- $391$274Prescription eligible$174$157Prescription eligible$267$240
- $212$191Prescription eligible$220$198Prescription eligible$290$232
- $228$182Prescription eligible$248$198Prescription eligible$259$207Prescription eligible
- $218$174Prescription eligible$249$199Prescription eligible$249$199Prescription eligible
- $217$174Prescription eligible$258$232Prescription eligible$230$184Prescription eligible
- $249$224Prescription eligible$280$224Prescription eligible$238$190Prescription eligible
- $238$190Prescription eligible$270$243Prescription eligible$267$240Prescription eligible











































