1

January 2020 brand list price increases Drug Price increase

Marplan 14.90%

Cotempla XR 13.24%

Desoxyn 10.00%

Nucynta 9.97%

Onivyde 9.94%

Juxtapid 9.94%

Myalept 9.94%

Vivotif 9.91%

Ryvent 9.90%

Quillivant XR 9.90%

Lidoderm 9.90%

Lorzone 9.90%

Dilatrate SR 9.90%

Inveltys 9.90%

Frova 9.90%

Cambia 9.90%

Indocin 9.90%

Zorvolex 9.90%

Xtampza ER 9.90%

Oxaydo 9.90%

Nucynta ER 9.90%

Vivlodex 9.90%

Theo-24 9.90%

Semprex-D 9.90%

Onzetra 9.90%

Percocet 9.90%

Zipsor 9.90%

Silenor 9.89%

2

Sprix 9.85%

Tudorza Pressair 9.58%

Femring 9.50%

Xenazine 9.50%

Sabril 9.50%

Onfi 9.50%

Donnatal 9.43%

Depo-Estradiol 9.40%

Bicillin CR 900/300 9.40%

Bicillin CR 900/300 9.40%

Bicillin L-A 9.40%

Synercid 9.40%

Addyi 9.38%

Solu-Cortef 9.33%

Qbrelis 9.31%

Epaned 9.15%

Emflaza 9.10%

Aemcolo 9.07%

Dyanavel XR 9.00%

Ergomar 9.00%

Ximino 9.00%

Keveyis 9.00%

Prilosec 8.99%

Xyrem 8.50%

Daytrana 8.25%

Minivelle 8.25%

Combipatch 8.25%

Aczone 8.22%

Alinia 8.15%

Zohydro ER 8.00%

Ob Complete Premier 8.00%

3

Ob Complete One 8.00%

Fanapt 8.00%

Conzip 8.00%

Gilotrif 8.00%

Oxtellar XR 8.00%

Trokendi XR 8.00%

Omeclamox-Pak 8.00%

Ob Complete Petite 8.00%

Aplenzin 7.90%

Northera 7.90%

Xifaxan 7.90%

Librax 7.90%

Tymlos 7.90%

Wellbutrin XL 7.90%

Relistor 7.89%

Denovo 7.71%

Tristart DHA 7.51%

Divigel 7.50%

Fabior 7.50%

Sorilux 7.50%

Gonal-F 7.50%

Gonal-F RFF 7.50%

Ovidrel 7.50%

Trumenba 7.44%

Lupaneta 7.40%

Creon 7.40%

Skyrizi 7.40%

Enbrel 7.40%

Imbruvica 7.40%

Orilissa 7.40%

Humira 7.40%

4

Novarel 7.36%

Prevnar 13 7.30%

Savaysa 7.01%

Sulfacleanse 7.01%

Entresto 7.00%

Tasigna 7.00%

Cimzia 7.00%

Promacta 7.00%

Cosentyx 7.00%

Norditropin 6.90%

Nuedexta 6.51%

Dymista 6.50%

Depen 6.50%

Emsam 6.50%

Felbatol 6.50%

Elestrin 6.50%

Auryxia 6.49%

Zonegran 6.48%

Trexall 6.40%

Azilect 6.40%

Antabuse 6.40%

Synribo 6.40%

Ziac 6.40%

Qnasl 6.40%

Actiq 6.40%

Provigil 6.40%

Amrix 6.40%

Fentora 6.40%

Prefest 6.40%

Loseasonique 6.40%

Seasonique 6.40%

5

Quartette 6.40%

Proglycem 6.39%

Adderall 6.39%

Nuvigil 6.39%

Aygestin 6.38%

Epidiolex 6.07%

Istalol 6.00%

Alrex 6.00%

Zirgan 6.00%

Timoptic XE 6.00%

Vyzulta 6.00%

Atrovent HFA 6.00%

Trulance 6.00%

Pradaxa 6.00%

Mestinon 6.00%

Osmoprep 6.00%

Spiriva 6.00%

Catapres-Tts 6.00%

Combivent 6.00%

Picato 6.00%

Aptivus 6.00%

Jublia 6.00%

Lodosyn 6.00%

Stiolto 6.00%

Onexton 6.00%

Mirapex ER 6.00%

Sprycel 6.00%

Pomalyst 6.00%

Eliquis 6.00%

Jentadueto 6.00%

Quillichew ER 6.00%

6

Bryhali 6.00%

Siliq 6.00%

Hetlioz 6.00%

Demser 6.00%

Jentadueto XR 6.00%

Ofev 6.00%

Tradjenta 6.00%

Zelapar 6.00%

Tecfidera 6.00%

Revlimid 6.00%

Jardiance 6.00%

Synjardy XR 6.00%

Azasan 6.00%

Synjardy 6.00%

Lacrisert 6.00%

Timoptic 6.00%

Orencia 6.00%

Cycloset 6.00%

Taclonex 6.00%

Enstilar 6.00%

Anusol HC 6.00%

Besivance 6.00%

Qudexy XR 6.00%

Taclonex Scalp 6.00%

Timoptic Ocudose 6.00%

Moviprep 6.00%

Bepreve 6.00%

Prolensa 6.00%

Lotemax 6.00%

Lotemax SM 6.00%

Adempas 6.00%

7

Braftovi 6.00%

Zylet 6.00%

Striverdi 6.00%

Uceris 6.00%

Endometrin 6.00%

Olumiant 5.99%

Desonate 5.99%

Taltz 5.99%

Qvar 5.99%

Edex 5.97%

Arikayce 5.91%

Austedo 5.90%

Ztlido 5.79%

Finacea 5.76%

Otezla 5.70%

Plaquenil 5.57%

Mobic 5.52%

Ciprodex 5.50%

Pazeo 5.50%

Ilevro 5.50%

Mekinist 5.50%

Mayzent 5.50%

Votrient 5.50%

Piqray 5.50%

Tykerb 5.50%

Rydapt 5.50%

Gilenya 5.50%

Kisqali 5.50%

Tafinlar 5.50%

Zortress 5.50%

Durezol 5.50%

8

Simbrinza 5.50%

Myfortic 5.50%

Azopt 5.50%

Sandimmune 5.50%

Verzenio 5.50%

Travatan Z 5.50%

Neoral 5.50%

Somatuline Depot 5.50%

Banzel 5.44%

Renvela 5.40%

Arava 5.40%

Caprelsa 5.40%

Renagel 5.40%

Myrbetriq 5.40%

Kineret 5.40%

Flomax 5.40%

Ambien 5.40%

Priftin 5.40%

Ambien CR 5.40%

Avapro 5.39%

Peganone 5.39%

Acticlate 5.37%

Lanoxin 5.19%

Evoxac 5.13%

Metopirone 5.11%

Intrarosa 5.10%

Fycompa 5.03%

Benicar HCT 5.02%

Benicar 5.02%

Tribenzor 5.01%

Korlym 5.01%

9

Monurol 5.00%

Suprep Bowel Prep 5.00%

Dificid 5.00%

Typhim VI 5.00%

Combigan 5.00%

Prempro 5.00%

Fml Forte 5.00%

Premphase 5.00%

Imuran 5.00%

Alphagan P 5.00%

Edarbi 5.00%

Yaz 5.00%

Estring 5.00%

Sernivo 5.00%

Trelegy Ellipta 5.00%

Savella 5.00%

Edarbyclor 5.00%

Imovax 5.00%

Veltin 5.00%

Bunavail 5.00%

Nicotrol 5.00%

Tazorac 5.00%

Livalo 5.00%

Lumigan 5.00%

Restasis 5.00%

Evekeo 5.00%

Taytulla 5.00%

Duavee 5.00%

Otovel 5.00%

Protopic 5.00%

Lotronex 5.00%

10

Butrans 5.00%

Toviaz 5.00%

Mydayis 5.00%

Lo Loestrin FE 5.00%

Synagis 5.00%

Forteo 5.00%

Zenzedi 5.00%

Bidil 5.00%

Aubagio 5.00%

Fetzima 5.00%

Ibrance 5.00%

Qbrexza 5.00%

Jynarque 5.00%

Hysingla ER 5.00%

Idhifa 5.00%

Cerdelga 5.00%

Cometriq 5.00%

Vizimpro 5.00%

Vyvanse 5.00%

Shingrix 5.00%

Daurismo 5.00%

Delstrigo 5.00%

Floriva 5.00%

Pifeltro 5.00%

Siklos 5.00%

Sympazan 5.00%

Talzenna 5.00%

Xospata 5.00%

Xalkori 5.00%

Lorbrena 5.00%

Bosulif 5.00%

11

Isentress 5.00%

Belbuca 5.00%

Cabometyx 5.00%

Inlyta 5.00%

Venclexta 5.00%

Velphoro 5.00%

Osphena 5.00%

Protonix 5.00%

Oxycontin 5.00%

Zenpep 5.00%

Infed 5.00%

Ozempic 5.00%

Varubi 5.00%

Viberzi 5.00%

Premarin 5.00%

Linzess 5.00%

Azelex 5.00%

Xultophy 5.00%

Beyaz 5.00%

Natazia 5.00%

Lexapro 5.00%

Namzaric 5.00%

Altabax 5.00%

Viibryd 5.00%

Sotylize 5.00%

Brintellix 5.00%

Trintellix 5.00%

Yasmin 5.00%

Victoza 5.00%

Pexeva 5.00%

Sutent 5.00%

12

Armour Thyroid 5.00%

Omnaris 5.00%

Bystolic 5.00%

Climara 5.00%

Kristalose 5.00%

Climara Pro 5.00%

Humatrope 5.00%

Pred-G 5.00%

Pred Mild 5.00%

Chantix 5.00%

Prevymis 5.00%

Symproic 5.00%

Belsomra 5.00%

Naftin 5.00%

Pred Forte 4.99%

Phoslyra 4.99%

Trulicity 4.99%

Robaxin 4.98%

Emgality 4.97%

Menactra 4.96%

Blephamide 4.96%

Suboxone Film 4.96%

Cordran 4.95%

Isordil 4.95%

Corvite Fe 4.95%

Tivicay 4.94%

Juluca 4.94%

Dovato 4.94%

Triumeq 4.94%

Carafate 4.94%

Twinrix 4.92%

13

Janumet XR 4.92%

Janumet 4.92%

Gabitril 4.92%

Engerix-B 4.91%

Procysbi 4.91%

Synthroid 4.90%

Segluromet 4.90%

Steglatro 4.90%

Latuda 4.90%

Januvia 4.90%

Dilantin 4.90%

Nitrostat 4.90%

Aimovig 4.90%

Cardura XL 4.90%

Xanax XR 4.90%

Xhance 4.90%

Inspra 4.90%

Cardura 4.90%

Simponi Aria 4.90%

Corlanor 4.90%

Tolsura 4.90%

Nplate 4.90%

Orenitram 4.90%

Tyvaso 4.90%

Revatio 4.90%

Stelara 4.90%

Risperdal Consta 4.90%

Erleada 4.90%

Uptravi 4.90%

Invega Trinza 4.90%

Xeljanz XR 4.90%

14

Xeljanz 4.90%

Tremfya 4.90%

Lipitor 4.90%

Invega Sustenna 4.90%

Celebrex 4.90%

Norvasc 4.90%

Invokana 4.90%

Lyrica CR 4.90%

Viagra 4.90%

Neupro 4.90%

Lyrica 4.90%

Neurontin 4.90%

Xarelto 4.90%

Prolia 4.90%

Invokamet 4.90%

Invokamet XR 4.90%

Relpax 4.90%

Xanax 4.90%

Rubraca 4.90%

Zoloft 4.90%

Aptiom 4.90%

Effexor XR 4.90%

Xalatan 4.90%

Xermelo 4.89%

Ipol 4.89%

Nascobal 4.87%

Pramosone 4.84%

Actimmune 4.82%

Kuvan 4.81%

Vemlidy 4.80%

Ranexa 4.80%

15

Stribild 4.80%

Hepsera 4.80%

Cayston 4.80%

Descovy 4.80%

Truvada 4.80%

Genvoya 4.80%

Biktarvy 4.80%

Zydelig 4.80%

Odefsey 4.80%

Complera 4.80%

Atripla 4.80%

Viread 4.80%

Tybost 4.80%

Letairis 4.80%

Follistim AQ 4.76%

Kevzara 4.70%

Betaseron 4.60%

Ruconest 4.51%

Palynziq 4.51%

Sinuva 4.50%

Prezcobix 4.50%

Simponi 4.50%

Edurant 4.50%

Opsumit 4.50%

Balversa 4.50%

Symtuza 4.50%

Prezista 4.50%

Fioricet With Codeine 4.49%

Xolegel 4.49%

Miacalcin 4.48%

Pepcid 4.41%

16

Analpram HC 4.35%

Chemet 4.27%

Lonsurf 4.20%

Brovana 4.20%

Ofirmev 4.19%

Adlyxin 4.10%

Soliqua 100/33 4.10%

Mektovi 4.00%

Saxenda 4.00%

Entyvio 4.00%

Cetrotide 3.99%

Endari 3.96%

Dovonex 3.91%

Stivarga 3.90%

Nexavar 3.90%

Glucagen 3.89%

Galzin 3.86%

Alprolix 3.85%

Pentacel 3.84%

Caduet 3.83%

Fluoroplex 3.81%

Ravicti 3.61%

Lenvima 3.52%

Yupelri 3.50%

Tysabri 3.50%

Horizant 3.50%

Tranxene 3.42%

Jevtana 3.30%

Hpr Plus 3.23%

Xtandi 3.20%

Loestrin 1.5/30 3.13%

17

Prozac 3.03%

Primaquine 3.01%

Gocovri 3.01%

Cymbalta 3.01%

Vsl 3 DS 3.00%

Proair 3.00%

Sivextro 3.00%

Flovent 3.00%

Kombiglyze XR 3.00%

Serevent 3.00%

Arnuity Ellipta 3.00%

Onglyza 3.00%

Motegrity 3.00%

Breo Ellipta 3.00%

Anoro Ellipta 3.00%

Keppra XR 3.00%

Dupixent 3.00%

Actemra 3.00%

Briviact 3.00%

Imitrex Statdose 3.00%

Perjeta 3.00%

Alecensa 3.00%

Gattex 3.00%

Fabrazyme 3.00%

Aldurazyme 3.00%

Takhzyro 3.00%

Lokelma 3.00%

Erivedge 3.00%

Lamictal 3.00%

Kadcyla 3.00%

Dalvance 3.00%

18

Genotropin 3.00%

Xgeva 3.00%

Lamictal XR 3.00%

Esbriet 3.00%

Keppra 3.00%

Bydureon Bcise 3.00%

Elelyso 3.00%

Xigduo XR 3.00%

Farxiga 3.00%

Qtern 3.00%

Valtrex 3.00%

Zubsolv 3.00%

Symbicort 3.00%

Vimpat 3.00%

Brilinta 3.00%

Colcrys 3.00%

Incruse Ellipta 3.00%

Dexilant 3.00%

Pristiq 3.00%

Kazano 3.00%

Nesina 3.00%

Oseni 3.00%

Rapamune 3.00%

Imitrex 3.00%

Vsl 3 3.00%

Tretten 2.98%

Menveo 2.98%

Rotarix 2.98%

Bydureon 2.98%

Carbaglu 2.97%

Havrix 2.97%

19

Rabavert 2.96%

Tdvax 2.96%

Zyprexa 2.94%

Saizen 2.93%

Zyprexa Zydis 2.93%

Ixinity 2.92%

Benefix 2.92%

Tenivac 2.87%

Boostrix 2.83%

Eucrisa 2.83%

Fml 2.77%

Eloctate 2.76%

Oxervate 2.75%

Azor 2.72%

Adacel 2.60%

Mircette 2.59%

Avalide 2.58%

Cystaran 2.57%

Matulane 2.57%

Carnitor 2.56%

Carnitor SF 2.56%

Loestrin 1/20 2.53%

Gamunex-C 2.50%

Verdeso 2.50%

Fioricet 2.45%

Brisdelle 2.40%

Demerol 2.31%

Novoseven RT 2.27%

Nucala 2.25%

Zelnorm 2.20%

Clolar 2.01%

20

Diastat Acudial 2.00%

Vraylar 2.00%

Topamax 2.00%

Migranal 2.00%

Zykadia 2.00%

Lumizyme 2.00%

Hizentra 2.00%

Yondelis 2.00%

Invega 2.00%

Plegridy 2.00%

Intelence 2.00%

Perforomist 2.00%

Concerta 2.00%

Elmiron 2.00%

Xolair 2.00%

Avonex 2.00%

Naglazyme 1.98%

Loestrin FE 1/20 1.86%

Loestrin FE 1.5/30 1.86%

Fasenra 1.50%

Opdivo 1.50%

Benlysta 1.50%

Beleodaq 1.50%

Keytruda 1.49%

Kogenate FS 1.42%

Cerezyme 1.35%

Ixiaro 1.25%

Somavert 1.21%

Advate 1.08%

Halaven 1.03%

Folotyn 1.00%

21

Hemlibra 1.00%

Geodon 0.01%