Page 99 - Appendices to Heidi Bathon's Evaluation
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CVS Walmart Pharmacy Mail Order
Pharmacy 10-3720 Walgreens #19577 Pharmacy
#05381 Preferred Preferred Preferred Preferred
Standard Preferred in- Preferred
in- in-
in- network network network
network pharmacy pharmacy pharmacy
pharmacy
Omeprazole
20mg capsule
delayed $47.30 $59.72 $54.75 $19.06
release
Rosuvastatin
calcium 5mg $78.52 $69.67 $62.00 $23.90
tablet
Triamcinolone
acetonide $48.55 $15.71 $30.78 $9.52
0.1% cream
Total yearly $4,300.35 $4,012.61 $4,017.05 $3,642.37
drug cost
