| $107.01 | |
| $92.93 | |
| $88.00 | |
| $88.00 | |
| $36.77 | |
| $36.96 | |
| $35.20 | |
| $50.69 | |
| $47.52 | |
| $26.40 | |
| $45.06 | |
| $28.16 | |
| $35.20 | |
| $31.68 | |
| $77.12 | |
| $76.16 | |
| $61.60 | |
| $47.87 | |
| $470.27 | |
| $70.40 | |
| $394.24 | |
| $88.00 | |
| $31.68 | |
| $88.00 | |
| $29.92 | |
| $240.80 | |
| $44.00 | |
| $90.11 | |
| $26.40 | |
| $73.78 | |
| $47.04 | |
| $78.77 | |
| $28.16 | |
| $52.80 | |
| $107.01 | |
| $220.16 | |
| $132.00 | |
| $191.84 | |
| $105.60 | |
| $152.06 | |
| $26.40 | |
| $35.20 | |
| $31.68 | |
| $152.16 | |
| $63.36 | |
| $63.36 | |
| $26.40 | |
| $44.00 | |
| $54.56 | |
| $62.64 | |
| $101.38 | |
| $114.40 | |
| $309.76 | |
| $103.20 | |
| $84.48 | |
| $26.40 | |
| $79.20 | |
| $52.59 | |
| $49.36 | |
| $70.40 | |
| $79.20 | |
| $92.93 | |
| $33.79 | |
| $58.08 | |
| $50.69 | |
| $50.69 | |
| $28.16 | |
| $246.40 | |
| $29.92 | |
| $56.32 | |
| $56.32 | |
| $35.20 | |
| $36.08 | |
| $153.12 | |
| $31.84 | |
| $38.72 | |
| $84.48 | |
| $38.72 | |
| $50.69 | |
| $50.69 | |
| $50.69 | |
| $84.48 | |
| $50.69 | |
| $88.00 | |
| $72.00 | |
| $197.12 | |
| $26.40 | |
| $74.11 | |
| $40.48 | |
| $56.32 | |
LUPISERT (Serline, Sertraline, Lustral, Zoloft)-Without prescript |