$273$163.80Prescription eligible
- $314$169.80Prescription eligible$268$160.80Prescription eligible
- $211$114Prescription eligible$242$145.20Prescription eligible$268$144.60Prescription eligible
- $284$153.60Prescription eligible$502$271.20Prescription eligible$598$322.80Prescription eligible
- $494$267Prescription eligible$592$355.20$252$136.20Prescription eligible
- $284$136.20Prescription eligible$560$302.40Prescription eligible$558$267.60Prescription eligible
- $364$196.80Prescription eligible$364$196.80Prescription eligible