2.0,31.93,2.49,0.44,0.3117,0,1,0,0,2021-05-07
RX0000006282,MBR00000173,2021-08-09,2021-08-11,1818247170,1479727999,PLN7068,282325,PCN258,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,7,Mail Order,0,0,0,750.0,4.44,754.44,36.0,686.26,32.18,30.0,21.25,0,0,0,0,2021-09-08
RX0000006283,MBR00000173,2021-09-19,2021-09-21,1256435277,1718202412,PLN2068,640678,PCN789,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,0,Retail,0,0,0,175.0,11.26,186.26,34.0,139.23,13.03,7.0,4.9583,0,0,0,0,2021-10-19
RX0000006284,MBR00000173,2022-05-22,2022-05-23,1762108899,1336509870,PLN1773,618275,PCN103,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,4,Retail,0,0,0,18.0,5.8,23.8,10.0,12.2,1.6,0.72,0.51,0,0,0,0,2022-06-21
RX0000006285,MBR00000173,2021-02-20,2021-02-23,1321222289,1439085307,PLN9146,587849,PCN517,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,11,Retail,0,0,0,15.0,1.69,16.69,5.0,10.82,0.87,0.6,0.425,0,0,0,0,2021-03-22
RX0000006286,MBR00000173,2023-09-11,2023-09-12,1190457823,1266687063,PLN2642,258042,PCN103,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,6,Mail Order,2,0,0,14.0,6.62,20.62,0.0,19.91,0.71,0.56,0.3967,0,0,0,0,2023-10-11
RX0000006287,MBR00000173,2022-10-15,2022-10-16,1923664029,1591781556,PLN2350,114055,PCN781,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,6,Retail,0,0,0,750.0,9.66,759.66,36.0,691.23,32.43,30.0,21.25,0,0,0,0,2022-11-14
RX0000006288,MBR00000173,2023-07-28,2023-07-30,1950977363,1269229872,PLN8250,482274,PCN458,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,6,Retail,0,0,0,9.0,6.83,15.83,1.0,13.99,0.84,0.36,0.255,0,0,0,0,2023-08-27
RX0000006289,MBR00000173,2022-04-18,2022-04-19,1239432365,1960109738,PLN4234,461068,PCN653,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,89,8,Mail Order,2,0,0,54.0,11.43,65.43,1.0,60.49,3.94,0.72,0.51,0,0,0,0,2022-07-17
RX0000006290,MBR00000173,2021-09-24,2021-09-28,1617272349,1449029057,PLN6323,659036,PCN211,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,92,10,Retail,0,0,0,42.0,3.78,45.78,4.0,38.83,2.95,0.56,0.3967,0,0,0,0,2021-12-23
RX0000006291,MBR00000173,2022-05-01,2022-05-05,1424428533,1761063707,PLN2426,995265,PCN583,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,10,Mail Order,0,0,0,45.0,11.14,56.14,6.0,47.01,3.13,1.8,1.275,0,0,0,0,2022-05-31
RX0000006292,MBR00000173,2023-09-04,2023-09-06,1740248741,1573869221,PLN5979,718449,PCN905,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,94,7,Retail,0,1,0,25500.0,5.77,25505.77,148.0,24004.63,1353.14,340.0,240.8333,1,0,0,0,2023-12-03
RX0000006293,MBR00000173,2022-10-01,2022-10-03,1498885364,1349354203,PLN9202,660469,PCN281,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,6,Retail,0,0,0,480.0,10.24,490.24,39.0,422.76,28.48,19.2,13.6,0,0,0,0,2022-10-31
RX0000006294,MBR00000173,2022-10-08,2022-10-09,1409549733,1475829590,PLN2065,406677,PCN774,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,1,Retail,1,0,0,38.0,11.45,49.45,0.0,46.58,2.87,1.52,1.0767,0,0,0,0,2022-11-07
RX0000006295,MBR00000173,2021-02-12,2021-02-14,1670541651,1205527344,PLN7244,264416,PCN660,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,10,Mail Order,0,0,0,15.0,9.74,24.74,9.0,14.08,1.66,0.6,0.425,0,0,0,0,2021-03-14
RX0000006296,MBR00000174,2023-10-19,2023-10-21,1521078768,1426368562,PLN8875,461500,PCN958,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,2,Retail,0,0,0,45.0,4.72,49.72,2.0,44.26,3.46,1.8,1.275,0,0,0,0,2023-11-18
RX0000006297,MBR00000174,2023-08-19,2023-08-23,1172619052,1911300753,PLN8630,502296,PCN516,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,9,Mail Order,0,1,0,12.0,7.6,19.6,153.0,0.0,1.04,0.48,0.34,0,0,0,0,2023-09-18
RX0000006298,MBR00000174,2023-01-22,2023-01-25,1403723150,1106838819,PLN8099,918522,PCN109,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,96,6,LTC,2,0,0,33.0,3.7,36.7,1.0,33.78,1.92,0.44,0.3117,0,0,0,0,2023-04-22
RX0000006299,MBR00000174,2023-11-14,2023-11-17,1625770739,1718155708,PLN6220,718554,PCN204,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,9,Specialty,0,0,0,28.0,17.29,45.29,3.0,42.29,0.0,1.12,0.7933,0,0,0,0,2023-12-14
RX0000006300,MBR00000174,2021-10-30,2021-10-31,1973664127,1572572727,PLN6475,335851,PCN360,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,3,Specialty,3,0,0,18.0,34.98,52.98,3.0,49.98,0.0,0.72,0.51,1,0,0,0,2021-11-29
RX0000006301,MBR00000174,2021-10-25,2021-10-29,1255145052,1865141484,PLN4052,544177,PCN443,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,94,7,Mail Order,0,0,0,195.0,9.5,204.5,33.0,160.82,10.68,2.6,1.8417,0,0,0,0,2022-01-23
RX0000006302,MBR00000174,2022-04-13,2022-04-15,1291687077,1218778412,PLN9008,844180,PCN564,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,11,Mail Order,0,0,0,330.0,6.27,336.27,36.0,277.31,22.96,13.2,9.35,1,0,0,0,2022-05-13
RX0000006303,MBR00000174,2022-07-06,2022-07-09,1881284940,1132690104,PLN7460,599091,PCN537,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,93,4,Retail,0,1,0,36.0,2.84,38.84,154.0,0.0,1.8,0.48,0.34,0,0,0,0,2022-10-04
RX0000006304,MBR00000174,2022-08-22,2022-08-26,1191650923,1180658911,PLN1217,375341,PCN226,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,93,11,Retail,0,0,0,1440.0,4.02,1444.02,33.0,1323.2,87.82,19.2,13.6,0,0,0,0,2022-11-20
RX0000006305,MBR00000174,2021-10-11,2021-10-14,1155831566,1270272833,PLN9833,246972,PCN905,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,2,Retail,0,0,0,12.0,5.95,17.95,5.0,12.41,0.54,0.48,0.34,0,0,0,0,2021-11-10
RX0000006306,MBR00000174,2022-05-05,2022-05-08,1729859119,1713547725,PLN5798,142185,PCN542,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,9,Mail Order,0,0,0,11.0,3.03,14.03,8.0,5.54,0.49,0.44,0.3117,0,0,0,0,2022-06-04
RX0000006307,MBR00000174,2023-09-28,2023-09-30,1753647824,1743099535,PLN8169,637531,PCN677,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,3,Retail,0,0,0,22.0,8.17,30.17,6.0,22.25,1.92,0.88,0.6233,0,0,0,0,2023-10-28
RX0000006308,MBR00000174,2022-06-01,2022-06-02,1338378298,1455157461,PLN5921,488862,PCN736,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,11,Retail,0,0,0,8.87,4.73,13.59,8.0,4.68,0.91,1.52,1.0767,0,0,0,0,2022-06-08
RX0000006309,MBR00000174,2022-04-15,2022-04-17,1481769091,1375061759,PLN3730,190044,PCN431,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,8,Mail Order,0,0,0,65.0,8.25,73.25,30.0,38.84,4.41,2.6,1.8417,0,0,0,0,2022-05-15
RX0000006310,MBR00000174,2023-10-07,2023-10-11,1250653567,1712633463,PLN5629,945600,PCN271,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,57,3,Retail,0,0,0,18.0,5.24,23.24,5.0,17.25,0.99,0.36,0.255,0,0,0,0,2023-12-06
RX0000006311,MBR00000174,2022-06-21,2022-06-25,1244250671,1112477561,PLN5682,768392,PCN146,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,86,1,Mail Order,0,0,0,36.0,3.03,39.03,10.0,26.71,2.32,0.48,0.34,0,0,0,0,2022-09-19
RX0000006312,MBR00000174,2021-09-18,2021-09-19,1810600820,1750883852,PLN3087,794127,PCN596,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,96,7,Retail,1,0,0,27.0,7.9,34.9,7.0,26.21,1.69,0.36,0.255,0,0,0,0,2021-12-17
RX0000006313,MBR00000174,2021-05-19,2021-05-23,1677044771,1953686204,PLN8255,538055,PCN693,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,10,Retail,3,0,0,7.5,7.02,14.52,10.0,3.81,0.71,0.3,0.2125,0,0,0,0,2021-06-18
RX0000006314,MBR00000174,2023-12-29,2023-12-30,1104806420,1610898913,PLN1089,490993,PCN337,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,63,0,Retail,0,0,0,22.0,5.28,27.28,0.0,25.59,1.69,0.44,0.3117,0,0,0,0,2024-02-27
RX0000006315,MBR00000174,2022-03-08,2022-03-11,1918831412,1216869988,PLN3535,420288,PCN369,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,6,Retail,0,0,0,2.92,4.81,7.73,0.0,7.42,0.31,0.5,0.3542,0,0,0,0,2022-03-15
RX0000006316,MBR00000174,2022-12-07,2022-12-10,1295325569,1221975925,PLN9225,215890,PCN983,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,84,2,Mail Order,1,0,0,33.0,7.08,40.08,8.0,30.39,1.69,0.44,0.3117,0,0,0,0,2023-03-07
RX0000006317,MBR00000174,2022-10-10,2022-10-14,1435459279,1493845300,PLN9862,636823,PCN229,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,5,LTC,0,1,0,6200.0,7.66,6207.66,154.0,5730.63,323.03,248.0,175.6667,0,0,0,0,2022-11-09
RX0000006318,MBR00000174,2023-11-24,2023-11-28,1568349937,1802097171,PLN4905,982883,PCN938,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,7,Retail,0,0,0,310.0,1.52,311.52,34.0,266.08,11.44,12.4,8.7833,0,0,0,0,2023-12-24
RX0000006319,MBR00000174,2021-03-23,2021-03-27,1750134219,1892031859,PLN4258,714672,PCN755,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,2,Retail,0,0,0,2.1,10.13,12.23,3.0,8.77,0.46,0.36,0.255,0,0,0,0,2021-03-30
RX0000006320,MBR00000174,2023-07-11,2023-07-14,1886588555,1761987211,PLN4140,967807,PCN466,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,86,2,Mail Order,0,0,0,36.0,3.67,39.67,2.0,35.63,2.04,0.48,0.34,0,1,0,0,2023-10-09
RX0000006321,MBR00000174,2022-08-14,2022-08-16,1272575223,1924413821,PLN9403,554970,PCN694,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,5,Retail,0,0,0,8.5,3.14,11.64,9.0,2.08,0.56,0.34,0.2408,1,0,0,0,2022-09-13
RX0000006322,MBR00000174,2021-06-23,2021-06-25,1293239637,1735557552,PLN4708,653651,PCN595,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,2,Retail,0,0,0,38.0,11.98,49.98,32.0,15.57,2.41,1.52,1.0767,0,0,0,0,2021-07-23
RX0000006323,MBR00000174,2023-11-07,2023-11-11,1183538683,1808588309,PLN6021,577622,PCN966,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,5,Retail,0,0,0,65.0,7.42,72.42,34.0,36.05,2.37,2.6,1.8417,0,0,0,0,2023-12-07
RX0000006324,MBR00000174,2023-11-04,2023-11-05,1102257331,1338201983,PLN6753,589655,PCN508,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,59,3,Retail,0,1,0,12400.0,3.22,12403.22,155.0,11412.41,835.81,248.0,175.6667,0,0,0,0,2024-01-03
RX0000006325,MBR00000174,2021-12-18,2021-12-21,1211637805,1912297529,PLN3475,866172,PCN777,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,7,Retail,0,0,0,10.0,5.63,15.63,9.0,5.72,0.91,0.4,0.2833,1,0,0,0,2022-01-17
RX0000006326,MBR00000174,2022-11-05,2022-11-08,1816122401,1108731459,PLN5752,618668,PCN483,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,6,Retail,3,0,0,950.0,10.13,960.13,31.0,866.29,62.84,38.0,26.9167,0,0,0,0,2022-12-05
RX0000006327,MBR00000174,2023-07-27,2023-07-28,1207831955,1206563445,PLN6006,277649,PCN512,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,60,0,Specialty,0,0,0,25.0,30.86,55.86,10.0,45.86,0.0,0.5,0.3542,0,0,0,0,2023-09-25
RX0000006328,MBR00000174,2021-06-10,2021-06-12,1260747318,1939429981,PLN7841,247025,PCN621,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,82,11,Specialty,0,0,0,114.0,22.3,136.3,30.0,106.3,0.0,1.52,1.0767,0,0,0,0,2021-09-08
RX0000006329,MBR00000174,2021-01-03,2021-01-05,1720014469,1324881815,PLN4463,874554,PCN117,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,11,Mail Order,1,0,0,16.0,6.0,22.0,5.0,15.73,1.27,0.64,0.4533,0,0,0,0,2021-02-02
RX0000006330,MBR00000174,2021-04-19,2021-04-22,1406192756,1263534700,PLN2988,143413,PCN911,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,0,Retail,0,0,0,370.0,5.1,375.1,34.0,325.54,15.56,14.8,10.4833,0,0,0,0,2021-05-19
RX0000006331,MBR00000174,2022-08-15,2022-08-16,1484641943,1309798135,PLN5467,821490,PCN386,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,6,Mail Order,0,0,0,28.0,1.85,29.85,2.0,26.52,1.33,1.12,0.7933,0,0,0,0,2022-09-14
RX0000006332,MBR00000174,2022-03-18,2022-03-20,1646755061,1469284063,PLN7674,876108,PCN387,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,4,Mail Order,0,0,0,3.5,9.33,12.83,9.0,3.29,0.54,0.6,0.425,0,0,0,0,2022-03-25
RX0000006333,MBR00000174,2022-05-07,2022-05-08,1522944090,1283956371,PLN5595,619007,PCN541,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,8,Retail,0,0,0,15.0,3.9,18.9,8.0,9.95,0.95,0.6,0.425,0,0,0,0,2022-06-06
RX0000006334,MBR00000174,2023-04-11,2023-04-12,1985047822,1225203966,PLN9884,155541,PCN969,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,58,8,Retail,2,0,0,22.0,6.43,28.43,7.0,20.55,0.88,0.44,0.3117,0,0,0,0,2023-06-10
RX0000006335,MBR00000174,2022-03-24,2022-03-27,1785272884,1216787564,PLN1135,644666,PCN890,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,10,Retail,0,0,1,310.0,4.04,314.04,30.0,265.97,18.07,12.4,8.7833,0,0,0,0,2022-04-23
RX0000006336,MBR00000174,2022-04-02,2022-04-06,1990790680,1792307240,PLN4731,319692,PCN733,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,8,Mail Order,0,0,0,750.0,11.84,761.84,39.0,674.0,48.84,30.0,21.25,0,0,0,0,2022-05-02
RX0000006337,MBR00000174,2022-03-07,2022-03-11,1733842206,1661980516,PLN6752,937550,PCN362,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,0,Retail,0,0,0,45.0,4.66,49.66,1.0,46.35,2.31,1.8,1.275,0,1,0,0,2022-04-06
RX0000006338,MBR00000174,2022-06-06,2022-06-10,1283441591,1395147678,PLN5716,324097,PCN668,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,93,0,Retail,2,0,0,27.0,9.68,36.68,1.0,33.7,1.98,0.36,0.255,0,0,0,0,2022-09-04
RX0000006339,MBR00000174,2021-08-21,2021-08-25,1332368492,1186627253,PLN1428,436201,PCN478,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,93,1,Retail,0,0,0,525.0,8.79,533.79,32.0,482.31,19.48,7.0,4.9583,0,0,0,0,2021-11-19
RX0000006340,MBR00000174,2023-10-14,2023-10-15,1448628577,1623585117,PLN7437,964777,PCN477,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,2,Specialty,0,1,0,2.8,33.93,36.73,147.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-10-21
RX0000006341,MBR00000174,2021-02-26,2021-03-02,1657354838,1992990309,PLN7996,904687,PCN737,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,92,4,Mail Order,0,0,0,45.0,9.12,54.12,4.0,46.85,3.27,0.6,0.425,0,0,0,0,2021-05-27
RX0000006342,MBR00000174,2022-10-09,2022-10-10,1228510577,1349347613,PLN6544,510660,PCN134,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,7,Retail,3,1,0,8.0,7.81,15.81,151.0,0.0,0.93,0.32,0.2267,0,0,0,0,2022-11-08
RX0000006343,MBR00000174,2022-02-24,2022-02-28,1462982830,1658175260,PLN2030,136707,PCN487,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,8,Retail,0,0,0,12.0,3.41,15.41,1.0,13.9,0.51,0.48,0.34,0,0,0,0,2022-03-26
RX0000006344,MBR00000174,2021-11-10,2021-11-14,1655543244,1205161075,PLN1277,303449,PCN798,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,55,2,Retail,0,0,0,22.0,9.99,31.99,10.0,19.96,2.03,0.44,0.3117,1,0,0,0,2022-01-09
RX0000006345,MBR00000174,2023-10-23,2023-10-24,1335693881,1555144075,PLN1395,756223,PCN879,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,90,2,Retail,0,0,0,22.5,2.79,25.29,10.0,14.18,1.11,0.3,0.2125,0,0,0,0,2024-01-21
RX0000006346,MBR00000174,2023-12-08,2023-12-09,1707720073,1769223762,PLN9725,313321,PCN988,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,0,Mail Order,0,1,0,12.0,5.91,17.91,155.0,0.0,0.87,0.48,0.34,0,0,0,0,2024-01-07
RX0000006347,MBR00000174,2023-10-17,2023-10-19,1472744014,1621543254,PLN9778,923254,PCN495,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,8,Retail,0,0,0,18.0,5.24,23.24,7.0,15.41,0.83,0.72,0.51,0,0,0,0,2023-11-16
RX0000006348,MBR00000174,2023-07-27,2023-07-29,1260408667,1139635797,PLN5072,547273,PCN803,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,11,Retail,0,0,0,11.0,9.98,20.98,6.0,14.34,0.64,0.44,0.3117,0,0,0,0,2023-08-26
RX0000006349,MBR00000174,2022-10-10,2022-10-11,1989274229,1220397512,PLN5401,625158,PCN752,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,90,8,Retail,0,0,0,555.0,10.38,565.38,36.0,502.91,26.47,7.4,5.2417,0,0,0,0,2023-01-08
RX0000006350,MBR00000174,2022-04-01,2022-04-04,1167280028,1616444870,PLN3556,828457,PCN763,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,88,4,Retail,2,0,0,37.5,7.62,45.12,3.0,39.86,2.26,0.5,0.3542,0,0,0,0,2022-06-30
RX0000006351,MBR00000174,2022-07-28,2022-07-30,1279021760,1560498556,PLN4490,280451,PCN411,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,1,Retail,0,0,0,22.0,11.39,33.39,9.0,23.14,1.25,0.88,0.6233,0,0,0,0,2022-08-27
RX0000006352,MBR00000174,2021-01-27,2021-01-28,1658678134,1819364871,PLN8843,803615,PCN526,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,7,Mail Order,0,0,0,10.5,6.58,17.08,9.0,6.93,1.15,1.8,1.275,1,0,0,0,2021-02-03
RX0000006353,MBR00000174,2022-01-10,2022-01-14,1591657551,1885452277,PLN1894,130225,PCN350,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,5,Retail,0,0,0,4.2,4.08,8.28,7.0,1.02,0.26,0.72,0.51,0,0,0,0,2022-01-17
RX0000006354,MBR00000174,2023-02-03,2023-02-06,1784831395,1108045631,PLN9767,606812,PCN320,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,10,Retail,0,0,0,10.0,5.05,15.05,9.0,5.4,0.65,0.4,0.2833,0,0,0,0,2023-03-05
RX0000006355,MBR00000174,2023-12-09,2023-12-11,1424593237,1803660228,PLN3011,738145,PCN205,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,0,Mail Order,0,1,0,1446.67,8.94,1455.61,153.0,1226.22,76.39,248.0,175.6667,0,0,0,0,2023-12-16
RX0000006356,MBR00000174,2021-01-18,2021-01-21,1352732217,1172422609,PLN1214,546810,PCN512,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,93,3,Mail Order,0,0,0,36.0,10.62,46.62,7.0,38.09,1.53,0.48,0.34,0,0,0,0,2021-04-18
RX0000006357,MBR00000174,2022-09-27,2022-09-29,1154130188,1786818057,PLN9370,538655,PCN679,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,9,Specialty,0,0,0,15.0,9.26,24.26,2.0,22.26,0.0,0.6,0.425,0,0,0,0,2022-10-27
RX0000006358,MBR00000174,2022-11-09,2022-11-10,1703669631,1178375634,PLN9075,303865,PCN329,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,83,3,Retail,0,0,0,37.5,8.86,46.36,9.0,34.47,2.89,0.5,0.3542,0,0,0,0,2023-02-07
RX0000006359,MBR00000174,2021-09-01,2021-09-04,1308135616,1816200576,PLN7673,349042,PCN925,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,1,Retail,0,0,0,11.0,10.34,21.34,7.0,12.98,1.36,0.44,0.3117,0,0,0,0,2021-10-01
RX0000006360,MBR00000175,2023-03-09,2023-03-10,1881262695,1279983794,PLN7889,564016,PCN672,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,86,0,Retail,1,0,0,525.0,7.15,532.15,30.0,465.56,36.59,7.0,4.9583,0,0,0,0,2023-06-07
RX0000006361,MBR00000175,2023-08-27,2023-08-29,1680969652,1753131823,PLN9845,554814,PCN357,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,81,6,Retail,3,0,0,66.0,8.68,74.68,75.0,0.0,2.26,0.88,0.6233,0,0,0,0,2023-11-25
RX0000006362,MBR00000175,2021-12-11,2021-12-13,1220553983,1553645305,PLN5122,312217,PCN860,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,11,LTC,0,0,0,10.0,11.54,21.54,4.0,16.74,0.8,0.4,0.2833,0,0,0,0,2022-01-10
RX0000006363,MBR00000175,2023-05-14,2023-05-18,1690415493,1506151890,PLN4245,289086,PCN998,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,86,8,Retail,0,0,0,25.5,5.97,31.47,9.0,20.52,1.95,0.34,0.2408,0,0,0,0,2023-08-12
RX0000006364,MBR00000175,2021-02-05,2021-02-08,1953587246,1971745261,PLN5323,473506,PCN704,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,11,Retail,0,0,0,4.2,4.42,8.62,5.0,3.05,0.57,0.72,0.51,0,0,0,0,2021-02-12
RX0000006365,MBR00000175,2022-01-12,2022-01-13,1260563650,1625293271,PLN7456,606503,PCN908,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,7,Retail,0,0,0,650.0,7.21,657.21,37.0,584.03,36.18,26.0,18.4167,0,1,1,0,2022-02-11
RX0000006366,MBR00000175,2021-08-07,2021-08-11,1788133238,1189875796,PLN1842,299457,PCN208,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,10,Retail,1,1,0,6200.0,7.19,6207.19,148.0,5709.62,349.57,248.0,175.6667,0,0,0,0,2021-09-06
RX0000006367,MBR00000175,2021-01-26,2021-01-28,1627837995,1334497274,PLN3373,749924,PCN521,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,8,Retail,0,0,0,11.0,5.49,16.49,4.0,11.61,0.88,0.44,0.3117,0,0,0,0,2021-02-25
RX0000006368,MBR00000175,2023-03-14,2023-03-16,1465975570,1885096721,PLN3582,747410,PCN474,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,7,Retail,0,0,0,22.0,11.11,33.11,72.0,0.0,1.79,0.88,0.6233,0,0,0,0,2023-04-13
RX0000006369,MBR00000175,2023-03-04,2023-03-07,1815112589,1590839941,PLN3642,750895,PCN546,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,1,Mail Order,0,1,0,6200.0,6.92,6206.92,147.0,5721.75,338.17,248.0,175.6667,0,0,0,0,2023-04-03
RX0000006370,MBR00000175,2022-03-08,2022-03-10,1613363644,1271023364,PLN7605,293879,PCN860,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,95,8,Retail,0,0,0,555.0,9.51,564.51,30.0,503.35,31.16,7.4,5.2417,0,0,0,0,2022-06-06
RX0000006371,MBR00000175,2023-01-18,2023-01-19,1882900604,1776395773,PLN5087,355075,PCN212,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,91,7,Mail Order,0,0,0,66.0,2.36,68.36,73.0,0.0,3.83,0.88,0.6233,0,0,0,0,2023-04-18
RX0000006372,MBR00000175,2021-03-29,2021-04-01,1495117094,1928583149,PLN1242,901875,PCN230,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,90,6,Retail,0,0,0,45.0,5.76,50.76,1.0,46.73,3.03,0.6,0.425,0,0,0,0,2021-06-27
RX0000006373,MBR00000175,2023-01-05,2023-01-08,1492287920,1595080999,PLN7293,336491,PCN434,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,56,6,Specialty,0,0,0,25.0,33.11,58.11,9.0,49.11,0.0,0.5,0.3542,0,0,0,0,2023-03-06
RX0000006374,MBR00000175,2021-06-10,2021-06-12,1971770933,1138288933,PLN9935,918752,PCN618,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,56,8,Retail,0,0,0,36.0,6.33,42.33,6.0,33.52,2.81,0.72,0.51,0,0,0,0,2021-08-09
RX0000006375,MBR00000175,2022-07-29,2022-07-31,1467424639,1523767798,PLN9919,172332,PCN403,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,81,4,Specialty,0,0,1,30.0,28.51,58.51,3.0,55.51,0.0,0.4,0.2833,0,0,0,0,2022-10-27
RX0000006376,MBR00000175,2023-04-04,2023-04-07,1123494142,1174205159,PLN3742,916291,PCN567,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,3,Mail Order,0,0,0,12.0,6.88,18.88,0.0,18.26,0.62,0.48,0.34,0,0,0,0,2023-05-04
RX0000006377,MBR00000175,2021-10-13,2021-10-15,1727493652,1164483384,PLN3086,747658,PCN465,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,2,Mail Order,0,0,0,2.92,2.42,5.34,5.0,0.13,0.21,0.5,0.3542,0,0,0,0,2021-10-20
RX0000006378,MBR00000175,2022-09-02,2022-09-05,1674749657,1601771709,PLN7022,709410,PCN244,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,0,Mail Order,0,0,0,65.0,10.96,75.96,39.0,32.91,4.05,2.6,1.8417,0,0,0,0,2022-10-02
RX0000006379,MBR00000175,2021-08-18,2021-08-22,1788243817,1922064737,PLN7197,804062,PCN907,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,92,9,Retail,3,0,0,2250.0,10.42,2260.42,40.0,2104.39,116.03,30.0,21.25,0,0,0,0,2021-11-16
RX0000006380,MBR00000175,2021-06-15,2021-06-19,1396612343,1272038728,PLN9409,334396,PCN911,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,7,Retail,0,0,0,15.0,10.2,25.2,4.0,20.04,1.16,0.6,0.425,0,0,0,0,2021-07-15
RX0000006381,MBR00000175,2022-09-20,2022-09-23,1919606439,1684273937,PLN1160,730502,PCN715,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,1,Retail,3,0,0,3.27,2.2,5.47,0.0,5.22,0.25,0.56,0.3967,0,0,0,0,2022-09-27
RX0000006382,MBR00000176,2022-11-01,2022-11-04,1460544881,1120582380,PLN9097,653696,PCN137,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,7,Retail,0,0,0,16.0,4.65,20.65,7.0,12.5,1.15,0.64,0.4533,0,0,0,0,2022-12-01
RX0000006383,MBR00000176,2023-02-18,2023-02-19,1439721251,1783658345,PLN3154,852213,PCN852,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,4,Retail,0,0,0,14.0,2.73,16.73,0.0,15.59,1.14,0.56,0.3967,0,0,0,0,2023-03-20
RX0000006384,MBR00000176,2021-12-30,2022-01-03,1911946675,1738213494,PLN3043,324884,PCN386,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,1,Retail,0,0,0,16.0,9.79,25.79,2.0,22.08,1.71,0.64,0.4533,0,0,0,0,2022-01-29
RX0000006385,MBR00000176,2022-12-26,2022-12-29,1683354566,1218586553,PLN7048,107254,PCN752,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,11,Retail,0,0,0,12.0,6.53,18.53,4.0,13.43,1.1,0.48,0.34,0,0,0,0,2023-01-25
RX0000006386,MBR00000176,2023-10-25,2023-10-28,1567932418,1569153318,PLN2081,416160,PCN163,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,11,Mail Order,0,0,0,310.0,7.94,317.94,35.0,264.55,18.39,12.4,8.7833,0,0,0,0,2023-11-24
RX0000006387,MBR00000176,2022-03-17,2022-03-20,1413898787,1973157056,PLN1942,232755,PCN661,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,5,Mail Order,0,0,0,14.0,10.4,24.4,7.0,16.09,1.31,0.56,0.3967,0,0,0,0,2022-04-16
RX0000006388,MBR00000176,2022-08-30,2022-09-01,1814773639,1794760191,PLN9712,109371,PCN562,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,2,Retail,0,0,0,12.0,4.76,16.76,3.0,12.97,0.79,0.48,0.34,0,0,0,0,2022-09-29
RX0000006389,MBR00000176,2022-12-23,2022-12-24,1966418770,1407271562,PLN6505,221552,PCN489,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,6,Mail Order,0,0,0,3.27,5.21,8.48,2.0,6.2,0.28,0.56,0.3967,1,0,0,0,2022-12-30
RX0000006390,MBR00000176,2022-08-31,2022-09-01,1465917901,1781176259,PLN4056,390139,PCN724,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,4,Retail,2,0,0,2.33,7.59,9.92,9.0,0.46,0.46,0.4,0.2833,0,0,0,0,2022-09-07
RX0000006391,MBR00000176,2022-03-15,2022-03-17,1845850791,1697902555,PLN8474,947592,PCN467,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,11,Retail,0,0,0,18.0,4.93,22.93,37.0,0.0,1.51,0.72,0.51,1,0,0,0,2022-04-14
RX0000006392,MBR00000176,2023-03-20,2023-03-21,1396125652,1694547473,PLN8204,565970,PCN765,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,60,2,Retail,0,0,0,370.0,5.29,375.29,37.0,312.72,25.57,7.4,5.2417,0,0,0,0,2023-05-19
RX0000006393,MBR00000176,2023-03-21,2023-03-22,1337292639,1526897070,PLN9314,976024,PCN376,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,3,Specialty,0,1,0,2800.0,42.38,2842.38,146.0,2696.38,0.0,112.0,79.3333,1,0,0,0,2023-04-20
RX0000006394,MBR00000176,2022-02-06,2022-02-07,1213335863,1900614140,PLN7362,509561,PCN858,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,96,9,Retail,0,0,0,42.0,8.31,50.31,2.0,45.53,2.78,0.56,0.3967,0,0,0,0,2022-05-07
RX0000006395,MBR00000177,2021-08-19,2021-08-23,1561924018,1790509835,PLN1895,173587,PCN637,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,2,Retail,0,0,0,15.0,6.38,21.38,7.0,13.36,1.02,0.6,0.425,0,0,0,0,2021-09-18
RX0000006396,MBR00000177,2023-08-31,2023-09-01,1395819488,1789768794,PLN5180,970626,PCN419,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,0,LTC,0,0,0,310.0,1.56,311.56,36.0,255.35,20.21,12.4,8.7833,0,0,0,0,2023-09-30
RX0000006397,MBR00000177,2021-06-09,2021-06-11,1799078405,1598907493,PLN5793,464782,PCN187,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,85,5,Retail,0,0,0,855.0,2.61,857.61,36.0,793.28,28.33,11.4,8.075,0,0,0,0,2021-09-07
RX0000006398,MBR00000177,2022-09-14,2022-09-18,1386195849,1750379229,PLN2428,249345,PCN674,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,3,Retail,0,0,0,18.0,3.09,21.09,2.0,18.25,0.84,0.72,0.51,0,0,0,0,2022-10-14
RX0000006399,MBR00000177,2022-01-11,2022-01-15,1127409715,1635456468,PLN9213,728014,PCN817,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,95,11,Specialty,0,0,0,27.0,34.04,61.04,5.0,56.04,0.0,0.36,0.255,0,0,0,0,2022-04-11
RX0000006400,MBR00000177,2021-07-14,2021-07-16,1729677040,1703038910,PLN2152,393035,PCN885,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,94,11,Specialty,0,0,0,195.0,49.81,244.81,35.0,209.81,0.0,2.6,1.8417,0,0,0,0,2021-10-12
RX0000006401,MBR00000177,2023-12-15,2023-12-19,1812327363,1651337084,PLN3433,706003,PCN335,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,81,1,Retail,0,0,0,990.0,3.82,993.82,35.0,901.08,57.74,13.2,9.35,0,0,0,0,2024-03-14
RX0000006402,MBR00000177,2023-05-13,2023-05-14,1710322987,1220193818,PLN5133,935914,PCN611,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,2,LTC,0,0,0,10.0,4.32,14.32,0.0,13.68,0.64,0.4,0.2833,0,0,0,0,2023-06-12
RX0000006403,MBR00000177,2022-10-12,2022-10-15,1556811314,1620236082,PLN2540,998210,PCN553,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,87,0,Retail,0,0,0,114.0,4.1,118.1,30.0,84.44,3.66,1.52,1.0767,0,0,0,0,2023-01-10
RX0000006404,MBR00000177,2022-03-23,2022-03-26,1655354778,1331808978,PLN2579,889079,PCN970,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,94,8,Retail,0,0,0,25.5,3.7,29.2,9.0,18.51,1.69,0.34,0.2408,0,1,0,0,2022-06-21
RX0000006405,MBR00000177,2023-04-08,2023-04-12,1848526354,1896674894,PLN6447,288528,PCN592,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,86,5,Mail Order,0,0,0,30.0,6.42,36.42,4.0,31.31,1.11,0.4,0.2833,1,0,0,0,2023-07-07
RX0000006406,MBR00000177,2022-08-17,2022-08-18,1176900520,1964475174,PLN1801,256937,PCN692,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,6,Retail,0,0,0,12.5,10.63,23.13,7.0,15.34,0.79,0.5,0.3542,0,0,0,0,2022-09-16
RX0000006407,MBR00000177,2023-11-07,2023-11-09,1530209453,1568142805,PLN7595,237972,PCN908,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,11,Retail,0,0,0,175.0,6.47,181.47,34.0,140.65,6.82,30.0,21.25,0,0,0,0,2023-11-14
RX0000006408,MBR00000177,2022-05-15,2022-05-19,1125045916,1736006700,PLN3082,913069,PCN196,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,5,Retail,0,0,0,15.17,11.3,26.47,34.0,0.0,1.6,2.6,1.8417,0,0,0,0,2022-05-22
RX0000006409,MBR00000177,2021-03-18,2021-03-22,1170307455,1649694500,PLN8473,136789,PCN856,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,0,Mail Order,0,0,0,2.33,9.69,12.02,3.0,8.26,0.76,0.4,0.2833,0,0,0,0,2021-03-25
RX0000006410,MBR00000177,2023-05-08,2023-05-12,1167897688,1314745997,PLN1342,887988,PCN292,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,3,Mail Order,0,0,0,10.0,3.08,13.08,1.0,11.66,0.42,0.4,0.2833,1,0,0,0,2023-06-07
RX0000006411,MBR00000177,2022-11-19,2022-11-21,1743430406,1460701929,PLN8430,746745,PCN315,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,3,Retail,0,0,0,65.0,3.23,68.23,31.0,35.12,2.11,2.6,1.8417,1,0,0,0,2022-12-19
RX0000006412,MBR00000177,2022-07-29,2022-08-02,1799577667,1648790838,PLN5430,635515,PCN529,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,89,6,Specialty,0,0,0,2850.0,37.1,2887.1,34.0,2853.1,0.0,38.0,26.9167,0,0,0,0,2022-10-27
RX0000006413,MBR00000177,2023-08-16,2023-08-20,1603172536,1985405923,PLN7433,861116,PCN761,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,56,4,Retail,0,0,0,20.0,7.37,27.37,6.0,19.63,1.74,0.4,0.2833,0,0,0,0,2023-10-15
RX0000006414,MBR00000177,2021-11-03,2021-11-06,1739528911,1314700883,PLN5426,571656,PCN629,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,91,10,LTC,0,0,0,27.0,2.67,29.67,1.0,26.82,1.85,0.36,0.255,1,0,0,0,2022-02-01
RX0000006415,MBR00000177,2023-09-23,2023-09-24,1760826964,1890879934,PLN3615,752669,PCN899,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,88,2,Retail,0,0,1,30.0,11.63,41.63,1.0,38.23,2.4,0.4,0.2833,0,0,0,0,2023-12-22
RX0000006416,MBR00000177,2023-09-23,2023-09-26,1531046893,1787661984,PLN7831,765223,PCN222,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,2,Retail,0,0,0,3.27,1.68,4.95,5.0,0.0,0.24,0.56,0.3967,0,1,0,0,2023-09-30
RX0000006417,MBR00000177,2022-03-24,2022-03-28,1101906245,1421033047,PLN8947,857740,PCN827,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,4,Mail Order,0,0,0,750.0,9.55,759.55,40.0,690.95,28.6,30.0,21.25,0,0,0,0,2022-04-23
RX0000006418,MBR00000177,2022-09-18,2022-09-20,1995682763,1971669678,PLN4341,380701,PCN577,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,0,Specialty,0,0,0,28.0,11.2,39.2,3.0,36.2,0.0,1.12,0.7933,0,0,0,0,2022-10-18
RX0000006419,MBR00000177,2021-06-23,2021-06-25,1438639461,1961047526,PLN2154,393048,PCN467,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,7,Retail,0,0,0,310.0,10.87,320.87,37.0,274.12,9.75,12.4,8.7833,0,0,0,0,2021-07-23
RX0000006420,MBR00000177,2021-11-10,2021-11-12,1284982295,1179001698,PLN6025,238337,PCN562,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,84,7,Mail Order,0,0,0,66.0,4.72,70.72,6.0,62.38,2.34,0.88,0.6233,0,0,0,0,2022-02-08
RX0000006421,MBR00000177,2022-05-23,2022-05-24,1896891588,1930057006,PLN4167,536516,PCN119,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,1,Retail,0,0,0,9.0,11.06,20.06,4.0,14.84,1.22,0.36,0.255,0,0,0,0,2022-06-22
RX0000006422,MBR00000177,2023-05-27,2023-05-30,1436026894,1985207590,PLN5964,863494,PCN314,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,7,Mail Order,0,0,0,330.0,1.78,331.78,39.0,274.49,18.29,13.2,9.35,0,0,0,0,2023-06-26
RX0000006423,MBR00000177,2023-08-26,2023-08-29,1653569822,1694361240,PLN7167,542341,PCN722,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,86,2,Retail,0,1,0,25500.0,9.79,25509.79,153.0,23936.34,1420.45,340.0,240.8333,0,0,0,0,2023-11-24
RX0000006424,MBR00000177,2022-03-21,2022-03-24,1671561534,1533254061,PLN6268,258907,PCN707,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,83,4,Mail Order,0,0,0,36.0,4.68,40.68,7.0,32.17,1.51,0.48,0.34,0,0,0,0,2022-06-19
RX0000006425,MBR00000177,2023-05-28,2023-05-31,1261708295,1737360552,PLN6132,462868,PCN460,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,1,Retail,0,0,0,4.2,6.78,10.98,8.0,2.4,0.58,0.72,0.51,0,0,0,0,2023-06-04
RX0000006426,MBR00000177,2021-11-08,2021-11-09,1986597945,1207892895,PLN8286,836393,PCN623,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,2,Retail,0,0,0,9.0,7.91,16.91,6.0,9.84,1.07,0.36,0.255,0,0,0,0,2021-12-08
RX0000006427,MBR00000177,2023-01-30,2023-02-02,1964603588,1202352615,PLN4039,418565,PCN326,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,9,Retail,0,0,0,74.67,5.61,80.28,34.0,41.95,4.33,12.8,9.0667,0,0,0,0,2023-02-06
RX0000006428,MBR00000177,2022-06-26,2022-06-29,1883510558,1169425818,PLN6510,964725,PCN475,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,64,7,Retail,0,0,0,25.0,10.19,35.19,4.0,29.49,1.7,0.5,0.3542,0,0,0,0,2022-08-25
RX0000006429,MBR00000177,2021-11-25,2021-11-27,1869808661,1468262062,PLN9639,582512,PCN187,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,9,Retail,0,0,0,10.0,3.17,13.17,8.0,4.46,0.71,0.4,0.2833,1,0,0,0,2021-12-25
RX0000006430,MBR00000177,2021-05-19,2021-05-21,1625698493,1704605791,PLN4780,894040,PCN713,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,9,Retail,0,0,0,480.0,9.89,489.89,31.0,425.42,33.47,19.2,13.6,0,0,0,0,2021-06-18
RX0000006431,MBR00000177,2023-12-06,2023-12-10,1658061988,1173214341,PLN9463,124395,PCN775,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,4,Retail,0,1,0,1446.67,7.24,1453.9,145.0,1212.88,96.02,248.0,175.6667,0,1,1,0,2023-12-13
RX0000006432,MBR00000177,2022-11-20,2022-11-22,1334176788,1403341035,PLN9476,335235,PCN153,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,4,Specialty,0,0,0,11.0,47.58,58.58,10.0,48.58,0.0,0.44,0.3117,0,0,0,0,2022-12-20
RX0000006433,MBR00000177,2021-10-12,2021-10-16,1724482176,1472767928,PLN9301,791780,PCN798,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,55,2,Retail,0,0,0,20.0,8.81,28.81,6.0,21.9,0.91,0.4,0.2833,1,0,0,0,2021-12-11
RX0000006434,MBR00000177,2021-05-06,2021-05-07,1521621217,1851346633,PLN3486,588593,PCN930,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,10,Retail,0,1,0,8500.0,4.62,8504.62,150.0,8082.69,271.93,340.0,240.8333,0,0,0,0,2021-06-05
RX0000006435,MBR00000178,2021-12-21,2021-12-22,1150064437,1346460686,PLN2919,927868,PCN757,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,59,9,Specialty,1,0,0,20.0,48.64,68.64,10.0,58.64,0.0,0.4,0.2833,0,0,0,0,2022-02-19
RX0000006436,MBR00000178,2023-05-20,2023-05-23,1386883277,1242711143,PLN5575,606996,PCN594,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,4,Retail,0,0,0,650.0,1.54,651.54,35.0,581.91,34.63,26.0,18.4167,0,0,0,0,2023-06-19
RX0000006437,MBR00000178,2023-04-24,2023-04-25,1843427155,1136437520,PLN1098,258321,PCN647,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,85,5,Specialty,0,0,0,54.0,12.41,66.41,1.0,65.41,0.0,0.72,0.51,0,0,0,0,2023-07-23
RX0000006438,MBR00000178,2022-12-22,2022-12-24,1754906215,1941234275,PLN8504,939700,PCN809,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,97,10,Retail,0,0,0,27.0,5.61,32.61,0.0,30.66,1.95,0.36,0.255,0,0,0,0,2023-03-22
RX0000006439,MBR00000178,2023-11-17,2023-11-19,1225472781,1161263079,PLN4967,167434,PCN976,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,96,7,Retail,0,0,0,30.0,5.66,35.66,1.0,32.9,1.76,0.4,0.2833,0,0,0,0,2024-02-15
RX0000006440,MBR00000178,2022-03-25,2022-03-28,1625472332,1591473349,PLN7367,442161,PCN750,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,84,10,Retail,1,0,0,1440.0,8.28,1448.28,34.0,1361.31,52.97,19.2,13.6,0,0,0,0,2022-06-23
RX0000006441,MBR00000178,2021-07-13,2021-07-17,1796080321,1421749845,PLN6155,492257,PCN924,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,6,Retail,0,0,0,65.0,7.93,72.93,40.0,28.39,4.54,2.6,1.8417,0,0,0,0,2021-08-12
RX0000006442,MBR00000178,2021-09-01,2021-09-05,1712342391,1104759955,PLN4986,105392,PCN799,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,10,Retail,0,0,0,10.0,4.4,14.4,0.0,13.56,0.84,0.4,0.2833,0,0,0,0,2021-10-01
RX0000006443,MBR00000178,2022-12-26,2022-12-30,1911159041,1284662485,PLN9163,178186,PCN574,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,10,Retail,0,0,0,18.0,9.1,27.1,4.0,22.18,0.92,0.72,0.51,0,0,0,0,2023-01-25
RX0000006444,MBR00000178,2023-04-23,2023-04-27,1526392194,1649541629,PLN4676,339477,PCN411,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,1,Retail,2,0,0,86.33,6.95,93.29,33.0,55.67,4.62,14.8,10.4833,0,0,0,0,2023-04-30
RX0000006445,MBR00000178,2022-12-27,2022-12-28,1422193551,1939089671,PLN9319,749501,PCN775,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,58,9,Retail,0,0,0,28.0,6.02,34.02,9.0,22.7,2.32,0.56,0.3967,0,0,0,0,2023-02-25
RX0000006446,MBR00000178,2023-09-22,2023-09-25,1522543903,1368625656,PLN4610,847938,PCN692,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,89,0,Retail,0,0,0,525.0,6.1,531.1,33.0,473.68,24.42,7.0,4.9583,0,0,0,0,2023-12-21
RX0000006447,MBR00000178,2023-09-13,2023-09-15,1158842467,1930646809,PLN1173,453849,PCN430,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,11,Mail Order,0,0,0,9.0,11.08,20.08,3.0,16.24,0.84,0.36,0.255,0,1,0,0,2023-10-13
RX0000006448,MBR00000178,2023-03-23,2023-03-24,1130172136,1662575976,PLN7524,786093,PCN329,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,63,1,Mail Order,0,0,0,76.0,8.11,84.11,9.0,72.13,2.98,1.52,1.0767,0,0,0,0,2023-05-22
RX0000006449,MBR00000178,2023-11-11,2023-11-15,1205373224,1546109283,PLN9244,315676,PCN391,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,64,5,Mail Order,0,0,0,370.0,5.91,375.91,36.0,323.11,16.8,7.4,5.2417,0,0,0,0,2024-01-10
RX0000006450,MBR00000178,2023-04-11,2023-04-12,1935624546,1210851113,PLN3758,325520,PCN957,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,1,Retail,0,0,0,2.1,11.09,13.19,9.0,3.41,0.78,0.36,0.255,0,0,0,0,2023-04-18
RX0000006451,MBR00000178,2023-01-05,2023-01-09,1683814401,1669286400,PLN8457,704827,PCN277,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,3,Retail,0,0,0,38.0,9.83,47.83,33.0,11.57,3.26,1.52,1.0767,0,0,0,0,2023-02-04
RX0000006452,MBR00000178,2022-10-11,2022-10-12,1176084702,1242461592,PLN2280,474184,PCN319,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,7,Retail,0,0,0,30.0,1.64,31.64,9.0,20.52,2.12,0.4,0.2833,0,0,0,0,2023-01-09
RX0000006453,MBR00000178,2021-08-31,2021-09-04,1879918511,1209087563,PLN9617,731634,PCN836,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,8,Mail Order,0,0,0,10.0,1.79,11.79,5.0,6.28,0.51,0.4,0.2833,0,0,0,0,2021-09-30
RX0000006454,MBR00000178,2021-11-01,2021-11-02,1456369409,1422761118,PLN3599,887844,PCN228,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,1,Retail,0,0,0,15.0,11.91,26.91,7.0,18.97,0.94,0.6,0.425,0,0,0,0,2021-12-01
RX0000006455,MBR00000178,2021-11-12,2021-11-13,1917377489,1861691988,PLN9866,237501,PCN205,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,97,5,Retail,0,0,0,855.0,3.1,858.1,38.0,769.51,50.59,11.4,8.075,0,0,0,0,2022-02-10
RX0000006456,MBR00000178,2021-07-14,2021-07-18,1832267952,1234083315,PLN9119,885787,PCN336,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,81,9,Specialty,0,1,0,24.0,46.6,70.6,151.0,0.0,0.0,0.32,0.2267,1,1,1,0,2021-10-12
RX0000006457,MBR00000178,2022-10-11,2022-10-13,1960380820,1619382648,PLN9025,472616,PCN812,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,85,8,Retail,0,0,0,54.0,3.55,57.55,32.0,23.52,2.03,0.72,0.51,1,0,0,0,2023-01-09
RX0000006458,MBR00000178,2022-07-25,2022-07-29,1812850258,1950278743,PLN4560,158906,PCN684,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,9,Retail,0,1,0,8500.0,3.21,8503.21,145.0,7809.73,548.48,340.0,240.8333,0,0,0,0,2022-08-24
RX0000006459,MBR00000178,2021-10-08,2021-10-10,1270371529,1476590440,PLN5204,445084,PCN266,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,10,Mail Order,0,0,0,22.0,11.36,33.36,5.0,26.12,2.24,0.88,0.6233,0,0,0,0,2021-11-07
RX0000006460,MBR00000178,2022-02-24,2022-02-26,1378804603,1903789409,PLN3718,138077,PCN308,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,4,Mail Order,0,1,0,8500.0,1.71,8501.71,149.0,7854.52,498.19,340.0,240.8333,0,0,0,0,2022-03-26
RX0000006461,MBR00000178,2021-11-27,2021-11-29,1293540543,1635936156,PLN3009,722797,PCN245,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,5,Specialty,2,0,0,10.0,49.25,59.25,3.0,56.25,0.0,0.4,0.2833,0,0,0,0,2021-12-27
RX0000006462,MBR00000178,2021-09-12,2021-09-14,1163550893,1361374079,PLN3376,488480,PCN324,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,95,0,LTC,2,0,0,66.0,3.81,69.81,72.0,0.0,4.78,0.88,0.6233,0,0,0,0,2021-12-11
RX0000006463,MBR00000178,2022-02-16,2022-02-20,1357232781,1123231465,PLN2108,711428,PCN937,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,9,Mail Order,0,0,0,370.0,7.64,377.64,40.0,315.1,22.54,14.8,10.4833,0,0,0,0,2022-03-18
RX0000006464,MBR00000178,2022-12-24,2022-12-26,1242115010,1762134524,PLN4034,204983,PCN351,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,3,Mail Order,0,0,0,18.0,9.18,27.18,31.0,0.0,1.21,0.72,0.51,0,0,0,0,2023-01-23
RX0000006465,MBR00000178,2023-03-14,2023-03-18,1837772282,1949602651,PLN9454,141393,PCN750,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,8,LTC,2,0,0,9.0,6.55,15.55,9.0,6.07,0.48,0.36,0.255,0,0,0,0,2023-04-13
RX0000006466,MBR00000178,2022-07-21,2022-07-24,1116385874,1908347579,PLN3799,468466,PCN940,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,10,Retail,0,0,0,10.0,9.64,19.64,7.0,11.52,1.12,0.4,0.2833,0,0,0,0,2022-08-20
RX0000006467,MBR00000178,2023-08-05,2023-08-08,1453721674,1271922702,PLN7547,379894,PCN159,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,11,Retail,0,0,0,18.0,1.94,19.94,5.0,13.9,1.04,0.72,0.51,0,0,0,0,2023-09-04
RX0000006468,MBR00000178,2022-01-30,2022-02-02,1709860128,1118041166,PLN9395,838197,PCN403,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,2,Retail,0,0,0,8.5,9.83,18.33,3.0,14.37,0.96,0.34,0.2408,0,0,0,0,2022-03-01
RX0000006469,MBR00000178,2023-07-27,2023-07-29,1249420348,1167823464,PLN3658,530247,PCN719,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,94,8,Specialty,3,0,0,36.0,35.66,71.66,0.0,71.66,0.0,0.48,0.34,0,1,0,0,2023-10-25
RX0000006470,MBR00000178,2023-10-22,2023-10-24,1140180481,1283660054,PLN9211,638845,PCN574,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,8,Retail,0,0,0,12.0,5.35,17.35,9.0,7.46,0.89,0.48,0.34,0,0,0,0,2023-11-21
RX0000006471,MBR00000178,2022-05-31,2022-06-04,1274584918,1907242208,PLN4906,381716,PCN921,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,8,Retail,0,0,0,380.0,11.03,391.03,35.0,343.27,12.76,15.2,10.7667,0,0,0,0,2022-06-30
RX0000006472,MBR00000178,2022-04-15,2022-04-18,1720028246,1519356366,PLN6477,812045,PCN846,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,2,Retail,0,0,0,11.0,6.86,17.86,5.0,11.95,0.91,0.44,0.3117,0,0,0,0,2022-05-15
RX0000006473,MBR00000178,2021-11-29,2021-11-30,1768172012,1279061214,PLN6688,385991,PCN872,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,5,Retail,0,0,0,18.0,10.16,28.16,32.0,0.0,1.59,0.72,0.51,0,0,0,0,2021-12-29
RX0000006474,MBR00000178,2022-12-29,2022-12-31,1392565989,1464620049,PLN3659,126237,PCN546,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,61,11,Retail,0,0,0,90.0,4.71,94.71,8.0,82.77,3.94,1.8,1.275,0,0,0,0,2023-02-27
RX0000006475,MBR00000178,2021-06-06,2021-06-07,1384005332,1531020172,PLN5028,113481,PCN508,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,8,Mail Order,1,0,0,28.0,9.21,37.21,0.0,36.03,1.18,1.12,0.7933,0,0,0,0,2021-07-06
RX0000006476,MBR00000178,2023-03-30,2023-03-31,1485192086,1502807928,PLN9413,626265,PCN197,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,0,Retail,0,0,0,14.0,3.98,17.98,0.0,17.43,0.55,0.56,0.3967,0,0,0,0,2023-04-29
RX0000006477,MBR00000178,2022-03-18,2022-03-19,1537618703,1143651367,PLN6806,982957,PCN131,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,98,10,Retail,0,0,0,525.0,3.66,528.66,31.0,477.34,20.32,7.0,4.9583,0,0,0,0,2022-06-16
RX0000006478,MBR00000178,2023-01-16,2023-01-19,1377255314,1382171540,PLN5723,427578,PCN465,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,10,Retail,3,1,0,8.0,6.06,14.06,154.0,0.0,0.73,0.32,0.2267,0,0,0,0,2023-02-15
RX0000006479,MBR00000178,2023-05-05,2023-05-08,1213307883,1280601978,PLN7923,981819,PCN427,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,85,3,Retail,2,0,1,1110.0,2.7,1112.7,30.0,1021.47,61.23,14.8,10.4833,1,0,0,0,2023-08-03
RX0000006480,MBR00000178,2022-11-16,2022-11-17,1143690110,1287840451,PLN1605,606995,PCN235,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,2,Retail,0,0,0,16.0,10.18,26.18,2.0,22.74,1.44,0.64,0.4533,0,0,0,0,2022-12-16
RX0000006481,MBR00000178,2021-12-20,2021-12-24,1434751258,1512134432,PLN9462,229887,PCN581,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,3,Retail,0,0,0,650.0,9.62,659.62,32.0,601.68,25.94,26.0,18.4167,0,0,0,0,2022-01-19
RX0000006482,MBR00000178,2021-02-17,2021-02-21,1336461134,1988489594,PLN5699,533611,PCN968,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,57,8,Retail,0,0,0,24.0,10.84,34.84,3.0,29.85,1.99,0.48,0.34,0,0,0,0,2021-04-18
RX0000006483,MBR00000178,2023-07-25,2023-07-26,1290837695,1563443836,PLN8833,379594,PCN940,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,87,0,Mail Order,0,0,0,1140.0,3.36,1143.36,38.0,1037.61,67.75,15.2,10.7667,0,0,0,0,2023-10-23
RX0000006484,MBR00000178,2023-05-06,2023-05-10,1916869666,1741001373,PLN3795,776436,PCN588,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,1,Retail,2,1,0,12.0,11.78,23.78,147.0,0.0,1.02,0.48,0.34,0,0,0,0,2023-06-05
RX0000006485,MBR00000178,2021-05-03,2021-05-06,1689612301,1714270800,PLN6940,776058,PCN192,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,83,3,Retail,0,0,0,30.0,9.28,39.28,8.0,28.63,2.65,0.4,0.2833,0,0,0,0,2021-08-01
RX0000006486,MBR00000178,2023-01-30,2023-02-01,1618049844,1187582122,PLN4611,821852,PCN555,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,3,Mail Order,0,1,0,12.0,7.2,19.2,155.0,0.0,0.6,0.48,0.34,0,0,0,0,2023-03-01
RX0000006487,MBR00000178,2022-05-04,2022-05-08,1911111967,1425201383,PLN3695,374982,PCN973,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,59,4,Retail,0,0,0,15.0,2.54,17.54,3.0,13.38,1.16,0.3,0.2125,0,0,0,0,2022-07-03
RX0000006488,MBR00000178,2022-11-27,2022-12-01,1471889235,1648527432,PLN2820,883178,PCN177,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,56,10,Retail,1,0,0,36.0,11.52,47.52,4.0,41.68,1.84,0.72,0.51,0,0,0,0,2023-01-26
RX0000006489,MBR00000178,2022-11-07,2022-11-11,1904335079,1159600918,PLN5039,616572,PCN796,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,91,8,Retail,0,0,0,960.0,6.6,966.6,31.0,903.7,31.9,12.8,9.0667,0,0,0,0,2023-02-05
RX0000006490,MBR00000178,2022-08-06,2022-08-08,1532551157,1771738656,PLN7443,136671,PCN361,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,10,Retail,0,0,0,9.0,9.82,18.82,0.0,17.74,1.08,0.36,0.255,0,0,0,0,2022-09-05
RX0000006491,MBR00000178,2023-11-13,2023-11-17,1210733810,1455997351,PLN3481,248656,PCN747,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,55,5,Retail,0,0,0,24.0,11.63,35.63,7.0,26.24,2.39,0.48,0.34,0,0,0,0,2024-01-12
RX0000006492,MBR00000178,2021-10-30,2021-11-02,1786491439,1454489271,PLN2205,446049,PCN693,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,8,Retail,0,0,0,9.0,1.93,10.93,9.0,1.4,0.53,0.36,0.255,0,0,0,0,2021-11-29
RX0000006493,MBR00000178,2021-01-30,2021-01-31,1425791977,1678013316,PLN3626,847519,PCN312,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,97,5,Specialty,0,0,0,84.0,42.85,126.85,10.0,116.85,0.0,1.12,0.7933,1,0,0,0,2021-04-30
RX0000006494,MBR00000178,2023-01-03,2023-01-04,1763854591,1872505550,PLN8395,556377,PCN181,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,4,Retail,0,0,0,11.0,5.45,16.45,0.0,15.31,1.14,0.44,0.3117,0,0,0,0,2023-02-02
RX0000006495,MBR00000178,2022-09-19,2022-09-20,1685399432,1295596903,PLN8741,832552,PCN369,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,7,LTC,0,0,0,1.98,9.77,11.75,10.0,1.03,0.72,0.34,0.2408,0,0,0,0,2022-09-26
RX0000006496,MBR00000178,2022-11-01,2022-11-03,1937216089,1493306088,PLN8880,898649,PCN276,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,4,Mail Order,0,1,0,2.8,4.41,7.21,153.0,0.0,0.47,0.48,0.34,0,0,0,0,2022-11-08
RX0000006497,MBR00000178,2023-05-18,2023-05-21,1410206263,1561988084,PLN8902,503810,PCN970,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,2,Mail Order,0,0,0,285.0,8.23,293.23,37.0,240.41,15.82,11.4,8.075,0,0,0,0,2023-06-17
RX0000006498,MBR00000178,2022-09-09,2022-09-13,1846176017,1851768381,PLN9702,585101,PCN226,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,3,Retail,1,0,0,14.0,8.32,22.32,2.0,19.54,0.78,0.56,0.3967,0,0,0,0,2022-10-09
RX0000006499,MBR00000178,2023-09-02,2023-09-05,1697137351,1539602415,PLN6355,834864,PCN240,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,59,5,Retail,3,0,0,28.0,10.73,38.73,4.0,32.43,2.3,0.56,0.3967,0,0,0,0,2023-11-01
RX0000006500,MBR00000178,2023-05-30,2023-05-31,1726855889,1448391061,PLN4226,759211,PCN164,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,9,Retail,0,0,0,11.0,6.74,17.74,1.0,15.79,0.95,0.44,0.3117,0,0,0,0,2023-06-29
RX0000006501,MBR00000178,2023-12-30,2023-12-31,1730032917,1735550536,PLN1814,961616,PCN490,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,11,Mail Order,2,0,0,22.0,5.92,27.92,10.0,16.6,1.32,0.88,0.6233,0,0,0,0,2024-01-29
RX0000006502,MBR00000178,2022-06-03,2022-06-05,1977313564,1674185753,PLN5591,505969,PCN495,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,60,4,Mail Order,0,0,0,1500.0,3.52,1503.52,37.0,1387.26,79.26,30.0,21.25,0,0,0,0,2022-08-02
RX0000006503,MBR00000178,2022-06-20,2022-06-23,1825948652,1408014830,PLN3964,722270,PCN186,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,61,5,Retail,0,0,0,24.0,7.28,31.28,3.0,27.31,0.97,0.48,0.34,0,0,0,0,2022-08-19
RX0000006504,MBR00000178,2023-06-30,2023-07-01,1157845792,1121741897,PLN6995,659287,PCN702,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,91,11,LTC,0,0,0,27.0,5.57,32.57,4.0,27.24,1.33,0.36,0.255,0,0,0,0,2023-09-28
RX0000006505,MBR00000178,2023-03-30,2023-04-01,1144557257,1127757273,PLN8927,375521,PCN596,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,92,6,Retail,1,0,0,22.5,3.79,26.29,0.0,24.64,1.65,0.3,0.2125,0,0,0,0,2023-06-28
RX0000006506,MBR00000178,2023-12-30,2023-12-31,1419223293,1590127394,PLN8199,756134,PCN914,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,95,3,Mail Order,1,0,0,42.0,7.2,49.2,8.0,38.17,3.03,0.56,0.3967,0,0,0,0,2024-03-29
RX0000006507,MBR00000178,2023-05-20,2023-05-21,1858596977,1801886903,PLN4135,189179,PCN728,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,3,Retail,0,0,0,14.0,5.89,19.89,7.0,11.9,0.99,0.56,0.3967,0,0,0,0,2023-06-19
RX0000006508,MBR00000178,2022-09-22,2022-09-25,1879155203,1912299914,PLN4405,405734,PCN108,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,9,Retail,0,0,0,1110.0,5.41,1115.41,32.0,1048.31,35.1,14.8,10.4833,0,0,0,0,2022-12-21
RX0000006509,MBR00000179,2021-02-07,2021-02-10,1485152043,1901127913,PLN5951,116249,PCN292,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,0,Mail Order,0,0,0,18.0,3.74,21.74,9.0,11.34,1.4,0.72,0.51,0,0,0,0,2021-03-09
RX0000006510,MBR00000179,2023-09-12,2023-09-16,1732697809,1189147743,PLN1300,490519,PCN919,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,9,Mail Order,0,0,0,370.0,2.09,372.09,30.0,325.75,16.34,14.8,10.4833,0,0,0,0,2023-10-12
RX0000006511,MBR00000179,2023-12-06,2023-12-09,1786308352,1800649067,PLN1784,678420,PCN483,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,97,1,Mail Order,0,0,0,855.0,6.44,861.44,35.0,791.07,35.37,11.4,8.075,0,0,0,0,2024-03-05
RX0000006512,MBR00000179,2021-04-29,2021-05-01,1450718596,1101617430,PLN9305,725073,PCN317,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,93,4,Retail,0,0,0,54.0,9.09,63.09,1.0,58.46,3.63,0.72,0.51,0,0,0,0,2021-07-28
RX0000006513,MBR00000179,2023-11-15,2023-11-17,1531893095,1343600808,PLN9520,916389,PCN478,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,5,Retail,0,0,0,11.0,8.79,19.79,4.0,14.51,1.28,0.44,0.3117,0,0,0,0,2023-12-15
RX0000006514,MBR00000179,2023-10-07,2023-10-11,1849389622,1916121341,PLN6535,199773,PCN763,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,62,6,Retail,0,0,0,640.0,8.71,648.71,35.0,574.49,39.22,12.8,9.0667,0,0,0,0,2023-12-06
RX0000006515,MBR00000179,2021-08-13,2021-08-15,1100010588,1847450985,PLN1904,436805,PCN411,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,10,Mail Order,0,0,0,370.0,2.89,372.89,33.0,328.37,11.52,14.8,10.4833,0,0,0,0,2021-09-12
RX0000006516,MBR00000179,2022-11-15,2022-11-17,1473578094,1971354048,PLN4580,200857,PCN242,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,3,Retail,0,0,0,151.67,6.59,158.26,35.0,114.32,8.94,26.0,18.4167,0,0,0,0,2022-11-22
RX0000006517,MBR00000179,2021-03-16,2021-03-19,1762147049,1385245962,PLN5739,590340,PCN687,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,9,Retail,2,0,0,1.75,5.81,7.56,8.0,0.0,0.43,0.3,0.2125,0,0,0,0,2021-03-23
RX0000006518,MBR00000179,2022-07-23,2022-07-24,1550900345,1933093226,PLN6497,926980,PCN410,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,4,Mail Order,0,0,0,9.0,4.43,13.43,2.0,10.86,0.57,0.36,0.255,0,0,0,0,2022-08-22
RX0000006519,MBR00000179,2023-12-07,2023-12-11,1521713831,1833197085,PLN9299,733510,PCN263,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,7,Retail,0,0,0,45.0,1.57,46.57,0.0,44.87,1.7,1.8,1.275,0,1,0,0,2024-01-06
RX0000006520,MBR00000179,2021-07-30,2021-08-03,1608350641,1595865272,PLN6922,187883,PCN725,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,10,Retail,0,0,0,86.33,3.76,90.09,33.0,53.01,4.08,14.8,10.4833,0,0,0,0,2021-08-06
RX0000006521,MBR00000179,2022-12-26,2022-12-30,1668932075,1663453552,PLN6673,711748,PCN249,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,56,4,Retail,0,0,0,36.0,7.75,43.75,0.0,40.89,2.86,0.72,0.51,0,0,0,0,2023-02-24
RX0000006522,MBR00000179,2023-06-18,2023-06-21,1801712102,1251901934,PLN9805,987276,PCN944,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,3,Mail Order,0,0,0,320.0,2.63,322.63,31.0,274.97,16.66,12.8,9.0667,0,1,1,0,2023-07-18
RX0000006523,MBR00000179,2021-08-07,2021-08-11,1296793458,1111347550,PLN3723,360741,PCN206,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,83,1,Retail,0,0,0,1440.0,4.93,1444.93,39.0,1352.17,53.76,19.2,13.6,0,1,1,0,2021-11-05
RX0000006524,MBR00000179,2023-06-19,2023-06-22,1300972928,1915066718,PLN6144,899884,PCN955,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,95,11,Mail Order,0,0,0,66.0,11.33,77.33,9.0,64.23,4.1,0.88,0.6233,0,0,0,0,2023-09-17
RX0000006525,MBR00000179,2021-02-16,2021-02-17,1374286837,1839101580,PLN1817,743298,PCN705,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,2,Retail,0,0,0,3.73,10.43,14.16,1.0,12.57,0.59,0.64,0.4533,0,0,0,0,2021-02-23
RX0000006526,MBR00000179,2021-10-19,2021-10-23,1666536593,1692797942,PLN6717,876242,PCN379,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,86,4,Retail,0,0,0,25.5,4.47,29.97,0.0,28.56,1.41,0.34,0.2408,0,0,0,0,2022-01-17
RX0000006527,MBR00000179,2021-10-08,2021-10-10,1923840568,1240051059,PLN2831,941479,PCN799,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,88,9,Specialty,0,0,0,930.0,45.83,975.83,30.0,945.83,0.0,12.4,8.7833,0,0,0,0,2022-01-06
RX0000006528,MBR00000179,2021-01-01,2021-01-04,1592909498,1427077202,PLN9218,203970,PCN286,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,3,Retail,1,0,0,14.0,5.04,19.04,0.0,18.44,0.6,0.56,0.3967,0,0,0,0,2021-01-31
RX0000006529,MBR00000179,2021-05-06,2021-05-10,1811768917,1220002435,PLN8350,596942,PCN389,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,55,11,Retail,0,0,0,22.0,8.39,30.39,2.0,26.94,1.45,0.44,0.3117,0,1,0,0,2021-07-05
RX0000006530,MBR00000179,2022-10-22,2022-10-25,1863283624,1159388320,PLN3105,621718,PCN382,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,7,Retail,0,0,0,38.0,7.83,45.83,3.0,40.76,2.07,1.52,1.0767,1,0,0,0,2022-11-21
RX0000006531,MBR00000179,2023-07-22,2023-07-24,1394888042,1743280015,PLN4891,807651,PCN286,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,83,3,Retail,0,0,0,33.0,9.11,42.11,0.0,39.87,2.24,0.44,0.3117,0,0,0,0,2023-10-20
RX0000006532,MBR00000179,2023-08-29,2023-09-02,1182129573,1854863862,PLN7745,346318,PCN145,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,4,Retail,1,0,0,2.1,6.18,8.28,9.0,0.0,0.32,0.36,0.255,1,0,0,0,2023-09-05
RX0000006533,MBR00000179,2021-11-12,2021-11-13,1703573013,1530257228,PLN2876,961186,PCN529,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,1,Retail,0,0,0,480.0,2.67,482.67,36.0,419.75,26.92,19.2,13.6,0,0,0,0,2021-12-12
RX0000006534,MBR00000179,2021-03-03,2021-03-05,1752935999,1209421194,PLN6080,943083,PCN820,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,7,Retail,0,0,0,8.5,3.09,11.59,9.0,2.19,0.4,0.34,0.2408,0,0,0,0,2021-04-02
RX0000006535,MBR00000179,2023-02-20,2023-02-24,1336624120,1963119439,PLN7002,841798,PCN489,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,86,5,Retail,0,0,0,33.0,8.43,41.43,1.0,37.55,2.88,0.44,0.3117,0,0,0,0,2023-05-21
RX0000006536,MBR00000179,2023-09-18,2023-09-19,1199054534,1849598541,PLN7313,311713,PCN854,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,4,Mail Order,0,0,0,38.0,2.0,40.0,5.0,33.03,1.97,1.52,1.0767,0,0,0,0,2023-10-18
RX0000006537,MBR00000179,2023-04-26,2023-04-30,1399253415,1407465600,PLN2217,479799,PCN863,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,10,Retail,1,0,0,12.0,2.24,14.24,8.0,5.55,0.69,0.48,0.34,0,0,0,0,2023-05-26
RX0000006538,MBR00000179,2021-09-27,2021-09-28,1361195297,1760201360,PLN3296,788481,PCN743,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,1,Retail,0,0,0,1440.0,9.73,1449.73,31.0,1350.32,68.41,19.2,13.6,0,0,0,0,2021-12-26
RX0000006539,MBR00000179,2021-11-17,2021-11-18,1691654009,1558335759,PLN8247,876333,PCN322,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,81,4,Retail,0,0,0,66.0,2.21,68.21,5.0,60.22,2.99,0.88,0.6233,0,0,0,0,2022-02-15
RX0000006540,MBR00000179,2023-03-18,2023-03-20,1873002461,1711478316,PLN6691,806128,PCN506,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,94,6,Retail,0,0,0,42.0,8.58,50.58,4.0,43.72,2.86,0.56,0.3967,0,0,0,0,2023-06-16
RX0000006541,MBR00000179,2022-01-05,2022-01-09,1403815226,1337669862,PLN6888,709291,PCN127,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,98,6,Specialty,0,0,0,25.5,14.25,39.75,5.0,34.75,0.0,0.34,0.2408,0,0,0,0,2022-04-05
RX0000006542,MBR00000179,2023-01-24,2023-01-27,1422705793,1390903464,PLN1725,314408,PCN696,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,82,2,Retail,0,0,0,45.0,8.35,53.35,2.0,49.0,2.35,0.6,0.425,0,0,0,0,2023-04-24
RX0000006543,MBR00000179,2021-10-15,2021-10-18,1181992621,1833440194,PLN4040,640378,PCN805,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,5,Retail,0,0,0,9.0,7.35,16.35,10.0,5.21,1.14,0.36,0.255,1,0,0,0,2021-11-14
RX0000006544,MBR00000179,2023-12-23,2023-12-24,1156797421,1149891451,PLN7937,268056,PCN850,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,6,Retail,0,0,0,950.0,2.8,952.8,31.0,879.89,41.91,38.0,26.9167,0,0,0,0,2024-01-22
RX0000006545,MBR00000179,2021-04-11,2021-04-12,1840777372,1670162253,PLN8225,570639,PCN319,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,91,3,Mail Order,0,0,0,1950.0,9.48,1959.48,38.0,1802.04,119.44,26.0,18.4167,0,0,0,0,2021-07-10
RX0000006546,MBR00000179,2022-07-18,2022-07-21,1811615042,1624159937,PLN9134,501755,PCN467,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,7,Mail Order,0,0,0,175.0,5.16,180.16,38.0,130.84,11.32,7.0,4.9583,0,0,0,0,2022-08-17
RX0000006547,MBR00000179,2022-11-16,2022-11-18,1730089008,1203622358,PLN7984,279022,PCN140,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,11,Retail,0,0,0,38.0,5.21,43.21,7.0,34.14,2.07,1.52,1.0767,1,0,0,0,2022-12-16
RX0000006548,MBR00000179,2022-08-21,2022-08-25,1536318196,1183573456,PLN4074,916216,PCN199,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,90,2,Specialty,3,0,0,25.5,41.21,66.71,3.0,63.71,0.0,0.34,0.2408,0,0,0,0,2022-11-19
RX0000006549,MBR00000179,2021-02-27,2021-03-02,1210715556,1292609436,PLN4267,813419,PCN600,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,64,1,Retail,0,0,0,90.0,4.63,94.63,3.0,86.74,4.89,1.8,1.275,0,0,0,0,2021-04-28
RX0000006550,MBR00000179,2023-08-28,2023-09-01,1626746928,1854107364,PLN8863,764985,PCN396,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,3,Retail,0,0,0,650.0,10.0,660.0,35.0,602.37,22.63,26.0,18.4167,0,0,0,0,2023-09-27
RX0000006551,MBR00000179,2023-09-28,2023-10-01,1582182068,1634294802,PLN7658,390730,PCN583,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,5,Retail,0,0,0,370.0,2.02,372.02,32.0,327.6,12.42,14.8,10.4833,0,0,0,0,2023-10-28
RX0000006552,MBR00000179,2022-09-01,2022-09-03,1264701183,1375595429,PLN6036,599253,PCN594,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,10,Mail Order,0,0,0,380.0,5.89,385.89,39.0,328.71,18.18,15.2,10.7667,0,0,0,0,2022-10-01
RX0000006553,MBR00000179,2022-05-21,2022-05-23,1778699745,1151146708,PLN3429,106289,PCN904,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,9,Retail,0,0,0,15.0,1.52,16.52,5.0,10.92,0.6,0.6,0.425,0,0,0,0,2022-06-20
RX0000006554,MBR00000179,2021-03-07,2021-03-10,1736396087,1378695677,PLN5646,264283,PCN990,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,90,9,Retail,0,0,0,135.0,3.68,138.68,9.0,120.62,9.06,1.8,1.275,0,0,0,0,2021-06-05
RX0000006555,MBR00000179,2022-02-03,2022-02-04,1853119334,1911236121,PLN6618,739514,PCN835,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,2,Retail,0,0,0,370.0,4.6,374.6,38.0,325.3,11.3,14.8,10.4833,0,0,0,0,2022-03-05
RX0000006556,MBR00000179,2021-04-23,2021-04-25,1807927162,1425372049,PLN6964,694505,PCN365,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,0,Mail Order,0,0,0,650.0,1.59,651.59,34.0,582.43,35.16,26.0,18.4167,0,0,0,0,2021-05-23
RX0000006557,MBR00000179,2023-03-22,2023-03-23,1417108200,1161309167,PLN1327,404247,PCN656,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,87,7,Mail Order,0,1,0,36.0,9.72,45.72,145.0,0.0,3.18,0.48,0.34,0,0,0,0,2023-06-20
RX0000006558,MBR00000179,2022-01-11,2022-01-12,1580615594,1168596801,PLN1218,551086,PCN641,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,1,Mail Order,0,0,0,18.0,1.51,19.51,10.0,8.21,1.3,0.72,0.51,0,0,0,0,2022-02-10
RX0000006559,MBR00000179,2022-03-31,2022-04-04,1155925994,1400997914,PLN5990,190678,PCN831,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,9,Retail,0,0,0,38.0,2.96,40.96,33.0,5.25,2.71,1.52,1.0767,0,0,0,0,2022-04-30
RX0000006560,MBR00000179,2022-02-03,2022-02-07,1723466819,1888181314,PLN5557,913325,PCN703,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,89,11,Retail,0,1,0,18600.0,10.42,18610.42,151.0,17515.49,943.93,248.0,175.6667,0,0,0,0,2022-05-04
RX0000006561,MBR00000179,2021-10-04,2021-10-05,1169338060,1184307919,PLN4102,716251,PCN849,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,6,Specialty,0,0,0,38.0,27.16,65.16,33.0,32.16,0.0,1.52,1.0767,0,0,0,0,2021-11-03
RX0000006562,MBR00000179,2023-03-19,2023-03-21,1751534167,1694563287,PLN2659,238033,PCN415,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,86,10,Mail Order,0,0,0,1440.0,8.89,1448.89,35.0,1319.49,94.4,19.2,13.6,0,0,0,0,2023-06-17
RX0000006563,MBR00000179,2023-03-01,2023-03-05,1581430514,1413133592,PLN8279,332727,PCN164,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,1,Mail Order,0,0,0,12.5,11.9,24.4,10.0,12.82,1.58,0.5,0.3542,0,0,0,0,2023-03-31
RX0000006564,MBR00000179,2022-05-15,2022-05-18,1999735706,1479863949,PLN9976,247147,PCN969,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,6,Retail,0,0,0,185.0,5.41,190.41,38.0,145.08,7.33,7.4,5.2417,0,0,0,0,2022-06-14
RX0000006565,MBR00000179,2023-11-07,2023-11-08,1388237178,1508434365,PLN2923,703017,PCN559,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,4,Retail,0,0,0,14.0,10.16,24.16,4.0,19.16,1.0,0.56,0.3967,0,0,0,0,2023-12-07
RX0000006566,MBR00000179,2022-08-02,2022-08-04,1828862007,1642272072,PLN5548,936994,PCN958,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,7,Retail,0,0,0,38.0,5.82,43.82,2.0,38.81,3.01,1.52,1.0767,0,0,0,0,2022-09-01
RX0000006567,MBR00000179,2022-04-21,2022-04-25,1916679600,1951506321,PLN4329,137655,PCN804,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,65,2,Retail,0,0,0,760.0,1.69,761.69,39.0,691.86,30.83,15.2,10.7667,0,0,0,0,2022-06-20
RX0000006568,MBR00000179,2022-07-31,2022-08-01,1286318390,1667113193,PLN5260,715538,PCN706,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,93,4,Mail Order,0,0,0,990.0,2.06,992.06,31.0,903.04,58.02,13.2,9.35,0,0,0,0,2022-10-29
RX0000006569,MBR00000179,2022-07-17,2022-07-20,1811315119,1748963615,PLN5089,878937,PCN925,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,7,Retail,0,0,0,1.98,1.69,3.68,4.0,0.0,0.2,0.34,0.2408,0,0,0,0,2022-07-24
RX0000006570,MBR00000180,2022-01-27,2022-01-31,1359752284,1777516279,PLN6815,705576,PCN303,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,5,Retail,0,0,0,12.0,1.51,13.51,2.0,10.93,0.58,0.48,0.34,0,0,0,0,2022-02-26
RX0000006571,MBR00000180,2023-11-10,2023-11-11,1653904954,1153786850,PLN4331,356401,PCN728,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,0,Mail Order,0,0,0,370.0,1.72,371.72,35.0,312.12,24.6,14.8,10.4833,0,0,0,0,2023-12-10
RX0000006572,MBR00000180,2023-02-13,2023-02-16,1682685372,1553964486,PLN3921,681753,PCN680,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,8,Retail,0,1,0,8.0,11.0,19.0,151.0,0.0,0.86,0.32,0.2267,0,0,0,0,2023-03-15
RX0000006573,MBR00000180,2023-04-06,2023-04-08,1312805718,1342342211,PLN8031,874267,PCN812,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,5,Retail,0,0,0,38.0,6.05,44.05,40.0,1.88,2.17,1.52,1.0767,0,0,0,0,2023-05-06
RX0000006574,MBR00000180,2023-01-13,2023-01-15,1536501090,1362498569,PLN9046,972219,PCN790,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,95,1,Mail Order,0,0,0,114.0,9.96,123.96,1.0,114.82,8.14,1.52,1.0767,0,0,0,0,2023-04-13
RX0000006575,MBR00000180,2022-09-11,2022-09-12,1972482336,1347979384,PLN8886,531442,PCN432,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,57,4,Retail,0,0,0,350.0,10.81,360.81,39.0,302.47,19.34,7.0,4.9583,0,0,0,0,2022-11-10
RX0000006576,MBR00000180,2021-01-21,2021-01-24,1631805553,1720383338,PLN5198,841306,PCN618,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,0,Retail,0,0,0,12.5,5.32,17.82,3.0,14.13,0.69,0.5,0.3542,0,1,0,0,2021-02-20
RX0000006577,MBR00000180,2022-11-05,2022-11-08,1704947645,1272984159,PLN2819,335893,PCN886,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,82,4,Specialty,0,0,0,36.0,8.77,44.77,3.0,41.77,0.0,0.48,0.34,0,0,0,0,2023-02-03
RX0000006578,MBR00000180,2022-04-26,2022-04-28,1584334028,1836847589,PLN5079,229110,PCN875,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,8,Retail,0,0,0,10.0,7.5,17.5,4.0,12.3,1.2,0.4,0.2833,0,0,0,0,2022-05-26
RX0000006579,MBR00000180,2023-11-14,2023-11-18,1159361594,1782434120,PLN8785,289072,PCN636,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,7,Retail,0,0,0,9.0,4.67,13.67,7.0,5.86,0.81,0.36,0.255,0,0,0,0,2023-12-14
RX0000006580,MBR00000180,2022-01-14,2022-01-15,1462867531,1245840016,PLN1255,251104,PCN758,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,82,7,Retail,0,0,0,2850.0,9.66,2859.66,34.0,2628.63,197.03,38.0,26.9167,0,0,0,0,2022-04-14
RX0000006581,MBR00000180,2022-10-14,2022-10-17,1400985337,1711774678,PLN5445,138721,PCN335,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,9,Retail,0,0,0,45.0,2.1,47.1,0.0,43.91,3.19,1.8,1.275,0,0,0,0,2022-11-13
RX0000006582,MBR00000180,2021-03-10,2021-03-11,1164538654,1593429223,PLN2556,110493,PCN571,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,4,Mail Order,3,0,0,8.87,11.26,20.13,2.0,17.05,1.08,1.52,1.0767,0,0,0,0,2021-03-17
RX0000006583,MBR00000180,2022-07-23,2022-07-26,1333704600,1567998566,PLN1491,431930,PCN562,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,6,Retail,0,0,0,18.0,1.52,19.52,10.0,8.26,1.26,0.72,0.51,0,0,0,0,2022-08-22
RX0000006584,MBR00000180,2023-08-30,2023-09-02,1919134883,1501962820,PLN2187,671525,PCN393,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,3,Retail,0,0,0,10.0,10.31,20.31,3.0,16.39,0.92,0.4,0.2833,0,0,0,0,2023-09-29
RX0000006585,MBR00000180,2023-06-17,2023-06-18,1362752806,1857313739,PLN2678,503032,PCN455,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,8,Mail Order,0,0,0,16.0,10.1,26.1,2.0,22.74,1.36,0.64,0.4533,0,0,0,0,2023-07-17
RX0000006586,MBR00000180,2023-06-04,2023-06-05,1241118431,1588992299,PLN1189,300469,PCN853,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,6,Retail,3,0,0,7.5,8.38,15.88,1.0,13.93,0.95,0.3,0.2125,0,0,0,0,2023-07-04
RX0000006587,MBR00000180,2022-10-07,2022-10-09,1648326125,1761393557,PLN7472,820524,PCN615,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,57,11,Retail,0,0,0,960.0,5.2,965.2,33.0,867.05,65.15,19.2,13.6,0,0,0,0,2022-12-06
RX0000006588,MBR00000180,2022-01-26,2022-01-28,1589923868,1205925481,PLN7578,570273,PCN106,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,7,Retail,2,1,0,653.33,7.78,661.11,149.0,471.42,40.69,112.0,79.3333,0,0,0,0,2022-02-02
RX0000006589,MBR00000180,2021-06-02,2021-06-04,1216642662,1618884537,PLN1499,143823,PCN952,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,63,11,Mail Order,0,0,0,36.0,11.79,47.79,2.0,42.67,3.12,0.72,0.51,0,0,0,0,2021-08-01
RX0000006590,MBR00000180,2021-03-15,2021-03-19,1932870685,1248101620,PLN3276,964136,PCN947,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,8,Retail,0,0,0,22.0,2.66,24.66,9.0,14.81,0.85,0.88,0.6233,0,0,0,0,2021-04-14
RX0000006591,MBR00000180,2023-07-18,2023-07-21,1134264319,1303620425,PLN3835,284316,PCN213,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,8,Retail,0,0,0,18.0,4.54,22.54,1.0,20.12,1.42,0.72,0.51,0,0,0,0,2023-08-17
RX0000006592,MBR00000180,2021-12-29,2022-01-01,1501699062,1451194526,PLN5381,933488,PCN608,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,5,Mail Order,0,0,0,12.5,10.32,22.82,1.0,20.39,1.43,0.5,0.3542,0,0,0,0,2022-01-28
RX0000006593,MBR00000180,2021-06-24,2021-06-25,1954912766,1611312456,PLN5067,915115,PCN875,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,6,Specialty,0,0,0,38.0,34.55,72.55,8.0,64.55,0.0,1.52,1.0767,0,0,0,0,2021-07-24
RX0000006594,MBR00000180,2023-04-14,2023-04-18,1855730550,1196700388,PLN1836,915045,PCN409,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,3,Retail,0,0,0,14.0,9.36,23.36,10.0,12.04,1.32,0.56,0.3967,0,0,0,0,2023-05-14
RX0000006595,MBR00000180,2021-07-31,2021-08-01,1449878964,1385886616,PLN9239,465158,PCN291,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,3,Retail,3,1,0,2800.0,6.15,2806.15,151.0,2529.98,125.17,112.0,79.3333,0,0,0,0,2021-08-30
RX0000006596,MBR00000180,2022-05-24,2022-05-25,1311569006,1252747716,PLN9930,627795,PCN860,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,9,Retail,0,0,0,12.5,11.36,23.86,9.0,13.39,1.47,0.5,0.3542,0,0,0,0,2022-06-23
RX0000006597,MBR00000180,2023-05-11,2023-05-15,1142619943,1557241334,PLN6730,614339,PCN564,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,5,Retail,0,0,0,45.0,5.62,50.62,10.0,38.51,2.11,0.6,0.425,0,0,0,0,2023-08-09
RX0000006598,MBR00000180,2023-09-07,2023-09-10,1135485478,1790702981,PLN5351,343418,PCN768,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,2,Mail Order,0,1,0,2800.0,6.96,2806.96,154.0,2466.39,186.57,112.0,79.3333,0,0,0,0,2023-10-07
RX0000006599,MBR00000180,2021-03-01,2021-03-03,1444816623,1721683759,PLN9663,192144,PCN841,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,4,Retail,1,0,0,72.33,6.75,79.08,40.0,34.35,4.73,12.4,8.7833,0,0,0,0,2021-03-08
RX0000006600,MBR00000180,2022-09-03,2022-09-05,1936290749,1975001181,PLN2047,567514,PCN561,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,3,Mail Order,0,0,0,380.0,6.36,386.36,33.0,326.96,26.4,15.2,10.7667,0,0,0,0,2022-10-03
RX0000006601,MBR00000180,2022-02-24,2022-02-25,1826309407,1121151106,PLN1204,926079,PCN204,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,55,7,Retail,0,0,0,32.0,3.28,35.28,3.0,30.45,1.83,0.64,0.4533,0,0,0,0,2022-04-25
RX0000006602,MBR00000180,2022-01-29,2022-01-31,1180754135,1734239088,PLN3559,766137,PCN995,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,9,Retail,0,0,0,9.0,11.87,20.87,0.0,19.87,1.0,0.36,0.255,0,0,0,0,2022-02-28
RX0000006603,MBR00000180,2022-01-25,2022-01-27,1314443134,1368776128,PLN8250,676224,PCN430,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,11,Retail,0,0,0,11.0,7.27,18.27,8.0,9.54,0.73,0.44,0.3117,0,0,0,0,2022-02-24
RX0000006604,MBR00000180,2023-11-12,2023-11-15,1535495708,1480228214,PLN7223,738177,PCN550,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,85,3,Mail Order,0,0,0,27.0,3.78,30.78,6.0,22.71,2.07,0.36,0.255,1,0,0,0,2024-02-10
RX0000006605,MBR00000180,2021-02-18,2021-02-19,1765296538,1786538745,PLN7775,606990,PCN411,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,83,7,Retail,0,0,0,37.5,3.8,41.3,3.0,36.57,1.73,0.5,0.3542,0,0,0,0,2021-05-19
RX0000006606,MBR00000180,2022-07-13,2022-07-15,1925162892,1931570860,PLN8971,297581,PCN513,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,3,Retail,2,0,0,18.0,5.49,23.49,32.0,0.0,0.94,0.72,0.51,0,0,0,0,2022-08-12
RX0000006607,MBR00000180,2022-06-19,2022-06-21,1988924688,1626299916,PLN9570,483273,PCN471,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,4,Retail,0,0,0,2.92,10.83,13.75,4.0,8.98,0.77,0.5,0.3542,0,0,0,0,2022-06-26
RX0000006608,MBR00000180,2022-06-15,2022-06-17,1255210691,1854894327,PLN1128,470926,PCN202,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,1,Retail,0,0,0,11.0,3.96,14.96,1.0,13.49,0.47,0.44,0.3117,1,0,0,0,2022-07-15
RX0000006609,MBR00000180,2022-06-21,2022-06-25,1814039087,1167587068,PLN1818,671322,PCN889,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,6,Mail Order,0,0,0,10.0,2.85,12.85,0.0,12.14,0.71,0.4,0.2833,0,0,0,0,2022-07-21
RX0000006610,MBR00000180,2021-09-27,2021-09-29,1723356112,1184233432,PLN6541,635540,PCN966,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,0,Retail,0,0,0,45.0,5.81,50.81,1.0,47.55,2.26,1.8,1.275,0,0,0,0,2021-10-27
RX0000006611,MBR00000180,2023-06-09,2023-06-10,1579077468,1898979910,PLN8944,996015,PCN929,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,3,Retail,0,1,0,2800.0,10.9,2810.9,145.0,2524.34,141.56,112.0,79.3333,1,0,0,0,2023-07-09
RX0000006612,MBR00000180,2023-06-06,2023-06-07,1771363388,1471637397,PLN6668,338944,PCN884,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,2,Retail,0,0,0,22.0,5.63,27.63,67.0,0.0,1.29,0.88,0.6233,0,0,0,0,2023-07-06
RX0000006613,MBR00000180,2023-05-16,2023-05-20,1685940619,1631777966,PLN1757,129612,PCN354,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,0,Mail Order,0,0,0,15.0,2.04,17.04,6.0,9.88,1.16,0.6,0.425,0,0,0,0,2023-06-15
RX0000006614,MBR00000180,2021-10-02,2021-10-04,1316271781,1888934786,PLN9513,448062,PCN242,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,59,8,Retail,0,0,0,28.0,1.62,29.62,8.0,20.34,1.28,0.56,0.3967,0,0,0,0,2021-12-01
RX0000006615,MBR00000180,2022-01-17,2022-01-18,1891735146,1759968696,PLN7169,566310,PCN311,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,2,Mail Order,0,0,0,285.0,6.7,291.7,34.0,239.74,17.96,11.4,8.075,0,0,0,0,2022-02-16
RX0000006616,MBR00000180,2021-07-27,2021-07-29,1644852059,1682646588,PLN8876,199900,PCN851,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,7,Retail,0,0,0,88.67,9.31,97.97,37.0,55.95,5.02,15.2,10.7667,0,0,0,0,2021-08-03
RX0000006617,MBR00000180,2022-12-16,2022-12-17,1984374313,1481036148,PLN2435,959888,PCN348,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,4,Mail Order,0,0,0,12.0,5.41,17.41,9.0,7.65,0.76,0.48,0.34,0,0,0,0,2023-01-15
RX0000006618,MBR00000180,2022-11-05,2022-11-07,1247353953,1925398241,PLN7457,632024,PCN463,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,90,8,Mail Order,0,0,0,33.0,3.11,36.11,1.0,33.34,1.77,0.44,0.3117,0,0,0,0,2023-02-03
RX0000006619,MBR00000180,2022-09-26,2022-09-28,1597064714,1781117456,PLN2709,989500,PCN580,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,90,1,Retail,0,0,0,84.0,5.74,89.74,9.0,74.56,6.18,1.12,0.7933,0,0,0,0,2022-12-25
RX0000006620,MBR00000180,2022-08-08,2022-08-09,1163984079,1869588258,PLN3387,644751,PCN727,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,6,Retail,0,0,0,12.0,4.93,16.93,8.0,8.27,0.66,0.48,0.34,0,0,0,0,2022-09-07
RX0000006621,MBR00000180,2022-12-10,2022-12-11,1196109429,1495859542,PLN1192,249094,PCN681,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,2,Retail,0,0,0,10.0,6.63,16.63,8.0,7.73,0.9,0.4,0.2833,0,0,0,0,2023-01-09
RX0000006622,MBR00000180,2022-06-19,2022-06-23,1529583719,1812143770,PLN4979,610930,PCN440,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,8,Mail Order,0,0,0,330.0,10.15,340.15,33.0,293.99,13.16,13.2,9.35,0,0,0,0,2022-07-19
RX0000006623,MBR00000180,2023-12-05,2023-12-07,1363042198,1952486333,PLN1371,556225,PCN430,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,11,Retail,0,0,0,310.0,3.03,313.03,31.0,270.06,11.97,12.4,8.7833,0,0,0,0,2024-01-04
RX0000006624,MBR00000180,2021-11-12,2021-11-15,1251387646,1997037419,PLN4361,200408,PCN767,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,11,Retail,0,0,0,77.0,8.5,85.5,38.0,41.63,5.87,13.2,9.35,0,0,0,0,2021-11-19
RX0000006625,MBR00000180,2021-06-19,2021-06-21,1191078703,1380884760,PLN9402,234936,PCN221,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,11,Retail,0,0,0,12.0,6.45,18.45,2.0,15.47,0.98,0.48,0.34,0,0,0,0,2021-07-19
RX0000006626,MBR00000180,2021-05-14,2021-05-18,1580383559,1571020772,PLN6004,165056,PCN626,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,6,Retail,0,0,0,2.8,11.36,14.16,5.0,8.21,0.95,0.48,0.34,0,0,0,0,2021-05-21
RX0000006627,MBR00000180,2021-02-06,2021-02-09,1554018435,1679461888,PLN6107,984658,PCN451,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,0,Retail,0,0,0,12.0,10.34,22.34,1.0,20.24,1.1,0.48,0.34,0,0,0,0,2021-03-08
RX0000006628,MBR00000180,2023-09-07,2023-09-11,1998257120,1102036177,PLN3110,253765,PCN500,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,5,Retail,0,0,0,185.0,4.82,189.82,36.0,147.02,6.8,7.4,5.2417,0,0,0,0,2023-10-07
RX0000006629,MBR00000181,2021-02-17,2021-02-21,1344421100,1250238535,PLN7038,158937,PCN112,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,3,Retail,1,0,0,15.0,10.75,25.75,0.0,24.01,1.74,0.6,0.425,0,0,0,0,2021-03-19
RX0000006630,MBR00000181,2021-12-29,2022-01-01,1646815840,1562944196,PLN2837,909384,PCN762,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,62,11,Retail,0,0,0,350.0,2.71,352.71,31.0,299.86,21.85,7.0,4.9583,0,0,0,0,2022-02-27
RX0000006631,MBR00000181,2023-01-07,2023-01-08,1790926166,1636959245,PLN3274,371431,PCN155,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,64,10,Retail,0,0,0,36.0,5.15,41.15,10.0,28.76,2.39,0.72,0.51,0,0,0,0,2023-03-08
RX0000006632,MBR00000181,2022-04-24,2022-04-27,1367413313,1861203148,PLN1740,192339,PCN903,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,9,Retail,0,0,0,330.0,7.48,337.48,30.0,289.97,17.51,13.2,9.35,0,0,0,0,2022-05-24
RX0000006633,MBR00000181,2023-06-05,2023-06-09,1994074129,1150675624,PLN5277,728520,PCN430,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,81,10,Retail,0,0,0,30.0,11.35,41.35,0.0,40.04,1.31,0.4,0.2833,0,0,0,0,2023-09-03
RX0000006634,MBR00000181,2022-08-04,2022-08-08,1424683241,1457299678,PLN3272,244918,PCN835,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,9,Specialty,0,0,0,2.57,11.32,13.89,5.0,8.89,0.0,0.44,0.3117,0,0,0,0,2022-08-11
RX0000006635,MBR00000181,2023-11-20,2023-11-23,1827627444,1933617511,PLN5146,511031,PCN295,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,64,10,Retail,0,0,0,76.0,1.6,77.6,2.0,70.82,4.78,1.52,1.0767,1,0,0,0,2024-01-19
RX0000006636,MBR00000181,2023-04-15,2023-04-17,1754051723,1239717077,PLN2413,832429,PCN440,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,10,Retail,0,0,0,10.5,10.58,21.08,0.0,19.75,1.33,1.8,1.275,0,0,0,0,2023-04-22
RX0000006637,MBR00000181,2023-12-29,2024-01-02,1269204693,1229066816,PLN1597,695758,PCN978,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,10,Retail,2,0,0,72.33,11.9,84.24,31.0,49.26,3.98,12.4,8.7833,0,0,0,0,2024-01-05
RX0000006638,MBR00000181,2022-11-22,2022-11-25,1886981234,1674541502,PLN8826,679266,PCN129,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,11,Retail,0,0,0,18.0,5.53,23.53,3.0,19.44,1.09,0.72,0.51,0,0,0,0,2022-12-22
RX0000006639,MBR00000181,2023-10-02,2023-10-03,1167504745,1378505604,PLN9598,772154,PCN529,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,55,11,Retail,0,0,1,18.0,4.7,22.7,1.0,20.94,0.76,0.36,0.255,0,0,0,0,2023-12-01
RX0000006640,MBR00000181,2023-10-19,2023-10-22,1742022038,1612907375,PLN3372,674136,PCN941,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,81,10,Retail,0,0,0,45.0,2.02,47.02,9.0,35.05,2.97,0.6,0.425,0,0,0,0,2024-01-17
RX0000006641,MBR00000181,2022-11-30,2022-12-02,1427701956,1426836069,PLN6496,803371,PCN909,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,4,Retail,0,0,0,380.0,2.28,382.28,32.0,323.75,26.53,15.2,10.7667,0,0,0,0,2022-12-30
RX0000006642,MBR00000181,2023-10-06,2023-10-07,1862377697,1168526758,PLN5418,807385,PCN845,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,5,Mail Order,0,0,0,285.0,7.13,292.13,35.0,246.87,10.26,11.4,8.075,0,0,0,0,2023-11-05
RX0000006643,MBR00000181,2022-01-02,2022-01-03,1532831256,1437866615,PLN5909,650724,PCN527,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,0,Mail Order,2,0,0,480.0,7.13,487.13,33.0,427.99,26.14,19.2,13.6,0,0,0,0,2022-02-01
RX0000006644,MBR00000181,2021-06-19,2021-06-21,1215558343,1406357047,PLN3815,416138,PCN325,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,10,LTC,0,0,0,10.0,4.46,14.46,3.0,10.99,0.47,0.4,0.2833,0,1,0,0,2021-07-19
RX0000006645,MBR00000181,2021-05-09,2021-05-12,1130044175,1331588316,PLN8598,624141,PCN810,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,7,Mail Order,3,0,0,18.0,10.64,28.64,31.0,0.0,0.98,0.72,0.51,0,0,0,0,2021-06-08
RX0000006646,MBR00000181,2021-07-09,2021-07-12,1474956910,1637792640,PLN1414,304711,PCN576,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,6,Retail,0,0,0,7.5,6.45,13.95,0.0,13.02,0.93,0.3,0.2125,0,0,0,0,2021-08-08
RX0000006647,MBR00000181,2023-10-13,2023-10-14,1156972225,1813669763,PLN5771,240577,PCN378,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,9,Retail,0,0,0,10.0,2.49,12.49,6.0,5.98,0.51,0.4,0.2833,0,0,0,0,2023-11-12
RX0000006648,MBR00000181,2023-08-12,2023-08-16,1519690992,1565108103,PLN3836,267440,PCN551,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,6,Mail Order,0,0,0,9.0,5.78,14.78,2.0,11.96,0.82,0.36,0.255,0,0,0,0,2023-09-11
RX0000006649,MBR00000181,2023-12-23,2023-12-27,1929196695,1110683826,PLN5266,592334,PCN892,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,11,Retail,0,0,0,65.0,3.9,68.9,34.0,30.77,4.13,2.6,1.8417,0,0,0,0,2024-01-22
RX0000006650,MBR00000181,2023-11-12,2023-11-13,1545477830,1428936835,PLN7359,776242,PCN441,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,6,Retail,1,0,0,10.0,7.71,17.71,4.0,12.94,0.77,0.4,0.2833,0,0,0,0,2023-12-12
RX0000006651,MBR00000181,2021-05-07,2021-05-10,1756398845,1687418998,PLN4432,320416,PCN695,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,57,10,Mail Order,0,0,0,640.0,3.88,643.88,31.0,591.45,21.43,12.8,9.0667,0,0,0,0,2021-07-06
RX0000006652,MBR00000181,2021-09-30,2021-10-03,1871465106,1535486640,PLN5707,894532,PCN268,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,5,Retail,0,0,0,480.0,2.97,482.97,32.0,428.3,22.67,19.2,13.6,0,0,0,0,2021-10-30
RX0000006653,MBR00000181,2023-01-10,2023-01-14,1211791105,1709080878,PLN8038,242915,PCN178,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,4,Mail Order,0,0,0,40.83,2.41,43.24,39.0,2.02,2.22,7.0,4.9583,0,0,0,0,2023-01-17
RX0000006654,MBR00000181,2022-09-20,2022-09-23,1741178406,1981889080,PLN9924,884123,PCN757,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,11,Retail,0,0,0,12.0,1.95,13.95,5.0,8.12,0.83,0.48,0.34,0,0,0,0,2022-10-20
RX0000006655,MBR00000181,2021-07-19,2021-07-20,1506129355,1172324807,PLN5817,461060,PCN782,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,6,Retail,0,0,0,14.0,1.77,15.77,1.0,13.75,1.02,0.56,0.3967,0,0,0,0,2021-08-18
RX0000006656,MBR00000181,2022-12-15,2022-12-19,1976123672,1742899094,PLN2079,962585,PCN158,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,84,4,Retail,0,0,0,22.5,2.05,24.55,1.0,21.97,1.58,0.3,0.2125,0,0,0,0,2023-03-15
RX0000006657,MBR00000181,2021-05-03,2021-05-07,1271158283,1314809951,PLN3302,841142,PCN351,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,8,Retail,2,0,0,380.0,9.98,389.98,31.0,332.05,26.93,15.2,10.7667,0,0,0,0,2021-06-02
RX0000006658,MBR00000181,2023-12-29,2024-01-02,1679555177,1351207211,PLN7889,501650,PCN356,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,81,1,Retail,0,0,0,960.0,7.62,967.62,36.0,881.77,49.85,12.8,9.0667,0,0,0,0,2024-03-28
RX0000006659,MBR00000181,2021-05-03,2021-05-04,1283858357,1812755620,PLN4583,702130,PCN635,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,0,Retail,0,0,0,12.0,5.53,17.53,2.0,14.75,0.78,0.48,0.34,0,0,0,0,2021-06-02
RX0000006660,MBR00000181,2023-11-10,2023-11-13,1576973154,1713578770,PLN3092,896871,PCN281,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,97,7,Retail,0,0,0,2250.0,11.52,2261.52,31.0,2129.27,101.25,30.0,21.25,0,0,0,0,2024-02-08
RX0000006661,MBR00000181,2021-01-13,2021-01-15,1525329296,1787951366,PLN4186,808232,PCN556,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,7,Retail,0,1,0,653.33,6.59,659.92,149.0,474.8,36.12,112.0,79.3333,1,0,0,0,2021-01-20
RX0000006662,MBR00000181,2021-08-11,2021-08-14,1970574636,1786902720,PLN3738,700934,PCN487,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,10,Retail,0,0,0,16.0,5.16,21.16,7.0,13.41,0.75,0.64,0.4533,0,0,0,0,2021-09-10
RX0000006663,MBR00000181,2023-09-30,2023-10-02,1302760628,1528848927,PLN4134,101491,PCN463,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,11,Retail,0,0,0,480.0,6.84,486.84,33.0,421.11,32.73,19.2,13.6,0,0,0,0,2023-10-30
RX0000006664,MBR00000181,2022-03-05,2022-03-08,1839842237,1776949235,PLN6519,952249,PCN149,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,0,Mail Order,0,0,0,320.0,11.01,331.01,36.0,272.14,22.87,12.8,9.0667,0,0,0,0,2022-04-04
RX0000006665,MBR00000181,2023-06-06,2023-06-08,1381534094,1898930762,PLN5204,816672,PCN395,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,10,Mail Order,0,0,0,5.13,9.08,14.21,67.0,0.0,0.82,0.88,0.6233,0,0,0,0,2023-06-13
RX0000006666,MBR00000181,2021-01-25,2021-01-29,1741377777,1170029404,PLN1656,282448,PCN657,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,0,LTC,0,0,0,22.0,5.17,27.17,7.0,18.67,1.5,0.88,0.6233,0,0,0,0,2021-02-24
RX0000006667,MBR00000181,2021-08-22,2021-08-23,1465878568,1131877945,PLN2800,347453,PCN820,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,6,Retail,0,0,0,38.0,4.04,42.04,39.0,1.41,1.63,1.52,1.0767,0,1,1,0,2021-09-21
RX0000006668,MBR00000181,2021-09-13,2021-09-16,1608068099,1265661753,PLN1161,428487,PCN849,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,4,Mail Order,1,0,0,3.27,4.16,7.42,7.0,0.06,0.36,0.56,0.3967,0,0,0,0,2021-09-20
RX0000006669,MBR00000181,2022-07-05,2022-07-06,1476986222,1269599550,PLN6795,231137,PCN974,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,4,Retail,0,0,0,11.0,9.98,20.98,6.0,14.3,0.68,0.44,0.3117,0,0,0,0,2022-08-04
RX0000006670,MBR00000181,2021-01-30,2021-02-02,1190122893,1534433171,PLN3420,628599,PCN138,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,9,Retail,0,0,0,28.0,4.05,32.05,4.0,26.93,1.12,1.12,0.7933,0,0,0,0,2021-03-01
RX0000006671,MBR00000181,2022-07-29,2022-08-02,1132685154,1313494545,PLN2497,725289,PCN169,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,10,Mail Order,0,1,0,8.0,5.77,13.77,145.0,0.0,0.85,0.32,0.2267,0,0,0,0,2022-08-28
RX0000006672,MBR00000181,2021-03-10,2021-03-12,1381810066,1479191584,PLN3453,673996,PCN289,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,11,Mail Order,0,0,0,2.8,9.92,12.72,2.0,10.08,0.64,0.48,0.34,0,0,0,0,2021-03-17
RX0000006673,MBR00000181,2023-06-28,2023-07-02,1302478396,1579610232,PLN5886,543486,PCN591,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,1,Specialty,1,0,0,15.0,46.59,61.59,10.0,51.59,0.0,0.6,0.425,0,0,0,0,2023-07-28
RX0000006674,MBR00000181,2021-05-15,2021-05-18,1774770146,1689484899,PLN5142,973169,PCN270,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,1,Retail,0,0,0,10.0,8.03,18.03,3.0,14.39,0.64,0.4,0.2833,0,0,0,0,2021-06-14
RX0000006675,MBR00000181,2022-05-12,2022-05-15,1100422542,1192660339,PLN5573,809840,PCN596,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,62,5,Retail,0,1,0,16.0,10.04,26.04,148.0,0.0,1.0,0.32,0.2267,1,0,0,0,2022-07-11
RX0000006676,MBR00000181,2021-08-27,2021-08-30,1159480499,1287453037,PLN3990,574826,PCN536,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,Specialty,0,0,0,22.0,28.42,50.42,3.0,47.42,0.0,0.88,0.6233,0,0,0,0,2021-09-26
RX0000006677,MBR00000181,2023-08-07,2023-08-08,1904695061,1521195918,PLN1043,707167,PCN513,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,82,6,Retail,0,0,0,54.0,6.92,60.92,3.0,54.8,3.12,0.72,0.51,0,0,0,0,2023-11-05
RX0000006678,MBR00000181,2021-07-28,2021-07-29,1907874694,1931440492,PLN1504,817314,PCN700,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,8,Mail Order,1,0,0,750.0,7.79,757.79,30.0,700.35,27.44,30.0,21.25,0,0,0,0,2021-08-27
RX0000006679,MBR00000181,2023-11-18,2023-11-22,1453364384,1386399863,PLN8219,890790,PCN923,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,1,Retail,0,0,0,10.5,7.28,17.78,7.0,9.56,1.22,1.8,1.275,0,0,0,0,2023-11-25
RX0000006680,MBR00000181,2021-05-20,2021-05-24,1697411047,1273755628,PLN5260,531574,PCN618,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,10,Specialty,0,0,0,54.0,41.18,95.18,10.0,85.18,0.0,0.72,0.51,0,0,0,0,2021-08-18
RX0000006681,MBR00000181,2023-10-18,2023-10-20,1315561745,1191655311,PLN8181,923847,PCN907,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,5,Retail,3,0,0,15.0,6.76,21.76,0.0,20.41,1.35,0.6,0.425,0,0,0,0,2023-11-17
RX0000006682,MBR00000181,2021-10-08,2021-10-10,1989892748,1384080356,PLN5870,291054,PCN233,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,3,Retail,0,0,0,15.0,11.59,26.59,9.0,16.47,1.12,0.6,0.425,0,0,0,0,2021-11-07
RX0000006683,MBR00000181,2021-09-30,2021-10-03,1241757831,1109427074,PLN9805,614387,PCN990,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,5,Mail Order,0,0,0,12.0,8.05,20.05,6.0,13.42,0.63,0.48,0.34,0,0,0,0,2021-10-30
RX0000006684,MBR00000182,2022-11-09,2022-11-12,1985698287,1405007200,PLN6300,867855,PCN759,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,4,Retail,1,1,0,2800.0,11.37,2811.37,153.0,2529.26,129.11,112.0,79.3333,0,0,0,0,2022-12-09
RX0000006685,MBR00000182,2023-03-25,2023-03-29,1421305050,1416823556,PLN3720,976849,PCN548,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,3,Mail Order,1,0,0,10.0,3.48,13.48,3.0,9.85,0.63,0.4,0.2833,0,0,0,0,2023-04-24
RX0000006686,MBR00000182,2022-07-27,2022-07-28,1603836441,1173159067,PLN9124,737741,PCN464,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,56,9,Retail,0,0,0,30.0,2.27,32.27,1.0,29.54,1.73,0.6,0.425,0,0,0,0,2022-09-25
RX0000006687,MBR00000182,2021-08-25,2021-08-27,1649550929,1294074861,PLN2319,475731,PCN199,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,2,Mail Order,0,0,0,14.0,9.31,23.31,4.0,18.11,1.2,0.56,0.3967,0,0,0,0,2021-09-24
RX0000006688,MBR00000182,2022-11-12,2022-11-15,1225389231,1616888608,PLN3394,249850,PCN663,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,96,5,Retail,0,0,0,1950.0,11.51,1961.51,40.0,1827.94,93.57,26.0,18.4167,0,0,0,0,2023-02-10
RX0000006689,MBR00000182,2021-02-03,2021-02-04,1165798436,1495294959,PLN1710,337237,PCN918,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,3,Retail,0,0,0,310.0,3.56,313.56,37.0,255.36,21.2,12.4,8.7833,0,0,0,0,2021-03-05
RX0000006690,MBR00000182,2021-08-25,2021-08-27,1515091976,1675033425,PLN9379,205502,PCN465,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,10,Retail,0,0,0,38.0,4.83,42.83,0.0,39.84,2.99,1.52,1.0767,0,0,0,0,2021-09-24
RX0000006691,MBR00000182,2023-11-23,2023-11-26,1691769169,1998431403,PLN1594,619174,PCN301,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,81,9,Retail,0,0,0,930.0,1.6,931.6,33.0,865.46,33.14,12.4,8.7833,1,0,0,0,2024-02-21
RX0000006692,MBR00000182,2021-07-20,2021-07-21,1761047811,1113039955,PLN1966,240816,PCN469,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,91,5,Mail Order,0,1,0,25500.0,8.52,25508.52,149.0,23919.86,1439.66,340.0,240.8333,0,0,0,0,2021-10-18
RX0000006693,MBR00000182,2023-06-01,2023-06-05,1118880072,1782656034,PLN8450,925428,PCN504,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,11,LTC,0,0,0,14.0,11.8,25.8,5.0,19.04,1.76,0.56,0.3967,0,0,0,0,2023-07-01
RX0000006694,MBR00000182,2022-11-27,2022-11-29,1522751863,1661072117,PLN8734,978019,PCN821,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,3,Retail,0,0,0,370.0,3.65,373.65,31.0,322.84,19.81,14.8,10.4833,0,0,0,0,2022-12-27
RX0000006695,MBR00000182,2023-11-14,2023-11-15,1515552060,1450787870,PLN3467,180112,PCN301,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,9,Retail,1,0,0,320.0,2.56,322.56,36.0,276.44,10.12,12.8,9.0667,0,0,0,0,2023-12-14
RX0000006696,MBR00000182,2023-04-07,2023-04-11,1361385517,1164812687,PLN6191,439499,PCN331,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,57,9,Retail,0,0,0,24.0,4.16,28.16,6.0,20.55,1.61,0.48,0.34,0,0,0,0,2023-06-06
RX0000006697,MBR00000182,2021-01-16,2021-01-18,1658661274,1138433587,PLN5135,950288,PCN711,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,62,0,Retail,0,0,0,20.0,4.55,24.55,4.0,18.92,1.63,0.4,0.2833,0,0,0,0,2021-03-17
RX0000006698,MBR00000182,2021-06-05,2021-06-07,1284836932,1613029138,PLN5840,177946,PCN434,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,2,Mail Order,0,0,0,38.0,4.95,42.95,36.0,5.23,1.72,1.52,1.0767,0,0,0,0,2021-07-05
RX0000006699,MBR00000182,2021-09-06,2021-09-08,1698543538,1914611969,PLN9205,704786,PCN993,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,2,Retail,0,0,0,650.0,4.18,654.18,36.0,588.61,29.57,26.0,18.4167,0,0,0,0,2021-10-06
RX0000006700,MBR00000182,2022-02-07,2022-02-09,1662410774,1441793600,PLN9458,129673,PCN289,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,4,Retail,0,0,0,45.0,10.85,55.85,4.0,49.85,2.0,1.8,1.275,0,0,0,0,2022-03-09
RX0000006701,MBR00000182,2021-01-21,2021-01-22,1943933107,1584926549,PLN6626,292717,PCN533,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,59,6,Specialty,0,0,0,15.0,38.06,53.06,5.0,48.06,0.0,0.3,0.2125,0,0,0,0,2021-03-22
RX0000006702,MBR00000182,2021-11-01,2021-11-04,1750379151,1336470258,PLN5980,394327,PCN512,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,10,Mail Order,0,0,0,750.0,4.51,754.51,39.0,671.16,44.35,30.0,21.25,0,0,0,0,2021-12-01
RX0000006703,MBR00000182,2021-11-20,2021-11-24,1984142439,1149193123,PLN5013,757696,PCN339,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,8,Retail,0,1,0,6200.0,8.98,6208.98,153.0,5703.5,352.48,248.0,175.6667,0,0,0,0,2021-12-20
RX0000006704,MBR00000182,2023-10-17,2023-10-18,1265692369,1915029114,PLN2290,320925,PCN334,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,3,Mail Order,0,0,0,38.0,2.5,40.5,34.0,5.22,1.28,1.52,1.0767,0,0,0,0,2023-11-16
RX0000006705,MBR00000182,2021-07-21,2021-07-23,1580743669,1692001433,PLN7419,130916,PCN719,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,64,1,Retail,0,1,0,5600.0,1.73,5601.73,151.0,5255.15,195.58,112.0,79.3333,0,0,0,0,2021-09-19
RX0000006706,MBR00000182,2022-09-14,2022-09-18,1477585708,1140226142,PLN6908,203835,PCN260,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,64,7,Retail,0,0,0,24.0,10.99,34.99,1.0,32.31,1.68,0.48,0.34,0,0,0,0,2022-11-13
RX0000006707,MBR00000182,2023-10-10,2023-10-14,1288646645,1843981525,PLN5142,300138,PCN260,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,0,Retail,0,0,0,18.0,7.59,25.59,10.0,14.71,0.88,0.72,0.51,0,0,0,0,2023-11-09
RX0000006708,MBR00000182,2022-09-27,2022-09-29,1368602415,1523756915,PLN2070,308431,PCN447,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,7,Retail,0,0,0,12.5,6.23,18.73,7.0,11.08,0.65,0.5,0.3542,1,0,0,0,2022-10-27
RX0000006709,MBR00000182,2022-12-08,2022-12-11,1892140367,1106123923,PLN5718,814303,PCN461,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,62,7,Retail,1,0,0,350.0,10.15,360.15,35.0,314.12,11.03,7.0,4.9583,0,0,0,0,2023-02-06
RX0000006710,MBR00000182,2021-06-16,2021-06-20,1508038504,1506377493,PLN9627,104440,PCN882,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,4,LTC,0,0,0,175.0,1.96,176.96,32.0,136.29,8.67,7.0,4.9583,0,0,0,0,2021-07-16
RX0000006711,MBR00000182,2023-01-25,2023-01-28,1230302849,1706440210,PLN1269,747318,PCN940,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,86,8,Mail Order,3,0,0,30.0,4.62,34.62,1.0,31.75,1.87,0.4,0.2833,0,0,0,0,2023-04-25
RX0000006712,MBR00000182,2023-07-10,2023-07-13,1506753064,1139369150,PLN8194,892409,PCN405,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,86,11,Mail Order,0,0,0,525.0,6.56,531.56,30.0,467.74,33.82,7.0,4.9583,0,0,0,0,2023-10-08
RX0000006713,MBR00000182,2022-09-03,2022-09-05,1686325498,1783614430,PLN2259,222512,PCN455,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,8,Retail,1,0,0,36.0,3.45,39.45,3.0,34.67,1.78,0.48,0.34,0,0,0,0,2022-12-02
RX0000006714,MBR00000182,2021-09-21,2021-09-22,1668878021,1583740920,PLN4551,195747,PCN354,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,1,Retail,0,0,0,2.8,6.07,8.87,7.0,1.45,0.42,0.48,0.34,0,0,0,0,2021-09-28
RX0000006715,MBR00000182,2022-09-16,2022-09-19,1350541419,1911549251,PLN5871,581345,PCN931,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,7,Retail,0,0,0,175.0,4.39,179.39,34.0,135.04,10.35,7.0,4.9583,0,0,0,0,2022-10-16
RX0000006716,MBR00000182,2021-05-31,2021-06-02,1629571007,1470287256,PLN1656,377004,PCN108,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,6,Retail,0,0,0,45.0,6.36,51.36,0.0,49.69,1.67,1.8,1.275,0,0,0,0,2021-06-30
RX0000006717,MBR00000182,2022-05-22,2022-05-26,1224855380,1657679408,PLN7944,786323,PCN767,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,86,5,LTC,0,0,0,135.0,10.15,145.15,7.0,133.53,4.62,1.8,1.275,0,0,0,0,2022-08-20
RX0000006718,MBR00000182,2021-05-11,2021-05-13,1331956714,1548638014,PLN7223,906121,PCN112,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,96,10,Retail,0,0,0,36.0,2.27,38.27,2.0,34.52,1.75,0.48,0.34,0,1,0,0,2021-08-09
RX0000006719,MBR00000182,2023-07-09,2023-07-12,1448760601,1952744808,PLN6709,593412,PCN545,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,6,Specialty,0,0,0,950.0,29.77,979.77,34.0,945.77,0.0,38.0,26.9167,0,0,0,0,2023-08-08
RX0000006720,MBR00000182,2022-03-15,2022-03-17,1799193301,1971187043,PLN3624,159807,PCN273,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,11,Retail,0,0,0,18.0,11.61,29.61,35.0,0.0,1.38,0.72,0.51,0,0,0,0,2022-04-14
RX0000006721,MBR00000182,2022-11-18,2022-11-22,1794087220,1852295422,PLN8872,379350,PCN220,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,1,Mail Order,0,0,0,10.0,3.66,13.66,7.0,6.05,0.61,0.4,0.2833,0,0,0,0,2022-12-18
RX0000006722,MBR00000182,2021-01-13,2021-01-14,1967064644,1348947031,PLN6803,621336,PCN447,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,6,Mail Order,0,0,0,18.0,1.52,19.52,0.0,18.21,1.31,0.72,0.51,0,0,0,0,2021-02-12
RX0000006723,MBR00000182,2023-02-19,2023-02-23,1573149583,1522830419,PLN3215,206630,PCN720,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,9,Retail,0,0,0,285.0,8.62,293.62,38.0,237.22,18.4,11.4,8.075,0,0,0,0,2023-03-21
RX0000006724,MBR00000182,2022-10-30,2022-11-02,1255296629,1420636670,PLN9702,996028,PCN959,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,7,Retail,3,0,0,22.0,8.45,30.45,67.0,0.0,0.96,0.88,0.6233,0,0,0,0,2022-11-29
RX0000006725,MBR00000182,2021-04-23,2021-04-25,1738474020,1356477794,PLN1846,807652,PCN218,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,7,Mail Order,0,0,0,10.0,7.81,17.81,1.0,15.69,1.12,0.4,0.2833,0,0,0,0,2021-05-23
RX0000006726,MBR00000182,2021-01-14,2021-01-16,1653870027,1599703811,PLN1899,595424,PCN350,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,6,Retail,0,0,0,7.5,2.2,9.7,10.0,0.0,0.61,0.3,0.2125,0,0,0,0,2021-02-13
RX0000006727,MBR00000182,2023-01-11,2023-01-14,1943813121,1195103836,PLN1008,924096,PCN922,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,57,0,Retail,0,1,0,16.0,2.98,18.98,154.0,0.0,0.86,0.32,0.2267,0,0,0,0,2023-03-12
RX0000006728,MBR00000182,2022-03-28,2022-03-29,1614258685,1481394533,PLN1401,363185,PCN828,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,93,3,Retail,0,0,0,45.0,3.5,48.5,6.0,40.53,1.97,0.6,0.425,0,0,0,0,2022-06-26
RX0000006729,MBR00000182,2023-02-02,2023-02-05,1837891955,1790660864,PLN1300,827145,PCN454,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,4,Retail,0,0,0,151.67,11.09,162.76,38.0,115.16,9.6,26.0,18.4167,0,0,0,0,2023-02-09
RX0000006730,MBR00000182,2023-02-13,2023-02-17,1782801864,1215975006,PLN4327,123991,PCN187,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,1,Retail,0,0,0,650.0,7.8,657.8,36.0,579.61,42.19,26.0,18.4167,0,0,0,0,2023-03-15
RX0000006731,MBR00000182,2023-10-18,2023-10-20,1269803889,1872135823,PLN7292,541360,PCN739,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,0,Retail,0,0,0,3.73,4.67,8.4,10.0,0.0,0.3,0.64,0.4533,0,0,0,0,2023-10-25
RX0000006732,MBR00000183,2022-10-24,2022-10-25,1895283338,1309169650,PLN7864,894297,PCN674,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,91,8,Retail,0,0,0,1440.0,1.9,1441.9,33.0,1362.65,46.25,19.2,13.6,0,0,0,0,2023-01-22
RX0000006733,MBR00000183,2022-01-12,2022-01-16,1184234060,1628022070,PLN1898,812759,PCN466,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,8,Retail,0,0,0,15.0,6.69,21.69,5.0,15.47,1.22,0.6,0.425,0,0,0,0,2022-02-11
RX0000006734,MBR00000183,2021-05-08,2021-05-09,1149458137,1924876249,PLN3058,780507,PCN626,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,82,4,Retail,0,0,0,30.0,6.2,36.2,6.0,28.39,1.81,0.4,0.2833,0,0,0,0,2021-08-06
RX0000006735,MBR00000183,2023-11-05,2023-11-08,1721277273,1975714026,PLN4812,919638,PCN740,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,59,1,Mail Order,0,1,0,12400.0,6.22,12406.22,154.0,11750.94,501.28,248.0,175.6667,0,0,0,0,2024-01-04
RX0000006736,MBR00000183,2023-04-10,2023-04-14,1688766735,1270168192,PLN1324,168675,PCN334,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,62,8,Retail,1,0,0,28.0,9.92,37.92,0.0,36.43,1.49,0.56,0.3967,0,0,0,0,2023-06-09
RX0000006737,MBR00000183,2022-09-17,2022-09-21,1321303296,1434975666,PLN4582,317513,PCN103,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,6,Mail Order,0,0,0,285.0,5.76,290.76,38.0,240.58,12.18,11.4,8.075,0,0,0,0,2022-10-17
RX0000006738,MBR00000183,2021-03-23,2021-03-26,1404766866,1167666867,PLN2843,141815,PCN792,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,4,Retail,0,0,0,330.0,4.37,334.37,35.0,279.26,20.11,13.2,9.35,0,0,0,0,2021-04-22
RX0000006739,MBR00000183,2023-10-30,2023-10-31,1997498273,1755989815,PLN5876,198951,PCN138,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,11,Retail,0,0,0,10.0,5.91,15.91,1.0,14.43,0.48,0.4,0.2833,0,0,0,0,2023-11-29
RX0000006740,MBR00000183,2021-08-08,2021-08-09,1446184329,1191989284,PLN6392,575572,PCN193,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,1,Retail,0,0,0,14.0,1.8,15.8,5.0,9.9,0.9,0.56,0.3967,0,0,0,0,2021-09-07
RX0000006741,MBR00000183,2021-08-28,2021-08-31,1546587323,1681165285,PLN8838,750176,PCN869,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,97,1,Retail,0,0,0,66.0,2.04,68.04,2.0,61.31,4.73,0.88,0.6233,1,0,0,0,2021-11-26
RX0000006742,MBR00000183,2023-04-07,2023-04-09,1732702229,1639546112,PLN9916,169043,PCN293,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,5,Retail,0,0,0,750.0,4.77,754.77,40.0,663.37,51.4,30.0,21.25,0,0,0,0,2023-05-07
RX0000006743,MBR00000183,2022-02-01,2022-02-03,1165266998,1381352141,PLN5489,674908,PCN236,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,93,11,Retail,0,0,0,1440.0,10.71,1450.71,37.0,1344.08,69.63,19.2,13.6,0,0,0,0,2022-05-02
RX0000006744,MBR00000183,2021-07-17,2021-07-18,1693893927,1679306472,PLN6225,562474,PCN514,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,55,5,Mail Order,0,0,0,760.0,10.57,770.57,37.0,684.84,48.73,15.2,10.7667,0,1,1,0,2021-09-15
RX0000006745,MBR00000183,2023-11-16,2023-11-18,1274684341,1146398070,PLN4821,478033,PCN699,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,94,0,Retail,0,0,0,525.0,1.91,526.91,40.0,460.18,26.73,7.0,4.9583,0,0,0,0,2024-02-14
RX0000006746,MBR00000183,2021-07-28,2021-08-01,1385620156,1939412786,PLN5327,522724,PCN956,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,0,Specialty,0,0,0,185.0,44.47,229.47,38.0,191.47,0.0,7.4,5.2417,0,0,0,0,2021-08-27
RX0000006747,MBR00000183,2021-01-13,2021-01-14,1844117138,1887563208,PLN1372,226839,PCN275,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,5,Retail,2,0,0,2.8,1.81,4.61,0.0,4.33,0.28,0.48,0.34,0,0,0,0,2021-01-20
RX0000006748,MBR00000183,2022-06-25,2022-06-29,1657007558,1813802209,PLN4503,881363,PCN111,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,86,3,Retail,0,0,0,45.0,7.14,52.14,6.0,44.56,1.58,0.6,0.425,0,0,0,0,2022-09-23
RX0000006749,MBR00000183,2022-11-25,2022-11-29,1987588714,1230876832,PLN8633,682133,PCN424,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,8,Retail,0,0,0,320.0,6.42,326.42,30.0,274.02,22.4,12.8,9.0667,0,0,0,0,2022-12-25
RX0000006750,MBR00000183,2023-12-22,2023-12-24,1489752649,1563900037,PLN4629,916055,PCN648,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,0,Mail Order,0,0,0,1.75,10.4,12.15,1.0,10.56,0.59,0.3,0.2125,0,0,0,0,2023-12-29
RX0000006751,MBR00000183,2022-04-26,2022-04-29,1877298053,1850318532,PLN1817,415770,PCN272,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,6,Retail,0,0,0,9.0,3.79,12.79,4.0,8.11,0.68,0.36,0.255,0,0,0,0,2022-05-26
RX0000006752,MBR00000183,2022-10-16,2022-10-17,1504407363,1252321445,PLN6295,431601,PCN310,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,2,Retail,0,0,0,950.0,8.21,958.21,34.0,878.16,46.05,38.0,26.9167,0,0,0,0,2022-11-15
RX0000006753,MBR00000183,2023-08-08,2023-08-12,1411584419,1982524600,PLN7855,874638,PCN168,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,97,9,Retail,0,0,0,27.0,3.49,30.49,1.0,28.53,0.96,0.36,0.255,0,0,0,0,2023-11-06
RX0000006754,MBR00000183,2023-11-16,2023-11-18,1134172223,1185920047,PLN4906,776773,PCN602,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,3,Mail Order,0,0,0,12.0,6.96,18.96,6.0,11.94,1.02,0.48,0.34,0,0,0,0,2023-12-16
RX0000006755,MBR00000183,2021-06-26,2021-06-30,1346181999,1400220768,PLN4410,885222,PCN461,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,57,2,Specialty,0,0,0,44.0,43.08,87.08,69.0,18.08,0.0,0.88,0.6233,0,0,0,0,2021-08-25
RX0000006756,MBR00000183,2023-07-03,2023-07-06,1137870833,1379012262,PLN1552,741923,PCN956,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,86,9,Retail,0,0,0,525.0,7.37,532.37,35.0,478.47,18.9,7.0,4.9583,0,0,0,0,2023-10-01
RX0000006757,MBR00000183,2023-11-28,2023-11-29,1683426605,1496856451,PLN4158,659363,PCN981,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,9,Specialty,0,0,0,185.0,34.28,219.28,33.0,186.28,0.0,7.4,5.2417,0,0,0,0,2023-12-28
RX0000006758,MBR00000183,2021-08-27,2021-08-29,1323488097,1360960588,PLN5583,193849,PCN565,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,10,Retail,0,0,0,18.0,5.3,23.3,1.0,21.42,0.88,0.72,0.51,0,0,0,0,2021-09-26
RX0000006759,MBR00000183,2021-04-25,2021-04-26,1738257736,1317523148,PLN8431,321570,PCN411,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,1,Retail,0,0,0,38.0,8.88,46.88,3.0,40.99,2.89,1.52,1.0767,0,0,0,0,2021-05-25
RX0000006760,MBR00000183,2021-10-24,2021-10-26,1904356032,1814661380,PLN8158,591440,PCN529,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,83,3,LTC,0,0,0,195.0,11.46,206.46,38.0,156.83,11.63,2.6,1.8417,0,0,0,0,2022-01-22
RX0000006761,MBR00000183,2021-11-24,2021-11-26,1183451891,1654762025,PLN8346,318656,PCN247,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,5,Retail,0,0,0,16.0,8.31,24.31,4.0,18.75,1.56,0.64,0.4533,0,0,0,0,2021-12-24
RX0000006762,MBR00000183,2022-01-14,2022-01-15,1901610414,1270547304,PLN5272,402272,PCN808,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,5,Mail Order,0,0,0,16.0,10.46,26.46,5.0,20.24,1.22,0.64,0.4533,0,0,0,0,2022-02-13
RX0000006763,MBR00000183,2021-09-26,2021-09-28,1498283644,1822091520,PLN7172,928609,PCN194,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,5,Retail,0,0,0,27.0,4.33,31.33,7.0,22.91,1.42,0.36,0.255,0,0,0,0,2021-12-25
RX0000006764,MBR00000183,2023-05-09,2023-05-13,1563565148,1769764903,PLN7686,576563,PCN146,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,64,1,Mail Order,2,0,0,620.0,5.93,625.93,37.0,556.33,32.6,12.4,8.7833,0,0,0,0,2023-07-08
RX0000006765,MBR00000183,2021-09-25,2021-09-29,1322391062,1585427420,PLN8045,915223,PCN775,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,3,Specialty,0,0,0,175.0,47.17,222.17,33.0,189.17,0.0,7.0,4.9583,0,0,0,0,2021-10-25
RX0000006766,MBR00000183,2021-04-15,2021-04-16,1896506537,1738470208,PLN3593,997342,PCN334,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,63,2,Retail,0,0,0,620.0,12.0,632.0,30.0,558.3,43.7,12.4,8.7833,0,0,0,0,2021-06-14
RX0000006767,MBR00000183,2023-06-28,2023-07-01,1512355186,1338034979,PLN8833,494756,PCN348,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,5,Retail,0,0,0,310.0,5.22,315.22,31.0,267.68,16.54,12.4,8.7833,0,0,0,0,2023-07-28
RX0000006768,MBR00000183,2022-09-03,2022-09-06,1831359675,1173618158,PLN3005,984270,PCN581,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,5,Mail Order,2,0,1,15.0,9.0,24.0,10.0,12.49,1.51,0.6,0.425,0,0,0,0,2022-10-03
RX0000006769,MBR00000184,2023-07-05,2023-07-06,1465594800,1816045323,PLN7148,661136,PCN120,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,11,Retail,0,0,0,18.0,5.02,23.02,3.0,19.2,0.82,0.72,0.51,0,0,0,0,2023-08-04
RX0000006770,MBR00000184,2022-08-26,2022-08-29,1796920437,1482444561,PLN5374,817555,PCN252,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,97,4,Retail,0,0,0,42.0,5.5,47.5,8.0,37.26,2.24,0.56,0.3967,0,0,0,0,2022-11-24
RX0000006771,MBR00000184,2022-11-07,2022-11-11,1840186426,1766013586,PLN4044,350678,PCN588,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,59,9,Retail,0,0,0,17.0,5.22,22.22,9.0,12.22,1.0,0.34,0.2408,1,0,0,0,2023-01-06
RX0000006772,MBR00000184,2022-03-26,2022-03-27,1710009406,1923083121,PLN7614,751036,PCN775,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,57,5,Mail Order,0,1,0,12400.0,5.94,12405.94,149.0,11511.33,745.61,248.0,175.6667,1,0,0,0,2022-05-25
RX0000006773,MBR00000184,2021-12-05,2021-12-09,1665267058,1793462622,PLN4399,624215,PCN202,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,86,1,Retail,0,0,0,2250.0,4.35,2254.35,36.0,2072.95,145.4,30.0,21.25,0,0,0,0,2022-03-05
RX0000006774,MBR00000184,2022-07-13,2022-07-15,1248993986,1991409837,PLN4517,232995,PCN837,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,94,0,Specialty,0,0,0,30.0,43.84,73.84,7.0,66.84,0.0,0.4,0.2833,0,0,0,0,2022-10-11
RX0000006775,MBR00000184,2023-12-30,2024-01-03,1939348661,1961078055,PLN1671,647672,PCN327,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,10,Retail,0,0,0,22.0,5.52,27.52,70.0,0.0,1.85,0.88,0.6233,0,0,0,0,2024-01-29
RX0000006776,MBR00000184,2023-09-05,2023-09-09,1555587092,1908038842,PLN3058,607151,PCN167,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,55,10,Mail Order,0,0,0,24.0,9.32,33.32,7.0,24.8,1.52,0.48,0.34,0,0,0,0,2023-11-04
RX0000006777,MBR00000184,2022-06-07,2022-06-08,1568503654,1624951082,PLN8749,745887,PCN573,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,0,Retail,0,0,0,380.0,6.9,386.9,30.0,336.29,20.61,15.2,10.7667,0,0,0,0,2022-07-07
RX0000006778,MBR00000184,2021-11-22,2021-11-24,1223094003,1111490848,PLN2044,744527,PCN365,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,2,Mail Order,0,0,0,18.0,5.06,23.06,4.0,18.03,1.03,0.72,0.51,0,0,0,0,2021-12-22
RX0000006779,MBR00000184,2022-10-13,2022-10-17,1662570639,1712369528,PLN7042,329178,PCN981,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,1,Retail,0,0,0,10.0,2.94,12.94,10.0,2.15,0.79,0.4,0.2833,1,0,0,0,2022-11-12
RX0000006780,MBR00000184,2022-05-14,2022-05-18,1497826552,1218321030,PLN6355,513193,PCN733,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,6,Retail,0,0,0,12.0,6.45,18.45,1.0,16.78,0.67,0.48,0.34,0,0,0,0,2022-06-13
RX0000006781,MBR00000184,2021-11-14,2021-11-15,1819961971,1463402429,PLN6712,782895,PCN858,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,9,Retail,0,0,0,45.0,7.76,52.76,6.0,44.59,2.17,1.8,1.275,0,0,0,0,2021-12-14
RX0000006782,MBR00000184,2022-08-06,2022-08-07,1842902464,1447409699,PLN2618,160917,PCN657,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,86,11,Retail,0,0,0,54.0,3.38,57.38,1.0,52.74,3.64,0.72,0.51,0,0,0,0,2022-11-04
RX0000006783,MBR00000184,2022-11-14,2022-11-17,1816907851,1618039732,PLN6911,208488,PCN349,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,4,Specialty,0,0,0,38.0,29.37,67.37,7.0,60.37,0.0,1.52,1.0767,0,0,0,0,2022-12-14
RX0000006784,MBR00000184,2022-11-10,2022-11-12,1519621136,1352494570,PLN3653,831120,PCN889,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,85,3,Specialty,0,0,0,45.0,35.27,80.27,9.0,71.27,0.0,0.6,0.425,0,0,0,0,2023-02-08
RX0000006785,MBR00000184,2022-07-08,2022-07-11,1669169825,1307758922,PLN7443,725414,PCN988,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,0,Mail Order,0,0,0,650.0,4.75,654.75,40.0,589.53,25.22,26.0,18.4167,0,0,0,0,2022-08-07
RX0000006786,MBR00000184,2021-03-16,2021-03-17,1400578732,1490347870,PLN8040,218372,PCN786,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,62,3,Retail,0,0,0,36.0,1.92,37.92,0.0,36.11,1.81,0.72,0.51,0,0,0,0,2021-05-15
RX0000006787,MBR00000184,2023-10-24,2023-10-28,1421350172,1166354538,PLN2251,583300,PCN651,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,11,Retail,0,0,0,45.0,2.44,47.44,1.0,43.32,3.12,1.8,1.275,0,0,0,0,2023-11-23
RX0000006788,MBR00000184,2021-03-20,2021-03-21,1273259851,1446118734,PLN7647,829002,PCN364,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,10,Mail Order,2,0,0,9.0,7.46,16.46,3.0,12.9,0.56,0.36,0.255,0,0,0,0,2021-04-19
RX0000006789,MBR00000184,2021-08-31,2021-09-01,1701489750,1887868428,PLN3061,609797,PCN582,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,85,4,Retail,0,1,0,18600.0,10.96,18610.96,149.0,17625.11,836.85,248.0,175.6667,0,0,0,0,2021-11-29
RX0000006790,MBR00000184,2023-11-01,2023-11-03,1763462269,1205569238,PLN2831,494730,PCN908,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,1,Retail,0,0,0,175.0,6.45,181.45,36.0,136.77,8.68,7.0,4.9583,1,0,0,0,2023-12-01
RX0000006791,MBR00000184,2023-02-01,2023-02-03,1576308699,1882194172,PLN6107,519959,PCN157,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,4,LTC,0,0,0,16.0,11.38,27.38,4.0,21.97,1.41,0.64,0.4533,0,0,0,0,2023-03-03
RX0000006792,MBR00000184,2023-07-09,2023-07-11,1337306714,1834921173,PLN9492,774253,PCN701,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,90,2,Retail,0,0,0,36.0,7.54,43.54,10.0,31.86,1.68,0.48,0.34,0,0,0,0,2023-10-07
RX0000006793,MBR00000184,2023-02-10,2023-02-13,1640256308,1354596642,PLN2838,511436,PCN107,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,5,Retail,0,1,0,12.0,4.38,16.38,152.0,0.0,0.55,0.48,0.34,0,0,0,0,2023-03-12
RX0000006794,MBR00000184,2021-04-13,2021-04-17,1975796620,1462014761,PLN4346,800545,PCN198,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,98,8,Retail,0,0,0,1950.0,10.54,1960.54,34.0,1841.4,85.14,26.0,18.4167,0,0,0,0,2021-07-12
RX0000006795,MBR00000184,2021-06-12,2021-06-16,1673916594,1952483359,PLN4969,411700,PCN877,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,11,Retail,0,0,0,10.0,3.78,13.78,6.0,7.22,0.56,0.4,0.2833,0,0,0,0,2021-07-12
RX0000006796,MBR00000184,2022-09-03,2022-09-04,1940989191,1273488546,PLN8275,971432,PCN559,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,11,Retail,0,1,0,2800.0,4.39,2804.39,150.0,2537.76,116.63,112.0,79.3333,0,0,0,0,2022-10-03
RX0000006797,MBR00000184,2022-01-29,2022-02-02,1247763387,1803657052,PLN7779,622148,PCN197,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,9,Mail Order,0,0,0,18.0,6.56,24.56,9.0,14.25,1.31,0.72,0.51,1,0,0,0,2022-02-28
RX0000006798,MBR00000184,2023-09-15,2023-09-18,1229690204,1800720245,PLN3755,767393,PCN829,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,91,2,Retail,0,0,0,555.0,8.98,563.98,40.0,494.19,29.79,7.4,5.2417,0,0,0,0,2023-12-14
RX0000006799,MBR00000184,2021-05-25,2021-05-27,1656571279,1528853650,PLN9114,251040,PCN678,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,87,9,Retail,0,0,0,990.0,5.39,995.39,39.0,889.04,67.35,13.2,9.35,0,0,0,0,2021-08-23
RX0000006800,MBR00000185,2021-04-02,2021-04-05,1628189559,1310497934,PLN7480,860631,PCN129,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,8,Retail,0,0,0,10.0,6.7,16.7,9.0,6.99,0.71,0.4,0.2833,1,0,0,0,2021-05-02
RX0000006801,MBR00000185,2021-03-30,2021-03-31,1388547339,1760056485,PLN3772,646027,PCN640,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,9,Retail,0,0,0,14.0,8.02,22.02,5.0,16.24,0.78,0.56,0.3967,0,0,0,0,2021-04-29
RX0000006802,MBR00000185,2022-02-15,2022-02-16,1607027960,1610781228,PLN6557,489270,PCN678,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,0,Mail Order,0,0,0,15.0,2.53,17.53,8.0,8.64,0.89,0.6,0.425,0,1,0,0,2022-03-17
RX0000006803,MBR00000185,2021-06-02,2021-06-04,1422810010,1798752781,PLN5874,881935,PCN505,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,6,Specialty,0,0,0,2.92,39.06,41.98,6.0,35.98,0.0,0.5,0.3542,0,0,0,0,2021-06-09
RX0000006804,MBR00000185,2023-11-24,2023-11-25,1326491535,1155532209,PLN1190,749585,PCN567,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,4,Retail,3,0,0,8.87,9.92,18.79,35.0,0.0,0.99,1.52,1.0767,0,0,0,0,2023-12-01
RX0000006805,MBR00000185,2023-04-21,2023-04-24,1241261649,1812978475,PLN1935,958338,PCN807,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,6,Mail Order,0,0,0,10.0,3.04,13.04,2.0,10.23,0.81,0.4,0.2833,0,0,0,0,2023-05-21
RX0000006806,MBR00000185,2021-02-20,2021-02-24,1387431835,1627946552,PLN9562,355645,PCN208,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,82,10,Mail Order,0,0,0,1140.0,2.82,1142.82,39.0,1037.38,66.44,15.2,10.7667,0,0,0,0,2021-05-21
RX0000006807,MBR00000185,2023-05-06,2023-05-10,1704819288,1558732107,PLN2317,345756,PCN912,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,61,11,Mail Order,0,0,0,17.0,5.53,22.53,8.0,13.76,0.77,0.34,0.2408,0,0,0,0,2023-07-05
RX0000006808,MBR00000185,2021-07-20,2021-07-22,1176617965,1864814858,PLN8566,528016,PCN621,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,4,Retail,1,1,0,12.0,2.18,14.18,147.0,0.0,0.52,0.48,0.34,0,0,0,0,2021-08-19
RX0000006809,MBR00000185,2023-06-21,2023-06-25,1201152972,1843756601,PLN3553,299703,PCN542,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,3,Retail,0,0,1,14.0,10.17,24.17,1.0,22.31,0.86,0.56,0.3967,0,0,0,0,2023-07-21
RX0000006810,MBR00000185,2023-07-15,2023-07-18,1482124772,1135691272,PLN5630,993996,PCN488,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,1,Mail Order,0,0,0,14.0,2.76,16.76,1.0,14.82,0.94,0.56,0.3967,0,0,0,0,2023-08-14
RX0000006811,MBR00000185,2022-10-05,2022-10-09,1896082389,1603377324,PLN3402,774024,PCN967,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,90,2,Retail,2,0,0,84.0,11.27,95.27,0.0,90.15,5.12,1.12,0.7933,0,0,0,0,2023-01-03
RX0000006812,MBR00000185,2021-12-30,2022-01-03,1384974431,1151262217,PLN7185,851095,PCN866,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,1,Retail,0,0,0,14.0,7.36,21.36,0.0,20.03,1.33,0.56,0.3967,0,0,0,0,2022-01-29
RX0000006813,MBR00000185,2022-09-26,2022-09-28,1629694743,1532440679,PLN4990,147145,PCN485,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,2,Mail Order,0,1,0,8.0,1.86,9.86,151.0,0.0,0.4,0.32,0.2267,0,0,0,0,2022-10-26
RX0000006814,MBR00000185,2023-01-08,2023-01-09,1598108658,1948635574,PLN4198,615521,PCN405,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,1,Retail,0,0,0,750.0,5.31,755.31,33.0,673.66,48.65,30.0,21.25,0,0,0,0,2023-02-07
RX0000006815,MBR00000185,2021-11-28,2021-11-29,1235430644,1132603441,PLN1749,598442,PCN342,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,3,Retail,0,0,0,45.0,2.99,47.99,6.0,38.81,3.18,1.8,1.275,0,0,0,0,2021-12-28
RX0000006816,MBR00000185,2022-08-27,2022-08-30,1813932207,1587018842,PLN3617,251032,PCN589,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,83,5,Retail,0,0,0,27.0,5.96,32.96,5.0,25.88,2.08,0.36,0.255,0,0,0,0,2022-11-25
RX0000006817,MBR00000185,2021-03-03,2021-03-04,1536368156,1612945078,PLN4916,178530,PCN462,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,4,Retail,0,1,0,8500.0,5.81,8505.81,149.0,8047.38,309.43,340.0,240.8333,0,0,0,0,2021-04-02
RX0000006818,MBR00000185,2023-10-09,2023-10-10,1304962017,1164336462,PLN6639,958205,PCN697,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,3,Mail Order,1,0,0,14.0,9.14,23.14,1.0,20.59,1.55,0.56,0.3967,1,0,0,0,2023-11-08
RX0000006819,MBR00000185,2021-12-02,2021-12-04,1907602385,1773408500,PLN3903,897180,PCN586,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,7,Specialty,0,0,0,28.0,41.75,69.75,6.0,63.75,0.0,1.12,0.7933,0,0,0,0,2022-01-01
RX0000006820,MBR00000185,2023-10-01,2023-10-03,1359825425,1338645680,PLN1761,558702,PCN543,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,3,Retail,0,0,0,3.27,4.6,7.87,7.0,0.6,0.27,0.56,0.3967,0,0,0,0,2023-10-08
RX0000006821,MBR00000185,2021-11-26,2021-11-30,1324990478,1610744374,PLN3860,593611,PCN906,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,88,9,Retail,0,0,0,48.0,3.73,51.73,5.0,44.72,2.01,0.64,0.4533,0,0,0,0,2022-02-24
RX0000006822,MBR00000185,2022-07-28,2022-07-29,1279586162,1274007803,PLN8632,388596,PCN773,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,9,Retail,0,0,0,175.0,11.86,186.86,31.0,144.66,11.2,7.0,4.9583,0,0,0,0,2022-08-27
RX0000006823,MBR00000185,2021-04-03,2021-04-05,1467356804,1150487316,PLN9992,323026,PCN584,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,9,Mail Order,0,0,0,14.0,5.94,19.94,0.0,18.6,1.34,0.56,0.3967,0,0,0,0,2021-05-03
RX0000006824,MBR00000185,2023-07-08,2023-07-11,1456427775,1383513724,PLN1219,571654,PCN104,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,61,7,Specialty,1,0,0,56.0,12.09,68.09,7.0,61.09,0.0,1.12,0.7933,0,0,0,0,2023-09-06
RX0000006825,MBR00000185,2021-07-04,2021-07-07,1881130676,1349405078,PLN3580,351623,PCN493,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,57,7,Retail,0,0,0,1500.0,2.25,1502.25,32.0,1415.07,55.18,30.0,21.25,0,0,0,0,2021-09-02
RX0000006826,MBR00000185,2023-02-02,2023-02-06,1564392829,1411531732,PLN2795,918393,PCN163,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,86,3,Retail,0,0,0,114.0,1.83,115.83,38.0,73.38,4.45,1.52,1.0767,0,0,0,0,2023-05-03
RX0000006827,MBR00000185,2022-11-20,2022-11-24,1418212733,1880643641,PLN9180,865415,PCN267,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,6,Mail Order,0,0,0,285.0,7.29,292.29,35.0,240.91,16.38,11.4,8.075,0,0,0,0,2022-12-20
RX0000006828,MBR00000185,2023-02-11,2023-02-13,1675126548,1989311645,PLN5997,656587,PCN521,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,87,3,Retail,0,0,0,930.0,1.81,931.81,34.0,858.64,39.17,12.4,8.7833,0,0,0,0,2023-05-12
RX0000006829,MBR00000185,2021-01-03,2021-01-06,1932379432,1668420154,PLN5059,675077,PCN795,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,0,Retail,0,0,0,2.8,6.48,9.28,1.0,7.95,0.33,0.48,0.34,0,0,0,0,2021-01-10
RX0000006830,MBR00000185,2022-12-10,2022-12-11,1315609477,1508032780,PLN5668,903934,PCN292,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,95,0,Retail,0,0,0,1440.0,3.73,1443.73,39.0,1351.29,53.44,19.2,13.6,0,0,0,0,2023-03-10
RX0000006831,MBR00000185,2021-08-06,2021-08-08,1615421432,1532429379,PLN9578,111897,PCN671,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,92,4,Specialty,0,0,0,2850.0,14.78,2864.78,37.0,2827.78,0.0,38.0,26.9167,0,0,0,0,2021-11-04
RX0000006832,MBR00000185,2023-03-16,2023-03-17,1465273366,1365779314,PLN1598,916916,PCN612,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,82,7,Retail,0,0,0,54.0,11.05,65.05,7.0,54.88,3.17,0.72,0.51,0,0,0,0,2023-06-14
RX0000006833,MBR00000185,2022-12-29,2023-01-01,1905270348,1931079327,PLN8510,487467,PCN392,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,94,0,LTC,0,0,0,114.0,8.35,122.35,33.0,85.44,3.91,1.52,1.0767,0,0,0,0,2023-03-29
RX0000006834,MBR00000185,2021-05-19,2021-05-21,1608963245,1882458589,PLN5493,371025,PCN886,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,7,Retail,0,0,0,72.33,8.84,81.18,34.0,42.64,4.54,12.4,8.7833,1,0,0,0,2021-05-26
RX0000006835,MBR00000185,2021-12-13,2021-12-17,1945194964,1150748873,PLN1751,296014,PCN902,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,4,Retail,0,0,0,3.27,10.87,14.14,10.0,3.63,0.51,0.56,0.3967,0,1,0,0,2021-12-20
RX0000006836,MBR00000185,2021-04-25,2021-04-29,1320356414,1385135332,PLN2416,131133,PCN559,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,7,Retail,0,0,0,185.0,1.7,186.7,32.0,142.52,12.18,7.4,5.2417,0,0,0,0,2021-05-25
RX0000006837,MBR00000185,2021-12-17,2021-12-18,1758412382,1528177165,PLN8965,830732,PCN410,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,97,2,Retail,0,0,0,855.0,2.74,857.74,32.0,767.2,58.54,11.4,8.075,0,0,0,0,2022-03-17
RX0000006838,MBR00000185,2022-11-22,2022-11-25,1509106327,1451872394,PLN4890,553120,PCN616,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,81,6,Retail,0,1,0,8400.0,9.08,8409.08,148.0,7686.48,574.6,112.0,79.3333,0,0,0,0,2023-02-20
RX0000006839,MBR00000185,2021-08-10,2021-08-14,1217169638,1806052208,PLN5070,113931,PCN111,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,10,Retail,0,0,0,12.5,4.76,17.26,4.0,12.42,0.84,0.5,0.3542,0,0,0,0,2021-09-09
RX0000006840,MBR00000185,2023-08-29,2023-08-30,1523665775,1104314040,PLN4660,340841,PCN715,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,87,7,Retail,0,0,0,22.5,8.75,31.25,1.0,29.22,1.03,0.3,0.2125,0,0,0,0,2023-11-27
RX0000006841,MBR00000185,2023-09-14,2023-09-17,1148147310,1482310705,PLN4872,143372,PCN753,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,57,9,Mail Order,0,0,0,24.0,7.61,31.61,7.0,22.99,1.62,0.48,0.34,0,0,0,0,2023-11-13
RX0000006842,MBR00000185,2022-02-24,2022-02-27,1304258493,1680835016,PLN7843,232942,PCN578,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,0,Specialty,0,0,0,16.0,44.49,60.49,9.0,51.49,0.0,0.64,0.4533,0,0,0,0,2022-03-26
RX0000006843,MBR00000185,2022-03-03,2022-03-05,1494330265,1682992699,PLN8912,952398,PCN901,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,60,9,Specialty,0,0,0,20.0,45.06,65.06,10.0,55.06,0.0,0.4,0.2833,1,0,0,0,2022-05-02
RX0000006844,MBR00000185,2021-05-08,2021-05-11,1513665935,1405107489,PLN6528,809203,PCN505,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,64,0,Retail,0,0,0,20.0,6.99,26.99,9.0,16.55,1.44,0.4,0.2833,0,0,0,0,2021-07-07
RX0000006845,MBR00000185,2023-08-21,2023-08-23,1266250250,1964677055,PLN3159,297666,PCN180,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,285.0,5.95,290.95,36.0,235.72,19.23,11.4,8.075,0,0,0,0,2023-09-20
RX0000006846,MBR00000185,2022-10-01,2022-10-04,1486344641,1824529503,PLN7336,144989,PCN215,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,0,Mail Order,0,0,0,12.0,10.93,22.93,3.0,19.19,0.74,0.48,0.34,0,0,0,0,2022-10-31
RX0000006847,MBR00000185,2021-06-25,2021-06-26,1900351020,1369337718,PLN2989,540799,PCN715,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,87,3,Retail,0,0,0,36.0,6.0,42.0,1.0,39.46,1.54,0.48,0.34,0,0,0,0,2021-09-23
RX0000006848,MBR00000185,2023-10-11,2023-10-15,1164408186,1602125784,PLN6674,678709,PCN866,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,98,11,Retail,0,0,0,114.0,10.82,124.82,4.0,114.59,6.23,1.52,1.0767,0,0,0,0,2024-01-09
RX0000006849,MBR00000185,2021-01-12,2021-01-13,1411334783,1523625674,PLN6594,673593,PCN986,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,9,Mail Order,0,0,0,3.5,9.77,13.27,9.0,3.7,0.57,0.6,0.425,0,0,0,0,2021-01-19
RX0000006850,MBR00000185,2022-02-13,2022-02-16,1400410482,1440393610,PLN8817,272350,PCN874,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,0,Retail,0,0,1,10.0,4.92,14.92,8.0,5.98,0.94,0.4,0.2833,0,0,0,0,2022-03-15
RX0000006851,MBR00000185,2021-03-13,2021-03-17,1987955667,1463136713,PLN5293,839178,PCN730,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,1,Retail,0,0,0,38.0,10.35,48.35,9.0,36.25,3.1,1.52,1.0767,0,1,0,0,2021-04-12
RX0000006852,MBR00000185,2023-09-11,2023-09-12,1605519041,1567979067,PLN9050,797553,PCN904,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,93,9,Retail,0,0,0,135.0,3.25,138.25,7.0,121.85,9.4,1.8,1.275,0,0,0,0,2023-12-10
RX0000006853,MBR00000185,2022-06-27,2022-06-28,1353859139,1766256559,PLN3529,855206,PCN308,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,7,Retail,0,0,0,22.0,3.68,25.68,69.0,0.0,1.8,0.88,0.6233,0,0,0,0,2022-07-27
RX0000006854,MBR00000185,2021-06-18,2021-06-21,1282822171,1395613244,PLN6412,779721,PCN196,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,95,7,Retail,0,0,0,960.0,4.3,964.3,37.0,880.13,47.17,12.8,9.0667,0,0,0,0,2021-09-16
RX0000006855,MBR00000185,2022-12-31,2023-01-02,1523562563,1479091233,PLN3700,124469,PCN356,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,87,4,Mail Order,0,0,0,27.0,8.18,35.18,3.0,29.88,2.3,0.36,0.255,0,0,0,0,2023-03-31
RX0000006856,MBR00000185,2021-07-31,2021-08-02,1185417468,1286779755,PLN9895,983397,PCN613,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,0,Mail Order,0,0,0,15.0,6.62,21.62,7.0,13.7,0.92,0.6,0.425,0,0,0,0,2021-08-30
RX0000006857,MBR00000185,2023-05-27,2023-05-28,1191735249,1637899948,PLN1405,508195,PCN558,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,0,Retail,0,0,0,4.2,6.23,10.43,5.0,5.03,0.4,0.72,0.51,0,0,0,0,2023-06-03
RX0000006858,MBR00000185,2022-02-05,2022-02-06,1640461370,1266915236,PLN4911,123253,PCN350,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,2,Retail,0,0,0,18.0,8.72,26.72,8.0,17.12,1.6,0.72,0.51,0,0,0,0,2022-03-07
RX0000006859,MBR00000186,2021-03-22,2021-03-23,1405680608,1623893991,PLN4024,307376,PCN642,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,6,Mail Order,0,0,1,4.2,4.57,8.77,30.0,0.0,0.35,0.72,0.51,0,0,0,0,2021-03-29
RX0000006860,MBR00000186,2023-09-02,2023-09-06,1166775766,1645613649,PLN5784,377725,PCN915,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,98,2,Retail,0,0,0,2850.0,4.8,2854.8,34.0,2714.73,106.07,38.0,26.9167,0,0,0,0,2023-12-01
RX0000006861,MBR00000186,2021-06-16,2021-06-20,1154570771,1901021541,PLN7670,364029,PCN677,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,3,Retail,0,0,0,14.0,3.39,17.39,1.0,15.61,0.78,0.56,0.3967,0,0,0,0,2021-07-16
RX0000006862,MBR00000186,2021-05-30,2021-06-03,1606871908,1632225677,PLN1733,871819,PCN495,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,0,Mail Order,0,0,0,18.0,3.28,21.28,35.0,0.0,0.78,0.72,0.51,0,0,0,0,2021-06-29
RX0000006863,MBR00000186,2021-02-17,2021-02-21,1346939828,1390003239,PLN5039,321347,PCN876,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,2,Retail,0,0,0,320.0,9.83,329.83,37.0,277.71,15.12,12.8,9.0667,0,0,0,0,2021-03-19
RX0000006864,MBR00000186,2022-03-21,2022-03-25,1190896119,1634611692,PLN1442,824653,PCN168,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,8,Retail,2,0,1,6.53,10.71,17.24,6.0,10.44,0.8,1.12,0.7933,0,0,0,0,2022-03-28
RX0000006865,MBR00000186,2023-04-14,2023-04-17,1780733245,1644490750,PLN4290,410513,PCN709,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,10,Retail,0,0,0,15.0,9.42,24.42,2.0,21.22,1.2,0.6,0.425,0,0,0,0,2023-05-14
RX0000006866,MBR00000186,2022-11-06,2022-11-08,1373736265,1163258563,PLN5305,178931,PCN964,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,9,Mail Order,0,0,0,10.5,8.17,18.67,2.0,15.74,0.93,1.8,1.275,0,0,0,0,2022-11-13
RX0000006867,MBR00000186,2021-05-26,2021-05-30,1847941857,1203665752,PLN1086,983733,PCN256,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,11,Retail,0,0,0,310.0,7.96,317.96,35.0,269.12,13.84,12.4,8.7833,0,0,0,0,2021-06-25
RX0000006868,MBR00000186,2021-07-13,2021-07-16,1185533027,1494573385,PLN5043,625801,PCN896,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,5,Mail Order,3,0,0,330.0,6.64,336.64,34.0,282.42,20.22,13.2,9.35,0,0,0,0,2021-08-12
RX0000006869,MBR00000186,2022-03-20,2022-03-22,1841128303,1926566236,PLN1674,107341,PCN658,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,5,Retail,0,0,0,480.0,8.13,488.13,36.0,437.11,15.02,19.2,13.6,0,0,0,0,2022-04-19
RX0000006870,MBR00000186,2021-12-29,2021-12-30,1329308709,1661635227,PLN2434,590257,PCN896,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,7,Retail,0,0,0,2.33,7.08,9.41,3.0,6.13,0.28,0.4,0.2833,0,0,0,0,2022-01-05
RX0000006871,MBR00000186,2021-01-09,2021-01-13,1907260418,1179216719,PLN5757,962226,PCN380,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,4,Specialty,0,0,0,38.0,20.9,58.9,10.0,48.9,0.0,1.52,1.0767,0,0,0,0,2021-02-08
RX0000006872,MBR00000186,2021-12-21,2021-12-22,1267921411,1757757592,PLN2003,326901,PCN797,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,0,Retail,0,1,0,6200.0,5.16,6205.16,151.0,5849.24,204.92,248.0,175.6667,0,0,0,0,2022-01-20
RX0000006873,MBR00000186,2023-12-18,2023-12-20,1696773517,1505171647,PLN1648,960599,PCN865,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,9,Retail,0,0,0,14.0,2.05,16.05,8.0,7.36,0.69,0.56,0.3967,1,0,0,0,2024-01-17
RX0000006874,MBR00000186,2023-02-27,2023-03-02,1362161538,1128473145,PLN6002,939619,PCN503,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,85,2,Retail,0,0,0,42.0,7.95,49.95,4.0,42.49,3.46,0.56,0.3967,0,0,0,0,2023-05-28
RX0000006875,MBR00000186,2023-09-14,2023-09-15,1261460032,1395645963,PLN2047,214143,PCN644,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,9,Retail,0,0,0,320.0,5.9,325.9,36.0,275.96,13.94,12.8,9.0667,0,0,0,0,2023-10-14
RX0000006876,MBR00000186,2021-11-21,2021-11-22,1776524317,1595153153,PLN7693,624233,PCN827,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,0,Mail Order,0,0,0,10.0,11.2,21.2,10.0,9.9,1.3,0.4,0.2833,0,0,0,0,2021-12-21
RX0000006877,MBR00000186,2023-04-30,2023-05-03,1504014451,1285623304,PLN2076,788197,PCN594,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,8,Retail,0,0,0,38.0,1.83,39.83,35.0,2.39,2.44,1.52,1.0767,0,0,0,0,2023-05-30
RX0000006878,MBR00000186,2023-03-06,2023-03-10,1102849480,1756155116,PLN3509,409866,PCN520,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,87,1,Retail,0,1,0,18600.0,6.19,18606.19,150.0,17293.81,1162.38,248.0,175.6667,0,0,0,0,2023-06-04
RX0000006879,MBR00000186,2021-03-09,2021-03-12,1827756409,1374661552,PLN3321,654449,PCN679,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,4,Retail,3,0,0,320.0,8.3,328.3,38.0,275.05,15.25,12.8,9.0667,0,0,0,0,2021-04-08
RX0000006880,MBR00000186,2022-10-02,2022-10-03,1544421800,1863007534,PLN3769,582220,PCN240,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,5,Specialty,0,0,0,38.0,8.63,46.63,32.0,14.63,0.0,1.52,1.0767,0,0,0,0,2022-11-01
RX0000006881,MBR00000186,2023-07-06,2023-07-08,1868409087,1158280931,PLN6290,151469,PCN410,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,54,7,Mail Order,0,0,0,960.0,10.77,970.77,37.0,869.67,64.1,19.2,13.6,0,0,0,0,2023-09-04
RX0000006882,MBR00000186,2022-02-10,2022-02-12,1144596627,1525618212,PLN7801,454118,PCN577,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,2,Retail,0,0,0,65.0,1.63,66.63,39.0,24.78,2.85,2.6,1.8417,0,0,0,0,2022-03-12
RX0000006883,MBR00000186,2022-10-20,2022-10-23,1357131171,1794627404,PLN5784,205093,PCN296,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,7,Retail,1,0,0,8.5,1.83,10.33,5.0,4.66,0.67,0.34,0.2408,0,0,0,0,2022-11-19
RX0000006884,MBR00000186,2022-03-26,2022-03-28,1324051605,1170686623,PLN5717,252439,PCN353,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,5,Mail Order,0,0,0,18.0,1.67,19.67,5.0,13.94,0.73,0.72,0.51,0,0,0,0,2022-04-25
RX0000006885,MBR00000186,2022-02-05,2022-02-06,1568002033,1773247996,PLN7857,544334,PCN645,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,85,5,Retail,0,0,0,1140.0,11.3,1151.3,35.0,1062.57,53.73,15.2,10.7667,0,0,0,0,2022-05-06
RX0000006886,MBR00000186,2022-05-31,2022-06-02,1487128768,1513304556,PLN8349,566881,PCN879,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,83,6,Retail,0,0,0,2250.0,6.87,2256.87,30.0,2147.61,79.26,30.0,21.25,1,0,0,0,2022-08-29
RX0000006887,MBR00000186,2023-07-31,2023-08-01,1665082888,1811124058,PLN6621,821234,PCN173,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,6,Mail Order,0,0,0,45.0,8.74,53.74,10.0,40.36,3.38,1.8,1.275,0,0,0,0,2023-08-30
RX0000006888,MBR00000186,2022-06-06,2022-06-07,1936303006,1425935023,PLN6191,237526,PCN211,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,3,Specialty,0,0,0,28.0,11.69,39.69,7.0,32.69,0.0,1.12,0.7933,0,0,0,0,2022-07-06
RX0000006889,MBR00000186,2023-01-20,2023-01-23,1787300411,1116532642,PLN2510,702560,PCN341,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,90,9,Retail,0,0,0,36.0,2.95,38.95,4.0,32.85,2.1,0.48,0.34,0,0,0,0,2023-04-20
RX0000006890,MBR00000186,2022-06-15,2022-06-17,1461714737,1374011248,PLN9001,483088,PCN796,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,0,LTC,0,0,0,14.0,11.62,25.62,1.0,23.34,1.28,0.56,0.3967,0,0,0,0,2022-07-15
RX0000006891,MBR00000186,2022-01-25,2022-01-28,1452271950,1870773255,PLN4374,714554,PCN444,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,5,Retail,0,0,0,12.0,8.12,20.12,3.0,16.06,1.06,0.48,0.34,0,0,0,0,2022-02-24
RX0000006892,MBR00000186,2022-01-02,2022-01-04,1475075243,1245546049,PLN2913,628644,PCN640,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,5,Mail Order,0,0,0,9.0,4.88,13.88,3.0,10.19,0.69,0.36,0.255,0,0,0,0,2022-02-01
RX0000006893,MBR00000186,2022-12-24,2022-12-27,1743449721,1928885421,PLN8096,204836,PCN823,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,97,3,Mail Order,3,0,0,30.0,5.58,35.58,10.0,24.04,1.54,0.4,0.2833,0,0,0,0,2023-03-24
RX0000006894,MBR00000186,2021-03-21,2021-03-22,1232413346,1477238781,PLN4989,302525,PCN266,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,95,4,Retail,0,0,0,2850.0,6.9,2856.9,31.0,2728.18,97.72,38.0,26.9167,0,0,0,0,2021-06-19
RX0000006895,MBR00000186,2023-04-10,2023-04-12,1984835389,1650279005,PLN2502,694953,PCN685,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,87,0,Retail,0,0,0,30.0,8.47,38.47,1.0,34.86,2.61,0.4,0.2833,0,0,0,0,2023-07-09
RX0000006896,MBR00000186,2022-05-13,2022-05-15,1955069941,1602812333,PLN5772,789539,PCN647,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,1,Retail,3,0,0,310.0,2.45,312.45,34.0,267.82,10.63,12.4,8.7833,0,0,0,0,2022-06-12
RX0000006897,MBR00000186,2022-08-10,2022-08-11,1784286119,1297299616,PLN3124,718140,PCN844,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,2,Retail,0,0,0,10.0,6.26,16.26,9.0,6.47,0.79,0.4,0.2833,0,0,0,0,2022-09-09
RX0000006898,MBR00000186,2021-03-27,2021-03-30,1115136715,1289775086,PLN4119,109322,PCN619,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,8,Retail,0,0,0,14.0,1.51,15.51,9.0,5.67,0.84,0.56,0.3967,0,0,0,0,2021-04-26
RX0000006899,MBR00000186,2021-02-14,2021-02-16,1310188864,1371525864,PLN8271,167824,PCN339,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,3,Retail,0,0,0,10.0,7.12,17.12,0.0,15.99,1.13,0.4,0.2833,0,0,0,0,2021-03-16
RX0000006900,MBR00000187,2021-02-14,2021-02-17,1919087662,1717899856,PLN2560,775217,PCN436,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,84,0,Retail,3,0,0,48.0,2.17,50.17,3.0,45.2,1.97,0.64,0.4533,0,0,0,0,2021-05-15
RX0000006901,MBR00000187,2021-08-30,2021-09-02,1663939276,1915238720,PLN5079,340056,PCN882,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,6,Retail,0,0,0,6.53,11.2,17.74,10.0,7.02,0.72,1.12,0.7933,1,0,0,0,2021-09-06
RX0000006902,MBR00000187,2023-04-04,2023-04-08,1273871639,1538187095,PLN7482,739884,PCN492,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,7,Retail,0,0,0,950.0,1.54,951.54,33.0,887.93,30.61,38.0,26.9167,0,0,0,0,2023-05-04
RX0000006903,MBR00000187,2023-02-05,2023-02-09,1524300113,1914602093,PLN4364,110781,PCN702,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,7,Retail,3,0,0,10.0,2.8,12.8,2.0,9.93,0.87,0.4,0.2833,0,0,0,0,2023-03-07
RX0000006904,MBR00000187,2021-05-26,2021-05-29,1592224379,1690882299,PLN6656,640922,PCN722,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,10,Retail,0,0,0,9.0,5.68,14.68,1.0,13.2,0.48,0.36,0.255,0,0,0,0,2021-06-25
RX0000006905,MBR00000187,2021-04-03,2021-04-04,1946501311,1394684823,PLN9803,898632,PCN995,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,8,Retail,0,0,0,9.0,8.91,17.91,7.0,10.09,0.82,0.36,0.255,0,0,0,0,2021-05-03
RX0000006906,MBR00000187,2021-07-03,2021-07-05,1277223286,1434018625,PLN8102,486776,PCN199,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,5,Retail,0,1,0,6200.0,8.21,6208.21,153.0,5712.7,342.51,248.0,175.6667,0,0,0,0,2021-08-02
RX0000006907,MBR00000187,2021-01-06,2021-01-07,1849247113,1389487194,PLN6035,884109,PCN697,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,7,Retail,0,0,0,10.5,7.89,18.39,3.0,14.84,0.55,1.8,1.275,0,0,0,0,2021-01-13
RX0000006908,MBR00000187,2021-04-24,2021-04-26,1520958415,1470167826,PLN7893,522661,PCN663,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,5,Retail,0,0,0,14.0,8.25,22.25,6.0,15.09,1.16,0.56,0.3967,0,0,0,0,2021-05-24
RX0000006909,MBR00000187,2022-09-14,2022-09-16,1453485383,1739627099,PLN8016,633319,PCN291,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,7,Retail,0,1,0,12.0,9.42,21.42,155.0,0.0,0.78,0.48,0.34,0,0,0,0,2022-10-14
RX0000006910,MBR00000187,2023-11-05,2023-11-07,1160426506,1944041284,PLN8535,248694,PCN934,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,54,6,Mail Order,0,0,0,76.0,10.62,86.62,7.0,76.26,3.36,1.52,1.0767,0,0,0,0,2024-01-04
RX0000006911,MBR00000187,2022-02-18,2022-02-21,1929499660,1533733810,PLN5360,973428,PCN360,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,6,Retail,0,0,0,11.0,3.57,14.57,7.0,6.74,0.83,0.44,0.3117,0,0,0,0,2022-03-20
RX0000006912,MBR00000187,2023-03-20,2023-03-23,1520791990,1418350110,PLN6835,746610,PCN931,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,1,Retail,0,0,0,370.0,6.91,376.91,35.0,317.79,24.12,14.8,10.4833,0,0,0,0,2023-04-19
RX0000006913,MBR00000187,2022-07-05,2022-07-07,1174948677,1877703963,PLN8051,738191,PCN461,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,10,Retail,0,1,0,18600.0,7.1,18607.1,146.0,17459.16,1001.94,248.0,175.6667,0,0,0,0,2022-10-03
RX0000006914,MBR00000187,2022-05-22,2022-05-23,1817067879,1651416811,PLN7352,136892,PCN421,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,9,Retail,0,0,0,285.0,9.17,294.17,35.0,242.91,16.26,11.4,8.075,0,0,0,0,2022-06-21
RX0000006915,MBR00000187,2022-05-29,2022-05-31,1475965511,1814717519,PLN9159,581551,PCN728,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,10,Mail Order,0,0,0,22.0,9.33,31.33,68.0,0.0,2.09,0.88,0.6233,0,0,0,0,2022-06-28
RX0000006916,MBR00000187,2022-01-23,2022-01-25,1296295502,1519103696,PLN1136,467922,PCN905,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,1,Retail,1,0,0,11.0,5.26,16.26,1.0,14.31,0.95,0.44,0.3117,0,0,0,0,2022-02-22
RX0000006917,MBR00000187,2022-06-20,2022-06-24,1233859375,1265905096,PLN4077,282120,PCN449,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,1,Retail,0,0,0,12.0,11.87,23.87,5.0,17.7,1.17,0.48,0.34,0,0,0,0,2022-07-20
RX0000006918,MBR00000187,2022-03-17,2022-03-20,1371015584,1806782094,PLN9501,521571,PCN731,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,83,7,Retail,0,0,0,195.0,7.42,202.42,35.0,159.99,7.43,2.6,1.8417,0,0,0,0,2022-06-15
RX0000006919,MBR00000187,2022-01-17,2022-01-18,1280903035,1815339787,PLN5791,511327,PCN623,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,11,Retail,3,0,0,5.13,7.92,13.06,3.0,9.23,0.83,0.88,0.6233,0,0,0,0,2022-01-24
RX0000006920,MBR00000187,2022-01-03,2022-01-06,1865514667,1383056947,PLN9744,143177,PCN931,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,6,Retail,0,0,0,12.5,2.28,14.78,6.0,7.82,0.96,0.5,0.3542,0,0,0,0,2022-02-02
RX0000006921,MBR00000187,2023-12-20,2023-12-23,1850747944,1833731052,PLN4019,856899,PCN867,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,8,Retail,0,0,0,7.5,3.25,10.75,4.0,6.14,0.61,0.3,0.2125,0,0,0,0,2024-01-19
RX0000006922,MBR00000187,2021-09-16,2021-09-20,1830162446,1465625974,PLN4309,580562,PCN126,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,3,Mail Order,2,0,0,12.0,2.26,14.26,9.0,4.4,0.86,0.48,0.34,0,0,0,0,2021-10-16
RX0000006923,MBR00000187,2022-02-12,2022-02-14,1208852268,1356701397,PLN4495,671102,PCN243,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,10,Retail,0,0,0,750.0,5.87,755.87,39.0,668.04,48.83,30.0,21.25,0,0,0,0,2022-03-14
RX0000006924,MBR00000187,2022-01-21,2022-01-22,1123143320,1493180863,PLN3262,293501,PCN620,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,3,Retail,0,0,0,2.33,6.2,8.54,10.0,0.0,0.59,0.4,0.2833,0,0,0,0,2022-01-28
RX0000006925,MBR00000187,2023-12-08,2023-12-11,1260520022,1431690486,PLN6687,382291,PCN469,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,2,Retail,0,0,0,750.0,5.68,755.68,37.0,694.07,24.61,30.0,21.25,0,0,0,0,2024-01-07
RX0000006926,MBR00000187,2021-09-24,2021-09-25,1757956687,1956902701,PLN5537,630045,PCN855,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,65,3,Mail Order,0,1,0,17000.0,4.97,17004.97,153.0,15729.45,1122.52,340.0,240.8333,0,0,0,0,2021-11-23
RX0000006927,MBR00000187,2021-05-20,2021-05-23,1882850923,1789329214,PLN8699,853567,PCN968,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,2,Retail,0,0,0,66.5,3.02,69.52,37.0,27.75,4.77,11.4,8.075,0,0,0,0,2021-05-27
RX0000006928,MBR00000187,2021-12-29,2021-12-31,1318849667,1578432336,PLN3530,865907,PCN833,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,96,0,Retail,0,0,0,84.0,2.36,86.36,2.0,79.03,5.33,1.12,0.7933,0,0,0,0,2022-03-29
RX0000006929,MBR00000187,2021-08-13,2021-08-17,1815819519,1554748796,PLN8931,888845,PCN110,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,6,Mail Order,0,0,0,175.0,11.48,186.48,33.0,145.84,7.64,7.0,4.9583,0,0,0,0,2021-09-12
RX0000006930,MBR00000187,2022-06-12,2022-06-13,1862273058,1114609307,PLN2717,450800,PCN538,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,7,Retail,2,0,0,4.2,1.75,5.95,0.0,5.74,0.21,0.72,0.51,0,0,0,0,2022-06-19
RX0000006931,MBR00000187,2021-11-28,2021-12-02,1509419422,1884818691,PLN6368,435904,PCN529,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,11,Specialty,0,0,0,38.0,34.53,72.53,10.0,62.53,0.0,1.52,1.0767,0,0,0,0,2021-12-28
RX0000006932,MBR00000187,2023-05-14,2023-05-18,1680257281,1331691053,PLN8000,815095,PCN365,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,0,Retail,0,1,0,8500.0,10.33,8510.33,145.0,7960.85,404.48,340.0,240.8333,0,0,0,0,2023-06-13
RX0000006933,MBR00000187,2022-02-24,2022-02-28,1708608381,1918014659,PLN2135,356139,PCN461,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,88,4,Specialty,0,0,0,195.0,47.8,242.8,39.0,203.8,0.0,2.6,1.8417,0,0,0,0,2022-05-25
RX0000006934,MBR00000187,2022-06-30,2022-07-02,1568244052,1298036347,PLN6066,978928,PCN133,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,6,Retail,0,0,0,12.0,9.92,21.92,4.0,16.65,1.27,0.48,0.34,0,0,0,0,2022-07-30
RX0000006935,MBR00000187,2023-07-05,2023-07-09,1949301926,1729872924,PLN1953,654511,PCN971,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,82,3,Retail,0,0,0,27.0,3.4,30.4,0.0,28.45,1.95,0.36,0.255,0,0,0,0,2023-10-03
RX0000006936,MBR00000187,2021-05-20,2021-05-24,1993989099,1613999937,PLN9544,934728,PCN577,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,98,0,Retail,2,0,0,2250.0,8.07,2258.07,30.0,2144.69,83.38,30.0,21.25,0,0,0,0,2021-08-18
RX0000006937,MBR00000187,2023-01-02,2023-01-05,1369847494,1994018725,PLN9020,842875,PCN832,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,5,Retail,0,0,1,480.0,4.76,484.76,35.0,429.29,20.47,19.2,13.6,1,0,0,0,2023-02-01
RX0000006938,MBR00000188,2023-03-30,2023-04-02,1534821184,1353825476,PLN9776,832699,PCN344,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,81,6,Retail,2,0,0,960.0,1.94,961.94,40.0,857.1,64.84,12.8,9.0667,0,0,0,0,2023-06-28
RX0000006939,MBR00000188,2023-09-05,2023-09-08,1743797715,1814451096,PLN5770,615796,PCN519,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,8,Specialty,0,0,0,5.13,24.56,29.69,74.0,0.0,0.0,0.88,0.6233,0,0,0,0,2023-09-12
RX0000006940,MBR00000188,2022-01-17,2022-01-21,1494587054,1657097653,PLN6817,751346,PCN145,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,5,Retail,0,0,0,370.0,3.64,373.64,30.0,321.82,21.82,14.8,10.4833,0,0,0,0,2022-02-16
RX0000006941,MBR00000188,2022-08-17,2022-08-21,1216068650,1449535516,PLN8552,251583,PCN487,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,7,Retail,0,0,0,320.0,11.25,331.25,30.0,283.48,17.77,12.8,9.0667,0,0,0,0,2022-09-16
RX0000006942,MBR00000188,2021-11-12,2021-11-15,1958802171,1679016762,PLN8187,434072,PCN796,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,94,11,Retail,0,0,0,48.0,6.03,54.03,3.0,48.94,2.09,0.64,0.4533,0,0,0,0,2022-02-10
RX0000006943,MBR00000188,2023-01-26,2023-01-27,1511677866,1192159124,PLN3074,367882,PCN123,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,91,11,Mail Order,2,0,0,930.0,4.98,934.98,32.0,848.27,54.71,12.4,8.7833,0,0,0,0,2023-04-26
RX0000006944,MBR00000188,2022-02-07,2022-02-10,1821997202,1859361804,PLN5490,681849,PCN903,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,1,Mail Order,0,0,0,8.5,4.18,12.68,7.0,4.87,0.81,0.34,0.2408,0,0,0,0,2022-03-09
RX0000006945,MBR00000188,2022-01-20,2022-01-23,1321685530,1221450433,PLN2705,665815,PCN725,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,59,1,Retail,0,0,0,640.0,9.18,649.18,38.0,584.22,26.96,12.8,9.0667,0,0,0,0,2022-03-21
RX0000006946,MBR00000188,2022-05-07,2022-05-11,1748821425,1502342320,PLN1439,349676,PCN505,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,94,6,Mail Order,2,0,0,930.0,9.82,939.82,34.0,842.91,62.91,12.4,8.7833,0,0,0,0,2022-08-05
RX0000006947,MBR00000188,2023-01-25,2023-01-29,1413434896,1102094774,PLN6722,230314,PCN293,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,97,7,Retail,0,0,0,27.0,9.54,36.54,3.0,31.29,2.25,0.36,0.255,0,0,0,0,2023-04-25
RX0000006948,MBR00000188,2021-04-17,2021-04-19,1843262790,1631190699,PLN5961,253645,PCN930,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,0,Retail,0,0,0,42.0,10.06,52.06,9.0,41.39,1.67,0.56,0.3967,0,0,0,0,2021-07-16
RX0000006949,MBR00000189,2023-07-01,2023-07-02,1376485031,1328289248,PLN7538,637076,PCN432,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,0,Retail,0,0,0,9.0,3.82,12.82,8.0,4.05,0.77,0.36,0.255,0,0,0,0,2023-07-31
RX0000006950,MBR00000189,2023-11-03,2023-11-07,1436576457,1483293862,PLN9434,878235,PCN375,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,57,6,Mail Order,0,0,0,90.0,1.51,91.51,7.0,80.26,4.25,1.8,1.275,1,0,0,0,2024-01-02
RX0000006951,MBR00000189,2021-05-17,2021-05-18,1901883049,1944610062,PLN8718,271971,PCN884,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,4,LTC,0,0,1,370.0,3.82,373.82,31.0,324.91,17.91,14.8,10.4833,0,0,0,0,2021-06-16
RX0000006952,MBR00000189,2023-07-24,2023-07-27,1605712880,1288004153,PLN5610,824458,PCN192,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,9,Retail,0,0,0,12.0,10.18,22.18,5.0,16.31,0.87,0.48,0.34,0,0,0,0,2023-08-23
RX0000006953,MBR00000189,2022-03-11,2022-03-12,1210686408,1356927881,PLN2594,816158,PCN764,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,3,Mail Order,0,0,0,22.0,3.1,25.1,67.0,0.0,1.02,0.88,0.6233,0,0,0,0,2022-04-10
RX0000006954,MBR00000189,2022-03-12,2022-03-14,1937432755,1416690087,PLN6281,528587,PCN807,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,1,Retail,0,0,0,11.0,8.43,19.43,0.0,18.21,1.22,0.44,0.3117,0,0,0,0,2022-04-11
RX0000006955,MBR00000189,2023-07-22,2023-07-26,1478830412,1450773046,PLN6151,441913,PCN895,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,11,Retail,0,0,0,330.0,10.75,340.75,38.0,278.9,23.85,13.2,9.35,1,0,0,0,2023-08-21
RX0000006956,MBR00000189,2021-04-25,2021-04-26,1327235979,1661708979,PLN7132,984733,PCN576,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,0,Retail,0,0,0,2.33,7.12,9.46,10.0,0.0,0.66,0.4,0.2833,0,0,0,0,2021-05-02
RX0000006957,MBR00000189,2021-05-13,2021-05-14,1481635991,1860807319,PLN1943,209807,PCN168,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,11,Retail,0,1,0,6200.0,2.63,6202.63,152.0,5809.43,241.2,248.0,175.6667,0,0,0,0,2021-06-12
RX0000006958,MBR00000189,2021-04-28,2021-04-30,1743682861,1851955666,PLN9423,148594,PCN225,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,58,4,Retail,0,1,0,16.0,4.1,20.1,151.0,0.0,0.61,0.32,0.2267,1,0,0,0,2021-06-27
RX0000006959,MBR00000189,2023-07-19,2023-07-21,1988219289,1469500726,PLN9933,918798,PCN726,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,4,Retail,2,0,0,10.0,1.67,11.67,0.0,11.12,0.55,0.4,0.2833,0,0,0,0,2023-08-18
RX0000006960,MBR00000189,2021-05-18,2021-05-22,1528458945,1756096001,PLN3508,560979,PCN656,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,2,Mail Order,0,0,0,12.5,6.74,19.24,10.0,8.12,1.12,0.5,0.3542,0,0,0,0,2021-06-17
RX0000006961,MBR00000189,2022-03-15,2022-03-19,1940103199,1125366422,PLN1717,500156,PCN147,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,11,Mail Order,0,0,0,11.0,9.15,20.15,1.0,18.27,0.88,0.44,0.3117,1,0,0,0,2022-04-14
RX0000006962,MBR00000189,2021-11-18,2021-11-19,1437658930,1310311796,PLN2212,635684,PCN187,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,5,Mail Order,1,0,0,14.0,7.67,21.67,2.0,18.61,1.06,0.56,0.3967,0,0,0,0,2021-12-18
RX0000006963,MBR00000189,2022-12-07,2022-12-11,1622700145,1152491548,PLN5498,309905,PCN290,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,85,1,Specialty,0,0,0,22.5,34.29,56.79,2.0,54.79,0.0,0.3,0.2125,0,0,0,0,2023-03-07
RX0000006964,MBR00000189,2022-11-28,2022-11-30,1863543350,1139019982,PLN7408,151334,PCN807,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,10,Specialty,0,0,0,40.83,14.14,54.97,34.0,20.97,0.0,7.0,4.9583,0,0,0,0,2022-12-05
RX0000006965,MBR00000189,2022-09-13,2022-09-15,1168979927,1752606172,PLN2671,807839,PCN130,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,1,Mail Order,0,0,0,15.0,2.19,17.19,5.0,11.43,0.76,0.6,0.425,0,0,0,0,2022-10-13
RX0000006966,MBR00000189,2023-04-21,2023-04-24,1383386652,1567652772,PLN8190,787714,PCN381,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,83,2,Mail Order,0,0,0,54.0,7.27,61.27,31.0,27.78,2.49,0.72,0.51,0,0,0,0,2023-07-20
RX0000006967,MBR00000189,2021-02-02,2021-02-04,1625448000,1281297578,PLN4026,834262,PCN404,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,0,Retail,0,0,0,10.0,1.76,11.76,0.0,11.23,0.53,0.4,0.2833,0,0,0,0,2021-03-04
RX0000006968,MBR00000189,2022-08-11,2022-08-13,1747467312,1191339366,PLN5373,295334,PCN668,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,10,Mail Order,0,0,0,9.0,5.68,14.68,7.0,6.76,0.92,0.36,0.255,0,0,0,0,2022-09-10
RX0000006969,MBR00000189,2022-04-08,2022-04-12,1352836282,1880597518,PLN8369,447654,PCN226,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,95,4,Retail,0,0,0,42.0,11.59,53.59,6.0,44.4,3.19,0.56,0.3967,0,0,0,0,2022-07-07
RX0000006970,MBR00000189,2023-08-14,2023-08-16,1194537680,1567243109,PLN6330,892590,PCN952,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,85,5,Mail Order,0,0,0,930.0,6.74,936.74,35.0,841.93,59.81,12.4,8.7833,0,1,1,0,2023-11-12
RX0000006971,MBR00000189,2022-03-27,2022-03-28,1565876316,1350105963,PLN2610,404439,PCN511,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,5,Mail Order,0,0,0,330.0,6.34,336.34,32.0,290.36,13.98,13.2,9.35,0,0,0,0,2022-04-26
RX0000006972,MBR00000189,2022-03-22,2022-03-25,1846481013,1246726903,PLN2586,511621,PCN504,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,5,Retail,0,0,0,10.5,11.03,21.53,9.0,11.76,0.77,1.8,1.275,0,0,0,0,2022-03-29
RX0000006973,MBR00000189,2023-08-07,2023-08-11,1786550693,1235987602,PLN7408,743563,PCN876,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,4,Retail,0,0,0,14.0,2.94,16.94,0.0,16.27,0.67,0.56,0.3967,0,0,0,0,2023-09-06
RX0000006974,MBR00000189,2021-05-04,2021-05-05,1359428117,1959710448,PLN2399,194870,PCN916,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,1,Mail Order,1,0,0,10.0,12.0,22.0,10.0,10.9,1.1,0.4,0.2833,1,0,0,0,2021-06-03
RX0000006975,MBR00000189,2022-10-10,2022-10-11,1834645948,1840314505,PLN5068,402846,PCN729,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,60,9,LTC,0,0,0,15.0,6.42,21.42,7.0,13.37,1.05,0.3,0.2125,0,0,0,0,2022-12-09
RX0000006976,MBR00000189,2023-07-30,2023-07-31,1276608758,1737669688,PLN2375,556119,PCN483,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,0,Retail,3,0,0,8.5,8.24,16.74,9.0,7.08,0.66,0.34,0.2408,0,0,0,0,2023-08-29
RX0000006977,MBR00000189,2021-04-20,2021-04-23,1571738747,1802994851,PLN1611,174471,PCN716,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,65,8,Retail,3,0,0,90.0,3.95,93.95,2.0,85.66,6.29,1.8,1.275,0,0,0,0,2021-06-19
RX0000006978,MBR00000189,2023-02-24,2023-02-25,1860152261,1275984857,PLN5609,857154,PCN121,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,9,Mail Order,0,0,0,14.0,9.46,23.46,0.0,22.12,1.34,0.56,0.3967,0,0,0,0,2023-03-26
RX0000006979,MBR00000189,2023-07-11,2023-07-15,1882712171,1775227696,PLN1091,533156,PCN972,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,10,Retail,0,0,0,15.0,7.77,22.77,2.0,19.34,1.43,0.6,0.425,0,0,0,0,2023-08-10
RX0000006980,MBR00000189,2023-09-13,2023-09-17,1471607463,1323623921,PLN3262,875019,PCN665,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,0,Retail,0,0,0,38.0,6.94,44.94,34.0,9.33,1.61,1.52,1.0767,0,0,0,0,2023-10-13
RX0000006981,MBR00000189,2022-01-10,2022-01-14,1751787077,1364330091,PLN2121,626516,PCN951,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,8,Retail,0,0,0,10.0,7.58,17.58,2.0,14.75,0.83,0.4,0.2833,0,0,0,0,2022-02-09
RX0000006982,MBR00000189,2022-02-20,2022-02-23,1530085068,1160425095,PLN4694,423158,PCN433,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,8,Retail,0,0,0,750.0,2.53,752.53,37.0,680.4,35.13,30.0,21.25,0,0,0,0,2022-03-22
RX0000006983,MBR00000189,2021-12-08,2021-12-11,1368532276,1164139961,PLN6151,566165,PCN876,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,6,Mail Order,3,1,0,2800.0,4.86,2804.86,145.0,2573.93,85.93,112.0,79.3333,0,0,0,0,2022-01-07
RX0000006984,MBR00000189,2021-02-25,2021-02-26,1847786069,1273320874,PLN6700,311297,PCN390,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,4,Retail,0,0,1,9.0,9.39,18.39,9.0,8.14,1.25,0.36,0.255,0,0,0,0,2021-03-27
RX0000006985,MBR00000189,2023-07-21,2023-07-24,1232783233,1938691492,PLN9197,612171,PCN557,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,6,Retail,0,0,0,370.0,11.02,381.02,40.0,325.19,15.83,14.8,10.4833,0,1,1,0,2023-08-20
RX0000006986,MBR00000189,2023-01-05,2023-01-07,1880961613,1663992390,PLN9560,309201,PCN923,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,0,Specialty,0,0,0,285.0,19.24,304.24,31.0,273.24,0.0,11.4,8.075,0,0,0,0,2023-02-04
RX0000006987,MBR00000189,2021-11-07,2021-11-10,1487813992,1478602991,PLN6562,734751,PCN208,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,9,Retail,0,0,0,2.8,11.72,14.52,7.0,7.03,0.49,0.48,0.34,0,0,0,0,2021-11-14
RX0000006988,MBR00000189,2022-11-06,2022-11-07,1926909174,1627327410,PLN4745,680698,PCN412,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,8,Retail,0,0,0,2.8,8.53,11.33,6.0,4.65,0.68,0.48,0.34,0,0,0,0,2022-11-13
RX0000006989,MBR00000189,2022-09-06,2022-09-10,1594383273,1278674602,PLN7998,296564,PCN683,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,92,6,Retail,0,0,0,33.0,10.75,43.75,3.0,38.66,2.09,0.44,0.3117,0,0,0,0,2022-12-05
RX0000006990,MBR00000189,2022-03-08,2022-03-12,1148198881,1375534279,PLN2869,995789,PCN236,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,1,Mail Order,0,0,0,18.0,3.48,21.48,8.0,12.46,1.02,0.72,0.51,0,0,0,0,2022-04-07
RX0000006991,MBR00000189,2023-10-09,2023-10-12,1292396793,1228667268,PLN7240,542944,PCN805,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,5,Retail,0,0,0,15.0,5.49,20.49,1.0,18.87,0.62,0.6,0.425,0,0,0,0,2023-11-08
RX0000006992,MBR00000189,2021-05-11,2021-05-13,1724130936,1666939580,PLN6108,695308,PCN958,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,93,11,Retail,0,0,0,1110.0,9.09,1119.09,39.0,1001.84,78.25,14.8,10.4833,0,0,0,0,2021-08-09
RX0000006993,MBR00000189,2021-07-23,2021-07-25,1791579893,1470900543,PLN9159,678854,PCN400,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,84,3,Retail,0,0,0,27.0,2.87,29.87,10.0,18.26,1.61,0.36,0.255,0,0,0,0,2021-10-21
RX0000006994,MBR00000189,2023-03-10,2023-03-13,1466773185,1482785984,PLN4807,444241,PCN996,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,9,Retail,0,0,0,15.0,4.64,19.64,5.0,13.35,1.29,0.6,0.425,1,0,0,0,2023-04-09
RX0000006995,MBR00000189,2023-05-14,2023-05-15,1592534794,1840407109,PLN4584,496171,PCN252,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,8,Retail,0,0,0,38.0,9.16,47.16,30.0,13.99,3.17,1.52,1.0767,0,0,0,0,2023-06-13
RX0000006996,MBR00000189,2023-12-04,2023-12-07,1894646184,1443131639,PLN1247,786699,PCN827,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,10,LTC,0,0,0,10.0,8.13,18.13,1.0,16.03,1.1,0.4,0.2833,0,0,0,0,2024-01-03
RX0000006997,MBR00000189,2023-09-23,2023-09-27,1579019223,1982252457,PLN2029,789101,PCN391,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,8,Retail,0,0,0,2.8,7.73,10.53,10.0,0.0,0.63,0.48,0.34,0,1,0,0,2023-09-30
RX0000006998,MBR00000189,2022-11-20,2022-11-24,1602864868,1616463689,PLN3599,994755,PCN867,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,92,11,Retail,3,1,0,8400.0,8.28,8408.28,154.0,7750.07,504.21,112.0,79.3333,0,0,0,0,2023-02-18
RX0000006999,MBR00000190,2022-02-28,2022-03-02,1130317670,1253639224,PLN1741,860694,PCN615,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,58,9,Specialty,0,1,0,16.0,28.82,44.82,146.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-04-29
RX0000007000,MBR00000190,2023-01-25,2023-01-26,1629985581,1488461289,PLN7638,920799,PCN282,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,3,Mail Order,0,0,0,7.5,9.35,16.85,6.0,9.82,1.03,0.3,0.2125,0,0,0,0,2023-02-24
RX0000007001,MBR00000190,2022-06-10,2022-06-14,1471861409,1432353436,PLN5354,178366,PCN984,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,11,Mail Order,0,1,0,12.0,5.39,17.39,153.0,0.0,1.06,0.48,0.34,0,0,0,0,2022-07-10
RX0000007002,MBR00000190,2023-09-19,2023-09-22,1816038883,1283152555,PLN1936,658844,PCN148,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,3,LTC,0,0,0,4.2,6.99,11.19,10.0,0.44,0.75,0.72,0.51,0,0,0,0,2023-09-26
RX0000007003,MBR00000190,2022-07-20,2022-07-23,1914067092,1326440673,PLN4018,967911,PCN378,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,89,8,Retail,0,0,0,45.0,8.71,53.71,10.0,40.95,2.76,0.6,0.425,0,0,0,0,2022-10-18
RX0000007004,MBR00000190,2021-05-21,2021-05-22,1507669111,1276788063,PLN6535,844956,PCN850,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,81,1,Mail Order,0,0,0,54.0,3.45,57.45,5.0,49.32,3.13,0.72,0.51,0,0,0,0,2021-08-19
RX0000007005,MBR00000190,2021-05-29,2021-06-02,1168870992,1623623185,PLN9420,434172,PCN261,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,11,Retail,0,0,0,14.0,10.19,24.19,1.0,21.65,1.54,0.56,0.3967,0,0,0,0,2021-06-28
RX0000007006,MBR00000190,2021-10-21,2021-10-23,1611583858,1924260534,PLN8624,268896,PCN983,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,97,5,Retail,0,0,0,27.0,8.03,35.03,10.0,23.06,1.97,0.36,0.255,0,0,0,0,2022-01-19
RX0000007007,MBR00000190,2022-09-07,2022-09-08,1460565383,1175439968,PLN5733,793694,PCN863,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,10,Retail,0,0,0,36.0,10.89,46.89,3.0,41.4,2.49,0.48,0.34,0,0,0,0,2022-12-06
RX0000007008,MBR00000190,2023-12-06,2023-12-10,1254547330,1724284201,PLN8474,823598,PCN917,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,3,Retail,2,0,0,310.0,4.27,314.27,40.0,261.55,12.72,12.4,8.7833,0,0,0,0,2024-01-05
RX0000007009,MBR00000190,2023-12-07,2023-12-09,1164308161,1724880705,PLN1900,607944,PCN696,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,6,Retail,0,0,0,221.67,7.09,228.75,39.0,177.98,11.77,38.0,26.9167,0,0,0,0,2023-12-14
RX0000007010,MBR00000190,2022-01-07,2022-01-08,1548106914,1541590835,PLN7555,389094,PCN842,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,6,Retail,0,0,0,3.5,11.81,15.31,5.0,9.59,0.72,0.6,0.425,0,0,0,0,2022-01-14
RX0000007011,MBR00000190,2022-08-17,2022-08-21,1710881103,1676155377,PLN2389,806396,PCN588,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,3,Retail,0,0,0,38.0,2.49,40.49,5.0,32.68,2.81,1.52,1.0767,0,0,0,0,2022-09-16
RX0000007012,MBR00000190,2021-05-07,2021-05-11,1394364099,1646441343,PLN1995,662868,PCN708,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,1,Mail Order,1,0,0,2.92,11.65,14.57,3.0,11.13,0.44,0.5,0.3542,0,0,0,0,2021-05-14
RX0000007013,MBR00000190,2022-12-08,2022-12-11,1939962746,1652417350,PLN2663,396131,PCN279,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,1,Retail,0,0,0,380.0,5.02,385.02,35.0,330.79,19.23,15.2,10.7667,0,0,0,0,2023-01-07
RX0000007014,MBR00000190,2022-07-18,2022-07-20,1901212322,1381824924,PLN9277,746211,PCN597,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,11,Retail,2,0,0,3.27,6.09,9.36,7.0,1.86,0.5,0.56,0.3967,0,1,0,0,2022-07-25
RX0000007015,MBR00000190,2023-05-07,2023-05-11,1377877075,1369349276,PLN6337,537951,PCN282,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,8,Retail,0,0,0,1440.0,4.22,1444.22,40.0,1340.55,63.67,19.2,13.6,0,1,1,0,2023-08-05
RX0000007016,MBR00000190,2023-02-27,2023-02-28,1342929943,1266400771,PLN7748,325660,PCN409,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,5,Retail,0,0,0,4.2,6.27,10.47,8.0,1.93,0.54,0.72,0.51,1,0,0,0,2023-03-06
RX0000007017,MBR00000190,2021-03-27,2021-03-29,1978963043,1837274391,PLN4131,673211,PCN977,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,85,8,Mail Order,0,0,0,45.0,2.71,47.71,0.0,44.87,2.84,0.6,0.425,0,1,0,0,2021-06-25
RX0000007018,MBR00000190,2021-11-02,2021-11-06,1397858623,1254605262,PLN9500,921348,PCN304,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,9,Retail,0,0,0,330.0,9.47,339.47,38.0,279.41,22.06,13.2,9.35,0,0,0,0,2021-12-02
RX0000007019,MBR00000190,2023-01-26,2023-01-27,1877704314,1372748393,PLN3594,339141,PCN273,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,8,Retail,1,0,0,14.0,7.64,21.64,8.0,12.69,0.95,0.56,0.3967,0,0,0,0,2023-02-25
RX0000007020,MBR00000190,2022-03-23,2022-03-26,1918510860,1839085596,PLN4115,177450,PCN695,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,87,11,Retail,0,0,0,25.5,5.27,30.77,3.0,26.02,1.75,0.34,0.2408,0,0,0,0,2022-06-21
RX0000007021,MBR00000190,2023-11-28,2023-12-02,1101098862,1125258831,PLN5512,682518,PCN855,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,9,Retail,2,0,0,22.0,4.05,26.05,7.0,17.53,1.52,0.88,0.6233,0,0,0,0,2023-12-28
RX0000007022,MBR00000190,2022-07-19,2022-07-23,1126686735,1219907078,PLN2816,992485,PCN732,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,7,Retail,0,0,0,330.0,4.36,334.36,40.0,276.97,17.39,13.2,9.35,1,0,0,0,2022-08-18
RX0000007023,MBR00000190,2023-05-05,2023-05-09,1199701616,1636037563,PLN5827,246936,PCN366,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,5,Retail,0,0,0,750.0,4.65,754.65,40.0,675.4,39.25,30.0,21.25,0,0,0,0,2023-06-04
RX0000007024,MBR00000191,2022-09-17,2022-09-21,1499846432,1835716168,PLN6613,494723,PCN220,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,5,Retail,0,0,0,45.0,3.98,48.98,3.0,42.86,3.12,1.8,1.275,0,0,0,0,2022-10-17
RX0000007025,MBR00000191,2021-11-12,2021-11-15,1966386715,1743620018,PLN1160,458236,PCN287,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,1,Retail,0,0,0,65.0,8.27,73.27,36.0,35.02,2.25,2.6,1.8417,0,0,0,0,2021-12-12
RX0000007026,MBR00000191,2023-06-06,2023-06-09,1718063161,1158595549,PLN6824,901510,PCN925,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,3,Specialty,0,0,0,8.5,43.66,52.16,7.0,45.16,0.0,0.34,0.2408,0,0,0,0,2023-07-06
RX0000007027,MBR00000191,2022-04-29,2022-05-02,1981042650,1814261101,PLN5176,902926,PCN855,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,59,10,Retail,2,0,0,760.0,2.12,762.12,31.0,702.19,28.93,15.2,10.7667,1,0,0,0,2022-06-28
RX0000007028,MBR00000191,2022-04-03,2022-04-07,1618407461,1415998669,PLN6622,420906,PCN592,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,9,Mail Order,0,0,0,45.0,10.02,55.02,1.0,52.03,1.99,1.8,1.275,0,0,0,0,2022-05-03
RX0000007029,MBR00000191,2021-10-18,2021-10-20,1823720432,1407246424,PLN8177,913666,PCN188,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,0,Specialty,0,0,0,22.0,41.33,63.33,0.0,63.33,0.0,0.88,0.6233,0,0,0,0,2021-11-17
RX0000007030,MBR00000191,2023-01-16,2023-01-18,1938503296,1936091615,PLN5324,914193,PCN888,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,4,Retail,3,0,0,8.5,3.19,11.69,6.0,4.89,0.8,0.34,0.2408,0,0,0,0,2023-02-15
RX0000007031,MBR00000191,2023-07-01,2023-07-03,1222266452,1190138713,PLN6258,584775,PCN237,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,6,Retail,0,0,1,10.0,5.88,15.88,6.0,8.84,1.04,0.4,0.2833,0,0,0,0,2023-07-31
RX0000007032,MBR00000191,2021-01-31,2021-02-03,1616794508,1172231935,PLN8248,489592,PCN324,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,6,Mail Order,0,0,0,65.0,7.55,72.55,33.0,36.89,2.66,2.6,1.8417,0,0,0,0,2021-03-02
RX0000007033,MBR00000191,2023-11-08,2023-11-09,1684298537,1269398864,PLN2479,279892,PCN159,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,63,7,Retail,0,0,0,76.0,12.0,88.0,32.0,51.74,4.26,1.52,1.0767,0,0,0,0,2024-01-07
RX0000007034,MBR00000191,2021-03-21,2021-03-24,1872720766,1734713422,PLN9522,985098,PCN793,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,11,Mail Order,0,0,0,10.0,8.86,18.86,7.0,10.82,1.04,0.4,0.2833,0,0,0,0,2021-04-20
RX0000007035,MBR00000191,2022-09-12,2022-09-15,1161695768,1333163794,PLN8298,885542,PCN182,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,81,1,Retail,2,0,0,66.0,5.03,71.03,70.0,0.0,3.87,0.88,0.6233,0,0,0,0,2022-12-11
RX0000007036,MBR00000191,2023-05-01,2023-05-02,1779254717,1624288286,PLN4325,817175,PCN609,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,0,Retail,0,0,0,28.0,3.06,31.06,9.0,20.88,1.18,1.12,0.7933,0,0,0,0,2023-05-31
RX0000007037,MBR00000191,2022-03-14,2022-03-16,1945264020,1533484376,PLN6672,547969,PCN458,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,91,10,Retail,0,0,0,27.0,8.48,35.48,3.0,31.23,1.25,0.36,0.255,0,0,0,0,2022-06-12
RX0000007038,MBR00000191,2023-01-23,2023-01-25,1306106367,1320937246,PLN7502,232262,PCN817,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,0,Retail,0,0,0,950.0,7.42,957.42,36.0,864.08,57.34,38.0,26.9167,0,0,0,0,2023-02-22
RX0000007039,MBR00000191,2023-01-05,2023-01-06,1621505715,1887261742,PLN5277,838982,PCN399,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,2,Retail,0,0,0,320.0,10.82,330.82,37.0,279.33,14.49,12.8,9.0667,0,0,0,0,2023-02-04
RX0000007040,MBR00000191,2021-05-31,2021-06-04,1633116105,1499002270,PLN4615,831122,PCN465,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,4,Mail Order,0,1,0,12.0,4.4,16.4,149.0,0.0,0.52,0.48,0.34,0,0,0,0,2021-06-30
RX0000007041,MBR00000191,2021-12-06,2021-12-07,1909558137,1713230332,PLN9629,359693,PCN748,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,11,Mail Order,0,0,0,38.0,4.61,42.61,32.0,8.47,2.14,1.52,1.0767,0,0,0,0,2022-01-05
RX0000007042,MBR00000191,2021-11-27,2021-11-30,1892555891,1641794251,PLN9703,891101,PCN605,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,87,3,Retail,0,0,0,135.0,4.62,139.62,0.0,130.1,9.52,1.8,1.275,0,0,0,0,2022-02-25
RX0000007043,MBR00000191,2022-12-17,2022-12-20,1446485205,1430782629,PLN1891,929736,PCN816,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,56,3,Retail,0,0,0,36.0,5.02,41.02,1.0,38.36,1.66,0.72,0.51,0,0,0,0,2023-02-15
RX0000007044,MBR00000191,2023-11-27,2023-12-01,1151094409,1854003571,PLN3600,820617,PCN799,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,85,3,Mail Order,0,0,0,42.0,10.02,52.02,2.0,47.44,2.58,0.56,0.3967,0,0,0,0,2024-02-25
RX0000007045,MBR00000191,2023-09-12,2023-09-13,1105469621,1692262676,PLN5735,333691,PCN748,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,9,Retail,0,0,0,370.0,8.52,378.52,36.0,323.41,19.11,14.8,10.4833,0,0,0,0,2023-10-12
RX0000007046,MBR00000191,2022-03-04,2022-03-07,1814515321,1125719299,PLN5974,618489,PCN716,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,5,Retail,0,1,0,12.0,7.44,19.44,150.0,0.0,0.62,0.48,0.34,0,0,0,0,2022-04-03
RX0000007047,MBR00000191,2021-02-11,2021-02-15,1461211466,1476249591,PLN7469,574996,PCN136,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,0,Retail,0,0,0,28.0,7.82,35.82,9.0,24.69,2.13,1.12,0.7933,0,0,0,0,2021-03-13
RX0000007048,MBR00000191,2022-06-02,2022-06-05,1738771116,1728755360,PLN7311,681011,PCN422,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,62,11,Retail,0,0,0,28.0,6.09,34.09,0.0,33.02,1.07,0.56,0.3967,0,0,0,0,2022-08-01
RX0000007049,MBR00000191,2023-05-14,2023-05-15,1169719121,1881662092,PLN3949,108925,PCN913,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,83,4,Retail,0,0,1,54.0,2.14,56.14,1.0,52.75,2.39,0.72,0.51,0,0,0,0,2023-08-12
RX0000007050,MBR00000191,2023-04-30,2023-05-02,1255310056,1534036615,PLN6644,811362,PCN815,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,1,LTC,0,0,0,9.0,6.33,15.33,0.0,14.45,0.88,0.36,0.255,0,0,0,0,2023-05-30
RX0000007051,MBR00000191,2021-10-16,2021-10-19,1197062772,1880851225,PLN1244,707592,PCN582,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,62,3,Retail,3,1,0,5600.0,10.32,5610.32,145.0,5218.87,246.45,112.0,79.3333,0,0,0,0,2021-12-15
RX0000007052,MBR00000191,2021-09-02,2021-09-05,1168738277,1957006834,PLN3156,286073,PCN564,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,0,Retail,0,0,0,3.73,5.57,9.3,2.0,6.89,0.41,0.64,0.4533,0,0,0,0,2021-09-09
RX0000007053,MBR00000191,2022-06-18,2022-06-21,1726238543,1196342087,PLN7468,611489,PCN290,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,1,Specialty,0,0,0,15.0,46.22,61.22,4.0,57.22,0.0,0.6,0.425,0,0,0,0,2022-07-18
RX0000007054,MBR00000191,2023-12-10,2023-12-14,1709734963,1934949809,PLN1633,698100,PCN475,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,6,Retail,0,0,0,38.0,5.29,43.29,35.0,5.48,2.81,1.52,1.0767,0,0,0,0,2024-01-09
RX0000007055,MBR00000191,2022-08-17,2022-08-18,1936712104,1402187440,PLN3933,301425,PCN669,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,90,4,Retail,0,0,0,855.0,2.45,857.45,40.0,786.4,31.05,11.4,8.075,0,0,0,0,2022-11-15
RX0000007056,MBR00000191,2022-02-05,2022-02-08,1193075482,1754498812,PLN6031,174342,PCN516,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,4,Retail,0,0,0,10.0,10.99,20.99,1.0,19.29,0.7,0.4,0.2833,0,0,0,0,2022-03-07
RX0000007057,MBR00000191,2023-10-13,2023-10-15,1175970269,1537538999,PLN4988,780947,PCN897,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,5,Retail,0,0,0,3.27,7.5,10.77,7.0,3.37,0.4,0.56,0.3967,0,0,0,0,2023-10-20
RX0000007058,MBR00000191,2022-01-27,2022-01-31,1468211572,1956318773,PLN1865,926311,PCN904,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,83,11,Retail,0,0,0,114.0,1.65,115.65,5.0,104.08,6.57,1.52,1.0767,0,0,0,0,2022-04-27
RX0000007059,MBR00000191,2022-09-20,2022-09-22,1657025487,1331648416,PLN9979,408778,PCN993,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,89,7,Retail,3,0,0,36.0,7.79,43.79,0.0,42.37,1.42,0.48,0.34,0,0,0,0,2022-12-19
RX0000007060,MBR00000191,2022-06-24,2022-06-27,1219871546,1531797296,PLN9618,624705,PCN876,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,95,2,Retail,0,0,0,114.0,4.07,118.07,36.0,77.86,4.21,1.52,1.0767,0,0,0,0,2022-09-22
RX0000007061,MBR00000191,2021-10-24,2021-10-27,1372592920,1811998883,PLN2866,822050,PCN133,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,9,Retail,0,0,0,38.0,5.67,43.67,4.0,37.64,2.03,1.52,1.0767,0,0,0,0,2021-11-23
RX0000007062,MBR00000191,2021-02-07,2021-02-09,1299325923,1632887600,PLN4125,233566,PCN238,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,91,2,Retail,0,0,0,37.5,6.73,44.23,0.0,41.74,2.49,0.5,0.3542,0,0,0,0,2021-05-08
RX0000007063,MBR00000191,2021-01-29,2021-01-31,1155598594,1466154525,PLN4420,942419,PCN681,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,9,Retail,3,0,0,11.0,8.08,19.08,2.0,16.17,0.91,0.44,0.3117,0,0,0,0,2021-02-28
RX0000007064,MBR00000191,2022-07-31,2022-08-02,1429297563,1871406632,PLN5337,498631,PCN543,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,57,9,Specialty,2,0,0,17.0,20.05,37.05,1.0,36.05,0.0,0.34,0.2408,0,1,0,0,2022-09-29
RX0000007065,MBR00000191,2021-04-11,2021-04-15,1418688254,1516266863,PLN5487,658804,PCN836,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,11,Mail Order,0,0,0,195.0,5.64,200.64,31.0,157.99,11.65,2.6,1.8417,0,0,0,0,2021-07-10
RX0000007066,MBR00000191,2022-09-09,2022-09-13,1453002399,1133332300,PLN9290,394145,PCN867,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,0,Retail,0,0,0,8.5,8.02,16.52,10.0,5.61,0.91,0.34,0.2408,0,0,0,0,2022-10-09
RX0000007067,MBR00000191,2021-12-15,2021-12-18,1634977149,1626437188,PLN8697,223524,PCN627,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,8,Mail Order,2,0,0,310.0,5.72,315.72,32.0,269.62,14.1,12.4,8.7833,0,0,0,0,2022-01-14
RX0000007068,MBR00000191,2022-09-13,2022-09-14,1630475981,1628553857,PLN5080,779392,PCN166,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,11,Retail,0,0,0,45.0,8.26,53.26,7.0,43.36,2.9,1.8,1.275,0,0,0,0,2022-10-13
RX0000007069,MBR00000191,2021-12-02,2021-12-06,1961895587,1775464629,PLN7123,425463,PCN141,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,2,Retail,1,0,0,16.0,8.99,24.99,4.0,19.77,1.22,0.64,0.4533,1,0,0,0,2022-01-01
RX0000007070,MBR00000191,2021-12-01,2021-12-04,1639692431,1664332863,PLN9494,442838,PCN716,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,91,11,Mail Order,1,0,0,84.0,8.05,92.05,0.0,87.55,4.5,1.12,0.7933,0,0,0,0,2022-03-01
RX0000007071,MBR00000191,2022-02-23,2022-02-26,1716746208,1274937986,PLN8339,380068,PCN409,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,10,Retail,0,0,0,11.0,2.94,13.94,9.0,4.18,0.76,0.44,0.3117,0,0,0,0,2022-03-25
RX0000007072,MBR00000191,2021-09-04,2021-09-08,1136262286,1160806548,PLN9045,259336,PCN815,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,58,1,Retail,0,0,0,20.0,2.07,22.07,2.0,19.16,0.91,0.4,0.2833,0,0,0,0,2021-11-03
RX0000007073,MBR00000191,2023-09-10,2023-09-14,1353673190,1183607634,PLN1711,471246,PCN966,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,8,Retail,0,0,0,22.0,4.58,26.58,69.0,0.0,0.86,0.88,0.6233,0,0,0,0,2023-10-10
RX0000007074,MBR00000191,2022-05-08,2022-05-09,1690635858,1624321993,PLN5584,652211,PCN621,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,2,Retail,0,0,0,45.0,10.51,55.51,1.0,51.64,2.87,1.8,1.275,0,0,0,0,2022-06-07
RX0000007075,MBR00000191,2021-10-14,2021-10-16,1132168704,1729119797,PLN1359,938039,PCN537,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,90,9,Mail Order,3,0,0,1440.0,2.26,1442.26,36.0,1333.42,72.84,19.2,13.6,0,0,0,0,2022-01-12
RX0000007076,MBR00000191,2021-03-01,2021-03-03,1228729905,1658359461,PLN6305,901683,PCN691,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,92,4,Mail Order,0,0,0,45.0,2.5,47.5,10.0,34.34,3.16,0.6,0.425,0,0,0,0,2021-05-30
RX0000007077,MBR00000191,2021-07-08,2021-07-12,1295457349,1162467931,PLN5083,279677,PCN167,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,6,Mail Order,0,0,0,12.5,6.91,19.41,8.0,10.7,0.71,0.5,0.3542,0,0,0,0,2021-08-07
RX0000007078,MBR00000191,2023-08-11,2023-08-15,1422114762,1958365374,PLN5862,677866,PCN670,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,7,Retail,0,1,0,653.33,3.5,656.83,148.0,479.64,29.19,112.0,79.3333,0,0,0,0,2023-08-18
RX0000007079,MBR00000191,2022-11-26,2022-11-29,1462572639,1105866806,PLN7753,564799,PCN588,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,0,Mail Order,0,0,0,2.33,11.54,13.87,0.0,13.05,0.82,0.4,0.2833,0,0,0,0,2022-12-03
RX0000007080,MBR00000191,2023-02-26,2023-03-02,1793526275,1592476506,PLN5120,276818,PCN760,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,4,Retail,0,0,0,74.67,1.59,76.26,38.0,34.93,3.33,12.8,9.0667,0,0,0,0,2023-03-05
RX0000007081,MBR00000191,2021-04-07,2021-04-09,1234014665,1857487615,PLN1170,992099,PCN281,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,5,Retail,3,0,0,1.75,7.42,9.17,9.0,0.0,0.38,0.3,0.2125,0,1,0,0,2021-04-14
RX0000007082,MBR00000191,2023-12-02,2023-12-06,1656696563,1905277930,PLN1625,132641,PCN339,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,60,10,Specialty,0,0,0,30.0,43.43,73.43,2.0,71.43,0.0,0.6,0.425,0,0,0,0,2024-01-31
RX0000007083,MBR00000191,2023-04-17,2023-04-21,1190763978,1948428584,PLN1727,483061,PCN839,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,6,Retail,2,0,0,18.0,4.19,22.19,10.0,11.23,0.96,0.72,0.51,0,0,0,0,2023-05-17
RX0000007084,MBR00000191,2023-12-04,2023-12-06,1908171381,1598691468,PLN8559,819400,PCN284,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,82,9,Retail,1,0,0,54.0,7.44,61.44,36.0,21.35,4.09,0.72,0.51,0,0,0,0,2024-03-03
RX0000007085,MBR00000191,2021-12-18,2021-12-19,1471835695,1187209389,PLN9856,516926,PCN607,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,85,2,Retail,0,0,0,2250.0,2.48,2252.48,37.0,2112.26,103.22,30.0,21.25,0,0,0,0,2022-03-18
RX0000007086,MBR00000191,2022-01-07,2022-01-10,1938928397,1885944756,PLN3280,544990,PCN502,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,6,Retail,0,0,0,28.0,6.19,34.19,3.0,29.68,1.51,1.12,0.7933,0,0,0,0,2022-02-06
RX0000007087,MBR00000191,2022-08-06,2022-08-08,1110444396,1785913108,PLN6487,608458,PCN251,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,8,Retail,1,0,0,22.0,6.67,28.67,74.0,0.0,1.36,0.88,0.6233,0,0,0,0,2022-09-05
RX0000007088,MBR00000191,2022-03-30,2022-04-03,1879920033,1213839003,PLN7550,929867,PCN475,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,11,Retail,0,1,0,2.8,11.12,13.92,151.0,0.0,0.57,0.48,0.34,0,0,0,0,2022-04-06
RX0000007089,MBR00000191,2022-09-16,2022-09-17,1839149678,1319182763,PLN4914,365764,PCN202,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,94,0,Mail Order,2,0,0,36.0,6.12,42.12,5.0,35.26,1.86,0.48,0.34,0,0,0,0,2022-12-15
RX0000007090,MBR00000192,2021-10-14,2021-10-15,1958335029,1635192625,PLN8245,146621,PCN667,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,1,Retail,0,0,0,12.0,8.5,20.5,9.0,10.48,1.02,0.48,0.34,1,0,0,0,2021-11-13
RX0000007091,MBR00000192,2021-09-23,2021-09-27,1644059179,1706122856,PLN7633,411360,PCN887,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,84,10,Retail,0,0,0,45.0,2.48,47.48,3.0,42.8,1.68,0.6,0.425,0,0,0,0,2021-12-22
RX0000007092,MBR00000192,2022-01-17,2022-01-20,1735776682,1730962311,PLN4945,556683,PCN592,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,62,11,Retail,0,1,0,17000.0,8.75,17008.75,150.0,15793.49,1065.26,340.0,240.8333,0,0,0,0,2022-03-18
RX0000007093,MBR00000192,2021-04-29,2021-04-30,1552204882,1756724167,PLN8687,936860,PCN381,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,93,10,Retail,0,0,0,27.0,5.01,32.01,4.0,26.25,1.76,0.36,0.255,0,0,0,0,2021-07-28
RX0000007094,MBR00000192,2023-05-08,2023-05-12,1658273644,1973351383,PLN1042,373819,PCN579,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,86,6,Retail,0,0,0,27.0,5.33,32.33,6.0,24.72,1.61,0.36,0.255,0,0,0,0,2023-08-06
RX0000007095,MBR00000192,2021-08-16,2021-08-19,1907120969,1899167089,PLN9234,118939,PCN304,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,5,Mail Order,0,0,0,380.0,2.94,382.94,31.0,336.32,15.62,15.2,10.7667,0,0,0,0,2021-09-15
RX0000007096,MBR00000192,2023-01-14,2023-01-17,1177719434,1797958958,PLN8092,810871,PCN976,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,9,Retail,0,1,0,8.0,8.07,16.07,149.0,0.0,0.6,0.32,0.2267,0,0,0,0,2023-02-13
RX0000007097,MBR00000192,2022-04-01,2022-04-05,1951054816,1953753886,PLN2324,394727,PCN636,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,1,Retail,0,0,0,9.0,3.14,12.14,0.0,11.37,0.77,0.36,0.255,0,0,0,0,2022-05-01
RX0000007098,MBR00000192,2023-06-04,2023-06-06,1551851111,1341811378,PLN3608,177952,PCN371,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,0,Mail Order,0,0,1,10.0,4.06,14.06,8.0,5.42,0.64,0.4,0.2833,0,0,0,0,2023-07-04
RX0000007099,MBR00000192,2023-04-29,2023-05-03,1355466012,1258250580,PLN2854,406301,PCN864,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,4,Retail,0,0,0,950.0,5.59,955.59,32.0,879.02,44.57,38.0,26.9167,1,0,0,0,2023-05-29
RX0000007100,MBR00000192,2022-07-21,2022-07-25,1901962626,1960944288,PLN3799,554471,PCN689,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,82,9,Specialty,0,0,0,135.0,31.91,166.91,8.0,158.91,0.0,1.8,1.275,0,0,0,0,2022-10-19
RX0000007101,MBR00000192,2021-11-13,2021-11-14,1436614586,1630599707,PLN9806,110804,PCN616,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,9,Mail Order,0,0,0,15.17,3.4,18.56,34.0,0.0,0.73,2.6,1.8417,0,0,0,0,2021-11-20
RX0000007102,MBR00000192,2023-10-11,2023-10-15,1922741441,1741404129,PLN5011,970132,PCN811,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,3,Retail,0,0,0,4.2,7.92,12.12,0.0,11.52,0.6,0.72,0.51,0,0,0,0,2023-10-18
RX0000007103,MBR00000192,2021-11-04,2021-11-06,1632899723,1180341643,PLN9446,824784,PCN491,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,5,Retail,0,0,0,7.5,9.04,16.54,5.0,10.81,0.73,0.3,0.2125,0,0,0,0,2021-12-04
RX0000007104,MBR00000192,2021-07-31,2021-08-04,1536882234,1482623838,PLN8881,626407,PCN628,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,7,Retail,0,1,0,12.0,3.52,15.52,147.0,0.0,0.5,0.48,0.34,0,0,0,0,2021-08-30
RX0000007105,MBR00000192,2023-03-05,2023-03-06,1262246004,1448883310,PLN9105,710864,PCN471,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,96,3,Retail,0,0,0,135.0,8.17,143.17,3.0,131.68,8.49,1.8,1.275,1,1,0,0,2023-06-03
RX0000007106,MBR00000192,2023-01-15,2023-01-18,1817453349,1901173885,PLN1790,352711,PCN799,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,97,6,Retail,0,0,0,135.0,8.93,143.93,6.0,132.98,4.95,1.8,1.275,0,0,0,0,2023-04-15
RX0000007107,MBR00000192,2023-04-16,2023-04-18,1411957449,1459161625,PLN8558,254118,PCN923,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,85,6,Retail,0,0,0,33.0,7.5,40.5,2.0,37.01,1.49,0.44,0.3117,0,0,0,0,2023-07-15
RX0000007108,MBR00000192,2022-04-10,2022-04-13,1918729941,1641604692,PLN4999,936485,PCN603,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,6,Mail Order,0,0,0,65.0,9.41,74.41,31.0,40.97,2.44,2.6,1.8417,0,0,0,0,2022-05-10
RX0000007109,MBR00000192,2022-08-06,2022-08-07,1147925667,1350361559,PLN1012,957670,PCN172,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,2,Mail Order,0,0,0,175.0,6.89,181.89,38.0,133.32,10.57,7.0,4.9583,0,0,0,0,2022-09-05
RX0000007110,MBR00000192,2022-09-28,2022-09-29,1697561117,1524860378,PLN8115,178988,PCN958,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,7,LTC,2,0,0,8.5,3.02,11.52,9.0,2.13,0.39,0.34,0.2408,0,0,0,0,2022-10-28
RX0000007111,MBR00000192,2023-02-22,2023-02-26,1258653664,1888688948,PLN1807,271026,PCN635,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,11,Retail,0,0,0,12.0,11.12,23.12,3.0,18.92,1.2,0.48,0.34,0,0,0,0,2023-03-24
RX0000007112,MBR00000193,2022-09-24,2022-09-26,1994636093,1314180472,PLN4814,612276,PCN973,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,97,5,Retail,0,0,0,1110.0,7.12,1117.12,38.0,1021.95,57.17,14.8,10.4833,1,0,0,0,2022-12-23
RX0000007113,MBR00000193,2022-02-01,2022-02-03,1112209396,1640968102,PLN8367,569972,PCN189,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,8,Retail,2,0,0,8.87,1.84,10.71,4.0,6.08,0.63,1.52,1.0767,0,0,0,0,2022-02-08
RX0000007114,MBR00000193,2023-10-18,2023-10-21,1755362925,1837892215,PLN1296,686276,PCN967,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,87,11,Retail,0,1,0,25500.0,8.11,25508.11,150.0,24143.04,1215.07,340.0,240.8333,0,0,0,0,2024-01-16
RX0000007115,MBR00000193,2021-12-17,2021-12-21,1736007456,1982447073,PLN6883,317037,PCN524,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,9,Retail,0,1,0,6200.0,7.88,6207.88,146.0,5687.52,374.36,248.0,175.6667,0,0,0,0,2022-01-16
RX0000007116,MBR00000193,2022-10-27,2022-10-31,1922578593,1107285038,PLN8349,816770,PCN153,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,85,5,Mail Order,0,0,0,36.0,3.75,39.75,3.0,34.57,2.18,0.48,0.34,0,0,0,0,2023-01-25
RX0000007117,MBR00000193,2021-08-30,2021-08-31,1526385898,1943528926,PLN1957,941840,PCN942,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,82,9,Retail,0,0,0,30.0,3.34,33.34,3.0,29.05,1.29,0.4,0.2833,0,0,0,0,2021-11-28
RX0000007118,MBR00000193,2021-01-12,2021-01-13,1844273983,1716063858,PLN4922,590026,PCN894,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,8,Mail Order,0,0,0,11.0,11.19,22.19,0.0,20.65,1.54,0.44,0.3117,0,0,0,0,2021-02-11
RX0000007119,MBR00000193,2023-07-27,2023-07-29,1473824819,1662337140,PLN4815,723239,PCN414,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,81,10,Retail,0,0,0,555.0,3.06,558.06,37.0,495.49,25.57,7.4,5.2417,0,0,0,0,2023-10-25
RX0000007120,MBR00000193,2022-07-16,2022-07-17,1926031631,1612572881,PLN8153,283066,PCN495,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,56,8,Retail,0,1,0,5600.0,10.61,5610.61,149.0,5235.45,226.16,112.0,79.3333,0,0,0,0,2022-09-14
RX0000007121,MBR00000193,2021-02-17,2021-02-20,1124977597,1108770129,PLN5696,372403,PCN784,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,55,4,Retail,0,0,0,20.0,5.67,25.67,1.0,22.98,1.69,0.4,0.2833,1,0,0,0,2021-04-18
RX0000007122,MBR00000193,2023-02-12,2023-02-14,1139669991,1464698125,PLN7207,238247,PCN518,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,86,2,Retail,0,0,0,42.0,4.31,46.31,6.0,38.61,1.7,0.56,0.3967,0,0,0,0,2023-05-13
RX0000007123,MBR00000193,2023-08-14,2023-08-17,1339314811,1155381838,PLN2377,133706,PCN119,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,11,Retail,0,0,0,22.0,7.05,29.05,6.0,21.95,1.1,0.88,0.6233,0,0,0,0,2023-09-13
RX0000007124,MBR00000193,2021-10-26,2021-10-28,1806781391,1971405705,PLN3540,241352,PCN625,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,9,Specialty,0,0,0,12.5,46.73,59.23,5.0,54.23,0.0,0.5,0.3542,0,0,0,0,2021-11-25
RX0000007125,MBR00000193,2023-10-01,2023-10-03,1653345769,1369640501,PLN6321,211780,PCN396,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,3,Retail,0,0,0,22.0,10.24,32.24,4.0,27.03,1.21,0.88,0.6233,0,0,0,0,2023-10-31
RX0000007126,MBR00000193,2023-06-21,2023-06-25,1939581801,1829805560,PLN3154,711309,PCN103,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,95,0,Retail,0,0,0,30.0,6.83,36.83,1.0,33.63,2.2,0.4,0.2833,0,0,0,0,2023-09-19
RX0000007127,MBR00000193,2022-08-13,2022-08-16,1889544917,1690907821,PLN4857,525772,PCN398,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,1,Retail,0,0,0,310.0,2.78,312.78,40.0,253.22,19.56,12.4,8.7833,0,0,0,0,2022-09-12
RX0000007128,MBR00000193,2022-05-23,2022-05-27,1924695019,1333418323,PLN1579,244523,PCN225,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,84,11,Retail,0,0,0,195.0,3.87,198.87,32.0,158.98,7.89,2.6,1.8417,0,0,0,0,2022-08-21
RX0000007129,MBR00000193,2022-12-20,2022-12-22,1722127677,1150935409,PLN1522,835080,PCN954,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,11,Retail,0,1,0,2800.0,9.18,2809.18,150.0,2465.85,193.33,112.0,79.3333,0,0,0,0,2023-01-19
RX0000007130,MBR00000193,2021-02-17,2021-02-21,1226575944,1899638266,PLN2008,853039,PCN652,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,97,8,Retail,1,0,0,45.0,7.23,52.23,9.0,41.15,2.08,0.6,0.425,0,0,0,0,2021-05-18
RX0000007131,MBR00000193,2021-07-10,2021-07-12,1769157263,1219772006,PLN1934,531549,PCN810,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,56,0,Retail,0,1,0,12400.0,9.2,12409.2,147.0,11464.89,797.31,248.0,175.6667,0,0,0,0,2021-09-08
RX0000007132,MBR00000193,2022-11-18,2022-11-22,1433815231,1174454573,PLN9186,840616,PCN509,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,10,Retail,0,0,0,3.5,3.32,6.82,4.0,2.49,0.33,0.6,0.425,0,0,0,0,2022-11-25
RX0000007133,MBR00000194,2021-11-21,2021-11-25,1340429075,1193774300,PLN5016,871511,PCN431,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,86,3,Mail Order,1,0,0,33.0,3.75,36.75,2.0,33.2,1.55,0.44,0.3117,1,0,0,0,2022-02-19
RX0000007134,MBR00000194,2022-05-27,2022-05-28,1804151543,1431731800,PLN6953,871870,PCN532,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,11,Retail,0,0,0,8.87,7.33,16.2,8.0,7.6,0.6,1.52,1.0767,0,0,0,0,2022-06-03
RX0000007135,MBR00000194,2023-04-10,2023-04-12,1901383600,1720418386,PLN2393,536294,PCN608,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,8,Retail,0,0,0,38.0,7.43,45.43,4.0,39.99,1.44,1.52,1.0767,0,0,0,0,2023-05-10
RX0000007136,MBR00000194,2021-03-21,2021-03-23,1243722729,1175858219,PLN1871,556415,PCN678,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,7,Mail Order,0,0,0,320.0,2.48,322.48,32.0,272.88,17.6,12.8,9.0667,1,0,0,0,2021-04-20
RX0000007137,MBR00000194,2022-10-11,2022-10-12,1170863031,1862484454,PLN1752,614507,PCN498,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,94,7,Retail,0,0,0,1950.0,7.23,1957.23,36.0,1853.24,67.99,26.0,18.4167,0,0,0,0,2023-01-09
RX0000007138,MBR00000194,2022-11-21,2022-11-22,1530752870,1953116631,PLN3504,323657,PCN662,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,3,Retail,0,0,0,750.0,8.61,758.61,35.0,697.64,25.97,30.0,21.25,0,0,0,0,2022-12-21
RX0000007139,MBR00000194,2021-01-25,2021-01-26,1530142253,1381361945,PLN5194,819625,PCN175,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,10,Mail Order,0,0,0,285.0,2.12,287.12,36.0,238.47,12.65,11.4,8.075,0,0,0,0,2021-02-24
RX0000007140,MBR00000194,2023-01-02,2023-01-05,1511011920,1176102041,PLN4049,237235,PCN228,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,96,8,Retail,3,0,0,114.0,5.0,119.0,5.0,106.64,7.36,1.52,1.0767,0,0,0,0,2023-04-02
RX0000007141,MBR00000194,2023-06-04,2023-06-08,1269008052,1246234224,PLN2170,614189,PCN207,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,95,6,Retail,2,0,0,2850.0,6.89,2856.89,38.0,2704.41,114.48,38.0,26.9167,0,0,0,0,2023-09-02
RX0000007142,MBR00000194,2021-04-23,2021-04-24,1890445506,1559300740,PLN4348,191931,PCN996,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,8,Retail,0,0,0,18.0,9.74,27.74,38.0,0.0,1.69,0.72,0.51,0,0,0,0,2021-05-23
RX0000007143,MBR00000194,2022-01-04,2022-01-05,1564052998,1312165125,PLN9542,287919,PCN317,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,7,Mail Order,0,0,0,10.0,3.47,13.47,9.0,3.69,0.78,0.4,0.2833,0,0,0,0,2022-02-03
RX0000007144,MBR00000194,2023-07-16,2023-07-18,1488242566,1744010357,PLN5950,382559,PCN686,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,9,Retail,0,0,0,185.0,8.62,193.62,30.0,157.58,6.04,7.4,5.2417,0,0,0,0,2023-08-15
RX0000007145,MBR00000194,2021-01-19,2021-01-22,1700452118,1203975849,PLN6419,482540,PCN235,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,83,4,Mail Order,0,0,0,33.0,3.94,36.94,3.0,31.87,2.07,0.44,0.3117,0,0,0,0,2021-04-19
RX0000007146,MBR00000194,2022-09-07,2022-09-10,1763315933,1657179023,PLN2571,458135,PCN922,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,8,Retail,0,0,0,14.0,9.81,23.81,1.0,21.18,1.63,0.56,0.3967,1,0,0,0,2022-10-07
RX0000007147,MBR00000194,2021-07-03,2021-07-04,1477370271,1594884543,PLN2230,870499,PCN958,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,8,Retail,0,0,0,27.0,4.58,31.58,9.0,21.31,1.27,0.36,0.255,0,0,0,0,2021-10-01
RX0000007148,MBR00000194,2022-08-17,2022-08-18,1354790195,1735332953,PLN6513,432731,PCN861,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,0,Retail,0,0,0,4.2,10.7,14.9,10.0,4.36,0.54,0.72,0.51,0,0,0,0,2022-08-24
RX0000007149,MBR00000194,2021-01-30,2021-02-02,1265854735,1305489317,PLN1469,183313,PCN912,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,6,Retail,0,0,0,12.0,9.02,21.02,8.0,12.06,0.96,0.48,0.34,0,0,0,0,2021-03-01
RX0000007150,MBR00000194,2021-07-23,2021-07-25,1255926681,1814099586,PLN3295,716360,PCN650,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,9,Retail,0,0,0,45.0,5.21,50.21,0.0,46.78,3.43,1.8,1.275,0,0,0,0,2021-08-22
RX0000007151,MBR00000194,2022-04-20,2022-04-24,1913206804,1641036427,PLN1135,795621,PCN337,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,11,Retail,0,0,0,38.0,6.03,44.03,7.0,34.92,2.11,1.52,1.0767,0,1,0,0,2022-05-20
RX0000007152,MBR00000194,2023-02-25,2023-02-26,1780144982,1319758123,PLN8359,254269,PCN493,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,61,11,LTC,0,0,0,20.0,3.74,23.74,6.0,16.98,0.76,0.4,0.2833,0,0,0,0,2023-04-26
RX0000007153,MBR00000194,2021-04-25,2021-04-28,1487264916,1831064435,PLN8690,652006,PCN718,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,93,1,Retail,0,0,0,135.0,8.33,143.33,3.0,132.17,8.16,1.8,1.275,0,0,0,0,2021-07-24
RX0000007154,MBR00000194,2021-08-11,2021-08-14,1227405296,1192254202,PLN8513,224642,PCN284,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,7,Retail,0,0,0,10.0,9.7,19.7,3.0,16.04,0.66,0.4,0.2833,1,0,0,0,2021-09-10
RX0000007155,MBR00000194,2022-07-07,2022-07-08,1629941904,1931000981,PLN9947,378322,PCN534,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,87,5,Retail,0,0,1,555.0,7.44,562.44,36.0,507.28,19.16,7.4,5.2417,0,0,0,0,2022-10-05
RX0000007156,MBR00000194,2022-09-17,2022-09-19,1902607347,1525977327,PLN8818,440545,PCN586,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,1,Mail Order,0,0,0,15.0,2.65,17.65,8.0,8.51,1.14,0.6,0.425,0,0,0,0,2022-10-17
RX0000007157,MBR00000194,2023-09-13,2023-09-14,1860380330,1690474943,PLN8796,695878,PCN826,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,89,3,Mail Order,0,0,0,195.0,10.84,205.84,36.0,160.06,9.78,2.6,1.8417,0,0,0,0,2023-12-12
RX0000007158,MBR00000194,2021-07-23,2021-07-26,1519135290,1929597659,PLN5651,964090,PCN214,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,11,Retail,0,0,0,950.0,1.83,951.83,32.0,878.33,41.5,38.0,26.9167,0,0,0,0,2021-08-22
RX0000007159,MBR00000194,2021-03-11,2021-03-13,1901447584,1402062591,PLN6272,519422,PCN196,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,0,Retail,0,0,0,12.0,10.18,22.18,10.0,11.14,1.04,0.48,0.34,0,0,0,0,2021-04-10
RX0000007160,MBR00000194,2022-01-08,2022-01-12,1213789309,1707320663,PLN8329,810316,PCN544,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,91,9,Retail,0,1,0,24.0,5.76,29.76,150.0,0.0,1.08,0.32,0.2267,0,0,0,0,2022-04-08
RX0000007161,MBR00000194,2021-04-11,2021-04-13,1590353279,1472701984,PLN7279,974082,PCN333,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,86,3,LTC,0,0,0,66.0,6.07,72.07,72.0,0.0,3.92,0.88,0.6233,0,0,0,0,2021-07-10
RX0000007162,MBR00000194,2021-11-21,2021-11-24,1470794269,1474400201,PLN4685,738183,PCN640,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,5,Retail,3,0,0,18.0,7.97,25.97,5.0,19.36,1.61,0.72,0.51,0,0,0,0,2021-12-21
RX0000007163,MBR00000194,2023-11-27,2023-11-28,1385461455,1198588066,PLN9085,682249,PCN146,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,9,Specialty,0,0,0,750.0,14.78,764.78,30.0,734.78,0.0,30.0,21.25,0,0,0,0,2023-12-27
RX0000007164,MBR00000194,2022-12-10,2022-12-14,1584825323,1380938699,PLN8618,782253,PCN194,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,98,8,Specialty,0,0,0,114.0,40.36,154.36,33.0,121.36,0.0,1.52,1.0767,0,0,0,0,2023-03-10
RX0000007165,MBR00000194,2023-03-28,2023-04-01,1830296927,1124963932,PLN5832,692417,PCN606,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,87,2,Mail Order,0,0,0,54.0,11.08,65.08,39.0,21.74,4.34,0.72,0.51,0,0,0,0,2023-06-26
RX0000007166,MBR00000194,2022-07-30,2022-07-31,1783484295,1940789881,PLN5000,538586,PCN226,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,4,Mail Order,0,0,0,1.98,5.34,7.33,10.0,0.0,0.24,0.34,0.2408,0,0,0,0,2022-08-06
RX0000007167,MBR00000194,2023-04-01,2023-04-02,1752965784,1442697457,PLN2157,961357,PCN265,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,3,Retail,0,0,0,10.0,5.68,15.68,1.0,14.19,0.49,0.4,0.2833,0,0,0,0,2023-05-01
RX0000007168,MBR00000194,2022-09-15,2022-09-18,1985612919,1249279823,PLN7468,332923,PCN672,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,1,Retail,0,0,0,14.0,4.53,18.53,9.0,8.68,0.85,0.56,0.3967,0,0,0,0,2022-10-15
RX0000007169,MBR00000194,2021-04-11,2021-04-15,1876440334,1611637508,PLN1785,278091,PCN541,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,11,Specialty,0,1,0,6200.0,39.55,6239.55,145.0,6094.55,0.0,248.0,175.6667,0,0,0,0,2021-05-11
RX0000007170,MBR00000194,2021-03-11,2021-03-14,1423016718,1164553531,PLN4154,733501,PCN107,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,98,10,Retail,0,0,0,42.0,11.56,53.56,2.0,48.22,3.34,0.56,0.3967,0,0,0,0,2021-06-09
RX0000007171,MBR00000194,2021-09-12,2021-09-13,1395049756,1981775918,PLN2113,176742,PCN556,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,7,Retail,0,0,0,18.0,3.06,21.06,37.0,0.0,1.0,0.72,0.51,0,0,0,0,2021-10-12
RX0000007172,MBR00000194,2023-08-12,2023-08-14,1564451524,1362923218,PLN3772,100510,PCN944,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,88,6,Retail,0,0,0,27.0,11.44,38.44,5.0,31.74,1.7,0.36,0.255,0,0,0,0,2023-11-10
RX0000007173,MBR00000194,2022-02-17,2022-02-20,1559048783,1138830822,PLN2536,421482,PCN164,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,11,Retail,0,0,0,221.67,8.49,230.16,40.0,181.44,8.72,38.0,26.9167,0,0,0,0,2022-02-24
RX0000007174,MBR00000194,2021-06-10,2021-06-12,1110537020,1975919030,PLN7684,893511,PCN223,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,98,4,Retail,0,0,0,1440.0,8.18,1448.18,40.0,1337.96,70.22,19.2,13.6,0,0,0,0,2021-09-08
RX0000007175,MBR00000194,2023-12-12,2023-12-13,1288979381,1867458810,PLN2552,430342,PCN506,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,97,0,Mail Order,0,0,0,66.0,4.64,70.64,71.0,0.0,2.24,0.88,0.6233,0,0,0,0,2024-03-11
RX0000007176,MBR00000194,2021-04-18,2021-04-20,1755287793,1747972294,PLN4753,460403,PCN569,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,56,0,Retail,0,0,0,20.0,9.1,29.1,8.0,19.8,1.3,0.4,0.2833,0,0,0,0,2021-06-17
RX0000007177,MBR00000194,2022-07-13,2022-07-15,1554202075,1244178999,PLN8426,372246,PCN927,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,4,Retail,0,0,0,380.0,6.64,386.64,38.0,323.13,25.51,15.2,10.7667,0,0,0,0,2022-08-12
RX0000007178,MBR00000194,2021-02-12,2021-02-15,1415439650,1171361585,PLN1321,764297,PCN380,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,91,8,Retail,0,0,0,135.0,11.1,146.1,7.0,132.6,6.5,1.8,1.275,0,0,0,0,2021-05-13
RX0000007179,MBR00000194,2022-09-24,2022-09-25,1646362234,1961304274,PLN3900,527008,PCN316,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,0,Specialty,0,0,0,22.0,21.01,43.01,70.0,0.0,0.0,0.88,0.6233,0,0,0,0,2022-10-24
RX0000007180,MBR00000194,2023-02-08,2023-02-09,1836739057,1450174147,PLN7125,595695,PCN852,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,98,5,Mail Order,0,0,1,114.0,1.61,115.61,36.0,76.07,3.54,1.52,1.0767,0,0,0,0,2023-05-09
RX0000007181,MBR00000194,2021-07-23,2021-07-25,1945515258,1409055872,PLN2038,202552,PCN150,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,57,2,Mail Order,0,0,0,20.0,4.57,24.57,10.0,13.49,1.08,0.4,0.2833,1,0,0,0,2021-09-21
RX0000007182,MBR00000195,2023-04-11,2023-04-13,1801311042,1954609609,PLN6940,865414,PCN745,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,10,Retail,0,0,0,11.0,2.19,13.19,4.0,8.39,0.8,0.44,0.3117,0,0,0,0,2023-05-11
RX0000007183,MBR00000195,2022-08-11,2022-08-14,1785034551,1411890536,PLN4322,591595,PCN876,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,96,0,Retail,0,0,0,2250.0,5.41,2255.41,36.0,2088.06,131.35,30.0,21.25,0,0,0,0,2022-11-09
RX0000007184,MBR00000195,2021-04-02,2021-04-04,1169627256,1651527750,PLN2891,809550,PCN782,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,1,Retail,0,0,0,320.0,2.66,322.66,39.0,267.48,16.18,12.8,9.0667,0,0,0,0,2021-05-02
RX0000007185,MBR00000195,2021-11-16,2021-11-19,1667079195,1463777532,PLN2269,802864,PCN540,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,0,Retail,0,0,0,14.0,4.1,18.1,3.0,14.54,0.56,0.56,0.3967,0,0,0,0,2021-12-16
RX0000007186,MBR00000195,2023-03-16,2023-03-19,1426169226,1695210334,PLN6280,528711,PCN399,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,4,Retail,0,0,0,4.2,8.85,13.05,38.0,0.0,0.7,0.72,0.51,0,0,0,0,2023-03-23
RX0000007187,MBR00000195,2021-07-19,2021-07-22,1129151767,1133931806,PLN7946,955375,PCN137,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,0,Retail,0,1,0,1.87,4.71,6.58,155.0,0.0,0.46,0.32,0.2267,0,0,0,0,2021-07-26
RX0000007188,MBR00000195,2022-09-28,2022-10-01,1485873000,1757208534,PLN5783,984066,PCN247,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,6,Retail,0,0,0,7.5,9.99,17.49,2.0,14.52,0.97,0.3,0.2125,0,0,0,0,2022-10-28
RX0000007189,MBR00000195,2021-08-19,2021-08-22,1795732504,1249817584,PLN9956,121770,PCN570,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,1,Mail Order,0,0,0,9.0,3.25,12.25,2.0,9.76,0.49,0.36,0.255,0,0,0,0,2021-09-18
RX0000007190,MBR00000195,2023-10-29,2023-11-02,1113101651,1389991335,PLN7003,961754,PCN154,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,93,4,Retail,0,0,0,930.0,11.53,941.53,39.0,846.64,55.89,12.4,8.7833,0,0,0,0,2024-01-27
RX0000007191,MBR00000195,2022-12-02,2022-12-05,1606172911,1236755460,PLN8864,786298,PCN838,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,7,Mail Order,0,0,0,10.0,11.43,21.43,10.0,10.25,1.18,0.4,0.2833,0,0,0,0,2023-01-01
RX0000007192,MBR00000195,2021-08-24,2021-08-27,1255774259,1858127870,PLN8740,722464,PCN307,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,3,Mail Order,0,0,0,38.0,4.29,42.29,8.0,32.9,1.39,1.52,1.0767,0,0,0,0,2021-09-23
RX0000007193,MBR00000195,2022-06-01,2022-06-04,1467081853,1197355240,PLN5218,596548,PCN151,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,94,9,Retail,0,0,0,30.0,10.28,40.28,5.0,32.88,2.4,0.4,0.2833,0,0,0,0,2022-08-30
RX0000007194,MBR00000195,2023-03-11,2023-03-13,1410128966,1607332132,PLN2242,207899,PCN450,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,1,Retail,0,0,0,2.8,11.08,13.88,2.0,11.42,0.46,0.48,0.34,0,0,0,0,2023-03-18
RX0000007195,MBR00000195,2023-02-25,2023-02-27,1199022708,1602924375,PLN1829,626332,PCN989,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,87,1,Retail,2,0,0,960.0,2.16,962.16,38.0,860.22,63.94,12.8,9.0667,0,0,0,0,2023-05-26
RX0000007196,MBR00000195,2021-02-25,2021-02-27,1137826545,1255517324,PLN4657,787688,PCN207,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,7,Retail,0,0,0,12.0,6.07,18.07,4.0,13.27,0.8,0.48,0.34,0,0,0,0,2021-03-27
RX0000007197,MBR00000195,2021-03-10,2021-03-13,1536117777,1984976086,PLN4995,972338,PCN964,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,7,Retail,1,1,0,2800.0,8.62,2808.62,148.0,2520.14,140.48,112.0,79.3333,0,0,0,0,2021-04-09
RX0000007198,MBR00000195,2023-11-20,2023-11-21,1597225190,1739351648,PLN8448,933914,PCN677,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,9,Retail,0,0,0,22.0,12.0,34.0,6.0,25.8,2.2,0.88,0.6233,0,0,0,0,2023-12-20
RX0000007199,MBR00000195,2022-07-02,2022-07-03,1937425829,1639869876,PLN5656,275560,PCN609,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,6,Retail,0,0,0,12.0,8.3,20.3,3.0,16.42,0.88,0.48,0.34,0,0,0,0,2022-08-01
RX0000007200,MBR00000195,2022-12-30,2023-01-03,1291587155,1131580091,PLN9798,224532,PCN963,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,9,Mail Order,0,0,0,38.0,2.49,40.49,31.0,7.66,1.83,1.52,1.0767,0,0,0,0,2023-01-29
RX0000007201,MBR00000195,2023-03-08,2023-03-12,1872869154,1460394561,PLN2747,544134,PCN524,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,97,9,Retail,0,0,0,2850.0,2.75,2852.75,34.0,2720.84,97.91,38.0,26.9167,0,0,0,0,2023-06-06
RX0000007202,MBR00000195,2021-07-01,2021-07-02,1206826992,1803440053,PLN1137,627747,PCN503,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,4,Retail,0,0,0,7.5,9.13,16.63,6.0,10.0,0.63,0.3,0.2125,0,0,0,0,2021-07-31
RX0000007203,MBR00000195,2021-11-24,2021-11-28,1619404951,1803059973,PLN7649,835879,PCN892,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,9,Retail,0,0,0,10.5,8.57,19.07,2.0,16.01,1.06,1.8,1.275,0,0,0,0,2021-12-01
RX0000007204,MBR00000195,2023-06-06,2023-06-10,1299213695,1748277692,PLN6448,580378,PCN891,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,93,6,Retail,0,0,0,42.0,9.59,51.59,1.0,48.48,2.11,0.56,0.3967,0,0,0,0,2023-09-04
RX0000007205,MBR00000195,2022-05-26,2022-05-29,1311990739,1319668702,PLN8097,952457,PCN674,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,3,Retail,0,0,0,185.0,5.08,190.08,31.0,151.01,8.07,7.4,5.2417,0,0,0,0,2022-06-25
RX0000007206,MBR00000195,2022-06-06,2022-06-09,1911507894,1559665224,PLN8925,410371,PCN350,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,3,Retail,0,0,0,14.0,4.49,18.49,6.0,11.77,0.72,0.56,0.3967,0,0,0,0,2022-07-06
RX0000007207,MBR00000195,2023-09-29,2023-09-30,1745334300,1649136952,PLN4948,335012,PCN442,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,93,6,Retail,0,1,0,8400.0,9.98,8409.98,154.0,7876.75,379.23,112.0,79.3333,0,0,0,0,2023-12-28
RX0000007208,MBR00000196,2022-09-11,2022-09-15,1911513044,1782096550,PLN3365,323818,PCN265,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,0,Mail Order,0,0,0,14.0,2.35,16.35,10.0,5.51,0.84,0.56,0.3967,0,0,0,0,2022-10-11
RX0000007209,MBR00000196,2023-12-01,2023-12-03,1171440615,1812489121,PLN2480,524475,PCN577,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,98,11,Mail Order,0,0,0,33.0,3.01,36.01,1.0,32.81,2.2,0.44,0.3117,0,0,0,0,2024-02-29
RX0000007210,MBR00000196,2022-06-18,2022-06-21,1642219440,1898464346,PLN2134,603611,PCN770,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,6,Retail,0,0,0,38.0,1.54,39.54,6.0,31.91,1.63,1.52,1.0767,0,0,0,0,2022-07-18
RX0000007211,MBR00000196,2022-12-16,2022-12-19,1498656822,1442460520,PLN2997,486261,PCN257,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,10,Mail Order,0,0,0,11.0,9.29,20.29,8.0,11.03,1.26,0.44,0.3117,0,0,0,0,2023-01-15
RX0000007212,MBR00000196,2021-02-15,2021-02-19,1844202357,1791123887,PLN3217,450265,PCN877,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,83,10,Mail Order,0,0,0,960.0,4.73,964.73,40.0,866.05,58.68,12.8,9.0667,0,0,0,0,2021-05-16
RX0000007213,MBR00000196,2021-06-02,2021-06-03,1563610540,1697557778,PLN7732,801320,PCN274,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,8,Mail Order,3,0,0,650.0,6.01,656.01,34.0,596.81,25.2,26.0,18.4167,0,0,0,0,2021-07-02
RX0000007214,MBR00000196,2023-10-14,2023-10-17,1142628513,1532955100,PLN8642,100283,PCN225,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,6,Specialty,0,0,0,11.0,21.22,32.22,9.0,23.22,0.0,0.44,0.3117,1,0,0,0,2023-11-13
RX0000007215,MBR00000196,2021-09-04,2021-09-05,1227107366,1172730904,PLN2774,557203,PCN338,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,95,2,Retail,0,0,0,33.0,11.55,44.55,8.0,35.16,1.39,0.44,0.3117,0,0,0,0,2021-12-03
RX0000007216,MBR00000196,2023-11-19,2023-11-23,1470739658,1876152555,PLN6364,215382,PCN154,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,9,Retail,1,0,0,10.0,11.11,21.11,0.0,20.07,1.04,0.4,0.2833,0,0,0,0,2023-12-19
RX0000007217,MBR00000196,2021-11-28,2021-12-01,1889993489,1526124800,PLN5531,150629,PCN272,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,83,7,Mail Order,1,0,0,27.0,7.15,34.15,0.0,32.73,1.42,0.36,0.255,0,0,0,0,2022-02-26
RX0000007218,MBR00000196,2021-06-05,2021-06-08,1324677320,1555432902,PLN2658,680144,PCN450,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,93,5,Retail,0,0,0,1140.0,1.89,1141.89,31.0,1040.92,69.97,15.2,10.7667,0,0,0,0,2021-09-03
RX0000007219,MBR00000196,2022-11-02,2022-11-06,1472424131,1548400762,PLN4206,628501,PCN874,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,9,Retail,0,0,0,14.0,7.58,21.58,9.0,11.91,0.67,0.56,0.3967,0,0,0,0,2022-12-02
RX0000007220,MBR00000196,2021-12-29,2022-01-01,1547605603,1797868733,PLN5090,624564,PCN924,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,61,10,Retail,0,0,0,370.0,6.37,376.37,39.0,324.79,12.58,7.4,5.2417,0,0,0,0,2022-02-27
RX0000007221,MBR00000196,2023-08-12,2023-08-13,1488333554,1920069255,PLN1238,983309,PCN546,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,10,Retail,1,0,0,10.0,5.42,15.42,1.0,13.67,0.75,0.4,0.2833,0,1,0,0,2023-09-11
RX0000007222,MBR00000196,2021-06-21,2021-06-22,1446972331,1955499127,PLN9658,589587,PCN366,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,89,9,Retail,0,0,0,1110.0,3.43,1113.43,39.0,998.12,76.31,14.8,10.4833,0,0,0,0,2021-09-19
RX0000007223,MBR00000196,2021-07-22,2021-07-24,1141666850,1424751122,PLN3401,147982,PCN751,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,59,1,Specialty,0,0,0,36.0,30.29,66.29,7.0,59.29,0.0,0.72,0.51,0,0,0,0,2021-09-20
RX0000007224,MBR00000196,2021-09-03,2021-09-04,1125052656,1919304832,PLN3260,122388,PCN429,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,2,Specialty,0,0,0,22.0,22.08,44.08,65.0,0.0,0.0,0.88,0.6233,0,0,0,0,2021-10-03
RX0000007225,MBR00000196,2023-09-21,2023-09-25,1272322943,1786111996,PLN9323,690585,PCN200,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,6,Retail,0,0,0,12.5,7.87,20.37,7.0,12.01,1.36,0.5,0.3542,0,0,0,0,2023-10-21
RX0000007226,MBR00000196,2023-03-10,2023-03-12,1956042967,1153904872,PLN3273,912874,PCN926,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,83,4,Mail Order,0,0,0,960.0,8.12,968.12,39.0,872.46,56.66,12.8,9.0667,0,0,0,0,2023-06-08
RX0000007227,MBR00000197,2021-09-18,2021-09-21,1140084986,1999321878,PLN2917,244741,PCN438,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,11,Retail,0,0,0,650.0,5.03,655.03,37.0,582.41,35.62,26.0,18.4167,0,0,0,0,2021-10-18
RX0000007228,MBR00000197,2022-02-06,2022-02-10,1774138018,1908104739,PLN5492,888886,PCN191,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,87,7,Retail,0,0,0,37.5,6.59,44.09,7.0,34.78,2.31,0.5,0.3542,0,0,0,0,2022-05-07
RX0000007229,MBR00000197,2023-08-26,2023-08-27,1882184352,1289981522,PLN7149,767194,PCN982,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,4,Retail,0,0,0,10.0,11.4,21.4,8.0,11.93,1.47,0.4,0.2833,0,0,0,0,2023-09-25
RX0000007230,MBR00000197,2022-07-28,2022-07-30,1164737970,1649098019,PLN4038,367293,PCN230,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,7,Retail,0,0,0,185.0,8.11,193.11,30.0,151.88,11.23,7.4,5.2417,0,0,0,0,2022-08-27
RX0000007231,MBR00000197,2021-04-10,2021-04-13,1584740265,1668855747,PLN2825,557725,PCN541,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,6,Mail Order,0,1,0,1983.33,5.1,1988.43,152.0,1725.73,110.7,340.0,240.8333,0,0,0,0,2021-04-17
RX0000007232,MBR00000197,2022-02-12,2022-02-14,1891565206,1282184139,PLN5890,470194,PCN480,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,95,2,Retail,0,0,0,30.0,11.68,41.68,10.0,29.4,2.28,0.4,0.2833,1,0,0,0,2022-05-13
RX0000007233,MBR00000197,2021-02-12,2021-02-13,1566066671,1984567888,PLN7888,799333,PCN410,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,8,Retail,0,0,0,10.0,5.8,15.8,10.0,5.31,0.49,0.4,0.2833,0,0,0,0,2021-03-14
RX0000007234,MBR00000197,2021-01-28,2021-01-29,1920351856,1824917880,PLN7154,400186,PCN346,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,65,6,Mail Order,2,0,0,20.0,5.36,25.36,4.0,20.59,0.77,0.4,0.2833,0,0,0,0,2021-03-29
RX0000007235,MBR00000197,2022-12-19,2022-12-20,1661671018,1692490706,PLN5990,398093,PCN454,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,11,Specialty,0,0,0,18.0,17.03,35.03,38.0,0.0,0.0,0.72,0.51,0,0,0,0,2023-01-18
RX0000007236,MBR00000197,2023-09-23,2023-09-27,1764095080,1900538021,PLN5698,169275,PCN772,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,91,8,Retail,0,0,0,36.0,2.66,38.66,1.0,35.26,2.4,0.48,0.34,0,0,0,0,2023-12-22
RX0000007237,MBR00000197,2022-02-07,2022-02-08,1626634502,1516064674,PLN3667,199685,PCN234,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,9,Retail,0,0,0,650.0,6.55,656.55,32.0,580.93,43.62,26.0,18.4167,0,0,0,0,2022-03-09
RX0000007238,MBR00000197,2023-05-18,2023-05-21,1936950944,1725722084,PLN5081,199844,PCN852,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,10,Retail,0,1,0,8500.0,3.78,8503.78,154.0,7933.09,416.69,340.0,240.8333,0,0,0,0,2023-06-17
RX0000007239,MBR00000197,2022-04-14,2022-04-17,1931711711,1407725904,PLN7135,250880,PCN579,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,4,Mail Order,0,0,0,650.0,8.16,658.16,40.0,579.44,38.72,26.0,18.4167,0,0,0,0,2022-05-14
RX0000007240,MBR00000197,2021-04-18,2021-04-21,1396775110,1804598452,PLN9882,906828,PCN111,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,1,Retail,0,0,0,45.0,7.54,52.54,5.0,45.29,2.25,1.8,1.275,0,0,0,0,2021-05-18
RX0000007241,MBR00000197,2023-04-16,2023-04-17,1805194305,1773187415,PLN2517,638212,PCN357,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,1,Mail Order,3,0,1,950.0,4.71,954.71,37.0,862.86,54.85,38.0,26.9167,0,0,0,0,2023-05-16
RX0000007242,MBR00000197,2021-09-06,2021-09-09,1909773271,1235043969,PLN1095,198993,PCN638,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,4,Retail,0,0,0,14.0,10.27,24.27,9.0,13.83,1.44,0.56,0.3967,0,0,0,0,2021-10-06
RX0000007243,MBR00000197,2021-06-28,2021-06-29,1794965663,1635699634,PLN9111,848033,PCN344,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,88,6,Specialty,0,0,0,25.5,20.86,46.36,2.0,44.36,0.0,0.34,0.2408,1,0,0,0,2021-09-26
RX0000007244,MBR00000197,2021-01-09,2021-01-13,1677797154,1339545600,PLN2997,124732,PCN311,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,1,Retail,0,0,0,18.0,1.86,19.86,4.0,14.89,0.97,0.72,0.51,1,0,0,0,2021-02-08
RX0000007245,MBR00000197,2022-01-15,2022-01-19,1660976482,1450549441,PLN9453,285087,PCN759,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,91,7,Retail,0,0,0,54.0,5.82,59.82,37.0,20.27,2.55,0.72,0.51,1,0,0,0,2022-04-15
RX0000007246,MBR00000197,2021-05-23,2021-05-25,1576912073,1797380142,PLN4848,546169,PCN187,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,5,Mail Order,0,1,0,12.0,10.33,22.33,155.0,0.0,1.5,0.48,0.34,0,0,0,0,2021-06-22
RX0000007247,MBR00000197,2021-06-23,2021-06-25,1306686398,1315658502,PLN4143,616276,PCN661,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,8,Retail,0,1,0,6200.0,3.67,6203.67,153.0,5725.76,324.91,248.0,175.6667,0,0,0,0,2021-07-23
RX0000007248,MBR00000197,2021-05-09,2021-05-13,1685665854,1100481298,PLN6711,291489,PCN448,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,89,0,Retail,0,0,0,37.5,8.55,46.05,1.0,43.43,1.62,0.5,0.3542,0,0,0,0,2021-08-07
RX0000007249,MBR00000197,2022-09-02,2022-09-03,1256209019,1361615444,PLN3396,488542,PCN434,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,56,1,Retail,0,0,0,36.0,5.61,41.61,10.0,29.22,2.39,0.72,0.51,0,0,0,0,2022-11-01
RX0000007250,MBR00000197,2023-06-27,2023-06-30,1422471514,1158477097,PLN7000,863922,PCN257,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,63,1,Mail Order,0,0,0,350.0,2.11,352.11,32.0,305.03,15.08,7.0,4.9583,0,0,0,0,2023-08-26
RX0000007251,MBR00000197,2021-12-22,2021-12-26,1768560387,1114897901,PLN6839,126629,PCN774,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,81,11,Retail,0,0,0,45.0,3.66,48.66,5.0,40.96,2.7,0.6,0.425,0,0,0,0,2022-03-22
RX0000007252,MBR00000197,2022-07-31,2022-08-01,1852300890,1799119713,PLN7035,231403,PCN315,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,89,8,Mail Order,0,0,0,42.0,4.43,46.43,10.0,33.98,2.45,0.56,0.3967,0,0,0,0,2022-10-29
RX0000007253,MBR00000197,2021-08-28,2021-08-29,1640542275,1923946285,PLN6618,634499,PCN821,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,7,Retail,1,0,0,14.0,8.05,22.05,5.0,16.16,0.89,0.56,0.3967,0,0,0,0,2021-09-27
RX0000007254,MBR00000197,2021-07-18,2021-07-19,1141328340,1155467004,PLN3826,727505,PCN359,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,11,Retail,0,0,0,10.0,2.56,12.56,1.0,11.01,0.55,0.4,0.2833,0,0,0,0,2021-08-17
RX0000007255,MBR00000197,2021-11-06,2021-11-10,1945573176,1696928034,PLN2387,631497,PCN845,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,95,3,Retail,0,0,0,54.0,5.87,59.87,0.0,56.06,3.81,0.72,0.51,0,0,0,0,2022-02-04
RX0000007256,MBR00000197,2023-06-26,2023-06-29,1963903633,1136869648,PLN8763,238511,PCN113,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,9,Retail,0,1,0,2800.0,7.78,2807.78,154.0,2497.28,156.5,112.0,79.3333,0,0,0,0,2023-07-26
RX0000007257,MBR00000197,2023-08-30,2023-09-02,1727185851,1395085931,PLN5062,250588,PCN987,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,9,Retail,3,0,0,77.0,3.2,80.2,32.0,44.17,4.03,13.2,9.35,0,0,0,0,2023-09-06
RX0000007258,MBR00000197,2023-11-05,2023-11-07,1526377632,1107502682,PLN5248,219593,PCN982,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,11,Mail Order,0,1,0,8.0,4.06,12.06,154.0,0.0,0.75,0.32,0.2267,0,0,0,0,2023-12-05
RX0000007259,MBR00000197,2023-01-08,2023-01-11,1535887355,1371750506,PLN7391,957986,PCN932,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,7,Retail,0,0,0,221.67,8.58,230.25,38.0,180.52,11.73,38.0,26.9167,0,0,0,0,2023-01-15
RX0000007260,MBR00000197,2022-09-10,2022-09-12,1997062086,1715522832,PLN9962,389349,PCN612,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,5,Retail,0,0,0,5.13,5.0,10.13,0.0,9.5,0.63,0.88,0.6233,0,0,0,0,2022-09-17
RX0000007261,MBR00000197,2023-02-05,2023-02-06,1625536420,1188489869,PLN5692,219140,PCN848,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,0,Retail,0,0,0,320.0,7.49,327.49,40.0,269.0,18.49,12.8,9.0667,0,0,0,0,2023-03-07
RX0000007262,MBR00000197,2021-07-21,2021-07-24,1379079786,1118987502,PLN6077,365980,PCN615,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,9,Mail Order,0,0,1,38.0,4.3,42.3,34.0,6.81,1.49,1.52,1.0767,0,0,0,0,2021-08-20
RX0000007263,MBR00000197,2021-11-17,2021-11-18,1805234987,1477272073,PLN1059,823488,PCN919,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,1,LTC,0,0,0,18.0,7.77,25.77,31.0,0.0,1.37,0.72,0.51,0,0,0,0,2021-12-17
RX0000007264,MBR00000197,2023-03-19,2023-03-20,1726587019,1477347717,PLN9216,108752,PCN342,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,5,Retail,1,0,0,72.33,4.96,77.3,32.0,41.61,3.69,12.4,8.7833,0,0,0,0,2023-03-26
RX0000007265,MBR00000197,2021-05-28,2021-05-29,1773731360,1504709605,PLN2685,139451,PCN440,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,9,Mail Order,0,0,0,15.0,3.9,18.9,0.0,17.84,1.06,0.6,0.425,0,0,0,0,2021-06-27
RX0000007266,MBR00000197,2022-04-30,2022-05-03,1701419599,1695239350,PLN4414,722186,PCN817,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,11,Retail,0,0,0,38.0,1.73,39.73,30.0,8.03,1.7,1.52,1.0767,0,0,0,0,2022-05-30
RX0000007267,MBR00000197,2021-09-05,2021-09-09,1544713084,1834568476,PLN8666,460937,PCN139,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,91,11,Retail,0,0,0,27.0,8.9,35.9,5.0,29.08,1.82,0.36,0.255,0,0,0,0,2021-12-04
RX0000007268,MBR00000197,2023-10-18,2023-10-20,1917594753,1828592058,PLN7220,501951,PCN737,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,7,Specialty,0,0,0,45.0,35.79,80.79,9.0,71.79,0.0,1.8,1.275,0,0,0,0,2023-11-17
RX0000007269,MBR00000197,2022-07-17,2022-07-18,1177872447,1336653183,PLN1778,301526,PCN732,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,8,Retail,0,0,0,950.0,3.24,953.24,38.0,877.14,38.1,38.0,26.9167,0,0,0,0,2022-08-16
RX0000007270,MBR00000197,2021-10-06,2021-10-07,1836020071,1302986486,PLN1769,636091,PCN781,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,4,Retail,0,0,0,2.33,6.33,8.66,3.0,5.25,0.41,0.4,0.2833,0,0,0,0,2021-10-13
RX0000007271,MBR00000197,2021-06-13,2021-06-14,1323264683,1890019550,PLN8476,543333,PCN283,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,2,Retail,0,0,0,2.33,2.88,5.21,7.0,0.0,0.32,0.4,0.2833,1,0,0,0,2021-06-20
RX0000007272,MBR00000197,2022-10-17,2022-10-19,1216059800,1574393611,PLN7192,335684,PCN723,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,0,Retail,0,0,0,15.0,3.38,18.38,7.0,10.33,1.05,0.6,0.425,0,0,0,0,2022-11-16
RX0000007273,MBR00000197,2021-04-05,2021-04-06,1106483483,1995557660,PLN5546,996958,PCN909,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,4,Retail,0,0,0,380.0,3.79,383.79,31.0,334.39,18.4,15.2,10.7667,0,0,0,0,2021-05-05
RX0000007274,MBR00000197,2022-12-27,2022-12-28,1427827180,1716831652,PLN3876,394513,PCN267,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,4,Retail,0,0,0,2.33,5.76,8.09,3.0,4.84,0.25,0.4,0.2833,0,0,0,0,2023-01-03
RX0000007275,MBR00000197,2023-10-21,2023-10-25,1935686444,1389456705,PLN6724,385690,PCN992,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,97,1,Retail,0,0,0,37.5,5.79,43.29,2.0,39.24,2.05,0.5,0.3542,0,0,0,0,2024-01-19
RX0000007276,MBR00000197,2022-10-03,2022-10-07,1290915046,1870361615,PLN3379,493404,PCN326,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,85,6,Retail,0,0,0,54.0,5.17,59.17,0.0,55.29,3.88,0.72,0.51,0,0,0,0,2023-01-01
RX0000007277,MBR00000197,2021-11-24,2021-11-27,1389349262,1919110810,PLN9374,981875,PCN542,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,98,2,Retail,0,0,0,48.0,4.99,52.99,1.0,49.75,2.24,0.64,0.4533,0,0,0,0,2022-02-22
RX0000007278,MBR00000198,2021-07-02,2021-07-03,1227923142,1642350127,PLN5334,151496,PCN574,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,4,Retail,2,0,0,9.0,5.9,14.9,7.0,7.38,0.52,0.36,0.255,0,0,0,0,2021-08-01
RX0000007279,MBR00000198,2023-02-21,2023-02-25,1597559990,1455136432,PLN3452,543946,PCN887,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,2,Retail,0,0,0,65.0,3.88,68.88,30.0,34.82,4.06,2.6,1.8417,0,0,0,0,2023-03-23
RX0000007280,MBR00000198,2023-12-16,2023-12-17,1829845727,1834824664,PLN1041,767755,PCN924,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,5,Mail Order,3,1,0,8.0,9.87,17.87,151.0,0.0,0.79,0.32,0.2267,0,0,0,0,2024-01-15
RX0000007281,MBR00000198,2021-10-16,2021-10-19,1338003661,1386321967,PLN5818,616997,PCN926,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,8,Retail,0,0,0,4.2,5.91,10.11,3.0,6.79,0.32,0.72,0.51,0,0,0,0,2021-10-23
RX0000007282,MBR00000198,2023-02-27,2023-03-02,1840307022,1368906276,PLN3728,277535,PCN137,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,11,Mail Order,0,0,0,221.67,11.0,232.66,32.0,191.15,9.51,38.0,26.9167,0,0,0,0,2023-03-06
RX0000007283,MBR00000198,2022-08-12,2022-08-15,1568562746,1698374339,PLN7387,455605,PCN617,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,6,Retail,0,0,0,750.0,6.28,756.28,32.0,701.26,23.02,30.0,21.25,0,0,0,0,2022-09-11
RX0000007284,MBR00000198,2022-09-25,2022-09-26,1140264341,1686125952,PLN5656,484281,PCN433,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,Retail,0,0,0,22.0,8.86,30.86,8.0,20.85,2.01,0.88,0.6233,0,0,0,0,2022-10-25
RX0000007285,MBR00000198,2023-07-23,2023-07-25,1655528989,1640644606,PLN2803,525004,PCN179,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,6,Retail,0,0,0,38.0,7.99,45.99,4.0,39.32,2.67,1.52,1.0767,0,0,0,0,2023-08-22
RX0000007286,MBR00000198,2023-01-08,2023-01-09,1156271128,1806550803,PLN9464,935719,PCN808,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,62,10,Mail Order,0,0,0,20.0,8.93,28.93,6.0,21.79,1.14,0.4,0.2833,1,0,0,0,2023-03-09
RX0000007287,MBR00000198,2022-09-09,2022-09-11,1404885819,1197449409,PLN7673,211313,PCN745,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,84,0,Mail Order,0,0,0,30.0,4.29,34.29,7.0,25.7,1.59,0.4,0.2833,0,0,0,0,2022-12-08
RX0000007288,MBR00000198,2021-10-03,2021-10-06,1134574185,1576721372,PLN7574,601181,PCN459,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,9,Retail,0,0,0,10.0,7.09,17.09,7.0,9.15,0.94,0.4,0.2833,0,0,0,0,2021-11-02
RX0000007289,MBR00000198,2023-07-31,2023-08-03,1476063711,1735685916,PLN6090,612147,PCN456,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,1,Retail,0,0,0,22.0,5.89,27.89,67.0,0.0,1.67,0.88,0.6233,0,0,0,0,2023-08-30
RX0000007290,MBR00000198,2021-05-16,2021-05-19,1557086299,1550183182,PLN4024,142533,PCN710,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,5,Retail,0,0,0,15.0,4.66,19.66,10.0,8.75,0.91,0.6,0.425,0,0,0,0,2021-06-15
RX0000007291,MBR00000198,2023-02-01,2023-02-05,1696810259,1587468799,PLN2202,190648,PCN676,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,96,6,Retail,0,1,0,25500.0,6.16,25506.16,152.0,24325.02,1029.14,340.0,240.8333,0,0,0,0,2023-05-02
RX0000007292,MBR00000198,2022-11-20,2022-11-22,1654951143,1981764854,PLN4915,603570,PCN189,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,6,Retail,3,0,0,12.0,4.15,16.15,10.0,5.03,1.12,0.48,0.34,0,0,0,0,2022-12-20
RX0000007293,MBR00000198,2022-06-06,2022-06-09,1599952159,1639218305,PLN3431,788982,PCN430,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,85,10,Retail,0,0,1,45.0,4.75,49.75,7.0,40.36,2.39,0.6,0.425,0,0,0,0,2022-09-04
RX0000007294,MBR00000198,2022-06-21,2022-06-23,1549377396,1149061007,PLN9756,824589,PCN412,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,90,7,Retail,0,0,0,54.0,11.6,65.6,30.0,32.7,2.9,0.72,0.51,0,0,0,0,2022-09-19
RX0000007295,MBR00000198,2023-10-27,2023-10-31,1242139579,1643555697,PLN3771,530419,PCN322,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,3,Mail Order,0,0,0,27.0,7.73,34.73,7.0,25.33,2.4,0.36,0.255,0,0,0,0,2024-01-25
RX0000007296,MBR00000198,2023-04-06,2023-04-08,1533747716,1384848706,PLN8200,904349,PCN969,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,1,Retail,0,0,0,175.0,6.52,181.52,37.0,136.38,8.14,7.0,4.9583,0,0,0,0,2023-05-06
RX0000007297,MBR00000198,2021-04-28,2021-04-30,1197736014,1334199688,PLN9438,891060,PCN403,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,54,6,Retail,2,0,0,36.0,4.31,40.31,4.0,33.89,2.42,0.72,0.51,0,0,0,0,2021-06-27
RX0000007298,MBR00000198,2023-12-05,2023-12-08,1481083171,1690142835,PLN5481,254009,PCN946,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,9,Retail,0,0,0,11.0,10.33,21.33,8.0,12.31,1.02,0.44,0.3117,0,0,0,0,2024-01-04
RX0000007299,MBR00000198,2021-04-16,2021-04-20,1773009212,1538572078,PLN1518,700682,PCN442,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,4,Mail Order,0,0,0,10.0,11.67,21.67,0.0,20.7,0.97,0.4,0.2833,0,0,0,0,2021-05-16
RX0000007300,MBR00000198,2021-11-04,2021-11-05,1957511351,1796799256,PLN3575,514901,PCN878,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,65,6,Retail,0,0,0,620.0,7.58,627.58,36.0,568.7,22.88,12.4,8.7833,0,0,0,0,2022-01-03
RX0000007301,MBR00000198,2021-07-11,2021-07-15,1102116511,1322240461,PLN1178,529294,PCN733,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,84,5,Retail,0,0,0,36.0,3.84,39.84,4.0,33.73,2.11,0.48,0.34,0,0,0,0,2021-10-09
RX0000007302,MBR00000198,2023-08-23,2023-08-25,1945743071,1371092101,PLN4295,313684,PCN484,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,94,4,Retail,0,0,0,30.0,8.33,38.33,8.0,27.86,2.47,0.4,0.2833,0,0,0,0,2023-11-21
RX0000007303,MBR00000198,2023-02-03,2023-02-06,1684586770,1312879841,PLN5744,724209,PCN654,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,7,Retail,0,0,0,18.0,4.55,22.55,37.0,0.0,0.98,0.72,0.51,0,0,0,0,2023-03-05
RX0000007304,MBR00000198,2021-10-12,2021-10-13,1756342714,1103598110,PLN1642,775275,PCN776,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,81,3,Retail,0,0,0,135.0,7.59,142.59,4.0,131.96,6.63,1.8,1.275,0,0,0,0,2022-01-10
RX0000007305,MBR00000198,2021-06-14,2021-06-16,1365606924,1222151619,PLN2312,197787,PCN732,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,57,7,Retail,0,0,0,28.0,2.82,30.82,7.0,22.74,1.08,0.56,0.3967,0,0,0,0,2021-08-13
RX0000007306,MBR00000198,2023-09-16,2023-09-18,1597586550,1245017713,PLN9503,263653,PCN125,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,57,1,Retail,0,0,0,18.0,8.59,26.59,2.0,22.92,1.67,0.36,0.255,1,0,0,0,2023-11-15
RX0000007307,MBR00000198,2022-05-25,2022-05-28,1955367488,1674246757,PLN1431,933595,PCN224,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,93,6,Retail,0,1,0,8400.0,11.32,8411.32,148.0,7876.17,387.15,112.0,79.3333,0,1,1,0,2022-08-23
RX0000007308,MBR00000198,2022-04-17,2022-04-18,1111939966,1559294062,PLN7481,766460,PCN947,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,10,Retail,0,0,0,12.0,1.71,13.71,5.0,8.06,0.65,0.48,0.34,0,0,0,0,2022-05-17
RX0000007309,MBR00000198,2021-02-21,2021-02-23,1909123919,1574803946,PLN5621,827947,PCN412,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,3,Mail Order,0,0,0,18.0,3.18,21.18,31.0,0.0,1.4,0.72,0.51,0,0,0,0,2021-03-23
RX0000007310,MBR00000198,2022-08-06,2022-08-08,1240496274,1594112444,PLN9820,824245,PCN945,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,2,Retail,0,0,0,8.5,8.72,17.22,10.0,6.52,0.7,0.34,0.2408,0,0,0,0,2022-09-05
RX0000007311,MBR00000198,2021-06-06,2021-06-08,1611273460,1744187120,PLN3547,992940,PCN624,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,61,4,Retail,0,1,0,16.0,11.72,27.72,150.0,0.0,1.43,0.32,0.2267,0,0,0,0,2021-08-05
RX0000007312,MBR00000198,2021-01-09,2021-01-12,1361397947,1563800806,PLN7159,158576,PCN597,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,3,Retail,3,0,0,14.0,11.48,25.48,4.0,20.22,1.26,0.56,0.3967,0,0,0,0,2021-02-08
RX0000007313,MBR00000198,2023-01-22,2023-01-24,1455495553,1225990306,PLN1781,992774,PCN784,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,95,8,Retail,0,0,0,1950.0,10.18,1960.18,36.0,1792.38,131.8,26.0,18.4167,1,0,0,0,2023-04-22
RX0000007314,MBR00000198,2022-06-11,2022-06-13,1731409133,1380243095,PLN2453,345120,PCN383,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,11,Retail,0,0,0,45.0,4.53,49.53,7.0,39.1,3.43,1.8,1.275,0,0,0,0,2022-07-11
RX0000007315,MBR00000198,2021-06-18,2021-06-21,1924863536,1236956387,PLN5488,729931,PCN838,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,1,Retail,0,0,0,14.0,8.0,22.0,6.0,14.91,1.09,0.56,0.3967,0,0,0,0,2021-07-18
RX0000007316,MBR00000198,2022-07-12,2022-07-15,1800259724,1347971247,PLN9901,504450,PCN466,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,0,Mail Order,2,0,0,10.0,5.03,15.03,6.0,8.36,0.67,0.4,0.2833,0,0,0,0,2022-08-11
RX0000007317,MBR00000198,2022-07-11,2022-07-14,1715925897,1761367980,PLN1837,604544,PCN481,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,94,2,Retail,0,0,0,54.0,10.38,64.38,4.0,57.82,2.56,0.72,0.51,0,0,0,0,2022-10-09
RX0000007318,MBR00000198,2021-11-23,2021-11-25,1196777709,1394920828,PLN9996,406405,PCN923,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,4,Retail,3,0,0,65.0,6.96,71.96,39.0,28.18,4.78,2.6,1.8417,0,0,0,0,2021-12-23
RX0000007319,MBR00000198,2023-02-04,2023-02-05,1865004732,1889132310,PLN3976,623926,PCN573,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,98,11,Mail Order,0,0,0,1140.0,4.78,1144.78,37.0,1068.99,38.79,15.2,10.7667,0,0,0,0,2023-05-05
RX0000007320,MBR00000198,2023-07-16,2023-07-17,1917372449,1272323464,PLN2971,925839,PCN694,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,5,Retail,0,0,0,10.0,2.85,12.85,7.0,5.24,0.61,0.4,0.2833,1,0,0,0,2023-08-15
RX0000007321,MBR00000198,2023-03-08,2023-03-12,1756166688,1226381816,PLN9802,320342,PCN310,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,6,Retail,0,0,0,16.0,9.6,25.6,7.0,17.1,1.5,0.64,0.4533,0,0,0,0,2023-04-07
RX0000007322,MBR00000198,2021-08-04,2021-08-07,1892743484,1454873708,PLN9319,203452,PCN984,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,3,Retail,3,0,0,2.33,7.86,10.19,1.0,8.79,0.4,0.4,0.2833,0,0,0,0,2021-08-11
RX0000007323,MBR00000198,2021-07-02,2021-07-06,1841135560,1329022634,PLN3099,828607,PCN846,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,2,Mail Order,0,0,0,2.8,4.44,7.24,6.0,0.86,0.38,0.48,0.34,1,0,0,0,2021-07-09
RX0000007324,MBR00000198,2022-02-10,2022-02-14,1926067335,1243576673,PLN1969,135317,PCN842,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,9,Mail Order,0,1,0,8.0,8.76,16.76,146.0,0.0,0.78,0.32,0.2267,0,0,0,0,2022-03-12
RX0000007325,MBR00000198,2023-09-29,2023-10-02,1834879348,1929350058,PLN9407,775621,PCN271,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,86,2,Retail,1,0,0,30.0,9.23,39.23,5.0,32.95,1.28,0.4,0.2833,0,0,0,0,2023-12-28
RX0000007326,MBR00000198,2021-02-04,2021-02-05,1811039736,1370637540,PLN3678,677136,PCN322,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,9,Mail Order,3,1,0,2800.0,10.66,2810.66,150.0,2466.68,193.98,112.0,79.3333,0,0,0,0,2021-03-06
RX0000007327,MBR00000198,2022-09-27,2022-09-28,1213660628,1544943013,PLN2708,740429,PCN233,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,5,Retail,2,0,0,45.0,9.58,54.58,8.0,43.41,3.17,1.8,1.275,1,0,0,0,2022-10-27
RX0000007328,MBR00000198,2022-02-09,2022-02-10,1809629684,1357396144,PLN7939,779695,PCN275,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,82,10,LTC,0,0,0,114.0,4.27,118.27,30.0,81.25,7.02,1.52,1.0767,0,0,0,0,2022-05-10
RX0000007329,MBR00000198,2021-08-11,2021-08-14,1136151948,1795540800,PLN9720,673833,PCN955,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,9,Retail,0,0,0,16.0,10.47,26.47,3.0,21.69,1.78,0.64,0.4533,0,0,0,0,2021-09-10
RX0000007330,MBR00000198,2021-03-01,2021-03-05,1807406200,1847364977,PLN5835,137366,PCN794,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,4,Retail,0,0,0,22.0,6.26,28.26,74.0,0.0,1.07,0.88,0.6233,0,0,0,0,2021-03-31
RX0000007331,MBR00000199,2023-09-16,2023-09-17,1574595982,1256274184,PLN8308,427841,PCN984,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,4,Retail,0,0,0,22.0,4.55,26.55,75.0,0.0,1.14,0.88,0.6233,0,0,0,0,2023-10-16
RX0000007332,MBR00000199,2023-01-07,2023-01-09,1213744588,1373718215,PLN8477,556146,PCN255,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,4,Mail Order,0,0,0,38.0,2.97,40.97,10.0,28.7,2.27,1.52,1.0767,0,0,0,0,2023-02-06
RX0000007333,MBR00000199,2022-10-01,2022-10-05,1814437792,1923094760,PLN8588,227633,PCN496,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,7,Mail Order,0,0,0,38.0,8.59,46.59,33.0,10.74,2.85,1.52,1.0767,0,0,0,0,2022-10-31
RX0000007334,MBR00000199,2023-08-27,2023-08-30,1775525339,1244058578,PLN4063,909325,PCN513,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,5,Mail Order,0,0,0,15.0,9.38,24.38,3.0,20.01,1.37,0.6,0.425,0,0,0,0,2023-09-26
RX0000007335,MBR00000199,2021-02-20,2021-02-23,1879597769,1491490373,PLN9940,723194,PCN362,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,88,11,Mail Order,0,0,0,33.0,11.57,44.57,8.0,34.55,2.02,0.44,0.3117,0,0,0,0,2021-05-21
RX0000007336,MBR00000199,2021-05-12,2021-05-13,1686126374,1209682015,PLN2595,352511,PCN833,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,4,Retail,0,0,0,45.0,11.75,56.75,8.0,46.31,2.44,1.8,1.275,0,0,0,0,2021-06-11
RX0000007337,MBR00000199,2021-08-02,2021-08-06,1809750257,1441748045,PLN3606,158970,PCN650,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,89,0,Retail,0,0,0,54.0,10.28,64.28,32.0,28.4,3.88,0.72,0.51,0,0,0,0,2021-10-31
RX0000007338,MBR00000199,2023-02-20,2023-02-23,1545056740,1381169207,PLN4692,942693,PCN804,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,81,9,Retail,0,0,0,45.0,7.09,52.09,6.0,44.26,1.83,0.6,0.425,1,0,0,0,2023-05-21
RX0000007339,MBR00000199,2023-08-05,2023-08-09,1107108879,1481980613,PLN7246,951003,PCN366,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,84,10,Retail,0,0,0,1440.0,1.7,1441.7,40.0,1312.8,88.9,19.2,13.6,0,0,0,0,2023-11-03
RX0000007340,MBR00000199,2023-08-18,2023-08-19,1564282979,1806192173,PLN3852,670334,PCN790,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,61,8,Retail,0,0,0,44.0,10.93,54.93,10.0,41.79,3.14,0.88,0.6233,0,0,0,0,2023-10-17
RX0000007341,MBR00000199,2023-11-02,2023-11-05,1297554397,1183220757,PLN8976,680553,PCN260,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,96,3,Mail Order,0,0,0,930.0,1.75,931.75,34.0,851.33,46.42,12.4,8.7833,0,0,0,0,2024-01-31
RX0000007342,MBR00000199,2021-12-13,2021-12-17,1710642156,1516641912,PLN4489,275573,PCN405,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,2,Retail,0,0,0,10.0,9.81,19.81,5.0,13.98,0.83,0.4,0.2833,0,0,0,0,2022-01-12
RX0000007343,MBR00000199,2021-09-20,2021-09-22,1823467932,1130614160,PLN7899,856760,PCN516,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,6,Mail Order,0,0,0,750.0,11.46,761.46,34.0,681.11,46.35,30.0,21.25,0,0,0,0,2021-10-20
RX0000007344,MBR00000200,2023-01-11,2023-01-14,1534879150,1723750295,PLN8429,200295,PCN352,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,4,Mail Order,0,0,0,175.0,11.19,186.19,40.0,140.07,6.12,7.0,4.9583,1,0,0,0,2023-02-10
RX0000007345,MBR00000200,2021-08-23,2021-08-26,1788447031,1743214985,PLN4122,321262,PCN353,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,93,8,Retail,0,0,0,30.0,4.79,34.79,10.0,23.55,1.24,0.4,0.2833,0,0,0,0,2021-11-21
RX0000007346,MBR00000200,2021-02-21,2021-02-22,1515929049,1227398799,PLN5769,377020,PCN880,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,11,Retail,0,0,0,320.0,6.59,326.59,37.0,278.19,11.4,12.8,9.0667,0,0,0,0,2021-03-23
RX0000007347,MBR00000200,2022-06-19,2022-06-23,1162336505,1839075084,PLN6228,994114,PCN697,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,81,1,Retail,0,1,0,24.0,5.84,29.84,154.0,0.0,2.08,0.32,0.2267,0,0,0,0,2022-09-17
RX0000007348,MBR00000200,2021-08-10,2021-08-11,1277525897,1627418065,PLN6510,507971,PCN247,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,11,Retail,0,0,0,14.0,8.08,22.08,8.0,13.08,1.0,0.56,0.3967,0,0,0,0,2021-09-09
RX0000007349,MBR00000200,2023-06-23,2023-06-24,1459074152,1246186966,PLN9286,868604,PCN599,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,2,Retail,0,0,0,10.0,5.24,15.24,0.0,14.4,0.84,0.4,0.2833,0,0,0,0,2023-07-23
RX0000007350,MBR00000200,2023-11-30,2023-12-04,1420010483,1587706809,PLN4473,414146,PCN501,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,59,1,Specialty,0,1,0,16.0,8.58,24.58,148.0,0.0,0.0,0.32,0.2267,0,0,0,0,2024-01-29
RX0000007351,MBR00000200,2022-06-29,2022-07-01,1790291719,1309565140,PLN6787,588811,PCN706,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,98,2,Retail,0,0,0,22.5,1.99,24.49,6.0,17.31,1.18,0.3,0.2125,0,0,0,0,2022-09-27
RX0000007352,MBR00000200,2023-08-24,2023-08-25,1263592102,1299289942,PLN2961,991818,PCN312,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,11,Retail,0,0,0,18.0,2.34,20.34,6.0,13.58,0.76,0.72,0.51,0,0,0,0,2023-09-23
RX0000007353,MBR00000200,2023-12-19,2023-12-21,1720174390,1991710886,PLN5870,100743,PCN102,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,85,0,Mail Order,0,0,0,1440.0,3.52,1443.52,35.0,1340.93,67.59,19.2,13.6,0,0,0,0,2024-03-18
RX0000007354,MBR00000200,2023-07-13,2023-07-15,1624806412,1189377219,PLN3631,561001,PCN693,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,7,Retail,0,0,0,15.0,10.72,25.72,8.0,15.95,1.77,0.6,0.425,1,0,0,0,2023-08-12
RX0000007355,MBR00000200,2022-12-10,2022-12-12,1731352506,1389991008,PLN9557,792414,PCN285,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,57,0,Retail,0,1,0,24.0,2.33,26.33,154.0,0.0,1.27,0.48,0.34,0,0,0,0,2023-02-08
RX0000007356,MBR00000200,2023-02-26,2023-02-27,1378072284,1400878619,PLN3521,119059,PCN710,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,5,Retail,0,0,0,54.0,7.0,61.0,4.0,54.34,2.66,0.72,0.51,0,0,0,0,2023-05-27
RX0000007357,MBR00000200,2023-12-10,2023-12-12,1468546727,1419673418,PLN9920,174641,PCN202,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,10,Mail Order,1,0,0,10.0,5.04,15.04,3.0,11.12,0.92,0.4,0.2833,1,0,0,0,2024-01-09
RX0000007358,MBR00000200,2022-02-14,2022-02-16,1416846308,1666682846,PLN9025,223760,PCN286,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,6,Retail,0,0,0,10.0,5.67,15.67,1.0,13.92,0.75,0.4,0.2833,0,0,0,0,2022-03-16
RX0000007359,MBR00000200,2021-08-13,2021-08-14,1817726365,1960607202,PLN9370,468825,PCN790,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,11,Retail,0,0,0,10.0,4.88,14.88,4.0,10.05,0.83,0.4,0.2833,0,0,0,0,2021-09-12
RX0000007360,MBR00000200,2023-12-10,2023-12-13,1591513087,1871957330,PLN9181,486802,PCN907,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,60,11,Mail Order,0,0,0,130.0,4.57,134.57,31.0,97.34,6.23,2.6,1.8417,0,0,0,0,2024-02-08
RX0000007361,MBR00000200,2022-11-04,2022-11-05,1664244333,1118688595,PLN9814,412374,PCN227,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,93,0,Mail Order,0,0,0,84.0,9.59,93.59,3.0,86.65,3.94,1.12,0.7933,0,0,0,0,2023-02-02
RX0000007362,MBR00000200,2023-03-29,2023-04-01,1342176183,1249288056,PLN9369,236758,PCN472,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,63,9,Retail,0,0,0,36.0,6.8,42.8,31.0,8.97,2.83,0.72,0.51,1,0,0,0,2023-05-28
RX0000007363,MBR00000200,2023-02-17,2023-02-18,1149339341,1438119232,PLN2949,481849,PCN446,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,3,Mail Order,0,0,0,10.0,8.26,18.26,10.0,7.02,1.24,0.4,0.2833,0,0,0,0,2023-03-19
RX0000007364,MBR00000200,2023-09-06,2023-09-07,1400835877,1675986795,PLN7071,931202,PCN925,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,0,Retail,0,0,0,18.0,1.5,19.5,1.0,17.19,1.31,0.72,0.51,0,0,0,0,2023-10-06
RX0000007365,MBR00000200,2023-02-04,2023-02-05,1962298273,1288546909,PLN5014,400158,PCN740,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,4,Retail,0,0,0,10.0,7.31,17.31,4.0,12.68,0.63,0.4,0.2833,0,0,0,0,2023-03-06
RX0000007366,MBR00000200,2023-11-29,2023-12-03,1661778053,1486590250,PLN7036,132176,PCN320,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,85,5,Retail,0,1,0,24.0,8.36,32.36,150.0,0.0,1.16,0.32,0.2267,0,0,0,0,2024-02-27
RX0000007367,MBR00000201,2021-10-26,2021-10-27,1112421422,1337159953,PLN6758,441512,PCN581,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,10,Retail,0,0,0,221.67,9.58,231.25,38.0,185.98,7.27,38.0,26.9167,0,0,0,0,2021-11-02
RX0000007368,MBR00000201,2022-11-20,2022-11-23,1226056926,1402682638,PLN6138,134242,PCN505,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,1,Retail,0,0,0,15.0,2.14,17.14,9.0,7.42,0.72,0.6,0.425,1,0,0,0,2022-12-20
RX0000007369,MBR00000201,2022-10-10,2022-10-12,1803833725,1416456629,PLN2279,129899,PCN121,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,0,Mail Order,0,0,0,950.0,5.85,955.85,32.0,870.76,53.09,38.0,26.9167,0,0,0,0,2022-11-09
RX0000007370,MBR00000201,2021-03-24,2021-03-26,1889057111,1828698473,PLN7893,326214,PCN253,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,54,5,Mail Order,0,1,0,12400.0,5.69,12405.69,147.0,11415.91,842.78,248.0,175.6667,0,0,0,0,2021-05-23
RX0000007371,MBR00000201,2023-02-25,2023-02-27,1172904012,1128312031,PLN5322,706849,PCN166,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,11,Retail,0,0,0,16.0,8.93,24.93,8.0,15.6,1.33,0.64,0.4533,0,0,0,0,2023-03-27
RX0000007372,MBR00000201,2023-10-21,2023-10-22,1498966203,1341556375,PLN6319,758874,PCN791,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,11,Retail,0,0,0,7.5,3.82,11.32,0.0,10.71,0.61,0.3,0.2125,0,0,0,0,2023-11-20
RX0000007373,MBR00000201,2022-03-22,2022-03-23,1157251361,1452272634,PLN6844,152213,PCN913,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,9,Mail Order,0,0,0,7.5,4.05,11.55,7.0,4.07,0.48,0.3,0.2125,0,0,0,0,2022-04-21
RX0000007374,MBR00000201,2021-12-25,2021-12-27,1111703909,1805527309,PLN4393,591106,PCN849,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,1,Mail Order,0,0,0,22.0,7.43,29.43,73.0,0.0,1.53,0.88,0.6233,0,0,0,0,2022-01-24
RX0000007375,MBR00000201,2021-06-13,2021-06-15,1698249796,1738695547,PLN9930,176170,PCN227,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,2,Retail,0,0,0,10.0,3.96,13.96,4.0,9.14,0.82,0.4,0.2833,0,0,0,0,2021-07-13
RX0000007376,MBR00000201,2022-10-25,2022-10-27,1782779889,1922049348,PLN3724,100862,PCN987,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,98,7,Retail,2,0,0,42.0,6.31,48.31,7.0,38.1,3.21,0.56,0.3967,0,0,0,0,2023-01-23
RX0000007377,MBR00000201,2023-10-11,2023-10-12,1882077746,1674253539,PLN4491,473474,PCN305,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,8,Retail,2,0,0,11.0,8.57,19.57,9.0,9.74,0.83,0.44,0.3117,0,0,0,0,2023-11-10
RX0000007378,MBR00000201,2023-08-15,2023-08-16,1119805339,1384846735,PLN5150,565892,PCN953,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,85,1,Retail,0,0,0,555.0,8.37,563.37,32.0,505.25,26.12,7.4,5.2417,0,0,0,0,2023-11-13
RX0000007379,MBR00000201,2021-04-25,2021-04-27,1488712773,1624259277,PLN4474,368863,PCN994,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,87,7,Mail Order,2,0,0,2250.0,9.19,2259.19,30.0,2146.02,83.17,30.0,21.25,0,0,0,0,2021-07-24
RX0000007380,MBR00000201,2023-03-16,2023-03-17,1972513302,1809603584,PLN5214,149248,PCN239,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,86,7,Retail,1,0,0,36.0,2.48,38.48,7.0,29.21,2.27,0.48,0.34,0,0,0,0,2023-06-14
RX0000007381,MBR00000201,2022-04-07,2022-04-11,1764483162,1436918276,PLN9463,650201,PCN742,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,2,Retail,3,0,0,2.1,2.24,4.34,8.0,0.0,0.27,0.36,0.255,0,0,0,0,2022-04-14
RX0000007382,MBR00000201,2022-06-29,2022-07-02,1210342127,1181787683,PLN6912,306201,PCN140,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,7,Retail,0,0,0,15.17,2.19,17.36,37.0,0.0,1.19,2.6,1.8417,0,0,0,0,2022-07-06
RX0000007383,MBR00000201,2022-02-12,2022-02-13,1649488604,1331318495,PLN1575,115670,PCN779,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,4,Retail,2,0,0,10.0,11.02,21.02,1.0,18.8,1.22,0.4,0.2833,1,0,0,0,2022-03-14
RX0000007384,MBR00000201,2022-02-19,2022-02-21,1908476420,1414286453,PLN1204,230263,PCN194,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,4,Retail,0,0,0,380.0,7.37,387.37,38.0,329.5,19.87,15.2,10.7667,0,0,0,0,2022-03-21
RX0000007385,MBR00000201,2021-08-14,2021-08-15,1743417957,1909809353,PLN8356,309992,PCN641,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,4,Retail,0,0,0,750.0,7.41,757.41,34.0,677.75,45.66,30.0,21.25,0,0,0,0,2021-09-13
RX0000007386,MBR00000201,2023-01-15,2023-01-17,1358460293,1174872819,PLN9040,722879,PCN362,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,5,Mail Order,0,0,0,12.0,2.46,14.46,9.0,4.9,0.56,0.48,0.34,0,0,0,0,2023-02-14
RX0000007387,MBR00000201,2023-02-19,2023-02-20,1401236205,1650498880,PLN3950,308865,PCN247,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,2,Retail,0,0,0,3.73,8.21,11.94,6.0,5.55,0.39,0.64,0.4533,1,0,0,0,2023-02-26
RX0000007388,MBR00000201,2022-06-11,2022-06-12,1854773944,1892441561,PLN9403,423663,PCN876,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,6,Specialty,0,0,0,10.0,25.59,35.59,0.0,35.59,0.0,0.4,0.2833,1,0,0,0,2022-07-11
RX0000007389,MBR00000201,2022-12-12,2022-12-13,1211163015,1686376238,PLN8273,220881,PCN980,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,55,7,Mail Order,0,0,1,18.0,9.65,27.65,3.0,22.94,1.71,0.36,0.255,0,0,0,0,2023-02-10
RX0000007390,MBR00000201,2023-12-10,2023-12-13,1138212285,1453911613,PLN1009,527940,PCN545,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,2,Mail Order,0,0,0,11.0,4.14,15.14,0.0,14.32,0.82,0.44,0.3117,0,0,0,0,2024-01-09
RX0000007391,MBR00000201,2022-09-29,2022-09-30,1342422866,1324431721,PLN1302,647869,PCN262,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,0,0,0,320.0,6.22,326.22,34.0,281.32,10.9,12.8,9.0667,0,0,0,0,2022-10-29
RX0000007392,MBR00000201,2022-12-15,2022-12-19,1929283226,1906103309,PLN3113,230157,PCN746,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,6,Mail Order,0,0,0,320.0,11.12,331.12,33.0,279.71,18.41,12.8,9.0667,0,0,0,0,2023-01-14
RX0000007393,MBR00000201,2021-12-09,2021-12-12,1858431376,1335959250,PLN4287,926420,PCN791,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,0,Mail Order,0,0,0,38.0,8.93,46.93,36.0,8.54,2.39,1.52,1.0767,0,0,0,0,2022-01-08
RX0000007394,MBR00000201,2022-04-10,2022-04-12,1620177159,1937852914,PLN5598,157058,PCN188,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,97,3,Retail,0,0,0,525.0,10.51,535.51,30.0,469.1,36.41,7.0,4.9583,0,0,0,0,2022-07-09
RX0000007395,MBR00000201,2023-05-07,2023-05-10,1190315534,1145593939,PLN1217,563615,PCN952,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,9,Retail,0,0,0,22.0,5.61,27.61,5.0,21.3,1.31,0.88,0.6233,0,0,0,0,2023-06-06
RX0000007396,MBR00000201,2023-06-28,2023-06-30,1355121439,1384488501,PLN4588,297944,PCN509,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,2,Retail,0,0,0,45.0,10.33,55.33,9.0,42.63,3.7,1.8,1.275,0,0,0,0,2023-07-28
RX0000007397,MBR00000201,2022-07-19,2022-07-22,1323874444,1531147394,PLN1222,182331,PCN363,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,4,Specialty,0,0,0,175.0,25.83,200.83,34.0,166.83,0.0,30.0,21.25,0,0,0,0,2022-07-26
RX0000007398,MBR00000201,2021-06-10,2021-06-12,1536802358,1598665850,PLN1443,114857,PCN914,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,91,0,Retail,0,0,0,45.0,2.3,47.3,1.0,44.22,2.08,0.6,0.425,0,0,0,0,2021-09-08
RX0000007399,MBR00000201,2021-02-15,2021-02-18,1377785358,1847469607,PLN4926,688734,PCN357,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,3,Retail,0,0,0,12.5,9.18,21.68,8.0,12.99,0.69,0.5,0.3542,0,0,0,0,2021-03-17
RX0000007400,MBR00000201,2023-11-26,2023-11-29,1729568328,1268414573,PLN6808,400340,PCN743,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,88,0,Mail Order,1,0,0,30.0,10.36,40.36,3.0,35.95,1.41,0.4,0.2833,0,0,0,0,2024-02-24
RX0000007401,MBR00000201,2023-07-22,2023-07-23,1851819240,1698673443,PLN4060,341682,PCN571,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,65,9,Mail Order,0,1,0,5600.0,11.41,5611.41,150.0,5291.98,169.43,112.0,79.3333,0,0,0,0,2023-09-20
RX0000007402,MBR00000201,2022-05-30,2022-05-31,1849645888,1430015623,PLN1515,518731,PCN450,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,0,Retail,0,0,0,12.5,6.76,19.26,3.0,15.59,0.67,0.5,0.3542,0,0,0,0,2022-06-29
RX0000007403,MBR00000201,2022-09-08,2022-09-10,1388529420,1615713296,PLN1613,537487,PCN797,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,97,7,Retail,0,0,0,36.0,10.46,46.46,7.0,37.78,1.68,0.48,0.34,0,0,0,0,2022-12-07
RX0000007404,MBR00000201,2022-08-05,2022-08-06,1434398193,1380362098,PLN2506,112024,PCN671,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,85,3,Specialty,0,0,0,135.0,18.69,153.69,1.0,152.69,0.0,1.8,1.275,0,0,0,0,2022-11-03
RX0000007405,MBR00000201,2021-03-02,2021-03-04,1565481976,1409222599,PLN1386,520303,PCN511,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,55,0,Retail,0,0,0,20.0,2.54,22.54,8.0,13.77,0.77,0.4,0.2833,0,0,0,0,2021-05-01
RX0000007406,MBR00000201,2021-09-09,2021-09-11,1397401874,1454906618,PLN6867,740303,PCN680,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,0,Retail,0,0,0,18.0,5.79,23.79,3.0,20.0,0.79,0.72,0.51,0,0,0,0,2021-10-09
RX0000007407,MBR00000202,2023-09-27,2023-09-29,1721068417,1117702171,PLN5260,272133,PCN424,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,8,Mail Order,0,0,0,185.0,6.16,191.16,30.0,151.23,9.93,7.4,5.2417,1,0,0,0,2023-10-27
RX0000007408,MBR00000202,2021-12-20,2021-12-21,1355068394,1440843066,PLN1327,588826,PCN127,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,85,8,Mail Order,0,0,0,30.0,8.23,38.23,8.0,28.81,1.42,0.4,0.2833,0,0,0,0,2022-03-20
RX0000007409,MBR00000202,2022-01-14,2022-01-18,1964951971,1908341126,PLN2763,888086,PCN736,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,9,Retail,0,0,0,16.0,11.25,27.25,2.0,23.79,1.46,0.64,0.4533,0,0,0,0,2022-02-13
RX0000007410,MBR00000202,2022-02-12,2022-02-15,1174208661,1579541448,PLN5910,637046,PCN198,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,91,6,Mail Order,2,0,0,36.0,6.16,42.16,7.0,33.21,1.95,0.48,0.34,0,0,0,0,2022-05-13
RX0000007411,MBR00000202,2022-02-04,2022-02-07,1335804296,1594244141,PLN3851,659231,PCN677,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,54,8,Retail,0,0,0,350.0,3.95,353.95,30.0,305.33,18.62,7.0,4.9583,0,0,0,0,2022-04-05
RX0000007412,MBR00000202,2021-08-18,2021-08-21,1498136303,1466939827,PLN2927,233769,PCN769,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,94,0,Retail,0,0,0,66.0,8.35,74.35,1.0,70.43,2.92,0.88,0.6233,0,0,0,0,2021-11-16
RX0000007413,MBR00000202,2023-02-25,2023-02-28,1692982097,1348504561,PLN2104,496734,PCN843,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,8,Mail Order,0,1,0,2800.0,11.99,2811.99,153.0,2479.53,179.46,112.0,79.3333,0,0,0,0,2023-03-27
RX0000007414,MBR00000202,2022-10-29,2022-10-30,1147858892,1466416735,PLN3527,638848,PCN878,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,8,Specialty,0,0,0,185.0,20.25,205.25,34.0,171.25,0.0,7.4,5.2417,0,0,0,0,2022-11-28
RX0000007415,MBR00000202,2021-03-30,2021-04-03,1609685661,1288461790,PLN9211,538767,PCN593,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,98,11,Retail,0,0,0,54.0,2.68,56.68,10.0,42.9,3.78,0.72,0.51,0,0,0,0,2021-06-28
RX0000007416,MBR00000202,2023-01-26,2023-01-29,1970460618,1943935660,PLN7573,376907,PCN777,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,8,Retail,0,0,0,2.8,7.69,10.49,1.0,9.12,0.37,0.48,0.34,0,0,0,0,2023-02-02
RX0000007417,MBR00000202,2022-05-28,2022-05-30,1603314759,1423217826,PLN3909,387124,PCN916,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,96,0,Retail,0,0,0,48.0,5.89,53.89,3.0,48.37,2.52,0.64,0.4533,0,0,0,0,2022-08-26
RX0000007418,MBR00000202,2023-04-02,2023-04-05,1274258384,1949296405,PLN3893,183253,PCN128,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,65,8,Mail Order,0,0,0,22.0,3.53,25.53,2.0,21.81,1.72,0.44,0.3117,1,0,0,0,2023-06-01
RX0000007419,MBR00000202,2023-01-16,2023-01-17,1834533812,1418659330,PLN5837,875160,PCN111,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,90,9,Retail,0,0,0,1440.0,1.89,1441.89,32.0,1354.41,55.48,19.2,13.6,0,0,0,0,2023-04-16
RX0000007420,MBR00000202,2021-05-17,2021-05-18,1674261443,1217224305,PLN7139,772605,PCN172,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,84,10,Retail,0,0,0,42.0,5.4,47.4,3.0,42.14,2.26,0.56,0.3967,0,0,0,0,2021-08-15
RX0000007421,MBR00000202,2022-10-13,2022-10-15,1857444263,1610081330,PLN5483,827256,PCN541,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,10,Retail,0,0,0,15.0,6.93,21.93,9.0,11.97,0.96,0.6,0.425,0,0,0,0,2022-11-12
RX0000007422,MBR00000202,2021-08-16,2021-08-19,1461455264,1454630845,PLN5639,281397,PCN817,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,85,2,Retail,0,1,0,25500.0,4.9,25504.9,150.0,24549.83,805.07,340.0,240.8333,0,0,0,0,2021-11-14
RX0000007423,MBR00000202,2021-02-19,2021-02-21,1159659125,1377300367,PLN5406,461494,PCN714,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,86,9,Retail,0,0,0,25.5,2.57,28.07,8.0,18.76,1.31,0.34,0.2408,0,0,0,0,2021-05-20
RX0000007424,MBR00000202,2021-05-24,2021-05-27,1862186074,1599716934,PLN8396,537009,PCN426,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,93,8,Retail,0,0,0,36.0,11.73,47.73,5.0,40.44,2.29,0.48,0.34,0,0,0,0,2021-08-22
RX0000007425,MBR00000202,2022-09-21,2022-09-22,1893791832,1163091346,PLN9192,740091,PCN459,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,9,Mail Order,0,0,0,66.0,4.57,70.57,3.0,64.52,3.05,0.88,0.6233,0,1,0,0,2022-12-20
RX0000007426,MBR00000202,2021-07-22,2021-07-23,1805136788,1777306290,PLN3242,142194,PCN222,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,9,Mail Order,0,0,0,12.0,7.67,19.67,1.0,17.8,0.87,0.48,0.34,0,0,0,0,2021-08-21
RX0000007427,MBR00000202,2023-02-26,2023-02-28,1135134224,1747592523,PLN3385,583518,PCN372,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,84,2,Retail,0,0,0,66.0,4.3,70.3,2.0,64.59,3.71,0.88,0.6233,0,0,0,0,2023-05-27
RX0000007428,MBR00000202,2022-09-15,2022-09-19,1537542980,1880556616,PLN4482,783708,PCN368,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,0,Mail Order,0,0,0,3.5,4.18,7.68,9.0,0.0,0.45,0.6,0.425,0,0,0,0,2022-09-22
RX0000007429,MBR00000202,2022-06-10,2022-06-14,1489456875,1242358381,PLN5842,134855,PCN564,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,8,Retail,0,0,0,9.0,6.01,15.01,6.0,7.97,1.04,0.36,0.255,1,0,0,0,2022-07-10
RX0000007430,MBR00000202,2021-04-08,2021-04-12,1173643592,1980027687,PLN8333,245830,PCN879,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,5,Retail,2,0,0,330.0,7.7,337.7,39.0,276.28,22.42,13.2,9.35,0,0,0,0,2021-05-08
RX0000007431,MBR00000202,2022-01-07,2022-01-10,1547605949,1802649477,PLN7662,159383,PCN614,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,91,7,Specialty,0,0,1,114.0,13.12,127.12,8.0,119.12,0.0,1.52,1.0767,1,0,0,0,2022-04-07
RX0000007432,MBR00000202,2023-10-04,2023-10-08,1465664413,1634623340,PLN4573,987506,PCN277,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,7,Retail,0,0,0,950.0,2.29,952.29,36.0,860.87,55.42,38.0,26.9167,1,0,0,0,2023-11-03
RX0000007433,MBR00000202,2022-09-20,2022-09-23,1844856435,1158823105,PLN8780,741653,PCN267,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,64,4,Retail,0,0,0,620.0,1.75,621.75,37.0,544.38,40.37,12.4,8.7833,1,0,0,0,2022-11-19
RX0000007434,MBR00000202,2021-04-08,2021-04-09,1536746757,1806201892,PLN8419,746442,PCN267,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,64,7,Retail,0,0,0,28.0,2.02,30.02,5.0,22.94,2.08,0.56,0.3967,0,0,0,0,2021-06-07
RX0000007435,MBR00000202,2021-06-26,2021-06-28,1577911397,1146320405,PLN1258,451849,PCN961,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,1,Retail,0,0,0,10.0,5.91,15.91,0.0,14.81,1.1,0.4,0.2833,0,0,0,0,2021-07-26
RX0000007436,MBR00000202,2022-10-10,2022-10-11,1527723306,1756233668,PLN8946,876650,PCN639,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,2,Retail,0,0,0,12.0,3.43,15.43,5.0,9.93,0.5,0.48,0.34,0,0,0,0,2022-11-09
RX0000007437,MBR00000202,2023-10-17,2023-10-20,1113478437,1716233419,PLN5329,194260,PCN951,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,97,2,Retail,0,0,0,48.0,8.4,56.4,2.0,50.62,3.78,0.64,0.4533,0,0,0,0,2024-01-15
RX0000007438,MBR00000202,2022-11-01,2022-11-02,1108144047,1198731509,PLN2383,190778,PCN994,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,9,Retail,3,1,0,1983.33,9.44,1992.77,149.0,1708.41,135.36,340.0,240.8333,0,0,0,0,2022-11-08
RX0000007439,MBR00000202,2023-12-14,2023-12-17,1892423023,1476502854,PLN2702,754157,PCN456,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,98,3,Retail,0,0,0,42.0,8.46,50.46,9.0,39.87,1.59,0.56,0.3967,0,0,0,0,2024-03-13
RX0000007440,MBR00000202,2023-10-06,2023-10-07,1349901386,1460647791,PLN2445,668980,PCN600,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,4,Retail,0,0,0,11.0,8.22,19.22,5.0,12.88,1.34,0.44,0.3117,0,0,0,0,2023-11-05
RX0000007441,MBR00000202,2023-05-27,2023-05-31,1555218832,1277992538,PLN2939,138741,PCN213,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,10,Mail Order,0,0,0,18.0,10.63,28.63,35.0,0.0,1.13,0.72,0.51,0,1,1,0,2023-06-26
RX0000007442,MBR00000202,2023-11-25,2023-11-26,1190456963,1375889697,PLN6247,359081,PCN562,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,3,Mail Order,2,1,0,6200.0,9.18,6209.18,148.0,5795.67,265.51,248.0,175.6667,1,1,1,0,2023-12-25
RX0000007443,MBR00000202,2021-11-08,2021-11-11,1787065814,1392861388,PLN6963,710816,PCN289,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,11,Retail,0,0,0,112.0,9.03,121.03,32.0,84.87,4.16,19.2,13.6,0,0,0,0,2021-11-15
RX0000007444,MBR00000202,2021-03-29,2021-03-31,1505064061,1170556706,PLN6129,618076,PCN846,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,5,Retail,0,0,0,12.0,8.8,20.8,3.0,16.56,1.24,0.48,0.34,1,0,0,0,2021-04-28
RX0000007445,MBR00000202,2022-07-24,2022-07-26,1141421978,1864896789,PLN5720,401955,PCN242,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,55,2,Retail,0,0,0,44.0,5.57,49.57,69.0,0.0,1.89,0.88,0.6233,0,0,0,0,2022-09-22
RX0000007446,MBR00000202,2021-09-29,2021-10-01,1133797183,1906784345,PLN4151,493576,PCN795,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,3,Specialty,2,0,0,9.0,20.69,29.69,9.0,20.69,0.0,0.36,0.255,0,0,0,0,2021-10-29
RX0000007447,MBR00000202,2022-05-03,2022-05-06,1603346222,1974377539,PLN8613,952668,PCN921,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,7,Retail,0,0,0,1.98,3.14,5.12,3.0,1.96,0.16,0.34,0.2408,0,0,0,0,2022-05-10
RX0000007448,MBR00000202,2023-01-07,2023-01-10,1395372648,1874458071,PLN3057,486189,PCN533,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,1,Retail,1,0,0,285.0,2.06,287.06,33.0,240.08,13.98,11.4,8.075,0,0,0,0,2023-02-06
RX0000007449,MBR00000202,2023-05-04,2023-05-05,1184258410,1396153229,PLN3406,716946,PCN613,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,4,Retail,0,0,0,18.0,9.2,27.2,5.0,20.7,1.5,0.72,0.51,0,0,0,0,2023-06-03
RX0000007450,MBR00000202,2022-11-05,2022-11-09,1568839235,1327656515,PLN8520,839500,PCN441,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,6,Retail,0,1,0,8.0,9.73,17.73,150.0,0.0,1.12,0.32,0.2267,0,0,0,0,2022-12-05
RX0000007451,MBR00000202,2023-06-19,2023-06-21,1862564573,1425682445,PLN4985,304944,PCN355,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,61,6,Retail,2,0,0,22.0,1.82,23.82,8.0,14.9,0.92,0.44,0.3117,0,0,0,0,2023-08-18
RX0000007452,MBR00000202,2022-10-18,2022-10-19,1454602204,1738212497,PLN6138,458101,PCN916,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,88,9,Retail,0,0,0,855.0,4.29,859.29,37.0,794.32,27.97,11.4,8.075,0,0,0,0,2023-01-16
RX0000007453,MBR00000202,2021-03-31,2021-04-01,1801800016,1686296786,PLN1808,300401,PCN255,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,9,Mail Order,0,1,0,12.0,8.63,20.63,150.0,0.0,0.71,0.48,0.34,0,0,0,0,2021-04-30
RX0000007454,MBR00000202,2021-05-25,2021-05-26,1611728086,1814906498,PLN2733,862591,PCN243,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,11,Retail,0,0,0,9.0,5.95,14.95,9.0,5.36,0.59,0.36,0.255,0,0,0,0,2021-06-24
RX0000007455,MBR00000202,2023-10-06,2023-10-07,1460127309,1370556087,PLN3759,510371,PCN134,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,83,9,Retail,0,0,0,135.0,5.61,140.61,8.0,126.41,6.2,1.8,1.275,0,0,0,0,2024-01-04
RX0000007456,MBR00000202,2021-03-15,2021-03-18,1701173996,1480509681,PLN3425,643669,PCN735,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,370.0,3.07,373.07,33.0,321.25,18.82,14.8,10.4833,1,0,0,0,2021-04-14
RX0000007457,MBR00000202,2022-04-24,2022-04-25,1246182756,1881200980,PLN4609,254473,PCN209,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,5,Mail Order,0,0,0,1440.0,9.68,1449.68,37.0,1332.06,80.62,19.2,13.6,1,0,0,0,2022-07-23
RX0000007458,MBR00000202,2021-10-02,2021-10-04,1654845550,1380581277,PLN7526,709713,PCN228,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,61,1,Retail,0,0,0,18.0,11.67,29.67,6.0,22.68,0.99,0.36,0.255,0,0,0,0,2021-12-01
RX0000007459,MBR00000202,2022-05-05,2022-05-06,1953711986,1553962884,PLN3402,854166,PCN263,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,96,7,Retail,0,1,0,8400.0,6.63,8406.63,145.0,7792.62,469.01,112.0,79.3333,0,0,0,0,2022-08-03
RX0000007460,MBR00000202,2021-06-05,2021-06-07,1787143439,1228061434,PLN3776,790928,PCN608,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,6,Retail,0,0,0,7.5,2.08,9.58,0.0,9.03,0.55,0.3,0.2125,0,0,0,0,2021-07-05
RX0000007461,MBR00000202,2023-10-18,2023-10-22,1195125632,1981065254,PLN1893,826548,PCN599,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,81,0,Retail,0,0,0,45.0,2.62,47.62,6.0,39.37,2.25,0.6,0.425,0,0,0,0,2024-01-16
RX0000007462,MBR00000202,2022-04-09,2022-04-11,1465590619,1562748125,PLN9408,712822,PCN873,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,81,0,Retail,0,0,0,54.0,7.9,61.9,10.0,49.65,2.25,0.72,0.51,0,0,0,0,2022-07-08
RX0000007463,MBR00000202,2021-03-25,2021-03-26,1197151390,1823168869,PLN6850,672636,PCN154,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,85,3,Mail Order,0,1,0,25500.0,10.48,25510.48,154.0,23934.14,1422.34,340.0,240.8333,0,1,1,0,2021-06-23
RX0000007464,MBR00000202,2022-01-29,2022-02-01,1325581320,1166777430,PLN6607,143027,PCN291,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,4,Retail,0,0,0,18.0,7.0,25.0,8.0,15.54,1.46,0.72,0.51,1,0,0,0,2022-02-28
RX0000007465,MBR00000202,2021-04-05,2021-04-07,1115756166,1735982254,PLN5300,618334,PCN362,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,97,4,Retail,0,0,0,33.0,2.78,35.78,3.0,30.83,1.95,0.44,0.3117,0,0,0,0,2021-07-04
RX0000007466,MBR00000202,2022-10-05,2022-10-08,1812210331,1249097365,PLN8893,442902,PCN622,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,90,6,Mail Order,0,0,0,27.0,10.0,37.0,8.0,27.34,1.66,0.36,0.255,0,0,0,0,2023-01-03
RX0000007467,MBR00000202,2023-06-30,2023-07-01,1598937476,1586232031,PLN3124,961127,PCN346,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,1,Retail,0,0,0,650.0,5.0,655.0,36.0,591.88,27.12,26.0,18.4167,0,0,0,0,2023-07-30
RX0000007468,MBR00000202,2021-05-19,2021-05-21,1665894346,1824301345,PLN3825,414385,PCN379,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,4,Retail,0,0,0,320.0,8.94,328.94,39.0,268.32,21.62,12.8,9.0667,0,0,0,0,2021-06-18
RX0000007469,MBR00000202,2023-09-26,2023-09-28,1361072742,1990716826,PLN7945,891793,PCN346,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,11,Retail,0,0,0,45.0,4.51,49.51,10.0,37.89,1.62,1.8,1.275,1,0,0,0,2023-10-26
RX0000007470,MBR00000203,2021-06-16,2021-06-20,1627996026,1246037493,PLN1718,290323,PCN800,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,1,Retail,0,0,0,22.0,2.01,24.01,66.0,0.0,1.62,0.88,0.6233,1,0,0,0,2021-07-16
RX0000007471,MBR00000203,2021-04-01,2021-04-05,1754324678,1573389538,PLN2076,141298,PCN320,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,93,2,Retail,0,0,0,1950.0,6.16,1956.16,39.0,1821.3,95.86,26.0,18.4167,0,0,0,0,2021-06-30
RX0000007472,MBR00000203,2021-10-10,2021-10-14,1986585808,1447122578,PLN6337,412539,PCN755,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,2,Specialty,0,1,0,6200.0,23.08,6223.08,149.0,6074.08,0.0,248.0,175.6667,0,0,0,0,2021-11-09
RX0000007473,MBR00000203,2023-09-04,2023-09-06,1733954122,1335927202,PLN5255,441858,PCN625,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,9,Retail,2,0,0,330.0,2.89,332.89,31.0,286.81,15.08,13.2,9.35,0,0,0,0,2023-10-04
RX0000007474,MBR00000203,2021-07-17,2021-07-19,1843653731,1571798415,PLN2478,416491,PCN501,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,54,9,Retail,0,0,0,660.0,6.68,666.68,38.0,596.06,32.62,13.2,9.35,0,0,0,0,2021-09-15
RX0000007475,MBR00000203,2021-04-11,2021-04-12,1358667307,1361366896,PLN3011,329084,PCN198,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,1,Retail,0,0,0,10.0,5.23,15.23,2.0,12.34,0.89,0.4,0.2833,0,0,0,0,2021-05-11
RX0000007476,MBR00000203,2021-04-09,2021-04-11,1717764906,1859435193,PLN3961,503209,PCN754,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,3,Retail,2,0,0,3.27,4.97,8.23,2.0,5.86,0.37,0.56,0.3967,0,0,0,0,2021-04-16
RX0000007477,MBR00000203,2021-09-30,2021-10-04,1218696618,1773928902,PLN3900,508843,PCN567,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,63,7,Retail,0,0,0,18.0,6.5,24.5,0.0,23.53,0.97,0.36,0.255,0,0,0,0,2021-11-29
RX0000007478,MBR00000203,2021-04-26,2021-04-29,1848937655,1460315965,PLN8044,255590,PCN509,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,86,9,Mail Order,2,0,0,27.0,2.69,29.69,8.0,19.85,1.84,0.36,0.255,0,0,0,0,2021-07-25
RX0000007479,MBR00000203,2023-01-20,2023-01-24,1888076165,1893268593,PLN1456,544158,PCN248,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,11,Retail,0,0,0,11.0,10.97,21.97,2.0,18.82,1.15,0.44,0.3117,0,0,0,0,2023-02-19
RX0000007480,MBR00000203,2023-04-22,2023-04-26,1975691714,1602895457,PLN1958,196797,PCN239,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,93,10,Mail Order,0,0,0,45.0,11.87,56.87,5.0,48.21,3.66,0.6,0.425,1,0,0,0,2023-07-21
RX0000007481,MBR00000203,2022-08-30,2022-08-31,1686014118,1791707974,PLN3004,266569,PCN354,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,11,Specialty,0,0,0,27.0,49.11,76.11,10.0,66.11,0.0,0.36,0.255,0,0,0,0,2022-11-28
RX0000007482,MBR00000203,2023-02-01,2023-02-05,1684585046,1884187761,PLN7877,283461,PCN751,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,7,Retail,0,0,0,16.0,7.13,23.13,6.0,15.58,1.55,0.64,0.4533,0,0,0,0,2023-03-03
RX0000007483,MBR00000203,2022-04-30,2022-05-01,1195554805,1364939227,PLN9964,342040,PCN424,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,11,Mail Order,0,1,0,2800.0,5.49,2805.49,150.0,2522.27,133.22,112.0,79.3333,0,0,0,0,2022-05-30
RX0000007484,MBR00000203,2022-08-10,2022-08-13,1212738637,1163327354,PLN1509,774050,PCN950,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,5,Retail,0,0,0,38.0,11.13,49.13,40.0,6.42,2.71,1.52,1.0767,0,0,0,0,2022-09-09
RX0000007485,MBR00000203,2021-04-13,2021-04-17,1794595648,1937096718,PLN5504,314343,PCN673,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,3,Retail,2,0,0,16.0,4.03,20.03,2.0,16.63,1.4,0.64,0.4533,0,0,0,0,2021-05-13
RX0000007486,MBR00000203,2022-09-16,2022-09-17,1250762610,1199675648,PLN8247,599739,PCN917,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,54,11,Mail Order,0,0,0,36.0,5.51,41.51,8.0,31.45,2.06,0.72,0.51,0,0,0,0,2022-11-15
RX0000007487,MBR00000203,2022-11-30,2022-12-04,1775239298,1869278383,PLN9029,959737,PCN119,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,89,4,Mail Order,0,1,0,18600.0,4.29,18604.29,148.0,17593.52,862.77,248.0,175.6667,0,0,0,0,2023-02-28
RX0000007488,MBR00000203,2021-07-17,2021-07-20,1829219059,1122886786,PLN6911,742175,PCN822,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,61,9,LTC,0,0,1,22.0,1.72,23.72,1.0,21.6,1.12,0.44,0.3117,0,0,0,0,2021-09-15
RX0000007489,MBR00000203,2023-05-07,2023-05-08,1835950474,1100623505,PLN9773,676592,PCN221,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,6,Retail,3,0,0,10.5,10.25,20.75,10.0,9.55,1.2,1.8,1.275,0,0,0,0,2023-05-14
RX0000007490,MBR00000203,2023-01-13,2023-01-17,1943445335,1270867944,PLN8451,186330,PCN437,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,95,8,Retail,0,0,0,30.0,2.28,32.28,2.0,28.39,1.89,0.4,0.2833,0,0,0,0,2023-04-13
RX0000007491,MBR00000203,2023-11-01,2023-11-04,1100537885,1648822719,PLN8779,938298,PCN253,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,0,Retail,0,1,0,8.0,4.55,12.55,146.0,0.0,0.48,0.32,0.2267,0,0,0,0,2023-12-01
RX0000007492,MBR00000203,2021-07-26,2021-07-30,1298330798,1168611261,PLN1959,139093,PCN180,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,82,1,Retail,0,0,0,960.0,9.19,969.19,36.0,902.34,30.85,12.8,9.0667,0,0,0,0,2021-10-24
RX0000007493,MBR00000203,2023-04-04,2023-04-06,1106364915,1571005968,PLN7844,184870,PCN839,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,2,Retail,3,0,0,22.0,4.3,26.3,4.0,21.05,1.25,0.88,0.6233,0,0,0,0,2023-05-04
RX0000007494,MBR00000203,2023-06-14,2023-06-16,1108503585,1336469199,PLN7396,599305,PCN138,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,8,Specialty,3,0,0,175.0,31.18,206.18,30.0,176.18,0.0,30.0,21.25,0,0,0,0,2023-06-21
RX0000007495,MBR00000203,2021-11-01,2021-11-04,1288695791,1672910916,PLN5604,518841,PCN694,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,81,3,Retail,0,0,0,37.5,1.6,39.1,5.0,32.43,1.67,0.5,0.3542,0,0,0,0,2022-01-30
RX0000007496,MBR00000203,2021-03-07,2021-03-08,1427131972,1306693282,PLN3109,830727,PCN639,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,98,10,Specialty,0,0,0,42.0,23.67,65.67,6.0,59.67,0.0,0.56,0.3967,0,0,0,0,2021-06-05
RX0000007497,MBR00000203,2021-02-05,2021-02-07,1101093791,1838318072,PLN7686,629073,PCN465,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,8,Mail Order,0,0,0,28.0,7.29,35.29,10.0,22.91,2.38,1.12,0.7933,0,0,0,0,2021-03-07
RX0000007498,MBR00000203,2022-10-01,2022-10-02,1121789440,1908501420,PLN5034,577588,PCN117,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,7,Retail,0,1,0,2800.0,11.81,2811.81,155.0,2497.3,159.51,112.0,79.3333,0,0,0,0,2022-10-31
RX0000007499,MBR00000203,2023-05-08,2023-05-12,1131920935,1113985723,PLN8886,314234,PCN337,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,85,8,Mail Order,0,0,0,45.0,7.95,52.95,4.0,46.58,2.37,0.6,0.425,1,0,0,0,2023-08-06
RX0000007500,MBR00000203,2023-06-15,2023-06-16,1147333903,1327295222,PLN8685,823826,PCN187,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,5,Retail,0,0,0,370.0,4.43,374.43,33.0,324.4,17.03,14.8,10.4833,0,0,0,0,2023-07-15
RX0000007501,MBR00000203,2022-08-17,2022-08-19,1179318736,1758039077,PLN9288,422606,PCN808,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,61,2,Retail,0,0,0,620.0,8.14,628.14,32.0,571.13,25.01,12.4,8.7833,0,0,0,0,2022-10-16
RX0000007502,MBR00000203,2022-08-29,2022-08-30,1470146039,1150174816,PLN3996,223651,PCN937,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,55,0,Mail Order,1,0,0,30.0,10.32,40.32,4.0,34.2,2.12,0.6,0.425,0,0,0,0,2022-10-28
RX0000007503,MBR00000203,2023-09-13,2023-09-14,1363346525,1393544313,PLN8897,445865,PCN365,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,11,Mail Order,0,0,0,9.0,6.15,15.15,6.0,8.42,0.73,0.36,0.255,1,0,0,0,2023-10-13
RX0000007504,MBR00000203,2022-05-28,2022-06-01,1175525273,1481273365,PLN1098,212715,PCN904,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,11,Specialty,0,0,0,18.0,26.26,44.26,33.0,11.26,0.0,0.72,0.51,1,0,0,0,2022-06-27
RX0000007505,MBR00000203,2021-09-26,2021-09-27,1356745142,1598253715,PLN7617,653508,PCN445,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,5,Mail Order,0,0,0,8.5,6.47,14.97,9.0,5.45,0.52,0.34,0.2408,0,0,0,0,2021-10-26
RX0000007506,MBR00000204,2021-05-30,2021-06-03,1539542681,1207505640,PLN4584,232587,PCN788,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,2,Mail Order,0,0,0,3.27,9.85,13.11,2.0,10.69,0.42,0.56,0.3967,0,0,0,0,2021-06-06
RX0000007507,MBR00000204,2023-08-20,2023-08-23,1472748001,1338708558,PLN4854,447400,PCN376,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,93,8,Retail,0,0,0,25.5,11.85,37.35,8.0,27.48,1.87,0.34,0.2408,0,0,0,0,2023-11-18
RX0000007508,MBR00000204,2021-10-18,2021-10-20,1696608199,1823048905,PLN7108,231212,PCN592,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,11,Retail,0,0,0,950.0,6.91,956.91,34.0,873.18,49.73,38.0,26.9167,0,0,0,0,2021-11-17
RX0000007509,MBR00000204,2022-09-03,2022-09-07,1467703015,1345715640,PLN3420,566990,PCN772,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,97,11,Retail,0,0,0,30.0,8.19,38.19,9.0,27.9,1.29,0.4,0.2833,0,0,0,0,2022-12-02
RX0000007510,MBR00000204,2023-01-14,2023-01-18,1581517495,1675933515,PLN9686,379396,PCN377,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,82,5,Retail,3,0,0,22.5,4.37,26.87,4.0,21.9,0.97,0.3,0.2125,0,0,0,0,2023-04-14
RX0000007511,MBR00000204,2021-09-08,2021-09-11,1566550769,1446772132,PLN5610,419267,PCN770,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,7,Retail,0,0,0,12.0,2.53,14.53,9.0,4.94,0.59,0.48,0.34,0,0,0,0,2021-10-08
RX0000007512,MBR00000204,2023-05-21,2023-05-22,1998653372,1587027107,PLN3962,174459,PCN696,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,11,Retail,0,0,0,12.5,4.52,17.02,10.0,5.95,1.07,0.5,0.3542,0,0,0,0,2023-06-20
RX0000007513,MBR00000204,2021-02-15,2021-02-16,1469219443,1809272846,PLN7381,848316,PCN316,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,1,Retail,0,0,0,18.0,6.86,24.86,5.0,18.28,1.58,0.72,0.51,0,0,0,0,2021-03-17
RX0000007514,MBR00000204,2023-05-19,2023-05-20,1519076424,1470954923,PLN7246,781742,PCN193,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,3,Mail Order,3,0,0,650.0,3.75,653.75,32.0,588.46,33.29,26.0,18.4167,0,0,0,0,2023-06-18
RX0000007515,MBR00000204,2023-06-02,2023-06-03,1298494821,1903394151,PLN4472,362006,PCN778,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,1,Retail,0,0,0,650.0,4.58,654.58,32.0,583.77,38.81,26.0,18.4167,0,0,0,0,2023-07-02
RX0000007516,MBR00000204,2022-08-30,2022-08-31,1854778265,1820145790,PLN8495,476623,PCN381,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,10,Retail,0,0,0,22.0,4.71,26.71,71.0,0.0,1.75,0.88,0.6233,0,0,0,0,2022-09-29
RX0000007517,MBR00000204,2022-03-08,2022-03-10,1694547766,1975542801,PLN4994,617274,PCN530,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,89,8,Retail,0,1,0,25500.0,8.39,25508.39,147.0,24161.38,1200.01,340.0,240.8333,0,0,0,0,2022-06-06
RX0000007518,MBR00000204,2022-01-19,2022-01-23,1654620587,1894184783,PLN9221,854317,PCN533,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,6,Mail Order,0,0,0,8.87,11.35,20.22,7.0,12.55,0.67,1.52,1.0767,0,0,0,0,2022-01-26
RX0000007519,MBR00000204,2022-03-02,2022-03-05,1968126954,1328333561,PLN1869,412852,PCN485,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,4,Mail Order,3,1,0,8500.0,10.04,8510.04,150.0,7819.77,540.27,340.0,240.8333,0,0,0,0,2022-04-01
RX0000007520,MBR00000204,2023-06-16,2023-06-18,1395944579,1353903428,PLN4770,418050,PCN505,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,8,Retail,0,0,0,9.0,11.3,20.3,1.0,18.45,0.85,0.36,0.255,0,0,0,0,2023-07-16
RX0000007521,MBR00000205,2023-06-11,2023-06-13,1256215058,1798891586,PLN8974,177205,PCN192,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,6,Retail,0,0,0,12.0,8.64,20.64,1.0,18.89,0.75,0.48,0.34,0,0,0,0,2023-07-11
RX0000007522,MBR00000205,2021-02-22,2021-02-26,1363958211,1429186040,PLN7926,879572,PCN309,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,10,Specialty,0,0,0,12.5,29.96,42.46,7.0,35.46,0.0,0.5,0.3542,0,0,0,0,2021-03-24
RX0000007523,MBR00000205,2021-05-02,2021-05-05,1536298713,1145945220,PLN6125,237610,PCN669,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,60,10,Retail,0,0,0,17.0,9.09,26.09,9.0,15.28,1.81,0.34,0.2408,0,0,0,0,2021-07-01
RX0000007524,MBR00000205,2021-03-01,2021-03-02,1255965482,1287438081,PLN4987,103884,PCN770,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,6,Retail,0,0,0,3.27,9.14,12.41,8.0,3.86,0.55,0.56,0.3967,0,0,0,0,2021-03-08
RX0000007525,MBR00000205,2023-02-10,2023-02-14,1206373932,1836081031,PLN2443,339791,PCN744,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,7,Retail,0,0,0,22.0,4.43,26.43,6.0,19.14,1.29,0.88,0.6233,0,0,0,0,2023-03-12
RX0000007526,MBR00000205,2021-03-12,2021-03-15,1740767794,1409974954,PLN8711,603690,PCN443,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,6,Retail,0,0,0,480.0,6.32,486.32,30.0,427.07,29.25,19.2,13.6,0,1,1,0,2021-04-11
RX0000007527,MBR00000205,2022-09-23,2022-09-24,1564275313,1115521824,PLN3548,632859,PCN233,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,95,9,Retail,0,0,0,930.0,8.69,938.69,39.0,850.5,49.19,12.4,8.7833,0,0,0,0,2022-12-22
RX0000007528,MBR00000205,2023-10-27,2023-10-29,1244956810,1397656319,PLN7290,451066,PCN760,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,57,4,LTC,3,0,0,44.0,7.58,51.58,10.0,39.47,2.11,0.88,0.6233,0,0,0,0,2023-12-26
RX0000007529,MBR00000205,2021-08-01,2021-08-04,1192257130,1701695960,PLN3546,471289,PCN737,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,11,Retail,0,0,0,330.0,4.58,334.58,34.0,280.26,20.32,13.2,9.35,0,0,0,0,2021-08-31
RX0000007530,MBR00000205,2022-06-12,2022-06-14,1680534767,1463184563,PLN3870,127039,PCN227,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,7,Retail,0,0,0,22.0,9.51,31.51,8.0,21.74,1.77,0.88,0.6233,0,0,0,0,2022-07-12
RX0000007531,MBR00000205,2021-08-12,2021-08-14,1277440237,1887311909,PLN9524,679053,PCN197,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,5,Retail,0,0,0,15.0,4.49,19.49,8.0,10.87,0.62,0.6,0.425,0,0,0,0,2021-09-11
RX0000007532,MBR00000205,2023-08-10,2023-08-13,1773466001,1934344074,PLN8187,103042,PCN792,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,11,Retail,0,0,0,8.5,1.78,10.28,5.0,4.69,0.59,0.34,0.2408,0,0,0,0,2023-09-09
RX0000007533,MBR00000206,2022-11-13,2022-11-15,1963996647,1949275788,PLN3525,672693,PCN455,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,0,Retail,0,0,0,18.0,10.05,28.05,7.0,19.43,1.62,0.72,0.51,0,0,0,0,2022-12-13
RX0000007534,MBR00000206,2022-04-30,2022-05-03,1376701197,1414235260,PLN1300,968412,PCN922,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,89,6,Retail,0,0,0,54.0,6.57,60.57,1.0,56.49,3.08,0.72,0.51,1,0,0,0,2022-07-29
RX0000007535,MBR00000206,2022-02-14,2022-02-16,1611679612,1743970709,PLN3429,765471,PCN777,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,3,Retail,0,0,0,3.27,8.67,11.94,8.0,3.37,0.57,0.56,0.3967,1,0,0,0,2022-02-21
RX0000007536,MBR00000206,2021-11-06,2021-11-10,1825674743,1483821017,PLN2867,301866,PCN112,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,87,4,Retail,0,0,0,36.0,5.12,41.12,9.0,30.82,1.3,0.48,0.34,0,0,0,0,2022-02-04
RX0000007537,MBR00000206,2022-09-29,2022-09-30,1558362088,1343409933,PLN5589,712520,PCN925,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,0,Retail,0,1,0,2800.0,2.95,2802.95,148.0,2462.51,192.44,112.0,79.3333,0,0,0,0,2022-10-29
RX0000007538,MBR00000206,2021-04-21,2021-04-22,1395310888,1535344925,PLN5920,168030,PCN299,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,8,Retail,0,0,0,38.0,10.58,48.58,36.0,10.7,1.88,1.52,1.0767,0,0,0,0,2021-05-21
RX0000007539,MBR00000206,2023-09-15,2023-09-17,1164320468,1142686643,PLN7127,495634,PCN512,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,84,5,Specialty,0,0,0,195.0,43.26,238.26,34.0,204.26,0.0,2.6,1.8417,0,0,0,0,2023-12-14
RX0000007540,MBR00000206,2023-11-24,2023-11-25,1701403500,1775653450,PLN1078,243680,PCN701,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,2,LTC,0,0,0,18.0,7.82,25.82,0.0,24.34,1.48,0.72,0.51,0,0,0,0,2023-12-24
RX0000007541,MBR00000206,2023-12-08,2023-12-09,1274724798,1548912752,PLN8568,233868,PCN836,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,5,Retail,3,0,0,38.0,1.95,39.95,34.0,4.05,1.9,1.52,1.0767,1,1,1,0,2024-01-07
RX0000007542,MBR00000206,2022-09-11,2022-09-12,1723076283,1337556662,PLN5132,940455,PCN204,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,61,9,Retail,0,0,0,28.0,4.38,32.38,9.0,21.91,1.47,0.56,0.3967,0,0,0,0,2022-11-10
RX0000007543,MBR00000206,2022-03-02,2022-03-06,1561552066,1699676369,PLN5361,634387,PCN633,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,11,Retail,0,0,0,480.0,3.69,483.69,39.0,428.12,16.57,19.2,13.6,0,0,0,0,2022-04-01
RX0000007544,MBR00000206,2021-09-21,2021-09-24,1784302256,1769211555,PLN3231,685184,PCN727,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,7,Retail,0,0,0,370.0,5.12,375.12,40.0,315.81,19.31,14.8,10.4833,0,0,0,0,2021-10-21
RX0000007545,MBR00000206,2022-04-14,2022-04-17,1909473227,1803561937,PLN7306,801737,PCN675,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,1,Retail,0,0,1,65.0,4.55,69.55,32.0,34.26,3.29,2.6,1.8417,0,0,0,0,2022-05-14
RX0000007546,MBR00000206,2022-12-30,2023-01-03,1774640066,1704859984,PLN8602,511512,PCN851,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,11,Mail Order,0,0,0,42.0,8.03,50.03,5.0,42.45,2.58,0.56,0.3967,0,0,0,0,2023-03-30
RX0000007547,MBR00000206,2021-01-08,2021-01-12,1969006147,1681584845,PLN8569,293185,PCN913,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,92,11,Specialty,0,0,0,135.0,19.58,154.58,6.0,148.58,0.0,1.8,1.275,0,0,0,0,2021-04-08
RX0000007548,MBR00000206,2021-04-06,2021-04-10,1484370040,1144546775,PLN6061,743357,PCN690,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,97,6,Retail,2,0,0,27.0,6.77,33.77,10.0,21.69,2.08,0.36,0.255,0,0,0,0,2021-07-05
RX0000007549,MBR00000206,2021-07-31,2021-08-01,1877871627,1676707310,PLN2266,421105,PCN891,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,5,Retail,0,0,0,45.0,3.65,48.65,0.0,46.67,1.98,1.8,1.275,0,0,0,0,2021-08-30
RX0000007550,MBR00000206,2023-10-30,2023-10-31,1476381074,1999323144,PLN1458,160450,PCN772,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,96,9,Mail Order,0,0,0,1110.0,9.6,1119.6,39.0,1018.49,62.11,14.8,10.4833,0,0,0,0,2024-01-28
RX0000007551,MBR00000206,2022-06-15,2022-06-18,1489448697,1901379245,PLN9073,680812,PCN824,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,7,Specialty,0,0,0,11.0,26.68,37.68,3.0,34.68,0.0,0.44,0.3117,0,0,0,0,2022-07-15
RX0000007552,MBR00000206,2021-06-21,2021-06-25,1794340907,1460275430,PLN8229,245088,PCN596,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,7,Retail,0,0,0,10.0,9.82,19.82,3.0,16.04,0.78,0.4,0.2833,0,0,0,0,2021-07-21
RX0000007553,MBR00000206,2022-01-19,2022-01-21,1463714753,1703811232,PLN2774,709633,PCN539,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,11,Specialty,0,0,0,7.5,28.39,35.89,2.0,33.89,0.0,0.3,0.2125,0,0,0,0,2022-02-18
RX0000007554,MBR00000206,2023-10-22,2023-10-23,1806658818,1908053637,PLN1402,171474,PCN204,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,9,LTC,0,0,0,750.0,7.9,757.9,34.0,693.75,30.15,30.0,21.25,0,0,0,0,2023-11-21
RX0000007555,MBR00000206,2021-07-20,2021-07-21,1813685135,1283443872,PLN9332,631869,PCN846,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,9,Retail,0,0,0,18.0,8.82,26.82,37.0,0.0,1.78,0.72,0.51,0,0,0,0,2021-08-19
RX0000007556,MBR00000206,2022-01-06,2022-01-07,1550206785,1750019316,PLN6688,848974,PCN234,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,0,Mail Order,0,0,0,330.0,7.4,337.4,33.0,289.7,14.7,13.2,9.35,0,0,0,0,2022-02-05
RX0000007557,MBR00000206,2022-04-19,2022-04-21,1291717501,1928892770,PLN9496,281668,PCN254,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,7,Mail Order,0,0,0,370.0,11.29,381.29,32.0,337.66,11.63,14.8,10.4833,0,0,0,0,2022-05-19
RX0000007558,MBR00000207,2022-06-17,2022-06-18,1611873151,1142096317,PLN9459,127572,PCN338,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,11,Mail Order,0,0,0,18.0,9.87,27.87,7.0,19.79,1.08,0.72,0.51,1,0,0,0,2022-07-17
RX0000007559,MBR00000207,2023-06-17,2023-06-18,1753068263,1410710263,PLN7292,735232,PCN791,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,87,6,Retail,0,1,0,8400.0,3.02,8403.02,147.0,7881.72,374.3,112.0,79.3333,0,0,0,0,2023-09-15
RX0000007560,MBR00000207,2021-10-02,2021-10-03,1588772614,1465505208,PLN1085,313757,PCN227,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,1,Retail,0,0,0,9.0,7.76,16.76,6.0,9.95,0.81,0.36,0.255,0,0,0,0,2021-11-01
RX0000007561,MBR00000207,2023-05-12,2023-05-14,1684562778,1123671588,PLN5450,703595,PCN773,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,11,Retail,0,0,0,310.0,9.81,319.81,35.0,263.68,21.13,12.4,8.7833,0,0,0,0,2023-06-11
RX0000007562,MBR00000207,2021-01-15,2021-01-19,1579507399,1799939718,PLN5019,334654,PCN710,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,1,Retail,0,0,0,43.17,5.37,48.54,38.0,9.01,1.53,7.4,5.2417,0,0,0,0,2021-01-22
RX0000007563,MBR00000207,2021-01-27,2021-01-30,1639364520,1125626470,PLN8894,948448,PCN205,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,61,5,Mail Order,0,1,0,5600.0,8.11,5608.11,147.0,5257.79,203.32,112.0,79.3333,0,0,0,0,2021-03-28
RX0000007564,MBR00000207,2022-05-05,2022-05-06,1289387249,1981082196,PLN3561,489730,PCN872,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,8,Retail,0,0,0,18.0,2.19,20.19,10.0,9.01,1.18,0.72,0.51,0,0,0,0,2022-06-04
RX0000007565,MBR00000207,2023-12-06,2023-12-08,1200533744,1603665234,PLN5864,974458,PCN632,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,4,Retail,0,0,0,12.0,8.87,20.87,9.0,10.82,1.05,0.48,0.34,0,0,0,0,2024-01-05
RX0000007566,MBR00000207,2023-01-23,2023-01-25,1411404311,1864335191,PLN6878,439127,PCN270,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,81,8,Retail,0,0,0,84.0,11.5,95.5,1.0,87.85,6.65,1.12,0.7933,0,0,0,0,2023-04-23
RX0000007567,MBR00000207,2021-11-14,2021-11-18,1399619357,1456977415,PLN6581,788955,PCN886,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,2,Retail,3,0,0,45.0,7.57,52.57,7.0,43.13,2.44,1.8,1.275,0,0,0,0,2021-12-14
RX0000007568,MBR00000207,2021-01-17,2021-01-20,1147510048,1536673921,PLN3616,460038,PCN893,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,4,Retail,0,0,0,12.5,3.17,15.67,8.0,6.75,0.92,0.5,0.3542,0,0,0,0,2021-02-16
RX0000007569,MBR00000207,2022-04-06,2022-04-08,1873422482,1641679831,PLN2814,490390,PCN443,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,6,Specialty,0,0,0,175.0,28.12,203.12,30.0,173.12,0.0,7.0,4.9583,0,0,0,0,2022-05-06
RX0000007570,MBR00000207,2023-10-02,2023-10-06,1993041846,1162793409,PLN4085,476103,PCN569,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,11,Mail Order,0,0,0,18.0,9.31,27.31,37.0,0.0,1.17,0.72,0.51,0,0,0,0,2023-11-01
RX0000007571,MBR00000207,2023-01-24,2023-01-27,1901353852,1885538223,PLN4742,832198,PCN220,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,59,3,Retail,0,0,0,36.0,10.86,46.86,1.0,43.55,2.31,0.72,0.51,0,0,0,0,2023-03-25
RX0000007572,MBR00000207,2023-07-06,2023-07-08,1796867527,1408205845,PLN7091,754836,PCN371,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,4,Retail,1,0,0,14.0,11.85,25.85,10.0,14.98,0.87,0.56,0.3967,0,0,0,0,2023-08-05
RX0000007573,MBR00000207,2021-04-10,2021-04-13,1500268471,1150985147,PLN3850,161837,PCN614,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,92,0,Specialty,0,0,0,33.0,43.03,76.03,7.0,69.03,0.0,0.44,0.3117,0,0,0,0,2021-07-09
RX0000007574,MBR00000208,2022-11-18,2022-11-19,1624336146,1760270976,PLN9154,350790,PCN772,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,10,Retail,0,1,0,8.0,7.43,15.43,151.0,0.0,0.88,0.32,0.2267,0,0,0,0,2022-12-18
RX0000007575,MBR00000208,2023-06-20,2023-06-23,1504909027,1307529728,PLN7230,155850,PCN544,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,11,Retail,0,0,0,15.0,3.13,18.13,1.0,16.17,0.96,0.6,0.425,0,0,0,0,2023-07-20
RX0000007576,MBR00000208,2021-07-20,2021-07-22,1995193012,1470999242,PLN2052,963498,PCN611,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,3,Retail,0,0,0,9.0,3.67,12.67,5.0,6.83,0.84,0.36,0.255,0,0,0,0,2021-08-19
RX0000007577,MBR00000208,2021-12-05,2021-12-07,1376134748,1432112830,PLN2652,587702,PCN812,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,7,Mail Order,0,0,0,320.0,2.88,322.88,38.0,272.62,12.26,12.8,9.0667,0,0,0,0,2022-01-04
RX0000007578,MBR00000208,2022-07-08,2022-07-09,1315752182,1665096812,PLN5935,333623,PCN404,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,8,Retail,0,0,0,18.0,4.92,22.92,10.0,11.51,1.41,0.72,0.51,0,0,0,0,2022-08-07
RX0000007579,MBR00000208,2021-08-11,2021-08-14,1934207992,1798686050,PLN3490,851712,PCN404,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,89,0,Retail,0,0,0,42.0,2.12,44.12,6.0,36.14,1.98,0.56,0.3967,0,0,0,0,2021-11-09
RX0000007580,MBR00000208,2023-10-30,2023-11-03,1445198245,1842422849,PLN2136,551747,PCN685,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,3,Retail,0,0,0,14.0,10.21,24.21,0.0,22.64,1.57,0.56,0.3967,0,0,0,0,2023-11-29
RX0000007581,MBR00000208,2022-08-26,2022-08-30,1214631751,1920197447,PLN1543,459666,PCN873,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,1,Mail Order,0,0,1,11.0,9.63,20.63,0.0,19.29,1.34,0.44,0.3117,1,0,0,0,2022-09-25
RX0000007582,MBR00000208,2022-12-17,2022-12-18,1932522315,1204040924,PLN6303,467996,PCN106,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,10,Mail Order,0,0,0,175.0,4.36,179.36,31.0,137.56,10.8,7.0,4.9583,0,0,0,0,2023-01-16
RX0000007583,MBR00000208,2022-09-15,2022-09-16,1738163644,1151022437,PLN1244,433731,PCN860,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,90,6,Retail,1,1,0,25500.0,4.69,25504.69,148.0,23767.36,1589.33,340.0,240.8333,0,0,0,0,2022-12-14
RX0000007584,MBR00000208,2021-06-07,2021-06-09,1725406522,1996399831,PLN5305,659330,PCN639,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,0,Retail,1,0,0,650.0,8.62,658.62,40.0,580.08,38.54,26.0,18.4167,0,0,0,0,2021-07-07
RX0000007585,MBR00000208,2022-02-19,2022-02-23,1974821139,1434459165,PLN7911,391057,PCN378,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,84,0,Retail,0,0,0,195.0,8.11,203.11,31.0,166.01,6.1,2.6,1.8417,0,0,0,0,2022-05-20
RX0000007586,MBR00000208,2021-12-12,2021-12-13,1834707706,1387944253,PLN5168,265512,PCN248,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,90,7,Retail,0,0,0,30.0,10.47,40.47,1.0,37.53,1.94,0.4,0.2833,0,0,0,0,2022-03-12
RX0000007587,MBR00000208,2021-10-05,2021-10-06,1812434217,1726779629,PLN5479,356041,PCN685,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,98,4,Retail,1,0,0,2850.0,10.04,2860.04,39.0,2712.57,108.47,38.0,26.9167,0,0,0,0,2022-01-03
RX0000007588,MBR00000208,2023-02-01,2023-02-05,1916302991,1796217232,PLN2788,308411,PCN993,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,4,Retail,2,0,0,9.0,10.72,19.72,9.0,9.52,1.2,0.36,0.255,0,0,0,0,2023-03-03
RX0000007589,MBR00000208,2021-09-19,2021-09-20,1564925102,1952241839,PLN8522,782205,PCN522,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,11,Mail Order,3,0,0,45.0,9.4,54.4,4.0,48.02,2.38,1.8,1.275,0,0,0,0,2021-10-19
RX0000007590,MBR00000208,2021-05-01,2021-05-04,1655960190,1198618005,PLN9135,775686,PCN143,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,58,5,LTC,0,0,0,24.0,11.57,35.57,9.0,24.83,1.74,0.48,0.34,0,0,0,0,2021-06-30
RX0000007591,MBR00000208,2021-10-21,2021-10-22,1823414979,1344737560,PLN5257,392047,PCN919,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,7,Retail,0,0,0,12.0,3.27,15.27,7.0,7.61,0.66,0.48,0.34,0,0,0,0,2021-11-20
RX0000007592,MBR00000208,2022-10-20,2022-10-24,1949159037,1310513593,PLN6505,366996,PCN428,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,7,Mail Order,0,0,0,14.0,6.94,20.94,1.0,18.93,1.01,0.56,0.3967,0,0,0,0,2022-11-19
RX0000007593,MBR00000208,2023-03-09,2023-03-12,1118326904,1173113928,PLN9194,436228,PCN334,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,8,Mail Order,0,0,0,45.0,8.88,53.88,6.0,45.18,2.7,1.8,1.275,0,0,0,0,2023-04-08
RX0000007594,MBR00000208,2023-06-29,2023-07-03,1364330927,1501262106,PLN9070,366671,PCN151,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,6,Retail,0,0,0,10.0,4.04,14.04,5.0,8.2,0.84,0.4,0.2833,0,0,0,0,2023-07-29
RX0000007595,MBR00000208,2021-07-06,2021-07-07,1804823286,1511990269,PLN3567,670714,PCN367,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,58,6,Retail,0,0,0,25.0,10.48,35.48,8.0,25.65,1.83,0.5,0.3542,0,0,0,0,2021-09-04
RX0000007596,MBR00000208,2023-05-18,2023-05-22,1166026402,1752688675,PLN6836,904613,PCN828,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,7,Retail,0,0,0,285.0,4.31,289.31,37.0,243.27,9.04,11.4,8.075,0,0,0,0,2023-06-17
RX0000007597,MBR00000208,2021-04-29,2021-04-30,1391120288,1260635440,PLN2653,108276,PCN867,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,0,Retail,0,0,0,5.13,6.64,11.77,8.0,3.13,0.64,0.88,0.6233,0,0,0,0,2021-05-06
RX0000007598,MBR00000208,2021-06-21,2021-06-24,1489897334,1170168463,PLN5285,626564,PCN490,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,8,Mail Order,0,0,0,9.0,4.05,13.05,8.0,4.16,0.89,0.36,0.255,0,0,0,0,2021-07-21
RX0000007599,MBR00000208,2023-11-07,2023-11-10,1713170493,1927973500,PLN2981,754537,PCN126,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,0,Retail,0,0,0,22.0,4.77,26.77,66.0,0.0,0.84,0.88,0.6233,0,0,0,0,2023-12-07
RX0000007600,MBR00000208,2022-08-27,2022-08-29,1146984615,1494955755,PLN1053,242432,PCN358,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,56,2,Retail,0,0,0,32.0,9.86,41.86,2.0,38.03,1.83,0.64,0.4533,0,0,0,0,2022-10-26
RX0000007601,MBR00000208,2021-01-15,2021-01-17,1327712434,1779571042,PLN7927,596298,PCN775,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,0,Retail,0,0,0,10.0,1.8,11.8,0.0,11.25,0.55,0.4,0.2833,0,0,0,0,2021-02-14
RX0000007602,MBR00000208,2021-12-20,2021-12-21,1530454423,1183283088,PLN5140,799612,PCN963,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,94,5,Mail Order,0,0,0,33.0,8.58,41.58,0.0,39.99,1.59,0.44,0.3117,0,0,0,0,2022-03-20
RX0000007603,MBR00000208,2021-05-06,2021-05-10,1979325171,1327593166,PLN5135,952298,PCN725,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,1,Retail,0,0,0,750.0,9.24,759.24,33.0,678.63,47.61,30.0,21.25,0,0,0,0,2021-06-05
RX0000007604,MBR00000208,2022-01-18,2022-01-19,1187538147,1340628864,PLN5717,135614,PCN747,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,8,Retail,0,0,0,14.0,7.44,21.44,7.0,13.24,1.2,0.56,0.3967,0,0,0,0,2022-02-17
RX0000007605,MBR00000208,2023-10-05,2023-10-09,1224346052,1640770980,PLN4646,387365,PCN263,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,63,9,Specialty,0,0,0,36.0,38.57,74.57,6.0,68.57,0.0,0.72,0.51,0,0,0,0,2023-12-04
RX0000007606,MBR00000208,2021-08-10,2021-08-11,1539908715,1999302953,PLN8923,803108,PCN669,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,85,3,Retail,0,0,0,33.0,7.01,40.01,5.0,33.4,1.61,0.44,0.3117,0,0,0,0,2021-11-08
RX0000007607,MBR00000208,2021-07-04,2021-07-07,1116325546,1661828742,PLN1206,209205,PCN780,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,55,11,LTC,0,1,0,16.0,5.3,21.3,149.0,0.0,1.33,0.32,0.2267,1,0,0,0,2021-09-02
RX0000007608,MBR00000208,2022-11-23,2022-11-27,1456257829,1319624110,PLN4555,639150,PCN173,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,98,8,Retail,0,0,0,54.0,6.9,60.9,9.0,48.89,3.01,0.72,0.51,0,0,0,0,2023-02-21
RX0000007609,MBR00000208,2022-06-24,2022-06-28,1237187218,1246027006,PLN3411,381609,PCN700,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,6,Retail,0,0,0,950.0,3.18,953.18,30.0,857.7,65.48,38.0,26.9167,0,0,0,0,2022-07-24
RX0000007610,MBR00000208,2023-08-26,2023-08-27,1405385915,1972482187,PLN7170,665055,PCN930,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,3,Retail,0,0,0,42.0,10.76,52.76,5.0,45.31,2.45,0.56,0.3967,0,0,0,0,2023-11-24
RX0000007611,MBR00000208,2022-06-10,2022-06-12,1399966642,1385173949,PLN1692,500089,PCN954,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,95,5,Specialty,0,0,0,30.0,11.68,41.68,4.0,37.68,0.0,0.4,0.2833,0,0,0,0,2022-09-08
RX0000007612,MBR00000208,2023-07-28,2023-08-01,1492043505,1795735133,PLN6139,980706,PCN379,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,87,2,Retail,0,0,0,33.0,2.45,35.45,7.0,26.24,2.21,0.44,0.3117,0,0,0,0,2023-10-26
RX0000007613,MBR00000208,2022-10-13,2022-10-14,1473772133,1792367329,PLN1716,527880,PCN648,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,9,Mail Order,1,0,0,65.0,10.77,75.77,38.0,35.45,2.32,2.6,1.8417,0,0,0,0,2022-11-12
RX0000007614,MBR00000208,2022-08-14,2022-08-15,1400241977,1615269433,PLN9129,569178,PCN754,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,65,10,Retail,0,0,0,28.0,10.78,38.78,2.0,34.95,1.83,0.56,0.3967,0,0,0,0,2022-10-13
RX0000007615,MBR00000208,2021-01-04,2021-01-05,1582040893,1616043063,PLN3632,900301,PCN843,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,9,Retail,2,0,0,380.0,8.24,388.24,38.0,336.2,14.04,15.2,10.7667,0,0,0,0,2021-02-03
RX0000007616,MBR00000208,2022-10-24,2022-10-27,1510646393,1461173687,PLN1721,400930,PCN903,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,10,Retail,2,0,0,15.0,7.29,22.29,1.0,20.27,1.02,0.6,0.425,0,0,0,0,2022-11-23
RX0000007617,MBR00000208,2023-03-19,2023-03-23,1643949303,1100206854,PLN8131,722255,PCN984,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,54,2,Retail,0,0,0,90.0,7.25,97.25,9.0,82.97,5.28,1.8,1.275,0,0,0,0,2023-05-18
RX0000007618,MBR00000208,2021-08-07,2021-08-11,1568080229,1902404945,PLN7706,523182,PCN763,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,6,Retail,0,1,0,6200.0,7.9,6207.9,147.0,5740.72,320.18,248.0,175.6667,0,0,0,0,2021-09-06
RX0000007619,MBR00000208,2023-09-14,2023-09-15,1389062934,1502673518,PLN5819,217942,PCN971,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,9,Retail,0,0,0,14.0,5.78,19.78,3.0,15.49,1.29,0.56,0.3967,0,0,0,0,2023-10-14
RX0000007620,MBR00000208,2021-11-13,2021-11-15,1511119053,1606204043,PLN4981,414329,PCN100,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,0,LTC,0,0,0,28.0,9.66,37.66,7.0,28.86,1.8,1.12,0.7933,0,0,0,0,2021-12-13
RX0000007621,MBR00000208,2021-01-10,2021-01-12,1564337172,1384564366,PLN7714,742824,PCN977,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,7,Retail,0,0,0,15.17,4.1,19.27,35.0,0.0,1.17,2.6,1.8417,0,0,0,0,2021-01-17
RX0000007622,MBR00000208,2022-05-08,2022-05-09,1455188722,1991656589,PLN5005,584760,PCN607,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,92,1,Retail,0,0,0,27.0,10.7,37.7,4.0,31.71,1.99,0.36,0.255,0,0,0,0,2022-08-06
RX0000007623,MBR00000209,2022-08-10,2022-08-13,1510944544,1973711894,PLN7063,648639,PCN627,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,3,Mail Order,0,0,0,185.0,2.0,187.0,31.0,144.23,11.77,7.4,5.2417,0,0,0,0,2022-09-09
RX0000007624,MBR00000209,2023-02-07,2023-02-09,1770211482,1841820648,PLN8221,575727,PCN910,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,4,Retail,0,0,0,12.5,1.74,14.24,8.0,5.3,0.94,0.5,0.3542,0,0,0,0,2023-03-09
RX0000007625,MBR00000209,2022-10-05,2022-10-06,1274583683,1886258196,PLN6337,890605,PCN329,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,3,Mail Order,0,0,0,14.0,7.32,21.32,5.0,15.34,0.98,0.56,0.3967,0,0,0,0,2022-11-04
RX0000007626,MBR00000209,2021-04-18,2021-04-22,1775334026,1265672506,PLN5499,797649,PCN967,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,6,Retail,0,0,0,9.0,2.7,11.7,0.0,11.23,0.47,0.36,0.255,0,0,0,0,2021-05-18
RX0000007627,MBR00000209,2023-05-05,2023-05-08,1141653376,1512482357,PLN3142,951444,PCN141,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,11,Retail,1,0,0,3.27,8.23,11.5,5.0,6.07,0.43,0.56,0.3967,1,0,0,0,2023-05-12
RX0000007628,MBR00000209,2021-10-30,2021-10-31,1397692397,1553448157,PLN6157,447904,PCN405,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,96,5,Retail,0,0,0,42.0,4.49,46.49,0.0,44.95,1.54,0.56,0.3967,0,0,0,0,2022-01-28
RX0000007629,MBR00000209,2023-08-07,2023-08-09,1868080876,1296069001,PLN6946,257492,PCN116,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,6,Retail,0,0,0,22.0,7.49,29.49,5.0,22.75,1.74,0.88,0.6233,0,0,0,0,2023-09-06
RX0000007630,MBR00000209,2022-06-29,2022-07-03,1606456533,1337203050,PLN8889,956071,PCN627,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,2,Retail,0,0,0,18.0,9.09,27.09,10.0,15.9,1.19,0.72,0.51,0,0,0,0,2022-07-29
RX0000007631,MBR00000209,2022-12-04,2022-12-06,1364760352,1802430873,PLN8410,273060,PCN193,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,86,6,Retail,0,0,0,42.0,10.14,52.14,7.0,42.8,2.34,0.56,0.3967,0,0,0,0,2023-03-04
RX0000007632,MBR00000209,2023-12-07,2023-12-11,1594803967,1410663989,PLN9001,378007,PCN914,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,1,Retail,0,0,0,7.5,3.86,11.36,8.0,2.66,0.7,0.3,0.2125,0,0,0,0,2024-01-06
RX0000007633,MBR00000209,2023-02-04,2023-02-08,1703188251,1265796501,PLN3593,863281,PCN924,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,6,Retail,0,0,0,9.0,5.44,14.44,8.0,5.76,0.68,0.36,0.255,0,0,0,0,2023-03-06
RX0000007634,MBR00000209,2022-05-29,2022-05-30,1479266315,1406339906,PLN6118,414664,PCN252,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,6,Mail Order,3,0,0,310.0,1.85,311.85,31.0,261.64,19.21,12.4,8.7833,1,0,0,0,2022-06-28
RX0000007635,MBR00000209,2023-10-21,2023-10-22,1989421287,1914668211,PLN5046,453472,PCN165,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,8,Retail,0,0,0,22.0,7.03,29.03,4.0,23.09,1.94,0.88,0.6233,0,0,0,0,2023-11-20
RX0000007636,MBR00000209,2021-12-16,2021-12-18,1531352445,1537067906,PLN3982,791625,PCN276,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,3,Retail,0,0,0,45.0,8.66,53.66,0.0,50.82,2.84,1.8,1.275,0,0,0,0,2022-01-15
RX0000007637,MBR00000209,2021-04-20,2021-04-23,1115989469,1431059162,PLN3072,484349,PCN152,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,0,Retail,2,0,0,8.87,7.91,16.78,10.0,6.24,0.54,1.52,1.0767,0,0,0,0,2021-04-27
RX0000007638,MBR00000209,2022-11-27,2022-11-28,1362176969,1911023753,PLN5406,424003,PCN688,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,8,Retail,0,0,0,8.5,8.69,17.19,5.0,11.65,0.54,0.34,0.2408,0,0,0,0,2022-12-27
RX0000007639,MBR00000209,2023-12-30,2024-01-02,1883661431,1732825912,PLN1569,258839,PCN751,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,2,Retail,2,0,0,11.0,9.96,20.96,0.0,20.02,0.94,0.44,0.3117,0,0,0,0,2024-01-29
RX0000007640,MBR00000209,2021-08-25,2021-08-27,1794091973,1767334061,PLN4852,557823,PCN709,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,6,Retail,0,0,0,10.0,8.55,18.55,6.0,11.41,1.14,0.4,0.2833,0,0,0,0,2021-09-24
RX0000007641,MBR00000210,2022-04-26,2022-04-28,1731474846,1966078915,PLN3494,483497,PCN527,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,6,Retail,0,0,0,10.0,3.0,13.0,10.0,2.39,0.61,0.4,0.2833,0,0,0,0,2022-05-26
RX0000007642,MBR00000210,2023-05-02,2023-05-05,1649720818,1380131163,PLN4344,349998,PCN423,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,7,LTC,0,1,0,8500.0,9.02,8509.02,148.0,7934.14,426.88,340.0,240.8333,1,0,0,0,2023-06-01
RX0000007643,MBR00000210,2022-05-17,2022-05-20,1400717510,1978693808,PLN7651,599513,PCN821,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,5,Retail,0,0,0,38.0,9.95,47.95,6.0,40.42,1.53,1.52,1.0767,0,0,0,0,2022-06-16
RX0000007644,MBR00000210,2021-08-18,2021-08-22,1574759733,1866750338,PLN7987,416986,PCN312,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,4,Retail,0,0,0,285.0,1.65,286.65,40.0,229.96,16.69,11.4,8.075,0,0,0,0,2021-09-17
RX0000007645,MBR00000210,2021-04-22,2021-04-26,1848593131,1794992384,PLN8046,713329,PCN807,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,93,10,Retail,0,0,0,135.0,3.43,138.43,6.0,126.14,6.29,1.8,1.275,1,0,0,0,2021-07-21
RX0000007646,MBR00000210,2022-01-16,2022-01-18,1375705712,1123257516,PLN1185,724183,PCN673,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,57,3,Retail,0,0,0,1900.0,4.84,1904.84,32.0,1803.45,69.39,38.0,26.9167,0,0,0,0,2022-03-17
RX0000007647,MBR00000210,2023-05-09,2023-05-11,1713325734,1953611185,PLN8310,242945,PCN934,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,11,Mail Order,0,0,0,285.0,10.12,295.12,39.0,237.97,18.15,11.4,8.075,0,0,0,0,2023-06-08
RX0000007648,MBR00000210,2023-01-02,2023-01-04,1684813041,1433820505,PLN9232,648182,PCN306,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,95,5,Mail Order,2,0,0,42.0,6.7,48.7,10.0,36.32,2.38,0.56,0.3967,1,0,0,0,2023-04-02
RX0000007649,MBR00000210,2022-05-03,2022-05-05,1667929232,1672752868,PLN1817,670839,PCN237,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,92,1,Mail Order,0,0,0,42.0,4.74,46.74,1.0,44.04,1.7,0.56,0.3967,0,0,0,0,2022-08-01
RX0000007650,MBR00000210,2021-03-02,2021-03-05,1421619080,1147835900,PLN8635,919815,PCN252,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,5,Retail,0,0,0,66.5,11.61,78.11,39.0,35.67,3.44,11.4,8.075,0,0,0,0,2021-03-09
RX0000007651,MBR00000210,2022-02-19,2022-02-23,1266164630,1296792212,PLN4879,466881,PCN706,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,8,Retail,0,0,0,10.0,2.83,12.83,7.0,5.42,0.41,0.4,0.2833,0,0,0,0,2022-03-21
RX0000007652,MBR00000210,2023-04-16,2023-04-20,1619741141,1739597942,PLN9140,312486,PCN625,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,2,Retail,0,0,0,2.33,6.09,8.42,6.0,2.15,0.27,0.4,0.2833,0,0,0,0,2023-04-23
RX0000007653,MBR00000210,2023-05-04,2023-05-05,1691610148,1346280518,PLN6535,708716,PCN579,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,9,Retail,0,0,0,15.0,3.19,18.19,9.0,8.4,0.79,0.6,0.425,0,1,0,0,2023-06-03
RX0000007654,MBR00000210,2023-08-04,2023-08-06,1934820213,1930616965,PLN4979,989494,PCN853,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,9,Retail,0,0,0,310.0,10.64,320.64,33.0,272.24,15.4,12.4,8.7833,0,0,0,0,2023-09-03
RX0000007655,MBR00000210,2022-08-18,2022-08-19,1493267248,1313783265,PLN5550,164515,PCN274,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,11,Retail,0,0,0,10.0,10.41,20.41,7.0,12.26,1.15,0.4,0.2833,0,0,0,0,2022-09-17
RX0000007656,MBR00000210,2021-04-17,2021-04-21,1463151084,1583323097,PLN3105,282067,PCN139,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,93,11,Retail,0,0,0,54.0,8.88,62.88,6.0,52.94,3.94,0.72,0.51,0,0,0,0,2021-07-16
RX0000007657,MBR00000210,2021-12-02,2021-12-03,1507927721,1851889679,PLN1780,177846,PCN515,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,3,Mail Order,0,0,0,22.0,10.14,32.14,66.0,0.0,1.52,0.88,0.6233,0,0,0,0,2022-01-01
RX0000007658,MBR00000210,2023-09-22,2023-09-24,1422772271,1350829748,PLN4857,197810,PCN599,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,1,Retail,0,0,0,310.0,11.6,321.6,31.0,272.36,18.24,12.4,8.7833,0,0,0,0,2023-10-22
RX0000007659,MBR00000210,2023-02-16,2023-02-18,1306828431,1162842309,PLN6948,433364,PCN171,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,11,Retail,0,0,0,15.0,10.67,25.67,5.0,19.82,0.85,0.6,0.425,0,0,0,0,2023-03-18
RX0000007660,MBR00000210,2022-09-21,2022-09-24,1628991859,1123170707,PLN4722,409758,PCN750,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,89,11,Mail Order,0,0,0,195.0,8.25,203.25,37.0,158.13,8.12,2.6,1.8417,0,1,1,0,2022-12-20
RX0000007661,MBR00000210,2021-05-10,2021-05-13,1374034332,1576651668,PLN4245,314900,PCN257,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,98,9,Retail,0,0,0,66.0,1.67,67.67,72.0,0.0,3.67,0.88,0.6233,0,0,0,0,2021-08-08
RX0000007662,MBR00000210,2021-10-27,2021-10-28,1984667298,1732810900,PLN7038,598929,PCN222,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,11,Retail,0,0,0,10.0,2.76,12.76,2.0,9.94,0.82,0.4,0.2833,0,0,0,0,2021-11-26
RX0000007663,MBR00000210,2022-09-16,2022-09-19,1269310799,1914430290,PLN2005,795245,PCN619,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,7,Retail,0,1,0,12.0,10.69,22.69,153.0,0.0,0.86,0.48,0.34,0,1,1,0,2022-10-16
RX0000007664,MBR00000210,2022-09-30,2022-10-03,1254574438,1297670815,PLN2814,198816,PCN503,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,4,Retail,2,0,0,11.0,5.92,16.92,0.0,16.11,0.81,0.44,0.3117,0,0,0,0,2022-10-30
RX0000007665,MBR00000210,2021-06-13,2021-06-15,1133791182,1179545063,PLN1449,515272,PCN541,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,4,Retail,0,0,0,18.0,7.07,25.07,0.0,24.09,0.98,0.72,0.51,0,0,0,0,2021-07-13
RX0000007666,MBR00000210,2021-01-19,2021-01-20,1249794667,1953035070,PLN2545,561191,PCN190,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,4,Retail,0,0,0,4.2,3.35,7.55,6.0,1.12,0.43,0.72,0.51,0,0,0,0,2021-01-26
RX0000007667,MBR00000210,2022-12-19,2022-12-21,1256036922,1228673342,PLN6569,258722,PCN797,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,89,9,Retail,0,0,0,114.0,6.32,120.32,5.0,109.56,5.76,1.52,1.0767,0,0,0,0,2023-03-19
RX0000007668,MBR00000210,2023-05-08,2023-05-09,1713897691,1940476156,PLN5599,754643,PCN904,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,62,0,Specialty,0,0,1,15.0,11.07,26.07,6.0,20.07,0.0,0.3,0.2125,0,0,0,0,2023-07-07
RX0000007669,MBR00000210,2022-12-05,2022-12-07,1988359864,1648311189,PLN7052,831968,PCN722,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,8,Retail,0,0,0,14.0,5.36,19.36,4.0,14.16,1.2,0.56,0.3967,0,0,0,0,2023-01-04
RX0000007670,MBR00000210,2022-01-01,2022-01-04,1176306754,1440181948,PLN4542,370174,PCN115,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,4,LTC,0,0,0,3.5,4.94,8.44,2.0,5.96,0.48,0.6,0.425,0,0,0,0,2022-01-08
RX0000007671,MBR00000210,2021-08-01,2021-08-05,1274344143,1638849288,PLN2837,584388,PCN123,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,86,0,Retail,0,0,0,45.0,3.16,48.16,6.0,39.31,2.85,0.6,0.425,0,0,0,0,2021-10-30
RX0000007672,MBR00000210,2021-11-15,2021-11-18,1694712698,1715598761,PLN7504,616466,PCN173,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,6,Retail,3,0,0,22.0,11.31,33.31,2.0,30.27,1.04,0.88,0.6233,0,0,0,0,2021-12-15
RX0000007673,MBR00000210,2023-03-11,2023-03-12,1757046266,1504815997,PLN1161,177210,PCN848,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,2,Retail,0,0,0,855.0,7.51,862.51,37.0,787.0,38.51,11.4,8.075,0,0,0,0,2023-06-09
RX0000007674,MBR00000210,2023-09-23,2023-09-25,1135317769,1661964690,PLN9740,851618,PCN482,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,98,10,Retail,0,0,0,27.0,3.25,30.25,4.0,25.23,1.02,0.36,0.255,0,0,0,0,2023-12-22
RX0000007675,MBR00000210,2023-11-23,2023-11-25,1123912894,1269959319,PLN5311,434411,PCN203,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,91,10,Retail,2,1,0,8400.0,8.24,8408.24,150.0,7962.35,295.89,112.0,79.3333,0,0,0,0,2024-02-21
RX0000007676,MBR00000210,2022-01-12,2022-01-15,1490599910,1756237680,PLN8552,376266,PCN682,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,88,6,Retail,0,0,0,114.0,6.55,120.55,8.0,107.31,5.24,1.52,1.0767,0,0,0,0,2022-04-12
RX0000007677,MBR00000210,2023-10-26,2023-10-30,1576171473,1374793925,PLN9696,180417,PCN808,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,1,Retail,0,0,0,12.0,8.87,20.87,3.0,17.04,0.83,0.48,0.34,1,0,0,0,2023-11-25
RX0000007678,MBR00000210,2021-03-26,2021-03-30,1374444780,1109149506,PLN6104,134198,PCN227,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,57,2,Retail,0,0,0,1300.0,6.92,1306.92,35.0,1208.94,62.98,26.0,18.4167,0,0,0,0,2021-05-25
RX0000007679,MBR00000210,2022-03-30,2022-04-02,1823855060,1635442833,PLN5699,497700,PCN475,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,3,Retail,0,0,0,22.0,4.16,26.16,67.0,0.0,1.37,0.88,0.6233,0,0,0,0,2022-04-29
RX0000007680,MBR00000210,2021-02-19,2021-02-22,1599619987,1818548783,PLN9159,355556,PCN676,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,10,Retail,2,0,0,45.0,9.9,54.9,6.0,45.93,2.97,1.8,1.275,0,0,0,0,2021-03-21
RX0000007681,MBR00000211,2023-06-23,2023-06-27,1235517279,1889978093,PLN7723,178115,PCN647,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,3,Mail Order,0,0,0,310.0,1.9,311.9,31.0,270.04,10.86,12.4,8.7833,1,1,1,0,2023-07-23
RX0000007682,MBR00000211,2021-09-27,2021-09-28,1443571076,1242569880,PLN7275,615191,PCN109,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,8,Retail,0,1,0,2800.0,11.44,2811.44,155.0,2530.4,126.04,112.0,79.3333,0,0,0,0,2021-10-27
RX0000007683,MBR00000211,2023-12-15,2023-12-17,1620932912,1974801686,PLN6551,515948,PCN134,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,87,10,Retail,0,0,0,54.0,9.86,63.86,37.0,24.45,2.41,0.72,0.51,0,0,0,0,2024-03-14
RX0000007684,MBR00000211,2021-12-12,2021-12-16,1633455869,1584727831,PLN8615,296074,PCN214,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,7,Retail,0,0,0,12.0,10.45,22.45,2.0,19.48,0.97,0.48,0.34,0,0,0,0,2022-01-11
RX0000007685,MBR00000211,2022-03-27,2022-03-30,1537372968,1788149195,PLN7491,445887,PCN438,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,56,6,Retail,0,0,0,90.0,1.56,91.56,5.0,81.64,4.92,1.8,1.275,0,0,0,0,2022-05-26
RX0000007686,MBR00000211,2023-03-24,2023-03-26,1589380555,1376742436,PLN7297,524824,PCN376,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,3,Retail,0,0,0,4.2,3.51,7.71,33.0,0.0,0.41,0.72,0.51,0,0,0,0,2023-03-31
RX0000007687,MBR00000211,2022-03-15,2022-03-17,1850225388,1761909481,PLN4365,592165,PCN552,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,83,5,Retail,0,0,0,1950.0,10.32,1960.32,32.0,1845.09,83.23,26.0,18.4167,0,0,0,0,2022-06-13
RX0000007688,MBR00000211,2021-08-08,2021-08-10,1672317416,1560436874,PLN7416,536293,PCN666,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,0,Retail,0,0,0,11.0,10.52,21.52,1.0,19.55,0.97,0.44,0.3117,0,0,0,0,2021-09-07
RX0000007689,MBR00000211,2022-11-28,2022-12-02,1972978205,1613009517,PLN1053,638746,PCN198,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,4,LTC,0,0,0,15.0,10.57,25.57,5.0,19.09,1.48,0.6,0.425,0,0,0,0,2022-12-28
RX0000007690,MBR00000211,2021-12-02,2021-12-06,1111597692,1736809116,PLN7597,463642,PCN274,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,1,Mail Order,0,0,1,22.0,7.6,29.6,7.0,20.64,1.96,0.88,0.6233,0,1,0,0,2022-01-01
RX0000007691,MBR00000211,2021-07-11,2021-07-15,1437177381,1442182068,PLN1915,624443,PCN974,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,63,2,Specialty,0,0,0,30.0,26.65,56.65,10.0,46.65,0.0,0.6,0.425,0,0,0,0,2021-09-09
RX0000007692,MBR00000211,2022-06-20,2022-06-22,1331571401,1415632980,PLN2626,859224,PCN809,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,98,8,Retail,2,0,0,37.5,5.81,43.31,10.0,31.8,1.51,0.5,0.3542,0,0,0,0,2022-09-18
RX0000007693,MBR00000211,2022-11-20,2022-11-22,1109428283,1632188418,PLN4695,370407,PCN510,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,5,Retail,0,0,0,45.0,3.8,48.8,3.0,44.08,1.72,1.8,1.275,0,0,0,0,2022-12-20
RX0000007694,MBR00000211,2023-03-11,2023-03-13,1784823995,1762106928,PLN8633,726205,PCN522,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,4,Mail Order,0,1,0,2800.0,3.73,2803.73,153.0,2547.11,103.62,112.0,79.3333,0,0,0,0,2023-04-10
RX0000007695,MBR00000211,2023-11-09,2023-11-12,1428363575,1802774630,PLN6073,921233,PCN120,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,96,7,Retail,0,0,0,2250.0,2.89,2252.89,36.0,2136.31,80.58,30.0,21.25,0,0,0,0,2024-02-07
RX0000007696,MBR00000211,2023-10-09,2023-10-13,1279591632,1585579254,PLN2383,697923,PCN385,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,11,Specialty,1,0,0,16.0,28.97,44.97,5.0,39.97,0.0,0.64,0.4533,0,0,0,0,2023-11-08
RX0000007697,MBR00000211,2023-12-13,2023-12-17,1520213132,1441545891,PLN8623,228885,PCN728,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,11,Retail,0,0,0,12.0,3.9,15.9,10.0,5.08,0.82,0.48,0.34,0,0,0,0,2024-01-12
RX0000007698,MBR00000211,2022-07-11,2022-07-14,1312406776,1468917761,PLN4366,764392,PCN237,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,0,Mail Order,0,0,0,9.0,6.07,15.07,7.0,7.03,1.04,0.36,0.255,0,0,0,0,2022-08-10
RX0000007699,MBR00000211,2022-03-14,2022-03-16,1155817913,1588893746,PLN2950,981073,PCN684,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,0,Retail,0,0,0,22.0,9.79,31.79,73.0,0.0,1.66,0.88,0.6233,0,0,0,0,2022-04-13
RX0000007700,MBR00000211,2022-02-02,2022-02-05,1567090031,1305786608,PLN8572,544143,PCN129,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,98,3,Mail Order,0,0,0,42.0,11.8,53.8,6.0,44.42,3.38,0.56,0.3967,0,0,0,0,2022-05-03
RX0000007701,MBR00000211,2023-05-19,2023-05-21,1944139052,1751526943,PLN9010,916706,PCN919,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,6,Mail Order,3,0,0,14.0,7.52,21.52,1.0,19.33,1.19,0.56,0.3967,0,1,0,0,2023-06-18
RX0000007702,MBR00000211,2023-12-30,2024-01-03,1384963812,1114401000,PLN4389,491510,PCN270,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,6,Mail Order,0,0,0,5.13,4.64,9.77,65.0,0.0,0.52,0.88,0.6233,0,0,0,0,2024-01-06
RX0000007703,MBR00000211,2023-02-06,2023-02-10,1702380675,1133306767,PLN8957,611003,PCN855,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,2,Retail,0,0,0,45.0,10.48,55.48,0.0,53.76,1.72,1.8,1.275,0,0,0,0,2023-03-08
RX0000007704,MBR00000211,2021-02-09,2021-02-12,1745703263,1966873883,PLN4058,327292,PCN683,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,2,Retail,0,1,0,12.0,2.19,14.19,151.0,0.0,0.6,0.48,0.34,0,0,0,0,2021-03-11
RX0000007705,MBR00000211,2023-07-02,2023-07-06,1623299684,1420129674,PLN1555,251721,PCN325,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,5,Retail,0,0,0,22.0,9.07,31.07,10.0,19.86,1.21,0.88,0.6233,0,0,0,0,2023-08-01
RX0000007706,MBR00000211,2021-08-30,2021-09-03,1715824247,1231408169,PLN4996,543410,PCN538,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,7,Retail,0,0,0,310.0,8.77,318.77,31.0,277.82,9.95,12.4,8.7833,0,0,0,0,2021-09-29
RX0000007707,MBR00000211,2022-12-25,2022-12-26,1693827202,1917072349,PLN7709,135438,PCN684,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,2,Retail,0,1,0,2800.0,8.79,2808.79,145.0,2483.16,180.63,112.0,79.3333,0,0,0,0,2023-01-24
RX0000007708,MBR00000211,2023-09-17,2023-09-20,1924933720,1860176426,PLN3582,223299,PCN227,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,2,Retail,3,0,0,18.0,7.3,25.3,8.0,16.44,0.86,0.72,0.51,0,0,0,0,2023-10-17
RX0000007709,MBR00000211,2023-08-07,2023-08-09,1916615480,1385230307,PLN2656,969843,PCN502,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,2,Retail,0,0,0,16.0,4.3,20.3,7.0,12.64,0.66,0.64,0.4533,0,0,0,0,2023-09-06
RX0000007710,MBR00000211,2022-02-14,2022-02-16,1894722935,1342109863,PLN8181,758923,PCN339,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Retail,0,0,0,38.0,9.21,47.21,3.0,41.31,2.9,1.52,1.0767,0,0,0,0,2022-03-16
RX0000007711,MBR00000211,2021-10-28,2021-11-01,1190116031,1949289593,PLN7708,615907,PCN978,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,4,Retail,0,0,0,22.0,2.09,24.09,68.0,0.0,1.23,0.88,0.6233,0,0,0,0,2021-11-27
RX0000007712,MBR00000211,2022-12-14,2022-12-16,1807470597,1745671174,PLN5025,930668,PCN507,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,87,6,Retail,0,0,0,27.0,2.02,29.02,8.0,19.21,1.81,0.36,0.255,0,0,0,0,2023-03-14
RX0000007713,MBR00000211,2021-03-06,2021-03-09,1603458388,1694481337,PLN9473,747216,PCN936,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,11,Retail,0,0,0,11.0,4.83,15.83,5.0,9.73,1.1,0.44,0.3117,0,0,0,0,2021-04-05
RX0000007714,MBR00000211,2023-06-28,2023-06-30,1369488645,1235205080,PLN4947,736278,PCN437,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,8,Retail,0,1,0,1446.67,2.76,1449.43,151.0,1241.16,57.27,248.0,175.6667,0,0,0,0,2023-07-05
RX0000007715,MBR00000211,2023-02-20,2023-02-23,1399058217,1639342969,PLN9850,743490,PCN857,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,93,3,Mail Order,0,0,0,30.0,7.11,37.11,6.0,29.45,1.66,0.4,0.2833,0,0,0,0,2023-05-21
RX0000007716,MBR00000211,2022-01-11,2022-01-13,1488641616,1208447548,PLN8237,481547,PCN706,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,2,Retail,0,0,0,12.0,11.57,23.57,10.0,12.71,0.86,0.48,0.34,0,0,0,0,2022-02-10
RX0000007717,MBR00000212,2023-02-10,2023-02-14,1954904962,1399824113,PLN9177,455623,PCN514,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,4,Retail,0,0,0,15.0,6.19,21.19,5.0,15.18,1.01,0.6,0.425,0,0,0,0,2023-03-12
RX0000007718,MBR00000212,2021-10-25,2021-10-29,1243396352,1631547167,PLN8933,631745,PCN550,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,65,6,Retail,3,0,0,660.0,5.41,665.41,30.0,604.92,30.49,13.2,9.35,0,0,0,0,2021-12-24
RX0000007719,MBR00000212,2022-06-19,2022-06-22,1192035598,1667494014,PLN8111,136765,PCN114,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,2,Specialty,0,0,0,2.33,19.57,21.9,5.0,16.9,0.0,0.4,0.2833,0,0,0,0,2022-06-26
RX0000007720,MBR00000212,2022-05-17,2022-05-19,1585809592,1195710867,PLN6277,383262,PCN731,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,1,Mail Order,0,1,0,2800.0,6.01,2806.01,147.0,2521.65,137.36,112.0,79.3333,0,0,0,0,2022-06-16
RX0000007721,MBR00000212,2022-02-13,2022-02-15,1600608306,1127698707,PLN9903,700150,PCN919,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,1,Retail,0,0,0,330.0,8.5,338.5,39.0,279.42,20.08,13.2,9.35,1,0,0,0,2022-03-15
RX0000007722,MBR00000212,2022-10-30,2022-11-02,1821104313,1911051543,PLN9104,995416,PCN554,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,8,Retail,0,0,0,285.0,3.22,288.22,34.0,243.42,10.8,11.4,8.075,0,0,0,0,2022-11-29
RX0000007723,MBR00000212,2022-03-06,2022-03-07,1988293703,1767783469,PLN1063,795919,PCN298,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,11,Retail,0,1,0,1.87,9.68,11.55,153.0,0.0,0.7,0.32,0.2267,0,0,0,0,2022-03-13
RX0000007724,MBR00000212,2021-06-16,2021-06-19,1726534468,1618814578,PLN9615,756401,PCN674,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,8,Retail,3,0,0,9.0,3.35,12.35,10.0,1.95,0.4,0.36,0.255,0,0,0,0,2021-07-16
RX0000007725,MBR00000212,2022-07-25,2022-07-28,1481816692,1714736184,PLN8913,151568,PCN193,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,59,9,Retail,0,0,0,76.0,8.11,84.11,5.0,75.02,4.09,1.52,1.0767,0,0,0,0,2022-09-23
RX0000007726,MBR00000212,2022-03-09,2022-03-11,1918609101,1221657135,PLN9224,774146,PCN657,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,5,Mail Order,0,0,0,11.0,10.35,21.35,4.0,16.21,1.14,0.44,0.3117,0,0,0,0,2022-04-08
RX0000007727,MBR00000212,2022-05-20,2022-05-23,1240096452,1854632469,PLN3885,819977,PCN402,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,89,7,Retail,0,0,0,1950.0,4.17,1954.17,40.0,1850.54,63.63,26.0,18.4167,0,0,0,0,2022-08-18
RX0000007728,MBR00000212,2022-01-03,2022-01-05,1162997714,1702627989,PLN2684,191539,PCN324,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,10,Specialty,0,0,0,16.0,10.32,26.32,9.0,17.32,0.0,0.64,0.4533,0,0,0,0,2022-02-02
RX0000007729,MBR00000212,2022-06-10,2022-06-12,1842388140,1864213302,PLN7659,949158,PCN783,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,6,Retail,0,1,0,8500.0,1.84,8501.84,149.0,8073.87,278.97,340.0,240.8333,0,0,0,0,2022-07-10
RX0000007730,MBR00000212,2023-08-19,2023-08-21,1966853483,1260535474,PLN2836,817124,PCN572,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,11,LTC,2,0,0,370.0,2.65,372.65,40.0,320.96,11.69,14.8,10.4833,0,0,0,0,2023-09-18
RX0000007731,MBR00000212,2021-08-20,2021-08-22,1673824603,1396486693,PLN8398,914428,PCN693,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,94,2,Retail,0,0,0,1950.0,6.28,1956.28,31.0,1810.67,114.61,26.0,18.4167,0,0,0,0,2021-11-18
RX0000007732,MBR00000212,2021-08-04,2021-08-05,1919426443,1620262641,PLN6431,829111,PCN772,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,7,Mail Order,0,1,0,8500.0,7.88,8507.88,153.0,8086.95,267.93,340.0,240.8333,0,0,0,0,2021-09-03
RX0000007733,MBR00000212,2023-09-16,2023-09-18,1395854143,1390807389,PLN5256,949043,PCN568,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,6,Specialty,0,0,0,2.33,8.79,11.12,7.0,4.12,0.0,0.4,0.2833,0,0,0,0,2023-09-23
RX0000007734,MBR00000212,2021-12-22,2021-12-24,1725087673,1522772482,PLN4529,817506,PCN624,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,0,Mail Order,3,1,0,2800.0,9.58,2809.58,148.0,2574.98,86.6,112.0,79.3333,0,0,0,0,2022-01-21
RX0000007735,MBR00000212,2021-09-05,2021-09-07,1338105348,1468066370,PLN9476,226926,PCN112,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,10,Mail Order,0,1,0,12.0,1.85,13.85,155.0,0.0,0.83,0.48,0.34,0,0,0,0,2021-10-05
RX0000007736,MBR00000212,2022-10-02,2022-10-06,1306803059,1977223517,PLN3224,175640,PCN574,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,6,Mail Order,0,0,0,11.0,3.63,14.63,5.0,8.67,0.96,0.44,0.3117,0,0,0,0,2022-11-01
RX0000007737,MBR00000212,2021-09-26,2021-09-29,1619866939,1642585280,PLN6571,326455,PCN780,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,11,Retail,0,0,0,175.0,6.67,181.67,40.0,135.26,6.41,7.0,4.9583,0,0,0,0,2021-10-26
RX0000007738,MBR00000212,2023-03-30,2023-03-31,1410824651,1234694609,PLN1021,615867,PCN361,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,84,7,Retail,0,0,0,1950.0,6.51,1956.51,37.0,1792.33,127.18,26.0,18.4167,0,0,0,0,2023-06-28
RX0000007739,MBR00000212,2021-03-03,2021-03-06,1617668676,1895277517,PLN5600,446740,PCN138,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,3,Retail,0,0,0,12.0,5.06,17.06,4.0,12.42,0.64,0.48,0.34,0,0,0,0,2021-04-02
RX0000007740,MBR00000212,2021-02-06,2021-02-10,1917470647,1431393061,PLN1455,969500,PCN239,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,5,Retail,0,0,0,12.5,10.33,22.83,2.0,19.64,1.19,0.5,0.3542,0,0,0,0,2021-03-08
RX0000007741,MBR00000212,2022-04-30,2022-05-04,1733886057,1192317797,PLN8996,810394,PCN330,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,4,Retail,0,0,0,285.0,9.74,294.74,34.0,243.25,17.49,11.4,8.075,0,0,0,0,2022-05-30
RX0000007742,MBR00000212,2023-01-16,2023-01-20,1584460149,1417728194,PLN3509,884121,PCN919,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,0,Retail,0,0,0,9.0,4.12,13.12,6.0,6.42,0.7,0.36,0.255,0,0,0,0,2023-02-15
RX0000007743,MBR00000212,2022-03-06,2022-03-09,1149284366,1706190399,PLN6748,576328,PCN275,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,60,2,Retail,3,0,0,25.0,6.11,31.11,10.0,19.07,2.04,0.5,0.3542,0,0,0,0,2022-05-05
RX0000007744,MBR00000212,2021-12-30,2022-01-02,1718560758,1128614724,PLN6181,731780,PCN650,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,1,Retail,0,0,0,185.0,6.1,191.1,31.0,147.47,12.63,7.4,5.2417,0,0,0,0,2022-01-29
RX0000007745,MBR00000212,2021-09-06,2021-09-10,1629762554,1336016361,PLN9297,223897,PCN699,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,6,Retail,0,0,0,3.5,10.01,13.51,7.0,5.58,0.93,0.6,0.425,0,0,0,0,2021-09-13
RX0000007746,MBR00000212,2022-11-03,2022-11-04,1484418847,1420890896,PLN7556,551594,PCN682,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,8,Retail,0,0,0,18.0,5.2,23.2,35.0,0.0,0.81,0.72,0.51,0,0,0,0,2022-12-03
RX0000007747,MBR00000212,2023-11-12,2023-11-15,1563142162,1588460950,PLN7730,779046,PCN704,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,2,Mail Order,0,0,0,45.0,6.5,51.5,3.0,46.37,2.13,1.8,1.275,0,0,0,0,2023-12-12
RX0000007748,MBR00000212,2021-08-17,2021-08-20,1750936263,1311460445,PLN3478,726558,PCN102,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,1,Retail,1,0,0,5.13,4.09,9.23,2.0,6.83,0.4,0.88,0.6233,0,0,0,0,2021-08-24
RX0000007749,MBR00000212,2021-06-22,2021-06-24,1435949139,1124482262,PLN4176,854537,PCN301,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,86,0,Retail,0,0,0,1440.0,8.59,1448.59,38.0,1331.12,79.47,19.2,13.6,0,0,0,0,2021-09-20
RX0000007750,MBR00000212,2021-02-19,2021-02-23,1880454781,1641069924,PLN3469,197171,PCN796,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,85,6,Retail,0,1,0,18600.0,10.94,18610.94,145.0,17811.71,654.23,248.0,175.6667,0,0,0,0,2021-05-20
RX0000007751,MBR00000212,2022-02-08,2022-02-09,1114102329,1690048632,PLN5169,596880,PCN532,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,9,Retail,1,0,0,370.0,11.75,381.75,38.0,329.56,14.19,14.8,10.4833,0,0,0,0,2022-03-10
RX0000007752,MBR00000212,2021-01-01,2021-01-03,1309206604,1548401231,PLN5270,862138,PCN680,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,4,Specialty,0,0,0,45.0,12.47,57.47,7.0,50.47,0.0,1.8,1.275,0,0,0,0,2021-01-31
RX0000007753,MBR00000212,2022-06-26,2022-06-30,1680605015,1812802983,PLN5979,694441,PCN446,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,3,Specialty,0,0,0,18.0,29.25,47.25,36.0,11.25,0.0,0.72,0.51,0,0,0,0,2022-07-26
RX0000007754,MBR00000212,2023-08-26,2023-08-28,1540764719,1898063825,PLN3184,571082,PCN247,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,2,Retail,0,0,0,11.0,8.77,19.77,3.0,15.87,0.9,0.44,0.3117,0,0,0,0,2023-09-25
RX0000007755,MBR00000212,2023-07-12,2023-07-16,1275188218,1323487070,PLN3249,427448,PCN122,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,9,Mail Order,0,0,0,10.0,6.93,16.93,3.0,13.41,0.52,0.4,0.2833,1,0,0,0,2023-08-11
RX0000007756,MBR00000212,2021-07-29,2021-08-01,1498938889,1644394797,PLN4355,622145,PCN635,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,3,Mail Order,0,0,0,285.0,4.58,289.58,36.0,236.88,16.7,11.4,8.075,0,0,0,0,2021-08-28
RX0000007757,MBR00000212,2022-05-13,2022-05-15,1796383131,1923350968,PLN1113,781565,PCN976,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,9,Retail,0,0,0,12.0,7.88,19.88,7.0,12.27,0.61,0.48,0.34,0,0,0,0,2022-06-12
RX0000007758,MBR00000212,2022-10-25,2022-10-27,1769956067,1785407654,PLN8564,430405,PCN901,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,6,Retail,0,0,0,22.0,5.62,27.62,10.0,16.73,0.89,0.88,0.6233,0,0,0,0,2022-11-24
RX0000007759,MBR00000212,2022-09-22,2022-09-25,1664566057,1342461579,PLN8200,626352,PCN588,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,63,4,Retail,0,0,0,90.0,6.02,96.02,10.0,82.33,3.69,1.8,1.275,0,0,0,0,2022-11-21
RX0000007760,MBR00000212,2023-11-22,2023-11-23,1372495264,1677278362,PLN7130,431848,PCN271,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,98,2,Retail,0,0,0,54.0,4.18,58.18,3.0,52.63,2.55,0.72,0.51,0,0,0,0,2024-02-20
RX0000007761,MBR00000213,2023-07-26,2023-07-27,1101095840,1929845076,PLN4384,569701,PCN551,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,11,Retail,0,0,0,10.0,9.22,19.22,5.0,13.63,0.59,0.4,0.2833,0,0,0,0,2023-08-25
RX0000007762,MBR00000213,2021-07-14,2021-07-17,1208336099,1117412680,PLN2654,325675,PCN115,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,1,Mail Order,0,0,0,11.0,9.78,20.78,7.0,12.64,1.14,0.44,0.3117,0,0,0,0,2021-08-13
RX0000007763,MBR00000213,2023-07-23,2023-07-24,1958100557,1529937951,PLN2744,819006,PCN490,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,6,Retail,0,0,0,11.0,3.75,14.75,4.0,9.93,0.82,0.44,0.3117,0,0,0,0,2023-08-22
RX0000007764,MBR00000213,2023-03-10,2023-03-11,1867245129,1569202063,PLN4219,632331,PCN863,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,6,Retail,0,0,0,4.2,6.54,10.74,7.0,3.15,0.59,0.72,0.51,0,0,0,0,2023-03-17
RX0000007765,MBR00000213,2021-01-31,2021-02-01,1798414410,1567039461,PLN7141,108033,PCN265,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,97,4,Retail,0,0,0,66.0,11.59,77.59,67.0,5.26,5.33,0.88,0.6233,1,0,0,0,2021-05-01
RX0000007766,MBR00000213,2023-11-08,2023-11-11,1889315606,1125448355,PLN9713,694927,PCN712,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,86,10,Retail,0,0,0,114.0,3.56,117.56,8.0,102.91,6.65,1.52,1.0767,0,0,0,0,2024-02-06
RX0000007767,MBR00000213,2021-12-13,2021-12-16,1100308894,1783904459,PLN6092,942668,PCN434,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,5,Retail,0,0,0,54.0,2.47,56.47,8.0,46.46,2.01,0.72,0.51,0,0,0,0,2022-03-13
RX0000007768,MBR00000213,2021-06-25,2021-06-28,1629196995,1892690554,PLN1289,600112,PCN732,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,10,Retail,0,0,0,480.0,10.18,490.18,40.0,420.83,29.35,19.2,13.6,0,0,0,0,2021-07-25
RX0000007769,MBR00000213,2022-11-28,2022-11-30,1378634095,1520874184,PLN7505,216553,PCN810,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,82,0,Specialty,0,0,0,855.0,30.87,885.87,39.0,846.87,0.0,11.4,8.075,0,0,0,0,2023-02-26
RX0000007770,MBR00000213,2022-04-09,2022-04-13,1164699717,1714431751,PLN3836,585300,PCN410,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,95,1,Retail,0,0,0,30.0,8.61,38.61,0.0,36.3,2.31,0.4,0.2833,0,0,0,0,2022-07-08
RX0000007771,MBR00000213,2022-07-04,2022-07-05,1752182131,1704579199,PLN1278,244494,PCN477,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,7,Retail,0,0,0,18.0,9.07,27.07,39.0,0.0,1.71,0.72,0.51,0,0,0,0,2022-08-03
RX0000007772,MBR00000213,2023-06-18,2023-06-22,1225703924,1453792222,PLN2852,711175,PCN298,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,6,Mail Order,0,0,0,28.0,8.31,36.31,7.0,27.91,1.4,1.12,0.7933,0,0,0,0,2023-07-18
RX0000007773,MBR00000213,2021-07-09,2021-07-12,1226269833,1296414312,PLN4079,486297,PCN438,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,11,Retail,0,0,0,650.0,11.85,661.85,34.0,585.02,42.83,26.0,18.4167,0,0,0,0,2021-08-08
RX0000007774,MBR00000213,2022-05-15,2022-05-16,1596462493,1405043029,PLN7628,917043,PCN591,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,87,2,Mail Order,0,0,0,25.5,11.32,36.82,4.0,30.8,2.02,0.34,0.2408,0,0,0,0,2022-08-13
RX0000007775,MBR00000213,2023-01-18,2023-01-20,1614009753,1167650311,PLN6056,671587,PCN110,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,9,Specialty,0,1,0,8500.0,35.55,8535.55,151.0,8384.55,0.0,340.0,240.8333,0,0,0,0,2023-02-17
RX0000007776,MBR00000213,2023-08-05,2023-08-08,1900572582,1685242023,PLN4719,500694,PCN294,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,0,Retail,0,0,0,9.0,5.12,14.12,7.0,6.42,0.7,0.36,0.255,0,0,0,0,2023-09-04
RX0000007777,MBR00000213,2023-08-21,2023-08-22,1895903228,1516252446,PLN4363,325336,PCN964,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,3,Retail,0,0,0,74.67,8.37,83.03,35.0,42.85,5.18,12.8,9.0667,0,0,0,0,2023-08-28
RX0000007778,MBR00000213,2022-05-03,2022-05-05,1844780525,1697181372,PLN4788,170841,PCN832,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,8,Mail Order,0,1,0,12.0,4.77,16.77,145.0,0.0,0.94,0.48,0.34,0,0,0,0,2022-06-02
RX0000007779,MBR00000213,2022-08-30,2022-09-02,1641778898,1444613789,PLN5639,546684,PCN442,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,5,Retail,3,0,0,650.0,10.45,660.45,35.0,598.2,27.25,26.0,18.4167,0,0,0,0,2022-09-29
RX0000007780,MBR00000213,2021-09-17,2021-09-19,1488975991,1967017552,PLN4244,597609,PCN188,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,3,Mail Order,3,0,0,28.0,11.93,39.93,5.0,32.14,2.79,1.12,0.7933,0,0,0,0,2021-10-17
RX0000007781,MBR00000213,2023-12-21,2023-12-22,1673862794,1724568239,PLN1038,815313,PCN683,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,62,0,Retail,0,0,0,76.0,7.06,83.06,32.0,47.9,3.16,1.52,1.0767,0,0,0,0,2024-02-19
RX0000007782,MBR00000213,2022-10-23,2022-10-25,1616284793,1912034014,PLN9277,182569,PCN997,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,87,2,Retail,0,1,0,36.0,2.25,38.25,153.0,0.0,1.5,0.48,0.34,0,0,0,0,2023-01-21
RX0000007783,MBR00000213,2023-10-28,2023-10-29,1689867238,1479341867,PLN8880,806852,PCN889,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,98,6,Retail,0,0,0,84.0,9.38,93.38,3.0,87.11,3.27,1.12,0.7933,0,0,0,0,2024-01-26
RX0000007784,MBR00000213,2022-08-18,2022-08-19,1515467677,1800001945,PLN3018,758805,PCN905,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,11,Retail,0,0,0,18.0,9.44,27.44,7.0,19.04,1.4,0.72,0.51,0,0,0,0,2022-09-17
RX0000007785,MBR00000213,2022-07-04,2022-07-05,1838455971,1345182392,PLN4601,149753,PCN893,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,87,10,Retail,0,0,0,30.0,11.99,41.99,5.0,34.96,2.03,0.4,0.2833,0,0,0,0,2022-10-02
RX0000007786,MBR00000213,2023-11-03,2023-11-05,1305173222,1250092944,PLN7003,568282,PCN162,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,97,7,Retail,0,0,0,1950.0,9.63,1959.63,40.0,1784.9,134.73,26.0,18.4167,0,0,0,0,2024-02-01
RX0000007787,MBR00000213,2022-11-25,2022-11-28,1358673748,1454391092,PLN6017,980229,PCN693,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,2,Retail,0,0,0,5.13,11.79,16.92,10.0,6.03,0.89,0.88,0.6233,0,0,0,0,2022-12-02
RX0000007788,MBR00000213,2023-02-21,2023-02-22,1865584013,1645662537,PLN2556,656153,PCN363,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,10,Retail,0,0,0,11.0,10.86,21.86,2.0,18.74,1.12,0.44,0.3117,0,0,0,0,2023-03-23
RX0000007789,MBR00000213,2022-08-16,2022-08-19,1902152592,1440612702,PLN3524,991920,PCN741,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,9,Retail,0,0,0,28.0,9.58,37.58,0.0,35.48,2.1,1.12,0.7933,0,0,0,0,2022-09-15
RX0000007790,MBR00000214,2022-11-03,2022-11-07,1565637732,1235954461,PLN2683,736809,PCN450,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,10,Retail,0,0,0,14.0,5.11,19.11,5.0,12.98,1.13,0.56,0.3967,0,0,0,0,2022-12-03
RX0000007791,MBR00000214,2023-12-14,2023-12-18,1785765786,1947495756,PLN5445,521937,PCN663,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,4,Mail Order,0,0,0,8.5,4.63,13.13,3.0,9.71,0.42,0.34,0.2408,0,0,0,0,2024-01-13
RX0000007792,MBR00000214,2022-05-26,2022-05-29,1496161475,1537634069,PLN2648,570123,PCN179,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,10,Mail Order,0,1,0,6200.0,9.8,6209.8,146.0,5648.79,415.01,248.0,175.6667,0,0,0,0,2022-06-25
RX0000007793,MBR00000214,2022-09-27,2022-10-01,1279371195,1976506418,PLN3191,632229,PCN613,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,88,8,Retail,0,0,0,555.0,2.98,557.98,33.0,498.92,26.06,7.4,5.2417,0,0,0,0,2022-12-26
RX0000007794,MBR00000214,2022-09-07,2022-09-08,1869458128,1815278661,PLN5265,681085,PCN498,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,2,Retail,0,1,0,2800.0,9.88,2809.88,148.0,2486.55,175.33,112.0,79.3333,0,0,0,0,2022-10-07
RX0000007795,MBR00000214,2021-08-14,2021-08-16,1539923473,1547445923,PLN1873,916354,PCN888,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,650.0,2.53,652.53,34.0,586.24,32.29,26.0,18.4167,0,0,0,0,2021-09-13
RX0000007796,MBR00000214,2023-03-29,2023-04-01,1211659008,1777424866,PLN3563,523436,PCN902,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,5,Retail,0,0,1,14.0,9.38,23.38,0.0,22.08,1.3,0.56,0.3967,0,0,0,0,2023-04-28
RX0000007797,MBR00000214,2021-09-26,2021-09-30,1316223046,1363229720,PLN6680,391884,PCN902,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,1,Specialty,0,0,0,8.87,11.81,20.67,40.0,0.0,0.0,1.52,1.0767,0,0,0,0,2021-10-03
RX0000007798,MBR00000214,2023-01-02,2023-01-03,1490562072,1374850876,PLN2604,136890,PCN280,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,3,Retail,0,0,0,480.0,10.73,490.73,36.0,424.14,30.59,19.2,13.6,0,0,0,0,2023-02-01
RX0000007799,MBR00000214,2021-08-02,2021-08-03,1305184116,1564169114,PLN8022,195856,PCN292,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,11,Specialty,0,0,0,14.0,39.44,53.44,6.0,47.44,0.0,0.56,0.3967,0,1,0,0,2021-09-01
RX0000007800,MBR00000214,2023-12-31,2024-01-02,1519410683,1570396647,PLN6963,842516,PCN865,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,11,Mail Order,0,0,0,28.0,11.52,39.52,10.0,27.54,1.98,1.12,0.7933,0,0,0,0,2024-01-30
RX0000007801,MBR00000214,2022-09-16,2022-09-18,1582055982,1365099622,PLN5164,140996,PCN749,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,97,0,Retail,0,0,0,36.0,6.35,42.35,3.0,36.63,2.72,0.48,0.34,0,0,0,0,2022-12-15
RX0000007802,MBR00000214,2023-06-28,2023-06-30,1385136708,1888614967,PLN2458,523035,PCN734,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,9,Retail,0,0,0,330.0,6.11,336.11,34.0,282.22,19.89,13.2,9.35,0,0,0,0,2023-07-28
RX0000007803,MBR00000214,2023-11-19,2023-11-21,1728332482,1823612833,PLN6780,351631,PCN735,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,92,2,Retail,3,0,0,42.0,8.63,50.63,10.0,37.85,2.78,0.56,0.3967,0,0,0,0,2024-02-17
RX0000007804,MBR00000214,2021-12-26,2021-12-27,1736755207,1405687676,PLN2915,924865,PCN605,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,88,3,Mail Order,0,0,0,33.0,4.03,37.03,6.0,29.21,1.82,0.44,0.3117,0,0,0,0,2022-03-26
RX0000007805,MBR00000214,2022-06-10,2022-06-13,1776666725,1246063116,PLN4045,926646,PCN797,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,4,Mail Order,0,1,0,2.8,4.4,7.2,153.0,0.0,0.24,0.48,0.34,0,0,0,0,2022-06-17
RX0000007806,MBR00000214,2021-05-03,2021-05-07,1837957608,1241264927,PLN6369,160824,PCN919,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,91,2,Mail Order,0,0,0,2850.0,3.61,2853.61,36.0,2642.22,175.39,38.0,26.9167,0,0,0,0,2021-08-01
RX0000007807,MBR00000214,2021-10-14,2021-10-15,1177179314,1339731399,PLN7922,468481,PCN268,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,3,Mail Order,0,0,0,8.5,4.45,12.95,1.0,11.13,0.82,0.34,0.2408,0,0,0,0,2021-11-13
RX0000007808,MBR00000214,2023-04-27,2023-04-30,1823669747,1100229311,PLN3948,632206,PCN970,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,11,Retail,0,0,0,175.0,8.85,183.85,30.0,141.62,12.23,7.0,4.9583,0,0,0,0,2023-05-27
RX0000007809,MBR00000214,2021-01-05,2021-01-09,1608173493,1756009780,PLN5179,471172,PCN488,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,9,Mail Order,0,0,0,750.0,6.66,756.66,39.0,684.58,33.08,30.0,21.25,0,0,0,0,2021-02-04
RX0000007810,MBR00000214,2021-10-18,2021-10-19,1986266557,1216545438,PLN2139,248023,PCN115,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,58,3,Retail,1,0,0,1500.0,11.8,1511.8,38.0,1371.22,102.58,30.0,21.25,0,0,0,0,2021-12-17
RX0000007811,MBR00000214,2021-01-04,2021-01-07,1846155666,1959927723,PLN5193,176950,PCN367,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,2,Retail,0,0,0,380.0,3.66,383.66,35.0,331.9,16.76,15.2,10.7667,0,0,0,0,2021-02-03
RX0000007812,MBR00000214,2022-01-04,2022-01-05,1524098585,1330940803,PLN8170,637652,PCN990,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,6,Retail,0,0,0,38.0,8.7,46.7,6.0,38.05,2.65,1.52,1.0767,0,0,0,0,2022-02-03
RX0000007813,MBR00000214,2021-12-02,2021-12-04,1237240878,1641270363,PLN4065,587402,PCN755,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,7,Retail,1,1,0,6200.0,5.1,6205.1,150.0,5854.22,200.88,248.0,175.6667,0,0,0,0,2022-01-01
RX0000007814,MBR00000214,2023-06-08,2023-06-11,1700610634,1446280688,PLN7526,211297,PCN829,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,2,Retail,0,1,0,8.0,7.44,15.44,152.0,0.0,0.68,0.32,0.2267,0,0,0,0,2023-07-08
RX0000007815,MBR00000214,2023-11-23,2023-11-24,1455168777,1578756553,PLN2567,219760,PCN105,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,6,Specialty,0,1,0,6200.0,37.13,6237.13,154.0,6083.13,0.0,248.0,175.6667,0,0,0,0,2023-12-23
RX0000007816,MBR00000214,2021-10-12,2021-10-14,1892981263,1481355440,PLN3771,597359,PCN404,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,87,4,Mail Order,0,0,0,195.0,9.95,204.95,30.0,167.54,7.41,2.6,1.8417,0,0,0,0,2022-01-10
RX0000007817,MBR00000214,2023-07-10,2023-07-12,1988823540,1683293763,PLN2532,517331,PCN819,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,63,8,Retail,0,0,0,740.0,4.22,744.22,33.0,663.75,47.47,14.8,10.4833,1,1,1,0,2023-09-08
RX0000007818,MBR00000214,2022-03-09,2022-03-10,1796713511,1308910641,PLN5416,884714,PCN954,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,5,Retail,0,0,0,9.0,11.96,20.96,9.0,10.76,1.2,0.36,0.255,0,0,0,0,2022-04-08
RX0000007819,MBR00000214,2022-01-22,2022-01-23,1951083530,1447559169,PLN6247,401191,PCN210,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,94,3,Retail,0,0,0,48.0,5.72,53.72,7.0,45.01,1.71,0.64,0.4533,0,0,0,0,2022-04-22
RX0000007820,MBR00000214,2021-06-12,2021-06-15,1977842580,1438467899,PLN3078,131005,PCN431,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,5,Retail,0,0,0,43.17,5.02,48.19,34.0,11.94,2.25,7.4,5.2417,0,0,0,0,2021-06-19
RX0000007821,MBR00000214,2021-07-05,2021-07-06,1279274847,1438408925,PLN3151,295489,PCN311,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,83,0,Mail Order,0,0,0,30.0,5.34,35.34,3.0,29.99,2.35,0.4,0.2833,0,0,0,0,2021-10-03
RX0000007822,MBR00000214,2022-08-09,2022-08-11,1977993765,1215458766,PLN9705,304327,PCN448,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,6,Mail Order,0,0,0,86.33,11.79,98.12,37.0,55.79,5.33,14.8,10.4833,0,0,0,0,2022-08-16
RX0000007823,MBR00000214,2023-08-31,2023-09-03,1457028404,1157932911,PLN3711,317113,PCN856,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,57,4,Specialty,0,0,0,24.0,47.54,71.54,7.0,64.54,0.0,0.48,0.34,0,0,0,0,2023-10-30
RX0000007824,MBR00000214,2022-09-12,2022-09-14,1307416873,1287304318,PLN6238,712214,PCN719,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,97,10,Mail Order,0,1,0,24.0,4.29,28.29,149.0,0.0,1.01,0.32,0.2267,1,0,0,0,2022-12-11
RX0000007825,MBR00000214,2021-04-07,2021-04-10,1245584790,1314844615,PLN8587,886967,PCN591,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,94,3,Mail Order,1,0,1,2850.0,5.84,2855.84,38.0,2628.61,189.23,38.0,26.9167,0,0,0,0,2021-07-06
RX0000007826,MBR00000214,2022-04-05,2022-04-09,1265115561,1477074766,PLN6150,860542,PCN884,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,10,Retail,0,0,0,2.92,11.17,14.09,8.0,5.28,0.81,0.5,0.3542,0,0,0,0,2022-04-12
RX0000007827,MBR00000214,2023-11-24,2023-11-28,1674727058,1947882947,PLN6483,362305,PCN291,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,0,Retail,0,0,0,650.0,9.31,659.31,39.0,581.88,38.43,26.0,18.4167,0,0,0,0,2023-12-24
RX0000007828,MBR00000215,2021-02-02,2021-02-04,1931249321,1153015955,PLN9179,591965,PCN320,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,6,LTC,0,1,0,8.0,7.87,15.87,148.0,0.0,0.72,0.32,0.2267,0,0,0,0,2021-03-04
RX0000007829,MBR00000215,2022-09-12,2022-09-14,1667719144,1778014439,PLN7175,258854,PCN289,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,88,6,Retail,0,0,0,54.0,11.08,65.08,3.0,58.46,3.62,0.72,0.51,0,0,0,0,2022-12-11
RX0000007830,MBR00000215,2021-01-03,2021-01-04,1338948495,1961648947,PLN3277,616182,PCN784,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,9,Retail,0,0,0,6.53,6.17,12.71,10.0,1.92,0.79,1.12,0.7933,0,0,0,0,2021-01-10
RX0000007831,MBR00000215,2022-02-14,2022-02-17,1514219373,1311404644,PLN8753,845270,PCN420,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,88,10,Mail Order,0,0,0,1440.0,2.36,1442.36,32.0,1350.04,60.32,19.2,13.6,0,0,0,0,2022-05-15
RX0000007832,MBR00000215,2021-01-06,2021-01-07,1804502288,1473623176,PLN6667,137276,PCN930,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,91,8,Retail,0,1,0,8400.0,10.32,8410.32,148.0,7881.18,381.14,112.0,79.3333,0,0,0,0,2021-04-06
RX0000007833,MBR00000215,2023-02-02,2023-02-03,1792951423,1656403991,PLN5051,209888,PCN226,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,98,11,Mail Order,3,1,0,18600.0,7.07,18607.07,145.0,17510.11,951.96,248.0,175.6667,0,0,0,0,2023-05-03
RX0000007834,MBR00000215,2021-09-26,2021-09-28,1839169202,1365186618,PLN9527,235390,PCN282,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,1,Retail,0,0,0,10.0,9.58,19.58,10.0,8.89,0.69,0.4,0.2833,0,0,0,0,2021-10-26
RX0000007835,MBR00000215,2022-12-11,2022-12-12,1537133749,1674871574,PLN8569,752177,PCN228,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,3,Retail,0,0,0,3.27,9.97,13.24,2.0,10.74,0.5,0.56,0.3967,0,0,0,0,2022-12-18
RX0000007836,MBR00000215,2021-08-26,2021-08-28,1345224600,1369264199,PLN3311,474444,PCN935,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,3,Retail,0,1,0,2800.0,8.72,2808.72,153.0,2495.79,159.93,112.0,79.3333,0,0,0,0,2021-09-25
RX0000007837,MBR00000215,2023-12-17,2023-12-21,1358803952,1205805660,PLN7551,552636,PCN149,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,62,0,Mail Order,0,0,0,15.0,2.6,17.6,1.0,15.48,1.12,0.3,0.2125,0,0,0,0,2024-02-15
RX0000007838,MBR00000215,2022-11-05,2022-11-08,1645426862,1769037424,PLN5321,509906,PCN945,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,6,Specialty,0,0,0,14.0,13.26,27.26,4.0,23.26,0.0,0.56,0.3967,0,0,0,0,2022-12-05
RX0000007839,MBR00000215,2023-10-10,2023-10-11,1728192446,1296735544,PLN3880,570463,PCN941,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,6,Retail,0,0,0,18.0,10.42,28.42,37.0,0.0,1.31,0.72,0.51,0,0,0,0,2023-11-09
RX0000007840,MBR00000215,2023-03-29,2023-04-01,1194417082,1755557980,PLN4757,458657,PCN967,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,94,1,Retail,0,0,0,195.0,6.1,201.1,30.0,163.31,7.79,2.6,1.8417,0,0,0,0,2023-06-27
RX0000007841,MBR00000215,2023-12-06,2023-12-08,1741566018,1140466012,PLN5778,203941,PCN934,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,2,Retail,0,0,0,45.0,7.86,52.86,7.0,43.66,2.2,1.8,1.275,0,0,0,0,2024-01-05
RX0000007842,MBR00000215,2022-04-19,2022-04-21,1494893403,1494725878,PLN4175,283350,PCN684,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,7,Mail Order,3,0,0,370.0,3.9,373.9,33.0,317.73,23.17,14.8,10.4833,0,0,0,0,2022-05-19
RX0000007843,MBR00000215,2021-11-25,2021-11-26,1422800678,1670008153,PLN8711,512443,PCN499,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,8,Mail Order,0,0,0,9.0,4.86,13.86,8.0,4.9,0.96,0.36,0.255,0,0,0,0,2021-12-25
RX0000007844,MBR00000215,2023-12-27,2023-12-31,1879898224,1729637674,PLN2751,892055,PCN187,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,0,Specialty,0,0,0,14.0,33.24,47.24,3.0,44.24,0.0,0.56,0.3967,0,0,0,0,2024-01-26
RX0000007845,MBR00000215,2022-09-12,2022-09-16,1168862855,1572822943,PLN7161,619339,PCN970,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,5,Specialty,0,0,0,28.0,10.36,38.36,7.0,31.36,0.0,1.12,0.7933,0,0,0,0,2022-10-12
RX0000007846,MBR00000215,2023-11-08,2023-11-10,1949975757,1248417108,PLN7948,253159,PCN256,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,3,Retail,0,0,0,10.0,11.22,21.22,7.0,12.99,1.23,0.4,0.2833,0,0,0,0,2023-12-08
RX0000007847,MBR00000215,2021-12-01,2021-12-05,1960102044,1904193099,PLN2129,329056,PCN786,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,7,Retail,3,0,0,950.0,8.38,958.38,35.0,861.89,61.49,38.0,26.9167,0,0,0,0,2021-12-31
RX0000007848,MBR00000215,2022-01-24,2022-01-26,1872680147,1972866313,PLN6998,911962,PCN364,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,86,5,Retail,0,0,0,45.0,5.84,50.84,2.0,45.58,3.26,0.6,0.425,0,1,0,0,2022-04-24
RX0000007849,MBR00000215,2021-05-30,2021-05-31,1737033738,1198001683,PLN5873,231364,PCN321,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,58,4,Retail,1,0,0,18.0,2.22,20.22,7.0,12.02,1.2,0.36,0.255,0,0,0,0,2021-07-29
RX0000007850,MBR00000215,2023-11-10,2023-11-12,1728554064,1953708480,PLN5412,915704,PCN770,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,89,5,Retail,0,0,0,27.0,10.52,37.52,4.0,32.3,1.22,0.36,0.255,0,0,0,0,2024-02-08
RX0000007851,MBR00000215,2023-03-28,2023-03-29,1567810268,1290335839,PLN7932,336500,PCN251,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,6,LTC,0,0,0,14.0,1.76,15.76,8.0,7.08,0.68,0.56,0.3967,0,0,0,0,2023-04-27
RX0000007852,MBR00000215,2022-04-24,2022-04-26,1685382384,1402292426,PLN7802,857259,PCN895,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,85,11,Retail,0,0,0,2850.0,2.45,2852.45,30.0,2688.52,133.93,38.0,26.9167,0,0,0,0,2022-07-23
RX0000007853,MBR00000215,2022-02-22,2022-02-25,1171756450,1392882430,PLN1626,920267,PCN345,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,0,Mail Order,0,0,0,9.0,10.28,19.28,5.0,13.55,0.73,0.36,0.255,0,0,0,0,2022-03-24
RX0000007854,MBR00000215,2021-11-09,2021-11-11,1479601604,1567838547,PLN4072,430920,PCN519,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,10,Retail,0,0,0,310.0,4.79,314.79,40.0,258.6,16.19,12.4,8.7833,0,0,0,0,2021-12-09
RX0000007855,MBR00000215,2023-12-29,2023-12-30,1278431397,1979782578,PLN3224,175257,PCN525,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,0,Retail,2,0,0,9.0,6.08,15.08,7.0,7.26,0.82,0.36,0.255,0,0,0,0,2024-01-28
RX0000007856,MBR00000215,2022-06-17,2022-06-18,1234133154,1768574805,PLN1040,147282,PCN546,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,93,1,Retail,1,0,0,48.0,2.74,50.74,1.0,47.96,1.78,0.64,0.4533,0,0,0,0,2022-09-15
RX0000007857,MBR00000215,2023-07-31,2023-08-01,1883699899,1126298869,PLN6197,351684,PCN323,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,85,0,Retail,0,0,0,45.0,3.98,48.98,9.0,36.91,3.07,0.6,0.425,0,0,0,0,2023-10-29
RX0000007858,MBR00000215,2023-10-23,2023-10-27,1869656266,1517620198,PLN2386,353233,PCN936,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,96,4,Specialty,1,0,0,54.0,29.35,83.35,3.0,80.35,0.0,0.72,0.51,0,0,0,0,2024-01-21
RX0000007859,MBR00000215,2021-01-30,2021-02-03,1882539982,1926534219,PLN7756,139007,PCN579,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,9,Retail,0,0,0,45.0,1.69,46.69,4.0,40.58,2.11,1.8,1.275,0,1,0,0,2021-03-01
RX0000007860,MBR00000215,2022-12-25,2022-12-27,1932391251,1850755043,PLN5351,581420,PCN342,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,4,Mail Order,0,0,1,9.0,4.07,13.07,4.0,8.29,0.78,0.36,0.255,0,0,0,0,2023-01-24
RX0000007861,MBR00000215,2021-03-30,2021-04-03,1194323047,1840498120,PLN4655,952186,PCN343,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,3,Mail Order,0,0,0,18.0,10.65,28.65,10.0,17.43,1.22,0.72,0.51,0,0,0,0,2021-04-29
RX0000007862,MBR00000215,2023-11-02,2023-11-04,1495552590,1190374801,PLN9879,851313,PCN183,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,7,Retail,0,0,0,112.0,2.38,114.38,35.0,73.1,6.28,19.2,13.6,1,0,0,0,2023-11-09
RX0000007863,MBR00000215,2023-03-10,2023-03-14,1438769547,1550310586,PLN5795,961385,PCN208,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,90,0,Mail Order,0,0,0,22.5,2.75,25.25,5.0,19.23,1.02,0.3,0.2125,0,0,0,0,2023-06-08
RX0000007864,MBR00000215,2023-04-01,2023-04-03,1197798581,1156465515,PLN5619,874733,PCN313,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,11,Retail,1,0,0,38.0,8.01,46.01,30.0,14.05,1.96,1.52,1.0767,0,0,0,0,2023-05-01
RX0000007865,MBR00000215,2022-11-09,2022-11-10,1532877592,1557158276,PLN6876,144268,PCN142,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,8,Retail,0,0,0,38.0,7.42,45.42,35.0,7.49,2.93,1.52,1.0767,0,0,0,0,2022-12-09
RX0000007866,MBR00000215,2023-09-12,2023-09-16,1118439786,1312272111,PLN4128,604505,PCN426,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,65,0,Retail,0,0,0,32.0,3.26,35.26,0.0,33.93,1.33,0.64,0.4533,0,0,0,0,2023-11-11
RX0000007867,MBR00000215,2022-03-04,2022-03-07,1768874750,1739649486,PLN9660,206772,PCN557,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,0,Retail,0,0,0,3.5,2.89,6.39,10.0,0.0,0.36,0.6,0.425,0,0,0,0,2022-03-11
RX0000007868,MBR00000215,2021-05-17,2021-05-19,1988158188,1438069047,PLN5657,831423,PCN277,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,8,LTC,0,0,0,950.0,2.0,952.0,30.0,868.47,53.53,38.0,26.9167,0,0,0,0,2021-06-16
RX0000007869,MBR00000215,2021-04-14,2021-04-17,1176143544,1226912395,PLN1817,525507,PCN610,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,11,Retail,0,0,0,12.0,5.33,17.33,0.0,16.59,0.74,0.48,0.34,0,0,0,0,2021-05-14
RX0000007870,MBR00000215,2022-04-22,2022-04-26,1168735696,1687178660,PLN4329,764347,PCN196,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,3,Retail,2,0,0,12.0,4.82,16.82,1.0,15.15,0.67,0.48,0.34,0,0,0,0,2022-05-22
RX0000007871,MBR00000215,2022-10-06,2022-10-09,1981231501,1492310904,PLN7078,815348,PCN663,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,8,Retail,3,1,0,2800.0,9.52,2809.52,150.0,2564.16,95.36,112.0,79.3333,0,0,0,0,2022-11-05
RX0000007872,MBR00000215,2022-01-06,2022-01-09,1646494183,1195800955,PLN5310,201054,PCN590,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,61,10,Retail,0,0,0,370.0,11.46,381.46,33.0,323.36,25.1,7.4,5.2417,0,0,0,0,2022-03-07
RX0000007873,MBR00000215,2022-03-30,2022-04-02,1860599825,1437737639,PLN4025,687789,PCN405,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,9,Retail,0,0,0,18.0,2.13,20.13,35.0,0.0,0.75,0.72,0.51,0,0,0,0,2022-04-29
RX0000007874,MBR00000215,2022-08-17,2022-08-21,1138207903,1301351506,PLN2833,224670,PCN131,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,3,Retail,0,0,0,18.0,5.24,23.24,37.0,0.0,1.55,0.72,0.51,0,0,0,0,2022-09-16
RX0000007875,MBR00000216,2023-01-17,2023-01-18,1568142338,1711980169,PLN6713,182625,PCN163,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,2,Retail,0,0,0,2.8,4.34,7.14,2.0,4.85,0.29,0.48,0.34,0,0,0,0,2023-01-24
RX0000007876,MBR00000216,2022-04-30,2022-05-01,1877566752,1423371935,PLN6096,991767,PCN542,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,9,Retail,0,0,0,7.5,5.07,12.57,7.0,4.86,0.71,0.3,0.2125,0,0,0,0,2022-05-30
RX0000007877,MBR00000216,2021-05-22,2021-05-26,1109404016,1395847915,PLN1061,899906,PCN612,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,7,Retail,0,0,0,18.0,4.68,22.68,39.0,0.0,1.05,0.72,0.51,0,0,0,0,2021-06-21
RX0000007878,MBR00000216,2021-05-19,2021-05-20,1998952699,1928438274,PLN1188,908689,PCN939,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,10,Mail Order,0,1,0,8.0,3.56,11.56,155.0,0.0,0.68,0.32,0.2267,0,0,0,0,2021-06-18
RX0000007879,MBR00000216,2023-06-03,2023-06-06,1865478094,1109097191,PLN3166,414378,PCN986,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,7,Retail,0,0,0,2.57,5.94,8.51,7.0,0.94,0.57,0.44,0.3117,0,0,0,0,2023-06-10
RX0000007880,MBR00000216,2022-07-24,2022-07-28,1192700234,1409271522,PLN8512,132963,PCN520,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,11,Mail Order,0,0,0,28.0,1.51,29.51,8.0,19.84,1.67,1.12,0.7933,0,1,0,0,2022-08-23
RX0000007881,MBR00000216,2022-06-23,2022-06-24,1894684009,1993439672,PLN8425,790964,PCN185,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,0,Mail Order,0,0,0,38.0,3.2,41.2,40.0,0.0,2.54,1.52,1.0767,0,0,0,0,2022-07-23
RX0000007882,MBR00000216,2022-01-07,2022-01-10,1881943399,1782612834,PLN9114,570030,PCN873,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,58,2,Retail,3,0,0,1500.0,6.67,1506.67,38.0,1389.29,79.38,30.0,21.25,0,0,0,0,2022-03-08
RX0000007883,MBR00000216,2023-03-25,2023-03-27,1221414264,1719778602,PLN4331,727054,PCN766,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,0,Mail Order,0,0,0,22.0,7.5,29.5,75.0,0.0,1.31,0.88,0.6233,0,0,0,0,2023-04-24
RX0000007884,MBR00000216,2022-04-01,2022-04-03,1777396612,1956940255,PLN8021,740355,PCN881,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,5,Specialty,0,0,0,18.0,20.37,38.37,31.0,7.37,0.0,0.72,0.51,1,0,0,0,2022-05-01
RX0000007885,MBR00000216,2022-05-13,2022-05-14,1853663966,1760236507,PLN5514,946667,PCN360,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,5,Retail,1,0,0,8.5,2.65,11.15,5.0,5.46,0.69,0.34,0.2408,0,0,0,0,2022-06-12
RX0000007886,MBR00000216,2022-09-30,2022-10-01,1388774036,1992078403,PLN4993,832190,PCN761,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,11,Retail,0,0,0,380.0,10.32,390.32,34.0,336.31,20.01,15.2,10.7667,0,0,0,0,2022-10-30
RX0000007887,MBR00000216,2023-06-29,2023-07-01,1417562375,1671733110,PLN9089,959297,PCN618,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,8,Retail,2,0,0,330.0,4.52,334.52,31.0,280.68,22.84,13.2,9.35,0,0,0,0,2023-07-29
RX0000007888,MBR00000216,2023-01-09,2023-01-10,1737513076,1320458432,PLN1052,527450,PCN791,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,84,10,Retail,0,0,0,45.0,3.8,48.8,10.0,35.86,2.94,0.6,0.425,0,0,0,0,2023-04-09
RX0000007889,MBR00000216,2022-12-22,2022-12-24,1853306142,1762409727,PLN6246,225367,PCN696,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,4,Mail Order,0,0,0,38.0,3.3,41.3,39.0,0.16,2.14,1.52,1.0767,0,0,0,0,2023-01-21
RX0000007890,MBR00000216,2022-12-20,2022-12-24,1899899372,1174171289,PLN4424,529990,PCN207,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,2,Retail,0,0,0,650.0,5.23,655.23,33.0,590.76,31.47,26.0,18.4167,0,0,0,0,2023-01-19
RX0000007891,MBR00000216,2023-06-26,2023-06-27,1284459598,1654235670,PLN8623,826878,PCN855,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,7,Mail Order,0,0,0,45.0,7.49,52.49,3.0,46.87,2.62,1.8,1.275,1,0,0,0,2023-07-26
RX0000007892,MBR00000216,2021-01-08,2021-01-09,1158459351,1107056953,PLN2649,734700,PCN447,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,98,1,Retail,0,0,0,114.0,4.26,118.26,10.0,104.27,3.99,1.52,1.0767,0,0,0,0,2021-04-08
RX0000007893,MBR00000216,2022-06-16,2022-06-20,1477400228,1879627230,PLN4922,558113,PCN647,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,1,Mail Order,0,1,0,12.0,10.78,22.78,150.0,0.0,1.15,0.48,0.34,0,0,0,0,2022-07-16
RX0000007894,MBR00000216,2022-03-23,2022-03-27,1743558849,1677291235,PLN6243,922703,PCN225,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,88,3,Retail,0,0,0,990.0,11.35,1001.35,36.0,933.99,31.36,13.2,9.35,0,0,0,0,2022-06-21
RX0000007895,MBR00000216,2023-01-05,2023-01-09,1962292982,1179230704,PLN8736,635681,PCN708,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,5,Mail Order,0,0,0,9.0,5.63,14.63,10.0,3.91,0.72,0.36,0.255,0,1,0,0,2023-02-04
RX0000007896,MBR00000216,2022-01-03,2022-01-04,1258035450,1785128501,PLN3736,662441,PCN877,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,62,1,Retail,0,0,0,18.0,4.07,22.07,4.0,17.3,0.77,0.36,0.255,0,0,0,0,2022-03-04
RX0000007897,MBR00000216,2022-04-22,2022-04-24,1960485681,1354976048,PLN6855,870648,PCN752,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,84,4,Mail Order,0,0,0,54.0,4.69,58.69,3.0,52.09,3.6,0.72,0.51,0,0,0,0,2022-07-21
RX0000007898,MBR00000216,2022-10-17,2022-10-18,1127620053,1700400131,PLN6561,715394,PCN411,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,1,Retail,0,0,0,12.0,4.45,16.45,5.0,10.44,1.01,0.48,0.34,0,0,0,0,2022-11-16
RX0000007899,MBR00000216,2021-11-03,2021-11-07,1470289679,1791097618,PLN2581,739900,PCN982,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,11,Mail Order,0,0,0,18.0,11.56,29.56,7.0,21.41,1.15,0.72,0.51,0,0,0,0,2021-12-03
RX0000007900,MBR00000216,2023-08-24,2023-08-26,1600263021,1732908900,PLN8433,545291,PCN448,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,64,5,Retail,0,0,0,20.0,10.93,30.93,9.0,20.52,1.41,0.4,0.2833,0,0,0,0,2023-10-23
RX0000007901,MBR00000216,2022-10-30,2022-10-31,1189828288,1767536482,PLN5786,402060,PCN621,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,2,Retail,0,0,0,45.0,4.53,49.53,5.0,42.84,1.69,1.8,1.275,0,0,0,0,2022-11-29
RX0000007902,MBR00000216,2023-06-03,2023-06-04,1374099730,1712126784,PLN6097,652698,PCN788,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,7,Retail,0,0,0,12.0,9.94,21.94,6.0,14.53,1.41,0.48,0.34,0,1,0,0,2023-07-03
RX0000007903,MBR00000216,2021-02-28,2021-03-03,1960460512,1192861822,PLN9634,470109,PCN487,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,90,8,Retail,0,0,0,1110.0,4.99,1114.99,34.0,1014.07,66.92,14.8,10.4833,0,0,0,0,2021-05-29
RX0000007904,MBR00000216,2023-02-25,2023-02-26,1938569767,1333319305,PLN7318,225495,PCN375,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,6,Mail Order,1,0,0,10.0,8.32,18.32,4.0,13.53,0.79,0.4,0.2833,0,0,0,0,2023-03-27
RX0000007905,MBR00000216,2023-09-22,2023-09-26,1162860870,1288240565,PLN3892,428322,PCN854,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,3,Retail,0,0,0,950.0,6.39,956.39,38.0,866.38,52.01,38.0,26.9167,0,0,0,0,2023-10-22
RX0000007906,MBR00000216,2021-07-20,2021-07-21,1560713257,1434967546,PLN2733,283039,PCN256,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,4,Specialty,1,0,0,175.0,16.31,191.31,34.0,157.31,0.0,7.0,4.9583,0,0,0,0,2021-08-19
RX0000007907,MBR00000216,2021-02-25,2021-02-27,1911003548,1508960199,PLN2282,258657,PCN200,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,4,Retail,3,0,0,10.0,9.27,19.27,9.0,9.38,0.89,0.4,0.2833,0,0,0,0,2021-03-27
RX0000007908,MBR00000216,2022-03-15,2022-03-18,1283267626,1293190610,PLN4768,408144,PCN932,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,84,10,Retail,0,0,0,45.0,4.95,49.95,5.0,41.71,3.24,0.6,0.425,0,0,0,0,2022-06-13
RX0000007909,MBR00000216,2022-01-15,2022-01-16,1914069819,1482792959,PLN3310,194860,PCN505,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,10,Retail,0,0,0,16.0,9.97,25.97,3.0,22.05,0.92,0.64,0.4533,0,0,0,0,2022-02-14
RX0000007910,MBR00000216,2022-04-10,2022-04-12,1352958233,1290380504,PLN5055,940501,PCN624,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,6,LTC,0,0,0,380.0,8.46,388.46,34.0,340.32,14.14,15.2,10.7667,0,0,0,0,2022-05-10
RX0000007911,MBR00000216,2021-01-07,2021-01-10,1903008937,1780699635,PLN4662,284127,PCN419,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,92,1,Retail,0,1,0,25500.0,4.67,25504.67,150.0,24474.47,880.2,340.0,240.8333,0,0,0,0,2021-04-07
RX0000007912,MBR00000216,2022-05-04,2022-05-08,1790679373,1133925426,PLN2569,467692,PCN259,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,9,Mail Order,0,0,0,16.0,3.04,19.04,2.0,16.12,0.92,0.64,0.4533,0,0,0,0,2022-06-03
RX0000007913,MBR00000216,2023-01-09,2023-01-12,1313428686,1639680168,PLN9075,358202,PCN616,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,8,Retail,0,0,0,380.0,11.1,391.1,38.0,339.21,13.89,15.2,10.7667,0,0,0,0,2023-02-08
RX0000007914,MBR00000216,2023-10-27,2023-10-29,1485162839,1483371811,PLN6163,427035,PCN539,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,91,7,Mail Order,0,0,0,37.5,11.28,48.78,10.0,36.48,2.3,0.5,0.3542,0,0,0,0,2024-01-25
RX0000007915,MBR00000216,2023-03-23,2023-03-27,1872400931,1533645121,PLN4174,375482,PCN192,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,63,9,Mail Order,0,0,0,350.0,10.86,360.86,33.0,316.94,10.92,7.0,4.9583,0,0,0,0,2023-05-22
RX0000007916,MBR00000216,2021-01-09,2021-01-13,1155658642,1582142716,PLN4373,765691,PCN518,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,3,Retail,0,0,0,950.0,6.73,956.73,36.0,889.58,31.15,38.0,26.9167,0,0,0,0,2021-02-08
RX0000007917,MBR00000216,2023-05-21,2023-05-22,1380570346,1531046981,PLN4806,612179,PCN720,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,1,Retail,0,0,0,5.13,11.41,16.55,73.0,0.0,0.73,0.88,0.6233,0,0,0,0,2023-05-28
RX0000007918,MBR00000216,2023-06-12,2023-06-13,1897756288,1502524164,PLN8656,541308,PCN136,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,4,Retail,0,0,0,310.0,9.05,319.05,36.0,262.65,20.4,12.4,8.7833,1,0,0,0,2023-07-12
RX0000007919,MBR00000216,2022-07-18,2022-07-22,1155834174,1802656825,PLN8362,166934,PCN714,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,7,Retail,0,0,0,15.0,3.93,18.93,2.0,15.92,1.01,0.6,0.425,0,1,0,0,2022-08-17
RX0000007920,MBR00000216,2022-04-12,2022-04-13,1128327517,1429056344,PLN7785,616980,PCN577,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,11,Retail,0,0,0,2.57,11.19,13.75,0.0,13.29,0.46,0.44,0.3117,0,0,0,0,2022-04-19
RX0000007921,MBR00000216,2021-10-15,2021-10-19,1237064597,1855426734,PLN3465,780742,PCN160,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,9,Retail,0,0,0,45.0,7.22,52.22,3.0,45.67,3.55,1.8,1.275,0,0,0,0,2021-11-14
RX0000007922,MBR00000216,2022-08-13,2022-08-15,1589344840,1139105168,PLN1733,972309,PCN813,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,11,Specialty,0,0,0,8.5,36.39,44.89,4.0,40.89,0.0,0.34,0.2408,0,0,0,0,2022-09-12
RX0000007923,MBR00000216,2021-08-02,2021-08-05,1699288681,1947436196,PLN6733,545853,PCN626,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,0,Retail,0,1,0,6200.0,5.43,6205.43,155.0,5678.67,371.76,248.0,175.6667,0,1,1,0,2021-09-01
RX0000007924,MBR00000216,2021-01-11,2021-01-15,1942734422,1367196040,PLN3795,540245,PCN669,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,94,0,Mail Order,0,0,0,45.0,2.72,47.72,7.0,37.54,3.18,0.6,0.425,0,0,0,0,2021-04-11
RX0000007925,MBR00000216,2023-10-16,2023-10-17,1700610298,1530386666,PLN2486,979773,PCN850,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,95,3,Retail,0,0,0,525.0,9.8,534.8,30.0,486.93,17.87,7.0,4.9583,0,0,0,0,2024-01-14
RX0000007926,MBR00000216,2022-10-14,2022-10-16,1862641127,1554872646,PLN9311,993623,PCN873,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,9,Specialty,0,0,0,10.0,24.39,34.39,5.0,29.39,0.0,0.4,0.2833,0,0,0,0,2022-11-13
RX0000007927,MBR00000216,2022-12-25,2022-12-26,1802822483,1743945872,PLN3571,685513,PCN474,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,2,Retail,0,0,0,43.17,7.21,50.38,40.0,7.44,2.94,7.4,5.2417,0,0,0,0,2023-01-01
RX0000007928,MBR00000216,2022-04-15,2022-04-16,1803444591,1438423648,PLN5731,760331,PCN846,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,5,Retail,3,0,0,195.0,7.86,202.86,40.0,154.8,8.06,2.6,1.8417,0,0,0,0,2022-07-14
RX0000007929,MBR00000216,2021-05-23,2021-05-24,1987226048,1292151785,PLN5814,114978,PCN494,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,60,2,Mail Order,0,0,0,76.0,4.8,80.8,33.0,43.56,4.24,1.52,1.0767,0,0,0,0,2021-07-22
RX0000007930,MBR00000217,2023-09-21,2023-09-24,1256571372,1471827704,PLN2063,706673,PCN998,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,87,0,LTC,0,0,0,25.5,11.59,37.09,2.0,33.47,1.62,0.34,0.2408,0,0,0,0,2023-12-20
RX0000007931,MBR00000217,2022-12-21,2022-12-24,1923399163,1891065559,PLN5691,942492,PCN798,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,0,Specialty,0,0,0,4.2,49.31,53.51,0.0,53.51,0.0,0.72,0.51,0,0,0,0,2022-12-28
RX0000007932,MBR00000217,2021-01-29,2021-02-02,1450653662,1984491896,PLN9967,294340,PCN236,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,10,Mail Order,0,0,0,22.0,10.72,32.72,68.0,0.0,2.2,0.88,0.6233,0,0,0,0,2021-02-28
RX0000007933,MBR00000217,2021-10-21,2021-10-24,1878842529,1557226734,PLN1171,668785,PCN432,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,93,10,Retail,0,0,0,33.0,7.42,40.42,9.0,28.76,2.66,0.44,0.3117,0,0,0,0,2022-01-19
RX0000007934,MBR00000217,2021-04-10,2021-04-12,1762567349,1309410107,PLN1086,253219,PCN911,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,8,Retail,0,1,0,8500.0,9.07,8509.07,150.0,8054.26,304.81,340.0,240.8333,0,0,0,0,2021-05-10
RX0000007935,MBR00000217,2023-05-06,2023-05-09,1110964260,1598008702,PLN4194,912851,PCN123,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,0,Retail,3,0,0,14.0,7.6,21.6,8.0,12.74,0.86,0.56,0.3967,0,0,0,0,2023-06-05
RX0000007936,MBR00000217,2021-12-18,2021-12-22,1136738464,1490458292,PLN7306,258828,PCN900,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,5,Mail Order,0,0,0,4.2,7.43,11.63,4.0,6.84,0.79,0.72,0.51,0,0,0,0,2021-12-25
RX0000007937,MBR00000217,2023-12-31,2024-01-04,1200764852,1336569343,PLN4451,814513,PCN698,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,94,8,Mail Order,2,0,0,555.0,4.98,559.98,39.0,484.76,36.22,7.4,5.2417,0,0,0,0,2024-03-30
RX0000007938,MBR00000217,2022-07-24,2022-07-25,1206691614,1716415323,PLN6516,212596,PCN214,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,11,Mail Order,0,0,0,12.5,9.08,21.58,4.0,16.66,0.92,0.5,0.3542,0,0,0,0,2022-08-23
RX0000007939,MBR00000217,2021-10-22,2021-10-23,1702816238,1164970552,PLN8360,676527,PCN992,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,56,1,Mail Order,1,0,0,18.0,3.88,21.88,8.0,13.0,0.88,0.36,0.255,0,0,0,0,2021-12-21
RX0000007940,MBR00000217,2021-07-27,2021-07-30,1538693622,1649369555,PLN2265,705452,PCN229,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,3,Mail Order,3,0,0,2.8,5.65,8.45,5.0,3.03,0.42,0.48,0.34,0,0,0,0,2021-08-03
RX0000007941,MBR00000217,2023-01-24,2023-01-25,1591784839,1682065935,PLN6598,279087,PCN746,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,6,Retail,0,0,0,7.5,9.68,17.18,6.0,10.18,1.0,0.3,0.2125,0,0,0,0,2023-02-23
RX0000007942,MBR00000217,2022-12-01,2022-12-02,1246111015,1373875399,PLN7665,316607,PCN515,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,85,0,Retail,0,0,0,1110.0,11.55,1121.55,40.0,1031.9,49.65,14.8,10.4833,0,0,0,0,2023-03-01
RX0000007943,MBR00000217,2023-06-16,2023-06-17,1545120139,1204027288,PLN1233,226599,PCN965,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,11,Mail Order,0,0,0,15.0,8.94,23.94,1.0,21.63,1.31,0.6,0.425,0,0,0,0,2023-07-16
RX0000007944,MBR00000217,2023-08-27,2023-08-31,1106953870,1796202771,PLN8593,852811,PCN212,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,4,Mail Order,0,0,0,112.0,4.96,116.96,34.0,79.34,3.62,19.2,13.6,0,0,0,0,2023-09-03
RX0000007945,MBR00000217,2021-11-30,2021-12-02,1978055875,1443238236,PLN3410,697785,PCN388,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,1,Retail,0,0,0,22.0,11.16,33.16,6.0,25.91,1.25,0.88,0.6233,0,0,0,0,2021-12-30
RX0000007946,MBR00000217,2021-05-13,2021-05-17,1344162180,1906665419,PLN5579,374543,PCN913,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,91,6,Retail,0,0,0,135.0,7.68,142.68,5.0,128.33,9.35,1.8,1.275,0,0,0,0,2021-08-11
RX0000007947,MBR00000218,2022-12-27,2022-12-30,1822455952,1699814352,PLN2140,223936,PCN357,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,10,Retail,0,0,0,12.5,2.13,14.63,10.0,3.66,0.97,0.5,0.3542,0,0,0,0,2023-01-26
RX0000007948,MBR00000218,2022-09-21,2022-09-24,1238297162,1410200785,PLN7874,564706,PCN374,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,0,Mail Order,0,0,0,72.33,2.26,74.59,30.0,42.24,2.35,12.4,8.7833,0,1,1,0,2022-09-28
RX0000007949,MBR00000218,2022-07-19,2022-07-20,1343345596,1261205471,PLN3845,496917,PCN479,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,82,11,Specialty,3,0,0,855.0,10.94,865.94,35.0,830.94,0.0,11.4,8.075,0,0,0,0,2022-10-17
RX0000007950,MBR00000218,2021-07-11,2021-07-14,1770171398,1645645568,PLN3827,195339,PCN802,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,10,Retail,0,0,0,320.0,2.56,322.56,40.0,264.08,18.48,12.8,9.0667,0,0,0,0,2021-08-10
RX0000007951,MBR00000218,2022-12-22,2022-12-24,1615338362,1916922328,PLN5842,210866,PCN230,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,1,Retail,0,0,0,10.0,11.97,21.97,6.0,15.13,0.84,0.4,0.2833,0,0,0,0,2023-01-21
RX0000007952,MBR00000218,2022-03-28,2022-03-29,1983408845,1112540832,PLN4135,798723,PCN278,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,60,3,Mail Order,0,0,0,44.0,5.31,49.31,0.0,46.44,2.87,0.88,0.6233,1,0,0,0,2022-05-27
RX0000007953,MBR00000218,2023-10-04,2023-10-08,1373155863,1946099605,PLN4141,637210,PCN818,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,3,Retail,0,1,0,6200.0,5.84,6205.84,154.0,5675.95,375.89,248.0,175.6667,0,0,0,0,2023-11-03
RX0000007954,MBR00000218,2023-01-01,2023-01-02,1508868105,1738883341,PLN7207,448344,PCN184,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,56,4,Retail,0,0,0,44.0,10.27,54.27,74.0,0.0,3.08,0.88,0.6233,0,0,0,0,2023-03-02
RX0000007955,MBR00000218,2022-02-07,2022-02-11,1352978797,1629237266,PLN3353,463999,PCN925,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,81,11,Retail,0,0,0,525.0,2.5,527.5,35.0,473.01,19.49,7.0,4.9583,0,0,0,0,2022-05-08
RX0000007956,MBR00000218,2023-01-12,2023-01-16,1507480054,1871137585,PLN5695,344875,PCN539,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,6,Retail,0,0,1,480.0,4.94,484.94,32.0,432.12,20.82,19.2,13.6,1,0,0,0,2023-02-11
RX0000007957,MBR00000218,2023-04-12,2023-04-13,1936933974,1275732249,PLN1044,872188,PCN260,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,11,Mail Order,0,0,0,750.0,5.1,755.1,34.0,671.65,49.45,30.0,21.25,0,0,0,0,2023-05-12
RX0000007958,MBR00000218,2023-06-30,2023-07-01,1118284112,1732035474,PLN2114,745283,PCN555,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,1,Mail Order,0,0,0,65.0,8.98,73.98,38.0,30.9,5.08,2.6,1.8417,0,0,0,0,2023-07-30
RX0000007959,MBR00000218,2023-04-08,2023-04-11,1512531100,1612137340,PLN9954,925441,PCN633,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,9,Retail,0,0,0,45.0,8.44,53.44,3.0,47.93,2.51,1.8,1.275,0,0,0,0,2023-05-08
RX0000007960,MBR00000218,2022-05-20,2022-05-23,1378916302,1778823125,PLN6010,653229,PCN356,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,5,Mail Order,0,0,0,330.0,11.97,341.97,32.0,290.87,19.1,13.2,9.35,1,0,0,0,2022-06-19
RX0000007961,MBR00000218,2021-05-28,2021-06-01,1615974271,1148744774,PLN1002,517347,PCN408,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,90,6,LTC,3,0,0,855.0,11.22,866.22,36.0,798.21,32.01,11.4,8.075,0,0,0,0,2021-08-26
RX0000007962,MBR00000218,2022-03-31,2022-04-01,1396437415,1454427958,PLN8598,252901,PCN595,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,7,Mail Order,0,0,0,38.0,4.55,42.55,38.0,2.75,1.8,1.52,1.0767,0,0,0,0,2022-04-30
RX0000007963,MBR00000218,2023-08-18,2023-08-21,1517360283,1419888925,PLN3887,619859,PCN464,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,98,1,Retail,0,0,0,1140.0,9.5,1149.5,35.0,1055.94,58.56,15.2,10.7667,0,0,0,0,2023-11-16
RX0000007964,MBR00000219,2022-01-30,2022-02-03,1580038161,1964479914,PLN6173,573500,PCN893,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,3,Retail,0,1,0,2800.0,9.32,2809.32,151.0,2471.43,186.89,112.0,79.3333,0,0,0,0,2022-03-01
RX0000007965,MBR00000219,2023-05-31,2023-06-03,1355099380,1375471897,PLN2363,700124,PCN727,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,6,Retail,0,0,0,65.0,4.33,69.33,36.0,29.18,4.15,2.6,1.8417,0,0,0,0,2023-06-30
RX0000007966,MBR00000219,2021-04-19,2021-04-23,1571859324,1976715464,PLN4855,769988,PCN780,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,3,Retail,0,0,0,750.0,10.3,760.3,36.0,687.57,36.73,30.0,21.25,0,0,0,0,2021-05-19
RX0000007967,MBR00000219,2022-05-28,2022-05-30,1930633992,1634016320,PLN2413,265364,PCN256,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,1,Retail,2,0,0,11.0,9.07,20.07,10.0,8.79,1.28,0.44,0.3117,1,0,0,0,2022-06-27
RX0000007968,MBR00000219,2022-07-02,2022-07-06,1113379579,1800993263,PLN8549,651646,PCN633,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,0,Retail,0,0,0,86.33,10.15,96.48,33.0,59.3,4.18,14.8,10.4833,0,0,0,0,2022-07-09
RX0000007969,MBR00000219,2023-05-10,2023-05-13,1938149204,1452829753,PLN7087,241376,PCN800,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,81,10,Retail,0,0,0,84.0,7.04,91.04,6.0,80.61,4.43,1.12,0.7933,0,0,0,0,2023-08-08
RX0000007970,MBR00000219,2023-07-11,2023-07-12,1856590020,1745353257,PLN9254,504022,PCN531,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,83,1,Retail,0,0,0,1140.0,5.46,1145.46,34.0,1061.09,50.37,15.2,10.7667,0,0,0,0,2023-10-09
RX0000007971,MBR00000219,2021-03-08,2021-03-09,1336955373,1953412338,PLN3852,857562,PCN126,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,0,Mail Order,0,0,0,7.5,7.83,15.33,2.0,12.64,0.69,0.3,0.2125,0,0,0,0,2021-04-07
RX0000007972,MBR00000219,2022-06-24,2022-06-27,1499451845,1521674092,PLN2265,189361,PCN864,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,2,Retail,0,0,0,4.2,1.85,6.05,7.0,0.0,0.38,0.72,0.51,0,0,0,0,2022-07-01
RX0000007973,MBR00000219,2022-02-11,2022-02-13,1462897455,1675662711,PLN6902,844412,PCN277,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,0,Retail,2,0,0,18.0,6.17,24.17,7.0,15.54,1.63,0.72,0.51,0,0,0,0,2022-03-13
RX0000007974,MBR00000219,2023-01-07,2023-01-08,1901794442,1248182557,PLN5890,608510,PCN978,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,4,Retail,3,0,0,16.0,3.07,19.07,9.0,9.11,0.96,0.64,0.4533,0,0,0,0,2023-02-06
RX0000007975,MBR00000219,2021-06-13,2021-06-16,1548717126,1918570421,PLN9393,242646,PCN986,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,3,Retail,0,0,0,750.0,6.95,756.95,31.0,677.35,48.6,30.0,21.25,0,0,0,0,2021-07-13
RX0000007976,MBR00000219,2022-09-19,2022-09-21,1719860912,1140185613,PLN3970,446821,PCN195,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,96,9,Mail Order,0,0,0,525.0,11.84,536.84,39.0,467.38,30.46,7.0,4.9583,0,0,0,0,2022-12-18
RX0000007977,MBR00000219,2022-02-07,2022-02-10,1640438406,1164815204,PLN5962,433804,PCN748,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,1,Retail,0,0,0,112.0,2.65,114.65,33.0,78.07,3.58,19.2,13.6,0,0,0,0,2022-02-14
RX0000007978,MBR00000219,2021-06-19,2021-06-23,1368047007,1901840636,PLN4422,667380,PCN329,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,82,6,Specialty,0,0,0,990.0,44.06,1034.06,32.0,1002.06,0.0,13.2,9.35,0,0,0,0,2021-09-17
RX0000007979,MBR00000219,2021-07-16,2021-07-20,1741813344,1861848321,PLN2130,567239,PCN311,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,8,Mail Order,0,0,0,18.0,2.35,20.35,3.0,16.36,0.99,0.72,0.51,0,0,0,0,2021-08-15
RX0000007980,MBR00000219,2022-11-05,2022-11-06,1248932221,1848314683,PLN2232,627393,PCN444,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,2,Mail Order,0,0,0,10.0,11.54,21.54,0.0,20.3,1.24,0.4,0.2833,0,0,0,0,2022-12-05
RX0000007981,MBR00000219,2023-12-18,2023-12-21,1627064975,1942881786,PLN1873,582310,PCN433,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,3,Retail,0,0,0,10.0,9.11,19.11,7.0,11.5,0.61,0.4,0.2833,0,0,0,0,2024-01-17
RX0000007982,MBR00000219,2022-01-28,2022-01-29,1808457511,1145282878,PLN3776,170736,PCN290,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,55,4,Retail,0,0,0,28.0,8.51,36.51,1.0,33.83,1.68,0.56,0.3967,0,0,0,0,2022-03-29
RX0000007983,MBR00000219,2023-11-30,2023-12-03,1251634132,1619042078,PLN1760,935710,PCN737,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,6,Retail,0,0,0,10.0,2.45,12.45,7.0,4.58,0.87,0.4,0.2833,0,1,0,0,2023-12-30
RX0000007984,MBR00000219,2022-01-25,2022-01-28,1335080527,1348954247,PLN7203,623869,PCN793,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,81,7,Retail,0,0,0,33.0,11.79,44.79,3.0,40.28,1.51,0.44,0.3117,0,0,0,0,2022-04-25
RX0000007985,MBR00000219,2021-01-06,2021-01-09,1749911093,1293416801,PLN8782,265292,PCN100,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,3,Mail Order,1,0,1,7.5,8.63,16.13,4.0,11.01,1.12,0.3,0.2125,0,0,0,0,2021-02-05
RX0000007986,MBR00000219,2023-02-14,2023-02-16,1360013307,1453320068,PLN8774,175586,PCN217,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,85,11,Retail,0,1,0,8400.0,8.25,8408.25,151.0,7798.57,458.68,112.0,79.3333,0,0,0,0,2023-05-15
RX0000007987,MBR00000219,2021-11-22,2021-11-23,1584375222,1751355661,PLN3324,981148,PCN151,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,92,9,Mail Order,0,0,0,36.0,3.05,39.05,4.0,33.3,1.75,0.48,0.34,1,1,0,0,2022-02-20
RX0000007988,MBR00000219,2021-06-28,2021-06-29,1373262428,1862815381,PLN8161,391075,PCN438,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,61,5,Mail Order,0,0,0,90.0,2.03,92.03,3.0,83.09,5.94,1.8,1.275,0,0,0,0,2021-08-27
RX0000007989,MBR00000219,2023-11-24,2023-11-25,1632307458,1742538317,PLN1763,680798,PCN582,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,10,Retail,0,0,0,7.5,10.47,17.97,6.0,10.85,1.12,0.3,0.2125,1,0,0,0,2023-12-24
RX0000007990,MBR00000219,2021-12-06,2021-12-08,1489014918,1708875690,PLN6044,837308,PCN805,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,9,Mail Order,0,0,0,11.0,5.2,16.2,8.0,7.57,0.63,0.44,0.3117,0,0,0,0,2022-01-05
RX0000007991,MBR00000219,2021-07-28,2021-07-30,1442876141,1655517026,PLN1629,164449,PCN938,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,89,7,Mail Order,0,0,0,37.5,4.51,42.01,7.0,33.66,1.35,0.5,0.3542,0,0,0,0,2021-10-26
RX0000007992,MBR00000219,2022-03-26,2022-03-28,1930273315,1236339748,PLN4331,591296,PCN426,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,57,9,Retail,0,0,0,1500.0,5.76,1505.76,30.0,1371.54,104.22,30.0,21.25,0,0,0,0,2022-05-25
RX0000007993,MBR00000219,2023-03-11,2023-03-14,1933455176,1831521317,PLN2902,643114,PCN101,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,58,10,Retail,0,0,0,24.0,7.03,31.03,10.0,19.34,1.69,0.48,0.34,0,0,0,0,2023-05-10
RX0000007994,MBR00000219,2021-11-17,2021-11-19,1494200091,1802547340,PLN8841,983249,PCN374,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,0,Mail Order,0,0,0,650.0,5.9,655.9,35.0,594.2,26.7,26.0,18.4167,0,0,0,0,2021-12-17
RX0000007995,MBR00000219,2023-07-16,2023-07-19,1625332830,1836994240,PLN1748,659217,PCN490,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,4,Retail,0,0,0,10.0,9.75,19.75,5.0,14.05,0.7,0.4,0.2833,0,0,0,0,2023-08-15
RX0000007996,MBR00000219,2023-07-31,2023-08-02,1113497394,1263890446,PLN5980,384263,PCN524,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,84,2,Retail,0,0,0,855.0,5.83,860.83,38.0,778.73,44.1,11.4,8.075,0,0,0,0,2023-10-29
RX0000007997,MBR00000219,2022-08-09,2022-08-11,1541750461,1720120299,PLN7788,421264,PCN583,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,0,Mail Order,0,0,0,2.33,9.45,11.79,8.0,3.42,0.37,0.4,0.2833,0,0,0,0,2022-08-16
RX0000007998,MBR00000219,2021-05-23,2021-05-26,1920313403,1133759922,PLN2520,511949,PCN571,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,97,11,Retail,0,0,0,525.0,9.29,534.29,39.0,471.75,23.54,7.0,4.9583,0,0,0,0,2021-08-21
RX0000007999,MBR00000219,2022-11-10,2022-11-12,1749346005,1254306381,PLN3178,101189,PCN180,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,2,Retail,0,0,0,320.0,5.15,325.15,34.0,273.71,17.44,12.8,9.0667,0,0,0,0,2022-12-10
RX0000008000,MBR00000219,2021-03-03,2021-03-06,1998382279,1936084794,PLN3685,973840,PCN919,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,93,4,Retail,0,0,0,42.0,2.6,44.6,2.0,40.98,1.62,0.56,0.3967,0,0,0,0,2021-06-01
RX0000008001,MBR00000219,2021-07-13,2021-07-17,1725983183,1680683826,PLN4135,444311,PCN218,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,94,4,Retail,0,0,0,930.0,11.0,941.0,30.0,849.15,61.85,12.4,8.7833,0,0,0,0,2021-10-11
RX0000008002,MBR00000219,2023-01-14,2023-01-18,1107104692,1808639472,PLN7605,900845,PCN797,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,10,Retail,0,0,0,10.0,7.42,17.42,6.0,10.27,1.15,0.4,0.2833,0,0,0,0,2023-02-13
RX0000008003,MBR00000219,2021-11-22,2021-11-24,1392863183,1517244896,PLN8926,495731,PCN819,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,97,10,Specialty,3,0,0,42.0,16.71,58.71,2.0,56.71,0.0,0.56,0.3967,0,0,0,0,2022-02-20
RX0000008004,MBR00000219,2023-04-14,2023-04-18,1710717368,1445161778,PLN2865,906358,PCN271,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,83,6,Retail,3,0,0,960.0,7.37,967.37,32.0,883.09,52.28,12.8,9.0667,0,0,0,0,2023-07-13
RX0000008005,MBR00000219,2023-12-09,2023-12-13,1234314370,1275828451,PLN2902,252470,PCN942,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,10,Mail Order,1,0,0,330.0,1.57,331.57,39.0,277.97,14.6,13.2,9.35,0,0,0,0,2024-01-08
RX0000008006,MBR00000219,2022-02-09,2022-02-10,1632276263,1848527611,PLN3182,823731,PCN725,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,5,Retail,0,0,0,12.0,4.77,16.77,4.0,11.7,1.07,0.48,0.34,0,0,0,0,2022-03-11
RX0000008007,MBR00000219,2023-02-10,2023-02-14,1939368579,1940634673,PLN9662,870496,PCN820,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,83,6,LTC,0,0,0,66.0,9.81,75.81,66.0,5.15,4.66,0.88,0.6233,0,0,0,0,2023-05-11
RX0000008008,MBR00000219,2023-11-22,2023-11-26,1527657439,1388493877,PLN7504,863746,PCN619,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,0,Specialty,1,0,0,2.33,23.91,26.24,0.0,26.24,0.0,0.4,0.2833,0,0,0,0,2023-11-29
RX0000008009,MBR00000219,2023-03-17,2023-03-18,1744412709,1471794798,PLN4937,871372,PCN611,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,2,Retail,0,0,0,330.0,4.76,334.76,36.0,281.81,16.95,13.2,9.35,0,0,0,0,2023-04-16
RX0000008010,MBR00000219,2022-01-21,2022-01-24,1732496114,1349319797,PLN8677,377755,PCN976,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,1,Retail,0,0,0,28.0,2.31,30.31,0.0,28.58,1.73,1.12,0.7933,0,0,0,0,2022-02-20
RX0000008011,MBR00000219,2023-03-27,2023-03-30,1393977362,1506405339,PLN4547,119301,PCN652,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,4,Retail,0,0,0,22.0,4.29,26.29,71.0,0.0,1.67,0.88,0.6233,0,0,0,0,2023-04-26
RX0000008012,MBR00000219,2023-07-03,2023-07-05,1771188243,1604140230,PLN4174,539337,PCN978,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,3,Retail,0,0,0,950.0,11.89,961.89,34.0,895.91,31.98,38.0,26.9167,0,0,0,0,2023-08-02
RX0000008013,MBR00000219,2022-02-28,2022-03-04,1808970973,1877071881,PLN8780,101243,PCN492,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,85,2,Mail Order,0,0,0,1440.0,2.11,1442.11,30.0,1318.15,93.96,19.2,13.6,0,0,0,0,2022-05-29
RX0000008014,MBR00000219,2023-10-20,2023-10-23,1880057206,1610185530,PLN9348,507275,PCN594,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,88,6,Retail,0,0,0,135.0,4.54,139.54,5.0,127.06,7.48,1.8,1.275,0,0,0,0,2024-01-18
RX0000008015,MBR00000219,2023-10-08,2023-10-12,1951341678,1348747449,PLN6669,295548,PCN443,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,7,Specialty,0,0,0,9.0,32.6,41.6,9.0,32.6,0.0,0.36,0.255,0,0,0,0,2023-11-07
RX0000008016,MBR00000219,2022-04-25,2022-04-27,1461676017,1492382378,PLN8605,697949,PCN867,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,85,4,Mail Order,0,0,0,54.0,10.31,64.31,3.0,57.28,4.03,0.72,0.51,0,0,0,0,2022-07-24
RX0000008017,MBR00000219,2022-02-23,2022-02-26,1722255449,1692885556,PLN9227,136646,PCN640,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,90,1,Retail,0,1,0,8400.0,1.77,8401.77,149.0,7730.66,522.11,112.0,79.3333,0,0,0,0,2022-05-24
RX0000008018,MBR00000219,2022-04-08,2022-04-10,1718224478,1521736363,PLN5249,488215,PCN215,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,96,2,Mail Order,0,0,0,1440.0,10.05,1450.05,39.0,1321.73,89.32,19.2,13.6,0,0,0,0,2022-07-07
RX0000008019,MBR00000219,2023-04-09,2023-04-11,1856812996,1399367317,PLN9810,169035,PCN898,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,88,7,Retail,0,0,0,114.0,2.26,116.26,36.0,74.0,6.26,1.52,1.0767,0,0,0,0,2023-07-08
RX0000008020,MBR00000219,2022-06-20,2022-06-23,1593658077,1619991814,PLN8727,830650,PCN470,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,10,Mail Order,1,0,0,4.2,6.07,10.27,1.0,8.84,0.43,0.72,0.51,0,0,0,0,2022-06-27
RX0000008021,MBR00000219,2021-05-10,2021-05-14,1524593019,1958072950,PLN1129,214558,PCN217,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,7,Mail Order,0,0,0,15.0,1.96,16.96,3.0,13.1,0.86,0.6,0.425,0,0,0,0,2021-06-09
RX0000008022,MBR00000219,2022-11-28,2022-12-01,1601204284,1893533940,PLN8016,217956,PCN257,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,2,Retail,0,0,0,14.0,1.73,15.73,10.0,5.14,0.59,0.56,0.3967,0,0,0,0,2022-12-28
RX0000008023,MBR00000219,2021-09-07,2021-09-11,1974181411,1850514961,PLN5056,622886,PCN534,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,82,2,Retail,0,0,0,66.0,4.23,70.23,74.0,0.0,3.94,0.88,0.6233,0,0,0,0,2021-12-06
RX0000008024,MBR00000219,2023-03-14,2023-03-16,1462806521,1995595745,PLN5157,254961,PCN780,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,54,5,Mail Order,0,0,0,28.0,5.59,33.59,1.0,30.85,1.74,0.56,0.3967,0,0,0,0,2023-05-13
RX0000008025,MBR00000219,2022-11-30,2022-12-03,1731550523,1509728877,PLN3825,494321,PCN879,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,9,Retail,0,0,0,42.0,11.56,53.56,4.0,46.74,2.82,0.56,0.3967,0,0,0,0,2023-02-28
RX0000008026,MBR00000219,2022-01-12,2022-01-15,1361720881,1379830980,PLN8208,704162,PCN554,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,10,Mail Order,0,1,0,653.33,3.98,657.31,148.0,486.24,23.07,112.0,79.3333,0,0,0,0,2022-01-19
RX0000008027,MBR00000219,2021-04-23,2021-04-26,1698460414,1497047255,PLN2376,518643,PCN253,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,57,2,Mail Order,0,0,0,350.0,8.02,358.02,40.0,295.51,22.51,7.0,4.9583,0,0,0,0,2021-06-22
RX0000008028,MBR00000219,2021-05-31,2021-06-04,1476047953,1362983895,PLN7959,573796,PCN569,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,57,11,Retail,0,0,0,640.0,6.31,646.31,31.0,570.8,44.51,12.8,9.0667,0,0,0,0,2021-07-30
RX0000008029,MBR00000219,2021-10-30,2021-11-01,1187854875,1262776170,PLN8444,753764,PCN107,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,11,Specialty,0,0,0,10.0,13.84,23.84,0.0,23.84,0.0,0.4,0.2833,0,0,0,0,2021-11-29
RX0000008030,MBR00000219,2023-01-11,2023-01-13,1564988152,1898284009,PLN7639,443366,PCN653,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,1,Specialty,1,1,0,12.0,9.11,21.11,151.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-02-10
RX0000008031,MBR00000219,2022-04-02,2022-04-04,1611579307,1592983576,PLN3301,817422,PCN733,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,7,Mail Order,0,0,0,14.0,5.21,19.21,4.0,14.48,0.73,0.56,0.3967,0,0,0,0,2022-05-02
RX0000008032,MBR00000219,2021-03-01,2021-03-05,1599850935,1928971565,PLN1186,896490,PCN551,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,65,0,Retail,0,0,1,36.0,4.13,40.13,1.0,36.34,2.79,0.72,0.51,0,0,0,0,2021-04-30
RX0000008033,MBR00000219,2022-08-09,2022-08-11,1494892322,1290275119,PLN8499,855460,PCN957,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,0,Retail,0,0,0,8.5,7.56,16.06,9.0,6.2,0.86,0.34,0.2408,0,1,0,0,2022-09-08
RX0000008034,MBR00000219,2023-06-18,2023-06-22,1580867923,1928163258,PLN5999,542311,PCN847,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,7,Retail,0,0,0,320.0,3.62,323.62,38.0,269.9,15.72,12.8,9.0667,0,0,0,0,2023-07-18
RX0000008035,MBR00000219,2022-01-22,2022-01-24,1837145452,1378112718,PLN3758,653702,PCN982,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,1,Retail,2,1,0,8.0,6.84,14.84,153.0,0.0,1.04,0.32,0.2267,0,0,0,0,2022-02-21
RX0000008036,MBR00000219,2022-12-05,2022-12-09,1170081372,1315718232,PLN7985,993394,PCN868,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,86,5,Retail,0,0,0,930.0,11.07,941.07,30.0,869.81,41.26,12.4,8.7833,0,0,0,0,2023-03-05
RX0000008037,MBR00000219,2021-08-09,2021-08-12,1265494951,1497008489,PLN6874,284761,PCN937,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,63,7,Retail,0,0,0,36.0,7.4,43.4,34.0,7.89,1.51,0.72,0.51,1,0,0,0,2021-10-08
RX0000008038,MBR00000219,2021-02-02,2021-02-04,1838059285,1869208808,PLN5719,696937,PCN917,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,54,1,Retail,0,1,0,16.0,7.7,23.7,152.0,0.0,0.99,0.32,0.2267,0,0,0,0,2021-04-03
RX0000008039,MBR00000219,2021-09-11,2021-09-15,1329654879,1737211027,PLN4743,765031,PCN178,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,0,Retail,0,0,0,18.0,2.36,20.36,3.0,16.41,0.95,0.72,0.51,0,0,0,0,2021-10-11
RX0000008040,MBR00000219,2023-05-14,2023-05-15,1149113548,1945135865,PLN9306,793280,PCN126,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,85,7,Retail,0,0,0,990.0,5.22,995.22,37.0,892.83,65.39,13.2,9.35,1,0,0,0,2023-08-12
RX0000008041,MBR00000219,2023-04-30,2023-05-03,1641693949,1328932008,PLN2573,154937,PCN430,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,85,6,Retail,0,0,0,54.0,1.89,55.89,6.0,46.89,3.0,0.72,0.51,0,0,0,0,2023-07-29
RX0000008042,MBR00000219,2022-08-25,2022-08-27,1539821810,1276516088,PLN1496,567495,PCN587,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,1,Mail Order,0,0,0,45.0,4.84,49.84,3.0,44.22,2.62,1.8,1.275,0,0,0,0,2022-09-24
RX0000008043,MBR00000219,2022-10-19,2022-10-21,1573690207,1688492297,PLN3865,577914,PCN545,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,11,Mail Order,0,0,0,38.0,9.67,47.67,0.0,44.92,2.75,1.52,1.0767,0,0,0,0,2022-11-18
RX0000008044,MBR00000219,2023-03-02,2023-03-03,1288810521,1737138958,PLN2412,350955,PCN138,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,3,Specialty,0,0,0,10.0,35.45,45.45,5.0,40.45,0.0,0.4,0.2833,0,0,0,0,2023-04-01
RX0000008045,MBR00000220,2022-05-13,2022-05-15,1473952024,1827232459,PLN6817,833888,PCN425,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,9,Retail,0,1,0,8.0,11.8,19.8,151.0,0.0,1.02,0.32,0.2267,0,1,1,0,2022-06-12
RX0000008046,MBR00000220,2022-03-22,2022-03-26,1161990364,1518058971,PLN8254,731192,PCN671,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,90,7,Mail Order,0,0,0,555.0,7.66,562.66,37.0,500.83,24.83,7.4,5.2417,0,0,0,0,2022-06-20
RX0000008047,MBR00000220,2021-09-11,2021-09-15,1598522021,1793715415,PLN6901,987087,PCN895,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,2,Retail,2,0,0,10.0,10.86,20.86,0.0,20.09,0.77,0.4,0.2833,0,0,0,0,2021-10-11
RX0000008048,MBR00000220,2021-08-02,2021-08-06,1811500558,1494099789,PLN9131,409759,PCN198,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,90,4,Mail Order,0,0,0,45.0,11.5,56.5,8.0,45.11,3.39,0.6,0.425,0,0,0,0,2021-10-31
RX0000008049,MBR00000220,2021-08-23,2021-08-24,1505749033,1571748698,PLN7943,127359,PCN942,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,10,Retail,0,0,0,9.0,10.84,19.84,3.0,15.77,1.07,0.36,0.255,0,0,0,0,2021-09-22
RX0000008050,MBR00000220,2023-08-16,2023-08-18,1482568950,1530458778,PLN3872,267681,PCN877,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,2,Retail,0,0,0,10.5,3.84,14.34,4.0,9.88,0.46,1.8,1.275,0,0,0,0,2023-08-23
RX0000008051,MBR00000220,2023-01-28,2023-02-01,1536960249,1119254077,PLN2190,140880,PCN245,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,3,Retail,0,0,0,9.0,9.56,18.56,5.0,12.27,1.29,0.36,0.255,0,0,0,0,2023-02-27
RX0000008052,MBR00000220,2022-06-25,2022-06-27,1780074956,1182005578,PLN7256,478990,PCN342,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,4,Retail,2,0,0,28.0,6.98,34.98,5.0,28.23,1.75,1.12,0.7933,0,0,0,0,2022-07-25
RX0000008053,MBR00000220,2022-11-07,2022-11-09,1776241103,1894836179,PLN7094,683171,PCN793,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,90,7,Retail,0,1,0,36.0,6.32,42.32,147.0,0.0,1.3,0.48,0.34,0,0,0,0,2023-02-05
RX0000008054,MBR00000220,2021-01-14,2021-01-16,1681621372,1768085632,PLN6809,589773,PCN723,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,7,Mail Order,0,0,0,14.0,4.76,18.76,8.0,10.14,0.62,0.56,0.3967,1,0,0,0,2021-02-13
RX0000008055,MBR00000220,2021-11-14,2021-11-17,1301214846,1545256551,PLN9121,195594,PCN391,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,86,10,Mail Order,0,0,0,42.0,9.75,51.75,7.0,42.03,2.72,0.56,0.3967,0,0,0,0,2022-02-12
RX0000008056,MBR00000220,2021-02-04,2021-02-08,1732381407,1781619647,PLN2204,471688,PCN278,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,65,2,Retail,0,0,0,1300.0,6.52,1306.52,30.0,1207.78,68.74,26.0,18.4167,0,0,0,0,2021-04-05
RX0000008057,MBR00000220,2022-01-29,2022-01-30,1439200334,1565555812,PLN3628,219155,PCN790,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,6,Retail,0,0,0,480.0,3.99,483.99,34.0,423.1,26.89,19.2,13.6,1,0,0,0,2022-02-28
RX0000008058,MBR00000220,2021-04-26,2021-04-28,1441832559,1425641617,PLN5994,552285,PCN310,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,11,Retail,0,0,0,22.0,4.49,26.49,67.0,0.0,0.92,0.88,0.6233,0,0,0,0,2021-05-26
RX0000008059,MBR00000220,2022-12-08,2022-12-11,1953907666,1865528994,PLN9743,289414,PCN296,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,10,Retail,0,0,0,320.0,11.4,331.4,38.0,277.84,15.56,12.8,9.0667,0,0,0,0,2023-01-07
RX0000008060,MBR00000220,2023-07-27,2023-07-31,1420615040,1502900767,PLN9707,686202,PCN951,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,11,Specialty,0,0,0,10.0,9.44,19.44,0.0,19.44,0.0,0.4,0.2833,0,0,0,0,2023-08-26
RX0000008061,MBR00000220,2022-10-25,2022-10-28,1362811824,1592585694,PLN4831,159836,PCN727,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,1,Retail,0,0,1,45.0,9.11,54.11,1.0,50.77,2.34,1.8,1.275,0,0,0,0,2022-11-24
RX0000008062,MBR00000220,2023-10-05,2023-10-06,1614297129,1265159084,PLN6238,366695,PCN841,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,94,7,Retail,3,0,0,33.0,6.54,39.54,5.0,33.08,1.46,0.44,0.3117,0,1,0,0,2024-01-03
RX0000008063,MBR00000220,2021-07-04,2021-07-07,1873638252,1885770621,PLN2109,422883,PCN721,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,9,Retail,0,0,0,2.1,2.41,4.51,9.0,0.0,0.24,0.36,0.255,0,0,0,0,2021-07-11
RX0000008064,MBR00000220,2021-06-13,2021-06-15,1401782032,1727024840,PLN3939,799242,PCN285,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,10,Retail,3,0,0,15.0,8.58,23.58,3.0,19.74,0.84,0.6,0.425,1,0,0,0,2021-07-13
RX0000008065,MBR00000220,2022-03-02,2022-03-03,1546060632,1447432299,PLN4464,428797,PCN662,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,95,9,Retail,2,0,0,48.0,4.57,52.57,0.0,50.12,2.45,0.64,0.4533,0,0,0,0,2022-05-31
RX0000008066,MBR00000220,2021-12-06,2021-12-09,1820084542,1781627571,PLN2374,345562,PCN691,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,58,4,Retail,0,0,0,350.0,8.83,358.83,33.0,315.01,10.82,7.0,4.9583,0,0,0,0,2022-02-04
RX0000008067,MBR00000220,2023-08-03,2023-08-06,1434387281,1175549436,PLN3537,884228,PCN266,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,9,Retail,0,0,0,650.0,7.08,657.08,40.0,580.06,37.02,26.0,18.4167,0,0,0,0,2023-09-02
RX0000008068,MBR00000220,2023-10-28,2023-10-31,1749450750,1482778578,PLN4765,380759,PCN476,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,10,Retail,2,1,0,12.0,4.59,16.59,153.0,0.0,1.09,0.48,0.34,0,0,0,0,2023-11-27
RX0000008069,MBR00000220,2021-11-07,2021-11-11,1931498033,1672795604,PLN4998,299527,PCN726,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,5,Retail,3,0,0,15.0,4.2,19.2,7.0,10.88,1.32,0.6,0.425,0,0,0,0,2021-12-07
RX0000008070,MBR00000220,2023-10-27,2023-10-31,1519401016,1749395125,PLN6416,125809,PCN518,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,61,0,Retail,0,0,0,24.0,5.44,29.44,10.0,18.49,0.95,0.48,0.34,0,0,0,0,2023-12-26
RX0000008071,MBR00000220,2022-06-09,2022-06-11,1905907305,1125898056,PLN1518,515908,PCN983,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,6,Retail,0,0,0,38.0,6.17,44.17,31.0,11.59,1.58,1.52,1.0767,0,1,1,0,2022-07-09
RX0000008072,MBR00000220,2023-07-27,2023-07-28,1947834001,1100782629,PLN5793,387775,PCN663,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,9,Mail Order,0,0,0,28.0,6.77,34.77,0.0,33.64,1.13,1.12,0.7933,0,0,0,0,2023-08-26
RX0000008073,MBR00000220,2022-03-29,2022-03-31,1485156607,1597558042,PLN5265,984186,PCN336,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,97,9,Mail Order,0,0,0,36.0,10.29,46.29,4.0,40.85,1.44,0.48,0.34,0,0,0,0,2022-06-27
RX0000008074,MBR00000221,2023-03-27,2023-03-30,1225342216,1230163217,PLN8371,690297,PCN648,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,94,6,Mail Order,0,0,0,54.0,6.01,60.01,35.0,21.63,3.38,0.72,0.51,0,0,0,0,2023-06-25
RX0000008075,MBR00000221,2022-12-22,2022-12-26,1559552461,1358478236,PLN9813,846129,PCN159,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,3,Mail Order,0,1,0,8.0,6.87,14.87,148.0,0.0,0.59,0.32,0.2267,0,0,0,0,2023-01-21
RX0000008076,MBR00000221,2023-06-13,2023-06-14,1816230134,1179932443,PLN4379,201239,PCN782,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,1,Retail,0,0,0,2.33,6.04,8.38,4.0,3.96,0.42,0.4,0.2833,0,0,0,0,2023-06-20
RX0000008077,MBR00000221,2021-08-19,2021-08-21,1453780033,1411970613,PLN7204,844754,PCN608,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,89,10,Retail,0,0,0,27.0,10.47,37.47,8.0,27.94,1.53,0.36,0.255,0,0,0,0,2021-11-17
RX0000008078,MBR00000221,2022-06-26,2022-06-28,1769978845,1389282660,PLN7341,911547,PCN807,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,8,Retail,0,0,0,320.0,3.19,323.19,34.0,271.3,17.89,12.8,9.0667,0,0,0,0,2022-07-26
RX0000008079,MBR00000221,2022-11-09,2022-11-10,1115344333,1365123211,PLN5627,868373,PCN114,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,4,Retail,0,1,0,8.0,5.75,13.75,152.0,0.0,0.86,0.32,0.2267,0,0,0,0,2022-12-09
RX0000008080,MBR00000221,2021-02-19,2021-02-23,1139780990,1181873701,PLN8075,661362,PCN877,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,2,Retail,0,0,0,40.83,8.34,49.17,36.0,10.43,2.74,7.0,4.9583,0,0,0,0,2021-02-26
RX0000008081,MBR00000221,2022-05-12,2022-05-16,1137537250,1752423971,PLN6620,132244,PCN197,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,3,Retail,0,0,0,18.0,7.76,25.76,1.0,23.03,1.73,0.72,0.51,0,0,0,0,2022-06-11
RX0000008082,MBR00000221,2023-09-12,2023-09-14,1626693233,1543880813,PLN4804,142779,PCN454,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,8,Mail Order,0,0,0,12.0,7.08,19.08,3.0,14.85,1.23,0.48,0.34,0,0,0,0,2023-10-12
RX0000008083,MBR00000221,2021-02-15,2021-02-16,1491569338,1652666666,PLN8819,555977,PCN716,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,7,Retail,0,0,0,18.0,10.48,28.48,10.0,17.2,1.28,0.72,0.51,0,0,0,0,2021-03-17
RX0000008084,MBR00000221,2023-11-07,2023-11-09,1821784736,1129453890,PLN7162,713501,PCN794,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,9,Retail,3,0,0,10.0,4.74,14.74,2.0,11.87,0.87,0.4,0.2833,0,0,0,0,2023-12-07
RX0000008085,MBR00000221,2022-04-07,2022-04-10,1516965388,1989699673,PLN8665,903754,PCN498,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,8,Retail,3,1,0,2.8,4.85,7.65,152.0,0.0,0.36,0.48,0.34,0,0,0,0,2022-04-14
RX0000008086,MBR00000221,2021-06-30,2021-07-04,1439436674,1881414502,PLN6351,146056,PCN515,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,7,Retail,3,0,0,42.0,7.56,49.56,9.0,37.29,3.27,0.56,0.3967,0,0,0,0,2021-09-28
RX0000008087,MBR00000221,2021-03-18,2021-03-19,1829261283,1902299570,PLN7977,902623,PCN383,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,93,4,Specialty,0,0,0,2250.0,36.73,2286.73,33.0,2253.73,0.0,30.0,21.25,0,0,0,0,2021-06-16
RX0000008088,MBR00000221,2021-12-23,2021-12-26,1397839673,1233678530,PLN9303,975115,PCN787,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,0,Retail,0,0,0,1.98,7.55,9.53,10.0,0.0,0.54,0.34,0.2408,0,0,0,0,2021-12-30
RX0000008089,MBR00000221,2021-06-06,2021-06-09,1611260724,1446553204,PLN3982,202116,PCN836,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,11,Retail,1,0,0,285.0,3.83,288.83,31.0,238.68,19.15,11.4,8.075,0,0,0,0,2021-07-06
RX0000008090,MBR00000221,2021-09-14,2021-09-18,1367279421,1146299313,PLN5233,436811,PCN897,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,9,Mail Order,0,0,0,45.0,5.42,50.42,3.0,44.38,3.04,1.8,1.275,1,0,0,0,2021-10-14
RX0000008091,MBR00000221,2023-01-19,2023-01-23,1102359164,1367975881,PLN3985,569094,PCN222,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,3,Mail Order,0,0,1,86.33,6.71,93.05,33.0,54.32,5.73,14.8,10.4833,0,0,0,0,2023-01-26
RX0000008092,MBR00000221,2023-11-17,2023-11-18,1568644114,1420854801,PLN5332,723685,PCN665,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,11,Mail Order,0,0,0,2.8,7.1,9.9,10.0,0.0,0.68,0.48,0.34,0,0,0,0,2023-11-24
RX0000008093,MBR00000221,2022-12-04,2022-12-06,1649358942,1394187902,PLN9113,511982,PCN466,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,11,Retail,0,0,0,42.0,9.18,51.18,10.0,37.98,3.2,0.56,0.3967,0,0,0,0,2023-03-04
RX0000008094,MBR00000221,2021-02-27,2021-03-02,1217961922,1548081923,PLN5666,783946,PCN109,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,94,3,Specialty,0,0,0,27.0,49.76,76.76,3.0,73.76,0.0,0.36,0.255,0,0,0,0,2021-05-28
RX0000008095,MBR00000221,2021-01-30,2021-02-01,1729201125,1535027051,PLN4364,349277,PCN732,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,1,Retail,0,1,0,6200.0,8.74,6208.74,148.0,5813.09,247.65,248.0,175.6667,0,0,0,0,2021-03-01
RX0000008096,MBR00000221,2021-05-20,2021-05-23,1987329161,1690900283,PLN8755,801181,PCN786,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,1,Mail Order,0,0,0,18.0,8.51,26.51,36.0,0.0,1.74,0.72,0.51,0,0,0,0,2021-06-19
RX0000008097,MBR00000221,2023-12-01,2023-12-05,1912919585,1617583569,PLN5145,909203,PCN168,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,10,Retail,0,0,0,42.0,10.47,52.47,2.0,47.2,3.27,0.56,0.3967,0,0,0,0,2024-02-29
RX0000008098,MBR00000221,2023-07-27,2023-07-29,1144152454,1937710342,PLN3868,273763,PCN194,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,3,Retail,0,0,0,18.0,3.57,21.57,3.0,17.74,0.83,0.72,0.51,0,0,0,0,2023-08-26
RX0000008099,MBR00000221,2022-05-10,2022-05-11,1665456158,1361596452,PLN8776,916003,PCN873,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,1,Retail,0,0,0,12.0,10.84,22.84,1.0,20.28,1.56,0.48,0.34,0,0,0,0,2022-06-09
RX0000008100,MBR00000222,2023-12-22,2023-12-24,1719348231,1314124542,PLN2266,178031,PCN852,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,2,Mail Order,0,0,0,10.0,4.82,14.82,5.0,9.3,0.52,0.4,0.2833,0,0,0,0,2024-01-21
RX0000008101,MBR00000222,2022-04-15,2022-04-16,1118482808,1669074722,PLN8455,513179,PCN711,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,11,Specialty,3,0,0,11.0,41.05,52.05,2.0,50.05,0.0,0.44,0.3117,0,0,0,0,2022-05-15
RX0000008102,MBR00000222,2023-11-21,2023-11-23,1434344312,1860464209,PLN6403,656429,PCN657,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,5,Mail Order,0,0,0,15.0,8.17,23.17,5.0,17.18,0.99,0.6,0.425,0,0,0,0,2023-12-21
RX0000008103,MBR00000222,2023-12-14,2023-12-18,1684906120,1340850544,PLN9841,689702,PCN449,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,4,Retail,0,0,0,9.0,4.91,13.91,7.0,6.17,0.74,0.36,0.255,1,0,0,0,2024-01-13
RX0000008104,MBR00000222,2021-01-31,2021-02-02,1569318904,1831927706,PLN5556,427467,PCN400,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,0,Mail Order,0,0,0,14.0,9.88,23.88,9.0,13.24,1.64,0.56,0.3967,0,0,0,0,2021-03-02
RX0000008105,MBR00000222,2022-06-06,2022-06-09,1359652710,1180893693,PLN1946,763774,PCN778,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,3,Retail,0,0,0,320.0,3.32,323.32,39.0,267.54,16.78,12.8,9.0667,0,0,0,0,2022-07-06
RX0000008106,MBR00000222,2022-06-23,2022-06-24,1581818439,1343801473,PLN6139,867280,PCN541,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,2,Mail Order,0,0,0,7.5,8.49,15.99,9.0,5.93,1.06,0.3,0.2125,0,0,0,0,2022-07-23
RX0000008107,MBR00000222,2021-08-25,2021-08-29,1123180238,1667297321,PLN4374,307522,PCN916,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,4,Mail Order,0,0,0,650.0,11.14,661.14,37.0,599.39,24.75,26.0,18.4167,0,0,0,0,2021-09-24
RX0000008108,MBR00000222,2022-11-14,2022-11-17,1624326725,1983762652,PLN4130,213648,PCN951,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,1,Retail,0,0,0,9.0,9.69,18.69,10.0,7.59,1.1,0.36,0.255,0,0,0,0,2022-12-14
RX0000008109,MBR00000222,2023-06-01,2023-06-04,1894186197,1663567435,PLN6135,353462,PCN123,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,0,Retail,0,0,0,185.0,11.83,196.83,33.0,153.58,10.25,7.4,5.2417,0,0,0,0,2023-07-01
RX0000008110,MBR00000222,2022-03-21,2022-03-25,1879451415,1689221035,PLN8781,786917,PCN137,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,6,Retail,0,0,0,4.2,7.67,11.87,7.0,4.31,0.56,0.72,0.51,0,0,0,0,2022-03-28
RX0000008111,MBR00000222,2022-12-28,2022-12-29,1721230147,1384496312,PLN2621,518758,PCN516,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,3,Retail,0,0,0,22.0,6.04,28.04,7.0,19.16,1.88,0.88,0.6233,0,0,0,0,2023-01-27
RX0000008112,MBR00000222,2021-08-14,2021-08-15,1761306217,1779850558,PLN9886,730760,PCN508,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,10,Retail,0,0,0,320.0,3.71,323.71,30.0,273.46,20.25,12.8,9.0667,0,0,0,0,2021-09-13
RX0000008113,MBR00000222,2023-01-17,2023-01-18,1486900098,1209073336,PLN7009,458256,PCN486,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,9,Retail,0,0,0,65.0,2.64,67.64,38.0,26.71,2.93,2.6,1.8417,0,0,0,0,2023-02-16
RX0000008114,MBR00000222,2021-09-29,2021-10-03,1762497480,1268754360,PLN8714,992995,PCN329,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,6,Mail Order,0,0,0,14.0,10.24,24.24,9.0,14.22,1.02,0.56,0.3967,0,0,0,0,2021-10-29
RX0000008115,MBR00000222,2022-10-06,2022-10-09,1367320621,1168011449,PLN3968,292804,PCN855,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,11,Retail,3,0,1,480.0,5.26,485.26,32.0,432.22,21.04,19.2,13.6,0,0,0,0,2022-11-05
RX0000008116,MBR00000222,2023-11-15,2023-11-16,1347070263,1568441622,PLN2994,472743,PCN665,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,92,1,Mail Order,0,0,0,960.0,2.52,962.52,37.0,872.42,53.1,12.8,9.0667,0,0,0,0,2024-02-13
RX0000008117,MBR00000222,2022-12-31,2023-01-03,1843772282,1683104265,PLN1377,776890,PCN221,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,5,Mail Order,0,0,0,9.0,7.99,16.99,5.0,11.03,0.96,0.36,0.255,0,0,0,0,2023-01-30
RX0000008118,MBR00000222,2023-05-13,2023-05-14,1802338009,1577929790,PLN2278,316922,PCN832,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,0,Specialty,1,0,0,185.0,29.85,214.85,37.0,177.85,0.0,7.4,5.2417,0,0,0,0,2023-06-12
RX0000008119,MBR00000222,2021-12-07,2021-12-10,1415407966,1417461887,PLN9764,559254,PCN893,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,6,Specialty,0,0,0,65.0,28.71,93.71,30.0,63.71,0.0,2.6,1.8417,0,0,0,0,2022-01-06
RX0000008120,MBR00000222,2022-06-24,2022-06-28,1648589987,1460149427,PLN9282,578194,PCN494,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,11,Retail,0,1,0,12.0,6.7,18.7,150.0,0.0,1.06,0.48,0.34,0,0,0,0,2022-07-24
RX0000008121,MBR00000222,2023-01-13,2023-01-17,1889644476,1905685239,PLN7828,345147,PCN929,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,10,Retail,0,0,0,221.67,8.47,230.13,39.0,180.37,10.76,38.0,26.9167,1,0,0,0,2023-01-20
RX0000008122,MBR00000222,2023-09-07,2023-09-10,1549060110,1672501684,PLN3765,858541,PCN796,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,10,Retail,0,0,0,18.0,3.72,21.72,1.0,19.44,1.28,0.72,0.51,0,0,0,0,2023-10-07
RX0000008123,MBR00000222,2023-02-08,2023-02-12,1571488104,1421305103,PLN3388,269764,PCN443,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,4,Mail Order,0,0,0,12.0,11.25,23.25,8.0,14.13,1.12,0.48,0.34,0,1,0,0,2023-03-10
RX0000008124,MBR00000222,2023-08-25,2023-08-28,1783706752,1716818890,PLN9513,874961,PCN436,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,4,Retail,1,0,1,18.0,4.96,22.96,4.0,17.81,1.15,0.72,0.51,0,0,0,0,2023-09-24
RX0000008125,MBR00000222,2023-01-11,2023-01-13,1649324584,1459544161,PLN3225,728514,PCN971,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,55,10,Mail Order,0,1,0,24.0,8.41,32.41,153.0,0.0,1.01,0.48,0.34,0,1,1,0,2023-03-12
RX0000008126,MBR00000222,2023-04-16,2023-04-20,1613033048,1315677716,PLN7264,446885,PCN500,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,11,Retail,0,0,0,3.27,1.65,4.92,6.0,0.0,0.33,0.56,0.3967,1,0,0,0,2023-04-23
RX0000008127,MBR00000222,2023-04-08,2023-04-10,1560000715,1179878085,PLN4721,902301,PCN491,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,84,9,Mail Order,0,0,0,135.0,8.78,143.78,2.0,134.42,7.36,1.8,1.275,0,0,0,0,2023-07-07
RX0000008128,MBR00000222,2023-07-13,2023-07-15,1708067133,1198508577,PLN6367,785949,PCN737,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,0,Retail,0,0,0,10.0,10.9,20.9,9.0,11.17,0.73,0.4,0.2833,0,0,0,0,2023-08-12
RX0000008129,MBR00000222,2022-11-24,2022-11-25,1325002499,1378309805,PLN2662,737041,PCN690,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,81,10,Retail,0,0,0,36.0,3.9,39.9,0.0,37.77,2.13,0.48,0.34,0,0,0,0,2023-02-22
RX0000008130,MBR00000222,2023-08-30,2023-09-01,1182046274,1344098479,PLN3631,355363,PCN174,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,10,Retail,0,0,0,480.0,7.75,487.75,37.0,426.34,24.41,19.2,13.6,0,0,0,0,2023-09-29
RX0000008131,MBR00000222,2022-09-14,2022-09-18,1691736611,1657491146,PLN1602,325675,PCN142,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,59,2,Mail Order,0,0,0,32.0,5.42,37.42,2.0,32.96,2.46,0.64,0.4533,0,0,0,0,2022-11-13
RX0000008132,MBR00000222,2022-09-14,2022-09-16,1776936225,1250292810,PLN7621,698207,PCN245,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,64,9,Retail,0,0,0,960.0,8.24,968.24,30.0,882.04,56.2,19.2,13.6,0,0,0,0,2022-11-13
RX0000008133,MBR00000222,2021-10-30,2021-11-03,1918864078,1996567466,PLN3480,491939,PCN836,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,87,6,Retail,1,0,0,1950.0,7.14,1957.14,34.0,1796.22,126.92,26.0,18.4167,0,0,0,0,2022-01-28
RX0000008134,MBR00000222,2021-12-30,2021-12-31,1292987786,1316730583,PLN7932,948482,PCN442,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,97,10,Retail,0,0,0,2850.0,11.81,2861.81,39.0,2651.53,171.28,38.0,26.9167,1,0,0,0,2022-03-30
RX0000008135,MBR00000222,2023-03-15,2023-03-16,1695338430,1713572727,PLN5062,214362,PCN722,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,8,Retail,0,0,0,18.0,10.17,28.17,37.0,0.0,1.49,0.72,0.51,0,0,0,0,2023-04-14
RX0000008136,MBR00000222,2022-05-31,2022-06-04,1524990657,1327747266,PLN1182,540583,PCN902,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,11,Retail,0,0,0,950.0,7.44,957.44,40.0,878.12,39.32,38.0,26.9167,0,0,0,0,2022-06-30
RX0000008137,MBR00000222,2022-08-15,2022-08-19,1218668543,1975743651,PLN1890,492229,PCN657,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,58,7,Retail,0,0,0,32.0,5.94,37.94,4.0,32.32,1.62,0.64,0.4533,0,0,0,0,2022-10-14
RX0000008138,MBR00000222,2022-09-09,2022-09-10,1582817458,1745291466,PLN6551,409560,PCN730,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,63,3,Retail,0,0,0,28.0,2.34,30.34,1.0,28.05,1.29,0.56,0.3967,0,0,0,0,2022-11-08
RX0000008139,MBR00000222,2021-04-21,2021-04-22,1599032133,1641253047,PLN7924,513229,PCN943,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,4,Retail,2,0,0,750.0,6.96,756.96,38.0,680.1,38.86,30.0,21.25,0,0,0,0,2021-05-21
RX0000008140,MBR00000222,2022-01-28,2022-01-30,1950503942,1537806399,PLN2710,263389,PCN951,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,0,Retail,0,1,0,6200.0,3.62,6203.62,147.0,5721.38,335.24,248.0,175.6667,0,0,0,0,2022-02-27
RX0000008141,MBR00000222,2021-10-30,2021-11-02,1691781212,1617504100,PLN9352,332261,PCN130,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,3,Mail Order,0,0,0,14.0,2.9,16.9,8.0,7.75,1.15,0.56,0.3967,0,0,0,0,2021-11-29
RX0000008142,MBR00000222,2023-01-20,2023-01-21,1249556229,1404061876,PLN4465,924718,PCN354,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,89,1,Retail,0,1,0,8400.0,2.81,8402.81,155.0,7713.69,534.12,112.0,79.3333,0,0,0,0,2023-04-20
RX0000008143,MBR00000223,2022-07-15,2022-07-19,1968957406,1745138041,PLN5576,368088,PCN569,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,0,Retail,0,0,0,12.0,8.31,20.31,9.0,9.93,1.38,0.48,0.34,0,0,0,0,2022-08-14
RX0000008144,MBR00000223,2022-12-09,2022-12-12,1131388909,1168765085,PLN5589,457533,PCN334,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,87,3,Retail,0,0,0,42.0,11.1,53.1,6.0,44.71,2.39,0.56,0.3967,0,0,0,0,2023-03-09
RX0000008145,MBR00000223,2023-05-11,2023-05-13,1212304331,1202117363,PLN5537,557528,PCN862,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,2,Retail,0,0,0,28.0,9.66,37.66,8.0,28.32,1.34,1.12,0.7933,0,0,0,0,2023-06-10
RX0000008146,MBR00000223,2023-02-02,2023-02-04,1752576004,1609740173,PLN9561,385289,PCN631,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,96,8,Mail Order,0,0,0,36.0,10.38,46.38,1.0,43.61,1.77,0.48,0.34,0,0,0,0,2023-05-03
RX0000008147,MBR00000223,2021-03-01,2021-03-03,1136013988,1501632737,PLN9067,842209,PCN370,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,54,10,Specialty,0,0,0,24.0,17.64,41.64,10.0,31.64,0.0,0.48,0.34,0,0,0,0,2021-04-30
RX0000008148,MBR00000223,2023-03-08,2023-03-12,1424910224,1304274908,PLN9946,451466,PCN303,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,10,LTC,0,0,0,18.0,10.74,28.74,37.0,0.0,1.42,0.72,0.51,0,0,0,0,2023-04-07
RX0000008149,MBR00000223,2022-08-10,2022-08-12,1430907010,1797569175,PLN9065,498999,PCN565,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,64,9,Mail Order,0,0,0,36.0,11.32,47.32,0.0,45.17,2.15,0.72,0.51,0,0,0,0,2022-10-09
RX0000008150,MBR00000223,2023-01-08,2023-01-12,1802346395,1746398937,PLN5152,875650,PCN559,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,2,Retail,0,0,0,950.0,8.87,958.87,30.0,866.33,62.54,38.0,26.9167,0,1,1,0,2023-02-07
RX0000008151,MBR00000223,2022-06-27,2022-06-29,1856818680,1130343080,PLN2265,274786,PCN333,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,87,4,Specialty,2,0,0,33.0,40.43,73.43,7.0,66.43,0.0,0.44,0.3117,0,0,0,0,2022-09-25
RX0000008152,MBR00000223,2022-11-13,2022-11-17,1503815764,1124193081,PLN1799,434611,PCN762,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,8,Retail,0,0,0,10.0,5.71,15.71,2.0,12.88,0.83,0.4,0.2833,0,0,0,0,2022-12-13
RX0000008153,MBR00000223,2022-08-18,2022-08-21,1436766022,1916325831,PLN2028,541878,PCN289,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,63,2,Mail Order,0,0,0,36.0,7.71,43.71,9.0,32.62,2.09,0.72,0.51,0,0,0,0,2022-10-17
RX0000008154,MBR00000223,2022-02-02,2022-02-03,1428060656,1610935628,PLN9559,498169,PCN187,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,98,2,Mail Order,0,0,0,114.0,5.06,119.06,6.0,105.13,7.93,1.52,1.0767,0,0,0,0,2022-05-03
RX0000008155,MBR00000223,2022-09-13,2022-09-16,1306091290,1264550594,PLN1195,756748,PCN161,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,4,Retail,0,0,0,5.13,11.63,16.76,70.0,0.0,0.75,0.88,0.6233,0,0,0,0,2022-09-20
RX0000008156,MBR00000223,2023-02-27,2023-03-01,1234471657,1871388724,PLN1133,991487,PCN562,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,1,Retail,0,0,0,4.2,4.64,8.84,0.0,8.32,0.52,0.72,0.51,0,0,0,0,2023-03-06
RX0000008157,MBR00000223,2022-08-30,2022-09-01,1744410626,1647383738,PLN3807,189576,PCN323,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,86,6,Mail Order,0,0,0,84.0,11.92,95.92,2.0,88.09,5.83,1.12,0.7933,0,0,0,0,2022-11-28
RX0000008158,MBR00000223,2023-06-02,2023-06-03,1985889400,1712237446,PLN7338,295620,PCN945,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,57,2,Retail,0,0,1,25.0,4.35,29.35,5.0,22.54,1.81,0.5,0.3542,0,0,0,0,2023-08-01
RX0000008159,MBR00000223,2023-08-18,2023-08-20,1958744757,1129728524,PLN3455,545455,PCN602,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,7,Retail,0,0,0,175.0,1.63,176.63,33.0,135.88,7.75,7.0,4.9583,0,0,0,0,2023-09-17
RX0000008160,MBR00000223,2022-01-07,2022-01-09,1563884672,1969560594,PLN6619,241724,PCN717,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,84,0,Retail,0,0,0,135.0,2.13,137.13,4.0,126.0,7.13,1.8,1.275,0,0,0,0,2022-04-07
RX0000008161,MBR00000223,2022-07-21,2022-07-23,1147570625,1691756521,PLN5858,113133,PCN494,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,54,11,Retail,0,0,0,36.0,10.43,46.43,30.0,13.67,2.76,0.72,0.51,0,0,0,0,2022-09-19
RX0000008162,MBR00000223,2022-05-05,2022-05-09,1433536049,1957902923,PLN2706,948811,PCN311,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,85,3,Retail,0,0,0,27.0,1.8,28.8,1.0,25.83,1.97,0.36,0.255,0,0,0,0,2022-08-03
RX0000008163,MBR00000223,2023-11-20,2023-11-22,1681478357,1235300524,PLN7362,316127,PCN585,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,60,7,Mail Order,0,0,0,960.0,9.9,969.9,40.0,877.27,52.63,19.2,13.6,0,0,0,0,2024-01-19
RX0000008164,MBR00000223,2021-02-15,2021-02-18,1844698133,1632124070,PLN5564,782626,PCN220,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,0,Retail,0,0,0,12.0,8.33,20.33,4.0,15.22,1.11,0.48,0.34,0,0,0,0,2021-03-17
RX0000008165,MBR00000223,2021-07-09,2021-07-11,1515960923,1393331503,PLN2175,970041,PCN400,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,7,Mail Order,0,0,0,8.5,1.59,10.09,7.0,2.52,0.57,0.34,0.2408,0,0,0,0,2021-08-08
RX0000008166,MBR00000223,2021-03-16,2021-03-19,1933267701,1763447349,PLN7805,228459,PCN466,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,0,Retail,0,0,0,14.0,10.22,24.22,7.0,15.54,1.68,0.56,0.3967,0,0,0,0,2021-04-15
RX0000008167,MBR00000223,2023-01-12,2023-01-16,1490037507,1543510351,PLN7855,414359,PCN643,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,64,11,Retail,0,0,0,130.0,8.96,138.96,39.0,94.32,5.64,2.6,1.8417,0,0,0,0,2023-03-13
RX0000008168,MBR00000223,2021-02-25,2021-02-28,1428877630,1616976561,PLN9959,686751,PCN725,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,88,6,Retail,1,0,0,45.0,7.78,52.78,3.0,46.67,3.11,0.6,0.425,0,1,0,0,2021-05-26
RX0000008169,MBR00000223,2021-04-02,2021-04-03,1879887359,1194148631,PLN7563,995199,PCN435,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,1,Specialty,0,0,1,2.1,44.4,46.5,3.0,43.5,0.0,0.36,0.255,0,0,0,0,2021-04-09
RX0000008170,MBR00000223,2022-08-03,2022-08-04,1267684748,1996914509,PLN9896,704081,PCN668,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,1,Retail,0,0,0,10.0,8.1,18.1,2.0,14.9,1.2,0.4,0.2833,0,0,0,0,2022-09-02
RX0000008171,MBR00000223,2021-03-07,2021-03-10,1402150539,1778950347,PLN6924,674861,PCN697,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,0,Retail,0,0,0,750.0,8.11,758.11,30.0,695.32,32.79,30.0,21.25,0,0,0,0,2021-04-06
RX0000008172,MBR00000223,2021-01-14,2021-01-18,1178300722,1199603600,PLN9161,686365,PCN782,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,0,Retail,0,0,0,9.0,6.69,15.69,8.0,7.05,0.64,0.36,0.255,0,0,0,0,2021-02-13
RX0000008173,MBR00000223,2021-08-19,2021-08-23,1205280426,1386287166,PLN3130,143627,PCN758,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,59,7,Retail,3,0,0,18.0,10.0,28.0,6.0,20.42,1.58,0.36,0.255,0,0,0,0,2021-10-18
RX0000008174,MBR00000223,2023-01-19,2023-01-20,1456045896,1125259340,PLN9556,552710,PCN224,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,11,Mail Order,0,0,0,750.0,7.7,757.7,36.0,687.25,34.45,30.0,21.25,0,0,0,0,2023-02-18
RX0000008175,MBR00000223,2021-02-21,2021-02-25,1923549797,1725885622,PLN8387,333166,PCN852,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,5,Retail,0,0,0,3.5,4.48,7.98,4.0,3.61,0.37,0.6,0.425,0,0,0,0,2021-02-28
RX0000008176,MBR00000223,2023-05-16,2023-05-19,1261029828,1723761593,PLN1931,819987,PCN494,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,98,4,Retail,3,0,0,525.0,9.6,534.6,30.0,488.28,16.32,7.0,4.9583,0,0,0,0,2023-08-14
RX0000008177,MBR00000223,2022-09-09,2022-09-11,1175505553,1570586136,PLN3300,842159,PCN795,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,10,Retail,3,0,0,650.0,1.73,651.73,38.0,588.89,24.84,26.0,18.4167,0,1,1,0,2022-10-09
RX0000008178,MBR00000223,2021-11-24,2021-11-25,1590279021,1416169756,PLN1043,841608,PCN419,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,94,0,LTC,0,1,0,24.0,6.88,30.88,154.0,0.0,1.48,0.32,0.2267,0,0,0,0,2022-02-22
RX0000008179,MBR00000224,2023-07-29,2023-07-31,1653680821,1978482576,PLN5082,138708,PCN484,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,97,5,Retail,0,1,0,36.0,9.65,45.65,155.0,0.0,2.01,0.48,0.34,0,0,0,0,2023-10-27
RX0000008180,MBR00000224,2021-03-01,2021-03-05,1957388576,1680307153,PLN6495,627806,PCN656,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,86,1,Retail,0,1,0,36.0,10.96,46.96,155.0,0.0,1.43,0.48,0.34,1,0,0,0,2021-05-30
RX0000008181,MBR00000224,2023-03-24,2023-03-26,1311056203,1153291246,PLN9082,299409,PCN601,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,88,11,Retail,0,0,0,42.0,6.39,48.39,9.0,37.16,2.23,0.56,0.3967,0,0,0,0,2023-06-22
RX0000008182,MBR00000224,2023-03-10,2023-03-14,1741938594,1887449784,PLN6704,742668,PCN686,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,8,Retail,0,0,0,65.0,8.32,73.32,32.0,37.21,4.11,2.6,1.8417,0,0,0,0,2023-04-09
RX0000008183,MBR00000224,2021-06-14,2021-06-15,1345695024,1344583033,PLN5652,851957,PCN720,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,3,Retail,0,0,0,28.0,10.1,38.1,4.0,32.85,1.25,1.12,0.7933,0,0,0,0,2021-07-14
RX0000008184,MBR00000224,2021-03-02,2021-03-03,1960241783,1218552816,PLN3328,738304,PCN397,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,11,Mail Order,0,0,0,42.0,3.01,45.01,8.0,34.22,2.79,0.56,0.3967,0,0,0,0,2021-05-31
RX0000008185,MBR00000224,2023-10-02,2023-10-05,1837349669,1892394465,PLN3840,175798,PCN332,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,64,5,Retail,0,0,0,44.0,1.51,45.51,67.0,0.0,2.46,0.88,0.6233,0,0,0,0,2023-12-01
RX0000008186,MBR00000224,2022-08-30,2022-09-01,1339873157,1752008286,PLN5922,846519,PCN652,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,3,Retail,0,1,0,6200.0,11.46,6211.46,152.0,5683.34,376.12,248.0,175.6667,0,0,0,0,2022-09-29
RX0000008187,MBR00000224,2023-01-25,2023-01-28,1429359129,1136850184,PLN7551,779976,PCN579,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,9,Retail,0,0,0,11.0,11.77,22.77,3.0,18.19,1.58,0.44,0.3117,0,0,0,0,2023-02-24
RX0000008188,MBR00000224,2021-05-21,2021-05-22,1560794854,1829568146,PLN1333,789701,PCN985,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,1,Mail Order,0,0,0,2.33,9.25,11.59,8.0,2.93,0.66,0.4,0.2833,0,0,0,0,2021-05-28
RX0000008189,MBR00000224,2023-12-02,2023-12-03,1239689505,1266974742,PLN4477,806637,PCN374,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,57,11,Mail Order,0,0,0,740.0,2.9,742.9,30.0,676.08,36.82,14.8,10.4833,0,0,0,0,2024-01-31
RX0000008190,MBR00000224,2022-03-01,2022-03-04,1130717574,1661380727,PLN1741,719999,PCN337,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,84,10,Retail,0,0,0,27.0,4.6,31.6,9.0,20.62,1.98,0.36,0.255,0,0,0,0,2022-05-30
RX0000008191,MBR00000224,2023-10-29,2023-10-31,1288610312,1388586143,PLN2430,623677,PCN806,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,91,10,Mail Order,0,1,0,24.0,5.1,29.1,150.0,0.0,1.25,0.32,0.2267,0,1,1,0,2024-01-27
RX0000008192,MBR00000224,2021-04-24,2021-04-26,1792146936,1410167093,PLN3947,282865,PCN919,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,2,Retail,1,0,0,10.0,7.94,17.94,5.0,12.29,0.65,0.4,0.2833,0,0,0,0,2021-05-24
RX0000008193,MBR00000224,2022-08-01,2022-08-04,1987930214,1660914507,PLN7148,281013,PCN229,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,60,10,Mail Order,0,0,0,32.0,5.12,37.12,10.0,25.03,2.09,0.64,0.4533,0,0,0,0,2022-09-30
RX0000008194,MBR00000224,2023-10-22,2023-10-23,1566622466,1862461430,PLN7033,954363,PCN731,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,8,Mail Order,3,0,0,175.0,6.68,181.68,38.0,133.28,10.4,7.0,4.9583,0,0,0,0,2023-11-21
RX0000008195,MBR00000224,2021-07-10,2021-07-11,1741638064,1838700317,PLN6549,576472,PCN568,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,83,11,Retail,0,0,0,36.0,2.52,38.52,0.0,36.79,1.73,0.48,0.34,1,0,0,0,2021-10-08
RX0000008196,MBR00000224,2021-07-13,2021-07-17,1130248220,1409692813,PLN5523,964093,PCN238,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,6,Retail,0,0,0,12.0,6.81,18.81,1.0,17.05,0.76,0.48,0.34,0,0,0,0,2021-08-12
RX0000008197,MBR00000224,2023-04-16,2023-04-18,1562682809,1255484820,PLN7628,930087,PCN733,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,56,10,Mail Order,0,0,0,17.0,11.45,28.45,3.0,24.55,0.9,0.34,0.2408,0,0,0,0,2023-06-15
RX0000008198,MBR00000224,2021-11-03,2021-11-05,1421869552,1661609599,PLN6747,347200,PCN568,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,5,Retail,0,0,0,15.0,9.93,24.93,10.0,13.78,1.15,0.6,0.425,0,0,0,0,2021-12-03
RX0000008199,MBR00000224,2022-07-07,2022-07-10,1173996517,1848601356,PLN1632,943777,PCN664,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,87,10,Retail,0,0,0,54.0,3.22,57.22,0.0,55.14,2.08,0.72,0.51,0,0,0,0,2022-10-05
RX0000008200,MBR00000224,2023-11-23,2023-11-27,1880637640,1888677711,PLN2977,630414,PCN612,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,2,Mail Order,0,0,0,3.5,7.91,11.41,1.0,9.64,0.77,0.6,0.425,0,0,0,0,2023-11-30
RX0000008201,MBR00000224,2021-10-06,2021-10-10,1428167936,1390263891,PLN5798,404555,PCN563,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,63,6,Specialty,0,0,0,20.0,34.99,54.99,4.0,50.99,0.0,0.4,0.2833,0,0,0,0,2021-12-05
RX0000008202,MBR00000224,2023-04-18,2023-04-22,1573601627,1107087173,PLN4769,963575,PCN350,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,11,Mail Order,0,0,0,45.0,4.14,49.14,2.0,45.35,1.79,1.8,1.275,0,0,0,0,2023-05-18
RX0000008203,MBR00000224,2021-09-30,2021-10-02,1923354081,1572331520,PLN2294,360862,PCN156,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,11,Retail,0,0,0,40.83,11.22,52.06,31.0,18.03,3.03,7.0,4.9583,0,0,0,0,2021-10-07
RX0000008204,MBR00000224,2023-05-16,2023-05-19,1305341536,1519226623,PLN1488,897450,PCN924,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,2,Mail Order,0,0,0,15.0,1.65,16.65,6.0,9.5,1.15,0.6,0.425,0,0,0,0,2023-06-15
RX0000008205,MBR00000224,2023-01-31,2023-02-01,1412481783,1140597863,PLN6620,988493,PCN827,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,1,Retail,0,0,0,14.0,7.51,21.51,10.0,10.05,1.46,0.56,0.3967,0,0,0,0,2023-03-02
RX0000008206,MBR00000224,2023-12-26,2023-12-29,1510087754,1585958973,PLN6822,827000,PCN253,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,1,Mail Order,0,1,0,2800.0,6.44,2806.44,150.0,2528.61,127.83,112.0,79.3333,0,0,0,0,2024-01-25
RX0000008207,MBR00000224,2022-07-19,2022-07-21,1411633606,1817451062,PLN9738,641446,PCN990,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,60,10,Retail,3,0,0,30.0,10.31,40.31,1.0,37.76,1.55,0.6,0.425,0,0,0,0,2022-09-17
RX0000008208,MBR00000224,2023-11-23,2023-11-25,1191388087,1196877412,PLN1221,878699,PCN364,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,97,4,Retail,0,0,0,66.0,9.62,75.62,70.0,1.39,4.23,0.88,0.6233,0,0,0,0,2024-02-21
RX0000008209,MBR00000224,2023-06-01,2023-06-05,1679144374,1175833131,PLN7629,323433,PCN559,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,63,11,Mail Order,0,0,0,17.0,1.74,18.74,0.0,17.81,0.93,0.34,0.2408,0,1,0,0,2023-07-31
RX0000008210,MBR00000224,2023-05-13,2023-05-14,1241366945,1932953384,PLN1683,264475,PCN165,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,98,3,Retail,0,0,0,1110.0,5.92,1115.92,36.0,1009.59,70.33,14.8,10.4833,0,0,0,0,2023-08-11
RX0000008211,MBR00000224,2022-01-18,2022-01-21,1628059004,1836185678,PLN5630,175626,PCN225,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,0,Retail,0,0,0,11.0,10.69,21.69,1.0,19.86,0.83,0.44,0.3117,0,0,0,0,2022-02-17
RX0000008212,MBR00000224,2023-01-19,2023-01-22,1505464488,1365022095,PLN7556,342422,PCN357,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,9,Retail,0,1,0,12.0,10.14,22.14,145.0,0.0,1.05,0.48,0.34,1,0,0,0,2023-02-18
RX0000008213,MBR00000224,2022-07-10,2022-07-14,1458712576,1299886284,PLN4424,777513,PCN978,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,83,8,Retail,0,0,0,1950.0,4.04,1954.04,33.0,1832.42,88.62,26.0,18.4167,0,0,0,0,2022-10-08
RX0000008214,MBR00000224,2023-07-20,2023-07-24,1735696215,1145262757,PLN3554,141397,PCN604,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,8,Retail,0,0,0,18.0,11.34,29.34,3.0,24.6,1.74,0.72,0.51,0,0,0,0,2023-08-19
RX0000008215,MBR00000224,2022-08-13,2022-08-14,1131777294,1311810581,PLN1509,818754,PCN285,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,88,4,Specialty,0,0,0,66.0,28.06,94.06,72.0,22.06,0.0,0.88,0.6233,0,0,0,0,2022-11-11
RX0000008216,MBR00000224,2021-01-05,2021-01-06,1478734411,1904480161,PLN4956,908973,PCN603,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,4,LTC,3,1,0,6200.0,9.28,6209.28,155.0,5651.14,403.14,248.0,175.6667,0,0,0,0,2021-02-04
RX0000008217,MBR00000224,2021-09-13,2021-09-14,1324019422,1683755697,PLN6651,146936,PCN727,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,7,Retail,0,0,0,12.5,4.0,16.5,9.0,6.83,0.67,0.5,0.3542,0,0,0,0,2021-10-13
RX0000008218,MBR00000224,2022-05-20,2022-05-22,1185547324,1801457916,PLN7133,516202,PCN511,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,9,Mail Order,0,0,0,9.0,2.35,11.35,1.0,9.65,0.7,0.36,0.255,0,1,0,0,2022-06-19
RX0000008219,MBR00000224,2023-11-27,2023-11-28,1270901270,1729992392,PLN8509,334040,PCN991,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,3,Retail,0,0,0,45.0,4.96,49.96,6.0,40.83,3.13,1.8,1.275,0,0,0,0,2023-12-27
RX0000008220,MBR00000224,2023-10-03,2023-10-06,1978608410,1701840450,PLN6678,960593,PCN791,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,7,Mail Order,0,0,0,8.5,9.61,18.11,0.0,17.27,0.84,0.34,0.2408,0,0,0,0,2023-11-02
RX0000008221,MBR00000224,2021-07-13,2021-07-17,1942367586,1460769666,PLN3591,830490,PCN550,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,6,Retail,0,0,0,9.0,2.09,11.09,10.0,0.43,0.66,0.36,0.255,0,0,0,0,2021-08-12
RX0000008222,MBR00000224,2022-06-28,2022-07-02,1602112983,1582261997,PLN6206,946954,PCN777,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,5,Specialty,3,1,0,8500.0,9.27,8509.27,153.0,8356.27,0.0,340.0,240.8333,0,0,0,0,2022-07-28
RX0000008223,MBR00000224,2021-02-18,2021-02-22,1216881023,1198155427,PLN7879,320332,PCN672,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,92,5,Retail,0,0,1,30.0,8.89,38.89,9.0,28.47,1.42,0.4,0.2833,1,0,0,0,2021-05-19
RX0000008224,MBR00000224,2023-10-21,2023-10-23,1246547056,1985476076,PLN1538,721209,PCN967,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,6,Mail Order,0,0,0,22.0,5.78,27.78,65.0,0.0,0.94,0.88,0.6233,0,0,0,0,2023-11-20
RX0000008225,MBR00000224,2022-11-08,2022-11-10,1181335625,1557396195,PLN7167,584717,PCN455,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,6,LTC,2,0,0,27.0,10.53,37.53,0.0,35.99,1.54,0.36,0.255,0,0,0,0,2023-02-06
RX0000008226,MBR00000224,2023-01-11,2023-01-13,1871048849,1103772536,PLN9048,638217,PCN626,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,86,8,Mail Order,0,0,0,135.0,4.77,139.77,7.0,126.72,6.05,1.8,1.275,0,0,0,0,2023-04-11
RX0000008227,MBR00000224,2022-03-06,2022-03-08,1929367686,1496256145,PLN4226,309142,PCN193,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,1,Retail,0,0,0,45.0,4.72,49.72,8.0,39.56,2.16,1.8,1.275,0,0,0,0,2022-04-05
RX0000008228,MBR00000224,2022-11-24,2022-11-26,1965716651,1903464658,PLN7932,484570,PCN971,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,8,Retail,0,0,0,14.0,11.45,25.45,9.0,15.34,1.11,0.56,0.3967,0,0,0,0,2022-12-24
RX0000008229,MBR00000224,2021-02-12,2021-02-16,1882009694,1711731717,PLN5897,180638,PCN805,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,87,3,Mail Order,0,0,0,54.0,2.63,56.63,33.0,21.1,2.53,0.72,0.51,0,0,0,0,2021-05-13
RX0000008230,MBR00000224,2021-05-05,2021-05-07,1827077491,1690978217,PLN5698,499151,PCN271,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,98,7,Retail,0,0,0,855.0,7.73,862.73,34.0,799.03,29.7,11.4,8.075,0,0,0,0,2021-08-03
RX0000008231,MBR00000224,2022-07-09,2022-07-12,1308399819,1390700886,PLN4525,940291,PCN271,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,91,7,Retail,0,0,0,30.0,3.7,33.7,6.0,26.01,1.69,0.4,0.2833,0,0,0,0,2022-10-07
RX0000008232,MBR00000224,2021-03-07,2021-03-10,1427473954,1470681903,PLN2047,428135,PCN571,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,3,Retail,0,0,0,38.0,11.67,49.67,1.0,46.68,1.99,1.52,1.0767,0,0,0,0,2021-04-06
RX0000008233,MBR00000224,2021-02-17,2021-02-21,1203025089,1493699804,PLN3038,421582,PCN867,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,8,Retail,0,0,0,10.0,11.42,21.42,6.0,14.11,1.31,0.4,0.2833,0,0,0,0,2021-03-19
RX0000008234,MBR00000224,2022-04-28,2022-05-01,1274410620,1543305328,PLN1696,596314,PCN985,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,4,Specialty,3,0,0,10.0,42.44,52.44,4.0,48.44,0.0,0.4,0.2833,0,0,0,0,2022-05-28
RX0000008235,MBR00000224,2021-04-15,2021-04-16,1559093743,1416002448,PLN1287,762219,PCN297,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,3,Retail,0,0,0,3.27,2.67,5.94,6.0,0.0,0.18,0.56,0.3967,0,0,0,0,2021-04-22
RX0000008236,MBR00000225,2021-05-02,2021-05-06,1664152604,1117034481,PLN6221,682730,PCN296,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,9,Retail,0,0,0,77.0,9.96,86.96,36.0,46.58,4.38,13.2,9.35,0,0,0,0,2021-05-09
RX0000008237,MBR00000225,2021-05-10,2021-05-12,1653706266,1619016210,PLN1056,885093,PCN324,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,9,Retail,0,0,0,185.0,10.26,195.26,37.0,147.95,10.31,7.4,5.2417,0,0,0,0,2021-06-09
RX0000008238,MBR00000225,2021-11-13,2021-11-15,1201490669,1690985421,PLN4724,395484,PCN262,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,5,Specialty,0,0,0,15.17,33.92,49.09,30.0,19.09,0.0,2.6,1.8417,0,0,0,0,2021-11-20
RX0000008239,MBR00000225,2023-07-19,2023-07-22,1270728987,1379709473,PLN4343,579819,PCN474,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,2,Retail,0,0,0,11.0,9.97,20.97,2.0,17.99,0.98,0.44,0.3117,0,0,0,0,2023-08-18
RX0000008240,MBR00000225,2022-05-18,2022-05-20,1247062261,1617719154,PLN8175,407365,PCN407,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,58,5,Retail,2,1,0,17000.0,8.95,17008.95,155.0,15780.73,1073.22,340.0,240.8333,0,0,0,0,2022-07-17
RX0000008241,MBR00000225,2021-11-10,2021-11-14,1411270950,1800883013,PLN8644,406970,PCN893,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,1,Retail,2,0,0,10.0,10.15,20.15,7.0,11.92,1.23,0.4,0.2833,0,0,0,0,2021-12-10
RX0000008242,MBR00000225,2021-07-28,2021-07-30,1675011158,1701899588,PLN8087,576838,PCN274,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,1,Specialty,1,0,0,9.0,13.44,22.44,0.0,22.44,0.0,0.36,0.255,0,0,0,0,2021-08-27
RX0000008243,MBR00000225,2023-11-10,2023-11-12,1720340328,1254052082,PLN5177,735100,PCN506,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,0,Retail,0,0,0,7.5,9.67,17.17,7.0,9.25,0.92,0.3,0.2125,0,0,0,0,2023-12-10
RX0000008244,MBR00000225,2021-02-15,2021-02-18,1245089002,1454057603,PLN6559,198521,PCN629,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,4,Retail,0,1,0,2800.0,3.82,2803.82,149.0,2506.59,148.23,112.0,79.3333,0,0,0,0,2021-03-17
RX0000008245,MBR00000225,2023-05-16,2023-05-18,1377900097,1527839640,PLN8314,761704,PCN475,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,93,10,Mail Order,3,0,0,525.0,11.53,536.53,34.0,480.95,21.58,7.0,4.9583,1,1,1,0,2023-08-14
RX0000008246,MBR00000225,2021-12-25,2021-12-27,1883232907,1499128399,PLN9423,180426,PCN567,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,6,Retail,0,0,0,45.0,1.7,46.7,1.0,44.29,1.41,1.8,1.275,0,0,0,0,2022-01-24
RX0000008247,MBR00000225,2021-11-09,2021-11-11,1536473635,1730520231,PLN2418,482511,PCN696,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,9,Mail Order,0,0,0,8.87,7.2,16.07,10.0,5.12,0.95,1.52,1.0767,0,0,0,0,2021-11-16
RX0000008248,MBR00000225,2023-06-02,2023-06-03,1946014203,1888331461,PLN7932,403126,PCN734,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,9,Retail,1,0,0,2.1,11.83,13.93,4.0,9.12,0.81,0.36,0.255,0,0,0,0,2023-06-09
RX0000008249,MBR00000225,2023-08-01,2023-08-03,1336644868,1588667538,PLN2152,297022,PCN702,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,2,Retail,0,0,0,2.33,2.51,4.84,6.0,0.0,0.26,0.4,0.2833,0,0,0,0,2023-08-08
RX0000008250,MBR00000225,2023-05-15,2023-05-17,1499364898,1240088397,PLN4116,686581,PCN629,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,84,2,Retail,0,0,0,114.0,11.1,125.1,3.0,117.99,4.11,1.52,1.0767,0,0,0,0,2023-08-13
RX0000008251,MBR00000225,2022-07-19,2022-07-21,1420119714,1134014013,PLN9778,752680,PCN354,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,4,Retail,2,0,0,12.5,4.17,16.67,9.0,7.08,0.59,0.5,0.3542,0,0,0,0,2022-08-18
RX0000008252,MBR00000225,2021-02-19,2021-02-20,1737289691,1597463545,PLN5336,818674,PCN271,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,92,8,Retail,3,0,0,66.0,11.46,77.46,7.0,65.96,4.5,0.88,0.6233,0,0,0,0,2021-05-20
RX0000008253,MBR00000225,2021-08-22,2021-08-24,1150790710,1723413058,PLN6681,199101,PCN916,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,95,5,Retail,0,0,0,1950.0,4.8,1954.8,35.0,1796.28,123.52,26.0,18.4167,0,0,0,0,2021-11-20
RX0000008254,MBR00000225,2023-12-24,2023-12-25,1280667779,1421942132,PLN1090,616943,PCN212,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,81,3,Retail,0,0,0,990.0,6.85,996.85,33.0,897.84,66.01,13.2,9.35,0,0,0,0,2024-03-23
RX0000008255,MBR00000225,2023-02-01,2023-02-05,1274439917,1771190304,PLN6851,668795,PCN330,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,2,Retail,0,1,0,6200.0,3.94,6203.94,151.0,5682.36,370.58,248.0,175.6667,0,0,0,0,2023-03-03
RX0000008256,MBR00000225,2022-08-01,2022-08-04,1704299685,1543337399,PLN3141,342691,PCN388,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,95,7,Retail,0,0,0,37.5,9.01,46.51,4.0,39.27,3.24,0.5,0.3542,0,0,0,0,2022-10-30
RX0000008257,MBR00000225,2021-09-12,2021-09-15,1748417773,1271491952,PLN8618,985924,PCN964,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,0,Retail,2,0,0,14.0,3.49,17.49,0.0,16.79,0.7,0.56,0.3967,0,0,0,0,2021-10-12
RX0000008258,MBR00000225,2023-11-05,2023-11-08,1628998912,1372587391,PLN6945,757035,PCN833,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,9,Specialty,0,0,0,18.0,35.66,53.66,0.0,53.66,0.0,0.72,0.51,0,0,0,0,2023-12-05
RX0000008259,MBR00000225,2023-08-19,2023-08-22,1349255581,1132166600,PLN9628,454031,PCN906,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,8,Retail,0,0,0,10.0,9.25,19.25,5.0,12.98,1.27,0.4,0.2833,0,0,0,0,2023-09-18
RX0000008260,MBR00000225,2022-12-24,2022-12-26,1985230345,1148117658,PLN4586,134430,PCN982,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,54,5,Retail,0,0,0,90.0,5.29,95.29,7.0,83.28,5.01,1.8,1.275,0,0,0,0,2023-02-22
RX0000008261,MBR00000225,2023-03-31,2023-04-01,1669126340,1808353882,PLN3007,452740,PCN580,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,94,8,Retail,3,0,0,1110.0,11.12,1121.12,31.0,1047.93,42.19,14.8,10.4833,0,0,0,0,2023-06-29
RX0000008262,MBR00000226,2021-10-08,2021-10-10,1802354956,1602877970,PLN8668,364392,PCN914,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,9,Retail,0,0,0,950.0,3.68,953.68,30.0,877.33,46.35,38.0,26.9167,0,0,0,0,2021-11-07
RX0000008263,MBR00000226,2021-01-24,2021-01-26,1920481967,1352290991,PLN3797,406110,PCN942,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,2,Retail,0,1,0,2800.0,3.72,2803.72,151.0,2519.88,132.84,112.0,79.3333,0,1,1,0,2021-02-23
RX0000008264,MBR00000226,2022-01-28,2022-02-01,1845177952,1749698093,PLN4152,765611,PCN179,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,8,Retail,0,0,0,22.0,1.61,23.61,6.0,16.38,1.23,0.88,0.6233,0,0,0,0,2022-02-27
RX0000008265,MBR00000226,2022-10-29,2022-10-30,1418193255,1965191286,PLN6537,767515,PCN556,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,64,9,Retail,0,0,0,20.0,2.18,22.18,7.0,14.03,1.15,0.4,0.2833,0,0,0,0,2022-12-28
RX0000008266,MBR00000226,2021-11-10,2021-11-11,1389866246,1603018820,PLN2188,469809,PCN784,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,62,1,Mail Order,2,0,0,90.0,6.04,96.04,2.0,87.67,6.37,1.8,1.275,0,0,0,0,2022-01-09
RX0000008267,MBR00000226,2023-04-17,2023-04-18,1700549224,1786034983,PLN2948,391422,PCN667,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,9,Mail Order,0,0,0,310.0,10.31,320.31,30.0,271.07,19.24,12.4,8.7833,1,0,0,0,2023-05-17
RX0000008268,MBR00000226,2022-02-07,2022-02-10,1175688440,1800195431,PLN1710,254309,PCN973,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,3,Mail Order,0,0,0,2.33,2.65,4.98,0.0,4.79,0.19,0.4,0.2833,1,0,0,0,2022-02-14
RX0000008269,MBR00000226,2023-08-26,2023-08-28,1671052605,1872317053,PLN1236,127440,PCN417,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,65,1,Retail,0,0,0,740.0,4.31,744.31,35.0,660.39,48.92,14.8,10.4833,0,0,0,0,2023-10-25
RX0000008270,MBR00000226,2022-05-07,2022-05-09,1608836478,1508088551,PLN8081,680562,PCN719,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,5,LTC,1,0,0,16.0,8.1,24.1,0.0,22.55,1.55,0.64,0.4533,0,0,0,0,2022-06-06
RX0000008271,MBR00000226,2021-02-14,2021-02-18,1265293608,1611935208,PLN4119,506084,PCN745,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,98,3,Retail,0,0,0,45.0,7.94,52.94,9.0,41.2,2.74,0.6,0.425,0,0,0,0,2021-05-15
RX0000008272,MBR00000226,2021-11-26,2021-11-28,1255073985,1248070782,PLN3089,780276,PCN222,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,8,Mail Order,3,0,0,40.83,11.1,51.94,32.0,17.65,2.29,7.0,4.9583,0,0,0,0,2021-12-03
RX0000008273,MBR00000226,2022-10-09,2022-10-10,1626293764,1625724419,PLN3325,202246,PCN315,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,3,Mail Order,0,1,0,8.0,4.71,12.71,152.0,0.0,0.53,0.32,0.2267,0,0,0,0,2022-11-08
RX0000008274,MBR00000226,2021-09-14,2021-09-15,1991608152,1392252784,PLN3764,521888,PCN446,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,7,Retail,0,0,0,18.0,8.69,26.69,30.0,0.0,1.62,0.72,0.51,0,0,0,0,2021-10-14
RX0000008275,MBR00000226,2021-03-17,2021-03-18,1847922062,1721859966,PLN6093,993908,PCN434,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,56,0,Retail,0,0,0,1300.0,6.06,1306.06,35.0,1202.59,68.47,26.0,18.4167,0,0,0,0,2021-05-16
RX0000008276,MBR00000226,2022-11-14,2022-11-16,1256149986,1312775060,PLN3653,987277,PCN717,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,90,7,Mail Order,0,0,0,54.0,6.04,60.04,9.0,47.73,3.31,0.72,0.51,0,0,0,0,2023-02-12
RX0000008277,MBR00000226,2022-11-10,2022-11-14,1603955473,1950345632,PLN9723,664465,PCN384,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,9,Retail,0,0,0,14.0,11.76,25.76,8.0,16.81,0.95,0.56,0.3967,0,0,0,0,2022-12-10
RX0000008278,MBR00000226,2023-11-14,2023-11-17,1320998856,1267084884,PLN6103,944237,PCN440,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,0,Mail Order,0,0,0,12.0,7.18,19.18,8.0,10.55,0.63,0.48,0.34,0,0,0,0,2023-12-14
RX0000008279,MBR00000226,2021-09-04,2021-09-07,1171957999,1771539722,PLN9016,948926,PCN457,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,87,7,Retail,0,0,0,30.0,1.54,31.54,5.0,24.42,2.12,0.4,0.2833,0,0,0,0,2021-12-03
RX0000008280,MBR00000226,2023-10-29,2023-11-01,1792411891,1125009362,PLN1367,261571,PCN164,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,3,Retail,2,0,0,380.0,6.41,386.41,38.0,333.71,14.7,15.2,10.7667,0,0,0,0,2023-11-28
RX0000008281,MBR00000226,2022-11-13,2022-11-14,1905157915,1105003970,PLN7629,392660,PCN125,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,1,Retail,1,0,0,9.0,4.04,13.04,2.0,10.42,0.62,0.36,0.255,0,0,0,0,2022-12-13
RX0000008282,MBR00000226,2023-11-09,2023-11-10,1894648677,1594982075,PLN5857,454639,PCN436,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,2,LTC,3,0,0,9.0,7.75,16.75,0.0,15.73,1.02,0.36,0.255,0,0,0,0,2023-12-09
RX0000008283,MBR00000226,2021-08-31,2021-09-01,1388076744,1437972372,PLN7603,101399,PCN497,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,4,Retail,0,0,0,10.0,11.34,21.34,2.0,18.03,1.31,0.4,0.2833,0,0,0,0,2021-09-30
RX0000008284,MBR00000226,2023-12-15,2023-12-16,1711521998,1476320647,PLN9522,317384,PCN822,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,83,1,Mail Order,0,0,0,990.0,4.68,994.68,37.0,927.14,30.54,13.2,9.35,1,0,0,0,2024-03-14
RX0000008285,MBR00000226,2022-03-07,2022-03-11,1952499982,1255753229,PLN1141,367487,PCN944,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,7,Retail,0,0,0,11.0,9.54,20.54,4.0,15.42,1.12,0.44,0.3117,0,0,0,0,2022-04-06
RX0000008286,MBR00000226,2021-03-06,2021-03-08,1805026663,1577848421,PLN3444,948501,PCN734,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,1,Mail Order,0,1,0,6200.0,4.91,6204.91,151.0,5662.59,391.32,248.0,175.6667,0,0,0,0,2021-04-05
RX0000008287,MBR00000226,2022-07-30,2022-07-31,1640259577,1746182353,PLN8231,310923,PCN279,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,3,Retail,0,0,0,2.1,1.61,3.71,10.0,0.0,0.12,0.36,0.255,0,0,0,0,2022-08-06
RX0000008288,MBR00000226,2021-03-12,2021-03-13,1554061888,1614662799,PLN8939,573946,PCN523,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,2,Retail,0,0,0,43.17,10.59,53.76,34.0,18.02,1.74,7.4,5.2417,0,0,0,0,2021-03-19
RX0000008289,MBR00000226,2022-11-30,2022-12-03,1759032416,1603107235,PLN7104,473450,PCN498,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,5,Retail,0,0,1,14.0,4.06,18.06,10.0,7.11,0.95,0.56,0.3967,0,0,0,0,2022-12-30
RX0000008290,MBR00000226,2022-11-20,2022-11-22,1606079047,1727648005,PLN2704,466505,PCN263,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,11,Retail,0,0,0,370.0,10.22,380.22,39.0,316.18,25.04,14.8,10.4833,0,0,0,0,2022-12-20
RX0000008291,MBR00000226,2021-08-20,2021-08-21,1472822704,1812932875,PLN3172,673756,PCN167,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,3,Retail,0,0,0,2.92,11.98,14.9,7.0,7.0,0.9,0.5,0.3542,0,0,0,0,2021-08-27
RX0000008292,MBR00000226,2022-08-18,2022-08-22,1214855137,1578783903,PLN6548,118249,PCN174,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,1,Retail,1,0,0,14.0,2.08,16.08,6.0,9.39,0.69,0.56,0.3967,0,0,0,0,2022-09-17
RX0000008293,MBR00000226,2021-10-10,2021-10-14,1465685077,1325585336,PLN6090,328995,PCN503,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,11,Retail,0,0,0,10.0,9.98,19.98,1.0,17.84,1.14,0.4,0.2833,1,0,0,0,2021-11-09
RX0000008294,MBR00000226,2022-12-21,2022-12-24,1583484586,1263401967,PLN3739,439677,PCN855,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,0,Retail,0,0,0,8.5,4.65,13.15,0.0,12.55,0.6,0.34,0.2408,0,0,0,0,2023-01-20
RX0000008295,MBR00000226,2022-10-04,2022-10-06,1939272277,1384583402,PLN2942,279036,PCN567,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,87,2,Retail,0,1,0,25500.0,10.13,25510.13,145.0,24213.49,1151.64,340.0,240.8333,0,0,0,0,2023-01-02
RX0000008296,MBR00000226,2023-11-17,2023-11-18,1571028309,1233266885,PLN5384,199243,PCN664,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,11,Mail Order,1,0,0,12.0,8.5,20.5,6.0,13.78,0.72,0.48,0.34,0,0,0,0,2023-12-17
RX0000008297,MBR00000226,2022-10-30,2022-11-01,1518276242,1361710919,PLN6166,288896,PCN880,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,62,7,Retail,0,0,0,570.0,11.86,581.86,34.0,512.7,35.16,11.4,8.075,1,0,0,0,2022-12-29
RX0000008298,MBR00000226,2023-05-11,2023-05-13,1261255884,1842412220,PLN7211,655281,PCN535,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,57,7,Retail,1,1,0,24.0,7.62,31.62,149.0,0.0,1.77,0.48,0.34,0,0,0,0,2023-07-10
RX0000008299,MBR00000226,2022-08-28,2022-08-29,1492939349,1754963269,PLN4211,898890,PCN265,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,85,0,Retail,0,0,0,66.0,3.86,69.86,70.0,0.0,2.71,0.88,0.6233,0,0,0,0,2022-11-26
RX0000008300,MBR00000226,2022-07-22,2022-07-26,1113415719,1614668424,PLN3824,519319,PCN616,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,1,Mail Order,0,0,0,7.5,6.3,13.8,1.0,12.17,0.63,0.3,0.2125,0,0,0,0,2022-08-21
RX0000008301,MBR00000226,2023-12-05,2023-12-06,1992871625,1566980164,PLN5117,276810,PCN527,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,10,Retail,0,1,0,2800.0,9.0,2809.0,152.0,2540.56,116.44,112.0,79.3333,0,0,0,0,2024-01-04
RX0000008302,MBR00000226,2023-08-07,2023-08-09,1639189039,1487642402,PLN4962,795446,PCN968,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,65,4,Mail Order,0,0,0,30.0,9.45,39.45,8.0,29.68,1.77,0.6,0.425,1,0,0,0,2023-10-06
RX0000008303,MBR00000226,2021-06-02,2021-06-06,1338711571,1547170027,PLN4092,104899,PCN284,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,9,Mail Order,0,0,0,12.0,11.43,23.43,8.0,14.49,0.94,0.48,0.34,1,0,0,0,2021-07-02
RX0000008304,MBR00000226,2023-05-12,2023-05-16,1811494569,1237605092,PLN3572,321216,PCN401,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,9,Mail Order,0,0,0,330.0,11.59,341.59,39.0,290.52,12.07,13.2,9.35,0,0,0,0,2023-06-11
RX0000008305,MBR00000226,2021-06-06,2021-06-07,1342568246,1306651221,PLN4224,249829,PCN903,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,60,3,Specialty,0,0,0,570.0,22.8,592.8,37.0,555.8,0.0,11.4,8.075,0,0,0,0,2021-08-05
RX0000008306,MBR00000226,2023-11-29,2023-12-01,1223206449,1692560409,PLN8223,278717,PCN836,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,6,Retail,3,1,0,1446.67,6.33,1453.0,145.0,1263.06,44.94,248.0,175.6667,0,0,0,0,2023-12-06
RX0000008307,MBR00000226,2021-03-14,2021-03-17,1134925242,1265282899,PLN3065,974262,PCN264,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,1,Retail,1,0,0,10.0,8.02,18.02,4.0,12.84,1.18,0.4,0.2833,0,0,0,0,2021-04-13
RX0000008308,MBR00000226,2022-12-22,2022-12-24,1512298066,1781709654,PLN5076,495654,PCN613,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,5,Mail Order,0,0,0,185.0,4.52,189.52,40.0,139.32,10.2,7.4,5.2417,0,0,0,0,2023-01-21
RX0000008309,MBR00000226,2023-10-02,2023-10-04,1530759706,1899843085,PLN1775,602282,PCN272,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,8,Retail,0,0,0,8.87,1.51,10.37,36.0,0.0,0.39,1.52,1.0767,0,0,0,0,2023-10-09
RX0000008310,MBR00000226,2022-02-22,2022-02-25,1902389685,1434956968,PLN9903,558096,PCN647,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,65,3,Retail,1,0,0,1900.0,11.32,1911.32,36.0,1816.85,58.47,38.0,26.9167,0,0,0,0,2022-04-23
RX0000008311,MBR00000226,2022-08-20,2022-08-22,1174513728,1609860133,PLN5295,687609,PCN443,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,54,0,Retail,0,0,0,76.0,6.21,82.21,6.0,71.0,5.21,1.52,1.0767,0,0,0,0,2022-10-19
RX0000008312,MBR00000226,2022-11-17,2022-11-18,1678438399,1136701969,PLN2988,582097,PCN385,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,8,Retail,0,1,0,2.8,10.36,13.16,148.0,0.0,0.46,0.48,0.34,0,0,0,0,2022-11-24
RX0000008313,MBR00000226,2023-11-07,2023-11-08,1597552321,1953569754,PLN7151,114064,PCN520,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,93,2,Retail,0,0,0,33.0,9.46,42.46,8.0,33.01,1.45,0.44,0.3117,0,0,0,0,2024-02-05
RX0000008314,MBR00000226,2023-06-30,2023-07-02,1414929413,1225274153,PLN6452,963633,PCN940,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,86,7,Retail,0,0,0,1140.0,10.38,1150.38,32.0,1044.6,73.78,15.2,10.7667,0,0,0,0,2023-09-28
RX0000008315,MBR00000226,2022-08-04,2022-08-08,1720436408,1869677160,PLN2977,746257,PCN116,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,56,1,Mail Order,0,0,0,32.0,6.03,38.03,8.0,28.81,1.22,0.64,0.4533,0,0,0,0,2022-10-03
RX0000008316,MBR00000226,2023-08-25,2023-08-28,1260194831,1532733232,PLN5289,790996,PCN780,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,86,11,Retail,0,0,0,36.0,7.44,43.44,5.0,35.88,2.56,0.48,0.34,0,0,0,0,2023-11-23
RX0000008317,MBR00000226,2023-06-21,2023-06-25,1490120142,1347342966,PLN8728,680087,PCN419,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,3,Retail,2,0,0,7.5,2.55,10.05,0.0,9.36,0.69,0.3,0.2125,0,0,0,0,2023-07-21
RX0000008318,MBR00000226,2022-11-28,2022-11-30,1444625626,1206453178,PLN6547,459024,PCN529,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,5,Retail,0,0,0,12.5,5.89,18.39,8.0,9.68,0.71,0.5,0.3542,0,0,0,0,2022-12-28
RX0000008319,MBR00000226,2021-04-23,2021-04-27,1835689409,1873441247,PLN6175,493323,PCN429,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,95,0,Retail,0,0,0,54.0,3.17,57.17,4.0,51.1,2.07,0.72,0.51,0,0,0,0,2021-07-22
RX0000008320,MBR00000226,2023-06-11,2023-06-14,1123139714,1650873491,PLN1018,477045,PCN591,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,3,Mail Order,0,0,0,12.5,10.66,23.16,6.0,15.87,1.29,0.5,0.3542,1,0,0,0,2023-07-11
RX0000008321,MBR00000226,2022-08-30,2022-08-31,1546912408,1547603688,PLN4469,980399,PCN884,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,11,Retail,0,0,0,16.0,7.83,23.83,9.0,13.78,1.05,0.64,0.4533,0,0,0,0,2022-09-29
RX0000008322,MBR00000226,2022-08-21,2022-08-24,1698438787,1831218439,PLN2606,474974,PCN685,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,8,Retail,0,0,0,7.5,4.72,12.22,7.0,4.4,0.82,0.3,0.2125,0,0,0,0,2022-09-20
RX0000008323,MBR00000226,2021-07-20,2021-07-23,1248513199,1639543794,PLN4894,616898,PCN314,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,81,0,Mail Order,0,0,0,45.0,2.24,47.24,8.0,37.26,1.98,0.6,0.425,0,0,0,0,2021-10-18
RX0000008324,MBR00000226,2021-11-24,2021-11-26,1145243712,1524193938,PLN8826,749426,PCN206,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,54,1,Retail,0,0,0,30.0,8.59,38.59,9.0,28.28,1.31,0.6,0.425,0,0,0,0,2022-01-23
RX0000008325,MBR00000226,2022-05-22,2022-05-23,1201744086,1395191319,PLN1558,976056,PCN578,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,10,Retail,0,0,0,2.33,4.62,6.95,7.0,0.0,0.3,0.4,0.2833,0,0,0,0,2022-05-29
RX0000008326,MBR00000226,2021-09-29,2021-10-01,1900617629,1640018812,PLN8409,824841,PCN238,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,96,1,Retail,0,0,0,45.0,3.47,48.47,6.0,40.68,1.79,0.6,0.425,0,0,0,0,2021-12-28
RX0000008327,MBR00000226,2021-11-15,2021-11-16,1177361362,1859626032,PLN8564,168542,PCN415,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,6,Retail,0,0,0,18.0,4.0,22.0,10.0,10.54,1.46,0.72,0.51,0,0,0,0,2021-12-15
RX0000008328,MBR00000227,2022-03-22,2022-03-25,1261620989,1363356743,PLN5437,862549,PCN483,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,11,Retail,0,0,0,320.0,8.55,328.55,32.0,279.9,16.65,12.8,9.0667,0,0,0,0,2022-04-21
RX0000008329,MBR00000227,2023-02-24,2023-02-27,1567471424,1580591798,PLN4691,566491,PCN685,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,93,8,Retail,0,0,0,990.0,11.11,1001.11,40.0,894.99,66.12,13.2,9.35,0,0,0,0,2023-05-25
RX0000008330,MBR00000227,2022-01-24,2022-01-26,1203374732,1626902518,PLN6902,242185,PCN394,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,1,Retail,0,0,0,28.0,6.17,34.17,3.0,29.98,1.19,1.12,0.7933,1,0,0,0,2022-02-23
RX0000008331,MBR00000227,2022-08-10,2022-08-11,1697902230,1383172004,PLN9536,185679,PCN666,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,7,Retail,0,0,0,18.0,9.99,27.99,8.0,19.02,0.97,0.72,0.51,0,0,0,0,2022-09-09
RX0000008332,MBR00000227,2021-09-23,2021-09-27,1212912763,1466901271,PLN1519,978686,PCN766,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,61,4,Mail Order,0,0,0,570.0,11.89,581.89,38.0,524.34,19.55,11.4,8.075,0,0,0,0,2021-11-22
RX0000008333,MBR00000227,2022-09-10,2022-09-12,1318089116,1354253021,PLN1089,667895,PCN249,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,58,7,Mail Order,0,0,0,36.0,4.03,40.03,10.0,28.11,1.92,0.72,0.51,0,0,0,0,2022-11-09
RX0000008334,MBR00000227,2023-04-22,2023-04-26,1802586011,1661112803,PLN9370,828453,PCN120,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,8,Retail,0,0,0,86.33,9.87,96.2,31.0,60.61,4.59,14.8,10.4833,0,0,0,0,2023-04-29
RX0000008335,MBR00000227,2022-07-28,2022-08-01,1198130927,1903503786,PLN5067,728547,PCN581,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,6,Retail,0,0,0,480.0,9.02,489.02,30.0,443.03,15.99,19.2,13.6,0,0,0,0,2022-08-27
RX0000008336,MBR00000227,2021-02-14,2021-02-17,1730090641,1537694377,PLN2440,493280,PCN885,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,2,Mail Order,0,0,0,65.0,4.29,69.29,30.0,36.79,2.5,2.6,1.8417,0,0,0,0,2021-03-16
RX0000008337,MBR00000227,2023-09-25,2023-09-29,1247472735,1135413463,PLN8891,140180,PCN184,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,0,Retail,0,0,0,11.0,7.45,18.45,1.0,16.21,1.24,0.44,0.3117,0,0,0,0,2023-10-25
RX0000008338,MBR00000227,2021-05-27,2021-05-28,1935198742,1411737466,PLN7563,572575,PCN611,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,7,Retail,0,0,0,18.0,5.09,23.09,39.0,0.0,0.92,0.72,0.51,0,0,0,0,2021-06-26
RX0000008339,MBR00000227,2022-12-11,2022-12-12,1944419779,1756036966,PLN5768,785461,PCN368,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,2,Mail Order,3,0,0,4.2,5.85,10.05,6.0,3.63,0.42,0.72,0.51,0,0,0,0,2022-12-18
RX0000008340,MBR00000227,2021-05-02,2021-05-06,1671953507,1584026298,PLN4427,188084,PCN613,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,84,4,Mail Order,0,0,0,1950.0,6.89,1956.89,37.0,1808.45,111.44,26.0,18.4167,1,0,0,0,2021-07-31
RX0000008341,MBR00000227,2023-09-22,2023-09-23,1538377056,1657806690,PLN3531,907649,PCN830,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,3,Retail,0,0,0,15.0,10.64,25.64,4.0,20.24,1.4,0.6,0.425,0,0,0,0,2023-10-22
RX0000008342,MBR00000227,2022-01-20,2022-01-21,1451110426,1235939513,PLN6779,827328,PCN145,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,64,5,Retail,0,0,0,36.0,1.97,37.97,0.0,35.82,2.15,0.72,0.51,0,0,0,0,2022-03-21
RX0000008343,MBR00000228,2023-04-02,2023-04-04,1693334303,1328417647,PLN9824,834713,PCN166,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,90,6,Retail,1,0,0,30.0,3.77,33.77,9.0,23.44,1.33,0.4,0.2833,0,0,0,0,2023-07-01
RX0000008344,MBR00000228,2023-05-16,2023-05-17,1128714554,1822351166,PLN7016,439892,PCN453,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,11,Mail Order,0,0,0,1.75,7.86,9.61,1.0,8.12,0.49,0.3,0.2125,0,0,0,0,2023-05-23
RX0000008345,MBR00000228,2023-07-13,2023-07-16,1397722884,1306532938,PLN2821,314287,PCN677,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,1,Retail,0,0,0,28.0,10.2,38.2,9.0,27.69,1.51,1.12,0.7933,0,0,0,0,2023-08-12
RX0000008346,MBR00000228,2021-07-15,2021-07-18,1933917775,1994457264,PLN6031,927716,PCN406,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,55,6,Retail,3,0,0,20.0,2.13,22.13,0.0,20.97,1.16,0.4,0.2833,0,0,0,0,2021-09-13
RX0000008347,MBR00000228,2023-12-19,2023-12-20,1205843460,1165627624,PLN6865,530411,PCN128,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,7,Retail,0,0,0,750.0,11.95,761.95,33.0,688.16,40.79,30.0,21.25,0,0,0,0,2024-01-18
RX0000008348,MBR00000228,2021-01-23,2021-01-26,1718618209,1772298263,PLN7573,925681,PCN317,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,1,Retail,0,0,0,15.0,3.29,18.29,7.0,10.44,0.85,0.6,0.425,0,0,0,0,2021-02-22
RX0000008349,MBR00000228,2022-05-31,2022-06-02,1994564084,1452381821,PLN4616,918757,PCN843,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,95,10,Retail,0,0,1,855.0,9.04,864.04,31.0,804.77,28.27,11.4,8.075,1,0,0,0,2022-08-29
RX0000008350,MBR00000228,2021-12-26,2021-12-29,1869869236,1498332071,PLN9559,768240,PCN926,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,1,Retail,0,0,0,45.0,8.41,53.41,4.0,46.23,3.18,1.8,1.275,0,0,0,0,2022-01-25
RX0000008351,MBR00000228,2023-09-02,2023-09-03,1664524260,1365976308,PLN8106,418982,PCN974,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,8,Retail,0,0,0,33.0,8.58,41.58,5.0,34.1,2.48,0.44,0.3117,0,0,0,0,2023-12-01
RX0000008352,MBR00000228,2021-10-01,2021-10-03,1536897999,1269192637,PLN8940,426261,PCN526,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,6,Retail,1,0,0,2.33,5.27,7.6,10.0,0.0,0.49,0.4,0.2833,0,0,0,0,2021-10-08
RX0000008353,MBR00000228,2022-12-20,2022-12-24,1389125020,1262608934,PLN9320,193842,PCN921,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,8,Retail,0,0,0,12.0,4.8,16.8,2.0,13.85,0.95,0.48,0.34,0,1,0,0,2023-01-19
RX0000008354,MBR00000228,2021-05-12,2021-05-15,1313565954,1179678554,PLN4524,318782,PCN772,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,91,8,Mail Order,0,0,0,42.0,3.61,45.61,0.0,43.08,2.53,0.56,0.3967,0,0,0,0,2021-08-10
RX0000008355,MBR00000228,2023-08-03,2023-08-06,1762695300,1862435917,PLN9917,684391,PCN580,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,94,1,Retail,0,0,0,45.0,7.18,52.18,8.0,40.55,3.63,0.6,0.425,0,0,0,0,2023-11-01
RX0000008356,MBR00000228,2021-08-18,2021-08-22,1512007979,1336626613,PLN2030,368732,PCN880,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,5,Retail,0,0,0,14.0,3.3,17.3,10.0,6.75,0.55,0.56,0.3967,0,0,0,0,2021-09-17
RX0000008357,MBR00000228,2023-11-07,2023-11-08,1225941192,1737611181,PLN3770,814274,PCN686,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,5,Retail,0,0,0,185.0,4.18,189.18,40.0,136.14,13.04,7.4,5.2417,1,0,0,0,2023-12-07
RX0000008358,MBR00000228,2021-11-18,2021-11-20,1944922359,1186404174,PLN8924,122212,PCN772,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,9,Mail Order,3,1,0,8.0,4.61,12.61,154.0,0.0,0.62,0.32,0.2267,0,0,0,0,2021-12-18
RX0000008359,MBR00000228,2023-07-26,2023-07-30,1482561575,1397691580,PLN1902,690085,PCN209,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,10,Retail,0,0,0,5.13,5.38,10.52,10.0,0.2,0.32,0.88,0.6233,0,0,0,0,2023-08-02
RX0000008360,MBR00000228,2022-03-26,2022-03-27,1583565700,1467343982,PLN2380,731759,PCN635,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,95,9,Retail,0,0,0,37.5,6.67,44.17,10.0,32.0,2.17,0.5,0.3542,0,0,0,0,2022-06-24
RX0000008361,MBR00000228,2023-08-16,2023-08-18,1813521663,1652448492,PLN4553,524873,PCN264,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,7,Retail,0,0,0,310.0,9.15,319.15,38.0,260.8,20.35,12.4,8.7833,1,0,0,0,2023-09-15
RX0000008362,MBR00000228,2022-02-28,2022-03-04,1254036789,1250037310,PLN8748,230305,PCN349,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,61,9,Mail Order,0,1,0,17000.0,10.74,17010.74,150.0,16282.42,578.32,340.0,240.8333,0,0,0,0,2022-04-29
RX0000008363,MBR00000228,2022-04-07,2022-04-09,1433886447,1972742067,PLN4450,478541,PCN721,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,3,Mail Order,0,0,0,650.0,2.74,652.74,40.0,572.37,40.37,26.0,18.4167,0,0,0,0,2022-05-07
RX0000008364,MBR00000228,2023-10-07,2023-10-11,1519719398,1999227858,PLN1562,176867,PCN679,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,0,Retail,1,0,0,380.0,4.58,384.58,34.0,329.59,20.99,15.2,10.7667,0,0,0,0,2023-11-06
RX0000008365,MBR00000228,2021-02-15,2021-02-19,1122412222,1584260944,PLN7415,888749,PCN160,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,5,Retail,0,0,0,8.87,10.89,19.75,33.0,0.0,0.65,1.52,1.0767,0,0,0,0,2021-02-22
RX0000008366,MBR00000228,2023-04-16,2023-04-20,1490860692,1506232758,PLN1086,356899,PCN679,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,5,Mail Order,0,0,0,2.33,9.94,12.27,8.0,3.88,0.39,0.4,0.2833,0,0,0,0,2023-04-23
RX0000008367,MBR00000228,2023-01-27,2023-01-30,1903369382,1724782488,PLN2904,807178,PCN670,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,96,2,Mail Order,0,0,0,54.0,8.83,62.83,36.0,23.36,3.47,0.72,0.51,0,1,1,0,2023-04-27
RX0000008368,MBR00000228,2021-10-27,2021-10-30,1439338035,1525495337,PLN8038,903368,PCN711,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,5,Mail Order,0,0,0,11.0,2.18,13.18,0.0,12.29,0.89,0.44,0.3117,0,0,0,0,2021-11-26
RX0000008369,MBR00000228,2022-01-31,2022-02-01,1334073020,1973304988,PLN3537,942655,PCN787,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,85,11,Retail,0,0,0,66.0,5.16,71.16,1.0,65.2,4.96,0.88,0.6233,0,0,0,0,2022-05-01
RX0000008370,MBR00000228,2023-06-05,2023-06-09,1837248388,1325403419,PLN1023,672153,PCN197,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,82,11,Specialty,0,0,0,135.0,26.1,161.1,0.0,161.1,0.0,1.8,1.275,0,0,0,0,2023-09-03
RX0000008371,MBR00000228,2021-09-18,2021-09-21,1778071081,1823438716,PLN7001,862331,PCN512,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,0,Retail,0,0,0,22.0,1.76,23.76,0.0,22.89,0.87,0.88,0.6233,0,0,0,0,2021-10-18
RX0000008372,MBR00000228,2021-08-20,2021-08-24,1741561839,1863375827,PLN6165,431436,PCN410,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,58,2,Mail Order,0,0,0,30.0,7.52,37.52,5.0,30.03,2.49,0.6,0.425,0,0,0,0,2021-10-19
RX0000008373,MBR00000228,2022-05-11,2022-05-15,1752097607,1453396693,PLN1790,582227,PCN669,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,1,Mail Order,0,0,0,380.0,5.67,385.67,38.0,330.82,16.85,15.2,10.7667,0,0,0,0,2022-06-10
RX0000008374,MBR00000228,2023-09-17,2023-09-21,1206073389,1860903525,PLN9287,137110,PCN536,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,2,Retail,1,0,0,18.0,1.89,19.89,3.0,15.83,1.06,0.72,0.51,0,0,0,0,2023-10-17
RX0000008375,MBR00000228,2022-06-07,2022-06-08,1380269967,1155219576,PLN3375,306209,PCN863,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,10,Retail,0,0,0,8.87,4.92,13.78,1.0,11.97,0.81,1.52,1.0767,0,0,0,0,2022-06-14
RX0000008376,MBR00000228,2023-12-11,2023-12-12,1729396672,1486647012,PLN8462,571777,PCN768,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,64,5,Mail Order,0,0,0,740.0,8.77,748.77,32.0,675.66,41.11,14.8,10.4833,0,0,0,0,2024-02-09
RX0000008377,MBR00000228,2021-03-20,2021-03-21,1846101014,1826660080,PLN8427,332133,PCN917,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,5,Retail,1,0,0,28.0,10.45,38.45,3.0,33.0,2.45,1.12,0.7933,0,0,0,0,2021-04-19
RX0000008378,MBR00000228,2021-03-02,2021-03-06,1432059576,1847285094,PLN4245,854084,PCN848,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,93,1,Retail,3,0,0,1440.0,4.48,1444.48,34.0,1336.98,73.5,19.2,13.6,0,0,0,0,2021-05-31
RX0000008379,MBR00000228,2021-10-02,2021-10-06,1263721964,1198346523,PLN8270,587185,PCN796,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,56,8,Retail,0,0,0,960.0,4.62,964.62,39.0,864.8,60.82,19.2,13.6,0,0,0,0,2021-12-01
RX0000008380,MBR00000228,2022-07-03,2022-07-07,1529830619,1274090864,PLN1899,947594,PCN156,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,89,5,Specialty,0,0,0,36.0,15.86,51.86,5.0,46.86,0.0,0.48,0.34,0,0,0,0,2022-10-01
RX0000008381,MBR00000228,2023-04-11,2023-04-15,1770664107,1241016168,PLN4771,475284,PCN365,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,96,3,Retail,0,0,0,30.0,2.12,32.12,4.0,26.59,1.53,0.4,0.2833,0,0,0,0,2023-07-10
RX0000008382,MBR00000229,2021-05-16,2021-05-19,1762737132,1596255351,PLN7915,707714,PCN107,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,11,Retail,1,0,0,285.0,6.91,291.91,34.0,241.89,16.02,11.4,8.075,0,0,0,0,2021-06-15
RX0000008383,MBR00000229,2022-08-24,2022-08-28,1496726407,1480761304,PLN6743,335910,PCN251,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,84,1,Retail,0,0,0,66.0,5.38,71.38,3.0,63.54,4.84,0.88,0.6233,0,0,0,0,2022-11-22
RX0000008384,MBR00000229,2023-09-01,2023-09-05,1425430330,1391564432,PLN5215,550035,PCN501,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,11,Retail,0,0,0,65.0,3.61,68.61,38.0,26.31,4.3,2.6,1.8417,0,0,0,0,2023-10-01
RX0000008385,MBR00000229,2021-01-01,2021-01-04,1487726020,1691749145,PLN5524,489606,PCN210,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,58,2,Retail,0,0,0,90.0,7.35,97.35,6.0,88.07,3.28,1.8,1.275,0,0,0,0,2021-03-02
RX0000008386,MBR00000229,2021-04-13,2021-04-16,1346676183,1840666146,PLN8198,493272,PCN868,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,91,5,Retail,0,0,0,30.0,8.4,38.4,5.0,30.89,2.51,0.4,0.2833,0,0,0,0,2021-07-12
RX0000008387,MBR00000229,2022-07-13,2022-07-16,1599593573,1964281388,PLN3505,738933,PCN377,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,7,Retail,0,0,0,12.0,1.58,13.58,6.0,7.11,0.47,0.48,0.34,1,0,0,0,2022-08-12
RX0000008388,MBR00000229,2021-04-06,2021-04-09,1114169029,1979321296,PLN9192,931266,PCN506,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,9,Retail,0,0,0,10.0,2.74,12.74,4.0,7.95,0.79,0.4,0.2833,0,0,0,0,2021-05-06
RX0000008389,MBR00000229,2022-08-02,2022-08-06,1470544687,1294836083,PLN3270,532225,PCN550,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,5,Retail,0,0,0,28.0,5.56,33.56,6.0,26.14,1.42,1.12,0.7933,0,0,0,0,2022-09-01
RX0000008390,MBR00000229,2021-05-27,2021-05-31,1993900118,1803693903,PLN2236,290706,PCN452,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,60,6,Retail,0,1,0,17000.0,7.16,17007.16,148.0,16042.15,817.01,340.0,240.8333,0,0,0,0,2021-07-26
RX0000008391,MBR00000229,2022-03-02,2022-03-05,1411197173,1492513431,PLN3303,529244,PCN620,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,11,Mail Order,0,0,0,10.0,4.21,14.21,1.0,12.67,0.54,0.4,0.2833,0,0,0,0,2022-04-01
RX0000008392,MBR00000229,2021-07-21,2021-07-22,1704769608,1928766095,PLN9489,205371,PCN504,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,82,3,Retail,0,0,0,27.0,10.45,37.45,6.0,29.82,1.63,0.36,0.255,0,0,0,0,2021-10-19
RX0000008393,MBR00000229,2021-07-21,2021-07-23,1192019430,1554117970,PLN2396,511930,PCN226,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,3,Retail,0,0,0,65.0,8.69,73.69,37.0,32.14,4.55,2.6,1.8417,0,0,0,0,2021-08-20
RX0000008394,MBR00000229,2021-06-22,2021-06-24,1524778483,1245162553,PLN4583,221461,PCN201,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,3,Retail,0,0,0,38.0,8.52,46.52,0.0,44.29,2.23,1.52,1.0767,0,0,0,0,2021-07-22
RX0000008395,MBR00000229,2023-07-31,2023-08-01,1808301998,1878780327,PLN3998,377569,PCN223,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,11,Retail,0,1,0,6200.0,3.76,6203.76,147.0,5732.21,324.55,248.0,175.6667,0,0,0,0,2023-08-30
RX0000008396,MBR00000229,2021-10-06,2021-10-09,1982684748,1393808914,PLN5169,628423,PCN814,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,2,Retail,0,0,0,11.0,9.54,20.54,10.0,9.63,0.91,0.44,0.3117,0,0,0,0,2021-11-05
RX0000008397,MBR00000229,2023-07-08,2023-07-12,1385840173,1878543220,PLN6818,430364,PCN644,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,7,Retail,0,0,0,9.0,6.25,15.25,6.0,8.2,1.05,0.36,0.255,0,0,0,0,2023-08-07
RX0000008398,MBR00000229,2022-11-18,2022-11-21,1740804421,1613670554,PLN8799,977667,PCN670,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,65,10,Retail,0,0,0,22.0,2.21,24.21,5.0,18.46,0.75,0.44,0.3117,0,0,0,0,2023-01-17
RX0000008399,MBR00000229,2023-02-05,2023-02-06,1572566021,1322230208,PLN2404,727528,PCN907,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,7,Retail,1,0,0,12.0,5.83,17.83,3.0,13.88,0.95,0.48,0.34,0,0,0,0,2023-03-07
RX0000008400,MBR00000229,2023-04-09,2023-04-11,1734253301,1235658904,PLN2779,681675,PCN965,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,3,Mail Order,0,0,0,10.0,1.96,11.96,0.0,11.23,0.73,0.4,0.2833,0,0,0,0,2023-05-09
RX0000008401,MBR00000229,2022-12-11,2022-12-12,1676298792,1541093856,PLN2549,360936,PCN334,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,86,7,Mail Order,0,1,0,36.0,5.44,41.44,153.0,0.0,2.13,0.48,0.34,0,0,0,0,2023-03-11
RX0000008402,MBR00000229,2021-03-21,2021-03-22,1939525093,1967200722,PLN9467,771472,PCN548,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,10,Retail,0,0,0,38.0,4.89,42.89,34.0,6.2,2.69,1.52,1.0767,0,0,0,0,2021-04-20
RX0000008403,MBR00000229,2022-04-01,2022-04-03,1196867982,1228726463,PLN5388,820467,PCN906,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,10,Retail,0,0,0,45.0,7.72,52.72,7.0,42.92,2.8,1.8,1.275,0,0,0,0,2022-05-01
RX0000008404,MBR00000229,2022-03-23,2022-03-24,1151586879,1586091195,PLN2676,174533,PCN239,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,94,11,Retail,0,0,0,135.0,3.51,138.51,0.0,134.16,4.35,1.8,1.275,0,0,0,0,2022-06-21
RX0000008405,MBR00000229,2023-07-29,2023-07-30,1759563427,1750915400,PLN1094,291695,PCN563,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,5,Specialty,0,1,0,8.0,28.15,36.15,155.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-08-28
RX0000008406,MBR00000229,2023-01-15,2023-01-16,1918702713,1722204238,PLN9932,254465,PCN827,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,4,LTC,0,0,0,2.1,7.66,9.76,10.0,0.0,0.59,0.36,0.255,1,0,0,0,2023-01-22
RX0000008407,MBR00000229,2022-03-14,2022-03-15,1451717253,1118895151,PLN2366,516203,PCN708,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,57,7,Mail Order,2,0,0,15.0,9.51,24.51,6.0,17.72,0.79,0.3,0.2125,0,0,0,0,2022-05-13
RX0000008408,MBR00000229,2022-10-27,2022-10-30,1541810430,1129532878,PLN4835,897397,PCN472,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,4,Specialty,2,0,0,28.0,13.66,41.66,7.0,34.66,0.0,1.12,0.7933,0,0,0,0,2022-11-26
RX0000008409,MBR00000229,2023-06-28,2023-07-01,1592095399,1994080231,PLN1561,369134,PCN562,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,9,Retail,0,0,0,14.0,4.97,18.97,0.0,18.19,0.78,0.56,0.3967,0,0,0,0,2023-07-28
RX0000008410,MBR00000229,2022-07-17,2022-07-19,1181163116,1283938573,PLN5481,444905,PCN640,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,2,Mail Order,0,0,0,18.0,4.03,22.03,7.0,13.64,1.39,0.72,0.51,1,0,0,0,2022-08-16
RX0000008411,MBR00000229,2021-09-18,2021-09-22,1484362380,1126411869,PLN9575,299827,PCN795,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,3,Mail Order,0,0,0,12.0,4.19,16.19,2.0,13.29,0.9,0.48,0.34,0,1,0,0,2021-10-18
RX0000008412,MBR00000229,2022-08-01,2022-08-04,1777433515,1824732033,PLN6246,837740,PCN269,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,6,Retail,3,0,0,7.5,9.87,17.37,1.0,15.67,0.7,0.3,0.2125,0,0,0,0,2022-08-31
RX0000008413,MBR00000229,2022-05-10,2022-05-12,1216419944,1878778522,PLN3327,738339,PCN296,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,6,Retail,0,0,0,2.33,1.84,4.18,4.0,0.0,0.24,0.4,0.2833,1,0,0,0,2022-05-17
RX0000008414,MBR00000229,2022-10-16,2022-10-19,1254770483,1343672356,PLN6659,539169,PCN726,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,1,Specialty,0,1,0,12.0,12.79,24.79,155.0,0.0,0.0,0.48,0.34,0,0,0,0,2022-11-15
RX0000008415,MBR00000229,2022-07-24,2022-07-27,1473008449,1309245780,PLN9858,117064,PCN413,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,96,7,Mail Order,0,0,0,855.0,4.22,859.22,40.0,782.06,37.16,11.4,8.075,0,0,0,0,2022-10-22
RX0000008416,MBR00000229,2021-02-03,2021-02-06,1178112189,1184694108,PLN2368,713960,PCN411,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,7,Mail Order,0,0,0,15.0,4.41,19.41,3.0,15.23,1.18,0.6,0.425,0,0,0,0,2021-03-05
RX0000008417,MBR00000229,2022-05-12,2022-05-13,1222149841,1222960824,PLN3596,368642,PCN291,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,5,Retail,0,0,0,650.0,3.32,653.32,35.0,585.04,33.28,26.0,18.4167,0,0,0,0,2022-06-11
RX0000008418,MBR00000229,2023-06-18,2023-06-21,1236559508,1306495021,PLN4192,614531,PCN767,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,10,Mail Order,0,0,0,380.0,10.09,390.09,37.0,335.22,17.87,15.2,10.7667,0,0,0,0,2023-07-18
RX0000008419,MBR00000229,2023-07-08,2023-07-10,1988436389,1499292052,PLN4432,530551,PCN179,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,6,Retail,0,0,0,10.0,3.88,13.88,0.0,13.38,0.5,0.4,0.2833,0,0,0,0,2023-08-07
RX0000008420,MBR00000229,2022-12-09,2022-12-11,1770297886,1856295907,PLN8187,790275,PCN663,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,1,Retail,0,0,0,7.5,5.4,12.9,9.0,3.28,0.62,0.3,0.2125,0,0,0,0,2023-01-08
RX0000008421,MBR00000229,2023-08-14,2023-08-16,1185618034,1497364674,PLN9849,912643,PCN964,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,85,9,Retail,0,0,0,114.0,8.01,122.01,36.0,79.46,6.55,1.52,1.0767,0,0,0,0,2023-11-12
RX0000008422,MBR00000229,2021-01-14,2021-01-16,1986314312,1121829758,PLN8984,143532,PCN334,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,2,Mail Order,0,0,0,380.0,8.14,388.14,31.0,334.88,22.26,15.2,10.7667,0,0,0,0,2021-02-13
RX0000008423,MBR00000229,2022-11-28,2022-12-02,1225509556,1121023309,PLN8056,558575,PCN706,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,54,1,Retail,1,0,0,20.0,3.69,23.69,0.0,22.93,0.76,0.4,0.2833,1,0,0,0,2023-01-27
RX0000008424,MBR00000229,2022-04-05,2022-04-09,1760812759,1314943179,PLN9584,897279,PCN321,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,95,6,Retail,0,0,0,33.0,3.86,36.86,5.0,29.35,2.51,0.44,0.3117,0,0,0,0,2022-07-04
RX0000008425,MBR00000229,2023-08-19,2023-08-20,1610011001,1865175021,PLN6067,833530,PCN725,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,85,0,Retail,0,0,0,1950.0,10.29,1960.29,35.0,1830.2,95.09,26.0,18.4167,0,0,0,0,2023-11-17
RX0000008426,MBR00000229,2021-03-01,2021-03-05,1329990022,1711346842,PLN3767,124828,PCN169,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,5,Retail,0,0,0,14.0,2.98,16.98,6.0,10.19,0.79,0.56,0.3967,0,0,0,0,2021-03-31
RX0000008427,MBR00000229,2021-10-07,2021-10-11,1550083322,1774691915,PLN7741,443532,PCN827,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,10,Specialty,0,0,1,45.0,17.73,62.73,7.0,55.73,0.0,1.8,1.275,0,0,0,0,2021-11-06
RX0000008428,MBR00000229,2021-09-01,2021-09-04,1233146492,1726065585,PLN4004,722639,PCN605,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,0,Mail Order,0,0,0,11.0,4.1,15.1,10.0,4.56,0.54,0.44,0.3117,0,0,0,0,2021-10-01
RX0000008429,MBR00000229,2021-11-09,2021-11-13,1242988299,1898709092,PLN8573,384729,PCN452,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,8,Retail,0,0,0,65.0,4.4,69.4,32.0,34.18,3.22,2.6,1.8417,0,0,0,0,2021-12-09
RX0000008430,MBR00000229,2022-01-01,2022-01-03,1642891067,1122593932,PLN6508,386570,PCN579,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,0,Mail Order,0,1,0,6200.0,4.85,6204.85,152.0,5756.61,296.24,248.0,175.6667,0,0,0,0,2022-01-31
RX0000008431,MBR00000229,2023-03-17,2023-03-20,1796267572,1912753341,PLN4702,651971,PCN509,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,86,7,Retail,2,0,0,27.0,10.66,37.66,6.0,29.91,1.75,0.36,0.255,0,0,0,0,2023-06-15
RX0000008432,MBR00000229,2021-09-22,2021-09-23,1500871495,1440146838,PLN4278,316011,PCN202,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,10,Retail,2,0,0,175.0,10.54,185.54,34.0,145.51,6.03,7.0,4.9583,0,0,0,0,2021-10-22
RX0000008433,MBR00000229,2021-06-10,2021-06-14,1322410176,1549881006,PLN6662,446119,PCN422,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,90,6,Mail Order,0,1,0,36.0,8.09,44.09,147.0,0.0,2.76,0.48,0.34,0,0,0,0,2021-09-08
RX0000008434,MBR00000229,2023-04-14,2023-04-15,1523923796,1399289909,PLN7262,459476,PCN279,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,59,9,Mail Order,0,0,0,76.0,6.64,82.64,2.0,77.11,3.53,1.52,1.0767,1,0,0,0,2023-06-13
RX0000008435,MBR00000229,2023-11-18,2023-11-21,1266069084,1918782367,PLN8334,966772,PCN366,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,2,Retail,0,0,0,65.0,11.56,76.56,34.0,39.95,2.61,2.6,1.8417,0,0,0,0,2023-12-18
RX0000008436,MBR00000229,2021-10-24,2021-10-27,1772203077,1579818179,PLN4953,174497,PCN867,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,1,Retail,1,0,0,88.67,4.76,93.42,31.0,57.52,4.9,15.2,10.7667,0,0,0,0,2021-10-31
RX0000008437,MBR00000229,2021-06-03,2021-06-07,1379147548,1276605100,PLN4029,558287,PCN607,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,96,4,Retail,0,0,0,45.0,11.13,56.13,10.0,42.93,3.2,0.6,0.425,1,0,0,0,2021-09-01
RX0000008438,MBR00000229,2022-06-27,2022-06-30,1858164193,1427762582,PLN7946,182700,PCN577,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,9,Mail Order,0,0,0,16.0,2.14,18.14,1.0,16.57,0.57,0.64,0.4533,0,0,0,0,2022-07-27
RX0000008439,MBR00000229,2021-11-08,2021-11-11,1835952293,1735515195,PLN8999,255837,PCN244,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,5,Retail,0,0,0,14.0,5.08,19.08,10.0,8.45,0.63,0.56,0.3967,0,0,0,0,2021-12-08
RX0000008440,MBR00000229,2023-04-02,2023-04-04,1168945291,1441019274,PLN6397,307027,PCN654,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,87,5,Retail,0,0,0,54.0,3.99,57.99,10.0,45.06,2.93,0.72,0.51,0,0,0,0,2023-07-01
RX0000008441,MBR00000229,2021-11-03,2021-11-06,1531179675,1114199924,PLN5326,936420,PCN760,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,1,Mail Order,0,0,0,45.0,4.76,49.76,9.0,38.62,2.14,1.8,1.275,0,0,0,0,2021-12-03
RX0000008442,MBR00000229,2021-10-07,2021-10-11,1664209133,1176046380,PLN7593,575616,PCN714,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,8,Retail,1,0,0,38.0,3.58,41.58,2.0,36.86,2.72,1.52,1.0767,0,0,0,0,2021-11-06
RX0000008443,MBR00000230,2021-11-08,2021-11-10,1701652793,1317934009,PLN3708,849985,PCN747,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,11,Retail,0,0,0,14.0,2.21,16.21,9.0,6.13,1.08,0.56,0.3967,0,0,0,0,2021-12-08
RX0000008444,MBR00000230,2021-03-12,2021-03-13,1916246981,1745985250,PLN4856,103727,PCN505,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,0,Specialty,0,0,0,10.0,15.97,25.97,2.0,23.97,0.0,0.4,0.2833,0,0,0,0,2021-04-11
RX0000008445,MBR00000230,2021-06-08,2021-06-12,1861941022,1662840139,PLN1349,624146,PCN297,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,10,Retail,0,0,0,7.5,11.05,18.55,1.0,16.52,1.03,0.3,0.2125,0,0,0,0,2021-07-08
RX0000008446,MBR00000230,2021-11-05,2021-11-07,1852706608,1177116906,PLN1700,131765,PCN154,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,10,Retail,3,0,0,22.0,4.06,26.06,72.0,0.0,0.92,0.88,0.6233,0,0,0,0,2021-12-05
RX0000008447,MBR00000230,2022-08-08,2022-08-09,1840063722,1927121481,PLN2723,328423,PCN195,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,1,Mail Order,0,0,0,45.0,1.61,46.61,1.0,43.85,1.76,0.6,0.425,0,0,0,0,2022-11-06
RX0000008448,MBR00000230,2021-07-14,2021-07-18,1135045406,1214601835,PLN4501,249199,PCN175,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,5,Retail,0,0,0,12.0,7.51,19.51,2.0,16.65,0.86,0.48,0.34,0,0,0,0,2021-08-13
RX0000008449,MBR00000230,2021-12-25,2021-12-26,1196357637,1411393693,PLN6112,904411,PCN687,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,65,9,Retail,0,0,0,36.0,4.36,40.36,35.0,3.83,1.53,0.72,0.51,0,0,0,0,2022-02-23
RX0000008450,MBR00000230,2021-02-25,2021-03-01,1231428912,1304869295,PLN2967,838480,PCN687,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,4,Mail Order,0,0,0,320.0,10.88,330.88,40.0,276.65,14.23,12.8,9.0667,0,0,0,0,2021-03-27
RX0000008451,MBR00000230,2022-06-03,2022-06-05,1271566938,1719143983,PLN3622,991443,PCN551,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,8,Mail Order,1,0,0,14.0,2.17,16.17,0.0,15.42,0.75,0.56,0.3967,0,0,0,0,2022-07-03
RX0000008452,MBR00000230,2023-09-13,2023-09-14,1809024187,1666520903,PLN3583,720204,PCN764,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,6,Specialty,0,0,0,750.0,16.94,766.94,30.0,736.94,0.0,30.0,21.25,0,0,0,0,2023-10-13
RX0000008453,MBR00000230,2021-04-22,2021-04-23,1730616429,1679886341,PLN9405,896793,PCN152,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,7,Specialty,0,0,0,15.0,12.26,27.26,4.0,23.26,0.0,0.6,0.425,0,0,0,0,2021-05-22
RX0000008454,MBR00000230,2022-06-21,2022-06-22,1961729984,1606559215,PLN3009,917167,PCN201,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,8,Retail,0,0,0,28.0,7.65,35.65,4.0,29.49,2.16,1.12,0.7933,1,0,0,0,2022-07-21
RX0000008455,MBR00000230,2022-03-23,2022-03-24,1569317216,1217382457,PLN8039,956395,PCN259,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,92,10,Mail Order,0,0,0,54.0,10.72,64.72,40.0,22.6,2.12,0.72,0.51,0,0,0,0,2022-06-21
RX0000008456,MBR00000230,2022-11-13,2022-11-17,1742474366,1816986535,PLN1627,706255,PCN219,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,1,Retail,0,1,0,2800.0,10.76,2810.76,146.0,2522.23,142.53,112.0,79.3333,1,0,0,0,2022-12-13
RX0000008457,MBR00000231,2022-04-06,2022-04-09,1425309719,1211313708,PLN5508,270791,PCN744,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,3,Retail,0,0,0,1.75,4.24,5.99,8.0,0.0,0.33,0.3,0.2125,0,0,0,0,2022-04-13
RX0000008458,MBR00000231,2023-09-30,2023-10-02,1183925819,1560369982,PLN2671,212269,PCN356,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,6,Mail Order,0,0,0,330.0,11.89,341.89,30.0,299.57,12.32,13.2,9.35,0,0,0,0,2023-10-30
RX0000008459,MBR00000231,2023-11-10,2023-11-13,1875110330,1199245416,PLN3424,913542,PCN427,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,2,Mail Order,0,0,0,14.0,2.3,16.3,3.0,12.65,0.65,0.56,0.3967,0,1,0,0,2023-12-10
RX0000008460,MBR00000231,2022-01-04,2022-01-06,1546308924,1894261837,PLN1285,581148,PCN344,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,9,Specialty,0,0,0,12.5,30.69,43.19,6.0,37.19,0.0,0.5,0.3542,0,0,0,0,2022-02-03
RX0000008461,MBR00000231,2022-01-18,2022-01-21,1421382649,1873395389,PLN9483,907614,PCN361,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,10,Retail,2,0,0,3.73,4.74,8.48,8.0,0.02,0.46,0.64,0.4533,0,0,0,0,2022-01-25
RX0000008462,MBR00000231,2022-10-28,2022-10-29,1356175500,1205497041,PLN9970,916543,PCN804,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,62,1,Retail,0,0,0,570.0,2.08,572.08,40.0,514.7,17.38,11.4,8.075,0,0,0,0,2022-12-27
RX0000008463,MBR00000231,2021-07-18,2021-07-22,1161697169,1114017849,PLN5437,284119,PCN511,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,8,Mail Order,0,0,0,285.0,4.19,289.19,33.0,243.57,12.62,11.4,8.075,0,0,0,0,2021-08-17
RX0000008464,MBR00000231,2021-12-14,2021-12-17,1633296678,1164047418,PLN3486,909923,PCN311,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,7,Mail Order,0,0,0,185.0,6.47,191.47,35.0,150.07,6.4,7.4,5.2417,0,0,0,0,2022-01-13
RX0000008465,MBR00000231,2022-01-06,2022-01-10,1347878858,1739207167,PLN2307,353041,PCN218,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,5,Retail,0,0,0,7.5,10.99,18.49,5.0,12.31,1.18,0.3,0.2125,0,0,0,0,2022-02-05
RX0000008466,MBR00000231,2023-08-09,2023-08-13,1169843606,1357636708,PLN5360,643845,PCN721,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,2,Retail,0,0,0,66.5,7.95,74.45,38.0,33.65,2.8,11.4,8.075,0,0,0,0,2023-08-16
RX0000008467,MBR00000231,2022-10-03,2022-10-04,1697338368,1975345597,PLN1578,358846,PCN557,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,3,Retail,0,0,0,18.0,2.57,20.57,33.0,0.0,0.96,0.72,0.51,0,0,0,0,2022-11-02
RX0000008468,MBR00000231,2021-08-20,2021-08-23,1226089384,1838278954,PLN1685,603003,PCN483,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,5,Retail,0,0,0,650.0,2.86,652.86,37.0,594.62,21.24,26.0,18.4167,0,0,0,0,2021-09-19
RX0000008469,MBR00000231,2023-07-19,2023-07-20,1961372625,1491569599,PLN6936,420987,PCN523,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,61,11,Retail,0,0,0,76.0,3.51,79.51,4.0,71.16,4.35,1.52,1.0767,0,0,0,0,2023-09-17
RX0000008470,MBR00000231,2022-03-22,2022-03-24,1834817955,1309132290,PLN3209,384192,PCN790,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,10,Retail,1,0,0,2.57,8.07,10.64,1.0,8.95,0.69,0.44,0.3117,0,0,0,0,2022-03-29
RX0000008471,MBR00000231,2023-02-10,2023-02-12,1506599272,1182768511,PLN2714,742404,PCN887,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,7,Retail,0,0,0,380.0,9.25,389.25,37.0,331.03,21.22,15.2,10.7667,0,0,0,0,2023-03-12
RX0000008472,MBR00000231,2022-12-19,2022-12-21,1661087187,1152013172,PLN8503,610142,PCN601,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,7,Mail Order,0,0,0,185.0,7.84,192.84,31.0,150.4,11.44,7.4,5.2417,0,0,0,0,2023-01-18
RX0000008473,MBR00000231,2023-06-21,2023-06-25,1817301483,1640824271,PLN8295,963951,PCN825,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,6,Retail,0,1,0,2800.0,1.66,2801.66,151.0,2529.53,121.13,112.0,79.3333,0,0,0,0,2023-07-21
RX0000008474,MBR00000231,2021-03-08,2021-03-09,1942448309,1805640020,PLN6596,126422,PCN987,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,7,Retail,1,1,0,12.0,10.98,22.98,150.0,0.0,1.27,0.48,0.34,0,0,0,0,2021-04-07
RX0000008475,MBR00000231,2021-09-09,2021-09-11,1519768464,1755716551,PLN2320,384426,PCN377,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,8,Mail Order,0,0,0,285.0,2.35,287.35,31.0,244.68,11.67,11.4,8.075,0,0,0,0,2021-10-09
RX0000008476,MBR00000231,2021-10-24,2021-10-28,1448066497,1114155052,PLN7075,134442,PCN104,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,10,Mail Order,0,0,0,40.83,3.54,44.38,40.0,2.27,2.11,7.0,4.9583,0,0,0,0,2021-10-31
RX0000008477,MBR00000231,2022-09-20,2022-09-23,1806680652,1703761323,PLN5719,308972,PCN663,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,88,8,Specialty,0,0,0,42.0,17.77,59.77,1.0,58.77,0.0,0.56,0.3967,0,0,0,0,2022-12-19
RX0000008478,MBR00000232,2022-11-05,2022-11-06,1213855077,1486184976,PLN8376,736642,PCN790,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,7,Retail,0,0,0,22.0,6.26,28.26,73.0,0.0,1.86,0.88,0.6233,1,0,0,0,2022-12-05
RX0000008479,MBR00000232,2022-11-17,2022-11-21,1431526024,1168066218,PLN5778,440937,PCN906,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,0,Retail,0,0,1,4.2,7.39,11.59,6.0,4.91,0.68,0.72,0.51,0,0,0,0,2022-11-24
RX0000008480,MBR00000232,2021-05-16,2021-05-18,1651132167,1540240127,PLN5075,479921,PCN892,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,81,0,Specialty,1,0,0,1110.0,31.27,1141.27,34.0,1107.27,0.0,14.8,10.4833,0,0,0,0,2021-08-14
RX0000008481,MBR00000232,2023-07-23,2023-07-26,1411967937,1367738402,PLN4932,864592,PCN531,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,85,4,Retail,2,0,0,33.0,10.13,43.13,1.0,39.62,2.51,0.44,0.3117,0,0,0,0,2023-10-21
RX0000008482,MBR00000232,2022-01-14,2022-01-15,1763957016,1971177393,PLN3734,849242,PCN395,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,95,0,Retail,0,0,0,960.0,4.73,964.73,32.0,888.25,44.48,12.8,9.0667,0,0,0,0,2022-04-14
RX0000008483,MBR00000232,2021-11-19,2021-11-22,1778098042,1495670245,PLN3539,658090,PCN650,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,6,Retail,0,0,0,16.0,10.37,26.37,1.0,23.71,1.66,0.64,0.4533,0,0,0,0,2021-12-19
RX0000008484,MBR00000232,2023-04-12,2023-04-13,1627255574,1667366096,PLN1595,705288,PCN436,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,0,Retail,0,0,0,10.0,10.98,20.98,1.0,19.05,0.93,0.4,0.2833,0,0,0,0,2023-05-12
RX0000008485,MBR00000232,2023-05-24,2023-05-25,1612836678,1896788793,PLN1824,936850,PCN619,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,10,Retail,0,0,0,18.0,2.56,20.56,7.0,12.51,1.05,0.72,0.51,0,0,0,0,2023-06-23
RX0000008486,MBR00000232,2022-10-16,2022-10-20,1728980705,1952093776,PLN9371,842648,PCN170,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,8,Retail,0,0,0,750.0,10.24,760.24,30.0,686.84,43.4,30.0,21.25,0,0,0,0,2022-11-15
RX0000008487,MBR00000232,2021-10-25,2021-10-28,1906314105,1393881788,PLN1607,966010,PCN282,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,7,Retail,0,0,0,12.0,7.68,19.68,10.0,8.33,1.35,0.48,0.34,0,0,0,0,2021-11-24
RX0000008488,MBR00000232,2023-02-24,2023-02-25,1912395678,1899632277,PLN4107,193855,PCN168,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,LTC,3,0,0,22.0,2.94,24.94,0.0,23.34,1.6,0.88,0.6233,0,0,0,0,2023-03-26
RX0000008489,MBR00000232,2022-04-12,2022-04-16,1469725869,1511487242,PLN5101,610351,PCN290,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,7,Retail,0,0,0,10.0,9.95,19.95,8.0,11.2,0.75,0.4,0.2833,0,0,0,0,2022-05-12
RX0000008490,MBR00000232,2021-09-06,2021-09-08,1606365036,1784052508,PLN8631,730459,PCN272,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,3,Retail,0,0,0,12.0,5.58,17.58,3.0,14.02,0.56,0.48,0.34,0,0,0,0,2021-10-06
RX0000008491,MBR00000232,2022-10-26,2022-10-30,1929353712,1760836352,PLN9246,248291,PCN708,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,0,Retail,0,0,0,310.0,11.04,321.04,33.0,270.02,18.02,12.4,8.7833,0,0,0,0,2022-11-25
RX0000008492,MBR00000232,2023-08-01,2023-08-03,1491415634,1528038307,PLN7832,552932,PCN717,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,1,Retail,0,0,0,370.0,1.54,371.54,31.0,326.45,14.09,14.8,10.4833,0,0,0,0,2023-08-31
RX0000008493,MBR00000232,2021-07-17,2021-07-19,1207401761,1203449674,PLN2853,473502,PCN751,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,83,1,Retail,0,0,0,27.0,2.63,29.63,6.0,22.02,1.61,0.36,0.255,0,0,0,0,2021-10-15
RX0000008494,MBR00000232,2022-06-01,2022-06-04,1276917695,1699977890,PLN1383,455443,PCN507,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,81,2,Retail,0,0,0,1140.0,2.84,1142.84,39.0,1057.32,46.52,15.2,10.7667,1,0,0,0,2022-08-30
RX0000008495,MBR00000232,2022-01-04,2022-01-06,1888013504,1840102977,PLN3205,367746,PCN587,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,1,Specialty,0,0,0,45.0,17.53,62.53,5.0,57.53,0.0,1.8,1.275,0,0,0,0,2022-02-03
RX0000008496,MBR00000232,2022-02-19,2022-02-21,1819838027,1745848169,PLN8796,719952,PCN267,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,96,1,Retail,0,0,0,25.5,6.46,31.96,5.0,24.74,2.22,0.34,0.2408,0,0,0,0,2022-05-20
RX0000008497,MBR00000232,2022-02-18,2022-02-20,1651958929,1840202754,PLN7593,844967,PCN792,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,4,Retail,0,0,0,38.0,4.41,42.41,0.0,39.88,2.53,1.52,1.0767,0,0,0,0,2022-03-20
RX0000008498,MBR00000232,2021-01-02,2021-01-03,1295766733,1661322730,PLN6110,867703,PCN796,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,8,Retail,0,0,0,12.0,1.7,13.7,0.0,13.22,0.48,0.48,0.34,1,0,0,0,2021-02-01
RX0000008499,MBR00000232,2022-07-25,2022-07-28,1152100271,1204933874,PLN4279,338009,PCN927,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,62,6,Retail,0,0,0,130.0,5.05,135.05,34.0,92.47,8.58,2.6,1.8417,0,0,0,0,2022-09-23
RX0000008500,MBR00000232,2022-02-23,2022-02-24,1735530314,1923756802,PLN3827,234390,PCN363,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,97,7,Retail,0,0,0,37.5,4.94,42.44,1.0,38.59,2.85,0.5,0.3542,0,0,0,0,2022-05-24
RX0000008501,MBR00000232,2023-04-03,2023-04-04,1233843127,1181719438,PLN4020,519176,PCN759,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,7,Retail,3,0,0,950.0,10.14,960.14,37.0,891.02,32.12,38.0,26.9167,0,0,0,0,2023-05-03
RX0000008502,MBR00000232,2021-05-05,2021-05-06,1454366783,1219454881,PLN7613,301806,PCN823,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,0,Retail,0,0,0,5.13,8.65,13.79,69.0,0.0,0.59,0.88,0.6233,0,0,0,0,2021-05-12
RX0000008503,MBR00000233,2023-10-24,2023-10-28,1747137777,1952996513,PLN4722,248138,PCN259,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,91,4,Retail,0,1,0,8400.0,6.87,8406.87,150.0,7790.45,466.42,112.0,79.3333,0,0,0,0,2024-01-22
RX0000008504,MBR00000233,2021-03-06,2021-03-09,1597442581,1638664996,PLN7177,115906,PCN314,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,83,6,Retail,0,0,0,27.0,11.63,38.63,2.0,34.59,2.04,0.36,0.255,0,0,0,0,2021-06-04
RX0000008505,MBR00000233,2021-03-12,2021-03-14,1997305397,1977481391,PLN9755,656953,PCN929,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,9,Retail,0,0,0,175.0,3.88,178.88,36.0,132.23,10.65,7.0,4.9583,0,0,0,0,2021-04-11
RX0000008506,MBR00000233,2022-11-01,2022-11-05,1543231880,1662432658,PLN9142,601303,PCN135,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,6,LTC,0,0,0,330.0,2.36,332.36,34.0,284.49,13.87,13.2,9.35,0,0,0,0,2022-12-01
RX0000008507,MBR00000233,2023-01-03,2023-01-05,1499526718,1954204057,PLN8263,348241,PCN253,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,11,Mail Order,0,0,0,3.5,9.04,12.54,5.0,6.69,0.85,0.6,0.425,0,0,0,0,2023-01-10
RX0000008508,MBR00000233,2022-04-20,2022-04-24,1672818166,1231519980,PLN9586,132302,PCN500,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,9,Specialty,0,0,0,14.0,9.07,23.07,1.0,22.07,0.0,0.56,0.3967,0,0,0,0,2022-05-20
RX0000008509,MBR00000233,2022-03-14,2022-03-18,1705561432,1263480218,PLN7858,201074,PCN270,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,95,3,Retail,1,0,0,66.0,8.39,74.39,68.0,2.15,4.24,0.88,0.6233,0,0,0,0,2022-06-12
RX0000008510,MBR00000233,2022-01-30,2022-02-03,1483520269,1521536840,PLN5085,136046,PCN117,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,96,8,Mail Order,0,0,0,33.0,8.55,41.55,10.0,29.97,1.58,0.44,0.3117,0,0,0,0,2022-04-30
RX0000008511,MBR00000233,2022-04-19,2022-04-21,1432652162,1285798713,PLN7767,700490,PCN418,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,1,Mail Order,2,0,0,480.0,8.76,488.76,35.0,429.24,24.52,19.2,13.6,0,0,0,0,2022-05-19
RX0000008512,MBR00000233,2022-03-28,2022-04-01,1990852831,1936868681,PLN5877,551394,PCN632,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,3,Mail Order,0,0,0,14.0,4.06,18.06,6.0,11.5,0.56,0.56,0.3967,0,0,0,0,2022-04-27
RX0000008513,MBR00000233,2022-03-02,2022-03-06,1992109283,1575283700,PLN1450,155054,PCN855,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,2,Retail,0,0,0,38.0,5.9,43.9,33.0,8.35,2.55,1.52,1.0767,0,0,0,0,2022-04-01
RX0000008514,MBR00000233,2023-06-17,2023-06-21,1112058021,1607291673,PLN7401,571872,PCN391,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,6,Retail,0,0,0,14.0,5.55,19.55,7.0,11.56,0.99,0.56,0.3967,0,0,0,0,2023-07-17
RX0000008515,MBR00000233,2022-07-03,2022-07-07,1668448289,1800781382,PLN4141,267618,PCN742,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,82,7,Mail Order,0,0,1,54.0,10.23,64.23,8.0,51.93,4.3,0.72,0.51,1,0,0,0,2022-10-01
RX0000008516,MBR00000233,2022-05-07,2022-05-09,1971978112,1532278486,PLN2380,637258,PCN611,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,3,Retail,0,0,0,11.0,9.81,20.81,8.0,11.49,1.32,0.44,0.3117,0,0,0,0,2022-06-06
RX0000008517,MBR00000233,2021-05-19,2021-05-23,1504086180,1475674453,PLN5570,191717,PCN790,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,65,7,Mail Order,2,0,0,640.0,3.82,643.82,33.0,566.36,44.46,12.8,9.0667,0,0,0,0,2021-07-18
RX0000008518,MBR00000233,2023-11-13,2023-11-14,1156997964,1186889473,PLN7600,779913,PCN998,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,6,Retail,1,0,0,7.5,10.61,18.11,9.0,8.24,0.87,0.3,0.2125,0,0,0,0,2023-12-13
RX0000008519,MBR00000233,2023-04-11,2023-04-15,1981681931,1521625262,PLN5893,363693,PCN194,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,0,Retail,0,1,0,8.0,10.6,18.6,154.0,0.0,0.73,0.32,0.2267,0,0,0,0,2023-05-11
RX0000008520,MBR00000233,2021-07-31,2021-08-01,1622197516,1631378537,PLN3224,285674,PCN161,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,56,10,Retail,0,1,0,16.0,7.97,23.97,149.0,0.0,1.45,0.32,0.2267,0,0,0,0,2021-09-29
RX0000008521,MBR00000233,2022-10-12,2022-10-14,1327824472,1228885227,PLN5527,894504,PCN400,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,6,Mail Order,0,0,0,11.0,11.29,22.29,5.0,16.48,0.81,0.44,0.3117,0,0,0,0,2022-11-11
RX0000008522,MBR00000233,2021-08-09,2021-08-10,1964094352,1210402413,PLN4447,900417,PCN114,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,58,8,Retail,0,0,0,1300.0,11.82,1311.82,34.0,1230.42,47.4,26.0,18.4167,0,0,0,0,2021-10-08
RX0000008523,MBR00000233,2021-09-27,2021-09-29,1606658075,1339960732,PLN8281,995441,PCN120,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,85,1,Mail Order,0,0,0,1140.0,9.69,1149.69,34.0,1066.6,49.09,15.2,10.7667,0,0,0,0,2021-12-26
RX0000008524,MBR00000233,2023-12-16,2023-12-17,1555958406,1101690704,PLN4192,452178,PCN942,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,0,Mail Order,0,0,0,2.1,4.12,6.22,4.0,1.98,0.24,0.36,0.255,0,0,0,0,2023-12-23
RX0000008525,MBR00000233,2022-05-09,2022-05-10,1480549638,1679462170,PLN4511,528467,PCN310,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,10,Retail,2,0,0,86.33,5.18,91.52,39.0,48.01,4.51,14.8,10.4833,0,0,0,0,2022-05-16
RX0000008526,MBR00000233,2021-10-11,2021-10-12,1355068908,1202457735,PLN8114,371941,PCN738,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,94,10,Retail,0,0,0,25.5,7.35,32.85,2.0,29.33,1.52,0.34,0.2408,0,0,0,0,2022-01-09
RX0000008527,MBR00000233,2021-05-10,2021-05-12,1861591552,1564193961,PLN3096,137693,PCN971,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,7,Retail,0,0,0,12.5,11.35,23.85,10.0,12.48,1.37,0.5,0.3542,0,0,0,0,2021-06-09
RX0000008528,MBR00000233,2022-02-25,2022-03-01,1747628531,1210466114,PLN5216,714294,PCN665,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,3,Mail Order,0,0,0,28.0,1.63,29.63,3.0,24.92,1.71,1.12,0.7933,0,0,0,0,2022-03-27
RX0000008529,MBR00000233,2021-04-04,2021-04-08,1819217477,1254827748,PLN3053,756161,PCN231,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,56,5,Retail,0,0,0,620.0,7.63,627.63,38.0,566.48,23.15,12.4,8.7833,0,0,0,0,2021-06-03
RX0000008530,MBR00000233,2022-09-06,2022-09-09,1107647574,1852603577,PLN2903,654929,PCN725,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,60,8,Specialty,0,0,0,18.0,21.07,39.07,2.0,37.07,0.0,0.36,0.255,0,0,0,0,2022-11-05
RX0000008531,MBR00000233,2022-03-23,2022-03-26,1491851512,1438636659,PLN4329,883516,PCN749,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,6,Retail,0,0,0,4.2,6.06,10.26,9.0,0.65,0.61,0.72,0.51,0,0,0,0,2022-03-30
RX0000008532,MBR00000233,2022-02-04,2022-02-08,1739484695,1294169432,PLN9308,968317,PCN423,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,91,11,Retail,0,0,0,30.0,8.03,38.03,7.0,28.51,2.52,0.4,0.2833,0,0,0,0,2022-05-05
RX0000008533,MBR00000233,2022-06-18,2022-06-20,1944805562,1277647712,PLN6272,464279,PCN504,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,1,Retail,0,1,0,6200.0,8.29,6208.29,147.0,5783.14,278.15,248.0,175.6667,0,0,0,0,2022-07-18
RX0000008534,MBR00000233,2021-04-15,2021-04-19,1777671363,1495553308,PLN1439,310559,PCN468,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,2,Retail,0,1,0,8500.0,6.85,8506.85,151.0,7850.52,505.33,340.0,240.8333,0,0,0,0,2021-05-15
RX0000008535,MBR00000233,2021-12-04,2021-12-06,1746117105,1577919619,PLN2262,408297,PCN806,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,10,Retail,0,1,0,2.8,6.53,9.33,146.0,0.0,0.53,0.48,0.34,0,0,0,0,2021-12-11
RX0000008536,MBR00000233,2021-06-17,2021-06-21,1284144304,1577965245,PLN8098,571610,PCN414,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,4,Mail Order,1,0,0,3.5,1.81,5.31,4.0,1.01,0.3,0.6,0.425,0,0,0,0,2021-06-24
RX0000008537,MBR00000233,2023-05-26,2023-05-28,1465179353,1825385977,PLN1253,449086,PCN112,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,95,4,Mail Order,0,0,0,84.0,8.77,92.77,1.0,87.24,4.53,1.12,0.7933,0,0,0,0,2023-08-24
RX0000008538,MBR00000233,2021-05-07,2021-05-08,1550708327,1110688786,PLN5709,145564,PCN494,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,10,Retail,0,0,0,9.0,11.07,20.07,6.0,13.13,0.94,0.36,0.255,0,0,0,0,2021-06-06
RX0000008539,MBR00000233,2022-10-21,2022-10-23,1768455356,1756264198,PLN5695,489252,PCN712,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,5,Retail,3,0,0,10.0,9.17,19.17,4.0,14.15,1.02,0.4,0.2833,0,0,0,0,2022-11-20
RX0000008540,MBR00000233,2021-09-04,2021-09-07,1919624314,1270731583,PLN9053,304797,PCN258,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,92,0,Retail,0,0,0,27.0,7.85,34.85,9.0,24.48,1.37,0.36,0.255,0,0,0,0,2021-12-03
RX0000008541,MBR00000233,2022-10-04,2022-10-08,1694869472,1280143275,PLN4831,342723,PCN283,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,61,8,Mail Order,3,0,0,76.0,8.53,84.53,37.0,41.99,5.54,1.52,1.0767,0,0,0,0,2022-12-03
RX0000008542,MBR00000233,2022-04-03,2022-04-05,1231426655,1578719434,PLN4683,303439,PCN218,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,87,11,Retail,0,0,0,990.0,7.19,997.19,31.0,899.16,67.03,13.2,9.35,0,0,0,0,2022-07-02
RX0000008543,MBR00000233,2021-02-08,2021-02-12,1631621748,1942167769,PLN2666,111628,PCN687,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,88,5,Retail,0,0,0,48.0,9.98,57.98,6.0,48.73,3.25,0.64,0.4533,0,0,0,0,2021-05-09
RX0000008544,MBR00000233,2021-10-20,2021-10-23,1732230338,1854301590,PLN9063,669662,PCN611,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,10,Retail,0,0,0,42.0,8.5,50.5,3.0,45.52,1.98,0.56,0.3967,0,0,0,0,2022-01-18
RX0000008545,MBR00000233,2021-12-31,2022-01-01,1823231860,1719720928,PLN5984,895891,PCN161,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,55,7,Mail Order,0,0,0,30.0,5.03,35.03,1.0,32.48,1.55,0.6,0.425,0,1,0,0,2022-03-01
RX0000008546,MBR00000233,2023-05-26,2023-05-27,1163697810,1616004382,PLN2994,464109,PCN652,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,8,Mail Order,1,0,0,330.0,8.87,338.87,33.0,284.0,21.87,13.2,9.35,0,0,0,0,2023-06-25
RX0000008547,MBR00000233,2023-10-25,2023-10-29,1313816932,1176263679,PLN8010,907088,PCN972,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,7,Retail,0,0,0,15.0,10.72,25.72,2.0,22.51,1.21,0.6,0.425,0,0,0,0,2023-11-24
RX0000008548,MBR00000233,2023-06-23,2023-06-24,1825286679,1600376328,PLN4570,881627,PCN506,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,4,Retail,0,1,0,6200.0,9.74,6209.74,153.0,5734.39,322.35,248.0,175.6667,0,0,0,0,2023-07-23
RX0000008549,MBR00000233,2021-05-30,2021-06-03,1431894741,1543466184,PLN5607,852134,PCN545,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,3,Retail,0,0,0,10.0,11.21,21.21,6.0,14.24,0.97,0.4,0.2833,0,0,0,0,2021-06-29
RX0000008550,MBR00000233,2022-11-27,2022-11-29,1175428978,1902917095,PLN9538,311927,PCN422,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,11,Retail,0,0,0,2.33,8.1,10.43,10.0,0.0,0.48,0.4,0.2833,0,0,0,0,2022-12-04
RX0000008551,MBR00000233,2023-11-02,2023-11-04,1365950295,1607092212,PLN3293,250031,PCN251,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,10,Specialty,2,0,0,11.0,23.63,34.63,0.0,34.63,0.0,0.44,0.3117,0,0,0,0,2023-12-02
RX0000008552,MBR00000233,2022-11-07,2022-11-09,1404706208,1844135614,PLN2702,587188,PCN170,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,4,Retail,0,0,0,7.5,10.03,17.53,2.0,14.66,0.87,0.3,0.2125,0,0,0,0,2022-12-07
RX0000008553,MBR00000233,2021-01-06,2021-01-10,1727906648,1213116327,PLN1233,916676,PCN577,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,1,Mail Order,0,1,0,6200.0,7.0,6207.0,153.0,5780.98,273.02,248.0,175.6667,0,0,0,0,2021-02-05
RX0000008554,MBR00000233,2023-05-21,2023-05-22,1890349988,1251710912,PLN7785,358074,PCN754,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,10,Retail,0,0,1,18.0,8.75,26.75,38.0,0.0,1.65,0.72,0.51,0,0,0,0,2023-06-20
RX0000008555,MBR00000233,2022-05-27,2022-05-29,1151048074,1360000496,PLN2274,700040,PCN991,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,9,Retail,0,0,0,12.0,4.12,16.12,8.0,7.4,0.72,0.48,0.34,1,0,0,0,2022-06-26
RX0000008556,MBR00000233,2023-02-17,2023-02-19,1669283454,1199763604,PLN2081,939916,PCN727,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,10,Retail,3,0,0,750.0,10.08,760.08,36.0,678.39,45.69,30.0,21.25,0,0,0,0,2023-03-19
RX0000008557,MBR00000233,2022-11-15,2022-11-17,1347214776,1496904700,PLN6305,761876,PCN632,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,63,9,Mail Order,0,0,0,36.0,7.4,43.4,9.0,31.47,2.93,0.72,0.51,0,0,0,0,2023-01-14
RX0000008558,MBR00000233,2023-09-30,2023-10-02,1405711622,1179735962,PLN2067,736659,PCN706,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,5,Mail Order,0,0,0,14.0,6.88,20.88,0.0,20.14,0.74,0.56,0.3967,0,0,0,0,2023-10-30
RX0000008559,MBR00000233,2021-05-29,2021-06-01,1414572360,1421579796,PLN5650,695239,PCN323,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,7,Retail,0,0,0,7.5,8.55,16.05,4.0,10.95,1.1,0.3,0.2125,0,0,0,0,2021-06-28
RX0000008560,MBR00000234,2023-06-10,2023-06-13,1784629244,1163618593,PLN1052,337465,PCN542,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,5,Retail,0,0,0,18.0,4.92,22.92,32.0,0.0,1.38,0.72,0.51,0,0,0,0,2023-07-10
RX0000008561,MBR00000234,2021-04-08,2021-04-12,1627417632,1758535695,PLN9579,707653,PCN365,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,11,Retail,0,0,1,15.0,6.82,21.82,10.0,10.58,1.24,0.6,0.425,0,0,0,0,2021-05-08
RX0000008562,MBR00000234,2022-12-23,2022-12-25,1844802416,1479305721,PLN8559,455217,PCN525,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,1,Mail Order,0,0,0,9.0,2.74,11.74,4.0,7.36,0.38,0.36,0.255,0,0,0,0,2023-01-22
RX0000008563,MBR00000234,2023-10-22,2023-10-24,1451612228,1479016319,PLN9650,975490,PCN362,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,2,Retail,0,1,0,12.0,2.48,14.48,155.0,0.0,1.01,0.48,0.34,0,0,0,0,2023-11-21
RX0000008564,MBR00000234,2023-11-30,2023-12-04,1464772841,1142310676,PLN1174,325532,PCN113,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,0,Retail,0,0,0,5.13,7.19,12.33,66.0,0.0,0.86,0.88,0.6233,0,0,0,0,2023-12-07
RX0000008565,MBR00000234,2022-03-20,2022-03-21,1366164089,1655317830,PLN3917,748911,PCN641,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,0,Specialty,0,0,0,16.0,20.96,36.96,7.0,29.96,0.0,0.64,0.4533,0,0,0,0,2022-04-19
RX0000008566,MBR00000234,2023-12-27,2023-12-31,1966476677,1634816046,PLN5216,771054,PCN283,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,64,8,Mail Order,0,0,0,570.0,11.57,581.57,30.0,530.35,21.22,11.4,8.075,0,0,0,0,2024-02-25
RX0000008567,MBR00000234,2021-06-26,2021-06-27,1437012122,1367734511,PLN7280,686862,PCN119,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,5,Retail,0,0,0,330.0,8.06,338.06,30.0,287.34,20.72,13.2,9.35,1,0,0,0,2021-07-26
RX0000008568,MBR00000234,2023-06-15,2023-06-17,1324425868,1438854138,PLN9468,822340,PCN834,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,6,Retail,0,0,0,18.0,11.28,29.28,7.0,20.64,1.64,0.72,0.51,0,0,0,0,2023-07-15
RX0000008569,MBR00000234,2023-03-22,2023-03-25,1152741654,1805567878,PLN6444,408531,PCN820,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,10,Retail,0,0,0,14.0,4.22,18.22,7.0,10.38,0.84,0.56,0.3967,0,0,0,0,2023-04-21
RX0000008570,MBR00000234,2022-07-13,2022-07-16,1316449794,1654310730,PLN4318,971972,PCN546,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,86,2,Mail Order,2,0,0,135.0,5.63,140.63,4.0,131.66,4.97,1.8,1.275,0,0,0,0,2022-10-11
RX0000008571,MBR00000234,2021-04-05,2021-04-08,1167113285,1595252749,PLN7142,682330,PCN399,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,7,Retail,0,0,0,16.0,2.42,18.42,7.0,10.75,0.67,0.64,0.4533,0,0,0,0,2021-05-05
RX0000008572,MBR00000234,2021-02-08,2021-02-11,1805368476,1256011731,PLN2339,739137,PCN558,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,2,Mail Order,0,0,0,45.0,2.73,47.73,3.0,42.72,2.01,1.8,1.275,1,0,0,0,2021-03-10
RX0000008573,MBR00000234,2022-12-11,2022-12-12,1996312181,1113403269,PLN7013,230581,PCN562,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,64,9,Mail Order,0,0,0,56.0,5.59,61.59,8.0,51.69,1.9,1.12,0.7933,0,0,0,0,2023-02-09
RX0000008574,MBR00000234,2023-09-17,2023-09-18,1178339090,1595565067,PLN6989,713090,PCN360,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,63,11,Retail,3,0,0,90.0,2.66,92.66,9.0,77.72,5.94,1.8,1.275,0,0,0,0,2023-11-16
RX0000008575,MBR00000234,2021-04-10,2021-04-12,1814768456,1813948994,PLN8807,924976,PCN702,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,85,11,Retail,0,0,0,27.0,3.57,30.57,3.0,26.65,0.92,0.36,0.255,0,0,0,0,2021-07-09
RX0000008576,MBR00000234,2021-11-14,2021-11-18,1338992388,1226167005,PLN3874,791705,PCN726,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,81,0,Retail,0,0,0,195.0,10.37,205.37,33.0,162.81,9.56,2.6,1.8417,0,0,0,0,2022-02-12
RX0000008577,MBR00000234,2023-11-23,2023-11-24,1990417353,1254846763,PLN7395,212231,PCN628,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,4,Retail,0,1,0,8500.0,7.77,8507.77,154.0,7775.02,578.75,340.0,240.8333,1,0,0,0,2023-12-23
RX0000008578,MBR00000234,2023-12-16,2023-12-20,1750589079,1767840571,PLN2693,650821,PCN116,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,10,Retail,1,0,0,310.0,3.39,313.39,36.0,262.07,15.32,12.4,8.7833,0,0,0,0,2024-01-15
RX0000008579,MBR00000234,2021-03-16,2021-03-19,1264338000,1868932165,PLN7350,514026,PCN830,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,10,Retail,0,0,0,8.5,2.62,11.12,8.0,2.74,0.38,0.34,0.2408,0,0,0,0,2021-04-15
RX0000008580,MBR00000234,2022-09-20,2022-09-24,1705525057,1161305275,PLN7220,370905,PCN373,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,5,Retail,0,0,0,12.0,6.0,18.0,7.0,10.4,0.6,0.48,0.34,0,0,0,0,2022-10-20
RX0000008581,MBR00000234,2022-05-16,2022-05-19,1731172329,1622059140,PLN6922,670118,PCN590,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,85,2,Retail,0,0,0,48.0,3.39,51.39,4.0,45.2,2.19,0.64,0.4533,0,1,0,0,2022-08-14
RX0000008582,MBR00000234,2022-06-28,2022-06-29,1372513977,1549025378,PLN8715,883932,PCN178,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,10,Retail,0,1,0,1446.67,7.45,1454.12,153.0,1207.03,94.09,248.0,175.6667,0,0,0,0,2022-07-05
RX0000008583,MBR00000234,2021-11-08,2021-11-11,1944702431,1532891119,PLN7029,328286,PCN293,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,6,Mail Order,0,0,0,7.5,11.51,19.01,6.0,11.88,1.13,0.3,0.2125,0,0,0,0,2021-12-08
RX0000008584,MBR00000234,2022-05-08,2022-05-12,1855358947,1667341835,PLN5335,714515,PCN229,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,0,Retail,0,0,0,11.0,1.58,12.58,5.0,6.95,0.63,0.44,0.3117,0,0,0,0,2022-06-07
RX0000008585,MBR00000234,2021-08-25,2021-08-26,1891124154,1419498848,PLN8508,458832,PCN630,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,2,Mail Order,0,1,0,8.0,5.36,13.36,148.0,0.0,0.88,0.32,0.2267,0,0,0,0,2021-09-24
RX0000008586,MBR00000234,2021-03-09,2021-03-10,1798025269,1967019718,PLN2290,441915,PCN644,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,0,Retail,0,0,0,43.17,7.06,50.22,39.0,9.53,1.69,7.4,5.2417,0,0,0,0,2021-03-16
RX0000008587,MBR00000234,2023-05-30,2023-06-01,1821528158,1421981618,PLN9523,416337,PCN179,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,88,4,Mail Order,0,0,0,195.0,9.81,204.81,39.0,158.79,7.02,2.6,1.8417,0,1,1,0,2023-08-28
RX0000008588,MBR00000234,2022-08-18,2022-08-22,1430516604,1307940123,PLN1094,616461,PCN347,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,5,Mail Order,0,0,0,9.0,3.28,12.28,2.0,9.6,0.68,0.36,0.255,0,0,0,0,2022-09-17
RX0000008589,MBR00000234,2021-04-07,2021-04-11,1528497314,1431678377,PLN8140,242390,PCN376,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,10,Retail,3,0,0,14.0,9.93,23.93,10.0,12.58,1.35,0.56,0.3967,0,0,0,0,2021-05-07
RX0000008590,MBR00000234,2023-11-01,2023-11-04,1723353539,1775478565,PLN4508,364724,PCN840,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,2,Mail Order,0,0,0,310.0,6.15,316.15,37.0,265.67,13.48,12.4,8.7833,0,0,0,0,2023-12-01
RX0000008591,MBR00000234,2021-05-27,2021-05-30,1811049842,1838345521,PLN3428,604792,PCN417,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,11,Retail,1,0,0,10.0,4.96,14.96,0.0,13.95,1.01,0.4,0.2833,0,0,0,0,2021-06-26
RX0000008592,MBR00000234,2021-08-17,2021-08-20,1347120042,1495401230,PLN1563,929552,PCN382,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,8,Retail,0,0,0,45.0,6.2,51.2,1.0,46.97,3.23,1.8,1.275,0,0,0,0,2021-09-16
RX0000008593,MBR00000234,2021-12-23,2021-12-26,1732605877,1287397713,PLN2545,272254,PCN250,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,0,Retail,0,1,0,12.0,7.7,19.7,149.0,0.0,0.69,0.48,0.34,0,0,0,0,2022-01-22
RX0000008594,MBR00000234,2022-01-28,2022-01-30,1427675442,1334921262,PLN3624,216197,PCN767,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,5,Retail,0,0,0,4.2,10.82,15.02,9.0,5.17,0.85,0.72,0.51,0,0,0,0,2022-02-04
RX0000008595,MBR00000234,2022-12-17,2022-12-21,1372020131,1622923617,PLN8670,958309,PCN427,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,4,Retail,0,0,0,14.0,2.6,16.6,10.0,5.52,1.08,0.56,0.3967,0,0,0,0,2023-01-16
RX0000008596,MBR00000234,2021-04-04,2021-04-08,1872692088,1949537230,PLN8230,136833,PCN595,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,82,0,Mail Order,1,0,0,855.0,5.7,860.7,39.0,766.57,55.13,11.4,8.075,0,0,0,0,2021-07-03
RX0000008597,MBR00000234,2021-05-18,2021-05-19,1149436775,1398045508,PLN2503,806709,PCN917,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,94,4,Retail,0,0,0,195.0,7.69,202.69,36.0,155.43,11.26,2.6,1.8417,0,0,0,0,2021-08-16
RX0000008598,MBR00000234,2021-05-07,2021-05-08,1509736508,1448012888,PLN8575,951189,PCN831,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,9,Retail,0,0,0,16.0,2.15,18.15,6.0,11.09,1.06,0.64,0.4533,0,0,0,0,2021-06-06
RX0000008599,MBR00000234,2021-11-04,2021-11-08,1499386380,1664857841,PLN8724,446498,PCN505,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,1,Retail,0,0,0,43.17,11.39,54.55,38.0,13.61,2.94,7.4,5.2417,0,0,0,0,2021-11-11
RX0000008600,MBR00000234,2022-07-02,2022-07-06,1899395122,1969280819,PLN3099,735634,PCN861,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,59,10,Retail,0,0,0,28.0,2.41,30.41,7.0,22.11,1.3,0.56,0.3967,0,0,0,0,2022-08-31
RX0000008601,MBR00000235,2021-11-14,2021-11-16,1202634751,1789296409,PLN4147,968823,PCN171,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,87,8,Specialty,0,0,0,990.0,11.75,1001.75,35.0,966.75,0.0,13.2,9.35,0,0,0,0,2022-02-12
RX0000008602,MBR00000235,2023-07-14,2023-07-16,1257402030,1314133442,PLN5136,940577,PCN284,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,7,Retail,0,0,0,8.5,11.23,19.73,7.0,11.97,0.76,0.34,0.2408,1,0,0,0,2023-08-13
RX0000008603,MBR00000235,2022-08-01,2022-08-02,1316849152,1996069865,PLN2266,208554,PCN324,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,11,Specialty,0,0,0,320.0,26.9,346.9,32.0,314.9,0.0,12.8,9.0667,0,0,0,0,2022-08-31
RX0000008604,MBR00000235,2023-05-02,2023-05-03,1940561677,1411615722,PLN5670,599629,PCN605,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,6,Mail Order,3,0,0,8.5,6.81,15.31,8.0,6.3,1.01,0.34,0.2408,0,0,0,0,2023-06-01
RX0000008605,MBR00000235,2022-04-18,2022-04-21,1131144212,1919207462,PLN5307,365658,PCN254,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,8,Mail Order,0,0,0,310.0,11.32,321.32,31.0,269.6,20.72,12.4,8.7833,0,0,0,0,2022-05-18
RX0000008606,MBR00000235,2021-12-23,2021-12-25,1281060318,1986048682,PLN5208,559559,PCN965,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,96,0,Retail,0,0,0,22.5,3.41,25.91,10.0,14.32,1.59,0.3,0.2125,0,0,0,0,2022-03-23
RX0000008607,MBR00000235,2021-03-10,2021-03-11,1387308618,1447405866,PLN9220,902791,PCN427,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,0,Retail,1,0,0,12.0,4.21,16.21,6.0,9.23,0.98,0.48,0.34,0,0,0,0,2021-04-09
RX0000008608,MBR00000235,2023-06-23,2023-06-27,1323411173,1785864503,PLN3850,701013,PCN408,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,85,4,Mail Order,0,0,0,54.0,5.71,59.71,7.0,50.19,2.52,0.72,0.51,0,0,0,0,2023-09-21
RX0000008609,MBR00000235,2021-08-17,2021-08-18,1559383958,1184542259,PLN4041,629021,PCN432,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,55,2,Retail,0,0,0,18.0,5.51,23.51,8.0,14.21,1.3,0.36,0.255,0,0,0,0,2021-10-16
RX0000008610,MBR00000235,2023-04-08,2023-04-11,1662936507,1316672845,PLN9096,375227,PCN309,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,5,Mail Order,0,0,0,45.0,6.25,51.25,5.0,43.01,3.24,1.8,1.275,0,0,0,0,2023-05-08
RX0000008611,MBR00000235,2021-04-10,2021-04-14,1641380075,1164645726,PLN5722,487209,PCN190,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,92,4,Mail Order,0,0,0,36.0,11.53,47.53,8.0,37.16,2.37,0.48,0.34,0,0,0,0,2021-07-09
RX0000008612,MBR00000235,2021-08-20,2021-08-23,1384752420,1739966198,PLN6761,744766,PCN814,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,2,Retail,0,0,0,650.0,2.31,652.31,30.0,584.62,37.69,26.0,18.4167,0,0,0,0,2021-09-19
RX0000008613,MBR00000235,2021-11-21,2021-11-22,1906302637,1902176248,PLN9162,429628,PCN695,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,7,Retail,1,0,0,38.0,2.18,40.18,10.0,28.38,1.8,1.52,1.0767,0,0,0,0,2021-12-21
RX0000008614,MBR00000235,2022-04-02,2022-04-05,1387939665,1786731972,PLN4432,573503,PCN133,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,2,Retail,0,0,0,22.0,2.25,24.25,4.0,18.71,1.54,0.88,0.6233,0,0,0,0,2022-05-02
RX0000008615,MBR00000235,2023-07-21,2023-07-24,1180167571,1156123362,PLN8064,665529,PCN168,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,4,Retail,0,0,0,14.0,5.4,19.4,0.0,18.72,0.68,0.56,0.3967,0,0,0,0,2023-08-20
RX0000008616,MBR00000235,2021-08-19,2021-08-22,1141140769,1404558357,PLN6137,370866,PCN143,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,8,Retail,0,0,0,40.83,7.21,48.04,33.0,11.75,3.29,7.0,4.9583,0,0,0,0,2021-08-26
RX0000008617,MBR00000235,2021-04-19,2021-04-21,1564268813,1859382736,PLN8637,693448,PCN740,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,9,Specialty,0,0,0,370.0,35.63,405.63,34.0,371.63,0.0,14.8,10.4833,0,0,0,0,2021-05-19
RX0000008618,MBR00000235,2023-04-14,2023-04-15,1777157333,1754116037,PLN1986,722679,PCN556,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,10,Retail,0,0,0,15.0,10.14,25.14,3.0,21.02,1.12,0.6,0.425,0,0,0,0,2023-05-14
RX0000008619,MBR00000235,2022-08-05,2022-08-08,1686367267,1994092783,PLN4346,467770,PCN619,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,11,Retail,0,0,0,185.0,4.56,189.56,36.0,140.87,12.69,7.4,5.2417,0,0,0,0,2022-09-04
RX0000008620,MBR00000235,2021-12-05,2021-12-08,1118181437,1429050567,PLN4335,687691,PCN639,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,7,Retail,0,1,0,12.0,5.71,17.71,146.0,0.0,0.74,0.48,0.34,0,0,0,0,2022-01-04
RX0000008621,MBR00000235,2021-01-24,2021-01-25,1815313939,1322001995,PLN3576,754470,PCN943,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,11,Retail,0,0,0,14.0,5.76,19.76,7.0,11.72,1.04,0.56,0.3967,0,0,0,0,2021-02-23
RX0000008622,MBR00000235,2022-10-25,2022-10-28,1413933943,1949440415,PLN2193,482602,PCN371,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,54,1,Retail,0,0,0,90.0,10.48,100.48,0.0,94.0,6.48,1.8,1.275,0,0,0,0,2022-12-24
RX0000008623,MBR00000235,2022-03-26,2022-03-27,1225997334,1514604680,PLN6721,828735,PCN279,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,3,Specialty,2,0,0,45.0,49.85,94.85,2.0,92.85,0.0,1.8,1.275,0,0,0,0,2022-04-25
RX0000008624,MBR00000235,2022-07-11,2022-07-15,1292865246,1654805291,PLN2608,824932,PCN395,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,5,Specialty,0,1,0,12.0,37.72,49.72,150.0,0.0,0.0,0.48,0.34,0,0,0,0,2022-08-10
RX0000008625,MBR00000235,2022-12-17,2022-12-19,1802681849,1847922764,PLN8692,419730,PCN820,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,0,Retail,0,0,0,22.0,4.63,26.63,3.0,22.04,1.59,0.88,0.6233,0,0,0,0,2023-01-16
RX0000008626,MBR00000235,2021-04-28,2021-04-29,1560024189,1324907999,PLN9372,440141,PCN670,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,10,Mail Order,0,0,0,38.0,9.91,47.91,3.0,42.68,2.23,1.52,1.0767,0,0,0,0,2021-05-28
RX0000008627,MBR00000235,2022-12-24,2022-12-28,1978089530,1231382386,PLN7780,531717,PCN598,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,6,Retail,0,0,0,12.5,2.93,15.43,7.0,7.64,0.79,0.5,0.3542,0,0,0,0,2023-01-23
RX0000008628,MBR00000235,2022-08-06,2022-08-07,1553924982,1567958780,PLN5497,596411,PCN758,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,11,Mail Order,2,0,0,370.0,10.73,380.73,40.0,327.4,13.33,14.8,10.4833,0,0,0,0,2022-09-05
RX0000008629,MBR00000235,2021-01-13,2021-01-14,1308582017,1700757949,PLN9580,892732,PCN932,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,5,Retail,2,0,0,8.5,6.0,14.5,7.0,7.05,0.45,0.34,0.2408,0,0,0,0,2021-02-12
RX0000008630,MBR00000235,2022-09-14,2022-09-17,1191180216,1958008920,PLN2769,314647,PCN393,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,8,Retail,0,0,0,750.0,7.66,757.66,30.0,692.02,35.64,30.0,21.25,0,0,0,0,2022-10-14
RX0000008631,MBR00000235,2021-11-18,2021-11-20,1245499588,1650590026,PLN3039,678731,PCN873,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,95,3,Mail Order,0,0,0,36.0,7.74,43.74,6.0,34.71,3.03,0.48,0.34,0,0,0,0,2022-02-16
RX0000008632,MBR00000235,2023-05-14,2023-05-17,1494771988,1583877542,PLN4596,213109,PCN165,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,94,10,Retail,2,0,1,114.0,2.04,116.04,2.0,106.87,7.17,1.52,1.0767,0,0,0,0,2023-08-12
RX0000008633,MBR00000235,2021-12-22,2021-12-25,1501140252,1624141476,PLN7760,978809,PCN659,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,81,5,Mail Order,0,0,0,2850.0,2.78,2852.78,32.0,2717.19,103.59,38.0,26.9167,0,0,0,0,2022-03-22
RX0000008634,MBR00000235,2022-10-09,2022-10-12,1396332840,1817614251,PLN3822,689531,PCN768,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,54,6,Specialty,0,0,0,36.0,25.65,61.65,4.0,57.65,0.0,0.72,0.51,0,0,0,0,2022-12-08
RX0000008635,MBR00000235,2022-01-20,2022-01-24,1798348578,1630283731,PLN9123,992970,PCN703,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,86,1,Retail,0,0,0,1140.0,9.79,1149.79,40.0,1052.47,57.32,15.2,10.7667,0,0,0,0,2022-04-20
RX0000008636,MBR00000235,2022-06-18,2022-06-21,1479425628,1659344434,PLN3435,622252,PCN472,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,2,Mail Order,0,1,0,2800.0,9.28,2809.28,148.0,2492.01,169.27,112.0,79.3333,0,0,0,0,2022-07-18
RX0000008637,MBR00000235,2022-09-22,2022-09-26,1493381378,1175399145,PLN9169,340650,PCN839,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,5,Retail,2,0,0,10.0,4.96,14.96,1.0,13.31,0.65,0.4,0.2833,0,0,0,0,2022-10-22
RX0000008638,MBR00000235,2023-11-28,2023-11-30,1886338195,1232491665,PLN4780,545580,PCN306,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,93,11,Mail Order,0,0,0,48.0,7.02,55.02,9.0,42.64,3.38,0.64,0.4533,0,0,0,0,2024-02-26
RX0000008639,MBR00000235,2022-09-05,2022-09-07,1887847560,1144881448,PLN1176,772745,PCN276,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,4,Specialty,0,0,0,285.0,44.9,329.9,38.0,291.9,0.0,11.4,8.075,0,0,0,0,2022-10-05
RX0000008640,MBR00000235,2023-06-22,2023-06-25,1770084834,1662761674,PLN1685,225583,PCN917,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,86,6,Mail Order,0,0,0,36.0,10.31,46.31,9.0,35.72,1.59,0.48,0.34,0,0,0,0,2023-09-20
RX0000008641,MBR00000235,2023-08-05,2023-08-09,1788766538,1375768438,PLN1715,146831,PCN446,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,57,0,Retail,1,0,0,130.0,11.65,141.65,36.0,96.21,9.44,2.6,1.8417,0,0,0,0,2023-10-04
RX0000008642,MBR00000235,2022-09-19,2022-09-21,1647590975,1352614925,PLN2444,456434,PCN439,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,88,6,Retail,0,0,0,42.0,5.24,47.24,2.0,43.03,2.21,0.56,0.3967,0,0,0,0,2022-12-18
RX0000008643,MBR00000235,2023-06-03,2023-06-04,1684506335,1764562680,PLN9398,974990,PCN340,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,56,7,Retail,0,0,0,1900.0,4.78,1904.78,40.0,1772.92,91.86,38.0,26.9167,0,0,0,0,2023-08-02
RX0000008644,MBR00000235,2021-07-22,2021-07-25,1390311581,1519112721,PLN7952,428277,PCN767,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,11,Retail,1,0,0,10.5,8.51,19.01,0.0,18.17,0.84,1.8,1.275,0,0,0,0,2021-07-29
RX0000008645,MBR00000235,2021-09-23,2021-09-27,1712624684,1925272990,PLN8613,266480,PCN171,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,10,Retail,1,0,0,14.0,7.77,21.77,2.0,18.51,1.26,0.56,0.3967,0,0,0,0,2021-10-23
RX0000008646,MBR00000235,2023-09-11,2023-09-14,1965112527,1294708148,PLN8500,126951,PCN678,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,63,4,Retail,0,0,0,620.0,4.97,624.97,34.0,553.21,37.76,12.4,8.7833,0,0,0,0,2023-11-10
RX0000008647,MBR00000235,2021-07-10,2021-07-13,1541249468,1460716386,PLN3427,210295,PCN402,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,2,Retail,0,0,0,10.0,4.55,14.55,1.0,12.93,0.62,0.4,0.2833,0,0,0,0,2021-08-09
RX0000008648,MBR00000235,2021-12-25,2021-12-27,1597442826,1131918784,PLN5754,451017,PCN369,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,92,0,Retail,0,0,0,930.0,9.27,939.27,32.0,874.72,32.55,12.4,8.7833,0,0,0,0,2022-03-25
RX0000008649,MBR00000235,2023-05-11,2023-05-14,1535796872,1822155400,PLN3804,844700,PCN794,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,8,Retail,0,0,0,330.0,6.53,336.53,39.0,283.62,13.91,13.2,9.35,0,0,0,0,2023-06-10
RX0000008650,MBR00000235,2023-07-31,2023-08-03,1802584013,1321693738,PLN8338,776994,PCN193,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,5,Retail,0,0,0,950.0,3.69,953.69,34.0,876.25,43.44,38.0,26.9167,0,0,0,0,2023-08-30
RX0000008651,MBR00000235,2022-04-30,2022-05-03,1373334451,1501699996,PLN4129,116265,PCN950,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,98,8,Mail Order,0,0,0,27.0,8.15,35.15,6.0,28.07,1.08,0.36,0.255,0,0,0,0,2022-07-29
RX0000008652,MBR00000235,2022-03-31,2022-04-01,1656330081,1607597509,PLN4304,781235,PCN621,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,3,Retail,0,0,0,45.0,2.32,47.32,0.0,45.34,1.98,1.8,1.275,0,0,0,0,2022-04-30
RX0000008653,MBR00000235,2021-05-08,2021-05-09,1544438056,1518757580,PLN5780,643845,PCN891,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,1,Retail,0,0,0,3.27,9.58,12.85,9.0,3.43,0.42,0.56,0.3967,0,0,0,0,2021-05-15
RX0000008654,MBR00000235,2021-01-25,2021-01-27,1607616430,1338310508,PLN5171,930858,PCN553,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,2,Specialty,0,0,0,480.0,11.64,491.64,34.0,457.64,0.0,19.2,13.6,0,0,0,0,2021-02-24
RX0000008655,MBR00000235,2021-10-22,2021-10-25,1554823687,1106839140,PLN7386,202661,PCN294,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,2,Retail,1,0,0,320.0,2.6,322.6,31.0,280.31,11.29,12.8,9.0667,0,0,0,0,2021-11-21
RX0000008656,MBR00000235,2023-10-12,2023-10-14,1192371302,1148824969,PLN8721,856293,PCN411,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,9,Retail,0,0,0,18.0,2.26,20.26,2.0,17.26,1.0,0.72,0.51,0,0,0,0,2023-11-11
RX0000008657,MBR00000235,2021-11-06,2021-11-10,1642783756,1597136647,PLN9037,716081,PCN208,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,59,10,Retail,1,0,0,660.0,6.53,666.53,39.0,605.68,21.85,13.2,9.35,0,0,0,0,2022-01-05
RX0000008658,MBR00000235,2022-01-15,2022-01-18,1495393791,1681485742,PLN3126,108171,PCN226,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,91,8,Retail,0,0,0,1440.0,5.16,1445.16,38.0,1349.14,58.02,19.2,13.6,0,0,0,0,2022-04-15
RX0000008659,MBR00000235,2021-11-03,2021-11-04,1749597049,1917961328,PLN6986,265147,PCN814,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,64,10,Retail,1,0,1,22.0,7.54,29.54,10.0,18.54,1.0,0.44,0.3117,0,0,0,0,2022-01-02
RX0000008660,MBR00000235,2023-12-27,2023-12-29,1771484932,1234547025,PLN2553,532660,PCN948,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,4,Retail,0,1,0,8.0,5.5,13.5,151.0,0.0,0.77,0.32,0.2267,0,0,0,0,2024-01-26
RX0000008661,MBR00000235,2022-11-29,2022-12-01,1953425329,1901748791,PLN4030,337255,PCN576,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,3,Specialty,0,0,0,14.0,46.59,60.59,6.0,54.59,0.0,0.56,0.3967,0,0,0,0,2022-12-29
RX0000008662,MBR00000235,2021-04-10,2021-04-14,1491743917,1937226692,PLN3302,218794,PCN939,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,58,0,Retail,0,0,0,32.0,2.62,34.62,7.0,25.62,2.0,0.64,0.4533,0,0,0,0,2021-06-09
RX0000008663,MBR00000235,2022-01-30,2022-02-03,1185909375,1843965964,PLN5956,595968,PCN290,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,10,Retail,0,0,0,66.5,7.6,74.1,32.0,37.17,4.93,11.4,8.075,0,0,0,0,2022-02-06
RX0000008664,MBR00000235,2023-05-29,2023-06-02,1966538116,1991007763,PLN9373,332887,PCN590,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,92,11,Retail,0,0,0,1440.0,3.13,1443.13,32.0,1358.0,53.13,19.2,13.6,0,0,0,0,2023-08-27
RX0000008665,MBR00000235,2023-03-06,2023-03-08,1833711748,1130351969,PLN9095,581276,PCN279,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,86,0,Mail Order,0,0,0,84.0,4.13,88.13,8.0,75.29,4.84,1.12,0.7933,0,0,0,0,2023-06-04
RX0000008666,MBR00000235,2022-11-21,2022-11-24,1529768240,1874433657,PLN9576,480065,PCN604,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,85,5,Retail,0,0,0,114.0,8.14,122.14,0.0,114.29,7.85,1.52,1.0767,0,0,0,0,2023-02-19
RX0000008667,MBR00000235,2021-06-16,2021-06-17,1624191498,1716312326,PLN9345,221587,PCN769,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,6,Specialty,0,0,0,310.0,22.11,332.11,40.0,292.11,0.0,12.4,8.7833,0,0,0,0,2021-07-16
RX0000008668,MBR00000236,2021-10-23,2021-10-24,1303060921,1841913226,PLN1634,885274,PCN961,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,10,Mail Order,0,0,0,45.0,8.69,53.69,0.0,51.6,2.09,1.8,1.275,0,0,0,0,2021-11-22
RX0000008669,MBR00000236,2021-04-23,2021-04-27,1842473567,1177321968,PLN2964,471189,PCN761,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,11,Retail,0,0,0,8.5,4.31,12.81,9.0,3.27,0.54,0.34,0.2408,0,0,0,0,2021-05-23
RX0000008670,MBR00000236,2021-03-02,2021-03-05,1637067799,1285136928,PLN7201,560748,PCN733,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,4,Retail,0,0,0,175.0,7.31,182.31,30.0,146.79,5.52,7.0,4.9583,0,1,1,0,2021-04-01
RX0000008671,MBR00000236,2023-09-18,2023-09-21,1879120698,1401775788,PLN3097,112776,PCN373,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,55,9,Retail,0,0,0,28.0,8.75,36.75,5.0,30.23,1.52,0.56,0.3967,0,0,0,0,2023-11-17
RX0000008672,MBR00000236,2022-04-18,2022-04-20,1195253872,1592573809,PLN1212,930215,PCN225,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,87,7,Retail,0,0,0,36.0,11.96,47.96,8.0,37.41,2.55,0.48,0.34,0,0,0,0,2022-07-17
RX0000008673,MBR00000236,2023-12-28,2023-12-31,1100777761,1813762731,PLN4860,320279,PCN782,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,60,4,Retail,0,0,1,370.0,4.7,374.7,30.0,325.24,19.46,7.4,5.2417,0,0,0,0,2024-02-26
RX0000008674,MBR00000236,2022-02-22,2022-02-25,1321257655,1980612795,PLN4625,629941,PCN855,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,7,Mail Order,0,1,0,2800.0,5.89,2805.89,146.0,2496.02,163.87,112.0,79.3333,0,0,0,0,2022-03-24
RX0000008675,MBR00000236,2021-06-14,2021-06-15,1428045803,1574607691,PLN5877,140390,PCN236,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,62,3,LTC,0,0,0,20.0,9.29,29.29,8.0,20.34,0.95,0.4,0.2833,0,0,0,0,2021-08-13
RX0000008676,MBR00000236,2022-08-12,2022-08-13,1265927733,1518802870,PLN3829,201449,PCN339,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,94,0,Retail,0,0,0,27.0,9.3,36.3,2.0,32.22,2.08,0.36,0.255,0,0,0,0,2022-11-10
RX0000008677,MBR00000236,2021-01-23,2021-01-25,1225990905,1502637784,PLN6945,749075,PCN174,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,4,Retail,0,0,0,5.13,5.71,10.84,74.0,0.0,0.75,0.88,0.6233,0,0,0,0,2021-01-30
RX0000008678,MBR00000236,2022-02-10,2022-02-14,1176153219,1269240952,PLN8900,242546,PCN431,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,54,6,Mail Order,0,0,0,660.0,4.48,664.48,31.0,601.88,31.6,13.2,9.35,0,0,0,0,2022-04-11
RX0000008679,MBR00000236,2023-06-20,2023-06-21,1438794975,1945434067,PLN6040,987267,PCN352,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,98,9,Mail Order,0,0,0,84.0,9.39,93.39,3.0,85.02,5.37,1.12,0.7933,1,1,0,0,2023-09-18
RX0000008680,MBR00000236,2023-04-30,2023-05-04,1702585853,1722276872,PLN7064,129919,PCN143,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,4,Mail Order,0,1,0,8500.0,2.66,8502.66,151.0,7945.64,406.02,340.0,240.8333,0,1,1,0,2023-05-30
RX0000008681,MBR00000236,2022-07-04,2022-07-05,1282739690,1576571535,PLN2342,953237,PCN626,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,5,Mail Order,0,0,0,285.0,1.99,286.99,31.0,242.43,13.56,11.4,8.075,0,0,0,0,2022-08-03
RX0000008682,MBR00000236,2023-08-15,2023-08-16,1216125998,1697661164,PLN1760,514686,PCN220,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,8,Retail,0,0,0,2.8,2.81,5.61,7.0,0.0,0.37,0.48,0.34,0,1,0,0,2023-08-22
RX0000008683,MBR00000236,2022-10-24,2022-10-28,1854975257,1870121718,PLN2940,115259,PCN730,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,62,10,Retail,0,0,0,36.0,4.48,40.48,10.0,28.16,2.32,0.72,0.51,0,0,0,0,2022-12-23
RX0000008684,MBR00000236,2022-04-08,2022-04-11,1245133553,1802436863,PLN6089,516506,PCN283,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,0,Retail,0,0,1,14.0,6.58,20.58,9.0,10.87,0.71,0.56,0.3967,0,0,0,0,2022-05-08
RX0000008685,MBR00000236,2022-06-26,2022-06-30,1617962570,1617746513,PLN5734,908761,PCN220,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,7,Retail,2,1,0,8.0,9.16,17.16,149.0,0.0,1.0,0.32,0.2267,0,0,0,0,2022-07-26
RX0000008686,MBR00000236,2022-05-18,2022-05-22,1796940747,1213787748,PLN6280,765050,PCN774,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,85,2,Retail,0,0,0,45.0,11.36,56.36,4.0,49.02,3.34,0.6,0.425,0,0,0,0,2022-08-16
RX0000008687,MBR00000236,2022-10-07,2022-10-08,1377073665,1439001937,PLN4282,935557,PCN882,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,9,Retail,0,0,0,38.0,7.73,45.73,38.0,6.05,1.68,1.52,1.0767,0,0,0,0,2022-11-06
RX0000008688,MBR00000236,2021-03-09,2021-03-11,1633020118,1491143470,PLN5325,135909,PCN307,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,89,1,Retail,0,0,0,45.0,4.73,49.73,4.0,43.5,2.23,0.6,0.425,0,0,0,0,2021-06-07
RX0000008689,MBR00000236,2021-02-13,2021-02-16,1478143147,1660818220,PLN7528,574874,PCN651,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,96,3,Mail Order,0,0,0,54.0,3.94,57.94,4.0,51.54,2.4,0.72,0.51,0,0,0,0,2021-05-14
RX0000008690,MBR00000236,2023-05-02,2023-05-05,1800653465,1504925170,PLN1003,609655,PCN721,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,2,Retail,0,1,0,8.0,8.29,16.29,147.0,0.0,1.0,0.32,0.2267,0,0,0,0,2023-06-01
RX0000008691,MBR00000236,2021-02-18,2021-02-20,1426392884,1901270781,PLN9289,524411,PCN422,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,7,Mail Order,0,0,0,11.0,10.03,21.03,5.0,15.38,0.65,0.44,0.3117,0,0,0,0,2021-03-20
RX0000008692,MBR00000236,2021-11-25,2021-11-29,1225675466,1346236764,PLN1741,765450,PCN811,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,55,4,Retail,0,0,0,1500.0,4.89,1504.89,39.0,1400.21,65.68,30.0,21.25,0,0,0,0,2022-01-24
RX0000008693,MBR00000236,2022-12-19,2022-12-23,1762465526,1735251709,PLN1322,637234,PCN353,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,5,Retail,0,0,0,12.0,9.49,21.49,4.0,16.18,1.31,0.48,0.34,0,0,0,0,2023-01-18
RX0000008694,MBR00000236,2022-06-07,2022-06-08,1560502789,1200928983,PLN6008,602510,PCN665,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,8,Retail,0,0,0,2.1,8.66,10.76,7.0,3.41,0.35,0.36,0.255,0,0,0,0,2022-06-14
RX0000008695,MBR00000236,2023-09-06,2023-09-09,1287017343,1475772659,PLN1106,640900,PCN299,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,4,Retail,0,0,0,22.0,5.54,27.54,7.0,19.11,1.43,0.88,0.6233,0,0,0,0,2023-10-06
RX0000008696,MBR00000236,2022-09-04,2022-09-06,1911651591,1477795312,PLN3193,458294,PCN794,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,94,11,Retail,0,0,0,195.0,8.35,203.35,33.0,162.81,7.54,2.6,1.8417,0,0,0,0,2022-12-03
RX0000008697,MBR00000236,2021-07-26,2021-07-28,1487561219,1533104542,PLN8525,567709,PCN243,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,8,Mail Order,0,1,0,8500.0,9.53,8509.53,151.0,7815.58,542.95,340.0,240.8333,0,0,0,0,2021-08-25
RX0000008698,MBR00000236,2023-10-28,2023-10-30,1751402851,1507017127,PLN3656,675342,PCN262,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,2,Mail Order,0,1,0,6200.0,9.23,6209.23,150.0,5668.38,390.85,248.0,175.6667,0,0,0,0,2023-11-27
RX0000008699,MBR00000236,2023-04-10,2023-04-14,1134805780,1133339363,PLN8560,464382,PCN874,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,4,Retail,0,0,0,28.0,3.35,31.35,1.0,28.66,1.69,1.12,0.7933,0,0,0,0,2023-05-10
RX0000008700,MBR00000236,2022-10-05,2022-10-06,1973362749,1463107273,PLN9218,882766,PCN533,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,95,10,Retail,0,0,0,33.0,3.29,36.29,10.0,24.31,1.98,0.44,0.3117,0,1,0,0,2023-01-03
RX0000008701,MBR00000236,2021-08-27,2021-08-30,1119632665,1124735970,PLN1122,172171,PCN361,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,6,Mail Order,0,0,0,38.0,9.63,47.63,3.0,41.41,3.22,1.52,1.0767,0,0,0,0,2021-09-26
RX0000008702,MBR00000236,2022-09-01,2022-09-05,1217781821,1290759020,PLN7956,398920,PCN438,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,0,Mail Order,0,0,0,30.0,11.46,41.46,8.0,31.06,2.4,0.4,0.2833,0,0,0,0,2022-11-30
RX0000008703,MBR00000236,2021-08-02,2021-08-03,1243372876,1818843460,PLN1580,342430,PCN697,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,1,Retail,1,0,0,370.0,11.12,381.12,38.0,326.97,16.15,14.8,10.4833,0,0,0,0,2021-09-01
RX0000008704,MBR00000236,2021-02-07,2021-02-09,1374316844,1878556480,PLN8264,161608,PCN883,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,8,Retail,2,0,0,185.0,2.11,187.11,32.0,145.16,9.95,7.4,5.2417,0,0,0,0,2021-03-09
RX0000008705,MBR00000236,2023-10-19,2023-10-23,1161423287,1637090244,PLN2718,926710,PCN681,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,6,Retail,0,0,0,28.0,5.49,33.49,3.0,29.02,1.47,1.12,0.7933,0,0,0,0,2023-11-18
RX0000008706,MBR00000236,2021-10-04,2021-10-08,1147801338,1433938442,PLN1094,436427,PCN613,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,6,Retail,0,0,0,9.0,4.14,13.14,1.0,11.52,0.62,0.36,0.255,0,0,0,0,2021-11-03
RX0000008707,MBR00000236,2022-11-04,2022-11-07,1226852446,1253206649,PLN4340,108690,PCN442,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,3,LTC,0,0,0,10.0,3.91,13.91,10.0,3.27,0.64,0.4,0.2833,0,0,0,0,2022-12-04
RX0000008708,MBR00000236,2022-12-06,2022-12-10,1428379729,1355362014,PLN8553,853764,PCN209,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,4,Specialty,0,1,0,1446.67,45.89,1492.56,148.0,1344.56,0.0,248.0,175.6667,0,0,0,0,2022-12-13
RX0000008709,MBR00000236,2022-09-18,2022-09-22,1822425773,1481969832,PLN4034,917494,PCN232,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,62,0,Retail,0,0,0,28.0,11.74,39.74,1.0,36.16,2.58,0.56,0.3967,0,0,0,0,2022-11-17
RX0000008710,MBR00000236,2021-02-21,2021-02-23,1825450135,1334340368,PLN9488,406149,PCN335,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,54,10,Mail Order,0,0,0,1900.0,9.36,1909.36,35.0,1787.36,87.0,38.0,26.9167,0,0,0,0,2021-04-22
RX0000008711,MBR00000236,2023-03-05,2023-03-09,1207456699,1202135346,PLN1729,542600,PCN951,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,54,1,Retail,0,0,0,640.0,7.65,647.65,34.0,583.93,29.72,12.8,9.0667,0,0,0,0,2023-05-04
RX0000008712,MBR00000236,2022-06-21,2022-06-23,1510003048,1284723250,PLN7470,367579,PCN882,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,1,Retail,0,0,0,38.0,10.4,48.4,7.0,38.24,3.16,1.52,1.0767,0,0,0,0,2022-07-21
RX0000008713,MBR00000236,2021-11-28,2021-11-30,1174836791,1754259335,PLN9372,780730,PCN370,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,10,Retail,0,0,0,14.0,10.15,24.15,9.0,14.19,0.96,0.56,0.3967,0,0,0,0,2021-12-28
RX0000008714,MBR00000236,2022-03-04,2022-03-07,1798775190,1906056353,PLN5334,379059,PCN863,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,89,7,Retail,0,0,0,48.0,10.57,58.57,1.0,54.67,2.9,0.64,0.4533,0,0,0,0,2022-06-02
RX0000008715,MBR00000236,2022-12-19,2022-12-20,1175321257,1262692161,PLN5448,986567,PCN770,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,11,Mail Order,0,0,0,370.0,7.05,377.05,31.0,328.12,17.93,14.8,10.4833,0,0,0,0,2023-01-18
RX0000008716,MBR00000236,2021-06-15,2021-06-19,1511049618,1400003548,PLN8159,401707,PCN378,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,7,Mail Order,0,0,0,2.1,4.85,6.95,0.0,6.63,0.32,0.36,0.255,0,0,0,0,2021-06-22
RX0000008717,MBR00000236,2023-10-22,2023-10-24,1128000208,1219265836,PLN2458,942750,PCN857,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,95,7,Mail Order,0,0,1,54.0,8.23,62.23,4.0,55.4,2.83,0.72,0.51,0,0,0,0,2024-01-20
RX0000008718,MBR00000236,2021-03-19,2021-03-23,1271547690,1872015183,PLN8300,384156,PCN737,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,4,Mail Order,0,0,0,2.33,7.78,10.11,0.0,9.53,0.58,0.4,0.2833,0,0,0,0,2021-03-26
RX0000008719,MBR00000236,2021-02-26,2021-02-27,1111059832,1229946180,PLN4718,719302,PCN249,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,5,Specialty,0,0,0,38.0,47.13,85.13,37.0,48.13,0.0,1.52,1.0767,0,0,0,0,2021-03-28
RX0000008720,MBR00000236,2021-01-31,2021-02-01,1426847818,1766693298,PLN5047,452115,PCN678,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,7,Mail Order,0,0,0,22.0,9.7,31.7,68.0,0.0,1.53,0.88,0.6233,0,0,0,0,2021-03-02
RX0000008721,MBR00000236,2022-06-21,2022-06-23,1853426773,1589640954,PLN2868,718778,PCN274,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,5,Mail Order,0,0,0,175.0,7.15,182.15,36.0,140.05,6.1,7.0,4.9583,0,0,0,0,2022-07-21
RX0000008722,MBR00000237,2021-04-01,2021-04-04,1314442161,1456598699,PLN9368,114380,PCN953,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,7,Mail Order,0,0,0,12.0,8.86,20.86,6.0,14.1,0.76,0.48,0.34,0,0,0,0,2021-05-01
RX0000008723,MBR00000237,2022-11-17,2022-11-18,1336352605,1134757896,PLN9193,602293,PCN198,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,84,7,Retail,0,0,0,855.0,2.6,857.6,36.0,778.77,42.83,11.4,8.075,0,0,0,0,2023-02-15
RX0000008724,MBR00000237,2023-11-08,2023-11-09,1133728690,1573841031,PLN8009,707219,PCN326,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,7,Mail Order,0,0,0,2.33,5.56,7.9,2.0,5.53,0.37,0.4,0.2833,1,0,0,0,2023-11-15
RX0000008725,MBR00000237,2023-03-16,2023-03-18,1611484285,1143285815,PLN2783,483129,PCN379,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,93,1,Retail,0,0,0,54.0,5.14,59.14,31.0,25.34,2.8,0.72,0.51,1,0,0,0,2023-06-14
RX0000008726,MBR00000237,2021-12-30,2022-01-02,1890968796,1627034200,PLN2389,552281,PCN228,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,7,Mail Order,0,0,0,310.0,11.78,321.78,36.0,265.03,20.75,12.4,8.7833,0,0,0,0,2022-01-29
RX0000008727,MBR00000237,2023-01-03,2023-01-04,1545386084,1678827375,PLN9916,897921,PCN380,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,9,Mail Order,0,0,0,77.0,11.42,88.42,39.0,46.53,2.89,13.2,9.35,0,0,0,0,2023-01-10
RX0000008728,MBR00000237,2021-11-01,2021-11-02,1917097813,1413976657,PLN1039,377843,PCN539,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,2,Mail Order,1,0,0,4.2,4.38,8.58,5.0,3.01,0.57,0.72,0.51,0,0,0,0,2021-11-08
RX0000008729,MBR00000237,2022-11-22,2022-11-23,1609223413,1314555385,PLN9967,291268,PCN489,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,5,Retail,0,0,0,9.0,7.34,16.34,5.0,10.35,0.99,0.36,0.255,0,0,0,0,2022-12-22
RX0000008730,MBR00000237,2023-10-25,2023-10-27,1947491413,1337883502,PLN1392,419725,PCN737,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,9,Retail,0,0,0,15.0,3.39,18.39,6.0,11.42,0.97,0.6,0.425,0,0,0,0,2023-11-24
RX0000008731,MBR00000237,2023-09-21,2023-09-25,1805461647,1783438825,PLN8909,524464,PCN922,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,4,Retail,0,0,0,22.0,3.78,25.78,74.0,0.0,0.87,0.88,0.6233,0,0,0,0,2023-10-21
RX0000008732,MBR00000237,2022-06-29,2022-07-03,1368398471,1618400379,PLN7598,246039,PCN852,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,64,10,Retail,0,0,0,30.0,10.73,40.73,2.0,36.49,2.24,0.6,0.425,0,0,0,0,2022-08-28
RX0000008733,MBR00000237,2022-09-27,2022-09-30,1575627697,1256684713,PLN2746,959905,PCN890,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,8,Mail Order,0,0,0,9.0,2.64,11.64,1.0,9.99,0.65,0.36,0.255,0,0,0,0,2022-10-27
RX0000008734,MBR00000237,2021-06-18,2021-06-20,1473122693,1966162956,PLN6851,553664,PCN104,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,97,10,Retail,0,0,0,30.0,6.42,36.42,6.0,28.55,1.87,0.4,0.2833,0,0,0,0,2021-09-16
RX0000008735,MBR00000237,2022-04-26,2022-04-28,1419305534,1227147784,PLN5660,727559,PCN305,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,62,3,Retail,0,0,0,24.0,7.99,31.99,7.0,23.94,1.05,0.48,0.34,0,0,0,0,2022-06-25
RX0000008736,MBR00000237,2021-03-31,2021-04-03,1189533116,1215599715,PLN4488,293309,PCN802,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,93,10,Retail,0,0,0,855.0,3.82,858.82,37.0,788.08,33.74,11.4,8.075,0,0,0,0,2021-06-29
RX0000008737,MBR00000237,2023-10-09,2023-10-13,1224064301,1865720072,PLN9737,524596,PCN389,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,82,4,Retail,0,0,0,27.0,11.3,38.3,9.0,28.05,1.25,0.36,0.255,0,0,0,0,2024-01-07
RX0000008738,MBR00000237,2022-07-13,2022-07-15,1525589548,1472427233,PLN7459,916738,PCN882,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,93,0,Retail,0,0,1,27.0,6.32,33.32,3.0,29.03,1.29,0.36,0.255,0,0,0,0,2022-10-11
RX0000008739,MBR00000237,2023-10-07,2023-10-09,1843775328,1994315111,PLN4338,166805,PCN495,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,65,11,Mail Order,0,0,0,18.0,9.14,27.14,4.0,22.25,0.89,0.36,0.255,0,0,0,0,2023-12-06
RX0000008740,MBR00000237,2023-10-18,2023-10-22,1922206578,1682512301,PLN8827,895581,PCN570,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,56,7,Retail,0,1,0,17000.0,3.95,17003.95,145.0,15978.08,880.87,340.0,240.8333,0,0,0,0,2023-12-17
RX0000008741,MBR00000237,2021-06-14,2021-06-16,1746792010,1782654608,PLN4142,584590,PCN293,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,6,Retail,0,0,0,72.33,11.43,83.76,32.0,46.29,5.47,12.4,8.7833,1,0,0,0,2021-06-21
RX0000008742,MBR00000237,2023-10-18,2023-10-22,1943802087,1976462346,PLN8022,613362,PCN385,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,9,Mail Order,0,0,0,18.0,6.92,24.92,0.0,23.25,1.67,0.72,0.51,0,0,0,0,2023-11-17
RX0000008743,MBR00000237,2022-07-08,2022-07-09,1981241325,1863883049,PLN1970,436581,PCN204,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,9,Retail,0,0,0,45.0,3.91,48.91,6.0,41.04,1.87,1.8,1.275,1,0,0,0,2022-08-07
RX0000008744,MBR00000237,2023-07-31,2023-08-02,1502505457,1876487642,PLN2973,547821,PCN453,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,6,Retail,0,0,0,5.13,10.74,15.87,71.0,0.0,0.58,0.88,0.6233,0,0,0,0,2023-08-07
RX0000008745,MBR00000237,2021-11-20,2021-11-24,1175622724,1967743315,PLN7405,765528,PCN603,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,5,Retail,0,0,0,8.87,3.28,12.15,2.0,9.67,0.48,1.52,1.0767,0,0,0,0,2021-11-27
RX0000008746,MBR00000237,2022-09-20,2022-09-24,1862367363,1255241442,PLN2277,999300,PCN652,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,2,Retail,0,0,0,16.0,11.44,27.44,6.0,20.04,1.4,0.64,0.4533,0,0,0,0,2022-10-20
RX0000008747,MBR00000237,2022-02-23,2022-02-26,1247402337,1535405167,PLN4482,310042,PCN451,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,0,Retail,0,0,0,175.0,10.33,185.33,33.0,141.69,10.64,7.0,4.9583,0,0,0,0,2022-03-25
RX0000008748,MBR00000237,2022-01-28,2022-01-31,1456130180,1652149403,PLN4529,874691,PCN448,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,59,11,Retail,0,1,0,24.0,7.92,31.92,145.0,0.0,1.82,0.48,0.34,1,0,0,0,2022-03-29
RX0000008749,MBR00000237,2021-07-20,2021-07-22,1294909233,1751762970,PLN6739,397100,PCN778,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,8,Retail,0,0,0,18.0,4.76,22.76,33.0,0.0,1.35,0.72,0.51,0,0,0,0,2021-08-19
RX0000008750,MBR00000237,2023-09-17,2023-09-21,1325478010,1747461468,PLN9800,193749,PCN583,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,11,Retail,0,0,0,12.0,7.0,19.0,4.0,14.3,0.7,0.48,0.34,0,0,0,0,2023-10-17
RX0000008751,MBR00000237,2021-07-12,2021-07-16,1753793385,1983267991,PLN8230,517130,PCN676,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,57,6,Retail,0,0,0,660.0,5.87,665.87,35.0,589.24,41.63,13.2,9.35,0,0,0,0,2021-09-10
RX0000008752,MBR00000237,2022-02-16,2022-02-20,1237854142,1324191648,PLN9321,990118,PCN361,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,8,Retail,2,0,0,310.0,11.23,321.23,30.0,269.67,21.56,12.4,8.7833,0,0,0,0,2022-03-18
RX0000008753,MBR00000237,2022-01-15,2022-01-18,1863395008,1902951354,PLN6929,267712,PCN539,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,1,Retail,0,1,0,2.8,2.71,5.51,150.0,0.0,0.38,0.48,0.34,0,0,0,0,2022-01-22
RX0000008754,MBR00000237,2021-10-22,2021-10-23,1467944917,1442268399,PLN1338,162089,PCN272,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,6,Specialty,0,0,0,11.0,27.07,38.07,0.0,38.07,0.0,0.44,0.3117,0,0,0,0,2021-11-21
RX0000008755,MBR00000237,2021-01-09,2021-01-13,1402518990,1870246054,PLN8519,271546,PCN221,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,10,Retail,0,0,0,285.0,8.58,293.58,35.0,241.56,17.02,11.4,8.075,0,0,0,0,2021-02-08
RX0000008756,MBR00000237,2023-06-12,2023-06-16,1896570334,1709528171,PLN3298,220880,PCN959,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,10,Retail,0,0,0,18.0,3.87,21.87,3.0,18.15,0.72,0.72,0.51,0,0,0,0,2023-07-12
RX0000008757,MBR00000237,2021-10-06,2021-10-10,1953627005,1727217659,PLN6417,651081,PCN835,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,7,Mail Order,0,0,0,370.0,10.9,380.9,40.0,318.73,22.17,14.8,10.4833,0,0,0,0,2021-11-05
RX0000008758,MBR00000237,2022-05-11,2022-05-12,1890555717,1909138949,PLN5542,224551,PCN144,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,0,Retail,0,0,0,12.5,7.61,20.11,8.0,11.08,1.03,0.5,0.3542,0,0,0,0,2022-06-10
RX0000008759,MBR00000237,2022-09-24,2022-09-25,1911005926,1341486542,PLN7954,654351,PCN783,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,4,Retail,0,0,0,28.0,5.61,33.61,4.0,27.75,1.86,1.12,0.7933,0,0,0,0,2022-10-24
RX0000008760,MBR00000237,2022-08-22,2022-08-23,1352714374,1852552648,PLN1097,964116,PCN473,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,4,Retail,0,0,0,10.0,5.74,15.74,9.0,6.05,0.69,0.4,0.2833,0,0,0,0,2022-09-21
RX0000008761,MBR00000237,2022-07-30,2022-08-03,1684143866,1199200649,PLN5770,439640,PCN423,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,5,Mail Order,0,1,0,6200.0,6.16,6206.16,151.0,5737.28,317.88,248.0,175.6667,0,0,0,0,2022-08-29
RX0000008762,MBR00000237,2023-01-20,2023-01-21,1462887355,1341556592,PLN4613,330557,PCN453,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,10,Retail,0,0,0,950.0,6.54,956.54,38.0,880.2,38.34,38.0,26.9167,0,0,0,0,2023-02-19
RX0000008763,MBR00000237,2022-05-23,2022-05-24,1554647167,1358873471,PLN6283,419805,PCN702,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,82,10,Specialty,0,0,0,27.0,49.47,76.47,4.0,72.47,0.0,0.36,0.255,0,0,0,0,2022-08-21
RX0000008764,MBR00000237,2021-04-27,2021-05-01,1147155166,1578493207,PLN3564,168925,PCN544,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,4,Retail,0,0,0,7.5,5.9,13.4,2.0,10.72,0.68,0.3,0.2125,0,0,0,0,2021-05-27
RX0000008765,MBR00000237,2021-10-17,2021-10-18,1195318015,1910507794,PLN8292,624560,PCN878,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,2,Retail,2,0,0,11.0,2.59,13.59,2.0,10.67,0.92,0.44,0.3117,1,0,0,0,2021-11-16
RX0000008766,MBR00000237,2023-08-06,2023-08-10,1839264121,1925350655,PLN1839,276472,PCN577,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,84,10,Retail,0,0,0,54.0,5.58,59.58,9.0,46.42,4.16,0.72,0.51,0,0,0,0,2023-11-04
RX0000008767,MBR00000237,2022-01-26,2022-01-28,1982101940,1157472742,PLN7366,968242,PCN479,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,5,Retail,0,1,0,6200.0,5.15,6205.15,147.0,5813.44,244.71,248.0,175.6667,0,0,0,0,2022-02-25
RX0000008768,MBR00000238,2021-02-11,2021-02-12,1548129863,1552520182,PLN6403,199215,PCN864,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,4,Specialty,0,0,0,10.0,13.78,23.78,0.0,23.78,0.0,0.4,0.2833,1,0,0,0,2021-03-13
RX0000008769,MBR00000238,2022-01-12,2022-01-15,1573067615,1747551203,PLN7390,478069,PCN920,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,11,LTC,0,0,0,855.0,2.52,857.52,38.0,778.03,41.49,11.4,8.075,0,0,0,0,2022-04-12
RX0000008770,MBR00000238,2021-06-17,2021-06-19,1485236884,1672277598,PLN5312,122021,PCN150,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,8,Retail,0,0,0,175.0,1.97,176.97,36.0,131.23,9.74,7.0,4.9583,0,0,0,0,2021-07-17
RX0000008771,MBR00000238,2022-11-15,2022-11-16,1758363681,1478619867,PLN6822,108769,PCN911,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,82,9,Retail,0,0,0,30.0,8.61,38.61,4.0,32.02,2.59,0.4,0.2833,0,0,0,0,2023-02-13
RX0000008772,MBR00000238,2021-08-18,2021-08-22,1881194626,1516678726,PLN4324,574693,PCN600,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,3,Retail,1,0,0,6.53,9.78,16.32,0.0,15.65,0.67,1.12,0.7933,0,0,0,0,2021-08-25
RX0000008773,MBR00000238,2021-09-14,2021-09-17,1493754638,1183068843,PLN4006,205826,PCN542,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,0,Retail,0,0,0,45.0,5.36,50.36,7.0,40.02,3.34,1.8,1.275,0,1,0,0,2021-10-14
RX0000008774,MBR00000238,2023-05-23,2023-05-27,1230595357,1155609972,PLN2357,658056,PCN583,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,90,8,Retail,0,0,0,30.0,9.28,39.28,7.0,30.1,2.18,0.4,0.2833,0,0,0,0,2023-08-21
RX0000008775,MBR00000238,2023-07-24,2023-07-27,1976934704,1835188217,PLN1118,247759,PCN979,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,55,7,Retail,0,1,0,12400.0,10.17,12410.17,149.0,11738.02,523.15,248.0,175.6667,0,0,0,0,2023-09-22
RX0000008776,MBR00000238,2023-05-23,2023-05-24,1426529951,1380306421,PLN6315,758440,PCN672,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,5,Retail,0,0,0,11.0,9.47,20.47,0.0,19.23,1.24,0.44,0.3117,0,0,0,0,2023-06-22
RX0000008777,MBR00000238,2023-02-04,2023-02-05,1556873381,1933159703,PLN1731,715668,PCN225,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,8,Specialty,0,0,0,12.0,10.65,22.65,9.0,13.65,0.0,0.48,0.34,0,0,0,0,2023-03-06
RX0000008778,MBR00000238,2021-02-15,2021-02-18,1945952786,1446965021,PLN4491,777825,PCN630,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,4,Mail Order,0,1,0,24.0,8.7,32.7,149.0,0.0,1.14,0.32,0.2267,0,0,0,0,2021-05-16
RX0000008779,MBR00000238,2023-05-26,2023-05-30,1979816311,1910652177,PLN1924,194803,PCN421,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,11,Retail,0,0,0,9.0,10.84,19.84,3.0,16.16,0.68,0.36,0.255,0,0,0,0,2023-06-25
RX0000008780,MBR00000238,2021-01-09,2021-01-10,1418014689,1163932248,PLN6068,313491,PCN527,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,9,Retail,2,0,0,10.0,2.78,12.78,5.0,6.99,0.79,0.4,0.2833,0,0,0,0,2021-02-08
RX0000008781,MBR00000238,2021-06-20,2021-06-23,1527129582,1113651968,PLN7746,666396,PCN594,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,7,Retail,0,0,0,650.0,1.98,651.98,40.0,574.06,37.92,26.0,18.4167,0,0,0,0,2021-07-20
RX0000008782,MBR00000238,2021-04-22,2021-04-26,1873937853,1450398347,PLN1764,916677,PCN851,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,9,Retail,0,0,0,2.33,3.54,5.87,6.0,0.0,0.29,0.4,0.2833,0,0,0,0,2021-04-29
RX0000008783,MBR00000238,2023-01-22,2023-01-25,1689621596,1499432002,PLN5195,946581,PCN934,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,8,Retail,0,1,0,2800.0,3.28,2803.28,154.0,2541.58,107.7,112.0,79.3333,0,0,0,0,2023-02-21
RX0000008784,MBR00000238,2023-06-12,2023-06-13,1749055679,1410286102,PLN1215,194012,PCN531,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,0,Specialty,0,0,0,480.0,18.58,498.58,33.0,465.58,0.0,19.2,13.6,0,0,0,0,2023-07-12
RX0000008785,MBR00000238,2022-06-14,2022-06-15,1492870385,1480007543,PLN9796,573625,PCN698,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,94,2,Mail Order,0,0,0,960.0,11.36,971.36,35.0,904.62,31.74,12.8,9.0667,0,0,0,0,2022-09-12
RX0000008786,MBR00000238,2023-04-07,2023-04-08,1630531640,1311627857,PLN4759,934552,PCN283,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,2,Retail,0,0,0,14.0,4.16,18.16,9.0,8.56,0.6,0.56,0.3967,0,0,0,0,2023-05-07
RX0000008787,MBR00000238,2021-06-16,2021-06-17,1320333384,1861279748,PLN8942,268073,PCN538,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,55,6,Retail,0,0,0,44.0,11.3,55.3,2.0,50.95,2.35,0.88,0.6233,0,0,0,0,2021-08-15
RX0000008788,MBR00000238,2022-10-31,2022-11-04,1497064399,1180425877,PLN7529,938989,PCN746,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,7,Retail,0,0,0,9.0,2.33,11.33,0.0,10.85,0.48,0.36,0.255,0,0,0,0,2022-11-30
RX0000008789,MBR00000238,2023-05-07,2023-05-10,1837723917,1840385050,PLN9480,603303,PCN571,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,84,3,Retail,0,0,0,45.0,3.8,48.8,3.0,43.18,2.62,0.6,0.425,0,0,0,0,2023-08-05
RX0000008790,MBR00000238,2021-03-22,2021-03-25,1347756910,1875446565,PLN5461,416488,PCN342,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,98,3,Retail,0,0,0,22.5,6.58,29.08,0.0,27.52,1.56,0.3,0.2125,0,0,0,0,2021-06-20
RX0000008791,MBR00000238,2022-01-01,2022-01-02,1794413884,1783056806,PLN5597,155290,PCN128,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,8,Retail,0,0,0,38.0,6.87,44.87,36.0,6.85,2.02,1.52,1.0767,0,0,0,0,2022-01-31
RX0000008792,MBR00000238,2021-10-01,2021-10-03,1227602245,1950330997,PLN1651,837135,PCN694,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,81,9,Retail,0,0,0,36.0,2.18,38.18,5.0,31.01,2.17,0.48,0.34,0,0,0,0,2021-12-30
RX0000008793,MBR00000238,2021-11-09,2021-11-10,1643107919,1939435297,PLN2308,289457,PCN123,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,4,Retail,0,0,0,15.0,10.62,25.62,7.0,17.53,1.09,0.6,0.425,0,0,0,0,2021-12-09
RX0000008794,MBR00000238,2022-12-21,2022-12-22,1284081428,1877401979,PLN7136,425244,PCN785,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,1,Retail,0,0,0,650.0,8.44,658.44,30.0,600.87,27.57,26.0,18.4167,0,0,0,0,2023-01-20
RX0000008795,MBR00000238,2022-02-20,2022-02-21,1641856361,1567840191,PLN4926,957392,PCN282,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,94,5,Retail,0,0,0,2250.0,8.65,2258.65,35.0,2141.81,81.84,30.0,21.25,0,0,0,0,2022-05-21
RX0000008796,MBR00000238,2021-12-08,2021-12-12,1388379170,1339065312,PLN9268,640225,PCN588,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,3,Retail,0,1,0,12.0,9.69,21.69,153.0,0.0,0.73,0.48,0.34,0,0,0,0,2022-01-07
RX0000008797,MBR00000238,2021-04-28,2021-04-29,1405800992,1537313110,PLN9002,682446,PCN768,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,3,Mail Order,0,0,0,1.98,1.54,3.52,1.0,2.29,0.23,0.34,0.2408,0,0,0,0,2021-05-05
RX0000008798,MBR00000238,2021-02-23,2021-02-25,1575146060,1759401627,PLN2085,989790,PCN329,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,3,Specialty,0,0,0,650.0,17.84,667.84,35.0,632.84,0.0,26.0,18.4167,0,0,0,0,2021-03-25
RX0000008799,MBR00000238,2022-01-04,2022-01-08,1706853882,1534510503,PLN4246,424673,PCN384,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,82,10,Mail Order,2,0,0,855.0,7.7,862.7,37.0,767.92,57.78,11.4,8.075,0,0,0,0,2022-04-04
RX0000008800,MBR00000238,2022-07-14,2022-07-17,1629469553,1159914986,PLN5134,991164,PCN712,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,54,9,Specialty,0,0,0,28.0,20.41,48.41,7.0,41.41,0.0,0.56,0.3967,0,0,0,0,2022-09-12
RX0000008801,MBR00000238,2023-06-30,2023-07-02,1502832886,1435374907,PLN2341,954356,PCN944,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,58,9,Retail,1,1,0,17000.0,11.11,17011.11,154.0,15855.38,1001.73,340.0,240.8333,0,0,0,0,2023-08-29
RX0000008802,MBR00000238,2023-04-02,2023-04-04,1610328097,1236883258,PLN7860,624919,PCN193,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,92,9,Retail,0,1,0,8400.0,3.8,8403.8,154.0,7818.44,431.36,112.0,79.3333,0,0,0,0,2023-07-01
RX0000008803,MBR00000238,2023-05-06,2023-05-07,1990246241,1591030907,PLN7758,542318,PCN839,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,94,9,Mail Order,0,0,0,2850.0,11.28,2861.28,35.0,2712.77,113.51,38.0,26.9167,0,0,0,0,2023-08-04
RX0000008804,MBR00000238,2021-07-11,2021-07-12,1656888776,1268532301,PLN2354,139650,PCN564,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,6,Retail,0,0,0,2.8,10.46,13.26,6.0,6.59,0.67,0.48,0.34,0,0,0,0,2021-07-18
RX0000008805,MBR00000238,2021-01-04,2021-01-06,1490119772,1439298235,PLN9472,199950,PCN920,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,5,Retail,0,0,0,650.0,8.19,658.19,34.0,599.58,24.61,26.0,18.4167,0,0,0,0,2021-02-03
RX0000008806,MBR00000238,2022-12-02,2022-12-06,1641837736,1220982150,PLN8996,624764,PCN728,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,3,Retail,0,0,0,3.5,6.33,9.83,9.0,0.49,0.34,0.6,0.425,0,0,0,0,2022-12-09
RX0000008807,MBR00000238,2021-10-04,2021-10-05,1541287933,1401215086,PLN1988,790878,PCN194,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,8,Retail,0,0,0,12.0,11.69,23.69,2.0,20.23,1.46,0.48,0.34,1,0,0,0,2021-11-03
RX0000008808,MBR00000238,2021-02-17,2021-02-18,1457564926,1588137890,PLN5825,115385,PCN890,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,6,Retail,0,0,0,9.0,7.52,16.52,4.0,11.74,0.78,0.36,0.255,0,0,0,0,2021-03-19
RX0000008809,MBR00000238,2023-01-31,2023-02-03,1235965491,1586749104,PLN3920,904542,PCN171,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,11,LTC,0,0,0,11.0,9.07,20.07,0.0,18.86,1.21,0.44,0.3117,0,0,0,0,2023-03-02
RX0000008810,MBR00000238,2023-09-01,2023-09-05,1643476092,1949153613,PLN6787,406252,PCN930,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,96,7,Retail,0,0,0,54.0,7.32,61.32,5.0,53.9,2.42,0.72,0.51,0,0,0,0,2023-11-30
RX0000008811,MBR00000238,2023-02-05,2023-02-07,1917366916,1341471209,PLN9457,605911,PCN758,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,6,Retail,0,0,0,3.27,3.93,7.19,9.0,0.0,0.48,0.56,0.3967,0,0,0,0,2023-02-12
RX0000008812,MBR00000238,2023-02-16,2023-02-19,1143799357,1541946100,PLN8646,645070,PCN832,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,6,Mail Order,0,0,0,22.0,9.54,31.54,68.0,0.0,1.64,0.88,0.6233,0,0,0,0,2023-03-18
RX0000008813,MBR00000238,2023-04-03,2023-04-06,1853910208,1692938001,PLN8720,842844,PCN684,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,3,Retail,0,0,0,330.0,7.65,337.65,39.0,287.44,11.21,13.2,9.35,0,0,0,0,2023-05-03
RX0000008814,MBR00000238,2021-11-11,2021-11-15,1500901515,1966934212,PLN7106,338802,PCN348,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,11,Retail,0,0,0,285.0,6.79,291.79,30.0,241.38,20.41,11.4,8.075,0,0,0,0,2021-12-11
RX0000008815,MBR00000238,2021-12-14,2021-12-15,1878917333,1489205991,PLN4145,714985,PCN919,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,65,9,Retail,0,0,0,18.0,5.59,23.59,2.0,20.82,0.77,0.36,0.255,0,0,0,0,2022-02-12
RX0000008816,MBR00000238,2022-09-19,2022-09-21,1868175493,1169245842,PLN1443,641599,PCN322,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,97,0,Mail Order,1,0,0,45.0,5.82,50.82,10.0,38.97,1.85,0.6,0.425,0,0,0,0,2022-12-18
RX0000008817,MBR00000238,2021-06-13,2021-06-17,1728706859,1385532534,PLN9495,506080,PCN808,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,2,Mail Order,0,0,0,3.27,3.41,6.68,5.0,1.42,0.26,0.56,0.3967,0,0,0,0,2021-06-20
RX0000008818,MBR00000239,2022-08-30,2022-09-02,1840920286,1802795270,PLN1997,824311,PCN418,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,6,Mail Order,0,0,0,4.2,7.58,11.78,8.0,2.98,0.8,0.72,0.51,0,1,0,0,2022-09-06
RX0000008819,MBR00000239,2021-03-24,2021-03-28,1266072367,1412895793,PLN9216,505181,PCN857,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,10,Retail,0,1,0,6200.0,8.58,6208.58,155.0,5699.96,353.62,248.0,175.6667,0,0,0,0,2021-04-23
RX0000008820,MBR00000239,2021-07-01,2021-07-02,1243365722,1723642879,PLN9934,432199,PCN111,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,93,6,Retail,0,0,0,33.0,7.27,40.27,10.0,28.27,2.0,0.44,0.3117,0,0,0,0,2021-09-29
RX0000008821,MBR00000239,2021-08-20,2021-08-23,1641571650,1457837229,PLN7774,505461,PCN442,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,11,Retail,3,0,0,10.5,2.94,13.44,7.0,5.66,0.78,1.8,1.275,0,0,0,0,2021-08-27
RX0000008822,MBR00000239,2021-11-09,2021-11-10,1422979560,1441068564,PLN5809,808291,PCN409,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,4,Retail,0,0,0,45.0,10.08,55.08,10.0,41.68,3.4,1.8,1.275,0,0,0,0,2021-12-09
RX0000008823,MBR00000239,2023-01-31,2023-02-04,1546231880,1152354614,PLN2617,834404,PCN328,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,11,Retail,0,0,0,5.13,11.86,17.0,75.0,0.0,0.89,0.88,0.6233,0,0,0,0,2023-02-07
RX0000008824,MBR00000239,2022-12-18,2022-12-22,1749207083,1130956371,PLN2753,444710,PCN908,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,11,Retail,0,0,0,4.2,7.6,11.8,0.0,11.44,0.36,0.72,0.51,0,0,0,0,2022-12-25
RX0000008825,MBR00000239,2021-03-10,2021-03-11,1315217778,1624354082,PLN1195,998043,PCN836,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,1,Retail,0,0,0,14.0,10.33,24.33,3.0,19.7,1.63,0.56,0.3967,0,0,0,0,2021-04-09
RX0000008826,MBR00000239,2021-03-30,2021-04-01,1883337326,1978985549,PLN3296,833452,PCN815,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,84,6,Mail Order,0,0,0,42.0,6.6,48.6,10.0,36.68,1.92,0.56,0.3967,0,0,0,0,2021-06-28
RX0000008827,MBR00000239,2021-02-03,2021-02-07,1871429352,1855481374,PLN9904,186443,PCN339,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,56,8,Retail,0,0,0,1900.0,7.32,1907.32,39.0,1754.31,114.01,38.0,26.9167,0,0,0,0,2021-04-04
RX0000008828,MBR00000239,2023-05-28,2023-05-31,1861240737,1346279553,PLN4018,244115,PCN737,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,96,2,Retail,0,0,0,30.0,8.11,38.11,3.0,33.32,1.79,0.4,0.2833,0,0,0,0,2023-08-26
RX0000008829,MBR00000239,2023-11-12,2023-11-14,1192804062,1995485853,PLN8920,918669,PCN835,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,58,6,Mail Order,2,0,0,1300.0,11.67,1311.67,40.0,1206.87,64.8,26.0,18.4167,0,0,0,0,2024-01-11
RX0000008830,MBR00000240,2023-12-23,2023-12-26,1818505249,1886318337,PLN5547,640743,PCN121,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,7,Retail,0,0,0,27.0,7.99,34.99,0.0,32.62,2.37,0.36,0.255,0,0,0,0,2024-03-22
RX0000008831,MBR00000240,2022-03-11,2022-03-14,1476884407,1139968166,PLN7914,516784,PCN820,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,1,Retail,0,0,0,11.0,2.08,13.08,10.0,2.41,0.67,0.44,0.3117,0,0,0,0,2022-04-10
RX0000008832,MBR00000240,2021-12-15,2021-12-17,1199147753,1829175087,PLN6970,135553,PCN404,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,9,Retail,0,0,0,14.0,11.5,25.5,2.0,22.65,0.85,0.56,0.3967,0,0,0,0,2022-01-14
RX0000008833,MBR00000240,2023-03-04,2023-03-05,1997944031,1248614564,PLN2347,248869,PCN646,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,2,LTC,0,0,0,8.87,4.04,12.9,33.0,0.0,0.44,1.52,1.0767,0,1,1,0,2023-03-11
RX0000008834,MBR00000240,2023-05-30,2023-06-03,1127428127,1949220580,PLN5882,400638,PCN150,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,98,11,LTC,0,0,0,525.0,5.09,530.09,30.0,471.23,28.86,7.0,4.9583,1,0,0,0,2023-08-28
RX0000008835,MBR00000240,2021-01-25,2021-01-29,1897133537,1940190273,PLN4655,682881,PCN287,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,5,Retail,0,0,0,9.0,9.46,18.46,3.0,14.87,0.59,0.36,0.255,0,0,0,0,2021-02-24
RX0000008836,MBR00000240,2022-11-07,2022-11-09,1591982803,1697429605,PLN5249,494465,PCN230,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,8,Mail Order,3,0,0,175.0,6.14,181.14,31.0,143.12,7.02,7.0,4.9583,0,0,0,0,2022-12-07
RX0000008837,MBR00000240,2022-07-19,2022-07-23,1303503983,1753147119,PLN8988,776133,PCN488,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,7,Retail,0,0,0,45.0,8.84,53.84,8.0,43.82,2.02,1.8,1.275,0,0,0,0,2022-08-18
RX0000008838,MBR00000240,2023-01-25,2023-01-29,1576619983,1483220285,PLN2383,918636,PCN235,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,10,Mail Order,0,0,0,12.0,9.89,21.89,10.0,11.04,0.85,0.48,0.34,0,0,0,0,2023-02-24
RX0000008839,MBR00000240,2021-08-28,2021-09-01,1962162603,1878642381,PLN3962,634139,PCN859,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,82,8,Retail,0,0,0,48.0,5.17,53.17,6.0,44.02,3.15,0.64,0.4533,0,0,0,0,2021-11-26
RX0000008840,MBR00000240,2022-07-10,2022-07-11,1106564465,1743590378,PLN1115,794265,PCN126,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,62,8,Retail,0,0,0,36.0,9.8,45.8,38.0,4.97,2.83,0.72,0.51,0,0,0,0,2022-09-08
RX0000008841,MBR00000240,2022-06-16,2022-06-19,1152982794,1992450864,PLN5926,177187,PCN957,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,91,5,Retail,0,0,0,54.0,10.56,64.56,7.0,55.47,2.09,0.72,0.51,0,0,0,0,2022-09-14
RX0000008842,MBR00000240,2022-03-31,2022-04-02,1841835209,1568068426,PLN3433,921028,PCN412,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,8,Retail,0,0,0,2.33,10.05,12.38,5.0,6.57,0.81,0.4,0.2833,0,0,0,0,2022-04-07
RX0000008843,MBR00000240,2021-10-21,2021-10-22,1181509382,1776095604,PLN4198,881273,PCN450,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,3,Specialty,0,0,0,18.0,46.34,64.34,33.0,31.34,0.0,0.72,0.51,0,0,0,0,2021-11-20
RX0000008844,MBR00000240,2022-02-01,2022-02-03,1648460248,1505287879,PLN9478,181973,PCN411,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,55,4,Retail,0,0,0,76.0,2.96,78.96,5.0,70.35,3.61,1.52,1.0767,0,0,0,0,2022-04-02
RX0000008845,MBR00000240,2023-04-21,2023-04-24,1906840203,1600719962,PLN1769,795735,PCN599,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,0,Retail,0,0,0,12.0,4.0,16.0,4.0,11.31,0.69,0.48,0.34,0,0,0,0,2023-05-21
RX0000008846,MBR00000240,2022-10-23,2022-10-27,1920069820,1231000155,PLN4209,940931,PCN787,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,83,9,Mail Order,0,0,0,54.0,7.16,61.16,0.0,58.94,2.22,0.72,0.51,0,0,0,0,2023-01-21
RX0000008847,MBR00000240,2023-04-22,2023-04-24,1538024211,1224359144,PLN7536,798696,PCN141,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,86,0,Retail,0,0,0,135.0,4.49,139.49,7.0,127.37,5.12,1.8,1.275,0,0,0,0,2023-07-21
RX0000008848,MBR00000240,2023-05-01,2023-05-05,1528957973,1697203480,PLN4617,691583,PCN246,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,9,Retail,0,0,0,8.87,11.4,20.27,4.0,15.57,0.7,1.52,1.0767,0,0,0,0,2023-05-08
RX0000008849,MBR00000240,2021-01-30,2021-02-03,1837573372,1597545103,PLN8580,557884,PCN662,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,8,Retail,0,0,0,11.0,6.89,17.89,6.0,11.29,0.6,0.44,0.3117,0,0,0,0,2021-03-01
RX0000008850,MBR00000240,2023-03-03,2023-03-07,1231939882,1380736588,PLN2140,324075,PCN275,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,5,Retail,0,0,0,27.0,6.3,33.3,9.0,22.36,1.94,0.36,0.255,0,0,0,0,2023-06-01
RX0000008851,MBR00000240,2023-12-06,2023-12-10,1307772300,1477717193,PLN3870,882606,PCN910,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,4,Mail Order,0,1,0,18600.0,7.5,18607.5,154.0,17677.31,776.19,248.0,175.6667,0,0,0,0,2024-03-05
RX0000008852,MBR00000241,2021-12-22,2021-12-25,1640273912,1731451332,PLN7558,545273,PCN121,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,9,Retail,0,0,0,9.0,5.12,14.12,0.0,13.33,0.79,0.36,0.255,1,0,0,0,2022-01-21
RX0000008853,MBR00000241,2023-07-25,2023-07-29,1691061858,1905092868,PLN4195,681947,PCN604,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,5,Mail Order,0,0,0,28.0,7.39,35.39,5.0,28.33,2.06,1.12,0.7933,0,0,0,0,2023-08-24
RX0000008854,MBR00000241,2022-08-12,2022-08-15,1130008924,1121303724,PLN6774,927570,PCN524,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,2,Retail,0,0,0,310.0,10.77,320.77,38.0,272.66,10.11,12.4,8.7833,0,0,0,0,2022-09-11
RX0000008855,MBR00000241,2021-08-08,2021-08-11,1584276823,1744516403,PLN3940,460771,PCN146,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,7,Retail,0,0,0,185.0,5.44,190.44,39.0,139.1,12.34,7.4,5.2417,0,0,0,0,2021-09-07
RX0000008856,MBR00000241,2021-04-26,2021-04-27,1137543573,1969647475,PLN5347,432218,PCN795,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,4,Specialty,0,0,0,28.0,44.29,72.29,6.0,66.29,0.0,1.12,0.7933,0,0,0,0,2021-05-26
RX0000008857,MBR00000241,2023-06-05,2023-06-06,1439939065,1789098404,PLN9948,288960,PCN233,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,11,Mail Order,0,0,0,45.0,8.52,53.52,8.0,43.83,1.69,1.8,1.275,0,0,0,0,2023-07-05
RX0000008858,MBR00000241,2023-11-27,2023-12-01,1290687969,1572750966,PLN7014,858752,PCN276,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,3,Mail Order,0,0,0,2.8,9.06,11.86,2.0,9.22,0.64,0.48,0.34,0,0,0,0,2023-12-04
RX0000008859,MBR00000241,2023-09-05,2023-09-08,1476135868,1283824459,PLN7721,554756,PCN680,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,2,Retail,0,0,0,480.0,5.09,485.09,39.0,416.91,29.18,19.2,13.6,0,0,0,0,2023-10-05
RX0000008860,MBR00000241,2023-01-09,2023-01-11,1763068786,1353794770,PLN1129,287716,PCN996,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,89,7,Mail Order,0,0,0,45.0,3.21,48.21,5.0,40.63,2.58,0.6,0.425,0,0,0,0,2023-04-09
RX0000008861,MBR00000241,2022-07-24,2022-07-25,1624076891,1811545414,PLN6622,478138,PCN268,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,88,3,Mail Order,0,0,0,36.0,9.15,45.15,9.0,33.81,2.34,0.48,0.34,0,0,0,0,2022-10-22
RX0000008862,MBR00000241,2023-09-24,2023-09-27,1871437840,1494348898,PLN5733,356130,PCN107,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,84,7,Retail,3,0,0,48.0,8.37,56.37,10.0,43.4,2.97,0.64,0.4533,0,0,0,0,2023-12-23
RX0000008863,MBR00000241,2021-05-03,2021-05-04,1691556151,1129528525,PLN7009,155463,PCN580,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,2,Retail,0,0,0,14.0,8.55,22.55,7.0,14.81,0.74,0.56,0.3967,0,0,0,0,2021-06-02
RX0000008864,MBR00000241,2023-04-29,2023-04-30,1324623924,1113184847,PLN3251,828221,PCN371,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,11,Specialty,0,1,0,2.8,49.66,52.46,149.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-05-06
RX0000008865,MBR00000241,2021-07-13,2021-07-16,1447730245,1904984452,PLN5423,994174,PCN496,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,59,1,Mail Order,0,0,0,760.0,3.39,763.39,35.0,690.21,38.18,15.2,10.7667,0,0,0,0,2021-09-11
RX0000008866,MBR00000241,2021-10-30,2021-11-01,1419744501,1545143947,PLN2640,676689,PCN644,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,7,Retail,0,0,0,11.0,10.43,21.43,5.0,15.11,1.32,0.44,0.3117,0,0,0,0,2021-11-29
RX0000008867,MBR00000241,2023-10-06,2023-10-09,1959470803,1315164696,PLN8241,813977,PCN796,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,1,Mail Order,3,0,0,18.0,11.22,29.22,2.0,25.55,1.67,0.72,0.51,0,0,0,0,2023-11-05
RX0000008868,MBR00000241,2023-08-13,2023-08-14,1242851737,1709185795,PLN8696,648503,PCN313,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,87,8,Retail,0,0,0,1140.0,4.13,1144.13,32.0,1050.31,61.82,15.2,10.7667,0,0,0,0,2023-11-11
RX0000008869,MBR00000241,2022-09-04,2022-09-05,1253436797,1525501219,PLN5790,148668,PCN731,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,10,Mail Order,0,0,0,9.0,7.72,16.72,3.0,12.82,0.9,0.36,0.255,0,0,0,0,2022-10-04
RX0000008870,MBR00000241,2023-03-16,2023-03-20,1811856945,1156619510,PLN7637,905377,PCN549,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,6,Mail Order,0,0,0,4.2,4.77,8.97,9.0,0.0,0.34,0.72,0.51,0,0,0,0,2023-03-23
RX0000008871,MBR00000241,2023-08-29,2023-08-30,1863004040,1653243664,PLN4543,935306,PCN562,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,4,Retail,0,0,0,185.0,2.31,187.31,39.0,137.55,10.76,7.4,5.2417,0,0,0,0,2023-09-28
RX0000008872,MBR00000241,2021-10-10,2021-10-12,1386072523,1659080180,PLN6744,274830,PCN619,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,9,Retail,0,0,0,15.0,10.97,25.97,10.0,14.31,1.66,0.6,0.425,0,0,0,0,2021-11-09
RX0000008873,MBR00000241,2023-11-25,2023-11-29,1551185200,1912980263,PLN9159,577446,PCN590,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,3,Specialty,0,0,1,7.5,25.89,33.39,4.0,29.39,0.0,0.3,0.2125,0,0,0,0,2023-12-25
RX0000008874,MBR00000241,2021-03-01,2021-03-05,1429663498,1252835460,PLN1532,405613,PCN965,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,54,10,Retail,0,0,0,620.0,9.3,629.3,36.0,556.25,37.05,12.4,8.7833,0,0,0,0,2021-04-30
RX0000008875,MBR00000241,2023-01-02,2023-01-04,1200228382,1198988924,PLN4276,709856,PCN943,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,0,Retail,2,0,0,750.0,9.98,759.98,34.0,681.53,44.45,30.0,21.25,0,0,0,0,2023-02-01
RX0000008876,MBR00000241,2021-01-06,2021-01-08,1674105812,1829458530,PLN3547,476095,PCN622,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,96,4,Retail,3,0,0,27.0,10.11,37.11,0.0,35.69,1.42,0.36,0.255,0,0,0,0,2021-04-06
RX0000008877,MBR00000241,2023-08-12,2023-08-13,1427783577,1469581120,PLN2472,608850,PCN173,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,2,Specialty,0,0,0,10.0,28.54,38.54,2.0,36.54,0.0,0.4,0.2833,0,0,0,0,2023-09-11
RX0000008878,MBR00000241,2022-03-24,2022-03-27,1275720252,1265521711,PLN4840,645022,PCN659,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,95,7,Retail,0,0,0,66.0,8.45,74.45,5.0,64.88,4.57,0.88,0.6233,0,0,0,0,2022-06-22
RX0000008879,MBR00000241,2021-08-16,2021-08-20,1568320141,1483983350,PLN2582,878237,PCN909,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,63,3,Retail,0,0,0,76.0,2.52,78.52,7.0,68.24,3.28,1.52,1.0767,0,0,0,0,2021-10-15
RX0000008880,MBR00000241,2021-11-13,2021-11-15,1534974967,1713754566,PLN3154,962278,PCN296,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,5,Mail Order,0,0,0,9.0,5.47,14.47,0.0,14.01,0.46,0.36,0.255,0,0,0,0,2021-12-13
RX0000008881,MBR00000241,2021-12-02,2021-12-05,1910166179,1727548390,PLN6776,584554,PCN578,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,8,Retail,0,0,0,15.0,8.67,23.67,7.0,15.72,0.95,0.6,0.425,0,0,0,0,2022-01-01
RX0000008882,MBR00000241,2023-03-05,2023-03-08,1321222623,1210842834,PLN8791,694777,PCN536,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,0,Retail,0,0,0,310.0,11.56,321.56,32.0,268.83,20.73,12.4,8.7833,0,0,0,0,2023-04-04
RX0000008883,MBR00000241,2022-02-15,2022-02-18,1127454266,1444699101,PLN8033,763937,PCN431,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,11,Retail,0,0,0,330.0,5.11,335.11,38.0,277.94,19.17,13.2,9.35,0,0,0,0,2022-03-17
RX0000008884,MBR00000241,2023-03-13,2023-03-16,1798111391,1533640582,PLN1632,757154,PCN892,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,8,Specialty,0,0,1,14.0,18.65,32.65,4.0,28.65,0.0,0.56,0.3967,0,0,0,0,2023-04-12
RX0000008885,MBR00000241,2021-06-24,2021-06-26,1641650463,1872125144,PLN3167,953875,PCN346,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,5,Specialty,0,0,0,9.0,22.79,31.79,9.0,22.79,0.0,0.36,0.255,0,0,0,0,2021-07-24
RX0000008886,MBR00000241,2023-11-12,2023-11-15,1529041946,1835207383,PLN6549,971017,PCN244,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,2,Retail,3,1,0,8.0,8.1,16.1,147.0,0.0,0.74,0.32,0.2267,0,0,0,0,2023-12-12
RX0000008887,MBR00000241,2022-06-20,2022-06-21,1829484068,1669007617,PLN2564,434832,PCN627,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,89,2,Retail,0,0,0,30.0,7.45,37.45,1.0,34.54,1.91,0.4,0.2833,0,0,0,0,2022-09-18
RX0000008888,MBR00000241,2023-05-02,2023-05-05,1486659964,1390908386,PLN7968,874823,PCN616,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,4,Retail,0,0,0,38.0,8.74,46.74,38.0,6.47,2.27,1.52,1.0767,0,0,0,0,2023-06-01
RX0000008889,MBR00000241,2021-07-24,2021-07-27,1510027058,1276739592,PLN2100,676901,PCN877,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,7,Mail Order,0,0,0,10.0,1.76,11.76,2.0,9.19,0.57,0.4,0.2833,0,0,0,0,2021-08-23
RX0000008890,MBR00000241,2023-11-11,2023-11-15,1364630893,1113466854,PLN4659,525481,PCN456,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,0,Retail,0,0,0,12.0,8.39,20.39,4.0,15.41,0.98,0.48,0.34,0,0,0,0,2023-12-11
RX0000008891,MBR00000241,2023-04-30,2023-05-03,1587655119,1532850428,PLN8513,355076,PCN793,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,87,11,LTC,0,0,0,30.0,8.45,38.45,8.0,28.65,1.8,0.4,0.2833,1,0,0,0,2023-07-29
RX0000008892,MBR00000241,2021-06-28,2021-06-29,1960934387,1487902807,PLN7227,406311,PCN440,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,6,Specialty,0,0,0,45.0,16.29,61.29,8.0,53.29,0.0,1.8,1.275,0,0,0,0,2021-07-28
RX0000008893,MBR00000241,2022-09-19,2022-09-20,1904487099,1311053777,PLN4133,647432,PCN687,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,10,Retail,0,0,0,2.57,8.77,11.34,4.0,6.77,0.57,0.44,0.3117,0,0,0,0,2022-09-26
RX0000008894,MBR00000241,2023-09-08,2023-09-10,1126649355,1735112252,PLN1741,880303,PCN585,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,65,4,Retail,3,0,0,620.0,11.39,631.39,31.0,559.4,40.99,12.4,8.7833,0,0,0,0,2023-11-07
RX0000008895,MBR00000241,2023-03-14,2023-03-16,1955845327,1539719281,PLN7672,168830,PCN234,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,98,7,Retail,0,0,0,990.0,6.58,996.58,40.0,901.64,54.94,13.2,9.35,0,0,0,0,2023-06-12
RX0000008896,MBR00000241,2021-07-26,2021-07-28,1740724232,1391545716,PLN8829,513801,PCN542,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,95,7,Retail,0,0,0,30.0,4.03,34.03,3.0,29.01,2.02,0.4,0.2833,0,0,0,0,2021-10-24
RX0000008897,MBR00000241,2021-09-30,2021-10-04,1973635478,1607014780,PLN2115,201184,PCN795,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,370.0,1.53,371.53,40.0,306.66,24.87,14.8,10.4833,0,1,1,0,2021-10-30
RX0000008898,MBR00000241,2021-01-16,2021-01-18,1941085104,1462417679,PLN8998,681858,PCN315,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,95,6,Specialty,0,0,0,42.0,21.43,63.43,0.0,63.43,0.0,0.56,0.3967,0,0,0,0,2021-04-16
RX0000008899,MBR00000241,2022-10-22,2022-10-25,1171763258,1275932121,PLN1231,206247,PCN170,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,8,Mail Order,0,0,0,15.0,7.54,22.54,7.0,14.4,1.14,0.6,0.425,0,0,0,0,2022-11-21
RX0000008900,MBR00000241,2023-02-25,2023-02-27,1722589686,1756823304,PLN4930,314895,PCN590,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,8,Retail,0,0,0,2.92,6.99,9.9,2.0,7.3,0.6,0.5,0.3542,0,0,0,0,2023-03-04
RX0000008901,MBR00000241,2021-01-06,2021-01-10,1766556460,1500221759,PLN2026,259303,PCN875,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,83,4,Retail,0,0,0,855.0,7.73,862.73,40.0,770.53,52.2,11.4,8.075,0,0,0,0,2021-04-06
RX0000008902,MBR00000241,2021-11-13,2021-11-15,1663247085,1531398575,PLN3617,968238,PCN978,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,61,6,Mail Order,0,0,0,18.0,8.09,26.09,6.0,18.78,1.31,0.36,0.255,0,0,0,0,2022-01-12
RX0000008903,MBR00000241,2021-12-18,2021-12-22,1447364133,1614185540,PLN4293,295338,PCN750,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,6,Retail,0,0,0,2.1,10.77,12.87,1.0,11.37,0.5,0.36,0.255,0,0,0,0,2021-12-25
RX0000008904,MBR00000241,2022-04-24,2022-04-28,1165772066,1638770369,PLN3443,316663,PCN496,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,1,Retail,0,0,0,2.33,1.67,4.01,2.0,1.88,0.13,0.4,0.2833,0,0,0,0,2022-05-01
RX0000008905,MBR00000241,2023-02-22,2023-02-25,1461036450,1104582362,PLN5167,826446,PCN729,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,54,3,Retail,0,0,0,20.0,4.1,24.1,0.0,22.71,1.39,0.4,0.2833,0,0,0,0,2023-04-23
RX0000008906,MBR00000241,2023-02-12,2023-02-15,1205493426,1216504524,PLN3739,534575,PCN502,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,8,Retail,0,0,0,16.0,6.33,22.33,8.0,13.52,0.81,0.64,0.4533,0,0,0,0,2023-03-14
RX0000008907,MBR00000241,2023-04-19,2023-04-20,1544240896,1623455475,PLN1742,549163,PCN337,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,81,4,Retail,0,0,0,27.0,4.64,31.64,9.0,20.76,1.88,0.36,0.255,0,0,0,0,2023-07-18
RX0000008908,MBR00000241,2023-06-10,2023-06-12,1172430578,1598979420,PLN4220,131781,PCN834,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,1,Retail,0,0,0,14.0,10.71,24.71,0.0,23.48,1.23,0.56,0.3967,0,0,0,0,2023-07-10
RX0000008909,MBR00000241,2023-12-20,2023-12-24,1910927808,1996467085,PLN1160,990500,PCN587,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,4,Retail,0,0,0,175.0,3.96,178.96,33.0,136.96,9.0,7.0,4.9583,0,0,0,0,2024-01-19
RX0000008910,MBR00000241,2023-01-28,2023-02-01,1183935100,1974002940,PLN3108,790026,PCN276,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,94,7,Mail Order,0,0,0,33.0,11.03,44.03,5.0,36.25,2.78,0.44,0.3117,0,0,0,0,2023-04-28
RX0000008911,MBR00000242,2022-01-10,2022-01-11,1626170229,1854099928,PLN2417,374736,PCN517,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,6,Mail Order,0,0,0,370.0,3.92,373.92,40.0,309.94,23.98,14.8,10.4833,0,0,0,0,2022-02-09
RX0000008912,MBR00000242,2023-06-30,2023-07-04,1522682261,1562206249,PLN9266,309100,PCN807,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,3,Retail,0,0,0,950.0,6.06,956.06,37.0,877.29,41.77,38.0,26.9167,0,0,0,0,2023-07-30
RX0000008913,MBR00000242,2023-12-21,2023-12-25,1351548342,1648053392,PLN2314,152493,PCN547,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,6,Retail,0,0,0,86.33,2.72,89.05,37.0,48.36,3.69,14.8,10.4833,0,0,0,0,2023-12-28
RX0000008914,MBR00000242,2021-03-09,2021-03-11,1332422589,1646985565,PLN5808,744932,PCN628,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,10,Mail Order,0,0,0,9.0,3.56,12.56,9.0,2.71,0.85,0.36,0.255,0,0,0,0,2021-04-08
RX0000008915,MBR00000242,2023-11-08,2023-11-12,1128761388,1101259179,PLN6302,429711,PCN507,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,85,6,Retail,0,0,0,30.0,9.3,39.3,2.0,35.0,2.3,0.4,0.2833,0,0,0,0,2024-02-06
RX0000008916,MBR00000242,2021-02-19,2021-02-22,1457337614,1263959991,PLN1756,625716,PCN970,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,4,Retail,1,0,0,18.0,5.21,23.21,9.0,12.64,1.57,0.72,0.51,1,0,0,0,2021-03-21
RX0000008917,MBR00000242,2023-12-07,2023-12-10,1829860127,1405899990,PLN6855,571996,PCN207,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,3,Retail,2,1,0,6200.0,9.42,6209.42,150.0,5705.96,353.46,248.0,175.6667,0,0,0,0,2024-01-06
RX0000008918,MBR00000242,2023-02-02,2023-02-05,1839283223,1464162239,PLN1055,461219,PCN691,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,3,Retail,0,0,0,8.5,9.54,18.04,2.0,15.3,0.74,0.34,0.2408,0,0,0,0,2023-03-04
RX0000008919,MBR00000242,2022-08-29,2022-08-30,1994303430,1649265293,PLN2708,798002,PCN947,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,4,Retail,0,0,0,650.0,7.5,657.5,32.0,585.74,39.76,26.0,18.4167,0,0,0,0,2022-09-28
RX0000008920,MBR00000242,2023-11-27,2023-11-30,1405601152,1533508119,PLN4411,952442,PCN500,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,1,Specialty,0,0,0,15.0,12.76,27.76,1.0,26.76,0.0,0.6,0.425,0,0,0,0,2023-12-27
RX0000008921,MBR00000242,2022-05-07,2022-05-08,1773037890,1919507573,PLN1463,701291,PCN826,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,1,Retail,0,0,0,22.0,10.31,32.31,5.0,25.6,1.71,0.88,0.6233,0,0,0,0,2022-06-06
RX0000008922,MBR00000242,2023-05-10,2023-05-14,1739979661,1467496623,PLN1649,432797,PCN731,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,4,Retail,0,0,0,310.0,7.41,317.41,33.0,269.64,14.77,12.4,8.7833,0,1,1,0,2023-06-09
RX0000008923,MBR00000242,2023-07-29,2023-07-30,1884505049,1610464536,PLN8095,339140,PCN922,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,1,Mail Order,2,0,0,285.0,10.62,295.62,34.0,244.88,16.74,11.4,8.075,0,0,0,0,2023-08-28
RX0000008924,MBR00000242,2022-01-12,2022-01-15,1255582611,1916319302,PLN7307,285253,PCN893,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,1,Mail Order,0,0,0,5.13,8.34,13.47,2.0,10.61,0.86,0.88,0.6233,0,0,0,0,2022-01-19
RX0000008925,MBR00000242,2022-12-26,2022-12-27,1224775056,1517956739,PLN5476,695170,PCN553,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,11,Retail,0,1,0,12.0,10.31,22.31,147.0,0.0,1.11,0.48,0.34,1,0,0,0,2023-01-25
RX0000008926,MBR00000242,2023-06-08,2023-06-10,1720852184,1644276916,PLN9556,149781,PCN134,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,8,Retail,0,0,1,285.0,11.72,296.72,33.0,248.69,15.03,11.4,8.075,0,0,0,0,2023-07-08
RX0000008927,MBR00000242,2023-09-28,2023-09-29,1996321451,1982860450,PLN3536,484412,PCN510,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,61,1,Retail,0,0,0,740.0,10.88,750.88,39.0,676.66,35.22,14.8,10.4833,1,0,0,0,2023-11-27
RX0000008928,MBR00000242,2021-07-29,2021-08-01,1780441474,1395876071,PLN2492,646889,PCN240,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,4,Retail,0,0,0,16.0,6.38,22.38,4.0,17.5,0.88,0.64,0.4533,0,0,0,0,2021-08-28
RX0000008929,MBR00000242,2023-06-15,2023-06-16,1989480694,1465133229,PLN8279,308049,PCN958,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,83,0,Retail,0,0,0,990.0,2.35,992.35,33.0,912.87,46.48,13.2,9.35,0,0,0,0,2023-09-13
RX0000008930,MBR00000242,2023-01-15,2023-01-19,1936349825,1291614185,PLN2251,898587,PCN284,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,4,Retail,0,0,0,3.27,10.73,14.0,4.0,9.53,0.47,0.56,0.3967,0,0,0,0,2023-01-22
RX0000008931,MBR00000242,2021-10-25,2021-10-26,1679077763,1503401793,PLN4357,733515,PCN177,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,96,8,Retail,0,0,0,25.5,9.29,34.79,6.0,26.93,1.86,0.34,0.2408,0,0,0,0,2022-01-23
RX0000008932,MBR00000242,2023-09-14,2023-09-18,1426167232,1588329845,PLN7252,940687,PCN236,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,7,Retail,0,0,0,650.0,5.93,655.93,38.0,573.14,44.79,26.0,18.4167,0,0,0,0,2023-10-14
RX0000008933,MBR00000242,2021-07-22,2021-07-25,1575109878,1860273814,PLN5983,158074,PCN511,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,1,Retail,0,0,0,10.0,5.01,15.01,2.0,12.33,0.68,0.4,0.2833,1,0,0,0,2021-08-21
RX0000008934,MBR00000242,2021-11-30,2021-12-03,1232500215,1252020640,PLN9847,745805,PCN229,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,8,Mail Order,0,0,0,18.0,7.69,25.69,5.0,19.03,1.66,0.72,0.51,0,0,0,0,2021-12-30
RX0000008935,MBR00000242,2021-07-29,2021-07-31,1309879916,1150229425,PLN3360,321043,PCN996,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,1,Mail Order,0,0,0,18.0,2.67,20.67,8.0,11.57,1.1,0.72,0.51,1,0,0,0,2021-08-28
RX0000008936,MBR00000242,2022-04-18,2022-04-20,1310523482,1559798634,PLN1751,784280,PCN580,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,82,4,Retail,0,0,0,66.0,8.25,74.25,68.0,3.25,3.0,0.88,0.6233,0,0,0,0,2022-07-17
RX0000008937,MBR00000242,2022-09-19,2022-09-22,1739040549,1778577759,PLN3021,446211,PCN830,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,3,Retail,0,0,0,28.0,2.87,30.87,0.0,28.89,1.98,1.12,0.7933,0,0,0,0,2022-10-19
RX0000008938,MBR00000242,2023-07-24,2023-07-26,1275700895,1677626602,PLN9073,709140,PCN901,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,8,Retail,0,1,0,6200.0,7.44,6207.44,147.0,5729.82,330.62,248.0,175.6667,0,0,0,0,2023-08-23
RX0000008939,MBR00000242,2022-11-20,2022-11-23,1890982566,1258739176,PLN5572,287834,PCN316,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,95,8,Retail,0,0,0,33.0,9.71,42.71,1.0,40.31,1.4,0.44,0.3117,0,0,0,0,2023-02-18
RX0000008940,MBR00000242,2021-08-11,2021-08-15,1605443481,1340197733,PLN5700,912901,PCN226,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,98,6,Retail,0,0,0,48.0,9.8,57.8,5.0,49.71,3.09,0.64,0.4533,0,0,0,0,2021-11-09
RX0000008941,MBR00000242,2022-08-07,2022-08-09,1673874863,1314194085,PLN8555,141144,PCN839,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,54,7,Mail Order,0,0,0,15.0,10.96,25.96,10.0,14.97,0.99,0.3,0.2125,0,0,0,0,2022-10-06
RX0000008942,MBR00000242,2023-12-12,2023-12-15,1325661008,1300291654,PLN3676,346620,PCN794,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,11,Specialty,0,0,0,380.0,23.03,403.03,33.0,370.03,0.0,15.2,10.7667,0,1,1,0,2024-01-11
RX0000008943,MBR00000242,2023-05-16,2023-05-19,1431234584,1159715826,PLN4169,315909,PCN827,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,87,8,Mail Order,0,0,0,855.0,10.72,865.72,37.0,794.88,33.84,11.4,8.075,0,0,0,0,2023-08-14
RX0000008944,MBR00000242,2021-06-02,2021-06-05,1865241757,1245446989,PLN1859,154675,PCN995,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,87,6,Retail,2,0,0,30.0,10.29,40.29,3.0,35.9,1.39,0.4,0.2833,0,0,0,0,2021-08-31
RX0000008945,MBR00000242,2022-12-13,2022-12-17,1339619603,1382486325,PLN7045,703977,PCN936,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,1,Retail,0,0,0,2.1,8.37,10.47,0.0,10.15,0.32,0.36,0.255,0,0,0,0,2022-12-20
RX0000008946,MBR00000242,2022-09-01,2022-09-04,1886448389,1189915352,PLN5088,239716,PCN480,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,10,Specialty,0,0,0,12.5,20.73,33.23,0.0,33.23,0.0,0.5,0.3542,0,0,0,0,2022-10-01
RX0000008947,MBR00000242,2021-07-06,2021-07-10,1524908593,1826756127,PLN1666,969373,PCN442,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,89,9,Retail,0,0,0,855.0,3.32,858.32,37.0,768.51,52.81,11.4,8.075,0,0,0,0,2021-10-04
RX0000008948,MBR00000242,2022-03-11,2022-03-12,1799702893,1456288079,PLN8890,866290,PCN254,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,86,0,Retail,0,0,0,48.0,8.01,56.01,7.0,46.27,2.74,0.64,0.4533,0,1,0,0,2022-06-09
RX0000008949,MBR00000242,2023-03-27,2023-03-28,1437541855,1244943118,PLN4292,333909,PCN521,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,5,Retail,0,0,0,9.0,3.61,12.61,8.0,4.04,0.57,0.36,0.255,0,0,0,0,2023-04-26
RX0000008950,MBR00000242,2022-11-19,2022-11-22,1563245616,1305018902,PLN2376,815673,PCN473,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,8,Retail,0,0,0,9.0,8.65,17.65,9.0,7.87,0.78,0.36,0.255,0,0,0,0,2022-12-19
RX0000008951,MBR00000242,2022-01-25,2022-01-27,1787045451,1653303152,PLN7104,813476,PCN611,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,8,Retail,0,0,0,370.0,4.9,374.9,36.0,315.1,23.8,14.8,10.4833,0,0,0,0,2022-02-24
RX0000008952,MBR00000242,2022-08-06,2022-08-09,1298197048,1965734185,PLN4356,160948,PCN147,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,91,11,Mail Order,0,0,0,37.5,11.31,48.81,7.0,38.43,3.38,0.5,0.3542,0,0,0,0,2022-11-04
RX0000008953,MBR00000242,2023-07-11,2023-07-13,1891853264,1629114182,PLN9071,974195,PCN120,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,10,Mail Order,1,0,0,18.0,10.7,28.7,0.0,27.1,1.6,0.72,0.51,0,0,0,0,2023-08-10
RX0000008954,MBR00000242,2022-09-19,2022-09-22,1564590885,1585988908,PLN4270,373908,PCN715,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,95,6,Mail Order,0,1,0,36.0,1.86,37.86,149.0,0.0,1.48,0.48,0.34,0,0,0,0,2022-12-18
RX0000008955,MBR00000242,2022-11-13,2022-11-14,1509570429,1265188940,PLN4435,333599,PCN402,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,6,Mail Order,1,0,0,45.0,8.16,53.16,9.0,40.48,3.68,1.8,1.275,0,0,0,0,2022-12-13
RX0000008956,MBR00000242,2022-02-01,2022-02-04,1615713891,1816828402,PLN7332,360745,PCN622,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,95,10,Retail,0,0,0,27.0,7.26,34.26,7.0,25.04,2.22,0.36,0.255,0,0,0,0,2022-05-02
RX0000008957,MBR00000242,2023-09-28,2023-09-29,1229974315,1682603511,PLN3585,344111,PCN731,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,98,4,Retail,0,0,0,1440.0,5.02,1445.02,39.0,1331.67,74.35,19.2,13.6,0,0,0,0,2023-12-27
RX0000008958,MBR00000242,2021-02-13,2021-02-14,1330141725,1392110843,PLN7026,162343,PCN187,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,10,Mail Order,0,0,0,10.0,5.25,15.25,10.0,4.62,0.63,0.4,0.2833,0,0,0,0,2021-03-15
RX0000008959,MBR00000242,2023-04-11,2023-04-15,1634374139,1919618929,PLN6021,233310,PCN136,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,2,Specialty,0,0,0,10.0,49.0,59.0,6.0,53.0,0.0,0.4,0.2833,0,0,0,0,2023-05-11
RX0000008960,MBR00000243,2021-12-01,2021-12-03,1265823433,1920867252,PLN5523,856242,PCN990,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,0,Retail,0,0,0,38.0,4.33,42.33,33.0,6.84,2.49,1.52,1.0767,0,0,0,0,2021-12-31
RX0000008961,MBR00000243,2022-10-07,2022-10-10,1958983671,1602627048,PLN7056,790919,PCN660,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,7,Retail,0,1,0,6200.0,3.93,6203.93,154.0,5645.84,404.09,248.0,175.6667,0,0,0,0,2022-11-06
RX0000008962,MBR00000243,2023-12-10,2023-12-14,1309664599,1797387313,PLN7968,444805,PCN662,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,2,Retail,0,0,0,16.0,7.31,23.31,10.0,12.1,1.21,0.64,0.4533,0,0,0,0,2024-01-09
RX0000008963,MBR00000243,2023-08-07,2023-08-09,1473380815,1852483125,PLN4911,246719,PCN325,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,90,4,Retail,0,0,0,54.0,2.95,56.95,4.0,50.88,2.07,0.72,0.51,0,0,0,0,2023-11-05
RX0000008964,MBR00000243,2023-08-30,2023-09-02,1103949740,1201350671,PLN8160,263282,PCN870,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,2,Mail Order,1,0,1,14.0,3.82,17.82,8.0,9.28,0.54,0.56,0.3967,0,0,0,0,2023-09-29
RX0000008965,MBR00000243,2023-03-11,2023-03-14,1436437139,1591477158,PLN1145,397824,PCN738,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,4,Retail,0,0,0,650.0,8.17,658.17,31.0,596.51,30.66,26.0,18.4167,1,0,0,0,2023-04-10
RX0000008966,MBR00000243,2021-06-01,2021-06-04,1903378401,1229509163,PLN7920,221284,PCN581,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,2,Retail,3,0,0,38.0,9.13,47.13,37.0,7.36,2.77,1.52,1.0767,0,0,0,0,2021-07-01
RX0000008967,MBR00000243,2022-05-07,2022-05-10,1331892909,1388610043,PLN1678,954313,PCN197,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,1,Retail,0,0,0,12.0,11.0,23.0,8.0,14.3,0.7,0.48,0.34,0,0,0,0,2022-06-06
RX0000008968,MBR00000243,2021-11-15,2021-11-18,1877430597,1100050952,PLN2454,736091,PCN559,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,54,6,Retail,1,0,0,44.0,3.75,47.75,72.0,0.0,2.77,0.88,0.6233,1,0,0,0,2022-01-14
RX0000008969,MBR00000243,2022-04-06,2022-04-10,1728666756,1672683000,PLN4602,364049,PCN352,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,9,Retail,3,0,0,30.0,1.56,31.56,6.0,23.52,2.04,0.4,0.2833,0,0,0,0,2022-07-05
RX0000008970,MBR00000243,2023-12-31,2024-01-03,1763266752,1202286133,PLN8919,635517,PCN412,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,9,Retail,0,0,0,9.0,9.52,18.52,3.0,14.32,1.2,0.36,0.255,1,0,0,0,2024-01-30
RX0000008971,MBR00000243,2021-07-07,2021-07-11,1741153340,1344566873,PLN5413,248967,PCN852,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,0,Retail,0,0,0,38.0,6.14,44.14,35.0,7.4,1.74,1.52,1.0767,0,0,0,0,2021-08-06
RX0000008972,MBR00000243,2022-08-17,2022-08-18,1590058376,1881016539,PLN7560,800449,PCN936,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,1,Retail,0,0,0,42.0,2.28,44.28,9.0,33.06,2.22,0.56,0.3967,0,0,0,0,2022-11-15
RX0000008973,MBR00000243,2023-09-26,2023-09-27,1389416886,1305031650,PLN2013,405102,PCN707,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,11,Retail,0,0,0,175.0,4.91,179.91,35.0,134.74,10.17,7.0,4.9583,1,0,0,0,2023-10-26
RX0000008974,MBR00000243,2022-06-05,2022-06-06,1691951484,1217112808,PLN9548,131305,PCN208,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,81,0,Retail,1,0,0,22.5,6.21,28.71,8.0,18.87,1.84,0.3,0.2125,0,0,0,0,2022-09-03
RX0000008975,MBR00000243,2022-12-24,2022-12-27,1630826937,1253310951,PLN4321,392031,PCN633,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,11,Mail Order,0,0,0,10.0,2.3,12.3,10.0,1.87,0.43,0.4,0.2833,0,0,0,0,2023-01-23
RX0000008976,MBR00000243,2022-02-16,2022-02-19,1750149902,1236397730,PLN6809,915535,PCN502,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,6,Retail,0,0,0,380.0,9.23,389.23,32.0,334.27,22.96,15.2,10.7667,0,0,0,0,2022-03-18
RX0000008977,MBR00000243,2022-04-05,2022-04-06,1242089092,1412714588,PLN8519,962332,PCN878,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,11,Mail Order,0,0,0,480.0,10.04,490.04,35.0,438.89,16.15,19.2,13.6,0,0,0,0,2022-05-05
RX0000008978,MBR00000243,2021-04-13,2021-04-16,1173259437,1910868480,PLN7224,266720,PCN242,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,5,Retail,0,0,0,9.0,5.94,14.94,4.0,10.23,0.71,0.36,0.255,1,0,0,0,2021-05-13
RX0000008979,MBR00000243,2021-04-01,2021-04-04,1447972318,1704791649,PLN6695,131483,PCN751,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,88,1,Retail,0,0,0,960.0,4.43,964.43,34.0,878.2,52.23,12.8,9.0667,0,0,0,0,2021-06-30
RX0000008980,MBR00000243,2022-04-27,2022-04-30,1711236832,1690230330,PLN3650,669722,PCN350,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,11,Retail,0,0,0,12.0,5.36,17.36,6.0,10.74,0.62,0.48,0.34,1,0,0,0,2022-05-27
RX0000008981,MBR00000243,2022-01-08,2022-01-09,1583691865,1960457357,PLN4950,833345,PCN359,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,0,Retail,0,0,0,185.0,3.08,188.08,38.0,139.4,10.68,7.4,5.2417,0,0,0,0,2022-02-07
RX0000008982,MBR00000243,2022-05-24,2022-05-27,1447062922,1843606930,PLN9607,172974,PCN774,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,10,Mail Order,0,0,1,9.0,7.59,16.59,9.0,7.05,0.54,0.36,0.255,0,0,0,0,2022-06-23
RX0000008983,MBR00000243,2021-04-23,2021-04-25,1263603557,1466738072,PLN9417,524617,PCN137,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,9,Mail Order,0,0,0,38.0,2.66,40.66,34.0,4.15,2.51,1.52,1.0767,0,0,0,0,2021-05-23
RX0000008984,MBR00000243,2021-01-28,2021-01-31,1217667362,1716657276,PLN2455,633732,PCN343,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,3,Retail,0,0,0,11.0,2.98,13.98,10.0,3.38,0.6,0.44,0.3117,0,0,0,0,2021-02-27
RX0000008985,MBR00000243,2023-06-25,2023-06-29,1440820621,1805214221,PLN6488,786417,PCN995,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,7,Retail,0,0,0,10.5,1.95,12.45,10.0,1.61,0.84,1.8,1.275,0,0,0,0,2023-07-02
RX0000008986,MBR00000244,2022-02-21,2022-02-24,1388291326,1743627446,PLN6357,262159,PCN497,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,1,Retail,0,0,0,65.0,9.55,74.55,38.0,33.63,2.92,2.6,1.8417,0,0,0,0,2022-03-23
RX0000008987,MBR00000244,2021-05-07,2021-05-11,1708256167,1804733153,PLN4744,872656,PCN840,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,83,10,Mail Order,0,0,0,54.0,3.67,57.67,36.0,18.27,3.4,0.72,0.51,0,0,0,0,2021-08-05
RX0000008988,MBR00000244,2021-04-25,2021-04-26,1206036564,1104424648,PLN5078,816557,PCN684,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,61,4,Retail,0,0,0,960.0,6.63,966.63,38.0,872.3,56.33,19.2,13.6,0,0,0,0,2021-06-24
RX0000008989,MBR00000244,2021-09-23,2021-09-25,1286604267,1577592377,PLN7922,969003,PCN955,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,7,Mail Order,0,1,0,6200.0,9.68,6209.68,148.0,5846.67,215.01,248.0,175.6667,0,0,0,0,2021-10-23
RX0000008990,MBR00000244,2023-03-03,2023-03-05,1365326249,1600973507,PLN8298,758020,PCN933,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,58,4,Retail,0,0,0,76.0,3.88,79.88,37.0,37.42,5.46,1.52,1.0767,0,0,0,0,2023-05-02
RX0000008991,MBR00000244,2023-06-25,2023-06-29,1492054760,1825394409,PLN4491,553684,PCN279,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,3,Mail Order,0,0,0,18.0,4.92,22.92,0.0,21.41,1.51,0.72,0.51,0,0,0,0,2023-07-25
RX0000008992,MBR00000244,2022-03-22,2022-03-23,1711911591,1158811691,PLN5093,157817,PCN585,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,91,7,Retail,0,0,0,33.0,11.55,44.55,7.0,35.66,1.89,0.44,0.3117,0,0,0,0,2022-06-20
RX0000008993,MBR00000244,2022-03-13,2022-03-16,1200915596,1915590903,PLN8506,875813,PCN356,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,55,1,Retail,0,0,0,17.0,11.59,28.59,2.0,25.64,0.95,0.34,0.2408,0,0,0,0,2022-05-12
RX0000008994,MBR00000244,2023-12-01,2023-12-02,1479233331,1672801802,PLN4886,601010,PCN589,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,4,Retail,2,0,0,9.0,7.81,16.81,0.0,15.88,0.93,0.36,0.255,0,0,0,0,2023-12-31
RX0000008995,MBR00000244,2023-05-22,2023-05-25,1447427902,1311654875,PLN9260,130707,PCN364,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,5,Retail,0,0,0,65.0,5.94,70.94,37.0,29.7,4.24,2.6,1.8417,0,0,0,0,2023-06-21
RX0000008996,MBR00000244,2023-01-12,2023-01-13,1156106390,1529384068,PLN1109,764164,PCN672,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,2,Retail,1,0,0,9.0,3.87,12.87,5.0,7.26,0.61,0.36,0.255,0,0,0,0,2023-02-11
RX0000008997,MBR00000244,2023-01-18,2023-01-19,1801659069,1859818636,PLN3036,339852,PCN535,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,9,Retail,0,0,0,650.0,8.67,658.67,36.0,589.6,33.07,26.0,18.4167,0,0,0,0,2023-02-17
RX0000008998,MBR00000244,2023-01-28,2023-01-31,1570596032,1763664160,PLN7781,209590,PCN455,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,10,Retail,0,0,0,18.0,10.14,28.14,1.0,25.95,1.19,0.72,0.51,0,0,0,0,2023-02-27
RX0000008999,MBR00000244,2023-02-10,2023-02-14,1403433787,1443248792,PLN2871,434370,PCN238,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,86,7,Retail,0,0,0,45.0,7.89,52.89,1.0,49.96,1.93,0.6,0.425,0,0,0,0,2023-05-11
RX0000009000,MBR00000244,2021-03-12,2021-03-15,1200718155,1510091330,PLN7626,431061,PCN223,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,8,Retail,0,1,0,12.0,1.53,13.53,149.0,0.0,0.62,0.48,0.34,0,0,0,0,2021-04-11
RX0000009001,MBR00000244,2023-05-23,2023-05-27,1870737579,1811997900,PLN2158,428109,PCN821,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,3,Specialty,0,0,0,10.0,49.34,59.34,9.0,50.34,0.0,0.4,0.2833,0,0,0,0,2023-06-22
RX0000009002,MBR00000244,2021-07-30,2021-07-31,1579021393,1982895347,PLN7387,847049,PCN339,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,0,Retail,0,1,0,8.0,9.68,17.68,151.0,0.0,0.95,0.32,0.2267,0,0,0,0,2021-08-29
RX0000009003,MBR00000244,2021-02-25,2021-03-01,1850471025,1545633825,PLN4790,409768,PCN787,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,96,10,Retail,1,0,0,66.0,9.56,75.56,10.0,60.64,4.92,0.88,0.6233,0,0,0,0,2021-05-26
RX0000009004,MBR00000244,2021-09-22,2021-09-25,1709844441,1621985228,PLN3609,604344,PCN156,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,91,0,Retail,0,0,0,135.0,10.12,145.12,6.0,130.16,8.96,1.8,1.275,0,0,0,0,2021-12-21
RX0000009005,MBR00000244,2023-05-11,2023-05-13,1727356698,1434280259,PLN9011,887002,PCN995,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,0,Retail,3,0,0,175.0,2.75,177.75,38.0,132.51,7.24,7.0,4.9583,0,0,0,0,2023-06-10
RX0000009006,MBR00000244,2022-12-29,2023-01-02,1351969672,1904420778,PLN5194,801539,PCN631,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,64,4,Retail,0,0,0,28.0,3.16,31.16,2.0,27.15,2.01,0.56,0.3967,0,0,0,0,2023-02-27
RX0000009007,MBR00000244,2023-10-07,2023-10-11,1452483907,1558824966,PLN7545,195948,PCN320,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,9,Mail Order,3,0,0,650.0,10.86,660.86,38.0,584.37,38.49,26.0,18.4167,0,0,0,0,2023-11-06
RX0000009008,MBR00000244,2023-09-10,2023-09-14,1802541778,1448403327,PLN8631,371692,PCN924,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,11,Mail Order,0,0,0,10.0,3.19,13.19,2.0,10.69,0.5,0.4,0.2833,0,0,0,0,2023-10-10
RX0000009009,MBR00000244,2021-11-09,2021-11-10,1704236268,1734481115,PLN9646,180183,PCN489,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,3,Retail,0,0,0,285.0,3.33,288.33,31.0,248.18,9.15,11.4,8.075,0,0,0,0,2021-12-09
RX0000009010,MBR00000244,2023-05-25,2023-05-29,1858140078,1289583327,PLN1931,596791,PCN915,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,83,5,Mail Order,0,0,0,27.0,11.76,38.76,6.0,30.33,2.43,0.36,0.255,0,0,0,0,2023-08-23
RX0000009011,MBR00000244,2023-07-15,2023-07-16,1686162182,1854934455,PLN4420,584425,PCN648,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,83,2,Specialty,0,0,0,27.0,43.2,70.2,9.0,61.2,0.0,0.36,0.255,0,0,0,0,2023-10-13
RX0000009012,MBR00000244,2022-09-02,2022-09-05,1930538795,1389855190,PLN2677,534936,PCN566,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,7,Mail Order,0,0,0,12.0,2.62,14.62,8.0,5.72,0.9,0.48,0.34,0,0,0,0,2022-10-02
RX0000009013,MBR00000244,2023-12-27,2023-12-30,1488693750,1489146962,PLN8432,596038,PCN130,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,8,Mail Order,0,0,0,28.0,8.67,36.67,4.0,31.17,1.5,1.12,0.7933,1,0,0,0,2024-01-26
RX0000009014,MBR00000244,2021-08-07,2021-08-10,1944124563,1708628287,PLN1826,753350,PCN102,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,6,Retail,0,0,0,10.0,10.92,20.92,4.0,15.69,1.23,0.4,0.2833,1,0,0,0,2021-09-06
RX0000009015,MBR00000244,2022-02-20,2022-02-21,1905483292,1438022015,PLN7734,989128,PCN994,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,55,3,Retail,0,0,0,56.0,8.19,64.19,2.0,59.62,2.57,1.12,0.7933,0,1,0,0,2022-04-21
RX0000009016,MBR00000244,2021-12-13,2021-12-16,1926526110,1332481902,PLN6936,288453,PCN423,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,5,Mail Order,0,0,0,221.67,5.94,227.6,36.0,182.21,9.39,38.0,26.9167,0,0,0,0,2021-12-20
RX0000009017,MBR00000244,2021-09-22,2021-09-25,1764891772,1244979514,PLN1341,400002,PCN664,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,7,Retail,0,0,0,480.0,2.0,482.0,36.0,417.28,28.72,19.2,13.6,0,0,0,0,2021-10-22
RX0000009018,MBR00000244,2022-03-21,2022-03-22,1209088469,1891865730,PLN2968,766985,PCN462,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,64,5,Retail,0,1,0,12400.0,1.98,12401.98,155.0,11703.32,543.66,248.0,175.6667,0,0,0,0,2022-05-20
RX0000009019,MBR00000244,2021-03-04,2021-03-06,1166693012,1657917581,PLN1771,820637,PCN904,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,97,11,Retail,0,0,0,1110.0,7.0,1117.0,37.0,1004.17,75.83,14.8,10.4833,0,0,0,0,2021-06-02
RX0000009020,MBR00000244,2022-05-31,2022-06-01,1671094227,1663737975,PLN8484,205358,PCN102,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,97,3,Retail,0,0,0,84.0,9.38,93.38,4.0,85.23,4.15,1.12,0.7933,0,0,0,0,2022-08-29
RX0000009021,MBR00000244,2023-11-21,2023-11-24,1164298690,1292042089,PLN8744,255324,PCN634,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,63,1,Mail Order,3,0,0,24.0,7.26,31.26,0.0,29.67,1.59,0.48,0.34,1,0,0,0,2024-01-20
RX0000009022,MBR00000244,2023-04-29,2023-04-30,1959461311,1331921853,PLN9654,216177,PCN327,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,11,Specialty,0,0,0,38.0,46.39,84.39,35.0,49.39,0.0,1.52,1.0767,0,0,0,0,2023-05-29
RX0000009023,MBR00000244,2021-04-19,2021-04-20,1304370425,1795465814,PLN5363,313373,PCN405,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,9,Retail,0,0,0,15.0,4.74,19.74,2.0,16.62,1.12,0.6,0.425,0,0,0,0,2021-05-19
RX0000009024,MBR00000244,2021-10-01,2021-10-02,1259908894,1383734588,PLN8778,713581,PCN185,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,5,Mail Order,0,0,0,10.0,7.47,17.47,6.0,10.49,0.98,0.4,0.2833,0,0,0,0,2021-10-31
RX0000009025,MBR00000244,2021-04-15,2021-04-17,1696443572,1262590147,PLN4295,956250,PCN484,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,0,Retail,0,0,0,330.0,10.89,340.89,34.0,283.59,23.3,13.2,9.35,0,0,0,0,2021-05-15
RX0000009026,MBR00000244,2021-11-12,2021-11-14,1431573542,1767924692,PLN2566,122593,PCN369,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,7,Retail,0,0,0,10.0,2.47,12.47,7.0,5.05,0.42,0.4,0.2833,0,0,0,0,2021-12-12
RX0000009027,MBR00000244,2022-05-08,2022-05-09,1487191681,1584082451,PLN6567,395083,PCN717,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,6,Retail,0,0,0,14.0,6.72,20.72,8.0,11.99,0.73,0.56,0.3967,0,0,0,0,2022-06-07
RX0000009028,MBR00000244,2023-03-30,2023-04-03,1855240100,1441282289,PLN7481,728435,PCN582,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,3,Retail,0,0,0,2.33,3.11,5.44,8.0,0.0,0.2,0.4,0.2833,0,0,0,0,2023-04-06
RX0000009029,MBR00000244,2023-09-17,2023-09-21,1905134516,1843873471,PLN4738,438124,PCN233,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,0,Mail Order,2,0,0,9.0,2.72,11.72,10.0,1.2,0.52,0.36,0.255,0,0,0,0,2023-10-17
RX0000009030,MBR00000244,2022-07-08,2022-07-10,1571244332,1980346267,PLN3499,436143,PCN573,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,0,Retail,0,0,0,15.0,7.93,22.93,7.0,14.92,1.01,0.6,0.425,0,0,0,0,2022-08-07
RX0000009031,MBR00000244,2022-06-12,2022-06-15,1456566547,1741247365,PLN3007,287842,PCN955,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,4,Retail,0,0,0,22.0,3.47,25.47,0.0,24.32,1.15,0.88,0.6233,0,0,0,0,2022-07-12
RX0000009032,MBR00000244,2022-02-20,2022-02-22,1635359825,1933533165,PLN2757,683401,PCN731,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,11,Retail,0,0,0,16.0,10.9,26.9,1.0,24.34,1.56,0.64,0.4533,0,0,0,0,2022-03-22
RX0000009033,MBR00000245,2021-07-13,2021-07-17,1741990047,1648130105,PLN5027,738359,PCN598,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,5,Retail,0,1,0,8.0,9.47,17.47,147.0,0.0,1.12,0.32,0.2267,0,0,0,0,2021-08-12
RX0000009034,MBR00000245,2021-01-30,2021-02-01,1199449394,1113746157,PLN9109,331506,PCN753,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,3,Retail,1,0,0,2.8,4.86,7.66,8.0,0.0,0.25,0.48,0.34,0,0,0,0,2021-02-06
RX0000009035,MBR00000245,2023-01-07,2023-01-09,1982538055,1417450495,PLN1961,756489,PCN497,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,84,9,Mail Order,0,0,0,36.0,11.66,47.66,0.0,45.49,2.17,0.48,0.34,0,0,0,0,2023-04-07
RX0000009036,MBR00000245,2022-01-11,2022-01-15,1541842899,1778545180,PLN1518,517926,PCN425,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,2,Specialty,2,0,0,12.5,13.44,25.94,4.0,21.94,0.0,0.5,0.3542,0,0,0,0,2022-02-10
RX0000009037,MBR00000245,2021-07-17,2021-07-18,1527856813,1369773050,PLN4719,378975,PCN403,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,6,Retail,3,0,0,12.0,10.56,22.56,9.0,12.53,1.03,0.48,0.34,0,0,0,0,2021-08-16
RX0000009038,MBR00000245,2022-07-19,2022-07-20,1150834820,1255815982,PLN1291,805195,PCN494,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,3,Specialty,0,0,0,480.0,16.36,496.36,33.0,463.36,0.0,19.2,13.6,0,0,0,0,2022-08-18
RX0000009039,MBR00000245,2023-12-10,2023-12-12,1170740945,1290207661,PLN6497,700605,PCN785,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,4,Retail,0,0,0,320.0,2.22,322.22,39.0,267.71,15.51,12.8,9.0667,0,0,0,0,2024-01-09
RX0000009040,MBR00000245,2022-11-14,2022-11-15,1467840489,1847021176,PLN2686,835064,PCN688,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,3,Retail,0,1,0,8500.0,8.84,8508.84,155.0,7906.6,447.24,340.0,240.8333,0,0,0,0,2022-12-14
RX0000009041,MBR00000245,2022-05-23,2022-05-25,1985294423,1374055011,PLN6855,510752,PCN568,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,11,Retail,0,0,0,380.0,11.63,391.63,35.0,331.85,24.78,15.2,10.7667,0,0,0,0,2022-06-22
RX0000009042,MBR00000245,2021-05-17,2021-05-21,1442676449,1714157019,PLN7301,919609,PCN766,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,96,1,Mail Order,3,0,0,36.0,5.63,41.63,6.0,34.18,1.45,0.48,0.34,0,0,0,0,2021-08-15
RX0000009043,MBR00000245,2022-11-28,2022-12-01,1156268658,1833074831,PLN6294,187261,PCN196,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,8,Retail,0,0,0,22.0,1.64,23.64,71.0,0.0,1.48,0.88,0.6233,0,0,0,0,2022-12-28
RX0000009044,MBR00000245,2022-04-21,2022-04-25,1332014010,1973115061,PLN9924,331653,PCN934,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,56,9,Retail,0,0,0,20.0,9.22,29.22,1.0,26.64,1.58,0.4,0.2833,0,0,0,0,2022-06-20
RX0000009045,MBR00000245,2023-10-07,2023-10-10,1814582370,1279765113,PLN1787,917759,PCN942,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,4,Retail,0,0,0,9.0,10.61,19.61,10.0,8.56,1.05,0.36,0.255,0,0,0,0,2023-11-06
RX0000009046,MBR00000245,2023-10-13,2023-10-16,1478712966,1178111241,PLN9876,634719,PCN273,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,11,Retail,0,0,0,310.0,11.93,321.93,36.0,265.1,20.83,12.4,8.7833,0,0,0,0,2023-11-12
RX0000009047,MBR00000245,2023-05-31,2023-06-01,1850663434,1563771695,PLN5597,840070,PCN442,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,10,Retail,0,0,0,18.0,6.26,24.26,0.0,23.24,1.02,0.72,0.51,0,0,0,0,2023-06-30
RX0000009048,MBR00000245,2021-10-10,2021-10-14,1509016428,1172751461,PLN8784,144146,PCN321,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,90,4,Mail Order,0,0,0,36.0,9.81,45.81,0.0,42.82,2.99,0.48,0.34,0,0,0,0,2022-01-08
RX0000009049,MBR00000245,2022-07-15,2022-07-18,1600807334,1920185120,PLN7020,705432,PCN506,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,64,10,Mail Order,0,0,0,36.0,1.69,37.69,7.0,28.45,2.24,0.72,0.51,0,0,0,0,2022-09-13
RX0000009050,MBR00000245,2022-07-31,2022-08-04,1906436742,1607038535,PLN5519,378827,PCN224,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,83,6,Mail Order,0,0,0,555.0,4.65,559.65,35.0,493.47,31.18,7.4,5.2417,0,0,0,0,2022-10-29
RX0000009051,MBR00000245,2022-03-08,2022-03-10,1449066425,1867604674,PLN4837,926957,PCN648,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,9,LTC,0,0,0,10.0,7.22,17.22,9.0,7.19,1.03,0.4,0.2833,0,0,0,0,2022-04-07
RX0000009052,MBR00000245,2023-01-11,2023-01-12,1351787464,1671787641,PLN6596,562212,PCN293,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,89,2,Specialty,2,0,0,135.0,32.69,167.69,4.0,163.69,0.0,1.8,1.275,0,0,0,0,2023-04-11
RX0000009053,MBR00000245,2022-04-15,2022-04-18,1631440387,1821211807,PLN3876,947103,PCN610,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,56,6,Mail Order,2,0,0,20.0,9.01,29.01,3.0,24.45,1.56,0.4,0.2833,0,0,0,0,2022-06-14
RX0000009054,MBR00000245,2023-02-11,2023-02-14,1142911654,1563241318,PLN8456,895577,PCN960,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,60,10,Retail,0,0,0,28.0,7.33,35.33,10.0,23.88,1.45,0.56,0.3967,0,0,0,0,2023-04-12
RX0000009055,MBR00000245,2023-06-10,2023-06-11,1565383656,1307273644,PLN7936,479906,PCN381,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,94,2,Mail Order,0,1,0,24.0,2.1,26.1,146.0,0.0,1.23,0.32,0.2267,0,0,0,0,2023-09-08
RX0000009056,MBR00000245,2021-03-08,2021-03-10,1674208729,1936082001,PLN5923,122439,PCN288,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,10,Retail,2,0,0,11.0,9.57,20.57,7.0,12.3,1.27,0.44,0.3117,0,0,0,0,2021-04-07
RX0000009057,MBR00000245,2021-03-01,2021-03-02,1879425489,1659838878,PLN8864,268065,PCN115,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,11,Retail,0,0,0,14.0,4.96,18.96,8.0,9.92,1.04,0.56,0.3967,0,0,0,0,2021-03-31
RX0000009058,MBR00000245,2023-06-25,2023-06-27,1597675729,1229777887,PLN2122,900417,PCN123,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,5,Retail,0,0,0,8.87,3.57,12.43,36.0,0.0,0.49,1.52,1.0767,0,0,0,0,2023-07-02
RX0000009059,MBR00000245,2021-08-01,2021-08-03,1133292531,1906008934,PLN1689,831065,PCN348,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,7,Retail,0,0,0,185.0,11.78,196.78,36.0,151.86,8.92,7.4,5.2417,0,0,0,0,2021-08-31
RX0000009060,MBR00000245,2021-08-21,2021-08-22,1926566734,1737769491,PLN9625,140029,PCN889,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,11,Retail,3,0,0,15.0,9.96,24.96,10.0,13.42,1.54,0.6,0.425,0,0,0,0,2021-09-20
RX0000009061,MBR00000245,2021-11-26,2021-11-28,1386114079,1277785098,PLN3322,295838,PCN759,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,8,Mail Order,0,0,0,9.0,5.29,14.29,5.0,8.36,0.93,0.36,0.255,1,0,0,0,2021-12-26
RX0000009062,MBR00000245,2023-09-08,2023-09-11,1898893997,1433722177,PLN7515,806925,PCN373,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,61,5,Specialty,0,0,0,20.0,24.21,44.21,7.0,37.21,0.0,0.4,0.2833,0,0,0,0,2023-11-07
RX0000009063,MBR00000245,2021-11-19,2021-11-21,1113140354,1664534264,PLN8544,494054,PCN126,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,3,Mail Order,0,0,0,18.0,5.96,23.96,31.0,0.0,1.15,0.72,0.51,0,0,0,0,2021-12-19
RX0000009064,MBR00000245,2022-08-22,2022-08-26,1662712583,1787623135,PLN7145,952674,PCN114,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,59,8,Retail,0,0,0,30.0,10.36,40.36,8.0,30.07,2.29,0.6,0.425,0,0,0,0,2022-10-21
RX0000009065,MBR00000245,2021-03-07,2021-03-08,1541626543,1990415184,PLN9737,887786,PCN779,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,56,3,Retail,0,0,0,30.0,5.07,35.07,3.0,29.99,2.08,0.6,0.425,0,0,0,0,2021-05-06
RX0000009066,MBR00000245,2023-01-07,2023-01-09,1919686123,1815517078,PLN6039,728480,PCN502,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,5,Mail Order,0,0,0,175.0,8.45,183.45,40.0,131.84,11.61,7.0,4.9583,0,0,0,0,2023-02-06
RX0000009067,MBR00000245,2023-12-08,2023-12-10,1488677968,1510477577,PLN6709,721304,PCN809,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,10,Retail,2,0,0,8.5,9.5,18.0,6.0,10.89,1.11,0.34,0.2408,0,0,0,0,2024-01-07
RX0000009068,MBR00000245,2022-02-15,2022-02-16,1756485567,1168318590,PLN3093,881562,PCN500,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,95,9,Retail,2,0,0,33.0,5.74,38.74,3.0,34.09,1.65,0.44,0.3117,0,0,0,0,2022-05-16
RX0000009069,MBR00000246,2021-06-20,2021-06-24,1135526827,1747095731,PLN3302,390179,PCN738,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,7,Retail,0,0,0,38.0,1.87,39.87,10.0,28.09,1.78,1.52,1.0767,1,0,0,0,2021-07-20
RX0000009070,MBR00000246,2021-08-24,2021-08-27,1109888457,1438807106,PLN3565,114297,PCN177,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,10,Specialty,0,0,0,330.0,27.5,357.5,39.0,318.5,0.0,13.2,9.35,0,0,0,0,2021-09-23
RX0000009071,MBR00000246,2022-12-07,2022-12-10,1450815485,1450193655,PLN3312,392909,PCN793,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,0,Mail Order,0,0,0,10.0,8.75,18.75,8.0,9.82,0.93,0.4,0.2833,0,0,0,0,2023-01-06
RX0000009072,MBR00000246,2022-07-21,2022-07-23,1586565359,1792829335,PLN3865,775632,PCN441,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,8,Retail,0,0,0,650.0,7.97,657.97,36.0,577.1,44.87,26.0,18.4167,1,0,0,0,2022-08-20
RX0000009073,MBR00000246,2022-03-13,2022-03-16,1678232779,1242215507,PLN8306,125188,PCN894,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,2,Retail,0,1,0,18600.0,5.6,18605.6,152.0,17266.69,1186.91,248.0,175.6667,0,1,1,0,2022-06-11
RX0000009074,MBR00000246,2022-08-15,2022-08-16,1458451180,1773812206,PLN6314,868054,PCN528,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,7,Mail Order,2,0,0,14.0,2.89,16.89,7.0,9.18,0.71,0.56,0.3967,1,0,0,0,2022-09-14
RX0000009075,MBR00000246,2023-11-30,2023-12-02,1787439119,1254356260,PLN8215,190269,PCN687,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,89,0,Mail Order,0,0,0,1440.0,11.88,1451.88,33.0,1373.25,45.63,19.2,13.6,0,0,0,0,2024-02-28
RX0000009076,MBR00000246,2023-06-28,2023-06-30,1229088600,1428218467,PLN6746,228082,PCN223,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,6,Retail,0,0,0,10.0,6.18,16.18,6.0,9.58,0.6,0.4,0.2833,0,0,0,0,2023-07-28
RX0000009077,MBR00000246,2022-10-12,2022-10-15,1375235838,1257015632,PLN5642,741272,PCN971,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,4,Retail,0,0,0,175.0,9.03,184.03,36.0,142.5,5.53,7.0,4.9583,0,0,0,0,2022-11-11
RX0000009078,MBR00000246,2022-12-10,2022-12-11,1361945201,1327385498,PLN3673,674763,PCN117,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,7,Retail,0,1,0,8500.0,11.36,8511.36,152.0,7959.89,399.47,340.0,240.8333,0,0,0,0,2023-01-09
RX0000009079,MBR00000246,2022-01-04,2022-01-08,1623280245,1947411166,PLN6946,283600,PCN367,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,1,Retail,0,0,0,12.0,10.53,22.53,7.0,14.6,0.93,0.48,0.34,0,0,0,0,2022-02-03
RX0000009080,MBR00000246,2021-07-28,2021-07-31,1341528984,1670241750,PLN6854,669100,PCN774,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,11,Retail,1,0,0,175.0,6.6,181.6,38.0,134.03,9.57,30.0,21.25,0,0,0,0,2021-08-04
RX0000009081,MBR00000246,2023-06-28,2023-06-30,1912576827,1625810452,PLN4598,349891,PCN573,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,56,9,Retail,0,0,0,960.0,1.91,961.91,39.0,860.47,62.44,19.2,13.6,0,0,0,0,2023-08-27
RX0000009082,MBR00000246,2022-11-27,2022-11-28,1738597573,1714830175,PLN1886,114952,PCN745,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,8,Retail,0,0,1,480.0,10.84,490.84,39.0,436.19,15.65,19.2,13.6,0,0,0,0,2022-12-27
RX0000009083,MBR00000246,2023-02-25,2023-02-28,1502060418,1622814643,PLN9440,208882,PCN454,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,2,Specialty,0,0,0,9.0,8.3,17.3,6.0,11.3,0.0,0.36,0.255,0,0,0,0,2023-03-27
RX0000009084,MBR00000246,2023-01-19,2023-01-20,1413421051,1673404962,PLN7846,870631,PCN325,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,54,10,Retail,0,0,0,76.0,7.46,83.46,0.0,79.33,4.13,1.52,1.0767,0,0,0,0,2023-03-20
RX0000009085,MBR00000246,2021-11-01,2021-11-02,1177939467,1609844834,PLN9659,360302,PCN124,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,6,Retail,0,0,0,18.0,6.97,24.97,37.0,0.0,1.24,0.72,0.51,0,0,0,0,2021-12-01
RX0000009086,MBR00000246,2021-02-04,2021-02-05,1227603914,1758346210,PLN4838,899178,PCN619,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,11,Specialty,0,0,0,72.33,32.57,104.91,31.0,73.91,0.0,12.4,8.7833,0,0,0,0,2021-02-11
RX0000009087,MBR00000246,2022-09-20,2022-09-21,1419522105,1703291935,PLN6124,860408,PCN942,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,3,Retail,0,0,0,22.0,6.25,28.25,75.0,0.0,0.89,0.88,0.6233,0,0,0,0,2022-10-20
RX0000009088,MBR00000246,2023-01-19,2023-01-20,1988049808,1616096627,PLN6317,509187,PCN782,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,0,Retail,0,0,0,370.0,2.09,372.09,38.0,322.32,11.77,14.8,10.4833,0,0,0,0,2023-02-18
RX0000009089,MBR00000246,2023-04-30,2023-05-04,1576102610,1878200868,PLN7806,568147,PCN407,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,5,Retail,0,0,0,22.0,4.69,26.69,4.0,21.09,1.6,0.88,0.6233,0,0,0,0,2023-05-30
RX0000009090,MBR00000246,2022-10-14,2022-10-17,1419455006,1720811559,PLN2610,389401,PCN857,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,1,Retail,0,0,0,285.0,6.76,291.76,31.0,244.79,15.97,11.4,8.075,0,0,0,0,2022-11-13
RX0000009091,MBR00000246,2021-08-14,2021-08-15,1496089841,1516427250,PLN8299,407901,PCN235,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,89,6,Mail Order,3,0,0,54.0,3.94,57.94,30.0,25.88,2.06,0.72,0.51,0,0,0,0,2021-11-12
RX0000009092,MBR00000246,2022-08-20,2022-08-24,1204761333,1257174781,PLN4383,252735,PCN594,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,55,4,Retail,0,0,0,36.0,5.98,41.98,1.0,39.24,1.74,0.72,0.51,0,0,0,0,2022-10-19
RX0000009093,MBR00000246,2022-04-13,2022-04-14,1169876860,1501528698,PLN6548,690185,PCN107,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,94,5,Retail,0,0,0,555.0,6.03,561.03,35.0,497.48,28.55,7.4,5.2417,0,0,0,0,2022-07-12
RX0000009094,MBR00000246,2022-03-17,2022-03-18,1543400524,1837532859,PLN5756,844678,PCN685,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,4,Retail,0,0,0,18.0,8.12,26.12,2.0,22.66,1.46,0.72,0.51,0,0,0,0,2022-04-16
RX0000009095,MBR00000246,2022-12-26,2022-12-30,1725883161,1933799490,PLN7302,664106,PCN782,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,93,5,Mail Order,0,0,0,25.5,10.23,35.73,8.0,26.35,1.38,0.34,0.2408,0,0,0,0,2023-03-26
RX0000009096,MBR00000246,2022-06-26,2022-06-29,1244780850,1833859290,PLN6132,102460,PCN786,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,11,Retail,1,1,0,2800.0,6.93,2806.93,146.0,2496.68,164.25,112.0,79.3333,0,0,0,0,2022-07-26
RX0000009097,MBR00000246,2023-08-17,2023-08-21,1417419987,1791142223,PLN2722,281566,PCN660,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,2,Mail Order,0,0,0,320.0,11.63,331.63,38.0,281.91,11.72,12.8,9.0667,0,0,0,0,2023-09-16
RX0000009098,MBR00000246,2022-12-06,2022-12-10,1325797876,1990983860,PLN7749,986036,PCN925,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,58,6,Mail Order,0,0,0,22.0,1.98,23.98,7.0,16.17,0.81,0.44,0.3117,0,0,0,0,2023-02-04
RX0000009099,MBR00000246,2023-06-08,2023-06-12,1356333182,1586477355,PLN1285,322656,PCN535,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,4,Mail Order,0,0,0,185.0,11.8,196.8,39.0,150.21,7.59,7.4,5.2417,0,0,0,0,2023-07-08
RX0000009100,MBR00000246,2023-03-07,2023-03-11,1989907480,1289194839,PLN4508,556932,PCN348,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,2,Retail,0,1,0,8.0,3.91,11.91,145.0,0.0,0.78,0.32,0.2267,0,0,0,0,2023-04-06
RX0000009101,MBR00000246,2021-04-20,2021-04-21,1796744526,1216305860,PLN1516,675550,PCN498,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,1,Retail,0,0,0,18.0,10.99,28.99,7.0,20.16,1.83,0.72,0.51,0,1,0,0,2021-05-20
RX0000009102,MBR00000246,2021-09-04,2021-09-07,1347613132,1287803361,PLN8853,191713,PCN172,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,0,Specialty,0,0,0,3.5,38.44,41.94,2.0,39.94,0.0,0.6,0.425,0,0,0,0,2021-09-11
RX0000009103,MBR00000246,2023-05-18,2023-05-22,1573199666,1167148085,PLN7319,788994,PCN702,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,6,Specialty,0,0,0,28.0,40.33,68.33,10.0,58.33,0.0,1.12,0.7933,0,0,0,0,2023-06-17
RX0000009104,MBR00000246,2022-12-10,2022-12-13,1895672499,1577740324,PLN2090,449984,PCN543,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,83,3,Mail Order,0,0,0,33.0,4.21,37.21,3.0,32.79,1.42,0.44,0.3117,0,0,0,0,2023-03-10
RX0000009105,MBR00000246,2021-11-16,2021-11-17,1804253070,1926276824,PLN9027,308133,PCN817,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,9,Retail,0,0,0,2.8,6.47,9.27,1.0,7.72,0.55,0.48,0.34,0,0,0,0,2021-11-23
RX0000009106,MBR00000246,2022-01-28,2022-01-31,1253013573,1751827366,PLN6971,890282,PCN874,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,5,Mail Order,0,0,0,16.0,9.45,25.45,2.0,21.97,1.48,0.64,0.4533,0,0,0,0,2022-02-27
RX0000009107,MBR00000246,2022-03-23,2022-03-27,1226632133,1755638045,PLN7998,293065,PCN182,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,94,9,Specialty,3,0,0,30.0,20.05,50.05,4.0,46.05,0.0,0.4,0.2833,0,0,0,0,2022-06-21
RX0000009108,MBR00000246,2022-05-29,2022-05-31,1754053378,1856904949,PLN4554,699935,PCN133,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,82,0,Retail,0,0,0,30.0,9.73,39.73,1.0,36.76,1.97,0.4,0.2833,0,0,0,0,2022-08-27
RX0000009109,MBR00000246,2023-11-30,2023-12-03,1376127854,1123644114,PLN2369,159912,PCN164,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,11,Mail Order,0,0,1,9.0,10.67,19.67,6.0,12.96,0.71,0.36,0.255,0,0,0,0,2023-12-30
RX0000009110,MBR00000246,2023-07-16,2023-07-17,1365608545,1796789550,PLN6240,283634,PCN754,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,59,9,Retail,3,0,1,90.0,6.77,96.77,0.0,91.45,5.32,1.8,1.275,0,0,0,0,2023-09-14
RX0000009111,MBR00000246,2022-02-20,2022-02-24,1487746084,1990861562,PLN4695,622529,PCN814,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,90,6,Specialty,0,0,0,45.0,16.29,61.29,2.0,59.29,0.0,0.6,0.425,0,0,0,0,2022-05-21
RX0000009112,MBR00000246,2021-04-22,2021-04-25,1569104495,1233687275,PLN9166,390331,PCN466,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,4,Mail Order,1,0,0,10.0,8.09,18.09,2.0,15.36,0.73,0.4,0.2833,0,0,0,0,2021-05-22
RX0000009113,MBR00000246,2022-11-10,2022-11-11,1732747198,1387997255,PLN4468,772289,PCN454,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,8,Retail,0,0,0,38.0,9.08,47.08,9.0,34.83,3.25,1.52,1.0767,0,0,0,0,2022-12-10
RX0000009114,MBR00000246,2023-09-03,2023-09-06,1666471297,1587673727,PLN4014,171101,PCN741,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,9,Retail,0,0,0,18.0,3.15,21.15,2.0,17.73,1.42,0.72,0.51,0,0,0,0,2023-10-03
RX0000009115,MBR00000246,2022-08-09,2022-08-13,1293216375,1847149833,PLN2954,180272,PCN922,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,97,7,Mail Order,0,0,0,2250.0,9.87,2259.87,38.0,2110.03,111.84,30.0,21.25,0,1,1,0,2022-11-07
RX0000009116,MBR00000246,2021-10-09,2021-10-11,1774777736,1866751212,PLN1842,627505,PCN731,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,2,Retail,0,0,0,2.33,1.72,4.05,1.0,2.84,0.21,0.4,0.2833,0,0,0,0,2021-10-16
RX0000009117,MBR00000246,2021-04-29,2021-05-01,1347055983,1324890190,PLN1981,947604,PCN286,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,97,2,Mail Order,2,0,0,36.0,1.86,37.86,1.0,34.87,1.99,0.48,0.34,0,0,0,0,2021-07-28
RX0000009118,MBR00000246,2022-08-24,2022-08-28,1105367223,1711854252,PLN3869,795902,PCN497,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,4,Retail,0,0,0,54.0,10.8,64.8,8.0,53.58,3.22,0.72,0.51,0,0,0,0,2022-11-22
RX0000009119,MBR00000246,2022-11-20,2022-11-23,1749591684,1637245472,PLN2694,293111,PCN588,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,0,Retail,0,0,0,45.0,8.47,53.47,4.0,46.9,2.57,1.8,1.275,0,0,0,0,2022-12-20
RX0000009120,MBR00000246,2022-03-11,2022-03-14,1754586998,1557739688,PLN9586,911062,PCN348,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,90,7,Retail,0,0,0,114.0,4.07,118.07,2.0,108.1,7.97,1.52,1.0767,1,0,0,0,2022-06-09
RX0000009121,MBR00000246,2023-02-09,2023-02-11,1471019284,1905485561,PLN5276,575413,PCN792,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,3,Mail Order,0,0,0,38.0,11.17,49.17,9.0,38.01,2.16,1.52,1.0767,1,0,0,0,2023-03-11
RX0000009122,MBR00000246,2022-08-10,2022-08-14,1566060890,1402518558,PLN5094,356436,PCN897,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,10,Retail,0,0,0,14.0,2.82,16.82,4.0,12.17,0.65,0.56,0.3967,0,0,0,0,2022-09-09
RX0000009123,MBR00000246,2022-03-10,2022-03-11,1417487466,1138070794,PLN4619,975683,PCN324,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,7,Mail Order,0,0,0,10.0,6.23,16.23,6.0,9.33,0.9,0.4,0.2833,1,0,0,0,2022-04-09
RX0000009124,MBR00000246,2022-03-20,2022-03-21,1827663248,1587027602,PLN1241,752296,PCN934,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,97,5,Retail,0,0,0,114.0,2.39,116.39,30.0,80.82,5.57,1.52,1.0767,0,0,0,0,2022-06-18
RX0000009125,MBR00000246,2021-01-28,2021-02-01,1228399337,1622309937,PLN5744,794877,PCN519,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,4,Retail,0,1,0,1.87,1.57,3.44,152.0,0.0,0.14,0.32,0.2267,0,0,0,0,2021-02-04
RX0000009126,MBR00000246,2021-05-12,2021-05-16,1716255713,1639097751,PLN3292,730382,PCN575,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,0,Retail,3,0,0,175.0,8.93,183.93,32.0,142.12,9.81,7.0,4.9583,0,0,0,0,2021-06-11
RX0000009127,MBR00000247,2023-04-25,2023-04-28,1250838913,1451068903,PLN2273,225512,PCN414,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,6,Retail,0,0,0,480.0,8.63,488.63,31.0,438.42,19.21,19.2,13.6,0,0,0,0,2023-05-25
RX0000009128,MBR00000247,2022-10-04,2022-10-06,1264722786,1452957766,PLN4691,869083,PCN444,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,0,Retail,2,0,0,2.8,9.5,12.3,0.0,11.68,0.62,0.48,0.34,0,1,0,0,2022-10-11
RX0000009129,MBR00000247,2021-09-18,2021-09-19,1238994160,1829007819,PLN5504,656194,PCN618,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,10,Retail,0,0,0,38.0,9.8,47.8,33.0,12.11,2.69,1.52,1.0767,0,0,0,0,2021-10-18
RX0000009130,MBR00000247,2021-08-20,2021-08-24,1674727649,1504032682,PLN7377,595752,PCN397,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,8,Retail,1,0,0,2.1,5.07,7.17,5.0,1.8,0.37,0.36,0.255,0,0,0,0,2021-08-27
RX0000009131,MBR00000247,2022-10-01,2022-10-05,1532868234,1438355361,PLN2595,348709,PCN523,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,3,Retail,0,0,0,18.0,9.17,27.17,7.0,18.6,1.57,0.72,0.51,1,0,0,0,2022-10-31
RX0000009132,MBR00000247,2023-03-07,2023-03-08,1510276655,1226920985,PLN8965,798457,PCN789,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,0,Retail,0,0,0,7.5,11.09,18.59,3.0,14.58,1.01,0.3,0.2125,0,0,0,0,2023-04-06
RX0000009133,MBR00000247,2021-03-31,2021-04-02,1980232050,1278027901,PLN2432,561046,PCN996,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,8,Retail,0,0,0,320.0,7.27,327.27,37.0,278.91,11.36,12.8,9.0667,0,0,0,0,2021-04-30
RX0000009134,MBR00000247,2023-08-23,2023-08-26,1582546317,1437868335,PLN6504,229802,PCN422,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,6,Mail Order,0,0,0,320.0,10.39,330.39,40.0,272.63,17.76,12.8,9.0667,0,0,0,0,2023-09-22
RX0000009135,MBR00000247,2023-09-13,2023-09-16,1330389659,1256088008,PLN1706,583827,PCN578,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,60,9,Specialty,0,0,0,350.0,39.17,389.17,39.0,350.17,0.0,7.0,4.9583,0,0,0,0,2023-11-12
RX0000009136,MBR00000247,2022-12-30,2023-01-02,1826781433,1716205293,PLN2041,874607,PCN356,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,98,7,Retail,2,0,0,990.0,9.85,999.85,32.0,924.39,43.46,13.2,9.35,0,0,0,0,2023-03-30
RX0000009137,MBR00000247,2023-11-23,2023-11-26,1610048976,1579981000,PLN1466,668021,PCN387,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,9,Mail Order,0,0,0,18.0,9.24,27.24,3.0,23.02,1.22,0.72,0.51,0,0,0,0,2023-12-23
RX0000009138,MBR00000247,2021-08-31,2021-09-01,1467367470,1741926685,PLN9370,164908,PCN708,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,93,5,Retail,0,0,0,54.0,1.59,55.59,3.0,48.9,3.69,0.72,0.51,0,0,0,0,2021-11-29
RX0000009139,MBR00000247,2021-11-02,2021-11-03,1121997432,1218989368,PLN3396,743625,PCN138,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,87,8,Mail Order,0,0,0,855.0,7.05,862.05,31.0,780.69,50.36,11.4,8.075,0,0,0,0,2022-01-31
RX0000009140,MBR00000247,2023-01-20,2023-01-24,1664969329,1341499662,PLN4408,610626,PCN786,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,4,Mail Order,0,1,0,8500.0,6.74,8506.74,145.0,7904.54,457.2,340.0,240.8333,0,0,0,0,2023-02-19
RX0000009141,MBR00000247,2021-08-17,2021-08-21,1143141578,1948297433,PLN3041,974808,PCN703,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,4,Retail,0,0,0,12.0,8.58,20.58,6.0,13.74,0.84,0.48,0.34,0,0,0,0,2021-09-16
RX0000009142,MBR00000247,2023-12-31,2024-01-04,1560793830,1283061374,PLN1642,477829,PCN641,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,3,Mail Order,2,0,0,11.0,2.27,13.27,4.0,8.52,0.75,0.44,0.3117,0,0,0,0,2024-01-30
RX0000009143,MBR00000247,2021-04-23,2021-04-27,1942795474,1335145167,PLN6431,377686,PCN675,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,5,Retail,0,0,0,8.5,10.37,18.87,1.0,16.56,1.31,0.34,0.2408,0,0,0,0,2021-05-23
RX0000009144,MBR00000247,2023-05-10,2023-05-12,1796357702,1913490015,PLN7739,471251,PCN691,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,6,Retail,0,0,0,18.0,10.61,28.61,7.0,20.12,1.49,0.72,0.51,0,0,0,0,2023-06-09
RX0000009145,MBR00000247,2023-04-12,2023-04-14,1786769597,1577883994,PLN4874,198681,PCN751,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,86,3,Retail,0,1,0,18600.0,5.94,18605.94,148.0,17225.74,1232.2,248.0,175.6667,0,0,0,0,2023-07-11
RX0000009146,MBR00000247,2022-02-13,2022-02-16,1667584787,1809915032,PLN5829,104985,PCN782,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,4,Retail,0,0,0,7.5,7.36,14.86,3.0,10.82,1.04,0.3,0.2125,0,0,0,0,2022-03-15
RX0000009147,MBR00000247,2021-09-09,2021-09-13,1141116309,1413921110,PLN4562,803598,PCN364,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,0,Retail,2,0,0,45.0,11.61,56.61,2.0,51.01,3.6,1.8,1.275,0,0,0,0,2021-10-09
RX0000009148,MBR00000247,2021-02-25,2021-02-28,1352402345,1867354288,PLN1073,551211,PCN138,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,1,Mail Order,0,0,0,1440.0,1.96,1441.96,38.0,1348.42,55.54,19.2,13.6,0,0,0,0,2021-05-26
RX0000009149,MBR00000247,2021-06-06,2021-06-09,1541162551,1301497931,PLN8247,721865,PCN746,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,3,Retail,0,0,0,33.0,4.45,37.45,1.0,34.01,2.44,0.44,0.3117,0,0,0,0,2021-09-04
RX0000009150,MBR00000247,2023-09-18,2023-09-21,1549721538,1811504910,PLN3314,916562,PCN970,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,0,Retail,0,0,0,12.0,9.69,21.69,6.0,14.45,1.24,0.48,0.34,0,0,0,0,2023-10-18
RX0000009151,MBR00000247,2023-03-30,2023-03-31,1825050802,1578256049,PLN3094,361467,PCN495,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,98,2,Retail,0,0,0,525.0,11.26,536.26,40.0,467.7,28.56,7.0,4.9583,0,0,0,0,2023-06-28
RX0000009152,MBR00000247,2023-04-09,2023-04-11,1727183558,1165995951,PLN3392,810963,PCN839,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,2,Retail,0,0,0,66.5,8.63,75.13,40.0,29.97,5.16,11.4,8.075,0,0,0,0,2023-04-16
RX0000009153,MBR00000247,2021-08-07,2021-08-08,1685418070,1837222691,PLN7214,891394,PCN512,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,8,Retail,2,0,0,12.0,11.04,23.04,10.0,11.63,1.41,0.48,0.34,0,0,0,0,2021-09-06
RX0000009154,MBR00000247,2023-09-18,2023-09-21,1214618335,1571828938,PLN5516,521209,PCN717,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,54,8,Retail,0,0,0,660.0,10.24,670.24,40.0,606.8,23.44,13.2,9.35,0,0,0,0,2023-11-17
RX0000009155,MBR00000247,2022-06-15,2022-06-16,1139941762,1144920370,PLN8190,574309,PCN742,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,56,10,Retail,0,0,0,25.0,5.07,30.07,7.0,20.98,2.09,0.5,0.3542,0,0,0,0,2022-08-14
RX0000009156,MBR00000247,2023-08-30,2023-09-02,1694141295,1529831289,PLN4405,120204,PCN533,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,95,7,Retail,0,0,0,33.0,6.26,39.26,2.0,34.58,2.68,0.44,0.3117,0,0,0,0,2023-11-28
RX0000009157,MBR00000247,2021-06-06,2021-06-10,1577403870,1803948240,PLN5515,547180,PCN838,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,10,Mail Order,0,0,0,45.0,2.8,47.8,6.0,39.08,2.72,1.8,1.275,0,0,0,0,2021-07-06
RX0000009158,MBR00000247,2022-07-25,2022-07-26,1128056454,1911093827,PLN1479,225144,PCN192,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,84,5,Mail Order,0,0,0,33.0,11.39,44.39,0.0,41.47,2.92,0.44,0.3117,0,0,0,0,2022-10-23
RX0000009159,MBR00000247,2023-06-15,2023-06-16,1896871662,1533493119,PLN4916,838036,PCN628,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,65,9,Mail Order,3,0,0,22.0,8.27,30.27,7.0,21.45,1.82,0.44,0.3117,0,1,0,0,2023-08-14
RX0000009160,MBR00000247,2021-02-02,2021-02-03,1993877568,1319107434,PLN6138,785126,PCN761,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,3,Mail Order,0,1,0,8.0,6.77,14.77,150.0,0.0,0.91,0.32,0.2267,0,0,0,0,2021-03-04
RX0000009161,MBR00000247,2023-04-18,2023-04-22,1482211300,1392903740,PLN9784,234101,PCN394,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,1,Retail,0,0,0,10.0,3.43,13.43,5.0,7.74,0.69,0.4,0.2833,0,0,0,0,2023-05-18
RX0000009162,MBR00000247,2021-09-15,2021-09-19,1392240791,1801429771,PLN2393,364110,PCN983,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,81,8,Retail,0,0,1,930.0,9.58,939.58,38.0,869.36,32.22,12.4,8.7833,0,0,0,0,2021-12-14
RX0000009163,MBR00000247,2023-08-29,2023-09-01,1875031985,1993316122,PLN7116,149655,PCN258,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,7,Retail,0,0,0,18.0,8.55,26.55,1.0,24.32,1.23,0.72,0.51,0,0,0,0,2023-09-28
RX0000009164,MBR00000247,2023-06-25,2023-06-28,1187967158,1336689166,PLN4283,935466,PCN591,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,54,3,Retail,0,0,0,1300.0,2.46,1302.46,39.0,1175.66,87.8,26.0,18.4167,0,0,0,0,2023-08-24
RX0000009165,MBR00000247,2021-12-20,2021-12-22,1835954829,1512670638,PLN4849,342282,PCN456,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,1,Retail,0,1,0,2.8,1.83,4.63,146.0,0.0,0.2,0.48,0.34,0,0,0,0,2021-12-27
RX0000009166,MBR00000247,2023-07-06,2023-07-10,1696628245,1791513813,PLN4480,927172,PCN975,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,81,5,Specialty,0,0,0,22.5,29.09,51.59,8.0,43.59,0.0,0.3,0.2125,1,0,0,0,2023-10-04
RX0000009167,MBR00000247,2021-07-21,2021-07-25,1780399487,1814978500,PLN6982,197072,PCN689,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,64,2,Retail,3,1,0,12400.0,3.13,12403.13,147.0,11743.67,512.46,248.0,175.6667,1,0,0,0,2021-09-19
RX0000009168,MBR00000247,2022-08-20,2022-08-21,1754840619,1844325218,PLN4309,316392,PCN809,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,11,Retail,0,0,0,65.0,6.5,71.5,34.0,32.84,4.66,2.6,1.8417,0,0,0,0,2022-09-19
RX0000009169,MBR00000247,2021-03-23,2021-03-26,1429194694,1543773419,PLN7044,440298,PCN177,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,86,8,LTC,0,0,0,54.0,11.71,65.71,38.0,23.99,3.72,0.72,0.51,0,0,0,0,2021-06-21
RX0000009170,MBR00000248,2021-06-14,2021-06-17,1359833696,1281467055,PLN3127,848306,PCN355,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,4,Retail,0,0,0,950.0,11.44,961.44,35.0,864.54,61.9,38.0,26.9167,0,0,0,0,2021-07-14
RX0000009171,MBR00000248,2021-12-14,2021-12-17,1920252626,1740011719,PLN4850,547191,PCN824,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,11,Retail,2,0,0,45.0,6.68,51.68,6.0,43.83,1.85,1.8,1.275,0,0,0,0,2022-01-13
RX0000009172,MBR00000248,2023-02-07,2023-02-09,1397711862,1842698200,PLN3954,846589,PCN492,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,5,Retail,0,0,0,12.5,3.64,16.14,1.0,14.09,1.05,0.5,0.3542,0,0,0,0,2023-03-09
RX0000009173,MBR00000248,2021-03-13,2021-03-17,1491986381,1664234103,PLN1092,412163,PCN796,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,9,Mail Order,0,0,1,10.0,6.74,16.74,9.0,7.01,0.73,0.4,0.2833,0,0,0,0,2021-04-12
RX0000009174,MBR00000248,2022-06-14,2022-06-15,1194766483,1567686761,PLN1529,266039,PCN817,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,5,Retail,0,0,0,65.0,11.04,76.04,36.0,35.65,4.39,2.6,1.8417,0,0,0,0,2022-07-14
RX0000009175,MBR00000248,2023-06-01,2023-06-03,1381306912,1269012491,PLN8090,718483,PCN657,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,11,LTC,2,0,0,10.0,8.14,18.14,6.0,11.11,1.03,0.4,0.2833,0,0,0,0,2023-07-01
RX0000009176,MBR00000248,2022-04-10,2022-04-13,1195814738,1242356472,PLN9558,910704,PCN245,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,88,9,Retail,0,0,0,135.0,8.51,143.51,1.0,137.82,4.69,1.8,1.275,0,0,0,0,2022-07-09
RX0000009177,MBR00000248,2023-07-25,2023-07-28,1128014263,1910557198,PLN7667,958351,PCN131,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,95,6,Retail,0,1,0,8400.0,2.35,8402.35,154.0,7837.94,410.41,112.0,79.3333,0,0,0,0,2023-10-23
RX0000009178,MBR00000248,2023-08-14,2023-08-15,1953927977,1812589126,PLN9301,545793,PCN977,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,10,Retail,0,0,0,480.0,4.97,484.97,36.0,419.94,29.03,19.2,13.6,0,1,1,0,2023-09-13
RX0000009179,MBR00000248,2022-02-07,2022-02-10,1646150038,1438794860,PLN8580,145090,PCN304,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,6,Retail,0,1,0,12.0,3.38,15.38,150.0,0.0,0.89,0.48,0.34,0,0,0,0,2022-03-09
RX0000009180,MBR00000248,2023-06-14,2023-06-17,1376985327,1608380595,PLN2045,931588,PCN852,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,63,9,Retail,1,0,0,36.0,1.59,37.59,5.0,31.35,1.24,0.72,0.51,0,0,0,0,2023-08-13
RX0000009181,MBR00000248,2022-05-01,2022-05-03,1579025706,1211703497,PLN2060,617401,PCN797,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,6,Retail,0,0,0,2.8,8.91,11.71,9.0,2.15,0.56,0.48,0.34,0,0,0,0,2022-05-08
RX0000009182,MBR00000248,2021-11-23,2021-11-27,1270569604,1929014672,PLN2113,485023,PCN233,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,7,Specialty,0,0,0,15.0,33.11,48.11,1.0,47.11,0.0,0.6,0.425,0,0,0,0,2021-12-23
RX0000009183,MBR00000248,2021-07-28,2021-07-29,1757848877,1824037680,PLN8888,758712,PCN605,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,11,Retail,0,0,0,16.0,10.28,26.28,1.0,23.55,1.73,0.64,0.4533,0,0,0,0,2021-08-27
RX0000009184,MBR00000248,2021-07-10,2021-07-11,1414238004,1737078311,PLN9990,707761,PCN326,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,11,Retail,0,0,0,18.0,5.27,23.27,7.0,15.43,0.84,0.72,0.51,0,0,0,0,2021-08-09
RX0000009185,MBR00000248,2023-09-26,2023-09-30,1211570121,1320104921,PLN3453,633668,PCN892,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,11,Retail,0,0,0,15.0,4.62,19.62,1.0,17.54,1.08,0.6,0.425,0,0,0,0,2023-10-26
RX0000009186,MBR00000248,2022-02-06,2022-02-10,1689514967,1139210585,PLN2954,276862,PCN657,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,10,Mail Order,0,0,0,12.0,5.49,17.49,10.0,6.9,0.59,0.48,0.34,0,0,0,0,2022-03-08
RX0000009187,MBR00000248,2021-08-01,2021-08-05,1910741125,1598361171,PLN6843,730127,PCN290,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,0,Mail Order,0,0,0,2.57,4.82,7.38,0.0,7.12,0.26,0.44,0.3117,0,0,0,0,2021-08-08
RX0000009188,MBR00000248,2023-07-18,2023-07-19,1782876888,1573527635,PLN3499,585268,PCN700,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,8,LTC,0,0,0,38.0,3.21,41.21,38.0,1.39,1.82,1.52,1.0767,0,0,0,0,2023-08-17
RX0000009189,MBR00000248,2021-02-23,2021-02-27,1351087433,1139819275,PLN6789,986266,PCN610,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,89,11,Mail Order,1,1,0,24.0,4.17,28.17,151.0,0.0,1.04,0.32,0.2267,0,0,0,0,2021-05-24
RX0000009190,MBR00000248,2022-04-12,2022-04-13,1394831237,1919375647,PLN4109,219803,PCN415,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,5,Retail,0,0,0,330.0,2.75,332.75,40.0,278.97,13.78,13.2,9.35,0,0,0,0,2022-05-12
RX0000009191,MBR00000248,2021-08-16,2021-08-19,1610368827,1775836983,PLN4313,160568,PCN567,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,7,Specialty,0,0,0,22.0,25.19,47.19,66.0,0.0,0.0,0.88,0.6233,0,0,0,0,2021-09-15
RX0000009192,MBR00000248,2023-06-06,2023-06-07,1114989114,1643213398,PLN5244,424615,PCN262,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,89,1,Mail Order,1,0,0,42.0,3.72,45.72,6.0,37.61,2.11,0.56,0.3967,0,0,0,0,2023-09-04
RX0000009193,MBR00000248,2022-05-09,2022-05-13,1540564208,1599015086,PLN9290,439851,PCN335,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,92,6,Retail,1,0,0,54.0,9.75,63.75,5.0,55.43,3.32,0.72,0.51,0,0,0,0,2022-08-07
RX0000009194,MBR00000248,2023-04-07,2023-04-11,1650733562,1572847840,PLN8210,629490,PCN563,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,85,10,Specialty,0,0,0,33.0,48.97,81.97,8.0,73.97,0.0,0.44,0.3117,0,0,0,0,2023-07-06
RX0000009195,MBR00000249,2021-08-28,2021-08-29,1863806719,1872150636,PLN1323,445657,PCN846,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,6,Specialty,0,1,0,6200.0,27.51,6227.51,148.0,6079.51,0.0,248.0,175.6667,0,0,0,0,2021-09-27
RX0000009196,MBR00000249,2021-03-12,2021-03-13,1704027270,1527372565,PLN8110,724915,PCN800,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,3,LTC,0,0,0,38.0,10.94,48.94,5.0,42.01,1.93,1.52,1.0767,0,0,0,0,2021-04-11
RX0000009197,MBR00000249,2022-03-15,2022-03-18,1180478048,1426105972,PLN4808,145570,PCN153,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,3,Mail Order,0,0,0,12.0,9.65,21.65,8.0,12.47,1.18,0.48,0.34,0,0,0,0,2022-04-14
RX0000009198,MBR00000249,2021-08-02,2021-08-03,1782550447,1326044589,PLN4348,349996,PCN529,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,2,Retail,0,0,0,310.0,7.97,317.97,39.0,258.99,19.98,12.4,8.7833,0,0,0,0,2021-09-01
RX0000009199,MBR00000249,2023-09-24,2023-09-26,1157546338,1954485781,PLN2874,617500,PCN701,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,57,3,Retail,0,0,0,28.0,11.14,39.14,10.0,27.74,1.4,0.56,0.3967,0,0,0,0,2023-11-23
RX0000009200,MBR00000249,2021-06-27,2021-06-29,1896214216,1871662558,PLN8878,815630,PCN211,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,3,Retail,0,0,0,310.0,7.58,317.58,35.0,260.48,22.1,12.4,8.7833,0,0,0,0,2021-07-27
RX0000009201,MBR00000249,2022-09-03,2022-09-04,1606608540,1980944110,PLN7103,469777,PCN684,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,94,7,Retail,2,0,0,42.0,2.17,44.17,5.0,36.94,2.23,0.56,0.3967,0,0,0,0,2022-12-02
RX0000009202,MBR00000249,2023-03-23,2023-03-25,1492692661,1554946213,PLN9091,955514,PCN853,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,10,Retail,0,0,0,185.0,11.95,196.95,40.0,149.11,7.84,7.4,5.2417,0,0,0,0,2023-04-22
RX0000009203,MBR00000249,2021-04-07,2021-04-10,1514511865,1485232330,PLN6558,729445,PCN517,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,3,Retail,0,0,0,8.5,11.72,20.22,8.0,11.61,0.61,0.34,0.2408,0,0,0,0,2021-05-07
RX0000009204,MBR00000249,2021-05-08,2021-05-10,1804234712,1333169487,PLN2046,267381,PCN915,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,83,2,Retail,0,0,0,1140.0,11.83,1151.83,39.0,1040.12,72.71,15.2,10.7667,0,0,0,0,2021-08-06
RX0000009205,MBR00000249,2021-01-11,2021-01-15,1552527158,1608655477,PLN6209,317849,PCN722,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,91,7,Mail Order,0,0,0,84.0,1.61,85.61,10.0,71.35,4.26,1.12,0.7933,0,0,0,0,2021-04-11
RX0000009206,MBR00000249,2022-07-20,2022-07-21,1591869542,1290368588,PLN1241,875720,PCN371,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,96,4,Retail,0,0,0,84.0,5.22,89.22,1.0,84.68,3.54,1.12,0.7933,0,0,0,0,2022-10-18
RX0000009207,MBR00000249,2023-09-03,2023-09-07,1170622305,1573186804,PLN2324,387076,PCN946,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,94,2,Mail Order,0,0,0,27.0,10.84,37.84,0.0,36.32,1.52,0.36,0.255,0,0,0,0,2023-12-02
RX0000009208,MBR00000249,2021-02-12,2021-02-14,1545587991,1134567194,PLN3217,347275,PCN332,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,1,Retail,3,0,0,45.0,2.04,47.04,9.0,36.37,1.67,1.8,1.275,1,0,0,0,2021-03-14
RX0000009209,MBR00000249,2023-08-06,2023-08-10,1946387492,1243694490,PLN3885,105506,PCN553,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,5,Mail Order,0,0,0,310.0,7.46,317.46,38.0,268.76,10.7,12.4,8.7833,0,0,0,0,2023-09-05
RX0000009210,MBR00000249,2022-01-14,2022-01-17,1682484317,1594173891,PLN8730,785758,PCN683,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,92,0,Retail,2,0,0,27.0,6.06,33.06,0.0,30.96,2.1,0.36,0.255,0,0,0,0,2022-04-14
RX0000009211,MBR00000249,2023-12-16,2023-12-17,1290272539,1205652290,PLN4345,908638,PCN414,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,11,Retail,0,1,0,1446.67,8.19,1454.86,155.0,1254.35,45.51,248.0,175.6667,0,0,0,0,2023-12-23
RX0000009212,MBR00000249,2021-12-06,2021-12-10,1817285336,1890573633,PLN5691,463959,PCN408,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,5,Retail,0,0,0,285.0,10.63,295.63,38.0,243.39,14.24,11.4,8.075,1,0,0,0,2022-01-05
RX0000009213,MBR00000249,2023-09-16,2023-09-17,1377442694,1204451273,PLN2523,100117,PCN295,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,97,10,Retail,0,0,0,135.0,4.33,139.33,1.0,129.15,9.18,1.8,1.275,1,0,0,0,2023-12-15
RX0000009214,MBR00000249,2022-02-15,2022-02-19,1680905958,1190674810,PLN8170,393037,PCN415,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,90,0,Mail Order,0,0,0,30.0,9.0,39.0,3.0,34.32,1.68,0.4,0.2833,0,0,0,0,2022-05-16
RX0000009215,MBR00000249,2021-01-05,2021-01-09,1657160723,1221155238,PLN8177,412183,PCN506,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,64,7,Mail Order,2,0,0,22.0,11.9,33.9,0.0,31.55,2.35,0.44,0.3117,0,0,0,0,2021-03-06
RX0000009216,MBR00000249,2023-12-21,2023-12-22,1396017142,1251636270,PLN2655,712711,PCN598,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,10,Retail,0,0,0,3.5,7.06,10.56,7.0,2.83,0.73,0.6,0.425,0,0,0,0,2023-12-28
RX0000009217,MBR00000249,2023-06-19,2023-06-20,1163251623,1881218542,PLN5033,113357,PCN128,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,6,Retail,0,0,0,2.57,6.6,9.17,0.0,8.89,0.28,0.44,0.3117,0,0,0,0,2023-06-26
RX0000009218,MBR00000249,2023-08-31,2023-09-04,1268691625,1659562874,PLN4804,651796,PCN774,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,9,Retail,0,0,0,151.67,8.45,160.12,36.0,119.26,4.86,26.0,18.4167,0,0,0,0,2023-09-07
RX0000009219,MBR00000249,2022-07-11,2022-07-15,1162685217,1198076019,PLN1211,107079,PCN147,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,82,11,Retail,0,0,0,54.0,11.77,65.77,38.0,23.24,4.53,0.72,0.51,0,0,0,0,2022-10-09
RX0000009220,MBR00000250,2023-07-24,2023-07-25,1784057608,1265823177,PLN3987,576596,PCN955,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,0,Retail,0,0,0,650.0,10.29,660.29,37.0,583.24,40.05,26.0,18.4167,0,0,0,0,2023-08-23
RX0000009221,MBR00000250,2022-12-02,2022-12-04,1319412175,1368886921,PLN6828,656429,PCN117,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,1,Retail,0,0,0,370.0,6.0,376.0,36.0,320.49,19.51,14.8,10.4833,0,0,0,0,2023-01-01
RX0000009222,MBR00000250,2023-01-26,2023-01-28,1180390031,1947813663,PLN1521,666739,PCN287,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,94,3,Retail,0,0,0,1440.0,10.42,1450.42,37.0,1326.49,86.93,19.2,13.6,0,0,0,0,2023-04-26
RX0000009223,MBR00000250,2023-12-06,2023-12-10,1110375640,1407080669,PLN9888,800294,PCN678,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,93,4,Retail,0,0,0,30.0,6.6,36.6,7.0,28.4,1.2,0.4,0.2833,0,0,0,0,2024-03-05
RX0000009224,MBR00000250,2021-07-02,2021-07-05,1722124403,1167527840,PLN9904,176956,PCN515,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,11,Mail Order,0,0,0,175.0,7.22,182.22,34.0,141.74,6.48,7.0,4.9583,0,0,0,0,2021-08-01
RX0000009225,MBR00000250,2022-10-23,2022-10-25,1112882193,1639097837,PLN1906,966976,PCN475,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,3,Retail,0,0,0,2.8,10.84,13.64,6.0,7.01,0.63,0.48,0.34,0,0,0,0,2022-10-30
RX0000009226,MBR00000250,2023-10-26,2023-10-29,1935558984,1170798642,PLN1640,177492,PCN141,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,90,3,Mail Order,3,0,0,135.0,11.78,146.78,10.0,130.18,6.6,1.8,1.275,0,0,0,0,2024-01-24
RX0000009227,MBR00000250,2021-11-08,2021-11-10,1257017198,1182855907,PLN4798,202322,PCN324,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,0,Retail,1,0,0,2.57,10.74,13.31,5.0,7.63,0.68,0.44,0.3117,0,0,0,0,2021-11-15
RX0000009228,MBR00000250,2022-07-17,2022-07-21,1154290703,1156729558,PLN5073,687608,PCN553,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,10,Mail Order,0,0,0,16.0,5.82,21.82,2.0,18.96,0.86,0.64,0.4533,0,0,0,0,2022-08-16
RX0000009229,MBR00000250,2021-01-14,2021-01-16,1544373352,1243570450,PLN5438,515421,PCN313,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,2,Retail,0,0,0,22.0,4.32,26.32,65.0,0.0,0.79,0.88,0.6233,0,0,0,0,2021-02-13
RX0000009230,MBR00000250,2021-11-24,2021-11-25,1891738607,1624423713,PLN4564,499123,PCN893,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,11,Retail,0,0,0,330.0,9.55,339.55,30.0,298.6,10.95,13.2,9.35,0,0,0,0,2021-12-24
RX0000009231,MBR00000250,2022-11-29,2022-12-03,1855825542,1849902878,PLN3131,190075,PCN336,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,1,Mail Order,0,0,0,45.0,4.0,49.0,0.0,46.91,2.09,1.8,1.275,0,0,0,0,2022-12-29
RX0000009232,MBR00000250,2022-12-26,2022-12-28,1836832108,1758495056,PLN3595,878599,PCN842,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,55,7,Mail Order,0,0,0,24.0,10.86,34.86,3.0,30.22,1.64,0.48,0.34,1,0,0,0,2023-02-24
RX0000009233,MBR00000250,2023-04-22,2023-04-23,1847937517,1595469883,PLN5058,186922,PCN644,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,10,Retail,0,0,0,10.0,8.44,18.44,0.0,17.44,1.0,0.4,0.2833,0,0,0,0,2023-05-22
RX0000009234,MBR00000250,2023-06-24,2023-06-28,1341934896,1763119008,PLN8042,379977,PCN600,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,85,7,LTC,0,1,0,24.0,6.12,30.12,155.0,0.0,1.31,0.32,0.2267,0,0,0,0,2023-09-22
RX0000009235,MBR00000250,2023-12-18,2023-12-22,1772965971,1538037012,PLN9866,526824,PCN638,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,4,Retail,0,0,0,185.0,8.5,193.5,30.0,155.43,8.07,7.4,5.2417,0,0,0,0,2024-01-17
RX0000009236,MBR00000250,2021-01-04,2021-01-07,1504963626,1371715384,PLN7345,475061,PCN525,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,5,Retail,0,1,0,8500.0,10.25,8510.25,151.0,7888.81,470.44,340.0,240.8333,0,0,0,0,2021-02-03
RX0000009237,MBR00000250,2022-05-06,2022-05-08,1436800737,1902048181,PLN3573,993599,PCN475,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,90,3,Retail,0,0,0,30.0,5.35,35.35,6.0,27.24,2.11,0.4,0.2833,0,0,0,0,2022-08-04
RX0000009238,MBR00000250,2021-02-12,2021-02-14,1887674079,1260279431,PLN4069,552734,PCN705,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,10,Retail,0,0,0,12.0,9.24,21.24,7.0,13.02,1.22,0.48,0.34,0,0,0,0,2021-03-14
RX0000009239,MBR00000250,2021-10-21,2021-10-22,1275976569,1773056760,PLN1600,112690,PCN459,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,11,Retail,0,0,0,14.0,11.68,25.68,6.0,18.35,1.33,0.56,0.3967,1,0,0,0,2021-11-20
RX0000009240,MBR00000250,2021-10-29,2021-10-30,1160089477,1401990472,PLN5764,849768,PCN708,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,62,11,Mail Order,0,0,0,56.0,7.19,63.19,1.0,59.87,2.32,1.12,0.7933,0,0,0,0,2021-12-28
RX0000009241,MBR00000250,2023-07-31,2023-08-03,1379822038,1561769248,PLN8154,655055,PCN541,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,11,Retail,0,0,0,18.0,6.44,24.44,36.0,0.0,1.43,0.72,0.51,0,0,0,0,2023-08-30
RX0000009242,MBR00000250,2022-05-12,2022-05-13,1220670861,1413082920,PLN9481,888198,PCN324,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,11,Specialty,3,0,0,18.0,48.32,66.32,10.0,56.32,0.0,0.72,0.51,0,0,0,0,2022-06-11
RX0000009243,MBR00000250,2022-02-15,2022-02-18,1457817801,1963993130,PLN6259,127668,PCN343,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,5,Mail Order,0,0,0,2.57,1.86,4.43,3.0,1.19,0.24,0.44,0.3117,0,0,0,0,2022-02-22
RX0000009244,MBR00000250,2023-03-08,2023-03-09,1754034064,1361855928,PLN8965,896839,PCN294,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,96,9,Retail,0,0,0,33.0,10.78,43.78,7.0,34.08,2.7,0.44,0.3117,0,1,0,0,2023-06-06
RX0000009245,MBR00000250,2021-04-19,2021-04-20,1341290606,1160957557,PLN7856,608952,PCN475,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,4,Retail,0,0,0,12.0,11.02,23.02,2.0,19.86,1.16,0.48,0.34,1,0,0,0,2021-05-19
RX0000009246,MBR00000250,2021-01-13,2021-01-14,1811266717,1613209845,PLN4987,153680,PCN226,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,1,Retail,0,0,0,38.0,8.45,46.45,9.0,34.53,2.92,1.52,1.0767,0,0,0,0,2021-02-12
RX0000009247,MBR00000250,2022-12-23,2022-12-24,1998110737,1339706863,PLN5819,715225,PCN496,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,94,11,Retail,0,0,0,33.0,4.23,37.23,5.0,29.95,2.28,0.44,0.3117,0,0,0,0,2023-03-23
RX0000009248,MBR00000250,2021-09-01,2021-09-02,1484984250,1400528706,PLN4485,513234,PCN830,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,9,Mail Order,2,0,0,4.2,7.6,11.8,10.0,1.34,0.46,0.72,0.51,0,0,0,0,2021-09-08
RX0000009249,MBR00000250,2021-03-30,2021-03-31,1938511716,1774514973,PLN4968,679888,PCN590,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,96,1,Mail Order,0,0,0,54.0,9.14,63.14,2.0,58.78,2.36,0.72,0.51,0,0,0,0,2021-06-28
RX0000009250,MBR00000250,2021-05-18,2021-05-22,1681895227,1460179120,PLN9098,711864,PCN469,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,6,Mail Order,0,1,0,8500.0,11.7,8511.7,148.0,7974.95,388.75,340.0,240.8333,0,0,0,0,2021-06-17
RX0000009251,MBR00000251,2022-08-21,2022-08-22,1261941814,1177950221,PLN2249,172544,PCN694,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,3,Mail Order,0,0,0,11.0,4.57,15.57,8.0,6.85,0.72,0.44,0.3117,0,0,0,0,2022-09-20
RX0000009252,MBR00000251,2023-12-03,2023-12-06,1999820897,1744183353,PLN2475,910103,PCN480,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,4,Retail,0,0,0,175.0,7.61,182.61,34.0,138.01,10.6,30.0,21.25,0,0,0,0,2023-12-10
RX0000009253,MBR00000251,2022-07-16,2022-07-17,1811014114,1351745518,PLN6741,815507,PCN242,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,7,Retail,1,0,0,7.5,10.55,18.05,5.0,12.35,0.7,0.3,0.2125,1,0,0,0,2022-08-15
RX0000009254,MBR00000251,2021-05-17,2021-05-19,1259250347,1365120450,PLN5373,157919,PCN842,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,1,Mail Order,2,0,0,10.0,5.63,15.63,10.0,4.8,0.83,0.4,0.2833,0,0,0,0,2021-06-16
RX0000009255,MBR00000251,2023-09-30,2023-10-01,1451459193,1698479487,PLN2628,972460,PCN109,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,93,1,Mail Order,0,0,0,30.0,8.47,38.47,7.0,29.73,1.74,0.4,0.2833,0,0,0,0,2023-12-29
RX0000009256,MBR00000251,2023-12-17,2023-12-19,1830518264,1645972977,PLN2677,461879,PCN286,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,0,Retail,0,0,0,285.0,6.81,291.81,40.0,233.25,18.56,11.4,8.075,0,0,0,0,2024-01-16
RX0000009257,MBR00000251,2021-05-24,2021-05-26,1265215085,1786897054,PLN5588,181389,PCN434,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,92,0,Retail,1,0,0,45.0,6.12,51.12,0.0,48.72,2.4,0.6,0.425,0,0,0,0,2021-08-22
RX0000009258,MBR00000251,2022-08-14,2022-08-18,1429607434,1960089853,PLN1276,742335,PCN104,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,58,10,Retail,0,0,0,36.0,10.28,46.28,34.0,10.36,1.92,0.72,0.51,0,0,0,0,2022-10-13
RX0000009259,MBR00000251,2021-06-16,2021-06-20,1734484310,1227525969,PLN5066,844378,PCN998,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,82,5,Retail,0,0,0,42.0,8.74,50.74,7.0,40.62,3.12,0.56,0.3967,0,0,0,0,2021-09-14
RX0000009260,MBR00000251,2022-01-25,2022-01-27,1918564611,1794594991,PLN8562,385542,PCN881,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,92,8,Mail Order,0,0,0,33.0,4.39,37.39,8.0,28.09,1.3,0.44,0.3117,0,0,0,0,2022-04-25
RX0000009261,MBR00000251,2022-10-26,2022-10-28,1336554958,1967628612,PLN7789,342755,PCN817,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,6,Specialty,0,0,0,33.0,12.41,45.41,3.0,42.41,0.0,0.44,0.3117,0,0,0,0,2023-01-24
RX0000009262,MBR00000251,2022-04-18,2022-04-22,1243559064,1252043248,PLN8765,410766,PCN802,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,3,Retail,2,0,0,5.13,11.51,16.64,70.0,0.0,1.04,0.88,0.6233,0,0,0,0,2022-04-25
RX0000009263,MBR00000251,2023-08-10,2023-08-11,1834218862,1449203652,PLN5521,240934,PCN178,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,8,Retail,3,0,0,1.75,11.05,12.8,9.0,2.98,0.82,0.3,0.2125,0,0,0,0,2023-08-17
RX0000009264,MBR00000251,2021-11-10,2021-11-14,1578532536,1628058980,PLN3627,991240,PCN753,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,9,Retail,0,0,0,310.0,8.2,318.2,40.0,261.42,16.78,12.4,8.7833,1,0,0,0,2021-12-10
RX0000009265,MBR00000251,2022-09-22,2022-09-25,1679323520,1852916299,PLN2508,239935,PCN995,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,85,3,Retail,0,0,0,48.0,4.48,52.48,5.0,44.14,3.34,0.64,0.4533,0,0,0,0,2022-12-21
RX0000009266,MBR00000251,2022-11-13,2022-11-17,1766749532,1192828920,PLN3360,849070,PCN171,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,1,Retail,0,0,0,650.0,4.08,654.08,32.0,601.73,20.35,26.0,18.4167,0,0,0,0,2022-12-13
RX0000009267,MBR00000251,2022-05-17,2022-05-20,1735219237,1503304088,PLN8862,451117,PCN669,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,6,Retail,3,0,0,3.5,7.97,11.47,1.0,9.68,0.79,0.6,0.425,0,0,0,0,2022-05-24
RX0000009268,MBR00000251,2021-04-01,2021-04-02,1361556352,1443281659,PLN5236,112967,PCN696,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,2,Retail,0,0,0,9.0,5.99,14.99,4.0,10.05,0.94,0.36,0.255,0,0,0,0,2021-05-01
RX0000009269,MBR00000251,2022-05-26,2022-05-27,1921996596,1999128113,PLN9101,809960,PCN640,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,85,4,Retail,0,0,0,114.0,11.08,125.08,2.0,118.9,4.18,1.52,1.0767,0,0,0,0,2022-08-24
RX0000009270,MBR00000251,2021-09-22,2021-09-24,1832804819,1187710648,PLN7586,473975,PCN344,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,98,5,Retail,0,1,0,8400.0,2.76,8402.76,145.0,7940.51,317.25,112.0,79.3333,0,0,0,0,2021-12-21
RX0000009271,MBR00000251,2023-11-09,2023-11-10,1532824468,1729617831,PLN9465,902809,PCN263,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,6,Retail,0,0,0,7.5,10.38,17.88,9.0,7.67,1.21,0.3,0.2125,0,0,0,0,2023-12-09
RX0000009272,MBR00000251,2021-01-30,2021-02-03,1482077216,1763779987,PLN9104,450252,PCN805,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,87,1,Specialty,0,0,0,42.0,47.77,89.77,1.0,88.77,0.0,0.56,0.3967,0,0,0,0,2021-04-30
RX0000009273,MBR00000251,2022-05-06,2022-05-09,1182977948,1532628793,PLN8426,978312,PCN571,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,86,9,Specialty,2,0,0,27.0,14.41,41.41,8.0,33.41,0.0,0.36,0.255,0,0,0,0,2022-08-04
RX0000009274,MBR00000251,2021-02-15,2021-02-18,1518234710,1806177210,PLN9807,974877,PCN598,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,3,Retail,0,0,0,750.0,5.62,755.62,32.0,677.6,46.02,30.0,21.25,0,0,0,0,2021-03-17
RX0000009275,MBR00000251,2021-06-22,2021-06-26,1760394579,1811795213,PLN7659,259004,PCN619,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,1,Mail Order,0,0,0,16.0,6.17,22.17,6.0,14.98,1.19,0.64,0.4533,1,1,0,0,2021-07-22
RX0000009276,MBR00000251,2022-05-06,2022-05-07,1585102238,1990250927,PLN9051,354518,PCN146,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,10,Retail,1,1,0,6200.0,8.15,6208.15,146.0,5788.24,273.91,248.0,175.6667,0,0,0,0,2022-06-05
RX0000009277,MBR00000251,2023-10-20,2023-10-21,1587951294,1186984513,PLN8666,600342,PCN889,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,63,8,Retail,0,0,0,18.0,8.37,26.37,4.0,20.59,1.78,0.36,0.255,0,0,0,0,2023-12-19
RX0000009278,MBR00000251,2021-06-29,2021-07-01,1758425422,1108837244,PLN1095,506928,PCN319,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,81,5,Retail,0,0,0,135.0,3.6,138.6,2.0,129.92,6.68,1.8,1.275,0,0,0,0,2021-09-27
RX0000009279,MBR00000251,2022-12-04,2022-12-08,1323195890,1508010293,PLN8213,857665,PCN241,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,1,Retail,0,0,0,2.8,11.8,14.6,0.0,13.79,0.81,0.48,0.34,0,0,0,0,2022-12-11
RX0000009280,MBR00000251,2023-04-12,2023-04-13,1400409740,1900883043,PLN6526,358164,PCN500,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,54,8,Retail,0,0,0,760.0,5.19,765.19,32.0,700.03,33.16,15.2,10.7667,0,0,0,0,2023-06-11
RX0000009281,MBR00000251,2022-07-11,2022-07-13,1682613286,1874805378,PLN9486,598304,PCN466,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,89,4,Mail Order,0,0,0,42.0,10.39,52.39,8.0,41.14,3.25,0.56,0.3967,0,0,0,0,2022-10-09
RX0000009282,MBR00000251,2023-11-18,2023-11-20,1706748709,1488374951,PLN7103,664950,PCN850,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,3,Retail,0,0,0,185.0,9.27,194.27,33.0,148.53,12.74,7.4,5.2417,0,0,0,0,2023-12-18
RX0000009283,MBR00000251,2021-11-09,2021-11-10,1995210938,1395613159,PLN5757,804613,PCN758,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,1,Retail,0,0,0,750.0,11.77,761.77,36.0,681.22,44.55,30.0,21.25,0,0,0,0,2021-12-09
RX0000009284,MBR00000251,2021-03-09,2021-03-10,1127436738,1987528041,PLN5369,703911,PCN657,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,96,9,Specialty,3,0,0,1140.0,11.95,1151.95,35.0,1116.95,0.0,15.2,10.7667,0,0,0,0,2021-06-07
RX0000009285,MBR00000251,2023-08-25,2023-08-27,1756335835,1777309844,PLN8743,848132,PCN858,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,58,6,Retail,0,0,0,22.0,6.78,28.78,1.0,25.93,1.85,0.44,0.3117,0,0,0,0,2023-10-24
RX0000009286,MBR00000251,2021-08-05,2021-08-06,1736132660,1503753043,PLN5735,266306,PCN200,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,8,Mail Order,3,0,0,175.0,3.31,178.31,37.0,132.71,8.6,7.0,4.9583,0,1,1,0,2021-09-04
RX0000009287,MBR00000251,2022-01-15,2022-01-17,1101292322,1536336600,PLN6880,861056,PCN606,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,10,Retail,0,0,0,28.0,8.8,36.8,8.0,27.46,1.34,1.12,0.7933,0,0,0,0,2022-02-14
RX0000009288,MBR00000251,2022-06-13,2022-06-17,1203891475,1850256360,PLN3788,657083,PCN264,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,3,Retail,0,0,0,12.5,4.26,16.76,8.0,8.06,0.7,0.5,0.3542,0,0,0,0,2022-07-13
RX0000009289,MBR00000251,2023-07-26,2023-07-29,1452796123,1441387234,PLN6001,249756,PCN194,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,10,Retail,0,1,0,8.0,6.75,14.75,149.0,0.0,0.99,0.32,0.2267,0,0,0,0,2023-08-25
RX0000009290,MBR00000251,2021-05-15,2021-05-18,1728606307,1811186033,PLN4988,888920,PCN145,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,4,Mail Order,0,0,0,2.33,9.56,11.9,2.0,9.17,0.73,0.4,0.2833,0,0,0,0,2021-05-22
RX0000009291,MBR00000251,2023-03-29,2023-04-02,1883657786,1745405740,PLN1943,695831,PCN976,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,10,Specialty,0,0,0,18.0,9.29,27.29,31.0,0.0,0.0,0.72,0.51,0,0,0,0,2023-04-28
RX0000009292,MBR00000251,2021-01-31,2021-02-03,1515550122,1647909280,PLN8434,828936,PCN119,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,7,Retail,0,0,0,22.0,6.06,28.06,68.0,0.0,0.88,0.88,0.6233,0,0,0,0,2021-03-02
RX0000009293,MBR00000251,2021-11-11,2021-11-13,1308149524,1743169830,PLN8010,583712,PCN189,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,8,Retail,2,0,0,12.0,6.54,18.54,9.0,8.81,0.73,0.48,0.34,0,0,0,0,2021-12-11
RX0000009294,MBR00000251,2021-05-30,2021-06-01,1693010372,1781213391,PLN5132,228085,PCN683,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,60,8,Specialty,0,0,0,17.0,40.26,57.26,9.0,48.26,0.0,0.34,0.2408,0,0,0,0,2021-07-29
RX0000009295,MBR00000251,2021-04-04,2021-04-05,1929019524,1131395202,PLN8609,676103,PCN761,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,6,Mail Order,0,0,0,12.0,5.95,17.95,7.0,10.3,0.65,0.48,0.34,0,0,0,0,2021-05-04
RX0000009296,MBR00000251,2021-11-15,2021-11-19,1173430392,1977319966,PLN3250,688596,PCN270,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,8,Mail Order,0,1,0,8.0,11.99,19.99,147.0,0.0,1.34,0.32,0.2267,0,0,0,0,2021-12-15
RX0000009297,MBR00000251,2023-09-03,2023-09-06,1302411474,1837170264,PLN8715,159598,PCN863,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,7,Retail,0,1,0,2800.0,6.84,2806.84,150.0,2494.65,162.19,112.0,79.3333,0,0,0,0,2023-10-03
RX0000009298,MBR00000252,2021-08-10,2021-08-11,1123579168,1467896511,PLN2490,915420,PCN838,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,5,Retail,0,1,0,2800.0,9.7,2809.7,152.0,2529.27,128.43,112.0,79.3333,0,0,0,0,2021-09-09
RX0000009299,MBR00000252,2021-01-06,2021-01-10,1374226537,1629564898,PLN3799,765576,PCN501,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,5,Retail,2,0,0,11.0,2.41,13.41,9.0,3.89,0.52,0.44,0.3117,0,0,0,0,2021-02-05
RX0000009300,MBR00000252,2021-10-24,2021-10-26,1431820269,1513203602,PLN2168,671155,PCN727,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,96,0,Retail,0,0,0,54.0,5.35,59.35,9.0,46.45,3.9,0.72,0.51,0,0,0,0,2022-01-22
RX0000009301,MBR00000252,2021-12-31,2022-01-01,1190111404,1377251985,PLN2638,305892,PCN331,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,1,Retail,0,0,0,15.0,11.43,26.43,4.0,20.83,1.6,0.6,0.425,0,0,0,0,2022-01-30
RX0000009302,MBR00000252,2021-03-13,2021-03-16,1477408713,1605045215,PLN8611,953222,PCN308,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,85,8,Retail,0,0,0,54.0,2.48,56.48,4.0,50.43,2.05,0.72,0.51,0,0,0,0,2021-06-11
RX0000009303,MBR00000252,2023-04-13,2023-04-14,1787391980,1824957617,PLN6360,400184,PCN610,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,84,3,Retail,0,0,0,990.0,7.81,997.81,30.0,927.68,40.13,13.2,9.35,0,0,0,0,2023-07-12
RX0000009304,MBR00000252,2023-08-28,2023-08-30,1219705280,1864642471,PLN2563,353129,PCN662,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,54,3,Mail Order,0,0,0,1900.0,2.88,1902.88,37.0,1790.36,75.52,38.0,26.9167,1,1,1,0,2023-10-27
RX0000009305,MBR00000252,2023-09-26,2023-09-27,1360218065,1862036907,PLN8628,682268,PCN340,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,83,6,Retail,0,0,0,48.0,10.56,58.56,9.0,47.58,1.98,0.64,0.4533,0,0,0,0,2023-12-25
RX0000009306,MBR00000252,2022-12-16,2022-12-17,1125263625,1415094845,PLN9848,986703,PCN767,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,82,9,Retail,0,0,0,33.0,2.0,35.0,6.0,27.56,1.44,0.44,0.3117,0,0,0,0,2023-03-16
RX0000009307,MBR00000252,2022-09-18,2022-09-22,1843267625,1926950585,PLN4663,164448,PCN334,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,94,10,Retail,2,0,0,27.0,4.46,31.46,6.0,23.79,1.67,0.36,0.255,0,0,0,0,2022-12-17
RX0000009308,MBR00000252,2022-03-21,2022-03-22,1375619311,1380830659,PLN4623,504186,PCN988,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,11,Retail,0,0,0,15.0,3.21,18.21,9.0,8.45,0.76,0.6,0.425,0,0,0,0,2022-04-20
RX0000009309,MBR00000252,2023-11-23,2023-11-25,1224225793,1999229515,PLN9550,260820,PCN655,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,63,9,Retail,0,0,0,36.0,8.77,44.77,8.0,35.28,1.49,0.72,0.51,0,0,0,0,2024-01-22
RX0000009310,MBR00000252,2022-12-16,2022-12-18,1885244115,1587112311,PLN5187,813940,PCN625,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,97,8,Mail Order,0,0,0,45.0,2.87,47.87,5.0,40.13,2.74,0.6,0.425,0,0,0,0,2023-03-16
RX0000009311,MBR00000252,2023-07-18,2023-07-19,1429868401,1226250436,PLN7810,349730,PCN879,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,6,Mail Order,0,0,0,8.5,5.79,14.29,5.0,8.39,0.9,0.34,0.2408,1,0,0,0,2023-08-17
RX0000009312,MBR00000252,2023-11-05,2023-11-09,1595250420,1360730060,PLN4701,147804,PCN557,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,1,Mail Order,3,0,0,9.0,5.73,14.73,3.0,11.04,0.69,0.36,0.255,0,1,0,0,2023-12-05
RX0000009313,MBR00000252,2022-03-28,2022-03-30,1662620255,1444228980,PLN4259,315720,PCN285,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,10,Retail,1,0,0,1110.0,6.99,1116.99,37.0,1033.8,46.19,14.8,10.4833,0,0,0,0,2022-06-26
RX0000009314,MBR00000252,2021-06-05,2021-06-07,1379580207,1586184199,PLN5311,358395,PCN271,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,11,Retail,0,0,0,74.67,7.48,82.15,32.0,44.82,5.33,12.8,9.0667,0,0,0,0,2021-06-12
RX0000009315,MBR00000252,2021-05-10,2021-05-11,1561745030,1260104694,PLN1750,351522,PCN932,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,0,Mail Order,0,0,0,15.0,7.77,22.77,5.0,16.2,1.57,0.6,0.425,0,0,0,0,2021-06-09
RX0000009316,MBR00000252,2022-03-26,2022-03-28,1823660773,1360477905,PLN7913,344534,PCN992,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,3,Retail,1,0,0,9.0,3.71,12.71,8.0,4.03,0.68,0.36,0.255,0,0,0,0,2022-04-25
RX0000009317,MBR00000252,2022-11-03,2022-11-06,1216762526,1869508552,PLN7726,442703,PCN175,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,4,Mail Order,0,0,0,18.0,2.04,20.04,4.0,14.87,1.17,0.72,0.51,0,0,0,0,2022-12-03
RX0000009318,MBR00000252,2021-07-01,2021-07-04,1823253788,1129358313,PLN4489,109244,PCN276,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,84,0,Mail Order,0,1,0,18600.0,10.41,18610.41,155.0,17345.67,1109.74,248.0,175.6667,0,0,0,0,2021-09-29
RX0000009319,MBR00000252,2021-01-25,2021-01-27,1693863419,1599850078,PLN3614,546965,PCN128,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,86,11,Retail,0,0,0,2250.0,4.23,2254.23,40.0,2058.21,156.02,30.0,21.25,0,0,0,0,2021-04-25
RX0000009320,MBR00000252,2021-01-22,2021-01-23,1484922189,1562741957,PLN5902,377361,PCN127,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,7,Specialty,0,0,0,480.0,34.97,514.97,30.0,484.97,0.0,19.2,13.6,0,0,0,0,2021-02-21
RX0000009321,MBR00000252,2023-07-19,2023-07-22,1996992387,1648768552,PLN8445,441106,PCN355,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,6,LTC,1,0,0,12.0,4.62,16.62,6.0,10.09,0.53,0.48,0.34,0,1,0,0,2023-08-18
RX0000009322,MBR00000252,2022-05-06,2022-05-08,1648526652,1885095963,PLN6519,317449,PCN299,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,7,Retail,0,0,0,2.57,8.1,10.67,3.0,7.05,0.62,0.44,0.3117,0,0,0,0,2022-05-13
RX0000009323,MBR00000252,2021-02-25,2021-02-26,1705205685,1989201304,PLN4677,788419,PCN759,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,7,Mail Order,0,0,0,45.0,9.64,54.64,4.0,47.93,2.71,1.8,1.275,0,0,0,0,2021-03-27
RX0000009324,MBR00000252,2022-09-10,2022-09-13,1959121879,1382711509,PLN6530,283771,PCN158,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,7,Retail,0,0,0,15.0,6.92,21.92,9.0,12.26,0.66,0.6,0.425,0,0,0,0,2022-10-10
RX0000009325,MBR00000252,2023-06-08,2023-06-10,1326636144,1278116113,PLN5249,232378,PCN279,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,82,10,Retail,0,0,0,27.0,7.72,34.72,5.0,28.54,1.18,0.36,0.255,0,0,0,0,2023-09-06
RX0000009326,MBR00000252,2021-03-20,2021-03-23,1744587624,1490775095,PLN5382,703345,PCN519,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,86,11,Retail,0,0,0,30.0,10.67,40.67,3.0,35.8,1.87,0.4,0.2833,0,0,0,0,2021-06-18
RX0000009327,MBR00000252,2021-03-19,2021-03-23,1341333457,1699229659,PLN7748,412301,PCN737,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,10,Mail Order,0,0,0,9.0,10.49,19.49,10.0,8.5,0.99,0.36,0.255,0,0,0,0,2021-04-18
RX0000009328,MBR00000252,2021-06-02,2021-06-04,1991170036,1264977021,PLN4328,460757,PCN272,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,61,5,Specialty,0,1,0,16.0,35.46,51.46,155.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-08-01
RX0000009329,MBR00000252,2023-02-03,2023-02-07,1261704045,1278768877,PLN7941,442276,PCN530,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,60,2,Mail Order,0,0,0,1900.0,8.7,1908.7,32.0,1784.19,92.51,38.0,26.9167,0,0,0,0,2023-04-04
RX0000009330,MBR00000252,2021-05-17,2021-05-20,1557308378,1886605824,PLN4814,914340,PCN446,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,9,Retail,0,0,0,30.0,8.54,38.54,8.0,27.87,2.67,0.4,0.2833,0,0,0,0,2021-08-15
RX0000009331,MBR00000252,2023-03-25,2023-03-28,1726046263,1760859438,PLN8366,694127,PCN221,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,9,Retail,0,0,0,10.0,6.93,16.93,0.0,16.27,0.66,0.4,0.2833,0,0,0,0,2023-04-24
RX0000009332,MBR00000252,2022-11-07,2022-11-10,1210922066,1872438810,PLN8800,588137,PCN402,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,6,Mail Order,0,1,0,12.0,3.08,15.08,149.0,0.0,0.79,0.48,0.34,0,0,0,0,2022-12-07
RX0000009333,MBR00000252,2023-09-02,2023-09-04,1676772535,1949103917,PLN9635,345377,PCN241,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,9,Retail,0,1,0,12.0,2.0,14.0,148.0,0.0,0.58,0.48,0.34,0,0,0,0,2023-10-02
RX0000009334,MBR00000252,2022-04-01,2022-04-02,1328857746,1660235254,PLN1035,956655,PCN313,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,95,11,Mail Order,0,0,0,66.0,7.67,73.67,73.0,0.0,3.52,0.88,0.6233,0,0,0,0,2022-06-30
RX0000009335,MBR00000252,2023-10-06,2023-10-10,1562751569,1707900056,PLN8746,211010,PCN544,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,57,11,Retail,0,0,0,18.0,4.98,22.98,0.0,22.11,0.87,0.36,0.255,0,0,0,0,2023-12-05
RX0000009336,MBR00000252,2023-08-26,2023-08-29,1230710998,1396172706,PLN8371,304687,PCN888,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,3,Retail,0,0,0,8.87,3.32,12.18,33.0,0.0,0.6,1.52,1.0767,0,0,0,0,2023-09-02
RX0000009337,MBR00000252,2021-08-29,2021-08-30,1151075545,1437412607,PLN5636,989835,PCN563,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,91,0,Specialty,0,0,0,525.0,13.16,538.16,35.0,503.16,0.0,7.0,4.9583,0,0,0,0,2021-11-27
RX0000009338,MBR00000252,2023-11-07,2023-11-09,1739997059,1623585679,PLN9054,961039,PCN201,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,9,Retail,0,0,0,22.0,8.77,30.77,72.0,0.0,0.99,0.88,0.6233,0,0,0,0,2023-12-07
RX0000009339,MBR00000252,2021-11-09,2021-11-11,1377425906,1799860226,PLN7534,111254,PCN372,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,10,LTC,0,0,0,9.0,9.44,18.44,3.0,14.54,0.9,0.36,0.255,0,0,0,0,2021-12-09
RX0000009340,MBR00000252,2023-11-26,2023-11-28,1406318047,1196120238,PLN9944,849542,PCN276,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,4,LTC,2,0,0,320.0,11.84,331.84,31.0,278.08,22.76,12.8,9.0667,1,0,0,0,2023-12-26
RX0000009341,MBR00000252,2021-10-05,2021-10-08,1293713504,1720804351,PLN3123,334683,PCN361,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,1,Retail,0,0,0,10.0,11.22,21.22,9.0,11.05,1.17,0.4,0.2833,0,0,0,0,2021-11-04
RX0000009342,MBR00000252,2023-02-21,2023-02-25,1758006276,1943126537,PLN8191,621165,PCN693,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,85,7,Retail,0,0,0,33.0,8.94,41.94,7.0,32.98,1.96,0.44,0.3117,1,0,0,0,2023-05-22
RX0000009343,MBR00000252,2022-05-31,2022-06-01,1343764608,1353085842,PLN9792,705956,PCN638,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,3,Mail Order,0,1,0,6200.0,11.52,6211.52,146.0,5671.85,393.67,248.0,175.6667,0,0,0,0,2022-06-30
RX0000009344,MBR00000252,2023-10-04,2023-10-07,1720888331,1402997982,PLN4207,425885,PCN448,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,56,0,Retail,0,1,1,17000.0,3.67,17003.67,145.0,16134.0,724.67,340.0,240.8333,0,0,0,0,2023-12-03
RX0000009345,MBR00000253,2021-02-26,2021-02-28,1285069423,1750130673,PLN1869,223498,PCN207,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,1,Retail,0,0,0,950.0,2.82,952.82,36.0,871.29,45.53,38.0,26.9167,0,0,0,0,2021-03-28
RX0000009346,MBR00000253,2022-08-20,2022-08-21,1972478580,1886681956,PLN2773,429581,PCN510,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,3,Mail Order,0,0,0,3.5,11.48,14.98,0.0,14.3,0.68,0.6,0.425,0,0,0,0,2022-08-27
RX0000009347,MBR00000253,2023-06-05,2023-06-09,1563531194,1510743034,PLN1331,220917,PCN217,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,7,Retail,0,0,0,15.0,7.45,22.45,8.0,13.35,1.1,0.6,0.425,0,0,0,0,2023-07-05
RX0000009348,MBR00000253,2023-08-04,2023-08-08,1730844431,1866076880,PLN9842,582969,PCN256,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,5,Retail,0,1,0,2800.0,7.01,2807.01,146.0,2515.5,145.51,112.0,79.3333,0,0,0,0,2023-09-03
RX0000009349,MBR00000253,2022-05-21,2022-05-23,1416795637,1115380176,PLN5959,906452,PCN538,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,11,Mail Order,0,0,0,14.0,8.78,22.78,7.0,14.41,1.37,0.56,0.3967,0,0,0,0,2022-06-20
RX0000009350,MBR00000253,2022-10-25,2022-10-29,1291638976,1345073128,PLN2004,249666,PCN202,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,2,Mail Order,0,0,0,16.0,8.86,24.86,6.0,17.26,1.6,0.64,0.4533,0,0,0,0,2022-11-24
RX0000009351,MBR00000253,2021-12-07,2021-12-09,1995883816,1805169292,PLN9084,288751,PCN296,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,5,Specialty,0,0,0,18.0,23.25,41.25,7.0,34.25,0.0,0.72,0.51,0,0,0,0,2022-01-06
RX0000009352,MBR00000253,2023-04-30,2023-05-02,1622507430,1311380674,PLN6632,839025,PCN908,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,9,Retail,0,0,0,15.0,10.05,25.05,5.0,19.14,0.91,0.6,0.425,0,0,0,0,2023-05-30
RX0000009353,MBR00000253,2021-08-01,2021-08-05,1765814048,1548174302,PLN6679,597626,PCN564,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,9,Mail Order,3,0,0,45.0,11.56,56.56,4.0,49.81,2.75,1.8,1.275,0,0,0,0,2021-08-31
RX0000009354,MBR00000253,2022-03-13,2022-03-15,1611029549,1619618337,PLN8092,509698,PCN432,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,10,Retail,0,0,0,14.0,8.43,22.43,3.0,17.95,1.48,0.56,0.3967,0,0,0,0,2022-04-12
RX0000009355,MBR00000253,2022-01-07,2022-01-10,1477039945,1974245150,PLN7842,485914,PCN173,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,8,Retail,0,0,0,3.5,8.19,11.69,4.0,7.33,0.36,0.6,0.425,0,0,0,0,2022-01-14
RX0000009356,MBR00000253,2021-12-29,2021-12-31,1408118268,1811278760,PLN7381,346917,PCN693,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,11,Mail Order,2,1,0,12.0,9.73,21.73,146.0,0.0,1.18,0.48,0.34,0,1,1,0,2022-01-28
RX0000009357,MBR00000253,2023-01-20,2023-01-21,1979734698,1465936097,PLN1423,384253,PCN310,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,11,Mail Order,0,0,0,18.0,9.8,27.8,7.0,19.26,1.54,0.72,0.51,0,0,0,0,2023-02-19
RX0000009358,MBR00000253,2021-11-20,2021-11-21,1372058164,1965029561,PLN8789,587637,PCN973,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,2,Specialty,0,0,0,14.0,31.89,45.89,0.0,45.89,0.0,0.56,0.3967,0,0,0,0,2021-12-20
RX0000009359,MBR00000253,2022-05-14,2022-05-16,1886889436,1479963938,PLN3902,758174,PCN184,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,9,Retail,0,0,0,38.0,1.99,39.99,35.0,3.5,1.49,1.52,1.0767,0,0,0,0,2022-06-13
RX0000009360,MBR00000253,2023-09-27,2023-09-28,1383683980,1196275812,PLN2630,842622,PCN983,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,9,Specialty,0,0,0,54.0,46.06,100.06,8.0,92.06,0.0,0.72,0.51,0,0,0,0,2023-12-26
RX0000009361,MBR00000253,2021-07-19,2021-07-22,1858028373,1695462929,PLN5292,167232,PCN642,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,62,9,Retail,0,0,0,36.0,9.18,45.18,6.0,36.17,3.01,0.72,0.51,0,0,0,0,2021-09-17
RX0000009362,MBR00000253,2023-02-07,2023-02-09,1930817604,1645203191,PLN7290,900155,PCN798,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,95,10,Mail Order,0,0,0,27.0,7.99,34.99,10.0,23.87,1.12,0.36,0.255,0,0,0,0,2023-05-08
RX0000009363,MBR00000253,2023-05-10,2023-05-14,1423130117,1644334938,PLN9779,547864,PCN635,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,96,4,Retail,0,0,0,1950.0,4.48,1954.48,36.0,1801.96,116.52,26.0,18.4167,0,0,0,0,2023-08-08
RX0000009364,MBR00000253,2022-11-10,2022-11-13,1404266379,1462314205,PLN5601,404671,PCN339,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,83,0,Mail Order,2,0,0,1440.0,3.11,1443.11,31.0,1360.26,51.85,19.2,13.6,0,0,0,0,2023-02-08
RX0000009365,MBR00000253,2022-05-27,2022-05-30,1976592006,1195482588,PLN2945,971169,PCN656,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,2,Retail,0,1,0,8.0,3.09,11.09,147.0,0.0,0.74,0.32,0.2267,0,0,0,0,2022-06-26
RX0000009366,MBR00000253,2021-10-25,2021-10-26,1130047468,1894293120,PLN8212,894289,PCN539,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,9,Specialty,0,0,0,750.0,37.52,787.52,35.0,752.52,0.0,30.0,21.25,0,0,0,0,2021-11-24
RX0000009367,MBR00000253,2023-10-09,2023-10-10,1915399737,1850688557,PLN6473,492057,PCN797,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,90,4,Retail,0,0,0,30.0,8.42,38.42,8.0,27.86,2.56,0.4,0.2833,0,0,0,0,2024-01-07
RX0000009368,MBR00000253,2021-04-29,2021-04-30,1145146268,1728607510,PLN8894,619403,PCN753,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,62,2,Retail,0,0,0,56.0,6.62,62.62,5.0,55.29,2.33,1.12,0.7933,0,0,0,0,2021-06-28
RX0000009369,MBR00000253,2021-09-30,2021-10-04,1514006620,1654343162,PLN4878,619126,PCN642,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,89,4,Mail Order,0,0,0,30.0,5.15,35.15,5.0,28.32,1.83,0.4,0.2833,0,0,0,0,2021-12-29
RX0000009370,MBR00000253,2021-03-10,2021-03-14,1956264995,1151728957,PLN8886,167127,PCN792,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,9,Mail Order,0,1,0,8.0,5.89,13.89,146.0,0.0,0.66,0.32,0.2267,0,0,0,0,2021-04-09
RX0000009371,MBR00000253,2023-10-20,2023-10-24,1201017948,1768892621,PLN3683,518219,PCN963,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,1,Retail,0,0,0,2.1,3.97,6.07,2.0,3.86,0.21,0.36,0.255,0,0,0,0,2023-10-27
RX0000009372,MBR00000253,2023-06-07,2023-06-11,1313107665,1858532807,PLN8891,660148,PCN794,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,4,Retail,1,0,0,650.0,3.33,653.33,36.0,579.15,38.18,26.0,18.4167,0,0,0,0,2023-07-07
RX0000009373,MBR00000253,2023-07-09,2023-07-10,1497760689,1434269790,PLN4541,102200,PCN595,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,2,Retail,0,0,0,38.0,2.25,40.25,37.0,0.66,2.59,1.52,1.0767,0,0,0,0,2023-08-08
RX0000009374,MBR00000253,2022-07-27,2022-07-29,1221400962,1813442150,PLN5276,124488,PCN569,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,88,5,Retail,0,0,0,2850.0,2.25,2852.25,32.0,2687.44,132.81,38.0,26.9167,0,0,0,0,2022-10-25
RX0000009375,MBR00000253,2022-05-01,2022-05-05,1864590408,1997450209,PLN8218,411456,PCN424,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,63,10,Retail,2,0,0,22.0,9.47,31.47,5.0,24.87,1.6,0.44,0.3117,0,0,0,0,2022-06-30
RX0000009376,MBR00000253,2022-10-02,2022-10-03,1159823541,1352804065,PLN3764,955333,PCN246,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,6,Retail,0,0,0,4.2,7.19,11.39,1.0,9.89,0.5,0.72,0.51,0,0,0,0,2022-10-09
RX0000009377,MBR00000253,2023-09-03,2023-09-05,1318714819,1960035484,PLN2921,731506,PCN539,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,5,Specialty,3,0,0,65.0,43.75,108.75,38.0,70.75,0.0,2.6,1.8417,0,0,0,0,2023-10-03
RX0000009378,MBR00000254,2021-04-12,2021-04-13,1195112473,1165544248,PLN9112,653445,PCN302,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,5,Retail,0,0,0,12.0,8.77,20.77,4.0,15.88,0.89,0.48,0.34,0,0,0,0,2021-05-12
RX0000009379,MBR00000254,2021-06-28,2021-06-29,1480601896,1451894329,PLN4694,949707,PCN690,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,0,Retail,0,1,0,653.33,1.56,654.89,145.0,467.28,42.61,112.0,79.3333,0,0,0,0,2021-07-05
RX0000009380,MBR00000254,2023-10-05,2023-10-08,1689667874,1379653726,PLN7273,589733,PCN297,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,10,Retail,0,0,0,9.0,1.92,10.92,4.0,6.43,0.49,0.36,0.255,1,0,0,0,2023-11-04
RX0000009381,MBR00000254,2021-11-12,2021-11-15,1750246866,1518527284,PLN7547,414467,PCN314,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,0,Mail Order,3,0,0,18.0,2.39,20.39,4.0,15.69,0.7,0.72,0.51,0,0,0,0,2021-12-12
RX0000009382,MBR00000254,2023-10-09,2023-10-11,1823722234,1351188207,PLN2406,299615,PCN950,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,0,Retail,0,0,0,3.27,1.77,5.04,1.0,3.69,0.35,0.56,0.3967,0,0,0,0,2023-10-16
RX0000009383,MBR00000254,2023-03-19,2023-03-20,1182838660,1363443891,PLN2401,444486,PCN482,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,1,Retail,0,0,0,88.67,11.26,99.92,40.0,56.75,3.17,15.2,10.7667,0,0,0,0,2023-03-26
RX0000009384,MBR00000254,2023-09-05,2023-09-09,1670282893,1952283463,PLN1372,953903,PCN703,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,9,Mail Order,0,0,0,14.0,5.38,19.38,1.0,17.29,1.09,0.56,0.3967,0,0,0,0,2023-10-05
RX0000009385,MBR00000254,2023-10-17,2023-10-20,1745681626,1184208040,PLN9058,754527,PCN375,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,83,11,Retail,0,0,0,33.0,5.58,38.58,1.0,35.73,1.85,0.44,0.3117,0,0,0,0,2024-01-15
RX0000009386,MBR00000254,2022-11-29,2022-12-02,1261566668,1893349158,PLN4868,206209,PCN321,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,94,10,Retail,0,0,0,45.0,2.82,47.82,0.0,45.16,2.66,0.6,0.425,0,0,0,0,2023-02-27
RX0000009387,MBR00000254,2022-12-30,2023-01-01,1710983271,1128058563,PLN1614,751243,PCN884,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,57,5,Mail Order,2,0,0,20.0,9.04,29.04,9.0,18.52,1.52,0.4,0.2833,1,0,0,0,2023-02-28
RX0000009388,MBR00000254,2023-02-28,2023-03-01,1417880776,1412244003,PLN5126,709725,PCN216,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,63,8,Retail,2,0,0,36.0,3.67,39.67,0.0,37.29,2.38,0.72,0.51,0,0,0,0,2023-04-29
RX0000009389,MBR00000254,2022-11-14,2022-11-17,1534968298,1809438861,PLN3195,147181,PCN155,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,2,Retail,0,0,0,1.75,10.7,12.45,4.0,7.75,0.7,0.3,0.2125,0,0,0,0,2022-11-21
RX0000009390,MBR00000254,2022-06-04,2022-06-08,1684716446,1224444186,PLN3988,957486,PCN615,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,60,6,Retail,0,0,0,17.0,5.05,22.05,1.0,19.74,1.31,0.34,0.2408,0,0,0,0,2022-08-03
RX0000009391,MBR00000254,2023-02-08,2023-02-09,1891612024,1512134706,PLN3004,268572,PCN668,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,0,0,1,320.0,4.48,324.48,31.0,275.17,18.31,12.8,9.0667,0,0,0,0,2023-03-10
RX0000009392,MBR00000254,2021-02-18,2021-02-22,1439123340,1240781539,PLN1685,942695,PCN746,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,90,9,Retail,0,0,0,33.0,4.15,37.15,9.0,26.24,1.91,0.44,0.3117,0,0,0,0,2021-05-19
RX0000009393,MBR00000254,2022-04-25,2022-04-26,1764844377,1183552698,PLN1759,786324,PCN792,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,9,Retail,0,0,0,480.0,7.33,487.33,30.0,429.31,28.02,19.2,13.6,0,0,0,0,2022-05-25
RX0000009394,MBR00000254,2022-12-07,2022-12-10,1105317799,1405878202,PLN2365,294107,PCN632,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,7,Retail,0,0,0,14.0,9.98,23.98,9.0,14.06,0.92,0.56,0.3967,0,0,0,0,2023-01-06
RX0000009395,MBR00000254,2023-10-11,2023-10-14,1845217810,1848922476,PLN5172,701223,PCN216,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,1,Retail,0,0,0,221.67,1.52,223.19,37.0,173.85,12.34,38.0,26.9167,0,0,0,0,2023-10-18
RX0000009396,MBR00000254,2023-09-03,2023-09-04,1517231533,1651024573,PLN1912,805354,PCN715,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,7,Retail,0,1,0,8500.0,7.84,8507.84,147.0,7986.75,374.09,340.0,240.8333,0,0,0,0,2023-10-03
RX0000009397,MBR00000254,2021-01-11,2021-01-12,1491107385,1742844034,PLN5046,298403,PCN468,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,84,4,Retail,0,1,0,8400.0,4.78,8404.78,155.0,7826.78,423.0,112.0,79.3333,0,0,0,0,2021-04-11
RX0000009398,MBR00000254,2021-05-21,2021-05-23,1462358928,1925071056,PLN2169,864024,PCN637,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,93,8,Mail Order,0,1,0,24.0,4.07,28.07,153.0,0.0,1.12,0.32,0.2267,0,0,0,0,2021-08-19
RX0000009399,MBR00000254,2023-08-31,2023-09-02,1342961309,1757330578,PLN5543,210892,PCN897,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,5,Retail,0,0,0,38.0,5.23,43.23,5.0,36.33,1.9,1.52,1.0767,1,0,0,0,2023-09-30
RX0000009400,MBR00000254,2022-03-04,2022-03-07,1548553763,1813116129,PLN5367,638384,PCN776,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,11,Retail,0,0,0,2.8,3.25,6.05,5.0,0.81,0.24,0.48,0.34,0,0,0,0,2022-03-11
RX0000009401,MBR00000255,2023-06-13,2023-06-14,1325559313,1688588742,PLN5505,124180,PCN567,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,54,10,Specialty,0,0,0,130.0,13.22,143.22,32.0,111.22,0.0,2.6,1.8417,0,0,0,0,2023-08-12
RX0000009402,MBR00000255,2022-03-20,2022-03-21,1734209794,1924738901,PLN2380,551872,PCN236,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,10,Retail,2,0,0,12.5,5.59,18.09,1.0,16.18,0.91,0.5,0.3542,0,0,0,0,2022-04-19
RX0000009403,MBR00000255,2022-06-21,2022-06-22,1929419093,1616864741,PLN8427,397720,PCN682,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,2,LTC,0,0,0,5.13,8.32,13.45,5.0,7.99,0.46,0.88,0.6233,0,0,0,0,2022-06-28
RX0000009404,MBR00000255,2023-10-24,2023-10-28,1847570852,1761264278,PLN2087,534510,PCN916,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,6,Retail,0,0,0,38.0,5.86,43.86,10.0,32.2,1.66,1.52,1.0767,0,0,0,0,2023-11-23
RX0000009405,MBR00000255,2022-03-27,2022-03-30,1105213040,1817240622,PLN1025,503900,PCN316,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,4,Retail,0,0,0,12.0,3.03,15.03,9.0,5.18,0.85,0.48,0.34,0,0,0,0,2022-04-26
RX0000009406,MBR00000255,2022-03-03,2022-03-04,1882041816,1177216240,PLN1426,725742,PCN900,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,93,3,Retail,0,0,0,525.0,11.24,536.24,30.0,470.22,36.02,7.0,4.9583,0,0,0,0,2022-06-01
RX0000009407,MBR00000255,2023-05-31,2023-06-02,1403126636,1836681999,PLN2680,329340,PCN913,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,7,Mail Order,0,0,0,18.0,3.9,21.9,5.0,15.51,1.39,0.72,0.51,0,0,0,0,2023-06-30
RX0000009408,MBR00000255,2021-10-15,2021-10-16,1944682025,1738360953,PLN6604,950393,PCN313,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,6,Retail,0,1,0,12.0,5.94,17.94,153.0,0.0,1.15,0.48,0.34,0,0,0,0,2021-11-14
RX0000009409,MBR00000255,2021-10-19,2021-10-23,1195729034,1694332037,PLN8987,304150,PCN590,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,58,6,Retail,0,0,0,36.0,6.75,42.75,2.0,39.4,1.35,0.72,0.51,0,0,0,0,2021-12-18
RX0000009410,MBR00000255,2021-05-14,2021-05-17,1963788026,1657235634,PLN7724,689290,PCN142,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,950.0,2.48,952.48,32.0,885.24,35.24,38.0,26.9167,0,0,0,0,2021-06-13
RX0000009411,MBR00000255,2023-12-31,2024-01-01,1176274552,1893227070,PLN8103,518094,PCN687,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,82,7,Retail,0,0,0,22.5,10.97,33.47,10.0,22.11,1.36,0.3,0.2125,0,1,0,0,2024-03-30
RX0000009412,MBR00000255,2022-04-30,2022-05-01,1230613243,1886768935,PLN9688,249722,PCN779,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,5,Retail,0,0,0,14.0,5.65,19.65,7.0,11.63,1.02,0.56,0.3967,0,0,0,0,2022-05-30
RX0000009413,MBR00000255,2022-10-13,2022-10-14,1358796505,1585171664,PLN5821,640529,PCN165,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,0,Retail,0,0,0,43.17,3.78,46.95,35.0,8.68,3.27,7.4,5.2417,0,0,0,0,2022-10-20
RX0000009414,MBR00000255,2023-09-23,2023-09-25,1638090440,1694662739,PLN5836,650029,PCN439,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,10,Mail Order,0,0,0,7.5,9.02,16.52,8.0,7.62,0.9,0.3,0.2125,0,0,0,0,2023-10-23
RX0000009415,MBR00000255,2021-07-31,2021-08-02,1269754457,1511375332,PLN4416,601424,PCN127,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,8,Retail,0,0,0,18.0,2.88,20.88,8.0,11.45,1.43,0.72,0.51,0,0,0,0,2021-08-30
RX0000009416,MBR00000255,2022-11-13,2022-11-17,1684175729,1823200980,PLN7009,404316,PCN290,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,8,Retail,0,1,0,8500.0,9.61,8509.61,152.0,7864.47,493.14,340.0,240.8333,0,0,0,0,2022-12-13
RX0000009417,MBR00000255,2021-04-21,2021-04-24,1999612071,1910369042,PLN2620,477341,PCN142,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,55,0,Retail,0,0,0,36.0,9.21,45.21,9.0,33.78,2.43,0.72,0.51,0,0,0,0,2021-06-20
RX0000009418,MBR00000255,2023-12-22,2023-12-23,1327407746,1328909121,PLN5985,341158,PCN609,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,90,5,Retail,1,0,0,36.0,6.81,42.81,8.0,32.93,1.88,0.48,0.34,1,0,0,0,2024-03-21
RX0000009419,MBR00000256,2022-02-14,2022-02-15,1333336801,1328629523,PLN2641,299944,PCN975,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,87,0,Retail,0,0,0,36.0,5.26,41.26,7.0,31.43,2.83,0.48,0.34,0,0,0,0,2022-05-15
RX0000009420,MBR00000256,2023-08-01,2023-08-02,1673174554,1973296330,PLN7082,360366,PCN146,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,6,Retail,1,0,0,480.0,5.72,485.72,40.0,426.93,18.79,19.2,13.6,0,0,0,0,2023-08-31
RX0000009421,MBR00000256,2023-02-12,2023-02-14,1245995477,1314920873,PLN4587,266761,PCN486,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,9,Retail,0,0,0,38.0,2.74,40.74,4.0,34.12,2.62,1.52,1.0767,0,1,0,0,2023-03-14
RX0000009422,MBR00000256,2022-10-21,2022-10-25,1961581043,1164600912,PLN7163,372015,PCN812,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,3,Specialty,0,0,0,3.5,40.43,43.93,6.0,37.93,0.0,0.6,0.425,0,0,0,0,2022-10-28
RX0000009423,MBR00000256,2022-12-23,2022-12-26,1150973165,1280589804,PLN6945,763394,PCN962,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,6,Retail,0,1,0,8500.0,4.73,8504.73,153.0,7800.34,551.39,340.0,240.8333,0,0,0,0,2023-01-22
RX0000009424,MBR00000256,2022-05-05,2022-05-09,1148648453,1450079166,PLN6918,645359,PCN311,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,11,Retail,3,0,0,285.0,5.05,290.05,30.0,240.42,19.63,11.4,8.075,0,0,0,0,2022-06-04
RX0000009425,MBR00000256,2021-06-15,2021-06-17,1511081837,1764567781,PLN8991,783530,PCN359,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,2,Retail,0,0,0,8.87,11.49,20.36,7.0,12.08,1.28,1.52,1.0767,1,0,0,0,2021-06-22
RX0000009426,MBR00000256,2022-04-08,2022-04-09,1711517626,1197844802,PLN4183,670250,PCN935,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,7,Mail Order,0,0,0,12.0,2.2,14.2,3.0,10.22,0.98,0.48,0.34,0,0,0,0,2022-05-08
RX0000009427,MBR00000256,2022-08-19,2022-08-22,1494986449,1799403079,PLN7840,410212,PCN883,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,56,8,Retail,0,0,0,570.0,7.46,577.46,35.0,518.91,23.55,11.4,8.075,0,0,0,0,2022-10-18
RX0000009428,MBR00000256,2023-03-02,2023-03-06,1623733314,1352666929,PLN5883,160009,PCN319,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,87,6,Mail Order,0,0,0,114.0,4.19,118.19,1.0,109.83,7.36,1.52,1.0767,0,0,0,0,2023-05-31
RX0000009429,MBR00000256,2022-03-18,2022-03-21,1890957001,1245587648,PLN4426,174094,PCN345,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,62,1,Mail Order,0,0,0,130.0,3.22,133.22,39.0,89.47,4.75,2.6,1.8417,1,0,0,0,2022-05-17
RX0000009430,MBR00000256,2023-09-06,2023-09-08,1982977454,1306774279,PLN4410,135437,PCN988,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,62,9,Retail,0,0,0,24.0,5.54,29.54,8.0,20.03,1.51,0.48,0.34,0,0,0,0,2023-11-05
RX0000009431,MBR00000256,2021-10-25,2021-10-27,1981644561,1854461073,PLN1337,368159,PCN240,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,11,Mail Order,0,0,0,7.5,9.0,16.5,3.0,12.89,0.61,0.3,0.2125,1,0,0,0,2021-11-24
RX0000009432,MBR00000256,2022-09-03,2022-09-05,1311101282,1609726921,PLN5724,486625,PCN353,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,9,Specialty,0,1,0,2800.0,19.53,2819.53,152.0,2667.53,0.0,112.0,79.3333,0,0,0,0,2022-10-03
RX0000009433,MBR00000256,2022-07-27,2022-07-30,1110057519,1995624175,PLN9009,883844,PCN708,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,82,6,Retail,0,0,0,33.0,4.98,37.98,2.0,34.52,1.46,0.44,0.3117,0,0,0,0,2022-10-25
RX0000009434,MBR00000256,2021-09-15,2021-09-18,1786388753,1570104242,PLN9890,236553,PCN589,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,3,Retail,3,0,0,10.0,5.83,15.83,6.0,9.28,0.55,0.4,0.2833,0,0,0,0,2021-10-15
RX0000009435,MBR00000256,2021-03-29,2021-04-01,1263551288,1632770366,PLN1390,400888,PCN581,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,0,Specialty,0,0,0,45.0,14.53,59.53,4.0,55.53,0.0,1.8,1.275,0,0,0,0,2021-04-28
RX0000009436,MBR00000256,2022-08-02,2022-08-06,1512789026,1185247765,PLN5333,207207,PCN490,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,4,Retail,2,0,0,72.33,8.86,81.2,40.0,38.23,2.97,12.4,8.7833,0,0,0,0,2022-08-09
RX0000009437,MBR00000256,2023-06-10,2023-06-12,1128917698,1771769497,PLN4827,199840,PCN273,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,3,Specialty,0,0,0,370.0,15.42,385.42,38.0,347.42,0.0,14.8,10.4833,0,0,0,0,2023-07-10
RX0000009438,MBR00000256,2021-03-10,2021-03-12,1115398600,1381078543,PLN5328,379004,PCN556,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,4,Retail,0,0,0,151.67,5.72,157.39,32.0,115.15,10.24,26.0,18.4167,0,0,0,0,2021-03-17
RX0000009439,MBR00000256,2021-06-21,2021-06-24,1430633959,1188505651,PLN6895,195595,PCN241,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,9,Retail,1,0,0,175.0,11.91,186.91,40.0,141.22,5.69,7.0,4.9583,0,0,0,0,2021-07-21
RX0000009440,MBR00000256,2021-08-11,2021-08-13,1759167546,1379062421,PLN3199,460238,PCN966,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,4,Retail,0,0,0,15.0,8.14,23.14,0.0,21.95,1.19,0.6,0.425,0,0,0,0,2021-09-10
RX0000009441,MBR00000256,2023-03-22,2023-03-23,1115782966,1730076304,PLN8803,670367,PCN197,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,1,Retail,0,0,0,14.0,6.71,20.71,4.0,15.95,0.76,0.56,0.3967,0,0,0,0,2023-04-21
RX0000009442,MBR00000256,2023-04-13,2023-04-15,1215455595,1939384374,PLN7288,983636,PCN202,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,10,Retail,0,0,0,10.0,3.21,13.21,5.0,7.67,0.54,0.4,0.2833,0,0,0,0,2023-05-13
RX0000009443,MBR00000256,2022-01-24,2022-01-28,1733149300,1726127997,PLN4695,786517,PCN389,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,91,8,Mail Order,0,0,0,36.0,10.66,46.66,5.0,40.23,1.43,0.48,0.34,0,0,0,0,2022-04-24
RX0000009444,MBR00000256,2021-12-09,2021-12-13,1245785204,1657961233,PLN5631,954748,PCN133,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,0,Retail,0,0,0,12.5,1.97,14.47,4.0,9.83,0.64,0.5,0.3542,0,0,0,0,2022-01-08
RX0000009445,MBR00000256,2022-06-15,2022-06-19,1879409490,1337790784,PLN4254,981677,PCN321,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,2,Mail Order,0,0,0,750.0,3.17,753.17,33.0,684.05,36.12,30.0,21.25,0,0,0,0,2022-07-15
RX0000009446,MBR00000256,2023-10-03,2023-10-05,1978628157,1217670587,PLN2391,896840,PCN346,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,0,Retail,0,0,0,10.5,9.14,19.64,10.0,8.73,0.91,1.8,1.275,0,0,0,0,2023-10-10
RX0000009447,MBR00000256,2021-03-20,2021-03-22,1888041899,1357676543,PLN4424,999773,PCN119,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,6,Mail Order,0,1,0,2800.0,1.62,2801.62,150.0,2474.68,176.94,112.0,79.3333,0,0,0,0,2021-04-19
RX0000009448,MBR00000256,2023-07-18,2023-07-22,1406261428,1258998578,PLN4354,616546,PCN556,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,63,11,Specialty,0,0,0,30.0,11.51,41.51,1.0,40.51,0.0,0.6,0.425,0,0,0,0,2023-09-16
RX0000009449,MBR00000256,2023-04-22,2023-04-24,1153688915,1815260045,PLN4822,370666,PCN324,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,4,Retail,0,1,0,1446.67,9.24,1455.91,154.0,1255.18,46.73,248.0,175.6667,0,0,0,0,2023-04-29
RX0000009450,MBR00000256,2023-02-10,2023-02-14,1667284495,1714211252,PLN6356,933109,PCN470,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,8,LTC,0,0,0,5.13,2.14,7.28,65.0,0.0,0.26,0.88,0.6233,0,0,0,0,2023-02-17
RX0000009451,MBR00000256,2022-03-17,2022-03-18,1600446922,1753855248,PLN9352,922819,PCN699,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,2,Retail,0,0,0,3.5,11.79,15.29,7.0,7.6,0.69,0.6,0.425,0,0,0,0,2022-03-24
RX0000009452,MBR00000256,2021-03-25,2021-03-28,1277772262,1321660300,PLN9018,816860,PCN584,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,3,Retail,0,0,0,12.0,9.91,21.91,1.0,19.4,1.51,0.48,0.34,0,0,0,0,2021-04-24
RX0000009453,MBR00000256,2022-11-22,2022-11-25,1613912024,1582705688,PLN2823,212479,PCN907,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,93,8,Mail Order,0,0,0,54.0,3.54,57.54,5.0,49.32,3.22,0.72,0.51,0,0,0,0,2023-02-20
RX0000009454,MBR00000256,2023-10-27,2023-10-30,1627676832,1752167366,PLN1756,293486,PCN462,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,2,Retail,0,1,0,2800.0,7.68,2807.68,148.0,2548.18,111.5,112.0,79.3333,1,0,0,0,2023-11-26
RX0000009455,MBR00000256,2023-11-22,2023-11-23,1173772335,1746972642,PLN2803,312705,PCN649,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,93,4,Retail,0,0,0,960.0,8.27,968.27,37.0,890.93,40.34,12.8,9.0667,0,0,0,0,2024-02-20
RX0000009456,MBR00000256,2021-11-08,2021-11-11,1602230283,1115002193,PLN5942,301507,PCN890,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,6,Retail,0,0,0,45.0,3.29,48.29,0.0,46.59,1.7,1.8,1.275,0,0,0,0,2021-12-08
RX0000009457,MBR00000256,2023-04-14,2023-04-16,1419171131,1148481926,PLN8983,237177,PCN649,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,0,Mail Order,0,0,0,42.0,11.0,53.0,8.0,42.21,2.79,0.56,0.3967,0,0,0,0,2023-07-13
RX0000009458,MBR00000256,2021-02-13,2021-02-16,1156342169,1307196590,PLN5739,345405,PCN959,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,88,1,Specialty,0,0,0,27.0,46.92,73.92,5.0,68.92,0.0,0.36,0.255,0,0,0,0,2021-05-14
RX0000009459,MBR00000256,2022-08-11,2022-08-13,1965065021,1836067618,PLN4798,533177,PCN212,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,89,7,Mail Order,0,0,0,855.0,8.33,863.33,37.0,786.56,39.77,11.4,8.075,0,0,0,0,2022-11-09
RX0000009460,MBR00000256,2021-02-05,2021-02-07,1113099586,1221912948,PLN9403,948909,PCN311,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,83,2,Retail,0,0,0,33.0,11.73,44.73,3.0,38.68,3.05,0.44,0.3117,0,0,0,0,2021-05-06
RX0000009461,MBR00000256,2022-02-08,2022-02-11,1839110865,1807414504,PLN3846,359493,PCN735,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,2,Retail,3,0,0,310.0,4.68,314.68,34.0,264.73,15.95,12.4,8.7833,0,0,0,0,2022-03-10
RX0000009462,MBR00000256,2023-09-20,2023-09-23,1721687401,1141638221,PLN8163,128057,PCN169,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,86,9,Retail,0,0,0,27.0,10.97,37.97,2.0,33.79,2.18,0.36,0.255,0,0,0,0,2023-12-19
RX0000009463,MBR00000256,2022-01-22,2022-01-25,1277437561,1413806352,PLN7633,799748,PCN281,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,88,1,Retail,0,0,0,1950.0,11.93,1961.93,30.0,1826.46,105.47,26.0,18.4167,0,0,0,0,2022-04-22
RX0000009464,MBR00000257,2022-08-07,2022-08-08,1139090273,1997264316,PLN7461,243639,PCN262,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,9,Retail,0,0,0,1.98,8.79,10.77,3.0,7.44,0.33,0.34,0.2408,0,0,0,0,2022-08-14
RX0000009465,MBR00000257,2022-07-22,2022-07-23,1838086687,1822626946,PLN1699,875054,PCN571,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,4,Retail,0,0,0,480.0,11.9,491.9,40.0,426.88,25.02,19.2,13.6,1,0,0,0,2022-08-21
RX0000009466,MBR00000257,2022-12-26,2022-12-29,1211852367,1920544496,PLN3521,971931,PCN472,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,3,Retail,0,0,0,8.5,1.61,10.11,8.0,1.63,0.48,0.34,0.2408,0,0,0,0,2023-01-25
RX0000009467,MBR00000257,2023-11-08,2023-11-12,1410196431,1179777908,PLN7806,480514,PCN390,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,9,Retail,0,0,0,38.0,8.97,46.97,6.0,39.48,1.49,1.52,1.0767,0,0,0,0,2023-12-08
RX0000009468,MBR00000257,2023-02-09,2023-02-12,1984644332,1628248618,PLN2949,511698,PCN113,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,6,Retail,0,0,0,9.0,9.84,18.84,5.0,13.2,0.64,0.36,0.255,0,0,0,0,2023-03-11
RX0000009469,MBR00000257,2022-04-18,2022-04-21,1397740254,1977438511,PLN8062,473376,PCN727,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,84,7,Mail Order,0,0,0,54.0,5.05,59.05,5.0,51.51,2.54,0.72,0.51,0,0,0,0,2022-07-17
RX0000009470,MBR00000257,2021-02-11,2021-02-13,1163036838,1360437575,PLN6964,972705,PCN521,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,0,Retail,0,0,0,65.0,6.24,71.24,36.0,31.44,3.8,2.6,1.8417,0,0,0,0,2021-03-13
RX0000009471,MBR00000257,2023-05-06,2023-05-07,1543033191,1613632858,PLN5860,119686,PCN358,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,2,Retail,0,0,0,18.0,1.61,19.61,7.0,11.88,0.73,0.72,0.51,0,0,0,0,2023-06-05
RX0000009472,MBR00000257,2022-04-28,2022-04-29,1142676505,1316498674,PLN9493,737850,PCN587,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,5,Retail,2,0,0,18.0,3.74,21.74,38.0,0.0,1.1,0.72,0.51,0,0,0,0,2022-05-28
RX0000009473,MBR00000257,2023-06-20,2023-06-22,1773152330,1752405411,PLN8366,262119,PCN922,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,4,Retail,0,0,0,18.0,5.23,23.23,5.0,16.9,1.33,0.72,0.51,0,0,0,0,2023-07-20
RX0000009474,MBR00000257,2021-03-28,2021-03-30,1892184244,1856879356,PLN3738,514180,PCN223,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,4,Retail,3,0,0,2.1,11.49,13.59,9.0,4.08,0.51,0.36,0.255,1,0,0,0,2021-04-04
RX0000009475,MBR00000257,2022-07-27,2022-07-30,1308732639,1252074800,PLN2557,553566,PCN486,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,8,Specialty,0,0,0,9.0,36.06,45.06,9.0,36.06,0.0,0.36,0.255,0,0,0,0,2022-08-26
RX0000009476,MBR00000257,2022-11-28,2022-11-29,1306171108,1933091170,PLN2187,315375,PCN342,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,0,Mail Order,0,0,0,45.0,8.27,53.27,4.0,45.64,3.63,1.8,1.275,0,0,0,0,2022-12-28
RX0000009477,MBR00000257,2022-03-02,2022-03-04,1795387145,1510830971,PLN6243,454518,PCN496,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,1,Retail,0,0,0,14.0,5.69,19.69,10.0,8.6,1.09,0.56,0.3967,0,0,0,0,2022-04-01
RX0000009478,MBR00000257,2022-05-10,2022-05-13,1315281927,1779721064,PLN4592,459052,PCN143,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,5,Mail Order,2,0,0,10.5,8.64,19.14,7.0,11.22,0.92,1.8,1.275,0,0,0,0,2022-05-17
RX0000009479,MBR00000257,2021-10-10,2021-10-12,1489033979,1924834548,PLN2148,995015,PCN484,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,7,Retail,0,0,0,14.0,10.46,24.46,8.0,15.2,1.26,0.56,0.3967,0,0,0,0,2021-11-09
RX0000009480,MBR00000257,2023-04-28,2023-05-01,1499538830,1170338224,PLN4627,308230,PCN328,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,0,Specialty,0,0,0,12.0,31.22,43.22,9.0,34.22,0.0,0.48,0.34,0,0,0,0,2023-05-28
RX0000009481,MBR00000257,2021-03-30,2021-04-02,1364329554,1617340521,PLN4062,251449,PCN862,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,92,4,Mail Order,0,0,0,135.0,9.28,144.28,6.0,132.98,5.3,1.8,1.275,0,0,0,0,2021-06-28
RX0000009482,MBR00000257,2021-01-22,2021-01-26,1586400768,1673307141,PLN2696,247075,PCN464,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,2,Retail,0,0,0,22.0,11.63,33.63,1.0,31.11,1.52,0.88,0.6233,0,0,0,0,2021-02-21
RX0000009483,MBR00000257,2022-10-29,2022-10-31,1592091545,1433094770,PLN7680,902614,PCN523,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,4,Mail Order,0,0,0,22.0,9.22,31.22,68.0,0.0,2.01,0.88,0.6233,0,0,0,0,2022-11-28
RX0000009484,MBR00000257,2022-03-26,2022-03-28,1872123538,1201947899,PLN8770,113773,PCN145,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,91,7,Retail,2,1,0,25500.0,6.74,25506.74,153.0,24139.34,1214.4,340.0,240.8333,0,0,0,0,2022-06-24
RX0000009485,MBR00000257,2022-12-30,2023-01-02,1333500746,1426113549,PLN2960,534207,PCN956,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,4,Mail Order,0,0,0,175.0,5.5,180.5,32.0,138.93,9.57,7.0,4.9583,0,0,0,0,2023-01-29
RX0000009486,MBR00000257,2023-11-30,2023-12-03,1831961794,1326050850,PLN6183,348268,PCN189,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,5,Mail Order,0,1,0,8500.0,6.96,8506.96,152.0,7841.99,512.97,340.0,240.8333,0,0,0,0,2023-12-30
RX0000009487,MBR00000257,2023-01-18,2023-01-20,1671065662,1813968007,PLN9533,863181,PCN816,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,1,Retail,0,0,0,12.5,6.97,19.47,10.0,8.19,1.28,0.5,0.3542,0,0,0,0,2023-02-17
RX0000009488,MBR00000257,2023-08-14,2023-08-16,1552586739,1870576825,PLN1741,295167,PCN693,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,7,Retail,0,0,0,10.0,3.86,13.86,1.0,12.11,0.75,0.4,0.2833,0,0,0,0,2023-09-13
RX0000009489,MBR00000257,2021-01-15,2021-01-18,1270127151,1904764116,PLN6696,889141,PCN241,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,97,3,Mail Order,0,0,0,30.0,6.78,36.78,0.0,35.04,1.74,0.4,0.2833,0,0,0,0,2021-04-15
RX0000009490,MBR00000257,2021-12-22,2021-12-24,1261019726,1811240038,PLN2346,443760,PCN699,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,4,Retail,0,0,0,15.0,7.86,22.86,2.0,20.17,0.69,0.6,0.425,0,0,0,0,2022-01-21
RX0000009491,MBR00000257,2021-03-12,2021-03-16,1555024180,1470785682,PLN1683,853291,PCN789,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,8,Retail,1,1,0,2800.0,5.72,2805.72,147.0,2559.0,99.72,112.0,79.3333,0,0,0,0,2021-04-11
RX0000009492,MBR00000257,2022-06-19,2022-06-23,1225145439,1382911102,PLN5741,244934,PCN241,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,92,1,Retail,0,0,0,33.0,9.69,42.69,5.0,36.4,1.29,0.44,0.3117,0,0,0,0,2022-09-17
RX0000009493,MBR00000257,2023-09-25,2023-09-27,1390487686,1241493124,PLN8925,908333,PCN969,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,5,Retail,0,0,0,18.0,8.88,26.88,10.0,15.84,1.04,0.72,0.51,0,0,0,0,2023-10-25
RX0000009494,MBR00000257,2023-04-12,2023-04-16,1192694931,1625547396,PLN3352,475279,PCN662,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,2,Retail,0,0,0,14.0,8.96,22.96,8.0,13.42,1.54,0.56,0.3967,0,0,0,0,2023-05-12
RX0000009495,MBR00000257,2023-05-28,2023-05-30,1644454018,1108527994,PLN8564,163537,PCN594,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,3,Retail,1,0,0,9.0,3.15,12.15,4.0,7.73,0.42,0.36,0.255,0,0,0,0,2023-06-27
RX0000009496,MBR00000257,2022-09-18,2022-09-20,1747433253,1661147685,PLN8695,200732,PCN421,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,9,Retail,0,0,0,10.0,9.9,19.9,10.0,9.19,0.71,0.4,0.2833,0,0,0,0,2022-10-18
RX0000009497,MBR00000257,2022-08-06,2022-08-09,1655219314,1558658205,PLN3025,795493,PCN966,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,85,11,Retail,0,0,0,1140.0,7.65,1147.65,33.0,1065.03,49.62,15.2,10.7667,0,0,0,0,2022-11-04
RX0000009498,MBR00000257,2022-12-14,2022-12-16,1637799572,1996307447,PLN8576,432938,PCN408,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,2,Retail,0,0,0,9.0,6.26,15.26,3.0,11.52,0.74,0.36,0.255,1,0,0,0,2023-01-13
RX0000009499,MBR00000257,2023-10-10,2023-10-12,1998583575,1977100467,PLN1940,570587,PCN236,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,1,Retail,0,0,0,45.0,8.28,53.28,5.0,46.32,1.96,1.8,1.275,0,0,0,0,2023-11-09
RX0000009500,MBR00000257,2022-03-15,2022-03-19,1772819227,1604729426,PLN4296,382643,PCN773,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,6,Retail,2,0,0,10.0,10.67,20.67,3.0,16.59,1.08,0.4,0.2833,0,1,0,0,2022-04-14
RX0000009501,MBR00000257,2022-04-24,2022-04-27,1698643335,1965165722,PLN3615,627023,PCN652,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,3,Retail,0,1,0,12.0,9.12,21.12,145.0,0.0,1.01,0.48,0.34,0,0,0,0,2022-05-24
RX0000009502,MBR00000257,2023-09-11,2023-09-14,1835362987,1506028236,PLN8591,320044,PCN453,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,2,Retail,0,0,0,8.5,8.99,17.49,5.0,11.5,0.99,0.34,0.2408,0,0,0,0,2023-10-11
RX0000009503,MBR00000257,2022-07-16,2022-07-18,1733549527,1210386895,PLN6380,651974,PCN526,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,88,6,Retail,2,0,0,195.0,3.25,198.25,31.0,158.54,8.71,2.6,1.8417,0,0,0,0,2022-10-14
RX0000009504,MBR00000257,2021-03-19,2021-03-20,1369285006,1860525164,PLN6215,463238,PCN183,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,5,Specialty,0,0,0,3.27,26.62,29.89,9.0,20.89,0.0,0.56,0.3967,0,0,0,0,2021-03-26
RX0000009505,MBR00000257,2021-12-19,2021-12-22,1889768168,1807380928,PLN5774,452619,PCN809,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,94,7,Retail,0,1,0,18600.0,2.6,18602.6,151.0,17754.85,696.75,248.0,175.6667,0,0,0,0,2022-03-19
RX0000009506,MBR00000257,2023-07-29,2023-08-01,1284128120,1717136843,PLN3277,839540,PCN161,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,11,Retail,0,0,0,8.5,10.23,18.73,0.0,17.86,0.87,0.34,0.2408,0,0,0,0,2023-08-28
RX0000009507,MBR00000257,2023-08-15,2023-08-17,1397303135,1126936307,PLN5271,767935,PCN640,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,92,11,Mail Order,3,0,0,54.0,7.58,61.58,7.0,51.55,3.03,0.72,0.51,0,0,0,0,2023-11-13
RX0000009508,MBR00000257,2023-09-24,2023-09-27,1316456949,1164552628,PLN2320,638040,PCN219,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,5,Retail,0,0,0,14.0,8.81,22.81,7.0,14.89,0.92,0.56,0.3967,0,0,0,0,2023-10-24
RX0000009509,MBR00000257,2021-01-23,2021-01-24,1930670226,1987157390,PLN5711,826956,PCN709,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,84,3,Mail Order,0,0,0,1440.0,11.53,1451.53,39.0,1360.9,51.63,19.2,13.6,0,0,0,0,2021-04-23
RX0000009510,MBR00000258,2022-11-30,2022-12-03,1314266612,1408980006,PLN3074,566543,PCN787,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,89,4,Retail,0,1,0,24.0,8.55,32.55,152.0,0.0,1.76,0.32,0.2267,0,0,0,0,2023-02-28
RX0000009511,MBR00000258,2022-05-11,2022-05-15,1672280155,1804214194,PLN2935,915130,PCN153,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,83,8,Retail,0,0,0,855.0,8.56,863.56,31.0,799.13,33.43,11.4,8.075,0,0,0,0,2022-08-09
RX0000009512,MBR00000258,2021-02-06,2021-02-10,1169262562,1625144552,PLN3488,591201,PCN728,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,1,Retail,0,0,0,8.5,5.15,13.65,1.0,12.13,0.52,0.34,0.2408,0,0,0,0,2021-03-08
RX0000009513,MBR00000258,2022-04-27,2022-04-30,1303224095,1151617308,PLN2600,816007,PCN823,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,3,Mail Order,0,0,0,18.0,4.14,22.14,36.0,0.0,1.13,0.72,0.51,1,0,0,0,2022-05-27
RX0000009514,MBR00000258,2021-08-24,2021-08-27,1346855444,1224556267,PLN4946,687476,PCN697,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,9,Mail Order,0,0,0,18.0,10.93,28.93,1.0,26.84,1.09,0.72,0.51,0,0,0,0,2021-09-23
RX0000009515,MBR00000258,2023-01-28,2023-02-01,1603161608,1387020124,PLN4733,509464,PCN629,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,7,Mail Order,0,0,0,320.0,8.52,328.52,30.0,277.45,21.07,12.8,9.0667,0,0,0,0,2023-02-27
RX0000009516,MBR00000258,2022-10-31,2022-11-04,1984070129,1461846244,PLN6613,438001,PCN428,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,0,Mail Order,0,0,0,9.0,8.63,17.63,6.0,10.42,1.21,0.36,0.255,0,0,0,0,2022-11-30
RX0000009517,MBR00000258,2021-04-02,2021-04-04,1718468827,1896150012,PLN9011,233188,PCN915,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,86,9,Specialty,0,0,0,195.0,15.2,210.2,32.0,178.2,0.0,2.6,1.8417,0,0,0,0,2021-07-01
RX0000009518,MBR00000258,2023-10-08,2023-10-09,1712448527,1791569804,PLN7567,602336,PCN634,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,3,Retail,0,0,0,10.0,11.7,21.7,6.0,14.68,1.02,0.4,0.2833,0,0,0,0,2023-11-07
RX0000009519,MBR00000258,2022-05-15,2022-05-17,1429209902,1259660124,PLN7830,278003,PCN855,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,8,Retail,1,0,0,15.0,6.07,21.07,0.0,20.01,1.06,0.6,0.425,0,0,0,0,2022-06-14
RX0000009520,MBR00000258,2022-07-18,2022-07-22,1460660668,1672714746,PLN9940,866598,PCN706,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,7,Retail,0,0,0,370.0,2.29,372.29,32.0,329.09,11.2,14.8,10.4833,0,0,0,0,2022-08-17
RX0000009521,MBR00000258,2022-09-25,2022-09-27,1176093789,1384143219,PLN9880,608819,PCN307,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,92,4,Retail,0,0,0,42.0,4.14,46.14,4.0,39.16,2.98,0.56,0.3967,0,0,0,0,2022-12-24
RX0000009522,MBR00000258,2021-07-02,2021-07-03,1820558094,1977018221,PLN2700,685523,PCN760,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,89,2,Retail,0,0,0,930.0,7.29,937.29,33.0,862.03,42.26,12.4,8.7833,0,0,0,0,2021-09-30
RX0000009523,MBR00000258,2021-08-29,2021-08-30,1878997724,1302208418,PLN8961,408685,PCN208,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,6,Retail,0,1,0,6200.0,6.78,6206.78,149.0,5814.57,243.21,248.0,175.6667,0,0,0,0,2021-09-28
RX0000009524,MBR00000258,2021-11-24,2021-11-26,1289613484,1919462144,PLN9945,499212,PCN287,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,85,3,Retail,0,0,0,27.0,3.23,30.23,9.0,20.29,0.94,0.36,0.255,0,0,0,0,2022-02-22
RX0000009525,MBR00000258,2022-02-09,2022-02-11,1923611420,1598633334,PLN4437,897177,PCN884,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,57,3,Retail,0,0,0,28.0,9.47,37.47,7.0,29.18,1.29,0.56,0.3967,0,0,0,0,2022-04-10
RX0000009526,MBR00000258,2022-02-23,2022-02-27,1151760013,1432878686,PLN5647,625039,PCN443,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,92,10,Retail,0,0,0,1440.0,8.04,1448.04,40.0,1314.74,93.3,19.2,13.6,0,0,0,0,2022-05-24
RX0000009527,MBR00000258,2021-07-24,2021-07-27,1589049274,1570772168,PLN9409,444305,PCN187,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,83,6,Retail,0,0,0,36.0,2.72,38.72,9.0,27.51,2.21,0.48,0.34,0,0,0,0,2021-10-22
RX0000009528,MBR00000259,2021-02-11,2021-02-12,1997571855,1115667758,PLN8032,154796,PCN472,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,6,Mail Order,0,0,0,15.0,9.72,24.72,4.0,19.52,1.2,0.6,0.425,0,0,0,0,2021-03-13
RX0000009529,MBR00000259,2022-07-22,2022-07-25,1784269467,1736978747,PLN9493,613224,PCN704,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,11,Retail,1,1,0,8.0,3.33,11.33,152.0,0.0,0.76,0.32,0.2267,0,0,0,0,2022-08-21
RX0000009530,MBR00000259,2023-05-18,2023-05-22,1143672050,1418781905,PLN7847,128986,PCN531,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,3,Mail Order,0,0,0,320.0,2.28,322.28,31.0,271.62,19.66,12.8,9.0667,0,0,0,0,2023-06-17
RX0000009531,MBR00000259,2021-03-12,2021-03-16,1728097330,1865864807,PLN4252,708106,PCN158,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,2,Retail,0,0,0,750.0,11.51,761.51,34.0,692.12,35.39,30.0,21.25,0,0,0,0,2021-04-11
RX0000009532,MBR00000259,2021-07-13,2021-07-16,1921967682,1217614669,PLN2124,774921,PCN210,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,7,Retail,0,0,0,3.27,10.75,14.02,3.0,10.31,0.71,0.56,0.3967,0,0,0,0,2021-07-20
RX0000009533,MBR00000259,2021-04-04,2021-04-05,1753075197,1902529616,PLN2523,612468,PCN618,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,2,Retail,0,0,0,3.73,10.86,14.6,4.0,10.04,0.56,0.64,0.4533,0,0,0,0,2021-04-11
RX0000009534,MBR00000259,2022-08-23,2022-08-24,1260789126,1775453202,PLN2269,504074,PCN910,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,2,Retail,0,0,0,650.0,7.59,657.59,36.0,576.5,45.09,26.0,18.4167,0,0,0,0,2022-09-22
RX0000009535,MBR00000259,2023-02-02,2023-02-05,1692566567,1338454462,PLN2531,534512,PCN773,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,93,8,Retail,0,0,0,25.5,10.11,35.61,8.0,25.2,2.41,0.34,0.2408,0,0,0,0,2023-05-03
RX0000009536,MBR00000259,2023-05-22,2023-05-24,1350792864,1571165523,PLN8530,582333,PCN962,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,4,Retail,0,0,0,28.0,10.62,38.62,0.0,36.68,1.94,1.12,0.7933,0,0,0,0,2023-06-21
RX0000009537,MBR00000259,2023-01-05,2023-01-06,1926444975,1874658538,PLN2026,559567,PCN247,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,0,Mail Order,0,0,0,10.0,4.42,14.42,8.0,5.57,0.85,0.4,0.2833,0,0,0,0,2023-02-04
RX0000009538,MBR00000259,2022-08-14,2022-08-15,1970275761,1569127109,PLN4347,109390,PCN698,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,92,2,Specialty,0,0,0,135.0,42.61,177.61,2.0,175.61,0.0,1.8,1.275,0,0,0,0,2022-11-12
RX0000009539,MBR00000259,2023-08-01,2023-08-02,1579025179,1390294252,PLN4172,551284,PCN972,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,4,Mail Order,0,0,0,3.5,3.24,6.74,3.0,3.27,0.47,0.6,0.425,0,0,0,0,2023-08-08
RX0000009540,MBR00000259,2022-07-20,2022-07-23,1105012969,1244356537,PLN3938,484780,PCN315,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,1,Retail,0,0,0,9.0,4.28,13.28,5.0,7.6,0.68,0.36,0.255,0,0,0,0,2022-08-19
RX0000009541,MBR00000260,2022-05-13,2022-05-16,1866621303,1303904177,PLN2910,524478,PCN844,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,92,0,Retail,0,0,0,135.0,4.8,139.8,6.0,126.26,7.54,1.8,1.275,0,0,0,0,2022-08-11
RX0000009542,MBR00000260,2023-09-09,2023-09-11,1734337809,1929809457,PLN5448,547773,PCN196,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,98,4,Mail Order,0,0,0,45.0,9.15,54.15,4.0,46.62,3.53,0.6,0.425,0,0,0,0,2023-12-08
RX0000009543,MBR00000260,2022-11-16,2022-11-20,1500615510,1844000988,PLN5495,776441,PCN498,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,83,2,Retail,0,0,0,42.0,3.3,45.3,6.0,36.65,2.65,0.56,0.3967,0,0,0,0,2023-02-14
RX0000009544,MBR00000260,2023-09-03,2023-09-04,1189240025,1662264369,PLN5300,846244,PCN512,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,0,Retail,3,0,0,16.0,6.75,22.75,1.0,20.87,0.88,0.64,0.4533,0,0,0,0,2023-10-03
RX0000009545,MBR00000260,2021-04-12,2021-04-14,1920892893,1946594702,PLN5084,544361,PCN135,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,2,Retail,0,0,0,11.0,6.33,17.33,4.0,12.24,1.09,0.44,0.3117,0,0,0,0,2021-05-12
RX0000009546,MBR00000260,2022-01-08,2022-01-10,1204201029,1327372294,PLN3145,846201,PCN988,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,1,Retail,0,0,0,750.0,10.3,760.3,32.0,677.98,50.32,30.0,21.25,0,1,1,0,2022-02-07
RX0000009547,MBR00000260,2021-03-14,2021-03-18,1903766092,1696100369,PLN3176,132211,PCN439,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,10,Retail,0,0,0,15.0,11.24,26.24,5.0,19.45,1.79,0.6,0.425,0,0,0,0,2021-04-13
RX0000009548,MBR00000260,2023-03-14,2023-03-17,1758409805,1860648073,PLN4542,778064,PCN950,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,3,Mail Order,0,0,0,310.0,1.72,311.72,33.0,264.21,14.51,12.4,8.7833,0,0,0,0,2023-04-13
RX0000009549,MBR00000260,2022-08-13,2022-08-14,1463746040,1747898161,PLN6957,161742,PCN725,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,7,Retail,0,0,0,480.0,8.63,488.63,40.0,415.11,33.52,19.2,13.6,0,0,0,0,2022-09-12
RX0000009550,MBR00000260,2022-03-26,2022-03-27,1599914493,1971656641,PLN9374,526657,PCN192,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,10,Retail,0,1,0,2800.0,11.78,2811.78,155.0,2496.79,159.99,112.0,79.3333,0,0,0,0,2022-04-25
RX0000009551,MBR00000260,2022-03-11,2022-03-15,1624120362,1529656896,PLN5987,572207,PCN616,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,0,Mail Order,0,0,0,86.33,4.87,91.2,30.0,57.2,4.0,14.8,10.4833,0,0,0,0,2022-03-18
RX0000009552,MBR00000260,2022-03-11,2022-03-13,1322116777,1959229000,PLN6716,971023,PCN351,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,7,Retail,0,0,0,18.0,10.8,28.8,8.0,18.81,1.99,0.72,0.51,0,0,0,0,2022-04-10
RX0000009553,MBR00000260,2023-05-09,2023-05-11,1120817596,1654435183,PLN4145,776898,PCN569,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,5,Retail,0,0,0,480.0,8.28,488.28,32.0,423.46,32.82,19.2,13.6,0,0,0,0,2023-06-08
RX0000009554,MBR00000260,2022-10-04,2022-10-08,1660870311,1847064995,PLN4936,237953,PCN984,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,2,Mail Order,3,0,0,28.0,8.04,36.04,6.0,28.94,1.1,1.12,0.7933,0,0,0,0,2022-11-03
RX0000009555,MBR00000260,2023-02-19,2023-02-20,1653223699,1852189969,PLN9180,939017,PCN332,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,11,Retail,0,0,0,11.0,7.07,18.07,8.0,8.84,1.23,0.44,0.3117,0,0,0,0,2023-03-21
RX0000009556,MBR00000260,2022-05-16,2022-05-19,1432690096,1320913367,PLN9333,208504,PCN750,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,3,Mail Order,2,1,0,6200.0,11.99,6211.99,149.0,5782.73,280.26,248.0,175.6667,1,0,0,0,2022-06-15
RX0000009557,MBR00000260,2023-10-23,2023-10-27,1338178563,1681426895,PLN9990,921753,PCN926,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,8,LTC,2,0,0,14.0,4.6,18.6,9.0,8.82,0.78,0.56,0.3967,0,0,0,0,2023-11-22
RX0000009558,MBR00000260,2023-09-04,2023-09-05,1343013392,1674563344,PLN3510,998660,PCN954,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,9,Retail,0,0,0,285.0,9.15,294.15,35.0,242.18,16.97,11.4,8.075,0,0,0,0,2023-10-04
RX0000009559,MBR00000260,2023-10-11,2023-10-12,1928493217,1307413040,PLN9648,933788,PCN172,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,2,Retail,0,0,0,380.0,10.5,390.5,35.0,341.57,13.93,15.2,10.7667,0,0,0,0,2023-11-10
RX0000009560,MBR00000260,2022-09-07,2022-09-08,1487498286,1430175381,PLN2967,987617,PCN951,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,11,Retail,0,0,0,22.0,8.25,30.25,75.0,0.0,1.91,0.88,0.6233,0,0,0,0,2022-10-07
RX0000009561,MBR00000260,2021-05-27,2021-05-28,1639884892,1670770208,PLN2317,146862,PCN823,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,10,Retail,0,1,0,8500.0,3.53,8503.53,155.0,7946.86,401.67,340.0,240.8333,0,0,0,0,2021-06-26
RX0000009562,MBR00000260,2022-02-16,2022-02-19,1757074888,1115357950,PLN8454,688365,PCN828,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,0,Retail,0,0,0,38.0,3.89,41.89,6.0,33.95,1.94,1.52,1.0767,0,0,0,0,2022-03-18
RX0000009563,MBR00000260,2021-09-23,2021-09-26,1369368964,1367734321,PLN1549,879274,PCN569,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,1,Retail,0,0,0,9.0,5.34,14.34,2.0,11.7,0.64,0.36,0.255,0,0,0,0,2021-10-23
RX0000009564,MBR00000260,2023-01-18,2023-01-21,1431801503,1660477690,PLN4895,520271,PCN177,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,94,11,Mail Order,0,0,0,45.0,3.38,48.38,6.0,40.72,1.66,0.6,0.425,1,0,0,0,2023-04-18
RX0000009565,MBR00000260,2021-11-15,2021-11-18,1131326219,1847714780,PLN4238,415328,PCN936,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,3,Mail Order,0,0,0,22.0,2.78,24.78,1.0,22.58,1.2,0.88,0.6233,0,0,0,0,2021-12-15
RX0000009566,MBR00000260,2022-12-30,2023-01-01,1256769507,1307841592,PLN4192,846083,PCN229,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,11,Retail,0,1,0,2800.0,4.5,2804.5,149.0,2475.79,179.71,112.0,79.3333,0,0,0,0,2023-01-29
RX0000009567,MBR00000260,2022-09-01,2022-09-04,1281563717,1936996895,PLN8415,256510,PCN854,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,89,0,Retail,3,0,0,990.0,8.22,998.22,30.0,927.8,40.42,13.2,9.35,0,0,0,0,2022-11-30
RX0000009568,MBR00000260,2023-11-07,2023-11-11,1503144451,1931260503,PLN9488,610455,PCN919,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,98,9,Retail,0,0,0,135.0,2.22,137.22,10.0,119.33,7.89,1.8,1.275,0,0,0,0,2024-02-05
RX0000009569,MBR00000260,2022-02-26,2022-02-27,1486260957,1122811001,PLN7162,446339,PCN617,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,10,Mail Order,0,0,0,7.5,11.62,19.12,5.0,12.9,1.22,0.3,0.2125,0,0,0,0,2022-03-28
RX0000009570,MBR00000260,2023-01-04,2023-01-05,1464153953,1708377302,PLN2340,322190,PCN771,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,58,9,Mail Order,0,0,0,44.0,5.57,49.57,71.0,0.0,2.92,0.88,0.6233,0,0,0,0,2023-03-05
RX0000009571,MBR00000260,2023-01-06,2023-01-09,1739647033,1452868547,PLN5170,713410,PCN960,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,56,10,Retail,0,0,0,130.0,2.84,132.84,31.0,94.28,7.56,2.6,1.8417,0,0,0,0,2023-03-07
RX0000009572,MBR00000260,2023-08-27,2023-08-30,1902097037,1471924459,PLN2153,151369,PCN880,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,0,Mail Order,0,0,0,18.0,4.92,22.92,5.0,16.62,1.3,0.72,0.51,0,0,0,0,2023-09-26
RX0000009573,MBR00000260,2023-11-08,2023-11-10,1302090365,1362627186,PLN1291,846982,PCN648,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,98,7,Retail,0,0,0,195.0,8.57,203.57,38.0,156.48,9.09,2.6,1.8417,0,0,0,0,2024-02-06
RX0000009574,MBR00000260,2022-09-04,2022-09-05,1850720627,1919456964,PLN1750,879838,PCN720,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,88,5,Mail Order,0,0,0,45.0,5.99,50.99,3.0,45.64,2.35,0.6,0.425,0,0,0,0,2022-12-03
RX0000009575,MBR00000260,2021-08-05,2021-08-08,1678276729,1390379514,PLN2013,455520,PCN470,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,4,Mail Order,0,0,0,480.0,5.65,485.65,37.0,430.23,18.42,19.2,13.6,0,0,0,0,2021-09-04
RX0000009576,MBR00000260,2021-08-11,2021-08-14,1664533576,1810912259,PLN7740,565887,PCN142,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,3,Retail,0,1,0,8.0,5.13,13.13,145.0,0.0,0.65,0.32,0.2267,0,0,0,0,2021-09-10
RX0000009577,MBR00000260,2022-09-21,2022-09-24,1748029559,1633340854,PLN6603,401451,PCN439,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,55,3,Mail Order,3,0,0,30.0,1.8,31.8,9.0,20.75,2.05,0.6,0.425,0,0,0,0,2022-11-20
RX0000009578,MBR00000260,2021-02-17,2021-02-18,1897622854,1475452802,PLN8285,252055,PCN901,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,3,Mail Order,0,0,0,18.0,6.99,24.99,8.0,16.01,0.98,0.72,0.51,0,0,0,0,2021-03-19
RX0000009579,MBR00000260,2021-06-05,2021-06-06,1225787554,1952355238,PLN2203,153510,PCN647,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,7,Retail,0,0,1,12.0,3.19,15.19,1.0,13.5,0.69,0.48,0.34,0,0,0,0,2021-07-05
RX0000009580,MBR00000261,2022-06-17,2022-06-21,1106715531,1777857952,PLN5428,779497,PCN845,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,88,9,Mail Order,0,0,0,54.0,4.88,58.88,4.0,51.97,2.91,0.72,0.51,0,0,0,0,2022-09-15
RX0000009581,MBR00000261,2022-11-06,2022-11-08,1631529550,1183532718,PLN1816,122217,PCN827,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,91,3,Retail,0,0,0,45.0,2.94,47.94,5.0,39.72,3.22,0.6,0.425,0,0,0,0,2023-02-04
RX0000009582,MBR00000261,2022-01-28,2022-02-01,1480311726,1493650714,PLN6738,398648,PCN361,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,63,4,Mail Order,0,0,0,20.0,4.16,24.16,8.0,14.84,1.32,0.4,0.2833,0,0,0,0,2022-03-29
RX0000009583,MBR00000261,2023-02-06,2023-02-09,1429762213,1706522648,PLN1779,893581,PCN224,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,98,0,Retail,0,0,0,930.0,5.14,935.14,31.0,859.0,45.14,12.4,8.7833,0,0,0,0,2023-05-07
RX0000009584,MBR00000261,2023-03-01,2023-03-05,1451616573,1833438414,PLN3685,527677,PCN603,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,10,Retail,0,0,0,320.0,3.95,323.95,39.0,274.61,10.34,12.8,9.0667,0,0,0,0,2023-03-31
RX0000009585,MBR00000261,2023-05-20,2023-05-22,1632260708,1695710601,PLN7639,239858,PCN752,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,9,Mail Order,0,0,0,185.0,5.5,190.5,36.0,143.07,11.43,7.4,5.2417,0,0,0,0,2023-06-19
RX0000009586,MBR00000261,2022-12-24,2022-12-28,1422512417,1732499373,PLN4970,697514,PCN188,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,11,Retail,0,0,0,45.0,11.63,56.63,7.0,45.94,3.69,1.8,1.275,0,1,0,0,2023-01-23
RX0000009587,MBR00000261,2022-04-05,2022-04-06,1121967488,1372297653,PLN6044,293392,PCN356,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,7,Retail,2,0,0,38.0,10.16,48.16,33.0,13.09,2.07,1.52,1.0767,0,0,0,0,2022-05-05
RX0000009588,MBR00000261,2021-10-31,2021-11-03,1905512370,1312490679,PLN1960,585515,PCN671,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,90,3,Retail,0,0,0,42.0,5.91,47.91,9.0,36.25,2.66,0.56,0.3967,0,0,0,0,2022-01-29
RX0000009589,MBR00000261,2021-04-16,2021-04-18,1513397497,1342093706,PLN8289,539298,PCN703,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,11,Retail,0,0,0,2.92,6.48,9.4,10.0,0.0,0.43,0.5,0.3542,0,0,0,0,2021-04-23
RX0000009590,MBR00000261,2023-08-08,2023-08-12,1538083633,1210522130,PLN9381,450517,PCN376,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,0,Retail,0,1,0,1446.67,3.5,1450.17,146.0,1223.23,80.94,248.0,175.6667,0,0,0,0,2023-08-15
RX0000009591,MBR00000261,2021-07-04,2021-07-06,1909883768,1345800906,PLN5571,986818,PCN451,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,3,Retail,0,0,0,11.0,6.7,17.7,6.0,10.68,1.02,0.44,0.3117,1,0,0,0,2021-08-03
RX0000009592,MBR00000261,2023-06-24,2023-06-25,1866314170,1296403805,PLN6195,189639,PCN562,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,2,Retail,3,0,0,45.0,10.8,55.8,3.0,50.41,2.39,1.8,1.275,0,0,0,0,2023-07-24
RX0000009593,MBR00000261,2022-08-14,2022-08-18,1252603148,1593066116,PLN8459,616260,PCN851,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,10,Retail,0,0,0,4.2,6.55,10.75,5.0,5.18,0.57,0.72,0.51,0,0,0,0,2022-08-21
RX0000009594,MBR00000261,2023-05-30,2023-06-02,1466766496,1214738087,PLN8849,524731,PCN745,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,4,Retail,0,0,0,14.0,9.46,23.46,5.0,17.29,1.17,0.56,0.3967,0,0,0,0,2023-06-29
RX0000009595,MBR00000261,2022-09-21,2022-09-22,1473843930,1582400668,PLN5109,601858,PCN907,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,88,5,Retail,3,0,0,33.0,10.62,43.62,1.0,40.96,1.66,0.44,0.3117,0,0,0,0,2022-12-20
RX0000009596,MBR00000261,2021-10-15,2021-10-18,1215926920,1511566915,PLN6092,746354,PCN573,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,5,Retail,0,0,0,42.0,7.48,49.48,9.0,37.83,2.65,0.56,0.3967,0,0,0,0,2022-01-13
RX0000009597,MBR00000262,2021-05-23,2021-05-25,1792508002,1872302950,PLN9323,577841,PCN561,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,10,Mail Order,0,0,0,10.0,1.85,11.85,2.0,9.35,0.5,0.4,0.2833,0,0,0,0,2021-06-22
RX0000009598,MBR00000262,2021-05-16,2021-05-18,1334409274,1493064313,PLN6987,949857,PCN496,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,10,Mail Order,3,0,0,310.0,1.79,311.79,32.0,262.77,17.02,12.4,8.7833,0,0,0,0,2021-06-15
RX0000009599,MBR00000262,2022-10-01,2022-10-04,1610935424,1170158461,PLN6153,577845,PCN640,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,5,Retail,0,0,0,310.0,6.68,316.68,40.0,255.9,20.78,12.4,8.7833,0,0,0,0,2022-10-31
RX0000009600,MBR00000262,2023-05-13,2023-05-14,1784048093,1729460604,PLN8751,975920,PCN659,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,11,Mail Order,0,0,0,10.0,8.13,18.13,1.0,16.19,0.94,0.4,0.2833,0,0,0,0,2023-06-12
RX0000009601,MBR00000262,2023-04-13,2023-04-14,1609678955,1562594714,PLN6784,740061,PCN561,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,1,Retail,0,0,0,285.0,3.16,288.16,39.0,237.77,11.39,11.4,8.075,0,0,0,0,2023-05-13
RX0000009602,MBR00000262,2023-11-18,2023-11-19,1451149793,1358053054,PLN6327,599044,PCN227,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,65,5,Retail,0,0,0,90.0,7.28,97.28,7.0,84.11,6.17,1.8,1.275,0,0,0,0,2024-01-17
RX0000009603,MBR00000262,2022-05-31,2022-06-03,1746822680,1519605615,PLN8318,803126,PCN560,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,5,Mail Order,2,0,0,22.0,8.67,30.67,2.0,26.74,1.93,0.88,0.6233,0,0,0,0,2022-06-30
RX0000009604,MBR00000262,2021-06-27,2021-07-01,1722640564,1820304953,PLN2477,391638,PCN755,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,86,8,Mail Order,0,0,0,45.0,5.79,50.79,6.0,42.32,2.47,0.6,0.425,0,0,0,0,2021-09-25
RX0000009605,MBR00000262,2021-11-13,2021-11-15,1774985447,1985715581,PLN3922,717699,PCN895,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,0,Retail,0,0,0,9.0,1.95,10.95,2.0,8.31,0.64,0.36,0.255,0,0,0,0,2021-12-13
RX0000009606,MBR00000262,2022-03-02,2022-03-05,1570678398,1712652600,PLN8544,431733,PCN256,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,62,2,Mail Order,0,0,0,44.0,8.17,52.17,1.0,49.55,1.62,0.88,0.6233,0,0,0,0,2022-05-01
RX0000009607,MBR00000262,2023-01-09,2023-01-13,1391140450,1731586727,PLN1996,379388,PCN664,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,7,Retail,0,0,0,14.0,7.42,21.42,0.0,20.14,1.28,0.56,0.3967,0,0,0,0,2023-02-08
RX0000009608,MBR00000262,2021-05-18,2021-05-22,1843014280,1517520893,PLN3319,404180,PCN697,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,3,Retail,0,0,0,22.0,4.63,26.63,75.0,0.0,1.05,0.88,0.6233,0,0,0,0,2021-06-17
RX0000009609,MBR00000262,2023-12-19,2023-12-23,1505009243,1971488163,PLN7743,281039,PCN525,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,6,Retail,0,0,0,380.0,10.97,390.97,31.0,337.39,22.58,15.2,10.7667,0,0,0,0,2024-01-18
RX0000009610,MBR00000262,2021-11-05,2021-11-09,1952827850,1314471463,PLN6357,598450,PCN661,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,4,Retail,0,0,0,27.0,4.4,31.4,6.0,23.39,2.01,0.36,0.255,0,0,0,0,2022-02-03
RX0000009611,MBR00000262,2023-12-17,2023-12-20,1598456453,1605818615,PLN3064,316758,PCN385,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,8,Mail Order,0,0,0,2.57,6.17,8.74,4.0,4.42,0.32,0.44,0.3117,0,0,0,0,2023-12-24
RX0000009612,MBR00000262,2021-04-12,2021-04-14,1392633080,1446611840,PLN5671,365791,PCN902,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,96,1,Retail,0,0,0,960.0,11.11,971.11,37.0,902.05,32.06,12.8,9.0667,0,0,0,0,2021-07-11
RX0000009613,MBR00000262,2022-07-14,2022-07-15,1138753550,1700190620,PLN6372,798387,PCN912,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,61,10,Retail,0,0,0,1500.0,9.0,1509.0,38.0,1384.23,86.77,30.0,21.25,0,1,1,0,2022-09-12
RX0000009614,MBR00000262,2023-01-12,2023-01-13,1850242765,1521626087,PLN4873,899912,PCN971,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,5,Mail Order,3,0,0,8.87,3.45,12.31,10.0,1.49,0.82,1.52,1.0767,0,0,0,0,2023-01-19
RX0000009615,MBR00000262,2022-04-23,2022-04-26,1300351617,1237714209,PLN6022,202326,PCN890,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,3,Retail,0,0,1,9.0,4.91,13.91,5.0,8.39,0.52,0.36,0.255,0,0,0,0,2022-05-23
RX0000009616,MBR00000262,2022-09-23,2022-09-25,1471176991,1105966117,PLN2331,622996,PCN524,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,89,5,Retail,0,0,0,27.0,4.41,31.41,9.0,20.24,2.17,0.36,0.255,0,0,0,0,2022-12-22
RX0000009617,MBR00000262,2021-11-11,2021-11-14,1508817286,1849188457,PLN8806,620210,PCN731,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,2,Mail Order,0,0,0,310.0,9.21,319.21,31.0,274.9,13.31,12.4,8.7833,0,0,0,0,2021-12-11
RX0000009618,MBR00000262,2021-03-14,2021-03-18,1489285155,1223819555,PLN5135,298517,PCN678,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,4,Specialty,0,0,0,11.0,9.43,20.43,7.0,13.43,0.0,0.44,0.3117,0,0,0,0,2021-04-13
RX0000009619,MBR00000262,2022-02-19,2022-02-21,1827902973,1544996320,PLN5686,404813,PCN516,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,0,Retail,0,0,0,950.0,1.72,951.72,36.0,869.18,46.54,38.0,26.9167,0,0,0,0,2022-03-21
RX0000009620,MBR00000262,2022-06-18,2022-06-22,1421720417,1469142968,PLN9736,728335,PCN771,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,62,7,Retail,0,1,0,24.0,5.53,29.53,148.0,0.0,0.98,0.48,0.34,0,0,0,0,2022-08-17
RX0000009621,MBR00000262,2023-03-28,2023-04-01,1893723311,1535708492,PLN3426,224119,PCN992,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,10,Mail Order,0,0,0,12.5,5.14,17.64,1.0,15.93,0.71,0.5,0.3542,0,0,0,0,2023-04-27
RX0000009622,MBR00000262,2023-08-02,2023-08-06,1315367054,1389726973,PLN3968,961193,PCN606,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,94,9,Specialty,0,0,0,54.0,12.6,66.6,3.0,63.6,0.0,0.72,0.51,0,0,0,0,2023-10-31
RX0000009623,MBR00000262,2023-03-04,2023-03-06,1609260740,1748320084,PLN6381,357512,PCN311,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,1,Retail,3,0,0,16.0,8.37,24.37,0.0,23.63,0.74,0.64,0.4533,0,0,0,0,2023-04-03
RX0000009624,MBR00000262,2022-02-08,2022-02-12,1885081836,1311747719,PLN4353,473439,PCN262,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,5,Retail,0,0,0,22.0,1.9,23.9,6.0,16.94,0.96,0.88,0.6233,0,0,0,0,2022-03-10
RX0000009625,MBR00000262,2021-12-07,2021-12-10,1196114441,1648019789,PLN6794,339958,PCN136,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,10,Mail Order,0,0,0,38.0,3.76,41.76,39.0,0.0,2.92,1.52,1.0767,0,0,0,0,2022-01-06
RX0000009626,MBR00000262,2023-12-11,2023-12-14,1482078363,1490724638,PLN7795,910555,PCN133,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,1,Retail,0,0,0,12.0,11.42,23.42,4.0,17.78,1.64,0.48,0.34,0,0,0,0,2024-01-10
RX0000009627,MBR00000262,2021-08-28,2021-08-31,1809227261,1671487902,PLN9706,866808,PCN553,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,6,Retail,0,1,0,6200.0,6.07,6206.07,146.0,5864.75,195.32,248.0,175.6667,0,0,0,0,2021-09-27
RX0000009628,MBR00000262,2023-08-30,2023-09-01,1382575911,1394458438,PLN5641,797204,PCN127,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,85,7,Mail Order,0,0,0,27.0,11.43,38.43,8.0,28.4,2.03,0.36,0.255,0,0,0,0,2023-11-28
RX0000009629,MBR00000262,2022-09-10,2022-09-13,1490798252,1545823581,PLN8628,306523,PCN147,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,10,Retail,0,0,0,22.0,4.99,26.99,72.0,0.0,1.33,0.88,0.6233,0,0,0,0,2022-10-10
RX0000009630,MBR00000262,2021-03-10,2021-03-11,1521163385,1112236457,PLN6088,642975,PCN909,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,8,Retail,3,0,0,8.5,3.34,11.84,6.0,5.34,0.5,0.34,0.2408,0,0,0,0,2021-04-09
RX0000009631,MBR00000262,2021-07-21,2021-07-24,1812761557,1498161243,PLN2512,822622,PCN756,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,8,Retail,0,0,0,4.2,11.9,16.1,33.0,0.0,0.98,0.72,0.51,0,0,0,0,2021-07-28
RX0000009632,MBR00000262,2023-09-28,2023-09-30,1249533128,1778771671,PLN1373,380631,PCN685,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,2,Retail,0,1,0,8500.0,7.22,8507.22,153.0,7765.79,588.43,340.0,240.8333,0,0,0,0,2023-10-28
RX0000009633,MBR00000262,2021-10-10,2021-10-11,1357472158,1190957624,PLN3304,549043,PCN479,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,9,Retail,0,0,0,9.0,10.49,19.49,1.0,17.21,1.28,0.36,0.255,0,0,0,0,2021-11-09
RX0000009634,MBR00000262,2022-03-18,2022-03-21,1133123956,1741943212,PLN2767,722393,PCN803,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,63,9,Retail,0,0,0,620.0,10.02,630.02,34.0,571.75,24.27,12.4,8.7833,0,0,0,0,2022-05-17
RX0000009635,MBR00000262,2021-10-25,2021-10-29,1232226787,1410595873,PLN5873,743812,PCN255,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,0,Retail,0,0,0,320.0,10.83,330.83,40.0,275.83,15.0,12.8,9.0667,0,0,0,0,2021-11-24
RX0000009636,MBR00000262,2021-07-11,2021-07-12,1966025713,1694717323,PLN6337,766892,PCN588,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,7,Retail,0,0,0,950.0,3.43,953.43,38.0,858.81,56.62,38.0,26.9167,0,0,0,0,2021-08-10
RX0000009637,MBR00000262,2023-02-05,2023-02-07,1869524401,1999744730,PLN1188,490749,PCN135,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,91,6,Mail Order,0,0,0,48.0,10.14,58.14,3.0,51.29,3.85,0.64,0.4533,0,0,0,0,2023-05-06
RX0000009638,MBR00000262,2021-07-02,2021-07-05,1526834469,1117836715,PLN1891,336532,PCN788,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,9,Mail Order,0,0,0,14.0,10.56,24.56,0.0,23.03,1.53,0.56,0.3967,0,0,0,0,2021-08-01
RX0000009639,MBR00000262,2022-07-15,2022-07-19,1486744038,1479166211,PLN4891,937189,PCN835,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,7,Mail Order,1,0,0,175.0,3.64,178.64,40.0,127.63,11.01,7.0,4.9583,0,0,0,0,2022-08-14
RX0000009640,MBR00000262,2023-01-23,2023-01-26,1756159970,1232966592,PLN3389,857527,PCN194,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,82,10,Retail,0,0,0,555.0,7.77,562.77,37.0,499.88,25.89,7.4,5.2417,0,0,0,0,2023-04-23
RX0000009641,MBR00000262,2023-06-16,2023-06-17,1210414519,1695180558,PLN1724,764438,PCN409,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,7,Retail,0,0,1,12.0,10.46,22.46,1.0,20.36,1.1,0.48,0.34,0,0,0,0,2023-07-16
RX0000009642,MBR00000262,2021-01-16,2021-01-20,1519571213,1352783379,PLN7624,115214,PCN104,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,7,Retail,0,0,0,9.0,3.25,12.25,9.0,2.67,0.58,0.36,0.255,0,0,0,0,2021-02-15
RX0000009643,MBR00000262,2022-11-24,2022-11-26,1460132569,1798709719,PLN8290,915712,PCN771,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,57,4,Retail,0,0,0,960.0,8.94,968.94,34.0,874.49,60.45,19.2,13.6,0,0,0,0,2023-01-23
RX0000009644,MBR00000262,2023-04-09,2023-04-11,1956280464,1919842891,PLN6942,410228,PCN646,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,2,Retail,0,0,0,15.0,2.25,17.25,7.0,9.19,1.06,0.6,0.425,0,0,0,0,2023-05-09
RX0000009645,MBR00000262,2023-05-29,2023-06-02,1683401806,1166833016,PLN6232,978932,PCN855,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,5,Retail,0,0,0,28.0,9.87,37.87,2.0,34.64,1.23,1.12,0.7933,0,0,0,0,2023-06-28
RX0000009646,MBR00000263,2023-05-30,2023-06-02,1870270174,1829068259,PLN9699,626549,PCN178,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,7,Retail,0,0,0,12.5,7.93,20.43,10.0,9.25,1.18,0.5,0.3542,1,1,0,0,2023-06-29
RX0000009647,MBR00000263,2021-03-24,2021-03-28,1202136855,1234471625,PLN1203,179928,PCN384,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,85,0,Retail,0,0,0,2250.0,1.78,2251.78,36.0,2098.33,117.45,30.0,21.25,0,0,0,0,2021-06-22
RX0000009648,MBR00000263,2022-05-07,2022-05-10,1802271903,1721913704,PLN5288,159564,PCN270,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,5,Retail,0,0,0,54.0,8.19,62.19,1.0,56.87,4.32,0.72,0.51,0,0,0,0,2022-08-05
RX0000009649,MBR00000263,2022-09-30,2022-10-04,1372527665,1679114302,PLN2880,301767,PCN181,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,2,Retail,0,0,0,6.53,8.37,14.9,10.0,4.07,0.83,1.12,0.7933,0,0,0,0,2022-10-07
RX0000009650,MBR00000263,2023-04-08,2023-04-12,1735762198,1388351545,PLN6959,298085,PCN522,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,7,Retail,0,1,0,2.8,2.0,4.8,145.0,0.0,0.16,0.48,0.34,0,0,0,0,2023-04-15
RX0000009651,MBR00000263,2022-09-27,2022-09-29,1155903531,1670475484,PLN2762,541303,PCN833,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,2,Specialty,0,1,0,12.0,11.38,23.38,148.0,0.0,0.0,0.48,0.34,0,0,0,0,2022-10-27
RX0000009652,MBR00000263,2023-02-24,2023-02-25,1863201176,1336104413,PLN1503,973745,PCN633,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,2,Mail Order,0,1,0,653.33,1.68,655.01,154.0,480.09,20.92,112.0,79.3333,0,0,0,0,2023-03-03
RX0000009653,MBR00000263,2023-08-14,2023-08-15,1270147916,1454716388,PLN8623,319319,PCN844,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,4,Mail Order,0,0,0,9.0,9.11,18.11,2.0,15.52,0.59,0.36,0.255,0,0,0,0,2023-09-13
RX0000009654,MBR00000263,2023-05-04,2023-05-07,1144040446,1404391148,PLN7239,330493,PCN796,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,6,Mail Order,0,0,0,10.5,2.37,12.87,0.0,12.28,0.59,1.8,1.275,0,0,0,0,2023-05-11
RX0000009655,MBR00000263,2022-06-19,2022-06-20,1104877199,1966274867,PLN9514,485013,PCN929,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,3,Retail,0,1,0,2800.0,8.47,2808.47,149.0,2477.45,182.02,112.0,79.3333,0,0,0,0,2022-07-19
RX0000009656,MBR00000263,2023-07-24,2023-07-27,1396475882,1186097871,PLN3365,157495,PCN767,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,1,Mail Order,0,0,0,10.0,9.1,19.1,5.0,13.18,0.92,0.4,0.2833,0,0,0,0,2023-08-23
RX0000009657,MBR00000263,2021-08-10,2021-08-14,1234846146,1342041128,PLN9730,861752,PCN534,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,10,Specialty,1,0,0,12.5,19.32,31.82,4.0,27.82,0.0,0.5,0.3542,1,0,0,0,2021-09-09
RX0000009658,MBR00000263,2022-02-08,2022-02-12,1523206915,1641866232,PLN9016,402792,PCN139,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,1,Retail,2,0,0,38.0,7.65,45.65,3.0,40.42,2.23,1.52,1.0767,0,0,0,0,2022-03-10
RX0000009659,MBR00000263,2021-08-14,2021-08-16,1295204318,1683708907,PLN4889,446454,PCN261,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,7,Retail,0,1,0,8500.0,6.48,8506.48,154.0,7828.3,524.18,340.0,240.8333,0,0,0,0,2021-09-13
RX0000009660,MBR00000263,2022-06-23,2022-06-27,1130300794,1384657392,PLN3846,356000,PCN277,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,58,5,Retail,0,0,0,24.0,10.67,34.67,7.0,25.91,1.76,0.48,0.34,0,0,0,0,2022-08-22
RX0000009661,MBR00000263,2023-07-03,2023-07-04,1275563817,1455170914,PLN7600,807771,PCN866,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,3,Retail,0,1,0,2.8,1.95,4.75,145.0,0.0,0.26,0.48,0.34,1,0,0,0,2023-07-10
RX0000009662,MBR00000263,2022-01-27,2022-01-28,1811047681,1666152934,PLN1374,940595,PCN819,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,57,3,Mail Order,1,0,0,24.0,9.63,33.63,10.0,21.58,2.05,0.48,0.34,0,0,0,0,2022-03-28
RX0000009663,MBR00000263,2021-02-26,2021-03-02,1301358009,1893817637,PLN6514,840158,PCN237,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,81,0,Retail,2,0,0,54.0,7.96,61.96,5.0,54.91,2.05,0.72,0.51,0,0,0,0,2021-05-27
RX0000009664,MBR00000263,2022-05-20,2022-05-23,1384075959,1219198737,PLN7657,942878,PCN364,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,85,0,Retail,0,0,0,990.0,3.04,993.04,34.0,918.01,41.03,13.2,9.35,0,0,0,0,2022-08-18
RX0000009665,MBR00000263,2023-01-30,2023-01-31,1511850300,1682589053,PLN9514,354173,PCN347,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,11,Retail,0,1,0,12.0,11.33,23.33,147.0,0.0,1.12,0.48,0.34,1,0,0,0,2023-03-01
RX0000009666,MBR00000263,2021-03-29,2021-04-01,1471391583,1376512873,PLN2849,394848,PCN706,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,6,Retail,0,0,0,7.5,3.05,10.55,6.0,3.96,0.59,0.3,0.2125,0,0,0,0,2021-04-28
RX0000009667,MBR00000263,2023-03-12,2023-03-15,1527234686,1131901072,PLN9342,517736,PCN383,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,56,9,Retail,0,0,0,28.0,3.96,31.96,9.0,21.05,1.91,0.56,0.3967,0,0,0,0,2023-05-11
RX0000009668,MBR00000263,2021-01-25,2021-01-27,1717124096,1449318641,PLN3244,502243,PCN236,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,0,Retail,0,0,0,310.0,3.91,313.91,40.0,253.16,20.75,12.4,8.7833,0,0,0,0,2021-02-24
RX0000009669,MBR00000263,2022-07-19,2022-07-22,1765289670,1975006151,PLN2381,101940,PCN401,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,1,Retail,0,1,0,12.0,8.66,20.66,154.0,0.0,1.16,0.48,0.34,0,0,0,0,2022-08-18
RX0000009670,MBR00000263,2022-02-15,2022-02-17,1454643818,1735163822,PLN2958,251949,PCN193,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,8,Retail,2,0,0,11.0,9.54,20.54,0.0,19.44,1.1,0.44,0.3117,0,0,0,0,2022-03-17
RX0000009671,MBR00000263,2021-07-26,2021-07-28,1623147178,1991924640,PLN1384,731773,PCN802,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,7,Retail,0,0,0,112.0,10.45,122.45,36.0,79.07,7.38,19.2,13.6,0,0,0,0,2021-08-02
RX0000009672,MBR00000263,2021-03-08,2021-03-09,1222031531,1244908778,PLN6083,246435,PCN429,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,9,Retail,0,0,0,45.0,4.11,49.11,5.0,40.68,3.43,1.8,1.275,0,0,0,0,2021-04-07
RX0000009673,MBR00000263,2021-04-11,2021-04-12,1413136616,1103885302,PLN3663,506836,PCN430,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,93,6,Retail,1,0,0,33.0,7.74,40.74,8.0,30.02,2.72,0.44,0.3117,0,0,0,0,2021-07-10
RX0000009674,MBR00000264,2021-06-22,2021-06-24,1453363487,1449541027,PLN2239,370482,PCN116,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,1,Retail,0,0,0,12.0,5.3,17.3,10.0,6.72,0.58,0.48,0.34,0,0,0,0,2021-07-22
RX0000009675,MBR00000264,2022-05-07,2022-05-08,1340461662,1294142380,PLN1322,300212,PCN855,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,10,Mail Order,0,0,0,185.0,8.17,193.17,32.0,150.99,10.18,7.4,5.2417,0,0,0,0,2022-06-06
RX0000009676,MBR00000264,2021-08-22,2021-08-25,1593200111,1221226929,PLN1324,732001,PCN843,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,65,11,Retail,0,0,0,660.0,3.13,663.13,34.0,603.42,25.71,13.2,9.35,0,0,0,0,2021-10-21
RX0000009677,MBR00000264,2021-06-24,2021-06-27,1857747804,1334043324,PLN2011,963162,PCN213,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,4,Retail,0,0,0,310.0,8.45,318.45,39.0,261.73,17.72,12.4,8.7833,0,0,0,0,2021-07-24
RX0000009678,MBR00000264,2021-03-20,2021-03-21,1340112056,1485587408,PLN2664,508284,PCN558,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,98,11,Retail,0,0,0,27.0,4.23,31.23,5.0,24.46,1.77,0.36,0.255,0,0,0,0,2021-06-18
RX0000009679,MBR00000264,2021-09-10,2021-09-12,1701921640,1244694059,PLN2276,439856,PCN616,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,89,4,Retail,3,0,0,54.0,6.35,60.35,6.0,52.47,1.88,0.72,0.51,0,0,0,0,2021-12-09
RX0000009680,MBR00000264,2021-10-08,2021-10-12,1366711263,1181578063,PLN6709,546457,PCN849,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,96,0,Specialty,0,0,0,1440.0,30.92,1470.92,37.0,1433.92,0.0,19.2,13.6,0,0,0,0,2022-01-06
RX0000009681,MBR00000264,2022-03-29,2022-04-01,1745919710,1174114274,PLN5197,769966,PCN249,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,83,11,Retail,0,0,0,1110.0,2.48,1112.48,40.0,1031.63,40.85,14.8,10.4833,0,0,0,0,2022-06-27
RX0000009682,MBR00000264,2022-01-15,2022-01-16,1849895233,1204342214,PLN1670,784953,PCN670,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,0,Specialty,0,0,0,11.0,26.62,37.62,8.0,29.62,0.0,0.44,0.3117,0,0,0,0,2022-02-14
RX0000009683,MBR00000264,2023-02-04,2023-02-07,1311078239,1296761861,PLN6154,724240,PCN964,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,82,5,Retail,0,0,0,1110.0,8.32,1118.32,36.0,1034.69,47.63,14.8,10.4833,0,0,0,0,2023-05-05
RX0000009684,MBR00000264,2021-06-14,2021-06-16,1745452081,1444510473,PLN7757,712467,PCN418,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,97,7,Specialty,0,0,0,54.0,35.65,89.65,5.0,84.65,0.0,0.72,0.51,0,0,0,0,2021-09-12
RX0000009685,MBR00000264,2023-12-05,2023-12-07,1582650790,1438814795,PLN2141,947971,PCN155,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,0,Specialty,0,0,0,9.0,32.9,41.9,5.0,36.9,0.0,0.36,0.255,0,0,0,0,2024-01-04
RX0000009686,MBR00000264,2023-08-22,2023-08-25,1673871166,1622924968,PLN2719,627305,PCN444,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,82,0,Specialty,0,0,0,2250.0,36.81,2286.81,38.0,2248.81,0.0,30.0,21.25,0,0,0,0,2023-11-20
RX0000009687,MBR00000264,2021-12-05,2021-12-06,1138732790,1879430707,PLN1538,253195,PCN764,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,7,Retail,0,0,0,18.0,11.19,29.19,30.0,0.0,1.14,0.72,0.51,0,0,0,0,2022-01-04
RX0000009688,MBR00000264,2021-03-21,2021-03-25,1194985649,1714515772,PLN4622,789054,PCN833,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,370.0,1.93,371.93,34.0,323.14,14.79,14.8,10.4833,0,0,0,0,2021-04-20
RX0000009689,MBR00000264,2022-09-18,2022-09-22,1111658970,1900319471,PLN9448,843209,PCN795,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,57,7,Retail,1,0,0,1300.0,6.55,1306.55,38.0,1216.43,52.12,26.0,18.4167,0,0,0,0,2022-11-17
RX0000009690,MBR00000264,2023-04-28,2023-04-29,1813749491,1564610197,PLN7617,358770,PCN702,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,8,Mail Order,0,0,0,10.0,2.63,12.63,10.0,1.76,0.87,0.4,0.2833,0,0,0,0,2023-05-28
RX0000009691,MBR00000264,2022-04-14,2022-04-15,1898187605,1642929431,PLN8245,989476,PCN755,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,9,Retail,0,0,0,65.0,6.73,71.73,39.0,30.26,2.47,2.6,1.8417,0,1,1,0,2022-05-14
RX0000009692,MBR00000265,2021-09-21,2021-09-25,1444214890,1707055829,PLN3453,683058,PCN629,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,90,6,Specialty,0,0,0,36.0,22.35,58.35,9.0,49.35,0.0,0.48,0.34,1,0,0,0,2021-12-20
RX0000009693,MBR00000265,2021-08-26,2021-08-30,1960985739,1193532333,PLN2570,626825,PCN177,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,2,Retail,0,1,0,8500.0,8.19,8508.19,149.0,7844.33,514.86,340.0,240.8333,0,0,0,0,2021-09-25
RX0000009694,MBR00000265,2023-01-14,2023-01-16,1261266934,1651840742,PLN9502,931749,PCN742,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,2,Retail,0,0,0,1.75,10.76,12.51,9.0,2.77,0.74,0.3,0.2125,0,0,0,0,2023-01-21
RX0000009695,MBR00000265,2021-08-05,2021-08-06,1918600514,1962421801,PLN5530,612740,PCN496,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,10,Retail,0,0,0,18.0,2.08,20.08,9.0,10.41,0.67,0.72,0.51,0,0,0,0,2021-09-04
RX0000009696,MBR00000265,2023-10-26,2023-10-29,1839092747,1257813009,PLN7686,418966,PCN229,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,94,9,Retail,0,0,0,27.0,11.59,38.59,10.0,26.66,1.93,0.36,0.255,0,0,0,0,2024-01-24
RX0000009697,MBR00000265,2023-04-14,2023-04-18,1302551888,1611137458,PLN1098,274888,PCN804,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,9,Mail Order,0,0,0,14.0,1.72,15.72,5.0,9.9,0.82,0.56,0.3967,0,0,0,0,2023-05-14
RX0000009698,MBR00000265,2021-11-21,2021-11-22,1484677848,1188532309,PLN7742,891615,PCN389,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,9,Retail,0,0,0,285.0,11.37,296.37,34.0,244.04,18.33,11.4,8.075,0,0,0,0,2021-12-21
RX0000009699,MBR00000265,2021-11-01,2021-11-05,1831447591,1151736065,PLN8436,966833,PCN318,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,90,4,Retail,0,0,0,25.5,3.89,29.39,4.0,24.21,1.18,0.34,0.2408,0,0,0,0,2022-01-30
RX0000009700,MBR00000265,2022-09-04,2022-09-08,1599837929,1915550828,PLN1131,895223,PCN808,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,93,8,Retail,0,0,0,114.0,7.03,121.03,39.0,74.64,7.39,1.52,1.0767,0,0,0,0,2022-12-03
RX0000009701,MBR00000265,2023-06-30,2023-07-03,1116215733,1480086441,PLN9183,114241,PCN184,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,7,Specialty,0,0,0,1.98,25.4,27.38,7.0,20.38,0.0,0.34,0.2408,0,0,0,0,2023-07-07
RX0000009702,MBR00000265,2022-09-22,2022-09-25,1447392262,1204320293,PLN3026,753601,PCN453,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,0,Retail,0,0,0,11.0,6.72,17.72,6.0,10.96,0.76,0.44,0.3117,0,0,0,0,2022-10-22
RX0000009703,MBR00000265,2022-01-16,2022-01-20,1863741191,1366419282,PLN7048,454613,PCN474,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,9,Retail,0,0,0,16.0,10.64,26.64,1.0,24.15,1.49,0.64,0.4533,0,0,0,0,2022-02-15
RX0000009704,MBR00000265,2022-12-19,2022-12-22,1726607729,1192622299,PLN6359,277024,PCN381,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,11,Retail,0,0,0,22.0,3.18,25.18,75.0,0.0,1.07,0.88,0.6233,0,0,0,0,2023-01-18
RX0000009705,MBR00000265,2023-01-31,2023-02-03,1298483125,1644389443,PLN7673,490969,PCN267,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,6,Retail,0,0,0,3.27,5.18,8.44,6.0,2.18,0.26,0.56,0.3967,0,0,0,0,2023-02-07
RX0000009706,MBR00000265,2023-04-11,2023-04-15,1954843828,1647169755,PLN4563,438002,PCN745,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,4,Retail,0,0,0,320.0,2.7,322.7,30.0,274.19,18.51,12.8,9.0667,0,0,0,0,2023-05-11
RX0000009707,MBR00000265,2021-02-01,2021-02-03,1771886919,1315638193,PLN1992,610121,PCN144,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,3,Mail Order,0,0,0,15.0,11.45,26.45,0.0,25.25,1.2,0.6,0.425,1,0,0,0,2021-03-03
RX0000009708,MBR00000265,2023-09-15,2023-09-18,1580679196,1244324835,PLN3060,899272,PCN841,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,5,Mail Order,3,0,0,3.5,3.56,7.06,6.0,0.64,0.42,0.6,0.425,0,0,0,0,2023-09-22
RX0000009709,MBR00000265,2023-08-27,2023-08-29,1161571024,1300308983,PLN4723,237920,PCN816,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,4,Mail Order,0,0,0,7.5,3.4,10.9,9.0,1.55,0.35,0.3,0.2125,0,0,0,0,2023-09-26
RX0000009710,MBR00000265,2021-10-26,2021-10-29,1925562041,1545666963,PLN8360,764363,PCN429,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,1,Retail,0,0,0,11.0,3.07,14.07,0.0,13.47,0.6,0.44,0.3117,0,0,0,0,2021-11-25
RX0000009711,MBR00000265,2021-02-05,2021-02-08,1974460126,1176463914,PLN1564,252411,PCN425,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,86,3,Retail,0,0,0,525.0,2.47,527.47,40.0,456.49,30.98,7.0,4.9583,1,0,0,0,2021-05-06
RX0000009712,MBR00000265,2023-02-11,2023-02-13,1183772533,1283827259,PLN2947,319853,PCN211,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,54,10,Retail,0,0,0,130.0,10.78,140.78,37.0,96.82,6.96,2.6,1.8417,0,0,0,0,2023-04-12
RX0000009713,MBR00000265,2022-11-16,2022-11-18,1439118736,1717811051,PLN9057,270461,PCN515,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,3,Retail,0,0,1,16.0,10.12,26.12,2.0,22.47,1.65,0.64,0.4533,0,0,0,0,2022-12-16
RX0000009714,MBR00000265,2021-09-19,2021-09-21,1756392836,1105410092,PLN2899,721545,PCN933,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,8,Mail Order,0,0,0,7.5,10.82,18.32,7.0,10.36,0.96,0.3,0.2125,0,0,0,0,2021-10-19
RX0000009715,MBR00000265,2022-04-15,2022-04-19,1278835156,1499899526,PLN2305,413488,PCN412,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,1,Retail,0,0,0,10.0,7.6,17.6,9.0,7.47,1.13,0.4,0.2833,0,0,0,0,2022-05-15
RX0000009716,MBR00000265,2023-01-08,2023-01-09,1475425925,1457112391,PLN9048,518143,PCN765,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,87,9,Retail,0,0,0,42.0,11.95,53.95,6.0,44.4,3.55,0.56,0.3967,0,0,0,0,2023-04-08
RX0000009717,MBR00000265,2021-12-09,2021-12-10,1967200133,1238120327,PLN3438,921133,PCN425,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,7,Mail Order,0,0,0,175.0,3.12,178.12,33.0,135.39,9.73,7.0,4.9583,0,0,0,0,2022-01-08
RX0000009718,MBR00000265,2022-07-14,2022-07-18,1597782245,1825050143,PLN5408,449311,PCN968,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,11,Retail,0,0,0,6.53,11.55,18.09,9.0,8.45,0.64,1.12,0.7933,1,0,0,0,2022-07-21
RX0000009719,MBR00000265,2023-01-11,2023-01-13,1747625431,1519258788,PLN1900,920547,PCN525,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,94,8,Retail,0,0,0,45.0,5.16,50.16,7.0,41.59,1.57,0.6,0.425,1,0,0,0,2023-04-11
RX0000009720,MBR00000265,2022-07-26,2022-07-30,1531342868,1770304349,PLN9985,783974,PCN828,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,8,Retail,0,0,0,11.0,9.23,20.23,0.0,19.53,0.7,0.44,0.3117,0,0,0,0,2022-08-25
RX0000009721,MBR00000265,2021-06-03,2021-06-05,1685416191,1146401890,PLN4440,728244,PCN916,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,0,Retail,1,0,0,14.0,3.91,17.91,3.0,14.22,0.69,0.56,0.3967,0,0,0,0,2021-07-03
RX0000009722,MBR00000265,2021-08-28,2021-08-31,1426369972,1610681904,PLN3560,404339,PCN705,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,4,Retail,0,0,0,2.57,11.33,13.89,9.0,4.04,0.85,0.44,0.3117,0,0,0,0,2021-09-04
RX0000009723,MBR00000265,2022-07-18,2022-07-22,1323512396,1690204250,PLN9869,132122,PCN932,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,10,Retail,0,0,1,11.0,1.86,12.86,9.0,3.38,0.48,0.44,0.3117,0,0,0,0,2022-08-17
RX0000009724,MBR00000265,2022-05-16,2022-05-17,1605794406,1556467685,PLN5615,239203,PCN772,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,7,Retail,0,0,0,11.0,10.39,21.39,5.0,14.95,1.44,0.44,0.3117,0,0,0,0,2022-06-15
RX0000009725,MBR00000265,2021-11-07,2021-11-10,1910804200,1470859615,PLN6463,693624,PCN221,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,10,Retail,0,0,0,285.0,5.41,290.41,30.0,247.66,12.75,11.4,8.075,0,0,0,0,2021-12-07
RX0000009726,MBR00000265,2022-03-20,2022-03-21,1305363299,1168724739,PLN4504,713220,PCN410,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,57,6,Retail,0,0,0,1500.0,5.09,1505.09,36.0,1407.82,61.27,30.0,21.25,0,0,0,0,2022-05-19
RX0000009727,MBR00000265,2021-05-04,2021-05-07,1914096283,1557176125,PLN2398,194781,PCN132,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,64,5,Retail,0,0,0,760.0,5.12,765.12,30.0,692.18,42.94,15.2,10.7667,0,0,0,0,2021-07-03
RX0000009728,MBR00000265,2022-03-01,2022-03-05,1961135544,1860393968,PLN5538,391045,PCN187,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,2,Retail,0,0,0,14.0,2.91,16.91,1.0,15.11,0.8,0.56,0.3967,0,0,0,0,2022-03-31
RX0000009729,MBR00000265,2023-12-28,2023-12-30,1838746158,1618941813,PLN1967,887606,PCN310,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,95,10,Retail,0,0,0,930.0,9.36,939.36,31.0,873.89,34.47,12.4,8.7833,0,0,0,0,2024-03-27
RX0000009730,MBR00000265,2022-09-21,2022-09-23,1520477838,1122599628,PLN5434,699056,PCN565,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,8,LTC,1,0,0,10.0,10.8,20.8,10.0,9.66,1.14,0.4,0.2833,0,0,0,0,2022-10-21
RX0000009731,MBR00000265,2023-07-05,2023-07-06,1731047610,1305389895,PLN6733,307862,PCN909,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,7,Mail Order,1,0,0,14.0,8.47,22.47,5.0,16.19,1.28,0.56,0.3967,0,0,0,0,2023-08-04
RX0000009732,MBR00000265,2023-05-31,2023-06-02,1916040976,1206872764,PLN3369,374857,PCN578,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,58,3,Retail,0,0,0,76.0,6.29,82.29,8.0,69.88,4.41,1.52,1.0767,0,0,0,0,2023-07-30
RX0000009733,MBR00000265,2021-04-08,2021-04-10,1420183605,1594173835,PLN6773,671066,PCN667,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,5,Retail,0,1,0,6200.0,11.13,6211.13,155.0,5826.06,230.07,248.0,175.6667,0,0,0,0,2021-05-08
RX0000009734,MBR00000265,2022-05-24,2022-05-25,1726239911,1328649146,PLN1247,628829,PCN356,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,54,8,Retail,0,0,0,570.0,2.68,572.68,31.0,505.33,36.35,11.4,8.075,0,0,0,0,2022-07-23
RX0000009735,MBR00000265,2022-02-11,2022-02-15,1123615660,1735649782,PLN3429,600208,PCN842,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,2,Specialty,0,0,0,9.0,37.5,46.5,3.0,43.5,0.0,0.36,0.255,0,0,0,0,2022-03-13
RX0000009736,MBR00000265,2022-07-04,2022-07-07,1102649860,1825678948,PLN5141,631272,PCN208,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,8,Retail,0,0,0,22.0,11.6,33.6,67.0,0.0,1.45,0.88,0.6233,0,0,0,0,2022-08-03
RX0000009737,MBR00000265,2021-09-24,2021-09-25,1575398046,1369769557,PLN6981,907319,PCN222,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,2,Mail Order,0,0,0,12.0,6.13,18.13,2.0,15.11,1.02,0.48,0.34,0,1,0,0,2021-10-24
RX0000009738,MBR00000265,2021-04-26,2021-04-27,1682443795,1536951905,PLN5868,599610,PCN800,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,84,4,Specialty,0,0,0,54.0,27.29,81.29,37.0,44.29,0.0,0.72,0.51,0,0,0,0,2021-07-25
RX0000009739,MBR00000265,2022-08-05,2022-08-06,1782983955,1330582906,PLN3610,518291,PCN121,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,7,Specialty,0,0,0,65.0,17.42,82.42,39.0,43.42,0.0,2.6,1.8417,0,0,0,0,2022-09-04
RX0000009740,MBR00000265,2021-10-25,2021-10-27,1698984512,1868049819,PLN4808,157557,PCN262,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,2,Mail Order,2,0,0,10.0,6.72,16.72,7.0,8.61,1.11,0.4,0.2833,0,0,0,0,2021-11-24
RX0000009741,MBR00000265,2022-11-09,2022-11-13,1968121293,1268872310,PLN1103,958572,PCN214,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,89,5,Retail,0,1,0,36.0,4.93,40.93,145.0,0.0,2.1,0.48,0.34,0,0,0,0,2023-02-07
RX0000009742,MBR00000265,2022-08-27,2022-08-31,1946780817,1677652877,PLN2809,966740,PCN610,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,6,Retail,0,0,0,10.0,10.78,20.78,0.0,19.97,0.81,0.4,0.2833,0,1,0,0,2022-09-26
RX0000009743,MBR00000265,2023-06-13,2023-06-16,1805854653,1270094729,PLN6643,924360,PCN317,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,55,9,Retail,0,0,0,15.0,1.91,16.91,9.0,6.92,0.99,0.3,0.2125,0,0,0,0,2023-08-12
RX0000009744,MBR00000265,2021-10-24,2021-10-28,1164355526,1618160683,PLN8835,968561,PCN690,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,6,Retail,0,0,0,8.5,7.27,15.77,6.0,9.28,0.49,0.34,0.2408,0,0,0,0,2021-11-23
RX0000009745,MBR00000265,2023-06-06,2023-06-08,1479281607,1766408548,PLN8086,516057,PCN115,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,11,Retail,0,0,0,480.0,11.85,491.85,35.0,434.35,22.5,19.2,13.6,0,0,0,0,2023-07-06
RX0000009746,MBR00000265,2021-05-10,2021-05-12,1824590503,1915936363,PLN4005,151616,PCN668,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,8,Retail,0,0,0,38.0,2.62,40.62,1.0,37.74,1.88,1.52,1.0767,0,0,0,0,2021-06-09
RX0000009747,MBR00000266,2021-05-05,2021-05-08,1811107606,1332148560,PLN8272,758229,PCN285,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,60,10,Retail,2,0,0,1900.0,6.52,1906.52,40.0,1786.87,79.65,38.0,26.9167,0,1,1,0,2021-07-04
RX0000009748,MBR00000266,2022-02-06,2022-02-07,1808036830,1944017966,PLN3202,381578,PCN230,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,97,11,Mail Order,0,0,0,66.0,7.86,73.86,75.0,0.0,2.95,0.88,0.6233,0,0,0,0,2022-05-07
RX0000009749,MBR00000266,2022-06-04,2022-06-08,1289634770,1573103949,PLN7330,336935,PCN778,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,4,Retail,0,0,0,65.0,4.84,69.84,40.0,27.48,2.36,2.6,1.8417,0,0,0,0,2022-07-04
RX0000009750,MBR00000266,2023-08-12,2023-08-16,1297598910,1716611136,PLN3926,991465,PCN435,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,57,1,Retail,0,0,0,36.0,4.03,40.03,40.0,0.0,1.45,0.72,0.51,0,0,0,0,2023-10-11
RX0000009751,MBR00000266,2021-07-02,2021-07-04,1492287256,1561662118,PLN1238,107295,PCN149,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,11,LTC,0,0,0,10.0,10.34,20.34,0.0,19.4,0.94,0.4,0.2833,0,0,0,0,2021-08-01
RX0000009752,MBR00000266,2021-07-15,2021-07-18,1982604482,1776715387,PLN4126,452780,PCN213,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,91,0,Retail,0,1,0,36.0,6.2,42.2,152.0,0.0,1.3,0.48,0.34,0,0,0,0,2021-10-13
RX0000009753,MBR00000266,2021-11-15,2021-11-17,1388630324,1429016869,PLN4042,241743,PCN278,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,5,Retail,0,0,0,9.0,6.61,15.61,10.0,4.81,0.8,0.36,0.255,0,0,0,0,2021-12-15
RX0000009754,MBR00000266,2021-04-24,2021-04-25,1195529809,1286888877,PLN1729,517529,PCN187,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,9,Specialty,0,0,0,38.0,40.38,78.38,0.0,78.38,0.0,1.52,1.0767,0,0,0,0,2021-05-24
RX0000009755,MBR00000266,2022-12-12,2022-12-14,1975345809,1229488401,PLN5034,362082,PCN755,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,4,Specialty,0,0,0,12.0,43.01,55.01,2.0,53.01,0.0,0.48,0.34,0,0,0,0,2023-01-11
RX0000009756,MBR00000266,2022-08-04,2022-08-05,1768048503,1963104921,PLN3849,334893,PCN970,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,11,Retail,0,0,0,14.0,9.21,23.21,10.0,12.22,0.99,0.56,0.3967,0,0,0,0,2022-09-03
RX0000009757,MBR00000266,2022-08-14,2022-08-17,1161877329,1625265295,PLN9073,141059,PCN646,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,1,Retail,1,0,0,2.57,2.71,5.28,0.0,5.09,0.19,0.44,0.3117,0,0,0,0,2022-08-21
RX0000009758,MBR00000266,2021-04-06,2021-04-08,1381013972,1732416745,PLN9099,217707,PCN647,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,7,Retail,0,0,0,2.8,8.05,10.85,3.0,7.09,0.76,0.48,0.34,0,0,0,0,2021-04-13
RX0000009759,MBR00000266,2022-09-30,2022-10-01,1184472863,1475025973,PLN7727,982325,PCN673,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,2,Retail,0,1,0,8.0,11.31,19.31,150.0,0.0,1.01,0.32,0.2267,0,0,0,0,2022-10-30
RX0000009760,MBR00000266,2023-12-29,2024-01-02,1224363735,1840195076,PLN4372,876992,PCN933,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,1,Mail Order,0,0,0,185.0,5.27,190.27,33.0,147.58,9.69,7.4,5.2417,0,0,0,0,2024-01-28
RX0000009761,MBR00000267,2023-08-27,2023-08-29,1664218713,1392149226,PLN8731,888431,PCN996,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,9,Retail,0,0,0,650.0,11.71,661.71,40.0,592.58,29.13,26.0,18.4167,0,0,0,0,2023-09-26
RX0000009762,MBR00000267,2023-03-31,2023-04-03,1551902858,1678291100,PLN7724,457751,PCN618,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,3,Specialty,0,0,0,9.0,39.13,48.13,6.0,42.13,0.0,0.36,0.255,0,0,0,0,2023-04-30
RX0000009763,MBR00000267,2022-12-27,2022-12-29,1810757491,1835916090,PLN3246,658838,PCN940,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,10,Mail Order,0,1,0,12.0,10.15,22.15,148.0,0.0,1.19,0.48,0.34,0,0,0,0,2023-01-26
RX0000009764,MBR00000267,2021-02-23,2021-02-25,1162111246,1779383303,PLN5346,396781,PCN976,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,4,Mail Order,0,0,0,14.0,3.46,17.46,1.0,15.79,0.67,0.56,0.3967,0,0,0,0,2021-03-25
RX0000009765,MBR00000267,2022-04-12,2022-04-13,1791443194,1117241280,PLN8489,521499,PCN928,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,7,Retail,2,0,0,3.73,2.69,6.42,4.0,2.07,0.35,0.64,0.4533,0,0,0,0,2022-04-19
RX0000009766,MBR00000267,2021-04-07,2021-04-08,1679559071,1630885054,PLN1247,147954,PCN382,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,6,Retail,0,0,0,10.0,4.37,14.37,7.0,6.44,0.93,0.4,0.2833,1,0,0,0,2021-05-07
RX0000009767,MBR00000267,2022-11-01,2022-11-02,1757968712,1317747505,PLN7424,962590,PCN935,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,95,0,Mail Order,0,0,0,2850.0,10.21,2860.21,30.0,2740.88,89.33,38.0,26.9167,0,0,0,0,2023-01-30
RX0000009768,MBR00000267,2021-08-01,2021-08-04,1827911838,1264668008,PLN8209,159487,PCN630,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,98,1,Retail,0,0,0,114.0,3.09,117.09,0.0,112.6,4.49,1.52,1.0767,0,1,0,0,2021-10-30
RX0000009769,MBR00000267,2021-01-19,2021-01-23,1311266766,1238150955,PLN3001,552732,PCN479,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,4,Retail,2,0,0,9.0,6.65,15.65,8.0,6.56,1.09,0.36,0.255,1,0,0,0,2021-02-18
RX0000009770,MBR00000267,2023-06-30,2023-07-03,1579996192,1120355532,PLN8308,252656,PCN295,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,9,Retail,0,0,0,330.0,3.1,333.1,32.0,278.42,22.68,13.2,9.35,0,0,0,0,2023-07-30
RX0000009771,MBR00000267,2022-08-03,2022-08-04,1309499028,1204202353,PLN9089,173269,PCN157,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,0,Retail,0,0,0,10.0,5.6,15.6,8.0,6.86,0.74,0.4,0.2833,0,0,0,0,2022-09-02
RX0000009772,MBR00000267,2021-09-20,2021-09-21,1298027037,1917493075,PLN7963,833366,PCN316,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,65,6,Mail Order,0,0,0,17.0,7.32,24.32,1.0,21.95,1.37,0.34,0.2408,0,0,0,0,2021-11-19
RX0000009773,MBR00000267,2022-11-27,2022-11-28,1435493397,1436860361,PLN6770,317171,PCN585,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,98,10,Retail,0,0,0,30.0,2.9,32.9,0.0,31.63,1.27,0.4,0.2833,0,0,0,0,2023-02-25
RX0000009774,MBR00000267,2021-01-31,2021-02-01,1665325863,1671114159,PLN4068,103181,PCN177,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,89,11,Specialty,2,1,0,8400.0,45.04,8445.04,155.0,8290.04,0.0,112.0,79.3333,0,0,0,0,2021-05-01
RX0000009775,MBR00000267,2022-08-08,2022-08-12,1657894834,1211764504,PLN2891,221689,PCN607,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,6,Mail Order,0,0,0,370.0,8.74,378.74,39.0,322.47,17.27,14.8,10.4833,0,0,0,0,2022-09-07
RX0000009776,MBR00000267,2022-08-03,2022-08-04,1812458313,1791212495,PLN8705,967994,PCN323,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,6,Retail,3,0,0,3.5,5.53,9.03,10.0,0.0,0.36,0.6,0.425,0,0,0,0,2022-08-10
RX0000009777,MBR00000267,2023-11-25,2023-11-28,1944891937,1639207205,PLN6662,310005,PCN968,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,0,Retail,0,1,0,6200.0,2.61,6202.61,154.0,5626.96,421.65,248.0,175.6667,0,0,0,0,2023-12-25
RX0000009778,MBR00000267,2022-01-20,2022-01-23,1516642402,1493988484,PLN4638,806829,PCN939,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,9,Retail,1,0,0,28.0,9.35,37.35,10.0,25.42,1.93,1.12,0.7933,0,0,0,0,2022-02-19
RX0000009779,MBR00000267,2023-04-27,2023-04-28,1592948486,1435981214,PLN5564,223062,PCN640,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,5,Retail,0,0,0,14.0,2.6,16.6,6.0,9.74,0.86,0.56,0.3967,0,0,0,0,2023-05-27
RX0000009780,MBR00000267,2023-02-22,2023-02-25,1924814892,1573262522,PLN8965,641304,PCN267,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,0,Retail,0,0,0,330.0,7.64,337.64,30.0,294.17,13.47,13.2,9.35,0,0,0,0,2023-03-24
RX0000009781,MBR00000267,2022-09-05,2022-09-08,1801950193,1220658686,PLN7201,321332,PCN843,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,87,8,Retail,0,0,0,30.0,9.0,39.0,6.0,31.49,1.51,0.4,0.2833,0,0,0,0,2022-12-04
RX0000009782,MBR00000267,2023-02-12,2023-02-13,1491208423,1984831856,PLN7154,545494,PCN950,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,93,5,Retail,0,0,0,990.0,10.78,1000.78,40.0,909.29,51.49,13.2,9.35,0,1,1,0,2023-05-13
RX0000009783,MBR00000267,2021-03-30,2021-03-31,1489283686,1487715635,PLN2138,242607,PCN746,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,82,0,Retail,3,0,0,114.0,2.1,116.1,4.0,108.03,4.07,1.52,1.0767,0,0,0,0,2021-06-28
RX0000009784,MBR00000267,2023-04-17,2023-04-19,1875380757,1728705933,PLN9611,500644,PCN390,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,59,2,Retail,3,0,0,1900.0,5.52,1905.52,38.0,1804.5,63.02,38.0,26.9167,0,0,0,0,2023-06-16
RX0000009785,MBR00000267,2022-01-04,2022-01-06,1599186198,1606366052,PLN3069,349129,PCN266,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,85,6,Retail,0,0,0,48.0,5.12,53.12,2.0,48.72,2.4,0.64,0.4533,0,0,0,0,2022-04-04
RX0000009786,MBR00000267,2021-03-11,2021-03-13,1558360033,1701566445,PLN4069,598337,PCN346,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,98,5,Retail,3,0,0,25.5,5.16,30.66,0.0,28.9,1.76,0.34,0.2408,0,0,0,0,2021-06-09
RX0000009787,MBR00000267,2021-06-29,2021-07-03,1616705561,1751558755,PLN7447,734069,PCN647,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,7,Retail,0,0,0,650.0,6.02,656.02,31.0,598.3,26.72,26.0,18.4167,0,0,0,0,2021-07-29
RX0000009788,MBR00000268,2021-04-13,2021-04-17,1483931276,1864761765,PLN5550,711502,PCN113,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,1,Retail,0,0,0,480.0,3.66,483.66,36.0,425.98,21.68,19.2,13.6,0,0,0,0,2021-05-13
RX0000009789,MBR00000268,2022-09-19,2022-09-23,1968335476,1298341941,PLN7279,779070,PCN859,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,4,Retail,0,0,0,1.98,1.81,3.79,2.0,1.62,0.17,0.34,0.2408,0,0,0,0,2022-09-26
RX0000009790,MBR00000268,2022-12-09,2022-12-12,1643920003,1706859910,PLN5652,831423,PCN560,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,1,Mail Order,0,0,0,370.0,8.43,378.43,39.0,322.03,17.4,14.8,10.4833,0,0,0,0,2023-01-08
RX0000009791,MBR00000268,2021-07-30,2021-08-03,1583679534,1897620960,PLN9153,751138,PCN198,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,9,Mail Order,0,0,0,9.0,8.4,17.4,2.0,14.66,0.74,0.36,0.255,0,0,0,0,2021-08-29
RX0000009792,MBR00000268,2022-11-28,2022-11-30,1265724865,1601830319,PLN2448,579910,PCN382,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,58,9,Retail,0,0,0,640.0,1.52,641.52,40.0,569.83,31.69,12.8,9.0667,0,0,0,0,2023-01-27
RX0000009793,MBR00000268,2021-03-26,2021-03-29,1391352369,1223988517,PLN5587,840431,PCN226,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,6,Retail,0,0,0,950.0,8.71,958.71,36.0,874.16,48.55,38.0,26.9167,0,0,0,0,2021-04-25
RX0000009794,MBR00000268,2022-04-03,2022-04-05,1516487384,1975992153,PLN3060,133931,PCN913,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,5,Specialty,0,0,0,380.0,40.96,420.96,31.0,389.96,0.0,15.2,10.7667,0,0,0,0,2022-05-03
RX0000009795,MBR00000268,2021-09-06,2021-09-08,1130416224,1195246810,PLN8330,181627,PCN716,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,8,Specialty,3,0,0,15.0,10.34,25.34,2.0,23.34,0.0,0.6,0.425,0,0,0,0,2021-10-06
RX0000009796,MBR00000268,2022-01-12,2022-01-15,1562432022,1836320042,PLN9383,770053,PCN491,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,7,Retail,2,0,0,15.0,8.05,23.05,10.0,11.7,1.35,0.6,0.425,0,0,0,0,2022-02-11
RX0000009797,MBR00000268,2023-01-01,2023-01-04,1734161257,1309670453,PLN5451,394244,PCN695,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,2,Retail,0,0,0,3.27,8.33,11.6,2.0,8.91,0.69,0.56,0.3967,0,0,0,0,2023-01-08
RX0000009798,MBR00000268,2022-03-19,2022-03-22,1125076545,1904995438,PLN8951,544968,PCN935,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,3,Retail,0,0,1,2.8,8.26,11.06,2.0,8.52,0.54,0.48,0.34,0,0,0,0,2022-03-26
RX0000009799,MBR00000268,2021-02-11,2021-02-13,1765550223,1890137757,PLN8536,602125,PCN652,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,2,Retail,0,0,0,14.0,6.16,20.16,8.0,11.03,1.13,0.56,0.3967,0,0,0,0,2021-03-13
RX0000009800,MBR00000268,2023-01-10,2023-01-13,1713601454,1147783015,PLN9872,438488,PCN527,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,64,10,Retail,0,0,0,1300.0,4.59,1304.59,32.0,1225.88,46.71,26.0,18.4167,0,0,0,0,2023-03-11
RX0000009801,MBR00000268,2021-10-19,2021-10-20,1992637341,1778997485,PLN5772,642430,PCN417,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,98,0,Retail,0,0,0,36.0,8.12,44.12,10.0,31.92,2.2,0.48,0.34,0,0,0,0,2022-01-17
RX0000009802,MBR00000268,2022-01-14,2022-01-17,1965954558,1480497367,PLN7407,983802,PCN615,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,94,3,Mail Order,0,0,0,84.0,10.14,94.14,9.0,80.14,5.0,1.12,0.7933,0,0,0,0,2022-04-14
RX0000009803,MBR00000268,2021-10-15,2021-10-17,1630733018,1578453152,PLN8842,448205,PCN500,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,7,Retail,0,0,0,10.5,3.6,14.1,5.0,8.39,0.71,1.8,1.275,0,0,0,0,2021-10-22
RX0000009804,MBR00000268,2023-10-13,2023-10-14,1273259944,1904267508,PLN2552,314728,PCN478,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,2,Mail Order,0,0,0,175.0,10.57,185.57,31.0,148.46,6.11,7.0,4.9583,0,0,0,0,2023-11-12
RX0000009805,MBR00000268,2023-11-19,2023-11-22,1261146515,1692435893,PLN3761,637440,PCN312,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,7,Retail,0,0,0,11.0,5.92,16.92,9.0,7.37,0.55,0.44,0.3117,0,0,0,0,2023-12-19
RX0000009806,MBR00000268,2023-07-04,2023-07-06,1827581069,1203076347,PLN3069,811700,PCN799,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,10,Retail,0,0,0,22.0,3.48,25.48,75.0,0.0,1.32,0.88,0.6233,0,0,0,0,2023-08-03
RX0000009807,MBR00000268,2023-07-29,2023-08-02,1618734647,1893481025,PLN8581,579603,PCN242,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,89,0,Retail,0,0,0,135.0,11.63,146.63,6.0,134.14,6.49,1.8,1.275,0,0,0,0,2023-10-27
RX0000009808,MBR00000268,2023-03-24,2023-03-25,1991932474,1417915426,PLN6685,469253,PCN511,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,82,10,Retail,0,0,0,66.0,9.69,75.69,72.0,1.0,2.69,0.88,0.6233,0,0,0,0,2023-06-22
RX0000009809,MBR00000268,2022-05-25,2022-05-27,1275760356,1911913875,PLN5044,737953,PCN511,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,1,Retail,3,0,0,9.0,7.28,16.28,6.0,9.28,1.0,0.36,0.255,1,0,0,0,2022-06-24
RX0000009810,MBR00000268,2021-05-26,2021-05-29,1860470194,1919175836,PLN8926,745245,PCN552,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,4,Retail,0,0,0,650.0,4.39,654.39,37.0,584.12,33.27,26.0,18.4167,0,0,0,0,2021-06-25
RX0000009811,MBR00000268,2021-03-12,2021-03-13,1287760643,1489451703,PLN7971,847421,PCN614,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,11,Retail,0,1,0,8500.0,8.28,8508.28,154.0,7875.75,478.53,340.0,240.8333,0,0,0,0,2021-04-11
RX0000009812,MBR00000268,2021-04-16,2021-04-19,1979849864,1544676037,PLN7614,687120,PCN161,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,88,9,Retail,0,0,0,66.0,3.53,69.53,65.0,0.0,4.56,0.88,0.6233,0,0,0,0,2021-07-15
RX0000009813,MBR00000268,2023-06-20,2023-06-21,1768075281,1167927314,PLN8881,659164,PCN578,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,84,10,Mail Order,0,0,0,1440.0,6.6,1446.6,38.0,1327.23,81.37,19.2,13.6,0,0,0,0,2023-09-18
RX0000009814,MBR00000268,2021-09-22,2021-09-26,1787547074,1936995316,PLN9077,352652,PCN537,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,86,4,Retail,0,0,0,48.0,6.14,54.14,2.0,48.67,3.47,0.64,0.4533,1,0,0,0,2021-12-21
RX0000009815,MBR00000268,2022-03-03,2022-03-06,1269951028,1163126148,PLN3302,733288,PCN577,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,4,Retail,0,0,0,8.5,8.28,16.78,3.0,12.98,0.8,0.34,0.2408,0,0,0,0,2022-04-02
RX0000009816,MBR00000269,2022-11-17,2022-11-20,1177585402,1907921679,PLN3991,539865,PCN101,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,83,2,Retail,0,0,0,25.5,6.44,31.94,2.0,28.07,1.87,0.34,0.2408,0,0,0,0,2023-02-15
RX0000009817,MBR00000269,2022-12-01,2022-12-05,1403532831,1526589291,PLN7063,635573,PCN167,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,6,Mail Order,2,0,0,370.0,4.19,374.19,36.0,315.12,23.07,14.8,10.4833,1,0,0,0,2022-12-31
RX0000009818,MBR00000269,2021-07-27,2021-07-28,1305551136,1501693657,PLN2812,151094,PCN825,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,60,0,Retail,0,0,0,30.0,3.79,33.79,8.0,24.77,1.02,0.6,0.425,0,0,0,0,2021-09-25
RX0000009819,MBR00000269,2021-05-05,2021-05-09,1100534693,1925333479,PLN2425,182473,PCN911,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,9,Retail,0,0,0,285.0,11.28,296.28,33.0,251.01,12.27,11.4,8.075,0,0,0,0,2021-06-04
RX0000009820,MBR00000269,2022-09-04,2022-09-05,1377656407,1833675146,PLN5688,524912,PCN285,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,9,Mail Order,2,0,0,9.0,10.09,19.09,7.0,11.34,0.75,0.36,0.255,0,0,0,0,2022-10-04
RX0000009821,MBR00000269,2023-04-19,2023-04-20,1648880050,1658117399,PLN8253,769746,PCN450,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,2,Specialty,0,0,0,15.0,11.72,26.72,8.0,18.72,0.0,0.6,0.425,1,0,0,0,2023-05-19
RX0000009822,MBR00000269,2021-04-27,2021-04-29,1272390407,1219561599,PLN6476,805314,PCN526,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,4,Mail Order,0,0,0,10.0,6.89,16.89,8.0,8.29,0.6,0.4,0.2833,0,0,0,0,2021-05-27
RX0000009823,MBR00000269,2022-06-07,2022-06-08,1138374084,1294693100,PLN6808,764335,PCN462,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,2,Retail,0,0,0,285.0,9.83,294.83,40.0,243.62,11.21,11.4,8.075,0,0,0,0,2022-07-07
RX0000009824,MBR00000269,2021-09-29,2021-10-03,1904148674,1656875875,PLN4318,949444,PCN608,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,6,Specialty,2,0,0,10.0,27.4,37.4,4.0,33.4,0.0,0.4,0.2833,1,0,0,0,2021-10-29
RX0000009825,MBR00000269,2023-12-02,2023-12-03,1575660847,1746208884,PLN7429,111514,PCN890,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,90,0,Specialty,0,0,0,66.0,23.83,89.83,68.0,21.83,0.0,0.88,0.6233,0,0,0,0,2024-03-01
RX0000009826,MBR00000269,2022-08-13,2022-08-17,1461755773,1139609736,PLN4772,438365,PCN731,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,8,Retail,0,0,0,285.0,11.12,296.12,30.0,250.72,15.4,11.4,8.075,0,0,0,0,2022-09-12
RX0000009827,MBR00000269,2021-10-28,2021-11-01,1161888189,1504015897,PLN6262,649261,PCN335,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Mail Order,0,0,0,38.0,2.15,40.15,7.0,31.49,1.66,1.52,1.0767,0,0,0,0,2021-11-27
RX0000009828,MBR00000269,2023-07-18,2023-07-20,1441093543,1683387632,PLN2915,519306,PCN372,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,1,Mail Order,0,0,0,7.5,4.21,11.71,7.0,4.0,0.71,0.3,0.2125,0,0,0,0,2023-08-17
RX0000009829,MBR00000269,2022-12-20,2022-12-22,1439261235,1305073469,PLN3710,711028,PCN940,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,0,Specialty,0,0,0,45.0,37.75,82.75,5.0,77.75,0.0,1.8,1.275,0,0,0,0,2023-01-19
RX0000009830,MBR00000269,2023-01-25,2023-01-29,1481319884,1448322423,PLN2677,544189,PCN223,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,5,Retail,1,0,0,15.0,7.15,22.15,6.0,14.84,1.31,0.6,0.425,0,0,0,0,2023-02-24
RX0000009831,MBR00000269,2023-06-01,2023-06-04,1661451594,1514452967,PLN7496,115894,PCN451,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,83,3,Mail Order,0,0,0,1950.0,6.14,1956.14,32.0,1808.32,115.82,26.0,18.4167,0,0,0,0,2023-08-30
RX0000009832,MBR00000269,2021-05-25,2021-05-29,1911567843,1452954700,PLN8797,954260,PCN298,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,5,Retail,0,0,0,10.0,10.77,20.77,1.0,19.0,0.77,0.4,0.2833,0,0,0,0,2021-06-24
RX0000009833,MBR00000269,2022-08-13,2022-08-16,1888540338,1931290509,PLN2755,280423,PCN765,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,5,Mail Order,0,0,0,65.0,5.73,70.73,39.0,27.97,3.76,2.6,1.8417,0,0,0,0,2022-09-12
RX0000009834,MBR00000269,2021-01-11,2021-01-12,1640534323,1423243991,PLN2562,590476,PCN286,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,61,10,Mail Order,0,0,0,36.0,7.39,43.39,1.0,40.47,1.92,0.72,0.51,0,0,0,0,2021-03-12
RX0000009835,MBR00000270,2023-07-15,2023-07-18,1957036440,1482071940,PLN1145,311603,PCN592,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,4,Retail,0,0,0,9.0,4.93,13.93,8.0,5.4,0.53,0.36,0.255,0,0,0,0,2023-08-14
RX0000009836,MBR00000270,2022-10-25,2022-10-27,1713886742,1235400242,PLN5700,778305,PCN971,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,4,Mail Order,0,0,0,330.0,11.36,341.36,34.0,289.43,17.93,13.2,9.35,0,0,0,0,2022-11-24
RX0000009837,MBR00000270,2021-05-09,2021-05-10,1529337432,1230729705,PLN6509,459056,PCN247,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,4,Retail,0,0,0,12.5,11.26,23.76,4.0,19.04,0.72,0.5,0.3542,0,0,0,0,2021-06-08
RX0000009838,MBR00000270,2022-01-25,2022-01-26,1543808127,1490648917,PLN6473,678968,PCN217,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,4,Retail,0,0,0,45.0,10.43,55.43,5.0,48.31,2.12,1.8,1.275,0,0,0,0,2022-02-24
RX0000009839,MBR00000270,2022-02-16,2022-02-18,1331657866,1319219005,PLN3335,478992,PCN458,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,82,0,Mail Order,0,0,0,45.0,11.63,56.63,7.0,47.18,2.45,0.6,0.425,0,0,0,0,2022-05-17
RX0000009840,MBR00000270,2023-07-10,2023-07-12,1704624320,1730981502,PLN7249,666242,PCN336,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,84,9,Retail,3,0,0,525.0,2.72,527.72,37.0,474.15,16.57,7.0,4.9583,0,0,0,0,2023-10-08
RX0000009841,MBR00000270,2022-10-22,2022-10-23,1503283739,1368065231,PLN6234,606433,PCN668,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,1,LTC,0,0,0,10.0,8.0,18.0,3.0,14.05,0.95,0.4,0.2833,0,0,0,0,2022-11-21
RX0000009842,MBR00000270,2021-01-28,2021-01-31,1231090038,1255712528,PLN6860,448592,PCN282,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,1,Retail,0,0,0,65.0,2.41,67.41,39.0,24.78,3.63,2.6,1.8417,0,0,0,0,2021-02-27
RX0000009843,MBR00000270,2023-10-22,2023-10-26,1399834545,1195102486,PLN9792,234996,PCN688,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,3,Retail,0,0,0,7.5,1.98,9.48,7.0,2.07,0.41,0.3,0.2125,0,0,0,0,2023-11-21
RX0000009844,MBR00000270,2023-11-17,2023-11-20,1477614075,1832709041,PLN1563,168097,PCN464,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,11,Retail,3,0,0,45.0,8.92,53.92,10.0,42.17,1.75,1.8,1.275,0,0,0,0,2023-12-17
RX0000009845,MBR00000270,2021-08-20,2021-08-22,1907105187,1891437302,PLN8783,960583,PCN664,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,10,Retail,0,0,0,3.73,3.92,7.65,4.0,3.27,0.38,0.64,0.4533,0,0,0,0,2021-08-27
RX0000009846,MBR00000270,2022-08-05,2022-08-08,1672436433,1995915333,PLN7349,351174,PCN841,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,55,11,Retail,3,0,0,30.0,8.94,38.94,8.0,29.58,1.36,0.6,0.425,0,0,0,0,2022-10-04
RX0000009847,MBR00000270,2023-07-18,2023-07-19,1736584777,1411489719,PLN6382,288446,PCN275,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,10,Retail,0,0,0,38.0,1.74,39.74,40.0,0.0,2.14,1.52,1.0767,0,0,0,0,2023-08-17
RX0000009848,MBR00000270,2023-08-15,2023-08-19,1621162023,1870218734,PLN5878,827377,PCN589,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,97,3,Mail Order,0,0,0,66.0,7.88,73.88,70.0,0.0,3.98,0.88,0.6233,0,0,0,0,2023-11-13
RX0000009849,MBR00000270,2022-07-29,2022-07-30,1872803299,1623504888,PLN2066,169288,PCN395,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,1,Specialty,0,0,0,74.67,41.62,116.28,32.0,84.28,0.0,12.8,9.0667,0,0,0,0,2022-08-05
RX0000009850,MBR00000270,2021-06-19,2021-06-22,1929616981,1572382486,PLN7772,498850,PCN425,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,58,5,Retail,0,0,0,18.0,3.84,21.84,4.0,17.17,0.67,0.36,0.255,0,0,0,0,2021-08-18
RX0000009851,MBR00000270,2021-01-04,2021-01-08,1898969262,1305162456,PLN3484,761485,PCN435,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,54,0,Retail,0,0,0,44.0,4.33,48.33,2.0,43.82,2.51,0.88,0.6233,0,0,0,0,2021-03-05
RX0000009852,MBR00000270,2022-09-01,2022-09-02,1626068668,1803952992,PLN9889,727051,PCN504,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,90,4,Retail,0,0,0,195.0,8.26,203.26,40.0,156.1,7.16,2.6,1.8417,0,0,0,0,2022-11-30
RX0000009853,MBR00000271,2023-04-28,2023-04-30,1162361451,1754484029,PLN8493,770137,PCN669,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,3,Retail,0,0,0,28.0,8.57,36.57,2.0,32.7,1.87,1.12,0.7933,0,0,0,0,2023-05-28
RX0000009854,MBR00000271,2022-07-28,2022-07-29,1128677674,1111964497,PLN8996,994700,PCN957,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,81,10,LTC,3,0,0,42.0,9.22,51.22,3.0,45.59,2.63,0.56,0.3967,0,0,0,0,2022-10-26
RX0000009855,MBR00000271,2023-08-20,2023-08-23,1535190509,1856972099,PLN5068,287870,PCN647,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,7,Mail Order,0,0,0,950.0,6.02,956.02,34.0,858.27,63.75,38.0,26.9167,0,0,0,0,2023-09-19
RX0000009856,MBR00000271,2023-05-16,2023-05-19,1142470198,1234339126,PLN6942,627819,PCN168,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,62,0,Mail Order,0,1,0,12400.0,2.4,12402.4,153.0,11459.54,789.86,248.0,175.6667,0,0,0,0,2023-07-15
RX0000009857,MBR00000271,2021-07-17,2021-07-21,1465273480,1721970619,PLN2846,546290,PCN342,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,0,Mail Order,0,0,0,2.57,6.4,8.97,0.0,8.48,0.49,0.44,0.3117,0,0,0,0,2021-07-24
RX0000009858,MBR00000271,2021-07-20,2021-07-22,1888717879,1785584730,PLN5299,424015,PCN553,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,98,5,Retail,3,0,0,195.0,10.11,205.11,32.0,164.15,8.96,2.6,1.8417,0,0,0,0,2021-10-18
RX0000009859,MBR00000271,2022-02-16,2022-02-19,1463337959,1863986475,PLN3226,334440,PCN741,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,4,Mail Order,0,0,0,380.0,7.72,387.72,37.0,329.81,20.91,15.2,10.7667,0,0,0,0,2022-03-18
RX0000009860,MBR00000271,2021-12-22,2021-12-25,1277606235,1940223244,PLN1181,140448,PCN201,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,54,1,Retail,0,0,0,76.0,3.04,79.04,10.0,63.77,5.27,1.52,1.0767,0,0,0,0,2022-02-20
RX0000009861,MBR00000271,2023-03-11,2023-03-14,1579792562,1517920829,PLN3928,166268,PCN347,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,8,Retail,0,0,0,14.0,6.94,20.94,4.0,15.55,1.39,0.56,0.3967,0,0,0,0,2023-04-10
RX0000009862,MBR00000271,2023-01-25,2023-01-27,1384851733,1937204418,PLN1719,638349,PCN252,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,1,Specialty,2,0,1,14.0,35.04,49.04,5.0,44.04,0.0,0.56,0.3967,1,0,0,0,2023-02-24
RX0000009863,MBR00000271,2022-06-01,2022-06-02,1774464422,1412750440,PLN6237,915189,PCN373,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,90,11,Specialty,0,0,0,66.0,23.53,89.53,3.0,86.53,0.0,0.88,0.6233,0,1,0,0,2022-08-30
RX0000009864,MBR00000271,2021-02-11,2021-02-12,1310338915,1984301933,PLN5087,743739,PCN159,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,91,7,Retail,0,0,0,114.0,5.49,119.49,35.0,80.32,4.17,1.52,1.0767,0,0,0,0,2021-05-12
RX0000009865,MBR00000271,2022-06-15,2022-06-18,1295240694,1602438916,PLN9216,642625,PCN176,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,10,Specialty,0,0,0,22.0,16.83,38.83,73.0,0.0,0.0,0.88,0.6233,0,0,0,0,2022-07-15
RX0000009866,MBR00000271,2022-08-05,2022-08-07,1404328609,1976581398,PLN2189,444157,PCN178,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,11,Retail,0,0,0,45.0,8.43,53.43,5.0,46.44,1.99,0.6,0.425,0,0,0,0,2022-11-03
RX0000009867,MBR00000271,2021-07-17,2021-07-20,1832376478,1572982897,PLN8005,810593,PCN584,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,84,6,Retail,0,0,0,30.0,6.29,36.29,6.0,28.67,1.62,0.4,0.2833,0,0,0,0,2021-10-15
RX0000009868,MBR00000271,2022-05-12,2022-05-14,1100854565,1806366809,PLN5868,243752,PCN143,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,7,Retail,0,0,0,185.0,5.79,190.79,32.0,152.06,6.73,7.4,5.2417,0,0,0,0,2022-06-11
RX0000009869,MBR00000272,2022-05-17,2022-05-21,1652339729,1472277147,PLN6559,968749,PCN200,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,3,Retail,0,1,0,2800.0,8.01,2808.01,147.0,2470.49,190.52,112.0,79.3333,0,0,0,0,2022-06-16
RX0000009870,MBR00000272,2021-08-14,2021-08-18,1822091829,1349940593,PLN9127,679415,PCN279,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,62,6,Retail,0,0,0,25.0,11.77,36.77,5.0,30.09,1.68,0.5,0.3542,0,0,0,0,2021-10-13
RX0000009871,MBR00000272,2023-04-10,2023-04-13,1794828024,1188056822,PLN8428,990868,PCN756,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,2,Retail,0,0,0,310.0,3.49,313.49,35.0,266.98,11.51,12.4,8.7833,0,0,0,0,2023-05-10
RX0000009872,MBR00000272,2023-12-25,2023-12-28,1323326912,1519637439,PLN9427,175549,PCN387,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,10,Retail,0,0,1,750.0,8.84,758.84,37.0,686.09,35.75,30.0,21.25,0,0,0,0,2024-01-24
RX0000009873,MBR00000272,2022-10-02,2022-10-04,1706526440,1914082290,PLN7180,560409,PCN448,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,3,Retail,0,0,0,9.0,6.22,15.22,2.0,12.64,0.58,0.36,0.255,0,0,0,0,2022-11-01
RX0000009874,MBR00000272,2021-03-12,2021-03-15,1118402746,1221575141,PLN3346,921592,PCN144,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,9,Mail Order,0,0,0,4.2,2.05,6.25,2.0,4.01,0.24,0.72,0.51,0,0,0,0,2021-03-19
RX0000009875,MBR00000272,2022-04-19,2022-04-22,1656182651,1422044016,PLN8907,792511,PCN829,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,2,Mail Order,0,0,0,11.0,11.75,22.75,6.0,15.18,1.57,0.44,0.3117,0,0,0,0,2022-05-19
RX0000009876,MBR00000272,2023-04-23,2023-04-25,1544291327,1221084959,PLN3451,887586,PCN743,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,11,Mail Order,2,0,0,112.0,2.39,114.39,34.0,73.63,6.76,19.2,13.6,0,0,0,0,2023-04-30
RX0000009877,MBR00000272,2021-07-21,2021-07-25,1893206990,1675034271,PLN5244,637902,PCN787,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,11,Retail,3,0,0,38.0,11.03,49.03,31.0,15.05,2.98,1.52,1.0767,0,0,0,0,2021-08-20
RX0000009878,MBR00000272,2023-06-09,2023-06-12,1903007915,1763707338,PLN5716,328693,PCN810,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,94,10,Retail,0,1,0,24.0,8.38,32.38,145.0,0.0,1.12,0.32,0.2267,0,0,0,0,2023-09-07
RX0000009879,MBR00000272,2022-05-31,2022-06-03,1242455413,1248818381,PLN6103,697251,PCN721,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,0,Mail Order,0,0,0,950.0,2.03,952.03,34.0,865.8,52.23,38.0,26.9167,0,0,0,0,2022-06-30
RX0000009880,MBR00000272,2022-10-14,2022-10-15,1594513709,1490682101,PLN7257,147323,PCN751,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,6,Retail,0,0,0,14.0,7.77,21.77,1.0,19.66,1.11,0.56,0.3967,0,0,0,0,2022-11-13
RX0000009881,MBR00000272,2022-10-30,2022-11-03,1305396545,1271769596,PLN8089,178140,PCN473,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,81,5,Mail Order,0,0,0,30.0,3.39,33.39,0.0,31.8,1.59,0.4,0.2833,0,0,0,0,2023-01-28
RX0000009882,MBR00000272,2022-05-21,2022-05-22,1498810282,1596888136,PLN7074,251257,PCN913,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,56,4,Mail Order,0,0,0,960.0,8.63,968.63,40.0,897.7,30.93,19.2,13.6,0,0,0,0,2022-07-20
RX0000009883,MBR00000272,2023-02-09,2023-02-12,1651529486,1592284233,PLN5577,291803,PCN513,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,8,Specialty,0,0,0,65.0,32.01,97.01,40.0,57.01,0.0,2.6,1.8417,0,0,0,0,2023-03-11
RX0000009884,MBR00000272,2021-08-11,2021-08-15,1458091952,1423921108,PLN5720,386927,PCN899,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,4,Retail,0,0,0,18.0,1.87,19.87,7.0,12.02,0.85,0.72,0.51,0,0,0,0,2021-09-10
RX0000009885,MBR00000272,2023-12-01,2023-12-04,1274915542,1119844043,PLN1543,654283,PCN698,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,11,Retail,1,0,0,38.0,2.72,40.72,38.0,1.22,1.5,1.52,1.0767,0,0,0,0,2023-12-31
RX0000009886,MBR00000272,2023-04-12,2023-04-13,1475757314,1334572640,PLN2387,681991,PCN482,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,3,Mail Order,0,0,0,10.0,7.16,17.16,4.0,12.13,1.03,0.4,0.2833,0,0,0,0,2023-05-12
RX0000009887,MBR00000272,2021-08-30,2021-09-01,1139102486,1477626324,PLN2980,556588,PCN729,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,88,4,Specialty,0,0,0,42.0,21.16,63.16,0.0,63.16,0.0,0.56,0.3967,0,0,0,0,2021-11-28
RX0000009888,MBR00000272,2023-08-13,2023-08-14,1920959314,1645482349,PLN4878,919833,PCN818,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,1,Retail,3,1,0,6200.0,2.67,6202.67,145.0,5774.91,282.76,248.0,175.6667,0,0,0,0,2023-09-12
RX0000009889,MBR00000273,2023-03-08,2023-03-12,1169700375,1301885375,PLN1707,632660,PCN490,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,92,4,Specialty,0,0,0,30.0,20.12,50.12,8.0,42.12,0.0,0.4,0.2833,0,0,0,0,2023-06-06
RX0000009890,MBR00000273,2022-01-10,2022-01-12,1674937265,1475250005,PLN4743,281698,PCN385,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,6,Retail,0,0,0,1440.0,11.34,1451.34,38.0,1317.54,95.8,19.2,13.6,0,0,0,0,2022-04-10
RX0000009891,MBR00000273,2023-02-25,2023-03-01,1957155580,1455726206,PLN3276,855816,PCN225,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,5,Retail,0,0,0,15.0,11.59,26.59,9.0,16.63,0.96,0.6,0.425,0,0,0,0,2023-03-27
RX0000009892,MBR00000273,2021-08-26,2021-08-27,1998602377,1477710034,PLN6522,978670,PCN689,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,9,Retail,0,0,0,45.0,2.86,47.86,2.0,44.41,1.45,1.8,1.275,0,0,0,0,2021-09-25
RX0000009893,MBR00000273,2022-05-21,2022-05-22,1473674855,1405060625,PLN3269,200877,PCN376,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,10,Retail,0,0,0,2.1,10.05,12.15,3.0,8.53,0.62,0.36,0.255,0,0,0,0,2022-05-28
RX0000009894,MBR00000273,2023-06-29,2023-07-01,1351083649,1244900312,PLN9900,520153,PCN151,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,8,Mail Order,0,1,0,6200.0,11.69,6211.69,145.0,5873.61,193.08,248.0,175.6667,0,0,0,0,2023-07-29
RX0000009895,MBR00000273,2022-05-09,2022-05-10,1974534227,1728883928,PLN8302,612603,PCN767,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,89,10,Retail,1,0,0,2250.0,5.29,2255.29,32.0,2087.32,135.97,30.0,21.25,0,0,0,0,2022-08-07
RX0000009896,MBR00000273,2022-07-01,2022-07-05,1852668805,1930649743,PLN6181,160887,PCN975,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,6,Retail,0,0,0,66.5,3.33,69.83,33.0,31.98,4.85,11.4,8.075,0,0,0,0,2022-07-08
RX0000009897,MBR00000273,2023-01-16,2023-01-18,1885069256,1842709934,PLN3895,855064,PCN875,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,5,Mail Order,0,0,0,15.0,11.8,26.8,4.0,21.2,1.6,0.6,0.425,0,0,0,0,2023-02-15
RX0000009898,MBR00000273,2023-06-13,2023-06-15,1594867384,1464851167,PLN2633,380722,PCN523,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,7,Retail,0,1,0,1.87,6.59,8.46,146.0,0.0,0.35,0.32,0.2267,0,0,0,0,2023-06-20
RX0000009899,MBR00000273,2021-04-05,2021-04-09,1570201730,1356631048,PLN2329,684608,PCN939,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,81,4,Specialty,0,0,0,555.0,31.98,586.98,33.0,553.98,0.0,7.4,5.2417,1,0,0,0,2021-07-04
RX0000009900,MBR00000273,2023-06-20,2023-06-23,1104366977,1793535514,PLN9632,354448,PCN881,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,0,Retail,0,0,0,380.0,6.29,386.29,34.0,332.62,19.67,15.2,10.7667,0,0,0,0,2023-07-20
RX0000009901,MBR00000273,2023-01-10,2023-01-12,1989938939,1537989030,PLN4929,319590,PCN872,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,10,Retail,0,0,0,18.0,9.27,27.27,4.0,21.56,1.71,0.72,0.51,0,0,0,0,2023-02-09
RX0000009902,MBR00000273,2022-03-05,2022-03-09,1798058867,1572622731,PLN5951,594779,PCN636,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,85,8,Retail,0,0,0,930.0,2.18,932.18,38.0,840.83,53.35,12.4,8.7833,0,0,0,0,2022-06-03
RX0000009903,MBR00000273,2023-11-16,2023-11-18,1722040584,1607914713,PLN7403,612353,PCN205,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,11,Retail,0,0,0,11.0,5.62,16.62,6.0,9.8,0.82,0.44,0.3117,1,0,0,0,2023-12-16
RX0000009904,MBR00000274,2023-10-15,2023-10-17,1178763529,1818414097,PLN9456,957076,PCN287,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,87,7,Mail Order,2,0,0,66.0,10.53,76.53,75.0,0.0,2.48,0.88,0.6233,0,0,0,0,2024-01-13
RX0000009905,MBR00000274,2022-05-01,2022-05-03,1942051604,1645663507,PLN3724,303771,PCN518,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,11,Retail,0,0,0,18.0,9.91,27.91,0.0,25.99,1.92,0.72,0.51,0,0,0,0,2022-05-31
RX0000009906,MBR00000274,2023-10-28,2023-10-30,1705245865,1171910826,PLN3249,538876,PCN552,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,11,Retail,0,0,0,11.0,11.78,22.78,0.0,21.48,1.3,0.44,0.3117,0,0,0,0,2023-11-27
RX0000009907,MBR00000274,2021-10-21,2021-10-22,1394585226,1299211385,PLN7586,507074,PCN784,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,4,Retail,0,0,0,480.0,2.29,482.29,34.0,416.69,31.6,19.2,13.6,0,0,0,0,2021-11-20
RX0000009908,MBR00000274,2021-06-08,2021-06-10,1664034112,1516060212,PLN6729,928558,PCN843,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,85,10,Retail,0,0,0,990.0,9.94,999.94,31.0,915.12,53.82,13.2,9.35,0,0,0,0,2021-09-06
RX0000009909,MBR00000274,2021-12-08,2021-12-10,1268894488,1263548766,PLN4743,859770,PCN895,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,9,Retail,0,0,0,38.0,2.39,40.39,35.0,3.49,1.9,1.52,1.0767,0,0,0,0,2022-01-07
RX0000009910,MBR00000274,2021-01-07,2021-01-09,1647286731,1676121056,PLN7047,110456,PCN964,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,91,7,Retail,0,0,0,36.0,9.39,45.39,4.0,39.45,1.94,0.48,0.34,0,0,0,0,2021-04-07
RX0000009911,MBR00000274,2022-06-23,2022-06-26,1640672307,1727082889,PLN3111,991059,PCN544,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,2,Retail,1,0,0,18.0,7.03,25.03,9.0,15.21,0.82,0.72,0.51,0,0,0,0,2022-07-23
RX0000009912,MBR00000274,2021-03-22,2021-03-26,1563540358,1970706968,PLN1203,689436,PCN272,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,8,Retail,0,0,0,15.0,3.9,18.9,10.0,8.19,0.71,0.6,0.425,0,0,0,0,2021-04-21
RX0000009913,MBR00000274,2021-12-30,2022-01-03,1169024258,1194874382,PLN8136,380587,PCN104,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,5,Mail Order,0,0,0,285.0,9.91,294.91,35.0,248.69,11.22,11.4,8.075,1,0,0,0,2022-01-29
RX0000009914,MBR00000274,2021-06-29,2021-06-30,1499074898,1277558761,PLN1699,589624,PCN665,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,6,LTC,0,0,0,12.0,9.21,21.21,5.0,15.14,1.07,0.48,0.34,0,0,0,0,2021-07-29
RX0000009915,MBR00000274,2023-08-20,2023-08-24,1292178141,1640547016,PLN5470,390229,PCN711,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,56,10,Retail,0,0,0,30.0,4.98,34.98,5.0,27.62,2.36,0.6,0.425,0,0,0,0,2023-10-19
RX0000009916,MBR00000274,2021-11-05,2021-11-09,1153576711,1311549771,PLN5236,583442,PCN505,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,83,7,Retail,0,0,0,22.5,6.64,29.14,5.0,22.42,1.72,0.3,0.2125,0,0,0,0,2022-02-03
RX0000009917,MBR00000274,2022-05-03,2022-05-05,1572595643,1782066315,PLN8852,598048,PCN286,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,9,Mail Order,1,0,0,380.0,7.58,387.58,39.0,324.51,24.07,15.2,10.7667,0,0,0,0,2022-06-02
RX0000009918,MBR00000274,2023-04-28,2023-05-02,1932740884,1810523213,PLN3082,382687,PCN442,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,9,Retail,0,0,0,370.0,7.21,377.21,37.0,327.34,12.87,14.8,10.4833,0,0,0,0,2023-05-28
RX0000009919,MBR00000274,2021-10-14,2021-10-16,1461036089,1525610604,PLN2980,892618,PCN965,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,0,Retail,0,1,0,12.0,5.71,17.71,149.0,0.0,1.15,0.48,0.34,0,0,0,0,2021-11-13
RX0000009920,MBR00000274,2023-02-15,2023-02-18,1763216990,1603842706,PLN3418,549024,PCN396,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,7,Retail,0,0,0,14.0,4.24,18.24,1.0,16.33,0.91,0.56,0.3967,0,0,0,0,2023-03-17
RX0000009921,MBR00000274,2022-11-25,2022-11-26,1601405369,1769385401,PLN7744,356491,PCN579,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,83,3,Retail,0,0,0,33.0,9.13,42.13,10.0,29.42,2.71,0.44,0.3117,0,0,0,0,2023-02-23
RX0000009922,MBR00000274,2021-12-06,2021-12-08,1514900993,1144249351,PLN5073,490322,PCN804,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,4,Retail,0,1,0,1.87,7.09,8.96,152.0,0.0,0.52,0.32,0.2267,1,0,0,0,2021-12-13
RX0000009923,MBR00000274,2023-08-22,2023-08-24,1214983958,1133817201,PLN5765,288991,PCN326,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,58,6,Retail,0,0,0,18.0,2.08,20.08,9.0,10.19,0.89,0.36,0.255,0,0,0,0,2023-10-21
RX0000009924,MBR00000274,2023-07-18,2023-07-22,1463393765,1265793796,PLN3422,393773,PCN703,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,89,0,Retail,0,0,0,930.0,2.71,932.71,34.0,870.67,28.04,12.4,8.7833,0,0,0,0,2023-10-16
RX0000009925,MBR00000274,2021-03-03,2021-03-04,1519939073,1441466900,PLN8753,904053,PCN304,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,2,Retail,0,1,0,2800.0,2.64,2802.64,150.0,2496.62,156.02,112.0,79.3333,0,0,0,0,2021-04-02
RX0000009926,MBR00000274,2021-10-28,2021-10-31,1558405125,1959314525,PLN4200,570176,PCN332,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,90,4,Retail,0,0,0,54.0,4.28,58.28,10.0,46.44,1.84,0.72,0.51,0,0,0,0,2022-01-26
RX0000009927,MBR00000274,2023-10-12,2023-10-15,1171708668,1554600763,PLN3378,783081,PCN854,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,3,Retail,0,0,0,4.2,8.07,12.27,4.0,7.65,0.62,0.72,0.51,0,0,0,0,2023-10-19
RX0000009928,MBR00000274,2021-12-17,2021-12-21,1520835061,1790560808,PLN2960,806753,PCN150,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,7,Retail,0,1,0,6200.0,3.87,6203.87,149.0,5661.55,393.32,248.0,175.6667,0,0,0,0,2022-01-16
RX0000009929,MBR00000274,2021-06-11,2021-06-12,1431881158,1402767948,PLN2179,289272,PCN972,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,98,5,Retail,0,0,0,33.0,4.95,37.95,2.0,34.57,1.38,0.44,0.3117,0,0,0,0,2021-09-09
RX0000009930,MBR00000274,2022-07-31,2022-08-03,1852135643,1706862266,PLN6030,364392,PCN950,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,84,11,Retail,0,1,0,36.0,6.99,42.99,146.0,0.0,1.52,0.48,0.34,0,0,0,0,2022-10-29
RX0000009931,MBR00000274,2022-01-25,2022-01-26,1468888155,1337675047,PLN7947,129288,PCN984,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,65,5,Retail,2,0,0,30.0,9.18,39.18,10.0,26.69,2.49,0.6,0.425,0,0,0,0,2022-03-26
RX0000009932,MBR00000274,2022-11-16,2022-11-18,1416131292,1416602042,PLN2674,360895,PCN455,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,3,Retail,0,0,0,14.0,11.45,25.45,1.0,23.36,1.09,0.56,0.3967,1,0,0,0,2022-12-16
RX0000009933,MBR00000275,2022-08-04,2022-08-05,1846521834,1549678127,PLN8887,642005,PCN191,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,3,Retail,0,0,0,15.0,8.04,23.04,6.0,15.79,1.25,0.6,0.425,0,0,0,0,2022-09-03
RX0000009934,MBR00000275,2023-01-09,2023-01-12,1486806243,1635894327,PLN1747,118440,PCN945,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,3,Retail,0,0,0,310.0,3.87,313.87,30.0,274.33,9.54,12.4,8.7833,0,0,0,0,2023-02-08
RX0000009935,MBR00000275,2021-11-18,2021-11-19,1912476577,1421140723,PLN3851,563127,PCN533,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,0,Mail Order,0,0,0,221.67,10.44,232.11,35.0,181.43,15.68,38.0,26.9167,0,0,0,0,2021-11-25
RX0000009936,MBR00000275,2022-08-14,2022-08-15,1747934681,1290134220,PLN1053,682894,PCN247,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,0,Retail,0,0,0,950.0,11.96,961.96,30.0,872.5,59.46,38.0,26.9167,0,0,0,0,2022-09-13
RX0000009937,MBR00000275,2023-01-28,2023-02-01,1716146826,1134744137,PLN8422,930640,PCN574,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,10,Retail,0,0,0,45.0,5.58,50.58,0.0,48.81,1.77,1.8,1.275,0,0,0,0,2023-02-27
RX0000009938,MBR00000275,2023-05-18,2023-05-19,1446326438,1826546664,PLN7893,591170,PCN321,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,0,Mail Order,0,0,0,65.0,2.51,67.51,32.0,31.27,4.24,2.6,1.8417,0,0,0,0,2023-06-17
RX0000009939,MBR00000275,2022-12-08,2022-12-10,1334121248,1332274172,PLN6615,377623,PCN482,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,8,Mail Order,0,0,0,175.0,11.58,186.58,40.0,136.29,10.29,7.0,4.9583,0,0,0,0,2023-01-07
RX0000009940,MBR00000275,2023-07-27,2023-07-29,1401025055,1941916790,PLN7946,964491,PCN569,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,9,Retail,0,0,0,18.0,8.56,26.56,1.0,23.82,1.74,0.72,0.51,0,0,0,0,2023-08-26
RX0000009941,MBR00000275,2023-05-18,2023-05-20,1915945171,1288249313,PLN5683,196707,PCN451,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,8,Retail,0,0,0,22.0,3.27,25.27,65.0,0.0,1.24,0.88,0.6233,0,0,0,0,2023-06-17
RX0000009942,MBR00000275,2022-06-06,2022-06-10,1954675629,1985391541,PLN3695,659467,PCN947,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,83,9,Retail,0,0,0,54.0,4.53,58.53,8.0,46.94,3.59,0.72,0.51,0,0,0,0,2022-09-04
RX0000009943,MBR00000275,2022-01-10,2022-01-11,1554767901,1753085536,PLN8216,816011,PCN568,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,60,3,Retail,0,0,0,24.0,5.7,29.7,3.0,24.86,1.84,0.48,0.34,0,0,0,0,2022-03-11
RX0000009944,MBR00000275,2023-08-02,2023-08-03,1594922067,1200246505,PLN2802,394236,PCN430,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,85,11,Retail,3,0,0,42.0,8.7,50.7,4.0,44.82,1.88,0.56,0.3967,0,0,0,0,2023-10-31
RX0000009945,MBR00000275,2022-12-22,2022-12-26,1502032664,1628577105,PLN7272,911657,PCN146,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,0,Mail Order,0,0,0,330.0,9.66,339.66,38.0,290.0,11.66,13.2,9.35,0,0,0,0,2023-01-21
RX0000009946,MBR00000275,2021-04-10,2021-04-14,1473261663,1329274649,PLN1093,239855,PCN211,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,3,Retail,0,0,1,45.0,7.46,52.46,10.0,39.97,2.49,1.8,1.275,0,0,0,0,2021-05-10
RX0000009947,MBR00000275,2023-03-17,2023-03-19,1986462207,1286046185,PLN8160,967739,PCN403,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,6,Retail,0,0,0,36.0,1.95,37.95,5.0,31.42,1.53,0.48,0.34,0,1,0,0,2023-06-15
RX0000009948,MBR00000275,2023-05-11,2023-05-12,1695082110,1524572354,PLN8702,628738,PCN908,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,63,0,Mail Order,0,0,0,740.0,5.15,745.15,38.0,662.17,44.98,14.8,10.4833,0,0,0,0,2023-07-10
RX0000009949,MBR00000275,2021-04-27,2021-04-30,1179354641,1315231213,PLN3331,583467,PCN217,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,58,4,Retail,3,0,0,22.0,8.04,30.04,4.0,24.94,1.1,0.44,0.3117,0,0,0,0,2021-06-26
RX0000009950,MBR00000275,2023-02-18,2023-02-20,1357501395,1280949132,PLN8210,306906,PCN722,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,11,Retail,2,0,0,750.0,3.57,753.57,34.0,677.3,42.27,30.0,21.25,0,0,0,0,2023-03-20
RX0000009951,MBR00000275,2022-10-01,2022-10-02,1905623814,1461488846,PLN1977,546368,PCN840,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,2,Retail,0,0,0,480.0,5.82,485.82,35.0,421.15,29.67,19.2,13.6,0,0,0,0,2022-10-31
RX0000009952,MBR00000275,2022-03-14,2022-03-16,1195326297,1985213381,PLN5628,109549,PCN468,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,6,Retail,0,0,0,18.0,7.09,25.09,1.0,22.8,1.29,0.72,0.51,0,0,0,0,2022-04-13
RX0000009953,MBR00000275,2023-03-19,2023-03-22,1967121529,1111808839,PLN5586,921835,PCN424,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,82,10,Retail,0,1,0,18600.0,7.61,18607.61,150.0,17373.67,1083.94,248.0,175.6667,0,0,0,0,2023-06-17
RX0000009954,MBR00000275,2022-02-02,2022-02-06,1847814273,1247685433,PLN9770,779994,PCN532,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,11,Retail,0,0,0,12.5,10.12,22.62,0.0,21.16,1.46,0.5,0.3542,0,1,0,0,2022-03-04
RX0000009955,MBR00000275,2022-01-11,2022-01-12,1204830717,1458807183,PLN4834,511132,PCN132,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,2,Mail Order,0,0,0,12.5,5.94,18.44,3.0,14.44,1.0,0.5,0.3542,0,0,0,0,2022-02-10
RX0000009956,MBR00000275,2022-06-23,2022-06-26,1463753099,1133184600,PLN8681,952757,PCN726,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,3,Mail Order,0,0,0,950.0,2.21,952.21,37.0,852.88,62.33,38.0,26.9167,0,0,0,0,2022-07-23
RX0000009957,MBR00000275,2022-09-19,2022-09-21,1225267184,1970864144,PLN2804,905019,PCN955,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,59,1,Retail,0,0,0,56.0,1.72,57.72,2.0,52.0,3.72,1.12,0.7933,0,0,0,0,2022-11-18
RX0000009958,MBR00000275,2021-07-12,2021-07-14,1479578413,1552540933,PLN8932,270133,PCN406,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,97,6,Retail,0,0,0,27.0,9.44,36.44,3.0,32.27,1.17,0.36,0.255,0,0,0,0,2021-10-10
RX0000009959,MBR00000275,2023-09-18,2023-09-22,1887348300,1427672109,PLN8220,644584,PCN548,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,9,Mail Order,0,0,0,7.5,10.2,17.7,9.0,7.59,1.11,0.3,0.2125,0,0,0,0,2023-10-18
RX0000009960,MBR00000275,2021-03-10,2021-03-12,1153851153,1598710648,PLN7860,186273,PCN854,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,7,Retail,0,0,0,480.0,11.62,491.62,31.0,434.43,26.19,19.2,13.6,0,0,0,0,2021-04-09
RX0000009961,MBR00000275,2023-04-26,2023-04-28,1676833381,1330090717,PLN5677,760297,PCN178,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,11,Specialty,0,0,0,38.0,30.83,68.83,38.0,30.83,0.0,1.52,1.0767,1,0,0,0,2023-05-26
RX0000009962,MBR00000275,2021-06-21,2021-06-24,1450683634,1156291489,PLN6034,959427,PCN901,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,84,11,Retail,1,0,0,84.0,6.02,90.02,0.0,84.15,5.87,1.12,0.7933,0,0,0,0,2021-09-19
RX0000009963,MBR00000275,2021-09-24,2021-09-28,1651367329,1147582129,PLN7559,904524,PCN195,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,57,3,Retail,0,0,0,32.0,10.53,42.53,8.0,32.58,1.95,0.64,0.4533,0,0,0,0,2021-11-23
RX0000009964,MBR00000275,2021-03-02,2021-03-03,1123985096,1396888219,PLN6844,220896,PCN344,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,9,Retail,0,1,0,6200.0,3.29,6203.29,151.0,5700.06,352.23,248.0,175.6667,0,0,0,0,2021-04-01
RX0000009965,MBR00000275,2023-11-13,2023-11-15,1358559939,1958590837,PLN1815,551902,PCN655,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,5,Mail Order,0,0,0,38.0,7.72,45.72,34.0,9.16,2.56,1.52,1.0767,0,0,0,0,2023-12-13
RX0000009966,MBR00000275,2023-04-12,2023-04-15,1640971649,1385229971,PLN5050,182320,PCN218,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,0,Retail,1,0,0,175.0,8.75,183.75,31.0,143.33,9.42,7.0,4.9583,0,0,0,0,2023-05-12
RX0000009967,MBR00000275,2021-04-23,2021-04-24,1487760203,1216186531,PLN9437,916643,PCN650,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,3,Retail,0,0,0,45.0,2.99,47.99,6.0,39.99,2.0,1.8,1.275,0,0,0,0,2021-05-23
RX0000009968,MBR00000275,2021-08-06,2021-08-08,1806873481,1122865081,PLN4346,627103,PCN356,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,0,Specialty,0,0,0,285.0,40.12,325.12,31.0,294.12,0.0,11.4,8.075,0,0,0,0,2021-09-05
RX0000009969,MBR00000275,2023-05-12,2023-05-14,1285454724,1861720974,PLN5939,347465,PCN493,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,0,Specialty,0,0,0,18.0,43.63,61.63,2.0,59.63,0.0,0.72,0.51,0,0,0,0,2023-06-11
RX0000009970,MBR00000275,2023-06-03,2023-06-07,1876371510,1166209038,PLN7808,581321,PCN896,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,2,Retail,0,0,0,320.0,9.83,329.83,35.0,283.54,11.29,12.8,9.0667,0,0,0,0,2023-07-03
RX0000009971,MBR00000275,2022-01-21,2022-01-22,1447271625,1507957975,PLN8316,240525,PCN476,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,8,Retail,0,0,0,36.0,2.8,38.8,0.0,37.19,1.61,0.48,0.34,1,0,0,0,2022-04-21
RX0000009972,MBR00000275,2022-09-11,2022-09-15,1698810243,1415839797,PLN4276,543976,PCN427,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,94,2,Mail Order,0,0,1,27.0,5.01,32.01,7.0,23.95,1.06,0.36,0.255,0,0,0,0,2022-12-10
RX0000009973,MBR00000275,2023-01-28,2023-01-30,1444314178,1258121016,PLN5868,567154,PCN231,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,81,1,Mail Order,0,0,0,36.0,11.03,47.03,0.0,45.58,1.45,0.48,0.34,0,0,0,0,2023-04-28
RX0000009974,MBR00000275,2022-05-01,2022-05-03,1780338934,1266521978,PLN3037,974270,PCN625,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,8,LTC,0,1,0,1983.33,6.17,1989.5,154.0,1747.29,88.21,340.0,240.8333,0,0,0,0,2022-05-08
RX0000009975,MBR00000275,2022-03-09,2022-03-12,1300160238,1356866791,PLN1581,705382,PCN734,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,7,Retail,0,0,0,45.0,6.79,51.79,0.0,48.22,3.57,1.8,1.275,0,0,0,0,2022-04-08
RX0000009976,MBR00000275,2022-09-19,2022-09-22,1607469542,1765075896,PLN3630,274464,PCN231,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,62,9,Retail,0,0,0,44.0,9.71,53.71,0.0,50.18,3.53,0.88,0.6233,0,0,0,0,2022-11-18
RX0000009977,MBR00000275,2022-12-29,2023-01-01,1401530680,1846434157,PLN4777,163768,PCN708,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,11,Retail,2,0,0,9.0,6.16,15.16,3.0,11.17,0.99,0.36,0.255,1,0,0,0,2023-01-28
RX0000009978,MBR00000275,2023-06-16,2023-06-17,1220748522,1566799099,PLN1670,379392,PCN530,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,11,Retail,0,0,1,285.0,4.52,289.52,40.0,232.98,16.54,11.4,8.075,0,0,0,0,2023-07-16
RX0000009979,MBR00000275,2023-04-14,2023-04-18,1259918068,1935569021,PLN7585,291166,PCN820,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,10,Retail,0,0,0,10.0,7.31,17.31,6.0,10.41,0.9,0.4,0.2833,0,0,0,0,2023-05-14
RX0000009980,MBR00000275,2023-11-02,2023-11-04,1509018430,1151612706,PLN2144,814407,PCN581,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,61,11,Retail,0,0,0,570.0,1.58,571.58,31.0,510.01,30.57,11.4,8.075,0,0,0,0,2024-01-01
RX0000009981,MBR00000275,2021-06-18,2021-06-20,1282746252,1932817889,PLN4136,929337,PCN424,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,9,Retail,0,0,0,18.0,9.12,27.12,34.0,0.0,1.33,0.72,0.51,0,0,0,0,2021-07-18
RX0000009982,MBR00000275,2022-12-07,2022-12-10,1623463624,1578357867,PLN6687,882446,PCN341,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,0,Retail,0,0,0,15.0,10.87,25.87,9.0,15.98,0.89,0.6,0.425,0,0,0,0,2023-01-06
RX0000009983,MBR00000275,2021-12-01,2021-12-03,1737833198,1695545162,PLN8527,115666,PCN569,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,82,10,Retail,0,0,0,135.0,10.51,145.51,2.0,133.49,10.02,1.8,1.275,0,0,0,0,2022-03-01
RX0000009984,MBR00000275,2022-05-19,2022-05-22,1332980570,1369856211,PLN5635,752386,PCN466,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,7,Mail Order,0,0,0,650.0,9.34,659.34,32.0,599.8,27.54,26.0,18.4167,0,0,0,0,2022-06-18
RX0000009985,MBR00000275,2023-05-15,2023-05-17,1506077577,1589506416,PLN8482,833937,PCN438,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,0,Mail Order,0,1,0,6200.0,9.37,6209.37,154.0,5624.29,431.08,248.0,175.6667,0,0,0,0,2023-06-14
RX0000009986,MBR00000275,2022-10-01,2022-10-03,1977646668,1962001613,PLN8983,963377,PCN143,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,7,Retail,0,0,0,15.0,5.23,20.23,6.0,13.36,0.87,0.6,0.425,0,0,0,0,2022-10-31
RX0000009987,MBR00000275,2021-10-21,2021-10-22,1159910737,1641381549,PLN9848,549909,PCN601,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,1,Retail,0,0,0,310.0,8.91,318.91,36.0,270.72,12.19,12.4,8.7833,1,0,0,0,2021-11-20
RX0000009988,MBR00000275,2023-09-30,2023-10-04,1953224377,1915474597,PLN5042,572244,PCN717,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,95,7,Retail,0,0,0,27.0,11.63,38.63,0.0,37.35,1.28,0.36,0.255,0,0,0,0,2023-12-29
RX0000009989,MBR00000275,2023-09-30,2023-10-04,1705475467,1136944111,PLN1643,533927,PCN896,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,5,Mail Order,2,0,0,42.0,9.74,51.74,6.0,43.62,2.12,0.56,0.3967,0,0,0,0,2023-12-29
RX0000009990,MBR00000275,2023-09-16,2023-09-19,1602094741,1847679729,PLN1858,697313,PCN758,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,8,Retail,0,0,0,14.0,3.67,17.67,1.0,15.63,1.04,0.56,0.3967,1,0,0,0,2023-10-16
RX0000009991,MBR00000275,2023-12-05,2023-12-06,1904876695,1384478722,PLN2295,837630,PCN272,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,87,8,Retail,0,0,0,36.0,2.6,38.6,9.0,27.08,2.52,0.48,0.34,0,0,0,0,2024-03-04
RX0000009992,MBR00000275,2021-11-28,2021-12-01,1608457248,1881831923,PLN2966,871547,PCN220,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,11,Retail,0,0,0,18.0,10.05,28.05,39.0,0.0,1.54,0.72,0.51,0,0,0,0,2021-12-28
RX0000009993,MBR00000276,2022-04-02,2022-04-03,1326046081,1461434399,PLN1803,613470,PCN102,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,2,Retail,1,0,0,12.0,2.47,14.47,0.0,13.83,0.64,0.48,0.34,0,0,0,0,2022-05-02
RX0000009994,MBR00000276,2022-06-20,2022-06-21,1272636031,1889423520,PLN1520,284389,PCN205,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,7,Specialty,0,0,0,9.0,36.4,45.4,8.0,37.4,0.0,0.36,0.255,0,0,0,0,2022-07-20
RX0000009995,MBR00000276,2022-10-21,2022-10-23,1402799122,1415882998,PLN3764,133336,PCN545,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,88,10,Retail,0,1,0,36.0,4.78,40.78,145.0,0.0,1.63,0.48,0.34,0,0,0,0,2023-01-19
RX0000009996,MBR00000276,2022-10-17,2022-10-21,1783488043,1178199253,PLN8655,362982,PCN888,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,98,6,Retail,0,0,0,27.0,4.98,31.98,9.0,21.58,1.4,0.36,0.255,0,0,0,0,2023-01-15
RX0000009997,MBR00000276,2022-12-11,2022-12-13,1135938753,1414293109,PLN2691,162321,PCN953,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,0,Retail,2,0,0,86.33,3.28,89.61,40.0,44.86,4.75,14.8,10.4833,0,0,0,0,2022-12-18
RX0000009998,MBR00000276,2022-11-06,2022-11-09,1525696096,1760417356,PLN4596,469667,PCN354,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,11,Retail,1,0,0,370.0,5.64,375.64,31.0,332.23,12.41,14.8,10.4833,0,0,0,0,2022-12-06
RX0000009999,MBR00000276,2021-12-06,2021-12-08,1478376276,1236038514,PLN2761,163974,PCN802,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,8,Mail Order,0,0,0,14.0,11.31,25.31,5.0,19.05,1.26,0.56,0.3967,1,0,0,0,2022-01-05
RX0000010000,MBR00000276,2021-09-24,2021-09-28,1284263623,1614700729,PLN8847,454770,PCN339,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,1,Mail Order,0,0,0,330.0,4.49,334.49,33.0,287.48,14.01,13.2,9.35,0,0,0,0,2021-10-24
RX0000010001,MBR00000276,2023-04-29,2023-05-02,1871278220,1477021513,PLN5977,442875,PCN383,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,11,LTC,0,0,0,11.0,5.75,16.75,0.0,16.22,0.53,0.44,0.3117,0,0,0,0,2023-05-29
RX0000010002,MBR00000276,2023-12-24,2023-12-28,1546451905,1409943119,PLN6642,748108,PCN793,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,6,Retail,0,0,0,10.0,4.29,14.29,0.0,13.64,0.65,0.4,0.2833,0,0,0,0,2024-01-23
RX0000010003,MBR00000276,2021-12-16,2021-12-20,1818776876,1558906893,PLN2252,465358,PCN571,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,10,LTC,0,1,0,12.0,11.2,23.2,147.0,0.0,1.14,0.48,0.34,0,0,0,0,2022-01-15
RX0000010004,MBR00000276,2022-04-13,2022-04-17,1275149283,1889220457,PLN5665,328094,PCN548,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,85,3,Mail Order,2,1,0,8400.0,8.1,8408.1,152.0,7676.43,579.67,112.0,79.3333,0,0,0,0,2022-07-12
RX0000010005,MBR00000276,2021-04-14,2021-04-17,1379163640,1365045298,PLN1127,330424,PCN334,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,5,Retail,0,0,0,15.0,3.7,18.7,5.0,12.48,1.22,0.6,0.425,0,0,0,0,2021-05-14
RX0000010006,MBR00000276,2021-03-18,2021-03-22,1606222030,1142296326,PLN3689,530599,PCN193,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,90,2,Retail,0,0,0,135.0,7.61,142.61,1.0,136.19,5.42,1.8,1.275,0,0,0,0,2021-06-16
RX0000010007,MBR00000276,2023-09-17,2023-09-18,1396363603,1492922205,PLN4805,590990,PCN769,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,5,Retail,0,0,0,330.0,9.77,339.77,37.0,285.31,17.46,13.2,9.35,0,0,0,0,2023-10-17
RX0000010008,MBR00000276,2023-08-24,2023-08-28,1373917610,1204379490,PLN2858,466332,PCN911,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,83,11,Mail Order,0,0,0,48.0,2.16,50.16,4.0,43.42,2.74,0.64,0.4533,0,0,0,0,2023-11-22
RX0000010009,MBR00000276,2022-12-25,2022-12-27,1665485766,1239291973,PLN1426,277362,PCN123,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,9,Retail,2,0,0,38.0,6.98,44.98,3.0,40.18,1.8,1.52,1.0767,0,0,0,0,2023-01-24
RX0000010010,MBR00000276,2021-07-11,2021-07-14,1445369182,1605803447,PLN2136,490847,PCN823,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,97,0,Specialty,0,0,0,135.0,28.74,163.74,7.0,156.74,0.0,1.8,1.275,0,0,0,0,2021-10-09
RX0000010011,MBR00000276,2023-09-30,2023-10-04,1143412702,1309717885,PLN4601,148830,PCN689,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,11,Retail,0,0,0,480.0,2.42,482.42,37.0,420.41,25.01,19.2,13.6,0,0,0,0,2023-10-30
RX0000010012,MBR00000276,2023-08-30,2023-09-03,1111015031,1864481170,PLN2895,693999,PCN746,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,95,4,Retail,3,0,0,855.0,7.64,862.64,33.0,802.76,26.88,11.4,8.075,0,0,0,0,2023-11-28
RX0000010013,MBR00000276,2023-05-26,2023-05-30,1525555380,1606324933,PLN8426,145930,PCN247,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,60,1,Retail,0,0,0,24.0,8.93,32.93,1.0,30.45,1.48,0.48,0.34,0,0,0,0,2023-07-25
RX0000010014,MBR00000276,2021-03-16,2021-03-19,1380768077,1920181433,PLN4286,269267,PCN661,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,96,7,Specialty,0,0,0,54.0,13.57,67.57,32.0,35.57,0.0,0.72,0.51,0,0,0,0,2021-06-14
RX0000010015,MBR00000276,2021-09-26,2021-09-27,1350113301,1582632701,PLN1502,651890,PCN193,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,8,Specialty,0,0,0,65.0,10.79,75.79,36.0,39.79,0.0,2.6,1.8417,0,0,0,0,2021-10-26
RX0000010016,MBR00000276,2021-02-26,2021-03-02,1891182667,1182851696,PLN5793,161779,PCN108,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,2,Retail,0,0,0,320.0,6.41,326.41,34.0,271.04,21.37,12.8,9.0667,0,0,0,0,2021-03-28
RX0000010017,MBR00000276,2022-04-19,2022-04-23,1550456446,1124250959,PLN1222,573069,PCN740,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,11,Retail,0,0,0,2.92,9.53,12.45,3.0,8.75,0.7,0.5,0.3542,0,0,0,0,2022-04-26
RX0000010018,MBR00000276,2023-03-27,2023-03-30,1174288327,1104094316,PLN9001,868450,PCN841,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,89,2,Retail,3,0,0,66.0,4.03,70.03,4.0,61.66,4.37,0.88,0.6233,0,0,0,0,2023-06-25
RX0000010019,MBR00000276,2023-07-26,2023-07-28,1460259988,1734615082,PLN5208,977981,PCN473,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,0,Retail,0,0,0,9.0,6.37,15.37,3.0,11.79,0.58,0.36,0.255,0,0,0,0,2023-08-25
RX0000010020,MBR00000276,2021-12-29,2022-01-01,1177579980,1482978011,PLN9106,210985,PCN201,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,86,8,Retail,0,0,0,25.5,4.65,30.15,4.0,24.85,1.3,0.34,0.2408,1,0,0,0,2022-03-29
RX0000010021,MBR00000276,2023-04-26,2023-04-30,1323381810,1384551285,PLN5081,114584,PCN454,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,94,4,Retail,0,0,0,1440.0,10.68,1450.68,37.0,1329.94,83.74,19.2,13.6,0,0,0,0,2023-07-25
RX0000010022,MBR00000276,2022-02-21,2022-02-25,1905903026,1792202145,PLN9253,400504,PCN495,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,7,Retail,0,1,0,8.0,2.95,10.95,149.0,0.0,0.69,0.32,0.2267,0,0,0,0,2022-03-23
RX0000010023,MBR00000276,2022-12-27,2022-12-31,1346384372,1363949414,PLN9279,152519,PCN604,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,7,Specialty,0,0,0,72.33,36.43,108.77,30.0,78.77,0.0,12.4,8.7833,0,0,0,0,2023-01-03
RX0000010024,MBR00000276,2022-03-17,2022-03-20,1422609547,1491571582,PLN5315,479104,PCN674,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,89,4,Retail,0,0,0,45.0,2.12,47.12,9.0,36.44,1.68,0.6,0.425,0,0,0,0,2022-06-15
RX0000010025,MBR00000276,2023-10-23,2023-10-26,1533627064,1349757354,PLN2869,214827,PCN968,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,2,Retail,3,1,0,8500.0,4.62,8504.62,148.0,8091.14,265.48,340.0,240.8333,0,1,1,0,2023-11-22
RX0000010026,MBR00000276,2021-09-09,2021-09-10,1611352353,1514357187,PLN5456,365300,PCN181,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,1,Retail,3,0,0,18.0,3.26,21.26,32.0,0.0,1.2,0.72,0.51,0,0,0,0,2021-10-09
RX0000010027,MBR00000276,2023-02-25,2023-02-26,1313180646,1619145889,PLN3365,200619,PCN220,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,4,Mail Order,0,0,0,65.0,5.19,70.19,35.0,31.45,3.74,2.6,1.8417,0,0,0,0,2023-03-27
RX0000010028,MBR00000276,2022-11-09,2022-11-12,1943080452,1897378758,PLN1025,986176,PCN257,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,1,Retail,0,0,0,14.0,5.65,19.65,6.0,12.6,1.05,0.56,0.3967,0,0,0,0,2022-12-09
RX0000010029,MBR00000277,2022-12-28,2022-12-30,1505717060,1240698955,PLN4000,697798,PCN732,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,82,3,Retail,2,1,0,8400.0,2.47,8402.47,146.0,7825.22,431.25,112.0,79.3333,0,0,0,0,2023-03-28
RX0000010030,MBR00000277,2021-12-06,2021-12-10,1144951361,1300179636,PLN9958,341551,PCN321,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,9,Retail,0,1,0,8500.0,8.65,8508.65,148.0,7829.83,530.82,340.0,240.8333,0,0,0,0,2022-01-05
RX0000010031,MBR00000277,2022-07-26,2022-07-27,1682866980,1717373502,PLN3105,984415,PCN119,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,3,Mail Order,0,0,0,11.0,7.07,18.07,9.0,7.95,1.12,0.44,0.3117,0,0,0,0,2022-08-25
RX0000010032,MBR00000277,2021-10-10,2021-10-12,1307473901,1790329672,PLN3507,855040,PCN274,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,9,Retail,0,1,0,2800.0,11.77,2811.77,146.0,2527.25,138.52,112.0,79.3333,0,0,0,0,2021-11-09
RX0000010033,MBR00000277,2021-12-01,2021-12-03,1751486069,1559163829,PLN7852,208266,PCN714,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,9,Specialty,0,0,0,3.27,23.66,26.92,5.0,21.92,0.0,0.56,0.3967,0,0,0,0,2021-12-08
RX0000010034,MBR00000277,2021-04-09,2021-04-11,1677540145,1523476867,PLN4403,848619,PCN419,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,97,7,Retail,0,0,0,36.0,11.36,47.36,5.0,40.06,2.3,0.48,0.34,0,0,0,0,2021-07-08
RX0000010035,MBR00000277,2023-12-16,2023-12-19,1252882724,1109414246,PLN7883,459324,PCN425,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,9,Specialty,0,0,0,175.0,48.84,223.84,39.0,184.84,0.0,7.0,4.9583,0,0,0,0,2024-01-15
RX0000010036,MBR00000277,2021-02-05,2021-02-06,1862997802,1365129003,PLN3630,366088,PCN927,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,1,Mail Order,0,0,0,112.0,8.27,120.27,36.0,77.84,6.43,19.2,13.6,0,0,0,0,2021-02-12
RX0000010037,MBR00000277,2022-10-22,2022-10-26,1588725280,1901724821,PLN1721,746939,PCN987,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,11,Mail Order,0,0,0,10.0,6.68,16.68,2.0,14.17,0.51,0.4,0.2833,0,0,0,0,2022-11-21
RX0000010038,MBR00000277,2021-04-01,2021-04-03,1388886908,1306043425,PLN9910,739450,PCN463,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,84,2,LTC,0,0,0,1950.0,8.64,1958.64,33.0,1807.2,118.44,26.0,18.4167,0,0,0,0,2021-06-30
RX0000010039,MBR00000277,2021-07-19,2021-07-20,1182327998,1897612967,PLN9219,284621,PCN923,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,3,Retail,0,0,0,950.0,6.46,956.46,34.0,884.86,37.6,38.0,26.9167,0,0,0,0,2021-08-18
RX0000010040,MBR00000277,2022-10-23,2022-10-27,1641662407,1160182583,PLN4138,480122,PCN190,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,55,5,Retail,0,0,0,24.0,3.0,27.0,6.0,19.99,1.01,0.48,0.34,0,0,0,0,2022-12-22
RX0000010041,MBR00000277,2021-06-15,2021-06-19,1300359221,1429638850,PLN3627,476148,PCN745,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,56,3,Specialty,0,0,0,22.0,13.5,35.5,3.0,32.5,0.0,0.44,0.3117,0,0,0,0,2021-08-14
RX0000010042,MBR00000277,2021-08-11,2021-08-15,1846632635,1559349632,PLN5414,433625,PCN572,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,2,Retail,3,0,0,310.0,3.14,313.14,36.0,259.95,17.19,12.4,8.7833,0,0,0,0,2021-09-10
RX0000010043,MBR00000277,2022-09-08,2022-09-12,1654096006,1459458034,PLN6276,813205,PCN258,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,96,2,Retail,0,0,0,855.0,11.58,866.58,30.0,789.46,47.12,11.4,8.075,0,0,0,0,2022-12-07
RX0000010044,MBR00000277,2022-04-26,2022-04-28,1713290041,1161381122,PLN9750,604509,PCN162,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,6,Specialty,1,0,0,9.0,27.06,36.06,0.0,36.06,0.0,0.36,0.255,0,0,0,0,2022-05-26
RX0000010045,MBR00000277,2022-12-20,2022-12-22,1135077441,1978501729,PLN1189,753867,PCN465,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,11,Retail,0,1,0,8500.0,7.04,8507.04,150.0,7874.14,482.9,340.0,240.8333,0,0,0,0,2023-01-19
RX0000010046,MBR00000277,2021-09-06,2021-09-08,1186965990,1242194617,PLN5688,717502,PCN750,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,4,Retail,0,0,0,38.0,2.95,40.95,1.0,37.79,2.16,1.52,1.0767,0,0,0,0,2021-10-06
RX0000010047,MBR00000277,2021-03-04,2021-03-07,1862090954,1304865310,PLN9130,762583,PCN844,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,96,0,Retail,1,0,0,36.0,2.19,38.19,0.0,35.98,2.21,0.48,0.34,0,0,0,0,2021-06-02
RX0000010048,MBR00000277,2021-09-09,2021-09-13,1905752351,1777259316,PLN1777,737829,PCN925,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,2,Specialty,0,0,0,9.0,48.41,57.41,0.0,57.41,0.0,0.36,0.255,0,0,0,0,2021-10-09
RX0000010049,MBR00000277,2022-02-05,2022-02-07,1774319942,1623791977,PLN4756,566522,PCN797,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,2,Mail Order,0,0,0,15.0,5.96,20.96,10.0,9.5,1.46,0.6,0.425,0,0,0,0,2022-03-07
RX0000010050,MBR00000277,2023-08-11,2023-08-15,1431543134,1670593534,PLN5295,649886,PCN115,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,1,Mail Order,0,0,0,320.0,2.38,322.38,32.0,274.36,16.02,12.8,9.0667,0,0,0,0,2023-09-10
RX0000010051,MBR00000277,2023-08-25,2023-08-26,1554105428,1677814979,PLN5575,333867,PCN334,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,6,Retail,0,1,0,1.87,5.99,7.86,151.0,0.0,0.24,0.32,0.2267,0,0,0,0,2023-09-01
RX0000010052,MBR00000277,2023-10-09,2023-10-12,1636909335,1750737422,PLN5275,245984,PCN221,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,58,6,Retail,0,0,0,56.0,5.39,61.39,10.0,48.52,2.87,1.12,0.7933,0,0,0,0,2023-12-08
RX0000010053,MBR00000277,2022-01-16,2022-01-19,1904992702,1800475748,PLN8579,953332,PCN758,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,7,Mail Order,0,0,0,9.0,8.36,17.36,8.0,8.47,0.89,0.36,0.255,0,0,0,0,2022-02-15
RX0000010054,MBR00000277,2023-06-29,2023-07-01,1966035030,1591756399,PLN3621,259385,PCN222,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,5,Mail Order,0,0,0,38.0,1.76,39.76,10.0,27.28,2.48,1.52,1.0767,0,0,0,0,2023-07-29
RX0000010055,MBR00000277,2022-05-20,2022-05-22,1289422148,1889153907,PLN8195,913896,PCN180,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,0,Retail,0,0,0,330.0,9.25,339.25,30.0,292.25,17.0,13.2,9.35,0,0,0,0,2022-06-19
RX0000010056,MBR00000277,2022-07-03,2022-07-05,1561700131,1748572984,PLN8986,508198,PCN263,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,96,2,Retail,3,0,0,66.0,8.99,74.99,3.0,68.32,3.67,0.88,0.6233,1,0,0,0,2022-10-01
RX0000010057,MBR00000278,2021-11-30,2021-12-04,1572934114,1996503942,PLN6637,983545,PCN367,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,9,Mail Order,0,0,0,7.5,8.0,15.5,2.0,12.58,0.92,0.3,0.2125,0,0,0,0,2021-12-30
RX0000010058,MBR00000278,2022-03-04,2022-03-08,1750002296,1303378562,PLN4373,334808,PCN187,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,59,10,Retail,0,0,0,36.0,10.53,46.53,8.0,35.41,3.12,0.72,0.51,0,0,0,0,2022-05-03
RX0000010059,MBR00000278,2022-03-29,2022-03-31,1161680074,1205266904,PLN1648,742418,PCN822,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,8,Retail,0,0,0,28.0,9.89,37.89,3.0,33.41,1.48,1.12,0.7933,0,0,0,0,2022-04-28
RX0000010060,MBR00000278,2021-12-18,2021-12-19,1547331602,1546747631,PLN4241,573598,PCN948,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,0,Retail,0,0,0,9.0,11.06,20.06,9.0,9.98,1.08,0.36,0.255,0,0,0,0,2022-01-17
RX0000010061,MBR00000278,2023-11-09,2023-11-10,1505574278,1121960953,PLN8246,929372,PCN297,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,7,Mail Order,0,0,0,11.0,8.29,19.29,3.0,15.02,1.27,0.44,0.3117,0,0,0,0,2023-12-09
RX0000010062,MBR00000278,2022-02-18,2022-02-22,1412885876,1133087329,PLN8307,832160,PCN789,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,10,Retail,0,1,0,6200.0,10.3,6210.3,147.0,5805.13,258.17,248.0,175.6667,1,0,0,0,2022-03-20
RX0000010063,MBR00000278,2021-02-12,2021-02-13,1996881749,1235407850,PLN2229,913192,PCN755,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,3,Retail,0,0,0,12.0,5.8,17.8,6.0,10.67,1.13,0.48,0.34,0,0,0,0,2021-03-14
RX0000010064,MBR00000278,2022-12-13,2022-12-14,1167667380,1864190837,PLN8264,386046,PCN142,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,55,10,Mail Order,0,0,1,18.0,9.41,27.41,8.0,18.02,1.39,0.36,0.255,0,0,0,0,2023-02-11
RX0000010065,MBR00000278,2022-12-02,2022-12-06,1921616940,1782760027,PLN8657,818890,PCN703,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,7,Retail,0,0,0,11.0,8.02,19.02,5.0,13.23,0.79,0.44,0.3117,0,1,0,0,2023-01-01
RX0000010066,MBR00000278,2022-01-02,2022-01-06,1827255430,1345396412,PLN7497,515686,PCN105,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,88,6,Retail,0,0,0,555.0,10.46,565.46,40.0,499.46,26.0,7.4,5.2417,0,0,0,0,2022-04-02
RX0000010067,MBR00000278,2022-01-15,2022-01-16,1269405719,1740175918,PLN7709,150408,PCN615,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,8,Mail Order,0,0,0,9.0,1.53,10.53,8.0,2.0,0.53,0.36,0.255,0,0,0,0,2022-02-14
RX0000010068,MBR00000278,2021-09-30,2021-10-04,1356928971,1838794913,PLN4883,983734,PCN103,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,11,Mail Order,0,0,0,14.0,2.97,16.97,7.0,9.26,0.71,0.56,0.3967,0,0,0,0,2021-10-30
RX0000010069,MBR00000278,2021-10-11,2021-10-14,1456576104,1207801681,PLN2667,300017,PCN672,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,9,Retail,2,1,0,6200.0,1.52,6201.52,152.0,5767.91,281.61,248.0,175.6667,0,0,0,0,2021-11-10
RX0000010070,MBR00000278,2022-06-08,2022-06-12,1362703411,1386311540,PLN5160,125322,PCN710,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,58,9,Retail,0,0,0,1300.0,2.29,1302.29,37.0,1214.97,50.32,26.0,18.4167,0,1,1,0,2022-08-07
RX0000010071,MBR00000278,2021-06-22,2021-06-24,1236751554,1300698185,PLN8446,185197,PCN965,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,5,Specialty,0,0,0,10.0,8.14,18.14,6.0,12.14,0.0,0.4,0.2833,0,0,0,0,2021-07-22
RX0000010072,MBR00000278,2021-02-04,2021-02-05,1104854275,1961217842,PLN6810,876703,PCN990,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,6,Retail,0,0,0,2.8,9.31,12.11,8.0,3.59,0.52,0.48,0.34,0,0,0,0,2021-02-11
RX0000010073,MBR00000278,2021-01-27,2021-01-28,1500219486,1541638602,PLN9508,786203,PCN484,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,82,5,Mail Order,0,0,0,114.0,8.23,122.23,8.0,109.94,4.29,1.52,1.0767,0,0,0,0,2021-04-27
RX0000010074,MBR00000278,2023-09-14,2023-09-16,1242078021,1241906797,PLN7682,717328,PCN618,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,95,5,Retail,0,0,0,27.0,6.38,33.38,7.0,24.99,1.39,0.36,0.255,0,0,0,0,2023-12-13
RX0000010075,MBR00000278,2021-06-25,2021-06-27,1413062917,1732267410,PLN4378,189493,PCN639,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,0,Retail,0,0,0,22.0,6.6,28.6,66.0,0.0,1.76,0.88,0.6233,0,0,0,0,2021-07-25
RX0000010076,MBR00000278,2023-05-02,2023-05-06,1679552484,1161175746,PLN5465,233842,PCN209,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,2,Retail,0,1,0,2800.0,5.5,2805.5,148.0,2490.01,167.49,112.0,79.3333,0,0,0,0,2023-06-01
RX0000010077,MBR00000278,2022-06-29,2022-06-30,1398949150,1368111591,PLN1619,424434,PCN793,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,8,Mail Order,0,0,0,14.0,1.66,15.66,6.0,8.82,0.84,0.56,0.3967,0,0,0,0,2022-07-29
RX0000010078,MBR00000278,2023-02-27,2023-02-28,1457967806,1806503256,PLN2783,368575,PCN784,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,61,0,Retail,0,0,0,20.0,9.74,29.74,9.0,19.84,0.9,0.4,0.2833,0,0,0,0,2023-04-28
RX0000010079,MBR00000278,2023-04-02,2023-04-03,1416520396,1701996646,PLN4688,296530,PCN633,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,62,7,Retail,0,0,0,15.0,2.44,17.44,3.0,13.91,0.53,0.3,0.2125,0,0,0,0,2023-06-01
RX0000010080,MBR00000278,2022-05-25,2022-05-26,1421118341,1488460239,PLN3776,532415,PCN363,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,10,Mail Order,0,0,0,15.0,6.12,21.12,4.0,16.14,0.98,0.6,0.425,0,0,0,0,2022-06-24
RX0000010081,MBR00000278,2022-06-25,2022-06-27,1412142912,1745089391,PLN1527,221513,PCN201,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,10,Retail,0,0,0,12.0,10.97,22.97,2.0,19.79,1.18,0.48,0.34,1,0,0,0,2022-07-25
RX0000010082,MBR00000278,2021-01-05,2021-01-06,1676079554,1432051644,PLN1342,357550,PCN409,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,0,Mail Order,0,0,0,18.0,6.26,24.26,2.0,20.92,1.34,0.72,0.51,0,0,0,0,2021-02-04
RX0000010083,MBR00000278,2023-04-04,2023-04-06,1848068056,1942074203,PLN8553,402650,PCN889,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,6,Retail,3,0,0,9.0,9.89,18.89,4.0,13.85,1.04,0.36,0.255,0,0,0,0,2023-05-04
RX0000010084,MBR00000278,2023-06-14,2023-06-18,1763630951,1115582051,PLN3328,995568,PCN380,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,9,Retail,0,0,0,18.0,10.97,28.97,6.0,21.08,1.89,0.72,0.51,0,0,0,0,2023-07-14
RX0000010085,MBR00000278,2023-02-21,2023-02-22,1420419685,1980579190,PLN2592,646431,PCN188,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,2,Mail Order,0,0,0,28.0,11.04,39.04,4.0,33.4,1.64,1.12,0.7933,0,0,0,0,2023-03-23
RX0000010086,MBR00000278,2023-05-31,2023-06-01,1666925689,1186627987,PLN1601,611038,PCN978,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,94,4,Retail,0,0,0,22.5,6.35,28.85,10.0,17.86,0.99,0.3,0.2125,0,0,0,0,2023-08-29
RX0000010087,MBR00000278,2023-04-04,2023-04-06,1791723310,1690923283,PLN2350,874446,PCN598,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,11,Retail,0,0,0,38.0,6.7,44.7,40.0,1.72,2.98,1.52,1.0767,0,0,0,0,2023-05-04
RX0000010088,MBR00000278,2023-07-04,2023-07-05,1208102909,1786858887,PLN7576,173306,PCN224,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,59,9,Retail,0,0,0,44.0,10.11,54.11,6.0,45.53,2.58,0.88,0.6233,0,0,0,0,2023-09-02
RX0000010089,MBR00000278,2023-12-23,2023-12-24,1729437403,1416595381,PLN8912,719416,PCN832,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,3,Retail,0,0,0,2.33,4.85,7.18,2.0,4.81,0.37,0.4,0.2833,0,1,0,0,2023-12-30
RX0000010090,MBR00000278,2023-07-07,2023-07-10,1597943052,1181784325,PLN7889,849761,PCN876,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,81,2,Retail,0,0,0,36.0,7.9,43.9,4.0,37.4,2.5,0.48,0.34,0,0,0,0,2023-10-05
RX0000010091,MBR00000278,2021-11-05,2021-11-07,1855180908,1836142055,PLN6080,730096,PCN214,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,86,10,Retail,0,0,0,30.0,5.31,35.31,7.0,27.24,1.07,0.4,0.2833,0,0,0,0,2022-02-03
RX0000010092,MBR00000278,2021-09-09,2021-09-10,1312641979,1101885905,PLN8952,333355,PCN787,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,10,Retail,0,0,0,12.0,4.96,16.96,5.0,10.96,1.0,0.48,0.34,0,0,0,0,2021-10-09
RX0000010093,MBR00000278,2023-07-03,2023-07-06,1669099310,1857497399,PLN5148,870786,PCN659,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,58,7,Retail,0,0,0,1300.0,9.89,1309.89,37.0,1230.84,42.05,26.0,18.4167,0,1,1,0,2023-09-01
RX0000010094,MBR00000278,2021-01-06,2021-01-09,1583719739,1679821199,PLN2018,471863,PCN249,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,9,Retail,0,0,0,4.2,5.16,9.36,4.0,4.84,0.52,0.72,0.51,0,0,0,0,2021-01-13
RX0000010095,MBR00000278,2023-05-11,2023-05-13,1558344573,1408854000,PLN4665,636836,PCN949,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,4,Retail,0,0,0,18.0,11.34,29.34,3.0,24.33,2.01,0.72,0.51,0,0,0,0,2023-06-10
RX0000010096,MBR00000278,2022-07-27,2022-07-31,1159171079,1903478989,PLN7425,594188,PCN576,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,10,Retail,0,0,0,285.0,4.12,289.12,31.0,244.3,13.82,11.4,8.075,0,0,0,0,2022-08-26
RX0000010097,MBR00000278,2022-05-02,2022-05-04,1917289172,1909601723,PLN5863,646570,PCN633,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,1,Retail,0,0,0,38.0,9.14,47.14,0.0,44.34,2.8,1.52,1.0767,0,0,0,0,2022-06-01
RX0000010098,MBR00000278,2022-12-25,2022-12-28,1332180026,1786567324,PLN9446,880216,PCN393,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,85,7,Retail,0,0,0,66.0,4.97,70.97,72.0,0.0,3.23,0.88,0.6233,0,0,0,0,2023-03-25
RX0000010099,MBR00000278,2021-01-05,2021-01-08,1806345478,1307955819,PLN5487,591771,PCN423,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,5,Retail,0,0,0,65.0,3.56,68.56,35.0,29.53,4.03,2.6,1.8417,0,1,1,0,2021-02-04
RX0000010100,MBR00000279,2023-10-30,2023-10-31,1532393581,1701413003,PLN7072,710688,PCN909,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,1,Retail,0,1,0,1446.67,8.64,1455.3,149.0,1257.36,48.94,248.0,175.6667,0,0,0,0,2023-11-06
RX0000010101,MBR00000279,2023-11-02,2023-11-06,1683844589,1321699776,PLN1882,542913,PCN668,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,58,10,Mail Order,3,0,0,370.0,9.06,379.06,39.0,321.91,18.15,7.4,5.2417,0,0,0,0,2024-01-01
RX0000010102,MBR00000279,2022-09-15,2022-09-16,1786266794,1384772082,PLN5049,669120,PCN798,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,0,Retail,0,0,0,16.0,11.9,27.9,9.0,17.33,1.57,0.64,0.4533,0,0,0,0,2022-10-15
RX0000010103,MBR00000279,2023-03-21,2023-03-22,1392414215,1403208825,PLN8488,161487,PCN238,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,8,Retail,0,0,0,15.0,1.61,16.61,10.0,5.76,0.85,0.6,0.425,0,0,0,0,2023-04-20
RX0000010104,MBR00000279,2023-07-01,2023-07-04,1911042820,1370628190,PLN6791,409046,PCN400,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,8,Mail Order,2,0,0,22.0,4.52,26.52,65.0,0.0,1.03,0.88,0.6233,0,0,0,0,2023-07-31
RX0000010105,MBR00000279,2021-08-28,2021-08-29,1795449304,1332496644,PLN8850,785634,PCN339,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,8,Mail Order,0,0,0,9.0,1.68,10.68,10.0,0.29,0.39,0.36,0.255,0,0,0,0,2021-09-27
RX0000010106,MBR00000279,2022-12-12,2022-12-15,1456933085,1989158236,PLN2015,365811,PCN142,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,88,5,Retail,0,0,0,30.0,3.74,33.74,8.0,23.98,1.76,0.4,0.2833,0,0,0,0,2023-03-12
RX0000010107,MBR00000279,2021-10-17,2021-10-21,1742192052,1238438196,PLN5250,347668,PCN655,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,2,Retail,0,0,0,112.0,11.68,123.68,31.0,84.41,8.27,19.2,13.6,0,0,0,0,2021-10-24
RX0000010108,MBR00000279,2023-10-20,2023-10-24,1752170659,1954772927,PLN6496,952188,PCN669,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,62,4,Retail,0,0,0,960.0,6.89,966.89,38.0,871.31,57.58,19.2,13.6,0,0,0,0,2023-12-19
RX0000010109,MBR00000279,2023-03-10,2023-03-11,1718892638,1657123712,PLN8745,622188,PCN131,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,3,Retail,0,0,1,10.0,8.53,18.53,1.0,16.26,1.27,0.4,0.2833,0,0,0,0,2023-04-09
RX0000010110,MBR00000279,2022-10-31,2022-11-03,1891345290,1806232435,PLN7533,226358,PCN119,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,7,Retail,0,0,0,380.0,8.66,388.66,34.0,336.71,17.95,15.2,10.7667,0,0,0,0,2022-11-30
RX0000010111,MBR00000279,2022-10-03,2022-10-07,1922186780,1434946536,PLN5129,913380,PCN849,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,9,Mail Order,0,1,0,8.0,11.44,19.44,150.0,0.0,0.92,0.32,0.2267,0,0,0,0,2022-11-02
RX0000010112,MBR00000279,2021-04-16,2021-04-19,1750432434,1612608876,PLN8949,212865,PCN269,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,11,Retail,0,0,0,3.5,8.83,12.33,0.0,11.57,0.76,0.6,0.425,0,0,0,0,2021-04-23
RX0000010113,MBR00000279,2023-04-07,2023-04-11,1380908468,1445617100,PLN9291,199313,PCN854,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,98,11,Retail,0,0,0,30.0,2.41,32.41,5.0,25.28,2.13,0.4,0.2833,1,0,0,0,2023-07-06
RX0000010114,MBR00000279,2021-04-04,2021-04-05,1667612121,1837065253,PLN9871,443767,PCN413,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,5,Retail,0,0,0,330.0,8.85,338.85,30.0,285.76,23.09,13.2,9.35,0,0,0,0,2021-05-04
RX0000010115,MBR00000279,2021-02-01,2021-02-05,1621849671,1944752920,PLN1631,923709,PCN984,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,61,5,Specialty,0,0,0,24.0,28.96,52.96,7.0,45.96,0.0,0.48,0.34,0,0,0,0,2021-04-02
RX0000010116,MBR00000279,2022-05-25,2022-05-27,1846316479,1165980795,PLN6299,566860,PCN474,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,84,2,Retail,0,0,0,930.0,9.89,939.89,38.0,872.32,29.57,12.4,8.7833,0,0,0,0,2022-08-23
RX0000010117,MBR00000279,2022-10-17,2022-10-20,1135845799,1268977138,PLN6454,669224,PCN893,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,9,Retail,0,0,0,15.0,2.43,17.43,7.0,9.5,0.93,0.6,0.425,0,0,0,0,2022-11-16
RX0000010118,MBR00000279,2023-09-03,2023-09-07,1439583771,1311874538,PLN1237,251467,PCN293,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,3,Retail,0,0,0,14.0,12.0,26.0,5.0,19.19,1.81,0.56,0.3967,1,0,0,0,2023-10-03
RX0000010119,MBR00000279,2021-02-02,2021-02-03,1953096431,1838094847,PLN2191,761396,PCN315,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,6,Retail,0,0,0,370.0,7.14,377.14,39.0,323.66,14.48,14.8,10.4833,0,0,0,0,2021-03-04
RX0000010120,MBR00000279,2023-03-16,2023-03-18,1140097049,1312905517,PLN1357,222548,PCN955,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,96,10,Mail Order,0,0,0,930.0,2.6,932.6,32.0,856.53,44.07,12.4,8.7833,0,0,0,0,2023-06-14
RX0000010121,MBR00000279,2021-05-02,2021-05-06,1477167687,1146287103,PLN3242,814670,PCN400,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,2,Specialty,0,0,0,18.0,35.16,53.16,8.0,45.16,0.0,0.72,0.51,0,0,0,0,2021-06-01
RX0000010122,MBR00000279,2021-10-30,2021-11-01,1894175672,1552163076,PLN8908,115860,PCN399,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,95,10,Retail,0,0,0,36.0,3.67,39.67,7.0,29.98,2.69,0.48,0.34,0,0,0,0,2022-01-28
RX0000010123,MBR00000279,2023-09-16,2023-09-18,1652670471,1870058092,PLN6184,984506,PCN372,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,82,7,Retail,0,0,0,45.0,10.11,55.11,0.0,53.07,2.04,0.6,0.425,0,0,0,0,2023-12-15
RX0000010124,MBR00000279,2021-11-22,2021-11-26,1120961079,1859793709,PLN2506,616071,PCN116,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,56,11,Specialty,0,0,0,28.0,47.54,75.54,10.0,65.54,0.0,0.56,0.3967,0,0,0,0,2022-01-21
RX0000010125,MBR00000279,2023-10-09,2023-10-10,1538132740,1308933639,PLN9030,479084,PCN365,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,2,Retail,3,1,0,2800.0,6.34,2806.34,145.0,2470.66,190.68,112.0,79.3333,0,0,0,0,2023-11-08
RX0000010126,MBR00000279,2022-11-25,2022-11-26,1360872560,1494969934,PLN9822,562794,PCN738,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,5,Mail Order,0,1,0,12.0,2.7,14.7,151.0,0.0,0.44,0.48,0.34,0,0,0,0,2022-12-25
RX0000010127,MBR00000279,2022-12-14,2022-12-15,1497618250,1417265981,PLN1966,503594,PCN146,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,56,10,Retail,0,0,0,1500.0,10.9,1510.9,32.0,1375.97,102.93,30.0,21.25,0,0,0,0,2023-02-12
RX0000010128,MBR00000279,2021-04-11,2021-04-12,1723284868,1347956153,PLN4692,714101,PCN477,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,90,7,Retail,0,1,0,8400.0,11.07,8411.07,155.0,7888.7,367.37,112.0,79.3333,0,0,0,0,2021-07-10
RX0000010129,MBR00000279,2021-07-27,2021-07-31,1132075468,1254249215,PLN5514,338652,PCN735,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,2,Retail,0,0,0,14.0,6.14,20.14,5.0,13.78,1.36,0.56,0.3967,0,0,0,0,2021-08-26
RX0000010130,MBR00000279,2022-10-04,2022-10-06,1481489426,1217748569,PLN8471,156505,PCN339,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,98,8,Retail,0,0,0,33.0,6.63,39.63,6.0,32.35,1.28,0.44,0.3117,0,0,0,0,2023-01-02
RX0000010131,MBR00000279,2023-06-07,2023-06-09,1113112815,1339672310,PLN2264,424874,PCN461,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,5,Retail,0,0,0,2.92,2.75,5.67,9.0,0.0,0.35,0.5,0.3542,0,0,0,0,2023-06-14
RX0000010132,MBR00000279,2021-04-28,2021-05-01,1683117989,1568315666,PLN4204,752848,PCN477,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,10,Retail,0,0,0,22.0,2.87,24.87,73.0,0.0,1.61,0.88,0.6233,0,0,0,0,2021-05-28
RX0000010133,MBR00000279,2023-07-02,2023-07-04,1415392285,1562270593,PLN5292,716310,PCN170,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,64,6,Retail,0,0,0,44.0,7.98,51.98,67.0,0.0,2.95,0.88,0.6233,0,0,0,0,2023-08-31
RX0000010134,MBR00000279,2023-07-28,2023-07-31,1290312227,1929377052,PLN3378,576970,PCN703,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,1,Mail Order,0,0,0,2.8,3.6,6.4,2.0,4.07,0.33,0.48,0.34,0,0,0,0,2023-08-04
RX0000010135,MBR00000279,2021-03-26,2021-03-29,1806634643,1433074808,PLN3579,668572,PCN426,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,4,Mail Order,0,0,0,22.0,7.34,29.34,7.0,21.08,1.26,0.88,0.6233,0,0,0,0,2021-04-25
RX0000010136,MBR00000279,2021-12-31,2022-01-01,1832765673,1500878490,PLN2898,804301,PCN241,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,10,Retail,0,0,0,15.0,2.33,17.33,5.0,11.65,0.68,0.6,0.425,0,0,0,0,2022-01-30
RX0000010137,MBR00000279,2021-04-29,2021-05-03,1637366097,1164536452,PLN7854,190884,PCN356,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,2,Specialty,0,0,0,10.0,26.18,36.18,2.0,34.18,0.0,0.4,0.2833,0,0,0,0,2021-05-29
RX0000010138,MBR00000279,2022-02-07,2022-02-08,1796752807,1844478207,PLN1186,927692,PCN468,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,8,Retail,0,0,0,650.0,3.19,653.19,35.0,579.44,38.75,26.0,18.4167,0,0,0,0,2022-03-09
RX0000010139,MBR00000279,2022-11-15,2022-11-16,1983970037,1657591062,PLN2913,512081,PCN306,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,1,Retail,0,0,0,15.0,8.68,23.68,1.0,21.41,1.27,0.6,0.425,0,0,0,0,2022-12-15
RX0000010140,MBR00000279,2021-06-06,2021-06-09,1132522236,1610332402,PLN9080,924171,PCN371,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,93,11,Retail,0,0,0,33.0,6.59,39.59,10.0,26.94,2.65,0.44,0.3117,0,0,0,0,2021-09-04
RX0000010141,MBR00000279,2023-04-01,2023-04-02,1586659877,1991582305,PLN4406,761448,PCN225,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,0,Specialty,0,0,1,18.0,12.39,30.39,6.0,24.39,0.0,0.72,0.51,0,0,0,0,2023-05-01
RX0000010142,MBR00000279,2023-07-13,2023-07-16,1266662279,1805023921,PLN4564,911094,PCN346,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,64,1,Mail Order,0,0,0,28.0,11.37,39.37,10.0,26.87,2.5,0.56,0.3967,0,0,0,0,2023-09-11
RX0000010143,MBR00000279,2022-09-28,2022-10-02,1230495278,1610475430,PLN5781,575695,PCN704,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,2,Mail Order,0,0,0,12.0,9.3,21.3,6.0,14.37,0.93,0.48,0.34,0,0,0,0,2022-10-28
RX0000010144,MBR00000279,2023-06-30,2023-07-04,1358539206,1232722008,PLN4173,113822,PCN377,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,1,Retail,0,0,0,855.0,6.16,861.16,40.0,772.4,48.76,11.4,8.075,0,0,0,0,2023-09-28
RX0000010145,MBR00000279,2021-10-30,2021-11-02,1334638402,1810209023,PLN1577,845963,PCN890,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,2,Retail,0,1,0,12.0,4.8,16.8,155.0,0.0,0.66,0.48,0.34,0,0,0,0,2021-11-29
RX0000010146,MBR00000279,2023-06-25,2023-06-27,1265454712,1885890110,PLN2491,968125,PCN602,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,91,1,Mail Order,3,0,0,25.5,10.25,35.75,3.0,31.58,1.17,0.34,0.2408,0,0,0,0,2023-09-23
RX0000010147,MBR00000279,2021-12-02,2021-12-05,1360632044,1608260382,PLN1995,586715,PCN869,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,6,LTC,0,0,0,45.0,9.8,54.8,0.0,51.87,2.93,1.8,1.275,0,0,0,0,2022-01-01
RX0000010148,MBR00000279,2022-12-04,2022-12-06,1213287480,1925823006,PLN7200,934600,PCN990,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,7,Retail,0,0,0,285.0,2.49,287.49,38.0,239.16,10.33,11.4,8.075,0,0,0,0,2023-01-03
RX0000010149,MBR00000279,2021-07-12,2021-07-15,1869479042,1991072542,PLN5367,903983,PCN907,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,6,Specialty,0,0,0,42.0,13.67,55.67,4.0,51.67,0.0,0.56,0.3967,0,0,0,0,2021-10-10
RX0000010150,MBR00000279,2023-12-24,2023-12-26,1576498480,1484020794,PLN9981,522727,PCN568,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,11,Retail,2,0,0,3.27,6.52,9.79,10.0,0.0,0.41,0.56,0.3967,0,0,0,0,2023-12-31
RX0000010151,MBR00000280,2022-01-12,2022-01-16,1326947795,1355346596,PLN7038,794193,PCN227,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,4,Mail Order,2,0,0,14.0,2.65,16.65,5.0,10.59,1.06,0.56,0.3967,0,0,0,0,2022-02-11
RX0000010152,MBR00000280,2022-07-03,2022-07-06,1660636009,1911575639,PLN3322,303422,PCN716,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,7,LTC,0,0,0,45.0,5.49,50.49,2.0,46.48,2.01,1.8,1.275,0,0,0,0,2022-08-02
RX0000010153,MBR00000280,2023-02-02,2023-02-04,1263977111,1603654630,PLN7743,949573,PCN489,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,90,2,Retail,3,0,1,855.0,3.47,858.47,37.0,784.81,36.66,11.4,8.075,0,0,0,0,2023-05-03
RX0000010154,MBR00000280,2022-08-07,2022-08-11,1251155378,1397535757,PLN1701,931596,PCN841,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,64,7,Retail,0,0,0,20.0,8.69,28.69,0.0,27.29,1.4,0.4,0.2833,0,0,0,0,2022-10-06
RX0000010155,MBR00000280,2023-07-10,2023-07-12,1961613979,1457145746,PLN1291,161960,PCN642,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,89,8,Retail,0,0,0,2850.0,1.82,2851.82,30.0,2697.28,124.54,38.0,26.9167,0,0,0,0,2023-10-08
RX0000010156,MBR00000280,2023-03-11,2023-03-15,1448628483,1980353245,PLN4531,104887,PCN696,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,7,Retail,0,0,0,12.0,11.72,23.72,5.0,17.36,1.36,0.48,0.34,0,0,0,0,2023-04-10
RX0000010157,MBR00000280,2021-03-24,2021-03-27,1339094753,1124344937,PLN4839,398041,PCN262,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,7,Retail,0,0,0,185.0,9.32,194.32,39.0,146.36,8.96,7.4,5.2417,0,0,0,0,2021-04-23
RX0000010158,MBR00000280,2021-04-13,2021-04-14,1348855989,1398076137,PLN3552,823247,PCN894,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,9,Retail,0,1,0,1.87,7.38,9.25,148.0,0.0,0.44,0.32,0.2267,0,0,0,0,2021-04-20
RX0000010159,MBR00000280,2022-12-28,2023-01-01,1322891552,1866532581,PLN9228,413753,PCN259,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,5,Retail,0,0,0,9.0,3.1,12.1,4.0,7.64,0.46,0.36,0.255,0,0,0,0,2023-01-27
RX0000010160,MBR00000280,2022-02-02,2022-02-03,1491204064,1889809934,PLN7312,362746,PCN110,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,4,Retail,2,0,0,1.75,7.55,9.3,7.0,1.77,0.53,0.3,0.2125,0,0,0,0,2022-02-09
RX0000010161,MBR00000280,2021-12-15,2021-12-16,1208385632,1706471166,PLN8232,684736,PCN562,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,11,Retail,0,0,0,45.0,2.83,47.83,3.0,42.45,2.38,1.8,1.275,1,0,0,0,2022-01-14
RX0000010162,MBR00000280,2021-02-15,2021-02-16,1175065728,1855871260,PLN6757,427744,PCN546,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,11,Mail Order,0,0,0,330.0,9.43,339.43,30.0,293.71,15.72,13.2,9.35,0,0,0,0,2021-03-17
RX0000010163,MBR00000280,2023-04-24,2023-04-25,1854292025,1353690972,PLN8970,808726,PCN905,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,4,Retail,3,0,0,15.0,3.92,18.92,1.0,17.28,0.64,0.6,0.425,0,0,0,0,2023-05-24
RX0000010164,MBR00000280,2023-06-21,2023-06-22,1974217994,1285394624,PLN5956,858162,PCN428,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,4,Retail,0,1,0,24.0,7.02,31.02,152.0,0.0,1.5,0.32,0.2267,0,0,0,0,2023-09-19
RX0000010165,MBR00000280,2021-10-15,2021-10-19,1147532445,1647152504,PLN8895,806907,PCN830,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,8,Retail,1,0,0,320.0,4.84,324.84,33.0,272.31,19.53,12.8,9.0667,1,0,0,0,2021-11-14
RX0000010166,MBR00000280,2022-02-22,2022-02-25,1342336150,1269080806,PLN9211,471596,PCN484,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,8,Mail Order,0,0,0,950.0,6.75,956.75,32.0,883.48,41.27,38.0,26.9167,0,0,0,0,2022-03-24
RX0000010167,MBR00000280,2023-05-29,2023-06-02,1565210027,1738413641,PLN7397,377343,PCN266,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,4,Retail,0,0,0,22.0,2.86,24.86,2.0,21.87,0.99,0.88,0.6233,0,1,0,0,2023-06-28
RX0000010168,MBR00000280,2021-08-06,2021-08-07,1662576413,1255902383,PLN9452,338137,PCN266,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,10,Mail Order,2,0,0,10.0,11.94,21.94,8.0,13.2,0.74,0.4,0.2833,0,0,0,0,2021-09-05
RX0000010169,MBR00000280,2022-10-03,2022-10-06,1979153670,1727412323,PLN4400,646953,PCN247,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,98,8,Retail,0,0,0,45.0,11.93,56.93,1.0,53.51,2.42,0.6,0.425,0,0,0,0,2023-01-01
RX0000010170,MBR00000280,2022-03-27,2022-03-29,1797797393,1969062096,PLN7361,787518,PCN611,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,11,Retail,0,1,0,6200.0,4.18,6204.18,147.0,5735.33,321.85,248.0,175.6667,0,0,0,0,2022-04-26
RX0000010171,MBR00000280,2023-07-04,2023-07-05,1957229814,1610826998,PLN4591,821597,PCN177,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,11,LTC,0,0,0,10.0,5.06,15.06,3.0,11.58,0.48,0.4,0.2833,0,0,0,0,2023-08-03
RX0000010172,MBR00000280,2023-02-27,2023-03-01,1765239005,1712753960,PLN8012,112628,PCN424,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,5,Mail Order,0,0,0,10.0,4.01,14.01,5.0,8.21,0.8,0.4,0.2833,1,0,0,0,2023-03-29
RX0000010173,MBR00000280,2023-01-04,2023-01-05,1347459603,1898939920,PLN5298,560711,PCN330,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,61,7,Retail,0,0,0,28.0,9.0,37.0,1.0,33.83,2.17,0.56,0.3967,0,0,0,0,2023-03-05
RX0000010174,MBR00000280,2021-04-27,2021-04-30,1959039941,1772504287,PLN4102,541333,PCN949,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,9,Specialty,2,0,0,18.0,36.02,54.02,9.0,45.02,0.0,0.72,0.51,0,0,0,0,2021-05-27
RX0000010175,MBR00000280,2022-11-08,2022-11-11,1748522282,1894924241,PLN3974,771883,PCN196,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,9,Retail,0,0,0,9.0,10.8,19.8,10.0,8.95,0.85,0.36,0.255,0,0,0,0,2022-12-08
RX0000010176,MBR00000280,2021-08-16,2021-08-17,1924606521,1276287156,PLN6180,160394,PCN185,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,2,Retail,0,0,0,12.0,11.39,23.39,10.0,12.26,1.13,0.48,0.34,0,0,0,0,2021-09-15
RX0000010177,MBR00000280,2023-09-25,2023-09-28,1624279841,1708303635,PLN3999,691911,PCN184,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,11,Specialty,0,0,0,65.0,47.98,112.98,31.0,81.98,0.0,2.6,1.8417,0,0,0,0,2023-10-25
RX0000010178,MBR00000280,2021-10-03,2021-10-07,1248964996,1278960838,PLN4800,743769,PCN209,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,11,Specialty,0,0,0,195.0,41.54,236.54,32.0,204.54,0.0,2.6,1.8417,0,0,0,0,2022-01-01
RX0000010179,MBR00000280,2022-01-14,2022-01-18,1493514200,1345774606,PLN4413,764564,PCN272,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,5,Specialty,0,0,0,14.0,28.22,42.22,0.0,42.22,0.0,0.56,0.3967,0,0,0,0,2022-02-13
RX0000010180,MBR00000280,2022-01-01,2022-01-04,1440376594,1306808185,PLN9796,682121,PCN656,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,5,Mail Order,0,0,0,45.0,7.0,52.0,4.0,46.34,1.66,1.8,1.275,0,0,0,0,2022-01-31
RX0000010181,MBR00000280,2021-08-23,2021-08-26,1780236847,1980059594,PLN9686,692901,PCN425,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,86,4,Retail,0,0,0,930.0,10.96,940.96,38.0,841.92,61.04,12.4,8.7833,0,1,1,0,2021-11-21
RX0000010182,MBR00000280,2023-01-19,2023-01-21,1642427729,1144825495,PLN2622,703362,PCN289,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,7,Mail Order,0,0,0,310.0,3.66,313.66,36.0,264.42,13.24,12.4,8.7833,0,0,0,0,2023-02-18
RX0000010183,MBR00000280,2022-09-24,2022-09-28,1253591440,1561529090,PLN9908,896979,PCN451,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,0,Specialty,0,0,0,14.0,32.39,46.39,7.0,39.39,0.0,0.56,0.3967,0,0,0,0,2022-10-24
RX0000010184,MBR00000280,2022-05-30,2022-06-01,1877271685,1306165035,PLN5916,337706,PCN486,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,7,Retail,0,0,0,330.0,5.45,335.45,34.0,285.48,15.97,13.2,9.35,0,0,0,0,2022-06-29
RX0000010185,MBR00000280,2021-05-04,2021-05-06,1267792346,1440768326,PLN5120,687629,PCN489,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,1,LTC,0,0,0,9.0,8.13,17.13,3.0,13.15,0.98,0.36,0.255,0,0,0,0,2021-06-03
RX0000010186,MBR00000280,2022-03-02,2022-03-04,1712615026,1259521180,PLN4487,516669,PCN866,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,82,7,Retail,0,0,0,990.0,4.1,994.1,32.0,906.56,55.54,13.2,9.35,0,0,0,0,2022-05-31
RX0000010187,MBR00000280,2022-05-19,2022-05-21,1589406875,1902805508,PLN7719,927612,PCN420,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,2,Retail,0,0,0,2.33,6.03,8.36,9.0,0.0,0.36,0.4,0.2833,0,0,0,0,2022-05-26
RX0000010188,MBR00000280,2022-01-19,2022-01-21,1855231880,1639999949,PLN5449,947848,PCN933,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,90,1,Retail,0,0,0,135.0,2.15,137.15,3.0,127.27,6.88,1.8,1.275,0,0,0,0,2022-04-19
RX0000010189,MBR00000280,2023-08-11,2023-08-13,1212663625,1454179874,PLN6847,323176,PCN807,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,7,Retail,0,0,0,45.0,3.26,48.26,1.0,44.08,3.18,1.8,1.275,0,0,0,0,2023-09-10
RX0000010190,MBR00000280,2021-10-07,2021-10-10,1454045894,1293231745,PLN4798,490254,PCN414,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,87,11,Retail,0,0,0,37.5,10.0,47.5,2.0,42.7,2.8,0.5,0.3542,0,0,0,0,2022-01-05
RX0000010191,MBR00000280,2022-10-07,2022-10-10,1106164137,1340872353,PLN3483,272067,PCN526,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,4,Retail,0,0,0,10.0,4.74,14.74,8.0,5.86,0.88,0.4,0.2833,1,0,0,0,2022-11-06
RX0000010192,MBR00000280,2022-02-18,2022-02-21,1125704646,1785909639,PLN9416,351443,PCN535,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,6,Retail,0,0,0,9.0,11.17,20.17,7.0,12.07,1.1,0.36,0.255,0,1,0,0,2022-03-20
RX0000010193,MBR00000280,2021-08-29,2021-09-01,1730734577,1134343236,PLN8513,554424,PCN471,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,5,Retail,1,0,0,185.0,11.68,196.68,33.0,152.45,11.23,7.4,5.2417,0,0,0,0,2021-09-28
RX0000010194,MBR00000280,2021-04-09,2021-04-10,1353638689,1614273604,PLN1945,931050,PCN734,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,7,Mail Order,0,0,0,10.0,6.71,16.71,1.0,14.59,1.12,0.4,0.2833,0,0,0,0,2021-05-09
RX0000010195,MBR00000280,2021-01-18,2021-01-21,1431354801,1759418996,PLN3884,976627,PCN448,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,56,8,Retail,0,0,0,570.0,10.74,580.74,39.0,521.78,19.96,11.4,8.075,1,0,0,0,2021-03-19
RX0000010196,MBR00000280,2021-04-24,2021-04-26,1524072407,1684582123,PLN3328,506864,PCN506,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,2,Specialty,0,0,0,1.98,9.09,11.08,10.0,1.08,0.0,0.34,0.2408,0,0,0,0,2021-05-01
RX0000010197,MBR00000280,2022-12-09,2022-12-10,1656750195,1735667919,PLN9058,468702,PCN727,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,3,Retail,1,0,0,950.0,4.9,954.9,32.0,856.42,66.48,38.0,26.9167,0,0,0,0,2023-01-08
RX0000010198,MBR00000280,2021-08-14,2021-08-15,1349502274,1516537184,PLN3315,666615,PCN648,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,84,1,Retail,0,0,0,1110.0,2.5,1112.5,32.0,1032.37,48.13,14.8,10.4833,0,0,0,0,2021-11-12
RX0000010199,MBR00000280,2022-12-29,2023-01-01,1302808651,1636246382,PLN7813,122591,PCN785,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,87,5,Retail,0,1,0,25500.0,6.66,25506.66,147.0,24406.12,953.54,340.0,240.8333,0,0,0,0,2023-03-29
RX0000010200,MBR00000280,2022-05-01,2022-05-05,1472152744,1111840996,PLN2531,837704,PCN892,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,84,3,Retail,0,0,0,33.0,9.05,42.05,8.0,31.96,2.09,0.44,0.3117,0,0,0,0,2022-07-30
RX0000010201,MBR00000281,2021-04-17,2021-04-18,1998788688,1719593100,PLN9312,180311,PCN925,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,86,11,Retail,0,0,0,1950.0,9.35,1959.35,33.0,1862.87,63.48,26.0,18.4167,0,0,0,0,2021-07-16
RX0000010202,MBR00000281,2021-02-01,2021-02-03,1387079898,1212415615,PLN3758,676832,PCN245,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,0,Retail,0,0,0,4.2,1.51,5.71,3.0,2.35,0.36,0.72,0.51,0,0,0,0,2021-02-08
RX0000010203,MBR00000281,2023-07-29,2023-08-01,1798903495,1825214050,PLN6370,779244,PCN757,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,65,8,Retail,1,0,0,20.0,5.9,25.9,3.0,21.8,1.1,0.4,0.2833,0,0,0,0,2023-09-27
RX0000010204,MBR00000281,2021-07-26,2021-07-27,1243449507,1531453990,PLN2191,963889,PCN875,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,91,0,Retail,0,0,0,42.0,7.32,49.32,2.0,44.29,3.03,0.56,0.3967,0,0,0,0,2021-10-24
RX0000010205,MBR00000281,2023-12-02,2023-12-06,1843396197,1355472117,PLN3001,967337,PCN901,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,56,2,Mail Order,3,0,0,30.0,8.33,38.33,10.0,27.08,1.25,0.6,0.425,0,0,0,0,2024-01-31
RX0000010206,MBR00000281,2021-05-26,2021-05-30,1800882070,1958869380,PLN4517,945861,PCN501,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,11,Retail,0,0,0,9.0,10.78,19.78,2.0,16.74,1.04,0.36,0.255,0,0,0,0,2021-06-25
RX0000010207,MBR00000281,2022-02-25,2022-02-28,1776539283,1708499242,PLN2959,952097,PCN406,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,0,Retail,0,0,0,18.0,7.19,25.19,3.0,21.39,0.8,0.72,0.51,0,0,0,0,2022-03-27
RX0000010208,MBR00000281,2021-01-08,2021-01-11,1854672132,1808569711,PLN2801,944926,PCN616,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,3,Retail,0,0,0,15.0,8.78,23.78,0.0,22.18,1.6,0.6,0.425,0,0,0,0,2021-02-07
RX0000010209,MBR00000281,2022-06-07,2022-06-08,1366531380,1183196655,PLN8945,369169,PCN680,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,84,0,Mail Order,0,0,0,2850.0,3.43,2853.43,30.0,2630.91,192.52,38.0,26.9167,0,0,0,0,2022-09-05
RX0000010210,MBR00000281,2022-10-20,2022-10-22,1793650475,1364469343,PLN1603,981187,PCN821,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,3,Retail,0,0,0,11.0,2.87,13.87,7.0,5.93,0.94,0.44,0.3117,0,0,0,0,2022-11-19
RX0000010211,MBR00000281,2022-02-11,2022-02-13,1802840038,1357758192,PLN9968,212666,PCN164,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,81,7,Specialty,0,0,0,135.0,28.32,163.32,1.0,162.32,0.0,1.8,1.275,0,0,0,0,2022-05-12
RX0000010212,MBR00000281,2021-08-02,2021-08-03,1644433919,1295066242,PLN5088,746728,PCN710,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,64,2,Specialty,0,0,0,130.0,25.76,155.76,34.0,121.76,0.0,2.6,1.8417,0,0,0,0,2021-10-01
RX0000010213,MBR00000281,2022-12-27,2022-12-28,1717617410,1278018115,PLN1489,527559,PCN650,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,2,Retail,0,0,1,8.5,10.83,19.33,10.0,8.04,1.29,0.34,0.2408,0,0,0,0,2023-01-26
RX0000010214,MBR00000281,2023-08-08,2023-08-11,1168377225,1643148875,PLN4973,368839,PCN663,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,98,7,Specialty,0,0,1,525.0,16.65,541.65,30.0,511.65,0.0,7.0,4.9583,0,0,0,0,2023-11-06
RX0000010215,MBR00000281,2022-07-24,2022-07-27,1413858481,1943327418,PLN9861,170778,PCN754,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,1,Retail,0,0,0,12.0,8.92,20.92,3.0,17.18,0.74,0.48,0.34,0,0,0,0,2022-08-23
RX0000010216,MBR00000281,2023-03-06,2023-03-09,1832728799,1841575381,PLN3270,420816,PCN397,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,9,Retail,0,0,0,10.0,2.12,12.12,4.0,7.52,0.6,0.4,0.2833,0,0,0,0,2023-04-05
RX0000010217,MBR00000281,2023-07-24,2023-07-26,1194120470,1756438253,PLN7524,354623,PCN443,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,5,Specialty,0,1,0,8.0,19.26,27.26,153.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-08-23
RX0000010218,MBR00000281,2023-04-19,2023-04-22,1965310291,1348910650,PLN4853,591442,PCN602,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,4,Mail Order,0,0,0,10.0,8.77,18.77,2.0,15.92,0.85,0.4,0.2833,1,0,0,0,2023-05-19
RX0000010219,MBR00000281,2023-02-12,2023-02-14,1518231591,1702086551,PLN9047,393961,PCN579,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,0,Retail,1,0,1,950.0,7.13,957.13,37.0,880.62,39.51,38.0,26.9167,0,0,0,0,2023-03-14
RX0000010220,MBR00000281,2022-02-26,2022-02-28,1853999917,1982231967,PLN4174,221403,PCN897,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,95,11,Mail Order,0,0,0,855.0,8.71,863.71,30.0,805.58,28.13,11.4,8.075,0,0,0,0,2022-05-27
RX0000010221,MBR00000281,2023-04-10,2023-04-13,1486043394,1362762578,PLN2094,722387,PCN592,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,85,5,Retail,2,1,0,36.0,2.78,38.78,146.0,0.0,1.27,0.48,0.34,0,0,0,0,2023-07-09
RX0000010222,MBR00000281,2021-10-19,2021-10-21,1821451134,1741564830,PLN6533,849641,PCN421,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,3,Retail,1,0,0,77.0,6.14,83.14,35.0,44.41,3.73,13.2,9.35,0,0,0,0,2021-10-26
RX0000010223,MBR00000282,2022-10-29,2022-10-30,1677106408,1628355496,PLN9566,619233,PCN682,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,65,1,Retail,0,0,0,570.0,6.44,576.44,35.0,504.45,36.99,11.4,8.075,0,0,0,0,2022-12-28
RX0000010224,MBR00000282,2023-12-20,2023-12-23,1926378553,1395282391,PLN2755,634899,PCN136,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,86,0,Mail Order,0,0,0,42.0,4.63,46.63,0.0,44.09,2.54,0.56,0.3967,0,0,0,0,2024-03-19
RX0000010225,MBR00000282,2021-04-01,2021-04-02,1443408934,1656966903,PLN2103,403384,PCN432,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,6,Mail Order,0,0,0,18.0,7.6,25.6,39.0,0.0,1.61,0.72,0.51,0,0,0,0,2021-05-01
RX0000010226,MBR00000282,2022-09-26,2022-09-28,1732830815,1975639727,PLN1123,254294,PCN710,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,54,7,Specialty,0,0,0,28.0,35.02,63.02,3.0,60.02,0.0,0.56,0.3967,0,0,0,0,2022-11-25
RX0000010227,MBR00000282,2022-01-17,2022-01-19,1600731820,1806293574,PLN2874,498830,PCN299,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,90,10,Retail,0,0,0,2250.0,7.86,2257.86,34.0,2074.83,149.03,30.0,21.25,0,0,0,0,2022-04-17
RX0000010228,MBR00000282,2022-06-16,2022-06-19,1518289122,1360769486,PLN5444,775914,PCN188,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,8,Retail,0,0,0,3.5,6.17,9.67,0.0,9.24,0.43,0.6,0.425,0,0,0,0,2022-06-23
RX0000010229,MBR00000282,2022-03-21,2022-03-23,1538692108,1715046440,PLN9960,435682,PCN410,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,2,Retail,0,0,0,16.0,3.86,19.86,8.0,10.84,1.02,0.64,0.4533,0,0,0,0,2022-04-20
RX0000010230,MBR00000282,2021-09-30,2021-10-04,1259331411,1397924198,PLN8783,759621,PCN678,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,4,Retail,1,0,0,18.0,9.4,27.4,4.0,21.9,1.5,0.72,0.51,0,0,0,0,2021-10-30
RX0000010231,MBR00000282,2023-05-23,2023-05-27,1543996533,1292051033,PLN5790,347190,PCN914,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,5,Retail,0,0,0,11.0,7.16,18.16,5.0,11.91,1.25,0.44,0.3117,0,0,0,0,2023-06-22
RX0000010232,MBR00000282,2021-05-26,2021-05-27,1342319022,1372366342,PLN2182,650986,PCN348,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,64,1,Mail Order,0,0,0,90.0,9.71,99.71,9.0,84.73,5.98,1.8,1.275,0,0,0,0,2021-07-25
RX0000010233,MBR00000282,2022-11-28,2022-12-01,1684017538,1821820828,PLN7400,925455,PCN327,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,8,Retail,0,1,0,2800.0,7.18,2807.18,150.0,2497.95,159.23,112.0,79.3333,0,0,0,0,2022-12-28
RX0000010234,MBR00000282,2021-09-09,2021-09-13,1634292826,1217566310,PLN1141,262103,PCN303,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,98,3,Retail,0,0,0,37.5,11.78,49.28,8.0,38.51,2.77,0.5,0.3542,0,0,0,0,2021-12-08
RX0000010235,MBR00000282,2023-12-22,2023-12-25,1662870848,1259848248,PLN5538,179627,PCN903,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,84,3,Retail,0,0,0,30.0,4.95,34.95,4.0,28.59,2.36,0.4,0.2833,0,0,0,0,2024-03-21
RX0000010236,MBR00000282,2021-02-10,2021-02-11,1462125167,1655283444,PLN6689,692599,PCN785,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,93,8,Retail,0,0,0,1140.0,5.46,1145.46,35.0,1053.54,56.92,15.2,10.7667,0,0,0,0,2021-05-11
RX0000010237,MBR00000282,2022-01-12,2022-01-14,1713952065,1654039709,PLN2295,456445,PCN788,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,1,Retail,0,0,0,10.0,8.74,18.74,8.0,10.07,0.67,0.4,0.2833,0,0,0,0,2022-02-11
RX0000010238,MBR00000282,2023-03-28,2023-03-31,1894654745,1899887838,PLN8164,859419,PCN170,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,93,11,Retail,0,0,0,37.5,9.73,47.23,6.0,38.39,2.84,0.5,0.3542,0,0,0,0,2023-06-26
RX0000010239,MBR00000282,2023-11-10,2023-11-11,1162375813,1740037215,PLN3305,993688,PCN759,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,88,0,Retail,0,0,0,960.0,3.99,963.99,34.0,869.87,60.12,12.8,9.0667,0,0,0,0,2024-02-08
RX0000010240,MBR00000282,2022-08-13,2022-08-17,1881735127,1293952021,PLN7837,704641,PCN917,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,3,Retail,0,0,0,195.0,2.72,197.72,40.0,151.64,6.08,2.6,1.8417,0,1,1,0,2022-11-11
RX0000010241,MBR00000282,2023-02-12,2023-02-13,1210586940,1816599663,PLN1322,627706,PCN807,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,2,Retail,0,0,0,9.0,4.25,13.25,10.0,2.52,0.73,0.36,0.255,0,0,0,0,2023-03-14
RX0000010242,MBR00000282,2022-02-26,2022-02-28,1886266765,1748313852,PLN4004,958485,PCN313,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,11,Retail,0,0,0,18.0,10.71,28.71,1.0,26.14,1.57,0.72,0.51,0,1,0,0,2022-03-28
RX0000010243,MBR00000283,2023-05-23,2023-05-24,1908345382,1810745307,PLN4491,839935,PCN394,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,98,4,Mail Order,0,0,0,1950.0,6.68,1956.68,38.0,1804.14,114.54,26.0,18.4167,0,0,0,0,2023-08-21
RX0000010244,MBR00000283,2021-09-11,2021-09-14,1294452953,1198591698,PLN2291,338589,PCN457,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,90,4,Retail,0,0,0,36.0,8.11,44.11,8.0,33.99,2.12,0.48,0.34,0,0,0,0,2021-12-10
RX0000010245,MBR00000283,2021-08-15,2021-08-17,1870873525,1740023927,PLN9069,483945,PCN493,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,6,Retail,0,1,0,12.0,5.2,17.2,147.0,0.0,0.89,0.48,0.34,0,0,0,0,2021-09-14
RX0000010246,MBR00000283,2021-04-11,2021-04-13,1568451285,1726960868,PLN8731,605276,PCN445,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,320.0,5.9,325.9,39.0,265.16,21.74,12.8,9.0667,1,0,0,0,2021-05-11
RX0000010247,MBR00000283,2023-11-29,2023-12-02,1293716185,1905798437,PLN2390,690893,PCN183,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,8,Retail,0,0,0,3.5,11.93,15.43,1.0,13.45,0.98,0.6,0.425,0,0,0,0,2023-12-06
RX0000010248,MBR00000283,2022-02-06,2022-02-09,1704247789,1304251781,PLN1484,513855,PCN463,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,3,Mail Order,0,0,0,4.2,11.56,15.76,35.0,0.0,1.05,0.72,0.51,0,0,0,0,2022-02-13
RX0000010249,MBR00000283,2022-05-05,2022-05-07,1932208800,1786401938,PLN7972,188534,PCN139,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,11,Retail,0,0,0,14.0,11.24,25.24,4.0,20.35,0.89,0.56,0.3967,0,0,0,0,2022-06-04
RX0000010250,MBR00000283,2023-11-10,2023-11-12,1370697151,1638788265,PLN1997,245104,PCN403,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,7,Specialty,0,0,0,15.0,10.61,25.61,6.0,19.61,0.0,0.6,0.425,1,0,0,0,2023-12-10
RX0000010251,MBR00000283,2022-12-05,2022-12-09,1208731206,1224154337,PLN3613,799313,PCN351,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,9,Retail,0,0,0,112.0,4.44,116.44,38.0,74.92,3.52,19.2,13.6,0,0,0,0,2022-12-12
RX0000010252,MBR00000283,2022-12-15,2022-12-19,1570767260,1128111603,PLN6439,279414,PCN420,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,97,2,Mail Order,0,0,0,37.5,4.2,41.7,5.0,34.47,2.23,0.5,0.3542,0,1,0,0,2023-03-15
RX0000010253,MBR00000283,2022-09-29,2022-10-01,1373656088,1719953758,PLN4894,359771,PCN150,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,1,Retail,0,0,0,38.0,4.02,42.02,10.0,29.83,2.19,1.52,1.0767,0,0,0,0,2022-10-29
RX0000010254,MBR00000283,2022-04-11,2022-04-14,1585625724,1107518178,PLN2109,900573,PCN303,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,56,9,Retail,0,0,0,76.0,6.69,82.69,36.0,43.0,3.69,1.52,1.0767,1,0,0,0,2022-06-10
RX0000010255,MBR00000283,2022-03-10,2022-03-13,1833113158,1356317478,PLN7196,140854,PCN781,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,82,7,Retail,0,0,0,66.0,6.61,72.61,10.0,58.01,4.6,0.88,0.6233,0,1,0,0,2022-06-08
RX0000010256,MBR00000283,2021-02-27,2021-02-28,1758247965,1514965443,PLN5847,877607,PCN181,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,8,Retail,0,0,0,45.0,8.28,53.28,9.0,41.35,2.93,1.8,1.275,0,0,0,0,2021-03-29
RX0000010257,MBR00000283,2021-08-17,2021-08-20,1179283740,1561105244,PLN6341,184477,PCN277,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,0,Retail,0,0,0,38.0,7.27,45.27,33.0,9.24,3.03,1.52,1.0767,0,1,1,0,2021-09-16
RX0000010258,MBR00000283,2022-04-29,2022-05-01,1835073058,1689252553,PLN4054,981794,PCN102,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,4,Retail,2,0,0,18.0,9.83,27.83,8.0,17.95,1.88,0.72,0.51,0,0,0,0,2022-05-29
RX0000010259,MBR00000283,2023-08-02,2023-08-04,1214888636,1479387637,PLN6336,127362,PCN659,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,10,Retail,0,1,0,8500.0,11.96,8511.96,147.0,7908.9,456.06,340.0,240.8333,0,0,0,0,2023-09-01
RX0000010260,MBR00000283,2021-10-26,2021-10-28,1627981052,1721653708,PLN8770,107847,PCN308,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,8,Retail,0,0,0,38.0,6.45,44.45,34.0,8.04,2.41,1.52,1.0767,0,0,0,0,2021-11-25
RX0000010261,MBR00000283,2021-10-20,2021-10-23,1382478754,1302829837,PLN8516,260358,PCN932,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,1,Retail,3,0,0,12.0,9.01,21.01,6.0,14.25,0.76,0.48,0.34,0,0,0,0,2021-11-19
RX0000010262,MBR00000283,2022-03-11,2022-03-15,1554841360,1789486259,PLN5533,935029,PCN951,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,1,Retail,1,0,0,8.87,6.77,15.64,34.0,0.0,0.84,1.52,1.0767,0,0,0,0,2022-03-18
RX0000010263,MBR00000284,2021-01-16,2021-01-19,1199856361,1176217477,PLN2213,852186,PCN760,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,2,Mail Order,0,0,0,45.0,9.24,54.24,2.0,50.03,2.21,1.8,1.275,0,0,0,0,2021-02-15
RX0000010264,MBR00000284,2021-10-25,2021-10-29,1370435043,1393680613,PLN6734,386500,PCN502,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,10,Retail,0,0,0,9.0,11.06,20.06,5.0,14.44,0.62,0.36,0.255,0,0,0,0,2021-11-24
RX0000010265,MBR00000284,2021-11-19,2021-11-20,1570578433,1908285312,PLN6458,450238,PCN212,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,6,Retail,3,0,0,2.1,7.41,9.51,1.0,7.88,0.63,0.36,0.255,0,0,0,0,2021-11-26
RX0000010266,MBR00000284,2023-12-06,2023-12-10,1526996793,1346475893,PLN7711,873437,PCN980,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,92,1,Retail,0,0,0,990.0,11.4,1001.4,38.0,915.75,47.65,13.2,9.35,0,0,0,0,2024-03-05
RX0000010267,MBR00000284,2022-05-20,2022-05-21,1928735193,1135832102,PLN4993,848347,PCN288,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,83,3,Retail,0,0,0,555.0,6.29,561.29,35.0,489.92,36.37,7.4,5.2417,0,0,0,0,2022-08-18
RX0000010268,MBR00000284,2023-07-13,2023-07-17,1593519562,1499897861,PLN6278,680966,PCN721,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,64,1,Mail Order,0,0,0,18.0,8.91,26.91,4.0,21.89,1.02,0.36,0.255,0,0,0,0,2023-09-11
RX0000010269,MBR00000284,2023-04-09,2023-04-10,1410882558,1767356503,PLN6598,462614,PCN430,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,2,Specialty,0,0,0,112.0,47.0,159.0,40.0,119.0,0.0,19.2,13.6,0,0,0,0,2023-04-16
RX0000010270,MBR00000284,2022-12-26,2022-12-28,1759898349,1985749554,PLN8528,236886,PCN374,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,7,Retail,0,0,0,185.0,7.57,192.57,32.0,152.8,7.77,7.4,5.2417,0,0,0,0,2023-01-25
RX0000010271,MBR00000284,2021-06-07,2021-06-10,1899215514,1839060901,PLN5021,835714,PCN678,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,96,0,Retail,0,0,0,30.0,8.96,38.96,5.0,31.79,2.17,0.4,0.2833,0,0,0,0,2021-09-05
RX0000010272,MBR00000284,2022-04-12,2022-04-14,1105654061,1744171975,PLN8119,189021,PCN288,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,90,11,Retail,1,0,0,45.0,4.92,49.92,10.0,37.88,2.04,0.6,0.425,0,0,0,0,2022-07-11
RX0000010273,MBR00000284,2023-06-05,2023-06-09,1197981081,1424194028,PLN1255,677511,PCN857,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,60,10,Specialty,0,0,0,22.0,15.67,37.67,0.0,37.67,0.0,0.44,0.3117,0,0,0,0,2023-08-04
RX0000010274,MBR00000284,2023-12-16,2023-12-19,1624245067,1777988507,PLN6376,405961,PCN804,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,6,Retail,0,0,0,28.0,8.93,36.93,4.0,30.6,2.33,1.12,0.7933,0,0,0,0,2024-01-15
RX0000010275,MBR00000284,2023-12-10,2023-12-13,1345246727,1696154305,PLN9450,421920,PCN415,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,94,7,Retail,0,1,0,18600.0,9.07,18609.07,150.0,17740.67,718.4,248.0,175.6667,0,0,0,0,2024-03-09
RX0000010276,MBR00000284,2023-07-31,2023-08-03,1759070814,1580457737,PLN9254,213642,PCN422,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,3,Retail,0,0,0,330.0,8.67,338.67,31.0,295.99,11.68,13.2,9.35,0,0,0,0,2023-08-30
RX0000010277,MBR00000284,2023-11-03,2023-11-05,1959255266,1190371537,PLN6878,851699,PCN785,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,82,7,Retail,0,1,0,25500.0,3.45,25503.45,155.0,24345.65,1002.8,340.0,240.8333,0,0,0,0,2024-02-01
RX0000010278,MBR00000284,2023-06-12,2023-06-15,1453253287,1101705122,PLN6287,270360,PCN903,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,59,9,Retail,0,0,0,640.0,6.18,646.18,36.0,582.66,27.52,12.8,9.0667,0,0,0,0,2023-08-11
RX0000010279,MBR00000284,2021-05-31,2021-06-01,1921799809,1472634157,PLN5082,768709,PCN393,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,82,3,Retail,3,0,0,114.0,10.76,124.76,10.0,109.31,5.45,1.52,1.0767,0,0,0,0,2021-08-29
RX0000010280,MBR00000284,2021-08-04,2021-08-06,1667690102,1930074212,PLN7860,517891,PCN765,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,6,Mail Order,0,0,0,14.0,11.8,25.8,6.0,18.35,1.45,0.56,0.3967,0,0,0,0,2021-09-03
RX0000010281,MBR00000284,2023-01-14,2023-01-15,1632206574,1617970044,PLN8091,486581,PCN985,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,4,Retail,0,0,0,12.0,10.25,22.25,9.0,12.41,0.84,0.48,0.34,0,0,0,0,2023-02-13
RX0000010282,MBR00000284,2021-07-01,2021-07-03,1579050690,1581491323,PLN6058,650699,PCN174,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,4,Mail Order,0,0,0,12.0,8.66,20.66,5.0,14.84,0.82,0.48,0.34,0,0,0,0,2021-07-31
RX0000010283,MBR00000284,2021-01-26,2021-01-27,1208294555,1939185798,PLN6452,675400,PCN797,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,5,Specialty,0,0,0,750.0,29.15,779.15,36.0,743.15,0.0,30.0,21.25,0,0,0,0,2021-02-25
RX0000010284,MBR00000284,2022-01-13,2022-01-14,1413520013,1686565664,PLN8836,143993,PCN648,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,59,11,Specialty,0,1,0,5600.0,40.49,5640.49,152.0,5488.49,0.0,112.0,79.3333,0,0,0,0,2022-03-14
RX0000010285,MBR00000284,2023-07-17,2023-07-19,1945804458,1306112307,PLN1942,358040,PCN896,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,0,Mail Order,0,0,0,45.0,2.25,47.25,1.0,43.56,2.69,1.8,1.275,0,0,0,0,2023-08-16
RX0000010286,MBR00000284,2022-12-19,2022-12-23,1742453982,1870717115,PLN5474,433953,PCN944,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,7,Retail,0,0,1,16.0,3.86,19.86,4.0,14.72,1.14,0.64,0.4533,0,0,0,0,2023-01-18
RX0000010287,MBR00000285,2021-09-10,2021-09-14,1827673991,1324104349,PLN3107,179178,PCN219,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,90,4,Retail,0,0,0,84.0,5.55,89.55,9.0,74.67,5.88,1.12,0.7933,0,0,0,0,2021-12-09
RX0000010288,MBR00000285,2022-12-27,2022-12-29,1932896957,1494189274,PLN1876,967650,PCN714,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,88,9,Mail Order,0,0,0,30.0,11.23,41.23,2.0,37.93,1.3,0.4,0.2833,0,0,0,0,2023-03-27
RX0000010289,MBR00000285,2021-03-01,2021-03-05,1145466711,1148677750,PLN9883,758183,PCN782,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,4,Retail,0,0,1,11.0,4.43,15.43,5.0,9.95,0.48,0.44,0.3117,0,0,0,0,2021-03-31
RX0000010290,MBR00000285,2022-05-01,2022-05-04,1234266937,1384883144,PLN5968,918660,PCN883,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,1,Mail Order,3,0,0,18.0,9.27,27.27,2.0,23.84,1.43,0.72,0.51,0,0,0,0,2022-05-31
RX0000010291,MBR00000285,2023-08-08,2023-08-12,1875500741,1188874849,PLN3302,691388,PCN844,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,1,Retail,0,0,0,175.0,4.5,179.5,33.0,136.57,9.93,7.0,4.9583,0,0,0,0,2023-09-07
RX0000010292,MBR00000285,2023-05-25,2023-05-28,1548721333,1967664166,PLN1927,332103,PCN143,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,9,Specialty,0,0,0,72.33,47.48,119.81,39.0,80.81,0.0,12.4,8.7833,0,0,0,0,2023-06-01
RX0000010293,MBR00000285,2021-08-04,2021-08-08,1984973939,1764187033,PLN3520,212981,PCN929,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,2,Mail Order,0,0,0,175.0,6.73,181.73,35.0,141.14,5.59,7.0,4.9583,0,0,0,0,2021-09-03
RX0000010294,MBR00000285,2021-05-19,2021-05-22,1844601433,1326128254,PLN9297,758682,PCN609,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,4,Retail,0,0,0,45.0,2.44,47.44,4.0,41.9,1.54,1.8,1.275,0,0,0,0,2021-06-18
RX0000010295,MBR00000285,2021-05-13,2021-05-15,1676630695,1222156382,PLN9406,465336,PCN698,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,3,Retail,0,0,0,370.0,9.81,379.81,30.0,331.21,18.6,14.8,10.4833,0,0,0,0,2021-06-12
RX0000010296,MBR00000285,2021-06-24,2021-06-26,1753453308,1267478986,PLN7122,422267,PCN714,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,55,1,Mail Order,2,0,0,30.0,8.55,38.55,8.0,29.04,1.51,0.6,0.425,0,0,0,0,2021-08-23
RX0000010297,MBR00000285,2022-05-30,2022-06-02,1588341194,1188294013,PLN4706,758342,PCN317,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,11,Retail,0,0,0,10.0,9.65,19.65,2.0,17.06,0.59,0.4,0.2833,0,0,0,0,2022-06-29
RX0000010298,MBR00000285,2023-12-07,2023-12-11,1825062220,1157530730,PLN5591,443076,PCN261,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,10,Retail,0,0,0,18.0,3.46,21.46,1.0,19.65,0.81,0.72,0.51,0,0,0,0,2024-01-06
RX0000010299,MBR00000285,2022-10-22,2022-10-23,1194515854,1317719644,PLN7566,634410,PCN216,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,7,Mail Order,0,0,0,38.0,7.2,45.2,39.0,4.4,1.8,1.52,1.0767,0,0,0,0,2022-11-21
RX0000010300,MBR00000285,2021-09-18,2021-09-22,1877655196,1237477685,PLN7621,584852,PCN535,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,2,Mail Order,0,0,0,950.0,11.38,961.38,37.0,859.2,65.18,38.0,26.9167,0,0,0,0,2021-10-18
RX0000010301,MBR00000285,2023-08-29,2023-08-31,1639472360,1559169190,PLN1416,912588,PCN325,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,90,5,Retail,0,0,0,855.0,9.44,864.44,39.0,781.34,44.1,11.4,8.075,0,0,0,0,2023-11-27
RX0000010302,MBR00000285,2021-12-28,2022-01-01,1308023107,1850270582,PLN7025,600326,PCN542,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,96,8,Retail,0,0,0,2850.0,9.2,2859.2,36.0,2727.17,96.03,38.0,26.9167,0,0,0,0,2022-03-28
RX0000010303,MBR00000285,2021-03-20,2021-03-24,1703785310,1441108363,PLN2432,527003,PCN124,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,2,Retail,0,0,0,12.0,7.75,19.75,10.0,8.42,1.33,0.48,0.34,0,0,0,0,2021-04-19
RX0000010304,MBR00000285,2021-03-23,2021-03-25,1899942313,1937003259,PLN7597,175276,PCN231,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,5,Retail,0,0,0,10.5,5.96,16.46,9.0,6.34,1.12,1.8,1.275,0,0,0,0,2021-03-30
RX0000010305,MBR00000285,2022-04-20,2022-04-22,1431147617,1452044809,PLN5307,968275,PCN678,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,4,Retail,0,0,0,2.33,9.24,11.57,6.0,5.04,0.53,0.4,0.2833,0,0,0,0,2022-04-27
RX0000010306,MBR00000285,2022-12-15,2022-12-16,1218203594,1402199468,PLN2003,293560,PCN832,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,4,Retail,0,0,0,16.0,4.02,20.02,3.0,15.79,1.23,0.64,0.4533,0,0,0,0,2023-01-14
RX0000010307,MBR00000285,2021-06-24,2021-06-27,1605423284,1373802955,PLN8976,564163,PCN478,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,86,10,Retail,0,1,0,36.0,1.78,37.78,152.0,0.0,2.6,0.48,0.34,0,0,0,0,2021-09-22
RX0000010308,MBR00000285,2023-04-14,2023-04-17,1953867665,1793567360,PLN9814,706319,PCN487,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,10,Retail,0,0,0,15.0,3.73,18.73,7.0,10.64,1.09,0.6,0.425,0,0,0,0,2023-05-14
RX0000010309,MBR00000285,2021-09-18,2021-09-19,1457963298,1512842380,PLN3641,808193,PCN827,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,7,Retail,0,0,0,7.5,10.3,17.8,10.0,6.58,1.22,0.3,0.2125,0,0,0,0,2021-10-18
RX0000010310,MBR00000285,2023-06-11,2023-06-14,1849567387,1205175242,PLN5550,133088,PCN903,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,88,7,Retail,0,0,0,2850.0,8.01,2858.01,38.0,2621.33,198.68,38.0,26.9167,0,1,1,0,2023-09-09
RX0000010311,MBR00000285,2021-07-02,2021-07-03,1164678989,1993613609,PLN9520,398587,PCN756,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,63,4,Retail,0,0,0,18.0,9.29,27.29,6.0,19.57,1.72,0.36,0.255,0,0,0,0,2021-08-31
RX0000010312,MBR00000285,2022-04-24,2022-04-26,1797239212,1805496816,PLN2602,915323,PCN866,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,2,Retail,0,0,0,650.0,5.2,655.2,34.0,601.33,19.87,26.0,18.4167,0,0,0,0,2022-05-24
RX0000010313,MBR00000285,2023-06-21,2023-06-25,1767682580,1693578484,PLN7862,442714,PCN147,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,4,Retail,0,0,0,11.0,11.24,22.24,10.0,10.89,1.35,0.44,0.3117,0,0,0,0,2023-07-21
RX0000010314,MBR00000285,2022-11-20,2022-11-21,1390650267,1129682569,PLN8511,997070,PCN537,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,9,Mail Order,0,0,0,370.0,6.48,376.48,39.0,324.86,12.62,14.8,10.4833,0,0,0,0,2022-12-20
RX0000010315,MBR00000285,2022-07-16,2022-07-17,1931291471,1864623886,PLN9163,796351,PCN884,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,88,0,Retail,0,0,0,855.0,3.29,858.29,33.0,795.12,30.17,11.4,8.075,0,0,0,0,2022-10-14
RX0000010316,MBR00000285,2022-10-03,2022-10-05,1914828042,1464698103,PLN8795,168485,PCN515,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,81,8,Retail,0,0,0,27.0,11.46,38.46,4.0,32.01,2.45,0.36,0.255,0,0,0,0,2023-01-01
RX0000010317,MBR00000285,2021-09-20,2021-09-23,1442191785,1233427526,PLN1586,169949,PCN315,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,63,6,Retail,0,0,0,18.0,4.89,22.89,4.0,17.37,1.52,0.36,0.255,0,0,0,0,2021-11-19
RX0000010318,MBR00000285,2022-06-07,2022-06-11,1748339034,1527658034,PLN2867,446343,PCN955,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,97,5,Retail,0,0,0,135.0,7.15,142.15,7.0,126.02,9.13,1.8,1.275,0,0,0,0,2022-09-05
RX0000010319,MBR00000285,2023-05-30,2023-05-31,1937260581,1452649932,PLN7841,273698,PCN434,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,6,Retail,0,1,0,2.8,5.08,7.88,150.0,0.0,0.43,0.48,0.34,0,0,0,0,2023-06-06
RX0000010320,MBR00000285,2023-09-13,2023-09-17,1850135146,1308624935,PLN8019,425240,PCN738,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,11,Mail Order,0,0,0,285.0,1.96,286.96,31.0,246.86,9.1,11.4,8.075,0,0,0,0,2023-10-13
RX0000010321,MBR00000285,2023-09-23,2023-09-27,1633395421,1712760844,PLN3217,840261,PCN254,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,93,4,Mail Order,0,0,0,45.0,4.95,49.95,5.0,42.3,2.65,0.6,0.425,0,0,0,0,2023-12-22
RX0000010322,MBR00000285,2023-04-04,2023-04-08,1859760192,1375201608,PLN8020,129499,PCN538,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,3,Retail,0,0,0,12.5,5.33,17.83,4.0,12.77,1.06,0.5,0.3542,1,0,0,0,2023-05-04
RX0000010323,MBR00000285,2021-07-04,2021-07-08,1480980394,1833479749,PLN5325,746143,PCN815,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,93,6,Specialty,0,0,0,36.0,16.75,52.75,6.0,46.75,0.0,0.48,0.34,0,0,0,0,2021-10-02
RX0000010324,MBR00000285,2023-12-16,2023-12-19,1872635762,1514454049,PLN5225,489433,PCN997,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,92,8,Mail Order,1,0,0,555.0,9.88,564.88,30.0,507.65,27.23,7.4,5.2417,0,0,0,0,2024-03-15
RX0000010325,MBR00000285,2023-02-06,2023-02-08,1396583728,1523994231,PLN5911,837969,PCN609,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,9,Retail,0,0,0,15.0,2.78,17.78,5.0,11.93,0.85,0.6,0.425,0,0,0,0,2023-03-08
RX0000010326,MBR00000286,2021-04-06,2021-04-07,1490971195,1538675549,PLN2335,945703,PCN923,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,94,9,Retail,0,0,0,1950.0,10.43,1960.43,33.0,1806.73,120.7,26.0,18.4167,0,0,0,0,2021-07-05
RX0000010327,MBR00000286,2021-05-10,2021-05-11,1306488676,1657169834,PLN4404,526940,PCN142,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,2,Retail,0,0,0,38.0,10.23,48.23,5.0,40.98,2.25,1.52,1.0767,0,0,0,0,2021-06-09
RX0000010328,MBR00000286,2022-05-07,2022-05-10,1688717902,1681284485,PLN9091,290385,PCN256,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,0,Retail,0,0,0,15.0,3.76,18.76,5.0,12.75,1.01,0.6,0.425,0,0,0,0,2022-06-06
RX0000010329,MBR00000286,2023-04-19,2023-04-20,1198027472,1163091597,PLN4293,646217,PCN176,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,6,Retail,0,0,0,9.0,2.55,11.55,8.0,3.02,0.53,0.36,0.255,0,0,0,0,2023-05-19
RX0000010330,MBR00000286,2021-08-15,2021-08-18,1181375462,1921518288,PLN6112,840794,PCN407,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,83,5,Retail,0,0,0,45.0,8.86,53.86,2.0,50.21,1.65,0.6,0.425,0,0,0,0,2021-11-13
RX0000010331,MBR00000286,2022-05-09,2022-05-11,1336582331,1935486357,PLN4765,755361,PCN619,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,5,Retail,0,0,0,18.0,10.85,28.85,3.0,24.41,1.44,0.72,0.51,0,0,0,0,2022-06-08
RX0000010332,MBR00000286,2022-10-30,2022-10-31,1380135519,1428379305,PLN2285,751394,PCN188,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,2,LTC,0,1,0,2800.0,3.18,2803.18,152.0,2532.24,118.94,112.0,79.3333,0,0,0,0,2022-11-29
RX0000010333,MBR00000286,2023-01-25,2023-01-28,1842191601,1770844241,PLN9931,142438,PCN191,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,65,11,Specialty,0,1,0,5600.0,22.62,5622.62,153.0,5469.62,0.0,112.0,79.3333,0,0,0,0,2023-03-26
RX0000010334,MBR00000286,2022-11-13,2022-11-16,1862769690,1905832785,PLN7324,411906,PCN220,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,0,Specialty,0,1,0,6200.0,43.08,6243.08,154.0,6089.08,0.0,248.0,175.6667,0,0,0,0,2022-12-13
RX0000010335,MBR00000286,2023-02-05,2023-02-07,1760913057,1603757924,PLN1895,769101,PCN849,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,2,Mail Order,0,0,0,2.1,2.52,4.62,10.0,0.0,0.23,0.36,0.255,0,0,0,0,2023-02-12
RX0000010336,MBR00000286,2022-02-19,2022-02-23,1990077695,1432686176,PLN7386,942846,PCN418,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,0,Mail Order,0,0,0,11.0,7.53,18.53,2.0,15.89,0.64,0.44,0.3117,0,0,0,0,2022-03-21
RX0000010337,MBR00000286,2021-11-28,2021-12-02,1531186056,1179469396,PLN4212,649722,PCN180,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,62,6,Retail,0,1,0,16.0,7.33,23.33,147.0,0.0,1.4,0.32,0.2267,0,0,0,0,2022-01-27
RX0000010338,MBR00000286,2021-11-30,2021-12-04,1237124595,1897862417,PLN3018,996652,PCN406,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,11,Specialty,3,0,0,38.0,49.3,87.3,40.0,47.3,0.0,1.52,1.0767,0,0,0,0,2021-12-30
RX0000010339,MBR00000286,2022-10-24,2022-10-26,1121303006,1977053142,PLN8348,792497,PCN574,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,0,Mail Order,0,0,0,221.67,7.67,229.34,32.0,189.09,8.25,38.0,26.9167,0,0,0,0,2022-10-31
RX0000010340,MBR00000286,2023-02-21,2023-02-22,1437822035,1861973666,PLN3274,249834,PCN776,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,1,Retail,0,0,0,9.0,2.66,11.66,6.0,5.1,0.56,0.36,0.255,0,0,0,0,2023-03-23
RX0000010341,MBR00000286,2021-08-12,2021-08-16,1370543430,1493909712,PLN5000,282269,PCN118,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,9,Mail Order,0,0,0,9.0,8.38,17.38,9.0,7.72,0.66,0.36,0.255,1,0,0,0,2021-09-11
RX0000010342,MBR00000286,2022-01-13,2022-01-15,1564606172,1928901710,PLN3132,934618,PCN857,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,62,2,Retail,0,0,0,36.0,10.75,46.75,10.0,33.69,3.06,0.72,0.51,0,0,0,0,2022-03-14
RX0000010343,MBR00000286,2021-12-01,2021-12-03,1426465720,1620790065,PLN6810,861577,PCN455,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,1,Retail,0,0,0,7.5,11.27,18.77,10.0,7.69,1.08,0.3,0.2125,0,0,0,0,2021-12-31
RX0000010344,MBR00000286,2022-02-28,2022-03-01,1303616383,1920001102,PLN1066,229305,PCN764,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,93,6,Retail,0,0,0,525.0,10.24,535.24,38.0,469.03,28.21,7.0,4.9583,0,0,0,0,2022-05-29
RX0000010345,MBR00000286,2022-09-22,2022-09-25,1293683094,1379389740,PLN9751,596645,PCN863,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,0,Retail,0,0,0,7.5,7.53,15.03,5.0,9.11,0.92,0.3,0.2125,0,0,0,0,2022-10-22
RX0000010346,MBR00000286,2023-01-29,2023-01-31,1118997044,1716413112,PLN5971,437889,PCN780,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,10,Retail,0,0,0,2.33,8.9,11.23,5.0,5.7,0.53,0.4,0.2833,0,0,0,0,2023-02-05
RX0000010347,MBR00000286,2021-09-16,2021-09-18,1446715948,1672547475,PLN3472,873545,PCN487,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,10,Retail,0,0,0,11.0,10.17,21.17,9.0,11.29,0.88,0.44,0.3117,0,0,0,0,2021-10-16
RX0000010348,MBR00000286,2021-05-31,2021-06-01,1616407145,1624912948,PLN3776,746764,PCN417,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,0,Specialty,3,0,0,11.0,42.73,53.73,7.0,46.73,0.0,0.44,0.3117,0,0,0,0,2021-06-30
RX0000010349,MBR00000286,2023-06-26,2023-06-29,1746770300,1575164562,PLN4813,448588,PCN118,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,0,Retail,0,0,0,10.0,7.6,17.6,2.0,14.83,0.77,0.4,0.2833,0,0,0,0,2023-07-26
RX0000010350,MBR00000286,2023-07-14,2023-07-17,1150994821,1238359142,PLN2410,498101,PCN776,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,59,9,Retail,0,0,0,570.0,2.46,572.46,31.0,512.13,29.33,11.4,8.075,0,0,0,0,2023-09-12
RX0000010351,MBR00000286,2023-12-13,2023-12-15,1767456781,1601268427,PLN4609,483159,PCN385,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,96,5,Specialty,0,1,0,24.0,40.53,64.53,147.0,0.0,0.0,0.32,0.2267,0,0,0,0,2024-03-12
RX0000010352,MBR00000286,2021-12-04,2021-12-08,1817433184,1148148508,PLN7054,155422,PCN974,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,95,4,Retail,0,0,1,54.0,11.43,65.43,6.0,56.44,2.99,0.72,0.51,0,0,0,0,2022-03-04
RX0000010353,MBR00000286,2021-05-31,2021-06-02,1801762909,1662599288,PLN1542,178998,PCN185,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,86,2,Specialty,0,0,0,33.0,44.73,77.73,7.0,70.73,0.0,0.44,0.3117,0,0,0,0,2021-08-29
RX0000010354,MBR00000286,2023-12-02,2023-12-03,1678100376,1331906534,PLN3945,561968,PCN622,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,10,Retail,0,0,0,22.0,7.73,29.73,66.0,0.0,1.99,0.88,0.6233,0,0,0,0,2024-01-01
RX0000010355,MBR00000286,2021-05-14,2021-05-17,1659088212,1451762107,PLN3260,227066,PCN520,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,2,Retail,0,0,0,12.0,5.63,17.63,10.0,6.88,0.75,0.48,0.34,0,0,0,0,2021-06-13
RX0000010356,MBR00000286,2023-08-24,2023-08-27,1219526272,1749797077,PLN9883,213184,PCN387,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,6,Mail Order,0,0,0,11.0,6.75,17.75,2.0,15.07,0.68,0.44,0.3117,1,0,0,0,2023-09-23
RX0000010357,MBR00000286,2022-12-02,2022-12-04,1607634876,1314503134,PLN6949,866658,PCN960,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,92,6,Retail,3,0,0,30.0,11.32,41.32,6.0,33.13,2.19,0.4,0.2833,0,0,0,0,2023-03-02
RX0000010358,MBR00000286,2023-08-25,2023-08-26,1816792240,1174251815,PLN9483,237883,PCN898,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,9,Retail,0,0,0,22.0,3.58,25.58,74.0,0.0,1.63,0.88,0.6233,0,1,1,0,2023-09-24
RX0000010359,MBR00000286,2023-03-09,2023-03-10,1155140926,1924939201,PLN7109,570603,PCN747,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,54,1,Mail Order,0,0,0,36.0,4.58,40.58,3.0,35.93,1.65,0.72,0.51,0,0,0,0,2023-05-08
RX0000010360,MBR00000286,2022-01-02,2022-01-06,1856021559,1929610472,PLN4610,357934,PCN701,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,7,Specialty,0,0,0,10.0,11.95,21.95,3.0,18.95,0.0,0.4,0.2833,0,0,0,0,2022-02-01
RX0000010361,MBR00000287,2023-01-25,2023-01-27,1873729204,1640503821,PLN3923,842109,PCN736,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,1,Retail,3,0,0,65.0,4.66,69.66,39.0,28.2,2.46,2.6,1.8417,1,0,0,0,2023-02-24
RX0000010362,MBR00000287,2023-03-12,2023-03-15,1251118841,1767854215,PLN2945,654022,PCN743,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,3,Retail,1,1,0,2800.0,7.42,2807.42,149.0,2520.96,137.46,112.0,79.3333,0,0,0,0,2023-04-11
RX0000010363,MBR00000287,2023-01-28,2023-01-29,1674083736,1407055302,PLN5400,497662,PCN753,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,1,Retail,1,0,1,9.0,2.87,11.87,7.0,4.4,0.47,0.36,0.255,0,0,0,0,2023-02-27
RX0000010364,MBR00000287,2021-10-21,2021-10-25,1200561268,1130441766,PLN9248,318470,PCN716,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,95,11,Retail,0,0,0,525.0,10.11,535.11,30.0,488.29,16.82,7.0,4.9583,0,0,0,0,2022-01-19
RX0000010365,MBR00000287,2023-02-19,2023-02-23,1357828080,1971978980,PLN2884,877254,PCN161,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,97,10,Retail,0,0,0,135.0,3.08,138.08,9.0,122.6,6.48,1.8,1.275,0,0,0,0,2023-05-20
RX0000010366,MBR00000287,2023-06-19,2023-06-21,1564266300,1572914017,PLN3195,465265,PCN675,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,2,Mail Order,2,1,0,2800.0,7.28,2807.28,147.0,2558.35,101.93,112.0,79.3333,0,0,0,0,2023-07-19
RX0000010367,MBR00000287,2021-08-09,2021-08-11,1411217550,1106176974,PLN1420,329069,PCN491,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,8,Specialty,0,0,0,18.0,46.35,64.35,1.0,63.35,0.0,0.72,0.51,0,0,0,0,2021-09-08
RX0000010368,MBR00000288,2023-05-17,2023-05-20,1252984355,1480587302,PLN2093,697455,PCN400,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,93,4,Mail Order,0,0,0,42.0,3.29,45.29,5.0,37.31,2.98,0.56,0.3967,0,0,0,0,2023-08-15
RX0000010369,MBR00000288,2021-07-05,2021-07-06,1491173647,1655462603,PLN7929,355032,PCN145,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,91,6,Retail,0,0,0,27.0,9.87,36.87,6.0,28.92,1.95,0.36,0.255,0,0,0,0,2021-10-03
RX0000010370,MBR00000288,2022-03-27,2022-03-29,1479470745,1279315139,PLN5628,321295,PCN301,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,5,Mail Order,0,0,0,10.0,1.64,11.64,0.0,10.97,0.67,0.4,0.2833,0,0,0,0,2022-04-26
RX0000010371,MBR00000288,2023-04-02,2023-04-03,1560765302,1995122213,PLN2009,453572,PCN816,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,5,Retail,0,0,0,9.0,6.46,15.46,8.0,6.58,0.88,0.36,0.255,0,0,0,0,2023-05-02
RX0000010372,MBR00000288,2023-11-14,2023-11-15,1985687029,1124321629,PLN5094,626050,PCN507,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,60,6,Retail,0,0,0,740.0,3.64,743.64,34.0,661.45,48.19,14.8,10.4833,0,0,0,0,2024-01-13
RX0000010373,MBR00000288,2022-04-19,2022-04-23,1532666501,1541157965,PLN9606,361588,PCN528,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,11,Retail,0,0,0,9.0,8.61,17.61,8.0,8.66,0.95,0.36,0.255,0,0,0,0,2022-05-19
RX0000010374,MBR00000288,2023-08-25,2023-08-27,1155256081,1564366002,PLN1219,637409,PCN517,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,7,Retail,0,0,0,45.0,4.49,49.49,6.0,41.09,2.4,1.8,1.275,1,0,0,0,2023-09-24
RX0000010375,MBR00000288,2023-03-03,2023-03-05,1415407746,1656202728,PLN7233,758799,PCN314,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,3,Mail Order,0,0,0,8.5,5.79,14.29,1.0,12.75,0.54,0.34,0.2408,0,0,0,0,2023-04-02
RX0000010376,MBR00000288,2021-06-23,2021-06-26,1133503546,1351098480,PLN2418,172320,PCN523,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,56,5,Specialty,0,0,0,56.0,35.18,91.18,3.0,88.18,0.0,1.12,0.7933,0,0,0,0,2021-08-22
RX0000010377,MBR00000288,2022-06-23,2022-06-24,1109318348,1453743039,PLN7916,931264,PCN254,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,59,0,Retail,0,0,0,28.0,11.89,39.89,8.0,29.76,2.13,0.56,0.3967,0,0,0,0,2022-08-22
RX0000010378,MBR00000288,2022-03-04,2022-03-07,1540616219,1923746277,PLN4768,924761,PCN342,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,63,5,Retail,0,0,0,22.0,11.68,33.68,2.0,29.66,2.02,0.44,0.3117,0,0,0,0,2022-05-03
RX0000010379,MBR00000288,2021-10-07,2021-10-09,1835900856,1973429078,PLN1328,431092,PCN529,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,1,Specialty,0,0,0,18.0,41.94,59.94,1.0,58.94,0.0,0.72,0.51,0,0,0,0,2021-11-06
RX0000010380,MBR00000288,2022-11-07,2022-11-10,1262925871,1149256427,PLN9802,379607,PCN506,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,3,Retail,0,0,1,9.0,7.59,16.59,2.0,13.43,1.16,0.36,0.255,0,0,0,0,2022-12-07
RX0000010381,MBR00000288,2023-07-02,2023-07-06,1417996087,1719658131,PLN8230,958935,PCN416,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,61,6,Retail,0,0,0,90.0,10.41,100.41,8.0,88.91,3.5,1.8,1.275,0,0,0,0,2023-08-31
RX0000010382,MBR00000288,2022-07-07,2022-07-10,1882198968,1802676963,PLN2695,564842,PCN655,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,57,4,Retail,0,0,0,32.0,9.76,41.76,1.0,38.12,2.64,0.64,0.4533,0,0,0,0,2022-09-05
RX0000010383,MBR00000288,2022-04-02,2022-04-04,1137827136,1836244989,PLN8783,175933,PCN373,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,83,3,Retail,0,0,0,930.0,7.01,937.01,38.0,847.83,51.18,12.4,8.7833,0,0,0,0,2022-07-01
RX0000010384,MBR00000288,2023-05-31,2023-06-04,1132056725,1828052349,PLN1898,495612,PCN291,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,2,Retail,0,0,0,380.0,10.77,390.77,34.0,344.15,12.62,15.2,10.7667,1,0,0,0,2023-06-30
RX0000010385,MBR00000288,2021-06-01,2021-06-04,1719614998,1397053305,PLN5675,778301,PCN217,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,330.0,4.36,334.36,38.0,273.55,22.81,13.2,9.35,0,0,0,0,2021-07-01
RX0000010386,MBR00000288,2021-09-03,2021-09-06,1991730361,1594865698,PLN3576,901681,PCN962,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,10,Retail,0,0,0,38.0,2.17,40.17,32.0,6.79,1.38,1.52,1.0767,1,0,0,0,2021-10-03
RX0000010387,MBR00000288,2021-07-30,2021-08-02,1402452448,1686377344,PLN8120,265791,PCN176,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,96,1,Retail,0,0,0,30.0,9.34,39.34,9.0,28.29,2.05,0.4,0.2833,0,0,0,0,2021-10-28
RX0000010388,MBR00000288,2021-12-19,2021-12-22,1268362665,1768581460,PLN7062,813685,PCN638,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,1,Mail Order,0,0,0,11.0,9.45,20.45,0.0,19.65,0.8,0.44,0.3117,0,0,0,0,2022-01-18
RX0000010389,MBR00000288,2021-05-27,2021-05-29,1716769442,1222167211,PLN4004,493700,PCN425,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,4,Retail,0,0,0,2.8,6.83,9.63,10.0,0.0,0.42,0.48,0.34,1,0,0,0,2021-06-03
RX0000010390,MBR00000288,2022-01-11,2022-01-14,1638657444,1372699496,PLN4413,899863,PCN820,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,9,Mail Order,0,0,0,16.0,3.56,19.56,9.0,9.95,0.61,0.64,0.4533,0,0,0,0,2022-02-10
RX0000010391,MBR00000288,2023-11-22,2023-11-26,1557745106,1885173349,PLN7609,536043,PCN575,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,85,3,Retail,0,0,0,36.0,4.35,40.35,2.0,36.67,1.68,0.48,0.34,0,0,0,0,2024-02-20
RX0000010392,MBR00000288,2022-01-20,2022-01-23,1509403085,1781114241,PLN7478,404836,PCN800,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,7,Retail,0,0,0,18.0,1.97,19.97,31.0,0.0,0.63,0.72,0.51,0,0,0,0,2022-02-19
RX0000010393,MBR00000288,2023-03-17,2023-03-21,1388070027,1838026420,PLN7247,183220,PCN757,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,1,Retail,0,0,1,9.0,3.12,12.12,8.0,3.33,0.79,0.36,0.255,0,0,0,0,2023-04-16
RX0000010394,MBR00000288,2023-07-29,2023-07-30,1191960831,1608012746,PLN3736,410792,PCN667,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,90,7,Mail Order,3,0,0,36.0,9.34,45.34,1.0,41.21,3.13,0.48,0.34,0,0,0,0,2023-10-27
RX0000010395,MBR00000288,2021-04-14,2021-04-17,1223416480,1368656066,PLN3193,276482,PCN366,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,64,3,Retail,0,0,0,370.0,8.04,378.04,35.0,325.32,17.72,7.4,5.2417,0,0,0,0,2021-06-13
RX0000010396,MBR00000288,2023-03-14,2023-03-17,1834486168,1457187040,PLN2719,531587,PCN764,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,97,1,Retail,0,1,0,24.0,4.24,28.24,149.0,0.0,1.97,0.32,0.2267,0,0,0,0,2023-06-12
RX0000010397,MBR00000288,2023-11-27,2023-11-30,1590926134,1981102255,PLN4790,134328,PCN222,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,97,4,Retail,0,0,0,1440.0,10.47,1450.47,31.0,1331.96,87.51,19.2,13.6,0,0,0,0,2024-02-25
RX0000010398,MBR00000288,2023-05-26,2023-05-29,1965658885,1626474898,PLN8931,500529,PCN578,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,58,6,Mail Order,0,0,0,36.0,10.33,46.33,2.0,42.32,2.01,0.72,0.51,0,0,0,0,2023-07-25
RX0000010399,MBR00000288,2022-05-18,2022-05-19,1817185810,1751288303,PLN1365,349518,PCN872,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,6,Retail,0,0,0,12.0,9.72,21.72,4.0,16.48,1.24,0.48,0.34,0,0,0,0,2022-06-17
RX0000010400,MBR00000288,2023-10-09,2023-10-11,1748155123,1786721735,PLN4693,931532,PCN376,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,6,Specialty,0,1,0,12.0,25.61,37.61,149.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-11-08
RX0000010401,MBR00000289,2021-04-19,2021-04-22,1799719161,1876283503,PLN7585,953252,PCN765,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,58,9,Retail,0,0,0,44.0,6.04,50.04,5.0,42.89,2.15,0.88,0.6233,0,0,0,0,2021-06-18
RX0000010402,MBR00000289,2021-09-21,2021-09-23,1447153027,1640698134,PLN7342,640971,PCN856,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,63,9,Retail,3,0,0,44.0,10.46,54.46,72.0,0.0,2.37,0.88,0.6233,1,0,0,0,2021-11-20
RX0000010403,MBR00000289,2021-12-10,2021-12-11,1247999659,1162055057,PLN3643,174921,PCN525,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,60,10,Mail Order,0,0,0,44.0,3.68,47.68,67.0,0.0,2.76,0.88,0.6233,1,0,0,0,2022-02-08
RX0000010404,MBR00000289,2021-08-15,2021-08-19,1791017012,1575251262,PLN5948,144074,PCN358,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,6,Retail,3,0,0,8.87,6.56,15.42,33.0,0.0,0.5,1.52,1.0767,0,0,0,0,2021-08-22
RX0000010405,MBR00000289,2021-01-26,2021-01-28,1975233047,1637388405,PLN5799,539983,PCN671,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,5,Mail Order,3,0,0,15.0,11.67,26.67,4.0,21.76,0.91,0.6,0.425,0,0,0,0,2021-02-25
RX0000010406,MBR00000289,2021-04-03,2021-04-07,1131954808,1886695041,PLN7882,419070,PCN283,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,4,Retail,0,0,0,320.0,11.54,331.54,34.0,274.9,22.64,12.8,9.0667,0,0,0,0,2021-05-03
RX0000010407,MBR00000289,2023-07-08,2023-07-11,1178892235,1481377146,PLN5510,308820,PCN187,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,7,Retail,0,0,0,10.0,2.4,12.4,6.0,5.9,0.5,0.4,0.2833,0,0,0,0,2023-08-07
RX0000010408,MBR00000289,2021-04-21,2021-04-24,1414935228,1583931853,PLN9597,744432,PCN301,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,85,8,Retail,0,0,0,555.0,2.33,557.33,30.0,489.33,38.0,7.4,5.2417,0,0,0,0,2021-07-20
RX0000010409,MBR00000289,2023-05-31,2023-06-04,1106386725,1406235214,PLN9322,476196,PCN931,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,3,Retail,1,0,0,15.0,11.57,26.57,3.0,22.11,1.46,0.6,0.425,1,0,0,0,2023-06-30
RX0000010410,MBR00000289,2023-09-13,2023-09-16,1239202098,1297928492,PLN4899,325526,PCN682,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,0,Mail Order,0,0,0,11.0,10.78,21.78,4.0,17.1,0.68,0.44,0.3117,0,0,0,0,2023-10-13
RX0000010411,MBR00000289,2023-05-14,2023-05-15,1557685848,1338527554,PLN5042,249941,PCN787,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,1,Mail Order,0,0,0,650.0,10.75,660.75,37.0,585.7,38.05,26.0,18.4167,0,0,0,0,2023-06-13
RX0000010412,MBR00000289,2021-07-08,2021-07-09,1781127645,1177864228,PLN9935,471019,PCN607,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,7,Mail Order,0,0,0,2.8,3.68,6.48,8.0,0.0,0.32,0.48,0.34,0,0,0,0,2021-07-15
RX0000010413,MBR00000289,2021-06-01,2021-06-03,1847562613,1188960739,PLN2129,550652,PCN810,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,6,Retail,0,0,0,10.0,10.99,20.99,9.0,10.69,1.3,0.4,0.2833,0,0,0,0,2021-07-01
RX0000010414,MBR00000289,2021-01-16,2021-01-17,1980973426,1716516282,PLN2586,796216,PCN538,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,64,8,Specialty,0,1,0,12400.0,41.98,12441.98,153.0,12288.98,0.0,248.0,175.6667,1,0,0,0,2021-03-17
RX0000010415,MBR00000289,2022-03-15,2022-03-17,1491371211,1581436357,PLN1744,609587,PCN853,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,55,4,Mail Order,0,0,0,960.0,2.59,962.59,36.0,890.03,36.56,19.2,13.6,0,0,0,0,2022-05-14
RX0000010416,MBR00000289,2021-11-17,2021-11-20,1393973686,1451272193,PLN8744,573730,PCN964,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,9,Retail,0,0,0,15.0,3.99,18.99,7.0,10.72,1.27,0.6,0.425,0,0,0,0,2021-12-17
RX0000010417,MBR00000289,2023-09-10,2023-09-12,1322737671,1984229325,PLN9829,138674,PCN643,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,0,Specialty,0,0,0,12.0,10.64,22.64,4.0,18.64,0.0,0.48,0.34,0,0,0,0,2023-10-10
RX0000010418,MBR00000289,2021-08-16,2021-08-19,1398125278,1739170215,PLN9796,654897,PCN708,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,9,Retail,0,0,0,950.0,5.99,955.99,31.0,876.28,48.71,38.0,26.9167,0,0,0,0,2021-09-15
RX0000010419,MBR00000289,2023-05-01,2023-05-03,1779672357,1936882800,PLN8312,531670,PCN911,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,94,0,Retail,0,0,0,525.0,8.54,533.54,35.0,476.6,21.94,7.0,4.9583,0,0,0,0,2023-07-30
RX0000010420,MBR00000289,2022-04-26,2022-04-29,1739106901,1113117136,PLN7207,656874,PCN898,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,1,Retail,3,0,0,65.0,11.7,76.7,39.0,35.13,2.57,2.6,1.8417,0,0,0,0,2022-05-26
RX0000010421,MBR00000289,2023-11-24,2023-11-25,1345713444,1534213058,PLN5342,619893,PCN367,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,89,5,Retail,0,0,0,45.0,3.71,48.71,3.0,43.49,2.22,0.6,0.425,0,0,0,0,2024-02-22
RX0000010422,MBR00000289,2023-10-15,2023-10-16,1687751694,1542665028,PLN4431,133059,PCN356,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,3,Mail Order,0,0,0,22.0,10.19,32.19,4.0,26.31,1.88,0.88,0.6233,0,0,0,0,2023-11-14
RX0000010423,MBR00000289,2022-05-14,2022-05-17,1408049561,1230753043,PLN4464,941846,PCN161,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,98,7,Mail Order,0,0,0,1950.0,1.93,1951.93,32.0,1799.43,120.5,26.0,18.4167,0,0,0,0,2022-08-12
RX0000010424,MBR00000289,2022-09-25,2022-09-26,1927664162,1655215914,PLN8510,469717,PCN521,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,1,Retail,0,1,0,2800.0,3.37,2803.37,152.0,2466.73,184.64,112.0,79.3333,0,0,0,0,2022-10-25
RX0000010425,MBR00000289,2023-03-31,2023-04-01,1615587735,1680974044,PLN3630,678699,PCN452,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,9,Retail,3,0,0,15.0,6.88,21.88,7.0,13.81,1.07,0.6,0.425,0,0,0,0,2023-04-30
RX0000010426,MBR00000289,2021-01-14,2021-01-18,1999462413,1881697568,PLN6599,322117,PCN210,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,3,Retail,0,0,0,12.5,3.0,15.5,9.0,5.98,0.52,0.5,0.3542,0,0,0,0,2021-02-13
RX0000010427,MBR00000289,2023-06-25,2023-06-29,1551048757,1234129071,PLN8620,440977,PCN628,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,91,11,Specialty,0,0,0,27.0,25.02,52.02,0.0,52.02,0.0,0.36,0.255,0,0,0,0,2023-09-23
RX0000010428,MBR00000289,2021-04-10,2021-04-11,1460463571,1429619189,PLN1010,101966,PCN772,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,60,10,Retail,0,0,0,30.0,5.86,35.86,7.0,27.74,1.12,0.6,0.425,0,0,0,0,2021-06-09
RX0000010429,MBR00000289,2022-07-08,2022-07-09,1807693200,1199910269,PLN9193,621297,PCN967,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,0,Specialty,0,0,0,38.0,27.2,65.2,34.0,31.2,0.0,1.52,1.0767,0,0,0,0,2022-08-07
RX0000010430,MBR00000289,2023-09-20,2023-09-24,1881748221,1466083381,PLN8645,977350,PCN345,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,82,6,Mail Order,0,0,0,930.0,11.32,941.32,36.0,855.5,49.82,12.4,8.7833,0,1,1,0,2023-12-19
RX0000010431,MBR00000289,2022-04-19,2022-04-22,1971434353,1592426529,PLN7432,602018,PCN493,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,82,9,Mail Order,3,0,0,2250.0,11.89,2261.89,40.0,2119.42,102.47,30.0,21.25,0,0,0,0,2022-07-18
RX0000010432,MBR00000289,2021-09-11,2021-09-13,1607040036,1113390204,PLN9731,164773,PCN621,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,7,Retail,2,0,0,45.0,5.86,50.86,4.0,44.34,2.52,1.8,1.275,0,0,0,0,2021-10-11
RX0000010433,MBR00000289,2021-07-01,2021-07-03,1507977302,1987266215,PLN3152,761970,PCN575,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,55,0,Retail,0,0,0,76.0,3.16,79.16,2.0,74.02,3.14,1.52,1.0767,0,0,0,0,2021-08-30
RX0000010434,MBR00000289,2022-07-31,2022-08-02,1854234010,1937656094,PLN5311,892645,PCN498,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,0,Retail,3,0,0,285.0,6.56,291.56,30.0,243.8,17.76,11.4,8.075,0,0,0,0,2022-08-30
RX0000010435,MBR00000289,2022-04-26,2022-04-28,1672748965,1179444858,PLN5232,389239,PCN313,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,10,Retail,0,0,0,28.0,4.04,32.04,2.0,28.57,1.47,1.12,0.7933,0,0,0,0,2022-05-26
RX0000010436,MBR00000289,2022-05-08,2022-05-11,1689512233,1990991998,PLN7734,345700,PCN461,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,94,10,Retail,0,0,0,855.0,10.28,865.28,31.0,775.94,58.34,11.4,8.075,0,0,0,0,2022-08-06
RX0000010437,MBR00000289,2023-01-25,2023-01-29,1640152452,1876710955,PLN5909,768462,PCN487,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,90,9,Mail Order,0,0,0,45.0,10.49,55.49,0.0,53.19,2.3,0.6,0.425,0,0,0,0,2023-04-25
RX0000010438,MBR00000289,2023-09-05,2023-09-06,1259997961,1778525609,PLN3023,367781,PCN824,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,59,3,Retail,0,0,0,76.0,6.24,82.24,32.0,47.67,2.57,1.52,1.0767,0,0,0,0,2023-11-04
RX0000010439,MBR00000289,2023-12-07,2023-12-09,1829486792,1180379780,PLN4235,137026,PCN147,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,92,11,Retail,0,1,0,25500.0,9.05,25509.05,155.0,23854.35,1499.7,340.0,240.8333,0,0,0,0,2024-03-06
RX0000010440,MBR00000289,2021-05-07,2021-05-10,1357577082,1203492317,PLN3098,861940,PCN249,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,83,4,Mail Order,0,0,0,42.0,8.74,50.74,5.0,43.12,2.62,0.56,0.3967,0,0,0,0,2021-08-05
RX0000010441,MBR00000289,2022-06-10,2022-06-14,1777382535,1782036844,PLN1722,130322,PCN336,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,8,Retail,0,0,0,380.0,2.95,382.95,35.0,324.45,23.5,15.2,10.7667,0,0,0,0,2022-07-10
RX0000010442,MBR00000289,2023-08-26,2023-08-30,1125901728,1376707808,PLN9429,995233,PCN330,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,0,Retail,0,0,0,10.0,8.69,18.69,10.0,8.11,0.58,0.4,0.2833,0,0,0,0,2023-09-25
RX0000010443,MBR00000290,2023-04-11,2023-04-13,1934804826,1272105079,PLN8310,545333,PCN341,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,9,Retail,0,1,0,12.0,1.62,13.62,145.0,0.0,0.72,0.48,0.34,0,0,0,0,2023-05-11
RX0000010444,MBR00000290,2023-10-10,2023-10-12,1737493138,1818957145,PLN1609,645895,PCN165,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,95,8,Retail,0,0,0,960.0,3.35,963.35,40.0,874.09,49.26,12.8,9.0667,0,0,0,0,2024-01-08
RX0000010445,MBR00000290,2021-07-11,2021-07-12,1299948578,1978590602,PLN1224,116762,PCN943,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,10,Retail,0,0,0,28.0,2.42,30.42,3.0,26.11,1.31,1.12,0.7933,0,0,0,0,2021-08-10
RX0000010446,MBR00000290,2021-01-27,2021-01-28,1313988792,1826978389,PLN7975,646881,PCN248,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,7,Retail,0,0,0,18.0,6.22,24.22,0.0,22.76,1.46,0.72,0.51,0,0,0,0,2021-02-26
RX0000010447,MBR00000290,2021-09-01,2021-09-03,1444441633,1974916098,PLN8539,127959,PCN670,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,0,Specialty,0,0,0,38.0,42.22,80.22,32.0,48.22,0.0,1.52,1.0767,0,0,0,0,2021-10-01
RX0000010448,MBR00000290,2021-10-06,2021-10-10,1645171965,1623539431,PLN7310,302058,PCN737,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,8,Mail Order,3,0,0,5.13,8.5,13.63,74.0,0.0,0.68,0.88,0.6233,0,0,0,0,2021-10-13
RX0000010449,MBR00000290,2023-01-23,2023-01-25,1859370873,1597255360,PLN1956,136647,PCN852,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,10,Retail,0,0,0,2.33,4.79,7.13,0.0,6.76,0.37,0.4,0.2833,0,0,0,0,2023-01-30
RX0000010450,MBR00000290,2021-03-29,2021-04-02,1402972805,1486781649,PLN1249,372993,PCN230,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,86,9,Mail Order,0,0,0,25.5,6.65,32.15,4.0,26.68,1.47,0.34,0.2408,0,0,0,0,2021-06-27
RX0000010451,MBR00000290,2023-09-16,2023-09-19,1398068273,1420406729,PLN3515,111619,PCN476,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,83,0,Mail Order,3,0,0,30.0,1.51,31.51,3.0,27.35,1.16,0.4,0.2833,0,0,0,0,2023-12-15
RX0000010452,MBR00000290,2023-03-05,2023-03-06,1503126974,1965969364,PLN5540,772147,PCN262,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,5,Retail,0,0,0,310.0,7.7,317.7,37.0,270.32,10.38,12.4,8.7833,0,0,0,0,2023-04-04
RX0000010453,MBR00000291,2022-05-24,2022-05-26,1591005677,1429809491,PLN9939,131557,PCN307,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,0,Retail,0,0,0,950.0,6.96,956.96,35.0,856.22,65.74,38.0,26.9167,0,0,0,0,2022-06-23
RX0000010454,MBR00000291,2021-12-11,2021-12-13,1439233009,1865393273,PLN3551,623816,PCN957,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,0,Mail Order,0,0,0,45.0,4.16,49.16,8.0,39.33,1.83,1.8,1.275,0,0,0,0,2022-01-10
RX0000010455,MBR00000291,2022-08-14,2022-08-15,1503621621,1310680046,PLN7465,470473,PCN456,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,8,Mail Order,0,1,0,2800.0,10.74,2810.74,145.0,2511.24,154.5,112.0,79.3333,0,0,0,0,2022-09-13
RX0000010456,MBR00000291,2022-12-13,2022-12-15,1954301400,1917848607,PLN4871,964619,PCN561,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,93,10,Retail,0,0,0,48.0,10.0,58.0,0.0,54.79,3.21,0.64,0.4533,0,0,0,0,2023-03-13
RX0000010457,MBR00000291,2021-03-04,2021-03-05,1478441712,1569698584,PLN6918,787223,PCN403,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,84,2,Retail,0,0,0,135.0,6.28,141.28,4.0,130.74,6.54,1.8,1.275,0,0,0,0,2021-06-02
RX0000010458,MBR00000291,2023-11-17,2023-11-21,1628290240,1852665722,PLN4272,610076,PCN382,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,11,Specialty,0,0,0,65.0,36.99,101.99,37.0,64.99,0.0,2.6,1.8417,1,0,0,0,2023-12-17
RX0000010459,MBR00000291,2021-08-06,2021-08-08,1254296077,1293996451,PLN3189,157353,PCN168,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,95,9,Retail,1,0,0,30.0,4.96,34.96,2.0,31.59,1.37,0.4,0.2833,1,0,0,0,2021-11-04
RX0000010460,MBR00000291,2021-05-19,2021-05-22,1435259210,1935755897,PLN9870,103920,PCN240,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,61,11,Mail Order,0,0,0,20.0,11.12,31.12,3.0,25.99,2.13,0.4,0.2833,0,0,0,0,2021-07-18
RX0000010461,MBR00000291,2021-10-27,2021-10-31,1997574872,1857844582,PLN2580,762069,PCN900,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,6,Specialty,0,0,0,3.27,14.19,17.46,8.0,9.46,0.0,0.56,0.3967,0,0,0,0,2021-11-03
RX0000010462,MBR00000291,2022-06-01,2022-06-05,1138815568,1607117380,PLN6206,814011,PCN389,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,1,Retail,0,1,0,8500.0,8.49,8508.49,149.0,7889.57,469.92,340.0,240.8333,1,0,0,0,2022-07-01
RX0000010463,MBR00000291,2022-07-29,2022-08-02,1996107359,1277811984,PLN9014,889254,PCN585,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,7,Mail Order,0,0,0,185.0,5.5,190.5,35.0,142.33,13.17,7.4,5.2417,0,0,0,0,2022-08-28
RX0000010464,MBR00000291,2022-05-19,2022-05-20,1683304699,1931750978,PLN3426,507653,PCN342,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,87,3,Retail,0,0,0,195.0,8.69,203.69,38.0,151.81,13.88,2.6,1.8417,0,0,0,0,2022-08-17
RX0000010465,MBR00000291,2023-04-06,2023-04-08,1207808784,1560268580,PLN5970,771143,PCN695,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,56,1,Retail,0,0,0,660.0,2.32,662.32,40.0,579.96,42.36,13.2,9.35,0,0,0,0,2023-06-05
RX0000010466,MBR00000291,2022-07-21,2022-07-23,1792345156,1470870893,PLN3998,550825,PCN259,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,94,3,Mail Order,0,0,0,1440.0,9.6,1449.6,33.0,1369.46,47.14,19.2,13.6,0,0,0,0,2022-10-19
RX0000010467,MBR00000291,2023-01-08,2023-01-10,1828432410,1738703835,PLN5304,883026,PCN718,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,11,Retail,0,0,0,10.0,9.93,19.93,5.0,13.75,1.18,0.4,0.2833,1,0,0,0,2023-02-07
RX0000010468,MBR00000291,2022-10-15,2022-10-18,1776949394,1124918531,PLN5062,968379,PCN646,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,4,Retail,0,1,0,2.8,4.85,7.65,148.0,0.0,0.44,0.48,0.34,0,0,0,0,2022-10-22
RX0000010469,MBR00000291,2021-12-18,2021-12-21,1857675166,1630586336,PLN9130,124523,PCN443,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,90,8,Retail,0,1,0,36.0,3.07,39.07,150.0,0.0,1.49,0.48,0.34,0,0,0,0,2022-03-18
RX0000010470,MBR00000291,2023-11-03,2023-11-04,1994595416,1158264317,PLN1268,433061,PCN139,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,5,Retail,0,1,0,8500.0,9.04,8509.04,148.0,7979.47,381.57,340.0,240.8333,0,0,0,0,2023-12-03
RX0000010471,MBR00000291,2023-02-01,2023-02-05,1621687212,1658843570,PLN2493,562484,PCN917,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,1,Mail Order,0,0,1,10.5,11.27,21.77,3.0,17.63,1.14,1.8,1.275,0,0,0,0,2023-02-08
RX0000010472,MBR00000291,2021-11-09,2021-11-13,1972043079,1164658870,PLN8748,483414,PCN902,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,6,Retail,0,0,0,22.0,6.39,28.39,5.0,21.48,1.91,0.88,0.6233,0,0,0,0,2021-12-09
RX0000010473,MBR00000291,2021-01-28,2021-01-31,1335164983,1654019278,PLN5340,116521,PCN386,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,7,Retail,0,0,0,18.0,11.18,29.18,36.0,0.0,1.21,0.72,0.51,0,0,0,0,2021-02-27
RX0000010474,MBR00000291,2021-12-23,2021-12-24,1249201795,1901581878,PLN4253,342191,PCN728,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,8,Retail,0,0,0,380.0,9.79,389.79,37.0,325.77,27.02,15.2,10.7667,1,0,0,0,2022-01-22
RX0000010475,MBR00000291,2022-09-26,2022-09-29,1923414802,1885676112,PLN7319,802169,PCN337,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,3,Retail,1,0,0,8.5,2.92,11.42,0.0,10.77,0.65,0.34,0.2408,0,0,0,0,2022-10-26
RX0000010476,MBR00000291,2021-08-22,2021-08-23,1707144215,1899952283,PLN3867,450551,PCN315,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,87,8,Retail,1,0,0,42.0,10.35,52.35,2.0,47.2,3.15,0.56,0.3967,0,0,0,0,2021-11-20
RX0000010477,MBR00000291,2022-07-22,2022-07-24,1527981439,1128069848,PLN1148,500123,PCN283,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,0,Retail,0,1,0,8.0,9.46,17.46,153.0,0.0,0.77,0.32,0.2267,0,0,0,0,2022-08-21
RX0000010478,MBR00000291,2021-09-27,2021-09-29,1766057854,1710711483,PLN3535,113492,PCN364,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,4,Retail,0,0,0,3.27,1.77,5.04,3.0,1.69,0.35,0.56,0.3967,0,0,0,0,2021-10-04
RX0000010479,MBR00000291,2021-01-15,2021-01-17,1983271944,1526335363,PLN4929,921196,PCN830,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,57,11,Specialty,0,0,0,17.0,47.83,64.83,1.0,63.83,0.0,0.34,0.2408,0,0,0,0,2021-03-16
RX0000010480,MBR00000291,2021-07-31,2021-08-02,1943825634,1504976589,PLN9879,892746,PCN692,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,5,Retail,0,0,0,12.0,9.56,21.56,6.0,14.89,0.67,0.48,0.34,0,0,0,0,2021-08-30
RX0000010481,MBR00000291,2021-10-31,2021-11-03,1517214724,1379486544,PLN5619,456067,PCN781,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,9,Specialty,3,0,0,285.0,22.93,307.93,39.0,268.93,0.0,11.4,8.075,0,0,0,0,2021-11-30
RX0000010482,MBR00000291,2021-01-14,2021-01-16,1180656038,1851140804,PLN5598,815119,PCN925,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,2,Retail,0,0,0,750.0,3.27,753.27,34.0,683.87,35.4,30.0,21.25,0,0,0,0,2021-02-13
RX0000010483,MBR00000291,2022-11-05,2022-11-08,1417158375,1655768803,PLN6119,932132,PCN853,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,83,1,Retail,0,0,0,48.0,1.71,49.71,8.0,40.18,1.53,0.64,0.4533,0,0,0,0,2023-02-03
RX0000010484,MBR00000291,2022-06-16,2022-06-18,1835024660,1723876574,PLN6147,396635,PCN212,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,90,3,Retail,0,0,1,84.0,6.9,90.9,1.0,83.61,6.29,1.12,0.7933,0,0,0,0,2022-09-14
RX0000010485,MBR00000291,2022-05-30,2022-05-31,1937135770,1863887856,PLN5203,937361,PCN155,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,6,Retail,0,0,0,9.0,3.89,12.89,6.0,6.44,0.45,0.36,0.255,0,1,0,0,2022-06-29
RX0000010486,MBR00000291,2022-05-18,2022-05-19,1874855858,1596349567,PLN6112,824990,PCN666,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,64,4,Retail,0,0,0,18.0,3.64,21.64,4.0,16.75,0.89,0.36,0.255,0,0,0,0,2022-07-17
RX0000010487,MBR00000291,2023-06-26,2023-06-29,1611661470,1729733131,PLN5102,834180,PCN328,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,98,4,Mail Order,0,0,0,42.0,10.13,52.13,7.0,43.35,1.78,0.56,0.3967,0,0,0,0,2023-09-24
RX0000010488,MBR00000291,2022-08-30,2022-09-03,1196637612,1493264653,PLN2630,670058,PCN990,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,94,5,Retail,0,0,0,135.0,1.7,136.7,0.0,129.75,6.95,1.8,1.275,0,0,0,0,2022-11-28
RX0000010489,MBR00000291,2023-04-19,2023-04-20,1169301232,1940106738,PLN2574,970180,PCN260,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,94,9,Retail,2,0,0,36.0,10.7,46.7,9.0,35.83,1.87,0.48,0.34,0,0,0,0,2023-07-18
RX0000010490,MBR00000291,2021-07-16,2021-07-18,1145601326,1584524836,PLN1671,247614,PCN884,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,56,0,Retail,0,0,0,20.0,4.37,24.37,7.0,16.56,0.81,0.4,0.2833,0,0,0,0,2021-09-14
RX0000010491,MBR00000291,2023-08-10,2023-08-13,1316518209,1903148400,PLN7862,270552,PCN398,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,2,Mail Order,0,0,0,7.5,9.37,16.87,5.0,11.15,0.72,0.3,0.2125,0,0,0,0,2023-09-09
RX0000010492,MBR00000291,2021-10-19,2021-10-23,1485514786,1685561017,PLN7710,541149,PCN102,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,8,Retail,0,1,0,8.0,5.16,13.16,153.0,0.0,0.55,0.32,0.2267,1,0,0,0,2021-11-18
RX0000010493,MBR00000291,2023-04-06,2023-04-07,1926865390,1211489709,PLN2854,474972,PCN260,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,0,Mail Order,0,0,0,10.5,3.96,14.46,2.0,11.59,0.87,1.8,1.275,0,0,0,0,2023-04-13
RX0000010494,MBR00000291,2021-08-31,2021-09-02,1103386398,1440254450,PLN5437,934525,PCN532,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,89,1,Retail,0,0,0,960.0,5.4,965.4,32.0,897.2,36.2,12.8,9.0667,0,0,0,0,2021-11-29
RX0000010495,MBR00000291,2023-12-18,2023-12-19,1893487860,1609016147,PLN2055,955290,PCN171,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,57,10,Retail,0,0,0,44.0,2.07,46.07,1.0,42.42,2.65,0.88,0.6233,0,0,0,0,2024-02-16
RX0000010496,MBR00000291,2023-11-13,2023-11-17,1797058130,1581956391,PLN5174,568543,PCN396,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,8,Mail Order,0,0,0,11.0,8.1,19.1,5.0,13.42,0.68,0.44,0.3117,0,0,0,0,2023-12-13
RX0000010497,MBR00000291,2023-02-11,2023-02-13,1321995831,1446492987,PLN3677,847525,PCN931,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,6,Specialty,0,0,0,16.0,16.67,32.67,1.0,31.67,0.0,0.64,0.4533,0,0,0,0,2023-03-13
RX0000010498,MBR00000291,2023-11-14,2023-11-18,1527739314,1386316446,PLN4332,132017,PCN803,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,2,Mail Order,0,0,0,185.0,7.68,192.68,31.0,149.07,12.61,7.4,5.2417,0,0,0,0,2023-12-14
RX0000010499,MBR00000291,2022-06-02,2022-06-04,1939051981,1198015647,PLN7429,738239,PCN721,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,10,Mail Order,0,0,0,2.33,1.55,3.88,10.0,0.0,0.17,0.4,0.2833,0,0,0,0,2022-06-09
RX0000010500,MBR00000291,2023-03-06,2023-03-09,1345526506,1377300446,PLN1694,839349,PCN406,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,11,Retail,0,0,0,750.0,6.83,756.83,36.0,689.3,31.53,30.0,21.25,1,0,0,0,2023-04-05
RX0000010501,MBR00000291,2021-07-17,2021-07-20,1801239578,1165886011,PLN5831,492636,PCN663,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,0,Retail,1,0,0,14.0,1.76,15.76,1.0,14.17,0.59,0.56,0.3967,0,0,0,0,2021-08-16
RX0000010502,MBR00000292,2021-11-14,2021-11-18,1524687874,1123610366,PLN2276,816301,PCN382,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,0,Retail,0,0,0,330.0,4.58,334.58,38.0,277.65,18.93,13.2,9.35,0,0,0,0,2021-12-14
RX0000010503,MBR00000292,2022-08-15,2022-08-19,1102196710,1980226434,PLN3935,392465,PCN544,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,4,Mail Order,0,0,0,12.0,9.34,21.34,7.0,13.52,0.82,0.48,0.34,0,0,0,0,2022-09-14
RX0000010504,MBR00000292,2021-08-18,2021-08-21,1336631009,1354710260,PLN8262,646179,PCN568,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,9,Mail Order,1,0,0,12.0,8.95,20.95,2.0,18.3,0.65,0.48,0.34,0,0,0,0,2021-09-17
RX0000010505,MBR00000292,2023-12-08,2023-12-09,1265283465,1835516618,PLN6128,311841,PCN765,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,2,Retail,0,0,0,310.0,3.54,313.54,34.0,264.09,15.45,12.4,8.7833,0,0,0,0,2024-01-07
RX0000010506,MBR00000292,2023-03-14,2023-03-17,1763019934,1784054158,PLN7741,747278,PCN183,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,86,10,Retail,0,0,0,27.0,3.28,30.28,4.0,24.78,1.5,0.36,0.255,0,0,0,0,2023-06-12
RX0000010507,MBR00000292,2023-04-08,2023-04-11,1291495126,1329861875,PLN2325,553007,PCN227,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,89,5,Mail Order,0,0,0,66.0,2.72,68.72,71.0,0.0,2.77,0.88,0.6233,0,0,0,0,2023-07-07
RX0000010508,MBR00000292,2023-10-18,2023-10-21,1127148334,1884748330,PLN8402,951132,PCN995,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,62,1,Retail,0,0,0,56.0,9.83,65.83,7.0,56.77,2.06,1.12,0.7933,1,0,0,0,2023-12-17
RX0000010509,MBR00000292,2023-01-02,2023-01-05,1238021379,1809715347,PLN1676,148466,PCN929,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,11,Retail,0,0,0,8.5,6.73,15.23,0.0,14.55,0.68,0.34,0.2408,1,0,0,0,2023-02-01
RX0000010510,MBR00000292,2023-12-23,2023-12-27,1646678532,1592410416,PLN4397,720274,PCN769,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,4,Retail,0,0,0,22.0,10.33,32.33,3.0,27.16,2.17,0.88,0.6233,0,0,0,0,2024-01-22
RX0000010511,MBR00000292,2023-01-29,2023-02-02,1357204567,1133974577,PLN1206,406742,PCN392,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,59,11,Retail,1,1,0,12400.0,1.81,12401.81,148.0,11606.9,646.91,248.0,175.6667,0,0,0,0,2023-03-30
RX0000010512,MBR00000292,2023-04-15,2023-04-16,1393222220,1343639506,PLN3597,336021,PCN427,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,98,2,Retail,0,0,0,36.0,8.7,44.7,4.0,38.98,1.72,0.48,0.34,0,0,0,0,2023-07-14
RX0000010513,MBR00000292,2023-09-16,2023-09-17,1321613735,1102425937,PLN1717,573130,PCN652,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,5,Retail,0,0,0,330.0,10.47,340.47,33.0,289.17,18.3,13.2,9.35,0,0,0,0,2023-10-16
RX0000010514,MBR00000292,2021-11-02,2021-11-06,1302861109,1408123275,PLN1539,940435,PCN718,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,7,Retail,0,0,0,14.0,3.11,17.11,5.0,11.27,0.84,0.56,0.3967,1,0,0,0,2021-12-02
RX0000010515,MBR00000292,2022-11-10,2022-11-14,1302984236,1250653514,PLN3103,465453,PCN309,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,55,8,Retail,0,0,0,960.0,5.17,965.17,36.0,879.52,49.65,19.2,13.6,0,0,0,0,2023-01-09
RX0000010516,MBR00000292,2021-09-04,2021-09-05,1882037517,1343873321,PLN2145,879070,PCN536,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,95,1,Retail,1,1,1,18600.0,7.19,18607.19,152.0,17598.11,857.08,248.0,175.6667,0,0,0,0,2021-12-03
RX0000010517,MBR00000292,2021-08-10,2021-08-14,1178425789,1192477149,PLN2620,860355,PCN932,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,2,Retail,1,0,1,45.0,5.75,50.75,4.0,44.3,2.45,1.8,1.275,0,0,0,0,2021-09-09
RX0000010518,MBR00000292,2022-12-09,2022-12-11,1453050369,1725819245,PLN3980,454672,PCN449,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,5,Retail,0,0,0,28.0,4.91,32.91,0.0,31.49,1.42,1.12,0.7933,1,0,0,0,2023-01-08
RX0000010519,MBR00000293,2021-05-08,2021-05-10,1811640689,1631246774,PLN9881,524423,PCN818,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,3,Retail,0,0,0,175.0,6.85,181.85,40.0,135.87,5.98,7.0,4.9583,0,0,0,0,2021-06-07
RX0000010520,MBR00000293,2022-10-08,2022-10-10,1576423693,1459226049,PLN7392,455752,PCN680,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,7,Retail,0,1,0,653.33,11.59,664.92,151.0,480.34,33.58,112.0,79.3333,0,0,0,0,2022-10-15
RX0000010521,MBR00000293,2022-10-18,2022-10-21,1262062431,1664994156,PLN1258,959447,PCN613,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,4,Retail,0,0,0,12.0,3.85,15.85,8.0,7.3,0.55,0.48,0.34,0,0,0,0,2022-11-17
RX0000010522,MBR00000293,2023-08-05,2023-08-09,1351548142,1332330799,PLN1987,543029,PCN613,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,55,6,Mail Order,0,0,0,22.0,10.59,32.59,6.0,25.45,1.14,0.44,0.3117,0,0,0,0,2023-10-04
RX0000010523,MBR00000293,2022-09-10,2022-09-14,1485093693,1803638092,PLN4386,522511,PCN673,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,0,Retail,0,0,0,310.0,5.48,315.48,38.0,265.91,11.57,12.4,8.7833,0,0,0,0,2022-10-10
RX0000010524,MBR00000293,2022-10-11,2022-10-15,1912047675,1754468334,PLN9284,830692,PCN475,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,54,2,Retail,0,1,0,16.0,3.25,19.25,148.0,0.0,1.19,0.32,0.2267,0,0,0,0,2022-12-10
RX0000010525,MBR00000293,2021-11-23,2021-11-26,1487187971,1187307633,PLN2401,235059,PCN728,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,5,Specialty,0,0,0,45.0,16.33,61.33,1.0,60.33,0.0,1.8,1.275,0,0,0,0,2021-12-23
RX0000010526,MBR00000293,2023-10-30,2023-11-02,1718918764,1146458430,PLN8134,679940,PCN515,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,8,Retail,0,0,0,38.0,2.86,40.86,3.0,36.05,1.81,1.52,1.0767,0,0,0,0,2023-11-29
RX0000010527,MBR00000293,2023-12-31,2024-01-02,1183939633,1574315042,PLN9306,732194,PCN746,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,64,2,Retail,0,0,0,25.0,11.8,36.8,0.0,34.93,1.87,0.5,0.3542,0,0,0,0,2024-02-29
RX0000010528,MBR00000293,2022-12-04,2022-12-07,1517125109,1547208855,PLN3935,328457,PCN722,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,61,0,Mail Order,0,0,0,30.0,7.7,37.7,5.0,31.24,1.46,0.6,0.425,0,0,0,0,2023-02-02
RX0000010529,MBR00000293,2023-05-25,2023-05-29,1760181286,1417029051,PLN4577,400104,PCN613,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,7,Retail,0,0,0,480.0,10.3,490.3,39.0,417.16,34.14,19.2,13.6,0,0,0,0,2023-06-24
RX0000010530,MBR00000293,2023-01-17,2023-01-18,1589448331,1514334459,PLN6219,487659,PCN500,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,7,Mail Order,0,0,0,45.0,2.51,47.51,7.0,37.97,2.54,1.8,1.275,0,1,0,0,2023-02-16
RX0000010531,MBR00000293,2022-12-01,2022-12-03,1373764092,1434890258,PLN7269,311618,PCN789,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,58,11,Specialty,0,0,0,25.0,43.63,68.63,0.0,68.63,0.0,0.5,0.3542,0,0,0,0,2023-01-30
RX0000010532,MBR00000293,2023-08-22,2023-08-23,1320641662,1481826330,PLN1482,613599,PCN259,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,0,Retail,0,0,0,950.0,6.71,956.71,33.0,874.0,49.71,38.0,26.9167,0,0,0,0,2023-09-21
RX0000010533,MBR00000293,2022-02-27,2022-03-03,1355384218,1503538330,PLN8939,914934,PCN858,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,6,Mail Order,0,0,0,22.0,10.46,32.46,70.0,0.0,1.23,0.88,0.6233,0,0,0,0,2022-03-29
RX0000010534,MBR00000293,2023-03-27,2023-03-28,1487851788,1157565159,PLN5473,269070,PCN964,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,6,Retail,0,1,0,8.0,6.53,14.53,145.0,0.0,0.71,0.32,0.2267,0,0,0,0,2023-04-26
RX0000010535,MBR00000293,2023-06-10,2023-06-11,1796598831,1601882091,PLN2022,252684,PCN403,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,9,Mail Order,2,0,0,14.0,5.1,19.1,8.0,9.79,1.31,0.56,0.3967,0,0,0,0,2023-07-10
RX0000010536,MBR00000293,2023-07-18,2023-07-19,1176619207,1912409271,PLN8845,864659,PCN660,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,87,4,Retail,0,0,0,66.0,10.37,76.37,66.0,5.65,4.72,0.88,0.6233,0,0,0,0,2023-10-16
RX0000010537,MBR00000293,2023-06-16,2023-06-20,1383303166,1831652254,PLN8536,595877,PCN688,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,0,LTC,1,1,0,18600.0,6.32,18606.32,146.0,17416.22,1044.1,248.0,175.6667,0,0,0,0,2023-09-14
RX0000010538,MBR00000293,2021-02-18,2021-02-19,1327175997,1387091161,PLN9690,550883,PCN604,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,7,Retail,0,0,0,2.1,6.79,8.89,0.0,8.59,0.3,0.36,0.255,1,0,0,0,2021-02-25
RX0000010539,MBR00000293,2021-08-18,2021-08-21,1244336011,1211519915,PLN5663,106315,PCN158,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,6,Retail,0,0,0,54.0,7.46,61.46,9.0,50.13,2.33,0.72,0.51,0,0,0,0,2021-11-16
RX0000010540,MBR00000293,2022-09-27,2022-09-29,1874294870,1144956222,PLN2593,916419,PCN335,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,7,Retail,1,0,0,42.0,7.98,49.98,6.0,41.43,2.55,0.56,0.3967,0,0,0,0,2022-12-26
RX0000010541,MBR00000293,2021-11-27,2021-12-01,1306856100,1558799355,PLN6512,173432,PCN324,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,87,8,Retail,0,0,1,54.0,5.54,59.54,3.0,54.62,1.92,0.72,0.51,0,0,0,0,2022-02-25
RX0000010542,MBR00000293,2022-05-20,2022-05-21,1280501574,1853579489,PLN7250,519823,PCN185,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,84,4,Retail,0,0,0,114.0,4.58,118.58,8.0,103.64,6.94,1.52,1.0767,0,0,0,0,2022-08-18
RX0000010543,MBR00000293,2022-09-24,2022-09-26,1664207088,1922792720,PLN5703,218013,PCN384,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,61,1,Retail,1,1,0,17000.0,10.01,17010.01,145.0,15854.53,1010.48,340.0,240.8333,0,0,0,0,2022-11-23
RX0000010544,MBR00000293,2023-11-02,2023-11-04,1442114173,1432294493,PLN4692,518862,PCN485,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,8,Retail,0,0,0,15.0,10.55,25.55,1.0,23.74,0.81,0.6,0.425,0,0,0,0,2023-12-02
RX0000010545,MBR00000293,2022-05-12,2022-05-15,1556767698,1352348004,PLN3006,960202,PCN716,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,54,3,Retail,0,0,0,18.0,6.36,24.36,6.0,17.47,0.89,0.36,0.255,0,0,0,0,2022-07-11
RX0000010546,MBR00000293,2021-11-16,2021-11-18,1392966037,1286442250,PLN6095,907542,PCN497,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,1,Mail Order,0,0,0,18.0,5.11,23.11,6.0,16.35,0.76,0.72,0.51,0,0,0,0,2021-12-16
RX0000010547,MBR00000293,2022-06-01,2022-06-05,1620036705,1637808543,PLN6363,785764,PCN881,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,3,Retail,0,0,0,10.0,9.25,19.25,10.0,7.94,1.31,0.4,0.2833,0,0,0,0,2022-07-01
RX0000010548,MBR00000293,2023-03-21,2023-03-24,1527215635,1804254379,PLN7750,973953,PCN853,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,95,1,Specialty,0,0,0,36.0,20.41,56.41,2.0,54.41,0.0,0.48,0.34,0,0,0,0,2023-06-19
RX0000010549,MBR00000293,2023-04-29,2023-04-30,1534908937,1253300012,PLN8389,581820,PCN397,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,1,Mail Order,0,0,0,28.0,10.87,38.87,7.0,29.99,1.88,1.12,0.7933,0,0,0,0,2023-05-29
RX0000010550,MBR00000293,2023-03-11,2023-03-15,1795210906,1918069360,PLN4176,313456,PCN359,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,7,Mail Order,0,0,0,11.0,1.96,12.96,4.0,8.43,0.53,0.44,0.3117,0,0,0,0,2023-04-10
RX0000010551,MBR00000293,2023-05-07,2023-05-10,1964051731,1502402228,PLN6716,721879,PCN596,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,96,0,Retail,0,1,0,8400.0,2.14,8402.14,145.0,7789.21,467.93,112.0,79.3333,0,0,0,0,2023-08-05
RX0000010552,MBR00000293,2022-11-11,2022-11-15,1365913661,1692074175,PLN2695,572420,PCN878,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,3,Retail,3,0,0,18.0,4.86,22.86,0.0,21.3,1.56,0.72,0.51,0,0,0,0,2022-12-11
RX0000010553,MBR00000293,2021-06-20,2021-06-24,1164087830,1519869392,PLN6996,798148,PCN386,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,6,Retail,1,0,0,750.0,9.69,759.69,32.0,699.82,27.87,30.0,21.25,0,1,1,0,2021-07-20
RX0000010554,MBR00000293,2023-02-06,2023-02-09,1796920153,1563045971,PLN7867,599063,PCN617,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,8,Mail Order,2,0,0,22.0,6.01,28.01,5.0,21.37,1.64,0.88,0.6233,0,0,0,0,2023-03-08
RX0000010555,MBR00000293,2021-02-26,2021-03-01,1259503427,1348434820,PLN8050,500828,PCN861,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,7,Retail,0,0,0,40.83,10.85,51.68,34.0,15.98,1.7,7.0,4.9583,0,0,0,0,2021-03-05
RX0000010556,MBR00000293,2021-07-28,2021-07-30,1482468254,1440960243,PLN2128,947989,PCN712,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,8,Retail,0,1,0,8.0,2.31,10.31,153.0,0.0,0.35,0.32,0.2267,0,0,0,0,2021-08-27
RX0000010557,MBR00000293,2021-05-10,2021-05-13,1710736360,1885662895,PLN4624,346796,PCN209,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,5,Mail Order,3,0,0,18.0,4.33,22.33,9.0,12.27,1.06,0.72,0.51,0,0,0,0,2021-06-09
RX0000010558,MBR00000293,2021-06-27,2021-06-29,1839151398,1590943311,PLN4736,248765,PCN307,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,8,Specialty,0,0,0,7.5,37.23,44.73,8.0,36.73,0.0,0.3,0.2125,0,0,0,0,2021-07-27
RX0000010559,MBR00000293,2023-02-14,2023-02-15,1698011407,1724732014,PLN1997,889497,PCN323,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,92,0,Retail,0,0,0,114.0,8.67,122.67,8.0,110.65,4.02,1.52,1.0767,0,0,0,0,2023-05-15
RX0000010560,MBR00000293,2021-10-20,2021-10-24,1739891965,1117219650,PLN7868,547480,PCN174,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,83,5,Mail Order,0,0,0,22.5,9.33,31.83,5.0,25.63,1.2,0.3,0.2125,0,0,0,0,2022-01-18
RX0000010561,MBR00000293,2023-10-02,2023-10-04,1525938733,1789594343,PLN6216,102556,PCN165,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,59,2,Retail,0,0,0,22.0,9.34,31.34,10.0,20.16,1.18,0.44,0.3117,0,0,0,0,2023-12-01
RX0000010562,MBR00000293,2021-06-09,2021-06-10,1360293081,1857386019,PLN7766,296349,PCN517,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,9,Retail,0,1,0,12.0,11.65,23.65,150.0,0.0,0.82,0.48,0.34,0,0,0,0,2021-07-09
RX0000010563,MBR00000293,2023-12-02,2023-12-06,1951963829,1826227939,PLN1586,618666,PCN100,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,0,Retail,0,0,0,950.0,9.02,959.02,40.0,865.24,53.78,38.0,26.9167,0,0,0,0,2024-01-01
RX0000010564,MBR00000293,2023-06-08,2023-06-09,1262183963,1530827069,PLN1947,881179,PCN935,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,81,7,Retail,0,0,0,114.0,6.21,120.21,32.0,82.7,5.51,1.52,1.0767,0,0,0,0,2023-09-06
RX0000010565,MBR00000293,2023-03-31,2023-04-02,1761716740,1334428806,PLN7507,112885,PCN881,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,0,Specialty,0,1,0,2800.0,44.53,2844.53,149.0,2695.53,0.0,112.0,79.3333,0,0,0,0,2023-04-30
RX0000010566,MBR00000293,2022-03-13,2022-03-16,1739144830,1507841760,PLN6590,573804,PCN881,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,89,11,Retail,0,0,0,930.0,9.32,939.32,33.0,861.16,45.16,12.4,8.7833,0,0,0,0,2022-06-11
RX0000010567,MBR00000293,2022-01-28,2022-01-29,1346194917,1583351775,PLN7000,139316,PCN478,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,97,1,Specialty,0,0,0,33.0,25.24,58.24,3.0,55.24,0.0,0.44,0.3117,0,0,0,0,2022-04-28
RX0000010568,MBR00000293,2022-12-18,2022-12-20,1177666652,1665971132,PLN6846,529064,PCN693,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,9,Mail Order,0,0,0,15.0,2.05,17.05,2.0,13.93,1.12,0.6,0.425,0,0,0,0,2023-01-17
RX0000010569,MBR00000293,2021-04-10,2021-04-14,1449847820,1452060308,PLN8416,391427,PCN198,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,87,1,Retail,0,1,0,18600.0,5.36,18605.36,148.0,17855.12,602.24,248.0,175.6667,0,0,0,0,2021-07-09
RX0000010570,MBR00000293,2023-11-06,2023-11-07,1500730327,1111947632,PLN5340,152524,PCN625,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,92,2,Specialty,0,0,0,42.0,34.24,76.24,10.0,66.24,0.0,0.56,0.3967,0,0,0,0,2024-02-04
RX0000010571,MBR00000293,2022-02-25,2022-02-26,1836200108,1162157865,PLN7036,111127,PCN620,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,81,8,Retail,0,0,0,54.0,11.2,65.2,3.0,58.21,3.99,0.72,0.51,0,0,0,0,2022-05-26
RX0000010572,MBR00000293,2023-03-18,2023-03-22,1580707284,1812343490,PLN3237,965810,PCN841,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,90,9,Retail,0,0,0,135.0,10.74,145.74,9.0,127.8,8.94,1.8,1.275,0,0,0,0,2023-06-16
RX0000010573,MBR00000293,2022-02-28,2022-03-02,1609050186,1902669577,PLN6631,483277,PCN462,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,94,9,Mail Order,0,0,0,30.0,1.85,31.85,0.0,30.69,1.16,0.4,0.2833,0,0,0,0,2022-05-29
RX0000010574,MBR00000293,2023-12-12,2023-12-15,1481276113,1647190831,PLN8356,420995,PCN453,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,6,Mail Order,0,0,0,18.0,10.57,28.57,5.0,21.58,1.99,0.72,0.51,0,0,0,0,2024-01-11
RX0000010575,MBR00000293,2023-04-27,2023-04-28,1738127660,1974626743,PLN8900,554933,PCN374,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,57,0,Retail,0,0,0,22.0,10.33,32.33,9.0,21.57,1.76,0.44,0.3117,0,0,0,0,2023-06-26
RX0000010576,MBR00000293,2023-09-17,2023-09-21,1405957195,1565198809,PLN7226,109136,PCN408,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,96,2,Retail,0,0,0,42.0,10.61,52.61,1.0,48.07,3.54,0.56,0.3967,0,0,0,0,2023-12-16
RX0000010577,MBR00000293,2022-01-06,2022-01-09,1323342927,1225092360,PLN5558,716786,PCN480,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,93,6,Retail,1,0,0,45.0,6.4,51.4,8.0,41.69,1.71,0.6,0.425,0,0,0,0,2022-04-06
RX0000010578,MBR00000293,2021-12-03,2021-12-07,1481797278,1506914063,PLN6384,158462,PCN132,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,9,Retail,0,0,0,18.0,8.98,26.98,4.0,21.52,1.46,0.72,0.51,0,0,0,0,2022-01-02
RX0000010579,MBR00000293,2022-10-13,2022-10-16,1897252016,1362406447,PLN8464,197271,PCN254,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,90,11,Retail,0,1,0,8400.0,8.86,8408.86,154.0,7748.82,506.04,112.0,79.3333,0,0,0,0,2023-01-11
RX0000010580,MBR00000293,2023-09-04,2023-09-06,1858717075,1327081376,PLN7452,606996,PCN587,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,9,Retail,0,0,0,310.0,10.1,320.1,31.0,274.14,14.96,12.4,8.7833,0,0,0,0,2023-10-04
RX0000010581,MBR00000293,2023-12-19,2023-12-22,1360085538,1234124801,PLN9959,489267,PCN365,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,10,Specialty,0,1,0,6200.0,38.31,6238.31,154.0,6084.31,0.0,248.0,175.6667,0,0,0,0,2024-01-18
RX0000010582,MBR00000293,2021-03-01,2021-03-05,1920266377,1219627292,PLN6720,742067,PCN936,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,4,Retail,0,0,0,750.0,3.61,753.61,34.0,681.41,38.2,30.0,21.25,0,0,0,0,2021-03-31
RX0000010583,MBR00000293,2023-10-23,2023-10-26,1987698941,1865530194,PLN6938,875222,PCN395,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,4,Retail,0,0,0,175.0,6.57,181.57,31.0,140.14,10.43,30.0,21.25,0,0,0,0,2023-10-30
RX0000010584,MBR00000293,2021-04-23,2021-04-26,1803307858,1295885309,PLN7480,566517,PCN609,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,63,4,Retail,0,0,0,36.0,3.11,39.11,7.0,30.09,2.02,0.72,0.51,0,0,0,0,2021-06-22
RX0000010585,MBR00000294,2023-01-09,2023-01-12,1792490196,1341321682,PLN3878,323790,PCN357,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,86,2,Mail Order,2,0,0,960.0,11.18,971.18,39.0,900.85,31.33,12.8,9.0667,0,0,0,0,2023-04-09
RX0000010586,MBR00000294,2022-05-14,2022-05-16,1369622150,1944518647,PLN3734,971670,PCN752,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,3,Mail Order,0,0,0,12.0,4.25,16.25,2.0,13.56,0.69,0.48,0.34,0,1,0,0,2022-06-13
RX0000010587,MBR00000294,2022-03-25,2022-03-29,1280551551,1415975096,PLN3629,122100,PCN226,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,1,Retail,0,0,0,38.0,8.18,46.18,8.0,36.56,1.62,1.52,1.0767,0,0,0,0,2022-04-24
RX0000010588,MBR00000294,2021-12-12,2021-12-15,1988275874,1352923496,PLN3164,486374,PCN949,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,0,Retail,0,0,0,10.0,4.48,14.48,10.0,3.9,0.58,0.4,0.2833,0,0,0,0,2022-01-11
RX0000010589,MBR00000294,2021-10-28,2021-11-01,1933661976,1159060641,PLN9133,462376,PCN568,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,55,6,Specialty,0,0,0,44.0,18.16,62.16,10.0,52.16,0.0,0.88,0.6233,0,0,0,0,2021-12-27
RX0000010590,MBR00000294,2022-09-24,2022-09-27,1832981141,1531399489,PLN8653,864066,PCN202,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,93,4,Retail,0,0,0,30.0,10.21,40.21,0.0,37.83,2.38,0.4,0.2833,0,0,0,0,2022-12-23
RX0000010591,MBR00000294,2022-12-17,2022-12-19,1358587633,1750468092,PLN4428,523630,PCN861,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,64,10,Retail,0,0,0,20.0,2.89,22.89,5.0,16.29,1.6,0.4,0.2833,1,0,0,0,2023-02-15
RX0000010592,MBR00000294,2022-10-19,2022-10-21,1573491940,1997911117,PLN9208,776579,PCN861,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,92,8,Retail,3,0,0,1950.0,4.2,1954.2,36.0,1818.26,99.94,26.0,18.4167,0,0,0,0,2023-01-17
RX0000010593,MBR00000294,2021-02-17,2021-02-18,1981567590,1921701156,PLN7701,511024,PCN200,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,62,4,Retail,0,0,0,640.0,10.63,650.63,38.0,584.98,27.65,12.8,9.0667,0,0,0,0,2021-04-18
RX0000010594,MBR00000294,2022-01-26,2022-01-30,1592312838,1614371344,PLN7030,531274,PCN248,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,8,Retail,0,0,0,22.0,6.5,28.5,4.0,22.67,1.83,0.88,0.6233,0,0,0,0,2022-02-25
RX0000010595,MBR00000294,2022-12-30,2022-12-31,1262600616,1668931174,PLN3016,719772,PCN106,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,81,0,Retail,0,0,0,84.0,7.13,91.13,7.0,80.66,3.47,1.12,0.7933,0,0,0,0,2023-03-30
RX0000010596,MBR00000294,2021-10-17,2021-10-19,1732759171,1281923066,PLN1077,331849,PCN608,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,8,Specialty,0,0,0,14.0,32.83,46.83,0.0,46.83,0.0,0.56,0.3967,0,0,0,0,2021-11-16
RX0000010597,MBR00000294,2022-11-14,2022-11-15,1126962279,1696290193,PLN4999,115714,PCN153,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,8,Mail Order,0,0,0,9.0,5.89,14.89,5.0,9.39,0.5,0.36,0.255,0,0,0,0,2022-12-14
RX0000010598,MBR00000294,2023-06-17,2023-06-18,1589275098,1531376288,PLN9786,842408,PCN585,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,9,Retail,0,0,0,45.0,11.38,56.38,7.0,47.59,1.79,1.8,1.275,0,1,0,0,2023-07-17
RX0000010599,MBR00000294,2021-12-23,2021-12-24,1474363092,1153576275,PLN8058,651729,PCN392,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,3,Retail,0,0,0,10.0,3.02,13.02,1.0,11.53,0.49,0.4,0.2833,0,0,0,0,2022-01-22
RX0000010600,MBR00000294,2021-06-22,2021-06-26,1368429189,1242561554,PLN1078,847427,PCN391,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,91,9,Mail Order,0,0,0,960.0,11.13,971.13,34.0,900.52,36.61,12.8,9.0667,0,0,0,0,2021-09-20
RX0000010601,MBR00000294,2021-02-15,2021-02-18,1942225369,1881815122,PLN5458,741859,PCN973,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,85,7,Retail,0,0,0,27.0,11.77,38.77,9.0,27.63,2.14,0.36,0.255,0,0,0,0,2021-05-16
RX0000010602,MBR00000294,2023-01-10,2023-01-13,1556853004,1984812002,PLN3903,848321,PCN443,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,6,Retail,0,0,0,11.0,6.09,17.09,2.0,14.34,0.75,0.44,0.3117,0,0,0,0,2023-02-09
RX0000010603,MBR00000294,2021-04-20,2021-04-22,1247600224,1724313788,PLN5450,526998,PCN160,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,9,Retail,1,0,0,14.0,8.01,22.01,3.0,17.91,1.1,0.56,0.3967,0,0,0,0,2021-05-20
RX0000010604,MBR00000294,2023-10-23,2023-10-27,1300913106,1512772647,PLN8360,561334,PCN639,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,9,Retail,0,0,0,370.0,7.66,377.66,34.0,320.5,23.16,14.8,10.4833,0,0,0,0,2023-11-22
RX0000010605,MBR00000294,2021-10-05,2021-10-09,1958441106,1414588390,PLN6785,843800,PCN296,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,8,Mail Order,0,0,0,112.0,7.96,119.96,32.0,83.43,4.53,19.2,13.6,0,0,0,0,2021-10-12
RX0000010606,MBR00000295,2021-02-10,2021-02-12,1357229722,1958789555,PLN4536,138019,PCN227,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,8,Retail,0,0,0,14.0,1.96,15.96,8.0,6.94,1.02,0.56,0.3967,0,0,0,0,2021-03-12
RX0000010607,MBR00000295,2023-05-04,2023-05-07,1707084058,1299885184,PLN1349,417341,PCN498,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,3,Specialty,0,0,0,10.0,32.16,42.16,6.0,36.16,0.0,0.4,0.2833,0,0,0,0,2023-06-03
RX0000010608,MBR00000295,2022-12-19,2022-12-22,1166296579,1995943559,PLN9878,605216,PCN164,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,0,Retail,0,0,0,330.0,11.24,341.24,30.0,290.37,20.87,13.2,9.35,0,0,0,0,2023-01-18
RX0000010609,MBR00000295,2023-02-12,2023-02-16,1595774678,1148184520,PLN3004,750374,PCN408,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,2,Retail,0,0,0,18.0,5.71,23.71,1.0,21.86,0.85,0.72,0.51,0,0,0,0,2023-03-14
RX0000010610,MBR00000295,2023-01-11,2023-01-13,1272940675,1509510585,PLN4791,207617,PCN596,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,97,10,Mail Order,0,0,0,114.0,3.1,117.1,32.0,80.97,4.13,1.52,1.0767,0,0,0,0,2023-04-11
RX0000010611,MBR00000295,2021-11-13,2021-11-14,1591912913,1360245469,PLN5081,263739,PCN649,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,8,Retail,1,0,0,14.0,3.05,17.05,5.0,10.97,1.08,0.56,0.3967,0,0,0,0,2021-12-13
RX0000010612,MBR00000295,2021-09-15,2021-09-19,1404791576,1894140238,PLN2374,354884,PCN787,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,86,6,Specialty,0,0,0,42.0,28.48,70.48,8.0,62.48,0.0,0.56,0.3967,0,0,0,0,2021-12-14
RX0000010613,MBR00000295,2021-01-17,2021-01-21,1726295464,1209526896,PLN4790,395122,PCN756,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,5,Retail,0,0,0,43.17,11.66,54.83,40.0,11.28,3.55,7.4,5.2417,0,0,0,0,2021-01-24
RX0000010614,MBR00000295,2023-05-07,2023-05-11,1352939321,1282595965,PLN2463,824095,PCN867,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,88,0,Mail Order,1,0,0,66.0,7.18,73.18,70.0,0.0,4.94,0.88,0.6233,0,0,0,0,2023-08-05
RX0000010615,MBR00000295,2023-07-28,2023-07-30,1786093036,1488665060,PLN4007,305823,PCN663,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,97,3,Retail,0,0,0,22.5,10.99,33.49,1.0,30.33,2.16,0.3,0.2125,0,0,0,0,2023-10-26
RX0000010616,MBR00000295,2021-01-03,2021-01-04,1954498408,1761392294,PLN7941,270641,PCN856,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,63,6,Retail,0,0,0,15.0,9.69,24.69,8.0,15.27,1.42,0.3,0.2125,0,1,0,0,2021-03-04
RX0000010617,MBR00000295,2021-10-18,2021-10-19,1295658794,1469770350,PLN5475,587204,PCN664,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,5,Retail,0,0,0,10.0,10.05,20.05,2.0,16.91,1.14,0.4,0.2833,0,0,0,0,2021-11-17
RX0000010618,MBR00000295,2021-01-22,2021-01-26,1252898548,1259683721,PLN5199,816225,PCN271,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,380.0,10.28,390.28,33.0,337.28,20.0,15.2,10.7667,0,0,0,0,2021-02-21
RX0000010619,MBR00000295,2022-01-06,2022-01-07,1305143310,1791176703,PLN5927,404784,PCN402,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,2,Retail,0,0,0,9.0,4.85,13.85,10.0,3.19,0.66,0.36,0.255,0,0,0,0,2022-02-05
RX0000010620,MBR00000295,2021-11-30,2021-12-02,1544138592,1827907760,PLN5937,689019,PCN375,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,6,Mail Order,0,0,0,15.0,5.36,20.36,10.0,8.96,1.4,0.6,0.425,0,0,0,0,2021-12-30
RX0000010621,MBR00000295,2021-05-02,2021-05-03,1407463440,1139633518,PLN9240,896782,PCN215,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,3,Retail,0,0,0,12.0,5.47,17.47,9.0,7.65,0.82,0.48,0.34,0,0,0,0,2021-06-01
RX0000010622,MBR00000295,2023-09-14,2023-09-15,1744713972,1497392969,PLN1979,970488,PCN271,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,84,1,Retail,0,0,0,855.0,11.03,866.03,33.0,789.23,43.8,11.4,8.075,0,0,0,0,2023-12-13
RX0000010623,MBR00000295,2022-01-10,2022-01-13,1122907595,1167732554,PLN3079,529618,PCN298,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,9,Retail,0,0,0,16.0,10.41,26.41,4.0,21.53,0.88,0.64,0.4533,0,0,0,0,2022-02-09
RX0000010624,MBR00000295,2022-10-09,2022-10-10,1839248353,1208119531,PLN8406,501956,PCN282,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,95,4,Specialty,0,0,0,37.5,10.67,48.17,3.0,45.17,0.0,0.5,0.3542,0,0,0,0,2023-01-07
RX0000010625,MBR00000295,2021-05-20,2021-05-22,1925799339,1833792672,PLN6182,368382,PCN880,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,9,Retail,0,0,0,45.0,6.46,51.46,9.0,39.61,2.85,1.8,1.275,0,0,0,0,2021-06-19
RX0000010626,MBR00000295,2021-01-16,2021-01-20,1550676696,1149115129,PLN5798,314954,PCN677,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,9,Retail,0,0,0,12.0,1.86,13.86,9.0,4.22,0.64,0.48,0.34,1,0,0,0,2021-02-15
RX0000010627,MBR00000295,2022-11-08,2022-11-09,1720502005,1874823298,PLN1029,899066,PCN729,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,1,Specialty,0,1,0,12.0,21.08,33.08,150.0,0.0,0.0,0.48,0.34,1,0,0,0,2022-12-08
RX0000010628,MBR00000295,2021-01-14,2021-01-16,1255041670,1864128159,PLN1426,555113,PCN881,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,8,Retail,0,0,0,38.0,2.24,40.24,0.0,37.44,2.8,1.52,1.0767,0,0,0,0,2021-02-13
RX0000010629,MBR00000295,2021-10-07,2021-10-08,1750688809,1597555981,PLN5741,443133,PCN468,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,1,Retail,0,0,0,310.0,11.48,321.48,35.0,265.69,20.79,12.4,8.7833,0,0,0,0,2021-11-06
RX0000010630,MBR00000295,2022-03-02,2022-03-03,1479583897,1880690999,PLN5876,393141,PCN115,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,11,Retail,3,0,0,750.0,7.57,757.57,39.0,683.76,34.81,30.0,21.25,0,0,0,0,2022-04-01
RX0000010631,MBR00000295,2023-02-17,2023-02-18,1255290255,1754833967,PLN1807,334550,PCN636,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,2,Retail,1,0,0,285.0,3.86,288.86,39.0,238.17,11.69,11.4,8.075,0,0,0,0,2023-03-19
RX0000010632,MBR00000295,2023-06-04,2023-06-07,1793009879,1157680495,PLN5735,210560,PCN730,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,1,Retail,0,0,0,175.0,7.93,182.93,39.0,132.39,11.54,30.0,21.25,0,0,0,0,2023-06-11
RX0000010633,MBR00000295,2022-07-10,2022-07-14,1332156812,1363850990,PLN6096,119277,PCN962,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,63,8,Retail,0,0,0,36.0,4.73,40.73,10.0,28.64,2.09,0.72,0.51,0,0,0,0,2022-09-08
RX0000010634,MBR00000295,2023-05-08,2023-05-10,1127364421,1297930561,PLN4783,546981,PCN292,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,1,LTC,0,1,0,6200.0,6.53,6206.53,154.0,5725.23,327.3,248.0,175.6667,0,0,0,0,2023-06-07
RX0000010635,MBR00000295,2022-12-06,2022-12-08,1780241465,1835389475,PLN6925,132325,PCN342,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,61,9,Retail,0,0,0,18.0,8.99,26.99,5.0,20.98,1.01,0.36,0.255,0,0,0,0,2023-02-04
RX0000010636,MBR00000295,2021-03-14,2021-03-17,1118357265,1924990417,PLN6670,148518,PCN462,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,8,Retail,0,0,0,380.0,2.12,382.12,31.0,339.4,11.72,15.2,10.7667,0,0,0,0,2021-04-13
RX0000010637,MBR00000295,2023-01-14,2023-01-18,1719413623,1320956613,PLN7067,882348,PCN548,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,2,Retail,0,0,0,3.5,4.6,8.1,1.0,6.6,0.5,0.6,0.425,0,0,0,0,2023-01-21
RX0000010638,MBR00000295,2022-12-11,2022-12-14,1615463498,1800563086,PLN6671,266610,PCN196,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,86,3,Retail,0,0,0,54.0,4.48,58.48,0.0,55.11,3.37,0.72,0.51,0,0,0,0,2023-03-11
RX0000010639,MBR00000295,2023-10-28,2023-11-01,1363638643,1370878674,PLN3442,272969,PCN460,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,6,Retail,0,0,0,4.2,8.5,12.7,40.0,0.0,0.56,0.72,0.51,0,0,0,0,2023-11-04
RX0000010640,MBR00000295,2023-07-31,2023-08-04,1339977787,1954600133,PLN6128,451471,PCN343,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,0,Mail Order,0,0,0,15.0,11.42,26.42,10.0,15.37,1.05,0.6,0.425,0,0,0,0,2023-08-30
RX0000010641,MBR00000295,2023-09-21,2023-09-24,1387261576,1682526921,PLN5138,865151,PCN553,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,94,5,Mail Order,0,0,0,25.5,4.59,30.09,10.0,18.68,1.41,0.34,0.2408,0,0,0,0,2023-12-20
RX0000010642,MBR00000295,2021-10-25,2021-10-26,1883933419,1935846019,PLN1028,952473,PCN569,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,0,Retail,1,0,0,65.0,1.68,66.68,35.0,28.93,2.75,2.6,1.8417,0,0,0,0,2021-11-24
RX0000010643,MBR00000295,2023-07-07,2023-07-09,1418111842,1513061054,PLN6963,985259,PCN649,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,87,4,Retail,0,1,0,8400.0,3.39,8403.39,152.0,7855.74,395.65,112.0,79.3333,0,0,0,0,2023-10-05
RX0000010644,MBR00000295,2023-08-09,2023-08-13,1831781092,1779745715,PLN7761,149942,PCN910,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,6,Retail,0,0,0,15.0,8.87,23.87,2.0,21.0,0.87,0.6,0.425,0,0,0,0,2023-09-08
RX0000010645,MBR00000295,2022-02-24,2022-02-27,1912694005,1322619225,PLN8037,662545,PCN873,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,89,2,Retail,0,1,0,8400.0,6.23,8406.23,150.0,7766.59,489.64,112.0,79.3333,0,0,0,0,2022-05-25
RX0000010646,MBR00000295,2022-06-05,2022-06-06,1769609138,1442062464,PLN8861,222045,PCN283,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,58,11,Retail,0,0,0,25.0,5.63,30.63,8.0,21.55,1.08,0.5,0.3542,0,0,0,0,2022-08-04
RX0000010647,MBR00000295,2023-04-11,2023-04-15,1448788376,1842756068,PLN8756,618844,PCN374,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,11,Specialty,0,1,0,2800.0,9.86,2809.86,155.0,2654.86,0.0,112.0,79.3333,0,1,1,0,2023-05-11
RX0000010648,MBR00000295,2023-04-12,2023-04-13,1896153370,1534269764,PLN4384,656937,PCN249,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,4,Mail Order,0,0,0,45.0,5.32,50.32,2.0,46.76,1.56,1.8,1.275,0,0,0,0,2023-05-12
RX0000010649,MBR00000295,2022-09-07,2022-09-10,1150820682,1750582342,PLN2007,540442,PCN990,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,6,Retail,0,0,0,7.5,4.78,12.28,5.0,6.68,0.6,0.3,0.2125,0,0,0,0,2022-10-07
RX0000010650,MBR00000295,2021-06-07,2021-06-11,1610963567,1975974399,PLN8223,815257,PCN895,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,6,Retail,0,0,0,7.5,7.8,15.3,6.0,8.64,0.66,0.3,0.2125,0,0,0,0,2021-07-07
RX0000010651,MBR00000295,2023-11-14,2023-11-17,1379443807,1895865411,PLN8470,855526,PCN461,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,85,6,Retail,0,0,0,22.5,6.32,28.82,6.0,21.07,1.75,0.3,0.2125,0,0,0,0,2024-02-12
RX0000010652,MBR00000295,2023-12-01,2023-12-05,1903838217,1603499905,PLN4912,839905,PCN655,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,8,Mail Order,0,0,0,12.5,8.39,20.89,4.0,15.69,1.2,0.5,0.3542,0,0,0,0,2023-12-31
RX0000010653,MBR00000295,2022-11-12,2022-11-15,1350005173,1511826138,PLN1121,599121,PCN289,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,4,Specialty,0,1,0,12.0,24.66,36.66,150.0,0.0,0.0,0.48,0.34,0,0,0,0,2022-12-12
RX0000010654,MBR00000295,2021-04-27,2021-04-30,1336041538,1317814613,PLN9745,924211,PCN485,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,9,Mail Order,0,0,0,310.0,8.81,318.81,33.0,273.9,11.91,12.4,8.7833,0,0,0,0,2021-05-27
RX0000010655,MBR00000295,2023-05-01,2023-05-05,1521794449,1850431480,PLN9463,384989,PCN115,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,3,Specialty,0,1,0,12.0,16.22,28.22,150.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-05-31
RX0000010656,MBR00000295,2023-09-15,2023-09-17,1135289347,1528087581,PLN6857,961356,PCN186,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,5,Retail,0,0,0,10.0,8.39,18.39,1.0,16.31,1.08,0.4,0.2833,0,0,0,0,2023-10-15
RX0000010657,MBR00000295,2022-02-01,2022-02-05,1513862978,1580459413,PLN5792,518493,PCN645,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,64,10,Mail Order,0,1,0,24.0,11.65,35.65,148.0,0.0,1.95,0.48,0.34,0,0,0,0,2022-04-02
RX0000010658,MBR00000296,2022-11-23,2022-11-26,1340418383,1393131042,PLN9603,646756,PCN119,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,9,LTC,0,0,0,10.5,3.42,13.92,0.0,13.01,0.91,1.8,1.275,0,1,0,0,2022-11-30
RX0000010659,MBR00000296,2023-03-10,2023-03-12,1158502960,1844350051,PLN3559,711164,PCN566,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,1,Retail,0,0,0,650.0,4.22,654.22,34.0,598.55,21.67,26.0,18.4167,0,0,0,0,2023-04-09
RX0000010660,MBR00000296,2023-12-31,2024-01-03,1566294365,1125285178,PLN5379,214155,PCN965,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,97,5,Specialty,3,0,0,45.0,12.84,57.84,4.0,53.84,0.0,0.6,0.425,0,0,0,0,2024-03-30
RX0000010661,MBR00000296,2022-06-20,2022-06-22,1886337483,1835251123,PLN8711,279363,PCN188,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,9,Retail,0,0,0,45.0,10.1,55.1,1.0,50.8,3.3,1.8,1.275,0,0,0,0,2022-07-20
RX0000010662,MBR00000296,2023-07-15,2023-07-18,1720117005,1312073621,PLN2027,949826,PCN143,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,8,Retail,0,0,0,185.0,8.8,193.8,32.0,151.06,10.74,7.4,5.2417,0,0,0,0,2023-08-14
RX0000010663,MBR00000296,2021-12-09,2021-12-12,1535875413,1555441339,PLN7050,717128,PCN412,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,7,Mail Order,0,0,0,22.0,6.04,28.04,2.0,24.5,1.54,0.88,0.6233,1,0,0,0,2022-01-08
RX0000010664,MBR00000296,2021-11-21,2021-11-24,1634112341,1438252559,PLN7969,789823,PCN932,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,5,Retail,1,0,0,185.0,10.33,195.33,39.0,149.76,6.57,7.4,5.2417,0,1,1,0,2021-12-21
RX0000010665,MBR00000296,2022-05-27,2022-05-28,1635692492,1164407601,PLN9483,874519,PCN935,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,84,10,Retail,0,0,0,114.0,8.83,122.83,35.0,82.63,5.2,1.52,1.0767,0,0,0,0,2022-08-25
RX0000010666,MBR00000296,2021-10-26,2021-10-30,1445206101,1382576289,PLN2043,743445,PCN607,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,98,10,Retail,2,0,0,30.0,4.87,34.87,4.0,29.34,1.53,0.4,0.2833,0,1,0,0,2022-01-24
RX0000010667,MBR00000296,2022-06-30,2022-07-02,1994267942,1392574487,PLN9792,381164,PCN835,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,83,9,Mail Order,2,0,0,54.0,4.59,58.59,1.0,53.83,3.76,0.72,0.51,0,0,0,0,2022-09-28
RX0000010668,MBR00000296,2023-07-09,2023-07-13,1636372259,1666104713,PLN7419,497604,PCN517,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,3,Retail,0,0,0,380.0,8.02,388.02,32.0,343.71,12.31,15.2,10.7667,0,0,0,0,2023-08-08
RX0000010669,MBR00000296,2021-11-07,2021-11-09,1756045321,1624591216,PLN2583,894483,PCN370,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,10,Retail,0,0,0,320.0,11.61,331.61,39.0,277.79,14.82,12.8,9.0667,0,0,0,0,2021-12-07
RX0000010670,MBR00000296,2021-05-24,2021-05-27,1267790478,1251118496,PLN3873,753578,PCN699,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,5,Retail,0,0,0,38.0,10.05,48.05,6.0,38.9,3.15,1.52,1.0767,0,0,0,0,2021-06-23
RX0000010671,MBR00000296,2023-12-13,2023-12-15,1499999124,1520254312,PLN3602,691609,PCN988,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,7,Retail,0,1,0,12.0,10.32,22.32,149.0,0.0,1.41,0.48,0.34,0,0,0,0,2024-01-12
RX0000010672,MBR00000296,2022-12-02,2022-12-05,1507728636,1225309957,PLN5900,679863,PCN274,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,10,Retail,0,1,0,8.0,3.77,11.77,154.0,0.0,0.44,0.32,0.2267,0,0,0,0,2023-01-01
RX0000010673,MBR00000296,2021-09-15,2021-09-19,1843424820,1424155041,PLN2950,625198,PCN176,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,11,Retail,0,0,0,14.0,11.32,25.32,10.0,14.01,1.31,0.56,0.3967,0,0,0,0,2021-10-15
RX0000010674,MBR00000296,2021-01-03,2021-01-05,1942246769,1473115606,PLN9580,468828,PCN116,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,3,Mail Order,0,1,0,12.0,5.37,17.37,150.0,0.0,1.16,0.48,0.34,0,0,0,0,2021-02-02
RX0000010675,MBR00000296,2021-12-23,2021-12-26,1984411210,1568775147,PLN7206,430164,PCN941,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,90,3,Retail,2,0,0,25.5,1.81,27.31,7.0,18.78,1.53,0.34,0.2408,0,0,0,0,2022-03-23
RX0000010676,MBR00000296,2022-11-17,2022-11-19,1445036933,1359143236,PLN8060,880594,PCN396,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,4,Mail Order,2,0,0,750.0,10.23,760.23,36.0,676.55,47.68,30.0,21.25,0,0,0,0,2022-12-17
RX0000010677,MBR00000296,2023-12-06,2023-12-10,1258318348,1760921846,PLN6632,672626,PCN914,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,95,4,Retail,0,0,0,2850.0,5.03,2855.03,30.0,2685.92,139.11,38.0,26.9167,1,0,0,0,2024-03-05
RX0000010678,MBR00000296,2022-08-31,2022-09-01,1459927378,1616516626,PLN3188,717610,PCN903,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,6,Mail Order,0,0,0,330.0,4.74,334.74,36.0,278.79,19.95,13.2,9.35,0,1,1,0,2022-09-30
RX0000010679,MBR00000296,2021-01-02,2021-01-06,1224576635,1977032737,PLN2822,243901,PCN523,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,6,Mail Order,0,0,0,12.0,10.21,22.21,10.0,11.39,0.82,0.48,0.34,0,0,0,0,2021-02-01
RX0000010680,MBR00000296,2022-08-20,2022-08-22,1224319299,1477986504,PLN3659,183486,PCN628,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,10,Retail,0,0,0,66.5,6.88,73.38,34.0,35.29,4.09,11.4,8.075,0,0,0,0,2022-08-27
RX0000010681,MBR00000296,2023-06-18,2023-06-19,1275354944,1130925342,PLN7289,110919,PCN253,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,10,Retail,0,0,0,12.5,3.97,16.47,0.0,15.42,1.05,0.5,0.3542,0,1,0,0,2023-07-18
RX0000010682,MBR00000296,2023-02-03,2023-02-06,1554447835,1367358363,PLN4234,914660,PCN859,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,7,Mail Order,0,0,0,22.0,8.58,30.58,4.0,25.38,1.2,0.88,0.6233,0,0,0,0,2023-03-05
RX0000010683,MBR00000296,2021-03-06,2021-03-08,1578119618,1225590513,PLN6769,381887,PCN568,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,55,6,Retail,0,0,0,350.0,8.56,358.56,37.0,307.11,14.45,7.0,4.9583,0,0,0,0,2021-05-05
RX0000010684,MBR00000296,2022-01-12,2022-01-13,1734053271,1256710192,PLN6391,660595,PCN342,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,9,Retail,0,0,0,1.75,6.74,8.49,1.0,6.99,0.5,0.3,0.2125,0,0,0,0,2022-01-19
RX0000010685,MBR00000296,2021-07-23,2021-07-25,1809074762,1392136666,PLN4211,312302,PCN165,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,89,7,Mail Order,0,0,0,33.0,5.55,38.55,3.0,33.02,2.53,0.44,0.3117,0,0,0,0,2021-10-21
RX0000010686,MBR00000296,2023-01-25,2023-01-27,1930692002,1511422903,PLN2083,492458,PCN628,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,11,Specialty,0,0,0,18.0,37.41,55.41,1.0,54.41,0.0,0.72,0.51,0,0,0,0,2023-02-24
RX0000010687,MBR00000296,2022-09-29,2022-10-02,1730803099,1631100974,PLN3351,220946,PCN812,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,98,6,Retail,1,0,0,66.0,9.64,75.64,66.0,4.54,5.1,0.88,0.6233,0,0,0,0,2022-12-28
RX0000010688,MBR00000296,2021-07-16,2021-07-18,1766575791,1670481716,PLN9835,868012,PCN814,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,89,9,Mail Order,0,0,0,54.0,3.0,57.0,30.0,24.27,2.73,0.72,0.51,0,0,0,0,2021-10-14
RX0000010689,MBR00000296,2021-03-05,2021-03-06,1245689457,1669490754,PLN5494,626034,PCN350,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,4,LTC,0,0,0,185.0,8.21,193.21,37.0,150.16,6.05,7.4,5.2417,0,0,0,0,2021-04-04
RX0000010690,MBR00000296,2023-06-29,2023-07-02,1607859356,1792307181,PLN8845,333004,PCN539,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,98,1,Retail,0,0,0,54.0,11.71,65.71,7.0,55.23,3.48,0.72,0.51,0,0,0,0,2023-09-27
RX0000010691,MBR00000296,2022-06-29,2022-07-01,1399112589,1865603631,PLN6709,809794,PCN317,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,11,Mail Order,0,0,0,11.0,2.33,13.33,0.0,12.45,0.88,0.44,0.3117,0,0,0,0,2022-07-29
RX0000010692,MBR00000296,2022-07-19,2022-07-21,1932566822,1167306278,PLN7957,142953,PCN734,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,54,6,Specialty,0,0,0,22.0,35.54,57.54,6.0,51.54,0.0,0.44,0.3117,0,0,0,0,2022-09-17
RX0000010693,MBR00000296,2022-10-27,2022-10-29,1290596516,1172406486,PLN5775,425319,PCN552,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,58,9,Retail,0,0,0,620.0,8.99,628.99,36.0,560.62,32.37,12.4,8.7833,0,0,0,0,2022-12-26
RX0000010694,MBR00000296,2023-02-12,2023-02-14,1960220375,1226350801,PLN9008,817007,PCN995,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,62,10,Retail,0,0,0,1900.0,8.38,1908.38,31.0,1783.94,93.44,38.0,26.9167,0,0,0,0,2023-04-13
RX0000010695,MBR00000296,2022-08-02,2022-08-05,1803544895,1231111449,PLN7480,208077,PCN646,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,11,Retail,0,0,0,43.17,3.82,46.99,34.0,10.56,2.43,7.4,5.2417,0,1,1,0,2022-08-09
RX0000010696,MBR00000296,2021-08-10,2021-08-11,1427164646,1848097102,PLN3561,789623,PCN232,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,2,Specialty,0,0,0,14.0,31.88,45.88,0.0,45.88,0.0,0.56,0.3967,0,0,0,0,2021-09-09
RX0000010697,MBR00000296,2022-07-13,2022-07-17,1923705873,1738412178,PLN3248,819197,PCN741,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,3,Mail Order,0,0,0,16.0,11.93,27.93,7.0,19.4,1.53,0.64,0.4533,0,0,0,0,2022-08-12
RX0000010698,MBR00000296,2022-11-06,2022-11-09,1757876769,1293555146,PLN3485,673429,PCN888,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,8,Retail,2,0,0,480.0,6.61,486.61,35.0,435.39,16.22,19.2,13.6,0,0,0,0,2022-12-06
RX0000010699,MBR00000296,2022-02-03,2022-02-06,1127657634,1846628359,PLN1695,249148,PCN294,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,0,Retail,0,0,0,12.0,3.23,15.23,0.0,14.44,0.79,0.48,0.34,0,0,0,0,2022-03-05
RX0000010700,MBR00000296,2023-05-21,2023-05-24,1448857751,1739349947,PLN2452,436428,PCN605,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,3,Retail,0,0,0,650.0,5.01,655.01,30.0,579.21,45.8,26.0,18.4167,0,0,0,0,2023-06-20
RX0000010701,MBR00000296,2022-04-05,2022-04-07,1297868237,1924658566,PLN1995,121510,PCN542,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,65,11,Mail Order,0,0,0,25.0,1.7,26.7,7.0,18.02,1.68,0.5,0.3542,0,0,0,0,2022-06-04
RX0000010702,MBR00000296,2023-08-13,2023-08-16,1640063519,1987858567,PLN1088,308790,PCN630,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,11,Mail Order,0,0,0,175.0,11.85,186.85,40.0,136.46,10.39,7.0,4.9583,0,0,0,0,2023-09-12
RX0000010703,MBR00000296,2023-03-28,2023-03-29,1426385117,1283802031,PLN8308,726840,PCN665,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,11,Retail,2,0,0,65.0,2.07,67.07,31.0,31.8,4.27,2.6,1.8417,0,0,0,0,2023-04-27
RX0000010704,MBR00000296,2022-08-02,2022-08-06,1365366827,1327774978,PLN5755,137154,PCN643,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,2,Retail,3,0,0,10.0,10.68,20.68,7.0,12.63,1.05,0.4,0.2833,1,1,0,0,2022-09-01
RX0000010705,MBR00000296,2022-08-23,2022-08-24,1478752821,1294635216,PLN2860,980322,PCN187,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,11,LTC,0,0,0,8.5,8.03,16.53,10.0,5.7,0.83,0.34,0.2408,0,1,0,0,2022-09-22
RX0000010706,MBR00000296,2023-09-05,2023-09-07,1879949281,1151992143,PLN6090,643688,PCN538,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,11,Retail,0,0,0,10.0,11.64,21.64,4.0,16.25,1.39,0.4,0.2833,0,0,0,0,2023-10-05
RX0000010707,MBR00000296,2022-07-24,2022-07-25,1342742332,1109057762,PLN1275,745447,PCN169,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,4,Mail Order,0,0,0,28.0,4.92,32.92,3.0,28.37,1.55,1.12,0.7933,0,0,0,0,2022-08-23
RX0000010708,MBR00000296,2021-05-06,2021-05-09,1402515634,1326446751,PLN3634,670329,PCN750,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,6,Retail,0,0,0,12.0,7.54,19.54,2.0,16.69,0.85,0.48,0.34,0,0,0,0,2021-06-05
RX0000010709,MBR00000296,2022-04-08,2022-04-11,1187049455,1827677481,PLN8933,811667,PCN949,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,5,Mail Order,0,0,0,11.0,11.44,22.44,5.0,16.29,1.15,0.44,0.3117,0,0,0,0,2022-05-08
RX0000010710,MBR00000296,2021-05-29,2021-06-02,1979823823,1328455217,PLN2849,956966,PCN302,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,11,Specialty,0,0,0,750.0,42.66,792.66,38.0,754.66,0.0,30.0,21.25,0,0,0,0,2021-06-28
RX0000010711,MBR00000296,2021-07-28,2021-07-29,1468069445,1792850558,PLN2184,472965,PCN223,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,60,4,Retail,0,0,0,25.0,11.3,36.3,6.0,29.04,1.26,0.5,0.3542,0,0,0,0,2021-09-26
RX0000010712,MBR00000296,2021-09-09,2021-09-13,1949737026,1296132037,PLN6238,235780,PCN926,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,81,9,Retail,0,0,0,33.0,8.06,41.06,10.0,28.87,2.19,0.44,0.3117,0,0,0,0,2021-12-08
RX0000010713,MBR00000296,2022-03-01,2022-03-04,1324031401,1355433432,PLN8729,132641,PCN944,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,2,Mail Order,0,0,0,65.0,10.24,75.24,39.0,31.62,4.62,2.6,1.8417,0,0,0,0,2022-03-31
RX0000010714,MBR00000296,2021-12-14,2021-12-18,1884260805,1170716214,PLN1264,843559,PCN409,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,9,Retail,0,0,0,18.0,6.28,24.28,1.0,22.1,1.18,0.72,0.51,1,0,0,0,2022-01-13
RX0000010715,MBR00000296,2023-09-25,2023-09-28,1804250178,1448903621,PLN4922,639474,PCN535,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,3,Retail,0,0,0,9.0,3.06,12.06,4.0,7.4,0.66,0.36,0.255,0,0,0,0,2023-10-25
RX0000010716,MBR00000296,2022-06-24,2022-06-27,1815125300,1743947221,PLN2664,845310,PCN100,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,62,5,Retail,0,0,0,24.0,7.39,31.39,1.0,29.09,1.3,0.48,0.34,0,0,0,0,2022-08-23
RX0000010717,MBR00000296,2023-06-08,2023-06-09,1626084063,1893013481,PLN1179,711577,PCN895,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,9,Retail,0,0,0,18.0,10.27,28.27,33.0,0.0,1.93,0.72,0.51,0,0,0,0,2023-07-08
RX0000010718,MBR00000296,2023-12-26,2023-12-30,1967617133,1751532813,PLN6010,820396,PCN457,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,1,Retail,0,0,0,221.67,2.52,224.19,32.0,179.23,12.96,38.0,26.9167,1,0,0,0,2024-01-02
RX0000010719,MBR00000296,2021-10-03,2021-10-07,1449544745,1963809750,PLN8662,638827,PCN517,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,59,10,Retail,0,0,0,370.0,9.56,379.56,34.0,330.13,15.43,7.4,5.2417,1,0,0,0,2021-12-02
RX0000010720,MBR00000296,2021-01-22,2021-01-25,1248975628,1913775853,PLN1188,316050,PCN620,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,94,3,Retail,0,0,0,54.0,10.91,64.91,4.0,56.5,4.41,0.72,0.51,0,0,0,0,2021-04-22
RX0000010721,MBR00000297,2022-11-21,2022-11-25,1931844656,1895202712,PLN5986,640362,PCN608,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,0,Retail,0,0,1,10.0,8.21,18.21,6.0,11.25,0.96,0.4,0.2833,0,0,0,0,2022-12-21
RX0000010722,MBR00000297,2023-03-01,2023-03-04,1249754124,1652176359,PLN2038,736867,PCN922,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,57,10,Specialty,0,1,0,12400.0,49.79,12449.79,155.0,12294.79,0.0,248.0,175.6667,0,0,0,0,2023-04-30
RX0000010723,MBR00000297,2023-03-31,2023-04-01,1342742388,1415860403,PLN2090,339804,PCN313,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,59,6,Retail,0,0,0,15.0,11.16,26.16,3.0,22.06,1.1,0.3,0.2125,0,0,0,0,2023-05-30
RX0000010724,MBR00000297,2021-04-05,2021-04-07,1949344125,1103135138,PLN6398,917807,PCN976,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,3,Retail,0,0,0,72.33,7.9,80.23,36.0,40.74,3.49,12.4,8.7833,0,0,0,0,2021-04-12
RX0000010725,MBR00000297,2023-08-01,2023-08-03,1518382302,1563574795,PLN4195,547214,PCN386,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,6,Retail,0,1,0,8500.0,9.3,8509.3,152.0,7767.58,589.72,340.0,240.8333,0,0,0,0,2023-08-31
RX0000010726,MBR00000297,2022-09-12,2022-09-13,1689995567,1706392329,PLN6748,549582,PCN941,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,1,Mail Order,0,0,0,8.5,10.68,19.18,4.0,14.53,0.65,0.34,0.2408,0,0,0,0,2022-10-12
RX0000010727,MBR00000297,2022-05-29,2022-05-31,1897462557,1753053144,PLN6552,432610,PCN587,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,3,LTC,0,0,0,12.0,10.62,22.62,3.0,18.73,0.89,0.48,0.34,0,0,0,0,2022-06-28
RX0000010728,MBR00000297,2021-04-13,2021-04-14,1438378858,1961931349,PLN9103,947454,PCN690,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,90,0,Retail,0,0,0,54.0,9.01,63.01,2.0,58.88,2.13,0.72,0.51,0,0,0,0,2021-07-12
RX0000010729,MBR00000297,2023-11-05,2023-11-07,1328951318,1616840463,PLN8762,151123,PCN694,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,9,Retail,0,0,0,14.0,10.98,24.98,2.0,22.23,0.75,0.56,0.3967,0,0,0,0,2023-12-05
RX0000010730,MBR00000297,2023-05-03,2023-05-06,1443401606,1593724448,PLN5610,868282,PCN162,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,10,Retail,0,0,0,10.0,6.77,16.77,0.0,16.0,0.77,0.4,0.2833,0,0,0,0,2023-06-02
RX0000010731,MBR00000297,2021-11-25,2021-11-29,1620046682,1909663596,PLN3309,742571,PCN491,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,57,9,Retail,0,1,0,16.0,11.67,27.67,145.0,0.0,1.2,0.32,0.2267,0,0,0,0,2022-01-24
RX0000010732,MBR00000297,2023-04-30,2023-05-03,1980228917,1390605973,PLN4465,227849,PCN724,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,6,Retail,0,0,0,16.0,2.66,18.66,7.0,10.5,1.16,0.64,0.4533,1,0,0,0,2023-05-30
RX0000010733,MBR00000297,2021-12-19,2021-12-20,1184799329,1948946459,PLN2076,841790,PCN230,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,86,0,Mail Order,0,0,0,42.0,9.05,51.05,1.0,47.13,2.92,0.56,0.3967,0,0,0,0,2022-03-19
RX0000010734,MBR00000297,2021-12-10,2021-12-12,1673383576,1509089162,PLN7993,873137,PCN404,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,7,Retail,0,0,0,15.0,9.54,24.54,9.0,14.48,1.06,0.6,0.425,0,0,0,0,2022-01-09
RX0000010735,MBR00000297,2023-12-25,2023-12-26,1201511970,1926963295,PLN9963,365855,PCN164,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,57,0,Retail,0,0,0,660.0,10.09,670.09,39.0,608.04,23.05,13.2,9.35,0,0,0,0,2024-02-23
RX0000010736,MBR00000297,2023-08-16,2023-08-18,1820201952,1244126663,PLN9156,588679,PCN931,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,57,0,Mail Order,0,0,0,17.0,4.28,21.28,10.0,9.8,1.48,0.34,0.2408,0,0,0,0,2023-10-15
RX0000010737,MBR00000297,2021-12-16,2021-12-17,1555522682,1189649591,PLN7405,199221,PCN320,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,5,Retail,0,0,0,650.0,2.4,652.4,39.0,572.85,40.55,26.0,18.4167,0,0,0,0,2022-01-15
RX0000010738,MBR00000297,2023-04-11,2023-04-13,1132772259,1429749256,PLN9583,620224,PCN261,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,6,Retail,0,0,0,38.0,9.22,47.22,32.0,12.85,2.37,1.52,1.0767,0,0,0,0,2023-05-11
RX0000010739,MBR00000297,2021-04-12,2021-04-15,1417565032,1471642972,PLN5623,991035,PCN951,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,11,Retail,0,0,0,112.0,3.32,115.32,31.0,78.4,5.92,19.2,13.6,0,0,0,0,2021-04-19
RX0000010740,MBR00000297,2022-11-11,2022-11-13,1114066073,1442874246,PLN5470,178245,PCN419,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,0,Mail Order,3,0,0,380.0,1.63,381.63,34.0,324.68,22.95,15.2,10.7667,0,0,0,0,2022-12-11
RX0000010741,MBR00000297,2023-07-19,2023-07-21,1443340161,1269505786,PLN3599,187124,PCN717,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,0,Retail,0,0,0,10.0,2.87,12.87,1.0,11.13,0.74,0.4,0.2833,0,0,0,0,2023-08-18
RX0000010742,MBR00000297,2022-02-04,2022-02-05,1282889348,1831337573,PLN8599,716746,PCN148,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,81,5,Mail Order,0,0,0,960.0,2.03,962.03,37.0,882.85,42.18,12.8,9.0667,0,0,0,0,2022-05-05
RX0000010743,MBR00000297,2021-04-15,2021-04-16,1950848945,1286368705,PLN5643,196347,PCN935,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,3,Retail,0,0,0,16.0,8.39,24.39,8.0,14.79,1.6,0.64,0.4533,0,0,0,0,2021-05-15
RX0000010744,MBR00000297,2023-08-03,2023-08-07,1823480496,1352828506,PLN4968,532023,PCN466,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,88,1,Mail Order,3,0,0,114.0,4.08,118.08,3.0,110.46,4.62,1.52,1.0767,0,0,0,0,2023-11-01
RX0000010745,MBR00000297,2023-08-09,2023-08-10,1824730099,1419379999,PLN6032,906881,PCN183,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,7,Retail,3,0,0,18.0,7.32,25.32,8.0,15.92,1.4,0.72,0.51,0,0,0,0,2023-09-08
RX0000010746,MBR00000297,2021-06-19,2021-06-21,1314803713,1740532122,PLN4343,569021,PCN158,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,2,Mail Order,0,0,0,10.0,11.29,21.29,10.0,10.37,0.92,0.4,0.2833,0,0,0,0,2021-07-19
RX0000010747,MBR00000297,2023-12-13,2023-12-17,1223802941,1171417043,PLN8108,562091,PCN236,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,82,5,Retail,0,0,0,30.0,6.83,36.83,6.0,29.7,1.13,0.4,0.2833,0,0,0,0,2024-03-12
RX0000010748,MBR00000297,2023-05-08,2023-05-10,1523895976,1213119535,PLN6779,645526,PCN752,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,2,Retail,0,0,0,16.0,4.53,20.53,7.0,12.15,1.38,0.64,0.4533,0,0,0,0,2023-06-07
RX0000010749,MBR00000297,2021-08-16,2021-08-17,1584746839,1909704517,PLN6295,743578,PCN493,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,4,Retail,0,0,0,3.27,11.27,14.54,6.0,7.79,0.75,0.56,0.3967,0,0,0,0,2021-08-23
RX0000010750,MBR00000297,2021-04-03,2021-04-05,1119553195,1397028118,PLN6219,607000,PCN209,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,2,Specialty,0,0,0,10.0,48.78,58.78,0.0,58.78,0.0,0.4,0.2833,0,0,0,0,2021-05-03
RX0000010751,MBR00000297,2021-10-18,2021-10-20,1546887181,1566434372,PLN6992,313147,PCN269,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,58,0,Retail,0,0,0,15.0,11.38,26.38,2.0,23.55,0.83,0.3,0.2125,0,0,0,0,2021-12-17
RX0000010752,MBR00000297,2022-06-20,2022-06-22,1594399256,1528951926,PLN4285,536890,PCN946,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,1,Retail,0,0,0,320.0,4.75,324.75,30.0,283.66,11.09,12.8,9.0667,0,0,0,0,2022-07-20
RX0000010753,MBR00000297,2022-06-16,2022-06-19,1544850223,1681817475,PLN1139,997956,PCN271,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,90,5,Retail,0,0,0,42.0,5.37,47.37,8.0,37.67,1.7,0.56,0.3967,1,0,0,0,2022-09-14
RX0000010754,MBR00000297,2023-07-15,2023-07-19,1587755866,1506221244,PLN4433,217621,PCN157,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,1,Specialty,0,0,0,10.0,8.89,18.89,0.0,18.89,0.0,0.4,0.2833,0,0,0,0,2023-08-14
RX0000010755,MBR00000297,2023-06-03,2023-06-07,1365729569,1248079421,PLN3082,865112,PCN719,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,9,LTC,0,0,0,11.0,3.95,14.95,2.0,12.09,0.86,0.44,0.3117,0,0,0,0,2023-07-03
RX0000010756,MBR00000297,2021-10-25,2021-10-26,1605213941,1322050576,PLN4403,774778,PCN681,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,83,5,Mail Order,0,0,0,990.0,9.29,999.29,34.0,916.94,48.35,13.2,9.35,0,0,0,0,2022-01-23
RX0000010757,MBR00000297,2021-08-25,2021-08-29,1694807795,1903456728,PLN6013,614186,PCN797,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,86,7,Retail,0,0,0,2850.0,4.57,2854.57,39.0,2711.25,104.32,38.0,26.9167,0,0,0,0,2021-11-23
RX0000010758,MBR00000297,2021-02-26,2021-03-01,1699809460,1440441126,PLN7444,772765,PCN459,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,84,8,Specialty,0,0,0,135.0,13.83,148.83,8.0,140.83,0.0,1.8,1.275,0,0,0,0,2021-05-27
RX0000010759,MBR00000297,2023-01-28,2023-01-31,1333972738,1620655560,PLN6151,144923,PCN274,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,1,Retail,0,0,0,10.0,10.69,20.69,9.0,10.77,0.92,0.4,0.2833,0,0,0,0,2023-02-27
RX0000010760,MBR00000297,2022-09-17,2022-09-20,1652153336,1871591453,PLN8842,676037,PCN641,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,2,Retail,0,0,0,3.5,2.22,5.72,9.0,0.0,0.26,0.6,0.425,0,0,0,0,2022-09-24
RX0000010761,MBR00000297,2023-12-27,2023-12-28,1256820405,1154308514,PLN4108,631312,PCN608,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,2,Retail,0,0,0,10.0,9.38,19.38,5.0,13.31,1.07,0.4,0.2833,1,0,0,0,2024-01-26
RX0000010762,MBR00000297,2022-10-27,2022-10-28,1484574114,1492878924,PLN5813,367880,PCN103,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,82,10,Retail,0,0,0,27.0,2.79,29.79,2.0,26.43,1.36,0.36,0.255,0,0,0,0,2023-01-25
RX0000010763,MBR00000297,2023-12-13,2023-12-14,1833690506,1569261831,PLN2287,141532,PCN326,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,3,Retail,0,0,0,22.0,8.54,30.54,6.0,23.1,1.44,0.88,0.6233,1,0,0,0,2024-01-12
RX0000010764,MBR00000297,2022-02-16,2022-02-18,1508143600,1192903399,PLN6029,778867,PCN267,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,6,Retail,0,0,0,12.5,8.39,20.89,5.0,14.47,1.42,0.5,0.3542,0,0,0,0,2022-03-18
RX0000010765,MBR00000297,2021-03-08,2021-03-10,1904110354,1207398542,PLN5801,713569,PCN520,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,1,Retail,0,0,0,12.0,8.0,20.0,2.0,17.36,0.64,0.48,0.34,0,0,0,0,2021-04-07
RX0000010766,MBR00000297,2022-09-27,2022-09-29,1418701139,1459702714,PLN7029,422392,PCN397,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,4,Retail,0,0,0,10.0,7.52,17.52,0.0,16.53,0.99,0.4,0.2833,0,0,0,0,2022-10-27
RX0000010767,MBR00000297,2022-02-27,2022-03-03,1978521677,1664653722,PLN5521,524320,PCN709,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,6,Mail Order,2,0,0,330.0,8.82,338.82,39.0,283.87,15.95,13.2,9.35,0,0,0,0,2022-03-29
RX0000010768,MBR00000297,2022-03-21,2022-03-23,1884366978,1957716057,PLN7421,456679,PCN360,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,380.0,4.58,384.58,35.0,333.36,16.22,15.2,10.7667,0,0,0,0,2022-04-20
RX0000010769,MBR00000297,2022-03-11,2022-03-13,1925129431,1274852848,PLN7621,525653,PCN496,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,86,5,Retail,0,0,0,960.0,6.02,966.02,32.0,872.28,61.74,12.8,9.0667,0,0,0,0,2022-06-09
RX0000010770,MBR00000297,2023-05-10,2023-05-14,1971078653,1923321787,PLN7782,660516,PCN636,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,1,Mail Order,3,0,0,12.0,2.4,14.4,10.0,3.67,0.73,0.48,0.34,0,0,0,0,2023-06-09
RX0000010771,MBR00000297,2021-02-02,2021-02-05,1241893622,1611336487,PLN2149,272871,PCN102,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,94,8,Retail,0,0,0,25.5,8.77,34.27,8.0,24.23,2.04,0.34,0.2408,0,1,0,0,2021-05-03
RX0000010772,MBR00000297,2022-06-20,2022-06-24,1757387260,1834422221,PLN5771,910887,PCN377,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,57,3,Retail,0,0,0,130.0,7.68,137.68,35.0,95.99,6.69,2.6,1.8417,0,0,0,0,2022-08-19
RX0000010773,MBR00000297,2022-11-17,2022-11-18,1200727028,1244151970,PLN4742,577836,PCN384,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,3,Retail,2,0,0,8.5,11.84,20.34,1.0,18.04,1.3,0.34,0.2408,0,0,0,0,2022-12-17
RX0000010774,MBR00000297,2023-01-15,2023-01-18,1859165850,1863517737,PLN5656,182487,PCN401,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,1,Retail,0,0,0,330.0,7.69,337.69,40.0,287.09,10.6,13.2,9.35,0,0,0,0,2023-02-14
RX0000010775,MBR00000297,2021-10-13,2021-10-17,1518765218,1721664686,PLN6829,811164,PCN845,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,85,4,LTC,0,0,0,135.0,2.55,137.55,0.0,131.2,6.35,1.8,1.275,0,0,0,0,2022-01-11
RX0000010776,MBR00000297,2021-12-30,2021-12-31,1429235037,1367289455,PLN6671,239134,PCN471,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,5,Mail Order,0,0,0,12.0,9.46,21.46,10.0,10.53,0.93,0.48,0.34,0,0,0,0,2022-01-29
RX0000010777,MBR00000297,2022-07-22,2022-07-24,1861063459,1185830052,PLN8616,655575,PCN769,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,85,1,Retail,0,0,0,54.0,5.5,59.5,10.0,47.35,2.15,0.72,0.51,0,0,0,0,2022-10-20
RX0000010778,MBR00000297,2021-05-04,2021-05-06,1695848842,1763629938,PLN8908,647303,PCN242,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,85,8,Retail,0,0,0,37.5,10.06,47.56,1.0,43.63,2.93,0.5,0.3542,0,0,0,0,2021-08-02
RX0000010779,MBR00000297,2022-10-23,2022-10-25,1877782455,1628281073,PLN4722,371704,PCN644,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,83,1,Retail,0,0,0,42.0,9.25,51.25,0.0,48.26,2.99,0.56,0.3967,0,0,0,0,2023-01-21
RX0000010780,MBR00000297,2022-04-04,2022-04-06,1576663748,1234642167,PLN9044,205566,PCN678,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,8,Retail,0,1,0,8500.0,1.81,8501.81,151.0,7912.83,437.98,340.0,240.8333,0,0,0,0,2022-05-04
RX0000010781,MBR00000297,2022-05-17,2022-05-18,1629015960,1377032997,PLN6736,624497,PCN215,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,10,Mail Order,0,0,0,750.0,3.64,753.64,30.0,672.59,51.05,30.0,21.25,0,0,0,0,2022-06-16
RX0000010782,MBR00000297,2023-12-05,2023-12-06,1185782259,1271376755,PLN3486,595975,PCN996,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,8,Retail,0,0,0,10.0,10.45,20.45,9.0,10.22,1.23,0.4,0.2833,0,0,0,0,2024-01-04
RX0000010783,MBR00000297,2022-12-23,2022-12-27,1429856046,1763075187,PLN5235,960648,PCN793,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,3,Retail,2,0,0,14.0,2.01,16.01,5.0,10.18,0.83,0.56,0.3967,0,0,0,0,2023-01-22
RX0000010784,MBR00000297,2023-11-28,2023-11-29,1503228591,1471324129,PLN3648,726849,PCN852,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,81,1,Mail Order,0,0,0,36.0,3.34,39.34,3.0,34.5,1.84,0.48,0.34,0,0,0,0,2024-02-26
RX0000010785,MBR00000297,2023-04-07,2023-04-09,1333974054,1519234529,PLN1683,342388,PCN369,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,10,Mail Order,0,0,0,950.0,10.96,960.96,37.0,877.68,46.28,38.0,26.9167,0,0,0,0,2023-05-07
RX0000010786,MBR00000297,2022-08-03,2022-08-05,1535258928,1867734009,PLN4097,613274,PCN985,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,98,3,Retail,0,1,0,36.0,10.08,46.08,147.0,0.0,2.29,0.48,0.34,0,0,0,0,2022-11-01
RX0000010787,MBR00000297,2022-04-07,2022-04-11,1389336944,1310806680,PLN8316,340996,PCN173,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,92,2,Retail,0,0,0,84.0,8.93,92.93,8.0,80.85,4.08,1.12,0.7933,0,0,0,0,2022-07-06
RX0000010788,MBR00000297,2022-08-23,2022-08-25,1294560728,1878698618,PLN4253,554039,PCN480,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,10,Retail,0,0,0,22.0,3.78,25.78,3.0,21.76,1.02,0.88,0.6233,0,0,0,0,2022-09-22
RX0000010789,MBR00000297,2021-10-12,2021-10-14,1533570510,1506371610,PLN2906,886019,PCN543,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,58,4,Retail,0,1,0,16.0,2.85,18.85,146.0,0.0,0.71,0.32,0.2267,0,0,0,0,2021-12-11
RX0000010790,MBR00000297,2022-10-23,2022-10-24,1431710749,1516201866,PLN6028,440937,PCN963,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,81,3,LTC,0,0,0,54.0,10.16,64.16,2.0,59.19,2.97,0.72,0.51,0,0,0,0,2023-01-21
RX0000010791,MBR00000298,2021-01-02,2021-01-03,1724124886,1843377213,PLN8766,820550,PCN571,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,8,Retail,2,1,0,2.8,2.36,5.16,148.0,0.0,0.26,0.48,0.34,0,0,0,0,2021-01-09
RX0000010792,MBR00000298,2021-12-05,2021-12-08,1464306164,1371500556,PLN4188,135635,PCN254,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,6,Retail,0,0,0,36.0,11.18,47.18,9.0,36.13,2.05,0.48,0.34,0,0,0,0,2022-03-05
RX0000010793,MBR00000298,2021-01-25,2021-01-26,1216736765,1545472936,PLN2881,682303,PCN559,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,5,Specialty,0,0,0,18.0,40.23,58.23,31.0,27.23,0.0,0.72,0.51,0,0,0,0,2021-02-24
RX0000010794,MBR00000298,2021-03-26,2021-03-30,1774225204,1153436824,PLN1404,275351,PCN807,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,8,Retail,0,0,0,12.5,3.79,16.29,10.0,5.69,0.6,0.5,0.3542,0,0,0,0,2021-04-25
RX0000010795,MBR00000298,2022-12-04,2022-12-07,1787350774,1402641055,PLN2298,310184,PCN890,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,0,Retail,0,0,0,28.0,3.58,31.58,8.0,21.89,1.69,1.12,0.7933,0,0,0,0,2023-01-03
RX0000010796,MBR00000298,2023-08-02,2023-08-04,1928192000,1663311947,PLN3337,588015,PCN391,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,88,10,Retail,0,0,0,525.0,3.6,528.6,35.0,476.36,17.24,7.0,4.9583,0,0,0,0,2023-10-31
RX0000010797,MBR00000298,2021-09-04,2021-09-07,1785676050,1210797749,PLN7594,155977,PCN180,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,89,0,Retail,0,0,0,555.0,11.75,566.75,35.0,513.3,18.45,7.4,5.2417,0,0,0,0,2021-12-03
RX0000010798,MBR00000298,2021-02-10,2021-02-12,1548884728,1865181882,PLN2479,625399,PCN337,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,98,0,Retail,1,0,0,135.0,8.76,143.76,0.0,139.38,4.38,1.8,1.275,0,0,0,0,2021-05-11
RX0000010799,MBR00000298,2021-05-01,2021-05-03,1923677681,1103576311,PLN3512,120403,PCN250,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,11,Retail,0,1,0,8.0,5.1,13.1,149.0,0.0,0.43,0.32,0.2267,0,0,0,0,2021-05-31
RX0000010800,MBR00000298,2021-01-17,2021-01-20,1767422543,1138034234,PLN6621,897272,PCN118,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,2,Retail,0,0,0,2.1,3.94,6.04,10.0,0.0,0.28,0.36,0.255,0,0,0,0,2021-01-24
RX0000010801,MBR00000298,2021-02-23,2021-02-24,1388578892,1487509275,PLN8277,330543,PCN686,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,9,Retail,0,1,0,8500.0,9.86,8509.86,151.0,7774.82,584.04,340.0,240.8333,0,0,0,0,2021-03-25
RX0000010802,MBR00000298,2021-05-25,2021-05-27,1309634826,1154719932,PLN9298,407657,PCN664,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,91,9,Retail,0,0,0,54.0,6.93,60.93,31.0,27.7,2.23,0.72,0.51,0,0,0,0,2021-08-23
RX0000010803,MBR00000298,2021-12-26,2021-12-30,1627736894,1180941095,PLN8213,397387,PCN279,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,96,1,Retail,0,0,0,135.0,8.06,143.06,4.0,134.19,4.87,1.8,1.275,0,0,0,0,2022-03-26
RX0000010804,MBR00000298,2022-03-08,2022-03-09,1446952581,1949473562,PLN7035,834266,PCN919,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,98,11,Retail,0,0,0,54.0,10.18,64.18,34.0,27.75,2.43,0.72,0.51,0,0,0,0,2022-06-06
RX0000010805,MBR00000298,2021-01-16,2021-01-18,1163580446,1468117729,PLN7348,947154,PCN889,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,5,Retail,0,0,0,10.0,3.2,13.2,0.0,12.59,0.61,0.4,0.2833,0,0,0,0,2021-02-15
RX0000010806,MBR00000298,2022-02-17,2022-02-18,1264839273,1700046550,PLN2339,685910,PCN779,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,83,2,Mail Order,0,0,0,54.0,11.05,65.05,5.0,56.76,3.29,0.72,0.51,0,0,0,0,2022-05-18
RX0000010807,MBR00000298,2022-04-30,2022-05-03,1958303530,1130278260,PLN5274,912952,PCN620,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,61,9,Retail,0,0,0,36.0,7.24,43.24,7.0,33.84,2.4,0.72,0.51,0,0,0,0,2022-06-29
RX0000010808,MBR00000298,2022-11-15,2022-11-17,1445569060,1578221689,PLN3769,869951,PCN602,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,8,Mail Order,0,0,0,38.0,8.16,46.16,32.0,11.63,2.53,1.52,1.0767,0,0,0,0,2022-12-15
RX0000010809,MBR00000298,2022-11-03,2022-11-05,1158058622,1715793545,PLN1755,765790,PCN244,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,4,Retail,0,0,0,12.5,10.75,23.25,8.0,13.9,1.35,0.5,0.3542,0,0,0,0,2022-12-03
RX0000010810,MBR00000298,2021-04-13,2021-04-16,1549311109,1127529434,PLN3269,356750,PCN989,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,65,8,Retail,0,0,0,28.0,10.8,38.8,1.0,36.53,1.27,0.56,0.3967,0,0,0,0,2021-06-12
RX0000010811,MBR00000298,2022-05-12,2022-05-15,1582556552,1883596491,PLN7581,665525,PCN980,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,3,Retail,3,0,0,14.0,6.91,20.91,10.0,9.46,1.45,0.56,0.3967,0,0,0,0,2022-06-11
RX0000010812,MBR00000298,2021-08-24,2021-08-27,1751654874,1969325004,PLN5743,987257,PCN385,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,93,7,LTC,0,0,0,36.0,8.49,44.49,7.0,34.47,3.02,0.48,0.34,0,1,0,0,2021-11-22
RX0000010813,MBR00000298,2022-07-13,2022-07-17,1715946536,1797331306,PLN4274,299064,PCN507,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,3,Retail,0,0,0,855.0,7.01,862.01,31.0,795.13,35.88,11.4,8.075,0,0,0,0,2022-10-11
RX0000010814,MBR00000298,2023-06-10,2023-06-11,1172229122,1924819431,PLN4065,216006,PCN119,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,3,Retail,0,0,0,22.0,5.85,27.85,1.0,25.76,1.09,0.88,0.6233,0,0,0,0,2023-07-10
RX0000010815,MBR00000298,2023-06-13,2023-06-15,1967043494,1321945052,PLN5049,270573,PCN597,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,83,9,Specialty,0,0,0,30.0,34.91,64.91,8.0,56.91,0.0,0.4,0.2833,0,0,0,0,2023-09-11
RX0000010816,MBR00000298,2021-12-05,2021-12-08,1162313249,1606049315,PLN1942,797500,PCN564,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,0,Mail Order,2,0,0,380.0,5.87,385.87,31.0,336.41,18.46,15.2,10.7667,0,0,0,0,2022-01-04
RX0000010817,MBR00000298,2023-09-05,2023-09-09,1388360561,1419975938,PLN2394,275593,PCN134,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,10,Retail,0,0,0,185.0,2.32,187.32,40.0,141.32,6.0,7.4,5.2417,0,0,0,0,2023-10-05
RX0000010818,MBR00000298,2021-09-25,2021-09-26,1134691175,1548595911,PLN7897,703602,PCN502,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,63,8,Retail,0,0,0,15.0,2.93,17.93,10.0,6.79,1.14,0.3,0.2125,1,0,0,0,2021-11-24
RX0000010819,MBR00000298,2021-05-20,2021-05-24,1474128652,1532555291,PLN3642,618179,PCN704,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,1,Retail,3,1,0,8500.0,7.03,8507.03,151.0,7898.09,457.94,340.0,240.8333,0,0,0,0,2021-06-19
RX0000010820,MBR00000298,2022-07-30,2022-07-31,1234114179,1915774233,PLN2302,698070,PCN772,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,3,Mail Order,0,0,0,45.0,9.73,54.73,0.0,52.32,2.41,1.8,1.275,0,0,0,0,2022-08-29
RX0000010821,MBR00000298,2021-02-21,2021-02-25,1831411056,1789220447,PLN2058,198939,PCN203,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,11,Retail,0,0,0,14.0,8.31,22.31,5.0,15.88,1.43,0.56,0.3967,0,0,0,0,2021-03-23
RX0000010822,MBR00000298,2021-10-27,2021-10-28,1470152669,1401066205,PLN1469,514325,PCN135,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,57,3,Mail Order,0,0,0,56.0,10.79,66.79,5.0,57.53,4.26,1.12,0.7933,1,0,0,0,2021-12-26
RX0000010823,MBR00000298,2022-11-20,2022-11-24,1442061846,1856942038,PLN2838,160401,PCN912,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,7,Retail,0,0,0,14.0,9.2,23.2,8.0,14.01,1.19,0.56,0.3967,0,1,0,0,2022-12-20
RX0000010824,MBR00000298,2021-12-06,2021-12-07,1444330832,1213187498,PLN8080,315779,PCN632,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,2,Specialty,0,0,0,9.0,10.12,19.12,8.0,11.12,0.0,0.36,0.255,0,0,0,0,2022-01-05
RX0000010825,MBR00000298,2023-03-30,2023-04-02,1793955275,1807101430,PLN9027,516997,PCN855,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,93,11,Retail,0,0,0,66.0,1.9,67.9,8.0,56.82,3.08,0.88,0.6233,0,0,0,0,2023-06-28
RX0000010826,MBR00000298,2022-11-05,2022-11-09,1819767632,1375285660,PLN1364,145118,PCN589,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,54,6,Retail,0,0,0,24.0,4.96,28.96,6.0,21.04,1.92,0.48,0.34,0,0,0,0,2023-01-04
RX0000010827,MBR00000298,2022-04-25,2022-04-26,1938515543,1418495258,PLN7968,931576,PCN971,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,86,1,Retail,0,0,0,1950.0,7.6,1957.6,30.0,1796.48,131.12,26.0,18.4167,0,0,0,0,2022-07-24
RX0000010828,MBR00000298,2022-01-17,2022-01-19,1286121368,1367497129,PLN1661,141865,PCN143,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,82,7,Mail Order,0,0,0,37.5,7.75,45.25,2.0,41.89,1.36,0.5,0.3542,1,0,0,0,2022-04-17
RX0000010829,MBR00000298,2021-12-09,2021-12-11,1168881277,1915658838,PLN9960,450757,PCN220,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,90,2,Retail,0,0,0,37.5,6.36,43.86,5.0,37.38,1.48,0.5,0.3542,0,0,0,0,2022-03-09
RX0000010830,MBR00000298,2023-08-07,2023-08-10,1826754796,1975571967,PLN9674,670609,PCN117,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,0,Mail Order,3,0,0,380.0,10.17,390.17,39.0,331.96,19.21,15.2,10.7667,0,0,0,0,2023-09-06
RX0000010831,MBR00000298,2023-02-01,2023-02-04,1801209204,1563174412,PLN6756,462415,PCN529,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,1,Retail,0,1,0,2800.0,3.58,2803.58,145.0,2490.95,167.63,112.0,79.3333,0,0,0,0,2023-03-03
RX0000010832,MBR00000298,2021-04-20,2021-04-22,1420691650,1674767247,PLN4911,427322,PCN828,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,93,9,Retail,0,1,0,24.0,6.61,30.61,152.0,0.0,1.63,0.32,0.2267,0,0,0,0,2021-07-19
RX0000010833,MBR00000298,2023-05-21,2023-05-24,1391630143,1204470875,PLN3719,996351,PCN911,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,5,Retail,0,0,0,9.0,5.05,14.05,3.0,10.26,0.79,0.36,0.255,0,0,0,0,2023-06-20
RX0000010834,MBR00000298,2023-10-07,2023-10-11,1678488986,1927576534,PLN3069,684489,PCN537,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,0,LTC,0,0,0,12.0,8.52,20.52,4.0,15.56,0.96,0.48,0.34,0,0,0,0,2023-11-06
RX0000010835,MBR00000298,2023-06-09,2023-06-12,1840012813,1398654856,PLN3091,915571,PCN540,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,95,9,Retail,0,1,0,18600.0,11.3,18611.3,151.0,17265.17,1195.13,248.0,175.6667,1,0,0,0,2023-09-07
RX0000010836,MBR00000298,2022-07-19,2022-07-23,1668423861,1491900937,PLN2803,188458,PCN446,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,54,1,Retail,0,0,0,660.0,6.93,666.93,33.0,601.42,32.51,13.2,9.35,0,0,0,0,2022-09-17
RX0000010837,MBR00000298,2023-08-05,2023-08-06,1265276794,1423511127,PLN5068,250803,PCN298,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,88,5,Mail Order,0,0,0,42.0,7.34,49.34,9.0,38.48,1.86,0.56,0.3967,0,0,0,0,2023-11-03
RX0000010838,MBR00000298,2023-02-13,2023-02-15,1983139191,1361632404,PLN3125,689447,PCN324,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,86,7,Retail,0,0,0,33.0,2.23,35.23,8.0,26.03,1.2,0.44,0.3117,0,0,0,0,2023-05-14
RX0000010839,MBR00000299,2023-10-08,2023-10-10,1399987178,1590145032,PLN9022,112177,PCN389,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,64,4,Retail,0,0,0,20.0,3.32,23.32,3.0,18.76,1.56,0.4,0.2833,0,0,0,0,2023-12-07
RX0000010840,MBR00000299,2021-08-13,2021-08-17,1643261068,1815255864,PLN5015,541674,PCN661,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,1,Retail,0,0,0,380.0,4.53,384.53,33.0,331.42,20.11,15.2,10.7667,0,0,0,0,2021-09-12
RX0000010841,MBR00000299,2022-11-09,2022-11-11,1819833255,1650569129,PLN9342,257128,PCN580,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,0,Retail,0,0,0,3.73,4.58,8.31,1.0,6.77,0.54,0.64,0.4533,0,0,0,0,2022-11-16
RX0000010842,MBR00000299,2023-05-28,2023-05-30,1527021974,1349311820,PLN3281,800963,PCN507,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,3,Retail,0,0,0,18.0,11.97,29.97,1.0,27.16,1.81,0.72,0.51,0,0,0,0,2023-06-27
RX0000010843,MBR00000299,2021-06-12,2021-06-15,1798191719,1170702702,PLN5490,797083,PCN274,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,91,1,Retail,1,0,0,84.0,2.02,86.02,8.0,74.5,3.52,1.12,0.7933,0,0,0,0,2021-09-10
RX0000010844,MBR00000299,2023-11-29,2023-11-30,1513914444,1204158779,PLN2361,235300,PCN197,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,1,Retail,3,0,0,480.0,9.39,489.39,36.0,422.94,30.45,19.2,13.6,0,0,0,0,2023-12-29
RX0000010845,MBR00000299,2023-10-30,2023-11-03,1978016262,1824123480,PLN7062,288524,PCN296,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,2,Mail Order,0,0,0,285.0,2.63,287.63,37.0,231.46,19.17,11.4,8.075,0,0,0,0,2023-11-29
RX0000010846,MBR00000299,2021-05-05,2021-05-08,1119386248,1798370888,PLN7756,748568,PCN415,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,6,Retail,0,0,0,10.0,3.2,13.2,5.0,7.48,0.72,0.4,0.2833,0,0,0,0,2021-06-04
RX0000010847,MBR00000299,2021-03-08,2021-03-10,1252197881,1406299781,PLN3047,843828,PCN144,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,5,Retail,0,0,0,650.0,4.62,654.62,32.0,585.55,37.07,26.0,18.4167,0,0,0,0,2021-04-07
RX0000010848,MBR00000299,2022-12-01,2022-12-03,1120077773,1111266973,PLN8628,680867,PCN199,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,1,Retail,2,0,0,380.0,9.93,389.93,39.0,325.66,25.27,15.2,10.7667,0,0,0,0,2022-12-31
RX0000010849,MBR00000299,2021-04-13,2021-04-15,1674786818,1442980586,PLN8899,655532,PCN487,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,10,Retail,0,0,0,285.0,11.09,296.09,30.0,248.65,17.44,11.4,8.075,0,0,0,0,2021-05-13
RX0000010850,MBR00000299,2022-12-04,2022-12-08,1570618568,1892279570,PLN7481,707290,PCN127,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,54,6,Retail,0,0,0,24.0,7.35,31.35,8.0,22.3,1.05,0.48,0.34,0,0,0,0,2023-02-02
RX0000010851,MBR00000299,2023-03-17,2023-03-21,1617798972,1849837916,PLN2722,268461,PCN748,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,4,Retail,0,0,0,11.0,10.03,21.03,1.0,18.65,1.38,0.44,0.3117,0,0,0,0,2023-04-16
RX0000010852,MBR00000299,2022-04-11,2022-04-15,1250464073,1378804847,PLN3306,624743,PCN867,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,4,Retail,0,0,0,14.0,10.48,24.48,0.0,23.38,1.1,0.56,0.3967,0,0,0,0,2022-05-11
RX0000010853,MBR00000299,2023-06-26,2023-06-28,1788662434,1984615153,PLN7456,799465,PCN881,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,84,7,Retail,0,0,0,42.0,4.9,46.9,10.0,33.66,3.24,0.56,0.3967,0,0,0,0,2023-09-24
RX0000010854,MBR00000299,2023-05-14,2023-05-17,1675170568,1873390950,PLN9016,921557,PCN439,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,4,Retail,0,0,0,16.0,7.69,23.69,6.0,16.56,1.13,0.64,0.4533,0,0,0,0,2023-06-13
RX0000010855,MBR00000299,2023-07-10,2023-07-13,1110420107,1104494784,PLN4482,348471,PCN427,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,2,Retail,0,0,0,40.83,7.66,48.49,34.0,11.27,3.22,7.0,4.9583,0,0,0,0,2023-07-17
RX0000010856,MBR00000299,2022-09-30,2022-10-03,1635858470,1474912916,PLN2832,306964,PCN917,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,97,3,Retail,0,0,0,1440.0,10.32,1450.32,35.0,1355.68,59.64,19.2,13.6,0,0,0,0,2022-12-29
RX0000010857,MBR00000299,2023-06-29,2023-06-30,1858483873,1568812083,PLN3808,661209,PCN184,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,5,Retail,0,0,0,10.0,11.03,21.03,10.0,10.39,0.64,0.4,0.2833,0,0,0,0,2023-07-29
RX0000010858,MBR00000299,2021-12-30,2022-01-02,1777198712,1922833335,PLN1658,110141,PCN934,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,92,3,Retail,0,0,0,42.0,3.29,45.29,6.0,37.24,2.05,0.56,0.3967,0,0,0,0,2022-03-30
RX0000010859,MBR00000299,2023-11-22,2023-11-23,1779667793,1458437246,PLN6294,655259,PCN696,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,89,11,Retail,0,0,0,135.0,11.22,146.22,2.0,139.8,4.42,1.8,1.275,0,0,0,0,2024-02-20
RX0000010860,MBR00000299,2021-03-01,2021-03-05,1519559894,1109833906,PLN7647,815552,PCN880,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,93,5,Retail,1,0,0,45.0,3.47,48.47,9.0,37.49,1.98,0.6,0.425,0,0,0,0,2021-05-30
RX0000010861,MBR00000299,2021-04-07,2021-04-08,1820777746,1831139741,PLN5466,275259,PCN784,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,90,1,Mail Order,0,1,0,24.0,9.48,33.48,155.0,0.0,2.3,0.32,0.2267,0,0,0,0,2021-07-06
RX0000010862,MBR00000299,2022-01-15,2022-01-18,1196120507,1866287259,PLN4990,226382,PCN239,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,10,Mail Order,0,0,0,15.0,3.96,18.96,6.0,11.91,1.05,0.6,0.425,0,0,0,0,2022-02-14
RX0000010863,MBR00000299,2022-02-26,2022-02-27,1762920999,1250751414,PLN2381,893045,PCN896,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,4,Mail Order,0,1,0,653.33,11.44,664.77,153.0,472.57,39.2,112.0,79.3333,1,0,0,0,2022-03-05
RX0000010864,MBR00000299,2022-07-13,2022-07-17,1877106124,1535223139,PLN7507,467574,PCN592,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,64,11,Mail Order,0,0,0,1500.0,3.25,1503.25,34.0,1392.52,76.73,30.0,21.25,0,0,0,0,2022-09-11
RX0000010865,MBR00000299,2021-08-24,2021-08-28,1273016107,1601364682,PLN4775,500561,PCN427,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,58,0,Retail,0,0,0,1500.0,3.29,1503.29,37.0,1368.29,98.0,30.0,21.25,0,0,0,0,2021-10-23
RX0000010866,MBR00000299,2021-04-07,2021-04-08,1725268334,1606861467,PLN2479,797544,PCN643,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,0,Retail,0,0,0,10.5,6.02,16.52,2.0,13.45,1.07,1.8,1.275,0,0,0,0,2021-04-14
RX0000010867,MBR00000299,2023-02-16,2023-02-18,1585605012,1676156477,PLN9582,232394,PCN203,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,58,3,Retail,0,0,0,30.0,8.61,38.61,1.0,36.34,1.27,0.6,0.425,0,0,0,0,2023-04-17
RX0000010868,MBR00000299,2021-02-24,2021-02-28,1188590076,1491707105,PLN8861,735584,PCN305,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,94,6,Retail,0,0,0,30.0,4.16,34.16,0.0,32.43,1.73,0.4,0.2833,0,0,0,0,2021-05-25
RX0000010869,MBR00000299,2021-05-26,2021-05-27,1214290304,1260862641,PLN3831,247093,PCN112,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,9,Retail,0,0,0,11.0,3.25,14.25,8.0,5.71,0.54,0.44,0.3117,0,0,0,0,2021-06-25
RX0000010870,MBR00000299,2022-09-10,2022-09-13,1265593590,1735547647,PLN5839,185098,PCN164,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,7,Mail Order,0,0,0,10.0,1.91,11.91,10.0,1.33,0.58,0.4,0.2833,0,0,0,0,2022-10-10
RX0000010871,MBR00000299,2022-01-16,2022-01-17,1293710694,1586012516,PLN4596,838873,PCN972,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,10,Mail Order,0,0,0,8.87,6.17,15.04,31.0,0.0,0.64,1.52,1.0767,0,0,0,0,2022-01-23
RX0000010872,MBR00000299,2022-05-03,2022-05-05,1870518232,1984928523,PLN2203,812987,PCN600,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,1,Retail,0,0,0,11.0,5.96,16.96,10.0,6.37,0.59,0.44,0.3117,0,0,0,0,2022-06-02
RX0000010873,MBR00000299,2021-01-29,2021-01-31,1465572144,1871018459,PLN9174,378765,PCN140,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,7,Mail Order,0,0,0,4.2,10.32,14.52,10.0,4.02,0.5,0.72,0.51,0,1,0,0,2021-02-05
RX0000010874,MBR00000299,2022-04-13,2022-04-17,1550491232,1397735766,PLN8148,707214,PCN129,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,2,Mail Order,0,0,0,330.0,1.69,331.69,31.0,280.68,20.01,13.2,9.35,0,0,0,0,2022-05-13
RX0000010875,MBR00000299,2023-12-14,2023-12-16,1158984225,1943579372,PLN5041,361700,PCN984,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,1,Retail,0,0,0,9.0,3.31,12.31,3.0,8.9,0.41,0.36,0.255,0,0,0,0,2024-01-13
RX0000010876,MBR00000299,2022-01-15,2022-01-18,1595197376,1714006328,PLN2658,926813,PCN375,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,88,5,Mail Order,0,0,1,960.0,6.08,966.08,32.0,871.86,62.22,12.8,9.0667,0,0,0,0,2022-04-15
RX0000010877,MBR00000299,2021-05-31,2021-06-01,1890374526,1441534122,PLN6285,242910,PCN995,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,92,8,Retail,0,0,0,36.0,7.8,43.8,7.0,35.24,1.56,0.48,0.34,0,1,0,0,2021-08-29
RX0000010878,MBR00000299,2023-03-03,2023-03-07,1844425586,1555964300,PLN7994,954008,PCN505,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,9,Specialty,0,0,0,4.2,10.61,14.81,6.0,8.81,0.0,0.72,0.51,0,0,0,0,2023-03-10
RX0000010879,MBR00000299,2023-10-27,2023-10-31,1273507847,1174202915,PLN9175,409906,PCN824,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,98,11,Specialty,3,0,0,33.0,34.96,67.96,0.0,67.96,0.0,0.44,0.3117,0,0,0,0,2024-01-25
RX0000010880,MBR00000299,2023-03-18,2023-03-20,1724919298,1596170578,PLN3816,587502,PCN233,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,90,3,Mail Order,0,0,0,66.0,9.15,75.15,71.0,0.0,4.44,0.88,0.6233,1,1,1,0,2023-06-16
RX0000010881,MBR00000299,2023-08-13,2023-08-15,1587867187,1813855172,PLN6731,742216,PCN674,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,6,Mail Order,0,0,0,8.5,10.36,18.86,7.0,10.78,1.08,0.34,0.2408,0,0,0,0,2023-09-12
RX0000010882,MBR00000300,2022-12-03,2022-12-05,1787285355,1869706106,PLN4163,864897,PCN205,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,11,Mail Order,0,0,0,15.0,6.06,21.06,6.0,14.04,1.02,0.6,0.425,0,0,0,0,2023-01-02
RX0000010883,MBR00000300,2021-06-24,2021-06-26,1201472191,1949849758,PLN9381,523181,PCN608,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,94,2,Retail,3,0,0,33.0,11.2,44.2,2.0,39.15,3.05,0.44,0.3117,0,0,0,0,2021-09-22
RX0000010884,MBR00000300,2022-12-20,2022-12-22,1998578249,1997777504,PLN5986,990368,PCN295,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,64,7,Retail,0,0,0,660.0,2.1,662.1,37.0,587.64,37.46,13.2,9.35,0,0,0,0,2023-02-18
RX0000010885,MBR00000300,2023-06-24,2023-06-27,1905455612,1802252174,PLN4788,847051,PCN787,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,4,Mail Order,0,0,0,12.0,11.16,23.16,4.0,18.11,1.05,0.48,0.34,0,0,0,0,2023-07-24
RX0000010886,MBR00000300,2021-12-12,2021-12-16,1529611178,1591834809,PLN3762,893146,PCN918,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,2,Retail,0,0,0,320.0,10.67,330.67,36.0,284.37,10.3,12.8,9.0667,1,0,0,0,2022-01-11
RX0000010887,MBR00000300,2023-07-03,2023-07-05,1530293779,1113166546,PLN6144,710239,PCN147,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,11,Retail,3,0,0,10.0,3.13,13.13,6.0,6.37,0.76,0.4,0.2833,0,0,0,0,2023-08-02
RX0000010888,MBR00000300,2021-11-02,2021-11-03,1457243994,1744344527,PLN1740,978929,PCN690,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,62,2,Retail,0,1,0,5600.0,8.05,5608.05,148.0,5181.84,278.21,112.0,79.3333,0,0,0,0,2022-01-01
RX0000010889,MBR00000300,2021-08-31,2021-09-01,1105843415,1707776143,PLN5282,969098,PCN898,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,5,Retail,0,0,0,11.0,7.73,18.73,7.0,11.08,0.65,0.44,0.3117,0,0,0,0,2021-09-30
RX0000010890,MBR00000300,2021-08-18,2021-08-22,1922300419,1993327081,PLN2766,183414,PCN782,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,2,Retail,0,0,0,77.0,6.68,83.68,38.0,42.46,3.22,13.2,9.35,0,0,0,0,2021-08-25
RX0000010891,MBR00000300,2022-05-26,2022-05-27,1152247597,1271054388,PLN1132,643089,PCN387,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,2,Retail,0,0,0,185.0,11.16,196.16,31.0,157.46,7.7,7.4,5.2417,0,0,0,0,2022-06-25
RX0000010892,MBR00000300,2021-02-02,2021-02-06,1889309191,1964748195,PLN8592,920650,PCN317,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,4,Specialty,0,0,0,4.2,36.79,40.99,4.0,36.99,0.0,0.72,0.51,0,1,0,0,2021-02-09
RX0000010893,MBR00000300,2023-10-21,2023-10-24,1205732114,1363054045,PLN9864,356535,PCN364,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,9,Retail,0,0,0,310.0,4.86,314.86,31.0,264.3,19.56,12.4,8.7833,0,0,0,0,2023-11-20
RX0000010894,MBR00000300,2021-10-21,2021-10-25,1283429563,1212591145,PLN5025,132369,PCN245,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,83,1,LTC,0,0,0,36.0,11.65,47.65,4.0,40.83,2.82,0.48,0.34,0,0,0,0,2022-01-19
RX0000010895,MBR00000300,2023-01-18,2023-01-22,1331207453,1808930601,PLN5186,346872,PCN253,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,54,1,Retail,0,0,0,18.0,7.8,25.8,2.0,22.67,1.13,0.36,0.255,0,0,0,0,2023-03-19
RX0000010896,MBR00000300,2023-08-29,2023-08-31,1602133386,1739824429,PLN4734,171838,PCN146,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,91,6,Retail,0,0,0,990.0,7.54,997.54,31.0,912.79,53.75,13.2,9.35,0,0,0,0,2023-11-27
RX0000010897,MBR00000300,2022-08-23,2022-08-26,1641724463,1780269315,PLN1266,907088,PCN487,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,10,Retail,0,0,0,28.0,5.37,33.37,7.0,24.31,2.06,1.12,0.7933,1,0,0,0,2022-09-22
RX0000010898,MBR00000300,2021-11-16,2021-11-17,1425507705,1513167635,PLN5078,427774,PCN383,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,89,7,Retail,0,1,0,25500.0,1.52,25501.52,154.0,24500.73,846.79,340.0,240.8333,0,0,0,0,2022-02-14
RX0000010899,MBR00000300,2023-07-24,2023-07-27,1384987821,1520809685,PLN7402,338724,PCN903,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,7,Retail,0,1,0,12.0,6.15,18.15,146.0,0.0,1.25,0.48,0.34,0,0,0,0,2023-08-23
RX0000010900,MBR00000300,2022-08-24,2022-08-25,1675318189,1391561448,PLN4719,658801,PCN137,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,62,7,Retail,0,0,0,28.0,1.82,29.82,1.0,27.21,1.61,0.56,0.3967,0,1,0,0,2022-10-23
RX0000010901,MBR00000300,2021-04-01,2021-04-04,1978159311,1450296323,PLN4015,445328,PCN926,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,4,Retail,3,0,0,14.0,4.93,18.93,1.0,16.84,1.09,0.56,0.3967,0,0,0,0,2021-05-01
RX0000010902,MBR00000300,2023-04-21,2023-04-23,1702285144,1448315066,PLN8160,514143,PCN323,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,87,10,Retail,0,0,0,960.0,7.94,967.94,30.0,889.74,48.2,12.8,9.0667,0,0,0,0,2023-07-20
RX0000010903,MBR00000300,2022-03-01,2022-03-03,1274152902,1683192744,PLN6397,209174,PCN123,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,3,Retail,0,0,0,9.0,3.61,12.61,5.0,6.95,0.66,0.36,0.255,1,0,0,0,2022-03-31
RX0000010904,MBR00000300,2023-06-04,2023-06-06,1325091848,1359446359,PLN2164,206219,PCN551,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,83,2,Mail Order,0,0,0,42.0,2.27,44.27,1.0,41.66,1.61,0.56,0.3967,0,0,0,0,2023-09-02
RX0000010905,MBR00000300,2023-11-19,2023-11-20,1810405077,1745165183,PLN1547,962785,PCN123,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,9,Retail,0,1,0,12.0,7.96,19.96,145.0,0.0,0.92,0.48,0.34,0,0,0,0,2023-12-19
RX0000010906,MBR00000300,2023-03-19,2023-03-21,1624096161,1193036609,PLN8598,715924,PCN346,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,6,Mail Order,0,0,0,11.0,2.84,13.84,5.0,8.14,0.7,0.44,0.3117,0,0,0,0,2023-04-18
RX0000010907,MBR00000300,2022-04-28,2022-05-01,1681717355,1309267997,PLN6878,225147,PCN228,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,92,6,Retail,0,0,0,960.0,6.4,966.4,39.0,889.72,37.68,12.8,9.0667,0,0,0,0,2022-07-27
RX0000010908,MBR00000300,2022-11-21,2022-11-22,1699138018,1204895621,PLN2406,913386,PCN184,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,97,4,Retail,2,0,0,45.0,10.85,55.85,8.0,44.36,3.49,0.6,0.425,0,0,0,0,2023-02-19
RX0000010909,MBR00000300,2023-11-25,2023-11-29,1930780442,1953617687,PLN2392,301701,PCN914,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,6,Retail,0,0,1,65.0,3.19,68.19,31.0,32.68,4.51,2.6,1.8417,0,0,0,0,2023-12-25
RX0000010910,MBR00000300,2021-12-11,2021-12-12,1589041014,1749844622,PLN5150,366687,PCN438,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,8,Retail,2,1,0,6200.0,11.63,6211.63,155.0,5730.11,326.52,248.0,175.6667,0,0,0,0,2022-01-10
RX0000010911,MBR00000300,2022-11-10,2022-11-14,1160126307,1156251824,PLN7254,532192,PCN647,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,64,3,Retail,0,0,1,36.0,2.16,38.16,3.0,33.56,1.6,0.72,0.51,0,0,0,0,2023-01-09
RX0000010912,MBR00000300,2022-07-03,2022-07-05,1325750541,1564039224,PLN6999,732105,PCN731,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,1,LTC,0,0,0,10.0,11.88,21.88,0.0,20.39,1.49,0.4,0.2833,0,0,0,0,2022-08-02
RX0000010913,MBR00000300,2022-12-09,2022-12-10,1366856455,1839791205,PLN8306,270909,PCN518,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,4,Retail,0,0,0,18.0,1.89,19.89,1.0,17.5,1.39,0.72,0.51,0,0,0,0,2023-01-08
RX0000010914,MBR00000300,2022-04-20,2022-04-21,1362134469,1795818623,PLN4292,575252,PCN909,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,56,5,Mail Order,0,0,0,25.0,10.82,35.82,3.0,31.65,1.17,0.5,0.3542,0,0,0,0,2022-06-19
RX0000010915,MBR00000300,2023-05-15,2023-05-17,1725137161,1286279776,PLN5479,612593,PCN373,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,3,Retail,0,0,0,4.2,3.28,7.48,8.0,0.0,0.42,0.72,0.51,0,0,0,0,2023-05-22
RX0000010916,MBR00000300,2021-11-02,2021-11-04,1175349292,1937818144,PLN4938,541030,PCN947,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,91,11,Mail Order,0,0,0,30.0,8.46,38.46,8.0,28.97,1.49,0.4,0.2833,0,0,0,0,2022-01-31
RX0000010917,MBR00000300,2023-11-17,2023-11-20,1660536441,1774163425,PLN3136,110691,PCN722,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,4,Mail Order,0,0,0,380.0,5.32,385.32,39.0,322.17,24.15,15.2,10.7667,0,0,0,0,2023-12-17
RX0000010918,MBR00000300,2022-11-26,2022-11-30,1292227429,1447102284,PLN1835,282020,PCN187,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,6,Retail,3,0,1,28.0,3.79,31.79,7.0,23.2,1.59,1.12,0.7933,0,0,0,0,2022-12-26
RX0000010919,MBR00000300,2022-11-14,2022-11-16,1205960727,1266406563,PLN9578,867752,PCN907,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,2,Mail Order,2,0,0,22.0,6.46,28.46,7.0,19.77,1.69,0.88,0.6233,0,0,0,0,2022-12-14
RX0000010920,MBR00000300,2023-11-15,2023-11-17,1793706070,1565137372,PLN5027,611108,PCN340,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,82,2,Mail Order,0,0,0,36.0,11.89,47.89,10.0,36.2,1.69,0.48,0.34,0,0,0,0,2024-02-13
RX0000010921,MBR00000300,2023-04-04,2023-04-06,1874055021,1568861051,PLN5120,441024,PCN581,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,6,Retail,0,1,0,8.0,6.78,14.78,146.0,0.0,0.71,0.32,0.2267,0,0,0,0,2023-05-04
RX0000010922,MBR00000300,2022-02-13,2022-02-17,1202067085,1954801541,PLN5031,277421,PCN933,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,9,Retail,0,0,0,14.0,6.6,20.6,6.0,13.28,1.32,0.56,0.3967,1,0,0,0,2022-03-15
RX0000010923,MBR00000300,2023-02-03,2023-02-05,1495451025,1583901803,PLN9637,203741,PCN341,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,94,5,Mail Order,0,0,0,25.5,4.0,29.5,1.0,27.5,1.0,0.34,0.2408,0,0,0,0,2023-05-04
RX0000010924,MBR00000300,2023-06-23,2023-06-26,1108928626,1130203381,PLN9981,137983,PCN694,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,89,0,Retail,0,1,0,8400.0,10.48,8410.48,153.0,7748.35,509.13,112.0,79.3333,0,0,0,0,2023-09-21
RX0000010925,MBR00000300,2022-09-06,2022-09-09,1838816279,1544285202,PLN6679,434783,PCN658,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,6,Retail,0,0,0,38.0,9.17,47.17,35.0,9.9,2.27,1.52,1.0767,0,0,0,0,2022-10-06
RX0000010926,MBR00000300,2022-04-12,2022-04-14,1551614458,1918426263,PLN3714,796032,PCN207,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,10,Retail,0,0,0,9.0,11.97,20.97,7.0,12.55,1.42,0.36,0.255,0,0,0,0,2022-05-12
RX0000010927,MBR00000300,2021-12-23,2021-12-26,1374520450,1578008067,PLN5320,117625,PCN433,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,3,Mail Order,0,0,0,8.87,9.61,18.48,4.0,13.56,0.92,1.52,1.0767,0,0,0,0,2021-12-30
RX0000010928,MBR00000300,2021-08-08,2021-08-09,1910542100,1248030786,PLN9953,528985,PCN798,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,84,4,Retail,0,0,0,45.0,10.46,55.46,5.0,47.81,2.65,0.6,0.425,0,0,0,0,2021-11-06
RX0000010929,MBR00000300,2022-04-05,2022-04-06,1440470210,1861332537,PLN3827,233549,PCN171,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,2,Retail,0,0,0,14.0,1.89,15.89,10.0,5.14,0.75,0.56,0.3967,0,0,0,0,2022-05-05
RX0000010930,MBR00000300,2022-01-10,2022-01-11,1651690603,1727902936,PLN2315,856361,PCN529,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,58,11,Retail,0,0,0,570.0,11.89,581.89,30.0,514.45,37.44,11.4,8.075,0,0,0,0,2022-03-11
RX0000010931,MBR00000300,2022-03-09,2022-03-11,1254052814,1901054870,PLN2280,902110,PCN983,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,5,Retail,0,0,0,3.5,2.96,6.46,8.0,0.0,0.34,0.6,0.425,0,0,0,0,2022-03-16
RX0000010932,MBR00000300,2023-11-10,2023-11-13,1465977021,1900902514,PLN6661,441704,PCN108,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,10,Retail,0,0,0,650.0,7.05,657.05,33.0,587.48,36.57,26.0,18.4167,0,0,0,0,2023-12-10
RX0000010933,MBR00000300,2022-04-04,2022-04-05,1398706530,1930078294,PLN8832,264940,PCN173,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,61,0,Retail,0,1,0,5600.0,2.63,5602.63,149.0,5261.76,191.87,112.0,79.3333,0,1,1,0,2022-06-03
RX0000010934,MBR00000300,2021-02-19,2021-02-20,1911525208,1132776900,PLN4259,558991,PCN208,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,4,Retail,0,0,0,9.0,10.61,19.61,4.0,14.25,1.36,0.36,0.255,0,0,0,0,2021-03-21
RX0000010935,MBR00000300,2022-09-23,2022-09-26,1670073151,1560311972,PLN7207,279251,PCN986,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,2,Specialty,0,0,0,18.0,47.55,65.55,7.0,58.55,0.0,0.72,0.51,0,0,0,0,2022-10-23
RX0000010936,MBR00000301,2021-05-16,2021-05-19,1864100673,1557911731,PLN5486,158016,PCN374,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,95,5,Retail,1,0,0,54.0,10.86,64.86,2.0,58.91,3.95,0.72,0.51,0,0,0,0,2021-08-14
RX0000010937,MBR00000301,2023-06-01,2023-06-03,1906860614,1535348009,PLN6972,525279,PCN467,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,0,Retail,0,0,0,65.0,2.22,67.22,33.0,31.09,3.13,2.6,1.8417,0,1,1,0,2023-07-01
RX0000010938,MBR00000301,2023-09-06,2023-09-09,1769971581,1882454305,PLN8951,586701,PCN750,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,9,Retail,0,0,0,10.0,11.58,21.58,10.0,10.74,0.84,0.4,0.2833,0,0,0,0,2023-10-06
RX0000010939,MBR00000301,2021-10-14,2021-10-16,1384065890,1196970180,PLN3313,363128,PCN527,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,85,8,Mail Order,0,0,0,42.0,7.71,49.71,1.0,46.71,2.0,0.56,0.3967,0,0,0,0,2022-01-12
RX0000010940,MBR00000301,2021-05-29,2021-05-30,1752830556,1380254592,PLN4827,512559,PCN307,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,82,6,Retail,0,0,0,48.0,2.97,50.97,0.0,48.9,2.07,0.64,0.4533,0,0,0,0,2021-08-27
RX0000010941,MBR00000301,2022-03-14,2022-03-17,1452174647,1491223309,PLN4282,896509,PCN986,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,58,0,Retail,0,0,0,36.0,7.41,43.41,7.0,35.11,1.3,0.72,0.51,0,0,0,0,2022-05-13
RX0000010942,MBR00000301,2021-11-30,2021-12-01,1999852617,1227197426,PLN1537,206570,PCN238,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,0,Mail Order,2,0,0,285.0,7.59,292.59,40.0,243.69,8.9,11.4,8.075,0,0,0,0,2021-12-30
RX0000010943,MBR00000301,2021-06-02,2021-06-06,1672866286,1110735174,PLN7988,780039,PCN345,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,3,LTC,1,0,0,14.0,6.99,20.99,9.0,10.54,1.45,0.56,0.3967,0,0,0,0,2021-07-02
RX0000010944,MBR00000301,2023-02-25,2023-03-01,1343110302,1701007414,PLN7141,320881,PCN353,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,9,Retail,0,0,0,330.0,7.63,337.63,34.0,286.74,16.89,13.2,9.35,0,0,0,0,2023-03-27
RX0000010945,MBR00000301,2021-12-15,2021-12-17,1104771627,1993065594,PLN2487,834537,PCN357,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,64,5,Retail,0,0,0,18.0,11.29,29.29,7.0,20.78,1.51,0.36,0.255,0,0,0,0,2022-02-13
RX0000010946,MBR00000301,2021-03-16,2021-03-20,1184259598,1686836910,PLN7823,190392,PCN531,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,82,11,Retail,0,0,0,66.0,2.72,68.72,8.0,57.4,3.32,0.88,0.6233,0,0,0,0,2021-06-14
RX0000010947,MBR00000301,2022-10-17,2022-10-19,1518389238,1581789993,PLN9129,716367,PCN915,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,6,Specialty,0,0,0,320.0,43.89,363.89,33.0,330.89,0.0,12.8,9.0667,0,0,0,0,2022-11-16
RX0000010948,MBR00000301,2023-03-21,2023-03-25,1149049547,1251678503,PLN7537,178293,PCN421,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,6,Retail,0,0,0,12.0,3.68,15.68,1.0,13.75,0.93,0.48,0.34,0,0,0,0,2023-04-20
RX0000010949,MBR00000301,2022-12-21,2022-12-24,1534137688,1390725103,PLN6881,480322,PCN273,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,2,Specialty,0,0,0,22.0,31.4,53.4,65.0,0.0,0.0,0.88,0.6233,1,0,0,0,2023-01-20
RX0000010950,MBR00000301,2022-10-25,2022-10-26,1527802407,1417073723,PLN8616,965099,PCN791,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,1,Mail Order,0,0,0,72.33,4.69,77.02,38.0,35.41,3.61,12.4,8.7833,0,0,0,0,2022-11-01
RX0000010951,MBR00000301,2022-06-09,2022-06-10,1176317244,1792153745,PLN4293,693338,PCN512,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,8,Mail Order,0,0,0,480.0,3.51,483.51,38.0,428.5,17.01,19.2,13.6,0,0,0,0,2022-07-09
RX0000010952,MBR00000301,2021-02-12,2021-02-16,1711793491,1135931282,PLN8134,842006,PCN728,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,8,Retail,0,0,0,380.0,8.2,388.2,30.0,342.74,15.46,15.2,10.7667,0,0,0,0,2021-03-14
RX0000010953,MBR00000301,2023-07-29,2023-08-02,1629307719,1684506653,PLN8567,636990,PCN597,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,89,4,Retail,0,0,0,27.0,9.06,36.06,2.0,32.34,1.72,0.36,0.255,0,0,0,0,2023-10-27
RX0000010954,MBR00000301,2023-12-06,2023-12-07,1272869749,1565965906,PLN9613,711093,PCN214,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,5,Mail Order,0,0,0,320.0,4.83,324.83,33.0,275.3,16.53,12.8,9.0667,0,0,0,0,2024-01-05
RX0000010955,MBR00000301,2022-06-13,2022-06-17,1699550200,1756792978,PLN2923,469808,PCN938,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,0,Retail,0,0,0,7.5,11.68,19.18,4.0,14.32,0.86,0.3,0.2125,0,1,0,0,2022-07-13
RX0000010956,MBR00000301,2023-06-21,2023-06-24,1412109618,1777393967,PLN2856,218222,PCN708,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,92,10,Retail,2,0,0,27.0,6.96,33.96,10.0,22.68,1.28,0.36,0.255,0,0,0,0,2023-09-19
RX0000010957,MBR00000301,2022-01-24,2022-01-25,1931063600,1557309919,PLN9258,666664,PCN886,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,6,Retail,1,0,1,8.5,4.98,13.48,0.0,13.03,0.45,0.34,0.2408,0,0,0,0,2022-02-23
RX0000010958,MBR00000301,2023-10-11,2023-10-13,1849945929,1374531934,PLN4504,383835,PCN205,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,7,Retail,0,0,0,72.33,7.25,79.59,37.0,39.69,2.9,12.4,8.7833,1,0,0,0,2023-10-18
RX0000010959,MBR00000301,2022-12-24,2022-12-27,1693371494,1740571406,PLN1826,627053,PCN762,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,2,Retail,0,0,0,320.0,4.9,324.9,31.0,282.07,11.83,12.8,9.0667,0,0,0,0,2023-01-23
RX0000010960,MBR00000301,2021-07-02,2021-07-06,1524516603,1817636904,PLN1368,755880,PCN960,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,8,Mail Order,0,1,0,8500.0,11.0,8511.0,148.0,7915.09,447.91,340.0,240.8333,0,0,0,0,2021-08-01
RX0000010961,MBR00000301,2023-12-03,2023-12-06,1862994475,1715086565,PLN1859,954578,PCN409,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,10,Retail,0,0,0,28.0,5.77,33.77,1.0,31.43,1.34,1.12,0.7933,0,0,0,0,2024-01-02
RX0000010962,MBR00000301,2021-03-30,2021-04-01,1681245964,1262923667,PLN4118,224974,PCN859,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,2,Retail,0,0,0,10.0,8.41,18.41,5.0,12.27,1.14,0.4,0.2833,0,0,0,0,2021-04-29
RX0000010963,MBR00000301,2023-12-11,2023-12-15,1816610408,1911116877,PLN4901,514913,PCN184,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,88,8,Retail,0,0,0,1110.0,10.84,1120.84,40.0,1023.76,57.08,14.8,10.4833,0,0,0,0,2024-03-10
RX0000010964,MBR00000301,2021-02-25,2021-03-01,1580775893,1429372480,PLN1752,263611,PCN558,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,380.0,3.23,383.23,34.0,323.05,26.18,15.2,10.7667,0,0,0,0,2021-03-27
RX0000010965,MBR00000301,2023-02-22,2023-02-24,1949862994,1519118300,PLN5068,597744,PCN129,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,10,Retail,0,0,0,77.0,3.76,80.76,38.0,38.25,4.51,13.2,9.35,0,0,0,0,2023-03-01
RX0000010966,MBR00000301,2022-06-05,2022-06-07,1955814309,1795142070,PLN9586,619466,PCN846,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,93,1,Retail,0,0,0,54.0,8.48,62.48,35.0,24.08,3.4,0.72,0.51,0,0,0,0,2022-09-03
RX0000010967,MBR00000301,2022-12-23,2022-12-27,1408386825,1367878484,PLN9415,863150,PCN390,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,8,Retail,0,0,0,950.0,6.33,956.33,32.0,858.63,65.7,38.0,26.9167,0,0,0,0,2023-01-22
RX0000010968,MBR00000301,2023-06-22,2023-06-23,1450021671,1885080124,PLN3002,197774,PCN496,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,54,11,Retail,0,0,0,28.0,4.91,32.91,10.0,21.8,1.11,0.56,0.3967,0,0,0,0,2023-08-21
RX0000010969,MBR00000301,2023-12-19,2023-12-22,1674922595,1888901879,PLN8260,934797,PCN466,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,9,Retail,0,1,0,8.0,5.59,13.59,146.0,0.0,0.82,0.32,0.2267,0,0,0,0,2024-01-18
RX0000010970,MBR00000301,2022-01-24,2022-01-26,1815024310,1644499498,PLN5079,116602,PCN949,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,7,Mail Order,0,0,0,380.0,2.13,382.13,36.0,322.32,23.81,15.2,10.7667,0,1,1,0,2022-02-23
RX0000010971,MBR00000301,2023-02-17,2023-02-18,1941749786,1639207988,PLN6995,657255,PCN930,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,6,Mail Order,0,0,0,22.0,8.24,30.24,65.0,0.0,1.68,0.88,0.6233,0,0,0,0,2023-03-19
RX0000010972,MBR00000301,2022-04-24,2022-04-27,1468704327,1905807824,PLN9617,840578,PCN315,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,85,3,Retail,0,0,0,1110.0,11.4,1121.4,36.0,1024.19,61.21,14.8,10.4833,0,0,0,0,2022-07-23
RX0000010973,MBR00000301,2021-06-18,2021-06-20,1601742425,1140587075,PLN7174,888514,PCN832,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,8,Retail,0,0,0,12.5,6.35,18.85,8.0,9.81,1.04,0.5,0.3542,0,0,0,0,2021-07-18
RX0000010974,MBR00000301,2022-06-24,2022-06-28,1201370054,1906094150,PLN6893,932004,PCN659,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,10,Retail,0,0,0,14.0,2.34,16.34,3.0,12.39,0.95,0.56,0.3967,0,0,0,0,2022-07-24
RX0000010975,MBR00000301,2021-12-21,2021-12-23,1590003034,1982285138,PLN6679,329008,PCN489,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,4,Mail Order,3,0,0,2.8,2.76,5.56,7.0,0.0,0.25,0.48,0.34,0,0,0,0,2021-12-28
RX0000010976,MBR00000301,2022-05-01,2022-05-05,1447809897,1262819686,PLN2858,284136,PCN211,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,4,Mail Order,0,0,0,9.0,5.02,14.02,2.0,11.28,0.74,0.36,0.255,0,0,0,0,2022-05-31
RX0000010977,MBR00000301,2022-09-24,2022-09-25,1659881288,1281313344,PLN4908,431446,PCN810,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,10,Retail,0,0,0,650.0,7.93,657.93,38.0,593.86,26.07,26.0,18.4167,0,0,0,0,2022-10-24
RX0000010978,MBR00000301,2021-07-06,2021-07-09,1855354477,1465608438,PLN2202,398681,PCN934,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,7,Mail Order,0,0,0,15.0,11.02,26.02,1.0,24.21,0.81,0.6,0.425,1,0,0,0,2021-08-05
RX0000010979,MBR00000301,2022-04-25,2022-04-27,1793457279,1742377339,PLN6108,385479,PCN789,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,2,Retail,2,0,0,3.27,8.76,12.03,0.0,11.63,0.4,0.56,0.3967,0,0,0,0,2022-05-02
RX0000010980,MBR00000301,2023-04-11,2023-04-13,1720581729,1717799612,PLN8138,575943,PCN761,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,95,1,Mail Order,0,0,0,48.0,8.42,56.42,0.0,53.69,2.73,0.64,0.4533,0,0,0,0,2023-07-10
RX0000010981,MBR00000301,2023-05-20,2023-05-23,1517550803,1540168302,PLN2534,407509,PCN816,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,94,11,Retail,0,0,0,27.0,2.24,29.24,6.0,21.37,1.87,0.36,0.255,0,0,0,0,2023-08-18
RX0000010982,MBR00000301,2023-04-01,2023-04-05,1364371839,1628960721,PLN1938,414043,PCN968,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,8,Mail Order,0,0,0,18.0,4.07,22.07,0.0,21.03,1.04,0.72,0.51,0,0,0,0,2023-05-01
RX0000010983,MBR00000301,2021-12-28,2022-01-01,1547913266,1843838219,PLN6011,315392,PCN334,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,91,11,Retail,0,0,0,22.5,7.25,29.75,1.0,27.0,1.75,0.3,0.2125,0,0,0,0,2022-03-28
RX0000010984,MBR00000301,2022-11-06,2022-11-09,1964827129,1495638294,PLN1189,970121,PCN984,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,5,Retail,0,1,0,8.0,6.49,14.49,145.0,0.0,0.81,0.32,0.2267,0,0,0,0,2022-12-06
RX0000010985,MBR00000301,2022-11-30,2022-12-04,1347938983,1225764925,PLN5297,905444,PCN871,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,0,Retail,0,0,0,950.0,9.02,959.02,39.0,879.72,40.3,38.0,26.9167,0,0,0,0,2022-12-30
RX0000010986,MBR00000302,2021-08-10,2021-08-12,1176863196,1581918607,PLN4746,320489,PCN256,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,10,Retail,0,0,0,22.0,2.31,24.31,69.0,0.0,0.84,0.88,0.6233,0,0,0,0,2021-09-09
RX0000010987,MBR00000302,2021-08-11,2021-08-13,1684957070,1659844096,PLN3138,725023,PCN345,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,2,Mail Order,0,0,0,9.0,2.95,11.95,9.0,2.54,0.41,0.36,0.255,0,0,0,0,2021-09-10
RX0000010988,MBR00000302,2022-12-07,2022-12-11,1134676967,1163122581,PLN1641,961338,PCN716,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,8,Retail,0,0,0,45.0,9.09,54.09,7.0,45.24,1.85,1.8,1.275,0,0,0,0,2023-01-06
RX0000010989,MBR00000302,2021-12-15,2021-12-18,1421326422,1218301920,PLN9693,210180,PCN512,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,11,Retail,0,1,0,12.0,8.4,20.4,145.0,0.0,1.19,0.48,0.34,0,0,0,0,2022-01-14
RX0000010990,MBR00000302,2023-04-05,2023-04-09,1703939090,1403876916,PLN3501,743077,PCN445,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,9,Retail,0,0,0,74.67,9.19,83.86,38.0,40.21,5.65,12.8,9.0667,0,0,0,0,2023-04-12
RX0000010991,MBR00000302,2022-04-18,2022-04-21,1104141453,1875856815,PLN3001,564388,PCN810,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,5,Retail,0,0,0,45.0,1.52,46.52,4.0,40.0,2.52,1.8,1.275,0,0,0,0,2022-05-18
RX0000010992,MBR00000302,2023-08-31,2023-09-03,1401881543,1667838094,PLN7328,291743,PCN120,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,10,Retail,0,0,0,12.0,4.37,16.37,3.0,12.73,0.64,0.48,0.34,0,0,0,0,2023-09-30
RX0000010993,MBR00000302,2023-04-02,2023-04-06,1487837642,1716427192,PLN6162,642514,PCN752,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,7,Retail,0,0,0,15.0,2.67,17.67,10.0,6.86,0.81,0.6,0.425,0,0,0,0,2023-05-02
RX0000010994,MBR00000302,2023-03-24,2023-03-28,1950099180,1603608068,PLN9057,867211,PCN930,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,6,Retail,1,0,0,285.0,6.39,291.39,32.0,240.57,18.82,11.4,8.075,0,0,0,0,2023-04-23
RX0000010995,MBR00000302,2021-07-17,2021-07-19,1784253371,1481922256,PLN2829,100597,PCN911,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,8,Retail,0,0,0,12.5,4.87,17.37,3.0,13.34,1.03,0.5,0.3542,0,0,0,0,2021-08-16
RX0000010996,MBR00000302,2022-07-22,2022-07-26,1430195489,1570502864,PLN4314,217539,PCN456,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,2,Retail,0,0,0,27.0,6.19,33.19,0.0,31.07,2.12,0.36,0.255,0,0,0,0,2022-10-20
RX0000010997,MBR00000302,2021-02-21,2021-02-23,1611712084,1829528012,PLN2365,678090,PCN645,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,88,2,Retail,0,0,0,36.0,4.7,40.7,3.0,35.64,2.06,0.48,0.34,0,0,0,0,2021-05-22
RX0000010998,MBR00000303,2022-06-25,2022-06-26,1644996298,1810788358,PLN7229,748395,PCN462,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,11,Retail,0,0,0,5.13,8.81,13.94,69.0,0.0,0.43,0.88,0.6233,0,0,0,0,2022-07-02
RX0000010999,MBR00000303,2023-06-27,2023-06-30,1381256705,1121384207,PLN6653,567245,PCN826,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,64,8,Mail Order,0,0,0,1300.0,5.71,1305.71,39.0,1226.27,40.44,26.0,18.4167,0,0,0,0,2023-08-26
RX0000011000,MBR00000303,2021-06-27,2021-06-30,1965643949,1645703423,PLN1484,393537,PCN892,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,84,11,Mail Order,0,0,1,930.0,10.47,940.47,40.0,855.15,45.32,12.4,8.7833,0,0,0,0,2021-09-25
RX0000011001,MBR00000303,2022-09-10,2022-09-11,1497124414,1917023169,PLN1645,400020,PCN203,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,5,Mail Order,0,1,0,2800.0,7.19,2807.19,147.0,2528.32,131.87,112.0,79.3333,0,0,0,0,2022-10-10
RX0000011002,MBR00000303,2021-09-17,2021-09-20,1240640139,1529306539,PLN5553,741433,PCN717,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,6,Retail,2,0,0,310.0,3.45,313.45,32.0,267.98,13.47,12.4,8.7833,0,0,0,0,2021-10-17
RX0000011003,MBR00000303,2021-12-06,2021-12-09,1530681099,1303672823,PLN7477,900853,PCN431,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,94,2,Retail,0,0,0,45.0,10.72,55.72,7.0,45.95,2.77,0.6,0.425,0,0,0,0,2022-03-06
RX0000011004,MBR00000303,2021-04-21,2021-04-22,1812664730,1844004480,PLN4797,241168,PCN770,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,90,0,Mail Order,0,0,0,33.0,2.45,35.45,4.0,29.57,1.88,0.44,0.3117,0,0,0,0,2021-07-20
RX0000011005,MBR00000303,2021-04-17,2021-04-21,1633132769,1495506336,PLN8805,199991,PCN924,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,0,Retail,0,0,0,320.0,2.25,322.25,38.0,270.21,14.04,12.8,9.0667,0,0,0,0,2021-05-17
RX0000011006,MBR00000303,2022-11-09,2022-11-10,1323412227,1296041321,PLN1212,949775,PCN237,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,1,Retail,2,0,0,28.0,8.49,36.49,7.0,28.37,1.12,1.12,0.7933,0,0,0,0,2022-12-09
RX0000011007,MBR00000303,2023-09-19,2023-09-21,1948209314,1151194066,PLN7832,639348,PCN390,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,84,4,Retail,0,0,0,30.0,8.8,38.8,2.0,35.55,1.25,0.4,0.2833,0,0,0,0,2023-12-18
RX0000011008,MBR00000303,2022-01-20,2022-01-23,1232726171,1523003007,PLN2173,866493,PCN296,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,92,9,Retail,3,0,0,48.0,8.55,56.55,10.0,43.53,3.02,0.64,0.4533,0,0,0,0,2022-04-20
RX0000011009,MBR00000303,2023-03-19,2023-03-22,1862762000,1795982425,PLN4418,977856,PCN956,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,85,3,Retail,0,0,0,45.0,5.92,50.92,6.0,43.33,1.59,0.6,0.425,0,0,0,0,2023-06-17
RX0000011010,MBR00000303,2021-05-22,2021-05-26,1615362961,1304022371,PLN2227,656683,PCN690,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,54,11,Retail,2,1,0,24.0,8.25,32.25,151.0,0.0,2.25,0.48,0.34,0,0,0,0,2021-07-21
RX0000011011,MBR00000303,2022-12-11,2022-12-14,1419543966,1960837692,PLN3572,233231,PCN552,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,11,Mail Order,0,0,0,12.0,8.17,20.17,10.0,9.25,0.92,0.48,0.34,0,0,0,0,2023-01-10
RX0000011012,MBR00000303,2022-09-07,2022-09-09,1701917918,1153010640,PLN8607,313977,PCN862,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,4,Retail,3,0,0,7.5,7.62,15.12,0.0,14.42,0.7,0.3,0.2125,0,0,0,0,2022-10-07
RX0000011013,MBR00000303,2021-06-25,2021-06-26,1204850021,1442680750,PLN8095,426598,PCN185,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,5,Mail Order,0,0,0,750.0,10.06,760.06,36.0,673.68,50.38,30.0,21.25,0,0,0,0,2021-07-25
RX0000011014,MBR00000303,2021-03-13,2021-03-14,1105560992,1421274599,PLN2146,938652,PCN745,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,7,Retail,0,0,1,10.0,8.0,18.0,9.0,8.05,0.95,0.4,0.2833,1,0,0,0,2021-04-12
RX0000011015,MBR00000303,2021-05-13,2021-05-14,1423218409,1417448662,PLN5976,450559,PCN367,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,94,0,Retail,0,0,0,33.0,7.63,40.63,5.0,33.73,1.9,0.44,0.3117,0,0,0,0,2021-08-11
RX0000011016,MBR00000303,2022-10-31,2022-11-02,1649258226,1272952229,PLN6128,985891,PCN483,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,1,LTC,0,0,0,15.0,6.86,21.86,7.0,13.49,1.37,0.6,0.425,0,0,0,0,2022-11-30
RX0000011017,MBR00000303,2021-02-27,2021-03-02,1270743291,1613410631,PLN6997,110573,PCN208,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,6,Specialty,0,0,0,18.0,14.53,32.53,2.0,30.53,0.0,0.72,0.51,0,0,0,0,2021-03-29
RX0000011018,MBR00000303,2023-05-09,2023-05-10,1268596970,1177032149,PLN5267,907281,PCN207,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,4,Retail,0,0,0,12.0,8.49,20.49,6.0,13.33,1.16,0.48,0.34,0,0,0,0,2023-06-08
RX0000011019,MBR00000303,2022-03-14,2022-03-16,1278272789,1350351153,PLN4267,749551,PCN391,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,5,Retail,0,0,0,285.0,9.63,294.63,35.0,239.99,19.64,11.4,8.075,0,0,0,0,2022-04-13
RX0000011020,MBR00000303,2023-03-22,2023-03-26,1766545506,1939932869,PLN6860,782976,PCN370,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,2,Retail,0,0,0,750.0,2.68,752.68,35.0,689.9,27.78,30.0,21.25,0,0,0,0,2023-04-21
RX0000011021,MBR00000303,2021-03-12,2021-03-14,1326041907,1188742183,PLN3319,941968,PCN655,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,92,6,Retail,0,0,0,114.0,9.03,123.03,9.0,107.58,6.45,1.52,1.0767,0,0,0,0,2021-06-10
RX0000011022,MBR00000303,2023-10-30,2023-11-01,1585246147,1980976722,PLN2360,170211,PCN540,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,1,Specialty,0,0,0,11.0,35.98,46.98,10.0,36.98,0.0,0.44,0.3117,0,0,0,0,2023-11-29
RX0000011023,MBR00000303,2023-04-30,2023-05-02,1930359898,1435158672,PLN2829,472429,PCN263,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,65,9,Retail,0,0,0,28.0,5.44,33.44,4.0,27.49,1.95,0.56,0.3967,0,0,0,0,2023-06-29
RX0000011024,MBR00000303,2022-07-16,2022-07-17,1593313118,1321524582,PLN2188,777330,PCN265,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,0,Retail,3,0,0,14.0,3.11,17.11,6.0,10.13,0.98,0.56,0.3967,0,0,0,0,2022-08-15
RX0000011025,MBR00000303,2023-02-20,2023-02-23,1725504520,1279736637,PLN1124,872148,PCN985,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,1,Mail Order,3,1,0,6200.0,6.58,6206.58,145.0,5826.15,235.43,248.0,175.6667,0,0,0,0,2023-03-22
RX0000011026,MBR00000303,2021-05-08,2021-05-10,1331288687,1441369754,PLN1048,585576,PCN518,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,58,7,Retail,0,0,0,36.0,11.49,47.49,2.0,42.82,2.67,0.72,0.51,0,0,0,0,2021-07-07
RX0000011027,MBR00000303,2022-07-07,2022-07-08,1600977972,1700096573,PLN5370,450150,PCN448,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,98,10,Retail,0,0,0,990.0,3.05,993.05,36.0,914.02,43.03,13.2,9.35,0,0,0,0,2022-10-05
RX0000011028,MBR00000303,2021-03-11,2021-03-14,1960202906,1992364307,PLN2165,809307,PCN514,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,9,Retail,0,0,0,285.0,3.66,288.66,32.0,243.08,13.58,11.4,8.075,0,0,0,0,2021-04-10
RX0000011029,MBR00000303,2022-11-29,2022-12-01,1276414913,1747721531,PLN3854,462562,PCN474,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,7,Specialty,0,0,0,12.0,16.06,28.06,3.0,25.06,0.0,0.48,0.34,0,0,0,0,2022-12-29
RX0000011030,MBR00000303,2023-07-01,2023-07-02,1740361184,1234725676,PLN8225,554555,PCN631,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,83,6,Retail,0,0,0,30.0,4.54,34.54,1.0,31.72,1.82,0.4,0.2833,0,0,0,0,2023-09-29
RX0000011031,MBR00000303,2022-01-27,2022-01-30,1174949456,1506623894,PLN9988,142936,PCN278,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,0,Retail,0,0,0,175.0,6.59,181.59,37.0,137.33,7.26,7.0,4.9583,0,0,0,0,2022-02-26
RX0000011032,MBR00000303,2021-05-13,2021-05-14,1929488797,1974654260,PLN6303,239103,PCN772,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,89,2,Mail Order,0,0,0,54.0,8.8,62.8,31.0,28.62,3.18,0.72,0.51,0,0,0,0,2021-08-11
RX0000011033,MBR00000303,2021-05-16,2021-05-17,1732711239,1777054914,PLN9101,522667,PCN125,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,10,Mail Order,0,0,0,22.0,8.76,30.76,8.0,21.12,1.64,0.88,0.6233,0,0,0,0,2021-06-15
RX0000011034,MBR00000303,2022-03-21,2022-03-24,1975336623,1926659528,PLN1980,385319,PCN554,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,5,Retail,0,0,0,18.0,5.76,23.76,10.0,13.02,0.74,0.72,0.51,0,0,0,0,2022-04-20
RX0000011035,MBR00000303,2021-01-29,2021-01-30,1502125339,1713200841,PLN4203,927103,PCN587,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,10,Retail,0,0,0,18.0,3.2,21.2,1.0,19.06,1.14,0.72,0.51,0,0,0,0,2021-02-28
RX0000011036,MBR00000303,2022-04-20,2022-04-22,1778029213,1445791995,PLN1640,987471,PCN912,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,59,5,Retail,1,1,0,17000.0,5.37,17005.37,146.0,15712.53,1146.84,340.0,240.8333,0,0,0,0,2022-06-19
RX0000011037,MBR00000303,2021-01-30,2021-02-02,1703924034,1683410097,PLN4459,265184,PCN621,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,3,Retail,0,0,0,221.67,7.75,229.42,31.0,190.68,7.74,38.0,26.9167,0,0,0,0,2021-02-06
RX0000011038,MBR00000303,2021-10-24,2021-10-28,1930141430,1724563499,PLN3047,684794,PCN748,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,7,Retail,0,0,0,12.0,9.32,21.32,2.0,17.92,1.4,0.48,0.34,0,0,0,0,2021-11-23
RX0000011039,MBR00000303,2021-12-15,2021-12-16,1160274785,1959113694,PLN1291,435762,PCN498,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,3,Specialty,0,0,0,43.17,30.1,73.26,32.0,41.26,0.0,7.4,5.2417,0,0,0,0,2021-12-22
RX0000011040,MBR00000303,2022-10-07,2022-10-11,1405830914,1206753307,PLN4847,123838,PCN235,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,57,2,Mail Order,0,0,0,20.0,2.9,22.9,6.0,15.5,1.4,0.4,0.2833,0,0,0,0,2022-12-06
RX0000011041,MBR00000303,2022-06-14,2022-06-16,1994444472,1198762571,PLN1541,786913,PCN443,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,62,5,Mail Order,0,0,0,130.0,7.53,137.53,38.0,92.37,7.16,2.6,1.8417,0,0,0,0,2022-08-13
RX0000011042,MBR00000303,2023-12-17,2023-12-18,1805597669,1807207077,PLN2522,535495,PCN858,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,10,Retail,3,1,0,8500.0,8.34,8508.34,150.0,8064.47,293.87,340.0,240.8333,0,0,0,0,2024-01-16
RX0000011043,MBR00000303,2022-01-25,2022-01-27,1597497350,1317655927,PLN1114,754460,PCN654,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,85,1,Retail,1,0,0,33.0,6.03,39.03,8.0,28.62,2.41,0.44,0.3117,0,0,0,0,2022-04-25
RX0000011044,MBR00000303,2022-03-07,2022-03-10,1960400154,1205698880,PLN2784,460741,PCN891,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,8,Retail,0,0,0,22.0,7.47,29.47,68.0,0.0,1.8,0.88,0.6233,0,0,0,0,2022-04-06
RX0000011045,MBR00000303,2021-11-21,2021-11-22,1805896216,1355781844,PLN1127,983246,PCN210,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,83,10,Retail,0,0,0,42.0,3.13,45.13,2.0,41.67,1.46,0.56,0.3967,0,0,0,0,2022-02-19
RX0000011046,MBR00000303,2023-10-23,2023-10-27,1712193797,1917621807,PLN3231,278922,PCN353,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,9,LTC,0,0,0,16.0,9.66,25.66,10.0,14.05,1.61,0.64,0.4533,0,0,0,0,2023-11-22
RX0000011047,MBR00000303,2021-09-17,2021-09-18,1396410217,1247413576,PLN3734,989605,PCN391,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,2,Retail,0,0,0,65.0,5.88,70.88,35.0,31.88,4.0,2.6,1.8417,0,0,0,0,2021-10-17
RX0000011048,MBR00000304,2022-04-08,2022-04-12,1832173150,1494610183,PLN6966,110928,PCN588,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,3,Retail,2,0,1,9.0,11.06,20.06,10.0,9.21,0.85,0.36,0.255,0,0,0,0,2022-05-08
RX0000011049,MBR00000304,2022-04-18,2022-04-19,1883240969,1724317857,PLN3379,211190,PCN747,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,3,Retail,0,0,0,38.0,6.32,44.32,32.0,9.27,3.05,1.52,1.0767,0,0,0,0,2022-05-18
RX0000011050,MBR00000304,2023-08-11,2023-08-13,1363493017,1865389581,PLN1855,750702,PCN414,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,9,Mail Order,0,0,0,14.0,9.47,23.47,4.0,18.67,0.8,0.56,0.3967,0,0,0,0,2023-09-10
RX0000011051,MBR00000304,2023-09-15,2023-09-18,1801026871,1591588871,PLN4851,467183,PCN845,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,6,Mail Order,0,1,1,1446.67,10.75,1457.42,149.0,1210.66,97.76,248.0,175.6667,0,0,0,0,2023-09-22
RX0000011052,MBR00000304,2023-09-06,2023-09-10,1610506194,1823742215,PLN6824,422724,PCN524,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,5,Retail,0,0,0,380.0,4.56,384.56,31.0,336.63,16.93,15.2,10.7667,0,0,0,0,2023-10-06
RX0000011053,MBR00000304,2022-12-26,2022-12-28,1725648359,1435245175,PLN4310,321384,PCN419,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,55,0,Retail,0,0,1,36.0,11.38,47.38,3.0,42.9,1.48,0.72,0.51,0,0,0,0,2023-02-24
RX0000011054,MBR00000304,2021-04-22,2021-04-25,1563975713,1132544171,PLN8560,467944,PCN505,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,6,Retail,0,0,0,38.0,5.13,43.13,32.0,8.32,2.81,1.52,1.0767,0,0,0,0,2021-05-22
RX0000011055,MBR00000304,2023-08-10,2023-08-12,1816242699,1495654067,PLN2312,956520,PCN390,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,0,Retail,0,1,0,8500.0,11.41,8511.41,148.0,7945.22,418.19,340.0,240.8333,0,0,0,0,2023-09-09
RX0000011056,MBR00000304,2023-01-22,2023-01-24,1960244148,1504816433,PLN7287,143954,PCN665,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,62,6,Mail Order,0,0,0,20.0,10.17,30.17,5.0,23.6,1.57,0.4,0.2833,0,0,0,0,2023-03-23
RX0000011057,MBR00000304,2022-07-02,2022-07-03,1391094076,1467326304,PLN4620,835358,PCN389,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,1,Retail,0,0,0,750.0,1.68,751.68,36.0,665.87,49.81,30.0,21.25,0,0,0,0,2022-08-01
RX0000011058,MBR00000304,2023-07-02,2023-07-04,1615918372,1381356683,PLN6986,333909,PCN612,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,87,5,Retail,0,1,0,18600.0,6.15,18606.15,152.0,17336.49,1117.66,248.0,175.6667,0,0,0,0,2023-09-30
RX0000011059,MBR00000304,2023-12-08,2023-12-09,1394476008,1256649119,PLN5028,637122,PCN955,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,10,Retail,0,0,0,185.0,4.13,189.13,38.0,143.84,7.29,7.4,5.2417,0,0,0,0,2024-01-07
RX0000011060,MBR00000304,2023-04-03,2023-04-05,1323316758,1220224944,PLN1990,904550,PCN687,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,94,2,Retail,0,0,0,30.0,10.83,40.83,3.0,36.2,1.63,0.4,0.2833,0,0,0,0,2023-07-02
RX0000011061,MBR00000304,2021-02-06,2021-02-07,1479941043,1962297589,PLN5303,553492,PCN433,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,83,11,Mail Order,0,0,0,66.0,8.93,74.93,68.0,3.54,3.39,0.88,0.6233,0,0,0,0,2021-05-07
RX0000011062,MBR00000304,2022-05-29,2022-06-01,1321186024,1483922466,PLN7914,265546,PCN746,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,3,Mail Order,1,1,0,1446.67,11.61,1458.28,149.0,1221.26,88.02,248.0,175.6667,0,0,0,0,2022-06-05
RX0000011063,MBR00000304,2021-09-05,2021-09-07,1574783447,1479831054,PLN5485,753648,PCN825,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,7,Retail,0,0,0,9.0,4.67,13.67,7.0,6.04,0.63,0.36,0.255,0,0,0,0,2021-10-05
RX0000011064,MBR00000304,2023-08-26,2023-08-28,1911453968,1301082427,PLN2779,319079,PCN447,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,93,2,Mail Order,0,0,0,42.0,3.63,45.63,6.0,37.17,2.46,0.56,0.3967,0,0,0,0,2023-11-24
RX0000011065,MBR00000304,2022-08-20,2022-08-21,1106204500,1636549889,PLN4652,325898,PCN654,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,2,Retail,0,0,0,43.17,3.3,46.47,36.0,9.05,1.42,7.4,5.2417,0,0,0,0,2022-08-27
RX0000011066,MBR00000304,2022-03-27,2022-03-29,1818799844,1251045533,PLN2674,271405,PCN330,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,96,6,Retail,3,0,0,555.0,7.19,562.19,32.0,505.38,24.81,7.4,5.2417,0,0,0,0,2022-06-25
RX0000011067,MBR00000304,2023-05-31,2023-06-04,1289708684,1263565902,PLN5245,924119,PCN739,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,10,Retail,0,0,0,5.13,8.87,14.0,65.0,0.0,0.84,0.88,0.6233,0,0,0,0,2023-06-07
RX0000011068,MBR00000304,2022-05-13,2022-05-17,1243898242,1706156768,PLN1308,945516,PCN200,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,57,3,Specialty,0,0,0,960.0,22.76,982.76,35.0,947.76,0.0,19.2,13.6,0,0,0,0,2022-07-12
RX0000011069,MBR00000304,2021-07-17,2021-07-18,1213189987,1449938159,PLN3254,832529,PCN352,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,2,Specialty,3,0,0,2.57,22.77,25.34,2.0,23.34,0.0,0.44,0.3117,0,0,0,0,2021-07-24
RX0000011070,MBR00000304,2022-06-17,2022-06-18,1395426104,1697777083,PLN2356,896059,PCN767,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,4,Mail Order,3,0,0,14.0,8.76,22.76,8.0,13.39,1.37,0.56,0.3967,0,0,0,0,2022-07-17
RX0000011071,MBR00000304,2023-08-06,2023-08-10,1904065980,1725902029,PLN9364,565065,PCN861,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,4,Retail,0,1,0,2.8,5.3,8.1,145.0,0.0,0.46,0.48,0.34,0,0,0,0,2023-08-13
RX0000011072,MBR00000304,2023-08-29,2023-09-01,1639368016,1954727477,PLN1274,499356,PCN746,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,59,0,Retail,0,1,1,12400.0,2.73,12402.73,154.0,11724.75,523.98,248.0,175.6667,0,0,0,0,2023-10-28
RX0000011073,MBR00000304,2022-11-13,2022-11-17,1668372791,1197019978,PLN1270,446096,PCN829,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,8,Retail,0,0,0,10.5,8.24,18.74,0.0,17.55,1.19,1.8,1.275,1,0,0,0,2022-11-20
RX0000011074,MBR00000304,2022-02-06,2022-02-09,1760055339,1960996638,PLN7541,943236,PCN476,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,81,3,Mail Order,3,0,0,960.0,11.2,971.2,37.0,901.47,32.73,12.8,9.0667,0,0,0,0,2022-05-07
RX0000011075,MBR00000304,2022-05-22,2022-05-26,1366328709,1966761445,PLN4215,381555,PCN705,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,9,Specialty,0,0,0,22.0,42.85,64.85,65.0,0.0,0.0,0.88,0.6233,0,0,0,0,2022-06-21
RX0000011076,MBR00000304,2023-04-09,2023-04-13,1279077889,1306055150,PLN1807,966337,PCN869,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,0,Retail,0,0,0,750.0,9.24,759.24,31.0,689.64,38.6,30.0,21.25,0,0,0,0,2023-05-09
RX0000011077,MBR00000304,2022-06-21,2022-06-23,1758662103,1735589592,PLN8512,484883,PCN776,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,7,Retail,2,0,0,28.0,8.44,36.44,9.0,26.1,1.34,1.12,0.7933,0,0,0,0,2022-07-21
RX0000011078,MBR00000304,2021-05-23,2021-05-27,1748714416,1172676092,PLN5733,606035,PCN253,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,4,Retail,0,0,0,320.0,4.45,324.45,30.0,272.38,22.07,12.8,9.0667,0,0,0,0,2021-06-22
RX0000011079,MBR00000304,2023-06-20,2023-06-21,1705748096,1661996310,PLN5207,273126,PCN612,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,1,Retail,2,0,0,650.0,2.29,652.29,33.0,596.34,22.95,26.0,18.4167,0,0,0,0,2023-07-20
RX0000011080,MBR00000304,2022-05-11,2022-05-15,1774838367,1769720732,PLN6354,263103,PCN870,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,11,Retail,0,0,0,5.13,5.63,10.77,6.0,4.06,0.71,0.88,0.6233,0,0,0,0,2022-05-18
RX0000011081,MBR00000304,2022-05-16,2022-05-20,1522053144,1841335424,PLN8199,885031,PCN540,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,4,Retail,0,0,0,320.0,7.09,327.09,30.0,286.78,10.31,12.8,9.0667,0,0,0,0,2022-06-15
RX0000011082,MBR00000304,2021-06-07,2021-06-08,1920698314,1714214928,PLN2277,398494,PCN624,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,1,Retail,0,0,0,14.0,5.71,19.71,4.0,14.9,0.81,0.56,0.3967,0,0,0,0,2021-07-07
RX0000011083,MBR00000304,2021-03-21,2021-03-22,1630265353,1220433478,PLN4376,768131,PCN522,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,9,Retail,0,0,0,370.0,7.38,377.38,35.0,320.12,22.26,14.8,10.4833,0,0,0,0,2021-04-20
RX0000011084,MBR00000304,2023-06-04,2023-06-08,1267350231,1388056503,PLN6256,520870,PCN388,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,97,7,Retail,0,1,0,36.0,2.1,38.1,149.0,0.0,1.44,0.48,0.34,0,0,0,0,2023-09-02
RX0000011085,MBR00000304,2022-02-22,2022-02-25,1172800766,1879453699,PLN2456,174176,PCN266,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,11,Retail,0,0,0,4.2,2.85,7.05,7.0,0.0,0.39,0.72,0.51,0,0,0,0,2022-03-01
RX0000011086,MBR00000304,2021-03-02,2021-03-03,1906560751,1704672499,PLN8966,342345,PCN897,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,64,6,Specialty,0,0,0,76.0,12.6,88.6,35.0,53.6,0.0,1.52,1.0767,0,0,0,0,2021-05-01
RX0000011087,MBR00000304,2022-11-20,2022-11-24,1876188426,1620965391,PLN3488,418436,PCN726,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,6,Retail,0,0,0,2.1,6.06,8.16,10.0,0.0,0.39,0.36,0.255,0,0,0,0,2022-11-27
RX0000011088,MBR00000304,2023-05-13,2023-05-17,1213351781,1443903552,PLN4719,584292,PCN633,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,7,Mail Order,0,0,0,12.0,5.44,17.44,0.0,16.54,0.9,0.48,0.34,1,0,0,0,2023-06-12
RX0000011089,MBR00000304,2022-03-08,2022-03-12,1156339223,1902954615,PLN5111,392228,PCN951,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,93,1,LTC,0,0,0,37.5,9.79,47.29,6.0,39.03,2.26,0.5,0.3542,0,0,0,0,2022-06-06
RX0000011090,MBR00000305,2023-12-16,2023-12-18,1524139915,1691580213,PLN2713,323062,PCN320,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,91,3,Retail,0,0,0,2250.0,1.79,2251.79,35.0,2131.0,85.79,30.0,21.25,0,0,0,0,2024-03-15
RX0000011091,MBR00000305,2022-04-04,2022-04-08,1843911829,1615773209,PLN2989,542296,PCN207,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,83,9,Retail,0,0,0,45.0,7.84,52.84,8.0,43.19,1.65,0.6,0.425,0,0,0,0,2022-07-03
RX0000011092,MBR00000305,2022-02-12,2022-02-16,1154804538,1645061239,PLN8160,367886,PCN493,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,6,Retail,0,0,0,38.0,11.39,49.39,36.0,11.51,1.88,1.52,1.0767,0,1,1,0,2022-03-14
RX0000011093,MBR00000305,2021-08-31,2021-09-02,1896515789,1996440970,PLN6962,939146,PCN661,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,91,10,Retail,0,0,0,555.0,3.9,558.9,32.0,506.47,20.43,7.4,5.2417,0,0,0,0,2021-11-29
RX0000011094,MBR00000305,2022-01-06,2022-01-08,1537555251,1272550605,PLN8142,324832,PCN995,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,7,Retail,0,0,0,14.0,1.7,15.7,2.0,13.1,0.6,0.56,0.3967,0,0,0,0,2022-02-05
RX0000011095,MBR00000305,2022-04-01,2022-04-02,1897602654,1342334928,PLN9996,958949,PCN878,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,3,LTC,0,0,0,45.0,9.06,54.06,0.0,50.49,3.57,1.8,1.275,0,0,0,0,2022-05-01
RX0000011096,MBR00000305,2022-04-24,2022-04-26,1327179199,1771786261,PLN3319,406748,PCN199,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,7,Mail Order,0,0,0,10.0,3.44,13.44,9.0,3.92,0.52,0.4,0.2833,0,0,0,0,2022-05-24
RX0000011097,MBR00000305,2022-10-18,2022-10-20,1457342125,1619633375,PLN9005,748388,PCN114,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,62,8,Specialty,0,0,0,90.0,24.03,114.03,0.0,114.03,0.0,1.8,1.275,0,0,0,0,2022-12-17
RX0000011098,MBR00000305,2023-02-03,2023-02-07,1910978145,1291106794,PLN6291,881610,PCN220,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,7,Retail,3,0,0,330.0,3.93,333.93,40.0,275.66,18.27,13.2,9.35,0,0,0,0,2023-03-05
RX0000011099,MBR00000305,2021-01-25,2021-01-26,1359003123,1410059461,PLN8484,540685,PCN409,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,98,11,Retail,0,0,0,36.0,10.67,46.67,10.0,33.6,3.07,0.48,0.34,0,0,0,0,2021-04-25
RX0000011100,MBR00000305,2021-06-22,2021-06-24,1820637358,1775060503,PLN9528,128601,PCN143,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,88,4,Mail Order,0,0,0,1140.0,5.48,1145.48,39.0,1048.44,58.04,15.2,10.7667,0,0,0,0,2021-09-20
RX0000011101,MBR00000305,2021-08-20,2021-08-24,1347601206,1922332238,PLN4004,852455,PCN993,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,57,6,Retail,2,0,0,570.0,10.54,580.54,38.0,502.47,40.07,11.4,8.075,0,0,0,0,2021-10-19
RX0000011102,MBR00000305,2021-04-29,2021-05-02,1582812076,1251046875,PLN1037,884254,PCN326,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,1,Retail,0,0,0,12.0,5.59,17.59,6.0,10.75,0.84,0.48,0.34,0,0,0,0,2021-05-29
RX0000011103,MBR00000305,2022-10-29,2022-10-31,1363345321,1735853576,PLN6011,486284,PCN470,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,0,Retail,0,0,0,185.0,4.82,189.82,39.0,142.12,8.7,7.4,5.2417,0,0,0,0,2022-11-28
RX0000011104,MBR00000305,2022-10-31,2022-11-04,1450393485,1609102954,PLN2792,749133,PCN567,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,55,5,Retail,0,0,0,90.0,9.12,99.12,7.0,85.44,6.68,1.8,1.275,0,0,0,0,2022-12-30
RX0000011105,MBR00000305,2022-10-23,2022-10-24,1993493238,1837547520,PLN6808,203454,PCN947,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,9,Retail,0,0,0,11.0,3.09,14.09,1.0,12.64,0.45,0.44,0.3117,0,0,0,0,2022-11-22
RX0000011106,MBR00000305,2022-12-07,2022-12-09,1997872197,1731249327,PLN1529,169386,PCN860,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,7,Retail,0,0,0,45.0,7.95,52.95,9.0,40.63,3.32,1.8,1.275,0,0,0,0,2023-01-06
RX0000011107,MBR00000305,2021-09-07,2021-09-08,1966673129,1903626458,PLN4560,839631,PCN745,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,3,Retail,2,0,0,18.0,8.33,26.33,2.0,23.02,1.31,0.72,0.51,1,1,0,0,2021-10-07
RX0000011108,MBR00000305,2021-05-21,2021-05-23,1870178516,1966132849,PLN5888,740663,PCN668,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,2,Retail,0,0,1,3.27,7.05,10.32,6.0,3.89,0.43,0.56,0.3967,0,0,0,0,2021-05-28
RX0000011109,MBR00000305,2022-08-30,2022-08-31,1793487009,1716774848,PLN8547,624209,PCN607,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,8,Retail,0,0,0,15.17,11.81,26.97,30.0,0.0,0.89,2.6,1.8417,1,0,0,0,2022-09-06
RX0000011110,MBR00000305,2023-12-19,2023-12-20,1234672395,1291212366,PLN9665,237326,PCN646,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,64,4,Retail,0,0,0,15.0,11.33,26.33,9.0,16.19,1.14,0.3,0.2125,0,0,0,0,2024-02-17
RX0000011111,MBR00000305,2023-05-20,2023-05-24,1341479720,1346565467,PLN6817,163759,PCN876,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,5,Retail,0,0,0,330.0,10.93,340.93,31.0,299.62,10.31,13.2,9.35,0,0,0,0,2023-06-19
RX0000011112,MBR00000305,2021-09-17,2021-09-20,1445598130,1104017665,PLN2427,577655,PCN727,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,7,Retail,0,0,0,14.0,9.63,23.63,8.0,14.21,1.42,0.56,0.3967,0,0,0,0,2021-10-17
RX0000011113,MBR00000305,2022-09-05,2022-09-08,1288104563,1513942330,PLN2296,864529,PCN619,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,5,Mail Order,3,1,0,1.87,2.4,4.27,148.0,0.0,0.22,0.32,0.2267,0,0,0,0,2022-09-12
RX0000011114,MBR00000305,2021-09-28,2021-10-01,1722277151,1942286705,PLN4374,194055,PCN122,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,7,Retail,0,0,0,12.0,3.42,15.42,9.0,5.45,0.97,0.48,0.34,0,0,0,0,2021-10-28
RX0000011115,MBR00000305,2021-06-10,2021-06-13,1992158290,1678680511,PLN5324,238494,PCN726,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,7,Retail,0,0,0,18.0,5.67,23.67,4.0,18.87,0.8,0.72,0.51,0,0,0,0,2021-07-10
RX0000011116,MBR00000305,2023-01-29,2023-02-02,1827282644,1142818451,PLN1437,754707,PCN273,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,8,Retail,0,0,0,9.0,5.85,14.85,3.0,11.2,0.65,0.36,0.255,0,0,0,0,2023-02-28
RX0000011117,MBR00000305,2021-02-19,2021-02-21,1550283232,1198271288,PLN2167,481958,PCN420,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,84,11,Retail,0,0,0,1110.0,9.07,1119.07,36.0,1013.82,69.25,14.8,10.4833,0,0,0,0,2021-05-20
RX0000011118,MBR00000305,2023-04-04,2023-04-08,1751937545,1320146598,PLN9302,956386,PCN586,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,92,8,Retail,0,0,0,1440.0,10.51,1450.51,40.0,1324.06,86.45,19.2,13.6,0,0,0,0,2023-07-03
RX0000011119,MBR00000305,2023-02-10,2023-02-13,1594617006,1548533895,PLN6536,101955,PCN476,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,3,Mail Order,0,0,0,38.0,5.49,43.49,10.0,31.75,1.74,1.52,1.0767,0,0,0,0,2023-03-12
RX0000011120,MBR00000305,2022-06-23,2022-06-26,1698527734,1934022516,PLN4077,302616,PCN910,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,93,3,Retail,0,0,0,990.0,7.27,997.27,35.0,901.34,60.93,13.2,9.35,0,0,0,0,2022-09-21
RX0000011121,MBR00000305,2022-01-23,2022-01-27,1113579612,1950204423,PLN8351,430359,PCN667,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,9,Retail,0,0,0,33.0,6.59,39.59,6.0,32.3,1.29,0.44,0.3117,0,0,0,0,2022-04-23
RX0000011122,MBR00000305,2021-03-14,2021-03-15,1575111838,1419160688,PLN6617,388204,PCN789,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,3,Retail,1,0,0,22.0,2.28,24.28,66.0,0.0,1.14,0.88,0.6233,0,0,0,0,2021-04-13
RX0000011123,MBR00000305,2021-11-20,2021-11-21,1963098892,1104576039,PLN4506,756979,PCN847,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,2,Retail,0,1,0,1.87,5.97,7.83,151.0,0.0,0.37,0.32,0.2267,0,0,0,0,2021-11-27
RX0000011124,MBR00000305,2022-03-02,2022-03-05,1958601757,1133143994,PLN7482,986917,PCN905,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,83,7,Mail Order,1,0,0,855.0,10.78,865.78,39.0,770.18,56.6,11.4,8.075,0,0,0,0,2022-05-31
RX0000011125,MBR00000305,2021-01-03,2021-01-04,1495680643,1136444604,PLN3660,683225,PCN298,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,7,Specialty,3,0,0,380.0,44.84,424.84,33.0,391.84,0.0,15.2,10.7667,0,0,0,0,2021-02-02
RX0000011126,MBR00000305,2023-08-12,2023-08-14,1567957751,1154013902,PLN5623,640603,PCN912,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,11,Mail Order,0,0,0,12.5,5.35,17.85,6.0,10.62,1.23,0.5,0.3542,0,0,0,0,2023-09-11
RX0000011127,MBR00000305,2022-05-28,2022-05-31,1434652501,1724879739,PLN3453,219846,PCN753,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,5,Retail,0,0,0,7.5,11.69,19.19,2.0,16.55,0.64,0.3,0.2125,0,1,0,0,2022-06-27
RX0000011128,MBR00000305,2022-11-17,2022-11-20,1416341734,1104212923,PLN3154,157890,PCN639,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,4,Retail,0,0,0,22.0,4.68,26.68,8.0,17.49,1.19,0.88,0.6233,0,1,0,0,2022-12-17
RX0000011129,MBR00000305,2021-09-27,2021-10-01,1999527659,1263464875,PLN4569,683768,PCN698,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,11,Retail,0,0,0,310.0,11.69,321.69,34.0,266.95,20.74,12.4,8.7833,1,0,0,0,2021-10-27
RX0000011130,MBR00000305,2023-03-26,2023-03-30,1832619942,1601362239,PLN3899,378160,PCN369,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,1,Retail,1,0,0,9.0,10.44,19.44,6.0,12.57,0.87,0.36,0.255,0,0,0,0,2023-04-25
RX0000011131,MBR00000305,2021-08-27,2021-08-31,1739351629,1410532534,PLN7297,928573,PCN517,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,10,Retail,0,0,0,45.0,5.16,50.16,2.0,45.77,2.39,1.8,1.275,0,0,0,0,2021-09-26
RX0000011132,MBR00000305,2023-06-05,2023-06-06,1866072098,1610943619,PLN2064,191761,PCN823,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,97,8,Retail,0,0,0,2250.0,2.92,2252.92,38.0,2078.12,136.8,30.0,21.25,0,0,0,0,2023-09-03
RX0000011133,MBR00000305,2021-05-19,2021-05-22,1187696398,1219273530,PLN9055,447733,PCN898,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,5,LTC,1,1,0,8.0,2.19,10.19,152.0,0.0,0.69,0.32,0.2267,1,0,0,0,2021-06-18
RX0000011134,MBR00000305,2021-06-25,2021-06-26,1400146386,1724180108,PLN8658,797496,PCN242,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,92,2,Retail,0,0,0,114.0,10.77,124.77,36.0,83.92,4.85,1.52,1.0767,0,0,0,0,2021-09-23
RX0000011135,MBR00000305,2021-04-10,2021-04-13,1317657549,1612996340,PLN6372,657969,PCN624,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,89,6,Retail,0,0,0,930.0,4.82,934.82,40.0,857.37,37.45,12.4,8.7833,0,0,0,0,2021-07-09
RX0000011136,MBR00000305,2022-11-26,2022-11-30,1210494456,1869136785,PLN2804,710597,PCN316,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,2,Retail,2,0,0,38.0,8.16,46.16,36.0,8.2,1.96,1.52,1.0767,0,0,0,0,2022-12-26
RX0000011137,MBR00000305,2021-07-10,2021-07-13,1197173936,1647982672,PLN2323,916967,PCN976,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,8,Retail,0,0,0,10.0,5.68,15.68,9.0,5.89,0.79,0.4,0.2833,0,0,0,0,2021-08-09
RX0000011138,MBR00000305,2023-10-18,2023-10-20,1576779366,1282581047,PLN7813,498555,PCN771,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,93,11,Retail,0,0,0,36.0,3.11,39.11,9.0,27.76,2.35,0.48,0.34,0,0,0,0,2024-01-16
RX0000011139,MBR00000305,2022-04-30,2022-05-03,1459016377,1105044135,PLN8715,928880,PCN371,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,83,6,Retail,0,0,0,855.0,8.12,863.12,40.0,790.78,32.34,11.4,8.075,0,0,0,0,2022-07-29
RX0000011140,MBR00000305,2022-09-27,2022-10-01,1577173591,1899206877,PLN9457,963141,PCN664,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,10,Retail,0,0,0,12.0,2.73,14.73,9.0,4.83,0.9,0.48,0.34,0,0,0,0,2022-10-27
RX0000011141,MBR00000306,2022-11-28,2022-11-30,1844893403,1755895502,PLN9300,982673,PCN123,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,5,Retail,0,0,0,380.0,4.44,384.44,37.0,329.5,17.94,15.2,10.7667,0,0,0,0,2022-12-28
RX0000011142,MBR00000306,2023-01-01,2023-01-02,1873282877,1930822069,PLN9940,488828,PCN250,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,7,Retail,0,0,0,11.0,6.16,17.16,2.0,14.5,0.66,0.44,0.3117,0,0,0,0,2023-01-31
RX0000011143,MBR00000306,2022-04-30,2022-05-02,1276231958,1100854514,PLN7079,179345,PCN530,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,59,2,Retail,0,0,0,960.0,4.86,964.86,32.0,865.76,67.1,19.2,13.6,0,0,0,0,2022-06-29
RX0000011144,MBR00000306,2021-09-22,2021-09-26,1520264449,1525853650,PLN9652,116040,PCN194,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,6,Retail,0,0,0,9.0,2.18,11.18,3.0,7.59,0.59,0.36,0.255,0,0,0,0,2021-10-22
RX0000011145,MBR00000306,2021-05-19,2021-05-23,1209865091,1881214101,PLN7436,151769,PCN518,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,0,Retail,0,0,0,12.5,11.32,23.82,7.0,15.72,1.1,0.5,0.3542,0,0,0,0,2021-06-18
RX0000011146,MBR00000306,2021-11-03,2021-11-05,1874886899,1360491453,PLN1569,493589,PCN712,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,87,5,Retail,0,0,0,66.0,3.67,69.67,65.0,0.47,4.2,0.88,0.6233,0,0,0,0,2022-02-01
RX0000011147,MBR00000306,2023-06-17,2023-06-20,1609721811,1714746545,PLN5850,405068,PCN906,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,84,0,Retail,1,0,0,36.0,2.28,38.28,6.0,31.06,1.22,0.48,0.34,0,0,0,0,2023-09-15
RX0000011148,MBR00000306,2022-10-29,2022-10-31,1738224066,1852077832,PLN5522,918627,PCN989,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,11,Retail,0,0,0,1.75,2.83,4.58,6.0,0.0,0.21,0.3,0.2125,0,0,0,0,2022-11-05
RX0000011149,MBR00000306,2023-06-25,2023-06-28,1537037527,1692853234,PLN9777,628128,PCN663,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,56,8,Mail Order,0,0,0,28.0,3.2,31.2,3.0,26.87,1.33,0.56,0.3967,0,0,0,0,2023-08-24
RX0000011150,MBR00000306,2021-08-31,2021-09-04,1152028619,1939058830,PLN8543,147896,PCN483,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,6,Specialty,2,0,0,112.0,22.24,134.24,31.0,103.24,0.0,19.2,13.6,0,0,0,0,2021-09-07
RX0000011151,MBR00000306,2023-07-04,2023-07-08,1691911237,1546346429,PLN5736,297479,PCN509,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,82,8,Retail,0,0,0,960.0,3.31,963.31,40.0,858.77,64.54,12.8,9.0667,0,0,0,0,2023-10-02
RX0000011152,MBR00000306,2022-04-21,2022-04-23,1771549742,1644539543,PLN6912,910434,PCN449,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,10,Mail Order,0,0,0,285.0,6.41,291.41,33.0,245.12,13.29,11.4,8.075,0,0,0,0,2022-05-21
RX0000011153,MBR00000306,2022-09-22,2022-09-24,1986488965,1334318478,PLN7252,347361,PCN481,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,6,Retail,0,0,0,18.0,2.08,20.08,1.0,18.06,1.02,0.72,0.51,0,0,0,0,2022-10-22
RX0000011154,MBR00000306,2022-05-04,2022-05-06,1642896013,1456225152,PLN3286,546428,PCN759,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,0,Mail Order,0,0,0,370.0,10.85,380.85,38.0,325.58,17.27,14.8,10.4833,0,0,0,0,2022-06-03
RX0000011155,MBR00000306,2022-01-05,2022-01-06,1900378592,1520908336,PLN8155,382264,PCN946,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,94,2,Retail,0,0,0,54.0,11.82,65.82,5.0,57.29,3.53,0.72,0.51,1,0,0,0,2022-04-05
RX0000011156,MBR00000306,2021-12-08,2021-12-10,1347573853,1938851259,PLN9443,923278,PCN889,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,10,Retail,0,0,0,11.0,3.37,14.37,1.0,12.75,0.62,0.44,0.3117,0,0,0,0,2022-01-07
RX0000011157,MBR00000306,2022-11-24,2022-11-27,1189556244,1183985378,PLN7132,449278,PCN296,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,82,4,Retail,0,0,0,2850.0,11.7,2861.7,36.0,2644.0,181.7,38.0,26.9167,0,0,0,0,2023-02-22
RX0000011158,MBR00000306,2021-07-08,2021-07-10,1661275264,1109378562,PLN2407,133803,PCN531,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,0,Retail,0,1,0,8.0,4.93,12.93,152.0,0.0,0.67,0.32,0.2267,0,0,0,0,2021-08-07
RX0000011159,MBR00000306,2021-09-10,2021-09-14,1190413035,1569365805,PLN2596,756596,PCN778,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,64,1,Retail,0,0,0,570.0,2.1,572.1,33.0,511.5,27.6,11.4,8.075,0,0,0,0,2021-11-09
RX0000011160,MBR00000306,2021-02-09,2021-02-12,1426520484,1944047344,PLN4642,311456,PCN376,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,9,Retail,0,0,0,30.0,6.27,36.27,0.0,34.09,2.18,0.4,0.2833,0,0,0,0,2021-05-10
RX0000011161,MBR00000306,2023-06-27,2023-06-28,1568469000,1338435359,PLN7493,861913,PCN423,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,11,Retail,0,0,0,18.0,3.5,21.5,4.0,16.58,0.92,0.72,0.51,0,0,0,0,2023-07-27
RX0000011162,MBR00000306,2023-06-15,2023-06-16,1214858321,1412018031,PLN7526,990726,PCN638,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,9,Mail Order,3,0,0,12.0,6.4,18.4,2.0,15.12,1.28,0.48,0.34,0,0,0,0,2023-07-15
RX0000011163,MBR00000306,2023-10-14,2023-10-18,1396107542,1521916577,PLN6043,835513,PCN287,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,11,Retail,0,0,0,370.0,6.27,376.27,37.0,314.53,24.74,14.8,10.4833,0,0,0,0,2023-11-13
RX0000011164,MBR00000306,2022-08-11,2022-08-12,1467899098,1428605823,PLN5700,299443,PCN340,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,88,10,Retail,0,0,0,30.0,7.62,37.62,8.0,27.67,1.95,0.4,0.2833,0,0,0,0,2022-11-09
RX0000011165,MBR00000306,2022-07-14,2022-07-17,1958404815,1524546588,PLN9939,340956,PCN618,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,88,11,Retail,0,0,0,525.0,9.31,534.31,36.0,467.16,31.15,7.0,4.9583,1,0,0,0,2022-10-12
RX0000011166,MBR00000306,2022-12-04,2022-12-05,1113092512,1429181457,PLN5429,424212,PCN168,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,82,7,Retail,0,0,0,22.5,11.4,33.9,5.0,27.3,1.6,0.3,0.2125,0,0,0,0,2023-03-04
RX0000011167,MBR00000306,2021-07-28,2021-07-29,1569354809,1503993073,PLN7863,539386,PCN809,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,82,0,Mail Order,0,0,0,84.0,10.5,94.5,7.0,81.98,5.52,1.12,0.7933,0,0,0,0,2021-10-26
RX0000011168,MBR00000306,2021-05-10,2021-05-11,1742213738,1341744091,PLN8498,517639,PCN934,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,1,Retail,0,0,0,370.0,5.2,375.2,35.0,325.85,14.35,14.8,10.4833,0,0,0,0,2021-06-09
RX0000011169,MBR00000306,2021-02-24,2021-02-27,1557666997,1269089116,PLN9424,751867,PCN517,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,1,Mail Order,0,0,0,12.5,2.4,14.9,7.0,7.19,0.71,0.5,0.3542,0,0,0,0,2021-03-26
RX0000011170,MBR00000307,2021-08-02,2021-08-05,1762441752,1952910528,PLN2588,262598,PCN155,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,91,10,Mail Order,2,0,0,135.0,11.75,146.75,7.0,134.27,5.48,1.8,1.275,0,0,0,0,2021-10-31
RX0000011171,MBR00000307,2021-02-26,2021-03-02,1729385056,1129708986,PLN9843,748038,PCN504,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,8,Retail,0,1,0,653.33,7.29,660.63,149.0,468.15,43.48,112.0,79.3333,0,0,0,0,2021-03-05
RX0000011172,MBR00000307,2023-05-14,2023-05-16,1131002037,1894944402,PLN4441,926091,PCN292,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,3,Retail,0,0,0,2.33,3.24,5.58,1.0,4.31,0.27,0.4,0.2833,0,0,0,0,2023-05-21
RX0000011173,MBR00000307,2022-01-09,2022-01-11,1124151759,1542181421,PLN2106,678361,PCN308,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,86,7,Retail,0,0,0,37.5,9.67,47.17,2.0,43.0,2.17,0.5,0.3542,0,0,0,0,2022-04-09
RX0000011174,MBR00000307,2023-10-11,2023-10-15,1970260742,1785339903,PLN4888,265840,PCN452,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,82,0,Retail,0,0,1,135.0,9.48,144.48,7.0,131.13,6.35,1.8,1.275,0,0,0,0,2024-01-09
RX0000011175,MBR00000307,2021-11-08,2021-11-10,1817882952,1151791246,PLN2507,157230,PCN319,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,7,Mail Order,0,0,0,28.0,5.02,33.02,1.0,30.37,1.65,1.12,0.7933,0,0,0,0,2021-12-08
RX0000011176,MBR00000307,2023-09-01,2023-09-02,1598270009,1375772892,PLN4575,804404,PCN910,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,60,10,Mail Order,0,0,0,24.0,4.13,28.13,9.0,17.85,1.28,0.48,0.34,0,0,0,0,2023-10-31
RX0000011177,MBR00000307,2022-03-25,2022-03-29,1497893208,1981571767,PLN4702,100624,PCN203,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,0,Retail,0,1,0,653.33,3.6,656.93,146.0,473.35,37.58,112.0,79.3333,0,0,0,0,2022-04-01
RX0000011178,MBR00000307,2023-04-02,2023-04-06,1455738744,1921389675,PLN7944,238978,PCN155,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,55,0,Retail,0,0,0,1500.0,8.68,1508.68,40.0,1377.28,91.4,30.0,21.25,0,0,0,0,2023-06-01
RX0000011179,MBR00000307,2021-12-24,2021-12-27,1705044277,1841543857,PLN1950,115396,PCN667,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,8,Mail Order,0,0,0,480.0,2.51,482.51,40.0,415.62,26.89,19.2,13.6,0,0,0,0,2022-01-23
RX0000011180,MBR00000307,2023-06-22,2023-06-26,1648896856,1958758986,PLN6814,776177,PCN704,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,92,1,Specialty,3,0,0,45.0,8.76,53.76,7.0,46.76,0.0,0.6,0.425,0,0,0,0,2023-09-20
RX0000011181,MBR00000307,2021-05-13,2021-05-17,1380126980,1865104383,PLN2300,155694,PCN586,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,11,Mail Order,0,1,0,8.0,3.23,11.23,153.0,0.0,0.52,0.32,0.2267,0,0,0,0,2021-06-12
RX0000011182,MBR00000307,2023-12-07,2023-12-09,1250561967,1637827536,PLN2190,443249,PCN787,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,11,Retail,2,0,0,10.0,10.23,20.23,5.0,14.38,0.85,0.4,0.2833,0,0,0,0,2024-01-06
RX0000011183,MBR00000307,2021-01-23,2021-01-26,1461004316,1341011409,PLN6499,225164,PCN188,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,59,7,Retail,0,0,0,30.0,1.57,31.57,2.0,28.36,1.21,0.6,0.425,0,0,0,0,2021-03-24
RX0000011184,MBR00000307,2023-05-23,2023-05-27,1312450779,1909723276,PLN3162,112496,PCN605,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,56,6,Retail,0,0,0,15.0,9.56,24.56,2.0,21.38,1.18,0.3,0.2125,0,0,0,0,2023-07-22
RX0000011185,MBR00000307,2023-03-29,2023-03-30,1762383064,1483367797,PLN6444,945193,PCN227,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,6,Retail,0,0,0,18.0,4.12,22.12,35.0,0.0,1.37,0.72,0.51,0,0,0,0,2023-04-28
RX0000011186,MBR00000307,2022-06-24,2022-06-28,1505537375,1525336671,PLN9844,399334,PCN629,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,8,Retail,0,0,0,18.0,8.97,26.97,6.0,19.09,1.88,0.72,0.51,0,0,0,0,2022-07-24
RX0000011187,MBR00000307,2021-07-08,2021-07-09,1266717803,1340658789,PLN5220,385501,PCN125,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,88,11,Retail,0,0,0,990.0,5.86,995.86,37.0,912.8,46.06,13.2,9.35,0,0,0,0,2021-10-06
RX0000011188,MBR00000307,2022-11-26,2022-11-29,1255455548,1107577640,PLN3530,729236,PCN134,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,57,2,Retail,3,0,0,28.0,4.7,32.7,6.0,25.26,1.44,0.56,0.3967,0,0,0,0,2023-01-25
RX0000011189,MBR00000307,2021-05-11,2021-05-15,1166455999,1616817043,PLN3030,104466,PCN480,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,11,Mail Order,0,0,0,285.0,9.8,294.8,33.0,251.77,10.03,11.4,8.075,0,0,0,0,2021-06-10
RX0000011190,MBR00000307,2022-03-17,2022-03-21,1310732994,1388058979,PLN7887,994342,PCN133,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,1,Retail,0,1,0,12.0,9.54,21.54,150.0,0.0,0.71,0.48,0.34,0,0,0,0,2022-04-16
RX0000011191,MBR00000307,2021-04-21,2021-04-24,1311929681,1438762350,PLN8289,426841,PCN238,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,89,9,Retail,0,0,0,1110.0,4.89,1114.89,39.0,998.76,77.13,14.8,10.4833,0,0,0,0,2021-07-20
RX0000011192,MBR00000307,2023-07-23,2023-07-26,1762816457,1257586189,PLN4443,143075,PCN799,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,5,Mail Order,0,0,0,18.0,5.82,23.82,10.0,12.41,1.41,0.72,0.51,0,0,0,0,2023-08-22
RX0000011193,MBR00000307,2023-09-18,2023-09-19,1105377338,1944834157,PLN8142,595832,PCN384,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,10,Mail Order,0,0,0,750.0,9.5,759.5,39.0,671.22,49.28,30.0,21.25,0,0,0,0,2023-10-18
RX0000011194,MBR00000307,2021-05-06,2021-05-08,1843169194,1288725904,PLN9160,980546,PCN829,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,5,Retail,0,0,0,10.0,9.09,19.09,6.0,11.77,1.32,0.4,0.2833,0,0,0,0,2021-06-05
RX0000011195,MBR00000307,2021-08-01,2021-08-03,1379381541,1990464979,PLN5416,741556,PCN970,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,85,8,Retail,0,0,0,1440.0,7.11,1447.11,35.0,1363.69,48.42,19.2,13.6,0,0,0,0,2021-10-30
RX0000011196,MBR00000307,2021-04-03,2021-04-07,1196582220,1245788123,PLN5330,276879,PCN770,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,6,Retail,0,0,0,30.0,10.47,40.47,7.0,30.81,2.66,0.4,0.2833,0,0,0,0,2021-07-02
RX0000011197,MBR00000307,2023-07-07,2023-07-09,1383143027,1591866369,PLN8018,482929,PCN362,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,6,Retail,0,1,0,6200.0,4.2,6204.2,152.0,5724.59,327.61,248.0,175.6667,0,0,0,0,2023-08-06
RX0000011198,MBR00000307,2023-03-18,2023-03-19,1278899300,1521187273,PLN9934,498404,PCN665,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,85,9,Retail,0,0,0,135.0,9.13,144.13,7.0,131.24,5.89,1.8,1.275,0,0,0,0,2023-06-16
RX0000011199,MBR00000307,2021-01-05,2021-01-06,1991889530,1888148987,PLN2308,703316,PCN672,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,95,2,Retail,0,0,0,555.0,2.56,557.56,34.0,498.65,24.91,7.4,5.2417,0,0,0,0,2021-04-05
RX0000011200,MBR00000307,2023-02-16,2023-02-17,1630002991,1182531916,PLN3517,150988,PCN597,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,65,9,Retail,0,0,0,30.0,10.98,40.98,7.0,31.74,2.24,0.6,0.425,0,0,0,0,2023-04-17
RX0000011201,MBR00000307,2023-03-10,2023-03-14,1426884873,1541894347,PLN2619,135329,PCN984,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,4,Specialty,3,0,0,28.0,8.37,36.37,7.0,29.37,0.0,1.12,0.7933,0,0,0,0,2023-04-09
RX0000011202,MBR00000307,2023-12-02,2023-12-05,1103982856,1939771657,PLN2308,476618,PCN991,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,84,4,Retail,0,1,0,25500.0,2.23,25502.23,149.0,24102.49,1250.74,340.0,240.8333,0,0,0,0,2024-03-01
RX0000011203,MBR00000307,2021-09-29,2021-10-02,1116488840,1971416269,PLN2407,784432,PCN391,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,5,Specialty,0,0,0,185.0,17.65,202.65,36.0,166.65,0.0,7.4,5.2417,0,0,0,0,2021-10-29
RX0000011204,MBR00000308,2022-10-16,2022-10-18,1415169596,1768862208,PLN9808,999964,PCN886,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,6,Retail,0,0,0,2.1,7.74,9.84,10.0,0.0,0.39,0.36,0.255,0,0,0,0,2022-10-23
RX0000011205,MBR00000308,2021-11-23,2021-11-24,1304361136,1559546852,PLN7683,886256,PCN900,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,81,5,Retail,2,1,0,36.0,11.14,47.14,154.0,0.0,2.51,0.48,0.34,0,0,0,0,2022-02-21
RX0000011206,MBR00000308,2023-02-07,2023-02-11,1393788443,1620523965,PLN3238,936334,PCN335,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,90,6,Retail,0,0,0,960.0,1.78,961.78,36.0,892.14,33.64,12.8,9.0667,0,0,0,0,2023-05-08
RX0000011207,MBR00000308,2022-02-02,2022-02-04,1610704589,1719220176,PLN4430,514790,PCN475,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,10,Mail Order,0,0,0,15.0,5.87,20.87,7.0,13.05,0.82,0.6,0.425,0,0,0,0,2022-03-04
RX0000011208,MBR00000308,2022-11-05,2022-11-09,1235347323,1799939300,PLN6799,458254,PCN212,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,11,Mail Order,0,0,0,14.0,7.56,21.56,8.0,12.77,0.79,0.56,0.3967,0,0,0,0,2022-12-05
RX0000011209,MBR00000308,2023-06-04,2023-06-06,1848304303,1669283767,PLN1930,778420,PCN275,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,3,Mail Order,0,0,0,28.0,6.44,34.44,0.0,32.95,1.49,1.12,0.7933,0,0,0,0,2023-07-04
RX0000011210,MBR00000308,2022-01-28,2022-01-29,1399449923,1843895864,PLN3021,846375,PCN114,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,8,Retail,0,0,0,8.87,9.99,18.85,30.0,0.0,0.57,1.52,1.0767,1,0,0,0,2022-02-04
RX0000011211,MBR00000308,2022-04-19,2022-04-20,1512049971,1738589547,PLN5736,883724,PCN502,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,0,Retail,1,0,0,18.0,6.71,24.71,34.0,0.0,1.58,0.72,0.51,0,0,0,0,2022-05-19
RX0000011212,MBR00000308,2023-01-26,2023-01-28,1858055364,1961251401,PLN3287,357056,PCN864,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,2,Mail Order,3,0,0,8.5,3.09,11.59,2.0,8.83,0.76,0.34,0.2408,1,0,0,0,2023-02-25
RX0000011213,MBR00000308,2022-05-22,2022-05-25,1890644040,1571818998,PLN5710,123138,PCN638,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,9,Retail,0,0,0,2.1,8.44,10.54,1.0,8.86,0.68,0.36,0.255,0,0,0,0,2022-05-29
RX0000011214,MBR00000308,2023-07-12,2023-07-14,1263326600,1728325493,PLN6002,201418,PCN829,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,60,7,Retail,0,0,0,28.0,9.7,37.7,2.0,33.16,2.54,0.56,0.3967,0,0,0,0,2023-09-10
RX0000011215,MBR00000308,2023-06-17,2023-06-21,1355373136,1936490596,PLN9038,951787,PCN842,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,83,3,Retail,0,0,0,54.0,4.11,58.11,3.0,51.8,3.31,0.72,0.51,0,0,0,0,2023-09-15
RX0000011216,MBR00000308,2021-12-18,2021-12-19,1609780744,1123518075,PLN2938,863412,PCN617,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,95,1,LTC,1,0,0,1140.0,9.7,1149.7,36.0,1066.55,47.15,15.2,10.7667,0,0,0,0,2022-03-18
RX0000011217,MBR00000308,2023-05-24,2023-05-28,1334971816,1805132755,PLN8958,112943,PCN664,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,2,Mail Order,0,1,0,6200.0,3.35,6203.35,147.0,5805.58,250.77,248.0,175.6667,0,0,0,0,2023-06-23
RX0000011218,MBR00000308,2023-11-11,2023-11-12,1582637688,1372073349,PLN1953,750488,PCN224,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,11,Mail Order,0,0,0,18.0,2.22,20.22,36.0,0.0,0.72,0.72,0.51,0,0,0,0,2023-12-11
RX0000011219,MBR00000308,2022-07-25,2022-07-27,1156021130,1868615543,PLN3393,838302,PCN635,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,91,8,Retail,2,0,0,45.0,10.02,55.02,3.0,48.36,3.66,0.6,0.425,0,0,0,0,2022-10-23
RX0000011220,MBR00000308,2021-05-22,2021-05-23,1814366530,1311476046,PLN9735,777260,PCN705,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,5,Retail,0,0,0,15.0,3.37,18.37,2.0,15.12,1.25,0.6,0.425,0,0,0,0,2021-06-21
RX0000011221,MBR00000308,2022-01-12,2022-01-13,1608516475,1403848267,PLN9387,447117,PCN735,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,3,Retail,0,0,0,370.0,10.24,380.24,30.0,330.27,19.97,14.8,10.4833,0,0,0,0,2022-02-11
RX0000011222,MBR00000308,2022-07-07,2022-07-09,1620729473,1850744813,PLN5321,715479,PCN421,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,91,5,Mail Order,0,0,0,1950.0,5.73,1955.73,37.0,1822.95,95.78,26.0,18.4167,0,0,0,0,2022-10-05
RX0000011223,MBR00000308,2021-03-02,2021-03-03,1406421579,1505264436,PLN6791,621431,PCN475,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,5,Retail,0,0,0,18.0,4.19,22.19,1.0,20.5,0.69,0.72,0.51,0,0,0,0,2021-04-01
RX0000011224,MBR00000308,2021-05-29,2021-06-01,1407267755,1360254381,PLN9483,663974,PCN807,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,10,Retail,0,0,0,650.0,11.28,661.28,40.0,590.94,30.34,26.0,18.4167,0,0,0,0,2021-06-28
RX0000011225,MBR00000308,2022-07-21,2022-07-24,1809908172,1523913877,PLN6107,138911,PCN377,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,4,Retail,3,1,0,8.0,7.72,15.72,148.0,0.0,0.99,0.32,0.2267,0,0,0,0,2022-08-20
RX0000011226,MBR00000308,2023-09-14,2023-09-16,1549915008,1542194098,PLN2349,619861,PCN158,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,11,Retail,0,0,0,370.0,11.69,381.69,31.0,328.43,22.26,14.8,10.4833,0,0,0,0,2023-10-14
RX0000011227,MBR00000308,2021-09-28,2021-09-30,1524250105,1130323374,PLN9946,590291,PCN244,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,5,Retail,1,0,0,45.0,3.51,48.51,0.0,46.31,2.2,1.8,1.275,0,0,0,0,2021-10-28
RX0000011228,MBR00000308,2022-03-10,2022-03-12,1549672987,1603569719,PLN1941,556032,PCN919,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,91,10,Retail,2,0,0,990.0,4.44,994.44,36.0,897.12,61.32,13.2,9.35,0,0,0,0,2022-06-08
RX0000011229,MBR00000308,2022-04-07,2022-04-08,1515255722,1804716024,PLN6075,797775,PCN192,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,0,Specialty,2,0,0,10.0,16.14,26.14,4.0,22.14,0.0,0.4,0.2833,0,0,0,0,2022-05-07
RX0000011230,MBR00000308,2023-01-12,2023-01-16,1764472791,1298262754,PLN3001,363185,PCN324,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,1,Retail,0,0,0,11.0,11.82,22.82,10.0,11.57,1.25,0.44,0.3117,1,0,0,0,2023-02-11
RX0000011231,MBR00000308,2022-11-11,2022-11-15,1436538742,1678725718,PLN4169,173405,PCN430,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,91,8,Retail,0,0,0,114.0,9.58,123.58,37.0,81.75,4.83,1.52,1.0767,0,0,0,0,2023-02-09
RX0000011232,MBR00000308,2023-12-25,2023-12-28,1538341273,1298326248,PLN6100,971239,PCN581,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,91,2,Retail,0,0,0,54.0,2.42,56.42,33.0,21.44,1.98,0.72,0.51,0,1,1,0,2024-03-24
RX0000011233,MBR00000308,2021-02-11,2021-02-15,1827689711,1140480726,PLN7318,552525,PCN415,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,11,Retail,0,0,0,38.0,11.42,49.42,7.0,39.16,3.26,1.52,1.0767,0,0,0,0,2021-03-13
RX0000011234,MBR00000308,2022-08-21,2022-08-23,1163133820,1514802759,PLN3240,318598,PCN735,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,1,Retail,1,0,0,10.0,2.71,12.71,10.0,1.83,0.88,0.4,0.2833,0,0,0,0,2022-09-20
RX0000011235,MBR00000308,2021-07-19,2021-07-23,1922887364,1468987576,PLN7763,448474,PCN519,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,81,0,Retail,0,0,0,135.0,11.2,146.2,6.0,131.75,8.45,1.8,1.275,0,0,0,0,2021-10-17
RX0000011236,MBR00000308,2021-11-27,2021-12-01,1762141784,1589524563,PLN5731,552490,PCN797,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,10,Mail Order,0,0,0,11.0,6.14,17.14,1.0,14.98,1.16,0.44,0.3117,0,0,0,0,2021-12-27
RX0000011237,MBR00000308,2022-04-22,2022-04-25,1609365564,1363681672,PLN9136,701687,PCN730,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,4,Mail Order,0,0,0,22.0,5.49,27.49,73.0,0.0,1.37,0.88,0.6233,0,0,0,0,2022-05-22
RX0000011238,MBR00000308,2021-05-18,2021-05-20,1216023191,1658559259,PLN5674,806967,PCN204,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,10,Retail,0,0,0,11.0,9.5,20.5,5.0,14.66,0.84,0.44,0.3117,0,0,0,0,2021-06-17
RX0000011239,MBR00000308,2022-02-09,2022-02-13,1304126736,1377036745,PLN6607,533682,PCN789,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,91,10,LTC,2,0,0,42.0,6.4,48.4,8.0,38.88,1.52,0.56,0.3967,0,0,0,0,2022-05-10
RX0000011240,MBR00000308,2022-09-19,2022-09-22,1610053593,1358846590,PLN3135,388049,PCN150,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,6,Retail,0,0,0,36.0,2.76,38.76,4.0,32.9,1.86,0.48,0.34,0,0,0,0,2022-12-18
RX0000011241,MBR00000308,2023-09-07,2023-09-10,1796441305,1392224872,PLN3964,346444,PCN513,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,82,2,Retail,0,0,0,960.0,10.61,970.61,37.0,866.48,67.13,12.8,9.0667,0,0,0,0,2023-12-06
RX0000011242,MBR00000308,2023-10-27,2023-10-29,1734027996,1166175999,PLN2521,207507,PCN213,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,3,Retail,0,0,0,15.0,5.11,20.11,1.0,18.4,0.71,0.6,0.425,0,0,0,0,2023-11-26
RX0000011243,MBR00000308,2023-09-05,2023-09-09,1174363920,1669599265,PLN2102,447831,PCN866,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,3,Retail,0,1,0,8.0,9.22,17.22,153.0,0.0,0.72,0.32,0.2267,0,0,0,0,2023-10-05
RX0000011244,MBR00000308,2021-12-02,2021-12-06,1933133089,1578661607,PLN9462,463915,PCN583,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,63,11,Retail,0,0,0,1500.0,6.0,1506.0,38.0,1418.11,49.89,30.0,21.25,0,0,0,0,2022-01-31
RX0000011245,MBR00000308,2021-03-29,2021-03-30,1131742701,1600195612,PLN9914,298254,PCN410,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,1,Retail,1,0,0,9.0,7.33,16.33,0.0,15.7,0.63,0.36,0.255,0,0,0,0,2021-04-28
RX0000011246,MBR00000308,2022-11-16,2022-11-19,1940410174,1390399560,PLN5361,285832,PCN374,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,2,Retail,0,0,0,8.5,8.29,16.79,10.0,5.98,0.81,0.34,0.2408,0,0,0,0,2022-12-16
RX0000011247,MBR00000308,2022-01-07,2022-01-11,1670382519,1174240392,PLN8691,207898,PCN196,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,56,5,Retail,0,0,0,370.0,8.36,378.36,39.0,313.13,26.23,7.4,5.2417,0,0,0,0,2022-03-08
RX0000011248,MBR00000308,2023-09-28,2023-10-02,1994618271,1298418460,PLN1228,118844,PCN739,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,11,Retail,2,0,0,380.0,9.98,389.98,34.0,335.14,20.84,15.2,10.7667,0,0,0,0,2023-10-28
RX0000011249,MBR00000309,2022-03-13,2022-03-15,1294528222,1899671783,PLN5918,748342,PCN685,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,1,Retail,0,0,0,2.8,5.23,8.03,8.0,0.0,0.44,0.48,0.34,0,0,0,0,2022-03-20
RX0000011250,MBR00000309,2023-05-05,2023-05-06,1935120755,1357902007,PLN5054,580826,PCN911,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,55,8,Retail,0,0,0,1900.0,3.48,1903.48,40.0,1800.57,62.91,38.0,26.9167,0,0,0,0,2023-07-04
RX0000011251,MBR00000309,2022-08-20,2022-08-23,1212127347,1171318467,PLN2512,680319,PCN484,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,5,Retail,1,0,0,22.0,9.24,31.24,65.0,0.0,1.49,0.88,0.6233,0,0,0,0,2022-09-19
RX0000011252,MBR00000309,2022-08-24,2022-08-25,1275383378,1435339403,PLN9795,296168,PCN391,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,59,11,Retail,0,0,0,25.0,2.15,27.15,4.0,22.07,1.08,0.5,0.3542,0,0,0,0,2022-10-23
RX0000011253,MBR00000309,2023-07-15,2023-07-16,1813750109,1494148650,PLN1171,454974,PCN741,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,1,Specialty,0,0,0,2.1,40.73,42.83,5.0,37.83,0.0,0.36,0.255,0,0,0,0,2023-07-22
RX0000011254,MBR00000309,2023-11-06,2023-11-08,1103046624,1739035149,PLN9760,738742,PCN301,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,81,2,Retail,0,0,0,30.0,6.05,36.05,10.0,23.67,2.38,0.4,0.2833,0,0,0,0,2024-02-04
RX0000011255,MBR00000309,2023-11-13,2023-11-17,1324764927,1865401979,PLN9770,626962,PCN149,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,83,11,Retail,0,0,0,36.0,5.24,41.24,4.0,35.04,2.2,0.48,0.34,0,0,0,0,2024-02-11
RX0000011256,MBR00000309,2023-07-08,2023-07-09,1489433360,1997945817,PLN2475,113888,PCN639,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,11,Retail,0,0,0,2.1,5.1,7.2,5.0,1.79,0.41,0.36,0.255,0,0,0,0,2023-07-15
RX0000011257,MBR00000309,2023-09-11,2023-09-13,1836425428,1517323387,PLN1013,495694,PCN547,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,94,1,Mail Order,0,0,0,990.0,8.53,998.53,38.0,894.27,66.26,13.2,9.35,0,0,0,0,2023-12-10
RX0000011258,MBR00000309,2022-06-02,2022-06-06,1977799222,1223176689,PLN6781,591539,PCN953,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,1,Retail,0,0,0,175.0,9.09,184.09,35.0,143.35,5.74,7.0,4.9583,0,0,0,0,2022-07-02
RX0000011259,MBR00000309,2021-07-13,2021-07-14,1625196815,1642601785,PLN1839,583348,PCN212,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,8,Retail,3,0,0,38.0,9.96,47.96,30.0,15.59,2.37,1.52,1.0767,0,0,0,0,2021-08-12
RX0000011260,MBR00000309,2022-11-14,2022-11-15,1135615883,1134461831,PLN1664,440197,PCN952,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,3,Retail,0,0,0,10.0,7.22,17.22,10.0,6.07,1.15,0.4,0.2833,1,0,0,0,2022-12-14
RX0000011261,MBR00000309,2021-09-27,2021-09-28,1617045268,1285858830,PLN2349,759715,PCN526,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,90,10,Retail,1,1,0,18600.0,5.97,18605.97,146.0,17781.5,678.47,248.0,175.6667,0,0,0,0,2021-12-26
RX0000011262,MBR00000309,2022-07-07,2022-07-09,1498167847,1336104900,PLN2413,479085,PCN599,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,5,Mail Order,0,0,0,320.0,10.11,330.11,34.0,273.18,22.93,12.8,9.0667,0,0,0,0,2022-08-06
RX0000011263,MBR00000309,2021-05-20,2021-05-23,1896930074,1556732480,PLN4701,840428,PCN852,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,0,0,0,320.0,4.12,324.12,32.0,273.88,18.24,12.8,9.0667,0,0,0,0,2021-06-19
RX0000011264,MBR00000309,2022-05-09,2022-05-13,1516798508,1115844626,PLN2094,607173,PCN736,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,4,Specialty,0,0,0,185.0,37.58,222.58,38.0,184.58,0.0,7.4,5.2417,1,1,1,0,2022-06-08
RX0000011265,MBR00000309,2023-10-12,2023-10-16,1940556079,1983626479,PLN6016,320339,PCN291,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,10,Mail Order,0,0,0,14.0,3.0,17.0,3.0,12.94,1.06,0.56,0.3967,0,0,0,0,2023-11-11
RX0000011266,MBR00000309,2021-04-05,2021-04-09,1934388414,1476191785,PLN4789,284326,PCN373,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,6,Mail Order,0,0,0,9.0,10.36,19.36,5.0,13.52,0.84,0.36,0.255,0,0,0,0,2021-05-05
RX0000011267,MBR00000309,2022-03-26,2022-03-30,1968186259,1961667870,PLN3529,764127,PCN422,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,8,Retail,0,0,0,16.0,2.01,18.01,1.0,15.98,1.03,0.64,0.4533,0,0,0,0,2022-04-25
RX0000011268,MBR00000309,2022-06-12,2022-06-14,1412526913,1184613369,PLN8495,417544,PCN166,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,62,8,Mail Order,0,0,0,36.0,8.52,44.52,1.0,41.68,1.84,0.72,0.51,0,0,0,0,2022-08-11
RX0000011269,MBR00000310,2023-03-18,2023-03-22,1772595557,1205119000,PLN2580,324473,PCN264,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,6,Specialty,0,0,0,9.0,36.58,45.58,9.0,36.58,0.0,0.36,0.255,0,0,0,0,2023-04-17
RX0000011270,MBR00000310,2021-12-26,2021-12-30,1180351749,1231068479,PLN2227,643283,PCN792,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,5,Retail,0,0,0,9.0,7.47,16.47,0.0,15.76,0.71,0.36,0.255,0,0,0,0,2022-01-25
RX0000011271,MBR00000310,2023-08-21,2023-08-23,1609134416,1538882629,PLN1282,675392,PCN696,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,3,Retail,0,0,0,2.1,5.65,7.75,1.0,6.29,0.46,0.36,0.255,0,0,0,0,2023-08-28
RX0000011272,MBR00000310,2021-01-18,2021-01-22,1595757227,1961820126,PLN9151,539418,PCN581,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,54,7,Retail,0,0,0,17.0,6.89,23.89,1.0,21.7,1.19,0.34,0.2408,0,0,0,0,2021-03-19
RX0000011273,MBR00000310,2023-04-08,2023-04-11,1459614820,1754736063,PLN5566,871080,PCN971,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,4,Retail,0,1,0,2800.0,8.45,2808.45,151.0,2465.87,191.58,112.0,79.3333,0,0,0,0,2023-05-08
RX0000011274,MBR00000310,2021-12-22,2021-12-26,1612952774,1332742947,PLN5701,106908,PCN793,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,4,Retail,0,0,0,310.0,4.99,314.99,31.0,267.43,16.56,12.4,8.7833,0,0,0,0,2022-01-21
RX0000011275,MBR00000310,2022-01-02,2022-01-04,1343042696,1160761834,PLN4890,156596,PCN507,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,8,Retail,0,0,0,950.0,2.47,952.47,40.0,864.99,47.48,38.0,26.9167,0,0,0,0,2022-02-01
RX0000011276,MBR00000310,2021-04-06,2021-04-07,1489281827,1912397140,PLN9102,472294,PCN215,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,86,8,Retail,0,0,0,2250.0,8.25,2258.25,39.0,2130.4,88.85,30.0,21.25,0,1,1,0,2021-07-05
RX0000011277,MBR00000310,2022-09-21,2022-09-22,1727504356,1542809683,PLN5029,481590,PCN502,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,0,Retail,0,0,0,38.0,2.8,40.8,5.0,33.82,1.98,1.52,1.0767,0,0,0,0,2022-10-21
RX0000011278,MBR00000310,2023-07-19,2023-07-22,1315427070,1395077580,PLN8504,189775,PCN400,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,6,Specialty,0,0,0,320.0,31.77,351.77,31.0,320.77,0.0,12.8,9.0667,0,0,0,0,2023-08-18
RX0000011279,MBR00000310,2023-01-16,2023-01-20,1205610599,1175481556,PLN5575,920986,PCN469,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,1,Retail,3,0,0,12.0,8.22,20.22,3.0,15.92,1.3,0.48,0.34,0,0,0,0,2023-02-15
RX0000011280,MBR00000310,2021-08-05,2021-08-07,1540844212,1624425646,PLN5794,340299,PCN864,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,1,Mail Order,0,0,0,370.0,5.9,375.9,39.0,312.53,24.37,14.8,10.4833,1,0,0,0,2021-09-04
RX0000011281,MBR00000310,2022-11-16,2022-11-17,1974034990,1530643310,PLN5457,634089,PCN166,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,1,Retail,0,0,0,38.0,4.95,42.95,33.0,8.33,1.62,1.52,1.0767,0,0,0,0,2022-12-16
RX0000011282,MBR00000310,2022-01-22,2022-01-25,1847131900,1441207886,PLN9019,995810,PCN444,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,4,Retail,0,0,0,2.8,10.57,13.37,0.0,12.83,0.54,0.48,0.34,0,0,0,0,2022-01-29
RX0000011283,MBR00000310,2023-06-04,2023-06-05,1748617869,1742288499,PLN9987,741139,PCN365,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,10,Retail,3,0,0,14.0,1.81,15.81,1.0,13.99,0.82,0.56,0.3967,0,0,0,0,2023-07-04
RX0000011284,MBR00000310,2022-12-05,2022-12-09,1715572904,1644192278,PLN1778,335951,PCN729,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,64,8,Retail,0,0,0,22.0,1.84,23.84,4.0,18.84,1.0,0.44,0.3117,0,0,0,0,2023-02-03
RX0000011285,MBR00000310,2021-01-08,2021-01-12,1158888930,1197912275,PLN8076,911714,PCN227,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,89,9,Retail,3,0,1,1110.0,4.45,1114.45,31.0,1019.45,64.0,14.8,10.4833,0,0,0,0,2021-04-08
RX0000011286,MBR00000310,2022-06-18,2022-06-21,1966814940,1277233850,PLN8721,245505,PCN710,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,91,6,Retail,0,1,0,36.0,3.67,39.67,153.0,0.0,2.01,0.48,0.34,0,0,0,0,2022-09-16
RX0000011287,MBR00000310,2021-03-02,2021-03-03,1505609833,1446682801,PLN2548,205223,PCN580,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,2,Retail,0,0,0,480.0,7.67,487.67,30.0,432.86,24.81,19.2,13.6,0,0,0,0,2021-04-01
RX0000011288,MBR00000310,2022-07-28,2022-08-01,1743320300,1843230350,PLN8017,426789,PCN484,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,10,Retail,0,0,0,310.0,2.84,312.84,31.0,268.86,12.98,12.4,8.7833,0,0,0,0,2022-08-27
RX0000011289,MBR00000310,2021-11-24,2021-11-27,1843925955,1726939895,PLN8990,117896,PCN176,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,10,Retail,0,0,0,18.0,4.07,22.07,6.0,14.66,1.41,0.72,0.51,0,0,0,0,2021-12-24
RX0000011290,MBR00000310,2021-12-18,2021-12-21,1807081606,1894289676,PLN3144,885828,PCN704,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,84,3,Specialty,0,0,0,33.0,29.02,62.02,7.0,55.02,0.0,0.44,0.3117,0,0,0,0,2022-03-18
RX0000011291,MBR00000311,2022-01-28,2022-01-29,1576906431,1459077437,PLN4794,666472,PCN364,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,1,Retail,0,0,0,9.0,10.53,19.53,6.0,12.91,0.62,0.36,0.255,0,0,0,0,2022-02-27
RX0000011292,MBR00000311,2021-04-30,2021-05-04,1335882977,1939650114,PLN6369,250682,PCN673,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,10,Retail,0,0,0,43.17,4.64,47.81,35.0,10.47,2.34,7.4,5.2417,0,0,0,0,2021-05-07
RX0000011293,MBR00000311,2023-03-18,2023-03-22,1779896689,1611624435,PLN4508,319472,PCN647,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,4,Retail,0,1,0,8.0,5.65,13.65,148.0,0.0,0.9,0.32,0.2267,1,0,0,0,2023-04-17
RX0000011294,MBR00000311,2023-02-13,2023-02-17,1251979677,1547324806,PLN3822,291191,PCN732,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,7,Retail,0,1,0,2.8,9.38,12.18,150.0,0.0,0.8,0.48,0.34,1,0,0,0,2023-02-20
RX0000011295,MBR00000311,2022-10-07,2022-10-10,1786096025,1204361261,PLN1173,918675,PCN259,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,8,Mail Order,0,0,0,22.0,9.69,31.69,73.0,0.0,1.05,0.88,0.6233,1,0,0,0,2022-11-06
RX0000011296,MBR00000311,2022-05-02,2022-05-06,1734590568,1848670219,PLN2415,479142,PCN221,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,5,Retail,0,0,0,330.0,1.53,331.53,34.0,276.99,20.54,13.2,9.35,0,0,0,0,2022-06-01
RX0000011297,MBR00000311,2023-05-03,2023-05-07,1906819780,1422919010,PLN1408,455443,PCN479,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,10,Retail,0,0,0,370.0,3.97,373.97,36.0,316.15,21.82,14.8,10.4833,0,0,0,0,2023-06-02
RX0000011298,MBR00000311,2021-04-25,2021-04-27,1245483824,1740598288,PLN3849,161368,PCN357,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,11,Retail,0,0,0,5.13,2.57,7.7,70.0,0.0,0.27,0.88,0.6233,1,0,0,0,2021-05-02
RX0000011299,MBR00000311,2022-04-12,2022-04-13,1305775546,1173387367,PLN7322,122318,PCN509,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,82,0,Retail,0,0,0,2250.0,5.23,2255.23,35.0,2069.98,150.25,30.0,21.25,0,0,0,0,2022-07-11
RX0000011300,MBR00000311,2021-06-02,2021-06-03,1353723397,1488501734,PLN9377,270056,PCN144,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,96,9,Retail,0,0,0,1140.0,8.97,1148.97,39.0,1054.32,55.65,15.2,10.7667,0,0,0,0,2021-08-31
RX0000011301,MBR00000311,2022-02-05,2022-02-09,1436863604,1943505384,PLN4839,832670,PCN820,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,8,Retail,0,0,0,10.0,10.64,20.64,9.0,10.81,0.83,0.4,0.2833,0,0,0,0,2022-03-07
RX0000011302,MBR00000311,2022-05-15,2022-05-19,1628000871,1729069799,PLN5971,120294,PCN972,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,3,Mail Order,0,0,0,9.0,5.04,14.04,9.0,4.52,0.52,0.36,0.255,0,0,0,0,2022-06-14
RX0000011303,MBR00000311,2023-11-12,2023-11-13,1829992018,1325288908,PLN2720,213580,PCN609,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,2,Retail,0,0,0,5.13,5.08,10.21,5.0,4.7,0.51,0.88,0.6233,1,0,0,0,2023-11-19
RX0000011304,MBR00000311,2021-02-28,2021-03-01,1205614399,1212758518,PLN3879,752868,PCN675,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,4,LTC,0,0,0,10.5,1.9,12.4,0.0,11.59,0.81,1.8,1.275,0,0,0,0,2021-03-07
RX0000011305,MBR00000311,2023-06-01,2023-06-04,1231888902,1153116170,PLN9820,766076,PCN500,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,8,Retail,0,0,0,28.0,5.78,33.78,7.0,25.17,1.61,1.12,0.7933,0,0,0,0,2023-07-01
RX0000011306,MBR00000311,2022-11-24,2022-11-28,1410167393,1918915676,PLN4156,516141,PCN891,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,94,1,Mail Order,0,0,0,990.0,7.81,997.81,38.0,912.12,47.69,13.2,9.35,0,0,0,0,2023-02-22
RX0000011307,MBR00000311,2021-02-25,2021-02-26,1395660124,1616960367,PLN1018,954757,PCN322,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,4,Mail Order,0,0,0,310.0,7.22,317.22,36.0,269.63,11.59,12.4,8.7833,0,0,0,0,2021-03-27
RX0000011308,MBR00000311,2021-04-07,2021-04-08,1517835516,1932987950,PLN1907,552163,PCN476,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Specialty,0,0,0,38.0,21.2,59.2,3.0,56.2,0.0,1.52,1.0767,0,0,0,0,2021-05-07
RX0000011309,MBR00000311,2023-05-01,2023-05-03,1930027645,1421876294,PLN7102,339266,PCN981,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,2,Retail,0,0,0,16.0,11.97,27.97,1.0,25.03,1.94,0.64,0.4533,0,0,0,0,2023-05-31
RX0000011310,MBR00000311,2023-12-20,2023-12-22,1809697932,1598269459,PLN9567,294751,PCN938,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,58,8,Mail Order,1,0,0,90.0,7.05,97.05,8.0,82.42,6.63,1.8,1.275,0,0,0,0,2024-02-18
RX0000011311,MBR00000311,2023-07-09,2023-07-13,1247522560,1576512950,PLN2789,945119,PCN996,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,93,8,Retail,0,0,0,30.0,5.73,35.73,5.0,28.44,2.29,0.4,0.2833,0,0,0,0,2023-10-07
RX0000011312,MBR00000311,2023-06-09,2023-06-13,1901345824,1407703049,PLN5871,254117,PCN594,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,3,Mail Order,0,1,0,6200.0,3.72,6203.72,147.0,5629.68,427.04,248.0,175.6667,0,0,0,0,2023-07-09
RX0000011313,MBR00000311,2021-08-10,2021-08-11,1905466490,1464385267,PLN2880,109846,PCN324,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,1,Retail,3,0,0,185.0,2.82,187.82,39.0,140.58,8.24,7.4,5.2417,0,0,0,0,2021-09-09
RX0000011314,MBR00000311,2023-04-24,2023-04-25,1829610436,1269848653,PLN4123,321247,PCN433,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,83,2,Mail Order,0,0,0,54.0,8.98,62.98,32.0,28.76,2.22,0.72,0.51,0,0,0,0,2023-07-23
RX0000011315,MBR00000311,2021-03-06,2021-03-09,1864691137,1543125269,PLN8675,264846,PCN153,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,92,1,Retail,0,0,0,54.0,11.53,65.53,40.0,21.16,4.37,0.72,0.51,0,0,0,0,2021-06-04
RX0000011316,MBR00000311,2021-01-16,2021-01-20,1527251858,1420684055,PLN7611,734840,PCN321,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,2,Mail Order,0,0,0,650.0,8.27,658.27,34.0,583.48,40.79,26.0,18.4167,0,0,0,0,2021-02-15
RX0000011317,MBR00000311,2021-02-10,2021-02-13,1655670891,1411142548,PLN3770,133615,PCN781,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,84,10,Mail Order,0,0,0,555.0,8.06,563.06,30.0,511.29,21.77,7.4,5.2417,0,0,0,0,2021-05-11
RX0000011318,MBR00000311,2022-05-11,2022-05-13,1666239545,1123604233,PLN1011,293898,PCN497,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,8,Retail,0,0,0,15.0,2.08,17.08,0.0,16.5,0.58,0.6,0.425,0,0,0,0,2022-06-10
RX0000011319,MBR00000311,2021-04-16,2021-04-20,1846748367,1405355452,PLN2069,138829,PCN234,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,59,4,Retail,0,0,0,350.0,10.83,360.83,40.0,298.83,22.0,7.0,4.9583,0,0,0,0,2021-06-15
RX0000011320,MBR00000311,2021-01-01,2021-01-04,1998006724,1987226988,PLN7236,731899,PCN733,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,0,Retail,0,0,0,14.0,8.01,22.01,5.0,15.53,1.48,0.56,0.3967,0,0,0,0,2021-01-31
RX0000011321,MBR00000311,2022-06-07,2022-06-08,1923153984,1637677648,PLN3740,330952,PCN225,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,94,6,Retail,0,0,0,42.0,7.67,49.67,6.0,40.96,2.71,0.56,0.3967,0,0,0,0,2022-09-05
RX0000011322,MBR00000311,2022-02-24,2022-02-26,1902403328,1893758143,PLN5938,576957,PCN192,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,9,Specialty,0,0,0,72.33,47.33,119.67,35.0,84.67,0.0,12.4,8.7833,0,0,0,0,2022-03-03
RX0000011323,MBR00000311,2021-10-21,2021-10-22,1441649998,1942561373,PLN9421,581644,PCN793,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,2,Mail Order,2,0,0,18.0,7.71,25.71,8.0,16.87,0.84,0.72,0.51,0,0,0,0,2021-11-20
RX0000011324,MBR00000311,2021-03-27,2021-03-31,1256839994,1428938228,PLN1084,444348,PCN633,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,8,Retail,0,0,0,65.0,2.21,67.21,31.0,33.13,3.08,2.6,1.8417,0,0,0,0,2021-04-26
RX0000011325,MBR00000311,2022-12-18,2022-12-21,1670870916,1685418130,PLN5826,759436,PCN722,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,83,3,Retail,0,0,0,42.0,2.95,44.95,8.0,34.67,2.28,0.56,0.3967,0,1,0,0,2023-03-18
RX0000011326,MBR00000311,2022-02-14,2022-02-17,1470381884,1803045302,PLN6599,625128,PCN270,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,4,Mail Order,0,0,0,11.0,9.2,20.2,4.0,15.45,0.75,0.44,0.3117,0,0,0,0,2022-03-16
RX0000011327,MBR00000312,2021-02-22,2021-02-26,1741095905,1485014646,PLN8124,396712,PCN922,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,3,Retail,0,0,0,15.0,2.57,17.57,10.0,6.74,0.83,0.6,0.425,0,0,0,0,2021-03-24
RX0000011328,MBR00000312,2021-06-24,2021-06-25,1140995188,1953631032,PLN3563,498266,PCN127,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,2,Specialty,0,0,0,650.0,45.22,695.22,38.0,657.22,0.0,26.0,18.4167,0,0,0,0,2021-07-24
RX0000011329,MBR00000312,2023-05-01,2023-05-03,1398849377,1191331335,PLN9161,208012,PCN673,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,5,Retail,0,0,0,9.0,2.81,11.81,3.0,8.09,0.72,0.36,0.255,0,0,0,0,2023-05-31
RX0000011330,MBR00000312,2022-10-03,2022-10-06,1858521329,1631935391,PLN4265,382067,PCN820,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,10,Retail,0,0,0,11.0,1.57,12.57,5.0,7.01,0.56,0.44,0.3117,0,0,0,0,2022-11-02
RX0000011331,MBR00000312,2021-01-12,2021-01-16,1623672153,1198808805,PLN9468,393878,PCN930,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,3,Retail,3,0,0,480.0,4.87,484.87,32.0,432.41,20.46,19.2,13.6,0,0,0,0,2021-02-11
RX0000011332,MBR00000312,2022-12-11,2022-12-14,1256953377,1330878169,PLN8001,204264,PCN147,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,9,Retail,0,0,0,650.0,2.18,652.18,31.0,580.22,40.96,26.0,18.4167,0,0,0,0,2023-01-10
RX0000011333,MBR00000312,2022-06-26,2022-06-28,1803014592,1605648469,PLN4556,980065,PCN713,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,93,7,Mail Order,0,0,0,54.0,5.93,59.93,2.0,53.93,4.0,0.72,0.51,0,0,0,0,2022-09-24
RX0000011334,MBR00000312,2023-12-21,2023-12-23,1462855052,1592572946,PLN8610,593707,PCN494,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,57,4,Retail,0,0,0,56.0,6.69,62.69,10.0,49.57,3.12,1.12,0.7933,1,0,0,0,2024-02-19
RX0000011335,MBR00000312,2021-08-30,2021-09-02,1693939484,1947046860,PLN4381,632986,PCN421,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,0,Retail,0,0,0,12.0,1.66,13.66,7.0,5.73,0.93,0.48,0.34,0,0,0,0,2021-09-29
RX0000011336,MBR00000312,2023-04-30,2023-05-01,1737167529,1603252790,PLN6264,233924,PCN443,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,5,Specialty,0,0,0,18.0,26.2,44.2,1.0,43.2,0.0,0.72,0.51,0,0,0,0,2023-05-30
RX0000011337,MBR00000312,2022-06-09,2022-06-11,1767309515,1445219076,PLN2744,138132,PCN665,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,96,10,Mail Order,0,0,0,66.0,6.59,72.59,5.0,63.79,3.8,0.88,0.6233,0,0,0,0,2022-09-07
RX0000011338,MBR00000312,2021-10-23,2021-10-26,1534019391,1303066324,PLN4638,618054,PCN219,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,10,Mail Order,0,0,0,14.0,4.19,18.19,4.0,13.42,0.77,0.56,0.3967,0,0,0,0,2021-11-22
RX0000011339,MBR00000312,2023-01-14,2023-01-17,1806819610,1690660356,PLN4121,850674,PCN998,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,60,2,Retail,0,0,0,760.0,11.79,771.79,40.0,687.24,44.55,15.2,10.7667,0,0,0,0,2023-03-15
RX0000011340,MBR00000312,2021-10-31,2021-11-03,1440200181,1720095206,PLN7605,509189,PCN102,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,1,Mail Order,0,0,0,18.0,2.76,20.76,1.0,18.69,1.07,0.72,0.51,1,0,0,0,2021-11-30
RX0000011341,MBR00000312,2021-12-14,2021-12-18,1847205473,1556688248,PLN8595,341537,PCN328,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,5,Retail,0,0,0,10.0,3.76,13.76,0.0,13.34,0.42,0.4,0.2833,0,0,0,0,2022-01-13
RX0000011342,MBR00000312,2022-06-10,2022-06-12,1803004862,1641849546,PLN4677,602565,PCN111,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,83,0,Retail,0,0,0,30.0,6.8,36.8,3.0,32.58,1.22,0.4,0.2833,0,1,0,0,2022-09-08
RX0000011343,MBR00000312,2021-10-15,2021-10-17,1550657107,1918950052,PLN8490,159689,PCN561,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,96,9,Retail,0,0,0,525.0,8.16,533.16,33.0,477.59,22.57,7.0,4.9583,0,0,0,0,2022-01-13
RX0000011344,MBR00000312,2023-03-16,2023-03-19,1624544869,1679698841,PLN4187,924371,PCN269,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,84,6,Retail,0,0,0,37.5,2.52,40.02,7.0,30.78,2.24,0.5,0.3542,0,0,0,0,2023-06-14
RX0000011345,MBR00000312,2022-05-20,2022-05-24,1948213866,1306020634,PLN7734,636457,PCN472,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,11,Mail Order,0,0,0,30.0,5.81,35.81,10.0,24.4,1.41,0.4,0.2833,0,0,0,0,2022-08-18
RX0000011346,MBR00000312,2023-09-23,2023-09-24,1222320508,1681827476,PLN8994,210794,PCN654,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,3,Mail Order,2,0,0,18.0,10.83,28.83,32.0,0.0,1.25,0.72,0.51,0,1,1,0,2023-10-23
RX0000011347,MBR00000312,2021-01-18,2021-01-20,1505353155,1101518014,PLN6307,129113,PCN749,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,95,0,Mail Order,0,0,0,42.0,9.34,51.34,5.0,44.66,1.68,0.56,0.3967,0,0,0,0,2021-04-18
RX0000011348,MBR00000313,2023-11-18,2023-11-21,1760326486,1950638954,PLN4616,289645,PCN287,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,5,Retail,0,0,0,22.0,11.44,33.44,75.0,0.0,1.65,0.88,0.6233,0,0,0,0,2023-12-18
RX0000011349,MBR00000313,2022-12-17,2022-12-21,1608187244,1319556923,PLN4827,963256,PCN518,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,11,Retail,3,0,0,10.0,8.4,18.4,6.0,11.65,0.75,0.4,0.2833,0,0,0,0,2023-01-16
RX0000011350,MBR00000313,2023-10-03,2023-10-07,1990248365,1465627477,PLN4426,952116,PCN809,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,5,Retail,0,0,0,14.0,8.73,22.73,1.0,20.8,0.93,0.56,0.3967,0,0,0,0,2023-11-02
RX0000011351,MBR00000313,2021-10-19,2021-10-21,1262916153,1748573145,PLN7952,710827,PCN962,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,89,0,Mail Order,0,0,0,2250.0,7.98,2257.98,40.0,2100.5,117.48,30.0,21.25,0,0,0,0,2022-01-17
RX0000011352,MBR00000313,2022-12-05,2022-12-07,1296372670,1888667891,PLN9641,705696,PCN109,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,6,Retail,0,0,0,175.0,6.48,181.48,31.0,141.7,8.78,7.0,4.9583,0,0,0,0,2023-01-04
RX0000011353,MBR00000313,2022-05-11,2022-05-14,1108534174,1644644952,PLN4505,551849,PCN537,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,6,Retail,0,0,0,10.0,4.58,14.58,9.0,5.03,0.55,0.4,0.2833,0,0,0,0,2022-06-10
RX0000011354,MBR00000313,2021-11-19,2021-11-22,1187130049,1761720839,PLN2847,159307,PCN192,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,83,2,Retail,0,0,0,195.0,3.77,198.77,40.0,150.1,8.67,2.6,1.8417,1,0,0,0,2022-02-17
RX0000011355,MBR00000313,2022-05-03,2022-05-04,1501286658,1565591056,PLN6518,410874,PCN861,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,0,Retail,0,0,0,750.0,5.94,755.94,30.0,694.64,31.3,30.0,21.25,0,1,1,0,2022-06-02
RX0000011356,MBR00000313,2022-09-03,2022-09-07,1188587181,1582516865,PLN7341,205983,PCN650,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,81,7,Retail,0,0,0,1950.0,7.54,1957.54,38.0,1838.52,81.02,26.0,18.4167,0,0,0,0,2022-12-02
RX0000011357,MBR00000313,2022-11-20,2022-11-22,1977873834,1588848747,PLN6639,476199,PCN639,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,5,Retail,0,0,0,12.5,10.88,23.38,0.0,22.09,1.29,0.5,0.3542,0,0,0,0,2022-12-20
RX0000011358,MBR00000313,2022-01-23,2022-01-26,1844113241,1298268440,PLN2456,258913,PCN277,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,4,Retail,0,0,0,16.0,8.85,24.85,7.0,16.13,1.72,0.64,0.4533,0,0,0,0,2022-02-22
RX0000011359,MBR00000313,2023-05-23,2023-05-25,1580470402,1217255261,PLN5881,929482,PCN320,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,8,Mail Order,0,0,0,10.0,5.65,15.65,1.0,14.15,0.5,0.4,0.2833,0,0,0,0,2023-06-22
RX0000011360,MBR00000313,2022-11-08,2022-11-10,1589510031,1767042728,PLN3289,462447,PCN906,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,85,10,Retail,0,0,0,525.0,3.56,528.56,40.0,465.71,22.85,7.0,4.9583,1,0,0,0,2023-02-06
RX0000011361,MBR00000313,2023-12-20,2023-12-23,1626009248,1381552374,PLN6903,340365,PCN846,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,0,Retail,0,0,0,750.0,4.15,754.15,32.0,682.77,39.38,30.0,21.25,0,0,0,0,2024-01-19
RX0000011362,MBR00000313,2023-09-04,2023-09-06,1900648008,1523216323,PLN9234,266908,PCN118,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,57,5,Retail,0,0,0,960.0,9.19,969.19,32.0,904.86,32.33,19.2,13.6,0,0,0,0,2023-11-03
RX0000011363,MBR00000313,2021-10-04,2021-10-08,1962414050,1542395697,PLN2442,811193,PCN768,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,2,Retail,0,0,0,10.0,5.26,15.26,5.0,9.26,1.0,0.4,0.2833,0,0,0,0,2021-11-03
RX0000011364,MBR00000313,2023-08-21,2023-08-24,1440881497,1797363861,PLN6421,211445,PCN796,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,7,Retail,0,0,0,45.0,1.84,46.84,2.0,41.91,2.93,1.8,1.275,0,0,0,0,2023-09-20
RX0000011365,MBR00000313,2022-03-28,2022-03-29,1591238806,1913930756,PLN5075,234440,PCN804,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,11,Mail Order,0,0,0,9.0,6.05,15.05,4.0,10.56,0.49,0.36,0.255,0,0,0,0,2022-04-27
RX0000011366,MBR00000313,2021-05-31,2021-06-04,1571951917,1245007670,PLN4132,907209,PCN752,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,6,Retail,0,1,0,2.8,11.55,14.35,154.0,0.0,0.88,0.48,0.34,0,0,0,0,2021-06-07
RX0000011367,MBR00000313,2021-06-21,2021-06-25,1757003792,1391090107,PLN7736,742067,PCN775,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,85,7,Retail,0,0,0,42.0,10.1,52.1,0.0,49.76,2.34,0.56,0.3967,0,0,0,0,2021-09-19
RX0000011368,MBR00000313,2023-10-12,2023-10-16,1863769678,1798391504,PLN6486,304825,PCN886,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,9,Retail,0,0,0,2.57,2.01,4.58,1.0,3.3,0.28,0.44,0.3117,0,0,0,0,2023-10-19
RX0000011369,MBR00000313,2021-11-06,2021-11-08,1246795062,1273029481,PLN3960,631156,PCN856,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,3,Retail,0,1,0,2800.0,2.26,2802.26,155.0,2457.78,189.48,112.0,79.3333,0,0,0,0,2021-12-06
RX0000011370,MBR00000313,2023-11-04,2023-11-06,1999106180,1804295453,PLN9626,515944,PCN328,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,1,Retail,0,0,0,9.0,3.24,12.24,5.0,6.62,0.62,0.36,0.255,0,0,0,0,2023-12-04
RX0000011371,MBR00000313,2022-09-26,2022-09-30,1537981687,1988893378,PLN4550,579684,PCN272,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,2,Retail,0,0,0,38.0,8.9,46.9,2.0,42.03,2.87,1.52,1.0767,0,0,0,0,2022-10-26
RX0000011372,MBR00000313,2022-05-18,2022-05-21,1864377378,1288709037,PLN7481,707205,PCN546,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,0,Retail,3,1,0,12.0,10.19,22.19,153.0,0.0,0.69,0.48,0.34,0,0,0,0,2022-06-17
RX0000011373,MBR00000314,2021-07-28,2021-08-01,1268608871,1826840157,PLN5945,769755,PCN693,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,9,LTC,0,0,0,11.0,7.52,18.52,1.0,16.84,0.68,0.44,0.3117,0,1,0,0,2021-08-27
RX0000011374,MBR00000314,2023-03-18,2023-03-22,1472836976,1490135953,PLN2981,698627,PCN341,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,6,Retail,0,0,0,2.8,11.33,14.13,4.0,9.23,0.9,0.48,0.34,0,0,0,0,2023-03-25
RX0000011375,MBR00000314,2023-12-15,2023-12-17,1781391577,1482588550,PLN8366,675908,PCN603,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,4,Mail Order,2,0,0,10.0,10.32,20.32,1.0,18.64,0.68,0.4,0.2833,0,0,0,0,2024-01-14
RX0000011376,MBR00000314,2022-09-14,2022-09-17,1874131700,1347809604,PLN8612,277963,PCN585,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,4,Retail,0,0,0,28.0,9.78,37.78,4.0,32.59,1.19,1.12,0.7933,0,0,0,0,2022-10-14
RX0000011377,MBR00000314,2022-09-04,2022-09-06,1546161410,1247269371,PLN6854,726809,PCN480,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,10,Specialty,1,0,0,320.0,38.55,358.55,31.0,327.55,0.0,12.8,9.0667,0,0,0,0,2022-10-04
RX0000011378,MBR00000314,2021-12-21,2021-12-23,1131880572,1905896109,PLN5725,363210,PCN497,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,11,Retail,0,0,0,42.0,8.36,50.36,0.0,47.29,3.07,0.56,0.3967,0,1,0,0,2022-03-21
RX0000011379,MBR00000314,2023-12-10,2023-12-14,1591137224,1144861516,PLN9132,188354,PCN990,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,7,Mail Order,0,0,0,2.57,11.73,14.3,2.0,11.87,0.43,0.44,0.3117,0,0,0,0,2023-12-17
RX0000011380,MBR00000314,2021-09-22,2021-09-25,1772137182,1114313058,PLN2457,982441,PCN108,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,91,7,Retail,0,0,0,33.0,10.26,43.26,2.0,38.74,2.52,0.44,0.3117,0,0,0,0,2021-12-21
RX0000011381,MBR00000314,2023-09-23,2023-09-24,1477004021,1670709294,PLN6985,900536,PCN875,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,3,Retail,0,0,0,9.0,7.87,16.87,0.0,16.07,0.8,0.36,0.255,0,0,0,0,2023-10-23
RX0000011382,MBR00000314,2023-03-02,2023-03-03,1528736304,1330677666,PLN6422,431604,PCN314,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,5,Retail,2,0,0,9.0,9.17,18.17,2.0,15.18,0.99,0.36,0.255,0,0,0,0,2023-04-01
RX0000011383,MBR00000314,2021-11-22,2021-11-26,1109567413,1206279906,PLN2431,412388,PCN584,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,11,Retail,0,0,0,45.0,7.24,52.24,3.0,45.98,3.26,1.8,1.275,0,0,0,0,2021-12-22
RX0000011384,MBR00000314,2022-10-22,2022-10-23,1327787015,1829401566,PLN9245,629868,PCN957,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,7,Mail Order,0,0,0,10.0,10.71,20.71,4.0,15.35,1.36,0.4,0.2833,0,0,0,0,2022-11-21
RX0000011385,MBR00000314,2021-08-13,2021-08-15,1603458156,1795594864,PLN1344,369466,PCN910,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,8,Retail,0,0,0,15.0,6.01,21.01,2.0,18.12,0.89,0.6,0.425,1,0,0,0,2021-09-12
RX0000011386,MBR00000314,2022-06-05,2022-06-08,1116026454,1658342186,PLN1970,152826,PCN379,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,2,Retail,0,0,0,7.5,2.81,10.31,3.0,6.86,0.45,0.3,0.2125,0,0,0,0,2022-07-05
RX0000011387,MBR00000314,2022-04-17,2022-04-20,1721050597,1629167850,PLN8554,880497,PCN954,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,82,4,Retail,0,0,0,30.0,4.79,34.79,5.0,27.4,2.39,0.4,0.2833,0,0,0,0,2022-07-16
RX0000011388,MBR00000314,2023-10-19,2023-10-23,1894612706,1315359448,PLN8150,563676,PCN712,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,91,10,Retail,3,1,0,36.0,8.46,44.46,147.0,0.0,1.72,0.48,0.34,0,0,0,0,2024-01-17
RX0000011389,MBR00000314,2023-03-21,2023-03-24,1844738488,1716087226,PLN5104,595806,PCN226,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,10,Retail,3,0,0,175.0,2.17,177.17,30.0,137.85,9.32,7.0,4.9583,0,0,0,0,2023-04-20
RX0000011390,MBR00000314,2023-08-19,2023-08-23,1889040861,1783152278,PLN8987,414310,PCN566,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,5,Mail Order,0,0,0,11.0,11.63,22.63,10.0,11.12,1.51,0.44,0.3117,0,0,0,0,2023-09-18
RX0000011391,MBR00000314,2021-12-01,2021-12-03,1198455415,1432118671,PLN4163,635591,PCN322,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,10,Retail,2,0,0,8.5,7.38,15.88,1.0,13.78,1.1,0.34,0.2408,0,0,0,0,2021-12-31
RX0000011392,MBR00000314,2023-11-28,2023-11-30,1501048003,1903334580,PLN7149,264375,PCN739,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,1,Retail,0,0,0,14.0,9.65,23.65,4.0,18.41,1.24,0.56,0.3967,0,0,0,0,2023-12-28
RX0000011393,MBR00000314,2022-12-12,2022-12-14,1568844849,1756104922,PLN8804,766739,PCN916,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,6,Specialty,3,0,1,285.0,22.62,307.62,37.0,270.62,0.0,11.4,8.075,0,0,0,0,2023-01-11
RX0000011394,MBR00000314,2021-12-03,2021-12-06,1718875096,1862999126,PLN6516,888868,PCN381,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,1,Retail,0,0,0,9.0,6.14,15.14,10.0,4.39,0.75,0.36,0.255,0,0,0,0,2022-01-02
RX0000011395,MBR00000314,2023-09-27,2023-09-28,1446391454,1748856959,PLN9524,852174,PCN467,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,11,Mail Order,0,0,0,14.0,8.63,22.63,1.0,20.23,1.4,0.56,0.3967,0,0,0,0,2023-10-27
RX0000011396,MBR00000314,2021-03-19,2021-03-20,1515569415,1922102925,PLN2683,780623,PCN132,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,6,Mail Order,1,0,0,151.67,6.77,158.44,32.0,117.69,8.75,26.0,18.4167,0,0,0,0,2021-03-26
RX0000011397,MBR00000314,2023-03-06,2023-03-07,1111410980,1970204837,PLN5920,362886,PCN356,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,92,6,Specialty,0,0,0,37.5,17.58,55.08,3.0,52.08,0.0,0.5,0.3542,0,0,0,0,2023-06-04
RX0000011398,MBR00000314,2021-08-18,2021-08-19,1294402911,1836808426,PLN2297,614515,PCN264,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,6,Retail,0,0,0,2.8,3.28,6.08,0.0,5.66,0.42,0.48,0.34,0,1,0,0,2021-08-25
RX0000011399,MBR00000314,2023-07-31,2023-08-01,1625371846,1475691814,PLN3713,610323,PCN165,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,11,Mail Order,0,0,0,18.0,6.09,24.09,0.0,22.79,1.3,0.72,0.51,0,0,0,0,2023-08-30
RX0000011400,MBR00000314,2021-07-25,2021-07-28,1434239774,1247978202,PLN3347,159597,PCN405,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,5,Retail,0,0,0,370.0,6.65,376.65,31.0,323.63,22.02,14.8,10.4833,0,0,0,0,2021-08-24
RX0000011401,MBR00000315,2022-10-18,2022-10-21,1773919619,1143598305,PLN8074,145191,PCN747,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,1,Mail Order,0,1,0,8.0,1.81,9.81,155.0,0.0,0.55,0.32,0.2267,0,0,0,0,2022-11-17
RX0000011402,MBR00000315,2023-04-09,2023-04-13,1825654045,1297913566,PLN5998,234012,PCN926,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,8,Specialty,0,0,0,950.0,13.18,963.18,35.0,928.18,0.0,38.0,26.9167,0,0,0,0,2023-05-09
RX0000011403,MBR00000315,2022-12-25,2022-12-27,1241432359,1602450987,PLN8585,699226,PCN392,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,10,Mail Order,0,0,0,380.0,2.23,382.23,35.0,330.4,16.83,15.2,10.7667,0,0,0,0,2023-01-24
RX0000011404,MBR00000315,2021-11-09,2021-11-10,1835840222,1663345883,PLN1382,589262,PCN139,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,58,7,Retail,0,0,0,1900.0,4.8,1904.8,34.0,1787.98,82.82,38.0,26.9167,0,0,0,0,2022-01-08
RX0000011405,MBR00000315,2021-01-03,2021-01-05,1108954887,1455063681,PLN8514,784990,PCN981,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,87,0,Retail,1,0,0,135.0,11.64,146.64,8.0,134.16,4.48,1.8,1.275,0,0,0,0,2021-04-03
RX0000011406,MBR00000315,2023-09-14,2023-09-15,1547711862,1503315697,PLN2460,499600,PCN567,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,8,Retail,0,0,0,10.0,7.98,17.98,4.0,13.08,0.9,0.4,0.2833,0,0,0,0,2023-10-14
RX0000011407,MBR00000315,2023-04-05,2023-04-08,1126663498,1839439996,PLN7481,789238,PCN846,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,2,Specialty,0,0,0,10.0,49.44,59.44,9.0,50.44,0.0,0.4,0.2833,0,0,0,0,2023-05-05
RX0000011408,MBR00000315,2021-11-25,2021-11-28,1714054192,1206390148,PLN6970,890554,PCN393,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,6,Retail,0,0,0,285.0,3.97,288.97,36.0,234.08,18.89,11.4,8.075,0,0,0,0,2021-12-25
RX0000011409,MBR00000315,2022-11-15,2022-11-16,1301277359,1561707812,PLN6877,304422,PCN722,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,94,6,Specialty,0,0,0,30.0,28.8,58.8,6.0,52.8,0.0,0.4,0.2833,0,0,0,0,2023-02-13
RX0000011410,MBR00000315,2023-05-13,2023-05-16,1522408667,1649777983,PLN7803,412452,PCN433,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,7,Retail,0,0,0,15.17,8.57,23.74,40.0,0.0,0.78,2.6,1.8417,0,0,0,0,2023-05-20
RX0000011411,MBR00000315,2022-08-07,2022-08-09,1112695740,1615705825,PLN7408,781099,PCN696,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,88,8,Retail,0,0,0,135.0,10.17,145.17,3.0,134.58,7.59,1.8,1.275,0,0,0,0,2022-11-05
RX0000011412,MBR00000315,2021-12-14,2021-12-15,1110156871,1227239871,PLN9508,600919,PCN982,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,54,7,Specialty,0,0,0,76.0,30.5,106.5,2.0,104.5,0.0,1.52,1.0767,0,0,0,0,2022-02-12
RX0000011413,MBR00000315,2021-12-07,2021-12-09,1843042913,1478170198,PLN6059,907144,PCN119,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,64,11,Retail,0,0,0,32.0,7.92,39.92,10.0,27.8,2.12,0.64,0.4533,0,0,0,0,2022-02-05
RX0000011414,MBR00000315,2023-06-29,2023-07-03,1451438829,1910259904,PLN8064,317962,PCN412,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,7,Retail,0,0,0,8.5,10.9,19.4,1.0,17.16,1.24,0.34,0.2408,0,0,0,0,2023-07-29
RX0000011415,MBR00000315,2021-04-03,2021-04-06,1612059735,1545418586,PLN9244,648619,PCN828,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,60,4,Mail Order,1,0,0,1300.0,8.07,1308.07,32.0,1194.29,81.78,26.0,18.4167,0,0,0,0,2021-06-02
RX0000011416,MBR00000315,2021-10-09,2021-10-11,1328149560,1292283922,PLN4227,353506,PCN710,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,65,8,Specialty,0,0,0,28.0,35.18,63.18,6.0,57.18,0.0,0.56,0.3967,0,0,0,0,2021-12-08
RX0000011417,MBR00000315,2022-11-07,2022-11-11,1394115343,1230660419,PLN9520,911478,PCN507,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,81,9,Retail,0,0,0,30.0,1.98,31.98,9.0,20.77,2.21,0.4,0.2833,0,0,0,0,2023-02-05
RX0000011418,MBR00000315,2022-12-02,2022-12-05,1360632811,1904535201,PLN3985,856472,PCN998,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,84,6,Mail Order,0,1,0,8400.0,10.28,8410.28,154.0,7965.01,291.27,112.0,79.3333,0,0,0,0,2023-03-02
RX0000011419,MBR00000315,2021-08-17,2021-08-20,1358724909,1112832902,PLN9868,989806,PCN193,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,1,Retail,0,0,0,65.0,6.24,71.24,36.0,32.36,2.88,2.6,1.8417,0,0,0,0,2021-09-16
RX0000011420,MBR00000315,2022-02-16,2022-02-19,1362019345,1274683862,PLN1521,674230,PCN772,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,10,Retail,0,0,0,11.0,2.74,13.74,7.0,6.07,0.67,0.44,0.3117,0,0,0,0,2022-03-18
RX0000011421,MBR00000315,2021-11-27,2021-11-28,1138980356,1770589991,PLN7417,944955,PCN481,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,2,Retail,0,0,0,650.0,5.96,655.96,34.0,577.07,44.89,26.0,18.4167,0,0,0,0,2021-12-27
RX0000011422,MBR00000315,2021-11-13,2021-11-16,1839794404,1395557450,PLN2676,432305,PCN508,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,8,Mail Order,0,0,0,330.0,9.31,339.31,30.0,296.89,12.42,13.2,9.35,0,1,1,0,2021-12-13
RX0000011423,MBR00000315,2021-11-28,2021-11-29,1949060433,1701796153,PLN4694,160760,PCN430,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,96,0,Specialty,2,0,0,135.0,28.47,163.47,7.0,156.47,0.0,1.8,1.275,0,0,0,0,2022-02-26
RX0000011424,MBR00000315,2023-09-02,2023-09-03,1991180664,1878841778,PLN1086,917351,PCN386,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,96,11,Specialty,0,0,0,36.0,23.47,59.47,1.0,58.47,0.0,0.48,0.34,0,0,0,0,2023-12-01
RX0000011425,MBR00000315,2023-12-02,2023-12-04,1122781622,1774923250,PLN1377,661666,PCN757,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,3,Mail Order,0,0,0,650.0,1.8,651.8,38.0,568.57,45.23,26.0,18.4167,0,0,0,0,2024-01-01
RX0000011426,MBR00000315,2021-02-20,2021-02-23,1414328990,1207361235,PLN3844,961260,PCN786,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,85,4,Retail,0,0,0,960.0,10.78,970.78,40.0,890.96,39.82,12.8,9.0667,0,0,0,0,2021-05-21
RX0000011427,MBR00000315,2021-05-24,2021-05-27,1500049399,1936924308,PLN2482,145790,PCN492,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,4,Retail,0,0,0,9.0,4.9,13.9,0.0,13.39,0.51,0.36,0.255,0,0,0,0,2021-06-23
RX0000011428,MBR00000315,2023-01-22,2023-01-23,1500146810,1400908010,PLN7452,139936,PCN608,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,0,Specialty,0,0,0,38.0,13.01,51.01,40.0,11.01,0.0,1.52,1.0767,0,0,0,0,2023-02-21
RX0000011429,MBR00000316,2021-09-22,2021-09-26,1914093825,1106344677,PLN6753,623310,PCN493,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,58,7,Mail Order,0,0,0,640.0,2.26,642.26,36.0,583.47,22.79,12.8,9.0667,0,0,0,0,2021-11-21
RX0000011430,MBR00000316,2022-09-10,2022-09-12,1119313043,1512927405,PLN8526,679203,PCN586,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,6,Mail Order,0,0,0,10.5,3.92,14.42,3.0,10.44,0.98,1.8,1.275,0,0,0,0,2022-09-17
RX0000011431,MBR00000316,2023-05-04,2023-05-06,1258341681,1975035794,PLN9858,352154,PCN479,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,7,Mail Order,0,0,0,18.0,3.44,21.44,30.0,0.0,1.35,0.72,0.51,0,0,0,0,2023-06-03
RX0000011432,MBR00000316,2023-04-18,2023-04-21,1826494995,1411828169,PLN4443,301146,PCN169,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,90,2,Retail,0,0,0,54.0,6.57,60.57,1.0,55.6,3.97,0.72,0.51,0,0,0,0,2023-07-17
RX0000011433,MBR00000316,2023-07-03,2023-07-06,1933856450,1316524257,PLN2039,271166,PCN916,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,8,Retail,0,0,0,16.0,2.4,18.4,2.0,15.32,1.08,0.64,0.4533,0,0,0,0,2023-08-02
RX0000011434,MBR00000316,2022-11-18,2022-11-21,1145166646,1289340125,PLN3281,387672,PCN109,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,85,5,Retail,0,0,0,45.0,8.64,53.64,9.0,41.42,3.22,0.6,0.425,0,0,0,0,2023-02-16
RX0000011435,MBR00000316,2023-07-04,2023-07-08,1701651515,1838542380,PLN1687,554054,PCN246,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,4,Retail,0,0,0,480.0,11.16,491.16,40.0,432.65,18.51,19.2,13.6,0,0,0,0,2023-08-03
RX0000011436,MBR00000316,2021-09-03,2021-09-05,1723997558,1186632825,PLN5042,642015,PCN830,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,1,Specialty,0,0,0,12.0,22.91,34.91,4.0,30.91,0.0,0.48,0.34,0,0,0,0,2021-10-03
RX0000011437,MBR00000316,2021-01-27,2021-01-29,1793455471,1283523390,PLN3640,673358,PCN719,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,7,Retail,0,1,0,2800.0,5.75,2805.75,153.0,2557.24,95.51,112.0,79.3333,0,0,0,0,2021-02-26
RX0000011438,MBR00000316,2022-04-15,2022-04-19,1466951271,1100939331,PLN1163,603820,PCN916,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,9,Retail,0,0,0,16.0,6.09,22.09,3.0,17.85,1.24,0.64,0.4533,0,0,0,0,2022-05-15
RX0000011439,MBR00000316,2021-06-03,2021-06-06,1651767042,1133227995,PLN7791,196925,PCN776,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,3,Retail,0,0,0,8.5,6.45,14.95,9.0,4.97,0.98,0.34,0.2408,0,0,0,0,2021-07-03
RX0000011440,MBR00000316,2022-11-02,2022-11-05,1798140367,1964072185,PLN2735,861649,PCN207,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,3,Mail Order,0,0,0,11.0,6.6,17.6,2.0,14.58,1.02,0.44,0.3117,0,0,0,0,2022-12-02
RX0000011441,MBR00000316,2021-09-26,2021-09-30,1913555775,1448028630,PLN2405,106337,PCN666,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,6,Specialty,0,0,0,14.0,33.72,47.72,0.0,47.72,0.0,0.56,0.3967,0,0,0,0,2021-10-26
RX0000011442,MBR00000316,2021-01-13,2021-01-14,1168548860,1943780275,PLN9686,139722,PCN592,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,3,Retail,0,1,0,12.0,11.5,23.5,145.0,0.0,1.02,0.48,0.34,0,0,0,0,2021-02-12
RX0000011443,MBR00000316,2023-10-08,2023-10-12,1939836756,1372682946,PLN2078,236183,PCN885,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,89,5,Retail,0,0,0,114.0,10.41,124.41,0.0,119.63,4.78,1.52,1.0767,0,0,0,0,2024-01-06
RX0000011444,MBR00000316,2021-04-28,2021-05-01,1157366823,1219756904,PLN9155,331147,PCN269,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,4,Retail,0,0,0,950.0,8.84,958.84,30.0,863.64,65.2,38.0,26.9167,0,0,0,0,2021-05-28
RX0000011445,MBR00000316,2022-08-01,2022-08-03,1157063382,1874135818,PLN2759,173497,PCN693,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,8,Retail,0,1,0,2800.0,5.52,2805.52,150.0,2496.0,159.52,112.0,79.3333,0,0,0,0,2022-08-31
RX0000011446,MBR00000316,2021-02-14,2021-02-16,1276321766,1243608773,PLN4137,766919,PCN754,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,2,Mail Order,1,0,0,5.13,3.61,8.74,73.0,0.0,0.39,0.88,0.6233,0,0,0,0,2021-02-21
RX0000011447,MBR00000316,2021-11-16,2021-11-18,1865867049,1936262529,PLN1728,811050,PCN459,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,10,Mail Order,0,0,0,12.5,6.32,18.82,5.0,13.13,0.69,0.5,0.3542,0,0,0,0,2021-12-16
RX0000011448,MBR00000316,2021-09-18,2021-09-22,1910543131,1311919304,PLN1812,862233,PCN120,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,7,Retail,0,0,0,74.67,2.95,77.62,31.0,43.35,3.27,12.8,9.0667,0,0,0,0,2021-09-25
RX0000011449,MBR00000316,2023-10-16,2023-10-17,1887857737,1334872223,PLN8449,389826,PCN373,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,5,Mail Order,0,0,0,43.17,2.2,45.37,38.0,5.96,1.41,7.4,5.2417,0,0,0,0,2023-10-23
RX0000011450,MBR00000316,2022-11-17,2022-11-20,1196207815,1982837444,PLN1852,317249,PCN939,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,5,Retail,0,0,0,12.0,3.69,15.69,3.0,11.63,1.06,0.48,0.34,0,0,0,0,2022-12-17
RX0000011451,MBR00000316,2021-08-28,2021-08-29,1819705124,1684454622,PLN3755,855255,PCN926,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,65,3,Retail,0,0,0,76.0,6.2,82.2,5.0,72.52,4.68,1.52,1.0767,0,0,0,0,2021-10-27
RX0000011452,MBR00000316,2022-05-21,2022-05-22,1912720496,1497958693,PLN6559,642163,PCN668,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,7,Mail Order,2,0,0,480.0,2.17,482.17,40.0,423.81,18.36,19.2,13.6,0,0,0,0,2022-06-20
RX0000011453,MBR00000316,2022-03-21,2022-03-22,1454750913,1613352507,PLN4039,978495,PCN603,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,84,10,Retail,0,0,0,54.0,7.85,61.85,1.0,57.7,3.15,0.72,0.51,0,0,0,0,2022-06-19
RX0000011454,MBR00000316,2022-03-30,2022-04-02,1588924570,1568459063,PLN1946,445937,PCN824,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,3,Retail,0,0,0,45.0,1.51,46.51,3.0,41.92,1.59,1.8,1.275,0,0,0,0,2022-04-29
RX0000011455,MBR00000316,2021-02-11,2021-02-13,1317772459,1735987018,PLN2980,802060,PCN570,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,8,Retail,0,0,0,2.33,1.65,3.99,9.0,0.0,0.16,0.4,0.2833,0,0,0,0,2021-02-18
RX0000011456,MBR00000317,2023-10-18,2023-10-20,1153246155,1196297757,PLN9822,904673,PCN108,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,1,Mail Order,0,1,0,1.87,1.52,3.38,152.0,0.0,0.23,0.32,0.2267,0,0,0,0,2023-10-25
RX0000011457,MBR00000317,2022-08-22,2022-08-23,1399874587,1384461393,PLN1978,487482,PCN365,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,0,Retail,0,0,0,185.0,10.37,195.37,36.0,146.54,12.83,7.4,5.2417,0,0,0,0,2022-09-21
RX0000011458,MBR00000317,2021-07-26,2021-07-29,1192284835,1625800491,PLN5238,251789,PCN438,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,5,Mail Order,0,0,0,15.0,8.45,23.45,4.0,17.88,1.57,0.6,0.425,0,0,0,0,2021-08-25
RX0000011459,MBR00000317,2021-07-23,2021-07-25,1325350502,1262879367,PLN8416,828503,PCN601,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,4,Retail,0,0,0,480.0,10.23,490.23,30.0,445.44,14.79,19.2,13.6,0,1,1,0,2021-08-22
RX0000011460,MBR00000317,2021-06-04,2021-06-05,1116165148,1987274901,PLN7455,485709,PCN861,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,10,Retail,0,0,0,22.0,4.76,26.76,6.0,19.26,1.5,0.88,0.6233,0,0,0,0,2021-07-04
RX0000011461,MBR00000317,2022-03-08,2022-03-11,1823041249,1762122269,PLN6835,791129,PCN478,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,11,Retail,0,1,0,8.0,4.54,12.54,149.0,0.0,0.84,0.32,0.2267,0,0,0,0,2022-04-07
RX0000011462,MBR00000317,2023-01-04,2023-01-05,1480075967,1480387776,PLN2038,513718,PCN387,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,3,Retail,0,0,0,12.0,4.47,16.47,2.0,13.84,0.63,0.48,0.34,0,0,0,0,2023-02-03
RX0000011463,MBR00000317,2021-08-13,2021-08-16,1730807661,1920166115,PLN7602,565773,PCN104,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,85,3,Mail Order,0,0,0,84.0,6.16,90.16,5.0,81.79,3.37,1.12,0.7933,0,0,0,0,2021-11-11
RX0000011464,MBR00000317,2022-08-29,2022-09-01,1236033493,1517311597,PLN3720,814714,PCN808,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,4,Mail Order,0,0,0,310.0,4.27,314.27,34.0,264.85,15.42,12.4,8.7833,0,0,0,0,2022-09-28
RX0000011465,MBR00000317,2021-08-28,2021-08-31,1436888923,1343478829,PLN4119,592913,PCN786,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,4,Retail,0,0,0,14.0,11.8,25.8,2.0,22.67,1.13,0.56,0.3967,0,0,0,0,2021-09-27
RX0000011466,MBR00000317,2022-10-07,2022-10-09,1996442252,1565745669,PLN9456,638921,PCN640,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,95,11,Retail,0,0,0,30.0,2.77,32.77,4.0,26.57,2.2,0.4,0.2833,0,0,0,0,2023-01-05
RX0000011467,MBR00000317,2022-10-11,2022-10-12,1877424646,1129773547,PLN5171,177319,PCN794,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,9,Retail,0,0,0,175.0,10.16,185.16,39.0,139.3,6.86,7.0,4.9583,0,0,0,0,2022-11-10
RX0000011468,MBR00000317,2021-02-17,2021-02-19,1722776587,1589928080,PLN4749,543804,PCN215,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,7,Mail Order,0,0,0,7.5,2.89,10.39,5.0,4.89,0.5,0.3,0.2125,1,0,0,0,2021-03-19
RX0000011469,MBR00000317,2023-10-08,2023-10-11,1626982178,1864492414,PLN1292,853848,PCN448,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,6,Mail Order,0,1,0,2800.0,5.46,2805.46,146.0,2522.43,137.03,112.0,79.3333,0,0,0,0,2023-11-07
RX0000011470,MBR00000317,2022-07-20,2022-07-23,1866199493,1129704987,PLN8831,957143,PCN209,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,85,3,Mail Order,0,0,0,36.0,1.51,37.51,3.0,32.22,2.29,0.48,0.34,1,0,0,0,2022-10-18
RX0000011471,MBR00000317,2022-07-14,2022-07-17,1846037047,1881270007,PLN4685,380061,PCN400,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,5,Retail,1,0,0,14.0,4.1,18.1,7.0,10.48,0.62,0.56,0.3967,0,0,0,0,2022-08-13
RX0000011472,MBR00000317,2023-09-16,2023-09-20,1255709561,1547878943,PLN1087,389979,PCN919,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,3,Retail,0,0,0,14.0,9.99,23.99,8.0,14.46,1.53,0.56,0.3967,0,0,0,0,2023-10-16
RX0000011473,MBR00000317,2022-09-29,2022-10-02,1405463690,1241365425,PLN2875,117231,PCN234,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,95,8,Retail,0,0,0,66.0,4.9,70.9,6.0,59.97,4.93,0.88,0.6233,0,0,0,0,2022-12-28
RX0000011474,MBR00000317,2023-04-18,2023-04-19,1127135056,1492428610,PLN8974,411175,PCN630,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,6,Mail Order,0,1,0,6200.0,10.72,6210.72,153.0,5810.46,247.26,248.0,175.6667,0,1,1,0,2023-05-18
RX0000011475,MBR00000317,2023-04-08,2023-04-11,1247822574,1407780405,PLN1181,666040,PCN802,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,54,3,Retail,0,0,0,640.0,9.48,649.48,30.0,589.09,30.39,12.8,9.0667,0,0,0,0,2023-06-07
RX0000011476,MBR00000317,2021-05-17,2021-05-21,1859774285,1313381621,PLN7557,313168,PCN856,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,1,Retail,0,1,0,6200.0,6.09,6206.09,148.0,5843.4,214.69,248.0,175.6667,0,0,0,0,2021-06-16
RX0000011477,MBR00000317,2023-12-08,2023-12-11,1502399558,1145746671,PLN3616,496377,PCN337,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,9,Retail,0,0,0,14.0,2.4,16.4,5.0,10.53,0.87,0.56,0.3967,0,0,0,0,2024-01-07
RX0000011478,MBR00000317,2021-06-23,2021-06-25,1662383073,1143345109,PLN1594,334294,PCN145,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,1,Specialty,0,0,0,750.0,12.8,762.8,38.0,724.8,0.0,30.0,21.25,0,0,0,0,2021-07-23
RX0000011479,MBR00000318,2022-11-29,2022-12-01,1903190261,1322702052,PLN8997,365229,PCN465,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,1,Mail Order,3,0,0,10.0,10.93,20.93,9.0,11.15,0.78,0.4,0.2833,0,0,0,0,2022-12-29
RX0000011480,MBR00000318,2022-10-03,2022-10-07,1307203532,1203609591,PLN3927,203231,PCN392,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,6,Retail,0,0,0,18.0,10.82,28.82,1.0,26.93,0.89,0.72,0.51,1,0,0,0,2022-11-02
RX0000011481,MBR00000318,2021-04-17,2021-04-20,1642175568,1832958943,PLN1453,665629,PCN930,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,1,Retail,0,1,0,2800.0,6.52,2806.52,148.0,2537.81,120.71,112.0,79.3333,0,0,0,0,2021-05-17
RX0000011482,MBR00000318,2022-12-26,2022-12-30,1497143347,1696304542,PLN7196,274670,PCN233,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,10,Retail,2,1,0,6200.0,3.63,6203.63,148.0,5687.69,367.94,248.0,175.6667,0,0,0,0,2023-01-25
RX0000011483,MBR00000318,2023-12-14,2023-12-15,1854475950,1423931712,PLN8245,179528,PCN146,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,92,8,Retail,0,0,0,27.0,11.18,38.18,4.0,31.58,2.6,0.36,0.255,0,0,0,0,2024-03-13
RX0000011484,MBR00000318,2023-08-29,2023-08-30,1916670624,1741429113,PLN1639,566202,PCN382,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,0,Retail,0,0,0,7.5,9.42,16.92,6.0,9.96,0.96,0.3,0.2125,0,0,0,0,2023-09-28
RX0000011485,MBR00000318,2021-07-10,2021-07-14,1603987288,1276449757,PLN3790,332761,PCN912,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,4,Retail,0,0,0,380.0,4.12,384.12,34.0,328.72,21.4,15.2,10.7667,0,0,0,0,2021-08-09
RX0000011486,MBR00000318,2022-08-09,2022-08-10,1600419449,1396673788,PLN3290,691642,PCN414,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,10,Retail,0,0,0,285.0,6.12,291.12,32.0,242.39,16.73,11.4,8.075,0,0,0,0,2022-09-08
RX0000011487,MBR00000318,2021-07-23,2021-07-24,1145633802,1247661716,PLN6251,196651,PCN619,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,59,9,Retail,0,0,0,24.0,11.8,35.8,5.0,29.33,1.47,0.48,0.34,0,1,0,0,2021-09-21
RX0000011488,MBR00000318,2021-05-14,2021-05-15,1538098097,1610652671,PLN9707,352174,PCN292,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,94,11,Mail Order,1,0,0,30.0,3.36,33.36,2.0,29.33,2.03,0.4,0.2833,0,0,0,0,2021-08-12
RX0000011489,MBR00000318,2021-04-06,2021-04-07,1771543063,1700285974,PLN6161,663788,PCN936,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,96,2,Retail,0,0,0,30.0,11.6,41.6,1.0,38.01,2.59,0.4,0.2833,0,0,0,0,2021-07-05
RX0000011490,MBR00000318,2022-09-09,2022-09-10,1653976936,1457158179,PLN8762,972769,PCN102,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,5,Retail,0,0,0,18.0,7.71,25.71,34.0,0.0,1.22,0.72,0.51,0,0,0,0,2022-10-09
RX0000011491,MBR00000318,2023-04-27,2023-05-01,1251619557,1876839971,PLN6549,560208,PCN245,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,2,Retail,0,0,0,22.0,4.12,26.12,73.0,0.0,1.79,0.88,0.6233,0,0,0,0,2023-05-27
RX0000011492,MBR00000318,2021-06-04,2021-06-08,1740469370,1711078455,PLN4253,521348,PCN653,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,86,1,Mail Order,0,0,0,33.0,9.92,42.92,8.0,33.51,1.41,0.44,0.3117,0,0,0,0,2021-09-02
RX0000011493,MBR00000318,2023-10-05,2023-10-08,1705629743,1320572307,PLN6142,747828,PCN103,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,6,Specialty,0,0,0,18.0,16.03,34.03,7.0,27.03,0.0,0.72,0.51,1,0,0,0,2023-11-04
RX0000011494,MBR00000318,2023-04-10,2023-04-13,1494468101,1362599296,PLN5757,382322,PCN223,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,61,1,Mail Order,0,0,0,24.0,11.54,35.54,1.0,33.37,1.17,0.48,0.34,0,0,0,0,2023-06-09
RX0000011495,MBR00000318,2021-04-29,2021-05-02,1957766587,1471308558,PLN1012,969815,PCN344,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,0,Retail,0,1,0,8500.0,5.72,8505.72,150.0,7965.39,390.33,340.0,240.8333,0,0,0,0,2021-05-29
RX0000011496,MBR00000318,2022-10-06,2022-10-09,1659641650,1550270868,PLN5465,556134,PCN390,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,1,Retail,3,0,0,330.0,8.13,338.13,32.0,295.18,10.95,13.2,9.35,0,0,0,0,2022-11-05
RX0000011497,MBR00000318,2023-08-04,2023-08-05,1887731706,1487222436,PLN4531,502008,PCN912,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,8,Retail,0,0,0,4.2,9.07,13.27,8.0,4.52,0.75,0.72,0.51,0,0,0,0,2023-08-11
RX0000011498,MBR00000318,2021-07-21,2021-07-22,1715934251,1357655026,PLN8589,885380,PCN531,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,6,Retail,0,1,0,2.8,3.5,6.3,154.0,0.0,0.41,0.48,0.34,0,0,0,0,2021-07-28
RX0000011499,MBR00000318,2023-09-15,2023-09-17,1519750218,1952640821,PLN7893,409249,PCN753,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,62,9,Retail,0,0,0,20.0,11.39,31.39,9.0,20.72,1.67,0.4,0.2833,0,0,0,0,2023-11-14
RX0000011500,MBR00000318,2023-03-17,2023-03-20,1924393276,1939461277,PLN8198,751179,PCN111,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,11,Retail,0,0,0,285.0,4.04,289.04,31.0,238.41,19.63,11.4,8.075,0,0,0,0,2023-04-16
RX0000011501,MBR00000318,2022-04-24,2022-04-27,1351278420,1168365964,PLN2668,868479,PCN942,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,60,0,Retail,0,0,0,44.0,5.92,49.92,70.0,0.0,1.8,0.88,0.6233,0,0,0,0,2022-06-23
RX0000011502,MBR00000318,2022-10-04,2022-10-08,1703122314,1986516521,PLN7450,719864,PCN136,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,83,3,Specialty,0,0,0,36.0,48.24,84.24,1.0,83.24,0.0,0.48,0.34,1,0,0,0,2023-01-02
RX0000011503,MBR00000318,2023-01-01,2023-01-02,1417511534,1610106433,PLN2444,637002,PCN148,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,5,Retail,0,0,0,66.5,9.59,76.09,35.0,36.85,4.24,11.4,8.075,0,0,0,0,2023-01-08
RX0000011504,MBR00000318,2022-05-31,2022-06-02,1202415737,1111808671,PLN8192,892413,PCN867,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,11,Mail Order,0,1,0,6200.0,9.11,6209.11,147.0,5823.19,238.92,248.0,175.6667,0,0,0,0,2022-06-30
RX0000011505,MBR00000318,2023-04-01,2023-04-02,1649317082,1159582017,PLN3116,838157,PCN216,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,7,Retail,3,0,0,10.0,9.36,19.36,7.0,11.47,0.89,0.4,0.2833,0,0,0,0,2023-05-01
RX0000011506,MBR00000318,2023-06-01,2023-06-02,1617698232,1808074445,PLN6783,914353,PCN721,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,8,Mail Order,3,0,0,22.0,8.95,30.95,71.0,0.0,1.08,0.88,0.6233,0,0,0,0,2023-07-01
RX0000011507,MBR00000318,2022-10-07,2022-10-10,1647957915,1418540027,PLN3218,956375,PCN802,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,89,3,Retail,0,0,0,135.0,5.56,140.56,10.0,125.1,5.46,1.8,1.275,0,0,0,0,2023-01-05
RX0000011508,MBR00000318,2023-08-03,2023-08-07,1108645673,1862215890,PLN6995,815093,PCN287,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,9,Retail,0,0,0,185.0,11.97,196.97,40.0,145.21,11.76,7.4,5.2417,0,0,0,0,2023-09-02
RX0000011509,MBR00000318,2023-10-29,2023-10-31,1140196747,1310071787,PLN1870,143532,PCN954,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,60,0,Retail,0,0,0,22.0,4.2,26.2,0.0,25.03,1.17,0.44,0.3117,0,0,0,0,2023-12-28
RX0000011510,MBR00000318,2022-02-06,2022-02-08,1253077230,1355358209,PLN5635,855379,PCN209,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,3,Retail,0,0,0,88.67,9.31,97.97,40.0,53.4,4.57,15.2,10.7667,0,0,0,0,2022-02-13
RX0000011511,MBR00000318,2021-11-06,2021-11-09,1949745685,1576296236,PLN2259,788299,PCN406,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,57,8,Mail Order,0,0,0,640.0,6.26,646.26,32.0,574.93,39.33,12.8,9.0667,0,0,0,0,2022-01-05
RX0000011512,MBR00000318,2023-01-24,2023-01-27,1818661047,1909133530,PLN4566,401715,PCN718,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,94,4,Retail,0,0,0,1110.0,9.86,1119.86,40.0,1040.83,39.03,14.8,10.4833,0,0,0,0,2023-04-24
RX0000011513,MBR00000318,2021-01-22,2021-01-26,1939155834,1388453140,PLN5291,421729,PCN436,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,4,Retail,0,0,0,9.0,10.57,19.57,6.0,12.79,0.78,0.36,0.255,0,0,0,0,2021-02-21
RX0000011514,MBR00000318,2022-03-02,2022-03-04,1912972549,1597072362,PLN4086,417948,PCN285,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,3,Mail Order,0,1,0,1446.67,9.44,1456.1,146.0,1241.34,68.76,248.0,175.6667,0,0,0,0,2022-03-09
RX0000011515,MBR00000318,2022-03-25,2022-03-28,1510592691,1582113460,PLN2237,237748,PCN391,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,7,Retail,0,0,0,4.2,9.37,13.57,2.0,10.65,0.92,0.72,0.51,0,0,0,0,2022-04-01
RX0000011516,MBR00000318,2022-08-15,2022-08-16,1622564633,1944047421,PLN8437,417022,PCN180,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,97,0,Mail Order,0,1,0,18600.0,9.13,18609.13,150.0,17178.86,1280.27,248.0,175.6667,0,0,0,0,2022-11-13
RX0000011517,MBR00000318,2023-03-02,2023-03-06,1919477132,1107418888,PLN1217,271687,PCN964,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,8,Retail,0,0,0,185.0,3.73,188.73,39.0,138.41,11.32,7.4,5.2417,0,0,0,0,2023-04-01
RX0000011518,MBR00000318,2022-01-24,2022-01-27,1784466617,1165112813,PLN7048,251868,PCN898,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,0,Mail Order,0,0,0,480.0,2.47,482.47,33.0,426.09,23.38,19.2,13.6,0,1,1,0,2022-02-23
RX0000011519,MBR00000318,2022-08-06,2022-08-08,1863939876,1217273328,PLN7837,284749,PCN909,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,0,Mail Order,0,0,0,18.0,9.39,27.39,4.0,22.29,1.1,0.72,0.51,0,0,0,0,2022-09-05
RX0000011520,MBR00000318,2023-09-07,2023-09-11,1341865131,1586793243,PLN5838,644852,PCN884,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,8,Retail,0,0,0,320.0,1.56,321.56,37.0,268.62,15.94,12.8,9.0667,0,0,0,0,2023-10-07
RX0000011521,MBR00000318,2021-10-21,2021-10-25,1195640593,1656963055,PLN8230,213249,PCN276,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,57,7,Retail,0,0,0,660.0,2.14,662.14,34.0,597.26,30.88,13.2,9.35,1,0,0,0,2021-12-20
RX0000011522,MBR00000318,2022-08-31,2022-09-01,1307391843,1784172824,PLN6478,985203,PCN197,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,62,10,Mail Order,0,0,0,56.0,3.18,59.18,0.0,56.53,2.65,1.12,0.7933,0,0,0,0,2022-10-30
RX0000011523,MBR00000318,2023-05-03,2023-05-06,1433915071,1212570407,PLN3650,656382,PCN818,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,97,6,Retail,1,0,0,1110.0,11.09,1121.09,30.0,1022.43,68.66,14.8,10.4833,0,0,0,0,2023-08-01
RX0000011524,MBR00000319,2023-08-11,2023-08-13,1620516790,1598740673,PLN2634,204641,PCN387,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,2,Retail,0,1,0,12.0,1.69,13.69,149.0,0.0,0.84,0.48,0.34,0,0,0,0,2023-09-10
RX0000011525,MBR00000319,2022-11-18,2022-11-22,1616100207,1953432512,PLN2134,596723,PCN184,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,65,8,Retail,0,0,0,1500.0,9.77,1509.77,31.0,1378.09,100.68,30.0,21.25,0,0,0,0,2023-01-17
RX0000011526,MBR00000319,2023-08-07,2023-08-11,1564832460,1535816258,PLN7035,356432,PCN871,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,92,2,Retail,0,0,0,42.0,4.8,46.8,3.0,41.04,2.76,0.56,0.3967,0,0,0,0,2023-11-05
RX0000011527,MBR00000319,2021-12-06,2021-12-10,1254456171,1998514979,PLN2534,425492,PCN428,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,10,Retail,0,0,0,15.0,3.61,18.61,2.0,15.38,1.23,0.6,0.425,0,0,0,0,2022-01-05
RX0000011528,MBR00000319,2021-11-02,2021-11-03,1224551451,1538434588,PLN4135,213766,PCN461,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,5,Retail,0,0,0,10.0,3.85,13.85,5.0,8.28,0.57,0.4,0.2833,0,0,0,0,2021-12-02
RX0000011529,MBR00000319,2023-12-21,2023-12-25,1396831048,1674458675,PLN5762,535293,PCN996,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,55,8,Retail,0,1,0,24.0,7.41,31.41,152.0,0.0,1.05,0.48,0.34,0,0,0,0,2024-02-19
RX0000011530,MBR00000319,2021-09-15,2021-09-17,1926073019,1378206595,PLN1208,108228,PCN173,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,0,Retail,0,0,0,14.0,2.48,16.48,3.0,12.44,1.04,0.56,0.3967,0,0,0,0,2021-10-15
RX0000011531,MBR00000319,2021-11-28,2021-11-29,1610660931,1431808790,PLN6527,192616,PCN236,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,61,0,Retail,0,0,0,36.0,4.58,40.58,37.0,1.61,1.97,0.72,0.51,0,0,0,0,2022-01-27
RX0000011532,MBR00000319,2022-05-24,2022-05-25,1903377318,1533902493,PLN1632,613981,PCN174,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,88,0,Retail,0,0,0,195.0,11.04,206.04,32.0,164.19,9.85,2.6,1.8417,0,0,0,0,2022-08-22
RX0000011533,MBR00000319,2021-07-02,2021-07-06,1762843202,1693708828,PLN3139,228752,PCN434,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,11,Mail Order,0,0,0,10.0,6.01,16.01,9.0,6.4,0.61,0.4,0.2833,0,1,0,0,2021-08-01
RX0000011534,MBR00000319,2023-01-23,2023-01-27,1975741107,1722830799,PLN2870,735591,PCN514,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,1,Mail Order,2,0,0,480.0,7.55,487.55,34.0,430.55,23.0,19.2,13.6,0,0,0,0,2023-02-22
RX0000011535,MBR00000319,2023-06-22,2023-06-26,1432938012,1258326235,PLN2892,839847,PCN445,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,97,3,Retail,0,0,0,1950.0,6.34,1956.34,35.0,1814.28,107.06,26.0,18.4167,0,0,0,0,2023-09-20
RX0000011536,MBR00000319,2023-08-30,2023-09-02,1196407681,1544998720,PLN5932,291555,PCN529,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,5,Mail Order,0,0,0,14.0,5.39,19.39,9.0,9.54,0.85,0.56,0.3967,0,0,0,0,2023-09-29
RX0000011537,MBR00000319,2023-11-05,2023-11-06,1743530977,1346189722,PLN2410,778247,PCN516,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,2,Mail Order,0,0,0,185.0,7.08,192.08,36.0,146.88,9.2,7.4,5.2417,0,0,0,0,2023-12-05
RX0000011538,MBR00000319,2021-05-22,2021-05-26,1737412003,1635226136,PLN1879,696341,PCN740,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,10,Mail Order,0,1,0,8500.0,8.51,8508.51,149.0,7860.0,499.51,340.0,240.8333,0,0,0,0,2021-06-21
RX0000011539,MBR00000319,2023-02-01,2023-02-03,1363052344,1762244956,PLN2360,790002,PCN289,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,0,Mail Order,3,0,0,175.0,6.24,181.24,34.0,134.68,12.56,7.0,4.9583,0,0,0,0,2023-03-03
RX0000011540,MBR00000319,2022-04-24,2022-04-25,1166642853,1709365978,PLN1553,923446,PCN782,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,10,Retail,0,0,0,9.0,5.85,14.85,1.0,12.91,0.94,0.36,0.255,0,0,0,0,2022-05-24
RX0000011541,MBR00000319,2021-01-09,2021-01-12,1388052747,1988561890,PLN1998,234073,PCN894,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,0,Retail,3,0,0,750.0,8.85,758.85,35.0,674.38,49.47,30.0,21.25,0,0,0,0,2021-02-08
RX0000011542,MBR00000320,2022-03-27,2022-03-28,1461041734,1563873525,PLN8343,239708,PCN197,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,2,Retail,0,0,0,370.0,10.4,380.4,40.0,316.98,23.42,14.8,10.4833,0,1,1,0,2022-04-26
RX0000011543,MBR00000320,2022-11-11,2022-11-15,1128018907,1414894724,PLN4250,965142,PCN734,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,0,Mail Order,0,0,0,9.0,8.43,17.43,7.0,9.3,1.13,0.36,0.255,0,0,0,0,2022-12-11
RX0000011544,MBR00000320,2022-03-15,2022-03-19,1716318195,1677224140,PLN3084,971669,PCN153,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,9,Retail,0,0,0,14.0,6.15,20.15,6.0,13.02,1.13,0.56,0.3967,0,0,0,0,2022-04-14
RX0000011545,MBR00000320,2021-05-14,2021-05-18,1112045958,1724507889,PLN6503,278239,PCN595,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,60,10,Mail Order,1,0,0,30.0,9.48,39.48,4.0,33.95,1.53,0.6,0.425,0,0,0,0,2021-07-13
RX0000011546,MBR00000320,2021-08-18,2021-08-22,1950160588,1657229888,PLN3382,347773,PCN510,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,54,2,Retail,0,0,0,1300.0,4.03,1304.03,36.0,1223.23,44.8,26.0,18.4167,0,0,0,0,2021-10-17
RX0000011547,MBR00000320,2022-01-16,2022-01-19,1378483565,1666415783,PLN5572,979765,PCN449,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,88,10,Retail,0,0,0,525.0,10.21,535.21,37.0,466.14,32.07,7.0,4.9583,1,0,0,0,2022-04-16
RX0000011548,MBR00000320,2022-09-02,2022-09-05,1850071315,1995753645,PLN7153,470027,PCN784,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,5,Mail Order,0,0,0,370.0,8.03,378.03,31.0,321.63,25.4,14.8,10.4833,0,0,0,0,2022-10-02
RX0000011549,MBR00000320,2022-01-06,2022-01-10,1157248812,1120546679,PLN4041,211717,PCN735,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,5,Retail,0,0,0,65.0,8.0,73.0,31.0,39.5,2.5,2.6,1.8417,0,0,0,0,2022-02-05
RX0000011550,MBR00000320,2021-12-01,2021-12-02,1180750218,1941774610,PLN7885,326470,PCN407,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,2,Retail,0,0,0,22.0,4.65,26.65,74.0,0.0,1.74,0.88,0.6233,0,0,0,0,2021-12-31
RX0000011551,MBR00000320,2022-05-21,2022-05-23,1439306418,1278023524,PLN5173,541803,PCN396,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,89,4,Mail Order,0,1,0,18600.0,11.01,18611.01,150.0,17167.73,1293.28,248.0,175.6667,0,1,1,0,2022-08-19
RX0000011552,MBR00000320,2021-11-16,2021-11-20,1679487062,1260757524,PLN7070,218753,PCN332,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,85,3,Retail,0,0,0,42.0,7.7,49.7,4.0,43.28,2.42,0.56,0.3967,0,0,0,0,2022-02-14
RX0000011553,MBR00000320,2021-05-31,2021-06-01,1895941933,1670801700,PLN3164,302491,PCN800,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,92,5,Specialty,0,0,0,960.0,46.42,1006.42,39.0,967.42,0.0,12.8,9.0667,0,0,0,0,2021-08-29
RX0000011554,MBR00000320,2022-07-24,2022-07-25,1726858986,1220106982,PLN4848,994197,PCN792,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,8,Mail Order,0,0,0,22.0,2.82,24.82,9.0,14.99,0.83,0.88,0.6233,0,0,0,0,2022-08-23
RX0000011555,MBR00000320,2023-05-24,2023-05-25,1761730173,1858115005,PLN7056,167262,PCN386,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,81,6,Retail,0,0,0,45.0,3.33,48.33,6.0,40.22,2.11,0.6,0.425,0,0,0,0,2023-08-22
RX0000011556,MBR00000320,2021-05-15,2021-05-19,1254697635,1383716187,PLN2441,382633,PCN864,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,9,Retail,0,0,0,7.5,8.1,15.6,5.0,9.64,0.96,0.3,0.2125,0,0,0,0,2021-06-14
RX0000011557,MBR00000320,2022-07-01,2022-07-04,1176705254,1942636454,PLN8129,366406,PCN315,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,10,Specialty,1,0,0,370.0,13.98,383.98,35.0,348.98,0.0,14.8,10.4833,0,0,0,0,2022-07-31
RX0000011558,MBR00000320,2021-09-12,2021-09-16,1876990436,1726163813,PLN1043,792338,PCN907,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,65,1,Retail,0,0,0,24.0,7.93,31.93,1.0,29.54,1.39,0.48,0.34,0,0,0,0,2021-11-11
RX0000011559,MBR00000320,2022-03-22,2022-03-26,1674171294,1679183501,PLN9281,437611,PCN589,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,3,Retail,2,0,0,18.0,5.91,23.91,7.0,15.61,1.3,0.72,0.51,0,0,0,0,2022-04-21
RX0000011560,MBR00000320,2021-05-06,2021-05-10,1783197404,1334340792,PLN8724,481884,PCN970,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,7,Retail,0,0,0,22.0,6.67,28.67,69.0,0.0,1.84,0.88,0.6233,0,0,0,0,2021-06-05
RX0000011561,MBR00000320,2022-04-03,2022-04-07,1932309221,1901833442,PLN1102,206600,PCN180,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,7,Mail Order,0,0,0,10.0,2.43,12.43,8.0,3.83,0.6,0.4,0.2833,0,0,0,0,2022-05-03
RX0000011562,MBR00000320,2022-09-21,2022-09-22,1197684794,1839003041,PLN2989,547668,PCN393,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,88,5,Retail,0,0,0,48.0,10.6,58.6,2.0,53.03,3.57,0.64,0.4533,0,0,0,0,2022-12-20
RX0000011563,MBR00000320,2021-12-15,2021-12-19,1331568163,1686694019,PLN7549,543893,PCN423,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,4,Retail,0,0,0,11.0,9.38,20.38,6.0,13.43,0.95,0.44,0.3117,0,0,0,0,2022-01-14
RX0000011564,MBR00000320,2023-01-21,2023-01-22,1652461906,1582141634,PLN6703,670860,PCN279,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,59,0,Mail Order,0,1,0,17000.0,3.62,17003.62,147.0,16280.41,576.21,340.0,240.8333,0,0,0,0,2023-03-22
RX0000011565,MBR00000320,2022-08-29,2022-08-30,1694390007,1973975371,PLN1826,344355,PCN547,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,3,Retail,3,0,0,221.67,7.21,228.88,38.0,175.64,15.24,38.0,26.9167,0,0,0,0,2022-09-05
RX0000011566,MBR00000320,2023-08-20,2023-08-24,1974424096,1163740730,PLN4623,518879,PCN296,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,10,Retail,0,1,0,1446.67,11.25,1457.92,146.0,1213.89,98.03,248.0,175.6667,1,0,0,0,2023-08-27
RX0000011567,MBR00000320,2023-11-05,2023-11-09,1455002975,1119831796,PLN4488,934609,PCN826,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,58,6,Retail,3,0,0,1300.0,1.6,1301.6,37.0,1208.37,56.23,26.0,18.4167,1,0,0,0,2024-01-04
RX0000011568,MBR00000320,2023-12-14,2023-12-17,1874296397,1586388814,PLN4427,172300,PCN616,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,2,Mail Order,0,0,0,480.0,7.02,487.02,35.0,428.94,23.08,19.2,13.6,0,0,0,0,2024-01-13
RX0000011569,MBR00000320,2021-02-02,2021-02-03,1884317362,1401557553,PLN3684,158674,PCN936,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,6,Specialty,0,0,0,38.0,33.9,71.9,37.0,34.9,0.0,1.52,1.0767,0,0,0,0,2021-03-04
RX0000011570,MBR00000320,2022-07-20,2022-07-24,1466562737,1244798240,PLN5012,446332,PCN495,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,0,Retail,0,0,0,16.0,10.55,26.55,6.0,19.74,0.81,0.64,0.4533,0,0,0,0,2022-08-19
RX0000011571,MBR00000320,2023-09-30,2023-10-03,1187553425,1742921348,PLN3679,521917,PCN386,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,96,5,Retail,0,1,0,24.0,7.91,31.91,148.0,0.0,1.54,0.32,0.2267,0,0,0,0,2023-12-29
RX0000011572,MBR00000320,2021-09-19,2021-09-21,1517012408,1627590990,PLN7406,478044,PCN383,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,11,Specialty,0,0,0,11.0,30.95,41.95,1.0,40.95,0.0,0.44,0.3117,0,0,0,0,2021-10-19
RX0000011573,MBR00000320,2023-05-09,2023-05-12,1953402752,1543684895,PLN7123,729651,PCN228,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,96,2,Mail Order,0,0,0,135.0,4.35,139.35,0.0,131.53,7.82,1.8,1.275,1,0,0,0,2023-08-07
RX0000011574,MBR00000320,2021-05-05,2021-05-09,1735926096,1774381038,PLN6743,504971,PCN838,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,6,Mail Order,0,0,0,65.0,2.04,67.04,39.0,23.63,4.41,2.6,1.8417,0,0,0,0,2021-06-04
RX0000011575,MBR00000320,2023-09-30,2023-10-02,1767039652,1316572265,PLN7116,956974,PCN178,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,10,Specialty,0,0,0,15.0,39.09,54.09,3.0,51.09,0.0,0.6,0.425,0,0,0,0,2023-10-30
RX0000011576,MBR00000320,2021-02-24,2021-02-25,1224510065,1924673009,PLN7873,390963,PCN246,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,8,Specialty,0,0,0,22.0,10.5,32.5,4.0,28.5,0.0,0.88,0.6233,0,0,0,0,2021-03-26
RX0000011577,MBR00000320,2021-11-30,2021-12-03,1830177583,1224811612,PLN7978,291306,PCN711,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,3,Retail,0,0,0,10.0,11.9,21.9,1.0,19.37,1.53,0.4,0.2833,0,1,0,0,2021-12-30
RX0000011578,MBR00000320,2022-09-25,2022-09-28,1942699847,1788287530,PLN2984,929626,PCN446,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,4,Retail,0,0,0,65.0,6.78,71.78,31.0,36.91,3.87,2.6,1.8417,0,0,0,0,2022-10-25
RX0000011579,MBR00000320,2023-02-06,2023-02-08,1890585736,1557082174,PLN9660,623756,PCN123,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,84,5,Retail,0,0,0,525.0,2.59,527.59,30.0,475.26,22.33,7.0,4.9583,0,0,0,0,2023-05-07
RX0000011580,MBR00000320,2021-08-06,2021-08-10,1286169429,1548212660,PLN1953,800764,PCN285,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,93,0,Retail,0,0,0,1140.0,6.61,1146.61,39.0,1049.97,57.64,15.2,10.7667,0,0,0,0,2021-11-04
RX0000011581,MBR00000320,2023-05-22,2023-05-24,1610109990,1647285249,PLN8462,243350,PCN178,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,9,Retail,0,0,0,750.0,8.17,758.17,33.0,676.91,48.26,30.0,21.25,0,0,0,0,2023-06-21
RX0000011582,MBR00000320,2023-03-08,2023-03-12,1827932849,1863358006,PLN7026,307780,PCN326,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,57,3,Retail,0,0,0,90.0,8.85,98.85,6.0,88.8,4.05,1.8,1.275,0,0,0,0,2023-05-07
RX0000011583,MBR00000320,2021-03-22,2021-03-24,1664774285,1892393187,PLN8145,941912,PCN383,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,11,Retail,0,0,0,38.0,3.88,41.88,34.0,6.42,1.46,1.52,1.0767,0,0,0,0,2021-04-21
RX0000011584,MBR00000320,2023-08-02,2023-08-04,1251637785,1123958610,PLN8994,102816,PCN241,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,8,Retail,1,1,0,12.0,10.7,22.7,146.0,0.0,0.81,0.48,0.34,0,0,0,0,2023-09-01
RX0000011585,MBR00000320,2021-07-10,2021-07-13,1744614290,1506731213,PLN6821,259248,PCN509,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,10,Retail,0,0,0,18.0,5.2,23.2,40.0,0.0,0.78,0.72,0.51,0,0,0,0,2021-08-09
RX0000011586,MBR00000320,2022-01-12,2022-01-15,1476796817,1403593519,PLN4336,250934,PCN203,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,8,Mail Order,0,0,0,4.2,7.06,11.26,10.0,0.55,0.71,0.72,0.51,0,0,0,0,2022-01-19
RX0000011587,MBR00000320,2021-02-23,2021-02-26,1812861296,1185997037,PLN3313,542015,PCN294,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,7,Retail,0,1,0,12.0,2.72,14.72,154.0,0.0,0.58,0.48,0.34,0,0,0,0,2021-03-25
RX0000011588,MBR00000320,2022-11-30,2022-12-03,1279695946,1617518299,PLN5850,106145,PCN228,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,11,Retail,0,0,0,750.0,4.04,754.04,35.0,685.45,33.59,30.0,21.25,0,0,0,0,2022-12-30
RX0000011589,MBR00000320,2022-05-02,2022-05-03,1317729698,1537716503,PLN5144,456058,PCN411,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,0,Specialty,0,0,0,72.33,23.72,96.05,39.0,57.05,0.0,12.4,8.7833,0,0,0,0,2022-05-09
RX0000011590,MBR00000320,2023-07-05,2023-07-08,1358710859,1813358408,PLN8778,844847,PCN150,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,5,Retail,0,0,0,9.0,5.71,14.71,2.0,12.06,0.65,0.36,0.255,0,0,0,0,2023-08-04
RX0000011591,MBR00000320,2022-04-30,2022-05-01,1957520894,1360948035,PLN2901,480680,PCN474,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,7,Retail,3,0,0,185.0,7.56,192.56,32.0,153.99,6.57,7.4,5.2417,0,0,0,0,2022-05-30
RX0000011592,MBR00000320,2023-02-18,2023-02-19,1999679753,1406174766,PLN1842,600276,PCN761,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,0,Retail,0,0,0,310.0,10.88,320.88,36.0,270.31,14.57,12.4,8.7833,0,0,0,0,2023-03-20
RX0000011593,MBR00000320,2023-09-22,2023-09-24,1470352126,1717458873,PLN3917,180850,PCN385,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,9,Retail,0,1,0,12.0,8.25,20.25,146.0,0.0,1.32,0.48,0.34,0,0,0,0,2023-10-22
RX0000011594,MBR00000320,2022-02-26,2022-02-27,1476005855,1244956476,PLN2546,624703,PCN551,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,2,Mail Order,0,0,0,650.0,11.43,661.43,40.0,584.23,37.2,26.0,18.4167,0,0,0,0,2022-03-28
RX0000011595,MBR00000320,2023-06-03,2023-06-05,1550437996,1720464859,PLN5782,840100,PCN900,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,90,2,Retail,0,0,0,36.0,10.51,46.51,3.0,41.49,2.02,0.48,0.34,0,0,0,0,2023-09-01
RX0000011596,MBR00000320,2022-08-05,2022-08-07,1841519013,1453866509,PLN4952,965120,PCN814,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,7,Retail,0,0,0,18.0,1.73,19.73,10.0,8.89,0.84,0.72,0.51,0,0,0,0,2022-09-04
RX0000011597,MBR00000320,2022-01-28,2022-01-31,1415232034,1511771065,PLN4649,857622,PCN467,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,9,Mail Order,0,0,0,10.0,5.93,15.93,10.0,5.44,0.49,0.4,0.2833,0,0,0,0,2022-02-27
RX0000011598,MBR00000320,2023-05-16,2023-05-17,1394742241,1920700624,PLN8295,544944,PCN859,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,4,Retail,0,0,0,8.5,3.6,12.1,0.0,11.56,0.54,0.34,0.2408,0,0,0,0,2023-06-15
RX0000011599,MBR00000320,2021-11-17,2021-11-20,1779029344,1887377049,PLN4938,133422,PCN446,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,7,Retail,0,1,0,2.8,8.5,11.3,152.0,0.0,0.59,0.48,0.34,0,0,0,0,2021-11-24
RX0000011600,MBR00000320,2023-07-18,2023-07-20,1602952149,1779774902,PLN9708,709629,PCN692,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,6,Retail,2,0,0,65.0,6.22,71.22,33.0,33.24,4.98,2.6,1.8417,0,0,0,0,2023-08-17
RX0000011601,MBR00000321,2023-12-27,2023-12-30,1910248730,1321386284,PLN6982,686051,PCN876,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,7,Retail,0,1,0,8.0,3.56,11.56,147.0,0.0,0.57,0.32,0.2267,0,0,0,0,2024-01-26
RX0000011602,MBR00000321,2022-02-11,2022-02-12,1731693121,1235307888,PLN3082,960908,PCN927,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,7,Mail Order,0,0,0,16.0,6.58,22.58,2.0,19.78,0.8,0.64,0.4533,1,0,0,0,2022-03-13
RX0000011603,MBR00000321,2021-08-20,2021-08-24,1286367004,1579824763,PLN4700,842102,PCN472,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,10,Mail Order,0,1,0,12.0,5.29,17.29,147.0,0.0,0.82,0.48,0.34,0,0,0,0,2021-09-19
RX0000011604,MBR00000321,2023-11-30,2023-12-02,1888574225,1517154209,PLN5254,302415,PCN632,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,9,Mail Order,0,0,0,14.0,3.25,17.25,8.0,8.3,0.95,0.56,0.3967,0,0,0,0,2023-12-30
RX0000011605,MBR00000321,2022-07-02,2022-07-05,1349195321,1316343148,PLN8634,465837,PCN190,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,3,Retail,0,0,0,380.0,7.6,387.6,32.0,329.42,26.18,15.2,10.7667,0,0,0,0,2022-08-01
RX0000011606,MBR00000321,2021-11-27,2021-11-29,1664623399,1297108547,PLN3645,455927,PCN188,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,7,Retail,0,0,0,10.0,8.71,18.71,4.0,13.8,0.91,0.4,0.2833,0,0,0,0,2021-12-27
RX0000011607,MBR00000321,2021-06-09,2021-06-11,1322376359,1664987031,PLN2415,559641,PCN780,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,57,8,Specialty,0,0,0,1900.0,30.08,1930.08,40.0,1890.08,0.0,38.0,26.9167,0,0,0,0,2021-08-08
RX0000011608,MBR00000321,2023-12-12,2023-12-13,1537498487,1124612239,PLN3100,693871,PCN985,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,3,Retail,0,1,0,8.0,4.16,12.16,151.0,0.0,0.5,0.32,0.2267,0,0,0,0,2024-01-11
RX0000011609,MBR00000321,2022-03-07,2022-03-11,1399819697,1829739240,PLN2639,169431,PCN818,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,10,Specialty,0,0,0,4.2,12.51,16.71,8.0,8.71,0.0,0.72,0.51,0,0,0,0,2022-03-14
RX0000011610,MBR00000321,2023-06-01,2023-06-05,1937265719,1766157361,PLN7502,145027,PCN616,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,0,Retail,3,0,0,22.0,6.88,28.88,74.0,0.0,1.49,0.88,0.6233,0,0,0,0,2023-07-01
RX0000011611,MBR00000321,2021-11-12,2021-11-15,1568069407,1928332001,PLN7138,433074,PCN549,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,83,11,Retail,0,1,0,24.0,11.75,35.75,151.0,0.0,2.05,0.32,0.2267,0,0,0,0,2022-02-10
RX0000011612,MBR00000321,2022-01-22,2022-01-25,1947759632,1956612554,PLN7033,872537,PCN852,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,7,Retail,0,0,0,650.0,7.78,657.78,39.0,583.21,35.57,26.0,18.4167,0,0,0,0,2022-02-21
RX0000011613,MBR00000321,2021-04-15,2021-04-17,1867001845,1877264194,PLN1622,939853,PCN591,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,91,0,Retail,0,0,0,27.0,11.98,38.98,3.0,33.81,2.17,0.36,0.255,0,0,0,0,2021-07-14
RX0000011614,MBR00000321,2021-07-26,2021-07-28,1471402460,1425268495,PLN9045,838274,PCN973,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,3,Retail,0,0,0,28.0,10.42,38.42,4.0,32.1,2.32,1.12,0.7933,0,1,0,0,2021-08-25
RX0000011615,MBR00000321,2023-08-07,2023-08-11,1366544334,1322590224,PLN2344,171210,PCN616,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,1,Specialty,0,0,0,750.0,33.48,783.48,35.0,748.48,0.0,30.0,21.25,0,0,0,0,2023-09-06
RX0000011616,MBR00000321,2021-04-12,2021-04-15,1707273167,1159274256,PLN4642,342146,PCN158,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,96,9,Specialty,0,0,0,930.0,23.6,953.6,33.0,920.6,0.0,12.4,8.7833,1,0,0,0,2021-07-11
RX0000011617,MBR00000321,2023-08-18,2023-08-22,1762573106,1586018968,PLN3148,571379,PCN238,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,92,4,Retail,0,0,0,42.0,11.66,53.66,4.0,47.27,2.39,0.56,0.3967,1,0,0,0,2023-11-16
RX0000011618,MBR00000321,2022-06-24,2022-06-26,1564711116,1386731437,PLN2262,384441,PCN579,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,4,Retail,0,0,0,28.0,5.45,33.45,2.0,29.63,1.82,1.12,0.7933,0,0,0,0,2022-07-24
RX0000011619,MBR00000321,2021-09-22,2021-09-23,1700936250,1268767856,PLN1669,674751,PCN526,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,3,Retail,0,0,0,185.0,7.02,192.02,30.0,151.31,10.71,7.4,5.2417,0,1,1,0,2021-10-22
RX0000011620,MBR00000321,2022-09-24,2022-09-26,1449429881,1753712515,PLN2456,101838,PCN837,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,6,Retail,0,0,0,10.0,11.61,21.61,10.0,10.53,1.08,0.4,0.2833,0,1,0,0,2022-10-24
RX0000011621,MBR00000321,2021-05-06,2021-05-07,1567291409,1731533585,PLN7657,946824,PCN480,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,1,LTC,0,0,0,15.0,2.23,17.23,4.0,12.26,0.97,0.6,0.425,0,0,0,0,2021-06-05
RX0000011622,MBR00000321,2023-11-17,2023-11-19,1557730068,1810013094,PLN8752,995303,PCN282,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,1,Retail,0,0,0,14.0,2.81,16.81,10.0,5.86,0.95,0.56,0.3967,0,0,0,0,2023-12-17
RX0000011623,MBR00000321,2022-07-04,2022-07-06,1290032318,1839210224,PLN5939,932213,PCN211,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,2,Mail Order,1,0,0,950.0,2.04,952.04,34.0,880.23,37.81,38.0,26.9167,1,0,0,0,2022-08-03
RX0000011624,MBR00000321,2022-10-23,2022-10-25,1773869845,1520566669,PLN9726,567783,PCN275,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,4,Retail,0,0,0,9.0,2.48,11.48,10.0,0.85,0.63,0.36,0.255,0,0,0,0,2022-11-22
RX0000011625,MBR00000321,2022-04-26,2022-04-29,1429986807,1175391302,PLN6933,709907,PCN892,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,7,Retail,0,1,0,2800.0,5.54,2805.54,145.0,2525.01,135.53,112.0,79.3333,0,0,0,0,2022-05-26
RX0000011626,MBR00000321,2021-04-09,2021-04-11,1453643543,1983979652,PLN8742,313053,PCN992,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,3,Specialty,0,0,0,12.0,8.8,20.8,0.0,20.8,0.0,0.48,0.34,0,0,0,0,2021-05-09
RX0000011627,MBR00000321,2022-03-23,2022-03-27,1255492556,1695957975,PLN1189,412881,PCN598,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,57,10,Mail Order,0,0,0,24.0,7.4,31.4,9.0,20.32,2.08,0.48,0.34,0,0,0,0,2022-05-22
RX0000011628,MBR00000321,2023-07-24,2023-07-26,1604773141,1140004999,PLN2907,409664,PCN522,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,59,3,Mail Order,1,0,0,20.0,10.64,30.64,9.0,20.63,1.01,0.4,0.2833,0,0,0,0,2023-09-22
RX0000011629,MBR00000321,2022-04-26,2022-04-28,1670108755,1682870557,PLN6409,778454,PCN599,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,83,0,Retail,0,0,0,855.0,7.54,862.54,32.0,791.44,39.1,11.4,8.075,0,1,1,0,2022-07-25
RX0000011630,MBR00000321,2022-06-02,2022-06-06,1157206133,1274632647,PLN8000,848580,PCN296,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,4,Retail,0,0,0,380.0,8.45,388.45,31.0,338.18,19.27,15.2,10.7667,0,0,0,0,2022-07-02
RX0000011631,MBR00000321,2021-03-26,2021-03-27,1439763737,1416509628,PLN4791,214625,PCN126,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,7,Retail,0,0,0,8.5,3.88,12.38,5.0,6.83,0.55,0.34,0.2408,0,0,0,0,2021-04-25
RX0000011632,MBR00000321,2023-03-23,2023-03-27,1776305704,1558539426,PLN9806,850354,PCN647,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,1,Mail Order,0,0,0,380.0,11.72,391.72,31.0,340.21,20.51,15.2,10.7667,0,0,0,0,2023-04-22
RX0000011633,MBR00000321,2021-04-28,2021-04-30,1821420878,1866517675,PLN4429,126533,PCN587,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,9,Mail Order,0,0,0,12.0,5.53,17.53,9.0,7.77,0.76,0.48,0.34,0,0,0,0,2021-05-28
RX0000011634,MBR00000321,2021-10-20,2021-10-23,1404835394,1225462288,PLN8065,843982,PCN203,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,8,Retail,0,0,0,750.0,7.39,757.39,40.0,668.39,49.0,30.0,21.25,0,0,0,0,2021-11-19
RX0000011635,MBR00000321,2021-01-13,2021-01-17,1122480170,1852958351,PLN5830,336276,PCN677,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,8,Specialty,0,0,0,310.0,14.25,324.25,31.0,293.25,0.0,12.4,8.7833,1,0,0,0,2021-02-12
RX0000011636,MBR00000321,2021-02-26,2021-03-01,1146875195,1584308635,PLN6876,709379,PCN697,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,2,Mail Order,0,0,0,65.0,11.35,76.35,40.0,32.56,3.79,2.6,1.8417,0,0,0,0,2021-03-28
RX0000011637,MBR00000321,2023-08-03,2023-08-04,1570787076,1598949311,PLN9612,249808,PCN533,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,10,Specialty,0,0,0,22.0,10.93,32.93,68.0,0.0,0.0,0.88,0.6233,0,0,0,0,2023-09-02
RX0000011638,MBR00000321,2023-08-18,2023-08-22,1896066887,1233396769,PLN9218,585461,PCN372,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,6,Retail,0,0,0,18.0,4.47,22.47,30.0,0.0,0.92,0.72,0.51,0,0,0,0,2023-09-17
RX0000011639,MBR00000321,2021-11-28,2021-12-01,1452930441,1270614686,PLN9150,611580,PCN604,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,82,10,Retail,0,0,0,48.0,11.57,59.57,3.0,52.66,3.91,0.64,0.4533,0,0,0,0,2022-02-26
RX0000011640,MBR00000321,2022-08-05,2022-08-07,1245791815,1308775474,PLN5228,609299,PCN725,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,90,7,Retail,3,0,0,33.0,5.05,38.05,1.0,35.47,1.58,0.44,0.3117,0,0,0,0,2022-11-03
RX0000011641,MBR00000321,2022-12-23,2022-12-26,1905656630,1798785887,PLN9100,676189,PCN205,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,82,1,Retail,0,0,0,525.0,7.39,532.39,35.0,469.65,27.74,7.0,4.9583,0,0,0,0,2023-03-23
RX0000011642,MBR00000321,2021-02-15,2021-02-16,1284741424,1780713404,PLN7345,537659,PCN645,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,91,2,Retail,0,0,0,1110.0,4.1,1114.1,33.0,1027.36,53.74,14.8,10.4833,0,0,0,0,2021-05-16
RX0000011643,MBR00000321,2023-12-10,2023-12-12,1478599270,1776732615,PLN6215,302400,PCN530,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,9,Retail,0,0,0,750.0,4.28,754.28,35.0,682.98,36.3,30.0,21.25,0,0,0,0,2024-01-09
RX0000011644,MBR00000321,2023-12-26,2023-12-28,1689865107,1486760978,PLN2772,168498,PCN323,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,1,Mail Order,0,0,0,9.0,10.45,19.45,2.0,16.48,0.97,0.36,0.255,0,0,0,0,2024-01-25
RX0000011645,MBR00000322,2023-10-12,2023-10-15,1919233381,1550531812,PLN8118,543602,PCN287,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,91,3,Mail Order,0,0,0,25.5,10.63,36.13,6.0,28.07,2.06,0.34,0.2408,0,0,0,0,2024-01-10
RX0000011646,MBR00000322,2022-09-20,2022-09-24,1603067605,1662561395,PLN2859,275610,PCN749,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,5,Retail,0,0,0,650.0,2.31,652.31,30.0,588.99,33.32,26.0,18.4167,0,0,0,0,2022-10-20
RX0000011647,MBR00000322,2021-11-18,2021-11-21,1220771874,1553248231,PLN2585,499544,PCN142,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,11,Specialty,0,0,0,28.0,28.28,56.28,3.0,53.28,0.0,1.12,0.7933,0,0,0,0,2021-12-18
RX0000011648,MBR00000322,2023-12-20,2023-12-21,1239741772,1872895211,PLN5075,176160,PCN194,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,0,Retail,0,0,0,22.0,11.69,33.69,5.0,26.63,2.06,0.88,0.6233,0,0,0,0,2024-01-19
RX0000011649,MBR00000322,2023-04-11,2023-04-15,1546775114,1863696597,PLN2250,264997,PCN843,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,10,Mail Order,0,0,0,175.0,5.51,180.51,33.0,137.51,10.0,30.0,21.25,0,0,0,0,2023-04-18
RX0000011650,MBR00000322,2022-08-20,2022-08-22,1383798873,1467970533,PLN5486,379020,PCN182,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,6,Mail Order,0,0,0,18.0,3.31,21.31,7.0,13.23,1.08,0.72,0.51,0,0,0,0,2022-09-19
RX0000011651,MBR00000322,2023-07-28,2023-07-30,1807463744,1923499992,PLN9678,132886,PCN857,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,54,9,Retail,0,0,0,350.0,4.98,354.98,38.0,295.15,21.83,7.0,4.9583,0,0,0,0,2023-09-26
RX0000011652,MBR00000322,2023-11-24,2023-11-27,1448492065,1623766974,PLN5551,196565,PCN503,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,3,Retail,0,0,1,6.53,4.17,10.71,10.0,0.36,0.35,1.12,0.7933,0,0,0,0,2023-12-01
RX0000011653,MBR00000322,2021-06-22,2021-06-24,1181972741,1179165663,PLN6482,132701,PCN927,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,10,Retail,0,0,0,285.0,9.52,294.52,37.0,244.88,12.64,11.4,8.075,0,0,0,0,2021-07-22
RX0000011654,MBR00000322,2022-08-26,2022-08-29,1351415123,1486144564,PLN2824,842105,PCN457,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,6,Retail,0,0,0,750.0,9.98,759.98,34.0,681.62,44.36,30.0,21.25,0,0,0,0,2022-09-25
RX0000011655,MBR00000322,2021-06-18,2021-06-22,1907222082,1191516085,PLN1298,662628,PCN300,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,6,Retail,3,0,0,88.67,9.24,97.91,40.0,52.77,5.14,15.2,10.7667,0,0,0,0,2021-06-25
RX0000011656,MBR00000322,2022-04-21,2022-04-22,1957514790,1518331766,PLN5934,122416,PCN924,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Specialty,1,0,0,38.0,42.38,80.38,5.0,75.38,0.0,1.52,1.0767,0,0,0,0,2022-05-21
RX0000011657,MBR00000322,2023-07-28,2023-08-01,1740792793,1289543134,PLN7154,263949,PCN947,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,91,1,Retail,0,0,0,66.0,1.62,67.62,2.0,61.06,4.56,0.88,0.6233,0,0,0,0,2023-10-26
RX0000011658,MBR00000322,2023-03-18,2023-03-20,1202072237,1433424201,PLN7984,335530,PCN709,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,59,5,Mail Order,0,0,0,32.0,7.4,39.4,6.0,32.08,1.32,0.64,0.4533,0,0,0,0,2023-05-17
RX0000011659,MBR00000322,2021-09-02,2021-09-04,1320652324,1463391193,PLN9532,113728,PCN754,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,87,11,Specialty,0,1,0,8400.0,14.78,8414.78,148.0,8266.78,0.0,112.0,79.3333,0,0,0,0,2021-12-01
RX0000011660,MBR00000322,2023-06-11,2023-06-15,1405821423,1824601431,PLN7171,523423,PCN873,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,1,Mail Order,0,0,0,38.0,6.28,44.28,2.0,40.37,1.91,1.52,1.0767,0,0,0,0,2023-07-11
RX0000011661,MBR00000322,2021-10-05,2021-10-08,1942219057,1534681859,PLN4932,719550,PCN407,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,8,Mail Order,0,0,0,28.0,10.1,38.1,5.0,30.6,2.5,1.12,0.7933,0,0,0,0,2021-11-04
RX0000011662,MBR00000322,2021-03-13,2021-03-14,1214242627,1688973327,PLN7390,172174,PCN610,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,5,Retail,0,0,0,380.0,1.65,381.65,37.0,330.68,13.97,15.2,10.7667,0,0,0,0,2021-04-12
RX0000011663,MBR00000322,2023-07-26,2023-07-28,1601855209,1666425174,PLN5722,557043,PCN506,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,6,Mail Order,0,0,0,28.0,8.52,36.52,1.0,33.62,1.9,1.12,0.7933,1,0,0,0,2023-08-25
RX0000011664,MBR00000322,2023-03-13,2023-03-14,1196741474,1518475823,PLN5406,591259,PCN676,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,8,Retail,0,0,0,750.0,4.05,754.05,38.0,682.05,34.0,30.0,21.25,0,0,0,0,2023-04-12
RX0000011665,MBR00000322,2022-05-12,2022-05-14,1398448990,1857425011,PLN3036,517179,PCN511,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,60,7,Retail,0,0,0,960.0,11.49,971.49,35.0,877.4,59.09,19.2,13.6,0,0,0,0,2022-07-11
RX0000011666,MBR00000322,2023-07-19,2023-07-22,1454227609,1680798953,PLN1599,641114,PCN462,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,3,Retail,0,0,0,12.0,7.91,19.91,2.0,16.73,1.18,0.48,0.34,0,0,0,0,2023-08-18
RX0000011667,MBR00000322,2023-04-02,2023-04-04,1227463212,1912076031,PLN2066,214841,PCN201,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,5,Retail,0,0,0,45.0,9.75,54.75,8.0,44.79,1.96,1.8,1.275,0,0,0,0,2023-05-02
RX0000011668,MBR00000322,2023-06-11,2023-06-14,1987201068,1421293233,PLN9136,920010,PCN757,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,3,Mail Order,3,0,0,3.5,10.04,13.54,3.0,9.75,0.79,0.6,0.425,0,0,0,0,2023-06-18
RX0000011669,MBR00000322,2022-02-24,2022-02-28,1698766858,1688063386,PLN9764,686614,PCN551,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,1,Retail,0,1,1,8.0,2.64,10.64,149.0,0.0,0.56,0.32,0.2267,0,0,0,0,2022-03-26
RX0000011670,MBR00000322,2023-01-17,2023-01-19,1612841620,1810330329,PLN3167,281287,PCN375,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,6,Retail,0,0,0,38.0,7.47,45.47,37.0,6.66,1.81,1.52,1.0767,0,0,0,0,2023-02-16
RX0000011671,MBR00000322,2023-07-08,2023-07-11,1472386686,1828876202,PLN5143,541083,PCN653,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,0,Retail,0,0,0,2.92,11.63,14.55,0.0,13.8,0.75,0.5,0.3542,0,1,0,0,2023-07-15
RX0000011672,MBR00000322,2022-10-17,2022-10-19,1427916192,1964570756,PLN3447,559984,PCN252,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,10,Retail,0,0,0,12.0,4.11,16.11,6.0,9.06,1.05,0.48,0.34,0,0,0,0,2022-11-16
RX0000011673,MBR00000322,2022-12-07,2022-12-09,1887422851,1444385356,PLN7541,609309,PCN705,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,4,Retail,0,0,0,18.0,4.62,22.62,35.0,0.0,0.69,0.72,0.51,0,0,0,0,2023-01-06
RX0000011674,MBR00000322,2023-07-12,2023-07-13,1592164266,1897769768,PLN1181,835030,PCN160,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,10,Retail,0,0,0,175.0,10.02,185.02,31.0,144.63,9.39,7.0,4.9583,0,0,0,0,2023-08-11
RX0000011675,MBR00000322,2023-03-10,2023-03-13,1266906767,1917428365,PLN5280,986686,PCN449,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,9,Mail Order,0,0,0,28.0,4.67,32.67,3.0,27.68,1.99,1.12,0.7933,0,0,0,0,2023-04-09
RX0000011676,MBR00000322,2021-07-04,2021-07-08,1744999595,1841744586,PLN4096,348518,PCN693,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,9,Retail,0,0,0,285.0,3.62,288.62,40.0,234.88,13.74,11.4,8.075,0,0,0,0,2021-08-03
RX0000011677,MBR00000322,2021-11-21,2021-11-25,1938982007,1212191140,PLN8546,315501,PCN598,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,4,Retail,0,0,1,16.0,6.13,22.13,4.0,17.18,0.95,0.64,0.4533,0,0,0,0,2021-12-21
RX0000011678,MBR00000322,2023-12-06,2023-12-10,1538270833,1357286291,PLN2828,425632,PCN937,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,5,Mail Order,0,0,0,16.0,11.81,27.81,9.0,17.21,1.6,0.64,0.4533,0,0,0,0,2024-01-05
RX0000011679,MBR00000323,2023-01-10,2023-01-14,1129252159,1800768071,PLN8060,958427,PCN734,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,3,Retail,0,0,0,38.0,6.27,44.27,8.0,34.61,1.66,1.52,1.0767,0,0,0,0,2023-02-09
RX0000011680,MBR00000323,2023-02-05,2023-02-08,1984318355,1282472331,PLN7533,535950,PCN778,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,3,Specialty,0,0,0,45.0,43.53,88.53,10.0,78.53,0.0,1.8,1.275,0,0,0,0,2023-03-07
RX0000011681,MBR00000323,2021-11-22,2021-11-26,1222370660,1567362157,PLN8671,384690,PCN226,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,84,3,Mail Order,0,0,0,990.0,11.2,1001.2,36.0,909.45,55.75,13.2,9.35,1,0,0,0,2022-02-20
RX0000011682,MBR00000323,2021-02-28,2021-03-03,1540949198,1336356908,PLN1314,283830,PCN830,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,0,Mail Order,0,0,0,480.0,10.57,490.57,30.0,427.33,33.24,19.2,13.6,0,0,0,0,2021-03-30
RX0000011683,MBR00000323,2022-10-30,2022-11-02,1342223205,1554938628,PLN6362,314238,PCN835,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,11,Mail Order,0,0,0,370.0,8.5,378.5,33.0,326.2,19.3,14.8,10.4833,0,0,0,0,2022-11-29
RX0000011684,MBR00000323,2021-02-03,2021-02-06,1943639784,1244071436,PLN9128,837635,PCN117,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,98,1,Specialty,0,0,0,45.0,33.01,78.01,3.0,75.01,0.0,0.6,0.425,0,0,0,0,2021-05-04
RX0000011685,MBR00000323,2022-02-04,2022-02-08,1358664474,1244930961,PLN2071,545060,PCN976,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,2,Retail,0,0,0,18.0,11.89,29.89,7.0,21.49,1.4,0.72,0.51,0,0,0,0,2022-03-06
RX0000011686,MBR00000323,2022-08-03,2022-08-06,1432155460,1488525396,PLN5909,518458,PCN133,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,7,Retail,0,0,0,9.0,9.97,18.97,7.0,11.39,0.58,0.36,0.255,0,0,0,0,2022-09-02
RX0000011687,MBR00000323,2021-03-09,2021-03-12,1170251677,1391828603,PLN3906,718508,PCN119,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,4,Retail,0,1,0,12.0,3.57,15.57,146.0,0.0,0.96,0.48,0.34,1,0,0,0,2021-04-08
RX0000011688,MBR00000323,2021-04-29,2021-05-03,1148798741,1395026592,PLN3963,865987,PCN348,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,5,Retail,0,0,0,14.0,6.82,20.82,10.0,9.88,0.94,0.56,0.3967,0,0,0,0,2021-05-29
RX0000011689,MBR00000323,2023-07-02,2023-07-05,1213543952,1196454130,PLN8052,461574,PCN144,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,93,3,Retail,0,0,0,22.5,5.19,27.69,2.0,24.31,1.38,0.3,0.2125,0,0,0,0,2023-09-30
RX0000011690,MBR00000323,2022-10-16,2022-10-19,1218872771,1238665509,PLN4013,292252,PCN962,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,84,8,Retail,0,0,0,30.0,9.39,39.39,10.0,26.71,2.68,0.4,0.2833,0,0,0,0,2023-01-14
RX0000011691,MBR00000323,2021-01-20,2021-01-24,1995294914,1742511621,PLN8609,612542,PCN634,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,3,Specialty,0,0,0,45.0,32.34,77.34,6.0,71.34,0.0,1.8,1.275,0,0,0,0,2021-02-19
RX0000011692,MBR00000323,2023-02-26,2023-03-02,1180712795,1709691347,PLN6938,806612,PCN502,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,0,Retail,0,0,0,18.0,10.36,28.36,39.0,0.0,1.0,0.72,0.51,0,0,0,0,2023-03-28
RX0000011693,MBR00000323,2023-02-06,2023-02-10,1143076674,1998348324,PLN1249,569347,PCN266,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,6,Retail,0,0,0,12.0,11.5,23.5,3.0,19.75,0.75,0.48,0.34,0,0,0,0,2023-03-08
RX0000011694,MBR00000323,2021-10-01,2021-10-02,1645687510,1574451875,PLN3848,637179,PCN569,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,2,Mail Order,0,0,0,12.0,3.51,15.51,8.0,6.68,0.83,0.48,0.34,1,0,0,0,2021-10-31
RX0000011695,MBR00000323,2022-11-11,2022-11-14,1396935864,1812263661,PLN9940,201815,PCN298,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,85,6,Mail Order,3,0,0,855.0,11.1,866.1,36.0,794.9,35.2,11.4,8.075,0,0,0,0,2023-02-09
RX0000011696,MBR00000323,2022-12-28,2022-12-30,1175223611,1283346947,PLN2731,805882,PCN882,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,93,3,Retail,0,0,0,66.0,3.88,69.88,0.0,66.85,3.03,0.88,0.6233,0,0,0,0,2023-03-28
RX0000011697,MBR00000323,2021-07-15,2021-07-19,1371497799,1524612543,PLN1854,633457,PCN149,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,63,6,Mail Order,0,0,0,15.0,2.89,17.89,5.0,12.23,0.66,0.3,0.2125,0,0,0,0,2021-09-13
RX0000011698,MBR00000323,2022-10-22,2022-10-26,1956024893,1689390372,PLN8012,343345,PCN344,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,4,Retail,1,0,0,18.0,6.0,24.0,0.0,23.02,0.98,0.72,0.51,0,0,0,0,2022-11-21
RX0000011699,MBR00000324,2023-04-12,2023-04-13,1220450274,1286455645,PLN7163,853428,PCN298,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,2,Mail Order,0,0,0,9.0,5.23,14.23,9.0,4.73,0.5,0.36,0.255,0,0,0,0,2023-05-12
RX0000011700,MBR00000324,2022-09-08,2022-09-09,1885816502,1427701506,PLN8662,631071,PCN205,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,10,Retail,0,0,0,14.0,6.31,20.31,2.0,17.09,1.22,0.56,0.3967,1,0,0,0,2022-10-08
RX0000011701,MBR00000324,2021-08-22,2021-08-25,1313252579,1544798023,PLN6120,318060,PCN162,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,88,3,Retail,0,0,0,114.0,3.72,117.72,2.0,109.49,6.23,1.52,1.0767,0,0,0,0,2021-11-20
RX0000011702,MBR00000324,2021-05-31,2021-06-04,1993252158,1147698315,PLN7791,409482,PCN393,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,82,1,Mail Order,0,0,0,1950.0,4.76,1954.76,30.0,1805.08,119.68,26.0,18.4167,1,0,0,0,2021-08-29
RX0000011703,MBR00000324,2022-01-19,2022-01-23,1111414019,1209565455,PLN6639,179565,PCN164,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,8,Mail Order,0,0,0,2.8,11.66,14.46,2.0,11.91,0.55,0.48,0.34,0,0,0,0,2022-01-26
RX0000011704,MBR00000324,2022-08-16,2022-08-18,1230085700,1488744541,PLN7425,411364,PCN346,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,58,7,Retail,0,0,0,28.0,5.62,33.62,2.0,29.65,1.97,0.56,0.3967,0,0,0,0,2022-10-15
RX0000011705,MBR00000324,2021-04-22,2021-04-26,1228644204,1276346148,PLN9733,730594,PCN856,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,11,Mail Order,0,0,0,28.0,9.77,37.77,10.0,25.98,1.79,1.12,0.7933,0,0,0,0,2021-05-22
RX0000011706,MBR00000324,2022-09-08,2022-09-12,1611745734,1823914039,PLN9267,715242,PCN914,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,10,Specialty,0,1,0,12.0,9.39,21.39,153.0,0.0,0.0,0.48,0.34,0,0,0,0,2022-10-08
RX0000011707,MBR00000324,2022-03-18,2022-03-22,1822977020,1237252827,PLN8500,647775,PCN815,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,11,Retail,0,0,0,9.0,2.48,11.48,2.0,8.81,0.67,0.36,0.255,0,0,0,0,2022-04-17
RX0000011708,MBR00000324,2023-12-23,2023-12-25,1700995883,1771738090,PLN3214,860739,PCN255,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,0,Mail Order,0,0,0,750.0,7.23,757.23,34.0,671.52,51.71,30.0,21.25,0,0,0,0,2024-01-22
RX0000011709,MBR00000324,2022-01-30,2022-01-31,1532531693,1474232751,PLN3144,870386,PCN274,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,6,Retail,0,0,0,12.0,7.57,19.57,5.0,13.27,1.3,0.48,0.34,0,0,0,0,2022-03-01
RX0000011710,MBR00000324,2021-12-16,2021-12-20,1973414376,1695490701,PLN4119,586640,PCN262,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,10,Retail,0,0,0,18.0,7.05,25.05,7.0,16.62,1.43,0.72,0.51,0,0,0,0,2022-01-15
RX0000011711,MBR00000324,2021-04-16,2021-04-19,1438053391,1160895530,PLN7011,855920,PCN353,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,10,Mail Order,0,0,0,12.0,5.36,17.36,10.0,6.42,0.94,0.48,0.34,0,0,0,0,2021-05-16
RX0000011712,MBR00000324,2023-03-29,2023-03-30,1460166500,1973793200,PLN4503,209714,PCN850,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,4,Mail Order,0,0,0,221.67,8.62,230.28,30.0,187.04,13.24,38.0,26.9167,0,0,0,0,2023-04-05
RX0000011713,MBR00000324,2023-06-19,2023-06-22,1873426737,1547807588,PLN1003,314531,PCN558,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,97,9,Mail Order,0,1,0,25500.0,10.84,25510.84,145.0,23667.99,1697.85,340.0,240.8333,1,0,0,0,2023-09-17
RX0000011714,MBR00000324,2023-10-27,2023-10-31,1679419853,1793775757,PLN4551,415832,PCN384,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,3,Retail,0,0,0,2.8,11.92,14.72,2.0,12.01,0.71,0.48,0.34,0,0,0,0,2023-11-03
RX0000011715,MBR00000324,2021-12-01,2021-12-03,1300657350,1522887905,PLN4006,807926,PCN136,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,8,Retail,0,0,0,9.0,8.14,17.14,6.0,10.51,0.63,0.36,0.255,0,0,0,0,2021-12-31
RX0000011716,MBR00000324,2023-05-07,2023-05-08,1155622417,1681380154,PLN9678,920514,PCN363,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,9,Retail,0,0,0,18.0,4.35,22.35,10.0,11.19,1.16,0.72,0.51,0,0,0,0,2023-06-06
RX0000011717,MBR00000324,2021-04-23,2021-04-24,1695878596,1180072653,PLN8856,958878,PCN497,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,11,Mail Order,3,0,0,310.0,9.05,319.05,39.0,261.58,18.47,12.4,8.7833,0,0,0,0,2021-05-23
RX0000011718,MBR00000324,2023-08-29,2023-08-30,1869534043,1671113946,PLN9666,686548,PCN862,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,0,Mail Order,0,0,0,9.0,6.18,15.18,1.0,13.5,0.68,0.36,0.255,0,0,0,0,2023-09-28
RX0000011719,MBR00000324,2023-02-26,2023-03-01,1864592266,1153251823,PLN6330,114106,PCN775,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,10,Retail,3,1,0,12.0,11.05,23.05,145.0,0.0,0.75,0.48,0.34,0,0,0,0,2023-03-28
RX0000011720,MBR00000324,2023-02-24,2023-02-28,1369060553,1898272800,PLN2533,704210,PCN530,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,4,Mail Order,2,0,0,9.0,2.32,11.32,4.0,6.77,0.55,0.36,0.255,0,0,0,0,2023-03-26
RX0000011721,MBR00000324,2022-08-02,2022-08-04,1430168247,1313381676,PLN3262,831632,PCN648,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,55,10,Mail Order,0,0,1,24.0,11.3,35.3,10.0,23.61,1.69,0.48,0.34,0,0,0,0,2022-10-01
RX0000011722,MBR00000324,2021-11-07,2021-11-11,1677188437,1525131588,PLN1227,441851,PCN973,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,0,Retail,0,0,0,38.0,8.89,46.89,1.0,42.76,3.13,1.52,1.0767,0,0,0,0,2021-12-07
RX0000011723,MBR00000324,2021-07-30,2021-08-01,1989932272,1411608081,PLN5652,601000,PCN705,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,8,Mail Order,0,0,0,12.0,4.49,16.49,3.0,12.88,0.61,0.48,0.34,0,0,0,0,2021-08-29
RX0000011724,MBR00000324,2022-07-19,2022-07-22,1265963485,1695873604,PLN4329,723069,PCN387,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,56,10,Retail,0,0,0,24.0,3.95,27.95,0.0,26.04,1.91,0.48,0.34,0,0,0,0,2022-09-17
RX0000011725,MBR00000324,2023-11-11,2023-11-12,1407605174,1205281379,PLN8266,145665,PCN146,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,4,Retail,0,0,0,320.0,8.26,328.26,32.0,280.41,15.85,12.8,9.0667,0,0,0,0,2023-12-11
RX0000011726,MBR00000324,2021-02-12,2021-02-16,1142714077,1216339269,PLN3031,508423,PCN863,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,7,Retail,0,0,0,45.0,7.09,52.09,7.0,42.64,2.45,1.8,1.275,0,0,0,0,2021-03-14
RX0000011727,MBR00000325,2021-09-19,2021-09-23,1807230672,1278333182,PLN3166,709594,PCN148,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,96,0,Retail,0,0,0,42.0,3.81,45.81,3.0,40.14,2.67,0.56,0.3967,0,0,0,0,2021-12-18
RX0000011728,MBR00000325,2021-08-17,2021-08-18,1528992347,1326897185,PLN5720,896329,PCN510,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,7,Retail,0,0,0,5.13,6.86,11.99,0.0,11.26,0.73,0.88,0.6233,0,0,0,0,2021-08-24
RX0000011729,MBR00000325,2021-08-13,2021-08-17,1488385375,1212398614,PLN7514,258714,PCN216,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,10,Specialty,0,0,0,15.0,25.25,40.25,7.0,33.25,0.0,0.6,0.425,0,0,0,0,2021-09-12
RX0000011730,MBR00000325,2023-12-27,2023-12-31,1381844203,1294846243,PLN7514,275121,PCN760,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,10,Retail,2,0,0,14.0,8.83,22.83,8.0,14.02,0.81,0.56,0.3967,0,0,0,0,2024-01-26
RX0000011731,MBR00000325,2023-09-24,2023-09-25,1767451032,1177823972,PLN7336,219396,PCN148,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,6,Mail Order,0,0,0,86.33,11.7,98.04,32.0,59.42,6.62,14.8,10.4833,0,0,0,0,2023-10-01
RX0000011732,MBR00000325,2023-10-28,2023-11-01,1322926679,1246173284,PLN7904,563605,PCN848,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,4,Mail Order,0,0,0,950.0,2.88,952.88,32.0,861.99,58.89,38.0,26.9167,0,0,0,0,2023-11-27
RX0000011733,MBR00000325,2021-08-31,2021-09-01,1766617252,1990698393,PLN7090,961083,PCN871,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,1,Mail Order,1,0,0,4.2,11.45,15.65,40.0,0.0,0.73,0.72,0.51,0,0,0,0,2021-09-07
RX0000011734,MBR00000325,2021-04-30,2021-05-03,1866627354,1588959482,PLN9506,954051,PCN354,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,7,Retail,0,0,1,380.0,2.39,382.39,37.0,320.79,24.6,15.2,10.7667,0,0,0,0,2021-05-30
RX0000011735,MBR00000325,2023-09-30,2023-10-04,1372687078,1467268139,PLN8693,417923,PCN316,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,3,Retail,3,0,0,151.67,6.42,158.09,36.0,113.15,8.94,26.0,18.4167,0,0,0,0,2023-10-07
RX0000011736,MBR00000325,2023-05-29,2023-05-30,1251269986,1916731066,PLN4294,780171,PCN817,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,54,9,Retail,0,0,0,960.0,2.88,962.88,30.0,876.65,56.23,19.2,13.6,0,0,0,0,2023-07-28
RX0000011737,MBR00000325,2023-11-17,2023-11-18,1494328419,1698043579,PLN1219,679685,PCN784,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,88,3,Retail,0,0,0,555.0,7.35,562.35,38.0,493.8,30.55,7.4,5.2417,0,0,0,0,2024-02-15
RX0000011738,MBR00000325,2023-04-20,2023-04-24,1407489592,1854015459,PLN9035,541133,PCN849,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,91,1,Retail,0,0,0,33.0,6.94,39.94,9.0,28.85,2.09,0.44,0.3117,0,0,0,0,2023-07-19
RX0000011739,MBR00000325,2021-04-24,2021-04-25,1504492312,1722763453,PLN2949,136003,PCN554,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,10,Retail,0,0,0,40.83,9.61,50.44,34.0,13.56,2.88,7.0,4.9583,0,0,0,0,2021-05-01
RX0000011740,MBR00000325,2023-10-14,2023-10-18,1726026044,1415206190,PLN4826,739863,PCN977,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,98,5,Retail,0,0,0,84.0,6.79,90.79,10.0,74.76,6.03,1.12,0.7933,0,0,0,0,2024-01-12
RX0000011741,MBR00000325,2023-09-03,2023-09-06,1382235870,1861485120,PLN7481,907916,PCN656,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,61,0,Retail,0,0,0,32.0,7.3,39.3,4.0,33.04,2.26,0.64,0.4533,0,0,0,0,2023-11-02
RX0000011742,MBR00000325,2022-02-16,2022-02-18,1855738049,1680846486,PLN7975,664739,PCN573,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,9,Retail,0,0,0,45.0,2.24,47.24,9.0,36.35,1.89,1.8,1.275,0,0,0,0,2022-03-18
RX0000011743,MBR00000325,2021-10-06,2021-10-10,1289726804,1684227695,PLN8742,321475,PCN852,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,1,Retail,0,0,0,175.0,10.98,185.98,34.0,140.86,11.12,30.0,21.25,0,0,0,0,2021-10-13
RX0000011744,MBR00000325,2023-03-18,2023-03-21,1433528710,1793607119,PLN8556,282399,PCN718,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,6,Retail,0,1,0,2800.0,6.98,2806.98,154.0,2529.27,123.71,112.0,79.3333,0,0,0,0,2023-04-17
RX0000011745,MBR00000325,2021-01-25,2021-01-28,1627336905,1266187413,PLN7687,989316,PCN287,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,92,1,Retail,0,0,0,66.0,3.98,69.98,5.0,62.45,2.53,0.88,0.6233,0,0,0,0,2021-04-25
RX0000011746,MBR00000325,2023-01-20,2023-01-21,1751689612,1531827730,PLN6252,911796,PCN875,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,6,Specialty,0,0,0,10.0,46.29,56.29,3.0,53.29,0.0,0.4,0.2833,0,0,0,0,2023-02-19
RX0000011747,MBR00000325,2023-07-04,2023-07-07,1239163214,1698269492,PLN1747,993643,PCN225,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,60,11,Specialty,0,0,0,20.0,16.53,36.53,10.0,26.53,0.0,0.4,0.2833,0,0,0,0,2023-09-02
RX0000011748,MBR00000325,2022-11-12,2022-11-16,1180194019,1588595591,PLN4557,845163,PCN311,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,7,Retail,0,0,0,950.0,5.64,955.64,37.0,855.4,63.24,38.0,26.9167,0,0,0,0,2022-12-12
RX0000011749,MBR00000325,2021-05-13,2021-05-17,1248388589,1999925223,PLN7889,340286,PCN632,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,8,Mail Order,2,0,0,12.5,11.36,23.86,2.0,20.66,1.2,0.5,0.3542,0,0,0,0,2021-06-12
RX0000011750,MBR00000325,2023-06-19,2023-06-20,1199428737,1726769248,PLN7236,667018,PCN261,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,4,Retail,0,0,0,285.0,11.53,296.53,38.0,248.23,10.3,11.4,8.075,0,0,0,0,2023-07-19
RX0000011751,MBR00000325,2022-03-10,2022-03-12,1276594676,1813838522,PLN8890,613250,PCN229,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,57,3,Retail,0,0,0,960.0,5.75,965.75,34.0,875.2,56.55,19.2,13.6,0,0,0,0,2022-05-09
RX0000011752,MBR00000325,2023-07-26,2023-07-27,1802051860,1479819415,PLN5748,745795,PCN570,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,62,10,Retail,3,0,0,350.0,3.97,353.97,30.0,301.85,22.12,7.0,4.9583,0,0,0,0,2023-09-24
RX0000011753,MBR00000325,2022-09-19,2022-09-22,1431540808,1673356998,PLN1248,774368,PCN945,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,11,Retail,0,0,0,10.0,6.22,16.22,0.0,15.5,0.72,0.4,0.2833,0,0,0,0,2022-10-19
RX0000011754,MBR00000325,2023-09-06,2023-09-07,1523905520,1442664143,PLN1003,585996,PCN300,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,6,Mail Order,0,0,0,1.75,9.33,11.08,9.0,1.7,0.38,0.3,0.2125,0,0,0,0,2023-09-13
RX0000011755,MBR00000325,2023-08-02,2023-08-04,1407421712,1200649725,PLN2303,432340,PCN941,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,92,1,Specialty,0,1,0,18600.0,20.44,18620.44,152.0,18468.44,0.0,248.0,175.6667,1,0,0,0,2023-10-31
RX0000011756,MBR00000325,2022-03-19,2022-03-22,1410203015,1552337716,PLN9431,539971,PCN286,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,9,Mail Order,0,0,0,7.5,1.68,9.18,7.0,1.86,0.32,0.3,0.2125,0,0,0,0,2022-04-18
RX0000011757,MBR00000325,2021-09-04,2021-09-07,1310180276,1637325126,PLN2030,563919,PCN863,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,1,Retail,0,0,0,12.0,9.4,21.4,3.0,17.13,1.27,0.48,0.34,0,0,0,0,2021-10-04
RX0000011758,MBR00000325,2021-06-14,2021-06-18,1700647104,1331863072,PLN8198,676389,PCN632,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,82,9,Retail,0,0,0,1110.0,11.46,1121.46,31.0,1014.09,76.37,14.8,10.4833,0,0,0,0,2021-09-12
RX0000011759,MBR00000325,2022-01-20,2022-01-24,1457997639,1400676781,PLN8142,369054,PCN334,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,81,1,Mail Order,0,0,0,27.0,2.24,29.24,10.0,17.36,1.88,0.36,0.255,0,0,0,0,2022-04-20
RX0000011760,MBR00000325,2023-04-16,2023-04-17,1930145811,1576978765,PLN3599,374208,PCN197,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,54,9,Specialty,0,0,0,22.0,49.95,71.95,5.0,66.95,0.0,0.44,0.3117,1,0,0,0,2023-06-15
RX0000011761,MBR00000325,2022-09-28,2022-10-02,1962891154,1923972453,PLN2349,767656,PCN592,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,11,Retail,0,0,0,8.5,11.76,20.26,6.0,13.57,0.69,0.34,0.2408,0,0,0,0,2022-10-28
RX0000011762,MBR00000325,2023-09-06,2023-09-08,1881226278,1681906924,PLN3556,872524,PCN242,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,1,Mail Order,0,0,0,38.0,10.23,48.23,3.0,43.28,1.95,1.52,1.0767,0,0,0,0,2023-10-06
RX0000011763,MBR00000325,2022-06-01,2022-06-05,1864582043,1108739507,PLN7099,673668,PCN437,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,2,Retail,0,0,0,12.0,10.5,22.5,7.0,14.03,1.47,0.48,0.34,0,0,0,0,2022-07-01
RX0000011764,MBR00000325,2023-05-15,2023-05-18,1727452739,1558529389,PLN3008,735291,PCN917,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,6,Mail Order,1,1,0,8500.0,9.9,8509.9,147.0,7864.9,498.0,340.0,240.8333,0,0,0,0,2023-06-14
RX0000011765,MBR00000325,2022-07-23,2022-07-27,1715820609,1889749478,PLN1495,471199,PCN331,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,63,5,Retail,1,0,0,740.0,8.88,748.88,34.0,662.56,52.32,14.8,10.4833,0,0,0,0,2022-09-21
RX0000011766,MBR00000325,2022-11-17,2022-11-21,1105427978,1775174619,PLN2499,252368,PCN322,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,96,0,Retail,0,0,0,54.0,11.87,65.87,4.0,59.3,2.57,0.72,0.51,0,0,0,0,2023-02-15
RX0000011767,MBR00000325,2023-09-20,2023-09-23,1990913827,1858307902,PLN5782,599787,PCN603,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,86,10,Retail,1,0,0,42.0,9.45,51.45,10.0,39.12,2.33,0.56,0.3967,0,0,0,0,2023-12-19
RX0000011768,MBR00000325,2023-08-02,2023-08-03,1481427901,1556798457,PLN7485,939811,PCN780,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,0,Specialty,0,0,0,480.0,33.28,513.28,36.0,477.28,0.0,19.2,13.6,0,0,0,0,2023-09-01
RX0000011769,MBR00000325,2022-04-09,2022-04-13,1938628266,1649107485,PLN5607,443250,PCN949,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,6,Retail,0,0,0,950.0,11.07,961.07,38.0,888.94,34.13,38.0,26.9167,0,0,0,0,2022-05-09
RX0000011770,MBR00000325,2023-01-03,2023-01-06,1149392919,1416695721,PLN2736,576247,PCN618,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,93,7,Mail Order,0,0,0,33.0,8.33,41.33,10.0,29.2,2.13,0.44,0.3117,0,0,0,0,2023-04-03
RX0000011771,MBR00000325,2022-06-09,2022-06-13,1795640565,1340318730,PLN6182,747023,PCN269,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,81,10,Mail Order,0,0,0,1110.0,8.2,1118.2,36.0,1046.57,35.63,14.8,10.4833,0,0,0,0,2022-09-07
RX0000011772,MBR00000325,2023-08-30,2023-09-01,1666142388,1482331842,PLN8560,333093,PCN796,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,9,LTC,2,0,0,9.0,6.45,15.45,0.0,14.6,0.85,0.36,0.255,0,0,0,0,2023-09-29
RX0000011773,MBR00000325,2022-06-26,2022-06-30,1858708643,1898677666,PLN7674,912704,PCN963,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,5,Retail,2,0,0,480.0,2.42,482.42,34.0,421.03,27.39,19.2,13.6,0,0,0,0,2022-07-26
RX0000011774,MBR00000325,2021-05-02,2021-05-04,1761131159,1993659888,PLN2188,384116,PCN862,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,62,8,Retail,0,0,0,370.0,6.2,376.2,34.0,318.59,23.61,7.4,5.2417,1,0,0,0,2021-07-01
RX0000011775,MBR00000325,2023-03-28,2023-03-30,1967387703,1398491030,PLN7764,462052,PCN370,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,56,5,Mail Order,0,0,0,20.0,4.28,24.28,6.0,17.08,1.2,0.4,0.2833,0,0,0,0,2023-05-27
RX0000011776,MBR00000325,2021-05-10,2021-05-13,1961701799,1368552716,PLN5473,570163,PCN703,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,2,Retail,0,0,0,320.0,7.25,327.25,36.0,278.55,12.7,12.8,9.0667,0,0,0,0,2021-06-09
RX0000011777,MBR00000325,2023-02-18,2023-02-19,1204517301,1968279826,PLN3278,202365,PCN931,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,3,LTC,0,0,0,14.0,4.04,18.04,6.0,11.26,0.78,0.56,0.3967,0,0,0,0,2023-03-20
RX0000011778,MBR00000325,2021-06-28,2021-07-02,1740826951,1957217707,PLN9268,954645,PCN309,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,95,11,Retail,0,0,0,30.0,9.8,39.8,8.0,29.56,2.24,0.4,0.2833,0,0,0,0,2021-09-26
RX0000011779,MBR00000325,2022-01-09,2022-01-10,1135519701,1617578139,PLN8876,972106,PCN934,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,88,6,Retail,1,0,0,27.0,6.73,33.73,4.0,28.13,1.6,0.36,0.255,0,0,0,0,2022-04-09
RX0000011780,MBR00000325,2023-09-16,2023-09-19,1426524717,1277737559,PLN6238,735235,PCN769,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,4,Retail,0,0,0,11.0,8.35,19.35,4.0,14.56,0.79,0.44,0.3117,1,0,0,0,2023-10-16
RX0000011781,MBR00000325,2022-04-07,2022-04-10,1672973288,1672617504,PLN8503,273516,PCN515,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,90,10,Retail,0,0,0,555.0,5.45,560.45,40.0,500.22,20.23,7.4,5.2417,1,0,0,0,2022-07-06
RX0000011782,MBR00000325,2021-03-16,2021-03-19,1532066138,1920337472,PLN3974,730898,PCN158,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,4,Retail,0,0,0,8.5,10.71,19.21,8.0,10.46,0.75,0.34,0.2408,0,0,0,0,2021-04-15
RX0000011783,MBR00000325,2021-12-29,2022-01-02,1632664915,1387480028,PLN1907,182433,PCN313,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,9,Specialty,0,0,0,650.0,40.63,690.63,37.0,653.63,0.0,26.0,18.4167,0,0,0,0,2022-01-28
RX0000011784,MBR00000325,2022-01-28,2022-01-31,1486723921,1306311966,PLN2617,265638,PCN654,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,62,1,Retail,0,0,0,18.0,8.98,26.98,6.0,19.87,1.11,0.36,0.255,0,0,0,0,2022-03-29
RX0000011785,MBR00000325,2021-05-19,2021-05-21,1526748377,1768093531,PLN4425,312902,PCN109,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,8,Retail,0,1,0,1446.67,9.32,1455.98,150.0,1257.1,48.88,248.0,175.6667,0,0,0,0,2021-05-26
RX0000011786,MBR00000325,2021-10-25,2021-10-26,1823968098,1812221426,PLN3456,380769,PCN460,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,4,Retail,0,0,0,11.0,11.48,22.48,5.0,16.57,0.91,0.44,0.3117,0,0,0,0,2021-11-24
RX0000011787,MBR00000326,2022-05-31,2022-06-04,1790155247,1733674842,PLN4224,848039,PCN657,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,93,9,Retail,0,0,0,195.0,6.84,201.84,34.0,160.01,7.83,2.6,1.8417,0,0,0,0,2022-08-29
RX0000011788,MBR00000326,2023-01-29,2023-01-31,1445216087,1708323423,PLN1256,906036,PCN701,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,9,Retail,0,0,0,380.0,5.76,385.76,38.0,323.85,23.91,15.2,10.7667,1,0,0,0,2023-02-28
RX0000011789,MBR00000326,2022-09-07,2022-09-08,1403292246,1644215700,PLN5003,919498,PCN478,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,8,Retail,0,0,0,22.0,7.36,29.36,75.0,0.0,1.87,0.88,0.6233,0,0,0,0,2022-10-07
RX0000011790,MBR00000326,2023-09-08,2023-09-09,1573842168,1167715725,PLN7055,563749,PCN118,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,5,LTC,0,0,0,11.0,7.36,18.36,6.0,11.79,0.57,0.44,0.3117,0,0,0,0,2023-10-08
RX0000011791,MBR00000326,2023-01-02,2023-01-06,1967920777,1314116507,PLN3108,267478,PCN762,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,94,8,Retail,0,0,0,66.0,1.81,67.81,68.0,0.0,3.9,0.88,0.6233,0,0,0,0,2023-04-02
RX0000011792,MBR00000326,2022-02-03,2022-02-07,1229543874,1357271811,PLN6304,565005,PCN844,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,84,6,Specialty,3,0,0,135.0,22.12,157.12,7.0,150.12,0.0,1.8,1.275,0,0,0,0,2022-05-04
RX0000011793,MBR00000326,2022-03-02,2022-03-04,1333176002,1460601173,PLN8518,388962,PCN130,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,1,Specialty,0,0,0,9.0,10.46,19.46,0.0,19.46,0.0,0.36,0.255,0,0,0,0,2022-04-01
RX0000011794,MBR00000326,2023-11-04,2023-11-07,1790270398,1167214401,PLN8184,573342,PCN813,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,0,Retail,0,0,0,18.0,7.1,25.1,8.0,15.86,1.24,0.72,0.51,0,0,0,0,2023-12-04
RX0000011795,MBR00000326,2022-09-19,2022-09-20,1725320898,1517079760,PLN8561,413608,PCN720,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,90,3,Mail Order,0,0,0,27.0,8.34,35.34,0.0,33.91,1.43,0.36,0.255,0,0,0,0,2022-12-18
RX0000011796,MBR00000326,2022-02-01,2022-02-03,1814452232,1280006697,PLN2472,965389,PCN669,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,11,Retail,0,0,0,15.0,10.2,25.2,8.0,15.53,1.67,0.6,0.425,0,0,0,0,2022-03-03
RX0000011797,MBR00000326,2022-01-01,2022-01-05,1409395858,1899690583,PLN6372,575117,PCN266,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,60,0,Mail Order,0,0,0,1500.0,9.54,1509.54,32.0,1385.09,92.45,30.0,21.25,0,0,0,0,2022-03-02
RX0000011798,MBR00000326,2022-11-22,2022-11-23,1668484645,1178848325,PLN6648,755748,PCN251,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,5,Mail Order,0,0,0,2.1,2.3,4.4,10.0,0.0,0.22,0.36,0.255,0,0,0,0,2022-11-29
RX0000011799,MBR00000326,2023-05-26,2023-05-30,1355793859,1917009629,PLN9467,600341,PCN417,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,65,0,Retail,0,0,0,28.0,10.57,38.57,0.0,36.62,1.95,0.56,0.3967,0,0,0,0,2023-07-25
RX0000011800,MBR00000326,2023-06-24,2023-06-27,1201879800,1654051058,PLN6050,114389,PCN330,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,2,Retail,2,0,0,18.0,11.94,29.94,37.0,0.0,2.09,0.72,0.51,0,0,0,0,2023-07-24
RX0000011801,MBR00000326,2021-01-27,2021-01-29,1329400924,1885045474,PLN5869,526515,PCN526,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,8,Retail,0,0,0,12.0,9.24,21.24,3.0,17.36,0.88,0.48,0.34,0,0,0,0,2021-02-26
RX0000011802,MBR00000326,2022-09-02,2022-09-06,1422752596,1131932944,PLN8363,276144,PCN413,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,2,Retail,0,0,0,750.0,7.9,757.9,32.0,702.08,23.82,30.0,21.25,0,0,0,0,2022-10-02
RX0000011803,MBR00000326,2022-05-26,2022-05-30,1798536285,1842307859,PLN3759,298734,PCN640,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,9,Specialty,0,0,0,12.0,38.11,50.11,4.0,46.11,0.0,0.48,0.34,0,0,0,0,2022-06-25
RX0000011804,MBR00000326,2022-06-07,2022-06-09,1316090345,1734085424,PLN8839,116139,PCN356,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,3,Mail Order,1,0,0,18.0,5.05,23.05,4.0,18.1,0.95,0.72,0.51,0,0,0,0,2022-07-07
RX0000011805,MBR00000326,2023-03-17,2023-03-21,1257973493,1184264454,PLN7803,100331,PCN342,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,5,Mail Order,0,0,0,285.0,5.64,290.64,40.0,235.27,15.37,11.4,8.075,0,0,0,0,2023-04-16
RX0000011806,MBR00000326,2023-02-25,2023-02-28,1537189830,1875248156,PLN8778,616779,PCN232,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,1,Retail,0,0,0,10.0,10.76,20.76,5.0,14.47,1.29,0.4,0.2833,0,0,0,0,2023-03-27
RX0000011807,MBR00000326,2023-10-14,2023-10-18,1892376576,1899271967,PLN1049,406013,PCN269,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,0,Mail Order,0,0,1,88.67,8.07,96.73,35.0,57.54,4.19,15.2,10.7667,0,0,0,0,2023-10-21
RX0000011808,MBR00000326,2021-06-27,2021-06-29,1574821631,1273116253,PLN2353,308246,PCN479,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,6,Retail,0,0,0,11.0,7.1,18.1,6.0,11.17,0.93,0.44,0.3117,0,0,0,0,2021-07-27
RX0000011809,MBR00000326,2022-10-21,2022-10-23,1502150390,1209087504,PLN7962,549710,PCN181,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,4,Specialty,0,1,0,6200.0,13.15,6213.15,151.0,6062.15,0.0,248.0,175.6667,0,0,0,0,2022-11-20
RX0000011810,MBR00000326,2023-02-24,2023-02-27,1993714292,1197237557,PLN6250,436431,PCN725,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,5,Retail,0,0,0,66.5,9.23,75.73,31.0,39.62,5.11,11.4,8.075,0,0,0,0,2023-03-03
RX0000011811,MBR00000326,2022-04-22,2022-04-24,1829914672,1163402528,PLN8828,790773,PCN587,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,86,9,Retail,0,0,0,66.0,5.96,71.96,3.0,64.63,4.33,0.88,0.6233,0,0,0,0,2022-07-21
RX0000011812,MBR00000326,2021-05-06,2021-05-09,1615180340,1997920239,PLN2750,281218,PCN668,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,64,8,Retail,0,0,0,28.0,3.07,31.07,7.0,22.2,1.87,0.56,0.3967,0,0,0,0,2021-07-05
RX0000011813,MBR00000326,2023-08-11,2023-08-12,1503066157,1704828193,PLN4608,183154,PCN269,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,83,6,Retail,0,0,0,45.0,4.18,49.18,4.0,41.95,3.23,0.6,0.425,0,0,0,0,2023-11-09
RX0000011814,MBR00000326,2023-03-26,2023-03-27,1820950589,1235486315,PLN9445,401491,PCN755,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,8,Retail,1,0,0,45.0,3.97,48.97,1.0,45.38,2.59,1.8,1.275,0,0,0,0,2023-04-25
RX0000011815,MBR00000326,2021-08-02,2021-08-06,1182592401,1427621581,PLN6792,240840,PCN639,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,9,Retail,0,0,0,12.0,5.38,17.38,7.0,9.59,0.79,0.48,0.34,0,0,0,0,2021-09-01
RX0000011816,MBR00000326,2021-03-14,2021-03-15,1895300843,1693855973,PLN8635,395209,PCN506,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,86,4,Mail Order,0,0,0,1950.0,7.21,1957.21,39.0,1854.04,64.17,26.0,18.4167,0,0,0,0,2021-06-12
RX0000011817,MBR00000326,2023-09-10,2023-09-12,1402101970,1756897700,PLN8316,919660,PCN274,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,98,1,LTC,0,0,0,45.0,4.68,49.68,8.0,39.32,2.36,0.6,0.425,0,0,0,0,2023-12-09
RX0000011818,MBR00000326,2022-08-25,2022-08-27,1837892688,1908138075,PLN4204,609853,PCN833,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,10,Retail,0,0,0,22.0,11.46,33.46,66.0,0.0,1.07,0.88,0.6233,0,0,0,0,2022-09-24
RX0000011819,MBR00000326,2022-05-26,2022-05-29,1266363266,1261296305,PLN6058,575395,PCN673,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,1,Mail Order,0,0,0,380.0,8.26,388.26,36.0,326.72,25.54,15.2,10.7667,0,0,0,0,2022-06-25
RX0000011820,MBR00000326,2021-11-25,2021-11-27,1820550058,1161058155,PLN5961,668425,PCN236,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,97,8,Specialty,1,0,0,37.5,23.73,61.23,4.0,57.23,0.0,0.5,0.3542,1,0,0,0,2022-02-23
RX0000011821,MBR00000326,2021-02-18,2021-02-21,1442244352,1283823173,PLN8926,107579,PCN881,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,61,3,Mail Order,0,0,0,740.0,5.63,745.63,32.0,683.03,30.6,14.8,10.4833,0,0,0,0,2021-04-19
RX0000011822,MBR00000326,2023-06-27,2023-06-30,1640475534,1795187682,PLN5606,504876,PCN760,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,7,Mail Order,0,0,0,14.0,8.22,22.22,1.0,20.16,1.06,0.56,0.3967,0,0,0,0,2023-07-27
RX0000011823,MBR00000326,2022-07-12,2022-07-13,1591345101,1264950166,PLN5110,979118,PCN544,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,83,2,Mail Order,0,0,0,27.0,8.44,35.44,8.0,26.31,1.13,0.36,0.255,0,0,0,0,2022-10-10
RX0000011824,MBR00000326,2022-05-22,2022-05-25,1795375528,1559188825,PLN9057,305854,PCN799,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,1,Retail,0,0,0,18.0,4.54,22.54,1.0,20.01,1.53,0.72,0.51,0,0,0,0,2022-06-21
RX0000011825,MBR00000326,2023-09-17,2023-09-20,1419241366,1865241161,PLN1136,226436,PCN835,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,81,0,Retail,0,0,0,525.0,6.86,531.86,39.0,471.32,21.54,7.0,4.9583,0,0,0,0,2023-12-16
RX0000011826,MBR00000326,2022-11-30,2022-12-01,1681458270,1567603632,PLN7049,145696,PCN951,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,1,Mail Order,0,0,0,10.0,10.09,20.09,2.0,16.93,1.16,0.4,0.2833,0,0,0,0,2022-12-30
RX0000011827,MBR00000326,2022-05-02,2022-05-04,1706436055,1420309507,PLN5012,782010,PCN775,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,6,Retail,0,0,0,9.0,11.68,20.68,5.0,14.25,1.43,0.36,0.255,0,0,0,0,2022-06-01
RX0000011828,MBR00000326,2023-05-21,2023-05-25,1310849925,1615010011,PLN5542,551080,PCN737,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,62,10,Specialty,0,1,0,5600.0,38.98,5638.98,153.0,5485.98,0.0,112.0,79.3333,0,0,0,0,2023-07-20
RX0000011829,MBR00000326,2023-08-07,2023-08-08,1670583294,1161781977,PLN8008,479437,PCN430,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,11,Mail Order,0,0,0,330.0,2.66,332.66,32.0,287.26,13.4,13.2,9.35,0,0,0,0,2023-09-06
RX0000011830,MBR00000326,2021-02-12,2021-02-15,1894564913,1457732196,PLN1691,504560,PCN803,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,95,2,Mail Order,0,0,0,1110.0,9.12,1119.12,37.0,1023.69,58.43,14.8,10.4833,0,0,0,0,2021-05-13
RX0000011831,MBR00000326,2021-05-14,2021-05-16,1215984952,1919124717,PLN8444,522508,PCN263,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,9,Retail,0,1,0,8.0,11.81,19.81,152.0,0.0,1.15,0.32,0.2267,0,0,0,0,2021-06-13
RX0000011832,MBR00000326,2022-05-03,2022-05-07,1764315223,1765257847,PLN3697,976202,PCN479,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,87,4,Mail Order,0,0,0,84.0,10.52,94.52,7.0,83.18,4.34,1.12,0.7933,0,0,0,0,2022-08-01
RX0000011833,MBR00000326,2023-11-28,2023-12-02,1976032426,1340058694,PLN2282,879924,PCN468,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,0,Specialty,0,0,0,45.0,22.78,67.78,1.0,66.78,0.0,1.8,1.275,0,0,0,0,2023-12-28
RX0000011834,MBR00000326,2023-03-19,2023-03-20,1964601092,1134866033,PLN6660,233657,PCN427,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,0,Retail,0,0,0,8.5,2.12,10.62,10.0,0.29,0.33,0.34,0.2408,0,0,0,0,2023-04-18
RX0000011835,MBR00000326,2023-05-28,2023-05-30,1870099779,1287060616,PLN9954,964800,PCN673,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,83,10,Mail Order,0,0,0,45.0,4.48,49.48,7.0,40.34,2.14,0.6,0.425,0,0,0,0,2023-08-26
RX0000011836,MBR00000326,2021-04-09,2021-04-10,1260574142,1683985411,PLN9004,649913,PCN766,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,56,8,Retail,0,0,0,36.0,8.39,44.39,30.0,11.48,2.91,0.72,0.51,0,0,0,0,2021-06-08
RX0000011837,MBR00000326,2022-03-13,2022-03-17,1556191069,1526924552,PLN8315,653657,PCN210,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,4,Retail,3,0,0,18.0,8.13,26.13,30.0,0.0,1.52,0.72,0.51,0,0,0,0,2022-04-12
RX0000011838,MBR00000326,2021-02-14,2021-02-16,1180324290,1643103699,PLN6775,709505,PCN933,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,94,6,Mail Order,0,0,0,114.0,9.62,123.62,36.0,82.5,5.12,1.52,1.0767,0,0,0,0,2021-05-15
RX0000011839,MBR00000326,2021-02-01,2021-02-04,1982549996,1773262779,PLN3288,530735,PCN922,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,94,5,Retail,0,0,0,33.0,5.02,38.02,5.0,30.68,2.34,0.44,0.3117,1,0,0,0,2021-05-02
RX0000011840,MBR00000326,2023-07-13,2023-07-17,1658472906,1704680805,PLN6566,527540,PCN863,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,9,Retail,1,0,0,38.0,9.27,47.27,38.0,7.63,1.64,1.52,1.0767,0,0,0,0,2023-08-12
RX0000011841,MBR00000326,2022-04-27,2022-04-28,1585482637,1978252336,PLN3197,286179,PCN865,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,5,Mail Order,0,0,0,66.5,8.23,74.73,37.0,33.11,4.62,11.4,8.075,0,0,0,0,2022-05-04
RX0000011842,MBR00000326,2022-09-20,2022-09-21,1162353385,1520627460,PLN4018,265419,PCN425,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,62,2,Mail Order,0,1,0,24.0,3.74,27.74,149.0,0.0,1.48,0.48,0.34,0,0,0,0,2022-11-19
RX0000011843,MBR00000326,2023-10-03,2023-10-07,1616226459,1589195679,PLN6393,432378,PCN723,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,4,Retail,0,0,0,12.0,6.08,18.08,9.0,8.11,0.97,0.48,0.34,0,0,0,0,2023-11-02
RX0000011844,MBR00000327,2023-07-02,2023-07-06,1316140370,1642488711,PLN1570,452183,PCN323,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,60,10,Retail,0,0,0,36.0,4.24,40.24,1.0,36.83,2.41,0.72,0.51,1,0,0,0,2023-08-31
RX0000011845,MBR00000327,2023-06-03,2023-06-05,1457099747,1515351614,PLN9935,713631,PCN806,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,83,4,Retail,0,0,0,30.0,1.52,31.52,3.0,27.02,1.5,0.4,0.2833,0,0,0,0,2023-09-01
RX0000011846,MBR00000327,2023-02-09,2023-02-13,1474403412,1585791546,PLN7677,801994,PCN908,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,7,Specialty,0,0,0,27.0,15.82,42.82,2.0,40.82,0.0,0.36,0.255,0,0,0,0,2023-05-10
RX0000011847,MBR00000327,2021-03-07,2021-03-11,1609202434,1211557613,PLN9296,626531,PCN306,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,7,Retail,0,0,0,750.0,3.14,753.14,40.0,683.47,29.67,30.0,21.25,0,1,1,0,2021-04-06
RX0000011848,MBR00000327,2022-07-28,2022-08-01,1961592945,1789464438,PLN5456,446081,PCN608,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,3,Retail,0,0,0,77.0,6.48,83.48,30.0,49.83,3.65,13.2,9.35,0,0,0,0,2022-08-04
RX0000011849,MBR00000327,2021-06-28,2021-06-29,1313818960,1409534152,PLN9064,878869,PCN184,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,89,7,Retail,0,0,0,22.5,9.42,31.92,5.0,25.95,0.97,0.3,0.2125,0,0,0,0,2021-09-26
RX0000011850,MBR00000327,2023-07-26,2023-07-30,1585018071,1240901879,PLN6579,643072,PCN235,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,4,Retail,0,0,0,12.0,8.9,20.9,0.0,20.27,0.63,0.48,0.34,0,0,0,0,2023-08-25
RX0000011851,MBR00000327,2021-11-08,2021-11-11,1808451565,1365146677,PLN2312,875090,PCN460,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,98,8,Retail,1,0,0,30.0,7.12,37.12,5.0,29.86,2.26,0.4,0.2833,0,0,0,0,2022-02-06
RX0000011852,MBR00000327,2021-05-22,2021-05-26,1198889396,1899865206,PLN8800,429444,PCN441,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,9,Retail,0,0,0,14.0,7.33,21.33,1.0,19.34,0.99,0.56,0.3967,0,0,0,0,2021-06-21
RX0000011853,MBR00000327,2023-08-19,2023-08-21,1492617437,1141004394,PLN9069,847265,PCN823,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,1,Retail,0,0,0,175.0,9.0,184.0,40.0,135.93,8.07,7.0,4.9583,0,0,0,0,2023-09-18
RX0000011854,MBR00000327,2021-04-23,2021-04-27,1737208028,1632620593,PLN1234,299128,PCN824,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,94,7,Retail,0,0,0,855.0,7.18,862.18,33.0,777.71,51.47,11.4,8.075,0,0,0,0,2021-07-22
RX0000011855,MBR00000327,2022-08-17,2022-08-20,1811829828,1903068014,PLN9306,898995,PCN126,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,97,5,Retail,0,0,0,30.0,7.32,37.32,8.0,27.25,2.07,0.4,0.2833,1,0,0,0,2022-11-15
RX0000011856,MBR00000327,2022-10-02,2022-10-04,1850821976,1632753538,PLN8523,955902,PCN816,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,6,Retail,0,0,1,38.0,8.09,46.09,2.0,42.02,2.07,1.52,1.0767,0,0,0,0,2022-11-01
RX0000011857,MBR00000327,2021-11-19,2021-11-21,1927521422,1300225029,PLN9726,219213,PCN165,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,81,6,Retail,0,0,0,25.5,3.94,29.44,0.0,28.0,1.44,0.34,0.2408,0,0,0,0,2022-02-17
RX0000011858,MBR00000327,2021-08-31,2021-09-03,1853120255,1754169495,PLN6251,348631,PCN794,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,65,2,Mail Order,3,0,0,76.0,6.82,82.82,35.0,43.22,4.6,1.52,1.0767,0,0,0,0,2021-10-30
RX0000011859,MBR00000327,2023-08-25,2023-08-26,1979610008,1381279032,PLN1625,319132,PCN261,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,9,Retail,0,0,0,88.67,1.9,90.56,39.0,47.3,4.26,15.2,10.7667,0,0,0,0,2023-09-01
RX0000011860,MBR00000327,2022-04-07,2022-04-09,1663102675,1864457028,PLN3451,486667,PCN236,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,0,Retail,0,0,0,380.0,12.0,392.0,39.0,328.52,24.48,15.2,10.7667,0,0,0,0,2022-05-07
RX0000011861,MBR00000327,2022-09-25,2022-09-28,1570520120,1549948067,PLN1076,416937,PCN248,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,3,Retail,0,0,0,38.0,10.14,48.14,36.0,9.98,2.16,1.52,1.0767,0,0,0,0,2022-10-25
RX0000011862,MBR00000327,2021-03-31,2021-04-04,1505871749,1199266572,PLN2187,742784,PCN574,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,3,Mail Order,0,0,0,9.0,11.09,20.09,9.0,9.89,1.2,0.36,0.255,0,0,0,0,2021-04-30
RX0000011863,MBR00000327,2023-04-08,2023-04-09,1592132757,1268136107,PLN9329,875097,PCN160,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,10,Retail,0,0,0,11.0,2.86,13.86,2.0,11.13,0.73,0.44,0.3117,0,0,0,0,2023-05-08
RX0000011864,MBR00000327,2021-02-16,2021-02-19,1440280567,1694276791,PLN8814,258076,PCN504,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,1,Mail Order,0,0,0,310.0,9.03,319.03,31.0,277.72,10.31,12.4,8.7833,0,0,0,0,2021-03-18
RX0000011865,MBR00000327,2023-07-31,2023-08-01,1270978954,1703492839,PLN3389,188637,PCN457,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,91,2,Retail,0,0,0,45.0,8.09,53.09,3.0,46.94,3.15,0.6,0.425,0,0,0,0,2023-10-29
RX0000011866,MBR00000327,2022-07-10,2022-07-14,1152246616,1923753483,PLN1388,212157,PCN420,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,84,4,Retail,0,0,1,930.0,11.51,941.51,31.0,865.13,45.38,12.4,8.7833,0,0,0,0,2022-10-08
RX0000011867,MBR00000327,2021-08-23,2021-08-25,1788506192,1873451149,PLN3552,160074,PCN378,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,89,7,Retail,0,0,0,1440.0,8.29,1448.29,38.0,1328.99,81.3,19.2,13.6,1,0,0,0,2021-11-21
RX0000011868,MBR00000327,2021-03-21,2021-03-25,1567073139,1301003202,PLN4348,352251,PCN236,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,11,Retail,0,0,0,38.0,7.22,45.22,9.0,34.37,1.85,1.52,1.0767,0,0,0,0,2021-04-20
RX0000011869,MBR00000327,2021-12-31,2022-01-03,1142144098,1563764989,PLN6564,525369,PCN588,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,93,9,Mail Order,0,0,0,1110.0,9.93,1119.93,30.0,1045.61,44.32,14.8,10.4833,0,0,0,0,2022-03-31
RX0000011870,MBR00000327,2021-10-18,2021-10-19,1563687122,1499050005,PLN8083,747533,PCN507,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,7,Retail,0,0,0,72.33,8.2,80.53,38.0,39.96,2.57,12.4,8.7833,0,0,0,0,2021-10-25
RX0000011871,MBR00000327,2023-11-04,2023-11-05,1317405986,1240586952,PLN4033,879967,PCN414,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,9,Retail,0,0,0,14.0,2.52,16.52,8.0,7.83,0.69,0.56,0.3967,1,0,0,0,2023-12-04
RX0000011872,MBR00000327,2023-07-08,2023-07-09,1365136272,1517951736,PLN6530,524521,PCN555,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,86,3,Retail,0,0,0,33.0,11.6,44.6,8.0,33.75,2.85,0.44,0.3117,0,0,0,0,2023-10-06
RX0000011873,MBR00000327,2021-05-20,2021-05-22,1159688515,1892010509,PLN1487,298824,PCN978,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,11,Retail,3,0,0,185.0,4.08,189.08,35.0,142.56,11.52,7.4,5.2417,0,0,0,0,2021-06-19
RX0000011874,MBR00000327,2021-04-23,2021-04-25,1808180760,1280301302,PLN4973,248771,PCN310,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,9,Retail,0,0,0,330.0,6.22,336.22,37.0,281.91,17.31,13.2,9.35,0,0,0,0,2021-05-23
RX0000011875,MBR00000327,2022-03-27,2022-03-29,1401711536,1263403463,PLN4330,835287,PCN721,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,11,Retail,0,0,0,15.0,4.3,19.3,3.0,15.5,0.8,0.6,0.425,0,0,0,0,2022-04-26
RX0000011876,MBR00000327,2023-05-18,2023-05-20,1910608437,1959095823,PLN7648,298845,PCN594,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,86,1,Retail,0,0,0,36.0,10.62,46.62,9.0,34.49,3.13,0.48,0.34,0,0,0,0,2023-08-16
RX0000011877,MBR00000327,2023-12-21,2023-12-24,1932726050,1875678925,PLN4492,140501,PCN123,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,6,Retail,0,0,0,480.0,5.83,485.83,40.0,429.39,16.44,19.2,13.6,0,0,0,0,2024-01-20
RX0000011878,MBR00000327,2022-07-17,2022-07-19,1917516378,1587159928,PLN4799,622201,PCN895,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,96,8,Specialty,0,0,0,195.0,27.16,222.16,38.0,184.16,0.0,2.6,1.8417,0,0,0,0,2022-10-15
RX0000011879,MBR00000327,2022-12-05,2022-12-07,1745457915,1179833717,PLN4923,871856,PCN682,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,8,Retail,0,1,0,12.0,9.89,21.89,155.0,0.0,1.11,0.48,0.34,0,0,0,0,2023-01-04
RX0000011880,MBR00000327,2022-10-03,2022-10-06,1165186132,1886022758,PLN4897,801768,PCN595,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,86,6,Mail Order,0,0,0,1440.0,4.49,1444.49,40.0,1354.66,49.83,19.2,13.6,0,1,1,0,2023-01-01
RX0000011881,MBR00000327,2021-08-25,2021-08-26,1332616665,1331489367,PLN3975,414964,PCN850,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,0,Mail Order,0,0,0,74.67,8.05,82.72,40.0,37.25,5.47,12.8,9.0667,0,0,0,0,2021-09-01
RX0000011882,MBR00000327,2021-07-06,2021-07-08,1750101628,1370492582,PLN1346,939864,PCN609,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,10,LTC,0,0,0,12.5,7.84,20.34,8.0,11.72,0.62,0.5,0.3542,0,0,0,0,2021-08-05
RX0000011883,MBR00000327,2021-09-29,2021-10-01,1294334376,1571428808,PLN7404,998161,PCN688,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,6,Retail,0,0,0,750.0,5.5,755.5,30.0,689.7,35.8,30.0,21.25,0,0,0,0,2021-10-29
RX0000011884,MBR00000327,2022-12-20,2022-12-22,1975485761,1722994946,PLN7094,488110,PCN295,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,3,Mail Order,0,0,0,45.0,7.43,52.43,3.0,46.12,3.31,1.8,1.275,0,0,0,0,2023-01-19
RX0000011885,MBR00000327,2023-03-11,2023-03-14,1860055266,1737058161,PLN1375,536511,PCN520,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,89,3,Retail,0,0,0,54.0,6.35,60.35,10.0,46.5,3.85,0.72,0.51,0,0,0,0,2023-06-09
RX0000011886,MBR00000327,2022-03-21,2022-03-25,1266733194,1199549016,PLN4526,750901,PCN294,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,96,3,Retail,0,0,0,114.0,11.35,125.35,2.0,117.81,5.54,1.52,1.0767,0,0,0,0,2022-06-19
RX0000011887,MBR00000327,2021-05-29,2021-05-30,1855218335,1321891995,PLN2301,855942,PCN545,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,3,Specialty,0,0,0,11.0,47.51,58.51,7.0,51.51,0.0,0.44,0.3117,0,0,0,0,2021-06-28
RX0000011888,MBR00000327,2023-12-06,2023-12-08,1201981779,1543943665,PLN5241,812197,PCN299,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,10,Retail,0,0,0,2.57,2.63,5.2,0.0,4.94,0.26,0.44,0.3117,0,0,0,0,2023-12-13
RX0000011889,MBR00000327,2021-06-30,2021-07-04,1709768394,1871166137,PLN4015,539920,PCN271,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,6,Mail Order,0,0,0,950.0,3.6,953.6,40.0,848.89,64.71,38.0,26.9167,0,0,0,0,2021-07-30
RX0000011890,MBR00000327,2023-02-18,2023-02-20,1578945948,1705133561,PLN5648,844919,PCN394,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,9,Retail,0,0,0,185.0,11.19,196.19,37.0,148.81,10.38,7.4,5.2417,1,0,0,0,2023-03-20
RX0000011891,MBR00000327,2021-06-13,2021-06-15,1243270844,1589438568,PLN7324,286797,PCN740,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,9,Mail Order,0,0,0,43.17,11.23,54.39,33.0,19.07,2.32,7.4,5.2417,0,0,0,0,2021-06-20
RX0000011892,MBR00000328,2023-04-22,2023-04-24,1561159737,1337200463,PLN6955,957615,PCN298,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,92,11,Retail,0,0,0,114.0,9.46,123.46,35.0,83.19,5.27,1.52,1.0767,0,0,0,0,2023-07-21
RX0000011893,MBR00000328,2021-03-16,2021-03-17,1702684140,1726579915,PLN1391,650971,PCN464,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,5,Mail Order,0,0,0,10.0,11.08,21.08,5.0,14.94,1.14,0.4,0.2833,0,0,0,0,2021-04-15
RX0000011894,MBR00000328,2022-09-17,2022-09-19,1213237448,1778930938,PLN9952,212020,PCN783,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,10,Mail Order,0,0,1,88.67,10.69,99.35,30.0,64.33,5.02,15.2,10.7667,0,0,0,0,2022-09-24
RX0000011895,MBR00000328,2023-02-26,2023-02-27,1718398149,1971703273,PLN7337,681635,PCN617,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,5,Mail Order,0,1,0,6200.0,7.16,6207.16,154.0,5713.07,340.09,248.0,175.6667,0,0,0,0,2023-03-28
RX0000011896,MBR00000328,2022-04-16,2022-04-20,1501012342,1146637061,PLN7580,224183,PCN578,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,83,4,Retail,0,0,0,54.0,7.91,61.91,7.0,51.51,3.4,0.72,0.51,0,0,0,0,2022-07-15
RX0000011897,MBR00000328,2023-06-30,2023-07-01,1435903072,1134692069,PLN6181,242801,PCN490,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,63,6,Mail Order,0,0,1,20.0,4.88,24.88,1.0,22.66,1.22,0.4,0.2833,0,0,0,0,2023-08-29
RX0000011898,MBR00000328,2021-03-10,2021-03-11,1245012263,1728096261,PLN9165,381880,PCN451,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,0,Retail,2,0,1,650.0,5.78,655.78,40.0,581.0,34.78,26.0,18.4167,0,0,0,0,2021-04-09
RX0000011899,MBR00000328,2023-03-27,2023-03-28,1963423738,1263775843,PLN2604,712765,PCN206,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,87,7,Mail Order,2,0,0,25.5,9.45,34.95,7.0,26.62,1.33,0.34,0.2408,0,0,0,0,2023-06-25
RX0000011900,MBR00000328,2022-09-23,2022-09-26,1800059560,1746208450,PLN5357,991371,PCN361,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,7,Retail,0,0,0,3.27,7.72,10.99,1.0,9.51,0.48,0.56,0.3967,0,0,0,0,2022-09-30
RX0000011901,MBR00000328,2023-01-14,2023-01-15,1800714496,1161586542,PLN3084,279861,PCN954,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,7,Mail Order,3,0,0,9.0,3.03,12.03,7.0,4.6,0.43,0.36,0.255,0,0,0,0,2023-02-13
RX0000011902,MBR00000328,2022-08-08,2022-08-11,1388302427,1292724452,PLN3381,207542,PCN917,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,82,8,Retail,0,0,0,36.0,2.03,38.03,6.0,30.22,1.81,0.48,0.34,0,0,0,0,2022-11-06
RX0000011903,MBR00000328,2023-01-12,2023-01-15,1108406621,1626471127,PLN9902,613786,PCN257,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,5,Retail,0,0,0,2.92,4.66,7.58,1.0,6.06,0.52,0.5,0.3542,1,0,0,0,2023-01-19
RX0000011904,MBR00000328,2023-02-19,2023-02-22,1714227282,1607831130,PLN6902,817968,PCN136,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,3,Retail,0,0,0,8.5,6.41,14.91,2.0,12.12,0.79,0.34,0.2408,0,0,0,0,2023-03-21
RX0000011905,MBR00000328,2022-05-19,2022-05-21,1660294206,1266752179,PLN2905,515845,PCN382,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,6,Specialty,0,0,0,14.0,17.95,31.95,2.0,29.95,0.0,0.56,0.3967,0,0,0,0,2022-06-18
RX0000011906,MBR00000328,2021-11-07,2021-11-10,1896480293,1317248772,PLN2565,519406,PCN638,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,11,Retail,1,1,0,6200.0,3.68,6203.68,147.0,5840.5,216.18,248.0,175.6667,0,0,0,0,2021-12-07
RX0000011907,MBR00000328,2022-04-20,2022-04-23,1266169286,1473849199,PLN3553,976767,PCN271,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,83,7,Mail Order,0,0,0,30.0,1.77,31.77,2.0,27.75,2.02,0.4,0.2833,0,0,0,0,2022-07-19
RX0000011908,MBR00000328,2021-03-12,2021-03-14,1218754762,1262321849,PLN9667,695864,PCN567,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,4,Retail,0,0,0,10.0,10.13,20.13,4.0,15.53,0.6,0.4,0.2833,0,0,0,0,2021-04-11
RX0000011909,MBR00000328,2022-06-28,2022-06-29,1615695341,1940125804,PLN7382,270663,PCN829,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,83,9,Retail,0,0,0,30.0,6.68,36.68,1.0,33.96,1.72,0.4,0.2833,0,0,0,0,2022-09-26
RX0000011910,MBR00000328,2022-12-09,2022-12-11,1320329316,1155976452,PLN1215,420582,PCN343,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,85,6,Retail,0,0,0,25.5,2.05,27.55,1.0,24.74,1.81,0.34,0.2408,0,0,0,0,2023-03-09
RX0000011911,MBR00000328,2022-03-01,2022-03-02,1251127305,1212488632,PLN8991,219715,PCN126,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,84,0,Retail,0,0,0,135.0,11.01,146.01,6.0,132.44,7.57,1.8,1.275,0,0,0,0,2022-05-30
RX0000011912,MBR00000328,2023-09-06,2023-09-09,1882552961,1382046827,PLN8800,389177,PCN506,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,10,Retail,0,0,0,9.0,3.31,12.31,6.0,5.55,0.76,0.36,0.255,0,0,0,0,2023-10-06
RX0000011913,MBR00000328,2023-07-06,2023-07-09,1862865838,1929895129,PLN2270,928926,PCN211,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,58,2,Mail Order,1,0,0,90.0,8.36,98.36,6.0,89.14,3.22,1.8,1.275,0,1,0,0,2023-09-04
RX0000011914,MBR00000328,2022-12-06,2022-12-10,1963171065,1834825700,PLN6190,398756,PCN299,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,4,Retail,0,0,0,9.0,4.28,13.28,6.0,6.72,0.56,0.36,0.255,0,0,0,0,2023-01-05
RX0000011915,MBR00000328,2022-10-06,2022-10-07,1998117564,1298748965,PLN9177,770633,PCN634,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,3,Mail Order,0,0,0,9.0,10.11,19.11,3.0,14.86,1.25,0.36,0.255,0,0,0,0,2022-11-05
RX0000011916,MBR00000328,2021-01-25,2021-01-29,1977603735,1301978458,PLN6914,627449,PCN699,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,1,Retail,0,0,0,45.0,10.85,55.85,10.0,42.94,2.91,1.8,1.275,1,0,0,0,2021-02-24
RX0000011917,MBR00000328,2023-08-23,2023-08-27,1819190734,1892463122,PLN9244,793777,PCN434,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,5,Retail,0,1,0,6200.0,2.72,6202.72,147.0,5694.82,360.9,248.0,175.6667,0,0,0,0,2023-09-22
RX0000011918,MBR00000328,2023-08-27,2023-08-29,1694668414,1177536160,PLN4330,431615,PCN318,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,60,6,Mail Order,0,0,0,370.0,3.38,373.38,31.0,324.43,17.95,7.4,5.2417,0,0,0,0,2023-10-26
RX0000011919,MBR00000328,2022-12-12,2022-12-13,1277631191,1304176359,PLN6746,731205,PCN459,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,9,Retail,0,0,0,370.0,5.85,375.85,32.0,321.95,21.9,14.8,10.4833,0,0,0,0,2023-01-11
RX0000011920,MBR00000328,2022-09-25,2022-09-26,1462681425,1333510699,PLN6907,585939,PCN889,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,5,Retail,3,0,0,185.0,10.34,195.34,35.0,148.98,11.36,7.4,5.2417,0,0,0,0,2022-10-25
RX0000011921,MBR00000328,2022-10-06,2022-10-08,1435321634,1738151802,PLN5877,422527,PCN766,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,2,Retail,0,0,0,320.0,2.96,322.96,37.0,263.88,22.08,12.8,9.0667,0,0,0,0,2022-11-05
RX0000011922,MBR00000328,2022-01-25,2022-01-26,1115657342,1490899421,PLN6557,700193,PCN954,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,4,Retail,0,0,0,11.0,11.27,22.27,3.0,17.72,1.55,0.44,0.3117,0,0,0,0,2022-02-24
RX0000011923,MBR00000328,2022-03-15,2022-03-19,1745679221,1899677508,PLN6184,589752,PCN271,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,5,Mail Order,0,0,0,310.0,6.29,316.29,32.0,264.86,19.43,12.4,8.7833,0,0,0,0,2022-04-14
RX0000011924,MBR00000328,2021-11-10,2021-11-13,1755088250,1216420164,PLN1328,277347,PCN838,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,85,4,Retail,0,0,0,2850.0,5.84,2855.84,30.0,2695.97,129.87,38.0,26.9167,0,0,0,0,2022-02-08
RX0000011925,MBR00000328,2021-09-02,2021-09-03,1229546019,1720354726,PLN5926,883512,PCN307,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,90,9,Retail,0,0,0,25.5,3.51,29.01,9.0,18.87,1.14,0.34,0.2408,1,0,0,0,2021-12-01
RX0000011926,MBR00000328,2022-07-26,2022-07-27,1747321013,1306807222,PLN3450,988024,PCN108,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,10,Specialty,0,1,0,2800.0,38.04,2838.04,147.0,2691.04,0.0,112.0,79.3333,0,0,0,0,2022-08-25
RX0000011927,MBR00000328,2021-03-07,2021-03-08,1865189606,1456494256,PLN1419,214815,PCN702,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,11,Retail,0,0,0,18.0,11.8,29.8,31.0,0.0,1.03,0.72,0.51,1,0,0,0,2021-04-06
RX0000011928,MBR00000328,2021-05-17,2021-05-19,1161323887,1194359665,PLN3553,265133,PCN314,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,88,11,LTC,0,0,0,30.0,5.16,35.16,10.0,23.49,1.67,0.4,0.2833,1,0,0,0,2021-08-15
RX0000011929,MBR00000328,2022-12-11,2022-12-15,1749253511,1206019255,PLN8254,758817,PCN968,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,84,4,Mail Order,0,0,0,66.0,5.03,71.03,7.0,61.43,2.6,0.88,0.6233,0,0,0,0,2023-03-11
RX0000011930,MBR00000328,2022-03-30,2022-04-03,1243335227,1185793181,PLN4909,672691,PCN777,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,8,Retail,1,0,0,380.0,6.13,386.13,35.0,324.32,26.81,15.2,10.7667,0,0,0,0,2022-04-29
RX0000011931,MBR00000328,2022-06-19,2022-06-22,1315463972,1235826732,PLN5107,339520,PCN748,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,4,Retail,0,1,0,8.0,5.52,13.52,152.0,0.0,0.57,0.32,0.2267,0,1,1,0,2022-07-19
RX0000011932,MBR00000328,2021-07-06,2021-07-08,1299659785,1480073498,PLN8672,576103,PCN198,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,3,Mail Order,0,0,0,28.0,4.52,32.52,4.0,26.96,1.56,1.12,0.7933,0,0,0,0,2021-08-05
RX0000011933,MBR00000328,2021-12-02,2021-12-06,1635411140,1263418311,PLN2205,449544,PCN629,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,10,Retail,0,0,0,10.0,6.22,16.22,2.0,13.14,1.08,0.4,0.2833,0,0,0,0,2022-01-01
RX0000011934,MBR00000328,2023-10-02,2023-10-05,1203571136,1843577503,PLN6574,141479,PCN427,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,11,Retail,0,0,0,12.0,9.7,21.7,5.0,16.05,0.65,0.48,0.34,0,0,0,0,2023-11-01
RX0000011935,MBR00000328,2022-10-15,2022-10-16,1922097855,1879384391,PLN2915,825221,PCN603,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,10,Mail Order,0,0,0,650.0,10.86,660.86,32.0,601.31,27.55,26.0,18.4167,0,0,0,0,2022-11-14
RX0000011936,MBR00000328,2021-07-23,2021-07-26,1742649036,1754617694,PLN6172,195291,PCN845,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,11,Mail Order,0,0,0,38.0,8.03,46.03,40.0,3.68,2.35,1.52,1.0767,0,0,0,0,2021-08-22
RX0000011937,MBR00000328,2021-07-10,2021-07-11,1314709096,1527072035,PLN8324,314995,PCN663,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,9,Retail,0,0,0,10.0,9.02,19.02,9.0,9.27,0.75,0.4,0.2833,0,0,0,0,2021-08-09
RX0000011938,MBR00000329,2021-04-08,2021-04-11,1763590956,1994171505,PLN3285,774530,PCN362,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,1,Mail Order,3,0,0,750.0,7.55,757.55,31.0,677.01,49.54,30.0,21.25,0,0,0,0,2021-05-08
RX0000011939,MBR00000329,2023-11-06,2023-11-07,1619972861,1512319774,PLN3766,564116,PCN329,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,1,Retail,0,0,0,320.0,2.49,322.49,31.0,281.69,9.8,12.8,9.0667,0,0,0,0,2023-12-06
RX0000011940,MBR00000329,2023-12-05,2023-12-07,1207667904,1832099816,PLN2473,561562,PCN996,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,96,0,Specialty,3,0,0,1950.0,23.27,1973.27,31.0,1942.27,0.0,26.0,18.4167,0,0,0,0,2024-03-04
RX0000011941,MBR00000329,2021-04-20,2021-04-24,1796304080,1778509914,PLN6426,798551,PCN250,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,8,Retail,0,0,0,9.0,11.96,20.96,10.0,9.71,1.25,0.36,0.255,0,0,0,0,2021-05-20
RX0000011942,MBR00000329,2022-08-15,2022-08-18,1268987032,1654546434,PLN7774,536728,PCN910,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,8,Retail,0,0,0,151.67,10.99,162.66,37.0,115.95,9.71,26.0,18.4167,0,0,0,0,2022-08-22
RX0000011943,MBR00000329,2022-05-04,2022-05-08,1764325871,1904648947,PLN9601,229476,PCN865,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,6,Retail,0,0,0,38.0,7.22,45.22,6.0,37.37,1.85,1.52,1.0767,0,0,0,0,2022-06-03
RX0000011944,MBR00000329,2023-06-20,2023-06-21,1313765541,1963216945,PLN6282,733851,PCN277,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,6,Specialty,0,0,0,28.0,12.61,40.61,3.0,37.61,0.0,1.12,0.7933,0,0,0,0,2023-07-20
RX0000011945,MBR00000329,2023-10-22,2023-10-25,1581208656,1396782674,PLN9316,441829,PCN620,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,8,Mail Order,2,0,0,22.0,2.85,24.85,66.0,0.0,1.03,0.88,0.6233,0,0,0,0,2023-11-21
RX0000011946,MBR00000329,2022-08-25,2022-08-27,1162142494,1787487702,PLN7083,802734,PCN640,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,62,2,Retail,0,0,0,20.0,5.12,25.12,7.0,16.87,1.25,0.4,0.2833,0,0,0,0,2022-10-24
RX0000011947,MBR00000329,2021-06-24,2021-06-26,1597054719,1917165265,PLN6587,641048,PCN885,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,90,10,Retail,0,0,0,1110.0,11.83,1121.83,36.0,1024.54,61.29,14.8,10.4833,0,0,0,0,2021-09-22
RX0000011948,MBR00000329,2023-08-27,2023-08-29,1278337884,1603176911,PLN4450,925265,PCN423,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,1,Retail,1,0,0,9.0,7.37,16.37,10.0,5.27,1.1,0.36,0.255,0,0,0,0,2023-09-26
RX0000011949,MBR00000329,2023-06-11,2023-06-13,1377061721,1338867440,PLN8148,736565,PCN922,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,57,9,Retail,0,0,1,640.0,5.98,645.98,30.0,578.17,37.81,12.8,9.0667,1,1,1,0,2023-08-10
RX0000011950,MBR00000329,2022-01-05,2022-01-09,1702813095,1101646514,PLN3663,819696,PCN163,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,9,LTC,0,0,0,10.0,10.87,20.87,5.0,14.77,1.1,0.4,0.2833,0,0,0,0,2022-02-04
RX0000011951,MBR00000329,2023-07-25,2023-07-27,1749408751,1227574734,PLN8630,929765,PCN144,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,6,Retail,0,0,0,2.57,9.94,12.51,0.0,11.64,0.87,0.44,0.3117,0,0,0,0,2023-08-01
RX0000011952,MBR00000329,2023-09-30,2023-10-01,1797248209,1676574388,PLN5685,439627,PCN567,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,85,3,Retail,0,1,0,25500.0,4.5,25504.5,145.0,23880.6,1478.9,340.0,240.8333,0,0,0,0,2023-12-29
RX0000011953,MBR00000329,2021-06-13,2021-06-15,1662580823,1556328519,PLN2765,177928,PCN140,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,58,11,Retail,0,0,0,30.0,10.96,40.96,2.0,36.36,2.6,0.6,0.425,0,0,0,0,2021-08-12
RX0000011954,MBR00000329,2022-04-03,2022-04-07,1543391416,1991525540,PLN9172,889163,PCN187,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,1,Retail,0,1,0,8.0,11.24,19.24,150.0,0.0,1.31,0.32,0.2267,0,0,0,0,2022-05-03
RX0000011955,MBR00000329,2022-06-01,2022-06-03,1743866991,1794395915,PLN7627,706967,PCN120,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,0,Retail,0,0,0,11.0,10.01,21.01,9.0,11.02,0.99,0.44,0.3117,0,0,0,0,2022-07-01
RX0000011956,MBR00000329,2022-08-20,2022-08-23,1704773500,1142330750,PLN6893,291831,PCN157,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,3,Retail,0,0,0,18.0,5.81,23.81,31.0,0.0,0.81,0.72,0.51,0,0,0,0,2022-09-19
RX0000011957,MBR00000329,2023-12-06,2023-12-09,1754976412,1660261039,PLN1320,339481,PCN789,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,9,Retail,2,0,0,6.53,11.83,18.36,8.0,9.77,0.59,1.12,0.7933,0,0,0,0,2023-12-13
RX0000011958,MBR00000329,2023-04-14,2023-04-16,1845871965,1466320772,PLN7793,431934,PCN888,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,91,3,Mail Order,0,0,0,30.0,2.55,32.55,4.0,26.37,2.18,0.4,0.2833,0,0,0,0,2023-07-13
RX0000011959,MBR00000329,2021-12-07,2021-12-11,1192882610,1610729516,PLN8974,115981,PCN992,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,3,Retail,0,0,0,8.87,2.12,10.99,1.0,9.4,0.59,1.52,1.0767,1,0,0,0,2021-12-14
RX0000011960,MBR00000329,2022-01-30,2022-01-31,1458776810,1735786949,PLN7580,564732,PCN920,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,10,Mail Order,0,0,0,370.0,4.11,374.11,31.0,328.05,15.06,14.8,10.4833,0,1,1,0,2022-03-01
RX0000011961,MBR00000329,2022-08-09,2022-08-13,1489657629,1459918180,PLN4460,314487,PCN491,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,61,5,Mail Order,0,1,0,24.0,8.76,32.76,150.0,0.0,1.85,0.48,0.34,1,0,0,0,2022-10-08
RX0000011962,MBR00000329,2022-10-31,2022-11-03,1318041059,1648470095,PLN6100,875697,PCN308,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,3,Retail,0,0,0,750.0,8.68,758.68,39.0,690.17,29.51,30.0,21.25,0,0,0,0,2022-11-30
RX0000011963,MBR00000329,2022-09-22,2022-09-23,1143934364,1168545409,PLN2460,350716,PCN222,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,6,Specialty,0,0,0,9.0,10.29,19.29,1.0,18.29,0.0,0.36,0.255,0,0,0,0,2022-10-22
RX0000011964,MBR00000329,2021-06-03,2021-06-06,1477740193,1705585056,PLN4964,409350,PCN255,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,8,Retail,3,0,0,45.0,1.71,46.71,0.0,44.87,1.84,1.8,1.275,0,0,0,0,2021-07-03
RX0000011965,MBR00000329,2021-05-20,2021-05-23,1276885547,1245332714,PLN1178,581432,PCN335,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,1,Retail,0,1,0,2800.0,7.88,2807.88,146.0,2538.63,123.25,112.0,79.3333,0,0,0,0,2021-06-19
RX0000011966,MBR00000329,2021-06-29,2021-06-30,1658741075,1643702967,PLN8909,178607,PCN141,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,9,Retail,0,1,0,2800.0,7.78,2807.78,151.0,2515.44,141.34,112.0,79.3333,0,0,0,0,2021-07-29
RX0000011967,MBR00000329,2021-05-29,2021-05-31,1311320555,1317388610,PLN3495,920236,PCN492,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,94,1,Retail,1,0,0,84.0,6.62,90.62,9.0,76.94,4.68,1.12,0.7933,0,0,0,0,2021-08-27
RX0000011968,MBR00000329,2021-04-10,2021-04-12,1814511249,1478011449,PLN9189,474096,PCN228,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,8,Retail,0,0,0,370.0,6.64,376.64,32.0,330.86,13.78,14.8,10.4833,0,0,0,0,2021-05-10
RX0000011969,MBR00000329,2021-09-28,2021-10-02,1560771732,1285498991,PLN6745,788927,PCN382,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,6,Retail,0,0,0,285.0,10.73,295.73,34.0,252.8,8.93,11.4,8.075,0,0,0,0,2021-10-28
RX0000011970,MBR00000329,2022-08-28,2022-08-30,1956970142,1829559815,PLN4074,446676,PCN418,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,54,5,Retail,0,0,0,28.0,11.46,39.46,3.0,33.88,2.58,0.56,0.3967,0,0,0,0,2022-10-27
RX0000011971,MBR00000329,2023-04-19,2023-04-21,1251370439,1825296490,PLN3847,236948,PCN426,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,86,5,Retail,0,0,0,2850.0,9.74,2859.74,39.0,2686.76,133.98,38.0,26.9167,0,0,0,0,2023-07-18
RX0000011972,MBR00000329,2021-06-20,2021-06-21,1254390819,1206061348,PLN9029,556470,PCN914,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,4,Retail,0,0,0,12.0,8.54,20.54,7.0,12.72,0.82,0.48,0.34,0,0,0,0,2021-07-20
RX0000011973,MBR00000329,2022-03-13,2022-03-16,1684406484,1102791249,PLN7768,157351,PCN115,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,4,Mail Order,0,0,0,12.5,2.9,15.4,7.0,7.44,0.96,0.5,0.3542,0,0,0,0,2022-04-12
RX0000011974,MBR00000329,2023-09-08,2023-09-11,1901509897,1671287012,PLN3087,971238,PCN869,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,9,Retail,0,0,0,10.0,11.83,21.83,2.0,18.66,1.17,0.4,0.2833,0,0,0,0,2023-10-08
RX0000011975,MBR00000329,2022-05-31,2022-06-04,1583880861,1780428570,PLN6036,422457,PCN477,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,65,7,Mail Order,0,0,0,56.0,3.12,59.12,3.0,52.68,3.44,1.12,0.7933,0,0,0,0,2022-07-30
RX0000011976,MBR00000330,2023-08-10,2023-08-14,1722541579,1895424939,PLN9691,841380,PCN744,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,5,Retail,0,0,0,5.13,5.95,11.08,71.0,0.0,0.37,0.88,0.6233,0,0,0,0,2023-08-17
RX0000011977,MBR00000330,2021-07-18,2021-07-22,1173172720,1570550876,PLN4352,225666,PCN888,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,6,LTC,0,0,0,43.17,2.91,46.07,39.0,5.01,2.06,7.4,5.2417,0,0,0,0,2021-07-25
RX0000011978,MBR00000330,2022-08-27,2022-08-31,1853211979,1525070039,PLN4777,691084,PCN643,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,3,Retail,0,0,0,2.33,5.28,7.61,3.0,4.17,0.44,0.4,0.2833,0,0,0,0,2022-09-03
RX0000011979,MBR00000330,2022-08-20,2022-08-24,1313867282,1288162751,PLN6899,787101,PCN768,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,11,Mail Order,0,0,0,3.27,2.09,5.36,7.0,0.0,0.34,0.56,0.3967,0,0,0,0,2022-08-27
RX0000011980,MBR00000330,2023-08-04,2023-08-05,1839094194,1149707769,PLN7371,912565,PCN534,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,90,5,Specialty,0,0,0,36.0,20.84,56.84,7.0,49.84,0.0,0.48,0.34,0,0,0,0,2023-11-02
RX0000011981,MBR00000330,2023-05-26,2023-05-30,1349912977,1875119228,PLN8467,651968,PCN250,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,10,Retail,0,0,0,14.0,2.06,16.06,5.0,10.56,0.5,0.56,0.3967,0,0,0,0,2023-06-25
RX0000011982,MBR00000330,2021-09-30,2021-10-03,1257190562,1309934675,PLN6078,559649,PCN114,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,81,3,Specialty,0,1,0,8400.0,24.82,8424.82,153.0,8271.82,0.0,112.0,79.3333,1,0,0,0,2021-12-29
RX0000011983,MBR00000330,2023-02-20,2023-02-21,1283717485,1247134868,PLN5629,307165,PCN547,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,7,Retail,3,0,0,45.0,8.36,53.36,6.0,45.65,1.71,1.8,1.275,0,0,0,0,2023-03-22
RX0000011984,MBR00000330,2022-01-27,2022-01-30,1706617247,1226231647,PLN3179,681405,PCN332,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,1,Retail,0,0,0,10.0,8.34,18.34,9.0,8.42,0.92,0.4,0.2833,0,0,0,0,2022-02-26
RX0000011985,MBR00000330,2021-04-25,2021-04-26,1819960942,1501277885,PLN9719,127659,PCN104,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,7,Specialty,0,0,0,9.0,31.01,40.01,6.0,34.01,0.0,0.36,0.255,0,0,0,0,2021-05-25
RX0000011986,MBR00000330,2022-12-10,2022-12-14,1209826233,1263929394,PLN6507,121806,PCN560,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,55,0,Retail,0,0,0,36.0,4.82,40.82,4.0,34.6,2.22,0.72,0.51,0,0,0,0,2023-02-08
RX0000011987,MBR00000330,2023-09-03,2023-09-06,1499083934,1564783028,PLN7675,568627,PCN391,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,59,4,Retail,0,0,0,28.0,10.22,38.22,0.0,36.98,1.24,0.56,0.3967,0,0,0,0,2023-11-02
RX0000011988,MBR00000330,2021-04-13,2021-04-17,1620759931,1845494416,PLN3835,493410,PCN484,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,5,Retail,0,0,0,650.0,7.15,657.15,39.0,597.72,20.43,26.0,18.4167,1,0,0,0,2021-05-13
RX0000011989,MBR00000330,2021-07-25,2021-07-29,1344695028,1681267265,PLN5877,256886,PCN347,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,56,5,Retail,0,0,0,36.0,10.45,46.45,8.0,36.86,1.59,0.72,0.51,1,0,0,0,2021-09-23
RX0000011990,MBR00000330,2022-07-31,2022-08-02,1795528015,1894393044,PLN7418,264193,PCN800,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,95,2,Retail,0,0,0,42.0,6.72,48.72,9.0,37.76,1.96,0.56,0.3967,0,0,0,0,2022-10-29
RX0000011991,MBR00000330,2022-07-22,2022-07-24,1855886109,1545864578,PLN7480,961220,PCN696,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,4,Mail Order,0,0,0,11.0,8.86,19.86,8.0,10.88,0.98,0.44,0.3117,0,0,0,0,2022-08-21
RX0000011992,MBR00000330,2022-11-24,2022-11-27,1736890658,1572088108,PLN1541,760206,PCN970,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,88,0,Retail,0,1,0,18600.0,11.95,18611.95,145.0,17696.72,770.23,248.0,175.6667,0,0,0,0,2023-02-22
RX0000011993,MBR00000331,2021-02-05,2021-02-08,1663470527,1546640632,PLN6559,674002,PCN867,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,4,Retail,0,0,0,10.0,11.99,21.99,7.0,14.11,0.88,0.4,0.2833,0,0,0,0,2021-03-07
RX0000011994,MBR00000331,2021-06-18,2021-06-19,1769600841,1585283579,PLN8966,818797,PCN768,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,2,Mail Order,0,0,0,18.0,4.59,22.59,10.0,11.7,0.89,0.72,0.51,0,0,0,0,2021-07-18
RX0000011995,MBR00000331,2022-05-26,2022-05-29,1840530420,1272889819,PLN8684,721633,PCN608,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,85,9,Mail Order,0,0,0,33.0,8.57,41.57,2.0,37.06,2.51,0.44,0.3117,1,0,0,0,2022-08-24
RX0000011996,MBR00000331,2023-04-14,2023-04-16,1531071151,1552550043,PLN7548,695840,PCN551,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,83,8,Retail,0,0,0,36.0,3.79,39.79,6.0,31.69,2.1,0.48,0.34,0,0,0,0,2023-07-13
RX0000011997,MBR00000331,2023-10-05,2023-10-09,1412240144,1277264439,PLN8488,970544,PCN409,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,4,Retail,0,0,0,45.0,1.95,46.95,5.0,39.03,2.92,1.8,1.275,0,0,0,0,2023-11-04
RX0000011998,MBR00000331,2022-08-03,2022-08-07,1706817963,1142666703,PLN5572,898530,PCN502,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,92,8,Mail Order,0,0,0,195.0,6.63,201.63,40.0,149.87,11.76,2.6,1.8417,0,0,0,0,2022-11-01
RX0000011999,MBR00000331,2022-02-03,2022-02-05,1400476118,1894379010,PLN6230,255308,PCN187,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,2,Mail Order,0,0,0,3.27,10.7,13.97,9.0,4.0,0.97,0.56,0.3967,0,0,0,0,2022-02-10
RX0000012000,MBR00000331,2022-05-17,2022-05-18,1822986889,1996248128,PLN2651,650809,PCN267,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,91,5,Retail,0,0,0,27.0,6.42,33.42,6.0,26.34,1.08,0.36,0.255,0,0,0,0,2022-08-15
RX0000012001,MBR00000331,2022-06-08,2022-06-12,1354496714,1179964287,PLN5020,431371,PCN412,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,6,Mail Order,0,0,0,3.5,8.44,11.94,2.0,9.25,0.69,0.6,0.425,0,0,0,0,2022-06-15
RX0000012002,MBR00000331,2023-06-03,2023-06-04,1942165880,1525378262,PLN9311,713668,PCN792,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,59,2,Mail Order,2,0,0,20.0,5.59,25.59,4.0,20.09,1.5,0.4,0.2833,0,0,0,0,2023-08-02
RX0000012003,MBR00000331,2021-04-01,2021-04-02,1361868224,1240376927,PLN5798,508300,PCN270,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,10,Retail,0,0,0,15.0,6.05,21.05,10.0,10.41,0.64,0.6,0.425,0,0,0,0,2021-05-01
RX0000012004,MBR00000331,2023-02-24,2023-02-28,1732355519,1332687955,PLN9024,959756,PCN881,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,7,Mail Order,0,0,0,15.0,8.51,23.51,9.0,13.78,0.73,0.6,0.425,0,0,0,0,2023-03-26
RX0000012005,MBR00000331,2023-06-17,2023-06-21,1420745329,1616275973,PLN3168,753607,PCN706,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,7,Retail,0,0,0,480.0,8.87,488.87,35.0,437.11,16.76,19.2,13.6,0,0,0,0,2023-07-17
RX0000012006,MBR00000331,2021-04-10,2021-04-12,1137737307,1694640261,PLN1476,111021,PCN472,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,6,Retail,0,0,0,45.0,7.39,52.39,10.0,38.87,3.52,1.8,1.275,0,0,0,0,2021-05-10
RX0000012007,MBR00000331,2022-02-14,2022-02-16,1581931140,1309843277,PLN9941,681559,PCN639,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,11,Retail,0,0,0,18.0,7.19,25.19,35.0,0.0,0.78,0.72,0.51,0,0,0,0,2022-03-16
RX0000012008,MBR00000331,2021-08-10,2021-08-14,1653197508,1594055145,PLN8033,432003,PCN569,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,83,9,Mail Order,0,0,0,30.0,8.56,38.56,4.0,32.4,2.16,0.4,0.2833,0,0,0,0,2021-11-08
RX0000012009,MBR00000331,2022-11-22,2022-11-23,1270895559,1279976848,PLN4631,767089,PCN471,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,8,Mail Order,0,0,0,12.5,9.18,21.68,1.0,19.36,1.32,0.5,0.3542,0,0,0,0,2022-12-22
RX0000012010,MBR00000331,2021-07-11,2021-07-15,1655999342,1943173048,PLN1084,926554,PCN610,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,7,Retail,0,0,0,38.0,11.85,49.85,10.0,38.19,1.66,1.52,1.0767,0,0,0,0,2021-08-10
RX0000012011,MBR00000331,2021-04-09,2021-04-10,1950914664,1397496943,PLN6260,186357,PCN128,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,81,5,Retail,0,0,0,855.0,9.83,864.83,32.0,783.16,49.67,11.4,8.075,0,1,1,0,2021-07-08
RX0000012012,MBR00000331,2022-10-29,2022-11-02,1919545349,1524036925,PLN7865,437086,PCN837,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,7,Retail,0,0,0,18.0,9.65,27.65,9.0,17.7,0.95,0.72,0.51,0,0,0,0,2022-11-28
RX0000012013,MBR00000331,2023-06-17,2023-06-21,1160430793,1489093828,PLN1636,276567,PCN666,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,6,Retail,0,0,0,14.0,3.36,17.36,0.0,16.53,0.83,0.56,0.3967,0,0,0,0,2023-07-17
RX0000012014,MBR00000331,2023-03-10,2023-03-13,1114498410,1994368213,PLN5698,742529,PCN972,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,84,10,Retail,3,0,0,84.0,6.79,90.79,1.0,84.05,5.74,1.12,0.7933,0,0,0,0,2023-06-08
RX0000012015,MBR00000331,2022-02-11,2022-02-12,1742315019,1664825312,PLN2735,541719,PCN842,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,90,10,Mail Order,0,0,0,1140.0,9.78,1149.78,32.0,1081.61,36.17,15.2,10.7667,1,0,0,0,2022-05-12
RX0000012016,MBR00000331,2023-10-07,2023-10-08,1763260189,1635241787,PLN2844,358396,PCN959,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,11,Retail,0,0,0,22.0,11.69,33.69,3.0,28.54,2.15,0.88,0.6233,0,1,0,0,2023-11-06
RX0000012017,MBR00000331,2022-08-12,2022-08-16,1737187695,1595620196,PLN9354,719383,PCN196,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,57,10,Retail,0,0,0,17.0,6.38,23.38,1.0,21.12,1.26,0.34,0.2408,0,0,0,0,2022-10-11
RX0000012018,MBR00000331,2023-01-04,2023-01-05,1504858763,1335133619,PLN9714,424181,PCN801,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,94,2,Retail,0,0,0,54.0,6.23,60.23,38.0,20.0,2.23,0.72,0.51,0,0,0,0,2023-04-04
RX0000012019,MBR00000331,2023-06-18,2023-06-20,1619101164,1674837852,PLN9333,459571,PCN828,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,10,Retail,0,0,0,15.0,2.61,17.61,5.0,11.97,0.64,0.6,0.425,0,0,0,0,2023-07-18
RX0000012020,MBR00000331,2022-06-10,2022-06-13,1886093271,1321305549,PLN6696,767202,PCN512,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,82,8,Retail,0,0,0,2850.0,2.88,2852.88,33.0,2664.46,155.42,38.0,26.9167,0,0,0,0,2022-09-08
RX0000012021,MBR00000331,2021-03-26,2021-03-30,1573140363,1577530514,PLN8238,365667,PCN949,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,95,1,Retail,2,0,0,45.0,3.33,48.33,4.0,41.18,3.15,0.6,0.425,0,0,0,0,2021-06-24
RX0000012022,MBR00000331,2022-08-15,2022-08-19,1660051871,1488464336,PLN6888,720274,PCN418,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,92,0,Mail Order,0,0,0,54.0,10.88,64.88,38.0,24.17,2.71,0.72,0.51,0,0,0,0,2022-11-13
RX0000012023,MBR00000331,2022-08-01,2022-08-03,1810270109,1395083694,PLN4577,555555,PCN991,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,0,Mail Order,0,0,0,175.0,11.57,186.57,33.0,142.79,10.78,7.0,4.9583,0,0,0,0,2022-08-31
RX0000012024,MBR00000331,2021-10-15,2021-10-17,1240436291,1878556807,PLN5271,160613,PCN625,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,10,Retail,0,0,0,285.0,9.68,294.68,31.0,246.35,17.33,11.4,8.075,0,0,0,0,2021-11-14
RX0000012025,MBR00000331,2022-06-14,2022-06-16,1957979153,1593418677,PLN2440,918325,PCN199,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,6,LTC,0,0,0,43.17,1.84,45.01,33.0,9.06,2.95,7.4,5.2417,0,0,0,0,2022-06-21
RX0000012026,MBR00000331,2021-03-25,2021-03-27,1263309436,1819859734,PLN6417,203874,PCN580,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,1,Retail,3,0,0,11.0,10.54,21.54,6.0,14.22,1.32,0.44,0.3117,0,0,0,0,2021-04-24
RX0000012027,MBR00000331,2021-11-05,2021-11-09,1989532887,1534096299,PLN1687,551478,PCN355,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,3,Retail,1,0,0,18.0,8.82,26.82,5.0,20.12,1.7,0.72,0.51,0,0,0,0,2021-12-05
RX0000012028,MBR00000331,2021-01-05,2021-01-06,1982224855,1754101776,PLN8799,710464,PCN327,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,10,Retail,0,1,0,8500.0,9.18,8509.18,155.0,8093.47,260.71,340.0,240.8333,1,0,0,0,2021-02-04
RX0000012029,MBR00000331,2022-09-05,2022-09-08,1619942014,1400451064,PLN5431,832309,PCN517,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,1,Retail,0,0,0,175.0,9.43,184.43,40.0,136.62,7.81,7.0,4.9583,0,0,0,0,2022-10-05
RX0000012030,MBR00000331,2022-06-22,2022-06-25,1779489200,1919305704,PLN7413,291366,PCN168,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,92,9,Retail,0,0,0,990.0,7.69,997.69,33.0,913.75,50.94,13.2,9.35,0,0,0,0,2022-09-20
RX0000012031,MBR00000331,2023-12-03,2023-12-05,1535541022,1548259688,PLN2903,111952,PCN708,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,82,3,Mail Order,0,0,0,54.0,4.41,58.41,3.0,51.4,4.01,0.72,0.51,0,0,0,0,2024-03-02
RX0000012032,MBR00000332,2023-03-14,2023-03-15,1720560875,1760725068,PLN2573,498388,PCN347,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,3,Retail,0,0,0,2.1,3.59,5.69,2.0,3.42,0.27,0.36,0.255,0,0,0,0,2023-03-21
RX0000012033,MBR00000332,2022-05-02,2022-05-03,1617086417,1144475903,PLN5638,778663,PCN407,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,90,7,Retail,0,0,0,30.0,11.41,41.41,6.0,33.11,2.3,0.4,0.2833,0,0,0,0,2022-07-31
RX0000012034,MBR00000332,2021-12-10,2021-12-12,1788939723,1149254828,PLN6130,347254,PCN601,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,0,Retail,0,0,0,30.0,10.74,40.74,4.0,34.96,1.78,0.4,0.2833,0,0,0,0,2022-03-10
RX0000012035,MBR00000332,2022-12-23,2022-12-24,1767677511,1136040856,PLN2839,661776,PCN158,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,94,2,Retail,0,0,0,30.0,8.59,38.59,4.0,32.83,1.76,0.4,0.2833,0,0,0,0,2023-03-23
RX0000012036,MBR00000332,2022-07-17,2022-07-20,1876907612,1887851572,PLN4888,763407,PCN753,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,7,Mail Order,0,0,0,18.0,9.13,27.13,39.0,0.0,1.03,0.72,0.51,0,0,0,0,2022-08-16
RX0000012037,MBR00000332,2022-10-13,2022-10-16,1706087977,1665486371,PLN3053,210078,PCN567,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,0,Retail,0,0,0,38.0,8.88,46.88,33.0,10.79,3.09,1.52,1.0767,0,0,0,0,2022-11-12
RX0000012038,MBR00000332,2022-07-06,2022-07-07,1659073662,1849711683,PLN4980,394332,PCN260,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,5,Retail,0,0,0,9.0,4.7,13.7,10.0,3.09,0.61,0.36,0.255,0,0,0,0,2022-08-05
RX0000012039,MBR00000332,2023-11-20,2023-11-24,1628387731,1918033798,PLN1977,442481,PCN673,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,84,1,LTC,0,0,0,42.0,3.24,45.24,1.0,41.85,2.39,0.56,0.3967,0,0,0,0,2024-02-18
RX0000012040,MBR00000332,2022-08-06,2022-08-07,1793427039,1749994330,PLN4374,493831,PCN326,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,95,1,Retail,0,0,0,525.0,10.34,535.34,32.0,477.14,26.2,7.0,4.9583,0,0,0,0,2022-11-04
RX0000012041,MBR00000332,2021-07-04,2021-07-08,1999761228,1460154337,PLN3101,474060,PCN977,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,85,3,Retail,0,0,0,525.0,5.19,530.19,37.0,462.02,31.17,7.0,4.9583,0,0,0,0,2021-10-02
RX0000012042,MBR00000332,2023-05-16,2023-05-19,1445240661,1159909485,PLN9117,164666,PCN873,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,0,Retail,0,0,0,175.0,6.27,181.27,37.0,136.41,7.86,7.0,4.9583,0,0,0,0,2023-06-15
RX0000012043,MBR00000332,2022-11-14,2022-11-16,1710596707,1944873276,PLN1275,580404,PCN195,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,87,9,Retail,3,0,0,84.0,7.82,91.82,3.0,82.93,5.89,1.12,0.7933,0,0,0,0,2023-02-12
RX0000012044,MBR00000332,2022-04-07,2022-04-11,1882984445,1387266027,PLN8561,644560,PCN107,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,2,Retail,1,0,0,285.0,11.32,296.32,36.0,244.65,15.67,11.4,8.075,0,0,0,0,2022-05-07
RX0000012045,MBR00000332,2022-05-14,2022-05-15,1403791242,1490360822,PLN5538,511391,PCN459,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,6,Retail,0,1,0,2800.0,1.83,2801.83,147.0,2540.99,113.84,112.0,79.3333,0,0,0,0,2022-06-13
RX0000012046,MBR00000332,2022-04-03,2022-04-05,1729916377,1129526867,PLN3835,368920,PCN464,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,5,Retail,0,0,0,310.0,5.17,315.17,32.0,271.56,11.61,12.4,8.7833,0,0,0,0,2022-05-03
RX0000012047,MBR00000332,2022-04-18,2022-04-22,1785487223,1314865513,PLN2774,798556,PCN611,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,93,6,Retail,0,0,0,54.0,11.25,65.25,8.0,54.52,2.73,0.72,0.51,0,0,0,0,2022-07-17
RX0000012048,MBR00000332,2022-04-13,2022-04-17,1276679142,1162294108,PLN5457,959090,PCN559,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,57,4,Retail,0,0,0,28.0,9.72,37.72,4.0,32.29,1.43,0.56,0.3967,0,0,0,0,2022-06-12
RX0000012049,MBR00000333,2023-05-17,2023-05-20,1806269086,1526066406,PLN3370,427460,PCN210,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,6,Retail,0,1,0,8500.0,11.73,8511.73,151.0,7816.62,544.11,340.0,240.8333,0,0,0,0,2023-06-16
RX0000012050,MBR00000333,2021-12-13,2021-12-17,1169204302,1189420860,PLN3371,849330,PCN735,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,8,Mail Order,0,0,0,10.0,4.17,14.17,4.0,9.51,0.66,0.4,0.2833,0,0,0,0,2022-01-12
RX0000012051,MBR00000333,2021-02-01,2021-02-02,1276418188,1774326874,PLN2691,712033,PCN626,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,8,Retail,0,0,0,11.0,8.16,19.16,4.0,14.12,1.04,0.44,0.3117,0,0,0,0,2021-03-03
RX0000012052,MBR00000333,2021-03-13,2021-03-17,1709674275,1228338475,PLN3399,798812,PCN795,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,9,Retail,0,0,0,18.0,5.06,23.06,10.0,11.78,1.28,0.72,0.51,0,0,0,0,2021-04-12
RX0000012053,MBR00000333,2023-06-23,2023-06-24,1969008420,1867454124,PLN3884,208160,PCN606,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,90,4,Retail,0,0,0,135.0,2.74,137.74,2.0,131.46,4.28,1.8,1.275,0,0,0,0,2023-09-21
RX0000012054,MBR00000333,2022-07-15,2022-07-19,1170912493,1304544434,PLN3989,424528,PCN673,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,6,Retail,0,1,0,8500.0,8.4,8508.4,154.0,7905.13,449.27,340.0,240.8333,0,0,0,0,2022-08-14
RX0000012055,MBR00000333,2022-01-15,2022-01-18,1683146553,1897223323,PLN7454,836159,PCN591,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,4,Retail,0,0,0,9.0,7.8,16.8,7.0,8.72,1.08,0.36,0.255,0,0,0,0,2022-02-14
RX0000012056,MBR00000333,2021-06-17,2021-06-19,1201660411,1580660980,PLN9838,419779,PCN692,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,87,1,Retail,0,0,0,135.0,7.09,142.09,9.0,126.46,6.63,1.8,1.275,0,0,0,0,2021-09-15
RX0000012057,MBR00000333,2023-02-04,2023-02-05,1631145489,1428350507,PLN4017,954233,PCN970,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,5,LTC,0,1,0,12.0,7.3,19.3,147.0,0.0,1.33,0.48,0.34,0,0,0,0,2023-03-06
RX0000012058,MBR00000333,2022-02-09,2022-02-13,1992892060,1626575618,PLN3313,612987,PCN261,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,89,4,Retail,0,0,0,27.0,10.56,37.56,1.0,35.16,1.4,0.36,0.255,0,0,0,0,2022-05-10
RX0000012059,MBR00000333,2021-05-25,2021-05-26,1156783930,1857776609,PLN3985,222225,PCN579,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,2,Mail Order,2,0,0,950.0,10.84,960.84,38.0,878.82,44.02,38.0,26.9167,0,0,0,0,2021-06-24
RX0000012060,MBR00000333,2021-01-07,2021-01-08,1605366575,1134691638,PLN7534,748851,PCN830,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,84,0,Retail,1,0,0,36.0,7.52,43.52,8.0,33.08,2.44,0.48,0.34,0,0,0,0,2021-04-07
RX0000012061,MBR00000333,2023-09-01,2023-09-04,1132989308,1485493446,PLN1801,744910,PCN377,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,87,9,Retail,0,0,0,27.0,9.51,36.51,1.0,34.07,1.44,0.36,0.255,0,0,0,0,2023-11-30
RX0000012062,MBR00000333,2022-10-16,2022-10-18,1826620578,1815025421,PLN6920,839649,PCN939,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,4,Retail,0,0,0,38.0,6.56,44.56,1.0,41.04,2.52,1.52,1.0767,1,0,0,0,2022-11-15
RX0000012063,MBR00000333,2023-06-09,2023-06-12,1921187537,1773556197,PLN4281,509838,PCN716,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,5,Retail,0,0,0,14.0,10.21,24.21,8.0,14.57,1.64,0.56,0.3967,0,0,0,0,2023-07-09
RX0000012064,MBR00000333,2021-08-23,2021-08-27,1861425660,1960130442,PLN6135,335345,PCN918,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,60,9,Retail,0,0,0,36.0,8.15,44.15,1.0,40.93,2.22,0.72,0.51,0,0,0,0,2021-10-22
RX0000012065,MBR00000333,2021-02-13,2021-02-15,1106985121,1493153427,PLN4007,350809,PCN796,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,6,Mail Order,1,0,0,45.0,3.3,48.3,4.0,42.69,1.61,1.8,1.275,0,0,0,0,2021-03-15
RX0000012066,MBR00000333,2023-06-25,2023-06-29,1623615045,1767692937,PLN5913,617070,PCN806,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,6,Mail Order,0,0,0,185.0,1.52,186.52,31.0,146.97,8.55,7.4,5.2417,0,0,0,0,2023-07-25
RX0000012067,MBR00000333,2021-11-27,2021-11-28,1610333978,1940449930,PLN8107,832993,PCN441,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,96,5,Retail,0,0,0,855.0,10.27,865.27,32.0,802.6,30.67,11.4,8.075,0,0,0,0,2022-02-25
RX0000012068,MBR00000333,2022-04-15,2022-04-16,1906903233,1397448959,PLN4912,311339,PCN172,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,57,8,Retail,0,0,0,570.0,8.45,578.45,31.0,513.62,33.83,11.4,8.075,0,0,0,0,2022-06-14
RX0000012069,MBR00000333,2022-01-10,2022-01-13,1408117359,1294858153,PLN6406,408247,PCN307,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,11,Retail,0,1,0,6200.0,6.15,6206.15,145.0,5825.77,235.38,248.0,175.6667,0,0,0,0,2022-02-09
RX0000012070,MBR00000333,2022-04-02,2022-04-04,1998580959,1309596162,PLN5441,176883,PCN814,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,9,Mail Order,0,0,0,9.0,5.53,14.53,7.0,6.92,0.61,0.36,0.255,0,0,0,0,2022-05-02
RX0000012071,MBR00000333,2022-03-08,2022-03-11,1915341397,1413778632,PLN8007,215729,PCN270,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,97,9,Mail Order,0,0,0,22.5,8.29,30.79,0.0,29.33,1.46,0.3,0.2125,1,0,0,0,2022-06-06
RX0000012072,MBR00000333,2022-07-01,2022-07-02,1647857391,1907920888,PLN7085,251457,PCN310,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,61,2,Retail,0,0,0,30.0,2.69,32.69,0.0,31.64,1.05,0.6,0.425,0,0,0,0,2022-08-30
RX0000012073,MBR00000333,2023-03-16,2023-03-17,1449129554,1454174342,PLN2409,823158,PCN327,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,9,Retail,0,0,0,3.27,1.78,5.05,2.0,2.77,0.28,0.56,0.3967,0,0,0,0,2023-03-23
RX0000012074,MBR00000333,2022-08-09,2022-08-13,1552781417,1680463140,PLN7197,887622,PCN972,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,7,Retail,1,1,0,8500.0,5.78,8505.78,153.0,7899.2,453.58,340.0,240.8333,0,0,0,0,2022-09-08
RX0000012075,MBR00000333,2022-07-27,2022-07-30,1406970698,1248503994,PLN1660,330994,PCN127,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,90,11,Mail Order,0,0,0,36.0,9.68,45.68,9.0,34.95,1.73,0.48,0.34,0,0,0,0,2022-10-25
RX0000012076,MBR00000333,2023-04-08,2023-04-11,1232511557,1870010634,PLN3791,309625,PCN501,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,86,0,Specialty,0,0,1,48.0,31.73,79.73,5.0,74.73,0.0,0.64,0.4533,0,0,0,0,2023-07-07
RX0000012077,MBR00000333,2023-11-23,2023-11-27,1913623164,1614091856,PLN2739,366490,PCN709,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,97,2,Mail Order,3,0,0,36.0,8.8,44.8,1.0,41.27,2.53,0.48,0.34,0,0,0,0,2024-02-21
RX0000012078,MBR00000333,2022-02-02,2022-02-04,1979965413,1282196921,PLN1963,932121,PCN380,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,6,Mail Order,0,0,0,3.27,2.08,5.35,0.0,5.04,0.31,0.56,0.3967,0,0,0,0,2022-02-09
RX0000012079,MBR00000333,2022-09-03,2022-09-04,1296793334,1783567895,PLN4183,793329,PCN336,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,92,11,Retail,0,0,0,555.0,11.42,566.42,36.0,500.68,29.74,7.4,5.2417,0,0,0,0,2022-12-02
RX0000012080,MBR00000333,2021-11-02,2021-11-06,1840877839,1701688592,PLN4068,222078,PCN731,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,4,Retail,0,0,0,18.0,6.08,24.08,10.0,13.13,0.95,0.72,0.51,0,0,0,0,2021-12-02
RX0000012081,MBR00000333,2022-05-28,2022-05-30,1363176830,1749191029,PLN4677,988029,PCN267,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,90,8,Specialty,0,0,0,135.0,28.03,163.03,9.0,154.03,0.0,1.8,1.275,0,0,0,0,2022-08-26
RX0000012082,MBR00000333,2021-09-25,2021-09-26,1188856436,1213191477,PLN6611,806846,PCN668,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,2,Mail Order,0,0,0,480.0,9.9,489.9,30.0,427.28,32.62,19.2,13.6,0,0,0,0,2021-10-25
RX0000012083,MBR00000333,2022-03-19,2022-03-21,1928639206,1135100915,PLN4060,108473,PCN297,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,7,Retail,0,0,0,330.0,11.66,341.66,32.0,289.8,19.86,13.2,9.35,0,0,0,0,2022-04-18
RX0000012084,MBR00000333,2022-01-04,2022-01-08,1930039980,1975460644,PLN2569,987455,PCN521,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,4,Retail,0,1,0,2800.0,10.25,2810.25,151.0,2568.89,90.36,112.0,79.3333,0,0,0,0,2022-02-03
RX0000012085,MBR00000333,2021-06-04,2021-06-05,1267595098,1889091275,PLN8608,319287,PCN559,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,3,Mail Order,0,0,0,9.0,5.73,14.73,9.0,5.26,0.47,0.36,0.255,0,0,0,0,2021-07-04
RX0000012086,MBR00000333,2023-02-20,2023-02-21,1727082432,1249090492,PLN1010,916917,PCN624,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,5,Retail,0,0,0,15.0,1.75,16.75,3.0,12.87,0.88,0.6,0.425,0,0,0,0,2023-03-22
RX0000012087,MBR00000333,2022-12-27,2022-12-30,1808011499,1803987869,PLN7097,414080,PCN443,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,86,5,Mail Order,0,0,0,30.0,7.44,37.44,7.0,28.91,1.53,0.4,0.2833,0,0,0,0,2023-03-27
RX0000012088,MBR00000333,2022-03-25,2022-03-28,1420862739,1185225207,PLN5930,462613,PCN156,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,81,5,Retail,0,0,0,42.0,5.17,47.17,5.0,40.14,2.03,0.56,0.3967,0,0,0,0,2022-06-23
RX0000012089,MBR00000334,2023-01-17,2023-01-21,1641452281,1612232802,PLN1804,990827,PCN393,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,0,Mail Order,0,0,0,320.0,1.51,321.51,39.0,268.89,13.62,12.8,9.0667,0,0,0,0,2023-02-16
RX0000012090,MBR00000334,2022-09-23,2022-09-25,1769710203,1811464823,PLN6183,906705,PCN592,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,88,1,Retail,0,0,0,45.0,5.25,50.25,6.0,42.66,1.59,0.6,0.425,0,0,0,0,2022-12-22
RX0000012091,MBR00000334,2022-08-07,2022-08-08,1630720383,1683790945,PLN2004,313996,PCN770,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,65,5,Retail,0,0,0,36.0,1.65,37.65,7.0,28.19,2.46,0.72,0.51,0,1,0,0,2022-10-06
RX0000012092,MBR00000334,2023-06-22,2023-06-23,1113171789,1963599559,PLN9928,818666,PCN524,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,94,7,Specialty,0,0,0,36.0,31.96,67.96,3.0,64.96,0.0,0.48,0.34,0,0,0,0,2023-09-20
RX0000012093,MBR00000334,2021-12-13,2021-12-14,1465367853,1118123061,PLN4867,764404,PCN496,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,1,Mail Order,0,0,0,45.0,10.85,55.85,6.0,48.09,1.76,1.8,1.275,0,0,0,0,2022-01-12
RX0000012094,MBR00000334,2023-05-16,2023-05-18,1536455660,1156648644,PLN7653,723880,PCN326,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,2,Retail,0,0,0,185.0,5.59,190.59,36.0,147.77,6.82,7.4,5.2417,0,0,0,0,2023-06-15
RX0000012095,MBR00000334,2021-10-03,2021-10-05,1309924039,1658153310,PLN1080,809908,PCN504,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,10,Retail,0,0,0,18.0,6.4,24.4,2.0,20.98,1.42,0.72,0.51,0,0,0,0,2021-11-02
RX0000012096,MBR00000334,2021-07-12,2021-07-16,1745095328,1895435017,PLN5584,970636,PCN158,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,88,10,Retail,0,0,0,36.0,11.3,47.3,1.0,43.1,3.2,0.48,0.34,0,0,0,0,2021-10-10
RX0000012097,MBR00000334,2022-05-14,2022-05-18,1486057887,1406403436,PLN1165,118091,PCN138,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,5,Retail,0,0,0,2.33,2.5,4.83,9.0,0.0,0.15,0.4,0.2833,0,0,0,0,2022-05-21
RX0000012098,MBR00000334,2021-11-22,2021-11-24,1207215080,1534550974,PLN1976,594470,PCN793,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,90,2,Retail,0,0,0,990.0,9.96,999.96,40.0,894.47,65.49,13.2,9.35,0,1,1,0,2022-02-20
RX0000012099,MBR00000334,2022-04-13,2022-04-14,1564831270,1854067863,PLN4114,532181,PCN746,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,84,8,Retail,0,0,0,42.0,11.7,53.7,6.0,45.71,1.99,0.56,0.3967,0,1,0,0,2022-07-12
RX0000012100,MBR00000334,2023-02-09,2023-02-13,1243763503,1472369881,PLN8471,840634,PCN359,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,98,9,Retail,0,0,0,66.0,7.41,73.41,65.0,3.87,4.54,0.88,0.6233,0,0,0,0,2023-05-10
RX0000012101,MBR00000334,2021-09-05,2021-09-09,1606944354,1486888826,PLN4337,399282,PCN984,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,7,Specialty,0,1,0,8.0,23.72,31.72,150.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-10-05
RX0000012102,MBR00000334,2023-04-02,2023-04-03,1183909981,1452902149,PLN2413,828031,PCN522,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,4,Retail,0,0,0,370.0,4.62,374.62,39.0,320.49,15.13,14.8,10.4833,0,0,0,0,2023-05-02
RX0000012103,MBR00000334,2021-06-29,2021-07-03,1322950860,1255568593,PLN3848,702406,PCN397,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,3,Retail,0,0,0,175.0,9.39,184.39,34.0,140.86,9.53,7.0,4.9583,0,0,0,0,2021-07-29
RX0000012104,MBR00000334,2021-12-08,2021-12-10,1532530133,1167474071,PLN1929,592751,PCN554,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,10,Retail,2,0,0,14.0,1.56,15.56,10.0,4.64,0.92,0.56,0.3967,0,0,0,0,2022-01-07
RX0000012105,MBR00000334,2022-07-19,2022-07-20,1285832122,1444907480,PLN2059,624934,PCN283,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,2,Retail,0,0,0,4.2,4.67,8.87,10.0,0.0,0.34,0.72,0.51,0,0,0,0,2022-07-26
RX0000012106,MBR00000334,2021-07-23,2021-07-26,1708178985,1598757120,PLN2774,475641,PCN736,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,4,Specialty,0,0,0,185.0,40.35,225.35,32.0,193.35,0.0,7.4,5.2417,0,0,0,0,2021-08-22
RX0000012107,MBR00000334,2023-05-10,2023-05-13,1435908420,1387913399,PLN7243,108575,PCN332,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,9,Mail Order,0,0,0,38.0,2.94,40.94,7.0,32.15,1.79,1.52,1.0767,0,0,0,0,2023-06-09
RX0000012108,MBR00000334,2022-07-06,2022-07-09,1356093044,1926143517,PLN8052,233696,PCN551,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,62,0,Retail,0,0,0,44.0,10.11,54.11,9.0,42.21,2.9,0.88,0.6233,0,0,0,0,2022-09-04
RX0000012109,MBR00000334,2023-08-05,2023-08-06,1986066826,1156716559,PLN3307,673952,PCN433,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,60,5,Retail,1,0,0,28.0,2.79,30.79,1.0,27.91,1.88,0.56,0.3967,0,0,0,0,2023-10-04
RX0000012110,MBR00000334,2023-02-19,2023-02-21,1813119837,1805487187,PLN4632,970611,PCN391,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,90,2,Mail Order,0,0,0,37.5,3.28,40.78,5.0,33.56,2.22,0.5,0.3542,0,0,0,0,2023-05-20
RX0000012111,MBR00000334,2023-10-02,2023-10-05,1259674434,1448280818,PLN2873,716441,PCN316,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,10,Mail Order,0,0,0,950.0,7.37,957.37,37.0,887.34,33.03,38.0,26.9167,0,0,0,0,2023-11-01
RX0000012112,MBR00000334,2023-03-21,2023-03-24,1635628845,1586059718,PLN8398,289827,PCN404,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,86,11,Retail,0,0,0,42.0,8.97,50.97,1.0,48.31,1.66,0.56,0.3967,0,0,0,0,2023-06-19
RX0000012113,MBR00000334,2021-06-03,2021-06-07,1186607527,1803248584,PLN8897,158878,PCN731,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,1,Mail Order,0,1,0,8500.0,7.74,8507.74,155.0,7937.69,415.05,340.0,240.8333,0,1,1,0,2021-07-03
RX0000012114,MBR00000334,2022-08-03,2022-08-04,1243093108,1691799279,PLN4744,877738,PCN646,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,9,Retail,0,0,0,42.0,7.14,49.14,9.0,37.61,2.53,0.56,0.3967,0,0,0,0,2022-11-01
RX0000012115,MBR00000334,2021-10-23,2021-10-26,1833460998,1737629157,PLN3691,802848,PCN121,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,2,Specialty,0,0,0,18.0,34.26,52.26,10.0,42.26,0.0,0.72,0.51,0,0,0,0,2021-11-22
RX0000012116,MBR00000334,2021-03-14,2021-03-18,1695610695,1367987640,PLN1944,927433,PCN482,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,7,Mail Order,0,0,0,11.0,7.33,18.33,10.0,7.37,0.96,0.44,0.3117,0,0,0,0,2021-04-13
RX0000012117,MBR00000334,2022-09-26,2022-09-27,1351355050,1894842975,PLN5893,712940,PCN498,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,3,Retail,0,0,0,74.67,5.18,79.85,38.0,37.13,4.72,12.8,9.0667,1,0,0,0,2022-10-03
RX0000012118,MBR00000334,2022-09-03,2022-09-06,1276609997,1609916337,PLN4998,957271,PCN418,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,4,Mail Order,0,0,0,12.5,7.74,20.24,0.0,19.4,0.84,0.5,0.3542,0,0,0,0,2022-10-03
RX0000012119,MBR00000334,2023-11-12,2023-11-14,1286607697,1457472705,PLN6843,662170,PCN432,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,0,Retail,0,0,0,12.0,11.35,23.35,3.0,19.24,1.11,0.48,0.34,0,0,0,0,2023-12-12
RX0000012120,MBR00000334,2022-03-09,2022-03-10,1535500633,1986280954,PLN1848,651856,PCN979,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,2,Retail,0,0,0,14.0,2.18,16.18,4.0,11.3,0.88,0.56,0.3967,0,0,0,0,2022-04-08
RX0000012121,MBR00000334,2021-10-20,2021-10-22,1230080433,1780749538,PLN2567,868370,PCN285,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,84,2,Retail,0,0,0,525.0,6.77,531.77,35.0,462.46,34.31,7.0,4.9583,0,0,0,0,2022-01-18
RX0000012122,MBR00000334,2021-08-03,2021-08-04,1424842215,1519332765,PLN9356,872620,PCN163,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,5,Mail Order,0,0,0,12.0,7.83,19.83,4.0,14.63,1.2,0.48,0.34,0,0,0,0,2021-09-02
RX0000012123,MBR00000334,2022-05-10,2022-05-11,1499774118,1248968382,PLN4356,838722,PCN492,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,90,7,Retail,0,0,0,990.0,10.02,1000.02,37.0,929.95,33.07,13.2,9.35,0,0,0,0,2022-08-08
RX0000012124,MBR00000334,2021-08-19,2021-08-22,1335643467,1581509578,PLN1493,272013,PCN414,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,63,7,Retail,0,0,0,25.0,11.22,36.22,8.0,27.11,1.11,0.5,0.3542,0,0,0,0,2021-10-18
RX0000012125,MBR00000334,2022-10-20,2022-10-21,1988538002,1499502370,PLN3721,285348,PCN431,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,5,Retail,3,0,0,650.0,6.12,656.12,39.0,588.93,28.19,26.0,18.4167,0,0,0,0,2022-11-19
RX0000012126,MBR00000334,2023-12-10,2023-12-11,1684171732,1726338996,PLN4654,860053,PCN721,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,4,Mail Order,0,0,0,10.0,8.15,18.15,4.0,13.27,0.88,0.4,0.2833,0,0,0,0,2024-01-09
RX0000012127,MBR00000334,2023-12-30,2024-01-03,1554350985,1606244075,PLN2198,392810,PCN594,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,83,4,Retail,0,0,0,195.0,10.42,205.42,38.0,156.81,10.61,2.6,1.8417,1,0,0,0,2024-03-29
RX0000012128,MBR00000334,2022-04-11,2022-04-12,1373010403,1673451384,PLN5704,103916,PCN740,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,7,Retail,0,0,0,11.0,11.08,22.08,7.0,13.74,1.34,0.44,0.3117,0,0,0,0,2022-05-11
RX0000012129,MBR00000334,2023-05-25,2023-05-28,1199189671,1922850632,PLN9527,589049,PCN475,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,94,1,Retail,0,0,0,84.0,7.66,91.66,5.0,80.42,6.24,1.12,0.7933,0,0,0,0,2023-08-23
RX0000012130,MBR00000334,2023-08-04,2023-08-06,1241482434,1111620451,PLN1861,506636,PCN300,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,7,Retail,2,0,0,14.0,5.94,19.94,10.0,8.7,1.24,0.56,0.3967,0,0,0,0,2023-09-03
RX0000012131,MBR00000334,2022-01-09,2022-01-12,1734241254,1724268654,PLN7918,854451,PCN979,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,9,Mail Order,0,0,0,370.0,6.35,376.35,34.0,325.21,17.14,14.8,10.4833,0,0,0,0,2022-02-08
RX0000012132,MBR00000334,2022-08-30,2022-08-31,1278561450,1558866897,PLN4103,418788,PCN281,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,5,Retail,0,0,0,330.0,4.34,334.34,34.0,282.52,17.82,13.2,9.35,0,0,0,0,2022-09-29
RX0000012133,MBR00000334,2021-05-30,2021-06-03,1459062212,1730357985,PLN9136,280130,PCN650,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,8,Retail,0,0,0,9.0,2.31,11.31,9.0,1.7,0.61,0.36,0.255,0,0,0,0,2021-06-29
RX0000012134,MBR00000334,2023-03-23,2023-03-24,1786126009,1484557586,PLN1271,143488,PCN698,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,63,8,Retail,0,0,0,90.0,10.03,100.03,5.0,88.81,6.22,1.8,1.275,0,0,0,0,2023-05-22
RX0000012135,MBR00000334,2023-06-13,2023-06-17,1180005443,1908992654,PLN5783,946954,PCN466,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,3,Retail,0,0,0,1.98,5.16,7.15,1.0,5.68,0.47,0.34,0.2408,0,0,0,0,2023-06-20
RX0000012136,MBR00000334,2022-06-11,2022-06-14,1309354501,1545737174,PLN8848,562632,PCN354,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,93,8,Mail Order,1,0,0,54.0,11.41,65.41,9.0,53.11,3.3,0.72,0.51,0,0,0,0,2022-09-09
RX0000012137,MBR00000334,2023-09-06,2023-09-07,1773807611,1860762805,PLN3766,241286,PCN431,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,90,11,Retail,1,0,0,30.0,5.92,35.92,5.0,29.11,1.81,0.4,0.2833,0,0,0,0,2023-12-05
RX0000012138,MBR00000334,2023-08-01,2023-08-02,1711372006,1487334518,PLN5863,961990,PCN904,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,0,Retail,0,1,0,8500.0,11.48,8511.48,151.0,7833.36,527.12,340.0,240.8333,0,0,0,0,2023-08-31
RX0000012139,MBR00000334,2021-07-17,2021-07-20,1884277276,1686786997,PLN6959,337146,PCN877,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,2,Retail,0,0,0,38.0,6.76,44.76,31.0,11.99,1.77,1.52,1.0767,0,0,0,0,2021-08-16
RX0000012140,MBR00000334,2023-05-03,2023-05-05,1852949764,1203700688,PLN1964,260544,PCN666,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,11,Retail,0,0,0,36.0,6.32,42.32,0.0,40.84,1.48,0.48,0.34,0,0,0,0,2023-08-01
RX0000012141,MBR00000334,2021-08-27,2021-08-31,1959003232,1229169874,PLN7441,393270,PCN768,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,7,Specialty,0,0,0,9.0,48.97,57.97,6.0,51.97,0.0,0.36,0.255,0,0,0,0,2021-09-26
RX0000012142,MBR00000335,2022-11-27,2022-11-28,1486685849,1649033077,PLN9692,204486,PCN401,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,56,7,Mail Order,0,0,0,90.0,8.81,98.81,4.0,88.43,6.38,1.8,1.275,0,0,0,0,2023-01-26
RX0000012143,MBR00000335,2022-04-11,2022-04-12,1639943397,1152509146,PLN1724,751901,PCN100,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,6,Specialty,2,0,0,175.0,46.5,221.5,36.0,185.5,0.0,7.0,4.9583,0,0,0,0,2022-05-11
RX0000012144,MBR00000335,2022-07-31,2022-08-02,1665397256,1606838718,PLN5393,180136,PCN127,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,4,Retail,0,0,1,15.0,10.56,25.56,5.0,18.86,1.7,0.6,0.425,0,0,0,0,2022-08-30
RX0000012145,MBR00000335,2022-04-13,2022-04-17,1830679435,1659650327,PLN4819,312114,PCN871,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,1,Mail Order,0,0,0,7.5,9.07,16.57,9.0,6.98,0.59,0.3,0.2125,0,0,0,0,2022-05-13
RX0000012146,MBR00000335,2022-10-23,2022-10-26,1984366407,1740870665,PLN4535,434455,PCN733,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,0,Retail,0,0,0,7.5,8.13,15.63,2.0,12.81,0.82,0.3,0.2125,0,0,0,0,2022-11-22
RX0000012147,MBR00000335,2023-08-12,2023-08-16,1233945755,1795147334,PLN9421,514571,PCN893,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,92,3,Specialty,0,0,0,37.5,44.4,81.9,1.0,80.9,0.0,0.5,0.3542,0,0,0,0,2023-11-10
RX0000012148,MBR00000335,2021-06-17,2021-06-19,1420529774,1870565011,PLN6466,293697,PCN722,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,7,Retail,0,0,0,4.2,11.76,15.96,8.0,6.91,1.05,0.72,0.51,0,0,0,0,2021-06-24
RX0000012149,MBR00000335,2022-12-09,2022-12-12,1127557502,1476259924,PLN7919,306509,PCN634,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,1,Retail,0,0,0,12.5,3.14,15.64,10.0,5.12,0.52,0.5,0.3542,0,0,0,0,2023-01-08
RX0000012150,MBR00000335,2021-06-09,2021-06-10,1225984662,1677445481,PLN1619,813890,PCN947,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,6,Retail,0,0,0,9.0,3.94,12.94,4.0,8.41,0.53,0.36,0.255,0,0,0,0,2021-07-09
RX0000012151,MBR00000335,2022-05-07,2022-05-08,1913144392,1432228479,PLN7416,867113,PCN350,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,6,Retail,2,0,0,2.33,8.42,10.76,9.0,1.3,0.46,0.4,0.2833,0,0,0,0,2022-05-14
RX0000012152,MBR00000335,2022-06-06,2022-06-08,1340253786,1659649803,PLN5565,680628,PCN470,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,4,Retail,0,0,0,18.0,6.4,24.4,2.0,21.31,1.09,0.72,0.51,0,0,0,0,2022-07-06
RX0000012153,MBR00000335,2021-06-22,2021-06-25,1768996724,1931601206,PLN1395,530109,PCN840,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,6,Retail,0,0,0,650.0,1.96,651.96,38.0,587.05,26.91,26.0,18.4167,0,0,0,0,2021-07-22
RX0000012154,MBR00000335,2022-08-11,2022-08-14,1641665134,1792369893,PLN5326,419047,PCN302,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,10,Retail,0,0,0,11.0,8.72,19.72,3.0,15.62,1.1,0.44,0.3117,0,0,0,0,2022-09-10
RX0000012155,MBR00000335,2023-11-01,2023-11-05,1950709523,1483267240,PLN7068,925599,PCN232,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,0,Retail,0,0,0,16.0,1.72,17.72,3.0,13.66,1.06,0.64,0.4533,0,0,0,0,2023-12-01
RX0000012156,MBR00000335,2022-04-02,2022-04-06,1341313097,1896711022,PLN6578,224635,PCN920,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,88,5,Mail Order,0,1,0,36.0,2.83,38.83,149.0,0.0,2.11,0.48,0.34,0,0,0,0,2022-07-01
RX0000012157,MBR00000336,2022-10-29,2022-11-01,1953797909,1551005865,PLN3975,791596,PCN254,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,3,Retail,0,0,0,7.5,7.86,15.36,7.0,7.48,0.88,0.3,0.2125,0,0,0,0,2022-11-28
RX0000012158,MBR00000336,2022-05-23,2022-05-26,1129414609,1834952589,PLN6576,795788,PCN817,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,2,Mail Order,0,0,0,27.0,1.68,28.68,6.0,21.35,1.33,0.36,0.255,0,0,0,0,2022-08-21
RX0000012159,MBR00000336,2021-05-21,2021-05-23,1138989975,1530453986,PLN2320,746086,PCN588,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,10,Retail,0,0,0,9.0,3.93,12.93,2.0,10.28,0.65,0.36,0.255,0,0,0,0,2021-06-20
RX0000012160,MBR00000336,2022-10-29,2022-11-02,1305575742,1921240984,PLN4873,551648,PCN274,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,9,Mail Order,2,0,0,320.0,7.62,327.62,37.0,272.82,17.8,12.8,9.0667,0,0,0,0,2022-11-28
RX0000012161,MBR00000336,2021-05-08,2021-05-11,1304487294,1985491090,PLN8677,836592,PCN222,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,7,Retail,0,0,0,38.0,6.61,44.61,34.0,8.12,2.49,1.52,1.0767,0,0,0,0,2021-06-07
RX0000012162,MBR00000336,2023-01-31,2023-02-04,1869172515,1187386988,PLN8939,179877,PCN436,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,8,Retail,0,0,0,310.0,4.44,314.44,39.0,259.18,16.26,12.4,8.7833,1,0,0,0,2023-03-02
RX0000012163,MBR00000336,2022-12-03,2022-12-07,1849636904,1874944745,PLN2166,228591,PCN997,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,2,Retail,0,0,0,72.33,5.14,77.47,39.0,34.59,3.88,12.4,8.7833,0,0,0,0,2022-12-10
RX0000012164,MBR00000336,2023-04-03,2023-04-06,1173392201,1838115169,PLN9277,638331,PCN759,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,0,Retail,0,1,0,2800.0,5.3,2805.3,151.0,2547.41,106.89,112.0,79.3333,0,0,0,0,2023-05-03
RX0000012165,MBR00000336,2023-07-13,2023-07-15,1466107312,1920076627,PLN7547,295125,PCN919,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,91,3,Retail,0,0,0,33.0,8.05,41.05,5.0,34.27,1.78,0.44,0.3117,0,0,0,0,2023-10-11
RX0000012166,MBR00000336,2022-10-02,2022-10-06,1177943022,1110698985,PLN7787,422815,PCN103,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,4,Retail,0,0,0,175.0,11.09,186.09,30.0,144.99,11.1,7.0,4.9583,0,0,0,0,2022-11-01
RX0000012167,MBR00000336,2021-09-08,2021-09-11,1241429174,1243125348,PLN9030,596586,PCN742,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,11,Retail,0,0,0,45.0,4.26,49.26,3.0,42.94,3.32,1.8,1.275,0,0,0,0,2021-10-08
RX0000012168,MBR00000336,2023-07-13,2023-07-15,1113554790,1959630400,PLN7895,698041,PCN202,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,9,Retail,0,0,0,4.2,9.27,13.47,38.0,0.0,0.63,0.72,0.51,0,0,0,0,2023-07-20
RX0000012169,MBR00000336,2021-10-05,2021-10-08,1957897464,1227553467,PLN5670,966432,PCN454,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,7,Retail,0,0,0,38.0,8.46,46.46,30.0,13.62,2.84,1.52,1.0767,0,0,0,0,2021-11-04
RX0000012170,MBR00000336,2021-04-24,2021-04-26,1804355433,1450562846,PLN5162,693614,PCN713,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,63,7,Retail,3,0,0,1900.0,7.1,1907.1,39.0,1740.49,127.61,38.0,26.9167,0,0,0,0,2021-06-23
RX0000012171,MBR00000336,2022-10-24,2022-10-26,1779745230,1335621362,PLN7253,309102,PCN117,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,6,Specialty,2,0,0,185.0,48.5,233.5,32.0,201.5,0.0,7.4,5.2417,0,0,0,0,2022-11-23
RX0000012172,MBR00000336,2022-10-31,2022-11-02,1983105126,1431739054,PLN8952,948656,PCN299,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,92,10,Retail,0,0,0,37.5,7.52,45.02,6.0,36.24,2.78,0.5,0.3542,0,0,0,0,2023-01-29
RX0000012173,MBR00000336,2022-03-11,2022-03-12,1389853962,1592222421,PLN5977,503054,PCN711,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,93,7,Retail,1,0,0,30.0,2.83,32.83,5.0,25.76,2.07,0.4,0.2833,0,0,0,0,2022-06-09
RX0000012174,MBR00000336,2021-09-25,2021-09-29,1441766616,1771321310,PLN8603,166463,PCN749,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,83,3,Retail,2,0,0,135.0,5.29,140.29,7.0,125.49,7.8,1.8,1.275,0,0,0,0,2021-12-24
RX0000012175,MBR00000336,2023-06-17,2023-06-18,1266290965,1102468091,PLN7084,549906,PCN474,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,97,9,Retail,0,0,0,33.0,6.72,39.72,4.0,33.98,1.74,0.44,0.3117,0,0,0,0,2023-09-15
RX0000012176,MBR00000336,2021-03-09,2021-03-11,1269257233,1221645612,PLN1177,573341,PCN616,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,92,6,Mail Order,0,0,0,36.0,5.33,41.33,9.0,30.59,1.74,0.48,0.34,0,0,0,0,2021-06-07
RX0000012177,MBR00000336,2021-07-25,2021-07-27,1367698492,1701641565,PLN7019,322973,PCN608,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,96,10,Retail,0,1,0,25500.0,3.56,25503.56,151.0,23760.02,1592.54,340.0,240.8333,0,0,0,0,2021-10-23
RX0000012178,MBR00000336,2021-06-18,2021-06-19,1774431545,1229189776,PLN4287,987824,PCN633,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,0,Mail Order,0,1,0,8.0,4.39,12.39,145.0,0.0,0.59,0.32,0.2267,0,0,0,0,2021-07-18
RX0000012179,MBR00000336,2022-12-08,2022-12-09,1334102837,1619840688,PLN9137,552894,PCN631,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,84,3,Retail,3,0,0,66.0,2.76,68.76,10.0,54.66,4.1,0.88,0.6233,0,0,0,0,2023-03-08
RX0000012180,MBR00000336,2021-04-28,2021-05-02,1182686959,1449241077,PLN2572,368408,PCN884,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,63,5,Retail,0,1,0,24.0,5.15,29.15,147.0,0.0,1.32,0.48,0.34,0,0,0,0,2021-06-27
RX0000012181,MBR00000336,2022-03-08,2022-03-10,1655407442,1699175373,PLN8578,533809,PCN885,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,4,Specialty,0,0,0,185.0,38.86,223.86,32.0,191.86,0.0,7.4,5.2417,0,0,0,0,2022-04-07
RX0000012182,MBR00000336,2021-03-15,2021-03-18,1382751504,1571362071,PLN1744,261441,PCN469,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,9,Retail,0,0,0,43.17,11.84,55.0,32.0,19.96,3.04,7.4,5.2417,0,0,0,0,2021-03-22
RX0000012183,MBR00000336,2023-04-02,2023-04-05,1392650356,1908278105,PLN9335,390056,PCN256,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,62,2,Retail,0,0,0,570.0,9.17,579.17,40.0,504.05,35.12,11.4,8.075,0,0,0,0,2023-06-01
RX0000012184,MBR00000336,2022-11-23,2022-11-24,1149398124,1472078959,PLN3624,546677,PCN265,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,2,Retail,0,0,0,370.0,8.6,378.6,35.0,330.13,13.47,14.8,10.4833,0,0,0,0,2022-12-23
RX0000012185,MBR00000336,2023-03-15,2023-03-19,1760526357,1373411953,PLN5843,138695,PCN759,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,4,Retail,1,1,0,2800.0,6.1,2806.1,154.0,2499.64,152.46,112.0,79.3333,0,0,0,0,2023-04-14
RX0000012186,MBR00000336,2022-02-14,2022-02-18,1188259325,1502717341,PLN8495,522876,PCN164,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,5,Retail,0,0,0,480.0,5.9,485.9,39.0,425.65,21.25,19.2,13.6,0,0,0,0,2022-03-16
RX0000012187,MBR00000336,2023-03-10,2023-03-11,1184036467,1753104944,PLN5543,854069,PCN595,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,2,Mail Order,0,0,0,320.0,7.1,327.1,39.0,270.5,17.6,12.8,9.0667,0,0,0,0,2023-04-09
RX0000012188,MBR00000336,2022-09-30,2022-10-03,1110520377,1186756556,PLN6348,296841,PCN395,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,3,Retail,0,0,0,65.0,7.16,72.16,30.0,39.1,3.06,2.6,1.8417,0,0,0,0,2022-10-30
RX0000012189,MBR00000336,2023-04-22,2023-04-23,1235235753,1744123669,PLN5966,974792,PCN576,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,4,LTC,0,0,0,18.0,3.82,21.82,8.0,12.68,1.14,0.72,0.51,0,0,0,0,2023-05-22
RX0000012190,MBR00000336,2021-09-07,2021-09-11,1445721736,1383931354,PLN9268,210863,PCN880,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,92,6,Retail,0,0,0,27.0,10.62,37.62,4.0,31.03,2.59,0.36,0.255,0,0,0,0,2021-12-06
RX0000012191,MBR00000336,2021-07-27,2021-07-30,1629213405,1326906697,PLN4087,457236,PCN734,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,0,Retail,0,0,0,9.0,3.07,12.07,8.0,3.63,0.44,0.36,0.255,0,0,0,0,2021-08-26
RX0000012192,MBR00000336,2021-04-29,2021-05-01,1595562166,1684813433,PLN4417,596110,PCN296,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,88,11,Retail,0,0,0,25.5,9.26,34.76,8.0,25.0,1.76,0.34,0.2408,0,0,0,0,2021-07-28
RX0000012193,MBR00000336,2022-10-08,2022-10-10,1315489747,1338777673,PLN7937,574239,PCN996,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,94,5,Retail,0,0,0,37.5,7.42,44.92,0.0,42.71,2.21,0.5,0.3542,1,0,0,0,2023-01-06
RX0000012194,MBR00000336,2022-01-06,2022-01-10,1325191354,1983571003,PLN9225,931042,PCN277,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,2,Retail,0,1,0,8.0,5.02,13.02,152.0,0.0,0.42,0.32,0.2267,0,0,0,0,2022-02-05
RX0000012195,MBR00000336,2022-10-13,2022-10-17,1276017529,1209061956,PLN7547,981611,PCN961,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,5,Mail Order,2,0,0,14.0,9.96,23.96,5.0,17.63,1.33,0.56,0.3967,0,0,0,0,2022-11-12
RX0000012196,MBR00000336,2021-09-28,2021-09-29,1134202753,1169333133,PLN5014,296100,PCN821,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,3,Retail,0,0,0,10.0,2.01,12.01,4.0,7.37,0.64,0.4,0.2833,1,0,0,0,2021-10-28
RX0000012197,MBR00000336,2022-03-12,2022-03-15,1892862682,1251689523,PLN4446,950719,PCN607,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,2,Specialty,0,0,0,45.0,34.54,79.54,7.0,72.54,0.0,1.8,1.275,0,0,0,0,2022-04-11
RX0000012198,MBR00000336,2023-02-04,2023-02-07,1330082435,1690716958,PLN1444,461778,PCN223,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,93,5,Retail,0,0,0,54.0,10.27,64.27,10.0,51.93,2.34,0.72,0.51,0,0,0,0,2023-05-05
RX0000012199,MBR00000336,2021-01-12,2021-01-15,1581906174,1470266680,PLN1536,202873,PCN312,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,1,Retail,0,0,0,950.0,7.13,957.13,37.0,877.05,43.08,38.0,26.9167,0,0,0,0,2021-02-11
RX0000012200,MBR00000337,2021-08-15,2021-08-18,1715472580,1413028740,PLN1047,863559,PCN814,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,95,9,Retail,0,0,0,45.0,8.45,53.45,3.0,48.25,2.2,0.6,0.425,0,0,0,0,2021-11-13
RX0000012201,MBR00000337,2023-04-14,2023-04-18,1529614350,1534456871,PLN7675,570568,PCN633,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,6,Retail,0,0,0,18.0,11.29,29.29,3.0,25.37,0.92,0.72,0.51,0,0,0,0,2023-05-14
RX0000012202,MBR00000337,2022-06-22,2022-06-25,1696195555,1880606227,PLN2537,902447,PCN278,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,92,7,Retail,0,0,0,54.0,6.59,60.59,1.0,55.48,4.11,0.72,0.51,0,0,0,0,2022-09-20
RX0000012203,MBR00000337,2023-01-12,2023-01-15,1233442060,1435755263,PLN9272,471393,PCN413,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,97,3,Retail,0,0,0,2250.0,2.51,2252.51,35.0,2142.12,75.39,30.0,21.25,0,0,0,0,2023-04-12
RX0000012204,MBR00000337,2021-03-08,2021-03-09,1128478756,1190928935,PLN7285,842192,PCN294,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,0,Retail,0,0,0,22.0,3.93,25.93,5.0,19.94,0.99,0.88,0.6233,0,0,0,0,2021-04-07
RX0000012205,MBR00000337,2021-11-05,2021-11-08,1642092712,1385655609,PLN3503,915273,PCN672,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,93,2,Retail,0,1,0,8400.0,8.95,8408.95,155.0,7917.01,336.94,112.0,79.3333,0,0,0,0,2022-02-03
RX0000012206,MBR00000337,2022-09-02,2022-09-04,1366787561,1631513367,PLN2494,205531,PCN893,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,5,Retail,0,0,0,14.0,9.03,23.03,2.0,20.15,0.88,0.56,0.3967,0,0,0,0,2022-10-02
RX0000012207,MBR00000337,2022-03-21,2022-03-23,1498239954,1277390606,PLN4210,865008,PCN789,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,1,Retail,0,0,0,15.0,10.58,25.58,8.0,16.31,1.27,0.6,0.425,0,0,0,0,2022-04-20
RX0000012208,MBR00000337,2021-06-01,2021-06-05,1694841483,1651638776,PLN4124,709121,PCN295,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,9,Retail,0,0,0,18.0,4.2,22.2,0.0,21.25,0.95,0.72,0.51,0,0,0,0,2021-07-01
RX0000012209,MBR00000337,2021-08-27,2021-08-31,1130884005,1317978141,PLN7884,279480,PCN339,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,97,0,Specialty,0,0,0,1440.0,30.01,1470.01,30.0,1440.01,0.0,19.2,13.6,0,0,0,0,2021-11-25
RX0000012210,MBR00000337,2023-08-14,2023-08-16,1486096069,1235696921,PLN2467,527682,PCN866,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,10,Specialty,0,0,0,12.0,26.66,38.66,8.0,30.66,0.0,0.48,0.34,1,1,0,0,2023-09-13
RX0000012211,MBR00000337,2023-05-29,2023-05-31,1224650463,1699708140,PLN6142,793021,PCN720,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,90,2,Retail,0,0,0,930.0,5.02,935.02,35.0,839.19,60.83,12.4,8.7833,0,0,0,0,2023-08-27
RX0000012212,MBR00000337,2021-11-05,2021-11-07,1508371663,1104961266,PLN8901,180933,PCN925,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,10,Retail,0,1,0,8.0,7.01,15.01,145.0,0.0,0.6,0.32,0.2267,0,0,0,0,2021-12-05
RX0000012213,MBR00000337,2022-07-24,2022-07-25,1304888634,1456143269,PLN3058,144282,PCN735,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,10,Retail,0,0,0,950.0,3.57,953.57,30.0,871.14,52.43,38.0,26.9167,0,1,1,0,2022-08-23
RX0000012214,MBR00000337,2022-12-03,2022-12-04,1421731153,1807047256,PLN3340,965789,PCN479,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,6,Retail,0,0,0,15.0,8.64,23.64,7.0,15.38,1.26,0.6,0.425,0,0,0,0,2023-01-02
RX0000012215,MBR00000338,2022-11-06,2022-11-08,1285814599,1607971882,PLN4837,796224,PCN204,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,6,Retail,0,0,0,330.0,8.18,338.18,38.0,288.31,11.87,13.2,9.35,1,0,0,0,2022-12-06
RX0000012216,MBR00000338,2022-07-07,2022-07-08,1656595025,1235632365,PLN9792,239589,PCN474,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,92,3,Specialty,1,0,0,135.0,44.6,179.6,1.0,178.6,0.0,1.8,1.275,0,0,0,0,2022-10-05
RX0000012217,MBR00000338,2022-02-18,2022-02-19,1291287947,1302902425,PLN2414,859292,PCN854,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,2,Retail,0,0,0,9.0,5.07,14.07,2.0,11.37,0.7,0.36,0.255,0,0,0,0,2022-03-20
RX0000012218,MBR00000338,2023-03-18,2023-03-22,1252287347,1390934907,PLN5181,473021,PCN429,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,91,5,Retail,0,0,0,54.0,4.1,58.1,3.0,53.01,2.09,0.72,0.51,0,0,0,0,2023-06-16
RX0000012219,MBR00000338,2023-06-16,2023-06-17,1596149287,1721101298,PLN2815,675492,PCN164,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,1,Retail,0,0,0,10.0,6.04,16.04,2.0,13.08,0.96,0.4,0.2833,1,0,0,0,2023-07-16
RX0000012220,MBR00000338,2023-01-25,2023-01-27,1909751062,1321709296,PLN8514,614993,PCN984,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,9,Retail,0,0,0,16.0,10.46,26.46,5.0,19.74,1.72,0.64,0.4533,0,0,0,0,2023-02-24
RX0000012221,MBR00000338,2023-09-24,2023-09-26,1948339110,1363689409,PLN9744,392766,PCN572,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,59,1,Mail Order,0,0,0,90.0,11.07,101.07,10.0,86.08,4.99,1.8,1.275,0,0,0,0,2023-11-23
RX0000012222,MBR00000338,2021-12-09,2021-12-11,1458416457,1831896384,PLN9359,208334,PCN232,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,84,7,Retail,0,0,0,1110.0,5.11,1115.11,34.0,1037.37,43.74,14.8,10.4833,0,1,1,0,2022-03-09
RX0000012223,MBR00000338,2022-08-19,2022-08-20,1241218300,1481565446,PLN4813,621076,PCN734,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,9,Retail,3,0,0,3.27,4.0,7.27,2.0,4.77,0.5,0.56,0.3967,0,0,0,0,2022-08-26
RX0000012224,MBR00000338,2023-03-22,2023-03-24,1629352835,1278407887,PLN7828,160958,PCN873,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,81,5,Mail Order,1,0,0,1110.0,7.62,1117.62,35.0,1039.62,43.0,14.8,10.4833,0,0,0,0,2023-06-20
RX0000012225,MBR00000338,2022-08-21,2022-08-22,1205964614,1679394960,PLN3477,322030,PCN834,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,7,Mail Order,0,0,0,12.0,5.74,17.74,5.0,12.08,0.66,0.48,0.34,0,0,0,0,2022-09-20
RX0000012226,MBR00000338,2021-08-24,2021-08-28,1120543693,1404833479,PLN8381,349328,PCN238,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,96,0,Retail,0,0,0,960.0,11.95,971.95,31.0,874.81,66.14,12.8,9.0667,0,0,0,0,2021-11-22
RX0000012227,MBR00000338,2023-08-15,2023-08-16,1661213267,1540673912,PLN6374,156264,PCN639,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,4,Mail Order,0,1,0,8.0,4.0,12.0,149.0,0.0,0.47,0.32,0.2267,0,0,0,0,2023-09-14
RX0000012228,MBR00000338,2023-10-07,2023-10-08,1648417993,1662332646,PLN2543,135626,PCN866,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,81,2,Retail,0,0,0,930.0,10.48,940.48,40.0,851.44,49.04,12.4,8.7833,0,0,0,0,2024-01-05
RX0000012229,MBR00000338,2023-11-01,2023-11-03,1979973786,1290852191,PLN8257,206534,PCN707,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,94,10,Mail Order,0,0,0,25.5,11.79,37.29,7.0,28.58,1.71,0.34,0.2408,0,0,0,0,2024-01-30
RX0000012230,MBR00000338,2021-05-31,2021-06-04,1103536407,1171596764,PLN6898,852701,PCN989,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,4,Mail Order,2,0,0,10.0,8.95,18.95,9.0,8.8,1.15,0.4,0.2833,1,0,0,0,2021-06-30
RX0000012231,MBR00000338,2021-11-20,2021-11-24,1244589266,1445855143,PLN8417,514286,PCN311,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,4,Retail,0,0,1,112.0,3.37,115.37,31.0,78.84,5.53,19.2,13.6,0,0,0,0,2021-11-27
RX0000012232,MBR00000338,2022-06-08,2022-06-11,1286954776,1240897043,PLN5449,203243,PCN702,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,88,7,Retail,0,0,0,66.0,2.17,68.17,74.0,0.0,3.97,0.88,0.6233,0,0,0,0,2022-09-06
RX0000012233,MBR00000338,2022-11-18,2022-11-19,1463466046,1994081106,PLN6836,982746,PCN812,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,5,Retail,0,0,0,320.0,9.93,329.93,30.0,278.88,21.05,12.8,9.0667,0,0,0,0,2022-12-18
RX0000012234,MBR00000338,2022-09-03,2022-09-05,1256400942,1224339248,PLN2058,405366,PCN182,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,5,Retail,0,0,0,3.27,4.42,7.69,4.0,3.4,0.29,0.56,0.3967,0,0,0,0,2022-09-10
RX0000012235,MBR00000338,2023-07-12,2023-07-16,1414575866,1274530486,PLN6269,463514,PCN806,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,93,1,Retail,0,0,0,66.0,9.95,75.95,73.0,0.0,3.69,0.88,0.6233,0,0,0,0,2023-10-10
RX0000012236,MBR00000338,2021-04-29,2021-05-03,1891546935,1991875050,PLN7332,416342,PCN652,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,7,Retail,1,0,0,15.0,9.56,24.56,6.0,17.07,1.49,0.6,0.425,0,0,0,0,2021-05-29
RX0000012237,MBR00000338,2023-11-20,2023-11-24,1881028244,1908708927,PLN6646,980916,PCN394,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,83,0,Retail,0,0,0,555.0,8.05,563.05,38.0,504.11,20.94,7.4,5.2417,0,0,0,0,2024-02-18
RX0000012238,MBR00000338,2021-05-20,2021-05-22,1560643438,1321965579,PLN4905,250999,PCN869,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,6,Mail Order,0,1,0,8.0,8.86,16.86,151.0,0.0,0.91,0.32,0.2267,0,0,0,0,2021-06-19
RX0000012239,MBR00000338,2023-10-31,2023-11-03,1694174327,1491893544,PLN4084,258709,PCN495,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,10,Mail Order,0,0,0,9.0,7.37,16.37,10.0,5.63,0.74,0.36,0.255,0,0,0,0,2023-11-30
RX0000012240,MBR00000338,2022-06-13,2022-06-14,1462175643,1784755767,PLN6527,753542,PCN105,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,5,Retail,0,0,0,2.8,8.87,11.67,2.0,9.12,0.55,0.48,0.34,0,1,0,0,2022-06-20
RX0000012241,MBR00000338,2023-07-28,2023-07-29,1100807745,1144007555,PLN4589,278861,PCN352,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,1,Retail,0,0,0,5.13,2.33,7.46,1.0,6.13,0.33,0.88,0.6233,0,0,0,0,2023-08-04
RX0000012242,MBR00000338,2022-09-22,2022-09-25,1640759907,1884113411,PLN5627,311150,PCN323,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,10,Retail,0,0,0,380.0,1.63,381.63,40.0,322.99,18.64,15.2,10.7667,0,0,0,0,2022-10-22
RX0000012243,MBR00000338,2022-12-21,2022-12-24,1796472314,1398828615,PLN3352,685066,PCN445,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,61,11,Retail,3,0,0,740.0,8.43,748.43,37.0,664.94,46.49,14.8,10.4833,0,0,0,0,2023-02-19
RX0000012244,MBR00000338,2023-12-11,2023-12-14,1816843191,1423059671,PLN5061,700571,PCN408,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,57,2,Retail,0,0,0,36.0,2.03,38.03,1.0,34.95,2.08,0.72,0.51,0,0,0,0,2024-02-09
RX0000012245,MBR00000338,2023-08-06,2023-08-10,1859326189,1952628140,PLN6383,391939,PCN264,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,4,Retail,0,1,0,12.0,5.07,17.07,153.0,0.0,0.93,0.48,0.34,0,0,0,0,2023-09-05
RX0000012246,MBR00000338,2022-09-08,2022-09-12,1846228129,1690892637,PLN5713,497136,PCN675,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,88,4,Specialty,0,0,0,48.0,41.09,89.09,4.0,85.09,0.0,0.64,0.4533,1,0,0,0,2022-12-07
RX0000012247,MBR00000338,2021-10-28,2021-11-01,1407761755,1330552966,PLN1793,105543,PCN886,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,56,9,Retail,0,0,0,28.0,2.47,30.47,1.0,28.46,1.01,0.56,0.3967,0,0,0,0,2021-12-27
RX0000012248,MBR00000338,2023-12-21,2023-12-22,1122898980,1597914421,PLN8501,404882,PCN930,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,10,Specialty,0,0,0,380.0,33.88,413.88,34.0,379.88,0.0,15.2,10.7667,0,0,0,0,2024-01-20
RX0000012249,MBR00000338,2021-08-21,2021-08-23,1947285313,1832518327,PLN4828,870040,PCN527,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,2,Retail,0,0,0,14.0,6.05,20.05,1.0,17.88,1.17,0.56,0.3967,0,0,0,0,2021-09-20
RX0000012250,MBR00000338,2023-05-05,2023-05-07,1200076807,1416621818,PLN5757,132076,PCN395,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,90,8,Retail,0,0,0,33.0,9.6,42.6,6.0,35.18,1.42,0.44,0.3117,0,0,0,0,2023-08-03
RX0000012251,MBR00000338,2023-11-08,2023-11-10,1446546241,1320174357,PLN1274,597956,PCN806,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,63,10,Retail,0,0,0,17.0,9.9,26.9,2.0,23.61,1.29,0.34,0.2408,0,0,0,0,2024-01-07
RX0000012252,MBR00000338,2023-04-30,2023-05-04,1578526411,1904869131,PLN6606,529265,PCN182,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,90,7,Retail,0,0,0,30.0,10.83,40.83,1.0,37.5,2.33,0.4,0.2833,0,0,0,0,2023-07-29
RX0000012253,MBR00000338,2022-05-25,2022-05-27,1609524713,1114294990,PLN1144,931182,PCN757,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,85,10,Retail,0,0,0,114.0,11.56,125.56,2.0,117.14,6.42,1.52,1.0767,0,0,0,0,2022-08-23
RX0000012254,MBR00000338,2023-01-14,2023-01-17,1275623919,1876899284,PLN2559,323276,PCN504,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,61,9,Retail,0,0,0,370.0,8.06,378.06,35.0,323.62,19.44,7.4,5.2417,0,0,0,0,2023-03-15
RX0000012255,MBR00000338,2023-02-04,2023-02-05,1473103358,1777167548,PLN7812,923371,PCN711,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,3,Mail Order,0,0,0,45.0,9.43,54.43,9.0,42.83,2.6,1.8,1.275,0,0,0,0,2023-03-06
RX0000012256,MBR00000338,2023-03-10,2023-03-14,1269453461,1485719815,PLN4878,833765,PCN885,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,7,Mail Order,0,0,0,45.0,11.14,56.14,9.0,44.65,2.49,1.8,1.275,0,0,0,0,2023-04-09
RX0000012257,MBR00000338,2021-01-31,2021-02-01,1497054602,1746184279,PLN7976,725957,PCN844,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,8,Retail,0,1,1,2800.0,2.13,2802.13,148.0,2559.29,94.84,112.0,79.3333,0,0,0,0,2021-03-02
RX0000012258,MBR00000338,2023-07-23,2023-07-24,1397444455,1456434584,PLN5395,552525,PCN209,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,5,Mail Order,3,0,0,7.5,9.84,17.34,5.0,11.24,1.1,0.3,0.2125,0,0,0,0,2023-08-22
RX0000012259,MBR00000338,2023-11-04,2023-11-06,1810017038,1875206312,PLN6986,989749,PCN775,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,83,0,Mail Order,1,0,0,960.0,11.53,971.53,39.0,873.94,58.59,12.8,9.0667,0,0,0,0,2024-02-02
RX0000012260,MBR00000338,2021-09-14,2021-09-18,1235456886,1475332640,PLN2489,585582,PCN805,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,2,Retail,0,0,0,2.92,9.07,11.99,9.0,2.53,0.46,0.5,0.3542,0,0,0,0,2021-09-21
RX0000012261,MBR00000338,2021-02-16,2021-02-20,1769347131,1352439372,PLN2660,909173,PCN807,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,10,Mail Order,0,0,0,370.0,2.67,372.67,31.0,322.95,18.72,14.8,10.4833,0,0,0,0,2021-03-18
RX0000012262,MBR00000338,2022-05-20,2022-05-22,1988906042,1410636412,PLN3434,797839,PCN637,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,64,9,Specialty,0,0,0,18.0,19.33,37.33,7.0,30.33,0.0,0.36,0.255,0,0,0,0,2022-07-19
RX0000012263,MBR00000338,2023-01-02,2023-01-04,1564990075,1172365697,PLN4252,381797,PCN981,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,92,3,Mail Order,0,1,0,25500.0,2.79,25502.79,150.0,23615.79,1737.0,340.0,240.8333,0,0,0,0,2023-04-02
RX0000012264,MBR00000338,2023-10-26,2023-10-28,1170191027,1249976645,PLN8040,904612,PCN567,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,6,Retail,0,0,1,65.0,7.78,72.78,31.0,38.95,2.83,2.6,1.8417,0,0,0,0,2023-11-25
RX0000012265,MBR00000339,2021-12-15,2021-12-18,1255905913,1169769068,PLN5240,248542,PCN357,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,64,6,Mail Order,0,0,0,28.0,4.35,32.35,8.0,22.54,1.81,0.56,0.3967,0,0,0,0,2022-02-13
RX0000012266,MBR00000339,2021-11-29,2021-11-30,1212518275,1550358379,PLN1574,631850,PCN768,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,58,0,Retail,0,0,0,1500.0,6.58,1506.58,37.0,1411.81,57.77,30.0,21.25,0,0,0,0,2022-01-28
RX0000012267,MBR00000339,2022-02-23,2022-02-24,1379543420,1887110287,PLN8903,619541,PCN792,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,57,4,Specialty,2,0,0,1300.0,36.08,1336.08,30.0,1306.08,0.0,26.0,18.4167,0,0,0,0,2022-04-24
RX0000012268,MBR00000339,2022-07-03,2022-07-06,1742622880,1819521423,PLN6200,455862,PCN343,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,3,Specialty,0,0,0,112.0,20.5,132.5,40.0,92.5,0.0,19.2,13.6,0,0,0,0,2022-07-10
RX0000012269,MBR00000339,2022-02-23,2022-02-24,1684225471,1263138949,PLN1861,286330,PCN575,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,94,8,Specialty,2,0,0,1440.0,19.73,1459.73,38.0,1421.73,0.0,19.2,13.6,0,0,0,0,2022-05-24
RX0000012270,MBR00000339,2023-02-21,2023-02-22,1709693450,1255636780,PLN7535,268765,PCN106,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,1,Retail,0,0,0,2.57,4.9,7.47,0.0,7.16,0.31,0.44,0.3117,0,0,0,0,2023-02-28
RX0000012271,MBR00000339,2022-04-10,2022-04-14,1403039905,1863613563,PLN3329,339027,PCN689,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,0,Retail,0,0,0,11.0,5.61,16.61,6.0,9.95,0.66,0.44,0.3117,0,0,0,0,2022-05-10
RX0000012272,MBR00000339,2021-05-15,2021-05-18,1296190809,1336000476,PLN1941,489644,PCN208,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,55,4,Retail,0,0,0,18.0,1.59,19.59,9.0,9.65,0.94,0.36,0.255,0,0,0,0,2021-07-14
RX0000012273,MBR00000339,2022-11-10,2022-11-13,1904835816,1719302980,PLN8833,215612,PCN477,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,65,10,Retail,0,0,0,18.0,10.82,28.82,3.0,24.61,1.21,0.36,0.255,0,0,0,0,2023-01-09
RX0000012274,MBR00000339,2022-02-10,2022-02-14,1421089458,1229297165,PLN9372,435108,PCN907,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,61,11,Retail,0,0,0,740.0,8.8,748.8,31.0,689.27,28.53,14.8,10.4833,0,0,0,0,2022-04-11
RX0000012275,MBR00000339,2023-07-03,2023-07-07,1837305152,1543247504,PLN8543,984396,PCN408,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,82,4,Retail,1,0,0,54.0,5.48,59.48,9.0,47.91,2.57,0.72,0.51,0,0,0,0,2023-10-01
RX0000012276,MBR00000339,2022-09-28,2022-10-02,1990961554,1150327252,PLN1157,713600,PCN152,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,9,Retail,0,0,0,18.0,6.63,24.63,8.0,15.13,1.5,0.72,0.51,1,0,0,0,2022-10-28
RX0000012277,MBR00000339,2022-10-20,2022-10-22,1330683415,1507273735,PLN5843,700885,PCN969,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,6,Retail,0,0,0,18.0,1.98,19.98,38.0,0.0,0.73,0.72,0.51,0,0,0,0,2022-11-19
RX0000012278,MBR00000339,2023-11-30,2023-12-04,1951784022,1273662980,PLN7623,787830,PCN891,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,91,9,Retail,0,0,0,30.0,5.64,35.64,1.0,32.32,2.32,0.4,0.2833,0,0,0,0,2024-02-28
RX0000012279,MBR00000339,2022-11-26,2022-11-28,1790034351,1282126526,PLN6164,962483,PCN701,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,82,11,Mail Order,0,0,0,54.0,11.76,65.76,39.0,22.86,3.9,0.72,0.51,0,0,0,0,2023-02-24
RX0000012280,MBR00000340,2022-03-19,2022-03-20,1445788333,1705730700,PLN7785,198676,PCN726,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,3,Mail Order,0,0,0,12.0,10.35,22.35,1.0,20.12,1.23,0.48,0.34,0,1,0,0,2022-04-18
RX0000012281,MBR00000340,2022-04-26,2022-04-27,1269348000,1601587562,PLN3515,785506,PCN231,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,5,Retail,0,0,0,22.0,5.78,27.78,6.0,20.26,1.52,0.88,0.6233,0,0,0,0,2022-05-26
RX0000012282,MBR00000340,2021-02-03,2021-02-07,1560997302,1873224505,PLN9556,391492,PCN234,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,95,5,Mail Order,0,0,0,135.0,9.17,144.17,1.0,133.95,9.22,1.8,1.275,0,0,0,0,2021-05-04
RX0000012283,MBR00000340,2023-03-28,2023-03-31,1724283382,1703815384,PLN8829,128260,PCN834,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,87,7,Retail,0,0,0,42.0,4.02,46.02,9.0,35.44,1.58,0.56,0.3967,0,0,0,0,2023-06-26
RX0000012284,MBR00000340,2021-07-31,2021-08-02,1133608029,1269120380,PLN4916,355439,PCN491,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,0,Mail Order,0,0,0,370.0,5.25,375.25,35.0,328.05,12.2,14.8,10.4833,0,0,0,0,2021-08-30
RX0000012285,MBR00000340,2022-02-28,2022-03-04,1493911749,1473781212,PLN8229,668171,PCN905,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,3,Retail,0,0,0,18.0,10.06,28.06,5.0,21.78,1.28,0.72,0.51,1,0,0,0,2022-03-30
RX0000012286,MBR00000340,2022-10-30,2022-11-02,1725117637,1815052140,PLN2333,121339,PCN276,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,7,Mail Order,0,0,1,22.0,11.77,33.77,72.0,0.0,1.62,0.88,0.6233,0,0,0,0,2022-11-29
RX0000012287,MBR00000340,2022-11-11,2022-11-14,1106692852,1236287630,PLN1367,470197,PCN787,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,1,Retail,0,1,0,2800.0,5.35,2805.35,148.0,2564.91,92.44,112.0,79.3333,1,0,0,0,2022-12-11
RX0000012288,MBR00000340,2021-01-06,2021-01-08,1486444722,1538789294,PLN4250,821348,PCN326,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,84,8,Retail,0,0,0,30.0,3.94,33.94,6.0,25.6,2.34,0.4,0.2833,0,0,0,0,2021-04-06
RX0000012289,MBR00000340,2021-10-11,2021-10-12,1149525691,1789383056,PLN7089,703445,PCN806,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,9,Retail,0,0,0,28.0,1.63,29.63,3.0,25.66,0.97,1.12,0.7933,0,0,0,0,2021-11-10
RX0000012290,MBR00000340,2023-03-26,2023-03-30,1991084127,1535096518,PLN9501,996011,PCN170,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,98,10,Mail Order,0,0,0,525.0,8.59,533.59,34.0,479.22,20.37,7.0,4.9583,0,0,0,0,2023-06-24
RX0000012291,MBR00000340,2023-08-25,2023-08-27,1986222089,1527718317,PLN8357,368137,PCN160,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,83,6,LTC,0,0,0,42.0,11.84,53.84,3.0,47.97,2.87,0.56,0.3967,0,0,0,0,2023-11-23
RX0000012292,MBR00000340,2021-02-04,2021-02-05,1784200858,1951084431,PLN7836,875361,PCN198,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,7,Mail Order,0,0,0,22.0,11.77,33.77,73.0,0.0,1.91,0.88,0.6233,0,0,0,0,2021-03-06
RX0000012293,MBR00000340,2021-07-26,2021-07-29,1876668556,1956683539,PLN9406,158582,PCN463,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,56,9,Retail,1,0,0,22.0,7.26,29.26,0.0,27.78,1.48,0.44,0.3117,0,0,0,0,2021-09-24
RX0000012294,MBR00000340,2023-07-13,2023-07-15,1651322592,1663714018,PLN1069,852160,PCN616,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,57,7,Retail,0,0,0,1300.0,2.61,1302.61,30.0,1192.62,79.99,26.0,18.4167,0,1,1,0,2023-09-11
RX0000012295,MBR00000340,2022-09-17,2022-09-19,1994712100,1634632006,PLN3272,559806,PCN954,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,6,Specialty,0,0,0,320.0,49.59,369.59,33.0,336.59,0.0,12.8,9.0667,1,0,0,0,2022-10-17
RX0000012296,MBR00000340,2023-02-12,2023-02-13,1355386975,1761703541,PLN1724,693614,PCN419,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,9,Retail,0,0,0,22.0,7.34,29.34,68.0,0.0,1.04,0.88,0.6233,0,0,0,0,2023-03-14
RX0000012297,MBR00000340,2021-10-13,2021-10-16,1567171975,1896347694,PLN2840,430353,PCN223,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,85,0,Retail,0,0,0,54.0,3.97,57.97,10.0,44.78,3.19,0.72,0.51,0,0,0,0,2022-01-11
RX0000012298,MBR00000340,2022-09-12,2022-09-13,1487042831,1773348061,PLN3793,351327,PCN537,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,3,Retail,0,0,0,11.0,3.93,14.93,1.0,12.9,1.03,0.44,0.3117,1,0,0,0,2022-10-12
RX0000012299,MBR00000340,2023-07-16,2023-07-18,1579743148,1111148872,PLN7319,928342,PCN299,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,4,Specialty,0,0,0,18.0,18.59,36.59,7.0,29.59,0.0,0.72,0.51,0,0,0,0,2023-08-15
RX0000012300,MBR00000340,2021-05-10,2021-05-13,1746050858,1634883183,PLN3969,735131,PCN212,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,9,Retail,0,0,0,950.0,3.27,953.27,35.0,881.55,36.72,38.0,26.9167,0,0,0,0,2021-06-09
RX0000012301,MBR00000340,2022-04-29,2022-05-03,1433038482,1343740507,PLN8175,343833,PCN155,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,7,Mail Order,0,0,0,9.0,9.68,18.68,7.0,11.08,0.6,0.36,0.255,0,0,0,0,2022-05-29
RX0000012302,MBR00000340,2021-06-29,2021-07-01,1119926957,1513641733,PLN2064,907936,PCN194,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,92,1,Retail,0,0,0,36.0,7.75,43.75,2.0,39.71,2.04,0.48,0.34,0,0,0,0,2021-09-27
RX0000012303,MBR00000340,2021-05-22,2021-05-25,1744657746,1912898847,PLN8724,172608,PCN113,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,1,Retail,0,0,0,14.0,3.58,17.58,7.0,9.78,0.8,0.56,0.3967,0,0,0,0,2021-06-21
RX0000012304,MBR00000340,2021-11-03,2021-11-06,1972722555,1304109824,PLN8303,797172,PCN566,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,3,Retail,0,0,0,185.0,8.98,193.98,38.0,145.6,10.38,7.4,5.2417,0,0,0,0,2021-12-03
RX0000012305,MBR00000340,2023-06-27,2023-06-29,1626335143,1947538115,PLN9320,372453,PCN249,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,4,Mail Order,0,0,0,15.0,6.95,21.95,6.0,14.64,1.31,0.6,0.425,0,0,0,0,2023-07-27
RX0000012306,MBR00000340,2022-07-18,2022-07-19,1468642585,1268566141,PLN7523,911225,PCN805,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,95,0,Retail,0,0,0,84.0,2.87,86.87,3.0,80.15,3.72,1.12,0.7933,0,0,0,0,2022-10-16
RX0000012307,MBR00000340,2023-05-19,2023-05-21,1142985634,1844393713,PLN8749,281468,PCN361,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,5,Retail,0,0,0,9.0,9.84,18.84,4.0,13.97,0.87,0.36,0.255,0,0,0,0,2023-06-18
RX0000012308,MBR00000340,2022-11-14,2022-11-15,1731345685,1336913456,PLN6861,446531,PCN868,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,11,LTC,0,0,0,12.0,5.5,17.5,5.0,11.32,1.18,0.48,0.34,0,0,0,0,2022-12-14
RX0000012309,MBR00000340,2021-02-15,2021-02-18,1785675707,1783102690,PLN5270,489087,PCN745,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,9,Specialty,0,0,0,285.0,24.73,309.73,37.0,272.73,0.0,11.4,8.075,0,0,0,0,2021-03-17
RX0000012310,MBR00000340,2023-03-31,2023-04-03,1900577982,1594307643,PLN3184,727964,PCN987,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,92,8,Retail,0,0,0,25.5,9.29,34.79,2.0,30.69,2.1,0.34,0.2408,0,0,0,0,2023-06-29
RX0000012311,MBR00000340,2021-03-30,2021-04-01,1581300046,1543475166,PLN1965,525548,PCN677,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,95,6,Retail,0,0,0,114.0,11.86,125.86,39.0,81.21,5.65,1.52,1.0767,0,0,0,0,2021-06-28
RX0000012312,MBR00000340,2023-09-24,2023-09-25,1909944985,1783499508,PLN7156,425736,PCN462,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,9,Retail,0,0,0,2.33,8.03,10.36,4.0,5.75,0.61,0.4,0.2833,0,0,0,0,2023-10-01
RX0000012313,MBR00000340,2022-04-27,2022-04-30,1971164962,1126919185,PLN4611,927942,PCN237,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,0,Mail Order,0,0,0,285.0,11.43,296.43,36.0,246.83,13.6,11.4,8.075,0,0,0,0,2022-05-27
RX0000012314,MBR00000340,2021-04-08,2021-04-09,1127580173,1414298636,PLN1798,412814,PCN932,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,56,1,Retail,1,0,0,25.0,9.96,34.96,2.0,30.55,2.41,0.5,0.3542,0,0,0,0,2021-06-07
RX0000012315,MBR00000340,2023-06-13,2023-06-14,1757642452,1847965554,PLN1028,706999,PCN499,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,11,Mail Order,0,0,0,9.0,7.03,16.03,5.0,10.03,1.0,0.36,0.255,0,0,0,0,2023-07-13
RX0000012316,MBR00000340,2021-08-19,2021-08-21,1872034958,1575240470,PLN6986,372498,PCN801,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,8,Retail,0,0,0,11.0,10.1,21.1,6.0,14.42,0.68,0.44,0.3117,1,0,0,0,2021-09-18
RX0000012317,MBR00000340,2023-04-02,2023-04-04,1854642201,1378752912,PLN3353,927954,PCN463,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,1,Retail,1,0,0,38.0,4.49,42.49,3.0,38.09,1.4,1.52,1.0767,0,0,0,0,2023-05-02
RX0000012318,MBR00000340,2021-12-27,2021-12-29,1899837054,1617044904,PLN5613,787646,PCN913,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,87,4,Retail,0,0,0,1140.0,9.9,1149.9,33.0,1056.3,60.6,15.2,10.7667,0,0,0,0,2022-03-27
RX0000012319,MBR00000340,2021-05-20,2021-05-23,1292276322,1750034539,PLN5579,864920,PCN143,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,8,Retail,0,1,0,2800.0,8.85,2808.85,152.0,2542.16,114.69,112.0,79.3333,0,0,0,0,2021-06-19
RX0000012320,MBR00000340,2022-04-18,2022-04-22,1247981443,1352589484,PLN3736,622885,PCN882,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,9,Mail Order,2,0,0,16.0,6.14,22.14,1.0,20.32,0.82,0.64,0.4533,0,0,0,0,2022-05-18
RX0000012321,MBR00000340,2021-09-27,2021-09-28,1563861452,1894657728,PLN9844,791593,PCN656,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,3,Retail,0,0,0,65.0,10.07,75.07,31.0,40.98,3.09,2.6,1.8417,0,0,0,0,2021-10-27
RX0000012322,MBR00000340,2021-01-06,2021-01-09,1120817160,1307413137,PLN8260,967037,PCN903,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,10,Retail,0,0,0,22.0,6.11,28.11,4.0,22.59,1.52,0.88,0.6233,0,0,0,0,2021-02-05
RX0000012323,MBR00000340,2023-04-18,2023-04-19,1268131682,1159605039,PLN8032,722405,PCN918,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,57,1,Retail,1,0,0,620.0,4.83,624.83,33.0,553.03,38.8,12.4,8.7833,0,0,0,0,2023-06-17
RX0000012324,MBR00000340,2022-01-29,2022-02-02,1983551927,1851942632,PLN7774,230685,PCN987,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,2,Retail,0,0,0,310.0,2.37,312.37,36.0,260.66,15.71,12.4,8.7833,0,0,0,0,2022-02-28
RX0000012325,MBR00000340,2021-09-23,2021-09-24,1820865369,1820958387,PLN6846,832714,PCN603,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,5,Retail,0,1,0,8500.0,8.12,8508.12,147.0,7912.83,448.29,340.0,240.8333,0,0,0,0,2021-10-23
RX0000012326,MBR00000340,2023-04-29,2023-05-02,1855013946,1232697433,PLN8251,280868,PCN240,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,61,2,Retail,0,0,0,1900.0,1.92,1901.92,40.0,1733.46,128.46,38.0,26.9167,0,0,0,0,2023-06-28
RX0000012327,MBR00000340,2021-12-03,2021-12-07,1419970340,1177974594,PLN3193,354134,PCN501,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,87,4,Mail Order,0,0,0,30.0,3.8,33.8,3.0,28.59,2.21,0.4,0.2833,0,0,0,0,2022-03-03
RX0000012328,MBR00000340,2021-02-22,2021-02-23,1362522421,1640689109,PLN4250,434001,PCN703,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,84,10,Retail,0,0,0,33.0,3.75,36.75,3.0,32.07,1.68,0.44,0.3117,0,0,0,0,2021-05-23
RX0000012329,MBR00000340,2022-11-26,2022-11-28,1895517587,1940034198,PLN4589,643592,PCN850,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,94,1,Mail Order,0,0,0,66.0,5.52,71.52,10.0,57.25,4.27,0.88,0.6233,0,0,0,0,2023-02-24
RX0000012330,MBR00000340,2022-10-24,2022-10-28,1620965030,1167718590,PLN8392,170647,PCN547,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,88,0,Retail,0,0,0,54.0,2.62,56.62,8.0,46.77,1.85,0.72,0.51,0,0,0,0,2023-01-22
RX0000012331,MBR00000340,2023-12-27,2023-12-31,1121111981,1907119747,PLN9585,861207,PCN507,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,10,Mail Order,0,0,0,38.0,5.7,43.7,9.0,33.34,1.36,1.52,1.0767,0,0,0,0,2024-01-26
RX0000012332,MBR00000340,2022-10-12,2022-10-13,1159317333,1865222532,PLN9830,521335,PCN887,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,5,Specialty,0,0,0,18.0,25.25,43.25,37.0,6.25,0.0,0.72,0.51,0,0,0,0,2022-11-11
RX0000012333,MBR00000340,2022-10-04,2022-10-06,1877110454,1180175250,PLN2606,204897,PCN608,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,5,LTC,2,0,0,7.5,8.34,15.84,6.0,9.02,0.82,0.3,0.2125,0,0,0,0,2022-11-03
RX0000012334,MBR00000341,2022-10-21,2022-10-23,1471172380,1916340160,PLN3348,889102,PCN307,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,5,Retail,0,0,0,2.33,6.55,8.88,3.0,5.57,0.31,0.4,0.2833,1,0,0,0,2022-10-28
RX0000012335,MBR00000341,2021-07-20,2021-07-21,1544752765,1924490943,PLN2462,810884,PCN172,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,94,8,Retail,1,0,0,930.0,7.63,937.63,35.0,858.15,44.48,12.4,8.7833,0,0,0,0,2021-10-18
RX0000012336,MBR00000341,2023-05-29,2023-06-02,1224068909,1254706720,PLN4917,583460,PCN710,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,11,Retail,0,0,0,18.0,5.06,23.06,34.0,0.0,1.06,0.72,0.51,1,0,0,0,2023-06-28
RX0000012337,MBR00000341,2023-11-12,2023-11-14,1407960110,1165381692,PLN5103,833461,PCN342,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,63,6,Retail,0,1,0,12400.0,7.5,12407.5,149.0,11797.69,460.81,248.0,175.6667,0,0,0,0,2024-01-11
RX0000012338,MBR00000341,2021-01-03,2021-01-04,1434681615,1794980255,PLN9730,647896,PCN956,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,0,Retail,0,0,0,175.0,9.35,184.35,39.0,137.73,7.62,7.0,4.9583,0,0,0,0,2021-02-02
RX0000012339,MBR00000341,2023-04-17,2023-04-21,1789031201,1722504704,PLN5413,823420,PCN599,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,54,11,Retail,0,0,0,660.0,1.98,661.98,31.0,596.16,34.82,13.2,9.35,0,0,0,0,2023-06-16
RX0000012340,MBR00000341,2022-03-16,2022-03-20,1510407121,1956449803,PLN5947,439762,PCN135,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,3,Retail,0,0,0,7.5,9.25,16.75,8.0,8.11,0.64,0.3,0.2125,0,0,0,0,2022-04-15
RX0000012341,MBR00000341,2021-07-03,2021-07-04,1289818338,1696810510,PLN2161,551889,PCN810,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,8,Specialty,1,0,0,3.5,19.88,23.38,2.0,21.38,0.0,0.6,0.425,0,0,0,0,2021-07-10
RX0000012342,MBR00000341,2022-01-17,2022-01-20,1921602973,1822852734,PLN1626,597128,PCN358,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,81,0,Mail Order,0,0,0,30.0,4.78,34.78,7.0,26.49,1.29,0.4,0.2833,0,0,0,0,2022-04-17
RX0000012343,MBR00000341,2023-03-30,2023-04-01,1323394472,1785289710,PLN3007,251311,PCN656,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,5,Retail,2,0,0,14.0,6.72,20.72,4.0,15.35,1.37,0.56,0.3967,0,0,0,0,2023-04-29
RX0000012344,MBR00000341,2021-03-01,2021-03-02,1331013702,1440017398,PLN3387,106928,PCN230,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,0,Mail Order,0,0,0,310.0,4.75,314.75,36.0,266.21,12.54,12.4,8.7833,0,0,0,0,2021-03-31
RX0000012345,MBR00000341,2021-09-19,2021-09-22,1808701630,1259762636,PLN9322,419112,PCN223,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,84,3,Retail,0,1,0,36.0,10.25,46.25,155.0,0.0,1.61,0.48,0.34,0,0,0,0,2021-12-18
RX0000012346,MBR00000341,2021-08-22,2021-08-26,1488224087,1243821128,PLN4505,737118,PCN643,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,56,8,Retail,0,0,0,32.0,9.94,41.94,9.0,30.08,2.86,0.64,0.4533,1,0,0,0,2021-10-21
RX0000012347,MBR00000341,2021-10-23,2021-10-24,1920299824,1242804837,PLN1918,478356,PCN534,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,94,8,Retail,0,1,0,25500.0,3.88,25503.88,153.0,23868.86,1482.02,340.0,240.8333,0,0,0,0,2022-01-21
RX0000012348,MBR00000341,2021-02-18,2021-02-22,1252151735,1152255672,PLN1887,882579,PCN124,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,2,Retail,0,1,0,8.0,8.84,16.84,147.0,0.0,1.15,0.32,0.2267,0,0,0,0,2021-03-20
RX0000012349,MBR00000341,2023-06-09,2023-06-12,1517082292,1899437247,PLN6333,399975,PCN545,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,5,Retail,0,0,0,18.0,6.08,24.08,8.0,15.31,0.77,0.72,0.51,0,1,0,0,2023-07-09
RX0000012350,MBR00000341,2022-12-16,2022-12-17,1854702622,1708072262,PLN1801,356444,PCN264,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,96,6,Retail,0,0,0,54.0,4.15,58.15,3.0,53.09,2.06,0.72,0.51,0,0,0,0,2023-03-16
RX0000012351,MBR00000341,2022-08-23,2022-08-24,1645201604,1512299080,PLN8470,952927,PCN960,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,0,Retail,0,0,0,370.0,3.01,373.01,30.0,320.53,22.48,14.8,10.4833,0,0,0,0,2022-09-22
RX0000012352,MBR00000341,2022-11-23,2022-11-24,1452097657,1141334280,PLN7053,902230,PCN192,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,81,5,Retail,0,0,0,42.0,7.76,49.76,6.0,40.41,3.35,0.56,0.3967,1,0,0,0,2023-02-21
RX0000012353,MBR00000341,2023-04-13,2023-04-14,1279344905,1114895910,PLN8632,521267,PCN455,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,95,6,Specialty,0,0,0,525.0,17.3,542.3,32.0,510.3,0.0,7.0,4.9583,0,0,0,0,2023-07-12
RX0000012354,MBR00000342,2021-12-06,2021-12-08,1244747339,1528693229,PLN6796,335076,PCN146,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,8,Retail,0,0,0,8.5,8.1,16.6,8.0,7.83,0.77,0.34,0.2408,0,0,0,0,2022-01-05
RX0000012355,MBR00000342,2021-11-15,2021-11-16,1385365243,1855780407,PLN8014,183501,PCN544,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,8,Retail,0,0,0,370.0,10.37,380.37,40.0,317.2,23.17,14.8,10.4833,0,0,0,0,2021-12-15
RX0000012356,MBR00000342,2022-04-04,2022-04-08,1159027150,1316234425,PLN5594,109770,PCN916,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,85,2,Retail,0,0,0,855.0,10.23,865.23,40.0,789.01,36.22,11.4,8.075,0,0,0,0,2022-07-03
RX0000012357,MBR00000342,2021-01-05,2021-01-07,1578185380,1611159291,PLN5481,436384,PCN573,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,96,11,Retail,0,1,0,25500.0,2.15,25502.15,152.0,23964.26,1385.89,340.0,240.8333,0,0,0,0,2021-04-05
RX0000012358,MBR00000342,2022-10-28,2022-10-30,1621568093,1555714209,PLN8382,595193,PCN241,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,92,7,Retail,0,0,0,30.0,8.47,38.47,1.0,35.95,1.52,0.4,0.2833,0,0,0,0,2023-01-26
RX0000012359,MBR00000342,2021-01-15,2021-01-17,1538333697,1124552516,PLN3998,180854,PCN205,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,10,Retail,0,0,0,2.8,5.95,8.75,6.0,2.34,0.41,0.48,0.34,0,0,0,0,2021-01-22
RX0000012360,MBR00000342,2022-11-20,2022-11-24,1831504221,1635562258,PLN9024,780711,PCN819,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,1,Retail,0,0,0,45.0,5.09,50.09,8.0,40.42,1.67,1.8,1.275,0,0,0,0,2022-12-20
RX0000012361,MBR00000342,2022-01-21,2022-01-25,1744831935,1506679234,PLN6976,406651,PCN438,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,6,Retail,0,0,0,10.0,9.12,19.12,1.0,17.49,0.63,0.4,0.2833,0,0,0,0,2022-02-20
RX0000012362,MBR00000342,2023-04-16,2023-04-17,1144956559,1566110774,PLN8055,266740,PCN169,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,82,11,Mail Order,0,0,0,1950.0,4.82,1954.82,30.0,1864.38,60.44,26.0,18.4167,0,0,0,0,2023-07-15
RX0000012363,MBR00000342,2022-12-13,2022-12-14,1866851612,1777877034,PLN8829,355454,PCN450,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,1,Retail,0,0,0,9.0,10.59,19.59,8.0,10.96,0.63,0.36,0.255,0,0,0,0,2023-01-12
RX0000012364,MBR00000342,2023-11-21,2023-11-24,1350507543,1769549680,PLN1566,245996,PCN996,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,0,Retail,0,0,0,45.0,7.21,52.21,10.0,38.56,3.65,1.8,1.275,0,0,0,0,2023-12-21
RX0000012365,MBR00000342,2021-04-23,2021-04-25,1256209759,1629950976,PLN6827,257848,PCN877,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,1,Retail,0,0,0,14.0,6.53,20.53,10.0,9.46,1.07,0.56,0.3967,0,0,0,0,2021-05-23
RX0000012366,MBR00000342,2021-11-11,2021-11-12,1150069324,1364296839,PLN3574,112136,PCN220,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,86,2,Mail Order,1,1,0,8400.0,5.66,8405.66,149.0,7980.9,275.76,112.0,79.3333,0,0,0,0,2022-02-09
RX0000012367,MBR00000342,2022-10-12,2022-10-14,1970735293,1728307514,PLN2290,551821,PCN611,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,82,0,Retail,0,0,0,37.5,1.57,39.07,4.0,33.0,2.07,0.5,0.3542,0,0,0,0,2023-01-10
RX0000012368,MBR00000342,2023-07-29,2023-07-31,1342337502,1786238669,PLN9325,878430,PCN272,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,86,8,Mail Order,0,1,0,24.0,9.61,33.61,153.0,0.0,1.02,0.32,0.2267,0,0,0,0,2023-10-27
RX0000012369,MBR00000342,2022-02-20,2022-02-21,1668485713,1674741283,PLN3233,317271,PCN103,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,3,Retail,0,0,0,11.0,6.43,17.43,8.0,8.43,1.0,0.44,0.3117,0,0,0,0,2022-03-22
RX0000012370,MBR00000342,2023-09-07,2023-09-10,1736321510,1857015474,PLN2504,684232,PCN589,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,11,Retail,0,1,0,653.33,7.11,660.44,149.0,468.89,42.55,112.0,79.3333,0,0,0,0,2023-09-14
RX0000012371,MBR00000342,2021-10-03,2021-10-06,1966854099,1656467432,PLN3187,700573,PCN853,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,5,Retail,1,0,0,285.0,11.83,296.83,35.0,247.93,13.9,11.4,8.075,0,0,0,0,2021-11-02
RX0000012372,MBR00000342,2022-02-20,2022-02-22,1913371569,1971700983,PLN7100,846985,PCN773,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,11,Retail,3,1,0,12.0,4.49,16.49,146.0,0.0,1.14,0.48,0.34,0,0,0,0,2022-03-22
RX0000012373,MBR00000342,2021-06-15,2021-06-19,1809482573,1931368610,PLN6292,643495,PCN106,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,7,Retail,0,0,0,22.0,10.43,32.43,65.0,0.0,2.0,0.88,0.6233,0,0,0,0,2021-07-15
RX0000012374,MBR00000342,2021-09-17,2021-09-18,1240791959,1930589948,PLN9614,246304,PCN868,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,64,2,Retail,0,1,0,17000.0,8.17,17008.17,153.0,15861.22,993.95,340.0,240.8333,0,0,0,0,2021-11-16
RX0000012375,MBR00000342,2022-07-22,2022-07-23,1893260919,1858001355,PLN8547,167506,PCN698,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,4,Retail,0,0,0,330.0,1.51,331.51,32.0,286.5,13.01,13.2,9.35,0,0,0,0,2022-08-21
RX0000012376,MBR00000342,2022-08-20,2022-08-23,1106497595,1876319912,PLN1430,184911,PCN320,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,0,Mail Order,0,0,0,175.0,10.12,185.12,34.0,143.57,7.55,7.0,4.9583,0,0,0,0,2022-09-19
RX0000012377,MBR00000342,2021-09-16,2021-09-19,1898530525,1230704533,PLN5302,367513,PCN639,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,11,LTC,0,0,0,42.0,8.71,50.71,0.0,48.13,2.58,0.56,0.3967,1,0,0,0,2021-12-15
RX0000012378,MBR00000342,2022-06-23,2022-06-26,1345552397,1171181861,PLN1522,512504,PCN984,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,9,Mail Order,0,0,0,10.0,9.63,19.63,8.0,10.62,1.01,0.4,0.2833,0,0,0,0,2022-07-23
RX0000012379,MBR00000342,2021-04-18,2021-04-20,1908323174,1224031764,PLN5280,740420,PCN621,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,5,Specialty,0,0,0,285.0,48.68,333.68,32.0,301.68,0.0,11.4,8.075,0,0,0,0,2021-05-18
RX0000012380,MBR00000342,2023-05-08,2023-05-11,1530812680,1595881417,PLN4465,740131,PCN301,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,2,Retail,0,0,0,14.0,7.06,21.06,6.0,13.82,1.24,0.56,0.3967,0,0,0,0,2023-06-07
RX0000012381,MBR00000342,2023-10-09,2023-10-12,1438851328,1524664034,PLN8711,606213,PCN808,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,5,Retail,0,1,0,2800.0,10.86,2810.86,145.0,2481.5,184.36,112.0,79.3333,0,0,0,0,2023-11-08
RX0000012382,MBR00000342,2022-11-11,2022-11-13,1866225034,1947474897,PLN9465,300829,PCN614,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,4,Retail,0,0,0,9.0,6.44,15.44,9.0,5.54,0.9,0.36,0.255,0,0,0,0,2022-12-11
RX0000012383,MBR00000342,2022-04-03,2022-04-06,1649312856,1704537274,PLN5167,591728,PCN926,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,6,Mail Order,0,0,0,45.0,3.76,48.76,2.0,44.96,1.8,1.8,1.275,0,0,0,0,2022-05-03
RX0000012384,MBR00000342,2023-05-20,2023-05-21,1825795628,1973965858,PLN4364,325537,PCN483,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,87,4,Mail Order,2,0,0,48.0,6.86,54.86,8.0,44.63,2.23,0.64,0.4533,0,0,0,0,2023-08-18
RX0000012385,MBR00000342,2022-03-31,2022-04-01,1975112463,1835667146,PLN9616,188515,PCN880,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,0,Retail,0,0,0,4.2,11.31,15.51,3.0,11.75,0.76,0.72,0.51,0,0,0,0,2022-04-07
RX0000012386,MBR00000342,2023-03-24,2023-03-26,1671540370,1390525137,PLN7677,372918,PCN422,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,10,Retail,0,0,0,2.1,11.14,13.24,6.0,6.51,0.73,0.36,0.255,0,0,0,0,2023-03-31
RX0000012387,MBR00000342,2023-11-19,2023-11-22,1890658604,1610100799,PLN7217,779277,PCN410,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,9,Retail,0,0,0,30.0,9.77,39.77,5.0,33.23,1.54,0.4,0.2833,0,0,0,0,2024-02-17
RX0000012388,MBR00000342,2023-08-14,2023-08-15,1470307195,1888560846,PLN5638,517198,PCN263,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,84,6,Mail Order,0,0,0,960.0,10.23,970.23,31.0,873.21,66.02,12.8,9.0667,0,0,0,0,2023-11-12
RX0000012389,MBR00000342,2023-03-04,2023-03-06,1932163729,1789082486,PLN5319,610562,PCN133,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,2,Mail Order,0,0,0,3.73,7.89,11.62,0.0,10.85,0.77,0.64,0.4533,0,0,0,0,2023-03-11
RX0000012390,MBR00000342,2022-07-18,2022-07-21,1404638684,1112788183,PLN3166,175872,PCN718,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,6,Retail,0,0,0,18.0,9.64,27.64,1.0,25.08,1.56,0.72,0.51,1,0,0,0,2022-08-17
RX0000012391,MBR00000342,2023-09-09,2023-09-10,1828124305,1286383607,PLN5373,717487,PCN965,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,9,Retail,1,0,0,12.5,8.17,20.67,9.0,10.92,0.75,0.5,0.3542,0,0,0,0,2023-10-09
RX0000012392,MBR00000342,2022-06-30,2022-07-04,1174938620,1674618341,PLN2632,996354,PCN196,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,95,1,Retail,0,0,0,525.0,10.96,535.96,33.0,469.53,33.43,7.0,4.9583,0,0,0,0,2022-09-28
RX0000012393,MBR00000342,2021-01-01,2021-01-02,1308682807,1219773450,PLN5738,700350,PCN181,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,2,Retail,0,0,0,4.2,8.32,12.52,31.0,0.0,0.53,0.72,0.51,0,0,0,0,2021-01-08
RX0000012394,MBR00000342,2022-03-18,2022-03-21,1560900867,1681567274,PLN6297,921926,PCN308,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,1,Retail,0,0,0,8.5,6.68,15.18,6.0,8.21,0.97,0.34,0.2408,0,0,0,0,2022-04-17
RX0000012395,MBR00000342,2022-10-09,2022-10-13,1888166279,1742995890,PLN4195,642405,PCN924,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,11,Retail,1,0,0,10.0,10.88,20.88,8.0,11.51,1.37,0.4,0.2833,0,0,0,0,2022-11-08
RX0000012396,MBR00000342,2023-02-03,2023-02-04,1160938442,1494186315,PLN5901,814956,PCN615,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,6,Mail Order,0,0,0,285.0,7.89,292.89,36.0,241.5,15.39,11.4,8.075,0,0,0,0,2023-03-05
RX0000012397,MBR00000342,2022-02-25,2022-02-26,1327420733,1281717981,PLN2521,137975,PCN728,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,1,Mail Order,0,0,0,370.0,10.67,380.67,37.0,323.31,20.36,14.8,10.4833,0,0,0,0,2022-03-27
RX0000012398,MBR00000342,2023-02-14,2023-02-18,1494050251,1873144421,PLN1401,235779,PCN737,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,11,Mail Order,0,0,0,38.0,7.35,45.35,30.0,12.45,2.9,1.52,1.0767,0,0,0,0,2023-03-16
RX0000012399,MBR00000342,2021-02-13,2021-02-14,1971996821,1985664368,PLN3099,730774,PCN645,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,6,Retail,0,0,0,28.0,6.86,34.86,9.0,24.05,1.81,1.12,0.7933,0,0,0,0,2021-03-15
RX0000012400,MBR00000342,2021-04-02,2021-04-05,1483537877,1662027027,PLN2850,343809,PCN105,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,0,Mail Order,0,0,0,7.5,5.96,13.46,9.0,3.95,0.51,0.3,0.2125,0,0,0,0,2021-05-02
RX0000012401,MBR00000342,2022-05-09,2022-05-13,1961943427,1412052385,PLN8821,674281,PCN189,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,65,11,Retail,0,0,0,350.0,9.48,359.48,31.0,313.97,14.51,7.0,4.9583,0,0,0,0,2022-07-08
RX0000012402,MBR00000342,2021-11-15,2021-11-16,1842777237,1419800395,PLN1690,308636,PCN907,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,4,Specialty,0,0,0,22.0,20.14,42.14,5.0,37.14,0.0,0.88,0.6233,0,0,0,0,2021-12-15
RX0000012403,MBR00000342,2021-05-04,2021-05-08,1622946813,1359440272,PLN4477,401575,PCN321,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,95,4,Retail,0,0,0,960.0,10.77,970.77,38.0,889.32,43.45,12.8,9.0667,0,0,0,0,2021-08-02
RX0000012404,MBR00000342,2021-08-17,2021-08-19,1449052801,1440683474,PLN1157,859013,PCN597,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,6,Retail,0,0,0,10.0,7.32,17.32,2.0,14.42,0.9,0.4,0.2833,1,0,0,0,2021-09-16
RX0000012405,MBR00000342,2022-10-22,2022-10-25,1840701002,1826876202,PLN8001,499227,PCN730,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,11,Retail,0,0,0,650.0,10.77,660.77,30.0,584.64,46.13,26.0,18.4167,0,0,0,0,2022-11-21
RX0000012406,MBR00000342,2021-04-17,2021-04-21,1676008020,1768191839,PLN7782,441539,PCN220,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,96,10,Retail,0,0,0,45.0,1.73,46.73,1.0,42.89,2.84,0.6,0.425,0,0,0,0,2021-07-16
RX0000012407,MBR00000342,2022-05-16,2022-05-19,1941514050,1340697065,PLN6400,184419,PCN656,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,11,Retail,1,1,0,2800.0,7.12,2807.12,150.0,2489.18,167.94,112.0,79.3333,0,0,0,0,2022-06-15
RX0000012408,MBR00000342,2023-09-28,2023-09-30,1904103780,1688569752,PLN1641,743806,PCN787,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,0,Retail,0,0,0,380.0,10.04,390.04,39.0,330.15,20.89,15.2,10.7667,0,1,1,0,2023-10-28
RX0000012409,MBR00000342,2021-09-07,2021-09-10,1717690556,1149792406,PLN8394,774359,PCN501,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,11,Mail Order,0,0,0,185.0,9.16,194.16,34.0,150.29,9.87,7.4,5.2417,0,0,0,0,2021-10-07
RX0000012410,MBR00000342,2022-03-08,2022-03-10,1310341186,1257303082,PLN4956,937092,PCN542,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,3,Retail,0,0,0,36.0,10.64,46.64,6.0,37.52,3.12,0.48,0.34,0,0,0,0,2022-06-06
RX0000012411,MBR00000342,2022-08-15,2022-08-16,1672624443,1877198201,PLN6164,920430,PCN792,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,96,3,Retail,0,0,0,1140.0,8.06,1148.06,33.0,1062.44,52.62,15.2,10.7667,0,0,0,0,2022-11-13
RX0000012412,MBR00000342,2021-10-19,2021-10-20,1353676116,1230479833,PLN7264,300536,PCN618,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,5,Retail,0,0,0,9.0,9.67,18.67,5.0,12.5,1.17,0.36,0.255,0,0,0,0,2021-11-18
RX0000012413,MBR00000343,2022-04-01,2022-04-04,1327323758,1755666122,PLN8534,157053,PCN293,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,8,Mail Order,0,0,0,12.5,4.41,16.91,5.0,10.93,0.98,0.5,0.3542,0,0,0,0,2022-05-01
RX0000012414,MBR00000343,2022-10-25,2022-10-27,1232738932,1530077575,PLN3215,675916,PCN761,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,7,Retail,2,0,0,12.5,5.22,17.72,5.0,12.03,0.69,0.5,0.3542,0,0,0,0,2022-11-24
RX0000012415,MBR00000343,2023-05-11,2023-05-13,1685155906,1153042893,PLN5202,520577,PCN264,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,60,10,Mail Order,3,0,0,30.0,4.09,34.09,0.0,32.4,1.69,0.6,0.425,0,0,0,0,2023-07-10
RX0000012416,MBR00000343,2021-09-13,2021-09-16,1349490530,1771651199,PLN2617,713879,PCN589,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,4,LTC,0,0,0,12.5,11.47,23.97,2.0,20.42,1.55,0.5,0.3542,0,1,0,0,2021-10-13
RX0000012417,MBR00000343,2023-01-09,2023-01-10,1100224376,1534532332,PLN1937,885752,PCN135,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,1,Retail,0,1,0,653.33,10.97,664.3,147.0,479.34,37.96,112.0,79.3333,0,0,0,0,2023-01-16
RX0000012418,MBR00000343,2023-03-19,2023-03-21,1518650129,1845991677,PLN7904,370363,PCN991,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,0,Retail,0,0,0,10.0,11.09,21.09,6.0,13.75,1.34,0.4,0.2833,0,0,0,0,2023-04-18
RX0000012419,MBR00000343,2022-11-23,2022-11-27,1711786697,1878250990,PLN6944,801658,PCN684,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,3,Retail,0,0,0,15.0,10.2,25.2,3.0,21.32,0.88,0.6,0.425,0,0,0,0,2022-12-23
RX0000012420,MBR00000343,2022-12-14,2022-12-17,1288454650,1379035767,PLN3396,849882,PCN222,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,94,4,Retail,0,0,0,54.0,10.33,64.33,31.0,30.53,2.8,0.72,0.51,0,0,0,0,2023-03-14
RX0000012421,MBR00000343,2023-05-25,2023-05-27,1448639083,1176353593,PLN4532,342155,PCN845,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,6,Retail,0,0,0,10.0,10.82,20.82,7.0,12.96,0.86,0.4,0.2833,0,0,0,0,2023-06-24
RX0000012422,MBR00000343,2021-08-30,2021-09-01,1244465148,1953729913,PLN6674,280444,PCN875,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,4,Retail,2,0,0,8.5,8.59,17.09,6.0,10.46,0.63,0.34,0.2408,0,0,0,0,2021-09-29
RX0000012423,MBR00000343,2023-09-08,2023-09-09,1280339914,1968538746,PLN2083,315773,PCN497,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,7,Retail,0,0,0,14.0,5.55,19.55,9.0,9.33,1.22,0.56,0.3967,0,0,0,0,2023-10-08
RX0000012424,MBR00000343,2023-02-17,2023-02-19,1541575276,1155387059,PLN7861,215413,PCN516,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,6,Retail,0,1,0,8500.0,4.99,8504.99,155.0,7998.88,351.11,340.0,240.8333,0,0,0,0,2023-03-19
RX0000012425,MBR00000343,2021-01-27,2021-01-30,1682393771,1738107521,PLN7866,753574,PCN119,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,7,Retail,0,0,0,16.0,10.16,26.16,1.0,23.46,1.7,0.64,0.4533,0,0,0,0,2021-02-26
RX0000012426,MBR00000343,2021-08-02,2021-08-05,1339084021,1963972688,PLN9342,325658,PCN433,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,84,2,Mail Order,0,0,0,990.0,5.43,995.43,37.0,895.07,63.36,13.2,9.35,0,0,0,0,2021-10-31
RX0000012427,MBR00000343,2022-09-30,2022-10-04,1645358288,1144008055,PLN9807,859532,PCN278,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,92,7,Specialty,0,0,1,960.0,11.07,971.07,39.0,932.07,0.0,12.8,9.0667,0,1,1,0,2022-12-29
RX0000012428,MBR00000343,2023-02-19,2023-02-21,1414338037,1948632326,PLN6277,892943,PCN868,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,5,Retail,0,0,0,45.0,9.44,54.44,2.0,50.65,1.79,1.8,1.275,0,0,0,0,2023-03-21
RX0000012429,MBR00000343,2022-03-24,2022-03-25,1546579156,1487998058,PLN1383,587427,PCN274,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,4,Mail Order,0,0,0,9.0,10.2,19.2,9.0,9.61,0.59,0.36,0.255,0,0,0,0,2022-04-23
RX0000012430,MBR00000343,2021-06-11,2021-06-12,1470808907,1670490540,PLN5234,287946,PCN341,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,11,Mail Order,0,0,0,27.0,2.05,29.05,7.0,20.22,1.83,0.36,0.255,0,0,0,0,2021-09-09
RX0000012431,MBR00000343,2021-04-15,2021-04-16,1467231494,1645983255,PLN3482,131458,PCN139,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,11,Mail Order,0,0,0,10.0,5.39,15.39,5.0,9.72,0.67,0.4,0.2833,0,0,0,0,2021-05-15
RX0000012432,MBR00000343,2023-12-21,2023-12-23,1293953207,1733705021,PLN8350,938645,PCN508,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,91,10,Retail,0,1,0,24.0,3.35,27.35,147.0,0.0,0.98,0.32,0.2267,0,0,0,0,2024-03-20
RX0000012433,MBR00000343,2021-04-17,2021-04-19,1944916756,1671021519,PLN2092,151381,PCN231,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,94,0,Mail Order,0,0,0,66.0,10.33,76.33,75.0,0.0,2.97,0.88,0.6233,0,0,0,0,2021-07-16
RX0000012434,MBR00000343,2021-02-20,2021-02-23,1256599084,1158821290,PLN2067,500010,PCN399,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,93,10,Retail,0,0,0,27.0,11.19,38.19,5.0,31.51,1.68,0.36,0.255,0,0,0,0,2021-05-21
RX0000012435,MBR00000343,2021-09-21,2021-09-22,1938459460,1552717105,PLN3034,782553,PCN799,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,98,5,Retail,0,0,0,30.0,6.89,36.89,4.0,31.02,1.87,0.4,0.2833,0,0,0,0,2021-12-20
RX0000012436,MBR00000343,2023-10-17,2023-10-21,1254268727,1787378129,PLN8248,535601,PCN732,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,60,11,Mail Order,3,0,0,20.0,3.88,23.88,10.0,13.08,0.8,0.4,0.2833,0,0,0,0,2023-12-16
RX0000012437,MBR00000343,2022-05-22,2022-05-25,1750974955,1464394992,PLN2821,899535,PCN524,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,4,Retail,0,0,0,310.0,11.24,321.24,30.0,274.17,17.07,12.4,8.7833,0,0,0,0,2022-06-21
RX0000012438,MBR00000343,2021-08-22,2021-08-25,1924525753,1695895367,PLN3230,419352,PCN612,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,6,Mail Order,0,0,0,650.0,5.76,655.76,38.0,583.95,33.81,26.0,18.4167,1,0,0,0,2021-09-21
RX0000012439,MBR00000343,2021-02-07,2021-02-08,1625132577,1235790636,PLN8783,268470,PCN985,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,9,Retail,0,1,0,6200.0,6.08,6206.08,155.0,5620.39,430.69,248.0,175.6667,0,0,0,0,2021-03-09
RX0000012440,MBR00000343,2022-06-11,2022-06-14,1792245156,1594472676,PLN5136,810435,PCN755,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,2,Retail,0,0,0,12.0,8.65,20.65,8.0,11.62,1.03,0.48,0.34,0,0,0,0,2022-07-11
RX0000012441,MBR00000343,2023-01-05,2023-01-08,1652789134,1745227230,PLN4239,873478,PCN473,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,85,6,Retail,0,0,0,1440.0,7.61,1447.61,37.0,1361.49,49.12,19.2,13.6,0,0,0,0,2023-04-05
RX0000012442,MBR00000343,2022-02-01,2022-02-04,1626917585,1888227027,PLN4150,485901,PCN477,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,11,Retail,0,0,0,8.5,8.87,17.37,3.0,13.16,1.21,0.34,0.2408,0,1,0,0,2022-03-03
RX0000012443,MBR00000343,2023-04-19,2023-04-23,1896705131,1512073857,PLN7166,488399,PCN939,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,90,11,Retail,1,0,0,36.0,2.61,38.61,4.0,33.27,1.34,0.48,0.34,0,0,0,0,2023-07-18
RX0000012444,MBR00000343,2023-06-02,2023-06-06,1504686275,1868390151,PLN5731,328204,PCN174,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,7,Retail,0,0,0,310.0,4.07,314.07,33.0,263.98,17.09,12.4,8.7833,0,0,0,0,2023-07-02
RX0000012445,MBR00000343,2022-07-24,2022-07-26,1838904432,1836830048,PLN6098,947343,PCN816,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,98,7,Retail,0,0,0,114.0,7.22,121.22,35.0,78.52,7.7,1.52,1.0767,0,0,0,0,2022-10-22
RX0000012446,MBR00000343,2023-12-19,2023-12-23,1176876285,1750150314,PLN9685,895267,PCN853,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,4,Mail Order,0,0,0,65.0,2.49,67.49,38.0,27.43,2.06,2.6,1.8417,0,0,0,0,2024-01-18
RX0000012447,MBR00000343,2022-12-03,2022-12-06,1644518775,1274834181,PLN8601,807947,PCN123,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,64,11,Retail,0,0,0,28.0,8.47,36.47,1.0,33.95,1.52,0.56,0.3967,0,0,0,0,2023-02-01
RX0000012448,MBR00000343,2023-06-02,2023-06-03,1257269391,1192487737,PLN8019,382906,PCN549,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,4,Retail,0,0,0,30.0,5.89,35.89,5.0,29.8,1.09,0.4,0.2833,0,0,0,0,2023-08-31
RX0000012449,MBR00000343,2021-02-07,2021-02-10,1258555091,1257333800,PLN9404,740461,PCN594,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,2,Mail Order,0,0,0,221.67,11.95,233.62,36.0,188.93,8.69,38.0,26.9167,0,0,0,0,2021-02-14
RX0000012450,MBR00000343,2023-11-28,2023-12-01,1830892762,1968084909,PLN5421,749721,PCN343,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,97,8,Retail,0,0,0,45.0,5.96,50.96,1.0,46.52,3.44,0.6,0.425,0,0,0,0,2024-02-26
RX0000012451,MBR00000343,2021-03-25,2021-03-29,1296588792,1137479184,PLN6033,810699,PCN464,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,9,Retail,0,0,0,18.0,6.23,24.23,1.0,21.77,1.46,0.72,0.51,0,1,0,0,2021-04-24
RX0000012452,MBR00000343,2023-08-17,2023-08-19,1927098455,1752532758,PLN6596,955359,PCN524,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,2,LTC,0,0,0,10.0,7.41,17.41,6.0,10.77,0.64,0.4,0.2833,0,0,0,0,2023-09-16
RX0000012453,MBR00000343,2021-05-25,2021-05-27,1869432274,1320406107,PLN2374,752280,PCN304,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,8,Mail Order,0,0,0,380.0,10.14,390.14,32.0,343.09,15.05,15.2,10.7667,0,0,0,0,2021-06-24
RX0000012454,MBR00000343,2022-09-21,2022-09-24,1334647692,1942949214,PLN5110,846641,PCN940,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,92,5,Retail,0,0,0,855.0,4.66,859.66,31.0,790.29,38.37,11.4,8.075,0,0,0,0,2022-12-20
RX0000012455,MBR00000343,2022-02-15,2022-02-16,1931850476,1525043438,PLN5620,268976,PCN333,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,57,9,Retail,0,0,0,22.0,9.98,31.98,0.0,30.87,1.11,0.44,0.3117,0,0,0,0,2022-04-16
RX0000012456,MBR00000343,2023-10-08,2023-10-12,1235782567,1122184759,PLN9830,651333,PCN857,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,2,Mail Order,0,0,0,175.0,9.46,184.46,40.0,132.15,12.31,7.0,4.9583,0,0,0,0,2023-11-07
RX0000012457,MBR00000343,2023-05-22,2023-05-25,1708960916,1914443185,PLN2869,147018,PCN983,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,95,6,Retail,0,0,0,42.0,5.87,47.87,3.0,42.82,2.05,0.56,0.3967,0,0,0,0,2023-08-20
RX0000012458,MBR00000343,2023-09-26,2023-09-27,1900070297,1564616992,PLN3601,305122,PCN335,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,98,4,Retail,0,0,0,45.0,8.73,53.73,9.0,41.94,2.79,0.6,0.425,0,0,0,0,2023-12-25
RX0000012459,MBR00000344,2023-07-27,2023-07-28,1184268206,1836865266,PLN7217,356642,PCN597,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,88,3,Specialty,0,0,0,36.0,12.51,48.51,6.0,42.51,0.0,0.48,0.34,0,0,0,0,2023-10-25
RX0000012460,MBR00000344,2022-11-08,2022-11-12,1204787472,1174839464,PLN1006,457699,PCN565,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,1,Retail,0,0,0,320.0,8.72,328.72,37.0,277.32,14.4,12.8,9.0667,0,0,0,0,2022-12-08
RX0000012461,MBR00000344,2023-10-14,2023-10-16,1680449572,1926360511,PLN4164,315236,PCN166,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,10,Retail,0,0,0,185.0,4.66,189.66,38.0,139.4,12.26,7.4,5.2417,0,0,0,0,2023-11-13
RX0000012462,MBR00000344,2021-02-23,2021-02-24,1978556941,1699823569,PLN9279,153922,PCN649,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,59,4,Specialty,0,0,0,20.0,34.3,54.3,1.0,53.3,0.0,0.4,0.2833,0,0,0,0,2021-04-24
RX0000012463,MBR00000344,2023-03-16,2023-03-17,1413148107,1447627652,PLN4188,631612,PCN810,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,3,Retail,0,0,0,10.0,4.13,14.13,8.0,5.22,0.91,0.4,0.2833,0,0,0,0,2023-04-15
RX0000012464,MBR00000344,2023-11-28,2023-11-29,1355781781,1550237417,PLN1571,198645,PCN638,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,0,Retail,3,0,0,310.0,3.99,313.99,39.0,256.3,18.69,12.4,8.7833,0,0,0,0,2023-12-28
RX0000012465,MBR00000344,2022-12-19,2022-12-23,1669607177,1383757185,PLN5475,318273,PCN352,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,98,1,Specialty,0,0,0,54.0,35.58,89.58,35.0,54.58,0.0,0.72,0.51,0,0,0,0,2023-03-19
RX0000012466,MBR00000344,2021-11-02,2021-11-03,1570363536,1120641072,PLN2475,805021,PCN645,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,11,Retail,0,0,0,18.0,8.67,26.67,9.0,16.7,0.97,0.72,0.51,0,0,0,0,2021-12-02
RX0000012467,MBR00000344,2023-11-29,2023-12-03,1906682015,1237070463,PLN9297,892152,PCN122,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,63,0,Retail,0,0,0,24.0,3.63,27.63,3.0,23.18,1.45,0.48,0.34,0,0,0,0,2024-01-28
RX0000012468,MBR00000344,2022-05-18,2022-05-20,1596930890,1742938102,PLN9737,153632,PCN926,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,1,Mail Order,0,0,0,15.17,1.9,17.06,38.0,0.0,0.99,2.6,1.8417,0,0,0,0,2022-05-25
RX0000012469,MBR00000344,2022-05-26,2022-05-29,1715253044,1817957075,PLN5498,485424,PCN266,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,11,Retail,0,0,0,380.0,11.29,391.29,34.0,339.11,18.18,15.2,10.7667,0,0,0,0,2022-06-25
RX0000012470,MBR00000344,2021-03-07,2021-03-10,1183371908,1988169234,PLN3220,448635,PCN374,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,8,Retail,1,0,0,9.0,11.0,20.0,10.0,8.73,1.27,0.36,0.255,0,0,0,0,2021-04-06
RX0000012471,MBR00000344,2021-05-09,2021-05-13,1233886661,1968973060,PLN4201,527675,PCN541,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,0,Retail,0,0,0,370.0,7.72,377.72,31.0,331.4,15.32,14.8,10.4833,0,0,0,0,2021-06-08
RX0000012472,MBR00000344,2023-08-28,2023-09-01,1304551120,1736931968,PLN4512,797406,PCN543,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,7,Retail,0,0,0,7.5,3.06,10.56,10.0,0.0,0.61,0.3,0.2125,1,1,0,0,2023-09-27
RX0000012473,MBR00000344,2022-06-25,2022-06-28,1655875832,1440585307,PLN4360,858971,PCN802,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,5,Mail Order,0,0,0,185.0,3.9,188.9,38.0,140.48,10.42,7.4,5.2417,0,0,0,0,2022-07-25
RX0000012474,MBR00000344,2021-02-04,2021-02-07,1773124885,1892881048,PLN8533,982128,PCN906,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,6,Mail Order,0,0,0,10.0,6.08,16.08,7.0,8.44,0.64,0.4,0.2833,0,0,0,0,2021-03-06
RX0000012475,MBR00000344,2021-07-02,2021-07-06,1979691203,1128703778,PLN2765,788292,PCN762,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,750.0,4.95,754.95,37.0,673.28,44.67,30.0,21.25,0,0,0,0,2021-08-01
RX0000012476,MBR00000344,2021-02-13,2021-02-15,1137329205,1423032636,PLN7841,791708,PCN795,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,1,Retail,0,0,0,12.0,3.69,15.69,8.0,6.87,0.82,0.48,0.34,0,0,0,0,2021-03-15
RX0000012477,MBR00000344,2022-01-01,2022-01-05,1929346244,1898995498,PLN2130,954724,PCN635,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,96,8,Mail Order,0,1,0,36.0,11.67,47.67,155.0,0.0,1.53,0.48,0.34,1,0,0,0,2022-04-01
RX0000012478,MBR00000344,2022-09-20,2022-09-23,1764980426,1185081792,PLN1773,887363,PCN203,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,93,0,Mail Order,0,0,0,42.0,5.37,47.37,1.0,43.65,2.72,0.56,0.3967,0,1,0,0,2022-12-19
RX0000012479,MBR00000344,2021-11-20,2021-11-21,1681023919,1659563171,PLN1006,783358,PCN355,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,8,Retail,0,0,0,950.0,3.71,953.71,33.0,868.2,52.51,38.0,26.9167,0,0,0,0,2021-12-20
RX0000012480,MBR00000344,2023-07-24,2023-07-27,1136700020,1457752433,PLN3975,177989,PCN189,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,96,5,Mail Order,1,0,0,25.5,11.88,37.38,2.0,33.48,1.9,0.34,0.2408,0,0,0,0,2023-10-22
RX0000012481,MBR00000344,2021-05-12,2021-05-13,1251440043,1834493040,PLN3118,927787,PCN910,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,1,Retail,0,0,0,285.0,2.73,287.73,34.0,236.18,17.55,11.4,8.075,0,0,0,0,2021-06-11
RX0000012482,MBR00000344,2023-07-09,2023-07-13,1550183518,1635505602,PLN9893,526333,PCN376,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,85,4,Retail,3,0,0,30.0,4.2,34.2,3.0,29.2,2.0,0.4,0.2833,0,0,0,0,2023-10-07
RX0000012483,MBR00000344,2022-06-22,2022-06-25,1969896315,1751567847,PLN1837,101583,PCN760,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,9,Retail,0,0,0,370.0,4.6,374.6,36.0,313.54,25.06,14.8,10.4833,0,0,0,0,2022-07-22
RX0000012484,MBR00000344,2023-10-28,2023-10-29,1113871397,1525526511,PLN5073,374606,PCN420,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,9,Mail Order,0,0,0,45.0,7.04,52.04,4.0,45.42,2.62,1.8,1.275,0,0,0,0,2023-11-27
RX0000012485,MBR00000344,2023-04-04,2023-04-08,1406315444,1993994069,PLN4084,457947,PCN880,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,2,Retail,0,0,0,330.0,5.95,335.95,32.0,293.44,10.51,13.2,9.35,0,0,0,0,2023-05-04
RX0000012486,MBR00000344,2022-10-19,2022-10-23,1170049985,1785560749,PLN4071,643750,PCN506,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,7,Retail,2,0,0,5.13,9.87,15.0,67.0,0.0,0.93,0.88,0.6233,0,0,0,0,2022-10-26
RX0000012487,MBR00000344,2023-05-30,2023-06-02,1233181011,1722553196,PLN1115,722644,PCN436,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,11,Retail,0,0,0,8.5,8.6,17.1,10.0,6.14,0.96,0.34,0.2408,1,0,0,0,2023-06-29
RX0000012488,MBR00000344,2023-12-20,2023-12-21,1933916099,1801532999,PLN9087,525990,PCN741,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,3,Retail,2,0,0,12.0,3.56,15.56,2.0,12.87,0.69,0.48,0.34,0,0,0,0,2024-01-19
RX0000012489,MBR00000344,2021-03-29,2021-03-31,1840452862,1399432413,PLN6852,902766,PCN685,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,1,Retail,0,0,0,320.0,6.0,326.0,33.0,280.19,12.81,12.8,9.0667,0,0,0,0,2021-04-28
RX0000012490,MBR00000344,2021-01-08,2021-01-11,1886052032,1132565511,PLN2985,960249,PCN160,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,1,Retail,0,0,0,38.0,3.35,41.35,39.0,0.04,2.31,1.52,1.0767,0,1,1,0,2021-02-07
RX0000012491,MBR00000344,2023-04-05,2023-04-08,1366395794,1453448538,PLN9040,142736,PCN201,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,10,Retail,0,0,0,11.0,9.65,20.65,8.0,11.62,1.03,0.44,0.3117,0,0,0,0,2023-05-05
RX0000012492,MBR00000344,2023-03-18,2023-03-22,1203456710,1605161249,PLN1163,406568,PCN505,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,10,Mail Order,2,0,0,38.0,9.58,47.58,3.0,43.03,1.55,1.52,1.0767,0,0,0,0,2023-04-17
RX0000012493,MBR00000344,2021-01-30,2021-01-31,1712853947,1184820514,PLN3425,360359,PCN523,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,5,Mail Order,0,1,0,8500.0,4.27,8504.27,145.0,8071.05,288.22,340.0,240.8333,0,0,0,0,2021-03-01
RX0000012494,MBR00000345,2021-01-13,2021-01-16,1307644728,1969843192,PLN8270,176105,PCN154,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,4,Retail,0,0,0,38.0,2.12,40.12,7.0,31.22,1.9,1.52,1.0767,0,0,0,0,2021-02-12
RX0000012495,MBR00000345,2022-11-07,2022-11-08,1839261490,1438586286,PLN8219,374773,PCN904,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,5,Retail,1,0,0,10.0,10.33,20.33,2.0,17.13,1.2,0.4,0.2833,0,0,0,0,2022-12-07
RX0000012496,MBR00000345,2021-11-09,2021-11-11,1461413798,1446556274,PLN3443,565723,PCN369,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,85,3,Mail Order,0,0,0,30.0,6.34,36.34,8.0,26.92,1.42,0.4,0.2833,0,0,0,0,2022-02-07
RX0000012497,MBR00000345,2022-01-08,2022-01-12,1844014407,1326974552,PLN9986,802922,PCN837,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,9,Retail,0,0,0,320.0,4.98,324.98,36.0,277.66,11.32,12.8,9.0667,0,0,0,0,2022-02-07
RX0000012498,MBR00000345,2023-08-01,2023-08-04,1873019615,1926657790,PLN2932,115131,PCN288,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,9,Retail,0,0,0,480.0,5.95,485.95,37.0,417.85,31.1,19.2,13.6,0,1,1,0,2023-08-31
RX0000012499,MBR00000345,2021-04-08,2021-04-09,1132570173,1466431507,PLN3058,719920,PCN181,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,93,4,Retail,0,0,0,66.0,7.21,73.21,66.0,3.92,3.29,0.88,0.6233,0,0,0,0,2021-07-07
RX0000012500,MBR00000345,2021-07-05,2021-07-08,1456237096,1922357012,PLN6099,900273,PCN889,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,7,Retail,0,0,0,330.0,3.45,333.45,33.0,284.61,15.84,13.2,9.35,0,0,0,0,2021-08-04
RX0000012501,MBR00000345,2021-01-24,2021-01-27,1309337833,1216345698,PLN9355,155088,PCN976,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,96,8,Retail,0,0,0,54.0,11.63,65.63,6.0,55.24,4.39,0.72,0.51,1,0,0,0,2021-04-24
RX0000012502,MBR00000345,2021-04-19,2021-04-23,1134688280,1896041557,PLN5884,445240,PCN544,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,96,2,Retail,0,0,0,54.0,8.02,62.02,4.0,55.41,2.61,0.72,0.51,0,0,0,0,2021-07-18
RX0000012503,MBR00000345,2022-11-24,2022-11-26,1689756693,1913945058,PLN8000,533298,PCN760,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,7,Retail,0,0,0,38.0,6.61,44.61,34.0,8.55,2.06,1.52,1.0767,0,0,0,0,2022-12-24
RX0000012504,MBR00000345,2023-12-15,2023-12-16,1299533357,1161533700,PLN6818,414286,PCN906,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,1,Specialty,2,0,0,28.0,29.02,57.02,10.0,47.02,0.0,1.12,0.7933,0,0,0,0,2024-01-14
RX0000012505,MBR00000345,2021-04-09,2021-04-13,1402741933,1368530766,PLN8852,323077,PCN543,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,55,6,Retail,0,0,0,620.0,8.96,628.96,39.0,569.47,20.49,12.4,8.7833,0,0,0,0,2021-06-08
RX0000012506,MBR00000345,2021-06-28,2021-06-29,1242687514,1585890135,PLN3841,732434,PCN339,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,2,Mail Order,2,1,0,8500.0,5.46,8505.46,149.0,7858.74,497.72,340.0,240.8333,0,0,0,0,2021-07-28
RX0000012507,MBR00000345,2023-11-07,2023-11-08,1833216889,1443260441,PLN7907,821886,PCN863,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,94,4,Retail,0,0,0,960.0,5.77,965.77,34.0,879.04,52.73,12.8,9.0667,0,0,0,0,2024-02-05
RX0000012508,MBR00000345,2022-07-12,2022-07-13,1938722661,1653653407,PLN4920,136657,PCN211,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,2,Retail,3,0,1,750.0,5.26,755.26,31.0,680.96,43.3,30.0,21.25,0,0,0,0,2022-08-11
RX0000012509,MBR00000345,2022-02-09,2022-02-10,1248519029,1449794759,PLN4350,205354,PCN521,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,1,Retail,0,0,0,3.27,1.75,5.01,7.0,0.0,0.17,0.56,0.3967,0,0,0,0,2022-02-16
RX0000012510,MBR00000345,2022-11-23,2022-11-25,1534949749,1161390194,PLN4781,930377,PCN581,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,6,Retail,0,0,1,9.0,3.22,12.22,4.0,7.81,0.41,0.36,0.255,0,0,0,0,2022-12-23
RX0000012511,MBR00000345,2022-01-03,2022-01-07,1786829496,1959179748,PLN6236,637294,PCN966,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,4,Mail Order,0,1,0,12.0,10.88,22.88,148.0,0.0,1.44,0.48,0.34,0,1,1,0,2022-02-02
RX0000012512,MBR00000345,2023-01-14,2023-01-18,1383912772,1458681559,PLN8848,416684,PCN308,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,2,Retail,0,1,0,2800.0,4.89,2804.89,149.0,2476.22,179.67,112.0,79.3333,0,0,0,0,2023-02-13
RX0000012513,MBR00000345,2023-09-15,2023-09-19,1472023222,1116406018,PLN1792,575861,PCN350,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,98,1,Retail,0,0,0,33.0,10.13,43.13,9.0,31.96,2.17,0.44,0.3117,0,0,0,0,2023-12-14
RX0000012514,MBR00000345,2022-06-08,2022-06-12,1413675568,1143961523,PLN5244,375481,PCN940,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,6,Mail Order,0,0,0,18.0,9.92,27.92,0.0,26.41,1.51,0.72,0.51,0,0,0,0,2022-07-08
RX0000012515,MBR00000345,2023-07-19,2023-07-20,1219217615,1174778873,PLN9841,254129,PCN101,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,86,7,Retail,0,0,0,2250.0,7.34,2257.34,31.0,2146.32,80.02,30.0,21.25,0,0,0,0,2023-10-17
RX0000012516,MBR00000345,2023-12-11,2023-12-14,1253681473,1497160451,PLN3672,722235,PCN488,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,1,Retail,0,0,0,18.0,7.01,25.01,3.0,20.75,1.26,0.72,0.51,0,0,0,0,2024-01-10
RX0000012517,MBR00000345,2022-02-16,2022-02-20,1738840056,1907899123,PLN9058,379260,PCN613,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,4,Retail,1,0,0,380.0,6.24,386.24,37.0,336.6,12.64,15.2,10.7667,0,0,0,0,2022-03-18
RX0000012518,MBR00000345,2022-10-09,2022-10-13,1452631709,1672917632,PLN3548,527783,PCN669,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,8,Retail,0,0,0,12.0,2.17,14.17,0.0,13.54,0.63,0.48,0.34,0,0,0,0,2022-11-08
RX0000012519,MBR00000345,2022-10-22,2022-10-23,1630736416,1591254836,PLN2164,348489,PCN242,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,81,6,Retail,2,0,1,37.5,7.27,44.77,8.0,34.69,2.08,0.5,0.3542,0,0,0,0,2023-01-20
RX0000012520,MBR00000345,2023-04-07,2023-04-11,1249597612,1930928142,PLN6791,320147,PCN135,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,96,8,Mail Order,0,0,0,2250.0,11.42,2261.42,39.0,2068.24,154.18,30.0,21.25,0,0,0,0,2023-07-06
RX0000012521,MBR00000345,2022-12-04,2022-12-08,1510459754,1994479480,PLN5027,233646,PCN916,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,1,Retail,0,0,0,175.0,11.74,186.74,40.0,134.74,12.0,7.0,4.9583,0,0,0,0,2023-01-03
RX0000012522,MBR00000345,2023-05-12,2023-05-15,1823010602,1922791657,PLN8343,615464,PCN937,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,11,Retail,0,0,0,10.0,1.8,11.8,3.0,8.42,0.38,0.4,0.2833,0,0,0,0,2023-06-11
RX0000012523,MBR00000345,2023-04-15,2023-04-19,1727679876,1704234304,PLN5508,529283,PCN170,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,6,Retail,0,1,0,8.0,3.86,11.86,149.0,0.0,0.68,0.32,0.2267,0,1,1,0,2023-05-15
RX0000012524,MBR00000345,2023-12-17,2023-12-18,1955249863,1658123448,PLN4496,987941,PCN863,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,11,Retail,0,0,0,10.0,4.49,14.49,7.0,6.58,0.91,0.4,0.2833,0,0,0,0,2024-01-16
RX0000012525,MBR00000345,2022-06-22,2022-06-23,1216171265,1297856720,PLN8984,761831,PCN489,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,0,Mail Order,2,1,0,2800.0,3.19,2803.19,154.0,2458.49,190.7,112.0,79.3333,0,0,0,0,2022-07-22
RX0000012526,MBR00000345,2023-12-03,2023-12-07,1172700419,1461279565,PLN8675,401585,PCN745,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,3,Retail,2,0,0,12.5,3.66,16.16,7.0,8.4,0.76,0.5,0.3542,0,0,0,0,2024-01-02
RX0000012527,MBR00000345,2021-10-09,2021-10-13,1700797782,1993581049,PLN3128,134753,PCN692,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,2,Retail,0,0,0,18.0,7.46,25.46,7.0,16.81,1.65,0.72,0.51,0,0,0,0,2021-11-08
RX0000012528,MBR00000345,2021-12-28,2021-12-30,1239320374,1673354478,PLN6063,269135,PCN895,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,5,Retail,0,0,0,14.0,3.17,17.17,10.0,6.28,0.89,0.56,0.3967,1,0,0,0,2022-01-27
RX0000012529,MBR00000345,2021-05-03,2021-05-04,1443876425,1386800570,PLN8946,128084,PCN823,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,88,0,Retail,0,0,0,30.0,11.77,41.77,2.0,37.03,2.74,0.4,0.2833,0,0,0,0,2021-08-01
RX0000012530,MBR00000345,2021-03-23,2021-03-26,1789346548,1335009910,PLN5407,118727,PCN126,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,60,3,Specialty,0,0,0,76.0,10.9,86.9,39.0,47.9,0.0,1.52,1.0767,0,1,1,0,2021-05-22
RX0000012531,MBR00000345,2022-02-25,2022-02-28,1766017415,1296364566,PLN5912,451301,PCN248,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,81,5,Retail,0,0,0,30.0,11.84,41.84,1.0,39.52,1.32,0.4,0.2833,0,0,0,0,2022-05-26
RX0000012532,MBR00000345,2023-09-14,2023-09-18,1288172797,1897356350,PLN9293,549259,PCN884,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,88,9,Specialty,0,0,0,990.0,26.03,1016.03,32.0,984.03,0.0,13.2,9.35,0,0,0,0,2023-12-13
RX0000012533,MBR00000345,2021-12-12,2021-12-15,1288414832,1214216204,PLN1057,490641,PCN397,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,6,Specialty,0,0,0,12.0,34.49,46.49,6.0,40.49,0.0,0.48,0.34,0,0,0,0,2022-01-11
RX0000012534,MBR00000345,2022-09-17,2022-09-18,1496421736,1909540787,PLN1984,500125,PCN247,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,85,4,Retail,3,0,0,36.0,5.25,41.25,8.0,30.57,2.68,0.48,0.34,0,0,0,0,2022-12-16
RX0000012535,MBR00000345,2021-04-12,2021-04-16,1358386730,1734514206,PLN8920,178342,PCN477,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,0,Retail,0,0,0,3.27,1.87,5.14,7.0,0.0,0.28,0.56,0.3967,0,0,0,0,2021-04-19
RX0000012536,MBR00000345,2023-01-08,2023-01-10,1585534460,1691720079,PLN9074,956592,PCN516,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,4,Specialty,1,0,0,3.27,41.59,44.85,3.0,41.85,0.0,0.56,0.3967,0,0,0,0,2023-01-15
RX0000012537,MBR00000345,2021-12-02,2021-12-05,1593445884,1437341334,PLN6996,831491,PCN145,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,11,Specialty,0,0,0,18.0,18.64,36.64,31.0,5.64,0.0,0.72,0.51,0,0,0,0,2022-01-01
RX0000012538,MBR00000345,2021-09-29,2021-10-03,1883653889,1412317808,PLN6972,272686,PCN371,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,0,Retail,0,0,0,86.33,2.34,88.67,40.0,44.68,3.99,14.8,10.4833,0,0,0,0,2021-10-06
RX0000012539,MBR00000345,2022-11-01,2022-11-02,1605812090,1540457787,PLN8084,411411,PCN506,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,7,Mail Order,0,0,0,11.0,6.22,17.22,4.0,12.24,0.98,0.44,0.3117,0,0,0,0,2022-12-01
RX0000012540,MBR00000346,2022-01-28,2022-01-29,1749069460,1699660035,PLN7284,396933,PCN231,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,97,3,Retail,0,0,0,33.0,10.05,43.05,9.0,31.86,2.19,0.44,0.3117,0,0,0,0,2022-04-28
RX0000012541,MBR00000346,2022-03-16,2022-03-17,1523485962,1243300365,PLN9496,504394,PCN228,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,3,Mail Order,0,0,0,45.0,5.22,50.22,8.0,39.18,3.04,1.8,1.275,0,0,0,0,2022-04-15
RX0000012542,MBR00000346,2021-04-21,2021-04-25,1807166936,1321491084,PLN3729,426334,PCN100,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,6,Retail,0,0,0,380.0,7.45,387.45,32.0,338.1,17.35,15.2,10.7667,0,0,0,0,2021-05-21
RX0000012543,MBR00000346,2021-05-14,2021-05-15,1718010244,1960887224,PLN9562,693268,PCN524,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,54,10,Retail,0,0,0,44.0,8.22,52.22,4.0,46.37,1.85,0.88,0.6233,0,0,0,0,2021-07-13
RX0000012544,MBR00000346,2023-12-13,2023-12-14,1462550002,1184256141,PLN9725,295061,PCN108,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,3,Retail,0,1,0,12.0,4.43,16.43,154.0,0.0,0.81,0.48,0.34,1,0,0,0,2024-01-12
RX0000012545,MBR00000346,2022-11-18,2022-11-21,1181228344,1232737755,PLN5799,293846,PCN177,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,9,Retail,0,0,0,22.0,2.15,24.15,69.0,0.0,1.68,0.88,0.6233,0,0,0,0,2022-12-18
RX0000012546,MBR00000346,2022-05-17,2022-05-18,1232096258,1131700651,PLN8153,570363,PCN123,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,0,Mail Order,0,0,0,12.0,7.02,19.02,0.0,18.3,0.72,0.48,0.34,0,0,0,0,2022-06-16
RX0000012547,MBR00000346,2022-01-13,2022-01-15,1627570310,1747620300,PLN4832,778566,PCN369,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,4,Retail,0,0,0,650.0,2.15,652.15,31.0,591.84,29.31,26.0,18.4167,0,0,0,0,2022-02-12
RX0000012548,MBR00000346,2022-06-26,2022-06-28,1852940970,1896242518,PLN2951,625914,PCN179,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,0,Retail,0,0,0,9.0,8.23,17.23,10.0,6.4,0.83,0.36,0.255,0,0,0,0,2022-07-26
RX0000012549,MBR00000346,2022-03-22,2022-03-23,1781618454,1835350193,PLN5589,139349,PCN727,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,1,Retail,0,0,0,2.1,8.4,10.5,8.0,1.96,0.54,0.36,0.255,0,0,0,0,2022-03-29
RX0000012550,MBR00000346,2022-02-21,2022-02-24,1390240776,1692012003,PLN4274,874746,PCN990,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,8,Mail Order,0,0,0,11.0,1.87,12.87,1.0,11.46,0.41,0.44,0.3117,0,0,0,0,2022-03-23
RX0000012551,MBR00000346,2021-09-29,2021-10-02,1597225092,1755211936,PLN4805,557542,PCN870,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,1,Mail Order,0,0,0,380.0,3.86,383.86,40.0,321.96,21.9,15.2,10.7667,0,0,0,0,2021-10-29
RX0000012552,MBR00000346,2021-08-16,2021-08-18,1692087232,1781793837,PLN1281,174654,PCN955,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,7,Mail Order,0,0,0,2.33,6.38,8.71,3.0,5.28,0.43,0.4,0.2833,0,0,0,0,2021-08-23
RX0000012553,MBR00000346,2023-01-14,2023-01-15,1465131467,1613792061,PLN4725,660572,PCN938,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,3,Specialty,0,0,0,750.0,21.48,771.48,36.0,735.48,0.0,30.0,21.25,0,0,0,0,2023-02-13
RX0000012554,MBR00000346,2023-06-10,2023-06-11,1831184146,1222277041,PLN4412,817236,PCN587,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,9,Mail Order,0,0,0,10.0,1.56,11.56,2.0,9.1,0.46,0.4,0.2833,0,1,0,0,2023-07-10
RX0000012555,MBR00000346,2023-12-06,2023-12-10,1212456307,1405496707,PLN1541,386812,PCN342,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,4,Mail Order,0,0,0,38.0,9.91,47.91,38.0,6.7,3.21,1.52,1.0767,0,0,0,0,2024-01-05
RX0000012556,MBR00000346,2021-11-10,2021-11-13,1537933534,1115323642,PLN6332,499671,PCN322,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,1,Retail,3,0,0,45.0,10.55,55.55,10.0,43.15,2.4,1.8,1.275,0,0,0,0,2021-12-10
RX0000012557,MBR00000346,2021-06-29,2021-07-02,1266238885,1526757028,PLN4390,928834,PCN481,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,96,7,Retail,3,0,0,25.5,6.71,32.21,1.0,29.93,1.28,0.34,0.2408,0,0,0,0,2021-09-27
RX0000012558,MBR00000346,2023-09-29,2023-10-02,1227939374,1224675050,PLN8805,682172,PCN446,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,89,11,Mail Order,0,0,0,1440.0,11.32,1451.32,34.0,1341.04,76.28,19.2,13.6,0,0,0,0,2023-12-28
RX0000012559,MBR00000346,2022-07-18,2022-07-21,1207635147,1217780819,PLN5892,677105,PCN364,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,84,1,Retail,0,0,0,135.0,7.95,142.95,1.0,136.58,5.37,1.8,1.275,0,0,0,0,2022-10-16
RX0000012560,MBR00000346,2021-03-16,2021-03-20,1604738980,1273473458,PLN4467,976575,PCN796,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,0,Mail Order,3,1,0,8500.0,6.74,8506.74,145.0,8095.54,266.2,340.0,240.8333,0,0,0,0,2021-04-15
RX0000012561,MBR00000346,2023-12-17,2023-12-21,1207660424,1302273654,PLN1739,654746,PCN299,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,1,Specialty,3,0,0,7.5,42.96,50.46,10.0,40.46,0.0,0.3,0.2125,0,0,0,0,2024-01-16
RX0000012562,MBR00000346,2022-06-13,2022-06-17,1658967817,1232968021,PLN1895,618302,PCN895,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,3,Retail,0,1,0,2800.0,7.0,2807.0,148.0,2471.07,187.93,112.0,79.3333,0,0,0,0,2022-07-13
RX0000012563,MBR00000346,2022-09-25,2022-09-28,1253938372,1434724098,PLN8266,759559,PCN819,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,89,11,Mail Order,0,0,0,54.0,2.25,56.25,0.0,53.95,2.3,0.72,0.51,0,0,0,0,2022-12-24
RX0000012564,MBR00000346,2023-01-28,2023-01-31,1621679950,1276436392,PLN8085,732410,PCN351,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,88,11,Specialty,0,0,0,54.0,31.81,85.81,5.0,80.81,0.0,0.72,0.51,0,0,0,0,2023-04-28
RX0000012565,MBR00000346,2022-04-12,2022-04-13,1691279490,1776938782,PLN6756,242181,PCN136,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,3,Retail,1,0,0,18.0,3.45,21.45,7.0,13.51,0.94,0.72,0.51,0,0,0,0,2022-05-12
RX0000012566,MBR00000346,2022-06-07,2022-06-09,1930502182,1760833403,PLN2918,369957,PCN643,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,54,9,Mail Order,0,0,0,24.0,8.09,32.09,3.0,27.69,1.4,0.48,0.34,0,0,0,0,2022-08-06
RX0000012567,MBR00000346,2021-01-02,2021-01-04,1213465714,1826119954,PLN1181,526841,PCN859,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,0,Retail,0,0,0,16.0,10.71,26.71,1.0,24.09,1.62,0.64,0.4533,0,0,0,0,2021-02-01
RX0000012568,MBR00000346,2023-05-25,2023-05-28,1135226794,1584250604,PLN6620,786503,PCN489,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,8,Retail,0,0,0,14.0,6.63,20.63,7.0,12.22,1.41,0.56,0.3967,0,0,0,0,2023-06-24
RX0000012569,MBR00000346,2022-11-03,2022-11-06,1363761839,1929449108,PLN6145,469443,PCN692,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,56,11,Retail,0,0,0,640.0,10.93,650.93,33.0,579.36,38.57,12.8,9.0667,0,0,0,0,2023-01-02
RX0000012570,MBR00000346,2021-06-16,2021-06-17,1238661739,1239392767,PLN7408,961357,PCN508,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,3,Mail Order,1,0,0,9.0,1.78,10.78,7.0,3.43,0.35,0.36,0.255,0,0,0,0,2021-07-16
RX0000012571,MBR00000346,2023-11-23,2023-11-27,1227682255,1459298367,PLN2145,209819,PCN814,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,88,0,Retail,0,0,0,84.0,8.39,92.39,10.0,78.69,3.7,1.12,0.7933,0,0,0,0,2024-02-21
RX0000012572,MBR00000346,2021-01-20,2021-01-22,1464891370,1784567473,PLN7573,976906,PCN355,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,85,10,Mail Order,0,0,0,30.0,10.4,40.4,6.0,32.12,2.28,0.4,0.2833,0,0,0,0,2021-04-20
RX0000012573,MBR00000346,2021-06-27,2021-07-01,1573811629,1685483537,PLN5213,752370,PCN403,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,94,5,Retail,0,0,0,37.5,6.97,44.47,2.0,40.54,1.93,0.5,0.3542,0,0,0,0,2021-09-25
RX0000012574,MBR00000346,2023-06-17,2023-06-20,1196143811,1719207015,PLN5997,137807,PCN928,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,10,Mail Order,0,0,0,11.0,5.4,16.4,0.0,15.4,1.0,0.44,0.3117,0,0,0,0,2023-07-17
RX0000012575,MBR00000346,2021-07-13,2021-07-16,1619049590,1126496713,PLN5868,113059,PCN343,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,6,Retail,0,0,0,15.0,1.96,16.96,10.0,6.18,0.78,0.6,0.425,0,0,0,0,2021-08-12
RX0000012576,MBR00000346,2021-10-28,2021-10-30,1237237337,1391306900,PLN7205,675993,PCN234,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,0,Retail,2,0,0,11.0,2.58,13.58,2.0,10.71,0.87,0.44,0.3117,0,0,0,0,2021-11-27
RX0000012577,MBR00000346,2022-03-11,2022-03-14,1277452524,1948280444,PLN5087,812130,PCN952,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,4,Retail,2,1,0,18600.0,8.08,18608.08,150.0,17720.04,738.04,248.0,175.6667,0,0,0,0,2022-06-09
RX0000012578,MBR00000346,2022-05-01,2022-05-02,1763469456,1884058046,PLN3403,153707,PCN300,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,5,Retail,0,0,0,750.0,7.36,757.36,39.0,678.21,40.15,30.0,21.25,0,0,0,0,2022-05-31
RX0000012579,MBR00000346,2022-11-23,2022-11-25,1541977377,1338952412,PLN4772,876594,PCN241,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,5,Retail,0,1,0,12.0,2.8,14.8,147.0,0.0,0.5,0.48,0.34,0,0,0,0,2022-12-23
RX0000012580,MBR00000346,2023-11-17,2023-11-19,1718478078,1595148594,PLN4815,993788,PCN630,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,10,Retail,0,0,0,10.0,6.01,16.01,8.0,7.44,0.57,0.4,0.2833,0,0,0,0,2023-12-17
RX0000012581,MBR00000346,2023-11-11,2023-11-15,1361469341,1971637108,PLN2443,511543,PCN553,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,7,Retail,0,0,0,650.0,4.0,654.0,30.0,594.19,29.81,26.0,18.4167,0,0,0,0,2023-12-11
RX0000012582,MBR00000347,2023-04-29,2023-05-03,1361151863,1382364081,PLN1982,213282,PCN417,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,11,Mail Order,0,0,0,12.0,11.34,23.34,9.0,12.84,1.5,0.48,0.34,0,0,0,0,2023-05-29
RX0000012583,MBR00000347,2022-11-26,2022-11-28,1504310219,1170660985,PLN6333,197820,PCN123,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,2,Retail,0,0,0,4.2,2.2,6.4,4.0,2.15,0.25,0.72,0.51,0,0,0,0,2022-12-03
RX0000012584,MBR00000347,2021-05-05,2021-05-09,1160260709,1282044430,PLN4499,518982,PCN614,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,58,6,Retail,0,0,0,28.0,8.47,36.47,4.0,30.18,2.29,0.56,0.3967,0,0,0,0,2021-07-04
RX0000012585,MBR00000347,2022-09-20,2022-09-21,1370043724,1563739656,PLN3356,180633,PCN659,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,86,3,Retail,0,0,0,27.0,9.77,36.77,9.0,26.16,1.61,0.36,0.255,0,0,0,0,2022-12-19
RX0000012586,MBR00000347,2023-11-24,2023-11-28,1198711972,1766505306,PLN5611,782056,PCN298,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,0,Retail,0,0,0,18.0,7.94,25.94,8.0,16.51,1.43,0.72,0.51,0,0,0,0,2023-12-24
RX0000012587,MBR00000347,2021-03-01,2021-03-03,1579470816,1563257182,PLN4561,179045,PCN732,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,85,10,Retail,0,0,0,27.0,7.01,34.01,2.0,30.35,1.66,0.36,0.255,0,0,0,0,2021-05-30
RX0000012588,MBR00000347,2021-06-30,2021-07-04,1990337841,1285768008,PLN1299,968846,PCN107,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,91,10,Retail,0,0,0,84.0,11.77,95.77,5.0,86.88,3.89,1.12,0.7933,0,0,0,0,2021-09-28
RX0000012589,MBR00000347,2023-09-15,2023-09-18,1395408451,1639309810,PLN1110,210129,PCN582,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,8,Retail,0,0,0,18.0,3.59,21.59,7.0,13.55,1.04,0.72,0.51,0,0,0,0,2023-10-15
RX0000012590,MBR00000347,2022-12-24,2022-12-26,1935641426,1138453750,PLN7429,398997,PCN332,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,9,Retail,0,0,0,28.0,2.22,30.22,8.0,20.71,1.51,1.12,0.7933,0,1,0,0,2023-01-23
RX0000012591,MBR00000347,2021-07-25,2021-07-28,1937362919,1874998198,PLN5775,687149,PCN960,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,4,Retail,0,0,0,22.0,4.94,26.94,71.0,0.0,1.7,0.88,0.6233,0,0,0,0,2021-08-24
RX0000012592,MBR00000347,2022-12-11,2022-12-15,1901119312,1344375791,PLN7907,432708,PCN741,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,1,Mail Order,2,0,0,12.0,2.99,14.99,0.0,14.14,0.85,0.48,0.34,1,0,0,0,2023-01-10
RX0000012593,MBR00000347,2021-12-25,2021-12-27,1961489867,1168469966,PLN4991,394811,PCN117,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,6,Mail Order,1,1,0,8.0,6.93,14.93,152.0,0.0,0.92,0.32,0.2267,0,0,0,0,2022-01-24
RX0000012594,MBR00000347,2021-04-09,2021-04-11,1553508268,1996714651,PLN9633,185817,PCN620,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,98,9,Retail,0,0,0,114.0,10.87,124.87,5.0,114.46,5.41,1.52,1.0767,0,0,0,0,2021-07-08
RX0000012595,MBR00000347,2022-10-09,2022-10-12,1183653807,1343365580,PLN3998,745566,PCN375,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,4,Retail,0,0,0,330.0,6.35,336.35,32.0,283.27,21.08,13.2,9.35,0,0,0,0,2022-11-08
RX0000012596,MBR00000347,2021-11-05,2021-11-08,1840183388,1843199410,PLN8043,745697,PCN901,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,1,Retail,0,1,0,2.8,8.49,11.29,148.0,0.0,0.65,0.48,0.34,0,0,0,0,2021-11-12
RX0000012597,MBR00000347,2023-01-16,2023-01-19,1307964550,1243777454,PLN1755,980432,PCN987,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,60,3,Mail Order,0,0,0,740.0,4.7,744.7,35.0,661.93,47.77,14.8,10.4833,0,0,0,0,2023-03-17
RX0000012598,MBR00000347,2021-05-06,2021-05-08,1448774666,1982718999,PLN2197,351916,PCN517,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,0,Retail,1,1,0,8.0,2.36,10.36,150.0,0.0,0.66,0.32,0.2267,0,0,0,0,2021-06-05
RX0000012599,MBR00000347,2023-02-17,2023-02-19,1866656642,1181016316,PLN5275,325878,PCN856,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,9,Mail Order,0,0,0,22.0,1.71,23.71,9.0,13.32,1.39,0.88,0.6233,0,0,0,0,2023-03-19
RX0000012600,MBR00000347,2021-05-16,2021-05-18,1158165277,1262940610,PLN6112,695583,PCN131,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,5,Retail,0,0,0,285.0,9.91,294.91,37.0,237.96,19.95,11.4,8.075,0,0,0,0,2021-06-15
RX0000012601,MBR00000347,2023-05-22,2023-05-24,1170255566,1435351703,PLN9730,189079,PCN949,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,10,Retail,0,1,0,8.0,2.36,10.36,145.0,0.0,0.46,0.32,0.2267,0,0,0,0,2023-06-21
RX0000012602,MBR00000347,2023-07-22,2023-07-26,1869321952,1911432641,PLN1133,548009,PCN416,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,63,11,Retail,0,0,0,20.0,9.72,29.72,1.0,26.91,1.81,0.4,0.2833,0,0,0,0,2023-09-20
RX0000012603,MBR00000347,2023-12-21,2023-12-25,1712252633,1730719505,PLN8634,183807,PCN123,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,11,Retail,0,0,0,650.0,6.76,656.76,38.0,594.44,24.32,26.0,18.4167,0,0,0,0,2024-01-20
RX0000012604,MBR00000347,2021-10-02,2021-10-06,1171484593,1910721666,PLN4444,483855,PCN611,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,10,Retail,0,0,0,22.0,11.53,33.53,71.0,0.0,1.76,0.88,0.6233,0,0,0,0,2021-11-01
RX0000012605,MBR00000347,2023-10-24,2023-10-28,1395501625,1301894338,PLN6605,654961,PCN873,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,2,Mail Order,0,0,0,65.0,2.77,67.77,36.0,28.51,3.26,2.6,1.8417,0,0,0,0,2023-11-23
RX0000012606,MBR00000347,2021-06-22,2021-06-23,1534302168,1574035329,PLN8968,888655,PCN457,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,4,Specialty,0,0,0,3.27,19.36,22.62,3.0,19.62,0.0,0.56,0.3967,0,0,0,0,2021-06-29
RX0000012607,MBR00000347,2022-07-28,2022-07-31,1450029247,1691307665,PLN4448,403699,PCN888,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,87,10,Specialty,0,0,0,45.0,11.63,56.63,3.0,53.63,0.0,0.6,0.425,0,0,0,0,2022-10-26
RX0000012608,MBR00000347,2021-11-27,2021-12-01,1306756265,1306419673,PLN1415,171656,PCN167,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,91,3,Retail,2,0,0,84.0,5.52,89.52,5.0,81.73,2.79,1.12,0.7933,0,0,0,0,2022-02-25
RX0000012609,MBR00000347,2022-04-14,2022-04-18,1208283403,1958022681,PLN6994,897444,PCN886,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,1,Retail,3,0,0,10.0,3.07,13.07,8.0,4.39,0.68,0.4,0.2833,0,0,0,0,2022-05-14
RX0000012610,MBR00000347,2021-03-22,2021-03-23,1631544864,1603182133,PLN7204,488809,PCN684,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,61,7,Retail,3,0,0,18.0,11.48,29.48,3.0,25.21,1.27,0.36,0.255,0,1,0,0,2021-05-21
RX0000012611,MBR00000347,2022-02-18,2022-02-21,1327524334,1354233579,PLN9487,763812,PCN124,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,86,9,Retail,0,0,0,1140.0,2.81,1142.81,35.0,1036.65,71.16,15.2,10.7667,0,0,0,0,2022-05-19
RX0000012612,MBR00000347,2022-04-06,2022-04-09,1251922210,1257999075,PLN2708,304027,PCN434,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,5,Retail,0,1,0,8.0,3.74,11.74,155.0,0.0,0.59,0.32,0.2267,0,0,0,0,2022-05-06
RX0000012613,MBR00000347,2021-05-05,2021-05-08,1286434514,1193716313,PLN9531,671681,PCN825,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,7,Retail,0,0,0,1.75,10.53,12.28,7.0,4.56,0.72,0.3,0.2125,0,0,0,0,2021-05-12
RX0000012614,MBR00000347,2021-11-03,2021-11-07,1144637696,1418035159,PLN9471,646850,PCN982,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,9,Retail,0,0,0,320.0,9.66,329.66,36.0,274.49,19.17,12.8,9.0667,0,0,0,0,2021-12-03
RX0000012615,MBR00000347,2022-05-06,2022-05-09,1693037475,1512966905,PLN5242,728990,PCN744,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,8,Mail Order,0,0,0,3.27,2.88,6.15,5.0,0.85,0.3,0.56,0.3967,0,0,0,0,2022-05-13
RX0000012616,MBR00000347,2022-09-06,2022-09-07,1331432495,1473912857,PLN1778,619492,PCN252,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,65,11,Retail,0,0,0,32.0,4.24,36.24,1.0,33.94,1.3,0.64,0.4533,0,0,0,0,2022-11-05
RX0000012617,MBR00000347,2021-11-22,2021-11-24,1642379833,1292597830,PLN5006,423607,PCN794,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,59,6,Retail,0,0,0,36.0,2.56,38.56,39.0,0.0,1.58,0.72,0.51,0,0,0,0,2022-01-21
RX0000012618,MBR00000347,2021-04-12,2021-04-14,1899616343,1340671925,PLN8940,134085,PCN347,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,8,Mail Order,0,0,0,221.67,10.43,232.09,31.0,189.73,11.36,38.0,26.9167,0,0,0,0,2021-04-19
RX0000012619,MBR00000347,2021-03-26,2021-03-28,1660896460,1417005731,PLN6478,616416,PCN817,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,5,Retail,0,0,0,285.0,5.81,290.81,33.0,246.09,11.72,11.4,8.075,0,0,0,0,2021-04-25
RX0000012620,MBR00000347,2021-02-05,2021-02-09,1656271805,1609959622,PLN8381,954161,PCN194,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,1,Specialty,0,0,0,9.0,37.71,46.71,8.0,38.71,0.0,0.36,0.255,0,0,0,0,2021-03-07
RX0000012621,MBR00000347,2021-08-03,2021-08-05,1594221707,1972940757,PLN4387,649414,PCN692,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,11,Specialty,3,0,0,330.0,30.34,360.34,36.0,324.34,0.0,13.2,9.35,0,0,0,0,2021-09-02
RX0000012622,MBR00000347,2023-06-16,2023-06-17,1684563092,1466880807,PLN7563,896023,PCN319,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,6,Specialty,1,0,0,380.0,13.8,393.8,36.0,357.8,0.0,15.2,10.7667,0,0,0,0,2023-07-16
RX0000012623,MBR00000347,2023-01-28,2023-01-31,1569389183,1327069758,PLN8095,310964,PCN199,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,0,Retail,1,0,0,10.0,6.52,16.52,8.0,7.73,0.79,0.4,0.2833,0,0,0,0,2023-02-27
RX0000012624,MBR00000347,2022-03-24,2022-03-25,1962320009,1658652878,PLN5907,587919,PCN883,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,84,5,Retail,0,0,0,195.0,9.8,204.8,38.0,156.19,10.61,2.6,1.8417,0,0,0,0,2022-06-22
RX0000012625,MBR00000347,2021-03-30,2021-04-01,1279330092,1205922505,PLN7795,267212,PCN693,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,0,Mail Order,0,0,0,11.0,8.43,19.43,9.0,9.6,0.83,0.44,0.3117,0,0,0,0,2021-04-29
RX0000012626,MBR00000347,2022-05-14,2022-05-17,1906350985,1942331696,PLN5775,461424,PCN963,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,86,10,Retail,0,0,0,37.5,9.44,46.94,9.0,34.7,3.24,0.5,0.3542,0,0,0,0,2022-08-12
RX0000012627,MBR00000347,2021-02-08,2021-02-09,1688292117,1575920022,PLN8467,273193,PCN941,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,81,8,Retail,0,0,0,45.0,1.69,46.69,4.0,39.72,2.97,0.6,0.425,0,0,0,0,2021-05-09
RX0000012628,MBR00000347,2023-11-28,2023-11-29,1980756548,1215005000,PLN5933,783862,PCN511,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,56,2,Mail Order,3,0,0,30.0,5.05,35.05,6.0,27.59,1.46,0.6,0.425,0,0,0,0,2024-01-27
RX0000012629,MBR00000347,2022-12-24,2022-12-28,1940684568,1833939058,PLN8860,284295,PCN948,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,9,Mail Order,0,0,0,8.5,2.82,11.32,5.0,5.81,0.51,0.34,0.2408,0,0,0,0,2023-01-23
RX0000012630,MBR00000347,2022-03-16,2022-03-18,1784061332,1307732641,PLN7266,828629,PCN677,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,11,Retail,0,0,0,380.0,6.46,386.46,30.0,337.28,19.18,15.2,10.7667,0,0,0,0,2022-04-15
RX0000012631,MBR00000347,2023-05-26,2023-05-29,1335199827,1661243844,PLN1672,987083,PCN360,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,4,Retail,0,0,0,12.0,2.9,14.9,9.0,5.35,0.55,0.48,0.34,0,1,0,0,2023-06-25
RX0000012632,MBR00000347,2023-09-29,2023-10-01,1896313707,1126228130,PLN2252,481929,PCN820,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,1,Mail Order,3,0,0,4.2,2.24,6.44,1.0,5.11,0.33,0.72,0.51,0,0,0,0,2023-10-06
RX0000012633,MBR00000348,2023-07-06,2023-07-07,1760874950,1971078264,PLN7837,614693,PCN242,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,9,Specialty,3,0,0,8.87,34.06,42.93,3.0,39.93,0.0,1.52,1.0767,0,0,0,0,2023-07-13
RX0000012634,MBR00000348,2021-02-23,2021-02-27,1330947279,1801893057,PLN9490,469276,PCN614,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,10,Retail,0,0,0,18.0,11.49,29.49,8.0,19.56,1.93,0.72,0.51,0,0,0,0,2021-03-25
RX0000012635,MBR00000348,2021-05-17,2021-05-20,1970095784,1756650374,PLN2074,728178,PCN368,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,6,Retail,0,0,0,15.0,4.99,19.99,2.0,16.61,1.38,0.6,0.425,0,0,0,0,2021-06-16
RX0000012636,MBR00000348,2022-03-04,2022-03-05,1394793296,1964419240,PLN5758,258930,PCN661,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,64,7,Retail,1,0,0,18.0,3.04,21.04,9.0,11.38,0.66,0.36,0.255,0,0,0,0,2022-05-03
RX0000012637,MBR00000348,2022-08-13,2022-08-14,1679646545,1877294462,PLN2274,239521,PCN108,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,5,Mail Order,0,0,0,14.0,10.76,24.76,3.0,20.27,1.49,0.56,0.3967,0,0,0,0,2022-09-12
RX0000012638,MBR00000348,2022-04-18,2022-04-22,1863598872,1109004758,PLN9222,952536,PCN701,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,86,3,Specialty,0,0,0,30.0,23.06,53.06,8.0,45.06,0.0,0.4,0.2833,0,0,0,0,2022-07-17
RX0000012639,MBR00000348,2023-05-29,2023-06-01,1242482947,1886069375,PLN3731,210536,PCN345,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,82,3,LTC,0,0,0,1950.0,8.37,1958.37,37.0,1827.85,93.52,26.0,18.4167,0,0,0,0,2023-08-27
RX0000012640,MBR00000348,2021-12-21,2021-12-23,1394715705,1265945567,PLN1453,257382,PCN660,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,0,Specialty,1,0,0,10.5,8.78,19.28,7.0,12.28,0.0,1.8,1.275,0,0,0,0,2021-12-28
RX0000012641,MBR00000348,2021-01-29,2021-02-02,1244357776,1562440416,PLN4268,293838,PCN960,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,5,Retail,0,1,0,6200.0,6.47,6206.47,152.0,5756.55,297.92,248.0,175.6667,0,0,0,0,2021-02-28
RX0000012642,MBR00000348,2023-12-22,2023-12-26,1203871177,1528596131,PLN9854,269383,PCN146,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,5,Retail,0,0,0,10.0,9.18,19.18,4.0,14.25,0.93,0.4,0.2833,0,0,0,0,2024-01-21
RX0000012643,MBR00000348,2022-04-27,2022-04-28,1645516289,1590994466,PLN4478,773590,PCN649,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,11,Retail,0,0,0,2.57,4.95,7.52,7.0,0.26,0.26,0.44,0.3117,0,1,0,0,2022-05-04
RX0000012644,MBR00000348,2023-01-12,2023-01-15,1651379047,1920818360,PLN6298,383993,PCN768,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,85,4,Retail,3,0,0,195.0,7.82,202.82,31.0,163.85,7.97,2.6,1.8417,0,0,0,0,2023-04-12
RX0000012645,MBR00000348,2021-04-05,2021-04-07,1845152251,1242796509,PLN4042,934494,PCN110,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,10,Retail,0,0,0,14.0,7.18,21.18,10.0,9.84,1.34,0.56,0.3967,0,0,0,0,2021-05-05
RX0000012646,MBR00000348,2022-08-26,2022-08-27,1659344187,1577810077,PLN1114,269756,PCN814,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,0,Retail,0,0,0,11.0,7.71,18.71,5.0,12.57,1.14,0.44,0.3117,0,0,0,0,2022-09-25
RX0000012647,MBR00000348,2022-12-07,2022-12-11,1112549692,1838199531,PLN6800,508492,PCN360,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,92,9,Retail,0,0,0,36.0,3.42,39.42,3.0,33.91,2.51,0.48,0.34,0,0,0,0,2023-03-07
RX0000012648,MBR00000348,2022-01-07,2022-01-10,1910185872,1364827308,PLN1991,281557,PCN544,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,94,7,Mail Order,0,0,0,33.0,4.43,37.43,0.0,36.11,1.32,0.44,0.3117,0,0,0,0,2022-04-07
RX0000012649,MBR00000348,2023-11-26,2023-11-27,1768063974,1932776096,PLN5636,585485,PCN191,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,3,Retail,0,0,0,18.0,7.94,25.94,6.0,18.88,1.06,0.72,0.51,0,0,0,0,2023-12-26
RX0000012650,MBR00000348,2022-06-18,2022-06-19,1361839740,1936642378,PLN6636,982212,PCN425,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,3,Retail,1,0,0,12.0,8.16,20.16,6.0,13.08,1.08,0.48,0.34,0,0,0,0,2022-07-18
RX0000012651,MBR00000348,2021-07-13,2021-07-14,1815052521,1924650906,PLN7361,984954,PCN582,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,7,Retail,0,0,0,10.0,10.62,20.62,3.0,16.75,0.87,0.4,0.2833,0,0,0,0,2021-08-12
RX0000012652,MBR00000348,2023-02-24,2023-02-25,1413892617,1486817734,PLN6861,993176,PCN585,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,81,11,Retail,0,1,0,24.0,3.56,27.56,153.0,0.0,0.85,0.32,0.2267,1,0,0,0,2023-05-25
RX0000012653,MBR00000348,2021-09-05,2021-09-09,1908773367,1228054342,PLN5229,598089,PCN164,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,3,Retail,3,0,0,175.0,4.71,179.71,39.0,132.82,7.89,7.0,4.9583,0,0,0,0,2021-10-05
RX0000012654,MBR00000348,2023-09-03,2023-09-05,1126824126,1415221234,PLN3138,298409,PCN979,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,6,10,Retail,0,0,0,112.0,10.96,122.96,39.0,80.23,3.73,19.2,13.6,0,0,0,0,2023-09-10
RX0000012655,MBR00000348,2021-06-16,2021-06-19,1498065609,1682869683,PLN2397,501583,PCN859,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,9,Specialty,0,0,0,18.0,26.28,44.28,5.0,39.28,0.0,0.72,0.51,0,0,0,0,2021-07-16
RX0000012656,MBR00000348,2022-10-04,2022-10-08,1604233134,1527007342,PLN8164,760974,PCN979,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,10,Retail,0,0,0,38.0,5.28,43.28,1.0,40.36,1.92,1.52,1.0767,0,0,0,0,2022-11-03
RX0000012657,MBR00000348,2022-11-24,2022-11-27,1983481250,1369890922,PLN6280,106969,PCN969,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,9,Retail,0,0,0,380.0,8.71,388.71,36.0,337.28,15.43,15.2,10.7667,0,0,0,0,2022-12-24
RX0000012658,MBR00000348,2023-05-21,2023-05-25,1764287802,1473135824,PLN2912,691975,PCN536,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,6,Mail Order,1,0,0,9.0,2.45,11.45,2.0,8.68,0.77,0.36,0.255,0,0,0,0,2023-06-20
RX0000012659,MBR00000348,2022-12-02,2022-12-04,1550532567,1685629787,PLN2333,172268,PCN631,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,95,4,Retail,0,0,0,960.0,10.26,970.26,31.0,898.53,40.73,12.8,9.0667,0,1,1,0,2023-03-02
RX0000012660,MBR00000348,2023-06-10,2023-06-14,1739636271,1781085830,PLN3904,608706,PCN803,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,3,Retail,0,0,0,45.0,6.66,51.66,7.0,41.94,2.72,1.8,1.275,0,0,0,0,2023-07-10
RX0000012661,MBR00000348,2023-05-20,2023-05-24,1188659771,1580109997,PLN5140,987705,PCN130,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,95,5,Retail,0,0,0,990.0,5.55,995.55,39.0,895.52,61.03,13.2,9.35,0,0,0,0,2023-08-18
RX0000012662,MBR00000348,2022-05-06,2022-05-10,1427176295,1859312126,PLN9616,900611,PCN473,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,64,8,Retail,0,0,0,660.0,6.61,666.61,38.0,595.59,33.02,13.2,9.35,0,0,0,0,2022-07-05
RX0000012663,MBR00000348,2022-08-20,2022-08-24,1388915425,1608749787,PLN3682,710106,PCN310,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,10,Retail,2,0,0,10.0,3.22,13.22,10.0,2.46,0.76,0.4,0.2833,0,0,0,0,2022-09-19
RX0000012664,MBR00000348,2022-10-02,2022-10-06,1390270666,1893684061,PLN6180,641451,PCN366,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,0,Specialty,0,0,0,14.0,47.63,61.63,9.0,52.63,0.0,0.56,0.3967,0,0,0,0,2022-11-01
RX0000012665,MBR00000348,2021-04-30,2021-05-01,1679737733,1444855070,PLN8249,984242,PCN901,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,285.0,7.61,292.61,38.0,243.49,11.12,11.4,8.075,0,0,0,0,2021-05-30
RX0000012666,MBR00000348,2023-05-26,2023-05-28,1310646677,1399973337,PLN8992,162892,PCN828,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,7,LTC,0,0,0,2.8,6.92,9.72,10.0,0.0,0.33,0.48,0.34,0,0,0,0,2023-06-02
RX0000012667,MBR00000349,2021-05-18,2021-05-21,1511934899,1363882120,PLN6977,495617,PCN218,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,11,Retail,0,0,0,16.0,3.35,19.35,3.0,15.46,0.89,0.64,0.4533,0,0,0,0,2021-06-17
RX0000012668,MBR00000349,2021-09-22,2021-09-23,1613902822,1365172527,PLN9780,835409,PCN416,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,2,Retail,0,0,0,8.5,11.01,19.51,2.0,16.64,0.87,0.34,0.2408,0,1,0,0,2021-10-22
RX0000012669,MBR00000349,2022-04-05,2022-04-08,1148168746,1313198482,PLN7401,128266,PCN587,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,6,Retail,0,0,0,15.17,9.23,24.4,39.0,0.0,1.26,2.6,1.8417,0,0,0,0,2022-04-12
RX0000012670,MBR00000349,2023-08-19,2023-08-22,1670888865,1111050580,PLN6461,326776,PCN850,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,82,5,Retail,0,0,0,135.0,5.7,140.7,2.0,131.04,7.66,1.8,1.275,0,1,0,0,2023-11-17
RX0000012671,MBR00000349,2023-01-15,2023-01-19,1510659143,1280605072,PLN4883,442510,PCN228,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,11,Specialty,1,0,0,8.5,26.1,34.6,6.0,28.6,0.0,0.34,0.2408,0,0,0,0,2023-02-14
RX0000012672,MBR00000349,2021-03-19,2021-03-21,1842167711,1519506920,PLN4466,191987,PCN712,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,3,Retail,0,0,0,2.92,2.86,5.78,10.0,0.0,0.33,0.5,0.3542,0,0,0,0,2021-03-26
RX0000012673,MBR00000349,2022-05-02,2022-05-04,1753936882,1849424892,PLN9631,182123,PCN879,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,9,Retail,0,0,0,5.13,8.63,13.77,7.0,5.88,0.89,0.88,0.6233,0,0,0,0,2022-05-09
RX0000012674,MBR00000349,2022-04-29,2022-05-03,1282657290,1348761494,PLN7291,906345,PCN550,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,85,1,Mail Order,0,0,1,135.0,5.13,140.13,7.0,123.79,9.34,1.8,1.275,0,0,0,0,2022-07-28
RX0000012675,MBR00000349,2022-03-06,2022-03-10,1597071875,1316815992,PLN1752,225869,PCN797,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,55,7,Retail,0,0,1,20.0,2.91,22.91,6.0,15.76,1.15,0.4,0.2833,0,0,0,0,2022-05-05
RX0000012676,MBR00000349,2021-06-27,2021-07-01,1285952604,1870918788,PLN9536,599420,PCN502,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,5,Retail,0,0,0,10.0,7.34,17.34,7.0,9.8,0.54,0.4,0.2833,0,0,0,0,2021-07-27
RX0000012677,MBR00000349,2022-06-09,2022-06-10,1137297062,1354679962,PLN4225,452260,PCN988,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,9,Mail Order,0,0,0,10.0,6.75,16.75,4.0,11.99,0.76,0.4,0.2833,0,0,0,0,2022-07-09
RX0000012678,MBR00000349,2022-09-13,2022-09-16,1162292104,1159733759,PLN3727,258748,PCN931,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,91,7,Retail,0,0,0,930.0,4.95,934.95,38.0,855.37,41.58,12.4,8.7833,0,0,0,0,2022-12-12
RX0000012679,MBR00000349,2022-09-28,2022-10-02,1190153700,1479995092,PLN8343,451671,PCN317,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,7,Retail,0,0,0,15.0,10.87,25.87,5.0,19.1,1.77,0.6,0.425,0,0,0,0,2022-10-28
RX0000012680,MBR00000349,2023-06-20,2023-06-24,1289423477,1659263800,PLN5941,245001,PCN709,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,0,Retail,1,0,0,38.0,5.78,43.78,2.0,38.76,3.02,1.52,1.0767,0,0,0,0,2023-07-20
RX0000012681,MBR00000349,2023-06-06,2023-06-07,1174730560,1567463333,PLN2757,433037,PCN121,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,5,Retail,0,1,0,12.0,1.83,13.83,146.0,0.0,0.57,0.48,0.34,0,0,0,0,2023-07-06
RX0000012682,MBR00000349,2022-12-21,2022-12-22,1185086512,1323243093,PLN5590,398821,PCN932,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,90,11,Mail Order,0,0,0,36.0,3.95,39.95,5.0,32.81,2.14,0.48,0.34,0,0,0,0,2023-03-21
RX0000012683,MBR00000349,2021-01-17,2021-01-19,1819948197,1301559673,PLN2062,709628,PCN472,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,3,Retail,0,0,0,10.5,6.99,17.49,7.0,9.76,0.73,1.8,1.275,0,0,0,0,2021-01-24
RX0000012684,MBR00000349,2023-12-29,2023-12-30,1604418555,1762937065,PLN7202,654446,PCN743,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,4,Retail,0,0,0,15.17,6.92,22.08,40.0,0.0,0.98,2.6,1.8417,0,0,0,0,2024-01-05
RX0000012685,MBR00000349,2021-10-10,2021-10-11,1116092930,1443271889,PLN4696,580641,PCN938,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,3,Retail,0,0,0,175.0,8.5,183.5,31.0,140.75,11.75,7.0,4.9583,0,0,0,0,2021-11-09
RX0000012686,MBR00000349,2022-07-19,2022-07-21,1475732950,1217791228,PLN7410,864700,PCN292,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,57,9,Retail,0,0,0,20.0,11.1,31.1,10.0,19.6,1.5,0.4,0.2833,0,0,0,0,2022-09-17
RX0000012687,MBR00000349,2022-07-16,2022-07-20,1172169809,1727578936,PLN5221,730742,PCN726,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,6,Retail,0,1,0,6200.0,6.45,6206.45,155.0,5690.95,360.5,248.0,175.6667,0,0,0,0,2022-08-15
RX0000012688,MBR00000349,2021-03-28,2021-03-29,1664790596,1190250547,PLN8503,171114,PCN480,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,4,Retail,2,0,1,10.0,9.62,19.62,9.0,9.91,0.71,0.4,0.2833,0,0,0,0,2021-04-27
RX0000012689,MBR00000349,2021-02-03,2021-02-07,1493619784,1156840875,PLN2208,940502,PCN701,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,84,2,Retail,0,0,0,84.0,1.67,85.67,9.0,73.32,3.35,1.12,0.7933,0,0,0,0,2021-05-04
RX0000012690,MBR00000349,2023-08-19,2023-08-20,1474514032,1778734911,PLN4548,260018,PCN862,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,4,Specialty,0,0,0,175.0,32.48,207.48,32.0,175.48,0.0,7.0,4.9583,0,0,0,0,2023-09-18
RX0000012691,MBR00000349,2023-05-20,2023-05-21,1223333376,1426986903,PLN3375,653186,PCN152,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,64,2,Retail,0,0,0,20.0,3.5,23.5,2.0,20.19,1.31,0.4,0.2833,0,1,0,0,2023-07-19
RX0000012692,MBR00000349,2021-12-17,2021-12-18,1399115531,1909116296,PLN7897,495488,PCN424,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,1,Retail,0,0,0,10.0,11.81,21.81,9.0,11.67,1.14,0.4,0.2833,0,0,0,0,2022-01-16
RX0000012693,MBR00000349,2021-01-17,2021-01-18,1791567507,1955189116,PLN9810,550788,PCN850,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,94,4,Mail Order,0,0,0,960.0,9.76,969.76,34.0,895.92,39.84,12.8,9.0667,0,0,0,0,2021-04-17
RX0000012694,MBR00000349,2021-12-27,2021-12-28,1924117656,1378501388,PLN8762,303024,PCN134,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,95,4,Retail,0,0,0,42.0,11.24,53.24,6.0,44.94,2.3,0.56,0.3967,0,1,0,0,2022-03-27
RX0000012695,MBR00000349,2022-12-02,2022-12-05,1148614129,1363312217,PLN7872,283854,PCN393,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,7,Retail,0,0,0,12.0,5.95,17.95,4.0,13.23,0.72,0.48,0.34,1,0,0,0,2023-01-01
RX0000012696,MBR00000349,2023-05-16,2023-05-19,1516863020,1468807797,PLN4045,469028,PCN896,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,11,Retail,0,0,0,10.0,3.21,13.21,10.0,2.78,0.43,0.4,0.2833,0,0,0,0,2023-06-15
RX0000012697,MBR00000349,2023-06-28,2023-06-29,1479481090,1543562607,PLN6876,130124,PCN515,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,10,Retail,1,0,0,8.5,4.0,12.5,0.0,11.87,0.63,0.34,0.2408,0,0,0,0,2023-07-28
RX0000012698,MBR00000349,2023-08-01,2023-08-02,1386827536,1334755393,PLN7667,378015,PCN643,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,4,Mail Order,0,0,0,750.0,9.67,759.67,36.0,689.98,33.69,30.0,21.25,0,0,0,0,2023-08-31
RX0000012699,MBR00000349,2021-06-02,2021-06-04,1673953246,1997508126,PLN5205,278355,PCN852,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,94,0,Retail,0,0,0,84.0,3.87,87.87,5.0,76.83,6.04,1.12,0.7933,0,0,0,0,2021-08-31
RX0000012700,MBR00000349,2021-09-21,2021-09-24,1959680828,1571784370,PLN4554,648163,PCN967,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,0,Retail,0,0,0,18.0,2.19,20.19,6.0,13.26,0.93,0.72,0.51,0,0,0,0,2021-10-21
RX0000012701,MBR00000349,2022-12-10,2022-12-11,1815760092,1339482694,PLN7896,458961,PCN307,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,81,11,Mail Order,0,0,0,30.0,5.44,35.44,5.0,29.17,1.27,0.4,0.2833,0,0,0,0,2023-03-10
RX0000012702,MBR00000350,2022-01-11,2022-01-13,1497409144,1152881667,PLN8493,152055,PCN863,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,1,Retail,0,0,0,2.1,5.97,8.07,3.0,4.75,0.32,0.36,0.255,0,0,0,0,2022-01-18
RX0000012703,MBR00000350,2021-12-04,2021-12-05,1145717305,1874295934,PLN7675,867399,PCN327,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,0,Retail,0,0,0,10.0,6.35,16.35,5.0,10.73,0.62,0.4,0.2833,0,0,0,0,2022-01-03
RX0000012704,MBR00000350,2023-01-22,2023-01-26,1668916705,1522394583,PLN3235,107426,PCN493,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,9,Retail,0,0,0,12.0,8.23,20.23,4.0,15.06,1.17,0.48,0.34,0,0,0,0,2023-02-21
RX0000012705,MBR00000350,2022-04-27,2022-04-28,1988723545,1877347053,PLN5922,585754,PCN450,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,84,3,Retail,0,0,0,195.0,5.57,200.57,35.0,157.17,8.4,2.6,1.8417,0,0,0,0,2022-07-26
RX0000012706,MBR00000350,2023-10-04,2023-10-06,1829706370,1475642183,PLN3462,135143,PCN380,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,9,Mail Order,0,0,0,10.0,6.99,16.99,8.0,8.11,0.88,0.4,0.2833,0,0,0,0,2023-11-03
RX0000012707,MBR00000350,2023-09-17,2023-09-18,1901781799,1961280558,PLN5321,417630,PCN209,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,5,Retail,0,0,0,14.0,5.36,19.36,8.0,10.37,0.99,0.56,0.3967,0,0,0,0,2023-10-17
RX0000012708,MBR00000350,2021-05-31,2021-06-02,1234556500,1101573619,PLN5272,369648,PCN185,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,6,Retail,0,0,0,88.67,8.81,97.48,38.0,53.87,5.61,15.2,10.7667,0,0,0,0,2021-06-07
RX0000012709,MBR00000350,2022-12-12,2022-12-16,1205603369,1546580652,PLN4833,541498,PCN768,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,6,Retail,0,0,1,12.0,8.48,20.48,1.0,18.31,1.17,0.48,0.34,0,0,0,0,2023-01-11
RX0000012710,MBR00000350,2023-09-26,2023-09-30,1816256814,1795184155,PLN6088,786081,PCN840,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,94,5,Mail Order,0,0,0,33.0,7.45,40.45,10.0,29.22,1.23,0.44,0.3117,0,0,0,0,2023-12-25
RX0000012711,MBR00000350,2023-05-16,2023-05-19,1269288332,1196287346,PLN9842,969757,PCN931,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,59,3,Retail,0,0,0,32.0,3.52,35.52,8.0,25.85,1.67,0.64,0.4533,0,0,0,0,2023-07-15
RX0000012712,MBR00000350,2022-08-14,2022-08-18,1497929015,1923025400,PLN1417,634014,PCN893,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,3,Retail,0,0,0,650.0,6.82,656.82,30.0,589.03,37.79,26.0,18.4167,0,0,0,0,2022-09-13
RX0000012713,MBR00000350,2021-07-04,2021-07-08,1464689509,1680736933,PLN7414,493889,PCN306,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,6,Retail,0,1,0,6200.0,7.34,6207.34,149.0,5664.51,393.83,248.0,175.6667,1,0,0,0,2021-08-03
RX0000012714,MBR00000350,2023-03-26,2023-03-27,1236991114,1601618409,PLN7655,414350,PCN714,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,64,7,Retail,3,0,0,20.0,6.68,26.68,6.0,19.79,0.89,0.4,0.2833,0,0,0,0,2023-05-25
RX0000012715,MBR00000350,2023-03-09,2023-03-12,1768595763,1264155255,PLN3443,848985,PCN978,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,63,7,Mail Order,0,0,0,1300.0,1.66,1301.66,36.0,1200.1,65.56,26.0,18.4167,0,0,0,0,2023-05-08
RX0000012716,MBR00000350,2021-02-11,2021-02-15,1162869120,1175918378,PLN3651,970954,PCN884,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,2,Retail,0,0,0,45.0,10.68,55.68,9.0,44.47,2.21,1.8,1.275,0,0,0,0,2021-03-13
RX0000012717,MBR00000350,2021-04-20,2021-04-21,1404367749,1927117218,PLN3685,339784,PCN596,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,93,1,Retail,0,0,0,855.0,5.93,860.93,30.0,771.45,59.48,11.4,8.075,0,0,0,0,2021-07-19
RX0000012718,MBR00000350,2021-03-13,2021-03-17,1547791685,1757952719,PLN2541,973539,PCN197,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,6,Retail,0,0,0,38.0,9.21,47.21,0.0,44.75,2.46,1.52,1.0767,0,0,0,0,2021-04-12
RX0000012719,MBR00000350,2023-09-07,2023-09-09,1795969449,1253077049,PLN1830,171377,PCN170,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,55,10,Retail,0,0,0,30.0,3.59,33.59,8.0,23.4,2.19,0.6,0.425,0,0,0,0,2023-11-06
RX0000012720,MBR00000350,2023-10-26,2023-10-27,1947589612,1374147132,PLN7156,221787,PCN327,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,65,9,Retail,0,1,0,24.0,5.25,29.25,149.0,0.0,1.12,0.48,0.34,1,0,0,0,2023-12-25
RX0000012721,MBR00000350,2022-04-13,2022-04-16,1245790371,1396824036,PLN5437,597989,PCN285,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,0,Retail,0,0,0,8.5,9.43,17.93,6.0,11.13,0.8,0.34,0.2408,0,0,0,0,2022-05-13
RX0000012722,MBR00000351,2021-05-27,2021-05-28,1974503244,1366928887,PLN7474,712892,PCN796,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,7,Retail,2,0,0,5.13,7.49,12.62,73.0,0.0,0.78,0.88,0.6233,0,0,0,0,2021-06-03
RX0000012723,MBR00000351,2022-01-30,2022-02-01,1920248200,1475324992,PLN8805,569306,PCN337,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,85,8,Mail Order,1,0,0,36.0,11.31,47.31,10.0,34.87,2.44,0.48,0.34,0,1,0,0,2022-04-30
RX0000012724,MBR00000351,2022-01-26,2022-01-27,1548773938,1255448560,PLN4348,782484,PCN405,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,11,Retail,0,0,0,8.5,10.21,18.71,7.0,10.68,1.03,0.34,0.2408,0,0,0,0,2022-02-25
RX0000012725,MBR00000351,2021-09-28,2021-10-01,1434334728,1396110483,PLN5909,939006,PCN355,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,86,7,Mail Order,0,0,0,54.0,8.1,62.1,6.0,53.77,2.33,0.72,0.51,0,0,0,0,2021-12-27
RX0000012726,MBR00000351,2023-09-02,2023-09-03,1369396006,1561455486,PLN1118,490892,PCN703,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,4,Mail Order,0,0,0,16.0,10.63,26.63,0.0,25.66,0.97,0.64,0.4533,0,0,0,0,2023-10-02
RX0000012727,MBR00000351,2021-11-13,2021-11-15,1569123928,1327124057,PLN1944,146465,PCN558,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,54,11,Specialty,0,1,0,12400.0,22.87,12422.87,148.0,12274.87,0.0,248.0,175.6667,0,0,0,0,2022-01-12
RX0000012728,MBR00000351,2021-01-05,2021-01-07,1469472361,1801522533,PLN4075,151759,PCN230,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,5,Retail,0,0,0,380.0,9.1,389.1,39.0,324.32,25.78,15.2,10.7667,0,0,0,0,2021-02-04
RX0000012729,MBR00000351,2022-09-27,2022-09-29,1311191232,1423818452,PLN5690,516625,PCN327,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,11,Mail Order,0,0,0,310.0,9.94,319.94,40.0,269.61,10.33,12.4,8.7833,0,0,0,0,2022-10-27
RX0000012730,MBR00000351,2022-06-01,2022-06-04,1827230381,1379481103,PLN4028,439371,PCN311,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,2,Specialty,0,0,0,285.0,14.91,299.91,32.0,267.91,0.0,11.4,8.075,0,0,0,0,2022-07-01
RX0000012731,MBR00000351,2021-10-08,2021-10-09,1552496857,1882422155,PLN5890,223106,PCN701,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,63,0,Retail,0,0,0,960.0,7.31,967.31,33.0,877.48,56.83,19.2,13.6,0,0,0,0,2021-12-07
RX0000012732,MBR00000351,2021-09-26,2021-09-29,1423484097,1395767581,PLN7700,118554,PCN345,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,83,9,Retail,0,0,0,22.5,1.85,24.35,4.0,19.04,1.31,0.3,0.2125,0,0,0,0,2021-12-25
RX0000012733,MBR00000351,2022-11-20,2022-11-21,1489191545,1388336200,PLN8832,923140,PCN508,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,87,8,LTC,1,0,0,36.0,9.82,45.82,7.0,36.08,2.74,0.48,0.34,0,0,0,0,2023-02-18
RX0000012734,MBR00000351,2021-03-23,2021-03-24,1805463669,1938563363,PLN5020,564097,PCN543,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,96,8,Retail,1,0,0,114.0,3.48,117.48,3.0,108.59,5.89,1.52,1.0767,0,0,0,0,2021-06-21
RX0000012735,MBR00000351,2021-01-26,2021-01-29,1614303782,1810447963,PLN4951,104755,PCN751,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,89,1,Retail,0,0,0,33.0,3.78,36.78,0.0,35.54,1.24,0.44,0.3117,0,0,0,0,2021-04-26
RX0000012736,MBR00000351,2021-12-06,2021-12-08,1984037386,1873920479,PLN1575,489779,PCN757,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,87,9,Mail Order,0,0,0,525.0,2.4,527.4,36.0,459.33,32.07,7.0,4.9583,0,0,0,0,2022-03-06
RX0000012737,MBR00000351,2022-09-25,2022-09-28,1191803052,1206103655,PLN4800,615684,PCN219,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,0,Retail,2,0,1,11.0,9.16,20.16,7.0,11.88,1.28,0.44,0.3117,0,0,0,0,2022-10-25
RX0000012738,MBR00000351,2022-07-14,2022-07-18,1316845594,1571738728,PLN6307,873781,PCN688,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,93,9,Retail,0,0,0,1950.0,4.64,1954.64,31.0,1837.58,86.06,26.0,18.4167,0,0,0,0,2022-10-12
RX0000012739,MBR00000351,2022-05-25,2022-05-26,1414632951,1899177389,PLN2429,468059,PCN516,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,8,LTC,0,0,0,54.0,9.93,63.93,3.0,58.06,2.87,0.72,0.51,0,0,0,0,2022-08-23
RX0000012740,MBR00000351,2023-02-25,2023-02-28,1337323525,1681191139,PLN6277,575246,PCN439,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,90,7,Mail Order,0,0,1,54.0,2.93,56.93,10.0,43.52,3.41,0.72,0.51,0,0,0,0,2023-05-26
RX0000012741,MBR00000351,2021-11-25,2021-11-28,1204561939,1560526442,PLN6509,902093,PCN330,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,2,Retail,0,0,0,16.0,2.35,18.35,5.0,12.09,1.26,0.64,0.4533,0,0,0,0,2021-12-25
RX0000012742,MBR00000351,2021-10-13,2021-10-14,1756417603,1255783736,PLN1345,820816,PCN877,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,4,Retail,0,0,0,12.0,3.25,15.25,5.0,9.21,1.04,0.48,0.34,0,0,0,0,2021-11-12
RX0000012743,MBR00000351,2021-01-27,2021-01-29,1738424029,1650759728,PLN9742,173795,PCN275,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,9,Mail Order,0,0,0,12.0,7.95,19.95,9.0,9.76,1.19,0.48,0.34,0,0,0,0,2021-02-26
RX0000012744,MBR00000351,2021-01-18,2021-01-22,1987343646,1143516601,PLN2525,330103,PCN550,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,8,Retail,0,0,0,9.0,6.78,15.78,6.0,9.29,0.49,0.36,0.255,0,0,0,0,2021-02-17
RX0000012745,MBR00000351,2021-07-28,2021-07-29,1814460914,1666369563,PLN4795,209328,PCN728,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,96,8,Retail,0,0,0,1950.0,11.17,1961.17,35.0,1825.91,100.26,26.0,18.4167,0,0,0,0,2021-10-26
RX0000012746,MBR00000351,2021-03-25,2021-03-27,1515247824,1472755673,PLN4021,943371,PCN389,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,2,Mail Order,0,0,0,195.0,4.75,199.75,31.0,157.46,11.29,2.6,1.8417,0,0,0,0,2021-06-23
RX0000012747,MBR00000351,2023-11-11,2023-11-14,1167666379,1440311514,PLN2536,836338,PCN924,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,10,Mail Order,0,0,0,10.0,3.01,13.01,9.0,3.49,0.52,0.4,0.2833,0,0,0,0,2023-12-11
RX0000012748,MBR00000351,2022-08-04,2022-08-06,1400889792,1224616429,PLN9514,591452,PCN298,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,11,Mail Order,3,0,0,11.0,10.18,21.18,0.0,20.39,0.79,0.44,0.3117,0,0,0,0,2022-09-03
RX0000012749,MBR00000351,2021-02-08,2021-02-10,1511477103,1545798842,PLN3089,607011,PCN896,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,81,5,Retail,0,0,0,1140.0,8.55,1148.55,32.0,1063.84,52.71,15.2,10.7667,0,1,1,0,2021-05-09
RX0000012750,MBR00000351,2022-02-22,2022-02-25,1519554332,1467869801,PLN1270,720452,PCN567,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,91,5,Retail,2,0,0,30.0,5.38,35.38,5.0,28.3,2.08,0.4,0.2833,0,0,0,0,2022-05-23
RX0000012751,MBR00000351,2021-02-08,2021-02-09,1296376085,1671784302,PLN4987,699663,PCN169,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,98,5,Retail,0,0,0,36.0,9.29,45.29,9.0,33.48,2.81,0.48,0.34,1,0,0,0,2021-05-09
RX0000012752,MBR00000351,2022-05-12,2022-05-16,1311715193,1530837158,PLN2729,636791,PCN563,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,56,4,Retail,0,0,0,30.0,2.26,32.26,1.0,29.28,1.98,0.6,0.425,0,0,0,0,2022-07-11
RX0000012753,MBR00000351,2021-07-16,2021-07-17,1341636729,1983249715,PLN9845,292180,PCN138,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,1,Retail,0,0,0,175.0,11.5,186.5,34.0,143.94,8.56,7.0,4.9583,0,0,0,0,2021-08-15
RX0000012754,MBR00000351,2022-08-29,2022-08-31,1106311864,1138297599,PLN7171,640755,PCN938,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,89,8,Retail,0,0,0,30.0,2.69,32.69,9.0,21.57,2.12,0.4,0.2833,0,0,0,0,2022-11-27
RX0000012755,MBR00000351,2021-08-13,2021-08-14,1372030854,1975391831,PLN3013,878548,PCN389,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,10,Retail,0,0,0,4.2,3.13,7.33,4.0,2.82,0.51,0.72,0.51,0,0,0,0,2021-08-20
RX0000012756,MBR00000351,2022-08-30,2022-09-03,1837596479,1663260590,PLN9103,655567,PCN208,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,9,Retail,0,0,0,112.0,5.36,117.36,37.0,76.1,4.26,19.2,13.6,0,0,0,0,2022-09-06
RX0000012757,MBR00000351,2023-07-24,2023-07-25,1112687812,1403002141,PLN9058,559233,PCN160,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,11,Retail,0,0,0,18.0,8.87,26.87,9.0,16.24,1.63,0.72,0.51,0,0,0,0,2023-08-23
RX0000012758,MBR00000351,2023-01-10,2023-01-14,1185149172,1914403274,PLN7921,949606,PCN197,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,5,Specialty,0,0,0,10.0,25.64,35.64,0.0,35.64,0.0,0.4,0.2833,0,0,0,0,2023-02-09
RX0000012759,MBR00000351,2021-09-09,2021-09-13,1172712789,1324470494,PLN1287,160832,PCN530,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,8,Retail,3,0,0,11.0,9.6,20.6,7.0,12.2,1.4,0.44,0.3117,0,0,0,0,2021-10-09
RX0000012760,MBR00000351,2023-05-23,2023-05-27,1310693156,1739100649,PLN4975,133383,PCN983,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,10,Specialty,0,0,0,18.0,39.07,57.07,10.0,47.07,0.0,0.72,0.51,0,0,0,0,2023-06-22
RX0000012761,MBR00000351,2022-04-08,2022-04-12,1789861317,1806079610,PLN7373,946492,PCN684,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,58,0,Mail Order,0,0,0,20.0,8.94,28.94,0.0,28.05,0.89,0.4,0.2833,0,0,0,0,2022-06-07
RX0000012762,MBR00000352,2021-01-13,2021-01-16,1456609757,1210261843,PLN4909,386178,PCN226,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,82,7,Retail,0,0,0,1140.0,8.91,1148.91,30.0,1062.36,56.55,15.2,10.7667,0,0,0,0,2021-04-13
RX0000012763,MBR00000352,2021-02-03,2021-02-05,1101601801,1316609614,PLN1521,790362,PCN272,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,62,10,Retail,1,0,0,570.0,10.8,580.8,39.0,514.55,27.25,11.4,8.075,0,0,0,0,2021-04-04
RX0000012764,MBR00000352,2021-03-27,2021-03-28,1130583096,1703424066,PLN2621,534357,PCN340,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,93,11,Mail Order,2,0,0,195.0,10.92,205.92,31.0,163.69,11.23,2.6,1.8417,0,0,0,0,2021-06-25
RX0000012765,MBR00000352,2022-12-08,2022-12-12,1229469787,1818056097,PLN4451,350862,PCN204,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,9,Mail Order,0,0,0,6.53,5.76,12.3,4.0,7.82,0.48,1.12,0.7933,0,0,0,0,2022-12-15
RX0000012766,MBR00000352,2023-12-30,2023-12-31,1456192744,1429185759,PLN3204,732586,PCN495,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,82,11,Retail,0,0,0,1440.0,3.01,1443.01,31.0,1333.43,78.58,19.2,13.6,0,0,0,0,2024-03-29
RX0000012767,MBR00000352,2022-03-26,2022-03-28,1729435461,1595320568,PLN2689,624125,PCN482,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,87,8,Mail Order,0,0,0,2850.0,2.48,2852.48,36.0,2618.68,197.8,38.0,26.9167,0,0,0,0,2022-06-24
RX0000012768,MBR00000352,2022-10-04,2022-10-07,1690075204,1780740405,PLN1762,712734,PCN686,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,6,Retail,0,1,0,1983.33,2.34,1985.68,148.0,1729.3,108.38,340.0,240.8333,0,0,0,0,2022-10-11
RX0000012769,MBR00000352,2023-03-05,2023-03-07,1186668445,1205484501,PLN4893,259476,PCN593,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,8,Mail Order,0,0,0,950.0,4.79,954.79,37.0,878.94,38.85,38.0,26.9167,0,0,0,0,2023-04-04
RX0000012770,MBR00000352,2023-04-03,2023-04-06,1337372949,1420989202,PLN4140,671118,PCN388,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,1,Retail,0,0,0,15.0,6.81,21.81,0.0,21.0,0.81,0.6,0.425,0,0,0,0,2023-05-03
RX0000012771,MBR00000352,2021-10-23,2021-10-26,1494331263,1968318769,PLN9596,339327,PCN309,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,5,Retail,0,0,0,45.0,6.68,51.68,3.0,46.65,2.03,1.8,1.275,0,0,0,0,2021-11-22
RX0000012772,MBR00000352,2023-02-24,2023-02-27,1556723934,1571337980,PLN1958,351232,PCN258,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,9,Retail,0,0,0,9.0,1.66,10.66,2.0,8.05,0.61,0.36,0.255,0,0,0,0,2023-03-26
RX0000012773,MBR00000352,2022-09-03,2022-09-06,1358867107,1458669941,PLN4877,824055,PCN986,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,10,Retail,3,0,0,65.0,4.41,69.41,35.0,31.24,3.17,2.6,1.8417,0,0,0,0,2022-10-03
RX0000012774,MBR00000352,2022-06-03,2022-06-06,1114301064,1120971605,PLN9085,299549,PCN101,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,54,6,Retail,0,0,0,36.0,4.63,40.63,1.0,36.93,2.7,0.72,0.51,0,0,0,0,2022-08-02
RX0000012775,MBR00000352,2021-05-31,2021-06-04,1576452599,1384492873,PLN1670,144626,PCN788,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,9,Mail Order,0,1,0,12.0,10.04,22.04,153.0,0.0,1.41,0.48,0.34,0,0,0,0,2021-06-30
RX0000012776,MBR00000352,2022-11-11,2022-11-12,1212408374,1311983585,PLN4057,769593,PCN305,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,11,Specialty,0,1,0,8.0,34.5,42.5,148.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-12-11
RX0000012777,MBR00000352,2023-04-19,2023-04-23,1763574847,1518194854,PLN5995,937341,PCN884,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,2,Retail,0,0,0,380.0,10.36,390.36,36.0,338.4,15.96,15.2,10.7667,0,0,0,0,2023-05-19
RX0000012778,MBR00000352,2021-01-10,2021-01-14,1263720249,1257928450,PLN8155,659883,PCN187,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,10,Retail,0,0,0,18.0,5.01,23.01,2.0,20.32,0.69,0.72,0.51,0,0,0,0,2021-02-09
RX0000012779,MBR00000352,2021-05-31,2021-06-03,1969638697,1985435744,PLN1770,925946,PCN170,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,7,Mail Order,0,0,0,3.27,8.16,11.43,9.0,1.85,0.58,0.56,0.3967,0,0,0,0,2021-06-07
RX0000012780,MBR00000352,2021-09-23,2021-09-26,1944871452,1231811598,PLN3455,330472,PCN877,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,84,7,Retail,0,0,0,66.0,7.52,73.52,69.0,1.98,2.54,0.88,0.6233,0,0,0,0,2021-12-22
RX0000012781,MBR00000352,2023-11-04,2023-11-05,1327911407,1656667375,PLN7293,263900,PCN163,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,10,Retail,0,0,0,38.0,3.14,41.14,3.0,36.7,1.44,1.52,1.0767,0,0,0,0,2023-12-04
RX0000012782,MBR00000352,2022-04-01,2022-04-05,1441459318,1996313309,PLN2337,888624,PCN453,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,96,7,Mail Order,0,0,0,960.0,9.69,969.69,36.0,897.5,36.19,12.8,9.0667,0,0,0,0,2022-06-30
RX0000012783,MBR00000352,2023-11-07,2023-11-09,1200054424,1162417241,PLN3700,262289,PCN337,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,6,Retail,0,0,0,14.0,6.29,20.29,10.0,8.91,1.38,0.56,0.3967,0,0,0,0,2023-12-07
RX0000012784,MBR00000353,2021-08-17,2021-08-19,1255012686,1383266357,PLN9876,880909,PCN967,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,6,Retail,3,0,0,11.0,3.67,14.67,8.0,6.13,0.54,0.44,0.3117,0,0,0,0,2021-09-16
RX0000012785,MBR00000353,2023-02-26,2023-02-27,1469797958,1742755438,PLN4148,459346,PCN387,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,61,1,Retail,0,0,0,44.0,9.04,53.04,75.0,0.0,2.0,0.88,0.6233,0,0,0,0,2023-04-27
RX0000012786,MBR00000353,2023-08-27,2023-08-30,1784370740,1102670443,PLN4270,420690,PCN505,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,9,Retail,0,0,0,88.67,7.05,95.72,32.0,59.65,4.07,15.2,10.7667,0,1,1,0,2023-09-03
RX0000012787,MBR00000353,2021-08-12,2021-08-13,1198479738,1749940650,PLN7949,827377,PCN828,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,57,3,Retail,0,0,0,36.0,9.45,45.45,9.0,34.26,2.19,0.72,0.51,0,0,0,0,2021-10-11
RX0000012788,MBR00000353,2021-03-10,2021-03-12,1443981180,1482863824,PLN8930,422892,PCN456,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,1,Retail,0,1,0,2800.0,10.47,2810.47,155.0,2481.29,174.18,112.0,79.3333,0,0,0,0,2021-04-09
RX0000012789,MBR00000353,2021-07-03,2021-07-05,1609015630,1782870127,PLN4462,654387,PCN319,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,10,LTC,0,0,0,18.0,4.93,22.93,9.0,13.1,0.83,0.72,0.51,0,0,0,0,2021-08-02
RX0000012790,MBR00000353,2021-05-30,2021-06-03,1862894998,1545731758,PLN3917,204131,PCN642,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,8,Retail,0,1,0,2800.0,9.63,2809.63,149.0,2536.18,124.45,112.0,79.3333,0,0,0,0,2021-06-29
RX0000012791,MBR00000353,2022-11-03,2022-11-06,1699843488,1650038596,PLN7913,866867,PCN146,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,0,Mail Order,0,0,0,221.67,9.55,231.22,35.0,184.26,11.96,38.0,26.9167,0,0,0,0,2022-11-10
RX0000012792,MBR00000353,2021-06-30,2021-07-01,1879720015,1428029514,PLN2284,239522,PCN805,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,0,Retail,0,0,0,18.0,10.19,28.19,0.0,26.77,1.42,0.72,0.51,0,0,0,0,2021-07-30
RX0000012793,MBR00000353,2021-12-13,2021-12-15,1639978867,1455765327,PLN8012,887623,PCN560,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,3,Retail,0,0,0,15.0,6.16,21.16,4.0,16.18,0.98,0.6,0.425,0,0,0,0,2022-01-12
RX0000012794,MBR00000353,2023-08-19,2023-08-20,1323793870,1847611505,PLN4561,183846,PCN665,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,1,Mail Order,0,1,0,8500.0,11.02,8511.02,154.0,7962.99,394.03,340.0,240.8333,0,0,0,0,2023-09-18
RX0000012795,MBR00000353,2021-06-16,2021-06-20,1860409207,1815512221,PLN7468,520168,PCN507,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,9,Retail,0,0,0,43.17,4.93,48.09,35.0,10.49,2.6,7.4,5.2417,0,0,0,0,2021-06-23
RX0000012796,MBR00000353,2022-01-14,2022-01-17,1854138975,1712164673,PLN1178,707375,PCN958,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,86,4,Retail,0,1,0,25500.0,7.1,25507.1,153.0,23831.05,1523.05,340.0,240.8333,0,0,0,0,2022-04-14
RX0000012797,MBR00000353,2023-05-20,2023-05-22,1185515971,1656349110,PLN9093,460157,PCN345,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,2,Retail,0,0,0,10.0,3.96,13.96,8.0,5.43,0.53,0.4,0.2833,1,0,0,0,2023-06-19
RX0000012798,MBR00000353,2023-06-17,2023-06-19,1391498002,1949274960,PLN3972,285973,PCN366,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,92,8,Retail,0,0,0,2250.0,8.92,2258.92,36.0,2147.32,75.6,30.0,21.25,0,0,0,0,2023-09-15
RX0000012799,MBR00000353,2021-04-12,2021-04-15,1983665486,1151466503,PLN3120,132560,PCN332,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,85,1,Retail,0,0,0,114.0,6.33,120.33,37.0,75.9,7.43,1.52,1.0767,0,0,0,0,2021-07-11
RX0000012800,MBR00000353,2023-05-07,2023-05-08,1434238941,1582445894,PLN5801,179422,PCN559,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,1,Retail,0,0,0,18.0,7.26,25.26,5.0,18.73,1.53,0.72,0.51,0,0,0,0,2023-06-06
RX0000012801,MBR00000353,2022-11-10,2022-11-11,1757657079,1361564977,PLN4622,383629,PCN149,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,10,Retail,3,0,0,2.33,2.76,5.1,2.0,2.83,0.27,0.4,0.2833,0,0,0,0,2022-11-17
RX0000012802,MBR00000353,2022-08-23,2022-08-27,1486734122,1902976372,PLN8735,445135,PCN242,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,94,3,Retail,0,0,0,30.0,10.67,40.67,4.0,34.2,2.47,0.4,0.2833,0,0,0,0,2022-11-21
RX0000012803,MBR00000353,2021-01-22,2021-01-23,1684814084,1393464835,PLN3940,114022,PCN328,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,2,LTC,0,0,0,3.5,2.04,5.54,9.0,0.0,0.38,0.6,0.425,0,0,0,0,2021-01-29
RX0000012804,MBR00000353,2023-04-29,2023-05-02,1427677671,1616576028,PLN8964,284875,PCN320,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,5,Retail,0,0,0,38.0,9.09,47.09,10.0,35.32,1.77,1.52,1.0767,0,0,0,0,2023-05-29
RX0000012805,MBR00000353,2021-05-13,2021-05-16,1796424460,1306446902,PLN8751,592127,PCN612,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,3,Specialty,3,0,0,370.0,18.56,388.56,34.0,354.56,0.0,14.8,10.4833,0,0,0,0,2021-06-12
RX0000012806,MBR00000353,2021-03-21,2021-03-24,1383840877,1325955415,PLN3076,778186,PCN336,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,54,6,Specialty,0,0,0,36.0,13.19,49.19,0.0,49.19,0.0,0.72,0.51,1,0,0,0,2021-05-20
RX0000012807,MBR00000353,2021-05-11,2021-05-15,1436524462,1670936053,PLN3076,498354,PCN666,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,5,Retail,0,0,0,77.0,11.16,88.16,37.0,46.82,4.34,13.2,9.35,0,0,0,0,2021-05-18
RX0000012808,MBR00000353,2023-05-18,2023-05-19,1130321982,1919062910,PLN5403,276564,PCN642,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,1,Retail,0,0,0,480.0,4.53,484.53,34.0,420.35,30.18,19.2,13.6,0,0,0,0,2023-06-17
RX0000012809,MBR00000353,2021-11-10,2021-11-14,1740309389,1347464379,PLN2443,915207,PCN546,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,98,4,Retail,0,0,0,45.0,8.15,53.15,7.0,43.78,2.37,0.6,0.425,0,0,0,0,2022-02-08
RX0000012810,MBR00000353,2021-12-25,2021-12-26,1181400233,1676178879,PLN7852,478562,PCN474,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,85,2,Mail Order,0,0,0,114.0,10.17,124.17,30.0,89.69,4.48,1.52,1.0767,0,0,0,0,2022-03-25
RX0000012811,MBR00000353,2022-06-22,2022-06-26,1891881422,1530056710,PLN3929,723906,PCN893,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,11,Retail,0,0,0,12.0,3.39,15.39,4.0,10.67,0.72,0.48,0.34,0,0,0,0,2022-07-22
RX0000012812,MBR00000353,2023-01-22,2023-01-24,1420053198,1961461598,PLN1409,150790,PCN626,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,8,Specialty,0,0,0,380.0,37.34,417.34,34.0,383.34,0.0,15.2,10.7667,0,0,0,0,2023-02-21
RX0000012813,MBR00000353,2023-01-15,2023-01-18,1398231953,1842933612,PLN3521,512867,PCN293,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,3,Specialty,0,1,0,8500.0,34.71,8534.71,151.0,8383.71,0.0,340.0,240.8333,0,0,0,0,2023-02-14
RX0000012814,MBR00000353,2021-11-17,2021-11-19,1294118346,1263142991,PLN9111,334676,PCN114,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,6,Retail,0,0,0,9.0,7.29,16.29,3.0,12.38,0.91,0.36,0.255,0,0,0,0,2021-12-17
RX0000012815,MBR00000353,2021-04-20,2021-04-23,1692758658,1620879140,PLN5171,299455,PCN894,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,62,7,Retail,0,0,0,20.0,2.55,22.55,10.0,11.77,0.78,0.4,0.2833,0,0,0,0,2021-06-19
RX0000012816,MBR00000353,2022-04-24,2022-04-26,1642231497,1145617291,PLN7078,873382,PCN280,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,7,Specialty,0,0,0,9.0,21.86,30.86,8.0,22.86,0.0,0.36,0.255,0,0,0,0,2022-05-24
RX0000012817,MBR00000353,2022-05-30,2022-06-02,1889870731,1788883551,PLN5204,138854,PCN826,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,1,Retail,0,0,0,74.67,4.53,79.2,40.0,34.43,4.77,12.8,9.0667,0,0,0,0,2022-06-06
RX0000012818,MBR00000353,2022-03-13,2022-03-15,1617680393,1891861402,PLN1553,283573,PCN399,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,10,Retail,0,0,0,750.0,7.6,757.6,31.0,697.07,29.53,30.0,21.25,0,0,0,0,2022-04-12
RX0000012819,MBR00000353,2021-09-02,2021-09-04,1706954891,1890132582,PLN4681,668553,PCN792,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,11,Retail,2,0,0,38.0,9.34,47.34,37.0,7.64,2.7,1.52,1.0767,0,0,0,0,2021-10-02
RX0000012820,MBR00000353,2021-06-05,2021-06-09,1583486815,1390601940,PLN8708,244815,PCN860,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,0,Retail,0,0,0,320.0,11.78,331.78,36.0,277.93,17.85,12.8,9.0667,0,0,0,0,2021-07-05
RX0000012821,MBR00000354,2023-12-29,2024-01-02,1535906575,1369166128,PLN3551,191671,PCN745,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,81,4,Retail,0,0,0,25.5,7.82,33.32,5.0,26.1,2.22,0.34,0.2408,0,0,0,0,2024-03-28
RX0000012822,MBR00000354,2023-07-28,2023-07-29,1685105521,1635552567,PLN5765,229585,PCN460,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,81,0,Retail,0,0,0,66.0,6.97,72.97,7.0,63.34,2.63,0.88,0.6233,0,0,0,0,2023-10-26
RX0000012823,MBR00000354,2021-06-17,2021-06-20,1915286415,1114799812,PLN2749,885363,PCN635,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,87,5,Mail Order,0,0,0,33.0,7.21,40.21,3.0,35.18,2.03,0.44,0.3117,0,0,0,0,2021-09-15
RX0000012824,MBR00000354,2021-05-19,2021-05-21,1828174788,1568895814,PLN3377,230935,PCN733,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,5,Retail,0,0,0,370.0,7.42,377.42,32.0,320.81,24.61,14.8,10.4833,0,0,0,0,2021-06-18
RX0000012825,MBR00000354,2023-10-13,2023-10-14,1784815282,1570367594,PLN9634,474881,PCN844,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,94,11,Retail,0,1,0,18600.0,5.72,18605.72,153.0,17242.95,1209.77,248.0,175.6667,0,0,0,0,2024-01-11
RX0000012826,MBR00000354,2021-10-07,2021-10-11,1428740409,1974734163,PLN7865,443120,PCN844,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,93,7,Mail Order,3,0,0,27.0,4.17,31.17,1.0,28.46,1.71,0.36,0.255,0,0,0,0,2022-01-05
RX0000012827,MBR00000354,2023-10-17,2023-10-19,1545245563,1536896130,PLN3550,399664,PCN779,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,9,Retail,0,0,0,9.0,8.55,17.55,0.0,16.87,0.68,0.36,0.255,0,0,0,0,2023-11-16
RX0000012828,MBR00000354,2023-10-30,2023-11-01,1107187090,1878845923,PLN2299,535744,PCN969,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,10,Mail Order,0,0,0,11.0,4.9,15.9,5.0,9.89,1.01,0.44,0.3117,0,1,0,0,2023-11-29
RX0000012829,MBR00000354,2022-01-21,2022-01-24,1382205917,1339830746,PLN3097,448537,PCN716,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,89,10,Retail,0,0,0,990.0,3.09,993.09,37.0,896.17,59.92,13.2,9.35,0,0,0,0,2022-04-21
RX0000012830,MBR00000354,2023-01-10,2023-01-14,1598335569,1326864683,PLN3130,903183,PCN569,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,2,Retail,3,0,0,380.0,1.87,381.87,34.0,325.61,22.26,15.2,10.7667,1,0,0,0,2023-02-09
RX0000012831,MBR00000354,2023-03-04,2023-03-05,1692983512,1774632260,PLN5355,913053,PCN412,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,6,Retail,0,0,0,9.0,7.41,16.41,9.0,6.71,0.7,0.36,0.255,1,0,0,0,2023-04-03
RX0000012832,MBR00000354,2022-03-17,2022-03-21,1375421999,1767720271,PLN2527,767853,PCN113,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,95,3,Mail Order,0,0,0,25.5,8.54,34.04,8.0,24.82,1.22,0.34,0.2408,0,0,0,0,2022-06-15
RX0000012833,MBR00000354,2023-01-28,2023-01-29,1510542207,1309402873,PLN3661,951679,PCN509,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,5,Retail,0,0,0,9.0,11.99,20.99,1.0,18.98,1.01,0.36,0.255,0,0,0,0,2023-02-27
RX0000012834,MBR00000354,2023-01-13,2023-01-17,1477932050,1358892757,PLN4647,122043,PCN822,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,9,Retail,1,0,0,7.5,2.95,10.45,10.0,0.0,0.72,0.3,0.2125,0,0,0,0,2023-02-12
RX0000012835,MBR00000354,2023-06-10,2023-06-14,1984529873,1852053996,PLN6373,978490,PCN333,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,7,Retail,0,0,0,2.33,2.13,4.47,5.0,0.0,0.14,0.4,0.2833,0,0,0,0,2023-06-17
RX0000012836,MBR00000354,2023-06-20,2023-06-22,1598130972,1405873881,PLN6482,748079,PCN148,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,4,Retail,0,0,0,480.0,2.53,482.53,30.0,424.73,27.8,19.2,13.6,0,0,0,0,2023-07-20
RX0000012837,MBR00000354,2022-09-16,2022-09-18,1306957045,1175605234,PLN4758,450557,PCN547,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,65,2,Mail Order,0,0,0,36.0,4.8,40.8,1.0,38.31,1.49,0.72,0.51,0,0,0,0,2022-11-15
RX0000012838,MBR00000354,2023-10-14,2023-10-15,1968382435,1370210233,PLN3384,739396,PCN585,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,8,Retail,0,0,0,175.0,3.11,178.11,36.0,136.72,5.39,30.0,21.25,0,0,0,0,2023-10-21
RX0000012839,MBR00000354,2023-09-13,2023-09-14,1967078897,1489868147,PLN2387,964611,PCN657,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,56,9,Retail,0,0,0,1500.0,2.01,1502.01,31.0,1397.06,73.95,30.0,21.25,0,0,0,0,2023-11-12
RX0000012840,MBR00000354,2022-03-16,2022-03-17,1846283446,1478742650,PLN2808,773549,PCN544,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,7,Specialty,0,0,0,18.0,34.13,52.13,35.0,17.13,0.0,0.72,0.51,1,0,0,0,2022-04-15
RX0000012841,MBR00000354,2023-01-26,2023-01-29,1251846426,1821128465,PLN5079,937752,PCN876,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,4,Retail,0,0,0,10.5,8.21,18.71,1.0,16.42,1.29,1.8,1.275,0,0,0,0,2023-02-02
RX0000012842,MBR00000354,2021-10-05,2021-10-08,1515642435,1906397717,PLN6427,712331,PCN577,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,11,Mail Order,0,0,0,10.0,9.15,19.15,9.0,9.39,0.76,0.4,0.2833,0,0,0,0,2021-11-04
RX0000012843,MBR00000354,2021-08-03,2021-08-07,1814978491,1211558326,PLN2422,418873,PCN580,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,81,4,Retail,0,0,0,30.0,5.86,35.86,4.0,30.08,1.78,0.4,0.2833,0,0,0,0,2021-11-01
RX0000012844,MBR00000354,2022-06-11,2022-06-12,1291666397,1737255163,PLN8026,788243,PCN472,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,0,Retail,0,0,0,15.0,9.66,24.66,1.0,22.28,1.38,0.6,0.425,0,0,0,0,2022-07-11
RX0000012845,MBR00000354,2022-07-16,2022-07-19,1379378490,1931209241,PLN2728,982308,PCN894,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,93,9,Retail,0,0,0,114.0,6.33,120.33,39.0,74.96,6.37,1.52,1.0767,0,0,0,0,2022-10-14
RX0000012846,MBR00000354,2021-05-03,2021-05-07,1274801106,1596543475,PLN6405,408845,PCN136,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,4,Specialty,0,0,0,950.0,19.05,969.05,33.0,936.05,0.0,38.0,26.9167,0,0,0,0,2021-06-02
RX0000012847,MBR00000354,2023-07-22,2023-07-25,1457170159,1183806486,PLN2445,168722,PCN144,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,81,3,Specialty,0,0,0,42.0,22.14,64.14,2.0,62.14,0.0,0.56,0.3967,0,0,0,0,2023-10-20
RX0000012848,MBR00000354,2021-11-13,2021-11-16,1674555908,1771707844,PLN6850,401066,PCN323,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,1,Retail,0,0,0,18.0,2.24,20.24,2.0,17.33,0.91,0.72,0.51,0,0,0,0,2021-12-13
RX0000012849,MBR00000354,2021-12-18,2021-12-21,1943177853,1455664958,PLN5024,927406,PCN132,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,55,1,Retail,0,0,0,25.0,3.33,28.33,0.0,26.74,1.59,0.5,0.3542,0,0,0,0,2022-02-16
RX0000012850,MBR00000354,2023-03-25,2023-03-26,1468781584,1703004232,PLN3358,930518,PCN679,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,6,Retail,0,0,0,380.0,2.6,382.6,38.0,321.43,23.17,15.2,10.7667,0,0,0,0,2023-04-24
RX0000012851,MBR00000355,2021-02-18,2021-02-22,1384723940,1172275105,PLN9905,333988,PCN971,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,5,Mail Order,0,0,0,370.0,3.02,373.02,39.0,312.16,21.86,14.8,10.4833,0,0,0,0,2021-03-20
RX0000012852,MBR00000355,2022-10-14,2022-10-16,1832290873,1128193045,PLN7143,504496,PCN418,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,1,750.0,7.42,757.42,37.0,686.84,33.58,30.0,21.25,0,0,0,0,2022-11-13
RX0000012853,MBR00000355,2022-12-06,2022-12-10,1657578137,1713018798,PLN1568,544704,PCN527,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,11,Mail Order,0,0,0,10.0,4.95,14.95,6.0,8.14,0.81,0.4,0.2833,0,0,0,0,2023-01-05
RX0000012854,MBR00000355,2022-08-22,2022-08-26,1232645243,1104338437,PLN5207,407347,PCN310,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,10,Specialty,0,0,0,45.0,15.34,60.34,2.0,58.34,0.0,1.8,1.275,0,0,0,0,2022-09-21
RX0000012855,MBR00000355,2023-10-10,2023-10-12,1860651086,1200276253,PLN7706,800710,PCN308,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,6,Mail Order,0,0,0,370.0,4.64,374.64,30.0,329.33,15.31,14.8,10.4833,0,0,0,0,2023-11-09
RX0000012856,MBR00000355,2023-05-17,2023-05-21,1691899522,1485626936,PLN8494,678118,PCN689,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,7,Retail,0,0,0,11.0,10.47,21.47,1.0,19.73,0.74,0.44,0.3117,0,0,0,0,2023-06-16
RX0000012857,MBR00000355,2021-03-18,2021-03-21,1217561886,1721491088,PLN4256,834310,PCN642,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,6,Retail,3,0,0,320.0,3.95,323.95,39.0,271.37,13.58,12.8,9.0667,0,0,0,0,2021-04-17
RX0000012858,MBR00000355,2023-09-22,2023-09-24,1938062675,1240922756,PLN9755,162605,PCN664,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,11,Mail Order,1,0,0,480.0,4.07,484.07,33.0,424.02,27.05,19.2,13.6,0,1,1,0,2023-10-22
RX0000012859,MBR00000355,2022-10-23,2022-10-25,1982926145,1693053070,PLN9009,711161,PCN996,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,1,Retail,0,0,0,175.0,1.5,176.5,36.0,128.18,12.32,30.0,21.25,0,0,0,0,2022-10-30
RX0000012860,MBR00000355,2021-08-06,2021-08-09,1112940395,1166121773,PLN2917,128595,PCN748,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,1,Mail Order,0,1,0,2800.0,2.8,2802.8,149.0,2557.38,96.42,112.0,79.3333,0,0,0,0,2021-09-05
RX0000012861,MBR00000355,2022-04-05,2022-04-08,1589054051,1352625157,PLN1219,437871,PCN130,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,9,Retail,0,0,0,185.0,8.8,193.8,32.0,154.91,6.89,7.4,5.2417,0,0,0,0,2022-05-05
RX0000012862,MBR00000355,2022-08-10,2022-08-12,1837968513,1821042682,PLN1192,817899,PCN944,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,11,Mail Order,0,0,0,16.0,5.56,21.56,8.0,12.38,1.18,0.64,0.4533,0,0,0,0,2022-09-09
RX0000012863,MBR00000355,2021-01-08,2021-01-09,1620294209,1421518904,PLN2023,514563,PCN405,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,94,8,Retail,1,0,0,54.0,3.71,57.71,3.0,51.24,3.47,0.72,0.51,0,0,0,0,2021-04-08
RX0000012864,MBR00000355,2021-03-11,2021-03-15,1152754259,1557631251,PLN5919,449154,PCN243,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,4,Retail,3,0,0,2.33,10.98,13.31,7.0,5.38,0.93,0.4,0.2833,0,0,0,0,2021-03-18
RX0000012865,MBR00000355,2022-08-12,2022-08-14,1276815692,1594799615,PLN9352,795452,PCN398,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,11,Retail,0,0,0,185.0,7.86,192.86,33.0,148.47,11.39,7.4,5.2417,0,0,0,0,2022-09-11
RX0000012866,MBR00000355,2022-02-10,2022-02-12,1981362209,1773836375,PLN2992,106959,PCN684,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,6,Retail,0,0,0,950.0,3.37,953.37,31.0,887.73,34.64,38.0,26.9167,1,0,0,0,2022-03-12
RX0000012867,MBR00000355,2022-07-28,2022-07-31,1856573634,1396802799,PLN5125,270255,PCN608,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,82,7,Retail,0,0,0,27.0,10.38,37.38,5.0,30.5,1.88,0.36,0.255,0,0,0,0,2022-10-26
RX0000012868,MBR00000355,2022-12-13,2022-12-14,1582388120,1521537090,PLN7318,593504,PCN266,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,83,1,Retail,1,0,0,135.0,2.5,137.5,4.0,125.82,7.68,1.8,1.275,0,0,0,0,2023-03-13
RX0000012869,MBR00000355,2022-08-08,2022-08-11,1375645027,1929830863,PLN9839,130946,PCN793,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,10,Retail,0,0,0,45.0,9.55,54.55,5.0,46.49,3.06,0.6,0.425,0,0,0,0,2022-11-06
RX0000012870,MBR00000355,2021-10-01,2021-10-02,1609418774,1109103782,PLN9844,276751,PCN561,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,10,Retail,0,0,0,151.67,9.59,161.26,36.0,114.66,10.6,26.0,18.4167,0,0,0,0,2021-10-08
RX0000012871,MBR00000355,2023-05-07,2023-05-08,1365694661,1102324206,PLN2816,208826,PCN346,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,11,Retail,0,0,0,14.0,6.15,20.15,6.0,13.53,0.62,0.56,0.3967,0,0,0,0,2023-06-06
RX0000012872,MBR00000355,2022-11-29,2022-12-01,1596515291,1183780548,PLN8779,932320,PCN551,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,90,8,Retail,0,0,0,30.0,8.86,38.86,9.0,27.46,2.4,0.4,0.2833,0,0,0,0,2023-02-27
RX0000012873,MBR00000355,2021-11-25,2021-11-28,1810381253,1397094054,PLN7519,203655,PCN697,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,11,Mail Order,1,0,0,10.0,7.72,17.72,4.0,12.74,0.98,0.4,0.2833,0,0,0,0,2021-12-25
RX0000012874,MBR00000355,2023-07-04,2023-07-07,1189481692,1754907955,PLN8128,478383,PCN808,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,65,0,Retail,0,0,0,28.0,9.94,37.94,5.0,31.56,1.38,0.56,0.3967,0,0,0,0,2023-09-02
RX0000012875,MBR00000355,2023-04-17,2023-04-18,1822272904,1849003803,PLN4496,102658,PCN482,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,54,1,Retail,0,0,0,20.0,5.0,25.0,4.0,19.72,1.28,0.4,0.2833,0,0,0,0,2023-06-16
RX0000012876,MBR00000355,2021-07-30,2021-08-03,1631369828,1508573356,PLN9709,884175,PCN881,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,85,1,Retail,0,1,0,36.0,7.68,43.68,151.0,0.0,2.69,0.48,0.34,0,0,0,0,2021-10-28
RX0000012877,MBR00000355,2022-11-10,2022-11-12,1709044434,1824579913,PLN4533,808351,PCN459,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,9,Retail,0,0,0,9.0,3.47,12.47,6.0,6.01,0.46,0.36,0.255,0,0,0,0,2022-12-10
RX0000012878,MBR00000355,2022-01-03,2022-01-05,1419802683,1844511886,PLN3840,679154,PCN118,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,54,11,Retail,0,1,0,16.0,8.02,24.02,145.0,0.0,1.27,0.32,0.2267,0,0,0,0,2022-03-04
RX0000012879,MBR00000355,2021-02-23,2021-02-27,1924915192,1551945615,PLN6000,990201,PCN740,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,6,Retail,0,0,0,14.0,8.42,22.42,5.0,15.93,1.49,0.56,0.3967,0,1,0,0,2021-03-25
RX0000012880,MBR00000355,2023-06-28,2023-07-02,1910221058,1444936660,PLN3465,907318,PCN826,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,61,8,Mail Order,0,0,0,36.0,3.82,39.82,4.0,33.85,1.97,0.72,0.51,0,0,0,0,2023-08-27
RX0000012881,MBR00000355,2021-10-20,2021-10-22,1307751116,1346497372,PLN2113,531537,PCN889,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,85,2,Mail Order,0,0,0,1110.0,6.62,1116.62,39.0,1040.29,37.33,14.8,10.4833,0,1,1,0,2022-01-18
RX0000012882,MBR00000355,2023-11-11,2023-11-14,1822207240,1107056205,PLN4865,955380,PCN676,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,96,0,Mail Order,0,0,0,45.0,4.02,49.02,2.0,44.87,2.15,0.6,0.425,0,0,0,0,2024-02-09
RX0000012883,MBR00000355,2023-04-19,2023-04-21,1873483476,1682188286,PLN2528,207888,PCN431,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,6,Retail,0,0,0,14.0,9.58,23.58,2.0,20.81,0.77,0.56,0.3967,0,0,0,0,2023-05-19
RX0000012884,MBR00000355,2021-04-06,2021-04-08,1525317355,1735790305,PLN5867,231309,PCN448,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,0,Mail Order,0,0,0,15.0,7.81,22.81,5.0,17.06,0.75,0.6,0.425,0,0,0,0,2021-05-06
RX0000012885,MBR00000355,2022-12-20,2022-12-22,1194367869,1213939116,PLN2353,680823,PCN835,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,57,8,Mail Order,0,0,0,24.0,2.79,26.79,8.0,17.62,1.17,0.48,0.34,0,0,0,0,2023-02-18
RX0000012886,MBR00000356,2021-11-17,2021-11-20,1279824462,1391621366,PLN3702,152285,PCN259,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,64,7,Retail,2,0,0,20.0,4.21,24.21,8.0,15.33,0.88,0.4,0.2833,0,0,0,0,2022-01-16
RX0000012887,MBR00000356,2023-01-28,2023-01-29,1769439980,1902818462,PLN1777,894271,PCN952,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,5,Retail,2,0,0,10.0,10.53,20.53,8.0,11.83,0.7,0.4,0.2833,1,0,0,0,2023-02-27
RX0000012888,MBR00000356,2022-04-16,2022-04-19,1497321418,1758078525,PLN8398,228681,PCN138,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,3,Retail,0,0,0,5.13,5.14,10.27,69.0,0.0,0.51,0.88,0.6233,0,0,0,0,2022-04-23
RX0000012889,MBR00000356,2022-12-12,2022-12-14,1231764244,1369660967,PLN6765,250508,PCN804,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,97,11,Retail,0,1,0,36.0,8.78,44.78,146.0,0.0,2.86,0.48,0.34,0,0,0,0,2023-03-12
RX0000012890,MBR00000356,2022-11-15,2022-11-18,1932095161,1204665553,PLN6009,242764,PCN655,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,1,Retail,0,0,0,22.0,4.75,26.75,66.0,0.0,1.28,0.88,0.6233,0,0,0,0,2022-12-15
RX0000012891,MBR00000356,2021-10-21,2021-10-22,1870576354,1647162879,PLN1538,214181,PCN859,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,95,9,Mail Order,0,1,0,8400.0,11.55,8411.55,149.0,7879.33,383.22,112.0,79.3333,1,0,0,0,2022-01-19
RX0000012892,MBR00000356,2021-04-15,2021-04-17,1421095043,1670462255,PLN6523,103318,PCN984,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,5,Retail,3,0,0,22.0,2.16,24.16,5.0,18.26,0.9,0.88,0.6233,0,0,0,0,2021-05-15
RX0000012893,MBR00000356,2021-01-04,2021-01-05,1826623464,1137827313,PLN6660,254958,PCN204,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,90,7,Retail,3,0,0,2250.0,7.6,2257.6,35.0,2137.03,85.57,30.0,21.25,0,0,0,0,2021-04-04
RX0000012894,MBR00000356,2021-10-12,2021-10-15,1676015596,1121638929,PLN6858,785897,PCN243,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,0,Retail,0,0,0,18.0,7.35,25.35,2.0,22.42,0.93,0.72,0.51,0,0,0,0,2021-11-11
RX0000012895,MBR00000356,2021-11-10,2021-11-14,1302252314,1323068188,PLN1235,956923,PCN358,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,10,Retail,0,0,0,38.0,4.83,42.83,3.0,37.29,2.54,1.52,1.0767,0,1,0,0,2021-12-10
RX0000012896,MBR00000356,2021-03-13,2021-03-15,1116030417,1941012178,PLN1770,382205,PCN672,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,10,Mail Order,3,0,0,9.0,1.77,10.77,7.0,3.11,0.66,0.36,0.255,0,0,0,0,2021-04-12
RX0000012897,MBR00000356,2023-03-24,2023-03-28,1339844067,1755031205,PLN7432,119887,PCN328,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,1,Retail,0,0,0,2.8,6.35,9.15,9.0,0.0,0.29,0.48,0.34,0,0,0,0,2023-03-31
RX0000012898,MBR00000356,2021-12-07,2021-12-11,1503816180,1484452863,PLN6477,834366,PCN565,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,10,Retail,0,0,0,8.5,2.61,11.11,6.0,4.45,0.66,0.34,0.2408,1,0,0,0,2022-01-06
RX0000012899,MBR00000356,2023-06-01,2023-06-05,1178405363,1779518664,PLN7804,290908,PCN147,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,8,Retail,0,0,0,8.5,9.79,18.29,3.0,14.36,0.93,0.34,0.2408,0,0,0,0,2023-07-01
RX0000012900,MBR00000356,2021-04-18,2021-04-21,1782978252,1453985467,PLN9920,349601,PCN583,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,86,6,Mail Order,0,0,0,36.0,4.13,40.13,1.0,37.5,1.63,0.48,0.34,0,0,0,0,2021-07-17
RX0000012901,MBR00000356,2022-01-15,2022-01-16,1606794802,1673388100,PLN1684,519743,PCN267,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,5,Retail,0,0,0,11.0,8.42,19.42,1.0,17.19,1.23,0.44,0.3117,0,0,0,0,2022-02-14
RX0000012902,MBR00000356,2022-03-31,2022-04-03,1599905783,1668516881,PLN4885,523261,PCN601,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,4,Retail,0,0,0,12.0,6.43,18.43,5.0,12.15,1.28,0.48,0.34,0,0,0,0,2022-04-30
RX0000012903,MBR00000356,2022-04-09,2022-04-13,1406697286,1802645101,PLN6859,577877,PCN364,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,7,Mail Order,0,0,0,45.0,9.37,54.37,9.0,42.59,2.78,1.8,1.275,0,0,0,0,2022-05-09
RX0000012904,MBR00000356,2022-01-28,2022-01-29,1949653079,1971487223,PLN2370,361698,PCN466,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,10,Specialty,0,0,0,18.0,41.85,59.85,2.0,57.85,0.0,0.72,0.51,0,0,0,0,2022-02-27
RX0000012905,MBR00000356,2021-03-23,2021-03-26,1951341537,1721879853,PLN3318,419908,PCN466,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,2,Retail,0,0,0,750.0,8.47,758.47,30.0,701.66,26.81,30.0,21.25,0,0,0,0,2021-04-22
RX0000012906,MBR00000356,2023-12-19,2023-12-21,1276258824,1459101504,PLN3919,185011,PCN663,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,89,4,Retail,0,0,0,66.0,2.8,68.8,65.0,1.09,2.71,0.88,0.6233,0,0,0,0,2024-03-18
RX0000012907,MBR00000356,2021-01-20,2021-01-23,1729762139,1821792933,PLN3007,731839,PCN283,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,97,3,Mail Order,0,0,0,1440.0,11.44,1451.44,32.0,1362.83,56.61,19.2,13.6,0,0,0,0,2021-04-20
RX0000012908,MBR00000356,2023-06-30,2023-07-02,1532677056,1938984206,PLN1239,783544,PCN788,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,6,Retail,0,1,0,2800.0,5.29,2805.29,154.0,2561.26,90.03,112.0,79.3333,1,0,0,0,2023-07-30
RX0000012909,MBR00000356,2023-07-06,2023-07-07,1391282616,1691217605,PLN7052,364995,PCN472,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,4,Mail Order,0,0,0,9.0,6.36,15.36,0.0,14.81,0.55,0.36,0.255,0,0,0,0,2023-08-05
RX0000012910,MBR00000356,2023-10-14,2023-10-17,1313107130,1566335944,PLN9059,321649,PCN725,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,9,LTC,0,0,0,54.0,7.9,61.9,0.0,59.16,2.74,0.72,0.51,0,0,0,0,2024-01-12
RX0000012911,MBR00000356,2022-03-24,2022-03-27,1497463834,1335908231,PLN3347,132328,PCN577,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,84,6,Retail,0,0,0,114.0,7.48,121.48,1.0,116.43,4.05,1.52,1.0767,0,0,0,0,2022-06-22
RX0000012912,MBR00000356,2023-01-08,2023-01-10,1747870948,1329444281,PLN5163,344914,PCN680,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,1,Retail,0,0,0,2.57,3.24,5.8,7.0,0.0,0.32,0.44,0.3117,0,0,0,0,2023-01-15
RX0000012913,MBR00000356,2021-02-17,2021-02-21,1492571152,1803675325,PLN5061,109440,PCN952,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,10,Retail,0,0,0,8.5,10.96,19.46,9.0,9.26,1.2,0.34,0.2408,0,0,0,0,2021-03-19
RX0000012914,MBR00000356,2021-12-18,2021-12-19,1363376053,1780127961,PLN8363,207619,PCN342,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,11,Retail,0,0,0,185.0,8.03,193.03,35.0,151.6,6.43,7.4,5.2417,0,0,0,0,2022-01-17
RX0000012915,MBR00000356,2022-05-30,2022-05-31,1302118865,1183384194,PLN3130,796558,PCN772,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,3,Retail,0,1,0,12.0,6.75,18.75,149.0,0.0,1.18,0.48,0.34,0,0,0,0,2022-06-29
RX0000012916,MBR00000356,2023-10-30,2023-11-03,1183176248,1596624493,PLN3672,470492,PCN761,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,4,Retail,0,0,1,1.75,1.97,3.72,9.0,0.0,0.15,0.3,0.2125,0,0,0,0,2023-11-06
RX0000012917,MBR00000356,2023-10-07,2023-10-10,1341792504,1706507982,PLN5870,662860,PCN710,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,9,Retail,0,0,0,285.0,6.51,291.51,31.0,248.72,11.79,11.4,8.075,0,0,0,0,2023-11-06
RX0000012918,MBR00000356,2023-03-21,2023-03-24,1253793874,1920261566,PLN3251,689121,PCN345,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,4,Retail,0,0,0,12.0,8.34,20.34,1.0,18.67,0.67,0.48,0.34,0,0,0,0,2023-04-20
RX0000012919,MBR00000356,2023-11-29,2023-12-02,1997444553,1941373094,PLN8928,984276,PCN183,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,82,6,Retail,0,1,0,24.0,8.06,32.06,148.0,0.0,1.53,0.32,0.2267,0,0,0,0,2024-02-27
RX0000012920,MBR00000356,2022-04-01,2022-04-05,1698247415,1697898807,PLN4221,917772,PCN815,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,10,Retail,0,0,0,65.0,2.94,67.94,30.0,34.3,3.64,2.6,1.8417,0,0,0,0,2022-05-01
RX0000012921,MBR00000356,2023-11-05,2023-11-09,1917071828,1595259573,PLN6315,726506,PCN104,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,0,Mail Order,2,0,0,18.0,1.74,19.74,4.0,14.62,1.12,0.72,0.51,0,0,0,0,2023-12-05
RX0000012922,MBR00000356,2021-07-23,2021-07-25,1771810549,1762259190,PLN2419,605542,PCN466,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,63,8,Retail,1,0,0,36.0,4.87,40.87,10.0,28.66,2.21,0.72,0.51,0,0,0,0,2021-09-21
RX0000012923,MBR00000356,2021-07-22,2021-07-26,1521376877,1336065806,PLN7860,550926,PCN223,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,10,Retail,0,0,0,74.67,6.65,81.31,36.0,40.44,4.87,12.8,9.0667,0,0,0,0,2021-07-29
RX0000012924,MBR00000356,2022-09-24,2022-09-27,1287547351,1737099800,PLN4663,198341,PCN672,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,5,Specialty,0,1,0,8500.0,25.08,8525.08,148.0,8377.08,0.0,340.0,240.8333,0,0,0,0,2022-10-24
RX0000012925,MBR00000356,2023-05-25,2023-05-27,1398602207,1946906217,PLN8369,305011,PCN362,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,6,Mail Order,0,0,0,45.0,7.19,52.19,10.0,40.38,1.81,1.8,1.275,0,0,0,0,2023-06-24
RX0000012926,MBR00000356,2022-03-08,2022-03-11,1434349724,1415055111,PLN8529,480038,PCN501,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,61,8,Retail,0,0,0,22.0,2.33,24.33,1.0,22.26,1.07,0.44,0.3117,0,0,0,0,2022-05-07
RX0000012927,MBR00000357,2022-06-12,2022-06-16,1356056788,1709533830,PLN5282,688081,PCN991,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,8,Retail,0,0,0,15.0,4.91,19.91,5.0,14.15,0.76,0.6,0.425,0,0,0,0,2022-07-12
RX0000012928,MBR00000357,2022-08-19,2022-08-23,1485770547,1800166637,PLN1050,990413,PCN753,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,9,Retail,0,0,0,9.0,8.07,17.07,8.0,8.09,0.98,0.36,0.255,0,0,0,0,2022-09-18
RX0000012929,MBR00000357,2021-03-10,2021-03-13,1324654829,1430105736,PLN4980,428241,PCN515,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,3,Retail,1,0,0,11.0,10.74,21.74,5.0,15.43,1.31,0.44,0.3117,0,0,0,0,2021-04-09
RX0000012930,MBR00000357,2021-06-05,2021-06-07,1366199484,1802094603,PLN5909,699925,PCN136,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,4,LTC,0,0,0,18.0,10.04,28.04,4.0,23.01,1.03,0.72,0.51,1,0,0,0,2021-07-05
RX0000012931,MBR00000357,2021-05-10,2021-05-12,1990049553,1524567235,PLN4878,180126,PCN954,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,3,Mail Order,0,0,0,9.0,10.69,19.69,2.0,16.82,0.87,0.36,0.255,0,0,0,0,2021-06-09
RX0000012932,MBR00000357,2021-08-21,2021-08-22,1678618168,1195153289,PLN1663,460581,PCN827,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,87,5,Mail Order,0,1,0,18600.0,7.23,18607.23,154.0,17755.84,697.39,248.0,175.6667,0,0,0,0,2021-11-19
RX0000012933,MBR00000357,2022-05-28,2022-05-31,1245375411,1848513774,PLN1474,911894,PCN834,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,96,1,Retail,0,0,0,54.0,8.84,62.84,2.0,57.32,3.52,0.72,0.51,0,0,0,0,2022-08-26
RX0000012934,MBR00000357,2023-02-25,2023-02-27,1575009857,1547488970,PLN8621,578704,PCN818,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,81,5,Retail,0,1,0,25500.0,9.83,25509.83,154.0,24538.05,817.78,340.0,240.8333,0,0,0,0,2023-05-26
RX0000012935,MBR00000357,2023-12-15,2023-12-18,1101213810,1113585907,PLN8536,331188,PCN413,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,5,Specialty,0,0,0,3.5,18.52,22.02,7.0,15.02,0.0,0.6,0.425,0,0,0,0,2023-12-22
RX0000012936,MBR00000357,2023-04-19,2023-04-21,1393350726,1542042117,PLN7317,447768,PCN761,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,5,Mail Order,0,0,1,650.0,2.65,652.65,37.0,576.84,38.81,26.0,18.4167,0,0,0,0,2023-05-19
RX0000012937,MBR00000357,2022-01-16,2022-01-18,1593986126,1469951064,PLN3224,692313,PCN665,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,63,2,Retail,0,0,0,22.0,5.77,27.77,3.0,22.91,1.86,0.44,0.3117,0,0,0,0,2022-03-17
RX0000012938,MBR00000357,2022-05-26,2022-05-30,1205207202,1142029926,PLN2498,904849,PCN495,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,8,Retail,0,0,0,1.98,4.61,6.59,4.0,2.37,0.22,0.34,0.2408,0,0,0,0,2022-06-02
RX0000012939,MBR00000357,2021-06-01,2021-06-04,1101405178,1795548785,PLN2890,121190,PCN366,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,0,Retail,0,0,0,750.0,5.31,755.31,39.0,693.09,23.22,30.0,21.25,0,0,0,0,2021-07-01
RX0000012940,MBR00000357,2022-07-25,2022-07-26,1668293710,1726490084,PLN7046,568338,PCN481,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,1,Retail,0,0,0,15.0,3.57,18.57,2.0,15.33,1.24,0.6,0.425,0,0,0,0,2022-08-24
RX0000012941,MBR00000357,2023-07-15,2023-07-16,1862403925,1461833006,PLN1407,687972,PCN808,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,1,Retail,0,0,0,11.0,8.44,19.44,1.0,17.54,0.9,0.44,0.3117,0,0,0,0,2023-08-14
RX0000012942,MBR00000357,2022-04-21,2022-04-24,1147810560,1549231141,PLN7191,150242,PCN580,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,61,10,Mail Order,2,0,0,18.0,2.52,20.52,6.0,13.59,0.93,0.36,0.255,0,0,0,0,2022-06-20
RX0000012943,MBR00000357,2023-07-20,2023-07-23,1561732043,1131525864,PLN4498,431497,PCN990,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,0,Mail Order,0,0,0,11.0,3.4,14.4,5.0,8.89,0.51,0.44,0.3117,0,0,0,0,2023-08-19
RX0000012944,MBR00000357,2022-10-09,2022-10-13,1877365944,1735379808,PLN1568,714388,PCN353,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,5,Mail Order,0,0,0,8.5,5.14,13.64,9.0,3.8,0.84,0.34,0.2408,1,0,0,0,2022-11-08
RX0000012945,MBR00000357,2021-07-24,2021-07-27,1803061097,1453674377,PLN9980,767071,PCN778,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,58,5,Retail,0,0,0,20.0,6.34,26.34,10.0,15.23,1.11,0.4,0.2833,0,0,0,0,2021-09-22
RX0000012946,MBR00000357,2023-06-19,2023-06-20,1806013601,1865225529,PLN3104,959191,PCN561,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,1,Retail,0,0,0,950.0,1.55,951.55,40.0,872.82,38.73,38.0,26.9167,0,0,0,0,2023-07-19
RX0000012947,MBR00000357,2022-01-07,2022-01-11,1729900096,1299586587,PLN8709,605453,PCN952,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,4,Mail Order,0,0,0,10.0,4.93,14.93,6.0,8.13,0.8,0.4,0.2833,0,0,0,0,2022-02-06
RX0000012948,MBR00000357,2022-12-25,2022-12-26,1375352002,1625692578,PLN7043,581493,PCN233,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,8,Specialty,0,0,0,10.0,34.45,44.45,0.0,44.45,0.0,0.4,0.2833,0,0,0,0,2023-01-24
RX0000012949,MBR00000357,2023-05-17,2023-05-18,1677545206,1779642754,PLN5404,951432,PCN854,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,1,LTC,0,0,0,45.0,4.27,49.27,8.0,38.23,3.04,1.8,1.275,0,0,0,0,2023-06-16
RX0000012950,MBR00000357,2021-02-04,2021-02-08,1610998487,1685819089,PLN3266,594563,PCN599,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,6,Retail,0,0,0,185.0,4.12,189.12,35.0,142.81,11.31,7.4,5.2417,0,0,0,0,2021-03-06
RX0000012951,MBR00000357,2023-08-10,2023-08-12,1426390015,1692041943,PLN5750,807838,PCN383,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,5,Retail,1,0,0,175.0,11.73,186.73,33.0,142.31,11.42,30.0,21.25,0,0,0,0,2023-08-17
RX0000012952,MBR00000357,2021-04-20,2021-04-24,1835794296,1731437107,PLN1638,171357,PCN347,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,93,4,Mail Order,3,0,0,990.0,5.38,995.38,37.0,902.17,56.21,13.2,9.35,0,0,0,0,2021-07-19
RX0000012953,MBR00000357,2022-07-03,2022-07-06,1651797856,1934351702,PLN2830,312643,PCN126,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,4,Retail,0,0,0,14.0,5.16,19.16,0.0,18.19,0.97,0.56,0.3967,0,0,0,0,2022-08-02
RX0000012954,MBR00000357,2021-03-29,2021-04-01,1423837316,1426907547,PLN4169,545243,PCN590,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,5,Retail,1,0,0,151.67,7.15,158.82,38.0,114.19,6.63,26.0,18.4167,0,0,0,0,2021-04-05
RX0000012955,MBR00000357,2022-05-17,2022-05-21,1427131544,1956168469,PLN1428,225702,PCN703,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,96,6,Retail,3,0,0,1110.0,9.36,1119.36,37.0,1016.62,65.74,14.8,10.4833,0,0,0,0,2022-08-15
RX0000012956,MBR00000357,2021-10-27,2021-10-28,1995424531,1447116639,PLN4903,544854,PCN803,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,93,10,Mail Order,3,0,0,36.0,7.92,43.92,4.0,37.46,2.46,0.48,0.34,0,0,0,0,2022-01-25
RX0000012957,MBR00000357,2022-08-30,2022-09-03,1714463760,1748624578,PLN4085,939333,PCN677,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,8,Retail,3,0,0,12.5,5.89,18.39,10.0,7.33,1.06,0.5,0.3542,0,0,0,0,2022-09-29
RX0000012958,MBR00000357,2021-07-07,2021-07-08,1162977523,1282108577,PLN2796,225870,PCN557,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,61,6,Mail Order,2,0,0,28.0,8.7,36.7,6.0,28.6,2.1,0.56,0.3967,0,0,0,0,2021-09-05
RX0000012959,MBR00000357,2023-12-16,2023-12-18,1916569660,1575667601,PLN9263,377595,PCN605,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,7,Mail Order,0,0,0,285.0,1.77,286.77,36.0,239.41,11.36,11.4,8.075,0,0,0,0,2024-01-15
RX0000012960,MBR00000357,2022-12-31,2023-01-02,1456776863,1824696192,PLN8479,466396,PCN712,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,9,Retail,0,0,0,370.0,7.88,377.88,31.0,327.43,19.45,14.8,10.4833,1,0,0,0,2023-01-30
RX0000012961,MBR00000357,2021-05-04,2021-05-05,1405884792,1517717708,PLN8358,621208,PCN494,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,65,0,Mail Order,0,0,0,28.0,4.67,32.67,8.0,23.31,1.36,0.56,0.3967,0,0,0,0,2021-07-03
RX0000012962,MBR00000357,2023-12-09,2023-12-11,1973285262,1950461096,PLN5337,684292,PCN457,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,6,Retail,0,0,0,38.0,2.61,40.61,30.0,8.38,2.23,1.52,1.0767,0,0,0,0,2024-01-08
RX0000012963,MBR00000357,2023-09-03,2023-09-06,1178176343,1782581975,PLN7855,711072,PCN945,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,7,Mail Order,0,0,0,8.5,8.92,17.42,0.0,16.26,1.16,0.34,0.2408,1,0,0,0,2023-10-03
RX0000012964,MBR00000357,2022-12-09,2022-12-11,1303871637,1748190622,PLN9124,183991,PCN781,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,82,11,Retail,0,0,0,114.0,5.19,119.19,32.0,81.14,6.05,1.52,1.0767,0,0,0,0,2023-03-09
RX0000012965,MBR00000357,2022-06-03,2022-06-04,1964101014,1329948690,PLN5940,976738,PCN124,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,86,7,Retail,0,0,0,45.0,7.48,52.48,1.0,49.44,2.04,0.6,0.425,0,0,0,0,2022-09-01
RX0000012966,MBR00000357,2023-07-27,2023-07-31,1738652227,1539462459,PLN3154,709213,PCN569,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,6,Retail,0,0,0,10.0,10.04,20.04,10.0,8.82,1.22,0.4,0.2833,0,0,0,0,2023-08-26
RX0000012967,MBR00000357,2023-05-04,2023-05-05,1201548249,1215159897,PLN7351,383501,PCN923,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,84,9,Specialty,0,0,0,135.0,34.69,169.69,7.0,162.69,0.0,1.8,1.275,0,0,0,0,2023-08-02
RX0000012968,MBR00000357,2023-02-13,2023-02-17,1375982032,1804957573,PLN5459,648820,PCN919,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,8,Retail,0,1,0,8.0,3.06,11.06,154.0,0.0,0.51,0.32,0.2267,0,0,0,0,2023-03-15
RX0000012969,MBR00000357,2023-09-27,2023-09-28,1582785717,1954004441,PLN3887,230282,PCN584,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,6,Retail,0,0,0,22.0,3.07,25.07,7.0,17.08,0.99,0.88,0.6233,0,0,0,0,2023-10-27
RX0000012970,MBR00000357,2021-09-11,2021-09-15,1699487455,1634228873,PLN8175,526213,PCN920,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,3,Retail,1,0,0,650.0,5.77,655.77,37.0,594.46,24.31,26.0,18.4167,0,0,0,0,2021-10-11
RX0000012971,MBR00000357,2023-07-15,2023-07-19,1829981943,1404616499,PLN3077,546307,PCN680,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,3,Retail,0,0,0,12.0,1.64,13.64,1.0,12.14,0.5,0.48,0.34,0,0,0,0,2023-08-14
RX0000012972,MBR00000357,2023-09-18,2023-09-21,1332043682,1524724679,PLN7342,570193,PCN778,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,96,1,Retail,0,0,0,66.0,2.11,68.11,2.0,62.43,3.68,0.88,0.6233,0,0,0,0,2023-12-17
RX0000012973,MBR00000357,2021-11-01,2021-11-03,1997931449,1750795478,PLN1302,991010,PCN112,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,2,Retail,1,0,0,22.0,4.64,26.64,2.0,22.92,1.72,0.88,0.6233,0,0,0,0,2021-12-01
RX0000012974,MBR00000357,2022-01-06,2022-01-08,1233521014,1324280154,PLN4523,203279,PCN129,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,94,4,Retail,0,0,0,114.0,3.69,117.69,10.0,103.1,4.59,1.52,1.0767,0,0,0,0,2022-04-06
RX0000012975,MBR00000357,2022-08-25,2022-08-28,1354926408,1906090775,PLN1223,867607,PCN191,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,11,Retail,2,0,0,12.5,7.16,19.66,0.0,18.82,0.84,0.5,0.3542,0,0,0,0,2022-09-24
RX0000012976,MBR00000357,2023-02-11,2023-02-13,1491381789,1360235499,PLN6635,728952,PCN765,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,95,4,Retail,2,0,0,135.0,5.44,140.44,1.0,131.3,8.14,1.8,1.275,0,0,0,0,2023-05-12
RX0000012977,MBR00000357,2022-08-15,2022-08-17,1691865672,1746282137,PLN6997,689444,PCN711,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,5,Mail Order,0,0,0,16.0,4.79,20.79,10.0,10.07,0.72,0.64,0.4533,0,0,0,0,2022-09-14
RX0000012978,MBR00000357,2021-09-02,2021-09-04,1105904345,1525537993,PLN2180,203652,PCN678,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,91,0,Mail Order,0,1,0,36.0,1.95,37.95,153.0,0.0,2.39,0.48,0.34,0,0,0,0,2021-12-01
RX0000012979,MBR00000357,2021-12-17,2021-12-19,1985364386,1628461756,PLN2253,127731,PCN254,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,1,Retail,0,0,0,10.0,11.14,21.14,9.0,10.76,1.38,0.4,0.2833,0,0,0,0,2022-01-16
RX0000012980,MBR00000357,2022-03-14,2022-03-15,1654305418,1276795573,PLN4422,291812,PCN220,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,60,10,Retail,1,0,0,90.0,6.33,96.33,3.0,89.19,4.14,1.8,1.275,0,0,0,0,2022-05-13
RX0000012981,MBR00000357,2022-05-25,2022-05-27,1663560806,1971550112,PLN7963,891975,PCN219,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,85,11,Retail,0,0,0,66.0,5.7,71.7,9.0,58.31,4.39,0.88,0.6233,1,0,0,0,2022-08-23
RX0000012982,MBR00000357,2023-09-15,2023-09-17,1105625778,1672410464,PLN7591,925299,PCN218,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,81,6,Retail,0,0,0,25.5,3.75,29.25,2.0,26.3,0.95,0.34,0.2408,0,0,0,0,2023-12-14
RX0000012983,MBR00000357,2021-11-14,2021-11-16,1263157812,1412286242,PLN7209,765984,PCN465,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,6,Retail,0,0,0,950.0,11.38,961.38,33.0,880.65,47.73,38.0,26.9167,0,0,0,0,2021-12-14
RX0000012984,MBR00000357,2022-08-18,2022-08-21,1335436314,1344655270,PLN2029,601911,PCN905,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,8,Retail,0,0,0,40.83,3.91,44.74,31.0,11.8,1.94,7.0,4.9583,0,0,0,0,2022-08-25
RX0000012985,MBR00000357,2023-05-28,2023-06-01,1246406805,1945608432,PLN1107,116099,PCN824,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,9,Mail Order,0,0,0,11.0,8.72,19.72,9.0,10.12,0.6,0.44,0.3117,0,0,0,0,2023-06-27
RX0000012986,MBR00000357,2022-11-26,2022-11-28,1775239088,1533288667,PLN1338,709842,PCN167,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,7,Mail Order,0,0,0,12.5,4.4,16.9,10.0,5.8,1.1,0.5,0.3542,0,0,0,0,2022-12-26
RX0000012987,MBR00000357,2023-10-16,2023-10-20,1276733973,1645876088,PLN5569,431853,PCN830,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,1,Retail,0,1,0,1983.33,1.63,1984.97,153.0,1696.58,135.39,340.0,240.8333,0,0,0,0,2023-10-23
RX0000012988,MBR00000357,2023-12-19,2023-12-23,1171707763,1947985676,PLN7116,347671,PCN367,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,96,11,Mail Order,0,0,0,54.0,5.56,59.56,6.0,50.81,2.75,0.72,0.51,0,0,0,0,2024-03-18
RX0000012989,MBR00000357,2022-04-21,2022-04-25,1852113380,1916856315,PLN1489,541552,PCN409,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,87,7,Retail,1,1,0,36.0,11.3,47.3,150.0,0.0,2.39,0.48,0.34,0,0,0,0,2022-07-20
RX0000012990,MBR00000357,2022-08-19,2022-08-22,1921451732,1510110397,PLN8315,688314,PCN801,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,2,Specialty,0,0,0,43.17,29.7,72.87,34.0,38.87,0.0,7.4,5.2417,0,0,0,0,2022-08-26
RX0000012991,MBR00000357,2023-10-15,2023-10-16,1242716354,1417794636,PLN8522,772952,PCN635,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,7,Mail Order,1,0,0,7.5,7.61,15.11,5.0,9.45,0.66,0.3,0.2125,0,0,0,0,2023-11-14
RX0000012992,MBR00000357,2023-03-30,2023-03-31,1552197658,1921630354,PLN6484,429369,PCN515,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,1,Retail,0,0,0,1110.0,5.76,1115.76,38.0,1031.87,45.89,14.8,10.4833,0,0,0,0,2023-06-28
RX0000012993,MBR00000357,2021-10-26,2021-10-27,1164512493,1684246791,PLN8812,955443,PCN702,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,5,Retail,0,0,0,12.0,4.21,16.21,6.0,9.51,0.7,0.48,0.34,0,0,0,0,2021-11-25
RX0000012994,MBR00000358,2022-04-20,2022-04-22,1737321918,1261243146,PLN8714,364081,PCN543,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,89,2,Mail Order,0,0,0,36.0,5.62,41.62,10.0,28.89,2.73,0.48,0.34,0,0,0,0,2022-07-19
RX0000012995,MBR00000358,2022-11-28,2022-12-01,1864776445,1309319583,PLN7427,959956,PCN596,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,1,Retail,0,0,0,12.0,4.34,16.34,9.0,6.47,0.87,0.48,0.34,0,0,0,0,2022-12-28
RX0000012996,MBR00000358,2023-02-27,2023-03-02,1563091813,1240683494,PLN6687,693338,PCN412,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,5,Mail Order,0,0,0,36.0,4.38,40.38,8.0,30.63,1.75,0.48,0.34,0,0,0,0,2023-05-28
RX0000012997,MBR00000358,2023-05-14,2023-05-16,1957510544,1836784971,PLN3124,395757,PCN880,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,7,Retail,0,0,0,14.0,11.11,25.11,5.0,18.65,1.46,0.56,0.3967,0,0,0,0,2023-06-13
RX0000012998,MBR00000358,2022-11-01,2022-11-04,1273045923,1293707430,PLN9645,526829,PCN996,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,9,Retail,0,0,0,380.0,6.08,386.08,31.0,333.29,21.79,15.2,10.7667,0,0,0,0,2022-12-01
RX0000012999,MBR00000358,2022-10-16,2022-10-19,1724786674,1597749576,PLN3972,483755,PCN337,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,63,2,Retail,0,0,0,960.0,3.26,963.26,40.0,856.81,66.45,19.2,13.6,0,0,0,0,2022-12-15
RX0000013000,MBR00000358,2021-02-25,2021-02-28,1694961149,1382094170,PLN9712,867522,PCN473,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,5,Retail,0,0,0,650.0,1.75,651.75,38.0,579.12,34.63,26.0,18.4167,0,0,0,0,2021-03-27
RX0000013001,MBR00000358,2023-01-13,2023-01-17,1107862561,1119137039,PLN7602,374185,PCN151,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,2,Retail,0,0,0,3.73,5.63,9.36,1.0,7.92,0.44,0.64,0.4533,0,0,0,0,2023-01-20
RX0000013002,MBR00000358,2021-05-12,2021-05-14,1940338696,1778254346,PLN7836,111286,PCN628,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,11,Retail,0,0,0,185.0,6.86,191.86,36.0,146.8,9.06,7.4,5.2417,0,0,0,0,2021-06-11
RX0000013003,MBR00000358,2022-05-31,2022-06-04,1137214791,1162845131,PLN5252,723997,PCN986,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,7,Specialty,0,0,0,18.0,19.18,37.18,3.0,34.18,0.0,0.72,0.51,0,0,0,0,2022-06-30
RX0000013004,MBR00000358,2022-01-10,2022-01-11,1220246693,1869497928,PLN5584,667203,PCN748,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,0,Mail Order,0,0,0,9.0,1.61,10.61,6.0,4.23,0.38,0.36,0.255,0,0,0,0,2022-02-09
RX0000013005,MBR00000358,2022-12-22,2022-12-24,1656377910,1599517473,PLN8679,143923,PCN799,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,86,3,Retail,1,0,0,54.0,11.81,65.81,0.0,62.81,3.0,0.72,0.51,0,0,0,0,2023-03-22
RX0000013006,MBR00000358,2021-04-16,2021-04-17,1657404324,1308360733,PLN9731,522423,PCN182,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,7,Mail Order,0,0,0,380.0,8.03,388.03,35.0,337.95,15.08,15.2,10.7667,0,0,0,0,2021-05-16
RX0000013007,MBR00000358,2023-01-15,2023-01-19,1693702643,1227964018,PLN6721,832587,PCN415,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,86,8,Mail Order,0,0,0,66.0,4.32,70.32,4.0,62.68,3.64,0.88,0.6233,0,0,0,0,2023-04-15
RX0000013008,MBR00000358,2021-11-16,2021-11-17,1458426014,1368309922,PLN6301,199509,PCN200,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,4,Retail,0,0,0,175.0,9.57,184.57,30.0,143.8,10.77,7.0,4.9583,0,0,0,0,2021-12-16
RX0000013009,MBR00000358,2023-07-29,2023-07-30,1631877288,1804190423,PLN4991,858685,PCN984,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,96,11,Retail,0,1,0,18600.0,11.84,18611.84,153.0,17851.69,607.15,248.0,175.6667,0,0,0,0,2023-10-27
RX0000013010,MBR00000358,2022-08-08,2022-08-10,1966843000,1911651176,PLN7719,558672,PCN316,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,7,Retail,0,0,0,114.0,10.37,124.37,7.0,111.9,5.47,1.52,1.0767,1,0,0,0,2022-11-06
RX0000013011,MBR00000358,2021-04-07,2021-04-11,1908776911,1830935748,PLN4178,124787,PCN973,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,7,Retail,0,0,1,650.0,6.73,656.73,39.0,577.18,40.55,26.0,18.4167,0,0,0,0,2021-05-07
RX0000013012,MBR00000358,2022-04-19,2022-04-22,1441337478,1448533446,PLN9677,273587,PCN438,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,9,Specialty,0,0,0,2.33,20.81,23.15,6.0,17.15,0.0,0.4,0.2833,0,0,0,0,2022-04-26
RX0000013013,MBR00000358,2022-07-22,2022-07-25,1393636533,1630663809,PLN4595,103904,PCN396,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,64,8,Retail,0,0,0,28.0,3.29,31.29,4.0,25.8,1.49,0.56,0.3967,0,0,0,0,2022-09-20
RX0000013014,MBR00000358,2023-08-13,2023-08-17,1436675362,1923649947,PLN3730,520103,PCN503,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,2,Mail Order,0,0,0,750.0,4.28,754.28,37.0,665.0,52.28,30.0,21.25,0,0,0,0,2023-09-12
RX0000013015,MBR00000358,2022-06-25,2022-06-28,1767284880,1147306354,PLN6958,547724,PCN311,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,5,Retail,0,0,0,11.0,11.19,22.19,10.0,11.17,1.02,0.44,0.3117,0,0,0,0,2022-07-25
RX0000013016,MBR00000358,2023-05-14,2023-05-17,1570977732,1393509617,PLN3401,555713,PCN687,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,2,Retail,0,0,0,11.0,4.14,15.14,6.0,8.67,0.47,0.44,0.3117,0,0,0,0,2023-06-13
RX0000013017,MBR00000358,2021-12-24,2021-12-28,1575461858,1238337236,PLN5672,526907,PCN415,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,1,Retail,3,0,0,14.0,9.02,23.02,9.0,12.75,1.27,0.56,0.3967,1,0,0,0,2022-01-23
RX0000013018,MBR00000358,2022-08-10,2022-08-13,1460790740,1638351326,PLN5687,395368,PCN685,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,9,Retail,0,0,0,310.0,9.2,319.2,34.0,271.34,13.86,12.4,8.7833,0,0,0,0,2022-09-09
RX0000013019,MBR00000358,2022-03-21,2022-03-22,1799457678,1196335228,PLN5577,661149,PCN561,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,10,Retail,1,0,0,650.0,6.16,656.16,33.0,591.61,31.55,26.0,18.4167,0,0,0,0,2022-04-20
RX0000013020,MBR00000358,2023-12-17,2023-12-21,1168735945,1806777231,PLN9013,913747,PCN614,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,85,6,Specialty,0,0,0,525.0,44.74,569.74,33.0,536.74,0.0,7.0,4.9583,0,0,0,0,2024-03-16
RX0000013021,MBR00000358,2023-07-13,2023-07-15,1360674547,1513289439,PLN3471,340821,PCN708,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,64,4,Retail,0,0,0,1900.0,2.93,1902.93,34.0,1752.6,116.33,38.0,26.9167,0,0,0,0,2023-09-11
RX0000013022,MBR00000358,2021-10-15,2021-10-16,1402800639,1369685134,PLN4263,963943,PCN860,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,89,4,Specialty,0,0,0,54.0,20.72,74.72,5.0,69.72,0.0,0.72,0.51,0,0,0,0,2022-01-13
RX0000013023,MBR00000358,2021-09-23,2021-09-24,1949743953,1502239280,PLN5841,179473,PCN291,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,91,4,Specialty,1,0,0,990.0,19.9,1009.9,39.0,970.9,0.0,13.2,9.35,0,0,0,0,2021-12-22
RX0000013024,MBR00000358,2021-12-13,2021-12-14,1386199427,1624046947,PLN7247,194119,PCN788,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,84,6,Retail,2,0,0,114.0,2.44,116.44,34.0,76.3,6.14,1.52,1.0767,0,0,0,0,2022-03-13
RX0000013025,MBR00000358,2023-10-09,2023-10-13,1246455676,1780390588,PLN5181,141269,PCN957,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,54,9,Mail Order,0,0,0,570.0,5.72,575.72,33.0,510.99,31.73,11.4,8.075,0,0,0,0,2023-12-08
RX0000013026,MBR00000358,2022-04-24,2022-04-28,1896896292,1519611070,PLN3928,400417,PCN545,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,3,LTC,0,0,0,12.0,6.91,18.91,4.0,13.82,1.09,0.48,0.34,0,0,0,0,2022-05-24
RX0000013027,MBR00000358,2022-08-15,2022-08-17,1419919614,1319564276,PLN4466,447869,PCN381,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,95,6,Mail Order,0,0,0,525.0,3.14,528.14,30.0,477.29,20.85,7.0,4.9583,0,0,0,0,2022-11-13
RX0000013028,MBR00000358,2022-12-21,2022-12-23,1448761925,1867661650,PLN7452,524678,PCN773,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,11,Retail,0,1,0,1.87,4.75,6.62,155.0,0.0,0.38,0.32,0.2267,0,0,0,0,2022-12-28
RX0000013029,MBR00000358,2023-01-05,2023-01-06,1801468893,1825806263,PLN4626,736556,PCN961,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,9,Mail Order,0,0,0,6.53,4.9,11.43,4.0,7.02,0.41,1.12,0.7933,0,0,0,0,2023-01-12
RX0000013030,MBR00000358,2022-05-14,2022-05-15,1380465762,1915130090,PLN1922,678237,PCN371,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,56,1,Retail,0,0,0,20.0,7.75,27.75,4.0,22.64,1.11,0.4,0.2833,0,0,0,0,2022-07-13
RX0000013031,MBR00000358,2023-05-19,2023-05-23,1561402938,1464813820,PLN7915,667341,PCN265,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,5,Retail,0,0,0,12.5,11.93,24.43,4.0,19.23,1.2,0.5,0.3542,0,0,0,0,2023-06-18
RX0000013032,MBR00000358,2021-02-21,2021-02-23,1100273410,1293089404,PLN6231,876138,PCN734,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,4,Mail Order,0,0,0,38.0,7.28,45.28,34.0,9.6,1.68,1.52,1.0767,0,0,0,0,2021-03-23
RX0000013033,MBR00000358,2023-06-30,2023-07-04,1956726779,1807522743,PLN9536,811614,PCN171,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,11,Retail,0,0,1,18.0,9.41,27.41,0.0,26.4,1.01,0.72,0.51,0,0,0,0,2023-07-30
RX0000013034,MBR00000358,2021-07-05,2021-07-06,1970009364,1830186870,PLN3906,752545,PCN392,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,97,5,Retail,1,0,0,30.0,9.7,39.7,1.0,36.05,2.65,0.4,0.2833,1,0,0,0,2021-10-03
RX0000013035,MBR00000358,2023-06-01,2023-06-05,1450939869,1175322786,PLN8669,596575,PCN500,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,9,Retail,0,0,0,7.5,11.6,19.1,4.0,14.4,0.7,0.3,0.2125,0,0,0,0,2023-07-01
RX0000013036,MBR00000358,2023-02-18,2023-02-22,1660540363,1522802867,PLN3984,321736,PCN915,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,5,Retail,0,1,0,2800.0,1.88,2801.88,148.0,2533.39,120.49,112.0,79.3333,1,0,0,0,2023-03-20
RX0000013037,MBR00000358,2023-06-29,2023-06-30,1517394379,1827025749,PLN7448,893956,PCN283,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,3,Retail,0,0,0,320.0,9.29,329.29,37.0,277.45,14.84,12.8,9.0667,0,0,0,0,2023-07-29
RX0000013038,MBR00000358,2023-06-13,2023-06-15,1682440578,1544907705,PLN4823,355852,PCN118,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,83,5,Retail,0,0,0,36.0,6.01,42.01,6.0,34.55,1.46,0.48,0.34,0,0,0,0,2023-09-11
RX0000013039,MBR00000358,2021-12-24,2021-12-28,1513203603,1199567652,PLN5669,343308,PCN783,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,2,Retail,0,0,0,320.0,7.82,327.82,33.0,281.36,13.46,12.8,9.0667,0,0,0,0,2022-01-23
RX0000013040,MBR00000359,2021-06-05,2021-06-09,1184673520,1253823649,PLN2067,357417,PCN712,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,0,Mail Order,0,0,0,22.0,2.59,24.59,71.0,0.0,1.67,0.88,0.6233,0,0,0,0,2021-07-05
RX0000013041,MBR00000359,2023-10-20,2023-10-21,1423121329,1538871173,PLN3960,136708,PCN519,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,0,Specialty,0,0,0,310.0,27.09,337.09,39.0,298.09,0.0,12.4,8.7833,0,0,0,0,2023-11-19
RX0000013042,MBR00000359,2022-06-02,2022-06-03,1611792144,1552899946,PLN7226,526473,PCN690,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,95,9,Mail Order,0,0,0,54.0,3.69,57.69,5.0,50.54,2.15,0.72,0.51,0,0,0,0,2022-08-31
RX0000013043,MBR00000359,2023-08-08,2023-08-12,1554905768,1808057709,PLN9031,196900,PCN712,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,3,Retail,0,0,0,18.0,3.47,21.47,2.0,18.17,1.3,0.72,0.51,0,0,0,0,2023-09-07
RX0000013044,MBR00000359,2023-08-22,2023-08-26,1645782262,1516275183,PLN5166,221608,PCN636,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,6,Retail,0,1,0,12.0,8.08,20.08,151.0,0.0,1.23,0.48,0.34,1,0,0,0,2023-09-21
RX0000013045,MBR00000359,2022-03-17,2022-03-20,1876258087,1489279694,PLN8756,982092,PCN839,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,7,Retail,0,0,0,12.0,6.56,18.56,1.0,16.37,1.19,0.48,0.34,0,0,0,0,2022-04-16
RX0000013046,MBR00000359,2023-07-24,2023-07-26,1149441038,1173324350,PLN2055,872295,PCN309,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,5,Retail,0,0,0,15.0,6.21,21.21,6.0,14.04,1.17,0.6,0.425,0,0,0,0,2023-08-23
RX0000013047,MBR00000359,2021-01-07,2021-01-10,1334779244,1938410752,PLN8220,713678,PCN693,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,2,Specialty,0,0,0,650.0,8.59,658.59,35.0,623.59,0.0,26.0,18.4167,1,0,0,0,2021-02-06
RX0000013048,MBR00000359,2021-07-18,2021-07-22,1417438820,1148632723,PLN9367,770800,PCN951,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,55,9,Retail,0,1,0,24.0,5.65,29.65,145.0,0.0,1.8,0.48,0.34,0,0,0,0,2021-09-16
RX0000013049,MBR00000359,2022-05-25,2022-05-27,1778849291,1166790982,PLN7858,599756,PCN158,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,94,1,Retail,0,0,0,36.0,2.45,38.45,10.0,25.86,2.59,0.48,0.34,1,0,0,0,2022-08-23
RX0000013050,MBR00000359,2021-05-28,2021-05-30,1178580541,1383215947,PLN1387,476727,PCN399,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,7,Retail,0,0,0,7.5,9.28,16.78,3.0,12.95,0.83,0.3,0.2125,0,0,0,0,2021-06-27
RX0000013051,MBR00000359,2022-06-27,2022-06-28,1409621196,1945591368,PLN1289,580464,PCN361,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,64,5,Retail,0,0,0,960.0,11.09,971.09,32.0,873.46,65.63,19.2,13.6,0,0,0,0,2022-08-26
RX0000013052,MBR00000359,2021-10-29,2021-10-31,1438737972,1343438521,PLN9552,877460,PCN936,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,82,4,Retail,0,0,0,36.0,6.35,42.35,6.0,33.49,2.86,0.48,0.34,0,0,0,0,2022-01-27
RX0000013053,MBR00000359,2022-11-15,2022-11-19,1795876954,1867239517,PLN9925,254533,PCN689,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,0,Mail Order,0,0,0,14.0,4.83,18.83,7.0,11.14,0.69,0.56,0.3967,0,0,0,0,2022-12-15
RX0000013054,MBR00000359,2022-11-14,2022-11-18,1921100348,1274827329,PLN8671,679534,PCN251,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,93,4,Mail Order,0,0,0,930.0,6.85,936.85,30.0,866.44,40.41,12.4,8.7833,0,0,0,0,2023-02-12
RX0000013055,MBR00000359,2023-07-11,2023-07-14,1831458451,1435806292,PLN7674,949968,PCN833,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,7,Specialty,0,0,0,18.0,25.4,43.4,7.0,36.4,0.0,0.72,0.51,1,0,0,0,2023-08-10
RX0000013056,MBR00000359,2022-09-05,2022-09-07,1166259853,1908781507,PLN6189,475402,PCN891,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,10,Retail,0,0,0,9.0,11.36,20.36,10.0,9.22,1.14,0.36,0.255,0,0,0,0,2022-10-05
RX0000013057,MBR00000359,2021-04-23,2021-04-27,1447285102,1755368657,PLN8485,394894,PCN228,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,8,Retail,0,0,0,7.5,4.93,12.43,10.0,1.76,0.67,0.3,0.2125,0,1,0,0,2021-05-23
RX0000013058,MBR00000359,2022-05-07,2022-05-08,1183910419,1732935954,PLN7509,247097,PCN636,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,7,Retail,0,0,0,10.0,11.43,21.43,2.0,18.41,1.02,0.4,0.2833,0,0,0,0,2022-06-06
RX0000013059,MBR00000359,2022-11-26,2022-11-27,1376974938,1366195956,PLN9607,774604,PCN267,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,10,Retail,0,0,0,18.0,1.65,19.65,37.0,0.0,0.72,0.72,0.51,0,0,0,0,2022-12-26
RX0000013060,MBR00000359,2023-03-22,2023-03-23,1368306539,1536492000,PLN4565,146566,PCN856,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,95,1,Retail,0,0,0,195.0,10.99,205.99,35.0,158.99,12.0,2.6,1.8417,0,0,0,0,2023-06-20
RX0000013061,MBR00000359,2021-04-05,2021-04-06,1674903192,1606759413,PLN7543,759779,PCN543,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,3,Retail,0,1,0,8500.0,9.25,8509.25,149.0,7842.75,517.5,340.0,240.8333,0,1,1,0,2021-05-05
RX0000013062,MBR00000359,2023-09-20,2023-09-24,1759889454,1503610343,PLN8050,964924,PCN752,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,95,1,Retail,0,0,0,30.0,3.12,33.12,4.0,27.44,1.68,0.4,0.2833,0,0,0,0,2023-12-19
RX0000013063,MBR00000359,2022-07-26,2022-07-28,1380378813,1810827269,PLN9170,716555,PCN603,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,59,10,Retail,0,0,0,22.0,9.24,31.24,10.0,20.02,1.22,0.44,0.3117,0,1,0,0,2022-09-24
RX0000013064,MBR00000359,2023-09-10,2023-09-14,1982127738,1386484248,PLN8729,437643,PCN382,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,7,Mail Order,0,0,0,14.0,3.07,17.07,5.0,11.05,1.02,0.56,0.3967,0,0,0,0,2023-10-10
RX0000013065,MBR00000359,2021-09-03,2021-09-06,1385737565,1402053041,PLN9267,860144,PCN136,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,10,Retail,0,0,0,320.0,9.6,329.6,30.0,281.51,18.09,12.8,9.0667,0,1,1,0,2021-10-03
RX0000013066,MBR00000359,2021-06-28,2021-07-02,1926825063,1965895654,PLN6095,366061,PCN568,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,11,Retail,3,0,0,43.17,7.96,51.13,40.0,9.33,1.8,7.4,5.2417,0,0,0,0,2021-07-05
RX0000013067,MBR00000359,2022-06-09,2022-06-12,1967350390,1965371575,PLN5513,404717,PCN531,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,8,Retail,0,0,0,72.33,2.31,74.64,36.0,36.32,2.32,12.4,8.7833,0,0,0,0,2022-06-16
RX0000013068,MBR00000359,2023-01-29,2023-01-30,1708644383,1298063412,PLN4783,323442,PCN169,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,4,Specialty,0,0,0,22.0,9.58,31.58,2.0,29.58,0.0,0.88,0.6233,0,0,0,0,2023-02-28
RX0000013069,MBR00000359,2021-03-26,2021-03-27,1985715713,1732479876,PLN3186,658673,PCN338,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,7,Specialty,0,0,0,22.0,37.53,59.53,67.0,0.0,0.0,0.88,0.6233,0,0,0,0,2021-04-25
RX0000013070,MBR00000359,2023-04-13,2023-04-17,1648581604,1272115171,PLN9657,754168,PCN826,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,10,Retail,0,0,0,12.0,1.98,13.98,3.0,10.4,0.58,0.48,0.34,0,0,0,0,2023-05-13
RX0000013071,MBR00000360,2021-08-04,2021-08-07,1682590396,1870546945,PLN4302,784694,PCN786,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,1,LTC,0,0,0,1.98,7.2,9.18,5.0,3.69,0.49,0.34,0.2408,0,0,0,0,2021-08-11
RX0000013072,MBR00000360,2023-07-19,2023-07-20,1302888271,1465630409,PLN8177,228329,PCN300,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,11,Mail Order,0,0,0,9.0,10.51,19.51,7.0,11.24,1.27,0.36,0.255,0,0,0,0,2023-08-18
RX0000013073,MBR00000360,2023-11-11,2023-11-14,1199534006,1866136518,PLN4477,319598,PCN317,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,9,Mail Order,0,0,0,14.0,7.79,21.79,1.0,19.3,1.49,0.56,0.3967,0,0,0,0,2023-12-11
RX0000013074,MBR00000360,2022-11-15,2022-11-19,1271161742,1783408899,PLN9046,417981,PCN129,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,88,6,Mail Order,0,0,0,36.0,9.64,45.64,3.0,40.1,2.54,0.48,0.34,0,0,0,0,2023-02-13
RX0000013075,MBR00000360,2022-04-12,2022-04-14,1854623133,1691856080,PLN6743,736337,PCN283,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,5,Specialty,0,1,0,8.0,38.33,46.33,153.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-05-12
RX0000013076,MBR00000360,2021-12-04,2021-12-06,1128250553,1473421682,PLN9355,739881,PCN888,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,0,Retail,0,1,0,12.0,6.96,18.96,153.0,0.0,1.08,0.48,0.34,0,0,0,0,2022-01-03
RX0000013077,MBR00000360,2021-02-28,2021-03-02,1106823889,1499686856,PLN6871,299411,PCN916,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,0,LTC,0,0,0,10.0,10.14,20.14,0.0,19.09,1.05,0.4,0.2833,0,0,0,0,2021-03-30
RX0000013078,MBR00000360,2022-10-16,2022-10-18,1502405317,1900803301,PLN2633,563574,PCN504,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,10,Mail Order,0,0,0,750.0,4.44,754.44,39.0,677.01,38.43,30.0,21.25,0,0,0,0,2022-11-15
RX0000013079,MBR00000360,2022-07-02,2022-07-04,1601085219,1247722800,PLN8502,926063,PCN236,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,94,7,Retail,0,0,0,54.0,6.43,60.43,7.0,51.12,2.31,0.72,0.51,0,0,0,0,2022-09-30
RX0000013080,MBR00000360,2023-04-12,2023-04-13,1825524476,1796874582,PLN3962,845032,PCN866,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,81,4,Retail,0,0,0,66.0,11.6,77.6,7.0,65.68,4.92,0.88,0.6233,0,0,0,0,2023-07-11
RX0000013081,MBR00000360,2021-04-13,2021-04-14,1901568928,1254990050,PLN9069,703215,PCN931,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,97,4,Retail,0,0,0,30.0,3.18,33.18,9.0,22.68,1.5,0.4,0.2833,0,0,0,0,2021-07-12
RX0000013082,MBR00000360,2023-07-29,2023-07-30,1708643336,1690666184,PLN6679,993382,PCN545,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,0,Mail Order,0,0,0,185.0,7.4,192.4,37.0,142.76,12.64,7.4,5.2417,0,0,0,0,2023-08-28
RX0000013083,MBR00000360,2021-11-27,2021-12-01,1454943348,1423042182,PLN1685,622671,PCN933,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,8,Retail,0,1,0,1983.33,3.6,1986.93,151.0,1763.1,72.83,340.0,240.8333,0,0,0,0,2021-12-04
RX0000013084,MBR00000360,2023-12-28,2023-12-29,1194605306,1753335045,PLN6360,475049,PCN806,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,84,0,Mail Order,0,0,0,54.0,9.84,63.84,9.0,50.48,4.36,0.72,0.51,0,0,0,0,2024-03-27
RX0000013085,MBR00000360,2021-11-19,2021-11-23,1571541750,1389550625,PLN5823,561025,PCN340,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,58,11,Retail,0,0,0,960.0,9.0,969.0,39.0,898.89,31.11,19.2,13.6,0,0,0,0,2022-01-18
RX0000013086,MBR00000360,2023-06-19,2023-06-21,1676785137,1586736943,PLN4477,736864,PCN567,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,8,Retail,0,0,0,5.13,6.38,11.52,9.0,1.82,0.7,0.88,0.6233,0,0,0,0,2023-06-26
RX0000013087,MBR00000360,2022-12-01,2022-12-03,1497317604,1672806699,PLN8392,812912,PCN686,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,4,Retail,2,0,0,950.0,5.65,955.65,34.0,890.94,30.71,38.0,26.9167,0,0,0,0,2022-12-31
RX0000013088,MBR00000360,2021-06-09,2021-06-11,1740525570,1350587219,PLN8057,464290,PCN279,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,65,3,Mail Order,0,0,0,24.0,2.79,26.79,8.0,17.9,0.89,0.48,0.34,0,1,0,0,2021-08-08
RX0000013089,MBR00000360,2022-10-19,2022-10-20,1411280596,1906437830,PLN5349,101298,PCN279,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,65,5,Retail,0,0,0,44.0,6.35,50.35,8.0,39.61,2.74,0.88,0.6233,1,0,0,0,2022-12-18
RX0000013090,MBR00000360,2021-05-12,2021-05-15,1419071894,1521048092,PLN6363,135935,PCN922,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,90,1,Retail,0,0,0,48.0,6.23,54.23,4.0,47.59,2.64,0.64,0.4533,0,0,0,0,2021-08-10
RX0000013091,MBR00000360,2021-03-01,2021-03-03,1880224355,1853258938,PLN1585,117819,PCN566,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,9,Mail Order,0,0,0,2.1,6.08,8.18,4.0,3.93,0.25,0.36,0.255,0,0,0,0,2021-03-08
RX0000013092,MBR00000360,2023-12-21,2023-12-25,1706655449,1219871518,PLN2341,923481,PCN687,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,4,Retail,3,0,0,195.0,10.21,205.21,40.0,156.23,8.98,2.6,1.8417,1,0,0,0,2024-03-20
RX0000013093,MBR00000360,2023-05-20,2023-05-23,1786962362,1137699063,PLN1881,389186,PCN121,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,1,Retail,0,0,0,185.0,3.39,188.39,31.0,150.39,7.0,7.4,5.2417,0,0,0,0,2023-06-19
RX0000013094,MBR00000360,2023-05-21,2023-05-22,1841390715,1178109364,PLN3284,672212,PCN618,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,1,Retail,0,0,0,45.0,3.88,48.88,7.0,38.98,2.9,0.6,0.425,1,0,0,0,2023-08-19
RX0000013095,MBR00000360,2021-10-12,2021-10-14,1652877848,1729951440,PLN3532,228983,PCN109,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,82,5,Specialty,0,0,0,855.0,42.84,897.84,31.0,866.84,0.0,11.4,8.075,0,0,0,0,2022-01-10
RX0000013096,MBR00000360,2022-09-21,2022-09-22,1926836168,1589003557,PLN2399,862687,PCN105,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,8,Mail Order,0,0,0,320.0,8.13,328.13,39.0,274.78,14.35,12.8,9.0667,0,0,0,0,2022-10-21
RX0000013097,MBR00000360,2022-03-12,2022-03-16,1524982833,1474180067,PLN9896,659618,PCN551,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,11,Mail Order,0,1,0,2800.0,6.99,2806.99,152.0,2514.29,140.7,112.0,79.3333,1,0,0,0,2022-04-11
RX0000013098,MBR00000360,2023-07-30,2023-07-31,1949590082,1476675886,PLN9545,426659,PCN296,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,86,0,Mail Order,0,0,0,54.0,8.16,62.16,39.0,20.37,2.79,0.72,0.51,0,0,0,0,2023-10-28
RX0000013099,MBR00000360,2021-07-02,2021-07-05,1967525988,1987991629,PLN5253,909607,PCN250,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,89,0,Retail,0,0,0,30.0,8.08,38.08,10.0,26.82,1.26,0.4,0.2833,0,0,0,0,2021-09-30
RX0000013100,MBR00000360,2021-11-14,2021-11-16,1969033471,1552871067,PLN6840,830048,PCN223,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,89,6,Specialty,0,0,0,30.0,20.83,50.83,5.0,45.83,0.0,0.4,0.2833,0,0,0,0,2022-02-12
RX0000013101,MBR00000360,2023-10-17,2023-10-20,1118598477,1843975558,PLN1791,636899,PCN823,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,11,Mail Order,0,0,0,8.5,9.95,18.45,6.0,11.55,0.9,0.34,0.2408,0,0,0,0,2023-11-16
RX0000013102,MBR00000360,2021-09-23,2021-09-26,1108441393,1430198376,PLN5651,452774,PCN899,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,8,Retail,0,0,0,750.0,4.47,754.47,35.0,691.39,28.08,30.0,21.25,0,0,0,0,2021-10-23
RX0000013103,MBR00000360,2023-03-18,2023-03-20,1294345866,1672652388,PLN2934,695102,PCN208,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,5,Retail,0,0,0,855.0,1.57,856.57,37.0,790.1,29.47,11.4,8.075,0,0,0,0,2023-06-16
RX0000013104,MBR00000360,2022-01-25,2022-01-29,1159757577,1687696619,PLN2337,154921,PCN569,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,5,Retail,0,0,0,18.0,8.92,26.92,5.0,20.33,1.59,0.72,0.51,0,0,0,0,2022-02-24
RX0000013105,MBR00000360,2022-11-23,2022-11-26,1368996659,1362880561,PLN8566,806919,PCN773,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,0,Retail,0,0,0,18.0,10.42,28.42,2.0,24.89,1.53,0.72,0.51,0,0,0,0,2022-12-23
RX0000013106,MBR00000360,2022-02-16,2022-02-18,1546776129,1950844514,PLN2686,232542,PCN668,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,97,11,Retail,0,0,0,27.0,3.07,30.07,9.0,19.39,1.68,0.36,0.255,0,0,0,0,2022-05-17
RX0000013107,MBR00000360,2021-05-31,2021-06-02,1395544062,1308575755,PLN6020,264230,PCN830,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,8,Retail,0,0,0,9.0,9.02,18.02,2.0,14.86,1.16,0.36,0.255,0,0,0,0,2021-06-30
RX0000013108,MBR00000360,2021-03-05,2021-03-08,1327652523,1525457725,PLN7207,714009,PCN116,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,7,Retail,0,0,0,10.0,4.21,14.21,7.0,6.39,0.82,0.4,0.2833,0,0,0,0,2021-04-04
RX0000013109,MBR00000360,2023-03-07,2023-03-08,1951966799,1380804423,PLN9982,760721,PCN453,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,8,Retail,0,0,0,2.8,7.89,10.69,8.0,2.35,0.34,0.48,0.34,0,0,0,0,2023-03-14
RX0000013110,MBR00000360,2022-08-18,2022-08-19,1394543993,1295827646,PLN1789,252850,PCN511,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,9,Retail,0,0,0,10.0,9.58,19.58,9.0,9.63,0.95,0.4,0.2833,0,0,0,0,2022-09-17
RX0000013111,MBR00000360,2021-10-09,2021-10-12,1207291302,1783555385,PLN8238,149670,PCN209,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,55,10,Specialty,2,0,0,22.0,24.08,46.08,5.0,41.08,0.0,0.44,0.3117,0,0,0,0,2021-12-08
RX0000013112,MBR00000361,2023-10-26,2023-10-28,1871356536,1126508203,PLN8483,259025,PCN337,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,0,Retail,3,0,0,12.0,2.56,14.56,7.0,6.56,1.0,0.48,0.34,0,0,0,0,2023-11-25
RX0000013113,MBR00000361,2023-10-24,2023-10-26,1969751006,1636924617,PLN4941,592033,PCN330,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,11,Retail,0,1,0,8.0,6.15,14.15,153.0,0.0,0.52,0.32,0.2267,0,1,1,0,2023-11-23
RX0000013114,MBR00000361,2023-10-13,2023-10-16,1467878681,1390865467,PLN4994,693642,PCN844,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,93,0,Retail,0,0,0,36.0,4.24,40.24,2.0,36.06,2.18,0.48,0.34,0,0,0,0,2024-01-11
RX0000013115,MBR00000361,2023-08-16,2023-08-20,1318276047,1777270490,PLN6506,123305,PCN950,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,60,9,Specialty,0,0,0,28.0,36.74,64.74,7.0,57.74,0.0,0.56,0.3967,0,0,0,0,2023-10-15
RX0000013116,MBR00000361,2022-08-31,2022-09-02,1842906934,1436417594,PLN8683,962289,PCN985,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,5,Specialty,0,0,0,285.0,38.06,323.06,34.0,289.06,0.0,11.4,8.075,0,0,0,0,2022-09-30
RX0000013117,MBR00000361,2023-07-14,2023-07-16,1782882708,1325656053,PLN3078,461871,PCN966,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,1,Retail,0,1,0,6200.0,5.89,6205.89,149.0,5728.44,328.45,248.0,175.6667,0,0,0,0,2023-08-13
RX0000013118,MBR00000361,2022-06-22,2022-06-24,1396565196,1875476021,PLN8697,373117,PCN475,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,4,Retail,3,0,0,2.1,9.16,11.26,5.0,5.7,0.56,0.36,0.255,0,0,0,0,2022-06-29
RX0000013119,MBR00000361,2021-08-10,2021-08-14,1132695858,1597337441,PLN3545,175120,PCN407,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,8,Retail,0,0,0,10.0,3.31,13.31,1.0,11.46,0.85,0.4,0.2833,0,0,0,0,2021-09-09
RX0000013120,MBR00000361,2023-05-12,2023-05-14,1819132629,1485656483,PLN5806,663444,PCN695,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,10,Retail,0,0,0,11.0,11.03,22.03,2.0,19.16,0.87,0.44,0.3117,0,0,0,0,2023-06-11
RX0000013121,MBR00000361,2023-10-07,2023-10-09,1792555662,1146810322,PLN7437,320898,PCN754,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,2,Mail Order,0,0,0,22.0,5.65,27.65,4.0,21.81,1.84,0.88,0.6233,0,0,0,0,2023-11-06
RX0000013122,MBR00000361,2021-02-27,2021-03-02,1377640381,1331009447,PLN8867,798067,PCN620,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,5,Retail,0,0,0,65.0,8.96,73.96,40.0,30.33,3.63,2.6,1.8417,0,0,0,0,2021-03-29
RX0000013123,MBR00000361,2022-02-11,2022-02-12,1937732278,1482498671,PLN6967,593096,PCN735,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,0,Retail,0,0,0,10.0,7.94,17.94,1.0,15.9,1.04,0.4,0.2833,0,0,0,0,2022-03-13
RX0000013124,MBR00000361,2022-09-09,2022-09-13,1969182399,1483997498,PLN3635,769528,PCN787,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,84,4,Retail,0,0,0,54.0,2.78,56.78,8.0,45.94,2.84,0.72,0.51,0,0,0,0,2022-12-08
RX0000013125,MBR00000361,2023-06-07,2023-06-10,1744318400,1222488668,PLN6987,358522,PCN622,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,0,Retail,0,0,0,2.8,11.93,14.73,7.0,6.84,0.89,0.48,0.34,0,0,0,0,2023-06-14
RX0000013126,MBR00000361,2023-02-14,2023-02-16,1195912202,1491014523,PLN3423,365117,PCN342,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,8,Retail,0,0,0,18.0,4.38,22.38,3.0,18.03,1.35,0.72,0.51,0,0,0,0,2023-03-16
RX0000013127,MBR00000361,2023-05-15,2023-05-19,1555337735,1113296746,PLN3462,539787,PCN988,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,54,3,Retail,0,0,0,660.0,4.55,664.55,34.0,590.38,40.17,13.2,9.35,0,0,0,0,2023-07-14
RX0000013128,MBR00000361,2021-01-28,2021-02-01,1817244095,1964085161,PLN3336,336430,PCN771,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,3,Retail,0,1,0,8.0,9.65,17.65,148.0,0.0,1.03,0.32,0.2267,0,0,0,0,2021-02-27
RX0000013129,MBR00000361,2021-12-03,2021-12-05,1358674985,1141140451,PLN1315,948522,PCN361,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,65,11,Specialty,0,0,0,20.0,24.94,44.94,2.0,42.94,0.0,0.4,0.2833,0,0,0,0,2022-02-01
RX0000013130,MBR00000361,2021-02-22,2021-02-24,1556536989,1247759200,PLN5616,205788,PCN145,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,5,Mail Order,0,0,0,9.0,3.77,12.77,1.0,11.3,0.47,0.36,0.255,0,0,0,0,2021-03-24
RX0000013131,MBR00000361,2022-03-04,2022-03-07,1450267273,1342758254,PLN4326,282293,PCN589,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,11,Retail,0,0,0,2.1,4.72,6.82,1.0,5.51,0.31,0.36,0.255,0,0,0,0,2022-03-11
RX0000013132,MBR00000361,2022-04-21,2022-04-22,1261151223,1232077883,PLN3633,441329,PCN713,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,86,3,Retail,0,0,0,48.0,3.41,51.41,5.0,42.89,3.52,0.64,0.4533,0,1,0,0,2022-07-20
RX0000013133,MBR00000361,2022-02-07,2022-02-09,1308004568,1566811142,PLN4500,351907,PCN951,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,10,Retail,0,0,0,12.0,2.47,14.47,8.0,5.46,1.01,0.48,0.34,0,0,0,0,2022-03-09
RX0000013134,MBR00000361,2022-04-16,2022-04-17,1763886288,1597493273,PLN3348,426727,PCN474,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,4,Specialty,0,0,0,18.0,48.11,66.11,7.0,59.11,0.0,0.72,0.51,0,0,0,0,2022-05-16
RX0000013135,MBR00000361,2023-03-11,2023-03-12,1714912669,1911111944,PLN1812,653257,PCN209,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,8,Mail Order,0,0,0,38.0,6.97,44.97,32.0,10.56,2.41,1.52,1.0767,0,0,0,0,2023-04-10
RX0000013136,MBR00000361,2022-03-01,2022-03-05,1282492725,1298175497,PLN8876,331105,PCN629,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,2,Retail,0,1,0,653.33,9.22,662.56,155.0,469.5,38.06,112.0,79.3333,0,0,0,0,2022-03-08
RX0000013137,MBR00000361,2023-11-06,2023-11-08,1572744243,1539824299,PLN5023,429574,PCN739,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,9,Mail Order,0,0,0,4.2,2.91,7.11,37.0,0.0,0.44,0.72,0.51,0,0,0,0,2023-11-13
RX0000013138,MBR00000361,2021-03-13,2021-03-15,1343090139,1191601966,PLN9189,851600,PCN493,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,98,7,Retail,0,0,0,1440.0,5.33,1445.33,33.0,1317.4,94.93,19.2,13.6,0,0,0,0,2021-06-11
RX0000013139,MBR00000361,2023-05-01,2023-05-02,1814517460,1421319262,PLN8617,280337,PCN334,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,82,10,Retail,0,0,0,1110.0,2.42,1112.42,30.0,1036.17,46.25,14.8,10.4833,0,0,0,0,2023-07-30
RX0000013140,MBR00000361,2022-11-16,2022-11-20,1973749819,1218893331,PLN8683,310779,PCN398,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,63,8,Mail Order,0,0,0,32.0,2.66,34.66,2.0,31.53,1.13,0.64,0.4533,0,0,0,0,2023-01-15
RX0000013141,MBR00000361,2021-07-01,2021-07-04,1525777602,1820166625,PLN4552,335876,PCN137,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,57,10,Specialty,0,0,0,1900.0,12.82,1912.82,36.0,1876.82,0.0,38.0,26.9167,0,0,0,0,2021-08-30
RX0000013142,MBR00000361,2022-03-23,2022-03-27,1523363071,1935176883,PLN6642,683708,PCN770,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,1,Retail,2,0,0,66.5,2.67,69.17,37.0,27.43,4.74,11.4,8.075,1,0,0,0,2022-03-30
RX0000013143,MBR00000361,2023-08-23,2023-08-25,1393803053,1245236779,PLN3234,421723,PCN145,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,86,5,Retail,1,1,0,8400.0,10.33,8410.33,153.0,7747.29,510.04,112.0,79.3333,0,0,0,0,2023-11-21
RX0000013144,MBR00000361,2021-12-26,2021-12-27,1140447633,1475298212,PLN9881,153137,PCN196,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,97,6,Retail,2,0,0,555.0,10.54,565.54,38.0,491.25,36.29,7.4,5.2417,0,0,0,0,2022-03-26
RX0000013145,MBR00000361,2021-07-18,2021-07-20,1451467725,1272268874,PLN4356,659423,PCN930,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,0,Retail,0,0,0,10.0,8.22,18.22,9.0,8.52,0.7,0.4,0.2833,0,0,0,0,2021-08-17
RX0000013146,MBR00000361,2021-08-20,2021-08-24,1480566020,1974252432,PLN9785,634654,PCN401,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,58,0,Specialty,0,0,0,350.0,21.27,371.27,35.0,336.27,0.0,7.0,4.9583,0,0,0,0,2021-10-19
RX0000013147,MBR00000361,2022-08-30,2022-08-31,1234355997,1929516217,PLN1536,423293,PCN822,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,5,Retail,0,1,0,8500.0,3.03,8503.03,153.0,7923.04,426.99,340.0,240.8333,0,0,0,0,2022-09-29
RX0000013148,MBR00000361,2023-10-11,2023-10-14,1128362262,1592381582,PLN9208,771755,PCN357,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,8,Mail Order,0,0,0,5.13,11.87,17.01,4.0,12.37,0.64,0.88,0.6233,0,0,0,0,2023-10-18
RX0000013149,MBR00000361,2023-05-05,2023-05-08,1547955357,1564148359,PLN5782,290707,PCN943,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,81,4,Specialty,0,0,0,30.0,38.42,68.42,1.0,67.42,0.0,0.4,0.2833,0,0,0,0,2023-08-03
RX0000013150,MBR00000361,2022-03-22,2022-03-24,1333670941,1223148141,PLN5601,269066,PCN729,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,91,6,Retail,3,0,0,54.0,4.64,58.64,7.0,48.38,3.26,0.72,0.51,0,0,0,0,2022-06-20
RX0000013151,MBR00000361,2023-07-03,2023-07-05,1984837928,1919731000,PLN7902,702966,PCN490,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,6,Retail,0,0,0,1.98,4.93,6.91,5.0,1.43,0.48,0.34,0.2408,0,0,0,0,2023-07-10
RX0000013152,MBR00000361,2023-06-21,2023-06-24,1433364982,1117469731,PLN9868,104365,PCN659,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,84,5,Mail Order,0,0,0,27.0,3.77,30.77,7.0,21.96,1.81,0.36,0.255,0,0,0,0,2023-09-19
RX0000013153,MBR00000361,2023-07-14,2023-07-15,1759932129,1555453584,PLN2349,441496,PCN963,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,3,Mail Order,0,0,0,18.0,8.15,26.15,10.0,15.02,1.13,0.72,0.51,0,0,0,0,2023-08-13
RX0000013154,MBR00000361,2022-03-10,2022-03-12,1188138479,1361876967,PLN9356,471726,PCN235,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,3,Mail Order,0,0,0,480.0,10.57,490.57,33.0,435.14,22.43,19.2,13.6,0,0,0,0,2022-04-09
RX0000013155,MBR00000361,2021-08-27,2021-08-30,1718601499,1962478624,PLN8154,871610,PCN346,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,8,Specialty,0,0,1,14.0,18.69,32.69,10.0,22.69,0.0,0.56,0.3967,0,0,0,0,2021-09-26
RX0000013156,MBR00000361,2021-12-09,2021-12-10,1741577389,1871405670,PLN8999,246641,PCN341,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,0,LTC,0,0,0,66.5,2.03,68.53,37.0,27.61,3.92,11.4,8.075,0,0,0,0,2021-12-16
RX0000013157,MBR00000361,2021-01-18,2021-01-21,1386612384,1704447789,PLN5624,270974,PCN902,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,1,Retail,0,0,0,221.67,3.57,225.24,33.0,180.27,11.97,38.0,26.9167,0,0,0,0,2021-01-25
RX0000013158,MBR00000361,2021-09-23,2021-09-26,1716604305,1929570034,PLN1578,989455,PCN773,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,98,7,Retail,0,0,0,42.0,6.92,48.92,10.0,37.33,1.59,0.56,0.3967,0,0,0,0,2021-12-22
RX0000013159,MBR00000361,2022-01-30,2022-02-01,1910574272,1612123234,PLN7572,556641,PCN300,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,8,Retail,0,0,0,16.0,3.8,19.8,7.0,12.07,0.73,0.64,0.4533,0,0,0,0,2022-03-01
RX0000013160,MBR00000361,2022-09-06,2022-09-09,1534399318,1444078074,PLN5236,636432,PCN943,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,96,6,Retail,0,0,0,45.0,3.84,48.84,0.0,46.02,2.82,0.6,0.425,0,0,0,0,2022-12-05
RX0000013161,MBR00000361,2023-11-19,2023-11-22,1930671087,1267354022,PLN8925,418479,PCN811,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,86,1,Retail,0,0,0,855.0,3.08,858.08,33.0,781.12,43.96,11.4,8.075,0,0,0,0,2024-02-17
RX0000013162,MBR00000361,2021-03-05,2021-03-09,1723221373,1273516869,PLN3325,935165,PCN959,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,10,Retail,0,0,0,66.5,3.23,69.73,32.0,33.72,4.01,11.4,8.075,0,0,0,0,2021-03-12
RX0000013163,MBR00000361,2023-02-11,2023-02-15,1279416820,1954153194,PLN5691,928025,PCN373,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,10,Retail,0,0,0,15.0,5.4,20.4,7.0,12.03,1.37,0.6,0.425,0,0,0,0,2023-03-13
RX0000013164,MBR00000361,2023-10-30,2023-11-03,1394667821,1612148638,PLN5297,423119,PCN402,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,11,Retail,2,0,0,10.0,6.66,16.66,6.0,9.61,1.05,0.4,0.2833,0,0,0,0,2023-11-29
RX0000013165,MBR00000361,2022-09-14,2022-09-17,1576105830,1493164924,PLN9365,864721,PCN290,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,3,Retail,0,0,0,11.0,11.56,22.56,8.0,13.36,1.2,0.44,0.3117,0,1,0,0,2022-10-14
RX0000013166,MBR00000361,2022-11-07,2022-11-10,1265995427,1295128433,PLN7814,563713,PCN716,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,3,Retail,0,0,0,45.0,8.33,53.33,9.0,41.98,2.35,1.8,1.275,0,0,0,0,2022-12-07
RX0000013167,MBR00000361,2023-05-19,2023-05-20,1649836037,1143127709,PLN5940,581388,PCN503,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,4,Retail,0,0,0,14.0,10.48,24.48,2.0,21.49,0.99,0.56,0.3967,0,0,0,0,2023-06-18
RX0000013168,MBR00000361,2022-09-23,2022-09-25,1333342202,1323450475,PLN2187,308231,PCN200,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,86,11,Mail Order,0,0,0,37.5,11.07,48.57,8.0,39.0,1.57,0.5,0.3542,1,0,0,0,2022-12-22
RX0000013169,MBR00000361,2021-11-07,2021-11-08,1555733398,1212609379,PLN8928,990305,PCN988,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,5,Retail,0,0,0,7.5,5.28,12.78,3.0,9.36,0.42,0.3,0.2125,0,0,0,0,2021-12-07
RX0000013170,MBR00000361,2021-08-10,2021-08-13,1561981867,1158792105,PLN7086,521509,PCN824,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,3,Mail Order,0,0,1,3.5,3.79,7.29,4.0,2.79,0.5,0.6,0.425,0,0,0,0,2021-08-17
RX0000013171,MBR00000361,2022-05-25,2022-05-29,1217154136,1548265382,PLN6808,715386,PCN458,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,92,7,Specialty,0,1,0,36.0,19.02,55.02,155.0,0.0,0.0,0.48,0.34,0,0,0,0,2022-08-23
RX0000013172,MBR00000361,2023-08-01,2023-08-05,1561871928,1982117797,PLN4198,876527,PCN213,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,2,Retail,0,1,0,2800.0,2.96,2802.96,151.0,2473.62,178.34,112.0,79.3333,0,0,0,0,2023-08-31
RX0000013173,MBR00000361,2021-12-15,2021-12-19,1510412692,1635455001,PLN2727,723442,PCN868,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,90,0,Mail Order,0,0,0,42.0,3.15,45.15,1.0,41.07,3.08,0.56,0.3967,0,0,0,0,2022-03-15
RX0000013174,MBR00000361,2021-01-05,2021-01-09,1954827732,1365005973,PLN9896,238926,PCN154,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,3,Retail,0,0,0,380.0,3.65,383.65,38.0,320.75,24.9,15.2,10.7667,0,0,0,0,2021-02-04
RX0000013175,MBR00000362,2021-12-19,2021-12-21,1232531249,1441246792,PLN4617,433282,PCN799,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,1,Mail Order,0,0,0,18.0,8.16,26.16,33.0,0.0,0.92,0.72,0.51,0,0,0,0,2022-01-18
RX0000013176,MBR00000362,2023-01-02,2023-01-05,1577401559,1288649839,PLN4353,241839,PCN484,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,3,Retail,0,0,0,9.0,10.96,19.96,0.0,19.06,0.9,0.36,0.255,0,0,0,0,2023-02-01
RX0000013177,MBR00000362,2021-01-02,2021-01-05,1554328441,1525498087,PLN8997,953553,PCN948,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,0,Retail,0,0,0,18.0,6.8,24.8,9.0,14.69,1.11,0.72,0.51,0,0,0,0,2021-02-01
RX0000013178,MBR00000362,2023-09-02,2023-09-05,1137118509,1637582336,PLN2784,933464,PCN260,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,10,Mail Order,0,0,0,10.0,2.04,12.04,8.0,3.46,0.58,0.4,0.2833,0,0,0,0,2023-10-02
RX0000013179,MBR00000362,2022-04-01,2022-04-05,1686540283,1800178485,PLN2760,950354,PCN902,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,8,Retail,1,0,0,15.0,10.25,25.25,9.0,14.83,1.42,0.6,0.425,0,0,0,0,2022-05-01
RX0000013180,MBR00000362,2023-07-04,2023-07-06,1367226668,1434274010,PLN7204,354097,PCN111,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,3,0,0,320.0,1.54,321.54,32.0,271.48,18.06,12.8,9.0667,1,0,0,0,2023-08-03
RX0000013181,MBR00000362,2023-05-05,2023-05-07,1325937011,1116651019,PLN5687,559090,PCN168,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,3,Retail,0,0,0,10.0,9.23,19.23,10.0,8.14,1.09,0.4,0.2833,0,0,0,0,2023-06-04
RX0000013182,MBR00000362,2022-05-01,2022-05-05,1786777920,1444313936,PLN7491,927124,PCN336,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,6,Mail Order,0,0,0,14.0,10.73,24.73,8.0,15.87,0.86,0.56,0.3967,0,0,0,0,2022-05-31
RX0000013183,MBR00000362,2021-10-12,2021-10-13,1737639564,1794019874,PLN8138,978716,PCN696,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,89,6,Retail,0,1,0,8400.0,6.22,8406.22,149.0,7828.51,428.71,112.0,79.3333,0,0,0,0,2022-01-10
RX0000013184,MBR00000362,2021-07-17,2021-07-18,1283491900,1437163239,PLN1351,926495,PCN620,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,4,Retail,0,0,0,22.0,11.46,33.46,9.0,22.58,1.88,0.88,0.6233,0,0,0,0,2021-08-16
RX0000013185,MBR00000362,2022-12-11,2022-12-12,1830867223,1948891895,PLN1028,554396,PCN735,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,8,Retail,0,0,0,950.0,3.09,953.09,36.0,887.64,29.45,38.0,26.9167,0,0,0,0,2023-01-10
RX0000013186,MBR00000362,2022-10-21,2022-10-22,1227656921,1481716647,PLN2116,131608,PCN762,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,6,Specialty,0,0,0,10.0,27.73,37.73,10.0,27.73,0.0,0.4,0.2833,0,1,0,0,2022-11-20
RX0000013187,MBR00000362,2023-01-26,2023-01-30,1838611255,1795992536,PLN4233,597639,PCN749,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,2,Retail,0,0,0,11.0,1.88,12.88,4.0,8.21,0.67,0.44,0.3117,0,0,0,0,2023-02-25
RX0000013188,MBR00000362,2022-11-22,2022-11-24,1528580957,1698261568,PLN2356,206684,PCN562,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,11,Retail,0,0,0,3.27,4.52,7.79,5.0,2.42,0.37,0.56,0.3967,0,0,0,0,2022-11-29
RX0000013189,MBR00000363,2023-02-03,2023-02-05,1627019617,1233324401,PLN8791,487107,PCN745,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,55,2,Retail,0,0,0,24.0,4.41,28.41,1.0,26.29,1.12,0.48,0.34,0,0,0,0,2023-04-04
RX0000013190,MBR00000363,2021-01-06,2021-01-07,1412612034,1156661943,PLN2583,844978,PCN814,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,6,Retail,0,1,0,12.0,4.6,16.6,147.0,0.0,0.56,0.48,0.34,0,0,0,0,2021-02-05
RX0000013191,MBR00000363,2022-07-16,2022-07-20,1676194227,1217080721,PLN6517,318761,PCN613,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,98,9,Retail,0,0,0,66.0,10.2,76.2,8.0,64.82,3.38,0.88,0.6233,0,0,0,0,2022-10-14
RX0000013192,MBR00000363,2022-06-04,2022-06-08,1877641374,1797616019,PLN3614,997710,PCN267,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,85,11,Mail Order,0,0,0,27.0,3.5,30.5,2.0,27.07,1.43,0.36,0.255,0,0,0,0,2022-09-02
RX0000013193,MBR00000363,2021-02-04,2021-02-08,1650228513,1650456009,PLN5142,359568,PCN775,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,98,4,Retail,2,0,0,1140.0,4.96,1144.96,33.0,1059.62,52.34,15.2,10.7667,0,0,0,0,2021-05-05
RX0000013194,MBR00000363,2021-12-14,2021-12-17,1615078634,1662140904,PLN1694,508166,PCN126,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,5,Retail,0,0,0,320.0,9.08,329.08,30.0,284.83,14.25,12.8,9.0667,0,0,0,0,2022-01-13
RX0000013195,MBR00000363,2022-09-09,2022-09-12,1480784913,1122404074,PLN3384,108304,PCN492,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,98,11,Specialty,0,0,0,66.0,9.64,75.64,9.0,66.64,0.0,0.88,0.6233,0,0,0,0,2022-12-08
RX0000013196,MBR00000363,2021-03-20,2021-03-21,1747103090,1732289609,PLN4152,948478,PCN460,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,3,Mail Order,0,0,0,18.0,4.74,22.74,30.0,0.0,0.94,0.72,0.51,0,0,0,0,2021-04-19
RX0000013197,MBR00000363,2023-05-26,2023-05-29,1716041410,1554525405,PLN9630,519686,PCN923,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,85,11,Specialty,2,0,1,25.5,31.29,56.79,0.0,56.79,0.0,0.34,0.2408,0,0,0,0,2023-08-24
RX0000013198,MBR00000363,2021-09-23,2021-09-24,1168938299,1183859997,PLN8414,271099,PCN269,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,3,Mail Order,0,0,0,12.0,6.85,18.85,9.0,8.85,1.0,0.48,0.34,0,0,0,0,2021-10-23
RX0000013199,MBR00000363,2022-08-02,2022-08-05,1835787066,1317397259,PLN7981,866645,PCN172,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,1,Retail,0,0,0,38.0,5.44,43.44,40.0,1.1,2.34,1.52,1.0767,0,0,0,0,2022-09-01
RX0000013200,MBR00000363,2022-07-31,2022-08-02,1275554639,1579483398,PLN7252,673360,PCN477,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,82,8,Retail,0,0,0,960.0,10.66,970.66,35.0,897.83,37.83,12.8,9.0667,0,0,0,0,2022-10-29
RX0000013201,MBR00000363,2023-05-15,2023-05-16,1886314267,1898460739,PLN7870,972732,PCN652,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,3,Retail,0,0,0,310.0,6.4,316.4,34.0,269.15,13.25,12.4,8.7833,0,0,0,0,2023-06-14
RX0000013202,MBR00000363,2021-11-09,2021-11-13,1874712978,1214034247,PLN8073,533085,PCN702,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,6,Mail Order,0,0,0,175.0,4.63,179.63,36.0,137.33,6.3,7.0,4.9583,0,0,0,0,2021-12-09
RX0000013203,MBR00000363,2022-02-13,2022-02-17,1839061316,1506917619,PLN5418,951577,PCN754,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,7,Retail,1,0,0,10.0,2.2,12.2,0.0,11.69,0.51,0.4,0.2833,1,0,0,0,2022-03-15
RX0000013204,MBR00000363,2023-02-25,2023-02-28,1443703908,1493902780,PLN1998,119998,PCN833,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,1,Mail Order,0,0,0,2.33,11.0,13.33,9.0,3.44,0.89,0.4,0.2833,0,0,0,0,2023-03-04
RX0000013205,MBR00000363,2022-05-05,2022-05-06,1219354914,1422368050,PLN3902,555936,PCN385,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,7,Mail Order,2,0,1,12.0,4.7,16.7,8.0,8.06,0.64,0.48,0.34,0,0,0,0,2022-06-04
RX0000013206,MBR00000363,2021-06-29,2021-07-02,1972879406,1750162025,PLN3601,386894,PCN419,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,83,5,Retail,2,0,0,66.0,9.23,75.23,9.0,63.06,3.17,0.88,0.6233,0,0,0,0,2021-09-27
RX0000013207,MBR00000363,2022-12-21,2022-12-23,1966157992,1747591495,PLN4063,300731,PCN633,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,5,Retail,1,0,0,320.0,1.59,321.59,31.0,276.88,13.71,12.8,9.0667,0,0,0,0,2023-01-20
RX0000013208,MBR00000363,2022-11-07,2022-11-11,1662766813,1897627636,PLN7861,193034,PCN119,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,10,Specialty,0,0,0,8.5,20.69,29.19,2.0,27.19,0.0,0.34,0.2408,0,0,0,0,2022-12-07
RX0000013209,MBR00000363,2023-03-22,2023-03-26,1331161833,1534634447,PLN8713,862429,PCN833,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,84,5,Retail,0,0,0,1110.0,10.78,1120.78,35.0,1009.87,75.91,14.8,10.4833,0,0,0,0,2023-06-20
RX0000013210,MBR00000363,2021-12-08,2021-12-10,1426799001,1237009500,PLN4848,644438,PCN453,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,10,Mail Order,0,0,0,185.0,8.61,193.61,39.0,141.94,12.67,7.4,5.2417,0,0,0,0,2022-01-07
RX0000013211,MBR00000364,2022-12-07,2022-12-09,1479919386,1907983440,PLN9306,477595,PCN544,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,83,7,Specialty,0,0,0,42.0,47.13,89.13,2.0,87.13,0.0,0.56,0.3967,0,0,0,0,2023-03-07
RX0000013212,MBR00000364,2022-07-28,2022-07-30,1829449705,1855867806,PLN3037,519070,PCN549,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,7,Mail Order,0,0,0,3.27,9.28,12.54,1.0,10.72,0.82,0.56,0.3967,1,0,0,0,2022-08-04
RX0000013213,MBR00000364,2021-11-08,2021-11-11,1400715742,1630384279,PLN3368,763231,PCN655,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,54,7,Retail,0,0,0,30.0,3.52,33.52,7.0,25.34,1.18,0.6,0.425,1,0,0,0,2022-01-07
RX0000013214,MBR00000364,2023-02-04,2023-02-08,1190890427,1790323870,PLN3650,617720,PCN264,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,1,Retail,0,0,0,15.0,8.41,23.41,10.0,12.07,1.34,0.6,0.425,0,0,0,0,2023-03-06
RX0000013215,MBR00000364,2021-10-31,2021-11-04,1264429240,1241974362,PLN7017,891478,PCN195,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,0,Retail,0,0,0,3.5,10.02,13.52,0.0,12.66,0.86,0.6,0.425,0,0,0,0,2021-11-07
RX0000013216,MBR00000364,2021-12-17,2021-12-20,1189968574,1278018351,PLN4636,135522,PCN944,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,2,Retail,0,0,0,18.0,2.57,20.57,3.0,16.48,1.09,0.72,0.51,0,0,0,0,2022-01-16
RX0000013217,MBR00000364,2021-06-23,2021-06-27,1684556097,1889470477,PLN9679,561559,PCN723,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,4,Mail Order,0,0,0,45.0,2.8,47.8,9.0,36.21,2.59,1.8,1.275,0,0,0,0,2021-07-23
RX0000013218,MBR00000364,2023-03-06,2023-03-10,1814825621,1279787215,PLN8233,360791,PCN369,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,88,6,Retail,0,0,0,27.0,3.79,30.79,9.0,20.27,1.52,0.36,0.255,0,0,0,0,2023-06-04
RX0000013219,MBR00000364,2023-09-28,2023-09-29,1857718130,1388355993,PLN4082,958870,PCN259,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,5,Retail,3,0,0,112.0,5.93,117.93,34.0,79.48,4.45,19.2,13.6,0,0,0,0,2023-10-05
RX0000013220,MBR00000364,2023-05-08,2023-05-09,1210005745,1941881700,PLN3508,787141,PCN364,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,3,Specialty,0,0,0,480.0,11.91,491.91,36.0,455.91,0.0,19.2,13.6,0,0,0,0,2023-06-07
RX0000013221,MBR00000364,2021-04-21,2021-04-23,1393689071,1480023218,PLN2160,677490,PCN599,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,92,3,Retail,0,0,0,30.0,10.73,40.73,6.0,32.63,2.1,0.4,0.2833,0,0,0,0,2021-07-20
RX0000013222,MBR00000364,2022-11-02,2022-11-05,1864884550,1590879998,PLN8254,368446,PCN882,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,5,Retail,0,0,0,151.67,2.01,153.68,40.0,103.86,9.82,26.0,18.4167,0,0,0,0,2022-11-09
RX0000013223,MBR00000364,2022-07-04,2022-07-05,1417000080,1455832720,PLN1099,796870,PCN987,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,2,LTC,0,0,0,14.0,5.03,19.03,4.0,14.32,0.71,0.56,0.3967,0,0,0,0,2022-08-03
RX0000013224,MBR00000364,2022-04-24,2022-04-26,1712317607,1773859883,PLN1847,293988,PCN535,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,54,0,Retail,3,0,0,44.0,7.12,51.12,3.0,44.61,3.51,0.88,0.6233,0,0,0,0,2022-06-23
RX0000013225,MBR00000364,2022-02-24,2022-02-28,1837633097,1492527307,PLN2661,823137,PCN250,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,1,Retail,0,0,0,330.0,2.0,332.0,31.0,290.73,10.27,13.2,9.35,0,0,0,0,2022-03-26
RX0000013226,MBR00000364,2021-05-20,2021-05-23,1909541538,1844974482,PLN4769,901745,PCN287,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,10,Retail,0,0,0,310.0,3.37,313.37,32.0,259.88,21.49,12.4,8.7833,0,0,0,0,2021-06-19
RX0000013227,MBR00000364,2022-07-15,2022-07-17,1897396351,1312264112,PLN6131,444093,PCN411,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,9,Mail Order,0,0,1,10.0,5.54,15.54,7.0,7.74,0.8,0.4,0.2833,0,0,0,0,2022-08-14
RX0000013228,MBR00000364,2023-06-25,2023-06-27,1774418841,1617428222,PLN3013,954038,PCN264,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,5,Mail Order,0,0,0,10.0,6.08,16.08,3.0,12.41,0.67,0.4,0.2833,0,0,0,0,2023-07-25
RX0000013229,MBR00000365,2022-12-08,2022-12-12,1566359394,1257018346,PLN1859,223625,PCN292,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,97,2,Mail Order,0,0,0,135.0,6.56,141.56,2.0,134.55,5.01,1.8,1.275,0,0,0,0,2023-03-08
RX0000013230,MBR00000365,2021-03-07,2021-03-10,1971789961,1291236193,PLN1461,867400,PCN649,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,5,Retail,0,0,0,310.0,4.87,314.87,40.0,260.85,14.02,12.4,8.7833,0,0,0,0,2021-04-06
RX0000013231,MBR00000365,2023-08-04,2023-08-06,1585835974,1808314337,PLN3624,930991,PCN133,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,11,Mail Order,0,0,0,18.0,11.11,29.11,8.0,19.48,1.63,0.72,0.51,0,0,0,0,2023-09-03
RX0000013232,MBR00000365,2022-09-24,2022-09-26,1721749580,1827462178,PLN7320,151362,PCN342,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,5,Retail,0,1,0,8.0,6.48,14.48,147.0,0.0,0.68,0.32,0.2267,0,0,0,0,2022-10-24
RX0000013233,MBR00000365,2021-12-16,2021-12-18,1229770865,1405488665,PLN9469,903531,PCN182,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,83,10,Specialty,0,0,0,66.0,15.72,81.72,68.0,13.72,0.0,0.88,0.6233,0,0,0,0,2022-03-16
RX0000013234,MBR00000365,2021-08-17,2021-08-21,1471391576,1416784270,PLN8966,117207,PCN245,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,59,7,Retail,0,0,0,36.0,4.81,40.81,40.0,0.0,1.24,0.72,0.51,0,0,0,0,2021-10-16
RX0000013235,MBR00000365,2022-02-12,2022-02-15,1736421445,1494121627,PLN2172,566210,PCN803,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,1,Retail,0,0,0,480.0,6.75,486.75,36.0,421.78,28.97,19.2,13.6,0,0,0,0,2022-03-14
RX0000013236,MBR00000365,2021-12-08,2021-12-11,1585745409,1897308601,PLN3346,598888,PCN627,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,4,Mail Order,0,0,0,175.0,3.71,178.71,32.0,134.98,11.73,7.0,4.9583,0,0,0,0,2022-01-07
RX0000013237,MBR00000365,2022-08-13,2022-08-14,1747740424,1319201376,PLN6767,758345,PCN185,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,95,3,Retail,0,0,0,36.0,8.64,44.64,2.0,40.4,2.24,0.48,0.34,0,0,0,0,2022-11-11
RX0000013238,MBR00000365,2021-08-11,2021-08-14,1413335397,1469239404,PLN8996,324446,PCN413,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,88,8,Retail,0,0,0,1140.0,6.76,1146.76,37.0,1061.85,47.91,15.2,10.7667,0,0,0,0,2021-11-09
RX0000013239,MBR00000365,2021-06-22,2021-06-24,1829859530,1990637148,PLN1906,110284,PCN297,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,94,5,Retail,0,1,0,8400.0,4.52,8404.52,150.0,7672.11,582.41,112.0,79.3333,0,0,0,0,2021-09-20
RX0000013240,MBR00000365,2021-08-14,2021-08-15,1558739012,1328539788,PLN5603,708324,PCN773,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,0,Mail Order,0,0,0,10.0,9.3,19.3,9.0,9.47,0.83,0.4,0.2833,0,0,0,0,2021-09-13
RX0000013241,MBR00000365,2023-01-31,2023-02-01,1190313540,1677658345,PLN1192,595969,PCN540,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,86,8,Retail,0,0,0,2250.0,2.65,2252.65,33.0,2125.27,94.38,30.0,21.25,0,0,0,0,2023-05-01
RX0000013242,MBR00000365,2023-04-24,2023-04-25,1837128458,1387510931,PLN7260,688881,PCN449,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,93,11,Retail,0,0,0,30.0,2.09,32.09,2.0,28.98,1.11,0.4,0.2833,0,0,0,0,2023-07-23
RX0000013243,MBR00000365,2023-09-08,2023-09-10,1962116103,1645299158,PLN1539,706538,PCN696,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,94,3,Retail,0,0,0,27.0,5.41,32.41,8.0,23.0,1.41,0.36,0.255,0,0,0,0,2023-12-07
RX0000013244,MBR00000365,2023-06-18,2023-06-20,1825452622,1979180433,PLN5259,254977,PCN333,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,9,Mail Order,3,0,0,65.0,7.51,72.51,33.0,36.76,2.75,2.6,1.8417,0,0,0,0,2023-07-18
RX0000013245,MBR00000365,2022-05-22,2022-05-23,1162656428,1176754495,PLN5490,515613,PCN619,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,10,Retail,0,0,0,12.0,9.34,21.34,1.0,19.07,1.27,0.48,0.34,0,0,0,0,2022-06-21
RX0000013246,MBR00000365,2023-07-20,2023-07-21,1744800375,1972728217,PLN6904,951232,PCN858,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,94,1,Retail,0,0,0,1950.0,11.38,1961.38,40.0,1839.55,81.83,26.0,18.4167,0,0,0,0,2023-10-18
RX0000013247,MBR00000365,2023-10-14,2023-10-17,1400298900,1815937249,PLN7785,208766,PCN201,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,11,Specialty,0,0,1,45.0,9.49,54.49,4.0,50.49,0.0,1.8,1.275,0,0,0,0,2023-11-13
RX0000013248,MBR00000365,2023-05-23,2023-05-24,1276630576,1175260488,PLN7618,252400,PCN938,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,2,Retail,3,0,0,18.0,7.03,25.03,9.0,14.84,1.19,0.72,0.51,0,0,0,0,2023-06-22
RX0000013249,MBR00000365,2021-04-07,2021-04-09,1700137748,1458485062,PLN6343,206680,PCN197,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,1,Retail,0,0,0,650.0,7.84,657.84,36.0,592.23,29.61,26.0,18.4167,0,0,0,0,2021-05-07
RX0000013250,MBR00000365,2023-09-12,2023-09-13,1215796707,1404462351,PLN8840,797600,PCN716,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,62,4,Mail Order,0,0,0,56.0,2.83,58.83,0.0,56.15,2.68,1.12,0.7933,0,0,0,0,2023-11-11
RX0000013251,MBR00000365,2022-03-21,2022-03-24,1860335029,1657063214,PLN6342,110532,PCN769,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,6,Mail Order,0,0,0,10.0,6.44,16.44,5.0,10.77,0.67,0.4,0.2833,0,0,0,0,2022-04-20
RX0000013252,MBR00000365,2022-08-12,2022-08-16,1604384358,1868412507,PLN1837,799020,PCN620,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,7,Retail,0,0,0,9.0,9.92,18.92,6.0,11.61,1.31,0.36,0.255,0,0,0,0,2022-09-11
RX0000013253,MBR00000365,2022-06-19,2022-06-20,1299170955,1527141798,PLN7280,892515,PCN298,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,0,Retail,0,0,0,18.0,9.52,27.52,3.0,23.46,1.06,0.72,0.51,0,0,0,0,2022-07-19
RX0000013254,MBR00000365,2021-07-23,2021-07-27,1676664481,1628729092,PLN8062,302564,PCN552,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,1,Retail,0,1,0,8500.0,7.1,8507.1,151.0,7955.22,400.88,340.0,240.8333,1,0,0,0,2021-08-22
RX0000013255,MBR00000365,2023-06-22,2023-06-24,1154016202,1673222132,PLN2679,923923,PCN810,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,97,7,Retail,0,0,1,36.0,8.32,44.32,6.0,36.74,1.58,0.48,0.34,0,0,0,0,2023-09-20
RX0000013256,MBR00000365,2022-06-13,2022-06-14,1635012510,1490614010,PLN2490,199404,PCN858,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,1,Mail Order,0,0,0,7.5,4.43,11.93,1.0,10.2,0.73,0.3,0.2125,0,0,0,0,2022-07-13
RX0000013257,MBR00000365,2022-11-16,2022-11-18,1107624768,1335908598,PLN8613,207518,PCN805,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,2,Specialty,3,0,0,28.0,44.31,72.31,9.0,63.31,0.0,1.12,0.7933,0,0,0,0,2022-12-16
RX0000013258,MBR00000365,2022-10-17,2022-10-20,1600989693,1824551929,PLN3437,185620,PCN793,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,4,Retail,0,0,0,45.0,4.48,49.48,7.0,39.07,3.41,1.8,1.275,0,0,0,0,2022-11-16
RX0000013259,MBR00000365,2021-06-12,2021-06-15,1399185577,1350047002,PLN2763,737015,PCN819,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,10,Retail,0,0,0,14.0,10.89,24.89,2.0,21.2,1.69,0.56,0.3967,0,0,0,0,2021-07-12
RX0000013260,MBR00000365,2022-07-10,2022-07-12,1536647407,1576086154,PLN1279,386958,PCN410,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,1,Retail,0,0,0,310.0,10.07,320.07,33.0,264.92,22.15,12.4,8.7833,0,0,0,0,2022-08-09
RX0000013261,MBR00000365,2022-09-19,2022-09-20,1626702188,1248835561,PLN3664,543196,PCN919,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,96,0,Retail,0,0,0,135.0,8.84,143.84,0.0,136.74,7.1,1.8,1.275,0,0,0,0,2022-12-18
RX0000013262,MBR00000365,2022-05-11,2022-05-14,1713417108,1737093898,PLN6922,749329,PCN503,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,11,Retail,0,0,0,18.0,7.91,25.91,8.0,16.45,1.46,0.72,0.51,0,0,0,0,2022-06-10
RX0000013263,MBR00000365,2021-01-04,2021-01-08,1692377297,1871946861,PLN7652,587277,PCN394,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,4,Mail Order,0,1,0,2800.0,5.81,2805.81,152.0,2512.65,141.16,112.0,79.3333,0,0,0,0,2021-02-03
RX0000013264,MBR00000365,2023-05-24,2023-05-26,1495388272,1428716794,PLN6118,267595,PCN335,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,11,Retail,0,0,0,370.0,4.48,374.48,31.0,328.12,15.36,14.8,10.4833,1,1,1,0,2023-06-23
RX0000013265,MBR00000365,2023-05-16,2023-05-19,1772840213,1896172186,PLN5253,916906,PCN995,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,88,5,Retail,0,0,0,42.0,10.4,52.4,4.0,45.86,2.54,0.56,0.3967,0,0,0,0,2023-08-14
RX0000013266,MBR00000365,2022-05-17,2022-05-20,1379819619,1167670680,PLN3952,366713,PCN464,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,83,0,Mail Order,1,0,0,30.0,9.27,39.27,6.0,32.09,1.18,0.4,0.2833,0,0,0,0,2022-08-15
RX0000013267,MBR00000365,2021-11-16,2021-11-19,1408570316,1741277284,PLN8016,133701,PCN887,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,9,Retail,0,0,0,310.0,3.02,313.02,40.0,262.13,10.89,12.4,8.7833,0,0,0,0,2021-12-16
RX0000013268,MBR00000365,2023-07-05,2023-07-07,1409538189,1532518195,PLN6240,755349,PCN835,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,11,Retail,0,0,0,2.8,7.69,10.49,1.0,9.12,0.37,0.48,0.34,0,0,0,0,2023-07-12
RX0000013269,MBR00000365,2021-02-25,2021-03-01,1902632564,1605842681,PLN4000,387652,PCN194,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,3,Retail,0,0,0,15.0,10.53,25.53,6.0,17.76,1.77,0.6,0.425,0,0,0,0,2021-03-27
RX0000013270,MBR00000365,2022-05-14,2022-05-15,1538810032,1269747007,PLN9096,752869,PCN920,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,11,Retail,0,0,0,45.0,8.02,53.02,8.0,43.24,1.78,1.8,1.275,0,0,0,0,2022-06-13
RX0000013271,MBR00000365,2021-01-20,2021-01-22,1576476330,1465717776,PLN8419,822869,PCN442,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,4,Mail Order,0,0,0,10.0,3.05,13.05,1.0,11.22,0.83,0.4,0.2833,0,0,0,0,2021-02-19
RX0000013272,MBR00000365,2023-01-25,2023-01-27,1392018456,1251932720,PLN5506,957319,PCN842,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,65,0,Retail,0,0,0,350.0,1.56,351.56,31.0,304.55,16.01,7.0,4.9583,0,0,0,0,2023-03-26
RX0000013273,MBR00000365,2022-01-29,2022-01-31,1648321709,1684283780,PLN4968,351031,PCN252,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,93,10,Retail,0,0,0,66.0,3.37,69.37,66.0,0.0,4.71,0.88,0.6233,0,0,0,0,2022-04-29
RX0000013274,MBR00000365,2021-11-23,2021-11-27,1241449133,1116972381,PLN3118,373625,PCN668,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,86,1,Retail,3,0,0,36.0,6.6,42.6,4.0,37.25,1.35,0.48,0.34,1,0,0,0,2022-02-21
RX0000013275,MBR00000365,2022-07-31,2022-08-03,1667035382,1815280926,PLN3195,377818,PCN993,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,95,3,Retail,0,0,0,2850.0,11.09,2861.09,36.0,2672.98,152.11,38.0,26.9167,0,0,0,0,2022-10-29
RX0000013276,MBR00000365,2021-11-01,2021-11-03,1957236834,1284599456,PLN9691,379474,PCN738,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,6,Specialty,2,0,0,8.5,8.23,16.73,10.0,6.73,0.0,0.34,0.2408,0,0,0,0,2021-12-01
RX0000013277,MBR00000365,2022-03-09,2022-03-13,1117105746,1691559970,PLN7865,415047,PCN431,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,55,1,Retail,0,0,0,1900.0,5.27,1905.27,37.0,1775.0,93.27,38.0,26.9167,0,0,0,0,2022-05-08
RX0000013278,MBR00000365,2021-05-21,2021-05-24,1474700710,1415431972,PLN8800,482268,PCN386,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,89,7,Retail,0,0,0,135.0,6.12,141.12,7.0,126.35,7.77,1.8,1.275,0,1,0,0,2021-08-19
RX0000013279,MBR00000365,2022-11-21,2022-11-24,1294402318,1950469244,PLN3496,426459,PCN250,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,89,2,Mail Order,0,0,0,1110.0,6.77,1116.77,40.0,1017.96,58.81,14.8,10.4833,0,0,0,0,2023-02-19
RX0000013280,MBR00000365,2021-07-22,2021-07-24,1734622539,1256207537,PLN2376,499411,PCN885,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,1,Mail Order,0,0,0,380.0,10.36,390.36,39.0,328.45,22.91,15.2,10.7667,0,0,0,0,2021-08-21
RX0000013281,MBR00000365,2021-08-06,2021-08-08,1883438220,1857100399,PLN5022,402166,PCN401,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,81,4,Mail Order,0,1,0,8400.0,5.56,8405.56,153.0,7703.91,548.65,112.0,79.3333,0,0,0,0,2021-11-04
RX0000013282,MBR00000365,2021-11-27,2021-11-28,1694930789,1448234832,PLN4878,792147,PCN977,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,84,4,Retail,1,0,0,45.0,4.76,49.76,1.0,46.82,1.94,0.6,0.425,0,0,0,0,2022-02-25
RX0000013283,MBR00000366,2023-04-04,2023-04-07,1157981165,1472137279,PLN1830,364959,PCN605,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,1,Retail,0,1,0,24.0,4.39,28.39,150.0,0.0,1.39,0.32,0.2267,0,0,0,0,2023-07-03
RX0000013284,MBR00000366,2022-01-27,2022-01-30,1839685594,1211068992,PLN8371,732660,PCN509,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,3,Retail,1,0,0,45.0,8.3,53.3,7.0,44.3,2.0,1.8,1.275,0,0,0,0,2022-02-26
RX0000013285,MBR00000366,2023-09-17,2023-09-19,1106297376,1598551688,PLN2271,494067,PCN401,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,2,Retail,2,0,0,9.0,5.7,14.7,7.0,7.01,0.69,0.36,0.255,0,0,0,0,2023-10-17
RX0000013286,MBR00000366,2022-04-14,2022-04-15,1598560377,1449514368,PLN8378,548505,PCN691,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,89,0,Retail,1,0,0,1110.0,8.33,1118.33,31.0,1011.16,76.17,14.8,10.4833,0,0,0,0,2022-07-13
RX0000013287,MBR00000366,2023-04-19,2023-04-21,1249081286,1535263752,PLN8700,850247,PCN562,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,9,Retail,0,0,0,10.0,9.84,19.84,9.0,10.1,0.74,0.4,0.2833,0,0,0,0,2023-05-19
RX0000013288,MBR00000366,2023-08-11,2023-08-15,1394694466,1874161602,PLN9134,124751,PCN265,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,11,Retail,0,0,0,12.0,7.28,19.28,2.0,16.26,1.02,0.48,0.34,0,0,0,0,2023-09-10
RX0000013289,MBR00000366,2023-07-22,2023-07-24,1520128955,1767961861,PLN9081,174853,PCN375,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,1,Retail,3,0,0,12.5,6.68,19.18,7.0,11.18,1.0,0.5,0.3542,0,0,0,0,2023-08-21
RX0000013290,MBR00000366,2021-03-21,2021-03-22,1533473633,1853946395,PLN5825,128131,PCN768,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,65,5,Retail,0,0,0,740.0,4.63,744.63,36.0,658.97,49.66,14.8,10.4833,0,0,0,0,2021-05-20
RX0000013291,MBR00000366,2021-06-21,2021-06-23,1754660831,1941855464,PLN7927,214979,PCN280,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,11,Retail,3,0,0,14.0,7.54,21.54,7.0,13.03,1.51,0.56,0.3967,0,0,0,0,2021-07-21
RX0000013292,MBR00000366,2021-11-03,2021-11-06,1739308487,1184726614,PLN3134,499183,PCN429,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,10,Retail,2,0,0,175.0,8.39,183.39,36.0,139.84,7.55,7.0,4.9583,0,0,0,0,2021-12-03
RX0000013293,MBR00000366,2022-09-21,2022-09-24,1447852846,1673458971,PLN3988,939945,PCN207,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,11,Retail,0,0,0,86.33,2.72,89.05,37.0,47.91,4.14,14.8,10.4833,0,0,0,0,2022-09-28
RX0000013294,MBR00000366,2022-11-02,2022-11-04,1560868787,1661548161,PLN1748,575525,PCN662,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,9,Specialty,0,0,0,3.27,34.75,38.01,8.0,30.01,0.0,0.56,0.3967,0,0,0,0,2022-11-09
RX0000013295,MBR00000366,2022-06-15,2022-06-18,1361435688,1676186956,PLN5274,953428,PCN530,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,11,Mail Order,3,0,0,18.0,11.61,29.61,2.0,26.04,1.57,0.72,0.51,0,0,0,0,2022-07-15
RX0000013296,MBR00000366,2022-09-01,2022-09-02,1901027403,1558631042,PLN3520,569870,PCN431,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,0,Retail,0,0,0,10.0,11.53,21.53,5.0,15.73,0.8,0.4,0.2833,0,0,0,0,2022-10-01
RX0000013297,MBR00000366,2022-02-18,2022-02-19,1385117579,1826490735,PLN1310,333575,PCN656,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,90,3,Retail,0,0,0,30.0,1.55,31.55,0.0,30.13,1.42,0.4,0.2833,0,0,0,0,2022-05-19
RX0000013298,MBR00000366,2022-06-22,2022-06-23,1294292153,1176769099,PLN1294,448321,PCN280,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,6,Retail,0,0,0,12.5,3.94,16.44,8.0,7.49,0.95,0.5,0.3542,0,0,0,0,2022-07-22
RX0000013299,MBR00000366,2023-09-06,2023-09-08,1766244648,1756218611,PLN2325,476356,PCN121,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,89,2,Retail,1,0,1,54.0,3.76,57.76,6.0,48.97,2.79,0.72,0.51,0,0,0,0,2023-12-05
RX0000013300,MBR00000366,2023-05-23,2023-05-26,1529715191,1313030972,PLN8942,541890,PCN668,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,5,Retail,0,0,0,750.0,6.82,756.82,40.0,678.6,38.22,30.0,21.25,0,0,0,0,2023-06-22
RX0000013301,MBR00000366,2022-06-26,2022-06-27,1344586215,1292296432,PLN6079,686653,PCN248,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,5,Retail,0,0,0,480.0,2.17,482.17,37.0,422.7,22.47,19.2,13.6,0,0,0,0,2022-07-26
RX0000013302,MBR00000366,2021-12-19,2021-12-21,1923496394,1767033564,PLN3610,987862,PCN115,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,3,Retail,0,0,0,950.0,9.21,959.21,38.0,882.08,39.13,38.0,26.9167,0,0,0,0,2022-01-18
RX0000013303,MBR00000366,2023-07-14,2023-07-17,1594725048,1714231228,PLN8145,661247,PCN551,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,93,11,Retail,0,0,0,84.0,7.85,91.85,7.0,81.38,3.47,1.12,0.7933,0,0,0,0,2023-10-12
RX0000013304,MBR00000366,2021-07-10,2021-07-13,1531085909,1641685254,PLN4949,149074,PCN864,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,5,Specialty,2,0,0,310.0,35.95,345.95,40.0,305.95,0.0,12.4,8.7833,0,0,0,0,2021-08-09
RX0000013305,MBR00000366,2022-07-18,2022-07-19,1993641419,1139548922,PLN7373,807644,PCN594,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,9,Retail,0,0,0,22.0,2.04,24.04,68.0,0.0,1.46,0.88,0.6233,0,0,0,0,2022-08-17
RX0000013306,MBR00000366,2023-08-05,2023-08-09,1108844712,1939931627,PLN3822,484184,PCN612,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,5,LTC,0,0,0,10.0,7.38,17.38,10.0,6.43,0.95,0.4,0.2833,0,0,0,0,2023-09-04
RX0000013307,MBR00000366,2022-11-04,2022-11-06,1140107510,1143124267,PLN7083,602173,PCN244,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,98,7,Retail,0,0,0,22.5,11.36,33.86,2.0,30.66,1.2,0.3,0.2125,0,0,0,0,2023-02-02
RX0000013308,MBR00000366,2022-07-23,2022-07-24,1650751106,1472758183,PLN6174,607866,PCN287,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,0,Mail Order,0,0,0,2.1,5.96,8.06,0.0,7.6,0.46,0.36,0.255,0,0,0,0,2022-07-30
RX0000013309,MBR00000366,2023-07-05,2023-07-06,1266354962,1612372379,PLN4177,397942,PCN846,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,0,Retail,0,0,0,310.0,8.96,318.96,40.0,259.0,19.96,12.4,8.7833,0,0,0,0,2023-08-04
RX0000013310,MBR00000366,2023-02-11,2023-02-14,1204390495,1695660598,PLN4216,762750,PCN708,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,9,Retail,0,0,0,3.73,2.81,6.54,2.0,4.18,0.36,0.64,0.4533,0,0,0,0,2023-02-18
RX0000013311,MBR00000366,2022-11-17,2022-11-18,1254968293,1594981031,PLN2069,665515,PCN829,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,63,5,Specialty,0,0,0,1900.0,41.21,1941.21,40.0,1901.21,0.0,38.0,26.9167,0,0,0,0,2023-01-16
RX0000013312,MBR00000366,2021-07-04,2021-07-05,1616268364,1389495012,PLN8957,815094,PCN908,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,5,Specialty,0,0,0,310.0,18.8,328.8,40.0,288.8,0.0,12.4,8.7833,0,0,0,0,2021-08-03
RX0000013313,MBR00000366,2021-01-25,2021-01-26,1480530538,1558729105,PLN9241,710743,PCN227,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,4,Retail,0,0,0,2.57,2.68,5.25,4.0,0.98,0.27,0.44,0.3117,0,0,0,0,2021-02-01
RX0000013314,MBR00000367,2023-09-29,2023-10-01,1703364523,1360713942,PLN6562,544101,PCN148,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,55,3,Retail,0,0,0,18.0,11.1,29.1,7.0,21.22,0.88,0.36,0.255,0,1,0,0,2023-11-28
RX0000013315,MBR00000367,2023-05-12,2023-05-14,1362025685,1928126800,PLN7895,807103,PCN238,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,98,0,Retail,0,1,0,25500.0,10.01,25510.01,145.0,24497.61,867.4,340.0,240.8333,0,0,0,0,2023-08-10
RX0000013316,MBR00000367,2023-09-29,2023-10-02,1142763599,1331711514,PLN7037,548899,PCN338,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,8,Retail,3,0,0,15.0,9.19,24.19,0.0,23.19,1.0,0.6,0.425,0,0,0,0,2023-10-29
RX0000013317,MBR00000367,2022-03-27,2022-03-28,1486808794,1454302139,PLN9316,563323,PCN221,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,58,8,Retail,0,0,0,17.0,1.73,18.73,6.0,11.88,0.85,0.34,0.2408,0,0,0,0,2022-05-26
RX0000013318,MBR00000367,2022-04-29,2022-05-01,1961120185,1166010107,PLN7002,181562,PCN744,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,1,Retail,3,0,0,14.0,7.55,21.55,0.0,20.83,0.72,0.56,0.3967,0,0,0,0,2022-05-29
RX0000013319,MBR00000367,2021-03-09,2021-03-10,1475091122,1103964647,PLN3314,747070,PCN251,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,62,3,Retail,0,0,0,90.0,9.2,99.2,7.0,87.96,4.24,1.8,1.275,0,0,0,0,2021-05-08
RX0000013320,MBR00000367,2022-03-12,2022-03-13,1466498248,1446878493,PLN6342,988596,PCN838,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,93,1,Retail,2,0,0,33.0,8.04,41.04,7.0,32.5,1.54,0.44,0.3117,0,0,0,0,2022-06-10
RX0000013321,MBR00000367,2021-03-05,2021-03-06,1856726260,1538281879,PLN1534,559107,PCN569,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,4,Retail,3,0,0,12.0,10.42,22.42,4.0,17.1,1.32,0.48,0.34,0,0,0,0,2021-04-04
RX0000013322,MBR00000367,2023-11-05,2023-11-06,1528926748,1480039700,PLN9270,581196,PCN646,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,5,Mail Order,1,0,0,38.0,11.06,49.06,7.0,39.48,2.58,1.52,1.0767,0,0,0,0,2023-12-05
RX0000013323,MBR00000367,2021-09-07,2021-09-08,1929914546,1852530553,PLN6559,434455,PCN275,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,4,Specialty,3,0,0,9.0,48.77,57.77,6.0,51.77,0.0,0.36,0.255,0,0,0,0,2021-10-07
RX0000013324,MBR00000367,2023-12-01,2023-12-04,1540110326,1526100260,PLN7575,303883,PCN235,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,55,6,Retail,0,1,0,17000.0,11.88,17011.88,148.0,15754.64,1109.24,340.0,240.8333,0,0,0,0,2024-01-30
RX0000013325,MBR00000367,2021-09-24,2021-09-28,1977119210,1766330331,PLN3177,763147,PCN729,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,9,Retail,0,0,0,15.17,6.21,21.38,30.0,0.0,1.05,2.6,1.8417,0,0,0,0,2021-10-01
RX0000013326,MBR00000367,2023-06-22,2023-06-24,1149501961,1545161267,PLN4309,358261,PCN755,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,10,Retail,0,0,0,18.0,10.91,28.91,9.0,18.6,1.31,0.72,0.51,0,0,0,0,2023-07-22
RX0000013327,MBR00000367,2022-07-18,2022-07-22,1510004272,1661812840,PLN3858,387722,PCN183,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,0,Retail,0,0,0,9.0,10.14,19.14,5.0,13.0,1.14,0.36,0.255,0,0,0,0,2022-08-17
RX0000013328,MBR00000367,2022-11-05,2022-11-08,1671045063,1573703130,PLN8705,413053,PCN321,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,63,0,Specialty,2,0,0,18.0,39.74,57.74,1.0,56.74,0.0,0.36,0.255,0,0,0,0,2023-01-04
RX0000013329,MBR00000367,2023-12-08,2023-12-09,1380293290,1863064232,PLN6501,413402,PCN476,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,9,Mail Order,0,0,0,6.53,1.81,8.35,10.0,0.0,0.31,1.12,0.7933,0,0,0,0,2023-12-15
RX0000013330,MBR00000367,2022-09-03,2022-09-04,1673643695,1869220967,PLN4027,268840,PCN136,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,8,Specialty,0,0,0,45.0,20.77,65.77,5.0,60.77,0.0,1.8,1.275,0,0,0,0,2022-10-03
RX0000013331,MBR00000367,2021-04-03,2021-04-05,1893147948,1123452479,PLN7166,462021,PCN646,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,7,Mail Order,0,0,0,2.57,4.7,7.26,8.0,0.0,0.36,0.44,0.3117,0,0,0,0,2021-04-10
RX0000013332,MBR00000367,2021-07-10,2021-07-12,1525328874,1211497679,PLN9898,949953,PCN978,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,98,1,Retail,0,0,0,54.0,3.47,57.47,40.0,14.05,3.42,0.72,0.51,0,0,0,0,2021-10-08
RX0000013333,MBR00000367,2022-09-23,2022-09-26,1308736735,1177016530,PLN3425,292054,PCN217,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,7,Retail,0,0,0,10.0,4.35,14.35,9.0,4.86,0.49,0.4,0.2833,0,0,0,0,2022-10-23
RX0000013334,MBR00000367,2022-11-09,2022-11-10,1128470428,1334750756,PLN7437,279200,PCN235,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,1,Retail,0,1,0,12.0,9.42,21.42,151.0,0.0,1.02,0.48,0.34,0,0,0,0,2022-12-09
RX0000013335,MBR00000367,2022-07-11,2022-07-14,1212792596,1985195123,PLN7498,340990,PCN410,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,83,2,Retail,0,0,0,195.0,11.35,206.35,36.0,159.67,10.68,2.6,1.8417,1,0,0,0,2022-10-09
RX0000013336,MBR00000367,2023-02-11,2023-02-14,1163347549,1630875828,PLN1580,341460,PCN608,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,95,3,Retail,2,0,0,22.5,2.52,25.02,1.0,22.9,1.12,0.3,0.2125,0,0,0,0,2023-05-12
RX0000013337,MBR00000367,2022-01-22,2022-01-26,1155522301,1533415649,PLN8298,125789,PCN357,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,98,8,Mail Order,0,0,0,48.0,3.8,51.8,1.0,48.32,2.48,0.64,0.4533,0,0,0,0,2022-04-22
RX0000013338,MBR00000367,2022-11-09,2022-11-10,1794253949,1608448558,PLN4259,594475,PCN689,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,0,Retail,0,0,0,45.0,10.42,55.42,0.0,52.57,2.85,1.8,1.275,0,0,0,0,2022-12-09
RX0000013339,MBR00000367,2023-04-24,2023-04-25,1259990471,1101315473,PLN4842,775890,PCN789,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,9,Mail Order,0,0,0,12.5,6.51,19.01,6.0,11.94,1.07,0.5,0.3542,0,0,0,0,2023-05-24
RX0000013340,MBR00000367,2022-06-19,2022-06-20,1961280943,1988744165,PLN4952,193158,PCN998,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,1,Mail Order,0,0,0,10.0,4.63,14.63,10.0,4.1,0.53,0.4,0.2833,0,0,0,0,2022-07-19
RX0000013341,MBR00000367,2022-04-03,2022-04-07,1605268797,1329926937,PLN9777,368008,PCN734,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,3,Mail Order,1,0,0,22.0,2.6,24.6,8.0,15.09,1.51,0.88,0.6233,0,0,0,0,2022-05-03
RX0000013342,MBR00000367,2021-05-09,2021-05-11,1525012991,1368300085,PLN3320,830300,PCN744,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,8,Retail,0,0,0,45.0,5.85,50.85,1.0,46.64,3.21,1.8,1.275,0,0,0,0,2021-06-08
RX0000013343,MBR00000367,2022-10-25,2022-10-27,1786038928,1700665407,PLN5954,761678,PCN967,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,86,0,Retail,0,0,0,1140.0,5.45,1145.45,40.0,1062.54,42.91,15.2,10.7667,0,0,0,0,2023-01-23
RX0000013344,MBR00000367,2022-02-17,2022-02-18,1342675985,1621180700,PLN3126,897081,PCN366,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,5,Retail,1,0,0,330.0,11.92,341.92,39.0,290.89,12.03,13.2,9.35,0,0,0,0,2022-03-19
RX0000013345,MBR00000367,2021-11-05,2021-11-09,1459315019,1941416885,PLN3194,652920,PCN760,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,9,Retail,3,0,0,65.0,9.93,74.93,40.0,32.52,2.41,2.6,1.8417,0,0,0,0,2021-12-05
RX0000013346,MBR00000367,2022-04-01,2022-04-02,1562667538,1303677760,PLN4580,341048,PCN374,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,87,8,Mail Order,0,0,0,33.0,3.98,36.98,2.0,32.94,2.04,0.44,0.3117,0,0,0,0,2022-06-30
RX0000013347,MBR00000367,2023-03-23,2023-03-26,1194715513,1548898357,PLN5228,998081,PCN149,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,9,Mail Order,0,0,0,72.33,2.78,75.11,31.0,40.07,4.04,12.4,8.7833,0,0,0,0,2023-03-30
RX0000013348,MBR00000367,2021-12-22,2021-12-26,1313522499,1149308630,PLN2162,147805,PCN145,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,4,Specialty,3,1,0,6200.0,15.06,6215.06,146.0,6069.06,0.0,248.0,175.6667,0,0,0,0,2022-01-21
RX0000013349,MBR00000367,2022-01-25,2022-01-27,1105428554,1169107147,PLN7794,547681,PCN682,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,4,Retail,0,0,0,45.0,4.12,49.12,3.0,44.03,2.09,1.8,1.275,0,0,0,0,2022-02-24
RX0000013350,MBR00000367,2022-11-28,2022-12-02,1222709234,1114321855,PLN7788,939970,PCN667,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,2,Mail Order,0,0,0,10.0,8.58,18.58,6.0,11.41,1.17,0.4,0.2833,0,0,0,0,2022-12-28
RX0000013351,MBR00000367,2021-09-20,2021-09-21,1993386764,1536590899,PLN7236,552707,PCN816,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,7,Retail,0,0,0,15.0,8.05,23.05,5.0,16.66,1.39,0.6,0.425,0,0,0,0,2021-10-20
RX0000013352,MBR00000367,2023-05-18,2023-05-22,1731140208,1480840542,PLN1669,714131,PCN517,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,1,Specialty,0,0,0,38.0,45.39,83.39,0.0,83.39,0.0,1.52,1.0767,0,0,0,0,2023-06-17
RX0000013353,MBR00000367,2022-11-24,2022-11-26,1590341995,1528920919,PLN1490,510970,PCN698,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,0,LTC,0,0,0,18.0,3.9,21.9,3.0,17.41,1.49,0.72,0.51,0,0,0,0,2022-12-24
RX0000013354,MBR00000367,2022-12-10,2022-12-11,1714974092,1495941251,PLN8805,948459,PCN779,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,7,Retail,0,0,0,11.0,5.62,16.62,9.0,7.02,0.6,0.44,0.3117,0,0,0,0,2023-01-09
RX0000013355,MBR00000367,2023-01-30,2023-02-01,1915224059,1764439042,PLN4898,572675,PCN182,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,0,Retail,0,0,0,9.0,10.45,19.45,2.0,16.41,1.04,0.36,0.255,0,0,0,0,2023-03-01
RX0000013356,MBR00000367,2022-02-23,2022-02-24,1168406189,1737040488,PLN7555,802977,PCN820,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,9,Retail,0,0,0,750.0,11.64,761.64,33.0,704.42,24.22,30.0,21.25,0,0,0,0,2022-03-25
RX0000013357,MBR00000367,2023-06-13,2023-06-16,1874731400,1615283088,PLN7107,743399,PCN105,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,58,2,Specialty,0,0,0,660.0,34.2,694.2,35.0,659.2,0.0,13.2,9.35,0,0,0,0,2023-08-12
RX0000013358,MBR00000367,2021-11-07,2021-11-08,1321920792,1466954412,PLN2696,904358,PCN572,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,7,Specialty,2,0,0,18.0,42.07,60.07,32.0,28.07,0.0,0.72,0.51,0,0,0,0,2021-12-07
RX0000013359,MBR00000367,2023-12-28,2023-12-30,1986598819,1999906981,PLN6335,239935,PCN633,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,7,Retail,0,0,0,8.5,10.43,18.93,0.0,17.75,1.18,0.34,0.2408,0,0,0,0,2024-01-27
RX0000013360,MBR00000367,2022-08-03,2022-08-07,1311596562,1143130692,PLN1530,837766,PCN351,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,2,Mail Order,3,0,0,2.33,4.21,6.54,0.0,6.22,0.32,0.4,0.2833,0,0,0,0,2022-08-10
RX0000013361,MBR00000367,2021-01-09,2021-01-11,1758027392,1959280197,PLN2918,773760,PCN751,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,82,1,Specialty,0,0,0,36.0,24.97,60.97,0.0,60.97,0.0,0.48,0.34,0,0,0,0,2021-04-09
RX0000013362,MBR00000367,2023-03-03,2023-03-06,1609372736,1790146314,PLN9909,461562,PCN489,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,5,Retail,0,0,0,9.0,7.73,16.73,0.0,16.02,0.71,0.36,0.255,0,0,0,0,2023-04-02
RX0000013363,MBR00000367,2022-01-11,2022-01-13,1734248986,1473498661,PLN7008,678447,PCN670,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,10,Retail,0,0,0,12.0,2.39,14.39,7.0,6.55,0.84,0.48,0.34,1,0,0,0,2022-02-10
RX0000013364,MBR00000367,2023-02-22,2023-02-23,1220399279,1132463417,PLN5056,112542,PCN875,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,10,Retail,0,0,0,8.87,3.04,11.91,7.0,4.28,0.63,1.52,1.0767,0,0,0,0,2023-03-01
RX0000013365,MBR00000367,2023-06-19,2023-06-20,1469799614,1387427450,PLN8017,826176,PCN205,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,54,3,Retail,0,0,0,20.0,11.85,31.85,2.0,28.59,1.26,0.4,0.2833,1,0,0,0,2023-08-18
RX0000013366,MBR00000367,2021-04-09,2021-04-13,1223930863,1747286726,PLN3204,531869,PCN102,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,1,Mail Order,0,0,0,45.0,8.94,53.94,4.0,46.89,3.05,1.8,1.275,0,0,0,0,2021-05-09
RX0000013367,MBR00000367,2021-03-01,2021-03-02,1782590422,1990668494,PLN9037,302179,PCN696,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,65,0,Retail,0,0,0,36.0,3.11,39.11,0.0,36.77,2.34,0.72,0.51,0,0,0,0,2021-04-30
RX0000013368,MBR00000368,2023-03-13,2023-03-14,1225562131,1856992116,PLN6307,775346,PCN456,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,87,7,LTC,0,0,0,960.0,5.78,965.78,38.0,887.09,40.69,12.8,9.0667,0,0,0,0,2023-06-11
RX0000013369,MBR00000368,2022-12-25,2022-12-28,1356044066,1750898286,PLN5403,392320,PCN586,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,7,Retail,0,0,0,370.0,8.84,378.84,37.0,316.44,25.4,14.8,10.4833,0,0,0,0,2023-01-24
RX0000013370,MBR00000368,2022-12-23,2022-12-26,1112759957,1879454027,PLN3489,638384,PCN557,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,3,Retail,0,1,0,8500.0,9.85,8509.85,152.0,8089.1,268.75,340.0,240.8333,0,0,0,0,2023-01-22
RX0000013371,MBR00000368,2023-11-26,2023-11-27,1316223942,1301390441,PLN5029,969580,PCN566,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,7,Mail Order,0,0,0,175.0,11.79,186.79,32.0,147.7,7.09,7.0,4.9583,0,0,0,0,2023-12-26
RX0000013372,MBR00000368,2021-01-28,2021-01-31,1312805049,1474781967,PLN8145,187403,PCN672,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,11,Retail,0,0,0,12.0,4.22,16.22,0.0,15.56,0.66,0.48,0.34,0,0,0,0,2021-02-27
RX0000013373,MBR00000368,2021-04-29,2021-05-03,1411877085,1127051907,PLN3727,512054,PCN119,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,5,Retail,0,0,0,10.0,7.68,17.68,6.0,10.48,1.2,0.4,0.2833,0,0,0,0,2021-05-29
RX0000013374,MBR00000368,2021-09-16,2021-09-19,1192591758,1859008122,PLN2944,943127,PCN163,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,9,Retail,0,0,0,16.0,7.8,23.8,1.0,21.73,1.07,0.64,0.4533,0,0,0,0,2021-10-16
RX0000013375,MBR00000368,2021-02-09,2021-02-13,1185178490,1402962802,PLN4687,279006,PCN553,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,11,Retail,0,0,0,74.67,11.76,86.43,32.0,48.59,5.84,12.8,9.0667,0,0,0,0,2021-02-16
RX0000013376,MBR00000368,2021-11-16,2021-11-19,1433245046,1481847903,PLN8322,265614,PCN544,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,86,5,Specialty,0,0,0,195.0,29.18,224.18,36.0,188.18,0.0,2.6,1.8417,1,0,0,0,2022-02-14
RX0000013377,MBR00000368,2022-08-29,2022-08-31,1662872087,1131566353,PLN8655,660737,PCN184,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,4,Retail,0,0,0,28.0,9.12,37.12,8.0,27.85,1.27,1.12,0.7933,0,0,0,0,2022-09-28
RX0000013378,MBR00000368,2022-11-01,2022-11-05,1929618214,1432214817,PLN2195,491891,PCN850,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,86,2,Retail,0,0,0,27.0,8.78,35.78,8.0,26.46,1.32,0.36,0.255,0,0,0,0,2023-01-30
RX0000013379,MBR00000368,2021-12-10,2021-12-13,1289929925,1910803558,PLN9094,106938,PCN950,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,3,Retail,0,0,0,9.0,6.97,15.97,9.0,6.42,0.55,0.36,0.255,0,0,0,0,2022-01-09
RX0000013380,MBR00000368,2023-09-27,2023-09-28,1554884885,1749191566,PLN1947,463673,PCN143,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,9,Retail,0,0,0,22.0,5.15,27.15,70.0,0.0,1.16,0.88,0.6233,0,0,0,0,2023-10-27
RX0000013381,MBR00000368,2021-04-22,2021-04-26,1789031911,1747035983,PLN3463,370792,PCN787,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,3,Specialty,0,0,0,65.0,49.91,114.91,38.0,76.91,0.0,2.6,1.8417,0,0,0,0,2021-05-22
RX0000013382,MBR00000368,2021-10-21,2021-10-23,1579530766,1198241724,PLN5683,157529,PCN907,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,4,Retail,0,0,0,15.0,9.34,24.34,7.0,15.99,1.35,0.6,0.425,0,0,0,0,2021-11-20
RX0000013383,MBR00000368,2021-03-28,2021-03-29,1517773661,1525914760,PLN8945,596571,PCN298,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,3,Retail,0,0,0,12.0,4.97,16.97,6.0,10.15,0.82,0.48,0.34,0,0,0,0,2021-04-27
RX0000013384,MBR00000368,2022-11-06,2022-11-09,1597927110,1915972512,PLN2017,248605,PCN279,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,3,Retail,0,1,0,24.0,8.0,32.0,154.0,0.0,1.37,0.32,0.2267,0,0,0,0,2023-02-04
RX0000013385,MBR00000368,2023-06-12,2023-06-13,1187382440,1481513276,PLN6835,955200,PCN523,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,0,Retail,0,0,0,950.0,2.76,952.76,30.0,879.0,43.76,38.0,26.9167,0,0,0,0,2023-07-12
RX0000013386,MBR00000368,2021-08-04,2021-08-08,1771132610,1201793468,PLN1844,826557,PCN215,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,1,Retail,0,0,0,10.0,7.09,17.09,4.0,12.25,0.84,0.4,0.2833,0,0,0,0,2021-09-03
RX0000013387,MBR00000368,2021-07-25,2021-07-27,1964534313,1352093960,PLN8596,460886,PCN707,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,11,Retail,0,0,0,16.0,3.0,19.0,2.0,15.99,1.01,0.64,0.4533,1,0,0,0,2021-08-24
RX0000013388,MBR00000368,2021-02-09,2021-02-11,1327781314,1349909368,PLN5836,877731,PCN193,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,82,0,Retail,0,0,0,930.0,1.83,931.83,36.0,843.53,52.3,12.4,8.7833,0,0,0,0,2021-05-10
RX0000013389,MBR00000368,2022-03-15,2022-03-19,1507021055,1679886285,PLN8254,442510,PCN430,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,84,3,Mail Order,0,0,0,30.0,4.82,34.82,3.0,30.43,1.39,0.4,0.2833,0,0,0,0,2022-06-13
RX0000013390,MBR00000368,2021-08-08,2021-08-12,1838459826,1245023707,PLN2404,679587,PCN203,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,92,3,Retail,0,0,0,45.0,1.88,46.88,9.0,34.65,3.23,0.6,0.425,0,0,0,0,2021-11-06
RX0000013391,MBR00000368,2023-04-13,2023-04-16,1808579174,1171343617,PLN7715,638449,PCN899,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,5,Retail,0,0,0,650.0,2.77,652.77,38.0,589.37,25.4,26.0,18.4167,0,0,0,0,2023-05-13
RX0000013392,MBR00000368,2023-02-24,2023-02-25,1823767972,1521052315,PLN4764,676886,PCN907,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,87,3,Retail,0,0,0,1140.0,6.11,1146.11,31.0,1072.32,42.79,15.2,10.7667,1,0,0,0,2023-05-25
RX0000013393,MBR00000368,2023-03-11,2023-03-15,1256404812,1143289887,PLN2096,327917,PCN279,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,0,Mail Order,0,0,0,27.0,4.79,31.79,0.0,29.81,1.98,0.36,0.255,0,0,0,0,2023-06-09
RX0000013394,MBR00000368,2023-07-07,2023-07-10,1425467799,1484796530,PLN6004,813555,PCN171,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,3,Retail,0,0,0,10.0,11.7,21.7,1.0,19.79,0.91,0.4,0.2833,0,0,0,0,2023-08-06
RX0000013395,MBR00000368,2023-11-06,2023-11-09,1471301689,1611491936,PLN6183,743359,PCN364,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,54,5,Retail,0,0,0,44.0,2.7,46.7,75.0,0.0,2.82,0.88,0.6233,0,0,0,0,2024-01-05
RX0000013396,MBR00000368,2021-02-13,2021-02-14,1626164729,1427213678,PLN9692,343515,PCN953,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,5,Retail,0,0,0,18.0,2.79,20.79,6.0,13.82,0.97,0.72,0.51,1,0,0,0,2021-03-15
RX0000013397,MBR00000368,2021-02-08,2021-02-10,1759759440,1349673227,PLN7337,427292,PCN603,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,6,Retail,2,0,0,18.0,7.3,25.3,3.0,20.72,1.58,0.72,0.51,0,0,0,0,2021-03-10
RX0000013398,MBR00000368,2023-05-16,2023-05-19,1191307741,1533468900,PLN4358,190281,PCN110,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,9,Mail Order,0,1,0,2.8,8.05,10.85,154.0,0.0,0.75,0.48,0.34,0,0,0,0,2023-05-23
RX0000013399,MBR00000368,2021-03-28,2021-03-29,1374246753,1111059748,PLN4232,714606,PCN597,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,5,Retail,0,1,0,6200.0,4.81,6204.81,152.0,5780.56,272.25,248.0,175.6667,1,0,0,0,2021-04-27
RX0000013400,MBR00000368,2023-10-29,2023-10-31,1914024881,1102377724,PLN1527,361214,PCN790,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,3,Specialty,0,0,0,88.67,35.66,124.32,37.0,87.32,0.0,15.2,10.7667,0,0,0,0,2023-11-05
RX0000013401,MBR00000368,2021-07-06,2021-07-08,1420108675,1451116190,PLN6744,696803,PCN432,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,3,Retail,0,1,0,12.0,2.89,14.89,154.0,0.0,0.8,0.48,0.34,0,0,0,0,2021-08-05
RX0000013402,MBR00000368,2021-11-22,2021-11-24,1513090734,1775016835,PLN4759,948270,PCN349,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,3,Specialty,0,0,0,14.0,11.83,25.83,3.0,22.83,0.0,0.56,0.3967,0,0,0,0,2021-12-22
RX0000013403,MBR00000368,2021-10-16,2021-10-17,1303032643,1138445275,PLN9484,812188,PCN122,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,7,Retail,0,1,0,8500.0,8.95,8508.95,154.0,7815.3,539.65,340.0,240.8333,0,0,0,0,2021-11-15
RX0000013404,MBR00000368,2023-05-18,2023-05-22,1277581172,1373930660,PLN1039,936321,PCN536,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,88,4,Mail Order,0,0,0,135.0,11.03,146.03,7.0,131.81,7.22,1.8,1.275,0,0,0,0,2023-08-16
RX0000013405,MBR00000368,2023-08-29,2023-09-02,1913156741,1149322305,PLN1537,848646,PCN781,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,5,Retail,0,0,0,7.5,5.89,13.39,0.0,12.92,0.47,0.3,0.2125,0,0,0,0,2023-09-28
RX0000013406,MBR00000368,2023-05-15,2023-05-19,1856140169,1182280873,PLN3747,445477,PCN370,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,11,Mail Order,0,0,0,18.0,5.07,23.07,7.0,14.73,1.34,0.72,0.51,0,0,0,0,2023-06-14
RX0000013407,MBR00000369,2023-05-07,2023-05-10,1575817476,1627947632,PLN7206,993824,PCN261,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,7,Retail,0,0,0,650.0,8.27,658.27,39.0,582.5,36.77,26.0,18.4167,0,0,0,0,2023-06-06
RX0000013408,MBR00000369,2022-07-25,2022-07-27,1899308877,1441628199,PLN8432,415143,PCN866,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,285.0,4.24,289.24,34.0,238.0,17.24,11.4,8.075,0,0,0,0,2022-08-24
RX0000013409,MBR00000369,2023-05-06,2023-05-09,1507859009,1689488297,PLN2561,295814,PCN825,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,62,9,LTC,0,0,0,660.0,9.03,669.03,31.0,612.69,25.34,13.2,9.35,0,0,0,0,2023-07-05
RX0000013410,MBR00000369,2021-11-09,2021-11-11,1610217553,1590502520,PLN3210,768950,PCN173,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,0,Retail,0,0,1,370.0,8.39,378.39,39.0,314.92,24.47,14.8,10.4833,0,0,0,0,2021-12-09
RX0000013411,MBR00000369,2021-04-05,2021-04-08,1922818317,1675586188,PLN4368,165516,PCN935,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,88,7,Retail,0,0,0,2850.0,2.13,2852.13,40.0,2673.59,138.54,38.0,26.9167,0,0,0,0,2021-07-04
RX0000013412,MBR00000369,2021-11-13,2021-11-15,1754313467,1214444840,PLN6763,434295,PCN752,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,60,3,Retail,0,0,0,36.0,5.47,41.47,1.0,38.74,1.73,0.72,0.51,0,1,0,0,2022-01-12
RX0000013413,MBR00000369,2022-01-22,2022-01-24,1842671860,1223303914,PLN8800,187457,PCN823,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,10,Retail,0,0,0,11.0,8.59,19.59,5.0,13.75,0.84,0.44,0.3117,0,0,0,0,2022-02-21
RX0000013414,MBR00000369,2021-09-24,2021-09-26,1279041208,1620132997,PLN9485,275926,PCN516,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,4,Specialty,0,0,0,22.0,21.19,43.19,0.0,43.19,0.0,0.88,0.6233,0,0,0,0,2021-10-24
RX0000013415,MBR00000369,2023-03-06,2023-03-09,1830847413,1980512778,PLN9458,396368,PCN400,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,11,Retail,0,0,0,9.0,9.07,18.07,1.0,16.06,1.01,0.36,0.255,0,0,0,0,2023-04-05
RX0000013416,MBR00000369,2021-05-15,2021-05-16,1320082223,1267021183,PLN2470,703923,PCN396,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,11,Retail,0,0,0,15.0,3.42,18.42,4.0,13.14,1.28,0.6,0.425,0,0,0,0,2021-06-14
RX0000013417,MBR00000369,2021-11-07,2021-11-10,1940676726,1379415137,PLN4610,496190,PCN783,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,2,Specialty,0,0,0,15.0,28.99,43.99,0.0,43.99,0.0,0.6,0.425,0,0,0,0,2021-12-07
RX0000013418,MBR00000369,2021-06-03,2021-06-05,1169659993,1479250334,PLN9252,463262,PCN702,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,56,10,Mail Order,0,0,0,28.0,5.19,33.19,2.0,30.04,1.15,0.56,0.3967,0,1,0,0,2021-08-02
RX0000013419,MBR00000369,2021-05-30,2021-05-31,1206085813,1904804711,PLN8490,991210,PCN420,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,96,1,Retail,0,0,0,45.0,10.44,55.44,9.0,43.1,3.34,0.6,0.425,0,0,0,0,2021-08-28
RX0000013420,MBR00000369,2021-09-01,2021-09-05,1374646439,1765429926,PLN6841,204018,PCN859,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,59,9,Retail,0,0,0,760.0,4.29,764.29,39.0,699.23,26.06,15.2,10.7667,0,0,0,0,2021-10-31
RX0000013421,MBR00000369,2021-03-07,2021-03-09,1975345673,1171863571,PLN7074,865376,PCN490,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,11,LTC,0,0,0,1110.0,10.81,1120.81,31.0,1055.13,34.68,14.8,10.4833,0,0,0,0,2021-06-05
RX0000013422,MBR00000369,2023-02-20,2023-02-23,1747239392,1127146207,PLN7046,317832,PCN604,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,6,Retail,1,0,0,12.0,4.51,16.51,3.0,12.82,0.69,0.48,0.34,0,0,0,0,2023-03-22
RX0000013423,MBR00000369,2022-03-14,2022-03-16,1118598658,1633928237,PLN4698,311574,PCN506,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,64,1,Mail Order,0,0,0,30.0,9.54,39.54,3.0,34.19,2.35,0.6,0.425,0,0,0,0,2022-05-13
RX0000013424,MBR00000369,2021-02-08,2021-02-10,1307576283,1260030101,PLN8472,832670,PCN959,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,9,Retail,0,1,0,8500.0,3.89,8503.89,150.0,7987.49,366.4,340.0,240.8333,0,0,0,0,2021-03-10
RX0000013425,MBR00000369,2022-10-18,2022-10-20,1380227982,1588471310,PLN2445,342610,PCN212,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,62,3,Retail,0,0,0,28.0,9.44,37.44,1.0,33.87,2.57,0.56,0.3967,0,0,0,0,2022-12-17
RX0000013426,MBR00000369,2023-04-05,2023-04-08,1312582015,1936016379,PLN9727,223047,PCN795,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,11,Retail,0,0,0,480.0,10.09,490.09,38.0,420.3,31.79,19.2,13.6,0,0,0,0,2023-05-05
RX0000013427,MBR00000369,2022-09-21,2022-09-23,1720873421,1179876953,PLN9401,947969,PCN173,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,10,Retail,0,0,0,14.0,6.49,20.49,0.0,19.11,1.38,0.56,0.3967,0,0,0,0,2022-10-21
RX0000013428,MBR00000369,2023-09-02,2023-09-06,1192610442,1554897113,PLN7457,712020,PCN943,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,5,Retail,0,0,0,65.0,8.52,73.52,40.0,30.89,2.63,2.6,1.8417,0,0,0,0,2023-10-02
RX0000013429,MBR00000370,2023-07-01,2023-07-05,1321998728,1268257605,PLN4280,958022,PCN607,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,5,Mail Order,2,0,0,14.0,8.59,22.59,7.0,14.54,1.05,0.56,0.3967,0,0,0,0,2023-07-31
RX0000013430,MBR00000370,2021-12-09,2021-12-11,1325145255,1994380714,PLN1209,409419,PCN520,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,6,Retail,0,0,0,650.0,8.33,658.33,37.0,599.84,21.49,26.0,18.4167,0,0,0,0,2022-01-08
RX0000013431,MBR00000370,2023-07-03,2023-07-07,1222751050,1218237680,PLN7475,541725,PCN680,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,2,Retail,0,1,0,8.0,4.17,12.17,149.0,0.0,0.44,0.32,0.2267,0,0,0,0,2023-08-02
RX0000013432,MBR00000370,2022-05-12,2022-05-16,1591573509,1394721774,PLN3048,987275,PCN249,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,0,Mail Order,0,0,0,18.0,8.48,26.48,10.0,15.6,0.88,0.72,0.51,0,0,0,0,2022-06-11
RX0000013433,MBR00000370,2021-08-28,2021-08-30,1716388200,1112443704,PLN6718,823356,PCN965,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,88,11,Retail,0,0,0,990.0,7.25,997.25,36.0,892.37,68.88,13.2,9.35,0,0,0,0,2021-11-26
RX0000013434,MBR00000370,2021-03-18,2021-03-20,1149305962,1676990870,PLN1492,585626,PCN878,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,8,Mail Order,0,0,0,370.0,9.32,379.32,33.0,321.54,24.78,14.8,10.4833,0,0,0,0,2021-04-17
RX0000013435,MBR00000370,2023-09-22,2023-09-26,1850037078,1920628900,PLN5564,588904,PCN881,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,64,3,Retail,0,0,0,18.0,7.12,25.12,1.0,23.08,1.04,0.36,0.255,0,0,0,0,2023-11-21
RX0000013436,MBR00000370,2021-03-30,2021-03-31,1974686992,1952613357,PLN9937,738084,PCN306,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,58,2,Mail Order,2,0,0,36.0,10.02,46.02,32.0,12.11,1.91,0.72,0.51,0,0,0,0,2021-05-29
RX0000013437,MBR00000370,2021-08-16,2021-08-20,1942997130,1423283638,PLN2787,576189,PCN672,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,8,Retail,0,0,1,9.0,3.79,12.79,4.0,7.92,0.87,0.36,0.255,0,0,0,0,2021-09-15
RX0000013438,MBR00000370,2022-11-03,2022-11-04,1414398725,1491576259,PLN2522,229336,PCN536,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,7,Mail Order,0,0,0,320.0,9.0,329.0,33.0,281.12,14.88,12.8,9.0667,0,0,0,0,2022-12-03
RX0000013439,MBR00000370,2022-05-01,2022-05-02,1961027170,1375532058,PLN8483,257423,PCN160,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,10,Specialty,0,0,0,7.5,35.17,42.67,0.0,42.67,0.0,0.3,0.2125,0,0,0,0,2022-05-31
RX0000013440,MBR00000370,2023-01-31,2023-02-02,1898234886,1602812227,PLN2739,990816,PCN920,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,5,Retail,0,0,0,11.0,9.54,20.54,4.0,15.19,1.35,0.44,0.3117,0,0,0,0,2023-03-02
RX0000013441,MBR00000370,2021-11-27,2021-11-28,1766217124,1840718450,PLN3241,588393,PCN591,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,60,2,Retail,0,0,0,18.0,11.68,29.68,3.0,25.26,1.42,0.36,0.255,0,0,0,0,2022-01-26
RX0000013442,MBR00000370,2022-11-20,2022-11-24,1277072079,1446370536,PLN5254,792090,PCN811,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,2,Retail,0,1,0,6200.0,4.86,6204.86,145.0,5747.91,311.95,248.0,175.6667,0,0,0,0,2022-12-20
RX0000013443,MBR00000370,2023-05-23,2023-05-26,1549285489,1203919377,PLN5298,695934,PCN301,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,88,1,Retail,0,0,0,135.0,10.76,145.76,8.0,131.37,6.39,1.8,1.275,0,0,0,0,2023-08-21
RX0000013444,MBR00000370,2023-11-22,2023-11-26,1394853747,1495085782,PLN6344,295746,PCN112,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,9,Retail,0,0,0,14.0,10.27,24.27,10.0,13.13,1.14,0.56,0.3967,0,0,0,0,2023-12-22
RX0000013445,MBR00000370,2021-05-07,2021-05-10,1876395087,1713154420,PLN8672,144522,PCN564,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,90,10,Specialty,0,0,0,84.0,32.62,116.62,2.0,114.62,0.0,1.12,0.7933,1,0,0,0,2021-08-05
RX0000013446,MBR00000370,2021-02-18,2021-02-19,1295979860,1588167837,PLN3499,217180,PCN376,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,97,5,Retail,0,0,0,84.0,1.89,85.89,0.0,80.52,5.37,1.12,0.7933,0,0,0,0,2021-05-19
RX0000013447,MBR00000370,2023-06-27,2023-06-29,1311512117,1250967546,PLN4351,385369,PCN636,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,9,Retail,0,0,0,750.0,6.39,756.39,34.0,697.01,25.38,30.0,21.25,0,0,0,0,2023-07-27
RX0000013448,MBR00000370,2022-09-10,2022-09-11,1569534750,1594043711,PLN3774,890437,PCN527,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,90,1,Retail,0,0,0,27.0,4.9,31.9,0.0,29.9,2.0,0.36,0.255,0,0,0,0,2022-12-09
RX0000013449,MBR00000370,2023-08-22,2023-08-24,1426577229,1920692211,PLN1837,411043,PCN282,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,11,Retail,0,0,0,3.27,11.58,14.85,1.0,13.01,0.84,0.56,0.3967,0,0,0,0,2023-08-29
RX0000013450,MBR00000370,2021-03-06,2021-03-10,1821606847,1757251928,PLN3966,230467,PCN602,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,10,Mail Order,0,0,0,18.0,6.2,24.2,8.0,15.06,1.14,0.72,0.51,0,0,0,0,2021-04-05
RX0000013451,MBR00000370,2023-02-16,2023-02-18,1621937600,1793704507,PLN5430,138993,PCN480,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,7,Retail,1,0,0,12.0,9.91,21.91,8.0,12.43,1.48,0.48,0.34,1,0,0,0,2023-03-18
RX0000013452,MBR00000370,2023-10-31,2023-11-03,1367723305,1298793926,PLN5786,804806,PCN986,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,96,8,Retail,1,0,0,135.0,1.93,136.93,2.0,130.32,4.61,1.8,1.275,0,0,0,0,2024-01-29
RX0000013453,MBR00000370,2022-11-26,2022-11-27,1203463669,1976129110,PLN3555,660887,PCN915,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,59,1,Retail,0,0,0,44.0,3.8,47.8,73.0,0.0,2.79,0.88,0.6233,0,0,0,0,2023-01-25
RX0000013454,MBR00000370,2023-01-05,2023-01-08,1919944457,1685104213,PLN5995,761124,PCN266,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,56,9,Mail Order,0,0,0,20.0,4.96,24.96,7.0,17.06,0.9,0.4,0.2833,0,0,0,0,2023-03-06
RX0000013455,MBR00000370,2022-04-11,2022-04-15,1399514836,1643508775,PLN9687,508683,PCN616,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,94,5,Mail Order,0,0,0,42.0,11.29,53.29,6.0,43.64,3.65,0.56,0.3967,0,0,0,0,2022-07-10
RX0000013456,MBR00000370,2021-02-15,2021-02-17,1172002542,1215787512,PLN2673,473572,PCN836,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,81,3,Mail Order,3,0,0,2250.0,7.51,2257.51,39.0,2066.27,152.24,30.0,21.25,0,0,0,0,2021-05-16
RX0000013457,MBR00000370,2023-09-06,2023-09-09,1100628405,1769931187,PLN8107,583004,PCN575,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,7,Retail,0,0,0,18.0,1.87,19.87,5.0,14.02,0.85,0.72,0.51,0,1,0,0,2023-10-06
RX0000013458,MBR00000370,2021-04-24,2021-04-26,1603339338,1699928630,PLN3248,656403,PCN263,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,59,5,Retail,0,0,0,32.0,11.06,43.06,6.0,34.06,3.0,0.64,0.4533,0,0,0,0,2021-06-23
RX0000013459,MBR00000370,2021-10-05,2021-10-09,1567240637,1677996318,PLN6120,434344,PCN135,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,85,10,LTC,0,1,0,36.0,8.55,44.55,153.0,0.0,1.6,0.48,0.34,0,0,0,0,2022-01-03
RX0000013460,MBR00000370,2021-06-24,2021-06-25,1246932445,1391201189,PLN2036,542167,PCN747,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,86,7,Retail,0,0,0,114.0,11.33,125.33,4.0,115.35,5.98,1.52,1.0767,0,1,0,0,2021-09-22
RX0000013461,MBR00000370,2023-10-02,2023-10-05,1114245603,1865863478,PLN5779,616987,PCN570,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,4,Mail Order,0,0,0,650.0,5.34,655.34,40.0,576.63,38.71,26.0,18.4167,1,1,1,0,2023-11-01
RX0000013462,MBR00000370,2021-02-16,2021-02-17,1286803193,1982359058,PLN1048,777619,PCN593,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,5,Retail,3,1,0,12.0,8.61,20.61,155.0,0.0,0.65,0.48,0.34,0,0,0,0,2021-03-18
RX0000013463,MBR00000370,2022-01-15,2022-01-16,1751560819,1405605442,PLN3179,456722,PCN593,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,2,Specialty,0,0,0,27.0,35.95,62.95,3.0,59.95,0.0,0.36,0.255,0,0,0,0,2022-04-15
RX0000013464,MBR00000370,2021-01-15,2021-01-18,1975791183,1336693315,PLN8004,104134,PCN495,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,7,Retail,0,0,0,15.0,2.51,17.51,7.0,9.43,1.08,0.6,0.425,0,0,0,0,2021-02-14
RX0000013465,MBR00000370,2021-12-15,2021-12-18,1951396411,1926727723,PLN1742,566446,PCN674,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,55,7,Mail Order,0,0,0,30.0,6.56,36.56,1.0,33.71,1.85,0.6,0.425,0,0,0,0,2022-02-13
RX0000013466,MBR00000370,2021-01-28,2021-01-31,1399401497,1312798663,PLN8634,821564,PCN811,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,94,6,Retail,1,0,0,960.0,10.99,970.99,36.0,871.77,63.22,12.8,9.0667,0,0,0,0,2021-04-28
RX0000013467,MBR00000370,2023-11-07,2023-11-11,1918533101,1650549407,PLN7545,779925,PCN150,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,54,1,Mail Order,0,1,0,12400.0,7.57,12407.57,153.0,11588.64,665.93,248.0,175.6667,0,0,0,0,2024-01-06
RX0000013468,MBR00000370,2023-10-27,2023-10-31,1895214521,1666705840,PLN5962,926616,PCN440,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,1,Retail,0,0,0,480.0,5.19,485.19,31.0,434.69,19.5,19.2,13.6,0,0,0,0,2023-11-26
RX0000013469,MBR00000370,2022-05-07,2022-05-11,1283730787,1752603897,PLN2735,923322,PCN360,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,2,Retail,0,0,0,10.0,4.38,14.38,8.0,5.73,0.65,0.4,0.2833,0,0,0,0,2022-06-06
RX0000013470,MBR00000370,2022-03-05,2022-03-07,1433703089,1954817975,PLN6099,492154,PCN755,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,84,9,Retail,0,0,0,30.0,5.83,35.83,7.0,26.43,2.4,0.4,0.2833,0,0,0,0,2022-06-03
RX0000013471,MBR00000370,2023-01-09,2023-01-11,1953296628,1312121257,PLN3760,712733,PCN221,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,60,3,Retail,0,0,0,370.0,9.86,379.86,37.0,326.95,15.91,7.4,5.2417,0,0,0,0,2023-03-10
RX0000013472,MBR00000371,2022-09-25,2022-09-28,1327183683,1749839359,PLN6007,763369,PCN749,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,9,Retail,0,0,0,12.0,2.03,14.03,9.0,4.07,0.96,0.48,0.34,0,0,0,0,2022-10-25
RX0000013473,MBR00000371,2023-03-17,2023-03-21,1893697115,1587683316,PLN3376,842097,PCN453,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,83,5,Retail,0,0,0,30.0,3.33,33.33,5.0,27.32,1.01,0.4,0.2833,0,0,0,0,2023-06-15
RX0000013474,MBR00000371,2021-06-24,2021-06-28,1197526926,1215865152,PLN6203,978082,PCN178,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,6,Specialty,0,0,0,27.0,29.13,56.13,3.0,53.13,0.0,0.36,0.255,0,0,0,0,2021-09-22
RX0000013475,MBR00000371,2022-03-09,2022-03-12,1356194696,1475801433,PLN2560,467788,PCN354,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,62,4,Retail,0,0,0,15.0,6.37,21.37,4.0,16.25,1.12,0.3,0.2125,0,0,0,0,2022-05-08
RX0000013476,MBR00000371,2023-07-18,2023-07-19,1605104448,1757129974,PLN5288,911460,PCN266,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,8,Mail Order,0,0,0,10.0,10.88,20.88,3.0,16.99,0.89,0.4,0.2833,0,0,0,0,2023-08-17
RX0000013477,MBR00000371,2023-01-30,2023-02-01,1252212201,1123970778,PLN5915,189423,PCN488,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,3,Retail,0,0,0,15.0,10.94,25.94,3.0,21.52,1.42,0.6,0.425,0,0,0,0,2023-03-01
RX0000013478,MBR00000371,2023-03-13,2023-03-14,1768078190,1568257292,PLN5336,898444,PCN741,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,81,0,Mail Order,0,0,0,48.0,5.03,53.03,10.0,41.44,1.59,0.64,0.4533,0,0,0,0,2023-06-11
RX0000013479,MBR00000371,2023-02-25,2023-03-01,1879949101,1102865921,PLN3252,996241,PCN796,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,11,Mail Order,0,1,0,8.0,5.7,13.7,148.0,0.0,0.86,0.32,0.2267,0,0,0,0,2023-03-27
RX0000013480,MBR00000371,2022-06-08,2022-06-10,1155847108,1408964206,PLN5775,516636,PCN768,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,4,Retail,0,0,0,175.0,11.0,186.0,34.0,141.63,10.37,7.0,4.9583,0,0,0,0,2022-07-08
RX0000013481,MBR00000371,2021-08-08,2021-08-09,1487596993,1648303242,PLN5786,526909,PCN115,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,2,Retail,0,0,0,11.0,7.71,18.71,2.0,15.86,0.85,0.44,0.3117,0,0,0,0,2021-09-07
RX0000013482,MBR00000371,2023-03-09,2023-03-11,1369182943,1279547417,PLN6571,444579,PCN457,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,3,Retail,0,0,0,38.0,3.71,41.71,7.0,33.07,1.64,1.52,1.0767,0,0,0,0,2023-04-08
RX0000013483,MBR00000371,2021-10-07,2021-10-10,1991446160,1687267089,PLN9112,434371,PCN114,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,95,5,Retail,2,0,0,195.0,11.22,206.22,39.0,158.32,8.9,2.6,1.8417,0,0,0,0,2022-01-05
RX0000013484,MBR00000371,2023-11-04,2023-11-08,1833991135,1161398903,PLN2845,523706,PCN311,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,91,7,Retail,3,0,0,25.5,5.24,30.74,7.0,22.45,1.29,0.34,0.2408,0,0,0,0,2024-02-02
RX0000013485,MBR00000371,2023-01-27,2023-01-31,1353871203,1277980965,PLN4085,257321,PCN380,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,81,11,Mail Order,1,0,0,22.5,8.18,30.68,9.0,19.93,1.75,0.3,0.2125,0,0,0,0,2023-04-27
RX0000013486,MBR00000371,2023-02-10,2023-02-14,1488062926,1398973691,PLN1308,760338,PCN269,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,4,Retail,0,0,0,10.0,1.56,11.56,10.0,0.89,0.67,0.4,0.2833,0,0,0,0,2023-03-12
RX0000013487,MBR00000371,2022-11-21,2022-11-25,1547889849,1136651590,PLN2820,166493,PCN123,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,7,Retail,0,0,0,15.17,8.58,23.74,30.0,0.0,1.51,2.6,1.8417,0,0,0,0,2022-11-28
RX0000013488,MBR00000371,2022-07-01,2022-07-03,1393936242,1632247547,PLN3584,284785,PCN856,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,91,0,Mail Order,0,0,1,54.0,2.33,56.33,8.0,45.67,2.66,0.72,0.51,0,0,0,0,2022-09-29
RX0000013489,MBR00000371,2021-08-25,2021-08-27,1315744382,1609591281,PLN2866,474578,PCN631,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,8,Retail,0,0,0,10.0,7.16,17.16,1.0,15.08,1.08,0.4,0.2833,0,0,0,0,2021-09-24
RX0000013490,MBR00000371,2022-04-22,2022-04-26,1179288051,1725497043,PLN2949,504880,PCN468,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,4,Retail,0,1,0,8.0,7.41,15.41,153.0,0.0,0.91,0.32,0.2267,0,0,0,0,2022-05-22
RX0000013491,MBR00000371,2021-09-04,2021-09-05,1719608821,1187497298,PLN3907,544629,PCN947,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,7,Retail,0,0,0,650.0,11.19,661.19,33.0,601.43,26.76,26.0,18.4167,0,0,0,0,2021-10-04
RX0000013492,MBR00000371,2022-08-26,2022-08-28,1302535679,1198357112,PLN5974,145786,PCN734,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,6,Retail,0,0,0,42.0,9.84,51.84,9.0,40.87,1.97,0.56,0.3967,1,0,0,0,2022-11-24
RX0000013493,MBR00000371,2021-10-12,2021-10-15,1765319545,1539481015,PLN6414,340948,PCN990,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,3,LTC,0,0,0,185.0,3.92,188.92,33.0,149.02,6.9,7.4,5.2417,0,0,0,0,2021-11-11
RX0000013494,MBR00000371,2023-11-23,2023-11-27,1718399473,1199030801,PLN8873,492986,PCN968,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,60,3,Mail Order,0,0,0,130.0,5.97,135.97,30.0,100.31,5.66,2.6,1.8417,0,0,0,0,2024-01-22
RX0000013495,MBR00000371,2023-04-11,2023-04-12,1737535410,1932441873,PLN4638,442909,PCN509,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,11,Mail Order,0,0,0,45.0,11.93,56.93,4.0,50.7,2.23,1.8,1.275,0,0,0,0,2023-05-11
RX0000013496,MBR00000371,2022-10-31,2022-11-01,1212125932,1915745684,PLN8499,498735,PCN165,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,0,Mail Order,0,0,0,175.0,5.47,180.47,36.0,132.97,11.5,7.0,4.9583,0,0,0,0,2022-11-30
RX0000013497,MBR00000371,2022-01-28,2022-02-01,1588708755,1397087796,PLN7001,419664,PCN486,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,98,4,Retail,0,1,0,25500.0,9.98,25509.98,153.0,23817.2,1539.78,340.0,240.8333,0,0,0,0,2022-04-28
RX0000013498,MBR00000371,2021-12-06,2021-12-07,1589588064,1989051609,PLN2499,622336,PCN633,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,8,Retail,0,0,0,2.33,8.74,11.08,5.0,5.71,0.37,0.4,0.2833,1,0,0,0,2021-12-13
RX0000013499,MBR00000371,2022-11-23,2022-11-25,1425374104,1921482288,PLN1052,724078,PCN854,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,8,Retail,0,0,0,12.0,9.68,21.68,6.0,14.16,1.52,0.48,0.34,0,0,0,0,2022-12-23
RX0000013500,MBR00000371,2021-03-12,2021-03-16,1879951251,1977738440,PLN1374,219457,PCN643,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,11,Retail,1,0,0,480.0,6.36,486.36,33.0,426.58,26.78,19.2,13.6,0,0,0,0,2021-04-11
RX0000013501,MBR00000371,2022-05-12,2022-05-16,1501171894,1157143781,PLN3938,210553,PCN622,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,6,Retail,0,0,0,10.0,11.66,21.66,4.0,16.32,1.34,0.4,0.2833,0,0,0,0,2022-06-11
RX0000013502,MBR00000371,2021-09-07,2021-09-08,1676650496,1435601644,PLN4130,348679,PCN974,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,9,Retail,0,0,0,2.1,7.33,9.43,0.0,9.05,0.38,0.36,0.255,0,0,0,0,2021-09-14
RX0000013503,MBR00000371,2021-12-21,2021-12-23,1666213448,1370239842,PLN3467,345138,PCN641,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,63,8,Mail Order,0,0,0,36.0,9.24,45.24,7.0,35.31,2.93,0.72,0.51,0,0,0,0,2022-02-19
RX0000013504,MBR00000371,2021-07-07,2021-07-11,1339201170,1552907796,PLN4783,715701,PCN796,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,0,Retail,0,0,0,22.0,5.88,27.88,71.0,0.0,1.46,0.88,0.6233,0,0,0,0,2021-08-06
RX0000013505,MBR00000371,2021-11-16,2021-11-17,1514361232,1537878673,PLN2685,451549,PCN491,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,86,11,Mail Order,0,1,0,18600.0,3.21,18603.21,154.0,17476.18,973.03,248.0,175.6667,1,0,0,0,2022-02-14
RX0000013506,MBR00000371,2022-12-20,2022-12-23,1333198209,1620532197,PLN2769,753556,PCN185,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,94,9,Specialty,0,0,0,30.0,11.71,41.71,7.0,34.71,0.0,0.4,0.2833,0,0,0,0,2023-03-20
RX0000013507,MBR00000371,2021-12-24,2021-12-27,1309211655,1224708154,PLN4640,748077,PCN965,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,82,0,Mail Order,0,0,0,25.5,2.15,27.65,3.0,22.97,1.68,0.34,0.2408,0,0,0,0,2022-03-24
RX0000013508,MBR00000371,2021-08-28,2021-08-29,1500012488,1940677884,PLN3719,261971,PCN237,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,4,Mail Order,0,0,0,22.0,10.28,32.28,74.0,0.0,2.19,0.88,0.6233,0,0,0,0,2021-09-27
RX0000013509,MBR00000371,2021-04-14,2021-04-15,1564470300,1273887352,PLN1787,519723,PCN232,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,5,Mail Order,0,0,0,185.0,2.34,187.34,34.0,142.13,11.21,7.4,5.2417,0,1,1,0,2021-05-14
RX0000013510,MBR00000371,2022-09-24,2022-09-28,1175613981,1942495377,PLN1865,244323,PCN212,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,84,2,Retail,0,0,0,48.0,4.22,52.22,4.0,44.88,3.34,0.64,0.4533,1,0,0,0,2022-12-23
RX0000013511,MBR00000371,2023-01-25,2023-01-28,1149969671,1757551101,PLN6597,286377,PCN377,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,6,Mail Order,0,0,0,320.0,3.53,323.53,35.0,270.95,17.58,12.8,9.0667,0,0,0,0,2023-02-24
RX0000013512,MBR00000371,2021-12-21,2021-12-25,1998051554,1577288449,PLN1024,724000,PCN978,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,91,6,Retail,0,1,0,18600.0,3.07,18603.07,145.0,17741.62,716.45,248.0,175.6667,0,0,0,0,2022-03-21
RX0000013513,MBR00000371,2021-01-20,2021-01-23,1720621242,1163622807,PLN9412,376554,PCN171,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,83,9,Retail,0,0,0,855.0,4.63,859.63,33.0,798.96,27.67,11.4,8.075,1,0,0,0,2021-04-20
RX0000013514,MBR00000371,2022-05-29,2022-06-02,1543747333,1717999274,PLN2427,262562,PCN880,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,3,Retail,0,0,0,14.0,10.52,24.52,5.0,18.43,1.09,0.56,0.3967,0,0,0,0,2022-06-28
RX0000013515,MBR00000371,2023-11-01,2023-11-03,1528802738,1278782593,PLN1445,926092,PCN363,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,7,Retail,0,0,0,38.0,10.77,48.77,4.0,42.54,2.23,1.52,1.0767,0,0,0,0,2023-12-01
RX0000013516,MBR00000371,2023-12-09,2023-12-13,1830048827,1676260107,PLN5685,121692,PCN155,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,8,Specialty,0,0,0,175.0,38.58,213.58,33.0,180.58,0.0,7.0,4.9583,1,0,0,0,2024-01-08
RX0000013517,MBR00000371,2022-07-12,2022-07-13,1491383765,1585225749,PLN6332,332654,PCN599,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,56,9,Retail,0,0,0,17.0,7.43,24.43,0.0,23.25,1.18,0.34,0.2408,1,0,0,0,2022-09-10
RX0000013518,MBR00000371,2023-09-24,2023-09-28,1892595212,1967770033,PLN6448,796025,PCN458,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,2,Retail,0,0,0,18.0,3.57,21.57,4.0,16.81,0.76,0.72,0.51,0,0,0,0,2023-10-24
RX0000013519,MBR00000371,2022-12-29,2022-12-31,1181326198,1485748129,PLN5731,460726,PCN695,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,9,Retail,0,1,0,6200.0,7.42,6207.42,153.0,5651.36,403.06,248.0,175.6667,0,0,0,0,2023-01-28
RX0000013520,MBR00000371,2022-06-04,2022-06-05,1266076174,1390832289,PLN8148,837666,PCN237,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,98,0,Mail Order,0,0,0,66.0,9.76,75.76,65.0,6.26,4.5,0.88,0.6233,0,0,0,0,2022-09-02
RX0000013521,MBR00000371,2022-03-20,2022-03-24,1315317140,1904669934,PLN5823,232386,PCN178,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,1,Retail,0,0,0,66.5,2.54,69.04,30.0,36.9,2.14,11.4,8.075,0,0,0,0,2022-03-27
RX0000013522,MBR00000371,2022-07-08,2022-07-12,1536833389,1762536195,PLN4235,474927,PCN902,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,96,9,Retail,0,1,0,8400.0,4.0,8404.0,155.0,7872.81,376.19,112.0,79.3333,0,0,0,0,2022-10-06
RX0000013523,MBR00000371,2021-06-17,2021-06-21,1151549325,1656998083,PLN5795,246192,PCN410,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,11,Retail,0,0,0,650.0,7.06,657.06,31.0,595.76,30.3,26.0,18.4167,0,0,0,0,2021-07-17
RX0000013524,MBR00000371,2021-02-26,2021-03-02,1505017891,1845720293,PLN8653,938827,PCN961,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,95,10,Mail Order,0,0,0,33.0,3.91,36.91,5.0,29.99,1.92,0.44,0.3117,0,0,0,0,2021-05-27
RX0000013525,MBR00000371,2022-07-01,2022-07-02,1701090058,1223616195,PLN3732,423111,PCN227,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,1,Mail Order,0,0,0,10.5,11.79,22.29,3.0,18.33,0.96,1.8,1.275,0,0,0,0,2022-07-08
RX0000013526,MBR00000371,2022-07-11,2022-07-14,1745419325,1330845049,PLN2512,250193,PCN824,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,4,Mail Order,0,0,0,2.1,6.3,8.4,5.0,2.94,0.46,0.36,0.255,0,0,0,0,2022-07-18
RX0000013527,MBR00000371,2022-06-11,2022-06-15,1673534805,1520659129,PLN7379,267985,PCN807,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,10,Mail Order,0,0,0,16.0,4.76,20.76,2.0,17.52,1.24,0.64,0.4533,0,0,0,0,2022-07-11
RX0000013528,MBR00000371,2022-12-15,2022-12-17,1779689359,1785510295,PLN7760,121500,PCN283,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,88,9,Retail,0,0,0,30.0,10.06,40.06,3.0,35.0,2.06,0.4,0.2833,0,0,0,0,2023-03-15
RX0000013529,MBR00000371,2021-08-10,2021-08-13,1825101498,1917546830,PLN8087,943172,PCN580,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,7,Retail,3,0,0,18.0,5.05,23.05,1.0,20.69,1.36,0.72,0.51,0,0,0,0,2021-09-09
RX0000013530,MBR00000371,2021-01-29,2021-01-30,1643600723,1981375144,PLN4321,570317,PCN350,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,4,Retail,0,0,0,72.33,10.01,82.35,36.0,41.59,4.76,12.4,8.7833,0,0,0,0,2021-02-05
RX0000013531,MBR00000371,2023-07-06,2023-07-07,1281862439,1106492534,PLN8403,536188,PCN635,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,2,Specialty,0,0,0,7.5,45.73,53.23,1.0,52.23,0.0,0.3,0.2125,0,0,0,0,2023-08-05
RX0000013532,MBR00000371,2023-11-12,2023-11-13,1674390070,1136565906,PLN4487,455743,PCN643,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,2,Mail Order,0,1,0,8.0,10.96,18.96,147.0,0.0,0.75,0.32,0.2267,0,0,0,0,2023-12-12
RX0000013533,MBR00000371,2022-01-02,2022-01-04,1168921378,1285495578,PLN3881,658077,PCN221,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,97,7,Retail,2,0,1,195.0,4.12,199.12,38.0,149.32,11.8,2.6,1.8417,0,0,0,0,2022-04-02
RX0000013534,MBR00000371,2023-11-15,2023-11-19,1461213481,1117222122,PLN9144,901931,PCN100,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,7,Retail,0,0,0,10.0,11.56,21.56,2.0,18.79,0.77,0.4,0.2833,0,0,0,0,2023-12-15
RX0000013535,MBR00000371,2021-07-16,2021-07-18,1421253265,1430095481,PLN5427,475621,PCN870,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,95,2,Retail,0,0,0,135.0,9.45,144.45,8.0,129.47,6.98,1.8,1.275,0,0,0,0,2021-10-14
RX0000013536,MBR00000371,2022-07-23,2022-07-24,1376012377,1616371796,PLN3583,367687,PCN560,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,9,Specialty,0,0,0,285.0,28.59,313.59,39.0,274.59,0.0,11.4,8.075,0,0,0,0,2022-08-22
RX0000013537,MBR00000371,2023-12-08,2023-12-09,1341485372,1960383848,PLN4925,174483,PCN752,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,11,Mail Order,0,0,0,9.0,8.17,17.17,2.0,14.58,0.59,0.36,0.255,0,0,0,0,2024-01-07
RX0000013538,MBR00000372,2021-11-13,2021-11-14,1969793304,1393890482,PLN2439,408592,PCN929,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,2,Specialty,0,0,0,12.0,36.83,48.83,5.0,43.83,0.0,0.48,0.34,0,0,0,0,2021-12-13
RX0000013539,MBR00000372,2023-06-20,2023-06-24,1594278333,1243483546,PLN5833,389385,PCN981,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,91,9,Retail,3,0,0,45.0,1.84,46.84,7.0,37.92,1.92,0.6,0.425,0,0,0,0,2023-09-18
RX0000013540,MBR00000372,2021-12-12,2021-12-13,1789398365,1549406325,PLN4737,741897,PCN104,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,2,Mail Order,0,0,0,9.0,3.33,12.33,5.0,6.78,0.55,0.36,0.255,0,0,0,0,2022-01-11
RX0000013541,MBR00000372,2022-03-09,2022-03-13,1993569802,1485482456,PLN4760,611207,PCN625,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,98,8,Retail,0,0,0,33.0,1.99,34.99,3.0,29.85,2.14,0.44,0.3117,0,0,0,0,2022-06-07
RX0000013542,MBR00000372,2023-12-27,2023-12-29,1359522186,1489903495,PLN1783,456769,PCN686,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,0,Retail,0,1,0,12.0,3.12,15.12,147.0,0.0,0.75,0.48,0.34,0,0,0,0,2024-01-26
RX0000013543,MBR00000372,2021-03-22,2021-03-24,1641139754,1756366551,PLN2442,450433,PCN576,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,1,Retail,0,0,0,12.0,11.6,23.6,5.0,17.82,0.78,0.48,0.34,0,0,0,0,2021-04-21
RX0000013544,MBR00000372,2023-11-18,2023-11-19,1639397090,1144889992,PLN8744,834446,PCN822,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,62,0,Mail Order,0,0,0,28.0,6.99,34.99,10.0,22.85,2.14,0.56,0.3967,0,0,0,0,2024-01-17
RX0000013545,MBR00000372,2023-01-31,2023-02-01,1746060537,1248083726,PLN9523,855196,PCN569,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,84,11,Retail,0,0,0,855.0,4.92,859.92,39.0,780.35,40.57,11.4,8.075,1,0,0,0,2023-05-01
RX0000013546,MBR00000372,2022-05-10,2022-05-12,1249872882,1453728022,PLN8503,464829,PCN674,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,0,Mail Order,0,0,0,15.0,1.94,16.94,1.0,15.41,0.53,0.6,0.425,0,0,0,0,2022-06-09
RX0000013547,MBR00000372,2022-09-27,2022-10-01,1891241100,1406489669,PLN8436,935405,PCN710,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,0,Retail,0,0,0,16.0,5.2,21.2,10.0,10.39,0.81,0.64,0.4533,0,0,0,0,2022-10-27
RX0000013548,MBR00000372,2023-01-14,2023-01-18,1994504505,1170671726,PLN4516,679880,PCN212,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,1,Mail Order,0,0,0,38.0,3.52,41.52,9.0,30.2,2.32,1.52,1.0767,0,0,0,0,2023-02-13
RX0000013549,MBR00000372,2023-12-31,2024-01-03,1197935973,1487335391,PLN9895,286145,PCN799,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,85,9,Retail,0,0,0,855.0,7.86,862.86,40.0,766.63,56.23,11.4,8.075,0,0,0,0,2024-03-30
RX0000013550,MBR00000372,2022-03-27,2022-03-29,1326884920,1243916223,PLN7858,102062,PCN413,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,56,11,Retail,0,0,0,24.0,9.92,33.92,0.0,32.49,1.43,0.48,0.34,0,0,0,0,2022-05-26
RX0000013551,MBR00000372,2021-08-20,2021-08-21,1141628428,1473046199,PLN3784,773104,PCN777,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,96,5,Retail,3,1,0,24.0,1.54,25.54,153.0,0.0,0.87,0.32,0.2267,0,0,0,0,2021-11-18
RX0000013552,MBR00000372,2022-10-24,2022-10-28,1615379468,1246761553,PLN1808,991111,PCN311,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,5,Specialty,0,0,0,285.0,45.71,330.71,34.0,296.71,0.0,11.4,8.075,0,0,0,0,2022-11-23
RX0000013553,MBR00000372,2021-06-09,2021-06-13,1544975981,1781829045,PLN5287,687608,PCN686,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,0,Retail,0,0,0,285.0,3.79,288.79,37.0,242.28,9.51,11.4,8.075,0,0,0,0,2021-07-09
RX0000013554,MBR00000372,2021-02-15,2021-02-19,1134250498,1321661683,PLN5567,899344,PCN972,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,61,0,Mail Order,0,0,0,760.0,9.36,769.36,37.0,689.06,43.3,15.2,10.7667,0,0,0,0,2021-04-16
RX0000013555,MBR00000372,2021-11-12,2021-11-15,1856488555,1171625932,PLN8173,668076,PCN860,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,0,Retail,0,1,0,1983.33,7.17,1990.5,152.0,1747.68,90.82,340.0,240.8333,0,0,0,0,2021-11-19
RX0000013556,MBR00000372,2022-11-16,2022-11-20,1246296521,1277206068,PLN5265,513033,PCN582,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,0,Retail,0,0,0,18.0,5.14,23.14,2.0,20.39,0.75,0.72,0.51,0,1,0,0,2022-12-16
RX0000013557,MBR00000372,2022-06-18,2022-06-22,1511552526,1318699342,PLN5391,619549,PCN332,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,90,0,Retail,0,1,0,24.0,10.91,34.91,154.0,0.0,1.24,0.32,0.2267,0,0,0,0,2022-09-16
RX0000013558,MBR00000372,2021-06-30,2021-07-04,1506313816,1133950467,PLN4184,975552,PCN174,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,9,Retail,1,0,0,38.0,10.36,48.36,1.0,45.21,2.15,1.52,1.0767,0,0,0,0,2021-07-30
RX0000013559,MBR00000372,2023-11-28,2023-12-02,1291242015,1750387404,PLN1551,128402,PCN631,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,0,Retail,0,1,0,2800.0,2.93,2802.93,154.0,2521.19,127.74,112.0,79.3333,0,0,0,0,2023-12-28
RX0000013560,MBR00000372,2023-03-14,2023-03-17,1898172591,1361555589,PLN8859,810103,PCN406,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,2,Mail Order,0,0,0,10.0,4.62,14.62,10.0,4.14,0.48,0.4,0.2833,0,0,0,0,2023-04-13
RX0000013561,MBR00000373,2021-03-14,2021-03-16,1317387382,1877813002,PLN9465,573120,PCN816,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,5,Retail,0,0,0,175.0,7.54,182.54,37.0,137.39,8.15,7.0,4.9583,0,0,0,0,2021-04-13
RX0000013562,MBR00000373,2021-12-20,2021-12-22,1576705801,1864380582,PLN3620,828860,PCN661,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,9,Mail Order,1,0,0,114.0,4.52,118.52,6.0,107.15,5.37,1.52,1.0767,0,0,0,0,2022-03-20
RX0000013563,MBR00000373,2022-09-29,2022-10-03,1801594456,1262384989,PLN9634,155594,PCN833,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,8,Retail,0,0,0,15.0,2.11,17.11,2.0,14.03,1.08,0.6,0.425,0,0,0,0,2022-10-29
RX0000013564,MBR00000373,2021-08-12,2021-08-13,1410975960,1937276927,PLN1607,774991,PCN428,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,97,5,Specialty,2,0,0,114.0,35.33,149.33,4.0,145.33,0.0,1.52,1.0767,0,0,0,0,2021-11-10
RX0000013565,MBR00000373,2022-10-30,2022-11-02,1399345996,1520366719,PLN7353,698360,PCN501,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,96,0,Retail,0,0,0,54.0,6.13,60.13,8.0,49.91,2.22,0.72,0.51,0,0,0,0,2023-01-28
RX0000013566,MBR00000373,2022-06-05,2022-06-06,1564094738,1641760785,PLN3579,567060,PCN938,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,90,9,Retail,0,1,0,24.0,8.38,32.38,145.0,0.0,1.4,0.32,0.2267,0,0,0,0,2022-09-03
RX0000013567,MBR00000373,2022-04-21,2022-04-24,1167823955,1520625175,PLN7597,839111,PCN685,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,8,Retail,0,0,0,38.0,7.99,45.99,2.0,41.64,2.35,1.52,1.0767,1,0,0,0,2022-05-21
RX0000013568,MBR00000373,2022-04-23,2022-04-25,1196293022,1494821879,PLN3067,599054,PCN484,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,8,Retail,0,0,0,9.0,5.76,14.76,2.0,12.15,0.61,0.36,0.255,0,0,0,0,2022-05-23
RX0000013569,MBR00000373,2023-09-20,2023-09-23,1490473993,1752458412,PLN5252,351276,PCN284,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,1,Retail,0,0,0,14.0,7.99,21.99,6.0,14.53,1.46,0.56,0.3967,0,0,0,0,2023-10-20
RX0000013570,MBR00000373,2023-01-08,2023-01-11,1409205413,1820071533,PLN2944,254337,PCN601,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,8,Retail,0,0,0,18.0,4.41,22.41,9.0,12.67,0.74,0.72,0.51,0,0,0,0,2023-02-07
RX0000013571,MBR00000373,2023-02-17,2023-02-19,1494989978,1132832958,PLN4039,952328,PCN548,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,57,9,Specialty,0,0,0,76.0,28.33,104.33,37.0,67.33,0.0,1.52,1.0767,0,0,0,0,2023-04-18
RX0000013572,MBR00000373,2023-07-30,2023-07-31,1879337562,1951220995,PLN5542,310020,PCN295,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,10,Mail Order,0,0,0,16.0,1.51,17.51,4.0,12.65,0.86,0.64,0.4533,0,0,0,0,2023-08-29
RX0000013573,MBR00000373,2023-09-06,2023-09-10,1904581027,1132350035,PLN8639,155377,PCN660,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,5,Specialty,2,0,0,65.0,38.66,103.66,33.0,70.66,0.0,2.6,1.8417,0,0,0,0,2023-10-06
RX0000013574,MBR00000373,2022-04-09,2022-04-13,1273078628,1592695893,PLN6323,125710,PCN279,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,7,Retail,0,0,0,650.0,10.86,660.86,36.0,590.1,34.76,26.0,18.4167,0,1,1,0,2022-05-09
RX0000013575,MBR00000373,2023-10-06,2023-10-10,1587350620,1788026095,PLN7606,606957,PCN444,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,94,7,Mail Order,0,0,0,114.0,5.76,119.76,1.0,113.36,5.4,1.52,1.0767,0,0,0,0,2024-01-04
RX0000013576,MBR00000373,2023-04-28,2023-05-01,1300683020,1848258351,PLN2009,500542,PCN797,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,6,Retail,2,0,0,2.92,5.19,8.1,3.0,4.82,0.28,0.5,0.3542,0,0,0,0,2023-05-05
RX0000013577,MBR00000373,2021-03-29,2021-03-31,1843995497,1111763787,PLN4747,990264,PCN867,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,81,9,Specialty,0,0,0,84.0,12.59,96.59,4.0,92.59,0.0,1.12,0.7933,0,0,0,0,2021-06-27
RX0000013578,MBR00000373,2023-02-19,2023-02-21,1808066675,1964855248,PLN6840,263505,PCN254,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,3,Mail Order,0,0,0,10.0,3.39,13.39,0.0,12.54,0.85,0.4,0.2833,0,0,0,0,2023-03-21
RX0000013579,MBR00000373,2021-02-04,2021-02-05,1284360227,1431165642,PLN7207,294710,PCN346,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,1,Retail,0,0,0,15.0,9.74,24.74,9.0,14.4,1.34,0.6,0.425,0,0,0,0,2021-03-06
RX0000013580,MBR00000373,2021-05-26,2021-05-30,1554603995,1978243583,PLN6369,118684,PCN998,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,59,10,Mail Order,0,0,0,56.0,2.88,58.88,0.0,55.4,3.48,1.12,0.7933,0,0,0,0,2021-07-25
RX0000013581,MBR00000373,2023-04-01,2023-04-04,1409340914,1338990944,PLN6438,110809,PCN653,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,6,Retail,0,0,0,22.0,6.53,28.53,68.0,0.0,1.73,0.88,0.6233,0,0,0,0,2023-05-01
RX0000013582,MBR00000373,2022-11-28,2022-12-01,1901087350,1557635746,PLN4424,218622,PCN202,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,4,Retail,0,0,0,28.0,5.36,33.36,5.0,26.22,2.14,1.12,0.7933,0,0,0,0,2022-12-28
RX0000013583,MBR00000373,2023-02-16,2023-02-18,1714580412,1139541175,PLN8517,535082,PCN777,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,7,Retail,2,0,0,12.0,11.41,23.41,6.0,16.41,1.0,0.48,0.34,0,0,0,0,2023-03-18
RX0000013584,MBR00000373,2023-03-23,2023-03-24,1612543799,1430901559,PLN2337,797756,PCN481,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,84,7,Mail Order,0,0,0,1140.0,2.47,1142.47,31.0,1045.33,66.14,15.2,10.7667,0,0,0,0,2023-06-21
RX0000013585,MBR00000373,2023-06-20,2023-06-21,1763144314,1656868538,PLN8913,556537,PCN842,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,8,Retail,0,0,0,77.0,1.83,78.83,36.0,38.04,4.79,13.2,9.35,0,0,0,0,2023-06-27
RX0000013586,MBR00000373,2022-09-30,2022-10-03,1208692933,1646636875,PLN6293,648015,PCN569,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,5,Specialty,0,1,0,6200.0,36.39,6236.39,148.0,6088.39,0.0,248.0,175.6667,1,0,0,0,2022-10-30
RX0000013587,MBR00000373,2022-03-20,2022-03-23,1575774637,1493979939,PLN4103,494315,PCN411,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,7,Retail,3,0,0,380.0,7.21,387.21,34.0,328.17,25.04,15.2,10.7667,0,0,0,0,2022-04-19
RX0000013588,MBR00000373,2021-01-16,2021-01-17,1527263919,1535509906,PLN2746,627445,PCN456,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,11,Retail,0,0,0,11.0,9.79,20.79,3.0,16.75,1.04,0.44,0.3117,1,0,0,0,2021-02-15
RX0000013589,MBR00000373,2023-07-27,2023-07-31,1557145129,1493769921,PLN4093,617567,PCN998,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,10,Retail,0,0,0,15.0,9.87,24.87,6.0,18.11,0.76,0.6,0.425,0,0,0,0,2023-08-26
RX0000013590,MBR00000373,2022-01-29,2022-02-02,1409453122,1226839055,PLN6380,659564,PCN200,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,62,9,Retail,0,0,0,960.0,8.66,968.66,32.0,891.24,45.42,19.2,13.6,0,0,0,0,2022-03-30
RX0000013591,MBR00000373,2023-03-31,2023-04-01,1505919316,1417763686,PLN4934,738556,PCN676,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,5,Mail Order,0,0,0,6.53,8.17,14.7,9.0,4.87,0.83,1.12,0.7933,0,0,0,0,2023-04-07
RX0000013592,MBR00000373,2023-05-18,2023-05-19,1585717881,1165484177,PLN6166,203720,PCN877,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,57,7,Retail,0,0,0,20.0,1.6,21.6,5.0,15.54,1.06,0.4,0.2833,0,0,0,0,2023-07-17
RX0000013593,MBR00000373,2023-02-01,2023-02-03,1299145050,1794957571,PLN8106,257580,PCN735,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,0,Retail,0,0,0,650.0,6.06,656.06,39.0,590.88,26.18,26.0,18.4167,0,1,1,0,2023-03-03
RX0000013594,MBR00000373,2022-02-05,2022-02-06,1945953564,1884749141,PLN2626,937347,PCN237,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,3,Retail,0,0,0,12.5,10.48,22.98,6.0,15.61,1.37,0.5,0.3542,0,0,0,0,2022-03-07
RX0000013595,MBR00000374,2022-03-24,2022-03-25,1407861010,1898583048,PLN4810,374571,PCN445,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,1,Retail,0,0,0,320.0,8.06,328.06,31.0,285.24,11.82,12.8,9.0667,0,0,0,0,2022-04-23
RX0000013596,MBR00000374,2023-03-22,2023-03-24,1454093355,1781645079,PLN7395,921136,PCN198,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,98,6,Retail,3,0,0,2850.0,8.87,2858.87,38.0,2723.54,97.33,38.0,26.9167,0,0,0,0,2023-06-20
RX0000013597,MBR00000374,2023-04-11,2023-04-13,1412413772,1868627159,PLN9034,605157,PCN228,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,81,5,Specialty,0,0,0,960.0,41.38,1001.38,30.0,971.38,0.0,12.8,9.0667,0,0,0,0,2023-07-10
RX0000013598,MBR00000374,2023-04-07,2023-04-11,1358399186,1108785182,PLN4556,981233,PCN209,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,3,Mail Order,0,0,0,15.0,8.25,23.25,6.0,16.15,1.1,0.6,0.425,0,0,0,0,2023-05-07
RX0000013599,MBR00000374,2023-04-04,2023-04-08,1244666476,1752808951,PLN2287,134554,PCN602,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,6,Mail Order,0,0,0,18.0,6.48,24.48,0.0,23.08,1.4,0.72,0.51,0,0,0,0,2023-05-04
RX0000013600,MBR00000374,2021-08-12,2021-08-13,1135118912,1961034988,PLN3069,514206,PCN751,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,83,0,Retail,0,0,0,1440.0,8.23,1448.23,31.0,1316.85,100.38,19.2,13.6,0,0,0,0,2021-11-10
RX0000013601,MBR00000374,2021-07-10,2021-07-14,1551140751,1496109216,PLN1453,531622,PCN997,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,86,2,Mail Order,0,0,0,27.0,11.02,38.02,6.0,30.67,1.35,0.36,0.255,0,0,0,0,2021-10-08
RX0000013602,MBR00000374,2022-05-07,2022-05-11,1330316630,1994505071,PLN6489,755426,PCN888,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,7,Mail Order,0,0,0,18.0,11.65,29.65,9.0,18.96,1.69,0.72,0.51,0,0,0,0,2022-06-06
RX0000013603,MBR00000374,2021-12-17,2021-12-19,1462894260,1228431451,PLN1375,740612,PCN249,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,5,Specialty,0,0,0,175.0,9.28,184.28,37.0,147.28,0.0,7.0,4.9583,0,0,0,0,2022-01-16
RX0000013604,MBR00000374,2023-07-06,2023-07-09,1499944651,1236471128,PLN9558,162838,PCN319,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,2,Retail,0,0,0,10.0,10.48,20.48,9.0,10.18,1.3,0.4,0.2833,0,1,0,0,2023-08-05
RX0000013605,MBR00000374,2022-07-11,2022-07-14,1665586544,1176828864,PLN2456,331968,PCN174,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,0,Mail Order,0,0,0,12.0,2.75,14.75,6.0,7.76,0.99,0.48,0.34,0,0,0,0,2022-08-10
RX0000013606,MBR00000374,2023-11-18,2023-11-20,1717955593,1586453833,PLN1394,443956,PCN981,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,6,Mail Order,0,0,0,66.5,7.7,74.2,37.0,33.49,3.71,11.4,8.075,0,0,0,0,2023-11-25
RX0000013607,MBR00000374,2021-04-15,2021-04-16,1585099700,1356997773,PLN7764,944358,PCN889,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,11,Retail,0,0,0,15.0,10.74,25.74,6.0,18.14,1.6,0.6,0.425,0,0,0,0,2021-05-15
RX0000013608,MBR00000374,2022-06-14,2022-06-15,1158750731,1312055654,PLN7093,538447,PCN108,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,98,8,Mail Order,0,0,0,33.0,4.88,37.88,10.0,25.61,2.27,0.44,0.3117,0,0,0,0,2022-09-12
RX0000013609,MBR00000374,2022-12-27,2022-12-28,1448907313,1732194471,PLN3648,309483,PCN456,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,9,Mail Order,0,0,0,27.0,11.88,38.88,7.0,29.22,2.66,0.36,0.255,0,0,0,0,2023-03-27
RX0000013610,MBR00000374,2021-10-08,2021-10-09,1984714453,1554833010,PLN8961,949529,PCN603,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,58,11,Retail,0,0,0,660.0,2.23,662.23,34.0,593.76,34.47,13.2,9.35,0,0,0,0,2021-12-07
RX0000013611,MBR00000374,2023-02-09,2023-02-11,1556522286,1966160124,PLN6795,121332,PCN968,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,10,Specialty,0,0,0,22.0,38.57,60.57,71.0,0.0,0.0,0.88,0.6233,0,0,0,0,2023-03-11
RX0000013612,MBR00000374,2023-04-09,2023-04-10,1979823596,1982001369,PLN1617,446920,PCN729,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,6,Mail Order,3,0,0,320.0,4.24,324.24,33.0,281.23,10.01,12.8,9.0667,0,0,0,0,2023-05-09
RX0000013613,MBR00000374,2021-01-09,2021-01-11,1705880669,1184274342,PLN3666,702860,PCN190,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,1,Retail,0,0,0,11.0,4.46,15.46,3.0,11.65,0.81,0.44,0.3117,0,0,0,0,2021-02-08
RX0000013614,MBR00000374,2021-10-07,2021-10-10,1902265633,1936807262,PLN8242,669007,PCN353,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,94,9,Specialty,0,1,0,8400.0,14.06,8414.06,150.0,8264.06,0.0,112.0,79.3333,0,0,0,0,2022-01-05
RX0000013615,MBR00000374,2022-03-06,2022-03-09,1774288044,1711414938,PLN2307,339289,PCN363,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,1,Retail,0,0,0,18.0,3.84,21.84,2.0,18.35,1.49,0.72,0.51,0,0,0,0,2022-04-05
RX0000013616,MBR00000374,2023-06-03,2023-06-05,1649691443,1205499711,PLN4218,320558,PCN602,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,Retail,0,0,0,22.0,5.05,27.05,0.0,26.13,0.92,0.88,0.6233,0,0,0,0,2023-07-03
RX0000013617,MBR00000374,2023-06-16,2023-06-19,1287090074,1804460471,PLN5622,446889,PCN822,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,6,Retail,1,0,0,16.0,7.27,23.27,0.0,22.38,0.89,0.64,0.4533,0,0,0,0,2023-07-16
RX0000013618,MBR00000374,2023-10-11,2023-10-12,1591032477,1440495880,PLN2366,357210,PCN514,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,0,Retail,0,0,0,12.5,10.19,22.69,7.0,14.23,1.46,0.5,0.3542,0,0,0,0,2023-11-10
RX0000013619,MBR00000374,2022-05-18,2022-05-22,1273416059,1309557370,PLN4014,917586,PCN403,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,6,Retail,0,0,0,38.0,11.95,49.95,32.0,14.76,3.19,1.52,1.0767,0,0,0,0,2022-06-17
RX0000013620,MBR00000374,2023-12-04,2023-12-06,1663370839,1709976719,PLN9597,645229,PCN777,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,11,Retail,0,0,0,22.0,5.79,27.79,5.0,21.77,1.02,0.88,0.6233,0,1,0,0,2024-01-03
RX0000013621,MBR00000374,2021-09-09,2021-09-12,1586132061,1153184296,PLN8581,921920,PCN286,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,2,Retail,0,0,0,45.0,6.31,51.31,4.0,44.03,3.28,1.8,1.275,1,0,0,0,2021-10-09
RX0000013622,MBR00000375,2022-09-04,2022-09-07,1525353655,1964038755,PLN6969,967029,PCN485,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,330.0,11.1,341.1,36.0,284.76,20.34,13.2,9.35,0,0,0,0,2022-10-04
RX0000013623,MBR00000375,2021-04-24,2021-04-28,1981048993,1628536619,PLN2606,394770,PCN251,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,5,Retail,0,0,0,28.0,9.04,37.04,3.0,32.64,1.4,1.12,0.7933,0,0,0,0,2021-05-24
RX0000013624,MBR00000375,2023-09-03,2023-09-06,1297518508,1747347563,PLN2788,767848,PCN233,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,97,3,Retail,0,1,0,8400.0,2.55,8402.55,149.0,7665.62,587.93,112.0,79.3333,0,0,0,0,2023-12-02
RX0000013625,MBR00000375,2022-08-10,2022-08-13,1838892352,1524676191,PLN1535,735300,PCN249,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,10,Mail Order,0,0,0,12.0,5.37,17.37,7.0,9.47,0.9,0.48,0.34,0,0,0,0,2022-09-09
RX0000013626,MBR00000375,2023-02-16,2023-02-19,1143525031,1200393893,PLN8640,823030,PCN777,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,89,8,Retail,0,0,0,84.0,2.92,86.92,6.0,75.02,5.9,1.12,0.7933,0,0,0,0,2023-05-17
RX0000013627,MBR00000375,2021-08-25,2021-08-26,1368371809,1821565494,PLN5607,872611,PCN138,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,7,Retail,0,0,0,18.0,9.89,27.89,33.0,0.0,1.33,0.72,0.51,0,0,0,0,2021-09-24
RX0000013628,MBR00000375,2021-06-03,2021-06-04,1225322803,1607250474,PLN3587,857737,PCN854,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,90,1,Retail,0,0,0,45.0,8.35,53.35,1.0,48.93,3.42,0.6,0.425,1,0,0,0,2021-09-01
RX0000013629,MBR00000375,2023-02-27,2023-02-28,1368985922,1162713684,PLN1826,432316,PCN655,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,9,Specialty,0,0,0,12.0,44.41,56.41,10.0,46.41,0.0,0.48,0.34,0,0,0,0,2023-03-29
RX0000013630,MBR00000375,2022-02-07,2022-02-11,1981909081,1752433262,PLN2521,735531,PCN810,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,3,Retail,0,0,0,4.2,7.99,12.19,0.0,11.78,0.41,0.72,0.51,0,0,0,0,2022-02-14
RX0000013631,MBR00000375,2022-06-13,2022-06-17,1993601170,1912920415,PLN3105,128667,PCN587,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,10,Retail,0,0,0,2.57,10.08,12.65,6.0,5.87,0.78,0.44,0.3117,0,0,0,0,2022-06-20
RX0000013632,MBR00000375,2021-09-19,2021-09-23,1255200620,1392681136,PLN1804,571662,PCN903,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,87,2,Mail Order,0,0,0,2850.0,1.82,2851.82,39.0,2706.45,106.37,38.0,26.9167,0,0,0,0,2021-12-18
RX0000013633,MBR00000375,2023-08-05,2023-08-06,1411347898,1194360441,PLN8312,568292,PCN380,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,10,Retail,0,0,0,12.0,10.36,22.36,7.0,14.35,1.01,0.48,0.34,0,0,0,0,2023-09-04
RX0000013634,MBR00000375,2023-10-21,2023-10-25,1113909452,1372753437,PLN4112,598277,PCN344,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,7,Retail,0,0,0,9.0,8.93,17.93,5.0,12.2,0.73,0.36,0.255,0,0,0,0,2023-11-20
RX0000013635,MBR00000375,2022-08-26,2022-08-28,1454831311,1925809035,PLN1630,807636,PCN259,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,1,Retail,0,0,0,7.5,7.78,15.28,7.0,7.72,0.56,0.3,0.2125,0,0,0,0,2022-09-25
RX0000013636,MBR00000375,2022-06-17,2022-06-21,1337955741,1494849192,PLN2419,994541,PCN342,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,8,Retail,0,1,0,12.0,9.09,21.09,151.0,0.0,1.3,0.48,0.34,0,0,0,0,2022-07-17
RX0000013637,MBR00000375,2022-05-02,2022-05-06,1610343353,1688421965,PLN8694,601649,PCN423,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,9,Retail,0,0,0,480.0,9.72,489.72,31.0,432.94,25.78,19.2,13.6,0,0,0,0,2022-06-01
RX0000013638,MBR00000375,2023-05-23,2023-05-27,1145115268,1851064570,PLN2563,533160,PCN563,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,10,Retail,0,0,0,15.0,6.58,21.58,4.0,16.08,1.5,0.6,0.425,0,1,0,0,2023-06-22
RX0000013639,MBR00000375,2022-02-23,2022-02-27,1221166056,1321974914,PLN4885,740420,PCN877,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,11,Mail Order,0,0,0,9.0,6.0,15.0,3.0,11.03,0.97,0.36,0.255,0,0,0,0,2022-03-25
RX0000013640,MBR00000375,2022-06-19,2022-06-22,1719042456,1265132001,PLN6458,533945,PCN737,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,10,Mail Order,0,0,0,38.0,1.68,39.68,0.0,38.38,1.3,1.52,1.0767,0,0,0,0,2022-07-19
RX0000013641,MBR00000376,2023-05-15,2023-05-19,1733812437,1147543789,PLN7393,261886,PCN256,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,97,11,Mail Order,0,1,0,36.0,6.0,42.0,152.0,0.0,2.48,0.48,0.34,1,1,1,0,2023-08-13
RX0000013642,MBR00000376,2023-03-07,2023-03-10,1284289779,1312699605,PLN1246,576388,PCN991,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,5,Retail,0,0,0,38.0,4.42,42.42,34.0,5.89,2.53,1.52,1.0767,0,1,1,0,2023-04-06
RX0000013643,MBR00000376,2022-03-29,2022-04-02,1138064023,1817005992,PLN6258,195977,PCN103,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,11,Retail,0,0,0,330.0,9.37,339.37,34.0,292.95,12.42,13.2,9.35,1,0,0,0,2022-04-28
RX0000013644,MBR00000376,2023-10-12,2023-10-14,1702139248,1776277818,PLN3184,468877,PCN599,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,4,Mail Order,3,0,0,10.0,4.0,14.0,5.0,8.43,0.57,0.4,0.2833,0,0,0,0,2023-11-11
RX0000013645,MBR00000376,2023-02-08,2023-02-11,1985029769,1990750622,PLN8420,901662,PCN711,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,3,Retail,0,0,0,950.0,7.61,957.61,33.0,885.4,39.21,38.0,26.9167,0,0,0,0,2023-03-10
RX0000013646,MBR00000376,2022-11-20,2022-11-22,1869799216,1216482731,PLN7874,390417,PCN889,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,6,LTC,0,0,0,45.0,11.24,56.24,0.0,54.23,2.01,1.8,1.275,0,1,0,0,2022-12-20
RX0000013647,MBR00000376,2023-04-26,2023-04-29,1436826410,1430385728,PLN8372,548861,PCN508,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,9,Retail,1,0,0,86.33,10.78,97.11,38.0,55.45,3.66,14.8,10.4833,1,0,0,0,2023-05-03
RX0000013648,MBR00000376,2022-08-06,2022-08-08,1952347764,1481401833,PLN6004,269489,PCN336,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,3,Retail,0,0,0,10.0,3.74,13.74,4.0,8.85,0.89,0.4,0.2833,0,0,0,0,2022-09-05
RX0000013649,MBR00000376,2023-06-14,2023-06-17,1566887297,1365925795,PLN3784,520732,PCN591,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,8,Retail,0,0,0,10.0,8.41,18.41,9.0,8.43,0.98,0.4,0.2833,0,0,0,0,2023-07-14
RX0000013650,MBR00000376,2022-04-02,2022-04-03,1862702244,1944358676,PLN5114,308517,PCN172,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,64,5,Retail,0,0,0,22.0,10.23,32.23,7.0,24.22,1.01,0.44,0.3117,0,0,0,0,2022-06-01
RX0000013651,MBR00000376,2021-09-28,2021-09-29,1815098864,1865412134,PLN5373,243439,PCN244,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,9,Retail,0,0,0,480.0,4.94,484.94,39.0,414.7,31.24,19.2,13.6,0,0,0,0,2021-10-28
RX0000013652,MBR00000376,2022-08-08,2022-08-11,1511609817,1545534461,PLN7028,941864,PCN762,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,8,Retail,1,0,0,4.2,9.44,13.64,38.0,0.0,0.83,0.72,0.51,1,0,0,0,2022-08-15
RX0000013653,MBR00000376,2021-01-20,2021-01-21,1849323024,1187501256,PLN9983,460145,PCN502,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,1,Mail Order,0,1,0,8.0,3.3,11.3,145.0,0.0,0.66,0.32,0.2267,0,0,0,0,2021-02-19
RX0000013654,MBR00000376,2022-04-03,2022-04-06,1204585778,1469775576,PLN9941,726137,PCN846,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,10,Retail,0,0,0,10.0,6.61,16.61,5.0,10.85,0.76,0.4,0.2833,0,0,0,0,2022-05-03
RX0000013655,MBR00000376,2023-12-06,2023-12-10,1134410315,1850265245,PLN6038,118732,PCN643,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,10,Retail,0,0,0,18.0,3.3,21.3,2.0,18.06,1.24,0.72,0.51,0,0,0,0,2024-01-05
RX0000013656,MBR00000376,2022-07-03,2022-07-04,1921598595,1278588884,PLN3186,869651,PCN973,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,1,Mail Order,0,0,0,9.0,7.24,16.24,9.0,6.31,0.93,0.36,0.255,0,0,0,0,2022-08-02
RX0000013657,MBR00000377,2022-04-29,2022-05-02,1884274875,1997056561,PLN9710,566672,PCN634,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,86,5,Specialty,0,0,0,45.0,27.44,72.44,8.0,64.44,0.0,0.6,0.425,0,0,0,0,2022-07-28
RX0000013658,MBR00000377,2023-09-17,2023-09-21,1908743275,1502903775,PLN3078,166044,PCN981,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,11,Mail Order,0,0,0,12.0,7.78,19.78,7.0,12.02,0.76,0.48,0.34,0,0,0,0,2023-10-17
RX0000013659,MBR00000377,2023-02-20,2023-02-24,1448490553,1593966118,PLN2243,123921,PCN959,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,82,5,Retail,0,0,0,525.0,10.5,535.5,32.0,476.11,27.39,7.0,4.9583,1,0,0,0,2023-05-21
RX0000013660,MBR00000377,2022-11-17,2022-11-19,1653130278,1419095331,PLN6855,459276,PCN542,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,88,8,Mail Order,0,1,0,18600.0,8.56,18608.56,150.0,17889.34,569.22,248.0,175.6667,0,0,0,0,2023-02-15
RX0000013661,MBR00000377,2023-09-06,2023-09-09,1608521029,1955322403,PLN5994,637701,PCN733,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,8,Retail,0,0,0,12.0,6.68,18.68,1.0,16.54,1.14,0.48,0.34,0,0,0,0,2023-10-06
RX0000013662,MBR00000377,2022-03-03,2022-03-07,1963358474,1713359788,PLN5625,986496,PCN665,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,83,3,Mail Order,0,0,0,27.0,3.08,30.08,6.0,22.02,2.06,0.36,0.255,0,0,0,0,2022-06-01
RX0000013663,MBR00000377,2022-01-30,2022-02-02,1675640091,1766281911,PLN8134,367073,PCN873,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,94,3,Retail,0,0,0,30.0,3.93,33.93,7.0,25.74,1.19,0.4,0.2833,0,0,0,0,2022-04-30
RX0000013664,MBR00000377,2023-05-14,2023-05-17,1688082311,1525039077,PLN2299,904385,PCN132,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,11,Retail,0,0,0,6.53,3.04,9.58,6.0,3.13,0.45,1.12,0.7933,0,0,0,0,2023-05-21
RX0000013665,MBR00000377,2023-03-27,2023-03-29,1539805270,1932957683,PLN9234,647111,PCN334,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,10,Specialty,0,0,0,45.0,44.02,89.02,1.0,88.02,0.0,1.8,1.275,0,0,0,0,2023-04-26
RX0000013666,MBR00000377,2023-04-15,2023-04-19,1616985588,1707644571,PLN7015,449784,PCN595,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,62,10,Mail Order,0,0,0,740.0,7.31,747.31,32.0,675.52,39.79,14.8,10.4833,0,0,0,0,2023-06-14
RX0000013667,MBR00000377,2022-09-22,2022-09-23,1859722697,1695865696,PLN4556,629767,PCN722,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,87,1,Mail Order,0,1,0,18600.0,10.17,18610.17,152.0,17760.3,697.87,248.0,175.6667,0,0,0,0,2022-12-21
RX0000013668,MBR00000377,2021-12-15,2021-12-19,1331650404,1231480297,PLN6578,984307,PCN307,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,9,Retail,0,0,0,45.0,9.52,54.52,10.0,42.1,2.42,1.8,1.275,0,0,0,0,2022-01-14
RX0000013669,MBR00000377,2022-06-11,2022-06-13,1123579811,1498993378,PLN9341,837988,PCN150,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,64,7,Mail Order,3,0,0,90.0,8.27,98.27,2.0,92.2,4.07,1.8,1.275,0,0,0,0,2022-08-10
RX0000013670,MBR00000377,2022-05-17,2022-05-18,1348804045,1240511132,PLN3881,651122,PCN171,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,84,11,Retail,0,0,0,1440.0,8.23,1448.23,35.0,1361.34,51.89,19.2,13.6,0,0,0,0,2022-08-15
RX0000013671,MBR00000377,2021-06-04,2021-06-07,1424214085,1311771046,PLN1532,766672,PCN398,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,84,4,Retail,1,0,0,45.0,5.72,50.72,6.0,43.06,1.66,0.6,0.425,0,0,0,0,2021-09-02
RX0000013672,MBR00000377,2023-01-06,2023-01-08,1999127026,1991045898,PLN2138,143526,PCN855,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,85,6,Mail Order,0,0,0,54.0,6.77,60.77,33.0,23.79,3.98,0.72,0.51,0,0,0,0,2023-04-06
RX0000013673,MBR00000377,2021-11-03,2021-11-06,1440635660,1412491951,PLN4372,507827,PCN396,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,6,Retail,0,0,0,310.0,8.24,318.24,40.0,266.82,11.42,12.4,8.7833,0,0,0,0,2021-12-03
RX0000013674,MBR00000377,2022-01-14,2022-01-17,1411683046,1310640321,PLN9804,867044,PCN282,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,8,Retail,0,1,0,6200.0,6.16,6206.16,155.0,5677.75,373.41,248.0,175.6667,0,0,0,0,2022-02-13
RX0000013675,MBR00000377,2022-08-20,2022-08-24,1343270975,1173359622,PLN1856,359125,PCN241,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,94,3,Retail,0,0,0,1140.0,4.83,1144.83,34.0,1068.0,42.83,15.2,10.7667,0,0,0,0,2022-11-18
RX0000013676,MBR00000377,2021-10-08,2021-10-11,1661541848,1279086406,PLN7568,194466,PCN270,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,9,Retail,0,0,0,12.0,1.98,13.98,7.0,6.47,0.51,0.48,0.34,0,0,0,0,2021-11-07
RX0000013677,MBR00000377,2023-01-23,2023-01-26,1715748711,1496590934,PLN2381,963609,PCN360,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,58,6,Mail Order,0,0,0,660.0,7.02,667.02,40.0,584.11,42.91,13.2,9.35,0,0,0,0,2023-03-24
RX0000013678,MBR00000377,2021-10-23,2021-10-26,1574961872,1681998220,PLN2248,633690,PCN786,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,4,Specialty,0,1,0,8.0,9.11,17.11,155.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-11-22
RX0000013679,MBR00000377,2021-01-05,2021-01-07,1295275220,1311369645,PLN9094,710104,PCN822,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,6,Retail,0,0,0,10.0,11.18,21.18,0.0,19.97,1.21,0.4,0.2833,0,0,0,0,2021-02-04
RX0000013680,MBR00000377,2021-09-16,2021-09-17,1120880832,1927327471,PLN1487,409945,PCN891,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,5,Retail,0,0,0,12.0,6.55,18.55,6.0,11.65,0.9,0.48,0.34,0,0,0,0,2021-10-16
RX0000013681,MBR00000377,2021-10-31,2021-11-02,1995957232,1240027737,PLN1386,846607,PCN482,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,82,9,Retail,0,0,0,27.0,1.72,28.72,0.0,27.57,1.15,0.36,0.255,0,0,0,0,2022-01-29
RX0000013682,MBR00000377,2023-07-22,2023-07-25,1891200817,1652615179,PLN2334,670111,PCN587,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,57,9,Mail Order,0,0,0,44.0,10.88,54.88,71.0,0.0,3.27,0.88,0.6233,0,0,0,0,2023-09-20
RX0000013683,MBR00000377,2021-09-15,2021-09-18,1542252378,1836316953,PLN2620,611251,PCN917,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,5,Retail,0,0,0,1.75,10.68,12.43,8.0,3.76,0.67,0.3,0.2125,0,0,0,0,2021-09-22
RX0000013684,MBR00000377,2022-01-25,2022-01-29,1454048213,1672265176,PLN2017,679132,PCN954,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,5,Retail,0,0,0,12.0,11.62,23.62,6.0,15.99,1.63,0.48,0.34,0,0,0,0,2022-02-24
RX0000013685,MBR00000377,2021-05-17,2021-05-19,1109055379,1378563249,PLN2062,661386,PCN785,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,8,Specialty,0,0,0,5.13,10.03,15.16,3.0,12.16,0.0,0.88,0.6233,0,0,0,0,2021-05-24
RX0000013686,MBR00000377,2021-08-28,2021-08-30,1535826486,1368723749,PLN7564,197275,PCN970,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,9,Retail,0,0,0,14.0,4.83,18.83,4.0,14.23,0.6,0.56,0.3967,0,0,0,0,2021-09-27
RX0000013687,MBR00000377,2021-09-19,2021-09-20,1764202178,1497223820,PLN5375,234767,PCN430,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,87,5,Retail,0,0,0,54.0,5.84,59.84,4.0,53.9,1.94,0.72,0.51,0,0,0,0,2021-12-18
RX0000013688,MBR00000377,2022-06-21,2022-06-24,1659507084,1942423043,PLN3201,573846,PCN701,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,4,Retail,0,0,0,18.0,2.75,20.75,10.0,9.87,0.88,0.72,0.51,0,0,0,0,2022-07-21
RX0000013689,MBR00000377,2022-06-26,2022-06-27,1859933489,1949396912,PLN1510,814882,PCN894,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,98,7,Retail,0,0,1,2850.0,4.04,2854.04,34.0,2686.12,133.92,38.0,26.9167,0,0,0,0,2022-09-24
RX0000013690,MBR00000377,2021-04-04,2021-04-08,1294623563,1285723448,PLN4483,654284,PCN795,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,1,Mail Order,0,0,0,3.5,4.45,7.95,0.0,7.63,0.32,0.6,0.425,0,0,0,0,2021-04-11
RX0000013691,MBR00000377,2021-04-16,2021-04-18,1694578148,1736284831,PLN3595,692153,PCN427,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,4,Retail,0,0,0,11.0,8.67,19.67,5.0,13.64,1.03,0.44,0.3117,0,0,0,0,2021-05-16
RX0000013692,MBR00000377,2021-05-09,2021-05-10,1254168533,1939811735,PLN5448,351641,PCN957,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,0,Retail,0,0,0,28.0,8.56,36.56,2.0,32.56,2.0,1.12,0.7933,0,0,0,0,2021-06-08
RX0000013693,MBR00000377,2021-04-04,2021-04-05,1462834154,1556428478,PLN6827,837349,PCN431,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,3,Specialty,0,0,0,151.67,29.78,181.45,36.0,145.45,0.0,26.0,18.4167,0,0,0,0,2021-04-11
RX0000013694,MBR00000377,2022-05-15,2022-05-18,1278319068,1214675859,PLN8959,350669,PCN311,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,96,8,Retail,0,0,0,66.0,5.81,71.81,75.0,0.0,2.19,0.88,0.6233,0,0,0,0,2022-08-13
RX0000013695,MBR00000377,2023-05-02,2023-05-03,1844494066,1303009418,PLN1575,851038,PCN294,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,9,Mail Order,0,0,0,10.0,3.25,13.25,5.0,7.5,0.75,0.4,0.2833,0,0,0,0,2023-06-01
RX0000013696,MBR00000377,2022-08-03,2022-08-06,1962226205,1991234310,PLN9107,921424,PCN164,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,10,Retail,0,0,0,175.0,2.17,177.17,33.0,133.79,10.38,7.0,4.9583,0,0,0,0,2022-09-02
RX0000013697,MBR00000377,2021-05-07,2021-05-08,1275817232,1225875271,PLN1564,729661,PCN343,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,11,Retail,0,0,0,12.0,6.22,18.22,3.0,13.96,1.26,0.48,0.34,0,0,0,0,2021-06-06
RX0000013698,MBR00000377,2023-08-20,2023-08-22,1233259684,1461283628,PLN4086,547891,PCN793,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,1,Retail,2,0,0,10.0,10.53,20.53,10.0,9.57,0.96,0.4,0.2833,0,0,0,0,2023-09-19
RX0000013699,MBR00000377,2021-05-23,2021-05-27,1256571592,1157004067,PLN4090,282441,PCN920,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,86,6,Retail,0,0,0,37.5,9.13,46.63,3.0,40.74,2.89,0.5,0.3542,0,0,0,0,2021-08-21
RX0000013700,MBR00000377,2022-03-06,2022-03-08,1229777911,1378232556,PLN4480,443244,PCN668,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,57,1,Retail,0,1,0,12400.0,2.75,12402.75,149.0,11599.99,653.76,248.0,175.6667,0,0,0,0,2022-05-05
RX0000013701,MBR00000378,2023-01-28,2023-01-31,1654492862,1791823413,PLN6961,574348,PCN815,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,5,Mail Order,0,0,0,9.0,8.15,17.15,4.0,12.17,0.98,0.36,0.255,0,0,0,0,2023-02-27
RX0000013702,MBR00000378,2022-07-26,2022-07-29,1366467964,1166507779,PLN6738,279054,PCN885,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,2,Mail Order,0,0,0,18.0,1.84,19.84,38.0,0.0,0.92,0.72,0.51,0,0,0,0,2022-08-25
RX0000013703,MBR00000378,2023-12-03,2023-12-04,1308242103,1184226800,PLN8313,640709,PCN486,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,91,2,Mail Order,0,0,0,30.0,5.33,35.33,5.0,28.82,1.51,0.4,0.2833,0,0,0,0,2024-03-02
RX0000013704,MBR00000378,2021-05-07,2021-05-10,1483447815,1253611116,PLN9110,940405,PCN755,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,87,10,Retail,0,0,0,54.0,10.76,64.76,10.0,51.8,2.96,0.72,0.51,0,0,0,0,2021-08-05
RX0000013705,MBR00000378,2022-01-17,2022-01-20,1674601453,1615520613,PLN2241,981644,PCN614,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,7,LTC,0,0,0,12.0,6.74,18.74,1.0,16.99,0.75,0.48,0.34,0,0,0,0,2022-02-16
RX0000013706,MBR00000378,2021-07-02,2021-07-06,1898162055,1575070199,PLN2416,527162,PCN881,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,9,Retail,0,1,0,2800.0,10.92,2810.92,145.0,2506.35,159.57,112.0,79.3333,0,0,0,0,2021-08-01
RX0000013707,MBR00000378,2021-08-02,2021-08-04,1132260551,1616633296,PLN7548,448708,PCN852,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,85,5,Retail,0,0,0,27.0,10.22,37.22,6.0,30.01,1.21,0.36,0.255,1,0,0,0,2021-10-31
RX0000013708,MBR00000378,2022-04-04,2022-04-06,1194226138,1113383549,PLN6025,883779,PCN279,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,97,8,Retail,0,0,0,66.0,11.16,77.16,65.0,6.89,5.27,0.88,0.6233,0,0,0,0,2022-07-03
RX0000013709,MBR00000378,2021-09-05,2021-09-06,1614687454,1367967328,PLN7757,485752,PCN813,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,91,11,Retail,0,0,0,45.0,5.17,50.17,2.0,44.86,3.31,0.6,0.425,0,0,0,0,2021-12-04
RX0000013710,MBR00000378,2021-01-26,2021-01-30,1972154961,1616287236,PLN7046,626031,PCN308,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,63,5,Mail Order,0,1,0,5600.0,3.53,5603.53,151.0,5121.35,331.18,112.0,79.3333,0,0,0,0,2021-03-27
RX0000013711,MBR00000378,2023-01-16,2023-01-19,1343980285,1328293001,PLN6863,952024,PCN269,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,0,Mail Order,3,0,0,22.0,11.09,33.09,0.0,31.27,1.82,0.88,0.6233,0,0,0,0,2023-02-15
RX0000013712,MBR00000378,2023-07-25,2023-07-27,1306556196,1517757508,PLN6964,624751,PCN938,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,8,Retail,0,0,0,18.0,10.14,28.14,35.0,0.0,1.96,0.72,0.51,0,0,0,0,2023-08-24
RX0000013713,MBR00000378,2022-02-01,2022-02-03,1541520464,1997051778,PLN8436,718099,PCN519,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,2,LTC,0,0,0,12.5,9.07,21.57,3.0,17.31,1.26,0.5,0.3542,0,0,0,0,2022-03-03
RX0000013714,MBR00000378,2022-08-30,2022-09-02,1697256784,1177893697,PLN8367,367700,PCN271,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,8,LTC,0,0,0,285.0,7.29,292.29,33.0,244.7,14.59,11.4,8.075,1,0,0,0,2022-09-29
RX0000013715,MBR00000378,2023-03-02,2023-03-04,1198702455,1145075289,PLN8576,799362,PCN306,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,1,Retail,0,1,0,2.8,1.54,4.34,153.0,0.0,0.24,0.48,0.34,0,0,0,0,2023-03-09
RX0000013716,MBR00000378,2022-07-31,2022-08-02,1999610293,1896426363,PLN6961,727984,PCN787,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,4,Mail Order,0,0,0,9.0,8.12,17.12,3.0,13.05,1.07,0.36,0.255,0,0,0,0,2022-08-30
RX0000013717,MBR00000378,2023-03-06,2023-03-09,1802287040,1235602300,PLN2535,377139,PCN758,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,54,10,Mail Order,0,0,0,15.0,4.14,19.14,4.0,14.12,1.02,0.3,0.2125,0,0,0,0,2023-05-05
RX0000013718,MBR00000378,2023-10-04,2023-10-06,1517752988,1496455179,PLN4931,660462,PCN958,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,3,Mail Order,0,0,0,10.5,8.48,18.98,10.0,8.29,0.69,1.8,1.275,0,1,0,0,2023-10-11
RX0000013719,MBR00000378,2022-02-08,2022-02-12,1467138751,1363029888,PLN6679,322530,PCN579,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,5,Retail,0,0,0,320.0,2.79,322.79,33.0,269.53,20.26,12.8,9.0667,0,0,0,0,2022-03-10
RX0000013720,MBR00000378,2022-05-27,2022-05-29,1769073390,1297881608,PLN4497,584109,PCN642,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,6,Retail,0,1,0,2800.0,11.32,2811.32,146.0,2470.48,194.84,112.0,79.3333,0,0,0,0,2022-06-26
RX0000013721,MBR00000378,2023-01-10,2023-01-13,1249506568,1541357174,PLN8561,908715,PCN335,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,10,Mail Order,0,0,0,10.0,9.61,19.61,6.0,12.62,0.99,0.4,0.2833,0,0,0,0,2023-02-09
RX0000013722,MBR00000378,2022-04-23,2022-04-25,1994459399,1896338905,PLN7194,234093,PCN167,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,59,7,Mail Order,0,0,0,350.0,1.64,351.64,37.0,291.74,22.9,7.0,4.9583,0,0,0,0,2022-06-22
RX0000013723,MBR00000378,2022-02-19,2022-02-22,1466414494,1876122074,PLN5079,552166,PCN148,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,8,Mail Order,3,0,0,18.0,11.45,29.45,10.0,17.56,1.89,0.72,0.51,1,0,0,0,2022-03-21
RX0000013724,MBR00000378,2023-02-27,2023-03-03,1113826567,1165567095,PLN5752,693109,PCN649,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,10,Specialty,1,0,0,370.0,35.91,405.91,40.0,365.91,0.0,14.8,10.4833,0,0,0,0,2023-03-29
RX0000013725,MBR00000378,2022-05-14,2022-05-18,1798781776,1590473339,PLN3479,440817,PCN591,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,4,Retail,1,1,0,2800.0,4.86,2804.86,152.0,2548.1,104.76,112.0,79.3333,0,0,0,0,2022-06-13
RX0000013726,MBR00000378,2022-01-30,2022-02-01,1370231456,1662616482,PLN9507,634509,PCN847,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,7,Retail,0,0,0,310.0,2.97,312.97,38.0,260.68,14.29,12.4,8.7833,0,0,0,0,2022-03-01
RX0000013727,MBR00000378,2023-05-22,2023-05-23,1889156686,1895738321,PLN2740,789349,PCN794,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,11,Retail,0,0,0,330.0,8.02,338.02,31.0,288.8,18.22,13.2,9.35,0,0,0,0,2023-06-21
RX0000013728,MBR00000378,2023-10-15,2023-10-17,1412244531,1923294691,PLN7913,682977,PCN281,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,0,Retail,0,0,0,2.1,9.06,11.16,1.0,9.73,0.43,0.36,0.255,0,0,0,0,2023-10-22
RX0000013729,MBR00000378,2023-10-21,2023-10-25,1312260128,1216560250,PLN9313,631245,PCN870,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,0,Retail,0,0,0,12.0,7.15,19.15,10.0,8.29,0.86,0.48,0.34,0,0,0,0,2023-11-20
RX0000013730,MBR00000378,2023-08-01,2023-08-04,1672538994,1716349923,PLN9272,152112,PCN877,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,10,Retail,0,1,0,2800.0,3.56,2803.56,147.0,2497.14,159.42,112.0,79.3333,0,0,0,0,2023-08-31
RX0000013731,MBR00000378,2022-05-03,2022-05-06,1774518087,1124945339,PLN1484,340896,PCN523,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,4,Mail Order,0,0,0,22.0,1.98,23.98,74.0,0.0,0.85,0.88,0.6233,0,0,0,0,2022-06-02
RX0000013732,MBR00000378,2022-10-19,2022-10-23,1326895424,1313093706,PLN3588,874972,PCN765,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,10,Retail,0,0,0,8.5,11.01,19.51,7.0,11.72,0.79,0.34,0.2408,0,0,0,0,2022-11-18
RX0000013733,MBR00000379,2021-06-25,2021-06-29,1958792115,1293824386,PLN4885,388109,PCN287,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,7,Retail,0,0,0,11.0,8.24,19.24,4.0,14.57,0.67,0.44,0.3117,0,0,0,0,2021-07-25
RX0000013734,MBR00000379,2023-03-31,2023-04-01,1964294216,1830860078,PLN1221,927558,PCN842,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,0,Retail,0,0,0,175.0,8.04,183.04,39.0,134.83,9.21,30.0,21.25,0,0,0,0,2023-04-07
RX0000013735,MBR00000379,2022-09-02,2022-09-03,1915151260,1221540313,PLN2286,239071,PCN260,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,2,Retail,0,1,0,6200.0,2.48,6202.48,150.0,5704.78,347.7,248.0,175.6667,0,0,0,0,2022-10-02
RX0000013736,MBR00000379,2023-06-21,2023-06-24,1953486187,1854989397,PLN5760,172205,PCN354,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,0,Retail,0,0,0,15.0,7.84,22.84,7.0,14.86,0.98,0.6,0.425,0,0,0,0,2023-07-21
RX0000013737,MBR00000379,2021-07-01,2021-07-03,1196654869,1519964458,PLN9832,365240,PCN513,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,97,9,Retail,0,0,0,27.0,8.35,35.35,3.0,30.43,1.92,0.36,0.255,0,0,0,0,2021-09-29
RX0000013738,MBR00000379,2021-07-24,2021-07-28,1796261695,1178166303,PLN6155,190224,PCN782,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,7,Retail,0,0,0,9.0,1.88,10.88,10.0,0.27,0.61,0.36,0.255,0,0,0,0,2021-08-23
RX0000013739,MBR00000379,2023-09-20,2023-09-22,1278477042,1858974445,PLN2728,273975,PCN987,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,91,2,Retail,3,0,0,22.5,10.71,33.21,10.0,21.85,1.36,0.3,0.2125,0,0,0,0,2023-12-19
RX0000013740,MBR00000379,2021-05-23,2021-05-25,1974675721,1337496199,PLN3679,593654,PCN329,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,88,1,Retail,0,0,0,42.0,5.34,47.34,8.0,36.55,2.79,0.56,0.3967,0,0,0,0,2021-08-21
RX0000013741,MBR00000379,2022-10-30,2022-10-31,1437699785,1365278075,PLN5892,178178,PCN845,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,3,Mail Order,0,0,0,45.0,11.91,56.91,1.0,54.18,1.73,1.8,1.275,1,0,0,0,2022-11-29
RX0000013742,MBR00000379,2022-08-30,2022-09-01,1630861593,1765182762,PLN1477,913600,PCN582,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,87,10,Retail,0,0,0,33.0,8.16,41.16,0.0,38.82,2.34,0.44,0.3117,0,0,0,0,2022-11-28
RX0000013743,MBR00000379,2023-08-22,2023-08-25,1580883871,1854650453,PLN3120,669072,PCN421,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,1,Mail Order,0,0,0,22.0,5.45,27.45,8.0,18.46,0.99,0.88,0.6233,0,0,0,0,2023-09-21
RX0000013744,MBR00000379,2022-02-26,2022-02-28,1246756487,1983891915,PLN5935,894355,PCN716,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,3,Retail,0,0,0,320.0,2.5,322.5,39.0,267.55,15.95,12.8,9.0667,0,0,0,0,2022-03-28
RX0000013745,MBR00000379,2023-10-13,2023-10-14,1144458675,1453145907,PLN5985,720162,PCN552,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,93,5,Mail Order,0,0,0,30.0,2.0,32.0,7.0,23.93,1.07,0.4,0.2833,0,0,0,0,2024-01-11
RX0000013746,MBR00000379,2023-05-01,2023-05-03,1384266768,1816471032,PLN3613,724056,PCN609,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,56,1,Specialty,0,1,0,12400.0,41.68,12441.68,149.0,12292.68,0.0,248.0,175.6667,0,0,0,0,2023-06-30
RX0000013747,MBR00000379,2022-10-05,2022-10-06,1294418660,1154989033,PLN9440,427546,PCN867,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,5,Retail,0,0,0,12.5,10.12,22.62,0.0,21.34,1.28,0.5,0.3542,0,0,0,0,2022-11-04
RX0000013748,MBR00000379,2022-04-16,2022-04-19,1382075978,1342092416,PLN1485,308985,PCN670,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,370.0,4.17,374.17,37.0,312.78,24.39,14.8,10.4833,0,0,0,0,2022-05-16
RX0000013749,MBR00000379,2022-03-16,2022-03-19,1138460065,1270831832,PLN8184,148207,PCN867,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,9,Retail,0,0,0,330.0,8.93,338.93,37.0,282.69,19.24,13.2,9.35,1,0,0,0,2022-04-15
RX0000013750,MBR00000379,2022-08-28,2022-08-29,1997892077,1925948225,PLN4423,902527,PCN785,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,85,0,Retail,0,1,0,36.0,9.48,45.48,145.0,0.0,2.24,0.48,0.34,0,0,0,0,2022-11-26
RX0000013751,MBR00000379,2022-04-29,2022-05-02,1134481909,1299037626,PLN8936,647166,PCN201,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,96,7,Retail,0,0,0,27.0,2.92,29.92,0.0,28.45,1.47,0.36,0.255,0,0,0,0,2022-07-28
RX0000013752,MBR00000379,2021-09-22,2021-09-24,1331592841,1792430369,PLN8997,932140,PCN753,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,86,4,Retail,0,0,0,2850.0,11.98,2861.98,40.0,2684.19,137.79,38.0,26.9167,0,0,0,0,2021-12-21
RX0000013753,MBR00000379,2021-08-03,2021-08-07,1133996791,1662059555,PLN5787,444042,PCN255,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,1,Retail,0,0,0,2.1,5.73,7.83,4.0,3.3,0.53,0.36,0.255,0,0,0,0,2021-08-10
RX0000013754,MBR00000379,2022-07-03,2022-07-05,1256754066,1363226335,PLN3318,581966,PCN158,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,6,Mail Order,0,0,0,8.87,11.46,20.32,8.0,11.24,1.08,1.52,1.0767,0,0,0,0,2022-07-10
RX0000013755,MBR00000379,2021-01-03,2021-01-07,1422881103,1548356123,PLN7240,208901,PCN105,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,1,Retail,0,0,0,45.0,6.4,51.4,4.0,43.96,3.44,1.8,1.275,0,0,0,0,2021-02-02
RX0000013756,MBR00000379,2023-08-21,2023-08-24,1693865861,1740715029,PLN3792,151663,PCN555,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,94,9,Specialty,0,1,0,24.0,25.89,49.89,148.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-11-19
RX0000013757,MBR00000379,2023-03-16,2023-03-20,1538191396,1211857178,PLN1146,109908,PCN559,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,0,Retail,0,0,0,480.0,6.06,486.06,36.0,422.44,27.62,19.2,13.6,0,0,0,0,2023-04-15
RX0000013758,MBR00000379,2022-06-05,2022-06-07,1388569925,1184855629,PLN6193,405387,PCN583,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,82,5,Mail Order,0,0,0,1140.0,3.29,1143.29,36.0,1035.91,71.38,15.2,10.7667,0,0,0,0,2022-09-03
RX0000013759,MBR00000379,2023-12-11,2023-12-15,1982134115,1103900404,PLN4975,973233,PCN974,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,87,9,Retail,3,0,0,1140.0,1.64,1141.64,31.0,1032.87,77.77,15.2,10.7667,0,0,0,0,2024-03-10
RX0000013760,MBR00000379,2022-03-18,2022-03-19,1515285549,1209680518,PLN5603,410535,PCN631,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,11,Mail Order,0,0,0,310.0,9.9,319.9,32.0,276.97,10.93,12.4,8.7833,0,0,0,0,2022-04-17
RX0000013761,MBR00000379,2022-09-16,2022-09-17,1701956586,1394830388,PLN5966,187466,PCN491,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,11,Retail,0,0,0,1.75,7.59,9.34,8.0,0.88,0.46,0.3,0.2125,0,0,0,0,2022-09-23
RX0000013762,MBR00000379,2022-08-10,2022-08-11,1894199346,1455131231,PLN7082,160600,PCN581,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,10,Retail,0,0,0,2.33,2.14,4.48,8.0,0.0,0.15,0.4,0.2833,0,0,0,0,2022-08-17
RX0000013763,MBR00000379,2022-06-09,2022-06-10,1752219869,1435482054,PLN6637,541823,PCN421,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,8,Mail Order,0,0,0,10.0,7.26,17.26,3.0,13.27,0.99,0.4,0.2833,0,0,0,0,2022-07-09
RX0000013764,MBR00000379,2023-07-25,2023-07-29,1369483251,1368750496,PLN6879,655691,PCN361,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,3,Mail Order,0,1,0,8500.0,9.62,8509.62,148.0,7838.54,523.08,340.0,240.8333,0,0,0,0,2023-08-24
RX0000013765,MBR00000379,2021-12-19,2021-12-23,1991538349,1226278656,PLN5287,779892,PCN590,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,10,Retail,0,0,0,22.0,11.09,33.09,66.0,0.0,2.16,0.88,0.6233,0,0,0,0,2022-01-18
RX0000013766,MBR00000379,2021-09-14,2021-09-15,1234314060,1854287469,PLN1549,751450,PCN448,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,1,Retail,0,0,0,650.0,8.45,658.45,37.0,581.38,40.07,26.0,18.4167,0,0,0,0,2021-10-14
RX0000013767,MBR00000379,2023-03-25,2023-03-29,1258360050,1327195309,PLN6766,553544,PCN643,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,8,Retail,0,0,0,9.0,10.63,19.63,4.0,14.42,1.21,0.36,0.255,0,0,0,0,2023-04-24
RX0000013768,MBR00000379,2021-10-06,2021-10-09,1168292629,1704796329,PLN6553,731711,PCN633,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,86,6,Retail,0,0,0,66.0,2.1,68.1,74.0,0.0,3.65,0.88,0.6233,0,0,0,0,2022-01-04
RX0000013769,MBR00000379,2021-10-08,2021-10-10,1928667205,1887251280,PLN3497,993171,PCN605,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,61,2,Retail,2,0,0,32.0,3.87,35.87,7.0,27.01,1.86,0.64,0.4533,0,0,0,0,2021-12-07
RX0000013770,MBR00000380,2021-09-14,2021-09-15,1707097493,1322884819,PLN1199,398364,PCN446,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,11,Retail,0,0,0,22.0,11.0,33.0,6.0,25.05,1.95,0.88,0.6233,0,0,0,0,2021-10-14
RX0000013771,MBR00000380,2021-05-20,2021-05-23,1811870259,1388919399,PLN6203,159246,PCN472,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,9,Retail,0,0,0,2.8,10.98,13.78,6.0,7.21,0.57,0.48,0.34,0,0,0,0,2021-05-27
RX0000013772,MBR00000380,2023-01-26,2023-01-28,1486053310,1130358442,PLN9695,696611,PCN389,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,9,Retail,0,0,0,175.0,11.2,186.2,34.0,144.18,8.02,7.0,4.9583,0,0,0,0,2023-02-25
RX0000013773,MBR00000380,2022-11-25,2022-11-26,1517354223,1152277877,PLN7917,440339,PCN708,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,1,Specialty,0,0,0,38.0,34.23,72.23,6.0,66.23,0.0,1.52,1.0767,0,0,0,0,2022-12-25
RX0000013774,MBR00000380,2023-10-04,2023-10-08,1162791646,1845738911,PLN9681,840738,PCN276,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,5,Retail,1,0,0,14.0,5.26,19.26,5.0,13.3,0.96,0.56,0.3967,0,0,0,0,2023-11-03
RX0000013775,MBR00000380,2023-08-21,2023-08-25,1135141874,1239332995,PLN8724,607013,PCN828,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,5,Retail,0,0,0,7.5,9.72,17.22,8.0,8.62,0.6,0.3,0.2125,0,0,0,0,2023-09-20
RX0000013776,MBR00000380,2023-10-25,2023-10-29,1934832774,1583309430,PLN2634,981560,PCN852,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,11,Mail Order,0,0,0,175.0,7.84,182.84,40.0,131.98,10.86,30.0,21.25,0,0,0,0,2023-11-01
RX0000013777,MBR00000380,2022-07-31,2022-08-04,1757368991,1664833428,PLN1663,370558,PCN735,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,2,Retail,0,1,0,12.0,2.77,14.77,146.0,0.0,0.67,0.48,0.34,0,0,0,0,2022-08-30
RX0000013778,MBR00000380,2023-12-18,2023-12-22,1308234041,1624579359,PLN4292,353109,PCN296,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,1,Specialty,2,0,0,9.0,11.43,20.43,8.0,12.43,0.0,0.36,0.255,1,0,0,0,2024-01-17
RX0000013779,MBR00000380,2023-06-22,2023-06-23,1884222487,1187789189,PLN9075,446088,PCN890,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,84,3,Mail Order,0,0,0,135.0,3.07,138.07,7.0,124.89,6.18,1.8,1.275,0,0,0,0,2023-09-20
RX0000013780,MBR00000380,2021-08-03,2021-08-07,1233639760,1154178015,PLN5060,797276,PCN648,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,1,Mail Order,0,0,0,18.0,10.59,28.59,10.0,17.5,1.09,0.72,0.51,0,0,0,0,2021-09-02
RX0000013781,MBR00000380,2022-09-21,2022-09-23,1951601787,1567443395,PLN6350,619461,PCN620,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,0,0,0,330.0,1.91,331.91,39.0,277.42,15.49,13.2,9.35,0,0,0,0,2022-10-21
RX0000013782,MBR00000380,2022-05-25,2022-05-28,1604145348,1707248497,PLN3131,776341,PCN692,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,11,Retail,0,0,0,3.27,3.13,6.39,5.0,1.14,0.25,0.56,0.3967,0,0,0,0,2022-06-01
RX0000013783,MBR00000380,2023-07-16,2023-07-17,1114431165,1844322755,PLN6443,267459,PCN169,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,3,Retail,0,0,0,65.0,6.82,71.82,34.0,33.63,4.19,2.6,1.8417,0,0,0,0,2023-08-15
RX0000013784,MBR00000380,2022-12-23,2022-12-26,1490425912,1213922139,PLN9561,551918,PCN149,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,5,Mail Order,0,0,0,18.0,11.03,29.03,10.0,17.72,1.31,0.72,0.51,0,0,0,0,2023-01-22
RX0000013785,MBR00000380,2022-05-01,2022-05-03,1899356244,1925653210,PLN9157,676876,PCN249,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,3,Retail,0,0,0,370.0,9.46,379.46,33.0,331.66,14.8,14.8,10.4833,0,0,0,0,2022-05-31
RX0000013786,MBR00000380,2021-10-14,2021-10-18,1568108331,1381589335,PLN3813,712762,PCN740,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,11,Retail,0,1,0,653.33,9.34,662.67,151.0,489.72,21.95,112.0,79.3333,1,0,0,0,2021-10-21
RX0000013787,MBR00000380,2022-02-09,2022-02-13,1817419417,1450412558,PLN1059,444495,PCN634,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,1,Retail,3,1,0,6200.0,9.82,6209.82,150.0,5751.72,308.1,248.0,175.6667,0,0,0,0,2022-03-11
RX0000013788,MBR00000380,2022-09-02,2022-09-03,1549996267,1131867828,PLN4602,769437,PCN786,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,750.0,8.11,758.11,40.0,690.78,27.33,30.0,21.25,0,0,0,0,2022-10-02
RX0000013789,MBR00000380,2023-01-30,2023-02-02,1950773181,1253492689,PLN4181,113011,PCN263,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,86,4,Retail,0,0,0,42.0,11.92,53.92,1.0,50.4,2.52,0.56,0.3967,0,0,0,0,2023-04-30
RX0000013790,MBR00000380,2022-11-25,2022-11-27,1607565888,1254841722,PLN4704,295863,PCN755,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,90,6,Retail,0,0,0,1140.0,9.73,1149.73,39.0,1051.53,59.2,15.2,10.7667,0,0,0,0,2023-02-23
RX0000013791,MBR00000380,2023-01-08,2023-01-10,1911264853,1886729048,PLN6095,929098,PCN134,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,93,6,Retail,0,0,0,84.0,4.38,88.38,5.0,78.76,4.62,1.12,0.7933,0,0,0,0,2023-04-08
RX0000013792,MBR00000380,2021-01-14,2021-01-18,1635853146,1811308832,PLN7271,187078,PCN362,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,4,Retail,3,0,0,175.0,6.42,181.42,36.0,139.65,5.77,7.0,4.9583,0,0,0,0,2021-02-13
RX0000013793,MBR00000380,2023-11-02,2023-11-03,1625533445,1781847598,PLN1868,811867,PCN513,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,11,Retail,0,0,0,9.0,6.42,15.42,5.0,9.36,1.06,0.36,0.255,0,0,0,0,2023-12-02
RX0000013794,MBR00000380,2023-01-13,2023-01-15,1861001776,1658169484,PLN4019,499696,PCN605,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,1,Mail Order,1,0,0,11.0,3.24,14.24,7.0,6.8,0.44,0.44,0.3117,0,0,0,0,2023-02-12
RX0000013795,MBR00000380,2023-05-14,2023-05-18,1421784062,1133787047,PLN4581,960773,PCN576,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,8,Retail,0,0,0,14.0,9.54,23.54,0.0,22.13,1.41,0.56,0.3967,0,0,0,0,2023-06-13
RX0000013796,MBR00000380,2023-05-19,2023-05-20,1321832427,1599573318,PLN9344,159028,PCN877,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,57,4,Specialty,0,0,0,30.0,33.99,63.99,7.0,56.99,0.0,0.6,0.425,0,0,0,0,2023-07-18
RX0000013797,MBR00000380,2022-10-02,2022-10-05,1647506929,1768957261,PLN6218,228599,PCN613,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,94,8,Retail,0,0,0,855.0,5.26,860.26,30.0,779.97,50.29,11.4,8.075,0,0,0,0,2022-12-31
RX0000013798,MBR00000380,2022-06-30,2022-07-03,1915856827,1864774471,PLN5774,584317,PCN598,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,6,Retail,0,1,0,8500.0,3.52,8503.52,148.0,8075.4,280.12,340.0,240.8333,0,0,0,0,2022-07-30
RX0000013799,MBR00000380,2023-07-27,2023-07-28,1221076507,1199198751,PLN6054,255016,PCN107,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,5,Retail,0,0,0,14.0,1.75,15.75,4.0,10.78,0.97,0.56,0.3967,0,0,0,0,2023-08-26
RX0000013800,MBR00000380,2023-04-01,2023-04-02,1703573919,1341751085,PLN5829,406144,PCN166,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,7,Retail,0,1,0,8500.0,9.52,8509.52,151.0,8068.55,289.97,340.0,240.8333,1,0,0,0,2023-05-01
RX0000013801,MBR00000380,2023-02-27,2023-03-01,1394455329,1263026367,PLN1587,877768,PCN826,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,5,Retail,0,0,0,18.0,10.81,28.81,7.0,19.94,1.87,0.72,0.51,0,0,0,0,2023-03-29
RX0000013802,MBR00000380,2023-01-25,2023-01-26,1198880301,1763447585,PLN8187,237966,PCN976,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,11,Mail Order,1,0,0,10.0,7.97,17.97,6.0,10.84,1.13,0.4,0.2833,0,0,0,0,2023-02-24
RX0000013803,MBR00000380,2023-09-24,2023-09-25,1150106195,1935400158,PLN4693,815993,PCN635,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,3,LTC,0,0,0,320.0,8.76,328.76,34.0,277.08,17.68,12.8,9.0667,1,0,0,0,2023-10-24
RX0000013804,MBR00000380,2021-10-28,2021-10-29,1169417838,1410630195,PLN4497,766348,PCN384,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,10,Retail,3,0,0,185.0,6.98,191.98,36.0,144.67,11.31,7.4,5.2417,0,0,0,0,2021-11-27
RX0000013805,MBR00000380,2021-03-30,2021-04-03,1901376886,1833640295,PLN3742,734420,PCN527,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,4,Retail,0,0,0,370.0,6.47,376.47,34.0,318.35,24.12,14.8,10.4833,0,0,0,0,2021-04-29
RX0000013806,MBR00000380,2021-06-10,2021-06-14,1922482094,1410055295,PLN2278,310342,PCN389,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,5,Retail,0,0,0,18.0,7.62,25.62,4.0,20.4,1.22,0.72,0.51,0,0,0,0,2021-07-10
RX0000013807,MBR00000380,2022-03-26,2022-03-27,1420537538,1143693169,PLN9178,696375,PCN942,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,6,Retail,0,0,0,11.0,5.55,16.55,10.0,5.82,0.73,0.44,0.3117,0,0,0,0,2022-04-25
RX0000013808,MBR00000380,2021-09-13,2021-09-15,1201106920,1950226051,PLN5727,165915,PCN473,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,11,Retail,0,0,0,22.0,4.99,26.99,7.0,18.55,1.44,0.88,0.6233,0,0,0,0,2021-10-13
RX0000013809,MBR00000380,2022-01-21,2022-01-22,1183575214,1337692166,PLN2204,676317,PCN331,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,1,Retail,0,0,0,380.0,9.08,389.08,37.0,332.7,19.38,15.2,10.7667,0,0,0,0,2022-02-20
RX0000013810,MBR00000380,2023-11-28,2023-11-30,1152580846,1425110700,PLN5551,320834,PCN723,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,0,Retail,0,0,0,18.0,8.91,26.91,35.0,0.0,1.04,0.72,0.51,0,0,0,0,2023-12-28
RX0000013811,MBR00000381,2022-10-06,2022-10-09,1238462455,1433099672,PLN9449,444137,PCN732,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,4,Retail,0,0,0,15.0,9.08,24.08,0.0,22.76,1.32,0.6,0.425,0,0,0,0,2022-11-05
RX0000013812,MBR00000381,2021-06-03,2021-06-07,1919269899,1215100745,PLN5519,841669,PCN539,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,89,10,Retail,0,0,0,30.0,8.0,38.0,4.0,32.48,1.52,0.4,0.2833,0,0,0,0,2021-09-01
RX0000013813,MBR00000381,2023-02-06,2023-02-08,1511692336,1789364725,PLN5761,302754,PCN752,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,90,2,Mail Order,0,0,0,54.0,1.64,55.64,6.0,46.66,2.98,0.72,0.51,0,0,0,0,2023-05-07
RX0000013814,MBR00000381,2021-01-15,2021-01-19,1476557921,1774150922,PLN6319,623148,PCN206,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,84,9,Retail,0,0,0,33.0,7.45,40.45,5.0,33.97,1.48,0.44,0.3117,1,0,0,0,2021-04-15
RX0000013815,MBR00000381,2022-05-31,2022-06-03,1914829209,1963913164,PLN4723,414698,PCN163,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,7,Retail,0,1,0,2800.0,8.24,2808.24,155.0,2481.51,171.73,112.0,79.3333,0,0,0,0,2022-06-30
RX0000013816,MBR00000381,2021-11-19,2021-11-21,1805887049,1495288695,PLN3966,768696,PCN852,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,0,Mail Order,0,0,0,88.67,6.07,94.74,34.0,55.97,4.77,15.2,10.7667,0,1,1,0,2021-11-26
RX0000013817,MBR00000381,2022-11-01,2022-11-04,1305470595,1377369324,PLN6498,532816,PCN910,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,61,0,Retail,3,0,0,18.0,7.32,25.32,10.0,13.81,1.51,0.36,0.255,0,0,0,0,2022-12-31
RX0000013818,MBR00000381,2023-12-01,2023-12-05,1478485724,1519269581,PLN2362,928124,PCN254,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,2,Specialty,0,0,0,74.67,42.17,116.84,32.0,84.84,0.0,12.8,9.0667,0,1,1,0,2023-12-08
RX0000013819,MBR00000381,2021-11-11,2021-11-15,1451184376,1335160655,PLN5488,722062,PCN298,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,9,Retail,2,0,0,45.0,4.55,49.55,8.0,39.56,1.99,1.8,1.275,1,0,0,0,2021-12-11
RX0000013820,MBR00000381,2021-04-12,2021-04-14,1490113666,1563979539,PLN8970,156058,PCN260,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,2,Mail Order,0,0,0,18.0,2.02,20.02,10.0,8.66,1.36,0.72,0.51,0,0,0,0,2021-05-12
RX0000013821,MBR00000381,2021-08-31,2021-09-02,1458354037,1601731168,PLN2506,973960,PCN909,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,87,5,Mail Order,3,0,0,66.0,8.6,74.6,68.0,1.86,4.74,0.88,0.6233,0,0,0,0,2021-11-29
RX0000013822,MBR00000381,2022-03-31,2022-04-02,1791525716,1353453243,PLN4227,473756,PCN842,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,6,Retail,0,0,0,8.5,9.19,17.69,5.0,12.14,0.55,0.34,0.2408,0,0,0,0,2022-04-30
RX0000013823,MBR00000381,2021-01-30,2021-02-01,1178842053,1339329422,PLN9804,180809,PCN765,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,5,Retail,0,0,0,151.67,5.87,157.53,39.0,111.7,6.83,26.0,18.4167,0,0,0,0,2021-02-06
RX0000013824,MBR00000381,2021-05-02,2021-05-04,1922757280,1585823637,PLN5376,531924,PCN786,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,2,Retail,0,0,0,14.0,5.06,19.06,3.0,15.15,0.91,0.56,0.3967,0,0,0,0,2021-06-01
RX0000013825,MBR00000381,2022-02-22,2022-02-26,1810361117,1933747910,PLN2514,984399,PCN741,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,59,4,Retail,0,0,0,90.0,4.33,94.33,0.0,90.95,3.38,1.8,1.275,0,0,0,0,2022-04-23
RX0000013826,MBR00000381,2021-05-13,2021-05-15,1241228076,1775416149,PLN9125,726425,PCN918,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,59,5,Retail,0,0,0,130.0,5.39,135.39,34.0,94.13,7.26,2.6,1.8417,0,0,0,0,2021-07-12
RX0000013827,MBR00000381,2023-03-05,2023-03-07,1989235624,1199897649,PLN4433,567870,PCN553,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,11,Mail Order,0,0,0,4.2,3.23,7.43,4.0,3.02,0.41,0.72,0.51,0,0,0,0,2023-03-12
RX0000013828,MBR00000381,2021-06-09,2021-06-13,1383531206,1908390676,PLN7866,381595,PCN222,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,11,Retail,0,0,0,8.5,10.02,18.52,0.0,17.55,0.97,0.34,0.2408,0,0,0,0,2021-07-09
RX0000013829,MBR00000381,2021-06-17,2021-06-19,1465212435,1768612597,PLN4073,958615,PCN694,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,1,Retail,0,0,0,650.0,11.04,661.04,32.0,598.35,30.69,26.0,18.4167,1,0,0,0,2021-07-17
RX0000013830,MBR00000381,2021-02-21,2021-02-24,1988770273,1663286266,PLN2104,568646,PCN745,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,96,0,Retail,0,0,0,114.0,5.56,119.56,35.0,79.94,4.62,1.52,1.0767,0,0,0,0,2021-05-22
RX0000013831,MBR00000381,2022-05-27,2022-05-30,1672015720,1835589641,PLN7954,410669,PCN711,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,0,Retail,0,0,0,10.0,6.55,16.55,8.0,7.4,1.15,0.4,0.2833,0,0,0,0,2022-06-26
RX0000013832,MBR00000381,2022-07-20,2022-07-24,1461286329,1920995847,PLN7221,360298,PCN273,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,5,Retail,0,0,0,5.13,2.52,7.66,67.0,0.0,0.23,0.88,0.6233,0,0,0,0,2022-07-27
RX0000013833,MBR00000381,2021-12-17,2021-12-19,1861145934,1413047656,PLN6422,713354,PCN262,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,3,Retail,3,0,0,12.5,9.13,21.63,8.0,12.67,0.96,0.5,0.3542,0,0,0,0,2022-01-16
RX0000013834,MBR00000381,2021-06-22,2021-06-26,1504890504,1744187103,PLN9550,421635,PCN503,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,62,4,Mail Order,3,1,0,16.0,5.02,21.02,151.0,0.0,1.32,0.32,0.2267,0,0,0,0,2021-08-21
RX0000013835,MBR00000381,2023-12-31,2024-01-02,1385320230,1778043223,PLN3861,859924,PCN763,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,8,Retail,0,0,0,14.0,9.45,23.45,3.0,19.5,0.95,0.56,0.3967,1,0,0,0,2024-01-30
RX0000013836,MBR00000381,2022-11-08,2022-11-09,1554450587,1726843417,PLN2186,732756,PCN470,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,9,Retail,0,0,0,10.0,11.4,21.4,1.0,19.11,1.29,0.4,0.2833,0,0,0,0,2022-12-08
RX0000013837,MBR00000381,2021-09-01,2021-09-04,1104360399,1874044122,PLN3237,795004,PCN259,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,93,9,Retail,3,0,0,30.0,5.25,35.25,1.0,32.83,1.42,0.4,0.2833,0,0,0,0,2021-11-30
RX0000013838,MBR00000381,2023-11-04,2023-11-06,1285916496,1968353199,PLN7432,512715,PCN205,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,10,Mail Order,2,0,0,15.0,5.04,20.04,6.0,12.79,1.25,0.6,0.425,0,1,0,0,2023-12-04
RX0000013839,MBR00000381,2023-04-17,2023-04-20,1398975942,1858327682,PLN9233,433996,PCN901,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,750.0,10.13,760.13,35.0,692.35,32.78,30.0,21.25,0,0,0,0,2023-05-17
RX0000013840,MBR00000381,2022-09-18,2022-09-22,1872296178,1829190597,PLN1269,622981,PCN933,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,4,Mail Order,1,0,0,2.57,8.41,10.97,0.0,10.3,0.67,0.44,0.3117,0,0,0,0,2022-09-25
RX0000013841,MBR00000381,2023-05-23,2023-05-24,1677110900,1129327368,PLN9012,278772,PCN536,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,62,1,Retail,0,0,0,28.0,11.83,39.83,4.0,33.28,2.55,0.56,0.3967,0,0,0,0,2023-07-22
RX0000013842,MBR00000381,2022-10-21,2022-10-25,1615591802,1891813087,PLN1849,173184,PCN852,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,85,8,Retail,0,0,0,54.0,11.4,65.4,9.0,52.85,3.55,0.72,0.51,0,0,0,0,2023-01-19
RX0000013843,MBR00000381,2021-05-01,2021-05-05,1325497467,1106197965,PLN5553,804670,PCN900,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,94,0,Retail,0,0,0,33.0,9.44,42.44,6.0,34.75,1.69,0.44,0.3117,0,0,0,0,2021-07-30
RX0000013844,MBR00000381,2022-07-09,2022-07-11,1912360634,1188787437,PLN2674,427230,PCN748,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,5,Retail,0,0,0,9.0,3.7,12.7,5.0,7.1,0.6,0.36,0.255,0,0,0,0,2022-08-08
RX0000013845,MBR00000381,2023-11-09,2023-11-11,1505403977,1707697157,PLN4484,114604,PCN388,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,55,9,Retail,3,0,0,18.0,1.63,19.63,6.0,12.87,0.76,0.36,0.255,0,0,0,0,2024-01-08
RX0000013846,MBR00000381,2023-06-09,2023-06-10,1790361625,1563432244,PLN1276,763592,PCN786,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,11,Retail,0,0,0,27.0,6.35,33.35,6.0,26.25,1.1,0.36,0.255,0,0,0,0,2023-09-07
RX0000013847,MBR00000381,2021-11-26,2021-11-30,1631920506,1813082454,PLN5257,332676,PCN939,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,92,9,Retail,0,0,0,36.0,8.47,44.47,0.0,41.96,2.51,0.48,0.34,0,0,0,0,2022-02-24
RX0000013848,MBR00000382,2023-06-01,2023-06-04,1199819175,1119545795,PLN3439,376615,PCN509,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,11,Retail,0,0,0,285.0,5.71,290.71,31.0,246.03,13.68,11.4,8.075,0,0,0,0,2023-07-01
RX0000013849,MBR00000382,2023-05-07,2023-05-10,1736630062,1718099763,PLN4789,916707,PCN713,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,55,3,Mail Order,0,0,0,130.0,6.61,136.61,30.0,97.84,8.77,2.6,1.8417,0,0,0,0,2023-07-06
RX0000013850,MBR00000382,2023-05-25,2023-05-27,1220780461,1787143653,PLN4141,635436,PCN561,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,89,6,Retail,0,0,0,42.0,2.11,44.11,7.0,34.93,2.18,0.56,0.3967,0,0,0,0,2023-08-23
RX0000013851,MBR00000382,2023-11-24,2023-11-28,1997855520,1251745556,PLN4213,674522,PCN180,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,9,Retail,0,0,0,185.0,10.38,195.38,33.0,149.72,12.66,7.4,5.2417,0,0,0,0,2023-12-24
RX0000013852,MBR00000382,2021-06-22,2021-06-26,1874768671,1897033865,PLN5676,403558,PCN539,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,4,Retail,0,1,0,6200.0,5.3,6205.3,153.0,5850.52,201.78,248.0,175.6667,0,0,0,0,2021-07-22
RX0000013853,MBR00000382,2021-11-22,2021-11-25,1654879516,1197511862,PLN7680,351103,PCN290,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,11,Retail,0,0,0,10.0,1.69,11.69,5.0,6.0,0.69,0.4,0.2833,0,0,0,0,2021-12-22
RX0000013854,MBR00000382,2022-03-24,2022-03-27,1929542681,1431929804,PLN9951,803419,PCN390,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,97,10,Retail,0,0,0,54.0,10.27,64.27,7.0,53.76,3.51,0.72,0.51,1,0,0,0,2022-06-22
RX0000013855,MBR00000382,2021-03-24,2021-03-27,1956579569,1183971816,PLN7677,291354,PCN244,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,7,Retail,0,0,0,18.0,9.21,27.21,10.0,15.68,1.53,0.72,0.51,0,1,0,0,2021-04-23
RX0000013856,MBR00000382,2021-11-06,2021-11-08,1247285679,1950417923,PLN4555,148467,PCN537,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,62,10,Retail,0,0,0,20.0,8.44,28.44,2.0,25.41,1.03,0.4,0.2833,0,0,0,0,2022-01-05
RX0000013857,MBR00000382,2022-01-22,2022-01-26,1143464248,1867210969,PLN2714,478759,PCN433,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,7,Retail,0,0,0,18.0,10.68,28.68,5.0,21.8,1.88,0.72,0.51,0,0,0,0,2022-02-21
RX0000013858,MBR00000382,2021-01-29,2021-01-31,1554044945,1147975592,PLN3739,370627,PCN355,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,59,3,Mail Order,0,0,0,36.0,10.0,46.0,39.0,4.81,2.19,0.72,0.51,0,0,0,0,2021-03-30
RX0000013859,MBR00000382,2021-09-21,2021-09-23,1146253312,1672454209,PLN9438,172256,PCN750,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,8,Retail,0,0,0,18.0,4.03,22.03,34.0,0.0,1.19,0.72,0.51,1,0,0,0,2021-10-21
RX0000013860,MBR00000382,2021-04-12,2021-04-15,1820206916,1763041010,PLN3882,930916,PCN971,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,58,7,Retail,3,0,0,20.0,8.42,28.42,4.0,22.68,1.74,0.4,0.2833,0,0,0,0,2021-06-11
RX0000013861,MBR00000382,2022-02-15,2022-02-16,1606253030,1931158440,PLN6320,283419,PCN427,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,9,Retail,0,0,0,22.0,8.79,30.79,68.0,0.0,1.81,0.88,0.6233,0,0,0,0,2022-03-17
RX0000013862,MBR00000382,2023-07-03,2023-07-04,1512071909,1477865083,PLN3835,187079,PCN355,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,7,Retail,0,1,0,8.0,7.94,15.94,153.0,0.0,0.84,0.32,0.2267,0,0,0,0,2023-08-02
RX0000013863,MBR00000382,2022-06-17,2022-06-18,1961059804,1570695915,PLN3773,584706,PCN849,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,93,2,Retail,0,0,0,33.0,9.94,42.94,5.0,35.55,2.39,0.44,0.3117,0,0,0,0,2022-09-15
RX0000013864,MBR00000382,2021-08-20,2021-08-21,1484082030,1841546801,PLN7805,392100,PCN903,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,5,Retail,0,0,0,310.0,11.73,321.73,36.0,268.78,16.95,12.4,8.7833,0,0,0,0,2021-09-19
RX0000013865,MBR00000382,2021-11-11,2021-11-14,1328750661,1282933398,PLN6886,226432,PCN597,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,0,Specialty,0,0,0,45.0,47.92,92.92,10.0,82.92,0.0,1.8,1.275,0,0,0,0,2021-12-11
RX0000013866,MBR00000382,2023-04-06,2023-04-10,1608949459,1726374236,PLN8137,401959,PCN177,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,7,Retail,0,0,0,370.0,6.63,376.63,35.0,318.21,23.42,14.8,10.4833,0,0,0,0,2023-05-06
RX0000013867,MBR00000382,2022-09-15,2022-09-16,1445859253,1161389193,PLN4379,956250,PCN562,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,9,Retail,1,0,0,9.0,7.58,16.58,2.0,14.0,0.58,0.36,0.255,1,0,0,0,2022-10-15
RX0000013868,MBR00000382,2022-12-20,2022-12-23,1238688429,1139663004,PLN2593,673501,PCN998,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,93,6,Retail,0,0,0,66.0,1.55,67.55,0.0,62.94,4.61,0.88,0.6233,0,0,0,0,2023-03-20
RX0000013869,MBR00000382,2023-05-23,2023-05-27,1391507336,1539065503,PLN4520,261705,PCN325,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,9,Retail,2,0,0,2.33,9.67,12.01,1.0,10.27,0.74,0.4,0.2833,0,0,0,0,2023-05-30
RX0000013870,MBR00000382,2023-08-11,2023-08-14,1156423033,1239783579,PLN7921,572072,PCN221,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,10,Specialty,0,0,0,9.0,40.85,49.85,3.0,46.85,0.0,0.36,0.255,0,0,0,0,2023-09-10
RX0000013871,MBR00000382,2022-03-01,2022-03-05,1433951251,1606716393,PLN5842,358190,PCN635,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,1,Retail,0,0,0,9.0,7.47,16.47,1.0,14.85,0.62,0.36,0.255,0,0,0,0,2022-03-31
RX0000013872,MBR00000382,2022-12-01,2022-12-02,1898043637,1563791351,PLN2828,474850,PCN527,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,3,Retail,0,0,1,22.0,6.04,28.04,5.0,21.96,1.08,0.88,0.6233,1,0,0,0,2022-12-31
RX0000013873,MBR00000382,2021-01-12,2021-01-13,1405969568,1369271458,PLN3846,300961,PCN686,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,3,Mail Order,0,0,0,45.0,6.43,51.43,0.0,48.35,3.08,1.8,1.275,0,0,0,0,2021-02-11
RX0000013874,MBR00000382,2021-03-10,2021-03-14,1433610296,1311663688,PLN8731,121501,PCN764,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,98,8,Retail,0,0,0,42.0,9.04,51.04,5.0,43.28,2.76,0.56,0.3967,0,0,0,0,2021-06-08
RX0000013875,MBR00000382,2021-09-24,2021-09-25,1824396337,1758058442,PLN4785,628252,PCN302,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,2,Retail,0,0,0,16.0,3.74,19.74,6.0,12.47,1.27,0.64,0.4533,0,0,0,0,2021-10-24
RX0000013876,MBR00000382,2023-09-13,2023-09-17,1492685978,1159440780,PLN9203,266651,PCN448,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,6,Retail,0,0,0,750.0,5.5,755.5,32.0,690.66,32.84,30.0,21.25,0,0,0,0,2023-10-13
RX0000013877,MBR00000382,2021-07-04,2021-07-05,1130215968,1752778627,PLN6862,540216,PCN821,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,2,Retail,0,0,0,9.0,9.62,18.62,6.0,11.62,1.0,0.36,0.255,0,0,0,0,2021-08-03
RX0000013878,MBR00000382,2023-07-24,2023-07-26,1639503202,1714299318,PLN9544,850574,PCN303,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,9,Retail,0,1,0,6200.0,3.86,6203.86,147.0,5863.13,193.73,248.0,175.6667,0,0,0,0,2023-08-23
RX0000013879,MBR00000382,2023-10-13,2023-10-17,1438851820,1979863386,PLN5629,229478,PCN132,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,9,Mail Order,0,0,0,650.0,7.49,657.49,36.0,583.57,37.92,26.0,18.4167,0,0,0,0,2023-11-12
RX0000013880,MBR00000382,2022-02-27,2022-03-01,1330765267,1759942587,PLN7332,324267,PCN481,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,11,Retail,0,0,0,4.2,3.42,7.62,5.0,2.32,0.3,0.72,0.51,0,0,0,0,2022-03-06
RX0000013881,MBR00000382,2021-01-28,2021-02-01,1624796572,1563176596,PLN1155,667370,PCN486,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,91,9,Retail,0,0,0,54.0,3.74,57.74,0.0,54.36,3.38,0.72,0.51,0,0,0,0,2021-04-28
RX0000013882,MBR00000382,2021-12-15,2021-12-17,1996890230,1324074578,PLN3516,190425,PCN103,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,3,Retail,0,0,0,9.0,1.58,10.58,10.0,0.08,0.5,0.36,0.255,0,0,0,0,2022-01-14
RX0000013883,MBR00000382,2022-01-23,2022-01-24,1882467550,1244052141,PLN6761,975338,PCN303,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,11,Mail Order,0,0,1,12.0,11.24,23.24,7.0,14.74,1.5,0.48,0.34,0,0,0,0,2022-02-22
RX0000013884,MBR00000382,2022-04-05,2022-04-08,1604312188,1591107759,PLN9693,258079,PCN221,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,7,Retail,0,1,0,8.0,11.08,19.08,152.0,0.0,0.88,0.32,0.2267,0,0,0,0,2022-05-05
RX0000013885,MBR00000382,2022-12-06,2022-12-09,1230042830,1714859450,PLN7253,782926,PCN724,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,54,2,Mail Order,1,0,0,36.0,3.82,39.82,30.0,7.69,2.13,0.72,0.51,0,0,0,0,2023-02-04
RX0000013886,MBR00000382,2021-12-08,2021-12-11,1957065879,1810216166,PLN3700,229232,PCN374,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,3,Retail,0,0,0,15.0,8.59,23.59,5.0,17.69,0.9,0.6,0.425,1,0,0,0,2022-01-07
RX0000013887,MBR00000382,2022-11-30,2022-12-02,1900080725,1738957246,PLN3072,926798,PCN650,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,59,6,Retail,0,0,0,760.0,6.69,766.69,39.0,693.48,34.21,15.2,10.7667,0,0,0,0,2023-01-29
RX0000013888,MBR00000382,2021-05-06,2021-05-08,1803966459,1693909526,PLN3772,499024,PCN214,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,11,Retail,0,0,0,10.0,11.58,21.58,0.0,20.76,0.82,0.4,0.2833,0,0,0,0,2021-06-05
RX0000013889,MBR00000382,2023-01-05,2023-01-09,1131780065,1743436759,PLN3601,540567,PCN416,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,92,4,Retail,0,0,0,30.0,6.99,36.99,10.0,25.59,1.4,0.4,0.2833,0,0,0,0,2023-04-05
RX0000013890,MBR00000382,2022-04-16,2022-04-19,1548536987,1940014258,PLN3071,617429,PCN424,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,4,Retail,0,0,0,15.0,2.43,17.43,0.0,16.85,0.58,0.6,0.425,0,0,0,0,2022-05-16
RX0000013891,MBR00000383,2021-04-22,2021-04-24,1408112475,1580094791,PLN8949,495325,PCN626,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,4,Retail,3,0,0,14.0,4.13,18.13,7.0,10.28,0.85,0.56,0.3967,0,0,0,0,2021-05-22
RX0000013892,MBR00000383,2021-03-18,2021-03-22,1778218263,1259361503,PLN1849,314013,PCN343,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,86,9,Retail,0,0,0,990.0,11.04,1001.04,37.0,921.74,42.3,13.2,9.35,1,0,0,0,2021-06-16
RX0000013893,MBR00000383,2022-09-20,2022-09-24,1885275882,1145595190,PLN6247,182381,PCN605,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,3,Specialty,0,0,0,14.0,10.75,24.75,7.0,17.75,0.0,0.56,0.3967,0,0,0,0,2022-10-20
RX0000013894,MBR00000383,2022-02-05,2022-02-09,1745181628,1313084569,PLN3501,423772,PCN251,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,3,Retail,0,0,0,15.0,5.86,20.86,1.0,18.57,1.29,0.6,0.425,0,0,0,0,2022-03-07
RX0000013895,MBR00000383,2022-05-10,2022-05-14,1207468632,1896332287,PLN7024,405334,PCN974,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,8,Retail,0,0,0,320.0,4.04,324.04,33.0,273.0,18.04,12.8,9.0667,0,1,1,0,2022-06-09
RX0000013896,MBR00000383,2021-03-07,2021-03-08,1976441322,1581536344,PLN6007,879736,PCN771,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,11,Retail,1,0,0,22.0,1.72,23.72,2.0,20.79,0.93,0.88,0.6233,0,0,0,0,2021-04-06
RX0000013897,MBR00000383,2023-11-14,2023-11-15,1309813850,1679508174,PLN1599,984442,PCN215,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,9,Retail,0,0,0,18.0,8.39,26.39,0.0,24.67,1.72,0.72,0.51,0,0,0,0,2023-12-14
RX0000013898,MBR00000383,2023-08-05,2023-08-09,1159497939,1473194465,PLN8189,659738,PCN704,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,9,Retail,0,0,0,38.0,7.53,45.53,34.0,10.04,1.49,1.52,1.0767,0,0,0,0,2023-09-04
RX0000013899,MBR00000383,2022-06-09,2022-06-13,1248872441,1783793373,PLN3823,569728,PCN884,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,10,Retail,0,0,0,370.0,10.64,380.64,40.0,321.68,18.96,14.8,10.4833,0,0,0,0,2022-07-09
RX0000013900,MBR00000383,2021-10-08,2021-10-10,1473071488,1863295194,PLN4654,462159,PCN266,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,5,Retail,0,0,0,10.0,2.59,12.59,9.0,2.77,0.82,0.4,0.2833,0,0,0,0,2021-11-07
RX0000013901,MBR00000383,2022-10-11,2022-10-13,1282245147,1356205358,PLN2535,992487,PCN883,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,9,Specialty,0,0,0,330.0,41.2,371.2,32.0,339.2,0.0,13.2,9.35,1,0,0,0,2022-11-10
RX0000013902,MBR00000383,2022-05-14,2022-05-15,1228308507,1327339538,PLN3833,125591,PCN562,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,8,Retail,0,0,0,10.0,11.41,21.41,10.0,10.67,0.74,0.4,0.2833,0,0,0,0,2022-06-13
RX0000013903,MBR00000383,2023-02-25,2023-02-27,1319779613,1341524292,PLN6021,299569,PCN228,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,63,9,Mail Order,2,0,0,15.0,4.07,19.07,10.0,7.98,1.09,0.3,0.2125,0,0,0,0,2023-04-26
RX0000013904,MBR00000383,2023-11-08,2023-11-09,1136600110,1238210142,PLN3475,239272,PCN104,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,93,3,Mail Order,0,0,0,54.0,6.48,60.48,37.0,20.28,3.2,0.72,0.51,0,0,0,0,2024-02-06
RX0000013905,MBR00000383,2023-11-13,2023-11-16,1133511160,1128033177,PLN8226,529586,PCN976,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,8,Retail,0,0,0,15.17,7.26,22.43,39.0,0.0,1.46,2.6,1.8417,0,0,0,0,2023-11-20
RX0000013906,MBR00000383,2022-06-24,2022-06-25,1909824709,1736308486,PLN8706,519833,PCN910,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,55,7,Mail Order,0,0,0,36.0,9.55,45.55,34.0,9.65,1.9,0.72,0.51,0,0,0,0,2022-08-23
RX0000013907,MBR00000383,2023-06-29,2023-06-30,1954012833,1661264442,PLN9648,950049,PCN150,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,3,Retail,0,0,1,10.0,10.15,20.15,5.0,14.48,0.67,0.4,0.2833,0,0,0,0,2023-07-29
RX0000013908,MBR00000383,2021-10-05,2021-10-06,1574669843,1455941673,PLN1676,317798,PCN346,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,8,Retail,0,1,0,12.0,11.64,23.64,152.0,0.0,1.29,0.48,0.34,0,0,0,0,2021-11-04
RX0000013909,MBR00000383,2021-05-09,2021-05-12,1857858074,1251708404,PLN6401,422427,PCN835,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,4,Retail,0,0,0,480.0,8.54,488.54,35.0,429.38,24.16,19.2,13.6,0,0,0,0,2021-06-08
RX0000013910,MBR00000383,2021-06-02,2021-06-03,1643179862,1926568578,PLN2058,177951,PCN388,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,59,8,Retail,0,0,0,760.0,1.59,761.59,34.0,692.45,35.14,15.2,10.7667,0,0,0,0,2021-08-01
RX0000013911,MBR00000383,2022-01-25,2022-01-29,1632729548,1289545709,PLN6985,512941,PCN270,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,95,4,Retail,2,0,0,84.0,2.98,86.98,3.0,80.23,3.75,1.12,0.7933,0,0,0,0,2022-04-25
RX0000013912,MBR00000383,2023-10-29,2023-11-02,1915072163,1853611984,PLN4684,334150,PCN644,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,11,Retail,0,1,0,2800.0,7.27,2807.27,153.0,2507.36,146.91,112.0,79.3333,0,0,0,0,2023-11-28
RX0000013913,MBR00000383,2021-09-16,2021-09-17,1862795946,1322131272,PLN1004,451290,PCN126,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,3,Specialty,0,0,0,2.8,23.6,26.4,7.0,19.4,0.0,0.48,0.34,0,0,0,0,2021-09-23
RX0000013914,MBR00000383,2023-07-19,2023-07-22,1295257132,1502567708,PLN6410,814968,PCN359,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,82,4,Retail,0,0,0,45.0,4.56,49.56,3.0,44.57,1.99,0.6,0.425,0,0,0,0,2023-10-17
RX0000013915,MBR00000383,2021-05-02,2021-05-06,1214656656,1481102803,PLN9547,788470,PCN847,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,83,10,Retail,0,0,0,33.0,8.19,41.19,2.0,36.72,2.47,0.44,0.3117,0,0,0,0,2021-07-31
RX0000013916,MBR00000383,2023-01-22,2023-01-26,1760948029,1820428253,PLN5971,983507,PCN799,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,1,Retail,0,0,0,12.5,8.84,21.34,0.0,20.17,1.17,0.5,0.3542,0,0,0,0,2023-02-21
RX0000013917,MBR00000383,2022-08-08,2022-08-12,1808452920,1232308768,PLN3651,383586,PCN781,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,59,10,Retail,0,0,0,570.0,3.43,573.43,37.0,515.52,20.91,11.4,8.075,0,0,0,0,2022-10-07
RX0000013918,MBR00000383,2023-02-14,2023-02-18,1459764650,1867804587,PLN9858,920818,PCN795,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,6,Retail,0,0,0,12.0,11.45,23.45,2.0,20.22,1.23,0.48,0.34,0,1,0,0,2023-03-16
RX0000013919,MBR00000383,2023-06-26,2023-06-27,1239274918,1257623775,PLN2360,335135,PCN793,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,10,Retail,0,0,0,10.0,3.69,13.69,3.0,10.07,0.62,0.4,0.2833,0,0,0,0,2023-07-26
RX0000013920,MBR00000383,2022-07-16,2022-07-18,1236724138,1211928608,PLN7951,236498,PCN608,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,5,Retail,0,0,0,45.0,10.19,55.19,1.0,52.28,1.91,1.8,1.275,0,0,0,0,2022-08-15
RX0000013921,MBR00000383,2021-01-17,2021-01-18,1388713081,1706413961,PLN1456,112533,PCN525,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,1,Retail,0,1,0,1983.33,7.24,1990.57,153.0,1700.52,137.05,340.0,240.8333,1,0,0,0,2021-01-24
RX0000013922,MBR00000383,2022-02-27,2022-03-01,1413824899,1311655012,PLN2820,394242,PCN895,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,64,2,Retail,0,0,0,32.0,9.49,41.49,0.0,39.79,1.7,0.64,0.4533,0,0,0,0,2022-04-28
RX0000013923,MBR00000383,2023-04-15,2023-04-17,1772379291,1274564420,PLN1113,170973,PCN194,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,2,Retail,0,0,0,14.0,6.13,20.13,9.0,9.81,1.32,0.56,0.3967,0,0,0,0,2023-05-15
RX0000013924,MBR00000383,2023-01-28,2023-02-01,1378800464,1139509431,PLN3211,625046,PCN279,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,84,6,Retail,0,0,0,42.0,3.05,45.05,7.0,36.23,1.82,0.56,0.3967,0,0,0,0,2023-04-28
RX0000013925,MBR00000383,2023-04-01,2023-04-04,1268734448,1616077850,PLN2925,190092,PCN320,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,86,5,Retail,0,0,0,30.0,11.51,41.51,4.0,36.16,1.35,0.4,0.2833,1,0,0,0,2023-06-30
RX0000013926,MBR00000383,2021-10-24,2021-10-27,1990455229,1735191895,PLN5666,225598,PCN600,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,9,Retail,0,0,0,10.0,6.46,16.46,5.0,10.37,1.09,0.4,0.2833,0,0,0,0,2021-11-23
RX0000013927,MBR00000383,2023-05-12,2023-05-15,1275238805,1674681337,PLN4657,951869,PCN800,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,85,4,Retail,0,0,0,25.5,6.52,32.02,6.0,23.97,2.05,0.34,0.2408,0,1,0,0,2023-08-10
RX0000013928,MBR00000383,2021-03-25,2021-03-28,1428452942,1483508453,PLN5521,916773,PCN549,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,88,3,Mail Order,1,0,0,1110.0,11.73,1121.73,31.0,1013.66,77.07,14.8,10.4833,0,0,0,0,2021-06-23
RX0000013929,MBR00000383,2023-09-18,2023-09-19,1389091986,1260753597,PLN6854,274701,PCN601,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,1,Retail,0,0,0,9.0,7.9,16.9,5.0,11.31,0.59,0.36,0.255,1,0,0,0,2023-10-18
RX0000013930,MBR00000383,2021-04-20,2021-04-21,1981821139,1683220943,PLN7719,231098,PCN428,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,7,Retail,0,0,0,480.0,3.31,483.31,33.0,419.54,30.77,19.2,13.6,0,0,0,0,2021-05-20
RX0000013931,MBR00000383,2022-07-26,2022-07-29,1113015017,1750767042,PLN6286,173690,PCN798,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,7,Specialty,1,0,0,320.0,32.75,352.75,35.0,317.75,0.0,12.8,9.0667,0,0,0,0,2022-08-25
RX0000013932,MBR00000383,2023-07-04,2023-07-05,1829373477,1672361143,PLN1051,151599,PCN390,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,4,Mail Order,0,0,0,14.0,10.45,24.45,1.0,22.13,1.32,0.56,0.3967,0,0,0,0,2023-08-03
RX0000013933,MBR00000383,2021-03-02,2021-03-06,1565093109,1451862035,PLN3058,592579,PCN344,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,63,0,Retail,0,0,0,24.0,5.76,29.76,4.0,24.57,1.19,0.48,0.34,0,0,0,0,2021-05-01
RX0000013934,MBR00000383,2021-04-03,2021-04-04,1136789258,1953180800,PLN1396,183806,PCN278,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,81,4,Retail,0,0,1,555.0,4.94,559.94,31.0,500.0,28.94,7.4,5.2417,0,0,0,0,2021-07-02
RX0000013935,MBR00000383,2023-10-26,2023-10-28,1848775191,1919802144,PLN8388,827043,PCN380,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,10,Retail,0,0,0,18.0,7.37,25.37,1.0,22.66,1.71,0.72,0.51,0,0,0,0,2023-11-25
RX0000013936,MBR00000383,2022-08-28,2022-08-31,1689366954,1409087258,PLN9559,375389,PCN132,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,6,Retail,3,0,0,370.0,11.33,381.33,35.0,331.25,15.08,14.8,10.4833,0,0,0,0,2022-09-27
RX0000013937,MBR00000384,2023-01-09,2023-01-13,1979492191,1617023314,PLN9140,970200,PCN793,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,90,5,Mail Order,3,0,0,2850.0,6.44,2856.44,30.0,2686.57,139.87,38.0,26.9167,0,0,0,0,2023-04-09
RX0000013938,MBR00000384,2022-02-15,2022-02-18,1642451837,1546063644,PLN7555,436353,PCN374,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,88,1,Retail,0,0,0,1110.0,8.19,1118.19,32.0,1032.21,53.98,14.8,10.4833,0,0,0,0,2022-05-16
RX0000013939,MBR00000384,2021-08-18,2021-08-22,1843098130,1505064034,PLN8436,236491,PCN789,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,3,Retail,1,1,1,12.0,9.02,21.02,150.0,0.0,0.73,0.48,0.34,0,0,0,0,2021-09-17
RX0000013940,MBR00000384,2022-06-19,2022-06-21,1660764252,1931931699,PLN1985,198177,PCN377,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,5,Retail,0,0,0,221.67,5.02,226.69,32.0,180.61,14.08,38.0,26.9167,1,0,0,0,2022-06-26
RX0000013941,MBR00000384,2023-06-29,2023-07-02,1899827210,1788840757,PLN9719,831750,PCN865,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,10,Retail,1,0,0,15.0,4.26,19.26,4.0,14.68,0.58,0.6,0.425,0,1,0,0,2023-07-29
RX0000013942,MBR00000384,2023-06-21,2023-06-22,1514584537,1988799492,PLN6524,504157,PCN559,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,98,8,Retail,0,0,0,42.0,11.24,53.24,7.0,43.46,2.78,0.56,0.3967,0,1,0,0,2023-09-19
RX0000013943,MBR00000384,2021-11-11,2021-11-12,1698441418,1806685894,PLN3591,397021,PCN758,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,90,7,Retail,0,0,0,30.0,1.75,31.75,7.0,23.07,1.68,0.4,0.2833,0,0,0,0,2022-02-09
RX0000013944,MBR00000384,2021-12-28,2021-12-29,1591887384,1742135470,PLN9180,152182,PCN365,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,83,9,Mail Order,0,0,0,30.0,10.36,40.36,10.0,27.57,2.79,0.4,0.2833,0,0,0,0,2022-03-28
RX0000013945,MBR00000384,2022-10-16,2022-10-20,1957328455,1867266129,PLN4514,833122,PCN249,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,89,9,Retail,0,0,0,45.0,8.59,53.59,4.0,46.12,3.47,0.6,0.425,0,0,0,0,2023-01-14
RX0000013946,MBR00000384,2023-10-11,2023-10-15,1878430511,1635631955,PLN8221,384599,PCN625,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,9,Specialty,0,0,0,10.0,45.52,55.52,1.0,54.52,0.0,0.4,0.2833,0,0,0,0,2023-11-10
RX0000013947,MBR00000384,2022-02-08,2022-02-10,1803215502,1342156819,PLN3852,105829,PCN424,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,8,LTC,0,0,0,9.0,3.85,12.85,4.0,8.07,0.78,0.36,0.255,0,0,0,0,2022-03-10
RX0000013948,MBR00000384,2021-11-26,2021-11-28,1880337664,1774535584,PLN3757,426204,PCN297,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,86,3,Retail,0,0,0,960.0,8.38,968.38,37.0,899.71,31.67,12.8,9.0667,0,0,0,0,2022-02-24
RX0000013949,MBR00000384,2023-06-12,2023-06-15,1827514618,1325105953,PLN9621,579016,PCN664,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,1,Retail,0,0,0,12.0,4.22,16.22,5.0,10.19,1.03,0.48,0.34,0,0,0,0,2023-07-12
RX0000013950,MBR00000384,2022-11-29,2022-12-03,1378284273,1712094575,PLN4597,577347,PCN973,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,11,Retail,1,0,0,2.33,5.58,7.91,5.0,2.55,0.36,0.4,0.2833,0,0,0,0,2022-12-06
RX0000013951,MBR00000384,2023-01-05,2023-01-06,1973591661,1591253037,PLN6075,220582,PCN242,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,8,Retail,2,0,0,18.0,7.57,25.57,7.0,17.18,1.39,0.72,0.51,0,0,0,0,2023-02-04
RX0000013952,MBR00000384,2022-02-24,2022-02-26,1370099109,1546243832,PLN4805,778767,PCN917,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,0,Mail Order,0,0,0,45.0,5.04,50.04,10.0,36.54,3.5,1.8,1.275,0,0,0,0,2022-03-26
RX0000013953,MBR00000384,2022-01-16,2022-01-17,1542987999,1783889090,PLN7287,159587,PCN798,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,5,Retail,0,0,0,15.0,4.87,19.87,0.0,19.13,0.74,0.6,0.425,0,0,0,0,2022-02-15
RX0000013954,MBR00000384,2022-05-30,2022-06-02,1128255181,1715249918,PLN4203,671819,PCN349,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,11,Retail,0,0,0,855.0,7.49,862.49,34.0,796.29,32.2,11.4,8.075,0,0,0,0,2022-08-28
RX0000013955,MBR00000384,2021-12-30,2022-01-01,1533242150,1975566193,PLN1733,377471,PCN521,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,90,2,Retail,0,0,0,525.0,6.71,531.71,31.0,478.07,22.64,7.0,4.9583,0,0,0,0,2022-03-30
RX0000013956,MBR00000384,2022-05-21,2022-05-22,1755465392,1366227412,PLN2614,138277,PCN462,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,56,2,Retail,0,0,0,30.0,5.65,35.65,1.0,33.14,1.51,0.6,0.425,0,0,0,0,2022-07-20
RX0000013957,MBR00000384,2022-03-26,2022-03-27,1684599636,1866093287,PLN1288,714311,PCN474,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,10,Retail,0,1,0,6200.0,7.41,6207.41,151.0,5849.06,207.35,248.0,175.6667,0,0,0,0,2022-04-25
RX0000013958,MBR00000384,2021-02-04,2021-02-07,1843568303,1962118058,PLN9377,999117,PCN904,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,9,Retail,0,1,0,6200.0,8.23,6208.23,146.0,5822.61,239.62,248.0,175.6667,0,0,0,0,2021-03-06
RX0000013959,MBR00000384,2022-08-10,2022-08-12,1208230453,1547767256,PLN8263,594903,PCN982,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,0,Retail,0,0,0,45.0,7.87,52.87,10.0,39.25,3.62,1.8,1.275,0,0,0,0,2022-09-09
RX0000013960,MBR00000384,2021-09-08,2021-09-09,1378982791,1519694196,PLN9600,417088,PCN362,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,9,Retail,0,0,0,9.0,8.51,17.51,9.0,7.82,0.69,0.36,0.255,0,0,0,0,2021-10-08
RX0000013961,MBR00000384,2023-08-20,2023-08-21,1519547928,1670818371,PLN5574,597436,PCN800,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,90,0,Retail,0,0,0,27.0,6.6,33.6,4.0,27.35,2.25,0.36,0.255,0,0,0,0,2023-11-18
RX0000013962,MBR00000384,2022-07-02,2022-07-06,1104280731,1185799942,PLN7322,259710,PCN371,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,63,9,Retail,0,0,0,30.0,9.26,39.26,3.0,33.97,2.29,0.6,0.425,0,0,0,0,2022-08-31
RX0000013963,MBR00000384,2021-02-20,2021-02-21,1613182048,1599465738,PLN8906,534546,PCN427,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,1,Mail Order,0,0,0,9.0,7.19,16.19,0.0,15.37,0.82,0.36,0.255,0,0,0,0,2021-03-22
RX0000013964,MBR00000384,2023-12-05,2023-12-07,1175024993,1927496766,PLN4406,342394,PCN976,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,0,Retail,0,0,0,15.0,9.09,24.09,6.0,16.49,1.6,0.6,0.425,0,0,0,0,2024-01-04
RX0000013965,MBR00000384,2021-05-30,2021-06-03,1497095056,1122242584,PLN9696,292768,PCN160,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,65,5,Mail Order,2,0,0,32.0,3.44,35.44,0.0,33.68,1.76,0.64,0.4533,0,0,0,0,2021-07-29
RX0000013966,MBR00000384,2021-05-11,2021-05-15,1691563702,1407864079,PLN5027,572552,PCN490,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,8,Retail,0,0,0,2.33,6.33,8.66,2.0,6.28,0.38,0.4,0.2833,0,0,0,0,2021-05-18
RX0000013967,MBR00000384,2023-11-19,2023-11-20,1203469701,1226384729,PLN9173,674074,PCN737,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,7,Mail Order,0,0,0,185.0,10.03,195.03,31.0,152.05,11.98,7.4,5.2417,0,0,0,0,2023-12-19
RX0000013968,MBR00000384,2022-08-27,2022-08-31,1508109282,1650414360,PLN8007,134601,PCN641,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,9,Mail Order,0,0,0,7.5,4.66,12.16,9.0,2.43,0.73,0.3,0.2125,0,0,0,0,2022-09-26
RX0000013969,MBR00000384,2023-11-25,2023-11-26,1686710639,1400504060,PLN3592,386568,PCN307,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,5,Retail,0,1,1,2.8,8.84,11.64,150.0,0.0,0.6,0.48,0.34,0,0,0,0,2023-12-02
RX0000013970,MBR00000385,2022-03-29,2022-04-02,1920998464,1861980901,PLN2754,664871,PCN447,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,2,Retail,0,0,0,18.0,1.82,19.82,4.0,15.14,0.68,0.72,0.51,0,0,0,0,2022-04-28
RX0000013971,MBR00000385,2022-03-15,2022-03-19,1339476782,1485159917,PLN8741,952715,PCN422,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,94,2,Retail,0,0,0,22.5,8.46,30.96,2.0,27.74,1.22,0.3,0.2125,0,0,0,0,2022-06-13
RX0000013972,MBR00000385,2022-05-15,2022-05-18,1439991368,1808518196,PLN8837,664952,PCN274,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,58,11,Mail Order,0,0,0,15.0,5.85,20.85,7.0,13.1,0.75,0.3,0.2125,0,0,0,0,2022-07-14
RX0000013973,MBR00000385,2022-08-01,2022-08-04,1329479259,1239066031,PLN9654,980904,PCN767,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,5,Retail,1,0,0,185.0,9.21,194.21,34.0,153.67,6.54,7.4,5.2417,0,0,0,0,2022-08-31
RX0000013974,MBR00000385,2023-01-09,2023-01-12,1926838295,1611168278,PLN3240,205962,PCN256,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,3,Mail Order,0,1,0,12.0,10.32,22.32,155.0,0.0,0.93,0.48,0.34,0,0,0,0,2023-02-08
RX0000013975,MBR00000385,2021-02-03,2021-02-05,1959839563,1868256020,PLN1370,143564,PCN972,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,11,Mail Order,0,1,0,6200.0,1.67,6201.67,154.0,5638.93,408.74,248.0,175.6667,0,0,0,0,2021-03-05
RX0000013976,MBR00000385,2022-12-03,2022-12-07,1470964715,1777023478,PLN5575,939305,PCN186,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,59,8,LTC,0,0,0,24.0,10.17,34.17,0.0,33.12,1.05,0.48,0.34,0,0,0,0,2023-02-01
RX0000013977,MBR00000385,2021-01-16,2021-01-17,1109980927,1638849180,PLN9741,270110,PCN475,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,10,Mail Order,0,0,0,2.92,8.81,11.73,4.0,6.95,0.78,0.5,0.3542,1,0,0,0,2021-01-23
RX0000013978,MBR00000385,2021-04-13,2021-04-14,1144955579,1959942166,PLN7836,147229,PCN559,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,96,10,Retail,0,0,0,2250.0,5.55,2255.55,30.0,2134.66,90.89,30.0,21.25,1,0,0,0,2021-07-12
RX0000013979,MBR00000385,2021-06-27,2021-06-28,1909661855,1839294231,PLN5516,122918,PCN676,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,1,Mail Order,1,0,0,3.73,2.02,5.75,10.0,0.0,0.22,0.64,0.4533,0,1,0,0,2021-07-04
RX0000013980,MBR00000385,2023-11-26,2023-11-29,1821878477,1588116745,PLN4921,301322,PCN301,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,6,Retail,0,0,0,9.0,11.24,20.24,0.0,18.99,1.25,0.36,0.255,0,0,0,0,2023-12-26
RX0000013981,MBR00000385,2023-08-04,2023-08-07,1900461977,1300069835,PLN5686,836335,PCN916,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,6,Retail,0,0,0,12.0,9.65,21.65,9.0,11.56,1.09,0.48,0.34,0,1,0,0,2023-09-03
RX0000013982,MBR00000385,2022-07-17,2022-07-20,1221445270,1850076049,PLN4145,730349,PCN607,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,10,Retail,0,0,0,4.2,2.06,6.26,40.0,0.0,0.43,0.72,0.51,0,0,0,0,2022-07-24
RX0000013983,MBR00000385,2022-06-11,2022-06-12,1165159626,1870540127,PLN3328,974450,PCN743,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,3,Mail Order,2,0,1,22.0,4.44,26.44,68.0,0.0,1.44,0.88,0.6233,0,0,0,0,2022-07-11
RX0000013984,MBR00000385,2023-02-01,2023-02-05,1923234817,1731965145,PLN9707,160115,PCN925,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,7,Retail,0,0,0,330.0,8.3,338.3,40.0,287.72,10.58,13.2,9.35,0,0,0,0,2023-03-03
RX0000013985,MBR00000385,2023-10-30,2023-10-31,1114048005,1411331135,PLN1151,491659,PCN927,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,5,Retail,0,0,0,11.0,3.29,14.29,0.0,13.44,0.85,0.44,0.3117,0,0,0,0,2023-11-29
RX0000013986,MBR00000385,2023-07-16,2023-07-17,1967777014,1404025015,PLN5697,915685,PCN571,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,92,6,Retail,0,0,0,42.0,7.16,49.16,1.0,45.19,2.97,0.56,0.3967,0,0,0,0,2023-10-14
RX0000013987,MBR00000385,2022-02-26,2022-02-27,1776477045,1905043151,PLN9918,763139,PCN370,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,65,8,Retail,0,0,0,1500.0,4.17,1504.17,40.0,1386.53,77.64,30.0,21.25,0,0,0,0,2022-04-27
RX0000013988,MBR00000385,2021-12-08,2021-12-09,1381811405,1331057892,PLN3258,918710,PCN902,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,5,Retail,0,0,0,8.5,10.02,18.52,5.0,12.53,0.99,0.34,0.2408,0,0,0,0,2022-01-07
RX0000013989,MBR00000385,2023-06-19,2023-06-20,1198653875,1113147116,PLN2385,586385,PCN140,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,4,Retail,0,1,0,8.0,7.59,15.59,149.0,0.0,0.63,0.32,0.2267,0,0,0,0,2023-07-19
RX0000013990,MBR00000385,2021-12-29,2022-01-01,1416577182,1978647545,PLN7720,315812,PCN849,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,0,Retail,2,1,0,6200.0,5.97,6205.97,145.0,5696.6,364.37,248.0,175.6667,0,0,0,0,2022-01-28
RX0000013991,MBR00000385,2022-02-01,2022-02-03,1515968899,1281139863,PLN7677,831986,PCN336,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,4,Retail,0,0,0,12.0,9.95,21.95,7.0,13.94,1.01,0.48,0.34,0,0,0,0,2022-03-03
RX0000013992,MBR00000385,2022-08-26,2022-08-27,1385861183,1435997415,PLN8231,410910,PCN595,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,65,8,Retail,2,1,0,17000.0,8.87,17008.87,153.0,15677.07,1178.8,340.0,240.8333,0,0,0,0,2022-10-25
RX0000013993,MBR00000385,2021-01-18,2021-01-20,1569572824,1289327969,PLN4348,399983,PCN715,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,87,7,Retail,0,0,0,42.0,3.02,45.02,1.0,41.63,2.39,0.56,0.3967,0,0,0,0,2021-04-18
RX0000013994,MBR00000385,2022-01-26,2022-01-30,1904303648,1526149076,PLN8979,766784,PCN483,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,9,Specialty,0,0,0,8.5,8.23,16.73,2.0,14.73,0.0,0.34,0.2408,0,0,0,0,2022-02-25
RX0000013995,MBR00000385,2023-02-16,2023-02-18,1204036111,1671989110,PLN1969,241201,PCN990,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,87,10,Retail,0,0,0,525.0,1.75,526.75,32.0,476.86,17.89,7.0,4.9583,0,0,0,0,2023-05-17
RX0000013996,MBR00000385,2022-02-05,2022-02-06,1248077738,1548874436,PLN8340,407077,PCN373,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,2,Retail,0,0,0,750.0,2.76,752.76,35.0,690.93,26.83,30.0,21.25,0,0,0,0,2022-03-07
RX0000013997,MBR00000385,2023-11-30,2023-12-02,1509049893,1587783787,PLN1543,391014,PCN650,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,3,Retail,0,0,0,380.0,10.74,390.74,35.0,336.89,18.85,15.2,10.7667,0,0,0,0,2023-12-30
RX0000013998,MBR00000385,2021-03-04,2021-03-06,1640493117,1201176844,PLN8092,738959,PCN669,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,81,4,Retail,0,0,0,1950.0,8.66,1958.66,34.0,1843.9,80.76,26.0,18.4167,0,0,0,0,2021-06-02
RX0000013999,MBR00000385,2023-03-13,2023-03-16,1727426017,1484567187,PLN1828,605331,PCN105,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,4,Mail Order,0,0,1,77.0,2.68,79.68,35.0,39.93,4.75,13.2,9.35,0,1,1,0,2023-03-20
RX0000014000,MBR00000385,2023-11-05,2023-11-06,1957557877,1614019018,PLN3142,391475,PCN537,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,5,Retail,0,0,0,18.0,1.78,19.78,9.0,9.65,1.13,0.72,0.51,0,0,0,0,2023-12-05
RX0000014001,MBR00000385,2022-04-08,2022-04-09,1555585283,1515700594,PLN1161,465376,PCN810,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,61,3,Retail,1,0,0,370.0,6.07,376.07,30.0,330.95,15.12,7.4,5.2417,0,0,0,0,2022-06-07
RX0000014002,MBR00000385,2023-10-01,2023-10-05,1680750986,1934271051,PLN4560,576541,PCN101,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,6,Specialty,0,0,0,380.0,18.39,398.39,34.0,364.39,0.0,15.2,10.7667,0,0,0,0,2023-10-31
RX0000014003,MBR00000385,2022-12-22,2022-12-26,1454709586,1276442425,PLN6787,150851,PCN888,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,92,5,Retail,0,0,0,27.0,10.66,37.66,2.0,33.41,2.25,0.36,0.255,0,0,0,0,2023-03-22
RX0000014004,MBR00000385,2022-11-16,2022-11-19,1869095801,1924603264,PLN8032,723013,PCN328,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,4,Mail Order,0,0,0,950.0,5.14,955.14,30.0,881.98,43.16,38.0,26.9167,0,0,0,0,2022-12-16
RX0000014005,MBR00000385,2022-05-08,2022-05-10,1494439552,1418889979,PLN7943,714333,PCN808,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,2,Retail,0,0,0,10.0,4.33,14.33,8.0,5.87,0.46,0.4,0.2833,0,0,0,0,2022-06-07
RX0000014006,MBR00000385,2022-04-11,2022-04-13,1327833869,1940883962,PLN4416,664583,PCN712,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,8,Retail,0,0,0,950.0,6.43,956.43,32.0,870.88,53.55,38.0,26.9167,0,0,0,0,2022-05-11
RX0000014007,MBR00000386,2023-07-24,2023-07-25,1601348406,1325303490,PLN6647,170833,PCN488,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,93,0,Mail Order,0,0,0,114.0,6.99,120.99,2.0,112.19,6.8,1.52,1.0767,0,0,0,0,2023-10-22
RX0000014008,MBR00000386,2022-04-12,2022-04-15,1121944394,1206741138,PLN1761,295201,PCN608,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,9,Retail,0,0,0,8.87,9.26,18.13,1.0,16.45,0.68,1.52,1.0767,0,0,0,0,2022-04-19
RX0000014009,MBR00000386,2022-08-08,2022-08-10,1865760971,1890939459,PLN5967,583268,PCN756,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,4,Mail Order,0,0,0,16.0,6.78,22.78,1.0,20.55,1.23,0.64,0.4533,0,0,0,0,2022-09-07
RX0000014010,MBR00000386,2023-06-29,2023-07-03,1864873100,1951087411,PLN8974,421149,PCN762,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,1,Retail,0,0,0,1.98,1.93,3.91,9.0,0.0,0.23,0.34,0.2408,0,1,0,0,2023-07-06
RX0000014011,MBR00000386,2021-10-14,2021-10-18,1831591294,1771754649,PLN8057,468238,PCN849,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,85,11,Retail,0,0,0,1950.0,11.97,1961.97,31.0,1819.38,111.59,26.0,18.4167,0,0,0,0,2022-01-12
RX0000014012,MBR00000386,2022-02-01,2022-02-05,1539755498,1585817463,PLN4037,901317,PCN245,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,3,Mail Order,3,0,0,370.0,4.06,374.06,30.0,330.08,13.98,14.8,10.4833,1,0,0,0,2022-03-03
RX0000014013,MBR00000386,2023-11-05,2023-11-08,1262405046,1316078628,PLN6482,731047,PCN105,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,96,7,Mail Order,0,0,0,135.0,9.76,144.76,5.0,134.51,5.25,1.8,1.275,0,0,0,0,2024-02-03
RX0000014014,MBR00000386,2023-03-10,2023-03-14,1131518008,1781929285,PLN9252,790628,PCN523,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,4,Retail,0,0,1,14.0,4.0,18.0,9.0,7.86,1.14,0.56,0.3967,0,0,0,0,2023-04-09
RX0000014015,MBR00000386,2022-11-18,2022-11-20,1302383494,1348281822,PLN3947,199304,PCN797,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,95,0,Specialty,1,0,0,135.0,11.48,146.48,5.0,141.48,0.0,1.8,1.275,0,0,0,0,2023-02-16
RX0000014016,MBR00000386,2021-07-15,2021-07-17,1436502070,1697170314,PLN6030,852407,PCN996,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,84,8,Retail,0,0,0,42.0,7.29,49.29,0.0,47.62,1.67,0.56,0.3967,0,0,0,0,2021-10-13
RX0000014017,MBR00000386,2022-02-03,2022-02-04,1564750566,1330799207,PLN9476,940595,PCN618,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,6,Retail,0,0,0,330.0,9.05,339.05,33.0,283.88,22.17,13.2,9.35,0,0,0,0,2022-03-05
RX0000014018,MBR00000386,2023-05-17,2023-05-19,1165768464,1195173008,PLN5164,560301,PCN684,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,8,Specialty,0,0,0,11.0,44.64,55.64,5.0,50.64,0.0,0.44,0.3117,0,0,0,0,2023-06-16
RX0000014019,MBR00000386,2021-03-09,2021-03-12,1869627452,1878468755,PLN7275,529991,PCN589,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,82,11,Retail,0,0,0,114.0,10.12,124.12,38.0,82.21,3.91,1.52,1.0767,0,0,0,0,2021-06-07
RX0000014020,MBR00000386,2021-11-23,2021-11-27,1618572897,1822017112,PLN8946,376764,PCN606,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,93,3,Retail,0,0,0,1440.0,1.77,1441.77,38.0,1339.14,64.63,19.2,13.6,0,0,0,0,2022-02-21
RX0000014021,MBR00000386,2023-03-28,2023-03-31,1162146393,1341105513,PLN5531,757612,PCN912,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,6,Retail,2,0,0,320.0,4.9,324.9,36.0,275.53,13.37,12.8,9.0667,0,0,0,0,2023-04-27
RX0000014022,MBR00000386,2021-04-07,2021-04-08,1343661631,1127916765,PLN2360,741690,PCN215,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,7,Retail,0,0,0,11.0,11.58,22.58,6.0,15.15,1.43,0.44,0.3117,0,0,0,0,2021-05-07
RX0000014023,MBR00000386,2022-11-19,2022-11-21,1471938114,1636539745,PLN7233,662345,PCN192,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,1,Retail,0,0,0,370.0,10.39,380.39,36.0,321.62,22.77,14.8,10.4833,0,0,0,0,2022-12-19
RX0000014024,MBR00000386,2023-05-27,2023-05-31,1974461659,1244318997,PLN3204,846115,PCN534,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,8,Mail Order,0,0,0,310.0,2.68,312.68,31.0,264.2,17.48,12.4,8.7833,0,0,0,0,2023-06-26
RX0000014025,MBR00000386,2021-09-25,2021-09-29,1887426091,1227956141,PLN5411,584235,PCN954,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,11,Retail,0,0,0,7.5,1.98,9.48,3.0,5.95,0.53,0.3,0.2125,0,0,0,0,2021-10-25
RX0000014026,MBR00000386,2021-07-25,2021-07-27,1378367578,1126561444,PLN9037,164339,PCN843,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,9,Retail,0,0,0,320.0,7.27,327.27,40.0,274.88,12.39,12.8,9.0667,0,0,0,0,2021-08-24
RX0000014027,MBR00000386,2023-04-21,2023-04-25,1308779150,1627357749,PLN6011,450904,PCN179,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,5,Retail,1,0,0,18.0,11.83,29.83,5.0,22.82,2.01,0.72,0.51,0,0,0,0,2023-05-21
RX0000014028,MBR00000386,2021-05-28,2021-06-01,1691052798,1549337441,PLN6152,534261,PCN432,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,4,Retail,3,0,0,14.0,9.6,23.6,9.0,13.77,0.83,0.56,0.3967,0,0,0,0,2021-06-27
RX0000014029,MBR00000386,2023-11-04,2023-11-06,1499198589,1959487566,PLN8806,195710,PCN589,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,6,Retail,1,0,0,310.0,9.84,319.84,34.0,269.11,16.73,12.4,8.7833,0,0,0,0,2023-12-04
RX0000014030,MBR00000386,2021-05-01,2021-05-03,1432979494,1316313961,PLN6070,518251,PCN390,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,2,Retail,3,0,0,15.0,6.47,21.47,4.0,16.81,0.66,0.6,0.425,0,0,0,0,2021-05-31
RX0000014031,MBR00000386,2021-08-13,2021-08-15,1561535491,1235273964,PLN4959,205637,PCN889,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,88,7,Retail,0,0,0,1440.0,5.33,1445.33,39.0,1352.14,54.19,19.2,13.6,0,0,0,0,2021-11-11
RX0000014032,MBR00000386,2022-08-30,2022-09-02,1733876036,1128927869,PLN1706,228805,PCN768,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,0,Retail,0,1,0,8.0,4.81,12.81,153.0,0.0,0.54,0.32,0.2267,0,0,0,0,2022-09-29
RX0000014033,MBR00000386,2021-06-14,2021-06-18,1954552775,1712908923,PLN2746,832305,PCN369,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,55,10,Mail Order,2,0,0,22.0,7.14,29.14,0.0,27.2,1.94,0.44,0.3117,0,0,0,0,2021-08-13
RX0000014034,MBR00000386,2023-09-27,2023-09-29,1681163246,1868375019,PLN1647,995903,PCN267,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,6,Retail,0,0,0,12.0,8.63,20.63,1.0,18.35,1.28,0.48,0.34,0,0,0,0,2023-10-27
RX0000014035,MBR00000386,2023-06-30,2023-07-04,1963388124,1436837192,PLN9825,452542,PCN407,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,60,9,Mail Order,0,0,0,90.0,3.27,93.27,4.0,84.08,5.19,1.8,1.275,0,0,0,0,2023-08-29
RX0000014036,MBR00000386,2022-03-25,2022-03-28,1842478326,1402288169,PLN4391,606492,PCN798,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,91,9,Retail,0,1,0,8400.0,11.14,8411.14,152.0,7903.97,355.17,112.0,79.3333,0,0,0,0,2022-06-23
RX0000014037,MBR00000386,2021-10-03,2021-10-05,1552667674,1401221689,PLN7270,779576,PCN510,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,5,Retail,0,0,0,65.0,11.53,76.53,39.0,33.58,3.95,2.6,1.8417,0,0,0,0,2021-11-02
RX0000014038,MBR00000386,2021-06-18,2021-06-22,1798302639,1757569100,PLN1280,160229,PCN513,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,56,4,Specialty,0,0,0,22.0,18.46,40.46,2.0,38.46,0.0,0.44,0.3117,0,0,0,0,2021-08-17
RX0000014039,MBR00000386,2023-11-30,2023-12-01,1461749934,1599236401,PLN3332,569189,PCN973,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,9,Retail,0,0,0,10.0,6.94,16.94,6.0,10.28,0.66,0.4,0.2833,0,1,0,0,2023-12-30
RX0000014040,MBR00000386,2021-01-18,2021-01-22,1400098737,1497452333,PLN2335,718343,PCN442,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,10,Retail,0,0,0,2.8,9.49,12.29,1.0,10.66,0.63,0.48,0.34,0,0,0,0,2021-01-25
RX0000014041,MBR00000386,2023-11-13,2023-11-15,1472142925,1750650442,PLN8097,720543,PCN156,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,0,Retail,0,0,0,5.13,11.63,16.77,3.0,12.9,0.87,0.88,0.6233,0,1,0,0,2023-11-20
RX0000014042,MBR00000386,2023-03-22,2023-03-26,1471079817,1173786430,PLN6277,621839,PCN936,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,3,Mail Order,0,0,0,285.0,2.27,287.27,31.0,246.64,9.63,11.4,8.075,0,0,0,0,2023-04-21
RX0000014043,MBR00000386,2023-01-11,2023-01-12,1256291965,1476759362,PLN1751,184665,PCN284,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,9,Retail,0,0,0,7.5,4.54,12.04,9.0,2.21,0.83,0.3,0.2125,0,0,0,0,2023-02-10
RX0000014044,MBR00000386,2022-07-02,2022-07-06,1418174472,1823874901,PLN8804,314789,PCN706,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,2,Retail,0,0,0,11.0,9.03,20.03,0.0,19.43,0.6,0.44,0.3117,0,0,0,0,2022-08-01
RX0000014045,MBR00000386,2021-05-25,2021-05-28,1555326134,1817137237,PLN3990,432233,PCN452,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,82,6,Specialty,0,0,0,855.0,15.03,870.03,33.0,837.03,0.0,11.4,8.075,1,0,0,0,2021-08-23
RX0000014046,MBR00000386,2022-07-20,2022-07-22,1723427464,1109549301,PLN5233,292580,PCN150,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,3,Mail Order,0,0,0,310.0,9.45,319.45,38.0,264.23,17.22,12.4,8.7833,0,0,0,0,2022-08-19
RX0000014047,MBR00000386,2022-10-04,2022-10-07,1923009417,1803839199,PLN4883,925662,PCN790,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,88,2,Mail Order,0,0,0,30.0,6.83,36.83,1.0,33.31,2.52,0.4,0.2833,0,0,0,0,2023-01-02
RX0000014048,MBR00000386,2022-03-01,2022-03-04,1148356670,1590578683,PLN6823,965497,PCN697,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,2,Retail,0,0,0,310.0,1.6,311.6,38.0,254.79,18.81,12.4,8.7833,0,0,0,0,2022-03-31
RX0000014049,MBR00000386,2023-06-08,2023-06-09,1220961910,1145627182,PLN2150,585250,PCN368,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,7,Retail,0,0,0,12.5,6.44,18.94,6.0,11.68,1.26,0.5,0.3542,0,0,0,0,2023-07-08
RX0000014050,MBR00000386,2023-03-22,2023-03-24,1336149509,1918451198,PLN4517,172574,PCN155,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,2,Retail,0,0,0,750.0,4.6,754.6,32.0,684.95,37.65,30.0,21.25,0,0,0,0,2023-04-21
RX0000014051,MBR00000386,2022-09-11,2022-09-15,1586648582,1526970614,PLN7737,944084,PCN252,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,7,Retail,0,0,0,12.5,8.53,21.03,5.0,14.71,1.32,0.5,0.3542,0,0,0,0,2022-10-11
RX0000014052,MBR00000386,2023-11-17,2023-11-19,1192202042,1846816858,PLN4477,307644,PCN333,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,1,Retail,0,0,0,950.0,4.42,954.42,33.0,857.31,64.11,38.0,26.9167,0,0,0,0,2023-12-17
RX0000014053,MBR00000386,2021-10-23,2021-10-25,1332543651,1287106316,PLN4644,811255,PCN524,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,10,Retail,0,1,0,6200.0,8.32,6208.32,147.0,5724.48,336.84,248.0,175.6667,0,0,0,0,2021-11-22
RX0000014054,MBR00000386,2023-05-24,2023-05-27,1628795581,1181903109,PLN8612,332011,PCN236,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,5,Retail,0,0,0,15.0,2.91,17.91,5.0,11.93,0.98,0.6,0.425,0,0,0,0,2023-06-23
RX0000014055,MBR00000386,2023-10-10,2023-10-13,1561472120,1503808522,PLN2033,174482,PCN529,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,2,Retail,0,1,0,8500.0,4.44,8504.44,151.0,7948.46,404.98,340.0,240.8333,0,0,0,0,2023-11-09
RX0000014056,MBR00000386,2022-11-25,2022-11-26,1295279671,1647534186,PLN6458,257265,PCN313,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,7,Retail,0,0,0,2.57,7.1,9.66,5.0,4.1,0.56,0.44,0.3117,0,0,0,0,2022-12-02
RX0000014057,MBR00000386,2022-10-13,2022-10-14,1639981034,1206982771,PLN6414,418737,PCN186,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,81,0,Retail,0,0,0,114.0,5.92,119.92,39.0,74.34,6.58,1.52,1.0767,0,0,0,0,2023-01-11
RX0000014058,MBR00000386,2021-03-25,2021-03-29,1998102498,1608316432,PLN3061,782852,PCN123,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,7,Retail,0,0,0,18.0,1.65,19.65,10.0,8.62,1.03,0.72,0.51,0,0,0,0,2021-04-24
RX0000014059,MBR00000386,2023-12-29,2023-12-30,1103588384,1236252215,PLN2911,864147,PCN662,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,9,Retail,0,1,0,8500.0,4.28,8504.28,149.0,7876.22,479.06,340.0,240.8333,0,0,0,0,2024-01-28
RX0000014060,MBR00000386,2023-07-05,2023-07-07,1284193516,1836140218,PLN4577,843503,PCN373,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,3,LTC,0,0,0,185.0,3.1,188.1,38.0,143.25,6.85,7.4,5.2417,1,0,0,0,2023-08-04
RX0000014061,MBR00000386,2022-06-20,2022-06-23,1399914449,1590853814,PLN7821,576808,PCN947,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,0,Mail Order,2,0,0,7.5,9.04,16.54,2.0,13.41,1.13,0.3,0.2125,0,0,0,0,2022-07-20
RX0000014062,MBR00000386,2022-03-27,2022-03-31,1530348943,1342457930,PLN7886,447142,PCN506,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,90,5,Retail,0,0,0,1110.0,3.03,1113.03,40.0,1006.04,66.99,14.8,10.4833,0,0,0,0,2022-06-25
RX0000014063,MBR00000386,2023-07-18,2023-07-19,1721243722,1913554782,PLN9741,299422,PCN849,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,3,Retail,0,1,0,8.0,5.76,13.76,153.0,0.0,0.75,0.32,0.2267,0,0,0,0,2023-08-17
RX0000014064,MBR00000386,2023-08-10,2023-08-14,1627610048,1847944837,PLN2451,819825,PCN665,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,10,Retail,0,0,0,7.5,9.12,16.62,2.0,13.69,0.93,0.3,0.2125,0,0,0,0,2023-09-09
RX0000014065,MBR00000387,2023-06-23,2023-06-25,1671851952,1195268560,PLN8827,695288,PCN251,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,1,Retail,0,0,0,380.0,11.45,391.45,30.0,338.43,23.02,15.2,10.7667,0,0,0,0,2023-07-23
RX0000014066,MBR00000387,2023-12-21,2023-12-22,1432394653,1492106586,PLN4083,181350,PCN525,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,89,6,Retail,2,0,0,990.0,3.14,993.14,37.0,886.83,69.31,13.2,9.35,0,0,0,0,2024-03-20
RX0000014067,MBR00000387,2022-03-12,2022-03-16,1894255479,1380397924,PLN4934,771932,PCN590,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,6,Retail,0,0,0,14.0,11.75,25.75,6.0,18.65,1.1,0.56,0.3967,0,0,0,0,2022-04-11
RX0000014068,MBR00000387,2021-08-11,2021-08-12,1920394127,1389782304,PLN4793,591945,PCN742,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,91,9,Retail,0,0,0,48.0,4.44,52.44,0.0,50.41,2.03,0.64,0.4533,0,0,0,0,2021-11-09
RX0000014069,MBR00000387,2021-12-30,2022-01-03,1437298262,1338891724,PLN7213,928282,PCN894,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,60,8,Retail,2,0,0,15.0,9.7,24.7,1.0,22.49,1.21,0.3,0.2125,0,0,0,0,2022-02-28
RX0000014070,MBR00000387,2023-12-16,2023-12-19,1500926982,1641421699,PLN6159,709267,PCN120,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,5,Retail,0,0,0,14.0,1.77,15.77,8.0,6.77,1.0,0.56,0.3967,0,0,0,0,2024-01-15
RX0000014071,MBR00000387,2021-04-22,2021-04-25,1513471411,1357320178,PLN8854,459063,PCN263,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,88,7,Retail,0,0,0,27.0,7.92,34.92,8.0,25.21,1.71,0.36,0.255,0,0,0,0,2021-07-21
RX0000014072,MBR00000387,2023-03-07,2023-03-08,1708382006,1924552306,PLN1185,202039,PCN296,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,92,8,Mail Order,1,1,0,24.0,2.21,26.21,145.0,0.0,1.69,0.32,0.2267,1,0,0,0,2023-06-05
RX0000014073,MBR00000387,2023-02-28,2023-03-02,1459133973,1452822233,PLN1374,247775,PCN543,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,4,Specialty,0,0,0,175.0,30.21,205.21,39.0,166.21,0.0,7.0,4.9583,0,0,0,0,2023-03-30
RX0000014074,MBR00000387,2021-03-26,2021-03-29,1846149445,1974067757,PLN5766,681992,PCN897,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,6,Retail,2,0,0,22.0,11.98,33.98,1.0,31.59,1.39,0.88,0.6233,0,0,0,0,2021-04-25
RX0000014075,MBR00000387,2021-10-08,2021-10-12,1293268842,1375696943,PLN1586,312164,PCN576,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,8,Mail Order,0,0,0,185.0,11.63,196.63,40.0,149.14,7.49,7.4,5.2417,0,0,0,0,2021-11-07
RX0000014076,MBR00000387,2021-09-26,2021-09-27,1114331267,1656496598,PLN5688,792171,PCN964,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,2,Retail,0,0,0,750.0,9.58,759.58,38.0,675.93,45.65,30.0,21.25,1,0,0,0,2021-10-26
RX0000014077,MBR00000387,2022-11-22,2022-11-26,1295612034,1626993549,PLN3225,322722,PCN198,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,84,3,Retail,0,0,0,54.0,7.49,61.49,5.0,52.49,4.0,0.72,0.51,0,0,0,0,2023-02-20
RX0000014078,MBR00000387,2023-11-07,2023-11-11,1673171313,1308491926,PLN1263,862850,PCN386,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,94,2,Mail Order,2,0,0,42.0,7.86,49.86,5.0,42.42,2.44,0.56,0.3967,0,0,0,0,2024-02-05
RX0000014079,MBR00000387,2023-04-08,2023-04-11,1624488807,1685428847,PLN6214,749783,PCN243,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,93,3,Mail Order,0,0,0,45.0,1.94,46.94,4.0,40.91,2.03,0.6,0.425,0,0,0,0,2023-07-07
RX0000014080,MBR00000387,2022-05-26,2022-05-29,1931180374,1289880261,PLN6074,300204,PCN338,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,8,Retail,0,1,0,12.0,5.76,17.76,155.0,0.0,0.83,0.48,0.34,0,0,0,0,2022-06-25
RX0000014081,MBR00000387,2021-12-27,2021-12-28,1751900972,1937050106,PLN5356,942118,PCN502,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,62,2,Retail,0,0,0,660.0,10.44,670.44,33.0,595.26,42.18,13.2,9.35,0,0,0,0,2022-02-25
RX0000014082,MBR00000387,2023-03-09,2023-03-10,1119879507,1529964092,PLN5716,816176,PCN163,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,4,Specialty,0,0,0,11.0,12.1,23.1,7.0,16.1,0.0,0.44,0.3117,0,0,0,0,2023-04-08
RX0000014083,MBR00000387,2021-09-18,2021-09-21,1677166213,1263022696,PLN9527,809145,PCN172,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,0,Mail Order,3,0,0,18.0,8.56,26.56,5.0,20.13,1.43,0.72,0.51,0,0,0,0,2021-10-18
RX0000014084,MBR00000387,2023-07-16,2023-07-18,1731856236,1904264893,PLN4198,473167,PCN873,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,8,Retail,0,0,0,12.5,3.66,16.16,4.0,11.18,0.98,0.5,0.3542,0,0,0,0,2023-08-15
RX0000014085,MBR00000387,2022-10-09,2022-10-10,1966054147,1384271071,PLN7600,805724,PCN938,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,3,Retail,0,0,0,2.8,11.83,14.63,2.0,11.95,0.68,0.48,0.34,1,0,0,0,2022-10-16
RX0000014086,MBR00000387,2023-08-11,2023-08-12,1316956130,1141815845,PLN8223,684481,PCN993,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,11,Mail Order,1,0,0,11.0,7.0,18.0,3.0,14.45,0.55,0.44,0.3117,0,0,0,0,2023-09-10
RX0000014087,MBR00000387,2023-08-01,2023-08-03,1209290610,1139656419,PLN8466,433581,PCN914,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,9,Retail,0,0,0,18.0,2.85,20.85,7.0,12.51,1.34,0.72,0.51,0,0,0,0,2023-08-31
RX0000014088,MBR00000387,2022-02-02,2022-02-05,1776481639,1660257226,PLN3997,133570,PCN915,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,3,Retail,0,0,0,380.0,11.03,391.03,38.0,325.74,27.29,15.2,10.7667,0,0,0,0,2022-03-04
RX0000014089,MBR00000387,2021-07-29,2021-08-01,1341152338,1285645923,PLN3756,866831,PCN239,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,0,Retail,0,0,0,36.0,11.01,47.01,2.0,41.91,3.1,0.48,0.34,0,0,0,0,2021-10-27
RX0000014090,MBR00000387,2021-01-28,2021-01-29,1528813995,1424345418,PLN1877,806141,PCN283,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,86,2,Retail,0,0,0,1950.0,7.28,1957.28,31.0,1853.16,73.12,26.0,18.4167,0,1,1,0,2021-04-28
RX0000014091,MBR00000387,2022-02-23,2022-02-26,1704642801,1858166174,PLN2171,862905,PCN634,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,1,Retail,0,0,0,185.0,11.03,196.03,39.0,146.42,10.61,7.4,5.2417,0,0,0,0,2022-03-25
RX0000014092,MBR00000387,2021-07-22,2021-07-25,1865080739,1776787447,PLN9819,986985,PCN979,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,87,2,Retail,0,0,1,84.0,7.95,91.95,3.0,83.39,5.56,1.12,0.7933,0,0,0,0,2021-10-20
RX0000014093,MBR00000387,2021-01-19,2021-01-22,1306659577,1279033573,PLN3291,382080,PCN264,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,9,Retail,3,1,0,8.0,4.94,12.94,153.0,0.0,0.64,0.32,0.2267,0,0,0,0,2021-02-18
RX0000014094,MBR00000387,2022-10-25,2022-10-27,1513841131,1136397729,PLN4144,167028,PCN307,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,10,Retail,0,0,0,14.0,7.96,21.96,4.0,16.92,1.04,0.56,0.3967,0,0,0,0,2022-11-24
RX0000014095,MBR00000387,2023-12-27,2023-12-30,1602145078,1193091575,PLN9995,511316,PCN592,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,95,9,Retail,0,0,0,25.5,3.66,29.16,2.0,25.19,1.97,0.34,0.2408,0,0,0,0,2024-03-26
RX0000014096,MBR00000387,2021-05-11,2021-05-14,1755278617,1728684515,PLN5492,959422,PCN147,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,9,Retail,0,0,0,18.0,7.07,25.07,2.0,21.97,1.1,0.72,0.51,0,0,0,0,2021-06-10
RX0000014097,MBR00000387,2022-09-27,2022-09-28,1619040016,1735028672,PLN6652,975771,PCN771,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,7,Retail,3,0,0,22.0,10.37,32.37,72.0,0.0,1.38,0.88,0.6233,0,0,0,0,2022-10-27
RX0000014098,MBR00000387,2023-08-13,2023-08-16,1415020603,1940807304,PLN1293,575525,PCN213,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,93,6,Retail,2,0,0,33.0,2.62,35.62,9.0,25.15,1.47,0.44,0.3117,0,0,0,0,2023-11-11
RX0000014099,MBR00000387,2023-04-11,2023-04-13,1619533356,1211539298,PLN9268,124895,PCN775,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,5,Retail,0,0,0,12.0,10.29,22.29,1.0,20.54,0.75,0.48,0.34,1,0,0,0,2023-05-11
RX0000014100,MBR00000387,2022-09-29,2022-10-02,1927701589,1610348013,PLN8047,262697,PCN942,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,91,8,Retail,0,0,0,37.5,4.52,42.02,3.0,36.2,2.82,0.5,0.3542,0,0,0,0,2022-12-28
RX0000014101,MBR00000387,2022-12-08,2022-12-12,1181107681,1452620258,PLN9730,116074,PCN403,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,6,Retail,1,0,0,320.0,9.07,329.07,37.0,276.07,16.0,12.8,9.0667,0,0,0,0,2023-01-07
RX0000014102,MBR00000387,2022-07-10,2022-07-14,1711344009,1737241542,PLN7068,266188,PCN975,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,83,9,Retail,0,0,0,54.0,10.16,64.16,10.0,50.47,3.69,0.72,0.51,0,0,0,0,2022-10-08
RX0000014103,MBR00000387,2023-09-25,2023-09-28,1135398994,1823185300,PLN5893,535629,PCN770,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,2,Mail Order,0,0,0,15.0,6.23,21.23,0.0,19.87,1.36,0.6,0.425,0,0,0,0,2023-10-25
RX0000014104,MBR00000387,2021-09-08,2021-09-11,1733168923,1980918888,PLN6907,549792,PCN962,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,1,Mail Order,3,1,0,6200.0,8.81,6208.81,149.0,5832.61,227.2,248.0,175.6667,0,0,0,0,2021-10-08
RX0000014105,MBR00000387,2022-05-18,2022-05-19,1559289384,1585886723,PLN5997,909266,PCN960,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,8,Retail,0,0,1,22.0,8.47,30.47,75.0,0.0,1.1,0.88,0.6233,0,0,0,0,2022-06-17
RX0000014106,MBR00000387,2021-10-03,2021-10-06,1285719066,1512112648,PLN3612,873728,PCN804,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,1,Retail,3,0,0,8.5,4.62,13.12,4.0,8.33,0.79,0.34,0.2408,0,0,0,0,2021-11-02
RX0000014107,MBR00000387,2021-11-02,2021-11-03,1467918650,1241548439,PLN4345,554101,PCN208,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,82,3,Retail,0,0,0,114.0,4.41,118.41,0.0,111.56,6.85,1.52,1.0767,0,0,0,0,2022-01-31
RX0000014108,MBR00000387,2023-12-17,2023-12-20,1537843994,1221452287,PLN9867,446091,PCN446,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,63,7,Retail,0,0,0,90.0,11.11,101.11,9.0,87.93,4.18,1.8,1.275,0,0,0,0,2024-02-15
RX0000014109,MBR00000387,2022-02-10,2022-02-12,1236804234,1773600715,PLN5966,383055,PCN584,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,4,Retail,0,1,0,8.0,4.91,12.91,151.0,0.0,0.4,0.32,0.2267,0,0,0,0,2022-03-12
RX0000014110,MBR00000387,2023-05-29,2023-06-02,1634644906,1987670190,PLN4442,314084,PCN971,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,1,Retail,0,1,0,6200.0,3.57,6203.57,155.0,5691.06,357.51,248.0,175.6667,0,0,0,0,2023-06-28
RX0000014111,MBR00000387,2022-05-27,2022-05-28,1185434228,1655752192,PLN7208,579575,PCN214,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,2,Retail,0,0,0,2.57,11.8,14.36,2.0,11.62,0.74,0.44,0.3117,0,0,0,0,2022-06-03
RX0000014112,MBR00000387,2022-04-11,2022-04-12,1648085883,1897623484,PLN7284,524506,PCN305,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,8,Retail,0,0,0,950.0,8.21,958.21,31.0,879.46,47.75,38.0,26.9167,0,0,0,0,2022-05-11
RX0000014113,MBR00000387,2022-02-28,2022-03-01,1921952800,1667519118,PLN6391,703712,PCN588,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,64,0,Retail,0,0,0,24.0,9.9,33.9,10.0,22.71,1.19,0.48,0.34,0,0,0,0,2022-04-29
RX0000014114,MBR00000387,2023-03-29,2023-03-31,1293557319,1682899618,PLN2641,451444,PCN293,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,1,Retail,0,0,0,14.0,9.15,23.15,8.0,13.9,1.25,0.56,0.3967,0,0,0,0,2023-04-28
RX0000014115,MBR00000387,2023-07-15,2023-07-18,1199731571,1829793766,PLN4425,775461,PCN790,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,89,5,Mail Order,0,0,0,195.0,9.11,204.11,35.0,157.75,11.36,2.6,1.8417,0,0,0,0,2023-10-13
RX0000014116,MBR00000387,2023-04-05,2023-04-06,1845818766,1291588582,PLN4371,829559,PCN160,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,6,Retail,0,0,0,9.0,5.06,14.06,7.0,6.29,0.77,0.36,0.255,0,0,0,0,2023-05-05
RX0000014117,MBR00000388,2023-06-20,2023-06-24,1756633813,1374962195,PLN5565,862661,PCN722,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,60,8,Retail,3,0,0,1500.0,10.51,1510.51,36.0,1411.06,63.45,30.0,21.25,0,0,0,0,2023-08-19
RX0000014118,MBR00000388,2022-01-07,2022-01-10,1284704177,1585235818,PLN1774,154204,PCN584,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,81,5,Specialty,0,0,0,36.0,26.44,62.44,6.0,56.44,0.0,0.48,0.34,0,0,0,0,2022-04-07
RX0000014119,MBR00000388,2021-08-27,2021-08-31,1416647363,1942468550,PLN3798,673187,PCN443,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,0,Specialty,0,0,0,11.0,47.49,58.49,3.0,55.49,0.0,0.44,0.3117,0,0,0,0,2021-09-26
RX0000014120,MBR00000388,2021-02-03,2021-02-04,1943812371,1939947747,PLN2959,923246,PCN143,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,8,Retail,0,0,0,45.0,4.96,49.96,0.0,46.84,3.12,1.8,1.275,0,0,0,0,2021-03-05
RX0000014121,MBR00000388,2023-08-12,2023-08-13,1293193191,1352150666,PLN2881,645784,PCN230,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,90,4,Retail,0,1,0,24.0,4.14,28.14,150.0,0.0,1.45,0.32,0.2267,0,0,0,0,2023-11-10
RX0000014122,MBR00000388,2021-10-14,2021-10-15,1612704050,1619540773,PLN9714,761271,PCN279,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,95,4,Retail,0,1,0,25500.0,10.95,25510.95,152.0,24527.18,831.77,340.0,240.8333,0,0,0,0,2022-01-12
RX0000014123,MBR00000388,2023-07-11,2023-07-13,1504827606,1515413487,PLN4612,382291,PCN685,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,56,4,Retail,0,0,0,90.0,9.83,99.83,9.0,86.22,4.61,1.8,1.275,0,0,0,0,2023-09-09
RX0000014124,MBR00000388,2021-03-10,2021-03-14,1649326948,1484340374,PLN7338,594961,PCN769,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,3,Mail Order,0,0,0,11.0,3.78,14.78,10.0,3.98,0.8,0.44,0.3117,0,0,0,0,2021-04-09
RX0000014125,MBR00000388,2023-08-24,2023-08-28,1126745154,1611975601,PLN1933,620021,PCN912,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,95,0,LTC,0,0,0,25.5,7.51,33.01,10.0,21.45,1.56,0.34,0.2408,0,0,0,0,2023-11-22
RX0000014126,MBR00000388,2023-06-11,2023-06-14,1128667865,1162924101,PLN7090,823401,PCN978,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,8,Mail Order,0,0,0,370.0,11.02,381.02,31.0,325.49,24.53,14.8,10.4833,0,0,0,0,2023-07-11
RX0000014127,MBR00000388,2022-07-25,2022-07-26,1165841559,1396783582,PLN7194,490234,PCN703,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,92,10,Retail,0,0,0,30.0,5.22,35.22,2.0,31.84,1.38,0.4,0.2833,0,0,0,0,2022-10-23
RX0000014128,MBR00000388,2023-01-31,2023-02-04,1348615327,1222022450,PLN2730,920628,PCN565,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,97,4,Retail,0,0,0,33.0,7.18,40.18,2.0,36.97,1.21,0.44,0.3117,0,0,0,0,2023-05-01
RX0000014129,MBR00000388,2023-06-17,2023-06-21,1665776721,1783210262,PLN2101,496165,PCN234,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,3,Mail Order,2,0,0,9.0,8.44,17.44,10.0,6.82,0.62,0.36,0.255,0,0,0,0,2023-07-17
RX0000014130,MBR00000388,2023-02-02,2023-02-05,1481001802,1879564661,PLN6234,851801,PCN350,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,11,LTC,0,0,0,12.0,4.54,16.54,7.0,8.65,0.89,0.48,0.34,0,0,0,0,2023-03-04
RX0000014131,MBR00000388,2023-06-26,2023-06-27,1350267957,1671904281,PLN5898,164411,PCN589,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,2,Mail Order,0,0,0,18.0,10.56,28.56,9.0,17.61,1.95,0.72,0.51,0,0,0,0,2023-07-26
RX0000014132,MBR00000388,2022-02-12,2022-02-14,1218778095,1732937013,PLN5262,619303,PCN376,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,87,1,Retail,0,0,0,54.0,6.77,60.77,35.0,23.89,1.88,0.72,0.51,0,0,0,0,2022-05-13
RX0000014133,MBR00000388,2022-09-27,2022-09-28,1794307819,1201501508,PLN6374,928697,PCN671,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,88,9,Retail,0,0,0,2850.0,5.39,2855.39,39.0,2678.7,137.69,38.0,26.9167,0,0,0,0,2022-12-26
RX0000014134,MBR00000388,2023-06-22,2023-06-24,1448829623,1444779853,PLN6112,816591,PCN403,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,97,1,Retail,0,0,0,30.0,8.62,38.62,3.0,34.35,1.27,0.4,0.2833,0,0,0,0,2023-09-20
RX0000014135,MBR00000388,2021-03-08,2021-03-11,1545505251,1625394424,PLN9794,135579,PCN223,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,5,Mail Order,0,0,0,45.0,6.23,51.23,3.0,46.4,1.83,1.8,1.275,0,0,0,0,2021-04-07
RX0000014136,MBR00000388,2022-04-16,2022-04-19,1850399599,1134179429,PLN6045,513995,PCN439,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,7,Mail Order,0,1,0,2800.0,2.58,2802.58,150.0,2540.1,112.48,112.0,79.3333,1,0,0,0,2022-05-16
RX0000014137,MBR00000388,2021-04-24,2021-04-28,1271982734,1445746610,PLN8484,611122,PCN837,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,54,5,Specialty,0,0,0,18.0,17.82,35.82,3.0,32.82,0.0,0.36,0.255,0,0,0,0,2021-06-23
RX0000014138,MBR00000388,2023-03-01,2023-03-05,1438078613,1855838761,PLN8483,688121,PCN418,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,3,Retail,0,0,0,8.5,7.34,15.84,1.0,14.33,0.51,0.34,0.2408,0,0,0,0,2023-03-31
RX0000014139,MBR00000388,2021-04-10,2021-04-13,1802151845,1628299887,PLN6394,480702,PCN633,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,3,Retail,0,0,0,38.0,2.73,40.73,38.0,1.29,1.44,1.52,1.0767,0,1,1,0,2021-05-10
RX0000014140,MBR00000388,2023-05-04,2023-05-06,1878875766,1252975054,PLN3892,136445,PCN476,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,3,Mail Order,0,1,0,2800.0,4.06,2804.06,149.0,2544.74,110.32,112.0,79.3333,0,0,0,0,2023-06-03
RX0000014141,MBR00000388,2022-11-14,2022-11-18,1457762844,1243456846,PLN9719,581922,PCN200,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,10,Retail,0,0,0,9.0,11.34,20.34,1.0,18.34,1.0,0.36,0.255,0,0,0,0,2022-12-14
RX0000014142,MBR00000388,2023-03-04,2023-03-05,1589100386,1555367718,PLN9929,160241,PCN916,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,88,11,Retail,0,0,0,66.0,1.52,67.52,75.0,0.0,3.56,0.88,0.6233,0,0,0,0,2023-06-02
RX0000014143,MBR00000388,2021-02-21,2021-02-25,1238800247,1865265151,PLN6380,252751,PCN409,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,7,Retail,1,0,0,18.0,4.79,22.79,7.0,14.73,1.06,0.72,0.51,0,0,0,0,2021-03-23
RX0000014144,MBR00000388,2021-12-28,2021-12-31,1433747169,1301772121,PLN5333,885965,PCN114,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,7,Retail,0,0,0,22.0,6.8,28.8,2.0,25.84,0.96,0.88,0.6233,0,0,0,0,2022-01-27
RX0000014145,MBR00000388,2022-08-04,2022-08-07,1686406952,1817238954,PLN3995,384862,PCN887,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,5,Retail,0,0,0,28.0,4.54,32.54,4.0,26.43,2.11,1.12,0.7933,0,0,0,0,2022-09-03
RX0000014146,MBR00000388,2023-12-08,2023-12-09,1175248633,1593014410,PLN5475,433765,PCN406,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,62,7,Retail,0,0,0,620.0,8.18,628.18,31.0,561.07,36.11,12.4,8.7833,0,0,0,0,2024-02-06
RX0000014147,MBR00000388,2022-05-30,2022-06-03,1253354817,1253830091,PLN6047,823540,PCN323,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,9,Retail,0,0,0,18.0,9.11,27.11,10.0,15.51,1.6,0.72,0.51,0,0,0,0,2022-06-29
RX0000014148,MBR00000388,2022-08-27,2022-08-31,1894627593,1276073501,PLN4560,337645,PCN668,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,94,11,Retail,0,0,0,555.0,11.27,566.27,36.0,508.96,21.31,7.4,5.2417,0,0,0,0,2022-11-25
RX0000014149,MBR00000388,2021-12-06,2021-12-10,1238286560,1392560985,PLN2146,502206,PCN592,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,5,Mail Order,0,0,0,22.0,7.7,29.7,5.0,23.39,1.31,0.88,0.6233,0,0,0,0,2022-01-05
RX0000014150,MBR00000388,2023-04-08,2023-04-11,1704894535,1605118253,PLN3017,994344,PCN158,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,9,Retail,0,0,0,11.0,11.1,22.1,10.0,10.86,1.24,0.44,0.3117,0,0,0,0,2023-05-08
RX0000014151,MBR00000388,2021-07-28,2021-07-31,1543098186,1593085680,PLN1772,754447,PCN490,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,89,1,Retail,0,0,0,42.0,4.74,46.74,0.0,43.85,2.89,0.56,0.3967,0,0,0,0,2021-10-26
RX0000014152,MBR00000388,2023-03-09,2023-03-11,1190107701,1329499131,PLN1876,219763,PCN174,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,2,Retail,0,0,0,4.2,6.09,10.29,2.0,7.61,0.68,0.72,0.51,0,0,0,0,2023-03-16
RX0000014153,MBR00000388,2023-11-12,2023-11-15,1467802863,1495514145,PLN1530,451975,PCN723,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,57,1,Retail,1,0,0,44.0,4.51,48.51,9.0,36.97,2.54,0.88,0.6233,0,0,0,0,2024-01-11
RX0000014154,MBR00000388,2021-02-17,2021-02-21,1745605346,1668450379,PLN2447,936408,PCN115,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,8,Retail,0,0,0,650.0,6.03,656.03,36.0,598.93,21.1,26.0,18.4167,1,0,0,0,2021-03-19
RX0000014155,MBR00000388,2021-02-25,2021-02-26,1705275270,1148209495,PLN5406,770931,PCN365,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,0,Mail Order,0,0,0,11.0,6.07,17.07,1.0,15.43,0.64,0.44,0.3117,0,0,0,0,2021-03-27
RX0000014156,MBR00000388,2023-11-29,2023-12-02,1544285523,1432196532,PLN8912,537242,PCN516,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,2,Retail,3,0,0,38.0,5.54,43.54,31.0,10.2,2.34,1.52,1.0767,0,0,0,0,2023-12-29
RX0000014157,MBR00000388,2023-03-02,2023-03-05,1809498194,1924624275,PLN5093,852860,PCN867,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,97,9,Retail,0,0,0,114.0,8.44,122.44,3.0,111.33,8.11,1.52,1.0767,0,0,0,0,2023-05-31
RX0000014158,MBR00000388,2021-09-23,2021-09-25,1416548455,1522225517,PLN9220,269319,PCN765,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,4,Specialty,0,0,0,8.5,31.11,39.61,6.0,33.61,0.0,0.34,0.2408,0,0,0,0,2021-10-23
RX0000014159,MBR00000388,2023-05-05,2023-05-07,1652249079,1519284554,PLN5265,373104,PCN462,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,84,1,Retail,1,1,0,36.0,3.67,39.67,150.0,0.0,1.78,0.48,0.34,0,0,0,0,2023-08-03
RX0000014160,MBR00000388,2021-10-12,2021-10-16,1778397822,1210660778,PLN7859,256518,PCN750,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,81,4,Mail Order,2,0,0,2250.0,10.82,2260.82,34.0,2103.0,123.82,30.0,21.25,0,0,0,0,2022-01-10
RX0000014161,MBR00000388,2022-04-13,2022-04-15,1627129230,1946082833,PLN3594,605283,PCN702,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,8,Retail,0,0,0,9.0,8.02,17.02,5.0,11.44,0.58,0.36,0.255,0,0,0,0,2022-05-13
RX0000014162,MBR00000388,2021-11-20,2021-11-24,1567107018,1722413164,PLN1198,760322,PCN756,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,1,Retail,0,0,0,5.13,9.94,15.07,7.0,7.36,0.71,0.88,0.6233,1,0,0,0,2021-11-27
RX0000014163,MBR00000388,2022-01-28,2022-01-31,1747139383,1455248244,PLN9079,516248,PCN330,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,3,Retail,0,1,0,6200.0,11.5,6211.5,153.0,5677.46,381.04,248.0,175.6667,0,0,0,0,2022-02-27
RX0000014164,MBR00000388,2021-12-18,2021-12-20,1695062999,1883054612,PLN1860,715791,PCN405,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,0,Mail Order,0,0,0,10.0,11.29,21.29,7.0,13.61,0.68,0.4,0.2833,0,0,0,0,2022-01-17
RX0000014165,MBR00000388,2023-04-23,2023-04-25,1296480784,1391901715,PLN8815,812312,PCN350,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,2,Retail,0,0,0,310.0,3.94,313.94,38.0,255.03,20.91,12.4,8.7833,0,0,0,0,2023-05-23
RX0000014166,MBR00000388,2022-01-04,2022-01-08,1259152453,1994286944,PLN4212,194488,PCN453,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,11,Mail Order,0,0,0,2.8,5.56,8.36,6.0,1.83,0.53,0.48,0.34,0,0,0,0,2022-01-11
RX0000014167,MBR00000388,2022-01-23,2022-01-27,1113703339,1249007927,PLN6946,800238,PCN168,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,93,2,Retail,1,0,0,54.0,10.19,64.19,0.0,60.6,3.59,0.72,0.51,0,0,0,0,2022-04-23
RX0000014168,MBR00000388,2022-08-31,2022-09-03,1181795381,1280717021,PLN5159,198472,PCN923,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,10,Mail Order,0,0,0,151.67,7.55,159.22,35.0,115.61,8.61,26.0,18.4167,0,0,0,0,2022-09-07
RX0000014169,MBR00000388,2023-11-24,2023-11-25,1439414314,1467329184,PLN5213,453870,PCN844,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,3,Retail,0,0,0,22.0,4.67,26.67,72.0,0.0,1.18,0.88,0.6233,1,0,0,0,2023-12-24
RX0000014170,MBR00000388,2021-04-18,2021-04-20,1251003896,1471621766,PLN8023,899908,PCN484,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,57,2,Retail,3,0,0,24.0,8.37,32.37,9.0,21.63,1.74,0.48,0.34,0,0,0,0,2021-06-17
RX0000014171,MBR00000388,2021-01-10,2021-01-12,1127185764,1639225898,PLN7372,116623,PCN459,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,90,1,Retail,1,1,0,18600.0,2.74,18602.74,145.0,17353.47,1104.27,248.0,175.6667,0,0,0,0,2021-04-10
RX0000014172,MBR00000388,2022-01-19,2022-01-20,1372757336,1161790588,PLN6138,634989,PCN156,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,4,Retail,0,0,0,650.0,5.91,655.91,34.0,585.44,36.47,26.0,18.4167,0,0,0,0,2022-02-18
RX0000014173,MBR00000388,2022-03-31,2022-04-02,1258055997,1550803191,PLN4587,844377,PCN280,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,5,Retail,0,0,0,12.0,6.53,18.53,0.0,17.45,1.08,0.48,0.34,0,0,0,0,2022-04-30
RX0000014174,MBR00000388,2023-07-18,2023-07-21,1364563901,1885554751,PLN3860,659141,PCN787,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,64,10,Retail,0,0,0,24.0,10.18,34.18,10.0,21.8,2.38,0.48,0.34,1,0,0,0,2023-09-16
RX0000014175,MBR00000388,2023-01-28,2023-01-30,1185571629,1132822588,PLN3626,539810,PCN322,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,83,0,Specialty,3,0,0,42.0,26.56,68.56,5.0,63.56,0.0,0.56,0.3967,0,0,0,0,2023-04-28
RX0000014176,MBR00000388,2021-09-12,2021-09-16,1493135127,1724865654,PLN7982,684423,PCN597,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,98,7,Retail,2,0,0,36.0,5.79,41.79,7.0,31.91,2.88,0.48,0.34,0,0,0,0,2021-12-11
RX0000014177,MBR00000388,2022-03-31,2022-04-02,1244274503,1865954865,PLN4791,778082,PCN601,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,90,7,Specialty,0,0,0,2250.0,31.37,2281.37,32.0,2249.37,0.0,30.0,21.25,0,0,0,0,2022-06-29
RX0000014178,MBR00000388,2021-06-22,2021-06-26,1906814740,1273329853,PLN1216,307735,PCN192,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,3,Mail Order,2,1,0,6200.0,2.59,6202.59,146.0,5813.3,243.29,248.0,175.6667,0,0,0,0,2021-07-22
RX0000014179,MBR00000388,2023-05-19,2023-05-20,1403927947,1294359233,PLN2667,616906,PCN542,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,7,Mail Order,0,0,0,10.0,8.18,18.18,9.0,8.28,0.9,0.4,0.2833,0,0,0,0,2023-06-18
RX0000014180,MBR00000388,2021-08-02,2021-08-06,1574385602,1903337805,PLN8990,767775,PCN630,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,11,Specialty,0,0,0,2.1,26.49,28.59,10.0,18.59,0.0,0.36,0.255,0,0,0,0,2021-08-09
RX0000014181,MBR00000388,2021-06-26,2021-06-29,1994892453,1552291162,PLN4665,228123,PCN799,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,4,Retail,0,1,0,6200.0,6.88,6206.88,145.0,5801.44,260.44,248.0,175.6667,0,0,0,0,2021-07-26
RX0000014182,MBR00000388,2023-10-08,2023-10-12,1672531380,1657843932,PLN7363,904055,PCN407,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,8,Mail Order,2,0,0,15.0,5.0,20.0,7.0,12.13,0.87,0.6,0.425,0,0,0,0,2023-11-07
RX0000014183,MBR00000388,2023-01-05,2023-01-06,1191965979,1246245380,PLN3528,470273,PCN595,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,3,Retail,0,0,0,185.0,10.41,195.41,35.0,149.19,11.22,7.4,5.2417,0,0,0,0,2023-02-04
RX0000014184,MBR00000388,2021-04-05,2021-04-06,1954545234,1769961573,PLN1776,579367,PCN363,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,88,1,Retail,0,0,0,54.0,5.39,59.39,0.0,57.39,2.0,0.72,0.51,1,0,0,0,2021-07-04
RX0000014185,MBR00000388,2023-05-24,2023-05-26,1640959763,1272141850,PLN4524,787400,PCN618,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,4,Retail,0,0,0,750.0,2.9,752.9,38.0,674.69,40.21,30.0,21.25,1,0,0,0,2023-06-23
RX0000014186,MBR00000388,2022-04-05,2022-04-06,1780296248,1576889878,PLN2389,552299,PCN828,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,4,Retail,0,0,0,15.0,8.31,23.31,0.0,21.73,1.58,0.6,0.425,0,1,0,0,2022-05-05
RX0000014187,MBR00000388,2023-12-28,2023-12-29,1694373678,1228310995,PLN5315,447593,PCN707,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,6,LTC,3,0,0,2.8,3.35,6.15,5.0,0.77,0.38,0.48,0.34,0,0,0,0,2024-01-04
RX0000014188,MBR00000388,2022-10-19,2022-10-21,1411023465,1265263765,PLN6047,252890,PCN859,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,3,Retail,0,0,0,14.0,7.62,21.62,5.0,15.5,1.12,0.56,0.3967,0,0,0,0,2022-11-18
RX0000014189,MBR00000388,2022-03-23,2022-03-24,1201030646,1953875207,PLN6076,814715,PCN798,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,1,Retail,0,0,0,380.0,4.69,384.69,38.0,320.07,26.62,15.2,10.7667,0,0,0,0,2022-04-22
RX0000014190,MBR00000388,2021-06-18,2021-06-20,1194179508,1450577862,PLN8081,250907,PCN419,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,6,Retail,3,0,0,310.0,4.76,314.76,38.0,255.52,21.24,12.4,8.7833,1,0,0,0,2021-07-18
RX0000014191,MBR00000388,2021-10-17,2021-10-21,1124909484,1664752903,PLN7115,824261,PCN820,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,11,Mail Order,0,0,0,9.0,10.9,19.9,9.0,9.89,1.01,0.36,0.255,0,0,0,0,2021-11-16
RX0000014192,MBR00000389,2022-07-10,2022-07-12,1824540836,1125332983,PLN7189,454938,PCN300,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,89,4,Retail,0,0,0,54.0,6.94,60.94,5.0,53.27,2.67,0.72,0.51,0,0,0,0,2022-10-08
RX0000014193,MBR00000389,2023-11-26,2023-11-30,1285777899,1271217252,PLN5939,195618,PCN745,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,65,11,Specialty,0,0,0,640.0,15.91,655.91,38.0,617.91,0.0,12.8,9.0667,0,0,0,0,2024-01-25
RX0000014194,MBR00000389,2023-10-24,2023-10-25,1224116438,1925553946,PLN4168,925062,PCN922,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,4,Mail Order,0,0,0,370.0,2.22,372.22,39.0,310.34,22.88,14.8,10.4833,0,0,0,0,2023-11-23
RX0000014195,MBR00000389,2021-11-19,2021-11-21,1717809257,1324955992,PLN2043,472252,PCN266,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,1,Specialty,0,0,0,12.0,19.52,31.52,8.0,23.52,0.0,0.48,0.34,0,0,0,0,2021-12-19
RX0000014196,MBR00000389,2023-01-06,2023-01-08,1998410957,1762727929,PLN4053,657506,PCN947,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,2,Retail,0,0,0,175.0,7.38,182.38,35.0,138.2,9.18,30.0,21.25,0,0,0,0,2023-01-13
RX0000014197,MBR00000389,2023-07-02,2023-07-04,1722361311,1866524398,PLN6520,551314,PCN101,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,2,Retail,0,0,0,380.0,6.05,386.05,31.0,334.84,20.21,15.2,10.7667,0,0,0,0,2023-08-01
RX0000014198,MBR00000389,2023-09-26,2023-09-28,1623485407,1970122303,PLN9854,777243,PCN312,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,3,Retail,0,0,0,185.0,11.37,196.37,35.0,148.1,13.27,7.4,5.2417,0,0,0,0,2023-10-26
RX0000014199,MBR00000389,2023-01-04,2023-01-07,1592267623,1726517068,PLN2940,442660,PCN796,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,84,5,Mail Order,0,0,0,114.0,4.93,118.93,30.0,83.26,5.67,1.52,1.0767,0,0,0,0,2023-04-04
RX0000014200,MBR00000389,2021-11-12,2021-11-16,1743506336,1328116188,PLN6863,785888,PCN862,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,1,Retail,2,0,0,10.0,4.68,14.68,2.0,11.97,0.71,0.4,0.2833,1,0,0,0,2021-12-12
RX0000014201,MBR00000389,2021-04-17,2021-04-18,1237409696,1719728141,PLN1384,120631,PCN727,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,83,1,Mail Order,0,0,0,54.0,5.94,59.94,6.0,50.04,3.9,0.72,0.51,0,0,0,0,2021-07-16
RX0000014202,MBR00000389,2022-12-17,2022-12-19,1101254985,1790361353,PLN2035,970325,PCN202,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,57,1,Mail Order,3,0,0,20.0,1.95,21.95,9.0,12.1,0.85,0.4,0.2833,1,0,0,0,2023-02-15
RX0000014203,MBR00000389,2021-01-18,2021-01-21,1258746941,1809428899,PLN8914,833757,PCN461,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,3,Retail,1,0,0,9.0,9.48,18.48,0.0,17.39,1.09,0.36,0.255,0,0,0,0,2021-02-17
RX0000014204,MBR00000389,2021-11-15,2021-11-19,1361843698,1260350712,PLN3963,241565,PCN852,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,1,Retail,0,0,0,14.0,9.21,23.21,0.0,22.43,0.78,0.56,0.3967,0,0,0,0,2021-12-15
RX0000014205,MBR00000389,2022-06-22,2022-06-25,1770659154,1968931606,PLN3979,292625,PCN751,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,84,6,Retail,0,0,0,27.0,10.89,37.89,3.0,32.57,2.32,0.36,0.255,0,0,0,0,2022-09-20
RX0000014206,MBR00000390,2021-02-01,2021-02-05,1426837367,1499848732,PLN6213,884701,PCN358,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,2,Retail,0,0,0,285.0,6.05,291.05,37.0,244.75,9.3,11.4,8.075,0,0,0,0,2021-03-03
RX0000014207,MBR00000390,2022-12-31,2023-01-01,1494423669,1947529296,PLN7732,113736,PCN241,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,93,1,Retail,0,1,0,24.0,9.65,33.65,149.0,0.0,2.3,0.32,0.2267,0,0,0,0,2023-03-31
RX0000014208,MBR00000390,2021-01-17,2021-01-20,1542900999,1868438474,PLN2287,398848,PCN735,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,1,Mail Order,0,0,0,5.13,5.21,10.34,66.0,0.0,0.34,0.88,0.6233,0,0,0,0,2021-01-24
RX0000014209,MBR00000390,2021-06-08,2021-06-09,1978228106,1674588398,PLN5969,353043,PCN947,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,0,Retail,0,0,0,15.0,2.27,17.27,2.0,14.56,0.71,0.6,0.425,0,0,0,0,2021-07-08
RX0000014210,MBR00000390,2021-10-07,2021-10-10,1925862883,1694182924,PLN4150,574580,PCN485,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,8,Retail,0,0,0,9.0,3.43,12.43,3.0,8.91,0.52,0.36,0.255,0,0,0,0,2021-11-06
RX0000014211,MBR00000390,2022-01-09,2022-01-12,1434850606,1877914039,PLN7916,467152,PCN401,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,6,Retail,0,0,0,22.0,4.42,26.42,2.0,23.25,1.17,0.88,0.6233,0,0,0,0,2022-02-08
RX0000014212,MBR00000390,2021-12-07,2021-12-08,1809398026,1446185445,PLN8136,842787,PCN367,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,0,Retail,0,0,0,2.33,8.46,10.79,0.0,10.27,0.52,0.4,0.2833,0,0,0,0,2021-12-14
RX0000014213,MBR00000390,2022-08-31,2022-09-03,1929624511,1791156138,PLN4686,278237,PCN912,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,2,Mail Order,0,0,0,38.0,10.04,48.04,3.0,43.38,1.66,1.52,1.0767,0,0,0,0,2022-09-30
RX0000014214,MBR00000390,2022-07-23,2022-07-24,1694715663,1997840011,PLN3114,466044,PCN559,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,3,Retail,0,0,0,12.0,2.13,14.13,8.0,5.21,0.92,0.48,0.34,0,0,0,0,2022-08-22
RX0000014215,MBR00000390,2022-10-09,2022-10-12,1151340860,1716416108,PLN1100,615088,PCN273,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,59,6,Retail,0,1,0,12400.0,6.33,12406.33,154.0,11493.32,759.01,248.0,175.6667,0,0,0,0,2022-12-08
RX0000014216,MBR00000390,2022-06-29,2022-06-30,1584901621,1336903051,PLN6225,331209,PCN339,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,84,11,Retail,0,0,0,1950.0,1.79,1951.79,37.0,1841.64,73.15,26.0,18.4167,0,0,0,0,2022-09-27
RX0000014217,MBR00000390,2022-06-01,2022-06-04,1501306134,1847464946,PLN1491,409751,PCN582,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,3,Retail,0,0,0,2.33,5.29,7.63,10.0,0.0,0.49,0.4,0.2833,0,0,0,0,2022-06-08
RX0000014218,MBR00000390,2021-07-22,2021-07-26,1730598195,1697191180,PLN7839,922457,PCN187,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,9,Retail,0,0,0,1.98,7.34,9.32,4.0,4.83,0.49,0.34,0.2408,0,0,0,0,2021-07-29
RX0000014219,MBR00000390,2021-07-03,2021-07-07,1152729786,1632103565,PLN7248,464119,PCN927,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,5,Mail Order,1,0,0,38.0,3.68,41.68,39.0,0.34,2.34,1.52,1.0767,0,0,0,0,2021-08-02
RX0000014220,MBR00000390,2021-08-24,2021-08-26,1104000234,1105925209,PLN9286,175896,PCN960,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,9,Mail Order,0,0,0,285.0,2.02,287.02,38.0,236.51,12.51,11.4,8.075,0,0,0,0,2021-09-23
RX0000014221,MBR00000390,2022-03-18,2022-03-21,1495557246,1657422049,PLN5616,994428,PCN899,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,85,11,Specialty,0,0,0,2250.0,49.66,2299.66,38.0,2261.66,0.0,30.0,21.25,1,0,0,0,2022-06-16
RX0000014222,MBR00000390,2023-11-09,2023-11-10,1707943261,1987308754,PLN9706,773509,PCN669,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,4,Retail,0,0,0,8.5,6.49,14.99,5.0,9.06,0.93,0.34,0.2408,0,0,0,0,2023-12-09
RX0000014223,MBR00000390,2022-04-30,2022-05-02,1737628602,1170637049,PLN8945,831171,PCN475,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,0,Retail,0,0,0,22.0,2.94,24.94,0.0,24.07,0.87,0.88,0.6233,0,0,0,0,2022-05-30
RX0000014224,MBR00000390,2021-10-31,2021-11-04,1371122562,1402407090,PLN3902,903697,PCN339,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,57,8,Retail,1,0,0,620.0,6.19,626.19,36.0,564.68,25.51,12.4,8.7833,0,0,0,0,2021-12-30
RX0000014225,MBR00000390,2023-11-02,2023-11-06,1221785286,1148329921,PLN1799,645355,PCN979,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,62,8,Retail,0,0,0,20.0,1.93,21.93,9.0,11.98,0.95,0.4,0.2833,0,0,0,0,2024-01-01
RX0000014226,MBR00000390,2023-08-15,2023-08-17,1891467102,1164260950,PLN6213,677538,PCN268,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,54,0,Mail Order,1,0,0,130.0,10.55,140.55,38.0,96.54,6.01,2.6,1.8417,0,0,0,0,2023-10-14
RX0000014227,MBR00000390,2021-10-05,2021-10-09,1667927362,1280453093,PLN5604,541510,PCN810,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,98,5,Mail Order,0,0,0,66.0,6.3,72.3,2.0,68.03,2.27,0.88,0.6233,1,0,0,0,2022-01-03
RX0000014228,MBR00000390,2022-02-26,2022-03-02,1442831178,1737089227,PLN2827,466746,PCN771,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,5,Retail,0,0,0,16.0,3.57,19.57,0.0,18.79,0.78,0.64,0.4533,0,0,0,0,2022-03-28
RX0000014229,MBR00000390,2022-11-02,2022-11-04,1466682666,1204051703,PLN5178,911695,PCN795,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,61,0,Retail,0,0,0,760.0,2.21,762.21,33.0,687.04,42.17,15.2,10.7667,0,0,0,0,2023-01-01
RX0000014230,MBR00000390,2022-06-20,2022-06-21,1257436203,1937580712,PLN3194,249133,PCN793,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,90,9,Mail Order,0,0,0,45.0,8.82,53.82,6.0,46.09,1.73,0.6,0.425,1,0,0,0,2022-09-18
RX0000014231,MBR00000390,2021-01-26,2021-01-29,1236545504,1940154669,PLN8862,861350,PCN935,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,9,Mail Order,0,0,0,221.67,8.19,229.85,34.0,187.68,8.17,38.0,26.9167,0,1,1,0,2021-02-02
RX0000014232,MBR00000390,2023-07-22,2023-07-26,1515758916,1660015162,PLN9349,995010,PCN425,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,1,Retail,0,0,0,12.0,8.54,20.54,0.0,19.13,1.41,0.48,0.34,0,0,0,0,2023-08-21
RX0000014233,MBR00000390,2022-04-24,2022-04-28,1182538221,1392111203,PLN1023,177127,PCN562,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,60,3,Retail,0,0,0,44.0,5.24,49.24,5.0,41.59,2.65,0.88,0.6233,0,1,0,0,2022-06-23
RX0000014234,MBR00000390,2022-10-04,2022-10-08,1824965252,1140203006,PLN3282,688865,PCN691,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,8,Retail,0,0,0,12.5,9.71,22.21,9.0,12.07,1.14,0.5,0.3542,0,0,0,0,2022-11-03
RX0000014235,MBR00000390,2023-03-27,2023-03-31,1418610898,1189611608,PLN9095,882119,PCN992,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,61,1,Retail,0,0,0,1900.0,10.42,1910.42,33.0,1760.37,117.05,38.0,26.9167,0,0,0,0,2023-05-26
RX0000014236,MBR00000390,2023-04-28,2023-05-01,1315313090,1611631616,PLN5917,348390,PCN290,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,9,Retail,0,0,0,65.0,6.41,71.41,37.0,31.15,3.26,2.6,1.8417,0,0,0,0,2023-05-28
RX0000014237,MBR00000390,2022-08-12,2022-08-16,1721678274,1476450033,PLN7791,334132,PCN749,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,10,Retail,0,1,0,12.0,4.42,16.42,154.0,0.0,0.76,0.48,0.34,0,0,0,0,2022-09-11
RX0000014238,MBR00000390,2023-06-08,2023-06-10,1484525237,1899938191,PLN1525,321403,PCN625,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,9,Mail Order,0,0,0,10.0,9.63,19.63,2.0,16.29,1.34,0.4,0.2833,0,0,0,0,2023-07-08
RX0000014239,MBR00000390,2022-08-14,2022-08-16,1494730790,1616557331,PLN9180,874091,PCN293,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,98,7,Retail,0,0,0,1440.0,8.37,1448.37,40.0,1360.18,48.19,19.2,13.6,0,0,0,0,2022-11-12
RX0000014240,MBR00000390,2023-08-24,2023-08-25,1736561295,1435646509,PLN1213,640688,PCN243,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,7,Retail,1,0,0,9.0,10.27,19.27,4.0,14.28,0.99,0.36,0.255,0,0,0,0,2023-09-23
RX0000014241,MBR00000390,2023-03-19,2023-03-21,1504475584,1256622989,PLN4451,193054,PCN984,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,92,0,Retail,0,0,0,25.5,7.81,33.31,6.0,26.15,1.16,0.34,0.2408,0,0,0,0,2023-06-17
RX0000014242,MBR00000390,2022-07-21,2022-07-24,1506502126,1908051304,PLN6567,120699,PCN294,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,0,Retail,0,0,0,38.0,2.05,40.05,10.0,27.58,2.47,1.52,1.0767,0,0,0,0,2022-08-20
RX0000014243,MBR00000390,2022-03-08,2022-03-12,1363613546,1843390314,PLN9375,581884,PCN134,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,5,Retail,0,0,0,8.5,3.08,11.58,10.0,0.83,0.75,0.34,0.2408,0,0,0,0,2022-04-07
RX0000014244,MBR00000390,2021-12-18,2021-12-19,1856743785,1196082955,PLN6961,869688,PCN484,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,92,3,Retail,2,1,0,36.0,4.67,40.67,148.0,0.0,1.48,0.48,0.34,0,0,0,0,2022-03-18
RX0000014245,MBR00000390,2022-02-16,2022-02-18,1312606916,1447256731,PLN8023,865808,PCN732,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,5,Retail,0,0,0,38.0,4.08,42.08,32.0,8.55,1.53,1.52,1.0767,0,0,0,0,2022-03-18
RX0000014246,MBR00000390,2022-06-27,2022-06-29,1776506768,1171395856,PLN5842,837864,PCN660,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,84,6,Mail Order,0,0,0,114.0,8.06,122.06,4.0,111.07,6.99,1.52,1.0767,0,0,0,0,2022-09-25
RX0000014247,MBR00000390,2023-05-05,2023-05-08,1243340770,1868620225,PLN6876,111840,PCN894,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,6,Retail,0,0,0,8.5,2.75,11.25,10.0,0.62,0.63,0.34,0.2408,0,0,0,0,2023-06-04
RX0000014248,MBR00000390,2022-04-24,2022-04-28,1103695090,1747922467,PLN1207,959214,PCN917,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,85,10,Retail,0,0,0,960.0,7.87,967.87,34.0,897.82,36.05,12.8,9.0667,0,1,1,0,2022-07-23
RX0000014249,MBR00000390,2022-07-29,2022-08-02,1627582775,1333387542,PLN1952,118822,PCN578,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,4,Retail,0,0,0,6.53,3.45,9.99,9.0,0.59,0.4,1.12,0.7933,0,0,0,0,2022-08-05
RX0000014250,MBR00000390,2021-08-04,2021-08-05,1130050200,1443458919,PLN9879,834750,PCN409,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,11,Retail,0,1,0,2800.0,1.79,2801.79,152.0,2531.7,118.09,112.0,79.3333,0,0,0,0,2021-09-03
RX0000014251,MBR00000390,2021-06-21,2021-06-23,1833444983,1960492719,PLN9927,652718,PCN909,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,89,4,LTC,0,0,0,114.0,8.66,122.66,30.0,86.13,6.53,1.52,1.0767,0,0,0,0,2021-09-19
RX0000014252,MBR00000390,2023-01-17,2023-01-21,1843378599,1934315514,PLN7022,194663,PCN648,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,10,Retail,0,0,0,950.0,8.45,958.45,34.0,878.1,46.35,38.0,26.9167,0,0,0,0,2023-02-16
RX0000014253,MBR00000390,2021-04-22,2021-04-25,1310880507,1723553381,PLN9767,778898,PCN941,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,2,Retail,0,0,0,950.0,10.97,960.97,30.0,877.14,53.83,38.0,26.9167,0,1,1,0,2021-05-22
RX0000014254,MBR00000390,2023-09-03,2023-09-06,1295948295,1850314296,PLN1212,480720,PCN162,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,10,Retail,3,0,0,38.0,6.81,44.81,32.0,10.64,2.17,1.52,1.0767,0,0,0,0,2023-10-03
RX0000014255,MBR00000390,2021-01-13,2021-01-14,1500103810,1876436142,PLN2035,242809,PCN223,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,91,1,Mail Order,0,0,0,42.0,10.24,52.24,2.0,47.76,2.48,0.56,0.3967,0,0,0,0,2021-04-13
RX0000014256,MBR00000390,2021-11-30,2021-12-02,1269134204,1828774429,PLN5137,359175,PCN214,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,61,8,Retail,3,0,0,640.0,4.69,644.69,33.0,579.86,31.83,12.8,9.0667,0,0,0,0,2022-01-29
RX0000014257,MBR00000390,2021-04-05,2021-04-07,1720014699,1510696155,PLN1864,181709,PCN912,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,11,Retail,2,0,0,2.1,6.08,8.18,0.0,7.64,0.54,0.36,0.255,0,0,0,0,2021-04-12
RX0000014258,MBR00000390,2023-09-13,2023-09-16,1342876779,1624996332,PLN9742,785903,PCN169,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,0,Retail,0,0,0,38.0,9.08,47.08,3.0,41.14,2.94,1.52,1.0767,0,1,0,0,2023-10-13
RX0000014259,MBR00000390,2023-10-13,2023-10-14,1320592222,1907355165,PLN9037,433056,PCN451,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,3,Mail Order,0,0,0,12.5,7.82,20.32,2.0,17.66,0.66,0.5,0.3542,0,0,0,0,2023-11-12
RX0000014260,MBR00000390,2021-09-24,2021-09-27,1495608070,1799076647,PLN5915,549649,PCN690,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,10,Retail,0,0,0,3.27,10.41,13.67,6.0,7.19,0.48,0.56,0.3967,0,0,0,0,2021-10-01
RX0000014261,MBR00000390,2022-01-11,2022-01-15,1329376906,1919280678,PLN3158,417235,PCN403,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,90,11,Retail,0,0,0,36.0,5.62,41.62,10.0,29.19,2.43,0.48,0.34,0,0,0,0,2022-04-11
RX0000014262,MBR00000390,2021-07-27,2021-07-28,1158255152,1837663153,PLN4259,653774,PCN851,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,5,Retail,0,0,0,15.0,3.42,18.42,1.0,16.2,1.22,0.6,0.425,0,0,0,0,2021-08-26
RX0000014263,MBR00000390,2022-04-13,2022-04-17,1769605703,1971956076,PLN7547,354483,PCN399,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,86,8,Retail,2,0,0,114.0,3.84,117.84,8.0,103.83,6.01,1.52,1.0767,0,0,0,0,2022-07-12
RX0000014264,MBR00000390,2022-03-03,2022-03-04,1580987562,1953014110,PLN6814,931922,PCN373,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,3,Retail,0,0,0,16.0,4.58,20.58,0.0,19.73,0.85,0.64,0.4533,1,0,0,0,2022-04-02
RX0000014265,MBR00000390,2023-11-06,2023-11-09,1305992882,1232413546,PLN2315,106680,PCN190,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,3,Retail,0,0,0,45.0,5.47,50.47,10.0,37.82,2.65,1.8,1.275,0,0,0,0,2023-12-06
RX0000014266,MBR00000390,2021-06-27,2021-06-29,1408409672,1423825294,PLN2627,147137,PCN634,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,5,Retail,0,0,0,10.0,11.15,21.15,3.0,17.06,1.09,0.4,0.2833,0,0,0,0,2021-07-27
RX0000014267,MBR00000390,2021-04-10,2021-04-12,1474773313,1415646430,PLN6302,680000,PCN298,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,65,5,Specialty,0,0,1,44.0,34.34,78.34,9.0,69.34,0.0,0.88,0.6233,0,0,0,0,2021-06-09
RX0000014268,MBR00000391,2023-04-25,2023-04-26,1721764473,1271532432,PLN1534,964029,PCN837,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,5,Retail,0,0,0,650.0,2.47,652.47,30.0,599.74,22.73,26.0,18.4167,0,1,1,0,2023-05-25
RX0000014269,MBR00000391,2023-05-27,2023-05-29,1803438093,1360217908,PLN2927,564971,PCN481,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,81,3,Retail,3,0,0,33.0,4.22,37.22,3.0,31.78,2.44,0.44,0.3117,0,1,0,0,2023-08-25
RX0000014270,MBR00000391,2023-12-26,2023-12-28,1125105614,1536131291,PLN3275,494842,PCN593,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,61,2,Retail,0,0,0,90.0,10.39,100.39,1.0,94.22,5.17,1.8,1.275,0,0,0,0,2024-02-24
RX0000014271,MBR00000391,2023-11-11,2023-11-12,1963481568,1157866284,PLN4341,708117,PCN677,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,3,Retail,3,0,0,12.0,4.64,16.64,3.0,12.9,0.74,0.48,0.34,0,0,0,0,2023-12-11
RX0000014272,MBR00000391,2021-06-15,2021-06-19,1733805063,1993565228,PLN1429,280325,PCN414,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,85,2,Retail,0,0,0,114.0,4.52,118.52,31.0,81.22,6.3,1.52,1.0767,0,1,1,0,2021-09-13
RX0000014273,MBR00000391,2023-03-13,2023-03-16,1353189421,1397112084,PLN6689,113451,PCN226,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,10,Retail,1,0,0,14.0,5.56,19.56,7.0,11.85,0.71,0.56,0.3967,0,0,0,0,2023-04-12
RX0000014274,MBR00000391,2022-11-13,2022-11-16,1450114318,1348774033,PLN1963,677733,PCN945,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,2,Mail Order,1,0,0,86.33,3.57,89.9,30.0,55.46,4.44,14.8,10.4833,0,0,0,0,2022-11-20
RX0000014275,MBR00000391,2021-09-26,2021-09-29,1610280446,1464714713,PLN4760,247625,PCN292,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,0,Mail Order,0,0,0,45.0,3.72,48.72,3.0,43.95,1.77,1.8,1.275,0,0,0,0,2021-10-26
RX0000014276,MBR00000391,2023-10-30,2023-11-01,1667198971,1796250043,PLN6131,315059,PCN301,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,1,Mail Order,2,0,0,650.0,9.53,659.53,38.0,587.39,34.14,26.0,18.4167,0,0,0,0,2023-11-29
RX0000014277,MBR00000391,2021-01-30,2021-01-31,1894563984,1370673872,PLN8189,705744,PCN443,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,0,Retail,0,0,0,10.0,6.92,16.92,9.0,7.28,0.64,0.4,0.2833,0,0,0,0,2021-03-01
RX0000014278,MBR00000391,2022-01-03,2022-01-04,1913356270,1448516714,PLN8463,828050,PCN675,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,90,5,Retail,0,0,0,42.0,5.94,47.94,9.0,37.23,1.71,0.56,0.3967,0,0,0,0,2022-04-03
RX0000014279,MBR00000391,2022-08-21,2022-08-25,1578567308,1321256324,PLN2862,851494,PCN863,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,8,Mail Order,0,0,0,5.13,5.76,10.9,70.0,0.0,0.51,0.88,0.6233,0,0,0,0,2022-08-28
RX0000014280,MBR00000391,2022-03-22,2022-03-26,1446167530,1719908507,PLN8792,594037,PCN930,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,10,Retail,0,0,0,221.67,4.26,225.92,33.0,179.0,13.92,38.0,26.9167,0,0,0,0,2022-03-29
RX0000014281,MBR00000391,2021-09-23,2021-09-27,1239380113,1527816421,PLN5252,796658,PCN989,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,0,LTC,0,1,0,2800.0,4.57,2804.57,147.0,2496.37,161.2,112.0,79.3333,0,0,0,0,2021-10-23
RX0000014282,MBR00000391,2022-04-22,2022-04-24,1741751434,1756773170,PLN6037,403013,PCN833,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,10,Retail,0,0,0,45.0,2.97,47.97,1.0,44.68,2.29,1.8,1.275,0,0,0,0,2022-05-22
RX0000014283,MBR00000391,2022-04-30,2022-05-02,1935003149,1281211452,PLN3679,177476,PCN790,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,7,Retail,0,0,0,950.0,6.06,956.06,36.0,883.18,36.88,38.0,26.9167,0,0,0,0,2022-05-30
RX0000014284,MBR00000391,2021-08-01,2021-08-04,1485445978,1388040924,PLN9592,599443,PCN456,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,7,Retail,0,0,0,320.0,7.62,327.62,35.0,279.26,13.36,12.8,9.0667,0,0,0,0,2021-08-31
RX0000014285,MBR00000391,2022-07-15,2022-07-18,1391687194,1827661038,PLN1455,154624,PCN108,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,10,Retail,2,0,0,14.0,4.18,18.18,8.0,9.09,1.09,0.56,0.3967,1,0,0,0,2022-08-14
RX0000014286,MBR00000391,2021-09-13,2021-09-16,1706501626,1178039811,PLN8704,200408,PCN143,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,3,Specialty,0,0,0,2.8,28.71,31.51,2.0,29.51,0.0,0.48,0.34,0,0,0,0,2021-09-20
RX0000014287,MBR00000391,2022-02-16,2022-02-20,1135597881,1110901386,PLN1384,558880,PCN853,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,11,Retail,0,0,0,15.0,2.67,17.67,8.0,8.99,0.68,0.6,0.425,0,0,0,0,2022-03-18
RX0000014288,MBR00000391,2023-11-12,2023-11-13,1231597273,1529567478,PLN2788,486361,PCN637,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,3,Mail Order,0,0,0,18.0,10.53,28.53,4.0,22.72,1.81,0.72,0.51,0,0,0,0,2023-12-12
RX0000014289,MBR00000391,2023-03-05,2023-03-09,1343115980,1795404753,PLN2722,430999,PCN799,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,2,LTC,0,0,0,12.0,9.33,21.33,3.0,17.01,1.32,0.48,0.34,0,0,0,0,2023-04-04
RX0000014290,MBR00000391,2022-12-22,2022-12-26,1873464225,1592413974,PLN8783,455263,PCN902,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,8,Retail,0,0,0,43.17,1.95,45.12,37.0,5.86,2.26,7.4,5.2417,0,0,0,0,2022-12-29
RX0000014291,MBR00000391,2022-05-27,2022-05-31,1562857985,1265018548,PLN5572,875463,PCN791,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,2,Retail,0,0,0,11.0,6.81,17.81,10.0,6.78,1.03,0.44,0.3117,0,0,0,0,2022-06-26
RX0000014292,MBR00000391,2023-05-27,2023-05-28,1633993161,1159276786,PLN3576,456940,PCN601,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,94,7,Mail Order,0,0,0,960.0,5.33,965.33,39.0,874.99,51.34,12.8,9.0667,0,0,0,0,2023-08-25
RX0000014293,MBR00000391,2023-04-24,2023-04-28,1920249961,1138336556,PLN8780,511763,PCN953,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,9,Retail,0,0,0,7.5,10.95,18.45,1.0,16.2,1.25,0.3,0.2125,0,0,0,0,2023-05-24
RX0000014294,MBR00000391,2021-07-26,2021-07-30,1357860192,1147233022,PLN9029,697816,PCN981,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,0,Retail,0,0,0,22.0,7.72,29.72,69.0,0.0,1.05,0.88,0.6233,0,0,0,0,2021-08-25
RX0000014295,MBR00000391,2021-03-23,2021-03-27,1945344385,1507568048,PLN6835,477573,PCN194,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,8,Mail Order,0,0,0,12.0,1.98,13.98,6.0,7.48,0.5,0.48,0.34,0,0,0,0,2021-04-22
RX0000014296,MBR00000391,2021-10-22,2021-10-26,1808854331,1760069438,PLN6774,621159,PCN722,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,6,Retail,0,0,0,3.5,3.58,7.08,8.0,0.0,0.4,0.6,0.425,0,0,0,0,2021-10-29
RX0000014297,MBR00000391,2022-09-07,2022-09-11,1382487380,1186186814,PLN8672,816138,PCN635,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,7,Retail,0,0,0,10.0,9.93,19.93,4.0,14.67,1.26,0.4,0.2833,0,0,0,0,2022-10-07
RX0000014298,MBR00000391,2021-02-03,2021-02-06,1712672095,1577198066,PLN9813,891246,PCN560,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,56,5,Retail,0,1,0,12400.0,11.53,12411.53,150.0,11428.44,833.09,248.0,175.6667,0,0,0,0,2021-04-04
RX0000014299,MBR00000391,2023-10-17,2023-10-21,1428083174,1732239876,PLN1434,587874,PCN464,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,85,8,Retail,0,0,0,54.0,9.46,63.46,3.0,56.49,3.97,0.72,0.51,0,0,0,0,2024-01-15
RX0000014300,MBR00000391,2023-01-27,2023-01-29,1827565660,1924229365,PLN5281,141468,PCN498,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,90,4,Retail,0,0,0,30.0,2.4,32.4,10.0,20.47,1.93,0.4,0.2833,0,0,0,0,2023-04-27
RX0000014301,MBR00000391,2022-09-15,2022-09-19,1320568938,1927139102,PLN6667,117518,PCN740,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,10,Retail,0,0,0,12.0,9.91,21.91,2.0,18.46,1.45,0.48,0.34,0,0,0,0,2022-10-15
RX0000014302,MBR00000391,2022-05-01,2022-05-05,1885603656,1440721439,PLN4991,824370,PCN765,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,11,Mail Order,0,0,0,285.0,6.46,291.46,40.0,232.56,18.9,11.4,8.075,0,0,0,0,2022-05-31
RX0000014303,MBR00000391,2023-02-08,2023-02-12,1535656744,1327669754,PLN6913,167854,PCN866,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,0,Retail,1,0,0,14.0,3.87,17.87,2.0,14.69,1.18,0.56,0.3967,0,0,0,0,2023-03-10
RX0000014304,MBR00000391,2021-07-03,2021-07-04,1463935839,1222770473,PLN5897,775876,PCN550,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,87,11,Retail,0,0,0,1950.0,7.02,1957.02,36.0,1801.57,119.45,26.0,18.4167,0,0,0,0,2021-10-01
RX0000014305,MBR00000391,2023-05-18,2023-05-21,1668082657,1941476727,PLN1475,676377,PCN899,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,5,Mail Order,0,0,0,5.13,5.78,10.92,65.0,0.0,0.69,0.88,0.6233,0,0,0,0,2023-05-25
RX0000014306,MBR00000391,2023-07-19,2023-07-22,1506702133,1122192903,PLN8560,905608,PCN900,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,85,0,Retail,0,0,0,555.0,4.87,559.87,33.0,505.87,21.0,7.4,5.2417,0,0,0,0,2023-10-17
RX0000014307,MBR00000391,2021-01-05,2021-01-08,1238134481,1369619310,PLN5538,238445,PCN530,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,0,Retail,0,0,0,27.0,9.85,36.85,5.0,30.08,1.77,0.36,0.255,0,0,0,0,2021-04-05
RX0000014308,MBR00000391,2023-10-07,2023-10-08,1992866326,1437470893,PLN3811,524235,PCN798,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,4,Retail,0,0,0,40.83,3.92,44.75,40.0,2.42,2.33,7.0,4.9583,0,0,0,0,2023-10-14
RX0000014309,MBR00000391,2022-08-07,2022-08-10,1718612744,1578123070,PLN6470,155998,PCN779,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,5,Mail Order,0,0,0,9.0,3.68,12.68,2.0,9.86,0.82,0.36,0.255,0,0,0,0,2022-09-06
RX0000014310,MBR00000391,2023-07-18,2023-07-19,1806592170,1898687397,PLN9216,813894,PCN638,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,1,Retail,0,0,0,2.92,8.83,11.75,5.0,6.05,0.7,0.5,0.3542,0,0,0,0,2023-07-25
RX0000014311,MBR00000391,2021-04-05,2021-04-08,1634683525,1662797197,PLN1127,564795,PCN550,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,5,Retail,0,0,0,22.0,11.1,33.1,6.0,26.09,1.01,0.88,0.6233,0,0,0,0,2021-05-05
RX0000014312,MBR00000391,2023-08-11,2023-08-14,1608108766,1285740298,PLN9157,905339,PCN830,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,1,Specialty,0,0,0,11.0,30.55,41.55,9.0,32.55,0.0,0.44,0.3117,0,0,0,0,2023-09-10
RX0000014313,MBR00000391,2023-10-19,2023-10-20,1704864704,1386578804,PLN6553,597901,PCN585,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,7,Mail Order,0,0,0,8.5,6.5,15.0,9.0,5.5,0.5,0.34,0.2408,0,0,0,0,2023-11-18
RX0000014314,MBR00000391,2022-11-27,2022-11-28,1738744262,1611344924,PLN5151,841349,PCN660,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,91,1,Mail Order,0,0,0,54.0,1.79,55.79,36.0,16.87,2.92,0.72,0.51,0,0,0,0,2023-02-25
RX0000014315,MBR00000391,2023-11-03,2023-11-04,1231916822,1505716257,PLN1893,676594,PCN356,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,6,4,Specialty,0,1,0,2.8,13.07,15.87,147.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-11-10
RX0000014316,MBR00000391,2023-05-22,2023-05-23,1606049114,1221754792,PLN4718,799675,PCN561,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,7,Retail,0,0,0,18.0,11.17,29.17,32.0,0.0,1.9,0.72,0.51,0,0,0,0,2023-06-21
RX0000014317,MBR00000392,2022-07-26,2022-07-29,1945343231,1687472718,PLN3225,677418,PCN321,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,8,Mail Order,0,0,0,320.0,5.23,325.23,35.0,274.86,15.37,12.8,9.0667,0,0,0,0,2022-08-25
RX0000014318,MBR00000392,2021-09-15,2021-09-18,1924917091,1650706812,PLN5167,577717,PCN465,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,0,Retail,0,1,0,12.0,10.44,22.44,153.0,0.0,0.72,0.48,0.34,0,0,0,0,2021-10-15
RX0000014319,MBR00000392,2022-04-25,2022-04-26,1348248439,1391585130,PLN4324,136980,PCN252,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,9,Retail,0,0,0,12.0,2.5,14.5,10.0,3.5,1.0,0.48,0.34,0,0,0,0,2022-05-25
RX0000014320,MBR00000392,2021-08-10,2021-08-12,1963513281,1223844886,PLN9361,951751,PCN240,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,0,Retail,0,0,0,18.0,7.66,25.66,3.0,21.1,1.56,0.72,0.51,0,0,0,0,2021-09-09
RX0000014321,MBR00000392,2022-06-26,2022-06-27,1289914172,1167240664,PLN8865,582038,PCN977,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,92,3,Mail Order,1,0,0,1440.0,6.73,1446.73,37.0,1355.87,53.86,19.2,13.6,0,0,0,0,2022-09-24
RX0000014322,MBR00000392,2023-10-12,2023-10-16,1126129771,1801340636,PLN4597,406642,PCN878,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,10,Mail Order,1,0,0,10.0,11.42,21.42,3.0,17.22,1.2,0.4,0.2833,0,0,0,0,2023-11-11
RX0000014323,MBR00000392,2021-01-07,2021-01-09,1806974688,1450810870,PLN6143,764033,PCN144,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,97,9,Retail,1,0,0,930.0,2.67,932.67,40.0,832.73,59.94,12.4,8.7833,0,0,0,0,2021-04-07
RX0000014324,MBR00000392,2023-03-15,2023-03-17,1618224528,1432031359,PLN9984,528938,PCN380,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,9,Specialty,0,0,0,18.0,26.44,44.44,31.0,13.44,0.0,0.72,0.51,0,0,0,0,2023-04-14
RX0000014325,MBR00000392,2021-11-11,2021-11-13,1413218822,1549625579,PLN5956,334956,PCN359,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,85,7,Retail,0,1,0,36.0,8.65,44.65,155.0,0.0,2.69,0.48,0.34,0,0,0,0,2022-02-09
RX0000014326,MBR00000392,2023-04-07,2023-04-09,1508315584,1464819868,PLN2683,286071,PCN136,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,1,Specialty,0,0,0,370.0,11.61,381.61,33.0,348.61,0.0,14.8,10.4833,0,0,0,0,2023-05-07
RX0000014327,MBR00000392,2022-02-26,2022-02-27,1980389437,1617122822,PLN1958,626299,PCN730,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,93,1,Retail,2,0,0,33.0,5.87,38.87,8.0,29.39,1.48,0.44,0.3117,0,0,0,0,2022-05-27
RX0000014328,MBR00000392,2022-07-28,2022-07-30,1719099436,1829838531,PLN1630,269807,PCN649,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,83,2,Retail,0,0,0,1440.0,10.46,1450.46,32.0,1335.77,82.69,19.2,13.6,0,0,0,0,2022-10-26
RX0000014329,MBR00000392,2023-02-02,2023-02-04,1886556218,1265908852,PLN8857,140970,PCN602,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,5,Retail,0,0,0,650.0,7.45,657.45,38.0,573.43,46.02,26.0,18.4167,0,0,0,0,2023-03-04
RX0000014330,MBR00000392,2022-01-13,2022-01-14,1389173062,1550134125,PLN3064,643772,PCN872,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,10,Mail Order,1,0,0,2.1,5.67,7.77,1.0,6.25,0.52,0.36,0.255,0,0,0,0,2022-01-20
RX0000014331,MBR00000392,2021-06-11,2021-06-15,1258169262,1237871580,PLN9547,813459,PCN256,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,5,Retail,0,0,0,750.0,9.47,759.47,39.0,695.43,25.04,30.0,21.25,0,0,0,0,2021-07-11
RX0000014332,MBR00000392,2022-04-16,2022-04-19,1596783545,1492009385,PLN8475,457913,PCN591,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,94,1,Retail,0,1,0,25500.0,3.25,25503.25,154.0,24502.36,846.89,340.0,240.8333,0,0,0,0,2022-07-15
RX0000014333,MBR00000392,2023-02-16,2023-02-18,1678521812,1592326794,PLN1652,275172,PCN160,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,9,Mail Order,2,0,0,15.0,9.01,24.01,9.0,14.26,0.75,0.6,0.425,0,0,0,0,2023-03-18
RX0000014334,MBR00000393,2021-07-12,2021-07-14,1142583587,1593257572,PLN2125,441074,PCN478,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,64,10,Retail,0,0,0,28.0,8.75,36.75,9.0,25.22,2.53,0.56,0.3967,0,0,0,0,2021-09-10
RX0000014335,MBR00000393,2021-08-07,2021-08-08,1347082003,1966462531,PLN7960,796487,PCN369,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,83,6,Retail,0,0,0,36.0,10.36,46.36,5.0,38.76,2.6,0.48,0.34,0,0,0,0,2021-11-05
RX0000014336,MBR00000393,2022-07-17,2022-07-21,1128951368,1925870488,PLN5556,411610,PCN925,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,64,1,Retail,0,0,0,76.0,10.18,86.18,0.0,80.85,5.33,1.52,1.0767,0,0,0,0,2022-09-15
RX0000014337,MBR00000393,2022-12-18,2022-12-20,1757519522,1700582681,PLN8912,417586,PCN982,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,11,Retail,0,0,0,4.2,4.35,8.55,31.0,0.0,0.54,0.72,0.51,0,0,0,0,2022-12-25
RX0000014338,MBR00000393,2021-03-29,2021-03-30,1925627030,1265177784,PLN3479,848651,PCN152,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,88,4,Retail,0,0,0,45.0,7.15,52.15,10.0,40.43,1.72,0.6,0.425,0,0,0,0,2021-06-27
RX0000014339,MBR00000393,2022-10-13,2022-10-17,1131062588,1222902902,PLN1320,412547,PCN743,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,4,Retail,0,0,1,11.0,2.81,13.81,8.0,4.85,0.96,0.44,0.3117,0,0,0,0,2022-11-12
RX0000014340,MBR00000393,2022-12-07,2022-12-09,1392080468,1435869929,PLN9049,302271,PCN731,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,5,Retail,3,0,0,2.57,1.88,4.45,4.0,0.16,0.29,0.44,0.3117,0,0,0,0,2022-12-14
RX0000014341,MBR00000393,2021-03-21,2021-03-24,1719689292,1911808541,PLN1782,961740,PCN237,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,9,Retail,0,0,0,320.0,8.85,328.85,35.0,276.06,17.79,12.8,9.0667,0,0,0,0,2021-04-20
RX0000014342,MBR00000393,2021-12-01,2021-12-03,1853227514,1179360707,PLN8960,652871,PCN789,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,3,Retail,0,0,0,9.0,10.29,19.29,9.0,9.15,1.14,0.36,0.255,0,0,0,0,2021-12-31
RX0000014343,MBR00000393,2023-05-09,2023-05-10,1101770082,1458545852,PLN6471,879255,PCN976,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,9,Mail Order,0,0,0,330.0,11.47,341.47,32.0,294.25,15.22,13.2,9.35,0,0,0,0,2023-06-08
RX0000014344,MBR00000393,2022-06-27,2022-06-29,1301726325,1275298092,PLN9080,315917,PCN238,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,94,5,Retail,3,0,0,66.0,11.57,77.57,0.0,74.12,3.45,0.88,0.6233,0,0,0,0,2022-09-25
RX0000014345,MBR00000393,2021-10-20,2021-10-23,1917070714,1283409217,PLN2310,880363,PCN152,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,96,7,Retail,0,0,0,45.0,3.15,48.15,3.0,42.02,3.13,0.6,0.425,0,0,0,0,2022-01-18
RX0000014346,MBR00000393,2021-03-29,2021-04-02,1209704643,1621657470,PLN7057,630494,PCN252,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,10,Retail,0,0,0,12.0,5.35,17.35,9.0,7.44,0.91,0.48,0.34,0,0,0,0,2021-04-28
RX0000014347,MBR00000393,2023-08-30,2023-09-01,1185129321,1276589042,PLN2256,136679,PCN817,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,2,Mail Order,0,0,0,330.0,4.18,334.18,30.0,289.47,14.71,13.2,9.35,0,0,0,0,2023-09-29
RX0000014348,MBR00000393,2023-12-24,2023-12-27,1728476913,1260208742,PLN5828,219765,PCN285,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,1,Retail,0,0,0,45.0,10.36,55.36,8.0,44.18,3.18,1.8,1.275,0,0,0,0,2024-01-23
RX0000014349,MBR00000393,2021-12-07,2021-12-11,1163684201,1120017945,PLN2910,711690,PCN781,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,9,Mail Order,0,0,0,285.0,4.64,289.64,32.0,239.25,18.39,11.4,8.075,0,0,0,0,2022-01-06
RX0000014350,MBR00000393,2021-09-03,2021-09-04,1784918578,1620740852,PLN6950,128179,PCN726,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,11,Mail Order,0,0,0,18.0,5.08,23.08,32.0,0.0,0.82,0.72,0.51,0,0,0,0,2021-10-03
RX0000014351,MBR00000393,2022-04-16,2022-04-18,1426104611,1857403850,PLN2486,303745,PCN319,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,10,Retail,0,1,0,8500.0,5.07,8505.07,151.0,8008.93,345.14,340.0,240.8333,0,1,1,0,2022-05-16
RX0000014352,MBR00000393,2021-11-05,2021-11-06,1505318917,1237825157,PLN1860,935301,PCN663,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,84,6,Mail Order,0,0,0,36.0,4.2,40.2,1.0,37.55,1.65,0.48,0.34,1,0,0,0,2022-02-03
RX0000014353,MBR00000393,2023-09-12,2023-09-13,1221885987,1418417666,PLN9223,228721,PCN128,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,61,9,Mail Order,1,0,0,20.0,3.71,23.71,10.0,12.19,1.52,0.4,0.2833,0,0,0,0,2023-11-11
RX0000014354,MBR00000393,2023-04-11,2023-04-14,1143272824,1517815676,PLN3771,782567,PCN149,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,5,Mail Order,0,1,0,24.0,8.32,32.32,154.0,0.0,1.61,0.32,0.2267,0,0,0,0,2023-07-10
RX0000014355,MBR00000393,2021-12-09,2021-12-13,1758220614,1710363871,PLN2753,744738,PCN986,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,90,5,Retail,0,0,0,960.0,8.33,968.33,32.0,869.28,67.05,12.8,9.0667,0,0,0,0,2022-03-09
RX0000014356,MBR00000393,2022-03-15,2022-03-18,1352382608,1716117822,PLN8725,382297,PCN765,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,5,Mail Order,0,0,0,15.0,2.38,17.38,1.0,15.62,0.76,0.6,0.425,0,0,0,0,2022-04-14
RX0000014357,MBR00000393,2023-07-01,2023-07-02,1931890262,1424974896,PLN3786,585349,PCN769,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,7,Retail,2,0,0,15.17,8.54,23.7,36.0,0.0,0.98,2.6,1.8417,0,0,0,0,2023-07-08
RX0000014358,MBR00000393,2022-11-13,2022-11-16,1226421771,1833795421,PLN8767,723681,PCN840,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,94,9,Retail,0,0,0,930.0,10.11,940.11,31.0,859.99,49.12,12.4,8.7833,0,0,0,0,2023-02-11
RX0000014359,MBR00000393,2022-08-29,2022-08-31,1506067302,1359502760,PLN6509,713783,PCN682,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,5,Specialty,0,1,0,8500.0,22.04,8522.04,147.0,8375.04,0.0,340.0,240.8333,0,0,0,0,2022-09-28
RX0000014360,MBR00000393,2022-07-11,2022-07-12,1736169663,1168932538,PLN4984,208433,PCN310,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,3,Retail,0,0,0,14.0,1.87,15.87,4.0,11.3,0.57,0.56,0.3967,1,0,0,0,2022-08-10
RX0000014361,MBR00000393,2021-05-02,2021-05-05,1224445288,1993612664,PLN2812,436591,PCN459,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,11,Retail,0,0,0,750.0,1.51,751.51,38.0,672.54,40.97,30.0,21.25,1,0,0,0,2021-06-01
RX0000014362,MBR00000393,2022-03-01,2022-03-03,1505977258,1986782323,PLN7532,896315,PCN606,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,94,2,Retail,0,1,0,8400.0,11.86,8411.86,145.0,7977.85,289.01,112.0,79.3333,0,0,0,0,2022-05-30
RX0000014363,MBR00000393,2023-10-27,2023-10-28,1251999169,1320768492,PLN3492,840928,PCN519,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,10,Retail,0,1,0,2800.0,5.45,2805.45,150.0,2543.36,112.09,112.0,79.3333,0,0,0,0,2023-11-26
RX0000014364,MBR00000393,2022-12-16,2022-12-20,1449911972,1583305576,PLN7379,581265,PCN808,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,1,Retail,0,1,0,8500.0,6.78,8506.78,152.0,7876.12,478.66,340.0,240.8333,0,0,0,0,2023-01-15
RX0000014365,MBR00000393,2022-03-22,2022-03-26,1659128048,1940317022,PLN3079,324546,PCN252,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,6,Retail,0,0,0,12.0,9.36,21.36,6.0,13.98,1.38,0.48,0.34,0,0,0,0,2022-04-21
RX0000014366,MBR00000393,2023-09-16,2023-09-17,1337520585,1554225618,PLN8409,828525,PCN245,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,7,LTC,0,0,0,12.0,11.98,23.98,4.0,18.88,1.1,0.48,0.34,0,0,0,0,2023-10-16
RX0000014367,MBR00000393,2022-02-06,2022-02-10,1395544163,1403016598,PLN1337,102095,PCN756,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,5,Mail Order,0,0,0,8.87,9.71,18.58,32.0,0.0,1.19,1.52,1.0767,1,0,0,0,2022-02-13
RX0000014368,MBR00000393,2022-07-12,2022-07-14,1887500073,1952668780,PLN9289,719442,PCN342,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,9,LTC,0,0,0,3.73,9.98,13.71,4.0,9.07,0.64,0.64,0.4533,0,0,0,0,2022-07-19
RX0000014369,MBR00000393,2021-10-26,2021-10-30,1316959829,1484993304,PLN9913,447793,PCN789,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,9,Retail,0,0,0,380.0,10.45,390.45,40.0,325.37,25.08,15.2,10.7667,0,0,0,0,2021-11-25
RX0000014370,MBR00000393,2023-02-02,2023-02-06,1592619688,1332113639,PLN5737,859375,PCN742,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,5,Retail,0,0,0,950.0,1.52,951.52,37.0,872.21,42.31,38.0,26.9167,1,0,0,0,2023-03-04
RX0000014371,MBR00000393,2021-09-13,2021-09-17,1418607964,1184672178,PLN6639,410310,PCN195,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,6,Retail,0,0,0,18.0,10.88,28.88,10.0,16.92,1.96,0.72,0.51,0,0,0,0,2021-10-13
RX0000014372,MBR00000393,2023-03-03,2023-03-04,1441363918,1912122555,PLN9259,144460,PCN111,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,93,6,Retail,0,1,0,25500.0,4.57,25504.57,148.0,23624.72,1731.85,340.0,240.8333,0,0,0,0,2023-06-01
RX0000014373,MBR00000393,2022-11-05,2022-11-09,1588658134,1496634296,PLN8286,115118,PCN850,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,1,Retail,0,0,0,10.0,11.01,21.01,0.0,20.37,0.64,0.4,0.2833,0,0,0,0,2022-12-05
RX0000014374,MBR00000393,2021-01-26,2021-01-30,1936926557,1581045949,PLN2091,734807,PCN945,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,90,9,Mail Order,0,0,0,25.5,3.05,28.55,3.0,24.26,1.29,0.34,0.2408,0,0,0,0,2021-04-26
RX0000014375,MBR00000393,2022-08-21,2022-08-22,1749033115,1180876907,PLN2901,656541,PCN285,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,0,Mail Order,0,0,0,7.5,3.33,10.83,1.0,9.44,0.39,0.3,0.2125,0,0,0,0,2022-09-20
RX0000014376,MBR00000393,2021-08-04,2021-08-07,1800355554,1647964181,PLN5107,350631,PCN882,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,91,7,Mail Order,0,1,0,36.0,7.8,43.8,155.0,0.0,1.81,0.48,0.34,0,0,0,0,2021-11-02
RX0000014377,MBR00000393,2022-04-17,2022-04-19,1852665396,1348519883,PLN7340,511135,PCN784,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,4,Mail Order,0,0,0,175.0,6.69,181.69,38.0,137.92,5.77,7.0,4.9583,0,0,0,0,2022-05-17
RX0000014378,MBR00000393,2021-03-14,2021-03-16,1619735183,1808969220,PLN5331,667064,PCN690,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,1,Mail Order,0,1,0,653.33,6.33,659.67,152.0,462.17,45.5,112.0,79.3333,1,0,0,0,2021-03-21
RX0000014379,MBR00000393,2021-03-30,2021-04-03,1371401528,1967033445,PLN6969,142219,PCN106,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,58,2,Retail,0,1,0,17000.0,8.09,17008.09,155.0,15822.2,1030.89,340.0,240.8333,0,0,0,0,2021-05-29
RX0000014380,MBR00000393,2023-09-11,2023-09-14,1726636476,1890873849,PLN1808,767235,PCN577,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,82,0,Retail,0,0,0,42.0,5.02,47.02,5.0,40.42,1.6,0.56,0.3967,0,0,0,0,2023-12-10
RX0000014381,MBR00000393,2023-09-17,2023-09-18,1252687744,1964924776,PLN7346,294076,PCN753,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,10,Mail Order,0,0,0,2.57,5.98,8.55,4.0,4.09,0.46,0.44,0.3117,0,0,0,0,2023-09-24
RX0000014382,MBR00000394,2021-08-15,2021-08-18,1541449844,1978474797,PLN3765,689430,PCN905,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,56,1,Retail,0,0,0,36.0,7.1,43.1,31.0,10.47,1.63,0.72,0.51,0,0,0,0,2021-10-14
RX0000014383,MBR00000394,2021-06-07,2021-06-10,1126647855,1392305192,PLN1919,900232,PCN697,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,6,Specialty,0,0,0,480.0,20.69,500.69,31.0,469.69,0.0,19.2,13.6,0,0,0,0,2021-07-07
RX0000014384,MBR00000394,2021-07-29,2021-08-02,1651831240,1904022031,PLN9887,584656,PCN697,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,90,3,Retail,0,0,1,42.0,11.76,53.76,5.0,46.3,2.46,0.56,0.3967,0,0,0,0,2021-10-27
RX0000014385,MBR00000394,2022-06-14,2022-06-18,1896231384,1519821631,PLN5674,287581,PCN969,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,10,Retail,0,0,0,310.0,9.12,319.12,31.0,269.25,18.87,12.4,8.7833,0,0,0,0,2022-07-14
RX0000014386,MBR00000394,2022-03-22,2022-03-23,1646554059,1425421660,PLN7089,343711,PCN128,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,95,5,Retail,0,0,0,54.0,10.25,64.25,3.0,59.17,2.08,0.72,0.51,0,0,0,0,2022-06-20
RX0000014387,MBR00000394,2021-06-04,2021-06-08,1582741167,1258514715,PLN3484,587131,PCN393,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,5,Mail Order,0,0,0,285.0,2.45,287.45,32.0,246.53,8.92,11.4,8.075,0,0,0,0,2021-07-04
RX0000014388,MBR00000394,2022-04-30,2022-05-02,1913575374,1700305761,PLN8094,129430,PCN230,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,1,Retail,0,0,0,4.2,11.2,15.4,5.0,9.7,0.7,0.72,0.51,0,0,0,0,2022-05-07
RX0000014389,MBR00000394,2023-11-22,2023-11-25,1731747097,1270470286,PLN7626,939831,PCN215,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,3,Retail,3,0,0,14.0,7.03,21.03,6.0,13.93,1.1,0.56,0.3967,0,0,0,0,2023-12-22
RX0000014390,MBR00000394,2023-06-23,2023-06-26,1742857730,1500706773,PLN1660,824115,PCN255,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,64,3,Retail,0,0,0,28.0,11.32,39.32,5.0,32.4,1.92,0.56,0.3967,0,0,0,0,2023-08-22
RX0000014391,MBR00000394,2022-11-29,2022-11-30,1799146467,1761583843,PLN4893,666955,PCN896,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,1,Retail,0,1,0,12.0,2.73,14.73,152.0,0.0,0.87,0.48,0.34,0,0,0,0,2022-12-29
RX0000014392,MBR00000394,2022-05-03,2022-05-04,1499409664,1732762431,PLN6200,581292,PCN409,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,0,Retail,0,0,0,112.0,10.51,122.51,40.0,74.13,8.38,19.2,13.6,0,0,0,0,2022-05-10
RX0000014393,MBR00000394,2021-10-07,2021-10-08,1270169226,1683165762,PLN8060,421757,PCN810,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,10,Specialty,0,0,0,15.0,41.85,56.85,2.0,54.85,0.0,0.6,0.425,0,1,0,0,2021-11-06
RX0000014394,MBR00000394,2022-07-16,2022-07-17,1587756584,1341452267,PLN5866,809278,PCN575,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,61,7,Retail,0,0,0,20.0,2.59,22.59,6.0,15.08,1.51,0.4,0.2833,0,0,0,0,2022-09-14
RX0000014395,MBR00000394,2023-05-04,2023-05-08,1430015236,1261493890,PLN7802,988944,PCN540,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,60,10,Retail,0,0,0,22.0,8.01,30.01,10.0,18.56,1.45,0.44,0.3117,0,0,0,0,2023-07-03
RX0000014396,MBR00000394,2021-03-09,2021-03-10,1858121413,1920797294,PLN8335,825896,PCN219,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,5,Specialty,0,1,1,8.0,14.43,22.43,149.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-04-08
RX0000014397,MBR00000394,2023-03-03,2023-03-05,1107718511,1560857545,PLN2720,156886,PCN249,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,6,Mail Order,0,0,0,10.0,2.36,12.36,2.0,9.88,0.48,0.4,0.2833,0,0,0,0,2023-04-02
RX0000014398,MBR00000394,2023-03-26,2023-03-28,1467086735,1380378589,PLN9648,155019,PCN783,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,6,Specialty,0,0,0,15.0,28.26,43.26,3.0,40.26,0.0,0.6,0.425,0,0,0,0,2023-04-25
RX0000014399,MBR00000394,2022-09-23,2022-09-26,1756265211,1468069887,PLN4070,178394,PCN413,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,91,6,Mail Order,0,0,0,27.0,9.29,36.29,7.0,27.43,1.86,0.36,0.255,0,0,0,0,2022-12-22
RX0000014400,MBR00000394,2021-10-09,2021-10-13,1106364310,1255493497,PLN8431,208261,PCN317,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,8,Retail,0,0,0,12.0,11.99,23.99,0.0,22.99,1.0,0.48,0.34,0,0,0,0,2021-11-08
RX0000014401,MBR00000394,2023-03-22,2023-03-25,1153119105,1715226776,PLN1648,528852,PCN183,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,7,Retail,0,0,0,2.33,8.65,10.98,2.0,8.35,0.63,0.4,0.2833,0,0,0,0,2023-03-29
RX0000014402,MBR00000394,2022-01-03,2022-01-04,1607027751,1435505472,PLN7617,439151,PCN744,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,1,Retail,0,0,0,185.0,11.87,196.87,38.0,151.24,7.63,7.4,5.2417,0,0,0,0,2022-02-02
RX0000014403,MBR00000394,2022-03-25,2022-03-28,1350512581,1481200378,PLN5739,749501,PCN809,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,7,Mail Order,0,0,0,1.98,4.53,6.51,8.0,0.0,0.22,0.34,0.2408,0,0,0,0,2022-04-01
RX0000014404,MBR00000394,2023-09-12,2023-09-13,1451282902,1732272878,PLN3022,867829,PCN385,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,90,11,Retail,0,0,0,30.0,8.48,38.48,6.0,30.7,1.78,0.4,0.2833,0,0,0,0,2023-12-11
RX0000014405,MBR00000394,2022-05-04,2022-05-07,1910775566,1413814953,PLN9167,901414,PCN901,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,95,10,Mail Order,0,0,0,66.0,4.48,70.48,66.0,0.73,3.75,0.88,0.6233,0,0,0,0,2022-08-02
RX0000014406,MBR00000394,2021-02-13,2021-02-16,1966982049,1340452334,PLN9794,241697,PCN193,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,89,2,Retail,3,0,0,2250.0,10.98,2260.98,33.0,2093.77,134.21,30.0,21.25,0,0,0,0,2021-05-14
RX0000014407,MBR00000394,2023-08-29,2023-08-30,1401309519,1976765435,PLN3008,140500,PCN568,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,3,Mail Order,0,0,0,9.0,6.38,15.38,7.0,7.57,0.81,0.36,0.255,0,0,0,0,2023-09-28
RX0000014408,MBR00000394,2021-05-16,2021-05-17,1140556188,1248951602,PLN1393,594474,PCN688,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,11,Retail,0,0,0,14.0,7.04,21.04,2.0,17.99,1.05,0.56,0.3967,0,0,0,0,2021-06-15
RX0000014409,MBR00000394,2023-12-17,2023-12-18,1849410712,1427321407,PLN8291,322517,PCN554,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,4,Mail Order,0,0,0,950.0,11.12,961.12,32.0,895.13,33.99,38.0,26.9167,0,0,0,0,2024-01-16
RX0000014410,MBR00000394,2023-10-20,2023-10-24,1983575111,1889025556,PLN7167,480770,PCN993,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,11,Retail,0,0,0,22.0,2.13,24.13,2.0,21.31,0.82,0.88,0.6233,0,0,0,0,2023-11-19
RX0000014411,MBR00000394,2021-01-13,2021-01-17,1170631059,1306035384,PLN1328,606651,PCN217,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,10,Mail Order,0,0,0,12.5,9.31,21.81,10.0,10.6,1.21,0.5,0.3542,0,0,0,0,2021-02-12
RX0000014412,MBR00000394,2022-02-25,2022-02-26,1187506969,1136499308,PLN5571,804215,PCN392,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,7,Retail,0,0,0,15.0,10.7,25.7,0.0,24.19,1.51,0.6,0.425,0,0,0,0,2022-03-27
RX0000014413,MBR00000394,2023-07-30,2023-08-02,1597299025,1884712304,PLN3866,623628,PCN491,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,6,Retail,3,0,0,16.0,9.94,25.94,4.0,21.12,0.82,0.64,0.4533,0,0,0,0,2023-08-29
RX0000014414,MBR00000394,2023-01-04,2023-01-08,1894715147,1245564045,PLN3495,310765,PCN622,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,97,1,Retail,0,0,0,84.0,10.97,94.97,8.0,82.27,4.7,1.12,0.7933,0,0,0,0,2023-04-04
RX0000014415,MBR00000394,2023-09-18,2023-09-21,1431356875,1593017757,PLN2586,557229,PCN538,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,1,LTC,0,0,0,3.27,3.35,6.62,2.0,4.27,0.35,0.56,0.3967,0,0,0,0,2023-09-25
RX0000014416,MBR00000394,2022-12-14,2022-12-17,1286751719,1460164658,PLN9654,625187,PCN589,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,1,Retail,0,0,0,27.0,4.86,31.86,4.0,25.86,2.0,0.36,0.255,0,0,0,0,2023-03-14
RX0000014417,MBR00000394,2023-10-22,2023-10-25,1846124591,1863627140,PLN6411,326922,PCN707,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,64,9,Retail,0,0,0,28.0,2.89,30.89,6.0,23.51,1.38,0.56,0.3967,0,0,0,0,2023-12-21
RX0000014418,MBR00000394,2022-04-17,2022-04-18,1787914522,1190712552,PLN7328,124132,PCN931,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,62,3,Mail Order,0,0,0,1900.0,6.5,1906.5,32.0,1771.11,103.39,38.0,26.9167,0,0,0,0,2022-06-16
RX0000014419,MBR00000394,2023-03-10,2023-03-13,1689412949,1740506801,PLN2385,105275,PCN790,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,8,Mail Order,0,0,0,370.0,1.74,371.74,38.0,313.98,19.76,14.8,10.4833,0,0,0,0,2023-04-09
RX0000014420,MBR00000394,2023-09-08,2023-09-10,1111651196,1227258562,PLN7760,353030,PCN365,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,1,Specialty,0,1,0,1983.33,41.07,2024.4,148.0,1876.4,0.0,340.0,240.8333,0,0,0,0,2023-09-15
RX0000014421,MBR00000394,2023-04-05,2023-04-07,1226096104,1739029847,PLN5820,243857,PCN306,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,3,Mail Order,0,0,0,9.0,5.71,14.71,9.0,4.74,0.97,0.36,0.255,0,0,0,0,2023-05-05
RX0000014422,MBR00000394,2022-06-02,2022-06-04,1778759933,1703850331,PLN4062,320940,PCN976,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,97,1,Retail,3,0,0,48.0,2.1,50.1,6.0,41.7,2.4,0.64,0.4533,0,0,0,0,2022-08-31
RX0000014423,MBR00000394,2022-04-20,2022-04-24,1745888676,1641694312,PLN4751,284583,PCN465,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,87,11,Mail Order,0,0,0,25.5,2.7,28.2,9.0,18.24,0.96,0.34,0.2408,0,0,0,0,2022-07-19
RX0000014424,MBR00000394,2021-04-22,2021-04-26,1518005201,1968624754,PLN2262,911560,PCN768,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,3,Retail,0,0,0,12.0,10.13,22.13,1.0,19.63,1.5,0.48,0.34,0,0,0,0,2021-05-22
RX0000014425,MBR00000395,2023-02-28,2023-03-03,1389988976,1891774546,PLN9276,789400,PCN351,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,2,Retail,0,0,0,10.0,4.67,14.67,7.0,6.65,1.02,0.4,0.2833,0,0,0,0,2023-03-30
RX0000014426,MBR00000395,2021-08-11,2021-08-15,1770805410,1757916848,PLN7451,848443,PCN839,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,2,Specialty,0,0,0,480.0,35.3,515.3,40.0,475.3,0.0,19.2,13.6,0,0,0,0,2021-09-10
RX0000014427,MBR00000395,2021-05-04,2021-05-08,1210501997,1264889659,PLN9008,389145,PCN481,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,4,Retail,0,0,0,1.75,1.8,3.55,3.0,0.35,0.2,0.3,0.2125,0,0,0,0,2021-05-11
RX0000014428,MBR00000395,2023-04-10,2023-04-12,1170687819,1818396635,PLN7572,577772,PCN809,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,93,1,Mail Order,0,0,0,2250.0,11.59,2261.59,33.0,2088.36,140.23,30.0,21.25,0,0,0,0,2023-07-09
RX0000014429,MBR00000395,2022-07-22,2022-07-25,1991001654,1222950363,PLN7146,957240,PCN591,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,91,10,Retail,0,0,0,114.0,6.16,120.16,9.0,103.18,7.98,1.52,1.0767,0,0,0,0,2022-10-20
RX0000014430,MBR00000395,2022-09-21,2022-09-24,1437884353,1863049398,PLN4047,433539,PCN767,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,5,Retail,0,1,0,8.0,6.21,14.21,149.0,0.0,0.81,0.32,0.2267,0,0,0,0,2022-10-21
RX0000014431,MBR00000395,2022-07-26,2022-07-29,1162770406,1659850038,PLN7605,525396,PCN758,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,5,Retail,0,0,0,45.0,9.22,54.22,10.0,41.95,2.27,1.8,1.275,1,0,0,0,2022-08-25
RX0000014432,MBR00000395,2022-03-29,2022-03-30,1201541237,1182335028,PLN3835,299880,PCN234,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,82,2,Retail,0,1,0,24.0,4.57,28.57,155.0,0.0,1.1,0.32,0.2267,0,0,0,0,2022-06-27
RX0000014433,MBR00000395,2021-12-31,2022-01-01,1437956033,1206558245,PLN4747,961805,PCN322,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,2,Retail,0,0,0,40.83,10.45,51.28,32.0,17.37,1.91,7.0,4.9583,0,0,0,0,2022-01-07
RX0000014434,MBR00000395,2021-03-20,2021-03-21,1758436098,1364965056,PLN3752,604776,PCN303,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,10,Retail,1,0,0,175.0,2.4,177.4,37.0,132.72,7.68,7.0,4.9583,0,0,0,0,2021-04-19
RX0000014435,MBR00000395,2021-12-13,2021-12-16,1543024995,1190943277,PLN1074,143126,PCN307,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,10,LTC,3,0,0,11.0,4.86,15.86,1.0,14.11,0.75,0.44,0.3117,0,0,0,0,2022-01-12
RX0000014436,MBR00000395,2023-12-15,2023-12-16,1495032726,1750778542,PLN1576,941813,PCN984,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,89,4,Retail,0,0,0,27.0,1.7,28.7,1.0,26.1,1.6,0.36,0.255,0,0,0,0,2024-03-14
RX0000014437,MBR00000395,2021-05-05,2021-05-08,1874220498,1400424063,PLN5860,755449,PCN477,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,96,7,Mail Order,1,0,0,36.0,5.68,41.68,9.0,30.97,1.71,0.48,0.34,0,0,0,0,2021-08-03
RX0000014438,MBR00000395,2022-06-18,2022-06-21,1259234129,1529934956,PLN6799,557749,PCN963,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,3,Specialty,0,0,0,4.2,49.82,54.02,1.0,53.02,0.0,0.72,0.51,0,0,0,0,2022-06-25
RX0000014439,MBR00000395,2023-07-08,2023-07-12,1932993627,1895981309,PLN1992,839384,PCN659,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,60,1,Retail,1,0,0,18.0,7.01,25.01,4.0,19.71,1.3,0.36,0.255,0,0,0,0,2023-09-06
RX0000014440,MBR00000395,2023-11-15,2023-11-16,1849955533,1441535651,PLN4906,250408,PCN936,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,10,LTC,0,0,0,320.0,10.82,330.82,38.0,272.53,20.29,12.8,9.0667,0,0,0,0,2023-12-15
RX0000014441,MBR00000395,2021-06-30,2021-07-02,1547371190,1404793541,PLN6082,553372,PCN731,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,82,11,Retail,0,0,0,930.0,1.95,931.95,32.0,851.05,48.9,12.4,8.7833,0,0,0,0,2021-09-28
RX0000014442,MBR00000396,2023-06-27,2023-06-30,1605078626,1621149316,PLN1845,481965,PCN721,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,95,1,Retail,0,0,0,54.0,8.09,62.09,33.0,26.86,2.23,0.72,0.51,0,0,0,0,2023-09-25
RX0000014443,MBR00000396,2022-07-23,2022-07-26,1234149348,1998932795,PLN7474,140715,PCN470,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,57,4,Retail,0,1,0,5600.0,7.5,5607.5,148.0,5091.14,368.36,112.0,79.3333,0,0,0,0,2022-09-21
RX0000014444,MBR00000396,2022-10-31,2022-11-01,1650912169,1251955831,PLN3767,186351,PCN770,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,92,7,Mail Order,0,0,0,30.0,5.57,35.57,4.0,30.4,1.17,0.4,0.2833,0,0,0,0,2023-01-29
RX0000014445,MBR00000396,2021-08-10,2021-08-14,1240380498,1387995721,PLN6289,373142,PCN945,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,97,5,Mail Order,0,0,0,27.0,2.88,29.88,2.0,25.93,1.95,0.36,0.255,0,0,0,0,2021-11-08
RX0000014446,MBR00000396,2022-09-06,2022-09-09,1284921271,1995649478,PLN4432,808720,PCN847,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,0,Mail Order,0,1,0,2800.0,2.47,2802.47,152.0,2459.12,191.35,112.0,79.3333,0,0,0,0,2022-10-06
RX0000014447,MBR00000396,2021-05-30,2021-06-02,1378886901,1473518512,PLN4507,306850,PCN831,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,9,Retail,1,0,0,1.75,9.62,11.37,4.0,6.8,0.57,0.3,0.2125,0,0,0,0,2021-06-06
RX0000014448,MBR00000396,2021-03-17,2021-03-18,1949592628,1856612490,PLN1554,569191,PCN447,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,4,Retail,0,0,0,11.0,8.35,19.35,4.0,14.53,0.82,0.44,0.3117,0,0,0,0,2021-04-16
RX0000014449,MBR00000396,2021-01-21,2021-01-24,1141733567,1120009383,PLN3198,590439,PCN906,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,87,11,Retail,0,0,0,42.0,6.28,48.28,4.0,42.29,1.99,0.56,0.3967,0,0,0,0,2021-04-21
RX0000014450,MBR00000396,2023-05-04,2023-05-07,1855786168,1775719489,PLN3315,850429,PCN304,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,10,Retail,0,0,0,950.0,7.45,957.45,32.0,895.31,30.14,38.0,26.9167,0,0,0,0,2023-06-03
RX0000014451,MBR00000396,2022-06-30,2022-07-03,1816105937,1417823732,PLN2815,630472,PCN899,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,5,LTC,0,1,0,8.0,4.95,12.95,152.0,0.0,0.41,0.32,0.2267,0,0,0,0,2022-07-30
RX0000014452,MBR00000396,2021-01-24,2021-01-27,1576825571,1856472910,PLN3282,257264,PCN810,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,9,Mail Order,0,0,0,38.0,6.95,44.95,33.0,10.55,1.4,1.52,1.0767,1,0,0,0,2021-02-23
RX0000014453,MBR00000396,2022-02-23,2022-02-27,1167834272,1235990865,PLN8635,343670,PCN753,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,10,Retail,0,0,0,43.17,4.19,47.35,40.0,4.59,2.76,7.4,5.2417,0,0,0,0,2022-03-02
RX0000014454,MBR00000396,2021-06-17,2021-06-21,1886094428,1171967807,PLN8769,701280,PCN842,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,91,8,Mail Order,0,0,0,36.0,6.94,42.94,3.0,37.26,2.68,0.48,0.34,0,0,0,0,2021-09-15
RX0000014455,MBR00000396,2021-01-22,2021-01-24,1827095472,1818440648,PLN7719,288356,PCN398,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,6,Mail Order,0,0,0,3.73,11.1,14.83,10.0,3.81,1.02,0.64,0.4533,0,0,0,0,2021-01-29
RX0000014456,MBR00000396,2023-03-26,2023-03-28,1103416080,1161839755,PLN1825,598727,PCN205,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,380.0,11.2,391.2,35.0,342.58,13.62,15.2,10.7667,0,0,0,0,2023-04-25
RX0000014457,MBR00000396,2023-10-04,2023-10-06,1493564468,1524052949,PLN9223,769321,PCN795,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,97,1,Retail,3,0,0,135.0,4.03,139.03,8.0,126.18,4.85,1.8,1.275,0,0,0,0,2024-01-02
RX0000014458,MBR00000396,2023-02-09,2023-02-12,1477991148,1870047768,PLN9398,809499,PCN906,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,10,Retail,0,0,0,10.0,6.56,16.56,6.0,9.71,0.85,0.4,0.2833,0,0,0,0,2023-03-11
RX0000014459,MBR00000396,2022-08-29,2022-09-01,1168672841,1958760481,PLN1871,932172,PCN731,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,2,Retail,0,0,0,380.0,5.03,385.03,37.0,327.52,20.51,15.2,10.7667,0,0,0,0,2022-09-28
RX0000014460,MBR00000396,2022-12-12,2022-12-15,1941292740,1626411945,PLN7410,417762,PCN974,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,7,Retail,0,0,0,65.0,9.31,74.31,40.0,31.59,2.72,2.6,1.8417,0,0,0,0,2023-01-11
RX0000014461,MBR00000396,2023-12-20,2023-12-24,1758656670,1968637746,PLN5652,855040,PCN135,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,2,Retail,0,0,0,18.0,4.46,22.46,7.0,14.53,0.93,0.72,0.51,0,0,0,0,2024-01-19
RX0000014462,MBR00000396,2021-09-29,2021-10-03,1774711418,1182508174,PLN7463,265434,PCN995,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,4,Specialty,0,0,0,2.33,42.34,44.67,3.0,41.67,0.0,0.4,0.2833,0,0,0,0,2021-10-06
RX0000014463,MBR00000396,2023-07-26,2023-07-28,1404665942,1436729437,PLN7674,949614,PCN116,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,1,Mail Order,0,0,0,650.0,5.63,655.63,32.0,602.8,20.83,26.0,18.4167,0,0,0,0,2023-08-25
RX0000014464,MBR00000396,2021-09-02,2021-09-05,1386069164,1749717317,PLN7056,428375,PCN437,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,88,0,Specialty,3,1,0,8400.0,21.69,8421.69,149.0,8272.69,0.0,112.0,79.3333,0,0,0,0,2021-12-01
RX0000014465,MBR00000396,2023-02-06,2023-02-08,1916994745,1515773334,PLN7103,694752,PCN905,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,0,Retail,0,0,0,45.0,3.72,48.72,9.0,37.61,2.11,1.8,1.275,0,1,0,0,2023-03-08
RX0000014466,MBR00000396,2023-04-02,2023-04-03,1763722850,1952292927,PLN3448,337303,PCN676,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,7,Retail,0,0,0,14.0,2.79,16.79,8.0,8.25,0.54,0.56,0.3967,0,0,0,0,2023-05-02
RX0000014467,MBR00000396,2021-11-27,2021-11-28,1906859865,1465975645,PLN5268,896684,PCN732,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,63,4,Mail Order,0,0,0,20.0,6.07,26.07,1.0,23.95,1.12,0.4,0.2833,0,0,0,0,2022-01-26
RX0000014468,MBR00000396,2022-10-16,2022-10-20,1113168316,1299685469,PLN4160,338926,PCN573,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,91,11,Mail Order,3,0,0,930.0,8.46,938.46,33.0,863.15,42.31,12.4,8.7833,0,0,0,0,2023-01-14
RX0000014469,MBR00000396,2021-05-31,2021-06-02,1107006172,1103975145,PLN9481,757959,PCN465,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,8,Retail,0,0,0,175.0,9.63,184.63,32.0,141.97,10.66,7.0,4.9583,0,0,0,0,2021-06-30
RX0000014470,MBR00000396,2021-06-05,2021-06-08,1574740216,1673890423,PLN5294,668433,PCN694,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,2,Retail,0,0,0,330.0,5.1,335.1,33.0,291.2,10.9,13.2,9.35,0,0,0,0,2021-07-05
RX0000014471,MBR00000396,2022-08-03,2022-08-05,1958878938,1753995306,PLN1602,845965,PCN121,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,11,Retail,0,0,0,45.0,6.19,51.19,2.0,46.75,2.44,1.8,1.275,0,0,0,0,2022-09-02
RX0000014472,MBR00000396,2022-09-12,2022-09-16,1776518510,1611468603,PLN8617,495426,PCN369,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,64,7,Retail,0,0,0,76.0,11.14,87.14,31.0,52.53,3.61,1.52,1.0767,0,0,0,0,2022-11-11
RX0000014473,MBR00000396,2023-03-03,2023-03-07,1197001312,1345229361,PLN9581,177633,PCN965,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,7,2,Mail Order,0,0,0,2.57,4.1,6.66,3.0,3.35,0.31,0.44,0.3117,0,0,0,0,2023-03-10
RX0000014474,MBR00000397,2023-05-15,2023-05-18,1622149824,1315225957,PLN2553,388068,PCN735,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,4,Retail,0,0,0,175.0,8.61,183.61,34.0,142.06,7.55,30.0,21.25,0,0,0,0,2023-05-22
RX0000014475,MBR00000397,2021-08-24,2021-08-28,1356464700,1414390269,PLN6801,255858,PCN579,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,8,Retail,0,0,0,45.0,1.66,46.66,4.0,41.05,1.61,1.8,1.275,0,0,0,0,2021-09-23
RX0000014476,MBR00000397,2022-12-19,2022-12-22,1421320330,1928817558,PLN1860,651222,PCN139,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,9,Retail,0,0,0,285.0,5.31,290.31,33.0,241.24,16.07,11.4,8.075,0,0,0,0,2023-01-18
RX0000014477,MBR00000397,2021-10-10,2021-10-14,1230713395,1693109294,PLN4671,292546,PCN726,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,3,Retail,3,0,0,285.0,6.84,291.84,30.0,244.71,17.13,11.4,8.075,0,0,0,0,2021-11-09
RX0000014478,MBR00000397,2021-09-09,2021-09-13,1588331501,1631163986,PLN2231,303525,PCN267,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,10,Retail,0,0,0,9.0,2.29,11.29,1.0,9.93,0.36,0.36,0.255,0,0,0,0,2021-10-09
RX0000014479,MBR00000397,2022-02-13,2022-02-15,1408192351,1454405803,PLN9088,938327,PCN226,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,7,Retail,0,0,0,12.5,10.51,23.01,5.0,16.87,1.14,0.5,0.3542,0,0,0,0,2022-03-15
RX0000014480,MBR00000397,2021-06-21,2021-06-23,1378833263,1664493224,PLN6222,214491,PCN431,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,86,6,Retail,2,0,0,930.0,8.07,938.07,31.0,868.12,38.95,12.4,8.7833,0,0,0,0,2021-09-19
RX0000014481,MBR00000397,2022-11-20,2022-11-22,1115140487,1355494834,PLN7986,388538,PCN752,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,89,2,Mail Order,2,0,0,36.0,2.22,38.22,1.0,35.89,1.33,0.48,0.34,0,0,0,0,2023-02-18
RX0000014482,MBR00000397,2023-03-19,2023-03-21,1863007468,1911168712,PLN2371,920345,PCN507,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,4,Specialty,0,0,0,38.0,16.61,54.61,2.0,52.61,0.0,1.52,1.0767,0,0,0,0,2023-04-18
RX0000014483,MBR00000397,2022-07-18,2022-07-21,1571946474,1661625328,PLN2700,792795,PCN861,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,0,Retail,0,0,0,28.0,2.49,30.49,8.0,20.58,1.91,1.12,0.7933,0,0,0,0,2022-08-17
RX0000014484,MBR00000397,2022-01-04,2022-01-08,1977963035,1302855851,PLN4171,430941,PCN623,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,2,Mail Order,0,0,0,750.0,7.53,757.53,38.0,676.65,42.88,30.0,21.25,0,0,0,0,2022-02-03
RX0000014485,MBR00000397,2022-12-11,2022-12-13,1306558486,1942002118,PLN6854,986641,PCN852,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,8,Retail,0,0,0,320.0,4.79,324.79,33.0,275.48,16.31,12.8,9.0667,0,0,0,0,2023-01-10
RX0000014486,MBR00000397,2022-04-24,2022-04-27,1235063169,1619227559,PLN4842,852216,PCN862,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,85,5,Mail Order,0,0,0,135.0,3.98,138.98,6.0,127.46,5.52,1.8,1.275,0,0,0,0,2022-07-23
RX0000014487,MBR00000397,2022-06-24,2022-06-28,1893261888,1152337501,PLN9041,441556,PCN649,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,1,Retail,0,0,0,8.5,4.89,13.39,0.0,12.74,0.65,0.34,0.2408,0,0,0,0,2022-07-24
RX0000014488,MBR00000397,2021-06-20,2021-06-24,1140410015,1698690321,PLN9516,544895,PCN677,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,10,Retail,0,0,0,285.0,6.81,291.81,37.0,234.68,20.13,11.4,8.075,0,0,0,0,2021-07-20
RX0000014489,MBR00000397,2021-05-24,2021-05-28,1615891080,1146726276,PLN9861,337006,PCN597,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,8,Mail Order,3,0,0,18.0,8.51,26.51,33.0,0.0,1.0,0.72,0.51,0,0,0,0,2021-06-23
RX0000014490,MBR00000397,2022-10-06,2022-10-07,1442062530,1465991071,PLN9596,101236,PCN618,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,10,Retail,0,0,0,18.0,2.27,20.27,9.0,10.19,1.08,0.72,0.51,0,0,0,0,2022-11-05
RX0000014491,MBR00000397,2023-06-09,2023-06-11,1155676811,1644637008,PLN6879,330695,PCN424,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,10,Retail,0,0,0,45.0,8.88,53.88,10.0,40.99,2.89,1.8,1.275,0,0,0,0,2023-07-09
RX0000014492,MBR00000397,2022-04-26,2022-04-27,1339817832,1992636960,PLN9759,924005,PCN327,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,10,Retail,0,0,0,18.0,1.84,19.84,2.0,16.91,0.93,0.72,0.51,0,0,0,0,2022-05-26
RX0000014493,MBR00000397,2023-10-17,2023-10-18,1251463304,1776943403,PLN7318,691942,PCN621,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,6,Retail,0,0,0,285.0,3.52,288.52,38.0,236.65,13.87,11.4,8.075,0,0,0,0,2023-11-16
RX0000014494,MBR00000397,2023-01-08,2023-01-10,1605047642,1211495248,PLN6181,857303,PCN927,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,3,Retail,0,1,0,2800.0,7.44,2807.44,154.0,2486.81,166.63,112.0,79.3333,0,0,0,0,2023-02-07
RX0000014495,MBR00000397,2021-06-06,2021-06-07,1449558784,1704047813,PLN3995,367594,PCN951,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,2,Retail,0,0,0,2.33,6.16,8.49,9.0,0.0,0.38,0.4,0.2833,0,0,0,0,2021-06-13
RX0000014496,MBR00000397,2022-11-13,2022-11-16,1764948190,1639202033,PLN6757,371274,PCN928,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,90,8,Retail,0,1,0,18600.0,9.41,18609.41,145.0,17763.69,700.72,248.0,175.6667,0,0,0,0,2023-02-11
RX0000014497,MBR00000397,2022-07-19,2022-07-20,1508457690,1736533833,PLN8738,667298,PCN693,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,6,Retail,0,0,0,11.0,9.13,20.13,6.0,13.28,0.85,0.44,0.3117,0,0,0,0,2022-08-18
RX0000014498,MBR00000397,2022-04-20,2022-04-23,1878244736,1790150820,PLN9488,895385,PCN532,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,64,6,Retail,0,0,0,24.0,3.72,27.72,7.0,19.67,1.05,0.48,0.34,0,0,0,0,2022-06-19
RX0000014499,MBR00000397,2022-02-28,2022-03-03,1575322007,1392824322,PLN8805,941548,PCN883,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,7,Retail,0,0,0,330.0,10.53,340.53,34.0,288.42,18.11,13.2,9.35,0,0,0,0,2022-03-30
RX0000014500,MBR00000397,2022-06-19,2022-06-23,1900504821,1210874170,PLN7360,521507,PCN754,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,91,7,Retail,2,0,0,42.0,2.73,44.73,9.0,34.11,1.62,0.56,0.3967,0,0,0,0,2022-09-17
RX0000014501,MBR00000397,2021-11-22,2021-11-24,1728033859,1545021519,PLN4138,793638,PCN946,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,3,Mail Order,0,0,0,30.0,1.99,31.99,4.0,26.95,1.04,0.4,0.2833,0,0,0,0,2022-02-20
RX0000014502,MBR00000397,2021-01-11,2021-01-14,1104717487,1621065199,PLN8092,266237,PCN760,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,95,5,Retail,0,0,0,30.0,4.02,34.02,1.0,31.38,1.64,0.4,0.2833,0,0,0,0,2021-04-11
RX0000014503,MBR00000397,2023-09-11,2023-09-15,1693820917,1793000321,PLN9969,100782,PCN357,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,1,Specialty,0,0,0,12.0,47.88,59.88,7.0,52.88,0.0,0.48,0.34,0,0,0,0,2023-10-11
RX0000014504,MBR00000397,2021-03-14,2021-03-15,1530899604,1137260906,PLN2493,912535,PCN479,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,3,Specialty,0,0,0,370.0,31.04,401.04,39.0,362.04,0.0,14.8,10.4833,0,0,0,0,2021-04-13
RX0000014505,MBR00000397,2021-07-26,2021-07-29,1684293421,1392091016,PLN4203,904876,PCN568,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,81,2,Retail,0,0,0,30.0,7.9,37.9,2.0,33.98,1.92,0.4,0.2833,0,0,0,0,2021-10-24
RX0000014506,MBR00000397,2023-03-29,2023-03-30,1331212655,1532699156,PLN7838,100658,PCN470,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,5,Retail,0,0,0,8.5,3.62,12.12,4.0,7.7,0.42,0.34,0.2408,0,0,0,0,2023-04-28
RX0000014507,MBR00000397,2022-09-01,2022-09-03,1860278048,1524870281,PLN4993,536092,PCN856,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,10,Specialty,3,0,0,40.83,41.29,82.12,32.0,50.12,0.0,7.0,4.9583,0,0,0,0,2022-09-08
RX0000014508,MBR00000397,2021-07-25,2021-07-27,1863984810,1263480204,PLN5034,514035,PCN435,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,93,3,Retail,0,0,0,27.0,4.7,31.7,9.0,21.28,1.42,0.36,0.255,0,0,0,0,2021-10-23
RX0000014509,MBR00000397,2023-04-05,2023-04-08,1207794257,1624094805,PLN9979,774615,PCN610,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,62,3,Mail Order,0,0,0,22.0,2.92,24.92,10.0,13.97,0.95,0.44,0.3117,0,0,0,0,2023-06-04
RX0000014510,MBR00000397,2023-10-17,2023-10-21,1797534320,1650154043,PLN1395,507168,PCN470,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,1,Specialty,0,0,0,10.0,47.7,57.7,3.0,54.7,0.0,0.4,0.2833,0,0,0,0,2023-11-16
RX0000014511,MBR00000397,2021-03-10,2021-03-11,1689359865,1647312442,PLN5603,338537,PCN476,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,96,0,Retail,0,0,0,25.5,4.95,30.45,4.0,24.87,1.58,0.34,0.2408,0,0,0,0,2021-06-08
RX0000014512,MBR00000397,2023-01-22,2023-01-24,1343990282,1844344314,PLN3532,760229,PCN112,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,11,Retail,0,0,0,10.5,4.22,14.72,9.0,4.78,0.94,1.8,1.275,0,0,0,0,2023-01-29
RX0000014513,MBR00000397,2023-10-07,2023-10-11,1320058501,1537555756,PLN2600,775946,PCN372,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,56,10,Retail,0,0,0,15.0,1.72,16.72,2.0,13.98,0.74,0.3,0.2125,0,0,0,0,2023-12-06
RX0000014514,MBR00000397,2023-07-04,2023-07-05,1437373367,1689101363,PLN2004,887100,PCN793,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,92,1,Retail,0,0,0,36.0,6.67,42.67,2.0,38.85,1.82,0.48,0.34,0,0,0,0,2023-10-02
RX0000014515,MBR00000397,2023-11-13,2023-11-14,1360717247,1399506312,PLN9882,217639,PCN799,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,8,Mail Order,0,0,0,10.0,4.75,14.75,0.0,13.91,0.84,0.4,0.2833,0,0,0,0,2023-12-13
RX0000014516,MBR00000397,2021-04-22,2021-04-24,1131675368,1271303120,PLN7969,987122,PCN998,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,9,Mail Order,3,0,0,185.0,2.45,187.45,32.0,148.02,7.43,7.4,5.2417,0,1,1,0,2021-05-22
RX0000014517,MBR00000397,2022-07-24,2022-07-26,1790960934,1553602955,PLN7353,695465,PCN210,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,88,10,Retail,0,0,0,54.0,4.8,58.8,6.0,50.33,2.47,0.72,0.51,0,0,0,0,2022-10-22
RX0000014518,MBR00000397,2023-10-27,2023-10-30,1823897830,1650599389,PLN1435,282493,PCN896,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,5,Retail,0,0,0,12.5,7.73,20.23,10.0,9.5,0.73,0.5,0.3542,0,0,0,0,2023-11-26
RX0000014519,MBR00000397,2021-02-13,2021-02-16,1186543719,1957952034,PLN3644,252919,PCN446,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,96,8,Specialty,0,0,0,22.5,22.27,44.77,1.0,43.77,0.0,0.3,0.2125,0,0,0,0,2021-05-14
RX0000014520,MBR00000397,2022-05-15,2022-05-16,1233119477,1606452010,PLN8533,907681,PCN238,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,64,3,Retail,0,0,0,1900.0,10.02,1910.02,38.0,1800.99,71.03,38.0,26.9167,0,0,0,0,2022-07-14
RX0000014521,MBR00000397,2023-08-22,2023-08-26,1240830627,1516281067,PLN3346,709285,PCN420,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,8,Retail,0,0,0,12.0,4.99,16.99,1.0,15.21,0.78,0.48,0.34,0,0,0,0,2023-09-21
RX0000014522,MBR00000397,2022-12-11,2022-12-13,1276610351,1387769261,PLN6207,359757,PCN624,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,3,Mail Order,1,0,0,8.5,7.24,15.74,7.0,8.0,0.74,0.34,0.2408,1,0,0,0,2023-01-10
RX0000014523,MBR00000397,2021-08-31,2021-09-04,1298831743,1311454688,PLN8403,470178,PCN552,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,3,Retail,0,1,0,24.0,5.19,29.19,152.0,0.0,1.71,0.32,0.2267,0,0,0,0,2021-11-29
RX0000014524,MBR00000397,2022-01-12,2022-01-15,1102600447,1335287895,PLN7988,845169,PCN101,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,6,Mail Order,0,1,0,24.0,11.24,35.24,155.0,0.0,2.45,0.32,0.2267,0,0,0,0,2022-04-12
RX0000014525,MBR00000397,2021-09-23,2021-09-24,1258185531,1207881501,PLN7222,136314,PCN871,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,11,Mail Order,0,0,0,14.0,10.18,24.18,8.0,15.04,1.14,0.56,0.3967,0,0,0,0,2021-10-23
RX0000014526,MBR00000397,2021-06-25,2021-06-29,1618096293,1835377686,PLN8809,426250,PCN485,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,96,8,Retail,0,0,0,25.5,2.78,28.28,7.0,20.3,0.98,0.34,0.2408,0,0,0,0,2021-09-23
RX0000014527,MBR00000398,2023-05-04,2023-05-06,1849314075,1436199110,PLN4704,896416,PCN721,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,10,Retail,0,0,0,18.0,3.91,21.91,7.0,13.94,0.97,0.72,0.51,0,0,0,0,2023-06-03
RX0000014528,MBR00000398,2021-11-28,2021-11-30,1100775984,1189548420,PLN1808,438516,PCN214,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,8,Retail,1,0,0,380.0,3.39,383.39,33.0,326.5,23.89,15.2,10.7667,0,0,0,0,2021-12-28
RX0000014529,MBR00000398,2023-09-26,2023-09-28,1192610013,1323249548,PLN9966,290980,PCN690,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,8,Retail,0,0,0,38.0,2.33,40.33,4.0,34.55,1.78,1.52,1.0767,0,0,0,0,2023-10-26
RX0000014530,MBR00000398,2023-07-05,2023-07-08,1431225430,1953018847,PLN8123,757758,PCN324,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,95,9,LTC,2,0,1,114.0,4.5,118.5,35.0,78.46,5.04,1.52,1.0767,0,0,0,0,2023-10-03
RX0000014531,MBR00000398,2022-07-31,2022-08-03,1429277224,1434118726,PLN6284,539250,PCN540,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,0,Retail,0,0,0,480.0,11.63,491.63,34.0,425.24,32.39,19.2,13.6,0,0,0,0,2022-08-30
RX0000014532,MBR00000398,2021-02-07,2021-02-09,1656142160,1749259630,PLN5363,873234,PCN748,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,1,Retail,0,0,0,310.0,2.37,312.37,33.0,264.23,15.14,12.4,8.7833,0,0,0,0,2021-03-09
RX0000014533,MBR00000398,2023-05-14,2023-05-15,1787288318,1710508933,PLN9250,775223,PCN933,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,3,Retail,0,0,0,65.0,6.75,71.75,40.0,27.77,3.98,2.6,1.8417,1,0,0,0,2023-06-13
RX0000014534,MBR00000398,2021-11-09,2021-11-10,1339829337,1740632146,PLN5436,915729,PCN420,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,1,Specialty,0,0,0,11.0,42.44,53.44,8.0,45.44,0.0,0.44,0.3117,1,0,0,0,2021-12-09
RX0000014535,MBR00000398,2023-03-30,2023-04-03,1940932959,1191172479,PLN9803,369996,PCN176,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,8,Mail Order,0,0,0,950.0,5.92,955.92,35.0,877.52,43.4,38.0,26.9167,0,0,0,0,2023-04-29
RX0000014536,MBR00000398,2021-10-05,2021-10-09,1280810374,1111606819,PLN9291,224861,PCN230,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,88,8,Retail,0,0,0,66.0,8.15,74.15,67.0,2.01,5.14,0.88,0.6233,0,0,0,0,2022-01-03
RX0000014537,MBR00000398,2021-11-04,2021-11-08,1302077437,1272094330,PLN6142,785489,PCN105,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,6,Retail,0,0,0,22.0,6.09,28.09,75.0,0.0,1.55,0.88,0.6233,0,0,0,0,2021-12-04
RX0000014538,MBR00000398,2021-02-01,2021-02-05,1564702696,1768653373,PLN8867,309973,PCN569,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,10,Retail,0,0,0,10.0,10.76,20.76,3.0,16.66,1.1,0.4,0.2833,0,0,0,0,2021-03-03
RX0000014539,MBR00000398,2022-09-22,2022-09-26,1721800776,1952215251,PLN7995,708665,PCN683,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,1,Retail,0,0,1,7.5,7.76,15.26,5.0,9.69,0.57,0.3,0.2125,0,0,0,0,2022-10-22
RX0000014540,MBR00000398,2023-09-15,2023-09-19,1370620106,1168744653,PLN2579,127228,PCN497,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,8,Retail,0,0,0,310.0,4.17,314.17,31.0,265.42,17.75,12.4,8.7833,0,0,0,0,2023-10-15
RX0000014541,MBR00000398,2022-04-14,2022-04-17,1568864429,1863428434,PLN9061,116232,PCN967,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,8,Retail,0,0,0,3.73,2.23,5.97,3.0,2.67,0.3,0.64,0.4533,1,0,0,0,2022-04-21
RX0000014542,MBR00000398,2022-12-31,2023-01-01,1153082034,1193147886,PLN8080,410692,PCN938,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,61,6,LTC,0,0,0,32.0,3.11,35.11,3.0,30.16,1.95,0.64,0.4533,0,0,0,0,2023-03-01
RX0000014543,MBR00000398,2022-04-26,2022-04-27,1154196106,1176668821,PLN7808,749224,PCN870,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,11,Retail,0,0,0,320.0,7.88,327.88,40.0,267.01,20.87,12.8,9.0667,0,0,0,0,2022-05-26
RX0000014544,MBR00000398,2022-10-22,2022-10-26,1868214850,1603670880,PLN1402,966336,PCN861,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,4,Specialty,0,0,0,14.0,40.75,54.75,6.0,48.75,0.0,0.56,0.3967,0,0,0,0,2022-11-21
RX0000014545,MBR00000398,2022-03-28,2022-04-01,1320848535,1833248615,PLN4319,190349,PCN449,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,54,9,Retail,0,0,0,20.0,8.14,28.14,10.0,16.63,1.51,0.4,0.2833,0,0,0,0,2022-05-27
RX0000014546,MBR00000398,2021-03-28,2021-03-31,1225978912,1587763653,PLN4551,982396,PCN312,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,6,Retail,0,0,0,38.0,9.03,47.03,31.0,13.56,2.47,1.52,1.0767,0,0,0,0,2021-04-27
RX0000014547,MBR00000398,2021-09-26,2021-09-29,1758239576,1180723182,PLN9082,469897,PCN110,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,3,Retail,0,0,0,310.0,8.06,318.06,30.0,268.04,20.02,12.4,8.7833,0,0,0,0,2021-10-26
RX0000014548,MBR00000398,2021-12-27,2021-12-29,1482063440,1190407745,PLN7403,868609,PCN637,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,64,5,Mail Order,1,0,0,20.0,5.18,25.18,6.0,17.64,1.54,0.4,0.2833,0,0,0,0,2022-02-25
RX0000014549,MBR00000398,2023-08-27,2023-08-28,1656483490,1403399035,PLN5457,543637,PCN792,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,7,Mail Order,0,0,0,9.0,7.03,16.03,5.0,9.98,1.05,0.36,0.255,0,0,0,0,2023-09-26
RX0000014550,MBR00000398,2021-03-13,2021-03-17,1440436679,1419486479,PLN1343,574590,PCN718,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,6,Retail,0,0,0,9.0,5.53,14.53,4.0,9.85,0.68,0.36,0.255,0,0,0,0,2021-04-12
RX0000014551,MBR00000398,2021-09-29,2021-10-01,1299070888,1522803082,PLN1611,355429,PCN475,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,1,Retail,0,0,1,18.0,2.27,20.27,38.0,0.0,0.9,0.72,0.51,0,0,0,0,2021-10-29
RX0000014552,MBR00000398,2021-09-18,2021-09-22,1527441693,1530627014,PLN1616,175720,PCN560,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,65,2,Retail,0,0,0,24.0,8.51,32.51,9.0,22.03,1.48,0.48,0.34,0,0,0,0,2021-11-17
RX0000014553,MBR00000398,2022-12-04,2022-12-05,1180575205,1892553506,PLN3293,250827,PCN406,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,11,Retail,0,1,0,12.0,4.22,16.22,146.0,0.0,0.65,0.48,0.34,1,0,0,0,2023-01-03
RX0000014554,MBR00000398,2022-10-27,2022-10-31,1123542351,1285660172,PLN4294,531657,PCN727,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,10,Retail,0,0,0,16.0,9.42,25.42,6.0,17.95,1.47,0.64,0.4533,0,0,0,0,2022-11-26
RX0000014555,MBR00000398,2023-04-20,2023-04-23,1792122241,1407481434,PLN5840,429741,PCN617,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,0,Retail,0,0,0,12.0,8.28,20.28,7.0,11.95,1.33,0.48,0.34,0,0,0,0,2023-05-20
RX0000014556,MBR00000398,2021-03-18,2021-03-21,1465158650,1310353115,PLN9474,948079,PCN658,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,7,Retail,0,0,0,2.1,2.86,4.96,0.0,4.66,0.3,0.36,0.255,1,0,0,0,2021-03-25
RX0000014557,MBR00000399,2021-11-19,2021-11-20,1969596858,1813426415,PLN6519,928346,PCN642,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,7,Mail Order,0,0,0,14.0,4.08,18.08,7.0,10.09,0.99,0.56,0.3967,0,0,0,0,2021-12-19
RX0000014558,MBR00000399,2022-10-13,2022-10-17,1816330831,1855879223,PLN5366,436664,PCN834,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,10,Specialty,2,0,0,650.0,47.53,697.53,40.0,657.53,0.0,26.0,18.4167,0,0,0,0,2022-11-12
RX0000014559,MBR00000399,2021-09-06,2021-09-09,1772616248,1949073278,PLN6927,334657,PCN138,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,87,1,Retail,0,0,0,45.0,7.72,52.72,8.0,42.06,2.66,0.6,0.425,0,0,0,0,2021-12-05
RX0000014560,MBR00000399,2021-12-05,2021-12-07,1456200436,1838502620,PLN9184,683775,PCN184,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,2,Retail,0,0,0,14.0,7.56,21.56,10.0,10.33,1.23,0.56,0.3967,0,0,0,0,2022-01-04
RX0000014561,MBR00000399,2023-12-07,2023-12-09,1856692779,1725214768,PLN6719,378816,PCN784,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,9,Retail,0,0,0,11.0,7.21,18.21,8.0,9.11,1.1,0.44,0.3117,0,0,0,0,2024-01-06
RX0000014562,MBR00000399,2022-08-28,2022-08-29,1854340683,1832735477,PLN9400,836843,PCN889,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,11,Mail Order,0,0,0,18.0,6.85,24.85,4.0,19.69,1.16,0.72,0.51,0,1,0,0,2022-09-27
RX0000014563,MBR00000399,2021-12-04,2021-12-06,1893197327,1900385965,PLN9128,947793,PCN730,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,9,Retail,0,0,0,320.0,4.33,324.33,32.0,270.27,22.06,12.8,9.0667,0,0,0,0,2022-01-03
RX0000014564,MBR00000399,2021-01-21,2021-01-23,1255189006,1281269574,PLN2514,833101,PCN815,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,63,2,Specialty,3,1,0,5600.0,41.11,5641.11,145.0,5496.11,0.0,112.0,79.3333,0,0,0,0,2021-03-22
RX0000014565,MBR00000399,2023-11-20,2023-11-21,1818255065,1131483118,PLN9267,695359,PCN553,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,4,Retail,0,0,0,310.0,7.98,317.98,35.0,268.64,14.34,12.4,8.7833,0,0,0,0,2023-12-20
RX0000014566,MBR00000399,2021-02-02,2021-02-04,1905703737,1497314254,PLN2785,591077,PCN304,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,10,Retail,0,0,0,12.0,7.84,19.84,0.0,18.98,0.86,0.48,0.34,0,0,0,0,2021-03-04
RX0000014567,MBR00000399,2022-08-25,2022-08-29,1715425259,1451966480,PLN3119,180029,PCN329,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,54,2,Mail Order,0,0,0,740.0,2.03,742.03,38.0,668.22,35.81,14.8,10.4833,1,0,0,0,2022-10-24
RX0000014568,MBR00000399,2022-08-05,2022-08-08,1971825447,1108273910,PLN8935,181264,PCN243,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,4,Retail,0,0,0,320.0,9.15,329.15,36.0,280.11,13.04,12.8,9.0667,0,0,0,0,2022-09-04
RX0000014569,MBR00000399,2022-03-27,2022-03-31,1670760842,1506220844,PLN4407,666341,PCN491,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,8,Mail Order,0,0,0,12.0,7.58,19.58,6.0,12.72,0.86,0.48,0.34,0,0,0,0,2022-04-26
RX0000014570,MBR00000399,2023-02-18,2023-02-20,1950752575,1868673448,PLN8485,373068,PCN117,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,84,5,Retail,0,0,0,54.0,8.24,62.24,1.0,57.84,3.4,0.72,0.51,0,0,0,0,2023-05-19
RX0000014571,MBR00000399,2022-12-18,2022-12-19,1418359576,1208530310,PLN6839,249962,PCN795,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,54,10,Retail,0,0,0,36.0,11.73,47.73,33.0,12.81,1.92,0.72,0.51,0,0,0,0,2023-02-16
RX0000014572,MBR00000399,2022-05-30,2022-06-03,1278898682,1114767017,PLN3168,293084,PCN235,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,10,Retail,0,0,0,18.0,1.95,19.95,7.0,11.77,1.18,0.72,0.51,0,0,0,0,2022-06-29
RX0000014573,MBR00000399,2023-07-02,2023-07-03,1253239736,1111951339,PLN3332,877566,PCN243,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,1,Retail,0,1,0,2800.0,5.31,2805.31,155.0,2511.94,138.37,112.0,79.3333,0,0,0,0,2023-08-01
RX0000014574,MBR00000399,2023-04-14,2023-04-15,1308698453,1942961483,PLN9542,140351,PCN835,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,10,Mail Order,0,0,0,750.0,9.98,759.98,40.0,675.71,44.27,30.0,21.25,0,0,0,0,2023-05-14
RX0000014575,MBR00000399,2022-09-02,2022-09-05,1317931805,1729861132,PLN6745,769125,PCN105,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,2,Specialty,0,0,0,10.0,14.65,24.65,0.0,24.65,0.0,0.4,0.2833,0,0,0,0,2022-10-02
RX0000014576,MBR00000399,2021-10-01,2021-10-03,1470635895,1581699627,PLN8130,120290,PCN391,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,65,11,Retail,1,0,0,570.0,3.44,573.44,36.0,508.99,28.45,11.4,8.075,0,0,0,0,2021-11-30
RX0000014577,MBR00000399,2021-12-17,2021-12-18,1368443276,1717657875,PLN3750,414081,PCN239,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,89,8,Mail Order,0,1,0,25500.0,6.6,25506.6,154.0,24471.01,881.59,340.0,240.8333,0,0,0,0,2022-03-17
RX0000014578,MBR00000399,2021-04-21,2021-04-25,1386812687,1123539492,PLN2120,315020,PCN251,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,61,0,Retail,2,0,0,15.0,3.68,18.68,4.0,13.59,1.09,0.3,0.2125,0,0,0,0,2021-06-20
RX0000014579,MBR00000399,2021-04-27,2021-04-29,1525730922,1865725439,PLN4759,419538,PCN905,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,8,Mail Order,0,0,0,22.0,3.82,25.82,5.0,19.38,1.44,0.88,0.6233,0,0,0,0,2021-05-27
RX0000014580,MBR00000399,2021-03-16,2021-03-20,1691693248,1255995696,PLN7316,809960,PCN983,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,0,Retail,0,0,0,11.0,9.54,20.54,8.0,11.88,0.66,0.44,0.3117,0,0,0,0,2021-04-15
RX0000014581,MBR00000399,2021-09-01,2021-09-03,1847938909,1338953529,PLN7267,848911,PCN620,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,84,5,Retail,0,1,0,8400.0,5.58,8405.58,152.0,7679.96,573.62,112.0,79.3333,0,0,0,0,2021-11-30
RX0000014582,MBR00000399,2022-12-29,2022-12-30,1897221775,1958571302,PLN1811,641193,PCN418,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,88,0,Specialty,0,0,0,36.0,26.13,62.13,0.0,62.13,0.0,0.48,0.34,0,0,0,0,2023-03-29
RX0000014583,MBR00000399,2023-07-15,2023-07-18,1959895887,1656745657,PLN1503,877114,PCN686,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,6,Retail,1,0,0,10.0,8.53,18.53,10.0,7.53,1.0,0.4,0.2833,0,0,0,0,2023-08-14
RX0000014584,MBR00000399,2023-02-12,2023-02-15,1278564706,1624358360,PLN1754,226597,PCN131,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,1,Retail,0,0,0,480.0,6.58,486.58,36.0,422.01,28.57,19.2,13.6,0,0,0,0,2023-03-14
RX0000014585,MBR00000399,2022-03-28,2022-03-29,1247680202,1303296781,PLN3083,174100,PCN493,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,5,Mail Order,0,0,0,18.0,8.52,26.52,9.0,16.3,1.22,0.72,0.51,0,0,0,0,2022-04-27
RX0000014586,MBR00000399,2023-08-15,2023-08-19,1610602319,1416934227,PLN6306,114936,PCN496,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,0,Retail,0,0,0,10.0,2.83,12.83,7.0,5.12,0.71,0.4,0.2833,0,0,0,0,2023-09-14
RX0000014587,MBR00000399,2023-05-19,2023-05-22,1140372685,1437232806,PLN4667,468924,PCN946,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,0,Retail,0,0,0,175.0,3.8,178.8,35.0,136.71,7.09,7.0,4.9583,0,0,0,0,2023-06-18
RX0000014588,MBR00000399,2022-03-16,2022-03-17,1911607301,1948977473,PLN6030,580485,PCN678,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,90,6,Retail,0,0,0,30.0,10.5,40.5,7.0,31.97,1.53,0.4,0.2833,1,0,0,0,2022-06-14
RX0000014589,MBR00000399,2023-03-03,2023-03-05,1868892708,1202282878,PLN4761,932129,PCN257,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,8,Specialty,0,0,0,12.0,17.15,29.15,0.0,29.15,0.0,0.48,0.34,0,1,0,0,2023-04-02
RX0000014590,MBR00000399,2022-11-26,2022-11-29,1737850838,1314452486,PLN8017,304229,PCN276,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,97,7,Mail Order,0,0,0,42.0,10.28,52.28,10.0,40.5,1.78,0.56,0.3967,0,0,0,0,2023-02-24
RX0000014591,MBR00000399,2022-08-03,2022-08-07,1570670916,1521567721,PLN1329,775571,PCN801,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,2,Retail,0,0,0,14.0,7.58,21.58,4.0,16.67,0.91,0.56,0.3967,0,0,0,0,2022-09-02
RX0000014592,MBR00000399,2021-07-13,2021-07-16,1497761058,1170594043,PLN4901,845237,PCN452,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,81,7,Retail,0,0,0,990.0,7.94,997.94,38.0,905.17,54.77,13.2,9.35,0,0,0,0,2021-10-11
RX0000014593,MBR00000399,2022-03-06,2022-03-09,1552413311,1911837833,PLN6426,416915,PCN246,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,5,Mail Order,0,0,0,7.5,2.58,10.08,7.0,2.74,0.34,0.3,0.2125,0,0,0,0,2022-04-05
RX0000014594,MBR00000399,2023-04-20,2023-04-22,1217834123,1662012605,PLN3645,328184,PCN987,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,6,Retail,0,0,0,750.0,5.54,755.54,39.0,673.71,42.83,30.0,21.25,0,0,0,0,2023-05-20
RX0000014595,MBR00000399,2022-08-16,2022-08-19,1972560438,1736588882,PLN7711,141698,PCN761,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,82,10,Retail,0,1,0,36.0,5.8,41.8,147.0,0.0,2.48,0.48,0.34,0,0,0,0,2022-11-14
RX0000014596,MBR00000399,2021-06-30,2021-07-03,1741066543,1843172374,PLN9822,680415,PCN750,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,55,11,Retail,0,0,0,90.0,4.7,94.7,8.0,83.02,3.68,1.8,1.275,0,0,0,0,2021-08-29
RX0000014597,MBR00000399,2023-01-29,2023-01-31,1409913555,1756421692,PLN6811,650671,PCN303,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,1,Mail Order,0,0,0,9.0,3.83,12.83,3.0,9.13,0.7,0.36,0.255,0,0,0,0,2023-02-28
RX0000014598,MBR00000399,2021-03-20,2021-03-24,1461763474,1144677712,PLN6537,413366,PCN934,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,87,9,Mail Order,0,0,0,114.0,6.78,120.78,9.0,106.84,4.94,1.52,1.0767,0,0,0,0,2021-06-18
RX0000014599,MBR00000399,2022-11-20,2022-11-21,1474194608,1600972907,PLN9294,578335,PCN199,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,8,Retail,1,0,0,18.0,2.8,20.8,5.0,14.47,1.33,0.72,0.51,0,0,0,0,2022-12-20
RX0000014600,MBR00000400,2021-03-29,2021-03-30,1250483654,1302564542,PLN2006,486305,PCN209,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,11,Retail,0,0,0,22.0,8.28,30.28,3.0,26.22,1.06,0.88,0.6233,0,0,0,0,2021-04-28
RX0000014601,MBR00000400,2022-06-19,2022-06-21,1242615374,1641250104,PLN4530,821552,PCN776,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,4,Mail Order,0,0,0,15.0,9.82,24.82,4.0,19.81,1.01,0.6,0.425,0,0,0,0,2022-07-19
RX0000014602,MBR00000400,2021-09-08,2021-09-09,1938210259,1871056326,PLN9102,875778,PCN268,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,10,Retail,0,0,0,480.0,7.67,487.67,32.0,424.74,30.93,19.2,13.6,0,0,0,0,2021-10-08
RX0000014603,MBR00000400,2021-02-02,2021-02-06,1463604521,1340651729,PLN1243,264603,PCN713,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,8,Retail,0,0,0,1.75,6.75,8.5,3.0,4.99,0.51,0.3,0.2125,0,0,0,0,2021-02-09
RX0000014604,MBR00000400,2022-12-08,2022-12-12,1121051867,1386114246,PLN1290,892340,PCN979,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,5,Retail,0,0,0,18.0,2.27,20.27,0.0,18.97,1.3,0.72,0.51,0,0,0,0,2023-01-07
RX0000014605,MBR00000400,2022-05-31,2022-06-02,1923572151,1521842357,PLN9134,715594,PCN189,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,61,5,Retail,0,0,0,20.0,8.46,28.46,9.0,18.02,1.44,0.4,0.2833,0,0,0,0,2022-07-30
RX0000014606,MBR00000400,2021-01-01,2021-01-05,1753394797,1762743692,PLN4183,562920,PCN585,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,11,Mail Order,1,0,0,22.0,5.13,27.13,72.0,0.0,1.22,0.88,0.6233,0,0,0,0,2021-01-31
RX0000014607,MBR00000400,2023-08-08,2023-08-09,1875605869,1946239067,PLN3355,256910,PCN299,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,5,Retail,0,0,0,310.0,10.96,320.96,31.0,279.24,10.72,12.4,8.7833,0,0,0,0,2023-09-07
RX0000014608,MBR00000400,2023-04-02,2023-04-06,1515650756,1494968102,PLN2690,121480,PCN869,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,92,11,Retail,0,0,0,960.0,2.18,962.18,34.0,860.85,67.33,12.8,9.0667,0,0,0,0,2023-07-01
RX0000014609,MBR00000400,2022-10-09,2022-10-13,1791714197,1293377635,PLN3040,245919,PCN620,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,2,Specialty,0,0,0,370.0,49.45,419.45,30.0,389.45,0.0,14.8,10.4833,1,0,0,0,2022-11-08
RX0000014610,MBR00000400,2023-06-02,2023-06-05,1790299677,1498538553,PLN2495,709978,PCN447,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,11,Retail,2,0,0,10.0,3.48,13.48,7.0,5.7,0.78,0.4,0.2833,0,1,0,0,2023-07-02
RX0000014611,MBR00000400,2022-04-06,2022-04-07,1725980502,1956555838,PLN5583,453118,PCN425,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,8,Mail Order,0,0,0,11.0,1.78,12.78,3.0,9.2,0.58,0.44,0.3117,0,0,0,0,2022-05-06
RX0000014612,MBR00000400,2021-06-19,2021-06-21,1299601070,1357673893,PLN1502,241426,PCN454,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,11,Retail,0,0,0,9.0,2.43,11.43,0.0,10.96,0.47,0.36,0.255,0,0,0,0,2021-07-19
RX0000014613,MBR00000400,2022-04-29,2022-05-02,1245910385,1844736934,PLN2223,266540,PCN390,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,60,4,Retail,0,0,0,130.0,7.81,137.81,33.0,95.26,9.55,2.6,1.8417,0,0,0,0,2022-06-28
RX0000014614,MBR00000400,2023-12-13,2023-12-14,1605342470,1851718410,PLN2277,810419,PCN452,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,8,Retail,0,0,0,480.0,10.13,490.13,40.0,421.91,28.22,19.2,13.6,0,0,0,0,2024-01-12
RX0000014615,MBR00000400,2023-08-01,2023-08-04,1702035507,1856833270,PLN8387,174832,PCN586,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,2,Retail,0,0,0,2.1,1.71,3.81,3.0,0.64,0.17,0.36,0.255,0,0,0,0,2023-08-08
RX0000014616,MBR00000400,2022-01-10,2022-01-14,1334640387,1343670570,PLN8497,931735,PCN639,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,63,6,Retail,0,0,0,36.0,10.95,46.95,7.0,37.12,2.83,0.72,0.51,0,0,0,0,2022-03-11
RX0000014617,MBR00000400,2021-04-07,2021-04-11,1781147473,1540576283,PLN6973,810362,PCN650,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,1,Retail,0,0,0,10.0,10.33,20.33,7.0,12.32,1.01,0.4,0.2833,0,0,0,0,2021-05-07
RX0000014618,MBR00000400,2022-04-05,2022-04-09,1312120196,1350632179,PLN8156,440877,PCN301,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,96,5,Retail,1,0,0,30.0,4.33,34.33,5.0,28.14,1.19,0.4,0.2833,0,0,0,0,2022-07-04
RX0000014619,MBR00000400,2022-12-08,2022-12-12,1262562910,1141689208,PLN9808,874028,PCN708,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,9,Retail,0,0,0,320.0,9.78,329.78,40.0,266.78,23.0,12.8,9.0667,0,0,0,0,2023-01-07
RX0000014620,MBR00000400,2021-12-04,2021-12-08,1538983077,1153955611,PLN1235,202522,PCN357,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,9,Mail Order,0,0,0,185.0,6.61,191.61,34.0,150.45,7.16,7.4,5.2417,0,0,0,0,2022-01-03
RX0000014621,MBR00000400,2023-11-09,2023-11-11,1458444162,1553930225,PLN4771,668296,PCN217,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,1,Retail,0,0,0,15.0,11.89,26.89,9.0,16.31,1.58,0.6,0.425,0,0,0,0,2023-12-09
RX0000014622,MBR00000400,2022-06-29,2022-07-02,1296202103,1409944953,PLN3299,737204,PCN591,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,88,5,Retail,0,0,0,2250.0,5.17,2255.17,30.0,2074.04,151.13,30.0,21.25,0,0,0,0,2022-09-27
RX0000014623,MBR00000400,2023-08-12,2023-08-13,1821069881,1391879065,PLN1247,807429,PCN162,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,62,7,Specialty,0,0,0,660.0,18.61,678.61,36.0,642.61,0.0,13.2,9.35,0,0,0,0,2023-10-11
RX0000014624,MBR00000400,2021-03-12,2021-03-15,1635468997,1473072086,PLN2806,776626,PCN246,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,98,8,Retail,0,0,0,66.0,3.91,69.91,71.0,0.0,4.37,0.88,0.6233,0,0,0,0,2021-06-10
RX0000014625,MBR00000400,2023-05-07,2023-05-08,1614755749,1713314390,PLN9509,978446,PCN472,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,4,Retail,0,0,0,330.0,6.05,336.05,40.0,280.72,15.33,13.2,9.35,0,0,0,0,2023-06-06
RX0000014626,MBR00000400,2022-10-07,2022-10-10,1869355849,1601697499,PLN1177,419141,PCN533,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,7,Mail Order,0,1,0,6200.0,8.61,6208.61,153.0,5718.76,336.85,248.0,175.6667,1,0,0,0,2022-11-06
RX0000014627,MBR00000400,2023-04-11,2023-04-13,1277941175,1475966243,PLN8403,775453,PCN641,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,87,2,Mail Order,0,0,0,1110.0,2.37,1112.37,36.0,1000.26,76.11,14.8,10.4833,0,0,0,0,2023-07-10
RX0000014628,MBR00000400,2022-07-31,2022-08-03,1243710755,1322153820,PLN2894,611965,PCN567,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,90,6,Retail,0,0,0,1140.0,2.73,1142.73,36.0,1041.71,65.02,15.2,10.7667,0,0,0,0,2022-10-29
RX0000014629,MBR00000400,2022-08-10,2022-08-14,1658362737,1153006147,PLN9697,381190,PCN984,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,91,1,Retail,2,0,0,135.0,10.71,145.71,6.0,134.77,4.94,1.8,1.275,0,0,0,0,2022-11-08
RX0000014630,MBR00000400,2023-03-14,2023-03-17,1658874100,1901760737,PLN6317,739787,PCN676,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,2,Retail,0,0,0,175.0,8.02,183.02,32.0,141.48,9.54,7.0,4.9583,0,0,0,0,2023-04-13
RX0000014631,MBR00000400,2022-07-03,2022-07-05,1659275090,1751360717,PLN1884,154162,PCN803,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,9,Retail,0,0,0,28.0,11.09,39.09,8.0,29.23,1.86,1.12,0.7933,0,0,0,0,2022-08-02
RX0000014632,MBR00000400,2023-03-17,2023-03-20,1292078450,1495479169,PLN8381,918384,PCN462,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,1,Retail,3,0,0,10.0,2.68,12.68,10.0,2.18,0.5,0.4,0.2833,0,0,0,0,2023-04-16
RX0000014633,MBR00000400,2023-11-23,2023-11-26,1970111139,1722233721,PLN7983,436804,PCN435,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,4,Specialty,0,0,0,8.5,24.51,33.01,4.0,29.01,0.0,0.34,0.2408,0,0,0,0,2023-12-23
RX0000014634,MBR00000400,2021-12-27,2021-12-28,1937531344,1205158223,PLN5486,117697,PCN891,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,2,Retail,0,0,0,18.0,2.56,20.56,34.0,0.0,0.82,0.72,0.51,0,0,0,0,2022-01-26
RX0000014635,MBR00000400,2023-12-11,2023-12-13,1526366933,1559027835,PLN9728,572456,PCN836,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,6,Retail,2,0,0,45.0,7.38,52.38,2.0,48.15,2.23,1.8,1.275,1,0,0,0,2024-01-10
RX0000014636,MBR00000400,2023-01-25,2023-01-27,1260207352,1939978580,PLN7337,652619,PCN526,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,62,5,Retail,0,0,0,28.0,8.1,36.1,8.0,25.64,2.46,0.56,0.3967,0,0,0,0,2023-03-26
RX0000014637,MBR00000400,2023-05-02,2023-05-03,1394276551,1620432886,PLN2705,444902,PCN158,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,3,Retail,0,0,0,175.0,8.23,183.23,39.0,135.17,9.06,7.0,4.9583,0,0,0,0,2023-06-01
RX0000014638,MBR00000400,2021-05-07,2021-05-11,1785753986,1573609760,PLN7819,151114,PCN559,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,8,Specialty,0,0,0,11.0,24.92,35.92,8.0,27.92,0.0,0.44,0.3117,0,0,0,0,2021-06-06
RX0000014639,MBR00000400,2022-12-07,2022-12-10,1490921902,1299916129,PLN5847,660528,PCN435,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,8,Retail,3,1,0,8500.0,1.76,8501.76,150.0,7946.4,405.36,340.0,240.8333,1,0,0,0,2023-01-06
RX0000014640,MBR00000400,2021-09-23,2021-09-25,1123293096,1871491817,PLN2024,305536,PCN817,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,65,9,Retail,0,0,0,570.0,5.8,575.8,37.0,512.8,26.0,11.4,8.075,0,0,0,0,2021-11-22
RX0000014641,MBR00000400,2023-06-12,2023-06-15,1157617204,1145377779,PLN6291,984497,PCN623,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,54,5,Retail,0,0,0,36.0,8.09,44.09,8.0,34.35,1.74,0.72,0.51,0,0,0,0,2023-08-11
RX0000014642,MBR00000400,2021-07-28,2021-07-29,1424907053,1696319017,PLN7621,951733,PCN591,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,7,Retail,0,1,0,2800.0,7.08,2807.08,148.0,2542.37,116.71,112.0,79.3333,0,0,0,0,2021-08-27
RX0000014643,MBR00000400,2021-06-08,2021-06-09,1268382567,1578417402,PLN4096,548741,PCN744,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,10,LTC,0,0,1,9.0,9.98,18.98,3.0,15.22,0.76,0.36,0.255,0,0,0,0,2021-07-08
RX0000014644,MBR00000400,2023-06-05,2023-06-09,1938885880,1147305526,PLN6207,661132,PCN269,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,81,8,Mail Order,3,1,0,25500.0,2.81,25502.81,153.0,24463.6,886.21,340.0,240.8333,0,0,0,0,2023-09-03
RX0000014645,MBR00000400,2023-03-13,2023-03-17,1211234920,1157078975,PLN6348,280884,PCN793,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,83,11,Retail,0,0,0,114.0,10.19,124.19,33.0,85.23,5.96,1.52,1.0767,0,0,0,0,2023-06-11
RX0000014646,MBR00000400,2021-04-25,2021-04-28,1978810620,1776543425,PLN6033,620860,PCN602,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,7,Retail,1,0,0,12.5,7.27,19.77,7.0,11.91,0.86,0.5,0.3542,0,0,0,0,2021-05-25
RX0000014647,MBR00000400,2022-01-06,2022-01-07,1100309846,1399710289,PLN7983,300602,PCN439,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,88,7,Retail,0,0,0,45.0,8.45,53.45,7.0,43.37,3.08,0.6,0.425,0,1,0,0,2022-04-06
RX0000014648,MBR00000400,2023-04-10,2023-04-14,1714910592,1201651254,PLN7865,572495,PCN566,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,86,10,Retail,0,0,0,525.0,5.72,530.72,31.0,474.37,25.35,7.0,4.9583,0,0,0,0,2023-07-09
RX0000014649,MBR00000400,2021-05-10,2021-05-12,1889946044,1350686032,PLN3010,756930,PCN844,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,83,4,Retail,1,1,0,25500.0,7.43,25507.43,153.0,24130.67,1223.76,340.0,240.8333,0,0,0,0,2021-08-08
RX0000014650,MBR00000401,2023-08-07,2023-08-11,1764217437,1612904508,PLN5820,156531,PCN631,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,7,Retail,0,0,0,650.0,10.32,660.32,33.0,606.14,21.18,26.0,18.4167,0,0,0,0,2023-09-06
RX0000014651,MBR00000401,2022-11-07,2022-11-08,1320259217,1310954906,PLN8349,283098,PCN499,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,7,Retail,0,0,0,12.5,11.78,24.28,5.0,18.04,1.24,0.5,0.3542,0,0,0,0,2022-12-07
RX0000014652,MBR00000401,2021-09-18,2021-09-19,1426729726,1676271558,PLN3924,624418,PCN832,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,81,11,Retail,0,0,0,84.0,7.0,91.0,7.0,80.6,3.4,1.12,0.7933,0,0,0,0,2021-12-17
RX0000014653,MBR00000401,2022-04-09,2022-04-10,1653649022,1534367821,PLN1673,116342,PCN156,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,1,Retail,0,1,0,8500.0,10.54,8510.54,154.0,7905.89,450.65,340.0,240.8333,0,0,0,0,2022-05-09
RX0000014654,MBR00000401,2021-04-08,2021-04-12,1824143891,1734411568,PLN9711,547399,PCN670,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,64,7,Retail,0,0,1,15.0,9.03,24.03,6.0,17.17,0.86,0.3,0.2125,0,0,0,0,2021-06-07
RX0000014655,MBR00000401,2021-11-16,2021-11-20,1601953475,1545904560,PLN2184,773652,PCN892,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,11,Retail,0,1,0,2800.0,7.43,2807.43,146.0,2574.0,87.43,112.0,79.3333,0,0,0,0,2021-12-16
RX0000014656,MBR00000401,2021-01-19,2021-01-22,1539808224,1285049250,PLN9714,580288,PCN327,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,7,Specialty,0,0,0,10.0,35.07,45.07,1.0,44.07,0.0,0.4,0.2833,0,0,0,0,2021-02-18
RX0000014657,MBR00000401,2022-10-14,2022-10-17,1156817461,1703422105,PLN1271,415346,PCN865,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,94,10,Retail,0,0,0,30.0,5.45,35.45,3.0,30.3,2.15,0.4,0.2833,0,0,0,0,2023-01-12
RX0000014658,MBR00000401,2022-03-02,2022-03-03,1742518898,1748285500,PLN6409,514583,PCN953,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,0,Retail,0,0,0,88.67,2.41,91.07,37.0,48.61,5.46,15.2,10.7667,0,0,0,0,2022-03-09
RX0000014659,MBR00000401,2022-05-17,2022-05-19,1411730117,1791799191,PLN1675,927478,PCN361,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,7,Retail,0,0,0,3.27,1.74,5.01,2.0,2.68,0.33,0.56,0.3967,0,0,0,0,2022-05-24
RX0000014660,MBR00000401,2022-12-17,2022-12-18,1818362209,1125469720,PLN3978,159937,PCN254,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,11,Retail,0,0,0,15.0,5.79,20.79,6.0,13.83,0.96,0.6,0.425,1,0,0,0,2023-01-16
RX0000014661,MBR00000401,2021-01-21,2021-01-23,1834326461,1794323918,PLN8172,338257,PCN579,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,63,11,Mail Order,0,0,1,960.0,3.25,963.25,38.0,868.69,56.56,19.2,13.6,0,0,0,0,2021-03-22
RX0000014662,MBR00000401,2021-12-30,2021-12-31,1788858915,1746653061,PLN7557,290859,PCN140,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,1,Retail,0,0,0,12.5,10.15,22.65,1.0,20.86,0.79,0.5,0.3542,0,0,0,0,2022-01-29
RX0000014663,MBR00000401,2022-04-01,2022-04-04,1628561966,1215563114,PLN1004,423306,PCN146,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,81,2,Retail,0,0,0,555.0,11.73,566.73,30.0,515.96,20.77,7.4,5.2417,0,0,0,0,2022-06-30
RX0000014664,MBR00000401,2023-08-14,2023-08-15,1843715389,1559596731,PLN4284,181448,PCN631,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,2,Retail,0,0,0,320.0,10.82,330.82,39.0,274.48,17.34,12.8,9.0667,0,0,0,0,2023-09-13
RX0000014665,MBR00000401,2022-07-02,2022-07-06,1511583411,1108669614,PLN8755,628973,PCN881,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,3,Retail,1,0,0,15.0,10.13,25.13,6.0,17.92,1.21,0.6,0.425,0,0,0,0,2022-08-01
RX0000014666,MBR00000402,2023-03-16,2023-03-19,1562286946,1433060507,PLN9470,584429,PCN434,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,88,9,Retail,0,0,0,54.0,3.58,57.58,36.0,19.46,2.12,0.72,0.51,0,0,0,0,2023-06-14
RX0000014667,MBR00000402,2023-11-01,2023-11-05,1217092239,1212949127,PLN7867,384554,PCN835,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,83,7,Retail,0,0,0,30.0,1.56,31.56,10.0,19.7,1.86,0.4,0.2833,0,0,0,0,2024-01-30
RX0000014668,MBR00000402,2023-11-07,2023-11-10,1389628053,1237041713,PLN2027,695707,PCN598,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,10,Mail Order,0,1,0,2800.0,2.31,2802.31,152.0,2492.97,157.34,112.0,79.3333,0,0,0,0,2023-12-07
RX0000014669,MBR00000402,2021-05-12,2021-05-13,1819247964,1667477869,PLN4711,385580,PCN920,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,10,Retail,0,0,0,175.0,2.81,177.81,38.0,129.36,10.45,7.0,4.9583,0,0,0,0,2021-06-11
RX0000014670,MBR00000402,2023-09-20,2023-09-22,1540694652,1546759270,PLN4492,854166,PCN707,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,9,Retail,0,0,0,18.0,9.42,27.42,5.0,21.05,1.37,0.72,0.51,0,0,0,0,2023-10-20
RX0000014671,MBR00000402,2021-08-07,2021-08-09,1265936226,1878551068,PLN7382,795979,PCN407,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,1,Retail,0,0,0,45.0,9.6,54.6,10.0,41.25,3.35,1.8,1.275,0,0,0,0,2021-09-06
RX0000014672,MBR00000402,2022-01-28,2022-01-31,1608876247,1909315662,PLN5634,404576,PCN259,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,4,Specialty,0,0,0,151.67,16.3,167.97,36.0,131.97,0.0,26.0,18.4167,0,0,0,0,2022-02-04
RX0000014673,MBR00000402,2023-04-15,2023-04-19,1657986413,1278270866,PLN6785,196451,PCN701,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,0,Mail Order,0,0,0,750.0,10.52,760.52,34.0,681.89,44.63,30.0,21.25,0,0,0,0,2023-05-15
RX0000014674,MBR00000402,2023-11-21,2023-11-24,1637895778,1690547269,PLN1215,701747,PCN817,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,8,Retail,3,0,0,45.0,1.76,46.76,0.0,43.59,3.17,1.8,1.275,0,0,0,0,2023-12-21
RX0000014675,MBR00000402,2023-03-23,2023-03-27,1808791540,1176790581,PLN6277,839170,PCN486,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,4,Retail,0,0,0,9.0,11.1,20.1,0.0,19.45,0.65,0.36,0.255,0,0,0,0,2023-04-22
RX0000014676,MBR00000402,2021-06-27,2021-06-29,1922120973,1676173518,PLN3689,660791,PCN827,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,84,9,Mail Order,1,0,0,195.0,4.55,199.55,30.0,156.63,12.92,2.6,1.8417,0,0,0,0,2021-09-25
RX0000014677,MBR00000402,2022-01-07,2022-01-10,1386294209,1129743269,PLN3709,880021,PCN977,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,2,Mail Order,0,0,0,38.0,6.85,44.85,37.0,4.77,3.08,1.52,1.0767,0,0,0,0,2022-02-06
RX0000014678,MBR00000402,2021-04-22,2021-04-23,1384741405,1243978933,PLN1028,685937,PCN799,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,9,Mail Order,0,0,0,9.0,1.62,10.62,1.0,9.26,0.36,0.36,0.255,0,0,0,0,2021-05-22
RX0000014679,MBR00000402,2021-02-15,2021-02-18,1180360799,1394747101,PLN4131,186758,PCN425,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,95,11,Retail,0,0,0,30.0,1.64,31.64,9.0,20.92,1.72,0.4,0.2833,0,0,0,0,2021-05-16
RX0000014680,MBR00000402,2021-03-20,2021-03-24,1701070667,1917338351,PLN3347,510891,PCN837,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,2,Mail Order,0,0,0,185.0,4.81,189.81,38.0,145.87,5.94,7.4,5.2417,0,0,0,0,2021-04-19
RX0000014681,MBR00000402,2021-09-03,2021-09-06,1701301421,1232136597,PLN3441,195937,PCN732,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,97,9,LTC,0,0,0,84.0,4.24,88.24,7.0,78.38,2.86,1.12,0.7933,1,0,0,0,2021-12-02
RX0000014682,MBR00000402,2021-06-24,2021-06-28,1946157030,1851638387,PLN1148,654225,PCN283,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,90,4,Retail,1,0,0,1110.0,8.19,1118.19,32.0,1048.13,38.06,14.8,10.4833,0,0,0,0,2021-09-22
RX0000014683,MBR00000402,2021-05-22,2021-05-24,1648220712,1149015088,PLN6176,603201,PCN479,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,6,Retail,0,0,0,15.0,11.11,26.11,8.0,16.69,1.42,0.6,0.425,0,0,0,0,2021-06-21
RX0000014684,MBR00000402,2023-11-22,2023-11-24,1925550859,1313468870,PLN6238,896823,PCN841,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,9,Mail Order,1,0,0,38.0,10.12,48.12,2.0,43.04,3.08,1.52,1.0767,0,0,0,0,2023-12-22
RX0000014685,MBR00000402,2023-03-12,2023-03-13,1451153397,1664864157,PLN8721,390457,PCN400,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,55,3,Retail,0,0,0,740.0,10.3,750.3,36.0,668.61,45.69,14.8,10.4833,0,0,0,0,2023-05-11
RX0000014686,MBR00000402,2021-08-18,2021-08-19,1737176003,1828660290,PLN2175,649415,PCN102,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,5,Retail,0,0,0,380.0,3.58,383.58,33.0,332.48,18.1,15.2,10.7667,0,0,0,0,2021-09-17
RX0000014687,MBR00000402,2022-12-07,2022-12-09,1420186189,1879395643,PLN5128,611812,PCN783,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,1,Retail,0,0,0,750.0,10.12,760.12,36.0,698.31,25.81,30.0,21.25,0,0,0,0,2023-01-06
RX0000014688,MBR00000402,2022-01-20,2022-01-23,1751663642,1204085944,PLN5071,336270,PCN407,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,8,Specialty,0,0,0,950.0,15.27,965.27,30.0,935.27,0.0,38.0,26.9167,0,0,0,0,2022-02-19
RX0000014689,MBR00000402,2021-03-04,2021-03-06,1738746547,1788947947,PLN6703,601858,PCN589,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,6,Retail,0,0,0,22.0,11.19,33.19,71.0,0.0,1.41,0.88,0.6233,0,0,0,0,2021-04-03
RX0000014690,MBR00000402,2022-10-21,2022-10-25,1983629295,1169589297,PLN3214,355289,PCN944,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,6,Retail,0,0,0,14.0,5.34,19.34,0.0,18.09,1.25,0.56,0.3967,0,0,0,0,2022-11-20
RX0000014691,MBR00000402,2022-04-14,2022-04-15,1713822782,1655250491,PLN6503,135924,PCN727,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,1,Retail,3,0,0,650.0,3.47,653.47,32.0,580.05,41.42,26.0,18.4167,0,0,0,0,2022-05-14
RX0000014692,MBR00000402,2022-02-19,2022-02-22,1378332182,1269250099,PLN8191,480944,PCN832,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,81,4,Retail,0,0,0,2250.0,4.84,2254.84,39.0,2062.55,153.29,30.0,21.25,0,0,0,0,2022-05-20
RX0000014693,MBR00000402,2023-10-24,2023-10-26,1951163696,1355556774,PLN2751,160139,PCN690,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,7,Mail Order,0,0,0,65.0,10.54,75.54,37.0,33.26,5.28,2.6,1.8417,1,0,0,0,2023-11-23
RX0000014694,MBR00000402,2021-03-07,2021-03-09,1958104393,1123646108,PLN9314,742606,PCN907,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,5,Specialty,0,0,0,45.0,45.6,90.6,8.0,82.6,0.0,1.8,1.275,0,0,0,0,2021-04-06
RX0000014695,MBR00000402,2023-10-08,2023-10-11,1410514762,1910055638,PLN3997,364437,PCN815,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,1,Retail,0,0,0,480.0,8.32,488.32,32.0,441.05,15.27,19.2,13.6,0,0,0,0,2023-11-07
RX0000014696,MBR00000402,2023-10-20,2023-10-21,1497604034,1169460957,PLN6608,630036,PCN276,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,11,Retail,0,0,0,9.0,3.02,12.02,5.0,6.48,0.54,0.36,0.255,0,0,0,0,2023-11-19
RX0000014697,MBR00000402,2021-08-11,2021-08-13,1609037579,1667362114,PLN4566,790133,PCN405,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,93,7,Retail,1,0,0,36.0,4.76,40.76,8.0,31.07,1.69,0.48,0.34,0,0,0,0,2021-11-09
RX0000014698,MBR00000402,2021-08-12,2021-08-15,1495873068,1364084842,PLN7442,847255,PCN631,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,85,4,Specialty,0,0,0,525.0,36.7,561.7,37.0,524.7,0.0,7.0,4.9583,0,0,0,0,2021-11-10
RX0000014699,MBR00000402,2021-10-14,2021-10-18,1544003667,1849717434,PLN7323,268791,PCN610,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,7,Retail,0,0,1,10.0,3.38,13.38,1.0,11.84,0.54,0.4,0.2833,0,0,0,0,2021-11-13
RX0000014700,MBR00000402,2021-04-08,2021-04-10,1728665110,1711615920,PLN8696,864607,PCN491,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,83,8,Retail,0,0,0,27.0,8.05,35.05,7.0,25.69,2.36,0.36,0.255,0,0,0,0,2021-07-07
RX0000014701,MBR00000402,2022-10-11,2022-10-14,1729440575,1777382869,PLN7297,989188,PCN214,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,0,Specialty,0,0,1,16.0,40.27,56.27,10.0,46.27,0.0,0.64,0.4533,0,0,0,0,2022-11-10
RX0000014702,MBR00000402,2022-11-30,2022-12-02,1729914012,1327879130,PLN9122,767559,PCN532,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,6,Retail,0,0,0,14.0,7.78,21.78,5.0,15.59,1.19,0.56,0.3967,0,0,0,0,2022-12-30
RX0000014703,MBR00000402,2021-08-05,2021-08-08,1856012553,1451558552,PLN2097,516585,PCN600,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,3,Retail,0,0,0,14.0,7.03,21.03,10.0,9.67,1.36,0.56,0.3967,0,0,0,0,2021-09-04
RX0000014704,MBR00000402,2023-03-03,2023-03-05,1770974488,1679762168,PLN1858,668713,PCN966,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,82,0,Mail Order,0,0,0,30.0,4.22,34.22,0.0,32.99,1.23,0.4,0.2833,0,0,0,0,2023-06-01
RX0000014705,MBR00000402,2022-03-02,2022-03-06,1567597309,1381009782,PLN4119,439479,PCN745,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,56,2,Retail,0,0,0,20.0,3.46,23.46,9.0,12.94,1.52,0.4,0.2833,0,0,0,0,2022-05-01
RX0000014706,MBR00000402,2023-12-30,2024-01-03,1918066625,1923036057,PLN8511,630098,PCN528,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,0,Retail,0,0,0,480.0,6.14,486.14,30.0,435.65,20.49,19.2,13.6,0,0,0,0,2024-01-29
RX0000014707,MBR00000402,2022-01-22,2022-01-24,1347302857,1819266456,PLN3166,348457,PCN194,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,90,2,Retail,0,0,0,525.0,6.6,531.6,32.0,480.68,18.92,7.0,4.9583,0,0,0,0,2022-04-22
RX0000014708,MBR00000402,2022-03-29,2022-03-31,1282603710,1198841458,PLN1060,418700,PCN988,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,1,Retail,0,1,0,6200.0,8.61,6208.61,145.0,5681.77,381.84,248.0,175.6667,1,1,1,0,2022-04-28
RX0000014709,MBR00000402,2022-06-07,2022-06-10,1433949875,1317039120,PLN8848,901756,PCN154,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,11,Retail,0,0,0,950.0,6.63,956.63,30.0,878.64,47.99,38.0,26.9167,0,0,0,0,2022-07-07
RX0000014710,MBR00000402,2022-09-02,2022-09-03,1139055458,1394699558,PLN8952,312221,PCN374,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,10,Retail,0,1,0,8.0,3.63,11.63,150.0,0.0,0.47,0.32,0.2267,0,0,0,0,2022-10-02
RX0000014711,MBR00000402,2023-04-04,2023-04-08,1469574184,1235972554,PLN7813,599247,PCN540,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,3,Retail,0,0,0,38.0,10.45,48.45,2.0,44.3,2.15,1.52,1.0767,0,0,0,0,2023-05-04
RX0000014712,MBR00000402,2021-05-14,2021-05-16,1503092066,1323502269,PLN2809,597632,PCN114,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,0,Specialty,1,0,0,10.0,41.58,51.58,0.0,51.58,0.0,0.4,0.2833,0,0,0,0,2021-06-13
RX0000014713,MBR00000402,2023-05-28,2023-05-30,1135255941,1819529054,PLN7589,710773,PCN119,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,7,LTC,0,0,0,285.0,7.94,292.94,32.0,250.23,10.71,11.4,8.075,0,0,0,0,2023-06-27
RX0000014714,MBR00000402,2022-01-30,2022-02-03,1330813203,1476376903,PLN8364,908701,PCN830,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,58,9,LTC,0,0,0,44.0,6.52,50.52,6.0,41.24,3.28,0.88,0.6233,0,0,0,0,2022-03-31
RX0000014715,MBR00000402,2022-06-14,2022-06-15,1367918216,1845035301,PLN4589,161684,PCN931,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,93,8,Mail Order,0,0,0,27.0,7.32,34.32,2.0,31.16,1.16,0.36,0.255,1,0,0,0,2022-09-12
RX0000014716,MBR00000402,2021-10-04,2021-10-08,1120726866,1199466017,PLN8072,157871,PCN834,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,4,Retail,0,0,0,221.67,10.12,231.78,38.0,183.36,10.42,38.0,26.9167,0,0,0,0,2021-10-11
RX0000014717,MBR00000402,2022-08-06,2022-08-07,1628240363,1648208711,PLN2906,872658,PCN479,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,91,8,Retail,0,0,0,33.0,7.05,40.05,5.0,32.41,2.64,0.44,0.3117,0,0,0,0,2022-11-04
RX0000014718,MBR00000402,2023-02-16,2023-02-20,1168323079,1824557899,PLN8232,496817,PCN552,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,4,Retail,0,0,0,18.0,7.35,25.35,3.0,20.86,1.49,0.72,0.51,0,0,0,0,2023-03-18
RX0000014719,MBR00000402,2021-01-10,2021-01-14,1841285321,1378497322,PLN9776,745686,PCN990,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,8,Retail,0,0,0,10.0,1.85,11.85,1.0,10.23,0.62,0.4,0.2833,0,0,0,0,2021-02-09
RX0000014720,MBR00000402,2021-06-22,2021-06-26,1111817382,1505287359,PLN2765,129915,PCN637,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,56,3,Retail,1,0,0,76.0,9.47,85.47,10.0,70.43,5.04,1.52,1.0767,0,0,0,0,2021-08-21
RX0000014721,MBR00000402,2021-11-09,2021-11-10,1383653786,1381282304,PLN7799,300707,PCN305,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,11,Retail,0,0,0,10.0,3.31,13.31,3.0,9.72,0.59,0.4,0.2833,0,0,0,0,2021-12-09
RX0000014722,MBR00000402,2023-02-15,2023-02-16,1506818038,1901712251,PLN4416,302203,PCN396,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,96,0,Specialty,0,0,1,855.0,18.33,873.33,33.0,840.33,0.0,11.4,8.075,0,0,0,0,2023-05-16
RX0000014723,MBR00000402,2022-06-10,2022-06-14,1504317693,1114636197,PLN1774,573785,PCN816,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,55,4,Retail,0,0,0,24.0,10.68,34.68,2.0,30.85,1.83,0.48,0.34,0,0,0,0,2022-08-09
RX0000014724,MBR00000402,2023-07-26,2023-07-28,1282743913,1130174378,PLN4492,825936,PCN909,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,58,2,Retail,0,0,0,570.0,5.31,575.31,38.0,501.01,36.3,11.4,8.075,0,0,0,0,2023-09-24
RX0000014725,MBR00000402,2021-08-06,2021-08-08,1353567438,1459616986,PLN9209,202996,PCN890,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,0,Retail,2,1,0,8.0,2.52,10.52,150.0,0.0,0.58,0.32,0.2267,0,0,0,0,2021-09-05
RX0000014726,MBR00000402,2023-07-18,2023-07-22,1985008933,1670306034,PLN1903,644585,PCN722,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,0,Retail,0,0,0,8.5,10.06,18.56,7.0,10.59,0.97,0.34,0.2408,0,0,0,0,2023-08-17
RX0000014727,MBR00000402,2021-02-19,2021-02-21,1998556145,1155121781,PLN6509,240404,PCN460,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,2,Retail,0,0,0,18.0,5.13,23.13,9.0,13.43,0.7,0.72,0.51,0,0,0,0,2021-03-21
RX0000014728,MBR00000402,2021-05-06,2021-05-07,1380966532,1211827690,PLN4151,100779,PCN642,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,2,Retail,0,1,0,6200.0,4.83,6204.83,149.0,5629.39,426.44,248.0,175.6667,0,0,0,0,2021-06-05
RX0000014729,MBR00000402,2021-03-09,2021-03-13,1899055383,1780715765,PLN4702,233116,PCN990,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,7,Retail,0,0,0,3.27,1.56,4.83,3.0,1.55,0.28,0.56,0.3967,0,0,0,0,2021-03-16
RX0000014730,MBR00000402,2022-03-06,2022-03-09,1523091399,1927332459,PLN5117,298085,PCN154,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,90,4,Specialty,0,0,0,37.5,46.24,83.74,9.0,74.74,0.0,0.5,0.3542,0,0,0,0,2022-06-04
RX0000014731,MBR00000402,2023-03-30,2023-04-01,1333626764,1730169698,PLN4540,204697,PCN921,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,2,LTC,0,0,0,15.0,3.82,18.82,9.0,8.97,0.85,0.6,0.425,0,0,0,0,2023-04-29
RX0000014732,MBR00000402,2023-05-26,2023-05-29,1187361925,1488516325,PLN6908,943752,PCN452,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,370.0,7.7,377.7,32.0,321.54,24.16,14.8,10.4833,0,0,0,0,2023-06-25
RX0000014733,MBR00000403,2021-05-04,2021-05-05,1773498940,1487137359,PLN7224,108360,PCN452,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,59,4,Specialty,0,0,0,90.0,23.11,113.11,4.0,109.11,0.0,1.8,1.275,0,0,0,0,2021-07-03
RX0000014734,MBR00000403,2021-08-02,2021-08-05,1331221134,1875742288,PLN4133,312232,PCN565,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,98,5,Mail Order,0,0,0,855.0,10.68,865.68,37.0,787.31,41.37,11.4,8.075,0,1,1,0,2021-10-31
RX0000014735,MBR00000403,2021-10-23,2021-10-24,1292496567,1665577395,PLN1773,807068,PCN972,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,0,Retail,0,1,0,1983.33,8.2,1991.53,153.0,1747.01,91.52,340.0,240.8333,0,0,0,0,2021-10-30
RX0000014736,MBR00000403,2021-05-07,2021-05-10,1870617402,1517647797,PLN7619,541850,PCN475,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,59,3,Mail Order,0,0,0,36.0,3.58,39.58,1.0,36.03,2.55,0.72,0.51,0,0,0,0,2021-07-06
RX0000014737,MBR00000403,2022-05-14,2022-05-17,1807360311,1337087431,PLN8558,407801,PCN767,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,62,7,Retail,0,0,0,90.0,10.13,100.13,4.0,90.9,5.23,1.8,1.275,0,0,0,0,2022-07-13
RX0000014738,MBR00000403,2022-10-02,2022-10-06,1756248478,1622723543,PLN9253,271973,PCN378,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,63,7,Retail,0,0,0,24.0,1.69,25.69,8.0,16.42,1.27,0.48,0.34,0,0,0,0,2022-12-01
RX0000014739,MBR00000403,2022-02-02,2022-02-06,1982929386,1587045978,PLN6034,138829,PCN271,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,5,Retail,0,0,0,650.0,8.0,658.0,34.0,603.48,20.52,26.0,18.4167,0,0,0,0,2022-03-04
RX0000014740,MBR00000403,2023-12-10,2023-12-12,1581965282,1386678085,PLN9559,468531,PCN937,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,6,Retail,0,1,0,24.0,10.26,34.26,153.0,0.0,2.21,0.32,0.2267,0,0,0,0,2024-03-09
RX0000014741,MBR00000403,2023-04-07,2023-04-08,1848593057,1926309155,PLN3362,875564,PCN225,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,9,Retail,0,0,0,9.0,9.76,18.76,6.0,12.14,0.62,0.36,0.255,0,0,0,0,2023-05-07
RX0000014742,MBR00000403,2023-08-29,2023-09-01,1272446938,1656256882,PLN2967,790652,PCN781,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,65,0,Retail,0,0,0,32.0,11.43,43.43,1.0,39.82,2.61,0.64,0.4533,0,0,0,0,2023-10-28
RX0000014743,MBR00000403,2021-04-19,2021-04-23,1106431138,1796612467,PLN6405,393372,PCN448,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,91,9,Retail,0,0,0,48.0,9.88,57.88,9.0,47.02,1.86,0.64,0.4533,0,0,0,0,2021-07-18
RX0000014744,MBR00000403,2023-11-05,2023-11-06,1762743682,1622257106,PLN3272,995965,PCN407,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,89,9,Mail Order,0,0,0,1440.0,10.76,1450.76,35.0,1342.56,73.2,19.2,13.6,0,0,0,0,2024-02-03
RX0000014745,MBR00000403,2023-09-28,2023-09-30,1800417648,1664581715,PLN3535,552788,PCN131,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,4,Retail,0,0,0,88.67,6.77,95.44,40.0,51.65,3.79,15.2,10.7667,0,0,0,0,2023-10-05
RX0000014746,MBR00000403,2023-03-15,2023-03-18,1795924658,1355126653,PLN9979,621520,PCN238,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,7,Mail Order,0,0,1,950.0,2.49,952.49,30.0,888.85,33.64,38.0,26.9167,0,0,0,0,2023-04-14
RX0000014747,MBR00000403,2023-06-12,2023-06-15,1573129596,1981788626,PLN2986,126266,PCN471,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,5,Retail,0,0,0,5.13,3.07,8.2,1.0,6.82,0.38,0.88,0.6233,0,0,0,0,2023-06-19
RX0000014748,MBR00000403,2023-05-17,2023-05-20,1782820685,1945974815,PLN2792,763362,PCN972,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,5,Retail,0,0,0,10.0,6.09,16.09,7.0,8.38,0.71,0.4,0.2833,0,0,0,0,2023-06-16
RX0000014749,MBR00000403,2023-11-25,2023-11-28,1225829124,1238040006,PLN2895,263131,PCN394,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,7,Retail,0,0,0,11.0,9.42,20.42,6.0,13.65,0.77,0.44,0.3117,0,0,0,0,2023-12-25
RX0000014750,MBR00000403,2021-10-11,2021-10-14,1879554483,1172552694,PLN1528,483740,PCN654,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,8,Mail Order,0,0,0,14.0,2.92,16.92,4.0,12.36,0.56,0.56,0.3967,0,0,0,0,2021-11-10
RX0000014751,MBR00000403,2021-12-08,2021-12-09,1800584298,1661955565,PLN3425,334306,PCN215,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,2,Retail,0,0,0,320.0,6.41,326.41,32.0,275.54,18.87,12.8,9.0667,0,0,0,0,2022-01-07
RX0000014752,MBR00000403,2023-12-24,2023-12-26,1374377178,1451360396,PLN4125,721268,PCN822,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,3,Retail,0,0,0,43.17,11.74,54.91,31.0,21.11,2.8,7.4,5.2417,0,0,0,0,2023-12-31
RX0000014753,MBR00000403,2021-01-22,2021-01-24,1317268881,1583630708,PLN2035,557272,PCN425,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,95,3,Mail Order,0,0,0,27.0,6.11,33.11,3.0,28.44,1.67,0.36,0.255,0,0,0,0,2021-04-22
RX0000014754,MBR00000403,2023-11-27,2023-11-29,1171826171,1367148059,PLN9504,917549,PCN571,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,0,Retail,0,0,0,18.0,2.83,20.83,7.0,12.7,1.13,0.72,0.51,0,0,0,0,2023-12-27
RX0000014755,MBR00000403,2021-07-11,2021-07-15,1797561950,1262117426,PLN1276,181746,PCN368,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,2,Retail,0,0,0,480.0,8.14,488.14,31.0,433.16,23.98,19.2,13.6,0,0,0,0,2021-08-10
RX0000014756,MBR00000403,2022-06-13,2022-06-16,1425752992,1684347200,PLN3963,417498,PCN870,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,63,7,Retail,0,0,0,28.0,8.85,36.85,8.0,27.66,1.19,0.56,0.3967,0,0,0,0,2022-08-12
RX0000014757,MBR00000403,2023-06-09,2023-06-12,1358929685,1164927773,PLN2358,307446,PCN127,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,3,Retail,0,0,0,370.0,3.17,373.17,30.0,325.85,17.32,14.8,10.4833,0,0,0,0,2023-07-09
RX0000014758,MBR00000403,2022-01-17,2022-01-18,1166348416,1462006308,PLN5358,286053,PCN806,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,11,Retail,0,0,0,10.0,2.35,12.35,0.0,11.91,0.44,0.4,0.2833,0,0,0,0,2022-02-16
RX0000014759,MBR00000403,2022-11-02,2022-11-03,1937230235,1284445114,PLN6655,135014,PCN435,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,10,Retail,1,0,0,22.0,11.16,33.16,68.0,0.0,1.58,0.88,0.6233,0,0,0,0,2022-12-02
RX0000014760,MBR00000403,2021-08-17,2021-08-18,1821059852,1549885926,PLN1364,182787,PCN395,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,95,5,Retail,0,1,0,25500.0,9.64,25509.64,149.0,23963.26,1397.38,340.0,240.8333,0,0,0,0,2021-11-15
RX0000014761,MBR00000403,2023-03-15,2023-03-17,1381989337,1238791118,PLN5069,736941,PCN728,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,4,Retail,0,0,0,77.0,6.55,83.55,39.0,40.78,3.77,13.2,9.35,1,0,0,0,2023-03-22
RX0000014762,MBR00000403,2023-11-14,2023-11-18,1227339306,1497257947,PLN6263,600741,PCN786,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,3,Retail,0,0,0,10.0,11.89,21.89,8.0,13.2,0.69,0.4,0.2833,0,0,0,0,2023-12-14
RX0000014763,MBR00000403,2023-04-25,2023-04-26,1707721707,1444950610,PLN3015,243336,PCN210,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,4,Retail,0,0,0,15.0,2.29,17.29,5.0,11.26,1.03,0.6,0.425,0,0,0,0,2023-05-25
RX0000014764,MBR00000403,2021-06-12,2021-06-16,1282188985,1188621176,PLN1676,282694,PCN150,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,2,Mail Order,0,0,0,38.0,2.48,40.48,5.0,33.62,1.86,1.52,1.0767,1,0,0,0,2021-07-12
RX0000014765,MBR00000403,2022-06-18,2022-06-22,1371420509,1581325225,PLN1204,383089,PCN450,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,63,11,Retail,0,1,0,24.0,7.05,31.05,149.0,0.0,2.03,0.48,0.34,0,0,0,0,2022-08-17
RX0000014766,MBR00000403,2023-11-19,2023-11-21,1324334114,1223318234,PLN2698,549288,PCN103,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,3,Retail,0,0,0,285.0,2.92,287.92,38.0,230.79,19.13,11.4,8.075,0,0,0,0,2023-12-19
RX0000014767,MBR00000403,2021-10-04,2021-10-07,1321677373,1443624645,PLN1279,964918,PCN253,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,11,Retail,2,0,0,9.0,11.35,20.35,3.0,16.16,1.19,0.36,0.255,0,0,0,0,2021-11-03
RX0000014768,MBR00000403,2023-02-02,2023-02-05,1525767903,1524650241,PLN5872,596336,PCN191,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,9,Retail,0,0,0,12.0,7.64,19.64,8.0,10.33,1.31,0.48,0.34,0,0,0,0,2023-03-04
RX0000014769,MBR00000403,2023-05-01,2023-05-04,1631757482,1929654980,PLN8931,942983,PCN665,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,2,Mail Order,0,0,0,185.0,5.4,190.4,40.0,143.18,7.22,7.4,5.2417,0,0,0,0,2023-05-31
RX0000014770,MBR00000403,2023-07-21,2023-07-24,1279817447,1187907281,PLN6284,259960,PCN958,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,83,8,Retail,0,0,0,33.0,7.59,40.59,7.0,32.13,1.46,0.44,0.3117,0,0,0,0,2023-10-19
RX0000014771,MBR00000403,2023-08-05,2023-08-08,1938634189,1934541595,PLN7965,429038,PCN947,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,10,Mail Order,2,0,0,15.0,2.08,17.08,10.0,6.28,0.8,0.6,0.425,0,0,0,0,2023-09-04
RX0000014772,MBR00000403,2021-12-17,2021-12-19,1778614087,1154165895,PLN8177,426695,PCN594,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,87,7,Retail,0,0,0,25.5,5.93,31.43,5.0,24.48,1.95,0.34,0.2408,0,1,0,0,2022-03-17
RX0000014773,MBR00000403,2023-04-30,2023-05-04,1112531740,1725684933,PLN5547,102952,PCN533,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,9,Retail,0,0,0,11.0,11.76,22.76,2.0,19.73,1.03,0.44,0.3117,0,0,0,0,2023-05-30
RX0000014774,MBR00000403,2022-08-02,2022-08-05,1265814166,1731772927,PLN8393,838914,PCN885,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,7,Retail,0,0,0,12.0,9.53,21.53,7.0,13.85,0.68,0.48,0.34,0,0,0,0,2022-09-01
RX0000014775,MBR00000403,2023-12-30,2023-12-31,1696504536,1668163771,PLN7158,779641,PCN985,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,10,Mail Order,0,1,0,653.33,1.86,655.19,153.0,481.44,20.75,112.0,79.3333,0,0,0,0,2024-01-06
RX0000014776,MBR00000403,2021-06-25,2021-06-26,1991016797,1971404951,PLN8032,359539,PCN922,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,91,11,Retail,0,0,0,45.0,11.04,56.04,2.0,51.0,3.04,0.6,0.425,0,0,0,0,2021-09-23
RX0000014777,MBR00000403,2023-01-05,2023-01-07,1535973893,1263558046,PLN1696,187979,PCN494,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,0,Mail Order,0,1,0,2800.0,5.43,2805.43,152.0,2487.06,166.37,112.0,79.3333,0,0,0,0,2023-02-04
RX0000014778,MBR00000403,2021-09-17,2021-09-20,1354321389,1526137396,PLN9131,335560,PCN811,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,8,Retail,0,1,0,653.33,3.92,657.25,152.0,470.79,34.46,112.0,79.3333,0,0,0,0,2021-09-24
RX0000014779,MBR00000403,2022-11-22,2022-11-25,1794635617,1746711435,PLN6154,631562,PCN943,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,7,Mail Order,1,0,0,12.0,9.98,21.98,6.0,15.18,0.8,0.48,0.34,0,0,0,0,2022-12-22
RX0000014780,MBR00000403,2021-09-30,2021-10-03,1503528460,1627183977,PLN2036,325629,PCN597,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,60,0,Mail Order,0,0,0,620.0,1.8,621.8,34.0,557.83,29.97,12.4,8.7833,0,0,0,0,2021-11-29
RX0000014781,MBR00000403,2021-08-01,2021-08-04,1543126008,1227589776,PLN1859,498178,PCN863,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,64,9,Retail,0,0,0,350.0,9.57,359.57,34.0,308.41,17.16,7.0,4.9583,1,0,0,0,2021-09-30
RX0000014782,MBR00000403,2021-10-17,2021-10-18,1632646448,1593083978,PLN3871,720427,PCN117,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,2,Retail,0,0,0,45.0,10.32,55.32,8.0,43.86,3.46,1.8,1.275,0,0,0,0,2021-11-16
RX0000014783,MBR00000404,2021-04-08,2021-04-11,1329824608,1781667331,PLN7045,811988,PCN858,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,5,Retail,0,0,0,9.0,10.13,19.13,3.0,15.09,1.04,0.36,0.255,0,0,0,0,2021-05-08
RX0000014784,MBR00000404,2022-02-03,2022-02-07,1185625490,1410656035,PLN8478,724766,PCN224,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,10,Retail,0,0,0,12.0,5.36,17.36,1.0,15.49,0.87,0.48,0.34,0,0,0,0,2022-03-05
RX0000014785,MBR00000404,2021-03-23,2021-03-25,1825169416,1883056525,PLN1822,159844,PCN714,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,10,Retail,0,0,0,18.0,8.32,26.32,3.0,21.98,1.34,0.72,0.51,0,0,0,0,2021-04-22
RX0000014786,MBR00000404,2022-02-23,2022-02-24,1317819009,1602021689,PLN1111,618232,PCN893,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,8,Specialty,2,0,0,43.17,39.92,83.08,37.0,46.08,0.0,7.4,5.2417,0,0,0,0,2022-03-02
RX0000014787,MBR00000404,2022-07-21,2022-07-22,1549634890,1728545748,PLN9615,914577,PCN245,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,10,Retail,0,0,0,7.5,11.34,18.84,1.0,17.19,0.65,0.3,0.2125,0,0,0,0,2022-08-20
RX0000014788,MBR00000404,2022-01-12,2022-01-16,1930633759,1537232525,PLN5566,376938,PCN715,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,4,Specialty,0,0,0,11.0,45.82,56.82,9.0,47.82,0.0,0.44,0.3117,0,0,0,0,2022-02-11
RX0000014789,MBR00000404,2021-08-30,2021-08-31,1636727544,1682639719,PLN1898,347723,PCN219,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,59,5,Retail,0,0,0,36.0,11.43,47.43,9.0,36.49,1.94,0.72,0.51,0,0,0,0,2021-10-29
RX0000014790,MBR00000404,2023-04-12,2023-04-16,1813465510,1553994054,PLN9263,872519,PCN256,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,6,Mail Order,2,0,0,370.0,1.58,371.58,33.0,324.04,14.54,14.8,10.4833,1,0,0,0,2023-05-12
RX0000014791,MBR00000404,2022-05-30,2022-06-02,1937576492,1945695847,PLN3849,426458,PCN804,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,9,Retail,0,0,0,22.0,11.76,33.76,0.0,31.99,1.77,0.88,0.6233,0,0,0,0,2022-06-29
RX0000014792,MBR00000404,2021-05-12,2021-05-13,1627749249,1502324580,PLN6143,225105,PCN611,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,9,Retail,0,0,0,15.0,8.53,23.53,1.0,21.49,1.04,0.6,0.425,0,0,0,0,2021-06-11
RX0000014793,MBR00000404,2023-04-05,2023-04-07,1149619807,1753883544,PLN5813,923981,PCN499,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,7,Retail,0,0,0,320.0,5.28,325.28,36.0,272.93,16.35,12.8,9.0667,0,0,0,0,2023-05-05
RX0000014794,MBR00000404,2023-07-21,2023-07-24,1381443619,1865706356,PLN7980,272568,PCN556,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,90,5,Retail,0,0,0,855.0,7.11,862.11,37.0,779.71,45.4,11.4,8.075,0,0,0,0,2023-10-19
RX0000014795,MBR00000404,2021-11-15,2021-11-18,1534194897,1685409128,PLN3570,515162,PCN942,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,9,Mail Order,0,1,0,8500.0,5.8,8505.8,145.0,7769.29,591.51,340.0,240.8333,0,0,0,0,2021-12-15
RX0000014796,MBR00000405,2021-11-04,2021-11-07,1206646104,1914636975,PLN9626,738349,PCN305,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,11,Specialty,0,0,0,320.0,15.49,335.49,31.0,304.49,0.0,12.8,9.0667,0,0,0,0,2021-12-04
RX0000014797,MBR00000405,2021-12-28,2022-01-01,1505867003,1666769599,PLN8565,928967,PCN262,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,62,1,Retail,0,0,0,17.0,3.66,20.66,3.0,16.89,0.77,0.34,0.2408,0,0,0,0,2022-02-26
RX0000014798,MBR00000405,2021-02-11,2021-02-12,1234249724,1748411069,PLN8678,219565,PCN635,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,0,Retail,2,0,0,18.0,8.96,26.96,7.0,18.43,1.53,0.72,0.51,0,0,0,0,2021-03-13
RX0000014799,MBR00000405,2023-09-30,2023-10-02,1408438099,1504148557,PLN1792,303968,PCN522,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,0,Retail,0,0,0,175.0,4.62,179.62,31.0,143.03,5.59,30.0,21.25,0,0,0,0,2023-10-07
RX0000014800,MBR00000405,2023-08-10,2023-08-14,1443001326,1489362997,PLN5472,664324,PCN546,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,6,Retail,0,0,0,11.0,10.83,21.83,3.0,17.6,1.23,0.44,0.3117,0,0,0,0,2023-09-09
RX0000014801,MBR00000405,2023-04-22,2023-04-26,1224320730,1175294541,PLN8499,508177,PCN684,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,7,Retail,0,0,0,370.0,6.27,376.27,36.0,327.15,13.12,14.8,10.4833,0,0,0,0,2023-05-22
RX0000014802,MBR00000405,2023-10-22,2023-10-25,1284125994,1602092287,PLN5802,979630,PCN679,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,9,Mail Order,0,0,0,10.0,2.61,12.61,8.0,3.74,0.87,0.4,0.2833,1,0,0,0,2023-11-21
RX0000014803,MBR00000405,2022-07-25,2022-07-26,1166331242,1447048089,PLN3891,163555,PCN279,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,90,10,LTC,0,1,0,25500.0,2.93,25502.93,146.0,24167.23,1189.7,340.0,240.8333,0,0,0,0,2022-10-23
RX0000014804,MBR00000405,2022-03-16,2022-03-17,1105652250,1807223387,PLN6865,180781,PCN724,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,4,Retail,0,0,0,12.5,3.5,16.0,6.0,9.32,0.68,0.5,0.3542,0,0,0,0,2022-04-15
RX0000014805,MBR00000405,2023-03-06,2023-03-08,1566882927,1374502568,PLN9057,570375,PCN905,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,11,Specialty,0,0,0,3.27,32.87,36.14,1.0,35.14,0.0,0.56,0.3967,0,0,0,0,2023-03-13
RX0000014806,MBR00000405,2021-04-22,2021-04-26,1560978002,1930219318,PLN5527,770959,PCN916,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,6,Retail,3,0,0,16.0,8.93,24.93,7.0,16.88,1.05,0.64,0.4533,0,0,0,0,2021-05-22
RX0000014807,MBR00000405,2021-04-27,2021-04-29,1820773369,1798787641,PLN7273,406787,PCN858,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,88,1,Retail,0,0,0,114.0,11.26,125.26,35.0,85.18,5.08,1.52,1.0767,0,0,0,0,2021-07-26
RX0000014808,MBR00000405,2021-11-23,2021-11-25,1131744742,1382224179,PLN5601,215417,PCN901,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,95,2,Retail,0,1,0,36.0,4.49,40.49,153.0,0.0,2.32,0.48,0.34,0,0,0,0,2022-02-21
RX0000014809,MBR00000405,2022-01-23,2022-01-27,1666452067,1802231295,PLN1941,669582,PCN172,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,94,3,Retail,3,0,0,114.0,5.52,119.52,40.0,74.33,5.19,1.52,1.0767,0,0,0,0,2022-04-23
RX0000014810,MBR00000405,2022-07-09,2022-07-10,1105347892,1157524169,PLN3949,134842,PCN218,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,93,2,Retail,0,0,0,54.0,11.4,65.4,1.0,59.85,4.55,0.72,0.51,0,0,0,0,2022-10-07
RX0000014811,MBR00000405,2022-06-18,2022-06-22,1750897864,1872837816,PLN2307,922296,PCN231,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,7,LTC,3,0,0,15.0,5.66,20.66,5.0,14.63,1.03,0.6,0.425,0,0,0,0,2022-07-18
RX0000014812,MBR00000405,2022-10-23,2022-10-27,1253146391,1759706210,PLN4573,591939,PCN667,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,2,Mail Order,0,0,0,285.0,10.11,295.11,33.0,243.84,18.27,11.4,8.075,0,0,0,0,2022-11-22
RX0000014813,MBR00000405,2023-10-03,2023-10-07,1394976827,1665568379,PLN5857,443431,PCN382,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,9,Retail,0,0,0,370.0,4.79,374.79,36.0,325.02,13.77,14.8,10.4833,0,0,0,0,2023-11-02
RX0000014814,MBR00000405,2021-10-18,2021-10-22,1705381374,1889858318,PLN2791,125646,PCN338,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,9,Retail,0,0,0,10.0,7.94,17.94,7.0,10.39,0.55,0.4,0.2833,0,0,0,0,2021-11-17
RX0000014815,MBR00000405,2021-06-12,2021-06-13,1956082828,1875075661,PLN6501,184714,PCN406,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,96,8,Retail,0,0,0,1440.0,1.86,1441.86,30.0,1339.42,72.44,19.2,13.6,0,0,0,0,2021-09-10
RX0000014816,MBR00000405,2023-09-15,2023-09-17,1681016767,1987550816,PLN1796,428731,PCN763,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,11,Retail,0,0,0,86.33,9.11,95.44,36.0,53.32,6.12,14.8,10.4833,0,0,0,0,2023-09-22
RX0000014817,MBR00000405,2022-03-28,2022-03-30,1140842864,1362255489,PLN8681,542211,PCN844,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,8,Retail,0,0,0,950.0,5.69,955.69,39.0,858.34,58.35,38.0,26.9167,0,0,0,0,2022-04-27
RX0000014818,MBR00000405,2023-01-20,2023-01-23,1325576455,1359658492,PLN3688,676916,PCN953,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,92,10,Retail,0,0,0,27.0,6.22,33.22,8.0,23.93,1.29,0.36,0.255,1,0,0,0,2023-04-20
RX0000014819,MBR00000405,2021-04-13,2021-04-14,1196676906,1740896031,PLN8414,205509,PCN736,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,0,Retail,3,0,0,38.0,5.72,43.72,9.0,31.83,2.89,1.52,1.0767,0,0,0,0,2021-05-13
RX0000014820,MBR00000405,2021-11-25,2021-11-27,1109056966,1116150762,PLN5515,532406,PCN993,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,0,Retail,0,0,0,185.0,8.92,193.92,35.0,152.25,6.67,7.4,5.2417,0,0,0,0,2021-12-25
RX0000014821,MBR00000405,2021-10-17,2021-10-18,1897072108,1577219819,PLN5399,217823,PCN760,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,2,Retail,0,0,0,310.0,9.45,319.45,34.0,270.25,15.2,12.4,8.7833,0,1,1,0,2021-11-16
RX0000014822,MBR00000405,2021-11-15,2021-11-17,1528764178,1805934197,PLN8621,535727,PCN336,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,3,Mail Order,0,0,0,2.8,6.34,9.14,6.0,2.81,0.33,0.48,0.34,0,0,0,0,2021-11-22
RX0000014823,MBR00000405,2021-03-01,2021-03-05,1312348454,1643666282,PLN8333,290447,PCN787,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,97,1,Retail,0,0,0,45.0,11.71,56.71,6.0,48.25,2.46,0.6,0.425,0,0,0,0,2021-05-30
RX0000014824,MBR00000405,2023-05-24,2023-05-25,1233081998,1874526423,PLN2378,274530,PCN151,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,9,Retail,0,0,0,12.5,10.85,23.35,2.0,20.48,0.87,0.5,0.3542,0,0,0,0,2023-06-23
RX0000014825,MBR00000405,2023-12-17,2023-12-18,1572114030,1718721377,PLN5237,468639,PCN945,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,83,6,Retail,0,0,0,30.0,8.81,38.81,10.0,26.79,2.02,0.4,0.2833,0,0,0,0,2024-03-16
RX0000014826,MBR00000405,2021-11-22,2021-11-24,1765801710,1178989555,PLN8944,854750,PCN874,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,5,Retail,0,1,0,12.0,4.67,16.67,150.0,0.0,0.63,0.48,0.34,1,0,0,0,2021-12-22
RX0000014827,MBR00000405,2023-09-04,2023-09-08,1864861574,1243829220,PLN9170,989311,PCN914,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,8,Retail,0,0,0,330.0,8.96,338.96,36.0,291.97,10.99,13.2,9.35,0,0,0,0,2023-10-04
RX0000014828,MBR00000405,2023-10-19,2023-10-21,1533280046,1610097476,PLN8312,684801,PCN454,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,7,0,Retail,0,0,0,74.67,6.35,81.02,31.0,44.41,5.61,12.8,9.0667,0,0,0,0,2023-10-26
RX0000014829,MBR00000405,2023-10-29,2023-10-31,1756428248,1178955765,PLN8448,238713,PCN602,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,11,Mail Order,0,0,0,18.0,2.79,20.79,2.0,17.42,1.37,0.72,0.51,0,0,0,0,2023-11-28
RX0000014830,MBR00000405,2022-04-29,2022-05-03,1911720844,1329229322,PLN4539,825695,PCN617,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,88,8,Retail,0,0,0,45.0,10.0,55.0,4.0,47.33,3.67,0.6,0.425,0,0,0,0,2022-07-28
RX0000014831,MBR00000405,2021-07-20,2021-07-24,1506510587,1357101718,PLN9054,191067,PCN875,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,6,Retail,0,0,0,18.0,4.08,22.08,7.0,14.25,0.83,0.72,0.51,0,0,0,0,2021-08-19
RX0000014832,MBR00000405,2023-05-26,2023-05-27,1349210326,1954616698,PLN4617,573077,PCN254,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,1,Retail,0,1,0,2800.0,3.85,2803.85,150.0,2464.26,189.59,112.0,79.3333,0,0,0,0,2023-06-25
RX0000014833,MBR00000405,2021-07-30,2021-07-31,1268519440,1798383581,PLN3419,310881,PCN747,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,57,7,Retail,0,0,0,15.0,4.1,19.1,7.0,11.3,0.8,0.3,0.2125,1,0,0,0,2021-09-28
RX0000014834,MBR00000405,2023-03-05,2023-03-07,1902462280,1278093318,PLN3605,628397,PCN988,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,3,Retail,0,0,0,14.0,1.58,15.58,7.0,7.5,1.08,0.56,0.3967,0,0,0,0,2023-04-04
RX0000014835,MBR00000405,2021-10-13,2021-10-17,1130941485,1810164507,PLN6556,814162,PCN792,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,0,Retail,0,1,0,2800.0,10.39,2810.39,149.0,2469.58,191.81,112.0,79.3333,0,0,0,0,2021-11-12
RX0000014836,MBR00000405,2023-04-28,2023-04-29,1364584865,1284310705,PLN8987,225259,PCN860,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,8,Retail,0,0,1,15.17,6.84,22.01,30.0,0.0,0.88,2.6,1.8417,0,0,0,0,2023-05-05
RX0000014837,MBR00000405,2022-11-18,2022-11-22,1676370633,1761182129,PLN2371,112072,PCN770,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,7,Retail,3,0,0,750.0,11.47,761.47,35.0,694.6,31.87,30.0,21.25,0,0,0,0,2022-12-18
RX0000014838,MBR00000405,2021-05-23,2021-05-27,1157817702,1816056243,PLN6239,685482,PCN490,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,3,Mail Order,1,1,0,8.0,11.15,19.15,148.0,0.0,0.68,0.32,0.2267,0,0,0,0,2021-06-22
RX0000014839,MBR00000405,2023-10-11,2023-10-12,1394978739,1132391176,PLN4042,142155,PCN789,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,59,7,Retail,0,0,0,90.0,7.98,97.98,3.0,88.96,6.02,1.8,1.275,0,0,0,0,2023-12-10
RX0000014840,MBR00000405,2023-12-19,2023-12-22,1473273287,1690345337,PLN2186,428138,PCN909,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,90,5,Specialty,0,0,0,45.0,23.37,68.37,7.0,61.37,0.0,0.6,0.425,0,0,0,0,2024-03-18
RX0000014841,MBR00000405,2021-12-06,2021-12-09,1229688111,1537121144,PLN2075,211484,PCN979,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,11,Mail Order,0,1,0,2800.0,1.52,2801.52,152.0,2516.56,132.96,112.0,79.3333,1,0,0,0,2022-01-05
RX0000014842,MBR00000405,2022-01-26,2022-01-30,1581856571,1177131131,PLN8150,526648,PCN128,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,6,Retail,0,0,0,18.0,5.19,23.19,9.0,13.17,1.02,0.72,0.51,0,0,0,0,2022-02-25
RX0000014843,MBR00000405,2021-07-13,2021-07-17,1693555467,1906198722,PLN8211,287782,PCN321,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,83,9,Retail,0,0,0,525.0,10.04,535.04,31.0,479.29,24.75,7.0,4.9583,1,0,0,0,2021-10-11
RX0000014844,MBR00000405,2022-01-14,2022-01-17,1377970570,1120919400,PLN3473,376928,PCN366,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,89,0,Retail,0,0,0,1140.0,7.4,1147.4,40.0,1067.43,39.97,15.2,10.7667,0,0,0,0,2022-04-14
RX0000014845,MBR00000405,2021-03-29,2021-03-30,1710214692,1171214000,PLN4277,927928,PCN376,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,98,1,Retail,0,0,0,960.0,5.9,965.9,34.0,881.45,50.45,12.8,9.0667,0,0,0,0,2021-06-27
RX0000014846,MBR00000405,2022-02-16,2022-02-17,1607893361,1883575248,PLN2554,188828,PCN532,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,97,7,Retail,0,0,0,30.0,5.2,35.2,2.0,32.06,1.14,0.4,0.2833,0,0,0,0,2022-05-17
RX0000014847,MBR00000405,2023-04-11,2023-04-13,1263138631,1532372010,PLN8370,798201,PCN236,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,3,Retail,0,0,0,16.0,2.77,18.77,9.0,9.13,0.64,0.64,0.4533,1,0,0,0,2023-05-11
RX0000014848,MBR00000405,2021-02-15,2021-02-16,1316966762,1177068096,PLN9755,414576,PCN529,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,93,1,Retail,0,0,0,114.0,1.54,115.54,32.0,79.52,4.02,1.52,1.0767,0,0,0,0,2021-05-16
RX0000014849,MBR00000405,2022-06-25,2022-06-29,1199986982,1907737030,PLN1491,951233,PCN784,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,6,Specialty,0,1,0,2.8,27.52,30.32,154.0,0.0,0.0,0.48,0.34,0,0,0,0,2022-07-02
RX0000014850,MBR00000405,2021-10-16,2021-10-17,1927583043,1391208366,PLN8279,167727,PCN354,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,3,Specialty,0,0,0,22.0,37.27,59.27,74.0,0.0,0.0,0.88,0.6233,0,0,0,0,2021-11-15
RX0000014851,MBR00000405,2022-03-31,2022-04-03,1141990323,1171983510,PLN9737,628219,PCN598,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,55,11,LTC,0,1,0,24.0,5.53,29.53,148.0,0.0,1.86,0.48,0.34,0,0,0,0,2022-05-30
RX0000014852,MBR00000405,2023-02-21,2023-02-24,1745248791,1449548024,PLN1458,120301,PCN376,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,3,Retail,0,0,0,7.5,2.93,10.43,8.0,2.01,0.42,0.3,0.2125,0,0,0,0,2023-03-23
RX0000014853,MBR00000405,2021-03-12,2021-03-13,1803930101,1679355801,PLN2566,198709,PCN776,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,11,Specialty,0,0,0,750.0,33.48,783.48,34.0,749.48,0.0,30.0,21.25,0,0,0,0,2021-04-11
RX0000014854,MBR00000405,2023-06-08,2023-06-09,1507169662,1128637094,PLN6993,459901,PCN196,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,1,Mail Order,0,0,0,3.27,1.71,4.98,8.0,0.0,0.32,0.56,0.3967,0,0,0,0,2023-06-15
RX0000014855,MBR00000405,2023-12-02,2023-12-03,1922467125,1519924642,PLN3358,942569,PCN342,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,7,Mail Order,0,0,0,10.0,6.62,16.62,4.0,11.96,0.66,0.4,0.2833,0,0,0,0,2024-01-01
RX0000014856,MBR00000405,2022-02-09,2022-02-11,1801382595,1155134789,PLN8398,331010,PCN124,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,7,Retail,0,0,0,2.33,11.55,13.88,7.0,6.04,0.84,0.4,0.2833,0,0,0,0,2022-02-16
RX0000014857,MBR00000405,2021-05-18,2021-05-21,1295546629,1114479601,PLN2516,663030,PCN590,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,2,Retail,1,1,0,6200.0,9.46,6209.46,154.0,5642.87,412.59,248.0,175.6667,0,0,0,0,2021-06-17
RX0000014858,MBR00000405,2021-01-25,2021-01-29,1949608762,1481890098,PLN9959,548203,PCN435,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,4,Mail Order,1,0,0,12.0,2.25,14.25,4.0,9.31,0.94,0.48,0.34,0,0,0,0,2021-02-24
RX0000014859,MBR00000405,2022-03-28,2022-04-01,1949578346,1917449878,PLN6017,917765,PCN812,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,3,Mail Order,0,0,0,18.0,10.8,28.8,0.0,27.06,1.74,0.72,0.51,0,0,0,0,2022-04-27
RX0000014860,MBR00000405,2022-06-18,2022-06-19,1177390540,1687921275,PLN6002,966798,PCN931,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,8,Retail,0,0,0,7.5,9.2,16.7,0.0,16.15,0.55,0.3,0.2125,0,0,0,0,2022-07-18
RX0000014861,MBR00000405,2023-04-11,2023-04-15,1406830804,1395803781,PLN5638,476440,PCN289,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,0,Retail,0,0,0,45.0,2.17,47.17,4.0,40.63,2.54,1.8,1.275,0,0,0,0,2023-05-11
RX0000014862,MBR00000405,2021-07-10,2021-07-13,1445118437,1863182260,PLN9052,187647,PCN246,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,2,Mail Order,0,1,0,6200.0,2.19,6202.19,146.0,5729.63,326.56,248.0,175.6667,0,0,0,0,2021-08-09
RX0000014863,MBR00000405,2022-10-19,2022-10-23,1639207624,1673586124,PLN5584,592440,PCN399,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,0,Mail Order,0,0,0,285.0,11.85,296.85,34.0,242.76,20.09,11.4,8.075,0,0,0,0,2022-11-18
RX0000014864,MBR00000405,2021-11-29,2021-11-30,1929066684,1667918463,PLN9357,103724,PCN929,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,95,4,Mail Order,0,0,1,114.0,10.66,124.66,0.0,116.07,8.59,1.52,1.0767,1,0,0,0,2022-02-27
RX0000014865,MBR00000405,2023-12-29,2023-12-30,1779983469,1789786995,PLN6081,870579,PCN320,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,3,Retail,3,0,0,2.33,6.59,8.93,4.0,4.4,0.53,0.4,0.2833,0,0,0,0,2024-01-05
RX0000014866,MBR00000405,2023-04-03,2023-04-06,1728868008,1541708678,PLN4900,850774,PCN256,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,6,Retail,0,0,0,10.0,7.79,17.79,0.0,16.92,0.87,0.4,0.2833,0,0,0,0,2023-05-03
RX0000014867,MBR00000405,2021-06-11,2021-06-14,1922083342,1710983336,PLN2602,784508,PCN529,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,4,Retail,0,0,0,480.0,3.25,483.25,32.0,421.84,29.41,19.2,13.6,0,0,0,0,2021-07-11
RX0000014868,MBR00000405,2021-03-23,2021-03-24,1944973060,1650722239,PLN1375,631852,PCN290,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,10,Retail,0,0,0,750.0,5.85,755.85,36.0,689.84,30.01,30.0,21.25,0,0,0,0,2021-04-22
RX0000014869,MBR00000405,2023-10-11,2023-10-12,1607654953,1926148767,PLN1337,266811,PCN689,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,7,Mail Order,1,0,0,9.0,8.6,17.6,5.0,11.96,0.64,0.36,0.255,0,0,0,0,2023-11-10
RX0000014870,MBR00000405,2023-09-26,2023-09-30,1439549354,1509940236,PLN7218,883006,PCN382,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,2,Retail,0,1,0,6200.0,10.7,6210.7,151.0,5858.33,201.37,248.0,175.6667,0,0,0,0,2023-10-26
RX0000014871,MBR00000405,2022-08-06,2022-08-10,1833078123,1183229464,PLN1509,287925,PCN156,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,11,Retail,0,0,0,650.0,1.58,651.58,31.0,577.66,42.92,26.0,18.4167,0,0,0,0,2022-09-05
RX0000014872,MBR00000405,2023-12-10,2023-12-12,1341930101,1463645870,PLN9784,868083,PCN503,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,57,7,Retail,0,0,0,28.0,7.54,35.54,5.0,28.34,2.2,0.56,0.3967,0,0,0,0,2024-02-08
RX0000014873,MBR00000405,2021-02-03,2021-02-05,1579222916,1874182995,PLN4492,391710,PCN396,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,55,11,Retail,0,0,0,22.0,10.53,32.53,2.0,28.77,1.76,0.44,0.3117,0,0,0,0,2021-04-04
RX0000014874,MBR00000405,2023-07-16,2023-07-17,1856616905,1966249876,PLN3425,153478,PCN250,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,8,Mail Order,0,0,1,480.0,3.78,483.78,31.0,420.68,32.1,19.2,13.6,0,0,0,0,2023-08-15
RX0000014875,MBR00000405,2023-04-17,2023-04-21,1660730983,1374892384,PLN9101,648016,PCN135,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,11,Retail,1,0,0,14.0,6.93,20.93,3.0,17.01,0.92,0.56,0.3967,0,0,0,0,2023-05-17
RX0000014876,MBR00000405,2023-08-09,2023-08-13,1491183579,1656763817,PLN1187,380161,PCN247,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,10,Retail,0,0,0,9.0,4.08,13.08,2.0,10.29,0.79,0.36,0.255,0,0,0,0,2023-09-08
RX0000014877,MBR00000406,2021-09-30,2021-10-04,1545694523,1389526794,PLN5623,272398,PCN558,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,86,7,Retail,0,0,0,42.0,3.16,45.16,3.0,39.61,2.55,0.56,0.3967,0,0,0,0,2021-12-29
RX0000014878,MBR00000406,2023-11-10,2023-11-13,1735688788,1554922715,PLN9633,562032,PCN438,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,11,Retail,0,0,0,8.87,10.91,19.78,35.0,0.0,0.86,1.52,1.0767,1,0,0,0,2023-11-17
RX0000014879,MBR00000406,2021-02-13,2021-02-14,1980223323,1329337075,PLN5563,251787,PCN270,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,1,Retail,0,0,0,380.0,8.57,388.57,35.0,330.87,22.7,15.2,10.7667,0,0,0,0,2021-03-15
RX0000014880,MBR00000406,2022-10-26,2022-10-28,1922094371,1815652479,PLN5001,559012,PCN775,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,9,Retail,3,0,0,22.0,4.67,26.67,68.0,0.0,1.13,0.88,0.6233,0,0,0,0,2022-11-25
RX0000014881,MBR00000406,2021-03-19,2021-03-22,1553235402,1725603968,PLN9379,832308,PCN968,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,6,Retail,0,0,0,65.0,11.13,76.13,33.0,40.75,2.38,2.6,1.8417,0,0,0,0,2021-04-18
RX0000014882,MBR00000406,2021-04-07,2021-04-11,1301986664,1270697796,PLN5377,799428,PCN924,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,85,7,Retail,0,0,0,135.0,4.92,139.92,10.0,124.83,5.09,1.8,1.275,0,0,0,0,2021-07-06
RX0000014883,MBR00000406,2023-01-04,2023-01-06,1419556229,1423464874,PLN1497,133967,PCN286,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,9,Mail Order,0,0,0,330.0,6.37,336.37,34.0,282.41,19.96,13.2,9.35,0,0,0,0,2023-02-03
RX0000014884,MBR00000406,2022-08-16,2022-08-19,1680997049,1459850255,PLN9759,313612,PCN748,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,0,Mail Order,1,0,0,650.0,6.55,656.55,30.0,588.29,38.26,26.0,18.4167,0,0,0,0,2022-09-15
RX0000014885,MBR00000406,2021-07-20,2021-07-24,1230818565,1274837120,PLN9661,594045,PCN288,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,0,LTC,0,0,0,2.57,9.58,12.15,0.0,11.63,0.52,0.44,0.3117,0,0,0,0,2021-07-27
RX0000014886,MBR00000406,2023-02-09,2023-02-10,1226260284,1567026384,PLN8022,472264,PCN575,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,55,6,Retail,0,0,0,90.0,6.38,96.38,10.0,80.57,5.81,1.8,1.275,0,0,0,0,2023-04-10
RX0000014887,MBR00000406,2022-01-03,2022-01-06,1858838908,1833556443,PLN8256,366221,PCN342,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,10,Mail Order,0,0,0,45.0,2.31,47.31,1.0,44.8,1.51,1.8,1.275,0,0,0,0,2022-02-02
RX0000014888,MBR00000406,2021-06-02,2021-06-04,1517043601,1432007549,PLN3562,438626,PCN322,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,92,7,Mail Order,2,0,0,42.0,3.22,45.22,6.0,36.87,2.35,0.56,0.3967,0,0,0,0,2021-08-31
RX0000014889,MBR00000406,2021-03-29,2021-04-01,1979328824,1257232187,PLN1251,193943,PCN574,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,82,5,Retail,0,0,0,54.0,11.85,65.85,32.0,31.74,2.11,0.72,0.51,0,0,0,0,2021-06-27
RX0000014890,MBR00000406,2023-08-06,2023-08-09,1615940042,1577717186,PLN3012,244824,PCN604,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,83,6,Specialty,0,0,0,30.0,45.04,75.04,4.0,71.04,0.0,0.4,0.2833,0,0,0,0,2023-11-04
RX0000014891,MBR00000406,2022-07-11,2022-07-13,1810840736,1460487989,PLN4144,584516,PCN635,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,9,Retail,2,0,0,18.0,11.18,29.18,0.0,28.11,1.07,0.72,0.51,0,0,0,0,2022-08-10
RX0000014892,MBR00000406,2022-01-04,2022-01-08,1473214030,1282989277,PLN6262,482219,PCN399,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,1,Mail Order,0,0,0,28.0,8.26,36.26,5.0,29.45,1.81,1.12,0.7933,0,0,0,0,2022-02-03
RX0000014893,MBR00000406,2022-02-18,2022-02-20,1473373903,1312662479,PLN5601,296218,PCN395,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,5,Retail,0,0,0,27.0,6.49,33.49,1.0,31.07,1.42,0.36,0.255,0,0,0,0,2022-05-19
RX0000014894,MBR00000406,2021-05-29,2021-06-02,1881392277,1271038020,PLN6708,513399,PCN766,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,8,Retail,0,0,0,18.0,8.45,26.45,4.0,21.49,0.96,0.72,0.51,0,0,0,0,2021-06-28
RX0000014895,MBR00000406,2021-06-28,2021-06-29,1413628719,1170004145,PLN2878,626516,PCN138,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,4,Mail Order,0,0,0,10.0,8.59,18.59,1.0,16.41,1.18,0.4,0.2833,0,0,0,0,2021-07-28
RX0000014896,MBR00000406,2023-03-16,2023-03-20,1411915938,1632828103,PLN7599,688789,PCN470,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,65,0,Retail,0,0,0,24.0,1.89,25.89,5.0,19.87,1.02,0.48,0.34,0,0,0,0,2023-05-15
RX0000014897,MBR00000406,2021-01-13,2021-01-17,1638471224,1197128823,PLN6351,159399,PCN251,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,9,Retail,0,1,0,8500.0,10.92,8510.92,152.0,7901.89,457.03,340.0,240.8333,0,0,0,0,2021-02-12
RX0000014898,MBR00000406,2021-10-11,2021-10-15,1412392311,1460498236,PLN9661,786558,PCN766,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,92,4,Mail Order,0,0,0,54.0,5.9,59.9,4.0,52.4,3.5,0.72,0.51,0,0,0,0,2022-01-09
RX0000014899,MBR00000406,2021-08-14,2021-08-16,1442903705,1312233445,PLN8947,968925,PCN297,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,0,Specialty,0,0,0,750.0,42.03,792.03,39.0,753.03,0.0,30.0,21.25,0,0,0,0,2021-09-13
RX0000014900,MBR00000406,2022-03-12,2022-03-14,1214067956,1819678719,PLN1404,312189,PCN871,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,4,Retail,0,0,0,12.0,6.7,18.7,7.0,11.11,0.59,0.48,0.34,0,0,0,0,2022-04-11
RX0000014901,MBR00000406,2022-07-08,2022-07-12,1331090995,1312265630,PLN4774,223452,PCN975,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,97,5,Retail,0,0,0,33.0,4.86,37.86,2.0,34.68,1.18,0.44,0.3117,0,0,0,0,2022-10-06
RX0000014902,MBR00000406,2021-02-07,2021-02-09,1408511729,1312829075,PLN8406,609169,PCN295,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,11,Retail,0,0,0,38.0,8.88,46.88,3.0,41.97,1.91,1.52,1.0767,0,0,0,0,2021-03-09
RX0000014903,MBR00000406,2022-08-08,2022-08-10,1107653662,1270590121,PLN5869,707834,PCN697,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,86,9,Mail Order,0,0,0,1950.0,4.84,1954.84,39.0,1810.78,105.06,26.0,18.4167,0,0,0,0,2022-11-06
RX0000014904,MBR00000406,2022-12-03,2022-12-05,1266100760,1118422574,PLN8830,669672,PCN956,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,0,Mail Order,0,0,0,380.0,3.43,383.43,33.0,329.69,20.74,15.2,10.7667,0,0,0,0,2023-01-02
RX0000014905,MBR00000406,2023-01-27,2023-01-28,1142220858,1322189105,PLN9300,792198,PCN446,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,64,11,Retail,0,0,0,620.0,11.96,631.96,39.0,568.75,24.21,12.4,8.7833,0,0,0,0,2023-03-28
RX0000014906,MBR00000406,2021-06-11,2021-06-13,1629243915,1861704359,PLN9962,536141,PCN360,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,88,1,Retail,0,0,0,855.0,8.93,863.93,33.0,792.24,38.69,11.4,8.075,0,0,0,0,2021-09-09
RX0000014907,MBR00000406,2023-06-18,2023-06-22,1410252615,1711399078,PLN9518,273714,PCN936,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,9,Retail,3,0,0,2.33,8.14,10.48,1.0,8.97,0.51,0.4,0.2833,1,0,0,0,2023-06-25
RX0000014908,MBR00000406,2023-05-16,2023-05-19,1885470367,1509056236,PLN5383,233335,PCN890,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,65,7,Retail,1,0,0,17.0,10.59,27.59,7.0,19.33,1.26,0.34,0.2408,0,0,0,0,2023-07-15
RX0000014909,MBR00000406,2021-10-03,2021-10-07,1210733625,1308302155,PLN4412,472893,PCN335,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,92,4,Retail,0,0,0,30.0,8.11,38.11,7.0,28.65,2.46,0.4,0.2833,0,0,0,0,2022-01-01
RX0000014910,MBR00000406,2022-06-24,2022-06-28,1905041225,1203466454,PLN7232,215883,PCN194,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,58,1,Retail,0,0,0,44.0,1.85,45.85,2.0,40.92,2.93,0.88,0.6233,0,0,0,0,2022-08-23
RX0000014911,MBR00000406,2021-05-03,2021-05-05,1261194716,1615017609,PLN2716,550568,PCN490,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,3,Retail,0,0,0,65.0,6.36,71.36,37.0,31.56,2.8,2.6,1.8417,0,0,0,0,2021-06-02
RX0000014912,MBR00000406,2021-09-16,2021-09-17,1431875842,1818082631,PLN3188,557214,PCN328,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,59,3,Retail,0,0,0,1300.0,3.92,1303.92,31.0,1202.62,70.3,26.0,18.4167,0,0,0,0,2021-11-15
RX0000014913,MBR00000406,2021-12-14,2021-12-18,1669119342,1367166948,PLN3285,444869,PCN933,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,0,Retail,0,0,0,18.0,7.06,25.06,7.0,17.04,1.02,0.72,0.51,0,0,0,0,2022-01-13
RX0000014914,MBR00000406,2022-11-17,2022-11-19,1633863544,1889379501,PLN3215,577568,PCN377,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,6,Mail Order,0,0,0,330.0,6.97,336.97,36.0,290.19,10.78,13.2,9.35,0,0,0,0,2022-12-17
RX0000014915,MBR00000406,2021-10-01,2021-10-02,1821996198,1844333728,PLN1039,144222,PCN262,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,6,Mail Order,0,0,0,310.0,7.52,317.52,33.0,272.41,12.11,12.4,8.7833,0,0,0,0,2021-10-31
RX0000014916,MBR00000406,2021-06-09,2021-06-11,1654408514,1377894173,PLN3610,332672,PCN401,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,2,Mail Order,0,0,0,14.0,4.86,18.86,10.0,7.84,1.02,0.56,0.3967,0,0,0,0,2021-07-09
RX0000014917,MBR00000406,2021-06-10,2021-06-14,1444637524,1430642657,PLN7678,757522,PCN397,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,58,10,Specialty,0,0,0,30.0,16.22,46.22,10.0,36.22,0.0,0.6,0.425,0,0,0,0,2021-08-09
RX0000014918,MBR00000406,2021-06-14,2021-06-16,1621821448,1740485910,PLN1830,808541,PCN121,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,55,10,Specialty,0,0,0,620.0,35.57,655.57,38.0,617.57,0.0,12.4,8.7833,0,0,0,0,2021-08-13
RX0000014919,MBR00000406,2021-07-03,2021-07-04,1490883818,1743669576,PLN3709,128782,PCN448,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,0,Mail Order,0,0,0,14.0,2.22,16.22,2.0,13.39,0.83,0.56,0.3967,0,0,0,0,2021-08-02
RX0000014920,MBR00000407,2023-03-23,2023-03-24,1929548652,1220602430,PLN9627,150920,PCN496,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,88,5,Retail,0,0,0,45.0,3.85,48.85,5.0,41.53,2.32,0.6,0.425,0,0,0,0,2023-06-21
RX0000014921,MBR00000407,2023-07-08,2023-07-10,1828275276,1316856036,PLN6057,164552,PCN929,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,57,9,Retail,0,0,0,76.0,11.54,87.54,32.0,52.48,3.06,1.52,1.0767,0,0,0,0,2023-09-06
RX0000014922,MBR00000407,2023-07-01,2023-07-05,1521188946,1634356760,PLN4484,401759,PCN620,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,8,Retail,0,0,0,65.0,5.8,70.8,32.0,35.28,3.52,2.6,1.8417,0,0,0,0,2023-07-31
RX0000014923,MBR00000407,2023-03-29,2023-03-30,1165950420,1871869511,PLN2464,268593,PCN417,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,2,Retail,0,0,0,2.8,10.43,13.23,8.0,4.78,0.45,0.48,0.34,0,0,0,0,2023-04-05
RX0000014924,MBR00000407,2021-10-05,2021-10-07,1235693688,1550251731,PLN6511,769829,PCN935,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,8,Mail Order,3,0,0,380.0,6.38,386.38,38.0,329.01,19.37,15.2,10.7667,0,0,0,0,2021-11-04
RX0000014925,MBR00000407,2023-09-22,2023-09-25,1323977671,1498424952,PLN6749,615893,PCN473,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,11,Retail,0,0,0,2.8,7.6,10.4,9.0,1.05,0.35,0.48,0.34,1,0,0,0,2023-09-29
RX0000014926,MBR00000407,2021-03-30,2021-04-01,1552637914,1215968579,PLN2997,459770,PCN444,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,8,Retail,0,0,0,14.0,5.44,19.44,1.0,17.24,1.2,0.56,0.3967,0,0,0,0,2021-04-29
RX0000014927,MBR00000407,2023-01-03,2023-01-04,1600119270,1265814157,PLN5460,152414,PCN442,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,7,Retail,0,0,0,18.0,9.91,27.91,34.0,0.0,1.21,0.72,0.51,0,0,0,0,2023-02-02
RX0000014928,MBR00000407,2021-06-12,2021-06-13,1584258602,1813676049,PLN4583,906733,PCN847,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,2,Retail,0,0,0,11.0,7.29,18.29,10.0,7.01,1.28,0.44,0.3117,0,0,0,0,2021-07-12
RX0000014929,MBR00000407,2021-03-20,2021-03-21,1822896503,1487575728,PLN4794,173746,PCN929,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,4,Specialty,0,0,0,16.0,35.3,51.3,7.0,44.3,0.0,0.64,0.4533,0,0,0,0,2021-04-19
RX0000014930,MBR00000407,2023-05-06,2023-05-10,1934032124,1996239367,PLN6169,637595,PCN225,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,1,Mail Order,0,1,0,2.8,8.15,10.95,155.0,0.0,0.72,0.48,0.34,0,1,1,0,2023-05-13
RX0000014931,MBR00000407,2023-02-27,2023-02-28,1229144301,1865145010,PLN1889,212080,PCN859,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,4,Specialty,0,1,0,6200.0,34.7,6234.7,147.0,6087.7,0.0,248.0,175.6667,0,1,1,0,2023-03-29
RX0000014932,MBR00000407,2021-07-10,2021-07-13,1504758917,1439986922,PLN5515,483388,PCN149,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,5,Retail,0,0,0,10.0,8.55,18.55,6.0,11.81,0.74,0.4,0.2833,0,0,0,0,2021-08-09
RX0000014933,MBR00000407,2021-11-03,2021-11-05,1936042925,1848008176,PLN3245,492114,PCN665,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,0,Mail Order,0,0,0,10.5,8.06,18.56,8.0,9.86,0.7,1.8,1.275,0,1,0,0,2021-11-10
RX0000014934,MBR00000407,2021-10-10,2021-10-12,1430708326,1880646207,PLN9823,175592,PCN357,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,62,0,Retail,0,0,0,28.0,9.15,37.15,1.0,34.56,1.59,0.56,0.3967,0,0,0,0,2021-12-09
RX0000014935,MBR00000407,2023-09-09,2023-09-10,1428140404,1643379934,PLN9376,461022,PCN568,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,6,9,Retail,0,0,0,3.27,5.5,8.77,7.0,1.17,0.6,0.56,0.3967,0,0,0,0,2023-09-16
RX0000014936,MBR00000407,2021-10-02,2021-10-05,1128662931,1551400025,PLN2141,241515,PCN929,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,3,Retail,0,0,0,45.0,10.29,55.29,4.0,47.95,3.34,1.8,1.275,0,0,0,0,2021-11-01
RX0000014937,MBR00000407,2022-01-01,2022-01-03,1370110118,1345691651,PLN4148,123112,PCN873,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,5,Retail,0,0,0,3.5,8.65,12.15,0.0,11.51,0.64,0.6,0.425,0,0,0,0,2022-01-08
RX0000014938,MBR00000407,2023-02-06,2023-02-08,1850560558,1148712397,PLN6483,478801,PCN807,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,1,Retail,0,0,0,18.0,4.17,22.17,35.0,0.0,1.13,0.72,0.51,0,1,1,0,2023-03-08
RX0000014939,MBR00000407,2021-08-02,2021-08-05,1638273805,1367193398,PLN3637,247765,PCN244,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,5,Retail,0,0,0,15.0,5.04,20.04,1.0,18.08,0.96,0.6,0.425,1,0,0,0,2021-09-01
RX0000014940,MBR00000407,2023-02-06,2023-02-09,1806845440,1447157044,PLN4177,567956,PCN965,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,85,11,Retail,0,0,1,33.0,3.57,36.57,4.0,30.3,2.27,0.44,0.3117,0,0,0,0,2023-05-07
RX0000014941,MBR00000407,2022-12-09,2022-12-12,1160048814,1258381589,PLN3476,688519,PCN700,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,60,10,Retail,0,1,1,12400.0,2.09,12402.09,149.0,11394.33,858.76,248.0,175.6667,0,0,0,0,2023-02-07
RX0000014942,MBR00000407,2022-03-16,2022-03-20,1741857040,1393845038,PLN8414,116629,PCN181,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,9,Mail Order,0,0,0,4.2,3.9,8.1,4.0,3.72,0.38,0.72,0.51,0,0,0,0,2022-03-23
RX0000014943,MBR00000407,2022-11-29,2022-11-30,1683486269,1138425535,PLN5678,522501,PCN624,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,5,Retail,0,0,0,112.0,9.99,121.99,33.0,83.23,5.76,19.2,13.6,0,0,0,0,2022-12-06
RX0000014944,MBR00000407,2022-10-01,2022-10-02,1862130508,1976227468,PLN1361,791772,PCN154,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,4,Specialty,0,0,0,65.0,15.65,80.65,38.0,42.65,0.0,2.6,1.8417,0,0,0,0,2022-10-31
RX0000014945,MBR00000407,2021-10-05,2021-10-09,1559640160,1229257066,PLN2709,303748,PCN895,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,6,4,Retail,2,0,0,2.8,5.05,7.85,10.0,0.0,0.44,0.48,0.34,0,0,0,0,2021-10-12
RX0000014946,MBR00000407,2023-05-14,2023-05-16,1842244111,1407820218,PLN8898,875337,PCN730,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,1,Retail,3,0,0,310.0,5.65,315.65,31.0,268.77,15.88,12.4,8.7833,0,0,0,0,2023-06-13
RX0000014947,MBR00000407,2022-04-07,2022-04-08,1732992610,1198765561,PLN1000,452796,PCN229,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,8,Specialty,0,0,0,310.0,46.03,356.03,38.0,318.03,0.0,12.4,8.7833,0,0,0,0,2022-05-07
RX0000014948,MBR00000407,2021-07-13,2021-07-16,1149756388,1188262804,PLN6690,737117,PCN129,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,11,Retail,0,1,0,8.0,2.11,10.11,145.0,0.0,0.64,0.32,0.2267,0,0,0,0,2021-08-12
RX0000014949,MBR00000407,2023-08-05,2023-08-08,1724551111,1394112399,PLN6283,514531,PCN801,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,5,Specialty,0,0,0,750.0,14.18,764.18,40.0,724.18,0.0,30.0,21.25,0,0,0,0,2023-09-04
RX0000014950,MBR00000407,2022-07-22,2022-07-23,1527866438,1422170640,PLN4471,715740,PCN749,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,89,5,Retail,0,0,0,25.5,11.43,36.93,7.0,28.53,1.4,0.34,0.2408,0,0,0,0,2022-10-20
RX0000014951,MBR00000407,2022-03-06,2022-03-08,1275734055,1227591813,PLN1207,584898,PCN382,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,2,Retail,0,0,0,18.0,10.14,28.14,37.0,0.0,1.23,0.72,0.51,0,0,0,0,2022-04-05
RX0000014952,MBR00000408,2023-04-06,2023-04-10,1623524030,1953062948,PLN5354,556337,PCN241,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,7,Specialty,0,0,0,10.0,30.6,40.6,6.0,34.6,0.0,0.4,0.2833,0,0,0,0,2023-05-06
RX0000014953,MBR00000408,2021-03-31,2021-04-01,1273936665,1239269037,PLN5389,115657,PCN495,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,9,Retail,0,0,0,310.0,10.75,320.75,32.0,277.16,11.59,12.4,8.7833,0,0,0,0,2021-04-30
RX0000014954,MBR00000408,2023-07-16,2023-07-17,1151385531,1493076530,PLN2722,579047,PCN364,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,55,3,Mail Order,0,1,0,12400.0,2.92,12402.92,147.0,11612.9,643.02,248.0,175.6667,0,0,0,0,2023-09-14
RX0000014955,MBR00000408,2021-02-23,2021-02-25,1933820783,1802212172,PLN6331,774694,PCN601,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,8,Retail,0,0,0,221.67,8.24,229.9,32.0,190.06,7.84,38.0,26.9167,0,0,0,0,2021-03-02
RX0000014956,MBR00000408,2023-09-09,2023-09-11,1539862854,1196241538,PLN1643,829993,PCN319,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,97,1,Mail Order,0,0,0,54.0,2.58,56.58,5.0,47.68,3.9,0.72,0.51,0,0,0,0,2023-12-08
RX0000014957,MBR00000408,2022-05-01,2022-05-03,1567965562,1461275172,PLN6359,668977,PCN613,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,0,Retail,1,0,0,330.0,11.16,341.16,30.0,290.84,20.32,13.2,9.35,0,0,0,0,2022-05-31
RX0000014958,MBR00000408,2021-12-02,2021-12-03,1382131495,1544717552,PLN8884,670393,PCN916,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,4,Retail,0,0,0,8.5,1.83,10.33,4.0,5.87,0.46,0.34,0.2408,0,0,0,0,2022-01-01
RX0000014959,MBR00000408,2022-10-26,2022-10-27,1935055282,1224388567,PLN6140,211297,PCN741,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,2,Retail,3,0,0,65.0,7.97,72.97,31.0,37.03,4.94,2.6,1.8417,0,0,0,0,2022-11-25
RX0000014960,MBR00000408,2022-04-19,2022-04-21,1987275120,1580443256,PLN4832,869799,PCN370,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,63,1,Retail,0,0,0,36.0,2.25,38.25,3.0,32.85,2.4,0.72,0.51,0,0,0,0,2022-06-18
RX0000014961,MBR00000408,2023-01-01,2023-01-04,1616314734,1293143228,PLN4708,742011,PCN879,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,86,6,Retail,0,0,0,54.0,5.91,59.91,9.0,48.5,2.41,0.72,0.51,0,0,0,0,2023-04-01
RX0000014962,MBR00000408,2023-05-26,2023-05-28,1264118738,1119150252,PLN5950,343514,PCN877,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,2,Retail,0,0,0,10.0,2.11,12.11,0.0,11.42,0.69,0.4,0.2833,0,0,0,0,2023-06-25
RX0000014963,MBR00000408,2022-07-30,2022-08-01,1895665924,1408211782,PLN4812,151528,PCN996,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,56,5,Retail,2,0,0,28.0,8.27,36.27,4.0,30.13,2.14,0.56,0.3967,0,0,0,0,2022-09-28
RX0000014964,MBR00000408,2023-06-17,2023-06-19,1729069530,1525774440,PLN7923,380395,PCN691,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,58,9,Retail,0,0,0,76.0,6.7,82.7,39.0,38.27,5.43,1.52,1.0767,1,0,0,0,2023-08-16
RX0000014965,MBR00000408,2022-07-13,2022-07-17,1846645219,1176318187,PLN2045,381584,PCN374,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,1,Retail,0,0,0,950.0,4.53,954.53,39.0,869.72,45.81,38.0,26.9167,0,0,0,0,2022-08-12
RX0000014966,MBR00000408,2022-06-09,2022-06-12,1193160587,1130858562,PLN3230,330511,PCN283,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,9,Mail Order,0,0,0,18.0,4.0,22.0,7.0,14.03,0.97,0.72,0.51,0,0,0,0,2022-07-09
RX0000014967,MBR00000408,2023-05-05,2023-05-08,1555293359,1286918459,PLN7338,133606,PCN127,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,9,Mail Order,0,0,0,38.0,3.42,41.42,8.0,31.78,1.64,1.52,1.0767,1,0,0,0,2023-06-04
RX0000014968,MBR00000408,2021-01-03,2021-01-05,1489867255,1746932869,PLN7706,668754,PCN214,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,96,9,Mail Order,0,0,0,54.0,8.75,62.75,1.0,59.76,1.99,0.72,0.51,0,0,0,0,2021-04-03
RX0000014969,MBR00000408,2023-07-12,2023-07-15,1849034616,1763850850,PLN1444,123935,PCN488,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,1,Mail Order,2,0,0,45.0,8.21,53.21,4.0,46.17,3.04,1.8,1.275,0,0,0,0,2023-08-11
RX0000014970,MBR00000408,2022-09-12,2022-09-14,1159647359,1640680332,PLN7156,834411,PCN505,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,93,10,Retail,0,0,0,54.0,9.09,63.09,1.0,57.78,4.31,0.72,0.51,0,0,0,0,2022-12-11
RX0000014971,MBR00000408,2022-02-18,2022-02-21,1923177473,1782315633,PLN3743,770891,PCN215,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,3,Retail,0,0,0,18.0,2.14,20.14,3.0,16.45,0.69,0.72,0.51,0,0,0,0,2022-03-20
RX0000014972,MBR00000408,2021-07-23,2021-07-27,1565645638,1891749625,PLN2315,817323,PCN736,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,8,Retail,0,0,0,14.0,9.48,23.48,9.0,13.33,1.15,0.56,0.3967,0,0,0,0,2021-08-22
RX0000014973,MBR00000408,2022-04-03,2022-04-07,1200395888,1390847154,PLN9312,938229,PCN749,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,1,Retail,0,1,0,8500.0,3.92,8503.92,146.0,7954.79,403.13,340.0,240.8333,0,0,0,0,2022-05-03
RX0000014974,MBR00000408,2023-07-03,2023-07-06,1339250313,1221216733,PLN1932,308519,PCN533,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,6,Mail Order,2,0,0,310.0,7.4,317.4,30.0,270.22,17.18,12.4,8.7833,0,0,0,0,2023-08-02
RX0000014975,MBR00000408,2023-02-02,2023-02-04,1955399426,1872703855,PLN2061,977675,PCN764,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,10,Retail,0,0,0,7.5,9.03,16.53,2.0,13.57,0.96,0.3,0.2125,0,0,0,0,2023-03-04
RX0000014976,MBR00000408,2022-12-19,2022-12-20,1333454142,1123950421,PLN1240,645073,PCN190,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,11,Retail,0,0,0,370.0,9.61,379.61,38.0,323.44,18.17,14.8,10.4833,0,0,0,0,2023-01-18
RX0000014977,MBR00000408,2022-11-02,2022-11-05,1968686064,1122552354,PLN4136,757553,PCN622,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,7,LTC,1,0,0,12.0,10.21,22.21,0.0,21.31,0.9,0.48,0.34,1,0,0,0,2022-12-02
RX0000014978,MBR00000408,2021-12-14,2021-12-18,1528197686,1720631800,PLN2421,185598,PCN271,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,87,7,Retail,0,0,0,45.0,2.95,47.95,4.0,42.04,1.91,0.6,0.425,0,0,0,0,2022-03-14
RX0000014979,MBR00000408,2021-01-31,2021-02-03,1339094181,1246867062,PLN8214,970183,PCN191,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,8,Retail,0,1,0,1.87,9.23,11.1,146.0,0.0,0.74,0.32,0.2267,1,0,0,0,2021-02-07
RX0000014980,MBR00000408,2023-08-01,2023-08-05,1931007964,1602105329,PLN7443,332416,PCN445,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,11,Retail,0,1,0,8.0,9.22,17.22,150.0,0.0,0.75,0.32,0.2267,0,0,0,0,2023-08-31
RX0000014981,MBR00000408,2021-10-10,2021-10-12,1561092342,1621966416,PLN4922,412516,PCN123,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,11,Mail Order,0,0,0,9.0,3.61,12.61,3.0,9.05,0.56,0.36,0.255,0,0,0,0,2021-11-09
RX0000014982,MBR00000408,2021-10-19,2021-10-22,1159913103,1858851085,PLN3630,894309,PCN258,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,11,Retail,2,0,0,45.0,8.7,53.7,9.0,42.21,2.49,1.8,1.275,0,0,0,0,2021-11-18
RX0000014983,MBR00000408,2022-02-15,2022-02-18,1955074198,1586062500,PLN9582,412713,PCN410,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,2,Retail,0,0,0,9.0,6.64,15.64,6.0,8.79,0.85,0.36,0.255,0,0,0,0,2022-03-17
RX0000014984,MBR00000408,2022-06-13,2022-06-14,1997047017,1532170476,PLN9173,911434,PCN189,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,3,Mail Order,3,0,0,18.0,3.51,21.51,36.0,0.0,1.17,0.72,0.51,0,0,0,0,2022-07-13
RX0000014985,MBR00000408,2022-09-24,2022-09-28,1682773389,1351899262,PLN8042,330095,PCN856,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,92,4,Mail Order,3,1,0,36.0,8.36,44.36,148.0,0.0,1.83,0.48,0.34,0,0,0,0,2022-12-23
RX0000014986,MBR00000408,2023-06-21,2023-06-25,1893090631,1535998748,PLN8174,891955,PCN467,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,2,Retail,0,0,0,175.0,6.54,181.54,34.0,138.17,9.37,7.0,4.9583,0,0,0,0,2023-07-21
RX0000014987,MBR00000408,2023-03-31,2023-04-01,1339186385,1627391430,PLN4673,828610,PCN152,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,0,Retail,0,0,0,370.0,11.76,381.76,38.0,322.52,21.24,14.8,10.4833,0,0,0,0,2023-04-30
RX0000014988,MBR00000408,2022-04-16,2022-04-20,1865848013,1621957553,PLN1468,162146,PCN326,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,92,2,Retail,0,0,0,555.0,6.64,561.64,31.0,503.7,26.94,7.4,5.2417,0,0,0,0,2022-07-15
RX0000014989,MBR00000408,2021-05-01,2021-05-04,1598540372,1312796797,PLN9190,300885,PCN603,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,0,Mail Order,0,0,0,175.0,5.79,180.79,32.0,139.2,9.59,7.0,4.9583,0,0,0,0,2021-05-31
RX0000014990,MBR00000408,2022-10-21,2022-10-23,1349776846,1470263916,PLN1979,284898,PCN314,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,5,Retail,0,1,0,8500.0,7.79,8507.79,152.0,7940.03,415.76,340.0,240.8333,0,0,0,0,2022-11-20
RX0000014991,MBR00000408,2021-06-24,2021-06-27,1615539581,1930036691,PLN4786,370460,PCN169,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,84,11,Retail,0,0,0,54.0,8.6,62.6,32.0,28.6,2.0,0.72,0.51,0,0,0,0,2021-09-22
RX0000014992,MBR00000408,2022-12-10,2022-12-11,1285893079,1615677619,PLN5206,598512,PCN891,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,4,Retail,0,0,0,28.0,8.64,36.64,1.0,33.71,1.93,1.12,0.7933,0,0,0,0,2023-01-09
RX0000014993,MBR00000408,2021-08-06,2021-08-08,1269102415,1363038737,PLN8643,610104,PCN587,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,85,6,Specialty,0,0,0,30.0,33.3,63.3,5.0,58.3,0.0,0.4,0.2833,0,0,0,0,2021-11-04
RX0000014994,MBR00000408,2023-05-16,2023-05-20,1430948032,1264316831,PLN3419,895790,PCN653,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,4,Retail,0,1,0,1983.33,9.26,1992.6,151.0,1770.13,71.47,340.0,240.8333,0,0,0,0,2023-05-23
RX0000014995,MBR00000408,2021-02-28,2021-03-01,1806108651,1462998703,PLN7610,113632,PCN302,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,6,Retail,0,0,0,9.0,9.69,18.69,0.0,18.04,0.65,0.36,0.255,0,0,0,0,2021-03-30
RX0000014996,MBR00000408,2021-11-02,2021-11-05,1167388478,1724376720,PLN3793,744927,PCN197,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,6,Retail,0,0,0,330.0,4.77,334.77,30.0,285.78,18.99,13.2,9.35,0,0,0,0,2021-12-02
RX0000014997,MBR00000408,2022-12-29,2022-12-31,1994976277,1550821086,PLN7008,932326,PCN972,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,7,Retail,0,0,0,11.0,3.93,14.93,0.0,13.95,0.98,0.44,0.3117,0,0,0,0,2023-01-28
RX0000014998,MBR00000408,2023-11-29,2023-11-30,1306617948,1170731663,PLN9733,111689,PCN465,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,84,8,Retail,2,0,0,25.5,8.44,33.94,0.0,32.36,1.58,0.34,0.2408,0,0,0,0,2024-02-27
RX0000014999,MBR00000408,2022-06-10,2022-06-14,1783229280,1953585592,PLN1724,820908,PCN859,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,5,Mail Order,0,0,0,65.0,2.11,67.11,33.0,30.28,3.83,2.6,1.8417,0,0,0,0,2022-07-10
RX0000015000,MBR00000408,2021-11-29,2021-12-02,1538204897,1672471373,PLN4007,955713,PCN502,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,3,Retail,0,0,0,12.0,6.94,18.94,1.0,16.9,1.04,0.48,0.34,0,0,0,0,2021-12-29
RX0000015001,MBR00000408,2023-07-26,2023-07-27,1665130929,1277948880,PLN6404,274255,PCN554,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,82,2,Retail,3,0,0,45.0,2.86,47.86,2.0,43.13,2.73,0.6,0.425,0,0,0,0,2023-10-24
RX0000015002,MBR00000409,2023-11-05,2023-11-08,1484306316,1517561088,PLN3061,484330,PCN498,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,65,11,Mail Order,0,0,0,18.0,7.47,25.47,6.0,17.77,1.7,0.36,0.255,0,0,0,0,2024-01-04
RX0000015003,MBR00000409,2023-01-28,2023-02-01,1608882877,1977101421,PLN8147,286460,PCN401,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,8,Specialty,0,0,0,9.0,47.88,56.88,9.0,47.88,0.0,0.36,0.255,0,1,0,0,2023-02-27
RX0000015004,MBR00000409,2022-03-23,2022-03-26,1969626194,1189710701,PLN1837,992294,PCN442,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,6,Mail Order,0,0,0,480.0,11.08,491.08,34.0,429.42,27.66,19.2,13.6,0,0,0,0,2022-04-22
RX0000015005,MBR00000409,2021-11-25,2021-11-26,1372761051,1379066143,PLN6487,744818,PCN540,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,61,6,Retail,0,0,0,25.0,10.52,35.52,0.0,33.06,2.46,0.5,0.3542,0,0,0,0,2022-01-24
RX0000015006,MBR00000409,2021-05-10,2021-05-12,1770614305,1647966685,PLN5389,972874,PCN956,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,0,Retail,1,0,0,2.1,8.27,10.37,7.0,2.73,0.64,0.36,0.255,0,0,0,0,2021-05-17
RX0000015007,MBR00000409,2021-06-05,2021-06-07,1767013510,1848322276,PLN1278,521827,PCN504,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,5,Retail,0,0,0,45.0,9.67,54.67,3.0,47.9,3.77,1.8,1.275,0,0,0,0,2021-07-05
RX0000015008,MBR00000409,2023-01-28,2023-01-29,1326718591,1121880870,PLN3202,541481,PCN597,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,2,Mail Order,0,0,0,15.0,11.82,26.82,1.0,24.11,1.71,0.6,0.425,0,0,0,0,2023-02-27
RX0000015009,MBR00000409,2022-04-06,2022-04-09,1377769979,1192363426,PLN8900,584058,PCN230,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,56,3,Mail Order,0,0,0,640.0,2.65,642.65,30.0,573.3,39.35,12.8,9.0667,0,0,0,0,2022-06-05
RX0000015010,MBR00000409,2023-09-30,2023-10-01,1677777100,1856806659,PLN4640,861586,PCN191,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,5,Mail Order,0,1,0,2800.0,3.63,2803.63,152.0,2491.36,160.27,112.0,79.3333,0,0,0,0,2023-10-30
RX0000015011,MBR00000410,2023-11-27,2023-12-01,1460400186,1626381526,PLN8187,639092,PCN302,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,9,Retail,0,0,0,14.0,11.45,25.45,8.0,16.17,1.28,0.56,0.3967,0,0,0,0,2023-12-27
RX0000015012,MBR00000410,2023-04-30,2023-05-02,1946277121,1647199232,PLN1328,272052,PCN539,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,55,6,Retail,0,0,0,20.0,8.3,28.3,4.0,22.88,1.42,0.4,0.2833,0,0,0,0,2023-06-29
RX0000015013,MBR00000410,2021-11-06,2021-11-07,1484546320,1391903903,PLN5716,603111,PCN263,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,10,Retail,0,0,0,2.92,4.68,7.6,9.0,0.0,0.45,0.5,0.3542,0,1,0,0,2021-11-13
RX0000015014,MBR00000410,2022-06-20,2022-06-22,1318660072,1814356807,PLN2204,999718,PCN690,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,82,11,Mail Order,2,0,0,1140.0,7.62,1147.62,35.0,1045.08,67.54,15.2,10.7667,1,0,0,0,2022-09-18
RX0000015015,MBR00000410,2022-01-26,2022-01-27,1415109477,1761304613,PLN4937,166397,PCN690,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,10,Mail Order,0,0,0,18.0,1.72,19.72,2.0,17.08,0.64,0.72,0.51,0,0,0,0,2022-02-25
RX0000015016,MBR00000410,2022-09-14,2022-09-16,1608374047,1690354096,PLN8676,842262,PCN683,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,2,Retail,0,0,0,380.0,6.11,386.11,37.0,322.53,26.58,15.2,10.7667,0,0,0,0,2022-10-14
RX0000015017,MBR00000410,2023-03-14,2023-03-18,1769172557,1328558278,PLN5617,221503,PCN783,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,87,9,Retail,0,0,0,33.0,7.01,40.01,6.0,31.62,2.39,0.44,0.3117,0,0,0,0,2023-06-12
RX0000015018,MBR00000410,2023-11-09,2023-11-13,1576728833,1587565081,PLN9857,968621,PCN525,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,90,8,Retail,0,1,0,25500.0,3.69,25503.69,150.0,24054.05,1299.64,340.0,240.8333,0,0,0,0,2024-02-07
RX0000015019,MBR00000410,2022-06-01,2022-06-05,1950401787,1190329765,PLN7821,122587,PCN270,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,11,Mail Order,0,1,0,24.0,3.34,27.34,154.0,0.0,1.75,0.32,0.2267,0,0,0,0,2022-08-30
RX0000015020,MBR00000410,2022-12-07,2022-12-08,1922793140,1658297941,PLN9171,335294,PCN162,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,1,Retail,0,0,0,45.0,11.75,56.75,1.0,52.48,3.27,1.8,1.275,1,0,0,0,2023-01-06
RX0000015021,MBR00000410,2023-01-22,2023-01-26,1838115891,1819969413,PLN9295,939063,PCN713,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,0,Retail,0,1,0,12.0,8.77,20.77,155.0,0.0,1.44,0.48,0.34,0,0,0,0,2023-02-21
RX0000015022,MBR00000410,2021-10-21,2021-10-25,1871605759,1138159772,PLN1110,338131,PCN224,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,8,Retail,0,0,0,16.0,7.35,23.35,10.0,12.35,1.0,0.64,0.4533,0,0,0,0,2021-11-20
RX0000015023,MBR00000410,2021-04-10,2021-04-14,1962684773,1763338765,PLN5485,660508,PCN833,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,56,5,Retail,0,0,0,17.0,7.87,24.87,5.0,19.09,0.78,0.34,0.2408,0,0,0,0,2021-06-09
RX0000015024,MBR00000410,2022-09-14,2022-09-18,1568940962,1719259637,PLN6557,958111,PCN280,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,90,7,Retail,2,1,0,25500.0,4.33,25504.33,146.0,24531.83,826.5,340.0,240.8333,0,0,0,0,2022-12-13
RX0000015025,MBR00000410,2021-02-02,2021-02-05,1283963728,1143610790,PLN6728,947126,PCN119,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,3,Mail Order,0,0,0,28.0,3.83,31.83,2.0,27.66,2.17,1.12,0.7933,0,0,0,0,2021-03-04
RX0000015026,MBR00000410,2021-04-22,2021-04-24,1223562460,1188708829,PLN5614,349816,PCN255,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,3,Retail,0,0,0,2.1,9.32,11.42,0.0,11.06,0.36,0.36,0.255,0,1,0,0,2021-04-29
RX0000015027,MBR00000410,2022-05-06,2022-05-10,1634385299,1612295097,PLN2800,680863,PCN772,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,10,Retail,0,0,0,28.0,5.85,33.85,7.0,25.51,1.34,1.12,0.7933,0,0,0,0,2022-06-05
RX0000015028,MBR00000410,2023-06-25,2023-06-28,1366248373,1826948521,PLN7578,667194,PCN194,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,95,10,Retail,0,0,0,84.0,6.83,90.83,10.0,76.99,3.84,1.12,0.7933,0,0,0,0,2023-09-23
RX0000015029,MBR00000410,2023-07-30,2023-08-02,1191718522,1398120287,PLN3919,391085,PCN411,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,63,10,Retail,0,0,0,15.0,9.73,24.73,5.0,18.6,1.13,0.3,0.2125,0,0,0,0,2023-09-28
RX0000015030,MBR00000410,2022-03-12,2022-03-13,1574127555,1898970538,PLN4518,875522,PCN831,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,9,Mail Order,0,0,0,45.0,8.21,53.21,3.0,48.07,2.14,1.8,1.275,0,0,0,0,2022-04-11
RX0000015031,MBR00000410,2021-07-09,2021-07-11,1169748141,1611499991,PLN7224,646528,PCN803,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,5,Retail,0,0,0,18.0,4.98,22.98,10.0,11.62,1.36,0.72,0.51,0,0,0,0,2021-08-08
RX0000015032,MBR00000410,2021-05-12,2021-05-14,1518012019,1296391362,PLN5633,690340,PCN355,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,11,Mail Order,0,1,0,12.0,3.78,15.78,150.0,0.0,0.62,0.48,0.34,0,0,0,0,2021-06-11
RX0000015033,MBR00000410,2022-01-30,2022-01-31,1579887067,1211145562,PLN7602,482235,PCN130,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,11,Retail,0,0,0,7.5,2.5,10.0,3.0,6.47,0.53,0.3,0.2125,0,0,0,0,2022-03-01
RX0000015034,MBR00000410,2021-12-14,2021-12-18,1609086948,1626315302,PLN6895,141511,PCN950,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,3,Retail,0,0,0,9.0,7.36,16.36,1.0,14.49,0.87,0.36,0.255,0,0,0,0,2022-01-13
RX0000015035,MBR00000410,2021-03-10,2021-03-13,1669305080,1317583915,PLN6767,230825,PCN727,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,1,Specialty,0,0,0,38.0,29.18,67.18,8.0,59.18,0.0,1.52,1.0767,0,0,0,0,2021-04-09
RX0000015036,MBR00000410,2023-03-15,2023-03-16,1712658317,1934971920,PLN8044,788266,PCN546,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,7,Retail,3,0,0,10.0,4.4,14.4,8.0,5.58,0.82,0.4,0.2833,1,0,0,0,2023-04-14
RX0000015037,MBR00000410,2021-11-14,2021-11-18,1406840803,1359178413,PLN1910,173941,PCN541,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,7,Retail,0,0,0,3.27,9.74,13.01,8.0,4.27,0.74,0.56,0.3967,0,1,0,0,2021-11-21
RX0000015038,MBR00000410,2022-02-13,2022-02-16,1206193473,1946599263,PLN3663,271047,PCN553,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,89,4,LTC,0,0,0,33.0,11.35,44.35,8.0,34.29,2.06,0.44,0.3117,0,0,0,0,2022-05-14
RX0000015039,MBR00000410,2022-08-14,2022-08-17,1898228219,1197599948,PLN2890,100581,PCN520,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,2,Retail,0,1,0,24.0,2.34,26.34,155.0,0.0,0.81,0.32,0.2267,0,0,0,0,2022-11-12
RX0000015040,MBR00000410,2022-01-25,2022-01-29,1128772862,1536542614,PLN5391,122190,PCN997,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,0,Mail Order,0,0,0,10.0,1.9,11.9,2.0,9.46,0.44,0.4,0.2833,0,0,0,0,2022-02-24
RX0000015041,MBR00000410,2022-05-19,2022-05-21,1197039331,1357377721,PLN4228,731037,PCN723,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,96,6,Retail,0,0,0,135.0,11.03,146.03,0.0,140.11,5.92,1.8,1.275,0,0,0,0,2022-08-17
RX0000015042,MBR00000410,2022-07-04,2022-07-07,1234908107,1580687521,PLN2334,463496,PCN309,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,3,Retail,0,0,0,7.5,10.98,18.48,4.0,13.79,0.69,0.3,0.2125,0,0,0,0,2022-08-03
RX0000015043,MBR00000410,2023-03-27,2023-03-28,1758914004,1721979056,PLN6227,413214,PCN621,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,7,Retail,0,0,0,10.0,2.16,12.16,3.0,8.61,0.55,0.4,0.2833,0,0,0,0,2023-04-26
RX0000015044,MBR00000410,2022-02-10,2022-02-13,1484527205,1491800126,PLN3847,628847,PCN881,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,11,Mail Order,0,0,0,480.0,6.66,486.66,31.0,429.21,26.45,19.2,13.6,0,1,1,0,2022-03-12
RX0000015045,MBR00000410,2021-06-24,2021-06-28,1763108135,1121155602,PLN6946,725202,PCN216,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,3,Mail Order,1,0,0,18.0,10.27,28.27,9.0,18.29,0.98,0.72,0.51,0,0,0,0,2021-07-24
RX0000015046,MBR00000410,2021-06-18,2021-06-21,1220698684,1537754312,PLN4856,896334,PCN967,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,10,Retail,0,1,0,8.0,5.4,13.4,149.0,0.0,0.51,0.32,0.2267,1,0,0,0,2021-07-18
RX0000015047,MBR00000410,2022-06-29,2022-07-02,1755067850,1375572364,PLN7964,785611,PCN877,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,64,10,Retail,0,0,0,1900.0,8.57,1908.57,39.0,1771.05,98.52,38.0,26.9167,0,0,0,0,2022-08-28
RX0000015048,MBR00000410,2023-01-03,2023-01-04,1618133836,1855404858,PLN1509,772077,PCN812,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,11,Retail,1,0,0,9.0,7.23,16.23,0.0,15.5,0.73,0.36,0.255,0,0,0,0,2023-02-02
RX0000015049,MBR00000410,2021-11-28,2021-12-02,1359167841,1911458085,PLN1017,775503,PCN496,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,89,0,Retail,0,0,0,990.0,5.79,995.79,32.0,925.59,38.2,13.2,9.35,0,0,0,0,2022-02-26
RX0000015050,MBR00000410,2021-02-28,2021-03-02,1553182649,1873066989,PLN5906,194742,PCN507,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,5,Retail,0,0,0,285.0,9.5,294.5,36.0,244.97,13.53,11.4,8.075,0,0,0,0,2021-03-30
RX0000015051,MBR00000410,2023-07-22,2023-07-26,1977860412,1598966415,PLN8086,328307,PCN214,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,2,Retail,0,0,0,10.0,11.47,21.47,3.0,17.49,0.98,0.4,0.2833,0,0,0,0,2023-08-21
RX0000015052,MBR00000410,2023-08-22,2023-08-26,1407981796,1128504652,PLN7409,960959,PCN547,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,10,Retail,3,0,0,14.0,5.26,19.26,9.0,9.27,0.99,0.56,0.3967,0,0,0,0,2023-09-21
RX0000015053,MBR00000410,2023-10-08,2023-10-12,1147438671,1532624814,PLN5835,269536,PCN321,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,1,Retail,0,0,0,14.0,2.48,16.48,9.0,6.9,0.58,0.56,0.3967,0,0,0,0,2023-11-07
RX0000015054,MBR00000410,2021-06-06,2021-06-08,1689286568,1157210688,PLN4508,536753,PCN605,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,6,Retail,0,1,0,653.33,8.31,661.64,154.0,461.86,45.78,112.0,79.3333,0,0,0,0,2021-06-13
RX0000015055,MBR00000410,2021-07-01,2021-07-04,1260153752,1651123867,PLN8607,783835,PCN962,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,8,Retail,1,0,0,14.0,11.45,25.45,8.0,15.8,1.65,0.56,0.3967,0,0,0,0,2021-07-31
RX0000015056,MBR00000410,2021-12-02,2021-12-04,1223340802,1496788064,PLN8657,864841,PCN585,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,0,Retail,0,0,0,320.0,5.35,325.35,35.0,278.48,11.87,12.8,9.0667,0,0,0,0,2022-01-01
RX0000015057,MBR00000410,2023-04-13,2023-04-15,1710499214,1580251384,PLN7891,778016,PCN403,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,0,Retail,0,0,0,330.0,6.61,336.61,38.0,286.11,12.5,13.2,9.35,0,0,0,0,2023-05-13
RX0000015058,MBR00000410,2023-03-25,2023-03-29,1218817339,1191620549,PLN6109,763428,PCN198,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,98,5,Specialty,3,0,0,36.0,11.47,47.47,3.0,44.47,0.0,0.48,0.34,0,0,0,0,2023-06-23
RX0000015059,MBR00000410,2022-06-13,2022-06-14,1779190362,1577395734,PLN7716,953759,PCN542,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,4,Retail,0,0,0,38.0,9.57,47.57,10.0,35.79,1.78,1.52,1.0767,0,0,0,0,2022-07-13
RX0000015060,MBR00000410,2022-07-05,2022-07-09,1876293155,1582650867,PLN7146,301454,PCN139,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,5,Retail,0,1,0,653.33,8.98,662.31,146.0,470.38,45.93,112.0,79.3333,0,0,0,0,2022-07-12
RX0000015061,MBR00000410,2022-12-23,2022-12-27,1134915763,1925126305,PLN4614,716176,PCN778,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,97,2,Retail,0,0,0,960.0,2.48,962.48,38.0,871.08,53.4,12.8,9.0667,0,0,0,0,2023-03-23
RX0000015062,MBR00000410,2021-04-05,2021-04-07,1231247425,1174940038,PLN2774,863440,PCN869,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,91,0,Retail,0,0,0,66.0,7.15,73.15,6.0,62.73,4.42,0.88,0.6233,0,0,0,0,2021-07-04
RX0000015063,MBR00000410,2022-07-16,2022-07-20,1981261481,1127247214,PLN3123,659196,PCN981,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,9,Mail Order,0,0,0,650.0,10.68,660.68,40.0,599.18,21.5,26.0,18.4167,0,0,0,0,2022-08-15
RX0000015064,MBR00000410,2021-11-22,2021-11-25,1873971093,1857000478,PLN7181,126522,PCN281,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,56,7,Specialty,3,0,0,20.0,40.57,60.57,0.0,60.57,0.0,0.4,0.2833,0,0,0,0,2022-01-21
RX0000015065,MBR00000410,2022-10-22,2022-10-25,1431537297,1190578100,PLN8150,325602,PCN406,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,0,Retail,0,0,0,38.0,5.43,43.43,40.0,1.43,2.0,1.52,1.0767,0,0,0,0,2022-11-21
RX0000015066,MBR00000410,2022-04-26,2022-04-30,1642795511,1589501609,PLN8233,898224,PCN423,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,85,4,Retail,0,0,0,1110.0,11.56,1121.56,36.0,1020.85,64.71,14.8,10.4833,0,0,0,0,2022-07-25
RX0000015067,MBR00000410,2022-11-10,2022-11-14,1782743299,1915750425,PLN4665,923601,PCN564,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,60,8,Mail Order,0,0,0,90.0,2.8,92.8,5.0,84.5,3.3,1.8,1.275,0,0,0,0,2023-01-09
RX0000015068,MBR00000410,2021-06-10,2021-06-12,1557222644,1110248417,PLN9544,652136,PCN576,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,7,Retail,0,0,0,2.33,8.94,11.27,6.0,4.58,0.69,0.4,0.2833,0,0,0,0,2021-06-17
RX0000015069,MBR00000410,2021-08-27,2021-08-28,1170328940,1246087220,PLN2860,414370,PCN967,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,94,8,Retail,0,0,0,22.5,11.82,34.32,8.0,25.26,1.06,0.3,0.2125,0,0,0,0,2021-11-25
RX0000015070,MBR00000410,2022-12-30,2023-01-01,1312179486,1665763961,PLN4829,985677,PCN522,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,93,7,Mail Order,0,0,0,42.0,8.22,50.22,3.0,45.08,2.14,0.56,0.3967,0,0,0,0,2023-03-30
RX0000015071,MBR00000410,2022-06-21,2022-06-22,1832457307,1573163251,PLN4064,264581,PCN739,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,0,Mail Order,0,0,0,650.0,3.68,653.68,40.0,571.29,42.39,26.0,18.4167,0,0,0,0,2022-07-21
RX0000015072,MBR00000410,2022-12-24,2022-12-28,1588039021,1681987969,PLN6061,570677,PCN331,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,58,9,Retail,0,0,0,36.0,3.91,39.91,40.0,0.0,2.69,0.72,0.51,0,0,0,0,2023-02-22
RX0000015073,MBR00000410,2023-05-17,2023-05-20,1717902331,1413719848,PLN9621,546059,PCN994,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,2,Retail,0,0,0,12.0,10.73,22.73,7.0,14.98,0.75,0.48,0.34,0,0,0,0,2023-06-16
RX0000015074,MBR00000410,2023-09-06,2023-09-07,1219694500,1679254716,PLN4232,757505,PCN854,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,1,Retail,2,0,0,18.0,4.43,22.43,8.0,13.13,1.3,0.72,0.51,1,0,0,0,2023-10-06
RX0000015075,MBR00000410,2021-10-20,2021-10-22,1103615485,1722051116,PLN5468,401276,PCN939,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,10,Retail,0,0,0,15.0,8.93,23.93,5.0,18.1,0.83,0.6,0.425,0,1,0,0,2021-11-19
RX0000015076,MBR00000410,2023-07-18,2023-07-22,1490806614,1676376647,PLN1578,806468,PCN699,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,1,Retail,0,0,0,15.0,7.6,22.6,0.0,21.55,1.05,0.6,0.425,0,0,0,0,2023-08-17
RX0000015077,MBR00000410,2023-08-03,2023-08-04,1802353925,1807459904,PLN4172,883359,PCN206,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,4,Retail,0,0,0,950.0,2.87,952.87,36.0,873.91,42.96,38.0,26.9167,1,0,0,0,2023-09-02
RX0000015078,MBR00000410,2021-03-30,2021-04-01,1749546533,1455464873,PLN2361,145189,PCN408,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,82,1,Mail Order,0,0,0,30.0,3.95,33.95,10.0,21.79,2.16,0.4,0.2833,0,0,0,0,2021-06-28
RX0000015079,MBR00000410,2022-02-01,2022-02-02,1955815635,1211594771,PLN7719,884568,PCN681,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,9,Specialty,0,0,0,14.0,32.8,46.8,6.0,40.8,0.0,0.56,0.3967,0,0,0,0,2022-03-03
RX0000015080,MBR00000410,2022-11-23,2022-11-25,1231185942,1771949711,PLN3917,151862,PCN536,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,2,Retail,0,0,0,86.33,11.51,97.84,30.0,62.39,5.45,14.8,10.4833,0,0,0,0,2022-11-30
RX0000015081,MBR00000410,2021-02-28,2021-03-04,1594289395,1588344556,PLN7322,499959,PCN866,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,9,Specialty,2,0,0,370.0,23.41,393.41,30.0,363.41,0.0,14.8,10.4833,0,0,0,0,2021-03-30
RX0000015082,MBR00000410,2023-05-07,2023-05-10,1953661177,1265634630,PLN1842,555956,PCN143,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,3,Retail,0,0,0,185.0,6.64,191.64,33.0,146.94,11.7,7.4,5.2417,0,0,0,0,2023-06-06
RX0000015083,MBR00000410,2022-12-09,2022-12-10,1325426540,1937445792,PLN7223,273065,PCN477,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,6,Mail Order,0,0,0,18.0,5.41,23.41,37.0,0.0,1.34,0.72,0.51,0,0,0,0,2023-01-08
RX0000015084,MBR00000411,2021-10-30,2021-11-01,1966800671,1720888244,PLN7232,942401,PCN575,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,7,Retail,0,0,0,750.0,11.59,761.59,31.0,687.72,42.87,30.0,21.25,0,0,0,0,2021-11-29
RX0000015085,MBR00000411,2021-10-23,2021-10-26,1986203748,1739996409,PLN3349,916791,PCN503,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,10,Mail Order,0,0,0,950.0,9.03,959.03,35.0,867.68,56.35,38.0,26.9167,0,0,0,0,2021-11-22
RX0000015086,MBR00000411,2022-05-12,2022-05-14,1479939846,1655227047,PLN3403,889670,PCN515,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,7,Mail Order,2,0,0,11.0,11.23,22.23,5.0,16.03,1.2,0.44,0.3117,0,0,0,0,2022-06-11
RX0000015087,MBR00000411,2023-06-28,2023-06-29,1881884490,1592164697,PLN4847,844142,PCN356,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,84,7,Retail,0,0,0,66.0,11.44,77.44,3.0,69.45,4.99,0.88,0.6233,0,0,0,0,2023-09-26
RX0000015088,MBR00000411,2021-01-25,2021-01-29,1260543593,1598441907,PLN2225,954394,PCN608,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,85,4,Retail,0,0,0,48.0,8.85,56.85,8.0,46.49,2.36,0.64,0.4533,0,0,0,0,2021-04-25
RX0000015089,MBR00000411,2021-03-10,2021-03-13,1840976726,1910168876,PLN9215,827542,PCN157,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,6,Retail,0,0,0,38.0,2.24,40.24,4.0,34.92,1.32,1.52,1.0767,0,0,0,0,2021-04-09
RX0000015090,MBR00000411,2023-11-11,2023-11-13,1340550101,1331419120,PLN1903,498161,PCN775,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,0,Retail,0,0,0,9.0,8.09,17.09,8.0,7.91,1.18,0.36,0.255,0,0,0,0,2023-12-11
RX0000015091,MBR00000411,2021-01-24,2021-01-25,1914855416,1767377789,PLN2607,174574,PCN703,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,8,Retail,3,0,0,14.0,9.37,23.37,6.0,16.06,1.31,0.56,0.3967,0,0,0,0,2021-02-23
RX0000015092,MBR00000411,2022-09-14,2022-09-17,1779846196,1373619835,PLN3294,974239,PCN486,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,11,Specialty,0,0,0,310.0,9.88,319.88,34.0,285.88,0.0,12.4,8.7833,0,0,0,0,2022-10-14
RX0000015093,MBR00000411,2021-08-27,2021-08-29,1960672898,1657973388,PLN9775,903772,PCN472,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,55,7,Mail Order,2,0,0,28.0,4.17,32.17,0.0,30.52,1.65,0.56,0.3967,0,0,0,0,2021-10-26
RX0000015094,MBR00000411,2021-05-25,2021-05-27,1765725261,1498892754,PLN1050,707272,PCN310,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,8,Retail,0,0,0,15.0,11.82,26.82,5.0,20.55,1.27,0.6,0.425,0,0,0,0,2021-06-24
RX0000015095,MBR00000411,2023-04-25,2023-04-26,1830467910,1537706890,PLN2149,399584,PCN930,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,6,Retail,3,0,0,10.0,9.66,19.66,3.0,15.3,1.36,0.4,0.2833,0,0,0,0,2023-05-25
RX0000015096,MBR00000411,2022-12-21,2022-12-23,1505391756,1230491557,PLN7554,689116,PCN981,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,7,Retail,3,0,0,175.0,9.7,184.7,33.0,141.77,9.93,7.0,4.9583,0,0,0,0,2023-01-20
RX0000015097,MBR00000411,2022-10-14,2022-10-18,1487135494,1652050823,PLN6835,256365,PCN416,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,1,Retail,0,0,0,18.0,5.38,23.38,10.0,12.59,0.79,0.72,0.51,0,0,0,0,2022-11-13
RX0000015098,MBR00000411,2021-06-11,2021-06-13,1268748406,1783734999,PLN9329,705151,PCN323,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,64,1,Retail,0,0,0,130.0,10.41,140.41,33.0,101.76,5.65,2.6,1.8417,1,0,0,0,2021-08-10
RX0000015099,MBR00000411,2021-03-27,2021-03-30,1543628567,1699535449,PLN3904,387848,PCN841,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,2,Retail,0,0,0,380.0,3.87,383.87,35.0,330.78,18.09,15.2,10.7667,1,0,0,0,2021-04-26
RX0000015100,MBR00000411,2022-10-04,2022-10-05,1206913958,1360198662,PLN6685,628987,PCN201,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,89,8,Mail Order,0,0,0,2850.0,5.41,2855.41,30.0,2730.6,94.81,38.0,26.9167,0,1,1,0,2023-01-02
RX0000015101,MBR00000411,2022-04-30,2022-05-01,1325258188,1532528129,PLN7834,301784,PCN869,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,60,0,Retail,0,1,0,12400.0,6.13,12406.13,148.0,11855.65,402.48,248.0,175.6667,0,0,0,0,2022-06-29
RX0000015102,MBR00000411,2022-08-04,2022-08-08,1661389491,1288332974,PLN2027,343418,PCN598,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,97,4,Retail,1,0,0,42.0,7.57,49.57,7.0,40.46,2.11,0.56,0.3967,0,0,0,0,2022-11-02
RX0000015103,MBR00000411,2021-11-01,2021-11-05,1944548013,1366065928,PLN1080,661138,PCN844,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,85,1,Mail Order,0,0,0,930.0,9.97,939.97,33.0,845.95,61.02,12.4,8.7833,0,0,0,0,2022-01-30
RX0000015104,MBR00000411,2021-08-27,2021-08-30,1213945039,1967547992,PLN5771,369476,PCN454,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,2,Retail,0,0,0,18.0,1.6,19.6,0.0,18.72,0.88,0.72,0.51,0,0,0,0,2021-09-26
RX0000015105,MBR00000411,2022-11-27,2022-11-30,1287491830,1279926068,PLN1047,281155,PCN815,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,7,Retail,1,0,0,10.0,6.67,16.67,7.0,9.03,0.64,0.4,0.2833,0,1,0,0,2022-12-27
RX0000015106,MBR00000411,2021-07-19,2021-07-20,1607065491,1725717613,PLN3079,497813,PCN612,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,7,Retail,0,0,0,22.0,11.7,33.7,7.0,24.51,2.19,0.88,0.6233,0,1,0,0,2021-08-18
RX0000015107,MBR00000411,2022-12-23,2022-12-25,1891741827,1126612118,PLN2454,115630,PCN483,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,89,5,Retail,3,0,0,2850.0,7.75,2857.75,40.0,2683.8,133.95,38.0,26.9167,0,0,0,0,2023-03-23
RX0000015108,MBR00000411,2023-01-13,2023-01-14,1990052426,1681825531,PLN3436,470392,PCN816,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,11,Retail,0,0,0,22.0,6.37,28.37,69.0,0.0,1.44,0.88,0.6233,0,0,0,0,2023-02-12
RX0000015109,MBR00000411,2021-04-06,2021-04-10,1848010695,1543711797,PLN9251,966198,PCN917,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,92,7,Retail,0,0,0,54.0,6.93,60.93,37.0,20.14,3.79,0.72,0.51,0,0,0,0,2021-07-05
RX0000015110,MBR00000411,2022-12-11,2022-12-14,1213008352,1512703212,PLN5766,859448,PCN108,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,6,Retail,0,1,0,8.0,8.67,16.67,149.0,0.0,0.87,0.32,0.2267,0,0,0,0,2023-01-10
RX0000015111,MBR00000411,2023-02-09,2023-02-11,1647692370,1371256839,PLN8010,231046,PCN433,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,56,1,Specialty,0,0,0,17.0,13.77,30.77,1.0,29.77,0.0,0.34,0.2408,0,0,0,0,2023-04-10
RX0000015112,MBR00000411,2021-03-14,2021-03-16,1973295357,1367884577,PLN4918,350689,PCN973,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,96,7,Retail,3,0,0,42.0,4.3,46.3,7.0,36.62,2.68,0.56,0.3967,0,0,0,0,2021-06-12
RX0000015113,MBR00000411,2022-12-17,2022-12-19,1709341261,1427444990,PLN2433,886106,PCN836,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,10,Mail Order,0,1,0,8500.0,3.03,8503.03,145.0,8002.37,355.66,340.0,240.8333,0,0,0,0,2023-01-16
RX0000015114,MBR00000411,2022-01-16,2022-01-19,1337490705,1414101690,PLN1910,317265,PCN231,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,8,Retail,0,0,0,185.0,4.53,189.53,33.0,148.37,8.16,7.4,5.2417,0,0,0,0,2022-02-15
RX0000015115,MBR00000411,2023-02-04,2023-02-06,1181946286,1188312403,PLN2128,524930,PCN573,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,10,Specialty,0,0,0,2.1,23.79,25.89,3.0,22.89,0.0,0.36,0.255,0,0,0,0,2023-02-11
RX0000015116,MBR00000411,2023-12-03,2023-12-06,1327690462,1243223679,PLN4982,917187,PCN484,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,91,10,Mail Order,0,0,0,114.0,5.4,119.4,33.0,79.42,6.98,1.52,1.0767,0,0,0,0,2024-03-02
RX0000015117,MBR00000411,2023-07-04,2023-07-05,1364772937,1212852011,PLN7979,334776,PCN387,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,6,Specialty,3,0,0,750.0,47.99,797.99,40.0,757.99,0.0,30.0,21.25,0,0,0,0,2023-08-03
RX0000015118,MBR00000411,2023-05-02,2023-05-04,1232054279,1968982128,PLN6200,559580,PCN281,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,4,Mail Order,0,0,0,285.0,10.14,295.14,39.0,238.28,17.86,11.4,8.075,0,0,0,0,2023-06-01
RX0000015119,MBR00000411,2023-02-05,2023-02-09,1278592325,1598470817,PLN5476,911631,PCN572,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,7,Retail,3,0,0,480.0,5.15,485.15,37.0,421.03,27.12,19.2,13.6,0,0,0,0,2023-03-07
RX0000015120,MBR00000411,2023-07-08,2023-07-10,1560460322,1946351548,PLN5179,951453,PCN838,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,4,Mail Order,0,0,0,2.33,6.25,8.58,10.0,0.0,0.41,0.4,0.2833,0,0,0,0,2023-07-15
RX0000015121,MBR00000411,2021-10-26,2021-10-27,1340516259,1283313402,PLN8910,725734,PCN851,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,64,5,Mail Order,0,0,0,90.0,5.5,95.5,8.0,81.3,6.2,1.8,1.275,0,0,0,0,2021-12-25
RX0000015122,MBR00000411,2023-11-27,2023-11-28,1737907150,1134072640,PLN4725,237647,PCN124,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,7,Retail,1,0,0,950.0,2.94,952.94,31.0,866.37,55.57,38.0,26.9167,0,0,0,0,2023-12-27
RX0000015123,MBR00000411,2023-05-28,2023-06-01,1712166641,1794912490,PLN9753,415485,PCN368,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,55,11,Retail,0,0,0,18.0,6.01,24.01,3.0,19.88,1.13,0.36,0.255,0,0,0,0,2023-07-27
RX0000015124,MBR00000411,2023-04-05,2023-04-09,1276465374,1827543616,PLN2930,237691,PCN333,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,5,Mail Order,0,0,0,330.0,1.74,331.74,39.0,280.2,12.54,13.2,9.35,0,0,0,0,2023-05-05
RX0000015125,MBR00000411,2023-06-18,2023-06-21,1751371081,1146846653,PLN8349,518922,PCN468,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,88,4,Mail Order,0,0,0,33.0,3.63,36.63,0.0,34.42,2.21,0.44,0.3117,0,0,0,0,2023-09-16
RX0000015126,MBR00000411,2023-05-18,2023-05-20,1358541894,1908542693,PLN1175,781403,PCN355,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,54,9,LTC,0,0,0,24.0,5.26,29.26,2.0,26.15,1.11,0.48,0.34,0,0,0,0,2023-07-17
RX0000015127,MBR00000411,2021-07-14,2021-07-17,1891057397,1794613208,PLN8432,352328,PCN733,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,1,Retail,0,0,0,950.0,4.12,954.12,40.0,869.4,44.72,38.0,26.9167,1,0,0,0,2021-08-13
RX0000015128,MBR00000412,2021-02-04,2021-02-07,1488022600,1600259626,PLN6818,690812,PCN622,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,1,Mail Order,0,0,0,9.0,3.02,12.02,7.0,4.32,0.7,0.36,0.255,0,0,0,0,2021-03-06
RX0000015129,MBR00000412,2023-08-19,2023-08-20,1587582262,1534890288,PLN4389,757145,PCN146,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,98,10,Retail,0,0,0,54.0,8.02,62.02,10.0,47.71,4.31,0.72,0.51,0,0,0,0,2023-11-17
RX0000015130,MBR00000412,2021-08-14,2021-08-15,1185834118,1364995248,PLN9591,481867,PCN207,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,84,5,Retail,2,0,0,525.0,8.05,533.05,31.0,476.96,25.09,7.0,4.9583,0,0,0,0,2021-11-12
RX0000015131,MBR00000412,2022-10-18,2022-10-20,1909589650,1300561283,PLN2266,511630,PCN892,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,1,Mail Order,0,0,0,2.57,3.54,6.11,3.0,2.83,0.28,0.44,0.3117,0,0,0,0,2022-10-25
RX0000015132,MBR00000412,2021-12-12,2021-12-15,1568979026,1178342251,PLN8193,735281,PCN754,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,10,Mail Order,0,1,0,6200.0,10.19,6210.19,155.0,5728.67,326.52,248.0,175.6667,0,0,0,0,2022-01-11
RX0000015133,MBR00000412,2023-07-21,2023-07-25,1707802351,1821280438,PLN6298,625514,PCN676,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,62,4,Retail,0,0,0,44.0,4.68,48.68,66.0,0.0,1.61,0.88,0.6233,0,1,1,0,2023-09-19
RX0000015134,MBR00000412,2023-09-07,2023-09-10,1760678517,1635629765,PLN9917,755948,PCN610,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,7,Specialty,0,0,0,650.0,47.18,697.18,30.0,667.18,0.0,26.0,18.4167,0,0,0,0,2023-10-07
RX0000015135,MBR00000412,2021-03-30,2021-04-02,1833785397,1386293139,PLN3194,884725,PCN711,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,88,11,Retail,0,1,0,36.0,4.16,40.16,151.0,0.0,2.73,0.48,0.34,0,0,0,0,2021-06-28
RX0000015136,MBR00000412,2022-06-04,2022-06-05,1304345019,1160205693,PLN7376,638272,PCN577,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,5,Retail,0,0,0,380.0,11.83,391.83,36.0,328.71,27.12,15.2,10.7667,0,0,0,0,2022-07-04
RX0000015137,MBR00000412,2023-03-10,2023-03-13,1663930875,1744509522,PLN4135,691079,PCN403,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,90,1,Retail,0,0,0,1110.0,4.65,1114.65,39.0,1018.78,56.87,14.8,10.4833,0,0,0,0,2023-06-08
RX0000015138,MBR00000412,2021-07-01,2021-07-04,1804931148,1139299235,PLN3798,387510,PCN816,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,1,Specialty,0,0,0,18.0,18.6,36.6,37.0,0.0,0.0,0.72,0.51,0,0,0,0,2021-07-31
RX0000015139,MBR00000412,2021-11-08,2021-11-10,1314729386,1222837865,PLN9441,152361,PCN369,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,10,Mail Order,0,1,0,8.0,8.12,16.12,149.0,0.0,0.59,0.32,0.2267,1,0,0,0,2021-12-08
RX0000015140,MBR00000412,2022-09-26,2022-09-29,1656362725,1391049944,PLN7829,672649,PCN122,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,95,4,Retail,0,0,0,1110.0,10.79,1120.79,33.0,1038.49,49.3,14.8,10.4833,0,0,0,0,2022-12-25
RX0000015141,MBR00000412,2021-08-23,2021-08-25,1827307746,1573744345,PLN8340,704393,PCN810,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,8,Retail,0,0,0,2.33,4.13,6.47,8.0,0.0,0.31,0.4,0.2833,0,0,0,0,2021-08-30
RX0000015142,MBR00000412,2022-04-07,2022-04-10,1570898592,1132183277,PLN2214,293824,PCN798,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,11,Mail Order,0,0,0,18.0,4.94,22.94,5.0,16.78,1.16,0.72,0.51,0,0,0,0,2022-05-07
RX0000015143,MBR00000412,2023-05-13,2023-05-14,1380832932,1305845756,PLN5633,552078,PCN976,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,61,4,Retail,0,0,0,30.0,10.35,40.35,8.0,29.83,2.52,0.6,0.425,0,0,0,0,2023-07-12
RX0000015144,MBR00000412,2022-05-12,2022-05-13,1307172013,1403096392,PLN8780,924085,PCN664,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,91,6,Retail,0,0,0,2850.0,8.51,2858.51,30.0,2738.17,90.34,38.0,26.9167,0,0,0,0,2022-08-10
RX0000015145,MBR00000412,2023-10-28,2023-10-29,1548543789,1145716139,PLN8740,750236,PCN609,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,2,Retail,0,0,0,45.0,8.17,53.17,7.0,44.42,1.75,1.8,1.275,0,0,0,0,2023-11-27
RX0000015146,MBR00000412,2021-12-23,2021-12-24,1706535609,1594354092,PLN6062,370030,PCN212,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,83,6,Mail Order,0,0,0,1440.0,2.45,1442.45,36.0,1317.05,89.4,19.2,13.6,0,1,1,0,2022-03-23
RX0000015147,MBR00000412,2021-03-13,2021-03-15,1104623726,1813806322,PLN3230,180639,PCN303,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,5,Retail,0,0,0,221.67,6.33,228.0,34.0,180.24,13.76,38.0,26.9167,0,0,0,0,2021-03-20
RX0000015148,MBR00000412,2022-01-03,2022-01-06,1676365158,1973816732,PLN6265,838792,PCN346,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,1,Retail,2,0,0,18.0,1.71,19.71,36.0,0.0,0.74,0.72,0.51,1,0,0,0,2022-02-02
RX0000015149,MBR00000412,2023-02-08,2023-02-10,1969357606,1654836741,PLN6511,914539,PCN552,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,5,Retail,3,0,0,10.0,7.82,17.82,0.0,17.17,0.65,0.4,0.2833,0,0,0,0,2023-03-10
RX0000015150,MBR00000412,2023-11-20,2023-11-23,1228514262,1281136358,PLN7724,640150,PCN203,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,7,Mail Order,3,0,0,3.73,11.56,15.29,4.0,10.43,0.86,0.64,0.4533,0,0,0,0,2023-11-27
RX0000015151,MBR00000412,2022-09-26,2022-09-27,1810026123,1565196408,PLN9335,159280,PCN142,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,87,6,Retail,0,0,0,195.0,2.49,197.49,34.0,153.2,10.29,2.6,1.8417,0,0,0,0,2022-12-25
RX0000015152,MBR00000412,2021-12-22,2021-12-24,1134210829,1267500076,PLN8758,176729,PCN562,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,10,LTC,0,0,0,22.0,4.85,26.85,8.0,17.5,1.35,0.88,0.6233,0,0,0,0,2022-01-21
RX0000015153,MBR00000412,2022-02-17,2022-02-18,1666293197,1549988406,PLN7469,698278,PCN827,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,1,Mail Order,0,0,0,10.5,5.71,16.21,0.0,15.57,0.64,1.8,1.275,0,0,0,0,2022-02-24
RX0000015154,MBR00000412,2023-07-31,2023-08-01,1571147188,1903997446,PLN8387,811745,PCN948,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,8,Retail,0,0,0,28.0,4.0,32.0,6.0,24.23,1.77,1.12,0.7933,0,0,0,0,2023-08-30
RX0000015155,MBR00000412,2023-01-21,2023-01-22,1139812092,1248776620,PLN8607,633758,PCN406,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,88,4,Retail,3,0,0,54.0,4.7,58.7,5.0,50.68,3.02,0.72,0.51,0,1,0,0,2023-04-21
RX0000015156,MBR00000412,2023-03-29,2023-03-30,1448578698,1643885374,PLN2801,574700,PCN150,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,10,Mail Order,0,0,0,320.0,2.01,322.01,37.0,264.73,20.28,12.8,9.0667,0,0,0,0,2023-04-28
RX0000015157,MBR00000412,2022-03-28,2022-03-30,1862425157,1473809295,PLN9447,891732,PCN721,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,3,Retail,0,0,0,28.0,5.71,33.71,9.0,23.3,1.41,1.12,0.7933,0,0,0,0,2022-04-27
RX0000015158,MBR00000412,2021-12-06,2021-12-09,1382507041,1383800536,PLN5347,743336,PCN302,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,6,Retail,0,0,0,45.0,11.34,56.34,10.0,42.86,3.48,1.8,1.275,0,0,0,0,2022-01-05
RX0000015159,MBR00000412,2022-09-11,2022-09-12,1903633388,1202653454,PLN5628,599999,PCN291,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,5,Retail,0,1,0,8500.0,6.18,8506.18,153.0,7931.85,421.33,340.0,240.8333,0,0,0,0,2022-10-11
RX0000015160,MBR00000412,2022-02-04,2022-02-05,1491966683,1176318481,PLN8532,629342,PCN168,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,95,4,Retail,1,0,0,990.0,4.53,994.53,35.0,924.08,35.45,13.2,9.35,0,0,0,0,2022-05-05
RX0000015161,MBR00000412,2023-02-04,2023-02-08,1573209231,1816046362,PLN6313,336503,PCN551,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,7,Retail,0,0,0,2.8,6.5,9.3,9.0,0.0,0.45,0.48,0.34,0,1,0,0,2023-02-11
RX0000015162,MBR00000412,2022-04-04,2022-04-08,1830447079,1773118576,PLN9053,158230,PCN760,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,6,Retail,0,0,0,370.0,10.71,380.71,35.0,331.35,14.36,14.8,10.4833,0,0,0,0,2022-05-04
RX0000015163,MBR00000412,2023-05-11,2023-05-15,1649249076,1690384443,PLN1584,950787,PCN800,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,7,Retail,0,0,0,750.0,2.57,752.57,33.0,684.24,35.33,30.0,21.25,0,0,0,0,2023-06-10
RX0000015164,MBR00000412,2023-12-11,2023-12-12,1750199441,1927581550,PLN7587,315598,PCN335,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,6,Specialty,0,0,0,330.0,40.03,370.03,40.0,330.03,0.0,13.2,9.35,0,0,0,0,2024-01-10
RX0000015165,MBR00000412,2023-10-21,2023-10-23,1958818914,1874680588,PLN1797,188251,PCN772,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,0,Mail Order,0,0,0,310.0,11.1,321.1,34.0,275.06,12.04,12.4,8.7833,0,0,0,0,2023-11-20
RX0000015166,MBR00000412,2021-02-01,2021-02-02,1831545281,1403231086,PLN2673,906775,PCN694,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,4,Mail Order,2,0,0,45.0,2.93,47.93,4.0,41.59,2.34,1.8,1.275,0,0,0,0,2021-03-03
RX0000015167,MBR00000412,2023-08-06,2023-08-09,1706200454,1223145266,PLN2075,398996,PCN552,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,11,Mail Order,0,0,0,12.0,6.88,18.88,3.0,14.89,0.99,0.48,0.34,0,0,0,0,2023-09-05
RX0000015168,MBR00000413,2023-04-10,2023-04-14,1166644420,1851664590,PLN8843,120232,PCN460,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,10,Retail,1,0,0,28.0,5.93,33.93,5.0,26.89,2.04,1.12,0.7933,0,0,0,0,2023-05-10
RX0000015169,MBR00000413,2021-07-06,2021-07-10,1184021093,1691200520,PLN1526,441250,PCN665,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,5,Retail,1,0,0,16.0,2.82,18.82,1.0,16.82,1.0,0.64,0.4533,0,0,0,0,2021-08-05
RX0000015170,MBR00000413,2021-09-03,2021-09-06,1893055603,1819306030,PLN3711,214323,PCN336,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,11,Retail,0,0,0,10.0,2.48,12.48,0.0,11.62,0.86,0.4,0.2833,0,0,0,0,2021-10-03
RX0000015171,MBR00000413,2022-01-19,2022-01-20,1688126309,1487046078,PLN4764,653727,PCN775,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,93,10,Mail Order,2,0,0,1110.0,2.91,1112.91,39.0,1022.26,51.65,14.8,10.4833,0,0,0,0,2022-04-19
RX0000015172,MBR00000413,2021-10-09,2021-10-11,1559186036,1839291251,PLN5741,654345,PCN242,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,93,2,Mail Order,0,0,0,33.0,7.55,40.55,6.0,33.04,1.51,0.44,0.3117,0,0,0,0,2022-01-07
RX0000015173,MBR00000413,2023-05-02,2023-05-03,1819062455,1631651570,PLN8366,371385,PCN608,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,2,Mail Order,0,0,0,45.0,8.72,53.72,8.0,43.32,2.4,1.8,1.275,0,0,0,0,2023-06-01
RX0000015174,MBR00000413,2023-08-04,2023-08-05,1238711865,1938809498,PLN9115,418597,PCN104,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,10,Retail,0,0,0,15.0,5.59,20.59,0.0,19.86,0.73,0.6,0.425,0,0,0,0,2023-09-03
RX0000015175,MBR00000413,2023-07-13,2023-07-16,1798054018,1273767434,PLN3070,498501,PCN451,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,81,6,Retail,0,0,0,33.0,6.87,39.87,6.0,32.58,1.29,0.44,0.3117,0,0,0,0,2023-10-11
RX0000015176,MBR00000413,2023-11-01,2023-11-05,1758797856,1608231510,PLN4841,399169,PCN339,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,81,4,Retail,1,0,0,30.0,4.94,34.94,7.0,26.8,1.14,0.4,0.2833,0,0,0,0,2024-01-30
RX0000015177,MBR00000413,2021-09-07,2021-09-10,1603411843,1912880390,PLN8942,587066,PCN283,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,2,Mail Order,0,0,0,2.92,7.18,10.1,0.0,9.76,0.34,0.5,0.3542,0,0,0,0,2021-09-14
RX0000015178,MBR00000413,2023-03-04,2023-03-07,1876656195,1741481384,PLN2082,482653,PCN335,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,83,5,Retail,0,0,0,960.0,7.88,967.88,31.0,873.69,63.19,12.8,9.0667,0,0,0,0,2023-06-02
RX0000015179,MBR00000413,2021-01-03,2021-01-07,1921274517,1975033458,PLN6855,118709,PCN815,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,6,1,Retail,0,0,0,2.57,4.96,7.53,1.0,6.12,0.41,0.44,0.3117,0,0,0,0,2021-01-10
RX0000015180,MBR00000413,2021-09-30,2021-10-04,1572012742,1810623996,PLN4495,441286,PCN804,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,10,Mail Order,0,0,0,370.0,9.59,379.59,34.0,333.6,11.99,14.8,10.4833,0,0,0,0,2021-10-30
RX0000015181,MBR00000413,2022-07-14,2022-07-16,1105289054,1111674767,PLN1672,888948,PCN988,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,0,Retail,0,0,0,320.0,6.52,326.52,39.0,274.79,12.73,12.8,9.0667,0,0,0,0,2022-08-13
RX0000015182,MBR00000413,2022-07-11,2022-07-13,1732762373,1766708173,PLN9425,126421,PCN528,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,5,Retail,0,0,0,38.0,6.37,44.37,6.0,35.96,2.41,1.52,1.0767,0,0,0,0,2022-08-10
RX0000015183,MBR00000413,2023-03-21,2023-03-24,1243016709,1626643483,PLN5397,369364,PCN193,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,65,11,Specialty,1,0,0,17.0,15.03,32.03,3.0,29.03,0.0,0.34,0.2408,0,0,0,0,2023-05-20
RX0000015184,MBR00000413,2021-08-13,2021-08-17,1672273136,1190409126,PLN4910,435649,PCN175,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,2,Retail,0,0,0,65.0,4.89,69.89,33.0,32.88,4.01,2.6,1.8417,0,0,0,0,2021-09-12
RX0000015185,MBR00000413,2021-06-29,2021-07-03,1385314919,1198943246,PLN5661,321427,PCN618,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,86,9,Retail,2,1,0,24.0,7.56,31.56,151.0,0.0,1.55,0.32,0.2267,0,0,0,0,2021-09-27
RX0000015186,MBR00000413,2023-03-26,2023-03-30,1174261606,1890271372,PLN7163,433100,PCN765,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,97,11,Retail,0,0,0,36.0,5.81,41.81,7.0,32.53,2.28,0.48,0.34,0,0,0,0,2023-06-24
RX0000015187,MBR00000413,2023-02-21,2023-02-23,1459494930,1637100227,PLN9551,328402,PCN623,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,4,Retail,0,0,0,65.0,10.64,75.64,40.0,31.47,4.17,2.6,1.8417,0,0,0,0,2023-03-23
RX0000015188,MBR00000413,2022-12-08,2022-12-11,1977792614,1428798780,PLN2673,233579,PCN299,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,61,8,Retail,0,0,0,760.0,8.33,768.33,40.0,688.42,39.91,15.2,10.7667,0,0,0,0,2023-02-06
RX0000015189,MBR00000413,2021-09-27,2021-10-01,1594156575,1909857825,PLN5951,439157,PCN157,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,97,7,Retail,0,0,0,36.0,2.18,38.18,9.0,26.91,2.27,0.48,0.34,0,0,0,0,2021-12-26
RX0000015190,MBR00000413,2023-05-22,2023-05-24,1835221733,1545295208,PLN2670,747862,PCN972,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,1,Mail Order,0,0,0,15.0,6.08,21.08,9.0,10.69,1.39,0.6,0.425,0,0,0,0,2023-06-21
RX0000015191,MBR00000413,2022-11-26,2022-11-29,1191917684,1590988409,PLN9131,961478,PCN291,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,10,Retail,2,0,0,18.0,3.14,21.14,5.0,15.41,0.73,0.72,0.51,0,0,0,0,2022-12-26
RX0000015192,MBR00000413,2021-01-27,2021-01-30,1201379181,1699487146,PLN7864,159583,PCN141,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,0,Mail Order,0,0,0,66.5,2.18,68.68,35.0,29.37,4.31,11.4,8.075,0,0,0,0,2021-02-03
RX0000015193,MBR00000414,2022-07-23,2022-07-24,1532313101,1113155031,PLN2053,394105,PCN751,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,7,Specialty,0,0,0,8.87,44.08,52.95,35.0,17.95,0.0,1.52,1.0767,0,0,0,0,2022-07-30
RX0000015194,MBR00000414,2021-03-04,2021-03-07,1717106271,1716726086,PLN8878,669715,PCN333,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,87,1,Retail,0,0,0,114.0,4.58,118.58,36.0,75.72,6.86,1.52,1.0767,0,0,0,0,2021-06-02
RX0000015195,MBR00000414,2023-02-20,2023-02-23,1221385027,1999470558,PLN5815,932685,PCN836,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,60,10,Retail,0,0,0,18.0,7.18,25.18,0.0,24.0,1.18,0.36,0.255,0,1,0,0,2023-04-21
RX0000015196,MBR00000414,2022-04-25,2022-04-26,1349590289,1450224608,PLN1441,314193,PCN861,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,82,4,Retail,0,0,0,135.0,7.97,142.97,1.0,135.77,6.2,1.8,1.275,0,0,0,0,2022-07-24
RX0000015197,MBR00000414,2021-07-27,2021-07-29,1830834203,1289446491,PLN5535,669375,PCN903,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,61,4,Retail,0,0,0,20.0,2.34,22.34,9.0,12.08,1.26,0.4,0.2833,0,0,0,0,2021-09-25
RX0000015198,MBR00000414,2021-05-27,2021-05-30,1641180343,1361134375,PLN9626,516800,PCN625,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,3,Mail Order,0,1,0,6200.0,6.71,6206.71,155.0,5699.89,351.82,248.0,175.6667,0,0,0,0,2021-06-26
RX0000015199,MBR00000414,2021-06-12,2021-06-16,1535007535,1770239401,PLN8732,357391,PCN378,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,1,Retail,2,0,0,11.0,6.66,17.66,9.0,7.55,1.11,0.44,0.3117,0,0,0,0,2021-07-12
RX0000015200,MBR00000414,2023-08-03,2023-08-05,1889598443,1358064526,PLN5117,301470,PCN666,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,0,Retail,0,0,0,2.33,2.77,5.1,5.0,0.0,0.17,0.4,0.2833,0,0,0,0,2023-08-10
RX0000015201,MBR00000414,2021-09-19,2021-09-22,1701546714,1599555940,PLN7155,575798,PCN457,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,5,Retail,0,0,0,480.0,6.47,486.47,39.0,415.73,31.74,19.2,13.6,0,0,0,0,2021-10-19
RX0000015202,MBR00000414,2022-12-05,2022-12-08,1290806577,1906785242,PLN5884,409830,PCN747,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,8,Specialty,0,0,0,12.0,9.32,21.32,10.0,11.32,0.0,0.48,0.34,0,0,0,0,2023-01-04
RX0000015203,MBR00000414,2022-06-25,2022-06-26,1967745638,1675515360,PLN9751,404339,PCN900,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,3,Retail,0,0,0,370.0,8.43,378.43,38.0,316.76,23.67,14.8,10.4833,0,0,0,0,2022-07-25
RX0000015204,MBR00000414,2022-02-23,2022-02-26,1661921820,1906369838,PLN8564,842339,PCN951,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,64,11,Retail,1,0,0,960.0,1.57,961.57,36.0,886.06,39.51,19.2,13.6,0,0,0,0,2022-04-24
RX0000015205,MBR00000414,2022-10-10,2022-10-11,1534499817,1764227393,PLN9532,853534,PCN201,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,0,Retail,0,0,0,10.0,7.16,17.16,7.0,9.31,0.85,0.4,0.2833,0,0,0,0,2022-11-09
RX0000015206,MBR00000414,2021-12-17,2021-12-21,1593612933,1837006497,PLN6532,574379,PCN661,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,62,10,Retail,0,0,1,76.0,2.25,78.25,34.0,39.02,5.23,1.52,1.0767,0,0,0,0,2022-02-15
RX0000015207,MBR00000414,2021-04-13,2021-04-14,1143006868,1747937909,PLN6625,669137,PCN408,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,2,Mail Order,3,0,0,12.0,3.2,15.2,6.0,8.7,0.5,0.48,0.34,0,1,0,0,2021-05-13
RX0000015208,MBR00000414,2021-10-06,2021-10-10,1988775482,1877000333,PLN8988,723409,PCN425,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,2,Retail,0,0,0,2.8,8.37,11.17,9.0,1.52,0.65,0.48,0.34,1,0,0,0,2021-10-13
RX0000015209,MBR00000414,2022-09-06,2022-09-07,1856225020,1131913537,PLN5647,977038,PCN167,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,1,Retail,0,0,0,3.27,7.64,10.9,5.0,5.44,0.46,0.56,0.3967,0,0,0,0,2022-09-13
RX0000015210,MBR00000414,2022-01-18,2022-01-20,1330241982,1558520467,PLN6924,293403,PCN277,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,98,2,Retail,0,0,0,25.5,9.25,34.75,4.0,29.45,1.3,0.34,0.2408,0,0,0,0,2022-04-18
RX0000015211,MBR00000414,2023-06-24,2023-06-27,1768687942,1433507414,PLN5998,373077,PCN531,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,58,7,Mail Order,0,0,0,960.0,9.27,969.27,35.0,867.07,67.2,19.2,13.6,0,0,0,0,2023-08-23
RX0000015212,MBR00000414,2022-07-06,2022-07-07,1102076944,1233009875,PLN1824,148108,PCN779,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,98,9,Mail Order,0,1,0,18600.0,5.69,18605.69,150.0,17512.04,943.65,248.0,175.6667,0,0,0,0,2022-10-04
RX0000015213,MBR00000414,2021-07-18,2021-07-19,1653116789,1816697865,PLN5519,671090,PCN786,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,3,Retail,0,0,0,10.0,3.34,13.34,10.0,2.91,0.43,0.4,0.2833,0,0,0,0,2021-08-17
RX0000015214,MBR00000414,2022-04-07,2022-04-11,1325921923,1373315305,PLN1390,759083,PCN503,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,10,Retail,0,1,0,2800.0,3.82,2803.82,153.0,2503.21,147.61,112.0,79.3333,0,0,0,0,2022-05-07
RX0000015215,MBR00000414,2021-02-20,2021-02-22,1689860114,1639147546,PLN3495,155471,PCN396,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,1,Retail,0,0,0,9.0,10.1,19.1,5.0,13.38,0.72,0.36,0.255,0,0,0,0,2021-03-22
RX0000015216,MBR00000414,2021-11-16,2021-11-18,1272036232,1471061289,PLN4508,159637,PCN628,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,9,Retail,0,1,1,8500.0,2.79,8502.79,153.0,7941.5,408.29,340.0,240.8333,0,0,0,0,2021-12-16
RX0000015217,MBR00000414,2021-01-06,2021-01-10,1402478661,1237244088,PLN9671,379326,PCN781,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,2,Retail,0,0,0,38.0,10.37,48.37,37.0,9.59,1.78,1.52,1.0767,0,0,0,0,2021-02-05
RX0000015218,MBR00000414,2022-02-17,2022-02-19,1423453338,1814729755,PLN7427,233506,PCN759,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,84,5,Retail,0,0,0,54.0,10.27,64.27,5.0,55.68,3.59,0.72,0.51,0,0,0,0,2022-05-18
RX0000015219,MBR00000414,2022-11-09,2022-11-13,1813923088,1655176963,PLN8285,270962,PCN586,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,2,Mail Order,0,1,0,1.87,9.46,11.32,149.0,0.0,0.67,0.32,0.2267,0,0,0,0,2022-11-16
RX0000015220,MBR00000414,2021-11-06,2021-11-09,1579786714,1156786927,PLN5120,180012,PCN151,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,10,Mail Order,0,0,0,10.0,4.88,14.88,3.0,11.1,0.78,0.4,0.2833,0,0,0,0,2021-12-06
RX0000015221,MBR00000414,2023-12-12,2023-12-16,1827598500,1491214848,PLN6271,210488,PCN373,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,6,Mail Order,0,0,0,15.17,4.91,20.08,34.0,0.0,0.97,2.6,1.8417,0,0,0,0,2023-12-19
RX0000015222,MBR00000414,2022-12-17,2022-12-18,1288481040,1265870950,PLN4988,481712,PCN645,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,89,2,Retail,0,0,0,36.0,10.38,46.38,1.0,43.76,1.62,0.48,0.34,0,0,0,0,2023-03-17
RX0000015223,MBR00000414,2021-08-14,2021-08-15,1565936428,1415561557,PLN5874,192297,PCN934,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,94,5,Mail Order,0,1,0,36.0,8.51,44.51,149.0,0.0,1.92,0.48,0.34,0,0,0,0,2021-11-12
RX0000015224,MBR00000414,2021-09-11,2021-09-15,1207788014,1360265637,PLN5953,416147,PCN831,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,95,11,Retail,0,0,0,54.0,6.95,60.95,2.0,56.13,2.82,0.72,0.51,0,0,0,0,2021-12-10
RX0000015225,MBR00000414,2022-01-16,2022-01-18,1465938956,1788127167,PLN1002,428707,PCN503,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,10,Retail,0,1,0,12.0,10.59,22.59,155.0,0.0,1.51,0.48,0.34,0,0,0,0,2022-02-15
RX0000015226,MBR00000414,2023-04-08,2023-04-11,1875119371,1997147895,PLN5507,328902,PCN159,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,85,6,Retail,0,0,0,1440.0,9.55,1449.55,40.0,1363.39,46.16,19.2,13.6,1,0,0,0,2023-07-07
RX0000015227,MBR00000414,2022-12-24,2022-12-26,1262807395,1272842299,PLN5402,413952,PCN721,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,1,Retail,3,0,0,3.5,8.41,11.91,6.0,5.32,0.59,0.6,0.425,0,0,0,0,2022-12-31
RX0000015228,MBR00000414,2022-06-02,2022-06-06,1776089620,1562674654,PLN8154,419346,PCN818,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,57,8,Retail,0,0,0,20.0,10.42,30.42,10.0,19.35,1.07,0.4,0.2833,0,0,0,0,2022-08-01
RX0000015229,MBR00000414,2023-08-20,2023-08-24,1285608733,1762892417,PLN1868,573723,PCN595,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,31,0,Retail,1,0,0,14.0,8.37,22.37,0.0,21.38,0.99,0.56,0.3967,0,0,0,0,2023-09-19
RX0000015230,MBR00000414,2023-06-15,2023-06-18,1983993499,1893287852,PLN8774,460429,PCN289,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,88,11,Retail,0,0,0,1140.0,11.63,1151.63,33.0,1055.73,62.9,15.2,10.7667,0,0,0,0,2023-09-13
RX0000015231,MBR00000414,2022-08-02,2022-08-04,1966017235,1711072680,PLN4915,729773,PCN706,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,11,Retail,0,0,0,28.0,1.55,29.55,4.0,23.66,1.89,1.12,0.7933,1,0,0,0,2022-09-01
RX0000015232,MBR00000414,2023-06-07,2023-06-11,1115537839,1697797755,PLN4295,255584,PCN847,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,1,Mail Order,0,0,0,45.0,3.82,48.82,7.0,40.25,1.57,1.8,1.275,0,0,0,0,2023-07-07
RX0000015233,MBR00000414,2023-12-18,2023-12-20,1867401039,1575617697,PLN4958,494950,PCN369,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,1,Retail,0,0,0,3.5,4.76,8.26,6.0,1.89,0.37,0.6,0.425,0,0,0,0,2023-12-25
RX0000015234,MBR00000414,2022-11-25,2022-11-26,1410826819,1286924504,PLN3451,769135,PCN895,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,0,Retail,0,0,0,10.0,3.01,13.01,3.0,9.26,0.75,0.4,0.2833,0,0,0,0,2022-12-25
RX0000015235,MBR00000414,2022-06-04,2022-06-08,1611399523,1944900174,PLN2657,262530,PCN338,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,7,Retail,0,0,0,9.0,8.44,17.44,5.0,11.54,0.9,0.36,0.255,0,0,0,0,2022-07-04
RX0000015236,MBR00000414,2022-07-11,2022-07-12,1365104570,1480337212,PLN9965,507772,PCN179,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,3,Retail,0,0,0,10.0,6.67,16.67,8.0,8.16,0.51,0.4,0.2833,0,0,0,0,2022-08-10
RX0000015237,MBR00000414,2023-06-10,2023-06-12,1495160908,1132794431,PLN3041,198574,PCN319,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,97,1,Specialty,0,0,0,42.0,19.94,61.94,2.0,59.94,0.0,0.56,0.3967,0,0,0,0,2023-09-08
RX0000015238,MBR00000414,2023-01-04,2023-01-05,1123071996,1215310613,PLN6829,584709,PCN721,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,0,Retail,0,0,0,950.0,3.9,953.9,35.0,885.69,33.21,38.0,26.9167,0,0,0,0,2023-02-03
RX0000015239,MBR00000414,2022-07-01,2022-07-02,1266545747,1185564116,PLN8050,386724,PCN608,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,60,11,Retail,0,0,0,76.0,7.72,83.72,33.0,46.13,4.59,1.52,1.0767,0,0,0,0,2022-08-30
RX0000015240,MBR00000414,2021-08-28,2021-08-29,1968256627,1589500377,PLN9080,623692,PCN376,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,7,Mail Order,0,0,0,480.0,10.24,490.24,39.0,417.9,33.34,19.2,13.6,0,0,0,0,2021-09-27
RX0000015241,MBR00000415,2023-05-08,2023-05-11,1979268932,1396571584,PLN7969,740702,PCN176,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,8,Retail,0,0,0,88.67,3.88,92.55,38.0,48.3,6.25,15.2,10.7667,0,0,0,0,2023-05-15
RX0000015242,MBR00000415,2021-03-26,2021-03-30,1849234559,1826407592,PLN2038,443485,PCN279,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,62,2,Retail,0,0,0,28.0,2.94,30.94,3.0,26.16,1.78,0.56,0.3967,0,0,0,0,2021-05-25
RX0000015243,MBR00000415,2021-02-12,2021-02-14,1794869396,1636606987,PLN3895,169828,PCN738,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,89,0,Mail Order,2,0,0,66.0,2.26,68.26,2.0,62.36,3.9,0.88,0.6233,0,0,0,0,2021-05-13
RX0000015244,MBR00000415,2022-07-20,2022-07-21,1517646004,1888797119,PLN5502,881245,PCN585,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,2,Retail,0,0,0,45.0,3.45,48.45,2.0,44.39,2.06,1.8,1.275,0,0,0,0,2022-08-19
RX0000015245,MBR00000415,2023-07-27,2023-07-28,1176061477,1445699803,PLN2182,132842,PCN261,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,10,Retail,0,0,0,310.0,6.86,316.86,30.0,266.64,20.22,12.4,8.7833,0,0,0,0,2023-08-26
RX0000015246,MBR00000415,2022-08-31,2022-09-01,1193125817,1870519566,PLN3700,234951,PCN903,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,3,Retail,0,0,0,8.5,7.29,15.79,2.0,13.29,0.5,0.34,0.2408,0,0,0,0,2022-09-30
RX0000015247,MBR00000415,2023-07-05,2023-07-08,1150442101,1996511774,PLN8289,483703,PCN233,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,81,3,Retail,0,0,0,1140.0,3.27,1143.27,39.0,1031.46,72.81,15.2,10.7667,0,0,0,0,2023-10-03
RX0000015248,MBR00000415,2023-05-21,2023-05-22,1527643073,1784810051,PLN5913,990021,PCN809,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,9,Retail,0,0,0,8.5,11.21,19.71,4.0,15.0,0.71,0.34,0.2408,0,0,0,0,2023-06-20
RX0000015249,MBR00000415,2023-08-09,2023-08-11,1429623708,1262300811,PLN2367,707523,PCN439,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,7,Mail Order,0,0,0,320.0,9.1,329.1,33.0,278.12,17.98,12.8,9.0667,0,0,0,0,2023-09-08
RX0000015250,MBR00000415,2023-10-05,2023-10-06,1174394773,1164445731,PLN6723,682719,PCN395,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,90,3,Retail,1,0,0,66.0,2.31,68.31,70.0,0.0,2.49,0.88,0.6233,0,0,0,0,2024-01-03
RX0000015251,MBR00000415,2022-10-29,2022-11-01,1689912675,1952889328,PLN8518,851706,PCN814,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,9,Retail,0,0,0,1.75,2.21,3.96,6.0,0.0,0.16,0.3,0.2125,0,0,0,0,2022-11-05
RX0000015252,MBR00000415,2022-02-05,2022-02-09,1567477751,1330434939,PLN3969,750550,PCN836,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,4,Mail Order,0,0,1,175.0,6.2,181.2,34.0,139.91,7.29,30.0,21.25,0,0,0,0,2022-02-12
RX0000015253,MBR00000415,2023-01-06,2023-01-10,1146224279,1613248753,PLN3251,614871,PCN380,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,4,Mail Order,0,0,0,750.0,8.86,758.86,30.0,678.35,50.51,30.0,21.25,0,1,1,0,2023-02-05
RX0000015254,MBR00000415,2021-01-21,2021-01-24,1178504814,1912746403,PLN8574,624925,PCN465,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,1,Retail,0,0,0,2.8,5.99,8.79,2.0,6.27,0.52,0.48,0.34,0,1,0,0,2021-01-28
RX0000015255,MBR00000415,2022-01-20,2022-01-23,1498635858,1995342347,PLN6746,346195,PCN344,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,3,Mail Order,0,0,0,45.0,6.73,51.73,8.0,41.63,2.1,1.8,1.275,0,0,0,0,2022-02-19
RX0000015256,MBR00000415,2021-10-21,2021-10-22,1815643978,1176846163,PLN9867,400458,PCN326,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,0,Retail,0,0,0,16.0,8.73,24.73,2.0,21.12,1.61,0.64,0.4533,0,0,0,0,2021-11-20
RX0000015257,MBR00000415,2023-11-16,2023-11-20,1378263971,1370603709,PLN4433,614487,PCN838,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,10,Mail Order,0,0,0,2.1,5.18,7.28,7.0,0.0,0.45,0.36,0.255,0,0,0,0,2023-11-23
RX0000015258,MBR00000415,2022-05-23,2022-05-27,1783077332,1603118002,PLN2921,305163,PCN747,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,6,Retail,0,0,0,9.0,11.65,20.65,7.0,12.85,0.8,0.36,0.255,0,0,0,0,2022-06-22
RX0000015259,MBR00000415,2021-06-11,2021-06-12,1945054188,1415769568,PLN7425,394306,PCN629,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,4,Mail Order,0,0,1,320.0,2.86,322.86,36.0,268.29,18.57,12.8,9.0667,0,0,0,0,2021-07-11
RX0000015260,MBR00000416,2023-11-07,2023-11-08,1669272243,1135193299,PLN4056,977900,PCN973,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,1,Retail,0,0,0,310.0,5.63,315.63,37.0,257.75,20.88,12.4,8.7833,0,0,0,0,2023-12-07
RX0000015261,MBR00000416,2022-06-08,2022-06-09,1235822914,1796009247,PLN8641,421284,PCN346,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,10,Specialty,0,0,0,480.0,34.47,514.47,33.0,481.47,0.0,19.2,13.6,0,0,0,0,2022-07-08
RX0000015262,MBR00000416,2022-05-27,2022-05-31,1673699002,1924062109,PLN2285,478394,PCN612,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,95,8,Retail,0,0,0,555.0,8.77,563.77,36.0,499.4,28.37,7.4,5.2417,0,0,0,0,2022-08-25
RX0000015263,MBR00000416,2021-08-27,2021-08-31,1522855610,1844266429,PLN7561,851244,PCN733,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,82,9,Retail,0,0,0,930.0,7.91,937.91,38.0,851.61,48.3,12.4,8.7833,0,0,0,0,2021-11-25
RX0000015264,MBR00000416,2021-12-20,2021-12-21,1694514170,1928867889,PLN4398,853992,PCN414,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,4,Retail,0,0,0,38.0,3.94,41.94,32.0,8.24,1.7,1.52,1.0767,0,0,0,0,2022-01-19
RX0000015265,MBR00000416,2023-07-07,2023-07-09,1511151792,1820178829,PLN4158,967339,PCN951,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,82,8,Retail,1,0,0,990.0,7.2,997.2,37.0,898.64,61.56,13.2,9.35,0,0,0,0,2023-10-05
RX0000015266,MBR00000416,2023-12-02,2023-12-06,1240436882,1118696360,PLN5576,600312,PCN777,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,96,1,Specialty,0,1,0,24.0,23.94,47.94,150.0,0.0,0.0,0.32,0.2267,0,0,0,0,2024-03-01
RX0000015267,MBR00000416,2021-02-24,2021-02-27,1741509393,1181161995,PLN5613,335207,PCN793,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,58,9,Specialty,0,0,0,90.0,19.53,109.53,0.0,109.53,0.0,1.8,1.275,0,0,0,0,2021-04-25
RX0000015268,MBR00000416,2022-03-11,2022-03-14,1954338611,1540416698,PLN4498,816364,PCN127,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,97,4,Retail,0,0,0,45.0,7.31,52.31,4.0,46.7,1.61,0.6,0.425,0,0,0,0,2022-06-09
RX0000015269,MBR00000416,2023-03-27,2023-03-31,1960194377,1949598738,PLN9361,807668,PCN476,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,9,Retail,0,0,0,45.0,11.37,56.37,4.0,50.11,2.26,1.8,1.275,0,0,0,0,2023-04-26
RX0000015270,MBR00000416,2023-10-08,2023-10-11,1273271216,1950479018,PLN4458,523617,PCN502,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,11,Mail Order,0,0,0,9.0,5.25,14.25,5.0,8.68,0.57,0.36,0.255,0,0,0,0,2023-11-07
RX0000015271,MBR00000416,2023-11-22,2023-11-24,1813079100,1906622268,PLN8657,298777,PCN678,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,86,6,Retail,0,0,0,66.0,9.07,75.07,69.0,3.6,2.47,0.88,0.6233,0,0,0,0,2024-02-20
RX0000015272,MBR00000416,2022-01-14,2022-01-17,1570903759,1879792391,PLN5371,407335,PCN540,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,90,0,Retail,0,0,0,48.0,10.11,58.11,0.0,55.42,2.69,0.64,0.4533,0,0,0,0,2022-04-14
RX0000015273,MBR00000416,2021-12-22,2021-12-24,1216397138,1712917928,PLN2885,636781,PCN739,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,5,Retail,0,0,0,45.0,6.14,51.14,5.0,42.95,3.19,1.8,1.275,0,0,0,0,2022-01-21
RX0000015274,MBR00000416,2021-05-13,2021-05-16,1627527425,1550821931,PLN2138,924356,PCN436,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,58,2,Retail,0,1,0,16.0,4.62,20.62,155.0,0.0,0.75,0.32,0.2267,0,0,0,0,2021-07-12
RX0000015275,MBR00000416,2022-03-20,2022-03-22,1779211441,1872798373,PLN8308,303963,PCN964,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,3,Retail,0,0,0,15.0,5.32,20.32,7.0,11.9,1.42,0.6,0.425,0,0,0,0,2022-04-19
RX0000015276,MBR00000416,2022-07-12,2022-07-14,1404170781,1268448406,PLN9747,887617,PCN573,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,10,LTC,0,0,0,480.0,2.66,482.66,30.0,434.39,18.27,19.2,13.6,0,0,0,0,2022-08-11
RX0000015277,MBR00000416,2023-09-30,2023-10-03,1910206824,1780646840,PLN4738,753699,PCN574,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,5,Retail,0,0,0,330.0,3.61,333.61,31.0,285.09,17.52,13.2,9.35,0,0,0,0,2023-10-30
RX0000015278,MBR00000416,2022-11-27,2022-11-29,1318113613,1175473635,PLN4881,749203,PCN928,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,1,Retail,0,0,0,15.0,11.42,26.42,8.0,17.01,1.41,0.6,0.425,0,0,0,0,2022-12-27
RX0000015279,MBR00000416,2023-10-26,2023-10-30,1765196066,1421117912,PLN9787,998083,PCN716,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,0,Retail,1,0,0,15.0,11.0,26.0,5.0,19.69,1.31,0.6,0.425,0,0,0,0,2023-11-25
RX0000015280,MBR00000416,2022-04-10,2022-04-12,1443759479,1546978591,PLN2092,224691,PCN123,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,88,5,Retail,0,0,0,36.0,10.23,46.23,0.0,43.52,2.71,0.48,0.34,0,0,0,0,2022-07-09
RX0000015281,MBR00000416,2023-06-03,2023-06-05,1151037088,1566193473,PLN8922,631085,PCN517,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,82,2,Retail,0,1,0,36.0,1.9,37.9,152.0,0.0,1.73,0.48,0.34,0,0,0,0,2023-09-01
RX0000015282,MBR00000416,2022-12-21,2022-12-22,1391956256,1676983733,PLN6473,220083,PCN725,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,81,9,LTC,0,0,0,135.0,2.77,137.77,6.0,126.55,5.22,1.8,1.275,0,0,0,0,2023-03-21
RX0000015283,MBR00000416,2021-06-28,2021-06-29,1792355807,1931260978,PLN7361,356409,PCN588,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,1,Mail Order,0,0,0,10.5,8.16,18.66,3.0,15.09,0.57,1.8,1.275,0,0,0,0,2021-07-05
RX0000015284,MBR00000416,2021-02-05,2021-02-06,1579230393,1499347655,PLN5579,609133,PCN939,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,2,Retail,0,0,0,10.0,9.02,19.02,4.0,14.28,0.74,0.4,0.2833,1,0,0,0,2021-03-07
RX0000015285,MBR00000416,2023-06-27,2023-06-28,1571609915,1185861957,PLN6278,759950,PCN439,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,10,Retail,0,0,0,320.0,4.7,324.7,37.0,276.69,11.01,12.8,9.0667,0,0,0,0,2023-07-27
RX0000015286,MBR00000416,2022-03-23,2022-03-24,1293756689,1259179402,PLN6721,552773,PCN904,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,97,8,Retail,3,0,0,45.0,3.34,48.34,8.0,38.8,1.54,0.6,0.425,0,1,0,0,2022-06-21
RX0000015287,MBR00000417,2023-02-03,2023-02-05,1267657683,1471646442,PLN5519,680458,PCN259,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,4,Specialty,3,0,0,285.0,22.19,307.19,36.0,271.19,0.0,11.4,8.075,1,0,0,0,2023-03-05
RX0000015288,MBR00000417,2023-05-07,2023-05-08,1163326794,1176649422,PLN2390,486626,PCN555,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,10,Mail Order,0,0,0,950.0,1.86,951.86,39.0,878.66,34.2,38.0,26.9167,0,0,0,0,2023-06-06
RX0000015289,MBR00000417,2023-10-24,2023-10-27,1779467970,1830866866,PLN5120,323485,PCN593,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,57,0,Retail,1,0,0,20.0,9.01,29.01,2.0,25.51,1.5,0.4,0.2833,0,0,0,0,2023-12-23
RX0000015290,MBR00000417,2023-05-16,2023-05-19,1283250267,1875926117,PLN3543,952700,PCN986,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,5,Retail,0,0,0,9.0,10.28,19.28,2.0,16.66,0.62,0.36,0.255,0,0,0,0,2023-06-15
RX0000015291,MBR00000417,2021-01-20,2021-01-23,1965596177,1158238491,PLN5399,824617,PCN582,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,56,4,Retail,0,0,0,76.0,10.85,86.85,10.0,71.73,5.12,1.52,1.0767,0,0,0,0,2021-03-21
RX0000015292,MBR00000417,2023-07-24,2023-07-28,1374872670,1403325771,PLN9394,674884,PCN584,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,6,Retail,0,0,0,22.0,11.55,33.55,65.0,0.0,1.64,0.88,0.6233,0,0,0,0,2023-08-23
RX0000015293,MBR00000417,2021-04-18,2021-04-22,1253196986,1732317810,PLN6876,143918,PCN463,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,9,Retail,0,0,0,9.0,4.61,13.61,8.0,5.12,0.49,0.36,0.255,0,0,0,0,2021-05-18
RX0000015294,MBR00000417,2021-10-13,2021-10-14,1884602089,1441554118,PLN6303,398282,PCN603,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,7,Mail Order,1,0,0,18.0,8.34,26.34,36.0,0.0,1.24,0.72,0.51,0,0,0,0,2021-11-12
RX0000015295,MBR00000417,2023-11-08,2023-11-10,1326058186,1708023928,PLN3046,698147,PCN288,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,89,1,LTC,1,0,0,54.0,4.58,58.58,2.0,53.93,2.65,0.72,0.51,0,0,0,0,2024-02-06
RX0000015296,MBR00000417,2021-11-07,2021-11-10,1401019222,1910047880,PLN6367,543270,PCN338,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,8,Retail,2,0,0,65.0,5.05,70.05,37.0,29.18,3.87,2.6,1.8417,0,0,0,0,2021-12-07
RX0000015297,MBR00000417,2022-02-25,2022-02-28,1117627834,1108000772,PLN3214,654220,PCN447,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,83,11,Retail,0,0,0,48.0,1.81,49.81,1.0,45.44,3.37,0.64,0.4533,0,0,0,0,2022-05-26
RX0000015298,MBR00000417,2021-11-13,2021-11-16,1137431422,1284069209,PLN5394,341637,PCN150,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,11,Mail Order,0,0,0,7.5,9.96,17.46,9.0,7.83,0.63,0.3,0.2125,0,0,0,0,2021-12-13
RX0000015299,MBR00000417,2021-01-17,2021-01-19,1251760288,1740257295,PLN3370,176871,PCN484,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,9,Mail Order,0,0,0,370.0,2.76,372.76,33.0,320.37,19.39,14.8,10.4833,0,0,0,0,2021-02-16
RX0000015300,MBR00000417,2023-03-20,2023-03-22,1949982290,1977261628,PLN6628,684074,PCN196,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,0,Retail,3,0,0,10.0,7.85,17.85,0.0,17.18,0.67,0.4,0.2833,0,0,0,0,2023-04-19
RX0000015301,MBR00000417,2022-03-03,2022-03-07,1693730591,1994191311,PLN4801,735199,PCN810,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,1,Retail,0,0,0,45.0,3.24,48.24,6.0,39.52,2.72,0.6,0.425,0,0,0,0,2022-06-01
RX0000015302,MBR00000417,2022-01-14,2022-01-15,1986847478,1646250957,PLN9380,324948,PCN809,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,9,Retail,0,0,0,310.0,3.57,313.57,39.0,263.58,10.99,12.4,8.7833,0,0,0,0,2022-02-13
RX0000015303,MBR00000417,2022-04-19,2022-04-21,1502073354,1612398383,PLN4771,360790,PCN950,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,84,6,Specialty,0,0,0,1140.0,13.29,1153.29,37.0,1116.29,0.0,15.2,10.7667,0,0,0,0,2022-07-18
RX0000015304,MBR00000417,2022-08-30,2022-09-01,1124809196,1395284921,PLN8814,203540,PCN743,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,3,Retail,0,0,0,175.0,6.67,181.67,38.0,134.07,9.6,7.0,4.9583,0,0,0,0,2022-09-29
RX0000015305,MBR00000418,2023-08-30,2023-09-01,1118490932,1442771964,PLN3459,626381,PCN277,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,8,Retail,0,0,0,14.0,10.57,24.57,9.0,13.97,1.6,0.56,0.3967,0,0,0,0,2023-09-29
RX0000015306,MBR00000418,2021-04-17,2021-04-20,1147552367,1525389793,PLN9250,568165,PCN385,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,57,10,Retail,0,1,0,16.0,2.83,18.83,147.0,0.0,0.66,0.32,0.2267,0,0,0,0,2021-06-16
RX0000015307,MBR00000418,2023-05-18,2023-05-20,1550913683,1715776179,PLN5367,174240,PCN435,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,55,10,Retail,0,0,0,44.0,6.12,50.12,3.0,45.15,1.97,0.88,0.6233,0,0,0,0,2023-07-17
RX0000015308,MBR00000418,2021-07-17,2021-07-18,1711184975,1487131240,PLN8790,360700,PCN542,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,4,Mail Order,3,0,0,8.5,11.1,19.6,2.0,16.99,0.61,0.34,0.2408,1,0,0,0,2021-08-16
RX0000015309,MBR00000418,2022-12-15,2022-12-18,1578421146,1954459613,PLN6714,618729,PCN882,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,10,Retail,0,0,0,10.5,3.2,13.7,9.0,3.87,0.83,1.8,1.275,0,0,0,0,2022-12-22
RX0000015310,MBR00000418,2022-05-28,2022-05-29,1806847075,1384248219,PLN4131,197547,PCN624,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,86,1,Retail,0,0,0,195.0,8.41,203.41,30.0,165.47,7.94,2.6,1.8417,0,0,0,0,2022-08-26
RX0000015311,MBR00000418,2021-08-04,2021-08-08,1536048870,1816168399,PLN1382,562719,PCN281,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,4,Retail,0,0,0,950.0,5.78,955.78,34.0,885.49,36.29,38.0,26.9167,0,0,0,0,2021-09-03
RX0000015312,MBR00000418,2022-04-07,2022-04-08,1798719876,1663447082,PLN7205,298172,PCN191,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,54,9,Retail,0,0,0,28.0,4.32,32.32,5.0,25.13,2.19,0.56,0.3967,0,0,0,0,2022-06-06
RX0000015313,MBR00000418,2022-02-18,2022-02-22,1435410474,1238501932,PLN1313,533049,PCN119,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,97,4,Specialty,0,0,0,1140.0,44.14,1184.14,35.0,1149.14,0.0,15.2,10.7667,0,0,0,0,2022-05-19
RX0000015314,MBR00000418,2023-09-27,2023-09-29,1903936219,1672537776,PLN9914,744279,PCN632,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,10,Retail,0,0,0,480.0,6.36,486.36,38.0,426.16,22.2,19.2,13.6,0,0,0,0,2023-10-27
RX0000015315,MBR00000418,2021-03-30,2021-04-03,1158272016,1486965396,PLN1207,196086,PCN439,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,3,Retail,0,0,0,285.0,3.62,288.62,35.0,241.08,12.54,11.4,8.075,0,0,0,0,2021-04-29
RX0000015316,MBR00000418,2021-11-04,2021-11-07,1519110046,1816828564,PLN5095,367187,PCN791,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,0,Specialty,1,0,1,750.0,27.3,777.3,33.0,744.3,0.0,30.0,21.25,0,0,0,0,2021-12-04
RX0000015317,MBR00000418,2021-01-15,2021-01-17,1641007178,1973658848,PLN8418,922371,PCN345,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,1,Retail,0,0,0,65.0,9.99,74.99,35.0,36.48,3.51,2.6,1.8417,0,0,0,0,2021-02-14
RX0000015318,MBR00000418,2021-02-10,2021-02-12,1753016183,1956702639,PLN5661,612634,PCN669,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,92,8,Retail,0,0,0,42.0,8.49,50.49,7.0,40.09,3.4,0.56,0.3967,0,0,0,0,2021-05-11
RX0000015319,MBR00000418,2022-08-19,2022-08-23,1132177302,1132875546,PLN5361,804919,PCN440,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,92,3,Mail Order,0,0,0,66.0,2.08,68.08,1.0,62.39,4.69,0.88,0.6233,0,0,0,0,2022-11-17
RX0000015320,MBR00000418,2022-10-25,2022-10-26,1113970557,1901304019,PLN2061,140171,PCN463,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,96,7,Retail,0,0,0,27.0,4.45,31.45,1.0,28.74,1.71,0.36,0.255,0,0,0,0,2023-01-23
RX0000015321,MBR00000418,2022-09-07,2022-09-09,1303987348,1130223967,PLN8597,521186,PCN833,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,9,Retail,1,0,0,9.0,8.6,17.6,6.0,10.62,0.98,0.36,0.255,1,1,0,0,2022-10-07
RX0000015322,MBR00000418,2023-03-31,2023-04-01,1332683721,1692959489,PLN9982,502462,PCN432,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,10,Retail,0,0,0,18.0,6.86,24.86,9.0,14.68,1.18,0.72,0.51,0,0,0,0,2023-04-30
RX0000015323,MBR00000418,2022-02-19,2022-02-22,1970231403,1855860521,PLN6003,604761,PCN355,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,84,5,Retail,0,0,0,33.0,10.0,43.0,3.0,38.14,1.86,0.44,0.3117,0,0,0,0,2022-05-20
RX0000015324,MBR00000418,2023-11-19,2023-11-22,1592753879,1216824381,PLN3013,953002,PCN828,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,1,Retail,0,1,0,8.0,9.0,17.0,148.0,0.0,1.1,0.32,0.2267,0,0,0,0,2023-12-19
RX0000015325,MBR00000418,2021-03-25,2021-03-27,1718208141,1525055347,PLN7619,419305,PCN248,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,9,LTC,0,0,0,14.0,7.54,21.54,0.0,20.89,0.65,0.56,0.3967,0,0,0,0,2021-04-24
RX0000015326,MBR00000418,2021-04-05,2021-04-06,1188246675,1542303919,PLN3413,986888,PCN504,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,84,6,Retail,0,0,0,48.0,4.07,52.07,8.0,40.76,3.31,0.64,0.4533,0,0,0,0,2021-07-04
RX0000015327,MBR00000418,2023-10-23,2023-10-26,1166703881,1766084430,PLN1862,178609,PCN912,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,61,11,Retail,0,0,0,36.0,10.55,46.55,1.0,42.31,3.24,0.72,0.51,0,0,0,0,2023-12-22
RX0000015328,MBR00000418,2022-02-07,2022-02-08,1887752217,1165730786,PLN4538,481305,PCN389,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,4,Specialty,0,0,0,9.0,41.73,50.73,9.0,41.73,0.0,0.36,0.255,0,0,0,0,2022-03-09
RX0000015329,MBR00000418,2022-02-15,2022-02-16,1311116212,1509299999,PLN5646,484361,PCN251,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,0,Retail,0,0,0,8.87,7.05,15.91,40.0,0.0,0.81,1.52,1.0767,0,0,0,0,2022-02-22
RX0000015330,MBR00000418,2022-05-29,2022-06-02,1584338535,1441489454,PLN9073,860814,PCN298,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,10,Retail,0,0,0,18.0,3.87,21.87,8.0,12.92,0.95,0.72,0.51,0,0,0,0,2022-06-28
RX0000015331,MBR00000418,2023-01-12,2023-01-14,1458648736,1212579907,PLN4591,312346,PCN352,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,2,Specialty,0,0,0,22.0,15.77,37.77,10.0,27.77,0.0,0.88,0.6233,0,0,0,0,2023-02-11
RX0000015332,MBR00000418,2022-09-11,2022-09-14,1387927816,1178725898,PLN6429,658680,PCN275,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,1,Mail Order,0,0,0,65.0,7.49,72.49,37.0,31.8,3.69,2.6,1.8417,0,0,0,0,2022-10-11
RX0000015333,MBR00000418,2022-02-12,2022-02-13,1758375785,1851408360,PLN7646,926653,PCN666,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,91,9,Retail,0,0,0,990.0,3.43,993.43,32.0,896.66,64.77,13.2,9.35,0,0,0,0,2022-05-13
RX0000015334,MBR00000418,2022-04-18,2022-04-21,1533012923,1200201341,PLN8164,858566,PCN260,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,7,Retail,0,0,0,14.0,5.69,19.69,3.0,15.96,0.73,0.56,0.3967,0,0,0,0,2022-05-18
RX0000015335,MBR00000418,2021-10-23,2021-10-27,1828785166,1376482992,PLN6917,662957,PCN170,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,6,LTC,0,1,0,6200.0,7.92,6207.92,155.0,5768.85,284.07,248.0,175.6667,0,0,0,0,2021-11-22
RX0000015336,MBR00000418,2022-11-28,2022-11-30,1709979010,1754785205,PLN7268,888063,PCN336,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,10,Retail,0,0,0,15.0,4.06,19.06,9.0,9.42,0.64,0.6,0.425,0,0,0,0,2022-12-28
RX0000015337,MBR00000418,2023-09-18,2023-09-21,1527632485,1536697731,PLN9903,721036,PCN342,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,6,Specialty,0,0,0,10.0,41.29,51.29,10.0,41.29,0.0,0.4,0.2833,0,0,0,0,2023-10-18
RX0000015338,MBR00000418,2022-07-29,2022-07-31,1779010043,1272798861,PLN3521,401384,PCN253,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,63,4,Retail,3,0,0,1900.0,11.58,1911.58,30.0,1773.31,108.27,38.0,26.9167,0,0,0,0,2022-09-27
RX0000015339,MBR00000418,2022-08-08,2022-08-11,1405440378,1144839907,PLN9969,909931,PCN492,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,59,3,Mail Order,0,0,0,660.0,4.61,664.61,40.0,588.96,35.65,13.2,9.35,0,1,1,0,2022-10-07
RX0000015340,MBR00000418,2023-09-28,2023-09-29,1637904690,1791829432,PLN4618,377171,PCN218,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,56,2,Retail,0,0,0,36.0,8.24,44.24,9.0,32.32,2.92,0.72,0.51,0,0,0,0,2023-11-27
RX0000015341,MBR00000418,2021-08-18,2021-08-19,1475148263,1119167827,PLN4693,656315,PCN982,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,11,Specialty,0,0,0,22.0,17.54,39.54,67.0,0.0,0.0,0.88,0.6233,0,0,0,0,2021-09-17
RX0000015342,MBR00000418,2022-07-12,2022-07-15,1918917577,1561413160,PLN7149,745558,PCN949,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,89,5,Retail,3,0,0,114.0,4.53,118.53,33.0,81.37,4.16,1.52,1.0767,0,0,0,0,2022-10-10
RX0000015343,MBR00000418,2022-12-01,2022-12-04,1436450691,1378822576,PLN4210,192209,PCN914,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,8,Retail,0,0,0,10.5,11.82,22.32,0.0,21.6,0.72,1.8,1.275,0,0,0,0,2022-12-08
RX0000015344,MBR00000418,2021-10-23,2021-10-25,1882727189,1558912678,PLN6281,900287,PCN452,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,97,11,Mail Order,0,0,0,36.0,7.59,43.59,7.0,34.1,2.49,0.48,0.34,0,0,0,0,2022-01-21
RX0000015345,MBR00000418,2022-08-13,2022-08-14,1217648410,1406639746,PLN3823,129760,PCN974,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,2,Retail,1,0,0,11.0,8.76,19.76,7.0,11.75,1.01,0.44,0.3117,0,0,0,0,2022-09-12
RX0000015346,MBR00000418,2023-06-10,2023-06-11,1845508785,1101331425,PLN8297,668711,PCN347,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,9,Mail Order,0,0,0,6.53,4.11,10.64,10.0,0.3,0.34,1.12,0.7933,0,0,0,0,2023-06-17
RX0000015347,MBR00000418,2021-06-08,2021-06-10,1719783821,1362686179,PLN7089,756767,PCN214,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,95,11,Retail,0,0,0,960.0,8.49,968.49,33.0,885.31,50.18,12.8,9.0667,0,0,0,0,2021-09-06
RX0000015348,MBR00000418,2023-07-24,2023-07-28,1221171240,1320510379,PLN7212,551428,PCN381,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,11,Specialty,0,0,0,9.0,47.82,56.82,5.0,51.82,0.0,0.36,0.255,0,0,0,0,2023-08-23
RX0000015349,MBR00000418,2022-08-09,2022-08-12,1907087314,1997017279,PLN9437,256348,PCN223,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,9,Retail,0,0,0,480.0,9.39,489.39,40.0,421.72,27.67,19.2,13.6,0,0,0,0,2022-09-08
RX0000015350,MBR00000418,2023-01-25,2023-01-26,1859413589,1618698318,PLN2703,416041,PCN556,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,8,Retail,0,0,0,4.2,5.22,9.42,5.0,4.01,0.41,0.72,0.51,0,0,0,0,2023-02-01
RX0000015351,MBR00000418,2023-03-11,2023-03-15,1617271691,1762939750,PLN9353,750243,PCN949,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,2,Retail,3,1,0,6200.0,6.76,6206.76,147.0,5821.05,238.71,248.0,175.6667,0,0,0,0,2023-04-10
RX0000015352,MBR00000419,2022-05-05,2022-05-07,1222278916,1123672358,PLN6943,119005,PCN866,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,2,Mail Order,0,0,0,6.53,10.18,16.71,10.0,6.08,0.63,1.12,0.7933,0,0,0,0,2022-05-12
RX0000015353,MBR00000419,2022-07-19,2022-07-20,1956092494,1287847698,PLN9165,812286,PCN316,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,7,Retail,2,0,0,38.0,11.45,49.45,8.0,39.94,1.51,1.52,1.0767,0,0,0,0,2022-08-18
RX0000015354,MBR00000419,2023-05-20,2023-05-22,1576376459,1728441115,PLN9646,307113,PCN980,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,2,Retail,0,0,0,10.0,4.64,14.64,8.0,5.98,0.66,0.4,0.2833,0,0,0,0,2023-06-19
RX0000015355,MBR00000419,2023-09-23,2023-09-25,1146387497,1490730999,PLN6863,456430,PCN934,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,61,8,Retail,0,0,0,740.0,3.41,743.41,37.0,670.3,36.11,14.8,10.4833,0,0,0,0,2023-11-22
RX0000015356,MBR00000419,2022-05-23,2022-05-25,1327378246,1897231859,PLN5292,246344,PCN590,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,8,Retail,0,0,0,7.5,8.78,16.28,6.0,9.46,0.82,0.3,0.2125,0,1,0,0,2022-06-22
RX0000015357,MBR00000419,2023-02-10,2023-02-14,1151373698,1727281551,PLN3445,197699,PCN590,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,5,Retail,0,0,0,65.0,11.55,76.55,33.0,40.02,3.53,2.6,1.8417,0,0,0,0,2023-03-12
RX0000015358,MBR00000419,2021-10-27,2021-10-30,1508547422,1708401332,PLN6439,910584,PCN785,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,11,Retail,0,0,0,3.5,5.22,8.72,6.0,2.37,0.35,0.6,0.425,0,0,0,0,2021-11-03
RX0000015359,MBR00000419,2022-10-12,2022-10-14,1331691031,1706639357,PLN2065,167106,PCN197,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,91,2,Retail,0,0,0,54.0,7.64,61.64,39.0,20.16,2.48,0.72,0.51,0,0,0,0,2023-01-10
RX0000015360,MBR00000419,2023-01-06,2023-01-07,1146019906,1299073211,PLN2805,352716,PCN218,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,9,Mail Order,1,0,0,12.5,3.82,16.32,10.0,5.24,1.08,0.5,0.3542,0,0,0,0,2023-02-05
RX0000015361,MBR00000419,2023-04-29,2023-04-30,1169732708,1748348664,PLN3022,235216,PCN718,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,60,61,9,Retail,0,0,0,1500.0,4.61,1504.61,35.0,1385.29,84.32,30.0,21.25,0,0,0,0,2023-06-28
RX0000015362,MBR00000419,2021-06-10,2021-06-11,1979046499,1596682377,PLN8917,493106,PCN555,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,62,4,Retail,0,0,0,30.0,9.95,39.95,0.0,38.74,1.21,0.6,0.425,0,0,0,0,2021-08-09
RX0000015363,MBR00000419,2022-06-08,2022-06-10,1990421265,1678663735,PLN9235,177950,PCN555,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,5,Retail,1,0,0,15.0,3.17,18.17,4.0,13.05,1.12,0.6,0.425,0,0,0,0,2022-07-08
RX0000015364,MBR00000419,2021-06-24,2021-06-25,1665178414,1204386763,PLN4207,362650,PCN611,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,0,Retail,0,0,0,22.0,6.0,28.0,10.0,16.93,1.07,0.88,0.6233,0,0,0,0,2021-07-24
RX0000015365,MBR00000419,2023-06-28,2023-07-02,1206981956,1620601032,PLN7240,681020,PCN156,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,83,7,Retail,0,0,0,1110.0,10.49,1120.49,32.0,1021.12,67.37,14.8,10.4833,1,0,0,0,2023-09-26
RX0000015366,MBR00000419,2023-11-28,2023-12-02,1166669971,1307505905,PLN4939,306646,PCN932,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,1,Retail,0,0,0,86.33,3.75,90.08,37.0,47.53,5.55,14.8,10.4833,0,0,0,0,2023-12-05
RX0000015367,MBR00000419,2021-07-01,2021-07-05,1288770601,1843257850,PLN1202,385219,PCN263,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,6,LTC,0,0,0,22.0,4.76,26.76,7.0,18.78,0.98,0.88,0.6233,0,0,0,0,2021-07-31
RX0000015368,MBR00000419,2023-06-02,2023-06-04,1512694520,1783111566,PLN3035,601453,PCN542,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,11,Mail Order,0,0,0,10.5,8.64,19.14,6.0,12.11,1.03,1.8,1.275,0,0,0,0,2023-06-09
RX0000015369,MBR00000419,2023-12-25,2023-12-26,1661872626,1462114644,PLN2198,436427,PCN746,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,87,6,Retail,0,0,0,33.0,7.2,40.2,7.0,30.94,2.26,0.44,0.3117,1,0,0,0,2024-03-24
RX0000015370,MBR00000419,2021-02-24,2021-02-27,1418357310,1807353289,PLN9491,122742,PCN676,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,0,Retail,3,0,0,11.0,8.85,19.85,5.0,13.86,0.99,0.44,0.3117,0,0,0,0,2021-03-26
RX0000015371,MBR00000419,2023-07-18,2023-07-20,1580812267,1171562395,PLN6706,792795,PCN270,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,91,11,Retail,0,0,0,1950.0,9.73,1959.73,31.0,1792.91,135.82,26.0,18.4167,0,0,0,0,2023-10-16
RX0000015372,MBR00000419,2023-06-21,2023-06-25,1783204511,1391243350,PLN6410,694245,PCN904,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,3,Mail Order,1,0,0,380.0,5.95,385.95,38.0,330.16,17.79,15.2,10.7667,0,1,1,0,2023-07-21
RX0000015373,MBR00000419,2021-07-30,2021-08-01,1114346317,1287313177,PLN1543,774968,PCN529,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,0,Retail,0,0,0,22.0,4.44,26.44,5.0,20.58,0.86,0.88,0.6233,0,0,0,0,2021-08-29
RX0000015374,MBR00000419,2023-12-18,2023-12-21,1607837666,1264141176,PLN7719,742199,PCN648,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,98,7,Retail,0,0,0,42.0,6.12,48.12,8.0,36.95,3.17,0.56,0.3967,0,0,0,0,2024-03-17
RX0000015375,MBR00000419,2023-03-13,2023-03-17,1938842765,1664363570,PLN4096,648777,PCN265,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,58,5,Retail,0,0,0,22.0,11.89,33.89,1.0,31.31,1.58,0.44,0.3117,0,0,0,0,2023-05-12
RX0000015376,MBR00000420,2023-08-17,2023-08-21,1397417337,1701741677,PLN1973,888281,PCN882,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,84,1,Mail Order,0,0,0,37.5,10.71,48.21,1.0,43.91,3.3,0.5,0.3542,0,1,0,0,2023-11-15
RX0000015377,MBR00000420,2021-11-03,2021-11-06,1524387742,1730406482,PLN6956,943062,PCN907,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,10,Retail,0,0,0,8.5,2.32,10.82,3.0,7.37,0.45,0.34,0.2408,1,0,0,0,2021-12-03
RX0000015378,MBR00000420,2023-07-06,2023-07-08,1764217065,1508034467,PLN8813,793284,PCN815,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,11,Mail Order,0,0,0,320.0,7.35,327.35,37.0,271.57,18.78,12.8,9.0667,0,0,0,0,2023-08-05
RX0000015379,MBR00000420,2022-12-26,2022-12-28,1719847346,1883148513,PLN1697,769780,PCN219,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,57,0,Retail,0,0,0,30.0,8.85,38.85,8.0,29.66,1.19,0.6,0.425,0,0,0,0,2023-02-24
RX0000015380,MBR00000420,2022-09-29,2022-09-30,1143096444,1376811278,PLN9903,845590,PCN330,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,6,5,Retail,3,0,0,77.0,4.22,81.22,32.0,45.62,3.6,13.2,9.35,1,0,0,0,2022-10-06
RX0000015381,MBR00000420,2022-08-13,2022-08-17,1405329078,1376216804,PLN9088,943365,PCN949,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,89,4,Retail,0,0,0,990.0,7.76,997.76,31.0,934.69,32.07,13.2,9.35,0,0,0,0,2022-11-11
RX0000015382,MBR00000420,2022-09-12,2022-09-16,1607518319,1622769536,PLN7261,989714,PCN889,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,2,Specialty,0,0,0,330.0,9.6,339.6,40.0,299.6,0.0,13.2,9.35,0,0,0,0,2022-10-12
RX0000015383,MBR00000420,2022-06-10,2022-06-14,1902725868,1219964698,PLN1883,756545,PCN307,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,3,Specialty,0,0,0,11.0,21.29,32.29,4.0,28.29,0.0,0.44,0.3117,0,0,0,0,2022-07-10
RX0000015384,MBR00000420,2021-12-29,2021-12-30,1961051206,1768948829,PLN2854,626198,PCN712,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,87,11,Retail,0,0,0,525.0,5.5,530.5,31.0,467.28,32.22,7.0,4.9583,0,0,0,0,2022-03-29
RX0000015385,MBR00000420,2021-07-28,2021-07-30,1986507983,1445381305,PLN9456,506602,PCN507,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,95,9,LTC,1,0,0,555.0,7.29,562.29,32.0,508.23,22.06,7.4,5.2417,0,0,0,0,2021-10-26
RX0000015386,MBR00000420,2021-12-17,2021-12-18,1176239837,1885413695,PLN8927,860553,PCN680,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,2,Retail,0,0,0,750.0,2.05,752.05,34.0,671.38,46.67,30.0,21.25,0,1,1,0,2022-01-16
RX0000015387,MBR00000420,2022-06-29,2022-07-03,1143835239,1382029975,PLN2393,198536,PCN865,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,87,10,Retail,0,0,0,54.0,3.99,57.99,39.0,15.34,3.65,0.72,0.51,0,0,0,0,2022-09-27
RX0000015388,MBR00000420,2021-08-23,2021-08-27,1467589750,1745622406,PLN8075,697991,PCN448,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,60,3,Mail Order,0,0,0,18.0,1.72,19.72,0.0,18.8,0.92,0.36,0.255,0,0,0,0,2021-10-22
RX0000015389,MBR00000420,2022-11-28,2022-12-02,1732728797,1746784763,PLN6049,493776,PCN154,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,6,Specialty,0,0,0,9.0,40.39,49.39,1.0,48.39,0.0,0.36,0.255,0,0,0,0,2022-12-28
RX0000015390,MBR00000420,2021-07-07,2021-07-11,1141911465,1572327338,PLN3844,651977,PCN961,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,1,Retail,2,0,0,14.0,6.95,20.95,10.0,9.6,1.35,0.56,0.3967,1,0,0,0,2021-08-06
RX0000015391,MBR00000420,2022-12-10,2022-12-14,1279961822,1858027045,PLN7655,342260,PCN572,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,5,Retail,0,0,0,6.53,10.09,16.62,3.0,12.86,0.76,1.12,0.7933,0,0,0,0,2022-12-17
RX0000015392,MBR00000420,2021-10-04,2021-10-05,1724066895,1407946142,PLN2025,354714,PCN716,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,81,1,Retail,0,0,0,33.0,5.19,38.19,4.0,32.95,1.24,0.44,0.3117,0,0,0,0,2022-01-02
RX0000015393,MBR00000420,2022-04-06,2022-04-07,1143176397,1337059148,PLN8683,576323,PCN979,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,9,Retail,0,0,0,330.0,8.93,338.93,40.0,277.37,21.56,13.2,9.35,0,0,0,0,2022-05-06
RX0000015394,MBR00000420,2023-11-02,2023-11-06,1323702422,1618357567,PLN6068,958660,PCN797,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,84,5,Retail,1,0,0,960.0,6.49,966.49,38.0,878.88,49.61,12.8,9.0667,0,0,0,0,2024-01-31
RX0000015395,MBR00000420,2023-03-30,2023-04-03,1585471886,1144159734,PLN6678,130488,PCN266,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,9,Retail,0,0,1,950.0,6.17,956.17,33.0,872.1,51.07,38.0,26.9167,0,0,0,0,2023-04-29
RX0000015396,MBR00000420,2021-03-10,2021-03-14,1634452686,1669706867,PLN5874,126408,PCN716,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,98,4,Specialty,0,0,0,45.0,26.69,71.69,8.0,63.69,0.0,0.6,0.425,0,0,0,0,2021-06-08
RX0000015397,MBR00000420,2021-06-08,2021-06-09,1632573349,1880837715,PLN7776,540409,PCN128,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,0,Retail,0,0,0,18.0,8.88,26.88,6.0,19.1,1.78,0.72,0.51,0,0,0,0,2021-07-08
RX0000015398,MBR00000420,2021-01-09,2021-01-10,1466255398,1525371785,PLN2271,397820,PCN851,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,4,Retail,0,0,0,370.0,2.5,372.5,40.0,315.53,16.97,14.8,10.4833,0,0,0,0,2021-02-08
RX0000015399,MBR00000420,2023-07-27,2023-07-29,1861711183,1473084149,PLN1533,987702,PCN785,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,95,4,Retail,0,0,0,48.0,8.63,56.63,2.0,51.01,3.62,0.64,0.4533,0,0,0,0,2023-10-25
RX0000015400,MBR00000420,2023-11-19,2023-11-23,1847087960,1422108240,PLN6348,159330,PCN810,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,2,Specialty,2,0,0,330.0,19.79,349.79,38.0,311.79,0.0,13.2,9.35,0,0,0,0,2023-12-19
RX0000015401,MBR00000420,2023-07-18,2023-07-21,1691817092,1495446970,PLN3408,705543,PCN665,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,6,Retail,0,0,0,480.0,5.35,485.35,36.0,432.12,17.23,19.2,13.6,0,0,0,0,2023-08-17
RX0000015402,MBR00000420,2023-08-19,2023-08-20,1767621660,1656504239,PLN2075,105067,PCN337,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,4,Specialty,0,0,0,66.5,9.66,76.16,39.0,37.16,0.0,11.4,8.075,0,0,0,0,2023-08-26
RX0000015403,MBR00000420,2022-02-09,2022-02-13,1286883635,1639082297,PLN2803,386094,PCN318,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,87,6,Mail Order,0,0,0,54.0,8.13,62.13,7.0,50.87,4.26,0.72,0.51,0,0,0,0,2022-05-10
RX0000015404,MBR00000420,2023-04-20,2023-04-24,1477760967,1749368313,PLN4323,795060,PCN670,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,8,Retail,0,0,0,22.0,6.58,28.58,69.0,0.0,1.53,0.88,0.6233,0,0,0,0,2023-05-20
RX0000015405,MBR00000420,2021-08-16,2021-08-20,1896120994,1520392381,PLN2830,214471,PCN242,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,11,Mail Order,0,0,0,750.0,9.12,759.12,31.0,703.24,24.88,30.0,21.25,0,0,0,0,2021-09-15
RX0000015406,MBR00000420,2021-07-15,2021-07-16,1872282918,1664832324,PLN9757,157797,PCN754,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,91,8,Mail Order,0,0,0,27.0,3.28,30.28,3.0,25.18,2.1,0.36,0.255,0,0,0,0,2021-10-13
RX0000015407,MBR00000420,2022-09-25,2022-09-29,1706458022,1946866523,PLN8736,395412,PCN702,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,65,5,Retail,3,0,0,18.0,9.15,27.15,10.0,15.79,1.36,0.36,0.255,0,0,0,0,2022-11-24
RX0000015408,MBR00000420,2022-04-30,2022-05-03,1264071776,1357617155,PLN6130,431607,PCN398,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,3,Retail,0,0,0,175.0,2.17,177.17,39.0,132.82,5.35,7.0,4.9583,0,0,0,0,2022-05-30
RX0000015409,MBR00000420,2023-09-11,2023-09-12,1377642064,1764315635,PLN4874,779950,PCN592,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,11,Retail,0,0,0,14.0,7.54,21.54,5.0,15.29,1.25,0.56,0.3967,0,0,0,0,2023-10-11
RX0000015410,MBR00000420,2023-09-27,2023-09-29,1232426730,1431153044,PLN2707,772561,PCN654,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,8,Mail Order,0,0,0,12.0,7.05,19.05,4.0,13.82,1.23,0.48,0.34,0,0,0,0,2023-10-27
RX0000015411,MBR00000420,2021-10-16,2021-10-17,1708872935,1952102095,PLN6332,286023,PCN894,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,10,Retail,0,0,0,221.67,9.37,231.04,31.0,184.24,15.8,38.0,26.9167,0,0,0,0,2021-10-23
RX0000015412,MBR00000420,2021-09-11,2021-09-13,1555502513,1213510651,PLN7799,374421,PCN249,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,86,10,Retail,1,0,0,135.0,6.73,141.73,8.0,129.04,4.69,1.8,1.275,0,0,0,0,2021-12-10
RX0000015413,MBR00000420,2023-05-03,2023-05-04,1446453892,1917778610,PLN9075,189470,PCN344,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,9,Retail,0,0,0,14.0,5.5,19.5,3.0,15.29,1.21,0.56,0.3967,0,0,0,0,2023-06-02
RX0000015414,MBR00000420,2022-11-14,2022-11-15,1335172845,1673913791,PLN8544,110649,PCN618,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,4,Mail Order,0,0,0,18.0,6.87,24.87,8.0,15.51,1.36,0.72,0.51,0,0,0,0,2022-12-14
RX0000015415,MBR00000420,2023-10-09,2023-10-12,1108140005,1542559897,PLN8600,283706,PCN252,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,1,Retail,0,0,0,38.0,3.86,41.86,2.0,38.07,1.79,1.52,1.0767,0,0,0,0,2023-11-08
RX0000015416,MBR00000420,2023-03-12,2023-03-13,1461043545,1167324701,PLN3961,613876,PCN213,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,8,Specialty,0,1,0,8.0,46.51,54.51,150.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-04-11
RX0000015417,MBR00000420,2021-07-25,2021-07-27,1197129257,1512786147,PLN5703,470719,PCN183,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,11,Retail,1,0,0,45.0,8.78,53.78,7.0,43.88,2.9,1.8,1.275,0,0,0,0,2021-08-24
RX0000015418,MBR00000420,2023-12-03,2023-12-05,1223321315,1652207176,PLN8010,671022,PCN744,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,9,LTC,0,0,0,18.0,6.36,24.36,2.0,21.34,1.02,0.72,0.51,0,0,0,0,2024-01-02
RX0000015419,MBR00000420,2021-11-06,2021-11-07,1544026085,1150190229,PLN1284,821358,PCN137,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,10,Retail,1,0,0,12.0,7.09,19.09,5.0,12.79,1.3,0.48,0.34,0,1,0,0,2021-12-06
RX0000015420,MBR00000420,2021-05-16,2021-05-18,1175859815,1956524665,PLN6296,818725,PCN219,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,96,10,Mail Order,0,0,0,855.0,7.93,862.93,32.0,800.01,30.92,11.4,8.075,0,0,0,0,2021-08-14
RX0000015421,MBR00000420,2023-01-10,2023-01-12,1924319330,1269588123,PLN6633,351931,PCN320,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,11,Mail Order,0,0,0,12.5,8.11,20.61,2.0,17.36,1.25,0.5,0.3542,0,0,0,0,2023-02-09
RX0000015422,MBR00000420,2022-06-24,2022-06-27,1584801524,1725196466,PLN2687,215880,PCN869,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,62,11,Retail,0,0,0,28.0,11.69,39.69,9.0,29.27,1.42,0.56,0.3967,0,0,0,0,2022-08-23
RX0000015423,MBR00000420,2022-02-28,2022-03-04,1320546927,1488031827,PLN9437,225423,PCN617,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,5,Retail,0,0,0,320.0,3.62,323.62,32.0,275.89,15.73,12.8,9.0667,0,0,0,0,2022-03-30
RX0000015424,MBR00000420,2022-03-20,2022-03-24,1424974768,1812775917,PLN8979,742429,PCN339,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,0,Retail,0,0,0,9.0,4.88,13.88,5.0,8.23,0.65,0.36,0.255,0,0,0,0,2022-04-19
RX0000015425,MBR00000420,2022-02-03,2022-02-06,1867076500,1854844721,PLN5589,172276,PCN967,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,4,Retail,0,0,0,750.0,8.56,758.56,35.0,677.44,46.12,30.0,21.25,0,0,0,0,2022-03-05
RX0000015426,MBR00000420,2023-06-04,2023-06-07,1328774802,1829815304,PLN1758,444330,PCN818,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,98,4,Retail,0,0,0,54.0,4.15,58.15,39.0,15.81,3.34,0.72,0.51,0,0,0,0,2023-09-02
RX0000015427,MBR00000420,2021-02-11,2021-02-12,1912010084,1971165356,PLN4842,554670,PCN212,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,11,Mail Order,0,0,0,18.0,4.89,22.89,9.0,12.83,1.06,0.72,0.51,0,0,0,0,2021-03-13
RX0000015428,MBR00000420,2022-06-27,2022-06-28,1756171621,1295508016,PLN9396,327155,PCN804,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,3,Retail,0,0,0,310.0,5.69,315.69,38.0,256.41,21.28,12.4,8.7833,0,0,0,0,2022-07-27
RX0000015429,MBR00000420,2023-02-08,2023-02-10,1259622786,1550966101,PLN5130,460391,PCN905,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,5,Retail,0,0,0,9.0,9.81,18.81,6.0,11.61,1.2,0.36,0.255,0,0,0,0,2023-03-10
RX0000015430,MBR00000420,2022-12-23,2022-12-25,1273238735,1518831215,PLN3276,692056,PCN785,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,87,5,Mail Order,1,0,0,114.0,7.79,121.79,5.0,109.12,7.67,1.52,1.0767,1,0,0,0,2023-03-23
RX0000015431,MBR00000420,2022-04-08,2022-04-10,1104048280,1589924508,PLN6152,754845,PCN502,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,60,1,Retail,0,0,0,44.0,9.35,53.35,72.0,0.0,1.81,0.88,0.6233,0,0,0,0,2022-06-07
RX0000015432,MBR00000420,2021-04-23,2021-04-24,1183157268,1875799698,PLN7788,472839,PCN702,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,59,9,Mail Order,0,0,0,25.0,9.2,34.2,4.0,28.46,1.74,0.5,0.3542,0,0,0,0,2021-06-22
RX0000015433,MBR00000420,2022-04-18,2022-04-22,1155352761,1846454835,PLN7581,148947,PCN542,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,63,1,Retail,0,0,0,36.0,2.53,38.53,3.0,33.04,2.49,0.72,0.51,0,0,0,0,2022-06-17
RX0000015434,MBR00000421,2022-10-04,2022-10-07,1236126525,1267958222,PLN7161,677218,PCN574,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,1,Specialty,0,0,0,10.0,44.51,54.51,4.0,50.51,0.0,0.4,0.2833,0,0,0,0,2022-11-03
RX0000015435,MBR00000421,2021-09-10,2021-09-12,1171658624,1128015184,PLN6674,337042,PCN538,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,1,Retail,0,0,0,11.0,1.96,12.96,10.0,2.46,0.5,0.44,0.3117,0,0,0,0,2021-10-10
RX0000015436,MBR00000421,2021-06-25,2021-06-27,1464917256,1263421316,PLN7878,971966,PCN142,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,63,2,Retail,0,0,0,350.0,6.25,356.25,31.0,300.48,24.77,7.0,4.9583,0,0,0,0,2021-08-24
RX0000015437,MBR00000421,2022-05-26,2022-05-30,1859809428,1863003707,PLN7756,796051,PCN921,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,3,Retail,0,0,0,28.0,8.61,36.61,9.0,26.48,1.13,1.12,0.7933,0,0,0,0,2022-06-25
RX0000015438,MBR00000421,2021-08-02,2021-08-04,1609491294,1201264884,PLN8497,739106,PCN570,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,9,Retail,0,0,0,10.0,3.75,13.75,6.0,7.17,0.58,0.4,0.2833,0,0,0,0,2021-09-01
RX0000015439,MBR00000421,2023-06-09,2023-06-13,1774861455,1917126745,PLN2454,624436,PCN422,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,11,Retail,2,0,0,310.0,8.36,318.36,31.0,265.95,21.41,12.4,8.7833,0,0,0,0,2023-07-09
RX0000015440,MBR00000421,2022-08-30,2022-08-31,1221271013,1441291020,PLN6136,223728,PCN455,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,7,7,0,Retail,0,0,0,2.57,1.68,4.25,7.0,0.0,0.15,0.44,0.3117,0,0,0,0,2022-09-06
RX0000015441,MBR00000421,2021-06-20,2021-06-22,1602760295,1482220826,PLN1430,690122,PCN139,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,57,10,Mail Order,0,0,0,44.0,3.41,47.41,66.0,0.0,1.47,0.88,0.6233,0,0,0,0,2021-08-19
RX0000015442,MBR00000421,2023-11-08,2023-11-11,1775315611,1878534313,PLN6877,435348,PCN846,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,5,Retail,0,0,0,16.0,5.22,21.22,7.0,13.31,0.91,0.64,0.4533,0,0,0,0,2023-12-08
RX0000015443,MBR00000421,2021-08-06,2021-08-07,1519929903,1908468937,PLN7446,189943,PCN330,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,11,LTC,3,1,0,12.0,10.38,22.38,154.0,0.0,0.68,0.48,0.34,0,0,0,0,2021-09-05
RX0000015444,MBR00000421,2023-03-05,2023-03-08,1705149882,1949210308,PLN5792,929108,PCN480,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,1,Retail,0,0,0,14.0,5.04,19.04,8.0,10.02,1.02,0.56,0.3967,0,0,0,0,2023-04-04
RX0000015445,MBR00000421,2023-04-19,2023-04-21,1468067950,1222099995,PLN8774,570363,PCN275,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,7,Retail,0,0,0,38.0,5.94,43.94,38.0,4.55,1.39,1.52,1.0767,0,0,0,0,2023-05-19
RX0000015446,MBR00000421,2023-04-05,2023-04-06,1138053335,1508264006,PLN1060,633145,PCN838,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,3,Mail Order,0,0,0,18.0,9.93,27.93,32.0,0.0,0.91,0.72,0.51,0,0,0,0,2023-05-05
RX0000015447,MBR00000421,2023-10-07,2023-10-11,1920801735,1740768034,PLN8055,810272,PCN447,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,57,3,Mail Order,3,0,0,76.0,8.15,84.15,40.0,40.27,3.88,1.52,1.0767,0,0,0,0,2023-12-06
RX0000015448,MBR00000421,2022-02-22,2022-02-25,1832792780,1902185046,PLN4147,467020,PCN940,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,84,2,Retail,0,0,0,30.0,5.72,35.72,1.0,32.44,2.28,0.4,0.2833,0,0,0,0,2022-05-23
RX0000015449,MBR00000421,2022-01-06,2022-01-08,1247856578,1880636242,PLN3142,592939,PCN549,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,2,Mail Order,0,0,0,2.33,5.46,7.8,2.0,5.27,0.53,0.4,0.2833,0,0,0,0,2022-01-13
RX0000015450,MBR00000421,2023-12-04,2023-12-05,1228252042,1140372594,PLN1709,674022,PCN389,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,7,Retail,0,0,0,18.0,11.87,29.87,7.0,21.6,1.27,0.72,0.51,0,0,0,0,2024-01-03
RX0000015451,MBR00000421,2021-01-01,2021-01-02,1550663487,1793625630,PLN2756,333810,PCN545,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,7,0,Specialty,0,0,0,151.67,40.62,192.29,37.0,155.29,0.0,26.0,18.4167,0,0,0,0,2021-01-08
RX0000015452,MBR00000421,2021-07-20,2021-07-21,1471204273,1530854804,PLN5056,586027,PCN291,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,7,Retail,3,0,0,650.0,11.73,661.73,38.0,595.79,27.94,26.0,18.4167,0,1,1,0,2021-08-19
RX0000015453,MBR00000421,2023-01-06,2023-01-07,1483067369,1941724822,PLN7298,304923,PCN912,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,96,2,Retail,0,0,0,54.0,8.35,62.35,0.0,58.25,4.1,0.72,0.51,0,0,0,0,2023-04-06
RX0000015454,MBR00000421,2022-01-26,2022-01-29,1683906172,1487992779,PLN6479,763216,PCN770,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,10,Mail Order,1,0,0,18.0,10.61,28.61,30.0,0.0,0.94,0.72,0.51,0,0,0,0,2022-02-25
RX0000015455,MBR00000421,2021-07-15,2021-07-17,1485922574,1621953334,PLN3177,311737,PCN103,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,1,Specialty,0,0,0,330.0,38.69,368.69,36.0,332.69,0.0,13.2,9.35,0,0,0,0,2021-08-14
RX0000015456,MBR00000421,2023-09-05,2023-09-06,1801740823,1173291860,PLN2556,649299,PCN382,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,10,Retail,0,0,0,18.0,6.14,24.14,6.0,17.34,0.8,0.72,0.51,0,0,0,0,2023-10-05
RX0000015457,MBR00000421,2021-02-11,2021-02-12,1717505862,1929902931,PLN3253,824706,PCN987,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,3,Mail Order,0,0,0,65.0,9.99,74.99,35.0,35.62,4.37,2.6,1.8417,1,0,0,0,2021-03-13
RX0000015458,MBR00000421,2022-09-18,2022-09-19,1485498865,1156103536,PLN4268,724515,PCN655,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,10,Retail,0,0,0,28.0,5.23,33.23,0.0,31.32,1.91,1.12,0.7933,0,0,0,0,2022-10-18
RX0000015459,MBR00000421,2021-10-04,2021-10-07,1775450933,1933382360,PLN1507,712704,PCN765,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,7,Retail,0,0,0,10.0,9.53,19.53,1.0,17.77,0.76,0.4,0.2833,0,0,0,0,2021-11-03
RX0000015460,MBR00000421,2021-05-05,2021-05-09,1256630720,1935165625,PLN3653,661303,PCN772,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,8,Retail,0,0,0,15.0,1.95,16.95,8.0,8.09,0.86,0.6,0.425,0,0,0,0,2021-06-04
RX0000015461,MBR00000421,2021-11-17,2021-11-21,1709995789,1339479129,PLN6085,306113,PCN598,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,11,Retail,0,0,0,27.0,4.25,31.25,6.0,23.92,1.33,0.36,0.255,0,0,0,0,2022-02-15
RX0000015462,MBR00000421,2022-07-31,2022-08-04,1794387196,1765331801,PLN1275,849769,PCN328,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,11,Specialty,0,0,0,8.5,29.52,38.02,9.0,29.02,0.0,0.34,0.2408,0,0,0,0,2022-08-30
RX0000015463,MBR00000421,2022-12-20,2022-12-24,1137450023,1388713098,PLN4957,348775,PCN236,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,55,1,Specialty,0,0,0,640.0,32.19,672.19,33.0,639.19,0.0,12.8,9.0667,0,0,0,0,2023-02-18
RX0000015464,MBR00000421,2022-01-03,2022-01-05,1810201649,1530539651,PLN1477,983072,PCN306,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,97,10,Retail,3,0,0,42.0,6.59,48.59,3.0,44.1,1.49,0.56,0.3967,0,0,0,0,2022-04-03
RX0000015465,MBR00000421,2023-08-01,2023-08-04,1880145973,1105443289,PLN4680,423779,PCN619,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,65,5,Retail,0,0,0,22.0,10.56,32.56,8.0,23.35,1.21,0.44,0.3117,0,0,0,0,2023-09-30
RX0000015466,MBR00000421,2022-10-13,2022-10-16,1902644242,1921209365,PLN1429,665811,PCN936,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,5,Mail Order,0,0,0,18.0,11.99,29.99,36.0,0.0,1.26,0.72,0.51,0,0,0,0,2022-11-12
RX0000015467,MBR00000421,2021-10-15,2021-10-16,1739313678,1446948194,PLN7317,927253,PCN854,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,7,Mail Order,0,0,0,18.0,8.78,26.78,0.0,25.85,0.93,0.72,0.51,0,0,0,0,2021-11-14
RX0000015468,MBR00000421,2021-05-20,2021-05-22,1580158122,1187870609,PLN2949,635762,PCN915,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,4,Retail,0,0,0,950.0,6.86,956.86,36.0,870.69,50.17,38.0,26.9167,0,0,0,0,2021-06-19
RX0000015469,MBR00000421,2022-04-14,2022-04-15,1258711338,1343594368,PLN8966,276408,PCN623,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,1,Retail,0,0,0,750.0,8.13,758.13,40.0,683.05,35.08,30.0,21.25,0,0,0,0,2022-05-14
RX0000015470,MBR00000421,2022-05-10,2022-05-13,1932349728,1287821720,PLN9995,421516,PCN171,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,1,Mail Order,0,0,0,185.0,7.13,192.13,36.0,148.44,7.69,7.4,5.2417,0,0,0,0,2022-06-09
RX0000015471,MBR00000421,2023-06-01,2023-06-02,1330361634,1959044610,PLN2482,551008,PCN907,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,4,Specialty,2,0,0,14.0,12.2,26.2,4.0,22.2,0.0,0.56,0.3967,0,0,0,0,2023-07-01
RX0000015472,MBR00000421,2021-05-01,2021-05-04,1876331053,1826968852,PLN1028,418129,PCN607,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,5,Mail Order,0,0,0,9.0,8.09,17.09,10.0,5.92,1.17,0.36,0.255,0,0,0,0,2021-05-31
RX0000015473,MBR00000421,2023-11-15,2023-11-17,1558803111,1910970878,PLN8189,708914,PCN876,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,4,Retail,0,0,0,8.5,7.35,15.85,3.0,11.99,0.86,0.34,0.2408,0,0,0,0,2023-12-15
RX0000015474,MBR00000421,2023-03-25,2023-03-26,1397374887,1734157193,PLN7390,915722,PCN567,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,3,Retail,0,1,0,12.0,4.9,16.9,151.0,0.0,0.6,0.48,0.34,0,0,0,0,2023-04-24
RX0000015475,MBR00000421,2021-04-11,2021-04-13,1287423963,1475693300,PLN3456,829887,PCN219,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,5,Mail Order,2,0,0,4.2,8.01,12.21,10.0,1.56,0.65,0.72,0.51,1,0,0,0,2021-04-18
RX0000015476,MBR00000421,2021-08-25,2021-08-28,1564940678,1102519037,PLN4554,896044,PCN654,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,10,Retail,0,0,0,10.0,11.27,21.27,4.0,16.4,0.87,0.4,0.2833,0,0,0,0,2021-09-24
RX0000015477,MBR00000421,2022-09-14,2022-09-16,1637749016,1710763865,PLN3467,625791,PCN582,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,9,Retail,0,0,0,40.83,8.31,49.14,31.0,14.88,3.26,7.0,4.9583,0,0,0,0,2022-09-21
RX0000015478,MBR00000422,2022-08-25,2022-08-27,1259605162,1160027821,PLN9191,458973,PCN355,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,6,Retail,0,0,0,10.0,8.14,18.14,6.0,11.32,0.82,0.4,0.2833,0,0,0,0,2022-09-24
RX0000015479,MBR00000422,2022-01-18,2022-01-20,1441214246,1920566576,PLN6744,154099,PCN654,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,96,9,Retail,0,0,0,1140.0,5.98,1145.98,34.0,1051.67,60.31,15.2,10.7667,0,0,0,0,2022-04-18
RX0000015480,MBR00000422,2023-11-12,2023-11-16,1945920824,1770050083,PLN4582,484455,PCN961,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,7,Retail,0,0,0,16.0,6.45,22.45,10.0,11.39,1.06,0.64,0.4533,0,1,0,0,2023-12-12
RX0000015481,MBR00000422,2023-06-18,2023-06-20,1514528611,1875119352,PLN8041,908094,PCN513,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,3,Retail,0,0,0,10.0,2.68,12.68,0.0,11.81,0.87,0.4,0.2833,1,1,0,0,2023-07-18
RX0000015482,MBR00000422,2021-01-01,2021-01-04,1891482546,1457000537,PLN2561,460770,PCN629,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,87,3,Retail,0,0,0,22.5,1.76,24.26,7.0,15.91,1.35,0.3,0.2125,0,0,0,0,2021-04-01
RX0000015483,MBR00000422,2022-10-09,2022-10-10,1110651207,1716405942,PLN6314,364592,PCN336,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,87,11,Retail,3,0,0,135.0,3.68,138.68,1.0,128.0,9.68,1.8,1.275,0,0,0,0,2023-01-07
RX0000015484,MBR00000422,2023-03-05,2023-03-09,1431114665,1993142472,PLN6600,553008,PCN848,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,98,11,Retail,0,0,0,45.0,11.31,56.31,0.0,53.55,2.76,0.6,0.425,0,0,0,0,2023-06-03
RX0000015485,MBR00000422,2023-10-22,2023-10-24,1664692472,1304742020,PLN3896,566788,PCN103,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,97,6,Retail,1,1,0,24.0,8.52,32.52,149.0,0.0,1.01,0.32,0.2267,0,0,0,0,2024-01-20
RX0000015486,MBR00000422,2022-07-05,2022-07-08,1144306010,1301020314,PLN7214,937859,PCN786,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,8,Specialty,0,0,0,9.0,25.27,34.27,7.0,27.27,0.0,0.36,0.255,0,0,0,0,2022-08-04
RX0000015487,MBR00000422,2023-11-23,2023-11-24,1123730916,1974273782,PLN1581,728817,PCN257,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,82,7,Retail,0,0,0,960.0,10.36,970.36,32.0,908.2,30.16,12.8,9.0667,0,0,0,0,2024-02-21
RX0000015488,MBR00000422,2023-06-14,2023-06-18,1280252543,1481779401,PLN5220,400071,PCN502,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,3,Retail,0,0,0,2.8,8.3,11.1,4.0,6.55,0.55,0.48,0.34,0,0,0,0,2023-06-21
RX0000015489,MBR00000422,2023-02-04,2023-02-07,1316774193,1617780422,PLN7738,688506,PCN219,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,11,Retail,0,0,0,370.0,8.22,378.22,31.0,332.54,14.68,14.8,10.4833,0,0,0,0,2023-03-06
RX0000015490,MBR00000422,2022-02-23,2022-02-26,1471277745,1795358076,PLN9005,220691,PCN480,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,11,Retail,0,0,0,38.0,2.52,40.52,34.0,5.25,1.27,1.52,1.0767,0,0,0,0,2022-03-25
RX0000015491,MBR00000422,2021-05-31,2021-06-03,1612474233,1280214270,PLN9818,260612,PCN798,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,10,Retail,0,0,0,2.8,8.73,11.53,3.0,7.83,0.7,0.48,0.34,0,0,0,0,2021-06-07
RX0000015492,MBR00000422,2021-12-17,2021-12-21,1238943650,1353308652,PLN2899,419337,PCN183,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,1,Retail,0,0,0,285.0,6.12,291.12,32.0,249.35,9.77,11.4,8.075,0,0,0,0,2022-01-16
RX0000015493,MBR00000422,2022-08-31,2022-09-03,1669562707,1115375245,PLN9659,747481,PCN715,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,9,Retail,0,0,0,10.0,7.21,17.21,8.0,8.09,1.12,0.4,0.2833,0,0,0,0,2022-09-30
RX0000015494,MBR00000422,2022-05-07,2022-05-11,1448312719,1677584513,PLN5547,865138,PCN995,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,8,Retail,0,0,0,12.0,3.92,15.92,8.0,7.11,0.81,0.48,0.34,0,0,0,0,2022-06-06
RX0000015495,MBR00000422,2022-05-31,2022-06-03,1410266279,1705859956,PLN6881,966251,PCN888,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,6,Retail,0,0,0,18.0,6.14,24.14,8.0,15.28,0.86,0.72,0.51,0,0,0,0,2022-06-30
RX0000015496,MBR00000422,2023-04-01,2023-04-03,1519664356,1178684070,PLN7521,214576,PCN203,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,4,Specialty,0,0,0,9.0,45.37,54.37,9.0,45.37,0.0,0.36,0.255,0,0,0,0,2023-05-01
RX0000015497,MBR00000422,2023-04-14,2023-04-18,1963749955,1367704954,PLN9614,313776,PCN184,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,92,4,Retail,0,1,0,36.0,5.54,41.54,148.0,0.0,2.19,0.48,0.34,0,0,0,0,2023-07-13
RX0000015498,MBR00000423,2023-03-09,2023-03-11,1132499355,1833883254,PLN5739,511247,PCN614,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,96,9,Mail Order,0,0,0,960.0,4.84,964.84,31.0,901.03,32.81,12.8,9.0667,0,0,0,0,2023-06-07
RX0000015499,MBR00000423,2022-12-04,2022-12-08,1819893267,1856524655,PLN5029,386436,PCN924,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,4,Retail,0,0,0,14.0,8.75,22.75,4.0,17.41,1.34,0.56,0.3967,0,0,0,0,2023-01-03
RX0000015500,MBR00000423,2023-02-28,2023-03-04,1968931774,1921011872,PLN9746,100824,PCN143,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,10,Retail,0,0,0,16.0,11.76,27.76,9.0,17.44,1.32,0.64,0.4533,0,0,0,0,2023-03-30
RX0000015501,MBR00000423,2023-07-17,2023-07-20,1185229079,1897654034,PLN6564,241777,PCN321,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,54,8,Retail,0,0,0,20.0,4.71,24.71,2.0,21.32,1.39,0.4,0.2833,0,0,0,0,2023-09-15
RX0000015502,MBR00000423,2023-07-16,2023-07-19,1600713677,1543976220,PLN5512,836007,PCN963,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,6,Retail,2,0,0,7.5,8.32,15.82,3.0,12.16,0.66,0.3,0.2125,0,0,0,0,2023-08-15
RX0000015503,MBR00000423,2022-08-08,2022-08-09,1396775722,1594180797,PLN2430,394770,PCN513,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,3,Mail Order,0,0,0,8.5,7.32,15.82,4.0,10.89,0.93,0.34,0.2408,0,0,0,0,2022-09-07
RX0000015504,MBR00000423,2023-11-26,2023-11-29,1219145532,1186099964,PLN5848,700673,PCN598,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,5,Retail,0,0,0,8.5,10.72,19.22,6.0,12.5,0.72,0.34,0.2408,0,0,0,0,2023-12-26
RX0000015505,MBR00000423,2022-09-06,2022-09-10,1204714115,1326430152,PLN4755,726953,PCN776,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,8,Retail,0,0,0,175.0,11.62,186.62,36.0,140.12,10.5,7.0,4.9583,0,0,0,0,2022-10-06
RX0000015506,MBR00000423,2022-11-27,2022-11-28,1659331679,1204307503,PLN4080,303156,PCN206,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,1,Retail,0,0,0,12.0,8.28,20.28,0.0,18.96,1.32,0.48,0.34,0,0,0,0,2022-12-27
RX0000015507,MBR00000423,2021-03-27,2021-03-30,1909090567,1295638873,PLN7002,678381,PCN705,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,5,Retail,0,0,0,45.0,11.78,56.78,4.0,49.16,3.62,1.8,1.275,0,0,0,0,2021-04-26
RX0000015508,MBR00000423,2021-10-03,2021-10-05,1958399413,1314285394,PLN9490,348604,PCN722,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,2,Retail,0,0,0,8.87,8.25,17.12,31.0,0.0,0.83,1.52,1.0767,0,0,0,0,2021-10-10
RX0000015509,MBR00000423,2021-05-24,2021-05-28,1767576273,1250165325,PLN5255,498051,PCN823,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,87,9,Retail,1,0,0,555.0,2.32,557.32,40.0,486.9,30.42,7.4,5.2417,0,0,0,0,2021-08-22
RX0000015510,MBR00000423,2023-10-18,2023-10-19,1423106825,1811035671,PLN9426,149029,PCN646,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,9,Retail,0,0,0,11.0,3.56,14.56,9.0,5.05,0.51,0.44,0.3117,0,0,0,0,2023-11-17
RX0000015511,MBR00000424,2022-10-16,2022-10-20,1496520718,1226102994,PLN1102,163858,PCN767,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,4,Retail,0,0,0,11.0,6.42,17.42,4.0,12.74,0.68,0.44,0.3117,0,0,0,0,2022-11-15
RX0000015512,MBR00000424,2021-04-12,2021-04-13,1793600235,1443660111,PLN8996,261750,PCN444,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,8,Retail,0,0,0,10.0,8.71,18.71,3.0,14.6,1.11,0.4,0.2833,0,0,0,0,2021-05-12
RX0000015513,MBR00000424,2022-02-01,2022-02-02,1931140168,1670822290,PLN7914,762815,PCN206,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,11,Retail,0,0,0,2.33,9.96,12.29,2.0,9.44,0.85,0.4,0.2833,0,0,0,0,2022-02-08
RX0000015514,MBR00000424,2022-01-18,2022-01-19,1977612746,1143182819,PLN1740,158656,PCN438,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,8,Retail,0,0,0,65.0,2.61,67.61,34.0,29.18,4.43,2.6,1.8417,1,0,0,0,2022-02-17
RX0000015515,MBR00000424,2021-08-15,2021-08-17,1657868962,1611304156,PLN1722,500294,PCN966,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,3,Mail Order,0,0,0,480.0,4.94,484.94,30.0,438.24,16.7,19.2,13.6,0,0,0,0,2021-09-14
RX0000015516,MBR00000424,2022-03-17,2022-03-21,1403446600,1946827243,PLN4884,622435,PCN958,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,90,1,Retail,0,1,0,8400.0,7.51,8407.51,149.0,7792.07,466.44,112.0,79.3333,0,0,0,0,2022-06-15
RX0000015517,MBR00000424,2022-10-30,2022-11-03,1663686535,1630021691,PLN7846,967196,PCN317,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,3,Retail,0,0,0,12.0,10.71,22.71,8.0,13.16,1.55,0.48,0.34,0,1,0,0,2022-11-29
RX0000015518,MBR00000424,2023-06-22,2023-06-25,1497322769,1245533183,PLN3264,208805,PCN568,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,54,0,Retail,0,0,0,56.0,8.3,64.3,7.0,53.61,3.69,1.12,0.7933,0,0,0,0,2023-08-21
RX0000015519,MBR00000424,2023-10-22,2023-10-24,1463348070,1518219472,PLN9306,663917,PCN611,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,2,Specialty,0,0,0,480.0,20.87,500.87,38.0,462.87,0.0,19.2,13.6,0,0,0,0,2023-11-21
RX0000015520,MBR00000424,2021-07-21,2021-07-22,1154681252,1576987795,PLN8413,177879,PCN546,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,4,Mail Order,0,0,0,11.0,1.67,12.67,6.0,6.06,0.61,0.44,0.3117,0,0,0,0,2021-08-20
RX0000015521,MBR00000424,2021-09-25,2021-09-27,1586251279,1491480858,PLN6400,463354,PCN603,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,320.0,11.09,331.09,39.0,277.84,14.25,12.8,9.0667,0,0,0,0,2021-10-25
RX0000015522,MBR00000424,2021-09-23,2021-09-26,1298906601,1222524399,PLN9535,510965,PCN720,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,11,Mail Order,0,1,0,12.0,5.32,17.32,147.0,0.0,0.85,0.48,0.34,0,0,0,0,2021-10-23
RX0000015523,MBR00000424,2023-06-12,2023-06-16,1780132691,1663755628,PLN4701,848358,PCN302,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,3,Retail,0,0,0,10.0,9.9,19.9,0.0,18.82,1.08,0.4,0.2833,0,0,0,0,2023-07-12
RX0000015524,MBR00000424,2021-02-17,2021-02-20,1777134312,1675617029,PLN3943,603754,PCN714,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,5,Retail,0,0,0,11.0,2.91,13.91,3.0,10.12,0.79,0.44,0.3117,0,1,0,0,2021-03-19
RX0000015525,MBR00000424,2021-08-20,2021-08-21,1196818252,1434090772,PLN5294,957922,PCN116,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,5,Retail,0,0,0,10.0,2.13,12.13,9.0,2.75,0.38,0.4,0.2833,0,0,0,0,2021-09-19
RX0000015526,MBR00000425,2021-09-12,2021-09-15,1125939451,1367534820,PLN9308,129541,PCN434,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,6,Retail,0,0,0,15.0,10.23,25.23,0.0,23.96,1.27,0.6,0.425,0,0,0,0,2021-10-12
RX0000015527,MBR00000425,2023-06-04,2023-06-06,1936224381,1437899507,PLN7833,170774,PCN974,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,6,Retail,0,0,0,185.0,3.49,188.49,31.0,149.64,7.85,7.4,5.2417,0,0,0,0,2023-07-04
RX0000015528,MBR00000425,2022-09-07,2022-09-10,1187723449,1899981544,PLN5601,829290,PCN770,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,10,Retail,0,0,0,15.0,7.93,22.93,10.0,11.83,1.1,0.6,0.425,0,0,0,0,2022-10-07
RX0000015529,MBR00000425,2023-12-08,2023-12-12,1862412057,1367842371,PLN2814,949451,PCN475,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,1,Retail,0,0,0,8.5,8.02,16.52,3.0,12.54,0.98,0.34,0.2408,0,0,0,0,2024-01-07
RX0000015530,MBR00000425,2023-09-12,2023-09-14,1315505101,1245320578,PLN9841,724252,PCN857,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,3,Retail,0,0,0,330.0,2.67,332.67,39.0,277.35,16.32,13.2,9.35,0,0,0,0,2023-10-12
RX0000015531,MBR00000425,2021-03-21,2021-03-25,1414715680,1678425516,PLN6667,781743,PCN583,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,63,8,Retail,3,0,0,28.0,9.41,37.41,9.0,26.22,2.19,0.56,0.3967,0,0,0,0,2021-05-20
RX0000015532,MBR00000425,2022-01-10,2022-01-12,1941801519,1446339243,PLN4834,415435,PCN409,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,98,6,Retail,0,0,0,114.0,2.56,116.56,10.0,101.5,5.06,1.52,1.0767,0,0,0,0,2022-04-10
RX0000015533,MBR00000425,2021-08-25,2021-08-28,1126588480,1454566918,PLN9126,916507,PCN875,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,4,Retail,0,0,0,14.0,6.16,20.16,3.0,15.77,1.39,0.56,0.3967,1,0,0,0,2021-09-24
RX0000015534,MBR00000425,2022-05-05,2022-05-07,1496255543,1238947807,PLN6442,543053,PCN766,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,85,10,Retail,0,1,0,8400.0,2.56,8402.56,153.0,7682.19,567.37,112.0,79.3333,0,0,0,0,2022-08-03
RX0000015535,MBR00000425,2022-01-10,2022-01-14,1796257882,1532634135,PLN1495,233126,PCN579,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,11,Retail,3,0,0,12.0,7.13,19.13,7.0,11.39,0.74,0.48,0.34,0,0,0,0,2022-02-09
RX0000015536,MBR00000425,2023-07-31,2023-08-01,1333963971,1199389927,PLN1570,847164,PCN901,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,4,Retail,0,0,0,10.5,9.29,19.79,8.0,10.91,0.88,1.8,1.275,0,0,0,0,2023-08-07
RX0000015537,MBR00000425,2022-04-21,2022-04-25,1671667774,1722507819,PLN5482,330896,PCN102,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,5,Retail,3,0,0,185.0,9.65,194.65,34.0,150.43,10.22,7.4,5.2417,0,0,0,0,2022-05-21
RX0000015538,MBR00000425,2023-11-24,2023-11-27,1985311345,1725895600,PLN5256,359247,PCN770,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,2,Retail,1,0,0,18.0,11.32,29.32,2.0,26.27,1.05,0.72,0.51,0,0,0,0,2023-12-24
RX0000015539,MBR00000425,2021-02-07,2021-02-09,1202336084,1343978782,PLN9223,931375,PCN678,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,5,Retail,0,1,0,12.0,10.11,22.11,145.0,0.0,1.04,0.48,0.34,0,0,0,0,2021-03-09
RX0000015540,MBR00000425,2023-01-07,2023-01-08,1962451973,1811281766,PLN1836,514019,PCN679,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,2,Retail,0,0,0,320.0,3.71,323.71,31.0,273.18,19.53,12.8,9.0667,0,0,0,0,2023-02-06
RX0000015541,MBR00000425,2022-08-27,2022-08-30,1184432783,1665172994,PLN9178,356438,PCN415,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,95,2,Retail,3,0,0,25.5,3.76,29.26,7.0,20.8,1.46,0.34,0.2408,0,0,0,0,2022-11-25
RX0000015542,MBR00000425,2023-03-23,2023-03-26,1886300770,1723487280,PLN4152,725575,PCN184,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,9,Retail,0,0,0,45.0,10.95,55.95,10.0,44.23,1.72,1.8,1.275,0,0,0,0,2023-04-22
RX0000015543,MBR00000425,2021-04-20,2021-04-21,1217699723,1936211186,PLN3895,894041,PCN666,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,86,10,Mail Order,0,0,0,27.0,2.83,29.83,8.0,20.88,0.95,0.36,0.255,0,0,0,0,2021-07-19
RX0000015544,MBR00000425,2023-08-21,2023-08-25,1563584329,1434412765,PLN7118,251764,PCN149,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,11,Retail,0,0,0,750.0,2.79,752.79,32.0,677.12,43.67,30.0,21.25,0,0,0,0,2023-09-20
RX0000015545,MBR00000425,2023-06-01,2023-06-04,1161873251,1538964611,PLN8047,828412,PCN217,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,11,Mail Order,0,0,0,950.0,7.54,957.54,35.0,886.12,36.42,38.0,26.9167,0,0,0,0,2023-07-01
RX0000015546,MBR00000425,2021-04-25,2021-04-26,1942244297,1245354825,PLN7539,132444,PCN154,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,7,Specialty,0,0,0,42.0,43.88,85.88,6.0,79.88,0.0,0.56,0.3967,0,0,0,0,2021-07-24
RX0000015547,MBR00000425,2022-11-01,2022-11-05,1960174425,1452161352,PLN2422,204290,PCN606,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,7,Retail,3,0,0,16.0,6.24,22.24,1.0,20.22,1.02,0.64,0.4533,0,0,0,0,2022-12-01
RX0000015548,MBR00000425,2023-10-13,2023-10-17,1764326789,1493018606,PLN9249,274061,PCN205,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,81,6,Retail,0,0,0,66.0,4.06,70.06,6.0,61.42,2.64,0.88,0.6233,0,0,0,0,2024-01-11
RX0000015549,MBR00000425,2022-03-18,2022-03-22,1302376769,1331244449,PLN5898,353756,PCN893,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,2,Retail,0,0,0,77.0,2.94,79.94,36.0,38.68,5.26,13.2,9.35,0,0,0,0,2022-03-25
RX0000015550,MBR00000425,2021-09-14,2021-09-17,1887360551,1689935339,PLN3345,257545,PCN495,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,6,Retail,0,0,0,370.0,4.55,374.55,33.0,320.63,20.92,14.8,10.4833,0,0,0,0,2021-10-14
RX0000015551,MBR00000425,2021-10-06,2021-10-09,1951881052,1341479358,PLN1380,220331,PCN363,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,2,Retail,0,0,0,65.0,7.13,72.13,37.0,31.23,3.9,2.6,1.8417,0,0,0,0,2021-11-05
RX0000015552,MBR00000425,2021-08-26,2021-08-29,1831125029,1917173480,PLN2077,126787,PCN161,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,60,6,Retail,0,0,0,25.0,1.95,26.95,5.0,20.59,1.36,0.5,0.3542,0,0,0,0,2021-10-25
RX0000015553,MBR00000425,2021-05-16,2021-05-20,1144563719,1775243976,PLN1945,149393,PCN132,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,1,Retail,3,0,0,7.5,4.86,12.36,7.0,4.96,0.4,0.3,0.2125,0,0,0,0,2021-06-15
RX0000015554,MBR00000425,2021-11-18,2021-11-21,1336283768,1706881421,PLN5371,868145,PCN587,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,0,Retail,3,0,0,15.17,2.97,18.14,40.0,0.0,0.82,2.6,1.8417,0,0,0,0,2021-11-25
RX0000015555,MBR00000425,2022-10-14,2022-10-17,1623896538,1554163766,PLN2646,472016,PCN791,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,89,8,Retail,0,0,0,54.0,8.91,62.91,4.0,55.98,2.93,0.72,0.51,0,0,0,0,2023-01-12
RX0000015556,MBR00000425,2022-05-24,2022-05-28,1859918903,1542244124,PLN9400,356214,PCN629,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,94,8,Retail,2,0,0,2250.0,9.82,2259.82,33.0,2092.16,134.66,30.0,21.25,1,0,0,0,2022-08-22
RX0000015557,MBR00000426,2023-02-19,2023-02-23,1477539382,1837945508,PLN3324,156596,PCN190,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,86,2,Retail,0,0,0,66.0,8.07,74.07,9.0,60.72,4.35,0.88,0.6233,0,0,0,0,2023-05-20
RX0000015558,MBR00000426,2021-10-01,2021-10-04,1499592536,1336332134,PLN3123,181321,PCN626,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,3,Mail Order,0,0,0,14.0,3.59,17.59,2.0,14.81,0.78,0.56,0.3967,0,0,0,0,2021-10-31
RX0000015559,MBR00000426,2022-07-12,2022-07-15,1130543930,1722629102,PLN7798,576724,PCN622,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,8,LTC,0,1,0,8500.0,6.02,8506.02,152.0,7960.42,393.6,340.0,240.8333,0,0,0,0,2022-08-11
RX0000015560,MBR00000426,2022-10-11,2022-10-12,1302886896,1431346516,PLN1619,919124,PCN907,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,8,Retail,0,0,0,9.0,3.28,12.28,0.0,11.59,0.69,0.36,0.255,0,0,0,0,2022-11-10
RX0000015561,MBR00000426,2021-05-09,2021-05-12,1740669893,1295630367,PLN9447,797919,PCN441,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,6,Retail,0,1,0,1983.33,4.9,1988.23,152.0,1745.0,91.23,340.0,240.8333,0,0,0,0,2021-05-16
RX0000015562,MBR00000426,2023-05-29,2023-05-31,1798337491,1822537065,PLN6439,960279,PCN696,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,5,Retail,0,0,0,9.0,5.37,14.37,6.0,7.45,0.92,0.36,0.255,0,0,0,0,2023-06-28
RX0000015563,MBR00000426,2023-07-14,2023-07-17,1875597372,1416095389,PLN1481,183944,PCN164,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,10,Retail,0,0,0,10.0,4.55,14.55,1.0,12.92,0.63,0.4,0.2833,0,0,0,0,2023-08-13
RX0000015564,MBR00000426,2022-09-10,2022-09-14,1635240861,1804336874,PLN6129,616877,PCN436,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,90,7,Retail,0,0,0,114.0,7.08,121.08,0.0,116.29,4.79,1.52,1.0767,0,0,0,0,2022-12-09
RX0000015565,MBR00000426,2021-01-30,2021-02-01,1601748462,1203126983,PLN2100,966490,PCN785,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,2,Retail,0,0,0,7.5,3.68,11.18,8.0,2.53,0.65,0.3,0.2125,0,0,0,0,2021-03-01
RX0000015566,MBR00000426,2022-01-02,2022-01-03,1762552581,1424430799,PLN8534,421092,PCN967,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,1,Mail Order,0,0,0,38.0,7.46,45.46,39.0,3.37,3.09,1.52,1.0767,0,0,0,0,2022-02-01
RX0000015567,MBR00000426,2023-08-25,2023-08-26,1136381805,1522308065,PLN8575,375347,PCN925,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,86,10,Retail,0,1,0,25500.0,7.69,25507.69,148.0,24169.01,1190.68,340.0,240.8333,0,0,0,0,2023-11-23
RX0000015568,MBR00000426,2021-12-05,2021-12-08,1330220818,1145229419,PLN2508,411715,PCN320,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,3,Retail,0,0,0,750.0,7.28,757.28,30.0,703.19,24.09,30.0,21.25,0,0,0,0,2022-01-04
RX0000015569,MBR00000426,2022-01-08,2022-01-11,1124260519,1782841381,PLN8309,189199,PCN161,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,8,Retail,0,0,0,15.0,10.78,25.78,6.0,18.75,1.03,0.6,0.425,0,0,0,0,2022-02-07
RX0000015570,MBR00000426,2022-08-14,2022-08-17,1652718491,1272078873,PLN8507,145085,PCN268,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,84,11,Retail,0,0,0,1110.0,1.69,1111.69,30.0,1021.04,60.65,14.8,10.4833,0,0,0,0,2022-11-12
RX0000015571,MBR00000426,2023-07-16,2023-07-20,1279310431,1881853544,PLN2888,244499,PCN919,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,96,5,Specialty,0,0,0,30.0,36.27,66.27,3.0,63.27,0.0,0.4,0.2833,0,0,0,0,2023-10-14
RX0000015572,MBR00000426,2023-09-21,2023-09-25,1230548234,1392214285,PLN3198,880650,PCN778,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,0,Retail,0,0,0,10.0,4.06,14.06,2.0,11.42,0.64,0.4,0.2833,0,0,0,0,2023-10-21
RX0000015573,MBR00000426,2023-03-22,2023-03-26,1902617376,1287179711,PLN4564,194225,PCN832,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,0,Retail,0,0,0,480.0,5.51,485.51,34.0,417.81,33.7,19.2,13.6,0,0,0,0,2023-04-21
RX0000015574,MBR00000426,2023-03-30,2023-04-03,1927654927,1469479214,PLN9778,985099,PCN931,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,96,8,Retail,0,0,0,30.0,5.67,35.67,4.0,29.62,2.05,0.4,0.2833,1,0,0,0,2023-06-28
RX0000015575,MBR00000426,2021-12-23,2021-12-25,1846303691,1482379580,PLN6894,453348,PCN443,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,5,Mail Order,0,0,0,221.67,10.67,232.34,39.0,177.53,15.81,38.0,26.9167,0,0,0,0,2021-12-30
RX0000015576,MBR00000426,2022-12-02,2022-12-06,1358120751,1104878897,PLN1651,873411,PCN975,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,5,Retail,0,0,0,45.0,2.15,47.15,6.0,38.89,2.26,1.8,1.275,0,0,0,0,2023-01-01
RX0000015577,MBR00000426,2023-12-29,2024-01-01,1900726990,1513223110,PLN2114,735465,PCN703,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,6,Mail Order,0,0,0,38.0,10.46,48.46,7.0,38.65,2.81,1.52,1.0767,1,0,0,0,2024-01-28
RX0000015578,MBR00000426,2023-12-30,2023-12-31,1495937632,1646573346,PLN2352,822585,PCN576,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,11,Retail,0,0,0,2.33,3.9,6.24,0.0,6.01,0.23,0.4,0.2833,0,0,0,0,2024-01-06
RX0000015579,MBR00000426,2022-04-06,2022-04-09,1227590262,1590181488,PLN6634,920033,PCN139,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,63,0,Mail Order,0,0,0,620.0,11.92,631.92,40.0,557.68,34.24,12.4,8.7833,0,0,0,0,2022-06-05
RX0000015580,MBR00000426,2023-05-27,2023-05-29,1423002809,1151264103,PLN1183,884587,PCN721,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,8,Retail,0,1,0,2800.0,2.39,2802.39,153.0,2456.71,192.68,112.0,79.3333,0,0,0,0,2023-06-26
RX0000015581,MBR00000426,2021-04-17,2021-04-20,1263629284,1780812669,PLN6321,797852,PCN512,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,5,Retail,2,0,0,2.33,4.24,6.57,8.0,0.0,0.32,0.4,0.2833,0,0,0,0,2021-04-24
RX0000015582,MBR00000426,2022-06-10,2022-06-14,1743359115,1186703503,PLN9406,390944,PCN674,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,7,Specialty,0,1,0,6200.0,38.39,6238.39,145.0,6093.39,0.0,248.0,175.6667,0,0,0,0,2022-07-10
RX0000015583,MBR00000426,2022-11-25,2022-11-29,1288610560,1873519142,PLN6587,248142,PCN134,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,11,Retail,3,0,0,2.33,9.82,12.15,5.0,6.45,0.7,0.4,0.2833,0,0,0,0,2022-12-02
RX0000015584,MBR00000426,2022-11-13,2022-11-17,1777611869,1155532026,PLN6737,168846,PCN847,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,96,11,Retail,0,0,0,30.0,11.71,41.71,2.0,37.44,2.27,0.4,0.2833,0,0,0,0,2023-02-11
RX0000015585,MBR00000426,2021-07-11,2021-07-13,1846731925,1519138495,PLN6651,664853,PCN659,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,8,Mail Order,0,0,0,28.0,11.14,39.14,1.0,36.31,1.83,1.12,0.7933,0,0,0,0,2021-08-10
RX0000015586,MBR00000426,2022-04-23,2022-04-24,1867559628,1942827811,PLN1356,754130,PCN929,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,3,Retail,0,0,0,14.0,8.78,22.78,3.0,18.2,1.58,0.56,0.3967,0,0,0,0,2022-05-23
RX0000015587,MBR00000426,2021-04-04,2021-04-08,1789916927,1616910720,PLN6302,522735,PCN586,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,4,Retail,0,0,0,14.0,5.05,19.05,2.0,16.14,0.91,0.56,0.3967,0,0,0,0,2021-05-04
RX0000015588,MBR00000426,2023-04-07,2023-04-10,1941149902,1647966207,PLN8065,176904,PCN965,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,3,Retail,0,0,0,480.0,4.88,484.88,40.0,422.84,22.04,19.2,13.6,0,0,0,0,2023-05-07
RX0000015589,MBR00000426,2023-06-13,2023-06-17,1471530884,1364869581,PLN1266,731306,PCN714,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,6,Retail,0,0,0,650.0,8.56,658.56,36.0,589.45,33.11,26.0,18.4167,1,0,0,0,2023-07-13
RX0000015590,MBR00000426,2021-12-20,2021-12-23,1373643065,1555042552,PLN6715,163283,PCN761,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,98,7,Retail,0,0,0,2850.0,5.92,2855.92,32.0,2733.36,90.56,38.0,26.9167,0,0,0,0,2022-03-20
RX0000015591,MBR00000426,2022-05-16,2022-05-19,1964659327,1123466727,PLN6090,599268,PCN744,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,6,Retail,0,1,0,6200.0,7.55,6207.55,146.0,5779.01,282.54,248.0,175.6667,0,0,0,0,2022-06-15
RX0000015592,MBR00000426,2023-07-18,2023-07-20,1300700612,1524744421,PLN8075,413028,PCN182,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,4,Specialty,0,0,0,370.0,24.99,394.99,33.0,361.99,0.0,14.8,10.4833,1,0,0,0,2023-08-17
RX0000015593,MBR00000426,2022-09-17,2022-09-21,1759115421,1278786670,PLN1851,944966,PCN733,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,0,Retail,0,0,0,11.0,8.83,19.83,1.0,18.0,0.83,0.44,0.3117,0,0,0,0,2022-10-17
RX0000015594,MBR00000426,2023-12-15,2023-12-17,1901747470,1276765864,PLN5007,690263,PCN594,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,3,Retail,0,0,0,380.0,1.98,381.98,38.0,324.63,19.35,15.2,10.7667,0,0,0,0,2024-01-14
RX0000015595,MBR00000426,2022-03-19,2022-03-21,1134818079,1149227819,PLN2614,530597,PCN263,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,5,Retail,3,0,0,22.0,6.34,28.34,70.0,0.0,1.38,0.88,0.6233,0,0,0,0,2022-04-18
RX0000015596,MBR00000426,2021-05-12,2021-05-13,1208078232,1153496997,PLN1267,254822,PCN681,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,87,1,Mail Order,0,0,0,42.0,4.77,46.77,8.0,36.45,2.32,0.56,0.3967,0,0,0,0,2021-08-10
RX0000015597,MBR00000426,2022-02-28,2022-03-01,1863886066,1626962706,PLN8889,113084,PCN357,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,11,Mail Order,1,0,0,11.0,2.78,13.78,9.0,4.29,0.49,0.44,0.3117,0,0,0,0,2022-03-30
RX0000015598,MBR00000426,2023-12-28,2023-12-30,1927593421,1160359864,PLN8613,250321,PCN895,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,6,Retail,0,0,0,320.0,7.01,327.01,36.0,273.95,17.06,12.8,9.0667,0,0,0,0,2024-01-27
RX0000015599,MBR00000426,2022-05-15,2022-05-16,1467455256,1995762214,PLN2074,916087,PCN314,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,61,3,Retail,0,1,0,12400.0,7.96,12407.96,145.0,11859.95,403.01,248.0,175.6667,0,0,0,0,2022-07-14
RX0000015600,MBR00000427,2023-12-06,2023-12-09,1257209775,1485970131,PLN8773,493687,PCN703,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,7,Mail Order,0,0,0,12.5,7.45,19.95,3.0,15.64,1.31,0.5,0.3542,0,0,0,0,2024-01-05
RX0000015601,MBR00000427,2023-08-07,2023-08-08,1945206331,1427128252,PLN5451,847381,PCN869,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,57,4,Mail Order,3,0,0,90.0,10.08,100.08,0.0,93.16,6.92,1.8,1.275,0,1,0,0,2023-10-06
RX0000015602,MBR00000427,2022-06-22,2022-06-23,1866780306,1164193657,PLN8338,736359,PCN647,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,4,LTC,0,0,0,12.0,10.05,22.05,3.0,18.03,1.02,0.48,0.34,0,0,0,0,2022-07-22
RX0000015603,MBR00000427,2022-11-19,2022-11-21,1712250379,1511993129,PLN9108,157247,PCN122,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,4,Retail,0,0,0,40.83,10.35,51.19,35.0,13.31,2.88,7.0,4.9583,0,0,0,0,2022-11-26
RX0000015604,MBR00000427,2022-11-09,2022-11-10,1524414841,1883163961,PLN3242,774105,PCN398,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,55,6,Retail,2,1,0,17000.0,11.53,17011.53,148.0,15871.46,992.07,340.0,240.8333,0,0,0,0,2023-01-08
RX0000015605,MBR00000427,2022-10-09,2022-10-11,1248027834,1814803890,PLN8930,408176,PCN115,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,6,3,Retail,0,0,0,4.2,5.0,9.2,39.0,0.0,0.33,0.72,0.51,0,0,0,0,2022-10-16
RX0000015606,MBR00000427,2021-03-12,2021-03-14,1827376740,1239265070,PLN5364,192083,PCN233,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,97,0,Mail Order,0,0,0,2250.0,8.79,2258.79,34.0,2071.77,153.02,30.0,21.25,0,0,0,0,2021-06-10
RX0000015607,MBR00000427,2023-06-22,2023-06-25,1215805583,1795835232,PLN1310,500033,PCN512,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,5,Mail Order,0,0,0,9.0,9.26,18.26,1.0,16.4,0.86,0.36,0.255,0,0,0,0,2023-07-22
RX0000015608,MBR00000427,2021-07-27,2021-07-31,1307166071,1892688264,PLN7914,532224,PCN351,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,54,1,Retail,0,0,0,24.0,10.67,34.67,7.0,26.17,1.5,0.48,0.34,0,0,0,0,2021-09-25
RX0000015609,MBR00000427,2023-12-19,2023-12-21,1791371490,1925051109,PLN9501,542298,PCN623,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,2,LTC,0,0,0,65.0,11.58,76.58,40.0,31.56,5.02,2.6,1.8417,0,0,0,0,2024-01-18
RX0000015610,MBR00000427,2021-04-19,2021-04-23,1165495022,1666142858,PLN2324,354875,PCN106,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,0,Mail Order,0,0,0,18.0,5.89,23.89,7.0,15.86,1.03,0.72,0.51,0,0,0,0,2021-05-19
RX0000015611,MBR00000427,2023-05-31,2023-06-04,1326699099,1608851041,PLN6251,242015,PCN835,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,59,7,Retail,0,0,0,760.0,10.61,770.61,40.0,684.06,46.55,15.2,10.7667,0,0,0,0,2023-07-30
RX0000015612,MBR00000427,2022-06-03,2022-06-05,1335798660,1883924699,PLN7218,877325,PCN543,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,93,11,Retail,0,0,0,37.5,6.68,44.18,1.0,40.96,2.22,0.5,0.3542,0,0,0,0,2022-09-01
RX0000015613,MBR00000427,2023-08-15,2023-08-16,1602463994,1460587563,PLN3578,688736,PCN312,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,6,Retail,0,0,0,18.0,7.85,25.85,2.0,22.61,1.24,0.72,0.51,0,0,0,0,2023-09-14
RX0000015614,MBR00000427,2022-01-27,2022-01-31,1262473222,1683729575,PLN3889,371076,PCN946,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,0,Retail,0,0,0,11.0,4.01,15.01,5.0,9.13,0.88,0.44,0.3117,0,0,0,0,2022-02-26
RX0000015615,MBR00000427,2021-01-15,2021-01-16,1971266992,1700216073,PLN4247,859625,PCN243,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,7,Retail,0,0,0,9.0,9.21,18.21,6.0,11.63,0.58,0.36,0.255,0,1,0,0,2021-02-14
RX0000015616,MBR00000427,2022-02-26,2022-02-28,1192717674,1490917095,PLN7575,210529,PCN191,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,2,Retail,0,1,0,8500.0,4.48,8504.48,147.0,7981.31,376.17,340.0,240.8333,0,0,0,0,2022-03-28
RX0000015617,MBR00000427,2023-01-01,2023-01-04,1304979695,1361610638,PLN1731,623835,PCN798,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,81,2,Retail,1,0,0,30.0,3.7,33.7,4.0,27.6,2.1,0.4,0.2833,0,0,0,0,2023-04-01
RX0000015618,MBR00000428,2023-01-15,2023-01-16,1395497312,1297209894,PLN8874,379303,PCN155,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,6,Retail,0,0,0,10.0,11.23,21.23,8.0,11.99,1.24,0.4,0.2833,0,0,0,0,2023-02-14
RX0000015619,MBR00000428,2021-06-22,2021-06-23,1974566742,1528471594,PLN3251,487509,PCN164,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,87,4,Specialty,0,0,0,960.0,28.03,988.03,34.0,954.03,0.0,12.8,9.0667,0,0,0,0,2021-09-20
RX0000015620,MBR00000428,2022-05-16,2022-05-19,1862676641,1982003559,PLN5195,769845,PCN115,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,11,Retail,3,1,0,6200.0,6.0,6206.0,149.0,5771.89,285.11,248.0,175.6667,0,0,0,0,2022-06-15
RX0000015621,MBR00000428,2023-12-26,2023-12-28,1622513713,1178592151,PLN9754,108616,PCN432,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,85,11,Mail Order,0,0,0,42.0,4.26,46.26,0.0,44.51,1.75,0.56,0.3967,1,0,0,0,2024-03-25
RX0000015622,MBR00000428,2022-09-26,2022-09-28,1584563856,1864924930,PLN3037,825724,PCN468,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,5,Retail,0,0,0,8.87,2.85,11.71,38.0,0.0,0.64,1.52,1.0767,0,0,0,0,2022-10-03
RX0000015623,MBR00000428,2023-03-26,2023-03-29,1854971089,1116040278,PLN7638,523427,PCN419,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,57,2,Retail,0,0,0,56.0,3.87,59.87,4.0,51.82,4.05,1.12,0.7933,0,0,0,0,2023-05-25
RX0000015624,MBR00000428,2022-10-20,2022-10-21,1716937921,1243776182,PLN3363,225315,PCN565,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,9,Retail,0,0,0,3.27,3.91,7.17,9.0,0.0,0.27,0.56,0.3967,0,0,0,0,2022-10-27
RX0000015625,MBR00000428,2023-03-08,2023-03-10,1615653645,1249924020,PLN6436,929721,PCN438,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,6,Retail,0,1,0,8500.0,3.75,8503.75,145.0,7772.53,586.22,340.0,240.8333,1,0,0,0,2023-04-07
RX0000015626,MBR00000428,2022-05-28,2022-05-31,1887510519,1333794726,PLN5680,136818,PCN393,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,2,Retail,0,1,0,2800.0,3.92,2803.92,149.0,2505.72,149.2,112.0,79.3333,0,0,0,0,2022-06-27
RX0000015627,MBR00000428,2023-11-19,2023-11-21,1410113348,1834656860,PLN9614,926315,PCN815,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,2,Mail Order,0,0,0,310.0,10.09,320.09,32.0,277.77,10.32,12.4,8.7833,0,0,0,0,2023-12-19
RX0000015628,MBR00000428,2021-10-31,2021-11-04,1931061424,1372523915,PLN1632,257618,PCN246,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,10,Retail,1,0,0,950.0,6.4,956.4,33.0,858.32,65.08,38.0,26.9167,0,0,0,0,2021-11-30
RX0000015629,MBR00000428,2021-01-18,2021-01-21,1735611822,1379148424,PLN3979,427054,PCN497,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,87,11,Retail,0,0,0,54.0,7.05,61.05,7.0,49.85,4.2,0.72,0.51,0,0,0,0,2021-04-18
RX0000015630,MBR00000428,2022-07-11,2022-07-12,1169776141,1236845416,PLN5831,431049,PCN796,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,9,Retail,0,0,0,18.0,9.89,27.89,4.0,22.03,1.86,0.72,0.51,0,0,0,0,2022-08-10
RX0000015631,MBR00000428,2021-09-20,2021-09-24,1115358414,1115459401,PLN6532,369693,PCN175,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,4,Retail,0,0,0,285.0,2.67,287.67,40.0,235.97,11.7,11.4,8.075,0,0,0,0,2021-10-20
RX0000015632,MBR00000428,2023-02-04,2023-02-05,1891097724,1763212755,PLN6653,909584,PCN718,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,3,Mail Order,0,0,0,10.0,4.34,14.34,8.0,5.59,0.75,0.4,0.2833,0,0,0,0,2023-03-06
RX0000015633,MBR00000428,2022-01-27,2022-01-29,1425872279,1566300766,PLN3469,765432,PCN746,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,0,Retail,0,0,0,310.0,10.3,320.3,37.0,272.87,10.43,12.4,8.7833,0,0,0,0,2022-02-26
RX0000015634,MBR00000428,2023-09-02,2023-09-03,1487499868,1899521882,PLN9045,792256,PCN816,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,10,Retail,0,1,0,8.0,5.33,13.33,152.0,0.0,0.56,0.32,0.2267,0,0,0,0,2023-10-02
RX0000015635,MBR00000428,2022-05-23,2022-05-26,1544611426,1649026169,PLN7907,490258,PCN951,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,10,Retail,0,0,0,9.0,4.29,13.29,4.0,8.58,0.71,0.36,0.255,0,0,0,0,2022-06-22
RX0000015636,MBR00000428,2021-09-28,2021-09-30,1363793726,1814212713,PLN8119,794479,PCN355,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,6,Retail,0,1,0,6200.0,2.25,6202.25,150.0,5679.57,372.68,248.0,175.6667,0,0,0,0,2021-10-28
RX0000015637,MBR00000428,2021-03-20,2021-03-22,1349224295,1789718313,PLN3843,508327,PCN727,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,5,Mail Order,0,0,0,10.0,11.71,21.71,1.0,19.59,1.12,0.4,0.2833,1,1,0,0,2021-04-19
RX0000015638,MBR00000428,2023-09-29,2023-10-01,1986214905,1203155591,PLN4177,658519,PCN122,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,0,Retail,0,0,0,22.0,10.09,32.09,74.0,0.0,1.83,0.88,0.6233,0,0,0,0,2023-10-29
RX0000015639,MBR00000428,2023-08-16,2023-08-19,1748422691,1124118356,PLN3230,451853,PCN220,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,86,1,Mail Order,0,0,0,30.0,4.63,34.63,8.0,25.51,1.12,0.4,0.2833,0,0,0,0,2023-11-14
RX0000015640,MBR00000428,2022-08-23,2022-08-26,1190730658,1783526648,PLN2038,523203,PCN168,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,4,Retail,0,0,0,16.0,4.67,20.67,3.0,16.34,1.33,0.64,0.4533,0,0,0,0,2022-09-22
RX0000015641,MBR00000428,2022-01-06,2022-01-09,1745853229,1899658102,PLN9414,585731,PCN476,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,92,4,Retail,0,0,0,45.0,9.53,54.53,8.0,44.22,2.31,0.6,0.425,1,0,0,0,2022-04-06
RX0000015642,MBR00000428,2023-11-04,2023-11-05,1469214769,1976365161,PLN9274,664233,PCN171,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,65,0,Mail Order,0,0,0,17.0,4.66,21.66,2.0,18.89,0.77,0.34,0.2408,0,0,0,0,2024-01-03
RX0000015643,MBR00000428,2022-12-17,2022-12-18,1617976690,1204763399,PLN7818,465767,PCN928,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,96,3,Retail,0,1,1,36.0,4.82,40.82,149.0,0.0,2.84,0.48,0.34,0,0,0,0,2023-03-17
RX0000015644,MBR00000428,2023-06-10,2023-06-14,1761215211,1700378412,PLN5758,151356,PCN616,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,5,Retail,0,0,0,38.0,3.19,41.19,31.0,7.72,2.47,1.52,1.0767,0,0,0,0,2023-07-10
RX0000015645,MBR00000428,2023-01-31,2023-02-02,1324553656,1975405061,PLN4902,521469,PCN498,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,83,7,Retail,0,0,0,45.0,2.45,47.45,7.0,39.02,1.43,0.6,0.425,0,0,0,0,2023-05-01
RX0000015646,MBR00000428,2022-05-28,2022-05-30,1597489315,1852859604,PLN8094,891717,PCN785,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,93,2,Mail Order,1,0,0,36.0,3.86,39.86,8.0,29.58,2.28,0.48,0.34,0,0,0,0,2022-08-26
RX0000015647,MBR00000428,2021-04-28,2021-04-30,1183024059,1548026970,PLN4150,758402,PCN712,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,6,Retail,0,0,0,45.0,6.84,51.84,0.0,48.92,2.92,1.8,1.275,0,0,0,0,2021-05-28
RX0000015648,MBR00000428,2022-08-11,2022-08-15,1143556022,1255053976,PLN7428,351584,PCN625,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,57,2,Mail Order,0,0,0,20.0,3.66,23.66,6.0,16.72,0.94,0.4,0.2833,0,0,0,0,2022-10-10
RX0000015649,MBR00000428,2022-09-01,2022-09-05,1248968878,1476627091,PLN9574,318825,PCN949,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,64,0,Retail,0,0,0,25.0,6.27,31.27,8.0,21.33,1.94,0.5,0.3542,0,0,0,0,2022-10-31
RX0000015650,MBR00000428,2023-03-18,2023-03-22,1316461663,1426480034,PLN2468,194233,PCN758,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,10,Mail Order,0,0,0,9.0,10.45,19.45,5.0,13.4,1.05,0.36,0.255,0,0,0,0,2023-04-17
RX0000015651,MBR00000428,2021-05-27,2021-05-28,1733455052,1955845971,PLN5557,246061,PCN964,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,91,4,Retail,2,0,0,54.0,9.96,63.96,9.0,51.6,3.36,0.72,0.51,0,0,0,0,2021-08-25
RX0000015652,MBR00000428,2022-10-02,2022-10-06,1798508540,1328241963,PLN6356,962329,PCN730,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,11,Mail Order,3,0,0,10.0,3.52,13.52,8.0,4.76,0.76,0.4,0.2833,0,0,0,0,2022-11-01
RX0000015653,MBR00000428,2021-04-01,2021-04-03,1325291354,1658264074,PLN7856,783250,PCN198,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,11,Retail,0,1,0,8500.0,2.66,8502.66,148.0,7944.38,410.28,340.0,240.8333,0,0,0,0,2021-05-01
RX0000015654,MBR00000428,2021-08-24,2021-08-27,1228795538,1204267913,PLN8227,274423,PCN838,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,95,5,Retail,0,0,0,33.0,8.56,41.56,8.0,32.02,1.54,0.44,0.3117,1,0,0,0,2021-11-22
RX0000015655,MBR00000428,2021-09-03,2021-09-07,1512049239,1380473547,PLN8363,100680,PCN415,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,84,2,Retail,0,0,0,27.0,8.9,35.9,2.0,32.8,1.1,0.36,0.255,0,0,0,0,2021-12-02
RX0000015656,MBR00000428,2021-02-24,2021-02-26,1341486215,1970812386,PLN1763,245609,PCN768,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,5,Retail,1,0,0,11.0,9.47,20.47,0.0,19.46,1.01,0.44,0.3117,1,0,0,0,2021-03-26
RX0000015657,MBR00000428,2021-08-24,2021-08-25,1811800439,1743754632,PLN9526,470064,PCN296,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,62,2,Specialty,0,1,0,16.0,29.59,45.59,151.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-10-23
RX0000015658,MBR00000428,2022-06-19,2022-06-23,1347936486,1268572530,PLN4839,634920,PCN190,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,4,Retail,0,0,0,12.0,4.14,16.14,6.0,9.63,0.51,0.48,0.34,1,0,0,0,2022-07-19
RX0000015659,MBR00000428,2021-10-22,2021-10-26,1445068713,1209647455,PLN5364,625817,PCN790,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,3,Mail Order,0,0,0,330.0,10.16,340.16,35.0,292.51,12.65,13.2,9.35,0,0,0,0,2021-11-21
RX0000015660,MBR00000428,2021-05-14,2021-05-17,1402920033,1664613418,PLN4312,177784,PCN342,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,83,2,Retail,3,0,0,135.0,11.76,146.76,6.0,135.5,5.26,1.8,1.275,0,0,0,0,2021-08-12
RX0000015661,MBR00000429,2022-05-09,2022-05-12,1845759532,1539927522,PLN4081,943492,PCN783,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,83,1,Retail,0,1,0,25500.0,1.89,25501.89,148.0,24543.7,810.19,340.0,240.8333,0,0,0,0,2022-08-07
RX0000015662,MBR00000429,2023-09-09,2023-09-13,1428570694,1376485926,PLN9842,358183,PCN568,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,5,Retail,0,1,0,12.0,10.5,22.5,145.0,0.0,0.73,0.48,0.34,0,0,0,0,2023-10-09
RX0000015663,MBR00000429,2022-01-03,2022-01-07,1843189557,1679391901,PLN5089,779745,PCN620,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,3,Retail,0,0,0,15.0,6.46,21.46,10.0,10.52,0.94,0.6,0.425,0,0,0,0,2022-02-02
RX0000015664,MBR00000429,2021-07-28,2021-07-31,1545201392,1477599758,PLN7874,985844,PCN569,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,92,4,Retail,1,0,0,36.0,7.39,43.39,7.0,34.93,1.46,0.48,0.34,0,0,0,0,2021-10-26
RX0000015665,MBR00000429,2023-01-03,2023-01-07,1886352654,1468016297,PLN7991,763541,PCN349,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,60,5,Retail,0,0,0,28.0,10.67,38.67,6.0,31.42,1.25,0.56,0.3967,0,0,0,0,2023-03-04
RX0000015666,MBR00000429,2022-05-17,2022-05-21,1489674588,1202859857,PLN4397,659307,PCN296,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,11,Specialty,0,0,0,14.0,8.44,22.44,8.0,14.44,0.0,0.56,0.3967,0,0,0,0,2022-06-16
RX0000015667,MBR00000429,2021-04-19,2021-04-20,1707347912,1219185450,PLN9143,202189,PCN846,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,9,Retail,0,0,0,15.0,2.58,17.58,0.0,16.74,0.84,0.6,0.425,0,0,0,0,2021-05-19
RX0000015668,MBR00000429,2022-09-03,2022-09-06,1598347665,1952810466,PLN5502,563386,PCN352,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,6,Retail,0,1,0,2800.0,6.73,2806.73,149.0,2475.77,181.96,112.0,79.3333,0,0,0,0,2022-10-03
RX0000015669,MBR00000429,2021-11-15,2021-11-16,1536360078,1231524840,PLN6974,854716,PCN438,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,10,Mail Order,0,0,0,175.0,8.45,183.45,40.0,132.95,10.5,7.0,4.9583,0,0,0,0,2021-12-15
RX0000015670,MBR00000429,2022-03-03,2022-03-04,1499183554,1392525916,PLN8808,183726,PCN147,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,0,Retail,0,1,0,12.0,3.15,15.15,154.0,0.0,1.01,0.48,0.34,0,0,0,0,2022-04-02
RX0000015671,MBR00000429,2022-06-16,2022-06-18,1588930239,1155314927,PLN7560,467824,PCN107,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,93,1,Mail Order,0,0,1,54.0,10.13,64.13,8.0,52.1,4.03,0.72,0.51,0,0,0,0,2022-09-14
RX0000015672,MBR00000430,2022-03-27,2022-03-30,1775694238,1967818031,PLN6190,287086,PCN792,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,0,Retail,0,0,0,18.0,2.21,20.21,5.0,14.25,0.96,0.72,0.51,0,0,0,0,2022-04-26
RX0000015673,MBR00000430,2021-07-25,2021-07-29,1298389526,1307463370,PLN4584,513648,PCN361,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,6,Mail Order,0,0,0,7.5,3.03,10.53,2.0,8.2,0.33,0.3,0.2125,0,0,0,0,2021-08-24
RX0000015674,MBR00000430,2021-03-06,2021-03-09,1333034617,1114672390,PLN6270,132050,PCN403,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,91,6,Mail Order,0,0,0,25.5,1.81,27.31,2.0,24.07,1.24,0.34,0.2408,0,0,0,0,2021-06-04
RX0000015675,MBR00000430,2022-06-04,2022-06-08,1582290206,1105608720,PLN3632,376937,PCN313,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,86,6,Retail,0,0,0,42.0,1.51,43.51,7.0,34.09,2.42,0.56,0.3967,0,0,0,0,2022-09-02
RX0000015676,MBR00000430,2022-10-31,2022-11-02,1254357963,1304255868,PLN2210,545682,PCN299,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,57,7,Specialty,0,1,0,5600.0,11.09,5611.09,151.0,5460.09,0.0,112.0,79.3333,0,0,0,0,2022-12-30
RX0000015677,MBR00000430,2023-09-24,2023-09-27,1349349280,1376406106,PLN1058,815775,PCN654,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,4,Retail,2,0,0,8.5,9.37,17.87,7.0,10.23,0.64,0.34,0.2408,0,0,0,0,2023-10-24
RX0000015678,MBR00000430,2023-11-17,2023-11-21,1849774095,1810705432,PLN3643,419480,PCN536,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,64,11,Retail,0,0,0,570.0,11.4,581.4,34.0,523.05,24.35,11.4,8.075,0,1,1,0,2024-01-16
RX0000015679,MBR00000430,2022-11-01,2022-11-04,1691790658,1649504240,PLN2424,266636,PCN136,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,8,Mail Order,0,0,1,12.5,3.41,15.91,2.0,13.39,0.52,0.5,0.3542,0,0,0,0,2022-12-01
RX0000015680,MBR00000430,2022-08-02,2022-08-05,1132676853,1290419479,PLN8572,148170,PCN572,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,9,Retail,0,0,0,950.0,8.59,958.59,36.0,880.2,42.39,38.0,26.9167,0,0,0,0,2022-09-01
RX0000015681,MBR00000430,2021-07-09,2021-07-13,1594454415,1205128064,PLN5710,294736,PCN684,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,11,Retail,0,0,0,8.87,8.6,17.47,1.0,15.54,0.93,1.52,1.0767,0,0,0,0,2021-07-16
RX0000015682,MBR00000430,2023-06-28,2023-07-02,1250118259,1689553049,PLN1384,761932,PCN161,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,3,Retail,0,0,0,22.0,9.15,31.15,4.0,24.98,2.17,0.88,0.6233,0,0,0,0,2023-07-28
RX0000015683,MBR00000430,2023-11-24,2023-11-27,1233736705,1280184196,PLN1549,469242,PCN873,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,7,Mail Order,0,0,0,7.5,7.9,15.4,1.0,13.91,0.49,0.3,0.2125,0,0,0,0,2023-12-24
RX0000015684,MBR00000430,2022-04-30,2022-05-03,1457733803,1178926698,PLN8812,397696,PCN540,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,11,Retail,0,0,0,750.0,3.18,753.18,38.0,670.8,44.38,30.0,21.25,0,0,0,0,2022-05-30
RX0000015685,MBR00000430,2021-04-12,2021-04-13,1124195750,1509412908,PLN8012,824543,PCN753,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,88,11,Retail,0,0,0,54.0,2.9,56.9,6.0,47.26,3.64,0.72,0.51,0,0,0,0,2021-07-11
RX0000015686,MBR00000430,2022-05-02,2022-05-06,1618378669,1193979732,PLN1265,556687,PCN900,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,62,4,Retail,0,1,0,17000.0,9.63,17009.63,148.0,15786.43,1075.2,340.0,240.8333,0,0,0,0,2022-07-01
RX0000015687,MBR00000430,2023-08-27,2023-08-30,1660878826,1680172882,PLN2672,656544,PCN390,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,0,Retail,1,0,0,14.0,11.78,25.78,6.0,18.57,1.21,0.56,0.3967,0,0,0,0,2023-09-26
RX0000015688,MBR00000430,2023-10-11,2023-10-13,1189215856,1946640753,PLN5147,989526,PCN633,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,57,9,Retail,0,1,0,5600.0,3.35,5603.35,145.0,5115.29,343.06,112.0,79.3333,0,0,0,0,2023-12-10
RX0000015689,MBR00000430,2021-12-28,2021-12-31,1420770999,1393631747,PLN6779,487359,PCN125,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,3,LTC,2,0,0,16.0,4.16,20.16,4.0,15.38,0.78,0.64,0.4533,0,0,0,0,2022-01-27
RX0000015690,MBR00000430,2022-10-31,2022-11-03,1417707126,1436111415,PLN8719,112594,PCN744,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,88,6,Mail Order,0,0,0,66.0,9.27,75.27,75.0,0.0,4.47,0.88,0.6233,0,0,0,0,2023-01-29
RX0000015691,MBR00000430,2022-08-01,2022-08-05,1381534293,1684133107,PLN2361,837251,PCN974,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,4,Mail Order,0,0,0,7.5,11.75,19.25,7.0,10.94,1.31,0.3,0.2125,0,0,0,0,2022-08-31
RX0000015692,MBR00000430,2022-08-16,2022-08-20,1332946089,1469933187,PLN5932,978450,PCN182,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,56,10,Retail,0,0,0,15.0,3.69,18.69,9.0,9.08,0.61,0.3,0.2125,1,0,0,0,2022-10-15
RX0000015693,MBR00000430,2023-08-06,2023-08-08,1580102774,1843944332,PLN2764,670436,PCN747,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,5,Retail,0,0,0,9.0,7.48,16.48,3.0,12.4,1.08,0.36,0.255,0,0,0,0,2023-09-05
RX0000015694,MBR00000430,2022-02-13,2022-02-14,1819634289,1946306289,PLN2284,263632,PCN657,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,0,Mail Order,0,0,0,38.0,3.28,41.28,1.0,38.54,1.74,1.52,1.0767,0,0,0,0,2022-03-15
RX0000015695,MBR00000430,2021-03-27,2021-03-29,1398154483,1978627483,PLN9545,491998,PCN146,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,380.0,5.41,385.41,39.0,331.36,15.05,15.2,10.7667,0,0,0,0,2021-04-26
RX0000015696,MBR00000430,2022-05-11,2022-05-15,1424203431,1469729373,PLN9713,184140,PCN838,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,3,Retail,3,0,0,22.0,5.84,27.84,75.0,0.0,1.79,0.88,0.6233,0,0,0,0,2022-06-10
RX0000015697,MBR00000430,2021-01-19,2021-01-23,1973768096,1121019551,PLN8167,159388,PCN921,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,87,7,Retail,0,0,0,30.0,9.18,39.18,3.0,34.11,2.07,0.4,0.2833,0,0,0,0,2021-04-19
RX0000015698,MBR00000430,2022-03-30,2022-04-03,1552382807,1351150660,PLN3886,677255,PCN462,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,3,Specialty,0,0,0,9.0,32.35,41.35,1.0,40.35,0.0,0.36,0.255,0,1,0,0,2022-04-29
RX0000015699,MBR00000430,2021-03-04,2021-03-07,1677972122,1282499884,PLN8932,472168,PCN440,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,10,Retail,0,0,0,12.0,7.51,19.51,3.0,15.51,1.0,0.48,0.34,0,0,0,0,2021-04-03
RX0000015700,MBR00000430,2022-08-15,2022-08-16,1669887363,1648501454,PLN4029,467795,PCN960,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,11,Retail,0,0,0,38.0,2.69,40.69,2.0,37.44,1.25,1.52,1.0767,0,0,0,0,2022-09-14
RX0000015701,MBR00000430,2023-05-20,2023-05-24,1187684738,1326796074,PLN3294,706449,PCN758,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,9,Retail,3,0,0,14.0,3.89,17.89,8.0,9.05,0.84,0.56,0.3967,0,0,0,0,2023-06-19
RX0000015702,MBR00000430,2022-08-23,2022-08-27,1392082244,1788197482,PLN3770,779610,PCN531,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,1,Retail,3,0,0,7.5,11.31,18.81,0.0,17.76,1.05,0.3,0.2125,0,0,0,0,2022-09-22
RX0000015703,MBR00000430,2023-10-30,2023-11-01,1595526173,1163530946,PLN9063,562907,PCN111,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,11,Mail Order,0,0,0,22.0,8.73,30.73,70.0,0.0,2.14,0.88,0.6233,0,0,0,0,2023-11-29
RX0000015704,MBR00000430,2022-12-08,2022-12-09,1879407271,1768635604,PLN2713,688953,PCN129,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,7,Retail,2,0,0,10.0,7.71,17.71,6.0,11.12,0.59,0.4,0.2833,1,0,0,0,2023-01-07
RX0000015705,MBR00000430,2023-05-11,2023-05-14,1242233913,1209776788,PLN3388,386375,PCN468,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,87,0,Retail,0,0,0,1110.0,7.17,1117.17,38.0,1039.76,39.41,14.8,10.4833,0,1,1,0,2023-08-09
RX0000015706,MBR00000430,2023-07-26,2023-07-27,1140617274,1139392306,PLN1837,737538,PCN413,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,3,Specialty,0,0,0,3.27,16.28,19.55,9.0,10.55,0.0,0.56,0.3967,0,0,0,0,2023-08-02
RX0000015707,MBR00000430,2021-02-19,2021-02-20,1893959199,1826739518,PLN5601,701094,PCN961,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,11,Retail,0,0,0,18.0,9.11,27.11,7.0,18.38,1.73,0.72,0.51,0,0,0,0,2021-03-21
RX0000015708,MBR00000430,2022-01-27,2022-01-31,1419593205,1969944999,PLN5472,422270,PCN201,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,7,Mail Order,2,0,0,7.5,6.0,13.5,8.0,4.61,0.89,0.3,0.2125,0,0,0,0,2022-02-26
RX0000015709,MBR00000430,2022-09-17,2022-09-18,1866106661,1312727789,PLN4559,591053,PCN557,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,94,6,Retail,0,0,0,135.0,2.05,137.05,7.0,125.51,4.54,1.8,1.275,0,0,0,0,2022-12-16
RX0000015710,MBR00000430,2023-07-02,2023-07-03,1964548087,1846399863,PLN7763,184711,PCN633,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,4,Retail,0,0,0,12.0,2.23,14.23,4.0,9.35,0.88,0.48,0.34,0,0,0,0,2023-08-01
RX0000015711,MBR00000430,2023-10-20,2023-10-24,1537766767,1981158572,PLN3329,400052,PCN873,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,3,Retail,0,0,0,18.0,11.48,29.48,3.0,25.18,1.3,0.72,0.51,0,0,0,0,2023-11-19
RX0000015712,MBR00000430,2023-06-24,2023-06-25,1674811422,1385668880,PLN1155,683902,PCN909,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,7,Mail Order,0,0,0,22.0,2.27,24.27,74.0,0.0,1.22,0.88,0.6233,0,0,0,0,2023-07-24
RX0000015713,MBR00000430,2022-11-17,2022-11-19,1316474039,1765774364,PLN7467,147124,PCN709,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,9,Retail,0,1,0,12.0,2.79,14.79,146.0,0.0,0.66,0.48,0.34,0,0,0,0,2022-12-17
RX0000015714,MBR00000430,2021-03-28,2021-04-01,1433039137,1767665864,PLN2066,473250,PCN422,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,8,Retail,0,0,0,8.5,2.26,10.76,10.0,0.17,0.59,0.34,0.2408,0,0,0,0,2021-04-27
RX0000015715,MBR00000430,2023-03-02,2023-03-05,1837039803,1357862132,PLN7145,167412,PCN224,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,7,Retail,3,0,0,12.5,4.27,16.77,3.0,12.68,1.09,0.5,0.3542,0,0,0,0,2023-04-01
RX0000015716,MBR00000430,2021-08-02,2021-08-03,1423685613,1664591791,PLN2459,676493,PCN959,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,62,6,Retail,0,0,0,90.0,2.11,92.11,6.0,81.82,4.29,1.8,1.275,0,0,0,0,2021-10-01
RX0000015717,MBR00000430,2021-12-30,2021-12-31,1824454916,1510451708,PLN2167,837908,PCN541,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,7,Retail,0,0,0,45.0,11.3,56.3,4.0,48.63,3.67,1.8,1.275,0,0,0,0,2022-01-29
RX0000015718,MBR00000430,2023-10-02,2023-10-04,1679356700,1971275035,PLN8670,362142,PCN913,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,89,10,Mail Order,0,0,0,30.0,9.38,39.38,9.0,28.99,1.39,0.4,0.2833,0,0,0,0,2023-12-31
RX0000015719,MBR00000430,2022-05-26,2022-05-29,1424679184,1992728724,PLN5574,802245,PCN156,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,1,Retail,0,1,0,6200.0,11.18,6211.18,154.0,5834.48,222.7,248.0,175.6667,0,0,0,0,2022-06-25
RX0000015720,MBR00000430,2022-12-05,2022-12-09,1703245214,1958330393,PLN8643,323060,PCN155,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,10,Retail,0,0,0,12.0,2.04,14.04,6.0,7.32,0.72,0.48,0.34,0,0,0,0,2023-01-04
RX0000015721,MBR00000430,2022-08-11,2022-08-15,1192764753,1896464017,PLN8540,163763,PCN538,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,58,3,Retail,0,0,0,960.0,4.65,964.65,33.0,892.24,39.41,19.2,13.6,0,0,0,0,2022-10-10
RX0000015722,MBR00000430,2022-12-09,2022-12-13,1903296848,1600317619,PLN6703,804756,PCN288,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,92,7,Retail,0,0,0,195.0,9.2,204.2,31.0,165.66,7.54,2.6,1.8417,0,0,0,0,2023-03-09
RX0000015723,MBR00000430,2021-04-18,2021-04-21,1286724046,1247211247,PLN8908,171856,PCN835,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,87,10,Retail,0,0,0,66.0,5.29,71.29,65.0,3.42,2.87,0.88,0.6233,0,0,0,0,2021-07-17
RX0000015724,MBR00000430,2023-11-20,2023-11-21,1168256458,1313526948,PLN9642,701690,PCN463,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,4,Specialty,0,1,0,6200.0,25.49,6225.49,147.0,6078.49,0.0,248.0,175.6667,0,0,0,0,2023-12-20
RX0000015725,MBR00000430,2022-08-28,2022-08-29,1388416018,1594758215,PLN3922,572950,PCN351,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,7,Retail,3,0,0,10.0,9.75,19.75,0.0,18.76,0.99,0.4,0.2833,1,0,0,0,2022-09-27
RX0000015726,MBR00000430,2021-06-23,2021-06-24,1540847931,1273723915,PLN4532,895568,PCN718,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,93,7,Mail Order,0,0,0,114.0,7.9,121.9,34.0,82.44,5.46,1.52,1.0767,0,0,0,0,2021-09-21
RX0000015727,MBR00000430,2022-09-09,2022-09-10,1688911420,1279719895,PLN4434,238704,PCN304,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,84,4,Retail,0,0,0,135.0,4.08,139.08,3.0,131.21,4.87,1.8,1.275,0,0,0,0,2022-12-08
RX0000015728,MBR00000430,2023-02-20,2023-02-23,1483421904,1928263057,PLN3671,435142,PCN467,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,5,Retail,0,0,0,185.0,1.9,186.9,30.0,147.92,8.98,7.4,5.2417,0,0,0,0,2023-03-22
RX0000015729,MBR00000430,2023-07-18,2023-07-21,1547696736,1430248020,PLN1824,752830,PCN209,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,1,Mail Order,0,0,0,22.0,9.71,31.71,75.0,0.0,1.62,0.88,0.6233,0,0,0,0,2023-08-17
RX0000015730,MBR00000430,2021-11-13,2021-11-17,1872527093,1797688985,PLN7605,503369,PCN182,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,7,Mail Order,0,0,0,650.0,4.2,654.2,36.0,588.45,29.75,26.0,18.4167,0,0,0,0,2021-12-13
RX0000015731,MBR00000430,2021-03-30,2021-03-31,1429679859,1155051612,PLN9588,654316,PCN464,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,5,Mail Order,0,0,0,10.0,10.29,20.29,1.0,18.35,0.94,0.4,0.2833,0,0,0,0,2021-04-29
RX0000015732,MBR00000430,2023-10-28,2023-10-31,1318439480,1847488390,PLN2358,329178,PCN414,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,1,Retail,0,0,0,14.0,5.52,19.52,4.0,14.83,0.69,0.56,0.3967,0,0,0,0,2023-11-27
RX0000015733,MBR00000430,2021-04-03,2021-04-06,1205459355,1238296206,PLN5424,456769,PCN934,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,1,Retail,0,0,0,9.0,8.29,17.29,10.0,6.22,1.07,0.36,0.255,0,0,0,0,2021-05-03
RX0000015734,MBR00000430,2022-10-19,2022-10-23,1205756497,1536275370,PLN1672,573449,PCN926,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,5,Retail,0,0,0,28.0,7.87,35.87,5.0,29.1,1.77,1.12,0.7933,0,0,0,0,2022-11-18
RX0000015735,MBR00000430,2021-10-05,2021-10-07,1723612437,1911225430,PLN5366,422368,PCN788,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,11,Retail,0,0,0,8.5,2.36,10.86,7.0,3.18,0.68,0.34,0.2408,0,0,0,0,2021-11-04
RX0000015736,MBR00000430,2022-04-06,2022-04-07,1980288252,1582407057,PLN5152,304463,PCN303,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,7,Retail,0,0,0,18.0,8.06,26.06,35.0,0.0,1.79,0.72,0.51,0,0,0,0,2022-05-06
RX0000015737,MBR00000430,2021-04-04,2021-04-07,1579719099,1503297697,PLN3938,599050,PCN158,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,6,Retail,0,0,0,320.0,11.85,331.85,39.0,274.28,18.57,12.8,9.0667,0,0,0,0,2021-05-04
RX0000015738,MBR00000431,2021-03-26,2021-03-29,1587052377,1708901077,PLN5283,312090,PCN222,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,3,Mail Order,0,0,0,14.0,9.96,23.96,0.0,22.99,0.97,0.56,0.3967,0,0,0,0,2021-04-25
RX0000015739,MBR00000431,2022-05-24,2022-05-26,1528664908,1695814902,PLN3950,272899,PCN600,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,10,Mail Order,1,1,0,12.0,8.25,20.25,146.0,0.0,0.93,0.48,0.34,0,0,0,0,2022-06-23
RX0000015740,MBR00000431,2021-02-12,2021-02-16,1902024186,1695730822,PLN8226,803517,PCN210,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,11,Mail Order,0,0,0,10.5,2.38,12.88,2.0,10.2,0.68,1.8,1.275,0,0,0,0,2021-02-19
RX0000015741,MBR00000431,2022-11-20,2022-11-21,1520399777,1784441244,PLN2665,798344,PCN101,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,5,LTC,0,0,0,8.5,5.71,14.21,7.0,6.44,0.77,0.34,0.2408,0,0,0,0,2022-12-20
RX0000015742,MBR00000431,2023-10-02,2023-10-05,1851119201,1514586939,PLN5510,728830,PCN552,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,8,Retail,0,0,0,43.17,6.59,49.75,32.0,15.59,2.16,7.4,5.2417,0,0,0,0,2023-10-09
RX0000015743,MBR00000431,2021-09-19,2021-09-22,1364909060,1694570330,PLN5759,354686,PCN570,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,0,Mail Order,0,0,0,88.67,11.69,100.35,38.0,58.0,4.35,15.2,10.7667,0,0,0,0,2021-09-26
RX0000015744,MBR00000431,2021-06-30,2021-07-02,1965231537,1371488654,PLN7168,453078,PCN430,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,4,Retail,0,0,0,480.0,3.03,483.03,40.0,414.02,29.01,19.2,13.6,0,0,0,0,2021-07-30
RX0000015745,MBR00000431,2022-09-22,2022-09-23,1959075552,1654077214,PLN2203,340679,PCN632,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,93,5,Retail,0,0,0,22.5,8.36,30.86,0.0,29.83,1.03,0.3,0.2125,0,0,0,0,2022-12-21
RX0000015746,MBR00000431,2021-07-26,2021-07-28,1564896326,1566225171,PLN8021,411732,PCN574,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,63,10,Retail,0,0,0,30.0,5.12,35.12,4.0,28.67,2.45,0.6,0.425,0,0,0,0,2021-09-24
RX0000015747,MBR00000431,2022-09-21,2022-09-23,1279099554,1134428140,PLN8993,319483,PCN215,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,4,Retail,0,1,0,2800.0,4.63,2804.63,151.0,2504.93,148.7,112.0,79.3333,0,0,0,0,2022-10-21
RX0000015748,MBR00000431,2023-02-04,2023-02-05,1236362667,1942332803,PLN9045,182655,PCN167,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,5,Retail,0,0,0,950.0,9.84,959.84,35.0,872.43,52.41,38.0,26.9167,0,0,0,0,2023-03-06
RX0000015749,MBR00000431,2022-12-29,2023-01-02,1490600425,1353999712,PLN4757,358383,PCN908,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,7,Mail Order,0,0,0,9.0,5.17,14.17,8.0,5.69,0.48,0.36,0.255,0,0,0,0,2023-01-28
RX0000015750,MBR00000431,2021-06-07,2021-06-09,1331112869,1104482796,PLN3957,707329,PCN973,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,97,2,Retail,0,0,0,2850.0,1.93,2851.93,31.0,2639.62,181.31,38.0,26.9167,0,0,0,0,2021-09-05
RX0000015751,MBR00000431,2021-09-10,2021-09-11,1771894726,1584820227,PLN7392,679818,PCN969,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,9,Specialty,0,0,0,65.0,38.9,103.9,31.0,72.9,0.0,2.6,1.8417,0,0,0,0,2021-10-10
RX0000015752,MBR00000431,2022-09-25,2022-09-29,1745784861,1995001889,PLN5124,632724,PCN441,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,0,Retail,0,0,0,10.0,3.48,13.48,1.0,11.6,0.88,0.4,0.2833,0,0,0,0,2022-10-25
RX0000015753,MBR00000431,2021-08-25,2021-08-28,1709205907,1316229799,PLN1115,227154,PCN593,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,8,Retail,0,0,0,12.0,6.91,18.91,2.0,16.19,0.72,0.48,0.34,0,0,0,0,2021-09-24
RX0000015754,MBR00000431,2022-04-22,2022-04-25,1442012005,1747266327,PLN3215,966251,PCN817,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,93,8,Mail Order,3,0,0,855.0,5.67,860.67,38.0,794.35,28.32,11.4,8.075,0,0,0,0,2022-07-21
RX0000015755,MBR00000431,2023-05-06,2023-05-07,1846720491,1415792609,PLN6637,600454,PCN588,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,10,Retail,0,0,0,45.0,2.33,47.33,1.0,44.78,1.55,1.8,1.275,0,0,0,0,2023-06-05
RX0000015756,MBR00000431,2021-01-03,2021-01-05,1478032695,1670493347,PLN3846,172680,PCN155,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,32,3,Mail Order,0,0,0,370.0,9.78,379.78,35.0,327.64,17.14,14.8,10.4833,0,0,0,0,2021-02-02
RX0000015757,MBR00000431,2022-06-07,2022-06-08,1479879556,1126266449,PLN9817,970447,PCN949,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,57,5,Retail,0,0,0,1300.0,5.39,1305.39,36.0,1211.92,57.47,26.0,18.4167,0,0,0,0,2022-08-06
RX0000015758,MBR00000431,2021-06-28,2021-07-01,1833420156,1471788512,PLN8976,483526,PCN925,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,2,Retail,0,0,0,2.1,2.52,4.62,8.0,0.0,0.2,0.36,0.255,0,0,0,0,2021-07-05
RX0000015759,MBR00000431,2021-05-19,2021-05-23,1461184253,1188830388,PLN3534,348391,PCN800,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,6,Retail,0,0,0,18.0,11.94,29.94,0.0,27.94,2.0,0.72,0.51,0,0,0,0,2021-06-18
RX0000015760,MBR00000431,2022-05-26,2022-05-28,1875295967,1115852891,PLN6952,479065,PCN665,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,0,Mail Order,0,0,0,2.92,3.14,6.06,2.0,3.65,0.41,0.5,0.3542,0,0,0,0,2022-06-02
RX0000015761,MBR00000431,2022-03-06,2022-03-09,1717913914,1991521489,PLN9818,657443,PCN167,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,5,Mail Order,0,0,0,1.75,9.65,11.4,3.0,7.72,0.68,0.3,0.2125,0,0,0,0,2022-03-13
RX0000015762,MBR00000431,2023-06-02,2023-06-05,1675845914,1207146911,PLN5063,673932,PCN856,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,5,Specialty,0,0,0,4.2,28.35,32.55,7.0,25.55,0.0,0.72,0.51,0,0,0,0,2023-06-09
RX0000015763,MBR00000431,2021-08-20,2021-08-24,1723499921,1914048679,PLN4374,913008,PCN450,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,7,Retail,0,0,0,9.0,9.5,18.5,0.0,17.6,0.9,0.36,0.255,0,0,0,0,2021-09-19
RX0000015764,MBR00000431,2021-09-24,2021-09-25,1863991622,1155403833,PLN4761,473113,PCN168,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,7,Specialty,0,0,0,9.0,15.86,24.86,3.0,21.86,0.0,0.36,0.255,0,0,0,0,2021-10-24
RX0000015765,MBR00000431,2022-03-08,2022-03-10,1371284612,1221563446,PLN9683,343509,PCN515,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,2,Retail,0,0,0,45.0,9.69,54.69,1.0,50.41,3.28,1.8,1.275,0,0,0,0,2022-04-07
RX0000015766,MBR00000431,2022-06-17,2022-06-20,1375429153,1321698832,PLN3849,980833,PCN569,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,7,Retail,0,0,0,12.5,2.65,15.15,2.0,12.23,0.92,0.5,0.3542,0,0,0,0,2022-07-17
RX0000015767,MBR00000431,2021-12-07,2021-12-09,1438319201,1598708259,PLN3766,880954,PCN544,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,87,8,Retail,0,0,0,195.0,10.29,205.29,37.0,161.04,7.25,2.6,1.8417,0,0,0,0,2022-03-07
RX0000015768,MBR00000431,2023-04-27,2023-04-30,1754972869,1651015541,PLN6646,994150,PCN223,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,0,Retail,0,0,0,10.0,10.69,20.69,10.0,10.01,0.68,0.4,0.2833,0,0,0,0,2023-05-27
RX0000015769,MBR00000431,2023-08-11,2023-08-15,1662744122,1182250117,PLN5189,734191,PCN553,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,0,Retail,0,0,0,12.0,11.96,23.96,0.0,22.42,1.54,0.48,0.34,0,0,0,0,2023-09-10
RX0000015770,MBR00000431,2022-04-25,2022-04-28,1839903958,1734836828,PLN5028,111415,PCN977,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,94,2,Retail,0,0,0,2250.0,9.82,2259.82,36.0,2145.39,78.43,30.0,21.25,0,0,0,0,2022-07-24
RX0000015771,MBR00000431,2023-10-02,2023-10-05,1119506553,1704182633,PLN8008,331082,PCN611,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,11,Retail,0,0,0,18.0,5.1,23.1,9.0,13.15,0.95,0.72,0.51,0,0,0,0,2023-11-01
RX0000015772,MBR00000431,2023-02-09,2023-02-12,1914643460,1152556251,PLN8221,205046,PCN916,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,9,Mail Order,0,0,0,12.0,8.51,20.51,5.0,14.29,1.22,0.48,0.34,0,0,0,0,2023-03-11
RX0000015773,MBR00000431,2021-08-22,2021-08-24,1940998415,1711863163,PLN5657,991022,PCN155,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,4,Retail,0,0,0,12.0,4.89,16.89,9.0,7.29,0.6,0.48,0.34,0,0,0,0,2021-09-21
RX0000015774,MBR00000431,2021-06-18,2021-06-19,1201000461,1179169174,PLN3961,292510,PCN621,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,84,8,Retail,0,0,0,66.0,9.31,75.31,0.0,72.07,3.24,0.88,0.6233,0,0,0,0,2021-09-16
RX0000015775,MBR00000431,2021-06-06,2021-06-10,1941029440,1652340317,PLN6044,770674,PCN521,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,3,Mail Order,0,0,0,22.0,6.9,28.9,72.0,0.0,1.04,0.88,0.6233,0,0,0,0,2021-07-06
RX0000015776,MBR00000431,2022-10-11,2022-10-12,1387861972,1707678736,PLN9057,689724,PCN379,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,5,Mail Order,3,0,0,10.5,7.06,17.56,7.0,9.92,0.64,1.8,1.275,1,0,0,0,2022-10-18
RX0000015777,MBR00000431,2023-10-15,2023-10-18,1727404545,1966758749,PLN4254,760103,PCN895,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,2,Mail Order,0,1,0,2800.0,2.87,2802.87,152.0,2485.62,165.25,112.0,79.3333,0,0,0,0,2023-11-14
RX0000015778,MBR00000431,2021-09-20,2021-09-23,1214267160,1791025756,PLN9768,198624,PCN574,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,5,Retail,0,0,0,14.0,11.26,25.26,3.0,21.28,0.98,0.56,0.3967,0,0,0,0,2021-10-20
RX0000015779,MBR00000431,2021-12-03,2021-12-04,1144928945,1300437549,PLN7228,808246,PCN383,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,97,5,Specialty,0,0,0,1140.0,28.84,1168.84,34.0,1134.84,0.0,15.2,10.7667,0,0,0,0,2022-03-03
RX0000015780,MBR00000431,2021-03-27,2021-03-31,1145099338,1155272449,PLN2962,954484,PCN958,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,87,0,Retail,0,1,0,25500.0,9.58,25509.58,155.0,24020.18,1334.4,340.0,240.8333,0,0,0,0,2021-06-25
RX0000015781,MBR00000431,2023-07-05,2023-07-08,1416978679,1206438159,PLN5552,995829,PCN114,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,90,3,Mail Order,0,0,0,135.0,8.85,143.85,9.0,127.51,7.34,1.8,1.275,0,0,0,0,2023-10-03
RX0000015782,MBR00000431,2021-01-05,2021-01-09,1222719478,1916617048,PLN7956,764939,PCN681,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,10,Mail Order,3,0,0,54.0,10.29,64.29,36.0,25.83,2.46,0.72,0.51,0,0,0,0,2021-04-05
RX0000015783,MBR00000431,2021-07-11,2021-07-14,1665294001,1297553579,PLN2626,106888,PCN666,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,9,Mail Order,0,0,0,6.53,9.74,16.28,0.0,15.46,0.82,1.12,0.7933,0,0,0,0,2021-07-18
RX0000015784,MBR00000431,2023-06-13,2023-06-16,1123312675,1344027934,PLN9547,870620,PCN848,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,81,9,Retail,0,0,0,33.0,7.42,40.42,7.0,31.38,2.04,0.44,0.3117,0,0,0,0,2023-09-11
RX0000015785,MBR00000431,2022-10-01,2022-10-04,1746358536,1918456198,PLN6114,358067,PCN779,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,9,Retail,2,0,0,38.0,7.68,45.68,39.0,4.54,2.14,1.52,1.0767,0,0,0,0,2022-10-31
RX0000015786,MBR00000431,2021-01-14,2021-01-18,1609306045,1881586196,PLN6709,584668,PCN799,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,2,Mail Order,0,0,0,11.0,4.27,15.27,6.0,8.43,0.84,0.44,0.3117,0,0,0,0,2021-02-13
RX0000015787,MBR00000431,2021-09-24,2021-09-27,1243269908,1709740036,PLN9599,725621,PCN504,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,11,Retail,0,0,0,320.0,2.74,322.74,38.0,274.66,10.08,12.8,9.0667,0,0,0,0,2021-10-24
RX0000015788,MBR00000431,2023-11-03,2023-11-05,1703278872,1784581263,PLN8375,749262,PCN775,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,11,Retail,0,0,0,10.5,9.35,19.85,8.0,11.22,0.63,1.8,1.275,0,0,0,0,2023-11-10
RX0000015789,MBR00000431,2023-06-16,2023-06-20,1532500399,1140378345,PLN6709,117061,PCN945,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,6,Retail,0,0,0,9.0,2.15,11.15,7.0,3.4,0.75,0.36,0.255,0,0,0,0,2023-07-16
RX0000015790,MBR00000431,2023-11-14,2023-11-16,1396527005,1591837234,PLN4050,793342,PCN919,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,4,Retail,0,0,0,18.0,7.81,25.81,38.0,0.0,1.04,0.72,0.51,0,0,0,0,2023-12-14
RX0000015791,MBR00000431,2023-11-05,2023-11-06,1195346825,1186255452,PLN3366,533687,PCN637,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,90,0,Retail,0,0,0,42.0,5.87,47.87,9.0,36.3,2.57,0.56,0.3967,0,0,0,0,2024-02-03
RX0000015792,MBR00000431,2023-12-06,2023-12-07,1111756794,1967950075,PLN4054,214328,PCN426,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,9,Retail,1,0,0,12.0,10.27,22.27,9.0,12.39,0.88,0.48,0.34,0,0,0,0,2024-01-05
RX0000015793,MBR00000431,2021-04-27,2021-04-30,1408691518,1854114547,PLN4212,757059,PCN500,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,4,Specialty,0,0,0,10.0,27.45,37.45,2.0,35.45,0.0,0.4,0.2833,0,0,0,0,2021-05-27
RX0000015794,MBR00000431,2023-01-26,2023-01-29,1233329939,1244854168,PLN8358,168096,PCN359,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,5,Specialty,0,0,0,320.0,23.93,343.93,37.0,306.93,0.0,12.8,9.0667,0,0,0,0,2023-02-25
RX0000015795,MBR00000431,2022-05-31,2022-06-02,1619576067,1221598702,PLN5433,313635,PCN112,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,86,8,Mail Order,0,0,0,48.0,9.65,57.65,10.0,45.59,2.06,0.64,0.4533,0,0,0,0,2022-08-29
RX0000015796,MBR00000431,2022-10-14,2022-10-17,1665505591,1898702567,PLN4681,774926,PCN525,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,4,Specialty,0,0,0,22.0,26.97,48.97,65.0,0.0,0.0,0.88,0.6233,0,0,0,0,2022-11-13
RX0000015797,MBR00000431,2021-10-26,2021-10-29,1141923745,1641663149,PLN2931,438831,PCN335,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,7,Mail Order,0,0,0,380.0,3.09,383.09,31.0,336.36,15.73,15.2,10.7667,0,0,0,0,2021-11-25
RX0000015798,MBR00000431,2021-04-01,2021-04-03,1858668082,1997990907,PLN3626,441000,PCN120,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,81,5,Retail,0,0,0,36.0,10.83,46.83,3.0,40.66,3.17,0.48,0.34,0,0,0,0,2021-06-30
RX0000015799,MBR00000431,2023-06-11,2023-06-15,1269895402,1219017613,PLN4367,144328,PCN983,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,2,Retail,0,0,0,22.0,4.14,26.14,6.0,18.84,1.3,0.88,0.6233,0,0,0,0,2023-07-11
RX0000015800,MBR00000432,2021-09-22,2021-09-25,1967404980,1964556625,PLN2365,924850,PCN875,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,8,Mail Order,0,0,0,14.0,5.27,19.27,0.0,18.06,1.21,0.56,0.3967,0,0,0,0,2021-10-22
RX0000015801,MBR00000432,2023-05-17,2023-05-19,1915823872,1642974260,PLN5900,405793,PCN533,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,64,5,Retail,0,0,0,640.0,10.54,650.54,38.0,583.6,28.94,12.8,9.0667,0,0,0,0,2023-07-16
RX0000015802,MBR00000432,2023-03-12,2023-03-15,1206252898,1438420257,PLN2741,905922,PCN139,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,54,7,Retail,0,0,0,24.0,2.23,26.23,7.0,18.01,1.22,0.48,0.34,0,0,0,0,2023-05-11
RX0000015803,MBR00000432,2023-04-19,2023-04-22,1673837129,1420780446,PLN8431,672584,PCN703,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,81,3,Retail,1,0,0,114.0,8.77,122.77,33.0,85.68,4.09,1.52,1.0767,0,0,0,0,2023-07-18
RX0000015804,MBR00000432,2023-04-10,2023-04-12,1307810176,1346626288,PLN5643,336378,PCN247,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,60,2,Mail Order,0,0,0,20.0,3.94,23.94,0.0,22.31,1.63,0.4,0.2833,0,1,0,0,2023-06-09
RX0000015805,MBR00000432,2023-01-20,2023-01-23,1667783923,1639630622,PLN3786,463564,PCN168,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,93,5,LTC,0,0,0,114.0,1.68,115.68,3.0,107.99,4.69,1.52,1.0767,0,0,0,0,2023-04-20
RX0000015806,MBR00000432,2023-11-17,2023-11-19,1509398296,1498698298,PLN6154,833508,PCN544,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,98,7,Retail,0,0,0,36.0,9.42,45.42,1.0,42.12,2.3,0.48,0.34,0,0,0,0,2024-02-15
RX0000015807,MBR00000432,2021-10-09,2021-10-10,1924892267,1623673841,PLN7873,890230,PCN321,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,7,Mail Order,0,0,0,14.0,11.25,25.25,4.0,19.99,1.26,0.56,0.3967,0,0,0,0,2021-11-08
RX0000015808,MBR00000432,2023-02-26,2023-03-02,1756570434,1595132922,PLN6080,473603,PCN124,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,6,Retail,0,0,0,2.33,11.7,14.03,1.0,12.44,0.59,0.4,0.2833,1,0,0,0,2023-03-05
RX0000015809,MBR00000432,2021-11-30,2021-12-03,1416107998,1972062655,PLN1040,145016,PCN251,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,4,Mail Order,0,0,0,310.0,8.86,318.86,37.0,264.35,17.51,12.4,8.7833,0,0,0,0,2021-12-30
RX0000015810,MBR00000432,2021-08-02,2021-08-03,1857847475,1285044013,PLN3013,811357,PCN555,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,87,4,Retail,0,0,0,1110.0,3.35,1113.35,40.0,1010.6,62.75,14.8,10.4833,0,0,0,0,2021-10-31
RX0000015811,MBR00000432,2023-11-18,2023-11-20,1214520901,1787063409,PLN3399,565547,PCN798,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,4,Specialty,0,0,0,2.33,36.56,38.9,7.0,31.9,0.0,0.4,0.2833,0,0,0,0,2023-11-25
RX0000015812,MBR00000432,2023-10-09,2023-10-11,1221738324,1680342355,PLN9880,522596,PCN216,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,4,Retail,0,0,0,9.0,1.62,10.62,2.0,7.89,0.73,0.36,0.255,1,0,0,0,2023-11-08
RX0000015813,MBR00000432,2021-12-02,2021-12-03,1269841597,1166957401,PLN7879,914442,PCN311,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,7,Retail,0,0,0,10.0,9.49,19.49,3.0,15.35,1.14,0.4,0.2833,0,0,0,0,2022-01-01
RX0000015814,MBR00000432,2023-04-13,2023-04-17,1425559013,1948280188,PLN8070,922563,PCN829,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,6,Retail,0,0,0,38.0,10.36,48.36,10.0,36.9,1.46,1.52,1.0767,0,0,0,0,2023-05-13
RX0000015815,MBR00000432,2022-10-24,2022-10-27,1573526706,1430918097,PLN9250,455965,PCN556,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,8,Retail,0,1,0,12.0,9.32,21.32,148.0,0.0,0.71,0.48,0.34,0,0,0,0,2022-11-23
RX0000015816,MBR00000432,2023-10-26,2023-10-27,1182721491,1539071085,PLN6797,381131,PCN776,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,60,10,Retail,0,1,0,24.0,8.99,32.99,153.0,0.0,1.12,0.48,0.34,0,0,0,0,2023-12-25
RX0000015817,MBR00000432,2021-02-05,2021-02-09,1967523737,1873803742,PLN8476,230870,PCN142,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,90,0,Specialty,2,0,0,36.0,15.54,51.54,8.0,43.54,0.0,0.48,0.34,0,0,0,0,2021-05-06
RX0000015818,MBR00000432,2023-05-25,2023-05-26,1267604312,1746522374,PLN3386,137923,PCN777,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,8,Specialty,3,0,0,18.0,29.35,47.35,4.0,43.35,0.0,0.72,0.51,0,0,0,0,2023-06-24
RX0000015819,MBR00000432,2021-06-19,2021-06-21,1784640555,1533745319,PLN1833,577519,PCN102,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,2,Retail,0,0,0,38.0,11.1,49.1,34.0,13.06,2.04,1.52,1.0767,0,0,0,0,2021-07-19
RX0000015820,MBR00000432,2023-05-06,2023-05-09,1197264202,1862750217,PLN9805,770816,PCN190,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,95,10,Retail,0,0,0,555.0,4.79,559.79,32.0,494.45,33.34,7.4,5.2417,0,0,0,0,2023-08-04
RX0000015821,MBR00000432,2021-01-03,2021-01-04,1986113638,1173933088,PLN2108,115923,PCN883,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,10,Specialty,0,1,0,2800.0,35.92,2835.92,150.0,2685.92,0.0,112.0,79.3333,0,0,0,0,2021-02-02
RX0000015822,MBR00000432,2021-08-21,2021-08-22,1182063098,1515444731,PLN9295,882723,PCN472,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,8,Retail,0,0,0,175.0,2.32,177.32,30.0,135.28,12.04,7.0,4.9583,0,0,0,0,2021-09-20
RX0000015823,MBR00000432,2023-03-11,2023-03-13,1982363972,1642597192,PLN3136,924701,PCN485,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,11,Retail,0,0,0,285.0,7.84,292.84,34.0,239.34,19.5,11.4,8.075,0,0,0,0,2023-04-10
RX0000015824,MBR00000432,2022-03-23,2022-03-26,1400072283,1901463022,PLN4157,879744,PCN254,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,59,7,Retail,0,0,0,15.0,7.38,22.38,1.0,20.11,1.27,0.3,0.2125,1,0,0,0,2022-05-22
RX0000015825,MBR00000432,2023-03-29,2023-03-31,1241443373,1288793624,PLN5968,316440,PCN626,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,8,Retail,0,0,0,175.0,6.38,181.38,35.0,138.9,7.48,30.0,21.25,1,0,0,0,2023-04-05
RX0000015826,MBR00000432,2021-10-24,2021-10-27,1701148750,1610412929,PLN4995,383528,PCN660,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,6,Retail,1,0,0,185.0,10.81,195.81,36.0,148.86,10.95,7.4,5.2417,0,0,0,0,2021-11-23
RX0000015827,MBR00000432,2023-02-12,2023-02-16,1726024295,1335136011,PLN6874,848826,PCN607,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,3,Retail,0,0,0,11.0,9.8,20.8,6.0,13.93,0.87,0.44,0.3117,0,0,0,0,2023-03-14
RX0000015828,MBR00000432,2022-04-09,2022-04-12,1507367893,1398691314,PLN6494,339064,PCN138,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,94,3,Retail,0,0,0,27.0,2.81,29.81,9.0,19.24,1.57,0.36,0.255,0,0,0,0,2022-07-08
RX0000015829,MBR00000432,2022-09-28,2022-10-01,1629830990,1923979502,PLN7913,403628,PCN416,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,7,Retail,0,1,0,2800.0,11.98,2811.98,155.0,2568.29,88.69,112.0,79.3333,0,0,0,0,2022-10-28
RX0000015830,MBR00000432,2023-01-09,2023-01-13,1758864932,1483418043,PLN7142,403386,PCN363,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,10,Retail,0,0,1,9.0,4.99,13.99,4.0,9.02,0.97,0.36,0.255,0,0,0,0,2023-02-08
RX0000015831,MBR00000432,2022-05-25,2022-05-27,1780045542,1212456787,PLN3491,798589,PCN782,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,2,Mail Order,1,0,0,38.0,2.23,40.23,32.0,5.75,2.48,1.52,1.0767,0,0,0,0,2022-06-24
RX0000015832,MBR00000432,2023-08-21,2023-08-22,1494497850,1870636989,PLN7130,867932,PCN873,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,81,0,Mail Order,0,0,0,54.0,9.53,63.53,0.0,60.92,2.61,0.72,0.51,0,1,0,0,2023-11-19
RX0000015833,MBR00000432,2021-08-31,2021-09-03,1742055785,1551062748,PLN7529,691262,PCN382,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,7,Retail,0,0,0,4.2,10.0,14.2,1.0,12.29,0.91,0.72,0.51,0,0,0,0,2021-09-07
RX0000015834,MBR00000432,2023-05-25,2023-05-26,1479256635,1247509008,PLN2067,642856,PCN868,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,3,Retail,0,0,0,370.0,9.39,379.39,36.0,323.41,19.98,14.8,10.4833,0,0,0,0,2023-06-24
RX0000015835,MBR00000432,2022-07-25,2022-07-27,1752713542,1457192965,PLN5502,268516,PCN192,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,5,Specialty,0,0,0,175.0,13.48,188.48,39.0,149.48,0.0,7.0,4.9583,0,0,0,0,2022-08-24
RX0000015836,MBR00000432,2021-08-30,2021-09-02,1524227151,1605119408,PLN3435,326509,PCN418,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,4,Specialty,0,0,0,9.0,14.55,23.55,0.0,23.55,0.0,0.36,0.255,0,0,0,0,2021-09-29
RX0000015837,MBR00000432,2022-09-03,2022-09-07,1152894499,1571277953,PLN2253,455362,PCN304,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,10,Retail,0,0,0,15.0,3.15,18.15,10.0,7.54,0.61,0.6,0.425,0,0,0,0,2022-10-03
RX0000015838,MBR00000432,2022-08-31,2022-09-04,1445888027,1641916276,PLN2964,543796,PCN735,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,89,8,Retail,0,0,0,2250.0,7.75,2257.75,34.0,2079.75,144.0,30.0,21.25,0,0,0,0,2022-11-29
RX0000015839,MBR00000432,2022-02-19,2022-02-21,1754680327,1879437882,PLN4594,465697,PCN463,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,96,6,Mail Order,0,0,0,1140.0,7.56,1147.56,30.0,1042.6,74.96,15.2,10.7667,0,0,0,0,2022-05-20
RX0000015840,MBR00000432,2021-10-02,2021-10-06,1974974526,1890038279,PLN4913,645728,PCN432,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,11,Retail,0,0,0,8.5,4.45,12.95,0.0,12.23,0.72,0.34,0.2408,0,0,0,0,2021-11-01
RX0000015841,MBR00000432,2023-02-23,2023-02-26,1578320765,1660237647,PLN2147,712382,PCN427,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,3,Mail Order,0,0,0,650.0,2.65,652.65,40.0,568.01,44.64,26.0,18.4167,0,1,1,0,2023-03-25
RX0000015842,MBR00000433,2021-03-12,2021-03-14,1508746748,1308863102,PLN6487,592088,PCN883,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,10,Retail,0,1,0,12.0,6.29,18.29,148.0,0.0,1.05,0.48,0.34,0,0,0,0,2021-04-11
RX0000015843,MBR00000433,2023-06-11,2023-06-13,1203063709,1698217259,PLN6385,752700,PCN725,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,11,Retail,0,0,0,22.0,2.5,24.5,70.0,0.0,1.42,0.88,0.6233,0,0,0,0,2023-07-11
RX0000015844,MBR00000433,2023-08-22,2023-08-24,1413717389,1575031656,PLN3250,182913,PCN245,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,11,Retail,0,0,0,15.0,9.89,24.89,7.0,16.68,1.21,0.6,0.425,0,0,0,0,2023-09-21
RX0000015845,MBR00000433,2022-09-18,2022-09-21,1817676372,1701534170,PLN3218,171246,PCN626,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,6,Retail,0,0,0,65.0,6.49,71.49,32.0,35.38,4.11,2.6,1.8417,0,0,0,0,2022-10-18
RX0000015846,MBR00000433,2023-04-23,2023-04-27,1774570745,1437724993,PLN8246,687359,PCN969,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,11,Mail Order,0,0,0,175.0,4.89,179.89,37.0,136.69,6.2,7.0,4.9583,0,0,0,0,2023-05-23
RX0000015847,MBR00000433,2022-08-21,2022-08-23,1910031151,1888050656,PLN1205,404833,PCN597,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,5,Retail,0,0,0,10.0,1.89,11.89,7.0,4.07,0.82,0.4,0.2833,0,0,0,0,2022-09-20
RX0000015848,MBR00000433,2022-01-20,2022-01-23,1680531126,1685080170,PLN9231,771742,PCN807,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,7,Specialty,0,0,0,10.0,19.73,29.73,8.0,21.73,0.0,0.4,0.2833,0,0,0,0,2022-02-19
RX0000015849,MBR00000433,2021-02-05,2021-02-08,1538767167,1114962209,PLN8010,634510,PCN534,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,58,3,Retail,0,1,0,16.0,2.84,18.84,147.0,0.0,0.86,0.32,0.2267,0,0,0,0,2021-04-06
RX0000015850,MBR00000433,2021-06-18,2021-06-19,1668543823,1727247209,PLN8316,839879,PCN286,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,0,Retail,0,0,0,5.13,5.22,10.36,6.0,3.95,0.41,0.88,0.6233,0,0,0,0,2021-06-25
RX0000015851,MBR00000433,2022-03-19,2022-03-21,1362663796,1283641913,PLN3822,862443,PCN633,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,85,8,Retail,0,1,0,24.0,5.41,29.41,149.0,0.0,2.06,0.32,0.2267,0,0,0,0,2022-06-17
RX0000015852,MBR00000433,2021-02-06,2021-02-07,1302085225,1714853123,PLN6969,995577,PCN533,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,9,Mail Order,0,0,0,45.0,8.2,53.2,10.0,41.02,2.18,1.8,1.275,0,0,0,0,2021-03-08
RX0000015853,MBR00000433,2022-01-17,2022-01-19,1577518229,1540593135,PLN9836,428068,PCN984,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,10,Retail,0,0,0,8.87,6.04,14.91,33.0,0.0,0.97,1.52,1.0767,0,0,0,0,2022-01-24
RX0000015854,MBR00000433,2023-06-18,2023-06-19,1556942829,1396050009,PLN8984,262446,PCN190,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,5,Retail,0,0,0,750.0,9.3,759.3,39.0,685.31,34.99,30.0,21.25,0,0,0,0,2023-07-18
RX0000015855,MBR00000433,2023-12-19,2023-12-21,1742450073,1617948632,PLN9576,244958,PCN215,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,10,Retail,2,0,0,11.0,4.65,15.65,4.0,10.97,0.68,0.44,0.3117,1,0,0,0,2024-01-18
RX0000015856,MBR00000433,2022-07-15,2022-07-19,1248464772,1507673466,PLN7801,643981,PCN369,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,63,5,Retail,0,1,0,16.0,7.95,23.95,153.0,0.0,1.64,0.32,0.2267,0,0,0,0,2022-09-13
RX0000015857,MBR00000433,2023-01-02,2023-01-05,1517552025,1512577252,PLN5955,937388,PCN612,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,8,Mail Order,0,0,0,11.0,5.02,16.02,7.0,8.35,0.67,0.44,0.3117,0,1,0,0,2023-02-01
RX0000015858,MBR00000433,2023-07-26,2023-07-28,1396075312,1274711672,PLN1907,302439,PCN500,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,8,Retail,0,0,0,320.0,9.15,329.15,30.0,284.79,14.36,12.8,9.0667,0,0,0,0,2023-08-25
RX0000015859,MBR00000433,2022-05-29,2022-06-02,1561532298,1909705850,PLN2876,694737,PCN990,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,3,Specialty,0,0,0,10.0,26.64,36.64,6.0,30.64,0.0,0.4,0.2833,0,0,0,0,2022-06-28
RX0000015860,MBR00000433,2021-02-04,2021-02-05,1336997555,1745265609,PLN2535,498161,PCN561,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,10,Retail,0,0,0,650.0,11.64,661.64,35.0,590.28,36.36,26.0,18.4167,0,0,0,0,2021-03-06
RX0000015861,MBR00000433,2021-09-24,2021-09-25,1130560339,1944605104,PLN4245,446424,PCN720,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,95,7,Retail,3,0,0,30.0,10.53,40.53,5.0,33.07,2.46,0.4,0.2833,0,0,0,0,2021-12-23
RX0000015862,MBR00000433,2021-09-29,2021-10-02,1848584945,1461455046,PLN8969,453606,PCN903,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,2,Retail,1,0,0,2.33,3.01,5.34,7.0,0.0,0.22,0.4,0.2833,0,0,0,0,2021-10-06
RX0000015863,MBR00000433,2023-04-16,2023-04-19,1410744413,1974616674,PLN8805,878762,PCN910,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,98,4,Retail,0,0,0,525.0,8.67,533.67,31.0,472.68,29.99,7.0,4.9583,0,0,0,0,2023-07-15
RX0000015864,MBR00000433,2022-04-01,2022-04-02,1580801117,1626152431,PLN4365,855171,PCN526,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,0,Retail,0,0,0,310.0,10.8,320.8,33.0,267.25,20.55,12.4,8.7833,0,0,0,0,2022-05-01
RX0000015865,MBR00000433,2022-04-22,2022-04-26,1267209367,1715768812,PLN8965,506318,PCN218,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,95,8,Retail,0,0,0,45.0,10.96,55.96,6.0,47.4,2.56,0.6,0.425,0,0,0,0,2022-07-21
RX0000015866,MBR00000433,2022-09-20,2022-09-21,1693128374,1412424389,PLN4083,404642,PCN978,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,10,Retail,0,0,0,16.0,6.86,22.86,4.0,17.77,1.09,0.64,0.4533,0,0,0,0,2022-10-20
RX0000015867,MBR00000433,2023-09-04,2023-09-07,1158872725,1468320643,PLN5578,589048,PCN856,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,1,Retail,3,0,0,9.0,3.07,12.07,4.0,7.7,0.37,0.36,0.255,0,1,0,0,2023-10-04
RX0000015868,MBR00000433,2022-07-21,2022-07-22,1980875505,1802339923,PLN2868,489456,PCN515,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,4,Retail,0,0,0,330.0,3.0,333.0,38.0,284.94,10.06,13.2,9.35,0,0,0,0,2022-08-20
RX0000015869,MBR00000433,2023-05-11,2023-05-14,1610942494,1374928934,PLN4170,377805,PCN475,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,1,Mail Order,0,1,0,12.0,3.73,15.73,149.0,0.0,1.07,0.48,0.34,0,0,0,0,2023-06-10
RX0000015870,MBR00000433,2023-03-14,2023-03-16,1951476697,1847748512,PLN5033,142524,PCN174,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,9,Retail,0,0,0,12.0,2.98,14.98,1.0,13.38,0.6,0.48,0.34,0,0,0,0,2023-04-13
RX0000015871,MBR00000433,2022-06-22,2022-06-25,1653526310,1196233206,PLN7993,965116,PCN923,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,82,8,Specialty,0,0,0,30.0,14.51,44.51,8.0,36.51,0.0,0.4,0.2833,0,0,0,0,2022-09-20
RX0000015872,MBR00000433,2021-11-15,2021-11-17,1678979474,1183750771,PLN8610,441574,PCN661,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,6,Retail,0,0,0,9.0,8.83,17.83,6.0,10.82,1.01,0.36,0.255,0,0,0,0,2021-12-15
RX0000015873,MBR00000433,2023-04-29,2023-05-02,1900731440,1890096583,PLN7678,290920,PCN661,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,4,Retail,0,0,0,18.0,7.15,25.15,9.0,15.15,1.0,0.72,0.51,0,0,0,0,2023-05-29
RX0000015874,MBR00000433,2021-03-16,2021-03-19,1269466760,1188171490,PLN9024,713478,PCN986,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,60,3,Retail,0,1,0,12400.0,2.51,12402.51,154.0,11709.23,539.28,248.0,175.6667,0,0,0,0,2021-05-15
RX0000015875,MBR00000433,2022-10-10,2022-10-12,1391311624,1510579380,PLN1158,416701,PCN675,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,2,Mail Order,0,0,0,650.0,9.08,659.08,30.0,593.26,35.82,26.0,18.4167,0,0,0,0,2022-11-09
RX0000015876,MBR00000433,2022-01-10,2022-01-14,1350757404,1748563548,PLN5279,534464,PCN232,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,9,Retail,3,0,0,3.27,11.1,14.37,9.0,4.61,0.76,0.56,0.3967,0,0,0,0,2022-01-17
RX0000015877,MBR00000433,2023-02-01,2023-02-05,1623006275,1357369856,PLN2504,348502,PCN512,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,54,8,Retail,0,0,0,28.0,3.03,31.03,8.0,21.97,1.06,0.56,0.3967,0,0,0,0,2023-04-02
RX0000015878,MBR00000433,2023-04-16,2023-04-20,1175295739,1858986276,PLN7167,524098,PCN507,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,93,8,Retail,0,0,0,36.0,6.27,42.27,5.0,35.3,1.97,0.48,0.34,0,0,0,0,2023-07-15
RX0000015879,MBR00000433,2021-05-15,2021-05-18,1231724779,1200559237,PLN7151,607150,PCN990,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,6,4,Mail Order,2,0,0,40.83,7.31,48.14,34.0,11.41,2.73,7.0,4.9583,0,0,0,0,2021-05-22
RX0000015880,MBR00000433,2022-11-19,2022-11-21,1455816581,1856854462,PLN1763,128489,PCN758,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,86,11,Retail,2,0,0,1950.0,5.74,1955.74,36.0,1846.34,73.4,26.0,18.4167,0,0,0,0,2023-02-17
RX0000015881,MBR00000433,2021-03-08,2021-03-11,1837396867,1713086173,PLN6265,835743,PCN237,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,9,Retail,0,1,0,8500.0,9.92,8509.92,148.0,7963.43,398.49,340.0,240.8333,0,0,0,0,2021-04-07
RX0000015882,MBR00000433,2022-02-26,2022-03-01,1189493632,1625277697,PLN8409,728982,PCN880,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,11,Mail Order,0,0,0,14.0,3.48,17.48,9.0,7.76,0.72,0.56,0.3967,1,0,0,0,2022-03-28
RX0000015883,MBR00000433,2023-01-10,2023-01-14,1841828479,1979930047,PLN3685,218270,PCN132,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,10,Mail Order,0,0,0,10.0,6.8,16.8,2.0,13.97,0.83,0.4,0.2833,0,0,0,0,2023-02-09
RX0000015884,MBR00000433,2022-11-15,2022-11-17,1167323959,1404939108,PLN3947,993375,PCN646,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,86,10,Retail,0,0,0,36.0,5.26,41.26,6.0,33.27,1.99,0.48,0.34,0,0,0,0,2023-02-13
RX0000015885,MBR00000433,2021-04-25,2021-04-26,1201018335,1376791609,PLN1437,661999,PCN992,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,81,10,Retail,0,0,0,2850.0,2.86,2852.86,35.0,2701.14,116.72,38.0,26.9167,0,0,0,0,2021-07-24
RX0000015886,MBR00000433,2022-08-29,2022-09-01,1524049420,1312044407,PLN6867,368917,PCN928,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,3,Retail,0,0,0,750.0,2.82,752.82,33.0,687.63,32.19,30.0,21.25,0,0,0,0,2022-09-28
RX0000015887,MBR00000433,2021-04-30,2021-05-04,1808945383,1189514441,PLN6749,954147,PCN379,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,3,Retail,0,0,0,310.0,5.59,315.59,40.0,264.23,11.36,12.4,8.7833,0,0,0,0,2021-05-30
RX0000015888,MBR00000433,2022-07-04,2022-07-08,1323105375,1530541962,PLN3094,603868,PCN251,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,10,Mail Order,1,0,0,38.0,2.43,40.43,33.0,4.7,2.73,1.52,1.0767,0,0,0,0,2022-08-03
RX0000015889,MBR00000433,2021-10-11,2021-10-15,1607355631,1914673675,PLN1031,899991,PCN612,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,2,Retail,0,0,0,14.0,5.94,19.94,4.0,14.64,1.3,0.56,0.3967,0,0,0,0,2021-11-10
RX0000015890,MBR00000433,2023-04-20,2023-04-24,1989511752,1675421482,PLN7805,196636,PCN124,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,9,Mail Order,3,0,0,14.0,3.78,17.78,4.0,12.64,1.14,0.56,0.3967,0,0,0,0,2023-05-20
RX0000015891,MBR00000433,2021-06-18,2021-06-22,1972933470,1990096725,PLN2123,973300,PCN227,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,98,0,Retail,0,0,0,33.0,7.29,40.29,5.0,32.73,2.56,0.44,0.3117,0,0,0,0,2021-09-16
RX0000015892,MBR00000433,2023-07-12,2023-07-15,1166244391,1386933003,PLN8652,287553,PCN514,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,93,5,Mail Order,0,0,0,930.0,8.75,938.75,37.0,861.14,40.61,12.4,8.7833,0,0,0,0,2023-10-10
RX0000015893,MBR00000434,2023-08-06,2023-08-08,1841910387,1922961291,PLN6326,619131,PCN409,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,60,2,Retail,0,0,0,44.0,7.91,51.91,1.0,48.99,1.92,0.88,0.6233,0,0,0,0,2023-10-05
RX0000015894,MBR00000434,2023-12-16,2023-12-20,1137967373,1524636549,PLN6902,808195,PCN742,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,3,Retail,0,0,0,10.0,4.35,14.35,8.0,5.42,0.93,0.4,0.2833,0,0,0,0,2024-01-15
RX0000015895,MBR00000434,2021-10-03,2021-10-04,1491567228,1977034385,PLN5797,592666,PCN104,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,9,Retail,0,1,0,2800.0,5.94,2805.94,150.0,2479.37,176.57,112.0,79.3333,0,0,0,0,2021-11-02
RX0000015896,MBR00000434,2022-10-19,2022-10-23,1464206535,1905433363,PLN7280,510556,PCN807,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,11,Retail,0,0,0,27.0,9.1,36.1,4.0,30.16,1.94,0.36,0.255,0,0,0,0,2023-01-17
RX0000015897,MBR00000434,2022-04-22,2022-04-26,1839524220,1885178658,PLN2707,514332,PCN200,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,2,Retail,0,0,0,12.0,8.46,20.46,4.0,15.25,1.21,0.48,0.34,0,0,0,0,2022-05-22
RX0000015898,MBR00000434,2023-05-27,2023-05-30,1789604244,1250298886,PLN9604,587008,PCN232,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,96,4,Specialty,0,0,0,930.0,45.38,975.38,34.0,941.38,0.0,12.4,8.7833,0,0,0,0,2023-08-25
RX0000015899,MBR00000434,2021-07-14,2021-07-16,1648986921,1196317963,PLN9170,504814,PCN846,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,1,Specialty,0,0,0,370.0,38.69,408.69,37.0,371.69,0.0,14.8,10.4833,0,0,0,0,2021-08-13
RX0000015900,MBR00000434,2021-11-09,2021-11-13,1767213133,1377227251,PLN3105,118578,PCN720,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,2,Retail,0,0,0,12.0,8.79,20.79,5.0,14.55,1.24,0.48,0.34,0,0,0,0,2021-12-09
RX0000015901,MBR00000434,2022-01-23,2022-01-26,1129033423,1509518735,PLN7024,795771,PCN571,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,93,8,Retail,0,0,0,1110.0,5.69,1115.69,35.0,1033.27,47.42,14.8,10.4833,0,0,0,0,2022-04-23
RX0000015902,MBR00000434,2023-03-21,2023-03-23,1110222165,1561977314,PLN9996,925311,PCN696,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,1,Retail,0,1,0,8500.0,9.11,8509.11,145.0,7790.5,573.61,340.0,240.8333,0,0,0,0,2023-04-20
RX0000015903,MBR00000434,2023-08-31,2023-09-02,1610696777,1478375747,PLN2955,877559,PCN339,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,10,Retail,0,0,0,15.0,8.4,23.4,4.0,17.81,1.59,0.6,0.425,0,0,0,0,2023-09-30
RX0000015904,MBR00000434,2022-11-25,2022-11-27,1727668338,1536911361,PLN1159,159900,PCN457,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,6,Retail,0,0,0,14.0,7.32,21.32,5.0,15.61,0.71,0.56,0.3967,0,0,0,0,2022-12-25
RX0000015905,MBR00000434,2021-04-04,2021-04-07,1784958527,1694022419,PLN6879,101049,PCN792,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,93,11,Mail Order,0,0,0,195.0,9.42,204.42,32.0,158.61,13.81,2.6,1.8417,0,0,0,0,2021-07-03
RX0000015906,MBR00000434,2021-02-25,2021-02-28,1630843502,1909022996,PLN3361,103762,PCN622,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,97,0,Retail,0,0,0,54.0,10.91,64.91,5.0,57.44,2.47,0.72,0.51,0,0,0,0,2021-05-26
RX0000015907,MBR00000434,2023-11-01,2023-11-05,1677958032,1586603189,PLN7309,601634,PCN104,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,56,3,Mail Order,0,0,0,130.0,11.89,141.89,35.0,97.21,9.68,2.6,1.8417,0,0,0,0,2023-12-31
RX0000015908,MBR00000434,2023-06-01,2023-06-04,1797835271,1665634011,PLN9186,771124,PCN979,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,86,8,Retail,0,0,0,855.0,8.11,863.11,34.0,785.16,43.95,11.4,8.075,0,0,0,0,2023-08-30
RX0000015909,MBR00000434,2022-07-03,2022-07-04,1842924532,1577494012,PLN6064,790321,PCN921,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,0,Specialty,0,0,0,65.0,43.46,108.46,38.0,70.46,0.0,2.6,1.8417,0,0,0,0,2022-08-02
RX0000015910,MBR00000434,2021-03-24,2021-03-26,1799446855,1854223415,PLN3235,934040,PCN931,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,90,1,Mail Order,0,0,0,66.0,5.85,71.85,68.0,0.05,3.8,0.88,0.6233,0,0,0,0,2021-06-22
RX0000015911,MBR00000434,2022-09-27,2022-09-28,1659769367,1658873909,PLN4096,759409,PCN114,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,11,Retail,0,0,1,370.0,7.43,377.43,37.0,323.28,17.15,14.8,10.4833,1,0,0,0,2022-10-27
RX0000015912,MBR00000434,2023-06-14,2023-06-18,1551546781,1497968676,PLN9698,897157,PCN764,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,0,Retail,0,0,0,14.0,2.23,16.23,5.0,10.11,1.12,0.56,0.3967,0,0,0,0,2023-07-14
RX0000015913,MBR00000434,2021-01-16,2021-01-17,1366483355,1534188636,PLN2770,203153,PCN994,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,11,Retail,0,0,0,2.33,3.44,5.78,4.0,1.51,0.27,0.4,0.2833,0,0,0,0,2021-01-23
RX0000015914,MBR00000434,2023-08-18,2023-08-21,1705126007,1509784420,PLN3210,531413,PCN224,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,7,Retail,0,0,0,18.0,2.68,20.68,36.0,0.0,1.43,0.72,0.51,0,0,0,0,2023-09-17
RX0000015915,MBR00000434,2021-10-27,2021-10-29,1306671996,1121683624,PLN8415,746584,PCN243,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,5,Retail,0,1,0,12.0,8.34,20.34,152.0,0.0,1.05,0.48,0.34,0,0,0,0,2021-11-26
RX0000015916,MBR00000434,2023-06-23,2023-06-25,1273684453,1114068124,PLN5939,825057,PCN252,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,55,3,Retail,0,0,0,1900.0,9.57,1909.57,34.0,1781.42,94.15,38.0,26.9167,0,0,0,0,2023-08-22
RX0000015917,MBR00000434,2023-01-12,2023-01-14,1206851684,1213310759,PLN8647,876661,PCN143,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,7,Retail,0,0,0,310.0,11.54,321.54,32.0,276.54,13.0,12.4,8.7833,0,0,0,0,2023-02-11
RX0000015918,MBR00000434,2023-03-15,2023-03-18,1453785117,1710820069,PLN1208,627893,PCN713,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,83,1,Retail,0,0,0,1140.0,6.22,1146.22,36.0,1073.69,36.53,15.2,10.7667,0,0,0,0,2023-06-13
RX0000015919,MBR00000434,2021-07-22,2021-07-23,1191552334,1667255226,PLN4061,284592,PCN824,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,65,2,Retail,0,0,0,36.0,9.16,45.16,5.0,37.61,2.55,0.72,0.51,0,0,0,0,2021-09-20
RX0000015920,MBR00000434,2021-12-28,2021-12-29,1847330329,1457987230,PLN3473,591377,PCN530,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,6,Retail,0,0,0,15.0,3.24,18.24,4.0,13.26,0.98,0.6,0.425,0,0,0,0,2022-01-27
RX0000015921,MBR00000434,2023-06-17,2023-06-19,1667168392,1852945129,PLN4400,309387,PCN269,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,6,Retail,1,1,0,1983.33,6.79,1990.12,150.0,1702.74,137.38,340.0,240.8333,0,0,0,0,2023-06-24
RX0000015922,MBR00000434,2021-03-15,2021-03-17,1741213754,1265725664,PLN6016,390346,PCN597,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,4,Retail,0,0,0,380.0,11.17,391.17,37.0,332.32,21.85,15.2,10.7667,0,0,0,0,2021-04-14
RX0000015923,MBR00000434,2023-12-23,2023-12-26,1539545189,1919984158,PLN4871,406787,PCN509,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,81,1,Specialty,0,0,0,114.0,9.08,123.08,32.0,91.08,0.0,1.52,1.0767,1,0,0,0,2024-03-22
RX0000015924,MBR00000434,2021-11-25,2021-11-28,1190471531,1638484768,PLN5155,714852,PCN363,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,1,Retail,0,0,0,18.0,1.79,19.79,1.0,17.54,1.25,0.72,0.51,0,0,0,0,2021-12-25
RX0000015925,MBR00000434,2021-12-28,2021-12-30,1676552889,1527890657,PLN2938,462318,PCN324,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,0,Retail,0,0,0,15.0,7.51,22.51,5.0,16.02,1.49,0.6,0.425,0,0,0,0,2022-01-27
RX0000015926,MBR00000434,2023-12-26,2023-12-29,1137812479,1349911467,PLN4464,592152,PCN209,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,2,Retail,0,0,0,650.0,5.9,655.9,37.0,598.09,20.81,26.0,18.4167,0,0,0,0,2024-01-25
RX0000015927,MBR00000434,2022-06-17,2022-06-18,1773438371,1844063655,PLN6452,811507,PCN558,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,87,0,Retail,3,0,0,135.0,8.09,143.09,7.0,131.71,4.38,1.8,1.275,0,0,0,0,2022-09-15
RX0000015928,MBR00000434,2021-05-03,2021-05-07,1831278385,1472722355,PLN1019,603644,PCN965,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,1,Specialty,0,0,0,88.67,32.04,120.7,39.0,81.7,0.0,15.2,10.7667,0,0,0,0,2021-05-10
RX0000015929,MBR00000434,2023-05-16,2023-05-17,1753156316,1940104508,PLN6555,951916,PCN491,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,94,10,Mail Order,0,0,0,42.0,3.55,45.55,1.0,42.37,2.18,0.56,0.3967,1,0,0,0,2023-08-14
RX0000015930,MBR00000434,2022-09-01,2022-09-05,1558953232,1482190669,PLN7878,586455,PCN462,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,55,2,Mail Order,0,0,0,20.0,5.4,25.4,4.0,19.97,1.43,0.4,0.2833,0,0,0,0,2022-10-31
RX0000015931,MBR00000434,2021-02-20,2021-02-24,1720176082,1819774363,PLN8138,168619,PCN569,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,0,Retail,0,0,0,2.1,3.37,5.47,8.0,0.0,0.36,0.36,0.255,0,0,0,0,2021-02-27
RX0000015932,MBR00000434,2021-12-18,2021-12-20,1565696438,1329577399,PLN6836,183164,PCN563,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,5,Mail Order,0,0,0,16.0,7.25,23.25,5.0,17.19,1.06,0.64,0.4533,0,0,0,0,2022-01-17
RX0000015933,MBR00000434,2021-07-09,2021-07-13,1134550301,1724484540,PLN5525,773701,PCN730,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,65,9,Retail,0,0,0,760.0,1.67,761.67,36.0,679.29,46.38,15.2,10.7667,0,0,0,0,2021-09-07
RX0000015934,MBR00000434,2022-11-23,2022-11-26,1153669824,1791697365,PLN4834,614122,PCN714,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,8,Retail,2,0,0,2.1,3.21,5.31,6.0,0.0,0.2,0.36,0.255,0,0,0,0,2022-11-30
RX0000015935,MBR00000434,2022-01-18,2022-01-22,1419269280,1550195095,PLN6300,169378,PCN927,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,92,7,Retail,0,0,0,25.5,10.64,36.14,6.0,27.66,2.48,0.34,0.2408,0,0,0,0,2022-04-18
RX0000015936,MBR00000434,2021-07-12,2021-07-13,1740379443,1238164646,PLN3239,984745,PCN584,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,65,4,LTC,0,0,0,76.0,3.74,79.74,9.0,65.96,4.78,1.52,1.0767,0,0,0,0,2021-09-10
RX0000015937,MBR00000434,2022-04-12,2022-04-13,1351122137,1782425483,PLN8495,814445,PCN270,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,0,Retail,0,0,0,9.0,11.85,20.85,2.0,17.83,1.02,0.36,0.255,0,0,0,0,2022-05-12
RX0000015938,MBR00000434,2023-03-15,2023-03-18,1271189290,1336664051,PLN7234,439588,PCN221,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,9,Mail Order,0,0,0,380.0,3.73,383.73,38.0,326.33,19.4,15.2,10.7667,0,0,0,0,2023-04-14
RX0000015939,MBR00000434,2021-12-12,2021-12-16,1505441749,1791770949,PLN6075,263791,PCN790,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,4,Mail Order,0,0,0,43.17,10.31,53.48,31.0,20.25,2.23,7.4,5.2417,0,0,0,0,2021-12-19
RX0000015940,MBR00000434,2021-03-27,2021-03-30,1537926407,1239917222,PLN8364,294478,PCN988,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,9,Specialty,1,0,0,2.92,27.19,30.11,0.0,30.11,0.0,0.5,0.3542,0,0,0,0,2021-04-03
RX0000015941,MBR00000434,2022-12-09,2022-12-10,1581320239,1330920968,PLN2170,168753,PCN786,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,3,Mail Order,0,0,0,12.5,11.66,24.16,8.0,14.49,1.67,0.5,0.3542,0,0,0,0,2023-01-08
RX0000015942,MBR00000434,2023-12-11,2023-12-12,1915580613,1627816197,PLN2908,542860,PCN814,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,1,Retail,0,0,0,10.5,7.66,18.16,9.0,8.56,0.6,1.8,1.275,0,0,0,0,2023-12-18
RX0000015943,MBR00000434,2022-06-05,2022-06-06,1432178463,1541397332,PLN8146,199566,PCN144,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,2,Mail Order,0,0,0,2.33,3.94,6.27,0.0,5.96,0.31,0.4,0.2833,1,0,0,0,2022-06-12
RX0000015944,MBR00000434,2021-12-03,2021-12-06,1211766668,1459865581,PLN9426,866076,PCN317,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,1,Retail,0,0,0,36.0,8.6,44.6,0.0,42.69,1.91,0.48,0.34,0,0,0,0,2022-03-03
RX0000015945,MBR00000434,2023-11-14,2023-11-18,1230751446,1763757787,PLN8686,868342,PCN709,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,7,2,Retail,0,0,0,3.5,5.62,9.12,3.0,5.76,0.36,0.6,0.425,0,0,0,0,2023-11-21
RX0000015946,MBR00000434,2022-08-15,2022-08-18,1377369675,1311787492,PLN8886,937126,PCN702,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,10,Mail Order,0,0,0,175.0,10.95,185.95,33.0,146.79,6.16,7.0,4.9583,0,0,0,0,2022-09-14
RX0000015947,MBR00000434,2023-09-28,2023-09-29,1921767759,1548745564,PLN7142,314343,PCN982,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,9,Retail,0,0,0,45.0,7.76,52.76,3.0,47.79,1.97,1.8,1.275,0,0,0,0,2023-10-28
RX0000015948,MBR00000434,2023-08-25,2023-08-28,1182633768,1137000457,PLN7270,234109,PCN939,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,7,Mail Order,0,0,0,38.0,7.51,45.51,4.0,39.82,1.69,1.52,1.0767,0,0,0,0,2023-09-24
RX0000015949,MBR00000435,2023-08-22,2023-08-23,1119995279,1398062312,PLN7885,461410,PCN808,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,2,Mail Order,0,0,0,3.5,3.69,7.19,10.0,0.0,0.33,0.6,0.425,0,0,0,0,2023-08-29
RX0000015950,MBR00000435,2021-09-04,2021-09-05,1205320363,1842164250,PLN8002,701113,PCN545,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,93,2,Retail,0,0,0,54.0,10.27,64.27,39.0,23.29,1.98,0.72,0.51,0,0,0,0,2021-12-03
RX0000015951,MBR00000435,2023-11-03,2023-11-07,1886612528,1512755996,PLN7895,658229,PCN262,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,97,5,Specialty,0,0,0,45.0,20.48,65.48,4.0,61.48,0.0,0.6,0.425,1,0,0,0,2024-02-01
RX0000015952,MBR00000435,2022-03-31,2022-04-02,1852651439,1936062308,PLN5451,312684,PCN989,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,4,Retail,0,0,0,650.0,8.24,658.24,38.0,592.86,27.38,26.0,18.4167,0,0,0,0,2022-04-30
RX0000015953,MBR00000435,2023-11-17,2023-11-18,1502062139,1837493860,PLN7656,127173,PCN590,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,4,Retail,0,0,0,185.0,11.01,196.01,33.0,155.72,7.29,7.4,5.2417,0,0,0,0,2023-12-17
RX0000015954,MBR00000435,2023-02-16,2023-02-19,1429554156,1133546770,PLN7811,695654,PCN151,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,65,10,Retail,0,1,0,24.0,3.54,27.54,145.0,0.0,0.91,0.48,0.34,0,0,0,0,2023-04-17
RX0000015955,MBR00000435,2022-04-16,2022-04-18,1821285677,1483079696,PLN6857,687682,PCN849,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,6,6,Specialty,0,0,0,4.2,34.6,38.8,1.0,37.8,0.0,0.72,0.51,0,0,0,0,2022-04-23
RX0000015956,MBR00000435,2021-12-26,2021-12-28,1812493052,1153750444,PLN1677,708069,PCN564,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,10,Retail,0,0,0,16.0,11.26,27.26,6.0,19.73,1.53,0.64,0.4533,0,0,0,0,2022-01-25
RX0000015957,MBR00000435,2021-03-16,2021-03-20,1822218135,1198320513,PLN7372,110234,PCN452,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,11,Specialty,0,0,0,285.0,15.31,300.31,34.0,266.31,0.0,11.4,8.075,0,0,0,0,2021-04-15
RX0000015958,MBR00000435,2022-05-02,2022-05-05,1940983239,1992563377,PLN5822,323579,PCN440,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,10,Retail,0,0,0,14.0,9.88,23.88,10.0,12.46,1.42,0.56,0.3967,0,0,0,0,2022-06-01
RX0000015959,MBR00000435,2023-10-16,2023-10-18,1371619261,1358288648,PLN1614,850895,PCN543,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,6,Retail,0,1,0,6200.0,7.98,6207.98,152.0,5764.0,291.98,248.0,175.6667,1,0,0,0,2023-11-15
RX0000015960,MBR00000435,2023-04-04,2023-04-07,1302744827,1966539168,PLN9171,241526,PCN355,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,32,2,Retail,0,0,0,7.5,2.45,9.95,8.0,1.62,0.33,0.3,0.2125,1,0,0,0,2023-05-04
RX0000015961,MBR00000435,2021-04-19,2021-04-22,1855272422,1726099931,PLN9836,897836,PCN170,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,85,0,Retail,1,1,0,25500.0,6.77,25506.77,153.0,24206.04,1147.73,340.0,240.8333,0,0,0,0,2021-07-18
RX0000015962,MBR00000435,2022-07-02,2022-07-06,1510958542,1544895294,PLN1065,868964,PCN489,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,95,5,Retail,0,0,0,114.0,1.99,115.99,9.0,99.44,7.55,1.52,1.0767,0,0,0,0,2022-09-30
RX0000015963,MBR00000435,2023-07-08,2023-07-10,1523809967,1346109307,PLN6946,977286,PCN264,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,11,LTC,0,0,0,16.0,4.08,20.08,9.0,9.75,1.33,0.64,0.4533,0,0,0,0,2023-08-07
RX0000015964,MBR00000435,2021-07-15,2021-07-18,1239922395,1320121932,PLN6174,962980,PCN777,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,6,Retail,0,0,0,18.0,4.69,22.69,7.0,14.74,0.95,0.72,0.51,0,0,0,0,2021-08-14
RX0000015965,MBR00000435,2023-12-28,2023-12-31,1611345248,1517262825,PLN4620,983742,PCN416,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,1,Retail,0,0,0,65.0,5.27,70.27,39.0,28.92,2.35,2.6,1.8417,0,0,0,0,2024-01-27
RX0000015966,MBR00000436,2022-05-21,2022-05-24,1640884806,1265073949,PLN2988,174922,PCN704,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,32,0,Mail Order,0,0,0,8.5,10.14,18.64,4.0,13.43,1.21,0.34,0.2408,0,0,0,0,2022-06-20
RX0000015967,MBR00000436,2023-02-21,2023-02-25,1730411933,1525510908,PLN6923,679225,PCN574,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,9,Retail,0,0,0,10.0,2.04,12.04,8.0,3.58,0.46,0.4,0.2833,0,0,0,0,2023-03-23
RX0000015968,MBR00000436,2021-01-11,2021-01-14,1799290343,1593727518,PLN1088,225568,PCN537,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,8,Retail,0,0,0,38.0,5.74,43.74,10.0,31.81,1.93,1.52,1.0767,0,0,0,0,2021-02-10
RX0000015969,MBR00000436,2023-01-15,2023-01-17,1478273651,1617972506,PLN6664,640183,PCN218,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,7,Retail,0,0,0,15.0,11.06,26.06,9.0,15.8,1.26,0.6,0.425,0,0,0,0,2023-02-14
RX0000015970,MBR00000436,2022-01-17,2022-01-18,1352888872,1477498360,PLN8035,885950,PCN533,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,5,Specialty,0,0,0,10.0,48.16,58.16,10.0,48.16,0.0,0.4,0.2833,0,0,0,0,2022-02-16
RX0000015971,MBR00000436,2022-11-27,2022-11-29,1220258721,1554858266,PLN2264,553230,PCN832,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,83,4,Mail Order,0,0,0,930.0,5.26,935.26,38.0,850.76,46.5,12.4,8.7833,0,0,0,0,2023-02-25
RX0000015972,MBR00000436,2021-04-11,2021-04-15,1171215940,1179789713,PLN7896,202787,PCN636,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,9,Mail Order,0,0,0,2.8,3.78,6.58,8.0,0.0,0.27,0.48,0.34,0,0,0,0,2021-04-18
RX0000015973,MBR00000436,2022-02-13,2022-02-15,1967648523,1632093766,PLN8710,581243,PCN458,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,84,2,Mail Order,0,0,0,990.0,8.82,998.82,31.0,899.48,68.34,13.2,9.35,0,1,1,0,2022-05-14
RX0000015974,MBR00000436,2021-12-28,2021-12-29,1227614072,1869755774,PLN6632,615274,PCN560,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,10,Retail,0,0,0,380.0,6.81,386.81,33.0,335.29,18.52,15.2,10.7667,0,0,0,0,2022-01-27
RX0000015975,MBR00000436,2023-01-12,2023-01-13,1868807782,1146060660,PLN7881,575474,PCN460,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,9,Retail,0,0,0,9.0,11.31,20.31,1.0,17.93,1.38,0.36,0.255,0,0,0,0,2023-02-11
RX0000015976,MBR00000436,2022-04-08,2022-04-11,1806512269,1685393285,PLN5911,922429,PCN327,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,8,Mail Order,0,0,0,15.0,6.67,21.67,3.0,17.84,0.83,0.6,0.425,0,0,0,0,2022-05-08
RX0000015977,MBR00000436,2021-12-21,2021-12-24,1303780599,1295785809,PLN2872,961728,PCN739,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,6,Retail,0,0,0,22.0,5.61,27.61,1.0,25.63,0.98,0.88,0.6233,0,0,0,0,2022-01-20
RX0000015978,MBR00000436,2021-06-01,2021-06-04,1646206302,1721691496,PLN9649,709621,PCN414,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,1,Mail Order,2,0,0,10.0,7.57,17.57,7.0,9.54,1.03,0.4,0.2833,0,0,0,0,2021-07-01
RX0000015979,MBR00000436,2023-03-16,2023-03-19,1974103985,1471765666,PLN5325,800928,PCN617,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,62,7,Retail,0,0,0,30.0,8.03,38.03,10.0,26.81,1.22,0.6,0.425,1,0,0,0,2023-05-15
RX0000015980,MBR00000436,2023-10-14,2023-10-16,1932517271,1409738873,PLN6024,333791,PCN883,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,6,Retail,2,0,0,10.0,8.12,18.12,6.0,10.88,1.24,0.4,0.2833,0,0,0,0,2023-11-13
RX0000015981,MBR00000436,2023-09-19,2023-09-23,1509197054,1165179689,PLN4007,856026,PCN912,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,8,Specialty,0,0,0,12.0,9.95,21.95,5.0,16.95,0.0,0.48,0.34,0,0,0,0,2023-10-19
RX0000015982,MBR00000436,2022-01-03,2022-01-06,1758383552,1929262885,PLN9523,673420,PCN530,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,2,Retail,0,0,0,185.0,10.81,195.81,37.0,151.85,6.96,7.4,5.2417,0,0,0,0,2022-02-02
RX0000015983,MBR00000436,2021-12-09,2021-12-12,1793646524,1640202241,PLN3353,348670,PCN913,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,1,Retail,0,0,0,18.0,1.54,19.54,4.0,14.56,0.98,0.72,0.51,0,0,0,0,2022-01-08
RX0000015984,MBR00000436,2022-08-07,2022-08-11,1996127806,1337186964,PLN4205,113859,PCN144,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,3,Retail,0,1,0,8500.0,9.16,8509.16,149.0,7825.22,534.94,340.0,240.8333,0,0,0,0,2022-09-06
RX0000015985,MBR00000436,2022-11-05,2022-11-07,1157608963,1731898685,PLN2328,328466,PCN687,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,6,Retail,0,0,0,9.0,8.67,17.67,2.0,14.55,1.12,0.36,0.255,0,0,0,0,2022-12-05
RX0000015986,MBR00000436,2023-09-22,2023-09-23,1273012051,1622820020,PLN6364,357397,PCN671,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,81,0,Retail,0,0,0,1440.0,3.13,1443.13,32.0,1318.98,92.15,19.2,13.6,0,0,0,0,2023-12-21
RX0000015987,MBR00000437,2022-10-16,2022-10-18,1126276628,1636681949,PLN3905,557329,PCN130,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,8,Retail,0,0,0,15.0,2.09,17.09,0.0,16.4,0.69,0.6,0.425,0,0,0,0,2022-11-15
RX0000015988,MBR00000437,2022-08-02,2022-08-03,1917081412,1798463160,PLN2947,610464,PCN506,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,8,Retail,0,0,0,28.0,2.47,30.47,4.0,24.58,1.89,1.12,0.7933,1,0,0,0,2022-09-01
RX0000015989,MBR00000437,2023-07-09,2023-07-10,1334815376,1745008360,PLN3230,861534,PCN230,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,7,Retail,0,1,0,6200.0,11.56,6211.56,149.0,5690.1,372.46,248.0,175.6667,1,0,0,0,2023-08-08
RX0000015990,MBR00000437,2021-06-16,2021-06-17,1361778490,1637340367,PLN1259,850466,PCN196,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,10,Retail,1,0,0,10.0,10.76,20.76,8.0,11.64,1.12,0.4,0.2833,0,0,0,0,2021-07-16
RX0000015991,MBR00000437,2023-03-18,2023-03-20,1397724785,1976506151,PLN5594,481214,PCN142,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,4,Specialty,0,0,0,370.0,23.6,393.6,36.0,357.6,0.0,14.8,10.4833,0,0,0,0,2023-04-17
RX0000015992,MBR00000437,2021-06-09,2021-06-10,1360643277,1974830031,PLN3289,827468,PCN650,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,3,Retail,0,0,0,11.0,6.61,17.61,10.0,6.52,1.09,0.44,0.3117,0,0,0,0,2021-07-09
RX0000015993,MBR00000437,2021-07-01,2021-07-03,1852528104,1973969548,PLN6610,433422,PCN952,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,10,Retail,0,0,0,22.0,2.18,24.18,70.0,0.0,1.1,0.88,0.6233,0,0,0,0,2021-07-31
RX0000015994,MBR00000437,2021-05-12,2021-05-13,1963174789,1501371513,PLN8433,244688,PCN555,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,9,Retail,0,0,0,43.17,4.01,47.18,34.0,11.7,1.48,7.4,5.2417,0,0,0,0,2021-05-19
RX0000015995,MBR00000437,2022-01-02,2022-01-06,1536072317,1229924543,PLN9774,182343,PCN954,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,8,Retail,1,0,0,380.0,8.9,388.9,31.0,336.9,21.0,15.2,10.7667,0,0,0,0,2022-02-01
RX0000015996,MBR00000437,2022-01-28,2022-01-31,1118965717,1217454821,PLN4883,611351,PCN706,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,9,Mail Order,1,0,0,18.0,2.49,20.49,8.0,11.75,0.74,0.72,0.51,0,0,0,0,2022-02-27
RX0000015997,MBR00000437,2023-05-23,2023-05-27,1967902078,1823643047,PLN8163,726457,PCN504,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,61,5,Retail,0,0,0,90.0,9.71,99.71,4.0,88.82,6.89,1.8,1.275,0,0,0,0,2023-07-22
RX0000015998,MBR00000437,2023-10-30,2023-11-01,1217156656,1318632063,PLN2943,539982,PCN350,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,11,Specialty,0,0,0,14.0,47.46,61.46,1.0,60.46,0.0,0.56,0.3967,0,0,0,0,2023-11-29
RX0000015999,MBR00000437,2023-05-17,2023-05-21,1262085220,1374181515,PLN5627,695477,PCN460,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,7,Retail,0,0,0,380.0,9.14,389.14,39.0,327.84,22.3,15.2,10.7667,0,0,0,0,2023-06-16
RX0000016000,MBR00000437,2023-09-18,2023-09-22,1565195987,1958589140,PLN2055,974958,PCN448,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,11,Retail,0,1,1,2800.0,10.3,2810.3,147.0,2476.56,186.74,112.0,79.3333,0,0,0,0,2023-10-18
RX0000016001,MBR00000437,2021-12-15,2021-12-16,1727506965,1481416659,PLN2259,524127,PCN414,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,98,5,Mail Order,0,0,0,30.0,4.58,34.58,7.0,26.04,1.54,0.4,0.2833,0,0,0,0,2022-03-15
RX0000016002,MBR00000437,2022-12-17,2022-12-19,1862188978,1517949240,PLN5088,695644,PCN624,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,0,Retail,0,0,0,1.75,2.25,4.0,6.0,0.0,0.17,0.3,0.2125,0,1,0,0,2022-12-24
RX0000016003,MBR00000437,2022-01-13,2022-01-14,1304406198,1681762844,PLN4974,791795,PCN559,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,9,Retail,2,1,0,6200.0,11.93,6211.93,145.0,5705.08,361.85,248.0,175.6667,0,0,0,0,2022-02-12
RX0000016004,MBR00000437,2022-09-30,2022-10-03,1779614886,1145605810,PLN4471,172972,PCN567,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,81,0,Retail,0,0,0,84.0,2.97,86.97,9.0,72.53,5.44,1.12,0.7933,0,0,0,0,2022-12-29
RX0000016005,MBR00000437,2023-07-01,2023-07-04,1619399945,1190906693,PLN6049,146661,PCN655,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,1,Mail Order,0,0,0,10.0,7.02,17.02,2.0,14.13,0.89,0.4,0.2833,0,1,0,0,2023-07-31
RX0000016006,MBR00000437,2023-11-08,2023-11-11,1820453896,1387366594,PLN9108,310846,PCN463,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,2,Mail Order,0,0,0,2.33,2.32,4.65,1.0,3.44,0.21,0.4,0.2833,0,0,0,0,2023-11-15
RX0000016007,MBR00000438,2021-11-25,2021-11-26,1799475635,1128323451,PLN4584,183480,PCN739,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,97,6,Retail,0,0,0,36.0,11.59,47.59,3.0,43.01,1.58,0.48,0.34,0,0,0,0,2022-02-23
RX0000016008,MBR00000438,2022-03-20,2022-03-23,1192140998,1996274863,PLN4059,215450,PCN985,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,96,9,Retail,0,0,0,30.0,5.54,35.54,6.0,27.86,1.68,0.4,0.2833,0,0,0,0,2022-06-18
RX0000016009,MBR00000438,2023-05-16,2023-05-17,1918070409,1234115985,PLN9692,933720,PCN860,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,5,Retail,0,0,0,18.0,7.57,25.57,6.0,17.84,1.73,0.72,0.51,0,0,0,0,2023-06-15
RX0000016010,MBR00000438,2023-11-25,2023-11-26,1368696857,1297713872,PLN5346,813586,PCN591,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,87,0,Mail Order,0,0,0,54.0,4.0,58.0,35.0,19.6,3.4,0.72,0.51,0,0,0,0,2024-02-23
RX0000016011,MBR00000438,2022-07-23,2022-07-24,1692165922,1361727624,PLN8951,444457,PCN821,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,4,Retail,0,0,0,310.0,1.74,311.74,33.0,266.28,12.46,12.4,8.7833,0,0,0,0,2022-08-22
RX0000016012,MBR00000438,2023-10-02,2023-10-03,1535176209,1939139007,PLN5689,616457,PCN297,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,98,8,Specialty,0,0,0,555.0,11.24,566.24,35.0,531.24,0.0,7.4,5.2417,0,0,0,0,2023-12-31
RX0000016013,MBR00000438,2022-11-10,2022-11-14,1199693897,1352636283,PLN6960,632005,PCN573,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,1,Retail,0,0,0,12.5,7.59,20.09,1.0,18.02,1.07,0.5,0.3542,0,0,0,0,2022-12-10
RX0000016014,MBR00000438,2022-06-10,2022-06-12,1829088832,1925915561,PLN2835,310188,PCN898,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,3,LTC,0,0,0,65.0,9.18,74.18,30.0,39.85,4.33,2.6,1.8417,0,0,0,0,2022-07-10
RX0000016015,MBR00000438,2021-12-30,2022-01-02,1709342511,1678987744,PLN9726,775668,PCN282,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,54,9,Mail Order,3,0,0,24.0,2.74,26.74,3.0,22.57,1.17,0.48,0.34,0,0,0,0,2022-02-28
RX0000016016,MBR00000438,2023-07-17,2023-07-19,1934402881,1758354650,PLN2861,637582,PCN696,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,11,Mail Order,0,0,0,12.0,9.96,21.96,4.0,17.16,0.8,0.48,0.34,0,0,0,0,2023-08-16
RX0000016017,MBR00000438,2021-07-28,2021-07-31,1859288796,1135884872,PLN3414,164147,PCN244,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,9,Retail,0,0,0,27.0,6.02,33.02,9.0,22.47,1.55,0.36,0.255,0,0,0,0,2021-10-26
RX0000016018,MBR00000438,2022-08-19,2022-08-23,1224835755,1391729575,PLN4597,466613,PCN781,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,9,Mail Order,0,0,1,3.27,8.27,11.54,5.0,6.17,0.37,0.56,0.3967,0,0,0,0,2022-08-26
RX0000016019,MBR00000438,2023-03-11,2023-03-13,1882772872,1308021837,PLN6161,307970,PCN159,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,10,Retail,0,0,0,9.0,6.1,15.1,7.0,7.17,0.93,0.36,0.255,0,0,0,0,2023-04-10
RX0000016020,MBR00000438,2021-12-18,2021-12-21,1273928938,1101316616,PLN8271,672893,PCN517,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,7,7,Mail Order,0,0,0,2.1,2.48,4.58,2.0,2.31,0.27,0.36,0.255,0,0,0,0,2021-12-25
RX0000016021,MBR00000438,2023-03-09,2023-03-12,1268330141,1994147264,PLN9297,856718,PCN135,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,86,4,Retail,0,0,0,33.0,5.16,38.16,6.0,29.5,2.66,0.44,0.3117,0,0,0,0,2023-06-07
RX0000016022,MBR00000438,2022-07-14,2022-07-15,1987416064,1887141340,PLN8797,851489,PCN168,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,55,3,Mail Order,0,0,0,570.0,7.81,577.81,40.0,499.65,38.16,11.4,8.075,0,0,0,0,2022-09-12
RX0000016023,MBR00000438,2021-11-10,2021-11-13,1510164055,1417429847,PLN1357,262538,PCN421,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,0,Retail,0,0,0,285.0,4.66,289.66,40.0,230.0,19.66,11.4,8.075,0,0,0,0,2021-12-10
RX0000016024,MBR00000438,2023-10-30,2023-11-01,1277412472,1463878113,PLN5950,660691,PCN130,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,9,Retail,0,0,0,650.0,10.41,660.41,32.0,601.11,27.3,26.0,18.4167,0,0,0,0,2023-11-29
RX0000016025,MBR00000438,2021-01-04,2021-01-05,1758595538,1431411488,PLN5916,730086,PCN572,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,92,11,Retail,0,0,0,84.0,3.2,87.2,4.0,80.26,2.94,1.12,0.7933,0,0,0,0,2021-04-04
RX0000016026,MBR00000438,2023-09-05,2023-09-09,1279498503,1789398065,PLN3228,371406,PCN525,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,56,1,Retail,2,0,0,20.0,4.45,24.45,4.0,19.36,1.09,0.4,0.2833,0,0,0,0,2023-11-04
RX0000016027,MBR00000438,2021-07-04,2021-07-06,1492536583,1723638431,PLN1171,806142,PCN569,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,5,Retail,0,1,0,8.0,7.38,15.38,145.0,0.0,1.06,0.32,0.2267,0,0,0,0,2021-08-03
RX0000016028,MBR00000438,2021-03-31,2021-04-04,1110913238,1837767889,PLN5631,242591,PCN229,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,7,Mail Order,0,0,0,10.0,10.66,20.66,10.0,9.79,0.87,0.4,0.2833,1,0,0,0,2021-04-30
RX0000016029,MBR00000438,2021-12-20,2021-12-21,1452156568,1546449046,PLN1854,675331,PCN440,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,91,9,Mail Order,0,0,0,36.0,3.69,39.69,5.0,32.6,2.09,0.48,0.34,0,0,0,0,2022-03-20
RX0000016030,MBR00000438,2021-06-23,2021-06-27,1722121427,1304212025,PLN2225,478535,PCN855,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,4,Retail,0,0,0,10.0,4.47,14.47,0.0,13.75,0.72,0.4,0.2833,0,0,0,0,2021-07-23
RX0000016031,MBR00000438,2021-01-20,2021-01-22,1824420459,1277721305,PLN6366,223490,PCN930,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,95,1,Specialty,0,0,0,30.0,45.56,75.56,7.0,68.56,0.0,0.4,0.2833,0,0,0,0,2021-04-20
RX0000016032,MBR00000438,2023-06-06,2023-06-10,1711870944,1501145770,PLN1045,493008,PCN263,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,9,Mail Order,0,0,0,28.0,6.01,34.01,6.0,25.73,2.28,1.12,0.7933,0,0,0,0,2023-07-06
RX0000016033,MBR00000438,2022-05-13,2022-05-16,1217125273,1911624791,PLN8105,453229,PCN283,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,7,Retail,0,0,0,112.0,9.12,121.12,31.0,86.15,3.97,19.2,13.6,0,0,0,0,2022-05-20
RX0000016034,MBR00000438,2023-04-17,2023-04-20,1259291202,1480116141,PLN2997,820596,PCN336,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,8,Mail Order,0,0,0,16.0,9.06,25.06,6.0,17.8,1.26,0.64,0.4533,0,0,0,0,2023-05-17
RX0000016035,MBR00000438,2021-07-22,2021-07-26,1897182366,1670957346,PLN3390,371360,PCN703,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,6,Mail Order,3,1,0,6200.0,3.3,6203.3,153.0,5841.4,208.9,248.0,175.6667,0,0,0,0,2021-08-21
RX0000016036,MBR00000438,2021-12-27,2021-12-31,1310700348,1764950441,PLN6668,228043,PCN856,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,4,Specialty,0,0,0,22.0,33.51,55.51,9.0,46.51,0.0,0.88,0.6233,0,0,0,0,2022-01-26
RX0000016037,MBR00000438,2021-07-09,2021-07-11,1382274779,1415418387,PLN9998,817951,PCN447,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,83,0,Mail Order,0,0,0,555.0,6.38,561.38,30.0,510.43,20.95,7.4,5.2417,0,0,0,0,2021-10-07
RX0000016038,MBR00000438,2023-12-05,2023-12-07,1364300290,1517876738,PLN4331,826781,PCN114,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,8,Retail,0,0,0,750.0,11.37,761.37,38.0,691.2,32.17,30.0,21.25,0,0,0,0,2024-01-04
RX0000016039,MBR00000438,2021-12-14,2021-12-18,1446427266,1119208464,PLN7464,320239,PCN661,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,11,Retail,0,0,0,185.0,9.08,194.08,32.0,152.24,9.84,7.4,5.2417,1,0,0,0,2022-01-13
RX0000016040,MBR00000438,2023-10-28,2023-10-31,1962927878,1203292921,PLN9948,677417,PCN426,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,1,Specialty,0,0,0,10.0,15.01,25.01,0.0,25.01,0.0,0.4,0.2833,0,0,0,0,2023-11-27
RX0000016041,MBR00000439,2022-04-27,2022-04-30,1607105772,1402932657,PLN8399,467607,PCN137,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,86,0,Mail Order,0,0,0,27.0,7.28,34.28,0.0,32.32,1.96,0.36,0.255,0,0,0,0,2022-07-26
RX0000016042,MBR00000439,2021-05-07,2021-05-10,1329835817,1705298250,PLN1098,224585,PCN815,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,2,Retail,0,0,0,11.0,1.86,12.86,0.0,12.44,0.42,0.44,0.3117,1,0,0,0,2021-06-06
RX0000016043,MBR00000439,2021-10-17,2021-10-21,1596056360,1940224581,PLN3537,677324,PCN907,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,11,Retail,0,0,0,12.0,2.85,14.85,3.0,11.15,0.7,0.48,0.34,0,0,0,0,2021-11-16
RX0000016044,MBR00000439,2023-12-08,2023-12-10,1842653257,1747019670,PLN1433,155752,PCN138,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,6,Retail,0,0,0,38.0,6.61,44.61,2.0,40.9,1.71,1.52,1.0767,0,0,0,0,2024-01-07
RX0000016045,MBR00000439,2023-07-28,2023-07-30,1721818117,1829651575,PLN2572,673824,PCN676,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,7,7,1,Retail,0,0,0,3.27,8.85,12.12,10.0,1.34,0.78,0.56,0.3967,0,0,0,0,2023-08-04
RX0000016046,MBR00000439,2023-09-12,2023-09-16,1627088209,1829800407,PLN2753,809588,PCN762,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,97,1,Mail Order,0,0,0,30.0,2.63,32.63,10.0,21.6,1.03,0.4,0.2833,0,0,0,0,2023-12-11
RX0000016047,MBR00000439,2023-01-27,2023-01-30,1721249101,1277111198,PLN9066,950296,PCN523,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,7,Specialty,0,0,0,330.0,43.64,373.64,38.0,335.64,0.0,13.2,9.35,0,0,0,0,2023-02-26
RX0000016048,MBR00000439,2023-03-19,2023-03-22,1999138372,1586592322,PLN2649,943321,PCN780,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,4,Retail,0,0,0,320.0,4.66,324.66,37.0,264.95,22.71,12.8,9.0667,0,0,0,0,2023-04-18
RX0000016049,MBR00000439,2023-08-31,2023-09-03,1114982124,1500734552,PLN5867,867975,PCN932,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,11,Mail Order,1,0,0,480.0,6.05,486.05,31.0,427.24,27.81,19.2,13.6,0,0,0,0,2023-09-30
RX0000016050,MBR00000439,2022-05-08,2022-05-09,1189576907,1360993962,PLN7099,916182,PCN773,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,98,10,Mail Order,0,0,0,2850.0,4.64,2854.64,34.0,2649.8,170.84,38.0,26.9167,0,1,1,0,2022-08-06
RX0000016051,MBR00000439,2021-08-06,2021-08-10,1653235718,1519103095,PLN1623,824147,PCN488,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,10,Retail,0,0,0,380.0,4.84,384.84,35.0,324.38,25.46,15.2,10.7667,0,0,0,0,2021-09-05
RX0000016052,MBR00000439,2021-12-23,2021-12-25,1521851255,1179201076,PLN3564,715792,PCN371,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,56,3,Retail,0,0,0,15.0,2.39,17.39,10.0,6.22,1.17,0.3,0.2125,0,0,0,0,2022-02-21
RX0000016053,MBR00000439,2023-08-29,2023-08-30,1840262351,1662385626,PLN5525,713382,PCN141,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,6,Specialty,0,0,0,16.0,48.18,64.18,1.0,63.18,0.0,0.64,0.4533,0,0,0,0,2023-09-28
RX0000016054,MBR00000439,2021-04-01,2021-04-02,1795012087,1846546276,PLN6824,253883,PCN908,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,2,Mail Order,0,0,0,12.0,8.8,20.8,9.0,11.13,0.67,0.48,0.34,0,0,0,0,2021-05-01
RX0000016055,MBR00000439,2022-08-21,2022-08-24,1102686251,1195079896,PLN1835,570062,PCN477,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,7,Retail,0,1,0,8500.0,1.83,8501.83,146.0,8098.02,257.81,340.0,240.8333,0,0,0,0,2022-09-20
RX0000016056,MBR00000439,2023-05-11,2023-05-14,1981885617,1333457516,PLN3288,952774,PCN708,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,90,7,Retail,0,0,0,30.0,5.92,35.92,2.0,31.96,1.96,0.4,0.2833,0,0,0,0,2023-08-09
RX0000016057,MBR00000439,2022-12-07,2022-12-09,1750057957,1909258806,PLN7997,977080,PCN108,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,10,Retail,0,0,0,10.0,4.91,14.91,8.0,6.21,0.7,0.4,0.2833,0,0,0,0,2023-01-06
RX0000016058,MBR00000439,2021-04-17,2021-04-19,1172304602,1108882344,PLN8579,764909,PCN732,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,4,Retail,0,1,0,1.87,8.61,10.48,154.0,0.0,0.72,0.32,0.2267,0,0,0,0,2021-04-24
RX0000016059,MBR00000439,2022-12-21,2022-12-23,1818798455,1894577505,PLN7595,737859,PCN753,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,9,Retail,0,0,0,86.33,2.13,88.46,33.0,51.55,3.91,14.8,10.4833,0,0,0,0,2022-12-28
RX0000016060,MBR00000439,2022-08-27,2022-08-28,1788804696,1532293772,PLN8512,687141,PCN180,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,6,Retail,0,1,0,653.33,8.35,661.68,154.0,478.95,28.73,112.0,79.3333,0,0,0,0,2022-09-03
RX0000016061,MBR00000439,2021-09-13,2021-09-16,1302087165,1427776755,PLN5777,952174,PCN613,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,59,9,Retail,0,0,0,960.0,5.12,965.12,32.0,892.7,40.42,19.2,13.6,0,0,0,0,2021-11-12
RX0000016062,MBR00000439,2021-10-27,2021-10-29,1244592847,1737099097,PLN9990,403887,PCN320,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,57,7,Specialty,0,0,0,20.0,28.02,48.02,5.0,43.02,0.0,0.4,0.2833,0,0,0,0,2021-12-26
RX0000016063,MBR00000439,2022-01-23,2022-01-27,1623049442,1375773210,PLN3514,422607,PCN316,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,11,Retail,0,1,0,6200.0,4.31,6204.31,146.0,5721.95,336.36,248.0,175.6667,0,0,0,0,2022-02-22
RX0000016064,MBR00000439,2021-05-03,2021-05-05,1511680330,1266255519,PLN9425,876886,PCN617,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,7,Mail Order,0,1,0,1983.33,8.91,1992.24,150.0,1715.11,127.13,340.0,240.8333,0,0,0,0,2021-05-10
RX0000016065,MBR00000439,2023-12-23,2023-12-27,1212380354,1609262292,PLN5696,783388,PCN797,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,86,11,Retail,0,0,0,135.0,7.07,142.07,7.0,130.13,4.94,1.8,1.275,0,0,0,0,2024-03-22
RX0000016066,MBR00000439,2022-01-18,2022-01-19,1496268252,1994819393,PLN8953,166890,PCN714,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,2,Retail,0,0,0,11.0,2.2,13.2,6.0,6.58,0.62,0.44,0.3117,0,0,0,0,2022-02-17
RX0000016067,MBR00000439,2022-10-13,2022-10-16,1977863307,1293666208,PLN8840,690331,PCN805,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,650.0,11.87,661.87,35.0,600.55,26.32,26.0,18.4167,1,0,0,0,2022-11-12
RX0000016068,MBR00000439,2021-11-21,2021-11-23,1601582021,1995577799,PLN7427,419547,PCN564,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,3,Mail Order,0,0,0,28.0,4.9,32.9,6.0,24.81,2.09,1.12,0.7933,0,0,0,0,2021-12-21
RX0000016069,MBR00000439,2022-05-13,2022-05-14,1547266011,1354107968,PLN2631,780349,PCN549,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,84,0,Retail,1,0,0,27.0,9.65,36.65,1.0,33.57,2.08,0.36,0.255,0,1,0,0,2022-08-11
RX0000016070,MBR00000439,2021-07-20,2021-07-23,1295565330,1718644310,PLN8088,619155,PCN600,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,95,4,Retail,0,0,0,30.0,4.26,34.26,10.0,22.12,2.14,0.4,0.2833,0,0,0,0,2021-10-18
RX0000016071,MBR00000439,2021-01-05,2021-01-07,1565511688,1904659457,PLN7494,602841,PCN130,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,90,3,Mail Order,0,0,0,45.0,8.2,53.2,8.0,42.59,2.61,0.6,0.425,0,0,0,0,2021-04-05
RX0000016072,MBR00000439,2023-09-16,2023-09-20,1621308052,1490481724,PLN8871,476627,PCN945,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,93,6,Retail,0,0,0,30.0,7.88,37.88,5.0,31.48,1.4,0.4,0.2833,0,0,0,0,2023-12-15
RX0000016073,MBR00000439,2022-03-20,2022-03-23,1349089620,1541089362,PLN7320,122247,PCN278,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,30,3,Retail,0,0,0,18.0,11.76,29.76,1.0,27.3,1.46,0.72,0.51,0,0,0,0,2022-04-19
RX0000016074,MBR00000439,2023-04-22,2023-04-23,1687085587,1954539387,PLN8500,534765,PCN389,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,0,Retail,0,0,0,185.0,4.49,189.49,36.0,143.79,9.7,7.4,5.2417,0,0,0,0,2023-05-22
RX0000016075,MBR00000439,2022-09-27,2022-09-28,1638181875,1104441461,PLN7303,129335,PCN770,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,84,11,Retail,0,0,0,42.0,11.24,53.24,4.0,45.91,3.33,0.56,0.3967,1,0,0,0,2022-12-26
RX0000016076,MBR00000439,2022-07-27,2022-07-29,1154546090,1774623379,PLN6268,133409,PCN918,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,6,Mail Order,0,0,0,30.0,11.63,41.63,1.0,38.36,2.27,0.4,0.2833,0,0,0,0,2022-10-25
RX0000016077,MBR00000439,2022-03-16,2022-03-17,1201182333,1764337570,PLN1531,367610,PCN488,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,7,Retail,0,0,0,7.5,1.81,9.31,8.0,0.97,0.34,0.3,0.2125,0,0,0,0,2022-04-15
RX0000016078,MBR00000439,2023-10-12,2023-10-14,1356703104,1980483316,PLN2381,533496,PCN214,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,11,Mail Order,1,0,0,10.0,9.32,19.32,10.0,8.42,0.9,0.4,0.2833,0,0,0,0,2023-11-11
RX0000016079,MBR00000439,2023-05-22,2023-05-25,1159198277,1780529404,PLN4597,214238,PCN784,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,93,9,Mail Order,0,0,0,42.0,5.86,47.86,10.0,35.3,2.56,0.56,0.3967,0,0,0,0,2023-08-20
RX0000016080,MBR00000439,2022-02-12,2022-02-14,1245688440,1832829308,PLN2408,934534,PCN339,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,6,Retail,3,0,0,12.0,5.53,17.53,9.0,7.85,0.68,0.48,0.34,0,0,0,0,2022-03-14
RX0000016081,MBR00000439,2021-01-13,2021-01-16,1602517160,1718247856,PLN9377,250565,PCN560,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,85,7,Retail,0,0,0,42.0,5.13,47.13,5.0,39.77,2.36,0.56,0.3967,0,0,0,0,2021-04-13
RX0000016082,MBR00000439,2023-06-08,2023-06-12,1978697861,1634413824,PLN2378,816124,PCN767,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,84,9,Retail,0,0,0,960.0,10.2,970.2,35.0,897.68,37.52,12.8,9.0667,0,0,0,0,2023-09-06
RX0000016083,MBR00000439,2021-09-26,2021-09-27,1916284476,1721243323,PLN7361,598405,PCN449,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,9,Retail,0,0,0,2.57,5.72,8.28,6.0,1.74,0.54,0.44,0.3117,0,0,0,0,2021-10-03
RX0000016084,MBR00000439,2022-08-15,2022-08-19,1228685959,1554698045,PLN8156,912042,PCN580,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,5,Specialty,3,0,0,8.87,25.91,34.78,10.0,24.78,0.0,1.52,1.0767,0,0,0,0,2022-08-22
RX0000016085,MBR00000439,2021-12-15,2021-12-17,1248525016,1472218776,PLN2505,760982,PCN171,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,90,1,Mail Order,0,0,0,48.0,10.68,58.68,2.0,53.37,3.31,0.64,0.4533,0,0,0,0,2022-03-15
RX0000016086,MBR00000439,2023-04-09,2023-04-13,1718457265,1147050203,PLN2511,216481,PCN781,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,9,Retail,0,0,0,18.0,8.77,26.77,10.0,15.73,1.04,0.72,0.51,0,0,0,0,2023-05-09
RX0000016087,MBR00000439,2023-07-16,2023-07-17,1605444739,1228974408,PLN9162,629489,PCN516,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,60,3,Retail,2,0,0,30.0,4.87,34.87,2.0,31.25,1.62,0.6,0.425,0,0,0,0,2023-09-14
RX0000016088,MBR00000439,2023-02-19,2023-02-23,1928738944,1315634075,PLN6620,958334,PCN664,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,2,LTC,0,0,0,11.0,6.7,17.7,2.0,14.9,0.8,0.44,0.3117,0,0,0,0,2023-03-21
RX0000016089,MBR00000439,2021-04-06,2021-04-07,1111653518,1121136992,PLN8036,872621,PCN613,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,91,10,Mail Order,2,0,0,30.0,3.95,33.95,5.0,27.46,1.49,0.4,0.2833,0,0,0,0,2021-07-05
RX0000016090,MBR00000440,2022-05-27,2022-05-30,1780458540,1347045920,PLN1390,138603,PCN884,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,90,4,Retail,3,1,0,25500.0,5.45,25505.45,152.0,24019.74,1333.71,340.0,240.8333,0,0,0,0,2022-08-25
RX0000016091,MBR00000440,2023-11-07,2023-11-10,1461558293,1458224574,PLN1577,390515,PCN523,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,3,Retail,0,0,0,9.0,7.13,16.13,0.0,15.63,0.5,0.36,0.255,0,0,0,0,2023-12-07
RX0000016092,MBR00000440,2023-10-17,2023-10-18,1608664254,1770641423,PLN9342,338879,PCN536,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,9,Retail,0,0,0,16.0,2.28,18.28,6.0,11.43,0.85,0.64,0.4533,0,0,0,0,2023-11-16
RX0000016093,MBR00000440,2022-08-05,2022-08-07,1791160957,1574725960,PLN8206,164205,PCN219,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,82,7,Retail,0,0,0,1440.0,10.85,1450.85,34.0,1352.04,64.81,19.2,13.6,0,0,0,0,2022-11-03
RX0000016094,MBR00000440,2023-11-01,2023-11-03,1732444987,1654431848,PLN9084,814935,PCN756,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,6,Retail,0,0,0,175.0,10.18,185.18,34.0,143.74,7.44,7.0,4.9583,0,0,0,0,2023-12-01
RX0000016095,MBR00000440,2023-03-08,2023-03-10,1408496495,1632010208,PLN9761,845218,PCN311,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,88,5,Retail,0,0,0,84.0,8.2,92.2,4.0,83.17,5.03,1.12,0.7933,0,0,0,0,2023-06-06
RX0000016096,MBR00000440,2021-02-22,2021-02-23,1523888479,1680691456,PLN4515,797489,PCN337,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,11,Mail Order,3,0,0,10.0,5.65,15.65,8.0,6.83,0.82,0.4,0.2833,0,0,0,0,2021-03-24
RX0000016097,MBR00000440,2022-11-24,2022-11-26,1813150921,1823133788,PLN2614,355398,PCN828,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,8,Retail,0,0,0,43.17,3.08,46.25,39.0,4.26,2.99,7.4,5.2417,0,0,0,0,2022-12-01
RX0000016098,MBR00000440,2022-10-23,2022-10-25,1827008736,1208962978,PLN5560,343356,PCN616,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,5,Retail,0,0,0,10.5,7.37,17.87,3.0,13.83,1.04,1.8,1.275,1,0,0,0,2022-10-30
RX0000016099,MBR00000440,2021-09-24,2021-09-28,1645808150,1587132223,PLN8422,611023,PCN367,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,5,Retail,0,0,0,10.0,2.73,12.73,3.0,9.13,0.6,0.4,0.2833,0,0,0,0,2021-10-24
RX0000016100,MBR00000440,2021-03-05,2021-03-07,1682103054,1297591282,PLN1430,416052,PCN585,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,5,Retail,0,1,0,8500.0,10.17,8510.17,153.0,7792.37,564.8,340.0,240.8333,0,1,1,0,2021-04-04
RX0000016101,MBR00000440,2022-07-29,2022-07-31,1363590840,1430163348,PLN9508,638855,PCN840,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,30,6,Retail,0,1,0,2800.0,5.1,2805.1,145.0,2569.88,90.22,112.0,79.3333,0,0,0,0,2022-08-28
RX0000016102,MBR00000440,2021-10-19,2021-10-21,1275473523,1584014498,PLN7061,934793,PCN709,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,10,Retail,0,0,0,7.5,2.74,10.24,7.0,2.67,0.57,0.3,0.2125,0,0,0,0,2021-11-18
RX0000016103,MBR00000440,2023-11-08,2023-11-10,1659948609,1253996217,PLN3008,807145,PCN224,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,2,Retail,0,0,0,750.0,9.4,759.4,36.0,698.03,25.37,30.0,21.25,0,0,0,0,2023-12-08
RX0000016104,MBR00000440,2021-06-09,2021-06-12,1163350485,1757073409,PLN9125,819391,PCN803,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,4,Retail,0,0,0,370.0,11.87,381.87,33.0,331.27,17.6,14.8,10.4833,0,1,1,0,2021-07-09
RX0000016105,MBR00000440,2021-06-07,2021-06-09,1262319346,1462589263,PLN9872,891470,PCN475,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,95,6,Retail,1,0,0,27.0,5.72,32.72,5.0,25.61,2.11,0.36,0.255,0,0,0,0,2021-09-05
RX0000016106,MBR00000440,2021-01-08,2021-01-11,1228655608,1435845751,PLN5122,779034,PCN368,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,55,6,Mail Order,0,0,0,18.0,3.19,21.19,2.0,18.47,0.72,0.36,0.255,0,0,0,0,2021-03-09
RX0000016107,MBR00000440,2021-08-19,2021-08-21,1729581656,1403285870,PLN2505,173489,PCN917,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,94,5,Mail Order,0,0,0,45.0,4.14,49.14,8.0,38.38,2.76,0.6,0.425,0,0,0,0,2021-11-17
RX0000016108,MBR00000440,2023-05-06,2023-05-08,1371403105,1955849616,PLN2294,581398,PCN732,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,1,Specialty,0,0,0,10.0,42.89,52.89,4.0,48.89,0.0,0.4,0.2833,0,0,0,0,2023-06-05
RX0000016109,MBR00000440,2021-10-27,2021-10-29,1116202124,1542482733,PLN6335,126539,PCN722,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,90,10,Retail,0,0,0,42.0,10.17,52.17,9.0,40.75,2.42,0.56,0.3967,0,0,0,0,2022-01-25
RX0000016110,MBR00000440,2021-10-12,2021-10-14,1431248801,1260195859,PLN4503,248521,PCN533,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,9,Mail Order,0,0,0,950.0,4.6,954.6,31.0,873.82,49.78,38.0,26.9167,0,0,0,0,2021-11-11
RX0000016111,MBR00000440,2023-10-23,2023-10-27,1254679918,1908779089,PLN3231,322565,PCN120,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,1,Retail,0,1,0,8500.0,3.06,8503.06,152.0,8032.15,318.91,340.0,240.8333,0,0,0,0,2023-11-22
RX0000016112,MBR00000440,2022-06-21,2022-06-25,1517004870,1195345853,PLN9825,111046,PCN135,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,95,6,Retail,0,0,0,54.0,2.87,56.87,5.0,48.64,3.23,0.72,0.51,0,0,0,0,2022-09-19
RX0000016113,MBR00000440,2022-12-22,2022-12-24,1650238341,1188081613,PLN9978,973575,PCN314,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,85,5,Mail Order,0,0,0,555.0,9.91,564.91,39.0,490.62,35.29,7.4,5.2417,0,0,0,0,2023-03-22
RX0000016114,MBR00000440,2022-08-18,2022-08-21,1305063600,1655474562,PLN2374,736848,PCN475,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,1,Retail,2,0,0,12.0,11.56,23.56,2.0,20.62,0.94,0.48,0.34,0,0,0,0,2022-09-17
RX0000016115,MBR00000440,2023-12-01,2023-12-04,1218796987,1190213229,PLN9249,659606,PCN571,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,6,7,Retail,0,0,0,2.1,2.51,4.61,1.0,3.3,0.31,0.36,0.255,0,0,0,0,2023-12-08
RX0000016116,MBR00000440,2023-12-09,2023-12-12,1224141981,1389477845,PLN3375,352907,PCN225,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,2,Retail,2,0,0,18.0,8.58,26.58,7.0,18.62,0.96,0.72,0.51,0,0,0,0,2024-01-08
RX0000016117,MBR00000440,2021-02-10,2021-02-14,1395992932,1688571130,PLN6281,211592,PCN744,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,11,Retail,0,0,0,370.0,9.47,379.47,33.0,323.0,23.47,14.8,10.4833,0,0,0,0,2021-03-12
RX0000016118,MBR00000440,2022-08-12,2022-08-15,1757065681,1193085907,PLN2325,924424,PCN621,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,0,Retail,0,0,0,310.0,4.79,314.79,38.0,263.36,13.43,12.4,8.7833,0,0,0,0,2022-09-11
RX0000016119,MBR00000440,2021-08-29,2021-08-30,1182590625,1406942544,PLN4697,623724,PCN674,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,10,Retail,0,0,0,10.0,11.33,21.33,5.0,15.1,1.23,0.4,0.2833,0,0,0,0,2021-09-28
RX0000016120,MBR00000440,2021-06-14,2021-06-18,1784878258,1897322984,PLN4224,738004,PCN601,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,9,Retail,0,0,0,12.0,9.66,21.66,5.0,15.67,0.99,0.48,0.34,0,0,0,0,2021-07-14
RX0000016121,MBR00000440,2021-11-29,2021-11-30,1295765860,1176546088,PLN4197,923961,PCN728,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,98,8,Specialty,0,0,0,930.0,47.47,977.47,36.0,941.47,0.0,12.4,8.7833,0,0,0,0,2022-02-27
RX0000016122,MBR00000440,2021-05-13,2021-05-17,1474131959,1163082247,PLN5723,526136,PCN250,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,2,Retail,0,1,0,8.0,3.89,11.89,145.0,0.0,0.75,0.32,0.2267,0,0,0,0,2021-06-12
RX0000016123,MBR00000440,2022-03-19,2022-03-20,1587692132,1160169980,PLN5894,222163,PCN413,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,7,Retail,2,0,0,12.5,3.14,15.64,9.0,6.16,0.48,0.5,0.3542,0,0,0,0,2022-04-18
RX0000016124,MBR00000440,2022-01-17,2022-01-21,1868624683,1851257121,PLN5313,649217,PCN905,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,10,Specialty,0,0,0,650.0,8.41,658.41,31.0,627.41,0.0,26.0,18.4167,0,0,0,0,2022-02-16
RX0000016125,MBR00000440,2023-03-25,2023-03-27,1951970677,1512668486,PLN9170,690621,PCN993,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,2,LTC,0,0,0,2.33,5.13,7.46,4.0,3.01,0.45,0.4,0.2833,0,0,0,0,2023-04-01
RX0000016126,MBR00000440,2021-05-09,2021-05-13,1727489114,1468431652,PLN1831,664240,PCN528,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,7,4,Mail Order,0,0,0,4.2,7.19,11.39,9.0,1.6,0.79,0.72,0.51,0,0,0,0,2021-05-16
RX0000016127,MBR00000440,2023-02-14,2023-02-15,1697199409,1292287263,PLN2040,188403,PCN598,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,6,Mail Order,0,0,0,114.0,9.2,123.2,4.0,110.7,8.5,1.52,1.0767,1,0,0,0,2023-05-15
RX0000016128,MBR00000440,2022-09-21,2022-09-24,1287540867,1600586035,PLN7877,638997,PCN436,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,63,9,Retail,0,0,0,18.0,1.66,19.66,7.0,11.9,0.76,0.36,0.255,0,1,0,0,2022-11-20
RX0000016129,MBR00000440,2023-02-01,2023-02-04,1930919100,1229829854,PLN7122,378741,PCN909,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,98,0,Mail Order,0,0,0,22.5,11.51,34.01,10.0,22.73,1.28,0.3,0.2125,0,0,0,0,2023-05-02
RX0000016130,MBR00000440,2021-07-22,2021-07-24,1285579445,1891900480,PLN9309,766756,PCN845,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,3,Retail,0,0,0,45.0,9.67,54.67,3.0,49.68,1.99,1.8,1.275,0,0,0,0,2021-08-21
RX0000016131,MBR00000440,2021-07-16,2021-07-19,1135615881,1390431702,PLN8559,550872,PCN265,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,83,6,Retail,0,1,0,36.0,11.25,47.25,153.0,0.0,2.26,0.48,0.34,0,0,0,0,2021-10-14
RX0000016132,MBR00000440,2021-01-05,2021-01-08,1832325635,1259213847,PLN6607,882668,PCN709,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,11,Retail,0,0,0,15.0,10.0,25.0,9.0,15.17,0.83,0.6,0.425,0,0,0,0,2021-02-04
RX0000016133,MBR00000440,2023-03-31,2023-04-01,1139659763,1281180784,PLN9380,256817,PCN964,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,57,7,Retail,0,0,0,76.0,9.81,85.81,38.0,43.0,4.81,1.52,1.0767,0,0,0,0,2023-05-30
RX0000016134,MBR00000440,2022-07-14,2022-07-15,1973406123,1752688452,PLN1342,565311,PCN909,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,61,6,Retail,0,0,0,28.0,5.71,33.71,9.0,23.16,1.55,0.56,0.3967,0,0,0,0,2022-09-12
RX0000016135,MBR00000440,2022-08-16,2022-08-19,1464781389,1568250730,PLN9301,351328,PCN279,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,6,Retail,0,1,0,8500.0,9.71,8509.71,151.0,7891.12,467.59,340.0,240.8333,0,0,0,0,2022-09-15
RX0000016136,MBR00000440,2023-06-17,2023-06-19,1441711356,1415662875,PLN1608,106527,PCN473,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,82,0,Retail,0,1,0,18600.0,4.53,18604.53,151.0,17206.97,1246.56,248.0,175.6667,0,0,0,0,2023-09-15
RX0000016137,MBR00000440,2021-09-03,2021-09-05,1375538723,1530827096,PLN8917,284441,PCN853,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,0,Retail,3,0,0,2.8,3.57,6.37,7.0,0.0,0.44,0.48,0.34,0,0,0,0,2021-09-10
RX0000016138,MBR00000441,2021-12-21,2021-12-23,1989054239,1492283732,PLN7667,367834,PCN549,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,4,Specialty,0,0,0,11.0,9.2,20.2,6.0,14.2,0.0,0.44,0.3117,0,0,0,0,2022-01-20
RX0000016139,MBR00000441,2021-02-18,2021-02-20,1924811853,1823076061,PLN3223,264381,PCN460,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,10,Retail,0,0,0,7.5,6.72,14.22,9.0,4.76,0.46,0.3,0.2125,0,0,0,0,2021-03-20
RX0000016140,MBR00000441,2021-04-29,2021-05-03,1479343188,1706144444,PLN5695,466678,PCN250,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,27,1,Retail,0,0,0,9.0,6.92,15.92,1.0,13.85,1.07,0.36,0.255,0,0,0,0,2021-05-29
RX0000016141,MBR00000441,2021-02-11,2021-02-15,1823180484,1990338551,PLN7169,884099,PCN150,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,9,Retail,0,0,0,320.0,5.75,325.75,34.0,269.45,22.3,12.8,9.0667,0,0,0,0,2021-03-13
RX0000016142,MBR00000441,2021-04-14,2021-04-16,1717235177,1415521442,PLN6737,560541,PCN871,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,89,3,Retail,0,0,0,54.0,10.4,64.4,6.0,54.08,4.32,0.72,0.51,0,0,0,0,2021-07-13
RX0000016143,MBR00000441,2023-08-02,2023-08-03,1747528630,1528896055,PLN5597,374840,PCN300,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,6,Retail,0,0,0,4.2,8.15,12.35,3.0,8.77,0.58,0.72,0.51,0,0,0,0,2023-08-09
RX0000016144,MBR00000441,2021-09-03,2021-09-06,1460826200,1754188233,PLN7046,936130,PCN309,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,8,Specialty,0,0,0,15.0,10.39,25.39,2.0,23.39,0.0,0.6,0.425,0,0,0,0,2021-10-03
RX0000016145,MBR00000441,2022-05-19,2022-05-21,1567172371,1569473468,PLN1378,924906,PCN760,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,0,Mail Order,0,0,0,10.0,2.54,12.54,1.0,11.05,0.49,0.4,0.2833,0,0,0,0,2022-06-18
RX0000016146,MBR00000441,2022-12-31,2023-01-01,1165041592,1442375613,PLN6862,803557,PCN613,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,4,Mail Order,0,0,0,65.0,8.11,73.11,38.0,30.38,4.73,2.6,1.8417,0,0,0,0,2023-01-30
RX0000016147,MBR00000441,2021-04-29,2021-05-03,1810736723,1475014172,PLN4691,388406,PCN974,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,4,Retail,0,0,0,175.0,10.28,185.28,32.0,142.05,11.23,30.0,21.25,0,0,0,0,2021-05-06
RX0000016148,MBR00000441,2021-08-16,2021-08-17,1608257341,1901236081,PLN7985,335669,PCN363,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,92,9,Retail,0,0,0,36.0,10.82,46.82,3.0,40.78,3.04,0.48,0.34,0,0,0,0,2021-11-14
RX0000016149,MBR00000441,2023-02-17,2023-02-20,1890844882,1707710755,PLN4207,513127,PCN796,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,85,10,Retail,0,1,0,24.0,7.9,31.9,145.0,0.0,1.88,0.32,0.2267,0,0,0,0,2023-05-18
RX0000016150,MBR00000441,2023-07-20,2023-07-21,1496809369,1735448779,PLN2310,596663,PCN409,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,7,3,Retail,0,1,0,653.33,11.93,665.27,147.0,474.13,44.14,112.0,79.3333,0,0,0,0,2023-07-27
RX0000016151,MBR00000441,2023-07-07,2023-07-11,1632947090,1950627740,PLN3949,436223,PCN410,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,8,Retail,2,0,0,12.5,2.19,14.69,10.0,3.9,0.79,0.5,0.3542,1,0,0,0,2023-08-06
RX0000016152,MBR00000441,2021-09-10,2021-09-14,1827746906,1423111321,PLN5996,457569,PCN216,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,83,8,Retail,0,0,0,33.0,11.28,44.28,2.0,40.87,1.41,0.44,0.3117,0,0,0,0,2021-12-09
RX0000016153,MBR00000441,2023-01-03,2023-01-04,1158996626,1197143743,PLN2606,158379,PCN581,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,8,Retail,0,0,0,18.0,11.64,29.64,31.0,0.0,0.96,0.72,0.51,0,0,0,0,2023-02-02
RX0000016154,MBR00000441,2022-09-24,2022-09-26,1379452235,1295963240,PLN6881,999980,PCN933,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,1,Retail,0,0,0,65.0,11.92,76.92,32.0,42.23,2.69,2.6,1.8417,0,0,0,0,2022-10-24
RX0000016155,MBR00000441,2022-04-07,2022-04-10,1272817034,1297980543,PLN8587,448713,PCN695,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,84,3,Retail,1,0,0,1440.0,3.51,1443.51,31.0,1363.63,48.88,19.2,13.6,0,0,0,0,2022-07-06
RX0000016156,MBR00000441,2022-11-18,2022-11-19,1331949939,1585993134,PLN9908,249822,PCN213,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,86,10,Retail,0,0,0,54.0,7.73,61.73,0.0,58.58,3.15,0.72,0.51,0,0,0,0,2023-02-16
RX0000016157,MBR00000441,2023-12-06,2023-12-09,1730136600,1958934398,PLN2519,978613,PCN496,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,9,Retail,0,0,0,45.0,1.85,46.85,8.0,36.66,2.19,1.8,1.275,0,0,0,0,2024-01-05
RX0000016158,MBR00000441,2022-04-10,2022-04-11,1998858060,1966009081,PLN3285,760684,PCN701,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,90,11,LTC,0,0,0,960.0,3.97,963.97,40.0,859.31,64.66,12.8,9.0667,0,0,0,0,2022-07-09
RX0000016159,MBR00000441,2022-05-24,2022-05-25,1190038084,1813833064,PLN4348,166824,PCN369,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,7,Retail,0,0,0,950.0,9.46,959.46,33.0,879.54,46.92,38.0,26.9167,0,0,0,0,2022-06-23
RX0000016160,MBR00000441,2021-04-27,2021-04-29,1111580644,1692110754,PLN5650,239050,PCN950,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,82,5,Retail,0,0,0,42.0,4.17,46.17,0.0,43.32,2.85,0.56,0.3967,0,1,0,0,2021-07-26
RX0000016161,MBR00000441,2023-11-25,2023-11-26,1467316276,1488342014,PLN6869,261410,PCN865,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,1,Mail Order,0,0,0,650.0,7.63,657.63,37.0,595.39,25.24,26.0,18.4167,0,0,0,0,2023-12-25
RX0000016162,MBR00000441,2023-08-28,2023-09-01,1670058289,1279011515,PLN7455,433867,PCN544,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,59,10,Retail,0,0,0,36.0,11.91,47.91,0.0,44.8,3.11,0.72,0.51,0,0,0,0,2023-10-27
RX0000016163,MBR00000441,2022-07-18,2022-07-22,1854598084,1383917212,PLN2149,982115,PCN217,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,85,7,Retail,0,0,0,135.0,11.28,146.28,4.0,135.32,6.96,1.8,1.275,0,0,0,0,2022-10-16
RX0000016164,MBR00000441,2023-11-21,2023-11-25,1995720641,1405939047,PLN2191,969450,PCN588,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,61,9,Mail Order,0,0,0,20.0,10.88,30.88,8.0,21.62,1.26,0.4,0.2833,0,0,0,0,2024-01-20
RX0000016165,MBR00000441,2021-11-30,2021-12-04,1239733167,1272048477,PLN5590,213366,PCN726,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,11,Retail,0,0,0,9.0,9.65,18.65,6.0,11.77,0.88,0.36,0.255,1,0,0,0,2021-12-30
RX0000016166,MBR00000441,2023-03-31,2023-04-04,1412766580,1207684799,PLN4654,856289,PCN979,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,9,LTC,0,0,0,45.0,6.36,51.36,4.0,45.25,2.11,1.8,1.275,0,1,0,0,2023-04-30
RX0000016167,MBR00000441,2021-10-02,2021-10-04,1920787246,1745317750,PLN8305,418363,PCN232,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,0,Retail,0,0,0,10.0,10.01,20.01,2.0,17.26,0.75,0.4,0.2833,0,0,0,0,2021-11-01
RX0000016168,MBR00000441,2022-03-19,2022-03-23,1953867997,1372106708,PLN5167,931730,PCN921,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,11,Retail,0,0,0,7.5,6.73,14.23,4.0,9.7,0.53,0.3,0.2125,0,0,0,0,2022-04-18
RX0000016169,MBR00000441,2022-09-12,2022-09-13,1485653869,1740454895,PLN9392,402500,PCN803,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,58,5,Retail,0,0,0,28.0,7.21,35.21,7.0,26.81,1.4,0.56,0.3967,0,0,0,0,2022-11-11
RX0000016170,MBR00000441,2021-12-10,2021-12-13,1345890717,1827252949,PLN4724,464696,PCN725,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,98,2,Specialty,0,0,0,25.5,47.13,72.63,1.0,71.63,0.0,0.34,0.2408,0,0,0,0,2022-03-10
RX0000016171,MBR00000441,2021-08-16,2021-08-17,1700640166,1179930800,PLN2292,550998,PCN403,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,4,Mail Order,0,0,0,3.5,10.52,14.02,2.0,11.42,0.6,0.6,0.425,1,0,0,0,2021-08-23
RX0000016172,MBR00000441,2022-09-25,2022-09-29,1437287049,1897355835,PLN5611,666831,PCN299,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,7,Specialty,0,0,0,14.0,25.53,39.53,5.0,34.53,0.0,0.56,0.3967,0,0,0,0,2022-10-25
RX0000016173,MBR00000441,2021-03-20,2021-03-24,1334015338,1813018851,PLN7588,450353,PCN105,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,4,Retail,0,0,0,175.0,8.25,183.25,31.0,144.09,8.16,7.0,4.9583,0,0,0,0,2021-04-19
RX0000016174,MBR00000441,2021-03-15,2021-03-16,1224853559,1798302823,PLN2514,673435,PCN226,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,7,Retail,0,0,0,10.0,10.14,20.14,4.0,14.93,1.21,0.4,0.2833,0,0,0,0,2021-04-14
RX0000016175,MBR00000441,2023-07-05,2023-07-09,1470111679,1806212949,PLN3213,717545,PCN692,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,10,Specialty,0,0,0,14.0,29.05,43.05,10.0,33.05,0.0,0.56,0.3967,0,0,0,0,2023-08-04
RX0000016176,MBR00000441,2021-01-09,2021-01-10,1737077757,1698983010,PLN6376,656178,PCN552,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,0,Mail Order,0,0,0,15.0,9.73,24.73,6.0,17.88,0.85,0.6,0.425,0,0,0,0,2021-02-08
RX0000016177,MBR00000441,2021-12-23,2021-12-26,1987111028,1955096883,PLN2128,325611,PCN617,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,3,Mail Order,0,0,0,3.27,4.11,7.37,3.0,3.91,0.46,0.56,0.3967,0,0,0,0,2021-12-30
RX0000016178,MBR00000441,2022-07-28,2022-08-01,1609480663,1967852789,PLN6716,241007,PCN585,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,4,Retail,0,1,0,6200.0,9.56,6209.56,154.0,5851.03,204.53,248.0,175.6667,0,0,0,0,2022-08-27
RX0000016179,MBR00000441,2022-01-07,2022-01-10,1324606145,1771734292,PLN7903,665244,PCN475,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,7,Retail,0,0,0,10.0,4.86,14.86,7.0,7.03,0.83,0.4,0.2833,0,0,0,0,2022-02-06
RX0000016180,MBR00000441,2022-03-03,2022-03-04,1434050583,1186106224,PLN6806,105404,PCN397,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,5,Retail,0,0,1,12.5,5.63,18.13,5.0,11.87,1.26,0.5,0.3542,0,0,0,0,2022-04-02
RX0000016181,MBR00000441,2023-04-04,2023-04-08,1648219716,1719634596,PLN6463,868782,PCN441,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,0,Retail,0,0,0,15.0,3.44,18.44,5.0,12.71,0.73,0.6,0.425,0,0,0,0,2023-05-04
RX0000016182,MBR00000441,2021-06-03,2021-06-06,1194090123,1828476945,PLN9895,607739,PCN296,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,10,Specialty,0,0,0,2.33,21.27,23.6,6.0,17.6,0.0,0.4,0.2833,0,0,0,0,2021-06-10
RX0000016183,MBR00000441,2023-03-20,2023-03-22,1195777761,1916624487,PLN9403,154042,PCN564,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,60,5,Retail,0,0,0,1300.0,2.63,1302.63,37.0,1221.17,44.46,26.0,18.4167,0,0,0,0,2023-05-19
RX0000016184,MBR00000441,2022-04-08,2022-04-10,1502740854,1629513888,PLN5776,117570,PCN656,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,93,3,Retail,0,0,0,2250.0,2.62,2252.62,33.0,2108.94,110.68,30.0,21.25,0,0,0,0,2022-07-07
RX0000016185,MBR00000441,2022-10-30,2022-10-31,1674223843,1984900757,PLN6833,896855,PCN906,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,60,60,5,Mail Order,0,1,0,24.0,1.79,25.79,149.0,0.0,0.99,0.48,0.34,0,0,0,0,2022-12-29
RX0000016186,MBR00000441,2021-07-04,2021-07-05,1197544999,1661555526,PLN8037,880025,PCN994,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,11,Retail,2,0,0,12.5,4.87,17.37,1.0,15.73,0.64,0.5,0.3542,0,0,0,0,2021-08-03
RX0000016187,MBR00000441,2022-02-06,2022-02-09,1627144616,1237641003,PLN4441,142173,PCN578,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,6,Specialty,2,0,0,28.0,36.59,64.59,1.0,63.59,0.0,1.12,0.7933,0,0,0,0,2022-03-08
RX0000016188,MBR00000441,2022-06-20,2022-06-23,1860287187,1992484324,PLN4964,874604,PCN362,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,5,Retail,0,0,0,45.0,10.76,55.76,3.0,49.88,2.88,1.8,1.275,0,0,0,0,2022-07-20
RX0000016189,MBR00000442,2022-11-28,2022-12-01,1561913707,1760667844,PLN6697,337872,PCN587,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,84,7,Mail Order,0,0,0,135.0,11.2,146.2,2.0,134.82,9.38,1.8,1.275,0,0,0,0,2023-02-26
RX0000016190,MBR00000442,2023-11-13,2023-11-16,1156950622,1115012174,PLN1807,312750,PCN320,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,8,Retail,0,0,0,10.0,11.26,21.26,3.0,17.6,0.66,0.4,0.2833,0,0,0,0,2023-12-13
RX0000016191,MBR00000442,2021-10-02,2021-10-03,1974354403,1171125158,PLN9502,308986,PCN426,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,5,Retail,2,0,0,38.0,3.87,41.87,38.0,2.32,1.55,1.52,1.0767,0,0,0,0,2021-11-01
RX0000016192,MBR00000442,2022-07-24,2022-07-27,1300187144,1321890962,PLN7949,754605,PCN690,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,11,Retail,0,0,0,9.0,9.8,18.8,3.0,14.86,0.94,0.36,0.255,0,0,0,0,2022-08-23
RX0000016193,MBR00000442,2023-09-10,2023-09-12,1266785672,1798180113,PLN6219,978936,PCN577,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,90,2,Retail,0,0,0,30.0,2.24,32.24,6.0,24.16,2.08,0.4,0.2833,0,0,0,0,2023-12-09
RX0000016194,MBR00000442,2022-05-12,2022-05-16,1600674397,1173680671,PLN4499,954193,PCN945,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,1,Mail Order,0,0,0,16.0,11.75,27.75,2.0,24.18,1.57,0.64,0.4533,0,0,0,0,2022-06-11
RX0000016195,MBR00000442,2023-10-11,2023-10-12,1485118980,1908359278,PLN5787,224839,PCN649,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,89,11,Retail,3,0,0,135.0,6.3,141.3,5.0,128.48,7.82,1.8,1.275,0,0,0,0,2024-01-09
RX0000016196,MBR00000442,2021-04-13,2021-04-14,1724423936,1383124339,PLN5791,109508,PCN884,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,2,LTC,0,0,0,330.0,6.7,336.7,37.0,279.92,19.78,13.2,9.35,0,0,0,0,2021-05-13
RX0000016197,MBR00000442,2021-10-25,2021-10-28,1568863159,1278812192,PLN6420,251931,PCN324,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,1,Retail,0,0,0,18.0,6.07,24.07,1.0,22.3,0.77,0.72,0.51,0,0,0,0,2021-11-24
RX0000016198,MBR00000442,2022-05-08,2022-05-12,1588671319,1294887529,PLN9097,341058,PCN151,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,3,Mail Order,0,0,0,10.0,4.32,14.32,1.0,12.34,0.98,0.4,0.2833,0,0,0,0,2022-06-07
RX0000016199,MBR00000442,2022-01-03,2022-01-07,1517172145,1425388344,PLN6166,968787,PCN440,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,65,1,Retail,0,0,0,660.0,7.19,667.19,33.0,593.84,40.35,13.2,9.35,0,0,0,0,2022-03-04
RX0000016200,MBR00000442,2022-07-05,2022-07-07,1136259049,1334349018,PLN4931,902806,PCN398,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,84,2,Retail,0,0,0,525.0,11.93,536.93,31.0,481.3,24.63,7.0,4.9583,0,0,0,0,2022-10-03
RX0000016201,MBR00000442,2023-08-31,2023-09-01,1370197638,1537296736,PLN7437,169304,PCN340,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,1,Retail,0,0,0,65.0,5.08,70.08,32.0,35.31,2.77,2.6,1.8417,0,0,0,0,2023-09-30
RX0000016202,MBR00000442,2021-03-06,2021-03-09,1424032957,1522039262,PLN7456,905225,PCN117,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,60,5,Retail,0,0,0,22.0,8.76,30.76,2.0,26.89,1.87,0.44,0.3117,0,0,0,0,2021-05-05
RX0000016203,MBR00000442,2022-06-07,2022-06-08,1323659560,1353552911,PLN1621,195295,PCN209,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,7,8,Retail,0,0,1,221.67,2.89,224.56,30.0,185.33,9.23,38.0,26.9167,0,0,0,0,2022-06-14
RX0000016204,MBR00000442,2023-08-28,2023-09-01,1126269448,1534583641,PLN3262,539285,PCN671,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,7,Retail,0,0,0,285.0,8.47,293.47,38.0,241.4,14.07,11.4,8.075,0,0,0,0,2023-09-27
RX0000016205,MBR00000442,2021-03-05,2021-03-08,1612548533,1256090523,PLN4182,517889,PCN852,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,0,Retail,0,0,0,3.27,2.34,5.61,0.0,5.34,0.27,0.56,0.3967,0,0,0,0,2021-03-12
RX0000016206,MBR00000443,2022-04-11,2022-04-13,1301111665,1648278907,PLN7337,254270,PCN636,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,57,4,Mail Order,0,0,0,1300.0,11.75,1311.75,38.0,1207.79,65.96,26.0,18.4167,0,0,0,0,2022-06-10
RX0000016207,MBR00000443,2022-06-29,2022-07-03,1632673456,1721337717,PLN4914,436292,PCN609,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,91,11,Retail,0,0,0,54.0,9.53,63.53,1.0,59.64,2.89,0.72,0.51,0,0,0,0,2022-09-27
RX0000016208,MBR00000443,2022-10-26,2022-10-27,1261732926,1985142463,PLN2194,533765,PCN499,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,2,Mail Order,0,0,0,9.0,8.47,17.47,0.0,16.65,0.82,0.36,0.255,0,0,0,0,2022-11-25
RX0000016209,MBR00000443,2023-04-17,2023-04-21,1579922320,1340092083,PLN7921,466585,PCN485,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,0,Retail,0,0,0,45.0,3.67,48.67,9.0,36.49,3.18,1.8,1.275,0,0,0,0,2023-05-17
RX0000016210,MBR00000443,2023-10-10,2023-10-12,1398169114,1819971566,PLN5349,220439,PCN101,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,10,Retail,0,0,0,1440.0,8.44,1448.44,30.0,1322.91,95.53,19.2,13.6,0,0,0,0,2024-01-08
RX0000016211,MBR00000443,2021-12-29,2021-12-30,1909033153,1495429448,PLN1414,306110,PCN495,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,64,0,Retail,2,0,0,130.0,5.87,135.87,37.0,92.35,6.52,2.6,1.8417,0,0,0,0,2022-02-27
RX0000016212,MBR00000443,2023-06-21,2023-06-23,1181765503,1740398437,PLN4698,236666,PCN909,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,1,Retail,0,0,0,950.0,8.7,958.7,36.0,877.47,45.23,38.0,26.9167,0,0,0,0,2023-07-21
RX0000016213,MBR00000443,2022-07-15,2022-07-18,1980145765,1415671574,PLN7238,313668,PCN717,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,85,0,Retail,0,0,0,54.0,6.99,60.99,2.0,55.51,3.48,0.72,0.51,0,0,0,0,2022-10-13
RX0000016214,MBR00000443,2021-06-18,2021-06-21,1567803099,1407929615,PLN7193,460637,PCN132,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,59,5,Mail Order,0,0,0,760.0,11.83,771.83,30.0,717.6,24.23,15.2,10.7667,0,0,0,0,2021-08-17
RX0000016215,MBR00000443,2021-06-26,2021-06-30,1323298150,1540844850,PLN4974,773092,PCN572,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,9,Retail,0,0,0,22.0,5.11,27.11,68.0,0.0,1.3,0.88,0.6233,0,0,0,0,2021-07-26
RX0000016216,MBR00000443,2021-09-16,2021-09-20,1572996099,1674970099,PLN2101,435787,PCN915,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,85,3,Mail Order,0,0,0,555.0,2.0,557.0,35.0,484.73,37.27,7.4,5.2417,0,0,0,0,2021-12-15
RX0000016217,MBR00000443,2022-05-18,2022-05-19,1374774996,1496278012,PLN6270,411366,PCN825,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,2,Retail,0,0,0,175.0,1.52,176.52,37.0,128.92,10.6,7.0,4.9583,0,0,0,0,2022-06-17
RX0000016218,MBR00000443,2021-12-22,2021-12-26,1641695927,1265878842,PLN1831,836631,PCN645,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,61,1,Retail,0,0,0,18.0,3.97,21.97,9.0,12.08,0.89,0.36,0.255,0,0,0,0,2022-02-20
RX0000016219,MBR00000443,2022-07-15,2022-07-16,1310533127,1226801954,PLN8483,287598,PCN149,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,9,Retail,0,0,0,11.0,3.74,14.74,7.0,6.73,1.01,0.44,0.3117,0,0,0,0,2022-08-14
RX0000016220,MBR00000443,2022-07-15,2022-07-16,1409589842,1900026005,PLN9826,692079,PCN830,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,0,Retail,0,1,0,6200.0,11.65,6211.65,145.0,5686.54,380.11,248.0,175.6667,0,0,0,0,2022-08-14
RX0000016221,MBR00000443,2022-04-05,2022-04-07,1923476007,1783359457,PLN1204,597276,PCN216,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,57,7,Mail Order,0,0,0,76.0,5.12,81.12,39.0,37.36,4.76,1.52,1.0767,0,0,0,0,2022-06-04
RX0000016222,MBR00000443,2023-04-17,2023-04-18,1187812212,1781921611,PLN7707,304360,PCN988,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,95,11,Retail,0,0,0,195.0,7.19,202.19,35.0,157.36,9.83,2.6,1.8417,0,0,0,0,2023-07-16
RX0000016223,MBR00000443,2022-12-15,2022-12-16,1484767195,1382924829,PLN2656,534780,PCN803,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,90,3,Retail,0,0,0,66.0,7.72,73.72,3.0,66.43,4.29,0.88,0.6233,0,0,0,0,2023-03-15
RX0000016224,MBR00000443,2022-02-09,2022-02-12,1356331084,1428245322,PLN1890,848269,PCN770,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,2,Mail Order,0,1,0,2800.0,11.26,2811.26,154.0,2506.82,150.44,112.0,79.3333,0,0,0,0,2022-03-11
RX0000016225,MBR00000443,2023-01-22,2023-01-26,1859462205,1712855663,PLN4477,408908,PCN923,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,2,Retail,0,0,0,65.0,6.22,71.22,32.0,37.04,2.18,2.6,1.8417,1,0,0,0,2023-02-21
RX0000016226,MBR00000443,2022-10-25,2022-10-28,1320615152,1188681994,PLN8079,696239,PCN122,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,5,Retail,0,0,0,88.67,8.52,97.18,35.0,58.34,3.84,15.2,10.7667,1,0,0,0,2022-11-01
RX0000016227,MBR00000443,2021-02-13,2021-02-15,1619816248,1791497557,PLN3549,253705,PCN519,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,4,Retail,0,0,0,370.0,8.27,378.27,36.0,325.89,16.38,14.8,10.4833,1,0,0,0,2021-03-15
RX0000016228,MBR00000443,2022-03-11,2022-03-12,1912014810,1125792351,PLN1520,248495,PCN644,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,4,Retail,0,1,0,8.0,7.12,15.12,152.0,0.0,0.64,0.32,0.2267,0,0,0,0,2022-04-10
RX0000016229,MBR00000443,2022-06-03,2022-06-05,1331969599,1816107843,PLN4987,653913,PCN914,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,10,Retail,0,0,0,38.0,9.57,47.57,10.0,34.82,2.75,1.52,1.0767,0,0,0,0,2022-07-03
RX0000016230,MBR00000443,2021-12-09,2021-12-11,1115008022,1904689898,PLN6468,193524,PCN420,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,5,Retail,0,0,0,28.0,3.05,31.05,0.0,29.62,1.43,1.12,0.7933,1,0,0,0,2022-01-08
RX0000016231,MBR00000443,2021-04-24,2021-04-25,1768434166,1373323015,PLN3679,357659,PCN432,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,10,Retail,0,0,0,18.0,9.75,27.75,6.0,20.87,0.88,0.72,0.51,0,0,0,0,2021-05-24
RX0000016232,MBR00000443,2021-02-17,2021-02-18,1574513884,1808108799,PLN1858,755173,PCN394,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,90,4,Retail,0,0,0,37.5,6.8,44.3,7.0,34.46,2.84,0.5,0.3542,0,0,0,0,2021-05-18
RX0000016233,MBR00000443,2023-08-01,2023-08-03,1375519275,1620548597,PLN2527,420145,PCN148,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,4,Retail,2,0,0,22.0,9.85,31.85,65.0,0.0,1.68,0.88,0.6233,0,0,0,0,2023-08-31
RX0000016234,MBR00000443,2022-04-13,2022-04-17,1853177156,1973058598,PLN2833,610671,PCN505,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,93,3,Specialty,0,0,0,37.5,9.54,47.04,0.0,47.04,0.0,0.5,0.3542,0,0,0,0,2022-07-12
RX0000016235,MBR00000443,2021-10-22,2021-10-24,1335165429,1280445076,PLN6500,917598,PCN697,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,4,Retail,3,0,0,38.0,2.68,40.68,31.0,7.9,1.78,1.52,1.0767,1,0,0,0,2021-11-21
RX0000016236,MBR00000443,2022-04-09,2022-04-11,1700257014,1825530054,PLN4414,422875,PCN542,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,9,Retail,0,0,1,370.0,2.0,372.0,35.0,316.76,20.24,14.8,10.4833,0,0,0,0,2022-05-09
RX0000016237,MBR00000443,2022-02-21,2022-02-24,1820966024,1913255665,PLN2287,496057,PCN825,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,90,0,Retail,0,0,0,960.0,2.09,962.09,30.0,871.75,60.34,12.8,9.0667,0,0,0,0,2022-05-22
RX0000016238,MBR00000443,2021-05-10,2021-05-13,1608116040,1941397237,PLN6967,527534,PCN848,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,91,9,Retail,0,0,0,30.0,3.89,33.89,0.0,32.41,1.48,0.4,0.2833,1,0,0,0,2021-08-08
RX0000016239,MBR00000443,2022-09-09,2022-09-12,1487861004,1829308298,PLN7832,992288,PCN619,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,8,Specialty,0,0,0,175.0,10.28,185.28,33.0,152.28,0.0,7.0,4.9583,0,0,0,0,2022-10-09
RX0000016240,MBR00000443,2021-03-31,2021-04-02,1841013964,1437182084,PLN2705,253604,PCN674,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,95,2,Mail Order,0,0,0,30.0,7.28,37.28,9.0,26.82,1.46,0.4,0.2833,1,0,0,0,2021-06-29
RX0000016241,MBR00000443,2022-05-25,2022-05-26,1320267953,1285950968,PLN1836,208159,PCN152,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,4,Retail,0,0,0,750.0,4.66,754.66,34.0,676.32,44.34,30.0,21.25,1,0,0,0,2022-06-24
RX0000016242,MBR00000443,2022-03-15,2022-03-16,1724423386,1332495053,PLN7224,911052,PCN438,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,57,7,Retail,2,0,0,28.0,3.98,31.98,4.0,26.13,1.85,0.56,0.3967,0,0,0,0,2022-05-14
RX0000016243,MBR00000443,2022-07-24,2022-07-25,1609045153,1142028408,PLN2132,390222,PCN819,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,3,Mail Order,0,0,0,14.0,5.02,19.02,0.0,18.43,0.59,0.56,0.3967,0,0,0,0,2022-08-23
RX0000016244,MBR00000443,2023-07-22,2023-07-25,1561559548,1480426548,PLN7449,731027,PCN927,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,2,Retail,0,1,0,6200.0,7.04,6207.04,151.0,5766.4,289.64,248.0,175.6667,1,1,1,0,2023-08-21
RX0000016245,MBR00000443,2022-01-17,2022-01-18,1298775978,1331112594,PLN8522,968752,PCN252,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,2,Mail Order,0,0,0,45.0,2.89,47.89,3.0,42.55,2.34,1.8,1.275,0,0,0,0,2022-02-16
RX0000016246,MBR00000443,2023-05-22,2023-05-26,1212132270,1734778038,PLN6714,129129,PCN599,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,6,Retail,0,0,0,185.0,7.39,192.39,31.0,153.8,7.59,7.4,5.2417,0,0,0,0,2023-06-21
RX0000016247,MBR00000443,2023-05-10,2023-05-12,1296544327,1272269932,PLN9836,682359,PCN864,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,94,8,Retail,0,0,0,2250.0,11.58,2261.58,39.0,2128.4,94.18,30.0,21.25,0,0,0,0,2023-08-08
RX0000016248,MBR00000443,2021-05-03,2021-05-06,1914575718,1758311980,PLN6264,316458,PCN446,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,3,Retail,0,0,0,310.0,6.16,316.16,37.0,264.75,14.41,12.4,8.7833,0,0,0,0,2021-06-02
RX0000016249,MBR00000443,2022-03-23,2022-03-25,1364542969,1235553728,PLN7801,212468,PCN436,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,54,4,Mail Order,0,0,0,760.0,2.4,762.4,33.0,676.07,53.33,15.2,10.7667,0,0,0,0,2022-05-22
RX0000016250,MBR00000443,2023-12-15,2023-12-17,1345814013,1976768627,PLN2891,252743,PCN425,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,6,Retail,0,0,0,4.2,4.21,8.41,7.0,1.0,0.41,0.72,0.51,0,0,0,0,2023-12-22
RX0000016251,MBR00000443,2021-07-25,2021-07-27,1381036843,1358251856,PLN9683,485180,PCN663,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,8,Mail Order,0,0,0,14.0,2.9,16.9,0.0,16.35,0.55,0.56,0.3967,0,0,0,0,2021-08-24
RX0000016252,MBR00000443,2021-05-19,2021-05-21,1831309989,1648912554,PLN6868,217588,PCN595,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,11,Retail,0,0,0,221.67,11.8,233.46,35.0,188.45,10.01,38.0,26.9167,0,0,0,0,2021-05-26
RX0000016253,MBR00000443,2021-02-17,2021-02-18,1276797673,1443573497,PLN7752,832795,PCN402,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,1,Retail,0,0,0,45.0,2.86,47.86,6.0,38.75,3.11,1.8,1.275,0,0,0,0,2021-03-19
RX0000016254,MBR00000444,2022-11-07,2022-11-08,1360703270,1673572285,PLN1147,927558,PCN749,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,0,Mail Order,3,1,0,2800.0,4.24,2804.24,148.0,2525.78,130.46,112.0,79.3333,0,0,0,0,2022-12-07
RX0000016255,MBR00000444,2023-02-01,2023-02-02,1688071292,1140709696,PLN5852,370050,PCN972,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,89,3,Retail,0,0,0,135.0,6.73,141.73,7.0,128.37,6.36,1.8,1.275,0,0,0,0,2023-05-02
RX0000016256,MBR00000444,2021-10-15,2021-10-19,1684555513,1708462632,PLN3246,305822,PCN526,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,0,Retail,2,1,0,2800.0,11.54,2811.54,150.0,2504.3,157.24,112.0,79.3333,0,0,0,0,2021-11-14
RX0000016257,MBR00000444,2023-03-22,2023-03-25,1469076484,1897809067,PLN7124,941876,PCN858,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,11,Retail,1,0,0,38.0,7.26,45.26,34.0,8.81,2.45,1.52,1.0767,0,0,0,0,2023-04-21
RX0000016258,MBR00000444,2023-08-13,2023-08-15,1141317743,1749278787,PLN8271,789642,PCN168,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,0,Specialty,0,0,0,18.0,42.56,60.56,4.0,56.56,0.0,0.72,0.51,0,0,0,0,2023-09-12
RX0000016259,MBR00000444,2021-02-20,2021-02-22,1236729197,1200272456,PLN7152,740743,PCN367,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,81,8,Mail Order,0,1,0,8400.0,10.28,8410.28,151.0,7828.46,430.82,112.0,79.3333,1,0,0,0,2021-05-21
RX0000016260,MBR00000444,2021-05-16,2021-05-19,1712131104,1645012641,PLN3023,505414,PCN801,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,11,Retail,0,0,0,12.0,5.85,17.85,4.0,12.86,0.99,0.48,0.34,0,0,0,0,2021-06-15
RX0000016261,MBR00000444,2023-11-25,2023-11-26,1981950041,1100793164,PLN8168,615753,PCN457,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,91,8,Retail,0,0,0,2250.0,10.22,2260.22,40.0,2088.16,132.06,30.0,21.25,0,0,0,0,2024-02-23
RX0000016262,MBR00000444,2021-05-19,2021-05-21,1372457448,1121376925,PLN6123,522031,PCN671,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,86,10,Retail,0,0,0,990.0,5.5,995.5,30.0,898.97,66.53,13.2,9.35,1,0,0,0,2021-08-17
RX0000016263,MBR00000444,2022-08-06,2022-08-07,1684415975,1900174286,PLN1510,945540,PCN273,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,9,Retail,0,0,0,9.0,9.11,18.11,8.0,9.54,0.57,0.36,0.255,0,0,0,0,2022-09-05
RX0000016264,MBR00000444,2022-09-30,2022-10-03,1206404199,1231105229,PLN5174,358757,PCN227,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,85,9,Retail,0,0,0,25.5,5.59,31.09,4.0,25.41,1.68,0.34,0.2408,0,0,0,0,2022-12-29
RX0000016265,MBR00000444,2021-12-08,2021-12-12,1140573929,1632044274,PLN6966,644992,PCN139,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,7,Retail,0,0,0,9.0,10.6,19.6,0.0,18.61,0.99,0.36,0.255,0,0,0,0,2022-01-07
RX0000016266,MBR00000444,2021-04-25,2021-04-26,1625272779,1204271887,PLN2460,331968,PCN624,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,0,Mail Order,0,0,0,7.5,10.21,17.71,6.0,10.92,0.79,0.3,0.2125,0,0,0,0,2021-05-25
RX0000016267,MBR00000444,2023-12-23,2023-12-27,1636399900,1880254309,PLN2234,524961,PCN467,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,9,Retail,3,0,0,43.17,4.78,47.94,32.0,14.09,1.85,7.4,5.2417,0,1,1,0,2023-12-30
RX0000016268,MBR00000444,2023-09-23,2023-09-24,1458639470,1398317516,PLN1953,983188,PCN809,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,92,7,Retail,0,0,0,1950.0,11.89,1961.89,34.0,1812.62,115.27,26.0,18.4167,0,0,0,0,2023-12-22
RX0000016269,MBR00000444,2023-09-04,2023-09-06,1185009383,1223252543,PLN2608,627909,PCN144,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,0,Specialty,0,0,0,310.0,31.58,341.58,39.0,302.58,0.0,12.4,8.7833,0,0,0,0,2023-10-04
RX0000016270,MBR00000444,2023-02-08,2023-02-12,1890604252,1903592020,PLN5905,351519,PCN910,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,2,Mail Order,0,0,0,22.0,8.49,30.49,71.0,0.0,1.32,0.88,0.6233,0,0,0,0,2023-03-10
RX0000016271,MBR00000444,2022-12-27,2022-12-31,1820101350,1217049060,PLN8125,546355,PCN622,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,85,9,Retail,0,0,0,960.0,8.35,968.35,37.0,893.74,37.61,12.8,9.0667,0,0,0,0,2023-03-27
RX0000016272,MBR00000444,2021-07-01,2021-07-02,1432687367,1245774938,PLN8262,745539,PCN967,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,28,2,Retail,0,1,0,8.0,11.23,19.23,152.0,0.0,0.83,0.32,0.2267,0,0,0,0,2021-07-31
RX0000016273,MBR00000444,2021-03-02,2021-03-05,1313310562,1389343471,PLN6376,589431,PCN945,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,10,Specialty,0,0,0,14.0,34.99,48.99,2.0,46.99,0.0,0.56,0.3967,0,0,0,0,2021-04-01
RX0000016274,MBR00000444,2022-09-26,2022-09-28,1305270508,1688549572,PLN2211,716693,PCN846,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,0,Retail,0,0,0,950.0,10.47,960.47,35.0,878.28,47.19,38.0,26.9167,0,0,0,0,2022-10-26
RX0000016275,MBR00000444,2021-11-22,2021-11-25,1750632091,1230518009,PLN6860,983573,PCN418,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,94,2,Retail,0,1,0,18600.0,2.37,18602.37,151.0,17888.43,562.94,248.0,175.6667,0,0,0,0,2022-02-20
RX0000016276,MBR00000444,2023-03-31,2023-04-04,1202348990,1880066826,PLN4137,277234,PCN425,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,2,Retail,0,0,0,480.0,4.01,484.01,33.0,422.3,28.71,19.2,13.6,0,1,1,0,2023-04-30
RX0000016277,MBR00000444,2021-06-18,2021-06-20,1366513964,1157642855,PLN3351,309899,PCN660,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,8,Retail,3,0,0,10.0,10.52,20.52,1.0,18.72,0.8,0.4,0.2833,0,0,0,0,2021-07-18
RX0000016278,MBR00000444,2021-04-24,2021-04-27,1216612125,1531086534,PLN7237,935382,PCN348,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,4,Retail,0,0,0,3.5,11.35,14.85,10.0,3.92,0.93,0.6,0.425,1,0,0,0,2021-05-01
RX0000016279,MBR00000444,2022-12-15,2022-12-17,1670448867,1204953794,PLN6653,692051,PCN818,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,82,10,Retail,0,0,0,2250.0,2.69,2252.69,30.0,2082.76,139.93,30.0,21.25,0,0,0,0,2023-03-15
RX0000016280,MBR00000445,2022-07-11,2022-07-14,1138819369,1402093447,PLN5514,138764,PCN559,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,7,Specialty,0,0,0,185.0,20.08,205.08,37.0,168.08,0.0,7.4,5.2417,0,0,0,0,2022-08-10
RX0000016281,MBR00000445,2021-04-01,2021-04-04,1567148325,1304367621,PLN6961,618736,PCN701,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,6,Retail,0,0,0,12.0,6.55,18.55,0.0,17.72,0.83,0.48,0.34,0,0,0,0,2021-05-01
RX0000016282,MBR00000445,2023-01-12,2023-01-16,1979215290,1121511222,PLN3622,703960,PCN483,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,2,Retail,0,0,0,480.0,6.62,486.62,31.0,430.15,25.47,19.2,13.6,0,0,0,0,2023-02-11
RX0000016283,MBR00000445,2023-09-01,2023-09-05,1178146744,1621628330,PLN8393,415764,PCN222,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,3,Retail,0,0,0,10.0,11.3,21.3,0.0,19.84,1.46,0.4,0.2833,0,0,0,0,2023-10-01
RX0000016284,MBR00000445,2021-12-16,2021-12-18,1616805511,1508314556,PLN6284,993837,PCN373,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,9,Retail,0,0,0,18.0,11.96,29.96,0.0,28.03,1.93,0.72,0.51,0,0,0,0,2022-01-15
RX0000016285,MBR00000445,2022-11-28,2022-11-29,1962722835,1975841610,PLN9111,817391,PCN931,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,4,Retail,2,0,0,10.0,8.33,18.33,4.0,13.42,0.91,0.4,0.2833,0,0,0,0,2022-12-28
RX0000016286,MBR00000445,2023-05-06,2023-05-07,1765230903,1560942331,PLN5304,557409,PCN497,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,6,Retail,0,0,0,185.0,3.71,188.71,40.0,138.07,10.64,7.4,5.2417,0,0,0,0,2023-06-05
RX0000016287,MBR00000445,2022-08-26,2022-08-28,1454761839,1645677647,PLN2381,667814,PCN376,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,5,Retail,0,0,0,15.0,4.31,19.31,6.0,12.24,1.07,0.6,0.425,0,0,0,0,2022-09-25
RX0000016288,MBR00000445,2023-05-22,2023-05-23,1775385361,1543679225,PLN4476,777096,PCN790,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,94,4,Mail Order,0,0,0,36.0,1.69,37.69,4.0,31.44,2.25,0.48,0.34,0,0,0,0,2023-08-20
RX0000016289,MBR00000445,2023-12-23,2023-12-25,1853763794,1634365819,PLN4723,705337,PCN609,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,5,Retail,0,0,0,7.5,4.41,11.91,7.0,4.12,0.79,0.3,0.2125,0,0,0,0,2024-01-22
RX0000016290,MBR00000445,2022-10-20,2022-10-21,1828804266,1660953315,PLN3259,293659,PCN173,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,5,Retail,0,0,0,45.0,10.97,55.97,1.0,53.27,1.7,1.8,1.275,0,0,0,0,2022-11-19
RX0000016291,MBR00000445,2023-06-14,2023-06-16,1807032976,1349155296,PLN1817,269394,PCN177,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,6,Retail,0,0,0,12.0,3.82,15.82,8.0,6.87,0.95,0.48,0.34,0,1,0,0,2023-07-14
RX0000016292,MBR00000445,2021-08-01,2021-08-02,1853454484,1223312793,PLN8694,957407,PCN587,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,7,3,Retail,0,0,0,10.5,9.96,20.46,7.0,12.26,1.2,1.8,1.275,0,0,0,0,2021-08-08
RX0000016293,MBR00000445,2022-07-20,2022-07-24,1212929248,1663819999,PLN7183,714638,PCN367,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,2,Mail Order,2,0,0,28.0,8.53,36.53,0.0,34.35,2.18,1.12,0.7933,0,0,0,0,2022-08-19
RX0000016294,MBR00000445,2023-12-08,2023-12-09,1560619077,1976741716,PLN7502,401623,PCN878,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,1,Retail,0,0,0,310.0,5.85,315.85,32.0,272.94,10.91,12.4,8.7833,0,0,0,0,2024-01-07
RX0000016295,MBR00000445,2022-10-29,2022-10-30,1477588421,1479052673,PLN9876,723780,PCN784,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,3,Retail,0,0,0,6.53,2.12,8.66,0.0,8.39,0.27,1.12,0.7933,0,0,0,0,2022-11-05
RX0000016296,MBR00000445,2023-09-26,2023-09-30,1860231846,1218712124,PLN2616,888300,PCN925,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,11,Retail,3,0,0,15.0,2.47,17.47,3.0,13.33,1.14,0.6,0.425,0,0,0,0,2023-10-26
RX0000016297,MBR00000445,2023-03-15,2023-03-17,1570791614,1426639844,PLN8946,332670,PCN936,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,86,0,Retail,0,0,0,114.0,7.27,121.27,7.0,109.63,4.64,1.52,1.0767,0,0,0,0,2023-06-13
RX0000016298,MBR00000445,2022-05-11,2022-05-13,1874054249,1567098346,PLN4397,650565,PCN941,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,65,4,Retail,0,0,0,660.0,8.56,668.56,34.0,602.95,31.61,13.2,9.35,0,1,1,0,2022-07-10
RX0000016299,MBR00000445,2023-03-26,2023-03-30,1266933398,1451212601,PLN8998,358872,PCN161,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,9,Retail,0,0,0,28.0,2.31,30.31,7.0,21.32,1.99,1.12,0.7933,0,0,0,0,2023-04-25
RX0000016300,MBR00000445,2021-07-21,2021-07-24,1354621215,1385093978,PLN4231,197865,PCN847,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,86,10,Mail Order,0,0,0,960.0,2.24,962.24,37.0,880.22,45.02,12.8,9.0667,0,0,0,0,2021-10-19
RX0000016301,MBR00000445,2022-08-03,2022-08-07,1665388448,1695136433,PLN9925,523415,PCN857,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,7,6,7,Specialty,0,0,0,2.1,12.35,14.45,8.0,6.45,0.0,0.36,0.255,0,0,0,0,2022-08-10
RX0000016302,MBR00000445,2023-07-25,2023-07-26,1125395525,1345591416,PLN2097,886218,PCN215,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,88,9,Mail Order,0,0,0,54.0,3.77,57.77,37.0,18.11,2.66,0.72,0.51,0,0,0,0,2023-10-23
RX0000016303,MBR00000446,2022-02-26,2022-03-02,1609111263,1543178614,PLN7908,109104,PCN803,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,91,10,Mail Order,0,0,0,30.0,7.06,37.06,4.0,31.6,1.46,0.4,0.2833,0,0,0,0,2022-05-27
RX0000016304,MBR00000446,2022-02-24,2022-02-26,1791635953,1767530053,PLN4261,256478,PCN433,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,6,Retail,0,0,0,8.87,2.92,11.78,40.0,0.0,0.72,1.52,1.0767,1,0,0,0,2022-03-03
RX0000016305,MBR00000446,2022-06-09,2022-06-11,1138992632,1518959276,PLN8353,705166,PCN229,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,6,Retail,2,0,0,5.13,3.02,8.16,71.0,0.0,0.55,0.88,0.6233,0,0,0,0,2022-06-16
RX0000016306,MBR00000446,2023-05-20,2023-05-21,1449163607,1729386464,PLN8895,914567,PCN117,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,5,Retail,0,0,0,3.5,2.4,5.9,0.0,5.64,0.26,0.6,0.425,0,0,0,0,2023-05-27
RX0000016307,MBR00000446,2022-09-18,2022-09-19,1645992407,1453553189,PLN8297,283136,PCN371,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,97,4,Retail,0,0,0,525.0,8.53,533.53,37.0,463.14,33.39,7.0,4.9583,0,0,0,0,2022-12-17
RX0000016308,MBR00000446,2022-01-30,2022-02-03,1476962521,1892664309,PLN1250,140289,PCN564,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,2,Mail Order,0,1,0,8.0,9.94,17.94,149.0,0.0,1.09,0.32,0.2267,0,0,0,0,2022-03-01
RX0000016309,MBR00000446,2022-08-23,2022-08-25,1340714897,1213480026,PLN7847,430167,PCN162,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,0,Mail Order,0,0,0,10.0,4.4,14.4,2.0,11.94,0.46,0.4,0.2833,0,0,0,0,2022-09-22
RX0000016310,MBR00000446,2023-06-30,2023-07-04,1310441783,1531470594,PLN3188,194998,PCN655,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,11,Retail,0,0,0,380.0,2.21,382.21,35.0,331.88,15.33,15.2,10.7667,0,0,0,0,2023-07-30
RX0000016311,MBR00000446,2023-03-06,2023-03-08,1126749383,1841866527,PLN6245,898202,PCN994,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,89,11,Mail Order,0,0,0,960.0,9.04,969.04,33.0,905.7,30.34,12.8,9.0667,0,0,0,0,2023-06-04
RX0000016312,MBR00000446,2021-08-24,2021-08-27,1291360314,1308008245,PLN1323,837851,PCN331,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,1,Retail,3,0,0,18.0,11.25,29.25,1.0,26.93,1.32,0.72,0.51,0,0,0,0,2021-09-23
RX0000016313,MBR00000446,2023-01-30,2023-02-01,1508784908,1828396012,PLN9686,436385,PCN835,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,8,Retail,0,0,0,310.0,9.11,319.11,35.0,268.88,15.23,12.4,8.7833,0,0,0,0,2023-03-01
RX0000016314,MBR00000446,2021-09-28,2021-09-30,1229583858,1206104950,PLN7383,814979,PCN348,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,81,4,Retail,0,0,0,54.0,9.92,63.92,5.0,56.19,2.73,0.72,0.51,0,0,0,0,2021-12-27
RX0000016315,MBR00000446,2022-08-05,2022-08-09,1616112327,1565733672,PLN3423,932706,PCN271,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,56,9,Mail Order,0,0,0,20.0,6.49,26.49,1.0,23.8,1.69,0.4,0.2833,0,0,0,0,2022-10-04
RX0000016316,MBR00000446,2021-07-03,2021-07-04,1212615588,1167431739,PLN4567,722994,PCN618,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,9,Mail Order,1,0,0,480.0,9.38,489.38,34.0,433.96,21.42,19.2,13.6,0,0,0,0,2021-08-02
RX0000016317,MBR00000446,2021-12-31,2022-01-02,1759867871,1263506021,PLN3878,653845,PCN494,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,7,Retail,1,1,0,8500.0,8.32,8508.32,154.0,8073.39,280.93,340.0,240.8333,0,0,0,0,2022-01-30
RX0000016318,MBR00000446,2022-09-09,2022-09-10,1776490243,1874526636,PLN1824,717751,PCN555,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,82,0,Retail,0,0,0,930.0,2.38,932.38,36.0,834.49,61.89,12.4,8.7833,0,0,0,0,2022-12-08
RX0000016319,MBR00000446,2022-10-23,2022-10-25,1986189289,1572802828,PLN3049,623355,PCN676,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,85,2,Retail,0,0,0,855.0,11.95,866.95,30.0,796.8,40.15,11.4,8.075,0,0,0,0,2023-01-21
RX0000016320,MBR00000446,2022-02-21,2022-02-24,1766938783,1672438551,PLN3816,404926,PCN200,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,61,5,Retail,2,0,0,18.0,3.94,21.94,2.0,18.46,1.48,0.36,0.255,1,0,0,0,2022-04-22
RX0000016321,MBR00000446,2023-05-27,2023-05-30,1735295562,1117835608,PLN5011,663120,PCN543,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,57,3,Retail,1,0,0,76.0,3.33,79.33,8.0,68.41,2.92,1.52,1.0767,0,0,0,0,2023-07-26
RX0000016322,MBR00000446,2021-05-20,2021-05-22,1305925452,1514918244,PLN3356,303122,PCN682,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,5,Retail,0,1,0,2800.0,9.51,2809.51,151.0,2548.58,109.93,112.0,79.3333,0,0,0,0,2021-06-19
RX0000016323,MBR00000446,2023-12-28,2023-12-29,1615791725,1452231497,PLN9214,271701,PCN211,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,5,Retail,0,0,0,650.0,5.78,655.78,34.0,590.88,30.9,26.0,18.4167,0,0,0,0,2024-01-27
RX0000016324,MBR00000446,2023-12-19,2023-12-20,1439627572,1532785618,PLN9616,409354,PCN140,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,0,Retail,0,0,0,18.0,2.08,20.08,37.0,0.0,0.68,0.72,0.51,0,0,0,0,2024-01-18
RX0000016325,MBR00000446,2021-05-05,2021-05-07,1418470436,1817345637,PLN6784,705048,PCN436,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,2,Retail,2,0,0,9.0,8.53,17.53,8.0,8.49,1.04,0.36,0.255,0,0,0,0,2021-06-04
RX0000016326,MBR00000446,2021-07-27,2021-07-30,1238239396,1329142215,PLN9488,123062,PCN397,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,6,Mail Order,0,0,0,12.5,8.65,21.15,2.0,17.82,1.33,0.5,0.3542,0,0,0,0,2021-08-26
RX0000016327,MBR00000446,2023-12-26,2023-12-30,1553709616,1182831356,PLN9123,241025,PCN167,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,10,Retail,1,0,0,38.0,1.6,39.6,39.0,0.0,1.76,1.52,1.0767,0,0,0,0,2024-01-25
RX0000016328,MBR00000446,2022-12-08,2022-12-11,1128710435,1265131774,PLN8449,968317,PCN586,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,6,7,Retail,3,0,0,2.1,6.5,8.6,5.0,3.2,0.4,0.36,0.255,0,0,0,0,2022-12-15
RX0000016329,MBR00000446,2023-07-07,2023-07-10,1627815095,1120002707,PLN6723,294731,PCN861,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,7,Retail,3,0,0,175.0,6.34,181.34,32.0,141.2,8.14,7.0,4.9583,0,0,0,0,2023-08-06
RX0000016330,MBR00000446,2022-08-18,2022-08-21,1449818648,1375494456,PLN6280,534237,PCN229,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,5,Retail,0,0,0,12.5,11.08,23.58,5.0,17.06,1.52,0.5,0.3542,0,0,0,0,2022-09-17
RX0000016331,MBR00000446,2021-07-31,2021-08-03,1334252557,1541606025,PLN2398,225039,PCN663,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,9,Retail,0,0,0,380.0,3.27,383.27,38.0,318.97,26.3,15.2,10.7667,0,0,0,0,2021-08-30
RX0000016332,MBR00000446,2022-02-06,2022-02-09,1705162136,1572701949,PLN4565,796354,PCN626,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,7,Retail,0,0,0,10.0,1.56,11.56,7.0,3.77,0.79,0.4,0.2833,1,0,0,0,2022-03-08
RX0000016333,MBR00000446,2023-11-16,2023-11-18,1184318745,1697812649,PLN3472,804116,PCN645,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,10,Retail,0,0,0,45.0,9.87,54.87,9.0,42.13,3.74,1.8,1.275,0,0,0,0,2023-12-16
RX0000016334,MBR00000446,2023-02-27,2023-03-02,1422998750,1658273163,PLN9485,717105,PCN794,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,94,1,Retail,0,0,0,54.0,9.58,63.58,5.0,54.8,3.78,0.72,0.51,0,0,0,0,2023-05-28
RX0000016335,MBR00000446,2023-12-12,2023-12-15,1962818509,1385081342,PLN3153,708508,PCN848,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,4,Retail,0,0,0,43.17,1.63,44.8,40.0,2.62,2.18,7.4,5.2417,0,0,0,0,2023-12-19
RX0000016336,MBR00000446,2021-09-03,2021-09-06,1987664892,1865713742,PLN4481,532877,PCN216,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,3,Retail,0,0,0,12.5,3.42,15.92,10.0,5.07,0.85,0.5,0.3542,0,0,0,0,2021-10-03
RX0000016337,MBR00000446,2022-10-22,2022-10-26,1812103776,1333426005,PLN9784,562414,PCN581,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,2,Mail Order,0,0,0,38.0,5.92,43.92,39.0,2.31,2.61,1.52,1.0767,0,0,0,0,2022-11-21
RX0000016338,MBR00000446,2022-06-17,2022-06-20,1541721912,1508766345,PLN6413,968821,PCN654,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,5,Retail,0,1,0,12.0,3.74,15.74,152.0,0.0,0.57,0.48,0.34,0,0,0,0,2022-07-17
RX0000016339,MBR00000446,2022-06-01,2022-06-03,1453072942,1729439330,PLN3616,401490,PCN294,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,2,Specialty,0,0,0,18.0,12.6,30.6,4.0,26.6,0.0,0.72,0.51,0,0,0,0,2022-07-01
RX0000016340,MBR00000446,2021-08-02,2021-08-05,1943195507,1624365460,PLN5146,192001,PCN505,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,2,Retail,2,0,0,285.0,11.35,296.35,39.0,241.55,15.8,11.4,8.075,0,0,0,0,2021-09-01
RX0000016341,MBR00000446,2022-11-27,2022-11-29,1910165264,1513723575,PLN4530,809300,PCN928,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,2,Mail Order,3,0,0,16.0,11.91,27.91,10.0,16.6,1.31,0.64,0.4533,1,0,0,0,2022-12-27
RX0000016342,MBR00000446,2023-01-15,2023-01-16,1691973003,1432104613,PLN9439,467238,PCN781,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,11,Retail,0,0,0,11.0,6.55,17.55,2.0,14.93,0.62,0.44,0.3117,0,0,0,0,2023-02-14
RX0000016343,MBR00000446,2022-05-18,2022-05-22,1879292592,1236341321,PLN1275,424475,PCN330,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,3,Retail,0,0,0,750.0,10.46,760.46,30.0,690.16,40.3,30.0,21.25,0,0,0,0,2022-06-17
RX0000016344,MBR00000446,2021-08-01,2021-08-05,1976315525,1714678602,PLN3558,815744,PCN662,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,3,Retail,3,0,0,38.0,4.16,42.16,9.0,31.38,1.78,1.52,1.0767,1,0,0,0,2021-08-31
RX0000016345,MBR00000446,2022-12-30,2023-01-03,1342343039,1537429814,PLN4404,253919,PCN988,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,82,10,Retail,0,0,0,54.0,7.76,61.76,8.0,50.9,2.86,0.72,0.51,0,0,0,0,2023-03-30
RX0000016346,MBR00000446,2021-07-08,2021-07-10,1692664458,1917472965,PLN3196,813408,PCN160,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,89,6,Mail Order,0,0,0,36.0,11.4,47.4,0.0,45.24,2.16,0.48,0.34,0,0,0,0,2021-10-06
RX0000016347,MBR00000446,2022-10-06,2022-10-10,1738655064,1573530568,PLN4715,695079,PCN952,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,1,Retail,0,0,0,2.33,8.62,10.95,0.0,10.3,0.65,0.4,0.2833,1,0,0,0,2022-10-13
RX0000016348,MBR00000446,2021-02-03,2021-02-04,1927019797,1759898800,PLN7079,519778,PCN962,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,82,10,LTC,3,0,0,54.0,8.28,62.28,7.0,51.41,3.87,0.72,0.51,0,0,0,0,2021-05-04
RX0000016349,MBR00000447,2021-08-29,2021-08-31,1571710527,1728838729,PLN1804,617560,PCN399,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,96,2,Mail Order,1,1,0,36.0,11.05,47.05,152.0,0.0,2.71,0.48,0.34,0,0,0,0,2021-11-27
RX0000016350,MBR00000447,2022-11-03,2022-11-05,1929530795,1232301836,PLN6406,251263,PCN583,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,84,5,Retail,0,0,0,114.0,4.47,118.47,37.0,76.2,5.27,1.52,1.0767,0,0,0,0,2023-02-01
RX0000016351,MBR00000447,2022-01-04,2022-01-05,1534305291,1678226623,PLN6307,716201,PCN931,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,9,Specialty,0,0,0,88.67,19.24,107.91,39.0,68.91,0.0,15.2,10.7667,0,0,0,0,2022-01-11
RX0000016352,MBR00000447,2023-07-18,2023-07-21,1954963259,1577716679,PLN7447,508369,PCN215,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,6,6,LTC,0,0,0,175.0,7.27,182.27,37.0,133.95,11.32,30.0,21.25,0,0,0,0,2023-07-25
RX0000016353,MBR00000447,2023-03-02,2023-03-05,1952845576,1989132154,PLN6346,533650,PCN278,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,11,Retail,0,0,0,18.0,9.33,27.33,1.0,24.86,1.47,0.72,0.51,0,0,0,0,2023-04-01
RX0000016354,MBR00000447,2022-04-10,2022-04-13,1760150741,1870715120,PLN3008,477851,PCN899,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,4,Retail,0,0,0,310.0,8.93,318.93,38.0,266.81,14.12,12.4,8.7833,0,0,0,0,2022-05-10
RX0000016355,MBR00000447,2021-07-16,2021-07-17,1922544097,1263324633,PLN4824,372842,PCN165,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,11,Retail,0,0,0,6.53,7.75,14.28,1.0,12.78,0.5,1.12,0.7933,0,0,0,0,2021-07-23
RX0000016356,MBR00000447,2021-09-18,2021-09-21,1910842156,1584649476,PLN8112,533455,PCN718,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,64,10,Retail,0,0,0,20.0,7.06,27.06,4.0,21.74,1.32,0.4,0.2833,0,0,0,0,2021-11-17
RX0000016357,MBR00000447,2023-11-06,2023-11-07,1328948206,1108346287,PLN2141,949739,PCN348,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,0,Retail,3,0,0,38.0,2.26,40.26,40.0,0.0,2.67,1.52,1.0767,0,0,0,0,2023-12-06
RX0000016358,MBR00000447,2021-05-25,2021-05-26,1587380062,1200137729,PLN8223,411193,PCN307,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,82,9,Retail,2,0,0,114.0,7.38,121.38,30.0,84.93,6.45,1.52,1.0767,0,0,0,0,2021-08-23
RX0000016359,MBR00000447,2023-11-01,2023-11-02,1945725281,1229199765,PLN4969,361768,PCN267,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,11,Retail,0,1,0,2800.0,2.82,2802.82,149.0,2467.15,186.67,112.0,79.3333,0,0,0,0,2023-12-01
RX0000016360,MBR00000447,2023-03-17,2023-03-21,1753390119,1179969938,PLN9054,279636,PCN972,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,95,6,Mail Order,0,1,0,25500.0,3.22,25503.22,154.0,23796.78,1552.44,340.0,240.8333,0,0,0,0,2023-06-15
RX0000016361,MBR00000447,2022-07-13,2022-07-16,1106832494,1781002948,PLN8671,864871,PCN580,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,96,5,Mail Order,0,0,0,54.0,4.75,58.75,10.0,44.66,4.09,0.72,0.51,0,0,0,0,2022-10-11
RX0000016362,MBR00000447,2023-09-23,2023-09-26,1398294945,1473615098,PLN5230,382710,PCN116,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,4,Retail,0,0,0,11.0,3.2,14.2,8.0,5.45,0.75,0.44,0.3117,0,0,0,0,2023-10-23
RX0000016363,MBR00000447,2022-06-14,2022-06-16,1197148398,1411734774,PLN4109,588190,PCN523,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,6,Retail,0,0,0,18.0,7.77,25.77,6.0,18.48,1.29,0.72,0.51,0,0,0,0,2022-07-14
RX0000016364,MBR00000447,2021-12-20,2021-12-21,1603446021,1723645636,PLN1728,364195,PCN869,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,10,Mail Order,0,1,0,1983.33,4.72,1988.06,147.0,1748.59,92.47,340.0,240.8333,1,0,0,0,2021-12-27
RX0000016365,MBR00000447,2021-05-28,2021-05-31,1967241322,1133167379,PLN1454,893540,PCN673,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,85,4,Specialty,0,0,0,114.0,8.06,122.06,31.0,91.06,0.0,1.52,1.0767,0,0,0,0,2021-08-26
RX0000016366,MBR00000447,2023-01-23,2023-01-24,1514910819,1199634124,PLN8416,196447,PCN965,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,9,Mail Order,0,0,0,2.33,5.96,8.3,6.0,2.02,0.28,0.4,0.2833,0,0,0,0,2023-01-30
RX0000016367,MBR00000447,2021-10-27,2021-10-28,1272804055,1195660918,PLN6619,666280,PCN276,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,2,Retail,0,0,0,10.0,6.52,16.52,10.0,5.44,1.08,0.4,0.2833,0,0,0,0,2021-11-26
RX0000016368,MBR00000447,2023-03-20,2023-03-22,1734983400,1923855444,PLN6215,868803,PCN430,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,2,Retail,0,0,0,14.0,6.75,20.75,1.0,19.07,0.68,0.56,0.3967,0,0,0,0,2023-04-19
RX0000016369,MBR00000447,2021-03-18,2021-03-20,1590660873,1568136291,PLN3332,549127,PCN613,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,5,Mail Order,2,1,0,1983.33,7.24,1990.58,153.0,1723.31,114.27,340.0,240.8333,1,0,0,0,2021-03-25
RX0000016370,MBR00000447,2023-11-03,2023-11-06,1337731613,1363622566,PLN3274,943456,PCN601,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,86,5,Retail,0,0,0,54.0,1.83,55.83,33.0,19.11,3.72,0.72,0.51,0,0,0,0,2024-02-01
RX0000016371,MBR00000447,2021-05-23,2021-05-25,1709198802,1394883557,PLN6717,764995,PCN701,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,10,Retail,0,0,0,9.0,2.64,11.64,9.0,1.89,0.75,0.36,0.255,1,0,0,0,2021-06-22
RX0000016372,MBR00000447,2023-02-15,2023-02-19,1383733459,1877103750,PLN7798,665388,PCN996,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,10,Retail,0,0,0,12.5,5.28,17.78,3.0,14.11,0.67,0.5,0.3542,0,0,0,0,2023-03-17
RX0000016373,MBR00000447,2021-04-15,2021-04-17,1818464708,1605018781,PLN1195,978512,PCN307,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,0,Retail,0,0,0,18.0,1.72,19.72,3.0,15.89,0.83,0.72,0.51,0,0,0,0,2021-05-15
RX0000016374,MBR00000447,2021-10-30,2021-11-03,1704011916,1853879226,PLN1638,369289,PCN701,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,0,Mail Order,1,0,0,16.0,6.55,22.55,4.0,17.57,0.98,0.64,0.4533,0,0,0,0,2021-11-29
RX0000016375,MBR00000447,2022-04-30,2022-05-03,1803564641,1454628149,PLN4665,132627,PCN471,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,4,Specialty,0,0,0,10.0,32.1,42.1,7.0,35.1,0.0,0.4,0.2833,0,0,0,0,2022-05-30
RX0000016376,MBR00000447,2022-06-18,2022-06-20,1839068183,1953450980,PLN8954,563565,PCN103,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,10,Mail Order,0,0,0,22.0,3.03,25.03,68.0,0.0,0.81,0.88,0.6233,0,0,0,0,2022-07-18
RX0000016377,MBR00000447,2023-05-11,2023-05-14,1234375707,1607250403,PLN5395,106824,PCN154,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,1,Retail,0,0,0,12.0,3.14,15.14,9.0,5.16,0.98,0.48,0.34,0,0,0,0,2023-06-10
RX0000016378,MBR00000447,2021-09-19,2021-09-21,1367833682,1400612071,PLN2167,584403,PCN185,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,59,7,Mail Order,0,0,0,20.0,5.54,25.54,4.0,19.99,1.55,0.4,0.2833,0,0,0,0,2021-11-18
RX0000016379,MBR00000447,2021-12-31,2022-01-02,1942743444,1963844542,PLN6825,934530,PCN816,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,7,Retail,0,0,0,65.0,11.34,76.34,37.0,36.32,3.02,2.6,1.8417,0,0,0,0,2022-01-30
RX0000016380,MBR00000447,2021-03-23,2021-03-25,1745947909,1875688513,PLN9418,759704,PCN866,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,56,0,Retail,0,0,0,28.0,7.7,35.7,8.0,26.12,1.58,0.56,0.3967,0,0,0,0,2021-05-22
RX0000016381,MBR00000447,2022-04-08,2022-04-09,1367289197,1979477751,PLN6551,606227,PCN885,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,1,Retail,0,0,0,12.0,4.38,16.38,10.0,5.47,0.91,0.48,0.34,0,0,0,0,2022-05-08
RX0000016382,MBR00000447,2021-08-21,2021-08-23,1246375009,1383393521,PLN7917,176628,PCN822,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,2,Retail,0,0,0,7.5,5.99,13.49,0.0,12.78,0.71,0.3,0.2125,0,0,0,0,2021-09-20
RX0000016383,MBR00000447,2023-08-10,2023-08-13,1347445454,1933060386,PLN1311,831785,PCN718,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,93,1,Retail,0,0,0,195.0,11.78,206.78,31.0,162.3,13.48,2.6,1.8417,0,0,0,0,2023-11-08
RX0000016384,MBR00000447,2021-12-14,2021-12-15,1146559056,1674694040,PLN7643,866209,PCN764,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,7,10,Retail,0,0,0,2.33,10.22,12.55,8.0,3.93,0.62,0.4,0.2833,0,0,0,0,2021-12-21
RX0000016385,MBR00000447,2021-10-04,2021-10-06,1186850491,1448061260,PLN3725,457870,PCN364,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,10,Retail,0,0,0,320.0,5.25,325.25,32.0,280.06,13.19,12.8,9.0667,0,0,0,0,2021-11-03
RX0000016386,MBR00000447,2022-10-17,2022-10-21,1116050090,1256700126,PLN5254,944189,PCN237,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,6,Retail,0,0,0,8.5,3.25,11.75,3.0,8.18,0.57,0.34,0.2408,0,0,0,0,2022-11-16
RX0000016387,MBR00000447,2021-06-14,2021-06-17,1659833737,1791829042,PLN4040,889969,PCN227,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,4,Retail,0,1,0,6200.0,8.2,6208.2,146.0,5656.69,405.51,248.0,175.6667,0,0,0,0,2021-07-14
RX0000016388,MBR00000447,2021-01-01,2021-01-02,1556462299,1466262585,PLN2665,957202,PCN819,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,9,Retail,0,0,0,22.0,5.41,27.41,71.0,0.0,1.2,0.88,0.6233,0,0,0,0,2021-01-31
RX0000016389,MBR00000447,2021-06-28,2021-07-01,1107881858,1752144493,PLN3227,406077,PCN673,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,59,10,Retail,0,0,0,15.0,8.66,23.66,2.0,20.85,0.81,0.3,0.2125,0,0,0,0,2021-08-27
RX0000016390,MBR00000447,2023-10-04,2023-10-07,1992556904,1886510992,PLN6559,376186,PCN288,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,11,Retail,0,0,0,18.0,11.24,29.24,10.0,17.39,1.85,0.72,0.51,0,0,0,0,2023-11-03
RX0000016391,MBR00000447,2023-02-23,2023-02-24,1489751479,1842309658,PLN1072,497506,PCN868,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,58,9,Retail,1,0,0,350.0,10.44,360.44,37.0,311.73,11.71,7.0,4.9583,0,0,0,0,2023-04-24
RX0000016392,MBR00000447,2021-11-16,2021-11-18,1366886696,1925553672,PLN1875,449939,PCN574,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,98,11,Mail Order,0,0,0,54.0,1.83,55.83,40.0,14.02,1.81,0.72,0.51,0,0,0,0,2022-02-14
RX0000016393,MBR00000447,2021-12-10,2021-12-12,1587265846,1865638947,PLN6506,569286,PCN704,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,88,5,Mail Order,0,0,0,2250.0,6.96,2256.96,32.0,2122.84,102.12,30.0,21.25,1,0,0,0,2022-03-10
RX0000016394,MBR00000447,2022-07-20,2022-07-23,1714762902,1393460673,PLN1172,606292,PCN711,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,11,Retail,0,0,0,8.5,5.06,13.56,5.0,7.92,0.64,0.34,0.2408,1,0,0,0,2022-08-19
RX0000016395,MBR00000447,2021-03-04,2021-03-08,1714925417,1113956304,PLN8223,664837,PCN243,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,89,5,Retail,0,0,0,930.0,1.56,931.56,31.0,859.27,41.29,12.4,8.7833,0,0,0,0,2021-06-02
RX0000016396,MBR00000447,2023-02-19,2023-02-22,1853655045,1937707046,PLN6547,867328,PCN294,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,0,LTC,0,0,0,14.0,7.67,21.67,7.0,13.4,1.27,0.56,0.3967,0,0,0,0,2023-03-21
RX0000016397,MBR00000447,2022-04-03,2022-04-04,1263673122,1688815396,PLN8734,958163,PCN415,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,1,Retail,0,0,0,11.0,5.02,16.02,2.0,13.5,0.52,0.44,0.3117,0,0,0,0,2022-05-03
RX0000016398,MBR00000447,2023-10-19,2023-10-20,1279346151,1271899822,PLN9618,586268,PCN945,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,9,Retail,0,0,0,330.0,10.12,340.12,33.0,294.04,13.08,13.2,9.35,1,0,0,0,2023-11-18
RX0000016399,MBR00000447,2021-08-25,2021-08-29,1466134937,1458018817,PLN9654,153691,PCN609,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,9,Retail,0,1,0,8500.0,8.83,8508.83,152.0,8098.39,258.44,340.0,240.8333,0,0,0,0,2021-09-24
RX0000016400,MBR00000447,2022-10-25,2022-10-28,1743333919,1539637073,PLN7485,330565,PCN994,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,0,Mail Order,1,0,0,12.0,7.32,19.32,4.0,14.31,1.01,0.48,0.34,0,0,0,0,2022-11-24
RX0000016401,MBR00000447,2022-02-22,2022-02-26,1578337494,1201631167,PLN3971,594322,PCN506,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,6,Specialty,0,0,0,74.67,15.06,89.72,32.0,57.72,0.0,12.8,9.0667,0,0,0,0,2022-03-01
RX0000016402,MBR00000447,2022-05-08,2022-05-12,1291294683,1769018183,PLN8314,682456,PCN723,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,28,10,Mail Order,0,0,0,18.0,9.71,27.71,1.0,25.13,1.58,0.72,0.51,0,0,0,0,2022-06-07
RX0000016403,MBR00000447,2021-08-20,2021-08-21,1703932864,1370420905,PLN2341,975126,PCN850,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,88,5,Retail,0,0,0,27.0,6.13,33.13,7.0,23.87,2.26,0.36,0.255,0,0,0,0,2021-11-18
RX0000016404,MBR00000447,2022-04-11,2022-04-13,1492807215,1146077832,PLN6262,683380,PCN318,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,9,Specialty,3,0,0,750.0,17.21,767.21,34.0,733.21,0.0,30.0,21.25,0,0,0,0,2022-05-11
RX0000016405,MBR00000447,2022-04-11,2022-04-14,1993131084,1777087558,PLN2631,588277,PCN749,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,3,Retail,1,0,0,380.0,3.82,383.82,32.0,334.75,17.07,15.2,10.7667,0,0,0,0,2022-05-11
RX0000016406,MBR00000447,2022-04-14,2022-04-18,1837213033,1558917722,PLN5337,168387,PCN270,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,6,Mail Order,0,1,0,1446.67,7.75,1454.41,150.0,1254.54,49.87,248.0,175.6667,0,0,0,0,2022-04-21
RX0000016407,MBR00000447,2023-05-28,2023-05-31,1409072019,1637968141,PLN3334,330067,PCN880,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,9,Retail,0,0,0,11.0,3.65,14.65,5.0,9.11,0.54,0.44,0.3117,0,0,0,0,2023-06-27
RX0000016408,MBR00000447,2022-09-27,2022-10-01,1460042048,1888034026,PLN9857,398019,PCN404,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,82,8,Mail Order,0,0,0,27.0,4.68,31.68,7.0,23.12,1.56,0.36,0.255,0,0,0,0,2022-12-26
RX0000016409,MBR00000447,2022-10-11,2022-10-15,1590561491,1207788985,PLN6823,128615,PCN165,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,7,Retail,0,0,0,7.5,10.56,18.06,9.0,8.08,0.98,0.3,0.2125,0,0,0,0,2022-11-10
RX0000016410,MBR00000447,2021-06-17,2021-06-18,1515454061,1465040366,PLN3734,702568,PCN677,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,83,5,Mail Order,0,0,0,960.0,8.2,968.2,31.0,880.69,56.51,12.8,9.0667,1,0,0,0,2021-09-15
RX0000016411,MBR00000447,2022-02-10,2022-02-14,1727418519,1697387727,PLN8863,109550,PCN245,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,8,Retail,0,1,0,6200.0,4.7,6204.7,153.0,5703.83,347.87,248.0,175.6667,0,0,0,0,2022-03-12
RX0000016412,MBR00000447,2021-10-05,2021-10-08,1432315673,1335786765,PLN2697,531361,PCN934,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,3,Retail,0,0,0,22.0,5.53,27.53,69.0,0.0,1.86,0.88,0.6233,0,0,0,0,2021-11-04
RX0000016413,MBR00000447,2021-03-02,2021-03-04,1173965898,1875749556,PLN3442,244425,PCN392,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,60,5,Mail Order,0,0,0,76.0,2.85,78.85,10.0,63.88,4.97,1.52,1.0767,0,1,0,0,2021-05-01
RX0000016414,MBR00000447,2022-07-31,2022-08-04,1846520430,1264437958,PLN6592,876421,PCN549,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,6,Retail,0,0,0,65.0,7.57,72.57,38.0,31.66,2.91,2.6,1.8417,0,0,0,0,2022-08-30
RX0000016415,MBR00000447,2023-03-29,2023-04-02,1789674254,1170061051,PLN9737,813451,PCN107,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,10,Retail,0,0,0,10.0,8.42,18.42,8.0,9.82,0.6,0.4,0.2833,0,0,0,0,2023-04-28
RX0000016416,MBR00000447,2021-02-03,2021-02-07,1108896153,1808074588,PLN4009,407385,PCN314,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,91,3,LTC,0,0,0,54.0,10.48,64.48,1.0,59.79,3.69,0.72,0.51,0,0,0,0,2021-05-04
RX0000016417,MBR00000447,2023-01-16,2023-01-17,1862786860,1879972357,PLN5186,710514,PCN277,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,6,Mail Order,0,0,0,22.0,10.61,32.61,70.0,0.0,1.05,0.88,0.6233,0,0,0,0,2023-02-15
RX0000016418,MBR00000447,2021-02-24,2021-02-25,1309568850,1534410118,PLN6945,711396,PCN367,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,10,Retail,0,1,0,2800.0,9.04,2809.04,145.0,2471.66,192.38,112.0,79.3333,0,0,0,0,2021-03-26
RX0000016419,MBR00000447,2022-06-03,2022-06-07,1478108661,1155807682,PLN5865,347081,PCN656,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,7,Retail,0,0,0,10.0,2.3,12.3,8.0,3.63,0.67,0.4,0.2833,0,0,0,0,2022-07-03
RX0000016420,MBR00000447,2023-08-15,2023-08-19,1469376407,1781786957,PLN1966,665423,PCN450,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,60,1,Retail,0,0,0,18.0,2.15,20.15,6.0,13.52,0.63,0.36,0.255,0,0,0,0,2023-10-14
RX0000016421,MBR00000447,2023-02-09,2023-02-13,1965696786,1265501027,PLN3647,165099,PCN274,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,8,Retail,0,0,0,10.0,11.74,21.74,6.0,14.75,0.99,0.4,0.2833,1,0,0,0,2023-03-11
RX0000016422,MBR00000447,2022-09-05,2022-09-08,1811837676,1931695207,PLN8506,520981,PCN332,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,8,Retail,2,1,0,6200.0,3.25,6203.25,149.0,5787.65,266.6,248.0,175.6667,0,0,0,0,2022-10-05
RX0000016423,MBR00000447,2022-01-27,2022-01-31,1896939604,1566559705,PLN8657,642819,PCN939,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,3,Retail,0,0,0,9.0,1.66,10.66,1.0,9.12,0.54,0.36,0.255,0,0,0,0,2022-02-26
RX0000016424,MBR00000447,2023-05-27,2023-05-31,1256312277,1303668781,PLN6812,759791,PCN311,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,8,Retail,0,0,0,22.0,6.65,28.65,6.0,21.52,1.13,0.88,0.6233,0,0,0,0,2023-06-26
RX0000016425,MBR00000448,2022-07-30,2022-07-31,1720093531,1611154013,PLN3656,550135,PCN501,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,4,Retail,0,0,0,10.0,4.73,14.73,2.0,12.15,0.58,0.4,0.2833,0,0,0,0,2022-08-29
RX0000016426,MBR00000448,2022-07-25,2022-07-29,1791785237,1436031474,PLN8363,440420,PCN102,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,10,Retail,0,0,0,10.0,4.47,14.47,4.0,9.92,0.55,0.4,0.2833,0,0,0,0,2022-08-24
RX0000016427,MBR00000448,2023-03-27,2023-03-31,1570025537,1528746298,PLN2818,520028,PCN169,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,84,2,Retail,0,0,0,855.0,1.73,856.73,35.0,762.21,59.52,11.4,8.075,0,0,0,0,2023-06-25
RX0000016428,MBR00000448,2023-04-23,2023-04-26,1312055870,1236653413,PLN3765,222506,PCN544,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,55,3,Retail,2,0,0,36.0,5.6,41.6,0.0,39.47,2.13,0.72,0.51,0,0,0,0,2023-06-22
RX0000016429,MBR00000448,2021-03-01,2021-03-05,1555929392,1137837800,PLN5100,318358,PCN411,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,95,6,Mail Order,0,0,0,855.0,10.93,865.93,34.0,771.74,60.19,11.4,8.075,0,0,0,0,2021-05-30
RX0000016430,MBR00000448,2023-06-24,2023-06-25,1619960851,1662452988,PLN1118,918672,PCN446,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,9,Retail,0,0,0,22.0,11.3,33.3,73.0,0.0,2.23,0.88,0.6233,0,0,0,0,2023-07-24
RX0000016431,MBR00000448,2022-08-29,2022-09-01,1258847950,1355677848,PLN7715,846557,PCN212,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,4,Retail,2,0,0,9.0,4.58,13.58,4.0,8.66,0.92,0.36,0.255,0,0,0,0,2022-09-28
RX0000016432,MBR00000448,2023-08-12,2023-08-15,1102395268,1928529329,PLN2830,670462,PCN509,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,9,Retail,0,0,0,10.5,7.91,18.41,10.0,7.17,1.24,1.8,1.275,0,0,0,0,2023-08-19
RX0000016433,MBR00000448,2023-03-16,2023-03-20,1934480417,1547364821,PLN4532,703725,PCN352,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,89,2,Retail,0,0,0,48.0,5.03,53.03,5.0,45.24,2.79,0.64,0.4533,0,0,0,0,2023-06-14
RX0000016434,MBR00000448,2022-03-18,2022-03-19,1679948739,1450200822,PLN3547,501948,PCN728,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,5,Retail,0,0,0,15.0,10.07,25.07,6.0,18.29,0.78,0.6,0.425,0,0,0,0,2022-04-17
RX0000016435,MBR00000448,2023-04-01,2023-04-05,1448901289,1411413600,PLN1273,324403,PCN484,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,6,Mail Order,0,0,0,28.0,5.07,33.07,9.0,22.32,1.75,1.12,0.7933,0,0,0,0,2023-05-01
RX0000016436,MBR00000448,2021-07-04,2021-07-06,1174130915,1866253091,PLN2264,821182,PCN607,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,64,7,Retail,0,0,0,24.0,9.1,33.1,5.0,26.62,1.48,0.48,0.34,0,1,0,0,2021-09-02
RX0000016437,MBR00000448,2021-01-10,2021-01-13,1690013355,1548930589,PLN6416,731283,PCN116,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,92,2,Retail,0,0,0,45.0,3.41,48.41,0.0,45.98,2.43,0.6,0.425,0,0,0,0,2021-04-10
RX0000016438,MBR00000448,2021-07-06,2021-07-08,1276211731,1792672259,PLN5341,878736,PCN167,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,3,Retail,0,0,0,175.0,9.13,184.13,35.0,138.97,10.16,7.0,4.9583,0,0,0,0,2021-08-05
RX0000016439,MBR00000448,2021-01-18,2021-01-19,1179866228,1454679565,PLN9599,365206,PCN271,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,64,2,Mail Order,0,0,0,20.0,3.17,23.17,10.0,11.98,1.19,0.4,0.2833,0,0,0,0,2021-03-19
RX0000016440,MBR00000448,2022-09-26,2022-09-28,1288501161,1181557382,PLN6294,727302,PCN300,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,7,Retail,0,0,0,10.0,6.02,16.02,3.0,12.52,0.5,0.4,0.2833,0,0,0,0,2022-10-26
RX0000016441,MBR00000448,2022-10-06,2022-10-09,1470330244,1754400509,PLN5764,535749,PCN715,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,0,Retail,0,0,0,750.0,7.24,757.24,40.0,664.62,52.62,30.0,21.25,0,0,0,0,2022-11-05
RX0000016442,MBR00000448,2021-10-02,2021-10-03,1682681958,1142480086,PLN7314,285802,PCN852,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,0,Retail,3,0,0,15.0,3.18,18.18,6.0,11.25,0.93,0.6,0.425,0,0,0,0,2021-11-01
RX0000016443,MBR00000448,2022-02-27,2022-03-01,1584911144,1387718544,PLN8703,733254,PCN523,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,8,Retail,0,0,0,175.0,10.79,185.79,38.0,141.28,6.51,7.0,4.9583,0,0,0,0,2022-03-29
RX0000016444,MBR00000448,2021-05-08,2021-05-12,1866389201,1892788756,PLN2524,539143,PCN714,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,10,Retail,0,1,0,8500.0,9.79,8509.79,149.0,7915.69,445.1,340.0,240.8333,0,0,0,0,2021-06-07
RX0000016445,MBR00000448,2023-02-15,2023-02-18,1765614065,1837071044,PLN1181,953581,PCN115,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,1,Retail,0,0,0,15.0,3.55,18.55,10.0,7.93,0.62,0.6,0.425,0,0,0,0,2023-03-17
RX0000016446,MBR00000448,2021-04-29,2021-05-03,1578024837,1973577152,PLN1332,485139,PCN778,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,30,1,Retail,0,0,0,22.0,3.0,25.0,71.0,0.0,1.58,0.88,0.6233,0,0,0,0,2021-05-29
RX0000016447,MBR00000448,2022-08-15,2022-08-17,1526283498,1133827252,PLN4645,782847,PCN247,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,2,Specialty,0,0,0,330.0,38.31,368.31,34.0,334.31,0.0,13.2,9.35,0,0,0,0,2022-09-14
RX0000016448,MBR00000448,2023-11-14,2023-11-15,1372089191,1205633195,PLN2062,639771,PCN727,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,90,8,Retail,2,1,0,36.0,11.85,47.85,149.0,0.0,2.68,0.48,0.34,0,0,0,0,2024-02-12
RX0000016449,MBR00000448,2023-09-23,2023-09-27,1730157378,1780201993,PLN8776,798887,PCN247,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,1,Retail,0,0,0,45.0,2.41,47.41,5.0,40.09,2.32,1.8,1.275,0,0,0,0,2023-10-23
RX0000016450,MBR00000448,2021-07-30,2021-08-03,1417644543,1352253708,PLN8358,615563,PCN646,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,6,Retail,0,0,0,370.0,8.21,378.21,31.0,320.85,26.36,14.8,10.4833,0,0,0,0,2021-08-29
RX0000016451,MBR00000448,2021-07-07,2021-07-08,1287794256,1637398567,PLN1309,127259,PCN574,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,9,Retail,0,1,0,6200.0,6.57,6206.57,149.0,5829.91,227.66,248.0,175.6667,0,0,0,0,2021-08-06
RX0000016452,MBR00000448,2021-01-30,2021-01-31,1726336478,1921080999,PLN5175,513821,PCN755,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,6,Retail,0,0,0,22.0,3.37,25.37,74.0,0.0,1.38,0.88,0.6233,0,0,0,0,2021-03-01
RX0000016453,MBR00000448,2021-11-10,2021-11-11,1803998290,1401083032,PLN1771,517141,PCN630,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,8,Retail,0,0,0,45.0,11.4,56.4,7.0,47.21,2.19,1.8,1.275,0,0,0,0,2021-12-10
RX0000016454,MBR00000448,2022-03-29,2022-03-31,1930236248,1675592790,PLN5972,710829,PCN268,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,58,7,Retail,0,1,0,5600.0,10.83,5610.83,147.0,5247.56,216.27,112.0,79.3333,0,0,0,0,2022-05-28
RX0000016455,MBR00000448,2022-11-04,2022-11-06,1150481634,1640025538,PLN4567,558074,PCN535,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,9,Retail,0,0,0,22.0,1.89,23.89,0.0,22.45,1.44,0.88,0.6233,0,0,0,0,2022-12-04
RX0000016456,MBR00000448,2022-05-08,2022-05-11,1464255776,1661135470,PLN9827,396147,PCN471,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,92,10,Retail,0,0,0,555.0,6.21,561.21,36.0,507.11,18.1,7.4,5.2417,0,0,0,0,2022-08-06
RX0000016457,MBR00000448,2022-11-23,2022-11-24,1791769664,1817373652,PLN3187,293358,PCN274,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,97,6,Mail Order,0,0,0,42.0,9.38,51.38,4.0,44.91,2.47,0.56,0.3967,0,0,0,0,2023-02-21
RX0000016458,MBR00000448,2022-01-26,2022-01-27,1227786733,1606274565,PLN9376,745486,PCN436,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,5,Retail,0,0,0,285.0,4.75,289.75,35.0,240.27,14.48,11.4,8.075,0,0,0,0,2022-02-25
RX0000016459,MBR00000448,2022-06-18,2022-06-20,1804061980,1367758009,PLN4830,220037,PCN478,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,4,Retail,0,0,0,22.0,2.39,24.39,65.0,0.0,0.78,0.88,0.6233,1,0,0,0,2022-07-18
RX0000016460,MBR00000448,2021-01-08,2021-01-09,1916101276,1643065331,PLN1656,725984,PCN413,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,93,0,Retail,1,0,0,66.0,4.61,70.61,5.0,60.75,4.86,0.88,0.6233,0,0,0,0,2021-04-08
RX0000016461,MBR00000448,2022-12-30,2023-01-02,1975670063,1369999846,PLN1351,147491,PCN580,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,2,Retail,3,0,0,4.2,2.24,6.44,37.0,0.0,0.44,0.72,0.51,0,0,0,0,2023-01-06
RX0000016462,MBR00000448,2022-04-27,2022-04-28,1580313038,1666388379,PLN6454,415761,PCN897,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,9,Retail,0,1,0,8500.0,4.74,8504.74,145.0,7849.77,509.97,340.0,240.8333,0,0,0,0,2022-05-27
RX0000016463,MBR00000448,2021-09-21,2021-09-23,1786280842,1921143565,PLN4897,148603,PCN349,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,93,10,Retail,0,0,1,36.0,2.21,38.21,10.0,26.73,1.48,0.48,0.34,0,0,0,0,2021-12-20
RX0000016464,MBR00000448,2021-11-06,2021-11-10,1697349534,1496675468,PLN6438,136020,PCN950,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,83,2,Retail,3,0,0,54.0,6.83,60.83,2.0,55.59,3.24,0.72,0.51,0,0,0,0,2022-02-04
RX0000016465,MBR00000448,2023-08-19,2023-08-23,1665452877,1227626650,PLN2560,567572,PCN399,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,9,LTC,3,0,0,15.0,3.8,18.8,8.0,10.17,0.63,0.6,0.425,0,0,0,0,2023-09-18
RX0000016466,MBR00000448,2021-06-12,2021-06-16,1140179407,1506246104,PLN9469,456632,PCN916,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,8,Retail,0,0,0,12.0,8.33,20.33,3.0,16.58,0.75,0.48,0.34,0,0,0,0,2021-07-12
RX0000016467,MBR00000448,2021-04-03,2021-04-05,1903427157,1457499463,PLN3587,480600,PCN643,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,7,Specialty,0,0,0,320.0,34.01,354.01,35.0,319.01,0.0,12.8,9.0667,0,0,0,0,2021-05-03
RX0000016468,MBR00000448,2022-06-25,2022-06-27,1238836779,1769945878,PLN5965,405573,PCN129,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,98,0,Mail Order,0,1,0,24.0,5.7,29.7,145.0,0.0,1.43,0.32,0.2267,0,0,0,0,2022-09-23
RX0000016469,MBR00000448,2022-03-07,2022-03-08,1873798753,1297042444,PLN9282,163897,PCN503,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,5,LTC,0,0,0,18.0,5.14,23.14,5.0,16.91,1.23,0.72,0.51,0,0,0,0,2022-04-06
RX0000016470,MBR00000449,2023-10-06,2023-10-07,1468434838,1672118849,PLN2426,475005,PCN165,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,1,Retail,0,0,0,175.0,4.5,179.5,32.0,141.9,5.6,7.0,4.9583,0,0,0,0,2023-11-05
RX0000016471,MBR00000449,2021-01-10,2021-01-11,1631626136,1648665453,PLN6536,974008,PCN881,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,7,Mail Order,0,0,1,45.0,8.14,53.14,6.0,43.89,3.25,1.8,1.275,0,0,0,0,2021-02-09
RX0000016472,MBR00000449,2021-06-23,2021-06-26,1147209035,1580248621,PLN1089,642484,PCN492,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,9,Mail Order,0,0,0,175.0,11.25,186.25,33.0,143.01,10.24,7.0,4.9583,0,0,0,0,2021-07-23
RX0000016473,MBR00000449,2023-12-08,2023-12-11,1235230983,1333045035,PLN4897,855705,PCN141,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,11,Retail,2,0,0,12.0,10.66,22.66,7.0,14.33,1.33,0.48,0.34,0,0,0,0,2024-01-07
RX0000016474,MBR00000449,2022-10-25,2022-10-29,1378221840,1140517045,PLN6873,676429,PCN990,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,5,Mail Order,0,0,0,11.0,6.54,17.54,7.0,9.32,1.22,0.44,0.3117,0,0,0,0,2022-11-24
RX0000016475,MBR00000449,2022-09-28,2022-10-01,1301549990,1537896302,PLN5115,685128,PCN907,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,88,9,Mail Order,1,0,0,54.0,7.76,61.76,6.0,51.69,4.07,0.72,0.51,0,0,0,0,2022-12-27
RX0000016476,MBR00000449,2022-11-18,2022-11-22,1432325506,1615616896,PLN1975,676353,PCN863,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,5,Retail,3,0,0,175.0,6.65,181.65,31.0,141.95,8.7,7.0,4.9583,0,0,0,0,2022-12-18
RX0000016477,MBR00000449,2021-02-25,2021-02-27,1700782926,1609235276,PLN3937,848341,PCN699,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,6,Specialty,0,1,0,8.0,17.18,25.18,148.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-03-27
RX0000016478,MBR00000449,2022-05-25,2022-05-27,1817191881,1531623299,PLN5993,959783,PCN701,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,54,7,Retail,0,0,0,28.0,1.52,29.52,0.0,27.5,2.02,0.56,0.3967,0,0,0,0,2022-07-24
RX0000016479,MBR00000449,2023-06-21,2023-06-23,1957902425,1475235084,PLN6062,926516,PCN767,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,6,Retail,3,0,0,22.0,9.7,31.7,7.0,23.3,1.4,0.88,0.6233,0,0,0,0,2023-07-21
RX0000016480,MBR00000449,2022-07-10,2022-07-12,1273953054,1454056202,PLN9242,194328,PCN500,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,55,9,Retail,0,0,0,18.0,5.66,23.66,2.0,20.61,1.05,0.36,0.255,1,0,0,0,2022-09-08
RX0000016481,MBR00000449,2022-02-19,2022-02-22,1959114677,1300847814,PLN8144,749005,PCN623,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,10,Mail Order,0,0,0,45.0,7.59,52.59,5.0,45.12,2.47,1.8,1.275,0,0,0,0,2022-03-21
RX0000016482,MBR00000449,2021-09-23,2021-09-27,1281333127,1482342792,PLN2918,495241,PCN612,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,2,Retail,1,0,0,18.0,8.3,26.3,5.0,19.54,1.76,0.72,0.51,0,0,0,0,2021-10-23
RX0000016483,MBR00000450,2023-06-13,2023-06-15,1253455626,1723549881,PLN9054,122441,PCN208,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,5,LTC,3,0,0,18.0,7.41,25.41,5.0,19.51,0.9,0.72,0.51,0,0,0,0,2023-07-13
RX0000016484,MBR00000450,2023-05-20,2023-05-23,1483423459,1909507841,PLN9305,149140,PCN253,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,96,10,Retail,0,0,0,1950.0,3.36,1953.36,33.0,1837.81,82.55,26.0,18.4167,0,0,0,0,2023-08-18
RX0000016485,MBR00000450,2021-12-14,2021-12-18,1895078124,1224916892,PLN6988,229564,PCN706,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,2,Retail,0,0,0,28.0,1.64,29.64,0.0,28.58,1.06,1.12,0.7933,0,0,0,0,2022-01-13
RX0000016486,MBR00000450,2023-02-05,2023-02-09,1392362625,1239488363,PLN8533,318247,PCN283,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,3,Retail,0,0,0,9.0,11.75,20.75,10.0,9.91,0.84,0.36,0.255,0,0,0,0,2023-03-07
RX0000016487,MBR00000450,2021-11-15,2021-11-18,1779461661,1548596379,PLN1567,576374,PCN931,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,88,10,Retail,0,0,0,66.0,9.66,75.66,8.0,65.18,2.48,0.88,0.6233,0,0,0,0,2022-02-13
RX0000016488,MBR00000450,2023-12-23,2023-12-27,1652954510,1620415414,PLN6217,979186,PCN351,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,86,9,Retail,0,0,0,30.0,6.61,36.61,0.0,35.13,1.48,0.4,0.2833,0,0,0,0,2024-03-22
RX0000016489,MBR00000450,2021-05-05,2021-05-06,1396748853,1333599306,PLN5676,183875,PCN981,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,82,10,Retail,0,0,0,2250.0,3.08,2253.08,34.0,2142.62,76.46,30.0,21.25,0,0,0,0,2021-08-03
RX0000016490,MBR00000450,2023-04-18,2023-04-22,1776104310,1487103833,PLN1230,926649,PCN645,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,65,11,Retail,0,0,0,760.0,2.05,762.05,30.0,701.47,30.58,15.2,10.7667,0,0,0,0,2023-06-17
RX0000016491,MBR00000450,2021-07-12,2021-07-15,1522490893,1898604043,PLN5983,639942,PCN881,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,94,4,Retail,0,0,0,2250.0,8.52,2258.52,32.0,2108.29,118.23,30.0,21.25,0,0,0,0,2021-10-10
RX0000016492,MBR00000450,2022-01-14,2022-01-16,1345251928,1534027117,PLN9004,906463,PCN600,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,10,Mail Order,0,0,0,8.5,4.07,12.57,2.0,9.96,0.61,0.34,0.2408,0,0,0,0,2022-02-13
RX0000016493,MBR00000450,2021-10-19,2021-10-22,1259863838,1532810783,PLN4801,823962,PCN590,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,82,10,Mail Order,2,0,0,36.0,10.11,46.11,4.0,39.58,2.53,0.48,0.34,0,0,0,0,2022-01-17
RX0000016494,MBR00000450,2022-10-14,2022-10-16,1883124883,1691870092,PLN9678,976838,PCN296,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,1,LTC,0,0,0,750.0,2.19,752.19,32.0,682.78,37.41,30.0,21.25,0,0,0,0,2022-11-13
RX0000016495,MBR00000450,2023-02-16,2023-02-18,1596194841,1780893676,PLN4863,647252,PCN839,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,88,6,Mail Order,0,0,0,45.0,5.61,50.61,3.0,44.69,2.92,0.6,0.425,0,0,0,0,2023-05-17
RX0000016496,MBR00000450,2023-05-17,2023-05-18,1787860170,1779142952,PLN2450,684510,PCN221,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,4,Specialty,0,0,0,2.33,39.89,42.22,3.0,39.22,0.0,0.4,0.2833,0,0,0,0,2023-05-24
RX0000016497,MBR00000450,2023-01-24,2023-01-28,1593013502,1927708172,PLN6195,559427,PCN488,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,8,Retail,0,0,0,151.67,4.76,156.43,35.0,113.29,8.14,26.0,18.4167,0,0,0,0,2023-01-31
RX0000016498,MBR00000450,2022-11-17,2022-11-19,1128482059,1571472470,PLN4977,534237,PCN376,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,93,0,Mail Order,0,0,0,30.0,3.01,33.01,9.0,22.84,1.17,0.4,0.2833,0,0,0,0,2023-02-15
RX0000016499,MBR00000450,2023-12-25,2023-12-26,1590732994,1497937834,PLN8984,746194,PCN559,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,98,9,Retail,0,0,0,36.0,10.42,46.42,9.0,34.68,2.74,0.48,0.34,0,0,0,0,2024-03-24
RX0000016500,MBR00000450,2021-05-04,2021-05-05,1595554826,1873100575,PLN4848,524107,PCN527,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,2,Retail,0,0,0,12.5,11.17,23.67,6.0,16.12,1.55,0.5,0.3542,0,0,0,0,2021-06-03
RX0000016501,MBR00000450,2023-12-15,2023-12-19,1302224242,1219007533,PLN7303,661334,PCN204,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,0,Retail,0,0,0,45.0,8.75,53.75,10.0,40.08,3.67,1.8,1.275,0,0,0,0,2024-01-14
RX0000016502,MBR00000450,2022-11-13,2022-11-16,1923449124,1589478751,PLN7043,217114,PCN686,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,96,4,Retail,0,0,0,960.0,5.31,965.31,39.0,876.96,49.35,12.8,9.0667,0,0,0,0,2023-02-11
RX0000016503,MBR00000450,2023-07-09,2023-07-10,1761212918,1273763707,PLN4196,824017,PCN653,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,59,2,Mail Order,2,0,0,30.0,11.17,41.17,5.0,33.68,2.49,0.6,0.425,0,0,0,0,2023-09-07
RX0000016504,MBR00000450,2022-06-02,2022-06-05,1539816294,1791767529,PLN1053,193173,PCN571,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,61,2,Retail,0,0,0,1900.0,2.66,1902.66,35.0,1771.98,95.68,38.0,26.9167,1,0,0,0,2022-08-01
RX0000016505,MBR00000450,2023-11-22,2023-11-26,1689145804,1217626763,PLN9085,583064,PCN786,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,86,7,Mail Order,0,0,0,930.0,8.19,938.19,39.0,838.56,60.63,12.4,8.7833,1,0,0,0,2024-02-20
RX0000016506,MBR00000450,2023-01-27,2023-01-28,1690418092,1271735699,PLN2325,566319,PCN172,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,Specialty,0,0,0,22.0,39.65,61.65,10.0,51.65,0.0,0.88,0.6233,0,0,0,0,2023-02-26
RX0000016507,MBR00000450,2023-03-14,2023-03-17,1945785337,1737651369,PLN5005,696512,PCN667,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,87,0,Retail,0,1,0,18600.0,7.34,18607.34,153.0,17454.86,999.48,248.0,175.6667,0,0,0,0,2023-06-12
RX0000016508,MBR00000450,2021-05-07,2021-05-11,1629605252,1654358874,PLN4675,913768,PCN795,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,3,Specialty,0,0,0,14.0,21.12,35.12,1.0,34.12,0.0,0.56,0.3967,0,0,0,0,2021-06-06
RX0000016509,MBR00000450,2021-02-06,2021-02-08,1454461796,1111149437,PLN8471,506406,PCN649,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,9,Retail,1,0,0,11.0,1.88,12.88,4.0,8.47,0.41,0.44,0.3117,0,0,0,0,2021-03-08
RX0000016510,MBR00000450,2021-09-08,2021-09-12,1652595071,1169500304,PLN7042,694570,PCN585,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,9,Retail,0,0,0,1.75,10.82,12.57,8.0,4.04,0.53,0.3,0.2125,0,0,0,0,2021-09-15
RX0000016511,MBR00000450,2022-10-14,2022-10-15,1317627592,1494368105,PLN4069,592157,PCN950,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,3,Retail,0,0,0,22.0,5.88,27.88,0.0,26.98,0.9,0.88,0.6233,0,1,0,0,2022-11-13
RX0000016512,MBR00000450,2023-03-05,2023-03-07,1163711472,1695891963,PLN2980,929506,PCN837,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,9,Specialty,0,0,0,380.0,19.78,399.78,39.0,360.78,0.0,15.2,10.7667,0,0,0,0,2023-04-04
RX0000016513,MBR00000450,2021-08-03,2021-08-06,1855586389,1623863962,PLN5819,692647,PCN458,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,11,Retail,0,0,0,45.0,8.1,53.1,8.0,42.75,2.35,1.8,1.275,0,0,0,0,2021-09-02
RX0000016514,MBR00000450,2021-08-31,2021-09-01,1846122839,1223354691,PLN9332,442067,PCN876,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,4,Retail,0,0,0,9.0,10.56,19.56,1.0,17.66,0.9,0.36,0.255,0,1,0,0,2021-09-30
RX0000016515,MBR00000450,2023-08-09,2023-08-11,1400516242,1590653579,PLN7580,729220,PCN339,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,1,Retail,0,0,0,380.0,10.54,390.54,34.0,337.45,19.09,15.2,10.7667,0,0,0,0,2023-09-08
RX0000016516,MBR00000450,2022-07-20,2022-07-23,1965024442,1198331487,PLN9657,260642,PCN833,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,90,1,Retail,0,0,0,42.0,6.26,48.26,10.0,34.98,3.28,0.56,0.3967,0,0,0,0,2022-10-18
RX0000016517,MBR00000450,2021-12-21,2021-12-25,1919045162,1172892645,PLN9427,894920,PCN839,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,82,11,Specialty,0,0,0,990.0,21.76,1011.76,37.0,974.76,0.0,13.2,9.35,0,0,0,0,2022-03-21
RX0000016518,MBR00000450,2022-10-20,2022-10-22,1431875031,1947101234,PLN8441,551184,PCN844,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,3,Mail Order,0,0,0,14.0,1.82,15.82,2.0,12.96,0.86,0.56,0.3967,0,0,0,0,2022-11-19
RX0000016519,MBR00000450,2022-09-24,2022-09-25,1561914221,1760186483,PLN7054,558819,PCN665,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,57,10,Mail Order,0,1,0,17000.0,10.91,17010.91,155.0,15799.03,1056.88,340.0,240.8333,0,0,0,0,2022-11-23
RX0000016520,MBR00000450,2022-04-27,2022-04-30,1607505382,1805414377,PLN9183,343890,PCN442,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,5,Specialty,0,0,0,750.0,16.92,766.92,33.0,733.92,0.0,30.0,21.25,0,1,1,0,2022-05-27
RX0000016521,MBR00000450,2021-05-30,2021-06-01,1579594702,1464397681,PLN2844,300054,PCN956,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,4,Retail,0,0,0,18.0,10.88,28.88,0.0,27.69,1.19,0.72,0.51,0,0,0,0,2021-06-29
RX0000016522,MBR00000450,2021-01-02,2021-01-03,1874694677,1298999932,PLN2781,557445,PCN743,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,90,2,Specialty,0,0,0,45.0,31.26,76.26,4.0,72.26,0.0,0.6,0.425,0,0,0,0,2021-04-02
RX0000016523,MBR00000451,2023-01-01,2023-01-04,1410417468,1800538154,PLN1772,944678,PCN225,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,2,Specialty,0,1,0,6200.0,19.81,6219.81,145.0,6074.81,0.0,248.0,175.6667,0,0,0,0,2023-01-31
RX0000016524,MBR00000451,2021-05-04,2021-05-06,1404501387,1905669530,PLN2769,412836,PCN479,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,82,5,Retail,0,0,0,27.0,10.78,37.78,6.0,29.36,2.42,0.36,0.255,1,0,0,0,2021-08-02
RX0000016525,MBR00000451,2023-11-25,2023-11-26,1926266332,1196141293,PLN6930,294575,PCN787,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,0,Retail,0,0,0,18.0,7.89,25.89,9.0,15.51,1.38,0.72,0.51,0,0,0,0,2023-12-25
RX0000016526,MBR00000451,2023-06-29,2023-07-01,1182311226,1253973078,PLN7844,339104,PCN741,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,9,Retail,0,0,0,16.0,3.07,19.07,2.0,16.22,0.85,0.64,0.4533,0,0,0,0,2023-07-29
RX0000016527,MBR00000451,2023-11-20,2023-11-24,1226314487,1861069301,PLN2216,917759,PCN186,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,8,Retail,0,0,0,3.5,11.94,15.44,6.0,8.74,0.7,0.6,0.425,0,0,0,0,2023-11-27
RX0000016528,MBR00000451,2023-08-20,2023-08-21,1867965051,1962042848,PLN6635,621064,PCN262,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,6,Mail Order,0,0,0,14.0,3.2,17.2,0.0,16.18,1.02,0.56,0.3967,0,0,0,0,2023-09-19
RX0000016529,MBR00000451,2022-04-04,2022-04-08,1626750656,1818187334,PLN2390,932013,PCN129,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,8,Retail,0,0,0,11.0,3.33,14.33,6.0,7.38,0.95,0.44,0.3117,0,0,0,0,2022-05-04
RX0000016530,MBR00000451,2021-09-11,2021-09-15,1932164491,1600145402,PLN5376,893917,PCN931,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,91,7,Retail,2,0,0,42.0,10.71,52.71,4.0,45.06,3.65,0.56,0.3967,0,0,0,0,2021-12-10
RX0000016531,MBR00000451,2023-06-09,2023-06-11,1312430482,1781536051,PLN5479,525624,PCN573,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,90,4,Specialty,1,0,0,54.0,22.69,76.69,40.0,36.69,0.0,0.72,0.51,0,0,0,0,2023-09-07
RX0000016532,MBR00000451,2022-05-18,2022-05-20,1419654686,1317345820,PLN2851,224195,PCN994,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,7,6,4,Specialty,0,0,0,221.67,41.2,262.87,34.0,228.87,0.0,38.0,26.9167,0,0,0,0,2022-05-25
RX0000016533,MBR00000451,2023-07-23,2023-07-24,1341466856,1897112994,PLN3070,145452,PCN767,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,3,Retail,0,0,0,12.0,1.76,13.76,2.0,11.11,0.65,0.48,0.34,0,0,0,0,2023-08-22
RX0000016534,MBR00000451,2021-06-07,2021-06-11,1193349251,1550353181,PLN6393,320886,PCN310,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,95,9,Retail,0,0,0,1110.0,7.58,1117.58,37.0,1011.59,68.99,14.8,10.4833,0,0,0,0,2021-09-05
RX0000016535,MBR00000451,2023-10-09,2023-10-11,1481364265,1191568509,PLN1497,687728,PCN358,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,9,Retail,0,1,0,12.0,5.09,17.09,149.0,0.0,0.6,0.48,0.34,0,0,0,0,2023-11-08
RX0000016536,MBR00000452,2023-10-31,2023-11-01,1323249739,1151230230,PLN8809,553821,PCN146,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,11,Retail,0,0,0,10.0,5.72,15.72,7.0,8.25,0.47,0.4,0.2833,1,0,0,0,2023-11-30
RX0000016537,MBR00000452,2023-07-20,2023-07-22,1845338558,1137020257,PLN5339,884488,PCN405,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,96,4,Retail,3,0,0,54.0,4.21,58.21,4.0,51.92,2.29,0.72,0.51,0,0,0,0,2023-10-18
RX0000016538,MBR00000452,2023-04-13,2023-04-16,1994148647,1380252663,PLN8685,916060,PCN369,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,89,10,Retail,0,0,0,30.0,6.63,36.63,10.0,24.87,1.76,0.4,0.2833,0,0,0,0,2023-07-12
RX0000016539,MBR00000452,2023-02-22,2023-02-24,1455544735,1831056352,PLN6093,113370,PCN794,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,8,Retail,0,0,0,7.5,5.34,12.84,4.0,8.22,0.62,0.3,0.2125,0,0,0,0,2023-03-24
RX0000016540,MBR00000452,2021-01-11,2021-01-15,1381661772,1676631303,PLN3892,825979,PCN694,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,11,Retail,3,0,0,330.0,4.62,334.62,39.0,284.83,10.79,13.2,9.35,0,0,0,0,2021-02-10
RX0000016541,MBR00000452,2021-04-03,2021-04-06,1844562705,1783622425,PLN1812,236822,PCN689,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,0,Retail,0,1,0,2800.0,8.27,2808.27,145.0,2532.38,130.89,112.0,79.3333,0,0,0,0,2021-05-03
RX0000016542,MBR00000452,2022-09-16,2022-09-19,1653752353,1284401728,PLN7465,906071,PCN333,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,55,7,Retail,0,0,0,24.0,9.79,33.79,8.0,23.5,2.29,0.48,0.34,0,0,0,0,2022-11-15
RX0000016543,MBR00000452,2023-08-12,2023-08-14,1717085174,1711892856,PLN8146,892474,PCN577,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,3,Mail Order,1,1,0,2800.0,11.75,2811.75,152.0,2481.83,177.92,112.0,79.3333,1,0,0,0,2023-09-11
RX0000016544,MBR00000452,2022-12-29,2023-01-02,1935445160,1933419557,PLN4410,538708,PCN662,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,2,Retail,0,0,0,9.0,5.94,14.94,3.0,11.47,0.47,0.36,0.255,1,0,0,0,2023-01-28
RX0000016545,MBR00000452,2021-11-12,2021-11-14,1721250373,1218617637,PLN4963,788286,PCN180,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,0,Retail,2,0,0,320.0,4.64,324.64,37.0,277.46,10.18,12.8,9.0667,0,0,0,0,2021-12-12
RX0000016546,MBR00000452,2022-04-16,2022-04-17,1660816224,1840176360,PLN2075,259859,PCN508,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,3,Retail,0,0,0,15.0,6.2,21.2,2.0,18.29,0.91,0.6,0.425,0,0,0,0,2022-05-16
RX0000016547,MBR00000452,2021-10-31,2021-11-04,1764649439,1506399370,PLN2049,947082,PCN892,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,94,5,Specialty,0,0,0,27.0,32.93,59.93,2.0,57.93,0.0,0.36,0.255,0,0,0,0,2022-01-29
RX0000016548,MBR00000452,2023-07-29,2023-07-30,1128717578,1236117174,PLN9857,730631,PCN669,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,6,Retail,0,0,0,185.0,11.05,196.05,33.0,151.73,11.32,7.4,5.2417,0,0,0,0,2023-08-28
RX0000016549,MBR00000452,2022-07-15,2022-07-18,1288137764,1383274034,PLN5677,631893,PCN345,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,3,Retail,0,0,0,950.0,2.66,952.66,38.0,862.78,51.88,38.0,26.9167,0,0,0,0,2022-08-14
RX0000016550,MBR00000452,2021-04-29,2021-05-02,1885200400,1704809261,PLN6159,600127,PCN260,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,83,8,Specialty,3,0,0,27.0,47.16,74.16,1.0,73.16,0.0,0.36,0.255,0,0,0,0,2021-07-28
RX0000016551,MBR00000452,2023-04-17,2023-04-20,1148339952,1862743669,PLN4339,469106,PCN277,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,2,Retail,0,0,0,45.0,6.44,51.44,2.0,47.19,2.25,1.8,1.275,0,0,0,0,2023-05-17
RX0000016552,MBR00000452,2022-05-12,2022-05-15,1335535015,1904881076,PLN9003,786954,PCN147,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,2,Retail,0,0,0,330.0,2.02,332.02,36.0,278.9,17.12,13.2,9.35,0,0,0,0,2022-06-11
RX0000016553,MBR00000452,2022-09-29,2022-10-03,1492478135,1987859717,PLN5026,922079,PCN789,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,10,Retail,3,0,0,2.33,9.13,11.46,4.0,6.76,0.7,0.4,0.2833,0,0,0,0,2022-10-06
RX0000016554,MBR00000452,2023-07-17,2023-07-18,1786641413,1570172055,PLN6306,419745,PCN671,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,95,4,Mail Order,1,0,0,84.0,8.54,92.54,8.0,81.0,3.54,1.12,0.7933,0,0,0,0,2023-10-15
RX0000016555,MBR00000452,2023-03-25,2023-03-28,1645512498,1706201030,PLN7106,195513,PCN535,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,0,Retail,0,0,0,38.0,7.16,45.16,40.0,3.69,1.47,1.52,1.0767,0,0,0,0,2023-04-24
RX0000016556,MBR00000452,2022-09-23,2022-09-25,1253354874,1606717106,PLN5586,155803,PCN461,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,4,Retail,0,0,0,10.0,3.02,13.02,0.0,12.35,0.67,0.4,0.2833,0,0,0,0,2022-10-23
RX0000016557,MBR00000452,2022-08-04,2022-08-08,1269785171,1217884138,PLN7543,271679,PCN121,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,6,Retail,0,0,0,10.0,7.61,17.61,8.0,8.56,1.05,0.4,0.2833,0,1,0,0,2022-09-03
RX0000016558,MBR00000452,2021-04-08,2021-04-10,1978082650,1896851037,PLN3538,949190,PCN195,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,6,Retail,0,0,0,9.0,10.0,19.0,6.0,11.86,1.14,0.36,0.255,0,0,0,0,2021-05-08
RX0000016559,MBR00000452,2022-12-17,2022-12-18,1663914983,1891190963,PLN3119,818922,PCN809,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,58,11,Retail,0,0,0,17.0,3.33,20.33,2.0,17.07,1.26,0.34,0.2408,0,0,0,0,2023-02-15
RX0000016560,MBR00000452,2022-07-14,2022-07-15,1273127499,1578839543,PLN7408,513284,PCN964,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,5,Retail,0,0,0,15.17,2.5,17.66,39.0,0.0,1.22,2.6,1.8417,0,0,0,0,2022-07-21
RX0000016561,MBR00000452,2023-05-11,2023-05-15,1480363677,1385547268,PLN6538,825696,PCN995,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,90,10,Specialty,0,0,0,66.0,37.51,103.51,71.0,32.51,0.0,0.88,0.6233,0,0,0,0,2023-08-09
RX0000016562,MBR00000452,2021-04-15,2021-04-18,1898943111,1590191253,PLN6721,911825,PCN296,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,83,8,Retail,0,0,0,855.0,11.39,866.39,37.0,798.87,30.52,11.4,8.075,0,0,0,0,2021-07-14
RX0000016563,MBR00000452,2022-10-16,2022-10-17,1307383778,1992146478,PLN8556,536822,PCN332,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,6,Retail,0,0,0,7.5,10.94,18.44,1.0,16.16,1.28,0.3,0.2125,0,0,0,0,2022-11-15
RX0000016564,MBR00000452,2023-10-25,2023-10-27,1158764964,1387571491,PLN7605,215085,PCN163,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,85,0,Mail Order,0,0,0,555.0,10.59,565.59,35.0,508.71,21.88,7.4,5.2417,0,0,0,0,2024-01-23
RX0000016565,MBR00000452,2022-04-27,2022-04-30,1782313067,1546060814,PLN4327,939114,PCN300,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,96,6,Mail Order,3,0,0,30.0,3.53,33.53,3.0,28.4,2.13,0.4,0.2833,1,0,0,0,2022-07-26
RX0000016566,MBR00000452,2022-05-12,2022-05-13,1375530632,1627415329,PLN6022,741336,PCN997,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,56,5,Retail,0,0,0,44.0,1.7,45.7,68.0,0.0,1.93,0.88,0.6233,0,0,0,0,2022-07-11
RX0000016567,MBR00000452,2022-03-12,2022-03-14,1760731409,1191822609,PLN7639,882292,PCN456,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,0,0,0,320.0,6.46,326.46,30.0,274.98,21.48,12.8,9.0667,0,0,0,0,2022-04-11
RX0000016568,MBR00000452,2021-09-20,2021-09-22,1262358475,1182302564,PLN8069,621763,PCN870,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,6,Retail,0,0,0,330.0,3.26,333.26,38.0,280.31,14.95,13.2,9.35,0,0,0,0,2021-10-20
RX0000016569,MBR00000452,2022-07-04,2022-07-07,1955140302,1412203867,PLN6708,373970,PCN791,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,61,6,Specialty,0,0,0,90.0,37.67,127.67,9.0,118.67,0.0,1.8,1.275,0,0,0,0,2022-09-02
RX0000016570,MBR00000452,2021-01-21,2021-01-23,1978414824,1365109653,PLN9886,454500,PCN339,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,84,3,Retail,0,0,0,36.0,10.38,46.38,7.0,37.76,1.62,0.48,0.34,0,0,0,0,2021-04-21
RX0000016571,MBR00000452,2021-06-13,2021-06-14,1351674858,1119414366,PLN9476,679164,PCN933,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,10,Retail,0,0,0,14.0,10.2,24.2,4.0,19.43,0.77,0.56,0.3967,0,0,0,0,2021-07-13
RX0000016572,MBR00000452,2022-05-15,2022-05-18,1831134143,1452263810,PLN3824,985765,PCN748,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,6,Mail Order,2,0,0,380.0,4.36,384.36,38.0,331.53,14.83,15.2,10.7667,0,0,0,0,2022-06-14
RX0000016573,MBR00000452,2021-04-03,2021-04-04,1454019133,1149049139,PLN1999,585033,PCN820,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,61,6,Retail,0,0,0,15.0,8.44,23.44,6.0,16.12,1.32,0.3,0.2125,0,0,0,0,2021-06-02
RX0000016574,MBR00000452,2021-09-11,2021-09-12,1750551474,1509573040,PLN3252,492372,PCN394,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,9,Retail,0,1,0,6200.0,7.99,6207.99,145.0,5701.72,361.27,248.0,175.6667,0,0,0,0,2021-10-11
RX0000016575,MBR00000452,2023-08-18,2023-08-20,1246180224,1601296965,PLN2622,299940,PCN373,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,4,Mail Order,0,1,0,2800.0,5.7,2805.7,150.0,2494.27,161.43,112.0,79.3333,0,0,0,0,2023-09-17
RX0000016576,MBR00000452,2023-08-21,2023-08-24,1441117904,1982040767,PLN3392,187598,PCN211,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,91,5,Retail,0,0,0,45.0,2.28,47.28,7.0,37.45,2.83,0.6,0.425,0,0,0,0,2023-11-19
RX0000016577,MBR00000452,2023-09-29,2023-10-01,1377287817,1934303755,PLN1711,603171,PCN600,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,0,Mail Order,0,0,0,310.0,4.25,314.25,32.0,262.46,19.79,12.4,8.7833,0,0,0,0,2023-10-29
RX0000016578,MBR00000452,2022-03-04,2022-03-08,1739440185,1712120342,PLN2310,606089,PCN318,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,97,0,Retail,0,0,0,2250.0,1.55,2251.55,35.0,2110.19,106.36,30.0,21.25,0,0,0,0,2022-06-02
RX0000016579,MBR00000452,2022-04-28,2022-04-30,1448577311,1912233980,PLN3908,351489,PCN557,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,83,3,Retail,0,0,0,42.0,2.86,44.86,9.0,32.75,3.11,0.56,0.3967,0,0,0,0,2022-07-27
RX0000016580,MBR00000452,2023-03-04,2023-03-05,1848402814,1174180961,PLN7485,713585,PCN771,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,91,3,Retail,0,0,0,84.0,4.38,88.38,0.0,84.87,3.51,1.12,0.7933,0,0,0,0,2023-06-02
RX0000016581,MBR00000452,2021-11-10,2021-11-12,1225188410,1878206378,PLN3373,191146,PCN288,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,85,2,Retail,0,0,0,36.0,7.82,43.82,8.0,33.03,2.79,0.48,0.34,0,0,0,0,2022-02-08
RX0000016582,MBR00000452,2021-03-07,2021-03-09,1833220587,1583915373,PLN2748,766216,PCN805,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,83,4,Retail,0,0,0,30.0,4.92,34.92,7.0,26.35,1.57,0.4,0.2833,1,0,0,0,2021-06-05
RX0000016583,MBR00000452,2023-07-28,2023-07-31,1376536372,1200920285,PLN2722,492094,PCN878,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,6,Specialty,0,0,0,11.0,41.89,52.89,9.0,43.89,0.0,0.44,0.3117,0,0,0,0,2023-08-27
RX0000016584,MBR00000452,2022-05-12,2022-05-14,1437310070,1402456645,PLN4653,855192,PCN566,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,94,0,Retail,0,0,0,990.0,5.0,995.0,39.0,915.28,40.72,13.2,9.35,0,0,0,0,2022-08-10
RX0000016585,MBR00000452,2022-09-02,2022-09-06,1123895151,1245001203,PLN3645,424380,PCN185,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,5,Retail,0,0,0,45.0,2.68,47.68,10.0,35.01,2.67,1.8,1.275,0,0,0,0,2022-10-02
RX0000016586,MBR00000452,2022-12-23,2022-12-25,1148696560,1920581669,PLN9357,506145,PCN933,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,11,Mail Order,0,0,0,45.0,11.38,56.38,2.0,51.96,2.42,1.8,1.275,0,1,0,0,2023-01-22
RX0000016587,MBR00000452,2021-05-11,2021-05-12,1146349795,1782807915,PLN6760,690364,PCN222,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,7,Specialty,0,0,0,14.0,43.57,57.57,9.0,48.57,0.0,0.56,0.3967,0,0,0,0,2021-06-10
RX0000016588,MBR00000452,2022-10-29,2022-11-02,1988245103,1232688291,PLN2290,241820,PCN613,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,3,Mail Order,0,0,0,15.0,9.7,24.7,5.0,18.13,1.57,0.6,0.425,0,0,0,0,2022-11-28
RX0000016589,MBR00000452,2023-09-23,2023-09-27,1599771281,1643767426,PLN9496,113534,PCN746,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,7,Retail,0,0,0,9.0,11.15,20.15,0.0,18.91,1.24,0.36,0.255,0,0,0,0,2023-10-23
RX0000016590,MBR00000452,2021-12-04,2021-12-08,1140720361,1637324232,PLN9832,740679,PCN339,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,54,0,Retail,2,0,0,28.0,4.51,32.51,1.0,30.32,1.19,0.56,0.3967,0,0,0,0,2022-02-02
RX0000016591,MBR00000452,2023-05-13,2023-05-17,1206853539,1859025325,PLN9089,969766,PCN394,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,5,Retail,0,0,0,185.0,3.91,188.91,40.0,142.23,6.68,7.4,5.2417,0,0,0,0,2023-06-12
RX0000016592,MBR00000452,2023-06-28,2023-06-29,1439271806,1798233697,PLN7972,321509,PCN894,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,2,Retail,0,0,0,12.0,2.51,14.51,0.0,14.03,0.48,0.48,0.34,0,0,0,0,2023-07-28
RX0000016593,MBR00000452,2021-07-15,2021-07-19,1153963648,1268147027,PLN5101,397882,PCN642,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,91,10,Retail,0,0,0,30.0,8.51,38.51,2.0,34.31,2.2,0.4,0.2833,0,0,0,0,2021-10-13
RX0000016594,MBR00000452,2022-06-30,2022-07-03,1506818408,1659070730,PLN6219,590651,PCN100,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,83,6,Retail,0,0,0,36.0,8.58,44.58,6.0,35.76,2.82,0.48,0.34,0,0,0,0,2022-09-28
RX0000016595,MBR00000452,2022-02-07,2022-02-08,1901373609,1829948382,PLN2682,111212,PCN316,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,0,Retail,0,0,0,11.0,6.08,17.08,6.0,10.29,0.79,0.44,0.3117,0,1,0,0,2022-03-09
RX0000016596,MBR00000452,2023-09-15,2023-09-18,1148911194,1118747001,PLN9265,480976,PCN647,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,4,Retail,0,0,0,4.2,7.69,11.89,0.0,11.27,0.62,0.72,0.51,0,0,0,0,2023-09-22
RX0000016597,MBR00000452,2021-10-31,2021-11-01,1162360391,1436790825,PLN6911,899684,PCN180,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,5,Specialty,0,0,0,320.0,36.0,356.0,32.0,324.0,0.0,12.8,9.0667,0,0,0,0,2021-11-30
RX0000016598,MBR00000452,2023-03-08,2023-03-10,1611036897,1855210883,PLN2250,610785,PCN533,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,10,Retail,0,0,0,15.0,7.74,22.74,1.0,20.17,1.57,0.6,0.425,0,0,0,0,2023-04-07
RX0000016599,MBR00000452,2023-02-22,2023-02-23,1496022871,1196585697,PLN3280,701846,PCN914,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,9,Retail,1,0,0,12.0,11.76,23.76,0.0,22.81,0.95,0.48,0.34,0,0,0,0,2023-03-24
RX0000016600,MBR00000453,2021-10-26,2021-10-30,1889237752,1791595391,PLN6457,595023,PCN214,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,10,Retail,0,0,0,38.0,9.27,47.27,36.0,9.0,2.27,1.52,1.0767,0,0,0,0,2021-11-25
RX0000016601,MBR00000453,2022-01-29,2022-02-02,1827880546,1525637401,PLN5970,745852,PCN876,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,3,Retail,0,0,0,950.0,3.33,953.33,32.0,877.43,43.9,38.0,26.9167,0,0,0,0,2022-02-28
RX0000016602,MBR00000453,2023-05-10,2023-05-11,1580422623,1346225151,PLN7325,216503,PCN414,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,92,9,Retail,0,1,0,36.0,3.69,39.69,155.0,0.0,2.35,0.48,0.34,0,0,0,0,2023-08-08
RX0000016603,MBR00000453,2022-09-20,2022-09-22,1339382642,1167736882,PLN1385,541116,PCN937,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,2,Retail,0,0,0,12.0,8.02,20.02,0.0,18.69,1.33,0.48,0.34,0,0,0,0,2022-10-20
RX0000016604,MBR00000453,2021-02-23,2021-02-24,1397960882,1790025263,PLN4289,588118,PCN909,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,3,Retail,0,0,0,14.0,10.05,24.05,6.0,17.2,0.85,0.56,0.3967,0,0,0,0,2021-03-25
RX0000016605,MBR00000453,2021-11-29,2021-12-01,1263341551,1104437988,PLN9882,476414,PCN398,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,96,7,Mail Order,1,0,0,27.0,6.03,33.03,2.0,29.15,1.88,0.36,0.255,0,0,0,0,2022-02-27
RX0000016606,MBR00000453,2021-07-15,2021-07-16,1308333134,1187021616,PLN7491,652394,PCN904,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,90,7,Retail,0,0,0,54.0,3.56,57.56,4.0,51.32,2.24,0.72,0.51,0,0,0,0,2021-10-13
RX0000016607,MBR00000453,2023-05-17,2023-05-21,1258953035,1743524095,PLN8688,376840,PCN749,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,2,Retail,0,0,0,7.5,2.87,10.37,5.0,4.76,0.61,0.3,0.2125,0,0,0,0,2023-06-16
RX0000016608,MBR00000453,2023-01-19,2023-01-22,1195870520,1882615510,PLN4212,463091,PCN706,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,11,Mail Order,1,0,0,5.13,2.35,7.48,1.0,6.11,0.37,0.88,0.6233,1,0,0,0,2023-01-26
RX0000016609,MBR00000453,2021-03-04,2021-03-05,1520662540,1989519128,PLN1978,625688,PCN913,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,9,Specialty,0,0,0,38.0,14.53,52.53,1.0,51.53,0.0,1.52,1.0767,0,0,0,0,2021-04-03
RX0000016610,MBR00000453,2022-02-17,2022-02-21,1472578501,1754512880,PLN2963,169402,PCN956,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,3,Retail,0,0,0,18.0,1.57,19.57,7.0,11.41,1.16,0.72,0.51,0,0,0,0,2022-03-19
RX0000016611,MBR00000453,2021-03-03,2021-03-06,1781762397,1133420596,PLN2009,618538,PCN486,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,81,9,Mail Order,0,0,0,33.0,2.09,35.09,9.0,24.21,1.88,0.44,0.3117,0,0,0,0,2021-06-01
RX0000016612,MBR00000453,2021-04-21,2021-04-22,1900833785,1376623196,PLN7348,216982,PCN973,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,4,Mail Order,3,1,0,12.0,4.98,16.98,150.0,0.0,1.11,0.48,0.34,0,0,0,0,2021-05-21
RX0000016613,MBR00000453,2021-04-28,2021-04-29,1412994455,1441188764,PLN9418,755297,PCN915,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,9,Retail,0,0,0,11.0,11.75,22.75,6.0,15.25,1.5,0.44,0.3117,0,0,0,0,2021-05-28
RX0000016614,MBR00000453,2022-11-19,2022-11-23,1845275340,1710558626,PLN4653,845421,PCN435,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,9,Mail Order,2,1,0,12.0,4.8,16.8,153.0,0.0,1.15,0.48,0.34,0,0,0,0,2022-12-19
RX0000016615,MBR00000453,2022-03-22,2022-03-23,1925466560,1429294828,PLN9390,803868,PCN291,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,10,Retail,0,0,0,18.0,11.95,29.95,0.0,27.9,2.05,0.72,0.51,0,1,0,0,2022-04-21
RX0000016616,MBR00000453,2023-12-13,2023-12-16,1273648026,1287715861,PLN5672,288414,PCN988,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,5,Retail,0,0,0,38.0,3.53,41.53,37.0,3.0,1.53,1.52,1.0767,1,0,0,0,2024-01-12
RX0000016617,MBR00000453,2022-01-01,2022-01-03,1679141145,1965519578,PLN3277,195128,PCN884,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,0,Mail Order,0,0,0,11.0,9.61,20.61,1.0,18.83,0.78,0.44,0.3117,0,0,0,0,2022-01-31
RX0000016618,MBR00000453,2021-07-19,2021-07-23,1221100349,1309189408,PLN6604,733880,PCN778,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,2,Retail,0,1,0,8500.0,6.82,8506.82,148.0,8017.98,340.84,340.0,240.8333,0,0,0,0,2021-08-18
RX0000016619,MBR00000453,2021-09-29,2021-10-01,1343768523,1275448451,PLN7890,526603,PCN417,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,7,Mail Order,0,1,0,12.0,9.46,21.46,150.0,0.0,1.16,0.48,0.34,0,0,0,0,2021-10-29
RX0000016620,MBR00000453,2023-06-03,2023-06-05,1158947856,1339095367,PLN8080,995988,PCN874,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,4,Retail,0,0,0,38.0,2.92,40.92,9.0,29.61,2.31,1.52,1.0767,0,0,0,0,2023-07-03
RX0000016621,MBR00000453,2023-06-26,2023-06-30,1492300287,1532335921,PLN3418,463161,PCN709,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,11,Retail,0,0,0,370.0,1.93,371.93,35.0,317.22,19.71,14.8,10.4833,1,0,0,0,2023-07-26
RX0000016622,MBR00000453,2023-05-08,2023-05-10,1844665444,1268812960,PLN5169,970735,PCN922,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,1,Retail,2,0,0,38.0,5.52,43.52,6.0,35.75,1.77,1.52,1.0767,1,0,0,0,2023-06-07
RX0000016623,MBR00000453,2022-09-18,2022-09-19,1198912545,1559177348,PLN7603,442219,PCN790,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,9,Mail Order,0,0,0,22.0,4.84,26.84,1.0,23.98,1.86,0.88,0.6233,0,0,0,0,2022-10-18
RX0000016624,MBR00000453,2021-01-09,2021-01-10,1616690670,1524003643,PLN3038,788347,PCN739,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,9,Retail,1,0,0,14.0,7.96,21.96,6.0,15.18,0.78,0.56,0.3967,0,0,0,0,2021-02-08
RX0000016625,MBR00000453,2022-03-27,2022-03-29,1331857542,1864305745,PLN1825,962678,PCN329,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,6,Retail,0,0,0,8.87,8.59,17.46,3.0,13.3,1.16,1.52,1.0767,1,0,0,0,2022-04-03
RX0000016626,MBR00000453,2022-01-03,2022-01-06,1199787849,1407870783,PLN5830,761689,PCN472,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,4,Retail,0,0,0,750.0,9.75,759.75,33.0,678.53,48.22,30.0,21.25,0,0,0,0,2022-02-02
RX0000016627,MBR00000453,2021-08-21,2021-08-22,1603200055,1435361950,PLN6989,135341,PCN744,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,4,Retail,0,1,0,8.0,3.3,11.3,152.0,0.0,0.61,0.32,0.2267,0,0,0,0,2021-09-20
RX0000016628,MBR00000453,2023-12-18,2023-12-21,1249740253,1852683444,PLN1709,103751,PCN687,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,9,Mail Order,0,1,0,8.0,5.76,13.76,146.0,0.0,0.89,0.32,0.2267,0,0,0,0,2024-01-17
RX0000016629,MBR00000453,2022-04-26,2022-04-30,1808573779,1780092293,PLN2922,565937,PCN396,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,58,7,Specialty,0,0,0,570.0,31.77,601.77,33.0,568.77,0.0,11.4,8.075,1,0,0,0,2022-06-25
RX0000016630,MBR00000453,2021-09-06,2021-09-07,1507460899,1900573485,PLN8308,777561,PCN939,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,82,0,Retail,0,1,0,18600.0,3.03,18603.03,154.0,17407.84,1041.19,248.0,175.6667,0,1,1,0,2021-12-05
RX0000016631,MBR00000453,2023-09-13,2023-09-15,1565040311,1592876353,PLN1040,481901,PCN500,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,6,1,Retail,0,0,0,15.17,6.55,21.72,38.0,0.0,1.21,2.6,1.8417,0,0,0,0,2023-09-20
RX0000016632,MBR00000453,2021-09-12,2021-09-14,1302558247,1740003180,PLN9396,536791,PCN236,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,4,Mail Order,0,0,0,650.0,6.95,656.95,40.0,592.52,24.43,26.0,18.4167,0,1,1,0,2021-10-12
RX0000016633,MBR00000453,2023-09-25,2023-09-29,1644302798,1885928859,PLN1771,206035,PCN670,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,94,7,Specialty,0,0,0,960.0,34.24,994.24,39.0,955.24,0.0,12.8,9.0667,0,0,0,0,2023-12-24
RX0000016634,MBR00000453,2022-05-15,2022-05-16,1621333195,1705644363,PLN8327,248173,PCN295,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,4,Mail Order,0,0,0,10.5,10.71,21.21,9.0,10.99,1.22,1.8,1.275,0,0,0,0,2022-05-22
RX0000016635,MBR00000453,2022-11-22,2022-11-26,1713134175,1579007746,PLN9846,961398,PCN994,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,8,Mail Order,3,0,0,4.2,11.52,15.72,6.0,8.97,0.75,0.72,0.51,0,0,0,0,2022-11-29
RX0000016636,MBR00000453,2022-01-09,2022-01-10,1472436807,1632252630,PLN6174,766422,PCN297,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,1,Mail Order,0,0,0,15.0,5.11,20.11,2.0,17.0,1.11,0.6,0.425,0,0,0,0,2022-02-08
RX0000016637,MBR00000453,2023-03-31,2023-04-03,1374708459,1426666212,PLN8785,109976,PCN505,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,8,LTC,2,0,0,11.0,6.73,17.73,8.0,9.13,0.6,0.44,0.3117,0,0,0,0,2023-04-30
RX0000016638,MBR00000453,2021-06-15,2021-06-19,1223780772,1196614026,PLN5628,676680,PCN853,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,1,Mail Order,0,0,0,18.0,9.14,27.14,1.0,25.04,1.1,0.72,0.51,0,0,0,0,2021-07-15
RX0000016639,MBR00000453,2022-04-21,2022-04-25,1202343853,1128505537,PLN7266,446021,PCN468,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,5,Retail,0,0,0,285.0,6.38,291.38,31.0,247.85,12.53,11.4,8.075,0,0,0,0,2022-05-21
RX0000016640,MBR00000453,2023-12-28,2023-12-30,1517487533,1959037805,PLN9711,574642,PCN187,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,1,Retail,0,0,0,12.0,1.9,13.9,6.0,7.06,0.84,0.48,0.34,1,1,0,0,2024-01-27
RX0000016641,MBR00000453,2022-12-08,2022-12-11,1802400856,1106687417,PLN1479,630804,PCN397,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,4,Retail,0,0,0,2.1,11.3,13.4,9.0,3.67,0.73,0.36,0.255,1,0,0,0,2022-12-15
RX0000016642,MBR00000453,2023-08-14,2023-08-16,1706064396,1252455721,PLN1211,521120,PCN893,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,83,6,Retail,0,0,0,54.0,8.61,62.61,4.0,55.96,2.65,0.72,0.51,0,0,0,0,2023-11-12
RX0000016643,MBR00000453,2023-12-14,2023-12-16,1754607030,1911983022,PLN8841,676528,PCN803,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,63,6,Retail,0,0,0,36.0,6.84,42.84,10.0,31.33,1.51,0.72,0.51,0,0,0,0,2024-02-12
RX0000016644,MBR00000453,2022-12-07,2022-12-11,1371045620,1985018959,PLN1088,726612,PCN816,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,84,7,Retail,0,0,0,2850.0,4.16,2854.16,33.0,2677.63,143.53,38.0,26.9167,0,0,0,0,2023-03-07
RX0000016645,MBR00000453,2023-10-22,2023-10-25,1738536225,1842179588,PLN1196,806626,PCN694,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,4,Retail,0,0,0,330.0,4.52,334.52,30.0,282.61,21.91,13.2,9.35,0,0,0,0,2023-11-21
RX0000016646,MBR00000453,2023-11-24,2023-11-28,1227204710,1726584843,PLN7101,473751,PCN109,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,9,Retail,1,0,0,9.0,9.36,18.36,0.0,17.51,0.85,0.36,0.255,0,0,0,0,2023-12-24
RX0000016647,MBR00000453,2023-02-19,2023-02-20,1239412950,1119353801,PLN8460,128783,PCN611,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,0,Specialty,0,0,0,15.17,13.53,28.7,31.0,0.0,0.0,2.6,1.8417,0,1,1,0,2023-02-26
RX0000016648,MBR00000453,2022-05-30,2022-06-02,1187216243,1408304291,PLN8076,210394,PCN114,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,7,Retail,0,0,0,3.27,5.13,8.4,6.0,1.96,0.44,0.56,0.3967,0,0,0,0,2022-06-06
RX0000016649,MBR00000453,2023-02-23,2023-02-25,1842610567,1541642142,PLN8748,117197,PCN951,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,8,Mail Order,0,0,0,175.0,3.45,178.45,34.0,132.64,11.81,30.0,21.25,0,0,0,0,2023-03-02
RX0000016650,MBR00000453,2022-09-14,2022-09-15,1976901430,1657434152,PLN1108,855226,PCN655,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,3,Retail,3,0,0,650.0,10.94,660.94,33.0,596.85,31.09,26.0,18.4167,0,0,0,0,2022-10-14
RX0000016651,MBR00000453,2023-12-04,2023-12-06,1128555859,1213178502,PLN7546,217055,PCN627,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,7,Mail Order,0,0,0,380.0,9.13,389.13,37.0,338.33,13.8,15.2,10.7667,0,0,0,0,2024-01-03
RX0000016652,MBR00000453,2022-01-15,2022-01-17,1115544772,1733982347,PLN6753,106609,PCN470,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,98,4,Retail,0,0,0,42.0,8.64,50.64,7.0,40.28,3.36,0.56,0.3967,0,0,0,0,2022-04-15
RX0000016653,MBR00000453,2022-07-03,2022-07-04,1353621281,1975045275,PLN9706,157641,PCN753,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,86,6,Retail,0,1,0,24.0,6.72,30.72,151.0,0.0,1.9,0.32,0.2267,0,0,0,0,2022-10-01
RX0000016654,MBR00000453,2021-10-19,2021-10-23,1187615058,1517601441,PLN2856,396573,PCN730,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,31,10,Retail,0,0,0,10.0,6.03,16.03,3.0,12.17,0.86,0.4,0.2833,0,0,0,0,2021-11-18
RX0000016655,MBR00000453,2023-06-15,2023-06-19,1288651388,1134849653,PLN8813,845183,PCN901,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,0,Retail,0,0,0,380.0,6.17,386.17,40.0,321.94,24.23,15.2,10.7667,0,0,0,0,2023-07-15
RX0000016656,MBR00000453,2023-07-02,2023-07-05,1604555472,1855322980,PLN6931,418099,PCN880,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,27,5,Retail,0,0,0,45.0,7.7,52.7,5.0,44.86,2.84,1.8,1.275,0,0,0,0,2023-08-01
RX0000016657,MBR00000453,2023-03-17,2023-03-19,1859893285,1245557852,PLN3965,855958,PCN359,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,0,Retail,0,0,0,15.0,7.07,22.07,10.0,11.38,0.69,0.6,0.425,0,0,0,0,2023-04-16
RX0000016658,MBR00000453,2021-09-04,2021-09-07,1172147790,1705578420,PLN6600,833728,PCN511,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,5,Retail,0,0,0,8.5,5.86,14.36,8.0,5.77,0.59,0.34,0.2408,0,0,0,0,2021-10-04
RX0000016659,MBR00000453,2022-09-18,2022-09-20,1994123558,1269938149,PLN9001,215308,PCN243,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,8,Mail Order,1,0,0,185.0,10.44,195.44,37.0,148.24,10.2,7.4,5.2417,0,0,0,0,2022-10-18
RX0000016660,MBR00000453,2022-09-18,2022-09-21,1841074856,1189628824,PLN6860,540427,PCN550,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,2,Retail,0,0,0,1110.0,9.61,1119.61,40.0,1041.77,37.84,14.8,10.4833,1,0,0,0,2022-12-17
RX0000016661,MBR00000453,2023-11-15,2023-11-16,1536240458,1638558574,PLN4918,289170,PCN852,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,54,2,Retail,0,0,0,1300.0,5.17,1305.17,32.0,1184.28,88.89,26.0,18.4167,1,0,0,0,2024-01-14
RX0000016662,MBR00000454,2021-09-13,2021-09-14,1171422601,1439495823,PLN3748,723988,PCN723,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,0,Retail,0,0,0,10.0,5.51,15.51,6.0,8.75,0.76,0.4,0.2833,0,0,0,0,2021-10-13
RX0000016663,MBR00000454,2023-08-24,2023-08-27,1983041323,1589475743,PLN7314,508037,PCN978,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,55,11,Mail Order,0,0,0,570.0,7.71,577.71,31.0,514.74,31.97,11.4,8.075,0,1,1,0,2023-10-23
RX0000016664,MBR00000454,2022-08-01,2022-08-04,1419137477,1876039606,PLN3744,884128,PCN960,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,2,Retail,0,0,0,14.0,11.21,25.21,8.0,16.11,1.1,0.56,0.3967,0,0,0,0,2022-08-31
RX0000016665,MBR00000454,2021-01-03,2021-01-05,1891083109,1477275170,PLN4474,398676,PCN313,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,86,8,Mail Order,0,0,0,54.0,10.13,64.13,3.0,57.54,3.59,0.72,0.51,1,0,0,0,2021-04-03
RX0000016666,MBR00000454,2023-06-08,2023-06-12,1314542100,1147472954,PLN6539,646485,PCN865,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,97,8,Retail,0,0,0,1140.0,3.59,1143.59,39.0,1039.59,65.0,15.2,10.7667,0,0,0,0,2023-09-06
RX0000016667,MBR00000454,2021-09-11,2021-09-12,1346370119,1867228860,PLN3255,175391,PCN144,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,11,Specialty,0,1,0,1446.67,30.33,1477.0,146.0,1331.0,0.0,248.0,175.6667,0,0,0,0,2021-09-18
RX0000016668,MBR00000454,2021-02-17,2021-02-19,1626589060,1971485441,PLN6604,144666,PCN260,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,0,Retail,0,1,0,12.0,5.22,17.22,150.0,0.0,0.56,0.48,0.34,0,0,0,0,2021-03-19
RX0000016669,MBR00000454,2021-04-21,2021-04-23,1314357903,1968718138,PLN5570,666373,PCN215,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,8,Retail,0,1,0,12.0,11.4,23.4,155.0,0.0,1.6,0.48,0.34,0,0,0,0,2021-05-21
RX0000016670,MBR00000454,2021-07-10,2021-07-11,1509870194,1605396152,PLN9161,578054,PCN243,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,95,7,Mail Order,0,0,0,66.0,2.39,68.39,6.0,58.89,3.5,0.88,0.6233,1,0,0,0,2021-10-08
RX0000016671,MBR00000454,2021-05-25,2021-05-28,1738504668,1994618349,PLN6472,975197,PCN787,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,7,Retail,0,0,0,1.98,7.36,9.34,7.0,1.8,0.54,0.34,0.2408,0,0,0,0,2021-06-01
RX0000016672,MBR00000454,2022-01-30,2022-02-01,1549935793,1991956453,PLN4137,620377,PCN935,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,81,9,Mail Order,0,0,0,54.0,5.51,59.51,5.0,52.27,2.24,0.72,0.51,0,1,0,0,2022-04-30
RX0000016673,MBR00000454,2022-12-08,2022-12-11,1414901588,1836062972,PLN3515,828978,PCN930,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,6,Retail,0,0,0,480.0,4.28,484.28,37.0,425.76,21.52,19.2,13.6,0,0,0,0,2023-01-07
RX0000016674,MBR00000454,2022-12-26,2022-12-29,1956647504,1318716295,PLN3253,512591,PCN633,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,7,Retail,0,0,0,175.0,1.93,176.93,32.0,133.09,11.84,7.0,4.9583,0,0,0,0,2023-01-25
RX0000016675,MBR00000454,2023-02-08,2023-02-12,1315790728,1650253024,PLN9593,401071,PCN392,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,87,1,Retail,0,0,0,54.0,8.37,62.37,1.0,58.39,2.98,0.72,0.51,0,0,0,0,2023-05-09
RX0000016676,MBR00000454,2023-10-31,2023-11-03,1986492288,1606152853,PLN2994,487503,PCN109,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,94,10,Retail,0,0,0,114.0,10.41,124.41,33.0,85.89,5.52,1.52,1.0767,0,0,0,0,2024-01-29
RX0000016677,MBR00000454,2023-08-01,2023-08-03,1469851883,1237148365,PLN4615,493207,PCN410,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,86,7,Retail,0,0,0,1110.0,10.63,1120.63,30.0,1054.69,35.94,14.8,10.4833,0,0,0,0,2023-10-30
RX0000016678,MBR00000454,2022-10-06,2022-10-08,1651605711,1483535589,PLN6795,436119,PCN254,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,3,Retail,0,1,0,8.0,8.21,16.21,153.0,0.0,0.63,0.32,0.2267,0,0,0,0,2022-11-05
RX0000016679,MBR00000454,2023-01-09,2023-01-11,1160467637,1304276139,PLN3461,977284,PCN989,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,8,Retail,0,0,0,11.0,2.61,13.61,7.0,6.1,0.51,0.44,0.3117,0,0,0,0,2023-02-08
RX0000016680,MBR00000454,2023-07-27,2023-07-30,1675416433,1426281915,PLN8771,841397,PCN828,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,3,Mail Order,1,0,0,18.0,8.45,26.45,10.0,15.14,1.31,0.72,0.51,0,0,0,0,2023-08-26
RX0000016681,MBR00000455,2022-03-01,2022-03-03,1246205547,1437597592,PLN2558,124134,PCN689,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,61,3,Retail,0,0,0,24.0,6.9,30.9,0.0,29.69,1.21,0.48,0.34,0,0,0,0,2022-04-30
RX0000016682,MBR00000455,2022-12-08,2022-12-12,1485973759,1400311226,PLN6705,486850,PCN150,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,2,Retail,0,0,0,480.0,1.94,481.94,35.0,419.01,27.93,19.2,13.6,0,0,0,0,2023-01-07
RX0000016683,MBR00000455,2021-12-16,2021-12-19,1928614513,1121635537,PLN4455,501796,PCN353,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,6,Retail,0,0,0,16.0,3.99,19.99,0.0,18.65,1.34,0.64,0.4533,0,0,0,0,2022-01-15
RX0000016684,MBR00000455,2021-02-23,2021-02-24,1654201887,1354431677,PLN2609,530419,PCN848,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,6,Retail,0,0,0,3.5,9.96,13.46,4.0,8.96,0.5,0.6,0.425,1,0,0,0,2021-03-02
RX0000016685,MBR00000455,2022-12-10,2022-12-12,1699071609,1788447034,PLN2542,275282,PCN405,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,57,3,Retail,0,0,0,36.0,1.78,37.78,30.0,6.62,1.16,0.72,0.51,0,0,0,0,2023-02-08
RX0000016686,MBR00000455,2023-10-21,2023-10-22,1517045244,1887801893,PLN8884,862678,PCN965,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,6,Mail Order,0,1,0,1.87,7.66,9.52,154.0,0.0,0.43,0.32,0.2267,0,0,0,0,2023-10-28
RX0000016687,MBR00000455,2023-06-11,2023-06-13,1119925968,1254852892,PLN8760,176780,PCN860,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,87,7,Mail Order,0,0,0,33.0,6.62,39.62,9.0,28.36,2.26,0.44,0.3117,1,0,0,0,2023-09-09
RX0000016688,MBR00000455,2023-11-09,2023-11-13,1346153635,1319845067,PLN1710,195960,PCN173,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,10,Mail Order,0,0,0,12.5,11.6,24.1,6.0,16.82,1.28,0.5,0.3542,0,0,0,0,2023-12-09
RX0000016689,MBR00000455,2022-12-05,2022-12-08,1257851880,1786996740,PLN3079,737706,PCN260,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,10,Retail,0,0,0,16.0,9.9,25.9,0.0,24.58,1.32,0.64,0.4533,0,0,0,0,2023-01-04
RX0000016690,MBR00000455,2022-01-31,2022-02-02,1459799324,1632074081,PLN9014,631817,PCN550,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,87,3,Specialty,0,0,0,42.0,24.85,66.85,5.0,61.85,0.0,0.56,0.3967,0,0,0,0,2022-05-01
RX0000016691,MBR00000455,2023-09-10,2023-09-14,1139586715,1153326981,PLN2889,445309,PCN733,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,83,9,Retail,0,0,0,42.0,2.44,44.44,3.0,39.31,2.13,0.56,0.3967,0,0,0,0,2023-12-09
RX0000016692,MBR00000455,2023-03-09,2023-03-11,1819632708,1499539950,PLN6868,940764,PCN538,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,56,1,Specialty,0,0,0,760.0,8.31,768.31,37.0,731.31,0.0,15.2,10.7667,1,0,0,0,2023-05-08
RX0000016693,MBR00000455,2023-01-11,2023-01-14,1179433157,1518080414,PLN5165,321609,PCN709,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,4,Mail Order,0,0,0,4.2,2.39,6.59,2.0,4.26,0.33,0.72,0.51,0,0,0,0,2023-01-18
RX0000016694,MBR00000455,2023-09-28,2023-10-01,1844747174,1228887717,PLN9380,337476,PCN305,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,56,5,Retail,0,0,0,90.0,10.49,100.49,1.0,93.45,6.04,1.8,1.275,0,0,0,0,2023-11-27
RX0000016695,MBR00000455,2022-11-12,2022-11-15,1216555230,1230741331,PLN2191,269719,PCN899,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,60,11,Retail,0,0,0,640.0,9.36,649.36,32.0,580.01,37.35,12.8,9.0667,0,0,0,0,2023-01-11
RX0000016696,MBR00000455,2023-11-19,2023-11-22,1414626363,1669579988,PLN8817,266813,PCN379,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,11,Mail Order,0,0,0,12.0,8.71,20.71,4.0,15.78,0.93,0.48,0.34,0,0,0,0,2023-12-19
RX0000016697,MBR00000455,2023-01-27,2023-01-28,1564947146,1961820909,PLN5297,757112,PCN581,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,83,9,Retail,0,0,0,25.5,6.51,32.01,5.0,25.99,1.02,0.34,0.2408,0,0,0,0,2023-04-27
RX0000016698,MBR00000455,2021-03-07,2021-03-08,1302997379,1696972857,PLN9080,530302,PCN866,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,1,Retail,0,0,0,1.75,2.29,4.04,1.0,2.87,0.17,0.3,0.2125,1,0,0,0,2021-03-14
RX0000016699,MBR00000455,2022-03-17,2022-03-19,1458090505,1245784862,PLN2215,204705,PCN678,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,87,5,Mail Order,0,0,0,960.0,7.51,967.51,40.0,891.73,35.78,12.8,9.0667,0,0,0,0,2022-06-15
RX0000016700,MBR00000455,2023-05-30,2023-06-01,1175717656,1694020828,PLN8682,146639,PCN426,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,8,Retail,0,1,0,12.0,8.19,20.19,145.0,0.0,0.63,0.48,0.34,0,0,0,0,2023-06-29
RX0000016701,MBR00000455,2023-10-29,2023-11-01,1760064559,1696887722,PLN2953,787655,PCN101,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,94,2,Retail,0,0,0,2850.0,9.58,2859.58,30.0,2648.81,180.77,38.0,26.9167,0,0,0,0,2024-01-27
RX0000016702,MBR00000455,2023-07-18,2023-07-22,1611231208,1992674979,PLN9016,727975,PCN847,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,8,Mail Order,2,1,0,6200.0,9.02,6209.02,155.0,5823.44,230.58,248.0,175.6667,0,0,0,0,2023-08-17
RX0000016703,MBR00000455,2023-03-13,2023-03-16,1600332867,1956593428,PLN9019,903818,PCN374,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,9,Retail,3,0,0,30.0,8.69,38.69,1.0,36.31,1.38,0.4,0.2833,0,0,0,0,2023-06-11
RX0000016704,MBR00000456,2022-05-03,2022-05-05,1366996603,1905415135,PLN9052,412939,PCN770,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,2,Retail,0,0,0,16.0,10.82,26.82,5.0,20.56,1.26,0.64,0.4533,0,0,0,0,2022-06-02
RX0000016705,MBR00000456,2021-01-10,2021-01-12,1633843159,1863197873,PLN6580,308721,PCN758,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,11,Retail,0,0,0,310.0,6.0,316.0,36.0,267.38,12.62,12.4,8.7833,0,0,0,0,2021-02-09
RX0000016706,MBR00000456,2021-12-12,2021-12-14,1205405618,1560824851,PLN5507,298988,PCN645,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,85,5,Retail,1,1,0,18600.0,8.79,18608.79,150.0,17466.09,992.7,248.0,175.6667,0,0,0,0,2022-03-12
RX0000016707,MBR00000456,2023-08-13,2023-08-15,1775733474,1915842741,PLN7096,978780,PCN477,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,89,0,Retail,0,0,0,66.0,11.55,77.55,1.0,72.53,4.02,0.88,0.6233,0,0,0,0,2023-11-11
RX0000016708,MBR00000456,2021-01-29,2021-02-02,1584956714,1110335135,PLN1327,922059,PCN204,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,62,4,Mail Order,2,0,0,32.0,6.4,38.4,9.0,26.88,2.52,0.64,0.4533,0,0,0,0,2021-03-30
RX0000016709,MBR00000456,2022-02-14,2022-02-18,1827583522,1595776426,PLN7583,253883,PCN338,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,7,Retail,0,0,0,9.0,4.73,13.73,5.0,8.27,0.46,0.36,0.255,0,0,0,0,2022-03-16
RX0000016710,MBR00000456,2021-06-18,2021-06-19,1879936819,1967009624,PLN7278,486242,PCN492,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,4,Specialty,0,0,0,12.0,26.2,38.2,6.0,32.2,0.0,0.48,0.34,0,0,0,0,2021-07-18
RX0000016711,MBR00000456,2021-09-08,2021-09-10,1262891346,1895277308,PLN8018,571573,PCN344,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,3,Retail,0,0,0,185.0,8.5,193.5,38.0,146.42,9.08,7.4,5.2417,0,0,0,0,2021-10-08
RX0000016712,MBR00000456,2022-06-07,2022-06-08,1161839534,1838965452,PLN8198,307536,PCN795,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,1,Retail,0,0,0,16.0,4.1,20.1,3.0,15.97,1.13,0.64,0.4533,0,0,0,0,2022-07-07
RX0000016713,MBR00000456,2022-03-02,2022-03-03,1455491753,1189788594,PLN8139,816358,PCN788,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,5,Retail,0,0,0,370.0,2.18,372.18,39.0,315.6,17.58,14.8,10.4833,0,0,0,0,2022-04-01
RX0000016714,MBR00000456,2022-04-24,2022-04-28,1793551459,1814519624,PLN5918,677008,PCN230,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,8,Retail,0,0,0,10.0,9.62,19.62,1.0,17.33,1.29,0.4,0.2833,0,0,0,0,2022-05-24
RX0000016715,MBR00000456,2022-10-09,2022-10-12,1656883715,1917405234,PLN4342,346193,PCN244,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,9,Retail,0,0,0,43.17,1.84,45.01,36.0,6.8,2.21,7.4,5.2417,0,0,0,0,2022-10-16
RX0000016716,MBR00000456,2023-07-11,2023-07-14,1368658878,1546543973,PLN7913,539618,PCN945,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,95,10,Retail,0,0,0,2850.0,6.32,2856.32,30.0,2630.5,195.82,38.0,26.9167,1,0,0,0,2023-10-09
RX0000016717,MBR00000456,2021-08-16,2021-08-20,1676810801,1394417118,PLN6922,137161,PCN958,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,6,Specialty,2,1,0,12.0,46.1,58.1,149.0,0.0,0.0,0.48,0.34,0,0,0,0,2021-09-15
RX0000016718,MBR00000456,2023-08-02,2023-08-06,1915918256,1697614080,PLN2025,571666,PCN149,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,6,Retail,0,0,0,11.0,10.21,21.21,3.0,16.89,1.32,0.44,0.3117,0,0,0,0,2023-09-01
RX0000016719,MBR00000456,2023-12-07,2023-12-09,1584755960,1807080731,PLN1738,568196,PCN835,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,2,Retail,0,1,0,12.0,8.42,20.42,146.0,0.0,1.32,0.48,0.34,0,0,0,0,2024-01-06
RX0000016720,MBR00000456,2022-05-26,2022-05-30,1969686483,1280147828,PLN3609,481724,PCN311,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,4,Retail,0,0,0,18.0,11.36,29.36,8.0,20.36,1.0,0.72,0.51,0,0,0,0,2022-06-25
RX0000016721,MBR00000456,2021-06-21,2021-06-23,1294816577,1916764001,PLN7168,559691,PCN842,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,84,3,Mail Order,0,0,0,114.0,2.72,116.72,34.0,76.6,6.12,1.52,1.0767,0,0,0,0,2021-09-19
RX0000016722,MBR00000456,2021-08-01,2021-08-03,1214007506,1482814206,PLN8687,537696,PCN335,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,3,Mail Order,3,0,0,9.0,5.25,14.25,5.0,8.77,0.48,0.36,0.255,0,0,0,0,2021-08-31
RX0000016723,MBR00000456,2021-06-30,2021-07-02,1762460451,1630393648,PLN6456,233300,PCN178,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,87,6,Retail,0,0,0,135.0,6.02,141.02,8.0,124.3,8.72,1.8,1.275,1,0,0,0,2021-09-28
RX0000016724,MBR00000457,2021-11-18,2021-11-20,1497036922,1418830779,PLN1816,707789,PCN874,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,96,8,Retail,0,0,0,42.0,4.82,46.82,6.0,38.17,2.65,0.56,0.3967,0,0,0,0,2022-02-16
RX0000016725,MBR00000457,2022-12-26,2022-12-27,1900179317,1590633167,PLN6035,909198,PCN930,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,4,Mail Order,3,0,0,650.0,10.26,660.26,37.0,598.18,25.08,26.0,18.4167,1,0,0,0,2023-01-25
RX0000016726,MBR00000457,2023-12-25,2023-12-26,1449933892,1488730632,PLN6603,491839,PCN317,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,57,0,Retail,0,0,0,20.0,10.37,30.37,6.0,22.39,1.98,0.4,0.2833,0,0,0,0,2024-02-23
RX0000016727,MBR00000457,2022-12-25,2022-12-28,1102855491,1439119519,PLN8428,824047,PCN640,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,90,10,Retail,0,0,0,930.0,4.45,934.45,35.0,851.08,48.37,12.4,8.7833,0,0,0,0,2023-03-25
RX0000016728,MBR00000457,2022-05-02,2022-05-04,1252986828,1888202288,PLN9440,980816,PCN924,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,96,9,Retail,0,1,0,24.0,8.68,32.68,153.0,0.0,1.79,0.32,0.2267,0,0,0,0,2022-07-31
RX0000016729,MBR00000457,2021-09-23,2021-09-25,1916615607,1741875919,PLN4429,953364,PCN180,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,98,0,Retail,0,0,0,84.0,10.02,94.02,5.0,82.58,6.44,1.12,0.7933,0,0,0,0,2021-12-22
RX0000016730,MBR00000457,2022-06-07,2022-06-10,1548025767,1291849724,PLN2445,815083,PCN669,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,9,Retail,0,0,0,12.0,3.77,15.77,7.0,7.67,1.1,0.48,0.34,0,0,0,0,2022-07-07
RX0000016731,MBR00000457,2023-08-14,2023-08-15,1936056695,1694735925,PLN2728,368299,PCN317,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,95,11,Mail Order,0,0,0,42.0,4.08,46.08,2.0,40.95,3.13,0.56,0.3967,0,0,0,0,2023-11-12
RX0000016732,MBR00000457,2022-09-08,2022-09-10,1962709967,1639649925,PLN8725,708739,PCN223,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,83,2,Retail,3,0,0,27.0,3.48,30.48,3.0,25.71,1.77,0.36,0.255,0,0,0,0,2022-12-07
RX0000016733,MBR00000457,2022-11-09,2022-11-11,1657038886,1800373016,PLN8938,806971,PCN436,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,5,Specialty,0,0,0,11.0,33.49,44.49,3.0,41.49,0.0,0.44,0.3117,0,0,0,0,2022-12-09
RX0000016734,MBR00000457,2021-08-15,2021-08-16,1355966834,1498133014,PLN4944,451677,PCN230,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,11,Retail,0,0,0,151.67,8.09,159.75,37.0,111.99,10.76,26.0,18.4167,0,0,0,0,2021-08-22
RX0000016735,MBR00000457,2022-02-22,2022-02-25,1724216967,1147639829,PLN9946,233082,PCN545,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,0,Retail,0,0,0,12.0,5.02,17.02,6.0,9.96,1.06,0.48,0.34,0,0,0,0,2022-03-24
RX0000016736,MBR00000457,2023-07-10,2023-07-12,1707922335,1400140627,PLN2742,382846,PCN172,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,10,Retail,0,0,0,650.0,6.82,656.82,32.0,594.22,30.6,26.0,18.4167,0,0,0,0,2023-08-09
RX0000016737,MBR00000457,2023-10-13,2023-10-16,1767858879,1910496094,PLN2029,707935,PCN707,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,7,Retail,0,0,0,10.0,7.92,17.92,1.0,16.38,0.54,0.4,0.2833,0,0,0,0,2023-11-12
RX0000016738,MBR00000457,2021-10-28,2021-10-31,1895049717,1676641424,PLN2702,869910,PCN200,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,93,9,Specialty,0,0,0,855.0,36.34,891.34,37.0,854.34,0.0,11.4,8.075,0,0,0,0,2022-01-26
RX0000016739,MBR00000457,2023-06-11,2023-06-13,1137462014,1991226839,PLN1818,242333,PCN113,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,4,Retail,0,0,0,10.0,6.04,16.04,4.0,11.1,0.94,0.4,0.2833,0,0,0,0,2023-07-11
RX0000016740,MBR00000457,2023-10-04,2023-10-05,1912897590,1922991207,PLN4902,270774,PCN319,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,3,Retail,0,0,0,2.33,9.18,11.51,10.0,0.71,0.8,0.4,0.2833,0,0,0,0,2023-10-11
RX0000016741,MBR00000457,2021-09-29,2021-09-30,1984783425,1453202998,PLN7742,959782,PCN865,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,90,2,Retail,0,0,0,2250.0,6.25,2256.25,37.0,2062.38,156.87,30.0,21.25,0,0,0,0,2021-12-28
RX0000016742,MBR00000457,2022-03-16,2022-03-18,1309299245,1563942256,PLN9621,977292,PCN818,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,7,Mail Order,0,0,0,14.0,2.82,16.82,10.0,6.19,0.63,0.56,0.3967,0,0,0,0,2022-04-15
RX0000016743,MBR00000457,2022-05-10,2022-05-12,1856490381,1315813454,PLN1436,900764,PCN290,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,7,Retail,0,0,0,10.0,11.3,21.3,9.0,11.6,0.7,0.4,0.2833,0,0,0,0,2022-06-09
RX0000016744,MBR00000457,2022-05-12,2022-05-14,1170625011,1398767041,PLN7829,961114,PCN439,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,9,Mail Order,0,0,0,10.0,9.69,19.69,2.0,16.93,0.76,0.4,0.2833,0,0,0,0,2022-06-11
RX0000016745,MBR00000457,2023-02-04,2023-02-06,1593793100,1269931001,PLN6083,443589,PCN576,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,10,Retail,0,1,0,12.0,11.5,23.5,148.0,0.0,1.32,0.48,0.34,0,0,0,0,2023-03-06
RX0000016746,MBR00000457,2023-01-27,2023-01-30,1846379882,1454005393,PLN9071,233155,PCN199,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,88,3,Specialty,2,0,0,42.0,42.66,84.66,5.0,79.66,0.0,0.56,0.3967,0,0,0,0,2023-04-27
RX0000016747,MBR00000457,2023-07-09,2023-07-13,1831074918,1459063285,PLN9547,643100,PCN822,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,95,11,Retail,0,0,0,66.0,6.5,72.5,9.0,58.65,4.85,0.88,0.6233,0,0,0,0,2023-10-07
RX0000016748,MBR00000457,2022-07-06,2022-07-07,1639462978,1234743988,PLN8416,215938,PCN242,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,61,5,Retail,0,0,0,960.0,3.89,963.89,31.0,900.79,32.1,19.2,13.6,0,0,0,0,2022-09-04
RX0000016749,MBR00000457,2022-06-17,2022-06-21,1373553752,1119538894,PLN9426,885437,PCN137,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,0,Mail Order,0,0,0,18.0,1.68,19.68,10.0,9.09,0.59,0.72,0.51,0,0,0,0,2022-07-17
RX0000016750,MBR00000457,2021-10-18,2021-10-20,1565528456,1672971628,PLN3158,593606,PCN420,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,10,Retail,0,0,0,18.0,8.78,26.78,2.0,23.45,1.33,0.72,0.51,0,0,0,0,2021-11-17
RX0000016751,MBR00000457,2021-12-22,2021-12-24,1403724086,1327241745,PLN5892,214968,PCN136,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,29,0,Mail Order,0,0,0,16.0,7.83,23.83,10.0,12.66,1.17,0.64,0.4533,0,0,0,0,2022-01-21
RX0000016752,MBR00000457,2021-02-25,2021-02-27,1853722955,1510807614,PLN6117,847590,PCN639,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,7,Mail Order,0,0,0,370.0,5.57,375.57,33.0,317.16,25.41,14.8,10.4833,0,0,0,0,2021-03-27
RX0000016753,MBR00000457,2021-10-05,2021-10-06,1323127371,1447567510,PLN1431,828902,PCN403,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,3,Mail Order,0,0,0,2.92,4.3,7.22,6.0,0.78,0.44,0.5,0.3542,0,0,0,0,2021-10-12
RX0000016754,MBR00000457,2022-01-24,2022-01-25,1637454383,1746482195,PLN2583,166463,PCN565,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,84,3,Mail Order,0,0,0,84.0,4.66,88.66,4.0,81.86,2.8,1.12,0.7933,0,0,0,0,2022-04-24
RX0000016755,MBR00000457,2022-03-29,2022-03-30,1824254922,1554384407,PLN1556,159660,PCN984,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,8,Retail,0,1,0,8500.0,11.23,8511.23,154.0,7839.5,517.73,340.0,240.8333,0,0,0,0,2022-04-28
RX0000016756,MBR00000457,2022-04-05,2022-04-08,1981095896,1809728076,PLN4803,532330,PCN184,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,4,Retail,0,0,0,10.0,3.44,13.44,5.0,7.57,0.87,0.4,0.2833,0,0,0,0,2022-05-05
RX0000016757,MBR00000457,2021-11-26,2021-11-27,1912606863,1633654101,PLN8392,961205,PCN443,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,85,4,Retail,0,0,0,114.0,10.76,124.76,9.0,107.38,8.38,1.52,1.0767,0,0,0,0,2022-02-24
RX0000016758,MBR00000457,2023-08-05,2023-08-09,1374465928,1530976908,PLN3505,560212,PCN685,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,29,3,Specialty,0,0,0,45.0,11.81,56.81,2.0,54.81,0.0,1.8,1.275,0,1,0,0,2023-09-04
RX0000016759,MBR00000457,2022-02-25,2022-02-26,1185780495,1305981041,PLN2707,860544,PCN872,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,6,11,Retail,0,0,0,1.98,10.73,12.71,7.0,5.29,0.42,0.34,0.2408,0,0,0,0,2022-03-04
RX0000016760,MBR00000457,2021-12-14,2021-12-15,1698972786,1395069562,PLN5114,115892,PCN179,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,62,9,Retail,0,0,0,15.0,7.8,22.8,7.0,14.51,1.29,0.3,0.2125,0,0,0,0,2022-02-12
RX0000016761,MBR00000457,2022-06-03,2022-06-07,1691320921,1100854199,PLN2450,546848,PCN693,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,7,Retail,0,0,0,65.0,3.44,68.44,35.0,31.24,2.2,2.6,1.8417,0,0,0,0,2022-07-03
RX0000016762,MBR00000457,2022-04-15,2022-04-16,1975839336,1372426456,PLN6219,403143,PCN737,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,5,Retail,0,0,0,4.2,11.66,15.86,8.0,6.83,1.03,0.72,0.51,0,0,0,0,2022-04-22
RX0000016763,MBR00000457,2022-07-02,2022-07-05,1695283130,1535716982,PLN7870,937728,PCN325,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,3,Retail,0,0,0,9.0,6.41,15.41,6.0,8.75,0.66,0.36,0.255,0,0,0,0,2022-08-01
RX0000016764,MBR00000457,2023-08-24,2023-08-28,1221152488,1580361782,PLN1070,708702,PCN187,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,0,Retail,0,0,0,18.0,9.03,27.03,4.0,21.36,1.67,0.72,0.51,0,0,0,0,2023-09-23
RX0000016765,MBR00000457,2021-05-12,2021-05-16,1649027539,1925601486,PLN2433,310375,PCN934,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,1,Retail,2,0,0,480.0,3.92,483.92,40.0,425.1,18.82,19.2,13.6,0,0,0,0,2021-06-11
RX0000016766,MBR00000457,2023-06-17,2023-06-19,1420158126,1344595736,PLN7000,202571,PCN577,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,9,Retail,0,0,0,15.0,3.59,18.59,5.0,12.99,0.6,0.6,0.425,0,0,0,0,2023-07-17
RX0000016767,MBR00000457,2022-10-27,2022-10-28,1956309602,1290202848,PLN1834,294350,PCN874,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,82,5,Retail,0,0,0,555.0,7.61,562.61,36.0,489.81,36.8,7.4,5.2417,0,0,0,0,2023-01-25
RX0000016768,MBR00000457,2021-12-04,2021-12-08,1161441562,1428014301,PLN6351,535696,PCN800,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,97,0,Mail Order,0,0,0,54.0,2.22,56.22,9.0,44.72,2.5,0.72,0.51,0,0,0,0,2022-03-04
RX0000016769,MBR00000457,2021-03-05,2021-03-08,1596144492,1371263296,PLN5285,218737,PCN480,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,0,Retail,0,0,0,12.0,11.54,23.54,10.0,12.45,1.09,0.48,0.34,0,0,0,0,2021-04-04
RX0000016770,MBR00000457,2022-01-01,2022-01-04,1718082939,1783948368,PLN3633,776754,PCN717,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,95,11,Retail,0,0,0,114.0,3.01,117.01,33.0,77.47,6.54,1.52,1.0767,0,0,0,0,2022-04-01
RX0000016771,MBR00000457,2023-12-17,2023-12-19,1254996934,1941239110,PLN1725,659125,PCN607,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,98,1,Retail,0,0,0,66.0,9.05,75.05,10.0,60.55,4.5,0.88,0.6233,0,0,0,0,2024-03-16
RX0000016772,MBR00000457,2023-05-15,2023-05-19,1191508386,1237122572,PLN5708,807669,PCN626,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,10,Mail Order,0,0,0,18.0,6.4,24.4,32.0,0.0,1.13,0.72,0.51,0,0,0,0,2023-06-14
RX0000016773,MBR00000457,2022-12-08,2022-12-10,1962012576,1844114280,PLN6744,749662,PCN502,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,5,Retail,0,0,0,14.0,2.38,16.38,4.0,11.53,0.85,0.56,0.3967,0,0,0,0,2023-01-07
RX0000016774,MBR00000457,2023-08-06,2023-08-07,1449461740,1735392208,PLN5083,476164,PCN871,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,83,2,Mail Order,0,1,0,36.0,9.53,45.53,148.0,0.0,1.49,0.48,0.34,0,0,0,0,2023-11-04
RX0000016775,MBR00000457,2023-10-14,2023-10-17,1894251246,1803525748,PLN9571,876850,PCN428,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,29,6,Retail,0,0,0,18.0,11.65,29.65,1.0,27.48,1.17,0.72,0.51,0,0,0,0,2023-11-13
RX0000016776,MBR00000457,2021-08-22,2021-08-23,1667915391,1298280789,PLN1058,449594,PCN703,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,88,9,Specialty,0,0,0,54.0,27.0,81.0,10.0,71.0,0.0,0.72,0.51,0,0,0,0,2021-11-20
RX0000016777,MBR00000457,2023-04-16,2023-04-20,1398495054,1348186631,PLN6538,777996,PCN658,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,92,7,Mail Order,0,0,0,1110.0,4.88,1114.88,30.0,1037.15,47.73,14.8,10.4833,0,0,0,0,2023-07-15
RX0000016778,MBR00000457,2021-12-20,2021-12-21,1705615235,1626334669,PLN6979,849273,PCN664,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,96,2,Retail,0,0,0,33.0,9.33,42.33,6.0,34.78,1.55,0.44,0.3117,0,0,0,0,2022-03-20
RX0000016779,MBR00000457,2021-08-05,2021-08-07,1610379953,1905254722,PLN9297,638817,PCN234,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,6,Mail Order,0,0,0,2.33,2.45,4.78,8.0,0.0,0.22,0.4,0.2833,0,0,0,0,2021-08-12
RX0000016780,MBR00000457,2021-05-22,2021-05-26,1865783453,1779620571,PLN1524,366310,PCN955,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,61,9,Retail,3,0,0,1900.0,7.58,1907.58,38.0,1772.38,97.2,38.0,26.9167,0,0,0,0,2021-07-21
RX0000016781,MBR00000457,2023-12-22,2023-12-24,1616169709,1999480981,PLN5788,296308,PCN281,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,3,Retail,0,0,0,370.0,9.83,379.83,39.0,318.37,22.46,14.8,10.4833,0,0,0,0,2024-01-21
RX0000016782,MBR00000457,2023-11-17,2023-11-21,1993507901,1299000646,PLN9766,983881,PCN967,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,6,Retail,0,0,0,18.0,7.69,25.69,8.0,16.82,0.87,0.72,0.51,0,0,0,0,2023-12-17
RX0000016783,MBR00000457,2021-10-23,2021-10-24,1711126412,1679719619,PLN1261,281545,PCN200,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,57,0,Retail,0,0,0,36.0,11.55,47.55,4.0,40.5,3.05,0.72,0.51,0,0,0,0,2021-12-22
RX0000016784,MBR00000457,2023-01-31,2023-02-03,1411669568,1381999073,PLN1126,575631,PCN793,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,57,4,Retail,0,0,0,570.0,6.08,576.08,37.0,507.34,31.74,11.4,8.075,0,0,0,0,2023-04-01
RX0000016785,MBR00000457,2022-04-24,2022-04-25,1402735782,1915868675,PLN4112,826516,PCN148,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,1,Mail Order,0,1,0,2.8,9.37,12.17,147.0,0.0,0.48,0.48,0.34,0,0,0,0,2022-05-01
RX0000016786,MBR00000457,2021-07-16,2021-07-17,1977694155,1560321880,PLN8582,309767,PCN516,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,9,Mail Order,3,0,0,11.0,4.68,15.68,0.0,14.69,0.99,0.44,0.3117,0,0,0,0,2021-08-15
RX0000016787,MBR00000457,2022-10-18,2022-10-19,1550033217,1571118123,PLN2108,158833,PCN274,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,6,Retail,0,0,0,22.0,6.54,28.54,8.0,18.79,1.75,0.88,0.6233,0,0,0,0,2022-11-17
RX0000016788,MBR00000457,2022-07-19,2022-07-20,1278342249,1981993266,PLN1642,102143,PCN269,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,89,6,Retail,0,0,0,27.0,3.93,30.93,8.0,21.94,0.99,0.36,0.255,0,0,0,0,2022-10-17
RX0000016789,MBR00000457,2023-07-16,2023-07-17,1204075437,1779462078,PLN9976,559718,PCN592,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,9,Retail,0,1,0,1446.67,11.57,1458.24,155.0,1209.4,93.84,248.0,175.6667,0,1,1,0,2023-07-23
RX0000016790,MBR00000457,2023-09-12,2023-09-13,1154121042,1806669085,PLN9145,599926,PCN347,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,5,Retail,0,0,0,65.0,7.72,72.72,31.0,37.03,4.69,2.6,1.8417,0,0,0,0,2023-10-12
RX0000016791,MBR00000457,2021-04-13,2021-04-17,1392328584,1223130744,PLN5719,431250,PCN557,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,87,9,Retail,1,0,0,66.0,1.93,67.93,8.0,55.47,4.46,0.88,0.6233,0,0,0,0,2021-07-12
RX0000016792,MBR00000457,2021-02-05,2021-02-06,1960318525,1535565539,PLN4474,251619,PCN147,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,6,Retail,0,0,0,8.87,6.81,15.67,7.0,8.07,0.6,1.52,1.0767,1,0,0,0,2021-02-12
RX0000016793,MBR00000457,2021-06-21,2021-06-24,1640676246,1393088061,PLN3551,206732,PCN322,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,89,8,Retail,0,0,0,36.0,5.21,41.21,3.0,36.97,1.24,0.48,0.34,1,0,0,0,2021-09-19
RX0000016794,MBR00000457,2023-05-31,2023-06-04,1358161443,1689057259,PLN8450,578101,PCN524,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,9,Retail,0,1,0,8500.0,10.75,8510.75,147.0,7948.46,415.29,340.0,240.8333,0,0,0,0,2023-06-30
RX0000016795,MBR00000458,2023-12-23,2023-12-25,1722886333,1602202172,PLN5389,896785,PCN995,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,88,3,Retail,0,0,0,54.0,7.59,61.59,31.0,28.3,2.29,0.72,0.51,1,0,0,0,2024-03-22
RX0000016796,MBR00000458,2021-02-20,2021-02-22,1503940051,1107424841,PLN6481,661768,PCN207,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,91,2,Retail,0,1,0,25500.0,6.86,25506.86,146.0,23860.52,1500.34,340.0,240.8333,0,0,0,0,2021-05-21
RX0000016797,MBR00000458,2021-09-19,2021-09-21,1946038598,1874069890,PLN6477,403960,PCN146,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,5,Retail,0,0,0,480.0,8.16,488.16,33.0,426.17,28.99,19.2,13.6,1,0,0,0,2021-10-19
RX0000016798,MBR00000458,2021-03-17,2021-03-21,1335045611,1362643419,PLN4505,320488,PCN957,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,93,3,Specialty,0,0,0,25.5,36.31,61.81,1.0,60.81,0.0,0.34,0.2408,0,0,0,0,2021-06-15
RX0000016799,MBR00000458,2021-06-28,2021-07-01,1229165954,1467442493,PLN8463,620642,PCN717,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,11,Retail,0,0,0,15.0,3.67,18.67,2.0,15.83,0.84,0.6,0.425,0,0,0,0,2021-07-28
RX0000016800,MBR00000458,2022-09-02,2022-09-03,1685097959,1134057081,PLN1123,706415,PCN489,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,6,Retail,0,0,0,320.0,3.63,323.63,38.0,272.4,13.23,12.8,9.0667,0,0,0,0,2022-10-02
RX0000016801,MBR00000458,2021-09-12,2021-09-13,1764487517,1124350046,PLN6790,332095,PCN487,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,6,Retail,0,0,0,10.0,3.58,13.58,10.0,2.93,0.65,0.4,0.2833,0,0,0,0,2021-10-12
RX0000016802,MBR00000458,2022-11-05,2022-11-07,1294605097,1911270069,PLN8679,636315,PCN657,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,57,11,Mail Order,0,0,0,760.0,1.77,761.77,36.0,674.65,51.12,15.2,10.7667,0,0,0,0,2023-01-04
RX0000016803,MBR00000458,2023-01-08,2023-01-10,1820063703,1896374704,PLN8163,647183,PCN739,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,1,Retail,0,1,0,2800.0,5.18,2805.18,145.0,2567.88,92.3,112.0,79.3333,0,0,0,0,2023-02-07
RX0000016804,MBR00000458,2022-01-25,2022-01-29,1536323424,1715751124,PLN6190,352213,PCN570,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,2,Retail,0,0,0,750.0,8.54,758.54,39.0,667.7,51.84,30.0,21.25,0,0,0,0,2022-02-24
RX0000016805,MBR00000458,2021-05-14,2021-05-15,1138765680,1343164026,PLN2064,845351,PCN338,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,64,3,Specialty,3,0,0,20.0,15.97,35.97,6.0,29.97,0.0,0.4,0.2833,0,0,0,0,2021-07-13
RX0000016806,MBR00000458,2022-04-24,2022-04-25,1999140830,1614728291,PLN8999,379938,PCN311,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,6,Retail,0,1,0,12.0,5.63,17.63,145.0,0.0,0.81,0.48,0.34,0,0,0,0,2022-05-24
RX0000016807,MBR00000458,2022-07-03,2022-07-07,1967507099,1605985431,PLN8154,528461,PCN189,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,86,8,Mail Order,0,0,0,66.0,1.73,67.73,71.0,0.0,3.16,0.88,0.6233,0,0,0,0,2022-10-01
RX0000016808,MBR00000458,2021-01-14,2021-01-18,1489603845,1459568952,PLN5310,833022,PCN397,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,3,Retail,0,0,0,480.0,7.33,487.33,30.0,423.32,34.01,19.2,13.6,0,0,0,0,2021-02-13
RX0000016809,MBR00000458,2023-02-22,2023-02-23,1430709741,1576049581,PLN6517,173012,PCN976,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,0,Retail,0,0,0,650.0,4.74,654.74,33.0,587.5,34.24,26.0,18.4167,0,0,0,0,2023-03-24
RX0000016810,MBR00000458,2023-06-28,2023-07-02,1751982362,1742955460,PLN3688,892223,PCN233,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,11,Retail,0,0,1,3.27,10.91,14.18,9.0,4.25,0.93,0.56,0.3967,1,0,0,0,2023-07-05
RX0000016811,MBR00000458,2021-06-11,2021-06-12,1941255092,1825558257,PLN1369,736539,PCN437,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,8,Retail,0,1,0,1446.67,1.54,1448.21,148.0,1199.48,100.73,248.0,175.6667,0,0,0,0,2021-06-18
RX0000016812,MBR00000458,2022-03-09,2022-03-11,1645888166,1557491164,PLN1305,690155,PCN735,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,58,2,Mail Order,0,0,0,740.0,11.52,751.52,34.0,684.29,33.23,14.8,10.4833,1,0,0,0,2022-05-08
RX0000016813,MBR00000458,2021-10-07,2021-10-08,1409778982,1295663283,PLN9898,133919,PCN487,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,4,LTC,0,1,0,2800.0,7.54,2807.54,149.0,2533.71,124.83,112.0,79.3333,0,0,0,0,2021-11-06
RX0000016814,MBR00000458,2022-01-14,2022-01-15,1278851083,1356321209,PLN3720,805706,PCN210,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,2,Retail,0,0,0,14.0,10.25,24.25,9.0,14.37,0.88,0.56,0.3967,1,0,0,0,2022-02-13
RX0000016815,MBR00000458,2021-01-26,2021-01-27,1406874670,1255849314,PLN2887,670191,PCN647,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,11,Retail,0,0,0,310.0,2.6,312.6,36.0,255.16,21.44,12.4,8.7833,0,0,0,0,2021-02-25
RX0000016816,MBR00000458,2023-12-27,2023-12-30,1972155716,1815554429,PLN5499,336761,PCN784,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,11,LTC,0,0,0,310.0,9.68,319.68,38.0,262.04,19.64,12.4,8.7833,1,0,0,0,2024-01-26
RX0000016817,MBR00000458,2021-02-10,2021-02-13,1114111611,1420576199,PLN8329,861729,PCN778,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,3,Retail,0,0,0,5.13,1.98,7.11,1.0,5.65,0.46,0.88,0.6233,0,0,0,0,2021-02-17
RX0000016818,MBR00000458,2023-03-29,2023-03-30,1645720530,1780331950,PLN3388,108216,PCN801,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,0,Mail Order,0,0,0,18.0,3.2,21.2,36.0,0.0,0.94,0.72,0.51,0,0,0,0,2023-04-28
RX0000016819,MBR00000458,2021-09-30,2021-10-03,1248353106,1415152607,PLN6540,746000,PCN925,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,57,0,Mail Order,0,0,0,44.0,4.56,48.56,68.0,0.0,1.78,0.88,0.6233,0,0,0,0,2021-11-29
RX0000016820,MBR00000458,2023-01-21,2023-01-25,1639825282,1326966628,PLN3769,985851,PCN634,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,11,Retail,0,0,0,9.0,5.6,14.6,3.0,10.73,0.87,0.36,0.255,0,0,0,0,2023-02-20
RX0000016821,MBR00000458,2022-05-07,2022-05-09,1435591784,1676903795,PLN3930,211322,PCN806,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,0,Retail,0,0,0,42.0,2.64,44.64,8.0,34.6,2.04,0.56,0.3967,0,0,0,0,2022-08-05
RX0000016822,MBR00000458,2022-11-23,2022-11-24,1113106470,1760443937,PLN3744,179654,PCN421,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,62,11,Retail,0,0,0,570.0,11.48,581.48,32.0,520.56,28.92,11.4,8.075,0,0,0,0,2023-01-22
RX0000016823,MBR00000458,2022-06-07,2022-06-09,1278026769,1199023111,PLN2412,887883,PCN742,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,98,4,Specialty,0,0,0,45.0,22.82,67.82,8.0,59.82,0.0,0.6,0.425,0,0,0,0,2022-09-05
RX0000016824,MBR00000458,2022-09-22,2022-09-23,1305157291,1145901753,PLN5067,384427,PCN489,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,7,Retail,0,0,0,3.73,1.72,5.45,3.0,2.08,0.37,0.64,0.4533,0,0,0,0,2022-09-29
RX0000016825,MBR00000459,2023-05-29,2023-06-01,1726364833,1696253641,PLN9333,735502,PCN789,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,1,Retail,0,0,0,175.0,8.83,183.83,34.0,142.38,7.45,7.0,4.9583,0,0,0,0,2023-06-28
RX0000016826,MBR00000459,2021-01-22,2021-01-26,1343962237,1683745487,PLN9357,101529,PCN490,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,89,7,Retail,0,0,0,960.0,9.54,969.54,35.0,901.7,32.84,12.8,9.0667,0,0,0,0,2021-04-22
RX0000016827,MBR00000459,2023-11-29,2023-11-30,1993780036,1329664715,PLN5430,762240,PCN104,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,3,Retail,0,0,0,10.0,3.76,13.76,3.0,10.1,0.66,0.4,0.2833,0,0,0,0,2023-12-29
RX0000016828,MBR00000459,2022-05-27,2022-05-28,1943253154,1124976054,PLN1493,540337,PCN460,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,7,Retail,0,0,0,950.0,5.17,955.17,37.0,868.38,49.79,38.0,26.9167,0,0,0,0,2022-06-26
RX0000016829,MBR00000459,2022-04-29,2022-05-02,1351011291,1425287196,PLN8352,638577,PCN459,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,6,2,Retail,0,0,0,1.75,6.62,8.37,10.0,0.0,0.54,0.3,0.2125,0,0,0,0,2022-05-06
RX0000016830,MBR00000459,2023-10-07,2023-10-08,1328103912,1605213321,PLN8312,933190,PCN187,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,31,4,Retail,0,0,0,65.0,2.89,67.89,30.0,34.8,3.09,2.6,1.8417,0,0,0,0,2023-11-06
RX0000016831,MBR00000459,2023-05-11,2023-05-14,1436559474,1961890294,PLN8330,391547,PCN805,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,8,Retail,0,0,0,11.0,4.43,15.43,10.0,4.68,0.75,0.44,0.3117,0,0,0,0,2023-06-10
RX0000016832,MBR00000459,2023-11-03,2023-11-05,1795192811,1559849660,PLN3973,436879,PCN532,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,98,8,Retail,0,1,0,24.0,6.18,30.18,149.0,0.0,1.12,0.32,0.2267,0,0,0,0,2024-02-01
RX0000016833,MBR00000459,2023-01-13,2023-01-14,1504044258,1708414168,PLN5221,321019,PCN299,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,10,Retail,0,0,0,175.0,5.26,180.26,35.0,137.9,7.36,30.0,21.25,0,0,0,0,2023-01-20
RX0000016834,MBR00000459,2022-04-23,2022-04-26,1655128028,1922573704,PLN3440,333389,PCN516,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,10,Specialty,0,0,0,45.0,40.97,85.97,6.0,79.97,0.0,1.8,1.275,0,0,0,0,2022-05-23
RX0000016835,MBR00000459,2023-04-14,2023-04-16,1474175541,1864944005,PLN3695,866028,PCN870,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,91,5,Retail,0,0,0,66.0,9.4,75.4,67.0,5.46,2.94,0.88,0.6233,0,0,0,0,2023-07-13
RX0000016836,MBR00000459,2021-05-20,2021-05-21,1176387517,1156711762,PLN9525,815838,PCN783,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,28,6,Retail,0,0,0,65.0,2.33,67.33,32.0,31.99,3.34,2.6,1.8417,1,0,0,0,2021-06-19
RX0000016837,MBR00000459,2023-12-23,2023-12-26,1641916188,1983693209,PLN5371,906279,PCN107,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,4,Retail,0,0,0,12.5,11.0,23.5,5.0,16.9,1.6,0.5,0.3542,0,0,0,0,2024-01-22
RX0000016838,MBR00000459,2021-11-06,2021-11-10,1773643888,1669267189,PLN2834,558772,PCN449,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,8,Retail,0,0,0,12.0,11.08,23.08,2.0,20.08,1.0,0.48,0.34,0,0,0,0,2021-12-06
RX0000016839,MBR00000459,2023-10-01,2023-10-02,1817944339,1170487190,PLN3142,854940,PCN622,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,5,Retail,0,0,0,15.0,2.96,17.96,5.0,12.06,0.9,0.6,0.425,0,1,0,0,2023-10-31
RX0000016840,MBR00000459,2023-03-04,2023-03-06,1371905063,1288501863,PLN7460,252781,PCN810,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,2,Retail,0,0,0,9.0,10.96,19.96,7.0,11.79,1.17,0.36,0.255,0,0,0,0,2023-04-03
RX0000016841,MBR00000459,2022-05-14,2022-05-17,1197310096,1604760455,PLN3185,445796,PCN903,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,1,Mail Order,0,0,0,15.0,10.97,25.97,2.0,22.49,1.48,0.6,0.425,0,0,0,0,2022-06-13
RX0000016842,MBR00000459,2023-10-14,2023-10-16,1562245551,1696724851,PLN4767,197017,PCN634,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,1,Retail,0,0,0,2.33,10.16,12.49,7.0,4.98,0.51,0.4,0.2833,0,0,0,0,2023-10-21
RX0000016843,MBR00000459,2021-06-16,2021-06-19,1853687491,1278944138,PLN2067,442862,PCN504,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,11,Retail,0,0,0,480.0,5.26,485.26,37.0,428.12,20.14,19.2,13.6,0,0,0,0,2021-07-16
RX0000016844,MBR00000459,2021-06-16,2021-06-20,1902596859,1136582456,PLN9039,223509,PCN226,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,4,Retail,0,0,0,14.0,10.33,24.33,7.0,15.71,1.62,0.56,0.3967,0,0,0,0,2021-07-16
RX0000016845,MBR00000459,2022-10-18,2022-10-22,1539521336,1273348704,PLN6535,237070,PCN316,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,6,Retail,1,0,0,4.2,9.25,13.45,10.0,3.01,0.44,0.72,0.51,0,0,0,0,2022-10-25
RX0000016846,MBR00000459,2022-04-11,2022-04-14,1263306219,1739487575,PLN9835,117110,PCN518,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,6,Retail,2,0,0,18.0,5.72,23.72,10.0,12.37,1.35,0.72,0.51,0,0,0,0,2022-05-11
RX0000016847,MBR00000459,2022-05-10,2022-05-12,1920240238,1575516241,PLN4910,424277,PCN458,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,31,4,Mail Order,0,0,0,12.0,9.24,21.24,6.0,14.21,1.03,0.48,0.34,0,0,0,0,2022-06-09
RX0000016848,MBR00000459,2022-10-07,2022-10-08,1154608004,1274325573,PLN7272,245083,PCN144,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,4,Retail,0,0,0,11.0,9.06,20.06,2.0,16.99,1.07,0.44,0.3117,0,0,0,0,2022-11-06
RX0000016849,MBR00000459,2022-09-30,2022-10-03,1710937157,1117451626,PLN3294,854211,PCN405,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,29,0,Retail,0,0,0,10.0,4.44,14.44,5.0,8.71,0.73,0.4,0.2833,0,0,0,0,2022-10-30
RX0000016850,MBR00000459,2023-05-27,2023-05-29,1807863850,1391709272,PLN4002,546955,PCN538,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,2,Retail,0,1,0,8500.0,2.01,8502.01,155.0,7778.07,568.94,340.0,240.8333,0,0,0,0,2023-06-26
RX0000016851,MBR00000459,2021-04-04,2021-04-07,1264665133,1234111957,PLN9986,860066,PCN534,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,1,Retail,0,0,0,18.0,3.28,21.28,7.0,13.63,0.65,0.72,0.51,0,0,0,0,2021-05-04
RX0000016852,MBR00000459,2022-09-21,2022-09-25,1832390675,1517601677,PLN1517,803056,PCN913,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,84,9,Retail,0,1,0,18600.0,4.38,18604.38,154.0,17800.93,649.45,248.0,175.6667,0,0,0,0,2022-12-20
RX0000016853,MBR00000459,2021-07-09,2021-07-13,1737271832,1132836483,PLN5549,550435,PCN679,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,8,Mail Order,0,0,0,22.0,2.75,24.75,10.0,13.37,1.38,0.88,0.6233,0,0,0,0,2021-08-08
RX0000016854,MBR00000459,2023-08-01,2023-08-03,1110248636,1354138834,PLN4885,362290,PCN416,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,61,2,Mail Order,3,0,0,24.0,6.89,30.89,6.0,23.84,1.05,0.48,0.34,0,0,0,0,2023-09-30
RX0000016855,MBR00000459,2022-10-31,2022-11-03,1853184257,1799912923,PLN4590,884648,PCN368,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,10,Specialty,0,1,0,2800.0,8.92,2808.92,152.0,2656.92,0.0,112.0,79.3333,1,0,0,0,2022-11-30
RX0000016856,MBR00000459,2023-04-18,2023-04-20,1713292612,1528059643,PLN1304,437311,PCN448,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,90,6,Retail,3,0,0,22.5,11.51,34.01,6.0,25.72,2.29,0.3,0.2125,1,0,0,0,2023-07-17
RX0000016857,MBR00000459,2022-03-20,2022-03-24,1630930986,1995210732,PLN8275,950723,PCN805,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,11,Retail,0,0,0,43.17,6.53,49.7,33.0,14.01,2.69,7.4,5.2417,0,0,0,0,2022-03-27
RX0000016858,MBR00000459,2022-04-15,2022-04-18,1578150332,1794872867,PLN1320,627545,PCN960,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,6,Mail Order,0,0,0,12.5,2.74,15.24,8.0,6.68,0.56,0.5,0.3542,1,0,0,0,2022-05-15
RX0000016859,MBR00000459,2021-01-19,2021-01-21,1981416292,1969786965,PLN8168,880601,PCN981,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,82,8,Retail,0,0,0,33.0,8.68,41.68,10.0,28.84,2.84,0.44,0.3117,1,0,0,0,2021-04-19
RX0000016860,MBR00000459,2022-11-28,2022-12-01,1579815618,1594353179,PLN8821,198880,PCN868,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,97,5,Specialty,0,0,0,48.0,23.82,71.82,0.0,71.82,0.0,0.64,0.4533,1,0,0,0,2023-02-26
RX0000016861,MBR00000459,2023-12-26,2023-12-29,1704818735,1174553649,PLN3505,274092,PCN188,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,85,9,Retail,3,0,0,54.0,4.66,58.66,10.0,44.61,4.05,0.72,0.51,0,0,0,0,2024-03-25
RX0000016862,MBR00000459,2023-08-04,2023-08-07,1340458149,1220545619,PLN9222,833998,PCN534,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,0,Mail Order,0,0,0,11.0,9.2,20.2,1.0,18.4,0.8,0.44,0.3117,0,0,0,0,2023-09-03
RX0000016863,MBR00000459,2023-04-06,2023-04-10,1354707875,1412398775,PLN1127,829023,PCN626,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,94,11,Mail Order,0,0,0,45.0,9.23,54.23,1.0,50.06,3.17,0.6,0.425,0,0,0,0,2023-07-05
RX0000016864,MBR00000459,2023-08-02,2023-08-04,1186514757,1414654673,PLN9276,152002,PCN731,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,2,Retail,2,0,0,28.0,3.75,31.75,10.0,20.1,1.65,1.12,0.7933,0,0,0,0,2023-09-01
RX0000016865,MBR00000459,2023-05-22,2023-05-24,1887816304,1254456647,PLN8441,842017,PCN291,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,92,1,Retail,0,0,0,1950.0,6.42,1956.42,32.0,1814.86,109.56,26.0,18.4167,0,0,0,0,2023-08-20
RX0000016866,MBR00000459,2023-04-23,2023-04-27,1356816812,1531244993,PLN5385,253400,PCN429,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,88,7,Retail,0,0,0,960.0,3.47,963.47,37.0,876.82,49.65,12.8,9.0667,0,0,0,0,2023-07-22
RX0000016867,MBR00000459,2021-06-20,2021-06-24,1787943809,1920142941,PLN9909,631826,PCN372,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,3,Retail,0,1,0,1.87,1.95,3.81,152.0,0.0,0.13,0.32,0.2267,0,0,0,0,2021-06-27
RX0000016868,MBR00000459,2023-09-17,2023-09-20,1264126841,1890582348,PLN1673,938912,PCN157,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,62,8,Retail,0,0,0,36.0,10.19,46.19,10.0,33.73,2.46,0.72,0.51,0,0,0,0,2023-11-16
RX0000016869,MBR00000459,2022-05-14,2022-05-18,1351513233,1530419382,PLN5213,195553,PCN899,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,11,Retail,0,0,0,380.0,6.06,386.06,31.0,337.24,17.82,15.2,10.7667,0,0,0,0,2022-06-13
RX0000016870,MBR00000459,2022-10-03,2022-10-04,1142854193,1218631979,PLN6287,946782,PCN172,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,85,4,Specialty,0,0,0,25.5,24.98,50.48,5.0,45.48,0.0,0.34,0.2408,0,0,0,0,2023-01-01
RX0000016871,MBR00000459,2023-09-01,2023-09-03,1618608544,1310632913,PLN3731,718819,PCN302,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,2,Mail Order,0,0,0,750.0,2.17,752.17,40.0,661.57,50.6,30.0,21.25,0,0,0,0,2023-10-01
RX0000016872,MBR00000459,2021-09-10,2021-09-12,1970594875,1252269504,PLN5308,627359,PCN922,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,8,Retail,1,0,0,14.0,10.95,24.95,3.0,21.09,0.86,0.56,0.3967,0,0,0,0,2021-10-10
RX0000016873,MBR00000460,2022-03-27,2022-03-31,1518566299,1976000503,PLN4686,506887,PCN527,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,8,Retail,2,0,0,11.0,1.72,12.72,7.0,5.1,0.62,0.44,0.3117,0,0,0,0,2022-04-26
RX0000016874,MBR00000460,2023-03-28,2023-04-01,1608258780,1798764660,PLN9292,939830,PCN232,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,5,Retail,2,0,0,15.0,11.77,26.77,1.0,24.2,1.57,0.6,0.425,0,0,0,0,2023-04-27
RX0000016875,MBR00000460,2023-04-11,2023-04-13,1568496684,1664719139,PLN9923,949298,PCN244,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,2,Mail Order,0,0,0,38.0,7.23,45.23,30.0,13.69,1.54,1.52,1.0767,0,0,0,0,2023-05-11
RX0000016876,MBR00000460,2021-11-08,2021-11-12,1992932538,1786409891,PLN7642,253040,PCN254,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,9,Retail,0,0,0,22.0,10.97,32.97,2.0,28.87,2.1,0.88,0.6233,0,1,0,0,2021-12-08
RX0000016877,MBR00000460,2022-05-15,2022-05-17,1652841930,1766898355,PLN8629,265235,PCN553,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,6,Retail,0,0,0,1.75,9.67,11.42,3.0,7.99,0.43,0.3,0.2125,0,0,0,0,2022-05-22
RX0000016878,MBR00000460,2023-08-29,2023-09-01,1445664674,1744997584,PLN7713,963925,PCN624,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,56,3,Mail Order,0,0,0,740.0,2.68,742.68,31.0,665.76,45.92,14.8,10.4833,0,0,0,0,2023-10-28
RX0000016879,MBR00000460,2021-04-17,2021-04-18,1907842115,1211818942,PLN5332,307019,PCN504,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,88,10,Retail,0,0,0,30.0,11.24,41.24,5.0,34.15,2.09,0.4,0.2833,0,0,0,0,2021-07-16
RX0000016880,MBR00000460,2021-10-17,2021-10-18,1813272234,1239760444,PLN2239,768542,PCN679,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,7,Retail,0,0,0,22.0,7.62,29.62,10.0,18.36,1.26,0.88,0.6233,0,0,0,0,2021-11-16
RX0000016881,MBR00000460,2022-02-26,2022-03-01,1925925217,1514904733,PLN5488,954602,PCN261,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,62,11,Retail,0,0,0,44.0,11.5,55.5,67.0,0.0,1.71,0.88,0.6233,0,0,0,0,2022-04-27
RX0000016882,MBR00000460,2022-09-03,2022-09-06,1495046741,1172359036,PLN3227,722845,PCN460,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,8,Retail,0,0,0,185.0,11.32,196.32,34.0,152.35,9.97,7.4,5.2417,0,0,0,0,2022-10-03
RX0000016883,MBR00000460,2023-02-27,2023-03-01,1348736192,1953348187,PLN6737,325383,PCN938,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,6,Retail,0,0,0,9.0,3.99,12.99,10.0,2.29,0.7,0.36,0.255,0,0,0,0,2023-03-29
RX0000016884,MBR00000460,2022-01-02,2022-01-03,1270715761,1176420836,PLN9505,962679,PCN358,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,89,11,Retail,0,0,0,45.0,6.37,51.37,8.0,41.25,2.12,0.6,0.425,1,0,0,0,2022-04-02
RX0000016885,MBR00000460,2023-11-22,2023-11-24,1781619474,1214521801,PLN4206,695649,PCN147,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,7,Retail,0,1,0,6200.0,8.69,6208.69,146.0,5822.72,239.97,248.0,175.6667,0,0,0,0,2023-12-22
RX0000016886,MBR00000460,2022-08-06,2022-08-08,1118361918,1140244939,PLN8371,511247,PCN987,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,88,3,Retail,0,0,0,66.0,4.41,70.41,6.0,62.28,2.13,0.88,0.6233,1,0,0,0,2022-11-04
RX0000016887,MBR00000460,2023-09-04,2023-09-07,1942250202,1845618838,PLN5869,999678,PCN834,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,4,Retail,0,0,0,18.0,11.29,29.29,5.0,22.52,1.77,0.72,0.51,0,0,0,0,2023-10-04
RX0000016888,MBR00000460,2023-10-31,2023-11-01,1346237648,1146773825,PLN4620,464475,PCN297,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,95,4,Retail,0,0,0,2250.0,6.01,2256.01,34.0,2110.05,111.96,30.0,21.25,0,0,0,0,2024-01-29
RX0000016889,MBR00000460,2022-01-13,2022-01-14,1949054762,1564702010,PLN8303,938122,PCN274,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,2,Mail Order,0,0,0,285.0,9.9,294.9,34.0,248.0,12.9,11.4,8.075,0,0,0,0,2022-02-12
RX0000016890,MBR00000460,2023-09-12,2023-09-15,1858912061,1785640642,PLN2416,796980,PCN211,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,10,Retail,0,0,0,650.0,7.36,657.36,32.0,592.21,33.15,26.0,18.4167,1,0,0,0,2023-10-12
RX0000016891,MBR00000460,2022-08-08,2022-08-09,1386566957,1332880532,PLN8159,443651,PCN405,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,4,Retail,0,0,0,15.0,7.65,22.65,8.0,13.91,0.74,0.6,0.425,0,0,0,0,2022-09-07
RX0000016892,MBR00000460,2023-07-09,2023-07-12,1183938649,1342810860,PLN2078,670284,PCN163,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,7,Retail,0,0,0,750.0,11.94,761.94,40.0,681.36,40.58,30.0,21.25,0,0,0,0,2023-08-08
RX0000016893,MBR00000460,2023-11-08,2023-11-11,1342830347,1383520672,PLN1813,358339,PCN239,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,96,8,Retail,0,1,0,24.0,7.52,31.52,155.0,0.0,1.26,0.32,0.2267,0,0,0,0,2024-02-06
RX0000016894,MBR00000460,2022-07-07,2022-07-09,1898909357,1733910796,PLN7510,457149,PCN894,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,4,Retail,0,0,0,14.0,11.34,25.34,9.0,15.3,1.04,0.56,0.3967,0,0,0,0,2022-08-06
RX0000016895,MBR00000460,2021-07-16,2021-07-20,1466773895,1293319586,PLN1351,516202,PCN241,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,1,Specialty,0,1,0,6200.0,27.57,6227.57,152.0,6075.57,0.0,248.0,175.6667,0,0,0,0,2021-08-15
RX0000016896,MBR00000460,2022-04-11,2022-04-13,1607444965,1697617663,PLN5988,681433,PCN626,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,4,Retail,0,0,0,12.0,5.18,17.18,10.0,6.48,0.7,0.48,0.34,0,0,0,0,2022-05-11
RX0000016897,MBR00000460,2021-12-03,2021-12-04,1731659001,1726261934,PLN8058,689765,PCN199,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,4,Retail,0,0,0,480.0,5.58,485.58,32.0,424.57,29.01,19.2,13.6,0,0,0,0,2022-01-02
RX0000016898,MBR00000460,2023-01-11,2023-01-14,1365837484,1764048401,PLN9694,200053,PCN225,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,8,Retail,1,0,0,2.33,3.73,6.06,10.0,0.0,0.2,0.4,0.2833,0,0,0,0,2023-01-18
RX0000016899,MBR00000460,2021-09-09,2021-09-12,1530146606,1266412695,PLN7485,957616,PCN977,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,6,10,Mail Order,0,0,0,6.53,9.31,15.84,9.0,6.19,0.65,1.12,0.7933,0,0,0,0,2021-09-16
RX0000016900,MBR00000460,2021-08-19,2021-08-23,1425716500,1799669322,PLN4448,810224,PCN561,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,1,Specialty,0,0,0,12.5,25.13,37.63,3.0,34.63,0.0,0.5,0.3542,1,0,0,0,2021-09-18
RX0000016901,MBR00000460,2022-07-25,2022-07-27,1435990878,1549867707,PLN5171,385230,PCN853,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,1,Retail,0,0,0,14.0,3.74,17.74,6.0,10.75,0.99,0.56,0.3967,0,0,0,0,2022-08-24
RX0000016902,MBR00000460,2022-08-12,2022-08-16,1493914424,1298921493,PLN5647,940349,PCN161,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,2,Retail,0,0,0,11.0,7.71,18.71,1.0,16.41,1.3,0.44,0.3117,0,0,0,0,2022-09-11
RX0000016903,MBR00000460,2021-07-22,2021-07-23,1429599578,1605333074,PLN1218,747142,PCN401,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,58,2,Mail Order,0,0,0,660.0,8.6,668.6,35.0,607.1,26.5,13.2,9.35,0,0,0,0,2021-09-20
RX0000016904,MBR00000461,2022-08-10,2022-08-11,1253596289,1811439303,PLN9239,542966,PCN466,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,4,Retail,3,0,0,9.0,4.11,13.11,2.0,10.32,0.79,0.36,0.255,0,0,0,0,2022-09-09
RX0000016905,MBR00000461,2023-02-06,2023-02-07,1757332231,1650527971,PLN9076,984884,PCN396,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,60,9,Retail,0,0,0,20.0,4.68,24.68,2.0,21.66,1.02,0.4,0.2833,0,0,0,0,2023-04-07
RX0000016906,MBR00000461,2021-05-14,2021-05-18,1874101071,1931607804,PLN4096,224850,PCN480,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,11,Retail,0,0,0,15.0,7.01,22.01,0.0,20.9,1.11,0.6,0.425,0,0,0,0,2021-06-13
RX0000016907,MBR00000461,2023-03-20,2023-03-21,1359175092,1218653584,PLN5591,207943,PCN294,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,86,3,Retail,0,0,0,2850.0,5.79,2855.79,37.0,2633.64,185.15,38.0,26.9167,0,0,0,0,2023-06-18
RX0000016908,MBR00000461,2021-06-14,2021-06-16,1337575285,1334486540,PLN1336,536356,PCN382,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,98,10,Specialty,0,0,0,33.0,37.0,70.0,2.0,68.0,0.0,0.44,0.3117,0,0,0,0,2021-09-12
RX0000016909,MBR00000461,2023-02-25,2023-02-27,1600524846,1867554211,PLN5393,857918,PCN463,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,98,7,Mail Order,0,0,0,54.0,1.76,55.76,3.0,50.88,1.88,0.72,0.51,0,0,0,0,2023-05-26
RX0000016910,MBR00000461,2021-03-05,2021-03-06,1686086941,1774990173,PLN5786,777304,PCN817,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,8,Retail,0,0,1,4.2,6.25,10.45,9.0,0.88,0.57,0.72,0.51,0,0,0,0,2021-03-12
RX0000016911,MBR00000461,2021-03-04,2021-03-06,1280803902,1418227957,PLN5302,224834,PCN863,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,65,9,Retail,0,0,0,18.0,11.77,29.77,2.0,26.37,1.4,0.36,0.255,0,0,0,0,2021-05-03
RX0000016912,MBR00000461,2022-10-06,2022-10-10,1138584214,1695775108,PLN6076,864636,PCN371,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,7,Retail,0,0,0,285.0,6.83,291.83,32.0,240.68,19.15,11.4,8.075,0,0,0,0,2022-11-05
RX0000016913,MBR00000461,2021-03-01,2021-03-03,1402589430,1256103122,PLN4291,196901,PCN152,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,94,8,Retail,0,0,0,555.0,2.16,557.16,39.0,500.63,17.53,7.4,5.2417,0,0,0,0,2021-05-30
RX0000016914,MBR00000461,2023-06-11,2023-06-15,1591302051,1869109198,PLN2391,825486,PCN677,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,8,Retail,0,0,0,28.0,1.77,29.77,4.0,23.78,1.99,1.12,0.7933,0,0,0,0,2023-07-11
RX0000016915,MBR00000461,2023-07-10,2023-07-14,1457369233,1786084745,PLN1093,658832,PCN147,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,9,Retail,0,0,0,45.0,4.62,49.62,6.0,40.88,2.74,1.8,1.275,0,0,0,0,2023-08-09
RX0000016916,MBR00000461,2023-09-08,2023-09-10,1434963107,1451109778,PLN8699,577875,PCN951,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,3,Mail Order,0,0,0,3.27,6.56,9.82,4.0,5.24,0.58,0.56,0.3967,0,0,0,0,2023-09-15
RX0000016917,MBR00000461,2022-12-11,2022-12-13,1573091284,1916206698,PLN8173,868840,PCN966,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,0,Retail,0,0,0,10.0,6.92,16.92,1.0,14.82,1.1,0.4,0.2833,0,0,0,0,2023-01-10
RX0000016918,MBR00000461,2023-09-08,2023-09-12,1247783393,1234577682,PLN2853,781893,PCN817,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,10,Retail,0,0,1,10.0,4.4,14.4,9.0,4.66,0.74,0.4,0.2833,0,0,0,0,2023-10-08
RX0000016919,MBR00000461,2022-10-25,2022-10-26,1666191258,1288139241,PLN5993,574783,PCN225,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,9,Specialty,0,0,0,18.0,11.97,29.97,9.0,20.97,0.0,0.72,0.51,0,0,0,0,2022-11-24
RX0000016920,MBR00000461,2022-09-09,2022-09-11,1253294837,1619282624,PLN3548,573797,PCN269,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,7,7,2,Retail,0,0,0,4.2,3.59,7.79,8.0,0.0,0.42,0.72,0.51,0,0,0,0,2022-09-16
RX0000016921,MBR00000461,2021-10-22,2021-10-23,1306610223,1761296264,PLN3329,946899,PCN745,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,6,Retail,0,0,0,10.0,7.31,17.31,10.0,6.72,0.59,0.4,0.2833,0,1,0,0,2021-11-21
RX0000016922,MBR00000461,2022-01-21,2022-01-23,1111775414,1612501660,PLN6360,596698,PCN594,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,98,8,Retail,0,0,0,114.0,11.89,125.89,40.0,81.34,4.55,1.52,1.0767,0,0,0,0,2022-04-21
RX0000016923,MBR00000461,2022-08-20,2022-08-21,1315582823,1311166683,PLN2551,558756,PCN363,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,59,1,Retail,3,1,0,17000.0,2.17,17002.17,150.0,16065.53,786.64,340.0,240.8333,0,0,0,0,2022-10-19
RX0000016924,MBR00000461,2022-07-24,2022-07-25,1313981539,1772219664,PLN7741,169235,PCN634,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,4,Retail,2,0,0,2.8,9.38,12.18,2.0,9.56,0.62,0.48,0.34,1,0,0,0,2022-07-31
RX0000016925,MBR00000461,2021-05-14,2021-05-16,1239606996,1470146026,PLN6467,891428,PCN733,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,84,1,Retail,2,0,0,84.0,6.27,90.27,0.0,84.45,5.82,1.12,0.7933,0,0,0,0,2021-08-12
RX0000016926,MBR00000461,2023-02-13,2023-02-15,1761492022,1542330013,PLN6950,542828,PCN693,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,10,Retail,0,0,0,650.0,9.2,659.2,38.0,580.51,40.69,26.0,18.4167,0,0,0,0,2023-03-15
RX0000016927,MBR00000461,2023-12-15,2023-12-16,1108197178,1573395609,PLN3301,896339,PCN752,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,11,Retail,0,0,0,750.0,4.18,754.18,31.0,698.97,24.21,30.0,21.25,0,0,0,0,2024-01-14
RX0000016928,MBR00000461,2023-03-31,2023-04-02,1329684321,1374465867,PLN8887,649879,PCN281,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,5,Mail Order,0,0,0,380.0,5.85,385.85,32.0,341.56,12.29,15.2,10.7667,0,0,0,0,2023-04-30
RX0000016929,MBR00000461,2021-06-16,2021-06-18,1409275485,1218393315,PLN2051,973830,PCN858,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,4,Retail,0,0,0,10.0,6.73,16.73,5.0,10.79,0.94,0.4,0.2833,0,0,0,0,2021-07-16
RX0000016930,MBR00000461,2021-03-14,2021-03-16,1339084724,1378078972,PLN6194,542797,PCN614,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,6,0,Mail Order,0,0,0,2.33,11.08,13.41,4.0,8.93,0.48,0.4,0.2833,0,0,0,0,2021-03-21
RX0000016931,MBR00000461,2021-11-30,2021-12-04,1808010940,1387515170,PLN6374,119259,PCN433,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,31,4,Retail,0,0,0,45.0,11.53,56.53,3.0,50.06,3.47,1.8,1.275,0,0,0,0,2021-12-30
RX0000016932,MBR00000461,2021-04-22,2021-04-25,1177102140,1487113286,PLN4766,132427,PCN237,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,9,Retail,0,1,0,8.0,4.67,12.67,151.0,0.0,0.56,0.32,0.2267,0,0,0,0,2021-05-22
RX0000016933,MBR00000461,2021-12-17,2021-12-20,1392078157,1715830252,PLN9700,481414,PCN739,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,32,0,Retail,0,0,0,12.5,3.04,15.54,7.0,7.52,1.02,0.5,0.3542,0,0,0,0,2022-01-16
RX0000016934,MBR00000461,2021-09-03,2021-09-06,1971575659,1555345966,PLN7106,968983,PCN880,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,8,Retail,0,0,0,18.0,6.04,24.04,9.0,13.73,1.31,0.72,0.51,0,0,0,0,2021-10-03
RX0000016935,MBR00000461,2021-11-26,2021-11-29,1572092428,1796306159,PLN4713,485921,PCN219,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,82,3,Mail Order,0,0,0,960.0,5.14,965.14,38.0,894.8,32.34,12.8,9.0667,0,0,0,0,2022-02-24
RX0000016936,MBR00000461,2022-11-02,2022-11-05,1404118794,1593516054,PLN1001,406209,PCN263,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,88,5,Mail Order,0,0,0,930.0,6.49,936.49,30.0,867.72,38.77,12.4,8.7833,0,0,0,0,2023-01-31
RX0000016937,MBR00000461,2022-01-15,2022-01-19,1762185058,1573548040,PLN6492,240965,PCN964,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,10,Retail,0,0,0,15.0,3.17,18.17,0.0,16.99,1.18,0.6,0.425,0,0,0,0,2022-02-14
RX0000016938,MBR00000461,2023-06-06,2023-06-10,1328408013,1460233961,PLN5792,450281,PCN484,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,7,Mail Order,0,0,0,18.0,3.68,21.68,3.0,17.69,0.99,0.72,0.51,0,0,0,0,2023-07-06
RX0000016939,MBR00000461,2023-06-21,2023-06-22,1753077148,1525273063,PLN5990,443314,PCN822,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,2,Mail Order,0,0,0,22.0,3.19,25.19,0.0,23.82,1.37,0.88,0.6233,1,0,0,0,2023-07-21
RX0000016940,MBR00000461,2021-10-06,2021-10-09,1623417382,1519943029,PLN1961,465280,PCN329,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,2,Mail Order,0,0,0,10.0,6.07,16.07,1.0,14.18,0.89,0.4,0.2833,0,0,0,0,2021-11-05
RX0000016941,MBR00000461,2023-09-23,2023-09-26,1682649077,1989399217,PLN7457,861780,PCN253,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,2,Retail,0,0,0,22.0,5.61,27.61,70.0,0.0,0.95,0.88,0.6233,0,0,0,0,2023-10-23
RX0000016942,MBR00000461,2023-03-01,2023-03-04,1414176559,1508996979,PLN2955,861321,PCN187,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,5,Specialty,0,0,0,14.0,28.74,42.74,9.0,33.74,0.0,0.56,0.3967,0,0,0,0,2023-03-31
RX0000016943,MBR00000461,2023-01-11,2023-01-15,1122576018,1458037573,PLN2654,269377,PCN384,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,10,Retail,0,1,0,6200.0,5.6,6205.6,147.0,5739.21,319.39,248.0,175.6667,1,0,0,0,2023-02-10
RX0000016944,MBR00000461,2023-09-22,2023-09-23,1563717200,1945517097,PLN1956,358762,PCN575,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,4,Specialty,0,0,0,45.0,36.12,81.12,3.0,78.12,0.0,1.8,1.275,0,0,0,0,2023-10-22
RX0000016945,MBR00000462,2021-01-03,2021-01-05,1304076070,1372751255,PLN3884,360247,PCN820,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,5,Retail,0,0,0,10.5,8.42,18.92,2.0,15.94,0.98,1.8,1.275,0,0,0,0,2021-01-10
RX0000016946,MBR00000462,2021-11-13,2021-11-15,1791581165,1960820857,PLN8022,977641,PCN913,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,7,Retail,0,0,0,11.0,7.98,18.98,0.0,18.4,0.58,0.44,0.3117,0,0,0,0,2021-12-13
RX0000016947,MBR00000462,2023-09-26,2023-09-29,1652883550,1164444844,PLN2357,507231,PCN372,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,84,2,Retail,0,0,0,36.0,3.15,39.15,8.0,28.5,2.65,0.48,0.34,0,0,0,0,2023-12-25
RX0000016948,MBR00000462,2023-04-17,2023-04-21,1170432034,1515430716,PLN3030,926793,PCN468,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,10,Retail,0,0,0,8.87,11.67,20.53,3.0,16.77,0.76,1.52,1.0767,0,0,0,0,2023-04-24
RX0000016949,MBR00000462,2023-08-07,2023-08-09,1946926293,1716474051,PLN9323,125551,PCN760,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,7,Retail,0,1,0,2800.0,1.83,2801.83,154.0,2555.73,92.1,112.0,79.3333,0,0,0,0,2023-09-06
RX0000016950,MBR00000462,2021-07-01,2021-07-02,1242146201,1900495704,PLN5780,227127,PCN410,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,10,Retail,0,0,0,22.0,5.69,27.69,2.0,24.57,1.12,0.88,0.6233,0,0,0,0,2021-07-31
RX0000016951,MBR00000462,2021-09-09,2021-09-13,1343217377,1207536576,PLN5272,584853,PCN106,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,1,Retail,0,0,0,38.0,6.51,44.51,36.0,5.57,2.94,1.52,1.0767,0,0,0,0,2021-10-09
RX0000016952,MBR00000462,2023-03-07,2023-03-08,1217812984,1378371521,PLN9122,895672,PCN355,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,87,0,Retail,0,0,0,36.0,9.48,45.48,1.0,42.17,2.31,0.48,0.34,0,0,0,0,2023-06-05
RX0000016953,MBR00000462,2023-12-12,2023-12-16,1168903055,1981613774,PLN4610,879415,PCN358,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,84,5,Retail,0,0,0,27.0,1.67,28.67,5.0,22.14,1.53,0.36,0.255,0,0,0,0,2024-03-11
RX0000016954,MBR00000462,2021-01-08,2021-01-10,1480389174,1669467973,PLN6208,144945,PCN631,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,4,Retail,0,0,0,18.0,1.77,19.77,9.0,9.6,1.17,0.72,0.51,0,0,0,0,2021-02-07
RX0000016955,MBR00000462,2023-12-10,2023-12-12,1502305742,1456582010,PLN7525,250236,PCN669,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,1,Retail,0,0,0,72.33,11.54,83.87,30.0,48.71,5.16,12.4,8.7833,0,0,0,0,2023-12-17
RX0000016956,MBR00000462,2023-10-08,2023-10-11,1630815604,1635951480,PLN2349,132810,PCN529,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,5,LTC,0,0,0,12.5,3.69,16.19,8.0,7.68,0.51,0.5,0.3542,0,0,0,0,2023-11-07
RX0000016957,MBR00000462,2023-02-27,2023-02-28,1506095805,1865150313,PLN6575,929735,PCN882,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,6,Mail Order,1,0,0,18.0,4.65,22.65,2.0,19.31,1.34,0.72,0.51,0,0,0,0,2023-03-29
RX0000016958,MBR00000462,2021-08-28,2021-08-30,1477138314,1794747050,PLN6849,360875,PCN993,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,84,8,Mail Order,0,0,0,990.0,4.05,994.05,39.0,886.52,68.53,13.2,9.35,0,0,0,0,2021-11-26
RX0000016959,MBR00000462,2022-07-10,2022-07-11,1650386869,1225477295,PLN4816,436536,PCN607,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,4,Mail Order,2,0,0,18.0,11.03,29.03,3.0,24.1,1.93,0.72,0.51,0,0,0,0,2022-08-09
RX0000016960,MBR00000462,2021-07-11,2021-07-14,1216158699,1999900232,PLN5527,791226,PCN963,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,98,6,Mail Order,0,0,0,36.0,11.97,47.97,0.0,45.45,2.52,0.48,0.34,0,0,0,0,2021-10-09
RX0000016961,MBR00000462,2022-01-03,2022-01-05,1394638018,1897596367,PLN7640,351749,PCN324,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,3,Retail,0,0,0,310.0,3.07,313.07,33.0,264.45,15.62,12.4,8.7833,0,0,0,0,2022-02-02
RX0000016962,MBR00000462,2022-09-20,2022-09-22,1515456935,1226417161,PLN6113,614150,PCN715,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,3,Mail Order,0,0,0,750.0,3.44,753.44,40.0,683.07,30.37,30.0,21.25,0,0,0,0,2022-10-20
RX0000016963,MBR00000462,2022-03-18,2022-03-21,1228468305,1599398912,PLN6880,532258,PCN909,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,92,11,Retail,0,0,0,195.0,10.04,205.04,37.0,158.59,9.45,2.6,1.8417,0,0,0,0,2022-06-16
RX0000016964,MBR00000462,2022-06-23,2022-06-24,1913728144,1762807451,PLN4360,639153,PCN839,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,93,7,Retail,0,0,0,48.0,9.36,57.36,8.0,47.25,2.11,0.64,0.4533,0,0,0,0,2022-09-21
RX0000016965,MBR00000462,2022-08-26,2022-08-29,1359213000,1688253483,PLN9856,265087,PCN300,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,0,Retail,0,0,0,14.0,3.48,17.48,2.0,14.38,1.1,0.56,0.3967,0,0,0,0,2022-09-25
RX0000016966,MBR00000463,2022-12-26,2022-12-28,1741385310,1434846526,PLN1523,763284,PCN448,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,1,Retail,2,0,0,22.0,2.82,24.82,9.0,15.0,0.82,0.88,0.6233,0,0,0,0,2023-01-25
RX0000016967,MBR00000463,2022-12-14,2022-12-17,1537460374,1277691915,PLN2327,456916,PCN504,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,4,Retail,0,0,0,5.13,9.79,14.92,4.0,10.42,0.5,0.88,0.6233,0,0,0,0,2022-12-21
RX0000016968,MBR00000463,2021-12-26,2021-12-29,1134581322,1997358188,PLN4276,185966,PCN183,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,96,8,Retail,0,0,0,45.0,10.62,55.62,3.0,50.02,2.6,0.6,0.425,0,0,0,0,2022-03-26
RX0000016969,MBR00000463,2021-10-30,2021-10-31,1886611234,1160266600,PLN7061,685382,PCN506,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,3,Retail,0,0,0,14.0,4.4,18.4,10.0,7.27,1.13,0.56,0.3967,0,0,0,0,2021-11-29
RX0000016970,MBR00000463,2022-12-22,2022-12-25,1378442389,1293378198,PLN4807,156362,PCN980,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,1,Retail,1,0,0,2.1,3.4,5.5,4.0,1.15,0.35,0.36,0.255,0,0,0,0,2022-12-29
RX0000016971,MBR00000463,2022-06-17,2022-06-18,1121505855,1494728112,PLN9272,738121,PCN888,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,8,Retail,0,0,0,45.0,7.24,52.24,3.0,46.37,2.87,1.8,1.275,0,0,0,0,2022-07-17
RX0000016972,MBR00000463,2023-11-28,2023-11-30,1324140791,1727934677,PLN5345,325876,PCN723,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,0,Retail,0,0,0,12.0,8.64,20.64,6.0,13.5,1.14,0.48,0.34,0,0,0,0,2023-12-28
RX0000016973,MBR00000463,2023-07-25,2023-07-26,1262609607,1669656319,PLN5292,230979,PCN808,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,57,3,Retail,0,0,0,350.0,2.59,352.59,40.0,291.64,20.95,7.0,4.9583,0,0,0,0,2023-09-23
RX0000016974,MBR00000463,2023-11-20,2023-11-21,1171465983,1417860836,PLN6785,147323,PCN372,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,88,4,Mail Order,0,0,0,66.0,1.77,67.77,2.0,63.16,2.61,0.88,0.6233,0,0,0,0,2024-02-18
RX0000016975,MBR00000463,2021-07-08,2021-07-09,1645079243,1558900894,PLN2423,579544,PCN918,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,2,Retail,2,0,0,14.0,10.75,24.75,4.0,19.7,1.05,0.56,0.3967,1,0,0,0,2021-08-07
RX0000016976,MBR00000463,2021-11-06,2021-11-08,1973916401,1971481505,PLN2156,757455,PCN708,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,3,Mail Order,0,0,0,42.0,9.5,51.5,7.0,42.33,2.17,0.56,0.3967,0,0,0,0,2022-02-04
RX0000016977,MBR00000463,2023-11-14,2023-11-18,1584855504,1496209543,PLN8988,912646,PCN269,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,95,1,Retail,0,0,0,48.0,10.9,58.9,6.0,49.56,3.34,0.64,0.4533,0,0,0,0,2024-02-12
RX0000016978,MBR00000463,2022-12-24,2022-12-26,1432741693,1607527376,PLN7314,775215,PCN684,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,30,6,Retail,0,0,0,320.0,2.99,322.99,32.0,273.35,17.64,12.8,9.0667,0,0,0,0,2023-01-23
RX0000016979,MBR00000463,2023-11-26,2023-11-30,1939941172,1809892036,PLN1277,744290,PCN585,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,90,4,Retail,0,0,0,930.0,10.7,940.7,37.0,874.11,29.59,12.4,8.7833,0,0,0,0,2024-02-24
RX0000016980,MBR00000463,2021-08-29,2021-08-31,1433014972,1796380894,PLN3502,905992,PCN955,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,7,Retail,0,0,0,7.5,4.24,11.74,0.0,11.07,0.67,0.3,0.2125,0,0,0,0,2021-09-28
RX0000016981,MBR00000463,2021-03-16,2021-03-17,1511581844,1532777294,PLN1627,967159,PCN901,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,54,7,Retail,0,1,0,5600.0,3.75,5603.75,149.0,5258.21,196.54,112.0,79.3333,0,0,0,0,2021-05-15
RX0000016982,MBR00000463,2022-08-20,2022-08-24,1167384797,1440329374,PLN2322,465970,PCN977,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,94,5,Specialty,2,0,0,36.0,17.28,53.28,10.0,43.28,0.0,0.48,0.34,0,0,0,0,2022-11-18
RX0000016983,MBR00000463,2021-10-15,2021-10-17,1151199875,1271509201,PLN9735,507653,PCN702,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,10,Retail,0,0,0,2.92,9.91,12.83,7.0,5.09,0.74,0.5,0.3542,1,0,0,0,2021-10-22
RX0000016984,MBR00000463,2021-08-08,2021-08-09,1754071627,1237048890,PLN2180,483303,PCN995,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,32,4,Retail,0,1,0,2800.0,7.92,2807.92,152.0,2520.9,135.02,112.0,79.3333,0,0,0,0,2021-09-07
RX0000016985,MBR00000463,2023-05-24,2023-05-28,1510458588,1944781731,PLN7682,933949,PCN701,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,64,4,Mail Order,0,0,1,660.0,11.94,671.94,35.0,602.13,34.81,13.2,9.35,0,0,0,0,2023-07-23
RX0000016986,MBR00000463,2021-12-29,2022-01-01,1461403119,1579238584,PLN2544,613224,PCN794,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,97,9,Mail Order,1,0,0,195.0,6.38,201.38,31.0,159.35,11.03,2.6,1.8417,0,0,0,0,2022-03-29
RX0000016987,MBR00000463,2022-03-05,2022-03-07,1916996500,1470215017,PLN6244,562233,PCN949,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,6,Mail Order,0,0,0,310.0,4.04,314.04,35.0,264.54,14.5,12.4,8.7833,0,0,0,0,2022-04-04
RX0000016988,MBR00000463,2022-02-28,2022-03-01,1896690922,1644248542,PLN5524,257991,PCN576,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,81,5,Retail,0,0,0,42.0,5.8,47.8,3.0,41.95,2.85,0.56,0.3967,0,0,0,0,2022-05-29
RX0000016989,MBR00000463,2021-09-21,2021-09-23,1393063080,1454089394,PLN2484,665719,PCN962,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,93,5,Retail,0,0,0,135.0,3.66,138.66,4.0,128.39,6.27,1.8,1.275,0,0,0,0,2021-12-20
RX0000016990,MBR00000463,2022-12-12,2022-12-13,1435752904,1700863212,PLN6077,392631,PCN260,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,5,Retail,0,0,0,320.0,1.51,321.51,30.0,273.75,17.76,12.8,9.0667,0,0,0,0,2023-01-11
RX0000016991,MBR00000463,2022-12-24,2022-12-26,1883622432,1335893391,PLN2975,930733,PCN304,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,88,2,Mail Order,0,0,0,36.0,4.51,40.51,0.0,38.24,2.27,0.48,0.34,0,0,0,0,2023-03-24
RX0000016992,MBR00000463,2022-03-05,2022-03-09,1336117902,1248298193,PLN9450,590276,PCN841,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,6,Retail,0,0,0,14.0,9.78,23.78,6.0,16.66,1.12,0.56,0.3967,0,0,0,0,2022-04-04
RX0000016993,MBR00000463,2023-10-06,2023-10-10,1757638681,1247678568,PLN1750,968377,PCN482,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,87,3,Retail,0,0,0,30.0,9.64,39.64,1.0,36.78,1.86,0.4,0.2833,0,0,0,0,2024-01-04
RX0000016994,MBR00000463,2022-12-08,2022-12-12,1344013239,1578290674,PLN5148,354277,PCN218,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,55,5,Retail,0,0,0,960.0,4.89,964.89,32.0,896.93,35.96,19.2,13.6,0,1,1,0,2023-02-06
RX0000016995,MBR00000463,2021-06-28,2021-07-01,1597029699,1187871725,PLN2578,151854,PCN652,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,0,Retail,1,0,0,14.0,1.9,15.9,7.0,8.34,0.56,0.56,0.3967,0,0,0,0,2021-07-28
RX0000016996,MBR00000463,2023-10-07,2023-10-08,1931291237,1541086693,PLN3168,371447,PCN411,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,11,Retail,2,0,0,72.33,1.75,74.08,37.0,32.06,5.02,12.4,8.7833,0,0,0,0,2023-10-14
RX0000016997,MBR00000463,2021-12-29,2022-01-02,1190184457,1359101000,PLN8893,128125,PCN224,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,87,5,Mail Order,0,0,0,555.0,6.96,561.96,38.0,489.44,34.52,7.4,5.2417,1,0,0,0,2022-03-29
RX0000016998,MBR00000463,2022-01-03,2022-01-07,1467129054,1698261566,PLN9022,770192,PCN197,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,2,Specialty,0,0,0,18.0,21.65,39.65,7.0,32.65,0.0,0.72,0.51,0,0,0,0,2022-02-02
RX0000016999,MBR00000463,2023-01-09,2023-01-13,1621985967,1568333935,PLN7541,951379,PCN985,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,1,Retail,3,0,0,22.0,5.83,27.83,72.0,0.0,1.72,0.88,0.6233,0,0,0,0,2023-02-08
RX0000017000,MBR00000463,2022-11-17,2022-11-18,1810334644,1959822061,PLN2673,215908,PCN860,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,4,Retail,0,0,0,38.0,5.74,43.74,32.0,9.97,1.77,1.52,1.0767,0,0,0,0,2022-12-17
RX0000017001,MBR00000463,2023-01-04,2023-01-06,1235185703,1811464272,PLN5086,204468,PCN918,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,6,11,Retail,0,0,0,2.33,4.86,7.19,0.0,6.82,0.37,0.4,0.2833,0,0,0,0,2023-01-11
RX0000017002,MBR00000463,2022-06-18,2022-06-20,1368614291,1228410140,PLN4073,367697,PCN408,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,3,Retail,0,0,0,45.0,3.23,48.23,3.0,43.02,2.21,0.6,0.425,0,1,0,0,2022-09-16
RX0000017003,MBR00000463,2022-07-10,2022-07-11,1862606845,1198262881,PLN9456,113388,PCN126,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,11,Retail,0,0,0,185.0,2.97,187.97,31.0,143.86,13.11,7.4,5.2417,0,0,0,0,2022-08-09
RX0000017004,MBR00000463,2023-07-12,2023-07-14,1144214629,1987524106,PLN6536,592347,PCN789,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,7,Specialty,1,0,0,950.0,8.75,958.75,33.0,925.75,0.0,38.0,26.9167,0,0,0,0,2023-08-11
RX0000017005,MBR00000463,2022-01-18,2022-01-20,1682370634,1692689212,PLN1588,663305,PCN154,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,5,Retail,0,0,0,8.5,3.29,11.79,1.0,10.38,0.41,0.34,0.2408,0,1,0,0,2022-02-17
RX0000017006,MBR00000463,2022-09-20,2022-09-22,1884007857,1980565018,PLN5724,733974,PCN566,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,58,2,Retail,0,0,0,350.0,5.18,355.18,30.0,309.02,16.16,7.0,4.9583,0,0,0,0,2022-11-19
RX0000017007,MBR00000463,2021-06-13,2021-06-15,1510822890,1471890184,PLN5180,452429,PCN331,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,92,9,Mail Order,1,0,0,2250.0,5.15,2255.15,34.0,2090.49,130.66,30.0,21.25,0,0,0,0,2021-09-11
RX0000017008,MBR00000463,2021-09-17,2021-09-21,1573196570,1816037484,PLN3978,891738,PCN594,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,3,Retail,3,0,0,65.0,4.94,69.94,40.0,25.5,4.44,2.6,1.8417,0,0,0,0,2021-10-17
RX0000017009,MBR00000463,2023-10-30,2023-10-31,1605821125,1909059745,PLN8356,839827,PCN272,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,11,Retail,0,0,1,320.0,7.47,327.47,39.0,270.05,18.42,12.8,9.0667,0,0,0,0,2023-11-29
RX0000017010,MBR00000463,2022-03-02,2022-03-03,1195581492,1748377834,PLN2832,242375,PCN372,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,5,Retail,0,0,0,8.5,5.11,13.61,4.0,9.14,0.47,0.34,0.2408,0,0,0,0,2022-04-01
RX0000017011,MBR00000463,2021-08-11,2021-08-15,1617152236,1616999271,PLN9151,366928,PCN982,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,27,1,Retail,0,0,0,650.0,11.41,661.41,30.0,591.7,39.71,26.0,18.4167,0,0,0,0,2021-09-10
RX0000017012,MBR00000463,2021-10-13,2021-10-15,1815069848,1829872447,PLN7905,253154,PCN393,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,6,Mail Order,0,0,0,18.0,11.83,29.83,0.0,27.82,2.01,0.72,0.51,0,0,0,0,2021-11-12
RX0000017013,MBR00000463,2023-01-17,2023-01-21,1693496482,1673082126,PLN2927,615497,PCN544,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,10,Retail,0,0,0,42.0,7.41,49.41,3.0,44.81,1.6,0.56,0.3967,0,0,0,0,2023-04-17
RX0000017014,MBR00000463,2021-09-07,2021-09-11,1124407967,1621736314,PLN2407,466694,PCN757,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,60,63,0,Retail,0,0,0,44.0,4.92,48.92,72.0,0.0,2.17,0.88,0.6233,0,0,0,0,2021-11-06
RX0000017015,MBR00000463,2023-09-13,2023-09-16,1686412486,1991922106,PLN9529,183243,PCN240,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,9,Mail Order,0,0,0,11.0,5.99,16.99,8.0,8.01,0.98,0.44,0.3117,0,0,0,0,2023-10-13
RX0000017016,MBR00000463,2021-11-17,2021-11-18,1459834711,1430601567,PLN4328,362403,PCN173,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,31,2,Mail Order,0,0,0,15.0,4.27,19.27,6.0,11.93,1.34,0.6,0.425,0,0,0,0,2021-12-17
RX0000017017,MBR00000463,2022-05-06,2022-05-09,1610563135,1182157523,PLN5819,800096,PCN311,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,7,Mail Order,0,0,0,11.0,8.27,19.27,7.0,11.2,1.07,0.44,0.3117,1,0,0,0,2022-06-05
RX0000017018,MBR00000463,2021-01-08,2021-01-09,1625595101,1609562451,PLN1293,255890,PCN519,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,8,Retail,2,0,0,310.0,4.13,314.13,40.0,264.56,9.57,12.4,8.7833,0,0,0,0,2021-02-07
RX0000017019,MBR00000463,2022-05-10,2022-05-14,1178515632,1662091455,PLN7339,129005,PCN229,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,98,6,Retail,0,0,0,1440.0,10.06,1450.06,34.0,1323.26,92.8,19.2,13.6,0,0,0,0,2022-08-08
RX0000017020,MBR00000463,2021-02-05,2021-02-06,1937002003,1480475597,PLN1186,642891,PCN425,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,4,Mail Order,0,0,0,9.0,5.68,14.68,6.0,7.84,0.84,0.36,0.255,0,0,0,0,2021-03-07
RX0000017021,MBR00000463,2021-02-13,2021-02-16,1418132637,1381562561,PLN1542,174873,PCN295,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,81,0,Retail,0,0,0,135.0,2.77,137.77,0.0,129.43,8.34,1.8,1.275,0,0,0,0,2021-05-14
RX0000017022,MBR00000463,2021-04-04,2021-04-08,1302232921,1203406578,PLN1064,651607,PCN603,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,30,6,Retail,0,0,0,380.0,5.52,385.52,32.0,327.93,25.59,15.2,10.7667,0,0,0,0,2021-05-04
RX0000017023,MBR00000463,2021-10-25,2021-10-26,1419466214,1660358449,PLN8768,121621,PCN330,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,64,6,Retail,0,0,0,22.0,6.77,28.77,7.0,19.77,2.0,0.44,0.3117,0,0,0,0,2021-12-24
RX0000017024,MBR00000463,2022-08-25,2022-08-29,1709999822,1737925639,PLN5630,523117,PCN358,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,7,Specialty,0,0,0,28.0,27.32,55.32,5.0,50.32,0.0,1.12,0.7933,0,0,0,0,2022-09-24
RX0000017025,MBR00000463,2023-06-01,2023-06-04,1919580032,1225607338,PLN8103,870516,PCN915,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,5,Retail,0,0,0,77.0,9.91,86.91,35.0,49.22,2.69,13.2,9.35,0,0,0,0,2023-06-08
RX0000017026,MBR00000463,2023-03-11,2023-03-14,1976256600,1937798006,PLN6606,245500,PCN201,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,9,Retail,0,0,0,9.0,7.33,16.33,5.0,10.67,0.66,0.36,0.255,0,0,0,0,2023-04-10
RX0000017027,MBR00000463,2023-08-28,2023-09-01,1710591108,1769709713,PLN7041,284148,PCN349,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,4,Retail,0,0,0,38.0,7.02,45.02,35.0,8.48,1.54,1.52,1.0767,0,0,0,0,2023-09-27
RX0000017028,MBR00000463,2021-05-31,2021-06-03,1597555083,1547395383,PLN9285,645054,PCN195,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,8,Retail,0,0,0,9.0,9.61,18.61,5.0,12.97,0.64,0.36,0.255,0,0,0,0,2021-06-30
RX0000017029,MBR00000463,2021-11-22,2021-11-26,1358797605,1630928139,PLN8203,271861,PCN355,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,61,0,Mail Order,0,0,0,36.0,2.56,38.56,6.0,30.97,1.59,0.72,0.51,0,0,0,0,2022-01-21
RX0000017030,MBR00000463,2021-11-02,2021-11-04,1731425589,1353718936,PLN3993,890167,PCN680,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,4,Mail Order,0,0,0,285.0,2.45,287.45,36.0,233.82,17.63,11.4,8.075,0,0,0,0,2021-12-02
RX0000017031,MBR00000463,2021-08-05,2021-08-07,1499307756,1727027479,PLN3277,822463,PCN261,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,9,Retail,0,0,0,12.5,2.28,14.78,5.0,9.01,0.77,0.5,0.3542,0,0,0,0,2021-09-04
RX0000017032,MBR00000464,2022-05-12,2022-05-13,1760117284,1247000454,PLN1710,888606,PCN837,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,9,Retail,0,0,0,2.33,4.0,6.34,10.0,0.0,0.24,0.4,0.2833,0,0,0,0,2022-05-19
RX0000017033,MBR00000464,2021-07-26,2021-07-29,1481426776,1285374006,PLN8852,357834,PCN255,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,0,Mail Order,0,0,0,18.0,9.04,27.04,7.0,18.26,1.78,0.72,0.51,0,1,0,0,2021-08-25
RX0000017034,MBR00000464,2021-09-12,2021-09-13,1464474376,1238975260,PLN8761,938706,PCN121,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,90,2,Retail,0,0,0,930.0,6.64,936.64,36.0,840.66,59.98,12.4,8.7833,0,0,0,0,2021-12-11
RX0000017035,MBR00000464,2021-11-14,2021-11-15,1240554701,1154223831,PLN8989,301028,PCN657,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,3,Retail,0,0,0,12.0,11.97,23.97,9.0,13.81,1.16,0.48,0.34,0,0,0,0,2021-12-14
RX0000017036,MBR00000464,2023-08-26,2023-08-30,1722104474,1553455449,PLN5702,562303,PCN273,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,9,Mail Order,0,0,0,15.0,3.71,18.71,2.0,15.76,0.95,0.6,0.425,0,0,0,0,2023-09-25
RX0000017037,MBR00000464,2021-01-04,2021-01-08,1372607889,1135937435,PLN1418,840393,PCN128,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,29,9,Retail,0,0,0,11.0,1.63,12.63,2.0,10.0,0.63,0.44,0.3117,0,0,0,0,2021-02-03
RX0000017038,MBR00000464,2021-11-14,2021-11-17,1711877564,1205306919,PLN7101,532151,PCN903,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,3,Retail,0,0,0,185.0,2.24,187.24,40.0,138.2,9.04,7.4,5.2417,0,0,0,0,2021-12-14
RX0000017039,MBR00000464,2022-06-22,2022-06-26,1479950639,1635917322,PLN5332,100473,PCN405,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,7,Retail,0,0,0,650.0,6.79,656.79,34.0,598.13,24.66,26.0,18.4167,0,0,0,0,2022-07-22
RX0000017040,MBR00000464,2023-10-13,2023-10-17,1643948320,1999259754,PLN5544,200638,PCN901,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,8,Mail Order,2,0,0,18.0,6.57,24.57,38.0,0.0,0.75,0.72,0.51,1,0,0,0,2023-11-12
RX0000017041,MBR00000464,2022-11-12,2022-11-14,1571547851,1825226772,PLN9616,998117,PCN201,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,6,Retail,0,0,0,45.0,7.68,52.68,9.0,41.5,2.18,1.8,1.275,0,0,0,0,2022-12-12
RX0000017042,MBR00000464,2021-03-13,2021-03-16,1936533318,1917152963,PLN9870,231109,PCN939,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,64,1,Mail Order,0,1,0,17000.0,8.14,17008.14,150.0,15856.27,1001.87,340.0,240.8333,0,0,0,0,2021-05-12
RX0000017043,MBR00000464,2023-03-07,2023-03-09,1569186553,1644204121,PLN9486,905467,PCN989,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,11,Retail,0,0,0,45.0,8.54,53.54,0.0,50.48,3.06,1.8,1.275,1,0,0,0,2023-04-06
RX0000017044,MBR00000464,2022-02-02,2022-02-05,1516503879,1680313129,PLN3942,506738,PCN551,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,55,9,Retail,0,0,0,76.0,8.64,84.64,33.0,46.9,4.74,1.52,1.0767,0,0,0,0,2022-04-03
RX0000017045,MBR00000464,2022-09-26,2022-09-28,1712306937,1592765267,PLN9983,349002,PCN411,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,4,Retail,0,0,0,4.2,7.69,11.89,38.0,0.0,0.49,0.72,0.51,0,0,0,0,2022-10-03
RX0000017046,MBR00000464,2022-05-31,2022-06-01,1283561993,1406273926,PLN5654,878702,PCN680,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,61,3,Retail,0,0,0,130.0,5.37,135.37,36.0,94.87,4.5,2.6,1.8417,0,0,0,0,2022-07-30
RX0000017047,MBR00000464,2022-10-21,2022-10-22,1171406345,1683522670,PLN3047,100769,PCN605,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,82,9,Retail,3,0,0,42.0,2.74,44.74,6.0,35.79,2.95,0.56,0.3967,0,0,0,0,2023-01-19
RX0000017048,MBR00000464,2023-06-04,2023-06-05,1249517445,1362706496,PLN7312,218092,PCN189,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,7,Retail,0,0,0,9.0,7.76,16.76,4.0,11.85,0.91,0.36,0.255,0,0,0,0,2023-07-04
RX0000017049,MBR00000464,2021-01-10,2021-01-11,1379970589,1461827771,PLN2182,382235,PCN735,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,63,5,Retail,0,0,0,28.0,10.06,38.06,5.0,31.47,1.59,0.56,0.3967,0,0,0,0,2021-03-11
RX0000017050,MBR00000464,2021-06-06,2021-06-10,1185091805,1370083907,PLN8054,268375,PCN388,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,88,11,Mail Order,2,0,0,25.5,5.37,30.87,3.0,26.79,1.08,0.34,0.2408,0,0,0,0,2021-09-04
RX0000017051,MBR00000464,2022-11-25,2022-11-28,1894237649,1396147120,PLN2074,684641,PCN372,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,3,Specialty,0,0,0,14.0,35.11,49.11,1.0,48.11,0.0,0.56,0.3967,0,0,0,0,2022-12-25
RX0000017052,MBR00000464,2023-04-28,2023-05-01,1435141789,1511250071,PLN8878,893515,PCN598,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,30,6,Retail,0,0,0,285.0,5.76,290.76,33.0,238.7,19.06,11.4,8.075,1,0,0,0,2023-05-28
RX0000017053,MBR00000464,2021-12-26,2021-12-29,1483660556,1121447622,PLN9403,331361,PCN614,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,92,5,Retail,0,0,0,42.0,7.84,49.84,8.0,38.36,3.48,0.56,0.3967,0,0,0,0,2022-03-26
RX0000017054,MBR00000464,2021-07-18,2021-07-20,1777649559,1571541385,PLN5577,216381,PCN771,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,3,Retail,2,0,0,9.0,6.55,15.55,1.0,13.94,0.61,0.36,0.255,1,0,0,0,2021-08-17
RX0000017055,MBR00000464,2021-10-12,2021-10-13,1358229561,1468848679,PLN8423,269045,PCN537,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,9,Mail Order,0,0,0,650.0,1.63,651.63,33.0,590.3,28.33,26.0,18.4167,0,0,0,0,2021-11-11
RX0000017056,MBR00000464,2021-01-27,2021-01-28,1832143645,1768031945,PLN8164,968150,PCN183,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,81,3,Mail Order,0,1,0,36.0,4.26,40.26,147.0,0.0,1.24,0.48,0.34,0,1,1,0,2021-04-27
RX0000017057,MBR00000464,2021-08-28,2021-09-01,1885271376,1929247688,PLN6654,337643,PCN970,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,82,1,Retail,0,0,0,30.0,11.38,41.38,2.0,37.59,1.79,0.4,0.2833,0,0,0,0,2021-11-26
RX0000017058,MBR00000464,2021-11-20,2021-11-24,1968768187,1351189353,PLN9091,426010,PCN903,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,65,5,Mail Order,0,0,0,20.0,8.26,28.26,7.0,19.81,1.45,0.4,0.2833,0,0,0,0,2022-01-19
RX0000017059,MBR00000464,2021-02-28,2021-03-01,1288780121,1782108292,PLN8238,336720,PCN210,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,7,Retail,3,0,0,28.0,2.95,30.95,9.0,20.58,1.37,1.12,0.7933,0,0,0,0,2021-03-30
RX0000017060,MBR00000464,2023-10-03,2023-10-04,1515339017,1168052178,PLN5588,702937,PCN223,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,6,Specialty,0,0,0,18.0,9.87,27.87,3.0,24.87,0.0,0.72,0.51,0,0,0,0,2023-11-02
RX0000017061,MBR00000464,2021-01-04,2021-01-06,1499502669,1532546463,PLN9113,148732,PCN141,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,6,Retail,0,0,0,11.0,1.56,12.56,8.0,4.06,0.5,0.44,0.3117,0,0,0,0,2021-02-03
RX0000017062,MBR00000465,2022-08-20,2022-08-22,1155663955,1578112417,PLN4389,620756,PCN942,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,32,6,Retail,3,0,0,18.0,11.33,29.33,6.0,21.56,1.77,0.72,0.51,0,0,0,0,2022-09-19
RX0000017063,MBR00000465,2021-08-08,2021-08-10,1792270228,1226688688,PLN9069,580047,PCN753,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,84,6,Retail,0,0,0,114.0,3.02,117.02,7.0,102.88,7.14,1.52,1.0767,0,0,0,0,2021-11-06
RX0000017064,MBR00000465,2023-10-01,2023-10-04,1469845825,1289715119,PLN7638,499556,PCN100,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,93,4,Mail Order,0,0,0,36.0,6.58,42.58,3.0,37.08,2.5,0.48,0.34,0,0,0,0,2023-12-30
RX0000017065,MBR00000465,2021-06-09,2021-06-11,1232275999,1672123360,PLN5184,425016,PCN817,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,94,11,Retail,0,0,0,42.0,8.95,50.95,1.0,46.47,3.48,0.56,0.3967,0,0,0,0,2021-09-07
RX0000017066,MBR00000465,2023-04-26,2023-04-30,1820031800,1476669468,PLN7673,994916,PCN933,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,96,0,Retail,0,0,0,555.0,8.39,563.39,32.0,493.83,37.56,7.4,5.2417,0,1,1,0,2023-07-25
RX0000017067,MBR00000465,2022-05-26,2022-05-28,1487885692,1633206285,PLN3293,330518,PCN328,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,7,7,3,Retail,0,0,0,2.33,1.91,4.24,1.0,3.01,0.23,0.4,0.2833,0,0,0,0,2022-06-02
RX0000017068,MBR00000465,2021-01-29,2021-01-30,1164174502,1870458356,PLN5421,717156,PCN680,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,1,Retail,0,0,0,18.0,7.84,25.84,35.0,0.0,0.98,0.72,0.51,0,0,0,0,2021-02-28
RX0000017069,MBR00000465,2021-05-20,2021-05-23,1471300650,1769342798,PLN8368,178357,PCN907,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,90,7,Retail,1,0,0,48.0,4.83,52.83,10.0,40.51,2.32,0.64,0.4533,0,0,0,0,2021-08-18
RX0000017070,MBR00000465,2023-01-04,2023-01-08,1563545026,1466301459,PLN2763,173490,PCN264,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,96,11,Retail,0,0,0,960.0,4.83,964.83,31.0,875.1,58.73,12.8,9.0667,0,0,0,0,2023-04-04
RX0000017071,MBR00000465,2021-10-22,2021-10-26,1711463382,1948193801,PLN4936,898250,PCN384,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,11,Retail,0,0,0,12.0,11.42,23.42,3.0,19.05,1.37,0.48,0.34,0,0,0,0,2021-11-21
RX0000017072,MBR00000465,2022-06-09,2022-06-11,1406793399,1151883169,PLN4099,102289,PCN157,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,83,4,Retail,0,0,0,84.0,11.82,95.82,3.0,89.48,3.34,1.12,0.7933,0,0,0,0,2022-09-07
RX0000017073,MBR00000465,2021-01-22,2021-01-25,1401622012,1825172384,PLN7205,282975,PCN210,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,57,2,Retail,0,0,0,44.0,6.88,50.88,0.0,48.78,2.1,0.88,0.6233,1,0,0,0,2021-03-23
RX0000017074,MBR00000465,2023-11-27,2023-12-01,1791085991,1429153635,PLN5420,907561,PCN439,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,2,Specialty,0,0,0,38.0,29.56,67.56,39.0,28.56,0.0,1.52,1.0767,0,0,0,0,2023-12-27
RX0000017075,MBR00000465,2021-12-26,2021-12-29,1758447706,1891649834,PLN8865,704540,PCN855,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,9,Retail,0,0,0,310.0,7.25,317.25,38.0,261.97,17.28,12.4,8.7833,0,0,0,0,2022-01-25
RX0000017076,MBR00000465,2021-08-25,2021-08-27,1393609673,1777162139,PLN4053,436356,PCN353,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,27,0,Specialty,0,0,0,175.0,26.23,201.23,30.0,171.23,0.0,7.0,4.9583,0,0,0,0,2021-09-24
RX0000017077,MBR00000465,2022-10-03,2022-10-07,1896983300,1632379312,PLN4804,788949,PCN570,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,87,7,Retail,0,0,0,42.0,7.67,49.67,9.0,38.6,2.07,0.56,0.3967,0,0,0,0,2023-01-01
RX0000017078,MBR00000465,2021-10-28,2021-11-01,1178771552,1813556145,PLN4430,152201,PCN676,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,1,Retail,0,0,0,15.0,6.35,21.35,5.0,14.91,1.44,0.6,0.425,0,0,0,0,2021-11-27
RX0000017079,MBR00000465,2022-10-08,2022-10-11,1856804906,1617775076,PLN8199,202922,PCN565,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,92,9,Specialty,0,0,0,22.5,25.57,48.07,10.0,38.07,0.0,0.3,0.2125,0,0,0,0,2023-01-06
RX0000017080,MBR00000465,2023-02-17,2023-02-19,1693463605,1912133471,PLN3577,304322,PCN995,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,97,0,Retail,0,0,0,525.0,11.95,536.95,34.0,483.14,19.81,7.0,4.9583,0,0,0,0,2023-05-18
RX0000017081,MBR00000465,2022-12-08,2022-12-09,1238783772,1135264004,PLN8781,322117,PCN980,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,2,Retail,0,0,0,18.0,4.83,22.83,3.0,19.14,0.69,0.72,0.51,0,0,0,0,2023-01-07
RX0000017082,MBR00000465,2023-10-09,2023-10-12,1448994583,1218646491,PLN5100,673317,PCN678,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,0,Mail Order,0,0,0,22.0,8.89,30.89,72.0,0.0,1.35,0.88,0.6233,0,0,0,0,2023-11-08
RX0000017083,MBR00000465,2022-08-21,2022-08-23,1491792543,1619214595,PLN4264,558835,PCN869,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,87,2,Mail Order,0,0,0,135.0,8.86,143.86,2.0,135.41,6.45,1.8,1.275,0,0,0,0,2022-11-19
RX0000017084,MBR00000465,2023-06-25,2023-06-27,1160914047,1119777572,PLN7464,355043,PCN600,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,1,Retail,0,0,0,285.0,7.56,292.56,34.0,244.48,14.08,11.4,8.075,0,0,0,0,2023-07-25
RX0000017085,MBR00000465,2023-01-02,2023-01-05,1595027343,1496061189,PLN6428,709223,PCN106,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,4,Mail Order,0,0,0,12.5,8.79,21.29,4.0,16.52,0.77,0.5,0.3542,0,0,0,0,2023-02-01
RX0000017086,MBR00000465,2023-12-01,2023-12-02,1205325519,1659176844,PLN6001,216835,PCN888,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,83,1,Mail Order,0,0,0,960.0,10.13,970.13,34.0,906.85,29.28,12.8,9.0667,0,0,0,0,2024-02-29
RX0000017087,MBR00000465,2021-12-03,2021-12-04,1613251779,1461351469,PLN7235,436490,PCN690,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,96,5,Retail,0,0,0,135.0,11.08,146.08,0.0,138.67,7.41,1.8,1.275,1,0,0,0,2022-03-03
RX0000017088,MBR00000465,2021-07-20,2021-07-22,1841080271,1545102588,PLN5941,349633,PCN881,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,95,9,Retail,0,0,0,25.5,7.48,32.98,7.0,23.68,2.3,0.34,0.2408,0,0,0,0,2021-10-18
RX0000017089,MBR00000465,2021-04-12,2021-04-16,1252424906,1959591573,PLN2408,222999,PCN111,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,1,Retail,0,1,0,8.0,8.64,16.64,151.0,0.0,1.01,0.32,0.2267,0,0,0,0,2021-05-12
RX0000017090,MBR00000465,2023-08-29,2023-08-30,1859083081,1179228559,PLN5544,390369,PCN648,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,82,1,Retail,0,0,0,990.0,10.1,1000.1,30.0,934.54,35.56,13.2,9.35,0,0,0,0,2023-11-27
RX0000017091,MBR00000465,2023-05-02,2023-05-03,1681187930,1173925457,PLN4631,746121,PCN870,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,9,Mail Order,0,0,0,22.0,8.45,30.45,68.0,0.0,2.1,0.88,0.6233,0,0,0,0,2023-06-01
RX0000017092,MBR00000465,2022-10-18,2022-10-22,1870691999,1423428540,PLN3376,392908,PCN542,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,11,Specialty,0,1,0,6200.0,41.2,6241.2,149.0,6092.2,0.0,248.0,175.6667,0,0,0,0,2022-11-17
RX0000017093,MBR00000465,2021-05-28,2021-06-01,1599429000,1941306870,PLN5789,479274,PCN923,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,60,54,9,Mail Order,0,0,0,18.0,8.12,26.12,7.0,17.7,1.42,0.36,0.255,0,1,0,0,2021-07-27
RX0000017094,MBR00000465,2021-12-10,2021-12-12,1241000904,1766300991,PLN2771,643737,PCN274,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,91,4,Retail,0,0,0,48.0,10.6,58.6,6.0,49.47,3.13,0.64,0.4533,0,0,0,0,2022-03-10
RX0000017095,MBR00000465,2023-06-03,2023-06-04,1690255232,1483073756,PLN4483,811429,PCN835,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,9,Retail,0,1,0,12.0,10.01,22.01,151.0,0.0,1.05,0.48,0.34,1,0,0,0,2023-07-03
RX0000017096,MBR00000465,2021-06-04,2021-06-06,1295222441,1314063267,PLN5180,857662,PCN618,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,2,Retail,0,0,0,320.0,8.62,328.62,35.0,280.53,13.09,12.8,9.0667,1,0,0,0,2021-07-04
RX0000017097,MBR00000465,2022-03-17,2022-03-18,1483631271,1830956984,PLN2178,132380,PCN257,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,29,6,LTC,0,0,0,22.0,6.86,28.86,69.0,0.0,1.99,0.88,0.6233,0,1,1,0,2022-04-16
RX0000017098,MBR00000465,2022-03-04,2022-03-07,1684161786,1934532300,PLN2869,687481,PCN810,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,3,Retail,1,0,0,88.67,2.6,91.27,35.0,50.12,6.15,15.2,10.7667,0,0,0,0,2022-03-11
RX0000017099,MBR00000465,2021-07-20,2021-07-21,1288643614,1536768237,PLN5379,248748,PCN712,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,0,Retail,0,0,0,15.0,9.09,24.09,5.0,17.51,1.58,0.6,0.425,0,0,0,0,2021-08-19
RX0000017100,MBR00000465,2021-08-18,2021-08-20,1123315505,1180883406,PLN8627,788966,PCN897,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,1,Retail,0,0,0,330.0,3.49,333.49,39.0,278.67,15.82,13.2,9.35,0,0,0,0,2021-09-17
RX0000017101,MBR00000465,2022-08-20,2022-08-23,1186793204,1422538184,PLN4956,594207,PCN383,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,3,Retail,0,0,0,11.0,8.54,19.54,7.0,11.64,0.9,0.44,0.3117,0,0,0,0,2022-09-19
RX0000017102,MBR00000465,2021-08-21,2021-08-22,1942750776,1217805618,PLN8670,431140,PCN812,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,94,10,Retail,0,0,0,30.0,11.53,41.53,10.0,29.62,1.91,0.4,0.2833,0,0,0,0,2021-11-19
RX0000017103,MBR00000465,2021-09-24,2021-09-25,1571324939,1940649425,PLN9029,564110,PCN509,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,8,Retail,2,0,1,185.0,2.66,187.66,39.0,135.9,12.76,7.4,5.2417,0,0,0,0,2021-10-24
RX0000017104,MBR00000466,2021-11-03,2021-11-05,1290983380,1722758839,PLN3872,371532,PCN735,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,87,7,Specialty,2,0,0,135.0,11.93,146.93,2.0,144.93,0.0,1.8,1.275,0,0,0,0,2022-02-01
RX0000017105,MBR00000466,2023-03-05,2023-03-09,1996896612,1979411749,PLN3122,858332,PCN567,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,97,5,Retail,0,0,0,555.0,5.26,560.26,38.0,483.53,38.73,7.4,5.2417,1,0,0,0,2023-06-03
RX0000017106,MBR00000466,2021-09-28,2021-10-01,1660819360,1945765982,PLN7654,656994,PCN799,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,7,LTC,0,0,0,14.0,6.51,20.51,7.0,12.57,0.94,0.56,0.3967,0,0,0,0,2021-10-28
RX0000017107,MBR00000466,2022-09-29,2022-09-30,1991046208,1140628362,PLN6998,263408,PCN547,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,88,3,Mail Order,0,0,0,2850.0,5.7,2855.7,35.0,2669.96,150.74,38.0,26.9167,0,0,0,0,2022-12-28
RX0000017108,MBR00000466,2022-07-24,2022-07-27,1575957010,1763636533,PLN6840,899256,PCN951,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,10,Retail,0,0,0,10.5,6.22,16.72,6.0,9.58,1.14,1.8,1.275,0,0,0,0,2022-07-31
RX0000017109,MBR00000466,2023-05-29,2023-05-31,1778838358,1541950115,PLN3877,839376,PCN552,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,30,8,Retail,0,0,0,16.0,5.59,21.59,0.0,20.64,0.95,0.64,0.4533,0,0,0,0,2023-06-28
RX0000017110,MBR00000466,2021-09-13,2021-09-15,1399925682,1290825030,PLN2820,873474,PCN909,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,58,10,Retail,0,0,0,760.0,11.32,771.32,31.0,709.56,30.76,15.2,10.7667,0,0,0,0,2021-11-12
RX0000017111,MBR00000466,2021-12-25,2021-12-29,1688157522,1690514218,PLN2822,276973,PCN598,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,4,Mail Order,1,0,0,12.0,1.89,13.89,2.0,11.16,0.73,0.48,0.34,0,0,0,0,2022-01-24
RX0000017112,MBR00000466,2023-01-18,2023-01-19,1179571973,1722136289,PLN9982,839827,PCN763,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,84,4,Mail Order,0,0,0,30.0,7.68,37.68,3.0,32.57,2.11,0.4,0.2833,0,0,0,0,2023-04-18
RX0000017113,MBR00000466,2022-08-29,2022-09-01,1681742065,1421065514,PLN1018,178261,PCN629,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,31,9,Retail,0,0,0,18.0,3.22,21.22,4.0,16.03,1.19,0.72,0.51,0,0,0,0,2022-09-28
RX0000017114,MBR00000466,2023-09-13,2023-09-15,1753082813,1970480277,PLN3155,294808,PCN951,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,29,9,Retail,3,0,0,14.0,11.45,25.45,0.0,23.81,1.64,0.56,0.3967,0,1,0,0,2023-10-13
RX0000017115,MBR00000466,2021-10-20,2021-10-21,1565945018,1647933454,PLN2179,700931,PCN746,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,93,8,Retail,0,0,0,66.0,3.28,69.28,10.0,54.9,4.38,0.88,0.6233,0,0,0,0,2022-01-18
RX0000017116,MBR00000466,2023-07-08,2023-07-09,1713588193,1192699239,PLN3631,587603,PCN751,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,95,5,Mail Order,0,0,0,555.0,10.02,565.02,32.0,507.85,25.17,7.4,5.2417,0,0,0,0,2023-10-06
RX0000017117,MBR00000466,2021-01-13,2021-01-14,1545562516,1230299740,PLN4489,845349,PCN348,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,0,Specialty,0,0,0,380.0,45.06,425.06,40.0,385.06,0.0,15.2,10.7667,0,0,0,0,2021-02-12
RX0000017118,MBR00000466,2022-10-16,2022-10-19,1990237167,1750112583,PLN5824,622532,PCN817,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,7,8,Mail Order,0,0,0,5.13,10.01,15.14,72.0,0.0,0.58,0.88,0.6233,0,0,0,0,2022-10-23
RX0000017119,MBR00000466,2022-05-24,2022-05-25,1110945348,1798169559,PLN9524,620768,PCN499,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,65,4,Retail,0,1,0,12400.0,3.41,12403.41,145.0,11639.14,619.27,248.0,175.6667,0,0,0,0,2022-07-23
RX0000017120,MBR00000466,2023-04-07,2023-04-08,1807893916,1444728928,PLN9363,865308,PCN325,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,7,7,2,Retail,0,0,0,175.0,7.25,182.25,34.0,142.38,5.87,30.0,21.25,0,0,0,0,2023-04-14
RX0000017121,MBR00000466,2023-01-20,2023-01-24,1953503006,1302604981,PLN1302,851401,PCN193,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,88,2,Mail Order,0,0,0,84.0,1.82,85.82,4.0,76.88,4.94,1.12,0.7933,0,0,0,0,2023-04-20
RX0000017122,MBR00000466,2022-11-09,2022-11-13,1782698303,1373496181,PLN9573,580165,PCN641,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,61,0,Retail,0,0,0,370.0,2.07,372.07,31.0,316.24,24.83,7.4,5.2417,0,0,0,0,2023-01-08
RX0000017123,MBR00000466,2023-09-18,2023-09-19,1443338280,1212265033,PLN5782,975518,PCN627,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,90,7,Mail Order,2,0,0,114.0,5.39,119.39,38.0,75.18,6.21,1.52,1.0767,0,0,0,0,2023-12-17
RX0000017124,MBR00000466,2022-09-11,2022-09-13,1328934378,1588927450,PLN4609,811021,PCN785,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,92,11,Retail,0,0,0,22.5,7.47,29.97,0.0,28.74,1.23,0.3,0.2125,0,0,0,0,2022-12-10
RX0000017125,MBR00000466,2022-04-28,2022-04-29,1178581987,1402928953,PLN4686,733712,PCN697,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,6,Retail,0,1,0,2800.0,9.4,2809.4,145.0,2574.29,90.11,112.0,79.3333,0,0,0,0,2022-05-28
RX0000017126,MBR00000466,2021-08-23,2021-08-24,1445718707,1472840211,PLN1607,391146,PCN198,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,6,Retail,2,0,0,480.0,7.78,487.78,31.0,428.8,27.98,19.2,13.6,0,0,0,0,2021-09-22
RX0000017127,MBR00000466,2022-03-03,2022-03-04,1448356177,1902333753,PLN3953,882326,PCN195,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,84,11,Retail,0,0,0,27.0,4.51,31.51,8.0,22.41,1.1,0.36,0.255,0,0,0,0,2022-06-01
RX0000017128,MBR00000466,2022-07-14,2022-07-16,1721541123,1834241264,PLN7947,921787,PCN326,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,0,Mail Order,0,1,1,8.0,2.23,10.23,153.0,0.0,0.48,0.32,0.2267,0,0,0,0,2022-08-13
RX0000017129,MBR00000466,2022-02-03,2022-02-07,1689128169,1126022284,PLN8722,315903,PCN231,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,8,Retail,0,0,0,175.0,2.36,177.36,36.0,132.03,9.33,7.0,4.9583,0,0,0,0,2022-03-05
RX0000017130,MBR00000466,2023-06-09,2023-06-11,1212850373,1554890283,PLN6605,106833,PCN846,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,6,Specialty,0,0,0,185.0,35.75,220.75,36.0,184.75,0.0,7.4,5.2417,0,0,0,0,2023-07-09
RX0000017131,MBR00000466,2023-10-23,2023-10-26,1620770619,1144969870,PLN6484,915571,PCN634,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,9,Mail Order,2,0,0,9.0,6.54,15.54,4.0,10.51,1.03,0.36,0.255,0,0,0,0,2023-11-22
RX0000017132,MBR00000466,2021-02-19,2021-02-21,1251270369,1121439585,PLN8631,820939,PCN717,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,57,9,Retail,0,0,0,22.0,7.83,29.83,8.0,19.84,1.99,0.44,0.3117,0,0,0,0,2021-04-20
RX0000017133,MBR00000466,2022-07-02,2022-07-05,1270290352,1108378702,PLN2971,485377,PCN601,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,55,5,Retail,0,0,0,22.0,6.46,28.46,0.0,27.1,1.36,0.44,0.3117,0,0,0,0,2022-08-31
RX0000017134,MBR00000466,2022-06-10,2022-06-12,1869803743,1538171650,PLN9761,410808,PCN548,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,57,6,Retail,0,0,0,620.0,10.09,630.09,37.0,568.39,24.7,12.4,8.7833,0,0,0,0,2022-08-09
RX0000017135,MBR00000466,2023-08-14,2023-08-15,1226586618,1909194940,PLN1282,826937,PCN921,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,59,4,Retail,0,0,0,20.0,10.26,30.26,1.0,27.61,1.65,0.4,0.2833,0,0,0,0,2023-10-13
RX0000017136,MBR00000466,2021-04-18,2021-04-19,1903102451,1907126318,PLN5946,698506,PCN142,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,4,Retail,0,0,0,480.0,2.07,482.07,40.0,418.54,23.53,19.2,13.6,0,0,0,0,2021-05-18
RX0000017137,MBR00000466,2022-11-05,2022-11-09,1492169121,1166252368,PLN9942,964781,PCN480,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,1,Mail Order,1,0,0,6.53,3.71,10.24,8.0,1.91,0.33,1.12,0.7933,0,0,0,0,2022-11-12
RX0000017138,MBR00000466,2023-11-21,2023-11-25,1853369488,1179253078,PLN1084,703778,PCN568,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,93,1,Mail Order,0,0,0,135.0,3.79,138.79,4.0,129.71,5.08,1.8,1.275,0,0,0,0,2024-02-19
RX0000017139,MBR00000466,2023-06-30,2023-07-02,1934149977,1291742269,PLN3067,890526,PCN983,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,6,Mail Order,0,0,0,310.0,5.02,315.02,36.0,260.11,18.91,12.4,8.7833,0,0,0,0,2023-07-30
RX0000017140,MBR00000466,2021-10-31,2021-11-01,1866082013,1482443711,PLN9582,475546,PCN151,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,9,Mail Order,0,0,0,9.0,10.17,19.17,10.0,8.0,1.17,0.36,0.255,0,0,0,0,2021-11-30
RX0000017141,MBR00000466,2022-02-26,2022-02-27,1219107428,1429986892,PLN9914,996676,PCN822,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,1,Retail,1,0,0,10.0,11.14,21.14,7.0,13.03,1.11,0.4,0.2833,0,0,0,0,2022-03-28
RX0000017142,MBR00000466,2023-09-15,2023-09-17,1287238787,1557448648,PLN9838,587232,PCN692,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,6,Retail,0,0,0,950.0,9.12,959.12,34.0,895.43,29.69,38.0,26.9167,0,0,0,0,2023-10-15
RX0000017143,MBR00000466,2021-11-01,2021-11-03,1390727757,1219833976,PLN1408,842175,PCN338,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,65,10,Specialty,0,0,0,30.0,48.01,78.01,0.0,78.01,0.0,0.6,0.425,0,0,0,0,2021-12-31
RX0000017144,MBR00000466,2023-12-11,2023-12-12,1327486200,1759439107,PLN6969,459061,PCN396,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,4,LTC,0,1,0,12.0,4.47,16.47,148.0,0.0,1.02,0.48,0.34,0,0,0,0,2024-01-10
RX0000017145,MBR00000466,2023-12-10,2023-12-14,1301342103,1718945975,PLN8541,955467,PCN277,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,11,Retail,0,1,0,6200.0,5.33,6205.33,152.0,5739.12,314.21,248.0,175.6667,0,0,0,0,2024-01-09
RX0000017146,MBR00000466,2021-11-01,2021-11-02,1116869854,1908274722,PLN7442,807319,PCN849,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,9,Retail,0,0,0,9.0,5.76,14.76,5.0,9.13,0.63,0.36,0.255,0,0,0,0,2021-12-01
RX0000017147,MBR00000466,2021-05-02,2021-05-06,1320209106,1623737042,PLN6005,905705,PCN899,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,0,Retail,0,0,0,6.53,3.89,10.42,7.0,2.76,0.66,1.12,0.7933,0,0,0,0,2021-05-09
RX0000017148,MBR00000466,2023-07-25,2023-07-27,1934387202,1639792169,PLN5287,448346,PCN330,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,2,Mail Order,2,0,0,285.0,7.11,292.11,37.0,242.72,12.39,11.4,8.075,0,0,0,0,2023-08-24
RX0000017149,MBR00000467,2022-10-06,2022-10-08,1146093441,1731715893,PLN6363,199243,PCN916,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,7,Retail,1,0,0,310.0,5.4,315.4,34.0,264.26,17.14,12.4,8.7833,0,0,0,0,2022-11-05
RX0000017150,MBR00000467,2021-07-17,2021-07-20,1116423400,1940012465,PLN8415,514314,PCN775,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,0,Retail,3,0,0,11.0,10.33,21.33,8.0,12.13,1.2,0.44,0.3117,0,0,0,0,2021-08-16
RX0000017151,MBR00000467,2021-04-06,2021-04-07,1883749976,1887198561,PLN5393,170672,PCN394,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,11,Mail Order,0,0,0,7.5,6.02,13.52,7.0,5.97,0.55,0.3,0.2125,0,0,0,0,2021-05-06
RX0000017152,MBR00000467,2022-08-25,2022-08-27,1730968272,1896751173,PLN9145,630016,PCN227,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,7,7,2,Retail,0,1,0,2.8,2.23,5.03,150.0,0.0,0.21,0.48,0.34,0,0,0,0,2022-09-01
RX0000017153,MBR00000467,2023-08-02,2023-08-03,1345970522,1473540800,PLN4567,137493,PCN904,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,7,Retail,0,0,0,16.0,8.33,24.33,10.0,12.84,1.49,0.64,0.4533,0,0,0,0,2023-09-01
RX0000017154,MBR00000467,2022-11-14,2022-11-16,1745900178,1806404473,PLN7508,475504,PCN682,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,54,11,Retail,0,0,0,90.0,6.48,96.48,0.0,91.68,4.8,1.8,1.275,0,0,0,0,2023-01-13
RX0000017155,MBR00000467,2022-02-11,2022-02-13,1626033544,1985449388,PLN2184,855465,PCN210,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,1,Mail Order,0,0,0,15.0,11.67,26.67,1.0,24.32,1.35,0.6,0.425,0,0,0,0,2022-03-13
RX0000017156,MBR00000467,2023-02-13,2023-02-14,1832969287,1992443923,PLN1687,515184,PCN474,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,60,5,LTC,3,0,0,36.0,9.75,45.75,3.0,40.37,2.38,0.72,0.51,0,0,0,0,2023-04-14
RX0000017157,MBR00000467,2021-03-13,2021-03-15,1969580771,1739829980,PLN1434,772047,PCN106,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,60,56,11,Retail,0,0,0,960.0,10.3,970.3,34.0,874.84,61.46,19.2,13.6,0,0,0,0,2021-05-12
RX0000017158,MBR00000467,2023-04-29,2023-05-03,1746786236,1160311623,PLN2755,422351,PCN821,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,90,5,Retail,0,0,0,27.0,3.6,30.6,10.0,19.31,1.29,0.36,0.255,0,0,0,0,2023-07-28
RX0000017159,MBR00000467,2023-04-01,2023-04-05,1121847865,1326879342,PLN3195,945833,PCN274,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,1,Specialty,0,1,0,12.0,16.42,28.42,146.0,0.0,0.0,0.48,0.34,0,0,0,0,2023-05-01
RX0000017160,MBR00000467,2022-02-19,2022-02-22,1372760377,1891644639,PLN5158,793488,PCN260,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,2,Retail,1,0,0,480.0,9.52,489.52,39.0,427.61,22.91,19.2,13.6,0,0,0,0,2022-03-21
RX0000017161,MBR00000467,2022-02-18,2022-02-21,1303901935,1626808243,PLN3416,881768,PCN840,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,7,Retail,0,0,0,750.0,3.95,753.95,33.0,684.54,36.41,30.0,21.25,0,0,0,0,2022-03-20
RX0000017162,MBR00000467,2022-07-01,2022-07-05,1887035044,1285698607,PLN9437,696753,PCN994,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,0,Retail,0,0,0,320.0,11.85,331.85,34.0,286.46,11.39,12.8,9.0667,0,0,0,0,2022-07-31
RX0000017163,MBR00000467,2023-08-26,2023-08-29,1397331777,1758673499,PLN4885,377850,PCN498,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,60,59,1,Retail,0,0,0,28.0,2.93,30.93,3.0,26.54,1.39,0.56,0.3967,0,0,0,0,2023-10-25
RX0000017164,MBR00000467,2021-12-27,2021-12-29,1890796681,1218655340,PLN2787,476004,PCN312,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,1,Retail,0,0,0,11.0,4.02,15.02,7.0,6.98,1.04,0.44,0.3117,0,0,0,0,2022-01-26
RX0000017165,MBR00000467,2022-02-23,2022-02-24,1793666146,1422271990,PLN4908,581216,PCN342,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,94,4,Retail,1,0,0,54.0,7.0,61.0,35.0,21.87,4.13,0.72,0.51,1,0,0,0,2022-05-24
RX0000017166,MBR00000467,2022-04-25,2022-04-29,1615187494,1653777622,PLN3137,406088,PCN367,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,9,Retail,0,0,0,14.0,3.0,17.0,7.0,9.26,0.74,0.56,0.3967,0,0,0,0,2022-05-25
RX0000017167,MBR00000467,2021-02-05,2021-02-06,1748166492,1271690978,PLN6531,213427,PCN737,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,9,Mail Order,0,0,0,18.0,4.08,22.08,2.0,19.21,0.87,0.72,0.51,0,0,0,0,2021-03-07
RX0000017168,MBR00000467,2023-05-10,2023-05-14,1958282342,1669827331,PLN8356,604319,PCN198,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,83,8,Retail,0,0,0,42.0,2.47,44.47,6.0,35.66,2.81,0.56,0.3967,1,0,0,0,2023-08-08
RX0000017169,MBR00000467,2022-12-27,2022-12-28,1460305393,1305815654,PLN2524,839062,PCN318,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,93,2,Retail,1,0,0,48.0,7.19,55.19,7.0,45.87,2.32,0.64,0.4533,0,0,0,0,2023-03-27
RX0000017170,MBR00000467,2022-07-14,2022-07-16,1485742895,1339038883,PLN5666,584733,PCN985,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,6,Specialty,0,0,0,380.0,44.89,424.89,36.0,388.89,0.0,15.2,10.7667,0,0,0,0,2022-08-13
RX0000017171,MBR00000467,2021-03-22,2021-03-23,1678240923,1260943961,PLN4085,147511,PCN756,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,30,1,Retail,0,1,0,12.0,6.59,18.59,150.0,0.0,1.16,0.48,0.34,0,0,0,0,2021-04-21
RX0000017172,MBR00000467,2022-08-23,2022-08-27,1354936154,1218714034,PLN3041,414087,PCN801,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,88,2,Retail,0,0,0,30.0,11.62,41.62,10.0,29.82,1.8,0.4,0.2833,0,1,0,0,2022-11-21
RX0000017173,MBR00000467,2022-11-07,2022-11-08,1542480765,1265811227,PLN1587,625109,PCN431,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,9,Retail,0,0,0,950.0,9.74,959.74,31.0,889.2,39.54,38.0,26.9167,0,0,0,0,2022-12-07
RX0000017174,MBR00000467,2021-05-05,2021-05-06,1481820133,1910441166,PLN9300,306684,PCN248,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,8,Retail,3,0,0,7.5,6.72,14.22,1.0,12.61,0.61,0.3,0.2125,0,0,0,0,2021-06-04
RX0000017175,MBR00000467,2022-09-20,2022-09-21,1130665664,1486434857,PLN5218,451773,PCN325,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,4,Retail,0,0,0,175.0,9.41,184.41,37.0,141.13,6.28,7.0,4.9583,0,0,0,0,2022-10-20
RX0000017176,MBR00000467,2021-03-29,2021-03-30,1141404414,1555572536,PLN7430,455023,PCN864,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,11,Mail Order,0,0,0,12.5,11.4,23.9,6.0,16.89,1.01,0.5,0.3542,0,0,0,0,2021-04-28
RX0000017177,MBR00000467,2022-03-12,2022-03-14,1160563338,1889573016,PLN7072,940969,PCN994,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,8,Retail,1,0,0,185.0,10.61,195.61,32.0,152.69,10.92,7.4,5.2417,0,0,0,0,2022-04-11
RX0000017178,MBR00000467,2023-12-23,2023-12-26,1989627821,1774673810,PLN5872,520897,PCN470,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,3,Retail,0,1,0,2800.0,4.53,2804.53,150.0,2497.48,157.05,112.0,79.3333,0,0,0,0,2024-01-22
RX0000017179,MBR00000467,2021-09-09,2021-09-11,1420303744,1780936314,PLN8549,719755,PCN261,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,63,8,Mail Order,0,0,0,20.0,2.69,22.69,0.0,21.6,1.09,0.4,0.2833,0,0,0,0,2021-11-08
RX0000017180,MBR00000467,2021-11-16,2021-11-20,1639275972,1301206124,PLN8137,335108,PCN262,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,5,Mail Order,0,0,0,8.87,2.68,11.55,3.0,8.14,0.41,1.52,1.0767,0,0,0,0,2021-11-23
RX0000017181,MBR00000467,2023-10-29,2023-11-02,1729188464,1419975143,PLN7513,695562,PCN972,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,89,11,Retail,0,0,0,45.0,9.95,54.95,6.0,45.59,3.36,0.6,0.425,0,0,0,0,2024-01-27
RX0000017182,MBR00000467,2022-04-16,2022-04-20,1361708723,1440439373,PLN4340,477404,PCN572,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,29,11,Mail Order,0,1,0,12.0,9.72,21.72,154.0,0.0,1.23,0.48,0.34,0,0,0,0,2022-05-16
RX0000017183,MBR00000467,2022-06-20,2022-06-21,1343325629,1709365404,PLN4684,219707,PCN324,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,8,Retail,0,1,0,2800.0,10.59,2810.59,145.0,2569.28,96.31,112.0,79.3333,0,0,0,0,2022-07-20
RX0000017184,MBR00000467,2021-11-30,2021-12-03,1471730171,1470198790,PLN7753,506105,PCN185,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,27,10,Mail Order,0,0,0,18.0,8.2,26.2,4.0,20.97,1.23,0.72,0.51,1,0,0,0,2021-12-30
RX0000017185,MBR00000467,2022-08-18,2022-08-19,1141833373,1500908462,PLN7985,606192,PCN197,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,7,Specialty,0,0,0,330.0,23.14,353.14,32.0,321.14,0.0,13.2,9.35,0,0,0,0,2022-09-17
RX0000017186,MBR00000467,2023-11-13,2023-11-15,1517172792,1131156556,PLN6889,918213,PCN392,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,9,Mail Order,0,0,0,185.0,6.62,191.62,32.0,153.01,6.61,7.4,5.2417,0,0,0,0,2023-12-13
RX0000017187,MBR00000467,2023-02-25,2023-03-01,1222325228,1759210557,PLN1313,651204,PCN370,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,96,7,Retail,0,0,0,30.0,11.33,41.33,8.0,31.2,2.13,0.4,0.2833,0,0,0,0,2023-05-26
RX0000017188,MBR00000468,2023-06-03,2023-06-04,1494751343,1201079261,PLN7618,270309,PCN498,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,87,11,Specialty,0,0,0,135.0,34.94,169.94,0.0,169.94,0.0,1.8,1.275,0,0,0,0,2023-09-01
RX0000017189,MBR00000468,2021-11-16,2021-11-18,1165519014,1728389351,PLN2659,959431,PCN553,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,7,Retail,0,0,0,3.5,3.67,7.17,10.0,0.0,0.29,0.6,0.425,0,0,0,0,2021-11-23
RX0000017190,MBR00000468,2023-01-28,2023-01-30,1911821719,1343327380,PLN4322,705986,PCN235,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,7,Retail,1,0,0,65.0,7.93,72.93,32.0,37.49,3.44,2.6,1.8417,1,0,0,0,2023-02-27
RX0000017191,MBR00000468,2021-08-04,2021-08-06,1288570109,1900947946,PLN1559,461929,PCN790,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,98,1,Retail,0,0,0,22.5,8.33,30.83,5.0,23.79,2.04,0.3,0.2125,0,0,0,0,2021-11-02
RX0000017192,MBR00000468,2023-07-14,2023-07-17,1374482010,1438403553,PLN2196,626009,PCN590,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,81,1,Retail,0,0,0,33.0,5.25,38.25,6.0,29.66,2.59,0.44,0.3117,0,0,0,0,2023-10-12
RX0000017193,MBR00000468,2022-12-26,2022-12-28,1637937121,1621969787,PLN3271,485900,PCN969,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,8,Mail Order,0,0,0,10.0,9.07,19.07,5.0,13.22,0.85,0.4,0.2833,0,0,0,0,2023-01-25
RX0000017194,MBR00000468,2021-02-05,2021-02-07,1595902629,1780129778,PLN3298,346696,PCN392,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,60,3,Retail,0,0,0,90.0,5.31,95.31,9.0,80.04,6.27,1.8,1.275,0,0,0,0,2021-04-06
RX0000017195,MBR00000468,2021-07-09,2021-07-12,1150618422,1585195796,PLN2055,795539,PCN360,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,1,Retail,0,0,0,10.0,11.11,21.11,3.0,17.18,0.93,0.4,0.2833,0,0,0,0,2021-08-08
RX0000017196,MBR00000468,2021-05-08,2021-05-09,1668310770,1292857199,PLN7588,565673,PCN622,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,32,3,Retail,0,0,0,12.0,4.94,16.94,8.0,8.41,0.53,0.48,0.34,0,0,0,0,2021-06-07
RX0000017197,MBR00000468,2022-04-19,2022-04-22,1983339517,1876820180,PLN2582,635880,PCN959,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,97,10,Mail Order,0,0,0,36.0,9.81,45.81,9.0,34.51,2.3,0.48,0.34,1,0,0,0,2022-07-18
RX0000017198,MBR00000468,2021-04-21,2021-04-22,1571427558,1735013582,PLN8546,913185,PCN646,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,11,Retail,0,1,0,6200.0,5.67,6205.67,145.0,5794.3,266.37,248.0,175.6667,0,0,0,0,2021-05-21
RX0000017199,MBR00000468,2023-05-07,2023-05-08,1243856580,1788056535,PLN4545,794547,PCN709,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,28,2,Retail,0,0,0,11.0,11.06,22.06,5.0,15.55,1.51,0.44,0.3117,0,0,0,0,2023-06-06
RX0000017200,MBR00000468,2023-05-05,2023-05-07,1708661722,1979257156,PLN3190,848321,PCN306,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,11,Retail,3,0,0,22.0,5.48,27.48,66.0,0.0,1.8,0.88,0.6233,0,0,0,0,2023-06-04
RX0000017201,MBR00000468,2021-04-16,2021-04-20,1462603491,1749306382,PLN2745,155493,PCN353,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,3,Retail,0,0,0,370.0,3.91,373.91,38.0,312.35,23.56,14.8,10.4833,0,0,0,0,2021-05-16
RX0000017202,MBR00000468,2021-09-08,2021-09-11,1313850477,1659758906,PLN6021,501989,PCN712,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,62,10,Retail,0,1,0,17000.0,5.44,17005.44,152.0,15889.3,964.14,340.0,240.8333,0,0,0,0,2021-11-07
RX0000017203,MBR00000468,2022-08-12,2022-08-13,1992860975,1945109081,PLN6126,319860,PCN592,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,8,Retail,0,0,0,14.0,9.54,23.54,3.0,19.24,1.3,0.56,0.3967,0,0,0,0,2022-09-11
RX0000017204,MBR00000468,2022-11-27,2022-12-01,1517078353,1889078032,PLN2643,878330,PCN913,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,7,Retail,0,0,0,12.5,3.97,16.47,4.0,11.85,0.62,0.5,0.3542,0,0,0,0,2022-12-27
RX0000017205,MBR00000468,2021-01-11,2021-01-12,1723276471,1624674704,PLN3863,123730,PCN150,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,32,6,Retail,0,0,0,9.0,4.55,13.55,8.0,4.67,0.88,0.36,0.255,0,0,0,0,2021-02-10
RX0000017206,MBR00000468,2023-05-03,2023-05-04,1748715838,1236496131,PLN2963,154740,PCN565,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,9,Retail,0,0,0,15.0,3.48,18.48,9.0,8.23,1.25,0.6,0.425,0,0,0,0,2023-06-02
RX0000017207,MBR00000468,2021-08-14,2021-08-15,1448135587,1353908438,PLN4589,503975,PCN504,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,2,Retail,0,0,0,7.5,9.53,17.03,10.0,6.2,0.83,0.3,0.2125,0,0,0,0,2021-09-13
RX0000017208,MBR00000468,2023-12-27,2023-12-29,1263449390,1274312991,PLN6434,150836,PCN767,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,4,Retail,0,1,0,2800.0,10.19,2810.19,146.0,2496.35,167.84,112.0,79.3333,1,0,0,0,2024-01-26
RX0000017209,MBR00000468,2023-09-09,2023-09-10,1337747112,1273781230,PLN6635,708269,PCN401,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,11,Retail,0,0,0,370.0,6.07,376.07,33.0,319.01,24.06,14.8,10.4833,0,0,0,0,2023-10-09
RX0000017210,MBR00000468,2021-07-08,2021-07-10,1231163964,1918143078,PLN8822,582002,PCN428,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,3,Retail,0,0,0,22.0,4.01,26.01,70.0,0.0,1.64,0.88,0.6233,0,0,0,0,2021-08-07
RX0000017211,MBR00000468,2023-05-27,2023-05-29,1824215666,1501973986,PLN1768,299602,PCN714,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,89,0,Mail Order,0,0,0,54.0,3.74,57.74,30.0,25.12,2.62,0.72,0.51,0,0,0,0,2023-08-25
RX0000017212,MBR00000468,2022-01-17,2022-01-19,1679076692,1836319779,PLN6318,256903,PCN973,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,2,Mail Order,0,0,0,2.8,3.5,6.3,8.0,0.0,0.33,0.48,0.34,0,0,0,0,2022-01-24
RX0000017213,MBR00000468,2021-10-27,2021-10-31,1312797408,1834719060,PLN3872,714272,PCN895,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,7,Retail,0,1,0,8500.0,4.89,8504.89,155.0,7868.98,480.91,340.0,240.8333,0,0,0,0,2021-11-26
RX0000017214,MBR00000468,2022-01-19,2022-01-23,1620342823,1958196553,PLN1710,711825,PCN196,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,2,Mail Order,0,0,0,18.0,5.54,23.54,37.0,0.0,1.62,0.72,0.51,0,0,0,0,2022-02-18
RX0000017215,MBR00000468,2023-04-13,2023-04-15,1636505156,1879223355,PLN6733,675822,PCN247,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,88,10,Retail,0,0,0,855.0,10.61,865.61,32.0,796.33,37.28,11.4,8.075,0,0,0,0,2023-07-12
RX0000017216,MBR00000468,2021-03-14,2021-03-18,1398452309,1792165440,PLN5442,588226,PCN824,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,29,9,Retail,0,0,0,38.0,3.15,41.15,6.0,33.15,2.0,1.52,1.0767,1,0,0,0,2021-04-13
RX0000017217,MBR00000468,2021-08-02,2021-08-05,1927434351,1407610153,PLN4514,527671,PCN859,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,8,Mail Order,0,1,0,8500.0,8.0,8508.0,153.0,7937.75,417.25,340.0,240.8333,0,0,0,0,2021-09-01
RX0000017218,MBR00000468,2021-11-05,2021-11-06,1194256793,1229043259,PLN7411,767436,PCN380,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,31,6,Retail,0,0,0,185.0,8.61,193.61,37.0,143.75,12.86,7.4,5.2417,0,0,0,0,2021-12-05
RX0000017219,MBR00000468,2023-08-09,2023-08-11,1742888092,1592503377,PLN4500,133724,PCN920,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,61,9,Retail,0,1,0,5600.0,9.34,5609.34,148.0,5179.48,281.86,112.0,79.3333,0,0,0,0,2023-10-08
RX0000017220,MBR00000468,2022-03-30,2022-04-02,1504101213,1754087308,PLN1165,220978,PCN848,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,28,4,Mail Order,2,0,0,9.0,4.93,13.93,5.0,8.03,0.9,0.36,0.255,0,0,0,0,2022-04-29
RX0000017221,MBR00000468,2021-06-17,2021-06-20,1522425599,1670346502,PLN8460,655031,PCN130,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,6,Specialty,0,1,0,8500.0,11.55,8511.55,151.0,8360.55,0.0,340.0,240.8333,0,0,0,0,2021-07-17
RX0000017222,MBR00000468,2022-11-01,2022-11-03,1784532559,1484142385,PLN4706,864045,PCN486,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,64,11,Retail,0,0,0,20.0,5.18,25.18,8.0,16.07,1.11,0.4,0.2833,1,0,0,0,2022-12-31
RX0000017223,MBR00000468,2022-01-06,2022-01-10,1800378335,1708569138,PLN2836,495071,PCN247,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,2,Retail,0,0,0,38.0,5.46,43.46,8.0,33.12,2.34,1.52,1.0767,0,0,0,0,2022-02-05
RX0000017224,MBR00000468,2021-02-06,2021-02-10,1852742723,1452524106,PLN4891,676904,PCN132,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,61,2,Retail,0,0,0,1300.0,1.59,1301.59,33.0,1220.19,48.4,26.0,18.4167,0,1,1,0,2021-04-07
RX0000017225,MBR00000468,2021-11-01,2021-11-03,1226693436,1794479932,PLN7961,388528,PCN140,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,81,10,Retail,0,0,0,525.0,9.4,534.4,32.0,470.92,31.48,7.0,4.9583,0,0,0,0,2022-01-30
RX0000017226,MBR00000468,2023-12-06,2023-12-10,1250033564,1618042926,PLN7592,747481,PCN810,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,2,Retail,1,0,0,11.0,5.29,16.29,10.0,5.71,0.58,0.44,0.3117,0,0,0,0,2024-01-05
RX0000017227,MBR00000468,2022-04-06,2022-04-07,1759407346,1254199705,PLN4556,369074,PCN932,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,28,9,Retail,0,0,0,18.0,9.28,27.28,6.0,19.89,1.39,0.72,0.51,0,0,0,0,2022-05-06
RX0000017228,MBR00000468,2023-06-20,2023-06-22,1721182322,1741688655,PLN7536,305146,PCN936,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,7,Mail Order,0,1,0,12.0,2.73,14.73,150.0,0.0,0.93,0.48,0.34,0,0,0,0,2023-07-20
RX0000017229,MBR00000468,2023-03-22,2023-03-25,1706566958,1811107390,PLN1277,414864,PCN107,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,5,Retail,0,0,0,38.0,10.28,48.28,0.0,46.33,1.95,1.52,1.0767,0,0,0,0,2023-04-21
RX0000017230,MBR00000468,2022-09-17,2022-09-18,1531647279,1594125037,PLN3309,337643,PCN120,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,30,1,Retail,0,0,0,9.0,5.21,14.21,2.0,11.66,0.55,0.36,0.255,0,0,0,0,2022-10-17
RX0000017231,MBR00000468,2023-08-02,2023-08-03,1626471002,1110649652,PLN4161,760455,PCN760,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,8,Retail,0,0,0,10.0,4.12,14.12,2.0,11.57,0.55,0.4,0.2833,0,0,0,0,2023-09-01
RX0000017232,MBR00000468,2021-08-16,2021-08-18,1355444156,1348203534,PLN8879,660827,PCN387,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,4,Mail Order,0,0,0,9.0,7.86,16.86,6.0,9.86,1.0,0.36,0.255,0,0,0,0,2021-09-15
RX0000017233,MBR00000468,2022-09-27,2022-09-29,1314200721,1783451930,PLN6162,981390,PCN559,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,8,Mail Order,0,0,0,330.0,3.08,333.08,34.0,282.88,16.2,13.2,9.35,0,0,0,0,2022-10-27
RX0000017234,MBR00000468,2023-09-21,2023-09-23,1211224779,1993947228,PLN3378,783118,PCN435,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,97,10,Retail,0,0,0,2850.0,10.75,2860.75,34.0,2740.25,86.5,38.0,26.9167,0,0,0,0,2023-12-20
RX0000017235,MBR00000468,2021-06-18,2021-06-19,1770935512,1282248893,PLN8478,725096,PCN563,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,81,11,Specialty,0,0,0,25.5,32.85,58.35,7.0,51.35,0.0,0.34,0.2408,0,0,0,0,2021-09-16
RX0000017236,MBR00000468,2022-03-10,2022-03-14,1754588667,1351829266,PLN3326,209324,PCN512,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,9,Mail Order,0,0,0,310.0,4.84,314.84,40.0,256.52,18.32,12.4,8.7833,0,0,0,0,2022-04-09
RX0000017237,MBR00000468,2023-11-03,2023-11-04,1175353348,1797903627,PLN7575,688916,PCN302,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,0,0,0,320.0,9.12,329.12,40.0,275.45,13.67,12.8,9.0667,0,0,0,0,2023-12-03
RX0000017238,MBR00000468,2022-04-18,2022-04-20,1310320995,1517259861,PLN1603,310817,PCN268,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,0,Retail,0,0,0,285.0,4.46,289.46,36.0,238.88,14.58,11.4,8.075,0,0,0,0,2022-05-18
RX0000017239,MBR00000468,2023-07-22,2023-07-26,1814634756,1839901788,PLN9179,395128,PCN490,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,11,Retail,0,0,0,12.0,6.78,18.78,8.0,9.6,1.18,0.48,0.34,0,0,0,0,2023-08-21
RX0000017240,MBR00000468,2023-11-20,2023-11-24,1167270897,1623498515,PLN2751,875486,PCN355,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,32,3,Mail Order,0,0,0,750.0,6.36,756.36,38.0,667.93,50.43,30.0,21.25,0,0,0,0,2023-12-20
RX0000017241,MBR00000468,2022-05-13,2022-05-15,1977366914,1245253555,PLN1194,543435,PCN699,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,29,2,Retail,3,0,0,15.0,8.29,23.29,0.0,22.35,0.94,0.6,0.425,0,0,0,0,2022-06-12
RX0000017242,MBR00000468,2021-09-27,2021-09-30,1669140122,1681672572,PLN1431,235759,PCN428,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,9,Retail,0,0,0,18.0,7.02,25.02,34.0,0.0,1.42,0.72,0.51,0,0,0,0,2021-10-27
RX0000017243,MBR00000468,2021-01-02,2021-01-04,1440614711,1607825328,PLN9095,417601,PCN888,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,1,Retail,0,0,0,18.0,1.55,19.55,37.0,0.0,0.96,0.72,0.51,0,0,0,0,2021-02-01
RX0000017244,MBR00000468,2021-12-07,2021-12-10,1302691054,1658597527,PLN8054,781766,PCN612,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,4,Specialty,0,0,0,22.0,18.67,40.67,4.0,36.67,0.0,0.88,0.6233,0,0,0,0,2022-01-06
RX0000017245,MBR00000468,2023-12-16,2023-12-17,1268313687,1543235396,PLN5855,225023,PCN395,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,1,Retail,0,1,0,8500.0,3.35,8503.35,153.0,7954.56,395.79,340.0,240.8333,0,0,0,0,2024-01-15
RX0000017246,MBR00000468,2021-10-13,2021-10-16,1335211519,1614146413,PLN6244,448674,PCN749,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,84,9,Retail,0,0,0,33.0,1.83,34.83,9.0,24.26,1.57,0.44,0.3117,0,0,0,0,2022-01-11
RX0000017247,MBR00000468,2023-06-26,2023-06-30,1788095484,1404101964,PLN8430,930403,PCN521,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,58,5,Specialty,0,0,0,25.0,29.43,54.43,3.0,51.43,0.0,0.5,0.3542,0,0,0,0,2023-08-25
RX0000017248,MBR00000468,2022-09-28,2022-10-01,1326466118,1513298908,PLN7779,369899,PCN872,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,64,8,Mail Order,0,0,0,22.0,8.22,30.22,9.0,19.53,1.69,0.44,0.3117,0,0,0,0,2022-11-27
RX0000017249,MBR00000469,2023-02-07,2023-02-10,1397532915,1676218803,PLN1348,995121,PCN918,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,7,Retail,0,0,0,2.8,5.42,8.22,1.0,6.85,0.37,0.48,0.34,1,0,0,0,2023-02-14
RX0000017250,MBR00000469,2021-06-12,2021-06-13,1770932645,1448046341,PLN7640,693361,PCN813,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,3,Mail Order,0,0,0,72.33,9.84,82.18,35.0,43.41,3.77,12.4,8.7833,1,0,0,0,2021-06-19
RX0000017251,MBR00000469,2021-01-01,2021-01-05,1656246569,1590552594,PLN3643,790040,PCN736,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,90,4,Specialty,0,0,1,135.0,45.19,180.19,10.0,170.19,0.0,1.8,1.275,0,0,0,0,2021-04-01
RX0000017252,MBR00000469,2021-04-03,2021-04-05,1486295949,1434834740,PLN2076,100609,PCN210,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,9,Retail,0,0,0,10.0,4.89,14.89,2.0,12.42,0.47,0.4,0.2833,1,0,0,0,2021-05-03
RX0000017253,MBR00000469,2021-12-15,2021-12-18,1623265959,1290991701,PLN5108,402587,PCN190,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,96,0,Specialty,0,0,0,855.0,21.68,876.68,39.0,837.68,0.0,11.4,8.075,0,0,0,0,2022-03-15
RX0000017254,MBR00000469,2023-11-26,2023-11-29,1397675052,1513889489,PLN3508,640390,PCN495,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,87,3,Retail,0,0,0,30.0,2.22,32.22,1.0,29.23,1.99,0.4,0.2833,1,0,0,0,2024-02-24
RX0000017255,MBR00000469,2021-01-15,2021-01-17,1484132770,1104027158,PLN1027,840186,PCN351,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,11,Mail Order,0,0,0,370.0,5.91,375.91,40.0,313.43,22.48,14.8,10.4833,0,0,0,0,2021-02-14
RX0000017256,MBR00000469,2022-09-07,2022-09-09,1518383810,1698427472,PLN9560,790929,PCN143,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,10,Specialty,0,0,0,15.0,38.03,53.03,10.0,43.03,0.0,0.6,0.425,0,1,0,0,2022-10-07
RX0000017257,MBR00000469,2022-02-02,2022-02-05,1253011470,1962718503,PLN2173,189431,PCN842,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,95,0,Mail Order,3,0,0,42.0,3.29,45.29,3.0,39.68,2.61,0.56,0.3967,0,0,0,0,2022-05-03
RX0000017258,MBR00000469,2021-08-13,2021-08-15,1725383302,1224111295,PLN3037,225117,PCN661,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,86,6,Retail,0,0,0,114.0,9.37,123.37,37.0,79.72,6.65,1.52,1.0767,0,0,0,0,2021-11-11
RX0000017259,MBR00000469,2022-10-12,2022-10-14,1737175588,1475689378,PLN1385,736215,PCN707,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,6,Mail Order,0,0,0,320.0,8.58,328.58,34.0,284.47,10.11,12.8,9.0667,0,0,0,0,2022-11-11
RX0000017260,MBR00000469,2023-03-11,2023-03-15,1926160943,1321129158,PLN4388,135798,PCN931,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,7,Specialty,0,1,0,1.87,23.79,25.66,154.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-03-18
RX0000017261,MBR00000469,2023-09-04,2023-09-05,1443361447,1513940127,PLN8497,606575,PCN653,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,6,Specialty,0,1,0,2800.0,14.23,2814.23,154.0,2660.23,0.0,112.0,79.3333,0,0,0,0,2023-10-04
RX0000017262,MBR00000469,2021-10-08,2021-10-12,1150054718,1150157848,PLN1860,553488,PCN841,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,0,Mail Order,0,0,0,10.0,7.58,17.58,1.0,15.6,0.98,0.4,0.2833,0,0,0,0,2021-11-07
RX0000017263,MBR00000469,2022-03-22,2022-03-24,1841310453,1490434585,PLN4081,441566,PCN751,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,90,11,Retail,0,0,0,1440.0,11.84,1451.84,40.0,1315.35,96.49,19.2,13.6,0,0,0,0,2022-06-20
RX0000017264,MBR00000469,2022-04-22,2022-04-25,1463760967,1794511109,PLN6564,359450,PCN714,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,11,Retail,0,0,0,185.0,11.15,196.15,37.0,151.7,7.45,7.4,5.2417,0,0,0,0,2022-05-22
RX0000017265,MBR00000469,2022-04-06,2022-04-10,1759594065,1463783400,PLN2677,552608,PCN651,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,90,0,Retail,2,0,0,42.0,5.85,47.85,4.0,42.26,1.59,0.56,0.3967,0,0,0,0,2022-07-05
RX0000017266,MBR00000469,2023-10-23,2023-10-25,1534794586,1530255188,PLN9138,382848,PCN852,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,5,Retail,3,0,0,175.0,10.7,185.7,34.0,139.73,11.97,7.0,4.9583,0,0,0,0,2023-11-22
RX0000017267,MBR00000469,2023-07-26,2023-07-30,1954338139,1859112438,PLN8801,455195,PCN231,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,90,10,Specialty,0,0,0,27.0,34.18,61.18,4.0,57.18,0.0,0.36,0.255,0,0,0,0,2023-10-24
RX0000017268,MBR00000469,2021-11-23,2021-11-25,1551100839,1251910877,PLN1772,624985,PCN133,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,8,Retail,1,1,0,6200.0,4.95,6204.95,154.0,5688.59,362.36,248.0,175.6667,0,0,0,0,2021-12-23
RX0000017269,MBR00000469,2022-12-03,2022-12-06,1676312468,1985819843,PLN2674,766067,PCN478,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,7,Specialty,0,0,0,15.0,30.58,45.58,0.0,45.58,0.0,0.6,0.425,1,0,0,0,2023-01-02
RX0000017270,MBR00000469,2021-03-29,2021-03-30,1792220260,1330742870,PLN5155,746336,PCN953,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,6,Mail Order,0,0,0,9.0,4.54,13.54,9.0,3.77,0.77,0.36,0.255,0,0,0,0,2021-04-28
RX0000017271,MBR00000469,2021-07-23,2021-07-24,1109496621,1259936694,PLN9041,144100,PCN186,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,9,Retail,0,0,0,2.8,8.06,10.86,8.0,2.33,0.53,0.48,0.34,0,0,0,0,2021-07-30
RX0000017272,MBR00000469,2023-04-22,2023-04-23,1626632353,1722864509,PLN4585,452858,PCN781,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,2,Retail,0,0,0,12.0,8.74,20.74,1.0,18.56,1.18,0.48,0.34,0,0,0,0,2023-05-22
RX0000017273,MBR00000470,2021-01-27,2021-01-29,1997767332,1716696252,PLN7726,170443,PCN393,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,4,Retail,0,0,0,14.0,9.09,23.09,1.0,21.25,0.84,0.56,0.3967,0,0,0,0,2021-02-26
RX0000017274,MBR00000470,2023-08-13,2023-08-14,1967260780,1574406936,PLN7328,663253,PCN488,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,83,0,Retail,0,0,0,54.0,5.45,59.45,3.0,53.66,2.79,0.72,0.51,0,1,0,0,2023-11-11
RX0000017275,MBR00000470,2023-05-13,2023-05-17,1406512848,1597259092,PLN3868,165845,PCN500,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,62,8,Mail Order,0,0,0,28.0,10.61,38.61,5.0,32.1,1.51,0.56,0.3967,0,0,0,0,2023-07-12
RX0000017276,MBR00000470,2023-11-20,2023-11-24,1843492284,1531984847,PLN7709,885502,PCN506,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,3,Retail,0,0,0,11.0,3.4,14.4,9.0,4.69,0.71,0.44,0.3117,0,0,0,0,2023-12-20
RX0000017277,MBR00000470,2021-07-02,2021-07-03,1289409294,1686449057,PLN2464,582149,PCN667,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,4,Retail,0,0,0,72.33,10.94,83.27,35.0,44.49,3.78,12.4,8.7833,0,0,0,0,2021-07-09
RX0000017278,MBR00000470,2021-10-06,2021-10-10,1952815038,1957125021,PLN9125,267477,PCN403,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,29,4,Retail,0,0,0,12.0,4.42,16.42,9.0,6.48,0.94,0.48,0.34,0,0,0,0,2021-11-05
RX0000017279,MBR00000470,2022-12-07,2022-12-11,1106649025,1245635769,PLN5618,802428,PCN429,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,31,6,Mail Order,3,0,0,175.0,9.21,184.21,30.0,147.98,6.23,7.0,4.9583,0,0,0,0,2023-01-06
RX0000017280,MBR00000470,2023-10-22,2023-10-23,1185755294,1342638290,PLN7144,324741,PCN577,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,91,5,Specialty,0,1,0,18600.0,8.81,18608.81,153.0,18455.81,0.0,248.0,175.6667,0,0,0,0,2024-01-20
RX0000017281,MBR00000470,2023-09-17,2023-09-18,1425142155,1972453603,PLN3856,537607,PCN440,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,29,8,Retail,0,0,0,18.0,7.56,25.56,9.0,15.46,1.1,0.72,0.51,0,0,0,0,2023-10-17
RX0000017282,MBR00000470,2023-01-15,2023-01-18,1388456466,1154181376,PLN8763,796888,PCN597,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,84,5,Retail,2,0,0,33.0,3.36,36.36,4.0,31.16,1.2,0.44,0.3117,0,0,0,0,2023-04-15
RX0000017283,MBR00000470,2021-06-24,2021-06-28,1170866137,1821487805,PLN7604,720717,PCN426,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,92,8,Mail Order,0,0,0,66.0,5.71,71.71,65.0,4.48,2.23,0.88,0.6233,0,0,0,0,2021-09-22
RX0000017284,MBR00000470,2022-08-13,2022-08-16,1555811971,1981450692,PLN1816,542144,PCN689,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,90,6,Retail,0,1,0,24.0,8.73,32.73,150.0,0.0,2.26,0.32,0.2267,0,0,0,0,2022-11-11
RX0000017285,MBR00000470,2022-05-25,2022-05-29,1271234046,1424833392,PLN2812,738474,PCN676,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,6,Retail,0,0,0,12.0,7.22,19.22,6.0,12.26,0.96,0.48,0.34,0,0,0,0,2022-06-24
RX0000017286,MBR00000470,2021-01-15,2021-01-16,1617283461,1429223683,PLN1072,563331,PCN715,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,11,Retail,0,0,0,650.0,9.77,659.77,32.0,602.47,25.3,26.0,18.4167,0,1,1,0,2021-02-14
RX0000017287,MBR00000470,2023-09-20,2023-09-21,1872024821,1586649266,PLN4289,603207,PCN809,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,7,Retail,0,1,1,12.0,7.46,19.46,154.0,0.0,1.34,0.48,0.34,0,0,0,0,2023-10-20
RX0000017288,MBR00000470,2022-08-19,2022-08-22,1997785752,1734339733,PLN4394,223186,PCN256,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,27,7,Retail,0,0,0,38.0,5.97,43.97,4.0,38.02,1.95,1.52,1.0767,0,0,0,0,2022-09-18
RX0000017289,MBR00000470,2021-12-03,2021-12-05,1826530878,1310797943,PLN7778,641217,PCN208,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,2,Retail,0,0,0,15.0,3.92,18.92,8.0,9.8,1.12,0.6,0.425,0,0,0,0,2022-01-02
RX0000017290,MBR00000470,2021-01-14,2021-01-15,1877611341,1206196305,PLN3369,284600,PCN714,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,61,6,Retail,0,0,0,18.0,10.36,28.36,10.0,17.3,1.06,0.36,0.255,0,0,0,0,2021-03-15
RX0000017291,MBR00000470,2022-05-31,2022-06-03,1960050131,1746055206,PLN9729,432384,PCN221,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,57,4,Retail,0,0,0,25.0,11.18,36.18,7.0,27.39,1.79,0.5,0.3542,0,0,0,0,2022-07-30
RX0000017292,MBR00000470,2023-03-13,2023-03-16,1218657180,1525765855,PLN7025,125740,PCN203,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,28,10,Retail,0,0,0,12.5,4.94,17.44,6.0,10.5,0.94,0.5,0.3542,0,0,0,0,2023-04-12
RX0000017293,MBR00000470,2022-09-30,2022-10-03,1809486470,1935904313,PLN4847,173981,PCN757,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,88,5,Retail,0,1,0,24.0,8.63,32.63,153.0,0.0,1.5,0.32,0.2267,0,0,0,0,2022-12-29
RX0000017294,MBR00000470,2021-03-02,2021-03-06,1988099375,1754476148,PLN2319,245355,PCN689,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,3,Retail,0,0,0,9.0,8.75,17.75,10.0,7.09,0.66,0.36,0.255,0,0,0,0,2021-04-01
RX0000017295,MBR00000470,2023-11-16,2023-11-19,1309193962,1848298261,PLN7549,338490,PCN542,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,7,10,Specialty,3,1,0,1.87,13.2,15.07,146.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-11-23
RX0000017296,MBR00000470,2023-05-31,2023-06-04,1635396066,1961571994,PLN5011,525307,PCN877,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,31,11,Retail,0,0,0,10.0,2.84,12.84,1.0,11.42,0.42,0.4,0.2833,0,0,0,0,2023-06-30
RX0000017297,MBR00000470,2022-01-16,2022-01-17,1286619880,1397701653,PLN9640,592735,PCN548,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,4,Mail Order,0,0,0,330.0,9.36,339.36,32.0,286.31,21.05,13.2,9.35,0,0,0,0,2022-02-15
RX0000017298,MBR00000470,2021-05-17,2021-05-18,1901187026,1370824934,PLN4909,729737,PCN921,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,60,1,Retail,0,0,0,56.0,8.04,64.04,8.0,52.67,3.37,1.12,0.7933,0,0,0,0,2021-07-16
RX0000017299,MBR00000470,2022-12-27,2022-12-28,1787305759,1423203386,PLN2220,986260,PCN271,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,93,4,Mail Order,0,0,0,22.5,7.17,29.67,8.0,20.32,1.35,0.3,0.2125,0,0,0,0,2023-03-27
RX0000017300,MBR00000470,2021-09-14,2021-09-17,1678439317,1870438842,PLN1670,385700,PCN619,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,83,2,Retail,0,1,0,18600.0,5.74,18605.74,145.0,17404.35,1056.39,248.0,175.6667,0,0,0,0,2021-12-13
RX0000017301,MBR00000470,2022-06-19,2022-06-22,1811140063,1242373877,PLN9374,729197,PCN161,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,4,Specialty,0,0,0,4.2,44.83,49.03,40.0,9.03,0.0,0.72,0.51,1,0,0,0,2022-06-26
RX0000017302,MBR00000470,2021-12-07,2021-12-09,1712774968,1274312458,PLN7383,949114,PCN620,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,7,11,Retail,0,0,0,2.8,8.85,11.65,8.0,3.25,0.4,0.48,0.34,0,0,0,0,2021-12-14
RX0000017303,MBR00000470,2021-09-03,2021-09-06,1527510046,1530053805,PLN5544,128937,PCN818,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,87,9,Retail,0,0,0,54.0,3.21,57.21,0.0,55.24,1.97,0.72,0.51,0,0,0,0,2021-12-02
RX0000017304,MBR00000470,2022-08-15,2022-08-16,1517686529,1791807195,PLN3846,998915,PCN192,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,62,6,Retail,0,0,0,1300.0,7.22,1307.22,40.0,1209.45,57.77,26.0,18.4167,1,0,0,0,2022-10-14
RX0000017305,MBR00000470,2021-04-26,2021-04-28,1513080883,1995699503,PLN1346,888005,PCN938,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,11,Retail,0,0,0,65.0,8.92,73.92,37.0,32.6,4.32,2.6,1.8417,0,0,0,0,2021-05-26
RX0000017306,MBR00000470,2021-05-17,2021-05-20,1646400009,1524110258,PLN7987,404380,PCN198,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,4,Mail Order,0,0,0,14.0,7.28,21.28,7.0,13.06,1.22,0.56,0.3967,0,0,0,0,2021-06-16
RX0000017307,MBR00000470,2021-04-04,2021-04-07,1825732075,1138763715,PLN9165,672634,PCN489,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,1,Specialty,0,0,0,18.0,20.05,38.05,3.0,35.05,0.0,0.72,0.51,0,0,0,0,2021-05-04
RX0000017308,MBR00000470,2023-02-10,2023-02-11,1389264880,1273832970,PLN5623,179472,PCN929,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,91,3,Mail Order,0,0,0,135.0,11.19,146.19,8.0,131.53,6.66,1.8,1.275,0,0,0,0,2023-05-11
RX0000017309,MBR00000470,2023-05-15,2023-05-19,1510253332,1796595448,PLN1026,561995,PCN110,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,11,Retail,0,0,0,175.0,10.02,185.02,30.0,146.01,9.01,7.0,4.9583,0,0,0,0,2023-06-14
RX0000017310,MBR00000470,2022-06-04,2022-06-08,1415499709,1390690193,PLN7201,103450,PCN886,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,10,Retail,0,0,0,185.0,5.81,190.81,40.0,137.85,12.96,7.4,5.2417,0,0,0,0,2022-07-04
RX0000017311,MBR00000470,2021-04-26,2021-04-27,1149350435,1544854959,PLN4069,434082,PCN683,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,0,Mail Order,0,0,0,45.0,4.17,49.17,4.0,43.44,1.73,1.8,1.275,0,0,0,0,2021-05-26
RX0000017312,MBR00000470,2022-09-23,2022-09-24,1961745869,1283222737,PLN3778,903134,PCN466,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,63,7,Retail,0,0,0,570.0,2.31,572.31,37.0,505.96,29.35,11.4,8.075,0,0,0,0,2022-11-22
RX0000017313,MBR00000470,2022-06-08,2022-06-12,1451924301,1210953606,PLN7464,128778,PCN493,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,55,1,Mail Order,0,0,0,32.0,7.77,39.77,0.0,37.11,2.66,0.64,0.4533,0,0,0,0,2022-08-07
RX0000017314,MBR00000471,2023-05-23,2023-05-26,1460301852,1796430058,PLN9855,622029,PCN608,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,7,Retail,0,0,0,14.0,5.52,19.52,3.0,15.27,1.25,0.56,0.3967,0,0,0,0,2023-06-22
RX0000017315,MBR00000471,2022-09-03,2022-09-04,1960386910,1229845589,PLN1278,394570,PCN694,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,7,Retail,0,1,0,6200.0,1.85,6201.85,146.0,5719.22,336.63,248.0,175.6667,0,0,0,0,2022-10-03
RX0000017316,MBR00000471,2023-04-19,2023-04-21,1552111593,1716991571,PLN1853,360070,PCN950,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,6,Retail,0,0,0,12.0,5.9,17.9,1.0,16.21,0.69,0.48,0.34,0,0,0,0,2023-05-19
RX0000017317,MBR00000471,2021-11-22,2021-11-25,1612842226,1569116419,PLN5595,263741,PCN801,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,32,4,Retail,3,0,0,16.0,4.28,20.28,3.0,16.41,0.87,0.64,0.4533,0,0,0,0,2021-12-22
RX0000017318,MBR00000471,2021-11-29,2021-12-02,1108231630,1552756405,PLN4248,486643,PCN979,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,86,6,Retail,1,1,0,24.0,7.12,31.12,147.0,0.0,1.26,0.32,0.2267,0,1,1,0,2022-02-27
RX0000017319,MBR00000471,2023-08-26,2023-08-28,1352844656,1857150530,PLN1966,471887,PCN856,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,64,9,Mail Order,0,0,0,20.0,10.77,30.77,5.0,24.64,1.13,0.4,0.2833,0,0,0,0,2023-10-25
RX0000017320,MBR00000471,2023-05-15,2023-05-16,1205926223,1400159477,PLN8947,141776,PCN356,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,28,7,Retail,0,0,0,38.0,1.71,39.71,35.0,2.71,2.0,1.52,1.0767,0,0,0,0,2023-06-14
RX0000017321,MBR00000471,2022-11-08,2022-11-10,1189088640,1113494332,PLN3652,683840,PCN835,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,5,Specialty,3,0,0,45.0,24.57,69.57,4.0,65.57,0.0,1.8,1.275,0,0,0,0,2022-12-08
RX0000017322,MBR00000471,2023-08-11,2023-08-15,1292029649,1468008848,PLN3946,101327,PCN637,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,93,11,Retail,3,0,0,1110.0,2.36,1112.36,37.0,1022.99,52.37,14.8,10.4833,1,0,0,0,2023-11-09
RX0000017323,MBR00000471,2021-08-14,2021-08-17,1732739287,1770119266,PLN2311,404979,PCN340,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,5,Retail,0,0,0,950.0,7.74,957.74,39.0,887.82,30.92,38.0,26.9167,0,0,0,0,2021-09-13
RX0000017324,MBR00000471,2023-03-19,2023-03-23,1832502818,1748920165,PLN3530,458863,PCN221,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,4,Retail,0,1,0,12.0,3.45,15.45,152.0,0.0,0.95,0.48,0.34,0,1,1,0,2023-04-18
RX0000017325,MBR00000471,2022-02-10,2022-02-13,1634751460,1416045633,PLN8016,739157,PCN783,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,3,Retail,0,0,0,9.0,10.48,19.48,6.0,12.66,0.82,0.36,0.255,1,0,0,0,2022-03-12
RX0000017326,MBR00000471,2021-08-01,2021-08-02,1545012938,1802552199,PLN4075,464286,PCN251,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,92,4,Retail,0,0,0,42.0,6.12,48.12,1.0,44.46,2.66,0.56,0.3967,0,0,0,0,2021-10-30
RX0000017327,MBR00000471,2021-12-14,2021-12-18,1207726800,1947025079,PLN5136,513541,PCN321,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,0,Retail,2,0,0,7.5,2.93,10.43,3.0,6.82,0.61,0.3,0.2125,0,0,0,0,2022-01-13
RX0000017328,MBR00000471,2022-11-13,2022-11-15,1433047583,1403079265,PLN1418,306319,PCN491,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,2,Retail,0,0,0,175.0,9.96,184.96,33.0,139.85,12.11,7.0,4.9583,0,0,0,0,2022-12-13
RX0000017329,MBR00000471,2022-05-20,2022-05-24,1853894257,1656616712,PLN3629,915207,PCN632,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,5,Retail,0,0,0,330.0,4.88,334.88,33.0,279.48,22.4,13.2,9.35,0,0,0,0,2022-06-19
RX0000017330,MBR00000471,2023-06-18,2023-06-19,1683966449,1876494631,PLN8003,173269,PCN263,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,88,5,Retail,0,0,0,54.0,3.31,57.31,7.0,48.57,1.74,0.72,0.51,1,0,0,0,2023-09-16
RX0000017331,MBR00000471,2023-10-20,2023-10-24,1843654542,1393686202,PLN3994,182316,PCN694,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,11,Retail,1,0,0,9.0,6.66,15.66,2.0,12.63,1.03,0.36,0.255,0,0,0,0,2023-11-19
RX0000017332,MBR00000471,2022-10-09,2022-10-12,1744710816,1297031666,PLN3693,137639,PCN614,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,4,Retail,0,1,0,2800.0,9.72,2809.72,145.0,2495.5,169.22,112.0,79.3333,1,0,0,0,2022-11-08
RX0000017333,MBR00000471,2021-09-29,2021-10-01,1366716777,1857962560,PLN7850,465238,PCN776,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,8,Mail Order,0,0,0,480.0,8.4,488.4,30.0,432.22,26.18,19.2,13.6,0,0,0,0,2021-10-29
RX0000017334,MBR00000471,2023-05-31,2023-06-04,1418119158,1936276108,PLN2772,309311,PCN764,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,0,Retail,0,0,0,10.0,10.97,20.97,4.0,16.23,0.74,0.4,0.2833,0,0,0,0,2023-06-30
RX0000017335,MBR00000471,2021-11-16,2021-11-20,1619082217,1861116884,PLN7255,101258,PCN539,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,0,Mail Order,0,1,0,12.0,2.74,14.74,151.0,0.0,0.88,0.48,0.34,0,0,0,0,2021-12-16
RX0000017336,MBR00000471,2023-10-14,2023-10-15,1587904776,1459419097,PLN8747,673932,PCN136,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,3,Mail Order,0,0,0,22.0,5.87,27.87,7.0,19.89,0.98,0.88,0.6233,0,0,0,0,2023-11-13
RX0000017337,MBR00000471,2021-02-24,2021-02-28,1210714495,1252249658,PLN3963,630001,PCN164,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,30,9,Retail,0,0,0,9.0,6.3,15.3,8.0,6.67,0.63,0.36,0.255,0,0,0,0,2021-03-26
RX0000017338,MBR00000471,2021-12-26,2021-12-30,1493676882,1161018009,PLN9086,197139,PCN518,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,9,Retail,0,0,0,8.87,6.77,15.64,34.0,0.0,0.59,1.52,1.0767,0,0,0,0,2022-01-02
RX0000017339,MBR00000471,2022-05-16,2022-05-20,1148664141,1435013273,PLN8373,836026,PCN896,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,7,Retail,0,0,0,370.0,11.36,381.36,30.0,324.78,26.58,14.8,10.4833,0,0,0,0,2022-06-15
RX0000017340,MBR00000471,2021-09-10,2021-09-11,1508683469,1751479476,PLN9051,946554,PCN566,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,4,Retail,0,0,0,11.0,8.13,19.13,4.0,13.96,1.17,0.44,0.3117,0,0,0,0,2021-10-10
RX0000017341,MBR00000471,2022-03-25,2022-03-28,1544700436,1834545880,PLN3457,814936,PCN525,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,60,4,Mail Order,3,0,0,620.0,3.17,623.17,40.0,545.23,37.94,12.4,8.7833,1,0,0,0,2022-05-24
RX0000017342,MBR00000472,2021-03-22,2021-03-23,1671865403,1976439648,PLN8660,304271,PCN498,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,7,Retail,0,1,0,8500.0,3.08,8503.08,147.0,7870.67,485.41,340.0,240.8333,0,0,0,0,2021-04-21
RX0000017343,MBR00000472,2021-11-08,2021-11-09,1101730024,1749240483,PLN8876,235052,PCN257,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,3,Mail Order,0,0,0,72.33,6.12,78.45,38.0,37.67,2.78,12.4,8.7833,1,0,0,0,2021-11-15
RX0000017344,MBR00000472,2022-09-04,2022-09-08,1732296811,1176346012,PLN5187,740224,PCN623,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,8,Retail,1,1,0,12.0,10.4,22.4,148.0,0.0,1.45,0.48,0.34,0,0,0,0,2022-10-04
RX0000017345,MBR00000472,2022-03-01,2022-03-02,1992171694,1511282066,PLN1329,601634,PCN516,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,62,2,Mail Order,0,0,0,660.0,4.88,664.88,36.0,603.89,24.99,13.2,9.35,0,0,0,0,2022-04-30
RX0000017346,MBR00000472,2023-03-19,2023-03-21,1165925090,1440412869,PLN7952,330758,PCN688,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,87,1,Retail,0,0,0,25.5,8.09,33.59,4.0,28.01,1.58,0.34,0.2408,1,0,0,0,2023-06-17
RX0000017347,MBR00000472,2022-03-01,2022-03-05,1595684425,1472397889,PLN3708,601570,PCN528,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,3,Retail,2,1,0,2800.0,8.73,2808.73,146.0,2500.94,161.79,112.0,79.3333,0,0,0,0,2022-03-31
RX0000017348,MBR00000472,2022-01-24,2022-01-26,1421136520,1194358383,PLN6970,291606,PCN470,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,8,Retail,0,0,0,43.17,5.69,48.85,36.0,10.48,2.37,7.4,5.2417,0,0,0,0,2022-01-31
RX0000017349,MBR00000472,2021-01-31,2021-02-01,1427066610,1540790935,PLN7483,394753,PCN427,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,11,Retail,0,0,0,45.0,10.37,55.37,8.0,44.4,2.97,1.8,1.275,0,0,0,0,2021-03-02
RX0000017350,MBR00000472,2023-01-31,2023-02-04,1640429576,1792171779,PLN9119,108617,PCN647,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,11,Retail,0,0,0,330.0,5.45,335.45,31.0,291.06,13.39,13.2,9.35,0,0,0,0,2023-03-02
RX0000017351,MBR00000472,2021-01-04,2021-01-08,1344652873,1126854121,PLN1498,896459,PCN840,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,5,Retail,0,0,0,9.0,5.62,14.62,7.0,6.92,0.7,0.36,0.255,0,0,0,0,2021-02-03
RX0000017352,MBR00000472,2022-08-28,2022-09-01,1953373287,1538528916,PLN7017,682368,PCN531,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,61,6,Mail Order,0,0,0,90.0,7.74,97.74,0.0,91.94,5.8,1.8,1.275,0,0,0,0,2022-10-27
RX0000017353,MBR00000472,2021-05-04,2021-05-06,1212938277,1928585839,PLN5007,706501,PCN314,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,7,9,Retail,0,0,0,2.33,7.18,9.51,6.0,2.93,0.58,0.4,0.2833,0,0,0,0,2021-05-11
RX0000017354,MBR00000472,2023-08-14,2023-08-15,1248420661,1871598818,PLN2551,189970,PCN208,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,30,8,Specialty,0,0,0,750.0,19.26,769.26,39.0,730.26,0.0,30.0,21.25,0,0,0,0,2023-09-13
RX0000017355,MBR00000472,2022-10-20,2022-10-23,1896584896,1919060040,PLN3031,845681,PCN871,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,9,Specialty,0,0,0,10.0,22.6,32.6,0.0,32.6,0.0,0.4,0.2833,0,0,0,0,2022-11-19
RX0000017356,MBR00000472,2022-12-04,2022-12-05,1206112794,1972761674,PLN6580,378952,PCN110,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,86,7,Specialty,0,0,0,135.0,42.82,177.82,2.0,175.82,0.0,1.8,1.275,0,0,0,0,2023-03-04
RX0000017357,MBR00000472,2022-04-13,2022-04-17,1587288845,1864488201,PLN5935,361051,PCN758,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,5,Mail Order,0,0,0,10.0,9.22,19.22,7.0,10.98,1.24,0.4,0.2833,0,0,0,0,2022-05-13
RX0000017358,MBR00000472,2021-12-28,2021-12-31,1856006995,1983242775,PLN6672,395849,PCN988,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,97,4,Retail,0,0,0,30.0,11.51,41.51,10.0,29.4,2.11,0.4,0.2833,0,0,0,0,2022-03-28
RX0000017359,MBR00000472,2023-04-01,2023-04-04,1232842451,1153917151,PLN6531,928848,PCN810,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,9,Mail Order,0,1,0,12.0,4.93,16.93,147.0,0.0,0.99,0.48,0.34,0,0,0,0,2023-05-01
RX0000017360,MBR00000472,2023-04-22,2023-04-23,1498929941,1643565807,PLN9858,245898,PCN581,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,95,6,Retail,0,1,0,36.0,6.27,42.27,151.0,0.0,1.29,0.48,0.34,0,0,0,0,2023-07-21
RX0000017361,MBR00000472,2023-03-27,2023-03-28,1473582154,1287554872,PLN9901,893410,PCN788,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,90,10,Retail,0,0,0,45.0,9.55,54.55,1.0,49.8,3.75,0.6,0.425,0,0,0,0,2023-06-25
RX0000017362,MBR00000472,2021-12-07,2021-12-09,1601936177,1286354203,PLN6292,947046,PCN849,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,98,2,Retail,0,0,0,855.0,11.36,866.36,40.0,779.18,47.18,11.4,8.075,0,0,0,0,2022-03-07
RX0000017363,MBR00000472,2021-04-14,2021-04-16,1177315364,1725402411,PLN7030,212341,PCN444,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,57,0,Retail,0,0,0,28.0,11.13,39.13,7.0,29.96,2.17,0.56,0.3967,0,0,0,0,2021-06-13
RX0000017364,MBR00000472,2021-04-20,2021-04-23,1403285242,1203624569,PLN9885,329906,PCN127,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,5,Retail,0,1,0,1.87,2.95,4.81,145.0,0.0,0.19,0.32,0.2267,0,0,0,0,2021-04-27
RX0000017365,MBR00000472,2021-04-02,2021-04-06,1977142352,1379417375,PLN5409,974794,PCN264,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,81,0,Mail Order,0,0,0,1950.0,8.98,1958.98,35.0,1812.68,111.3,26.0,18.4167,0,0,0,0,2021-07-01
RX0000017366,MBR00000472,2021-12-22,2021-12-23,1241047770,1329734189,PLN5603,742834,PCN304,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,88,0,Retail,0,0,0,195.0,11.81,206.81,39.0,159.84,7.97,2.6,1.8417,0,1,1,0,2022-03-22
RX0000017367,MBR00000472,2023-12-01,2023-12-05,1177547672,1961889309,PLN1627,417790,PCN336,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,64,11,Retail,0,0,0,36.0,1.82,37.82,9.0,26.55,2.27,0.72,0.51,1,0,0,0,2024-01-30
RX0000017368,MBR00000472,2021-01-15,2021-01-19,1345216606,1462101634,PLN3193,616398,PCN912,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,6,Retail,0,1,0,2800.0,2.62,2802.62,153.0,2492.14,157.48,112.0,79.3333,0,0,0,0,2021-02-14
RX0000017369,MBR00000472,2021-02-09,2021-02-10,1332621187,1972506258,PLN8636,547235,PCN764,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,3,Retail,0,0,0,650.0,8.5,658.5,31.0,594.76,32.74,26.0,18.4167,0,0,0,0,2021-03-11
RX0000017370,MBR00000472,2022-12-16,2022-12-17,1435744019,1660568195,PLN8367,707379,PCN915,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,88,7,Retail,2,0,0,30.0,10.71,40.71,1.0,37.17,2.54,0.4,0.2833,0,0,0,0,2023-03-16
RX0000017371,MBR00000472,2021-06-25,2021-06-27,1875248502,1973710854,PLN7038,319138,PCN196,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,6,Retail,0,0,0,14.0,6.47,20.47,3.0,16.09,1.38,0.56,0.3967,0,0,0,0,2021-07-25
RX0000017372,MBR00000472,2023-09-21,2023-09-22,1779898076,1748323154,PLN6283,393759,PCN189,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,7,7,3,Retail,2,0,0,2.8,5.76,8.56,3.0,5.26,0.3,0.48,0.34,0,0,0,0,2023-09-28
RX0000017373,MBR00000472,2021-01-10,2021-01-14,1636905957,1203224190,PLN2677,791308,PCN823,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,30,8,Retail,0,0,0,310.0,8.05,318.05,39.0,260.8,18.25,12.4,8.7833,0,0,0,0,2021-02-09
RX0000017374,MBR00000472,2022-10-29,2022-10-30,1849999069,1841986679,PLN9029,932188,PCN164,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,10,Retail,0,0,0,10.0,6.14,16.14,5.0,10.07,1.07,0.4,0.2833,0,0,0,0,2022-11-28
RX0000017375,MBR00000472,2022-03-24,2022-03-27,1876810315,1354041085,PLN7125,127880,PCN922,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,6,6,Retail,0,0,0,3.27,3.68,6.95,9.0,0.0,0.39,0.56,0.3967,0,0,0,0,2022-03-31
RX0000017376,MBR00000472,2021-10-18,2021-10-19,1463180885,1534816113,PLN2029,752623,PCN612,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,54,9,Retail,0,0,0,130.0,11.62,141.62,39.0,94.78,7.84,2.6,1.8417,0,0,0,0,2021-12-17
RX0000017377,MBR00000472,2021-07-20,2021-07-23,1616571288,1755300613,PLN2856,381274,PCN841,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,97,7,Mail Order,0,0,0,195.0,11.07,206.07,37.0,156.34,12.73,2.6,1.8417,0,0,0,0,2021-10-18
RX0000017378,MBR00000472,2023-06-12,2023-06-13,1771310064,1475716494,PLN8945,528840,PCN483,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,1,Specialty,0,0,1,45.0,46.89,91.89,2.0,89.89,0.0,1.8,1.275,0,0,0,0,2023-07-12
RX0000017379,MBR00000472,2023-03-07,2023-03-08,1131461245,1528972892,PLN8172,196187,PCN168,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,31,5,Retail,0,1,0,12.0,8.22,20.22,152.0,0.0,1.35,0.48,0.34,0,0,0,0,2023-04-06
RX0000017380,MBR00000473,2021-07-07,2021-07-11,1344427001,1229430579,PLN6082,999068,PCN191,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,60,4,Mail Order,0,0,0,56.0,2.46,58.46,8.0,47.76,2.7,1.12,0.7933,0,0,0,0,2021-09-05
RX0000017381,MBR00000473,2021-03-27,2021-03-30,1566586070,1574553056,PLN5847,808519,PCN500,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,11,Retail,0,0,0,10.5,10.08,20.58,4.0,15.87,0.71,1.8,1.275,1,0,0,0,2021-04-03
RX0000017382,MBR00000473,2022-04-13,2022-04-15,1313865618,1337373055,PLN7423,473481,PCN264,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,27,2,Retail,3,1,0,6200.0,10.53,6210.53,149.0,5813.81,247.72,248.0,175.6667,0,0,0,0,2022-05-13
RX0000017383,MBR00000473,2021-06-03,2021-06-06,1795495062,1642086765,PLN2010,675499,PCN529,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,29,2,Retail,0,0,0,14.0,2.9,16.9,6.0,9.86,1.04,0.56,0.3967,1,0,0,0,2021-07-03
RX0000017384,MBR00000473,2023-06-08,2023-06-09,1231892595,1630703316,PLN2973,358571,PCN753,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,59,9,Retail,0,0,0,36.0,6.61,42.61,4.0,37.26,1.35,0.72,0.51,0,0,0,0,2023-08-07
RX0000017385,MBR00000473,2021-10-03,2021-10-06,1175883801,1272864549,PLN6228,984176,PCN972,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,94,3,Retail,1,0,0,525.0,1.92,526.92,30.0,464.37,32.55,7.0,4.9583,1,0,0,0,2022-01-01
RX0000017386,MBR00000473,2022-02-19,2022-02-22,1481020361,1923242152,PLN2379,852976,PCN814,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,2,Retail,1,0,0,38.0,4.45,42.45,10.0,30.25,2.2,1.52,1.0767,0,0,0,0,2022-03-21
RX0000017387,MBR00000473,2022-02-20,2022-02-21,1926866742,1879490675,PLN1244,411798,PCN384,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,2,Mail Order,0,0,0,5.13,5.02,10.15,4.0,5.62,0.53,0.88,0.6233,0,0,0,0,2022-02-27
RX0000017388,MBR00000473,2022-08-15,2022-08-18,1746868742,1953609230,PLN3314,434153,PCN826,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,95,5,Retail,0,0,0,42.0,9.47,51.47,2.0,46.38,3.09,0.56,0.3967,1,0,0,0,2022-11-13
RX0000017389,MBR00000473,2021-07-13,2021-07-15,1706317033,1451061340,PLN1048,394473,PCN680,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,9,Retail,0,0,0,310.0,9.0,319.0,32.0,277.37,9.63,12.4,8.7833,0,0,0,0,2021-08-12
RX0000017390,MBR00000473,2023-12-26,2023-12-30,1100689856,1902064427,PLN4528,721221,PCN666,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,89,10,Retail,0,0,0,66.0,7.2,73.2,8.0,62.09,3.11,0.88,0.6233,0,0,0,0,2024-03-25
RX0000017391,MBR00000473,2022-03-02,2022-03-06,1495443157,1594586283,PLN5141,284825,PCN436,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,7,Retail,0,0,0,10.0,8.73,18.73,4.0,13.84,0.89,0.4,0.2833,0,0,0,0,2022-04-01
RX0000017392,MBR00000473,2022-10-22,2022-10-24,1205735439,1624620576,PLN2559,773885,PCN399,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,0,LTC,0,1,0,6200.0,9.69,6209.69,154.0,5650.88,404.81,248.0,175.6667,0,0,0,0,2022-11-21
RX0000017393,MBR00000474,2022-12-19,2022-12-20,1528592028,1856335057,PLN4152,460048,PCN527,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,5,LTC,0,0,0,480.0,2.84,482.84,35.0,430.68,17.16,19.2,13.6,0,0,0,0,2023-01-18
RX0000017394,MBR00000474,2021-12-04,2021-12-08,1228989647,1515857623,PLN6573,761643,PCN399,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,27,9,Mail Order,1,0,0,18.0,6.26,24.26,6.0,16.56,1.7,0.72,0.51,1,0,0,0,2022-01-03
RX0000017395,MBR00000474,2021-07-09,2021-07-10,1685667383,1520865348,PLN6674,492305,PCN619,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,5,Retail,0,0,0,18.0,10.65,28.65,10.0,17.21,1.44,0.72,0.51,0,1,0,0,2021-08-08
RX0000017396,MBR00000474,2022-06-22,2022-06-24,1435911835,1233618579,PLN7728,953683,PCN827,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,65,6,Retail,0,0,0,90.0,3.76,93.76,10.0,80.93,2.83,1.8,1.275,0,0,0,0,2022-08-21
RX0000017397,MBR00000474,2021-02-21,2021-02-25,1331949567,1243330886,PLN3157,960589,PCN393,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,9,Retail,2,0,0,14.0,7.1,21.1,6.0,13.79,1.31,0.56,0.3967,0,0,0,0,2021-03-23
RX0000017398,MBR00000474,2022-04-04,2022-04-06,1771880701,1656143889,PLN1230,218016,PCN773,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,62,11,Specialty,0,1,0,16.0,11.94,27.94,151.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-06-03
RX0000017399,MBR00000474,2021-05-21,2021-05-23,1255310949,1956136700,PLN2318,611924,PCN557,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,8,Retail,0,0,0,15.0,10.52,25.52,3.0,21.18,1.34,0.6,0.425,0,0,0,0,2021-06-20
RX0000017400,MBR00000474,2021-10-27,2021-10-28,1643097936,1185683802,PLN8213,815351,PCN131,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,0,Specialty,0,0,0,8.87,44.72,53.59,37.0,16.59,0.0,1.52,1.0767,0,0,0,0,2021-11-03
RX0000017401,MBR00000474,2021-07-11,2021-07-13,1270260021,1210491534,PLN4154,572282,PCN530,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,5,Retail,0,0,0,45.0,7.39,52.39,9.0,40.74,2.65,1.8,1.275,1,0,0,0,2021-08-10
RX0000017402,MBR00000474,2023-04-08,2023-04-11,1684143428,1718234481,PLN9220,542151,PCN285,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,28,10,Retail,0,0,0,10.0,10.13,20.13,10.0,9.02,1.11,0.4,0.2833,0,1,0,0,2023-05-08
RX0000017403,MBR00000474,2022-01-19,2022-01-20,1128772767,1880913670,PLN5143,891930,PCN399,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,10,Retail,0,0,0,12.0,10.11,22.11,1.0,19.99,1.12,0.48,0.34,1,0,0,0,2022-02-18
RX0000017404,MBR00000474,2021-05-31,2021-06-01,1354194708,1592141565,PLN3869,547516,PCN915,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,97,11,Retail,0,1,0,24.0,9.33,33.33,151.0,0.0,1.19,0.32,0.2267,0,0,0,0,2021-08-29
RX0000017405,MBR00000474,2021-11-15,2021-11-17,1514234686,1772297798,PLN5237,951118,PCN437,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,8,Retail,2,0,0,45.0,3.15,48.15,6.0,40.49,1.66,1.8,1.275,0,0,0,0,2021-12-15
RX0000017406,MBR00000474,2023-12-10,2023-12-12,1611722396,1634637477,PLN2825,527771,PCN336,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,3,Mail Order,1,1,0,2800.0,10.38,2810.38,145.0,2479.39,185.99,112.0,79.3333,0,0,0,0,2024-01-09
RX0000017407,MBR00000474,2022-08-12,2022-08-16,1320410904,1350733492,PLN9998,756375,PCN436,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,7,1,Retail,0,0,1,3.27,4.68,7.95,2.0,5.52,0.43,0.56,0.3967,0,0,0,0,2022-08-19
RX0000017408,MBR00000475,2022-05-25,2022-05-27,1751698945,1111436312,PLN2876,531102,PCN403,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,7,Retail,0,0,0,330.0,7.33,337.33,31.0,293.19,13.14,13.2,9.35,0,0,0,0,2022-06-24
RX0000017409,MBR00000475,2022-10-31,2022-11-02,1834114667,1661629243,PLN5967,626418,PCN463,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,94,1,Retail,0,0,0,66.0,11.46,77.46,4.0,70.32,3.14,0.88,0.6233,0,0,0,0,2023-01-29
RX0000017410,MBR00000475,2022-01-08,2022-01-09,1685514198,1157719099,PLN2038,223355,PCN513,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,1,Retail,0,0,0,12.0,1.96,13.96,2.0,11.49,0.47,0.48,0.34,0,0,0,0,2022-02-07
RX0000017411,MBR00000475,2023-05-09,2023-05-12,1604542181,1446925269,PLN5249,195639,PCN236,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,4,Retail,0,0,0,18.0,10.53,28.53,31.0,0.0,1.93,0.72,0.51,0,0,0,0,2023-06-08
RX0000017412,MBR00000475,2021-02-06,2021-02-10,1506829160,1938843357,PLN7208,637894,PCN511,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,6,2,Mail Order,3,0,0,86.33,8.58,94.92,39.0,52.96,2.96,14.8,10.4833,0,0,0,0,2021-02-13
RX0000017413,MBR00000475,2021-05-11,2021-05-15,1492547597,1239277254,PLN2501,311075,PCN596,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,81,6,Specialty,0,0,0,2250.0,39.53,2289.53,30.0,2259.53,0.0,30.0,21.25,0,0,0,0,2021-08-09
RX0000017414,MBR00000475,2023-04-01,2023-04-02,1153928323,1702153526,PLN4253,682476,PCN751,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,81,9,Retail,3,0,0,30.0,4.13,34.13,9.0,23.52,1.61,0.4,0.2833,0,0,0,0,2023-06-30
RX0000017415,MBR00000475,2023-09-02,2023-09-04,1656441141,1677926890,PLN8713,253832,PCN249,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,8,Retail,0,0,0,22.0,10.38,32.38,1.0,30.09,1.29,0.88,0.6233,0,0,0,0,2023-10-02
RX0000017416,MBR00000475,2021-05-15,2021-05-18,1963329635,1813767246,PLN3233,835390,PCN463,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,54,2,Specialty,0,0,0,24.0,39.0,63.0,1.0,62.0,0.0,0.48,0.34,0,0,0,0,2021-07-14
RX0000017417,MBR00000475,2022-11-07,2022-11-10,1308774127,1127997591,PLN6796,797416,PCN545,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,1,Mail Order,0,0,0,11.0,5.2,16.2,0.0,15.41,0.79,0.44,0.3117,0,0,0,0,2022-12-07
RX0000017418,MBR00000475,2023-10-22,2023-10-23,1888655245,1896102854,PLN3878,781969,PCN274,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,8,Mail Order,0,0,0,285.0,5.92,290.92,36.0,242.68,12.24,11.4,8.075,0,0,0,0,2023-11-21
RX0000017419,MBR00000475,2023-08-06,2023-08-10,1248009133,1575755433,PLN1550,219144,PCN295,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,6,Mail Order,0,0,1,12.0,3.28,15.28,4.0,10.58,0.7,0.48,0.34,0,0,0,0,2023-09-05
RX0000017420,MBR00000475,2021-08-13,2021-08-17,1245132268,1607384543,PLN6202,100501,PCN105,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,96,6,Specialty,0,0,0,960.0,42.34,1002.34,37.0,965.34,0.0,12.8,9.0667,0,0,0,0,2021-11-11
RX0000017421,MBR00000475,2023-11-24,2023-11-28,1752058224,1764928750,PLN7264,758760,PCN167,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,2,Retail,0,0,0,320.0,9.62,329.62,36.0,276.57,17.05,12.8,9.0667,1,0,0,0,2023-12-24
RX0000017422,MBR00000475,2021-05-02,2021-05-04,1752770364,1745032864,PLN4931,392829,PCN275,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,54,2,Retail,0,1,0,5600.0,11.44,5611.44,150.0,5126.1,335.34,112.0,79.3333,0,0,0,0,2021-07-01
RX0000017423,MBR00000475,2021-03-31,2021-04-03,1192065303,1874198272,PLN8803,776534,PCN820,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,7,2,Retail,0,0,0,8.87,1.89,10.75,34.0,0.0,0.74,1.52,1.0767,0,0,0,0,2021-04-07
RX0000017424,MBR00000475,2021-07-11,2021-07-15,1393603262,1494574113,PLN9475,242507,PCN496,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,85,11,Retail,0,0,0,1140.0,10.43,1150.43,35.0,1074.58,40.85,15.2,10.7667,0,0,0,0,2021-10-09
RX0000017425,MBR00000475,2022-02-06,2022-02-08,1860515640,1756797380,PLN6474,393190,PCN579,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,2,Mail Order,0,0,0,9.0,2.17,11.17,8.0,2.47,0.7,0.36,0.255,0,0,0,0,2022-03-08
RX0000017426,MBR00000475,2022-10-22,2022-10-23,1254930748,1227691163,PLN1026,149659,PCN273,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,98,5,Mail Order,0,0,0,25.5,5.78,31.28,0.0,30.12,1.16,0.34,0.2408,0,1,0,0,2023-01-20
RX0000017427,MBR00000475,2022-11-20,2022-11-21,1403590762,1492031758,PLN4037,359348,PCN735,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,5,Retail,0,0,0,45.0,2.48,47.48,6.0,39.78,1.7,1.8,1.275,0,0,0,0,2022-12-20
RX0000017428,MBR00000475,2022-08-15,2022-08-18,1729415207,1984566417,PLN8380,391718,PCN120,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,29,11,Retail,0,0,0,950.0,7.15,957.15,31.0,875.75,50.4,38.0,26.9167,0,0,0,0,2022-09-14
RX0000017429,MBR00000475,2023-02-27,2023-03-02,1879684422,1562226306,PLN4289,441697,PCN638,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,28,1,Retail,0,0,0,370.0,7.02,377.02,30.0,329.35,17.67,14.8,10.4833,0,0,0,0,2023-03-29
RX0000017430,MBR00000475,2022-01-08,2022-01-12,1932670059,1452767425,PLN4195,527431,PCN950,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,60,62,4,Retail,0,0,0,740.0,4.98,744.98,30.0,667.14,47.84,14.8,10.4833,0,0,0,0,2022-03-09
RX0000017431,MBR00000475,2021-04-10,2021-04-11,1485621752,1898606563,PLN2137,223415,PCN555,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,83,6,Retail,0,1,0,24.0,6.95,30.95,150.0,0.0,1.23,0.32,0.2267,0,0,0,0,2021-07-09
RX0000017432,MBR00000475,2021-02-09,2021-02-10,1361430322,1126188528,PLN6047,537826,PCN766,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,30,4,Specialty,0,0,0,10.0,29.07,39.07,5.0,34.07,0.0,0.4,0.2833,0,0,0,0,2021-03-11
RX0000017433,MBR00000475,2021-06-01,2021-06-05,1981300927,1925840120,PLN6575,197679,PCN639,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,64,10,Retail,0,0,0,130.0,3.53,133.53,39.0,85.64,8.89,2.6,1.8417,0,0,0,0,2021-07-31
RX0000017434,MBR00000476,2022-02-02,2022-02-05,1190651746,1994944196,PLN7784,401067,PCN326,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,94,10,Retail,0,0,0,960.0,7.77,967.77,31.0,882.94,53.83,12.8,9.0667,0,0,0,0,2022-05-03
RX0000017435,MBR00000476,2023-02-11,2023-02-13,1696667835,1540720336,PLN6462,938541,PCN115,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,3,Retail,0,0,1,12.0,4.94,16.94,10.0,6.24,0.7,0.48,0.34,0,0,0,0,2023-03-13
RX0000017436,MBR00000476,2023-08-17,2023-08-20,1470663289,1533263367,PLN8243,874259,PCN341,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,30,1,Retail,0,0,0,65.0,9.36,74.36,39.0,30.87,4.49,2.6,1.8417,0,0,0,0,2023-09-16
RX0000017437,MBR00000476,2021-01-28,2021-01-29,1965919068,1947462282,PLN7590,760353,PCN333,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,1,Retail,0,0,0,750.0,11.67,761.67,37.0,693.75,30.92,30.0,21.25,0,0,0,0,2021-02-27
RX0000017438,MBR00000476,2022-04-09,2022-04-13,1467071438,1807486488,PLN4113,263406,PCN969,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,9,Mail Order,0,0,0,285.0,8.09,293.09,35.0,242.31,15.78,11.4,8.075,0,0,0,0,2022-05-09
RX0000017439,MBR00000476,2021-08-16,2021-08-18,1261566874,1694184826,PLN1971,577609,PCN361,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,27,9,Retail,0,0,0,12.5,3.56,16.06,4.0,10.99,1.07,0.5,0.3542,0,0,0,0,2021-09-15
RX0000017440,MBR00000476,2021-02-28,2021-03-02,1851198611,1252138570,PLN4421,574334,PCN957,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,8,Retail,0,0,0,330.0,10.7,340.7,31.0,294.35,15.35,13.2,9.35,0,0,0,0,2021-03-30
RX0000017441,MBR00000476,2023-04-08,2023-04-10,1385303824,1306437507,PLN2428,272765,PCN797,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,5,Retail,0,0,0,66.5,5.35,71.85,37.0,29.87,4.98,11.4,8.075,0,0,0,0,2023-04-15
RX0000017442,MBR00000476,2022-02-22,2022-02-25,1928491360,1275992174,PLN5412,958162,PCN486,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,6,Retail,0,0,0,320.0,11.16,331.16,33.0,281.77,16.39,12.8,9.0667,0,0,0,0,2022-03-24
RX0000017443,MBR00000476,2023-09-12,2023-09-15,1222596230,1616919258,PLN7402,234927,PCN466,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,1,Retail,0,0,0,10.0,10.46,20.46,5.0,14.65,0.81,0.4,0.2833,1,0,0,0,2023-10-12
RX0000017444,MBR00000476,2023-09-11,2023-09-12,1937930102,1236610711,PLN3600,498669,PCN443,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,88,8,Retail,0,0,0,42.0,4.37,46.37,9.0,35.49,1.88,0.56,0.3967,1,0,0,0,2023-12-10
RX0000017445,MBR00000476,2021-03-06,2021-03-09,1838817955,1893990785,PLN5361,834983,PCN209,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,7,6,2,Specialty,0,0,1,2.8,11.42,14.22,6.0,8.22,0.0,0.48,0.34,0,0,0,0,2021-03-13
RX0000017446,MBR00000476,2023-04-29,2023-05-01,1303173653,1389966041,PLN3859,797798,PCN691,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,0,Retail,0,1,0,1983.33,2.26,1985.59,155.0,1708.19,122.4,340.0,240.8333,0,0,0,0,2023-05-06
RX0000017447,MBR00000476,2021-06-18,2021-06-22,1849875284,1928961214,PLN1861,974801,PCN607,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,93,3,Retail,0,0,0,2850.0,11.77,2861.77,31.0,2740.79,89.98,38.0,26.9167,0,0,0,0,2021-09-16
RX0000017448,MBR00000476,2021-06-16,2021-06-20,1989061639,1752724432,PLN2882,495060,PCN440,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,91,9,Retail,0,0,0,114.0,4.11,118.11,9.0,102.86,6.25,1.52,1.0767,0,0,0,0,2021-09-14
RX0000017449,MBR00000476,2021-06-23,2021-06-27,1190074451,1529871017,PLN9682,642926,PCN702,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,1,Mail Order,0,0,0,38.0,5.16,43.16,33.0,8.52,1.64,1.52,1.0767,0,0,0,0,2021-07-23
RX0000017450,MBR00000476,2023-01-12,2023-01-13,1717806769,1756722170,PLN7012,715128,PCN340,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,1,Retail,0,0,0,18.0,10.23,28.23,5.0,21.89,1.34,0.72,0.51,0,0,0,0,2023-02-11
RX0000017451,MBR00000476,2021-04-17,2021-04-18,1450945280,1860841977,PLN2843,777284,PCN928,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,60,57,6,Mail Order,0,1,0,12400.0,2.36,12402.36,148.0,11391.31,863.05,248.0,175.6667,0,0,0,0,2021-06-16
RX0000017452,MBR00000476,2021-05-29,2021-06-01,1972631243,1519523854,PLN5327,357820,PCN506,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,82,7,Retail,0,0,1,42.0,3.17,45.17,0.0,42.73,2.44,0.56,0.3967,0,0,0,0,2021-08-27
RX0000017453,MBR00000476,2022-11-17,2022-11-18,1778598073,1118578028,PLN2252,520281,PCN829,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,64,10,Specialty,2,0,0,28.0,17.43,45.43,5.0,40.43,0.0,0.56,0.3967,0,0,0,0,2023-01-16
RX0000017454,MBR00000476,2023-11-21,2023-11-24,1880451563,1397221193,PLN8634,797114,PCN498,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,6,Retail,0,0,0,185.0,3.39,188.39,39.0,138.65,10.74,7.4,5.2417,0,0,0,0,2023-12-21
RX0000017455,MBR00000476,2022-04-22,2022-04-23,1873057972,1687627701,PLN2427,967920,PCN233,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,10,Retail,0,0,0,11.0,5.26,16.26,2.0,13.3,0.96,0.44,0.3117,0,0,0,0,2022-05-22
RX0000017456,MBR00000476,2022-06-09,2022-06-10,1561921210,1563064293,PLN9336,809309,PCN870,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,4,Retail,0,0,0,950.0,2.89,952.89,34.0,869.03,49.86,38.0,26.9167,0,0,0,0,2022-07-09
RX0000017457,MBR00000476,2023-01-16,2023-01-19,1696897649,1944921318,PLN6993,903389,PCN370,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,7,Retail,0,1,0,8.0,11.65,19.65,147.0,0.0,0.65,0.32,0.2267,0,0,0,0,2023-02-15
RX0000017458,MBR00000476,2022-04-18,2022-04-21,1605711882,1530249298,PLN6054,794775,PCN749,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,7,Retail,0,0,0,45.0,7.84,52.84,4.0,46.05,2.79,1.8,1.275,0,0,0,0,2022-05-18
RX0000017459,MBR00000476,2023-04-10,2023-04-11,1351604342,1112185301,PLN1366,434900,PCN530,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,2,Retail,0,0,0,45.0,4.09,49.09,8.0,38.31,2.78,1.8,1.275,0,0,0,0,2023-05-10
RX0000017460,MBR00000476,2023-04-27,2023-04-28,1376587169,1150166227,PLN8313,460788,PCN195,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,6,Retail,0,0,0,15.0,11.37,26.37,2.0,22.65,1.72,0.6,0.425,0,0,0,0,2023-05-27
RX0000017461,MBR00000476,2023-04-22,2023-04-24,1449313840,1744334485,PLN1953,716887,PCN533,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,2,Retail,2,0,0,9.0,10.52,19.52,1.0,17.61,0.91,0.36,0.255,0,0,0,0,2023-05-22
RX0000017462,MBR00000477,2022-12-29,2023-01-02,1665129247,1210427601,PLN6137,878971,PCN152,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,95,0,Specialty,0,0,0,48.0,42.43,90.43,7.0,83.43,0.0,0.64,0.4533,0,0,0,0,2023-03-29
RX0000017463,MBR00000477,2022-03-19,2022-03-21,1965703100,1632705830,PLN2583,519686,PCN897,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,8,LTC,1,0,0,8.5,6.7,15.2,8.0,6.44,0.76,0.34,0.2408,0,0,0,0,2022-04-18
RX0000017464,MBR00000477,2023-09-18,2023-09-22,1811473947,1992485399,PLN2641,813244,PCN189,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,92,9,LTC,1,0,0,54.0,7.67,61.67,0.0,58.19,3.48,0.72,0.51,0,0,0,0,2023-12-17
RX0000017465,MBR00000477,2021-07-10,2021-07-13,1371193739,1838647858,PLN1261,510865,PCN567,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,6,Retail,2,0,0,320.0,5.74,325.74,30.0,284.31,11.43,12.8,9.0667,0,0,0,0,2021-08-09
RX0000017466,MBR00000477,2022-12-08,2022-12-11,1118644480,1121793972,PLN5519,417954,PCN225,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,81,11,Mail Order,0,0,0,1440.0,6.53,1446.53,32.0,1319.12,95.41,19.2,13.6,0,0,0,0,2023-03-08
RX0000017467,MBR00000477,2022-12-16,2022-12-20,1762197621,1525803580,PLN5203,691430,PCN774,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,90,6,Retail,0,0,0,54.0,2.4,56.4,9.0,45.48,1.92,0.72,0.51,0,0,0,0,2023-03-16
RX0000017468,MBR00000477,2023-04-17,2023-04-20,1932421743,1364831985,PLN3502,547067,PCN170,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,81,1,Retail,0,0,0,37.5,5.44,42.94,1.0,40.07,1.87,0.5,0.3542,1,0,0,0,2023-07-16
RX0000017469,MBR00000477,2023-10-05,2023-10-07,1327223121,1270615274,PLN8670,434078,PCN988,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,2,Retail,0,1,0,12.0,3.01,15.01,146.0,0.0,1.01,0.48,0.34,0,0,0,0,2023-11-04
RX0000017470,MBR00000477,2022-08-14,2022-08-18,1967133140,1938181720,PLN3399,717712,PCN974,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,60,65,10,Retail,0,0,0,18.0,6.75,24.75,9.0,14.54,1.21,0.36,0.255,0,0,0,0,2022-10-13
RX0000017471,MBR00000477,2023-12-19,2023-12-23,1352097723,1177173161,PLN9424,905036,PCN450,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,31,10,Retail,3,0,0,12.0,7.84,19.84,5.0,13.82,1.02,0.48,0.34,0,0,0,0,2024-01-18
RX0000017472,MBR00000477,2021-09-08,2021-09-12,1899599475,1266347328,PLN2949,726643,PCN853,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,9,Specialty,0,0,0,11.0,43.0,54.0,1.0,53.0,0.0,0.44,0.3117,1,0,0,0,2021-10-08
RX0000017473,MBR00000477,2023-09-08,2023-09-12,1199683027,1681406313,PLN7392,844453,PCN416,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,81,11,Retail,0,1,0,25500.0,9.06,25509.06,153.0,24144.66,1211.4,340.0,240.8333,0,0,0,0,2023-12-07
RX0000017474,MBR00000477,2022-01-19,2022-01-22,1321305045,1763205561,PLN1439,342223,PCN406,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,55,3,Specialty,0,0,0,30.0,35.91,65.91,4.0,61.91,0.0,0.6,0.425,0,0,0,0,2022-03-20
RX0000017475,MBR00000477,2022-10-13,2022-10-17,1794959514,1106518659,PLN4048,713780,PCN145,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,95,4,Retail,0,1,0,36.0,7.83,43.83,152.0,0.0,2.47,0.48,0.34,0,0,0,0,2023-01-11
RX0000017476,MBR00000477,2021-05-12,2021-05-13,1810230211,1559623634,PLN2743,796815,PCN183,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,93,11,Retail,0,0,0,555.0,10.27,565.27,33.0,513.04,19.23,7.4,5.2417,0,0,0,0,2021-08-10
RX0000017477,MBR00000477,2022-10-29,2022-10-31,1150490027,1259290804,PLN3142,289192,PCN398,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,98,0,Retail,0,0,0,960.0,10.16,970.16,37.0,898.92,34.24,12.8,9.0667,0,0,0,0,2023-01-27
RX0000017478,MBR00000477,2023-11-07,2023-11-09,1105826311,1308714989,PLN2983,884632,PCN254,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,5,Retail,0,0,0,9.0,7.75,16.75,4.0,11.6,1.15,0.36,0.255,0,0,0,0,2023-12-07
RX0000017479,MBR00000477,2022-01-30,2022-02-03,1926628365,1278411567,PLN9489,217694,PCN921,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,95,11,Specialty,0,1,0,24.0,31.47,55.47,150.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-04-30
RX0000017480,MBR00000477,2023-11-29,2023-11-30,1507271718,1796917831,PLN9530,988370,PCN389,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,30,4,Specialty,0,0,0,12.5,49.75,62.25,3.0,59.25,0.0,0.5,0.3542,0,0,0,0,2023-12-29
RX0000017481,MBR00000477,2023-07-09,2023-07-10,1737137866,1299892226,PLN2701,368547,PCN679,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,9,Retail,0,1,0,8.0,6.12,14.12,155.0,0.0,0.99,0.32,0.2267,1,0,0,0,2023-08-08
RX0000017482,MBR00000477,2022-09-17,2022-09-19,1715741860,1457514014,PLN9299,764318,PCN423,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,55,10,Retail,0,0,0,36.0,1.99,37.99,2.0,34.64,1.35,0.72,0.51,0,0,0,0,2022-11-16
RX0000017483,MBR00000477,2023-12-17,2023-12-18,1990870215,1835107896,PLN4290,831025,PCN274,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,64,3,Retail,0,0,0,25.0,8.5,33.5,9.0,22.97,1.53,0.5,0.3542,0,0,0,0,2024-02-15
RX0000017484,MBR00000477,2022-08-05,2022-08-07,1236823725,1887561590,PLN8991,564358,PCN125,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,9,Specialty,0,0,0,650.0,23.7,673.7,31.0,642.7,0.0,26.0,18.4167,0,0,0,0,2022-09-04
RX0000017485,MBR00000477,2022-10-28,2022-10-31,1119189069,1964298463,PLN8637,553726,PCN677,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,3,Retail,0,0,0,15.0,5.35,20.35,0.0,19.71,0.64,0.6,0.425,0,0,0,0,2022-11-27
RX0000017486,MBR00000477,2021-05-04,2021-05-08,1470303232,1676060266,PLN7083,173200,PCN234,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,32,4,Retail,0,0,0,65.0,6.0,71.0,33.0,35.55,2.45,2.6,1.8417,0,0,0,0,2021-06-03
RX0000017487,MBR00000477,2021-08-19,2021-08-21,1815270239,1664975149,PLN3625,895575,PCN331,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,4,Mail Order,0,0,0,14.0,8.04,22.04,10.0,11.13,0.91,0.56,0.3967,0,0,0,0,2021-09-18
RX0000017488,MBR00000477,2023-12-13,2023-12-17,1312568077,1449571238,PLN8112,369810,PCN285,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,11,Specialty,0,1,0,1.87,29.52,31.38,152.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-12-20
RX0000017489,MBR00000477,2023-08-27,2023-08-28,1423249342,1295097623,PLN9321,878649,PCN893,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,6,Retail,3,0,0,11.0,6.61,17.61,0.0,16.44,1.17,0.44,0.3117,0,0,0,0,2023-09-26
RX0000017490,MBR00000477,2023-04-23,2023-04-24,1312969508,1909805205,PLN8969,862898,PCN624,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,6,Retail,0,0,0,18.0,7.16,25.16,2.0,22.12,1.04,0.72,0.51,0,0,0,0,2023-05-23
RX0000017491,MBR00000478,2022-12-06,2022-12-08,1196652473,1643220458,PLN6138,339674,PCN127,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,60,62,1,Retail,0,1,0,5600.0,8.36,5608.36,151.0,5083.27,374.09,112.0,79.3333,0,0,0,0,2023-02-04
RX0000017492,MBR00000478,2022-05-04,2022-05-05,1544294173,1757273496,PLN6638,118278,PCN156,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,2,Retail,0,0,0,15.0,7.72,22.72,2.0,19.34,1.38,0.6,0.425,0,0,0,0,2022-06-03
RX0000017493,MBR00000478,2021-10-25,2021-10-26,1379633770,1610633933,PLN4432,530465,PCN969,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,2,Retail,0,0,0,4.2,8.75,12.95,3.0,9.24,0.71,0.72,0.51,0,0,0,0,2021-11-01
RX0000017494,MBR00000478,2021-02-23,2021-02-24,1477685707,1539056457,PLN1493,202049,PCN642,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,82,4,Mail Order,0,0,0,36.0,11.39,47.39,10.0,34.8,2.59,0.48,0.34,0,0,0,0,2021-05-24
RX0000017495,MBR00000478,2022-08-25,2022-08-26,1683125011,1648753482,PLN7220,562915,PCN415,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,9,Retail,0,0,0,2.33,3.26,5.59,6.0,0.0,0.21,0.4,0.2833,0,0,0,0,2022-09-01
RX0000017496,MBR00000478,2021-09-01,2021-09-03,1811009063,1851316060,PLN2782,995199,PCN889,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,2,Mail Order,0,0,0,14.0,2.13,16.13,1.0,14.14,0.99,0.56,0.3967,1,0,0,0,2021-10-01
RX0000017497,MBR00000478,2022-04-15,2022-04-18,1587637720,1664256528,PLN3809,144679,PCN318,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,92,6,Mail Order,0,0,0,555.0,9.11,564.11,35.0,496.83,32.28,7.4,5.2417,0,0,0,0,2022-07-14
RX0000017498,MBR00000478,2023-08-06,2023-08-08,1597323849,1371734234,PLN7456,403064,PCN105,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,9,Retail,0,0,0,370.0,9.18,379.18,34.0,332.84,12.34,14.8,10.4833,0,0,0,0,2023-09-05
RX0000017499,MBR00000478,2022-03-30,2022-04-03,1819423321,1518749248,PLN8966,385950,PCN625,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,98,6,Retail,0,0,0,37.5,7.96,45.46,9.0,34.14,2.32,0.5,0.3542,0,0,0,0,2022-06-28
RX0000017500,MBR00000478,2022-07-22,2022-07-26,1543635445,1283167216,PLN5089,781717,PCN341,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,7,Mail Order,0,0,0,11.0,9.88,20.88,6.0,13.42,1.46,0.44,0.3117,1,0,0,0,2022-08-21
RX0000017501,MBR00000478,2021-11-21,2021-11-24,1802978555,1574940050,PLN3791,301327,PCN712,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,28,6,Retail,0,1,0,8500.0,7.9,8507.9,153.0,7795.52,559.38,340.0,240.8333,0,0,0,0,2021-12-21
RX0000017502,MBR00000478,2023-03-24,2023-03-28,1590555222,1610635214,PLN3226,966257,PCN200,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,9,Specialty,3,0,0,7.5,26.24,33.74,3.0,30.74,0.0,0.3,0.2125,0,0,0,0,2023-04-23
RX0000017503,MBR00000478,2023-01-27,2023-01-28,1866502740,1473022346,PLN7873,820278,PCN508,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,30,8,Mail Order,0,0,0,14.0,10.08,24.08,0.0,22.89,1.19,0.56,0.3967,1,0,0,0,2023-02-26
RX0000017504,MBR00000478,2021-06-18,2021-06-20,1932842749,1673602471,PLN1041,454347,PCN753,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,6,Mail Order,0,0,0,285.0,5.23,290.23,34.0,246.12,10.11,11.4,8.075,0,0,0,0,2021-07-18
RX0000017505,MBR00000478,2022-07-02,2022-07-04,1691126485,1190624474,PLN5828,151313,PCN213,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,7,Specialty,0,0,0,45.0,12.54,57.54,1.0,56.54,0.0,1.8,1.275,0,0,0,0,2022-08-01
RX0000017506,MBR00000478,2021-01-16,2021-01-19,1513378518,1869833832,PLN3274,983448,PCN487,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,30,5,Retail,0,0,0,8.5,2.96,11.46,6.0,4.91,0.55,0.34,0.2408,0,0,0,0,2021-02-15
RX0000017507,MBR00000478,2023-08-20,2023-08-22,1518175768,1650309671,PLN9718,667404,PCN247,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,1,Retail,0,0,0,16.0,5.84,21.84,5.0,15.62,1.22,0.64,0.4533,0,0,0,0,2023-09-19
RX0000017508,MBR00000478,2023-04-02,2023-04-04,1694569834,1680048513,PLN1703,376451,PCN747,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,8,Mail Order,0,0,0,22.0,8.26,30.26,65.0,0.0,1.36,0.88,0.6233,0,0,0,0,2023-05-02
RX0000017509,MBR00000478,2021-11-15,2021-11-19,1740415817,1293894647,PLN2072,288253,PCN206,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,84,10,Retail,2,0,0,1140.0,6.89,1146.89,34.0,1041.39,71.5,15.2,10.7667,0,0,0,0,2022-02-13
RX0000017510,MBR00000478,2023-08-08,2023-08-11,1682891217,1456863975,PLN2821,801347,PCN195,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,60,1,Retail,0,0,0,24.0,3.54,27.54,5.0,20.97,1.57,0.48,0.34,0,0,0,0,2023-10-07
RX0000017511,MBR00000478,2021-01-28,2021-01-29,1984601099,1346300590,PLN6306,858037,PCN315,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,7,7,8,Retail,3,0,0,1.98,5.64,7.62,4.0,3.19,0.43,0.34,0.2408,0,0,0,0,2021-02-04
RX0000017512,MBR00000478,2021-10-02,2021-10-04,1416543003,1210451472,PLN7705,639434,PCN620,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,7,Mail Order,0,0,0,66.5,5.46,71.96,39.0,30.27,2.69,11.4,8.075,0,0,0,0,2021-10-09
RX0000017513,MBR00000478,2022-11-18,2022-11-21,1409579433,1756039404,PLN1197,116235,PCN426,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,2,Retail,0,0,0,12.0,9.26,21.26,3.0,17.06,1.2,0.48,0.34,0,0,0,0,2022-12-18
RX0000017514,MBR00000478,2023-09-29,2023-09-30,1868256669,1339549959,PLN9451,334196,PCN772,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,90,4,Retail,0,0,0,135.0,7.58,142.58,1.0,133.05,8.53,1.8,1.275,0,0,0,0,2023-12-28
RX0000017515,MBR00000478,2022-04-20,2022-04-21,1559638035,1490184129,PLN3733,874066,PCN540,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,31,4,Retail,0,0,0,285.0,4.65,289.65,33.0,245.21,11.44,11.4,8.075,1,1,1,0,2022-05-20
RX0000017516,MBR00000478,2022-03-18,2022-03-19,1589352540,1207678679,PLN6770,344463,PCN174,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,61,6,Retail,0,0,0,28.0,2.33,30.33,9.0,19.36,1.97,0.56,0.3967,0,0,0,0,2022-05-17
RX0000017517,MBR00000478,2023-06-12,2023-06-15,1909141210,1511676305,PLN1811,467394,PCN413,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,11,Retail,0,0,0,330.0,5.81,335.81,34.0,290.17,11.64,13.2,9.35,0,0,0,0,2023-07-12
RX0000017518,MBR00000478,2021-03-29,2021-03-31,1715712162,1928704814,PLN3172,974506,PCN681,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,81,11,Retail,0,0,0,30.0,11.46,41.46,2.0,37.74,1.72,0.4,0.2833,0,0,0,0,2021-06-27
RX0000017519,MBR00000478,2021-07-08,2021-07-10,1767120937,1882492605,PLN4193,425920,PCN626,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,0,Mail Order,0,0,0,750.0,7.09,757.09,35.0,678.31,43.78,30.0,21.25,0,0,0,0,2021-08-07
RX0000017520,MBR00000478,2023-01-27,2023-01-31,1579546907,1970698074,PLN1495,293794,PCN328,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,5,Mail Order,0,0,0,15.17,3.55,18.71,31.0,0.0,0.74,2.6,1.8417,1,0,0,0,2023-02-03
RX0000017521,MBR00000478,2023-10-09,2023-10-10,1194404317,1995632796,PLN4837,441147,PCN738,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,6,Mail Order,0,0,0,28.0,9.82,37.82,9.0,27.24,1.58,1.12,0.7933,0,0,0,0,2023-11-08
RX0000017522,MBR00000478,2021-02-14,2021-02-15,1201990660,1264557746,PLN8224,396226,PCN336,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,11,Retail,0,0,0,45.0,1.78,46.78,5.0,38.65,3.13,1.8,1.275,0,0,0,0,2021-03-16
RX0000017523,MBR00000478,2023-04-02,2023-04-04,1662865408,1926029440,PLN2712,226166,PCN199,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,31,5,Retail,1,0,0,10.0,3.67,13.67,3.0,9.95,0.72,0.4,0.2833,0,0,0,0,2023-05-02
RX0000017524,MBR00000478,2022-03-24,2022-03-27,1205581699,1711419674,PLN4334,523797,PCN756,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,11,Retail,0,0,0,950.0,7.19,957.19,34.0,866.35,56.84,38.0,26.9167,0,0,0,0,2022-04-23
RX0000017525,MBR00000478,2022-07-10,2022-07-14,1767861805,1357277209,PLN7686,103770,PCN553,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,0,Retail,1,0,0,175.0,10.1,185.1,38.0,140.71,6.39,7.0,4.9583,0,0,0,0,2022-08-09
RX0000017526,MBR00000478,2023-03-17,2023-03-18,1746867071,1178907125,PLN5898,422565,PCN738,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,32,8,Retail,0,0,0,15.0,3.94,18.94,1.0,16.64,1.3,0.6,0.425,0,0,0,0,2023-04-16
RX0000017527,MBR00000478,2021-01-01,2021-01-02,1625270061,1211504073,PLN1279,367897,PCN723,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,89,3,Retail,0,0,0,1140.0,9.55,1149.55,35.0,1063.95,50.6,15.2,10.7667,1,0,0,0,2021-04-01
RX0000017528,MBR00000478,2023-01-07,2023-01-11,1528875050,1399749931,PLN1115,730644,PCN377,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,91,4,Retail,0,0,0,114.0,1.93,115.93,4.0,105.68,6.25,1.52,1.0767,0,0,0,0,2023-04-07
RX0000017529,MBR00000478,2021-04-04,2021-04-08,1757970070,1350324664,PLN1882,214149,PCN990,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,32,4,Retail,0,0,0,11.0,11.3,22.3,4.0,16.77,1.53,0.44,0.3117,0,0,0,0,2021-05-04
RX0000017530,MBR00000478,2022-10-12,2022-10-15,1959259934,1243732254,PLN6129,631647,PCN725,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,60,65,5,Mail Order,0,0,0,24.0,4.85,28.85,2.0,25.05,1.8,0.48,0.34,0,0,0,0,2022-12-11
RX0000017531,MBR00000479,2021-09-28,2021-10-01,1250482475,1145873142,PLN3528,842579,PCN341,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,54,7,Retail,0,1,0,16.0,11.62,27.62,147.0,0.0,1.73,0.32,0.2267,0,0,0,0,2021-11-27
RX0000017532,MBR00000479,2021-03-19,2021-03-22,1193805442,1744008327,PLN5280,464946,PCN659,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,28,9,Retail,0,0,0,9.0,7.99,16.99,5.0,11.24,0.75,0.36,0.255,0,0,0,0,2021-04-18
RX0000017533,MBR00000479,2023-03-13,2023-03-17,1581634494,1492477715,PLN6860,238497,PCN400,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,86,8,Retail,0,1,0,8400.0,8.0,8408.0,154.0,7814.44,439.56,112.0,79.3333,0,0,0,0,2023-06-11
RX0000017534,MBR00000479,2022-09-16,2022-09-19,1580627534,1419222932,PLN2090,879803,PCN284,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,62,1,Mail Order,0,0,0,1900.0,11.19,1911.19,35.0,1794.17,82.02,38.0,26.9167,0,0,0,0,2022-11-15
RX0000017535,MBR00000479,2023-06-25,2023-06-26,1107256053,1536089543,PLN8368,211796,PCN466,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,82,9,Retail,0,0,0,135.0,4.48,139.48,10.0,124.42,5.06,1.8,1.275,0,0,0,0,2023-09-23
RX0000017536,MBR00000479,2022-03-01,2022-03-02,1107892055,1731305175,PLN6649,115159,PCN477,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,5,Retail,0,0,0,38.0,10.21,48.21,38.0,8.21,2.0,1.52,1.0767,0,0,0,0,2022-03-31
RX0000017537,MBR00000479,2021-10-16,2021-10-18,1613193028,1188130818,PLN5082,870215,PCN290,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,6,Retail,0,0,0,15.0,7.39,22.39,6.0,14.96,1.43,0.6,0.425,1,0,0,0,2021-11-15
RX0000017538,MBR00000479,2022-04-08,2022-04-11,1846978675,1939006042,PLN6966,555535,PCN140,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,63,2,Specialty,0,0,0,130.0,13.09,143.09,40.0,103.09,0.0,2.6,1.8417,0,0,0,0,2022-06-07
RX0000017539,MBR00000479,2021-06-17,2021-06-19,1245216933,1177383747,PLN9910,680525,PCN726,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,56,1,Retail,0,0,0,44.0,9.95,53.95,10.0,41.93,2.02,0.88,0.6233,0,0,0,0,2021-08-16
RX0000017540,MBR00000479,2021-09-05,2021-09-06,1773814883,1506643378,PLN6802,278993,PCN853,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,60,65,5,Retail,0,1,0,16.0,10.1,26.1,154.0,0.0,0.95,0.32,0.2267,0,0,0,0,2021-11-04
RX0000017541,MBR00000479,2023-04-10,2023-04-11,1472657641,1133874810,PLN9243,615519,PCN618,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,9,Retail,0,0,0,370.0,2.05,372.05,38.0,319.26,14.79,14.8,10.4833,0,0,0,0,2023-05-10
RX0000017542,MBR00000479,2022-11-03,2022-11-05,1813316843,1895182212,PLN1957,954107,PCN856,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,83,5,Retail,1,0,0,42.0,4.0,46.0,3.0,40.76,2.24,0.56,0.3967,0,0,0,0,2023-02-01
RX0000017543,MBR00000479,2022-08-01,2022-08-04,1208835182,1106644687,PLN6770,475961,PCN585,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,27,4,Retail,0,0,0,65.0,5.77,70.77,30.0,37.83,2.94,2.6,1.8417,0,0,0,0,2022-08-31
RX0000017544,MBR00000479,2023-01-13,2023-01-14,1704456926,1315009563,PLN5945,320804,PCN664,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,11,Mail Order,0,0,0,22.0,11.84,33.84,69.0,0.0,1.1,0.88,0.6233,0,0,0,0,2023-02-12
RX0000017545,MBR00000479,2021-12-13,2021-12-16,1597020958,1317443738,PLN1118,367111,PCN290,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,7,6,6,Retail,0,0,0,2.33,4.19,6.52,2.0,4.12,0.4,0.4,0.2833,0,0,0,0,2021-12-20
RX0000017546,MBR00000479,2022-05-09,2022-05-11,1107346542,1233314594,PLN9513,902626,PCN893,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,7,Mail Order,0,0,0,18.0,2.64,20.64,10.0,9.43,1.21,0.72,0.51,0,0,0,0,2022-06-08
RX0000017547,MBR00000479,2021-08-15,2021-08-18,1517591348,1471790177,PLN2759,717726,PCN250,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,7,8,Retail,0,0,0,72.33,5.99,78.32,34.0,40.96,3.36,12.4,8.7833,0,0,0,0,2021-08-22
RX0000017548,MBR00000479,2022-04-11,2022-04-14,1774577657,1181580781,PLN2840,993738,PCN983,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,1,Retail,0,0,0,14.0,11.9,25.9,5.0,20.04,0.86,0.56,0.3967,0,0,0,0,2022-05-11
RX0000017549,MBR00000479,2021-11-24,2021-11-25,1486856138,1283360399,PLN6291,679013,PCN280,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,82,7,Retail,0,0,0,195.0,5.83,200.83,39.0,152.1,9.73,2.6,1.8417,0,0,0,0,2022-02-22
RX0000017550,MBR00000479,2023-01-12,2023-01-15,1594934641,1443332363,PLN9253,758236,PCN569,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,7,7,8,Mail Order,0,0,0,15.17,4.79,19.96,40.0,0.0,1.28,2.6,1.8417,0,0,0,0,2023-01-19
RX0000017551,MBR00000479,2023-02-16,2023-02-20,1167912958,1977922348,PLN8321,592483,PCN136,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,0,Retail,0,0,1,8.87,10.99,19.86,10.0,8.74,1.12,1.52,1.0767,0,0,0,0,2023-02-23
RX0000017552,MBR00000479,2022-07-02,2022-07-05,1316219485,1835752378,PLN2117,468296,PCN206,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,6,Retail,0,1,0,6200.0,9.77,6209.77,147.0,5735.31,327.46,248.0,175.6667,0,0,0,0,2022-08-01
RX0000017553,MBR00000479,2022-09-12,2022-09-16,1868550861,1716874877,PLN6339,332423,PCN123,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,57,11,Retail,0,0,0,370.0,6.92,376.92,36.0,318.02,22.9,7.4,5.2417,0,0,0,0,2022-11-11
RX0000017554,MBR00000479,2021-08-17,2021-08-19,1821584198,1870736133,PLN1008,824809,PCN330,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,7,Retail,0,0,0,15.0,6.49,21.49,9.0,11.24,1.25,0.6,0.425,0,0,0,0,2021-09-16
RX0000017555,MBR00000479,2023-05-21,2023-05-25,1143863060,1954354449,PLN5560,135879,PCN260,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,6,9,Specialty,0,0,0,88.67,22.79,111.45,33.0,78.45,0.0,15.2,10.7667,0,0,0,0,2023-05-28
RX0000017556,MBR00000479,2022-07-30,2022-08-01,1699480823,1915177603,PLN5410,176691,PCN285,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,11,Retail,2,0,0,14.0,7.3,21.3,5.0,15.44,0.86,0.56,0.3967,0,0,0,0,2022-08-29
RX0000017557,MBR00000479,2022-07-01,2022-07-02,1218635471,1877162597,PLN4406,635082,PCN414,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,10,Mail Order,1,0,1,22.0,2.79,24.79,65.0,0.0,1.44,0.88,0.6233,0,0,0,0,2022-07-31
RX0000017558,MBR00000479,2022-03-21,2022-03-24,1658273228,1281294612,PLN5686,258693,PCN895,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,85,8,Specialty,0,0,0,54.0,30.24,84.24,10.0,74.24,0.0,0.72,0.51,1,0,0,0,2022-06-19
RX0000017559,MBR00000479,2023-06-19,2023-06-23,1293532077,1229023867,PLN8565,826393,PCN209,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,0,Mail Order,0,0,0,12.0,3.13,15.13,8.0,6.45,0.68,0.48,0.34,0,0,0,0,2023-07-19
RX0000017560,MBR00000479,2022-06-04,2022-06-07,1474811699,1385953077,PLN4458,805533,PCN256,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,55,0,Retail,0,0,0,20.0,9.17,29.17,10.0,17.48,1.69,0.4,0.2833,0,0,0,0,2022-08-03
RX0000017561,MBR00000479,2023-11-08,2023-11-11,1936763723,1837027146,PLN8234,925675,PCN523,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,0,Retail,2,0,0,370.0,6.49,376.49,32.0,332.66,11.83,14.8,10.4833,0,0,0,0,2023-12-08
RX0000017562,MBR00000479,2021-11-15,2021-11-17,1788861119,1243654392,PLN8864,477744,PCN195,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,0,Retail,0,0,0,9.0,5.11,14.11,1.0,12.52,0.59,0.36,0.255,0,0,0,0,2021-12-15
RX0000017563,MBR00000479,2023-08-04,2023-08-06,1440949217,1761707895,PLN9204,571812,PCN746,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,87,6,Retail,0,0,0,27.0,8.53,35.53,10.0,23.45,2.08,0.36,0.255,0,0,0,0,2023-11-02
RX0000017564,MBR00000479,2021-07-08,2021-07-10,1730668757,1106697202,PLN3979,147329,PCN865,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,0,Retail,0,0,0,15.0,9.57,24.57,10.0,12.89,1.68,0.6,0.425,0,0,0,0,2021-08-07
RX0000017565,MBR00000479,2022-05-24,2022-05-27,1484198708,1542457651,PLN2243,129921,PCN512,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,87,0,Retail,0,0,0,525.0,2.16,527.16,31.0,475.68,20.48,7.0,4.9583,0,0,0,0,2022-08-22
RX0000017566,MBR00000479,2022-01-26,2022-01-30,1925165669,1511824710,PLN1742,199890,PCN297,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,5,Retail,0,0,0,18.0,6.46,24.46,10.0,12.76,1.7,0.72,0.51,0,0,0,0,2022-02-25
RX0000017567,MBR00000479,2021-04-14,2021-04-18,1255332667,1138405067,PLN2044,306385,PCN262,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,7,1,Mail Order,0,0,0,2.8,11.71,14.51,8.0,5.5,1.01,0.48,0.34,0,0,0,0,2021-04-21
RX0000017568,MBR00000479,2022-10-11,2022-10-15,1388594509,1462238172,PLN6455,652645,PCN629,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,11,Retail,0,0,0,330.0,2.56,332.56,34.0,276.02,22.54,13.2,9.35,0,1,1,0,2022-11-10
RX0000017569,MBR00000479,2023-07-22,2023-07-23,1996701066,1354951748,PLN9181,645937,PCN962,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,98,5,Retail,0,0,0,36.0,11.54,47.54,2.0,43.63,1.91,0.48,0.34,0,0,0,0,2023-10-20
RX0000017570,MBR00000479,2021-10-29,2021-10-31,1329535160,1658074804,PLN8438,980623,PCN276,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,7,Retail,3,0,0,2.1,10.91,13.01,2.0,10.16,0.85,0.36,0.255,0,0,0,0,2021-11-05
RX0000017571,MBR00000479,2021-03-17,2021-03-18,1755602421,1470361684,PLN6396,345170,PCN740,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,94,8,Retail,0,0,0,30.0,4.27,34.27,2.0,30.44,1.83,0.4,0.2833,0,0,0,0,2021-06-15
RX0000017572,MBR00000479,2023-05-02,2023-05-06,1432455296,1486139848,PLN4151,566089,PCN732,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,3,Retail,0,0,0,10.5,6.33,16.83,6.0,10.12,0.71,1.8,1.275,0,0,0,0,2023-05-09
RX0000017573,MBR00000479,2023-07-08,2023-07-11,1997995788,1989477799,PLN4121,970172,PCN677,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,2,Retail,0,0,0,54.0,11.86,65.86,31.0,30.6,4.26,0.72,0.51,0,0,0,0,2023-10-06
RX0000017574,MBR00000479,2021-04-07,2021-04-09,1402690566,1922560222,PLN5561,378633,PCN542,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,7,6,10,Retail,0,0,0,3.27,9.45,12.72,2.0,9.99,0.73,0.56,0.3967,0,0,0,0,2021-04-14
RX0000017575,MBR00000480,2021-12-12,2021-12-14,1754304118,1454073942,PLN5968,516878,PCN572,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,90,83,11,Mail Order,0,0,0,54.0,5.55,59.55,7.0,49.51,3.04,0.72,0.51,0,0,0,0,2022-03-12
RX0000017576,MBR00000480,2023-12-16,2023-12-18,1771389419,1193752038,PLN1604,115935,PCN876,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,3,Retail,0,1,0,2800.0,11.81,2811.81,149.0,2537.16,125.65,112.0,79.3333,0,0,0,0,2024-01-15
RX0000017577,MBR00000480,2022-03-17,2022-03-19,1143814413,1598139030,PLN7763,592206,PCN713,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,92,2,Mail Order,3,0,0,66.0,2.77,68.77,66.0,0.0,4.65,0.88,0.6233,0,0,0,0,2022-06-15
RX0000017578,MBR00000480,2023-03-30,2023-04-02,1764980530,1985769041,PLN2819,406070,PCN993,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,86,2,Mail Order,3,0,0,42.0,8.11,50.11,7.0,40.29,2.82,0.56,0.3967,0,0,0,0,2023-06-28
RX0000017579,MBR00000480,2021-10-06,2021-10-07,1371935175,1481899062,PLN9071,585796,PCN744,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,4,Mail Order,0,0,0,12.0,1.82,13.82,10.0,3.22,0.6,0.48,0.34,0,0,0,0,2021-11-05
RX0000017580,MBR00000480,2021-03-31,2021-04-02,1200375878,1627356627,PLN9345,886490,PCN537,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,32,1,Retail,0,0,0,10.0,9.41,19.41,4.0,14.71,0.7,0.4,0.2833,1,0,0,0,2021-04-30
RX0000017581,MBR00000480,2022-04-19,2022-04-21,1107140014,1384671587,PLN9039,885902,PCN515,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,60,65,4,Retail,0,0,0,76.0,4.44,80.44,33.0,42.76,4.68,1.52,1.0767,0,1,1,0,2022-06-18
RX0000017582,MBR00000480,2022-02-22,2022-02-25,1766995982,1908278686,PLN1191,442031,PCN320,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,32,9,Retail,2,0,0,15.0,4.8,19.8,7.0,12.0,0.8,0.6,0.425,0,1,0,0,2022-03-24
RX0000017583,MBR00000480,2023-06-01,2023-06-05,1935180958,1137177725,PLN9757,902685,PCN663,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,59,5,Retail,0,0,0,24.0,10.26,34.26,10.0,23.01,1.25,0.48,0.34,1,0,0,0,2023-07-31
RX0000017584,MBR00000480,2023-06-04,2023-06-07,1548371975,1527218353,PLN5286,335801,PCN860,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,62,1,Specialty,1,0,0,32.0,32.27,64.27,7.0,57.27,0.0,0.64,0.4533,0,0,0,0,2023-08-03
RX0000017585,MBR00000480,2022-10-19,2022-10-20,1159044887,1619477411,PLN2732,259082,PCN783,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,8,Mail Order,0,0,0,74.67,9.18,83.84,31.0,49.39,3.45,12.8,9.0667,0,0,0,0,2022-10-26
RX0000017586,MBR00000480,2021-08-21,2021-08-25,1887280082,1789616212,PLN9462,667380,PCN942,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,9,Retail,0,0,0,22.0,7.09,29.09,66.0,0.0,1.73,0.88,0.6233,0,0,0,0,2021-09-20
RX0000017587,MBR00000480,2021-03-26,2021-03-28,1763118065,1359403449,PLN5577,347120,PCN225,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,0,Mail Order,3,0,0,15.0,1.5,16.5,9.0,6.35,1.15,0.6,0.425,0,1,0,0,2021-04-25
RX0000017588,MBR00000480,2023-12-24,2023-12-26,1340342088,1467736408,PLN9205,144988,PCN787,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,4,Retail,0,0,0,22.0,3.31,25.31,9.0,15.38,0.93,0.88,0.6233,0,0,0,0,2024-01-23
RX0000017589,MBR00000480,2023-02-22,2023-02-24,1327073124,1102949394,PLN9663,589364,PCN987,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,3,Retail,0,0,0,14.0,2.94,16.94,4.0,12.18,0.76,0.56,0.3967,1,0,0,0,2023-03-24
RX0000017590,MBR00000480,2023-08-21,2023-08-22,1336900737,1923719903,PLN7830,403183,PCN776,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,9,Retail,0,0,0,28.0,11.91,39.91,4.0,33.24,2.67,1.12,0.7933,0,0,0,0,2023-09-20
RX0000017591,MBR00000480,2021-03-19,2021-03-21,1482608526,1435972901,PLN9989,841219,PCN952,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,88,7,Retail,2,0,0,42.0,4.37,46.37,3.0,40.55,2.82,0.56,0.3967,0,0,0,0,2021-06-17
RX0000017592,MBR00000480,2022-09-27,2022-09-28,1432184991,1153525996,PLN8100,762683,PCN224,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,58,4,Mail Order,0,0,1,44.0,5.56,49.56,0.0,47.03,2.53,0.88,0.6233,0,0,0,0,2022-11-26
RX0000017593,MBR00000480,2022-03-14,2022-03-15,1324742626,1483127844,PLN9497,741435,PCN980,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,7,Retail,0,0,0,9.0,10.61,19.61,4.0,14.79,0.82,0.36,0.255,0,0,0,0,2022-04-13
RX0000017594,MBR00000480,2022-06-12,2022-06-13,1583957408,1608901980,PLN9206,210747,PCN823,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,7,Retail,3,0,0,3.27,11.01,14.27,7.0,6.58,0.69,0.56,0.3967,0,0,0,0,2022-06-19
RX0000017595,MBR00000480,2022-11-27,2022-11-30,1883851741,1448145146,PLN6547,195486,PCN842,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,32,11,Retail,0,0,0,22.0,11.16,33.16,70.0,0.0,1.67,0.88,0.6233,0,0,0,0,2022-12-27
RX0000017596,MBR00000480,2021-05-13,2021-05-17,1419573354,1147201609,PLN2709,927475,PCN764,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,4,Mail Order,1,1,0,6200.0,11.37,6211.37,148.0,5864.96,198.41,248.0,175.6667,0,0,0,0,2021-06-12
RX0000017597,MBR00000480,2021-02-17,2021-02-19,1316055594,1196858140,PLN1610,864669,PCN815,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,83,3,Retail,0,0,0,33.0,9.08,42.08,3.0,36.21,2.87,0.44,0.3117,0,0,0,0,2021-05-18
RX0000017598,MBR00000480,2021-10-10,2021-10-12,1421712792,1244325730,PLN2233,303192,PCN177,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,63,11,LTC,0,0,0,56.0,3.78,59.78,3.0,53.83,2.95,1.12,0.7933,0,0,0,0,2021-12-09
RX0000017599,MBR00000480,2022-03-12,2022-03-13,1521052710,1754195083,PLN6791,156944,PCN245,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,10,Retail,0,0,0,15.0,5.69,20.69,6.0,13.66,1.03,0.6,0.425,0,0,0,0,2022-04-11
RX0000017600,MBR00000480,2022-09-13,2022-09-17,1364918691,1399822211,PLN6684,455006,PCN536,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,8,Retail,0,0,0,11.0,8.26,19.26,7.0,10.93,1.33,0.44,0.3117,0,0,0,0,2022-10-13
RX0000017601,MBR00000480,2021-05-10,2021-05-11,1583454244,1769686472,PLN1113,666528,PCN929,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,11,Retail,0,0,0,14.0,5.81,19.81,2.0,16.64,1.17,0.56,0.3967,0,0,0,0,2021-06-09
RX0000017602,MBR00000480,2023-10-23,2023-10-26,1760917619,1765816651,PLN8911,540255,PCN602,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,82,11,Specialty,0,0,0,25.5,27.74,53.24,3.0,50.24,0.0,0.34,0.2408,0,0,0,0,2024-01-21
RX0000017603,MBR00000480,2021-01-27,2021-01-29,1498892783,1268795738,PLN4012,826282,PCN452,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,3,Retail,0,0,0,950.0,8.14,958.14,32.0,882.81,43.33,38.0,26.9167,0,1,1,0,2021-02-26
RX0000017604,MBR00000480,2021-06-06,2021-06-08,1312703643,1505475827,PLN6163,760457,PCN940,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,7,Mail Order,0,0,0,11.0,4.31,15.31,5.0,9.68,0.63,0.44,0.3117,1,0,0,0,2021-07-06
RX0000017605,MBR00000480,2021-09-16,2021-09-17,1194230239,1169369646,PLN1744,331116,PCN331,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,6,1,Retail,0,0,0,3.5,10.74,14.24,8.0,5.8,0.44,0.6,0.425,0,0,0,0,2021-09-23
RX0000017606,MBR00000480,2021-07-15,2021-07-16,1871357915,1938155922,PLN6038,869985,PCN560,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,9,Retail,0,0,0,12.0,11.15,23.15,3.0,18.67,1.48,0.48,0.34,0,0,0,0,2021-08-14
RX0000017607,MBR00000480,2021-12-23,2021-12-24,1653999552,1402093619,PLN9739,423780,PCN604,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,2,Retail,0,0,0,9.0,4.64,13.64,4.0,9.16,0.48,0.36,0.255,0,0,0,0,2022-01-22
RX0000017608,MBR00000480,2021-08-24,2021-08-28,1871141664,1667808253,PLN1212,266314,PCN621,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,96,5,Retail,1,0,0,135.0,11.97,146.97,1.0,136.58,9.39,1.8,1.275,1,0,0,0,2021-11-22
RX0000017609,MBR00000480,2023-01-16,2023-01-17,1513302622,1975460562,PLN2946,237400,PCN453,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,98,4,Retail,0,0,0,36.0,1.97,37.97,4.0,31.68,2.29,0.48,0.34,0,0,0,0,2023-04-16
RX0000017610,MBR00000480,2021-11-07,2021-11-09,1531444407,1905612786,PLN6126,824664,PCN136,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,31,10,Mail Order,0,0,0,45.0,9.48,54.48,8.0,44.6,1.88,1.8,1.275,0,0,0,0,2021-12-07
RX0000017611,MBR00000481,2023-06-14,2023-06-15,1855849122,1162030458,PLN2188,550551,PCN304,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,11,Mail Order,0,0,0,185.0,4.71,189.71,36.0,141.52,12.19,7.4,5.2417,0,0,0,0,2023-07-14
RX0000017612,MBR00000481,2021-03-15,2021-03-16,1651898119,1925943544,PLN7091,784876,PCN484,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,83,7,Retail,0,0,0,36.0,8.93,44.93,10.0,33.26,1.67,0.48,0.34,0,0,0,0,2021-06-13
RX0000017613,MBR00000481,2022-02-07,2022-02-08,1879136235,1345258328,PLN4722,469056,PCN785,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,11,Retail,0,0,0,8.5,3.57,12.07,6.0,5.36,0.71,0.34,0.2408,0,0,0,0,2022-03-09
RX0000017614,MBR00000481,2023-10-12,2023-10-15,1530053540,1323074541,PLN6540,237871,PCN813,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,81,5,Retail,0,0,0,555.0,3.65,558.65,38.0,482.55,38.1,7.4,5.2417,0,0,0,0,2024-01-10
RX0000017615,MBR00000481,2022-08-27,2022-08-28,1212782939,1266979085,PLN4296,492573,PCN668,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,91,5,Mail Order,0,1,0,18600.0,5.58,18605.58,149.0,17699.53,757.05,248.0,175.6667,1,0,0,0,2022-11-25
RX0000017616,MBR00000481,2022-08-02,2022-08-04,1211888685,1663515750,PLN4940,827182,PCN455,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,65,0,Mail Order,0,0,0,25.0,11.41,36.41,2.0,31.91,2.5,0.5,0.3542,0,0,0,0,2022-10-01
RX0000017617,MBR00000481,2022-09-15,2022-09-17,1363224661,1689434375,PLN2797,360597,PCN277,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,27,10,Retail,0,0,0,9.0,7.6,16.6,3.0,12.66,0.94,0.36,0.255,0,0,0,0,2022-10-15
RX0000017618,MBR00000481,2022-09-07,2022-09-08,1206277643,1825295556,PLN9924,644950,PCN233,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,60,55,9,Retail,0,0,0,350.0,10.66,360.66,36.0,307.94,16.72,7.0,4.9583,0,0,0,0,2022-11-06
RX0000017619,MBR00000481,2023-07-20,2023-07-22,1468529560,1485475184,PLN4479,656877,PCN319,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,98,1,Retail,0,0,0,66.0,3.88,69.88,1.0,64.5,4.38,0.88,0.6233,0,0,0,0,2023-10-18
RX0000017620,MBR00000481,2023-07-11,2023-07-15,1492292339,1659960284,PLN9283,965060,PCN726,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,7,6,5,Specialty,0,1,0,1.87,38.24,40.1,150.0,0.0,0.0,0.32,0.2267,0,0,0,0,2023-07-18
RX0000017621,MBR00000481,2021-02-06,2021-02-08,1843570041,1874561382,PLN7805,893183,PCN500,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,7,Retail,1,0,0,8.87,9.29,18.16,5.0,12.4,0.76,1.52,1.0767,0,0,0,0,2021-02-13
RX0000017622,MBR00000481,2022-08-10,2022-08-13,1148216553,1777591256,PLN6707,503090,PCN711,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,5,Retail,0,0,0,380.0,7.12,387.12,32.0,336.17,18.95,15.2,10.7667,0,0,0,0,2022-09-09
RX0000017623,MBR00000481,2022-10-31,2022-11-01,1144458043,1995292503,PLN8355,619120,PCN927,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,5,Mail Order,0,0,0,15.0,2.73,17.73,10.0,6.92,0.81,0.6,0.425,0,0,0,0,2022-11-30
RX0000017624,MBR00000481,2022-01-15,2022-01-17,1185714352,1841981836,PLN4622,728778,PCN836,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,9,Mail Order,0,0,1,175.0,3.29,178.29,35.0,135.98,7.31,7.0,4.9583,0,0,0,0,2022-02-14
RX0000017625,MBR00000481,2021-02-18,2021-02-19,1844752623,1912831891,PLN4559,286896,PCN975,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,29,1,Retail,0,0,0,750.0,7.52,757.52,34.0,691.51,32.01,30.0,21.25,0,0,0,0,2021-03-20
RX0000017626,MBR00000481,2022-01-18,2022-01-21,1298333579,1525853665,PLN4682,345536,PCN561,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,8,Mail Order,0,0,0,950.0,6.15,956.15,39.0,873.84,43.31,38.0,26.9167,0,0,0,0,2022-02-17
RX0000017627,MBR00000481,2022-03-21,2022-03-25,1790858286,1983417898,PLN2015,405324,PCN943,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,29,8,Mail Order,0,0,0,22.0,7.57,29.57,10.0,18.55,1.02,0.88,0.6233,0,0,0,0,2022-04-20
RX0000017628,MBR00000481,2022-08-02,2022-08-04,1169143011,1463447652,PLN3999,484374,PCN586,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,96,0,Specialty,2,0,0,135.0,17.15,152.15,7.0,145.15,0.0,1.8,1.275,0,0,0,0,2022-10-31
RX0000017629,MBR00000481,2023-07-20,2023-07-21,1833337886,1205338347,PLN6259,611272,PCN469,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,3,Retail,3,1,0,6200.0,6.57,6206.57,150.0,5771.25,285.32,248.0,175.6667,0,0,0,0,2023-08-19
RX0000017630,MBR00000481,2023-09-08,2023-09-10,1825916893,1529389812,PLN2121,977152,PCN353,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,1,Retail,0,0,0,11.0,3.26,14.26,4.0,9.46,0.8,0.44,0.3117,0,0,0,0,2023-10-08
RX0000017631,MBR00000481,2022-12-01,2022-12-05,1814029684,1780500660,PLN5533,598051,PCN509,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,97,6,Retail,0,0,0,135.0,4.61,139.61,7.0,127.04,5.57,1.8,1.275,0,0,0,0,2023-03-01
RX0000017632,MBR00000481,2023-04-01,2023-04-03,1672020408,1898657732,PLN2026,965419,PCN138,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,3,Retail,0,0,0,18.0,8.76,26.76,6.0,19.87,0.89,0.72,0.51,0,0,0,0,2023-05-01
RX0000017633,MBR00000481,2021-12-21,2021-12-23,1312813722,1928869460,PLN1714,515946,PCN287,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,27,5,LTC,0,0,0,12.0,6.03,18.03,2.0,15.01,1.02,0.48,0.34,0,0,0,0,2022-01-20
RX0000017634,MBR00000481,2021-12-12,2021-12-15,1893271899,1714095376,PLN8558,669695,PCN161,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,29,6,LTC,0,1,0,6200.0,2.71,6202.71,148.0,5835.93,218.78,248.0,175.6667,0,0,0,0,2022-01-11
RX0000017635,MBR00000481,2021-12-04,2021-12-08,1681505988,1255983581,PLN2659,264487,PCN618,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,29,5,Retail,0,1,0,8.0,8.21,16.21,149.0,0.0,0.64,0.32,0.2267,0,1,1,0,2022-01-03
RX0000017636,MBR00000481,2021-02-12,2021-02-15,1219206338,1297462002,PLN6307,688584,PCN618,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,9,Mail Order,0,0,0,9.0,9.85,18.85,4.0,13.66,1.19,0.36,0.255,0,0,0,0,2021-03-14
RX0000017637,MBR00000481,2021-03-20,2021-03-21,1467902876,1145375297,PLN7842,508177,PCN131,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,92,7,Retail,2,1,0,36.0,5.9,41.9,148.0,0.0,2.09,0.48,0.34,0,0,0,0,2021-06-18
RX0000017638,MBR00000481,2021-02-22,2021-02-26,1558630577,1381461684,PLN3708,132192,PCN700,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,1,Retail,0,0,0,370.0,3.6,373.6,31.0,324.95,17.65,14.8,10.4833,1,0,0,0,2021-03-24
RX0000017639,MBR00000481,2021-01-31,2021-02-01,1925778739,1824955580,PLN2836,418713,PCN221,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,8,Specialty,0,0,0,8.5,23.21,31.71,4.0,27.71,0.0,0.34,0.2408,0,0,0,0,2021-03-02
RX0000017640,MBR00000481,2021-11-09,2021-11-12,1278877992,1891396766,PLN5487,396837,PCN158,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,3,Specialty,0,0,0,5.13,45.22,50.35,7.0,43.35,0.0,0.88,0.6233,0,0,0,0,2021-11-16
RX0000017641,MBR00000481,2023-09-11,2023-09-13,1327658120,1609255796,PLN2848,594596,PCN670,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,6,Specialty,0,0,0,22.0,24.64,46.64,7.0,39.64,0.0,0.88,0.6233,0,0,0,0,2023-10-11
RX0000017642,MBR00000481,2023-10-04,2023-10-06,1676517133,1242363099,PLN8930,493617,PCN911,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,63,1,Specialty,0,0,0,36.0,26.26,62.26,8.0,54.26,0.0,0.72,0.51,0,0,0,0,2023-12-03
RX0000017643,MBR00000481,2022-06-26,2022-06-28,1118889760,1454348219,PLN6982,393700,PCN409,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,7,Retail,1,0,0,7.5,3.06,10.56,5.0,4.88,0.68,0.3,0.2125,0,0,0,0,2022-07-26
RX0000017644,MBR00000481,2021-11-06,2021-11-07,1361562289,1663683028,PLN6073,817726,PCN147,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,90,86,11,Retail,0,0,0,114.0,3.78,117.78,40.0,71.85,5.93,1.52,1.0767,0,0,0,0,2022-02-04
RX0000017645,MBR00000481,2022-05-05,2022-05-09,1604028034,1423311334,PLN6253,656574,PCN310,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,7,5,Specialty,0,1,0,1446.67,40.54,1487.21,146.0,1341.21,0.0,248.0,175.6667,0,0,0,0,2022-05-12
RX0000017646,MBR00000481,2021-03-11,2021-03-14,1697923208,1829507131,PLN3693,543611,PCN908,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,88,3,Retail,0,0,0,990.0,7.68,997.68,34.0,916.82,46.86,13.2,9.35,1,0,0,0,2021-06-09
RX0000017647,MBR00000481,2022-12-03,2022-12-04,1394044941,1157562129,PLN2609,131420,PCN451,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,90,10,Retail,0,0,0,36.0,7.38,43.38,9.0,32.8,1.58,0.48,0.34,0,0,0,0,2023-03-03
RX0000017648,MBR00000481,2021-03-12,2021-03-16,1127141818,1858175047,PLN9646,702001,PCN403,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,60,60,3,Retail,0,0,0,90.0,11.82,101.82,5.0,91.52,5.3,1.8,1.275,0,0,0,0,2021-05-11
RX0000017649,MBR00000481,2022-10-03,2022-10-04,1771445407,1368934273,PLN6801,784704,PCN316,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,29,6,Mail Order,0,0,0,15.0,11.78,26.78,0.0,25.19,1.59,0.6,0.425,0,0,0,0,2022-11-02
RX0000017650,MBR00000481,2023-04-18,2023-04-21,1156782857,1159447646,PLN6373,402521,PCN997,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,7,Specialty,0,0,0,9.0,38.44,47.44,4.0,43.44,0.0,0.36,0.255,0,0,0,0,2023-05-18
RX0000017651,MBR00000481,2023-03-14,2023-03-15,1314972207,1887434831,PLN3490,364517,PCN667,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,61,7,Mail Order,0,0,0,56.0,11.29,67.29,3.0,59.82,4.47,1.12,0.7933,0,0,0,0,2023-05-13
RX0000017652,MBR00000481,2021-09-02,2021-09-06,1811427748,1919804726,PLN3276,315457,PCN609,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,9,Retail,0,0,0,3.5,8.91,12.41,9.0,2.81,0.6,0.6,0.425,0,0,0,0,2021-09-09
RX0000017653,MBR00000481,2022-08-12,2022-08-16,1249033786,1646077626,PLN7609,565972,PCN968,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,96,4,Retail,0,0,0,1440.0,4.6,1444.6,30.0,1366.0,48.6,19.2,13.6,0,0,0,0,2022-11-10
RX0000017654,MBR00000481,2023-01-26,2023-01-28,1956930060,1504592358,PLN5202,184495,PCN596,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,90,0,Retail,0,1,0,18600.0,8.55,18608.55,150.0,17184.61,1273.94,248.0,175.6667,0,0,0,0,2023-04-26
RX0000017655,MBR00000482,2022-01-19,2022-01-23,1985144122,1250642681,PLN2917,999387,PCN483,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,9,Retail,0,0,0,650.0,3.16,653.16,32.0,599.7,21.46,26.0,18.4167,0,0,0,0,2022-02-18
RX0000017656,MBR00000482,2023-03-04,2023-03-08,1383019202,1382707290,PLN4057,959606,PCN377,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,3,Retail,0,0,0,320.0,3.43,323.43,34.0,270.69,18.74,12.8,9.0667,0,0,0,0,2023-04-03
RX0000017657,MBR00000482,2023-05-02,2023-05-03,1809113871,1621787288,PLN2304,167060,PCN874,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,57,11,Retail,2,0,0,90.0,7.82,97.82,3.0,89.82,5.0,1.8,1.275,0,0,0,0,2023-07-01
RX0000017658,MBR00000482,2022-12-24,2022-12-27,1698642328,1442555288,PLN9659,513668,PCN334,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,90,8,Retail,0,0,0,25.5,5.46,30.96,6.0,23.85,1.11,0.34,0.2408,0,0,0,0,2023-03-24
RX0000017659,MBR00000482,2022-11-11,2022-11-13,1543671397,1721010600,PLN9891,234560,PCN347,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,4,Mail Order,0,0,0,950.0,10.82,960.82,36.0,895.36,29.46,38.0,26.9167,0,0,0,0,2022-12-11
RX0000017660,MBR00000482,2022-04-05,2022-04-09,1823612488,1669873316,PLN2538,704375,PCN108,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,29,2,Mail Order,0,0,0,185.0,2.56,187.56,32.0,147.6,7.96,7.4,5.2417,0,0,0,0,2022-05-05
RX0000017661,MBR00000482,2023-11-19,2023-11-21,1298634055,1220170172,PLN3276,942504,PCN161,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,3,Mail Order,2,1,0,8.0,2.99,10.99,148.0,0.0,0.34,0.32,0.2267,0,0,0,0,2023-12-19
RX0000017662,MBR00000482,2021-08-29,2021-09-02,1705358469,1675675580,PLN7608,414632,PCN582,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,8,Specialty,0,0,0,6.53,39.64,46.18,10.0,36.18,0.0,1.12,0.7933,0,0,0,0,2021-09-05
RX0000017663,MBR00000482,2022-08-16,2022-08-20,1908380211,1940449156,PLN7425,573328,PCN884,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,7,Retail,0,0,0,285.0,2.5,287.5,32.0,245.54,9.96,11.4,8.075,1,0,0,0,2022-09-15
RX0000017664,MBR00000482,2022-09-14,2022-09-17,1120305892,1825808506,PLN8912,835750,PCN519,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,64,0,Retail,0,0,0,44.0,11.83,55.83,6.0,45.97,3.86,0.88,0.6233,0,0,0,0,2022-11-13
RX0000017665,MBR00000482,2023-04-04,2023-04-07,1374883130,1587273640,PLN9396,655171,PCN926,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,9,Mail Order,0,1,0,12.0,4.8,16.8,155.0,0.0,0.53,0.48,0.34,0,0,0,0,2023-05-04
RX0000017666,MBR00000482,2022-05-04,2022-05-07,1271404679,1814518762,PLN5537,259667,PCN871,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,11,Specialty,0,1,0,8.0,49.44,57.44,149.0,0.0,0.0,0.32,0.2267,0,0,0,0,2022-06-03
RX0000017667,MBR00000482,2022-03-23,2022-03-25,1719123368,1524485976,PLN1812,465504,PCN971,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,98,0,Retail,0,0,0,27.0,4.39,31.39,10.0,20.29,1.1,0.36,0.255,0,0,0,0,2022-06-21
RX0000017668,MBR00000482,2023-01-19,2023-01-20,1452515025,1328011760,PLN6705,429085,PCN804,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,10,Retail,0,0,0,28.0,3.62,31.62,0.0,30.19,1.43,1.12,0.7933,0,0,0,0,2023-02-18
RX0000017669,MBR00000482,2021-07-05,2021-07-06,1758257488,1742488594,PLN2794,147822,PCN445,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,86,11,Retail,0,0,0,2850.0,9.38,2859.38,40.0,2723.31,96.07,38.0,26.9167,0,0,0,0,2021-10-03
RX0000017670,MBR00000482,2021-03-07,2021-03-10,1743500801,1743203099,PLN5927,625374,PCN485,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,7,7,5,Retail,0,0,0,2.1,11.59,13.69,2.0,11.01,0.68,0.36,0.255,0,0,0,0,2021-03-14
RX0000017671,MBR00000482,2021-07-17,2021-07-20,1667039218,1694536181,PLN2327,933154,PCN594,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,7,Retail,0,0,0,38.0,7.09,45.09,30.0,12.04,3.05,1.52,1.0767,0,0,0,0,2021-08-16
RX0000017672,MBR00000482,2023-08-12,2023-08-14,1748750661,1981493884,PLN9461,256057,PCN166,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,11,Mail Order,0,0,0,18.0,7.21,25.21,40.0,0.0,1.69,0.72,0.51,0,0,0,0,2023-09-11
RX0000017673,MBR00000482,2021-12-14,2021-12-18,1732098252,1336576254,PLN2399,317126,PCN561,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,6,Mail Order,0,0,0,310.0,3.43,313.43,36.0,256.95,20.48,12.4,8.7833,0,0,0,0,2022-01-13
RX0000017674,MBR00000482,2022-07-05,2022-07-09,1725710450,1169530727,PLN2840,179135,PCN614,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,30,10,Retail,0,0,0,10.0,9.4,19.4,1.0,17.58,0.82,0.4,0.2833,0,0,0,0,2022-08-04
RX0000017675,MBR00000482,2021-10-21,2021-10-23,1216870284,1243945563,PLN6503,592071,PCN559,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,29,8,Retail,0,1,0,2800.0,8.65,2808.65,150.0,2499.56,159.09,112.0,79.3333,0,0,0,0,2021-11-20
RX0000017676,MBR00000482,2022-01-19,2022-01-22,1861842530,1267713611,PLN9492,131820,PCN893,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,10,Mail Order,0,0,0,285.0,4.74,289.74,32.0,242.36,15.38,11.4,8.075,0,0,0,0,2022-02-18
RX0000017677,MBR00000482,2021-11-17,2021-11-19,1522587685,1909977179,PLN8859,296962,PCN413,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,86,11,Retail,0,0,0,135.0,11.17,146.17,2.0,136.97,7.2,1.8,1.275,0,0,0,0,2022-02-15
RX0000017678,MBR00000482,2023-01-16,2023-01-18,1679254656,1357973661,PLN8152,149147,PCN790,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,97,1,LTC,0,0,0,930.0,8.38,938.38,40.0,849.85,48.53,12.4,8.7833,0,0,0,0,2023-04-16
RX0000017679,MBR00000482,2023-09-30,2023-10-03,1926612637,1492542539,PLN9402,701136,PCN667,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,7,7,1,Retail,0,0,0,2.1,2.13,4.23,6.0,0.0,0.15,0.36,0.255,0,0,0,0,2023-10-07
RX0000017680,MBR00000482,2021-11-21,2021-11-25,1203462950,1286391162,PLN1054,904468,PCN529,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,28,11,Retail,3,0,0,14.0,5.52,19.52,9.0,9.85,0.67,0.56,0.3967,0,0,0,0,2021-12-21
RX0000017681,MBR00000482,2021-09-15,2021-09-17,1728624871,1998948599,PLN8289,580073,PCN769,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,11,Retail,0,0,0,11.0,4.71,15.71,6.0,8.81,0.9,0.44,0.3117,0,1,0,0,2021-10-15
RX0000017682,MBR00000482,2022-04-30,2022-05-01,1760634473,1387461227,PLN9214,232913,PCN322,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,6,2,Retail,0,0,0,2.92,4.07,6.99,2.0,4.76,0.23,0.5,0.3542,0,0,0,0,2022-05-07
RX0000017683,MBR00000482,2021-08-25,2021-08-27,1241974395,1320283351,PLN1847,868514,PCN511,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,2,Retail,2,0,0,22.0,8.61,30.61,75.0,0.0,2.04,0.88,0.6233,0,0,0,0,2021-09-24
RX0000017684,MBR00000483,2021-06-01,2021-06-03,1985717777,1290065325,PLN6797,580334,PCN564,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,28,9,Specialty,3,0,0,285.0,8.84,293.84,40.0,253.84,0.0,11.4,8.075,0,1,1,0,2021-07-01
RX0000017685,MBR00000483,2021-03-20,2021-03-21,1167902710,1377457251,PLN8685,103850,PCN159,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,60,63,9,Retail,3,0,0,44.0,2.86,46.86,8.0,36.43,2.43,0.88,0.6233,0,0,0,0,2021-05-19
RX0000017686,MBR00000483,2022-03-28,2022-04-01,1536041220,1478597947,PLN8522,953807,PCN309,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,60,61,0,Retail,0,0,0,20.0,10.41,30.41,1.0,28.28,1.13,0.4,0.2833,0,0,0,0,2022-05-27
RX0000017687,MBR00000483,2023-07-01,2023-07-03,1835335007,1313303595,PLN6448,580277,PCN790,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,3,Retail,0,0,0,22.0,1.52,23.52,69.0,0.0,1.09,0.88,0.6233,0,0,0,0,2023-07-31
RX0000017688,MBR00000483,2023-02-24,2023-02-28,1187061510,1546988732,PLN2842,879246,PCN664,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,97,4,Mail Order,3,0,0,1440.0,2.69,1442.69,31.0,1320.52,91.17,19.2,13.6,0,0,0,0,2023-05-25
RX0000017689,MBR00000483,2022-06-11,2022-06-13,1106769619,1448696943,PLN2604,828620,PCN468,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,95,8,Retail,0,1,0,25500.0,3.01,25503.01,147.0,24447.76,908.25,340.0,240.8333,1,0,0,0,2022-09-09
RX0000017690,MBR00000483,2022-07-02,2022-07-04,1842571633,1904177764,PLN2942,763146,PCN126,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,98,1,Retail,0,1,0,18600.0,7.8,18607.8,155.0,17300.09,1152.71,248.0,175.6667,0,0,0,0,2022-09-30
RX0000017691,MBR00000483,2023-03-13,2023-03-14,1318957315,1824461827,PLN2869,393437,PCN190,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,7,6,6,Mail Order,0,0,0,74.67,3.29,77.96,37.0,37.68,3.28,12.8,9.0667,1,0,0,0,2023-03-20
RX0000017692,MBR00000483,2022-01-09,2022-01-10,1551293640,1145297246,PLN3280,361569,PCN543,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,1,Retail,2,0,0,380.0,11.0,391.0,36.0,336.78,18.22,15.2,10.7667,0,0,0,0,2022-02-08
RX0000017693,MBR00000483,2023-01-13,2023-01-14,1327167591,1867482601,PLN1296,298701,PCN124,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,6,Retail,0,0,1,77.0,8.92,85.92,34.0,46.49,5.43,13.2,9.35,1,0,0,0,2023-01-20
RX0000017694,MBR00000483,2023-04-22,2023-04-26,1606876106,1800398922,PLN6780,462765,PCN926,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,28,1,Retail,2,0,0,28.0,6.23,34.23,8.0,24.52,1.71,1.12,0.7933,0,0,0,0,2023-05-22
RX0000017695,MBR00000483,2023-11-27,2023-12-01,1548363425,1154749474,PLN8710,348578,PCN961,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,60,1,Retail,0,0,0,1300.0,4.55,1304.55,30.0,1202.48,72.07,26.0,18.4167,0,0,0,0,2024-01-26
RX0000017696,MBR00000483,2023-02-11,2023-02-15,1567697690,1963829474,PLN2041,115956,PCN431,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,97,8,Retail,0,0,0,54.0,11.81,65.81,35.0,28.64,2.17,0.72,0.51,0,0,0,0,2023-05-12
RX0000017697,MBR00000483,2021-01-11,2021-01-12,1388315733,1523535020,PLN1493,518488,PCN752,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,89,9,Mail Order,0,0,0,27.0,3.4,30.4,6.0,22.94,1.46,0.36,0.255,0,0,0,0,2021-04-11
RX0000017698,MBR00000483,2022-12-27,2022-12-29,1383082914,1146732617,PLN3106,220561,PCN673,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,10,Mail Order,0,0,0,11.0,9.7,20.7,10.0,9.93,0.77,0.44,0.3117,0,0,0,0,2023-01-26
RX0000017699,MBR00000483,2021-06-12,2021-06-14,1271261713,1211874548,PLN5327,921040,PCN232,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,83,4,Retail,0,1,0,36.0,10.23,46.23,155.0,0.0,2.07,0.48,0.34,0,0,0,0,2021-09-10
RX0000017700,MBR00000483,2022-05-07,2022-05-08,1644848475,1980200126,PLN3224,274476,PCN480,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,2,Retail,0,1,0,8500.0,1.98,8501.98,155.0,7803.77,543.21,340.0,240.8333,0,0,0,0,2022-06-06
RX0000017701,MBR00000483,2021-08-21,2021-08-25,1500288616,1195725110,PLN9005,409253,PCN656,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,81,11,Retail,0,0,0,33.0,3.05,36.05,5.0,28.58,2.47,0.44,0.3117,0,0,0,0,2021-11-19
RX0000017702,MBR00000483,2022-08-29,2022-08-31,1255918912,1622672567,PLN5481,372758,PCN562,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,9,Retail,0,0,0,10.0,5.89,15.89,4.0,10.8,1.09,0.4,0.2833,0,0,0,0,2022-09-28
RX0000017703,MBR00000483,2022-02-11,2022-02-15,1934264501,1956762484,PLN2960,233568,PCN769,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,8,Retail,0,0,0,480.0,10.46,490.46,40.0,429.99,20.47,19.2,13.6,0,0,0,0,2022-03-13
RX0000017704,MBR00000483,2022-05-12,2022-05-14,1455718044,1844014178,PLN1437,531997,PCN967,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,91,7,Retail,0,0,0,45.0,3.16,48.16,2.0,43.23,2.93,0.6,0.425,0,0,0,0,2022-08-10
RX0000017705,MBR00000483,2023-09-28,2023-10-02,1208185004,1992983207,PLN6021,789262,PCN647,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,1,Mail Order,0,0,0,38.0,2.3,40.3,7.0,31.53,1.77,1.52,1.0767,0,0,0,0,2023-10-28
RX0000017706,MBR00000483,2022-03-10,2022-03-12,1475609831,1367472275,PLN6713,808132,PCN659,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,7,Mail Order,0,0,0,114.0,7.41,121.41,10.0,104.1,7.31,1.52,1.0767,0,0,0,0,2022-06-08
RX0000017707,MBR00000483,2022-07-08,2022-07-11,1671027093,1347063980,PLN4977,251136,PCN107,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,98,2,Mail Order,0,0,0,84.0,2.0,86.0,0.0,80.89,5.11,1.12,0.7933,0,0,0,0,2022-10-06
RX0000017708,MBR00000483,2021-11-15,2021-11-18,1517357492,1228463377,PLN3109,968691,PCN298,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,89,2,Mail Order,1,0,0,1440.0,2.9,1442.9,39.0,1305.65,98.25,19.2,13.6,0,0,0,0,2022-02-13
RX0000017709,MBR00000483,2021-07-17,2021-07-20,1738655381,1451244922,PLN2437,567483,PCN755,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,91,5,Retail,0,1,0,36.0,4.2,40.2,151.0,0.0,1.4,0.48,0.34,0,0,0,0,2021-10-15
RX0000017710,MBR00000483,2023-05-03,2023-05-04,1119364428,1919750452,PLN6124,976965,PCN903,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,27,4,Retail,0,1,0,12.0,5.87,17.87,148.0,0.0,1.19,0.48,0.34,0,0,0,0,2023-06-02
RX0000017711,MBR00000483,2022-01-18,2022-01-21,1695870250,1137236463,PLN6961,757022,PCN650,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,90,5,Retail,0,0,0,1440.0,9.88,1449.88,34.0,1329.51,86.37,19.2,13.6,0,0,0,0,2022-04-18
RX0000017712,MBR00000483,2023-01-11,2023-01-13,1381078006,1987182889,PLN5443,399890,PCN899,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,31,6,Mail Order,3,1,0,8500.0,5.75,8505.75,148.0,7884.78,472.97,340.0,240.8333,0,0,0,0,2023-02-10
RX0000017713,MBR00000483,2021-09-13,2021-09-14,1803419569,1746871251,PLN1578,245586,PCN135,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,28,5,Mail Order,0,0,0,16.0,7.02,23.02,5.0,17.16,0.86,0.64,0.4533,0,0,0,0,2021-10-13
RX0000017714,MBR00000483,2021-04-03,2021-04-04,1690949698,1510542483,PLN9975,651215,PCN451,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,60,56,6,Retail,0,0,0,660.0,6.78,666.78,38.0,593.47,35.31,13.2,9.35,0,0,0,0,2021-06-02
RX0000017715,MBR00000483,2022-11-23,2022-11-24,1472806415,1859203391,PLN6045,899322,PCN375,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,98,11,Retail,0,0,0,30.0,3.12,33.12,8.0,24.03,1.09,0.4,0.2833,0,0,0,0,2023-02-21
RX0000017716,MBR00000483,2022-09-18,2022-09-20,1676033644,1973621477,PLN1347,515229,PCN510,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,59,10,Retail,0,0,0,30.0,3.32,33.32,4.0,26.99,2.33,0.6,0.425,0,0,0,0,2022-11-17
RX0000017717,MBR00000483,2023-10-12,2023-10-14,1620699642,1460017767,PLN2776,822719,PCN507,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,7,Retail,3,0,0,22.0,6.84,28.84,5.0,22.23,1.61,0.88,0.6233,0,0,0,0,2023-11-11
RX0000017718,MBR00000483,2021-05-26,2021-05-29,1943355250,1211767311,PLN4160,118574,PCN257,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,7,Specialty,1,1,0,8.0,41.12,49.12,154.0,0.0,0.0,0.32,0.2267,0,0,0,0,2021-06-25
RX0000017719,MBR00000483,2023-03-18,2023-03-20,1122801500,1319640380,PLN8878,690193,PCN263,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,31,7,Retail,0,0,0,15.0,2.66,17.66,5.0,11.48,1.18,0.6,0.425,0,0,0,0,2023-04-17
RX0000017720,MBR00000483,2021-08-31,2021-09-01,1999291632,1230262127,PLN6692,119619,PCN168,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,31,6,Mail Order,1,0,1,16.0,7.84,23.84,10.0,12.5,1.34,0.64,0.4533,0,0,0,0,2021-09-30
RX0000017721,MBR00000483,2023-06-12,2023-06-13,1598759835,1118340224,PLN6514,161912,PCN550,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,28,0,Mail Order,0,0,0,175.0,11.97,186.97,37.0,143.19,6.78,7.0,4.9583,0,0,0,0,2023-07-12
RX0000017722,MBR00000484,2021-01-16,2021-01-20,1657625031,1218803776,PLN5706,929672,PCN254,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,84,11,LTC,0,0,0,84.0,7.91,91.91,7.0,80.51,4.4,1.12,0.7933,0,0,0,0,2021-04-16
RX0000017723,MBR00000484,2021-10-31,2021-11-03,1547226175,1548054111,PLN9327,891291,PCN418,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,2,Retail,0,0,0,77.0,7.68,84.68,40.0,39.2,5.48,13.2,9.35,0,0,0,0,2021-11-07
RX0000017724,MBR00000484,2021-08-23,2021-08-25,1359377127,1445035110,PLN5047,100193,PCN663,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,59,2,Retail,0,0,0,20.0,3.39,23.39,3.0,18.82,1.57,0.4,0.2833,1,1,0,0,2021-10-22
RX0000017725,MBR00000484,2023-08-03,2023-08-05,1565309157,1465273300,PLN8910,717747,PCN851,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,83,3,Mail Order,0,0,0,135.0,11.78,146.78,8.0,133.96,4.82,1.8,1.275,0,0,0,0,2023-11-01
RX0000017726,MBR00000484,2023-12-28,2023-12-29,1902108123,1362306814,PLN2559,374982,PCN760,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,1,Retail,0,0,0,18.0,7.09,25.09,40.0,0.0,0.88,0.72,0.51,0,0,0,0,2024-01-27
RX0000017727,MBR00000484,2021-07-28,2021-08-01,1549268317,1553595992,PLN1200,856901,PCN300,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,5,Mail Order,0,0,0,22.0,4.31,26.31,5.0,19.8,1.51,0.88,0.6233,0,0,0,0,2021-08-27
RX0000017728,MBR00000484,2023-09-09,2023-09-11,1527301451,1152837260,PLN9759,206852,PCN421,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,61,7,Retail,2,0,0,36.0,3.55,39.55,9.0,28.22,2.33,0.72,0.51,1,0,0,0,2023-11-08
RX0000017729,MBR00000484,2023-04-07,2023-04-09,1708188858,1177446132,PLN1424,720032,PCN137,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,7,3,Specialty,0,0,0,43.17,27.19,70.35,35.0,35.35,0.0,7.4,5.2417,0,0,0,0,2023-04-14
RX0000017730,MBR00000484,2022-10-19,2022-10-22,1331936135,1704729341,PLN7833,418576,PCN660,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,7,7,8,Retail,0,0,0,6.53,2.24,8.77,9.0,0.0,0.46,1.12,0.7933,0,0,0,0,2022-10-26
RX0000017731,MBR00000484,2021-12-15,2021-12-19,1826010853,1414343611,PLN8761,980470,PCN551,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,7,7,Retail,0,0,0,3.73,10.17,13.9,1.0,12.2,0.7,0.64,0.4533,0,0,0,0,2021-12-22
RX0000017732,MBR00000484,2023-07-22,2023-07-24,1143492264,1403394176,PLN2030,833483,PCN821,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,7,6,0,Specialty,0,0,0,8.87,18.18,27.05,35.0,0.0,0.0,1.52,1.0767,0,0,0,0,2023-07-29
RX0000017733,MBR00000484,2021-02-26,2021-02-28,1246035513,1267946600,PLN6366,985140,PCN580,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,1,Retail,0,0,0,38.0,11.58,49.58,4.0,42.57,3.01,1.52,1.0767,0,0,0,0,2021-03-28
RX0000017734,MBR00000484,2022-07-25,2022-07-27,1963500185,1318718004,PLN7565,815790,PCN406,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,7,9,Mail Order,0,0,0,66.5,3.31,69.81,34.0,32.83,2.98,11.4,8.075,0,0,0,0,2022-08-01
RX0000017735,MBR00000484,2023-02-21,2023-02-22,1841980450,1406146822,PLN4650,330126,PCN177,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,7,Retail,0,0,0,151.67,8.48,160.15,38.0,116.74,5.41,26.0,18.4167,0,0,0,0,2023-02-28
RX0000017736,MBR00000484,2022-06-10,2022-06-13,1592895383,1573005363,PLN1371,622081,PCN211,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,2,Retail,0,0,0,9.0,11.25,20.25,10.0,9.12,1.13,0.36,0.255,0,0,0,0,2022-07-10
RX0000017737,MBR00000484,2022-12-31,2023-01-04,1670150439,1730680188,PLN4013,990495,PCN120,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,9,Retail,0,0,0,38.0,2.5,40.5,6.0,32.69,1.81,1.52,1.0767,0,0,0,0,2023-01-30
RX0000017738,MBR00000484,2022-12-23,2022-12-25,1752825487,1487400700,PLN3063,155603,PCN430,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,0,Retail,0,0,0,38.0,10.25,48.25,9.0,36.48,2.77,1.52,1.0767,0,0,0,0,2023-01-22
RX0000017739,MBR00000484,2023-12-01,2023-12-04,1451999218,1872797515,PLN8336,190619,PCN748,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,6,Retail,0,0,0,18.0,8.23,26.23,6.0,18.88,1.35,0.72,0.51,0,0,0,0,2023-12-31
RX0000017740,MBR00000484,2023-01-04,2023-01-05,1438557704,1930436534,PLN5740,867861,PCN170,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,5,Retail,0,0,0,330.0,1.57,331.57,34.0,275.46,22.11,13.2,9.35,0,0,0,0,2023-02-03
RX0000017741,MBR00000484,2022-06-29,2022-07-03,1320545170,1771346254,PLN5596,684003,PCN823,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,6,3,Retail,0,0,0,10.5,2.59,13.09,3.0,9.45,0.64,1.8,1.275,0,0,0,0,2022-07-06
RX0000017742,MBR00000484,2023-11-18,2023-11-22,1914008362,1733357878,PLN8655,416716,PCN950,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,61,10,Retail,0,0,0,18.0,7.96,25.96,6.0,19.06,0.9,0.36,0.255,0,0,0,0,2024-01-17
RX0000017743,MBR00000484,2023-04-20,2023-04-22,1914242331,1793034060,PLN5347,653016,PCN444,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,6,10,Retail,0,1,0,1983.33,2.94,1986.27,145.0,1731.45,109.82,340.0,240.8333,0,0,0,0,2023-04-27
RX0000017744,MBR00000484,2023-02-20,2023-02-24,1759284538,1503821535,PLN5171,237948,PCN971,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,11,Specialty,0,0,0,18.0,15.19,33.19,34.0,0.0,0.0,0.72,0.51,0,0,0,0,2023-03-22
RX0000017745,MBR00000484,2022-09-15,2022-09-17,1447024277,1707354443,PLN6207,525915,PCN357,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,30,6,Mail Order,0,0,0,650.0,7.81,657.81,34.0,598.85,24.96,26.0,18.4167,0,0,0,0,2022-10-15
RX0000017746,MBR00000484,2022-06-06,2022-06-07,1161197350,1521084764,PLN7245,819638,PCN825,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,98,11,Retail,0,0,0,30.0,5.42,35.42,2.0,31.33,2.09,0.4,0.2833,0,0,0,0,2022-09-04
RX0000017747,MBR00000484,2022-12-02,2022-12-05,1856335349,1762098776,PLN7339,598115,PCN591,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,9,Mail Order,0,0,0,10.0,11.71,21.71,5.0,15.54,1.17,0.4,0.2833,0,0,0,0,2023-01-01
RX0000017748,MBR00000484,2022-12-27,2022-12-31,1528030246,1291017985,PLN2146,289341,PCN432,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,54,7,Retail,0,0,0,28.0,8.34,36.34,10.0,25.24,1.1,0.56,0.3967,0,0,0,0,2023-02-25
RX0000017749,MBR00000484,2023-02-26,2023-03-02,1987027107,1653792369,PLN7834,562471,PCN923,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,4,Retail,0,0,0,310.0,8.93,318.93,40.0,267.13,11.8,12.4,8.7833,0,0,0,0,2023-03-28
RX0000017750,MBR00000484,2022-07-22,2022-07-25,1862849573,1311395632,PLN8449,808079,PCN108,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,3,Mail Order,0,0,0,14.0,11.76,25.76,10.0,14.81,0.95,0.56,0.3967,0,0,0,0,2022-08-21
RX0000017751,MBR00000484,2021-02-18,2021-02-20,1236100894,1469776682,PLN6625,161116,PCN657,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,94,10,Mail Order,0,0,0,22.5,3.73,26.23,5.0,19.64,1.59,0.3,0.2125,0,0,0,0,2021-05-19
RX0000017752,MBR00000484,2022-03-12,2022-03-13,1250990179,1753078340,PLN5754,880388,PCN254,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,8,Retail,0,0,0,310.0,2.4,312.4,31.0,260.32,21.08,12.4,8.7833,0,0,0,0,2022-04-11
RX0000017753,MBR00000484,2021-09-01,2021-09-02,1898506716,1890451757,PLN1398,232260,PCN825,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,93,0,Retail,0,0,0,45.0,11.23,56.23,10.0,44.52,1.71,0.6,0.425,0,0,0,0,2021-11-30
RX0000017754,MBR00000484,2023-09-01,2023-09-02,1238709907,1525161033,PLN7980,464372,PCN316,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,32,0,Retail,0,0,0,14.0,11.66,25.66,2.0,22.26,1.4,0.56,0.3967,0,0,0,0,2023-10-01
RX0000017755,MBR00000484,2021-02-28,2021-03-02,1283566131,1936599614,PLN3493,597203,PCN210,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,60,61,0,Retail,2,0,0,30.0,6.52,36.52,5.0,29.2,2.32,0.6,0.425,0,0,0,0,2021-04-29
RX0000017756,MBR00000484,2022-03-29,2022-04-01,1878678797,1439454238,PLN7806,421202,PCN744,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,30,1,Retail,3,0,0,11.0,5.96,16.96,0.0,15.94,1.02,0.44,0.3117,0,0,0,0,2022-04-28
RX0000017757,MBR00000484,2023-08-10,2023-08-13,1351215396,1862627101,PLN7213,966935,PCN239,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,6,5,Retail,2,0,0,5.13,5.29,10.42,8.0,1.75,0.67,0.88,0.6233,0,0,0,0,2023-08-17
RX0000017758,MBR00000484,2021-06-29,2021-07-02,1605838451,1896235561,PLN3914,257805,PCN756,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,29,6,LTC,0,0,0,370.0,2.46,372.46,30.0,318.58,23.88,14.8,10.4833,0,0,0,0,2021-07-29
RX0000017759,MBR00000484,2023-08-11,2023-08-13,1414437461,1345224945,PLN4473,831063,PCN970,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,7,7,1,Retail,0,0,0,40.83,8.49,49.33,31.0,15.39,2.94,7.0,4.9583,1,0,0,0,2023-08-18
RX0000017760,MBR00000485,2022-07-24,2022-07-28,1197592395,1327954231,PLN1733,239764,PCN161,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,89,4,Mail Order,1,0,0,930.0,3.19,933.19,36.0,857.77,39.42,12.4,8.7833,0,0,0,0,2022-10-22
RX0000017761,MBR00000485,2021-09-12,2021-09-14,1888682281,1253275067,PLN5315,793958,PCN934,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,89,1,Retail,0,0,0,54.0,7.41,61.41,32.0,27.43,1.98,0.72,0.51,0,0,0,0,2021-12-11
RX0000017762,MBR00000485,2022-12-01,2022-12-02,1408673527,1469686358,PLN2911,903261,PCN685,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,81,0,Retail,2,0,0,2250.0,9.4,2259.4,40.0,2093.98,125.42,30.0,21.25,0,0,0,0,2023-03-01
RX0000017763,MBR00000485,2023-07-12,2023-07-13,1926480736,1398424965,PLN9021,370882,PCN767,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,63,8,Specialty,0,0,0,17.0,42.56,59.56,1.0,58.56,0.0,0.34,0.2408,0,0,0,0,2023-09-10
RX0000017764,MBR00000485,2023-05-02,2023-05-06,1260408345,1168440474,PLN1524,308001,PCN825,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,87,9,LTC,2,1,0,36.0,11.44,47.44,149.0,0.0,1.95,0.48,0.34,0,0,0,0,2023-07-31
RX0000017765,MBR00000485,2021-08-28,2021-09-01,1366734840,1850236272,PLN5661,433460,PCN107,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,3,Retail,0,0,0,370.0,5.32,375.32,32.0,325.0,18.32,14.8,10.4833,0,0,0,0,2021-09-27
RX0000017766,MBR00000485,2023-03-18,2023-03-20,1889440650,1659422899,PLN5411,578093,PCN679,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,5,Mail Order,3,0,0,8.5,10.11,18.61,1.0,16.79,0.82,0.34,0.2408,0,0,0,0,2023-04-17
RX0000017767,MBR00000485,2021-03-20,2021-03-23,1842558078,1856907886,PLN6456,523226,PCN116,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,56,11,Retail,2,0,0,36.0,5.05,41.05,9.0,30.77,1.28,0.72,0.51,0,1,0,0,2021-05-19
RX0000017768,MBR00000485,2023-12-26,2023-12-27,1793046259,1532809458,PLN3986,719312,PCN103,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,60,64,8,Retail,0,1,0,17000.0,7.62,17007.62,149.0,16019.91,838.71,340.0,240.8333,0,0,0,0,2024-02-24
RX0000017769,MBR00000485,2022-11-22,2022-11-23,1840719304,1170782774,PLN1985,273850,PCN216,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,94,2,Retail,0,0,0,30.0,8.48,38.48,10.0,27.26,1.22,0.4,0.2833,0,0,0,0,2023-02-20
RX0000017770,MBR00000485,2022-07-29,2022-07-30,1908707484,1456729696,PLN7401,753847,PCN755,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,0,Mail Order,2,0,0,185.0,7.32,192.32,40.0,145.69,6.63,7.4,5.2417,0,0,0,0,2022-08-28
RX0000017771,MBR00000485,2023-07-02,2023-07-05,1578537702,1366340182,PLN3718,414953,PCN482,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,82,5,Retail,0,0,0,22.5,8.59,31.09,1.0,29.12,0.97,0.3,0.2125,0,0,0,0,2023-09-30
RX0000017772,MBR00000485,2023-05-14,2023-05-18,1893306932,1920518941,PLN6448,454222,PCN697,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,4,Retail,0,0,0,14.0,11.17,25.17,0.0,23.47,1.7,0.56,0.3967,0,0,0,0,2023-06-13
RX0000017773,MBR00000485,2021-12-17,2021-12-21,1494086545,1232188338,PLN5819,345413,PCN304,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,30,1,Retail,2,1,0,6200.0,6.92,6206.92,145.0,5631.93,429.99,248.0,175.6667,0,0,0,0,2022-01-16
RX0000017774,MBR00000485,2022-02-01,2022-02-02,1294295719,1808640701,PLN7428,559548,PCN990,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,5,Specialty,0,0,0,2.57,38.05,40.62,3.0,37.62,0.0,0.44,0.3117,0,0,0,0,2022-02-08
RX0000017775,MBR00000485,2021-07-31,2021-08-02,1143889918,1463117547,PLN2204,103096,PCN894,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,10,Mail Order,3,0,0,9.0,11.78,20.78,8.0,11.58,1.2,0.36,0.255,0,0,0,0,2021-08-30
RX0000017776,MBR00000486,2022-09-11,2022-09-15,1171051996,1149801947,PLN7232,167512,PCN470,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,2,Retail,0,0,0,14.0,11.92,25.92,6.0,18.96,0.96,0.56,0.3967,0,1,0,0,2022-10-11
RX0000017777,MBR00000486,2022-03-10,2022-03-14,1353335119,1965118370,PLN9944,624811,PCN765,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,91,11,Retail,0,0,0,855.0,2.92,857.92,33.0,775.48,49.44,11.4,8.075,0,0,0,0,2022-06-08
RX0000017778,MBR00000486,2023-11-10,2023-11-11,1349904448,1396590380,PLN2657,599400,PCN647,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,94,11,Mail Order,0,0,0,45.0,10.7,55.7,5.0,48.02,2.68,0.6,0.425,0,0,0,0,2024-02-08
RX0000017779,MBR00000486,2022-01-02,2022-01-04,1535569203,1858157239,PLN6266,605897,PCN321,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,9,Specialty,0,0,0,185.0,30.7,215.7,35.0,180.7,0.0,7.4,5.2417,1,0,0,0,2022-02-01
RX0000017780,MBR00000486,2022-12-27,2022-12-31,1566354516,1526795261,PLN4055,179343,PCN646,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,87,11,Retail,0,0,0,525.0,1.77,526.77,35.0,475.23,16.54,7.0,4.9583,0,0,0,0,2023-03-27
RX0000017781,MBR00000486,2021-11-26,2021-11-30,1297450240,1805963540,PLN9058,518553,PCN168,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,4,Retail,0,0,0,7.5,1.88,9.38,0.0,9.06,0.32,0.3,0.2125,0,0,0,0,2021-12-26
RX0000017782,MBR00000486,2021-08-29,2021-08-30,1513967535,1902236618,PLN9503,604543,PCN827,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,0,Mail Order,0,0,0,8.5,4.74,13.24,6.0,6.68,0.56,0.34,0.2408,0,0,0,0,2021-09-28
RX0000017783,MBR00000486,2021-09-13,2021-09-17,1810598593,1639442941,PLN3126,219249,PCN443,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,9,Retail,0,0,0,380.0,7.39,387.39,39.0,333.71,14.68,15.2,10.7667,0,0,0,0,2021-10-13
RX0000017784,MBR00000486,2022-05-28,2022-05-30,1325993149,1643290986,PLN2140,550475,PCN677,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,7,6,9,Retail,0,0,0,2.57,7.5,10.06,3.0,6.5,0.56,0.44,0.3117,1,0,0,0,2022-06-04
RX0000017785,MBR00000486,2022-11-02,2022-11-04,1319918255,1987263316,PLN3422,882550,PCN370,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,29,2,Retail,0,0,0,18.0,5.29,23.29,36.0,0.0,1.37,0.72,0.51,0,0,0,0,2022-12-02
RX0000017786,MBR00000486,2023-09-13,2023-09-15,1101418415,1586758904,PLN1037,984931,PCN772,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,27,5,Specialty,0,0,0,14.0,35.1,49.1,5.0,44.1,0.0,0.56,0.3967,0,0,0,0,2023-10-13
RX0000017787,MBR00000486,2021-01-19,2021-01-21,1774811096,1277361021,PLN2196,397823,PCN783,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,95,9,Mail Order,0,0,0,48.0,5.99,53.99,4.0,47.14,2.85,0.64,0.4533,0,0,0,0,2021-04-19
RX0000017788,MBR00000486,2023-04-24,2023-04-26,1667267684,1201624585,PLN6709,101896,PCN547,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,8,Retail,0,0,0,14.0,11.0,25.0,6.0,18.18,0.82,0.56,0.3967,0,0,0,0,2023-05-24
RX0000017789,MBR00000486,2021-11-01,2021-11-03,1474088122,1453210839,PLN2022,415707,PCN320,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,0,Mail Order,0,0,0,22.0,5.39,27.39,9.0,17.41,0.98,0.88,0.6233,0,0,0,0,2021-12-01
RX0000017790,MBR00000486,2022-09-25,2022-09-28,1646993922,1405345679,PLN9041,452720,PCN411,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,60,9,Specialty,3,0,0,25.0,23.65,48.65,2.0,46.65,0.0,0.5,0.3542,1,0,0,0,2022-11-24
RX0000017791,MBR00000486,2023-06-24,2023-06-26,1207665849,1648120304,PLN5336,747630,PCN171,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,31,5,Specialty,0,0,0,12.0,43.79,55.79,3.0,52.79,0.0,0.48,0.34,0,0,0,0,2023-07-24
RX0000017792,MBR00000486,2022-07-13,2022-07-16,1718052089,1944788720,PLN6055,462882,PCN468,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,82,5,Mail Order,0,0,0,48.0,4.94,52.94,9.0,42.33,1.61,0.64,0.4533,0,0,0,0,2022-10-11
RX0000017793,MBR00000486,2022-11-16,2022-11-20,1926050337,1817282499,PLN4504,470698,PCN225,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,27,5,Specialty,3,0,0,480.0,49.26,529.26,34.0,495.26,0.0,19.2,13.6,0,0,0,0,2022-12-16
RX0000017794,MBR00000486,2021-08-12,2021-08-13,1363476907,1915197171,PLN5540,549540,PCN653,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,1,Retail,0,0,0,45.0,9.26,54.26,0.0,52.6,1.66,1.8,1.275,0,0,0,0,2021-09-11
RX0000017795,MBR00000486,2023-05-08,2023-05-12,1697502108,1770101049,PLN6090,230128,PCN722,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,31,6,Mail Order,0,0,0,11.0,2.44,13.44,6.0,6.94,0.5,0.44,0.3117,0,0,0,0,2023-06-07
RX0000017796,MBR00000486,2023-08-16,2023-08-19,1224367619,1109726386,PLN7784,127106,PCN259,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,0,Retail,0,0,0,38.0,7.35,45.35,38.0,4.27,3.08,1.52,1.0767,0,0,0,0,2023-09-15
RX0000017797,MBR00000486,2022-08-04,2022-08-07,1884570537,1875392327,PLN3381,350741,PCN776,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,5,LTC,0,0,0,950.0,10.44,960.44,35.0,866.71,58.73,38.0,26.9167,0,0,0,0,2022-09-03
RX0000017798,MBR00000486,2023-08-18,2023-08-22,1531649711,1540926251,PLN4417,220710,PCN506,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,7,Retail,0,0,0,38.0,3.87,41.87,35.0,4.68,2.19,1.52,1.0767,0,0,0,0,2023-09-17
RX0000017799,MBR00000487,2021-12-22,2021-12-26,1218664346,1342864307,PLN9724,569923,PCN658,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,29,7,Retail,0,0,0,8.5,1.96,10.46,9.0,0.98,0.48,0.34,0.2408,0,0,0,0,2022-01-21
RX0000017800,MBR00000487,2022-11-14,2022-11-15,1906825171,1450728820,PLN5579,548284,PCN157,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,92,5,Retail,1,0,0,930.0,5.85,935.85,38.0,846.27,51.58,12.4,8.7833,0,0,0,0,2023-02-12
RX0000017801,MBR00000487,2023-03-08,2023-03-09,1278162011,1149534643,PLN8259,179458,PCN750,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,Retail,0,0,0,22.0,3.43,25.43,10.0,14.64,0.79,0.88,0.6233,0,0,0,0,2023-04-07
RX0000017802,MBR00000487,2021-05-25,2021-05-27,1862713411,1812993211,PLN3347,345935,PCN908,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,6,Retail,0,0,0,45.0,1.51,46.51,6.0,37.7,2.81,1.8,1.275,0,0,0,0,2021-06-24
RX0000017803,MBR00000487,2021-07-16,2021-07-18,1384098198,1676246158,PLN6988,638865,PCN845,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,55,5,Retail,0,0,0,24.0,8.3,32.3,8.0,23.13,1.17,0.48,0.34,0,0,0,0,2021-09-14
RX0000017804,MBR00000487,2022-03-26,2022-03-30,1567380796,1354710218,PLN4652,119317,PCN423,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,9,Retail,2,0,0,12.0,7.04,19.04,2.0,15.85,1.19,0.48,0.34,0,0,0,0,2022-04-25
RX0000017805,MBR00000487,2021-07-05,2021-07-08,1574202544,1489272374,PLN3465,808406,PCN685,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,91,7,Retail,0,0,0,30.0,11.7,41.7,9.0,31.17,1.53,0.4,0.2833,0,1,0,0,2021-10-03
RX0000017806,MBR00000487,2023-06-07,2023-06-09,1692419815,1413545379,PLN4641,659426,PCN688,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,11,Retail,3,1,0,6200.0,10.61,6210.61,151.0,5688.39,371.22,248.0,175.6667,0,0,0,0,2023-07-07
RX0000017807,MBR00000487,2023-06-16,2023-06-20,1899514476,1377493618,PLN2732,837936,PCN287,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,8,Retail,0,0,0,3.5,7.57,11.07,5.0,5.56,0.51,0.6,0.425,0,0,0,0,2023-06-23
RX0000017808,MBR00000487,2022-01-02,2022-01-03,1962384247,1400942625,PLN5684,132622,PCN969,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,27,6,Retail,0,0,0,11.0,11.81,22.81,1.0,20.64,1.17,0.44,0.3117,0,0,0,0,2022-02-01
RX0000017809,MBR00000487,2021-03-21,2021-03-24,1738078581,1246901914,PLN3116,525303,PCN702,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,7,6,3,Retail,0,0,0,43.17,6.57,49.74,36.0,10.66,3.08,7.4,5.2417,0,0,0,0,2021-03-28
RX0000017810,MBR00000487,2022-07-07,2022-07-09,1151556832,1128844094,PLN3752,104279,PCN221,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,3,Retail,0,0,0,7.5,5.84,13.34,9.0,3.75,0.59,0.3,0.2125,0,0,0,0,2022-08-06
RX0000017811,MBR00000487,2023-11-15,2023-11-16,1654425301,1700613487,PLN6144,842768,PCN554,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,31,3,Retail,0,0,0,38.0,5.32,43.32,32.0,8.49,2.83,1.52,1.0767,0,0,0,0,2023-12-15
RX0000017812,MBR00000487,2021-02-25,2021-02-28,1228645747,1795096122,PLN1205,104391,PCN820,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,81,11,Retail,3,0,0,42.0,11.89,53.89,5.0,45.5,3.39,0.56,0.3967,0,0,0,0,2021-05-26
RX0000017813,MBR00000487,2022-05-28,2022-05-31,1984807815,1774878633,PLN3638,660151,PCN643,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,27,4,Retail,0,1,0,8.0,9.14,17.14,153.0,0.0,0.81,0.32,0.2267,0,0,0,0,2022-06-27
RX0000017814,MBR00000487,2023-09-20,2023-09-23,1288721922,1254310398,PLN5434,969302,PCN588,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,3,Retail,0,0,0,185.0,11.19,196.19,32.0,156.67,7.52,7.4,5.2417,0,0,0,0,2023-10-20
RX0000017815,MBR00000487,2023-03-12,2023-03-13,1913514138,1862603910,PLN2384,416593,PCN926,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,1,Specialty,0,0,0,330.0,42.64,372.64,37.0,335.64,0.0,13.2,9.35,1,0,0,0,2023-04-11
RX0000017816,MBR00000487,2023-09-17,2023-09-20,1850824356,1264808246,PLN7699,254562,PCN100,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,7,Retail,0,0,0,950.0,3.8,953.8,32.0,865.78,56.02,38.0,26.9167,0,0,0,0,2023-10-17
RX0000017817,MBR00000487,2022-05-28,2022-05-29,1918210037,1281326569,PLN1675,786443,PCN311,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,1,Retail,0,0,0,12.0,2.94,14.94,4.0,10.0,0.94,0.48,0.34,0,0,0,0,2022-06-27
RX0000017818,MBR00000487,2022-01-24,2022-01-25,1464410688,1652380232,PLN8641,898912,PCN268,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,0,Retail,0,0,0,3.5,3.49,6.99,5.0,1.73,0.26,0.6,0.425,0,0,0,0,2022-01-31
RX0000017819,MBR00000487,2023-01-09,2023-01-12,1461467040,1446189784,PLN6088,862788,PCN104,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,32,5,Mail Order,0,0,0,18.0,10.79,28.79,32.0,0.0,1.98,0.72,0.51,0,0,0,0,2023-02-08
RX0000017820,MBR00000487,2021-10-07,2021-10-09,1382621548,1619150901,PLN3880,328885,PCN881,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,90,86,7,Retail,0,0,0,525.0,8.2,533.2,33.0,478.26,21.94,7.0,4.9583,0,0,0,0,2022-01-05
RX0000017821,MBR00000487,2023-04-26,2023-04-27,1174663949,1616634727,PLN5389,756621,PCN490,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,32,6,Mail Order,0,0,0,9.0,1.73,10.73,7.0,3.3,0.43,0.36,0.255,0,0,0,0,2023-05-26
RX0000017822,MBR00000487,2022-04-15,2022-04-18,1992463897,1229672524,PLN8560,407564,PCN401,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,7,2,Mail Order,0,0,0,4.2,4.98,9.18,8.0,0.82,0.36,0.72,0.51,0,0,0,0,2022-04-22
RX0000017823,MBR00000487,2021-12-28,2021-12-30,1471568409,1365488219,PLN2351,562277,PCN317,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,86,0,Mail Order,2,0,0,30.0,1.55,31.55,6.0,24.55,1.0,0.4,0.2833,0,0,0,0,2022-03-28
RX0000017824,MBR00000487,2022-08-02,2022-08-05,1200540801,1426439459,PLN1754,781956,PCN938,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,1,Retail,0,0,0,14.0,2.06,16.06,10.0,5.38,0.68,0.56,0.3967,0,0,0,0,2022-09-01
RX0000017825,MBR00000487,2022-08-04,2022-08-06,1496974055,1210574945,PLN6134,951291,PCN963,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,84,0,Retail,0,0,0,1440.0,10.37,1450.37,38.0,1314.63,97.74,19.2,13.6,0,0,0,0,2022-11-02
RX0000017826,MBR00000487,2021-11-16,2021-11-20,1720460846,1196492316,PLN1803,468966,PCN574,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,27,4,Retail,0,0,0,185.0,5.06,190.06,33.0,145.69,11.37,7.4,5.2417,0,0,0,0,2021-12-16
RX0000017827,MBR00000487,2023-02-23,2023-02-26,1182125289,1905293896,PLN4707,562780,PCN884,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,5,Mail Order,0,0,0,18.0,5.69,23.69,31.0,0.0,1.26,0.72,0.51,0,0,0,0,2023-03-25
RX0000017828,MBR00000487,2021-01-13,2021-01-15,1151827375,1972971924,PLN2724,231434,PCN951,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,0,Retail,0,0,0,15.0,2.58,17.58,9.0,7.37,1.21,0.6,0.425,0,1,0,0,2021-02-12
RX0000017829,MBR00000487,2023-06-20,2023-06-23,1946711748,1854252200,PLN8389,747785,PCN193,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,90,0,Specialty,3,0,0,1110.0,41.02,1151.02,36.0,1115.02,0.0,14.8,10.4833,0,0,0,0,2023-09-18
RX0000017830,MBR00000487,2022-05-04,2022-05-07,1234778765,1918364723,PLN3592,129306,PCN204,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,55,1,Retail,0,0,0,32.0,7.81,39.81,5.0,32.17,2.64,0.64,0.4533,1,0,0,0,2022-07-03
RX0000017831,MBR00000487,2022-10-30,2022-11-01,1295028969,1503648296,PLN7762,639147,PCN171,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,83,0,Specialty,0,0,0,36.0,46.78,82.78,3.0,79.78,0.0,0.48,0.34,0,0,0,0,2023-01-28
RX0000017832,MBR00000487,2021-05-11,2021-05-12,1946824755,1630913027,PLN6708,142179,PCN995,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,29,7,Retail,0,0,0,320.0,6.99,326.99,40.0,271.56,15.43,12.8,9.0667,0,0,0,0,2021-06-10
RX0000017833,MBR00000488,2022-05-13,2022-05-16,1654839110,1545555089,PLN9139,564805,PCN444,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,30,4,Retail,0,0,0,10.0,5.98,15.98,3.0,11.88,1.1,0.4,0.2833,0,0,0,0,2022-06-12
RX0000017834,MBR00000488,2022-06-26,2022-06-29,1767046254,1545246533,PLN7481,767598,PCN966,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,60,1,Retail,1,0,0,1300.0,4.09,1304.09,38.0,1187.97,78.12,26.0,18.4167,0,0,0,0,2022-08-25
RX0000017835,MBR00000488,2023-10-13,2023-10-15,1421187703,1324974132,PLN3022,165570,PCN547,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,4,Retail,0,0,0,38.0,2.41,40.41,2.0,35.85,2.56,1.52,1.0767,0,0,0,0,2023-11-12
RX0000017836,MBR00000488,2022-02-11,2022-02-13,1739408241,1728097275,PLN6177,542426,PCN441,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,5,Retail,2,0,0,330.0,4.7,334.7,37.0,276.16,21.54,13.2,9.35,0,1,1,0,2022-03-13
RX0000017837,MBR00000488,2022-10-30,2022-10-31,1997355820,1386302346,PLN8143,524915,PCN506,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,93,10,Mail Order,0,1,0,36.0,3.12,39.12,152.0,0.0,2.57,0.48,0.34,0,0,0,0,2023-01-28
RX0000017838,MBR00000488,2021-10-25,2021-10-27,1696902400,1247524020,PLN5461,151643,PCN573,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,27,4,Retail,0,0,0,950.0,3.8,953.8,35.0,865.28,53.52,38.0,26.9167,0,0,0,0,2021-11-24
RX0000017839,MBR00000488,2021-02-20,2021-02-24,1157661410,1516043681,PLN1136,336132,PCN702,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,5,Mail Order,0,0,0,18.0,3.76,21.76,0.0,20.79,0.97,0.72,0.51,0,0,0,0,2021-03-22
RX0000017840,MBR00000488,2022-04-11,2022-04-13,1806202378,1449401982,PLN9919,523921,PCN978,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,0,0,0,330.0,1.73,331.73,37.0,273.17,21.56,13.2,9.35,0,0,0,0,2022-05-11
RX0000017841,MBR00000488,2021-03-20,2021-03-23,1698372042,1552473705,PLN3313,793638,PCN488,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,27,7,Retail,0,0,0,310.0,11.58,321.58,40.0,267.43,14.15,12.4,8.7833,0,0,0,0,2021-04-19
RX0000017842,MBR00000488,2022-11-18,2022-11-21,1498041308,1771503953,PLN1581,157709,PCN208,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,81,5,Mail Order,0,0,0,30.0,6.64,36.64,6.0,28.12,2.52,0.4,0.2833,0,0,0,0,2023-02-16
RX0000017843,MBR00000488,2021-06-16,2021-06-20,1667443486,1796549305,PLN3766,780417,PCN314,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,6,4,Retail,0,0,0,8.87,7.59,16.45,4.0,11.42,1.03,1.52,1.0767,0,0,0,0,2021-06-23
RX0000017844,MBR00000488,2022-04-22,2022-04-24,1746211758,1931041200,PLN6397,523002,PCN184,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,62,6,Retail,0,0,0,90.0,2.46,92.46,9.0,78.68,4.78,1.8,1.275,0,0,0,0,2022-06-21
RX0000017845,MBR00000488,2022-05-22,2022-05-23,1985435314,1239509420,PLN2186,284327,PCN696,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,28,8,Retail,0,0,0,10.0,7.79,17.79,6.0,10.63,1.16,0.4,0.2833,0,0,0,0,2022-06-21
RX0000017846,MBR00000488,2022-09-02,2022-09-05,1254066667,1803847904,PLN4473,300080,PCN685,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,6,Retail,0,0,0,7.5,2.82,10.32,4.0,6.0,0.32,0.3,0.2125,0,0,0,0,2022-10-02
RX0000017847,MBR00000488,2023-09-19,2023-09-21,1387697493,1118854557,PLN9001,161960,PCN802,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,55,9,Specialty,0,0,0,56.0,46.98,102.98,3.0,99.98,0.0,1.12,0.7933,0,0,0,0,2023-11-18
RX0000017848,MBR00000488,2023-09-29,2023-10-03,1153791159,1846715611,PLN3822,306461,PCN641,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,1,Retail,0,0,0,18.0,10.55,28.55,38.0,0.0,0.9,0.72,0.51,0,0,0,0,2023-10-29
RX0000017849,MBR00000488,2021-08-11,2021-08-13,1478401374,1420391229,PLN9959,407945,PCN389,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,11,Mail Order,0,0,0,650.0,9.15,659.15,37.0,584.05,38.1,26.0,18.4167,0,1,1,0,2021-09-10
RX0000017850,MBR00000488,2023-01-27,2023-01-28,1937004190,1500970523,PLN2478,166296,PCN907,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,85,8,Retail,0,0,0,37.5,9.4,46.9,4.0,40.42,2.48,0.5,0.3542,0,0,0,0,2023-04-27
RX0000017851,MBR00000488,2023-10-29,2023-10-30,1853540743,1835375808,PLN8917,974773,PCN566,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,0,Retail,0,1,0,8500.0,3.75,8503.75,154.0,8081.88,267.87,340.0,240.8333,0,0,0,0,2023-11-28
RX0000017852,MBR00000489,2022-12-09,2022-12-13,1532841560,1133392202,PLN3587,941249,PCN429,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,11,Specialty,0,0,0,18.0,45.94,63.94,9.0,54.94,0.0,0.72,0.51,0,0,0,0,2023-01-08
RX0000017853,MBR00000489,2023-12-03,2023-12-06,1432713601,1331474933,PLN6806,971210,PCN760,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,27,8,Specialty,0,0,0,750.0,15.64,765.64,32.0,733.64,0.0,30.0,21.25,0,0,0,0,2024-01-02
RX0000017854,MBR00000489,2022-07-01,2022-07-05,1548066332,1737516462,PLN6599,563550,PCN141,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,32,10,Retail,0,0,0,185.0,1.81,186.81,36.0,139.66,11.15,7.4,5.2417,0,0,0,0,2022-07-31
RX0000017855,MBR00000489,2021-11-13,2021-11-17,1513205064,1302478713,PLN9409,860034,PCN576,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,9,Mail Order,3,0,0,950.0,8.92,958.92,31.0,890.19,37.73,38.0,26.9167,0,0,0,0,2021-12-13
RX0000017856,MBR00000489,2023-03-26,2023-03-28,1336579238,1161031163,PLN6336,540735,PCN758,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,60,63,3,Retail,0,0,0,640.0,7.04,647.04,33.0,570.52,43.52,12.8,9.0667,0,0,0,0,2023-05-25
RX0000017857,MBR00000489,2022-08-10,2022-08-14,1375785881,1178878818,PLN3222,827440,PCN958,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,28,0,LTC,0,0,0,45.0,11.83,56.83,2.0,52.38,2.45,1.8,1.275,0,0,0,0,2022-09-09
RX0000017858,MBR00000489,2022-12-31,2023-01-01,1408560436,1637286156,PLN5444,600312,PCN836,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,5,Retail,3,0,0,320.0,7.11,327.11,36.0,275.16,15.95,12.8,9.0667,1,0,0,0,2023-01-30
RX0000017859,MBR00000489,2022-02-18,2022-02-22,1892754236,1521141798,PLN1138,872693,PCN316,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,27,3,Retail,0,0,0,15.0,5.97,20.97,4.0,16.06,0.91,0.6,0.425,0,0,0,0,2022-03-20
RX0000017860,MBR00000489,2023-06-07,2023-06-10,1857580956,1795283281,PLN5576,595014,PCN180,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,94,2,Retail,0,0,0,45.0,11.0,56.0,1.0,52.51,2.49,0.6,0.425,0,0,0,0,2023-09-05
RX0000017861,MBR00000489,2021-02-21,2021-02-25,1126976475,1656710346,PLN2455,103350,PCN416,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,84,2,Mail Order,0,0,0,66.0,4.5,70.5,5.0,62.12,3.38,0.88,0.6233,0,0,0,0,2021-05-22
RX0000017862,MBR00000489,2021-06-04,2021-06-05,1474479934,1627981657,PLN9479,332986,PCN845,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,9,Retail,1,0,0,650.0,2.04,652.04,32.0,586.51,33.53,26.0,18.4167,0,0,0,0,2021-07-04
RX0000017863,MBR00000489,2021-06-23,2021-06-26,1456418561,1340511787,PLN7593,867060,PCN200,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,54,11,Retail,0,0,0,36.0,2.9,38.9,5.0,32.35,1.55,0.72,0.51,0,0,0,0,2021-08-22
RX0000017864,MBR00000489,2021-11-15,2021-11-19,1319262266,1766014439,PLN3433,259911,PCN414,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,95,6,Retail,0,0,0,855.0,1.83,856.83,38.0,775.34,43.49,11.4,8.075,0,0,0,0,2022-02-13
RX0000017865,MBR00000489,2022-12-29,2022-12-31,1538187371,1859764001,PLN5744,697264,PCN507,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,60,54,3,Retail,1,0,0,20.0,6.11,26.11,6.0,18.53,1.58,0.4,0.2833,0,0,0,0,2023-02-27
RX0000017866,MBR00000489,2022-07-11,2022-07-13,1136523997,1248885705,PLN1095,967258,PCN724,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,31,0,Retail,0,0,0,18.0,3.49,21.49,4.0,16.67,0.82,0.72,0.51,0,0,0,0,2022-08-10
RX0000017867,MBR00000489,2023-06-11,2023-06-13,1799625535,1825463037,PLN8721,269864,PCN212,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,0,Mail Order,0,0,0,380.0,3.82,383.82,34.0,333.6,16.22,15.2,10.7667,0,0,0,0,2023-07-11
RX0000017868,MBR00000489,2023-09-03,2023-09-04,1791465914,1934928710,PLN2524,277524,PCN408,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,60,62,2,Retail,0,0,0,15.0,11.5,26.5,1.0,24.34,1.16,0.3,0.2125,0,0,0,0,2023-11-02
RX0000017869,MBR00000489,2022-02-19,2022-02-22,1187426261,1992749188,PLN5521,655276,PCN981,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,84,8,Retail,0,0,0,36.0,6.2,42.2,6.0,34.37,1.83,0.48,0.34,0,0,0,0,2022-05-20
RX0000017870,MBR00000489,2021-04-23,2021-04-24,1355660360,1240051761,PLN1434,722878,PCN342,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,7,7,9,Retail,0,0,0,3.27,3.72,6.99,1.0,5.56,0.43,0.56,0.3967,0,0,0,0,2021-04-30
RX0000017871,MBR00000489,2022-03-09,2022-03-11,1337445380,1492066695,PLN8533,567399,PCN989,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,28,6,Mail Order,0,0,0,480.0,6.05,486.05,33.0,420.55,32.5,19.2,13.6,1,0,0,0,2022-04-08
RX0000017872,MBR00000489,2021-04-22,2021-04-23,1141205521,1453403097,PLN8875,756752,PCN882,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,5,Retail,0,0,0,12.0,1.6,13.6,9.0,3.86,0.74,0.48,0.34,0,0,0,0,2021-05-22
RX0000017873,MBR00000489,2023-12-01,2023-12-05,1423295721,1593911128,PLN4982,807174,PCN422,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,29,6,Retail,0,0,0,650.0,10.59,660.59,37.0,591.3,32.29,26.0,18.4167,0,0,0,0,2023-12-31
RX0000017874,MBR00000489,2022-04-16,2022-04-20,1465736727,1287861261,PLN5400,294820,PCN321,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,7,Retail,0,0,0,88.67,7.99,96.65,32.0,58.29,6.36,15.2,10.7667,0,0,0,0,2022-04-23
RX0000017875,MBR00000489,2023-02-27,2023-03-01,1447409864,1944119730,PLN4999,130523,PCN604,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,95,7,Mail Order,0,0,0,195.0,2.07,197.07,31.0,154.92,11.15,2.6,1.8417,0,0,0,0,2023-05-28
RX0000017876,MBR00000489,2023-03-20,2023-03-24,1167359404,1800239520,PLN9227,811839,PCN461,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,5,Mail Order,0,1,0,8500.0,10.38,8510.38,150.0,8008.85,351.53,340.0,240.8333,1,0,0,0,2023-04-19
RX0000017877,MBR00000489,2021-01-31,2021-02-04,1107951784,1918229302,PLN1095,824803,PCN663,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,7,6,5,Retail,0,0,0,3.5,5.76,9.26,5.0,3.75,0.51,0.6,0.425,0,0,0,0,2021-02-07
RX0000017878,MBR00000489,2023-02-13,2023-02-16,1295715666,1599339945,PLN6741,296098,PCN788,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,63,3,Retail,0,0,0,130.0,2.08,132.08,31.0,94.88,6.2,2.6,1.8417,0,0,0,0,2023-04-14
RX0000017879,MBR00000489,2022-03-13,2022-03-17,1894933081,1862263659,PLN7615,756523,PCN690,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,30,0,Retail,2,0,0,12.0,11.04,23.04,10.0,11.87,1.17,0.48,0.34,0,0,0,0,2022-04-12
RX0000017880,MBR00000489,2023-07-12,2023-07-14,1489639261,1807779488,PLN6265,886141,PCN676,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,90,86,5,Retail,0,0,0,22.5,2.31,24.81,8.0,15.82,0.99,0.3,0.2125,0,0,0,0,2023-10-10
RX0000017881,MBR00000489,2022-11-16,2022-11-17,1237639832,1520480885,PLN8081,505544,PCN909,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,7,Retail,0,0,0,480.0,3.25,483.25,36.0,417.15,30.1,19.2,13.6,0,0,0,0,2022-12-16
RX0000017882,MBR00000489,2023-11-01,2023-11-05,1860762017,1510912454,PLN7074,463073,PCN784,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,6,Retail,0,0,1,9.0,8.4,17.4,1.0,15.65,0.75,0.36,0.255,0,0,0,0,2023-12-01
RX0000017883,MBR00000489,2022-01-20,2022-01-22,1761352765,1191082022,PLN4566,698881,PCN934,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,83,1,Retail,0,0,0,30.0,9.35,39.35,8.0,29.13,2.22,0.4,0.2833,0,0,0,0,2022-04-20
RX0000017884,MBR00000489,2021-06-22,2021-06-23,1990623224,1179739822,PLN9795,994492,PCN991,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,10,Mail Order,0,0,0,380.0,4.04,384.04,37.0,330.32,16.72,15.2,10.7667,0,0,0,0,2021-07-22
RX0000017885,MBR00000489,2023-08-23,2023-08-25,1865166721,1206948007,PLN3258,700075,PCN664,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,8,Mail Order,0,0,0,45.0,9.27,54.27,4.0,46.71,3.56,1.8,1.275,0,0,0,0,2023-09-22
RX0000017886,MBR00000489,2023-03-16,2023-03-18,1293954389,1276853093,PLN9355,759650,PCN764,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,63,7,Retail,0,0,0,22.0,5.94,27.94,4.0,22.61,1.33,0.44,0.3117,0,0,0,0,2023-05-15
RX0000017887,MBR00000489,2023-08-28,2023-08-29,1748027144,1399080287,PLN3323,630949,PCN281,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,86,9,Retail,1,0,0,27.0,8.37,35.37,6.0,27.98,1.39,0.36,0.255,0,0,0,0,2023-11-26
RX0000017888,MBR00000489,2022-04-20,2022-04-21,1330275980,1111018238,PLN3654,521892,PCN139,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,84,0,Mail Order,0,0,0,45.0,1.75,46.75,10.0,34.84,1.91,0.6,0.425,0,0,0,0,2022-07-19
RX0000017889,MBR00000489,2022-06-08,2022-06-10,1425943687,1533402665,PLN7189,932735,PCN702,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,97,9,Mail Order,0,0,0,48.0,6.27,54.27,1.0,49.87,3.4,0.64,0.4533,0,0,0,0,2022-09-06
RX0000017890,MBR00000489,2021-01-11,2021-01-12,1925264505,1881049161,PLN2366,251876,PCN571,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,95,10,Specialty,3,0,0,37.5,49.89,87.39,0.0,87.39,0.0,0.5,0.3542,0,0,0,0,2021-04-11
RX0000017891,MBR00000489,2021-06-23,2021-06-26,1400039085,1787084509,PLN5640,491022,PCN875,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,7,Mail Order,0,0,0,14.0,6.44,20.44,3.0,16.51,0.93,0.56,0.3967,0,0,0,0,2021-07-23
RX0000017892,MBR00000489,2022-12-13,2022-12-14,1785343467,1892416895,PLN8292,786498,PCN507,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,11,Mail Order,0,0,0,45.0,5.02,50.02,9.0,39.1,1.92,1.8,1.275,0,0,0,0,2023-01-12
RX0000017893,MBR00000490,2021-05-20,2021-05-23,1898475074,1380002176,PLN1535,758392,PCN419,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,3,Retail,0,1,0,12.0,3.09,15.09,145.0,0.0,0.63,0.48,0.34,0,0,0,0,2021-06-19
RX0000017894,MBR00000490,2023-08-03,2023-08-04,1529827616,1201595179,PLN4734,961586,PCN139,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,27,11,Retail,2,1,0,8500.0,10.11,8510.11,152.0,7883.93,474.18,340.0,240.8333,0,0,0,0,2023-09-02
RX0000017895,MBR00000490,2022-06-17,2022-06-19,1366092475,1967523198,PLN2186,968915,PCN830,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,96,10,Retail,0,0,0,555.0,6.45,561.45,38.0,501.86,21.59,7.4,5.2417,0,1,1,0,2022-09-15
RX0000017896,MBR00000490,2021-04-14,2021-04-18,1325774110,1117987328,PLN8097,516424,PCN717,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,60,2,Retail,0,0,0,36.0,6.98,42.98,36.0,5.58,1.4,0.72,0.51,0,0,0,0,2021-06-13
RX0000017897,MBR00000490,2023-05-25,2023-05-29,1656376718,1874277887,PLN1210,132952,PCN631,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,27,9,Specialty,0,0,0,45.0,23.45,68.45,10.0,58.45,0.0,1.8,1.275,0,0,0,0,2023-06-24
RX0000017898,MBR00000490,2022-05-21,2022-05-25,1922984290,1404573140,PLN4803,819265,PCN255,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,87,3,Retail,0,0,0,555.0,8.66,563.66,36.0,489.71,37.95,7.4,5.2417,0,0,0,0,2022-08-19
RX0000017899,MBR00000490,2021-02-26,2021-02-28,1234729096,1627262075,PLN9068,983378,PCN209,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,86,2,Specialty,1,0,0,66.0,24.59,90.59,65.0,25.59,0.0,0.88,0.6233,0,0,0,0,2021-05-27
RX0000017900,MBR00000490,2022-07-26,2022-07-28,1933248075,1540687753,PLN8614,801291,PCN409,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,97,2,Mail Order,1,0,0,48.0,2.51,50.51,4.0,44.12,2.39,0.64,0.4533,1,0,0,0,2022-10-24
RX0000017901,MBR00000490,2023-11-23,2023-11-25,1651220048,1728319268,PLN9593,713438,PCN796,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,31,2,Specialty,0,0,0,7.5,45.71,53.21,1.0,52.21,0.0,0.3,0.2125,0,0,0,0,2023-12-23
RX0000017902,MBR00000490,2022-03-17,2022-03-18,1857155805,1309043478,PLN8554,862509,PCN738,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,5,Retail,0,0,0,9.0,9.6,18.6,5.0,12.4,1.2,0.36,0.255,0,0,0,0,2022-04-16
RX0000017903,MBR00000490,2022-12-31,2023-01-01,1514040975,1602555461,PLN4984,149764,PCN803,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,81,9,Retail,0,1,0,18600.0,2.82,18602.82,145.0,17757.32,700.5,248.0,175.6667,1,0,0,0,2023-03-31
RX0000017904,MBR00000490,2023-01-03,2023-01-07,1775806408,1596235176,PLN8519,883151,PCN784,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,10,Mail Order,0,0,0,5.13,5.8,10.94,1.0,9.18,0.76,0.88,0.6233,0,0,0,0,2023-01-10
RX0000017905,MBR00000490,2021-09-18,2021-09-21,1596156625,1162007248,PLN8805,243247,PCN237,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,54,1,Retail,0,0,0,1300.0,7.46,1307.46,31.0,1215.11,61.35,26.0,18.4167,0,0,0,0,2021-11-17
RX0000017906,MBR00000490,2023-06-30,2023-07-02,1755608266,1107988046,PLN1704,782887,PCN486,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,5,Retail,0,0,0,38.0,3.1,41.1,33.0,6.85,1.25,1.52,1.0767,0,0,0,0,2023-07-30
RX0000017907,MBR00000490,2023-12-19,2023-12-22,1929832570,1238901093,PLN3099,324120,PCN709,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,31,7,Retail,0,0,0,9.0,1.77,10.77,0.0,10.36,0.41,0.36,0.255,0,0,0,0,2024-01-18
RX0000017908,MBR00000490,2021-06-07,2021-06-11,1149442248,1467537784,PLN9103,764460,PCN749,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,28,8,Retail,0,0,0,10.0,11.14,21.14,5.0,15.39,0.75,0.4,0.2833,0,0,0,0,2021-07-07
RX0000017909,MBR00000490,2022-12-03,2022-12-04,1868342171,1120968836,PLN8330,829659,PCN180,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,92,11,LTC,0,0,0,25.5,11.31,36.81,9.0,26.03,1.78,0.34,0.2408,0,0,0,0,2023-03-03
RX0000017910,MBR00000490,2022-05-02,2022-05-03,1106765558,1966606035,PLN5724,932767,PCN714,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,81,9,Mail Order,0,0,0,555.0,11.48,566.48,34.0,514.41,18.07,7.4,5.2417,0,0,0,0,2022-07-31
RX0000017911,MBR00000490,2021-10-28,2021-10-30,1707234073,1144679491,PLN3791,801400,PCN403,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,28,6,Retail,0,0,0,8.5,3.13,11.63,7.0,3.83,0.8,0.34,0.2408,0,0,0,0,2021-11-27
RX0000017912,MBR00000490,2022-10-10,2022-10-13,1365103881,1228559900,PLN1256,533647,PCN182,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,82,3,Retail,0,0,0,36.0,7.8,43.8,5.0,36.33,2.47,0.48,0.34,0,1,0,0,2023-01-08
RX0000017913,MBR00000490,2022-08-08,2022-08-11,1956537022,1337192419,PLN3245,257288,PCN667,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,86,2,LTC,0,0,0,1440.0,10.98,1450.98,33.0,1351.86,66.12,19.2,13.6,0,0,0,0,2022-11-06
RX0000017914,MBR00000490,2023-09-15,2023-09-17,1628380445,1259320433,PLN7529,994821,PCN370,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,9,Specialty,0,0,0,8.87,8.15,17.02,3.0,14.02,0.0,1.52,1.0767,0,0,0,0,2023-09-22
RX0000017915,MBR00000490,2023-08-04,2023-08-08,1878931498,1216833713,PLN2811,190384,PCN953,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,11,Retail,0,0,0,2.33,10.71,13.04,7.0,5.26,0.78,0.4,0.2833,0,0,0,0,2023-08-11
RX0000017916,MBR00000490,2022-06-11,2022-06-15,1732262214,1367595357,PLN5028,998117,PCN554,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,93,9,Mail Order,0,0,0,25.5,2.23,27.73,0.0,26.33,1.4,0.34,0.2408,0,0,0,0,2022-09-09
RX0000017917,MBR00000490,2021-08-22,2021-08-25,1579446659,1140102983,PLN2849,930594,PCN611,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,30,10,Retail,0,0,0,11.0,9.5,20.5,5.0,14.85,0.65,0.44,0.3117,0,0,0,0,2021-09-21
RX0000017918,MBR00000490,2022-09-10,2022-09-12,1299281449,1319096692,PLN4644,958334,PCN986,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,60,62,1,Retail,0,0,0,36.0,4.87,40.87,3.0,35.52,2.35,0.72,0.51,0,0,0,0,2022-11-09
RX0000017919,MBR00000491,2021-05-02,2021-05-04,1363169401,1759442632,PLN8054,139148,PCN880,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,32,8,Retail,0,0,0,22.0,5.74,27.74,8.0,18.81,0.93,0.88,0.6233,0,0,0,0,2021-06-01
RX0000017920,MBR00000491,2021-07-24,2021-07-26,1554196415,1213980344,PLN1034,326273,PCN884,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,32,7,Specialty,0,0,0,9.0,17.31,26.31,1.0,25.31,0.0,0.36,0.255,0,0,0,0,2021-08-23
RX0000017921,MBR00000491,2023-08-04,2023-08-06,1586921926,1100446847,PLN6137,188624,PCN655,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,7,Retail,0,0,0,12.0,11.95,23.95,2.0,21.16,0.79,0.48,0.34,0,0,0,0,2023-09-03
RX0000017922,MBR00000491,2022-11-01,2022-11-05,1814857319,1159563225,PLN4747,379895,PCN547,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,32,2,Retail,0,0,0,38.0,7.07,45.07,5.0,37.53,2.54,1.52,1.0767,0,0,0,0,2022-12-01
RX0000017923,MBR00000491,2021-11-22,2021-11-24,1624240070,1794784920,PLN8229,105921,PCN851,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,98,0,Retail,0,0,0,42.0,11.65,53.65,5.0,46.62,2.03,0.56,0.3967,0,0,0,0,2022-02-20
RX0000017924,MBR00000491,2021-03-21,2021-03-22,1742521189,1832251506,PLN5678,814148,PCN914,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,28,2,Mail Order,3,0,0,38.0,6.37,44.37,6.0,36.22,2.15,1.52,1.0767,0,0,0,0,2021-04-20
RX0000017925,MBR00000491,2023-01-08,2023-01-12,1750826523,1302134722,PLN1759,719451,PCN277,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,27,10,Retail,0,0,0,320.0,11.65,331.65,40.0,274.83,16.82,12.8,9.0667,0,0,0,0,2023-02-07
RX0000017926,MBR00000491,2021-02-26,2021-03-02,1426556498,1117522741,PLN2627,349470,PCN929,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,30,9,Specialty,0,0,0,330.0,11.09,341.09,39.0,302.09,0.0,13.2,9.35,0,1,1,0,2021-03-28
RX0000017927,MBR00000491,2023-05-09,2023-05-13,1432990989,1606098140,PLN2904,222145,PCN471,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,7,7,3,Mail Order,0,0,1,112.0,10.46,122.46,37.0,79.23,6.23,19.2,13.6,0,0,0,0,2023-05-16
RX0000017928,MBR00000491,2022-07-03,2022-07-06,1665642047,1792795077,PLN6483,605864,PCN602,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,89,4,Retail,0,0,0,114.0,1.69,115.69,10.0,98.76,6.93,1.52,1.0767,0,0,0,0,2022-10-01
RX0000017929,MBR00000491,2022-07-26,2022-07-28,1824536581,1803548637,PLN7202,327482,PCN135,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,9,Retail,0,0,0,38.0,11.79,49.79,1.0,46.06,2.73,1.52,1.0767,0,0,0,0,2022-08-25
RX0000017930,MBR00000491,2021-01-04,2021-01-06,1748168459,1200325315,PLN8438,407462,PCN257,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,60,65,11,Specialty,2,0,0,1300.0,23.94,1323.94,39.0,1284.94,0.0,26.0,18.4167,0,0,0,0,2021-03-05
RX0000017931,MBR00000491,2022-10-01,2022-10-05,1403577739,1226610288,PLN1299,727433,PCN170,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,90,85,2,Retail,0,0,0,54.0,7.73,61.73,9.0,49.25,3.48,0.72,0.51,0,0,0,0,2022-12-30
RX0000017932,MBR00000491,2022-08-06,2022-08-09,1243398649,1542114406,PLN6442,959396,PCN807,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,85,11,Retail,0,0,0,30.0,9.16,39.16,7.0,29.72,2.44,0.4,0.2833,0,0,0,0,2022-11-04
RX0000017933,MBR00000491,2022-02-06,2022-02-07,1569177381,1820560634,PLN5425,926928,PCN496,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,90,0,Retail,0,0,0,2850.0,9.07,2859.07,36.0,2696.39,126.68,38.0,26.9167,0,0,0,0,2022-05-07
RX0000017934,MBR00000491,2021-03-04,2021-03-07,1988257110,1255917915,PLN6810,497714,PCN276,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,3,Retail,0,0,0,650.0,10.5,660.5,39.0,590.36,31.14,26.0,18.4167,0,0,0,0,2021-04-03
RX0000017935,MBR00000491,2021-03-19,2021-03-21,1990812322,1171262460,PLN6037,622356,PCN532,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,11,Mail Order,0,0,0,18.0,6.56,24.56,32.0,0.0,0.74,0.72,0.51,0,0,0,0,2021-04-18
RX0000017936,MBR00000491,2021-12-24,2021-12-27,1253378168,1645718477,PLN5474,731915,PCN172,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,60,55,6,Retail,0,0,0,28.0,3.58,31.58,5.0,24.97,1.61,0.56,0.3967,0,0,0,0,2022-02-22
RX0000017937,MBR00000491,2022-08-08,2022-08-11,1961966756,1911381622,PLN4895,209355,PCN709,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,59,2,Retail,2,0,0,30.0,9.06,39.06,7.0,30.07,1.99,0.6,0.425,0,0,0,0,2022-10-07
RX0000017938,MBR00000491,2023-06-01,2023-06-03,1695884878,1365093532,PLN3960,458203,PCN715,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,7,Retail,0,0,0,480.0,4.32,484.32,33.0,434.59,16.73,19.2,13.6,0,0,0,0,2023-07-01
RX0000017939,MBR00000491,2023-11-20,2023-11-22,1928165798,1369543768,PLN5536,622209,PCN664,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,1,Retail,0,0,0,10.0,9.1,19.1,6.0,12.02,1.08,0.4,0.2833,0,0,0,0,2023-12-20
RX0000017940,MBR00000491,2021-12-02,2021-12-03,1467658041,1530170823,PLN8433,394049,PCN398,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,60,58,11,Retail,0,0,0,30.0,10.42,40.42,2.0,35.93,2.49,0.6,0.425,0,0,0,0,2022-01-31
RX0000017941,MBR00000491,2022-05-22,2022-05-23,1195085431,1757377800,PLN2258,313831,PCN143,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,28,5,Retail,0,0,0,11.0,3.84,14.84,2.0,12.18,0.66,0.44,0.3117,0,0,0,0,2022-06-21
RX0000017942,MBR00000491,2023-05-08,2023-05-12,1922873744,1367670952,PLN7422,473187,PCN512,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,31,5,Retail,0,0,0,650.0,4.7,654.7,32.0,598.27,24.43,26.0,18.4167,0,0,0,0,2023-06-07
RX0000017943,MBR00000491,2021-05-25,2021-05-28,1875607645,1609620394,PLN1582,581885,PCN984,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,85,2,Mail Order,3,0,0,2850.0,8.27,2858.27,36.0,2629.47,192.8,38.0,26.9167,0,0,0,0,2021-08-23
RX0000017944,MBR00000491,2022-03-11,2022-03-13,1705781040,1503445589,PLN6651,670969,PCN158,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,82,2,Retail,0,1,0,18600.0,2.95,18602.95,152.0,17434.94,1016.01,248.0,175.6667,0,0,0,0,2022-06-09
RX0000017945,MBR00000491,2021-02-03,2021-02-04,1530717767,1156864732,PLN6360,565586,PCN357,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,86,6,Retail,0,0,0,33.0,8.77,41.77,7.0,33.45,1.32,0.44,0.3117,0,0,0,0,2021-05-04
RX0000017946,MBR00000491,2022-04-16,2022-04-18,1859190796,1813961213,PLN3908,518679,PCN607,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,29,6,Retail,0,0,0,12.5,6.09,18.59,5.0,12.8,0.79,0.5,0.3542,0,0,0,0,2022-05-16
RX0000017947,MBR00000491,2023-02-11,2023-02-14,1672005293,1350824352,PLN4561,717143,PCN765,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,3,Retail,0,0,0,16.0,2.62,18.62,0.0,17.35,1.27,0.64,0.4533,0,0,0,0,2023-03-13
RX0000017948,MBR00000491,2022-07-12,2022-07-14,1851591457,1910976746,PLN7878,941062,PCN833,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,27,5,Mail Order,0,0,0,10.0,9.78,19.78,9.0,9.73,1.05,0.4,0.2833,0,1,0,0,2022-08-11
RX0000017949,MBR00000491,2022-11-01,2022-11-03,1396138445,1633462995,PLN6764,783901,PCN895,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,1,Mail Order,0,0,0,38.0,8.6,46.6,37.0,7.5,2.1,1.52,1.0767,0,0,0,0,2022-12-01
RX0000017950,MBR00000491,2022-11-30,2022-12-01,1372408082,1172007256,PLN3677,831422,PCN857,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,30,3,Retail,0,0,0,9.0,6.83,15.83,8.0,7.05,0.78,0.36,0.255,0,0,0,0,2022-12-30
RX0000017951,MBR00000491,2022-10-30,2022-11-01,1261969485,1813658967,PLN6969,187870,PCN708,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,31,1,Retail,0,0,0,10.0,10.3,20.3,5.0,13.93,1.37,0.4,0.2833,0,0,0,0,2022-11-29
RX0000017952,MBR00000491,2023-06-30,2023-07-03,1916666501,1242064788,PLN1218,854046,PCN551,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,10,Retail,0,0,0,10.0,3.01,13.01,2.0,10.17,0.84,0.4,0.2833,0,0,0,0,2023-07-30
RX0000017953,MBR00000491,2021-10-25,2021-10-28,1426882555,1688118901,PLN3030,521841,PCN465,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,89,0,Mail Order,0,0,0,30.0,9.09,39.09,2.0,35.33,1.76,0.4,0.2833,0,0,0,0,2022-01-23
RX0000017954,MBR00000491,2021-09-30,2021-10-01,1525329519,1347239478,PLN3218,945948,PCN818,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,7,Retail,0,0,0,10.0,2.31,12.31,10.0,1.75,0.56,0.4,0.2833,0,0,0,0,2021-10-30
RX0000017955,MBR00000491,2021-11-09,2021-11-12,1894793546,1706889336,PLN5561,839868,PCN898,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,30,0,Retail,0,0,1,45.0,10.31,55.31,9.0,43.42,2.89,1.8,1.275,0,0,0,0,2021-12-09
RX0000017956,MBR00000491,2023-06-02,2023-06-06,1123809799,1564612695,PLN8414,322724,PCN420,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,94,8,Retail,0,0,0,36.0,8.77,44.77,9.0,34.13,1.64,0.48,0.34,0,0,0,0,2023-08-31
RX0000017957,MBR00000491,2023-02-17,2023-02-19,1446777512,1525094625,PLN5702,740319,PCN800,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,1,Mail Order,0,0,0,370.0,9.9,379.9,30.0,327.45,22.45,14.8,10.4833,1,0,0,0,2023-03-19
RX0000017958,MBR00000491,2022-10-24,2022-10-26,1484306267,1952877380,PLN1594,217619,PCN633,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,31,10,Retail,0,0,0,9.0,7.86,16.86,3.0,12.97,0.89,0.36,0.255,0,0,0,0,2022-11-23
RX0000017959,MBR00000491,2022-05-22,2022-05-26,1889425285,1857617567,PLN8404,914342,PCN346,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,30,31,9,Specialty,3,0,0,12.5,38.17,50.67,10.0,40.67,0.0,0.5,0.3542,0,0,0,0,2022-06-21
RX0000017960,MBR00000491,2021-12-13,2021-12-14,1684854943,1443148781,PLN4651,805401,PCN155,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,60,64,10,Specialty,0,0,0,90.0,46.17,136.17,10.0,126.17,0.0,1.8,1.275,0,0,0,0,2022-02-11
RX0000017961,MBR00000491,2023-06-25,2023-06-29,1662821047,1675434519,PLN8784,130482,PCN375,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,31,11,Retail,0,1,0,6200.0,9.83,6209.83,145.0,5682.09,382.74,248.0,175.6667,0,0,0,0,2023-07-25
RX0000017962,MBR00000491,2023-01-29,2023-01-30,1699973310,1379955205,PLN4995,531034,PCN787,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,0,Mail Order,0,1,0,1983.33,2.02,1985.35,154.0,1743.69,87.66,340.0,240.8333,0,0,0,0,2023-02-05
RX0000017963,MBR00000492,2022-03-06,2022-03-07,1232748662,1134436742,PLN3564,196155,PCN703,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,2,Retail,0,0,0,45.0,9.03,54.03,3.0,49.32,1.71,1.8,1.275,0,0,0,0,2022-04-05
RX0000017964,MBR00000492,2023-02-14,2023-02-16,1513952392,1640481574,PLN3740,860826,PCN554,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,7,Retail,0,0,0,370.0,2.77,372.77,30.0,320.46,22.31,14.8,10.4833,0,0,0,0,2023-03-16
RX0000017965,MBR00000492,2022-09-22,2022-09-23,1411513735,1658997527,PLN5866,814381,PCN817,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,60,56,0,Retail,2,0,0,760.0,7.27,767.27,35.0,684.68,47.59,15.2,10.7667,0,0,0,0,2022-11-21
RX0000017966,MBR00000492,2023-12-14,2023-12-18,1207130249,1370974516,PLN1360,578852,PCN157,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,95,7,Retail,1,0,0,36.0,6.22,42.22,6.0,33.56,2.66,0.48,0.34,0,0,0,0,2024-03-13
RX0000017967,MBR00000492,2021-09-17,2021-09-21,1640037446,1382193814,PLN2036,184245,PCN676,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,28,3,Retail,0,0,0,15.0,6.93,21.93,4.0,17.14,0.79,0.6,0.425,0,0,0,0,2021-10-17
RX0000017968,MBR00000492,2023-11-20,2023-11-23,1371776307,1199795672,PLN3806,936727,PCN867,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,8,Mail Order,0,0,0,10.5,3.8,14.3,0.0,13.45,0.85,1.8,1.275,0,0,0,0,2023-11-27
RX0000017969,MBR00000492,2023-03-16,2023-03-18,1253374869,1339913207,PLN6569,488166,PCN727,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,90,97,2,Retail,0,0,0,33.0,3.01,36.01,3.0,31.8,1.21,0.44,0.3117,0,0,0,0,2023-06-14
RX0000017970,MBR00000492,2021-12-06,2021-12-07,1416693868,1605862205,PLN7550,534777,PCN663,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,31,10,LTC,1,0,0,22.0,4.36,26.36,71.0,0.0,0.79,0.88,0.6233,1,0,0,0,2022-01-05
RX0000017971,MBR00000492,2023-05-31,2023-06-01,1577237673,1766987796,PLN9191,710991,PCN992,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,2,Mail Order,0,1,0,12.0,9.38,21.38,145.0,0.0,1.4,0.48,0.34,0,0,0,0,2023-06-30
RX0000017972,MBR00000492,2023-01-20,2023-01-24,1580603868,1319573084,PLN9371,606758,PCN418,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,30,1,Retail,0,0,0,38.0,10.28,48.28,35.0,10.52,2.76,1.52,1.0767,1,0,0,0,2023-02-19
RX0000017973,MBR00000492,2021-09-09,2021-09-13,1216068213,1517856767,PLN8120,771775,PCN804,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,94,9,Mail Order,0,0,0,37.5,2.48,39.98,1.0,37.42,1.56,0.5,0.3542,0,0,0,0,2021-12-08
RX0000017974,MBR00000492,2021-05-03,2021-05-04,1588252031,1950721279,PLN2280,347523,PCN101,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,31,8,Mail Order,2,0,0,750.0,7.62,757.62,36.0,679.15,42.47,30.0,21.25,0,0,0,0,2021-06-02
RX0000017975,MBR00000492,2023-03-09,2023-03-11,1372752952,1638412189,PLN5524,634505,PCN572,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,27,9,Retail,0,0,0,11.0,9.23,20.23,9.0,10.45,0.78,0.44,0.3117,0,0,0,0,2023-04-08
RX0000017976,MBR00000492,2022-07-10,2022-07-12,1350168071,1752860692,PLN1043,838631,PCN415,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,10,Retail,0,0,0,18.0,9.24,27.24,34.0,0.0,1.64,0.72,0.51,0,0,0,0,2022-08-09
RX0000017977,MBR00000492,2022-01-08,2022-01-11,1753812680,1402244991,PLN7949,984150,PCN553,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,89,4,Retail,0,0,0,1440.0,3.82,1443.82,35.0,1357.83,50.99,19.2,13.6,0,0,0,0,2022-04-08
RX0000017978,MBR00000492,2023-11-05,2023-11-06,1460834474,1317319299,PLN9696,642291,PCN274,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,90,96,2,Retail,0,0,0,84.0,3.57,87.57,5.0,77.48,5.09,1.12,0.7933,0,0,0,0,2024-02-03
RX0000017979,MBR00000492,2023-02-07,2023-02-08,1543241205,1607609782,PLN4827,421510,PCN690,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,31,2,Retail,0,0,0,11.0,3.1,14.1,10.0,3.34,0.76,0.44,0.3117,0,0,0,0,2023-03-09
RX0000017980,MBR00000492,2021-01-01,2021-01-04,1787168275,1610284439,PLN4228,772531,PCN834,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,83,0,Retail,0,0,0,30.0,2.51,32.51,10.0,21.41,1.1,0.4,0.2833,0,0,0,0,2021-04-01
RX0000017981,MBR00000492,2021-12-09,2021-12-10,1950339115,1964828877,PLN2739,870887,PCN638,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,28,5,Retail,0,0,0,9.0,8.07,17.07,4.0,12.17,0.9,0.36,0.255,1,0,0,0,2022-01-08
RX0000017982,MBR00000492,2021-09-01,2021-09-03,1590218058,1965441148,PLN2695,350840,PCN247,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,7,7,5,Mail Order,1,0,0,10.5,6.31,16.81,2.0,13.85,0.96,1.8,1.275,0,0,0,0,2021-09-08
RX0000017983,MBR00000492,2022-04-19,2022-04-22,1908437801,1246639068,PLN2575,758146,PCN258,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,4,Specialty,0,0,0,4.2,48.45,52.65,35.0,17.65,0.0,0.72,0.51,0,0,0,0,2022-04-26
RX0000017984,MBR00000492,2022-04-20,2022-04-24,1437475910,1999363436,PLN9883,982594,PCN252,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,7,6,4,Retail,0,0,0,10.5,5.67,16.17,1.0,14.55,0.62,1.8,1.275,0,0,0,0,2022-04-27
RX0000017985,MBR00000492,2023-04-06,2023-04-09,1131442928,1470152445,PLN5305,637779,PCN585,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,90,86,9,Retail,1,0,0,45.0,10.04,55.04,10.0,41.55,3.49,0.6,0.425,0,0,0,0,2023-07-05
RX0000017986,MBR00000492,2023-03-03,2023-03-05,1951318969,1480307880,PLN9679,966196,PCN755,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,88,1,Retail,2,0,0,1110.0,7.77,1117.77,32.0,1018.66,67.11,14.8,10.4833,0,0,0,0,2023-06-01
RX0000017987,MBR00000492,2022-07-11,2022-07-12,1582021903,1429857526,PLN3202,595751,PCN237,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,88,5,Retail,2,0,1,2850.0,11.99,2861.99,36.0,2700.77,125.22,38.0,26.9167,0,0,0,0,2022-10-09
RX0000017988,MBR00000492,2023-10-05,2023-10-06,1370874812,1124750438,PLN6244,534295,PCN771,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,91,0,Retail,0,0,0,960.0,10.34,970.34,39.0,875.59,55.75,12.8,9.0667,0,0,0,0,2024-01-03
RX0000017989,MBR00000492,2021-04-06,2021-04-09,1226101983,1919168046,PLN5658,642858,PCN548,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,28,6,Retail,0,1,0,2800.0,3.59,2803.59,154.0,2545.58,104.01,112.0,79.3333,0,0,0,0,2021-05-06
RX0000017990,MBR00000492,2023-03-21,2023-03-22,1134854450,1565446966,PLN2015,822316,PCN188,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,7,7,11,Retail,1,0,0,88.67,11.15,99.82,36.0,57.46,6.36,15.2,10.7667,0,0,0,0,2023-03-28
RX0000017991,MBR00000492,2022-08-23,2022-08-24,1172123592,1770537802,PLN6828,641528,PCN386,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,60,55,8,Retail,0,0,0,22.0,5.08,27.08,6.0,20.2,0.88,0.44,0.3117,0,0,0,0,2022-10-22
RX0000017992,MBR00000492,2021-08-31,2021-09-04,1845312576,1226810616,PLN9135,642819,PCN211,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,82,5,Mail Order,0,0,0,54.0,5.34,59.34,10.0,47.34,2.0,0.72,0.51,0,0,0,0,2021-11-29
RX0000017993,MBR00000492,2022-10-24,2022-10-27,1679493633,1465918339,PLN2712,317599,PCN693,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,4,Retail,0,0,0,7.5,9.66,17.16,9.0,7.33,0.83,0.3,0.2125,0,0,0,0,2022-11-23
RX0000017994,MBR00000492,2022-04-20,2022-04-23,1404587104,1899829413,PLN9605,543833,PCN558,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,98,0,Specialty,0,0,0,36.0,13.68,49.68,10.0,39.68,0.0,0.48,0.34,0,0,0,0,2022-07-19
RX0000017995,MBR00000492,2022-08-10,2022-08-12,1570591750,1421534327,PLN7721,178363,PCN924,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,30,5,Mail Order,0,0,0,175.0,11.64,186.64,40.0,134.37,12.27,7.0,4.9583,0,0,0,0,2022-09-09
RX0000017996,MBR00000492,2022-05-02,2022-05-05,1664297741,1114879452,PLN3180,862190,PCN901,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,90,85,10,Retail,0,0,0,1110.0,4.88,1114.88,31.0,1030.15,53.73,14.8,10.4833,1,0,0,0,2022-07-31
RX0000017997,MBR00000492,2021-07-02,2021-07-06,1586007730,1752260870,PLN5083,542680,PCN800,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,90,94,9,Mail Order,0,0,0,930.0,10.65,940.65,40.0,870.12,30.53,12.4,8.7833,0,0,0,0,2021-09-30
RX0000017998,MBR00000492,2022-06-30,2022-07-02,1279543475,1472677929,PLN6194,172690,PCN723,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,84,5,Retail,0,0,0,30.0,7.77,37.77,9.0,26.32,2.45,0.4,0.2833,0,0,0,0,2022-09-28
RX0000017999,MBR00000492,2022-07-01,2022-07-05,1489188947,1922030610,PLN6370,719382,PCN718,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,94,6,Retail,0,0,0,25.5,8.75,34.25,8.0,24.89,1.36,0.34,0.2408,1,0,0,0,2022-09-29
RX0000018000,MBR00000492,2022-11-20,2022-11-23,1841863320,1564068301,PLN8720,132028,PCN662,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,91,1,Retail,0,0,0,27.0,2.85,29.85,2.0,26.78,1.07,0.36,0.255,0,0,0,0,2023-02-18
RX0000018001,MBR00000492,2021-11-09,2021-11-13,1396149698,1597090470,PLN3501,241438,PCN460,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,30,29,7,Specialty,0,0,0,9.0,49.36,58.36,1.0,57.36,0.0,0.36,0.255,0,0,0,0,2021-12-09
RX0000018002,MBR00000492,2023-06-02,2023-06-05,1321670574,1740711433,PLN2097,605752,PCN884,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,32,11,Retail,0,0,0,10.0,9.46,19.46,2.0,16.14,1.32,0.4,0.2833,0,0,0,0,2023-07-02
RX0000018003,MBR00000492,2021-03-30,2021-04-01,1996998287,1821956069,PLN8789,140310,PCN192,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,86,11,LTC,0,0,0,36.0,9.83,45.83,7.0,37.36,1.47,0.48,0.34,0,0,0,0,2021-06-28
RX0000018004,MBR00000492,2021-01-05,2021-01-07,1351810457,1213618053,PLN7405,918517,PCN485,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,90,98,1,Retail,0,1,0,24.0,10.23,34.23,147.0,0.0,2.39,0.32,0.2267,0,0,0,0,2021-04-05
RX0000018005,MBR00000492,2021-11-09,2021-11-12,1624177996,1163216260,PLN6392,968062,PCN447,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,32,0,Retail,3,1,0,12.0,9.3,21.3,148.0,0.0,0.95,0.48,0.34,0,0,0,0,2021-12-09
RX0000018006,MBR00000492,2021-07-27,2021-07-30,1855632451,1930008982,PLN9753,334876,PCN790,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,82,1,Retail,0,0,0,27.0,10.65,37.65,7.0,28.75,1.9,0.36,0.255,0,0,0,0,2021-10-25
RX0000018007,MBR00000492,2022-08-30,2022-08-31,1842060266,1469024922,PLN6516,957575,PCN397,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,11,Mail Order,0,0,0,8.87,3.05,11.92,3.0,8.17,0.75,1.52,1.0767,0,0,0,0,2022-09-06
RX0000018008,MBR00000492,2023-09-28,2023-10-01,1238019602,1345094312,PLN3462,500301,PCN383,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,7,Retail,0,0,0,380.0,6.76,386.76,34.0,333.04,19.72,15.2,10.7667,0,1,1,0,2023-10-28
RX0000018009,MBR00000492,2023-10-12,2023-10-13,1922621752,1201569958,PLN5281,599752,PCN513,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,94,2,Retail,0,0,0,855.0,3.36,858.36,34.0,770.01,54.35,11.4,8.075,1,0,0,0,2024-01-10
RX0000018010,MBR00000493,2023-03-11,2023-03-12,1308206831,1896214579,PLN6138,787341,PCN562,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,89,0,LTC,0,0,0,33.0,1.61,34.61,3.0,29.75,1.86,0.44,0.3117,0,0,0,0,2023-06-09
RX0000018011,MBR00000493,2021-02-05,2021-02-08,1191952977,1968375172,PLN4655,889300,PCN480,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,5,Mail Order,0,0,0,22.0,5.91,27.91,3.0,23.46,1.45,0.88,0.6233,0,0,0,0,2021-03-07
RX0000018012,MBR00000493,2023-02-27,2023-02-28,1643860901,1803615303,PLN4343,333373,PCN517,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,60,57,4,Retail,0,0,0,130.0,3.87,133.87,30.0,96.18,7.69,2.6,1.8417,0,0,0,0,2023-04-28
RX0000018013,MBR00000493,2023-07-08,2023-07-12,1812025758,1159192383,PLN1537,605653,PCN156,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,60,10,Mail Order,0,0,0,20.0,2.15,22.15,0.0,21.02,1.13,0.4,0.2833,0,0,0,0,2023-09-06
RX0000018014,MBR00000493,2023-04-06,2023-04-10,1361463664,1582180424,PLN9015,434789,PCN293,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,7,Specialty,2,0,0,380.0,49.76,429.76,37.0,392.76,0.0,15.2,10.7667,1,0,0,0,2023-05-06
RX0000018015,MBR00000493,2023-03-16,2023-03-19,1487475787,1274943963,PLN2876,474506,PCN971,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,2,Retail,0,1,0,2800.0,2.86,2802.86,147.0,2551.17,104.69,112.0,79.3333,0,0,0,0,2023-04-15
RX0000018016,MBR00000493,2022-11-14,2022-11-18,1334696482,1480315248,PLN7779,278104,PCN909,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,82,8,Retail,0,0,0,27.0,10.89,37.89,7.0,29.55,1.34,0.36,0.255,0,0,0,0,2023-02-12
RX0000018017,MBR00000493,2022-05-09,2022-05-12,1994314621,1246192752,PLN9242,151409,PCN870,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,7,6,10,Retail,0,1,0,653.33,6.6,659.93,145.0,484.7,30.23,112.0,79.3333,0,0,0,0,2022-05-16
RX0000018018,MBR00000493,2021-02-12,2021-02-15,1417426870,1439292017,PLN7207,969279,PCN230,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,60,63,0,Retail,0,0,0,76.0,11.02,87.02,2.0,80.76,4.26,1.52,1.0767,0,0,0,0,2021-04-13
RX0000018019,MBR00000493,2021-01-14,2021-01-18,1884216220,1443171322,PLN5398,224387,PCN470,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,85,2,Specialty,0,0,0,27.0,39.66,66.66,1.0,65.66,0.0,0.36,0.255,0,0,0,0,2021-04-14
RX0000018020,MBR00000493,2021-07-12,2021-07-15,1479994741,1859611461,PLN9761,429182,PCN165,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,27,1,Retail,0,0,0,28.0,7.4,35.4,8.0,24.92,2.48,1.12,0.7933,0,0,0,0,2021-08-11
RX0000018021,MBR00000493,2023-06-17,2023-06-18,1738677585,1119239076,PLN8043,440469,PCN707,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,87,11,Retail,1,0,0,54.0,2.59,56.59,4.0,49.5,3.09,0.72,0.51,0,0,0,0,2023-09-15
RX0000018022,MBR00000493,2022-04-27,2022-04-30,1545189090,1979821506,PLN8436,370077,PCN178,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,90,94,8,Specialty,3,0,0,54.0,37.27,91.27,39.0,52.27,0.0,0.72,0.51,0,0,0,0,2022-07-26
RX0000018023,MBR00000493,2022-03-30,2022-04-03,1560692260,1197072684,PLN4082,664832,PCN799,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,60,62,10,Retail,0,0,0,620.0,9.88,629.88,37.0,559.17,33.71,12.4,8.7833,0,0,0,0,2022-05-29
RX0000018024,MBR00000493,2023-07-07,2023-07-08,1200362623,1650485883,PLN2505,464183,PCN835,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,90,95,7,Mail Order,0,0,0,54.0,4.62,58.62,3.0,51.73,3.89,0.72,0.51,0,0,0,0,2023-10-05
RX0000018025,MBR00000493,2023-04-28,2023-04-30,1469572471,1508065266,PLN8837,957482,PCN164,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,29,10,Retail,0,0,0,10.0,1.51,11.51,7.0,3.79,0.72,0.4,0.2833,0,0,0,0,2023-05-28
RX0000018026,MBR00000493,2022-11-20,2022-11-21,1521483266,1715447102,PLN9490,840412,PCN381,00378395205,Trazodone 50mg,Desyrel,Antidepressants,N06A,1,30,32,5,Mail Order,0,0,0,11.0,5.45,16.45,5.0,10.31,1.14,0.44,0.3117,0,0,0,0,2022-12-20
RX0000018027,MBR00000493,2023-10-22,2023-10-26,1598562987,1184126357,PLN4986,957790,PCN142,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,7,Retail,0,0,0,380.0,3.45,383.45,33.0,336.26,14.19,15.2,10.7667,0,0,0,0,2023-11-21
RX0000018028,MBR00000493,2022-11-22,2022-11-23,1161497049,1797051094,PLN3070,135949,PCN138,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,31,3,Retail,0,1,0,2800.0,6.18,2806.18,151.0,2569.32,85.86,112.0,79.3333,0,0,0,0,2022-12-22
RX0000018029,MBR00000493,2022-04-20,2022-04-23,1923706034,1712658238,PLN8161,364608,PCN742,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,7,7,3,Retail,0,0,0,4.2,7.01,11.21,31.0,0.0,0.55,0.72,0.51,0,0,0,0,2022-04-27
RX0000018030,MBR00000493,2022-03-08,2022-03-09,1442071706,1617677597,PLN4538,956043,PCN821,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,330.0,8.22,338.22,38.0,282.64,17.58,13.2,9.35,0,0,0,0,2022-04-07
RX0000018031,MBR00000493,2021-03-10,2021-03-13,1292215261,1209011477,PLN1095,438969,PCN439,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,30,11,Retail,0,0,0,10.0,6.39,16.39,4.0,11.84,0.55,0.4,0.2833,0,0,0,0,2021-04-09
RX0000018032,MBR00000493,2021-11-25,2021-11-28,1464821728,1310392237,PLN5119,841803,PCN884,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,32,2,LTC,0,0,0,14.0,4.66,18.66,4.0,13.84,0.82,0.56,0.3967,0,0,0,0,2021-12-25
RX0000018033,MBR00000493,2022-08-09,2022-08-10,1867954873,1213713193,PLN9850,210040,PCN340,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,90,82,1,Retail,0,0,0,990.0,7.03,997.03,40.0,923.9,33.13,13.2,9.35,0,0,0,0,2022-11-07
RX0000018034,MBR00000493,2021-07-04,2021-07-05,1477114782,1742341768,PLN4225,302225,PCN564,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,87,7,Retail,0,0,0,114.0,5.62,119.62,9.0,106.15,4.47,1.52,1.0767,1,0,0,0,2021-10-02
RX0000018035,MBR00000493,2022-11-06,2022-11-09,1991336506,1468345942,PLN3406,708178,PCN658,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,10,Retail,0,0,0,22.0,7.85,29.85,4.0,24.92,0.93,0.88,0.6233,0,0,0,0,2022-12-06
RX0000018036,MBR00000493,2022-04-26,2022-04-30,1913899903,1605936145,PLN1107,345689,PCN620,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,10,Retail,0,0,0,22.0,10.06,32.06,74.0,0.0,1.45,0.88,0.6233,0,0,0,0,2022-05-26
RX0000018037,MBR00000493,2021-10-21,2021-10-22,1275392521,1236010524,PLN2536,420292,PCN672,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,8,Retail,0,0,0,310.0,4.72,314.72,32.0,263.11,19.61,12.4,8.7833,0,0,0,0,2021-11-20
RX0000018038,MBR00000493,2022-01-18,2022-01-22,1646792356,1241245666,PLN4585,264463,PCN785,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,87,5,Retail,0,0,0,27.0,7.58,34.58,5.0,27.73,1.85,0.36,0.255,0,0,0,0,2022-04-18
RX0000018039,MBR00000493,2021-11-28,2021-11-29,1377986299,1165300214,PLN6904,395665,PCN302,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,93,7,Retail,0,1,0,36.0,10.84,46.84,150.0,0.0,2.09,0.48,0.34,0,0,0,0,2022-02-26
RX0000018040,MBR00000493,2022-03-15,2022-03-19,1294589764,1879750315,PLN1269,231721,PCN188,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,7,6,7,Retail,0,0,0,5.13,2.83,7.96,71.0,0.0,0.54,0.88,0.6233,0,0,0,0,2022-03-22
RX0000018041,MBR00000493,2021-09-12,2021-09-13,1471790754,1952986773,PLN7554,441230,PCN931,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,88,0,Retail,0,0,0,2250.0,1.83,2251.83,31.0,2146.45,74.38,30.0,21.25,0,0,0,0,2021-12-11
RX0000018042,MBR00000493,2022-03-13,2022-03-16,1551986067,1874159826,PLN5657,498295,PCN326,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,2,Retail,0,0,0,10.0,6.68,16.68,5.0,11.05,0.63,0.4,0.2833,0,0,0,0,2022-04-12
RX0000018043,MBR00000493,2022-01-18,2022-01-21,1867957901,1171313238,PLN9214,968589,PCN150,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,84,4,LTC,2,0,0,114.0,9.29,123.29,2.0,117.52,3.77,1.52,1.0767,0,0,0,0,2022-04-18
RX0000018044,MBR00000493,2022-09-08,2022-09-09,1194222435,1280251307,PLN1087,125046,PCN539,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,28,2,Retail,0,0,0,320.0,9.19,329.19,39.0,269.84,20.35,12.8,9.0667,0,0,0,0,2022-10-08
RX0000018045,MBR00000493,2023-07-25,2023-07-26,1608033431,1229464488,PLN4066,608220,PCN520,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,32,10,Retail,2,0,0,28.0,4.1,32.1,5.0,25.98,1.12,1.12,0.7933,0,0,0,0,2023-08-24
RX0000018046,MBR00000493,2022-02-25,2022-03-01,1688912223,1360149789,PLN1760,719838,PCN797,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,7,6,10,Retail,3,0,0,2.33,8.4,10.74,9.0,1.36,0.38,0.4,0.2833,0,0,0,0,2022-03-04
RX0000018047,MBR00000493,2023-11-14,2023-11-15,1550786951,1787179379,PLN3211,916414,PCN173,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,32,11,Retail,0,0,0,650.0,5.7,655.7,36.0,578.23,41.47,26.0,18.4167,1,0,0,0,2023-12-14
RX0000018048,MBR00000493,2023-03-23,2023-03-24,1352194643,1975800352,PLN5101,128822,PCN586,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,9,Retail,0,0,0,18.0,8.9,26.9,35.0,0.0,1.76,0.72,0.51,0,0,0,0,2023-04-22
RX0000018049,MBR00000493,2022-10-26,2022-10-30,1852134779,1152001767,PLN3590,579750,PCN951,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,27,10,Retail,0,0,0,7.5,9.03,16.53,2.0,13.67,0.86,0.3,0.2125,0,0,0,0,2022-11-25
RX0000018050,MBR00000493,2021-12-08,2021-12-09,1882970629,1249674097,PLN6868,215508,PCN564,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,31,2,Mail Order,3,0,0,480.0,8.61,488.61,35.0,437.55,16.06,19.2,13.6,0,0,0,0,2022-01-07
RX0000018051,MBR00000493,2022-05-08,2022-05-10,1907756612,1616988339,PLN7383,462533,PCN369,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,0,Mail Order,0,0,0,380.0,5.37,385.37,34.0,332.68,18.69,15.2,10.7667,0,0,0,0,2022-06-07
RX0000018052,MBR00000493,2023-03-03,2023-03-04,1908832408,1520271750,PLN3841,254956,PCN119,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,32,11,Retail,0,0,0,175.0,9.06,184.06,33.0,142.27,8.79,7.0,4.9583,0,0,0,0,2023-04-02
RX0000018053,MBR00000493,2022-04-13,2022-04-15,1271583463,1503423811,PLN4208,826652,PCN885,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,90,94,6,Retail,0,0,0,33.0,11.67,44.67,8.0,33.76,2.91,0.44,0.3117,0,0,0,0,2022-07-12
RX0000018054,MBR00000493,2023-01-03,2023-01-05,1344185745,1597123393,PLN6347,373720,PCN367,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,90,93,3,Retail,0,0,0,36.0,10.78,46.78,0.0,45.14,1.64,0.48,0.34,0,0,0,0,2023-04-03
RX0000018055,MBR00000493,2022-04-21,2022-04-22,1673487729,1533080625,PLN8261,728094,PCN123,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,30,27,4,Retail,0,1,0,2800.0,4.42,2804.42,147.0,2474.14,183.28,112.0,79.3333,0,0,0,0,2022-05-21
RX0000018056,MBR00000493,2023-09-11,2023-09-13,1513099904,1718681161,PLN5170,221752,PCN479,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,64,3,Retail,3,0,0,32.0,4.58,36.58,5.0,30.41,1.17,0.64,0.4533,1,0,0,0,2023-11-10
RX0000018057,MBR00000493,2021-02-09,2021-02-10,1890446972,1943206433,PLN1266,178867,PCN626,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,90,87,10,Mail Order,0,0,0,48.0,3.23,51.23,2.0,47.14,2.09,0.64,0.4533,0,0,0,0,2021-05-10
RX0000018058,MBR00000493,2022-07-19,2022-07-22,1153923536,1645169159,PLN3298,458136,PCN862,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,31,7,Retail,2,0,0,14.0,1.82,15.82,5.0,9.9,0.92,0.56,0.3967,0,0,0,0,2022-08-18
RX0000018059,MBR00000493,2022-04-13,2022-04-17,1307187090,1578752829,PLN9220,927779,PCN769,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,9,Retail,0,1,0,8500.0,8.95,8508.95,154.0,7887.73,467.22,340.0,240.8333,0,0,0,0,2022-05-13
RX0000018060,MBR00000493,2022-10-22,2022-10-24,1374869713,1787000553,PLN1664,158351,PCN896,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,29,1,Retail,0,0,0,14.0,4.5,18.5,0.0,17.82,0.68,0.56,0.3967,0,0,0,0,2022-11-21
RX0000018061,MBR00000493,2021-08-17,2021-08-20,1357042083,1474579471,PLN9170,551481,PCN530,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,7,7,9,Retail,2,0,0,86.33,5.52,91.86,37.0,50.05,4.81,14.8,10.4833,0,0,0,0,2021-08-24
RX0000018062,MBR00000493,2021-11-24,2021-11-27,1534862831,1342067835,PLN9032,763967,PCN393,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,1,Retail,0,0,0,370.0,10.03,380.03,36.0,331.83,12.2,14.8,10.4833,0,0,0,0,2021-12-24
RX0000018063,MBR00000494,2023-08-12,2023-08-14,1156488613,1173084494,PLN9153,117474,PCN722,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,28,7,Retail,0,0,0,185.0,5.58,190.58,39.0,144.47,7.11,7.4,5.2417,0,0,0,0,2023-09-11
RX0000018064,MBR00000494,2021-07-12,2021-07-16,1483541467,1763595944,PLN8210,457988,PCN782,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,30,27,1,Mail Order,0,0,0,16.0,6.64,22.64,2.0,19.87,0.77,0.64,0.4533,0,0,0,0,2021-08-11
RX0000018065,MBR00000494,2021-04-18,2021-04-19,1203880388,1758132723,PLN2166,107688,PCN347,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,27,6,Retail,0,0,0,18.0,3.97,21.97,8.0,12.85,1.12,0.72,0.51,0,0,0,0,2021-05-18
RX0000018066,MBR00000494,2022-05-05,2022-05-07,1871700034,1575003444,PLN7081,541257,PCN471,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,27,6,Retail,0,0,0,10.0,5.9,15.9,10.0,5.29,0.61,0.4,0.2833,0,0,0,0,2022-06-04
RX0000018067,MBR00000494,2022-01-13,2022-01-15,1381232965,1685991269,PLN1553,648257,PCN458,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,28,7,Retail,0,0,0,12.0,9.25,21.25,10.0,10.12,1.13,0.48,0.34,0,0,0,0,2022-02-12
RX0000018068,MBR00000494,2021-12-09,2021-12-10,1756680241,1981348711,PLN3792,131390,PCN436,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,6,Retail,0,0,0,12.0,5.03,17.03,6.0,10.17,0.86,0.48,0.34,0,0,0,0,2022-01-08
RX0000018069,MBR00000494,2022-07-16,2022-07-20,1809119301,1192052014,PLN3668,316128,PCN815,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,7,Retail,0,0,0,14.0,10.97,24.97,4.0,19.24,1.73,0.56,0.3967,0,1,0,0,2022-08-15
RX0000018070,MBR00000494,2022-01-03,2022-01-05,1248050504,1696811748,PLN7186,505287,PCN137,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,3,Retail,0,0,0,370.0,4.53,374.53,40.0,313.0,21.53,14.8,10.4833,0,0,0,0,2022-02-02
RX0000018071,MBR00000494,2022-03-01,2022-03-02,1494630781,1416185804,PLN8035,392024,PCN419,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,28,6,Retail,0,0,0,310.0,11.44,321.44,33.0,275.02,13.42,12.4,8.7833,0,0,0,0,2022-03-31
RX0000018072,MBR00000494,2021-07-01,2021-07-03,1787168711,1956400725,PLN1316,420179,PCN524,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,90,0,Specialty,0,0,0,30.0,25.74,55.74,7.0,48.74,0.0,0.4,0.2833,0,0,0,0,2021-09-29
RX0000018073,MBR00000494,2023-09-13,2023-09-16,1644054250,1641686408,PLN3148,590732,PCN264,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,90,97,4,Retail,3,0,0,960.0,8.99,968.99,37.0,881.14,50.85,12.8,9.0667,0,0,0,0,2023-12-12
RX0000018074,MBR00000494,2022-10-18,2022-10-21,1686600464,1432760366,PLN2389,571353,PCN252,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,5,Retail,0,0,0,22.0,9.64,31.64,66.0,0.0,1.51,0.88,0.6233,0,0,0,0,2022-11-17
RX0000018075,MBR00000494,2023-12-15,2023-12-16,1679929926,1534519764,PLN5918,916518,PCN918,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,83,10,Retail,0,1,0,8400.0,5.8,8405.8,146.0,7852.97,406.83,112.0,79.3333,0,0,0,0,2024-03-14
RX0000018076,MBR00000494,2022-07-04,2022-07-06,1361512405,1147093101,PLN1065,390194,PCN606,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,10,Retail,0,0,0,9.0,1.86,10.86,0.0,10.16,0.7,0.36,0.255,0,0,0,0,2022-08-03
RX0000018077,MBR00000494,2022-02-04,2022-02-06,1117058529,1245398794,PLN9143,332018,PCN931,00093315001,Doxycycline 100mg,Vibramycin,Antibiotics,J01A,1,30,30,7,LTC,0,0,0,15.0,9.8,24.8,7.0,16.93,0.87,0.6,0.425,0,0,0,0,2022-03-06
RX0000018078,MBR00000494,2021-12-02,2021-12-04,1529195549,1607434120,PLN9646,504081,PCN824,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,29,7,Retail,0,0,0,310.0,6.08,316.08,31.0,273.51,11.57,12.4,8.7833,0,0,0,0,2022-01-01
RX0000018079,MBR00000494,2021-03-25,2021-03-29,1441776368,1858834026,PLN7801,386464,PCN208,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,90,85,4,Mail Order,0,0,0,2250.0,7.99,2257.99,32.0,2084.9,141.09,30.0,21.25,0,0,0,0,2021-06-23
RX0000018080,MBR00000494,2021-03-28,2021-04-01,1251835218,1372720249,PLN9260,584695,PCN424,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,7,6,11,Mail Order,0,1,0,1446.67,4.63,1451.3,155.0,1221.29,75.01,248.0,175.6667,0,0,0,0,2021-04-04
RX0000018081,MBR00000494,2023-06-03,2023-06-06,1438252883,1561814736,PLN7145,867309,PCN614,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,86,8,Mail Order,0,1,0,18600.0,5.87,18605.87,147.0,17345.49,1113.38,248.0,175.6667,0,0,0,0,2023-09-01
RX0000018082,MBR00000494,2022-06-21,2022-06-24,1641786485,1257986252,PLN6449,321945,PCN815,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,30,10,Retail,3,0,0,18.0,9.4,27.4,5.0,21.51,0.89,0.72,0.51,0,1,0,0,2022-07-21
RX0000018083,MBR00000494,2023-07-03,2023-07-06,1255363435,1172634828,PLN6688,429871,PCN995,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,0,Retail,0,0,0,72.33,9.43,81.76,35.0,44.0,2.76,12.4,8.7833,0,0,0,0,2023-07-10
RX0000018084,MBR00000495,2023-12-10,2023-12-11,1122631153,1958439088,PLN7510,454316,PCN244,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,29,11,Retail,0,1,0,8500.0,10.62,8510.62,145.0,7896.33,469.29,340.0,240.8333,0,0,0,0,2024-01-09
RX0000018085,MBR00000495,2021-03-29,2021-04-01,1860490584,1413055134,PLN4254,703788,PCN146,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,92,3,Retail,3,1,0,36.0,2.91,38.91,145.0,0.0,1.23,0.48,0.34,0,0,0,0,2021-06-27
RX0000018086,MBR00000495,2021-04-07,2021-04-10,1913709066,1197289909,PLN9877,515671,PCN968,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,90,95,10,Mail Order,0,0,0,30.0,6.32,36.32,5.0,28.81,2.51,0.4,0.2833,0,0,0,0,2021-07-06
RX0000018087,MBR00000495,2022-03-03,2022-03-04,1384324930,1378291067,PLN5503,983044,PCN408,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,30,2,Specialty,0,0,0,950.0,9.58,959.58,37.0,922.58,0.0,38.0,26.9167,0,0,0,0,2022-04-02
RX0000018088,MBR00000495,2021-04-03,2021-04-07,1692593465,1841758371,PLN9402,655605,PCN294,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,7,7,0,Retail,0,0,0,8.87,9.83,18.7,3.0,14.79,0.91,1.52,1.0767,0,0,0,0,2021-04-10
RX0000018089,MBR00000495,2023-10-06,2023-10-08,1730858037,1956041585,PLN8802,111348,PCN343,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,87,7,Retail,0,0,0,45.0,4.09,49.09,10.0,36.1,2.99,0.6,0.425,0,0,0,0,2024-01-04
RX0000018090,MBR00000495,2021-09-28,2021-10-01,1490049295,1263668283,PLN3059,186337,PCN210,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,93,3,Retail,1,0,0,42.0,5.63,47.63,7.0,38.05,2.58,0.56,0.3967,0,0,0,0,2021-12-27
RX0000018091,MBR00000495,2022-02-26,2022-03-02,1898222169,1313718081,PLN4809,823028,PCN713,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,30,4,Specialty,0,1,0,8500.0,39.13,8539.13,155.0,8384.13,0.0,340.0,240.8333,0,0,0,0,2022-03-28
RX0000018092,MBR00000495,2021-07-15,2021-07-16,1618300083,1674747083,PLN5716,195210,PCN461,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,29,4,Retail,0,0,0,9.0,9.66,18.66,0.0,17.63,1.03,0.36,0.255,0,0,0,0,2021-08-14
RX0000018093,MBR00000495,2021-05-27,2021-05-31,1670931568,1399051243,PLN6052,332977,PCN847,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,29,1,Retail,0,0,0,12.0,8.78,20.78,9.0,10.82,0.96,0.48,0.34,0,0,0,0,2021-06-26
RX0000018094,MBR00000495,2021-12-13,2021-12-16,1325149394,1713826934,PLN7769,368473,PCN814,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,30,11,Mail Order,0,0,0,45.0,7.11,52.11,8.0,41.46,2.65,1.8,1.275,0,0,0,0,2022-01-12
RX0000018095,MBR00000495,2021-05-11,2021-05-14,1436990139,1334297266,PLN8800,360049,PCN856,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,2,Mail Order,0,0,0,14.0,11.87,25.87,8.0,16.2,1.67,0.56,0.3967,0,0,0,0,2021-06-10
RX0000018096,MBR00000495,2023-11-23,2023-11-27,1218126437,1548541448,PLN2055,119160,PCN869,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,30,29,3,Mail Order,0,0,0,65.0,9.6,74.6,35.0,37.34,2.26,2.6,1.8417,0,0,0,0,2023-12-23
RX0000018097,MBR00000495,2022-12-07,2022-12-11,1365090655,1903800335,PLN8547,604814,PCN663,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,98,3,Retail,0,0,0,45.0,6.49,51.49,5.0,44.87,1.62,0.6,0.425,0,0,0,0,2023-03-07
RX0000018098,MBR00000495,2022-04-28,2022-04-29,1892189934,1718707236,PLN6651,735718,PCN368,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,90,82,3,LTC,0,0,0,855.0,5.97,860.97,30.0,798.43,32.54,11.4,8.075,0,0,0,0,2022-07-27
RX0000018099,MBR00000495,2022-09-25,2022-09-27,1276465595,1286328858,PLN3204,100728,PCN831,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,31,1,Retail,0,0,0,310.0,4.93,314.93,30.0,269.65,15.28,12.4,8.7833,0,0,0,0,2022-10-25
RX0000018100,MBR00000495,2022-03-03,2022-03-06,1294616538,1996388873,PLN2781,589020,PCN326,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,89,9,Retail,0,0,0,1140.0,10.61,1150.61,35.0,1038.67,76.94,15.2,10.7667,0,0,0,0,2022-06-01
RX0000018101,MBR00000495,2021-05-25,2021-05-29,1221557556,1752015093,PLN1979,963042,PCN661,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,1,LTC,0,0,0,22.0,8.86,30.86,10.0,19.4,1.46,0.88,0.6233,0,0,0,0,2021-06-24
RX0000018102,MBR00000495,2022-04-01,2022-04-05,1677949476,1819060073,PLN8066,161783,PCN363,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,7,7,9,Specialty,0,0,0,2.33,28.77,31.1,2.0,29.1,0.0,0.4,0.2833,0,0,0,0,2022-04-08
RX0000018103,MBR00000495,2023-04-17,2023-04-19,1925016855,1752967805,PLN8741,257370,PCN247,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,11,Retail,0,0,0,12.0,11.85,23.85,9.0,13.44,1.41,0.48,0.34,0,0,0,0,2023-05-17
RX0000018104,MBR00000495,2023-01-13,2023-01-17,1845916109,1674281923,PLN4992,157305,PCN704,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,60,56,5,Retail,0,0,0,56.0,10.48,66.48,10.0,54.38,2.1,1.12,0.7933,0,0,0,0,2023-03-14
RX0000018105,MBR00000495,2022-06-16,2022-06-18,1145511396,1735773040,PLN7513,457337,PCN774,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,32,0,Retail,0,0,0,330.0,8.64,338.64,38.0,288.31,12.33,13.2,9.35,0,0,0,0,2022-07-16
RX0000018106,MBR00000495,2023-12-25,2023-12-26,1908030532,1516881811,PLN9532,896709,PCN219,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,29,9,Retail,0,0,0,9.0,11.35,20.35,5.0,14.61,0.74,0.36,0.255,0,0,0,0,2024-01-24
RX0000018107,MBR00000495,2022-07-27,2022-07-30,1720950689,1961873651,PLN4453,594812,PCN219,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,30,3,Retail,2,0,0,7.5,11.14,18.64,7.0,10.37,1.27,0.3,0.2125,0,0,0,0,2022-08-26
RX0000018108,MBR00000495,2023-01-20,2023-01-23,1651615688,1625490539,PLN2007,987174,PCN572,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,60,54,6,LTC,0,0,0,25.0,11.57,36.57,1.0,33.19,2.38,0.5,0.3542,0,0,0,0,2023-03-21
RX0000018109,MBR00000495,2023-05-02,2023-05-04,1362248088,1399415585,PLN7703,320056,PCN947,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,87,8,Retail,0,0,0,1440.0,4.06,1444.06,39.0,1332.92,72.14,19.2,13.6,0,0,0,0,2023-07-31
RX0000018110,MBR00000495,2022-11-17,2022-11-20,1291107200,1821257531,PLN7170,392530,PCN624,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,28,2,Mail Order,0,0,0,22.0,7.3,29.3,10.0,18.03,1.27,0.88,0.6233,0,0,0,0,2022-12-17
RX0000018111,MBR00000495,2022-01-17,2022-01-20,1962670755,1125040542,PLN9856,774738,PCN855,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,30,7,Retail,0,0,0,480.0,1.8,481.8,31.0,422.38,28.42,19.2,13.6,0,0,0,0,2022-02-16
RX0000018112,MBR00000495,2021-07-30,2021-07-31,1592426928,1345873172,PLN7600,276644,PCN785,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,30,5,Retail,0,0,0,15.0,8.09,23.09,5.0,17.27,0.82,0.6,0.425,0,0,0,0,2021-08-29
RX0000018113,MBR00000495,2021-11-17,2021-11-19,1375170756,1393072382,PLN2020,552602,PCN141,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,5,Retail,0,1,0,12.0,2.78,14.78,151.0,0.0,1.0,0.48,0.34,0,0,0,0,2021-12-17
RX0000018114,MBR00000495,2023-04-10,2023-04-14,1798591324,1710448583,PLN9920,161962,PCN659,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,32,5,Retail,0,0,0,38.0,7.44,45.44,30.0,12.61,2.83,1.52,1.0767,0,0,0,0,2023-05-10
RX0000018115,MBR00000495,2023-06-09,2023-06-10,1246389446,1754766600,PLN2688,467159,PCN554,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,27,1,Retail,0,0,0,18.0,6.2,24.2,34.0,0.0,1.15,0.72,0.51,0,0,0,0,2023-07-09
RX0000018116,MBR00000495,2021-01-17,2021-01-19,1595601533,1872417723,PLN2466,326342,PCN873,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,92,1,Mail Order,0,0,0,27.0,2.78,29.78,6.0,22.03,1.75,0.36,0.255,0,0,0,0,2021-04-17
RX0000018117,MBR00000495,2022-12-23,2022-12-27,1112748248,1843352749,PLN3643,917656,PCN895,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,27,1,Retail,1,0,0,14.0,9.52,23.52,6.0,15.95,1.57,0.56,0.3967,0,0,0,0,2023-01-22
RX0000018118,MBR00000495,2022-02-03,2022-02-05,1225424503,1388203757,PLN6650,247749,PCN836,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,4,LTC,1,1,0,12.0,3.11,15.11,147.0,0.0,0.67,0.48,0.34,0,1,1,0,2022-03-05
RX0000018119,MBR00000495,2021-07-29,2021-07-30,1431875520,1130834538,PLN6936,818251,PCN910,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,60,58,3,Mail Order,0,0,0,18.0,4.17,22.17,7.0,14.13,1.04,0.36,0.255,0,0,0,0,2021-09-27
RX0000018120,MBR00000495,2021-05-01,2021-05-04,1765548413,1867353156,PLN8710,753658,PCN520,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,11,Retail,0,0,0,28.0,5.79,33.79,3.0,28.43,2.36,1.12,0.7933,0,0,0,0,2021-05-31
RX0000018121,MBR00000495,2021-08-13,2021-08-15,1854124328,1541963884,PLN6237,832673,PCN486,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,28,4,Retail,1,0,0,18.0,1.59,19.59,3.0,15.4,1.19,0.72,0.51,0,0,0,0,2021-09-12
RX0000018122,MBR00000495,2023-10-02,2023-10-05,1850999263,1770585972,PLN5413,942283,PCN835,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,89,4,Specialty,0,0,0,27.0,15.92,42.92,2.0,40.92,0.0,0.36,0.255,0,0,0,0,2023-12-31
RX0000018123,MBR00000495,2021-03-29,2021-04-02,1458134908,1465249134,PLN9363,236751,PCN988,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,93,4,Retail,1,0,0,135.0,8.09,143.09,2.0,133.23,7.86,1.8,1.275,0,0,0,0,2021-06-27
RX0000018124,MBR00000495,2021-10-24,2021-10-27,1228091211,1632587033,PLN5967,135403,PCN184,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,90,91,4,Retail,0,0,0,135.0,2.17,137.17,6.0,124.59,6.58,1.8,1.275,0,0,0,0,2022-01-22
RX0000018125,MBR00000495,2023-07-20,2023-07-21,1609698523,1812484534,PLN1688,158813,PCN432,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,6,Retail,0,0,0,22.0,10.46,32.46,69.0,0.0,1.04,0.88,0.6233,0,0,0,0,2023-08-19
RX0000018126,MBR00000495,2021-11-21,2021-11-23,1984026873,1208028517,PLN5734,746184,PCN319,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,30,30,0,Retail,0,0,0,185.0,7.91,192.91,32.0,149.24,11.67,7.4,5.2417,0,0,0,0,2021-12-21
RX0000018127,MBR00000495,2023-04-07,2023-04-09,1642169387,1591076780,PLN8481,822536,PCN667,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,0,Mail Order,0,0,0,320.0,3.63,323.63,30.0,277.7,15.93,12.8,9.0667,0,0,0,0,2023-05-07
RX0000018128,MBR00000495,2021-05-04,2021-05-05,1910045452,1674390040,PLN1752,945643,PCN684,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,84,9,Retail,0,0,0,555.0,10.64,565.64,39.0,497.78,28.86,7.4,5.2417,0,0,0,0,2021-08-02
RX0000018129,MBR00000495,2022-02-26,2022-03-01,1772141324,1607699427,PLN9739,529178,PCN699,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,7,7,10,Mail Order,0,0,0,5.13,2.46,7.59,8.0,0.0,0.33,0.88,0.6233,0,0,0,0,2022-03-05
RX0000018130,MBR00000495,2023-09-06,2023-09-09,1881305952,1216044708,PLN6775,451606,PCN588,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,8,Mail Order,0,1,0,12.0,9.14,21.14,148.0,0.0,0.96,0.48,0.34,0,0,0,0,2023-10-06
RX0000018131,MBR00000495,2021-04-06,2021-04-09,1413067156,1409359883,PLN1473,200908,PCN530,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,97,11,Mail Order,0,0,0,2850.0,3.25,2853.25,36.0,2635.69,181.56,38.0,26.9167,0,0,0,0,2021-07-05
RX0000018132,MBR00000495,2022-03-20,2022-03-24,1760146451,1404464259,PLN3788,115835,PCN549,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,3,Specialty,0,0,0,12.0,19.08,31.08,2.0,29.08,0.0,0.48,0.34,0,0,0,0,2022-04-19
RX0000018133,MBR00000495,2021-04-22,2021-04-25,1648403206,1395903851,PLN5914,312476,PCN447,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,6,Retail,0,0,0,750.0,10.5,760.5,37.0,699.83,23.67,30.0,21.25,1,0,0,0,2021-05-22
RX0000018134,MBR00000495,2021-06-23,2021-06-27,1191073300,1114547311,PLN1543,626894,PCN401,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,27,11,Retail,0,0,0,380.0,9.88,389.88,34.0,342.42,13.46,15.2,10.7667,0,0,0,0,2021-07-23
RX0000018135,MBR00000495,2023-07-08,2023-07-12,1834621914,1157969684,PLN5527,489325,PCN794,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,83,4,Retail,0,0,0,135.0,8.79,143.79,8.0,129.53,6.26,1.8,1.275,0,0,0,0,2023-10-06
RX0000018136,MBR00000496,2023-01-12,2023-01-16,1634864712,1845098200,PLN6907,865750,PCN861,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,90,94,9,Retail,0,0,1,27.0,4.24,31.24,9.0,20.62,1.62,0.36,0.255,0,0,0,0,2023-04-12
RX0000018137,MBR00000496,2023-12-09,2023-12-13,1529330570,1723347537,PLN3041,511479,PCN857,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,9,Retail,3,0,0,285.0,11.44,296.44,38.0,246.21,12.23,11.4,8.075,0,0,0,0,2024-01-08
RX0000018138,MBR00000496,2021-12-19,2021-12-23,1708084275,1232757463,PLN6971,543290,PCN741,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,32,9,Retail,3,1,0,6200.0,6.57,6206.57,148.0,5772.69,285.88,248.0,175.6667,0,0,0,0,2022-01-18
RX0000018139,MBR00000496,2022-03-14,2022-03-15,1872083892,1136867303,PLN1239,306337,PCN867,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,31,1,Mail Order,1,1,0,8.0,1.7,9.7,152.0,0.0,0.36,0.32,0.2267,0,0,0,0,2022-04-13
RX0000018140,MBR00000496,2022-02-11,2022-02-12,1449499794,1814331022,PLN3120,795886,PCN122,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,30,28,0,Retail,0,1,0,12.0,10.52,22.52,148.0,0.0,1.42,0.48,0.34,0,0,0,0,2022-03-13
RX0000018141,MBR00000496,2021-12-01,2021-12-02,1278351874,1405153635,PLN1948,361381,PCN944,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,27,7,Retail,0,0,0,10.0,11.26,21.26,4.0,15.83,1.43,0.4,0.2833,0,0,0,0,2021-12-31
RX0000018142,MBR00000496,2021-11-14,2021-11-17,1348953910,1237869614,PLN5852,965009,PCN348,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,30,10,Retail,0,0,0,38.0,4.72,42.72,9.0,32.03,1.69,1.52,1.0767,0,0,0,0,2021-12-14
RX0000018143,MBR00000496,2022-06-18,2022-06-19,1873666097,1961816590,PLN5487,979684,PCN675,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,7,7,9,Mail Order,2,0,0,2.92,9.77,12.69,0.0,12.08,0.61,0.5,0.3542,0,0,0,0,2022-06-25
RX0000018144,MBR00000496,2021-10-15,2021-10-16,1730835232,1156397516,PLN6816,921195,PCN290,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,31,11,Mail Order,0,0,0,18.0,11.52,29.52,2.0,26.62,0.9,0.72,0.51,0,1,0,0,2021-11-14
RX0000018145,MBR00000496,2021-09-05,2021-09-07,1364359878,1285014879,PLN1658,477217,PCN560,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,8,Retail,0,0,0,330.0,3.11,333.11,35.0,282.57,15.54,13.2,9.35,0,0,0,0,2021-10-05
RX0000018146,MBR00000496,2023-11-25,2023-11-28,1446947271,1299503259,PLN1317,797998,PCN782,57664050688,Carvedilol 6.25mg,Coreg,Beta Blockers,C07A,1,30,28,6,Retail,0,0,0,12.0,6.35,18.35,1.0,16.12,1.23,0.48,0.34,0,0,0,0,2023-12-25
RX0000018147,MBR00000496,2023-05-08,2023-05-12,1987524469,1412447599,PLN3742,218088,PCN206,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,86,11,Retail,0,0,0,42.0,7.27,49.27,1.0,44.9,3.37,0.56,0.3967,0,0,0,0,2023-08-06
RX0000018148,MBR00000496,2021-12-12,2021-12-15,1622511868,1615741351,PLN9665,685845,PCN589,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,6,Specialty,0,0,0,14.0,22.98,36.98,9.0,27.98,0.0,0.56,0.3967,0,0,0,0,2022-01-11
RX0000018149,MBR00000496,2022-08-13,2022-08-17,1420386293,1665348010,PLN2629,421157,PCN377,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,7,6,6,Retail,3,0,0,151.67,11.94,163.6,33.0,121.84,8.76,26.0,18.4167,0,0,0,0,2022-08-20
RX0000018150,MBR00000496,2022-12-23,2022-12-26,1816095067,1585447974,PLN1014,716343,PCN914,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,62,4,Retail,2,0,0,22.0,10.25,32.25,1.0,29.93,1.32,0.44,0.3117,0,0,0,0,2023-02-21
RX0000018151,MBR00000496,2023-06-05,2023-06-08,1478561777,1819521091,PLN4838,274681,PCN478,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,330.0,2.23,332.23,38.0,281.67,12.56,13.2,9.35,0,0,0,0,2023-07-05
RX0000018152,MBR00000496,2023-08-13,2023-08-16,1608453083,1681440308,PLN2073,744318,PCN909,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,28,8,Retail,0,0,0,45.0,9.25,54.25,2.0,48.69,3.56,1.8,1.275,0,0,0,0,2023-09-12
RX0000018153,MBR00000496,2023-05-08,2023-05-12,1555725469,1528796251,PLN1458,980624,PCN923,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,28,11,Mail Order,0,0,0,330.0,1.73,331.73,35.0,284.39,12.34,13.2,9.35,0,0,0,0,2023-06-07
RX0000018154,MBR00000496,2022-03-11,2022-03-13,1221486095,1248815696,PLN7509,619199,PCN565,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,0,0,0,330.0,2.66,332.66,38.0,278.13,16.53,13.2,9.35,1,0,0,0,2022-04-10
RX0000018155,MBR00000496,2023-03-08,2023-03-11,1736403376,1232584298,PLN3870,490267,PCN558,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,10,Retail,0,0,0,370.0,8.39,378.39,36.0,325.05,17.34,14.8,10.4833,0,0,0,0,2023-04-07
RX0000018156,MBR00000496,2023-12-06,2023-12-08,1181822353,1517488805,PLN1911,701490,PCN768,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,30,32,11,Mail Order,0,0,0,45.0,10.43,55.43,6.0,45.75,3.68,1.8,1.275,0,0,0,0,2024-01-05
RX0000018157,MBR00000496,2021-06-23,2021-06-26,1322868681,1964032261,PLN8913,401045,PCN230,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,7,Mail Order,0,0,0,14.0,1.88,15.88,0.0,15.16,0.72,0.56,0.3967,1,0,0,0,2021-07-23
RX0000018158,MBR00000496,2021-10-20,2021-10-21,1873439795,1909955691,PLN4546,270798,PCN602,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,27,11,Mail Order,0,0,0,38.0,8.92,46.92,34.0,11.13,1.79,1.52,1.0767,0,0,0,0,2021-11-19
RX0000018159,MBR00000496,2022-10-02,2022-10-05,1616512824,1973169409,PLN6988,260643,PCN971,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,29,10,Retail,0,0,0,18.0,10.55,28.55,4.0,22.69,1.86,0.72,0.51,1,0,0,0,2022-11-01
RX0000018160,MBR00000496,2022-03-04,2022-03-05,1842335714,1891929361,PLN1324,312919,PCN389,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,57,11,Retail,3,0,0,24.0,9.31,33.31,9.0,22.62,1.69,0.48,0.34,1,0,0,0,2022-05-03
RX0000018161,MBR00000496,2023-11-01,2023-11-04,1772055429,1628917633,PLN4363,875074,PCN361,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,27,0,Retail,0,0,0,370.0,11.21,381.21,40.0,327.83,13.38,14.8,10.4833,0,0,0,0,2023-12-01
RX0000018162,MBR00000496,2021-06-25,2021-06-29,1668440637,1596125209,PLN2162,825358,PCN716,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,60,59,7,Mail Order,0,0,0,36.0,2.31,38.31,5.0,32.0,1.31,0.72,0.51,0,0,0,0,2021-08-24
RX0000018163,MBR00000496,2023-05-31,2023-06-03,1466098733,1889628050,PLN3214,701276,PCN351,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,7,6,11,Retail,0,0,0,2.8,3.36,6.16,8.0,0.0,0.22,0.48,0.34,0,0,0,0,2023-06-07
RX0000018164,MBR00000496,2021-01-21,2021-01-23,1907601012,1234248392,PLN6596,472734,PCN701,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,90,89,9,Retail,0,0,0,42.0,9.09,51.09,9.0,38.98,3.11,0.56,0.3967,0,0,0,0,2021-04-21
RX0000018165,MBR00000496,2023-03-20,2023-03-24,1695539218,1479626072,PLN8711,409994,PCN484,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,90,83,11,Mail Order,3,0,0,30.0,11.18,41.18,8.0,31.27,1.91,0.4,0.2833,0,0,0,0,2023-06-18
RX0000018166,MBR00000496,2021-11-27,2021-11-29,1890854041,1179861249,PLN3762,481000,PCN573,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,7,7,9,Retail,0,1,0,1983.33,8.7,1992.04,147.0,1741.23,103.81,340.0,240.8333,0,0,0,0,2021-12-04
RX0000018167,MBR00000496,2023-09-21,2023-09-24,1867962467,1244269104,PLN4879,484901,PCN626,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,1,Retail,0,0,0,66.5,10.19,76.69,33.0,39.28,4.41,11.4,8.075,0,0,0,0,2023-09-28
RX0000018168,MBR00000496,2023-06-20,2023-06-21,1183415952,1892520209,PLN7260,199721,PCN697,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,95,1,Retail,0,0,0,30.0,10.48,40.48,9.0,30.15,1.33,0.4,0.2833,1,0,0,0,2023-09-18
RX0000018169,MBR00000497,2022-02-11,2022-02-14,1385511371,1204901281,PLN5491,105633,PCN612,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,30,2,Mail Order,0,0,0,22.0,11.1,33.1,7.0,24.05,2.05,0.88,0.6233,0,0,0,0,2022-03-13
RX0000018170,MBR00000497,2022-04-29,2022-05-02,1902254730,1209992396,PLN5489,466653,PCN125,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,2,Retail,0,0,0,15.0,6.46,21.46,7.0,13.17,1.29,0.6,0.425,0,0,0,0,2022-05-29
RX0000018171,MBR00000497,2022-06-24,2022-06-27,1547889324,1405110618,PLN1079,762954,PCN133,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,60,64,6,Mail Order,0,0,0,32.0,1.87,33.87,4.0,28.43,1.44,0.64,0.4533,1,0,0,0,2022-08-23
RX0000018172,MBR00000497,2021-11-18,2021-11-20,1415224131,1276007319,PLN3699,234800,PCN594,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,30,9,Retail,0,1,0,8.0,8.18,16.18,153.0,0.0,0.83,0.32,0.2267,1,0,0,0,2021-12-18
RX0000018173,MBR00000497,2022-05-15,2022-05-16,1822509477,1189797364,PLN6009,414920,PCN390,54569490800,Duloxetine 30mg,Cymbalta,SNRIs,N06A,2,30,29,1,Retail,0,0,0,38.0,7.91,45.91,39.0,5.25,1.66,1.52,1.0767,0,0,0,0,2022-06-14
RX0000018174,MBR00000497,2022-10-28,2022-10-29,1285409594,1902196072,PLN3932,704792,PCN264,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,90,98,1,Retail,0,0,0,36.0,2.3,38.3,0.0,36.29,2.01,0.48,0.34,0,0,0,0,2023-01-26
RX0000018175,MBR00000497,2021-07-08,2021-07-09,1679069331,1814545514,PLN3149,391121,PCN518,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,27,8,Retail,0,0,0,22.0,10.34,32.34,6.0,25.21,1.13,0.88,0.6233,0,0,0,0,2021-08-07
RX0000018176,MBR00000497,2021-10-30,2021-11-02,1230200740,1577818401,PLN6385,310715,PCN815,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,28,0,Retail,0,0,0,15.0,4.18,19.18,0.0,17.89,1.29,0.6,0.425,0,0,0,0,2021-11-29
RX0000018177,MBR00000497,2023-07-24,2023-07-25,1460650704,1273449051,PLN5365,168568,PCN405,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,31,9,Mail Order,2,0,0,320.0,8.95,328.95,38.0,280.72,10.23,12.8,9.0667,0,0,0,0,2023-08-23
RX0000018178,MBR00000497,2023-10-16,2023-10-17,1971973914,1455475171,PLN9425,746371,PCN652,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,30,32,6,Retail,0,0,0,18.0,7.82,25.82,6.0,18.29,1.53,0.72,0.51,0,0,0,0,2023-11-15
RX0000018179,MBR00000497,2022-01-03,2022-01-04,1453866661,1797378822,PLN8469,805587,PCN372,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,60,65,8,Retail,0,0,0,20.0,8.3,28.3,0.0,27.0,1.3,0.4,0.2833,0,0,0,0,2022-03-04
RX0000018180,MBR00000497,2023-10-06,2023-10-09,1383181047,1216449120,PLN3826,407754,PCN389,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,30,1,Retail,0,0,0,14.0,2.87,16.87,5.0,11.35,0.52,0.56,0.3967,0,0,0,0,2023-11-05
RX0000018181,MBR00000497,2021-03-01,2021-03-03,1105284356,1119566894,PLN7261,336771,PCN650,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,96,7,Retail,0,0,0,36.0,10.56,46.56,2.0,41.63,2.93,0.48,0.34,0,0,0,0,2021-05-30
RX0000018182,MBR00000497,2022-10-22,2022-10-25,1763852054,1350149091,PLN3074,822019,PCN249,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,60,55,1,Mail Order,0,0,0,36.0,2.02,38.02,7.0,28.38,2.64,0.72,0.51,0,0,0,0,2022-12-21
RX0000018183,MBR00000497,2022-04-20,2022-04-24,1116043911,1369044044,PLN9239,226093,PCN217,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,88,0,Retail,0,0,0,1140.0,10.92,1150.92,36.0,1072.39,42.53,15.2,10.7667,0,0,0,0,2022-07-19
RX0000018184,MBR00000497,2022-12-02,2022-12-05,1890260759,1801232126,PLN1401,578470,PCN158,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,30,29,10,Retail,0,0,0,11.0,5.03,16.03,1.0,14.21,0.82,0.44,0.3117,0,0,0,0,2023-01-01
RX0000018185,MBR00000497,2023-08-17,2023-08-18,1251396634,1530366820,PLN4247,992385,PCN456,00169368813,Insulin Aspart,NovoLog,Insulins,A10A,2,30,29,10,Mail Order,0,0,0,175.0,6.25,181.25,35.0,136.2,10.05,7.0,4.9583,0,0,0,0,2023-09-16
RX0000018186,MBR00000497,2022-10-06,2022-10-07,1647573838,1354944631,PLN1488,502786,PCN482,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,30,9,Mail Order,0,0,0,370.0,10.92,380.92,40.0,314.68,26.24,14.8,10.4833,0,0,0,0,2022-11-05
RX0000018187,MBR00000497,2023-02-01,2023-02-02,1861865718,1443834047,PLN3477,526342,PCN528,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,97,6,Mail Order,1,0,0,66.0,2.62,68.62,10.0,56.38,2.24,0.88,0.6233,0,0,0,0,2023-05-02
RX0000018188,MBR00000497,2021-10-17,2021-10-18,1173427274,1720957100,PLN8048,132560,PCN100,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,9,Retail,1,0,0,12.0,2.34,14.34,10.0,3.58,0.76,0.48,0.34,0,0,0,0,2021-11-16
RX0000018189,MBR00000497,2022-07-04,2022-07-05,1205125307,1903301282,PLN4985,940029,PCN484,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,7,6,3,Retail,0,0,0,4.2,5.53,9.73,9.0,0.11,0.62,0.72,0.51,0,0,0,0,2022-07-11
RX0000018190,MBR00000497,2023-09-14,2023-09-16,1236741590,1714137375,PLN7897,688653,PCN553,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,90,91,11,Retail,0,0,0,66.0,8.8,74.8,69.0,1.06,4.74,0.88,0.6233,0,0,0,0,2023-12-13
RX0000018191,MBR00000497,2023-05-06,2023-05-08,1601117683,1720370133,PLN6336,162250,PCN298,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,90,92,6,Retail,0,0,0,1140.0,8.93,1148.93,40.0,1042.46,66.47,15.2,10.7667,0,0,0,0,2023-08-04
RX0000018192,MBR00000497,2023-04-03,2023-04-04,1242990025,1695469096,PLN5094,203114,PCN634,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,27,0,Retail,2,0,0,22.0,5.69,27.69,67.0,0.0,1.79,0.88,0.6233,0,0,0,0,2023-05-03
RX0000018193,MBR00000497,2023-07-29,2023-08-02,1371019555,1555051406,PLN4840,446485,PCN311,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,30,9,Retail,0,0,1,28.0,2.01,30.01,7.0,22.09,0.92,1.12,0.7933,0,0,0,0,2023-08-28
RX0000018194,MBR00000497,2023-04-12,2023-04-13,1490131221,1220763410,PLN7694,238487,PCN100,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,60,59,8,Retail,0,0,0,20.0,11.92,31.92,9.0,21.15,1.77,0.4,0.2833,0,0,0,0,2023-06-11
RX0000018195,MBR00000497,2021-05-15,2021-05-17,1688351866,1766299035,PLN4196,866587,PCN934,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,90,96,6,Retail,0,1,0,25500.0,7.13,25507.13,155.0,24025.88,1326.25,340.0,240.8333,0,0,0,0,2021-08-13
RX0000018196,MBR00000497,2022-05-02,2022-05-05,1292790523,1846984220,PLN8545,726864,PCN677,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,86,0,Retail,0,0,0,25.5,8.95,34.45,3.0,30.17,1.28,0.34,0.2408,0,0,0,0,2022-07-31
RX0000018197,MBR00000497,2023-12-08,2023-12-09,1395802254,1806351066,PLN8746,133852,PCN574,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,94,2,Retail,0,0,0,2850.0,2.33,2852.33,32.0,2634.63,185.7,38.0,26.9167,0,0,0,0,2024-03-07
RX0000018198,MBR00000497,2021-07-20,2021-07-22,1999490937,1614057943,PLN1816,535272,PCN869,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,86,6,Retail,0,1,0,18600.0,3.21,18603.21,146.0,17769.48,687.73,248.0,175.6667,0,0,0,0,2021-10-18
RX0000018199,MBR00000497,2021-09-19,2021-09-21,1886000065,1978227676,PLN3763,739091,PCN874,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,90,94,0,Retail,0,0,0,30.0,3.06,33.06,5.0,26.29,1.77,0.4,0.2833,0,0,0,0,2021-12-18
RX0000018200,MBR00000497,2023-04-19,2023-04-21,1542600883,1446264395,PLN3553,343421,PCN795,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,30,0,Retail,0,0,0,12.0,5.04,17.04,4.0,12.22,0.82,0.48,0.34,0,0,0,0,2023-05-19
RX0000018201,MBR00000497,2023-06-19,2023-06-21,1755593471,1850639374,PLN9769,215567,PCN420,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,29,3,Retail,0,0,0,380.0,2.22,382.22,30.0,337.29,14.93,15.2,10.7667,0,0,0,0,2023-07-19
RX0000018202,MBR00000497,2023-03-24,2023-03-25,1485353051,1144994155,PLN8311,610600,PCN269,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,30,31,6,Mail Order,3,0,0,38.0,8.52,46.52,0.0,44.64,1.88,1.52,1.0767,0,0,0,0,2023-04-23
RX0000018203,MBR00000497,2021-12-01,2021-12-02,1103471802,1313849847,PLN5533,887987,PCN476,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,27,7,Retail,0,0,0,8.5,4.48,12.98,8.0,4.21,0.77,0.34,0.2408,0,0,0,0,2021-12-31
RX0000018204,MBR00000497,2022-08-19,2022-08-21,1306883251,1338186864,PLN9280,143898,PCN504,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,7,7,0,Retail,0,0,0,1.75,8.0,9.75,5.0,4.4,0.35,0.3,0.2125,0,0,0,0,2022-08-26
RX0000018205,MBR00000497,2023-03-14,2023-03-15,1222812622,1255170111,PLN7008,851524,PCN398,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,31,7,Retail,0,0,0,330.0,2.78,332.78,36.0,285.21,11.57,13.2,9.35,0,0,0,0,2023-04-13
RX0000018206,MBR00000498,2021-08-06,2021-08-09,1843878029,1200201234,PLN1649,680245,PCN636,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,90,88,8,Mail Order,0,1,0,18600.0,3.45,18603.45,148.0,17670.53,784.92,248.0,175.6667,0,0,0,0,2021-11-04
RX0000018207,MBR00000498,2023-08-31,2023-09-01,1657619172,1366493984,PLN6743,238691,PCN227,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,32,3,Retail,1,0,0,45.0,11.23,56.23,10.0,42.96,3.27,1.8,1.275,1,0,0,0,2023-09-30
RX0000018208,MBR00000498,2023-01-24,2023-01-26,1230332863,1652908073,PLN5095,929397,PCN278,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,82,4,Mail Order,0,0,0,37.5,2.97,40.47,3.0,36.13,1.34,0.5,0.3542,0,0,0,0,2023-04-24
RX0000018209,MBR00000498,2021-02-01,2021-02-04,1262130093,1768816083,PLN6189,471695,PCN445,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,4,Retail,0,0,0,750.0,9.91,759.91,34.0,675.88,50.03,30.0,21.25,0,0,0,0,2021-03-03
RX0000018210,MBR00000498,2023-02-20,2023-02-23,1832533427,1785993117,PLN3440,670113,PCN451,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,7,6,10,Mail Order,1,0,0,66.5,5.31,71.81,34.0,33.58,4.23,11.4,8.075,0,0,0,0,2023-02-27
RX0000018211,MBR00000498,2023-03-09,2023-03-11,1833036441,1607200360,PLN9465,153573,PCN804,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,30,11,Mail Order,0,0,0,18.0,3.59,21.59,35.0,0.0,0.87,0.72,0.51,0,0,0,0,2023-04-08
RX0000018212,MBR00000498,2022-02-03,2022-02-07,1131638740,1508865671,PLN7871,671292,PCN248,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,60,55,11,Mail Order,0,0,0,24.0,4.08,28.08,1.0,25.81,1.27,0.48,0.34,0,0,0,0,2022-04-04
RX0000018213,MBR00000498,2022-07-16,2022-07-18,1594476751,1779745251,PLN6509,151428,PCN506,00378392605,Zolpidem 10mg,Ambien,Hypnotics,N05C,4,90,93,3,Retail,0,1,0,36.0,10.95,46.95,154.0,0.0,2.91,0.48,0.34,0,0,0,0,2022-10-14
RX0000018214,MBR00000498,2021-05-19,2021-05-22,1733958449,1286273011,PLN5324,945787,PCN702,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,86,10,Retail,3,0,0,27.0,2.08,29.08,5.0,22.21,1.87,0.36,0.255,0,0,0,0,2021-08-17
RX0000018215,MBR00000498,2021-03-29,2021-03-30,1357520204,1321662806,PLN1186,423296,PCN651,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,32,6,Retail,0,0,0,950.0,3.61,953.61,31.0,862.3,60.31,38.0,26.9167,0,0,0,0,2021-04-28
RX0000018216,MBR00000498,2022-12-17,2022-12-21,1268739105,1429045170,PLN5910,305786,PCN338,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,28,0,Mail Order,1,0,0,7.5,7.07,14.57,0.0,13.97,0.6,0.3,0.2125,0,0,0,0,2023-01-16
RX0000018217,MBR00000498,2021-11-12,2021-11-16,1107329999,1547811931,PLN2031,330014,PCN166,00378518105,Gabapentin 300mg,Neurontin,Anticonvulsants,N03A,3,30,28,7,Retail,0,0,0,22.0,10.36,32.36,73.0,0.0,0.99,0.88,0.6233,0,0,0,0,2021-12-12
RX0000018218,MBR00000498,2021-08-06,2021-08-08,1200482585,1638999176,PLN5877,567745,PCN135,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,32,0,Retail,0,0,0,480.0,4.11,484.11,36.0,419.37,28.74,19.2,13.6,0,0,0,0,2021-09-05
RX0000018219,MBR00000498,2023-06-15,2023-06-19,1849550822,1993361935,PLN6723,152712,PCN368,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,60,1,Mail Order,0,0,0,22.0,6.39,28.39,3.0,24.34,1.05,0.44,0.3117,0,0,0,0,2023-08-14
RX0000018220,MBR00000498,2023-07-07,2023-07-11,1230236675,1640717700,PLN9748,564548,PCN453,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,84,11,Mail Order,0,0,0,25.5,7.89,33.39,1.0,30.35,2.04,0.34,0.2408,0,0,0,0,2023-10-05
RX0000018221,MBR00000498,2021-07-15,2021-07-18,1678283426,1856727290,PLN4214,937694,PCN700,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,27,8,Specialty,0,0,0,14.0,25.27,39.27,6.0,33.27,0.0,0.56,0.3967,0,0,0,0,2021-08-14
RX0000018222,MBR00000498,2021-08-14,2021-08-15,1945346116,1131014377,PLN6306,416261,PCN261,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,90,94,3,Retail,0,0,0,42.0,9.99,51.99,3.0,46.93,2.06,0.56,0.3967,1,0,0,0,2021-11-12
RX0000018223,MBR00000498,2023-07-18,2023-07-22,1161663181,1241949903,PLN5097,972513,PCN856,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,30,27,11,Retail,0,0,0,9.0,10.55,19.55,10.0,8.55,1.0,0.36,0.255,0,0,0,0,2023-08-17
RX0000018224,MBR00000498,2023-04-16,2023-04-20,1690917921,1399931184,PLN1239,549572,PCN218,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,30,31,2,Retail,0,0,0,8.5,4.5,13.0,6.0,6.3,0.7,0.34,0.2408,0,0,0,0,2023-05-16
RX0000018225,MBR00000498,2022-01-28,2022-02-01,1984405603,1645017384,PLN3314,678062,PCN579,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,89,9,Retail,0,1,0,8400.0,5.44,8405.44,148.0,7997.45,259.99,112.0,79.3333,0,0,0,0,2022-04-28
RX0000018226,MBR00000498,2021-09-29,2021-10-02,1275573721,1879217534,PLN6901,241875,PCN826,00069015530,Semaglutide 0.5mg,Ozempic,GLP-1 Agonists,A10B,2,30,28,8,Retail,3,0,0,750.0,5.17,755.17,38.0,689.99,27.18,30.0,21.25,0,0,0,0,2021-10-29
RX0000018227,MBR00000498,2021-05-10,2021-05-12,1680233638,1612367998,PLN2054,357192,PCN687,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,28,3,Retail,0,0,0,18.0,5.54,23.54,34.0,0.0,1.13,0.72,0.51,0,0,0,0,2021-06-09
RX0000018228,MBR00000498,2022-10-30,2022-11-03,1336810174,1496059265,PLN3345,449980,PCN621,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,4,Retail,0,1,0,6200.0,7.68,6207.68,147.0,5635.12,425.56,248.0,175.6667,0,0,0,0,2022-11-29
RX0000018229,MBR00000498,2023-08-06,2023-08-09,1935607945,1958899733,PLN6058,968355,PCN227,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,60,64,7,Retail,0,0,0,36.0,3.72,39.72,31.0,6.17,2.55,0.72,0.51,0,0,0,0,2023-10-05
RX0000018230,MBR00000498,2022-02-24,2022-02-26,1447827675,1880704143,PLN6006,464774,PCN311,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,30,28,0,Retail,2,0,0,14.0,3.16,17.16,2.0,14.02,1.14,0.56,0.3967,0,0,0,0,2022-03-26
RX0000018231,MBR00000498,2023-01-04,2023-01-06,1321675052,1511713116,PLN6729,989898,PCN481,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,90,97,0,Retail,0,0,0,42.0,1.55,43.55,1.0,39.84,2.71,0.56,0.3967,0,0,0,0,2023-04-04
RX0000018232,MBR00000498,2023-10-01,2023-10-04,1161729117,1430584358,PLN1024,895855,PCN618,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,30,28,5,Retail,0,0,0,10.0,2.5,12.5,10.0,1.88,0.62,0.4,0.2833,0,1,0,0,2023-10-31
RX0000018233,MBR00000498,2023-08-25,2023-08-28,1374726648,1160169872,PLN5939,196144,PCN280,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,28,7,Retail,0,0,0,380.0,2.67,382.67,38.0,330.5,14.17,15.2,10.7667,0,0,0,0,2023-09-24
RX0000018234,MBR00000498,2022-08-24,2022-08-28,1209784484,1746290152,PLN5595,808854,PCN938,55111032301,Amphetamine Salts 20mg,Adderall,ADHD Agents,N06B,2,90,88,7,Retail,1,0,0,195.0,4.18,199.18,30.0,161.78,7.4,2.6,1.8417,1,0,0,0,2022-11-22
RX0000018235,MBR00000498,2021-05-07,2021-05-09,1846035269,1366949156,PLN5402,703867,PCN680,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,87,10,Retail,0,0,0,114.0,10.89,124.89,6.0,114.48,4.41,1.52,1.0767,0,0,0,0,2021-08-05
RX0000018236,MBR00000498,2023-03-19,2023-03-22,1494047063,1692948162,PLN8088,387745,PCN710,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,27,8,Retail,0,0,0,285.0,11.05,296.05,40.0,241.99,14.06,11.4,8.075,0,0,0,0,2023-04-18
RX0000018237,MBR00000498,2022-05-29,2022-05-31,1640192280,1374700447,PLN1073,619069,PCN264,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,31,9,Retail,0,0,0,950.0,7.97,957.97,31.0,873.76,53.21,38.0,26.9167,0,0,0,0,2022-06-28
RX0000018238,MBR00000498,2022-09-18,2022-09-20,1576566506,1314869053,PLN1575,854289,PCN946,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,3,Retail,3,0,1,330.0,4.02,334.02,36.0,277.98,20.04,13.2,9.35,0,0,0,0,2022-10-18
RX0000018239,MBR00000498,2022-01-29,2022-01-31,1548186330,1673633737,PLN1824,516142,PCN775,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,0,Mail Order,0,0,0,14.0,6.6,20.6,0.0,19.2,1.4,0.56,0.3967,0,0,0,0,2022-02-28
RX0000018240,MBR00000498,2023-07-21,2023-07-25,1171946510,1624449432,PLN7875,120151,PCN326,00781187810,Omeprazole 20mg,Prilosec,Proton Pump Inhibitors,A02B,1,60,62,11,Mail Order,0,0,0,28.0,2.78,30.78,7.0,22.83,0.95,0.56,0.3967,0,0,0,0,2023-09-19
RX0000018241,MBR00000499,2022-01-22,2022-01-24,1556094085,1987403280,PLN5026,160278,PCN350,00054492025,Furosemide 40mg,Lasix,Loop Diuretics,C03C,1,30,29,3,Retail,0,0,0,7.5,10.03,17.53,5.0,11.31,1.22,0.3,0.2125,0,0,0,0,2022-02-21
RX0000018242,MBR00000499,2023-03-13,2023-03-15,1817519242,1216792678,PLN3841,884724,PCN619,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,29,8,Mail Order,0,0,0,10.0,11.74,21.74,1.0,19.22,1.52,0.4,0.2833,0,0,0,0,2023-04-12
RX0000018243,MBR00000499,2023-01-26,2023-01-28,1941340445,1632993772,PLN2402,189758,PCN989,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,30,27,0,Retail,2,0,0,15.0,5.51,20.51,8.0,11.11,1.4,0.6,0.425,0,0,0,0,2023-02-25
RX0000018244,MBR00000499,2021-07-10,2021-07-13,1700421717,1170989324,PLN7734,359900,PCN674,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,60,61,1,Retail,1,0,0,570.0,5.5,575.5,33.0,522.54,19.96,11.4,8.075,0,0,0,0,2021-09-08
RX0000018245,MBR00000499,2022-01-28,2022-02-01,1138699197,1407252332,PLN4670,316060,PCN806,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,5,Retail,0,0,0,45.0,6.19,51.19,3.0,45.58,2.61,1.8,1.275,0,0,0,0,2022-02-27
RX0000018246,MBR00000499,2023-10-25,2023-10-28,1688941560,1420585370,PLN2662,292650,PCN435,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,60,55,8,Retail,0,0,0,1900.0,11.49,1911.49,34.0,1799.69,77.8,38.0,26.9167,0,0,0,0,2023-12-24
RX0000018247,MBR00000499,2023-07-13,2023-07-14,1180047708,1382270393,PLN9552,563573,PCN701,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,7,6,11,Retail,0,0,0,72.33,4.62,76.95,33.0,41.25,2.7,12.4,8.7833,0,1,1,0,2023-07-20
RX0000018248,MBR00000499,2021-10-11,2021-10-13,1700217314,1368313834,PLN7639,525228,PCN353,00603388621,Hydrocodone/APAP 5-325mg,Vicodin,Opioid Analgesics,N02A,2,30,31,6,Retail,1,0,0,18.0,7.98,25.98,36.0,0.0,1.36,0.72,0.51,0,0,0,0,2021-11-10
RX0000018249,MBR00000499,2023-09-25,2023-09-26,1786792787,1930915819,PLN3205,208302,PCN163,00069083160,Adalimumab 40mg,Humira,TNF Inhibitors,L04A,4,30,28,2,Specialty,1,1,0,6200.0,35.23,6235.23,152.0,6083.23,0.0,248.0,175.6667,0,0,0,0,2023-10-25
RX0000018250,MBR00000499,2023-01-31,2023-02-02,1559356696,1834250204,PLN8886,656209,PCN560,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,90,82,2,Retail,0,0,0,555.0,9.4,564.4,39.0,503.15,22.25,7.4,5.2417,0,0,0,0,2023-05-01
RX0000018251,MBR00000499,2022-01-05,2022-01-09,1518979784,1935565242,PLN5412,923483,PCN731,00071015423,Lisinopril 10mg,Lisinopril,Ace Inhibitors,C09A,1,90,88,9,Specialty,0,0,0,37.5,10.31,47.81,7.0,40.81,0.0,0.5,0.3542,0,0,0,0,2022-04-05
RX0000018252,MBR00000499,2021-06-29,2021-07-03,1891712217,1938109093,PLN3798,865712,PCN643,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,28,4,Mail Order,3,0,0,14.0,4.7,18.7,4.0,13.77,0.93,0.56,0.3967,0,0,0,0,2021-07-29
RX0000018253,MBR00000499,2023-09-14,2023-09-17,1119957613,1404720384,PLN8262,977486,PCN238,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,28,10,Retail,0,0,0,12.0,11.51,23.51,9.0,13.79,0.72,0.48,0.34,0,0,0,0,2023-10-14
RX0000018254,MBR00000499,2021-12-18,2021-12-22,1812039821,1583016182,PLN9046,836808,PCN790,00093314705,Losartan 50mg,Cozaar,Angiotensin Receptor Blockers,C09C,1,7,6,4,Retail,0,0,0,3.73,10.84,14.57,7.0,6.57,1.0,0.64,0.4533,0,0,0,0,2021-12-25
RX0000018255,MBR00000499,2022-02-06,2022-02-07,1267076934,1717924448,PLN9054,131288,PCN891,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,27,3,Retail,0,0,0,12.0,3.5,15.5,3.0,11.43,1.07,0.48,0.34,0,0,0,0,2022-03-08
RX0000018256,MBR00000499,2023-07-31,2023-08-04,1296562405,1783787170,PLN2296,616526,PCN187,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,32,9,Retail,0,0,0,12.0,6.83,18.83,0.0,18.15,0.68,0.48,0.34,0,0,0,0,2023-08-30
RX0000018257,MBR00000499,2023-06-26,2023-06-27,1556946588,1247937155,PLN6344,675993,PCN697,00093091501,Glipizide 5mg,Glucotrol,Sulfonylureas,A10B,1,30,32,11,Mail Order,0,0,0,10.0,3.4,13.4,1.0,11.57,0.83,0.4,0.2833,0,0,0,0,2023-07-26
RX0000018258,MBR00000499,2022-04-09,2022-04-10,1271046392,1265173625,PLN1843,726951,PCN612,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,31,6,Mail Order,0,0,0,380.0,2.44,382.44,32.0,335.53,14.91,15.2,10.7667,0,0,0,0,2022-05-09
RX0000018259,MBR00000499,2023-07-10,2023-07-13,1495630155,1982508087,PLN3185,978507,PCN583,00069018001,Dapagliflozin 10mg,Farxiga,SGLT2 Inhibitors,A10B,2,30,31,7,Retail,0,0,0,370.0,9.66,379.66,34.0,324.28,21.38,14.8,10.4833,0,0,0,0,2023-08-09
RX0000018260,MBR00000499,2021-09-21,2021-09-22,1934921419,1264068805,PLN2575,684979,PCN496,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,60,58,2,Retail,0,0,0,17.0,2.45,19.45,2.0,16.84,0.61,0.34,0.2408,0,0,0,0,2021-11-20
RX0000018261,MBR00000499,2022-07-31,2022-08-03,1240710407,1377940433,PLN3831,426162,PCN462,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,27,8,Retail,2,0,0,10.0,1.51,11.51,4.0,6.77,0.74,0.4,0.2833,0,0,0,0,2022-08-30
RX0000018262,MBR00000499,2021-05-18,2021-05-21,1614552295,1421723357,PLN8897,200950,PCN567,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,30,1,Retail,3,0,0,12.0,7.07,19.07,9.0,9.38,0.69,0.48,0.34,1,0,0,0,2021-06-17
RX0000018263,MBR00000499,2023-12-30,2024-01-02,1118055529,1198604446,PLN1705,231532,PCN483,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,89,4,Retail,2,0,0,30.0,11.61,41.61,5.0,35.29,1.32,0.4,0.2833,0,0,0,0,2024-03-29
RX0000018264,MBR00000499,2022-05-13,2022-05-14,1169897497,1621789427,PLN8289,628684,PCN924,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,32,10,Mail Order,0,0,0,12.0,11.69,23.69,10.0,12.79,0.9,0.48,0.34,0,0,0,0,2022-06-12
RX0000018265,MBR00000499,2021-02-04,2021-02-08,1761151347,1899879896,PLN5208,253613,PCN605,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,30,28,9,Retail,0,0,0,650.0,9.89,659.89,37.0,596.88,26.01,26.0,18.4167,0,0,0,0,2021-03-06
RX0000018266,MBR00000499,2022-03-14,2022-03-18,1752901821,1119677845,PLN1757,828222,PCN300,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,7,7,10,Retail,0,0,0,77.0,3.44,80.44,39.0,37.62,3.82,13.2,9.35,0,0,0,0,2022-03-21
RX0000018267,MBR00000500,2023-12-05,2023-12-06,1189055266,1301819709,PLN9555,601100,PCN479,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,30,31,5,Retail,0,0,0,22.0,6.02,28.02,1.0,25.1,1.92,0.88,0.6233,0,0,0,0,2024-01-04
RX0000018268,MBR00000500,2021-02-21,2021-02-23,1816812151,1922862070,PLN8783,456472,PCN436,00169368812,Insulin Glargine 100u/mL,Lantus,Insulins,A10A,2,60,63,0,Retail,0,0,0,370.0,11.58,381.58,38.0,317.99,25.59,7.4,5.2417,0,0,0,0,2021-04-22
RX0000018269,MBR00000500,2023-06-24,2023-06-28,1275423657,1756468116,PLN4846,319398,PCN626,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,60,63,3,Retail,0,0,0,24.0,8.16,32.16,3.0,28.09,1.07,0.48,0.34,0,0,0,0,2023-08-23
RX0000018270,MBR00000500,2021-05-04,2021-05-07,1588853927,1679348915,PLN9234,171545,PCN216,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,31,9,Retail,0,0,0,28.0,6.65,34.65,1.0,31.44,2.21,1.12,0.7933,0,0,0,0,2021-06-03
RX0000018271,MBR00000500,2022-07-23,2022-07-25,1421431064,1236440765,PLN5633,110539,PCN251,52959060130,Bupropion 150mg,Wellbutrin,Antidepressants,N06A,1,30,30,3,Retail,2,0,0,18.0,5.24,23.24,6.0,15.87,1.37,0.72,0.51,0,0,0,0,2022-08-22
RX0000018272,MBR00000500,2022-06-27,2022-06-29,1742552942,1855007626,PLN8949,432391,PCN137,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,90,92,2,Retail,0,0,0,36.0,8.52,44.52,1.0,41.98,1.54,0.48,0.34,0,0,0,0,2022-09-25
RX0000018273,MBR00000500,2021-02-19,2021-02-20,1492593251,1702013212,PLN8069,715026,PCN415,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,30,28,8,Retail,0,0,0,950.0,7.1,957.1,36.0,890.94,30.16,38.0,26.9167,0,0,0,0,2021-03-21
RX0000018274,MBR00000500,2023-09-27,2023-09-28,1706724898,1712305593,PLN2229,887260,PCN913,00185010301,Warfarin 5mg,Coumadin,Vitamin K Antagonists,B01A,1,30,31,3,Retail,0,0,0,9.0,8.03,17.03,4.0,11.94,1.09,0.36,0.255,0,0,0,0,2023-10-27
RX0000018275,MBR00000500,2021-08-19,2021-08-23,1200934825,1411622760,PLN9442,728831,PCN804,52427077990,Fluticasone 50mcg,Flonase,Nasal Corticosteroids,R01A,1,90,81,7,Mail Order,0,0,0,114.0,5.6,119.6,3.0,111.1,5.5,1.52,1.0767,0,0,0,0,2021-11-17
RX0000018276,MBR00000500,2021-06-19,2021-06-22,1173145409,1604511966,PLN3485,507867,PCN855,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,30,29,0,Retail,0,0,0,480.0,11.25,491.25,30.0,436.08,25.17,19.2,13.6,0,0,0,0,2021-07-19
RX0000018277,MBR00000500,2023-11-01,2023-11-02,1324649954,1278935198,PLN7699,813133,PCN789,00093345701,Citalopram 20mg,Celexa,SSRIs,N06A,1,90,84,8,Retail,3,0,0,30.0,2.75,32.75,7.0,24.09,1.66,0.4,0.2833,0,0,0,0,2024-01-30
RX0000018278,MBR00000500,2023-10-10,2023-10-11,1206528679,1570897597,PLN4052,443328,PCN431,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,29,2,Mail Order,0,0,0,285.0,2.34,287.34,37.0,240.96,9.38,11.4,8.075,0,0,0,0,2023-11-09
RX0000018279,MBR00000500,2022-02-08,2022-02-09,1500776812,1221007448,PLN1146,520257,PCN511,00310027130,Lisdexamfetamine 30mg,Vyvanse,ADHD Agents,N06B,2,30,32,0,Mail Order,0,0,0,310.0,9.77,319.77,31.0,277.07,11.7,12.4,8.7833,0,0,0,0,2022-03-10
RX0000018280,MBR00000500,2022-01-12,2022-01-16,1659546036,1396107973,PLN9966,665576,PCN440,16729021601,Albuterol 90mcg inhaler,Ventolin,Short-Acting Beta2,R03A,1,30,29,1,Retail,2,0,0,45.0,3.09,48.09,0.0,45.28,2.81,1.8,1.275,0,0,0,0,2022-02-11
RX0000018281,MBR00000500,2021-07-20,2021-07-22,1986224969,1942432495,PLN9007,705383,PCN268,00093314801,Sertraline 50mg,Zoloft,SSRIs,N06A,1,60,59,10,Retail,0,0,0,22.0,2.5,24.5,7.0,15.94,1.56,0.44,0.3117,0,0,0,0,2021-09-18
RX0000018282,MBR00000500,2022-06-13,2022-06-17,1556884946,1947904043,PLN9077,783725,PCN463,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,30,8,Mail Order,0,0,0,14.0,9.3,23.3,2.0,20.57,0.73,0.56,0.3967,0,0,0,0,2022-07-13
RX0000018283,MBR00000500,2021-11-01,2021-11-02,1219992459,1867999980,PLN8715,898756,PCN487,00406895301,Levothyroxine 50mcg,Synthroid,Thyroid Hormones,H03A,1,30,27,0,LTC,0,0,0,12.0,10.63,22.63,10.0,11.77,0.86,0.48,0.34,0,0,0,0,2021-12-01
RX0000018284,MBR00000500,2022-11-01,2022-11-04,1171386276,1686230187,PLN8980,194326,PCN591,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,7,7,1,Mail Order,3,0,0,3.5,2.62,6.12,1.0,4.71,0.41,0.6,0.425,0,0,0,0,2022-11-08
RX0000018285,MBR00000500,2021-01-20,2021-01-23,1904203439,1119546097,PLN4435,368942,PCN984,00093721201,Atorvastatin 40mg,Lipitor,Statins,C10A,1,30,32,3,Retail,0,0,0,18.0,7.91,25.91,2.0,22.64,1.27,0.72,0.51,0,0,0,0,2021-02-19
RX0000018286,MBR00000500,2022-04-30,2022-05-03,1465466830,1291651682,PLN4382,380085,PCN591,59762372201,Montelukast 10mg,Singulair,Leukotriene Antagonists,R03D,1,30,29,10,Mail Order,0,0,0,28.0,3.56,31.56,7.0,22.72,1.84,1.12,0.7933,0,0,0,0,2022-05-30
RX0000018287,MBR00000500,2023-11-14,2023-11-18,1569169924,1407466992,PLN8796,600537,PCN528,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,3,Mail Order,1,0,0,10.0,4.09,14.09,10.0,3.17,0.92,0.4,0.2833,0,0,0,0,2023-12-14
RX0000018288,MBR00000500,2021-03-07,2021-03-09,1995585174,1863165063,PLN7633,572572,PCN141,00310023514,Tirzepatide 5mg,Mounjaro,GIP/GLP-1 Agonists,A10B,2,90,90,1,Retail,0,0,0,2850.0,10.87,2860.87,38.0,2639.56,183.31,38.0,26.9167,0,0,0,0,2021-06-05
RX0000018289,MBR00000500,2023-02-01,2023-02-03,1776046493,1327376997,PLN8566,266712,PCN611,00054039524,Trimethoprim/Sulfa,Bactrim,Antibiotics,J01E,1,30,29,10,Specialty,0,0,0,12.0,16.05,28.05,7.0,21.05,0.0,0.48,0.34,0,0,0,0,2023-03-03
RX0000018290,MBR00000500,2021-09-06,2021-09-07,1776608830,1483613557,PLN4392,709764,PCN362,00002773559,Dulaglutide 0.75mg/0.5mL,Trulicity,GLP-1 Agonists,A10B,2,90,84,7,Mail Order,0,0,0,1950.0,11.62,1961.62,37.0,1830.25,94.37,26.0,18.4167,0,0,0,0,2021-12-05
RX0000018291,MBR00000500,2023-09-03,2023-09-04,1549839401,1442810589,PLN1094,119883,PCN434,00378516001,Metformin 500mg,Glucophage,Biguanides,A10B,1,90,95,5,Retail,0,0,0,25.5,7.62,33.12,6.0,24.86,2.26,0.34,0.2408,0,0,0,0,2023-12-02
RX0000018292,MBR00000500,2022-07-30,2022-08-03,1285428438,1648853220,PLN8384,586227,PCN613,00054026425,Spironolactone 25mg,Aldactone,Potassium-Sparing Diuretics,C03D,1,30,32,7,Mail Order,0,0,0,14.0,7.21,21.21,2.0,17.81,1.4,0.56,0.3967,0,0,0,0,2022-08-29
RX0000018293,MBR00000500,2022-09-19,2022-09-23,1231165208,1877403733,PLN1828,551110,PCN476,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,29,9,Retail,1,0,0,330.0,5.73,335.73,34.0,283.55,18.18,13.2,9.35,0,0,0,0,2022-10-19
RX0000018294,MBR00000500,2023-09-08,2023-09-12,1632342535,1482757942,PLN3112,187506,PCN479,00006306701,Sitagliptin 100mg,Januvia,DPP-4 Inhibitors,A10B,2,30,32,1,Retail,0,0,0,285.0,8.67,293.67,38.0,239.26,16.41,11.4,8.075,0,0,0,0,2023-10-08
RX0000018295,MBR00000500,2023-04-28,2023-04-30,1674377702,1259963461,PLN8291,354812,PCN319,00378695905,Escitalopram 10mg,Lexapro,SSRIs,N06A,1,30,31,11,Retail,0,0,0,14.0,9.92,23.92,7.0,16.09,0.83,0.56,0.3967,1,0,0,0,2023-05-28
RX0000018296,MBR00000500,2022-04-29,2022-04-30,1192183656,1878876656,PLN4565,180124,PCN560,00781186401,Clopidogrel 75mg,Plavix,Antiplatelet,B01A,1,7,6,3,Retail,0,0,0,4.2,2.82,7.02,0.0,6.68,0.34,0.72,0.51,0,0,0,0,2022-05-06
RX0000018297,MBR00000500,2021-08-16,2021-08-18,1725148308,1503947798,PLN6943,871405,PCN343,00093425601,Amoxicillin 500mg,Amoxil,Antibiotics,J01C,1,30,32,3,Retail,0,0,0,10.0,5.21,15.21,4.0,10.19,1.02,0.4,0.2833,0,0,0,0,2021-09-15
RX0000018298,MBR00000500,2021-01-10,2021-01-13,1190948048,1693796696,PLN9560,776562,PCN489,57894002230,Rivaroxaban 20mg,Xarelto,Factor Xa Inhibitors,B01A,2,30,27,2,Specialty,0,0,0,330.0,12.68,342.68,40.0,302.68,0.0,13.2,9.35,0,0,0,0,2021-02-09
RX0000018299,MBR00000500,2023-11-28,2023-12-02,1279552106,1533909141,PLN1638,887214,PCN376,00378518901,Alprazolam 0.5mg,Xanax,Benzodiazepines,N05B,4,30,32,0,Retail,0,1,0,8.0,3.37,11.37,153.0,0.0,0.69,0.32,0.2267,0,0,0,0,2023-12-28
RX0000018300,MBR00000500,2023-01-06,2023-01-07,1455194653,1789516151,PLN5895,884251,PCN212,00054327099,Amlodipine 5mg,Norvasc,Calcium Channel Blockers,C08C,1,30,29,10,Retail,0,0,0,10.0,8.46,18.46,2.0,15.56,0.9,0.4,0.2833,0,0,0,0,2023-02-05
RX0000018301,MBR00000500,2021-03-18,2021-03-21,1920599270,1279773033,PLN1942,596436,PCN242,00078059215,Sacubitril/Valsartan,Entresto,Heart Failure,C09D,2,90,91,9,Mail Order,0,0,0,1440.0,6.16,1446.16,35.0,1360.27,50.89,19.2,13.6,0,0,0,0,2021-06-16
RX0000018302,MBR00000500,2021-01-10,2021-01-12,1936099246,1545013466,PLN6577,517723,PCN875,00597000137,Atorvastatin/Amlodipine,Caduet,Combination CV,C10B,1,90,91,7,Retail,0,0,0,135.0,3.41,138.41,4.0,128.27,6.14,1.8,1.275,1,0,0,0,2021-04-10
RX0000018303,MBR00000500,2021-09-17,2021-09-21,1396474076,1759404315,PLN6377,235016,PCN686,00006034431,Pembrolizumab 100mg/4mL,Keytruda,Antineoplastic,L01X,4,30,32,7,Mail Order,0,1,0,8500.0,8.31,8508.31,153.0,8034.66,320.65,340.0,240.8333,0,0,0,0,2021-10-17
RX0000018304,MBR00000500,2021-01-27,2021-01-31,1642929612,1471380680,PLN2100,967686,PCN440,00093342601,Metoprolol 25mg,Lopressor,Beta Blockers,C07A,1,90,96,10,Retail,0,0,0,27.0,8.54,35.54,5.0,28.52,2.02,0.36,0.255,0,0,0,0,2021-04-27
RX0000018305,MBR00000500,2023-04-27,2023-04-29,1329150365,1572520374,PLN1145,903145,PCN795,00378631601,Pantoprazole 40mg,Protonix,Proton Pump Inhibitors,A02B,1,90,96,2,Retail,0,0,0,45.0,9.52,54.52,7.0,45.87,1.65,0.6,0.425,0,0,0,0,2023-07-26
RX0000018306,MBR00000500,2023-04-04,2023-04-07,1800557375,1283301464,PLN5798,720010,PCN466,00440280560,Apixaban 5mg,Eliquis,Factor Xa Inhibitors,B01A,2,30,32,1,Retail,0,0,0,320.0,2.29,322.29,36.0,276.23,10.06,12.8,9.0667,0,0,0,0,2023-05-04
RX0000018307,MBR00000500,2022-02-08,2022-02-12,1436539793,1470894970,PLN2487,611416,PCN981,59148001505,Empagliflozin 10mg,Jardiance,SGLT2 Inhibitors,A10B,2,30,32,10,Retail,3,0,0,380.0,6.71,386.71,35.0,332.55,19.16,15.2,10.7667,0,0,0,0,2022-03-10
RX0000018308,MBR00000500,2022-02-03,2022-02-05,1342847742,1758634607,PLN3483,192912,PCN101,00071018224,Prednisone 20mg,Deltasone,Corticosteroids,H02A,1,90,87,9,Retail,2,0,0,27.0,4.21,31.21,1.0,28.69,1.52,0.36,0.255,0,0,0,0,2022-05-04
RX0000018309,MBR00000500,2021-07-13,2021-07-14,1741858492,1100397359,PLN6408,134027,PCN123,00093842301,Rosuvastatin 10mg,Crestor,Statins,C10A,1,90,91,7,Retail,0,0,0,66.0,6.84,72.84,5.0,63.82,4.02,0.88,0.6233,0,0,0,0,2021-10-11
RX0000018310,MBR00000500,2023-12-10,2023-12-13,1725784651,1862501008,PLN1312,673480,PCN300,00002321302,Baricitinib 2mg,Olumiant,JAK Inhibitors,L04A,4,90,90,4,Mail Order,0,1,0,8400.0,7.61,8407.61,149.0,7696.69,561.92,112.0,79.3333,0,0,0,0,2024-03-09