» Glaucoma & Eye Care
Retailer Program | Drug Strength(s) and Form | 30 Day Qty | 90 Day Qty | Use Category | Program’s Complete Drug List |
Wal-Mart/ Sam's Club $4 / 30Day $10 / 90Day |
NEOMYCIN/POLYMYXIN/DEXAMETHASONE 0.1% OP. SUSP (5ML BO*** | 1 | 3 | Glaucoma & Eye Care | Show Wal-Mart/ Sam's Club list |
*These drugs may be priced higher in CA, CO, HI, MN, MT, PA, TN, WI, and WY. | |||||
Wal-Mart/ Sam's Club $4 / 30Day $10 / 90Day |
NEOMYCIN/POLYMYXIN/DEXAMETHASONE 0.1% OP. OINTMENT (3.* | 1 | 3 | Glaucoma & Eye Care | Show Wal-Mart/ Sam's Club list |
*These drugs may be priced higher in CA, CO, HI, MN, MT, PA, TN, WI, and WY. | |||||
Giant Eagle (MD) $4 / 30Day $10 / 90Day |
NEOMYCIN / POLYMYXIN / DEXAMETHASONE 0.001 OPHTHALMIC S | 5 | 15 | Eye & Ear | Show Giant Eagle (MD) list |
Stipulation: This List is only valid in Maryland Stores. | |||||
Giant Eagle (MD) $4 / 30Day $10 / 90Day |
NEOMYCIN / POLYMYXIN / DEXAMETHASONE 0.001 OPHTHALMIC O | 4 | 12 | Eye & Ear | Show Giant Eagle (MD) list |
Stipulation: This List is only valid in Maryland Stores. | |||||
Wegmans $4 30Day / $10 90Day |
NEOMYCIN/POLYMYXIN/DEXAMETHASONE 0.01% OP OINTMENT (3.5 | 3.5gm | 10.5gm | Show Wegmans list |
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Wegmans $4 30Day / $10 90Day |
NEOMYCIN/POLYMYXIN/DEXAMETHASONE 0.01% OP SUSP (5ML BOT | 5ml | 15ml | Show Wegmans list |
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Giant Eagle (OH) $4 / 30Day $10 / 90Day |
NEOMYCIN / POLYMYXIN / DEXAMETHASONE 0.001 OPHTHALMIC O | 4 | 12 | Eye & Ear | Show Giant Eagle (OH) list |
Stipulation: This List is only valid in Ohio Stores. | |||||
Giant Eagle (OH) $4 / 30Day $10 / 90Day |
NEOMYCIN / POLYMYXIN / DEXAMETHASONE 0.001 OPHTHALMIC S | 5 | 15 | Eye & Ear | Show Giant Eagle (OH) list |
Stipulation: This List is only valid in Ohio Stores. | |||||
Giant Eagle (PA) $4 / 30Day $10 / 90Day |
NEOMYCIN / POLYMYXIN / DEXAMETHASONE 0.001 OPHTHALMIC O | 4 | 12 | Eye & Ear | Show Giant Eagle (PA) list |
Stipulation: This List is only valid in Pennsylvania Stores. | |||||
Giant Eagle (PA) $4 / 30Day $10 / 90Day |
NEOMYCIN / POLYMYXIN / DEXAMETHASONE 0.001 OPHTHALMIC S | 5 | 15 | Eye & Ear | Show Giant Eagle (PA) list |
Stipulation: This List is only valid in Pennsylvania Stores. | |||||
Giant Eagle (WV) $4 / 30Day $10 / 90Day |
NEOMYCIN / POLYMYXIN / DEXAMETHASONE 0.001 OPHTHALMIC O | 4 | 12 | Eye & Ear | Show Giant Eagle (WV) list |
Stipulation: This List is only valid in West Virginia Stores. | |||||
Giant Eagle (WV) $4 / 30Day $10 / 90Day |
NEOMYCIN / POLYMYXIN / DEXAMETHASONE 0.001 OPHTHALMIC S | 5 | 15 | Eye & Ear | Show Giant Eagle (WV) list |
Stipulation: This List is only valid in West Virginia Stores. |