$496$446Prescription eligible
- $164$148Prescription eligible$277$222Prescription eligible
- $134$107$208$187$587$352
- $208$187Prescription eligible$138$124Prescription eligible$226$203Prescription eligible
- $300$270Prescription eligible$448$358Prescription eligible$476$381
- $114$103Prescription eligible$110$55$461$369Prescription eligible
- $192$173Prescription eligible$670$536$235$212
- $138$124Prescription eligible$210$147$264$158Prescription eligible
- $335$235$234$211Prescription eligible$201$181Prescription eligible
- $212$191Prescription eligible$216$194Prescription eligible$254$203Prescription eligible
- $228$205Prescription eligible$194$136Prescription eligible$176$158
- $382$267$479$431Prescription eligible$138$124Prescription eligible
- $198$139Prescription eligible$245$196$398$358Prescription eligible