Rx Harmony Formulary & Suggested Prices

The STANDARD PRICE isĀ where you add your profit (most add $100-$150)
To expedite the process, please only submit the prices for meds you will use right away.Ā  You can always add or change more later.

Company Fee = Admin Fee

COMPLETEĀ FORMULARY HEREĀ (in the Appendix at the bottom of the form)