Generic Pharmacy Discount

Generic Pharmacy Discount 83 Park Place Blvd Suite 101 Clearwater, FL 33759 Fourth Quarter 2014 727.461.6044 800.314.0088

Pharmacies Generic Discount Program Information Enclosed information provided ONLY as educational by Brown & Brown of Florida, Inc. What is all the talk about cheap or free generic drugs? When you pick up your next prescription, you may be told a generic equivalent was substituted for the brand name drug. A generic is a medication that has the same active ingredient as the brand name drug, but costs less. With patents on brand name drugs expiring every year, the number of generics on the market will keep increasing. This means savings for you! Why do generics cost less? Brand name drug companies pay millions of dollars over many years researching a new drug product. Once the patent of the brand name drug has expired, other manufacturers are allowed to enter the market with their generic product. Because these manufacturers can skip the research step and move right into manufacturing, they realize significant savings that they pass on to the patient. Are there any differences between brand name and generic drugs? Generics may look different than brand name drugs, but they still contain the same active ingredient. There can be very small differences in the amount of active ingredient, but the FDA puts limits on the variations. How do I get generics prescribed to me? Your doctor can determine whether or not a generic can be substituted for the brand name drug. Be sure to ask your pharmacist if a generic product has been substituted for the brand name drug when they fill your prescription. I have seen some pharmacies advertise $4 generics. Are all generic drugs on this list? No. Although a brand name drug may have a generic, it does not guarantee that the generic will be $4. Check out your pharmacy s specific conditions for more information on what is on this list. 3nd Quarter 2014 West Central Florida Table of Contents Publix FREE Medications 1 CVS 2-4 Kmart Rx Savings Club 5-13 Target 14-15 Walgreens Savings Club 16-20 Walmart 21-25 Winn Dixie 26-35 DISCLAIMER Brown & Brown provides this discount guide as a service to the employees of our client employers. Our first recommendation is to go to each providers online website for the most current and up-to-date information. The websites are listed on the back. We do not officially sanction one provider over another nor do we deem these as the only acceptable providers in the pharmacy marketplace. We provide this information for illustrative purposes only. It is the employee s responsibility to ensure that the information is correct per the providers website and discussion with the pharmacy staff prior to filling the prescription.

Free medications now including amlodipine! At Publix, we're always looking for ways to make your life easier and that includes helping you manage healthcare costs. That's why we offer a variety of some of the most-often prescribed medications absolutely free for as long as your doctor prescribes. It doesn't matter who your prescription insurance provider is, or how many prescriptions you need filled. There's no limit to the number of refills; there are no forms to fill out. Just drop your qualifying prescription off at your neighborhood Publix Pharmacy and get the generic medication you need free. Bet you're feeling better already. Now! FREE amlodipine This calcium channel blocker is used to treat high blood pressure and chest pain (angina). Thirty-day supply at a time. (Up to 60 2.5-mg or 5-mg tablets, or 30 10-mg tablets. Amlodipine combination products excluded.) FREE lisinopril An ACE inhibitor, lisinopril is used to prevent, treat, or improve symptoms of high blood pressure, certain heart conditions, diabetes, and certain chronic kidney conditions. Thirty-day supply (up to 60 tablets) at a time. Lisinopril- HCTZ combination products excluded. FREE antibiotics Get up to a 14-day supply of the following generic oral antibiotics free: Amoxicillin Ampicillin Sulfamethoxazole/Trimethoprim (SMZ-TMP) Ciprofloxacin (excluding Ciprofloxacin XR) Penicillin VK FREE metformin As part of our Publix Pharmacy Diabetes Management System, you can get generic immediate-release metformin FREE. Thirty-day supply at a time (up to 120 500-mg tablets, or 90 850-mg or 1000-mg tablets). Certain restrictions may apply. Please see your pharmacist for details. Publix reserves the right to modify the terms of, and medications covered by, the Publix Pharmacy free medications program at any time, and such terms are subject to change without advance notice. 1

November 2013 $ $ 11.99 for 90 days* hundreds of generic medications Health Savings Pass medication list Sign up now to save on prescriptions. Plus 10% off at MinuteClinic. ALLERGY.............................. QTY FEXOFENADINE HCL 30 MG TAB.............. 90 HYDROXYZINE HCL 10 MG/5 ML SYRUP...... 360 HYDROXYZINE PAMOATE 25 MG CAP......... 180 LORATADINE 10 MG TAB.................... 90 PROMETHAZINE HCL 12.5 MG TAB............ 36 PROMETHAZINE HCL 25 MG TAB**............ 36 PROMETHAZINE HCL 6.25MG/5ML SYRUP**... 540 ANTIBIOTICS & ANTI-INFECTIVES......... QTY ACYCLOVIR 200 MG CAP................... 90 CLINDAMYCIN PHOSPHATE 1% SOLN......... 90 ISONIAZID 300 MG TAB..................... 90 POLYMYXIN B SULF/TRIMETHOPRIM 10K/ML-0.1 DROPS**..................... 30 ARTHRITIS & PAIN...................... QTY BACLOFEN 10 MG TAB..................... 90 CHLORZOXAZONE 500 MG TAB............. 180 CYCLOBENZAPRINE HCL 5 MG TAB........... 90 CYCLOBENZAPRINE HCL 10 MG TAB.......... 90 IBUPROFEN 100 MG/5ML SUSP**............ 360 IBUPROFEN 400 MG TAB................... 270 IBUPROFEN 600 MG TAB................... 180 IBUPROFEN 800 MG TAB.................... 90 INDOMETHACIN 25 MG CAP**............... 180 INDOMETHACIN 50 MG CAP................. 90 KETOPROFEN 50 MG CAP................... 90 KETOPROFEN 75 MG CAP................... 90 MELOXICAM 7.5 MG TAB.................... 90 MELOXICAM 15 MG TAB.................... 90 METHOCARBAMOL 500 MG TAB............. 180 NAPROXEN 250 MG TAB................... 180 NAPROXEN 375 MG TAB**.................. 180 NAPROXEN 500 MG TAB**.................. 180 NAPROXEN SODIUM 275 MG TAB............. 90 NAPROXEN SODIUM 550 MG TAB............. 90 TIZANIDINE HCL 2 MG TAB................. 180 TIZANIDINE HCL 4 MG TAB................. 180 ASTHMA.............................. QTY ALBUTEROL SULFATE 2 MG/5 ML SYRUP........ 360 ALBUTEROL SULFATE 5 MG/ML SOLN............ 60 IPRATROPIUM BROMIDE 0.2 MG/ML SOLN**...... 225 THEOPHYLLINE ANHYDROUS 100 MG TAB....... 180 THEOPHYLLINE ANHYDROUS 200 MG TAB....... 180 DIABETES............................. QTY GLIMEPIRIDE 1 MG TAB..................... 90 GLIMEPIRIDE 2 MG TAB..................... 90 GLIMEPIRIDE 4 MG TAB..................... 90 GLIPIZIDE 5 MG TAB........................ 90 GLIPIZIDE 10 MG TAB**.................... 180 GLYBURIDE 1.25 MG TAB................... 90 GLYBURIDE 2.5 MG TAB.................... 90 GLYBURIDE 5 MG TAB...................... 90 GLYBURIDE, MICRONIZED 1.5 MG TAB......... 90 GLYBURIDE, MICRONIZED 3 MG TAB.......... 90 GLYBURIDE, MICRONIZED 6 MG TAB.......... 90 GLYBURIDE/METFORMIN HCL 5 MG-500MG TAB...................... 180 METFORMIN HCL 500 MG TAB**............. 180 METFORMIN HCL 850 MG TAB.............. 180 METFORMIN HCL 1000 MG TAB**............ 180 METFORMIN HCL ER 500 MG TAB........... 180 FUNGAL INFECTIONS................... QTY FLUCONAZOLE 100 MG TAB................. 12 FLUCONAZOLE 200 MG TAB................. 12 TERBINAFINE HCL 250 MG TAB**............. 30 GASTROINTESTINAL HEALTH............ QTY CIMETIDINE 300 MG TAB.................... 90 CIMETIDINE 400 MG TAB.................... 90 DICYCLOMINE HCL 10 MG CAP............. 270 DICYCLOMINE HCL 20 MG TAB.............. 180 FAMOTIDINE 20 MG TAB................... 180 FAMOTIDINE 40 MG TAB.................... 90 LACTULOSE 10 G/15 ML SOLN.............. 720 MECLIZINE HCL 12.5 MG TAB............... 180 METOCLOPRAMIDE HCL 5 MG TAB.......... 180 METOCLOPRAMIDE HCL 10 MG TAB......... 180 METOCLOPRAMIDE HCL 5 MG/5 ML SOLN.... 180 PHENOBARB/HYOSCY/ATROPINE/SCOP 16.2 MG TAB.......................... 180 PROCHLORPERAZINE MALEATE 5 MG TAB..... 90 PROCHLORPERAZINE MALEATE 10 MG TAB.... 90 RANITIDINE HCL 150 MG TAB............... 180 RANITIDINE HCL 300 MG TAB................ 90 GLAUCOMA & EYE CARE................ QTY ATROPINE SULFATE 1 % DROPS.............. 15 CYCLOPENTOLATE HCL 1 % DROPS.......... 45 FLURBIPROFEN SODIUM 0.03 % DROPS........ 8 LEVOBUNOLOL HCL 0.5 % DROPS............ 15 TIMOLOL MALEATE 0.25 % DROPS............ 15 TIMOLOL MALEATE 0.5 % DROPS............. 15 HEART HEALTH & BLOOD PRESSURE..... QTY AMILORIDE/HCTZ 5MG-50MG TAB............ 90 AMIODARONE HCL 200 MG TAB.............. 90 ATENOLOL 25 MG TAB...................... 90 ATENOLOL 50 MG TAB...................... 90 ATENOLOL 100 MG TAB..................... 90 ATENOLOL/CHLORTHALIDONE 50 MG-25MG TAB....................... 90 ATENOLOL/CHLORTHALIDONE 100MG-25MG TAB....................... 90 BENAZEPRIL HCL 5 MG TAB................. 90 BENAZEPRIL HCL 10 MG TAB................ 90 BENAZEPRIL HCL 20 MG TAB................ 90 BENAZEPRIL HCL 40 MG TAB................ 90 BENAZEPRIL/HCTZ 10-12.5MG TAB........... 90 BENAZEPRIL/HCTZ 20-12.5 MG TAB........... 90 BENAZEPRIL/HCTZ 20-25MG TAB............. 90 BISOPROLOL FUMARATE/HCTZ 2.5-6.25MG TAB.. 90 BISOPROLOL FUMARATE/HCTZ 5-6.25MG TAB.. 90 BISOPROLOL FUMARATE/HCTZ 10-6.25MG TAB.. 90 BUMETANIDE 0.5 MG TAB................... 90 BUMETANIDE 1 MG TAB..................... 90 BUMETANIDE 2 MG TAB..................... 90 CAPTOPRIL 12.5 MG TAB.................. 180 CAPTOPRIL 25 MG TAB.................... 180 CAPTOPRIL 50 MG TAB.................... 180 CAPTOPRIL 100 MG TAB................... 180 CARVEDILOL 3.125 MG TAB................ 180 CARVEDILOL 6.25 MG TAB................. 180 CARVEDILOL 12.5 MG TAB................. 180 CARVEDILOL 25 MG TAB**.................. 180 CHLORTHALIDONE 25 MG TAB............... 90 CHLORTHALIDONE 50 MG TAB............... 90 CLONIDINE HCL 0.1 MG TAB................. 90 CLONIDINE HCL 0.2 MG TAB................. 90 CLONIDINE HCL 0.3 MG TAB................. 90 DIGOXIN 125 MCG TAB..................... 90 DIGOXIN 250 MCG TAB..................... 90 DILTIAZEM HCL 120 MG CAP................. 90 DILTIAZEM HCL 30 MG TAB................. 180 It s easy to enroll: in store or online at www.cvs.com/healthsavingspass 1 2

November 2013 HEART HEALTH & BLOOD PRESSURE (cont.).. QTY DILTIAZEM HCL 60 MG TAB................. 180 DILTIAZEM HCL 90 MG TAB**................ 180 DILTIAZEM HCL 120 MG TAB................. 90 DOXAZOSIN MESYLATE 1 MG TAB............ 90 DOXAZOSIN MESYLATE 2 MG TAB............ 90 DOXAZOSIN MESYLATE 4 MG TAB............ 90 DOXAZOSIN MESYLATE 8 MG TAB............ 90 ENALAPRIL MALEATE 5 MG TAB.............. 90 ENALAPRIL MALEATE 2.5 MG TAB............ 90 ENALAPRIL MALEATE 10 MG TAB............. 90 ENALAPRIL MALEATE 20 MG TAB............. 90 ENALAPRIL-HCTZ 5-12.5 MG TAB............. 90 ENALAPRIL-HCTZ 10-25 MG TAB............. 90 FOSINOPRIL SODIUM 10 MG TAB............. 90 FOSINOPRIL SODIUM 20 MG TAB............. 90 FOSINOPRIL SODIUM 40 MG TAB............. 90 FUROSEMIDE 20 MG TAB................... 90 FUROSEMIDE 40 MG TAB................... 90 FUROSEMIDE 80 MG TAB................... 90 GUANFACINE HCL 1 MG TAB................. 90 GUANFACINE HCL 2 MG TAB................. 90 HYDRALAZINE HCL 10 MG TAB............... 90 HYDRALAZINE HCL 25 MG TAB............... 90 HYDROCHLOROTHIAZIDE 12.5 MG CAP**...... 90 HYDROCHLOROTHIAZIDE 25 MG TAB......... 90 HYDROCHLOROTHIAZIDE 50 MG TAB......... 90 INDAPAMIDE 1.25 MG TAB................... 90 INDAPAMIDE 2.5 MG TAB.................... 90 ISOSORBIDE MONONITRATE 20 MG TAB....... 90 ISOSORBIDE MONONITRATE 30 MG TAB....... 90 ISOSORBIDE MONONITRATE 60 MG TAB....... 90 LISINOPRIL 2.5 MG TAB..................... 90 LISINOPRIL 5 MG TAB...................... 90 LISINOPRIL 10 MG TAB..................... 90 LISINOPRIL 20 MG TAB..................... 90 LISINOPRIL 30 MG TAB..................... 90 LISINOPRIL 40 MG TAB..................... 90 LISINOPRIL-HCTZ 10-12.5 MG TAB............ 90 LISINOPRIL-HCTZ 20-12.5 MG TAB**........... 90 LISINOPRIL-HCTZ 20-25 MG TAB**............ 90 LOVASTATIN 10 MG TAB.................... 90 LOVASTATIN 20 MG TAB**................... 90 LOVASTATIN 40 MG TAB.................... 90 METHYLDOPA 250 MG TAB**................ 180 METHYLDOPA 500 MG TAB**................. 90 METOLAZONE 2.5 MG TAB.................. 90 METOLAZONE 5 MG TAB.................... 90 METOPROLOL TARTRATE 25 MG TAB......... 180 METOPROLOL TARTRATE 50 MG TAB......... 180 METOPROLOL TARTRATE 100 MG TAB**...... 180 NADOLOL 20 MG TAB...................... 90 NADOLOL 40 MG TAB...................... 90 PRAVASTATIN SODIUM 10 MG TAB............ 90 PRAVASTATIN SODIUM 20 MG TAB............ 90 PRAVASTATIN SODIUM 40 MG TAB**........... 90 PRAZOSIN HCL 1 MG CAP................... 90 PRAZOSIN HCL 2 MG CAP................... 90 PROPRANOLOL HCL 10 MG TAB............ 180 PROPRANOLOL HCL 20 MG TAB............ 180 PROPRANOLOL HCL 40 MG TAB............ 180 PROPRANOLOL HCL 80 MG TAB............ 180 QUINAPRIL HCL 5 MG TAB.................. 90 QUINAPRIL HCL 10 MG TAB................. 90 QUINAPRIL HCL 20 MG TAB................. 90 QUINAPRIL HCL 40 MG TAB................. 90 SOTALOL HCL 80 MG TAB**................. 90 SPIRONOLACTONE 25 MG TAB**............. 90 TERAZOSIN HCL 1 MG CAP.................. 90 TERAZOSIN HCL 2 MG CAP.................. 90 TERAZOSIN HCL 5 MG CAP.................. 90 TERAZOSIN HCL 10 MG CAP................. 90 TORSEMIDE 10 MG TAB..................... 90 TORSEMIDE 20 MG TAB..................... 90 TRIAMTERENE/HCTZ 37.5-25 MG CAP......... 90 TRIAMTERENE/HCTZ 75/50 TAB.............. 90 TRIAMTERENE-HCTZ 37.5-25 MG TAB......... 90 VERAPAMIL HCL 80 MG TAB................. 90 VERAPAMIL HCL 120 MG TAB................ 90 VERAPAMIL HCL 180 MG TAB................ 90 VERAPAMIL HCL 240 MG TAB................ 90 WARFARIN SODIUM 1 MG TAB............... 90 WARFARIN SODIUM 2 MG TAB............... 90 WARFARIN SODIUM 2.5 MG TAB.............. 90 WARFARIN SODIUM 3 MG TAB............... 90 WARFARIN SODIUM 4 MG TAB............... 90 WARFARIN SODIUM 5 MG TAB**.............. 90 WARFARIN SODIUM 6 MG TAB............... 90 WARFARIN SODIUM 7.5 MG TAB.............. 90 WARFARIN SODIUM 10 MG TAB.............. 90 MENTAL HEALTH....................... QTY AMITRIPTYLINE HCL 10 MG TAB.............. 90 AMITRIPTYLINE HCL 25 MG TAB.............. 90 AMITRIPTYLINE HCL 50 MG TAB.............. 90 AMITRIPTYLINE HCL 75 MG TAB.............. 90 AMITRIPTYLINE HCL 100 MG TAB............. 90 AMITRIPTYLINE HCL 150 MG TAB............. 90 BENZTROPINE MESYLATE 0.5 MG TAB......... 90 BENZTROPINE MESYLATE 1 MG TAB.......... 90 BENZTROPINE MESYLATE 2 MG TAB.......... 90 BUSPIRONE HCL 5 MG TAB................. 180 BUSPIRONE HCL 10 MG TAB**.............. 180 BUSPIRONE HCL 15 MG TAB................ 180 CARBAMAZEPINE 200 MG TAB**............. 180 CITALOPRAM HBR 10 MG TAB............... 90 CITALOPRAM HBR 20 MG TAB............... 90 CITALOPRAM HBR 40 MG TAB............... 90 DOXEPIN HCL 10 MG CAP................... 90 DOXEPIN HCL 25 MG CAP................... 90 DOXEPIN HCL 50 MG CAP................... 90 DOXEPIN HCL 75 MG CAP................... 90 DOXEPIN HCL 100 MG CAP.................. 90 FLUOXETINE HCL 10 MG CAP................ 90 FLUOXETINE HCL 20 MG CAP................ 90 FLUOXETINE HCL 40 MG CAP................ 90 FLUOXETINE HCL 10 MG TAB**............... 90 FLUPHENAZINE HCL 1 MG TAB............... 90 FLUPHENAZINE HCL 5 MG TAB............... 90 GABAPENTIN 100 MG CAP................. 270 HALOPERIDOL 0.5 MG TAB.................. 90 HALOPERIDOL 1 MG TAB................... 90 HALOPERIDOL 2 MG TAB................... 90 HALOPERIDOL 5 MG TAB................... 90 IMIPRAMINE HCL 10 MG TAB............... 180 IMIPRAMINE HCL 25 MG TAB............... 180 LITHIUM CARBONATE 300 MG CAP**......... 270 MIRTAZAPINE 15 MG TAB................... 90 NORTRIPTYLINE HCL 10 MG CAP............. 90 NORTRIPTYLINE HCL 25 MG CAP............. 90 NORTRIPTYLINE HCL 75 MG CAP............. 90 PAROXETINE HCL 10 MG TAB**............... 90 PAROXETINE HCL 20 MG TAB**............... 90 PAROXETINE HCL 30 MG TAB................ 90 PAROXETINE HCL 40 MG TAB................ 90 SERTRALINE HCL 25 MG TAB................ 90 THIORIDAZINE HCL 10 MG TAB............... 90 THIORIDAZINE HCL 25 MG TAB............... 90 THIORIDAZINE HCL 50 MG TAB............... 90 THIOTHIXENE 2 MG CAP.................... 90 TRAZODONE HCL 50 MG TAB................ 90 TRAZODONE HCL 100 MG TAB............... 90 TRAZODONE HCL 150 MG TAB............... 90 TRIHEXYPHENIDYL HCL 2 MG TAB........... 180 ZONISAMIDE 25 MG CAP................... 180 OTHER MEDICAL CONDITIONS........... QTY ALLOPURINOL 100 MG TAB.................. 90 ALLOPURINOL 300 MG TAB.................. 90 CHLORHEXIDINE GLUCONATE 0.12% MOUTHWASH......................... 1440 DEXAMETHASONE 0.5 MG TAB............... 90 DEXAMETHASONE 0.75 MG TAB.............. 36 DEXAMETHASONE 4 MG TAB................ 18 LIDOCAINE HCL 20 MG/ML SOLN............ 300 OXYBUTYNIN CHLORIDE 5 MG TAB.......... 180 PREDNISONE 1 MG TAB.................... 90 PREDNISONE 2.5 MG TAB................... 90 PREDNISONE 5 MG TAB.................... 90 PREDNISONE 5 MG TAB**................... 63 PREDNISONE 10 MG TAB................... 90 PREDNISONE 10 MG TAB**.................. 63 SKIN CONDITIONS...................... QTY FLUOCINOLONE ACETONIDE 0.025 % CRM..... 45 HYDROCORTISONE 1% CRM................ 90 HYDROCORTISONE 2.5% CRM............... 90 HYDROCORTISONE 2.5% OINT............... 90 TRIAMCINOLONE ACETONIDE 0.5% CRM....... 45 TRIAMCINOLONE ACETONIDE 0.1% OINT...... 240 TRIAMCINOLONE ACETONIDE 0.5% OINT....... 45 It s easy to enroll: in store or online at www.cvs.com/healthsavingspass 2 3

November 2013 THYROID CONDITIONS.................. QTY LEVOTHYROXINE 25 MCG TAB............... 90 LEVOTHYROXINE 50 MCG TAB............... 90 LEVOTHYROXINE 75 MCG TAB............... 90 LEVOTHYROXINE 88 MCG TAB............... 90 LEVOTHYROXINE 100 MCG TAB.............. 90 LEVOTHYROXINE 112 MCG TAB.............. 90 LEVOTHYROXINE 125 MCG TAB.............. 90 LEVOTHYROXINE 137 MCG TAB.............. 90 LEVOTHYROXINE 150 MCG TAB.............. 90 LEVOTHYROXINE 175 MCG TAB**............. 90 LEVOTHYROXINE 200 MCG TAB**............. 90 VITAMINS & NUTRITIONAL HEALTH....... QTY CITRIC ACID/SODIUM CITRATE 334-500MG SOLN...................... 480 FLUORIDE/IRON/VIT A,C&D 0.25 MG/ML DROPS............................... 150 FOLIC ACID 1 MG TAB...................... 90 MAGNESIUM CHLORIDE 64 MG TAB**........ 180 MAGNESIUM OXIDE 400 MG TAB............. 90 MULTIVITAMINS WITH MIN NO.7/FA 1 MG CAP... 90 MULTIVITS WITH IRON & FLUORIDE 0.25 MG/ML DROPS..................... 150 PHOSPHORUS #1 250 MG TAB............... 90 POTASSIUM CHLORIDE 10 MEQ TAB.......... 90 POTASSIUM CHLORIDE 20MEQ/15ML LIQUID. 1440 POTASSIUM CHLORIDE 40MEQ/15ML LIQUID.. 960 POTASSIUM CITRATE/CITRIC ACID 1100-334/5 SOLN....................... 480 PRENATABS RX TAB........................ 90 PRENATAL 1/1 TAB......................... 90 PRENATAL CARE TAB...................... 90 PRENATAL PLUS TAB....................... 90 PRENATAL RX 1 TAB....................... 90 PRENATAL RX TAB**........................ 90 SODIUM FLUORIDE 0.2 % SOLN............. 480 SODIUM FLUORIDE 0.5 (1.1)MG TAB........... 90 SODIUM FLUORIDE 1MG (2.2MG) TAB.......... 90 ULTRA NATALCARE TAB..................... 90 WOMEN S HEALTH...................... QTY ESTRADIOL 0.5 MG TAB..................... 90 ESTRADIOL 1 MG TAB...................... 90 ESTRADIOL 2 MG TAB...................... 90 ESTROPIPATE 0.75 MG TAB.................. 90 ESTROPIPATE 1.5 MG TAB**................. 90 MEDROXYPROGESTERONE 10 MG TAB........ 30 MEDROXYPROGESTERONE 2.5 MG TAB....... 90 MEDROXYPROGESTERONE 5 MG TAB......... 90 MEGESTROL ACETATE 20 MG TAB**........... 90 WOMEN S HEALTH ($25.99)............... QTY ALENDRONATE SODIUM 35 MG TAB............ 12 ALENDRONATE SODIUM 70 MG TAB........... 12 TAMOXIFEN CITRATE 10 MG TAB............ 180 TAMOXIFEN CITRATE 20 MG TAB............. 90 $10.99 for 30 days ANTIBIOTICS & ANTI-INFECTIVES ($10.99).. QTY AMOXICILLIN 250 MG CAP................... 30 AMOXICILLIN 500 MG CAP................... 30 AMOXICILLIN 125 MG/5ML SUSP............ 150 AMOXICILLIN 200 MG/5ML SUSP............ 100 AMOXICILLIN 250 MG/5ML SUSP............ 150 AMOXICILLIN 400 MG/5ML SUSP............ 100 CEPHALEXIN 250 MG CAP................... 28 CEPHALEXIN 500 MG CAP................... 30 CIPROFLOXACIN HCL 250 MG TAB............ 14 CIPROFLOXACIN HCL 500 MG TAB............ 20 METRONIDAZOLE 250 MG TAB............... 28 METRONIDAZOLE 500 MG TAB............... 14 PENICILLIN V POTASSIUM 125 MG/5ML SOLN.. 200 PENICILLIN V POTASSIUM 250 MG TAB........ 28 PENICILLIN V POTASSIUM 250 MG/5ML SOLN.. 100 SMZ/TMP 200-40MG/5 SUSP............... 120 SMZ/TMP 400MG-80MG TAB................. 28 SMZ/TMP 800-160 MG TAB.................. 20 SULFAMETHOXAZOLE/TRIMETHOPRIM 800-160/20 SUSP....................... 120 TETRACYCLINE HCL 250 MG CAP............ 60 TETRACYCLINE HCL 500 MG CAP............ 60 $29.99 for 30 days DIABETES ($29.99)...................... QTY BLOOD SUGAR DIAGNOSTIC STRIP........... 50 *The day supply is based upon the average dispensing patterns for the specifi c drug and strength. ** These drugs may be priced higher in HI, MN, MT, PA, TN, and WI. Disclosures: Except in the states of Washington and California, these are custom-branded programs, provided and administered by Medical Security Card Company, LLC (MSC), 4911 E. Broadway Boulevard, Tucson, AZ 85711, 1-800-700-3957, www.scriptsave.com. These programs are not available in all states and the terms of each program may vary from state to state. Each program is governed by the applicable terms of the membership agreement provided upon activation and made available at www.cvs.com/healthsavingspass. MSC is not responsible for providing or guaranteeing pharmacy services or for the quality of such rendered services. Participating CVS pharmacies are subject to change without notice and are not available in all areas. The program contracts are not protected by any state guaranty fund. 1 These membership programs are NOT health insurance policies and are NOT intended as a substitute for insurance. The programs only provide for member discounts on certain pharmacy products and medical services at CVS/pharmacy and MinuteClinic locations a complete list of locations can be found at www.cvs.com. The programs do not make and are prohibited from making payments to CVS/pharmacy for products or services received by you under the programs. You are required and obligated to pay for all prescription drugs and medical services you receive under the programs, but will receive a member discount on certain identifi ed prescription drugs and medical services from CVS/pharmacy and MinuteClinic. The CVS/pharmacy Health Savings Pass does not provide you with any member discounts or benefi ts at any other pharmacy. This program is marketed by CVS/pharmacy. You can call 1-888-616-CARE (2273) for more information or visit www.cvs.com/healthsavingspass. Prescriptions paid for in whole or in part by federal or state health care programs, such as Medicare and Medicaid, are ineligible. Membership discount prices cannot be combined with any insurance. For MA residents: Health Savings Pass does not meet the minimum creditable coverage requirements under M.G.L.c.111M and 956 CMR 5.00. TN. A $15 per person enrollment fee is required annually. If you wish to cancel your membership, you must do so in writing or call 1-888-616-CARE (2273). MinuteClinic discount up to $10 per person, per visit. Cannot be used in conjunction with any health insurance. Payment is due at time of visit. MinuteClinic discount not available in Florida. Void where prohibited by law. Prices may vary in certain states. $11.99 pricing based on commonly prescribed doses. List is subject to change without notice. For complete terms and conditions and other details, see program brochure available at the pharmacy or go to www.cvs.com/healthsavingspass. 1 Notwithstanding the above, the programs, as described above and available in the states of Washington and California, are custom-branded and operated directly by CVS/pharmacy. The applicable terms relating to any such CVS/pharmacy custom-branded and operated programs shall also be available at www.cvs.com/ healthsavingspass. MSC may participate or assist in the administration of such programs. It s easy to enroll: in store or online at www.cvs.com/healthsavingspass A0162_CVS_CLASS_DL_111213 3 4

PREFERRED GENERIC DRUG LIST your home for family health These discount programs are NOT health insurance policies and are not intended as a substitute for insurance. The programs do not qualify as a minimum creditable coverage under Massachusetts law or where prohibited by law. The programs only provide for discounts on health services from participating pharmacies, and the range of the discounts will vary depending on the health services received. The programs do not make payments to pharmacies of health care services. Members are required to pay for all health care services, but will receive a discount from the contracted pharmacies. Except in the states of California, Utah, and Washington, these are custom-branded programs, provided and administered by Medical Security Card Company, LLC, (MSC), 4911 E. Broadway Boulevard, Tucson, AZ 85711, 1-866- 435-7958, www.scriptsave.com and marketed by Kmart. These programs are not available in all states and the terms of each program may vary from state to state. Each program is governed by the applicable terms of the membership agreement provided upon activation and made available at www.kmartprescriptionsavingsclub.com. MSC is not responsible for providing or guaranteeing pharmacy services or for the quality of such rendered services. Participating pharmacies are subject to change without notice and are not available in all areas. The program contracts are not protected by any state guaranty fund. 2 An annual fee of $10 is payable at the time of initial enrollment and enrollment renewal. The program, as well as the prices and the list of covered drugs, can be modified at any time without notice. 2 Notwithstanding the above, the programs, as described above and available in the states of California, Utah, and Washington, are custom-branded and operated directly by Kmart. The applicable terms relating to any such Kmart custom-branded and operated program shall also be available at www. KmartPrescriptionSavingsClub.com. MSC may participate or assist in the administration of such programs. your home for family health For questions, please call 1-866-435-7958, log on to www.kmartprescriptionsavingsclub.com or see the pharmacist for further details. REVISED JUNE 16, 2014 Preferred generic drugs 30-day supply* for $5 or $10 90-day supply* for $10, $15, $20 or $30 *The day supply is based upon the average dispensing patterns for the specific drug and strength. 30-day supply price starts at $5. 90-day supply price starts at $10. a Select drugs for a 30-Day Supply are priced at $10; b Select drugs for a 90-Day Supply are priced at $15; c Select drugs for a 90-Day Supply are priced at $20; d Select drugs for a 90-Day Supply are priced at $30. Select Women s and Men s Health prescription medications are available in up to a 30-day supply for $12.00 each or in up to a 90-day supply for $36.00 each (see last page). 1 DRUG CLASSIFICATION/DRUG NAME ALLERGIES & COLD AND FLU 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d BENZONATATE 100 MG CAP 14 42 CETIRIZINE HCL 5 MG TAB 30 90 CETIRIZINE HCL 10 MG TAB 30 90 CHLORPHENIRAMINE MALEATE 4 MG TAB 100 300 CLEMASTINE FUMARATE 1.34 MG TAB 30 90 b CYPROHEPTADINE HCL 4 MG TAB 30 a 90 d DIPHENHYDRAMINE HCL 50 MG CAP 90 270 b 5

PREFERRED GENERIC DRUG LIST DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d D-METHORPHAN HB/PROMETH HCL 15-6.25/5 SYRUP 120 360 FLUTICASONE PROP 50 MCG SPRAY 16 a 48 c GUAIFENESIN/DEXTROMETHORPHAN 100-10MG/5 LIQUID 180 540 b LORATADINE 10 MG TAB 30 90 PROMETHAZINE HCL 12.5 MG TAB 12 36 PROMETHAZINE HCL 25 MG TAB 12 36 PROMETHAZINE HCL 50 MG TAB 20 60 b PROMETHAZINE HCL 6.25MG/5ML SYRUP 180 540 b ANTIBIOTIC & ANTI-INFECTIVE TREATMENTS ACYCLOVIR 200 MG CAP 30 90 b AMOXICILLIN 250 MG CAP 30 90 b AMOXICILLIN 500 MG CAP 30 90 AMOXICILLIN 125 MG/5ML SUSP 150 450 b AMOXICILLIN 200 MG/5ML SUSP 100 300 b AMOXICILLIN 250 MG/5ML SUSP 150 450 b AMOXICILLIN 400 MG/5ML SUSP 100 300 AMOXICILLIN 125 MG TAB 20 60 b AMPICILLIN TRIHYDRATE 250 MG CAP 28 84 b AMPICILLIN TRIHYDRATE 500 MG CAP 28 84 b BACITRACIN ZINC 500 UNIT/G OINT 30 90 b BACITRACIN ZINC 500 UNIT/G PACKET 30 90 b CEPHALEXIN 250 MG CAP 28 84 b CEPHALEXIN 500 MG CAP 30 90 b CIPROFLOXACIN HCL 250 MG TAB 14 42 CIPROFLOXACIN HCL 500 MG TAB 20 60 b ECONAZOLE NITRATE 1 % CRM 15 45 b ISONIAZID 300 MG TAB 30 90 b PENICILLIN V POTASSIUM 250 MG TAB 30 90 b PENICILLIN V POTASSIUM 250 MG/5ML SOLN 100 300 b PENICILLIN V POTASSIUM 500 MG TAB 20 60 SMZ/TMP 400MG-80MG TAB 28 84 b SMZ/TMP 800-160 MG TAB 20 60 b ARTHRITIS & PAIN ASPIRIN 81 MG TAB 120 360 b BACLOFEN 10 MG TAB 30 90 BACLOFEN 20 MG TAB 30 90 CYCLOBENZAPRINE HCL 5 MG TAB 30 90 CYCLOBENZAPRINE HCL 10 MG TAB 30 90 DIBUCAINE 1 % OINT 30 90 b IBUPROFEN 400 MG TAB 90 270 b IBUPROFEN 600 MG TAB 60 180 b IBUPROFEN 800 MG TAB 30 90 b your home for family health 2 6 2

PREFERRED GENERIC DRUG LIST DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d MELOXICAM 7.5 MG TAB 30 90 MELOXICAM 15 MG TAB 30 90 NAPROXEN 250 MG TAB 60 180 b NAPROXEN 375 MG TAB 60 180 b NAPROXEN 500 MG TAB 60 180 b NAPROXEN SODIUM 275 MG TAB 30 90 b ASTHMA ALBUTEROL SULFATE 2 MG/5 ML SYRUP 120 360 b ALBUTEROL SULFATE 2.5 MG/3ML VIAL-NEB 75 225 b IPRATROPIUM BROMIDE 0.2 MG/ML SOLN 75 225 b DIABETES GLIMEPIRIDE 1 MG TAB 30 90 GLIMEPIRIDE 2 MG TAB 30 90 GLIMEPIRIDE 4 MG TAB 30 90 GLIPIZIDE 5 MG TAB 30 90 GLIPIZIDE 10 MG TAB 60 180 GLYBURIDE 1.25 MG TAB 30 90 b GLYBURIDE 2.5 MG TAB 30 a 90 c GLYBURIDE 5 MG TAB 30 a 90 c GLYBURIDE, MICRONIZED 1.5 MG TAB 30 90 GLYBURIDE, MICRONIZED 3 MG TAB 30 90 GLYBURIDE,MICRONIZED 6 MG TAB 30 90 GLYBURIDE/METFORMIN HCL 1.25-250MG TAB 60 a 180 d GLYBURIDE/METFORMIN HCL 2.5-500 MG TAB 60 a 180 d GLYBURIDE/METFORMIN HCL 5 MG-500MG TAB 90 270 b METFORMIN HCL 500 MG TAB 60 180 b METFORMIN HCL 850 MG TAB 60 180 METFORMIN HCL 1000 MG TAB 60 180 METFORMIN HCL ER 500 MG TAB 60 180 METFORMIN HCL ER 750 MG TAB 60 a 180 d FUNGAL INFECTIONS FLUCONAZOLE 150 MG TAB 1 3 b GASTROINTESTINAL HEALTH CIMETIDINE 300 MG TAB 30 90 CIMETIDINE 400 MG TAB 30 90 DICYCLOMINE HCL 10 MG CAP 90 270 b DICYCLOMINE HCL 20 MG TAB 60 180 b DOCUSATE CALCIUM 240 MG CAP 30 90 DOCUSATE SODIUM 100 MG CAP 100 300 b FAMOTIDINE 20 MG TAB 60 180 FAMOTIDINE 40 MG TAB 30 a 90 c LACTULOSE 10 G/15 ML SOLN 237 711 b your home for family health 3 7 3

PREFERRED GENERIC DRUG LIST DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d LACTULOSE 20 G/30 ML SOLN 237 711 b LACTULOSE 10 GM/15 ML SYRUP 237 711 b METOCLOPRAMIDE HCL 5 MG/5 ML SOLN 60 180 METOCLOPRAMIDE HCL 10 MG/10ML SOLN 60 180 METOCLOPRAMIDE HCL 5 MG TAB 60 180 b METOCLOPRAMIDE HCL 10 MG TAB 60 180 OMEPRAZOLE 20 MG CAP 30 90 b PANTOPRAZOLE SODIUM 40 MG TAB 30 a 90 d PROCHLORPERAZINE MALEATE 5 MG TAB 40 120 b PROCHLORPERAZINE MALEATE 10 MG TAB 30 90 RANITIDINE HCL 15 MG/ML SYRUP 100 300 b RANITIDINE HCL 150 MG TAB 60 180 RANITIDINE HCL 300 MG TAB 30 90 GLAUCOMA & EYE CARE DICLOFENAC SODIUM 0.1 % DROPS 2 6 b FLURBIPROFEN SODIUM 0.03 % DROPS 2 6 b NAPHAZOLINE HCL 0.1 % DROPS 15 45 b TIMOLOL MALEATE 0.25 % DROPS 5 15 TIMOLOL MALEATE 0.5 % DROPS 5 15 b HEART HEALTH & BLOOD PRESSURE AMLODIPINE BESYLATE 2.5 MG TAB 30 90 AMLODIPINE BESYLATE 5 MG TAB 30 90 AMLODIPINE BESYLATE 10 MG TAB 30 90 ATENOLOL 25 MG TAB 30 90 ATENOLOL 50 MG TAB 30 90 ATENOLOL 100 MG TAB 30 90 BENAZEPRIL HCL 5 MG TAB 30 90 b BENAZEPRIL HCL 10 MG TAB 30 90 b BENAZEPRIL HCL 20 MG TAB 30 90 b BENAZEPRIL HCL 40 MG TAB 30 90 b BISOPROLOL FUMARATE/HCTZ 2.5-6.25MG TAB 30 90 b BISOPROLOL FUMARATE/HCTZ 5-6.25MG TAB 30 90 b BISOPROLOL FUMARATE/HCTZ 10-6.25MG TAB 30 90 b BUMETANIDE 0.5 MG TAB 30 a 90 d BUMETANIDE 1 MG TAB 30 a 90 d CARVEDILOL 3.125 MG TAB 60 180 CARVEDILOL 6.25 MG TAB 60 180 CARVEDILOL 12.5 MG TAB 60 180 CARVEDILOL 25 MG TAB 60 180 b CLONIDINE HCL 0.1 MG TAB 30 90 CLONIDINE HCL 0.2 MG TAB 30 90 DILTIAZEM HCL 30 MG TAB 60 180 your home for family health 4 8 4

PREFERRED GENERIC DRUG LIST DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d DILTIAZEM HCL 60 MG TAB 60 180 DILTIAZEM HCL 90 MG TAB 60 180 b DILTIAZEM HCL 120 MG TAB 30 90 ENALAPRIL MALEATE 2.5 MG TAB 30 90 b ENALAPRIL MALEATE 5 MG TAB 30 90 b ENALAPRIL MALEATE 10 MG TAB 30 90 b ENALAPRIL MALEATE 20 MG TAB 30 90 b ENALAPRIL-HCTZ 10-25 MG TAB 30 90 b FOSINOPRIL SODIUM 20 MG TAB 30 a 90 d FOSINOPRIL SODIUM 40 MG TAB 30 a 90 d FUROSEMIDE 20 MG TAB 30 90 FUROSEMIDE 40 MG TAB 30 90 FUROSEMIDE 80 MG TAB 30 90 GEMFIBROZIL 600 MG TAB 60 a 180 d GUANFACINE HCL 1 MG TAB 30 90 GUANFACINE HCL 2 MG TAB 30 90 b HYDRALAZINE HCL 25 MG TAB 30 90 b HYDROCHLOROTHIAZIDE 12.5 MG CAP 30 90 HYDROCHLOROTHIAZIDE 25 MG TAB 30 90 HYDROCHLOROTHIAZIDE 50 MG TAB 30 90 INDAPAMIDE 1.25 MG TAB 30 90 INDAPAMIDE 2.5 MG TAB 30 90 LISINOPRIL 2.5 MG TAB 30 90 LISINOPRIL 5 MG TAB 30 90 LISINOPRIL 10 MG TAB 30 90 LISINOPRIL 20 MG TAB 30 90 LISINOPRIL 30 MG TAB 30 90 LISINOPRIL 40 MG TAB 30 90 LISINOPRIL-HCTZ 10-12.5 MG TAB 30 90 LISINOPRIL-HCTZ 20-12.5 MG TAB 30 90 LISINOPRIL-HCTZ 20-25 MG TAB 30 a 90 c LOSARTAN POTASSIUM 50 MG TAB 30 a 90 d LOVASTATIN 10 MG TAB 30 90 LOVASTATIN 20 MG TAB 30 90 LOVASTATIN 40 MG TAB 30 90 METOPROLOL TARTRATE 25 MG TAB 60 180 METOPROLOL TARTRATE 50 MG TAB 60 180 METOPROLOL TARTRATE 100 MG TAB 60 180 b PRAZOSIN HCL 1 MG CAP 30 90 b PROPRANOLOL HCL 10 MG TAB 60 180 PROPRANOLOL HCL 20 MG TAB 60 180 PROPRANOLOL HCL 40 MG TAB 60 180 your home for family health 5 9 5

PREFERRED GENERIC DRUG LIST DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d PROPRANOLOL HCL 80 MG TAB 60 180 b QUINAPRIL HCL 5 MG TAB 30 90 b SIMVASTATIN 10 MG TAB 30 90 SIMVASTATIN 20 MG TAB 30 90 SIMVASTATIN 40 MG TAB 30 90 SIMVASTATIN 80 MG TAB 30 90 SOTALOL 80 MG TAB 30 a 90 c SPIRONOLACTONE 25 MG TAB 30 90 TERAZOSIN HCL 1 MG CAP 30 90 TERAZOSIN HCL 2 MG CAP 30 90 TERAZOSIN HCL 5 MG CAP 30 90 TERAZOSIN HCL 10 MG CAP 30 90 TORSEMIDE 10 MG TAB 30 90 b TRIAMTERENE-HCTZ 37.5-25 MG TB 30 a 90 c VERAPAMIL HCL 80 MG TAB 30 90 VERAPAMIL HCL 120 MG TAB 30 90 VERAPAMIL HCL 180 MG TAB 30 a 90 c WARFARIN SODIUM 1 MG TAB 30 90 WARFARIN SODIUM 2 MG TAB 30 90 WARFARIN SODIUM 2.5 MG TAB 30 90 WARFARIN SODIUM 3 MG TAB 30 90 WARFARIN SODIUM 4 MG TAB 30 90 WARFARIN SODIUM 5 MG TAB 30 90 WARFARIN SODIUM 6 MG TAB 30 90 WARFARIN SODIUM 7.5 MG TAB 30 90 WARFARIN SODIUM 10 MG TAB 30 90 MENTAL & NEURO HEALTH AMITRIPTYLINE HCL 10 MG TAB 30 90 AMITRIPTYLINE HCL 25 MG TAB 30 90 AMITRIPTYLINE HCL 50 MG TAB 30 90 AMITRIPTYLINE HCL 75 MG TAB 30 a 90 c AMITRIPTYLINE HCL 100 MG TAB 30 a 90 c AMITRIPTYLINE HCL 150 MG TAB 30 a 90 c BUSPIRONE HCL 5 MG TAB 60 180 BUSPIRONE HCL 10 MG TAB 60 180 b CARBAMAZEPINE 100 MG TAB 60 180 CARBAMAZEPINE 200 MG TAB 60 180 CITALOPRAM HBR 20 MG TAB 30 90 CITALOPRAM HBR 40 MG TAB 30 90 DOXEPIN HCL 10 MG CAP 30 90 b FLUOXETINE HCL 10 MG CAP 30 90 FLUOXETINE HCL 20 MG CAP 30 90 your home for family health 6 10 6

PREFERRED GENERIC DRUG LIST DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d FLUOXETINE HCL 40 MG CAP 30 a 90 c FLUOXETINE HCL 10 MG TAB 30 90 FLUPHENAZINE HCL 1 MG TAB 30 90 FLUPHENAZINE HCL 2.5 MG TAB 30 90 GABAPENTIN 100 MG CAP 90 a 270 c GABAPENTIN 300 MG CAP 90 a 270 d GABAPENTIN 400 MG CAP 90 a 270 d HALOPERIDOL 0.5 MG TAB 30 90 HALOPERIDOL 1 MG TAB 30 90 HALOPERIDOL 2 MG TAB 30 90 b LITHIUM CARBONATE 150 MG CAP 90 270 b LITHIUM CARBONATE 300 MG CAP 90 270 b MIRTAZAPINE 15 MG TAB 30 90 NORTRIPTYLINE HCL 10 MG CAP 30 90 NORTRIPTYLINE HCL 25 MG CAP 30 90 b PAROXETINE HCL 10 MG TAB 30 90 b PAROXETINE HCL 20 MG TAB 30 90 b PRAMIPEXOLE DI-HCL 0.5 MG TAB 30 a 90 c SERTRALINE HCL 25 MG TAB 30 90 b SERTRALINE HCL 50 MG TAB 30 90 b SERTRALINE HCL 100 MG TAB 30 90 b TRAZODONE HCL 50 MG TAB 30 90 TRAZODONE HCL 100 MG TAB 30 90 TRAZODONE HCL 150 MG TAB 30 90 b ZONISAMIDE 25 MG CAP 30 90 b ZONISAMIDE 50 MG CAP 30 90 b OTHER MEDICAL CONDITIONS ALLOPURINOL 100 MG TAB 30 90 ALLOPURINOL 300 MG TAB 30 90 CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH 473 1419 DEXAMETHASONE 0.5 MG TAB 30 90 b DEXAMETHASONE 0.75 MG TAB 12 36 b DEXAMETHASONE 4 MG TAB 6 18 b LIDOCAINE HCL 20 MG/ML SOLN 100 300 b PHENAZOPYRIDINE HCL 100 MG TAB 6 18 PREDNISOLONE 15 MG/5 ML SOLN 120 360 b PREDNISONE 2.5 MG TAB 30 90 PREDNISONE 5 MG TAB 30 90 PREDNISONE 10 MG TAB 30 90 PREDNISONE 20 MG TAB 30 90 SKIN CONDITIONS HYDROCORTISONE 1 % CRM 30 90 b your home for family health 7 11 7

PREFERRED GENERIC DRUG LIST DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d HYDROCORTISONE 1 % PACKET 30 90 b HYDROCORTISONE 2.5 % CRM 30 90 b HYDROCORTISONE 2.5 % OINT 28 84 b HYDROCORTISONE/ALOE VERA 1 % CRM 30 90 b MOMETASONE FUROATE 0.1 % OINT 15 45 b TERBINAFINE HCL 250 MG TABLET 30 a 90 c TRIAMCINOLONE ACETONIDE 0.025 % OINT 15 45 b THYROID CONDITIONS LEVOTHYROXINE 25 MCG TAB 30 90 b LEVOTHYROXINE 50 MCG TAB 30 90 b LEVOTHYROXINE 75 MCG TAB 30 90 b LEVOTHYROXINE 88 MCG TAB 30 90 b LEVOTHYROXINE 100 MCG TAB 30 90 b LEVOTHYROXINE 112 MCG TAB 30 90 b LEVOTHYROXINE 125 MCG TAB 30 90 b LEVOTHYROXINE 150 MCG TAB 30 90 b METHIMAZOLE 5 MG TAB 30 90 VITAMINS & NUTRITIONAL HEALTH AMINO ACIDS/MULTIVITS-MIN CAP 30 90 b BETA-CAROTENE(A) W-C & E/MIN CAP 30 90 b BETA-CAROTENE(A) W-C & E/SE CAP 30 90 b CALCIUM CARBONATE/VITAMIN D3 600 MG-200 TAB 60 180 b CALCIUM CARBONATE/VITAMIN D3 600 MG-400 TAB 60 180 b CITRIC ACID/SODIUM CITRATE 334-500MG SOLN 180 540 CO-NATAL FA TAB 30 90 b ERGOCALCIFEROL (VITAMIN D2) 50000 UNIT CAP 4 12 FOLIC ACID 1 MG TAB 30 90 FOLIC ACID/VITAMIN B COMP W-C 1 MG-100MG TAB 30 90 b MAGNESIUM CHLORIDE 64 MG TAB 60 180 b MAGNESIUM OXIDE 400 MG TAB 30 90 b MULTIVIT/FOLIC ACID/ZINC/VIT C 400-50-500 CAP 30 90 b MULTIVITAMIN WITH MINERALS CAP 30 90 b MULTIVITAMINS WITH MIN NO.7/FA 1 MG CAP 30 90 b MULTIVITAMINS,THER W-MINERALS CAP 30 90 b MULTIVITS-MINERALS/FA/LYCOPENE 0.4MG-600 CAP 30 90 b POTASSIUM CITRATE/CITRIC ACID 1100-334/5 SOLN 180 540 b PRENATABS RX TAB 30 90 b PRENATAL LOW IRON TAB 30 90 b PRENATAL PLUS TAB 30 90 b SOD/POT/K CIT/SOD CIT/CIT ACID 500-550/5 SOLN 180 540 b SODIUM FLUORIDE 0.25 (0.55) TAB 90 270 b SODIUM FLUORIDE 0.5 (1.1)MG TAB 90 270 b your home for family health 8 12 8

PREFERRED GENERIC DRUG LIST DRUG CLASSIFICATION/DRUG NAME 30-day $5 or $10 a 90-day $10, $15 b, $20 c or $30 d SODIUM FLUORIDE 1MG (2.2MG) TAB 90 270 b VIT B CMPLX 3/FA/VIT C/BIOTIN 1MG-60MG TAB 30 90 b VIT B COMPLEX & C NO.19/FA/D3 800-2000 TAB 30 90 b VIT C/VIT E AC/LUT/MINERAL 1 60-30-6 CAP 30 90 b VITAMIN A/VIT C/VIT E/SELENIUM CAP 30 90 b WOMEN S HEALTH ALENDRONATE SODIUM 5 MG TAB 30 90 b ALENDRONATE SODIUM 70 MG TAB 4 12 b ESTRADIOL 0.5 MG TAB 30 90 ESTRADIOL 1 MG TAB 30 90 ESTRADIOL 2 MG TAB 30 90 MEDROXYPROGESTERONE 2.5 MG TAB 30 90 MEDROXYPROGESTERONE 5 MG TAB 30 90 MEDROXYPROGESTERONE 10 MG TAB 10 30 MEGESTROL ACETATE 20 MG TAB 30 90 b Select Women s and Men s Health prescription medications are available in up to a 30-day supply* for $12.00 each or up to a 90-day supply* for $36.00 each. WOMEN S HEALTH 30-day Supply 90-day Supply ALENDRONATE SODIUM 10 MG TAB 30 90 ALENDRONATE SODIUM 35 MG TAB 4 12 TAMOXIFEN CITRATE 10 MG TAB 60 180 TAMOXIFEN CITRATE 20 MG TAB 30 90 TRI-PREVIFEM TAB 28 84 MEN S HEALTH 30-day Supply 90-day Supply FINASTERIDE 5 MG TAB 30 90 A0158_KMART_CLASS_DL_061014 your home for family health 9 13 9

$ 4 and $ 10 Generic Medication List Medication Name/ Strength/Dosage Form $4 QTY $10 QTY A Acyclovir 200 mg Capsule 30 90 Albuterol 2 mg/5ml Syrup 120 ml 360mL Albuterol NEB 0.083% Solution* 75 ml 225 ml Allopurinol 100, 300 mg Tablet 30 90 Amitriptyline 10, 25, 50, 75, 100 mg Tablet 30 90 Amoxicillin 125 mg/5ml Suspension 80 ml 240 ml Amoxicillin 125 mg/5ml Suspension 100 ml 300 ml Amoxicillin 125 mg/5ml Suspension 150 ml 450 ml Amoxicillin 200 mg/5ml Suspension 50 ml 150 ml Amoxicillin 200 mg/5ml Suspension* 75 ml 225 ml Amoxicillin 200 mg/5ml Suspension* 100 ml 300 ml Amoxicillin 250 mg Capsule 30 90 Amoxicillin 250 mg/5ml Suspension 80 ml 240 ml Amoxicillin 250 mg/5ml Suspension 100 ml 300 ml Amoxicillin 250 mg/5ml Suspension 150 ml 450 ml Amoxicillin 400 mg/5ml Suspension 50 ml 150 ml Amoxicillin 400 mg/5ml Suspension* 75 ml 225 ml Amoxicillin 400 mg/5ml Suspension* 100 ml 300 ml Amoxicillin 500 mg Capsule 30 90 Antipyrine/Benzocaine Otic Solution 10 ml 30 ml Atenolol 25, 50, 100 mg Tablet 30 90 B Baclofen 10 mg Tablet 30 90 Benazepril 5, 10, 20, 40 mg Tablet 30 90 Benzonatate 100 mg Capsule 14 42 Benztropine 2 mg Tablet 30 90 Bisoprolol/HCTZ 5/6.25 mg Tablet 30 90 Bisoprolol/HCTZ 10/6.25 mg Tablet 30 90 Bumetanide 0.5, 1 mg Tablet 30 90 Buspirone 5, 10* mg Tablet 60 180 C Carbamazepine 200 mg Tablet* 60 180 Carvedilol 3.125, 6.25, 12.5, 25* mg Tablet 60 180 Cephalexin 250 mg Capsule 28 84 Cephalexin 500 mg Capsule 30 90 Chlorhexidine Gluconate 0.12% Solution 473 ml 1419 ml Ciprofloxacin 250 mg Tablet 14 42 Ciprofloxacin 500 mg Tablet 20 60 Citalopram 20, 40 mg Tablet 30 90 Clonidine 0.1, 0.2 mg Tablet 30 90 Cyclobenzaprine 5, 10 mg Tablet 30 90 Cytra-2 Solution 180 ml 540 ml Medication Name/ Strength/Dosage Form $4 QTY $10 QTY D Dexamethasone 0.75 mg Tablet 12 36 Dexamethasone 0.5 mg Tablet 30 90 Dexamethasone 4 mg Tablet 6 18 Dicyclomine 10 mg Capsule 90 270 Dicyclomine 20 mg Capsule 60 180 E Enalapril 2.5, 5, 10, 20 mg Tablet 30 90 Enalapril/HCTZ 5/12.5 mg Tablet 30 90 Estradiol.5, 2 mg Tablet 30 90 F Famotidine 20 mg Tablet 60 180 Fluconazole 150 mg Tablet 1 3 Fluoxetine 10 mg Tablet* 30 90 Fluoxetine 10, 20, 40* mg Capsule 30 90 Fluphenazine 1 mg Tablet 30 90 Folic Acid 1 mg Tablet 30 90 Furosemide 20, 40, 80 mg Tablet 30 90 G Gentak 0.3% Opthalmic Solution 5 ml 15 ml Gentamicin 0.3% Opthalmic Solution 5 ml 15 ml Glimepiride 1, 2, 4 mg Tablet 30 90 Glipizide 5 mg Tablet 30 90 Glipizide 10 mg Tablet* 60 180 Glyburide 2.5, 5 mg Tablet 30 90 Guanfacine 1 mg Tablet 30 90 H Haloperidol 0.5, 1, 2 mg Tablet 30 90 Hydralazine 10, 25 mg Tablet 30 90 Hydrochlorothiazide 12.5 mg Capsule* 30 90 Hydrochlorothiazide 25, 50 mg Tablet 30 90 Hydrocortisone 2.5% Cream 30 g 90 g I Ibuprofen 100 mg/5ml Suspension* 120 ml 360 ml Ibuprofen 400 mg Tablet 90 270 Ibuprofen 600 mg Tablet 60 180 Ibuprofen 800 mg Tablet 30 90 Indapamide 1.25, 2.5 mg Tablet 30 90 Indomethacin 25 mg Capsule* 60 180 Ipratropium NEB 0.02% Solution* 75 ml 225 ml Isosorbide Mononitrate ER 30, 60 mg Tablet 30 90 L 14 Medication Name/ Strength/Dosage Form $4 QTY $10 QTY Lactulose 10 GM/15 ml Syrup 237 ml 711 ml Lidocaine Viscous 2% Solution 100 ml 300 ml Lisinopril 2.5, 5, 10, 20 mg Tablet 30 90 Lisinopril/HCTZ 10-12.5 mg Tablet 30 90 Lisinopril/HCTZ 20-12.5 mg Tablet* 30 90 Lisinopril/HCTZ 20-25 mg Tablet* 30 90 Lithium Carbonate 300 mg Capsule* 90 270 Loratadine 10 mg Tablet 30 90 Lovastatin 10, 20 mg Tablet* 30 90 M Magnesium Oxide 400 mg Tablet 30 90 Medroxyprogesterone 2.5, 5 mg Tablet 30 90 Medroxyprogesterone 10 mg Tablet 10 30 Megestrol 20 mg Tablet* 30 90 Meloxicam 7.5, 15 mg Tablet 30 90 Metformin 500, 850, 1000* mg Tablet 60 180 Metformin ER 500 mg Tablet* 60 180 Methyldopa 250 mg Tablet* 60 180 Metoclopramide 10 mg Tablet 60 180 Metoclopramide 5 mg/5ml Syrup 60 ml 180 ml Metoprolol Tartrate 25, 50, 100* mg Tablet 60 180 N Naproxen 375, 500 mg Tablet * 60 180 Nortriptyline 10, 25 mg Capsule 30 90 P Paroxetine 10, 20 mg Tablet* 30 90 Penicillin VK 125mg/5mL Solution 100 ml 300 ml Penicillin VK 125 mg/5ml Solution 200 600 Penicillin VK 250 mg/5ml Solution 100 300 Penicillin VK 250 mg Tablet 28 84 Phenazopyridine 100 mg Tablet 6 18 Polymyxin Sulfate/TMP Opthalmic Solution* 10 30 Prednisone 2.5, 5 mg Tablet 30 90 Prenatal Plus Tablet* 30 N/A Prochlorperazine 10 mg Tablet 30 90 Promethazine 25 mg Tablet* 12 36 Promethazine 6.25 mg/5ml Syrup* 180 ml 540 ml Promethazine DM Syrup 120 ml 360 ml Propranolol 10, 20, 40, 80 mg Tablet 60 180 R Ranitidine 150 mg Tablet 60 180

Medication Name/ Strength/Dosage Form $4 QTY $10 QTY Ranitidine 300 mg Tablet 30 90 S SMZ/TMP 200/40/5mL Suspension* 120 ml 360 ml SMZ/TMP 400/80 mg Tablet 28 84 SMZ/TMP DS 800/160 mg Tablet 20 60 Sodium Fluoride 0.5 mg Tablet* 120 N/A Sotalol HCL 80 mg Tablet* 30 90 Spironolactone 25 mg Tablet* 30 90 Sulfacetamide Sodium 10% Opthalmic Solution 15 ml 45 ml T Terazosin 1, 2, 5, 10 mg Capsule 30 90 Terbinafine 250 mg Tablet* 30 90 Timolol Maleate 0.25%, 0.5% Opthalmic Solution 5 ml 15 ml Tobramycin 0.3% Opthalmic Solution 5 ml 15 ml Trazodone 50, 100, 150 mg Tablet 30 90 Triamcinolone 0.025% Cream 15 g 45 g Triamcinolone 0.025% Cream 80 g 240 g Triamcinolone 0.1% Cream/Ointment 15 g 45 g Triamcinolone 0.1% Cream/Ointment 80 g 240 g Triamcinolone 0.5% Cream 15 g 45 g Triamterene/HCTZ 37.5/25 mg Tablet 30 90 Triamterene/HCTZ 75/50 mg Tablet 30 90 Trihexyphenidyl 2 mg Tablet 60 180 V Verapamil 80, 120 mg Tablet 30 90 W Warfarin 1, 2, 2.5, 3, 4, 5*, 6, 7.5, 10 mg Tablet 30 90 $9 and $24 Generic Medication List Women s Health $9 QTY $24 QTY Alendronate Sodium 35, 70 mg Tablet 4 12 Clomiphene 50 mg Tablet 5 15 Sprintec 28-Day Tablet* 28 N/A Tri-Sprintec 28-Day Tablet* 28 N/A Men s Health $9 QTY $24 QTY Finasteride 5mg Tablet 30 N/A Disclaimer: $4 prescriptions include up to a 30-day supply of covered drugs at commonly prescribed dosages. $10 prescriptions include up to a 90-day supply of covered drugs at commonly prescribed dosages. Physician permission may be required to change a 30-day prescription to a 90-day prescription. This list is subject to change. *These drugs may be priced higher in CA, HI, MN, MT, PA, RI, TN, WI and WY. Please ask your Target pharmacist for specific pricing in these states. This list is also available at Target.com/Pharmacy 15 April 2014

Value-Priced Medication List In addition to the discounts on thousands of brand-name and most other generic medications that Walgreens Prescription Savings Club members enjoy, club members receive greater discounts on three-tiers of value priced generics.* The price for a generic drug is based on its tier and whether it is a 30-day or 90-day supply: 30-day-supply drugs cost $5 (tier 1), $10 (tier 2) or $15 (tier 3) 90-day-supply drugs cost $10 (tier 1), $20 (tier 2) or $30 (tier 3) VALUE GENERICS Antifungal FLUCONAZOLE 150MG TAB 2 1 3 TERBINAFINE 250MG TAB 2 30 90 Antiviral ACYCLOVIR 200MG TAB 2 60 180 Arthritis or Pain BACLOFEN 10MG TAB 2 90 270 BACLOFEN 20MG TAB 3 90 270 CYCLOBENZAPRINE 5MG TAB 2 30 90 CYCLOBENZAPRINE 10MG TAB 2 30 90 DICLOFENAC POTASSIUM 50MG TAB 3 60 180 DICLOFENAC SODIUM 25MG TAB 3 60 180 DICLOFENAC SODIUM 50MG TAB 3 60 180 DICLOFENAC SODIUM 75MG EC TAB 3 60 180 DICLOFENAC SODIUM 100MG ER TAB 3 30 90 FLURBIPROFEN 50MG TAB 3 60 180 FLURBIPROFEN 100MG TAB 3 60 180 IBUPROFEN 100MG/5ML ORAL SUSP 2 120 360 IBUPROFEN 400MG TAB 2 90 270 IBUPROFEN 600MG TAB 2 60 180 IBUPROFEN 800MG TAB 2 60 180 INDOMETHACIN 25MG CAP 2 60 180 INDOMETHACIN 50MG CAP 1 30 90 KETOPROFEN 50MG CAP 3 90 270 KETOPROFEN 75MG CAP 3 60 180 KETOROLAC 10MG TAB 2 15 45 KETOROLAC 30MG/ML INJ, 2ML 3 15 45 LEFLUNOMIDE 10MG TAB 3 30 90 MELOXICAM 7.5MG TAB 2 30 90 MELOXICAM 15MG TAB 2 30 90 NABUMETONE 500MG TAB 3 60 180 NAPROXEN 250MG TAB 1 60 180 NAPROXEN 375MG TAB 1 60 180 NAPROXEN 500MG TAB 1 60 180 NAPROXEN 375MG DR TAB 3 60 180 NAPROXEN DR 500MG TAB 3 60 180 NAPROXEN SODIUM 275MG TAB 1 30 90 NAPROXEN SODIUM 550MG TAB 3 30 90 SULINDAC 150MG TAB 3 60 180 TIZANIDINE 2MG TAB 3 60 180 TRAMADOL 50MG TAB 3 120 360 Asthma ALBUTEROL 0.083% INH SOLN 25X3ML 2 75 225 ALBUTEROL 0.5% INH SOL 20ML 2 20 60 ALBUTEROL SULF INH SOLN 1.25MG/3ML 3 90 270 ALBUTEROL SULFATE SYRUP (2MG/5ML) 1 120 360 AMINOPHYLLINE 100MG TAB 2 60 180 AMINOPHYLLINE 200MG TAB 2 60 180 DYPHYLLINE-GG 100-100 ELIXIR 2 240 720 DYPHYLLIN-GG TAB 3 30 90 IPRATROPIUM INHAL SOLN 60 X 2.5ML 2 75 225 THEOPHYLLINE 200MG CR TAB 3 60 180 THEOPHYLLINE 300MG CR TAB 3 60 180 THEOPHYLLINE 100MG ER TAB 2 60 180 THEOPHYLLINE 200MG ER TAB 3 60 180 Blood Pressure/Heart Health AMILORIDE 5MG / HCTZ 50MG TAB 2 30 90 AMIODARONE 200MG TAB 1 30 90 AMLODIPINE BESYLATE 2.5MG TAB 2 30 90 AMLODIPINE BESYLATE 5MG TAB 2 30 90 AMLODIPINE BESYLATE 10MG TAB 2 30 90 AMLODIPINE-BENAZ 2.5/10MG CAP 3 30 90 AMLODIPINE-BENAZ 5/10MG CAP 3 30 90 AMLODIPINE-BENAZ 5/20MG CAP 3 30 90 AMLODIPINE-BENAZ 10/20MG CAP 3 30 90 ATENOLOL 100MG TAB 1 30 90 ATENOLOL 100MG/CHLORTHAL 25MG TAB 2 30 90 ATENOLOL 25MG TAB 2 60 180 ATENOLOL 50MG TAB 2 60 180 ATENOLOL/CHLORTHALIDONE 50/25 TAB 2 30 90 BENAZEPRIL 5MG TAB 2 30 90 BENAZEPRIL 10MG TAB 2 30 90 BENAZEPRIL 20MG TAB 2 30 90 BENAZEPRIL 40MG TAB 2 30 90 BISOPROLOL FUMARATE 5MG TAB 2 30 90 BISOPROLOL/HCTZ 2.5MG/6.25MG TAB 2 30 90 BISOPROLOL/HCTZ 5MG/6.25MG TAB 2 30 90 BISOPROLOL/HCTZ 10MG/6.25MG TAB 2 30 90 BUMETANIDE 0.5MG TAB 2 30 90 BUMETANIDE 1MG TAB 2 30 90 BUMETANIDE 2MG TAB 3 30 90 CAPTOPRIL/HCTZ 25/25 TAB 3 60 180 CARTIA 120MG XT CAP 3 30 90 CARVEDILOL 3.125MG TAB 2 60 180 CARVEDILOL 6.25MG TAB 2 60 180 CARVEDILOL 12.5MG TAB 2 60 180 CARVEDILOL 25MG TAB 2 60 180 CHLOROTHIAZIDE 250MG TAB 2 60 180 CHLORTHALIDONE 25MG TAB 3 30 90 CHLORTHALIDONE 50MG TAB 3 30 90 CILOSTAZOL 50MG TAB 3 60 180 CILOSTAZOL 100MG TAB 3 60 180 CLONIDINE 0.1MG TAB 2 60 180 CLONIDINE 0.2MG TAB 2 60 180 CLONIDINE 0.3MG TAB 2 60 180 Blood Pressure/Heart Health (cont.) DILTIAZEM 30MG TAB 2 60 180 DILTIAZEM 60MG TAB 2 60 180 DILTIAZEM 90MG TAB 2 60 180 DILTIAZEM 120MG TAB 2 30 90 DILTIAZEM ER 120MG CAP (XR-24HR) 3 30 90 DIPYRIDAMOLE 25MG TAB 3 60 180 DIPYRIDAMOLE 50MG TAB 3 60 180 DIPYRIDAMOLE 75MG TAB 3 60 180 DOXAZOSIN 1MG TAB 3 30 90 DOXAZOSIN 2MG TAB 3 30 90 DOXAZOSIN 4MG TAB 3 30 90 ENALAPRIL 2.5MG TAB 2 60 180 ENALAPRIL 5MG TAB 1 60 180 ENALAPRIL 10MG TAB 2 60 180 ENALAPRIL 20MG TAB 3 60 180 ENALAPRIL-HCTZ 5-12.5MG TAB 1 60 180 ENALAPRIL-HCTZ 10-25MG TAB 1 30 90 FELODIPINE 2.5MG TAB 3 30 90 FOSINOPRIL 10MG TAB 2 30 90 FOSINOPRIL 20MG TAB 2 30 90 FOSINOPRIL 40MG TAB 2 30 90 FUROSEMIDE 8MG/ML SOLN 3 120 360 FUROSEMIDE 10MG/ML ORAL SOLN 60ML 3 90 270 FUROSEMIDE 20MG TAB 1 60 180 FUROSEMIDE 40MG TAB 1 60 180 FUROSEMIDE 80MG TAB 1 30 90 GUANFACINE 1MG TAB 2 30 90 GUANFACINE 2MG TAB 2 30 90 HYDRALAZINE 10MG TAB 1 60 180 HYDRALAZINE 25MG TAB 2 60 180 HYDRALAZINE 50MG TAB 3 90 270 HYDROCHLOROTHIAZIDE 12.5MG CAP 2 30 90 HYDROCHLOROTHIAZIDE 12.5MG TAB 3 30 90 HYDROCHLOROTHIAZIDE 25MG TAB 1 30 90 HYDROCHLOROTHIAZIDE 50MG TAB 1 30 90 INDAPAMIDE 1.25MG TAB 2 30 90 INDAPAMIDE 2.5MG TAB 2 30 90 ISOSORBIDE DINITRATE 2.5MG SL TAB 2 30 90 ISOSORBIDE DINITRATE 5MG SUBL TAB 3 120 360 ISOSORBIDE MONONITRATE 10MG TAB 3 60 180 ISOSORBIDE MONONITRATE 20MG TAB 3 60 180 ISOSORBIDE MONONITRATE 30MG ER TAB 2 30 90 ISOSORBIDE MONONITRATE 60MG ER TAB 2 30 90 LISINOPRIL 2.5MG TAB 2 30 90 LISINOPRIL 5MG TAB 2 30 90 LISINOPRIL 10MG TAB 1 30 90 LISINOPRIL 20MG TAB 1 30 90 LISINOPRIL 30MG TAB 2 30 90 LISINOPRIL 40MG TAB 2 30 90 LISINOPRIL-HCTZ 10/12.5MG TAB 2 30 90 LISINOPRIL-HCTZ 20/12.5MG TAB 2 30 90 LISINOPRIL-HCTZ 20/25MG TAB 2 30 90 LOSARTAN/HCTZ 100/12.5MG TAB 3 30 90 METHYLDOPA 250MG TAB 3 60 180 METHYLDOPA 500MG TAB 3 60 180 METOLAZONE 2.5MG TAB 3 30 90 16

Valued Priced Medication List (cont.) 2 Blood Pressure/Heart Health (cont.) METOLAZONE 5MG TAB 3 30 90 METOLAZONE 10MG TAB 3 30 90 METOPROLOL TARTRATE 25MG TAB 2 60 180 METOPROLOL TARTRATE 50MG TAB 2 60 180 METOPROLOL TARTRATE 100MG TAB 2 60 180 PENTOXIFYLLINE 400MG ER TAB 3 60 180 PRAZOSIN 1MG CAP 1 30 90 PRAZOSIN 2MG CAP 3 60 180 PROPAFENONE 150MG TAB 3 90 270 PROPRANOLOL 10MG TAB 2 60 180 PROPRANOLOL 20MG TAB 2 60 180 PROPRANOLOL 40MG TAB 2 60 180 PROPRANOLOL 60MG TAB 3 60 180 PROPRANOLOL 80MG TAB 2 60 180 QUINAPRIL 5MG TAB 2 30 90 QUINAPRIL 10MG TAB 2 30 90 QUINAPRIL 20MG TAB 2 30 90 QUINAPRIL 40MG TAB 2 30 90 QUINAPRIL/HCTZ 10-12.5MG TAB 3 30 90 RAMIPRIL 1.25MG CAP 3 30 90 SOTALOL 120MG TAB 2 60 180 SOTALOL 160MG TAB 3 60 180 SPIRONOLACTONE 25MG TAB 2 30 90 SPIRONOLACTONE 50MG TAB 2 30 90 SPIRONOLACTONE 25MG W/HCTZ 25MG TAB 2 30 90 TERAZOSIN 1MG CAP 2 30 90 TERAZOSIN 2MG CAP 2 30 90 TERAZOSIN 5MG CAP 2 30 90 TERAZOSIN 10MG CAP 2 30 90 TICLOPIDINE 250MG TAB 3 60 180 TORSEMIDE 5MG TAB 3 30 90 TORSEMIDE 10MG TAB 3 30 90 TORSEMIDE 20MG TAB 3 30 90 TORSEMIDE 100MG** TAB 3 30 90 TRANDOLAPRIL 1MG TAB 2 30 90 TRANDOLAPRIL 2MG TAB 1 30 90 TRANDOLAPRIL 4MG TAB 2 30 90 TRIAMTERENE 37.5MG/ HCTZ 25MG CAP 2 30 90 TRIAMTERENE 37.5MG/ HCTZ 25MG TAB 3 30 90 TRIAMTERENE 75MG/ HCTZ 50MG TAB 1 30 90 VERAPAMIL 40MG TAB 3 60 180 VERAPAMIL 80MG TAB 1 30 90 VERAPAMIL 120MG TAB 2 30 90 VERAPAMIL ER 100MG CAP (24 HR) 3 30 90 WARFARIN SOD 1MG TAB 1 30 90 WARFARIN SOD 2.5MG TAB 1 30 90 WARFARIN SOD 2MG TAB 1 30 90 WARFARIN SOD 3MG TAB 1 30 90 WARFARIN SOD 4MG TAB 1 30 90 WARFARIN SOD 5MG TAB 1 30 90 WARFARIN SOD 6MG TAB 1 30 90 WARFARIN SOD 7.5MG TAB 1 30 90 WARFARIN SOD 10MG** TAB 1 30 90 Cholesterol FENOFIBRATE 54MG TAB 3 30 90 GEMFIBROZIL 600MG TAB 3 60 180 LOVASTATIN 10MG TAB 1 30 90 LOVASTATIN 20MG TAB 1 30 90 LOVASTATIN 40MG TAB 1 30 90 PRAVASTATIN 10MG TAB 2 30 90 PRAVASTATIN 20MG TAB 2 30 90 PRAVASTATIN 40MG TAB 3 30 90 PRAVASTATIN 80MG TAB 3 30 90 SIMVASTATIN 5MG TAB 2 30 90 SIMVASTATIN 10MG TAB 2 30 90 SIMVASTATIN 20MG TAB 2 30 90 SIMVASTATIN 40MG TAB 3 30 90 SIMVASTATIN 80MG TAB 3 30 90 Cough/Cold/Allergy ALLER-CHLOR 4MG TAB 1 100 300 BENZONATATE 100MG CAP 1 30 90 BENZONATATE 200MG CAP 3 30 90 BROMDEX D SYRUP 3 120 360 CETIRIZINE 1MG/ML SYRUP 3 120 360 CETIRIZINE 10MG TAB 2 30 90 CYPROHEPTADINE 2MG/5ML SYRUP 3 120 360 DE-CHLOR DM LIQUID 2 120 360 DE-CHLOR DR SYRUP 2 180 540 DEHISTINE SYRUP 3 240 720 DIPHENHYDRAMINE 50MG CAP 2 30 90 FLUTICASONE NASAL SP (120INH) 16GM 3 16 48 LORATADINE 10MG TAB 1 30 90 NOHIST TAB 3 30 90 ORGAN-I NR 200MG TAB 3 120 360 PBM ALLERGY SYRUP 3 120 360 PHENYLTOLOXAMINE PE CPM SYRUP 2 240 720 PROMETHAZINE 12.5MG TAB 2 30 90 PROMETHAZINE 25MG TAB 1 12 36 PROMETHAZINE 50MG TAB 2 60 180 PROMETHAZINE DM SYRUP 2 180 540 QUARTUSS DM DROPS 30ML 3 30 90 QV-ALLERGY SYRUP 3 240 720 REME TUSSIN DM SYRUP 3 150 450 SILDEC PE-DM SYRUP 1 120 360 SILDEC-PE SYRUP 1 120 360 SUPRESS-DX PED DROPS 30ML 3 30 90 TRIPOHIST LIQUID 3 120 360 Diabetes GLIMEPIRIDE 1MG TAB 1 30 90 GLIMEPIRIDE 2MG TAB 1 30 90 GLIMEPIRIDE 4MG TAB 1 30 90 GLIPIZIDE 5MG TAB 1 30 90 GLIPIZIDE 10MG TAB 1 60 180 GLIPIZIDE ER 10MG TAB 3 30 90 GLIPIZIDE XL 2.5MG TAB 3 60 180 GLIPIZIDE XL 5MG TAB 3 30 90 GLIPIZIDE-METFORMIN 2.5MG/500MG TAB 3 90 270 GLIPIZIDE-METFORMIN 5MG/500MG TAB 3 90 270 GLYBURIDE 1.25MG TAB 1 30 90 GLYBURIDE 2.5MG TAB 2 30 90 GLYBURIDE 5MG TAB 2 30 90 GLYBURIDE MICRO 1.5MG TAB 1 30 90 GLYBURIDE MICRO 3MG TAB 1 30 90 GLYBURIDE MICRO 6MG TAB 1 30 90 GLYBURIDE/METFORMIN 1.25/250MG TAB 1 60 180 GLYBURIDE/METFORMIN 2.5/500MG TAB 1 60 180 GLYBURIDE/METFORMIN 5/500MG TAB 3 90 270 METFORMIN 500MG TAB 1 90 270 METFORMIN 850MG TAB 1 90 270 METFORMIN 1000MG TAB 1 90 270 METFORMIN ER 500MG 24HR TAB 1 60 180 METFORMIN ER 750MG 24HR TAB 3 60 180 Ear Care ACETIC ACID 2% OTIC SOLN 3 15 45 ANTIPYRINE BENZOCAINE OTIC SOL 15ML 2 15 45 Eye Care BACITRACIN/POLYMYX OPHTHOINT 3.5GM 3 3.5 10.5 CARTEOLOL HCL 1% OPH SOL 5ML 3 5 15 CARTEOLOL HCL 1% OPH SOL 10ML 3 10 30 CARTEOLOL HCL 1% OPH SOL 15ML 3 15 45 CROMOLYN SODIUM 4% OPHTH SOLN 10ML 3 10 30 CYCLOPENTOL 1% OPTH SOLN 15ML 3 15 45 DEXAMETHASONE 0.1% OPHTH SOLN 5ML 3 5 15 DORZOLAMIDE 2% OPHTH SOLN 10ML 3 10 30 ERYTHROMYCIN OPHTH OINT 3.5GM 2 3.5 10.5 Eye Care (cont.) GENTAMICIN 0.3% OPHTH SOLN 5ML 2 5 15 KETOROLAC 0.4% OPTH SOLN 5ML 3 5 15 KETOROLAC 0.5% OPHTH SOLN 5ML 3 5 15 LEVOBUNOLOL 0.5% OPTH SOLN 5ML 2 5 15 PILOCARPINE 0.5% OPHTH SOLN 3 15 45 POLYMYXIN-B/TRIMETHOPRIMOPHTH SOLN 2 10 30 SULFACETAMIDE NA 10% OPH SOL 15ML 2 15 45 TIMOLOL MALEATE.25% OPHTH SOL 5ML 2 5 15 TIMOLOL MALEATE 0.5% OPHTH SOLN 5ML 2 5 15 TOBRAMYCIN 0.3% OPH SOL 5ML 2 5 15 TROPICAMIDE 1% OP SOLN 3 15 45 Gastrointestinal Health CIMETIDINE 200MG TAB 2 60 180 CIMETIDINE 300MG TAB 2 60 180 CIMETIDINE 400MG TAB 3 60 180 CIMETIDINE ORAL LIQ 300MG/5ML 3 240 720 DICYCLOMINE 10MG CAP 2 90 270 DICYCLOMINE 20MG TAB 1 60 180 DOC-Q-LACE 100MG CAP 2 60 180 FAMOTIDINE 20MG TAB 2 60 180 FAMOTIDINE 40MG TAB 3 30 90 GENERLAC 10GM/15ML SOLN 2 237 711 LACTULOSE 10GM/15ML SOLN 3 473 1,419 METOCLOPRAMIDE 5MG TAB 2 60 180 METOCLOPRAMIDE 10MG TAB 2 60 180 METOCLOPRAMIDE HCL 5MG/5ML SOLN 1 60 180 NIZATIDINE 150MG CAP 3 60 180 NIZATIDINE 300MG CAP 3 30 90 OMEPRAZOLE 20MG CAP 3 30 90 RANITIDINE 150MG TAB 2 60 180 RANITIDINE 300MG TAB 2 30 90 RANITIDINE 15MG/ML (75MG/5ML) SYRUP 3 120 360 Gout ALLOPURINOL 100MG TAB 2 60 180 ALLOPURINOL 300MG TAB 2 60 180 Infections AMOX-CLAV 400MG CHEW TAB 3 20 60 AMOX-CLAV 200MG/5ML SUSP 100ML 3 100 300 AMOX-CLAV 400MG/5ML SUSP 100ML 3 100 300 AMOX-CLAV 500MG TAB 3 20 60 AMOX-CLAV ES 600MG/5ML SUSP 125ML 3 125 375 AMOXICILLIN 250MG CAP 1 30 90 AMOXICILLIN 500MG CAP 1 30 90 AMOXICILLIN 125MG CHEWABLE TAB 2 30 90 AMOXICILLIN 250MG CHEW TAB 3 40 120 AMOXICILLIN 125MG/5ML SUSP 80ML 2 80 240 AMOXICILLIN 125MG/5ML SUSP 100ML 2 100 300 AMOXICILLIN 125MG/5ML SUSP 150ML 2 150 450 AMOXICILLIN 200MG/5ML SUSP 75ML 1 75 225 AMOXICILLIN 200MG/5ML SUSP 100ML 1 100 300 AMOXICILLIN 250MG/5ML SUSP 150ML 1 150 450 AMOXICILLIN 250MG/5ML SUSP 100ML 1 100 300 AMOXICILLIN 250MG/5ML SUSP 80ML 1 80 240 AMOXICILLIN 400MG/5ML SUSP 50ML 1 50 150 AMOXICILLIN 400MG/5ML SUSP 75ML 1 75 225 AMOXICILLIN 400MG/5ML SUSP 100ML 1 100 300 AMOXICILLIN 500MG TAB 3 30 90 AMOXICILLIN 875MG TAB 3 20 60 AMPICILLIN 250MG CAP 2 40 120 AMPICILLIN 500MG CAP 3 60 180 CEFACLOR 250MG CAP 3 30 90 CEFADROXIL 500MG CAP 3 20 60 CEFPROZIL 125MG/5ML SUSP 50ML 3 50 150 17

Valued Priced Medication List (cont.) 3 Infections (cont.) CEFPROZIL 125MG/5ML SUSP 75ML 3 75 225 CEFPROZIL 125MG/5ML SUSP 100ML 3 100 300 CEFUROXIME 250MG TAB 3 20 60 CEPHALEXIN 125MG/5ML SUSP 100ML 3 100 300 CEPHALEXIN 250MG/5ML SUSP 100ML 1 100 300 CEPHALEXIN 125MG/5ML SUSP 200ML 3 200 600 CEPHALEXIN 250MG/5ML SUSP 200ML 1 200 600 CEPHALEXIN 250MG CAP 1 28 84 CEPHALEXIN 500MG CAP 1 30 90 CIPROFLOXACIN 250MG TAB 1 14 42 CIPROFLOXACIN 500MG TAB 1 20 60 CIPROFLOXACIN 750MG TAB 3 20 60 CLINDAMYCIN 150MG CAP 3 30 90 CLINDAMYCIN 300MG CAP 3 28 84 DICLOXACILLIN 250MG CAP 3 40 120 DOXYCYCLINE MONOHYDRATE 50MG TAB 3 30 90 DOXYCYCLINE MONOHYDRATE 100MG TAB 3 30 90 METRONIDAZOLE 250MG TAB 2 28 84 METRONIDAZOLE 500MG TAB 3 14 42 MINOCYCLINE 50MG CAP 3 60 180 MINOCYCLINE 75MG CAP 3 60 180 MINOCYCLINE 100MG CAP 3 30 90 PENICILLIN VK 125MG/5ML SOLN 100ML 1 100 300 PENICILLIN VK 125MG/5ML SOLN 200ML 1 200 600 PENICILLIN VK 250MG/5ML SOLN 100ML 1 100 300 PENICILLIN VK 250MG/5ML SOLN 200ML 1 200 600 PENICILLIN VK 250MG TAB 1 30 90 PENICILLIN VK 500MG TAB 1 20 60 SMZ/TMP REGULAR STRENGTH TAB 1 28 84 SULFAMETH/TRIMETHOPRIM 800/160 TAB 2 28 84 SULFAMETH-TRIMETH SUSP 1 150 450 TRIMETHOPRIM 100MG TAB 3 30 90 Medical Devices PROCHAMBER AERO SPACER 3 1 3 Mental Health AMITRIPTYLINE 10MG TAB 1 30 90 AMITRIPTYLINE 25MG TAB 1 30 90 AMITRIPTYLINE 50MG TAB 1 30 90 AMITRIPTYLINE 75MG TAB 2 30 90 AMITRIPTYLINE 100MG** TAB 1 30 90 AMITRIPTYLINE 150MG TAB 2 30 90 BENZTROPINE 0.5MG TAB 2 30 90 BENZTROPINE 1MG TAB 3 60 180 BENZTROPINE 2MG TAB 2 30 90 BUSPIRONE 5MG TAB 2 60 180 BUSPIRONE 10MG TAB 2 60 180 BUSPIRONE 15MG TAB 3 60 180 CARBAMAZEPINE 100MG CHEWABLE TAB 3 120 360 CARBAMAZEPINE 200MG TAB 2 100 300 CARBIDOPA/LEVODOPA 25-100MG CR TAB 3 90 270 CITALOPRAM 10MG TAB 2 30 90 CITALOPRAM 20MG TAB 2 30 90 CITALOPRAM 40MG TAB 2 30 90 CLOZAPINE 25MG TAB 3 30 90 DIVALPROEX DR 125MG TAB 3 90 270 DOXEPIN 10MG CAP 1 30 90 DOXEPIN 25MG CAP 2 30 90 DOXEPIN 50MG CAP 2 30 90 DOXEPIN 75MG CAP 3 30 90 DOXEPIN 100MG** CAP 3 30 90 DOXEPIN HCL 10MG/ML CONC 118ML 3 90 270 FLUOXETINE 10MG CAP 1 30 90 FLUOXETINE 20MG CAP 1 30 90 FLUOXETINE 40MG CAP 1 30 90 FLUOXETINE 10MG TAB 1 30 90 FLUOXETINE 20MG TAB 1 30 90 FLUOXETINE 20MG/5ML LIQUID 3 150 450 FLUPHENAZINE 2.5MG TAB 3 30 90 FLUPHENAZINE 5MG TAB 3 30 90 Mental Health (cont.) FLUVOXAMINE 25MG TAB 3 30 90 FLUVOXAMINE 100MG TAB 3 60 180 GABAPENTIN 100MG CAP 2 90 270 GABAPENTIN 300MG CAP 3 90 270 GABAPENTIN 400MG CAP 3 90 270 GABAPENTIN 250MG/5ML SOLN 3 236 708 HALOPERIDOL 0.5MG TAB 3 60 180 HALOPERIDOL 1MG TAB 2 30 90 HALOPERIDOL 2MG TAB 3 30 90 HALOPERIDOL 2MG/ML CONCENTRATE 3 135 405 HYDROXYZINE 10MG/5ML SYRUP 3 240 720 HYDROXYZINE HCL 10MG TAB 3 60 180 HYDROXYZINE HCL 25MG TAB 2 30 90 HYDROXYZINE HCL 50MG TAB 3 30 90 HYDROXYZINE PAMOATE 25MG CAP 3 90 270 IMIPRAMINE 10MG TAB 3 60 180 IMIPRAMINE 25MG TAB 3 60 180 IMIPRAMINE 50MG TAB 3 30 90 LAMOTRIGINE 5MG CHEWABLE TAB 3 150 450 LAMOTRIGINE 25MG CHEWABLE TAB 3 180 540 LITHIUM CARBONATE 150MG CAP 3 60 180 LITHIUM CARBONATE 300MG CAP 2 90 270 LITHIUM CARBONATE 300MG TAB 3 60 180 LITHIUM CARBONATE 600MG CAP 3 60 180 LITHIUM CARBONATE ER 450MG TAB 3 60 180 METHOCARBAMOL 500MG TAB 2 30 90 METHOCARBAMOL 750MG TAB 3 60 180 MIRTAZAPINE 15MG TAB 1 30 90 MIRTAZAPINE 30MG TAB 3 30 90 NORTRIPTYLINE 10MG CAP 2 30 90 NORTRIPTYLINE 25MG CAP 2 30 90 NORTRIPTYLINE 50MG CAP 3 60 180 NORTRIPTYLINE 75MG CAP 3 30 90 OXCARBAZEPINE 150MG TAB 3 90 270 PAROXETINE 10MG TAB 2 30 90 PAROXETINE 20MG TAB 2 30 90 PAROXETINE 30MG TAB 3 30 90 PRAMIPEXOLE 0.125MG TAB 3 30 90 PRAMIPEXOLE 0.25MG TAB 3 30 90 PRAMIPEXOLE 0.5MG TAB 3 60 180 PRAMIPEXOLE 1.5MG TAB 3 60 180 PRIMIDONE 50MG TAB 3 60 180 PROCHLORPERAZINE 5MG TAB 2 30 90 PROCHLORPERAZINE 10MG TAB 2 30 90 RISPERIDONE 0.25MG TAB 3 60 180 RISPERIDONE ODT 0.5MG TAB 3 60 180 RISPERIDONE ODT 1MG TAB 3 60 180 RISPERIDONE ODT 2MG TAB 3 30 90 ROPINIROLE 0.25MG TAB 3 60 180 ROPINIROLE 3MG TAB 3 30 90 SERTRALINE 25MG TAB 2 30 90 SERTRALINE 50MG TAB 3 30 90 SERTRALINE 100MG TAB 3 30 90 THIORIDAZINE 10MG TAB 2 60 180 THIORIDAZINE 25MG TAB 2 30 90 THIORIDAZINE 50MG TAB 2 30 90 THIOTHIXENE 1MG CAP 2 60 180 THIOTHIXENE 2MG CAP 3 60 180 TRAZODONE 50MG TAB 2 30 90 TRAZODONE 100MG TAB 1 30 90 TRAZODONE 150MG TAB 2 30 90 TRIHEXYPHENIDYL 2MG TAB 2 60 180 TRIHEXYPHENIDYL 5MG TAB 3 90 270 VALPROIC ACID 250MG/5ML SYRUP 3 540 1620 VENLAFAXINE 25MG TAB 3 60 180 VENLAFAXINE 37.5MG TAB 3 60 180 VENLAFAXINE 50MG TAB 3 60 180 VENLAFAXINE 75MG TAB 3 60 180 VENLAFAXINE 100MG TAB 3 60 180 Mouth/Throat/Dental CHLORHEXIDINE ORAL RINSE 473ML 2 473 1419 LIDOCAINE VISCOUS 2% ORAL SOL 100ML 2 100 300 PILOCARPINE 5MG TAB 3 90 270 SF 5000 PLUS 1.1% CREAM 51GM 3 60 180 SOD FLUORIDE 0.2% MINT SOLUTION 2 473 1419 STANNOUS FLUORIDE 0.63% RINSE 3 300 900 Skin Conditions BENZOYL PEROXIDE 2.5% AQ GEL 60GM 3 60 180 BENZOYL PEROXIDE 5% AQ GEL 60GM 3 60 180 BETAMETHASONE VAL 0.1% CRM 15GM 3 15 45 CICLOPIROX TOPICAL SUSPENSION 30ML 3 30 90 CICLOPIROX TOPICAL SUSPENSION 60ML 3 60 180 CLOBETASOL PROP 0.05% GEL 15GM 2 15 45 CLOTRIMAZOLE 1% SOLN 30ML 3 30 90 FLUTICASONE 0.005% OINT 30GM 3 30 90 HYDROCORTISONE 1% CREAM 28.35GM 2 28.35 85.05 HYDROCORTISONE 1% OINT 28.35GM 2 28.35 85.05 HYDROCORTISONE 2.5% CREAM 30GM 2 30 90 HYDROCORTISONE 2.5% OINT 28.35GM 3 60 180 HYPERCARE 20% SOL DAB-O-MATIC 60ML 3 60 180 MELQUIN 3% SOLN 30ML 3 30 90 MOMETASONE 0.1% OINT 15GM 3 15 45 MOMETASONE 0.1% OINT 45GM 3 45 135 MOMETASONE 0.1% TOPICAL SOLN 30ML 3 30 90 MOMETASONE 0.1% TOPICAL SOLN 60ML 3 60 180 NYSTATIN OINT 15GM 3 15 45 SALICYLIC AC 6% SHAMPOO 177ML 3 177 531 SELENIUM SULFIDE 2.5% SHAMPOO (LOTN) 2 118 354 TRIAMCINOLONE 0.025% CREAM 15GM 1 15 45 TRIAMCINOLONE 0.5% CREAM 15GM 2 15 45 TRIAMCINOLONE 0.1% CREAM 80GM 2 80 240 TRIAMCINOLONE 0.1% OINT 80GM 3 80 240 UREA 40% LOTION 236.6ML 3 236.6 709.8 UREA 50% NAIL GEL 18ML 3 18 54 Thyroid Conditions LEVOTHROID 0.1MG TAB 2 30 90 LEVOTHYROXINE 0.025MG (25MCG) TAB 2 30 90 LEVOTHYROXINE 0.05MG (50MCG) TAB 2 30 90 LEVOTHYROXINE 0.075MG (75MCG) TAB 2 30 90 LEVOTHYROXINE 0.088MG (88MCG) TAB 2 30 90 LEVOTHYROXINE 0.100MG (100MCG) TAB 2 30 90 LEVOTHYROXINE 0.112MG (112MCG) TAB 2 30 90 LEVOTHYROXINE 0.125MG (125MCG) TAB 2 30 90 LEVOTHYROXINE 0.137MG (137MCG) TAB 2 30 90 LEVOTHYROXINE 0.150MG (150MCG) TAB 2 30 90 LEVOTHYROXINE 0.175MG (175MCG) TAB 2 30 90 LEVOTHYROXINE 0.2MG (200MCG) TAB 2 30 90 LEVOTHYROXINE 0.3MG (300MCG) TAB 2 30 90 METHIMAZOLE 5MG TAB 2 30 90 METHIMAZOLE 10MG TAB 3 30 90 NATURE-THROID 0.5GR (32.5MG) TAB 2 60 180 Urinary Health BETHANECHOL 5MG TAB 3 60 180 BETHANECHOL 10MG TAB 3 60 180 BETHANECHOL 25MG TAB 3 90 270 OXYBUTYNIN 5MG/5ML SYRUP 3 240 720 OXYBUTYNIN ER 5MG TAB 3 30 90 OXYBUTYNIN ER 10MG TAB 3 30 90 OXYBUTYNIN ER 15MG TAB 3 30 90 18

Valued Priced Medication List (cont.) 4 Vitamins and Nutritional Health CYANOCOBALAMIN 1000MCG/ML INJ, 1ML 1 3 9 FABB TAB 3 30 90 FE C PLUS TAB 3 30 90 FEROTRIN CAP 3 60 180 FERREX 150 FORTE CAP 2 45 135 FLUORIDE 0.25MG F CHEWABLE TAB 2 120 360 FLUORIDE 0.5MG F CHEWABLE TAB 1 30 90 FLUORIDE 1.0MG F CHEWABLE TAB 2 30 90 FOLBECAL TAB 3 30 90 FOLBEE PLUS TAB 3 30 90 FOLBEE TAB 3 30 90 FOLIC ACID 1MG TAB 1 30 90 HEMATINIC/ FA TAB 2 30 90 HEMATINIC PLUS TAB 10 X 10 3 30 90 KLOR-CON 10MEQ TAB 3 30 90 MULTIGEN FOLIC TAB 3 30 90 MULTIGEN TAB 3 30 90 MULTIVIT/F 0.25MG CHEWABLE TAB 2 30 90 MULTI-VIT/FL 0.25MG DROPS 50ML 3 50 150 MULTI-VITA-F 0.5MG CHEW TAB 1 30 90 MULTI-VIT/FLUORIDE 1MG CHEW TAB 2 30 90 MULTIVITAMIN W/FL.5MG/ML ORAL DROP 2 50 150 MULTIVITAMINS W/ FL 1.0MG CHEW TAB 3 30 90 MULTIVITS W/FL 1MG & IRON CHEW TAB 1 30 90 NATALCARE PLUS TAB (1MG FOLIC ACID) 1 30 90 OB-NATAL ONE CAP 3 30 90 POLY-IRON 150 CAP 2 60 180 POLY-IRON 150 FORTE CAP 3 45 135 POT CHLOR 10% LIQ SF (20MEQ/15ML) 2 473 1419 POTASSIUM CL 10MEQ ER TAB 3 30 90 PRENAFIRST TAB 3 30 90 PRENATAB FA TAB 2 30 90 PRENATAL - U CAP 3 30 90 Vitamins and Nutritional Health (cont.) PRENATAL 19 CHEWABLE TAB 3 30 90 PRENATAL 19 TAB 2 30 90 PRENATAL PLUS TAB 2 30 90 RE DUALVIT F CAP 3 30 90 RE PRENATAL MULTIVIT W/IRON CHEW TB 3 30 90 RENA-VITE RX TAB 1 30 90 RENAL SOFTGEL CAP 3 30 90 THEROBEC PLUS TAB 3 30 90 TRI-VIT/FE FL.25MG DROPS 50ML 3 50 150 VINATE AZ TAB 3 30 90 VINATE CARE CHEWABLE TAB 3 30 90 VINATE C TAB 3 30 90 VINATE GT TAB 2 30 90 VINATE M TAB 2 30 90 VINATE ONE TAB 2 30 90 VITAMIN B-12 100MCG TAB 1 100 300 VITAMIN D 50,000IU CAP 1 4 12 Women s Health ALENDRONATE 5MG TAB 3 30 90 ALENDRONATE 10MG TAB 3 30 90 ALENDRONATE 35MG TAB 3 4 12 ALENDRONATE 70MG TAB 3 4 12 ANASTROZOLE 1MG TAB 3 30 90 CLOMIPHENE CITRATE 50MG TAB 2 5 15 ESTRADIOL 0.5MG TAB 1 30 90 ESTRADIOL 1MG TAB 1 30 90 ESTRADIOL 2MG TAB 1 30 90 ESTROPIPATE 0.625MG (0.75MG) TAB 2 30 90 ESTROPIPATE 1.5MG (1.25MG) TAB 3 30 90 Women s Health (cont.) MEDROXYPROGESTERONE 2.5MG TAB 2 30 90 MEDROXYPROGESTERONE 5MGTAB 1 30 90 MEDROXYPROGESTERONE 10MGTAB 1 10 30 MEGESTROL ACETATE 20MG TAB 2 30 90 TAMOXIFEN 10MG TAB 3 60 180 TAMOXIFEN 20MG TAB 3 30 90 Other ANAGRELIDE 0.5MG CAP 3 90 270 ANAGRELIDE 1MG CAP 3 60 180 CYTRA-2 SOLN 3 473 1419 CYTRA-K ORAL SOLN 3 473 1419 DEXAMETHASONE 0.5MG TAB 2 60 180 DEXAMETHASONE 0.75MG TAB 2 12 36 DEXAMETHASONE 1MG TAB 3 30 90 DEXAMETHASONE 1.5MG TAB 3 45 135 DEXAMETHASONE 4MG TAB 2 30 90 FINASTERIDE 5MG TAB 2 30 90 HYDROCORTISONE 5MG TAB 3 50 150 ISONIAZID 100MG TAB 2 100 300 LIDOCAINE 4% TOP SOLN 50ML 2 50 150 PHENAZOPYRIDINE 100MG TAB 2 6 18 PREDNISOLONE 15MG/5ML SOLN 3 60 180 PREDNISOLONE SOD PHOS 15MG/5ML SOL 2 30 90 PREDNISONE 1MG TAB 3 90 270 PREDNISONE 2.5MG TAB 2 60 180 PREDNISONE 5MG TAB 2 30 90 PREDNISONE 10MG** TAB 1 30 90 PREDNISONE 20MG TAB 2 30 90 PREDNISONE 5MG TAB PACK 21 S 3 21 63 19

Valued Priced Medication List (cont.) Insulins VALUE BRAND-NAME LEVEMIR FLEXPEN 1 BOX $257.65 LEVEMIR 100 UNITS/ML VIAL 1 VIAL $162.59 NOVOLIN N 100 UNITS/ML VIAL 1 VIAL $58.12 NOVOLIN R 100 UNITS/ML VIAL 1 VIAL $58.12 NOVOLIN 70/30 100 UNIT/ML VIAL 1 VIAL $58.12 NOVOLOG MIX 70/30 VIAL 1 VIAL $148.28 NOVOLOG MIX 70/30 FLEXPEN 1 BOX $276.52 NOVOLOG FLEXPEN 1 BOX $276.08 NOVOLOG PENFILL 3 ML 1 BOX $265.51 NOVOLOG 100 UNIT/ML VIAL 1 VIAL $142.93 Diabetic Supplies WALGREENS TRUE RESULT METER 1 METER FREE WALGREENS TRUE TEST STRIPS 25 S 1 BOX $17.99 WALGREENS TRUE TEST STRIPS 50 S 1 BOX $24.99 WALGREENS TRUE TEST STRIPS 100 S 1 BOX $41.99 Discounted Lifestyle Medications CIALIS 5MG TAB (QTY 6) $39.99 CIALIS 10MG TAB (QTY 6) $211.99 CIALIS 20MG TAB (QTY 6) $211.99 LATISSE 0.03% OPHTH SOLN $118.99 VIAGRA 50MG TAB (QTY 6) $186.99 VIAGRA 100MG TAB (QTY 6) $187.99 AVERAGE SAVINGS- 90-day supply of a value-priced generic Commonly prescribed quantities of all other generics Tier 1 $33.12 Tier 2 $32.99 Tier 3 $110.00 $25.60 Brand-name drugs $26.95 5 BAYER CONTOUR NEXT METER 1 METER FREE BAYER CONTOUR NEXT STRIPS 25 S 1 BOX $23.99 BAYER CONTOUR NEXT STRIPS 50 S 1 BOX $39.99 BAYER CONTOUR NEXT STRIPS 100 S 1 BOX $78.99 BAYER CONTOUR METER 1 METER FREE BAYER CONTOUR USB METER 1 METER FREE BAYER CONTOUR TEST STRIPS 50 S 1 BOX $47.99 BAYER CONTOUR TEST STRIPS 100 S 1 BOX $93.99 BAYER BREEZE 2 METER KIT 1 METER FREE BAYER BREEZE 2 TEST DISCS 50'S 1 BOX $48.99 BAYER BREEZE 2 TEST DISCS 100'S 1 BOX $93.99 LIFESTYLE MEDICATIONS Birth Control Special Price at $12 for 1-month supply MONONESSA TAB 28 TRINESSA TAB 28 $21.99 for 1-month supply MICROGESTIN 1.5/30 FE TAB 28 MICROGESTIN 1/20 FE TAB 28 RECLIPSEN 0.15MG-30MCG TAB 28 $23.99 for 1-month supply LOW-OGESTREL TAB 28 NECON 1/35 TAB 28 $24.99 for 1-month supply JOLIVETTE 0.35MG TAB 28 $25.99 for 1-month supply LEVORA 0.15/30 TAB 28 LUTERA TAB 28 Membership fee required ($20 individual or $35 family per year). Persons receiving benefits from Medicare, Medicaid or other federal or state healthcare programs are ineligible. Some restrictions apply to 10% bonus. Pet medications are for human-equivalent medications only. Membership may be cancelled within 30 days of issue date for a full refund. If by the end of the 1-year membership, member has not achieved total savings on all eligible Pharmacy and Walgreens Bonus Program items and services purchased with the PSC card that is equal to or greater than membership fee, member is eligible for store credit equal to the difference between membership fee and the member's total savings. For complete terms and conditions, call 866-922-7312 or visit Walgreens.com/rxsavingsclub. WAGDCO, LLC, 104 Wilmot Road, Deerfield, IL 60015. THIS PROGRAM DOES NOT CONSTITUTE INSURANCE. *List of drugs is not all-inclusive. Ask your Walgreens pharmacist if your medication is a value-priced generic. Drug names are the property of their respective owners. 2012 Walgreen Co. All rights reserved. 12SC0026 - Revised: 04/11/2014 20

Retail Prescription Program Drug List Revised 5/16/2014 $ 4, 30-day $ 10, 90-day $ 4, 30-day $ 10, 90-day Price Matters New Men s Health Category Convenience Free Home Delivery ** Our $4 prescriptions have saved our customers over $3 billion The program is available to everyone, no membership required More affordable options for men $9 Finasteride for 30 tablets Easy Pay saves you time at the checkout counter Ready Reminders send you a free text message when your prescription is ready Auto Refill your prescriptions and save time Mailed right to your home, no matter where you live Free shipping Find out more at Walmart.com/pharmacy Allergies & Cold and Flu Benzonatate 100mg cap...............14...... 42 Loratadine 10mg tab................. 30...... 90 Promethazine DM syrup............ 120ml.... 360ml Antibiotic Treatments Amoxicillin 125mg/5ml susp (80ml bottle)......1....... 3 Amoxicillin 125mg/5ml susp (100ml bottle).... 1....... 3 Amoxicillin 125mg/5ml susp (150ml bottle).... 1....... 3 Amoxicillin 200mg/5ml susp (50ml bottle)......1....... 3 Amoxicillin 200mg/5ml susp* (75ml bottle).....1....... 3 Amoxicillin 200mg/5ml susp* (100ml bottle).....1....... 3 Amoxicillin 250mg/5ml susp (80ml bottle)......1....... 3 Amoxicillin 250mg/5ml susp (100ml bottle).... 1....... 3 Amoxicillin 250mg/5ml susp (150ml bottle).... 1....... 3 Amoxicillin 400mg/5ml susp (50ml bottle)......1....... 3 Amoxicillin 400mg/5ml susp* (75ml bottle).....1....... 3 Amoxicillin 400mg/5ml susp* (100ml bottle).....1....... 3 Amoxicillin 250mg cap................ 30...... 90 Amoxicillin 500mg cap................ 30...... 90 Cephalexin 250mg cap................ 28...... 84 Cephalexin 500mg cap................ 30...... 90 Ciprofloxacin 250mg tab............... 14...... 42 Ciprofloxacin 500mg tab............... 20...... 60 Penicillin VK 250mg tab............... 28...... 84 Penicillin VK 125mg/5ml susp (100ml bottle).....1....... 3 Penicillin VK 125mg/5ml susp (200ml bottle).....1....... 3 Penicillin VK 250mg/5ml susp (100ml bottle).....1....... 3 SMZ-TMP 200mg-40mg/5ml susp*....... 120ml.... 360ml SMZ-TMP 400mg-80mg tab.............28...... 84 SMZ-TMP DS 800mg-160mg tab........... 20...... 60 $ 4, 30-day $ 10, 90-day $ 4, 30-day $ 10, 90-day Arthritis & Pain Prescription Program includes up to a 30-day supply for $4 and a 90-day supply for $10 of some covered generic drugs at commonly prescribed dosages. Higher dosages cost more. Prices for some drugs covered by the Prescription Program may be higher and may vary in some states. Restrictions apply. See Program Details or your Walmart Pharmacist for details. Free language assistance services available for prescription drug information at Walmart and Sam s Club pharmacies in New York. Contact your Walmart or Sam s Club pharmacy for details. * Prices may be higher in CA, HI, MN, MT, PA, TN and WI. ** Home Delivery Service is not available through SamsClub.com. Prepackaged drugs are covered only in unit sizes specified on Drug List. See Program Details or your Walmart Pharmacist for details. Allopurinol 100mg tab................ 30...... 90 Allopurinol 300mg tab................ 30...... 90 Baclofen 10mg tab*................. 30...... 90 Cyclobenzaprine 5mg tab..............30...... 90 Cyclobenzaprine 10mg tab............. 30...... 90 Dexamethasone 0.5mg tab............. 30...... 90 Dexamethasone 0.75mg tab............. 12...... 36 Dexamethasone 4mg tab...............6...... 18 Diclofenac DR 75mg tab*..............60......180 Ibuprofen 100mg/5ml susp*........... 120ml.... 360ml Ibuprofen 400mg tab................ 90......270 Ibuprofen 600mg tab*................60......180 Ibuprofen 800mg tab................ 30...... 90 Indomethacin 25mg cap*..............60......180 Meloxicam 7.5mg tab................ 30...... 90 Meloxicam 15mg tab................. 30...... 90 Naproxen 375mg tab*................60......180 Naproxen 500mg tab*................60......180 Asthma Albuterol 2mg tab..................90......270 Albuterol 4mg tab..................60......180 Albuterol 2mg/5ml syrup............ 120ml.... 360ml Albuterol 0.083% nebulizer soln* (25x3ml vials)...1....... 3 $ 9/30-day Albuterol 0.5% nebulizer soln* (20ml bottle)............ 1 Ipratropium 0.02% nebulizer soln* (25x2.5ml vials).1....... 3 Revised 5/16/2014 2014 Wal-Mart Stores, Inc. Page 1 of 5 21 Savings Made Simple

$ 4, 30-day $ 10, 90-day $ 4, 30-day $ 10, 90-day Cholesterol Lovastatin 10mg tab.....................30...... 90 Lovastatin 20mg tab*................ 30...... 90 Diabetes Glimepiride 1mg tab................. 30...... 90 Glimepiride 2mg tab................. 30...... 90 Glimepiride 4mg tab................. 30...... 90 Glipizide 5mg tab.................. 30...... 90 Glipizide 10mg tab*................. 60......180 Glyburide 2.5mg tab.................30...... 90 Glyburide 5mg tab (blue).............. 30...... 90 Glyburide 5mg tab (green).............. 30...... 90 Glyburide, micronized 3mg tab........... 30...... 90 Glyburide, micronized 6mg tab........... 30...... 90 Metformin 500mg tab................60......180 Metformin 850mg tab................60......180 Metformin 1000mg tab*.............. 60......180 Metformin 500mg ER tab*.............. 60......180 Ear Health Antipyrine/Benzocaine otic* (15ml bottle)..... 1....... 3 Fungal Infections Fluconazole 150mg tab................... 1....... 3 Nystatin cream* (15gm tube)............... 1....... 3 Nystatin cream* (30gm tube)............... 1....... 3 Terbinafine 250mg tab*...................30...... 90 Gastrointestinal Health Cimetidine 800mg tab*............... 30...... 90 Cytra2 solution.................. 180ml.... 540ml Dicyclomine 10mg cap................ 90......270 Dicyclomine 20mg tab................ 60......180 Famotidine 20mg tab................ 60......180 Lactulose syrup*................ 236ml.... 708ml Metoclopramide 10mg tab............. 60......180 Metoclopramide syrup.............. 60ml.... 180ml Promethazine 25mg tab*.............. 12...... 36 Promethazine plain syrup*............ 180ml.... 540ml Ranitidine 150mg tab................ 60......180 Ranitidine 300mg tab................ 30...... 90 Glaucoma & Eye Care Atropine Sulfate 1% op. soln* (5ml bottle)...... 1....... 3 Erythromycin op. ointment (3.5gm tube) *....... 1....... 3 Gentak 0.3% op. soln.................... 5...... 15 Gentamicin 0.3% op. soln (5ml bottle)......... 1....... 3 Levobunolol 0.5% op soln (5ml bottle)......... 1....... 3 Neomycin/Polymyxin/Dexamethasone 0.1% op. ointment* (3.5gm tube)............ 1....... 3 Neomycin/Polymyxin/Dexamethasone 0.1% op. susp* (5ml bottle)................ 1....... 3 Pilocarpine 1% op. soln* (15ml bottle)......... 1....... 3 Pilocarpine 2% op. soln* (15ml bottle)......... 1....... 3 Polymyxin Sulfate/TMP op. soln* (10ml bottle).... 1....... 3 Sulfacet Sodium 10% op. soln* (15ml bottle)..... 1....... 3 Timolol Maleate 0.25% op. soln (5ml bottle)..... 1....... 3 Timolol Maleate 0.5% op soln (5ml bottle)...... 1....... 3 Tobramycin 0.3% op. soln (5ml bottle)......... 1....... 3 Heart Health & Blood Pressure Atenolol-Chlorthalidone 100mg........... 30...... 90 Atenolol 25mg tab..................30...... 90 Atenolol 50mg tab..................30...... 90 Atenolol 100mg tab................. 30...... 90 Benazepril 5mg tab.................. 30...... 90 Benazepril 10mg tab................. 30...... 90 Benazepril 20mg tab................. 30...... 90 Benazepril 40mg tab................. 30...... 90 Bisoprolol-HCTZ 2.5mg-6.25mg tab......... 30...... 90 Bisoprolol-HCTZ 5mg-6.25mg tab.......... 30...... 90 Bisoprolol-HCTZ 10mg-6.25mg tab.........30...... 90 Bumetanide 0.5mg tab................ 30...... 90 Bumetanide 1mg tab................. 30...... 90 Carvedilol 3.125mg tab............... 60......180 Carvedilol 6.25mg tab................60......180 Carvedilol 12.5mg tab................60......180 Carvedilol 25mg tab.................60......180 Clonidine 0.1mg tab.................30...... 90 Clonidine 0.2mg tab.................30...... 90 Enalapril-HCTZ 5mg-12.5mg tab.......... 30...... 90 Prescription Program includes up to a 30-day supply for $4 and a 90-day supply for $10 of some covered generic drugs at commonly prescribed dosages. Higher dosages cost more. Prices for some drugs covered by the Prescription Program may be higher and may vary in some states. Restrictions apply. See Program Details or your Walmart Pharmacist for details. Free language assistance services available for prescription drug information at Walmart and Sam s Club pharmacies in New York. Contact your Walmart or Sam s Club pharmacy for details. * Prices may be higher in CA, HI, MN, MT, PA, TN and WI. ** Home Delivery Service is not available through SamsClub.com. Prepackaged drugs are covered only in unit sizes specified on Drug List. See Program Details or your Walmart Pharmacist for details. Revised 5/16/2014 2014 Wal-Mart Stores, Inc. Page 2 of 5 22 Savings Made Simple

$ 4, 30-day $ 10, 90-day $ 4, 30-day $ 10, 90-day Enalapril 2.5mg tab.................. 30...... 90 Enalapril 5mg tab................... 30...... 90 Enalapril 10mg tab*................. 30...... 90 Enalapril 20mg tab*................. 30...... 90 Furosemide 20mg tab................30...... 90 Furosemide 40mg tab................30...... 90 Furosemide 80mg tab................30...... 90 Guanfacine 1mg tab.................30...... 90 Hydralazine 10mg tab................30...... 90 Hydralazine 25mg tab................30...... 90 Hydrochlorothiazide(HCTZ)12.5mg cap....... 30...... 90 Hydrochlorothiazide (HCTZ) 25mg tab....... 30...... 90 Hydrochlorothiazide (HCTZ) 50mg tab....... 30...... 90 Indapamide 1.25mg tab...............30...... 90 Indapamide 2.5mg tab................ 30...... 90 Isosorbide Mononitrate 30mg ER tab*........ 30...... 90 Isosorbide Mononitrate 60mg ER tab*........ 30...... 90 Lisinopril-HCTZ 10mg-12.5mg tab.......... 30...... 90 Lisinopril-HCTZ 20mg-12.5mg tab*.........30...... 90 Lisinopril-HCTZ 20mg-25mg tab*..........30...... 90 Lisinopril 2.5mg tab................. 30...... 90 Lisinopril 5mg tab.................. 30...... 90 Lisinopril 10mg tab.................. 30...... 90 Lisinopril 20mg tab.................. 30...... 90 Methyldopa 250mg tab*............... 60......180 Metoprolol Tartrate 25mg tab............60......180 Metoprolol Tartrate 50mg tab............60......180 Metoprolol Tartrate 100mg tab*........... 60......180 Propranolol 10mg tab................60......180 Propranolol 20mg tab................60......180 Propranolol 40mg tab................60......180 Propranolol 80mg tab................60......180 Sotalol HCL 80mg tab*................ 30...... 90 Spironolactone 25mg tab*.............. 30...... 90 Terazosin 1mg cap..................30...... 90 Terazosin 2mg cap..................30...... 90 Terazosin 5mg cap..................30...... 90 Terazosin 10mg cap................. 30...... 90 Triamterene-HCTZ 75mg-50mg tab.........30...... 90 Triamterene-HCTZ 37.5mg-25mg tab........30...... 90 Verapamil 80mg tab.................30...... 90 Verapamil 120mg tab................ 30...... 90 Warfarin 1mg tab................... 30...... 90 Warfarin 2mg tab................... 30...... 90 Warfarin 2.5mg tab.................. 30...... 90 Warfarin 3mg tab................... 30...... 90 Warfarin 4mg tab................... 30...... 90 Warfarin 5mg tab*..................30...... 90 Warfarin 6mg tab................... 30...... 90 Warfarin 7.5mg tab.................. 30...... 90 Warfarin 10mg tab..................30...... 90 Men s Health $ 9/30-day Finasteride 5mg............................... 30 Mental Health Amitriptyline 10mg tab...................30...... 90 Amitriptyline 25mg tab............... 30...... 90 Amitriptyline 50mg tab............... 30...... 90 Amitriptyline 75mg tab............... 30...... 90 Amitriptyline 100mg tab............... 30...... 90 Benztropine 2mg tab................. 30...... 90 Buspirone 5mg tab.................. 60......180 Buspirone 10mg tab*................ 60......180 Carbamazepine 200mg tab*............. 60......180 Citalopram 20mg tab................. 30...... 90 Citalopram 40mg tab................. 30...... 90 Fluoxetine 10mg tab*................ 30...... 90 Fluoxetine 10mg cap................. 30...... 90 Fluoxetine 20mg cap................. 30...... 90 Fluoxetine 40mg cap................. 30...... 90 Fluphenazine 1mg tab................30...... 90 Haloperidol 0.5mg tab................30...... 90 Haloperidol 1mg tab................. 30...... 90 Haloperidol 2mg tab................. 30...... 90 Haloperidol 5mg tab................. 30...... 90 Lithium Carbonate 300mg cap*...........90......270 Nortriptyline 10mg cap...............30...... 90 Nortriptyline 25mg cap............... 30...... 90 Paroxetine 10mg tab*................ 30...... 90 Paroxetine 20mg tab*................30...... 90 Prescription Program includes up to a 30-day supply for $4 and a 90-day supply for $10 of some covered generic drugs at commonly prescribed dosages. Higher dosages cost more. Prices for some drugs covered by the Prescription Program may be higher and may vary in some states. Restrictions apply. See Program Details or your Walmart Pharmacist for details. Free language assistance services available for prescription drug information at Walmart and Sam s Club pharmacies in New York. Contact your Walmart or Sam s Club pharmacy for details. * Prices may be higher in CA, HI, MN, MT, PA, TN and WI. ** Home Delivery Service is not available through SamsClub.com. Prepackaged drugs are covered only in unit sizes specified on Drug List. See Program Details or your Walmart Pharmacist for details. Revised 5/16/2014 2014 Wal-Mart Stores, Inc. Page 3 of 5 23 Savings Made Simple

$ 4, 30-day $ 10, 90-day $ 4, 30-day $ 10, 90-day Prochlorperazine 10mg tab............. 30...... 90 Trazodone 50mg tab................. 30...... 90 Trazodone 100mg tab................30...... 90 Trazodone 150mg tab................30...... 90 Trihexyphenidyl 2mg tab.............. 60......180 Skin Conditions Gentamicin 0.1% cream (15gm tube).......... 1....... 3 Gentamicin 0.1% ointment (15gm tube)........ 1....... 3 Hydrocortisone 1% cream (28.35-30g tube)..... 1....... 3 Hydrocortisone 2.5% cream (30gm tube)....... 1....... 3 Silver Sulfadiazine 1% cream* (50gm tube)...... 1....... 3 Triamcinolone 0.025% cream (15gm tube)...... 1....... 3 Triamcinolone 0.025% cream (80gm tube)...... 1....... 3 Triamcinolone 0.1% cream (15gm tube)........ 1....... 3 Triamcinolone 0.1% cream (80gm tube)........ 1....... 3 Triamcinolone 0.1% ointment (15gm tube)...... 1....... 3 Triamcinolone 0.1% ointment (80gm tube)...... 1....... 3 Triamcinolone 0.5% cream (15gm tube)........ 1....... 3 Thyroid Conditions Levothyroxine 25mcg tab.................30...... 90 Levothyroxine 50mcg tab.............. 30...... 90 Levothyroxine 75mcg tab.............. 30...... 90 Levothyroxine 88mcg tab.............. 30...... 90 Levothyroxine 100mcg tab.............. 30...... 90 Levothyroxine 112mcg tab.............. 30...... 90 Levothyroxine 125mcg tab.............. 30...... 90 Levothyroxine 137mcg tab.............. 30...... 90 Levothyroxine 150mcg tab.............. 30...... 90 Levothyroxine 175mcg tab*.............30...... 90 Levothyroxine 200mcg tab*.............30...... 90 Viruses Acyclovir 200mg cap....................30...... 90 Vitamins & Nutritional Health Folic Acid 1mg tab..................... 30...... 90 Mag 64 64mg tab*..................60......180 Magnesium Oxide 400mg tab............30...... 90 Prenatal Plus qty 30*.................30...... 90 Sodium Fluoride.25mg chewable* (120ct bottle).. 1..... N/A Women s Health Estradiol 0.5mg tab.....................30...... 90 Estradiol 1mg tab................... 30...... 90 Estradiol 2mg tab................... 30...... 90 MedroxyprogesteroneAcetate 2.5mg tab...... 30...... 90 Medroxyprogesterone Acetate 5mg tab....... 30...... 90 Medroxyprogesterone Acetate 10mg tab...... 10...... 30 Oral Contraceptives $ 9, 28-day Levonorgestrel/Ethinyl Estradiol.................... 28 Kurvelo............................... 28 Norethindrone USP......................... 28 Enskyce............................... 28 Jencycla................................... 28 Pirmella 1/35............................ 28 Pirmella 7/7/7............................ 28 Sprintec............................... 28 Tri-Sprintec............................. 28 $ 9, 30-day $ 24, 90-day Alendronate SOD 35mg tab................ 4...... 12 Alendronate SOD 70mg tab............. 4...... 12 Clomiphene 50mg tab................ 5...... 15 Tamoxifen 10mg tab.................60......180 Tamoxifen 20mg tab.................30...... 90 Other Medical Conditions Chlorhexidine Gluconate 0.12% soln (473ml bottle).. 1........ 3 Isoniazid 300mg tab.................30...... 90 Lidocaine 2% viscous solution (100ml bottle)....1....... 3 Megestrol 20mg tab*................. 30...... 90 Phenazopyridine 100mg tab*............ 6...... 18 Prednisone 2.5mg tab*................ 30...... 90 Prednisone 5mg tab*................. 30...... 90 Prescription Program includes up to a 30-day supply for $4 and a 90-day supply for $10 of some covered generic drugs at commonly prescribed dosages. Higher dosages cost more. Prices for some drugs covered by the Prescription Program may be higher and may vary in some states. Restrictions apply. See Program Details or your Walmart Pharmacist for details. Free language assistance services available for prescription drug information at Walmart and Sam s Club pharmacies in New York. Contact your Walmart or Sam s Club pharmacy for details. * Prices may be higher in CA, HI, MN, MT, PA, TN and WI. ** Home Delivery Service is not available through SamsClub.com. Prepackaged drugs are covered only in unit sizes specified on Drug List. See Program Details or your Walmart Pharmacist for details. Revised 5/16/2014 2014 Wal-Mart Stores, Inc. Page 4 of 5 24 Savings Made Simple

Walmart s Prescription Program Details 1. Walmart s Prescription Program (the Program ) is available at all Walmart, Sam s Club and Neighborhood Market pharmacies in the United States ( Walmart Retail Pharmacies ), except in North Dakota, as set forth below in Sections 3 and 4. The Program is also available through Walmart Mail Service ( Walmart Mail Service ), as set forth below in Section 5. 2. The Program applies only to certain generic drugs at commonly prescribed dosages. Higher dosages cost more. You may obtain a list of generic drugs and dosages covered under the Program at Walmart Retail Pharmacies (the Retail Drug List ) and through Walmart Mail Service (the Mail Service Drug List ) on Walmart. com or at Walmart Retail Pharmacies. The Retail Drug List and Mail Service Drug List may change and also may vary by state. Not all formulations of a drug (for example, enteric-coated, extended or timed release formulations) are covered under the Program. Program pricing not available when a covered drug is dispensed as part of a compound. 3. Under the Program at Walmart Retail Pharmacies, $4 is the price for up to a 30-day supply of certain covered generic drugs at commonly prescribed dosages (the $4 Retail Program ). $10 is the price of a 90-day supply of certain covered generic drugs at commonly prescribed dosages (the $10 Retail Program ). Not all drugs covered by the $4 Retail Program are covered by the $10 Program. Prices for quantities between a 30-day supply and a 90-day supply of drugs covered by both the $4 Retail Program and $10 Retail Program are prorated based on the $4 Program price, but will not exceed $10. Prices for quantities greater than a 90-day supply of drugs covered by the $10 Retail Program are prorated based on the $10 Program price. Prorated pricing is not available under the Program for prepackaged drugs. For pricing policies relating to prepackaged drugs (such as tubes, vials or bottles), see Section 6. 4. Under the Program at Walmart Retail Pharmacies, $9 is the price for up to a 30-day supply of certain women s health and other covered generic drugs at commonly prescribed dosages (the $9 Retail Program ). $24 is the price for a 90-day supply of certain women s health and other covered generic drugs at commonly prescribed dosages (the $24 Retail Program ). Not all drugs covered by the $9 Retail Program are covered by the $24 Retail Program. Prices for quantities between a 30-day supply and a 90-day supply of drugs covered by both the $9 Program and $24 Retail Program are prorated based on the $9 Program price, but will not exceed $24. Prices for quantities greater than a 90-day supply of drugs covered by the $24 Retail Program are prorated based on the $24 Program price. Prorated pricing is not available under the Program for prepackaged drugs. For pricing policies relating to prepackaged drugs, see Section 6. 5. Under the Program through Walmart Mail Service, $10 is the price for mail delivery of a 90-day supply of certain generic drugs at commonly prescribed dosages ( $10 Mail Service Program ). $24 is the price for mail delivery of certain women s health and certain other covered drugs at commonly prescribed dosages ($24 Mail Service Program ). Not all drugs covered by the $10 Retail Program are covered by the $10 Mail Service Program; not all drugs covered by the $24 Retail Program are covered by the $24 Mail Service Program. See Mail Service Drug List for a list of drugs covered by the $10 Mail Service Program and $24 Mail Service Program. Walmart Mail Service covers both initial fills and refills. Delivery of covered drugs is available only through Walmart Mail Service and is not available at Walmart, Sam s Club, and Neighborhood Market retail pharmacies. Delivery under the Program through Walmart Mail Service is limited to U.S. addresses by First-Class Mail; expedited delivery is also available for an additional charge. Some health plans do not cover Walmart Mail Service or 90-day supplies. Prices for quantities greater than a 90-day supply of drugs covered by the $10 Mail Service Program and the $24 Mail Service Program are prorated based on the $10 and $24 Program price, respectively. Prices for quantities less than a 90-day supply are not prorated under either the $10 Mail Service Program or the $24 Mail Service Program. Prorated pricing is not available under the Program for prepackaged drugs. For pricing policies relating to prepackaged drugs, see Section 6. 6. Prepackaged drugs are covered under the Program only in the unit sizes specified on the Retail Drug List and Mail Service Drug List. Prepackaged drugs are dispensed based on the quantities prescribed and unit sizes in stock at the dispensing pharmacy. Unit sizes not specified on the Retail Drug List or Mail Service Drug List are not covered under the Program. Multi-unit purchases are charged at a per unit price, based on the price per unit size dispensed, unless otherwise specified. Prepackaged drugs dispensed in unit sizes not specified on the Retail Drug List and Mail Service Drug List may be priced higher, even if equivalent quantities of the drug are available in specified unit sizes. Prorated pricing is not available under the Program for prepackaged drugs. 7. Prices of certain drugs covered by the Program may be higher in some states, as noted on the Retail Drug List and Mail Service Drug List. 8. Program pricing may be limited to select manufacturers of a covered drug and is available as long as supplies from such manufacturers are in stock at the dispensing pharmacy. 9. You may pay less or more than the Program price, depending on the terms of your health plan. Prescriber permission may be required to change a 30-day prescription to a 90-day prescription. Certain plans, including government-funded programs, may not cover a 90-day supply. 10. For purchases made at Walmart Retail Pharmacies, prescriptions must initially be filled in person, and refills must be picked up in store. There are no substitutions. Purchases made through Walmart Mail Service may be ordered at Walmart Retail Pharmacies, by phone or through walmart.com. 11. These Program Details are subject to change without advance notice. Changes to these Program Details may be made only in writing. Prescription Program includes up to a 30-day supply for $4 and a 90-day supply for $10 of some covered generic drugs at commonly prescribed dosages. Higher dosages cost more. Prices for some drugs covered by the Prescription Program may be higher and may vary in some states. Restrictions apply. See Program Details or your Walmart Pharmacist for details. Free language assistance services available for prescription drug information at Walmart and Sam s Club pharmacies in New York. Contact your Walmart or Sam s Club pharmacy for details. * Prices may be higher in CA, HI, MN, MT, PA, TN and WI. ** Home Delivery Service is not available through SamsClub.com. Prepackaged drugs are covered only in unit sizes specified on Drug List. See Program Details or your Walmart Pharmacist for details. Revised 5/16/2014 2014 Wal-Mart Stores, Inc. Page 5 of 5 25 Savings Made Simple

Winn-Dixie Prescription Plan $4 & $10 GENERICS A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Men's Health Women's Health Baby Club Benefits Antibiotics QTY DRUG NAME $0.00 Copay$4.00 $10.00 AMOXICILLIN 125 MG/5 ML (150 ML BOTTLE) 150 AMOXICILLIN 125 MG/5 ML (100 ML BOTTLE) 100 AMOXICILLIN 125 MG/5 ML (80 ML BOTTLE) 80 AMOXICILLIN 200 MG/5 ML (100 ML BOTTLE) 100 AMOXICILLIN 200 MG/5 ML (75 ML BOTTLE) 75 AMOXICILLIN 200 MG/5 ML (50 ML BOTTLE) 50 AMOXICILLIN 250 MG CAPSULES 30 AMOXICILLIN 250 MG/5 ML (150 ML BOTTLE) 150 AMOXICILLIN 250 MG/5 ML (100 ML BOTTLE) 100 AMOXICILLIN 250 MG/5 ML (80 ML BOTTLE) 80 AMOXICILLIN 400 MG/5 ML (100 ML BOTTLE) 100 AMOXICILLIN 400 MG/5 ML (75 ML BOTTLE) 75 AMOXICILLIN 400 MG/5 ML (50 ML BOTTLE) 50 AMOXICILLIN 500 MG CAPSULES 30 AMOXICILLIN 875 MG TABLETS 20 AMPICILLIN 250 MG CAPSULES 28 AMPICILLIN 500 MG CAPSULES 28 CEPHALEXIN 250 MG CAPSULES 30 CEPHALEXIN 500 MG CAPSULES 30 CIPROFLOXACIN 250 MG TABLETS 20 CIPROFLOXACIN 500 MG TABLETS 20 CIPROFLOXACIN 750 MG TABLETS 14 CLINDAMYCIN 150 MG CASULES 30 90 ISONIAZID 300 MG TABLETS 30 90 MINOCYCLINE 50 MG CAPSULES 28 84 MINOCYCLINE 100 MG CAPSULES 28 84 PENICILLIN V Pot 125/5 100 ML (100 ML BOTTLE) 100 PENICILLIN V Pot 125/5 200 ML (200 ML BOTTLE) 200 PENICILLIN VK 250 MG TABLETS 28 PENICILLIN VK 250/5 ML (100 ML BOTTLE) 100 PENICILLIN VK 250/5 ML (200 ML BOTTLE) 200 PENICILLIN VK 500 MG TABLETS 28 SULFAMETH/TRIMETH 200/40/5 ML 120 SULFAMETH/TRIMETH 400/80 MG TABLETS 28 SULFAMETH/TRIMETH 800/160 MG TABLETS 20 SULFASALAZINE 500 MG TABLETS 30 90 $8.00 $24.00 AMOX/K CLAV 500 MG TABLETS 20 AMOX/K CLAV 875 MG TABLETS 20 METRONIDAZOLE 250 MG TABLETS 28 84 26

METRONIDAZOLE 500 MG TABLETS 14 42 $15.00 AZITHROMYCIN 250 MG PAK (6 TABLETS) (NEW) 6 N/A Antifungal DRUG NAME $4.00 $10.00 FLUCONAZOLE 150 MG TABLETS 1 3 KETOCONAZOLE 2% CREAM 15 45 NYSTATIN 100 MU/ML ORAL SUSP DROP 60 180 NYSTATIN 100 MU/ML ORAL SUSP 60 180 TERBINAFINE 250 MG TABLETS 30 90 $8.00 $24.00 KETOCONAZOLE 2% CREAM 30 90 $12.00 $36.00 KETOCONAZOLE 2% CREAM 60 180 Antiviral DRUG NAME $4.00 $10.00 AMANTADINE 50 MG/5 ML SYRUP 120 360 ACYCLOVIR 200 MG CAPSULES 30 90 ACYCLOVIR 400 MG TABLETS 30 90 ACYCLOVIR 800 MG TABLETS 30 90 Arthritis/ Pain DRUG NAME $4.00 $10.00 ALLOPURINOL 100 MG TABLETS 30 90 ALLOPURINOL 300 MG TABLETS 30 90 BACLOFEN 10 MG TABLETS 30 90 BACLOFEN 20 MG TABLETS 30 90 DICLOFENAC POT 50 MG TABLETS 60 180 IBUPROFEN 400 MG TABLETS 90 270 IBUPROFEN 600 MG TABLETS 60 180 IBUPROFEN 800 MG TABLETS 30 90 INDOMETHACIN 25 MG CAPSULES 60 180 INDOMETHACIN 50 MG CAPSULES 30 90 MELOXICAM 15 MG TABLETS 30 90 MELOXICAM 7.5 MG TABLETS 30 90 NAPROXEN 250 MG TABLETS 60 180 NAPROXEN 375 MG TABLETS 60 180 NAPROXEN 500 MG TABLETS 60 180 $8.00 $24.00 DICLOFENAC SOD DR 50 MG TABLETS 60 180 DICLOFENAC SOD DR 75 MG TABLETS 60 180 KETOPROFEN 50 MG CAPSULES 30 90 KETOPROFEN 75 MG CAPSULES 30 90 Asthma/ Resp/Allergies DRUG NAME $4.00 $10.00 ALBUTEROL 2 MG/5 ML SYRUP 120 473 CETIRIZINE 10 MG TABLETS 30 90 LORATADINE 10 MG TABLETS 30 90 $4.00 $10.00 ALBUTEROL SULFATE 0.083 % NEB SOLN 75 225 IPRATROPIUM BROMIDE 0.02% AMPULE 75 225 $15.00 27

IPRATROPIUM BROM/ALBUTEROL SUL 0.5-2.5 90 $15.00 $45.00 FLUTICASONE 50 MCG NASAL SPRAY 16 48 Cholesterol DRUG NAME $4.00 $10.00 LOVASTATIN 10 MG TABLETS 30 90 LOVASTATIN 20 MG TABLETS 30 90 LOVASTATIN 40 MG TABLETS 30 90 SIMVASTATIN 20 MG TABLETS 30 90 SIMVASTATIN 40 MG TABLETS 30 90 SIMVASTATIN 10 MG TABLETS 30 90 SIMVASTATIN 5 MG TABLETS 30 90 SIMVASTATIN 80 MG TABLETS 30 90 $10.00 $30.00 GEMFIBROZIL 600 MG TABLETS 60 180 $15.00 $45.00 PRAVASTATIN 10 MG TABLETS 30 90 PRAVASTATIN 20 MG TABLETS 30 90 PRAVASTATIN 40 MG TABLETS 30 90 CNS DRUG NAME $4.00 $10.00 BENZTROPINE 0.5 MG TABLETS 30 90 BENZTROPINE 1 MG TABLETS 30 90 CARBAMAZEPINE 100 MG CHEWABLES 60 180 CARBAMAZEPINE 200 MG TABLETS 60 180 DIVALPROEX SODIUM DR 125 MG TABLETS 60 180 DIVALPROEX SODIUM DR 250 MG TABLETS 60 180 DIVALPROEX SODIUM DR 500 MG TABLETS 30 90 GABAPENTIN 100 MG CAPSULES 60 180 GABAPENTIN 300 MG CAPSULES 30 90 GABAPENTIN 400 MG CAPSULES 30 90 HYDROXYZINE HCL 10 MG TABLETS 30 90 HYDROXYZINE HCL 25 MG TABLETS 30 90 HYDROXYZINE HCL 50 MG TABLETS 30 90 HYDROXYZINE PAM 25 MG CAPSULES 30 90 LAMOTRIGINE 100 MG TABLETS 30 90 LAMOTRIGINE 150 MG TABLETS 30 90 LAMOTRIGINE 200 MG TABLETS 30 90 LAMOTRIGINE 25 MG TABLETS 30 90 LAMOTRIGINE 25 MG CHEW TABS 30 90 MIRTAZAPINE 15 MG TABLETS 30 90 MIRTAZAPINE 30 MG TABLETS 30 90 PRIMIDONE 50 MG TABLETS 30 90 PRIMIDONE 250 MG TABLETS 30 90 ROPINIROLE 0.25 MG TABLETS 30 90 ROPINIROLE 0.5 MG TABLETS 30 90 ROPINIROLE 1 MG TABLETS 30 90 ROPINIROLE 2 MG TABLETS 30 90 ROPINIROLE 3 MG TABLETS 30 90 ROPINIROLE 4 MG TABLETS 30 90 ROPINIROLE 5 MG TABLETS 30 90 TOPIRAMATE 25 MG TABLETS 30 90 TOPIRAMATE 50 MG TABLETS 30 90 TOPIRAMATE 100 MG TABLETS 30 90 TOPIRAMATE 200 MG TABLETS 30 90 ZONISAMIDE 25 MG CAPSULES 30 90 28

ZONISAMIDE 50 MG CAPSULES 30 90 ZONISAMIDE 100 MG CAPSULES 30 90 DRUG NAME $8.00 $22.00 BENZTROPINE 2 MG TABLETS 30 90 HYDROXYZINE PAM 50 MG CAPSULES 30 90 MIRTAZAPINE 45 MG TABLETS 30 90 OXCARBAZEPINE 150 MG TABLETS 60 180 OXCARBAZEPINE 300 MG TABLETS 60 OXCARBAZEPINE 600 MG TABLETS 30 90 PHENYTOIN 100 MG CAPSULES 90 270 $24.00 N/A SUMATRIPTAN 25 MG TABLETS 9 SUMATRIPTAN 50 MG TABLETS 9 SUMATRIPTAN 100 MG TABLETS 9 Cough DRUG NAME $4.00 $10.00 BENZONATATE 100 MG CAPSULES 14 42 BENZONATATE 100 MG CAPSULES 14 42 PROMETHAZINE/DM 15-6.25 MG/5 ML SYRUP 120 360 PROMETHAZINE 6.25/5 ML SYRUP* 120 360 Diabetes DRUG NAME $4.00 $10.00 BLOOD GLUCOSE KIT BY TOPCARE 1 N/A BLOOD GLUCOSE TEST STRIPS 25 CT BY TOPCARE 25 N/A BLOOD GLUCOSE LANCETS BY TOPCARE (NEW) 100 N/A GLIMEPIRIDE 1 MG TABLETS 30 90 GLIMEPIRIDE 2 MG TABLETS 30 90 GLIMEPIRIDE 4 MG TABLETS 30 90 GLIPIZIDE 10 MG TABLETS 60 180 GLIPIZIDE 5 MG TABLETS 60 180 GLYBURIDE 1.25 MG TABLETS 30 90 GLYBURIDE 2.5 MG TABLETS 30 90 GLYBURIDE 5 MG TABLETS 30 90 Diabetes QTY DRUG NAME $0.00 Copay$4.00 $10.00 GLYBURIDE/METFORMIN 1.25/250 MG TABLETS 60 180 GLYBURIDE/METFORMIN 2.5/500 MG TABLETS 30 90 GLYBURIDE/METFORMIN 5/500 MG TABLETS 30 90 METFORMIN 1000 MG TABLETS 90 METFORMIN 500 MG TABLETS 90 METFORMIN 850 MG TABLETS 90 METFORMIN ER 500 MG TABLETS 60 180 METFORMIN ER 750 MG TABLETS 60 180 $8.00 $20.00 BLOOD GLUCOSE TEST STRIPS 50 CT BY TOPCARE 50 n/a GLYBURIDE MCR 6 MG TABLETS 30 90 Ear/Eye DRUG NAME $4.00 $10.00 ANTIPYRINE/BENZO OTIC SOL 10 30 CIPROFLOXACIN 0.3% OPTHALMIC SOL 5 15 GENTAMICIN SUL 0.3% OPTHALMIC SOL 5 15 OFLOXACIN OPTH 0.3 % SOL 5 15 TIMOLOL MAL 0.25% OPTHALMIC SOL (5 ML) 5 N/A TIMOLOL MAL 0.5% OPTHALMIC SOL (5 ML or 15ML) 5 15 29

TOBRAMYCIN 0.3% OPHTHALMIC SOLUTION 5 15 TRIMETHOPRIM-POLY B OPTHALMIC SOL 10 30 $8.00 $24.00 TIMOLOL MAL 0.5% OPTHALMIC SOL (10 ML) 10 N/A Gastrointestinal DRUG NAME $4.00 $10.00 FAMOTIDINE 20 MG TABLETS 60 180 FAMOTIDINE 40 MG TABLETS 60 180 METOCLOPRAMIDE 10 MG TABLETS 60 180 METOCLOPRAMIDE 5 MG 60 180 METOCLOPRAMIDE 5 MG/5 ML SYRUP 240 OMEPRAZOLE 20 MG CAPSULES 30 90 ONDANSETRON ODT 4 MG TABLETS 14 42 ONDANSETRON ODT 8 MG TABLETS 7 21 PROMETHAZINE 25 MG TABLETS 12 36 RANITIDINE 150 MG TABLETS 60 180 RANITIDINE 300 MG TABLETS 30 90 RANITIDINE 15MG/ML SYRUP 150 473 DRUG NAME $4.00 $12.00 LACTULOSE 10 MG/15 ML SOLUTION 240 960 DRUG NAME $8.00 $24.00 DICYCLOMINE 10 MG CAPSULES 90 270 DICYCLOMINE 20 MG TABLETS 60 180 LOPERAMIDE 2 MG CAPSULES 60 180 OMEPRAZOLE 40 MG CAPSULES 30 90 Heart and Blood Pressure DRUG NAME $4.00 $10.00 AMLODIPINE BES 10 MG TABLETS 30 90 AMLODIPINE BES 2.5 MG TABLETS 30 90 AMLODIPINE BES 5 MG TABLETS 30 90 AMLODIPINE/BENZ 2.5/10 MG CAPSULES 30 90 AMLODIPINE/BENZ 5/10 MG CAPSULES 30 90 AMLODIPINE/BENZ 5/20 MG CAPSULES 30 90 AMLODIPINE/BENZ 10/20 MG CAPSULES 30 90 ATENOLOL/CHLOR 50/25 MG TABLETS 30 90 ATENOLOL/CHLOR 100/25 MG TABLETS 30 90 ATENOLOL 100 MG TABLETS 30 90 ATENOLOL 25 MG TABLETS 30 90 ATENOLOL 50 MG TABLETS 30 90 BENAZEPRIL 10 MG TABLETS 30 90 BENAZEPRIL 20 MG TABLETS 30 90 BENAZEPRIL 40 MG TABLETS 30 90 BENAZEPRIL 5 MG TABLETS 30 90 BETHANECHOL 10 MG TABLETS 30 90 BETHANECHOL 25 MG TABLETS 30 90 BETHANECHOL 50 MG TABLETS 30 90 BISOPROLOL 5 MG TABLETS 30 90 BISOPROLOL 10 MG TABLETS 30 90 BISOPROLOL/HCTZ 10/6.25 TABLETS 30 90 BISOPROLOL/HCTZ 5/6.25 TABLETS 30 90 BISOPROLOL/HCTZ 2.5/6.25 TABLETS 30 90 CARVEDILOL 12.5 MG TABLETS 60 180 CARVEDILOL 25 MG TABLETS 60 180 CARVEDILOL 3.125 MG TABLETS 60 180 30

CARVEDILOL 6.25 MG TABLETS 60 180 CLONIDINE 0.1 MG TABLETS 60 180 CLONIDINE 0.2 MG TABLETS 60 180 CLONIDINE 0.3 MG TABLETS 60 180 DIPYRIDAMOLE 25 MG TABLETS 30 90 DIPYRIDAMOLE 50 MG TABLETS 30 90 DIPYRIDAMOLE 75 MG TABLETS 30 90 ENALAPRIL 10 MG TABLETS 30 90 ENALAPRIL 2.5 MG TABLETS 30 90 ENALAPRIL 5 MG TABLETS 30 90 ENALAPRIL/HCTZ 10-25 MG 30 90 ENALAPRIL/HCTZ 5 MG/12.5 MG TABLETS 30 90 FUROSEMIDE 10 MG/ ML SOLUTION 60 FUROSEMIDE 20 MG TABLETS 30 90 FUROSEMIDE 40 MG TABLETS 30 90 FUROSEMIDE 80 MG TABLETS 30 90 GUANFACINE 1 MG TABLETS 30 90 GUANFACINE 2 MG TABLETS 30 90 HYDRALAZINE 10 MG TABLETS 60 180 HYDRALAZINE 25 MG TABLETS 60 180 HYDRALAZINE 50 MG TABLETS 60 180 HYDRALAZINE 100 MG TABLETS 60 180 HYDROCHLOROTHIAZIDE 12.5 MG CAPSULES 30 90 HYDROCHLOROTHIAZIDE 12.5 MG TABLETS 30 90 HYDROCHLOROTHIAZIDE 25 MG TABLETS 30 90 HYDROCHLOROTHIAZIDE 50 MG TABLETS 30 90 ISOSORBIDE MONONITRATE 20 MG TABLETS 30 90 LISINOPRIL 10 MG TABLETS 60 LISINOPRIL 2.5 MG TABLETS 60 LISINOPRIL 20 MG TABLETS 60 LISINOPRIL 30 MG TABLETS 60 LISINOPRIL 40 MG TABLETS 60 LISINOPRIL 5 MG TABLETS 60 LISINOPRIL-HCTZ 10-12.5 MG TABLETS 30 90 LISINOPRIL-HCTZ 20-12.5 MG TABLETS 30 90 LISINOPRIL-HCTZ 20-25 MG TABLETS 30 90 METHYLDOPA 250 MG TABLETS 60 180 METHYLDOPA 500 MG TABLETS 30 90 METOPROLOL 100 MG TABLETS 60 180 METOPROLOL 25 MG TABLETS 60 180 METOPROLOL 50 MG TABLETS 60 180 PENTOXIFLYLINE 400 MG TABLETS 30 90 PROPRANOLOL 10 MG TABLETS 60 180 PROPRANOLOL 20 MG TABLETS 60 180 PROPRANOLOL 40 MG TABLETS 60 180 PROPRANOLOL 60 MG TABLETS 60 180 PROPRANOLOL 80 MG TABLETS 60 180 QUINAPRIL 10 MG TABLETS 30 90 QUINAPRIL 20 MG TABLETS 30 90 QUINAPRIL 40 MG TABLETS 30 90 QUINAPRIL 5 MG TABLETS 30 90 SOTALOL HCL 80 MG TABLETS 30 90 SOTALOL HCL 120 MG TABLETS 30 90 SOTALOL HCL 160 MG TABLETS 30 90 SPIRONOLACTONE 25 MG TABLETS 30 90 SPIRONOLACTONE 50 MG TABLETS 30 90 SPIRONOLACTONE 100 MG TABLETS 30 90 TERAZOSIN 10 MG CAPSULES 30 90 TERAZOSIN 1 MG CAPSULES 30 90 TERAZOSIN 2 MG CAPSULES 30 90 TERAZOSIN 5 MG CAPSULES 30 90 31

TRIAMTERENE/HCTZ 37.5-25 TABLETS 30 90 VERAPAMIL 120 MG TABLETS 30 90 VERAPAMIL 80 MG TABLETS 30 90 WARFARIN 10 MG TABLETS 30 90 WARFARIN 1 MG TABLETS 30 90 WARFARIN 2.5 MG TABLETS 30 90 WARFARIN 2 MG TABLETS 30 90 WARFARIN 3 MG TABLETS 30 90 WARFARIN 4 MG TABLETS 30 90 WARFARIN 5 MG TABLETS 30 90 WARFARIN 6 MG TABLETS 30 90 WARFARIN 7.5 MG TABLETS 30 90 DRUG NAME $8.00 $22.00 AMILORIDE/HCTZ 5 MG/50 MG TABLETS 30 90 AMIODARONE 200 MG TABLETS 30 90 AMLODIPINE/BENZ 5/40 MG CAPSULES 30 90 AMLODIPINE/BENZ 10/40 MG CAPSULES 30 90 CILOSTAZOL 50 MG TABLETS 60 180 CILOSTAZOL 100 MG TABLETS 60 180 DILTIAZEM 30 MG TABLETS 60 180 DILTIAZEM 60 MG TABLETS 60 180 DILTIAZEM 90 MG TABLETS 60 180 DILTIAZEM 120 MG TABLETS 30 90 ENALAPRIL 20 MG TABLETS 30 90 FOSINOPRIL 10 MG TABLETS 30 90 FOSINOPRIL 20 MG TABLETS 30 90 FOSINOPRIL 40 MG TABLETS 30 90 FOSINOPRIL/HCTZ 10-12.5 MG TABLETS 30 90 FOSINOPRIL/HCTZ 20-12.5 MG TABLETS 30 90 LABETALOL HCL 100 MG TABLETS 30 90 LABETALOL HCL 200 MG TABLETS 30 90 LABETALOL HCL 300 MG TABLETS 30 90 TRIAMTERENE/HCTZ37.5-25 CAPSULES 30 90 TRIAMTERENE/HCTZ 75-50 MG TABLETS 30 90 $10.00 $30.00 CLOPIDOGREL 75 MG TABLETS 30 90 INDAPAMIDE 1.25 MG TABLETS 30 90 INDAPAMIDE 2.5 MG TABLETS 30 90 DRUG NAME $12.00 $36.00 CHLORTHALIDONE 50 MG TABLETS 30 90 DILTIAZEM CD 120 MG CAPSULES 30 90 DILTIAZEM CD 180 MG CAPSULES 30 90 DILTIAZEM CD 240 MG CAPSULES 30 90 LOSARTAN POT 25 MG 30 90 LOSARTAN POT 50 MG 30 90 LOSARTAN POT 100 MG 30 90 LOSARTAN-HCTZ 50/12.5 MG TABLETS 30 90 LOSARTAN-HCTZ 100/12.5 MG TABLETS 30 90 LOSARTAN-HCTZ 100/25 MG TABLETS 30 90 RAMIPRIL 1.25 MG CAPSULES 30 90 RAMIPRIL 10 MG CAPSULES 30 90 RAMIPRIL 2.5 MG CAPSULES 30 90 RAMIPRIL 5 MG CAPSULES 30 90 Mental Health DRUG NAME $4.00 $10.00 AMITRIPTYLINE 100 MG TABLETS 30 90 32

AMITRIPTYLINE 10 MG TABLETS 30 90 AMITRIPTYLINE 25 MG TABLETS 30 90 AMITRIPTYLINE 50 MG TABLETS 30 90 AMITRIPTYLINE 75 MG TABLETS 30 90 BUSPIRONE 5 MG TABLETS 60 180 BUSPIRONE 10 MG TABLETS 60 180 CITALOPRAM 10 MG TABLETS 30 90 CITALOPRAM 20 MG TABLETS 30 90 CITALOPRAM 40 MG TABLETS 30 90 FLUOXETINE 10 MG CAPSULES 30 90 FLUOXETINE 20 MG CAPSULES 30 90 FLUOXETINE 40 MG CAPSULES 30 90 FLUPHENAZINE 1 MG TABLETS 30 90 FLUPHENAZINE 5 MG TABLETS 30 90 FLUPHENAZINE 10 MG TABLETS 30 90 HALOPERIDOL 2 MG/ ML 15 ML Concentrate 15 45 LITHIUM CARBONATE 300 MG CAPSULES 90 270 NORTRIPTYLINE 10 MG CAPSULES 30 90 NORTRIPTYLINE 25 MG CAPSULES 30 90 PAROXETINE 10 MG TABLETS 30 90 PAROXETINE 20 MG TABLETS 30 90 PAROXETINE 30 MG TABLETS 30 90 PAROXETINE 40 MG TABLETS 30 90 PROCHLORPERAZINE 10 MG TABLETS 30 90 PROCHLORPERAZINE 5 MG TABLETS 30 90 DRUG NAME $4.00 $10.00 RISPERIDONE 0.25 MG TABLETS 60 180 RISPERIDONE 0.5 MG TABLETS 60 180 RISPERIDONE 1 MG TABLETS 60 180 RISPERIDONE 2 MG TABLETS 60 180 RISPERIDONE 3 MG TABLETS 60 180 SERTRALINE 100 MG TABLETS 30 90 SERTRALINE 25 MG TABLETS 30 90 SERTRALINE 50 MG TABLETS 30 90 TRAZODONE 100 MG TABLETS 30 90 TRAZODONE 150 MG TABLETS 30 90 TRAZODONE 50 MG TABLETS 30 90 DRUG NAME $8.00 $22.00 BUSPIRONE 15 MG TABLETS 60 180 NORTRIPTYLINE 50 MG CAPSULES 30 90 NORTRIPTYLINE 75 MG CAPSULES 30 90 RISPERIDONE 4 MG TABLETS 60 180 THIOTHIXENE 1 MG 30 90 THIORIDAZINE 10 MG TABLETS 30 90 THIORIDAZINE 25 MG TABLETS 30 90 DRUG NAME $12.00 $36.00 THIORIDAZINE 50 MG TABLETS 30 90 DRUG NAME $18.00 $50.00 VENLAFAXINE 25 MG TABLETS 60 180 VENLAFAXINE 37.5 MG TABLETS 60 180 VENLAFAXINE 50 MG TABLETS 60 180 VENLAFAXINE 75 MG TABLETS 60 180 VENLAFAXINE 100 MG TABLETS 60 180 Muscle Relaxants DRUG NAME $4.00 $10.00 33

CYCLOBENZAPRINE 10 MG TABLETS 30 90 CYCLOBENZAPRINE 5 MG TABLETS 30 90 METHOCARBAMOL 500 MG TABLETS 30 90 METHOCARBAMOL 750 MG TABLETS 30 90 Other DRUG NAME $4.00 $10.00 CHLORHEXADINE GLUCOSE 0.12% SOLN 480 DEXAMETHASONE.5 MG TABLETS 12 36 DEXAMETHASONE 0.75 MG TABLETS 12 36 DEXAMETHASONE 4 MG TABLETS 6 18 LIDOCAINE 2% VISCOUS SOLUTION 100 300 OXYBUTYNIN 5 MG/5 ML SYRUP 150 N/A PHENAZOPYRIDINE 100 MG TABLETS 6 18 PHENAZOPYRIDINE 200 MG TABLETS 6 18 PREDNISOLONE DROPS 15 MG/5 ML SYRUP (PRELONE) 120 360 PREDNISOLONE SOD PHOS 15 MG/5 ML SYRUP (ORAPRED) 120 360 PREDNISONE 1 MG TABLETS 90 270 PREDNISONE 2.5 MG TABLETS 30 90 PREDNISONE 20 MG TABLETS 30 90 PREDNISONE 5 MG TABLETS 30 90 PREDNISONE 10 MG TABLETS 30 90 PREDNISONE 5 MG DOSEPACK 21 N/A 21 PREDNISONE 10 MG DOSEPACK 21 N/A 21 S.F. 5000 PLUS 1.1 % GM CREAM 51 N/A VITAMIN D 50,000 UNIT CAPSULES 8 24 $8.00 $12.00 S.F. 5000 PLUS 1.1 % GM CREAM 102 153 Skin DRUG NAME $4.00 $10.00 HYDROCORTISONE 1% CREAM 30 GM 30 90 HYDROCORTISONE 2.5% CREAM 30 GM 30 90 MICONAZOLE 2% (OTC) 28 GM CREAM 28 84 SILVER SULFADIAZINE 1% (25 GM) CREAM 25 75 TRIAMCINOLONE 0.025% 15 GM (tube) CREAM 15 45 TRIAMCINOLONE 0.1% 15 GM (tube) CREAM 15 45 DRUG NAME $8.00 $18.00 CLOBETASOL PROPIONATE 0.05% SOL 50 150 SILVER SULFADIAZINE 1% (50 GM) CREAM 50 TRIAMCINOLONE 0.025% 15 GM (tube) CREAM 15 45 TRIAMCINOLONE 0.025% 15 GM (tube) OINTMENT 15 45 TRIAMCINOLONE 0.025% 80 GM (tube) CREAM 80 240 TRIAMCINOLONE 0.025% 80 GM (tube) OINTMENT 80 240 TRIAMCINOLONE 0.1% 15 GM (tube) CREAM 15 45 TRIAMCINOLONE 0.1% 15 GM (tube) OINTMENT 15 45 TRIAMCINOLONE 0.1% 80 GM (tube) CREAM 80 240 TRIAMCINOLONE 0.1% 80 GM (tube) OINTMENT 80 240 TRIAMCINOLONE 0.5% 15 GM (tube) CREAM 15 45 TRIAMCINOLONE 0.5% 15 GM (tube) OINTMENT 15 45 $24.00 MUPIROCIN 2% OINTMENT 22 Thyroid DRUG NAME $4.00 $10.00 METHIMAZOLE 5 MG TABLETS 30 90 METHIMAZOLE 10 MG TABLETS 30 90 $8.00 $24.00 34

LEVOTHYROXINE 25 MCG TABLETS 30 90 LEVOTHYROXINE 50 MCG TABLETS 30 90 LEVOTHYROXINE 75 MCG TABLETS 30 90 LEVOTHYROXINE 88 MCG TABLETS 30 90 LEVOTHYROXINE 100 MCG TABLETS 30 90 LEVOTHYROXINE 112 MCG TABLETS 30 90 LEVOTHYROXINE 125 MCG TABLETS 30 90 LEVOTHYROXINE 137 MCG TABLETS 30 90 LEVOTHYROXINE 150 MCG TABLETS 30 90 LEVOTHYROXINE 175 MCG TABLETS 30 90 LEVOTHYROXINE 200 MCG TABLETS 30 90 Vaccines DRUG NAME Price ADACEL $56.99 DECAVAC $56.99 ENERGIX-B $59.99 GARDASIL $159.99 HAVRIX $79.99 MENACTRA $125.99 MMR $54.99 PNEUMOVAX $88.99 SEASONAL INFLUENZA (INCLUDING INTRA-DERMAL) $24.99 SEASONAL INFLUENZA HIGH DOSE $44.99 SEASONAL INFLUENZA MIST $39.99 SEASONAL INFLUENZA QUADRAVALENT $34.99 TWINRIX $114.99 TYPHIM $65.99 VARIVAX $121.99 VIVOTIF $51.99 ZOSTAVAX $209.99 Vitamins/ Nutritional DRUG NAME $4.00 $10.00 FOLIC ACID 1 MG TABLETS 30 90 LUDENT CHEW FL 0.5 MG TABLETS 120 360 LUDENT CHEW FL 1 MG TABLETS 120 360 MAG 64 MG TABLETS 30 90 MAG-OXIDE 400 MG TABLETS 60 180 PRENATABS FA TABLETS 30 90 PRENATAL 27 TABLETS 30 90 PRENATAL PLUS 27 TABLETS 30 90 Mens Health DRUG NAME $9.00 $27.00 FINASTERIDE 5 MG TABLETS 30 90 $10.00 $30.00 TAMSULOSIN 0.4 MG CAPSULES 30 90 35

www.cvs.com/pharmacy www.kmart.com/pharmacy www.target.com/pharmacy www.walgreens.com www.walmart.com/pharmacy www.winndixie.com 83 Park Place Blvd Suite 101 Clearwater, FL 33759 727.461.6044 800.314.0088