$4 Prescription Program

June 5, 2008
$4 Allergies & Cold and Flu Benzonatate 100mg cap Ceron DM syrup Ceron drops* Dec-Chlorphen drops* Dec-Chlorphen DM syrup* Loratadine 10mg tab Promethazine DM syrup Trivent DPC syrup* 30-day QTY 14 120ml 30ml 30ml 118ml 30 120ml 120ml $4 Antibiotic Treatments Amoxicillin 125mg/5ml suspension Amoxicillin 125mg/5ml suspension Amoxicillin 125mg/5ml suspension Amoxicillin 200mg/5ml suspension Amoxicillin 200mg/5ml suspension* Amoxicillin 200mg/5ml suspension* Amoxicillin 250mg/5ml suspension Amoxicillin 250mg/5ml suspension Amoxicillin 250mg/5ml suspension Amoxicillin 400mg/5ml suspension Amoxicillin 400mg/5ml suspension* Amoxicillin 400mg/5ml suspension* Amoxicillin 250mg cap Amoxicillin 500mg cap Amoxil 50mg/ml drops* Cephalexin 250mg cap Cephalexin 500mg cap Ciprofloxacin 250mg tab Ciprofloxacin 500mg tab Doxycycline Hyclate 50mg cap Doxycycline Hyclate 100mg tab Erythrocin 250mg tab* Erythromycin EC 250mg cap* Metronidazole 250mg tab Metronidazole 500mg tab Penicillin VK 125mg/5ml suspension Penicillin VK 250mg/5ml suspension Penicillin VK 250mg tab SMZ-TMP 400mg-80mg tab SMZ-TMP DS 800mg-160mg tab SMZ-TMP 200mg-40mg/5ml susp. Tetracycline 250mg cap Tetracycline 500mg cap 30-day QTY 80ml 100ml 150ml 50ml 75ml 100ml 80ml 100ml 150ml 50ml 75ml 100ml 30 30 30ml 28 30 14 20 30 20 40 28 28 14 200ml 100ml 28 28 20 120ml 60 60 $4 Arthritis & Pain Allopurinol 100mg tab Allopurinol 300mg tab 30-day QTY 30 30 $10 90-day QTY 42 360ml 90ml 90ml 354ml 90 360ml 360ml $10 90-day QTY 240ml 300ml 450ml 150ml 225ml 300ml 240ml 300ml 450ml 150ml 225ml 300ml 90 90 90ml 84 90 42 60 90 60 N/A 84 84 42 600ml 300ml 84 84 60 360ml 180 180 $10 90-day QTY 90 90 Diabetes Chlorpropamide 100mg tab* Glimepiride 1mg tab Glimepiride 2mg tab Glimepiride 4mg tab Glipizide 5mg tab Glipizide 10mg tab* Glyburide 2.5mg tab Glyburide 5mg tab (blue) Glyburide 5mg tab (green) Glyburide, micronized 3mg tab Cholesterol Lovastatin 10mg tab Lovastatin 20mg tab* Pravastatin 10mg tab Pravastatin 20mg tab Pravastatin 40mg tab* $4 30-day QTY 30 30 30 30 30 $4 30-day QTY 30 30 30 30 30 60 30 30 30 30 $10 90-day QTY 90 90 90 90 90 $10 90-day QTY 90 90 90 90 90 180 90 90 90 90 Ipratropium 0.02% neb. soln* Asthma Albuterol 2mg tab Albuterol 4mg tab Albuterol 2mg/5ml syrup Albuterol 0.5% nebulizer solution Albuterol 0.083% neb. Solution* Baclofen 10mg tab Colchicine 0.6mg tab Cyclobenzaprine 5mg tab Cyclobenzaprine 10mg tab Dexamethasone 0.5mg tab Dexamethasone 0.75mg tab Dexamethasone 4mg tab Diclofenac DR 75mg tab Ibuprofen 100mg/5ml suspension* Ibuprofen 400mg tab Ibuprofen 600mg tab Ibuprofen 800mg tab Indomethacin 25mg tab* Meloxicam 7.5mg tab Meloxicam 15mg tab Naproxen 375mg tab* Naproxen 500mg tab* Piroxicam 20mg cap Salsalate 500mg tab 30 30 30 30 30 12 6 60 120ml 90 60 30 60 30 30 60 60 30 60 $4 30-day QTY 90 60 120ml 20ml 75ml (25 vials) 75ml (25 vials) 90 90 90 90 90 36 18 180 360ml 270 180 90 180 90 90 180 180 90 180 $10 90-day QTY 270 180 360ml 60ml 225ml (75 vials) 225ml (75vials)

$4Programcoversuptoa30daysupplyofeligibledrugsatcommonlyprescribeddosages.$10Programcoversa90daysupplyofeligibledrugsatcommonlyprescribed dosages.Pricesforlessthana90daysupplyareproratedbasedon$4Programprice,nottoexceed$10. Pricesformorethana90daysupplyareproratedbasedon$10Programprice.Physicianpermissionmayberequiredtochange30dayprescriptionto90dayprescription.Not alldrugseligiblefor$4Programareeligiblefor$10Program.Certainplans,includinggovernmentfundedprograms,maynotcovera90daysupply. PrescriptionProgramavailableatallWalMart,SamsClub&NeighborhoodMarketsexceptinND.Onlyeligibledrugsarecovered. Listmaychangeandvarybystate.Prescriptionsmustinitiallybefilledinperson.Refillsmustbepickedupinstore.Nosubstitutionsormailorders.Pricesmaybehigherin somestates.Certainplansmayentitleyoutopayless.SeeWalmart.comorpharmacistfordetails. *ThesedrugsmaybepricedhigherinCA,HI,MN,MT,PA,TN,WI,WY.

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$4 Prescription Program
June 5, 2008
$4 Diabetes Cont Glyburide, micronized 6mg tab Metformin 500mg tab Metformin 850mg tab Metformin 1000mg tab* Metformin ER 500mg tab* 30-day QTY 30 60 60 60 60 $4 Ear Health Antipyrine/Benzocaine otic Fungal Infections Fluconazole 150mg tab Nystatin/Triamcin cream Nystatin/Triamcin cream Nystatin/Triamcin ointment Nystatin cream Nystatin cream Nystatin ointment Nystatin ointment Terbinafine 250mg tab* Gastrointestinal Health Belladonna Alkaloid/PB tab Cimetidine 800mg tab* Cytra2 solution Dicyclomine 10mg cap Dicyclomine 20mg tab Famotidine 20mg tab Hyoscyamine drops* Lactulose syrup Metoclopramide 10mg tab Metoclopramide syrup Promethazine 25mg tab* Promethazine plain syrup* Ranitidine 150mg tab Ranitidine 300mg tab 30-day QTY 10ml $4 30-day QTY 1 15gm 30gm 15gm 15gm 30gm 15gm 30gm 30 $4 30-day QTY 60 30 180ml 90 60 60 15ml 237ml 60 60ml 12 180ml 60 30 $4 Glaucoma & Eye Care Atropine Sulfate 1% op. solution Bacitracin op. ointment Erythromycin op. ointment Gentamicin 0.3% op. solution Levobunolol 0.5% op solution Neomycin/Polymyxin/Dexamethasone 0.1% op. ointment Neomycin/Polymyxin/Dexamethasone 0.1% op. suspension 30-day QTY 5ml 4gm 4gm 5ml 5ml 4gm 5ml $10 90-day QTY 90 180 180 180 180 $4 $10 90-day QTY 30ml $10 90-day QTY 3 45gm 90gm 45gm 45gm 90gm 45gm 90gm 90 $10 90-day QTY 180 90 540ml 270 180 180 45ml 711ml 180 180ml 36 540ml 180 90 $10 90-day QTY 15ml 12gm 12gm 15ml 15ml 12gm 15ml Heart Health & Blood Pressure Amiloride-HCTZ 5mg-50mg tab Atenolol-Chlorthalidone 50mg-25mg tab Atenolol-Chlorthalidone 100mg-25mg tab Atenolol 25mg tab Atenolol 50mg tab Atenolol 100mg tab Benazepril 5mg tab Benazepril 10mg tab Benazepril 20mg tab Benazepril 40mg tab Bisoprolol-HCTZ 2.5mg-6.25mg tab Bisoprolol-HCTZ 5mg-6.25mg tab Bisoprolol-HCTZ 10mg-6.25mg tab Bumetanide 0.5mg tab Bumetanide 1mg tab Captopril 12.5mg tab Captopril 25mg tab Captopril 50mg tab Captopril 100mg tab Carvedilol 3.125mg tab Carvedilol 6.25mg tab Carvedilol 12.5mg tab Carvedilol 25mg tab* Chlorthalidone 25mg tab Chlorthalidone 50mg tab Clonidine 0.1mg tab Clonidine 0.2mg tab Digoxin 0.125mg tab Digoxin 0.25mg tab Diltiazem 30mg tab Diltiazem 60mg tab Diltiazem 90mg tab* Diltiazem 120mg tab Doxazosin 1mg tab Doxazosin 2mg tab Doxazosin 4mg tab Doxazosin 8mg tab Enalapril-HCTZ 5mg-12.5mg tab Enalapril 2.5mg tab Enalapril 5mg tab Enalapril 10mg tab Enalapril 20mg tab 30-day QTY 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 60 60 60 60 60 60 60 60 30 30 30 30 30 30 60 60 60 30 30 30 30 30 30 30 30 30 30 $10 90-day QTY 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 180 180 180 180 180 180 180 180 90 90 90 90 90 90 180 180 180 90 90 90 90 90 90 90 90 90 90 Pilocarpine 1% op. solution Pilocarpine 2% op. solution Polymyxin Sulfate/TMP op. solution* Sulfacet Sodium 10% op. solution Timolol Maleate 0.25% op. solution Timolol Maleate 0.5% op solution Tobramycin 0.3% op. solution 15ml 15ml 10ml 15ml 5ml 5ml 5ml 45ml 45ml 30ml 45ml 15ml 15ml 15ml

$4Programcoversuptoa30daysupplyofeligibledrugsatcommonlyprescribeddosages.$10Programcoversa90daysupplyofeligibledrugsatcommonlyprescribed dosages.Pricesforlessthana90daysupplyareproratedbasedon$4Programprice,nottoexceed$10. Pricesformorethana90daysupplyareproratedbasedon$10Programprice.Physicianpermissionmayberequiredtochange30dayprescriptionto90dayprescription.Not alldrugseligiblefor$4Programareeligiblefor$10Program.Certainplans,includinggovernmentfundedprograms,maynotcovera90daysupply. PrescriptionProgramavailableatallWalMart,SamsClub&NeighborhoodMarketsexceptinND.Onlyeligibledrugsarecovered. Listmaychangeandvarybystate.Prescriptionsmustinitiallybefilledinperson.Refillsmustbepickedupinstore.Nosubstitutionsormailorders.Pricesmaybehigherin somestates.Certainplansmayentitleyoutopayless.SeeWalmart.comorpharmacistfordetails. *ThesedrugsmaybepricedhigherinCA,HI,MN,MT,PA,TN,WI,WY.

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$4 Prescription Program
June 5, 2008
$4 Heart Health & Blood Pressure Cont Furosemide 20mg tab Furosemide 40mg tab Furosemide 80mg tab Guanfacine 1mg tab Hydralazine 10mg tab Hydralazine 25mg tab Hydrochlorothiazide(HCTZ)12.5mg cap* Hydrochlorothiazide (HCTZ) 25mg tab Hydrochlorothiazide (HCTZ) 50mg tab Indapamide 1.25mg tab Indapamide 2.5mg tab Isosorbide MononitrateER 30mg ertab Isosorbide MononitrateER 60mg ertab Lisinopril-HCTZ 10mg-12.5mg tab Lisinopril-HCTZ 20mg-12.5mg tab* Lisinopril-HCTZ 20mg-25mg tab* Lisinopril 2.5mg tab Lisinopril 5mg tab Lisinopril 10mg tab Lisinopril 20mg tab Methyldopa 250mg tab* Methyldopa 500mg tab* Metoprolol Tartrate 25mg tab Metoprolol Tartrate 50mg tab Metoprolol Tartrate 100mg tab* Nadolol 20mg tab Nadolol 40mg tab Nitroquick 0.3mg sublingual tab* Nitroquick 0.4mg sublingual tab* Pindolol 5mg tab Pindolol 10mg tab Prazosin HCL 1mg cap Prazosin HCL 2mg cap Prazosin HCL 5mg cap Propranolol 10mg tab Propranolol 20mg tab Propranolol 40mg tab Propranolol 80mg tab Sotalol HCL 80mg tab* Spironolactone 25mg tab* Terazosin 1mg cap Terazosin 2mg cap Terazosin 5mg cap Terazosin 10mg cap Triamterene-HCTZ 37.5mg-25mg cap & tab Triamterene-HCTZ 75mg-50mg tab Verapamil 80mg tab Verapamil 120mg tab Warfarin 1mg tab Warfarin 2mg tab 30-day QTY 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 60 30 60 60 60 30 30 100 100 30 30 30 30 30 60 60 60 60 30 30 30 30 30 30 30 30 30 30 30 30 $10 90-day QTY 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 180 90 180 180 180 90 90 300 300 90 90 90 90 90 180 180 180 180 90 90 90 90 90 90 90 90 90 90 90 90 Amitriptyline 10mg tab Amitriptyline 25mg tab Amitriptyline 50mg tab Amitriptyline 75mg tab Amitriptyline 100mg tab Benztropine 2mg tab Buspirone 5mg tab Buspirone 10mg tab* Carbamazepine 200mg tab* Citalopram 20mg tab Citalopram 40mg tab Doxepin HCL 10mg cap Doxepin HCL 25mg cap Doxepin HCL 50mg cap Doxepin HCL 75mg cap Doxepin HCL 100mg cap Fluoxetine 10mg tab* Fluoxetine 10mg cap Fluoxetine 20mg cap Fluoxetine 40mg cap Fluphenazine 1mg tab Haloperidol 0.5mg tab Haloperidol 1mg tab Haloperidol 2mg tab Haloperidol 5mg tab Lithium Carbonate 300mg cap* Nortriptyline 10mg cap Nortriptyline 25mg cap Paroxetine 10mg tab* Paroxetine 20mg tab* Prochlorperazine 10mg tab Thioridazine 25mg tab Thioridazine 50mg tab Thiothixene 2mg cap Trazodone 50mg tab Trazodone 100mg tab Trazodone 150mg tab Trihexyphenidyl 2mg tab Mental health $4 30-day QTY 30 30 30 30 30 30 60 60 60 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 90 30 30 30 30 30 30 30 30 30 30 30 60 $10 90-day QTY 90 90 90 90 90 90 180 180 180 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 90 270 90 90 90 90 90 90 90 90 90 90 90 180 Warfarin 2.5mg tab Warfarin 3mg tab Warfarin 4mg tab Warfarin 5mg tab* Warfarin 6mg tab Warfarin 7.5mg tab Warfarin 10mg tab 30 30 30 30 30 30 30 90 90 90 90 90 90 90

$4Programcoversuptoa30daysupplyofeligibledrugsatcommonlyprescribeddosages.$10Programcoversa90daysupplyofeligibledrugsatcommonlyprescribed dosages.Pricesforlessthana90daysupplyareproratedbasedon$4Programprice,nottoexceed$10. Pricesformorethana90daysupplyareproratedbasedon$10Programprice.Physicianpermissionmayberequiredtochange30dayprescriptionto90dayprescription.Not alldrugseligiblefor$4Programareeligiblefor$10Program.Certainplans,includinggovernmentfundedprograms,maynotcovera90daysupply. PrescriptionProgramavailableatallWalMart,SamsClub&NeighborhoodMarketsexceptinND.Onlyeligibledrugsarecovered. Listmaychangeandvarybystate.Prescriptionsmustinitiallybefilledinperson.Refillsmustbepickedupinstore.Nosubstitutionsormailorders.Pricesmaybehigherin somestates.Certainplansmayentitleyoutopayless.SeeWalmart.comorpharmacistfordetails. *ThesedrugsmaybepricedhigherinCA,HI,MN,MT,PA,TN,WI,WY.

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$4 Prescription Program
June 5, 2008
$4 Skin Conditions Benzoyl Peroxide 4% creamy wash* Betamethasone Dipropionate 0.05% cream Betamethasone Dipropionate 0.05% cream Betamethasone Valerate 0.1% cream Betamethasone Val. 0.1% cream Betamethasone Val. 0.1% ointment Betamethasone Val. 0.1% ointment Fluocinolone Acet. 0.01% solution Fluocinonide 0.05% cream Fluocinonide 0.05% cream Gentamicin 0.1% cream Gentamicin 0.1% ointment Hydrocortisone 1% cream Hydrocortisone 2.5% cream Selenium Sulfide 2.5% lotion* Silver Sulfadiazine 1% cream* Triamcinolone 0.025% cream Triamcinolone 0.025% cream Triamcinolone 0.1% cream Triamcinolone 0.1% cream Triamcinolone 0.1% ointment Triamcinolone 0.1% ointment Triamcinolone 0.5% cream 30-day QTY 171ml 15gm 45gm 15gm 45gm 15gm 45gm 60ml 15gm 30gm 15gm 15gm 30gm 30gm 120ml 50gm 15gm 80gm 15gm 80gm 15gm 80gm 15gm $4 Thyroid Conditions Levothyroxine 25mcg tab Levothyroxine 50mcg tab Levothyroxine 75mcg tab Levothyroxine 88mcg tab Levothyroxine 100mcg tab Levothyroxine 112mcg tab Levothyroxine 125mcg tab Levothyroxine 137mcg tab Levothyroxine 150mcg tab Levothyroxine 175mcg tab* Levothyroxine 200mcg tab* 30-day QTY 30 30 30 30 30 30 30 30 30 30 30 $4 Viruses Acyclovir 200mg cap Vitamins & Nutritional Health Ethedent 0.25mg chewable* Folic Acid 1mg tab Klorcon 8 8mEq ER tab Klorcon 10 10mEq ER tab Klorcon M10 10mEq tab 30-day QTY 30 $4 30-day QTY 120 30 30 30 30 $10 90-day QTY N/A 45gm 135gm 45gm 135gm 45gm 135gm 180ml 45gm 90gm 45gm 45gm 90gm 90gm 360ml 150gm 45gm 240gm 45gm 240gm 45gm 240gm 45gm $10 90-day QTY 90 90 90 90 90 90 90 90 90 90 90 $10 90-day QTY 90 $10 90-day QTY N/A 90 90 90 90 Chlorhexidine Gluconate 0.12% solution Hydrocortisone AC 25mg suppositories Isoniazid 300mg tab Lidocaine 2% viscous solution Megestrol 20mg tab* Methylpred 4mg dose pak Methylpred 4mg tab Oxybutynin 5mg tab Phenazopyridine 100mg tab Phenazopyridine 200mg tab Prednisone 2.5mg tab Prednisone 5mg tab Prednisone 5mg dose pak Prednisone 5mg dose pak* Prednisone 10mg tab Prednisone 10mg dose pak Prednisone 10mg dose pak* Prednisone 20mg tab Other Medical Conditions $4 30-day QTY 473ml 12 30 100ml 30 21 21 60 6 30 30 30 21 48 30 21 48 30 $10 90-day QTY 1419ml 36 90 300ml 90 63 63 180 18 90 90 90 63 144 90 63 N/A 90 Womens Health New Alendronate SOD 35mg tab New Alendronate SOD 70mg tab Clomiphene 50mg tab New EST Estrogen/Methyl Testost DS tab New EST Estrogen/Methyl Testost HS tab Sprintec 28-day tab* Tri-Sprintec 28-day tab* New Tamoxifen 10mg tab New Tamoxifen 20mg tab $9 30-day QTY 4 4 5 30 30 28 28 60 30 $24 90-day QTY 12 12 15 90 90 N/A N/A 180 90 Estradiol 0.5mg tab Estradiol 1mg tab Estradiol 2mg tab Estropipate 0.75mg tab Estropipate 1.5mg tab* MedroxyprogesteroneAcetate 2.5mg tab Medroxyprogesterone Acetate 5mg tab Medroxyprogesterone Acetate 10mg tab Womens Health $4 30-day QTY 30 30 30 30 30 30 30 10 $10 90-day QTY 90 90 90 90 90 90 90 30 Mag 64 64mg tab* Magnesium Oxide 400mg tab Natalcare Pic tab* Natalcare Plus tab* Potassium Chloride 10% liquid Prenatal Rx tab* 60 30 30 30 473ml 30 180 90 90 90 1419ml N/A

$4Programcoversuptoa30daysupplyofeligibledrugsatcommonlyprescribeddosages.$10Programcoversa90daysupplyofeligibledrugsatcommonlyprescribed dosages.Pricesforlessthana90daysupplyareproratedbasedon$4Programprice,nottoexceed$10. Pricesformorethana90daysupplyareproratedbasedon$10Programprice.Physicianpermissionmayberequiredtochange30dayprescriptionto90dayprescription.Not alldrugseligiblefor$4Programareeligiblefor$10Program.Certainplans,includinggovernmentfundedprograms,maynotcovera90daysupply. PrescriptionProgramavailableatallWalMart,SamsClub&NeighborhoodMarketsexceptinND.Onlyeligibledrugsarecovered. Listmaychangeandvarybystate.Prescriptionsmustinitiallybefilledinperson.Refillsmustbepickedupinstore.Nosubstitutionsormailorders.Pricesmaybehigherin somestates.Certainplansmayentitleyoutopayless.SeeWalmart.comorpharmacistfordetails. *ThesedrugsmaybepricedhigherinCA,HI,MN,MT,PA,TN,WI,WY.

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