- $496$297.60Prescription eligible$480$259.20$442$238.80Prescription eligible
- $479$258.60Prescription eligible$448$214.80$448$241.80
- $471$226.20$670$281.40$636$267
- $347$187.20$594$356.40Prescription eligible$605$217.80
- $684$287.40Prescription eligible$428$231Prescription eligible$588$352.80Prescription eligible
- $368$198.60Prescription eligible$558$301.20Prescription eligible$404$218.40
- $358$193.20Prescription eligible$448$241.80Prescription eligible$438$262.80Prescription eligible
- $502$241.20Prescription eligible$448$268.80Prescription eligible$444$240
- $472$255Prescription eligible$323Prescription eligible$400$216Prescription eligible
- $488$263.40$578$312Prescription eligible$521$219
- $665$399Prescription eligible$386$208.20$578$346.80
- $478$258Prescription eligible$362$195.60$618$333.60Prescription eligible









































































