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GENERIC PRICE
SPREAD
PBM EMPLOYER PAID COMPARED TO CASH PRICE
HYDROCORTISONE ACETATE
PLAN PAID PREMIUM $891.96
FENOFIBRATE
PLAN PAID PREMIUM $1,533.33
DOXYCYCLINE HYCLATE
PLAN PAID PREMIUM $3,018.92 (REQUIRES PATIENT TAKE 2 PILLS)
TENOFOVIR
PLAN PAID PREMIUM $3,640.56
MYCOPHENOLIC ACID
PLAN PAID PREMIUM $4,665.76
PARICALCITOL
PLAN PAID PREMIUM $3,126.63
CLOBAZAM
PLAN PAID PREMIUM $2,764.59
FLUVOXAMINE
PLAN PAID PREMIUM $745
DEXTROAMPHETAMINE
PLAN PAID PREMIUM $781.96

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