Value-Priced Medication list
90-day supply, over 400 generic medications.
Blood Pressure and Heart Health (cont.)
Value Generics
antifungal
Drug Name
$9.99
Qty.
$12
Qty.
20
1
30
60
3
90
Fluconazole 50mg Tabs
Fluconazole 150mg Tabs
TeRbInaFIne 250mg Tabs
antiviral Treatments
Drug Name
$9.99
Qty.
$12
Qty.
60
60
35
180
180
105
$9.99
Qty.
$12
Qty.
60
90
60
30
60
30
120
90
60
60
30
15
100
30
60
30
30
30
60
180
270
180
90
180
90
360
270
180
180
90
45
300
90
180
90
90
90
180
$9.99
Qty.
$12
Qty.
75
120
75
225
360
225
acYcloVIR 200mg caPsules
acYcloVIR 400mg caPsules
acYcloVIR 800mg caPsules
arthritis or Pain
Drug Name
alloPuRInol 100mg, 300mg TableTs
bacloFen 10mg Tabs
cHloRzoXazone 500mg Tabs
cYclobenzaPRIne 5mg, 10mg Tabs
DIcloFenac PoTassIum 50mg Tabs
eToDolac eR 400 Tabs
IbuPRoFen 100mg/5ml oRal susP
IbuPRoFen 400mg Tabs
IbuPRoFen 600mg, 800mg Tabs
InDomeTHacIn 25mg caPs
InDomeTHacIn 50mg caPs
KeToRolac 10mg Tabs
lIDocaIne VIscous 2% oRal sol 100ml
meloXIcam 7.5mg, 15mg Tabs
naPRoXen 250mg, 375mg, 500mg Tabs
naPRoXen soDIum 275mg, 550mg Tabs
PIRoXIcam 10mg caPs
PIRoXIcam 20mg caPs
TIzanIDIne 2mg Tabs
asthma
Drug Name
albuTeRol 0.083% InH soln 25X3ml
albuTeRol sulFaTe sYRuP (2mg/5ml)
IPRaTRoPIum InHal. soluTIon 25X2.5ml
Blood Pressure and Heart Health
Drug Name
$9.99
Qty.
amIloRIDe 5mg / HcTz 50mg Tabs
amIoDaRone Hcl 200mg Tabs
aTenolol 25mg, 50mg Tabs
aTenolol 100mg Tabs
aTenolol 100mg/cHloRTHal 25mg Tabs
aTenolol/cHloRTHalIDone 50/25 Tabs
benazePRIl 5mg, 10mg, 20mg, 40mg Tabs
benazePRIl HcTz 10/12.5, 20/12.5 Tabs
benazePRIl HcTz 20/25mg Tabs
bIsoPRolol FumaRaTe 5mg Tabs
bIsoPRolol/HcTz 2.5mg/6.25mg Tabs
bIsoPRolol/HcTz 5mg/6.25mg Tabs
bIsoPRolol/HcTz 10mg/6.25mg Tabs
bumeTanIDe 0.5mg, 1mg, 2mg Tabs
caPToPRIl 12.5mg, 25mg Tabs
caPToPRIl 50mg, 100mg Tabs
caPToPRIl/HcTz 25/15 Tabs
30
30
60
30
30
30
30
30
30
30
30
30
30
30
60
60
60
$12
Qty.
90
90
180
90
90
90
90
90
90
90
90
90
90
90
180
180
180
Drug Name
$9.99
Qty.
caPToPRIl/HcTz 25/25 Tabs
caRVeDIlol 3.125mg, 6.25mg Tabs
caRVeDIlol 12.5mg, 25mg Tabs
clonIDIne 0.1mg, 0.2mg, 0.3 mg Tabs
cHloRTHalIDone 25mg Tabs
DIgoXIn 0.125mg, 0.25mg Tabs
DIlTIazem 30mg, 60mg, 90mg Tabs
DIlTIazem 120mg Tabs
DIPYRIDamole 25mg Tabs
DIPYRIDamole 50mg Tabs
DoXazosIn 1mg, 2mg, 4mg, 8mg Tabs
enalaPRIl 2.5mg, 5mg, 10mg, 20mg Tabs
enalaPRIl-HcTz 10-25mg Tabs
enalaPRIl-HcTz 5-12.5mg Tabs
FosInoPRIl 10mg Tabs
FosInoPRIl 20mg Tabs
FosInoPRIl 40mg Tabs
FuRosemIDe 80mg Tabs
guanFacIne 1 mg, 2mg Tabs
HYDRalazIne 10mg, 25mg Tabs
HYDRocHloRoTHIazIDe 12.5mg caPs
HYDRocHloRoTHIazIDe 25mg, 50mg Tabs
InDaPamIDe 1.25mg, 2.5mg Tabs
IsosoRbIDe DInITRaTe 5mg oRal Tabs
IsosoRbIDe DInITRaTe 10mg oRal Tabs
IsosoRbIDe DInITRaTe 20mg oRal Tabs
IsosoRbIDe mononITRaTe 10mg,
20mg Tabs
labeTalol 100mg Tabs
labeTalol 200mg Tabs
lIsInoPRIl 2.5mg, 5mg, 10mg Tabs
lIsInoPRIl 20mg, 30mg, 40mg Tabs
lIsInoPRIl-HcTz 10/12.5mg Tabs
lIsInoPRIl-HcTz 20/12.5mg Tabs
lIsInoPRIl-HcTz 20/25mg Tabs
meTolazone 2.5mg, 5mg Tabs
meTolazone 10mg Tabs
meToPRolol (TaRTRaTe) 25mg Tabs
meToPRolol (TaRTRaTe) 50mg Tabs
meToPRolol (TaRTRaTe) 100mg Tabs
moeXIPRIl 7.5mg Tabs
moeXIPRIl 15mg Tabs
naDolol 20mg, 40mg, 80mg Tabs
nITRoglYceRIn 2.5mg s.R. caPs
nITRoglYceRIn 6.5mg s.R. 100
PRazosIn 1mg caPs
PRazosIn 2mg, 5mg caPs
PRoPRanolol 10mg, 20mg Tabs
PRoPRanolol 40mg, 80mg Tabs
QuInaPRIl 5mg, 10mg, 20mg, 40mg Tabs
soTalol 80mg, 120mg Tabs
soTalol aF 80mg Tabs
sPIRonolacTone 25mg Tabs
sPIRonolacTone 50mg Tabs
sPIRonolacTone 25mg W/HcTz 25mg Tabs
TeRazosIn 1mg, 2mg, 5mg, 10mg caPs
ToRsemIDe 10mg, 20mg Tabs
TRanDolaPRIl 1mg Tabs
TRanDolaPRIl 2mg Tabs
TRanDolaPRIl 4mg Tabs
TRIamTeRene 37.5mg/HcTz 25mg
caPs oR Tabs
TRIamTeRene 75mg/ HcTz 50mg Tabs
VeRaPamIl 80mg, 120mg Tabs
*Membership fee required ($20 individual or $35 family per year).
This program does not constitute insurance.
$12
Qty.
60
60
60
60
30
30
60
30
60
60
30
60
30
60
30
30
30
30
30
60
30
30
30
90
90
90
180
180
180
180
90
90
180
90
180
180
90
180
90
180
90
90
90
90
90
180
90
90
90
270
270
270
60
60
60
30
30
30
30
30
30
30
60
60
60
30
30
30
30
30
30
60
60
60
30
60
60
30
30
30
30
30
30
30
30
180
180
180
90
90
90
90
90
90
90
180
180
180
90
90
90
90
90
90
180
180
180
90
180
180
90
90
90
90
90
90
90
90
30
30
30
90
90
90
Blood Pressure and Heart Health (cont.)
Drug Name
$9.99
Qty.
$12
Qty.
30
30
30
30
90
90
90
90
$9.99
Qty.
$12
Qty.
30
30
90
90
$9.99
Qty.
$12
Qty.
VeRaPamIl eR 180mg, 240mg Tabs
WaRFaRIn soD 1mg, 2mg, 2.5mg Tabs
WaRFaRIn soD 3mg, 4mg, 5mg Tabs
WaRFaRIn soD 6mg, 7.5mg, 10mg Tabs
cholesterol
Drug Name
loVasTaTIn 10mg, 20mg, 40mg Tabs
PRaVasTaTIn 10mg, 20mg, 40mg Tabs
cough/cold/allergy
Drug Name
benzonaTaTe 100mg caPs
c-PHen Dm sYRuP
c-PHen sYRuP
cYPRoHePTaDIne 4mg Tabs
De-cHloR Dm lIQuID
FeXoFenaDIne 30mg Tabs
loRaTaDIne 10mg Tabs
PRomeTHazIne 6.25 mg/5ml sYRuP PlaIn
30
120
120
60
120
60
30
180
90
360
360
180
360
180
90
540
$9.99
Qty.
$12
Qty.
Diabetes
Drug Name
glImePIRIDe 1mg, 2mg, 4mg Tabs
glIPIzIDe 5mg Tabs
glIPIzIDe 10mg Tabs
glYbuRIDe 1.25mg, 2.5mg Tabs
glYbuRIDe mIcRo 1.5mg, 3mg, 6mg Tabs
glYbuRIDe/meTFoRmIn 1.25/250mg Tabs
glYbuRIDe/meTFoRmIn 2.5/500mg Tabs
meTFoRmIn 500mg, 850mg, 1000mg Tabs
meTFoRmIn eR 500mg 24HR Tabs
30
30
60
30
30
60
60
90
60
90
90
180
90
90
180
180
270
180
$9.99
Qty.
$12
Qty.
eye care
Drug Name
leVobunolol 0.5% oPTH soln 5ml
PIlocaRPIne 0.5% oPHTH soln
sulFaceTamIDe na 10% oPH soln 15ml
TImolol maleaTe .25% oPHTH soln 5ml
TImolol maleaTe .5% oPHTH soln 5ml
TobRamYcIn 0.3% oPH sol 5ml
5
15
15
5
5
5
15
45
45
15
15
15
$9.99
Qty.
$12
Qty.
60
60
90
60
237
60
30
60
60
12
60
60
180
180
270
180
711
180
90
180
180
36
180
180
Gastrointestinal Health
Drug Name
bellaDonna alKaloIDs W/Pb Tabs
cImeTIDIne 200mg, 300mg, 400mg Tabs
DIcYclomIne 10mg caPs
DIcYclomIne 20mg Tabs
enulose sYRuP (10gm/15ml)
FamoTIDIne 20mg Tabs
FamoTIDIne 40mg Tabs
meTocloPRamIDe 5mg, 10mg Tabs
meTocloPRamIDe Hcl 5mg/5ml sYRuP
PRomeTHazIne 12.5 mg, 25mg Tabs
PRomeTHazIne 50mg Tabs
RanITIDIne 150mg Tabs oR caPs
as of 10/11
Value-Priced Medication List (cont.)
infectious Treatments
Drug Name
skin conditions
$9.99
Qty.
amoXIcIllIn 125mg/5ml susP 150ml
amoXIcIllIn 200mg/5ml susP 100ml
amoXIcIllIn 250mg, 500mg caPs
amoXIcIllIn 250mg/5ml susP 150ml
amoXIcIllIn 400mg/5ml susP 100ml
amoXIcIllIn 400mg/5ml susP 50ml
cePHaleXIn 125mg/5ml susP 200ml
cePHaleXIn 250mg/5ml susP 100ml
cePHaleXIn 500mg caPs
cePHaleXIn 250mg caPs
cIPRoFloXacIn 250mg Tabs
cIPRoFloXacIn 500mg Tabs
DoXYcYclIne HYclaTe 50mg caPs
DoXYcYclIne HYclaTe 100mg caPs
DoXYcYclIne HYclaTe 100mg Tabs
eRYTHRomYcIn es 200mg/5ml susP
PenIcIllIn VK 125mg/5ml soln 200ml
PenIcIllIn VK 250mg Tabs
PenIcIllIn VK 250mg/5ml soln 100ml
PenIcIllIn VK 500mg Tabs
smz/TmP RegulaR sTRengTH Tabs
sulFameTH/TRImeTHoPRIm 800/160 Tabs
sulFameTH-TRImeTH susP (gRaPe)
TeTRacYclIne 250mg, 500mg caPs
150
100
30
150
100
50
200
100
30
28
14
20
30
20
20
120
200
30
100
20
28
20
150
60
$12
Qty.
450
300
90
450
300
150
600
300
90
84
42
60
90
60
60
360
600
90
300
60
84
60
450
180 Mental Health
Drug Name
amITRIPTYlIne 10mg, 25mg Tabs
amITRIPTYlIne 50mg, 75mg Tabs
amITRIPTYlIne 100mg, 150mg Tabs
benzTRoPIne 0.5mg Tabs
benzTRoPIne 1mg Tabs
benzTRoPIne 2mg Tabs
busPIRone 5mg, 10mg, 15mg Tabs
caRbamazePIne 100mg cHeWable Tabs
caRbamazePIne 200mg Tabs
cHloRPRomazIne 10mg Tabs
cITaloPRam 10mg, 20mg, 40mg Tabs
DoXePIn 10mg, 25mg, 50mg caPs
DoXePIn 75mg, 100mg caPs
FluoXeTIne 10mg, 20mg caPs oR Tabs
FluoXeTIne 40mg caPs
FluPHenazIne 1mg Tabs
FluPHenazIne 2.5mg, 5mg Tabs
gabaPenTIn 100mg caPs
HaloPeRIDol 0.5mg Tabs
HaloPeRIDol 1mg, 2mg, 5mg Tabs
lITHIum caRbonaTe 150mg caPs
lITHIum caRbonaTe 600mg caPs
ImIPRamIne 10mg, 25mg Tabs
ImIPRamIne 50mg Tabs
lITHIum caRbonaTe 300mg caPs
mIRTazaPIne 15mg, 30mg Tabs
noRTRIPTYlIne 10mg, 25mg caPs
noRTRIPTYlIne 75mg Tabs
PaRoXeTIne 10mg, 20mg Tabs
PRImIDone 50mg Tabs
PRocHloRPeRazIne 10mg Tabs
seRTRalIne 25mg Tabs
THIoRIDazIne 10mg Tabs
THIoRIDazIne 25mg, 50mg Tabs
THIoTHIXene 1mg caPs
THIoTHIXene 2mg caPs
TRazoDone 50mg, 100mg, 150mg Tabs
TRIHeXYPHenIDYl 2mg Tabs
TRIFluoPeRazIne 1mg, 2mg Tabs
TRIFluoPeRazIne 5mg, 10mg Tabs
$9.99
Qty.
$12
Qty.
30
30
30
30
60
30
60
120
100
60
30
30
30
30
30
60
30
90
60
30
60
60
60
30
90
30
30
30
30
60
30
30
60
30
60
60
30
60
60
60
90
90
90
90
180
90
180
360
300
180
90
90
90
90
90
180
90
270
180
90
180
180
180
90
270
90
90
90
90
180
90
90
180
90
180
180
90
180
180
180
Drug Name
Drugs Priced Below $12 for 90-day Qty.
$9.99
Qty.
beTameTHasone DIP 0.05% cRm
beTameTHasone Val 0.1% loTIon
cIcloPIRoX ToPIcal susPensIon 30ml
eRYTHRomYcIn 2% ToPIcal soln
FluocInolone aceT 0.01% soln
genTamIcIn 0.1% cReam oR oInT
HYDRocoRTIsone 1%, 2.5% cReam
HYDRocoRTIsone 1% oInTmenT 28.35gm
momeTasone 0.1% oInTmenT 15gm
TRIamcInolone 0.5% cReam
$12
Qty.
15
60
30
60
60
15
30
30
15
15
45
180
90
180
180
45
90
90
45
45
$9.99
Qty.
$12
Qty.
30
30
60
90
90
180
$9.99
Qty.
$12
Qty.
Thyroid conditions
Drug Name
leVoTHYRoXIne Tabs all sTRengTH
meTHImazole 5mg, 10mg Tabs
PRoPYlTHIouRacIl 50mg Tabs
Vitamins and nutritional Health
Drug Name
Fabb TableTs
mulTI-VITa-F 0.25mg, 0.5mg cHeW Tabs
mulTIVITs W/Fl 1mg & IRon cHeW Tab
naTalcaRe gT Tabs
naTalcaRe Plus Tab (1mg FolIc acID)
naTaTab Fa Tabs
PoTassIum cHloRIDe 10% lIQ
Rena-VITe RX Tabs
se-naTal 19 Tabs
soDIum FluoRIDe .25 cHeW Tabs
soDIum FluoRIDe .5 cHeW Tabs
TRI-VIT/Fe Fl .25mg DRoPs 50ml
VITamIn D 50000Iu caPs
30
90
30
90
30
90
30
90
30
90
30
90
473 1,419
30
90
30
90
120 360
30
90
50 150
4
12
Women’s Health
Drug Name
$9.99
Qty.
alenDRonaTe 5mg Tabs
clomIPHene cITRaTe 50mg Tabs
esTRaDIol 0.5mg, 1mg, 2mg Tabs
meDRoXYPRogesTeRone 2.5mg, 5mg Tabs
meDRoXYPRogesTeRone 10mg Tabs
TamoXIFen 10mg Tabs
$12
Qty.
30
5
30
30
10
60
90
15
90
90
30
180
$9.99
Qty.
$12
Qty.
Other
Drug Name
cHloRHeXIDIne oRal RInse 473ml
cYTRa-2 soluTIon
DeXameTHasone 0.5mg Tabs
DeXameTHasone 0.75mg Tabs
DeXameTHasone 1.5mg Tabs
DeXameTHasone 4mg Tabs
megesTRol aceTaTe 20mg Tabs
meTHYlPReDnIsolone 4mg Tabs
oXYbuTYnIn 5mg Tabs
PHenazoPYRIDIne 100mg, 200mg Tabs
PReDnIsolone 15mg/5ml sYRuP
PReDnIsolone soD PHos 15mg/5ml sol
PReDnIsone 10mg, 20mg Tabs
PReDnIsone 5mg Tabs PacK 21’s
PReDnIsone 10mg Tabs PacK 48’s
473 1,419
473 1,419
60 180
12
36
45 135
30
90
30
90
60 180
60 180
30
90
60 180
30
90
30
90
21
63
48 144
Drug Name
Qty.
beTameTHasone DIP 0.05% oInT 15gm
FluocInolone aceT 0.025% cRm 15gm
FolIc acID 1mg Tabs
FuRosemIDe 20mg, 40mg Tabs
mulTI-VIT/Fe Fl .025mg DRoPs 50ml
PReDnIsone 2.5mg, 5mg Tabs
45
45
90
90
150
90
Value-Priced Medication List (cont.)
Value BranD-naMe
insulins
leVemIR FleXPen
leVemIR 100 unITs/ml VIal
noVolIn n 100 unITs/ml VIal
noVolIn R 100 unITs/ml VIal
noVolIn 70/30 100 unIT/ml VIal
noVolog mIX 70/30 VIal
noVolog mIX 70/30 FleXPen
noVolog FleXPen
noVolog PenFIll 3 ml
noVolog 100 unIT/ml VIal
1 boX
1 VIal
1 VIal
1 VIal
1 VIal
1 VIal
1 boX
1 boX
1 boX
1 VIal
$187.80
$101.88
$49.10
$49.10
$49.10
$115.48
$226.16
$226.16
$217.46
$115.48
liFesTYle MeDicaTiOns
Birth control – special Price at $12 for 1-month supply
mononessa Tabs
TRInessa Tabs
21/28
21/28
$21.99 for 1-month supply
mIcRogesTIn 1.5/30 Fe TableTs
mIcRogesTIn 1/20 Fe TableTs
21/28
21/28
$23.99 for 1-month supply
necon 1/35 TableTs
ReclIPsen 0.15mg-30mcg TableTs
loW-ogesTRel TableTs
21/28
21/28
21/28
$25.99 for 1-month supply
leVoRa 0.15/30 TableTs
luTeRa TableTs
21/28
21/28
$29.99 for 1-month supply
JolIVeTTe 0.35mg TableTs
28
Discounted Lifestyle Medications
cIalIs 5mg TableTs (QTY 10)
cIalIs 10mg TableTs (QTY 6)
cIalIs 20mg TableTs (QTY 6)
VIagRa 50mg TableTs (QTY 6)
VIagRa 100mg TableTs (QTY 6)
PRoPecIa 1mg (PRo PaK) TableTs
laTIsse 0.03% oPHTH soluTIon
$41.99
$135.99
$135.99
$124.99
$124.99
$67.99
$106.99
The average savings on the purchase of a
90-day supply of a generic, priced at $12,
is $44.71.
The average savings on the purchase of
commonly prescribed quantities of all other
generic drugs, not included in the $12 pricing,
is $17.38.
The average savings for the purchase of
commonly prescribed quantities of brand
name drugs is $22.71.
Persons receiving prescription benefits from a publicly funded health care program are ineligible. Membership may be cancelled within 30 days of issue date. For complete terms and conditions,
call 1-866-922-7312 or visit www.walgreens.com/rxsavingsclub. Walgreen Co., 200 Wilmot Rd., Deerfield, IL 60015. $12 prescriptions are for a 90-day supply of a covered drug at a commonly
prescribed dosage. The list of covered drugs is subject to change. Not all prescription drugs are covered by this program. State law may prohibit the advertising of controlled substances. If you
have a prescription for a controlled substance, please talk to your local pharmacist to see if your medication is included in the Prescription Savings Club Formulary. Only prescriptions initially
filled in person at a participating pharmacy are eligible for the $12 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 Walgreens pharmacist for more information.
11aF0034
as of 10/11