$496$267.60
- $480$259.20$428$231Prescription eligible
- $442$238.80Prescription eligible$479$258.60Prescription eligible$486$233.40Prescription eligible
- $343$205.80$448$214.80Prescription eligible$476$228.60
- $471$226.20$670$321.60$636$381.60
- $390$210.60Prescription eligible$347$187.20$594$285Prescription eligible
- $528$285Prescription eligible$563$202.80$684$246Prescription eligible
- $588$317.40Prescription eligible$448$241.80Prescription eligible$604$326.40Prescription eligible
- $448$241.80Prescription eligible$382$229.20$444$213
- $438$236.40Prescription eligible$448$241.80Prescription eligible$438$184.20Prescription eligible
- $518$279.60Prescription eligible$582$349.20$398$214.80Prescription eligible
- $502$241.20Prescription eligible$456$219Prescription eligible$472$226.80Prescription eligible
- $490$264.60Prescription eligible$488$263.40$578$312Prescription eligible