- $454$217.80Prescription eligible$332$179.40$587$211.20
- $556$200.40$396$213.60Prescription eligible$358$193.20Prescription eligible
- $388$209.40Prescription eligible$470$253.80Prescription eligible$590$247.80
- $438$236.40Prescription eligible$648$349.80Prescription eligible$418$225.60Prescription eligible
- $426$229.80Prescription eligible$584$315.60Prescription eligible$508$274.20Prescription eligible
- $508$243.60Prescription eligible$508$243.60Prescription eligible$658$355.20Prescription eligible
- $548$262.80Prescription eligible$584$280.20Prescription eligible$472$226.80Prescription eligible
- $548$295.80Prescription eligible$548$262.80Prescription eligible$584$315.60Prescription eligible
- $396$190.20Prescription eligible$548$295.80Prescription eligible$422$228Prescription eligible
- $498$268.80Prescription eligible$418$225.60Prescription eligible$498$268.80Prescription eligible
- $538$290.40Prescription eligible$538$258Prescription eligible$658$315.60Prescription eligible
- $584$280.20Prescription eligible$578$277.20Prescription eligible$472$226.80Prescription eligible








































































