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PDF DRAFT Jan 2020 Drug Manufacturer Price Increases January 1, 2020-January 7, 2020 Brand Name Manufacturer Multi-Source/Single Source Brand/Generic Percent Change 1 ABRAXANE CELGENE Single Source Brand named 5 2 ACETYLCYSTEINE HOSPIRA/PFIZER Multiple Source Generically named 9.43 3 ACTEMRA GENENTECH INC. Single Source Brand named 3 4 ACTEMRA ACTPEN GENENTECH INC. Single Source Brand named 3 5 ACTHIB SANOFI-PASTEUR Multiple Source Brand named 4 6 ACTICLATE ALMIRALL LLC Multiple Source Brand named 5.37 7 ACTIQ TEVA USA Multiple Source Brand named 6.4 8 ACZONE ALLERG/ALMIRALL Multiple Source Brand named 8.22 9 ADACEL TDAP SANOFI-PASTEUR Single Source Brand named 3.01 10 ADDERALL TEVA USA Multiple Source Brand named 6.4 11 ADDYI SPROUT PHARMACE Single Source Brand named 9.38 12 ADVATE BAXALTA US INC. Multiple Source Brand named 3.05 13 ADYNOVATE BAXALTA US INC. Single Source Brand named 2.86 14 AEMCOLO ARIES/REDHILL B Single Source Brand named 9.07 15 ALECENSA GENENTECH INC. Single Source Brand named 3 16 ALINIA ROMARK LABORATO Single Source Brand named 9.01 17 ALPHAGAN P ALLERGAN INC. Multiple Source Brand named 5 18 ALPROLIX BIOVERATIV THER Single Source Brand named 3.85 19 ALTABAX ALMIRALL LLC Single Source Brand named 5 20 AMINOCAPROIC ACID HOSPIRA/PFIZER Multiple Source Generically named 9.3 21 AMINOPHYLLINE HOSPIRA/PFIZER Single Source Generically named 9.43 22 AMPICILLIN-SULBACTAM MYLAN INSTITUTI Multiple Source Generically named 10 23 AMRIX TEVA USA Multiple Source Brand named 6.4 24 ANALPRAM HC SEBELA PHARMACE Multiple Source Brand named 5.04 25 ANORO ELLIPTA GLAXOSMITHKLINE Single Source Brand named 3 26 ANTABUSE TEVA WOMEN'S HE Multiple Source Brand named 6.41 27 APTIOM SUNOVION PHARMA Single Source Brand named 4.9 28 APTIVUS BOEHRINGER ING. Single Source Brand named 6 29 ARIKAYCE INSMED INCORPOR Single Source Brand named 5.91 30 ARMOUR THYROID FOREST/ALLERGAN Multiple Source Brand named 5 31 ARNUITY ELLIPTA GLAXOSMITHKLINE Single Source Brand named 3 32 ATGAM PHARMACI/PFIZER Single Source Brand named 9.4 33 ATRIPLA GILEAD SCIENCES Single Source Brand named 4.8 34 ATROPINE SULFATE HOSPIRA/PFIZER Multiple Source Generically named 9.41 35 ATROVENT HFA BOEHRINGER ING. Single Source Brand named 6 36 AUSTEDO TEVA USA Single Source Brand named 5.9 37 AVONEX BIOGEN-IDEC Single Source Brand named 2 38 AVONEX PEN BIOGEN-IDEC Single Source Brand named 2 39 AYGESTIN TEVA WOMEN'S HE Multiple Source Brand named 6.38 40 AZELEX ALLERG/ALMIRALL Single Source Brand named 5 41 AZILECT TEVA NEUROSCIEN Multiple Source Brand named 6.4 42 BELBUCA BIODELIVERY SCI Single Source Brand named 5 43 BELEODAQ SPECTRUM/ACROTE Single Source Brand named 1.5 44 BENLYSTA GLAXOSMITHKLINE Single Source Brand named 1.5 45 BESPONSA WYETH/PFIZER Single Source Brand named 3 46 BETASERON BAYERPHARM DIV Multiple Source Brand named 4.6 47 BETHANECHOL CHLORIDE MAJOR PHARMACEU Multiple Source Generically named 24.22 48 BEXSERO GLAXOSMITHKLINE Single Source Brand named 5 49 BEYAZ BAYERPHARM DIV Multiple Source Brand named 5 50 BICILLIN C-R PFIZER US PHARM Single Source Brand named 9.4 51 BICILLIN L-A PFIZER US PHARM Single Source Brand named 9.4 52 BIDIL ARBOR PHARMACEU Single Source Brand named 5 53 BIKTARVY GILEAD SCIENCES Single Source Brand named 4.8 54 BLEPHAMIDE ALLERGAN INC. Single Source Brand named 5 55 BOOSTRIX TDAP GLAXOSMITHKLINE Single Source Brand named 3 56 BOSULIF PFIZER US PHARM Single Source Brand named 5 57 BRAFTOVI ARRAY BIOPHARMA Single Source Brand named 6 58 BREO ELLIPTA GLAXOSMITHKLINE Single Source Brand named 3 59 BRINEURA BIOMARIN PHARMA Single Source Brand named 2 60 BRISDELLE SEBELA PHARMACE Multiple Source Brand named 2.4 61 BRIVIACT UCB PHARMA Single Source Brand named 3 62 BROVANA SUNOVION PHARMA Single Source Brand named 4.2 63 BUNAVAIL BIODELIVERY SCI Single Source Brand named 5 64 BUPIVACAINE HCL-EPINEPHRINE HOSPIRA/PFIZER Multiple Source Generically named 9.51 65 BUTORPHANOL TARTRATE HOSPIRA/PFIZER Multiple Source Generically named 9.52 66 BUTRANS PURDUE PHARMA L Multiple Source Brand named 5 67 BYSTOLIC FOREST/ALLERGAN Single Source Brand named 5 68 CABOMETYX EXELIXIS INC. Single Source Brand named 5 69 CADUET PFIZER US PHARM Multiple Source Brand named 4.9 70 CALCIUM CHLORIDE HOSPIRA/PFIZER Multiple Source Generically named 9.38 71 CALDOLOR CUMBERLAND PHAR Single Source Brand named 7.97 72 CAMBIA ASSERTIO THERAP Single Source Brand named 9.9 73 CARAFATE APTALIS/ALLERGA Multiple Source Brand named 5 74 CARBAGLU ORPHAN EUROPE/R Single Source Brand named 3 75 CARDURA PFIZER US PHARM Multiple Source Brand named 4.9 76 CARDURA XL PFIZER US PHARM Single Source Brand named 4.9 77 CARNITOR LEADIANT BIOSCI Multiple Source Brand named 2.57 78 CARNITOR SF LEADIANT BIOSCI Multiple Source Brand named 2.56 79 CATAPRES-TTS 1 BOEHRINGER ING. Multiple Source Brand named 6 80 CATAPRES-TTS 2 BOEHRINGER ING. Multiple Source Brand named 6 81 CATAPRES-TTS 3 BOEHRINGER ING. Multiple Source Brand named 6 82 CAYSTON GILEAD SCIENCES Single Source Brand named 4.81 83 CEFAZOLIN SODIUM HOSPIRA/PFIZER Single Source Generically named 9.35 84 CEFTRIAXONE HOSPIRA/PFIZER Single Source Generically named 9.49 85 CELEBREX PFIZER US PHARM Multiple Source Brand named 4.9 86 CHANTIX PFIZER US PHARM Single Source Brand named 5 87 CHEMET RECORDATI RARE Single Source Brand named 8 88 CIMZIA UCB PHARMA Single Source Brand named 7 89 CINVANTI HERON THERAPEUT Single Source Brand named 2.25 90 CLIMARA BAYERPHARM DIV Multiple Source Brand named 5.01 91 CLIMARA PRO BAYERPHARM DIV Single Source Brand named 5 92 COAGADEX BIO PRODUCTS LA Single Source Brand named 5.03 93 COMBIGAN ALLERGAN INC. Single Source Brand named 5 94 COMBIPATCH NOVEN THERAPEUT Single Source Brand named 8.25 95 COMBIVENT RESPIMAT BOEHRINGER ING. Single Source Brand named 6 96 COMETRIQ EXELIXIS INC. Single Source Brand named 5 97 COMPLERA GILEAD SCIENCES Single Source Brand named 4.8 98 CORDRAN ALMIRALL LLC Multiple Source Brand named 5.37 99 CORLOPAM HOSPIRA/PFIZER Single Source Brand named 9.4 100 COSMEGEN RECORDATI RARE Multiple Source Brand named 10 101 COTEMPLA XR-ODT NEOS THERAPEUTI Single Source Brand named 13.24 102 CREON ABBVIE US LLC Single Source Brand named 7.4 103 CRYSVITA ULTRAGENYX PHAR Single Source Brand named 2.5 104 CUVITRU SHIRE/TAKEDA PH Single Source Brand named 2 105 CYSTADANE ORPHAN EUROPE/R Single Source Brand named 3 106 CYSTARAN LEADIANT BIOSCI Single Source Brand named 2.57 107 DALVANCE DURATA/ALLERGAN Single Source Brand named 3 108 DAPTACEL DTAP SANOFI-PASTEUR Single Source Brand named 3.01 109 DAURISMO PFIZER US PHARM Single Source Brand named 5 110 DAYTRANA NOVEN THERAPEUT Single Source Brand named 8.25 111 DEFINITY LANTHEUS MEDICA Single Source Brand named 5 112 DEMEROL HOSPIRA/PFIZER Single Source Brand named 9.41 113 DEPEN MEDA/MYLAN SPEC Single Source Brand named 6.5 114 DEPO-ESTRADIOL PHARMACI/PFIZER Single Source Brand named 9.4 115 DESCOVY GILEAD SCIENCES Single Source Brand named 4.8 116 DESONATE LEO PHARMA INC. Single Source Brand named 6 117 DESOXYN RECORDATI RARE Multiple Source Brand named 10 118 DEXTROSE IN WATER HOSPIRA/PFIZER Single Source Generically named 9.63 119 DIAZEPAM HOSPIRA/PFIZER Single Source Generically named 9.4 120 DILANTIN PFIZER US PHARM Multiple Source Brand named 4.9 121 DILANTIN-125 PFIZER US PHARM Multiple Source Brand named 4.9 122 DILTIAZEM HCL HOSPIRA/PFIZER Single Source Generically named 9.43 123 DIPHENHYDRAMINE HCL HOSPIRA/PFIZER Single Source Generically named 9.43 124 DIPHTHERIA-TETANUS TOXOIDS-PED SANOFI-PASTEUR Single Source Generically named 5.01 125 DONNATAL CONCORDIA PHARM Multiple Source Brand named 9.67 126 DOPAMINE HCL HOSPIRA/PFIZER Multiple Source Generically named 9.57 127 DOVATO VIIV HEALTHCARE Single Source Brand named 4.94 128 DOVONEX LEO PHARMA INC. Multiple Source Brand named 5 129 DOXYCYCLINE HYCLATE MYLAN INSTITUTI Multiple Source Generically named 9.89 130 DUAVEE WYETH/PFIZER Single Source Brand named 5 131 DYANAVEL XR TRIS PHARMA INC Single Source Brand named 9 132 DYMISTA MEDA/MYLAN SPEC Single Source Brand named 6.5 133 EDARBI ARBOR PHARMACEU Single Source Brand named 5 134 EDARBYCLOR ARBOR PHARMACEU Single Source Brand named 5 135 EFFEXOR XR WYETH/PFIZER Multiple Source Brand named 4.9 136 ELELYSO PFIZER US PHARM Single Source Brand named 3 137 ELESTRIN MEDA/MYLAN SPEC Single Source Brand named 6.5 138 ELIQUIS BMS PRIMARYCARE Single Source Brand named 6 139 ELOCTATE BIOVERATIV THER Single Source Brand named 2.76 140 EMFLAZA PTC THERAPEUTIC Single Source Brand named 9.1 141 EMPLICITI BMS PRIMARYCARE Single Source Brand named 1.5 142 EMSAM MYLAN SPECIALTY Single Source Brand named 6.5 143 ENDARI EMMAUS MEDICAL Single Source Brand named 3.96 144 ENGERIX-B ADULT GLAXOSMITHKLINE Single Source Brand named 5 145 ENGERIX-B PEDIATRIC-ADOLESCENT GLAXOSMITHKLINE Single Source Brand named 5.01 146 ENSTILAR LEO PHARMA INC. Single Source Brand named 6 147 EPANED SILVERGATE PHAR Single Source Brand named 9.15 148 EPINEPHRINE HOSPIRA/PFIZER Multiple Source Generically named 9.43 149 ERGOMAR TERSERA THERAPE Single Source Brand named 9 150 ERIVEDGE GENENTECH INC. Single Source Brand named 3 151 ERYTHROCIN LACTOBIONATE HOSPIRA/PFIZER Single Source Brand named 9.41 152 ESBRIET GENENTECH INC. Single Source Brand named 3 153 ESTRING PHARMACI/PFIZER Single Source Brand named 5 154 EUCRISA PFIZER US PHARM Single Source Brand named 3 155 EVEKEO ARBOR PHARMACEU Multiple Source Brand named 5 156 EVEKEO ODT ARBOR PHARMACEU Single Source Brand named 5 157 EXPAREL PACIRA PHARMACE Single Source Brand named 3 158 FANAPT VANDA PHARMACEU Single Source Brand named 8.01 159 FEIBA NF BAXALTA US INC.
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