Ask your local pharmacist or visit your local Acme Pharmacy with questions.
| Type of Medication | Generic Name | Brand Name | Strength | Form | 30 Day Qty | 30 Day Price | 90 Day Qty | 90 Day Price |
|---|---|---|---|---|---|---|---|---|
| Allergy & Asthma | DIPHENHYDRAMINE HCL | BENADRYL® | 50MG | CAPSULE | 30 | $4 | 90 | $10 |
| Allergy & Asthma | CYPROHEPTADINE | PERIACTIN® | 4MG | TABLET | 30 | $4 | 90 | $10 |
| Allergy & Asthma | LORATADINE | CLARITIN® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Allergy & Asthma | IPRATROPIUM BROMIDE NEB | ATROVENT® | 0.02% | SOLUTION | 75 | $4 | 225 | $10 |
| Allergy & Asthma | ALBUTEROL SULFATE NEBULIZER | PROVENTIL® | 0.08% | SOLUTION | 75 | $4 | 225 | $10 |
| Allergy & Asthma | ALBUTEROL | PROVENTIL® | 4MG | TABLET | 60 | $4 | 180 | $10 |
| Allergy & Asthma | ALBUTEROL | PROVENTIL® | 2MG/5ML | SYRUP | 120 | $4 | 360 | $10 |
| Allergy & Asthma | ALBUTEROL NEBULIZER | PROVENTIL® | 0.50% | SOLUTION | 20 | $4 | 60 | $10 |
| Allergy & Asthma | ALBUTEROL | PROVENTIL® | 2MG | TABLET | 90 | $4 | 270 | $10 |
| Antibiotics | ISONIAZID | NYDRAZID® | 300MG | TABLET | 30 | $4 | 90 | $10 |
| Antibiotics | GENTAMICIN | GARAMYCIN® | 0.10% | OINTMENT | 15 | $4 | 45 | $10 |
| Antibiotics | GENTAMICIN | GARAMYCIN® | 0.10% | CREAM | 15 | $4 | 45 | $10 |
| Antibiotics | DOXYCYCLINE HYC | VIBRAMYCIN® | 100MG | CAPSULE | 20 | $4 | 60 | $10 |
| Antibiotics | DOXYCYCLINE HYC | VIBRAMYCIN® | 50MG | CAPSULE | 30 | $4 | 90 | $10 |
| Antibiotics | METRONIDAZOLE | FLAGYL® | 250MG | TABLET | 28 | $4 | 84 | $10 |
| Antibiotics | SMZ / TMP | BACTRIM® | 400-80MG | TABLET | 28 | $4 | 84 | $10 |
| Antibiotics | SILVER SULFADIAZINE | SILVADENE® | 1% | CREAM | 50 | $4 | 150 | $10 |
| Antibiotics | SELENIUM SULFIDE | SELSUN® | 2.50% | LOTION | 120 | $4 | 360 | $10 |
| Antibiotics | SMZ / TMP DS | BACTRIM DS® | 800-160MG | TABLET | 20 | $4 | 60 | $10 |
| Antibiotics | TETRACYCLINE | ACHROMYCIN® | 500MG | CAPSULE | 60 | $4 | 180 | $10 |
| Antibiotics | TETRACYCLINE | ACHROMYCIN® | 250MG | CAPSULE | 60 | $4 | 180 | $10 |
| Antibiotics | SMZ / TMP PEDIATRIC | BACTRIM PED® | 200-40MG/5ML | SUSPENSION | 120 | $4 | 360 | $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 | METRONIDAZOLE | FLAGYL® | 500MG | TABLET | 14 | $4 | 42 | $10 |
| Antibiotics | PENICILLIN VK | V-CILLIN K® | 250MG/5ML | SUSPENSION | 100 | $4 | 300 | $10 |
| Antibiotics | PENICILLIN VK | VEETIDS® | 250MG | TABLET | 20 | $4 | 60 | $10 |
| Antibiotics | PENICILLIN VK | V-CILLIN K® | 125MG/5ML | SUSPENSION | 200 | $4 | 600 | $10 |
| Antibiotics | PENICILLIN VK | V-CILLIN K® | 500MG | TABLET | 40 | $4 | 120 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 250MG | CAPSULE | 30 | $4 | 90 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 500MG | CAPSULE | 30 | $4 | 90 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 875MG | TABLET | 28 | $4 | 84 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 400MG/5ML | SUSPENSION | 50 | $4 | 150 | $10 |
| Antibiotics | AMOXICILLIN CHEWABLE | AMOXIL® | 125MG | TABLET | 42 | $4 | 126 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 250MG/5ML | SUSPENSION | 100 | $4 | 300 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 400MG/5ML | SUSPENSION | 100 | $4 | 300 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 200MG/5ML | SUSPENSION | 75 | $4 | 225 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 200MG/5ML | SUSPENSION | 50 | $4 | 150 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 125MG/5ML | SUSPENSION | 150 | $4 | 450 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 125MG/5ML | SUSPENSION | 80 | $4 | 240 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 250MG/5ML | SUSPENSION | 150 | $4 | 450 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 250MG/5ML | SUSPENSION | 80 | $4 | 240 | $10 |
| Antibiotics | AMOXICILLIN | AMOXIL® | 125MG/5ML | SUSPENSION | 100 | $4 | 300 | $10 |
| Antibiotics | AMOXICILLIN CHEWABLE | AMOXIL® | 400MG | TABLET | 20 | $4 | 60 | $10 |
| Antibiotics | CIPROFLOXACIN | CIPRO® | 500MG | TABLET | 20 | $4 | 60 | $10 |
| Antibiotics | CHLORHEXIDINE GLUCONATE | PERIDEX® | 0.12% | SOLUTION | 480 | $4 | 1440 | $10 |
| Antibiotics | CEPHALEXIN | KEFLEX® | 500MG | CAPSULE | 40 | $4 | 90 | $10 |
| Antibiotics | CIPROFLOXACN | CIPRO® | 250MG | TABLET | 20 | $4 | 60 | $10 |
| Antibiotics | DOXYCYCLINE HYC | VIBRA-TABS® | 100MG | TABLET | 20 | $4 | 60 | $10 |
| Antibiotics | CLINDAMYCIN | CLEOCIN® | 150MG | CAPSULE | 28 | $4 | 84 | $10 |
| Antibiotics | CIPROFLOXACN | CIPRO® | 750MG | TABLET | 20 | $4 | 60 | $10 |
| Antibiotics | AMPICILLIN | PRINCIPEN® | 250MG | CAPSULE | 40 | $4 | 120 | $10 |
| Antibiotics | AMOXICILLIN PEDIATRIC | AMOXIL® | 50MG/ML | DROP | 30 | $4 | 90 | $10 |
| Antibiotics | AMOXICILLIN CHEWABLE | AMOXIL® | 250MG | TABLET | 30 | $4 | 90 | $10 |
| Antibiotics | AMPICILLIN | PRINCIPEN® | 500MG | CAPSULE | 40 | $4 | 120 | $10 |
| Antibiotics | CEPHALEXIN | KEFLEX® | 250MG | CAPSULE | 40 | $4 | 84 | $10 |
| Antibiotics | CEPHALEXIN | KEFLEX® | 250MG/5ML | SUSPENSION | 100 | $4 | 300 | $10 |
| Antibiotics | CEPHALEXIN | KEFLEX® | 125MG/5ML | SUSPENSION | 100 | $4 | 300 | $10 |
| Antifungal | NYSTATIN | NILSTAT® | 100000U | OINTMENT | 30 | $4 | 90 | $10 |
| Antifungal | NYSTATIN | NILSTAT® | 100000U | CREAM | 15 | $4 | 45 | $10 |
| Antifungal | NYSTATIN / TRIAMCINOLONE | MYCOLOG II® | CREAM | 30 | $4 | 90 | $10 | |
| Antifungal | NYSTATIN / TRIAMCINOLONE | MYCOLOG® | OINTMENT | 15 | $4 | 45 | $10 | |
| Antifungal | NYSTATIN / TRIAMCINOLONE | MYCOLOG II® | CREAM | 15 | $4 | 45 | $10 | |
| Antifungal | FLUCONAZOLE | DIFLUCAN® | 100MG | TABLET | 10 | $4 | 30 | $10 |
| Antifungal | FLUCONAZOLE | DIFLUCAN® | 150MG | TABLET | 1 | $4 | 3 | $10 |
| Antifungal | FLUCONAZOLE | DIFLUCAN® | 200MG | TABLET | 1 | $4 | 3 | $10 |
| Antifungal | NYSTATIN | NILSTAT® | 100000U | CREAM | 30 | $4 | 90 | $10 |
| Antifungal | NYSTATIN | MYCOSTATIN® | 100000U | SUSPENSION | 60 | $4 | 180 | $10 |
| Antiviral | ACYCLOVIR | ZOVIRAX® | 200MG | CAPSULE | 30 | $4 | 90 | $10 |
| Arthritis & Pain | INDOMETHACIN | INDOCIN® | 25MG | CAPSULE | 60 | $4 | 180 | $10 |
| Arthritis & Pain | LEUCOVORIN CALCIUM | LEUCOVOR® | 5MG | TABLET | 4 | $4 | 12 | $10 |
| Arthritis & Pain | MELOXICAM | MOBIC® | 15MG | TABLET | 30 | $4 | 90 | $10 |
| Arthritis & Pain | IBUPROFEN | MOTRIN® | 400MG | TABLET | 90 | $4 | 270 | $10 |
| Arthritis & Pain | IBUPROFEN | MOTRIN® | 100MG/5ML | SUSPENSION | 120 | $4 | 360 | $10 |
| Arthritis & Pain | IBUPROFEN | MOTRIN® | 600MG | TABLET | 60 | $4 | 180 | $10 |
| Arthritis & Pain | IBUPROFEN | MOTRIN® | 800MG | TABLET | 30 | $4 | 90 | $10 |
| Arthritis & Pain | MELOXICAM | MOBIC® | 7.5MG | TABLET | 30 | $4 | 90 | $10 |
| Arthritis & Pain | NAPROXEN SODIUM | ANAPROX DS® | 550MG | TABLET | 30 | $4 | 90 | $10 |
| Arthritis & Pain | NAPROXEN | NAPROSYN® | 375MG | TABLET | 60 | $4 | 180 | $10 |
| Arthritis & Pain | NAPROXEN | NAPROSYN® | 500MG | TABLET | 60 | $4 | 180 | $10 |
| Arthritis & Pain | NAPROXEN | NAPROSYN® | 250MG | TABLET | 60 | $4 | 180 | $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 | DEXAMETHASONE | DECADRON® | 0.75MG | TABLET | 12 | $4 | 36 | $10 |
| Arthritis & Pain | DEXAMETHASONE | DECADRON® | 4MG | TABLET | 6 | $4 | 18 | $10 |
| Arthritis & Pain | CYCLOBENZAPRINE | FLEXERIL® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Arthritis & Pain | CYCLOBENZAPRINE | FLEXERIL® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Arthritis & Pain | DEXAMETHASONE | DECADRON® | 0.5MG | TABLET | 30 | $4 | 90 | $10 |
| Cholesterol | PRAVASTATIN | PRAVACHOL® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Cholesterol | PRAVASTATIN | PRAVACHOL® | 40MG | TABLET | 30 | $4 | 90 | $10 |
| Cholesterol | SIMVASTATIN | ZOCOR® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Cholesterol | LOVASTATIN | MEVACOR® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Cholesterol | LOVASTATIN | MEVACOR® | 20MG | TABLET | 30 | $4 | 90 | $10 |
| Cholesterol | PRAVASTATIN | PRAVACHOL® | 20MG | TABLET | 30 | $4 | 90 | $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® | 6-2-15MG/5ML | SYRUP | 120 | $4 | 360 | $10 |
| Cough & Cold | BENZONATATE | TESSALON® | 100MG | CAPSULE | 14 | $4 | 42 | $10 |
| Cough & Cold | DEC-CHLORPHEN DM | CARDEC-DM® | SYRUP | 120 | $4 | 360 | $10 | |
| Dental | SODIUM FLUORIDE DENTAL | PREVIDENT 5000+1.1%® | 1.10% | CREAM | 51 | $4 | 153 | $10 |
| Diabetes | GLYBURIDE MCR | GLYNASE PRESTAB® | 3MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | GLYBURIDE MCR | GLYNASE PRESTAB® | 6MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | GLYBURIDE | DIABETA® | 1.25MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | GLYBURIDE | MICRONASE® | 2.5MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | METFORMIN | GLUCOPHAGE® | 850MG | TABLET | 60 | $4 | 180 | $10 |
| Diabetes | METFORMIN | GLUCOPHAGE® | 1000MG | TABLET | 60 | $4 | 180 | $10 |
| Diabetes | METFORMIN | GLUCOPHAGE® | 500MG | TABLET | 60 | $4 | 180 | $10 |
| Diabetes | GLIMEPIRIDE | AMARYL® | 4MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | GLIMEPIRIDE | AMARYL® | 2MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | CHLORPROPAMIDE | DIABINESE® | 100MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | GLIMEPIRIDE | AMARYL® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | GLIPIZIDE ER | GLUCOTROL XL® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | GLYBURIDE | DIABETA® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | GLIPIZIDE | GLUCOTROL® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Diabetes | GLIPIZIDE | GLUCOTROL® | 10MG | TABLET | 60 | $4 | 180 | $10 |
| Eye & Ear | TIMOLOL MALEATE | TIMOPTIC® | 0.25% | OPHTHALMIC DROP | 5 | $4 | 15 | $10 |
| Eye & Ear | TIMOLOL MALEATE | TIMOPTIC® | 0.50% | OPHTHALMIC DROP | 5 | $4 | 15 | $10 |
| Eye & Ear | NEOMYCIN / POLYMYXIN / DEXAMETHASONE | MAXITROL® | 0.10% | OPHTHALMIC OINTMENT | 4 | $4 | 12 | $10 |
| Family Planning | CLOMIPHENE CITRATE | CLOMID® | 50MG | TABLET | 5 | $9 | 15 | $24 |
| Gastrointestinal Health | OXYBUTYNIN | DITROPAN® | 5MG | TABLET | 60 | $4 | 180 | $10 |
| Gastrointestinal Health | PHENAZOPYRIDINE | PYRIDIUM® | 100MG | TABLET | 6 | $4 | 18 | $10 |
| Gastrointestinal Health | METOCLOPRAMIDE | REGLAN® | 10MG | TABLET | 60 | $4 | 180 | $10 |
| Gastrointestinal Health | METOCLOPRAMIDE | REGLAN® | 5MG/5ML | SYRUP | 180 | $4 | 540 | $10 |
| Gastrointestinal Health | PHENAZOPYRIDINE | PYRIDIUM® | 200MG | TABLET | 30 | $4 | 90 | $10 |
| Gastrointestinal Health | RANITIDINE | ZANTAC® | 300MG | TABLET | 30 | $4 | 90 | $10 |
| Gastrointestinal Health | SODIUM CITRATE / CITRIC ACID | BICITRA® | SOLUTION | 180 | $4 | 540 | $10 | |
| Gastrointestinal Health | PROMETHAZINE | PHENERGAN® | 25MG | TABLET | 12 | $4 | 36 | $10 |
| Gastrointestinal Health | RANITIDINE | ZANTAC® | 150MG | TABLET | 60 | $4 | 180 | $10 |
| Gastrointestinal Health | LOPERAMIDE | IMODIUM® | 2MG | CAPSULE | 30 | $4 | 90 | $10 |
| Gastrointestinal Health | CIMETIDINE | TAGAMET® | 400MG | TABLET | 60 | $4 | 180 | $10 |
| Gastrointestinal Health | DICYCLOMINE | BENTYL® | 20MG | TABLET | 60 | $4 | 180 | $10 |
| 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 | LACTULOSE | CHRONULAC® | 10GM/15ML | SYRUP | 240 | $4 | 720 | $10 |
| Gastrointestinal Health | FAMOTIDINE | PEPCID® | 20MG | TABLET | 60 | $4 | 180 | $10 |
| Gastrointestinal Health | FAMOTIDINE | PEPCID® | 40MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | METOPROLOL TARTRATE | LOPRESSOR® | 25MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | METOPROLOL TARTRATE | LOPRESSOR® | 50MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | METOPROLOL TARTRATE | LOPRESSOR® | 100MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | METHYLDOPA | ALDOMET® | 500MG | TABLET | 30 | $9 | 90 | $24 |
| Heart Health | LISINOPRIL / HCTZ | PRINZIDE® / ZESTORETIC® | 20-25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | LISINOPRIL / HCTZ | PRINZIDE® / ZESTORETIC® | 20-12.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | METHYLDOPA | ALDOMET® | 250MG | TABLET | 60 | $9 | 180 | $24 |
| Heart Health | NADOLOL | CORGARD® | 20MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | PINDOLOL | VISKEN® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | PINDOLOL | VISKEN® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | PRAZOSIN HCL | MINIPRESS® | 1MG | CAPSULE | 30 | $4 | 90 | $10 |
| Heart Health | PENTOXIFYLLINE | TRENTAL® | 400MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | NADOLOL | CORGARD® | 40MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ISOSORBIDE DINITRATE | ISORDIL® | 10MG | TABLET | 90 | $4 | 270 | $10 |
| Heart Health | HYDROCHLOROTHIAZIDE | MICROZIDE® | 12.5MG | CAPSULE | 30 | $4 | 90 | $10 |
| Heart Health | INDAPAMIDE | LOZOL® | 2.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | INDAPAMIDE | LOZOL® | 1.25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | LABETALOL | NORMODYNE® | 100MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | LISINOPRIL | PRINIVIL® / ZESTRIL® | 2.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | LISINOPRIL | ZESTRIL® | 30MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | LISINOPRIL / HCTZ | PRINZIDE® / ZESTORETIC® | 10-12.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | LISINOPRIL | PRINIVIL® / ZESTRIL® | 40MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | LISINOPRIL | PRINIVIL® / ZESTRIL® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | LISINOPRIL | PRINIVIL® / ZESTRIL® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | LISINOPRIL | PRINIVIL® / ZESTRIL® | 20MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | VERAPAMIL | CALAN® | 120MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | VERAPAMIL | CALAN® | 80MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | WARFARIN | COUMADIN® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | TRIAMTERENE / HCTZ | MAXZIDE® | 75-50MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | TRIAMTERENE / HCTZ | DYAZIDE® | 37.5-25MG | CAPSULE | 30 | $4 | 90 | $10 |
| Heart Health | TRIAMTERENE / HCTZ | MAXZIDE® | 37.5-25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | WARFARIN | COUMADIN® | 7.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | WARFARIN | COUMADIN® | 4MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | WARFARIN | COUMADIN® | 3MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | WARFARIN | COUMADIN® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | WARFARIN | COUMADIN® | 2.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | WARFARIN | COUMADIN® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | WARFARIN | COUMADIN® | 6MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | WARFARIN | COUMADIN® | 2MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | PROPRANOLOL | INDERAL® | 20MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | PROPRANOLOL | INDERAL® | 40MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | QUINAPRIL HCL | ACCUPRIL® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | PROPRANOLOL | INDERAL® | 80MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | PRAZOSIN HCL | MINIPRESS® | 5MG | CAPSULE | 30 | $4 | 90 | $10 |
| Heart Health | PRAZOSIN HCL | MINIPRESS® | 2MG | CAPSULE | 30 | $4 | 90 | $10 |
| Heart Health | PROPRANOLOL | INDERAL® | 10MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | QUINAPRIL HCL | ACCUPRIL® | 20MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | SPIRONOLACTONE | ALDACTONE® | 25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | QUINAPRIL HCL | ACCUPRIL® | 40MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | QUINAPRIL HCL | ACCUPRIL® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | SOTALOL HCL | BETAPACE® | 80MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | CAPTOPRIL | CAPOTEN® | 25MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | CAPTOPRIL | CAPOTEN® | 100MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | CAPTOPRIL | CAPOTEN® | 50MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | BUMETANIDE | BUMEX® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BISOPROLOL / HCTZ | ZIAC® | 2.5-6.25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BUMETANIDE | BUMEX® | 0.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BUMETANIDE | BUMEX® | 2MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | CAPTOPRIL | CAPOTEN® | 12.5MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | CARVEDILOL | COREG® | 12.5MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | CARVEDILOL | COREG® | 6.25MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | CARVEDILOL | COREG® | 25MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | CAPTOPRIL / HCTZ | CAPOZIDE® | 50/15mg | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | CAPTOPRIL / HCTZ | CAPOZIDE® | 25/15mg | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | CAPTOPRIL / HCTZ | CAPOZIDE® | 25/25mg | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | CAPTOPRIL / HCTZ | CAPOZIDE® | 50/25 | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ATENOLOL / CHLORTHALIDONE | TENORETIC® | 100-25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ATENOLOL / CHLORTHALIDONE | TENORETIC® | 50-25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BENAZEPRIL | LOTENSIN® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ATENOLOL | TENORMIN® | 50MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | AMILORIDE / HCTZ | MODURETIC® | 5-50MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ATENOLOL | TENORMIN® | 100MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ATENOLOL | TENORMIN® | 25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BENAZEPRIL | LOTENSIN® | 40MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BENAZEPRIL / HCTZ | LOTENSIN HCT® | 20-25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BISOPROLOL / HCTZ | ZIAC® | 10-6.25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BISOPROLOL / HCTZ | ZIAC® | 5-6.25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BENAZEPRIL / HCTZ | LOTENSIN HCT® | 20-12.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BENAZEPRIL | LOTENSIN® | 20MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BENAZEPRIL | LOTENSIN® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | BENAZEPRIL / HCTZ | LOTENSIN HCT® | 10-12.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ENALAPRIL | VASOTEC® | 20MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ENALAPRIL MALEATE / HCTZ | VASERETIC® | 10-25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ENALAPRIL / HCTZ | VASERETIC® | 5-12.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ENALAPRIL | VASOTEC® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | DOXAZOSIN | CARDURA® | 4MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ENALAPRIL | VASOTEC® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | ENALAPRIL | VASOTEC® | 2.5MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | FUROSEMIDE | LASIX® | 20MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | HYDRALAZINE | APRESOLINE® | 25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | HYDROCHLOROTHIAZIDE | HYDRODIURIL® | 25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | HYDROCHLOROTHIAZIDE | HYDRODIURIL® | 50MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | HYDRALAZINE | APRESOLINE® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | FUROSEMIDE | LASIX® | 40MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | FUROSEMIDE | LASIX® | 80MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | GUANFACINE | TENEX® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | CLONIDINE | CATAPRES® | 0.3MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | CLONIDINE | CATAPRES® | 0.2MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | DIGOXIN | LANOXIN® | 0.125MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | CLONIDINE | CATAPRES® | 0.1MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | CARVEDILOL | COREG® | 3.125MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | DIGOXIN | LANOXIN® | 0.25MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | DOXAZOSIN | CARDURA® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | DOXAZOSIN | CARDURA® | 2MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | DOXAZOSIN | CARDURA® | 8MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | DILTIAZEM | CARDIZEM® | 60MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | DILTIAZEM | CARDIZEM® | 120MG | TABLET | 30 | $4 | 90 | $10 |
| Heart Health | DILTIAZEM | CARDIZEM® | 30MG | TABLET | 60 | $4 | 180 | $10 |
| Heart Health | DILTIAZEM | CARDIZEM® | 90MG | TABLET | 60 | $4 | 180 | $10 |
| Mental Health | NORTRIPTYLIN | PAMELOR ® | 25MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | LITHIUM CARBONATE CAPSULES | 150MG | CAPSULE | 30 | $4 | 90 | $10 | |
| Mental Health | LITHIUM CARBONATE CAP | ESKALITH® | 300MG | CAPSULE | 90 | $4 | 270 | $10 |
| Mental Health | NORTRIPTYLIN | PAMELOR® | 75MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | NORTRIPTYLIN | PAMELOR® | 50MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | NORTRIPTYLIN | PAMELOR® | 10MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | IMIPRAMINE HCL | TOFRANIL® | 25MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | HALOPERIDOL | HALDOL® | 0.5MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | GABAPENTIN | NEURONTIN® | 100MG | CAPSULE | 90 | $4 | 270 | $10 |
| Mental Health | FLUPHENAZINE | PROLIXIN® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | HALOPERIDOL | HALDOL® | 2MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | HALOPERIDOL | HALDOL® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | HALOPERIDOL | HALDOL® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | TRAZODONE | DESYREL® | 50MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | THIOTHIXENE | NAVANE® | 2MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | THIORIDAZINE | MELLARIL® | 50MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | TRIHEXYPHENIDYL | ARTANE® | 2MG | TABLET | 60 | $4 | 180 | $10 |
| Mental Health | TRAZODONE | DESYREL® | 150MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | TRAZODONE | DESYREL® | 100MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | THIORIDAZINE | MELLARIL® | 25MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | PERPHENAZINE / AMITRIPTYLINE | TRIAVIL® | 2/10MG | TABLET | 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® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | PROCHLORPERAZINE | COMPAZINE® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | PERPHENAZINE / AMITRIPTYLINE | TRIAVIL® | 2/25MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | FLUOXETINE | PROZAC® | 10MG | 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 | BENZTROPINE | COGENTIN® | 0.5MG | TABLET | 60 | $4 | 180 | $10 |
| Mental Health | CITALOPRAM | CELEXA® | 20MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | CARBAMAZEPINE CHEWABLE | TEGRETOL® | 100MG | TABLET | 60 | $4 | 180 | $10 |
| Mental Health | CARBAMAZAPINE | TEGRETOL® | 200MG | TABLET | 60 | $4 | 180 | $10 |
| Mental Health | BENZTROPINE | COGENTIN® | 1MG | TABLET | 60 | $4 | 180 | $10 |
| Mental Health | AMITRIPTYLINE | ELAVIL® | 100MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | AMITRIPTYLINE | ELAVIL® | 25MG | 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 | AMITRIPTYLINE | ELAVIL® | 50MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | AMITRIPTYLINE | ELAVIL® | 75MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | DOXEPIN HCL | SINEQUAN® | 10MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | DOXEPIN HCL | SINEQUAN® | 50MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | FLUOXETINE | PROZAC® | 20MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | FLUOXETINE | PROZAC® | 10MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | DOXEPIN HCL | SINEQUAN® | 25MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | CLOMIPRAMINE | ANAFRANIL® | 25MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | CITALOPRAM HBR | CELEXA® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | CITALOPRAM | CELEXA® | 40MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | DOXEPIN HCL | SINEQUAN® | 100MG | CAPSULE | 30 | $4 | 90 | $10 |
| Mental Health | DESIPRAMINE | NORPRAMIN® | 10MG | TABLET | 30 | $4 | 90 | $10 |
| Mental Health | CLOMIPRAMINE | ANAFRANIL® | 50MG | CAPSULE | 30 | $4 | 90 | $10 |
| Oncology | MEGESTROL | MEGACE® | 20MG | TABLET | 30 | $4 | 90 | $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 DOSEPACK (21) | STERAPRED DS® | 10MG | TABLET | 21 | $4 | 63 | $10 |
| Other | PREDNISONE DOSEPACK (48) | STERAPRED® | 5MG | TABLET | 48 | $4 | 144 | $10 |
| Other | PREDNISONE DOSEPACK (48) | STERAPRED DS® | 10MG | TABLET | 48 | $4 | 144 | $10 |
| Other | PREDNISONE DOSEPACK (21) | STERAPRED® | 5MG | TABLET | 21 | $4 | 63 | $10 |
| Other | LIDOCAINE VISCOUS | XYLOCAINE® | 2% | SOLUTION | 100 | $4 | 300 | $10 |
| Other | HYDROCORTISONE RECTAL | ANUSOL-HC® | 2.50% | CREAM | 28 | $4 | 84 | $10 |
| Other | PREDNISONE | DELTASONE® | 2.5MG | TABLET | 30 | $4 | 90 | $10 |
| Other | PREDNISOLONE | ORAPRED® | 15MG/5ML | SOLUTION | 50 | $4 | 150 | $10 |
| Skin Conditions | TRIAMCINOLONE | ARISTOCORT® | 0.03% | CREAM | 15 | $4 | 45 | $10 |
| Skin Conditions | TRIAMCINOLONE | ARISTOCORT® | 0.10% | OINTMENT | 15 | $4 | 45 | $10 |
| Skin Conditions | TERBINAFINE | LAMISIL® | 250MG | TABLET | 30 | $9 | 90 | $24 |
| Skin Conditions | TRIAMCINOLONE | ARISTOCORT® | 0.03% | CREAM | 60 | $4 | 240 | $10 |
| Skin Conditions | TRIAMCINOLONE | KENALOG® | 0.10% | CREAM | 30 | $4 | 90 | $10 |
| Skin Conditions | TRIAMCINOLONE | KENALOG® | 0.10% | CREAM | 15 | $4 | 45 | $10 |
| Skin Conditions | HYDROCORTISONE | HYTONE® | 2.50% | OINTMENT | 30 | $4 | 90 | $10 |
| Skin Conditions | BENZOYL PEROXIDE CREAM WASH | LAVOCLEN® | 4% | WASH | 171 | $9 | 0 | $0 |
| Skin Conditions | HYDROCORTISONE | HYTONE® | 1% | CREAM | 15 | $4 | 45 | $10 |
| Skin Conditions | HYDROCORTISONE | HYTONE® | 2.50% | CREAM | 30 | $4 | 90 | $10 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 200MCG | TABLET | 30 | $9 | 90 | $24 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 88MCG | TABLET | 30 | $4 | 90 | $10 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 125MCG | TABLET | 30 | $4 | 90 | $10 |
| Thyroid | METHIMAZOLE | TAPAZOLE® | 5MG | TABLET | 30 | $4 | 90 | $10 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 175MCG | TABLET | 30 | $9 | 90 | $24 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 137MCG | TABLET | 30 | $4 | 90 | $10 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 112MCG | TABLET | 30 | $4 | 90 | $10 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 100MCG | TABLET | 30 | $4 | 90 | $10 |
| Thyroid | LEVOTHYROXINE | SYNTHORID® | 25MCG | TABLET | 30 | $4 | 90 | $10 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 150MCG | TABLET | 30 | $4 | 90 | $10 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 50MCG | TABLET | 30 | $4 | 90 | $10 |
| Thyroid | LEVOTHYROXINE | SYNTHROID® | 75MCG | TABLET | 30 | $4 | 90 | $10 |
| Vitamins | PRENATAL Plus | PRENATAL Plus | TABLET | 30 | $4 | 90 | $10 | |
| Vitamins | SODIUM FLUORIDE CHEWABLE | LURIDE® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Vitamins | SODIUM FLUORIDE CHEWABLE | LURIDE® | 0.5MG | TABLET | 30 | $4 | 90 | $10 |
| Vitamins | SODIUM FLUORIDE CHEWABLE | LURIDE® | 0.25MG | TABLET | 30 | $4 | 90 | $10 |
| Vitamins | RENAL CAPS | NEPHROCAPS® | CAPSULE | 30 | $4 | 90 | $10 | |
| Vitamins | SODIUM FLUORIDE | ETHEDENT® | 1.10% | GEL | 56 | $4 | 168 | $10 |
| Vitamins | SODIUM FLUORIDE | LURIDE DROP® | 0.5MG/ML | DROP | 50 | $4 | 150 | $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 | POLY-VI-FLOR® | 0.25MG | DROP | 50 | $4 | 150 | $10 |
| Vitamins | K-EFFERVESCE | K-LYTE® | 25MEQ | TABLET | 30 | $4 | 90 | $10 |
| Vitamins | ADVANCED NATALCARE | VINATE GT® | TABLET | 30 | $4 | 90 | $10 | |
| Vitamins | FOLIC ACID | FOLVITE® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Vitamins | NATALCARE PIC | NIFEREX-PN® | TABLET | 30 | $4 | 90 | $10 | |
| Vitamins | NATALCARE PLUS | STUARTNATAL® | TABLET | 30 | $4 | 90 | $10 | |
| Vitamins | MULTI-VITAMIN / FL / FE CHEWABLE | POLY-VI-FLOR® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Vitamins | MULTI-VITAMIN / FL CHEWABLE | POLY-VI-FLOR® | 1MG | TABLET | 30 | $4 | 90 | $10 |
| Vitamins | MULTI-VITAMIN / FL CHEWABLE | POLY-VI-FLOR® | 0.5MG | TABLET | 30 | $4 | 90 | $10 |
| Vitamins | MULTI-VITAMIN / FL CHEWABLE | POLY-VI-FLOR® | 0.25MG | TABLET | 30 | $4 | 90 | $10 |
| Women's Health | MEDROXYPROGESTERONE | PROVERA® | 2.5MG | 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 | TAMOXIFEN | NOLVADEX® | 20MG | TABLET | 30 | $9 | 90 | $24 |
| Women's Health | TRI-SPRINTEC 28-Day | ORTHO TRI-CYCLEN® | TABLET | 28 | $9 | 84 | $24 | |
| Women's Health | SPRINTEC 28-Day | ORTHO CYCLEN® | TABLET | 28 | $9 | 84 | $24 | |
| Women's Health | TAMOXIFEN | NOLVADEX® | 10MG | TABLET | 60 | $9 | 180 | $24 |
| Women's Health | EST ESTROGEN / METHYL TESTOST DS | ESTRATEST DS® | TABLET | 30 | $9 | 90 | $24 | |
| Women's Health | EST ESTROGEN / METHYL TESTOST HS | ESTRATEST HS® | TABLET | 30 | $9 | 90 | $24 | |
| Women's Health | ALENDRONATE SOD | FOSAMAX® | 35 MG | TABLET | 4 | $9 | 12 | $24 |
| Women's Health | ALENDRONATE SOD | FOSAMAX® | 70MG | TABLET | 4 | $9 | 12 | $24 |
| 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 | ESTRADIOL | ESTRACE® | 2MG | TABLET | 30 | $4 | 90 | $10 |
Generic pricing covers a 30-day supply for $4.00 or a 90-day supply for $10.00. Additional medications are offered at various reduced prices. $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. Some restrictions may apply. See pharmacy for details. Acme Pharmacy reserves the right to discontinue or modify these programs at any time.
