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Medication Name Category $4 30-day qty$10 90 …

Medication NameCategory$4 30-day qty$10 90-day qtyACYCLOVIR CAP 200 MGAntiviral3090 ALBUTEROL INH SOL ML225 MLALBUTEROL SYRUPA sthma120 ML360 MLALLOPURINOL TAB 100 MGAnti-Gout3090 ALLOPURINOL TAB 300 MGAnti-Gout3090 AMILORIDE/HCTZ TAB 5-50 Heart Health3090 AMITRIPTYLINE TAB 10 MGAntidepressant60180 AMITRIPTYLINE TAB 25 MGAntidepressant60180 AMITRIPTYLINE TAB 50 MGAntidepressant60180 AMITRIPTYLINE TAB 75 MGAntidepressant3090 AMITRIPTYLINE TAB 100 MGAntidepressant3090 AMOXICILLIN CAP 250 MGAntibiotic3090 AMOXICILLIN CAP 500 MGAntibiotic3090 AMOXICILLIN SUSP 125MG Antibiotic80 ML240 MLAMOXICILLIN SUSP 125MG Antibiotic100 ML300 MLAMOXICILLIN SUSP 125MG Antibiotic150 ML450 MLAMOXICILLIN SUSP 200MG * Antibiotic75 ML225 MLAMOXICILLIN SUSP 200MG * Antibiotic100 ML300 MLAMOXICILLIN SUSP 200MG Antibiotic50 ML150 MLAMOXICILLIN SUSP 250MG Antibiotic80 ML240 MLAMOXICILLIN SUSP 250MG Antibiotic100 ML300 MLAMOXICILLIN SUSP 250MG Antibiotic150 ML450 MLAMOXICILLIN SUSP 400MG * Antibiotic75 ML225 MLAMOXICILLIN SUSP 400MG * Antibiotic100 ML300 MLAMOXICILLIN SUSP 400MG Antibiotic50 ML150 MLATENOLOL TAB 25 MGHeart Health3090 ATENOLOL TAB 100 MGHeart Health3090 ATENOLOL TAB 50 MGHeart Health3090 ATENOLOL/CHLRTHAL TAB 100-25 Heart Health3090 ATROPINE SUL OPTH SOL 1% Glaucoma/Eye5 ML15 MLBACLOFEN TAB 10 MGMuscle Relaxant60180 BENAZEPRIL TAB 10 MGHeart Health3090 BENAZEPRIL TAB 20 MGHeart Health3090 BENAZEPRIL TAB 40 MGHeart Health3090 BENAZEPRIL TAB 5 MGHeart Healt

Medication Name Category $4 30-day qty$10 90-day qty ACYCLOVIR CAP 200MG Antiviral 30 90 ALBUTEROL INH SOL 0.083 Asthma 75 ML 225 ML ALBUTEROL SYRUP Asthma 120 ML 360 ML

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Transcription of Medication Name Category $4 30-day qty$10 90 …

1 Medication NameCategory$4 30-day qty$10 90-day qtyACYCLOVIR CAP 200 MGAntiviral3090 ALBUTEROL INH SOL ML225 MLALBUTEROL SYRUPA sthma120 ML360 MLALLOPURINOL TAB 100 MGAnti-Gout3090 ALLOPURINOL TAB 300 MGAnti-Gout3090 AMILORIDE/HCTZ TAB 5-50 Heart Health3090 AMITRIPTYLINE TAB 10 MGAntidepressant60180 AMITRIPTYLINE TAB 25 MGAntidepressant60180 AMITRIPTYLINE TAB 50 MGAntidepressant60180 AMITRIPTYLINE TAB 75 MGAntidepressant3090 AMITRIPTYLINE TAB 100 MGAntidepressant3090 AMOXICILLIN CAP 250 MGAntibiotic3090 AMOXICILLIN CAP 500 MGAntibiotic3090 AMOXICILLIN SUSP 125MG Antibiotic80 ML240 MLAMOXICILLIN SUSP 125MG Antibiotic100 ML300 MLAMOXICILLIN SUSP 125MG Antibiotic150 ML450 MLAMOXICILLIN SUSP 200MG * Antibiotic75 ML225 MLAMOXICILLIN SUSP 200MG * Antibiotic100 ML300 MLAMOXICILLIN SUSP 200MG Antibiotic50 ML150 MLAMOXICILLIN SUSP 250MG Antibiotic80 ML240 MLAMOXICILLIN SUSP 250MG Antibiotic100 ML300 MLAMOXICILLIN SUSP 250MG Antibiotic150 ML450 MLAMOXICILLIN SUSP 400MG * Antibiotic75 ML225 MLAMOXICILLIN SUSP 400MG * Antibiotic100 ML300 MLAMOXICILLIN SUSP 400MG Antibiotic50 ML150 MLATENOLOL TAB 25 MGHeart Health3090 ATENOLOL TAB 100 MGHeart Health3090 ATENOLOL TAB 50 MGHeart Health3090 ATENOLOL/CHLRTHAL TAB 100-25 Heart Health3090 ATROPINE SUL OPTH SOL 1% Glaucoma/Eye5 ML15 MLBACLOFEN TAB 10 MGMuscle Relaxant60180 BENAZEPRIL TAB 10 MGHeart Health3090 BENAZEPRIL TAB 20 MGHeart Health3090 BENAZEPRIL TAB 40 MGHeart Health3090 BENAZEPRIL TAB 5 MGHeart Health3090 BENZONATATE CAP 100 MGCough/Cold1442 BENZTROPINE MES TAB 2 MGParkinson's3090 BISOPROLOL/HCTZ TAB 10 MGHeart Health3090 BISOPROLOL/HCTZ TAB Health3090 BISOPROLOL/HCTZ TAB 5 MGHeart Health3090 BUSPIRONE TAB 5 MGAnti Anxiety60180 BUSPIRONE TAB 10MG *Anti Anxiety60180 CARBAMAZEPINE TAB 200MG *Miscellaneous100300 CARVEDILOL TAB Health60180 CARVEDILOL TAB 25MG *Heart Health60180 CARVEDILOL TAB Health60180 CARVEDILOL TAB Health60180 CEPHALEXIN CAP 250 MGAntibiotic40120 CEPHALEXIN

2 CAP 500 MGAntibiotic40120 CHLORHEXIDINE RNSE Antibiotic473 ML1419 MLCHLOROTHIAZIDE TAB 250 MGHeart Health3090 CHLOROTHIAZIDE TAB 500 MGHeart Health3090 CIPROFLOXACIN TAB 250 MGAntibiotic2060 CIPROFLOXACIN TAB 500 MGAntibiotic2060 CITALOPRAM TAB 20 MGAntidepressant3090 CITALOPRAM TAB 40 MGAntidepressant3090 CLONIDINE TAB Health3090 CLONIDINE TAB Health3090 CYCLOBENZAPRINE TAB 10 MGMuscle Relaxant3090 CYCLOBENZAPRINE TAB 5 MGMuscle Relaxant3090 CYTRA-2 SOL Miscellaneous473 ML1419 MLDEXAMETHASONE TAB Inflammatory3090 DEXAMETHASONE TAB Inflammatory1854 DEXAMETHASONE TAB 4 MGAnti Inflammatory1236 DICLOFENAC SOD TAB 75 MGAnti Inflammatory60180 DICYCLOMINE CAP 10 MGGastro Intestinal90270 DICYCLOMINE TAB 20 MGGastro Intestinal60180 ENALAPRIL MAL TAB 10 MGHeart Health3090 ENALAPRIL MAL TAB Health3090 ENALAPRIL MAL TAB 20 MGHeart Health3090 ENALAPRIL MAL TAB 5 MGHeart Health3090 ENALAPRIL/HCTZ TAB 5 Health3090 ERYTHROMYCIN OPTH OINT GMESTRADIOL TAB TAB 1 MGHormone3090 ESTRADIOL TAB 2 MGHormone3090 FAMOTIDINE TAB 20 MGGastro Intestinal3090 FLUCONAZOLE TB 150MG U/UAntifungal13 FLUORIDE CHW TAB *Supplements & Vitamins3090 FLUOXETINE CAP 10 MGAntidepressant3090 FLUOXETINE CAP 20 MGAntidepressant3090 FLUOXETINE CAP 40 MGAntidepressant3090 FLUOXETINE TAB 10MG *Antidepressant3090 FLUPHENAZINE TAB 1 MGAntipsychotic60180 FLUVOXAMINE MALEATE 25 MG TABA ntipsychotic3090 FOLIC ACID TAB 1 MGSupplements & Vitamins3090 FUROSEMIDE TAB 20 MGDiuretic3090 FUROSEMIDE TAB 40 MGDiuretic3090 FUROSEMIDE TAB 80 MGDiuretic3090 GENTAMICIN OPTH SOL Antibiotic5 ML15 MLGLIMEPIRIDE TAB 1 MGDiabetes3090 GLIMEPIRIDE TAB 2 MGDiabetes3090 GLIMEPIRIDE TAB 4 MGDiabetes3090 GLIPIZIDE TAB 5 MGDiabetes3090 GLIPIZIDE TAB 10MG *Diabetes60180 GLYBURIDE MICRO MG TABD iabetes3090 GLYBURIDE MICRO TAB 3 MGDiabetes3090 GLYBURIDE MICRO TAB 6 MGDiabetes3090 GLYBURIDE TAB TAB 5 MGDiabetes3090 GUANFACINE TAB 1 MGHeart Health3090 HALOPERIDOL TAB TAB 1

3 MGAntipsychotic60180 HALOPERIDOL TAB 2 MGAntipsychotic60180 HALOPERIDOL TAB 5 MGAntipsychotic60180 HYDRALAZINE TAB 10 MGHeart Health3090 HYDRALAZINE TAB 25 MGHeart Health3090 HYDROCHLOROTHIAZIDE (HCTZ) CAP *Diuretic3090 HYDROCHLOROTHIAZIDE (HCTZ) TAB 25 MGDiuretic3090 HYDROCHLOROTHIAZIDE (HCTZ) TAB 50 MGDiuretic3090 HYDROCORTISONE CRM 1% Topical Medications30 GM90 GMHYDROCORTISONE CRM Topical Medications30 GM90 GMIBUPROFEN TAB 400 MGAnti Inflammatory90270 IBUPROFEN TAB 600 MGAnti Inflammatory60180 IBUPROFEN TAB 800 MGAnti Inflammatory60180 INDAPAMIDE TAB TAB CAP 25MG *Anti Inflammatory60180 IPRATROPIUM SOL .02% UDV * MLISONIAZID TAB 300 MGAntibiotic3090 ISOSORBID MON ER TAB 30 MGHeart Health3090 ISOSORBID MON ER TAB 60 MGHeart Health3090 ISOSORBIDE DINITRATE SL Health60180 ISOSORBIDE DINITRATE SL 5 MGHeart Health60180 LACTULOSE SYP 10G/15ML Miscellaneous473 ML1419 MLLEVOBUNOLOL OPTH Glaucoma/Eye5 ML15 MLLEVOTHYROXINE TAB 50 MCGT hyroid3090 LEVOTHYROXINE TAB 75 MCGT hyroid3090 LEVOTHYROXINE TAB 88 MCGT hyroid3090 LEVOTHYROXINE TAB 100 MCGT hyroid3090 LEVOTHYROXINE TAB 112 MCGT hyroid3090 LEVOTHYROXINE TAB 125 MCGT hyroid3090 LEVOTHYROXINE TAB 137 MCGT hyroid3090 LEVOTHYROXINE TAB 150 MCGT hyroid3090 LEVOTHYROXINE TAB 175 MCG *Thyroid3090 LEVOTHYROXINE TAB 200 MCG *Thyroid3090 LEVOTHYROXINE TAB 25 MCGT hyroid3090 LIDOCAINE VISCOUS SOL 2% Miscellaneous100 ML300 MLLISINOPRIL TAB Health3090 LISINOPRIL TAB 5 MGHeart Health3090 LISINOPRIL TAB 10 MGHeart Health3090 LISINOPRIL TAB 20 MGHeart Health3090 LISINOPRIL/HCTZ TAB 10 Health3090 LISINOPRIL/HCTZ TAB 20 *Heart

4 Health3090 LISINOPRIL/HCTZ TAB 20/25 *Heart Health3090 LITHIUM CARB CAP 300MG *Miscellaneous90270 LORATADINE TAB 10 MGAllergy3090 LOVASTATIN TAB 10MG *Heart Health3090 LOVASTATIN TAB 20MG *Heart Health3090 MAGNESIUM OXIDE TAB 400 MGSupplements & Vitamins60180 MAG-SR TAB 64MG *Supplements & Vitamins3090 MEDROXYPROGST ACE TAB 10 MGHormone3090 MEDROXYPROGST ACE TAB ACE TAB 5 MGHormone3090 MEGESTROL TAB 20MG *Miscellaneous3090 MELOXICAM TAB 15 MGAnti Inflammatory3090 MELOXICAM TAB Inflammatory3090 METFORMIN ER TAB 500MG *Diabetes60180 METFORMIN TAB 1000MG *Diabetes60180 METFORMIN TAB 500 MGDiabetes60180 METFORMIN TAB 850 MGDiabetes60180 METHYLDOPA TAB 250MG *Heart Health60180 METOCLOPRAMIDE SYRUP 5 MGGastro Intestinal120 ML360 MLMETOCLOPRAMIDE TAB 10 MGGastro Intestinal60180 METOPROLOL TARTRATE TAB 50 MGHeart Health60180 METOPROLOL TARTRATE TAB 100MG *Heart Health60180 METOPROLOL TARTRATE TAB 25 MGHeart Health60180 NAPROXEN TAB 250 MGAnti Inflammatory60180 NAPROXEN TAB 375MG *Anti Inflammatory60180 NAPROXEN TAB 500MG *Anti Inflammatory60180 NORTRIPTYLINE CAP 10 MGAntidepressant3090 NORTRIPTYLINE CAP 25 MGAntidepressant3090 NYSTATIN CRM * Topical Medications15 GM45 GMNYSTATIN CRM * Topical Medications30 GM90 GMPAROXETINE TAB 10MG *Antidepressant3090 PAROXETINE TAB 20MG *Antidepressant3090 PENICILLIN VK TAB 250 MGAntibiotic40120 PENICILLN VK SOL 125MG Antibiotic100 ML300 MLPENICILLN VK SOL 125MG Antibiotic200 ML600 MLPHENAZOPYRIDINE TAB 100 MGAnalgesic3090 POLYMYXIN/TRIMETH OPTH SOL * Antibiotic10 ML30 MLPREDNISONE TAB Inflammatory3090 PREDNISONE TAB 5 MGAnti Inflammatory3090 PREDNISONE TAB 10MG DSPK * Anti Inflammatory48144 PREDNISONE TAB 10MG DSPK Anti Inflammatory2163 PREDNISONE TAB 5MG DSPK * Anti Inflammatory48144 PREDNISONE TAB 5MG DSPK Anti Inflammatory2163 PRENATAL PLUS TAB*Supplements & Vitamins3090 PROCHLORPERAZINE 5 MG TABLETG astro Intestinal3090 PROCHLORPERAZINE TAB 10 MGGastro Intestinal3090 PROMETHAZINE PLAIN

5 SYRUP *Cough/Cold120 ML360 MLPROMETHAZINE TAB 25 MGGastro Intestinal3090 PROMETHAZINE W/DM SYRUPC ough/Cold120 ML360 MLPROPRANOLOL TAB 10 MGHeart Health60180 PROPRANOLOL TAB 20 MGHeart Health60180 PROPRANOLOL TAB 40 MGHeart Health60180 PROPRANOLOL TAB 80 MGHeart Health60180 RANITIDINE TAB 150 MGGastro Intestinal60180 RANITIDINE TAB 300 MGGastro Intestinal3090 SOTALOL HCL TAB 80MG *Heart Health3090 SPIRONOLACTONE TAB 25MG *Diuretic3090 SULFACET SOD OPTH SOL 10% Antibiotic15 GM45 GMSULFAMETH/TRIMETH DS TABA ntibiotic2060 SULFAMETH/TRIMETH TABA ntibiotic2060 SULFATRIM PED SUSPA ntibiotic120 ML360 MLTERAZOSIN CAP 1 MGHeart Health3090 TERAZOSIN CAP 2 MGHeart Health3090 TERAZOSIN CAP 5 MGHeart Health3090 TERAZOSIN CAP 10 MGHeart Health3090 TERBINAFINE TAB 250MG *Antifungal3090 THIORIDAZINE TAB 10 MGAntipsychotic3090 THIORIDAZINE TAB 100 MGAntipsychotic3090 TIMOLOL MAL OPTH SOL .25% Glaucoma/Eye5 ML15 MLTIMOLOL MAL OPTH SOL Glaucoma/Eye5 ML15 MLTOBRAMYCIN OPTH SOL Antibiotic5 ML15 MLTRANDOLAPRIL TAB 1 MGHeart Health3090 TRAZODONE TAB 50 MGAntidepressant3090 TRAZODONE TAB 100 MGAntidepressant3090 TRAZODONE TAB 150 MGAntidepressant3090 TRIAMCINOLONE ACE CRM Topical Medications15 GM45 GMTRIAMCINOLONE ACE CRM Topical Medications80 GM240 GMTRIAMCINOLONE ACE CRM Topical Medications15 GM45 GMTRIAMCINOLONE ACE CRM Topical Medications80 GM240 GMTRIAMCINOLONE ACE CRM Topical Medications15 GM45 GMTRIAMCINOLONE ACE OINT Topical Medications15 GM45 GMTRIAMCINOLONE ACE OINT Topical Medications80 GM240 GMTRIAMTEREN/HCTZ TAB 75/50 Heart Health3090 TRIHEXYPHENIDYL TAB 2 MGParkinson's60180 VERAPAMIL TAB 80 MGHeart Health60180 VERAPAMIL TAB 120 MGHeart Health60180 WARFARIN SODIUM TAB 1 MGAnticoagulant3090 WARFARIN SODIUM TAB SODIUM TAB 2 MGAnticoagulant3090 WARFARIN SODIUM TAB 3 MGAnticoagulant3090 WARFARIN SODIUM TAB 4

6 MGAnticoagulant3090 WARFARIN SODIUM TAB 5MG *Anticoagulant3090 WARFARIN SODIUM TAB 6 MGAnticoagulant3090 WARFARIN SODIUM TAB SODIUM TAB 10 MGAnticoagulant3090$9 30-day qty$24 90-day qtyALENDRONATE SOD TAB 35 MGWomen's Health412 ALENDRONATE SOD TAB 70 MGWomen's Health412 CLOMIPHENE CIT TAB 50MG Women's Health515 SPRINTEC TAB *Women's Health2884 TRI- SPRINTEC 28 TAB, 6X28CT Women's Health2884* Certain Medications are priced higher in California and Montana due to state laws. Prepackaged drugs are covered only in unit sizes specified on the all generic prescriptions are included in this program. Ask your prescriber to recommend a generic alternative to your current Medication . The list of generic prescriptions is subject to change. To qualify for program price, new prescriptions must be ordered in person, refills may be ordered on-line or by telephone. Medication pricing listed is inclusive of all discounts.

7 Prescriptions must be picked up at the store to be eligible for the program price. $4 Program covers up to a 30-day supply of eligible drugs at commonly prescribed dosages. $10 Program covers a 90-day supply of eligible drugs at commonly prescribed dosages. We reserve the right to modify or discontinue this program at any time.


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