If your drug is not on the list just give us a call for a price. Ask us for details on how to avoid the higher deductible generic price.

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1 If your drug is not on the list just give us a call for a price. Ask us for details on how to avoid the higher deductible generic price. FREE SHIPPING TO AL, CT, DE, FL, GA, IN, KS, MA, MO, MS, NC, NH, NJ, NY, OH, PA, RI, SC, TX, VA & WA! 1

2 This voluntary generic prescription drug program from Marley Drug is being offered to all employees. The cost to participate is FREE. This independently owned pharmacy is based out of Winston-Salem, North Carolina. We are excited to help save you time and money on your generic prescription needs. This program has many benefits: Offers generic prescriptions at a very low cost. Presents a wide range of generic prescriptions. Prescriptions are shipped to your home. Free shipping anywhere in NC, SC, GA, FL, NY, NJ, FL, RI, VA, PA, TX, MO, WA, AL, OH & NH for a 6 month supply or greater. Most prescriptions can be ordered in 3, 6, 9, 12 months supplies. The more you buy, the more you save. Your insurance plan will not be billed. You may use your Flexible Spending Account funds for your Marley Drug prescription purchases. Many more generics are on Marley Drug s exclusive Extended Supply Generic Drug Program list and can be found at or by calling We strongly encourage employees to take advantage of the price savings. This will save you and your employer money by lessening our prescription claims. Remember, each year both your medical and pharmacy claims dictate your health plan structure for the following year. To sign up for this service, simply contact Marley Drug directly by phone or web-site and follow their process. Website: Phone:

3 GENERIC DRUG LIST & PRICES $20 $37 $55 $70 3 months 6 months 9 months 12 months $5 Shipping FREE SHIPPING FREE SHIPPING FREE SHIPPING List may be changed at anytime without notice. If you do not see your medication, ask a staff member if your drug is also eligible. All strengths unless otherwise noted. Based upon a typical daily dosage, some daily regimens may not be eligible. ALENDRONATE (generic Fosamax ) ALLOPURINOL (generic Xyloprim ) AMITRIPTYLINE (generic Elavil ) AMLODIPINE (generic Norvasc ) ATENOLOL (generic Tenormin ) BENAZEPRIL (generic Lotensin ) BUMETANIDE (generic Bumex ) BUSPIRONE (generic Buspar ) CAPTOPRIL (generic Capoten ) CARVEDILOL (generic Coreg ) CITALOPRAM (generic Celexa ) CLONIDINE (generic Catapres ) CLOPIDOGREL (generic Plavix ) DICYCLOMINE (generic Bentyl ) DOXEPIN (generic Sinequan ) ENALAPRIL (generic Vasotec ) ESCITALOPRAM (generic Lexapro ) ESTRADIOL (generic Estrace ) FLUOXETINE 20mg (generic Prozac ) FOLIC ACID (generic Folate ) FUROSEMIDE (generic Lasix ) GABAPENTIN 300mg (max of 1 per day,generic Neurontin ) GLIMEPIRIDE (generic Amaryl ) GLIPIZIDE (generic Glucotro ) GLYBURIDE (generic Micronase ) HCTZ (generic Esidrix ) IBUPROFEN (generic Motrin ) LAMOTRIGINE (Generic Lamictal ) LISINOPRIL/HCTZ (generic Zestoretic ) LISINOPRIL (generic Zestril ) LOSARTAN (generic Cozaar ) LOSARTAN/HCTZ (generic Hyzaar ) MELOXICAM (generic Mobic ) METFORMIN (generic Glucophage ) METFORMIN ER (generic Glucophage XR, max of 2 per day) METOPROLOL (generic Lopressor ) NAPROXEN (generic Naprosyn ) OMEPRAZOLE 20mg (generic Prilosec, max of 1 per day) PANTOPRAZOLE (generic Protonix, max of 1 per day) PREDNISONE PROPRANOLOL (generic Inderal ) QUINAPRIL (generic Accupril ) RANITIDINE (generic Zantac ) SERTRALINE (generic Zoloft all strengths, max of 2 per day) SIMVASTATIN (generic Zocor ) TERAZOSIN (generic Hytrin ) TOPIRAMATE (generic Topamax all strengths, max of 2 per day) TRAMADOL (generic Ultram ) TRIAMTER/HCTZ (generic Maxzide ) WARFARIN (generic Coumadin ) Drugs highlighted in yellow are NOT on Wal-Mart s $4 list FREE SHIPPING TO AL, CT, DE, FL, GA, IN, KS, MA, MO, MS, NC, NH, NJ, NY, OH, PA, RI, SC, TX, VA & WA! 3

4 Nobody can touch our prices for drugs NOT on the Extended Supply list! FREE SHIPPING ANYWHERE IN AL CT DE FL GA IN KS MA MO MS NC NH NJ NY OH PA RI SC TX VA WA GENERIC 6 Month Supply without Insurance Bupropion XL 150mg #180 (Generic Wellbutrin XL ) Duloxetine 60mg #180 (Generic Cymbalta ) Donepezil 10mg #180 (Generic Aricept ) Gabapentin 800mg # 360 (Generic Neurontin ) Lansoprazole 30mg #180 (Generic Prevacid ) Levetiracetam 500mg #360 (Generic Keppra ) Metoprolol 50mg ER #180 (Generic Toprol XL ) Montelukast 10mg #180 (Generic Singulair ) Sumatriptan 100mg #54 (Generic Imitrex ) Tamsulosin 0.4mg #180 (Generic Flomax ) Valacyclovir 1gm #180 (Generic Valtrex ) Valsartan/HCTZ 160/25 #180 (Generic Diovan/HCT ) WalMart MARLEY $227 $163 $711 $294 $418 $105 $333 $148 $484 $188 $408 $120 $160 $146 $190 $115 $568 $112 $351 $102 $1500 $260 $307 $140 PRICES QUOTED VIA TELEPHONE ON 4/29/2014, WAL-MART, KESTER MILL RD. WINSTON SALEM. 4

5 We now have available low cost alternative to Viagra tablets! Sildenafil, the active ingredient in Viagra, is now available in a generic 20mg tablet, and it is MUCH cheaper than Viagra. Ex: Five 20mg tablets of Sildenafil is equivalent to one 100mg Viagra. Price: 50 Sildenafil 20mg (ten 100mg doses) $80* VS. $300 for ten Viagra 100mg. Note: This is the FDA approved generic of Revatio 20mg tablet. The FDA has not approved generic Viagra, even though the active ingredient is identical, just in a different strength. It is Marley Drug s desire to assist you in reducing your patient s cost and increasing their ability to pay for their ED medication. We CANNOT substitute any prescription (or refill) written for Viagra without a phone call to the prescriber to get authorization for the following New Rx: Rx Sildenafil 20mg #50 Take 2-5 tablets as needed for sexual activity Going forward, just be sure to write all new Rxs for Sildenafil 20mg in the format above. *As with most generics, Marley Drug offers great prices based on our acquisition cost. We have no control over our competitor s prices, or if they are even stocking this new generic. Thanks, Dave Marley, Pharm. D., CEO 5

6 Washington New Hampshire New York Massachusetts Rhode Island Connecticut Indiana Ohio Pennsylvania New Jersey Delaware Kansas Missouri Virginia North Carolina South Carolina Mississippi Alabama Georgia Texas Florida MARLEY DRUG PENDING We hope to have the necessary permits to service all states east of the Mississippi river in the near future. Feel free to share this document with your friends and family. Our cost saving program is available to anyone with or without insurance. 6

7 7

8 Prescription Submission Phone: Fax: Internet: Mailing Address: 5008 Peters Creek Parkway Winston-Salem, NC Please use this form to submit your prescription(s), and send it back to us to complete your order. Full Name ( ) Phone Number Order Number (if available) Option 1: Doctor Will Fax My Prescription* Option 2: Transfer From Another Pharmacy* Physician s Name Clinic Name Street Address City State Country Zip ( ) ( ) Phone Number Ext. Fax Number Pharmacy Name Street Address City State Country Zip ( ) ( ) Phone Number Ext. Fax Number Please list the medications that will be faxed from your doctor, or to be transferred from another pharmacy. Drug Name Strength Directions Rx Number * A fax from your doctor, and transferring from another pharmacy is only available to residents of the United States Options: Mail Your Prescription Please mail your prescription and this form to: Marley Drug 5008 Peters Creek Parkway Winston-Salem, NC

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