Magellan Rx Management
Generic Upper Limits changing effective June 1, 2014
Amoxicillin; Clavulanate 500 mg; 125 mg, Tablet, Oral 0.94016
Amoxicillin; Clavulanate 875 mg; 125 mg, Tablet, Oral 0.96960
Azelastine 137 mcg, Nasal Spray 1.47100
Chlorpromazine 10 mg, Tablet, Oral 0.76320
Chlorpromazine 25 mg, Tablet, Oral 1.06640
Chlorpromazine 50 mg, Tablet, Oral 1.50030
Chlorpromazine 100 mg, Tablet, Oral 2.20310
Chlorpromazine 200 mg, Tablet, Oral 3.11440
Clindamycin 75 mg/5 ml, Pediatric Granules, Solution, Oral 0.44530
Cyclosporine Modified 25 mg, Capsule, Oral 0.72360
Cyclosporine Modified 100 mg, Capsule, Oral 2.58740
Escitalopram Oxalate 5 mg/5 ml, Solution, Oral 0.51310
Fentanyl Transdermal Patches 25 mcg/hr Transdermal Patch 3.41794
Fentanyl Transdermal Patches 50 mcg/hr Transdermal Patch 6.22897
Fentanyl Transdermal Patches 75 mcg/hr Transdermal Patch 9.62367
Fentanyl Transdermal Patches 100 mcg/hr Transdermal Patch 12.22295
Finasteride 5 mg, Tablet, Oral 0.26201
Fluticasone Propionate 50 mcg, Nasal Spray 0.65292
Irbesartan 75 mg, Tablet, Oral 0.23470
Irbesartan 150 mg, Tablet, Oral 0.28860
Irbesartan 300 mg, Tablet, Oral 0.39090
Irbesartan; Hydrochlorothiazide 150 mg; 12.5 mg, Tablet, Oral 0.28330
Irbesartan; Hydrochlorothiazide 300 mg; 12.5 mg, Tablet, Oral 0.54860
Levalbuterol 0.31 mg/3 ml, Inhalation Solution 1.10250
Levalbuterol 0.63 mg/3 ml, Inhalation Solution 1.10250
Levalbuterol 1.25 mg/3 ml, Inhalation Solution 1.10250
Methotrexate 2.5 mg, Tablet, Oral 2.22620
Montelukast Sodium 4 mg, Tablet, Chewable, Oral 0.41410
Montelukast Sodium 5 mg, Tablet, Chewable, Oral 0.39490
Montelukast Sodium 10 mg, Tablet, Oral 0.28880
Olanzapine 2.5 mg, Tablet, Oral 0.35071
Olanzapine 5 mg, Tablet, Oral 0.39172
Olanzapine 7.5 mg, Tablet, Oral 0.45404
Olanzapine 10 mg, Tablet, Oral 0.54064
Olanzapine 15 mg, Tablet, Oral 0.76846
Olanzapine 20 mg, Tablet, Oral 0.98344
Oxcarbazepine 150 mg, Tablet, Oral 0.24623
Oxcarbazepine 300 mg, Tablet, Oral 0.34597
Oxcarbazepine 600 mg, Tablet, Oral 0.60808
Quetiapine Fumarate 25 mg, Tablet, Oral 0.21718
Quetiapine Fumarate 50 mg, Tablet, Oral 0.28932
Quetiapine Fumarate 100 mg, Tablet, Oral 0.30789
Quetiapine Fumarate 200 mg, Tablet, Oral 0.53194
Quetiapine Fumurate 300 mg, Tablet, Oral 0.61671
Quetiapine Fumurate 400 mg, Tablet, Oral 0.63864
Repaglinide 0.5 mg, Tablet, Oral 0.67190
Repaglinide 1 mg, Tablet, Oral 0.67190
Repaglinide 2 mg, Tablet, Oral 0.67190
Tacrolimus 0.5 mg, Capsule, Oral 0.95330
Tacrolimus 1 mg, Capsule, Oral 1.63281
Tacrolimus 5 mg, Capsule, Oral 11.51006
Venlafaxine Hydrochloride 37.5 mg, Extended Release, Capsule, Oral 0.22730
Venlafaxine Hydrochloride 75 mg, Extended Release, Capsule, Oral 0.18110
Venlafaxine Hydrochloride 150 mg, Extended Release, Capsule, Oral 0.25040
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