Wal-Mart
2016 Prescription Discount Plans
K-Mart $10 per family
Rite Aid Free program membership
Walgreens $20 individual, $35 family membership
$4
$10
$5
$10
$10
$16
$10
$20
not all-inclusive; contains "common medications"
30 days 30 -30 30 30 30 ----30 30 ---
90 days 90 -90 90 90 90 ----90 90 ---
30 days 30 -30 = $3 30 30 = $10 30 ----30 = $3 30 = $3 ---
90 days 90 --90 90 = $30 90 ---------
30 days 30 -30 30 30 30 30 30 30 -30 30 30 --
90 days 90 -90 90 90 90 90 90 90 -90 90 90 --
30 days 30 30 = $15 30 = $5 30 = $5 30 30 60 60 = $15 -30 30 30 = $5 30 30
90 days 90 90 = $30 90 = $10 90 = $10 90 90 180 180 = $30 -90 90 90 = $10 90 90
---------30 --30 30 -----------30 30 --30 30
---------90 --90 90 -----------90 90 --90 90
---------30 --30 30 -----------30 30 --30 30
---------90 --90 90 -----------90 90 --90 90
---------30 30 -30 30 --------30 30 30 30 30 30 30 30 30
---------90 90 -90 90 --------90 90 90 90 90 90 90 90 90
30 = $15 -30 30 = $5 -----60 30 -30 30 ----30 = $15 ---30 30 -30 30 -30 30 = $15 30 = $5
90 = $30 -90 90 = $10 -----180 90 -90 90 ----90 = $30 ---90 90 -90 90 -90 90 = $30 90 = $10
Other Combin.
Cardiac / Hypertension ACE-ARB / Diuretic ARB
ACE inhibitor
Thiazide
Updated September 2016 12.5mg 12.5mg 25mg 50mg 1.25, 2.5mg Indapamide Benazepril 5, 10, 20, 40mg Enalapril 2.5, 5mg 10mg 20mg Fosinopril 10, 20, 40mg Lisinopril 2.5, 5mg 10, 20mg 30, 40mg Quinapril 5, 10, 20, 40mg Perindopril 4, 8mg Ramipril 1.25mg 2.5, 5, 10mg Trandolapril 1, 4mg 2mg Irbesartan 75, 150mg 300mg Losartan 25, 50, 100mg Telmisartan 20, 40, 80mg 40, 80, 160, 320mg Valsartan 5/12.5mg Enalapril/HCTZ 10/25mg 10/12.5, 20/12.5mg Fosinopril/HCTZ 10/12.5, 20/12.5mg Lisinopril/HCTZ 20/25mg 10/12.5mg Quinapril/HCTZ 20/12.5, 20/25mg Irbesartan/HCTZ 150/12.5, 300/12.5mg Losartan/HCTZ 50/12.5mg, 100/25mg 100/12.5 Valsartan/HCTZ 80/12.5mg 160/12.5, 160/25mg 320/12.5, 320/25mg Amiloride/HCTZ 5/50mg Atenolol/Chlorthalidone 50/25mg 100/25mg 2.5/6.25mg Bisoprolol/HCTZ 5/6.25, 10/6.25mg 25/25mg Spironolactone/HCTZ Triamterene/HCTZ cap 37.5/25mg Triamterene/HCTZ tab 37.5/25mg 75/50mg HCTZ cap HCTZ tab
Sam's Club $100 membership
Costco No membership required
$4
$10
30 days
90 days
30 30 30 30 30 = $10 30 30 = $10 30 = $10 30 = $10 30 = $10 30 30 30 30 = $10 30 = $10 30 30 30 = $10 30 = $10 30 30 = $10 30 30 = $10 30 = $10 30 30 30 = $10 30 30 30 = $10 30 = $10 30 = $10 30 30 30 = $10 30 = $10 30 = $10 ---30 30 -30 = $10 30 30
90 90 90 90 -90 ----90 90 ---------------90 90 -----------90 90 -90 -90
Harris Teeter $5 per family
$4
$10
30 days 30 -30 30 30 30 30 30 30 -30 30 30 --
90 days 90 -90 90 90 90 90 90 90 -90 90 90 --
---------30 30 -30 30 --------30 30 30 30 30 -----
---------90 90 -90 90 --------90 90 90 90 90 -----
Publix
Free 90
days
----------up to 180 up to 180 up to 180 ---------------------------------
Wal-Mart
Prescription Discount Plans not all-inclusive; contains "common medications"
Spironolactone
Loop
Bumetanide Furosemide Torsemide
Amlodipine/Benazepril
Alpha
Beta-blocker
Cardiac / Hypertension CCB
Amlodipine Diltiazem
Cartia XT cap Diltiazem ER Felopdipine Nifedipine ER Verapamil
Verapamil ER tab Acebutolol Atenolol Bisoprolol Carvedilol Labetalol Metoprolol tartrate Metoprolol succinate Propranolol
Doxazosin Terazosin
25mg 50mg 100mg 0.5, 1mg 20, 40mg 80mg 5mg 10mg 20mg 100mg 2.5/10, 5/10mg 5/20, 10/20mg 5/40, 10/40mg 2.5, 5mg 10mg 30mg 60mg 90mg 120mg 120mg 120, 180, 240, 300mg 2.5, 5, 10mg 30, 60, 90mg 40mg 80mg 120mg 120, 180, 240mg 200, 400mg 25, 50mg 100mg 5mg 10mg 3.125, 6.25, 12.5, 25mg 100, 200, 300mg 25, 50, 100mg 25, 50, 100, 200mg 10, 20, 40mg 60mg 80mg 1, 2, 4mg 8mg 1, 2, 5, 10mg
$4 30 30 ---30 30 ------------------30 30 --30 30 --60 -60 ------30
$10 90 90 ---90 90 ------------------90 90 --90 90 --180 -180 ------90
K-Mart $5 30 days 30 ---30 30 -------30 = $3 30 = $3 ---------30 30 --30 30 --60 -60 ------30
$10 90 days 90 ---90 90 ------------------90 90 --90 90 --180 -180 ------90
Rite Aid $10 30 days 30 30 30 30 30 30 -------30 30 60 60 60 30 ----60 30 30 --30 30 --60 -60 -60 -60 30 30 30
$16 90 days 90 90 90 90 90 90 -------90 90 180 180 180 90 ----180 90 90 --90 90 --180 -180 -180 -180 90 90 90
Walgreens $10 30 days 30 30 --60 = $5 30 = $5 30 = $15 30 = $15 --30 = $15 30 = $15 -30 30 60 60 60 30 30 = $15 ---60 = $15 30 = $5 30 --60 30 = $5 30 -60 -60 --60 = $15 -30 = $15 -30
$20 90 days 90 90 --180 = $10 90 = $10 90 = $30 30 = $30 --90 = $30 90 = $30 -90 90 180 180 180 90 90 = $30 ---180 = $30 90 = $10 90 --180 90 = $10 90 -180 -180 --180 = $30 -90 = $30 -90
Sam's Club
Costco
$4 30 days 30 30 30 = $10 -30 30 30 30 30 30 = $10 30 = $10 30 = $10 30 = $10 30 30 30 30 = $10 30 = $10 30 = $10 -30 = $10 30 = $10 30 = $10 -30 30 30 = $10 30 = $10 30 30 30 = $10 30 = $10 60 30 = $10 60 30 = $10 30 = $10 30 = $10 30 = $10 30 = $10 30 = $10 30
$10 90 days 90 ---90 90 ------------------90 90 --90 90 --180 -180 ------90
Harris Teeter $4 30 days 30 --30 30 30 30 ------30 30 60 60 60 30 -----30 30 --30 30 --60 -60 ------30
Publix
$10 Free 90 days 90 days 90 -----90 -90 -90 -90 -------------90 up to 180 90 90 180 -180 -180 -90 -----------90 -90 -----90 -90 -----180 ---180 -------------90 --
Prescription Discount Plans
Cholesterol Statin
Cardiac / Hypertension Miscellaneous
Nitrate
not all-inclusive; contains "common medications"
Isosorbide Mono ER/SA 30, 60mg 120mg Isosorbide Mono 10, 20mg Isosorbide Dinitrate 5, 10, 30mg 2.5mg SL 5mg SL Amiodarone 200mg Cilostazol 50, 100mg Clonidine 0.1, 0.2mg 0.3mg Clopidogrel 75mg Digoxin 0.125, 0.25mg Guanfacine 1mg 2mg Hydralazine 10mg 25mg 50mg 100mg Methyldopa 250mg 500mg Sotalol 80mg 120mg 160mg Warfarin 3mg 1,2,2.5,4,5,6,7.5,10mg Atorvastatin 10mg 20, 40, 80mg Lovastatin 10, 20mg 40mg Pravastatin 10, 20mg 40, 80mg Simvastatin 5 mg 10, 20 mg 40 mg 80 mg
Wal-Mart $4 $10 30 90 30 90 --------------30 90 ------30 90 --30 90 30 90 ----60 180 --30 90 ----30 90 30 90 ----30 90 ---------------
K-Mart $5 $10 30 days 90 days 30 90 --------------30 90 ------30 90 --30 90 30 90 ----60 180 --------30 90 30 90 ----30 90 --------30 = $3 -30 = $3 ----
Rite Aid Walgreens $10 $20 $10 $16 90 days 30 days 90 days 30 days 30 90 30 90 30 90 --60 180 60 = $15 180 = $30 60 180 ----30 90 --120 = $15 360 = $30 --30 = $5 90 = $10 --60 = $15 180 = $30 60 180 60 180 60 180 60 180 ----30 90 --30 90 30 90 30 90 30 90 60 180 60 = $5 180 = $10 60 180 60 180 60 180 90 = $15 270 = $30 60 180 --60 180 60 = $15 180 = $30 --60 = $15 180 = $30 30 90 --30 90 60 180 30 90 60 = $15 180 = $30 30 90 30 90 30 90 30 90 --------30 90 30 = $5 90 = $10 30 90 30 = $5 90 = $10 30 90 30 90 30 90 30 = $15 90 = $30 30 90 30 90 30 90 30 90 30 90 30 = $15 90 = $30 30 90 30 = $15 90 = $30
Sam's Club $4 30 days 30 -30 ---30 = $10 60 = $10 30 60 30 = $10 -30 30 30 30 120 = $10 60 = $10 60 = $10 60 = $10 30 60 = $10 60 = $10 30 30 = $10 30 30 = $10 30 30 30 = $10 30 = $10 30 30 30 30
Costco $10 90 days --------90 ---90 -90 90 90 ---90 ------90 --------
Harris Teeter $4 $10 30 days 90 days ----------------30 90 30 90 --------------------30 90 ----30 90 30 90 ----30 90 30 90 --30 30 30 30
90 90 90 90
Publix Free 30 days ------------------------------------
Wal-Mart
Prescription Discount Plans
Diabetes Comb Biguanide Sulfonylurea
not all-inclusive; contains "common medications"
Metformin
Metformin XR Glipizide/Metformin Glyburide/Metformin Glimepiride
Glipizide Glipizide XL
Glyburide Glyburide, micronized
H2
PPI
Pioglitazone Lansoprazole ER Omeprazole Omeprazole ER Pantoprazole Rabeprazole Famotidine Ranitidine
GI - Misc
GI
Ranitidine soln Metoclopramide Lactulose soln Ondansetron Ondansetron ODT Ondansetron soln Prochlorperazine Promethazine
500mg 850mg 1000mg 500mg 750mg 2.5/500, 5/500mg 1.25/250, 2.5/500mg 5/500mg 1mg 2mg 4mg 5mg 10mg 2.5mg 5mg 10mg 1.25mg 2.5, 5mg 1.5mg 3, 6mg 15, 30, 45mg 15mg 30mg 10mg 20mg 40mg 20, 40mg 20mg 20mg 40mg 150mg 300mg 75mg/5mL 5mg 10mg 10g/15mL 4mg 8mg 4, 8mg 4mg/5mL 5mg 10mg 12.5mg 25mg 50mg
$4 30 60 60 60 60 ----30 30 30 30 60 ----30 -30 --------60 -60 30 --60 236mL -------12 --
$10 90 180 180 180 180 ----90 90 90 90 180 ----90 -90 --------180 -180 90 --180 708mL -------36 --
K-Mart $5 30 days 60 = $3 60 = $3 60 = $3 60 ----30 30 30 30 60 ----30 -30 --------60 -60 30 --60 237mL -------12 --
$10 90 days ---180 ----90 90 90 90 180 ----90 -90 --------180 -180 90 --180 711mL -------36 --
Rite Aid $10 30 days 60 60 60 60 60 ---30 30 30 30 60 30 30 30 -30 30 30 --------60 30 60 30 -60 60 473mL ------120 30 --
$16 90 days 180 180 180 180 180 ---90 90 90 90 180 90 90 90 -90 90 90 --------180 90 180 90 -180 180 1419mL ------360 90 --
Walgreens $10 30 days 90 = $5 90 = $5 90 = $5 60 = $5 60 = $15 -60 = $5 90 = $15 30 = $5 30 = $5 30 = $5 30 = $5 60 = $5 60 = $15 30 = $15 -30 = $5 30 30 = $5 30 = $5 ----30 = $15 ---60 30 = $15 60 30 -60 60 473mL ------30 12 = $5 --
$20 90 days 270 = $10 270 = $10 270 = $10 180 = $10 180 = $30 -180 = $10 270 = $30 90 = $10 90 = $10 90 = $10 90 = $10 180 = $10 180 = $30 90 = $30 -90 = $10 90 90 = $10 90 = $10 ----90 = $30 ---180 90 = $30 180 90 -180 180 1419mL ------90 36 = $10 --
Sam's Club
Costco
$4 30 days 60 60 60 60 30 30 = $10 30 30 30 = $10 30 30 30 60 30 = $10 --30 = $10 30 = $10 -30 30 = Free 30 30 = $10 30 30 30 = $10 30 30 = $10 30 30 60 30 = $10 473mL = $10 30 60 237mL 30 = $10 30 = $10 30 = $10 50mL = $10 30 30 30 30 30
$10 90 days 180 180 180 180 ----90 90 -90 180 ---90 90 -90 --------180 --90 --180 711mL -----90 -36 30
Harris Teeter
Publix
$4 30 days 60 (Free) 60 (Free) 60 (Free) 60 (Free) ----30 (Free) 30 (Free) 30 (Free) 30 (Free) 60 (Free) 30 (Free) 30 (Free) -30 (Free) 30 (Free) -30 (Free) --------60 30 60 30 -60 60 240mL 12 -----
$10 90 days 180 180 180 180 ----90 90 90 90 180 90 90 -90 90 -90 --------180 90 180 90 -180 180 720mL 36 -----
Free 90 days 360 270 225 ---------------------------------------
30 12 --
90 36 --
----
Prescription Discount Plans not all-inclusive; only contains most common medications
Citalopram
SSRI
Escitalopram Fluoxetine tab Fluoxetine cap Fluoxetine soln Paroxetine
Other
Psych- Other
Antipsychotic
Psych - Depression Antidepressant - Misc TCA
Sertraline Amitriptyline
Nortriptyline
Bupropion Bupropion ER - 12hr Mirtazapine
Trazodone
Venlafaxine Venlafaxine ER Olanzapine Quetiapine Risperidone Risperidone ODT Risperidone soln Buspirone
Zolpidem
10mg 20, 40mg 5, 10, 20mg 10mg 10, 20mg 40mg 20mg/5mL 10mg 20mg 30mg 40mg 25mg 50, 100mg 10mg 25mg 50mg 75, 100mg 150mg 10, 25mg 50mg 75mg 75, 100mg 100, 150mg 200mg 15mg 30mg 45mg 50mg 100mg 150mg 25, 37.5, 50mg 75, 100mg 37.5mg 75, 150mg 2.5, 5mg 7.5, 10, 15, 20mg 25, 50, 100mg 200, 300, 400mg 0.25, 0.5, 1mg 2, 3, 4mg 0.5mg 1mg/1mL 5mg 10mg 15mg 5mg 10mg
Wal-Mart $4 $10 30 90 --30 90 --30 90 30 90 30 90 --30 90 30 90 --------30 90 30 90 30 90 30 90 --30 90 ----------------30 90 30 90 30 90 ------------------------60 180 60 180 -------
K-Mart Rite Aid $5 $10 $10 $16 30 days 90 days 30 days 90 days --30 90 30 90 30 90 --------30 = $3 -30 90 30 = $3 -30 90 ----30 90 30 90 30 90 30 90 --30 90 --30 90 --30 90 --30 90 30 90 30 90 30 90 30 90 30 = $10 90 = $30 30 90 30 = $10 90 = $30 30 90 --30 90 30 90 30 90 --30 90 --30 90 ------------------------30 90 30 90 30 90 30 90 30 90 30 90 ------------------------------------------------60 180 60 180 60 180 = $15 60 180 --60 180 --30 = $20 90 = $60 --30 = $20 90 = $60
Walgreens $20 $10 90 days 30 days 30 90 30 90 --30 = $5 90 = $10 30 = $5 90 = $10 30 = $5 90 = $10 --30 90 30 90 30 = $15 90 = $30 --30 90 30 = $15 90 = $30 30 = $5 90 = $10 30 90 30 = $15 90 = $30 ----30 90 60 = $15 180 = $30 30 = $15 90 = $30 ------30 = $5 90 = $10 30 = $15 90 = $30 --30 90 30 = $5 90 = $10 30 90 60 = $15 180 = $30 60 = $15 180 = $30 --------------------60 180 60 180 60 = $15 180 = $30 -----
Sam's Club $4 30 days 30 30 30 = Free -30 30 = $10 120mL = $10 30 30 30 30 = $10 30 30 30 = $10 30 = $10 ---30 = $10 30 = $10 30 = $10 30 = $10 60 = $10 30 30 30 = $10 30 = $10 30 30 30 30 30 = $10 30 30 = $10 30 30 = $10 30 30 = $10 60 60 = $10 30 = $10 30mL = $10 30 30 30 ---
Costco $10 90 days 180 90 --90 90 -90 90 ---------90 90 -------90 90 -------------180 -----
Harris Teeter $4 $10 30 days 90 days 30 90 30 90 ----30 90 ----30 90 ------30 90 30 90 30 90 --------30 90 30 90 30 90 ------30 90 ----30 90 30 90 30 90 ------------------------30 90 30 90 -------
Publix Free 30 days ------------------------------------------------
Prescription Discount Plans not all-inclusive; only contains most common medications
Neruo - Psych
Dopamine
Carbidopa-levodopa
10/100,25mg/100mg 25mg/250mg Carbidopa-levodopa ER 25mg/100mg 50mg/200mg Pramipexole 0.125, 0.25mg 0.5mg 0.75mg 1mg 1.5mg Ropinirole 0.25mg 0.5, 1, 2, 3, 4, 5mg 2, 4mg Ropinirole ER Divalproex DR 125, 250mg 500mg Gabapentin 100mg 300, 400mg Lamotrigine chew 5mg 25mg Lamotrigine tab 25, 150mg 100, 200mg Levetiracetam 250mg 500, 750mg Levetiracetam ER 500mg Levetiracetam soln Oxcarbazepine Topiramate
Pain and Arthritis NSAID
Donepezil Sumatriptan Cyclobenzaprine Baclofen Diclofenac sodium
Ibuprofen
Indomethacin Meloxicam Naproxen
Naproxen EC
100mg/1mL 150, 300mg 25mg 50mg 100, 200mg 5,10mg 25, 50, 100mg 5, 10mg 10mg 20mg 25mg 50mg 75mg 100mg 400mg 600mg 800mg 25mg 50mg 7.5, 15mg 250mg 375mg 500mg 375, 500mg
Wal-Mart $4 $10 30 90 -----------------------------------------------
K-Mart $5 $10 30 days 90 days -----------------------------------------------
-------30 30 ---60 -90 60 30 60 -30 -60 60 --
-------30 ----60 -60 = $3 60 = $3 60 = $3 60 -30 = $3 -60 60 --
-------90 90 ---180 -270 180 90 180 -90 -180 180 --
-------90 ----180 ----180 ---180 180 --
Rite Aid Walgreens $20 $10 $16 $10 90 days 30 days 90 days 30 days ------------------30 = $15 90 = $30 --60 = $15 180 = $30 ------60 = $15 180 = $30 ------60 = $15 180 = $30 ------------------90 270 --90 = $15 270 = $30 --150 = $15 450 = $30 --180 = $15 540 = $30 ---------------------------30 90 90 -60 60 30 60 60 60 60 30 30 60 60 60 --
-------90 270 270 -180 180 90 180 180 180 180 90 90 180 180 180 --
-------30 90 = $15 --60 = $15 60 = $15 30 = $15 90 60 60 60 30 = $5 30 60 = $5 -60 = $5 60 = $15
-------90 270 = $30 --180 = $30 180 = $30 90 = $30 270 180 180 180 90 = $10 90 180 = $10 -180 = $10 180 = $30
Sam's Club $4 30 days 90 = $10 60 = $10 30 = $10 60 = $10 90 90 90 = $10 90 = $10 90 = $10 90 90 30 = $10 30 30 = $10 ---30 30 30 120 = $10 60 = $10 60 = $10
Costco $10 90 days ------------------------
120mL = $10 60 = $10 60 60 60 = $10 30 = Free 9 = $10 30 30 = $10 -30 -30 30 = $10 30 30 30 30 30 30 30 30 30 30 = $10
-------90 -------180 90 180 -90 180 180 ---
Harris Teeter $4 $10 30 days 90 days --------------------------------------30 90 --------60 ----30 30 -----90 60 30 --30 60 60 60 --
--180 ----90 90 -----270 180 90 --90 180 180 180 --
Publix Free 30 days ------------------------------------------------
Prescription Discount Plans not all-inclusive; only contains most common medications
Ampicillin cap
Infectious Disease
Penicillin
Amoxicillin susp
Amox-clav tab Amox-clav susp
Amoxicillin cap Amoxicillin tab Amoxicillin chew tab Penicillin VK soln
Macro FQ
Sulfa
Ceph
Penicillin VK tab Cephalexin cap Cephalexin susp Ceftriaxone Doxycycline tab SMZ/TMP tab SMZ/TMP susp Ciprofloxacin tab Levofloxacin Azithromycin tab Clarithromycin tab
250mg 500 mg 125mg/5mL 125mg/5mL 125mg/5mL 200mg/5mL 200mg/5mL 200mg/5mL 250mg/5mL 250mg/5mL 250mg/5mL 400mg/5mL 400mg/5mL 400mg/5mL 500mg 875mg 200mg/500mL 200mg/500mL 400mg/500mL 400mg/500mL 400mg/500mL 600mg/5mL 600mg/5mL 600mg/5mL 250, 500mg 875mg 125mg 250mg 125mg/5mL 125mg/5mL 250mg/5mL 250mg/5mL 250mg 500mg 250mg 500mg 125/5 , 250mg/5ml 250, 500, 1000mg 50, 100mg 400/80mg 800/160mg 200/40mg 800/160mg 250mg 500mg 250, 500, 750mg 250mg 500mg 250mg 500mg
Wal-Mart K-Mart $4 $10 $5 $10 30 90 30 days 90 days --------80mL 240mL --100mL 300mL --150mL 450mL 150mL=$3 -50mL 150mL --75mL 225mL --100mL 300mL 100mL=$3 -80mL 240mL --100mL 300mL --150mL 450mL 150mL=$3 -50mL 150mL 100mL 300mL 75mL 225mL --100mL 300mL ------------------------------------------30 90 30 90 ------------100mL 300mL --200mL 600mL ----100mL 300mL ----28 84 28 84 ----28 84 28 84 30 90 30 90 ------------28 84 28 84 20 60 20 60 --------14 42 14 42 20 60 20 60 ---------------------
Rite Aid $10 $16 30 days 90 days 56 168 56 168 ----150mL 450mL ----100mL 300mL --------------------------------30 90 20 60 ------200mL 600mL --200mL 600mL 28 84 28 84 28 84 30 90 ------28 84 28 84 ----14 42 20 60 -----------
Walgreens $20 $10 90 days 30 days 40 120 60 = $15 180 = $30 150 = $5 450 = $10 150 = $5 450 = $10 150 = $5 450 = $10 100 = $5 300 = $10 100 = $5 300 = $10 100 = $5 300 = $10 150 = $5 450 = $10 150 = $5 450 = $10 150 = $5 450 = $10 100 = $5 300 = $10 100 = $5 300 = $10 100 = $5 300 = $10 --------------------30 = $5 90 = $10 20 = $15 60 = $30 30 90 40 = $15 120 = $30 200 = $5 600 = $10 200 = $5 600 = $10 100 = $5 300 = $10 100 = $5 300 = $10 30 = $5 90 = $10 20 = $5 60 = $10 28 = $5 84 = $10 30 = $5 90 = $10 ----30 = $15 90 = $30 28 = $5 84 = $10 28 84 ----14 = $5 42 = $10 20 = $5 60 = $10 -----------
Sam's Club $4 30 days 30 30 = $10 80mL 100mL 150mL 50mL 75mL 100mL 80mL 100mL 150mL 50mL 75mL 100mL 30 = $10 20 = $10 75mL = $10 100mL = $10 50mL = $10 75mL = $10 100mL = $10 75mL = $10 125mL = $10 200mL = $10 30 20 ----100mL = $10 200mL = $10 30 30 28 30 --30 = $10 30 20 --14 20 10 6pk 3pk 30 = $10 20 = $10
Costco $10 90 days --240mL 300mL 450mL 150mL 225mL 300mL 240mL 300mL 450mL 150mL 225mL 300mL ----------90 -------84 -84 90 ----60 --42 60 ------
Harris Teeter $4 $10 30 days 90 days 56 (Free) 120 56 (Free) 120 150 (Free) -150 (Free) -150 (Free) 450 75(Free) -75 (Free) 225 75 (Free) -150 (Free) -150 (Free) -150 (Free) 450 200 (Free) -200 (Free) -200 (Free) 300 --------------------42 (Free) 90 28 (Free) 84 --42 (Free) 90 200 (Free) -200 (Free) 600 200 (Free) -200 (Free) 600 56 (Free) 120 56 (Free) 120 42 (Free) 120 42 (Free) 120 100 (Free) 300 1 vial 3 vials --28 (Free) 84 28 (Free) 60 120 360 --28 (Free) 60 28 (Free) 60 -----------
Publix Free 14 days Free Free Free Free Free Free Free Free Free Free Free Free Free Free ----------Free Free --Free Free Free Free Free Free -----Free Free Free Free Free Free ------
Wal-Mart
Prescription Discount Plans not all-inclusive; only contains most common medications
OCP Non-EES OCP
Allergies
Miscellaneous
Antimicrobial
Clindamycin cap
150mg 300mg Metronidazole tab 250mg 500mg Fluconazole tab 100, 200mg 150mg Terbinafine tab 250mg Acyclovir cap 200mg 400, 800mg Famciclovir 125, 250mg Valacyclovir 500mg 300mg Isoniazid tab Alendronate 5, 10mg 35, 70mg Ibandronate 150mg Alfuzosin 10mg Tamsulosin 0.4mg Finasteride 1mg 5mg Sildenafil 20mg Tolterodine 1, 2mg 50,000 IU Vitamin D2 Cetirizine 5, 10mg Desloratadine 5mg Fexofenadine 180mg Fluticasone nasal spray 16 gm Levocetirizine 5mg Loratadine 10mg Montelukast chew tab 4, 5mg 10mg Montelukast tab Mestranol (mg) and norethindrone (mg) Loestrin (mono) 10/20,1.5/30 Loestrin (mono) FE 1/20,1.5/30 Necon 1/50 (mono) 0.05-1 Norethindrone (mg) Deblitane 0.35 Jencycla 0.35 Jolivette 0.35 Ortho micronor 0.35 Sharobel 0.35
$4 30 -----1 30 30 ---30 -4 = $9 -------------30 ---
$10 90 -----3 90 90 ---90 -12=$24 -------------90 ---
K-Mart $5 30 days -----1 30 30 -----4 = $10 -------------30 -30
$10 90 days -----3 90 90 -----12 = $30 -------------90 -90
Rite Aid
Walgreens
$10 30 days --28 14 10 1 30 30 30 --30 -------------------
$16 90 days --84 42 30 3 90 90 90 --90 -------------------
$20 90 days 90 = $30 84 = $30 84 42 = $30 -3 90 180 ----90 = $30 12 = $30 -----------48 = $30 -90 = $10 -90 = $10
$10 30 days 30 = $15 28 = $15 28 14 = $15 -1 30 60 ----30 = $15 4 = $15 -----------16 = $15 -30 = $5 -30 = $5
Sam's Club
Costco
Harris Teeter
Publix
$4 30 days 30 30 = $10 30 = $10 30 = $10 -1 30 = $10 30 30 30 = $10 30 = $10 30 = $10 30 = $10 4 1 = $10 30 = $10 30 = $10 30 30 = Free 30 = $10 30 = $10 4 = Free -30 = $10 30 = $10 16 = $10 30 30 30 30 = $10
$10 90 days -----3 ---------------------90 ---
$4 $10 30 days 90 days ----------1 3 30 = $10 90 = $24 --------30 90 --4 = $9 12 = $24 ----------------30 90 --------30 90 --30 90
Free 30 days -------------------------------
----------
----
----
--28
----
----
21 = $10 28 = $10 --
-28 ----
------
28 ---28
------
--28 = $30 ---
---28 = $10 --
----
----
----
------
------
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Prescription Discount Plans
Oral Contraceptive EES combination OCP
not all-inclusive; only contains most common medications
Ethinyl estradiol (mg) and desogestrel (mg) EE / desogestrel OR Juleber Cyclessa (tri) OR Mircette (tri) Enskyce (mono) 0.03-0.15 Ortho-cept (mono) 0.03-0.15 Reclipsen (mono) 0.03-0.15 Velivet (tri) Ethinyl estradiol (mg) and drospirenone (mg) Yaz 0.02-3 Yasmin 0.03-3 Ethinyl estradiol (mg) & ethynodiol diacet. (mg) Demulen 1/35 (mono) 0.035-1 Kelnor 1/35 (mono) 0.035-1 Ethinyl estradiol (mg) and levonorgestrel (mg) Aviane 0.02-0.1 Falmina (low dose) 0.02-0.1 Lessina (low dose) 0.02-0.1 Lutera (low dose) 0.02-0.1 EE / levonorgestrel 0.03-0.15 Kurvelo (mono) 0.03-0.15 Introvale 0.03-0.15 Levora (mono) 0.03-0.15 Setlakin 0.03-0.15 Levonest (tri) Triphasil (tri) Ethinyl estradiol (mg) and norethindrone (mg) Aranelle (tri) Balziva (mono) Ovcon-35 (mono) 0.035-0.4 Dasetta 7/7/7 (tri) Dasetta 1/35 (mono) 0.035-1 Gildess 1.5/30 (mono) 0.03-1.5 Gildess FE 1/20 (mono) 0.02-1 Microgestin FE 1/20 0.02-1 EE / norethindrone 0.02-1 Gildess FE 1.5/30 (mono) 0.03-1.5 Larin FE 1.5/30 (mono) 0.03-1.5 Microgestin FE 1.5/30 0.03-1.5 Wera 0.5/35 (mono) 0.035-0.5 Necon 1/35 (mono) 0.035-1 Pirmella 1/35 (mono) 0.035-1 Ortho-novum (mono) 0.035-1 Ortho-novum 7/7/7 (tri) Pirmella 7/7/7 (tri) Tri-norinyl (tri) Ethinyl estradiol (mg) and norgestimate (mg) Mono-Linyah (mono) 0.035-0.25 Ortho-cyclen (mono) 0.035-0.25 Sprintec (mono) 0.035-0.25 Ortho tri-cyclen (tri) Tri-Linyah (tri) Tri-Sprintec (tri) Ethinyl estradiol (mg) and norgestrel (mg) Cryselle 0.03-0.3 Low-Ogestrel 0.03-0.3
Wal-Mart $9 28 days
K-Mart $12 $36 28 days 84 days
Rite Aid $20 $60 21, 28 91 days
Walgreens -28 days
Sam's Club $4 30 days
Costco $10 90 days
Harris Teeter $12 $36 28 days 84 days
Publix N/A N/A
--28 ----
-------
-------
28 ----28
-------
----28 = $25 --
-28 = $10 -28 = $10 ---
-------
-------
-------
-------
---
---
---
---
---
---
28 = $30 28 = $30
---
---
---
---
---
---
-28
---
---
28 = $10 --
------
---
---
---
-----28 ------
------------
------------
-28 28 -28 ----28 --
------91 -91 ---
---28 = $30 ---28 = $25 ----
28 = $10 ------28 = $10 --28 = $10
------------
------------
------------
------------
--------------28 --28 --
--------------------
--------------------
28 28 -28 28 21 28 -28 28 28 -28 -------
--------------------
-------28 = $19 ---28 = $19 -28 = $27 ------
--28 = $10 ------------28 = $10 28 = $10 -28 = $10
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--------------------
--------------------
--------------------
--28 --28
-------
-------
28 ---28 --
-------
-------
-28 = $10 -28 = $10 ---
-------
--28 --28
--84 --84
-------
28 --
---
-28 = $27
-28 = $10
---
---
---
---
---
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Compiled by Laura Yoder PharmD, Matt Hofmeier PharmD, Michael Hurtik PharmD, Sally Putt PharmD, Allison Upalawanna PharmD, Th uyvan Phan PharmD, Colleen Summe PharmD, Jessica Johnston PharmD , Colleen Brandsem PharmD, Lindsey Green PharmD Candidate, Jesse Mack PharmD Candidate, Nick Reid Pharm D Candidate, A manda Tambe PharmD Candidate, Logan Dawson PharmD Candidate, Jamie Basham PharmD Candidate, Tiffany Wong PharmD Candidate, Kim Mitchell PharmD Candidate, Lauren Gray PharmD Ca ndidate, Michael Rollins PharmD Candidate, Tommi Cooke, PharmD Candidate, Megan Supple PharmD, Simone Carden PharmD Candidate, Jenna Bartlett PharmD Candidate Edited by Peter Koval, PharmD, BCPS, CPP Current version of " Prescription Discount Plans" are posted at: http://www.gahec.org/Pharmupd Prices may change at any time. Discounted price may only be available after enrolling in a "savings plan". This resources is NOT comprehensive. All medications available through each savings plan were not included in this compariso n.
*As of June 2016 CVS and Target halted use of a "discount list". Costco requires no membership/joining fee. Sam's Club has an "Extra Value Drug List for PLUS Members". This Sam's Club list requires a $100 Sam's Club Membership.
