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Strength Form QTY Strength Form …

PHARMACY $4 and $10 Generic Medication List (sorted by disease state)Page 9 of 13 PHARMACY 2010 Marketing Style :11"T:17"Page 9 of 13 PHARMACY 2010 Marketing Style :11"T:17"Page 9 of 13 PHARMACY 2010 Marketing Style :11"T:17"Page 9 of 13 PHARMACY 2010 Marketing Style :11"T:17"Page 9 of 13 PHARMACY 2010 Marketing Style :11"T:17"$4 and $10 Generic Medication List (sorted by disease state)Medication Name/ StrengthForm$430-DayQTY$1090-DayQTYA llergy, Cough and ColdBenzonatate 100 MgCapsule1442 Ceron Mg/MlDrops*30 mL90 mLCeron Dm Mg/5 MlSyrup120 mL360 mLDec-Chlorphen Mg/MlDrops*30 mL90 mLDec-Chlorphen Dm Mg/5 MlSyrup*118 mL354 mLLoratadine 10 MgTablet3090 Promethazine Mg/5 MlSyrup*180 mL540 mLPromethazine Dm Syrup120 mL360 mLTrivent Dpc 6/2/15/5 MlSyrup*120 mL360 mLAnalgesicBaclofen 10 MgTablet3090 Cyclobenzaprine 5 MgTablet3090 Cyclobenzaprine 10 MgTablet3090 Diclofenac Er 75 MgTablet60180 Ibuprof

Medication Name/ Strength Form $4 30-Day QTY $10 90-Day QTY Asthma Albuterol 2 Mg/5 Ml Syrup 120 mL 360 mL Albuterol 2 Mg Tablet 90 270 Albuterol 4 Mg Tablet 60 180

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