4 and 10 Generic Medication List (sorted by disease state)

1 $4 and $10 Generic Medication List (sorted by disease state) Generic Drug Name/StrengthForm$430-DayQTY$1090-DayQTY A llergy, Cough and ColdBenzonatate 100 MgCapsule1442 Loratadine 10 MgTablet3090 Promethazine Mg/5 Ml*Syrup180540 Promethazine Dm Syrup120360 AnalgesicBaclofen 10 MgTablet3090 Cyclobenzaprine 5 MgTablet3090 Cyclobenzaprine 10 MgTablet3090 Diclofenac Er 75 MgTablet60180 Ibuprofen 100 Mg/5 Ml*Suspension120360 Ibuprofen 400 MgTablet90270 Ibuprofen 600 MgTablet60180 Ibuprofen 800 MgTablet3090 Indomethacin 25 Mg*Capsule60180 Meloxicam MgTablet3090 Naproxen 375/500 Mg*Tablet60180 Anti-AnxietyBuspirone 5/10 Mg*Tablet60180 Paroxetine 10/20 Mg*Tablet3090 AntibioticAmoxicillin 125 Mg/5 MlSuspension80240 Amoxicillin 125 Mg/5 MlSuspension100300 Amoxicillin 125 Mg/5 MlSuspension150450 Amoxicillin 200 Mg/5 MlSuspension50150 Amoxicillin 200 Mg/5 Ml*Suspension75225 Amoxicillin 200 Mg/5 Ml*Suspension100300 Amoxicillin 250 MgCapsule3090 Amoxicillin 250 Mg/5 MlSuspension80240 Amoxicillin 250 Mg/5 MlSuspension100300 Amoxicillin 250

2 Mg/5 MlSuspension150450 Amoxicillin 400 Mg/5 MlSuspension50150 Amoxicillin 400 Mg/5 Ml*Suspension75225 Amoxicillin 400 Mg/5 Ml*Suspension100300 Amoxicillin 500 MgCapsule3090 Generic Drug Name/StrengthForm$430-DayQTY$1090-DayQTY C ephalexin 250 MgCapsule2884 Cephalexin 500 MgCapsule3090 Ciprofloxacin 250 MgTablet1442 Ciprofloxacin 500 MgTablet2060 Doxycycline Hyclate 50 MgCapsule3090 Doxycycline Hyclate 100 MgCapsule/Tablet2060 Isoniazid 300 MgTablet3090 Penicillin Vk 125 Mg/5 MlSolution100300 Penicillin Vk 125 Mg/5 MlSolution200600 Penicillin Vk 250 Mg/5 MlSolution100300 Penicillin Vk 250 MgTablet2884 Smz/Tmp 200/40/5 Ml*Suspension120360 Smz/Tmp 400/80 MgTablet2884 Smz/Tmp Ds 800/160 MgTablet2060 AntidepressantAmitriptyline 10/25/50/75/100 MgTablet3090 Citalopram 20/40 MgTablet3090 Fluoxetine 10 Mg*Tablet3090 Fluoxetine 10/20/40* MgCapsule3090 Nortriptyline 10/25 MgCapsule3090 Paroxetine 10/20 Mg*Tablet3090 Trazodone 50/100/150 MgTablet3090 AntifungalFluconazole 150 MgTablet13 Terbinafine 250 Mg*Tablet3090 Anti-InflammatoryDiclofenac Er 75 MgTablet60180 Ibuprofen 100 Mg/5 Ml*Suspension120360 Ibuprofen 400 MgTablet90270 Ibuprofen 600 MgTablet60180 Ibuprofen 800 MgTablet3090 Indomethacin 25 Mg*Capsule60180 Meloxicam MgTablet3090 Naproxen 375/500 Mg*Tablet60180 Generic Drug Name/StrengthForm$430-DayQTY$1090-DayQTY A ntipsychoticFluphenazine 1 MgTablet3090 Haloperidol MgTablet3090 Lithium Carb 300 Mg*Capsule90270 Thioridazine 25/50 MgTablet3090 Thiothixene 2 MgCapsule3090 AntiviralAcyclovir 200 MgCapsule3090 ArthritisDiclofenac Er 75 MgTablet60180 Ibuprofen 400 MgTablet90270 Ibuprofen 600 MgTablet60180 Ibuprofen 800 MgTablet3090 Indomethacin 25 Mg*Capsule60180 Meloxicam MgTablet3090 Naproxen 375/500 Mg*Tablet60180 AsthmaAlbuterol 2 Mg/5 MlSyrup120360 Albuterol 2 MgTablet90270 Albuterol 4 MgTablet60180 Albuterol

3 Neb *Solution75225 Albuterol Neb *Solution2060 Ipratropium Neb Mg/Ml*Solution75225 Cancer/OncologyMegestrol 20 Mg*Tablet3090 Cardiac/HypertensionAmiloride/Hctz 5-50 MgTablet3090 Atenolol 25/50/100 MgTablet3090 Atenolol/Chlorthal 100/25 MgTablet3090 Benazepril 5/10/20/40 MgTablet3090 Bisoprolol/Hctz MgTablet3090 Bisoprolol/Hctz 5 MgTablet3090 Bisoprolol/Hctz 10 MgTablet3090 Bumetanide MgTablet3090 Generic Drug Name/StrengthForm$430-DayQTY$1090-DayQTY C aptopril MgTablet60180 Carvedilol MgTablet60180 Carvedilol 25 Mg*Tablet60180 Clonidine MgTablet3090 Digoxin MgTablet3090 Diltiazem 30/60/90* MgTablet60180 Diltiazem 120 MgTablet3090 Doxazosin 1/2/4/8 MgTablet3090 Enalapril MgTablet3090 Enalapril/Hctz 5 MgTablet3090 Furosemide 20/40/80 MgTablet3090 Guanfacine 1 MgTablet3090 Hydralazine 10/25 MgTablet3090 Hydrochlorothiazide */25/50 MgCapsule3090 Indapamide MgTablet3090 Isosorbide Mononitrate Er 30/60 MgTablet3090 Lisinopril MgTablet3090 Lisinopril/Hctz MgTablet3090 Lisinopril/Hctz Mg*Tablet3090 Lisinopril/Hctz 20-25 Mg*Tablet3090 Methyldopa 250 Mg*Tablet60180 Methyldopa 500 Mg*Tablet3090 Metoprolol Tartrate 25/50/100* MgTablet60180 Nadolol 20/40* MgTablet3090 Prazosin Hcl 1/2*/5* MgCapsule3090 Propranolol 10/20/40/80 MgTablet60180 Sotalol Hcl 80 Mg*Tablet3090 Spironolactone 25 Mg*Tablet3090 Terazosin 1/2/5/10 MgCapsule3090 Triamterene/Hctz MgTablet3090 Triamterene/Hctz 75/50 MgTablet3090 Verapamil 80/120 MgTablet3090 Warfarin 1/2 */6 MgTablet3090 CholesterolLovastatin 10/20 Mg*Tablet3090 Pravastatin 10/20/40* MgTablet3090 Generic Drug Name/StrengthForm$430-DayQTY$1090-DayQTY D iabetesChlorpropamide 100 Mg*Tablet3090 Glimepiride 1/2/4 MgTablet3090 Glipizide 5 MgTablet3090 Glipizide 10 Mg*Tablet60180 Glyburide MgTablet3090 Glyburide Micro 3/6 MgTablet3090 Metformin

4 500/850/1000* MgTablet60180 Metformin Er 500 Mg*Tablet60180 Ear PreparationsAntipyrine/Benzocaine Otic Solution1030 Eye PreparationsAtropine Sulfate 1%Ophthalmic Solution515 Erythromycin 5 Mg/Gm*Ophthalmic Ointment412 Gentamicin Solution515 Levobunolol Solution515 Neo/Polymx/Dexamethasone Ointment412 Neo/Polymx/Dexamethasone Suspension515 Pilocarpine 1%/2%Ophthalmic Solution1545 Polymyxin Sulfate/Tmp*Ophthalmic Solution1030 Sulfacetamide Sodium 10%Ophthalmic Solution1545 Timolol Maleate SolutioN515 Tobramycin Solution515 HormonesEstradiol MgTablet3090 Medroxyprogesterone MgTablet3090 Medroxyprogesterone 10 MgTablet1030 IncontinenceOxybutynin 5 Mg*Tablet60180 Generic Drug Name/StrengthForm$430-DayQTY$1090-DayQTY M uscle RelaxantsBaclofen 10 MgTablet3090 Cyclobenzaprine 5/10 MgTablet3090 OtherAllopurinol 100/300 MgTablet3090 Carbamazepine 200 Mg*Tablet60180 Chlorhexidine Gluconate Solution180540 Phenazopyridine 100 MgTablet618 Phenazopyridine 200 MgTablet3090 Prochlorperazine 10 MgTablet3090 Parkinson s DiseaseBenztropine 2 MgTablet3090 Trihexyphenidyl 2 MgTablet60180 Prostate/BphDoxazosin 1/2/4/8 MgTablet3090 Megestrol 20 Mg*Tablet3090 Prazosin Hcl 1/2*/5* MgCapsule3090 Terazosin 1/2/5/10 MgCapsule3090 Seizure/EpilepsyCarbamazepine 200 Mg*Tablet60180 SteroidsDexamethasone MgTablet1236 Dexamethasone MgTablet3090 Dexamethasone 4 MgTablet618 Prednisone MgTablet3090 Stomach Disorders/GastrointestinalBelladonna Alkaloids/Pb Tablet60180 Cimetidine 800 Mg*Tablet3090 Dicyclomine 10 MgCapsule90270 Dicyclomine 20 MgTablet60180 Famotidine 20 MgTablet6090 Hydrocortisone Ac 25 MgSuppository1236 Lactulose 10 Gm/15 MlSyrup237711 Metoclopramide 5 Mg/5 MlSyrup60180 Metoclopramide 10 MgTablet60180 Prochlorperazine 10 MgTablet3090 Promethazine 25 Mg*Tablet1236 Ranitidine 150 MgTablet60180 Generic

5 Drug Name/StrengthForm$430-DayQTY$1090-DayQTY R anitidine 300 MgTablet3090 ThyroidLevothyroxine 25/50/75/ 88/100/112/125/137/150/175*/200* McgTablet3090 Topical PreparationsFluocinonide *Cream1545 Fluocinonide *Cream3090 Gentamicin 1%Cream3090 Hydrocortisone Viscous 2%Solution100300 Nystatin 100,000u*Cream1545 Nystatin 100,000u*Cream3090 Nystatin/Triamcinolone* Cream1545 Nystatin/Triamcinolone*Cream3090 Nystatin/Triamcinolone *Ointment1545 Silver Sulfadiazine 1%*Cream50150 Triamcinolone 300 MgTablet3090 Vitamins/SupplementsFolic Acid 1 MgTablet3090 Magnesium Oxide 400 MgTablet3090 Mag64 64 Mg*Tablet60180 Prenatal Plus*Tablet30N/ASodium Fluoride Mg*Tablet120N/AGeneric Drug Name/StrengthForm$930-DayQty$2490-DayQty Women s HealthAlendronate Sod 35/70 MgTablet412 Clomiphene 50 MgTablet515 Sprintec 28-Day*Tablet28N/ATamoxifen 10 MgTablet60180 Tamoxifen 20 MgTablet3090 Tri-Sprintec 28-Day*Tablet28N/AMen s HealthFinasteride 5mg Tablet30N/A$4 prescriptions include up to a 30-day supply of covered drugs at commonly prescribed dosages.

6 $10 prescriptions include up to a 90-day supply of covered drugs at commonly prescribed dosages. Physician permission may be required to change a 30-day prescription to a 90-day prescription.*These drugs may be priced higher in CA, HI, MN, MT, PA, RI, TN, WI, and WY. Please ask your Target Pharmacist for specific pricing in these states. This list is also available at May 2012