RX Care Club Generic Prescription List~ Updated February 15, 2011

St. Marys Pharmacy (SMP)- Care Club Generic Savings Plan    
Drug & Strength
30 Day Quantity
$4
90 Day Quantity
$10
   Drug & Strength
30 Day Quantity
$4
90 Day Quantity
$10
 
Acyclovir 200mg cap
30
90
   Captopril 50mg tab
60
180
Albuterol 0.5% nebulizer solution
20
60
   Captopril/hctz 25/15mg tab
30
90
Albuterol 2mg/5ml syrup
120
360
   Captopril/hctz 50/15mg tab
30
90
Allopurinol 100mg tab
30
90
   Captopril/hctz 25/25mg tab
30
90
Allopurinol 300mg tab
30
90
   Captopril/hctz 50/25mg tab
30
90
Amiloride-HCTZ 5mg-50mg tab
30
90
   Carbamazepine chew 100mg tab
60
180
Amitriptyline 100mg tab
30
90
   Carvedilol 12.5mg tab
60
180
Amitriptyline 10mg tab
30
90
   Carvedilol 3.125mg tab
60
180
Amitriptyline 25mg tab
30
90
   Carvedilol 6.25mg tab
60
180
Amitriptyline 50mg tab
30
90
   Cephalexin 125mg/5ml
100
300
Amitriptyline 75mg tab
30
90
   Cephalexin 250mg cap
28
84
Amoxicillin 125mg/5ml suspension
100
300
    
Amoxicillin 125mg/5ml suspension
150
450
   Chlorhexidine Gluconate 0.12% solution
473
1419
Amoxicillin 250mg cap
30
90
   Chlorthalidone 25mg tab
30
90
    Cimetidine 400mg tab
60
180
    Ciprofloxacin 250mg tab
14
42
Amoxicillin 500mg cap
30
90
   Ciprofloxacin 500mg tab
20
N/A
Antipyrine/Benzocaine otic
10
30
  
Atenolol 100mg tab
30
90
   Citalopram 10mg tab
30
90
Atenolol 25mg tab
30
90
   Citalopram 20mg tab
30
90
Atenolol 50mg tab
30
90
   Citalopram 40mg tab
30
90
Atenolol-Chlorthalidone 100mg-25mg tab
30
90
   Clindamycin 150mg cap
28
84
Atenolol-Chlorthalidone 50mg-25mg tab
30
90
   Clomipramine 25mg cap
30
90
Atropine Sulfate 1% op. solution
5
15
   Clomipramine 50mg cap
30
90
Baclofen 10mg tab
30
90
   Clonidine 0.1mg tab
30
90
Belladonna Alkaloid/PB tab
60
180
   Clonidine 0.2mg tab
30
90
Benazepril 10mg tab
30
90
   Clonidine 0.3mg tab
30
90
Benazepril 20mg tab
30
90
   Cyanocobalamin 1000mcg/ml inj
10
30
Benazepril 5mg tab
30
90
   Cyclobenzaprine 10mg tab
30
90
Benzonatate 100mg cap
14
42
   Cyclobenzaprine 5mg tab
30
90
Benztropine 1mg tab
60
180
   Dexamethasone 0.5mg tab
30
90
Benztropine 0.5mg tab
60
180
    
Benztropine 2mg tab
30
90
   Dexamethasone 0.5mg tab
30
90
    Dexamethasone 0.75mg tab
12
36
    Dexamethasone 4mg tab
6
18
    Dicyclomine 10mg cap
90
270
    Dicyclomine 20mg tab
60
180
    Diltiazem 30mg tab
60
180
    Diltiazem 60mg tab
60
180
Bisoprolol-HCTZ 10mg-6.25mg tab
30
90
   Diphenhydramine 50mg cap
30
90
Bisoprolol-HCTZ 2.5mg-6.25mg tab
30
90
   Doxazosin 1mg tab
30
90
Bisoprolol-HCTZ 5mg-6.25mg tab
30
90
   Doxazosin 2mg tab
30
90
Bumetanide 0.5mg tab
30
90
   Doxazosin 4mg tab
30
90
Bumetanide 1mg tab
30
90
   Doxazosin 8mg tab
30
90
Buspirone 5mg tab
60
180
   Doxepin HCL 100mg cap
30
90
Captopril 100mg tab
60
180
   Doxepin HCL 10mg cap
30
90
Captopril 12.5mg tab
60
180
   Doxepin HCL 25mg cap
30
90
Captopril 25mg tab
60
180
   Doxepin HCL 50mg cap
30
90
Doxepin HCL 75mg cap
30
90
   Hydrochlorothiazide (HCTZ) 50mg tab
30
90
Doxycycline Hyclate 100mg tab
20
60
   Hydrocortisone 2.5% cream
30
90
Doxycycline Hyclate 50mg cap
30
90
    
Enalapril 10mg tab
30
90
   Ibuprofen 400mg tab
90
270
Enalapril 2.5mg tab
30
90
   Ibuprofen 600mg tab
60
180
Enalapril 20mg tab
30
90
   Ibuprofen 800mg tab
30
90
Enalapril 5mg tab
30
90
   Imipramine hcl 25mg tab
30
90
Enalapril-HCTZ 5mg-12.5mg tab
30
90
   Indapamide 1.25mg tab
30
90
Enalapril maleate/hctz 10/25mg tab
30
90
   Indapamide 2.5mg tab
30
90
Estradiol 0.5mg tab
30
90
   Isoniazid 300mg tab
30
90
Estradiol 1mg tab
30
90
   Isosorbide dinitrate 10mg tab
90
270
Estradiol 2mg tab
30
90
        
Estropipate 0.625mg
30
90
   Klorcon 8 8mEq ER tab
30
90
Estropipte 1.25mg
30
90
    
Famotidine 20mg tab
60
180
   Labetalol 100mg tab
30
90
Fluconazole 100mg tab
10
30
   Lactulose syrup
237
711
Fluconazole 150mg tab
1
3
   Leucovorin calcium 5mg tab
4
12
Fluconazole 200mg tab
1
3
  
Fluocinonide 0.05% cream
15
45
   Levothyroxine 100mcg tab
30
90
Fluocinonide 0.05% cream
30
90
   Levothyroxine 112mcg tab
30
N/A
Fluoxetine 10mg cap
30
90
   Levothyroxine 125mcg tab
30
N/A
Fluoxetine 20mg cap
30
90
   Levothyroxine 137mcg tab
30
N/A
Fluphenazine 1mg tab
30
90
   Levothyroxine 25mcg tab
30
90
Folic Acid 1mg tab
30
90
   Levothyroxine 50mcg tab
30
90
Furosemide 20mg tab
30
90
   Levothyroxine 75mcg tab
30
90
Furosemide 40mg tab
30
90
   Levothyroxine 88mcg tab
30
N/A
Furosemide 80mg tab
30
90
   Lidocaine 2% viscous solution 100ml
100
300
Gentamicin 0.1% cream
15
N/A
   Lisinopril 10mg tab
30
90
    Lisinopril 2.5mg tab
30
90
    Lisinopril 20mg tab
30
90
Glimepiride 1mg tab
30
90
   Lisinopril 5mg tab
30
90
Glimepiride 2mg tab
30
90
   Lisinopril 40mg tab
30
90
Glimepiride 4mg tab
30
90
   Lisinopril 30mg tab
30
90
Glipizide 5mg tab
30
90
   Lisinopril-HCTZ 10mg-12.5mg tab
30
90
Glyburide 1.25mg tab
30
90
   Lithium Carbonate tab 150mg
30
90
    Loperamide 2mg tab
30
90
    Loratadine 10mg tab
30
90
    Lovastatin 10mg tab
30
90
Glyburide, micronized 3mg tab
30
90
   Lovastatin 20mg tab
30
90
Glyburide, micronized 6mg tab
30
90
   Medroxyprogesterone Acetate 10mg tab
10
30
Guanfacine 1mg tab
30
90
   Medroxyprogesterone Acetate 5mg tab
30
90
Haloperidol 0.5mg tab
30
90
   MedroxyprogesteroneAcetate 2.5mg tab
30
90
Haloperidol 1mg tab
30
90
   Meloxicam 15mg tab
30
90
Haloperidol 2mg tab
30
90
   Meloxicam 7.5mg tab
30
90
Haloperidol 5mg tab
30
N/A
   Metformin 500mg tab
60
180
Hydralazine 10mg tab
30
90
   Metformin 850mg tab
60
180
Hydralazine 25mg tab
30
90
    
Hydrochlorothiazide (HCTZ) 25mg tab
30
90
  

  Ranitidine 300mg tab
30
90
Metoclopramide 10mg tab
60
180
  
Metoclopramide syrup
60
180
  
Metoprolol Tartrate 25mg tab
60
180
   SMZ-TMP 400mg-80mg tab
28
84
Metoprolol Tartrate 50mg tab
60
180
   SMZ-TMP DS 800mg-160mg tab
20
60
    Sodium fluoride dental paste (generic prevident 5000+ 1.1%)
51
153
    Sodium Flouride 1.1% gel
56
168
Multi-vit/fl 0.25mg drop
50
150
   Sodium Fluoride chew 0.5mg tab
30
90
Nadolol 20mg tab
30
90
   Sodium Fluoride chew 1mg tab
30
90
Nortriptyline 10mg cap
30
90
   Sulfacet Sodium 10% op. solution
15
45
Nortriptyline 25mg cap
30
90
   Terazosin 10mg cap
30
90
    Terazosin 1mg cap
30
90
Nortriptyline 75mg cap
30
90
   Terazosin 2mg cap
30
90
Nystatin cream
15
45
   Terazosin 5mg cap
30
90
Nystatin cream
30
90
   Tetracycline 250mg cap
60
180
Nystatin ointment
15
45
   Tetracycline 500mg cap
60
180
Nystatin ointment
30
90
   Thioridazine 25mg tab
30
N/A
Nystatin susp 100,000 units
60
180
   Thiothixene 2mg cap
30
90
Nystatin/Triamcin cream
15
45
   Timolol Maleate 0.25% op. solution
5
15
Nystatin/Triamcin cream
30
90
  
Nystatin/Triamcin ointment
15
45
   Trazodone 100mg tab
30
90
Oxybutynin 5mg tab
60
180
   Trazodone 150mg tab
30
90
Penicillin VK 250mg tab
28
84
   Trazodone 50mg tab
30
90
Penicillin VK 250mg/5ml suspension
100
300
   Triamcinolone 0.025% cream
15
45
Phenazopyridine 100mg tab
6
18
   Triamcinolone 0.1% cream
15
45
Phenazopyridine 200mg tab
30
N/A
  

  Triamcinolone 0.1% ointment
15
45
Potassium Chloride 10% liquid
473
1419
  
    Triamterene-HCTZ 37.5-25mg cap
30
90
Pravastatin 10mg tab
30
90
   Triamterene-HCTZ 37.5mg-25mg tab
 30 90
Pravastatin 20mg tab
30
90
   Triamterene-HCTZ 75mg-50mg tab
 30 90
Prednisone 5mg tab
30
90
   Trihexyphenidyl 2mg tab
 60 180
Prednisone 10mg tab
30
90
   Verapamil 120mg tab
 30 90
Prednisone 20mg tab
30
90
   Verapamil 80mg tab
 30 90
Prochlorperazine 5mg tab
30
90
   Warfarin 10mg tab
 30 90
Prochlorperazine 10mg tab
30
90
   Warfarin 1mg tab
 30 90
Promethazine DM syrup
120
360
   Warfarin 2.5mg tab
 30 90
Propranolol 10mg tab
60
180
   Warfarin 2mg tab
 30 90
Propranolol 20mg tab
60
180
   Warfarin 3mg tab
 30 90
Propranolol 40mg tab
60
180
   Warfarin 4mg tab
 30 90
Propranolol 80mg tab
60
180
   Warfarin 6mg tab
 30 90
Quinapril hcl 5mg tab
30
90
   Warfarin 7.5mg tab
 30 90
Quinapril hcl 20mg tab
30
90
        
Quinapril hcl 10mg tab
30
90
        
Ranitidine 150mg tab
60
180