Value-Priced Medication list - Walgreens

1 Value Generics Value-Priced Medication list 90-day supply, over 400 generic medications. Blood Pressure and Heart Health (cont.) Blood Pressure and Heart Health (cont.) antifungal Drug Name Fluconazole 50mg Tabs Fluconazole 150mg Tabs TeRbInaFIne 250mg Tabs antiviral Treatments Drug Name acYcloVIR 200mg caPsules acYcloVIR 400mg caPsules $ Qty. 20 1 30$ Qty. 60 60 $12 Qty. 60 3 90 $12 Qty. 180 180 Drug Name caPToPRIl/HcTz 25/25 Tabs caRVeDIlol , Tabs caRVeDIlol , 25mg Tabs clonIDIne , , mg Tabs cHloRTHalIDone 25mg Tabs DIgoXIn , Tabs DIlTIazem 30mg, 60mg, 90mg Tabs DIlTIazem 120mg Tabs DIPYRID amole 25mg Tabs DIPYRID amole 50mg Tabs DoXazosIn 1mg, 2mg, 4mg, 8mg Tabs $ Qty.

2 60 60 60 60 30 30 60 3060 60 30$12 Qty. 180 180 180 180 90 90 180 90 180 180 90 $ Drug Name Qty. VeRaPamIl eR 180mg, 240mg Tabs 30 WaRFaRIn soD 1mg, 2mg, Tabs 30 WaRFaRIn soD 3mg, 4mg, 5mg Tabs 30 WaRFaRIn soD 6mg, , 10mg Tabs 30cholesterol $ Drug Name Qty. loVasTaTIn 10mg, 20mg, 40mg Tabs 30 PRaVasTaTIn 10mg, 20mg, 40mg Tabs 30$12 Qty. 90 90 90 90 $12 Qty. 90 90 acYcloVIR 800mg caPsules 35 arthritis or Pain $ Drug Name Qty. alloPuRInol 100mg, 300mg TableTs 60 bacloFen 10mg Tabs 90 cHloRzoXazone 500mg Tabs 60 cYclobenzaPRIne 5mg, 10mg Tabs 30 DIcloFenac PoTassIum 50mg Tabs 60 eToDolac eR 400 Tabs 30 IbuPRoFen 100mg/5ml oRal susP 120 IbuPRoFen 400mg Tabs 90 IbuPRoFen 600mg, 800mg Tabs 60 InDomeTHacIn 25mg caPs 60 InDomeTHacIn 50mg caPs 30 KeToRolac 10mg Tabs 15 lIDocaIne VIscous 2% oRal sol 100ml 100 105 $12 Qty. 180 270 180 90 180 90 360 270 180 180 90 45 300 enalaPRIl , 5mg, 10mg, 20mg Tabs enalaPRIl-HcTz 10-25mg Tabs enalaPRIl-HcTz Tabs FosInoPRIl 10mg Tabs FosInoPRIl 20mg Tabs FosInoPRIl 40mg Tabs FuRosemIDe 80mg Tabs guanFacIne 1 mg, 2mg Tabs HYDR alazIne 10mg, 25mg Tabs HYDRocHloRoTHIazIDe caPs HYDRocHloRoTHIazIDe 25mg, 50mg Tabs InDaPamIDe , Tabs IsosoRbIDe DInITRaTe 5mg oRal Tabs IsosoRbIDe DInITRaTe 10mg oRal Tabs IsosoRbIDe DInITRaTe 20mg oRal Tabs IsosoRbIDe mononITRaTe 10mg, 20mg Tabs labeTalol 100mg Tabs 60 30 60 30 30 30 30 30 60 30 30 30 90 90 90 60 60 180 90 180 90 90 90 90 90 180 90 90 90 270 270 270 180 180 cough/cold/allergy $ Drug Name Qty.

3 BenzonaTaTe 100mg caPs 30c-PHen Dm sYRuP 120 c-PHen sYRuP 120 cYPRoHePTaDIne 4mg Tabs 60 De-cHloR Dm lIQuID 120 FeXoFenaDIne 30mg Tabs 60 loRaTaDIne 10mg Tabs 30 PRomeTHazIne mg/5ml sYRuP PlaIn 180 Diabetes $ Drug Name Qty. glImePIRIDe 1mg, 2mg, 4mg Tabs 30glIPIzIDe 5mg Tabs 30$12 Qty. 90 360 360 180 360 180 90 540 $12 Qty. 90 90 meloXIcam , 15mg Tabs naPRoXen 250mg, 375mg, 500mg Tabs naPRoXen soDIum 275mg, 550mg Tabs PIRoXIcam 10mg caPs PIRoXIcam 20mg caPs TIzanIDIne 2mg Tabs 30 60 30 30 30 60 90 180 90 90 90 180 labeTalol 200mg Tabs lIsInoPRIl , 5mg, 10mg Tabs lIsInoPRIl 20mg, 30mg, 40mg Tabs lIsInoPRIl-HcTz 10 Tabs lIsInoPRIl-HcTz 20 Tabs lIsInoPRIl-HcTz 20/25mg Tabs meTolazone , 5mg Tabs 60 30 30 30 30 30 30180 90 90 90 90 90 90 glIPIzIDe 10mg Tabs glYbuRIDe , Tabs glYbuRIDe mIcRo , 3mg, 6mg Tabs glYbuRIDe/meTFoRmIn Tabs glYbuRIDe/meTFoRmIn Tabs meTFoRmIn 500mg, 850mg, 1000mg Tabs meTFoRmIn eR 500mg 24HR Tabs 60 30 30 60 60 90 60 180 90 90 180 180 270 180 asthma meTolazone 10mg Tabs 30 90 $ Drug Name Qty.

4 AlbuTeRol InH soln 25X3ml 75 albuTeRol sulFaTe sYRuP (2mg/5ml) 120 IPRaTRoPIum InHal. soluTIon 75 Blood Pressure and Heart Health $ Drug Name Qty. $12 Qty. 225 360 225 $12 Qty. meToPRolol (TaRTRaTe) 25mg Tabs meToPRolol (TaRTRaTe) 50mg Tabs meToPRolol (TaRTRaTe) 100mg Tabs moeXIPRIl Tabs moeXIPRIl 15mg Tabs naDolol 20mg, 40mg, 80mg Tabs nITRoglYceRIn caPs nITRoglYceRIn 100 PRazosIn 1mg caPs PRazosIn 2mg, 5mg caPs 60 60 60 30 30 30 30 30 30 60 180 180 180 90 90 90 90 90 90 180 eye care $ Drug Name Qty. leVobunolol oPTH soln 5ml 5 PIlocaRPIne oPHTH soln 15 sulFaceTamIDe na 10% oPH soln 15ml 15 TImolol maleaTe .25% oPHTH soln 5ml 5 TImolol maleaTe .5% oPHTH soln 5ml 5 TobRamYcIn oPH sol 5ml 5$12 Qty. 15 45 45 15 15 15 amIloRIDe 5mg / HcTz 50mg Tabs 30 90 PRoPRanolol 10mg, 20mg Tabs 60 180 Gastrointestinal Health amIoDaRone Hcl 200mg TabsaTenolol 25mg, 50mg Tabs aTenolol 100mg Tabs aTenolol 100mg/cHloRTHal 25mg Tabs aTenolol/cHloRTHalIDone 50/25 Tabs benazePRIl 5mg, 10mg, 20mg, 40mg Tabs benazePRIl HcTz 10 , 20 Tabs benazePRIl HcTz 20/25mg Tabs bIsoPRolol FumaRaTe 5mg Tabs bIsoPRolol/HcTz Tabs bIsoPRolol/HcTz 5 Tabs bIsoPRolol/HcTz 10 Tabs bumeTanIDe , 1mg, 2mg Tabs caPToPRIl , 25mg Tabs caPToPRIl 50mg, 100mg Tabs 30 60 30 30 30 30 30 30 30 30 30 30 30 60 60 90 180 90 90 90 90 90 90 90 90 90 90 90 180 180 PRoPRanolol 40mg, 80mg Tabs 60 QuInaPRIl 5mg, 10mg, 20mg, 40mg Tabs 30soTalol 80mg, 120mg Tabs 60 soTalol aF 80mg Tabs 60 sPIRonolacTone 25mg Tabs 30sPIRonolacTone 50mg Tabs 30sPIRonolacTone 25mg W/HcTz 25mg Tabs 30 TeRazosIn 1mg, 2mg, 5mg, 10mg caPs 30 ToRsemIDe 10mg.

5 20mg Tabs 30 TRanDolaPRIl 1mg Tabs 30 TRanDolaPRIl 2mg Tabs 30 TRanDolaPRIl 4mg Tabs 30 TRIamTeRene 25mg caPs oR Tabs 30 TRIamTeRene 75mg/ HcTz 50mg Tabs 30180 90 180 180 90 90 90 90 90 90 90 90 90 90 $ Drug Name Qty. bellaDonna alKaloIDs W/Pb Tabs 60 cImeTIDIne 200mg, 300mg, 400mg Tabs 60 DIcYclomIne 10mg caPs 90 DIcYclomIne 20mg Tabs 60 enulose sYRuP (10gm/15ml) 237 FamoTIDIne 20mg Tabs 60 FamoTIDIne 40mg Tabs 30meTocloPRamIDe 5mg, 10mg Tabs 60 meTocloPRamIDe Hcl 5mg/5ml sYRuP 60 PRomeTHazIne mg, 25mg Tabs 12 PRomeTHazIne 50mg Tabs 60 RanITIDIne 150mg Tabs oR caPs 60 $12 Qty. 180 180 270 180 711 180 90 180 180 36 180 180 caPToPRIl/HcTz 25/15 Tabs 60 180 VeRaPamIl 80mg, 120mg Tabs 30 90 *Membership fee required ($20 individual or $35 family per year). This program does not constitute insurance. as of 10/11 Value-Priced Medication List (cont.)

6 Infectious Treatments skin conditions Drugs Priced Below $12 for 90-day Qty. $ $12 $ $12 Drug Name Qty. Drug Name Qty. Qty. Drug Name Qty. Qty. beTameTHasone DIP oInT 15gm 45 amoXIcIllIn 125mg/5ml susP 150ml 150 450 beTameTHasone DIP cRm 15 45 FluocInolone aceT cRm 15gm 45 amoXIcIllIn 200mg/5ml susP 100ml 100 300 beTameTHasone Val loTIon 60 180 FolIc acID 1mg Tabs 90 amoXIcIllIn 250mg, 500mg caPs 30 90 cIcloPIRoX ToPIcal susPensIon 30ml 30 90 FuRosemIDe 20mg, 40mg Tabs 90 amoXIcIllIn 250mg/5ml susP 150ml 150 450 eRYTHRomYcIn 2% ToPIcal soln 60 180 mulTI-VIT/Fe Fl .025mg DRoPs 50ml 150 amoXIcIllIn 400mg/5ml susP 100ml 100 300 FluocInolone aceT soln 60 180 PReDnIsone , 5mg Tabs 90 amoXIcIllIn 400mg/5ml susP 50ml 50 150 genTamIcIn cReam oR oInT 15 45 cePHaleXIn 125mg/5ml susP 200ml 200 600 HYDRocoRTIsone 1%, cReam 30 90 cePHaleXIn 250mg/5ml susP 100ml 100 300 HYDRocoRTIsone 1% oInTmenT 30 90 cePHaleXIn 500mg caPs 30 90 momeTasone oInTmenT 15gm 15 45 cePHaleXIn 250mg caPs 28 84 TRIamcInolone cReam 15 45 ciprofloxacin 250mg Tabs 14 42 ciprofloxacin 500mg Tabs 20 60 Thyroid conditions DoXYcYclIne HYclaTe 50mg caPs 30 90 $ $12 DoXYcYclIne HYclaTe 100mg caPs 20 60 Drug Name Qty.

7 Qty. DoXYcYclIne HYclaTe 100mg Tabs 20 60 leVoTHYRoXIne Tabs all sTRengTH 30 90 eRYTHRomYcIn es 200mg/5ml susP 120 360 meTHImazole 5mg, 10mg Tabs 30 90 PenIcIllIn VK 125mg/5ml soln 200ml 200 600 PRoPYlTHIouRacIl 50mg Tabs 60 180 PenIcIllIn VK 250mg Tabs 30 90 PenIcIllIn VK 250mg/5ml soln 100ml 100 300 Vitamins and nutritional Health PenIcIllIn VK 500mg Tabs 20 60 $ $12smz/TmP RegulaR sTRengTH Tabs 28 84 Drug Name Qty. Qty. sulFameTH/TRImeTHoPRIm 800/160 Tabs 20 60 Fabb TableTs 30 90 sulFameTH-TRImeTH susP (gRaPe) 150 450 mulTI-VITa-F , cHeW Tabs 30 90 TeTRacYclIne 250mg, 500mg caPs 60 180 mulTIVITs W/Fl 1mg & IRon cHeW Tab 30 90 Mental Health naTalcaRe gT Tabs 30 90 naTalcaRe Plus Tab (1mg FolIc acID) 30 90 $ $12 naTaTab Fa Tabs 30 90 Drug Name Qty. Qty. PoTassIum cHloRIDe 10% lIQ 473 1,419amITRIPTYlIne 10mg, 25mg Tabs 30 90 Rena-VITe RX Tabs 30 90 amITRIPTYlIne 50mg, 75mg Tabs 30 90 se-naTal 19 Tabs 30 90 amITRIPTYlIne 100mg, 150mg Tabs 30 90 soDIum FluoRIDe.

8 25 cHeW Tabs 120 360 benzTRoPIne Tabs 30 90 soDIum FluoRIDe .5 cHeW Tabs 30 90 benzTRoPIne 1mg Tabs 60 180 TRI-VIT/Fe Fl .25mg DRoPs 50ml 50 150 benzTRoPIne 2mg Tabs 30 90 VITamIn D 50000Iu caPs 4 12 busPIRone 5mg, 10mg, 15mg Tabs 60 180 caRbamazePIne 100mg cHeWable Tabs 120 360 Women s Health caRbamazePIne 200mg Tabs 100 300 $ $12cHloRPRomazIne 10mg Tabs 60 180 Drug Name Qty. Qty. cITaloPRam 10mg, 20mg, 40mg Tabs 30 90 alenDRonaTe 5mg Tabs 30 90 DoXePIn 10mg, 25mg, 50mg caPs 30 90 clomIPHene cITRaTe 50mg Tabs 5 15 DoXePIn 75mg, 100mg caPs 30 90 esTRaDIol , 1mg, 2mg Tabs 30 90 FluoXeTIne 10mg, 20mg caPs oR Tabs 30 90 meDRoXYPR ogesTeRone , 5mg Tabs 30 90 FluoXeTIne 40mg caPs 30 90 meDRoXYPR ogesTeRone 10mg Tabs 10 30 FluPHenazIne 1mg Tabs 60 180 TamoXIFen 10mg Tabs 60 180 FluPHenazIne , 5mg Tabs 30 90 gabaPenTIn 100mg caPs 90 270 OtherHaloPeRIDol Tabs 60 180 HaloPeRIDol 1mg, 2mg, 5mg Tabs 30 90 $ $12 lITHIum caRbonaTe 150mg caPs 60 180 Drug Name Qty.

9 Qty. lITHIum caRbonaTe 600mg caPs 60 180 cHloRHeXIDIne oRal RInse 473ml 473 1,419 ImIPRamIne 10mg, 25mg Tabs 60 180 cYTRa-2 soluTIon 473 1,419 ImIPRamIne 50mg Tabs 30 90 DeXameTHasone Tabs 60 180 lITHIum caRbonaTe 300mg caPs 90 270 DeXameTHasone Tabs 12 36 mIRTazaPIne 15mg, 30mg Tabs 30 90 DeXameTHasone Tabs 45 135 noRTRIPTYlIne 10mg, 25mg caPs 30 90 DeXameTHasone 4mg Tabs 30 90 noRTRIPTYlIne 75mg Tabs 30 90 megesTRol aceTaTe 20mg Tabs 30 90 PaRoXeTIne 10mg, 20mg Tabs 30 90 meTHYlPReDnIsolone 4mg Tabs 60 180 PRImIDone 50mg Tabs 60 180 oXYbuTYnIn 5mg Tabs 60 180 PRocHloRPeRazIne 10mg Tabs 30 90 PHenazoPYRIDIne 100mg, 200mg Tabs 30 90 seRTRalIne 25mg Tabs 30 90 PReDnIsolone 15mg/5ml sYRuP 60 180 THIoRIDazIne 10mg Tabs 60 180 PReDnIsolone soD PHos 15mg/5ml sol 30 90 THIoRIDazIne 25mg, 50mg Tabs 30 90 PReDnIsone 10mg, 20mg Tabs 30 90 THIoTHIXene 1mg caPs 60 180 PReDnIsone 5mg Tabs PacK 21 s 21 63 THIoTHIXene 2mg caPs 60 180 PReDnIsone 10mg Tabs PacK 48 s 48 144 TRazoDone 50mg, 100mg, 150mg Tabs 30 90 TRIHeXYPHenIDYl 2mg Tabs 60 180 TRIFluoPeRazIne 1mg, 2mg Tabs 60 180 TRIFluoPeRazIne 5mg, 10mg Tabs 60 180 Value-Priced Medication List (cont.)

10 Value BranD-naMe insulins leVemIR FleXPen 1 boX $ leVemIR 100 unITs/ml VIal 1 VIal $ noVolIn n 100 unITs/ml VIal 1 VIal $ noVolIn R 100 unITs/ml VIal 1 VIal $ noVolIn mIX 70/30 FleXPen 1 VIal $ noVolIn 70/30 100 unIT/ml VIal 1 VIal $ noVolog mIX 70/30 VIal 1 VIal $ noVolog 100 unIT/ml caRTRIDge 1 boX $ noVolog FleXPen 1 boX $ noVolog PenFIll 3 ml 1 boX $ noVolog 100 unIT/ml VIal 1 VIal $ liFesTYle MeDicaTiOns Birth control special Price at $12 for 1-month supply mononessa Tabs 21/28 TRInessa Tabs 21/28 $ for 1-month supply mIcRogesTIn Fe TableTs 21/28 mIcRogesTIn 1/20 Fe TableTs 21/28 $ for 1-month supply necon 1/35 TableTs 21/28 ReclIPsen TableTs 21/28 loW-ogesTRel TableTs 21/28 $ for 1-month supply leVoRa TableTs 21/28 luTeRa TableTs 21/28 $ for 1-month supply JolIVeTTe TableTs 28 Discounted Lifestyle Medications cIalIs 5mg TableTs (QTY 10) $ cIalIs 10mg TableTs (QTY 6) $ cIalIs 20mg TableTs (QTY 6) $ VIagRa 50mg TableTs (QTY 6) $ VIagRa 100mg TableTs (QTY 6) $ PRoPecIa 1mg (PRo PaK) TableTs $ laTIsse oPHTH soluTIon $ The average savings on the purchase of a 90-day supply of a generic, priced at $12, is $ The average savings on the purchase of commonly prescribed quantities of all other generic drugs, not included in the $12 pricing, is $ The average savings for the purchase of commonly prescribed quantities of brand name drugs is $ Persons receiving prescription benefits from a publicly funded health care program are ineligible.