$4 Prescription Program May 5, 2008
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- Silas Chandler
- 6 years ago
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1 Allergies & Cold and Flu Benzonatate 100mg Ceron DM syrup 120ml 360ml Ceron drops* 30ml 90ml Dec-Chlorphen drops* 30ml 90ml Dec-Chlorphen DM syrup* 118ml 354ml Loratadine 10mg Promethazine DM syrup 120ml 360ml Trivent DPC syrup* 120ml 360ml Antibiotic Treatments Amoxicillin 125mg/5ml suspension 80ml 240ml Amoxicillin 125mg/5ml suspension 100ml 300ml Amoxicillin 125mg/5ml suspension 150ml 450ml Amoxicillin 200mg/5ml suspension 50ml 150ml Amoxicillin 200mg/5ml suspension* 75ml 225ml Amoxicillin 200mg/5ml suspension* 100ml 300ml Amoxicillin 250mg/5ml suspension 80ml 240ml Amoxicillin 250mg/5ml suspension 100ml 300ml Amoxicillin 250mg/5ml suspension 150ml 450ml Amoxicillin 400mg/5ml suspension 50ml 150ml Amoxicillin 400mg/5ml suspension* 75ml 225ml Amoxicillin 400mg/5ml suspension* 100ml 300ml Amoxicillin 250mg Amoxicillin 500mg Amoxil 50mg/ml drops* 30ml 90ml Cephalexin 250mg Cephalexin 500mg Ciprofloxacin 250mg Ciprofloxacin 500mg Doxycycline 50mg Doxycycline 100mg Erythrocin 250mg* 40 N/A Erythromycin EC 250mg * Metronidazole 250mg Metronidazole 500mg Penicillin VK 125mg/5ml suspension 200ml 600ml Penicillin VK 250mg/5ml suspension 100ml 300ml Penicillin VK 250mg SMZ-TMP 400mg-80mg SMZ-TMP DS 800mg-160mg SMZ-TMP 200mg-40mg/5ml susp. 120ml 360ml Tetracycline 250mg Tetracycline 500mg Arthritis & Pain Allopurinol 100mg Allopurinol 300mg Baclofen 10mg Colchicine 0.6mg Cyclobenzaprine 5mg Cyclobenzaprine 10mg Dexamethasone 0.5mg Dexamethasone 0.75mg Dexamethasone 4mg 6 18 Diclofenac DR 75mg Ibuprofen 100mg/5ml suspension* 120ml 360ml Ibuprofen 400mg Ibuprofen 600mg Ibuprofen 800mg Indomethacin 25mg* Meloxicam 7.5mg Meloxicam 15mg Naproxen 375mg* Naproxen 500mg* Piroxicam 20mg Salsalate 500mg Asthma Albuterol 2mg Albuterol 4mg Albuterol 2mg/5ml syrup 120ml 360ml Albuterol 0.5% nebulizer solution 20ml 60ml Albuterol 0.083% neb. Solution* Ipratropium 0.02% neb. sol n* 75ml (25 vials) 75ml (25 vials) 225ml (75 vials) 225ml (75vials) Page 1
2 Cholesterol Lovastatin 10mg Lovastatin 20mg* Pravastatin 10mg Pravastatin 20mg Pravastatin 40mg* Diabetes Chlorpropamide 100mg* Glimepiride 1mg Glimepiride 2mg Glimepiride 4mg Glipizide 5mg Glipizide 10mg* Glyburide 2.5mg Glyburide 5mg (blue) Glyburide 5mg (green) Glyburide, micronized 3mg Glyburide, micronized 6mg Metformin 500mg Metformin 850mg Metformin 1000mg* Metformin ER 500mg* Ear Health Antipyrine/Benzocaine otic 10ml 30ml Fungal Infections Fluconazole 150mg 1 3 Nystatin/Triamcin cream 15gm 45gm Nystatin/Triamcin cream 30gm 90gm Nystatin/Triamcin ointment 15gm 45gm Nystatin cream 15gm 45gm Nystatin cream 30gm 90gm Nystatin ointment 15gm 45gm Nystatin ointment 30gm 90gm Terbinafine 250mg* Gastrointestinal Health Belladonna Alkaloid/PB Cimetidine 800mg* Cytra2 solution 180ml 540ml Dicyclomine 10mg Dicyclomine 20mg Famotidine 20mg Hyoscyamine drops* 15ml 45ml Lactulose syrup 237ml 711ml Metoclopramide 10mg Metoclopramide syrup 60ml 180ml Promethazine 25mg* Promethazine plain syrup* 180ml 540ml Ranitidine 150mg Ranitidine 300mg Glaucoma & Eye Care Atropine Sulfate 1% op. solution 5ml 15ml Bacitracin op. ointment 4gm 12gm Erythromycin op. ointment 4gm 12gm Gentamicin 0.3% op. solution 5ml 15ml Levobunolol 0.5% op solution 5ml 15ml Neomycin/Polymyxin/Dexamethasone 4gm 12gm 0.1% op. ointment Neomycin/Polymyxin/Dexamethasone 5ml 15ml 0.1% op. suspension Pilocarpine 1% op. solution 15ml 45ml Pilocarpine 2% op. solution 15ml 45ml Polymyxin Sulfate/TMP op. solution* 10ml 30ml Sulfacet Sodium 10% op. solution 15ml 45ml Timolol Maleate 0.25% op. solution 5ml 15ml Timolol Maleate 0.5% op solution 5ml 15ml Tobramycin 0.3% op. solution 5ml 15ml Heart Health & Blood Pressure Amiloride-HCTZ 5mg-50mg Atenolol-Chlorthalidone 50mg-25mg Atenolol-Chlorthalidone 100mg-25mg Page 2
3 Heart Health & Blood Pressure (continued) Atenolol 25mg Atenolol 50mg Atenolol 100mg Benazepril 5mg Benazepril 10mg Benazepril 20mg Benazepril 40mg Bisoprolol-HCTZ 2.5mg-6.25mg Bisoprolol-HCTZ 5mg-6.25mg Bisoprolol-HCTZ 10mg-6.25mg Bumetanide 0.5mg Bumetanide 1mg Captopril 12.5mg Captopril 25mg Captopril 50mg Captopril 100mg Carvedilol 3.125mg Carvedilol 6.25mg Carvedilol 12.5mg Carvedilol 25mg* Chlorthalidone 25mg Chlorthalidone 50mg Clonidine 0.1mg Clonidine 0.2mg Digoxin 0.125mg Digoxin 0.25mg Diltiazem 30mg Diltiazem 60mg Diltiazem 90mg* Diltiazem 120mg Doxazosin 1mg Doxazosin 2mg Doxazosin 4mg Doxazosin 8mg Enalapril-HCTZ 5mg-12.5mg Enalapril 2.5mg Enalapril 5mg Enalapril 10mg Enalapril 20mg Furosemide 20mg Furosemide 40mg Furosemide 80mg Guanfacine 1mg Hydralazine 10mg Hydralazine 25mg Hydrochlorothiazide (HCTZ) 12.5mg* Hydrochlorothiazide (HCTZ) 25mg Hydrochlorothiazide (HCTZ) 50mg Indapamide 1.25mg Indapamide 2.5mg Isosorbide Mononitrate ER 30mg Isosorbide Mononitrate ER 60mg Lisinopril-HCTZ 10mg-12.5mg Lisinopril-HCTZ 20mg-12.5mg* Lisinopril-HCTZ 20mg-25mg* Lisinopril 2.5mg Lisinopril 5mg Lisinopril 10mg Lisinopril 20mg Methyldopa 250mg* Methyldopa 500mg* Metoprolol Tartrate 25mg Metoprolol Tartrate 50mg Metoprolol Tartrate 100mg* Nadolol 20mg Nadolol 40mg Nitroquick 0.3mg sublingual* Nitroquick 0.4mg sublingual* Pindolol 5mg Pindolol 10mg Prazosin HCL 1mg Prazosin HCL 2mg Prazosin HCL 5mg Propranolol 10mg Propranolol 20mg Propranolol 40mg Propranolol 80mg Sotalol HCL 80mg* Spironolactone 25mg* Terazosin 1mg Terazosin 2mg Terazosin 5mg Terazosin 10mg Page 3
4 Triamterene-HCTZ 37.5mg-25mg Triamterene-HCTZ 75mg-50mg Verapamil 80mg Verapamil 120mg Warfarin 1mg Warfarin 2mg Warfarin 2.5mg Warfarin 3mg Warfarin 4mg Warfarin 5mg* Warfarin 6mg Warfarin 7.5mg Warfarin 10mg Mental health Amitriptyline 10mg Amitriptyline 25mg Amitriptyline 50mg Amitriptyline 75mg Amitriptyline 100mg Benztropine 2mg Buspirone 5mg Buspirone 10mg* Carbamazepine 200mg* Citalopram 20mg Citalopram 40mg Doxepin HCL 10mg Doxepin HCL 25mg Doxepin HCL 50mg Doxepin HCL 75mg Doxepin HCL 100mg Fluoxetine 10mg tablet* Fluoxetine 10mg Fluoxetine 20mg Fluoxetine 40mg Fluphenazine 1mg Haloperidol 0.5mg Haloperidol 1mg Haloperidol 2mg Haloperidol 5mg Lithium Carbonate 300mg* Nortriptyline 10mg Nortriptyline 25mg Paroxetine 10mg* Paroxetine 20mg* Prochlorperazine 10mg Thioridazine 25mg Thioridazine 50mg Thiothixene 2mg Trazodone 50mg Trazodone 100mg Trazodone 150mg Trihexyphenidyl 2mg Skin Conditions Benzoyl Peroxide 4% creamy wash* 171ml N/A Betamethasone Dipropionate 0.05% 15gm 45gm cream Betamethasone Dipropionate 0.05% 45gm 135gm cream Betamethasone Valerate 0.1% cream 15gm 45gm Betamethasone Val. 0.1% cream 45gm 135gm Betamethasone Val. 0.1% ointment 15gm 45gm Betamethasone Val. 0.1% ointment 45gm 135gm Fluocinolone Acet. 0.01% solution 60ml 180ml Fluocinonide 0.05% cream 15gm 45gm Fluocinonide 0.05% cream 30gm 90gm Gentamicin 0.1% cream 15gm 45gm Gentamicin 0.1% ointment 15gm 45gm Hydrocortisone 1% cream 30gm 90gm Hydrocortisone 2.5% cream 30gm 90gm Selenium Sulfide 2.5% lotion* 120ml 360ml Silver Sulfadiazine 1% cream* 50gm 150gm Triamcinolone 0.025% cream 15gm 45gm Triamcinolone 0.025% cream 80gm 240gm Triamcinolone 0.1% cream 15gm 45gm Triamcinolone 0.1% cream 80gm 240gm Triamcinolone 0.1% ointment 15gm 45gm Triamcinolone 0.1% ointment 80gm 240gm Triamcinolone 0.5% cream 15gm 45gm Page 4
5 Thyroid Conditions Levothyroxine 25mcg Levothyroxine 50mcg Levothyroxine 75mcg Levothyroxine 88mcg Levothyroxine 100mcg Levothyroxine 112mcg Levothyroxine 125mcg Levothyroxine 137mcg Levothyroxine 150mcg Levothyroxine 175mcg* Levothyroxine 200mcg* Viruses Acyclovir 200mg Vitamins & Nutritional Health Ethedent 0.25mg chewable* 120 N/A Folic Acid 1mg Klorcon 8 8mEq ER Klorcon 10 10mEq ER Klorcon M10 10mEq Mag 64 64mg* Magnesium Oxide 400mg Natalcare Pic* Natalcare Plus* Potassium Chloride 10% liquid 473ml 1419ml Prenatal Rx* 30 N/A Women s Health Estradiol 0.5mg Estradiol 1mg Estradiol 2mg Estropipate 0.75mg Estropipate 1.5mg* Medroxyprogesterone Acetate 2.5mg Medroxyprogesterone Acetate 5mg Medroxyprogesterone Acetate 10mg Women s Health $9 $24 New Alendronate SOD 35mg 4 12 New Alendronate SOD 70mg 4 12 Clomiphene 50mg 5 15 New EST Estrogen/Methyl Testost DS New EST Estrogen/Methyl Testost HS Sprintec 28-day 28 N/A Tri-Sprintec 28-day 28 N/A New Tamoxifen 10mg New Tamoxifen 20mg Other Medical Conditions Chlorhexidine Gluconate 0.12% solution Hydrocortisone AC 25mg suppositories 473ml 1419ml Isoniazid 300mg Lidocaine 2% viscous solution 100ml 300ml Megestrol 20mg* Methylpred 4mg dose pak Methylpred 4mg tablet Oxybutynin 5mg tablet Phenazopyridine 100mg 6 18 Phenazopyridine 200mg Prednisone 2.5mg tablet Prednisone 5mg tablet Prednisone 5mg dose pak Prednisone 5mg dose pak* Prednisone 10mg tablet Prednisone 10mg dose pak Prednisone 10mg dose pak* 48 N/A Prednisone 20mg tablet Page 5
$4 Prescription Program October 23, 2007
Allergies & Cold and Flu Benzonatate 100mg 14 Ceron DM syrup Ceron drops Dec-Chlorphen drops Dec-Chlorphen DM syrup 118ml* Loratadine 10mg Promethazine DM syrup Trivent DPC syrup * Antibiotic Treatments
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Allergies & Cold and Flu $4, 30-day $10, 90-day Benzonatate 100mg cap 14 42 Loratadine 10mg tab 30 90 Promethazine DM syrup 120ml 360ml Antibiotic Treatments Amoxicillin 125mg/5ml susp (80ml bottle) 1
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Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
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Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
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