Package	Price	Per Item	Savings	Order
	Advair Diskus 30 doses x 500 mcg	$109.87	$3.66	$0
	Advair Diskus 90 doses x 500 mcg	$269.94	$3	$60
	Advair Diskus 30 doses x 250 mcg	$106.83	$3.56	$0
	Advair Diskus 90 doses x 250 mcg	$258.91	$2.88	$62
	Advair Diskus 30 doses x 100 mcg	$97.89	$3.26	$0
	Advair Diskus 90 doses x 100 mcg	$239.86	$2.67	$54

Advair Diskus
	Advair Diskus (Fluticasone/Salmeterol) is used for long-term prevention and treatment of asthma and chronic lung diseases.

Drug Name

Advair Diskus (Fluticasone/Salmeterol)

Drug Uses

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 Advair Diskus as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Advair Diskus comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Advair Diskus refilled. Do not use a spacer with 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 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 Advair Diskus Powder and other inhalers, unless directed otherwise by your doctor.
Take your doses of 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 Advair Diskus in a dry place.
Throw 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 Advair Diskus. However, it may take 1 week or longer to achieve the most benefit.
Use Advair Diskus Powder on a regular schedule to get the most benefit from it. Using Advair Diskus at the same times each day will help you remember to use it. Do not stop using Advair Diskus even if you feel better unless your doctor tells you to.

Drug Class and Mechanism

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 Advair Diskus, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Storage

Store 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 Advair Diskus Powder if:

• you are allergic to any ingredient in 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 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 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
• Beta-blockers (eg, propranolol) because they may decrease Advair Diskus effectiveness.
• 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 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

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

Advair Diskus
		Advair Diskus 30 doses x 500 mcg	$109.87
		Advair Diskus 90 doses x 500 mcg	$269.94
		Advair Diskus 30 doses x 250 mcg	$106.83
		Advair Diskus 90 doses x 250 mcg	$258.91
		Advair Diskus 30 doses x 100 mcg	$97.89
		Advair Diskus 90 doses x 100 mcg	$239.86

	Package	Price	Per Item	Savings	Order
	Alavert 60 pills x 10 mg	$51.05	$0.85	$0
	Alavert 90 pills x 10 mg	$61.21	$0.68	$15

Alavert
	Alavert (Loratadine) is used for relieving symptoms of seasonal allergies such as runny nose; sneezing; itchy, watery eyes; or itching of the nose and throat.

Drug Name

Alavert (Loratadine)

Drug Uses

Alavert is used for relieving symptoms of seasonal allergies such as runny nose; sneezing; itchy, watery eyes; or itching of the nose and throat. It may also be used for other conditions determined by your doctor.

How to use

Use Alavert as directed by your doctor.
Take Alavert by mouth with food.

• Swallow whole. Do not break, crush, or chew before swallowing.
• Ask your health care provider any questions you may have about how to use Alavert.

Drug Class and Mechanism

Alavert is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Missed Dose

If you miss a dose of Alavert and are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Storage

Store Alavert at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Alavert out of the reach of children and away from pets.

Warnings/Precautions

Do not use Alavert if:

• you are allergic to any ingredient in Alavert.
• Contact your doctor or health care provider right away if any of these apply to you.

Important :

• Taking Alavert in high doses may cause drowsiness. Do not take more than the recommended dose without checking with your doctor.
• Alavert may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Alavert for a few days before the tests.
• Alavert has sodium in it. If you are on a low sodium diet, include this when you count your daily intake of sodium.
• Alavert should not be used in children younger than 2 years old without checking with the child’s doctor; safety and effectiveness in these children have not been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Alavert while you are pregnant. Alavert is found in breast milk. If you are or will be breast-feeding while you use Alavert, check with your doctor. Discuss any possible risks to your baby.

Possible Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

• fast or uneven heart rate;
• feeling like you might pass out;
• jaundice (yellowing of your skin or eyes); or
• seizures (convulsions).
• Less serious side effects may include:
• headache;
• nervousness;
• feeling tired or drowsy;
• stomach pain, diarrhea;
• dry mouth, sore throat hoarseness;
• eye redness, blurred vision;
• nosebleed; or
• skin rash.

More Information

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

If your symptoms do not improve or if they become worse, check with your doctor.

Alavert
		Alavert 60 pills x 10 mg	$51.05
		Alavert 90 pills x 10 mg	$61.21

	Package	Price	Per Item	Savings	Order
	Zyrtec 30 pills x 10 mg	$52.17	$1.74	$0
	Zyrtec 60 pills x 10 mg	$77.73	$1.3	$27
	Zyrtec 90 pills x 10 mg	$93.25	$1.03	$64
	Zyrtec 60 pills x 5 mg	$51.73	$0.86	$0
	Zyrtec 90 pills x 5 mg	$50.56	$0.56	$28

Zyrtec
	Zyrtec (Cetirizine) is used to treat allergies, hives (urticaria), and other allergic inflammatory conditions.

Drug Name

Zyrtec (Cetirizine)

Drug Uses

Zyrtec is used for preventing or treating symptoms of hay fever and other upper respiratory allergies such as stuffy nose, runny nose, sneezing, itching of the nose and throat, and itchy, watery eyes. It is also used for preventing or treating chronic hives. It may also be used for other conditions as determined by your doctor.

How to use

Use Zyrtec as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Zyrtec by mouth with or without food.
If you miss a dose of this medicine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Drug Class and Mechanism

Zyrtec is an antihistamine. It works by blocking the action of histamine and reduces the symptoms of an allergic reaction.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Storage

Store at 20-25 degrees C (68-77 degrees F); excursions permitted to 15-30 degrees C (59-86 degrees F).

Warnings/Precautions

Do not use Zyrtec, if you are allergic to any ingredient in Zyrtec or to hydroxyzine Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with Zyrtec . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, plan 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 kidney or liver problems, or are receiving dialysis

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:

• Drowsiness; dry mouth; stomach pain (in children); tiredness; trouble sleeping (in children).

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; unusual hoarseness); dark urine; fainting; fast or irregular heartbeat; mental or mood changes; persistent fatigue; seizures; severe dizziness; unusual bruising or bleeding; yellowing of eyes or skin.

More Information

Zyrtec may cause drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Zyrtec with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Zyrtec ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
Zyrtec may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Zyrtec . Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
Use Zyrtec with caution in the ELDERLY; they may be more sensitive to its effects, especially drowsiness.
Caution is advised when using Zyrtec in CHILDREN; they may be more sensitive to its effects, especially stomach pain and trouble sleeping. Zyrtec should be used with extreme caution in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Zyrtec while you are pregnant. Zyrtec is found in breast milk. Do not breast-feed while taking Zyrtec .

Zyrtec
		Zyrtec 30 pills x 10 mg	$52.17
		Zyrtec 60 pills x 10 mg	$77.73
		Zyrtec 90 pills x 10 mg	$93.25
		Zyrtec 60 pills x 5 mg	$51.73
		Zyrtec 90 pills x 5 mg	$50.56

	Package	Price	Per Item	Savings	Order
	Entocort 1 inhaler x 100 mcg	$70.19	$70.19	$0
	Entocort 3 inhalers x 100 mcg	$181.71	$60.57	$29
	Entocort 6 inhalers x 100 mcg	$313.54	$52.26	$108

Entocort
	Entocort (Budesonide) inhalation is used to prevent asthma attacks.

Drug Name

Entocort (Budesonide)

Drug Uses

Entocort inhalation is used to prevent asthma attacks. It will not treat an asthma attack that has already begun.

How to use

Use Entocort as directed by your doctor.

• This medication is inhaled into the lungs using a special inhaling device. Follow the directions for using this medicine provided by your doctor. This medicine comes with a patient information leaflet. Read it carefully.
• If you are not sure how to use this device, reread the patient information leaflet or ask your pharmacist. After the dose is loaded, breathe out.
• Place the mouthpiece between your lips and breathe in rapidly and deeply through your mouth. The drug will be inhaled as you breathe in. Hold your breath for 10 seconds to assure it reaches deep into your lungs. Slowly breathe out.
• Do not exhale into device.
• Replace the cover. If the inhaler device is dropped, shaken, or you accidentally breathe into the device after the dose has been loaded, you will lose your dose. Load and inhale another dose.
• Do not use the inhaler if it has been damaged or if the mouthpiece has become detached. If two inhalations are prescribed, wait at least one minute between inhalations.
• If using other inhalers, use this one(the corticosteroid) last and wait several minutes after using the other(s) before using this one. To prevent dry mouth and hoarseness, rinse your mouth after each use.
• Do not swallow the rinse solution. It is important to practice good oral hygiene to prevent mouth infections while using this medication.
• This medication works best if used consistently at even intervals. It is usually used once in the morning and evening.
• Do not increase your dose, use this more frequently or stop using this medication without first consulting your doctor.
• Ask your health care provider any questions you may have about how to use Entocort.

Drug Class and Mechanism

Entocort is a steroid. It prevents the release of substances in the body that cause inflammation.

Missed Dose

Use the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up the missed dose.

Storage

Store Entocort between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures 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 Entocort out of the reach of children and away from pets.

Warnings/Precautions

Do not use Entocort if:

• you are allergic to any ingredient in Entocort;
• you are taking mifepristone.

Contact your doctor or health care provider right away if any of these apply to you.

Important:

• Entocort may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Take Entocort with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Tell your doctor or dentist that you take Entocort before you receive any medical or dental care, emergency care, or surgery.
• Entocort may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
• If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does.
• Your doctor may have also prescribed a potassium supplement for you. If so, follow the dosing carefully. Do not start taking additional potassium on your own or change your diet to include more potassium without first checking with your doctor.
• Do not receive a live vaccine (eg, measles, mumps) while you are taking Entocort. Talk with your doctor before you receive any vaccine.
• Diabetic patients - Entocort may affect your blood sugar. Check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine.
• Lab tests, including adrenal function assessment, may be performed while you use Entocort. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Entocort while you are pregnant. Entocort is found in breast milk. Do not breast-feed while taking Entocort.

Possible Side Effects

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

• back pain; changes in menstrual cycle; dizziness; gas; headache; indigestion; nausea; nervousness; pain; respiratory tract infection; stomach pain; tiredness; tremor; trouble sleeping; 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); acne; change in mood or behavior; chest pain; confusion; severe headache; sudden increase in weight; swelling of the ankles; unusual bruising; vision changes.

More Information

If you have any questions about Entocort, please talk with your doctor, pharmacist, or other health care provider.
Entocort is to be used only by the patient for whom it is prescribed. Do not share it with other people.

Entocort
		Entocort 1 inhaler x 100 mcg	$70.19
		Entocort 3 inhalers x 100 mcg	$181.71
		Entocort 6 inhalers x 100 mcg	$313.54