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CORRESPONDENCE - GENERAL CORRESPONDENCE - WALMART SCRIPTS
WAL-MART / SAWS CLUB S4 PROGRAM {„ Applies to up to a 30 day supply at comm"wrily prescribed dosages.)WA' Therapeutic Category Drug Name OTY ITherapeutic Category Drug Name CITY ALLERGY LORATADINE 10MG TABLET 30 ANTIBIOTIC AMOXICILLIN 250MG15ML SUS 100ML 100 ALLERGY LORATADINE 5MG/5ML SYRUP' 120 ANTIBIOTIC AMOXICILLIN 250MG/5ML SUS 150ML 150 ANALGESICS ANTIPYBENZO OTIC SOLUTION 10 ANTIBIOTIC AMOXICILLIN 250MG/5ML SUS 80ML 80 ANALGESICS BACLOFEN 10MG ,TABLET 30 ANTIBIOTIC AMOXICILLIN 400MGISML SUS 100ML' 100 ANALGESICS CYCLOBENZAPRINE 10MG TABLET 30 ANTIBIOTIC AMOXICILLIN 400MGISML SUS 50ML 50 ANALGESICS CYCLOBENZAPRINE 5MG TABLET 30 ANTIBIOTIC AMOXICILLIN 400MGISML SUS 75ML' -75 ANALGESICS LIDOCAINE 2% VISCOUS SOLUTION 100 ANTIBIOTIC AMOXICILLIN 500MG CAPSULE - 30 ANALGESICS TRAMADOL HCL 50MG TABLET 60 ANTIBIOTIC AMOXIL 50MGIML DROPS' 30 ANTI ANXIETY BUSPIRONE 10MG TABLET' 60 ANTIBIOTIC BACITRACIN OPHTHALMIC OINTMENT 4 ANTI ANXIETY BUSPIRONE 5MG TABLET 60 ANTIBIOTIC CEPHALEXIN-250MG CAPSULE 28 ANTI INFLAMMATORY BETAMETHASONE DIP 0.05% CREAM 15GM 15 ANTIBIOTIC CEPHALEXIN 500MG CAPSULE 30 ANTI INFLAMMATORY BETAMETHASONE DIP 0.05% CREAM 45GM 45 ANTIBIOTIC CIPROFLOXACN 250MG TABLET 14 ANTI INFLAMMATORY BETAMETHASONE VAL 0.1% CREAM 15GM 15 ANTIBIOTIC CIPROFLOXACN 500MG TABLET 20 ANTI INFLAMMATORY BETAMETHASONE VAL D.1% CREAM 45GM 45 ANTIBIOTIC DOXYCYCLINE NYC 1O0MG CAPSULE 20 ANTI INFLAMMATORY BETAMETHASONE VAL 0.1% OINTMENT 15GM 15 ANTIBIOTIC DOXYCYCLINE HYC 100MG TABLET 20 ANTI INFLAMMATORY BETAMETHASONE VAL 0.1% OINTMENT 45GM 45 ANTIBIOTIC DOXYCYCLINE HYC 50MG CAPSULE 30 ANTI INFLAMMATORY DEXAMETHASONE .5MG TABLET 30 ANTIBIOTIC ERYTHROCIN 250MG TABLET' 40 ANTI INFLAMMATORY DEXAMETHASONE 0.76MG TABLET 12 ANTIBIOTIC ERYTHROMYCIN 2%TOPICAL SOLUTION - 60 ANTI INFLAMMATORY DEXAMETHASONE 4MG TABLET' 6 ANTIBIOTIC ERYTHROMYCIN 250MG EC CAPSULE' 28 ANTI INFLAMMATORY DICLOFENAC 75MG OR TAB 60 ANTIBIOTIC ERYTHROMYCIN OPHTHALMIC OINTMENT 4 ANTI INFLAMMATORY FLUOCINONIDE 0.05% CREAM 15GM 15 ANTIWOTIC GENTAMICIN 0.1% CREAM 15GM 75 ANTI INFLAMMATORY FLUOCINONIDE 0.05% CREAM 3OGM 30 ANTIBIOTIC GENTAMICIN 0.1% OINTMENT 15G 15 ANTI INFLAMMATORY FLUOCINONIDE ACET 0.01% SOLUTION 60 ANTIBIOTIC GENTAMICIN 0.3% OPHTHALMIC SOLUTION 5 ANTI INFLAMMATORY HYDROCORTISONE 1% CREAM 30GM 30 ANTIBIOTIC ISONIAZID 300MG TABLET 30 ANTI INFLAMMATORY HYDROCORTISONE 2.5% CREAM 30GM 30 ANTIBIOTIC METRONIDAZOLE 250MG TABLET 28 ANTI INFLAMMATORY HYDROCORTISONE AC 25MG SUPPOSITORY 12 ANTIBIOTIC METRONIDAZOLE600MG TABLET 14 ANTI INFLAMMATORY IBUPROFEN 100/5ML SUSPENSION" 120 ANTIBIOTIC NEOIPOLY/DEX 0.1% OPHTHALMIC OINTMENT 4 ANTI INFLAMMATORY IBUPROFEN 400MG TABLET 90 ANTIBIOTIC NEQIPOLYIDEX 0.1%OPHTHALMIC SUSPENSION 5 ANTI INFLAMMATORY IBUPROFEN 600MG TABLET 60 ANTIBIOTIC PENICILLIN VK 125/5ML SOLUTION 200ML 200 ANTI INFLAMMATORY IBUPROFEN 800MG TABLET 30 IBIOTI PENICILLIN VK 250/5ML SOLUTION 10OML 100 ANTI INFLAMMATORY INDOMETHACIN 25MG CAPSULE" 60 ANTIBIOTIC PENICILLIN VK 250MG TABLET 28 ANTI INFLAMMATORY MELOXICAM 15MG TABLET 30 ANTIBIOTIC' POLYMIXIN SULFIrMP SOLUTION" - 10 ANTI INFLAMMATORY MELOXICAM 7.5 MG TABLET 30 ANTIBIOTIC SELENIUM SUL 2.5% LOTION' 120 ANTI INFLAMMATORY METHYLPREDNISOLONE 4MG TABLET 21 ANTIBIOTIC SMZITMP 200MG/40MG/5ML SUSPENSION 120 ANTI INFLAMMATORY METHYLPREDNISOLONE 4MG DOSEPACK 21 ANTIBIOTIC SMZ/TMP 40OMGIBOMG TABLET 28 ANTI INFLAMMATORY NAPROXEN 375MG TABLET' 60 ANTIBIOTIC SMZ/TMP DS 800/160 TABLET .20 ANTI INFLAMMATORY NAPROXEN 5O0MG TABLET" 60 ANTIBIOTIC SUL04CETAMIDE SOD 10%OPTHALMIC SOLN 15 ANTI INFLAMMATORY PIROXICAM 20MG CAPSULE 30 ANTIBIOTIC TETRACYCLINE 250MG CAPSULE 60 ANTI INFLAMMATORY PREDNISONE 10MG OOSEPACK 48CT' 48 ANTIBIOTIC TETRACYCLINE 500MG CAPSULE. .60 ANTI INFLAMMATORY PREDNISONE 10MG TABLET 30 ANTIBIOTIC TOBRAMYCIN 0.3% OPHTHALMIC SOLUTION 5 ANTI INFLAMMATORY PREDNISONE 10MG DOSEPACK 21CT 21 ANTIDEPRESSANT AMITRIPTYLINE 100MG TABLET 30 ANTI INFLAMMATORY PREDNISONE 2.5MG TABLET 30 ANTIDEPRESSANT AMITRIPTYLINE 10MG TABLET 30 ANTI INFLAMMATORY PREDNISONE 20MG TABLET 30 ANTIDEPRESSANT AMITRIPTYLINE 25MG TABLET 30 ANTI INFLAMMATORY PREDNISONE 5MG TABLET 30 ANTIDEPRESSANT AMITRIPTYLINE 50MG TABLET 30 ANTI INFLAMMATORY PREDNISONE 5MG DOSEPACK 48CT' 48 ANTIDEPRESSANT AMITRIPTYLINE 75MG TABLET 30 ANTI INFLAMMATORY PREDNISONE 5MG 6 DAY DOSEPACK 21 ANTIDEPRESSANT CITALOPRAM 20MG TABLET 30 ANTI INFLAMMATORY SALSALATE 500MG TABLET 60 ANTIDEPRESSANT ICITALOPRAM 40MG TABLET - 30 ANTI INFLAMMATORY TRIAMCINOLONE 0.025%CREAM 15GM. 15 ANTIDEPRESSANTS DOXEPIN HCL 100MG CAPSULE 30 ANTI INFLAMMATORY TRIAMCINOLONE 0.025% CREAM 8OGM 80. ANTIDEPRESSANT DOXEPIN HCL 10MG CAPSULE 30 ANTI INFLAMMATORY TRIAMCINOLONE 0.1% CREAM 15GM 15 ANTIDEPRESSANT DOXEPIN HCL 25MG CAPSULE 30 ANTI INFLAMMATORY TRIAMCINOLONE 0.1% CREAM 8OGM 80 ANTIDEPRESSANT DOXEPIN HCL 50MG CAPSULE 30 ANTI INFLAMMATORY TRIAMCINOLONE 0.1% OINTMENT 15GM 15 ANTIDEPRESSANT DOXEPIN HCL 75MG CAPSULE 30. ANTI INFLAMMATORY TRIAMCINOLONE O.1% OINTMENT 8OGM 80 ANTIDEPRESSANT FLUOXETINE 10MG CAPSULE 30 ANTI INFLAMMATORY TRIAMCINOLONE 0.5% CREAM150M 15 ANTIDEPRESSANT FLUOXETINE 10MG TABLET* 30 ANTIBIOTIC - AMOXICILLIN 125MG/6ML SUS 10DML 100 ANTIDEPRESSANT FLUOXETINE 20MG CAPSULE 30 AITIBIOTIC AMOXICILLIN 125MG15ML SUS 150ML 150 ANTIDEPRESSANT FLUOXETINE 40MG CAPSULE 30 ANTIBIOTIC AMOXICILLIN 125MGISML SUS 80ML 80 ANTIDEPRESSANT NORTRIPTYLINE 10MG CAPSULE 30 ANTIBIOTIC AMOXICILLIN 200MG/SML SUS 100100 100 ANTIDEPRESSANT NORTRIPTYLINE 25MG CAPSULE 30 ANTIBIOTIC - AMOXICILLIN 200MG15ML SUS 60ML - 50 ANTIDEPRESSANT PAROXETINE 10MG TABLET' 30 ANTIBIOTIC AMOXICALLIN 200MG/SML SUS 75ML' 75 ANTIDEPRESSANT PAROXETINE 2OMG TABLET" 30 ANTIBIOTIC AMOXICILLIN 250MG CAPSULE - 30 ANTIDEPRESSANT ITRAZODONE 100MG TABLET 1 30 ' Generics under Us program are subject to change an ::$y:N MWIM Applies to up to a 30 day supoly at conwnwaniv Drmscribed dots Therapeutic Category Drug Name OTY[CARDIAC erapeutic Category Drug Name QTY ANTIDEPRESSANT TRAZODONE 150MG TABLET 30RDIAC DOXAZOSIN 4MG` TABLET 30 ANTIDEPRESSANT TRAZODONE50MG " TABLET 30RDIAC DOXAZOSIN 8MG TABLET 30 ANTIFUNGAL FLUCONAZOLE 160MG TABLET 1 ENALAPRIL 10MG - TABLET 30 ANTIFUNGAL NYSTATIN 100000U CREAM 15GM 15RDIAC ENALAPRIL 2.5MG TABLET 30ANTIFUNGAL NYSTATIN 1000DOU CREAM 3OGM 30RDIAC ENALAPRIL 20MG TABLET 30 ANTIFUNGAL NYSTATIN OINTMENT 15G 15DIAC NALAPRIL 5MG TABLET 30 ANTIFUNGAL NYSTATIN OINTMENT 3OG 30 CARDIAC IENALAMUHc7rz 5M0/12.5MGTABLET 30 ANTIFUNGAL NYSTATIN(r WM OINTMENT 150M 1 CARD AC FUROSEMIDE 20MG TABLET 30 ANTIFUNGAL NYSTATINITRIAM CREAM 150M 15 CARDIAC FUROSEMIDE 40MG TABLET 30 ANTIFUNGAL NYSTATIN/TRIAM CREAM 300M 30 CARDIAC - FUROSEMIDE 80MG TABLET 30 ANTIPSYCHOTIC FLUPHFNAZINE IMG TABLET 30 CARDIACGUANFACINE 1MG TABLET 30 ANTIPSYCHOTIC HALOPERIDOL 0.5MG TABLET 30 CARDIAC HCTZ 12.5MG CAPSULE' 30 ANTIPSYCHOTIC HALOPERIDOL 1MG TABLET 30 CARDIAC HCTZ 25MG TABLET 30 ANTIPSYCHOTIC HALOPERIDOL 2MG TABLET . 30 CARDIAC HCTZ 50MG TABLET 30. ANTIPSY HOTIC HALOPERIDOL 5MG TABLET 30 CAROM HYDRALAZINE IOMG TABLET 30 ANTIPSYCHOTIC LITHIUM CARS 300MG CAPSULE' 90 CARDIAC HYDRALAZINE 25MG TABLET 30 ANTIPSYCHOTIC PROCHLORPERAZINE 10MG TABLET. 30 CARDIAC INDAPAMIDE 1.25MG TABLET 30 ANTIPSYCHOTIC THIORIDAZINE 25MG TABLET 30 CARDIAC INDAPAMIDE 2.5MG TABLET 30 ANTIPSYCHOTIC THIORIDAZINE 50MG TABLET 30 CARDIAC ISOSORSIDE MONO 30MG ER TABLET 30 ANTIPSYCHOTIC THIOTHIXENE 2MG CAPSULE 30 CAMIAC ISOSORBIDE MONO 60MG ER TABLET 30 ANTIVIRAL ACYCLOVIR 200MG CAPSULE 30 CARDIAC LISINOPRIL tOMG TABLET 30 ANXIETY HYDROXYZINE HCLI0MG/5ML SYRUP 120 CARDIAC LISINOPRIL 2.5MG TABLET 30 ARTHRITIS ALLOPURINOL 100MG TABLET 30 CARDIAC LISINOPRIL 20MG TABLET 30 ARTHRITIS ALLOPURINOL 300MG TABLET 30 CARDIAC LISINOPRIL 5MG TABLET 30 ARTHRITIS COLCHICINE 0.6MG TABLET - 30 CARDIAC USINOPRIL-HCTZ 10.12.5MG TABLET 30 ASTHMA ALBUTEROL 0.5% NEBULIZER SOLN 20 CARDIAC USINOPRIL-HCTZ 20.12.5 TABLET' 30 ASTHMA ALBUTEROL 2MG TABLET 90 CARDIAC USI RIL-HCTZ 20.25MG TABLET" 30 ASTHMA aBUTEROL 2MG/5ML SYRUP 120 CARDIAC METHYLDOPA 250MG TABLET` 60 ASTHMA ALBUTEROL4MG TABLET 60 CARDIAC METHYLDOPA600MG TABLET' 30 CARDIAC AMILORIHCTZ 5MC45QMG TABLET 30 CARDIAC METOPROLOL 100MG TABLET' 60 CARDIAC ATENOL/CHLOR 100/26MG TABLET 30 CARDIAC METOPROL01. 25MG TABLET 60 CARDIAC ATENOUCHLOR 50/25MG TABLET 30 CARDIAC METOPR OL 50MG TABLET 60 CARDIAC ATENOLOL100MG TABLET 30 CARDIAC NADOLOL20MG TABLET 30. CARDIAC ATENOLOL 25MG TABLET 30 CARDIAC NADOLOL 40MG TABLET 30 CARDIAC ATENOLOL 50MG TABLET 30 CARDIAC PINDOLOL 10MG TABLET 30 CARDIAC BENAZEPRIL 1OMG TABLET 30 CARDIAC PINDOLOL 5MG TABLET 30 CARDIAC BENAZEPRIL 20MG TABLET 30 CARDIAC PRAZOSIN HCL 1MG CAPSULE 30 CARDIAC BENAZEPRIL 40MG TABLET 30 CARDIAC PRAZOSIN HCL 2MG CAPSULE .30 CARDIAC BENAZEPRIL 5MG TABLET 30 CARDIAC PRAZOSIN HCL 5M0 ULE 30 CARDIAC BISOPROLOUHCTZ 10/6.25 TABLET 30 CARDIAC PROPRANOL 10MG TABLET 60 CARDIAC SISOPROLOLHCTZ 2.516.25 TABLET 30 CARDIAC PROPRANOLOL 20MG TABLET 60. . CARDIAC BISOPROPROLHCTZ SM.25MG TABLE 30 CARDIAC PROPRANOLOL 40MG TABLET 60' CARDIAC BUMETANIDE 0.5MG TABLET 30 CARDIAC PROPRANOLOL 80MG TABLET60 CARDIAC BUMETANIDE 1MG TABLET 30 CARDIAC SOTALOL HCL 80MG TABLET' 30 CARDIAC CAPTOPRIL 100MG TABLET 60 CARDIAC- SPIRONOLACTONE 25MG TABLET" 30 CARDIAC CAPTOPRIL 12.5MG TABLET 60 CARDIAC TERAZOSN 10MG CAPSULE 30 CARDIAC CAPTOPRIL 25MG TABLET 60 CARDIAC TE OSIN 1MG CAPSULE 30 CARDIAC CAPTOPRIL 50MG TABLET 80 CARDIAC TERAZOSIN 2MG CAPSULE 30 CARDIAC CHLORTHALIDONE 25MG TABLET 30 CARDIAC TERAZOSIN 5MG CAPSULE 30 CARDIAC CHLORTHALIDONE 50MG TABLET 30 AC TRIAMH TZ 37.5/25 CAPSULE 30 CARDIAC CLONIDINE 0.1MG TABLET 30 CARDIAC T IAMT/FiCTZ 37.526 TABLET 30 CARDIAC CLONIDINE OAMG PACK 30 MCARDIAC TRIAMTIHCTZ 75/50MG TABLET 30 CARDIAC CLONIDINE 0.2MG TABLET 30 CARDIAC VERAPAMIL 120MG TABLET 30 CARDIAC CLONIDINE 0.2MG PACK 30 CARDIAC VEFtAPAMII B�AO TABLET 30 CARDIAC DIGITEK 0.125MG TABLET 30 CARDIAC WARFARIN 5MG TABLET' 30 CARDIAC DIGITEK 0.25MG TABLET 30 CARDIAC WARFARIN 5MG COMPLIANCE PACK' 30 CARDIAC DILTIAZEM 120MG TABLET 30 CHOLESTEROL LOVASTATIN 10MG TABLET' .30 CARDIAC DILTIAZEM 30MG TABLET 60 CHOLESTEROL LOVASTATIN 20MG TABLET` 30 CARDIAC DILTIAZEM 60MG TABLET 60 CHOLESTEROL PRAVASTATIN 10MG TABLET CARDIAC DILTIAZEM 9UMG TABLET" BO CHOLESTEROL PRAVASTATIN 20MG TABLET 30 CARDIAC DOXAZOSIN 1 MG TABLET 30 STE l PRAVASTATIN 40MG TABLET* 30 CARDIAC DOXAZOSIN 2MG TABLET - 30 H BENZONATATE 100MG CAPSULE Generics under this sere subjectto the anytime. 30 14 NO I Applies to up to a 30 day supply at cornftrescrlbed dosages.) Therapeutic Category Drug Name CITY ITherapeutic Category Drug Name CITY COUGH COLD CERON DM SYRUP 120 GINGIVITIS CHLORHEXADRINE GLU 0.12% SOLUTION 473 COUGH COLD CERON DROPS lOr 30 GLAUCOMA EYE ATROPINE SUL 1% OP SOLULTION 5 COUGH COLD GUAIFENESIN DM SYRUP 120 GLAUCOMA EYE PILOCARPINE 1% OPHTHALMIC SOLUTION Is COUGH COLD GUAIFENEX DIM ER* 60 GLAUCOMA EYE IHORMONE PILOCARPINE 2% OPHTHALMIC SOLUTION is COUGH COLD PROMETHAZINE DM SYRUP 120 HORMONE ESTRADIOL 0.5MG TABLET 30 COUGH COLD TRIVENT DPO6215/5 SYRUP 120 HORMONE ESTRADIOL 1MG TABLET 30 DIABETES CHLORPROPAMIDE 100MG TABLET* 30 ESTRADIOL 2MG TABLET 30 DIABETES GLIMEPIRIDE 1MG TABLET 30 MHORMONE ESTROPWATE 0.76MG TABLET 30 DIABETES GLIMEPIRIOE 2MG TABLET 30 HORMONE ESTROPIPATE 1.5MG TABLET* 30 DIABETES GLIMEPIRIDE4MG TABLET 30 HORMONE MEDROXYPROGESTERONE AC I OMG TABLET 10 DIABETES GLIPIZIDE 10MG TABLET* 60 HORMONE MEDROXYPROGESTERONE AC 2.5MG TABLET 30 DIABETES GLIPIZIDE 5MG TABLET 30 HORMONE MEDROXYPROGESTERONE AC 5MG TABLET 30, DIABETES GLYBURIDE 2.5MG TABLET (BLUE) 30 INCONTINENCE OXYBUTYNIN 5MG TABLET 6D DIABETES GLYBURIDE 2.5MG TABLET (GREEN) ONCOLOGY/CANCER MEGESTROL 20MG TABLET* 30 DIABETES GLYBURIDE 5MG TABLET (BLUE) 30 PARKINSONS BENZTROPINE 2MG TABLET 30 DIABETES GLYBURIDE 5MG TABLET GREEN 30 PARKINSONS ITHYROID TRIHEXYPHEN 2MG TABLET 60 DIABETES GLYBURIDE MCR 3MG TABLET 30 SEIZURE CARBAMAZEPINE 200MG TABLET* 60 DIABETES GLYBURIDE MCR 6MG TABLET 30 THYROID LEVOTHYROXIN 1 DOMOG TABLET 30 DIABETES METFORMIN 10DDMG TABLET' 60 THYROID LEVOTHYROXIN 112MCG TABLET 30 DIABETES METFORMIN 5WMG TABLET 60 THYROID LEVOTHYROXIN 125MCG TABLET 30 DIABETES METFORMIN 500MG ER TABLET' 60 THYROID LEVOTHYROXIN 150MOG TABLET 30 DIABETES METFORMIN 850MG TABLET 60 LEVOTHYROXIN 175MCG TABLET" 30 GASTROINTESTINAL BELLADONA ALK/PB TABLET 60 THYROID LEVOTHYROXIN 25MCG TABLET 30 GASTROINTESTINAL CIMETIDINE 8WMG TABLET` 30 THYROID LEVOTHYROXIN 5DMCG TABLET 3D GASTROINTESTINAL CYTRA2 SOLUTION 180 THYROID LEVOTHYROXIN 75MCG TABLET 30 GASTROINTESTINAL DICYCLOMINE 10MG CAPSULE 90 THYROID LEVOTHYROXIN 88MCG TABLET 30 GASTROINTESTINAL DICYCLOMINE 20MG TABLET 60 THYROID LEVOTHYRO)(INE 200MCG TABLET* 30 GASTROINTESTINAL FAMOTIDINE 20MG TABLET 60 VITAMINS ETHEDENT 6.25MG CHEWABLE TABLETS* 120 GASTROINTESTINAL HYOSCYAMINE 0.125/ML DROPS* 15 VITAMINS FOLIC ACID 1MG TABLET 30 GASTROINTESTINAL HYOSCYAMINE 0126MG SUBLINGUAL 30 VITAMINS KLORCON 10 - iOMEQ ER TABLET 30 GASTROINTESTINAL HYOSCYAMINE 0.125MG TABLET 60 VITAMINS KLORCON 8 TABLET SMEQ ER 30 GASTROINTESTINAL HYOSCYAMINE 0.375 ER TABLET 30 VITAMINS KLORCON M10 TABLET* 30 GASTROINTESTINAL LACTULOSE 10GM/15 SYRUP 237 VITAMINS MAG64 64MG TABLET 60 GASTROINTESTINAL MECLIZINE 12.5MG TABLET 90 VITAMINS MAGNESIUM OXIDE 400MG TABLET 30 GASTROINTESTINAL MECLIZINE 25MG TABLET 90 VITAMINS MULTIVITAMIN 0.25MG CHEWABLE 30 GASTROINTESTINAL METOCLOPRAIL410E 10MG TABLET 60 VITAMINS MULTI VITAMIWUFE CHEWABLE 30 GASTROINTESTINAL METOCLOPRAMIDE 5MGt5ML SYRUP 60 VITAMINS MULTI VITBET IFL 1MG CHEWABLE 30 GASTROINTESTINAL PHENAZOPYRIDINE 100MG TABLET 6 VITAMINS MULTI VITBET 0.5MGFL CHEWABLE 30 GASTROINTESTINAL PHENAZOPYRIDINE 200MG TABLET 30 VITAMINS NATALCARE PIC TABLET* 30 GASTROINTESTINAL PROMETHAZINE 25MG TABLET' 12 VITAMINS NATALCARE PLUS TABLET` 30 GASTROINTESTINAL PROMETHAZINE 6.2515ML SYRUP* 180 VITAMINS POTASSIUM CHLORIDE 10% LIQUID 413 GASTROINTESTINAL RANITIDINE 150MG TABLET 60 VITAMINS PRENATAL RX TABLET* 30 GASTROINTESTINAL RANITIDINE 300MG TABLET 30 This program offers up to a 30-day supply of generic drugs an the current list of covered drugs at commonly prescribed dosages for $4 for each prescription fill or refill. Your participation in certain prescription drug coverage plans may entitle you to pay even less than $4 for certain of these generic drugs. If you are eligible, you will be charged the lowest applicable amount. Certain generic drugs are priced higher in CA, CO. HI, MN, MT, PA, TN, WI, and WY due to state laws. Program not available In North Dakota. You can get these prescription drug savings whether or not you have any prescription drug coverage through your company, under Medicare or any other plan. The list of covered generic drugs is subject to change. Not all generic prescription drugs are covered by this program. Only prescriptions filled in person are eligible for the $4 program. This price does not apply to prescriptions filled by mail order. Prescriptions refilled may be ordered online or by telephone, but must be picked up In person at participating Wal-Mart pharmacy. See Your Wal-Mart pharmacist for further detaills. These prescriptions are priced higher than $4 In CO. CA, HI, MN, MT, PA, TIN, WI, AND WY due to state laws. Customers in these states should See their Wal-mart or Sam's Club pharmacist for price details. THE PHARMACY AT WAL-MART• Find The Right Medicare Prescription Drug Plan For Yoea Overwhelmed by all of the Medicare D Prescription Drug plans available to you? Go online to www.walmort.com/medicare and click on the "Prescription Drug Plan Finder" to create a free report that lists plans to fit your individual needs. Whether you want coverage with the lowest annual costs, the fewest coverage limitations, or the best "gap" coverage,' this free, customized report will give you information to find the right plan for your needs. The report includes information on all major drug plans in your area, details about estimated annual costs and more. Step 1: Use the form below to list the prescription medications you currently take. Also, have your zip code and the type of prescription coverage you currently have handy. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Step 2: Go to www.wolmart.com/medicare and click on the "Prescription Drug Plan Finder." Step 3: Follow the on -screen prompts to enter your information. Step 4: Once the information is collected, the system will create a report with plans that meet your unique needs. Step 5: If you choose, you can then enroll in a plan online by clicking the "Enroll" button, by mailing in the enrollment form, or by calling the toll free number on the report. 1 "Gap" coverage refers to any type of medication coverage offered by an insurer for medication costs after the initial coverage period but before catastrophic coverage begins. The site is provided by Walmort.com on an "as is" and "as available" basis. Walmarl.com makes no representations or warranties of any kind, express or implied, as to the operation of the site or the information, content, materials or products included on this site. The information provided on this site is provided by Experion Systems in partnership with Kelsey National Corporation, and not by Walmort.com. Walmort.com and its affiliates do not sponsor, recommend or endorse any third party, product, service or information provided on this site. Wolmort.com and its affiliates do not receive any personal information entered on this site, unless it is provided directly by o user to a Wal-Mart store pharmacist for the sole purpose of assistance in using this site. In no event will Wolmort.com and its affiliates retain any personal information entered on this site. For more information regarding privacy when using this site, please see Experion System's privacy policy located in the Tooter. 02006 Wal-Mart Stores, Inc.