St. Mary Medical Center
Colleague Pharmacy
First floor, MainHospital
8:30 am-1:00 pm; 1:30 pm-5:00pm
215-710-7427 (PHAR)
Fax: 215-710-7434

OVER THE COUNTER ORDER FORM / NAME: Daytime Phone or Ext:
PICKUP DATE: TIME OR SHIFT:
PAYMENT DUE: CHECK CASH CREDIT CARD
After hours pickup available at the Main Pharmacy,exact payment is required or prepayment by credit card.
PRESCRIPTION SERVICES ALSO AVAILABLE FOR 2ND AND 3RD SHIFTS, AND WEEKEND COLLEAGUES.
CALL OR CONTACT US THROUGH EMAIL FOR INFORMATION AND DROP OFF INSTRUCTIONS.
VITAMINS &HERBALS
Antioxidant Formula-Softgels 50's / $5.00
B-12 Natural 250 mcg 100's / $4.00
B-12 Natural 500 mcg 100's / $6.25
B-6 100 mg 100's / $5.75
B-6 Natural 50 mg 100's / $4.00
Child Chewable Flintstones Vitamin 60's / $6.50
Child Chewable Vitamns -Animals 100's / $3.00
Cranberry 300 mg - Caplets 90's / $5.75
Echinacea 100's / $5.75
Evening Primrose Oil - Softgels 75's / $6.00
Folic Acid 800 mcg 100's / $2.40
Generic Caltrate 600 w/Vit D 150's / $4.00
Generic Centrum Silver 60's / $3.75
Generic Centrum Vitamins 130's / $5.75
Generic One-A-Day +Iron 100's / $3.00
Generic One-A-Day Regular 100's / $3.00
Generic Theragran M Vitamins 100's / $4.75
Glucosamine/Chondroitin Caplets 50's / $9.00
Natural ChromiumPicolinate 200mcg 100 / $5.75
Natural Fish Oil Omega 3 1200 mg 100's / $6.75
Natural Generic Stress Tabs 60's / $6.50
Natural Glucosamine 500 mg 60's / $10.75
Odorless Garlic 1250 mg 100's / $6.75
One-A-Day Women's 100's / $7.75
Oyster Calcium +D 500 mg 60's / $2.00
Remifemin 60’s / $15.00
Vitamin C 1000 mg TimeRelease 100's / $5.00
Vitamin C 500 mg 100's / $2.25
Vitamin C 500 mg w/Rose Hips 130's / $6.15
Vitamin E 400 units DL-A 100's / $4.00
ANALGESIC & ANTIPYRETICS
Aspirin Enteric Coated 81 mg 120's / $1.50
Aspirin Enteric Coated 325 mg 100's / $1.50
Aspirin -Regular 325 mg 100's / $1.75
Buffered Aspirin (Generic Bufferin) 100's / $2.00
Child's Advil Chewable 50 mg 24's / $3.50
Child's Aspirin Chewable 81 mg 36's / $1.50
Child’s Generic Advil Suspension 4 oz / $3.50
Excedrin Extra Strength 24’s / $3.75
Excedrin Migraine 24’s / $4.00
Excedrin Quick Tabs 16’s / $3.75
Generic Aleve 220 mg 24’s / $3.25
Generic Tylenol Cold Caplets 24’s / $3.25
Generic Tylenol PM 50’s / $3.00
Ibuprofen 200 mg Caplets 100’s / $2.75
Infant’s Generic Advil Suspension 15 ml / $3.75
Tylenol 325 mg Caplets 50’s / $1.50
Tylenol Drops 80 mg Grape 0.5 oz / $1.50
Tylenol Extra Str Caplets 500 mg 50’s / $1.75
Tylenol Meltaways 6-11 yr old / $4.50
Tylenol Meltaways 80 mg Ages 2-6 30’s / $3.50
Tylenol Suspension 160 mg Cherry 4 oz / $1.50
ALLERGY, COUGH & COLD
Benadryl Max Str. Allergy&Sinus 20’s / $5.00
Children’s Motrin Cold Formula 4 oz / $5.50
Cold-EEZE 18’s / $5.00
Coricidin HBP Cold & Flu 24’s / $4.50
Delsym 12 HR Adult / $7.00
Delsym 12 HR Children’s / $7.50
Generic Advil Cold & Sinus 20’s / $3.75
Generic Benadryl Capsules 100’s / $3.85
Generic Benadryl Capsules 24’s / $2.00
Generic Benadryl Liquid-Cherry 4 oz / $1.75
Generic Clariten D Tablets 5’s / $5.50
Generic Clariten Tablets 10’s / $3.75
Generic Claritin D Tablets 10’s / $9.00
Generic Nyquil Liquid, Reg / Cherry 6oz / $2.75
Generic Robitussin 4 oz / $1.75
Generic Robitussin DM 4 oz / $1.75
Generic Robitussin DM 8 oz / $3.50
Generic Sudafed 24’s / $1.50
Generic Sudafed 30 mg 100’s / $3.75
Generic Sudafed Syrup Cherry 4 oz / $2.00
Generic Vicks Nyquil Liquid Caps 12's / $2.75
Mucinex DM Tablets 20's / $9.00
Mucinex Tablets 20's / $9.00
NasalCrom Spray / $9.00
Sudafed 12 HR 20's / $6.50
Tylenol Cold Formula 24's / $5.50
TOPICAL PRODUCTS
Desitin Ointment 1 oz / $3.00
Generic Lotrimin AF / $3.50
Hydrocortisone Cream 0.5% 1 oz / $2.00
Lanabiotic Ointment / $3.50
Triple Antib熉tic Ointment 1 oz / $3.00
Vitamin A&D Ointment / $1.50
GI PRODUCTS
Fleet Phospho Soda / $2.00
Generic Colace 100's / $3.00
Generic Fleet Enema / $1.00
Generic GAS-X 36's / $4.00
Generic Immodium AD 12's / $2.25
Generic Pepcid AC 30's / $5.00
Generic Pepto Bismol Chewables 30's / $2.25
Generic Pepto Bismol Liquid 8 oz / $2.50
Generic Senokot 100's / $3.00
Generic Tums 150's / $3.25
Generic Zantac 30's / $5.50
Immodium AD 12's / $4.75
Maalox 12 oz / $4.25
Prilosec OTC 14's / $10.00
EAR, EYES, NOSE & THROAT
Artificial Tears 15 ml / $2.50
Baby Orajel / $3.50
Baush & Laumb Moisture Eyes 15 ml / $6.50
Cepastat 18's / $3.50
Generic Afrin Nasal Spray / $1.75
Orajel Max Strength / $5.50
Refresh Tears 30 ml / $9.75
Saline Nasal Spray / $1.50
Visine Allergy Drops / $5.00

Note:Ask us about other items that are available. Prices subject to change. Please call or stop by the Colleague Pharmacy. 4/6/05