Allergy & Asthma ALBUTEROL PROVENTIL 2MG/5ML SYRUP 120 $4 360 $10. Allergy & Asthma ALBUTEROL NEBULIZER PROVENTIL 0.5% SOLUTION 20 $4 60 $10

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1 Generic Drug Program - $4/$10 Drug Program - Health Savings Programs Select Generic Medications at Commonly Prescribed Dosages Simply bring in your prescription and your Giant Eagle Advantage Card to a Giant Eagle Pharmacy. Note: Prescription required to convert from a 30-day to a 90-day supply. This list is not intended to be a recommendation for a particular prescription drug nor a substitute for a discussion with your physician about the proper prescription drug for you. If you have any questions, you should contact your physician. Eligible drug list is subject to change. State*: Filter: Medication Type: Generic Name: Brand Name: To sort by a particular column, click the column heading. Type of Medication Generic Name Brand Name Strength Form 30 Day 30 Day 90 Day 90 Day Qty Price Qty Price Allergy & Asthma ALBUTEROL PROVENTIL 2MG/5ML SYRUP 120 $4 360 $10 Allergy & Asthma ALBUTEROL NEBULIZER PROVENTIL 0.5% 20 $4 60 $10 Allergy & Asthma Allergy & Asthma ALBUTEROL SULFATE NEBULIZER IPRATROPIUM BROMIDE NEB PROVENTIL 0.083% 75 $4 225 $10 ATROVENT 0.02% 75 $4 225 $10 Allergy & Asthma LORATADINE CLARITIN 10MG TABLET 30 $4 90 $10 Antibiotics AMOXICILLIN AMOXIL 250MG CAPSULE 42 $4 90 $10 Antibiotics AMOXICILLIN AMOXIL 200MG/5ML SUSPENSION 50 $4 150 $10 Antibiotics AMOXICILLIN AMOXIL 875MG TABLET 28 $4 84 $10 Antibiotics AMOXICILLIN AMOXIL 125MG/5ML SUSPENSION 80 $4 240 $10 Antibiotics AMOXICILLIN AMOXIL 400MG/5ML SUSPENSION 100 $4 300 $10 Antibiotics AMOXICILLIN AMOXIL 400MG/5ML SUSPENSION 50 $4 150 $10 Antibiotics AMOXICILLIN AMOXIL 250MG/5ML SUSPENSION 80 $4 240 $10 Antibiotics AMOXICILLIN AMOXIL 250MG/5ML SUSPENSION 100 $4 300 $10 Antibiotics AMOXICILLIN AMOXIL 250MG/5ML SUSPENSION 150 $4 450 $10 Antibiotics AMOXICILLIN AMOXIL 500MG CAPSULE 42 $4 90 $10 Antibiotics AMOXICILLIN AMOXIL 200MG/5ML SUSPENSION 75 $4 225 $10 Antibiotics AMOXICILLIN AMOXIL 125MG/5ML SUSPENSION 150 $4 450 $10 Antibiotics AMOXICILLIN AMOXIL 125MG/5ML SUSPENSION 100 $4 300 $10 Antibiotics AMOXICILLIN CHEWABLE AMOXIL 250MG TABLET 42 $4 90 $10 Antibiotics AMOXICILLIN CHEWABLE AMOXIL 125MG TABLET 42 $4 126 $10 Antibiotics AMOXICILLIN PEDIATRIC AMOXIL 50MG/ML DROP 30 $4 90 $10 Antibiotics AMPICILLIN PRINCIPEN 250MG CAPSULE 56 $4 120 $10 Antibiotics AMPICILLIN PRINCIPEN 500MG CAPSULE 56 $4 120 $10

2 Antibiotics CEPHALEXIN KEFLEX 250MG CAPSULE 42 $4 120 $10 Antibiotics CEPHALEXIN KEFLEX 500MG CAPSULE 42 $4 120 $10 Antibiotics CEPHALEXIN KEFLEX 125MG/5ML SUSPENSION 100 $4 300 $10 Antibiotics CEPHALEXIN KEFLEX 250MG/5ML SUSPENSION 100 $4 300 $10 Antibiotics CHLORHEXIDINE GLUCONATE PERIDEX 0.12% 480 $ $10 Antibiotics CIPROFLOXACIN CIPRO 500MG TABLET 28 $4 60 $10 Antibiotics CIPROFLOXACN CIPRO 250MG TABLET 28 $4 60 $10 Antibiotics CIPROFLOXACN CIPRO 750MG TABLET 28 $4 60 $10 Antibiotics ERYTHROMYCIN ILOTYCIN OINTMENT 4 $4 12 $10 Antibiotics GENTAMICIN GARAMYCIN 0.1% OINTMENT 15 $4 45 $10 Antibiotics GENTAMICIN GARAMYCIN 0.1% CREAM 15 $4 45 $10 Antibiotics ISONIAZID NYDRAZID 300MG TABLET 30 $4 90 $10 Antibiotics PENICILLIN VK V-CILLIN K 250MG/5ML SUSPENSION 100 $4 300 $10 Antibiotics PENICILLIN VK V-CILLIN K 125MG/5ML SUSPENSION 200 $4 600 $10 Antibiotics PENICILLIN VK V-CILLIN K 250MG/5ML SUSPENSION 200 $4 600 $10 Antibiotics PENICILLIN VK V-CILLIN K 125MG/5ML SUSPENSION 100 $4 300 $10 Antibiotics PENICILLIN VK V-CILLIN K 500MG TABLET 56 $4 120 $10 Antibiotics PENICILLIN VK VEETIDS 250MG TABLET 56 $4 120 $10 Antibiotics SILVER SULFADIAZINE SILVADENE 1% CREAM 50 $4 150 $10 Antibiotics SMZ / TMP BACTRIM MG TABLET 28 $4 84 $10 Antibiotics SMZ / TMP DS BACTRIM DS MG TABLET 28 $4 60 $10 Antibiotics SMZ / TMP PEDIATRIC BACTRIM PED MG/5ML SUSPENSION 200 $4 360 $10 Antifungal FLUCONAZOLE DIFLUCAN 150MG TABLET 1 $4 3 $10 Antifungal NYSTATIN MYCOSTATIN U SUSPENSION 60 $4 180 $10 Antifungal NYSTATIN NILSTAT U CREAM 15 $4 45 $10 Antifungal NYSTATIN NILSTAT U CREAM 30 $4 90 $10 Antiviral ACYCLOVIR ZOVIRAX 200MG CAPSULE 30 $4 90 $10 Arthritis & Pain ALLOPURINOL ZYLOPRIM 100MG TABLET 30 $4 90 $10 Arthritis & Pain ALLOPURINOL ZYLOPRIM 300MG TABLET 30 $4 90 $10 Arthritis & Pain BACLOFEN LIORESAL 10MG TABLET 30 $4 90 $10 Arthritis & Pain CYCLOBENZAPRINE FLEXERIL 5MG TABLET 30 $4 90 $10 Arthritis & Pain CYCLOBENZAPRINE FLEXERIL 10MG TABLET 30 $4 90 $10 Arthritis & Pain DEXAMETHASONE DECADRON 0.75MG TABLET 12 $4 36 $10 Arthritis & Pain DEXAMETHASONE DECADRON 4MG TABLET 6 $4 18 $10 Arthritis & Pain DEXAMETHASONE DECADRON 0.5MG TABLET 30 $4 90 $10 Arthritis & Pain DICLOFENAC VOLTAREN 75MG TABLET 60 $4 180 $10 Arthritis & Pain IBUPROFEN MOTRIN 600MG TABLET 60 $4 180 $10 Arthritis & Pain IBUPROFEN MOTRIN 800MG TABLET 30 $4 90 $10 Arthritis & Pain IBUPROFEN MOTRIN 100MG/5ML SUSPENSION 120 $4 360 $10 Arthritis & Pain IBUPROFEN MOTRIN 400MG TABLET 90 $4 270 $10 Arthritis & Pain INDOMETHACIN INDOCIN 25MG CAPSULE 60 $4 180 $10 Arthritis & Pain MELOXICAM MOBIC 15MG TABLET 30 $4 90 $10 Arthritis & Pain MELOXICAM MOBIC 7.5MG TABLET 30 $4 90 $10 Arthritis & Pain NAPROXEN NAPROSYN 500MG TABLET 60 $4 180 $10

3 Arthritis & Pain NAPROXEN NAPROSYN 375MG TABLET 60 $4 180 $10 Cholesterol LOVASTATIN MEVACOR 10MG TABLET 30 $4 90 $10 Cholesterol LOVASTATIN MEVACOR 20MG TABLET 30 $4 90 $10 Cholesterol PRAVASTATIN PRAVACHOL 40MG TABLET 30 $4 90 $10 Cholesterol PRAVASTATIN PRAVACHOL 20MG TABLET 30 $4 90 $10 Cholesterol PRAVASTATIN PRAVACHOL 10MG TABLET 30 $4 90 $10 Cough & Cold BENZONATATE TESSALON 100MG CAPSULE 14 $4 42 $10 Cough & Cold DEC-CHLORPHEN DM CARDEC-DM SYRUP 120 $4 360 $10 Cough & Cold PROMETHAZINE PHENERGAN 6.25MG/5ML SYRUP 180 $4 540 $10 Cough & Cold PROMETHAZINE DM PHENERGAN DM SYRUP 120 $4 360 $10 Cough & Cold TRI-VENT DPC ATUS DR MG/5ML SYRUP 120 $4 360 $10 Diabetes CHLORPROPAMIDE DIABINESE 100MG TABLET 30 $4 90 $10 Diabetes GLIMEPIRIDE AMARYL 1MG TABLET 30 $4 90 $10 Diabetes GLIMEPIRIDE AMARYL 2MG TABLET 30 $4 90 $10 Diabetes GLIMEPIRIDE AMARYL 4MG TABLET 30 $4 90 $10 Diabetes GLIPIZIDE GLUCOTROL 10MG TABLET 60 $4 180 $10 Diabetes GLIPIZIDE GLUCOTROL 5MG TABLET 30 $4 90 $10 Diabetes GLIPIZIDE ER GLUCOTROL XL 5MG TABLET 30 $4 90 $10 Diabetes GLYBURIDE DIABETA 1.25MG TABLET 30 $4 90 $10 Diabetes GLYBURIDE DIABETA 5MG TABLET 30 $4 90 $10 Diabetes GLYBURIDE MICRONASE 2.5MG TABLET 30 $4 90 $10 Diabetes GLYBURIDE MCR GLYNASE PRESTAB 6MG TABLET 30 $4 90 $10 Diabetes GLYBURIDE MCR GLYNASE PRESTAB 3MG TABLET 30 $4 90 $10 Diabetes METFORMIN GLUCOPHAGE 500MG TABLET 60 $4 180 $10 Diabetes METFORMIN GLUCOPHAGE 850MG TABLET 60 $4 180 $10 Diabetes METFORMIN GLUCOPHAGE 1000MG TABLET 60 $4 180 $10 Diabetes METFORMIN ER GLUCOPHAGE XR 500MG TABLET 60 $4 180 $10 Eye & Ear ANTIPYRINE / BENZOCAINEAURALGAN Eye & Ear ATROPINE SULFATE ISOPTO ATROPINE 1% Eye & Ear GENTAK GARAMYCIN 0.3% Eye & Ear LEVOBUNOLOL BETAGAN 0.5% OTIC 10 $4 30 $10 Eye & Ear NEOMYCIN / POLYMYXIN / DEXAMETHASONE MAXITROL 0.1% OINTMENT 4 $4 12 $10 Eye & Ear NEOMYCIN / POLYMYXIN / DEXAMETHASONE MAXITROL 0.1% SUSPENSION Eye & Ear POLYMIXIN B SULFATE / TMP POLYTRIM 10 $4 30 $10 Eye & Ear SULFACETAMIDE SODIUM SODIUM SULAMYD 10% Eye & Ear TIMOLOL MALEATE TIMOPTIC 0.5% Eye & Ear TIMOLOL MALEATE TIMOPTIC 0.25% DROP DROP 15 $4 45 $10

4 Eye & Ear TOBRAMYCIN TOBREX 0.3% Family Planning CLOMIPHENE CITRATE CLOMID 50MG TABLET 5 $9 15 $24 Gastrointestinal Health BELLADONNA ALK / PB DONNATAL 16.2MG TABLET 60 $4 180 $10 Gastrointestinal Health CIMETIDINE TAGAMET 800MG TABLET 30 $4 90 $10 Gastrointestinal Health DICYCLOMINE BENTYL 10MG CAPSULE 90 $4 270 $10 Gastrointestinal Health DICYCLOMINE BENTYL 20MG TABLET 60 $4 180 $10 Gastrointestinal Health FAMOTIDINE PEPCID 20MG TABLET 60 $4 180 $10 Gastrointestinal Health LACTULOSE CHRONULAC 10GM/15ML SYRUP 240 $4 720 $10 Gastrointestinal Health METOCLOPRAMIDE REGLAN 10MG TABLET 60 $4 180 $10 Gastrointestinal Health METOCLOPRAMIDE REGLAN 5MG/5ML SYRUP 180 $4 540 $10 Gastrointestinal Health OXYBUTYNIN DITROPAN 5MG TABLET 60 $4 180 $10 Gastrointestinal Health PHENAZOPYRIDINE PYRIDIUM 100MG TABLET 6 $4 18 $10 Gastrointestinal Health PHENAZOPYRIDINE PYRIDIUM 200MG TABLET 30 $4 90 $10 Gastrointestinal Health PROMETHAZINE PHENERGAN 25MG TABLET 12 $4 36 $10 Gastrointestinal Health RANITIDINE ZANTAC 300MG TABLET 30 $4 90 $10 Gastrointestinal Health RANITIDINE ZANTAC 150MG TABLET 60 $4 180 $10 Gastrointestinal Health SODIUM CITRATE / CITRIC ACID BICITRA 180 $4 540 $10 AMILORIDE / HCTZ MODURETIC 5-50MG TABLET 30 $4 90 $10 ATENOLOL TENORMIN 100MG TABLET 30 $4 90 $10 ATENOLOL TENORMIN 50MG TABLET 30 $4 90 $10 ATENOLOL TENORMIN 25MG TABLET 30 $4 90 $10 ATENOLOL / CHLORTHALIDONE ATENOLOL / CHLORTHALIDONE TENORETIC MG TABLET 30 $4 90 $10 TENORETIC 50-25MG TABLET 30 $4 90 $10 BENAZEPRIL LOTENSIN 10MG TABLET 30 $4 90 $10 BENAZEPRIL LOTENSIN 20MG TABLET 30 $4 90 $10 BENAZEPRIL LOTENSIN 40MG TABLET 30 $4 90 $10 BENAZEPRIL LOTENSIN 5MG TABLET 30 $4 90 $10 BISOPROLOL / HCTZ ZIAC MG TABLET 30 $4 90 $10 BISOPROLOL / HCTZ ZIAC MG TABLET 30 $4 90 $10 BISOPROLOL / HCTZ ZIAC MG TABLET 30 $4 90 $10 BUMETANIDE BUMEX 1MG TABLET 30 $4 90 $10 BUMETANIDE BUMEX 0.5MG TABLET 30 $4 90 $10 CAPTOPRIL CAPOTEN 12.5MG TABLET 60 $4 180 $10 CAPTOPRIL CAPOTEN 100MG TABLET 60 $4 180 $10 CAPTOPRIL CAPOTEN 25MG TABLET 60 $4 180 $10 CAPTOPRIL CAPOTEN 50MG TABLET 60 $4 180 $10 CAPTOPRIL / HCTZ CAPOZIDE 25/25mg TABLET 30 $4 90 $10 CAPTOPRIL / HCTZ CAPOZIDE 50/15mg TABLET 30 $4 90 $10 CAPTOPRIL / HCTZ CAPOZIDE 50/25 TABLET 30 $4 90 $10 CAPTOPRIL / HCTZ CAPOZIDE 25/15mg TABLET 30 $4 90 $10 CARVEDILOL COREG 6.25MG TABLET 60 $4 180 $10 CARVEDILOL COREG 3.125MG TABLET 60 $4 180 $10

5 CARVEDILOL COREG 12.5MG TABLET 60 $4 180 $10 CARVEDILOL COREG 25MG TABLET 60 $4 180 $10 CLONIDINE CATAPRES 0.1MG TABLET 30 $4 90 $10 CLONIDINE CATAPRES 0.2MG TABLET 30 $4 90 $10 DIGOXIN LANOXIN 0.125MG TABLET 30 $4 90 $10 DIGOXIN LANOXIN 0.25MG TABLET 30 $4 90 $10 DILTIAZEM CARDIZEM 120MG TABLET 30 $4 90 $10 DILTIAZEM CARDIZEM 60MG TABLET 60 $4 180 $10 DILTIAZEM CARDIZEM 90MG TABLET 60 $4 180 $10 DILTIAZEM CARDIZEM 30MG TABLET 60 $4 180 $10 DOXAZOSIN CARDURA 1MG TABLET 30 $4 90 $10 DOXAZOSIN CARDURA 2MG TABLET 30 $4 90 $10 DOXAZOSIN CARDURA 4MG TABLET 30 $4 90 $10 DOXAZOSIN CARDURA 8MG TABLET 30 $4 90 $10 ENALAPRIL VASOTEC 10MG TABLET 30 $4 90 $10 ENALAPRIL VASOTEC 2.5MG TABLET 30 $4 90 $10 ENALAPRIL VASOTEC 20MG TABLET 30 $4 90 $10 ENALAPRIL VASOTEC 5MG TABLET 30 $4 90 $10 ENALAPRIL / HCTZ VASERETIC MG TABLET 30 $4 90 $10 FUROSEMIDE LASIX 20MG TABLET 30 $4 90 $10 FUROSEMIDE LASIX 40MG TABLET 30 $4 90 $10 FUROSEMIDE LASIX 80MG TABLET 30 $4 90 $10 GUANFACINE TENEX 1MG TABLET 30 $4 90 $10 HYDRALAZINE APRESOLINE 25MG TABLET 30 $4 90 $10 HYDRALAZINE APRESOLINE 10MG TABLET 30 $4 90 $10 HYDROCHLOROTHIAZIDE HYDRODIURIL 50MG TABLET 30 $4 90 $10 HYDROCHLOROTHIAZIDE HYDRODIURIL 25MG TABLET 30 $4 90 $10 HYDROCHLOROTHIAZIDE MICROZIDE 12.5MG CAPSULE 30 $4 90 $10 INDAPAMIDE LOZOL 2.5MG TABLET 30 $4 90 $10 INDAPAMIDE LOZOL 1.25MG TABLET 30 $4 90 $10 ISOSORBIDE MONO ER IMDUR 30MG TABLET 30 $4 90 $10 ISOSORBIDE MONO ER IMDUR 60MG TABLET 30 $4 90 $10 LISINOPRIL PRINIVIL / ZESTRIL 40MG TABLET 30 $4 90 $10 LISINOPRIL PRINIVIL / ZESTRIL 20MG TABLET 30 $4 90 $10 LISINOPRIL PRINIVIL / ZESTRIL 2.5MG TABLET 30 $4 90 $10 LISINOPRIL PRINIVIL / ZESTRIL 5MG TABLET 30 $4 90 $10 LISINOPRIL PRINIVIL / ZESTRIL 10MG TABLET 30 $4 90 $10 LISINOPRIL ZESTRIL 30MG TABLET 30 $4 90 $10 LISINOPRIL / HCTZ PRINZIDE / ZESTORETIC MG TABLET 30 $4 90 $10 LISINOPRIL / HCTZ PRINZIDE / ZESTORETIC MG TABLET 30 $4 90 $10 LISINOPRIL / HCTZ PRINZIDE / ZESTORETIC 20-25MG TABLET 30 $4 90 $10 METHYLDOPA ALDOMET 500MG TABLET 30 $9 90 $24 METHYLDOPA ALDOMET 250MG TABLET 60 $9 180 $24

6 METOPROLOL TARTRATE LOPRESSOR 50MG TABLET 60 $4 180 $10 METOPROLOL TARTRATE LOPRESSOR 100MG TABLET 60 $4 180 $10 METOPROLOL TARTRATE LOPRESSOR 25MG TABLET 60 $4 180 $10 PRAZOSIN HCL MINIPRESS 2MG CAPSULE 30 $4 90 $10 PRAZOSIN HCL MINIPRESS 5MG CAPSULE 30 $4 90 $10 PRAZOSIN HCL MINIPRESS 1MG CAPSULE 30 $4 90 $10 PROPRANOLOL INDERAL 20MG TABLET 60 $4 180 $10 PROPRANOLOL INDERAL 40MG TABLET 60 $4 180 $10 PROPRANOLOL INDERAL 80MG TABLET 60 $4 180 $10 PROPRANOLOL INDERAL 10MG TABLET 60 $4 180 $10 SOTALOL HCL BETAPACE 80MG TABLET 30 $4 90 $10 SPIRONOLACTONE ALDACTONE 25MG TABLET 30 $4 90 $10 TERAZOSIN HYTRIN 5MG CAPSULE 30 $4 90 $10 TERAZOSIN HYTRIN 1MG CAPSULE 30 $4 90 $10 TERAZOSIN HYTRIN 2MG CAPSULE 30 $4 90 $10 TERAZOSIN HYTRIN 10MG CAPSULE 30 $4 90 $10 TRIAMTERENE / HCTZ MAXZIDE MG TABLET 30 $4 90 $10 TRIAMTERENE / HCTZ MAXZIDE 75-50MG TABLET 30 $4 90 $10 VERAPAMIL CALAN 120MG TABLET 30 $4 90 $10 VERAPAMIL CALAN 80MG TABLET 30 $4 90 $10 WARFARIN / JANTOVEN COUMADIN 7.5MG TABLET 30 $4 90 $10 WARFARIN / JANTOVEN COUMADIN 2MG TABLET 30 $4 90 $10 WARFARIN / JANTOVEN COUMADIN 6MG TABLET 30 $4 90 $10 WARFARIN / JANTOVEN COUMADIN 2.5MG TABLET 30 $4 90 $10 WARFARIN / JANTOVEN COUMADIN 10MG TABLET 30 $4 90 $10 WARFARIN / JANTOVEN COUMADIN 3MG TABLET 30 $4 90 $10 WARFARIN / JANTOVEN COUMADIN 5MG TABLET 30 $4 90 $10 WARFARIN / JANTOVEN COUMADIN 1MG TABLET 30 $4 90 $10 WARFARIN / JANTOVEN COUMADIN 4MG TABLET 30 $4 90 $10 Mental Health AMITRIPTYLINE ELAVIL 25MG TABLET 30 $4 90 $10 Mental Health AMITRIPTYLINE ELAVIL 100MG TABLET 30 $4 90 $10 Mental Health AMITRIPTYLINE ELAVIL 50MG TABLET 30 $4 90 $10 Mental Health AMITRIPTYLINE ELAVIL 75MG TABLET 30 $4 90 $10 Mental Health AMITRIPTYLINE ELAVIL 10MG TABLET 30 $4 90 $10 Mental Health BENZTROPINE COGENTIN 2MG TABLET 30 $4 90 $10 Mental Health BUSPIRONE BUSPAR 10MG TABLET 60 $4 180 $10 Mental Health BUSPIRONE BUSPAR 5MG TABLET 60 $4 180 $10 Mental Health CARBAMAZAPINE TEGRETOL 200MG TABLET 60 $4 180 $10 Mental Health CITALOPRAM CELEXA 20MG TABLET 30 $4 90 $10 Mental Health CITALOPRAM CELEXA 40MG TABLET 30 $4 90 $10 Mental Health CITALOPRAM HBR CELEXA 10MG TABLET 30 $4 90 $10 Mental Health DESIPRAMINE NORPRAMIN 10MG TABLET 30 $4 90 $10 Mental Health FLUOXETINE PROZAC 40MG CAPSULE 30 $4 90 $10 Mental Health FLUOXETINE PROZAC 10MG TABLET 30 $4 90 $10 Mental Health FLUOXETINE PROZAC 20MG CAPSULE 30 $4 90 $10 Mental Health FLUOXETINE PROZAC 10MG CAPSULE 30 $4 90 $10

7 Mental Health FLUPHENAZINE PROLIXIN 1MG TABLET 30 $4 90 $10 Mental Health HALOPERIDOL HALDOL 0.5MG TABLET 30 $4 90 $10 Mental Health HALOPERIDOL HALDOL 1MG TABLET 30 $4 90 $10 Mental Health HALOPERIDOL HALDOL 2MG TABLET 30 $4 90 $10 Mental Health HALOPERIDOL HALDOL 5MG TABLET 30 $4 90 $10 Mental Health LITHIUM CARBONATE CAP ESKALITH 300MG CAPSULE 90 $4 270 $10 Mental Health NORTRIPTYLIN PAMELOR 25MG CAPSULE 30 $4 90 $10 Mental Health NORTRIPTYLIN PAMELOR 10MG CAPSULE 30 $4 90 $10 Mental Health PAROXETINE PAXIL 10MG TABLET 30 $4 90 $10 Mental Health PAROXETINE PAXIL 20MG TABLET 30 $4 90 $10 Mental Health PROCHLORPERAZINE COMPAZINE 10MG TABLET 30 $4 90 $10 Mental Health PROCHLORPERAZINE COMPAZINE 5MG TABLET 30 $4 90 $10 Mental Health THIORIDAZINE MELLARIL 25MG TABLET 30 $4 90 $10 Mental Health THIORIDAZINE MELLARIL 50MG TABLET 30 $4 90 $10 Mental Health THIOTHIXENE NAVANE 2MG CAPSULE 30 $4 90 $10 Mental Health TRAZODONE DESYREL 100MG TABLET 30 $4 90 $10 Mental Health TRAZODONE DESYREL 150MG TABLET 30 $4 90 $10 Mental Health TRAZODONE DESYREL 50MG TABLET 30 $4 90 $10 Mental Health TRIHEXYPHENIDYL ARTANE 2MG TABLET 60 $4 180 $10 Oncology MEGESTROL MEGACE 20MG TABLET 30 $4 90 $10 Other HEMORRHOIDAL-HC ANUSOL-HC 25MG SUPPOSITORY 12 $4 36 $10 Other LIDOCAINE VISCOUS XYLOCAINE 2% 100 $4 300 $10 Other PREDNISONE DELTASONE 5MG TABLET 30 $4 90 $10 Other PREDNISONE DELTASONE 10MG TABLET 30 $4 90 $10 Other PREDNISONE DELTASONE 20MG TABLET 30 $4 90 $10 Other PREDNISONE DELTASONE 2.5MG TABLET 30 $4 90 $10 Skin Conditions FLUOCINONIDE LIDEX 0.05% CREAM 30 $4 90 $10 Skin Conditions FLUOCINONIDE LIDEX 0.05% CREAM 15 $4 45 $10 Skin Conditions HYDROCORTISONE HYTONE 2.5% CREAM 30 $4 90 $10 Skin Conditions HYDROCORTISONE HYTONE 1% CREAM 15 $4 45 $10 Skin Conditions TERBINAFINE LAMISIL 250MG TABLET 30 $9 90 $24 Skin Conditions TRIAMCINOLONE ARISTOCORT 0.5% CREAM 15 $4 45 $10 Skin Conditions TRIAMCINOLONE ARISTOCORT 0.1% OINTMENT 15 $4 45 $10 Skin Conditions TRIAMCINOLONE ARISTOCORT 0.025% CREAM 15 $4 45 $10 Skin Conditions TRIAMCINOLONE ARISTOCORT 0.025% CREAM 80 $4 240 $10 Skin Conditions TRIAMCINOLONE ARISTOCORT 0.1% OINTMENT 80 $4 240 $10 Skin Conditions TRIAMCINOLONE KENALOG 0.1% CREAM 30 $4 90 $10 Skin Conditions TRIAMCINOLONE KENALOG 0.1% CREAM 80 $4 240 $10 Skin Conditions TRIAMCINOLONE KENALOG 0.1% CREAM 15 $4 45 $10 Thyroid LEVOTHYROXINE SYNTHORID 25MCG TABLET 30 $4 90 $10 Thyroid LEVOTHYROXINE SYNTHROID 112MCG TABLET 30 $4 90 $10 Thyroid LEVOTHYROXINE SYNTHROID 125MCG TABLET 30 $4 90 $10 Thyroid LEVOTHYROXINE SYNTHROID 150MCG TABLET 30 $4 90 $10 Thyroid LEVOTHYROXINE SYNTHROID 200MCG TABLET 30 $9 90 $24 Thyroid LEVOTHYROXINE SYNTHROID 75MCG TABLET 30 $4 90 $10 Thyroid LEVOTHYROXINE SYNTHROID 88MCG TABLET 30 $4 90 $10

8 Generic Drug Program - $4/$10 Drug Program - Health Savings Programs... 8 Thyroid LEVOTHYROXINE SYNTHROID 175MCG TABLET 30 $9 90 $24 Thyroid LEVOTHYROXINE SYNTHROID 137MCG TABLET 30 $4 90 $10 Thyroid LEVOTHYROXINE SYNTHROID 100MCG TABLET 30 $4 90 $10 Thyroid LEVOTHYROXINE SYNTHROID 50MCG TABLET 30 $4 90 $10 Vitamins ADVANCED NATALCARE VINATE GT TABLET 30 $0 90 $0 Vitamins FOLIC ACID FOLVITE 1MG TABLET 30 $4 90 $10 Vitamins MAG 64 SLOW-MAG 64MG TABLET 60 $4 180 $10 Vitamins MAGNESIUM OXIDE MAG-OX 400MG TABLET 30 $4 90 $10 Vitamins MULTI-VITAMIN / FL / FE CHEWABLE POLY-VI-FLOR 1MG TABLET 30 $4 90 $10 Vitamins NATALCARE PIC NIFEREX-PN TABLET 30 $0 90 $0 Vitamins PRENATAL PLUS PRENATAL PLUS TABLET 30 $0 75 $0 Vitamins SODIUM FLUORIDE CHEWABLE LURIDE 0.25MG TABLET 30 $4 90 $10 Women's Health ALENDRONATE SOD FOSAMAX 70MG TABLET 4 $9 12 $24 Women's Health ALENDRONATE SOD FOSAMAX 35 MG TABLET 4 $9 12 $24 Women's Health ESTRADIOL ESTRACE 2MG TABLET 30 $4 90 $10 Women's Health ESTRADIOL ESTRACE 1MG TABLET 30 $4 90 $10 Women's Health ESTRADIOL ESTRACE 0.5MG TABLET 30 $4 90 $10 Women's Health MEDROXYPROGESTERONE PROVERA 5MG TABLET 30 $4 90 $10 Women's Health MEDROXYPROGESTERONE PROVERA 10MG TABLET 10 $4 30 $10 Women's Health MEDROXYPROGESTERONE PROVERA 2.5MG TABLET 30 $4 90 $10 Women's Health SPRINTEC 28-Day ORTHO CYCLEN TABLET 28 $9 84 $24 Women's Health TAMOXIFEN NOLVADEX 20MG TABLET 30 $9 90 $24 Women's Health TAMOXIFEN NOLVADEX 10MG TABLET 60 $9 180 $24 Women's Health TRI-SPRINTEC 28-Day ORTHO TRI-CYCLEN TABLET 28 $9 84 $24 Generic pricing covers a 30-day supply for $4.00 or a 90-day supply for $ Additional medications are offered at various reduced rates. See Gianteagle.com or a pharmacist for details. $4 program covers medications for a 30-day supply of eligible drugs at commonly prescribed dosages. $10 program covers medications for a 90-day supply of eligible drugs at commonly prescribed dosages. Prices for less than a 90-day supply are prorated based on the 30-day price. Prices for more than a 90-day supply are prorated based on the 90-day price on the $10 program. Physician prescription required to convert from a 30-day to 90-day supply. Some insurance plans, including government-funded prescription programs, may not cover a 90-day supply. Program enrollment may be required to receive reduced pricing, depending on state of residence. Some restrictions may apply. See pharmacy for details. Giant Eagle reserves the right to discontinue or modify these programs at any time. Copyright 2013 Giant Eagle, Inc. All Rights Reserved.