$298$268Prescription eligible
- $210$168Prescription eligible$277$222Prescription eligible
- $432$346Prescription eligible$78$70Prescription eligible$496$397
- $280$252Prescription eligible$86$60Prescription eligible$326$261Prescription eligible
- $164$148Prescription eligible$115$58Prescription eligible$418$376
- $118$106$88$44Prescription eligible$587$352
- $266$239Prescription eligible$134$107$115$58Prescription eligible
- $97$58Prescription eligible$442$354Prescription eligible$358$322Prescription eligible
- $82$33Prescription eligible$118$106$118$94Prescription eligible
- $139$125$208$187Prescription eligible$138$124Prescription eligible
- $148$118Prescription eligible$216$194Prescription eligible$120$60Prescription eligible
- $486$389Prescription eligible$448$358Prescription eligible$108$97Prescription eligible
- $428$385Prescription eligible$226$203Prescription eligible$164$148Prescription eligible