| Drug Label Name | Drug Type | Quantity | Retail Price | Member Paid | Savings $ | Savings % |
| ACETAMINOPHEN-COD #3 TABLET | Generic | 240 | $145.99 | $56.44 | $89.55 | 61% |
| ACYCLOVIR 200 MG CAPSULE | Generic | 30 | $23.39 | $17.78 | $5.61 | 24% |
| ALPRAZOLAM 0.5 MG TABLET | Generic | 30 | $18.99 | $16.51 | $2.48 | 13% |
| ATORVASTATIN 40 MG TABLET | Generic | 90 | 362.99 $ | 42.70 $ | 320.29 $ | 88% |
| AMLODIPINE BESYLATE 10 MG TAB | Generic | 90 | $145.21 | $77.76 | $67.45 | 46% |
| AMLODIPINE BESYLATE 5 MG TAB | Generic | 30 | $42.49 | $25.61 | $16.88 | 40% |
| AMOXICILLIN 500 MG CAPSULE | Generic | 180 | $82.59 | $25.64 | $56.95 | 69% |
| ATORVASTATIN 40 MG TABLET | Generic | 90 | $362.99 | $42.70 | $320.29 | 88% |
| CLOTRIMAZOLE 1% TOPICAL CREAM | Generic | 45 | $39.30 | $25.92 | $13.38 | 34% |
| CVS ALLERGY RELIEF D-24HR TAB | Generic | 20 | $27.58 | $14.08 | $13.50 | 49% |
| DEXTROAMP-AMPHETAMIN 20 MG TAB | Generic | 90 | $131.99 | $31.60 | $100.39 | 76% |
| DIPHENOXYLATE-ATROPINE 2.5-0.0 | Generic | 120 | $108.57 | $41.17 | $67.40 | 62% |
| DOXYCYCLINE MONO 100 MG CAP | Generic | 60 | $120.93 | $61.78 | $59.15 | 49% |
| ESCITALOPRAM 20 MG TABLET | Generic | 30 | $59.15 | $40.44 | $18.71 | 32% |
| FERROUS SULFATE 325 MG TABLET | Generic | 90 | $11.44 | $9.34 | $2.10 | 18% |
| FEXOFENADINE HCL 180 MG TABLET | Generic | 90 | $41.97 | $18.71 | $23.26 | 55% |
| HYDROCODONE-ACETAMINOPHEN 10-3 | Generic | 120 | $135.99 | $22.49 | $113.50 | 83% |
| LEVOTHYROXINE 88 MCG TABLET | Generic | 90 | $35.19 | $26.69 | $8.50 | 24% |
| LISINOPRIL 2.5 MG TABLET | Generic | 90 | $33.22 | $27.33 | $5.89 | 18% |
| METFORMIN HCL ER 750 MG TABLET | Generic | 60 | $55.31 | $26.76 | $28.55 | 52% |
| METOPROLOL TARTRATE 100 MG TAB | Generic | 180 | $74.78 | $53.40 | $21.38 | 29% |
| MONTELUKAST SOD 10 MG TABLET | Generic | 90 | $280.74 | $50.65 | $230.09 | 82% |
| OZEMPIC INJ 4MG/3ML | Brand | 9 | $3007.99 | $2557.68 | $450.31 | 15% |
| PAROXETINE HCL 40 MG TABLET | Generic | 90 | $151.99 | $75.63 | $76.36 | 50% |
| PHENTERMINE 30 MG CAPSULE | Generic | 30 | $40.99 | $18.76 | $22.23 | 54% |
| POTASSIUM CL ER 20 MEQ TABLET | Generic | 360 | $228.99 | $76.25 | $152.74 | 67% |
| SERTRALINE HCL 100 MG TABLET | Generic | 30 | $48.29 | $22.00 | $26.29 | 54% |
| SILDENAFIL 20 MG TABLET | Generic | 45 | $549.99 | $34.60 | $515.39 | 94% |
| SM MUCUS RELIEF ER 600 MG TAB | Brand | 120 | $47.79 | $27.66 | $20.13 | 42% |
| TRAMADOL HCL 50 MG TABLET | Generic | 240 | $176.99 | $58.31 | $118.68 | 67% |
| VESTURA TAB 3-0.02MG | Generic | 84 | $196.19 | $76.55 | $119.64 | 61% |
| VITAMIN D3 10 MCG/ML LIQUID | Generic | 50 | $33.74 | $15.16 | $18.58 | 55% |
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