COMMUNITY MEDICINE PHARMACY SELECTED GENERIC PLAN AVAILABLE IN 30, 60, AND 90 DAY SUPPLIES 1 P age
*ALLERGIES & COLD & FLU $3.99,30 DAY $7.98,60 DAY $9.99 90 DAY BENZONATATE 100 MG CAPS 15 30 45 CETIRIZINE 10 MG TABS 30 60 90 LORATADINE 10MG TABS 30 60 90 PROMETHAZINE 6.25/5 ML SYRUP 120ML 240ML 360ML PROMETHAZINE/DM 15 6.25/5 ML SYRUP 120ML 240ML 360ML *ANTIBIOTIC TREATMENTS AMOXICILLIN 125MG/5ML SUSP (80ML BOTTLE) 80ML 160ML 240ML AMOXICILLIN 125MG/5ML SUSP (100ML BOTTLE) 100ML 200ML 300ML AMOXICILLIN 125MG/5ML SUSP (150ML BOTTLE) 150ML 300ML 450ML AMOXICILLIN 200MG/5ML SUSP (50ML BOTTLE) 50ML 100ML 150ML AMOXICILLIN 200MG/5ML SUSP (75ML BOTTLE) 75ML 150ML 225ML AMOXICILLIN 200MG/5ML SUSP (100ML BOTTLE) 100ML 200ML 300ML AMOXICILLIN 250MG/5ML SUSP (80ML BOTTLE) 80ML 160ML 240ML AMOXICILLIN 250MG/5ML SUSP (100ML BOTTLE) 100ML 200ML 300ML AMOXICILLIN 250MG/5ML SUSP (150ML BOTTLE) 150ML 300ML 450ML AMOXICILLIN 400MG/5ML SUSP (50ML BOTTLE) 50ML 100ML 150ML AMOXICILLIN 400MG/5ML SUSP (75ML BOTTLE) 75ML 150ML 225ML AMOXICILLIN 400MG/ML SUSP (100ML BOTTLE) 100ML 200ML 300ML AMOXICILLIN 250MG CAPS 30 60 90 AMOXICILLIN 500 MG CAPS 30 60 90 *ANTIBIOTIC TREATMENTS CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY CEPHALEXIN 250MG CAPS 28 56 84 CEPHALEXIN 500MG CAPS 30 60 90 CIPROFLAXACIN 250MG TABS 14 28 42 CIPROFLAXACIN 500MG TABS 20 40 60 PENICILLIN VK POT 125MG/5ML SUSP (100ML BOTTLE) 100ML 200ML 300ML PENICILLIN VK 250MG TABS 28 56 84 SMZ TMP 400MG 80MG TABS 28 56 84 2 P age
SMZ TMP 800MG 160MG TABS 20 40 60 *ANTIFUNGAL INFECTIONS $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY FLUCONAZOLE 150MG TABS 1 2 3 NYSTATIN CREAM (15GM TUBE) 15 30 45 ANTIFUNGAL INFECTIONS,CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY NYSTATIN CREAM (30GM TUBE) 30 60 90 TERBINAFINE 250 TABS 30 60 90 ANTIVIRAL $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY ACYCLOVIR 200MG CAPS 30 60 90 ARTHRITIS, MUSCLE RELAXANTS & PAIN ALLOPURINOL 100MG TABS 30 60 90 ALLOPURINOL 300MG TAB S 30 60 90 BACLOFEN 10MG TABS 30 60 90 CYCLOBENZAPRINE 5MG TABS 30 60 90 CYCLOBENZAPRIN 10MG TABS 30 60 90 DEXAMETHASONE 0.5MG TABS 30 60 90 DEXAMETHASONE 0.75MG TABS 12 24 36 DEXAMETHASONE 4MG TABS 6 12 18 DICLOFENAC SOD DR 50MG TABS 60 120 180 DICLOFENAC SOD DR 75MG TABS 60 120 180 IBUPROFEN 100MG/5ML SUSP 120ML 240ML 360ML IBUPROFEN 400MG TABS 90 180 270 IBUPROFEN 600MG TABS 60 120 180 IBUPROFEN 800MG TABS 30 60 90 ARTHRITIS, MUSC RELAX & PAIN, CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY INDOMETHACIN 25MG CAPS 60 120 180 MELOXICAM 7.5MG TABS 30 60 90 MELOXICAM 15MG TABS 30 60 90 NAPROXEN 375MG TABS 60 120 180 NAPROXEN 500MG TABS 60 120 180 3 P age
ASTHMA/RESP ALBUTEROL 2MG/5ML SYRUP 120ML 240ML 473ML IPRATROPIUM 0.02% NEB SOLN (25 X 2.5ML VIALS) 62.5 125 187.5 CHOLESTEROL $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY LOVASTATIN 10MG TABS 30 60 90 LOVASTATIN 20MG TABS 30 60 90 SIMVASTATIN 5MG TABS 30 60 90 SIMVASTATIN 10MG TABS 30 60 90 SIMVASTATIN 20MG TABS 30 60 90 SIMVASTATIN 40MG TABS 30 60 90 CNS (CENTRAL NERVOUS SYSTEM) $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY BENZTROPINE 2MG TABS 30 60 90 DIABETES $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY GLIMEPIRIDE 1MG TABS 30 60 90 GLIMEPIRIDE 2MG TABS 30 60 90 GLIMEPIRIDE 4MG TABS 30 60 90 GLIPIZIDE 5MG TABS 60 120 180 GLIPIZIDE 10MG TABS 60 120 180 GLYBURIDE 1.25MG TABS 30 60 90 GLYBURIDE 2.5MG TABS 30 60 90 GLYBURIDE 5MG TABS 30 60 90 GLYBURIDE MCR 3MG TABS 30 60 90 GLYBURIDE MCR 6MG TABS 30 60 90 METFORMIN HCL 500MG TABS 60 120 180 METFORMIN HCL 850MG TABS 60 120 180 METFORMIN HCL 1,000MG TABS 60 120 180 METFORMIN ER 500MG TABS 60 120 180 *DIABETIC TESTING SUPPLIES* GE METER FREE WITH PURCHASE OF 50 CT TEST STRIPS GE TEST STRIPS 50 CT $15.00 4 P age
BIONIME LANCETS 100 CT $4.00 EYE & GLAUCOMA CARE ERYTHROMYCIN OPTHAL OINT (3.5GM TUBE) 3.5GM 7GM 10.5GM GENTAK 0.3% OPTHAL SOLN 5ML 10ML 15ML GENTAMICIN 0.3% OPTHAL SOLN (5ML BOTTLE) 5ML 10ML 15ML LEVOBUNOLOL 0.5% OPTHAL SOLN (5ML BOTTLE) 5ML 10ML 15ML NEO/POLY/DEXAMETHASONE 0.1% OP OINT (3.5GM TYBE) 3.5 7GM 10.5GM EYE & GLAUCOMA CARE, CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY NEO/POLY/DEXAMETHASONE 0.1% OPTHAL SUSP (5ML BOTTLE) 5ML 10ML 15ML POLYMYCIN SUL/TMP OPTHAL SOLN (10ML BOTTLE) 10ML 20ML 30ML TIMOLOL MAL 0.25% OPTHAL SOLN (5 ML BOTTLE) 5ML 10ML 15ML TIMOLOL MAL 0.5% OPTHAL SOLN (5ML BOTTLE) 5ML 10ML 15ML TOBRAMYCIN 0.3% OPTHAL SOLN (5ML BOTTLE) 5ML 10ML 15ML TRIMETHOPRIM POLY B OPTHAL SOLN 10ML 20ML 30ML GASTRONITESTINAL HEALTH $7.99,30 DAY $15.98,60 DAY $23.99,90 DAY DICYCLOMINE 10MG CAPS 90 180 270 DICYCLOMINE 20MG CAPS 60 120 180 GATROINTESTINAL HEALTH, CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY FAMOTIDINE 20MG TABS 60 120 180 LACTULOSE 10MG/15ML SYRUP 240ML 480ML 720ML METOCLOPRAMIDE 5MG/5ML SYRUP 240ML N/A N/A PROMETHAZINE 25MG TABS 12 24 36 RANITIDINE 150MG TABS 60 120 180 RANITIDINE 300MG TABS 30 60 90 HEART HEALTH & BLOOD PREESURE $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY AMLODIPINE 2.5MG TABS 30 60 90 AMLODIPINE 5 MG TABS 30 60 90 AMLODIPINE 10 MG TABS 30 60 90 ATENOLOL 25MG TABS 30 60 90 ATENOLOL 50MG TABS 30 60 90 5 P age
ATENOLOL 100MG TABS 30 60 90 BENAZEPRIL 5MG TABS 30 60 90 BENAZEPRIL 10MG TABS 30 60 90 BENAZEPRIL 20MG TABS 30 60 90 BENAZEPRIL 40MG TABS 30 60 90 HEART HEALTH & BP, CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY BISOPROLOL/HCTZ 2.5/6.25MG TABS 30 60 90 BISOPROLOL/HCTZ 5/6.25MG TABS 30 60 90 BISOPROLOL/HCTZ 10/6.25MG TABS 30 60 90 CARVEDILOL 3.125MG TABS 60 120 180 CARVEDILOL 6.25MG TABS 60 120 180 CARVEDILOL 12.5MG TABS 60 120 180 CARVEDILOL 25MG TABS 60 120 180 CLONIDINE 0.1MG TABS 60 120 180 CLONIDINE 0.2MG TABS 60 120 180 CLONIDINE 0.3MG TABS 60 120 180 HEART HEALTH & BP, CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY ENALAPRIL/HCTZ 5/12.5MG TABS 30 60 90 FUROSEMIDE 20MG TABS 30 60 90 FUROSEMIDE 40MG TABS 30 60 90 FUROSEMIDE 80MG TABS 30 60 90 GUANFACINE 1MG TABS 30 60 90 HYDRALAZINE 10MG TABS 30 60 90 HYDRALAZINE 25MG TABS 30 60 90 HYDROCHLOROTHIAZIDE 12.5MG (CAPSULES ONLY) 30 60 90 HYDROCHLOROTHIAZIDE 25MG TABS 30 60 90 HYDROCHLOROTHIAZIDE 50MG TABS 30 60 90 INDAPAMIDE 1.25MG TABS 30 60 90 INDAPAMIDE 2.5MG TABS 30 60 90 ISOSORBIDE MONONITRATE ER 30MG TABS 30 60 90 6 P age
HEART HEALTH & BP, CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY ISOSORBIDE MONONITRATE ER 60MG TABS 30 60 90 LISINOPRIL 2.5MG TABS 30 60 90 LISINOPRIL 5MG TABS 30 60 90 LISINOPRIL 10MG TABS 30 60 90 LISINOPRIL 20MG TABS 30 60 90 LISINOPRIL 30MG TABS 30 60 90 LISINOPRIL 40MG TABS 30 60 90 LISINOPRIL/HCTZ 10/12.5MG TABS 30 60 90 LISINOPRIL/HCTZ 20/12.5MG TABS 30 60 90 LISINOPRIL/HCTZ 20/25MG TABS 30 60 90 LOSARTAN 25MG TABS 30 60 90 LOSARTAN 50MG TABS 30 60 90 LOSARTAN 100MG TABS 30 60 90 METHYLDOPA 250MG TABS 60 120 180 METOPROLOL TARTRATE 25MG TABS 60 120 180 METOPROLOL TARTRATE 50MG TABS 60 120 180 METOPROLOL TARTRATE 100MG TABS 60 120 180 HEART HEALTH & BP, CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY SOTALOL HCL 80MG TABS 30 60 90 SPIRONOLACTONE 25MG TABS 30 60 90 SPIRONOLACTONE 50MG TABS 30 60 90 TERAZOSIN 1MG CAPS 30 60 90 TERAZOSIN 2MG CAPS 30 60 90 TERAZOSIN 5MG CAPS 30 60 90 TERAZOSIN 10MG CAPS 30 60 90 TRIAMTERENE/HCTZ 37.5/25MG TABS 30 60 90 TRIAMTERENE/HCTZ 37.5/25MG CAPS 30 60 90 TRIAMTERENE/HCTZ 75/50MG TABS 30 60 90 VERAPAMIL 80MG TABS 30 60 90 7 P age
VERAPAMIL 120MG TABS 30 60 90 WARFARIN 1MG TABS 30 60 90 WARFARIN 2MG TABS 30 60 90 WARFARIN 2.5MG TABS 30 60 90 WARFARIN 3MG TABS 30 60 90 WARFARIN 4MG TABS 30 60 90 WARFARIN 5MG TABS 30 60 90 WARFARIN 6MG TABS 30 60 90 WARFARIN 7.5MG TABS 30 60 90 WARFARIN 10MG TABS 30 60 90 MENTAL HEALTH $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY AMITRIPTYLINE 10MG TABS 30 60 90 AMITRIPTYLINE 25MG TABS 30 60 90 AMITRIPTYLINE 50MG TABS 30 60 90 AMITRIPTYLINE 75MG TABS 30 60 90 AMITRIPTYLINE 100MG TABS 30 60 90 BENZTROPINE 2MG TABS 15 30 45 BUSPIRONE 5MG TABS 60 120 180 BUSPIRONE 10MG TABS 60 120 180 CITALOPRAM 10MG TABS 30 60 90 CITALOPRAM 20MG TABS 30 60 90 CITALOPRAM 40MG TABS 30 60 90 FLUOXETINE 10MG TABS (CAPS) 30 60 90 FLUOXETINE 20MG CAPS 30 60 90 FLUOXETINE 40MG CAPS 30 60 90 HALOPERIDOL 0.5MG TABS 30 60 90 HALOPERIDOL 1MG TABS 30 60 90 HALOPERIDOL 2MG TABS 30 60 90 HALOPERIDOL 5MG TABS 30 60 90 LITHIUM CARBONATE 300MG CAPS 90 180 270 8 P age
MENTAL HEALTH, CONT D $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY NORTRIPTYLINE 10MG CAPS 30 60 90 NORTRIPTYLINE 25MG CAPS 30 60 90 PAROXETINE 10MG TABS 30 60 90 PAROXETINE 20MG TABS 30 60 90 PROCHLORPERAZINE 10MG TABS 30 60 90 TRAZADONE 50MG TABS 30 60 90 TRAZADONE 100MG TABS 30 60 90 TRAZADONE 150MG TABS 30 60 90 TRIHEXYPHENIDYL 2MG TABS 60 120 180 OTHER MEDICAL CONDITIONS $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY CHLORHEXADINE GLUCONATE 0.12% SOLN (473ML BOTTLE) 473ML 946ML 1419ML DEXAMETHASONE.5MG TABS 12 24 36 DEXAMETHASONE 0.75MG TABS 12 24 36 DEXAMETHASONE 4MG TABS 6 12 18 PREDNISONE 2.5MG TABS 30 60 90 PREDNISONE 5MG TABS 30 60 90 SKIN CONDITIONS $3.99,30 DAY $7.98,60 DAY $9.99,90 DAY HYDROCORTISONE 1% CREAM (28.35 30GM TUBE) 30 60 90 HYDROCORTISONE 2.5% CREAM (30GM TUBE) 30 60 90 SILVER SULFADIAZINE 1% (25GM) CREAM 25 50 75 SILVER SULFADIAZINE 1% (50GM) CREAM 50 100 150 TRIAMCINOLONE 0.025% CREAM (80GM TUBE) 80 160 240 TRIAMCINOLONE 0.1% CREAM (15 GM TUBE) 15 30 60 TRIAMCINOLONE 0.1% CREAM (80 GM TUBE) 80 160 240 TRIAMCINOLONE 0.1% OINTMENT (15GM TUBE) 15 30 45 TRIAMCINOLONE 0.1% OINTMENT (80GM TUBE) 80 160 240 TRIAMCINOLONE 0.5% CREAM (15GM TUBE) 15 30 45 THYROID CONDITIONS $8.99,30 DAY $17.98,60 DAY $23.99,90 DAY LEVOTHYROXINE 25MCG TABS 30 60 90 9 P age
LEVOTHYROXINE 50MCG TABS 30 60 90 LEVOTHYROXINE 75 MCG TABS 30 60 90 LEVOTHYROXINE 88MCG TABS 30 60 90 LEVOTHYROXINE 100MCG TABS 30 60 90 LEVOTHYROXINE 112MCG TABS 30 60 90 LEVOTHYROXINE 125MCG TABS 30 60 90 LEVOTHYROXINE 137MCG TABS 30 60 90 LEVOTHYROXINE 150MCG TABS 30 60 90 LEVOTHYROXINE 175MCG TABS 30 60 90 LEVOTHYROXINE 200MCG TABS 30 60 90 VITAMINS & NUTRITIONAL HEALTH FOLIC ACID 1MG TABS 30 60 90 MAG 64MG TABS 60 120 180 MAGNESIUM OXIDE 400MG TABS 60 120 180 PRENATAL PLUS TABS 30 60 90 SODIUM FLUORIDE.25MG CHEWABLES (120CT BOTTLE) 120 N/A N/A WOMEN S HEALTH ESTRADIOL 0.5 TABS 30 60 90 ESTRADIOL 1MG TABS 30 60 90 ESTRADIOL 2MG TABS 30 60 90 MEDROXYPROGESTERONE ACETATE 2.5MG TABS 30 60 90 MEDROXYPROGESTERONE ACETATE 5MG TABS 30 60 90 MEDROXYPROGETERONE ACETATE 10MG TABS 30 60 90 WOMEN S HEALTH, CONT D $8.99,30 DAY $15.99,60 DAY $23.99,90 DAY ALENDRONATE SODIUM 35MG TABS 4 8 12 ALENDRONATE SODIUM 70MG TABS 4 8 12 CLOMIPHENE 50MG TABS 5 10 15 WOMENS HEALTH $7.99, NCFMC ONLY $8.99, OUTSIDE ALTAVERA (KURVELO,LEVONORGESTRRL/ETHINYL ESTRADIOL 28 28 ORTHO CYCLEN (SPRINTEC,PREVIFEM) 28 28 10 P age
ORTHO TRI CYCLEN (TRI SPRINTEC, TRI PREVIFEM 28 28 ORTHO MICRONOR (NOR QD,ERRIN,CAMILA,JENCYCLA,NORETHINDRONE 28 28 ORTHO CEPT (EMOQUETTE, ENSKYCE) 28 28 ORTHO NOVUM 1/35 (PIRMELLA, CYCLAFEM) 28 28 ORSYNTHIA 0.1 20MG (SRONYX) 28 28 ORTHO NOVUM 7/7/7 (CYCLAFEM 7/7/7, PIRMELLA 7/7/7) 28 28 *PLEASE NOTE THAT PRICES ARE SUBJECT TO CHANGE; ANY QUESTIONS? CALL THE PHARMACY AT 803 412 3353 (ROCK HILL) & 803 581 7209 (CHESTER) 11 P age