Package	Price	Per Item	Savings	Order
	Brand Advair Diskus 60 doses x 500 mcg	$265.67	$4.43	$0
	Brand Advair Diskus 60 doses x 250 mcg	$208.77	$3.48	$0
	Brand Advair Diskus 60 doses x 100 mcg	$187.01	$3.12	$0

Brand Advair Diskus
	Brand Advair Diskus (Fluticasone/Salmeterol) is used for long-term prevention and treatment of asthma and chronic lung diseases. Brand Advair Diskus is an original product of GSK and made in France.

Drug Name

Brand Advair Diskus (Fluticasone/Salmeterol)

Drug Uses

Brand Advair Diskus is used for long-term treatment of asthma and chronic obstructive pulmonary disease (COPD) in certain patients. It may also be used to treat other breathing conditions as determined by your doctor.

How to use

Use Brand Advair Diskus as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Brand Advair Diskus comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Brand Advair Diskus refilled. Do not use a spacer with Brand Advair Diskus.
Always ready and use this device in a level, flat position.
Hold the device in one hand and put the thumb of your other hand on the thumb grip. Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position.
Hold the device in a level, flat position with the mouthpiece toward you. Slide the lever away from you as far as it will go until it clicks.
Do NOT close or tilt the device, play with the lever, or move the lever more than 1 time. This may release or waste extra doses.
Hold the device away from your mouth and breathe out fully. Do NOT breathe into the inhaler. Put the mouthpiece to your lips. Breathe in quickly and deeply through the device.
Remove the device from your mouth. Hold your breath for about 10 seconds, or as long as is comfortable. Then breathe out slowly.
Close the device. Put your thumb on the thumb grip and slide it back toward you as far as it will go. The device will click shut and the lever will return to its original position.
Your dose of medicine is a very fine powder. Most, but not all, patients can taste or feel the dose. Do NOT use another dose if you do not taste or feel the medicine. If you are not sure if you are receiving your dose, contact your doctor or pharmacist.
Rinse your mouth with water after using Brand Advair Diskus. DO NOT swallow the rinse solution. Spit the rinse water out.
If you are using other inhaled medicines, wait a few minutes between using Brand Advair Diskus Powder and other inhalers, unless directed otherwise by your doctor.
Take your doses of Brand Advair Diskus about 12 hours apart, unless your doctor tells you otherwise.
Never wash the mouthpiece or any other part of the inhaler. Keep it dry. Store Brand Advair Diskus in a dry place.
Throw Brand Advair Diskus Powder away 1 month after you remove it from the foil pouch, or after the dose indicator reads “0,” whichever comes first.
You may breathe more easily after the first dose of Brand Advair Diskus. However, it may take 1 week or longer to achieve the most benefit.
Use Brand Advair Diskus Powder on a regular schedule to get the most benefit from it. Using Brand Advair Diskus at the same times each day will help you remember to use it. Do not stop using Brand Advair Diskus even if you feel better unless your doctor tells you to.

Drug Class and Mechanism

Brand Advair Diskus is a long-acting corticosteroid and bronchodilator combination. It works by reducing inflammation and widening the airways in the lungs, which helps you breath more easily.

Missed Dose

If you miss a dose of Brand Advair Diskus, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Storage

Store Brand Advair Diskus at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in a dry place. Store away from direct heat and sunlight, moisture, and light. The inhalation device is not reusable and should be discarded 1 month after removal from the moisture-protective foil overwrap pouch or after all blisters have been used, whichever comes first.

Warnings/Precautions

Do NOT use Brand Advair Diskus Powder if:

• you are allergic to any ingredient in Brand Advair Diskus or to milk proteins you are having an asthma attack (eg, sudden, severe onset or worsening of asthma symptoms such as chest tightness, cough, shortness of breath, wheezing)
• you are using another type of long-acting inhaled bronchodilator (eg, formoterol inhalation powder, salmeterol inhalation powder)
• you are taking an azole antifungal (eg, ketoconazole), certain HIV protease inhibitors (eg, ritonavir), a macrolide antibiotic (eg, clarithromycin), nefazodone, or telithromycin

Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with Brand Advair Diskus. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you are taking a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) or tricyclic antidepressant (eg, amitriptyline), or if you have taken either of these medicines within the last 14 days
• if you have high blood acid levels (eg, ketoacidosis) or a history of diabetes, glaucoma, or increased pressure in the eye, heart problems (eg, fast or irregular heartbeat, heart blood vessel problems), high blood pressure, nervous system problems, liver problems, low blood potassium levels, seizures, thyroid problems, or an adrenal gland tumor
• if you are having a COPD flare-up, have recently been to an emergency room for asthma, have a history of frequent hospitalizations for asthma, or have ever had a life-threatening asthma attack
• if you have a fungal, bacterial, or parasitic infection; a viral infection (eg, measles, chickenpox, shingles); herpes virus infection of the eye; tuberculosis (TB); a history of a positive TB skin test; or immune system problems; or if you have had a recent vaccination
• if you have weak bones (osteoporosis) or have risk factors for osteoporosis (eg, a family history of osteoporosis, tobacco use, long-term use of corticosteroids or certain seizure medicines, limited physical exercise, poor nutrition)

Some MEDICINES MAY INTERACT with Brand Advair Diskus. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Diuretics (eg, hydrochlorothiazide, furosemide) or long-acting inhaled bronchodilators (eg, salmeterol inhalation powder, formoterol inhalation powder) because the risk of low blood potassium or irregular heartbeat may be increased
• Azole antifungals (eg, ketoconazole), catechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), delavirdine, HIV protease inhibitors (eg, ritonavir), macrolide antibiotics (eg, clarithromycin), MAOIs (eg, phenelzine), nefazodone, short-acting beta-agonist bronchodilators (eg, albuterol), telithromycin, or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Brand Advair Diskus’ side effects

Possible Side Effects

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

• Diarrhea; dizziness; headache; mild muscle or bone pain; nausea; nervousness; throat irritation; tremor; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

• Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); behavior changes; blurred vision or other vision changes; chest pain; choking; fast or irregular heartbeat; hoarseness; numbness or tingling in hands or feet; seizures; severe muscle weakness, cramps, or spasms; severe or persistent bone pain; severe or persistent dizziness or headache; signs of infection (eg, fever, chills, persistent headache/sore throat, ear pain, increased mucus production or change in mucus color); swelling or tightness in the throat; trouble sleeping; unusual tiredness or weakness; vaginal odor or discharge; weight gain; white patches or sores on the tongue or mouth; worsening of asthma symptoms (eg, increased wheezing, coughing, chest tightness, shortness of breath).

More Information

Brand Advair Diskus is to be used only by the patient for whom it is prescribed. Do not share it with other people.

Brand Advair Diskus
		Brand Advair Diskus 60 doses x 500 mcg	$265.67
		Brand Advair Diskus 60 doses x 250 mcg	$208.77
		Brand Advair Diskus 60 doses x 100 mcg	$187.01

	Package	Price	Per Item	Savings	Order
	Medrol 30 pills x 16 mg	$138.92	$4.63	$0
	Medrol 60 pills x 16 mg	$239.57	$3.99	$39
	Medrol 90 pills x 16 mg	$309.8	$3.44	$107
	Medrol 30 pills x 4 mg	$40.57	$1.35	$0
	Medrol 60 pills x 4 mg	$70.03	$1.17	$12
	Medrol 90 pills x 4 mg	$90.63	$1.01	$31

Medrol
	Medrol (Methylprednisolone) modifies the immune system response to various conditions and decreases inflammation.

Drug Name

Medrol (Methylprednisolone)

Drug Uses

Medrol is used for treating severe allergies, arthritis, asthma, certain blood disorders, and skin conditions. It may also be used for other conditions as determined by your doctor.

How to use

Use Medrol as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Medrol by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.

Drug Class and Mechanism

Medrol is a corticosteroid. It works by modifying the immune system response to various conditions and decreasesing inflammation.

Missed Dose

If you miss a dose of Medrol, skip the missed dose. Go back to your regular dosing schedule. Do not take 2 doses at once.

Storage

Store Medrol at 77 degrees F (25 degrees C). Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Medrol out of the reach of children and away from pets.

Warnings/Precautions

Do NOT use Medrol if:

• you are allergic to any ingredient in Medrol
• you are presently taking mifepristone
• you have a systemic fungal infection
• you are scheduled to have a smallpox vaccine

Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with this medicine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a history of heart problems (eg, congestive heart failure), heart attack, high blood pressure, kidney problems, liver problems, diabetes, seizures, an underactive thyroid, adrenal gland problems, or any mental or mood problems
• if you have or have recently had a fungal, bacterial, viral, or other type of infection; herpes infection of the eye; chickenpox; measles; or shingles
• if you have HIV or tuberculosis (TB), or if you have ever had a positive TB skin test
• if you have any stomach problems (eg, ulcers), intestinal problems (eg, blockage, perforation, infection, unexplained diarrhea, diverticulitis, ulcerative colitis), recent intestinal surgery, or inflammation of the esophagus
• if you have weak bones (eg, osteoporosis) or muscle problems (eg, myasthenia gravis)
• if you have had any recent vaccinations (eg, smallpox)

Some MEDICINES MAY INTERACT with Medrol . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Barbiturates (eg, phenobarbital), carbamazepine, hydantoins (eg, phenytoin), lithium, or rifampin because they may decrease Medrol ’s effectiveness
• Aprepitant, clarithromycin, cyclosporine, diltiazem, erythromycin, itraconazole, ketoconazole, or troleandomycin because side effects, such as adrenal gland or nervous system problems, may occur
• Aspirin, live vaccines, mifepristone, or ritodrine, because their actions and the risk of their side effects may be increased by Medrol

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

• acne; clumsiness; dizziness; facial flushing; feeling of whirling motion; general body discomfort; headache; increased appetite; increased sweating; nausea; nervousness; sleeplessness; upset stomach.

Seek medical attention right away if any of these severe side effects occur:

• severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; changes in body fat; changes in menstrual periods; changes in skin color; chest pain; mental or mood changes (eg, depression); muscle pain, weakness, or wasting; seizures; severe nausea or vomiting; sudden severe dizziness or headache; swelling of feet or legs; symptoms of infection (eg, fever, chills, sore throat); tendon or bone pain; thinning of the skin; unusual bruising or bleeding; unusual skin sensation; unusual weight gain; vision changes or other eye problems; vomit that looks like coffee grounds.

More Information

Medrol is to be used only by the patient for whom it is prescribed. Do not share it with other people.

Medrol
		Medrol 30 pills x 16 mg	$138.92
		Medrol 60 pills x 16 mg	$239.57
		Medrol 90 pills x 16 mg	$309.8
		Medrol 30 pills x 4 mg	$40.57
		Medrol 60 pills x 4 mg	$70.03
		Medrol 90 pills x 4 mg	$90.63

	Package	Price	Per Item	Savings	Order
	Proventil 1 inhaler x 100 mcg	$39.2	$39.2	$0
	Proventil 3 inhalers x 100 mcg	$101.48	$33.83	$17
	Proventil 6 inhalers x 100 mcg	$175.44	$29.24	$60

Proventil
	Proventil (Albuterol/Salbutamol) is used to treat asthma and other chest illnesses.

Drug Name

Proventil (Albuterol/Salbutamol)

Drug Uses

Proventil is used for treating breathing problems in patients who have asthma or certain other airway diseases. It may also be used for other conditions as determined by your doctor.

How to use

Use Proventil as directed by your doctor. Check the label on the medicine for exact dosing instructions.
An extra patient leaflet is available with Proventil. Talk to your pharmacist if you have questions about this information.
Proventil is for inhalation only. Do not get it in the eyes. If you get Proventil Solution in the eyes, rinse immediately with cool tap water.
Remove a vial from the foil pouch. Place the remaining vials back into the pouch for storage.
Do not use Proventil if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
To use Proventil, twist open the top of the vial and pour the entire contents into the nebulizer reservoir.
Connect the nebulizer reservoir to the mouthpiece or face mask. Connect the nebulizer to the compressor.
Sit in a comfortable, upright position. Place the mouthpiece in your mouth (or put on the face mask) and turn on the nebulizer. Breathe as calmly, deeply, and evenly as possible until no more mist is formed in the nebulizer chamber (about 5 to 15 minutes).
Clean the nebulizer according to the instructions. Failure to properly clean the nebulizer could lead to bacteria entering the medicine. This may lead to an infection. To avoid bacteria entering the medicine, use the entire contents right after opening the vial for the first time.
Do not stop using Proventil without checking with your doctor. Do not mix this medicine with other medicines in the nebulizer unless directed otherwise by your doctor.
Drug Class and Mechanism

Proventil is a sympathomimetic (beta agonist) bronchodilator. It works by relaxing the smooth muscle in the airway, which allows air to flow in and out of the lungs more easily.

Missed Dose

If you miss a dose of Ventolin and you are using it regularly, use it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not use 2 doses at once.

Storage

Store at the room temperature away from moisture and sunlight. Keep out of the reach of children.

Warnings/Precautions

Do NOT use Proventil Solution if:

• you are allergic to any ingredient in Proventil Solution
• you are using another short-acting sympathomimetic bronchodilator (eg, metaproterenol) or epinephrine
• Contact your doctor or health care provider right away if any of these apply to you.

Some medical conditions may interact with Proventil Solution. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a history of heart problems, (eg, fast or irregular heartbeat, heart failure), blood vessel problems, high blood pressure, or low blood potassium levels
• if you have a history of seizures, diabetes, an overactive thyroid, kidney problems, or an adrenal gland tumor (pheochromocytoma)
• if you have ever had an unusual reaction to another sympathomimetic medicine (eg, pseudoephedrine)
• if you are taking a monoamine oxidase inhibitors (MAOI) (eg, phenelzine), or tricyclic antidepressant (eg, amitriptyline), or if you have taken either of these medicines within the last 14 days

Some MEDICINES MAY INTERACT with Proventil Solution. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium levels may be increased
• Catechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), epinephrine, MAOIs (eg, phenelzine), short-acting sympathomimetic bronchodilators (eg, metaproterenol), stimulants (eg, amphetamine), sympathomimetics (eg, pseudoephedrine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Proventil Solution’s side effects
• Beta-blockers (eg, propranolol) because they may decrease Proventil Solution’s effectiveness
• Digoxin because its effectiveness may be decreased by Proventil Solution

Possible Side Effects

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

• Cough; dizziness; headache; nausea; nervousness; sinus inflammation; sore or dry throat; tremor; trouble sleeping; unusual taste in mouth; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; ear pain; fast or irregular heartbeat; new or worsened trouble breathing; pounding in the chest; severe headache or dizziness; unusual hoarseness; wheezing.

More Information

Proventil should not be taken with beta-blockers, such as atenolol, propranolol or timolol. This is because beta-blockers have an opposite action to this medicine and cause the airways to narrow. This can result in breathing difficulties for people with asthma or COPD. This problem has sometimes been seen with eye drops containing beta-blockers, eg. used for glaucoma.

Proventil
		Proventil 1 inhaler x 100 mcg	$39.2
		Proventil 3 inhalers x 100 mcg	$101.48
		Proventil 6 inhalers x 100 mcg	$175.44

	Package	Price	Per Item	Savings	Order
	Clarinex 60 pills x 5 mg	$49.74	$0.83	$0
	Clarinex 90 pills x 5 mg	$57.24	$0.64	$18

Clarinex
	Clarinex (Desloratadine) is used for treating the symptoms of allergic conditions.

Clarinex

Generic name: Desloratadine

Desloratadine tablets

What are desloratadine tablets?

DESLORATADINE (Clarinex®) is an antihistamine. It relieves the symptoms of hay fever (sneezing, runny nose, and itchy, watery eyes), and may help treat hives and associated itching of the skin.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• asthma
• kidney disease
• liver disease or hepatitis
• an unusual or allergic reaction to desloratadine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take desloratadine tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Do not chew the tablets. Desloratadine is taken once daily. This drug may be taken at any time during the day, with or without food. Do not take your medicine more often than directed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take a dose as soon as you can, then go back to your regular dosing schedule the next day. Do not take double or extra doses.

What drug(s) may interact with desloratadine?

• erythromycin
• ketoconazole

In addition, the following medicines can make you feel drowsy:

• alcohol
• barbiturate medicines for inducing sleep or treating seizures (convulsions)
• medicines for anxiety or sleeping problems, such as alprazolam, diazepam or temazepam
• medicines for hay fever and other allergies
• medicines for mental depression
• medicines for mental problems and psychotic disturbances
• medicines for pain

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from using desloratadine?

Side effects that you should report to your prescriber or health care professional as soon as possible:

• fever
• seizures
• yellowing of skin or eyes

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• dizziness
• drowsiness or tiredness
• dry mouth
• muscle aches
• sore or dry throat

What should I watch for while taking desloratadine?

Visit your prescriber or health care professional for checks on your progress. Tell your prescriber or health care professional if your symptoms do not improve within several days.

Do not drive, use machinery, or do anything that needs mental alertness until you know how desloratadine affects you. To reduce the risk of dizzy or fainting spells, do not stand or sit up quickly, especially if you are an older patient. Alcohol may increase dizziness and drowsiness. Avoid alcoholic drinks.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.

Where can I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 2.25 degrees C (36.77 degrees F). Avoid excessive heat temperatures greater than 30 degrees C (86 degrees F); do not freeze. Throw away any unused medicine after the expiration date.

Clarinex
		Clarinex 60 pills x 5 mg	$49.74
		Clarinex 90 pills x 5 mg	$57.24