- $246$197Prescription eligible$258$206Prescription eligible$192$173Prescription eligible
- $391$274Prescription eligible$172$155Prescription eligible$264$238
- $217$130Prescription eligible$293$234Prescription eligible$226$203Prescription eligible
- $208$187$513$410$210$189Prescription eligible
- $214$193Prescription eligible$291$233$226$181Prescription eligible
- $238$95Prescription eligible$228$182Prescription eligible$218$174Prescription eligible
- $246$197Prescription eligible$266$213Prescription eligible$249$199Prescription eligible
- $217$174Prescription eligible$262$210Prescription eligible$248$198Prescription eligible
- $322$258Prescription eligible$94$85Prescription eligible$94$85Prescription eligible
- $262$236Prescription eligible$244$220Prescription eligible$244$220Prescription eligible
- $262$236Prescription eligible$262$236Prescription eligible$230$184Prescription eligible
- $288$259Prescription eligible$266$213Prescription eligible$278$250Prescription eligible









































































