WAL*MART ‘ileraies & Cold and:Fiu ‘Benzonatate 100mg Ceron DM syrup Ceron drops Dee-Chlorphen drops ec-Chlorphen DM syrup loratadine 10m9 Promethazine DM syrup Trivent DPC syrup “Ankibiotie Treatments “Amoxtcili 125mg/5m suspension Arextaiin 225mg/5r suspension Aenxiilin 125ma/5m evspersion ‘Anoxtln 2009/5 suspension “Aeoxctin 200mq/Sml suspension ‘evonctin 200mq/Sml suspension ‘Amoxtlin 250m9/5m suspension Amoxtcitin 250ma/5m suspension Amoxicilin 250mg/Sm suspersen Amoxil 400mg/Sm suspension “Amoxtein200!/5mi suspension ‘Amoxtelin 4009/5 suspension ‘anoxic 2509 ‘ocilin 500m Art SOmg/m drops Cephaexin 250mg Cephalexin 00mg prttoxacn 250m9 Cprefloxacin 500mg Doxyeyaine Sdn Doxyeyeine 209m5 envthrocin 250m Erythromycin £2509 Metronidazole 250mg, etroniazole 500m Penicillin VK 125mg/5mi suspension Penicilin VK 250mg/5ml suspension Penicilin Vk 250mg ‘SM2-TMP 400m9-80mg ‘SMZ-TMP DS 800mg-160m9 'SMZ-TMP 200mg-40mg/Sm susp, Tetracycline 250mg Tetracycline S0omg ‘4 prescription ae for up to 3 30-aysuppy et eovard drug at a commonly pared cosga for #4 pet prescription ref mar caerage ana may ct you to poy even es then ter crtan presets 1 ou are lip, you nil be named the Wh ue te fate lo. 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Cram drs are pices her CA, CD ME, Ay TN, iy Dakota Yau can ge these peseptonarvysovgs whatec cot You ha $4 Prescription Program October, 2007 ety ‘Arthritis & Pain 1 Alopurine 100m 120ml Alepunl 300% some fadoten 10mg 30m Cokene 06mg emit Ojlobenzeprine Sg 2 Cyaebenzaprine 10mg 120m Dexamethasone 05mg oni Dexamethasone 0.75m9 Dexametasone Arig sew Dietfenac DR 75mg 0m Ibuprofen L00m@/Sn suspension 10m! bupofen 4009 150m) rbuprofen 600% som rbuprefen 800m 75mi* Indomethacin 250 100m" Meloxcam 7-59 80m Hetoxiam 351g 10m Naproxen 3759 150m! taproxensoom9 som) Proxicam 209 75mI¢ Salsalate S009 100i 2 ‘tna Ss 2» ‘Abuterl 2m som ‘terol mg 28 ‘Auterol2mg/S syrup 30 Abuterol 0.5% nebulzer soliton “ Now atuterl 0.83% ne, soution 2 ‘New ipretropum 0.02% neb stn 20 “ “Gholesteral se Lovastatin 10mg - Lovastatin 20mg iid Pravastatin 10mg — Pravastatin 20mg eee Pravastatin 40mg 28 23 som z 20 CChlorprepamide 100mg pone Glimepiride Img bead Glimepiride 2mg a Glimepiride 4mg Giptide Sma on! 30 30 30 30 30 30 30 2 6 60 12omI* | 90 60 30 60 30 30 po peal 20 ‘90 60 320m! 20m 75m esas) 75mit Sine) tu parcpaten In Shy ater pan The bt f covered dats sje! to change. No al rseion aug are Covered by Wis besram, Ony presen nly fg in Seton aa psig hay tee the tac rel tn be Bled sere bate dere neh ‘Fis rogamis ot avast for prescrptine ed by ms Wak War oF Sons Chi pharmaco pcng. fat rd WY dle te sate aus Cutmers nese Sats shoul se ck CO WM, Ba, Th, WU and WY de to state ons ‘over under tsb Page 1WAL+*MART $4 Prescription Program ge Save money lve betes” (October 23,2007 ‘Diabetes ‘Glaucoma 8 Eye'Care = von ‘comin ‘Atropine Sulfate 1% op. solution smi oven as Bacitacin op. ointment 4am Clvburie 2.59 Exythromydn op. ontment om Givourie Sm9 GGantamiclo 0.346 op. solution Sm Giyburie, micronized m9 ‘New Levobunelol 0.5% op soltion Sm Gyburide, micronized 6mg Metformin 500mg Metformin 850mg Neomycin/PolymyxirvDexamethasone — 4gm (0.1% op. ointment Neomycin/Polymyxin/Dexemethasone Simi 0.298 op. suspension etforrin 20003 tees erenes Pilocarpine 136 0. solution 15m im Pilocarpine 2% op solution 15m) SiS a Polymyin Suata/IMP op. solation ——20mi* Antpyrine/Benzocane otic Sulfcet Sochum 10% op solution 15m f ; : ‘New Timool Mleote 0.25% op. Sm Fit how Tn Hale 05% sm ceca mola Maleate 0.5% op mn Pecata sag iC seluton ystatin/Tamein cream 7m ramycin 0.3% op. solution a Nystabn/Trametn cream 309m eer : stair Haneh omen, ‘son Heart Hesith Blood Pressure QTY st am Amiorde-HcTe Sma-50mg 3 syn ce 3 Aenolo-Chlortheldone SOmg-25mg 30 Pst cnen al Atenolo-Chorthalidone 100m9-25mg 30 Iw Ferbratine 20 = tere Some » 3 Terbnafne 2509 ‘endl 50mg 0 scence cncencecaeamecoerei ‘tenoio| 100 x0 ‘Gastrointestinal Health| 900 one Benazepr a » etadonna Alkaoid/°S 60 aahe : 2 Benazepil30m9 2% Cimetidine 800mg Benazepet 20mg 30 ytre2 solution 180m! oaaare 30 Siti fa 7 Bisopobe-HCTZ 2.5m5-6.25m9 30 Deere 28 2 Bioprolo-HCTZ 5mg-6.25m9 » fame 2000 a Bioprolo-HCTZ 10mg-6.25m9 » syoscyemine crops Bumetanie 05mg » Hyoscyamine 0.125mg sublingual 30 Seanad 30 Aroejaine 0.125 ca Catopt 12.509 % Hyoscyamine ER 0.375, 30 Gator 23g | % Lactulose syrup 237mi atop Som 6 Metocpramide 10mg 60 capteprt coma ® Metoclopremie syrup boi New Carvediol 3.1259 60 Promethazine 25m 2 New Cervedio|6.25m3 60 Promethazine pain syrup 180m" pee cava, 60 Ranktidine 150mg te ‘New Carvediiol 259 aad Ranticine 300mg 30 Chiorthetidone 25m9 20 Chlorthatdone 50mg 30 44 presciptlon a or up to # 30-day spl fw covered dg a common rascribd dosage fr $4 per oesrption fl or rel, Your parton In ‘scam prserpcan reg coverage plane my erie you to pay teen are nan oer cern rato fou ree, youl charged he iemenespteate runt Caran drags ar priced higher nC Cy bi MPa, Hane Ut doko fret. rogram at aeatale m Nar [Sotots Yeu an got nese prosepton ary Eguing heher 2 at yu have an prseptin ug overage tvegh your cmpany, uncer weceare Sry othr pan Te et of covered rupee eobjar to ange Hor al rezrgtion rape are cavered by ths pogram, Oni pesos tay ed In Berson at» parcpsting pracy ae sige or te fra rie mos se be pikes up stor, Bu ay be rcred In arn, one ey phone $e progeah snot mate for reserpine by tall eda Soe your Wat fat promacat fr mare ormatio.sPnees nigh thn $4 dy 5, ‘iy Ty aod WY Ge Sak ony Casas tae ats shld we her al Hat oF Sam's cis prarmacior pang. Nee ‘overa ner th progrem tn Ch, O, Ha, Mi, Ph, TA, Wane WY de esate Page 2WAL*MART $4 Prescription Program ge ‘Ssvemoney Ueber” ‘ctober 23, 2007 Heart Heath & Blood Pressure TY Hear Health & Blood Pressure ‘Gonidine 0.19 ‘New Nitrogiycerin0.3mg sublingual Glonidine 0.29 Now Nitroglycerin 0.4m sublingual Digitek 0.125m9 Pindolol Sma Digitek 0.25m9 30 Pindolol 10mg Diltiazem 30mg 60 Prazosin HCL mg Diiazern 60mg 60 Prazosin HCL 2mg Difazem 80mg 60° Prazosin HCL 5g Dittazem 1209 30 Propranoiol 10mg Doxazosin Img 30 Propranolol 20mg Doxazosin 2mg 30 Propranclel 40mg Doxazosin amg 30 Propranolol 80m Doxazosin 8g 30 Sotalol HCL 80mg EnalapriHCTZ Smg-t2.5m9 30 ‘Spironolactone 25mg Enalapril 2.5mg 30 Terazosin img Enalapril Smog 30 TTerazosin 2g | Enalapril 10mg 30 Terazosin Smeg Enalapril 20mg 30 Tecazosin 109 Furosemide 20mg 30 ‘riamterene-HCTZ 37.5mg-25mg Furosemide 40mg 30 ‘Triamterene-HCTZ 75m9-50m9 Furosemide 80mg 30 Verapamil 80mg Guanfacine ma 30 Verapamil 120mg Hydratazine 10mg 30 New Warfarin Ima Hydralazine 25mg 30 ‘New Warfarin 2mg Hydrochlorothlezige (HCTZ) 12.5mg 30 New Wartarin 2.59 Hydrochlorothiazise (HCTZ) 25mg 30 ‘New Viartarin 3mg Hydrochlorothiazide (HCTZ) Samg 30 ‘Now Warfarin 4mg Indaparide 1.25ma 30 Warfarin Sig 30° Indapamide 2.5m9 30 ‘New Viarfarin 6ma 30 Isosorbide Mononitrate ER 30mg 30 ‘New Vaxfarin 7.579 30 Isosorbide Mononitrate ER 60mg 30 ‘New Viarfaria 10mg 30 UsinopribHCTZ 10mg-12.5m9 20 a Usinopri-MCTz 20mg-12.5mg 30" “Mental health” 4 Usinopri-HCTZ 2omg-25mq 30 Amitriprytine 10mg Lisinopril 2.5m¢ 30 Amitriptyline 25mg Lsinoprit mg 30 Amitriptyline 50m9 Lisinopril 10mg 30 Amitriptyline 75mg Usinopril 20mg 30 -Amitziptyine 1609 Methyldopa 250mg 60 Benztropine 2mg Methyldopa S0omg 30" Buspirone Sing Metoprolol Tartrate 25mg 60 Buspirene 10mg Metoprolol Tartrate SOmg 60 Carbamazepine 200m9 Metoprole! Tartrate 100mg 60 CGtaloprar 20mg Nedolo! 20m@ 30 Ctalopram 40mg Nadolo! 4oma 30 Doxepin HCL 10mg 4 prascrptne ara orp toa 0-ce spt 2 covered dra a cammontyorescrbed dosage fe $8 ee prescription or ref, Your pstin in 2e. osepton crus coverage ron hay cnt you to pay ava eas hen efor cen rests you are sil, you willbe carp he Snax spteateavcunt. Caran drugs ara pens nner ick Cy ht a, Wt WY du to teow rogram nt avaiable Nth Dakar, You can gt tase presrgton dug swnge ther ont ou hae any prveiptan erg covers treugh yur cempary, nee Melcre or Sny other pan the et of covered drapes cujon t cnange Ht gracrpoonSrage are covered by ee pragrm On preserpone nay es In efor at Spanos pracy ae igor the 84 rae rake tute Se ced up ste, But may be ordered in prea, onine Sr pane {fe progeais sat avatable for poser ied by mal oer Sea your Vn Nar pharmacct fr are mation *Prene higher a $19 CX CO, {ty PT, Wl and WY dose Sata ne Caters ness fata sboud eater Wt Mao Sam Clas pharmacat or bin). 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