$298$268Prescription eligible
- $210$168Prescription eligible$277$222Prescription eligible
- $432$346Prescription eligible$260$234Prescription eligible$332$299
- $496$446Prescription eligible$280$252Prescription eligible$326$261Prescription eligible
- $164$148Prescription eligible$258$232Prescription eligible$480$432
- $118$106$266$239Prescription eligible$134$107
- $208$187$428$385Prescription eligible$442$398Prescription eligible
- $358$322Prescription eligible$118$106$178$160Prescription eligible
- $118$94Prescription eligible$139$125$208$187Prescription eligible
- $138$124Prescription eligible$122$110Prescription eligible$348$278
- $216$194Prescription eligible$120$60Prescription eligible$486$389Prescription eligible
- $448$358Prescription eligible$108$76Prescription eligible$428$385Prescription eligible
- $140$112Prescription eligible$128$102Prescription eligible$188$150Prescription eligible