Strength Form QTY Strength Form $4410MedicatMoin Nica4N ...

1 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 Ibuprofen 100 Mg/5 MlSuspension*120 mL360 mLIbuprofen 400 MgTablet90270 Ibuprofen 600 MgTablet60180 Ibuprofen 800 MgTablet3090 Indomethacin 25 MgCapsule*60180 Meloxicam MgTablet3090 Naproxen 375/500 MgTablet*60180

2 Anti-AnxietyBuspirone 5/10 MgTablet*60180 Doxepin Hcl 10/25/50/75/100 MgCapsule3090 Paroxetine 10/20 MgTablet*3090 AntibioticAmoxicillin 125 Mg/5 MlSuspension80 mL240 mLAmoxicillin 125 Mg/5 MlSuspension100 mL300 mLAmoxicillin 125 Mg/5 MlSuspension150 mL450 mLAmoxicillin 200 Mg/5 MlSuspension50 mL150 mLAmoxicillin 200 Mg/5 MlSuspension75 mL225 mLMedication Name/ StrengthForm$430-DayQTY$1090-DayQTYA moxicillin 200 Mg/5 MlSuspension*100 mL300 mLAmoxicillin 250 MgCapsule3090 Amoxicillin 250 Mg/5 MlSuspension80 mL240 mLAmoxicillin 250 Mg/5 MlSuspension100 mL300 mLAmoxicillin 250 Mg/5 MlSuspension150 mL450 mLAmoxicillin 400 Mg/5 MlSuspension50 mL150 mLAmoxicillin 400 Mg/5 MlSuspension*75 mL225 mLAmoxicillin 400 Mg/5 MlSuspension*100 mL300 mLAmoxicillin 500 MgCapsule3090 Cephalexin 250 MgCapsule2884 Cephalexin 500 MgCapsule3090 Ciprofloxacin 250 MgTablet1442 Ciprofloxacin 500 MgTablet2060 Doxycycline Hyclate 50 MgCapsule3090 Doxycycline Hyclate 100 MgCapsule/Tablet2060 Isoniazid 300 MgTablet3090 Metronidazole 250 MgTablet2884 Metronidazole 500 MgTablet1442 Penicillin Vk 125 Mg/5 MlSolution200 mL600 mLPenicillin Vk 250 Mg/5 MlSolution100 mL300 mLPenicillin Vk 250 MgTablet2884 Smz/Tmp 200/40/5 MlSuspension*120 mL360 mLSmz/Tmp 400/80 MgTablet2884 Smz/Tmp Ds 800/160 MgTablet2060 Tetracycline 250/500 MgCapsule60180 AntidepressantAmitriptyline

3 10/25/50/75/100 MgTablet3090 Citalopram 20/40 MgTablet3090 Doxepin Hcl 10/25/50/75/100 MgCapsule3090 Fluoxetine 10 MgTablet*3090 Fluoxetine 10/20/40* MgCapsule*3090 Medication Name/ StrengthForm$430-DayQTY$1090-DayQTYN ortriptyline 10/25 MgCapsule3090 Paroxetine 10/20 MgTablet*3090 Trazodone 50/100/150 MgTablet3090 AntifungalFluconazole 150 MgTablet13 Terbinafine 250 MgTablet*3090 Anti-InflammatoryDiclofenac Er 75 MgTablet60180 Ibuprofen 100 Mg/5 MlSuspension*120 mL360 mLIbuprofen 400 MgTablet90270 Ibuprofen 600 MgTablet60180 Ibuprofen 800 MgTablet3090 Indomethacin 25 MgCapsule*60180 Meloxicam MgTablet3090 Naproxen 375/500 MgTablet*60180 AntipsychoticFluphenazine 1 MgTablet3090 Haloperidol MgTablet3090 Lithium Carb 300 MgCapsule*90270 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 MgCapsule*60180 Meloxicam MgTablet3090 Naproxen 375/500 MgTablet*60180 Medication Name/ StrengthForm$430-DayQTY$1090-DayQTYA sthmaAlbuterol 2 Mg/5 MlSyrup120 mL360 mLAlbuterol 2 MgTablet90270 Albuterol 4 MgTablet60180 Albuterol Neb *75 mL225 mLAlbuterol Neb mL60 mLIpratropium Neb Mg/MlSolution*75 mL225 mLCancer/OncologyMegestrol 20 MgTablet*3090

4 Cardiac/HypertensionAmiloride/Hctz 5-50 MgTablet3090 Atenolol 25/50/100 MgTablet3090 Atenolol/Chlorthal 50/25 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 Captopril MgTablet60180 Carvedilol MgTablet60180 Carvedilol 25 MgTablet*60180 Clonidine MgTablet3090 Digoxin MgTablet3090 Diltiazem 30/60/90* MgTablet*60180 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 Medication Name/ StrengthForm$430-DayQTY$1090-DayQTYL isinopril/Hctz MgTablet3090 Lisinopril/Hctz MgTablet*3090 Lisinopril/Hctz 20-25 MgTablet*3090 Methyldopa 250 MgTablet*60180 Methyldopa 500 MgTablet*3090 Metoprolol Tartrate 25/50/100* MgTablet*60180 Nadolol 20/40* MgTablet*3090 Prazosin Hcl 1/2*/5* MgCapsule*3090 Propranolol 10/20/40/80 MgTablet60180 Sotalol Hcl 80 MgTablet*3090 Spironolactone 25 MgTablet*3090 Terazosin 1/2/5/10 MgCapsule3090 Triamterene/Hctz MgCapsule/Tablet3090 Triamterene/Hctz 75/50

5 MgTablet3090 Verapamil 80/120 MgTablet3090 Warfarin 1/2 */6 MgTablet*3090 CholesterolLovastatin 10/20 MgTablet*3090 Pravastatin 10/20/40* MgTablet*3090 DiabetesChlorpropamide 100 MgTablet*3090 Glimepiride 1/2/4 MgTablet3090 Glipizide 5 MgTablet3090 Glipizide 10 MgTablet*60180 Glyburide MgTablet3090 Glyburide Micro 3/6 MgTablet3090 Metformin 500/850/1000* MgTablet*60180 Metformin Er 500 MgTablet*60180 Ear PreparationsAntipyrine/Benzocaine Otic Solution10 mL30 mLEye PreparationsAtropine Sulfate 1%Ophthalmic Solution5 mL15 mLErythromycin 5 Mg/GmOphthalmic Ointment*412 Gentamicin Solution5 mL15 mLMedication Name/ StrengthForm$430-DayQTY$1090-DayQTYL evobunolol Solution5 mL15 mLNeo/Polymx/Dexamethasone Ointment412 Neo/Polymx/Dexamethasone Suspension5 mL15 mLPilocarpine 1%/2%Ophthalmic Solution15 mL45 mLPolymyxin Sulfate/TmpOphthalmic Solution*10 mL30 mLSulfacetamide Sodium 10%Ophthalmic Solution15 mL45 mLTimolol Maleate Solution5 mL15 mLTobramycin Solution5 mL15 mLHormonesEstradiol MgTablet3090 Estropipate * MgTablet*3090 Medroxyprogesterone MgTablet3090 Medroxyprogesterone 10 MgTablet1030 IncontinenceOxybutynin 5 MgTablet60180 Muscle RelaxantsBaclofen 10 MgTablet3090 Cyclobenzaprine 5/10 MgTablet3090 OtherAllopurinol 100/300 MgTablet3090 Carbamazepine 200 MgTablet*60180 Chlorhexidine Gluconate mL1419 mLCytra-2

6 Solution180 mL540 mLPhenazopyridine 100 MgTablet618 Phenazopyridine 200 MgTablet3090 Prochlorperazine 10 MgTablet3090 Medication Name/ StrengthForm$430-DayQTY$1090-DayQTYP arkinson s DiseaseBenztropine 2 MgTablet3090 Trihexyphenidyl 2 MgTablet60180 Prostate/BphDoxazosin 1/2/4/8 MgTablet3090 Megestrol 20 MgTablet3090 Prazosin Hcl 1/2*/5* MgCapsule*3090 Terazosin 1/2/5/10 MgCapsule3090 Seizure/EpilepsyCarbamazepine 200 MgTablet*60180 SteroidsDexamethasone MgTablet1236 Dexamethasone MgTablet3090 Dexamethasone 4 MgTablet618 Methylprednisolone 4 MgDose Pak/Tablet2163 Prednisone MgTablet3090 Prednisone 5/10 MgDose Pak2163 Prednisone 5 MgDose Pak*48144 Prednisone 10 MgDose Pak*48N/AStomach Disorders/GastrointestinalBelladonna Alkaloids/Pb Tablet60180 Cimetidine 800 MgTablet*3090 Dicyclomine 10 MgCapsule90270 Dicyclomine 20 MgTablet60180 Famotidine 20 MgTablet6090 Hydrocortisone Ac 25 MgSuppository1236 Lactulose 10 Gm/15 MlSyrup237 mL711 mLMetoclopramide 5 Mg/5 MlSyrup60 mL180 mLMetoclopramide 10 MgTablet60180 Prochlorperazine 10 MgTablet3090 Promethazine 25 MgTablet*1236 Ranitidine 150 MgTablet60180 Ranitidine 300 MgTablet3090 ThyroidLevothyroxine 25/50/75/ 55/100/112/125/137/150/175*/200* McgTablet*3090 Medication Name/ StrengthForm$430-DayQTY$1090-DayQTYT opical PreparationsBetamethasone DiproPionate g45 gBetamethasone Dipropionate

7 G135 gBetamethasone Valerate g45 gBetamethasone Valerate g135 gBetamethasone Valerate g45 gBetamethasone Valerate g135 gFluocinonide g45 gFluocinonide g90 gFluocinolone Acetide mL180 mLGentamicin g45 gHydrocortisone 1%Cream3090 Hydrocortisone Viscous 2%Solution100 mL300 mLNystatin 100,000uCream/Ointment15 g45 gNystatin 100,000uCream/Ointment30 g90 gNystatin/Triamcinolone Cream15 g45 gNystatin/Triamcinolone Cream30 g90 gNystatin/Triamcinolone Ointment15 g45 gSelenium Sulfide *120 mL360 mLSilver Sulfadiazine 1%Cream*50 g150 gTriamcinolone g45 gTriamcinolone g240 gTriamcinolone g45 gTriamcinolone g240 gTriamcinolone g45 gTuberculosisIsoniazid 300 MgTablet3090 Vitamins/SupplementsFolic Acid 1 MgTablet3090 Magnesium Oxide 400 MgTablet3090 Mag64 64 MgTablet*60180 Medication Name/ StrengthForm$430-DayQTY$1090-DayQTYP otassium Chloride 10%Liquid473 mL1419 mLPrenatal RxTablet*30N/ASodium Fluoride MgTablet*120N/A$9 and $24 Generic Medication ListMedication Name/

8 StrengthForm$930-DayQty$2490-DayQtyAsthm aVentolin Hfa Inhaler*8N/ASmoking CessationBupropion 150 Mg SrTablet*17N/AWomen s HealthAlendronate Sod 35/70 MgTablet412 Clomiphene 50 MgTablet515 Sprintec 28-DayTablet*28N/ATamoxifen 10 MgTablet60180 Tamoxifen 20 MgTablet3090 Tri-Sprintec 28-DayTablet*28N/AMen s HealthLevitra 20mgTablet1 (limit 10 per guest, per month)N/AFinasteride 5mg Tablet30N/A$4 prescriptions include up to a 30-day supply of covered drugs at commonly prescribed dosages. $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.

9 *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 Last updated: November 2010