Medication List - Walgreens

1 Medication List Walgreens Plus members receive discounts on thousands of generic and brand-name medications included on this Medication List, which is divided into two sections, Value Priced Medications and Discounted Medications*. The price for a Medication identified as Value-Priced is listed below: 30-day-supply drugs cost $5 (tier 1), $10 (tier 2) or $15 (tier 3) 90-day-supply drugs cost $10 (tier 1), $20 (tier 2) or $30 (tier 3) Get savings up to 85% off Cash Prices on Atorvastatin (generic Lipitor) and Rosuvastatin (generic Crestor) The Discounted Medications section lists the discounts offered to Walgreens Plus members on other generic and brand-name medications not included in the Value-Priced Medication section. The price for a Medication is based on its tier and whether it is a 30-day or 90-day supply.

2 There may be an additional cost for quanities greater than those listed. This discount prescription pricing applies only to Walgreen Plus members on prescriptions purchased in select Walgreens stores that are not billed to insurance and/or used in combination with other health or pharmacy benefit programs. For further details, see your pharmacist or VALUE GENERICS NAPROXEN 250MG TAB 2 60 180 NAPROXEN 500MG TAB 2 60 180 Antifungal NAPROXEN 375MG TAB 2 60 180 Quantity NAPROXEN DR 500MG TAB 3 60 180 Drug Name Tier 30 90 FLUCONAZOLE 150MG TAB 2 1 3 TERBINAFINE 250MG TAB 2 30 90 Asthma Quantity Drug Name Tier 30 90 Antiviral ALBUTEROL INH SOLN 25X3ML 2 75 225 Quantity AMINOPHYLLINE 100MG TAB 2 60 180 Drug Name Tier 30 90 AMINOPHYLLINE 200MG TAB 2 60 180 ACYCLOVIR 200MG CAPS 3 60 180 DYPHYLLINE-GG 100-100 ELIXIR 2 240 720 DYPHYLLIN-GG TAB 3 30 90 Arthritis or Pain IPRATROPIUM INHAL SOLN 60 X 2 75 225 Quantity Drug Name Tier 30 90 Blood Pressure/Heart Health BACLOFEN 10MG TAB 3 30 90 Quantity CYCLOBENZAPRINE 5MG TAB 2 30 90 Drug Name Tier 30 90 CYCLOBENZAPRINE 10MG TAB 2 30 90 AMILORIDE 5MG / HCTZ 50MG TAB 2

3 30 90 DICLOFENAC SODIUM 75MG EC TAB 3 60 180 AMIODARONE 200MG TAB 2 30 90 IBUPROFEN 100MG/5ML ORAL SUSP 2 120 360 AMLODIPINE BESYLATE TAB 2 30 90 IBUPROFEN 400MG TAB 2 90 270 AMLODIPINE BESYLATE 5MG TAB 2 30 90 IBUPROFEN 600MG TAB 2 60 180 AMLODIPINE BESYLATE 10MG TAB 3 30 90 IBUPROFEN 800MG TAB 2 60 180 ATENOLOL 100MG TAB 1 30 90 INDOMETHACIN 25MG CAP 2 60 180 ATENOLOL 25MG TAB 2 60 180 INDOMETHACIN 50MG CAP 1 30 90 ATENOLOL 50MG TAB 2 60 180 KETOPROFEN 50MG CAP 3 90 270 ATENOLOL/CHLORTHALIDONE 50/25 TAB 3 30 90 KETOPROFEN 75MG CAP 3 60 180 BENAZEPRIL 5MG TAB 2 30 90 KETOROLAC 30MG/ML INJ, 2ML 3 15 45 BENAZEPRIL 10MG TAB 2 30 90 MELOXICAM TAB 2 30 90 BENAZEPRIL 20MG TAB 2 30 90 MELOXICAM 15MG TAB 2 30 90 This Program is NOT Insurance. Membership fee required. Amount of the discount may vary based on type of item/service Member purchases but provider will not charge Member more than the discounted rate.

4 Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service. *List of drugs is not all-inclusive. Ask your Walgreens pharmacist if a discount may be available on your Medication if not included above. Perscription drug covereage and cost are subject to change. The day supply is based on the average quantity dispensed for the specific drug and strength as indicated in the list. Larger quantities cost more. Taxes and other fees may apply. Savings apply only to prescriptions purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combined with any form of insurance or other pharmacy benefit programs. Actual savings will vary. For details, see your pharmacist or Drug names are the property of their respective owners.

5 2018 Walgreen Co. All rights reserved. 000026550-626-642 - Revised: 3/20/2018 Blood Pressure/Heart Health Continued PROPRANOLOL 60MG TAB 3 60 180 SIMVASTATIN 40MG TAB 2 30 90 BENAZEPRIL 40MG TAB 2 30 90 QUINAPRIL 5MG TAB 2 30 90 SIMVASTATIN 80MG TAB 2 30 90 bisoprolol fumarate 5MG TAB 2 30 90 QUINAPRIL 10MG TAB 2 30 90 bisoprolol /HCTZ TAB 2 30 90 QUINAPRIL 20MG TAB 3 30 90 Cough/Cold/Allergy bisoprolol /HCTZ 5 TAB 2 30 90 QUINAPRIL 40MG TAB 2 30 90 Quantity bisoprolol /HCTZ 10 TAB 2 30 90 RAMIPRIL CAP 3 30 90 Drug Name Tier 30 90 CARVEDILOL TAB 2 60 180 SOTALOL 120MG TAB 2 60 180 ALLER-CHLOR 4MG TAB 1 100 300 CARVEDILOL TAB 2 60 180 SPIRONOLACTONE 25MG TAB 2 30 90 BENZONATATE 100MG CAP 2 30 90 CARVEDILOL TAB 2 60 180 SPIRONOLACTONE 50MG TAB 2 30 90 BENZONATATE 200MG CAP 3 30 90 CARVEDILOL 25MG TAB 2 60 180 TERAZOSIN 1MG CAP 2 30 90 CETIRIZINE 1MG/ML

6 SYRUP 3 120 360 CLONIDINE TAB 2 60 180 TERAZOSIN 2MG CAP 2 30 90 CYPROHEPTADINE 2MG/5ML SYRUP 3 120 360 CLONIDINE TAB 2 60 180 TERAZOSIN 5MG CAP 2 30 90 DE-CHLOR DM LIQUID 2 120 360 CLONIDINE TAB 2 60 180 TERAZOSIN 10MG CAP 2 30 90 DE-CHLOR DR SYRUP 2 180 540 DILTIAZEM 30MG TAB 2 60 180 TICLOPIDINE 250MG TAB 3 60 180 DEHISTINE SYRUP 3 240 720 DILTIAZEM 60MG TAB 3 60 180 TORSEMIDE 5MG TAB 3 30 90 DIPHENHYDRAMINE 50MG CAP 2 30 90 DILTIAZEM 120MG TAB 2 30 90 TORSEMIDE 10MG TAB 3 30 90 FLUTICASONE NASAL SP (120 INH) 16GM 3 16 48 DOXAZOSIN 1MG TAB 3 30 90 TORSEMIDE 20MG TAB 3 30 90 LORATADINE 10MG TAB 1 30 90 DOXAZOSIN 2MG TAB 3 30 90 TRANDOLAPRIL 1MG TAB 2 30 90 NOHIST TAB 3 30 90 DOXAZOSIN 4MG TAB 3 30 90 TRANDOLAPRIL 2MG TAB 2 30 90 ORGAN-I NR 200MG TAB 3 120 360 ENALAPRIL TAB 2 60 180 TRANDOLAPRIL 4MG TAB 2 30 90 PBM ALLERGY SYRUP 3 120 360 ENALAPRIL 5MG TAB 2 60 180 TRIAMTERENE HCTZ 25MG CAP 2 30 90 PHENYLTOLOXAMINE PE CPM SYRUP 2 240 720 ENALAPRIL-HCTZ TAB 2 60 180 TRIAMTERENE HCTZ 25MG TAB 3 30 90 PROMETHAZINE TAB 2 30 90 ENALAPRIL-HCTZ 10-25MG TAB 2 30 90 TRIAMTERENE 75MG/ HCTZ 50MG TAB 1 30 90 PROMETHAZINE 25MG TAB 1 12 36 FOSINOPRIL 10MG TAB 2 30 90 VERAPAMIL 40MG TAB 3 60 180 PROMETHAZINE 50MG TAB 2 60 180 FOSINOPRIL 20MG TAB 2 30 90 VERAPAMIL 80MG TAB 1 30 90 PROMETHAZINE DM SYRUP 2 180

7 540 FOSINOPRIL 40MG TAB 3 30 90 VERAPAMIL 120MG TAB 2 30 90 QUARTUSS DM DROPS 30ML 3 30 90 FUROSEMIDE 10MG/ML ORAL SOLN 60ML 3 90 270 WARFARIN SOD 1MG TAB 2 30 90 QV-ALLERGY SYRUP 3 240 720 FUROSEMIDE 20MG TAB 1 60 180 WARFARIN SOD TAB 2 30 90 REME TUSSIN DM SYRUP 3 150 450 FUROSEMIDE 40MG TAB 1 60 180 WARFARIN SOD 2MG TAB 2 30 90 SILDEC PE-DM SYRUP 1 120 360 FUROSEMIDE 80MG TAB 1 30 90 WARFARIN SOD 3MG TAB 2 30 90 SILDEC-PE SYRUP 1 120 360 GUANFACINE 1MG TAB 2 30 90 WARFARIN SOD 4MG TAB 2 30 90 SUPRESS-DX PED DROPS 30ML 3 30 90 GUANFACINE 2MG TAB 2 30 90 WARFARIN SOD 5MG TAB 2 30 90 TRIPOHIST LIQUID 3 120 360 HYDRALAZINE 10MG TAB 1 60 90 WARFARIN SOD 6MG TAB 2 30 90 HYDRALAZINE 25MG TAB 2 60 180 WARFARIN SOD TAB 2 30 90 Diabetes HYDROCHLOROTHIAZIDE CAP 2 30 90 WARFARIN SOD 10MG** TAB 2 30 90 Quantity YDROCHLOROTHIAZIDE TAB 3 30 90 Drug Name Tier 30 90 HYDROCHLOROTHIAZIDE 25MG TAB 1 30 90 Cholestrol GLIMEPIRIDE 1MG TAB 1 30 90 HYDROCHLOROTHIAZIDE 50MG TAB 1 30 90 Quantity GLIMEPIRIDE 2MG TAB 1 30 90 INDAPAMIDE TAB 2 30 90 Drug Name Tier 30 90 GLIMEPIRIDE 4MG TAB 2 30 90 INDAPAMIDE TAB 2 30 90 ATORVASTATIN 10MG TAB 3 30 90 GLIPIZIDE 5MG TAB 1 30 90 ISOSORBIDE DINITRATE SL TAB 2 30 90 ATORVASTATIN 20MG TAB 3 30 90 GLIPIZIDE 10MG TAB 2 60 180 ISOSORBIDE DINITRATE 5MG SUBL TAB 3 120 360 ATORVASTATIN 40MG TAB 3 30 90 GLIPIZIDE ER 10MG TAB 3 30 90 ISOSORBIDE MONONITRATE 30MG ER TAB 2 30 90 ATORVASTATIN 80MG TAB 3 30 90 GLIPIZIDE XL TAB 3 60 180 ISOSORBIDE MONONITRATE 60MG ER TAB 2 30 90 FENOFIBRATE 54MG TAB 3 30 90 GLIPIZIDE XL 5MG TAB 3 30 90 LISINOPRIL TAB 2 30 90 GEMFIBROZIL

8 600MG TAB 3 60 180 GLYBURIDE TAB 1 30 90 LISINOPRIL 5MG TAB 2 30 90 LOVASTATIN 10MG TAB 2 30 90 GLYBURIDE TAB 2 30 90 LISINOPRIL 10MG TAB 1 30 90 LOVASTATIN 20MG TAB 2 30 90 GLYBURIDE 5MG TAB 2 30 90 LISINOPRIL 20MG TAB 1 30 90 LOVASTATIN 40MG TAB 2 30 90 GLYBURIDE MICRO TAB 1 30 90 LISINOPRIL 30MG TAB 2 30 90 PRAVASTATIN 10MG TAB 2 30 90 GLYBURIDE MICRO 3MG TAB 1 30 90 LISINOPRIL 40MG TAB 2 30 90 PRAVASTATIN 20MG TAB 2 30 90 GLYBURIDE MICRO 6MG TAB 2 30 90 LISINOPRIL-HCTZ 10 TAB 2 30 90 PRAVASTATIN 40MG TAB 2 30 90 GLYBURIDE/METFORMIN TAB 2 60 180 LISINOPRIL-HCTZ 20 TAB 2 30 90 PRAVASTATIN 80MG TAB 2 30 90 GLYBURIDE/METFORMIN TAB 2 60 180 LISINOPRIL-HCTZ 20/25MG TAB 2 30 90 ROSUVASTATIN 5MG TAB 3 30 90 METFORMIN 500MG TAB 1 90 270 METHYLDOPA 250MG TAB 3 60 180 ROSUVASTATIN 10MG TAB 3 30 90 METFORMIN 850MG TAB 1 90 270 METHYLDOPA 500MG TAB 3 60 180 ROSUVASTATIN 20MG TAB 3 30 90 METFORMIN 1000MG TAB 1 60 180 METOPROLOL TARTRATE 25MG TAB 2 60 180 ROSUVASTATIN 40MG TAB 3 30 90 METFORMIN ER 500MG 24HR TAB 1 60 180 METOPROLOL TARTRATE 50MG TAB 2 60 180 SIMVASTATIN 5MG TAB 2 30 90 METOPROLOL TARTRATE 100MG TAB 2 60 180 SIMVASTATIN 10MG TAB 2 30 90 PRAZOSIN 1MG CAP 3 30 90 SIMVASTATIN 20MG TAB 2 30 90 AMOXICILLIN 400MG/5ML SUSP 50ML 1 100 300 GABAPENTIN 250MG/5ML SOLN 3 236 708 Ear Care Quantity AMOXICILLIN 400MG/5ML SUSP 75ML 1 100 300 HALOPERIDOL TAB 3 60 180 Drug Name Tier 30 90 AMOXICILLIN 400MG/5ML SUSP 100ML 1 100 300 HALOPERIDOL 1MG TAB 2 30 90 ANTIPYRINE BENZOCAINE OTIC SOL 15ML 2 15 45 AMOXICILLIN 500MG TAB 3 30 90 HALOPERIDOL 2MG TAB 3 30 90 AMOXICILLIN 875MG TAB 3 20 60

9 HYDROXYZINE 10MG/5ML SYRUP 3 240 720 Eye Care AMPICILLIN 250MG CAP 2 40 120 HYDROXYZINE HCL 25MG TAB 2 30 90 Quantity AMPICILLIN 500MG CAP 3 60 180 HYDROXYZINE HCL 50MG TAB 3 30 90 Drug Name Tier 30 90 CEFPROZIL 125MG/5ML SUSP 50ML 3 100 300 HYDROXYZINE PAMOATE 25MG CAP 3 90 270 BACITRACIN/POLYMYX OPHTHOINT 3 CEFPROZIL 125MG/5ML SUSP 75ML 3 100 300 IMIPRAMINE 10MG TAB 3 60 180 ERYTHROMYCIN OPHTH OINT 2 CEFPROZIL 125MG/5ML SUSP 100ML 3 100 300 IMIPRAMINE 25MG TAB 3 60 180 GENTAMICIN OPHTH SOLN 5ML 2 5 15 CEPHALEXIN 250MG CAP 1 28 84 IMIPRAMINE 50MG TAB 3 30 90 LEVOBUNOLOL OPTH SOLN 5ML 2 5 15 CEPHALEXIN 500MG CAP 2 30 90 LITHIUM CARBONATE 150MG CAP 3 60 180 PILOCARPINE OPHTH SOLN 3 15 45 CIPROFLOXACIN 250MG TAB 1 14 42 LITHIUM CARBONATE 300MG CAP 2 90 270 POLYMYXIN-B/TRIMETHOPRIMOPHTH SOLN 2 10 30 CIPROFLOXACIN 500MG TAB 1 20 60 LITHIUM CARBONATE 300MG TAB 3 60 180 SULFACETAMIDE NA 10% OPH SOL 15ML 2 15 45 CIPROFLOXACIN 750MG TAB 3 20 60 LITHIUM CARBONATE 600MG CAP 3 60 180 TIMOLOL MALEATE.

10 25% OPHTH SOL 5ML 2 5 15 CLINDAMYCIN 150MG CAP 3 30 90 METHOCARBAMOL 500MG TAB 2 30 90 TIMOLOL MALEATE OPHTH SOLN 5ML 2 5 15 LINDAMYCIN 300MG CAP 3 28 84 METHOCARBAMOL 750MG TAB 3 60 180 TOBRAMYCIN OPH SOL 5ML 2 5 15 METRONIDAZOLE 250MG TAB 2 28 84 MIRTAZAPINE 15MG TAB 1 30 90 METRONIDAZOLE 500MG TAB 3 14 42 NORTRIPTYLINE 10MG CAP 2 30 90 Gastrointestinal Health PENICILLIN VK 125MG/5ML SOLN 100ML 2 200 600 NORTRIPTYLINE 25MG CAP 1 30 90 Quantity PENICILLIN VK 125MG/5ML SOLN 200ML 2 200 600 NORTRIPTYLINE 75MG CAP 1 30 90 Drug Name Tier 30 90 PENICILLIN VK 250MG/5ML SOLN 100ML 2 100 300 PAROXETINE 10MG TAB 2 30 90 CIMETIDINE ORAL LIQ 300MG/5ML 3 240 720 PENICILLIN VK 250MG/5ML SOLN 200ML 2 100 300 PAROXETINE 20MG TAB 2 30 90 DICYCLOMINE 10MG CAP 2 90 270 PENICILLIN VK 250MG TAB 1 30 90 PAROXETINE 30MG TAB 2 30 90 DICYCLOMINE 20MG TAB 2 60 180 PENICILLIN VK 500MG TAB 1 20 60 PRAMIPEXOLE TAB 3 30 90 DOC-Q-LACE 100MG CAP 2 60 180 SMZ/TMP REGULAR STRENGTH TAB 2 28 84 PRIMIDONE 50MG TAB 3 60 180 FAMOTIDINE 20MG TAB 1 60 180 SULFAMETH/TRIMETHOPRIM 800/160 TAB 2 28 84 PROCHLORPERAZINE 5MG TAB 2 30 90 FAMOTIDINE 40MG TAB 1 30 90 TRIMETHOPRIM 100MG TAB 3 30 90 PROCHLORPERAZINE 10MG TAB 2 30 90 METOCLOPRAMIDE 5MG TAB 2 60 180 SERTRALINE 25MG TAB 2 30 90 METOCLOPRAMIDE 10MG TAB 2 60 180 Medical Devices SERTRALINE 50MG TAB 2 30 90 METOCLOPRAMIDE HCL 5MG/5ML SOLN 1 60 180 Quantity SERTRALINE 100MG TAB 2 30 90 NIZATIDINE 150MG CAP 3 60 180 Drug Name Tier 30 90 TRAZODONE 50MG TAB 1 30 90 RANITIDINE 150MG TAB 2 60 180 PROCHAMBER AERO SPACER 3 1 3 TRAZODONE 100MG TAB 1 30 90 RANITIDINE 300MG TAB 2 30 90