Curing the World One Patient at a Time
TOLL FREE: 855.251.9116

Quinolone Antibiotics


$

QUINOLONE ANTIBIOTICS

for Lower Respiratory Infection

for Eye Infection

for Urinary Tract Infection

for Skin Infection

for Sinus Infection

for Typhoid

for Pneumonia


FORMULARY- EYE and EAR DROPS - BEST PRICE
Print Coupon US Brand
Name

Drug Info
Generic/
ingredient
Dosage Quantity Abroad
Brand Price
Abroad
Generic Price
US
Brand Price
US
Generic Price
Prior
Authorization
Price
per unit
____________________________________________________ ___________________________________________________
Kroger Ocuflox® ofloxacin 0.3% #1 5ml Eye Dropper$30.00 $  94.69 $  8.52 $0.57/ 5-drop dose
WalmartCiloxan® ciprofloxin 0.3% #10 ml Eye Dropper$20.00
for 5ml
$ 112.04 $ 11.74 $0.10/ 5 drops

CVS Floxin® ofloxacin 0.3% #1 5ml Ear Dropper $  78.73 $ 15.46 $1.03/ 5-drop dose

Walgreens Cetraxal® XX ciprofloxacin 0.2% #1 14 packages Ear Dropper $  49.79 $3.56/ container

Rite-Aid Quixin® levofloxacin 0.5% #1 5ml Eye Dropper $  86.81 $ 34.39 $2.29/ 5-drops

Not available Otiprio® XX ciprofloxacin 0.2% #1 14 packages Ear Dropper physician supplies


FORMULARY- ORAL MEDICATION - BEST PRICE
Print Coupon US Brand
Name

Drug Info
Generic/
ingredient
Dosage Quantity Abroad
Brand Price
Abroad
Generic Price
US
Brand Price
US
Generic Price
Prior
Authorization
Price
per unit
____________________________________________________ __________________________________________________
Target Cipro® ciprofloxin 500mg #60 Tablets$59.00
for #20
$ 375.99 $ 10.00 $0.17/ dose

Walmart Levaquin® levofloxacin 500mg #28 Tablets$49.00
for #14
$ 828.63 $ 13.17 $0.47/ dose

CVS Cipro®XR ciprofloxin 500mg
XR
#30 Tablets$237.00
for #50
$ 229.63 $107.45General Prior
Authorization

Second Opinion
$0.17/ dose

NOT FORMULARY
Print Coupon US Brand
Name

Drug Info
Generic/
ingredient
Dosage Quantity Abroad
Brand Price
Abroad
Generic Price
US
Brand Price
US
Generic Price
Prior
Authorization
Price
per unit
________________________________________________ ___________________________________________________
CVS Zymaxid® gatifloxacin 0.5% #1 2.5ml Eye Dropper $ 118.54 $ 47.67 $3.53/ 5 drops

Walmart Zymar® gatifloxacin 0.3% #1 5ml Eye Dropper$52.00
5ml #3
$   81.66 $2.72/ 5 drops

Kroger Moxeza® moxifloxacin 0.3% #1 5ml Eye Dropper $ 117.08 $3.90/ 5 drops

Walmart Vigamox® moxifloxacin 0.5% #1 3ml Eye Dropper$31.00
5ml
$ 118.54 $6.59/ 5 drops

Kmart Cetrexal® ciprofloxacin 0.2% #14 pkgs Ear Dropper $ 129.04 General Prior
Authorization
$9.22/ pkg

Walmart Besivance® besifloxacin 0.6% #1 5ml Eye Dropper$52.00 $ 134.12 General Prior
Authorization
$4.47/ 5 drops

Kmart Noroxin® norfloxin 400mg #30 Tablets $ 130.32 General Prior
Authorization
$4.34/ dose

Kmart Ciprodex® ciprofloxacin/ dexamet- hasone 0.3%/
0.1%
#1 7.5ml Ear Dropper $ 187.41 General Prior
Authorization
$0.78/ 5-drop dose

Walmart Avelox® moxifloxacin 400mg #30 Tablets$126.00
for #28
$ 284.89 General Prior
Authorization
$9.49/ dose

Walmart Baxdela® delafloxacin 450mg #30 Tablets General Prior
Authorization
$??/ dose


Walmart Factive® gemifloxin 320mg #30 Tablets $1240.27 General Prior
Authorization
$41.36/ dose



OBSERVATIONS:

KEYWORDS:
Rx Cipro, Rx ciprofloxin, Rx Levaquin, Rx levofloxacin, Rx Ciloxan, Rx Quixin, Rx Iquix, Rx Ocuflox, Rx Vigamox, Rx ofloxacin, rx moxifloxacin, Rx Zymaxid,Rx Zymar, rx gatifloxacin, Rx Moxez, Rx moxifloxacin, Rx Besivance, Rx besifloxacin Rx Floxin, Rx Cetrexal, Rx Avelox, Rx Noroxin, Rx norfloxin, Rx Factive, Rx gemifloxin, Rx ciprodex, rx baxdela, rx delafloxacin buy, BUY



XX Excluded by Caremark or Express Scripts January 2015

Copyrighted® 2014: Revised May 15, 2015; Prices may vary