I hope this works, Donna
) This is the complete list from March 17th
$4 Prescription Program
March 17, 2008
A
ACYCLOVIR 200MG QTY 30
ALBUTEROL .083% NEB SOLUTION QTY 75* (25 VIALS)
ALBUTEROL 0.5% NEB SOLUTION QTY 20ML
ALBUTEROL 2MG QTY 90
ALBUTEROL 4MG QTY 60
ALBUTEROL SYRUP QTY 120ML
ALLOPURINOL 100MG QTY 30
ALLOPURINOL 300MG QTY 30
AMILORIDE/HCTZ 5/50 QTY 30
AMITRIPTYLINE 100MG QTY 30
AMITRIPTYLINE 10MG QTY 30
AMITRIPTYLINE 25MG QTY 30
AMITRIPTYLINE 50MG QTY 30
AMITRIPTYLINE 75MG QTY 30
AMOXICILLIN 125/5ML QTY 80ML
AMOXICILLIN 125/5ML QTY 100ML
AMOXICILLIN 125/5ML QTY 150ML
AMOXICILLIN 200/5ML QTY 50 ML
AMOXICILLIN 200/5ML QTY 75ML*
AMOXICILLIN 200/5ML QTY 100ML*
AMOXICILLIN 250/5ML QTY 80ML
AMOXICILLIN 250/5ML QTY 100ML
AMOXICILLIN 250/5ML QTY 150ML
AMOXICILLIN 250MG QTY 30
AMOXICILLIN 400/5ML QTY 50ML
AMOXICILLIN 400/5ML QTY 75ML*
AMOXICILLIN 400/5ML QTY 100ML*
AMOXICILLIN 500MG QTY 30
AMOXIL 50MG/ML DROPS QTY 30ML*
ANTIPYRINE/BENZOCAINE OTIC QTY 10ML
ATENOLOL 100MG QTY 30
ATENOLOL 25MG QTY 30
ATENOLOL 50MG QTY 30
ATENOLOL/CHLORTHALIDONE 100/25 QTY 30
ATENOLOL/CHLORTHALIDONE 50/25 QTY 30
ATROPINE SULF 1% OP SOL QTY 5ML
B
BACITRACIN OP OINT QTY 4GM
BACLOFEN 10MG QTY 30
BELLADONNA ALKALOID/PB QTY 60
BENAZEPRIL 10MG QTY 30
BENAZEPRIL 20MG QTY 30
BENAZEPRIL 40MG QTY 30
BENAZEPRIL 5MG QTY 30
BENZONATATE 100MG QTY 14
BENZOYL PEROX 4% CRMY WASH QTY 171ML*
BENZTROPINE 2MG QTY 30
BETAMETHASONE DIP 0.05% CR QTY 15GM
BETAMETHASONE DIP 0.05% CR QTY 45GM
BETAMETHASONE VAL 0.1% CR QTY 15GM
BETAMETHASONE VAL 0.1% CR QTY 45GM
BETAMETHASONE VAL 0.1% OINT QTY 15GM
BETAMETHASONE VAL 0.1% OINT QTY 45GM
BISOPROLOL/HCTZ 10/6.25 QTY 30
BISOPROLOL/HCTZ 2.5/6.25 QTY 30
BISOPROLOL/HCTZ 5/6.25 QTY 30
BUMETANIDE 0.5MG QTY 30
BUMETANIDE 1MG QTY 30
BUSPIRONE 10MG QTY 60*
BUSPIRONE 5MG QTY 60
C
CAPTOPRIL 100MG QTY 60
CAPTOPRIL 12.5MG QTY 60
CAPTOPRIL 25MG QTY 60
CAPTOPRIL 50MG QTY 60
CARBAMAZEPINE 200MG QTY 60*
CARVEDILOL 12.5MG QTY 60
CARVEDILOL 25MG QTY 60*
CARVEDILOL 3.125MG QTY 60
CARVEDILOL 6.25MG QTY 60
CEPHALEXIN 250MG QTY 28
CEPHALEXIN 500MG QTY 30
CERON DM SYRUP QTY 120ML
CERON DROPS QTY 30ML*
CHLORHEXIDINE GLU 0.12% SOL QTY 473ML
CHLORPROPAMIDE 100MG QTY 30*
CHLORTHALIDONE 25MG QTY 30
CHLORTHALIDONE 50MG QTY 30
CIMETIDINE 800MG QTY 30*
CIPROFLOXACIN 250MG QTY 14
CIPROFLOXACIN 500MG QTY 20
CITALOPRAM 20MG QTY 30
CITALOPRAM 40MG QTY 30
CLOMIPHENE 50MG QTY 5**
CLONIDINE 0.1MG QTY 30
CLONIDINE 0.2MG QTY 30
COLCHICINE 0.6MG QTY30
CYCLOBENZAPRINE 10MG QTY 30
CYCLOBENZAPRINE 5MG QTY 30
CYTRA2 SOLUTION QTY 180ML
D
DEC-CHLORPHEN DM SYRUP QTY 118ML*
DEC-CHLORPHEN DROPS QTY 30ML*
DEXAMETHASONE 0.5MG QTY 30
DEXAMETHASONE 0.75MG QTY 12
DEXAMETHASONE 4MG QTY 6
DICLOFENAC 75MG DR QTY 60
DICYCLOMINE 10MG QTY 90
DICYCLOMINE 20MG QTY 60
DIGITEK 0.125MG QTY 30
DIGITEK 0.25MG QTY 30
DILTIAZEM 120MG QTY 30
DILTIAZEM 30MG QTY 60
DILTIAZEM 60MG QTY 60
DILTIAZEM 90MG QTY 60*
DOXAZOSIN 1MG QTY 30
DOXAZOSIN 2MG QTY 30
DOXAZOSIN 4MG QTY 30
DOXAZOSIN 8MG QTY 30
DOXEPIN HCL 100MG QTY 30
DOXEPIN HCL 10MG QTY 30
DOXEPIN HCL 25MG QTY 30
DOXEPIN HCL 50MG QTY 30
DOXEPIN HCL 75MG QTY 30
DOXYCYCLINE 100MG QTY 20
DOXYCYCLINE 50MG QTY 30
E
ENALAPRIL 10MG QTY 30
ENALAPRIL 2.5MG QTY 30
ENALAPRIL 20MG QTY 30
ENALAPRIL 5MG QTY 30
ENALAPRIL/HCTZ 5/12.5 QTY 30
ERYTHROCIN 250MG QTY 40*
ERYTHROMYCIN 2% SOL QTY 60ML
ERYTHROMYCIN 250MG EC QTY 28*
ERYTHROMYCIN OP OINT QTY 4GM
ESTRADIOL 0.5MG QTY 30
ESTRADIOL 1MG QTY 30
ESTRADIOL 2MG QTY 30
ESTROPIPATE 0.75MG QTY 30
ESTROPIPATE 1.5MG QTY 30*
ETHEDENT 0.25MG CHEW QTY 120*
F
FAMOTIDINE 20MG QTY 60
FLUCONAZOLE 150MG QTY 1
FLUOCINOLONE ACET 0.01% SOL QTY 60ML
FLUOCINONIDE 0.05% CR QTY 15GM
FLUOCINONIDE 0.05% CR QTY 30GM
FLUOXETINE 10MG QTY 30
FLUOXETINE 10MG TABLET QTY 30*
FLUOXETINE 20MG QTY 30
FLUOXETINE 40MG QTY 30
FLUPHENAZINE 1MG QTY 30
FOLIC ACID 1MG QTY 30
FUROSEMIDE 20MG QTY 30
FUROSEMIDE 40MG QTY 30
FUROSEMIDE 80MG QTY 30
G
GENTAMICIN 0.1% CR QTY 15GM
GENTAMICIN 0.1% OINT QTY 15GM
GENTAMICIN 0.3% OP SOL QTY 5ML
GLIMEPIRIDE 1MG QTY 30
GLIMEPIRIDE 2MG QTY 30
GLIMEPIRIDE 4MG QTY 30
GLIPIZIDE 10MG QTY60*
GLIPIZIDE 5MG QTY 30
GLYBURIDE 2.5MG QTY 30
GLYBURIDE 5MG QTY 30
GLYBURIDE MICRO 3MG QTY 30
GLYBURIDE MICRO 6MG QTY 30
GUANFACINE 1MG QTY 30
H
HALOPERIDOL 0.5MG QTY 30
HALOPERIDOL 1MG QTY 30
HALOPERIDOL 2MG QTY 30
HALOPERIDOL 5MG QTY 30
HCTZ 12.5MG QTY 30*
HCTZ 25MG QTY 30
HCTZ 50MG QTY 30
HYDRALAZINE 10MG QTY 30
HYDRALAZINE 25MG QTY 30
HYDROCORTISONE 1% CR QTY 30GM
HYDROCORTISONE 2.5% CR QTY 30GM
HYDROCORTISONE AC 25MG SUPP QTY 12
HYDROXYZINE HCL10MG/5ML QTY 120ML
HYOSCYAMINE 0.125MG QTY 60
HYOSCYAMINE 0.125MG S/L QTY 30
HYOSCYAMINE 0.375 ER QTY 30
HYOSCYAMINE DROPS QTY 15ML*
I
IBUPROFEN 100/5ML QTY 120ML*
IBUPROFEN 400MG QTY 90
IBUPROFEN 600MG QTY 60
IBUPROFEN 800MG QTY 30
Page 2
$4 Prescription Program
March 17, 2008
INDAPAMIDE 1.25MG QTY 30
INDAPAMIDE 2.5MG QTY 30
INDOMETHACIN 25MG QTY 60*
IPRATROPIUM NEB SOLUTION QTY 75* (25 VIALS)
ISONIAZID 300MG QTY 30
ISOSORBIDE MONO 30MG ER QTY 30
ISOSORBIDE MONO 60MG ER QTY 30
K
KLORCON 10 10MEQ ER QTY 30
KLORCON 8 8MEQ ER QTY 30
KLORCON M10 QTY 30
L
LACTULOSE SYRUP QTY 237ML
LEVOBUNOLOL 0.5% OP SOL QTY 5ML
LEVOTHYROXINE 100MCG QTY 30
LEVOTHYROXINE 112MCG QTY 30
LEVOTHYROXINE 125MCG QTY 30
LEVOTHYROXINE 137MCG QTY 30
LEVOTHYROXINE 150MCG QTY 30
LEVOTHYROXINE 175MCG QTY 30*
LEVOTHYROXINE 200MCG QTY 30*
LEVOTHYROXINE 25MCG QTY 30
LEVOTHYROXINE 50MCG QTY 30
LEVOTHYROXINE 75MCG QTY 30
LEVOTHYROXINE 88MCG QTY 30
LIDOCAINE 2% VISCOUS SOL QTY 100ML
LISINOPRIL 10MG QTY 30
LISINOPRIL 2.5MG QTY 30
LISINOPRIL 20MG QTY 30
LISINOPRIL 5MG QTY 30
LISINOPRIL/HCTZ 10/12.5 QTY 30
LISINOPRIL/HCTZ 20/12.5 QTY 30*
LISINOPRIL/HCTZ 20/25MG QTY 30*
LITHIUM CARBONATE 300MG QTY 90*
LORATADINE 10MG QTY 30
LOVASTATIN 10MG QTY 30
LOVASTATIN 20MG QTY 30*
M
MAG OXIDE 400MG QTY 30
MAG64 64MG QTY 60*
MEDROXYPROGESTERONE AC 10MG QTY 10
MEDROXYPROGESTERONE AC 2.5MG QTY 30
MEDROXYPROGESTERONE AC 5MG QTY 30
MEGESTROL 20MG QTY 30*
MELOXICAM 15MG QTY 30
MELOXICAM 7.5 MG QTY 30
METFORMIN 1000MG QTY 60*
METFORMIN 500MG QTY 60
METFORMIN 500MG ER QTY 60*
METFORMIN 850MG QTY 60
METHYLDOPA 250MG QTY 60*
METHYLDOPA 500MG QTY 30*
METHYLPRED 4MG QTY 21
METHYLPRED 4MG DOSE PAK QTY 21
METOCLOPRAMIDE 10MG QTY 60
METOCLOPRAMIDE SYRUP QTY 60ML
METOPROLOL TARTRATE 100MG QTY 60*
METOPROLOL TARTRATE 25MG QTY 60
METOPROLOL TARTRATE 50MG QTY 60
METRONIDAZOLE 250MG QTY 28
METRONIDAZOLE 500MG QTY 14
MULTI VIT FL 0.5MG CHEWABLE QTY 30
MULTI VIT FL 1MG CHEWABLE QTY 30
MULTI VITA FL .5 W/FE CHEWABLE QTY 30
MULTI VITA FL 0.25MG CHEWABLE QTY 30
N
NADOLOL 20MG QTY 30
NADOLOL 40MG QTY 30
NAPROXEN 375MG QTY 60*
NAPROXEN 500MG QTY 60*
NATALCARE PIC QTY 30*
NATALCARE PLUS QTY 30*
NEOM/POLYMYX/DEXAMETH 0.1% OP OINT QTY 4GM
NEOM/POLYMYX/DEXAMETH 0.1% OP SUSP QTY 5ML
NITROGLYCERIN 0.3MG S/L QTY 100*
NITROGLYCERIN 0.4MG S/L QTY100*
NORTRIPTYLINE 10MG QTY 30
NORTRIPTYLINE 25MG QTY 30
NYSTATIN CR QTY 15GM
NYSTATIN CR QTY 30GM
NYSTATIN OINT QTY 15GM
NYSTATIN OINT QTY 30GM
NYSTATIN/TRIAMCIN CR QTY 15GM
NYSTATIN/TRIAMCIN CR QTY 30GM
NYSTATIN/TRIAMCIN OINT QTY 15GM
O
OXYBUTYNIN 5MG QTY 60
P
PAROXETINE 10MG QTY 30*
PAROXETINE 20MG QTY 30*
PENICILLIN VK 125/5ML QTY 200ML
PENICILLIN VK 250/5ML QTY 100ML
PENICILLIN VK 250MG QTY 28
PHENAZOPYRIDINE 100MG QTY 6
Page 3
$4 Prescription Program
March 17, 2008
PHENAZOPYRIDINE 200MG QTY 30
PILOCARPINE 1% OP SOL QTY 15ML
PILOCARPINE 2% OP SOL QTY 15ML
PINDOLOL 10MG QTY 30
PINDOLOL 5MG QTY 30
PIROXICAM 20MG QTY 30
POLYMYXIN SULF/TMP SOL QTY 10ML*
POTASSIUM CHLORIDE 10% QTY 473ML
PRAVASTATIN 10MG QTY 30
PRAVASTATIN 20MG QTY 30
PRAVASTATIN 40MG QTY 30*
PRAZOSIN HCL 1MG QTY 30
PRAZOSIN HCL 2MG QTY 30
PRAZOSIN HCL 5MG QTY 30
PREDNISONE 10MG QTY 30
PREDNISONE 10MG DOSE PAK QTY 21
PREDNISONE 10MG DOSE PAK QTY 48*
PREDNISONE 2.5MG QTY 30
PREDNISONE 20MG QTY 30
PREDNISONE 5MG QTY 30
PREDNISONE 5MG DOSE PAK QTY 21
PREDNISONE 5MG DOSE PAK QTY 48*
PRENATAL RX QTY 30*
PROCHLORPERAZINE 10MG QTY 30
PROMETHAZINE 25MG QTY 12
PROMETHAZINE DM SYRUP QTY 120ML
PROMETHAZINE PLAIN SYRUP QTY 180ML*
PROPRANOLOL 10MG QTY 60
PROPRANOLOL 20MG QTY 60
PROPRANOLOL 40MG QTY 60
PROPRANOLOL 80MG QTY 60
R
RANITIDINE 150MG QTY 60
RANITIDINE 300MG QTY 30
S
SALSALATE 500MG QTY 60
SELENIUM SULFIDE 2.5% LOT QTY 120ML*
SMZ/TMP 200/40 SUSP QTY 120ML
SMZ/TMP 400/80MG QTY 28
SMZ/TMP DS 800/160 QTY 20
SOTALOL HCL 80MG QTY 30*
SPIRONOLACTONE 25MG QTY 30*
SPRINTEC 28-DAY QTY 28**
SULFACET SODIUM 10% OP SOL QTY 15ML
T
TERAZOSIN 10MG QTY 30
TERAZOSIN 1MG QTY 30
TERAZOSIN 2MG QTY 30
TERAZOSIN 5MG QTY 30
TERBINAFINE 250MG QTY 30*
TETRACYCLINE 250MG QTY 60
TETRACYCLINE 500MG QTY 60
THIORIDAZINE 25MG QTY 30
THIORIDAZINE 50MG QTY 30
THIOTHIXENE 2MG QTY 30
TIMOLOL MAL 0.25% OP SOL QTY 5ML
TIMOLOL MAL 0.5% OP SOL QTY 5ML
TOBRAMYCIN 0.3% OP SOL QTY 5ML
TRAZODONE 100MG QTY 30
TRAZODONE 150MG QTY 30
TRAZODONE 50MG QTY 30
TRIAMCINOLONE 0.025% CR QTY 15GM
TRIAMCINOLONE 0.025% CR QTY 80GM
TRIAMCINOLONE 0.1% CR QTY 15GM
TRIAMCINOLONE 0.1% CR QTY 80GM
TRIAMCINOLONE 0.1% OINT QTY 15GM
TRIAMCINOLONE 0.1% OINT QTY 80GM
TRIAMCINOLONE 0.5% CR QTY 15GM
TRIAMTERENE/HCTZ 37.5/25 QTY 30
TRIAMTERENE/HCTZ 75/50MG QTY 30
TRIHEXYPHENIDYL 2MG QTY 60
TRI-SPRINTEC 28-DAY QTY 28**
TRIVENT DPC SYRUP QTY120ML*
V
VERAPAMIL 120MG QTY 30
VERAPAMIL 80MG QTY 30
W
WARFARIN 10MG QTY 30
WARFARIN 1MG QTY 30
WARFARIN 2.5MG QTY 30
WARFARIN 2MG QTY 30
WARFARIN 3MG QTY 30
WARFARIN 4MG QTY 30
WARFARIN 5MG QTY 30*
WARFARIN 6MG QTY 30
WARFARIN 7.5MG QTY 30
*Prescriptions marked with an asterisk (*) are priced higher than $4 in
CO, CA, HI, MN, MT, PA, TN, WI, and WY due to state laws. Customers
in these states should see their Wal-Mart or Sam’s Club pharmacist for
price details.
**Prescriptions marked with 2 asterisks (**) are not covered under this
program in CO, CA, HI, MN, MT, ND, PA, TN, WI, and WY
due to state laws.
$4 prescriptions are for up to a 30-day supply of a covered drug at a
commonly prescribed dosage for $4 per prescription fill or refill. Your
participation in certain prescription drug coverage plans may entitle
you to pay even less than $4 for certain prescriptions. If you are
eligible, you
will be charged the lowest applicable amount. Program not available in
North Dakota. You can get these prescription drug savings whether or
not you have any prescription drug coverage through your company, under
Medicare, or any other plan. The list of covered drugs is subject to
change. Not all prescription drugs are covered by this program. Only
prescriptions initially filled in person at a participating pharmacy are
eligible
for the $4 rate; refills must also be picked up in store, but may be
ordered in person, online, or by phone. This program is not available for
prescriptions filled by mail order. See your Wal-Mart pharmacist for
more information.
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Walmart - $4.00 prescriptions list? 