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A0162 cvs class dl 111213.indd

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ALLERGY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . QTY
DIABETES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . QTY
FLURBIPROFEN SODIUM 0.03 % DROPS . . . . . . . . 8 FEXOFENADINE HCL 30 MG TAB . . . . . . . . . . . . . . 90 GLIMEPIRIDE 1 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 LEVOBUNOLOL HCL 0.5 % DROPS. . . . . . . . . . . . 15 HYDROXYZINE HCL 10 MG/5 ML SYRUP . . . . . . 360 GLIMEPIRIDE 2 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 TIMOLOL MALEATE 0.25 % DROPS. . . . . . . . . . . . 15 HYDROXYZINE PAMOATE 25 MG CAP. . . . . . . . . 180 GLIMEPIRIDE 4 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 TIMOLOL MALEATE 0.5 % DROPS. . . . . . . . . . . . . 15 LORATADINE 10 MG TAB . . . . . . . . . . . . . . . . . . . . 90 GLIPIZIDE 5 MG TAB. . . . . . . . . . . . . . . . . . . . . . . . 90 HEART HEALTH & BLOOD PRESSURE . . . . . QTY
PROMETHAZINE HCL 12.5 MG TAB. . . . . . . . . . . . 36 GLIPIZIDE 10 MG TAB** . . . . . . . . . . . . . . . . . . . . 180 AMILORIDE/HCTZ 5MG-50MG TAB . . . . . . . . . . . . 90 PROMETHAZINE HCL 25 MG TAB** . . . . . . . . . . . . 36 GLYBURIDE 1.25 MG TAB . . . . . . . . . . . . . . . . . . . 90 AMIODARONE HCL 200 MG TAB . . . . . . . . . . . . . . 90 PROMETHAZINE HCL 6.25MG/5ML SYRUP** . . . 540 GLYBURIDE 2.5 MG TAB . . . . . . . . . . . . . . . . . . . . 90 ATENOLOL 25 MG TAB. . . . . . . . . . . . . . . . . . . . . . 90 GLYBURIDE 5 MG TAB . . . . . . . . . . . . . . . . . . . . . . 90 ANTIBIOTICS & ANTI-INFECTIVES . . . . . . . . . QTY
ATENOLOL 50 MG TAB. . . . . . . . . . . . . . . . . . . . . . 90 GLYBURIDE, MICRONIZED 1.5 MG TAB . . . . . . . . . 90 ACYCLOVIR 200 MG CAP . . . . . . . . . . . . . . . . . . . 90 ATENOLOL 100 MG TAB. . . . . . . . . . . . . . . . . . . . . 90 GLYBURIDE, MICRONIZED 3 MG TAB . . . . . . . . . . 90 CLINDAMYCIN PHOSPHATE 1% SOLN . . . . . . . . . 90 GLYBURIDE, MICRONIZED 6 MG TAB . . . . . . . . . . 90 ISONIAZID 300 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 50 MG-25MG TAB . . . . . . . . . . . . . . . . . . . . . . . 90 5 MG-500MG TAB . . . . . . . . . . . . . . . . . . . . . . 180 10K/ML-0.1 DROPS** . . . . . . . . . . . . . . . . . . . . . 30 100MG-25MG TAB . . . . . . . . . . . . . . . . . . . . . . . 90 METFORMIN HCL 500 MG TAB** . . . . . . . . . . . . . 180 BENAZEPRIL HCL 5 MG TAB . . . . . . . . . . . . . . . . . 90 ARTHRITIS & PAIN . . . . . . . . . . . . . . . . . . . . . . QTY
METFORMIN HCL 850 MG TAB . . . . . . . . . . . . . . 180 BENAZEPRIL HCL 10 MG TAB . . . . . . . . . . . . . . . . 90 BACLOFEN 10 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 METFORMIN HCL 1000 MG TAB** . . . . . . . . . . . . 180 BENAZEPRIL HCL 20 MG TAB . . . . . . . . . . . . . . . . 90 CHLORZOXAZONE 500 MG TAB . . . . . . . . . . . . . 180 METFORMIN HCL ER 500 MG TAB . . . . . . . . . . . 180 BENAZEPRIL HCL 40 MG TAB . . . . . . . . . . . . . . . . 90 CYCLOBENZAPRINE HCL 5 MG TAB . . . . . . . . . . . 90 FUNGAL INFECTIONS . . . . . . . . . . . . . . . . . . . QTY
BENAZEPRIL/HCTZ 10-12.5MG TAB . . . . . . . . . . . 90 CYCLOBENZAPRINE HCL 10 MG TAB . . . . . . . . . . 90 FLUCONAZOLE 100 MG TAB . . . . . . . . . . . . . . . . . 12 BENAZEPRIL/HCTZ 20-12.5 MG TAB . . . . . . . . . . . 90 IBUPROFEN 100 MG/5ML SUSP** . . . . . . . . . . . . 360 FLUCONAZOLE 200 MG TAB . . . . . . . . . . . . . . . . . 12 BENAZEPRIL/HCTZ 20-25MG TAB . . . . . . . . . . . . . 90 IBUPROFEN 400 MG TAB . . . . . . . . . . . . . . . . . . . 270 TERBINAFINE HCL 250 MG TAB** . . . . . . . . . . . . . 30 BISOPROLOL FUMARATE/HCTZ 2.5-6.25MG TAB. . 90 IBUPROFEN 600 MG TAB . . . . . . . . . . . . . . . . . . . 180 BISOPROLOL FUMARATE/HCTZ 5-6.25MG TAB . . 90 IBUPROFEN 800 MG TAB . . . . . . . . . . . . . . . . . . . . 90 GASTROINTESTINAL HEALTH . . . . . . . . . . . . QTY
BISOPROLOL FUMARATE/HCTZ 10-6.25MG TAB . . 90 INDOMETHACIN 25 MG CAP** . . . . . . . . . . . . . . . 180 CIMETIDINE 300 MG TAB . . . . . . . . . . . . . . . . . . . . 90 BUMETANIDE 0.5 MG TAB . . . . . . . . . . . . . . . . . . . 90 INDOMETHACIN 50 MG CAP . . . . . . . . . . . . . . . . . 90 CIMETIDINE 400 MG TAB . . . . . . . . . . . . . . . . . . . . 90 BUMETANIDE 1 MG TAB. . . . . . . . . . . . . . . . . . . . . 90 KETOPROFEN 50 MG CAP. . . . . . . . . . . . . . . . . . . 90 DICYCLOMINE HCL 10 MG CAP . . . . . . . . . . . . . 270 BUMETANIDE 2 MG TAB. . . . . . . . . . . . . . . . . . . . . 90 KETOPROFEN 75 MG CAP. . . . . . . . . . . . . . . . . . . 90 DICYCLOMINE HCL 20 MG TAB . . . . . . . . . . . . . . 180 CAPTOPRIL 12.5 MG TAB . . . . . . . . . . . . . . . . . . 180 MELOXICAM 7.5 MG TAB . . . . . . . . . . . . . . . . . . . . 90 FAMOTIDINE 20 MG TAB . . . . . . . . . . . . . . . . . . . 180 CAPTOPRIL 25 MG TAB . . . . . . . . . . . . . . . . . . . . 180 MELOXICAM 15 MG TAB . . . . . . . . . . . . . . . . . . . . 90 FAMOTIDINE 40 MG TAB . . . . . . . . . . . . . . . . . . . . 90 CAPTOPRIL 50 MG TAB . . . . . . . . . . . . . . . . . . . . 180 METHOCARBAMOL 500 MG TAB. . . . . . . . . . . . . 180 LACTULOSE 10 G/15 ML SOLN . . . . . . . . . . . . . . 720 CAPTOPRIL 100 MG TAB . . . . . . . . . . . . . . . . . . . 180 NAPROXEN 250 MG TAB . . . . . . . . . . . . . . . . . . . 180 MECLIZINE HCL 12.5 MG TAB . . . . . . . . . . . . . . . 180 CARVEDILOL 3.125 MG TAB . . . . . . . . . . . . . . . . 180 NAPROXEN 375 MG TAB** . . . . . . . . . . . . . . . . . . 180 METOCLOPRAMIDE HCL 5 MG TAB . . . . . . . . . . 180 CARVEDILOL 6.25 MG TAB . . . . . . . . . . . . . . . . . 180 NAPROXEN 500 MG TAB** . . . . . . . . . . . . . . . . . . 180 METOCLOPRAMIDE HCL 10 MG TAB . . . . . . . . . 180 CARVEDILOL 12.5 MG TAB . . . . . . . . . . . . . . . . . 180 NAPROXEN SODIUM 275 MG TAB . . . . . . . . . . . . . 90 METOCLOPRAMIDE HCL 5 MG/5 ML SOLN . . . . 180 CARVEDILOL 25 MG TAB**. . . . . . . . . . . . . . . . . . 180 NAPROXEN SODIUM 550 MG TAB . . . . . . . . . . . . . 90 CHLORTHALIDONE 25 MG TAB . . . . . . . . . . . . . . . 90 TIZANIDINE HCL 2 MG TAB . . . . . . . . . . . . . . . . . 180 16.2 MG TAB . . . . . . . . . . . . . . . . . . . . . . . . . . 180 CHLORTHALIDONE 50 MG TAB . . . . . . . . . . . . . . . 90 TIZANIDINE HCL 4 MG TAB . . . . . . . . . . . . . . . . . 180 PROCHLORPERAZINE MALEATE 5 MG TAB . . . . . 90 CLONIDINE HCL 0.1 MG TAB . . . . . . . . . . . . . . . . . 90 PROCHLORPERAZINE MALEATE 10 MG TAB . . . . 90 ASTHMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . QTY
CLONIDINE HCL 0.2 MG TAB . . . . . . . . . . . . . . . . . 90 RANITIDINE HCL 150 MG TAB . . . . . . . . . . . . . . . 180 ALBUTEROL SULFATE 2 MG/5 ML SYRUP . . . . . . . . 360 CLONIDINE HCL 0.3 MG TAB . . . . . . . . . . . . . . . . . 90 RANITIDINE HCL 300 MG TAB . . . . . . . . . . . . . . . . 90 ALBUTEROL SULFATE 5 MG/ML SOLN . . . . . . . . . . . . 60 DIGOXIN 125 MCG TAB . . . . . . . . . . . . . . . . . . . . . 90 IPRATROPIUM BROMIDE 0.2 MG/ML SOLN** . . . . . . 225 GLAUCOMA & EYE CARE . . . . . . . . . . . . . . . . QTY
DIGOXIN 250 MCG TAB . . . . . . . . . . . . . . . . . . . . . 90 THEOPHYLLINE ANHYDROUS 100 MG TAB . . . . . . . 180 ATROPINE SULFATE 1 % DROPS . . . . . . . . . . . . . . 15 DILTIAZEM HCL 120 MG CAP. . . . . . . . . . . . . . . . . 90 THEOPHYLLINE ANHYDROUS 200 MG TAB . . . . . . . 180 CYCLOPENTOLATE HCL 1 % DROPS . . . . . . . . . . 45 DILTIAZEM HCL 30 MG TAB . . . . . . . . . . . . . . . . . 180 It’s easy to enroll: in store or online at www.cvs.com/healthsavingspass
HEART HEALTH & BLOOD PRESSURE (cont.) . . QTY
PRAZOSIN HCL 1 MG CAP. . . . . . . . . . . . . . . . . . . 90 FLUOXETINE HCL 10 MG CAP . . . . . . . . . . . . . . . . 90 DILTIAZEM HCL 60 MG TAB . . . . . . . . . . . . . . . . . 180 PRAZOSIN HCL 2 MG CAP. . . . . . . . . . . . . . . . . . . 90 FLUOXETINE HCL 20 MG CAP . . . . . . . . . . . . . . . . 90 DILTIAZEM HCL 90 MG TAB**. . . . . . . . . . . . . . . . 180 PROPRANOLOL HCL 10 MG TAB . . . . . . . . . . . . 180 FLUOXETINE HCL 40 MG CAP . . . . . . . . . . . . . . . . 90 DILTIAZEM HCL 120 MG TAB . . . . . . . . . . . . . . . . . 90 PROPRANOLOL HCL 20 MG TAB . . . . . . . . . . . . 180 FLUOXETINE HCL 10 MG TAB** . . . . . . . . . . . . . . . 90 DOXAZOSIN MESYLATE 1 MG TAB . . . . . . . . . . . . 90 PROPRANOLOL HCL 40 MG TAB . . . . . . . . . . . . 180 FLUPHENAZINE HCL 1 MG TAB . . . . . . . . . . . . . . . 90 DOXAZOSIN MESYLATE 2 MG TAB . . . . . . . . . . . . 90 PROPRANOLOL HCL 80 MG TAB . . . . . . . . . . . . 180 FLUPHENAZINE HCL 5 MG TAB . . . . . . . . . . . . . . . 90 DOXAZOSIN MESYLATE 4 MG TAB . . . . . . . . . . . . 90 QUINAPRIL HCL 5 MG TAB . . . . . . . . . . . . . . . . . . 90 GABAPENTIN 100 MG CAP . . . . . . . . . . . . . . . . . 270 DOXAZOSIN MESYLATE 8 MG TAB . . . . . . . . . . . . 90 QUINAPRIL HCL 10 MG TAB . . . . . . . . . . . . . . . . . 90 HALOPERIDOL 0.5 MG TAB . . . . . . . . . . . . . . . . . . 90 ENALAPRIL MALEATE 5 MG TAB . . . . . . . . . . . . . . 90 QUINAPRIL HCL 20 MG TAB . . . . . . . . . . . . . . . . . 90 HALOPERIDOL 1 MG TAB . . . . . . . . . . . . . . . . . . . 90 ENALAPRIL MALEATE 2.5 MG TAB . . . . . . . . . . . . 90 QUINAPRIL HCL 40 MG TAB . . . . . . . . . . . . . . . . . 90 HALOPERIDOL 2 MG TAB . . . . . . . . . . . . . . . . . . . 90 ENALAPRIL MALEATE 10 MG TAB . . . . . . . . . . . . . 90 SOTALOL HCL 80 MG TAB** . . . . . . . . . . . . . . . . . 90 HALOPERIDOL 5 MG TAB . . . . . . . . . . . . . . . . . . . 90 ENALAPRIL MALEATE 20 MG TAB . . . . . . . . . . . . . 90 SPIRONOLACTONE 25 MG TAB** . . . . . . . . . . . . . 90 IMIPRAMINE HCL 10 MG TAB . . . . . . . . . . . . . . . 180 ENALAPRIL-HCTZ 5-12.5 MG TAB . . . . . . . . . . . . . 90 TERAZOSIN HCL 1 MG CAP. . . . . . . . . . . . . . . . . . 90 IMIPRAMINE HCL 25 MG TAB . . . . . . . . . . . . . . . 180 ENALAPRIL-HCTZ 10-25 MG TAB . . . . . . . . . . . . . 90 TERAZOSIN HCL 2 MG CAP. . . . . . . . . . . . . . . . . . 90 LITHIUM CARBONATE 300 MG CAP** . . . . . . . . . 270 FOSINOPRIL SODIUM 10 MG TAB . . . . . . . . . . . . . 90 TERAZOSIN HCL 5 MG CAP. . . . . . . . . . . . . . . . . . 90 MIRTAZAPINE 15 MG TAB . . . . . . . . . . . . . . . . . . . 90 FOSINOPRIL SODIUM 20 MG TAB . . . . . . . . . . . . . 90 TERAZOSIN HCL 10 MG CAP. . . . . . . . . . . . . . . . . 90 NORTRIPTYLINE HCL 10 MG CAP . . . . . . . . . . . . . 90 FOSINOPRIL SODIUM 40 MG TAB . . . . . . . . . . . . . 90 TORSEMIDE 10 MG TAB. . . . . . . . . . . . . . . . . . . . . 90 NORTRIPTYLINE HCL 25 MG CAP . . . . . . . . . . . . . 90 FUROSEMIDE 20 MG TAB . . . . . . . . . . . . . . . . . . . 90 TORSEMIDE 20 MG TAB. . . . . . . . . . . . . . . . . . . . . 90 NORTRIPTYLINE HCL 75 MG CAP . . . . . . . . . . . . . 90 FUROSEMIDE 40 MG TAB . . . . . . . . . . . . . . . . . . . 90 TRIAMTERENE/HCTZ 37.5-25 MG CAP . . . . . . . . . 90 PAROXETINE HCL 10 MG TAB** . . . . . . . . . . . . . . . 90 FUROSEMIDE 80 MG TAB . . . . . . . . . . . . . . . . . . . 90 TRIAMTERENE/HCTZ 75/50 TAB . . . . . . . . . . . . . . 90 PAROXETINE HCL 20 MG TAB** . . . . . . . . . . . . . . . 90 GUANFACINE HCL 1 MG TAB. . . . . . . . . . . . . . . . . 90 TRIAMTERENE-HCTZ 37.5-25 MG TAB . . . . . . . . . 90 PAROXETINE HCL 30 MG TAB . . . . . . . . . . . . . . . . 90 GUANFACINE HCL 2 MG TAB. . . . . . . . . . . . . . . . . 90 VERAPAMIL HCL 80 MG TAB . . . . . . . . . . . . . . . . . 90 PAROXETINE HCL 40 MG TAB . . . . . . . . . . . . . . . . 90 HYDRALAZINE HCL 10 MG TAB . . . . . . . . . . . . . . . 90 VERAPAMIL HCL 120 MG TAB . . . . . . . . . . . . . . . . 90 SERTRALINE HCL 25 MG TAB . . . . . . . . . . . . . . . . 90 HYDRALAZINE HCL 25 MG TAB . . . . . . . . . . . . . . . 90 VERAPAMIL HCL 180 MG TAB . . . . . . . . . . . . . . . . 90 THIORIDAZINE HCL 10 MG TAB . . . . . . . . . . . . . . . 90 HYDROCHLOROTHIAZIDE 12.5 MG CAP** . . . . . . 90 VERAPAMIL HCL 240 MG TAB . . . . . . . . . . . . . . . . 90 THIORIDAZINE HCL 25 MG TAB . . . . . . . . . . . . . . . 90 HYDROCHLOROTHIAZIDE 25 MG TAB . . . . . . . . . 90 WARFARIN SODIUM 1 MG TAB . . . . . . . . . . . . . . . 90 THIORIDAZINE HCL 50 MG TAB . . . . . . . . . . . . . . . 90 HYDROCHLOROTHIAZIDE 50 MG TAB . . . . . . . . . 90 WARFARIN SODIUM 2 MG TAB . . . . . . . . . . . . . . . 90 THIOTHIXENE 2 MG CAP . . . . . . . . . . . . . . . . . . . . 90 INDAPAMIDE 1.25 MG TAB. . . . . . . . . . . . . . . . . . . 90 WARFARIN SODIUM 2.5 MG TAB . . . . . . . . . . . . . . 90 TRAZODONE HCL 50 MG TAB . . . . . . . . . . . . . . . . 90 INDAPAMIDE 2.5 MG TAB. . . . . . . . . . . . . . . . . . . . 90 WARFARIN SODIUM 3 MG TAB . . . . . . . . . . . . . . . 90 TRAZODONE HCL 100 MG TAB . . . . . . . . . . . . . . . 90 ISOSORBIDE MONONITRATE 20 MG TAB . . . . . . . 90 WARFARIN SODIUM 4 MG TAB . . . . . . . . . . . . . . . 90 TRAZODONE HCL 150 MG TAB . . . . . . . . . . . . . . . 90 ISOSORBIDE MONONITRATE 30 MG TAB . . . . . . . 90 WARFARIN SODIUM 5 MG TAB** . . . . . . . . . . . . . . 90 TRIHEXYPHENIDYL HCL 2 MG TAB . . . . . . . . . . . 180 ISOSORBIDE MONONITRATE 60 MG TAB . . . . . . . 90 WARFARIN SODIUM 6 MG TAB . . . . . . . . . . . . . . . 90 ZONISAMIDE 25 MG CAP. . . . . . . . . . . . . . . . . . . 180 LISINOPRIL 2.5 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 WARFARIN SODIUM 7.5 MG TAB . . . . . . . . . . . . . . 90 OTHER MEDICAL CONDITIONS . . . . . . . . . . . QTY
LISINOPRIL 5 MG TAB . . . . . . . . . . . . . . . . . . . . . . 90 WARFARIN SODIUM 10 MG TAB . . . . . . . . . . . . . . 90 ALLOPURINOL 100 MG TAB. . . . . . . . . . . . . . . . . . 90 LISINOPRIL 10 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 MENTAL HEALTH . . . . . . . . . . . . . . . . . . . . . . . QTY
ALLOPURINOL 300 MG TAB. . . . . . . . . . . . . . . . . . 90 LISINOPRIL 20 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 AMITRIPTYLINE HCL 10 MG TAB . . . . . . . . . . . . . . 90 LISINOPRIL 30 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 AMITRIPTYLINE HCL 25 MG TAB . . . . . . . . . . . . . . 90 MOUTHWASH. . . . . . . . . . . . . . . . . . . . . . . . . 1440 LISINOPRIL 40 MG TAB . . . . . . . . . . . . . . . . . . . . . 90 AMITRIPTYLINE HCL 50 MG TAB . . . . . . . . . . . . . . 90 DEXAMETHASONE 0.5 MG TAB . . . . . . . . . . . . . . . 90 LISINOPRIL-HCTZ 10-12.5 MG TAB . . . . . . . . . . . . 90 AMITRIPTYLINE HCL 75 MG TAB . . . . . . . . . . . . . . 90 DEXAMETHASONE 0.75 MG TAB . . . . . . . . . . . . . . 36 LISINOPRIL-HCTZ 20-12.5 MG TAB**. . . . . . . . . . . 90 AMITRIPTYLINE HCL 100 MG TAB . . . . . . . . . . . . . 90 DEXAMETHASONE 4 MG TAB . . . . . . . . . . . . . . . . 18 LISINOPRIL-HCTZ 20-25 MG TAB** . . . . . . . . . . . . 90 AMITRIPTYLINE HCL 150 MG TAB . . . . . . . . . . . . . 90 LIDOCAINE HCL 20 MG/ML SOLN . . . . . . . . . . . . 300 LOVASTATIN 10 MG TAB . . . . . . . . . . . . . . . . . . . . 90 BENZTROPINE MESYLATE 0.5 MG TAB. . . . . . . . . 90 OXYBUTYNIN CHLORIDE 5 MG TAB . . . . . . . . . . 180 LOVASTATIN 20 MG TAB** . . . . . . . . . . . . . . . . . . . 90 BENZTROPINE MESYLATE 1 MG TAB . . . . . . . . . . 90 PREDNISONE 1 MG TAB . . . . . . . . . . . . . . . . . . . . 90 LOVASTATIN 40 MG TAB . . . . . . . . . . . . . . . . . . . . 90 BENZTROPINE MESYLATE 2 MG TAB . . . . . . . . . . 90 PREDNISONE 2.5 MG TAB . . . . . . . . . . . . . . . . . . . 90 METHYLDOPA 250 MG TAB**. . . . . . . . . . . . . . . . 180 BUSPIRONE HCL 5 MG TAB. . . . . . . . . . . . . . . . . 180 PREDNISONE 5 MG TAB . . . . . . . . . . . . . . . . . . . . 90 METHYLDOPA 500 MG TAB**. . . . . . . . . . . . . . . . . 90 BUSPIRONE HCL 10 MG TAB** . . . . . . . . . . . . . . 180 PREDNISONE 5 MG TAB** . . . . . . . . . . . . . . . . . . . 63 METOLAZONE 2.5 MG TAB . . . . . . . . . . . . . . . . . . 90 BUSPIRONE HCL 15 MG TAB. . . . . . . . . . . . . . . . 180 PREDNISONE 10 MG TAB . . . . . . . . . . . . . . . . . . . 90 METOLAZONE 5 MG TAB . . . . . . . . . . . . . . . . . . . . 90 CARBAMAZEPINE 200 MG TAB** . . . . . . . . . . . . . 180 PREDNISONE 10 MG TAB** . . . . . . . . . . . . . . . . . . 63 METOPROLOL TARTRATE 25 MG TAB. . . . . . . . . 180 CITALOPRAM HBR 10 MG TAB . . . . . . . . . . . . . . . 90 METOPROLOL TARTRATE 50 MG TAB. . . . . . . . . 180 SKIN CONDITIONS . . . . . . . . . . . . . . . . . . . . . . QTY
CITALOPRAM HBR 20 MG TAB . . . . . . . . . . . . . . . 90 METOPROLOL TARTRATE 100 MG TAB** . . . . . . 180 FLUOCINOLONE ACETONIDE 0.025 % CRM . . . . . 45 CITALOPRAM HBR 40 MG TAB . . . . . . . . . . . . . . . 90 NADOLOL 20 MG TAB . . . . . . . . . . . . . . . . . . . . . . 90 HYDROCORTISONE 1% CRM . . . . . . . . . . . . . . . . 90 DOXEPIN HCL 10 MG CAP . . . . . . . . . . . . . . . . . . . 90 NADOLOL 40 MG TAB . . . . . . . . . . . . . . . . . . . . . . 90 HYDROCORTISONE 2.5% CRM . . . . . . . . . . . . . . . 90 DOXEPIN HCL 25 MG CAP . . . . . . . . . . . . . . . . . . . 90 PRAVASTATIN SODIUM 10 MG TAB . . . . . . . . . . . . 90 HYDROCORTISONE 2.5% OINT . . . . . . . . . . . . . . . 90 DOXEPIN HCL 50 MG CAP . . . . . . . . . . . . . . . . . . . 90 PRAVASTATIN SODIUM 20 MG TAB . . . . . . . . . . . . 90 TRIAMCINOLONE ACETONIDE 0.5% CRM. . . . . . . 45 DOXEPIN HCL 75 MG CAP . . . . . . . . . . . . . . . . . . . 90 PRAVASTATIN SODIUM 40 MG TAB** . . . . . . . . . . . 90 TRIAMCINOLONE ACETONIDE 0.1% OINT. . . . . . 240 DOXEPIN HCL 100 MG CAP . . . . . . . . . . . . . . . . . . 90 TRIAMCINOLONE ACETONIDE 0.5% OINT. . . . . . . 45 It’s easy to enroll: in store or online at www.cvs.com/healthsavingspass
THYROID CONDITIONS . . . . . . . . . . . . . . . . . . QTY
$10.99 for 30 days
LEVOTHYROXINE 25 MCG TAB . . . . . . . . . . . . . . . 90 1100-334/5 SOLN. . . . . . . . . . . . . . . . . . . . . . . 480 ANTIBIOTICS & ANTI-INFECTIVES ($10.99) . . QTY
LEVOTHYROXINE 50 MCG TAB . . . . . . . . . . . . . . . 90 PRENATABS RX TAB. . . . . . . . . . . . . . . . . . . . . . . . 90 AMOXICILLIN 250 MG CAP. . . . . . . . . . . . . . . . . . . 30 LEVOTHYROXINE 75 MCG TAB . . . . . . . . . . . . . . . 90 PRENATAL 1/1 TAB. . . . . . . . . . . . . . . . . . . . . . . . . 90 AMOXICILLIN 500 MG CAP. . . . . . . . . . . . . . . . . . . 30 LEVOTHYROXINE 88 MCG TAB . . . . . . . . . . . . . . . 90 PRENATAL CARE TAB . . . . . . . . . . . . . . . . . . . . . . 90 AMOXICILLIN 125 MG/5ML SUSP . . . . . . . . . . . . 150 LEVOTHYROXINE 100 MCG TAB . . . . . . . . . . . . . . 90 PRENATAL PLUS TAB . . . . . . . . . . . . . . . . . . . . . . . 90 AMOXICILLIN 200 MG/5ML SUSP . . . . . . . . . . . . 100 LEVOTHYROXINE 112 MCG TAB . . . . . . . . . . . . . . 90 PRENATAL RX 1 TAB . . . . . . . . . . . . . . . . . . . . . . . 90 AMOXICILLIN 250 MG/5ML SUSP . . . . . . . . . . . . 150 LEVOTHYROXINE 125 MCG TAB . . . . . . . . . . . . . . 90 PRENATAL RX TAB**. . . . . . . . . . . . . . . . . . . . . . . . 90 AMOXICILLIN 400 MG/5ML SUSP . . . . . . . . . . . . 100 LEVOTHYROXINE 137 MCG TAB . . . . . . . . . . . . . . 90 SODIUM FLUORIDE 0.2 % SOLN . . . . . . . . . . . . . 480 CEPHALEXIN 250 MG CAP. . . . . . . . . . . . . . . . . . . 28 LEVOTHYROXINE 150 MCG TAB . . . . . . . . . . . . . . 90 SODIUM FLUORIDE 0.5 (1.1)MG TAB . . . . . . . . . . . 90 CEPHALEXIN 500 MG CAP. . . . . . . . . . . . . . . . . . . 30 LEVOTHYROXINE 175 MCG TAB** . . . . . . . . . . . . . 90 SODIUM FLUORIDE 1MG (2.2MG) TAB. . . . . . . . . . 90 CIPROFLOXACIN HCL 250 MG TAB . . . . . . . . . . . . 14 LEVOTHYROXINE 200 MCG TAB** . . . . . . . . . . . . . 90 ULTRA NATALCARE TAB. . . . . . . . . . . . . . . . . . . . . 90 CIPROFLOXACIN HCL 500 MG TAB . . . . . . . . . . . . 20 VITAMINS & NUTRITIONAL HEALTH . . . . . . . QTY
WOMEN’S HEALTH. . . . . . . . . . . . . . . . . . . . . . QTY
METRONIDAZOLE 250 MG TAB . . . . . . . . . . . . . . . 28 ESTRADIOL 0.5 MG TAB. . . . . . . . . . . . . . . . . . . . . 90 METRONIDAZOLE 500 MG TAB . . . . . . . . . . . . . . . 14 334-500MG SOLN . . . . . . . . . . . . . . . . . . . . . . 480 ESTRADIOL 1 MG TAB . . . . . . . . . . . . . . . . . . . . . . 90 PENICILLIN V POTASSIUM 125 MG/5ML SOLN . . 200 ESTRADIOL 2 MG TAB . . . . . . . . . . . . . . . . . . . . . . 90 PENICILLIN V POTASSIUM 250 MG TAB . . . . . . . . 28 DROPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150 ESTROPIPATE 0.75 MG TAB. . . . . . . . . . . . . . . . . . 90 PENICILLIN V POTASSIUM 250 MG/5ML SOLN . . 100 FOLIC ACID 1 MG TAB . . . . . . . . . . . . . . . . . . . . . . 90 ESTROPIPATE 1.5 MG TAB** . . . . . . . . . . . . . . . . . 90 SMZ/TMP 200-40MG/5 SUSP . . . . . . . . . . . . . . . 120 MAGNESIUM CHLORIDE 64 MG TAB** . . . . . . . . 180 MEDROXYPROGESTERONE 10 MG TAB . . . . . . . . 30 SMZ/TMP 400MG-80MG TAB. . . . . . . . . . . . . . . . . 28 MAGNESIUM OXIDE 400 MG TAB . . . . . . . . . . . . . 90 MEDROXYPROGESTERONE 2.5 MG TAB . . . . . . . 90 SMZ/TMP 800-160 MG TAB . . . . . . . . . . . . . . . . . . 20 MULTIVITAMINS WITH MIN NO.7/FA 1 MG CAP . . . 90 MEDROXYPROGESTERONE 5 MG TAB . . . . . . . . . 90 MEGESTROL ACETATE 20 MG TAB** . . . . . . . . . . . 90 800-160/20 SUSP. . . . . . . . . . . . . . . . . . . . . . . 120 0.25 MG/ML DROPS. . . . . . . . . . . . . . . . . . . . . 150 TETRACYCLINE HCL 250 MG CAP . . . . . . . . . . . . 60 WOMEN’S HEALTH ($25.99). . . . . . . . . . . . . . . QTY
PHOSPHORUS #1 250 MG TAB . . . . . . . . . . . . . . . 90 TETRACYCLINE HCL 500 MG CAP . . . . . . . . . . . . 60 ALENDRONATE SODIUM 35 MG TAB. . . . . . . . . . . . 12 POTASSIUM CHLORIDE 10 MEQ TAB . . . . . . . . . . 90 ALENDRONATE SODIUM 70 MG TAB. . . . . . . . . . . 12 $29.99 for 30 days
POTASSIUM CHLORIDE 20MEQ/15ML LIQUID . 1440 TAMOXIFEN CITRATE 10 MG TAB . . . . . . . . . . . . 180 POTASSIUM CHLORIDE 40MEQ/15ML LIQUID . . 960 DIABETES ($29.99) . . . . . . . . . . . . . . . . . . . . . . QTY
TAMOXIFEN CITRATE 20 MG TAB . . . . . . . . . . . . . 90 BLOOD SUGAR DIAGNOSTIC STRIP. . . . . . . . . . . 50 *The day supply is based upon the average dispensing patterns for the specifi c drug and strength. ** These drugs may be priced higher in HI, MN, MT, PA, TN, and WI.
Disclosures: Except in the states of Washington and California, these are custom-branded programs, provided and administered by Medical Security Card Company,
LLC (MSC), 4911 E. Broadway Boulevard, Tucson, AZ 85711, 1-800-700-3957, www.scriptsave.com. These programs are not available in all states and the terms
of each program may vary from state to state. Each program is governed by the applicable terms of the membership agreement provided upon activation and made
available at www.cvs.com/healthsavingspass. MSC is not responsible for providing or guaranteeing pharmacy services or for the quality of such rendered services.
Participating CVS pharmacies are subject to change without notice and are not available in all areas. The program contracts are not protected by any state guaranty fund.1
These membership programs are NOT health insurance policies and are NOT intended as a substitute for insurance. The programs only provide for member discounts
on certain pharmacy products and medical services at CVS/pharmacy and MinuteClinic® locations–a complete list of locations can be found at www.cvs.com. The
programs do not make and are prohibited from making payments to CVS/pharmacy for products or services received by you under the programs. You are required and
obligated to pay for all prescription drugs and medical services you receive under the programs, but will receive a member discount on certain identifi ed prescription drugs
and medical services from CVS/pharmacy and MinuteClinic. The CVS/pharmacy Health Savings Pass does not provide you with any member discounts or benefi ts at
any other pharmacy. This program is marketed by CVS/pharmacy. You can call 1-888-616-CARE (2273) for more information or visit www.cvs.com/healthsavingspass.
Prescriptions paid for in whole or in part by federal or state health care programs, such as Medicare and Medicaid, are ineligible. Membership discount prices cannot be
combined with any insurance. For MA residents: Health Savings Pass does not meet the minimum creditable coverage requirements under M.G.L.c.111M and 956 CMR
5.00. TN.
A $15 per person enrollment fee is required annually. If you wish to cancel your membership, you must do so in writing or call 1-888-616-CARE (2273). MinuteClinic® discount up to $10 per person, per visit. Cannot be used in conjunction with any health insurance. Payment is due at time of visit. MinuteClinic® discount not available in Florida. Void where prohibited by law. Prices may vary in certain states. $11.99 pricing based on commonly prescribed doses. List is subject to change without notice. For complete terms and conditions and other details, see program brochure available at the pharmacy or go to www.cvs.com/HealthSavingsPass.
1Notwithstanding the above, the programs, as described above and available in the states of Washington and California, are custom-branded and operated directly by CVS/pharmacy. The applicable terms relating to any such CVS/pharmacy custom-branded and operated programs shall also be available at www.cvs.com/healthsavingspass. MSC may participate or assist in the administration of such programs.
It’s easy to enroll: in store or online at www.cvs.com/healthsavingspass

Source: http://www.cvs.com/bizcontent/marketing/rx/healthsavingspass/HSP_Medication_List_Update_November_2013.pdf

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