$118$106Prescription eligible
- $125$113Prescription eligible$94$85Prescription eligible
- $106$95Prescription eligible$98$29Prescription eligible$106$29Prescription eligible
- $206$111Prescription eligible$300$162Prescription eligible$605$217.80
- $104$29Prescription eligible$96$86Prescription eligible$98Prescription eligible
- $333$108$97Prescription eligible$178
- $96Prescription eligible$86$77Prescription eligible$191Prescription eligible
- $88Prescription eligible$120$72Prescription eligible$106Prescription eligible
- $104Prescription eligible$191Prescription eligible
- $191Prescription eligible$191Prescription eligible$207Prescription eligible
- $305$146.40Prescription eligible$191Prescription eligible$178Prescription eligible
- $191Prescription eligible$96Prescription eligible
- $174Prescription eligible$108$97Prescription eligible$170Prescription eligible







































































