$480$432
- $428$385Prescription eligible$479$431Prescription eligible
- $486$437Prescription eligible$448$358Prescription eligible$471$377
- $670$536$594$535Prescription eligible$461$369Prescription eligible
- $528$475Prescription eligible$684$546$491Prescription eligible
- $520$468Prescription eligible$448$403Prescription eligible$444$400
- $438$350Prescription eligible$476$428Prescription eligible$582$524
- $496$397Prescription eligible$398$358Prescription eligible$388$310Prescription eligible
- $428$385Prescription eligible$534$481Prescription eligible$482$386Prescription eligible
- $412$371Prescription eligible$376$301Prescription eligible