Medication List
Medication List
Walgreens PlusTM 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. 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 Plus.
Antifungal
VALUE GENERICS
Drug Name
Tier
FLUCONAZOLE 150MG TAB
2
TERBINAFINE 250MG TAB
2
Quantity
30 90
1
3
30
90
Antiviral
Drug Name ACYCLOVIR 200MG CAPS
Quantity
Tier 30 90
3
60 180
Arthritis or Pain
Drug Name BACLOFEN 10MG TAB CYCLOBENZAPRINE 5MG TAB CYCLOBENZAPRINE 10MG TAB DICLOFENAC SODIUM 75MG EC TAB IBUPROFEN 100MG/5ML ORAL SUSP IBUPROFEN 400MG TAB IBUPROFEN 600MG TAB IBUPROFEN 800MG TAB INDOMETHACIN 25MG CAP INDOMETHACIN 50MG CAP KETOPROFEN 50MG CAP KETOPROFEN 75MG CAP KETOROLAC 30MG/ML INJ, 2ML MELOXICAM 7.5MG TAB MELOXICAM 15MG TAB
Quantity
Tier 30 90
3
30
90
2
30
90
2
30
90
3
60 180
2 120 360
2
90 270
2
60 180
2
60 180
2
60 180
1
30
90
3
90 270
3
60 180
3
15
45
2
30
90
2
30
90
NAPROXEN 250MG TAB NAPROXEN 500MG TAB NAPROXEN 375MG TAB NAPROXEN DR 500MG TAB
2
60 180
2
60 180
2
60 180
3
60 180
Asthma
Drug Name ALBUTEROL 0.083% INH SOLN 25X3ML AMINOPHYLLINE 100MG TAB AMINOPHYLLINE 200MG TAB DYPHYLLINE-GG 100-100 ELIXIR DYPHYLLIN-GG TAB IPRATROPIUM INHAL SOLN 60 X 2.5ML
Quantity
Tier 30 90
2
75 225
2
60 180
2
60 180
2 240 720
3
30
90
2
75 225
Blood Pressure/Heart Health
Drug Name AMILORIDE 5MG / HCTZ 50MG TAB AMIODARONE 200MG TAB AMLODIPINE BESYLATE 2.5MG TAB AMLODIPINE BESYLATE 5MG TAB AMLODIPINE BESYLATE 10MG TAB ATENOLOL 100MG TAB ATENOLOL 25MG TAB ATENOLOL 50MG TAB ATENOLOL/CHLORTHALIDONE 50/25 TAB BENAZEPRIL 5MG TAB BENAZEPRIL 10MG TAB BENAZEPRIL 20MG TAB
Quantity
Tier 30 90
2
30
90
2
30
90
2
30
90
2
30
90
3
30
90
1
30
90
2
60 180
2
60 180
3
30
90
2
30
90
2
30
90
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. 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 Plus.
Drug names are the property of their respective owners.
?2018 Walgreen Co. All rights reserved. 000026550-626-642 - Revised: 3/20/2018
Blood Pressure/Heart Health Continued
BENAZEPRIL 40MG TAB
2
30
90
BISOPROLOL FUMARATE 5MG TAB
2
30
90
BISOPROLOL/HCTZ 2.5MG/6.25MG TAB
2
30
90
BISOPROLOL/HCTZ 5MG/6.25MG TAB
2
30
90
BISOPROLOL/HCTZ 10MG/6.25MG TAB
2
30
90
CARVEDILOL 3.125MG TAB
2
60 180
CARVEDILOL 6.25MG TAB
2
60 180
CARVEDILOL 12.5MG TAB
2
60 180
CARVEDILOL 25MG TAB
2
60 180
CLONIDINE 0.1MG TAB
2
60 180
CLONIDINE 0.2MG TAB
2
60 180
CLONIDINE 0.3MG TAB
2
60 180
DILTIAZEM 30MG TAB
2
60 180
DILTIAZEM 60MG TAB
3
60 180
DILTIAZEM 120MG TAB
2
30
90
DOXAZOSIN 1MG TAB
3
30
90
DOXAZOSIN 2MG TAB
3
30
90
DOXAZOSIN 4MG TAB
3
30
90
ENALAPRIL 2.5MG TAB
2
60 180
ENALAPRIL 5MG TAB
2
60 180
ENALAPRIL-HCTZ 5-12.5MG TAB
2
60 180
ENALAPRIL-HCTZ 10-25MG TAB
2
30
90
FOSINOPRIL 10MG TAB
2
30
90
FOSINOPRIL 20MG TAB
2
30
90
FOSINOPRIL 40MG TAB
3
30
90
FUROSEMIDE 10MG/ML ORAL SOLN 60ML
3
90 270
FUROSEMIDE 20MG TAB
1
60 180
FUROSEMIDE 40MG TAB
1
60 180
FUROSEMIDE 80MG TAB
1
30
90
GUANFACINE 1MG TAB
2
30
90
GUANFACINE 2MG TAB
2
30
90
HYDRALAZINE 10MG TAB
1
60
90
HYDRALAZINE 25MG TAB
2
60 180
HYDROCHLOROTHIAZIDE 12.5MG CAP
2
30
90
YDROCHLOROTHIAZIDE 12.5MG TAB
3
30
90
HYDROCHLOROTHIAZIDE 25MG TAB
1
30
90
HYDROCHLOROTHIAZIDE 50MG TAB
1
30
90
INDAPAMIDE 1.25MG TAB
2
30
90
INDAPAMIDE 2.5MG TAB
2
30
90
ISOSORBIDE DINITRATE 2.5MG SL TAB
2
30
90
ISOSORBIDE DINITRATE 5MG SUBL TAB
3 120 360
ISOSORBIDE MONONITRATE 30MG ER TAB
2
30
90
ISOSORBIDE MONONITRATE 60MG ER TAB
2
30
90
LISINOPRIL 2.5MG TAB
2
30
90
LISINOPRIL 5MG TAB
2
30
90
LISINOPRIL 10MG TAB
1
30
90
LISINOPRIL 20MG TAB
1
30
90
LISINOPRIL 30MG TAB
2
30
90
LISINOPRIL 40MG TAB
2
30
90
LISINOPRIL-HCTZ 10/12.5MG TAB
2
30
90
LISINOPRIL-HCTZ 20/12.5MG TAB
2
30
90
LISINOPRIL-HCTZ 20/25MG TAB
2
30
90
METHYLDOPA 250MG TAB
3
60 180
METHYLDOPA 500MG TAB
3
60 180
METOPROLOL TARTRATE 25MG TAB
2
60 180
METOPROLOL TARTRATE 50MG TAB
2
60 180
METOPROLOL TARTRATE 100MG TAB
2
60 180
PRAZOSIN 1MG CAP
3
30
90
PROPRANOLOL 60MG TAB QUINAPRIL 5MG TAB QUINAPRIL 10MG TAB QUINAPRIL 20MG TAB QUINAPRIL 40MG TAB RAMIPRIL 1.25MG CAP SOTALOL 120MG TAB SPIRONOLACTONE 25MG TAB SPIRONOLACTONE 50MG TAB TERAZOSIN 1MG CAP TERAZOSIN 2MG CAP TERAZOSIN 5MG CAP TERAZOSIN 10MG CAP TICLOPIDINE 250MG TAB TORSEMIDE 5MG TAB TORSEMIDE 10MG TAB TORSEMIDE 20MG TAB TRANDOLAPRIL 1MG TAB TRANDOLAPRIL 2MG TAB TRANDOLAPRIL 4MG TAB TRIAMTERENE 37.5MG/ HCTZ 25MG CAP TRIAMTERENE 37.5MG/ HCTZ 25MG TAB TRIAMTERENE 75MG/ HCTZ 50MG TAB VERAPAMIL 40MG TAB VERAPAMIL 80MG TAB VERAPAMIL 120MG TAB WARFARIN SOD 1MG TAB WARFARIN SOD 2.5MG TAB WARFARIN SOD 2MG TAB WARFARIN SOD 3MG TAB WARFARIN SOD 4MG TAB WARFARIN SOD 5MG TAB WARFARIN SOD 6MG TAB WARFARIN SOD 7.5MG TAB WARFARIN SOD 10MG** TAB
3
60 180
2
30
90
2
30
90
3
30
90
2
30
90
3
30
90
2
60 180
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
3
60 180
3
30
90
3
30
90
3
30
90
2
30
90
2
30
90
2
30
90
2
30
90
3
30
90
1
30
90
3
60 180
1
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
Cholestrol
Drug Name ATORVASTATIN 10MG TAB ATORVASTATIN 20MG TAB ATORVASTATIN 40MG TAB ATORVASTATIN 80MG TAB FENOFIBRATE 54MG TAB GEMFIBROZIL 600MG TAB LOVASTATIN 10MG TAB LOVASTATIN 20MG TAB LOVASTATIN 40MG TAB PRAVASTATIN 10MG TAB PRAVASTATIN 20MG TAB PRAVASTATIN 40MG TAB PRAVASTATIN 80MG TAB ROSUVASTATIN 5MG TAB ROSUVASTATIN 10MG TAB ROSUVASTATIN 20MG TAB ROSUVASTATIN 40MG TAB SIMVASTATIN 5MG TAB SIMVASTATIN 10MG TAB SIMVASTATIN 20MG TAB
Quantity
Tier 30 90
3
30
90
3
30
90
3
30
90
3
30
90
3
30
90
3
60 180
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
3
30
90
3
30
90
3
30
90
3
30
90
2
30
90
2
30
90
2
30
90
SIMVASTATIN 40MG TAB SIMVASTATIN 80MG TAB
2
30
90
2
30
90
Cough/Cold/Allergy
Drug Name ALLER-CHLOR 4MG TAB BENZONATATE 100MG CAP BENZONATATE 200MG CAP CETIRIZINE 1MG/ML SYRUP CYPROHEPTADINE 2MG/5ML SYRUP DE-CHLOR DM LIQUID DE-CHLOR DR SYRUP DEHISTINE SYRUP DIPHENHYDRAMINE 50MG CAP FLUTICASONE NASAL SP (120INH) 16GM LORATADINE 10MG TAB NOHIST TAB ORGAN-I NR 200MG TAB PBM ALLERGY SYRUP PHENYLTOLOXAMINE PE CPM SYRUP PROMETHAZINE 12.5MG TAB PROMETHAZINE 25MG TAB PROMETHAZINE 50MG TAB PROMETHAZINE DM SYRUP QUARTUSS DM DROPS 30ML QV-ALLERGY SYRUP REME TUSSIN DM SYRUP SILDEC PE-DM SYRUP SILDEC-PE SYRUP SUPRESS-DX PED DROPS 30ML TRIPOHIST LIQUID
Quantity
Tier 30 90
1 100 300
2
30
90
3
30
90
3 120 360
3 120 360
2 120 360
2 180 540
3 240 720
2
30
90
3
16
48
1
30
90
3
30
90
3 120 360
3 120 360
2 240 720
2
30
90
1
12
36
2
60 180
2 180 540
3
30
90
3 240 720
3 150 450
1 120 360
1 120 360
3
30
90
3 120 360
Diabetes
Drug Name GLIMEPIRIDE 1MG TAB GLIMEPIRIDE 2MG TAB GLIMEPIRIDE 4MG TAB GLIPIZIDE 5MG TAB GLIPIZIDE 10MG TAB GLIPIZIDE ER 10MG TAB GLIPIZIDE XL 2.5MG TAB GLIPIZIDE XL 5MG TAB GLYBURIDE 1.25MG TAB GLYBURIDE 2.5MG TAB GLYBURIDE 5MG TAB GLYBURIDE MICRO 1.5MG TAB GLYBURIDE MICRO 3MG TAB GLYBURIDE MICRO 6MG TAB GLYBURIDE/METFORMIN 1.25/250MG TAB GLYBURIDE/METFORMIN 2.5/500MG TAB METFORMIN 500MG TAB METFORMIN 850MG TAB METFORMIN 1000MG TAB METFORMIN ER 500MG 24HR TAB
Quantity
Tier 30 90
1
30
90
1
30
90
2
30
90
1
30
90
2
60 180
3
30
90
3
60 180
3
30
90
1
30
90
2
30
90
2
30
90
1
30
90
1
30
90
2
30
90
2
60 180
2
60 180
1
90 270
1
90 270
1
60 180
1
60 180
Ear Care
Drug Name ANTIPYRINE BENZOCAINE OTIC SOL 15ML
Quantity
Tier 30 90
2
15
45
Eye Care
Drug Name BACITRACIN/POLYMYX OPHTHOINT 3.5GM ERYTHROMYCIN OPHTH OINT 3.5GM GENTAMICIN 0.3% OPHTH SOLN 5ML LEVOBUNOLOL 0.5% OPTH SOLN 5ML PILOCARPINE 0.5% OPHTH SOLN POLYMYXIN-B/TRIMETHOPRIMOPHTH SOLN SULFACETAMIDE NA 10% OPH SOL 15ML TIMOLOL MALEATE .25% OPHTH SOL 5ML TIMOLOL MALEATE 0.5% OPHTH SOLN 5ML TOBRAMYCIN 0.3% OPH SOL 5ML
Quantity
Tier 30 90
3
3.5 10.5
2
3.5 10.5
2
5
15
2
5
15
3
15
45
2
10
30
2
15
45
2
5
15
2
5
15
2
5
15
Gastrointestinal Health
Drug Name CIMETIDINE ORAL LIQ 300MG/5ML DICYCLOMINE 10MG CAP DICYCLOMINE 20MG TAB DOC-Q-LACE 100MG CAP FAMOTIDINE 20MG TAB FAMOTIDINE 40MG TAB METOCLOPRAMIDE 5MG TAB METOCLOPRAMIDE 10MG TAB METOCLOPRAMIDE HCL 5MG/5ML SOLN NIZATIDINE 150MG CAP RANITIDINE 150MG TAB RANITIDINE 300MG TAB
Quantity
Tier 30 90
3 240 720
2
90 270
2
60 180
2
60 180
1
60 180
1
30
90
2
60 180
2
60 180
1
60 180
3
60 180
2
60 180
2
30
90
Gout
Drug Name ALLOPURINOL 100MG TAB ALLOPURINOL 300MG TAB
Quantity
Tier 30 90
2
60 180
3
60 180
Infections
Drug Name AMOX-CLAV 200MG/5ML SUSP 100ML AMOX-CLAV 400MG/5ML SUSP 100ML AMOXICILLIN 250MG CAP AMOXICILLIN 500MG CAP AMOXICILLIN 125MG CHEWABLE TAB AMOXICILLIN 250MG CHEW TAB AMOXICILLIN 125MG/5ML SUSP 80ML AMOXICILLIN 125MG/5ML SUSP 100ML AMOXICILLIN 125MG/5ML SUSP 150ML AMOXICILLIN 200MG/5ML SUSP 75ML AMOXICILLIN 200MG/5ML SUSP 100ML AMOXICILLIN 250MG/5ML SUSP 80ML AMOXICILLIN 250MG/5ML SUSP 100ML AMOXICILLIN 250MG/5ML SUSP 150ML
Quantity
Tier 30 90
3 100 300
3 100 300
1
30
90
1
30
90
2
30
90
3
40 120
2 150 450
2 150 450
2 150 450
1 100 300
1 100 300
1 150 450
1 150 450
1 150 450
AMOXICILLIN 400MG/5ML SUSP 50ML AMOXICILLIN 400MG/5ML SUSP 75ML AMOXICILLIN 400MG/5ML SUSP 100ML AMOXICILLIN 500MG TAB AMOXICILLIN 875MG TAB AMPICILLIN 250MG CAP AMPICILLIN 500MG CAP CEFPROZIL 125MG/5ML SUSP 50ML CEFPROZIL 125MG/5ML SUSP 75ML CEFPROZIL 125MG/5ML SUSP 100ML CEPHALEXIN 250MG CAP CEPHALEXIN 500MG CAP CIPROFLOXACIN 250MG TAB CIPROFLOXACIN 500MG TAB CIPROFLOXACIN 750MG TAB CLINDAMYCIN 150MG CAP LINDAMYCIN 300MG CAP METRONIDAZOLE 250MG TAB METRONIDAZOLE 500MG TAB PENICILLIN VK 125MG/5ML SOLN 100ML PENICILLIN VK 125MG/5ML SOLN 200ML PENICILLIN VK 250MG/5ML SOLN 100ML PENICILLIN VK 250MG/5ML SOLN 200ML PENICILLIN VK 250MG TAB PENICILLIN VK 500MG TAB SMZ/TMP REGULAR STRENGTH TAB SULFAMETH/TRIMETHOPRIM 800/160 TAB TRIMETHOPRIM 100MG TAB
1 100 300
1 100 300
1 100 300
3
30
90
3
20
60
2
40 120
3
60 180
3 100 300
3 100 300
3 100 300
1
28
84
2
30
90
1
14
42
1
20
60
3
20
60
3
30
90
3
28
84
2
28
84
3
14
42
2 200 600
2 200 600
2 100 300
2 100 300
1
30
90
1
20
60
2
28
84
2
28
84
3
30
90
Medical Devices
Drug Name PROCHAMBER AERO SPACER
Quantity
Tier 30 90
3
1
3
Mental Health
Drug Name AMITRIPTYLINE 10MG TAB AMITRIPTYLINE 25MG TAB AMITRIPTYLINE 50MG TAB BENZTROPINE 0.5MG TAB BENZTROPINE 1MG TAB BENZTROPINE 2MG TAB BUSPIRONE 5MG TAB BUSPIRONE 10MG TAB CITALOPRAM 10MG TAB CITALOPRAM 20MG TAB CITALOPRAM 40MG TAB CLOZAPINE 25MG TAB DOXEPIN 10MG CAP DOXEPIN 25MG CAP DOXEPIN HCL 10MG/ML CONC 118ML FLUOXETINE 10MG CAP FLUOXETINE 20MG CAP FLUOXETINE 40MG CAP FLUPHENAZINE 2.5MG TAB FLUVOXAMINE 25MG TAB GABAPENTIN 100MG CAP
Quantity
Tier 30 90
1
30
90
1
30
90
1
30
90
2
30
90
3
60 180
2
30
90
2
60 180
2
60 180
1
30
90
1
30
90
1
30
90
3
30
90
3
30
90
3
30
90
3
90 270
2
30
90
1
30
90
2
30
90
3
30
90
3
30
90
1
90 270
GABAPENTIN 250MG/5ML SOLN HALOPERIDOL 0.5MG TAB HALOPERIDOL 1MG TAB HALOPERIDOL 2MG TAB HYDROXYZINE 10MG/5ML SYRUP HYDROXYZINE HCL 25MG TAB HYDROXYZINE HCL 50MG TAB HYDROXYZINE PAMOATE 25MG CAP IMIPRAMINE 10MG TAB IMIPRAMINE 25MG TAB IMIPRAMINE 50MG TAB LITHIUM CARBONATE 150MG CAP LITHIUM CARBONATE 300MG CAP LITHIUM CARBONATE 300MG TAB LITHIUM CARBONATE 600MG CAP METHOCARBAMOL 500MG TAB METHOCARBAMOL 750MG TAB MIRTAZAPINE 15MG TAB NORTRIPTYLINE 10MG CAP NORTRIPTYLINE 25MG CAP NORTRIPTYLINE 75MG CAP PAROXETINE 10MG TAB PAROXETINE 20MG TAB PAROXETINE 30MG TAB PRAMIPEXOLE 0.25MG TAB PRIMIDONE 50MG TAB PROCHLORPERAZINE 5MG TAB PROCHLORPERAZINE 10MG TAB SERTRALINE 25MG TAB SERTRALINE 50MG TAB SERTRALINE 100MG TAB TRAZODONE 50MG TAB TRAZODONE 100MG TAB TRAZODONE 150MG TAB TRIHEXYPHENIDYL 2MG TAB TRIHEXYPHENIDYL 5MG TAB
3 236 708
3
60 180
2
30
90
3
30
90
3 240 720
2
30
90
3
30
90
3
90 270
3
60 180
3
60 180
3
30
90
3
60 180
2
90 270
3
60 180
3
60 180
2
30
90
3
60 180
1
30
90
2
30
90
1
30
90
1
30
90
2
30
90
2
30
90
2
30
90
3
30
90
3
60 180
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
1
30
90
1
30
90
2
30
90
2
60 180
3
90 270
Mouth/Throat/Dental
Drug Name CHLORHEXIDINE ORAL RINSE 473ML LIDOCAINE VISCOUS 2% ORAL SOL 100ML SF 5000 PLUS 1.1% CREAM 51GM SOD FLUORIDE 0.2% MINT SOLUTION STANNOUS FLUORIDE 0.63% RINSE
Quantity
Tier 30 90
2 473 1419
2 100 300
3
60 180
2 473 1419
3 300 900
Skin Conditions
Drug Name BENZOYL PEROXIDE 5% AQ GEL 60GM BETAMETHASONE VAL 0.1% CRM 15GM HYDROCORTISONE 1% CREAM 28.35GM HYDROCORTISONE 2.5% CREAM 30GM HYDROCORTISONE 2.5% OINT 28.35GM HYPERCARE 20% SOL DAB-O-MATIC 60ML MOMETASONE 0.1% OINT 15GM MOMETASONE 0.1% OINT 45GM MOMETASONE 0.1% TOPICAL SOLN 60ML
Quantity
Tier 30 90
3
60 180
3
15
45
2 28.35 85.05
2
30
90
3
60 180
3
60 180
3
15
45
3
45 135
3
60 180
Skin Conditions Continued NYSTATIN OINT 15GM SALICYLIC AC 6% SHAMPOO 177ML SELENIUM SULFIDE 2.5% SHAMPOO (LOTN) TRIAMCINOLONE 0.025% CREAM 15GM TRIAMCINOLONE 0.5% CREAM 15GM TRIAMCINOLONE 0.1% CREAM 80GM TRIAMCINOLONE 0.1% OINT 80GM UREA 40% LOTION 236.6ML UREA 50% NAIL GEL 18ML
3
15
45
3 177 531
2 118 354
1
15
45
2
15
45
2
80 240
3
80 240
3 236.6 709.8
3
18
54
Thyroid Conditions
Drug Name LEVOTHROID 0.1MG TAB LEVOTHYROXINE 0.025MG (25MCG) TAB LEVOTHYROXINE 0.05MG (50MCG) TAB 2 30 LEVOTHYROXINE 0.075MG (75MCG) TAB LEVOTHYROXINE 0.088MG (88MCG) TAB LEVOTHYROXINE 0.100MG (100MCG) TAB LEVOTHYROXINE 0.112MG (112MCG) TAB LEVOTHYROXINE 0.125MG (125MCG) TAB LEVOTHYROXINE 0.137MG (137MCG) TAB LEVOTHYROXINE 0.150MG (150MCG) TAB LEVOTHYROXINE 0.175MG (175MCG) TAB LEVOTHYROXINE 0.2MG (200MCG) TAB LEVOTHYROXINE 0.3MG (300MCG) TAB METHIMAZOLE 5MG TAB METHIMAZOLE 10MG TAB NATURE-THROID 0.5GR (32.5MG) TAB
Quantity
Tier 30 90
2
30
90
2
30
90
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
2
30
90
3
30
90
3
60 180
Urinary Health
Drug Name OXYBUTYNIN 5MG/5ML SYRUP
Quantity Tier 30 90
3 240 720
Vitamins and Nutritional Health
Drug Name
Tier
FABB TAB
3
FE C PLUS TAB
3
FEROTRIN CAP
3
FERREX 150 FORTE CAP
2
FLUORIDE 0.25MG F CHEWABLE TAB
2
FLUORIDE 0.5MG F CHEWABLE TAB
1
FLUORIDE 1.0MG F CHEWABLE TAB
2
FOLBECAL TAB
3
FOLBEE PLUS TAB
3
FOLBEE TAB
3
FOLIC ACID 1MG TAB
1
HEMATINIC/ FA TAB
2
HEMATINIC PLUS TAB 10 X 10
3
KLOR-CON 10MEQ TAB
3
MULTIVIT/F 0.25MG CHEWABLE TAB
2
MULTI-VITA-F 0.5MG CHEW TAB
1
MULTI-VIT/FLUORIDE 1MG CHEW TAB
2
MULTIVITAMINS W/ FL 1.0MG CHEW TAB
3
Quantity
30 90
30
90
30
90
60 180
45 135
120 360
30
90
30
90
30
90
30
90
30
90
30
90
30
90
30
90
30
90
30
90
30
90
30
90
30
90
MULTIVITS W/FL 1MG & IRON CHEW TAB NATALCARE PLUS TAB (1MG FOLIC ACID) POLY-IRON 150 CAP POLY-IRON 150 FORTE CAP POTASSIUM CL 10MEQ ER TAB PRENAFIRST TAB PRENATAB FA TAB PRENATAL 19 TAB PRENATAL PLUS TAB RE DUALVIT F CAP RE PRENATAL MULTIVIT W/IRON CHEW TB RENA-VITE RX TAB RENAL SOFTGEL CAP THEROBEC PLUS TAB VINATE AZ TAB VINATE CARE CHEWABLE TAB VINATE C TAB VINATE GT TAB VINATE M TAB VINATE ONE TAB VITAMIN B-12 100MCG TAB VITAMIN D 50,000IU CAP
Women's Health
Drug Name ALENDRONATE 10MG TAB ALENDRONATE 35MG TAB ALENDRONATE 70MG TAB CLOMIPHENE CITRATE 50MG TAB ESTRADIOL 0.5MG TAB ESTRADIOL 1MG TAB ESTRADIOL 2MG TAB ESTROPIPATE 0.625MG (0.75MG) TAB MEDROXYPROGESTERONE 2.5MG TAB MEDROXYPROGESTERONE 5MGTAB MEDROXYPROGESTERONE 10MGTAB MEGESTROL ACETATE 20MG TAB
Other
Drug Name DEXAMETHASONE 0.5MG TAB DEXAMETHASONE 0.75MG TAB DEXAMETHASONE 1MG TAB DEXAMETHASONE 1.5MG TAB DEXAMETHASONE 4MG TAB FINASTERIDE 5MG TAB HYDROCORTISONE 5MG TAB ISONIAZID 100MG TAB LIDOCAINE 4% TOP SOLN 50ML PREDNISOLONE 15MG/5ML SOLN PREDNISOLONE SOD PHOS 15MG/5ML SOL PREDNISONE 1MG TAB PREDNISONE 2.5MG TAB PREDNISONE 5MG TAB PREDNISONE 10MG** TAB PREDNISONE 20MG TAB
1
30
90
1
30
90
3
60 180
3
45 135
3
30
90
3
30
90
3
30
90
2
30
90
3
30
90
3
30
90
3
30
90
2
30
90
3
30
90
3
30
90
3
30
90
3
30
90
3
30
90
2
30
90
2
30
90
2
30
90
1 100 300
1
4
12
Quantity
Tier 30 90
3
30
90
3
4
12
3
4
12
3
5
15
1
30
90
1
30
90
1
30
90
3
30
90
2
30
90
1
30
90
1
10
30
2
30
90
Quantity
Tier 30 90
2
60 180
2
12
36
3
30
90
3
45 135
2
30
90
2
30
90
3
50 150
2 100 300
2
50 150
3
60 180
2
30
90
3
90 270
2
60 180
2
30
90
1
30
90
2
30
90
VALUE BRAND-NAME
Insulins
LEVEMIR FLEXTOUCH PEN
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 70/30 100 UNIT/ML VIAL
1 VIAL
NOVOLOG MIX 70/30 VIAL
1 VIAL
NOVOLOG MIX 70/30 FLEXPEN
1 BOX
NOVOLOG FLEXPEN
1 BOX
NOVOLOG PENFILL 3 ML
1 BOX
NOVOLOG 100 UNIT/ML VIAL
1 VIAL
$367.19 $244.79 $104.68 $104.68 $104.68 $240.26 $426.00 $426.00 $418.83 $241.68
Diabetic Supplies WALGREENS TRUE METRIX METER WALGREENS TRUE METRIX STRIPS 25'S WALGREENS TRUE METRIX STRIPS 50'S WALGREENS TRUE METRIX STRIPS 100'S CONTOUR NEXT METER CONTOUR NEXT EZ METER CONTOUR NEXT ONE CONTOUR NEXT STRIPS 25'S CONTOUR NEXT STRIPS 50'S CONTOUR NEXT STRIPS 100'S CONTOUR TEST STRIPS 50'S CONTOUR TEST STRIPS 100'S BREEZE 2 TEST DISCS 100'S
1 METER 1 BOX 1 BOX 1 BOX 1 METER 1 METER 1 METER 1 BOX 1 BOX 1 BOX 1 BOX 1 BOX 1 BOX
FREE $19.99 $29.99 $52.99 FREE FREE FREE $23.99 $39.99 $78.99 $47.99 $93.99 $93.99
LIFESTYLE MEDICATIONS
Birth Control Price at $12 for 1-month supply
MONONESSA TAB
28
$15.00 for 1-month supply
MONONESSA TAB
28
$18.99 for 1-month supply
MICROGESTIN 1.5/30 FE TAB
28
MICROGESTIN 1/20 FE TAB
28
$24.99 for 1-month supply
LEVORA 0.15/30 TAB
28
RECLIPSEN 0.15MG-30MCG TAB
28
$26.99 for 1-month supply
LOW-OGESTREL TAB
28
NECON 1/35 TAB
28
$29.99 for 1-month supply
JOLIVETTE 0.35MG TAB
28
LUTERA TAB
28
Discounted Lifestyle Medications CIALIS 2.5MG TAB (QTY 6) CIALIS 5MG TAB (QTY 6) CIALIS 10MG TAB (QTY 6) CIALIS 20MG TAB (QTY 6)
$74.99 $74.99 $439.99 $439.99
DISCOUNTED MEDICATIONS
Drug Name
Avg 30 Qty Avg 30 Price Avg 90 Qty
ABACAVIR 300MG TABLETS
59
$549.74
174
ABACAVIR/LAMVUDINE 600-300MG TABLET
30
$878.99
90
ACAMPROSATE CAL DR 333MG TABLETS
144
$239.64
434
ACANYA 1.2-2.5% GEL 50GM
50
$514.99
150
ACARBOSE 100MG TABLETS
84
$76.23
246
ACARBOSE 25MG TABLETS
86
$62.47
240
ACARBOSE 50MG TABLETS
84
$63.63
244
ACCU-CHEK AVIVA PLUS TEST STRIP 50S
50
$82.99
150
ACEBUTOLOL 200MG CAPSULES
48
$29.31
140
ACEBUTOLOL 400MG CAPSULES
47
$35.48
126
ACETAMINOPHEN/COD #2 (300/15MG) TAB
35
$19.16
166
ACETAMINOPHEN/COD #3 (300/30MG) TAB
30
$14.00
188
ACETAMINOPHEN/COD #4 (300/60MG) TAB
65
$71.16
236
ACETAMINOPHEN/COD 120-12MG/5ML SOL
184
$20.85
666
ACETAZOLAMIDE 125MG TABLETS
31
$52.67
154
ACETAZOLAMIDE 250MG TABLETS
59
$108.22
177
ACETAZOLAMIDE 500MG ER CAPSULES
50
$187.00
168
ACETIC ACID 2% AL ACTATE60ML (EAR)
60
$59.99
180
ACETIC ACID 2% OTIC SOLN 15ML (EAR)
15
$29.99
45
ACETYLCYSTEINE 10% INH SOLN 25 X4ML
4
$7.47
12
ACETYLCYSTEINE 20% INH SOL 25X4ML
4
$8.53
12
ACITRETIN 10MG CAPSULES
35
$699.32
99
ACITRETIN 17.5MG CAPSULES
33
$758.59
105
ACITRETIN 25MG CAPSULES
33
$934.59
87
ACTEMRA 200MG/10ML INJ, 10ML
10
$975.99
30
ACTEMRA 400MG/20ML INJ, 20ML
20
$1,940.99
60
ACTEMRA 80MG/4ML INJ, 4ML
4
$395.99
12
ACYCLOVIR 200MG/5ML ORAL SUSP
201
$151.03
979
ACYCLOVIR 400MG TABLETS
43
$26.93
148
ACYCLOVIR 5% OINTMENT 15GM
15
$342.49
45
ACYCLOVIR 800MG TABLETS
36
$42.39
123
ADAPAL/BENZ 0.1-2.5% GEL (PMP) 45G
45
$204.01
135
ADAPALENE 0.1% CREAM 45GM
45
$205.99
135
ADAPALENE 0.1% GEL 45GM
45
$172.99
135
ADAPALENE 0.3% GEL (PUMP) 45GM
45
$279.99
135
ADAPALENE 0.3% GEL 45GM
45
$296.99
135
ADDYI 100MG TABLETS
30
$864.99
90
ADEFOVIR DIPIVOXIL 10MG TABLETS
29
$966.79
88
ADRIAMYCIN 10MG INJ, 1VIAL
1
$18.60
3
ADVAIR DISKUS 100/50MCG (GREEN)60'S
60
$302.99
180
ADVAIR DISKUS 250/50MCG (YELLOW) 60
60
$367.99
180
ADVAIR DISKUS 500/50MCG (RED) 60'S
60
$479.99
180
AEROCHAMBER PLUS W/MASK (REGULAR)
1
$57.59
3
AK-CIDE OPHTH OINTMENT
3.5
$13.99
10.5
ALBUTEROL 0.021%(0.63MG/3ML) 25X3ML
75
$33.99
225
ALBUTEROL 0.042%(1.25MG/3ML) 25X3ML
75
$15.66
225
ALBUTEROL 0.5%(5MG/ML) CONC 20ML
20
$32.66
60
ALBUTEROL SULF ER 4MG TABLETS
56
$103.86
201
ALBUTEROL SULFATE 2MG TABLETS
51
$217.45
208
ALBUTEROL SULFATE 4MG TABLETS
56
$279.32
192
ALBUTEROL SULFATE SYRUP (2MG/5ML)
132
$17.20
1131
ALCLOMETASONE 0.05% CREAM 45GM
45
$53.99
135
ALCLOMETASONE 0.05% OINTMENT 15GM
15
$65.99
45
ALENDRONATE 40MG TABLETS
13
$117.96
37
ALENDRONATE 5MG TABLETS
28
$17.06
80
ALERA EMULSION
48.2
$89.99
144.6
Avg 90 price $1,613.47 $2,628.97 $714.20 $1,536.97 $215.54 $167.18 $177.22 $240.97 $77.81 $88.39 $75.91 $66.64 $247.84 $65.01 $245.76 $316.67 $618.86 $171.98 $81.97 $14.40 $17.60 $1,970.76 $2,404.96 $2,457.37 $2,919.97 $5,814.97 $1,179.97 $720.14 $82.91 $1,019.48 $135.15 $604.03 $609.97 $510.97 $831.97 $882.97 $2,586.97 $2,925.57 $47.80 $900.98 $1,095.97 $1,431.98 $164.77 $33.97 $93.98 $38.97 $89.99 $362.42 $874.52 $947.97 $117.10 $153.97 $189.97 $328.35 $41.30 $261.97
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