DRUG RETAIL PRICE LIST OCTOBER 2015

NOTIFY YOUR PHARMACIST AND HEALTH CARE PRACTITIONER OF ALL MEDICATIONS YOU ARE TAKING AND ASK HOW TO AVOID HARMFUL DRUG INTERACTIONS

DRUG / QUANTITY / PRICE /
ACETAMINOPHEN WITH CODEINE 30MG TAB (TYLENOL WITH CODEINE) / 30
ADVAIR DISKUS 250/50 INH / 60
ALBUTEROL 0.083% INHAL SOLN (PROVENTIL) / 75ML
ALENDRONATE 70MG TAB (FOSAMAX) / 4
ALLOPURINOL 100MG TAB (ZYLOPRIM) / 30
ALPHAGAN-P 0.1% OPHTH SOL / 5ML
ALPRAZOLAM 0.5MG TAB (XANAX) / 90
AMITRIPTYLINE 50 MG TAB (ELAVIL) / 90
AMLODIPINE 10MG TAB (NORVASC) / 30
AMOX TR-K CLV 875-125 MG TAB (AUGMENTIN) / 20
AMOXICILLIN 400MG/5ML SUSP (AMOXIL) / 100ML
AMOXICILLIN 500MG CAP (AMOXIL) / 30
AMPHETAMINE MIX SALT XR 10MG CAP (ADDERALL XR) / 30
ANDROGEL 1.62% PUMP GEL / 75G
ARIPIPRAZOLE 10MG TAB (ABILIFY) / 30
ATENOLOL 50MG TAB (TENORMIN) / 30
ATORVASTATIN 10MG TAB (LIPITOR) / 30
ATORVASTATIN 20MG TAB (LIPITOR) / 30
ATRIPLA TAB / 30
AZITHROMYCIN 100MG/5ML SUSP (ZITHROMYCIN) / 15ML
AZITHROMYCIN 250MG TAB (ZITHROMYCIN/Z-PAK) / 6
BENICAR 20MG TAB / 30
BUPROPION XL 300MG TAB (WELLBUTRIN XL) / 30
BYSTOLIC 10MG TAB / 30
CARVEDILOL 6.25MG TAB (COREG) / 60
CELECOXIB 200MG CAP (CELEBREX) / 30
CEPHALEXIN 500MG CAP (KEFLEX) / 28
CIALIS 5MG TAB / 30
CIPROFLOXACIN 500MG TAB (CIPRO) / 20
CITALOPRAM 20MG TAB (CELEXA) / 30
CLONAZEPAM 1MG TAB (KLONOPIN) / 90
CLOPIDOGREL 75MG TAB (PLAVIX) / 30
COMBIVENT RESPIMAT 20/100MCG 120 INH / 4
CRESTOR 10MG TAB / 30
CYCLOBENZAPRINE 10MG TAB (FLEXERIL) / 30
DEXILANT 60MG CAP / 30
DIGOXIN 0.125MG TAB (LANOXIN) / 30
DIVALPROEX 500MG EC TAB (DEPAKOTE) / 90
DONEPEZIL 10 MG TAB (ARICEPT) / 30
DOXYCYCLINE 100MG CAP (VIBRAMYCIN) / 30
DULOXETINE 60MG DR CAP (CYMBALTA) / 30
ELIQUIS 5MG TAB / 60
ENALAPRIL 10MG TAB (VASOTEC) / 30
ESCITALOPRAM 10MG TAB (LEXAPRO) / 30
ESOMEPRAZOLE 40MG CAP (NEXIUM) / 30
FENOFIBRATE 145MG CAP (TRICOR) / 30
FLOVENT HFA 110MCG INHALER / 12 GRAM
FLUCONAZOLE 150MG TAB (DIFLUCAN) / 1
FLUOXETINE 20MG CAP (PROZAC) / 30
FLUTICASONE 50MCG NASAL (FLONASE) / 16 GRAM
FUROSEMIDE 40MG TAB (LASIX) / 30
GABAPENTIN 300MG CAP (NEUROTIN) / 90
GLIMEPIRIDE 4MG TAB (AMARYL) / 30
GLIPIZIDE ER 10MG TAB (GLUCOTROL XL) / 30
HUMALOG KWIKPEN 100 units/mL / 5 x 3ML
HUMALOG MIX 75-25 KWIKPEN / 5 X 3ML
HYDROCHLOROTHIAZIDE 25MG TAB (HYDRODIURIL) / 30
HYDROCHLOROTHIAZIDE 12.5MG CAP (MICROZIDE) / 30
HYDROCODONE / ACETAMINOPHEN 5/325 TAB (NORCO) / 60
HYDROCORTISONE 2.5% CREAM (HYTONE) / 30 GRAM
IBUPROFEN 600MG TAB (MOTRIN) / 90
IBUPROFEN 800MG TAB (MOTRIN) / 60
INVOKANA 100MG TAB / 30
ISOSORBIDE MONOHYDRATE 30MG TAB (IMDUR) / 30
JANUVIA 100MG TAB / 30
LAMOTRIGINE 25MG TAB (LAMICTAL) / 30
LANSOPRAZOLE 30MG CAP (PREVACID) / 30
LANTUS SOLOSTAR 100 UNITS/ML / 5 X 3 ML
LANTUS VIAL / 10
LATANOPROST 0.005% DROPS (XALATAN) / 2.5 ML
LEVEMIR FLEXTOUCH PREFILLED SYR / 5 X 3ML
LEVOTHYROXINE 100MCG (SYNTHROID) / 30
LEVOTHYROXINE 50MCG (SYNTHROID) / 30
LISINOPRIL 10MG TAB (ZESTRIL) / 30
LISINOPRIL 20MG TAB (ZESTRIL) / 30
LISINOPRIL/HCTZ 20/12.5MG (ZESTORETIC) / 30
LOSARTAN 50MG TAB (COZAAR) / 30
LUMIGAN 0.01% OPHTH SOL / 2.5ML
LYRICA 50MG CAP / 60
MELOXICAM 7.5MG TAB (MOBIC) / 30
MEMANTINE 10MG TAB (NAMENDA) / 30
METFORMIN HCL 1,000 MG TABLET (GLUCOPHAGE) / 60
METFORMIN HCL 500 MG TABLET (GLUCOPHAGE) / 60
METFORMIN XR 500MG TAB (GLUCOPHAGE XR) / 60
METHYLPHENIDATE ER 20MG TAB (RITALIN ER) / 30
METHYLPREDNISOLONE 4MG DOSEPACK (MEDROL) / 21
METOPROLOL 50MG TAB (LOPRESSOR) / 60
METOPROLOL XL 50MG TAB (TOPROL XL) / 30
METRONIDAZOLE 500MG TAB (FLAGYL) / 20
MONTELUKAST SOD 10 MG TABLET (SINGULAIR) / 30
MUPIROCIN OINTMENT (BACTROBAN) / 22 GRAM
NAPROXEN 500MG TAB (NAPROSYN) / 60
NITROFURANTOIN MONO 100MG CAP (MACROBID) / 14
NORETHINDRONE 0.35MG TAB (MICRONOR/NOR-QD/ NORA-BE) / 28
NOVOLOG MIX 70-30 FLEXPEN SYRN / 5 X 3 ML
NUVARING INSERT / 1
OLANZAPINE 5MG TAB (ZYPREXA) / 30
OMEGA 3 ACID GELCAPS 1GM (LOVAZA) / 120
OMEPRAZOLE 20MG CAP (PRILOSEC) / 30
ORTHO TRI CYCLEN LO TAB / 28
OXYCODONE / ACETAMINOPHEN 5/325MG TAB (PERCOCET) / 90
PANTOPRAZOLE 40MG TAB (PROTONIX) / 30
PAROXETINE 20MG TAB (PAXIL) / 30
PATADAY 0.2% OPHTH SOL / 2.5ML
PENICILLIN -VK 500MG TAB / 40
PHENYTOIN SOD EXT 100MG CAP (DILANTIN) / 90
POTASSIUM 20MEQ TAB (K-DUR) / 30
PRADAXA 150MG CAP / 60
PREDNISONE 10MG TAB / 30
PREMARIN VAGINAL CREAM 0.625MG/GM / 30 GRAM
PROAIR INHALER / 8.5 GRAM
PROVENTIL HFA INHALER / 6.7 GRAM
QUETIAPINE 100MG TAB (SEROQUEL) / 30
RAMIPRIL 5MG CAP (ALTACE) / 30
RANITIDINE 150MG TAB (ZANTAC) / 30
RALOXIFENE 60MG TAB (EVISTA) / 30
RESTASIS OPHTH EMUL 0.05% 0.4ML / 30
RISPERIDONE 1MG TAB (RISPERDAL) / 30
SERTRALINE 50MG TAB (ZOLOFT) / 30
SIMVASTATIN 40MG TAB (ZOCOR) / 30
SPIRIVA 18MCG HANDIHALER / 30
SUBOXONE 8MG/2MG SUBLINGUAL FILM / 30
SULFAMETH/TRIMETH DS TAB (BACTRIM DS) / 20
SYMBICORT 160/4.5MG INHALATION / 10.2 GRAM
SYNTHROID 0.1MG TAB / 30
TAMIFLU 75MG CAP / 10
TAMSULOSIN 0.4MG CAP (FLOMAX) / 30
TERCONAZOLE 0.8% VAGINAL CREAM (TERAZOL) / 20
TOPIRAMATE 50MG TAB (TOPAMAX) / 30
TRAMADOL 50MG TAB (ULTRAM) / 60
TRAZODONE 50MG TAB (DESYREL) / 30
TRIAMTERENE / HCTZ 37.5MG TAB (MAXZIDE) / 30
TRI-SPRINTEC TAB (ORTHO TRI-CYCLEN) / 28
TRUVADA TAB / 30
VALACYCLOVIR 500MG TAB (VALTREX) / 30
VALSARTAN 160MG TAB (DIOVAN) / 30
VALSARTAN-HCT 160MG/25MG TAB (DIOVAN-HCT) / 30
VENLAFAXINE XR 75MG CAP (EFFEXOR XR) / 30
VENTOLIN HFA INHALER / 18 GRAM
VESICARE 5MG TAB / 30
VIAGRA 100MG TAB / 6
VICTOZA INJ 0.6MG/1.2MG/1.8MG / 3
VITAMIN D 50,000 CAP / 4
VOLTAREN 1% GEL / 100G
VYVANSE 30MG CAP / 30
WARFARIN 5MG TAB (COUMADIN) / 30
XARELTO 20MG TAB / 30
ZETIA 10MG TAB / 30
ZOLPIDEM 10MG TAB (AMBIEN) / 30
ZOLPIDEM CR 12.5MG TAB (AMBIEN CR) / 30

Updated 10/1/15 Page 1 of 4