$98$68.60
- $104$72.80$90$63
- $78$54.60$124$86.80$171$84
- $154$107.80$126$88.20$74$51.80
- $94$65.80$135$94.50$106$74.20
- $82$57.40$228$159.60$178$124.60
- $89$62.30$97$67.90$133$93.10
- $115$80.50Prescription eligible$86$60.20$116$81.20
- $135$94.50Prescription eligible$115$80.50Prescription eligible$96$67.20
- $106$74.20Prescription eligible$115$80.50$180$126
- $171$84Prescription eligible$198$138.60$171$84
- $228$159.60$218$152.60$82$57.40
- Prescription eligible$82$57.40$175$122.50$137$95.90








































































