$442$354Prescription eligible
- $194Prescription eligible$98Prescription eligible
- $202Prescription eligible$82$33Prescription eligible$208$187Prescription eligible
- $178Prescription eligible$138$124Prescription eligible$97$58Prescription eligible
- $108Prescription eligible$212Prescription eligible$88$29Prescription eligible
- $109$76Prescription eligible$348$78Prescription eligible
- $231$207Prescription eligible$96$77Prescription eligible
- $398$358Prescription eligible$98$88Prescription eligible$106$39Prescription eligible
- $114Prescription eligible$218Prescription eligible
- $194Prescription eligible$78Prescription eligible$180$126
- $125$100Prescription eligible$428$385Prescription eligible$108Prescription eligible
- $130Prescription eligible$236$212Prescription eligible
- $88$29Prescription eligible$178Prescription eligible$94$75Prescription eligible