*

Sam’s Club Drug List for Plus Members

Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

FREE for Sam’s Plus Members*

Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK, PA, PR, SC, WI. Free state restriction does
Drug Quantity
Plus Member
Price
not apply to Contour NEXT items.
Acyclovir 200 MG CAP 30 $
4.00
Drug Quantity Class
Acyclovir 400 MG TAB 30 $
4.00
Contour® NEXT Blood Glucose Monitoring
1 ct. Diabetes Acyclovir 800 MG TAB 30 $
10.00
System
Advair 100-50 Diskus 60 $
269.65
Contour® NEXT EZ Blood Glucose
1 ct. Diabetes
Monitoring System Advair 250-50 Diskus 60 $
335.04
Contour NEXT One Meter
®
1 ct. Diabetes Advair 500-50 Diskus 60 $
440.64
Alzheimer's Advair HFA 45-21 MCG 12 $
270.28
Donepezil HCL 5 MG TAB 30
Disease Advair HFA 115-21 MCG 12 $
335.83
Alzheimer's Advair HFA 230-21 MCG 12 $
441.68
Donepezil HCL 10 MG TAB 30
Disease
Afluria QIV Prefilled Syringe 1 $
20.00
Mental
Escitalopram 5 MG TAB 30 Albuterol 2 MG/5 ML SYRUP 473 ML $
10.00
Health
Mental Albuterol 2.5 MG/3ML NEBULIZER 75 $
4.00
Escitalopram 10 MG TAB 30
Health Alendronate 10 MG TAB 30 $
10.00
Mental Alendronate 35 MG TAB 4 $
4.00
Escitalopram 20 MG TAB 30
Health
Alendronate 70 MG TAB 4 $
4.00
Finasteride 5 MG Tab 30 Men’s Health
Alfuzosin 10 MG TAB 30 $
10.00
Pioglitazone 15 MG TAB 30 Diabetes
Allopurinol 100 MG TAB 30 $
10.00
Pioglitazone 30 MG TAB 30 Diabetes
Allopurinol 300 MG TAB 30 $
4.00
Pioglitazone 45 MG TAB 30 Diabetes
Amiodarone 200 MG TAB 30 $
10.00
Women's
Vitamin D2 (ergocalciferol) 50,000 IU CAP 4 Amitiza 8 MCG CAP 60 $
252.53
Health
Amitiza 24 MCG CAP 60 $
252.53
Amitriptyline 10 MG TAB 30 $
4.00

Pet Medications Amitriptyline 25 MG TAB 30 4.00

$

Amlodipine besylate 10 MG TAB 30 $

4.00
Plus Member
Drug Quantity
Price Amlodipine besylate 2.5 MG TAB 30 $
4.00
Heartgard Plus 1-25 lb Chew 6 $
29.00 Amlodipine besylate 5 MG TAB 30 $
4.00
Heartgard Plus 26-50 lb Chew 6 $
37.00 Amlodipine besylate-benazepril 10 MG/20
30 $
10.00
MG CAP
Heartgard Plus 51-100 lb Chew 6 $
44.50
Amlodipine besylate-benazepril 10 MG/40
Truprofen 25 mg Tab 30 $
12.50 30 $
10.00
MG CAP
Truprofen 75 mg Tab 30 $
13.50
Amlodipine besylate-benazepril 2.5 MG/10
Truprofen 100 mg Tab 30 $
17.00 30 $
10.00
MG CAP
Amlodipine besylate-benazepril 5 MG/10
30 $
10.00
MG CAP

Sam’s Plus Members* Pricing Amlodipine besylate-benazepril 5 MG/20

MG CAP
30 $
10.00
Plus Member
Drug Quantity
Price
Acarbose 25 MG TAB 90 $
10.00 Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*

quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
Acarbose 50 MG TAB 90 $
10.00 free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
Acebutolol 200 MG CAP 30 $
10.00 health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Acebutolol 400 MG CAP 30 $
10.00 Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-1
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

Plus Member Plus Member

Drug Quantity Drug Quantity
Price Price
Amlodipine besylate-benazepril 5 MG/40 Atorvastatin 80 MG TAB 30 $
10.00
30 $
10.00
MG CAP Azathioprine 50 MG TAB 30 $
10.00
Amoxicillin 200 MG/5 ML SUSP 50 ML $
4.00 Azelastine 0.05% OPHTH SOL 6 ML $
10.00
Amoxicillin 200 MG/5 ML SUSP 75 ML $
4.00 Azithromycin 200 MG/5 ML SUSP 15 ML $
10.00
Amoxicillin 200 MG/5 ML SUSP 100 ML $
4.00 Azithromycin 200 MG/5 ML SUSP 23 ML $
10.00
Amoxicillin 250 MG CAP 30 $
4.00 Azithromycin 200 MG/5 ML SUSP 30 ML $
10.00
Amoxicillin 250 MG/5 ML SUSP 80 ML $
4.00 Azithromycin 250 MG TAB 6 PK $
4.00
Amoxicillin 250 MG/5 ML SUSP 100 ML $
4.00 Azithromycin 500 MG TAB 3 PK $
4.00
Amoxicillin 250 MG/5 ML SUSP 150 ML $
4.00 Bacitracin-polymyxin B 500-10,000/G
4G $
10.00
Amoxicillin 400 MG/5 ML SUSP 50 ML $
4.00 OPHTH OINTMENT
Amoxicillin 400 MG/5 ML SUSP 75 ML $
4.00 Baclofen 10 MG TAB 30 $
10.00
Amoxicillin 400 MG/5 ML SUSP 100 ML $
4.00 BD Ultra-Fine™ Short Pen Needles 100 $
38.84
Amoxicillin 500 MG CAP 30 $
4.00 BD Ultra-Fine™ Mini Pen Needles 100 $
39.31
Amoxicillin 500 MG TAB 30 $
4.00 BD Ultra-Fine™ Nano™ Pen Needles 100 $
42.11
Amoxicillin 875 MG TAB 20 $
4.00 BD Ultra-Fine™  Micro Pen Needles 100 $
39.31
Amoxicillin-potassium clav 400 MG/5 ML BD Ultra-Fine™ Insulin Syringe 0.3ml
50 ML $
10.00 100 $
27.89
SUSP 31Gx6mm
Amoxicillin-potassium clav 400 MG/5 ML BD Ultra-Fine™ Insulin Syringe 0.3ml
75 ML $
10.00 100 $
27.89
SUSP 31Gx6mm ½ unit
Amoxicillin-potassium clav 400 MG/5 ML BD Ultra-Fine™ Insulin Syringe 0.5ml
100 ML $
10.00 100 $
27.89
SUSP 31Gx6mm
Amoxicillin-potassium clav 500 MG TAB 30 $
10.00 BD Ultra-Fine™ Insulin Syringe 1ml
100 $
27.89
Amoxicillin-potassium clav 600 MG/5 ML 31Gx6mm
75 ML $
10.00
SUSP BD Ultra-Fine U-500 Insulin Syringe 0.5ml
100 $
29.12
Amoxicillin-potassium clav 600 MG/5 ML 31Gx6mm
125 ML $
10.00
SUSP BD Ultra-Fine™ Original Pen Needles 100 $
40.91
Amoxicillin-potassium clav 600 MG/5 ML BD Ultra-Fine™ Syringes 1ml 100 $
25.92
200 ML $
10.00
SUSP BD Ultra-Fine™ Short Syringes 1ml 100 $
25.92
Amoxicillin-potassium clav 875 MG TAB 20 $
10.00 BD Ultra-Fine™ Syringes 3/10ml 100 $
25.92
Ampicillin 500 MG CAP 30 $
10.00 BD Ultra-Fine™ Short Syringes 3/10ml 100 $
25.92
Anastrozole 1 MG TAB 30 $
4.00 BD Ultra-Fine™ Short Needle Syringe ½
100 $
25.92
Anoro Ellipta 62.5-25 MCG 60 $
368.84 unit
Arnuity Ellipta 100 MCG 30 $
156.38 BD Ultra-Fine™ Syringes 1/2ml 100 $
25.92
Arnuity Ellipta 200 MCG 30 $
209.36 BD Ultra-Fine™ Short Syringes 1/2ml 100 $
25.92
Atenolol 100 MG TAB 30 $
4.00 Benazepril 10 MG TAB 30 $
4.00
Atenolol 25 MG TAB 30 $
4.00 Benazepril 20 MG TAB 30 $
4.00
Atenolol 50 MG TAB 30 $
4.00 Benazepril 40 MG TAB 30 $
4.00
Atenolol-Chlorthalidone 50-25 mg Tab 30 $
10.00 Benazepril 5 MG TAB 30 $
4.00
Atenolol-Chlorthalidone 100-25 mg Tab 30 $
10.00 Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*

quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
Atorvastatin 10 MG TAB 30 $
4.00 an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
Atorvastatin 20 MG TAB 30 $
10.00 health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
Atorvastatin 40 MG TAB 30 $
10.00 of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-2
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

Plus Member Plus Member

Drug Quantity Drug Quantity
Price Price
Betamethasone valerate 0.1% CREAM 15 G $
10.00 Cilostazol 100 MG TAB 60 $
10.00
Beyaz 28 TAB 28 $
129.96 Cilostazol 50 MG TAB 60 $
10.00
Bicalutamide 50 MG TAB 30 $
10.00 Cimetidine 300 MG TAB 30 $
10.00
Bisoprolol 10 MG TAB 30 $
10.00 Ciprofloxacin 250 MG TAB 14 $
4.00
Bisoprolol 5 MG TAB 30 $
10.00 Ciprofloxacin 500 MG TAB 20 $
4.00
Bisoprolol fumarate-HCTZ 10 MG/6.25 MG Ciprofloxacin 750 MG TAB 30 $
10.00
30 $
4.00
TAB Citalopram 10 MG TAB 30 $
4.00
Bisoprolol fumarate-HCTZ 2.5 MG/6.25 MG Citalopram 20 MG TAB 30 $
4.00
30 $
4.00
TAB
Citalopram 40 MG TAB 30 $
4.00
Bisoprolol fumarate-HCTZ 5 MG/6.25 MG
30 $
4.00 CitraNatal 90 DHA ® ®
60 $
94.00
TAB
Breo Ellipta 100-25 MCG 60 $
309.29 CitraNatal Assure ® ®
60 $
90.74
Breo Ellipta 200-25 MCG 60 $
309.29 CitraNatal® B-Calm® 90 $
78.27
Brimonidine 0.2% OPHTH SOL 5 ML $
10.00 CitraNatal Bloom ® ®
30 $
93.62
Brimonidine 0.2% OPHTH SOL 10 ML $
10.00 CitraNatal Bloom DHA
® ®
60 $
90.06
Brimonidine 0.2% OPHTH SOL 15 ML $
10.00 CitraNatal DHA ® ®
60 $
86.58
Bupropion 100 MG ER TAB (12 Hour) 30 $
10.00 CitraNatal® Harmony® 30 $
91.10
Bupropion 100 MG TAB 30 $
10.00 CitraNatal Medley ® ®
30 $
112.65
Bupropion 150 MG ER TAB (12 Hour) 30 $
10.00 CitraNatal RX ® ®
90 $
188.17
Bupropion 200 MG ER TAB (12 Hour) 30 $
10.00 Clarithromycin 250 MG TAB 30 $
10.00
Bupropion 75 MG TAB 30 $
10.00 Clarithromycin 500 MG TAB 20 $
10.00
Buspirone 10 MG TAB 30 $
4.00 Climara 0.025 Patch
®
4 $
63.50
Buspirone 15 MG TAB 30 $
4.00 Climara 0.0375 Patch
®
4 $
63.50
Buspirone 5 MG TAB 30 $
4.00 Climara 0.05 Patch
®
4 $
63.50
Calcitriol 0.25 MCG CAP 30 $
10.00 Climara® 0.06 Patch 4 $
63.50
Carbidopa-levodopa 10 MG/100 MG TAB 90 $
10.00 Climara 0.075 Patch
®
4 $
63.50
Carbidopa-levodopa 25 MG/100 MG ER Climara 0.1 Patch
®
4 $
63.50
30 $
10.00
TAB Clindamycin 150 MG CAP 30 $
4.00
Carbidopa-levodopa 25 MG/100 MG TAB 90 $
10.00 Clindamycin 300 MG CAP 30 $
10.00
Carbidopa-levodopa 25 MG/250 MG TAB 60 $
10.00 Clomiphene citrate 50 MG TAB 6 $
10.00
Carbinoxamine 4 MG TAB 30 $
10.00 Clonidine 0.1 MG TAB 30 $
4.00
Carvedilol 3.125 MG TAB 60 $
4.00 Clonidine 0.2 MG TAB 30 $
4.00
Carvedilol 6.25 MG TAB 60 $
4.00 Clonidine 0.3 MG TAB 60 $
4.00
Carvedilol 12.5 MG TAB 60 $
4.00 Clopidogrel 75 MG TAB 30 $
10.00
Carvedilol 25 MG TAB 60 $
4.00 Clotrimazole 1% CREAM 30 G $
10.00
Cefadroxil monohydrate 500 MG CAP 30 $
10.00 Clotrimazole 1% CREAM 45 G $
10.00
Cefuroxime 250 MG TAB 20 $
10.00 Clotrimazole 1% CREAM 15 G $
10.00
Cephalexin 500 MG CAP 30 $
4.00 Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*

Chlorhexidine gluconate 0.12% SOL 473 ML
Chlorzoxazone 500 MG TAB
Ciclopirox 0.77% CREAM
quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
$
4.00 an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
30 $
10.00 health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
30 G $
10.00 of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-3
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

Plus Member Plus Member

Drug Quantity Drug Quantity
Price Price
Clotrimazole-betamethasone 1%/0.05% Diltiazem HCL 120 MG CAP 30 $
10.00
15 G $
10.00
CREAM Diltiazem HCL 180 MG CAP 30 $
10.00
Colcrys 0.6 MG TAB 30 $
130.06 Diltiazem HCL 240 MG CAP 30 $
10.00
Combivent Respimat 4 $
408.33 Diltiazem HCL 300 MG CAP 30 $
10.00
Contour® NEXT Blood Glucose Monitoring Divalproex sodium 125 MG DR TAB 30 $
4.00
1 ct. Free**
System
Divalproex sodium 250 MG DR TAB 30 $
4.00
Contour® NEXT EZ Blood Glucose
1 ct. Free** Divalproex sodium 500 MG DR TAB 30 $
10.00
Monitoring System
Contour NEXT Test Strips
®
25 ct. $
20.03 Donepezil HCL 10 MG TAB 30 Free**
Contour NEXT Test Strips
®
50 ct. $
18.50 Donepezil HCL 5 MG TAB 30 Free**
Contour® NEXT Test Strips 100 ct. $
33.50 Dorzolamide 2% OPHTH SOL 10 ML $
10.00
Contour NEXT One Meter
®
1 ct. Free ** Doxazosin 1 MG TAB 30 $
10.00
Contour Test Strips
®
25 ct. $
20.03 Doxazosin 2 MG TAB 30 $
10.00
Contour® Test Strips 50 ct. $
18.50 Doxazosin 4 MG TAB 30 $
10.00
Contour® Test Strips 100 ct. $
33.50 Doxazosin 8 MG TAB 30 $
10.00
Cromolyn Sodium 4% OPHTH SOL 10 ML $
10.00 Doxepin HCL 10 MG CAP 30 $
10.00
Generic equivalent for Cyclessa TAB 28 $
10.00 Doxycycline hyclate 20 MG TAB 30 $
10.00
Cyclobenzaprine 10 MG TAB 30 $
4.00 Doxycycline monohydrate 100 MG CAP 30 $
10.00
Cyclobenzaprine 5 MG TAB 30 $
4.00 Doxycycline monohydrate 100 MG TAB 30 $
10.00
Cyclopentolate HCL 1% OPHTH SOL 2 ML $
10.00 Doxycycline monohydrate 50 MG CAP 30 $
10.00
Cyclopentolate HCL 1% OPHTH SOL 15 ML $
10.00 Doxycycline monohydrate 50 MG TAB 30 $
10.00
Generic equivalent for Demulen 1/35 TAB 28 $
10.00 Enalapril 10 MG TAB 30 $
10.00
Desloratadine 5 MG TAB 30 $
10.00 Enalapril 2.5 MG TAB 30 $
10.00
Desmopressin acetate 0.1 MG TAB 30 $
10.00 Enalapril 20 MG TAB 30 $
10.00
Dexamethasone .5 MG/5 ML ELX 237 ML $
10.00 Enalapril 5 MG TAB 30 $
10.00
Dexamethasone 0.5 MG TAB 30 $
4.00 Erythromycin 5 MG/1 G OPHTH OINTMENT 4G $
10.00
Dexamethasone 0.75 MG TAB 30 $
10.00 Escitalopram 10 MG TAB 30 Free**
Dexamethasone 4 MG TAB 30 $
10.00 Escitalopram 20 MG TAB 30 Free**
Dexcom G6 Receiver 1 $
193.45 Escitalopram 5 MG TAB 30 Free**
Dexcom G6 Sensors 3 $
288.10 Estradiol 0.5 MG TAB 30 $
4.00
Dexcom G6 Transmitter 1 $
125.88 Estradiol 1 MG TAB 30 $
4.00
Dexilant 30 MG CAP 30 $
172.58 Estradiol 2 MG TAB 30 $
4.00
Dexilant 60 MG CAP 30 $
172.58 Famotidine 20 MG TAB 30 $
4.00
Diclofenac potassium 50 MG TAB 30 $
10.00 Famotidine 40 MG TAB 30 $
4.00
Diclofenac sodium 100 MG ER TAB 30 $
10.00 Felodipine 10 MG ER TAB 30 $
10.00
Diclofenac sodium 75 MG ER TAB 30 $
4.00 Felodipine 2.5 MG ER TAB 30 $
10.00
Dicyclomine 10 MG CAP 30 $
4.00 Felodipine 5 MG ER TAB 30 $
10.00
Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*
Diltiazem 120 MG TAB 30 $
10.00 quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
Diltiazem 30 MG TAB 30 $
4.00 an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
Diltiazem 60 MG TAB 30 $
10.00 PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
Diltiazem 90 MG TAB 30 $
10.00 of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-4
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

Plus Member Plus Member

Drug Quantity Drug Quantity
Price Price
Fenofibrate 48 MG TAB 30 $
10.00 Glipizide 2.5 MG ER TAB 30 $
10.00
Fenofibrate 54 MG TAB 30 $
10.00 Glipizide 5 MG TAB 30 $
4.00
Ferralet® 90 90 $
153.13 Glipizide-metformin 5 MG/500 MG TAB 30 $
10.00
Fiasp Vial 10 ML $
232.36 Glyburide 1.25 MG TAB 30 $
10.00
Fiasp FlexTouch 15 ML $
448.18 Glyburide 2.5 MG TAB 30 $
10.00
Finasteride 1 MG TAB 30 $
4.00 Glyburide 3 MG TAB 30 $
4.00
Finasteride 5 MG TAB 30 Free ** Glyburide 5 MG TAB 30 $
10.00
Flovent 50 MCG Diskus 60 $
150.96 Glyburide 6 MG TAB 30 $
4.00
Flovent 100 MCG Diskus 60 $
159.20 Glyburide-metformin 1.25 MG/250 MG TAB 30 $
4.00
Flovent 250 MCG Diskus 60 $
213.13 Glyburide-metformin 2.5 MG/500 MG TAB 30 $
4.00
Flovent HFA 44 MCG 11 $
165.64 Glyburide-metformin 5 MG/500 MG TAB 30 $
4.00
Flovent HFA 110 MCG 12 $
213.63 Glycopyrrolate 1 MG TAB 60 $
10.00
Flovent HFA 220 MCG 12 $
331.82 Glycopyrrolate 2 MG TAB 60 $
10.00
Fluad Prefilled Syringe 1 $
40.00 Glyxambi 10 MG - 5 MG 30 $
485.89
Flucelvax Prefilled Syringe 1 $
20.00 Glyxambi 25 MG - 5 MG 30 $
485.89
Fluconazole 10 MG/1 ML SUSP 35 ML $
10.00 Griseofulvin microsize 125 MG/5 ML SUSP 120 ML $
10.00
Fluconazole 150 MG TAB 1 $
4.00 Hydralazine 10 MG TAB 30 $
4.00
Fluoxetine 10 MG CAP 30 $
4.00 Hydralazine 100 MG TAB 60 $
10.00
Fluoxetine 20 MG CAP 30 $
4.00 Hydralazine 25 MG TAB 30 $
4.00
Fluoxetine 20 MG/5 ML SOL 120 ML $
10.00 Hydralazine 50 MG TAB 120 $
10.00
Fluoxetine 40 MG CAP 30 $
4.00 Hydrochlorothiazide 12.5 MG CAP 30 $
4.00
Fluticasone 0.05% CREAM 30 G $
10.00 Hydrochlorothiazide 12.5 MG TAB 30 $
4.00
Fluticasone 0.05% CREAM 15 G $
10.00 Hydrochlorothiazide 25 MG TAB 30 $
4.00
Fluticasone 50 MCG NASAL SPRAY 16 $
10.00 Hydrochlorothiazide 50 MG TAB 30 $
4.00
Fluvoxamine maleate 100 MG TAB 30 $
10.00 Hydrocortisone 10 MG TAB 30 $
10.00
Fluvoxamine maleate 50 MG TAB 30 $
10.00 Hydrocortisone 2.5% CREAM 30 G $
4.00
Fosinopril 10 MG TAB 30 $
10.00 Hydrocortisone 2.5% OINTMENT 29 G $
10.00
Fosinopril 20 MG TAB 30 $
10.00 Hydrocortisone acetate 2.5% CREAM 30 G $
10.00
Fosinopril 40 MG TAB 30 $
10.00 Hydroxyurea 500 MG CAP 30 $
10.00
Fosinopril sod-HCTZ 10 MG/12.5 MG TAB 30 $
10.00 Hydroxyzine 10 MG TAB 30 $
4.00
Fosinopril sod-HCTZ 20 MG/12.5 MG TAB 30 $
10.00 Hydroxyzine Pamoate 25 MG CAP 30 $
4.00
Furosemide 20 MG TAB 30 $
4.00 Hydroxyzine 25 MG TAB 30 $
4.00
Furosemide 40 MG TAB 30 $
4.00 Hydroxyzine Pamoate 50 MG CAP 30 $
4.00
Furosemide 80 MG TAB 30 $
4.00 Hydroxyzine 50 MG TAB 30 $
4.00
Gentamicin 0.3% OPHTH SOL 5 ML $
4.00 Hyoscyamine sulfate 0.125 MG ODT 30 $
4.00
Glimepiride 1 MG TAB 30 $
4.00 Hyoscyamine sulfate 0.125 MG TAB 30 $
4.00
Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*
Glimepiride 2 MG TAB 30 $
4.00 quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
Glimepiride 4 MG TAB 30 $
4.00 an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
Glipizide 10 MG TAB 60 4.00
$
PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-5
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

Plus Member Plus Member

Drug Quantity Drug Quantity
Price Price
Hyoscyamine sulfate 0.375 MG TAB 30 $
10.00 Levetiracetam 100 MG/1ML SOL 120 ML $
10.00
Ibandronate 150 MG 1 $
10.00 Levetiracetam 250 MG TAB 120 $
10.00
Ibuprofen 400 MG TAB 30 $
4.00 Levetiracetam 500 MG TAB 60 $
10.00
Ibuprofen 600 MG TAB 30 $
4.00 Levetiracetam 750 MG TAB 60 $
10.00
Ibuprofen 800 MG TAB 30 $
4.00 Levetiracetam 500 MG ER TAB 60 $
10.00
Imipramine HCL 10 MG TAB 30 $
4.00 Levobunolol 0.5% OPHTH SOL 5 ML $
10.00
Imipramine HCL 25 MG TAB 30 $
4.00 Levobunolol 0.5% OPHTH SOL 10 ML $
10.00
Imipramine HCL 50 MG TAB 30 $
4.00 Levocetirizine 5 MG TAB 30 $
4.00
Incruse Ellipta 62.5 MCG 30 $
314.09 Levofloxacin 250 MG TAB 10 $
4.00
Indapamide 1.25 MG TAB 30 $
4.00 Levofloxacin 500 MG TAB 10 $
4.00
Indapamide 2.5 MG TAB 30 $
4.00 Levofloxacin 750 MG TAB 10 $
4.00
Indomethacin 25 MG CAP 30 $
4.00 Generic equivalent for Levora TAB 28 $
10.00
Indomethacin 50 MG CAP 30 $
4.00 Levothyroxine 100 MCG TAB 30 $
10.00
Indomethacin 75 MG ER 30 $
10.00 Levothyroxine 112 MCG TAB 30 $
10.00
Ipratropium 0.02% NEBULIZER SOL 75 ML $
4.00 Levothyroxine 125 MG TAB 30 $
10.00
Isosorbide mononitrate 20 MG TAB 30 $
4.00 Levothyroxine 137 MCG TAB 30 $
10.00
Isosorbide mononitrate 30 MG ER TAB 30 $
4.00 Levothyroxine 150 MCG TAB 30 $
10.00
Isosorbide mononitrate 60 MG ER TAB 30 $
4.00 Levothyroxine 175 MCG TAB 30 $
10.00
Jardiance 10 MG
®
30 $
392.34 Levothyroxine 200 MCG TAB 30 $
10.00
Jardiance® 25 MG 30 $
392.34 Levothyroxine 25 MCG TAB 30 $
10.00
Jentadueto 2.5 - 500 MG
®
60 $
277.64 Levothyroxine 300 MCG TAB 30 $
10.00
Jentadueto 2.5 - 850 MG
®
60 $
277.64 Levothyroxine 50 MCG TAB 30 $
10.00
Jentadueto 2.5 - 1000 MG
®
60 $
277.64 Levothyroxine 75 MCG TAB 30 $
10.00
Jentadueto® XR 2.5 - 1000 MG 30 $
138.93 Levothyroxine 88 MCG TAB 30 $
10.00
Jentadueto XR 5 - 1000 MG
®
30 $
277.87 Liothyronine 25 MCG TAB 30 $
10.00
Ketoconazole 2% SHAMPOO 120 ML $
10.00 Liothyronine 5 MCG TAB 30 $
10.00
Ketorolac tromethamine 0.5% OPHTH SOL 5 ML $
10.00 Lisinopril-HCTZ 10 MG/12.5 MG TAB 30 $
4.00
Labetalol 100 MG TAB 30 $
10.00 Lisinopril-HCTZ 20 MG/12.5 MG TAB 30 $
4.00
Labetalol 200 MG TAB 30 $
10.00 Lisinopril-HCTZ 20 MG/25 MG TAB 30 $
4.00
Labetalol 300 MG TAB 30 $
10.00 Lisinopril 10 MG TAB 30 $
4.00
Lactic acid 12% CREAM 140 G $
10.00 Lisinopril 2.5 MG TAB 30 $
4.00
Lamotrigine 100 MG TAB 30 4.00
$
Lisinopril 20 MG TAB 30 $
4.00
Lamotrigine 150 MG TAB 30 4.00
$
Lisinopril 30 MG TAB 30 $
4.00
Lamotrigine 200 MG TAB 30 4.00
$
Lisinopril 40 MG TAB 30 $
4.00
Lamotrigine 25 MG CHEW 30 4.00
$
Lisinopril 5 MG TAB 30 $
4.00
Lamotrigine 25 MG TAB 30 4.00
$
Lithium carbonate 300 MG CAP 90 $
4.00
Lansoprazole 30 MG ER CAP 30 $
10.00 Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*

quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
Letrozole 2.5 MG TAB 30 $
10.00 an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
Levemir Vial 10 ML $
247.44 health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
Levemir FlexTouch 15 ML $
370.69 of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-6
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

Plus Member Plus Member

Drug Quantity Drug Quantity
Price Price
Lithium carbonate 300 MG ER TAB 90 $
10.00 Metoprolol tartrate 100 MG TAB 60 $
4.00
Lithium carbonate 600 MG CAP 90 $
10.00 Metoprolol tartrate 25 MG TAB 60 $
4.00
Generic equivalent for Lo/ovral TAB 28 $
10.00 Metoprolol tartrate 50 MG TAB 60 $
4.00
Generic equivalent for Loestrin 1/20-21 TAB 21 $
10.00 Metronidazole 250 MG TAB 30 $
10.00
Generic equivalent for Loestrin FE 1/20 TAB 28 $
10.00 Metronidazole 500 MG TAB 30 $
10.00
Generic equivalent for Loestrin 1.5/30-21 21 $
10.00 Midodrine 10 MG TAB 30 $
10.00
Loperamide 2 MG CAP 30 $
10.00 Midodrine 2.5 MG TAB 30 $
10.00
Losartan-HCTZ 100 MG/12.5 MG TAB 30 $
4.00 Midodrine 5 MG TAB 30 $
10.00
Losartan-HCTZ 100 MG/25 MG TAB 30 $
4.00 Minocycline 100 MG CAP 30 $
10.00
Losartan-HCTZ 50 MG/12.5 MG TAB 30 $
4.00 Minoxidil 10 MG TAB 30 $
4.00
Losartan 100 MG TAB 30 $
4.00 Minoxidil 2.5 MG TAB 30 $
4.00
Losartan 25 MG TAB 30 $
4.00 Generic equivalent for Mircette 28 DAY TAB 28 $
10.00
Losartan 50 MG TAB 30 $
4.00 Mirtazapine 15 MG TAB 30 $
4.00
Lovastatin 10 MG TAB 30 $
4.00 Mirtazapine 30 MG TAB 30 $
10.00
Lovastatin 20 MG TAB 30 $
4.00 Mirtazapine 45 MG TAB 30 $
10.00
Lovastatin 40 MG TAB 30 $
4.00 Mometasone 0.1% CREAM 15 G $
10.00
Magnesium chloride 64 MG TAB 60 $
4.00 Mometasone 0.1% CREAM 45 G $
10.00
Meclizine 12.5 MG TAB 30 $
4.00 Mometasone 0.1% SOL 30 ML $
10.00
Meclizine 25 MG CHEW 30 $
4.00 Mometasone 0.1% SOL 60 ML $
10.00
Meclizine 25 MG TAB 30 $
4.00 Montelukast 10 MG TAB 30 $
4.00
Medroxyprogesterone acetate 2.5 MG TAB 30 $
4.00 Montelukast 4 MG CHEW 30 $
4.00
Medroxyprogesterone acetate 5 MG TAB 30 $
4.00 Montelukast 5 MG CHEW 30 $
4.00
Megestrol acetate 40 MG TAB 30 $
10.00 Mupirocin 2% OINTMENT 22 G $
10.00
Meloxicam 15 MG TAB 30 $
4.00 Naproxen 250 MG TAB 30 $
4.00
Meloxicam 7.5 MG TAB 30 $
4.00 Naproxen 375 MG TAB 30 $
4.00
Metformin HCL 1000 MG TAB 60 $
4.00 Naproxen 500 MG TAB 30 $
4.00
Metformin HCL 500 MG ER TAB 60 $
4.00 Neo/polymyxin/dexamethasone 0.1%
5 ML $
10.00
Metformin HCL 500 MG TAB 60 $
4.00 OPHTH SUSP

Metformin HCL 750 MG ER TAB 30 $

4.00 Neomycin/bactiracin/polymyxi 5MG-
3.5 G $
10.00
400UNT-10000UNT OPHTH OINTMENT
Metformin HCL 850 MG TAB 60 $
4.00
Nifedipine 30 MG ER TAB 30 $
10.00
Methimazole 10 MG TAB 90 $
10.00
Nifedipine 60 MG ER TAB 30 $
10.00
Methimazole 5 MG TAB 90 $
10.00
Nifedipine 90 MG ER TAB 30 $
10.00
Methylprednisolone 4 MG TAB 30 $
10.00
Nifedipine Osmotic 30 MG ER TAB 30 $
10.00
Metoclopramide 10 MG TAB 60 $
4.00
Nifedipine Osmotic 60 MG ER TAB 30 $
10.00
Metoclopramide 5 MG TAB 30 $
4.00
Nitroglycerin 0.2 MG/24HR PATCH 30 $
10.00
Metoclopramide 5 MG/5 ML SOL 473 ML $
4.00
Metoprolol succinate 100 MG ER TAB 30 $
10.00 Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*

quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
Metoprolol succinate 200 MG ER TAB 30 $
10.00 an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
Metoprolol succinate 25 MG ER TAB 30 $
10.00 health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
Metoprolol succinate 50 MG ER TAB 30 $
10.00 of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-7
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

Plus Member Plus Member

Drug Quantity Drug Quantity
Price Price
Nitroglycerin 0.4 MG/24HR PATCH 30 $
10.00 Generic equivalent for Ortho-cyclen
28 $
10.00
Nitroglycerin 2.5 MG CAP 30 $
10.00 0.25/35 TAB

Nortriptyline 10 MG CAP 30 $
4.00 Generic equivalent for Ortho-novum
28 $
10.00
7/7/7 TAB
Nortriptyline 25 MG CAP 30 $
4.00
Generic equivalent for Ortho-novum TAB 28 $
10.00
Nortriptyline 50 MG CAP 30 $
4.00
Osphena 60 mg ®
30 $
74.45
Novolin 70/30 Relion Insulin VIAL 10 ML $
22.89
Generic equivalent for Ovcon-35 TAB 28 $
10.00
Novolin-N Relion Insulin VIAL 10 ML $
22.89
Oxcarbazepine 150 MG TAB 60 $
10.00
Novolin-R Relion Insulin VIAL 10 ML $
22.89
Oxcarbazepine 300 MG TAB 60 $
10.00
Novolin 70/30 VIAL 10 ML $
27.95
Oxybutynin 5 MG TAB 30 $
10.00
Novolin N VIAL 10 ML $
27.95
Oxybutynin 5 MG/5 ML SYRUP 473 ML $
10.00
Novolin R VIAL 10 ML $
27.95
Ozempic 1.5 ML/ 2 MG 2 $
703.87
Novolog VIAL 10 ML $
232.36
Ozempic 3 ML/ 4 MG 4 $
703.87
Novolog Mix 70/30 VIAL 10 ML $
241.00
Pantoprazole 20 MG TAB 30 $
4.00
Novolog Mix 70/30 FlexPen 15 ML $
448.18
Pantoprazole 40 MG TAB 30 $
4.00
Novolog PenFill 15 ML $
431.05
Paroxetine 10 MG TAB 30 $
4.00
Novolog FlexPen 15 ML $
448.18
Paroxetine 20 MG TAB 30 $
4.00
Nystatin 100,000 IU CREAM 15 G $
10.00
Paroxetine 30 MG TAB 30 $
4.00
Nystatin 100,000 IU CREAM 30 G $
10.00
Paroxetine 40 MG TAB 30 $
10.00
Nystatin 100,000 IU OINTMENT 15 G $
10.00
Peg-3350 electrolyte 240 G SOL 4L $
10.00
Nystatin 100,000 IU OINTMENT 30 G $
10.00
Peg-3350 electrolyte 420 G SOL 4L $
10.00
Nystatin 100,000 IU POW 15 G $
10.00
Penicillin V potassium 250 MG TAB 30 $
4.00
Ofloxacin 0.3% OPHTH SOL 5 ML $
10.00
Penicillin V potassium 250 MG/5 ML SOL 100 ML $
10.00
Ofloxacin 0.3% OPHTH SOL 10 ML $
10.00
Penicillin V potassium 250 MG/5 ML SOL 200 ML $
10.00
Olanzapine 10 MG TAB 30 $
10.00
Penicillin V potassium 500 MG TAB 30 $
4.00
Olanzapine 15 MG TAB 30 $
10.00
Pentoxifylline 400 MG ER TAB 30 $
10.00
Olanzapine 2.5 MG TAB 30 $
4.00
Perindopril 4 MG TAB 30 $
10.00
Olanzapine 20 MG TAB 30 $
10.00
Perindopril 8 MG TAB 30 $
10.00
Olanzapine 5 MG TAB 30 $
4.00
Phenytoin 100 MG ER CAP 30 $
10.00
Olanzapine 7.5 MG TAB 30 $
10.00
Phenytoin 50 MG CHEW 30 $
10.00
Omeprazole 10 MG CAP 30 $
4.00
Pilocarpine 5 MG TAB 30 $
10.00
Omeprazole 20 MG CAP 30 $
4.00
Pioglitazone 15 MG TAB 30 Free**
Omeprazole 40 MG ER CAP 30 $
10.00
Pioglitazone 30 MG TAB 30 Free**
Ondansetron 4 MG ODT 30 $
10.00
Pioglitazone 45 MG TAB 30 Free**
Ondansetron 4 MG TAB 30 $
10.00
Polyethylene glycol 3350 ORAL POW 255 G $
10.00
Ondansetron 4 MG/5 ML SOL 50 ML $
10.00
Polymyxin B-trimethoprim 10000
Ondansetron 8 MG ODT 30 $
10.00 10 ML $
4.00
UNIT/0.1% OPHTH SOL
Ondansetron 8 MG TAB 30 $
10.00 Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*

quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
Generic equivalent for Ortho micronor dpk TAB 28 $
10.00 an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
Generic equivalent for Ortho tri-cyclen TAB 28 $
10.00 health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
Generic equivalent for Ortho-cept TAB 28 $
10.00 of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-8
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

Plus Member Plus Member

Drug Quantity Drug Quantity
Price Price
Potassium bicarbonate 25 MEQ TAB 30 $
10.00 Quetiapine 50 MG TAB 30 $
4.00
Potassium chloride 10 MEQ CAP 30 $
10.00 Quinapril-HCTZ 10 MG/12.5 MG TAB 30 $
10.00
Potassium chloride 10 MEQ TAB 30 $
10.00 Quinapril-HCTZ 20 MG/12.5 MG TAB 30 $
10.00
Pradaxa 75 MG CAP 60 367.09
$
Quinapril-HCTZ 20 MG/25 MG TAB 30 $
10.00
Pradaxa 110 MG CAP 60 367.09
$
Quinapril 10 MG TAB 30 $
10.00
Pradaxa 150 MG CAP 60 367.09
$
Quinapril 20 MG TAB 30 $
10.00
Pramipexole .75 MG TAB 90 $
10.00 Quinapril 40 MG TAB 30 $
10.00
Pramipexole 0.125 MG TAB 90 $
4.00 Quinapril 5 MG TAB 30 $
10.00
Pramipexole 0.25 MG TAB 90 $
4.00 Rabeprazole 20 MG TAB 30 $
10.00
Pramipexole 0.5 MG TAB 90 4.00
$
Ramipril 1.25 MG CAP 30 $
4.00
Pramipexole 1 MG TAB 90 $
10.00 Ramipril 10 MG CAP 30 $
4.00
Pramipexole 1.5 MG TAB 90 $
10.00 Ramipril 2.5 MG CAP 30 $
4.00
Pravastatin 10 MG TAB 30 $
10.00 Ramipril 5 MG CAP 30 $
4.00
Pravastatin 20 MG TAB 30 $
10.00 Ranitidine 150 MG TAB 60 $
4.00
Pravastatin 40 MG TAB 30 $
10.00 Ranitidine 300 MG TAB 30 $
10.00
Pravastatin 80 MG TAB 30 $
10.00 Ranitidine 75 MG/5 ML SYRUP 473 ML $
10.00
Prazosin 1 MG CAP 30 $
10.00 Rasuvo 7.5 MG/0.15 ML
®
4 $
383.31
Prednisolone 15 MG/5 ML SYRUP 240 ML $
10.00 Rasuvo 10 MG/0.2 ML
®
4 $
383.31
Prednisone 10 MG TAB 30 $
10.00 Rasuvo 12.5 MG/0.25 ML
®
4 $
383.31
Prednisone 20 MG TAB 30 $
10.00 Rasuvo® 15 MG/0.3 ML 4 $
383.31
Primidone 250 MG TAB 90 $
10.00 Rasuvo 17.5 MG/0.35 ML
®
4 $
383.31
Primidone 50 MG TAB 30 4.00
$
Rasuvo 20 MG/0.4 ML
®
4 $
383.31
Probenecid 500 MG TAB 30 $
10.00 Rasuvo 22.5 MG/0.45 ML
®
4 $
383.31
Prochlorperazine maleate 10 MG TAB 30 4.00
$
Rasuvo® 25 MG/0.5 ML 4 $
383.31
Prochlorperazine maleate 5 MG TAB 30 4.00
$
Rasuvo 27.5 MG/0.55 ML
®
4 $
383.31
Promethazine 12.5 MG TAB 30 4.00
$
Rasuvo 30 MG/0.6 ML
®
4 $
383.31
Promethazine 25 MG TAB 30 4.00
$
Risperidone 0.25 MG TAB 60 $
4.00
Promethazine 50 MG TAB 30 4.00
$
Risperidone 0.5 MG ODT 30 $
10.00
Promethazine 6.25 MG/5 ML SYRUP 473 ML $
10.00 Risperidone 0.5 MG TAB 60 $
4.00
Propafenone 150 MG TAB 90 $
10.00 Risperidone 1 MG TAB 60 $
4.00
Propranolol 10 MG TAB 30 $
10.00 Risperidone 2 MG TAB 60 $
10.00
Propranolol 20 MG TAB 30 $
10.00 Risperidone 3 MG TAB 60 $
10.00
Propranolol 40 MG TAB 30 $
10.00 Risperidone 4 MG TAB 60 $
10.00
Propranolol 60 MG TAB 30 $
10.00 Ropinirole 0.25 MG TAB 90 $
4.00
Propranolol 80 MG TAB 30 $
10.00 Ropinirole 0.5 MG TAB 90 $
4.00
Quetiapine 100 MG TAB 30 4.00
$
Ropinirole 1 MG TAB 90 $
4.00
Quetiapine 200 MG TAB 30 $
10.00 Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*

quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
Quetiapine 25 MG TAB 30 4.00
$
an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
Quetiapine 300 MG TAB 30 $
10.00 health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
Quetiapine 400 MG TAB 30 $
10.00 of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-9
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.

Plus Member Plus Member

Drug Quantity Drug Quantity
Price Price
Ropinirole 2 MG ER TAB 30 $
10.00 Sulfasalazine 500 MG ER TAB 30 $
10.00
Ropinirole 2 MG TAB 90 $
4.00 Sulfasalazine 500 MG TAB 30 $
10.00
Ropinirole 3 MG TAB 90 $
4.00 Sulindac 150 MG TAB 30 $
10.00
Ropinirole 4 MG ER TAB 30 $
10.00 Sulindac 200 MG TAB 30 $
10.00
Ropinirole 4 MG TAB 90 $
4.00 Sumatriptan succinate 100 MG TAB 9 $
10.00
Ropinirole 5 MG TAB 90 $
4.00 Sumatriptan succinate 25 MG TAB 9 $
10.00
Rybelsus 3 MG TAB 30 $
734.58 Sumatriptan succinate 50 MG TAB 9 $
10.00
Rybelsus 7 MG TAB 30 $
734.58 Synjardy 5-500 MG TAB 60 $
392.08
Rybelsus 14 MG TAB 30 $
734.58 Synjardy 5-1000 MG TAB 60 $
392.08
Saxenda 6 MG/ ML INJ 15 ML $
1174.90 Synjardy 12.5-500 MG TAB 60 $
392.08
Selenium sulfide 3% LOTION 120 G $
10.00 Synjardy 12.5-1000 MG TAB 60 $
392.08
Sertraline 100 MG TAB 30 $
4.00 Synjardy XR 5-1000 MG TAB 30 $
196.17
Sertraline 25 MG TAB 30 $
4.00 Synjardy XR 10-1000 MG TAB 30 $
392.34
Sertraline 50 MG TAB 30 $
4.00 Synjardy XR 12.5-1000 MG TAB 30 $
196.17
Sildenafil 20 MG TAB 30 $
10.00 Synjardy XR 25-1000 MG TAB 30 $
392.34
Sildenafil 50 MG TAB 10 $
10.00 Tamsulosin 0.4 MG CAP 30 $
10.00
Sildenafil 100 MG TAB 10 $
10.00 Terazosin 1 MG CAP 30 $
4.00
Simvastatin 10 MG TAB 30 $
4.00 Terazosin 10 MG CAP 30 $
4.00
Simvastatin 20 MG TAB 30 $
4.00 Terazosin 2 MG CAP 30 $
4.00
Simvastatin 40 MG TAB 30 $
4.00 Terazosin 5 MG CAP 30 $
4.00
Simvastatin 5 MG TAB 30 $
4.00 Terbinafine 250 MG TAB 30 $
10.00
Simvastatin 80 MG TAB 30 $
4.00 Timolol maleate 0.25% OPHTH SOL 5 ML $
10.00
Sodium fluoride 1.1 MG CHEW 120 $
10.00 Timolol maleate 0.25% OPHTH SOL 10 ML $
10.00
Sodium fluoride 1% CREAM 51 G $
10.00 Timolol maleate 0.25% OPHTH SOL 15 ML $
10.00
Sodium fluoride 1% GEL 56 G $
4.00 Tobramycin 0.3% OPHTH SOL 5 ML $
4.00
Sodium fluoride 2.2 MG CHEW 120 $
10.00 Tolterodine 1 MG TAB 30 $
10.00
Sotalol HCL 160 MG TAB 60 $
10.00 Tolterodine 2 MG TAB 30 $
10.00
Sotalol HCL 80 MG TAB 30 $
4.00 Topiramate 100 MG TAB 60 $
10.00
Spiriva Respimat
® ®
1 ct. $
367.61 Topiramate 200 MG TAB 60 $
10.00
Spironolactone 100 MG TAB 30 $
10.00 Topiramate 25 MG TAB 60 $
4.00
Spironolactone 25 MG TAB 30 $
4.00 Topiramate 50 MG TAB 60 $
4.00
Spironolactone 50 MG TAB 30 $
4.00 Torsemide 10 MG TAB 30 $
4.00
Stiolto Respimat
™ ®
1 ct. $
340.38 Torsemide 100 MG TAB 30 $
10.00
Striverdi Respimat 4 $
181.32 Torsemide 20 MG TAB 30 $
4.00
Sucralfate 1 G TAB 30 $
10.00 Torsemide 5 MG TAB 30 $
4.00
Sulfacetamide sodium 1% OPHTH SOL 15 ML $
4.00 Tradjenta 5 MG ®
30 $
277.87
Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*
Sulfamethoxazole-trimethoprim 400 quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
30 $
4.00 free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
MG/800 MG TAB an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
Sulfamethoxazole-trimethoprim 800 health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
20 $
4.00 PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
MG/160 MG TAB Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-10
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.
Plus Member Plus Member
Drug Quantity Drug Quantity
Price Price
Trandolapril 2 MG TAB 30 $
10.00 Venlafaxine 37.5 MG TAB 30 $
4.00
Trandolapril 4 MG TAB 30 $
10.00 Venlafaxine 50 MG TAB 30 $
4.00
Trazodone 100 MG TAB 30 $
4.00 Venlafaxine 75 MG ER CAP 30 $
10.00
Trazodone 150 MG TAB 30 $
4.00 Venlafaxine 75 MG TAB 30 $
10.00
Trazodone 50 MG TAB 30 $
4.00 Verapamil 120 MG ER TAB 30 $
10.00
Trelegy Ellipta AER 60 $
491.58 Verapamil 120 MG TAB 30 $
4.00
Tresiba FlexTouch U-100 10 $
292.51 Verapamil 180 MG ER TAB 30 $
10.00
Tresiba FlexTouch U-100 15 $
438.27 Verapamil 240 MG ER TAB 30 $
10.00
Tresiba FlexTouch U-200 9 $
526.73 Verapamil 80 MG TAB 30 $
4.00
Generic equivalent for Tri-norinyl TAB 28 $
10.00 Victoza 2x3 ML 6 ML $
580.72
Triamcinolone 0.025% CREAM 15 G $
4.00 Victoza 3x3 ML 9 ML $
869.55
Triamcinolone 0.025% CREAM 80 G $
10.00 Vitamin D2 (ergocalciferol) 50,000 IU CAP 4 Free**
Triamcinolone 0.1% CREAM 15 G $
4.00 Warfarin 1 MG TAB 30 $
4.00
Triamcinolone 0.1% CREAM 80 G $
10.00 Warfarin 10 MG TAB 30 $
4.00
Triamcinolone 0.1% OINTMENT 15 G $
10.00 Warfarin 2 MG TAB 30 $
4.00
Triamcinolone 0.1% OINTMENT 80 G $
10.00 Warfarin 2.5 MG TAB 30 $
4.00
Triamterene-HCTZ 37.5 MG/25 MG CAP 30 $
10.00 Warfarin 3 MG TAB 30 $
4.00
Triamterene-HCTZ 37.5 MG/25 MG TAB 30 $
4.00 Warfarin 4 MG TAB 30 $
4.00
Triamterene-HCTZ 75 MG/50 MG TAB 30 $
4.00 Warfarin 5 MG TAB 30 $
4.00
Tricare prenatal multivitamin TAB 30 $
10.00 Warfarin 6 MG TAB 30 $
4.00
Trihexyphenidyl 2 MG TAB 60 $
4.00 Warfarin 7.5 MG TAB 30 $
4.00
Trihexyphenidyl 5 MG TAB 30 $
4.00 Xultophy 100/3.6 INJ 15 ML $
958.77
Trimethoprim 100 MG TAB 30 $
10.00 Yasmin® 28 $
30.00
Trintellix 5 MG TAB 30 $
322.67 Yaz®
28 $
30.00
Trintellix 10 MG TAB 30 $
322.67 Zonisamide 100 MG CAP 30 $
10.00
Trintellix 20 MG TAB 30 $
322.67 Zonisamide 25 MG CAP 30 $
10.00
Generic equivalent for Triphasil TAB 28 $
10.00 Zonisamide 50 MG CAP 30 $
4.00
Triphrocaps w/ folic acid 1 MG CAP 30 $
10.00
Tropicamide 1% OPHTH SOL 15 ML $
10.00
True Metrix Test Strips
®
50 $
19.02
True Metrix® Test Strips 100 $
34.01
True Track Test Strips 50 $
10.77
True Track Test Strips 100 $
15.92
Valacyclovir 500 MG TAB 30 $
10.00
Valproate sodium 250 MG CAP 30 $
10.00
Valproate sodium 250 MG/5 ML SYRUP 473 ML $
10.00
Venlafaxine 100 MG TAB 30 $
10.00 Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
*

quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
Venlafaxine 150 MG ER CAP 30 $
10.00 free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
Venlafaxine 25 MG TAB 30 $
4.00 to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
Venlafaxine 37.5 MG ER CAP 30 $
10.00 Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details. V2-11
 *
Sam’s Club Drug List for Plus Members
Join or renew as a Sam’s Plus® Member to receive extra discounts on select
prescription drugs, including five select prescriptions available for free every day,
over 200 prescriptions available at $4 and over 400 prescriptions available at $10.*
Prices valid as of March 20, 2020 | Bold items indicate name-brand drugs.
List is not comprehensive. See Pharmacist for additional brand-name & generic drug savings.
1. Sam’s Club Rx Savings List (the “Program”) prices are available only at Sam’s Club Retail Pharmacy locations and only to Sam’s
®

Club Members and Sam’s Club Plus Members.

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 Sam’s Club Retail Pharmacies
(the “Rx Savings List”) or at SamsClub.com/RxSavings. The RxSavings 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 is not available when a covered drug is dispensed as part of a
compound.
3. Under the Program, the price listed on the Rx Savings List is the price for up to a 30-day supply of certain
covered generic drugs at commonly prescribed dosages as listed on the Rx Savings List. If the prescribed quantity exceeds the
stated 30-day supply amount listed on the Rx Savings List, any amount above the stated 30-day supply would price at a pro-
rated per-unit price. For $0 medications, any quantity up to and including the stated 30-day supply would price at $0, while any
amount above the stated 30-day supply would price at a prorated per-unit price.
4. Prepackaged drugs are covered under the Program only in the unit sizes specified on the Rx 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 Rx Savings 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 Rx Savings 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.
5. Prices of certain drugs covered by the Program may be higher in some states, as noted on the Rx Savings List.
6. Program pricing may be limited to select manufacturers of a covered drug and is available as long as supplies from such manu-
facturers are in stock at the dispensing Pharmacy.
7. Program pricing does not apply to purchases submitted to any health benefit program, pharmacy benefit program, insurer or
government health care program. Discount is nontransferable, may not be combined with other offers and is available in-club
only. Valid prescription required.
8. An active Sam’s Club Plus Membership is required for program eligibility. Such membership must be confirmed before dis-
counts are applied. There are no substitutions.
9. These Program details are subject to change without advance notice. Changes to these Program details may be made only in
writing.
10. Interpreter Services are available at no cost. Please visit your local Sam’s Club for assistance.

Sam’s Club is committed to making its healthcare services accessible to all seeking to use them and provides auxiliary * Available only to Sam’s Club Plus Members at Sam’s Club Pharmacy locations. Not available on SamClub.com. Only
aids and services, including language assistance services, to patients at no cost. Sam’s Club will not discriminate on the quantity, formulation, and strength stated on the Sam’s Club Drug list for Plus Members covered at the price listed (or
basis of race, color, national origin, sex, age, or disability and will not retaliate against anyone who raises a complaint of free). See SamsClub.com/RxSavings for the list of drugs and pricing. Covered prescriptions could change. There will be
discrimination. To raise a complaint or initiate a grievance regarding healthcare accessibility or discrimination, please an additional cost for quantities greater than listed quantity. Not available if listed prescription is part of a compound or
contact your local Sam’s Club pharmacy or optical center. You also have the right to raise con- to purchases submitted to any health benefit program, pharmacy benefit program, insurer, or state/federal government
health care program. May not combine with other offers. Free drugs not available in CA, GA, HI, MA, MD, ME, MN, OK,
cerns or to initiate a formal accessibility or discrimination grievance by contacting either (1) the of- PA, PR, SC, WI. Sam’s Club Drug List price not available in Puerto Rico. Discount savings are based on the dispensing
fice of Walmart’s Vice President, US Ethics & Compliance (1-800-WM-Ethic or ethics@walmart.com) Sam’s Club Pharmacy’s regular retail cash price. Program pricing may be limited to in stock items by select manufacturers
or (2) the Office of Civil Rights, U.S Dept. Health & Human Services (1-800-368-1019 or OCRComplaint@ of a covered drug at the dispensing pharmacy. Taxes or other fees may apply. Other restrictions apply. Terms subject to
hhs.gov). See last page for information on the availability of language interpreter services at no cost. change without notice. See SamsClub.com or your local Sam’s Club Pharmacy for details.