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Familyfoods.info

FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
A
ACYCLOVIR 200 MG
ALBUTEROL 2 MG/5 ML
ALBUTEROL 2 MG
ALBUTEROL 4 MG
ALBUTEROL NEB 0.083%
Solution
ALBUTEROL NEB 0.5%
Solution
ALENDRONATE SOD 35 MG
Womans Health
ALENDRONATE SOD 70 MG
Womans Health
Arhritis,Gout &
ALLOPURINOL 100 MG
Arhritis,Gout &
ALLOPURINOL 300 MG
Heart Health &
AMILORIDE/HCTZ 5-50 MG
Blood Pressure
AMITRIPTYLINE 10 MG
Mental Health
AMITRIPTYLINE 25 MG
Mental Health
AMITRIPTYLINE 50 MG
Mental Health
AMITRIPTYLINE 75 MG
Mental Health
AMITRIPTYLINE 100 MG
Mental Health
AMOXICILLIN 125 MG/5 ML
Antibiotic
Suspension 80
AMOXICILLIN 125 MG/5 ML
Antibiotic
Suspension 100
AMOXICILLIN 125 MG/5 ML
Antibiotic
Suspension 150
AMOXICILLIN 200 MG/5 ML
Antibiotic
Suspension 50
AMOXICILLIN 200 MG/5 ML*
Antibiotic
Suspension 75
AMOXICILLIN 200 MG/5 ML*
Antibiotic
Suspension 100
AMOXICILLIN 250 MG
Antibiotic
AMOXICILLIN 250 MG/5 ML
Antibiotic
Suspension 80
AMOXICILLIN 250 MG/5 ML
Antibiotic
Suspension 100
AMOXICILLIN 250 MG/5 ML
Antibiotic
Suspension 150
AMOXICILLIN 400 MG/5 ML
Antibiotic
Suspension 50
AMOXICILLIN 400 MG/5 ML*
Antibiotic
Suspension 75
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
AMOXICILLIN 400 MG/5 ML*
Antibiotic
Suspension 100
AMOXICILLIN 500 MG
Antibiotic
ANTIPYRINE/BENZOCAINE
Ear Health
Otic Solution 10
Heart Health &
ATENOLOL 25 MG
Blood Pressure
Heart Health &
ATENOLOL 50 MG
Blood Pressure
Heart Health &
ATENOLOL 100 MG
Blood Pressure
Heart Health &
ATENOLOL/CHLORTHAL 50/25 MG
Blood Pressure
Heart Health &
ATENOLOL/CHLORTHAL 100/25 MG Blood Pressure
Glaucoma & Eye Ophthalmic
ATROPINE SULFATE 1%
Solution
Arhritis,Gout &
BACLOFEN 10 MG
Gastrointestinal
BELLADONNA ALKALOIDS/PB
Heart Health &
BENAZEPRIL 5 MG
Blood Pressure
Heart Health &
BENAZEPRIL 10 MG
Blood Pressure
Heart Health &
BENAZEPRIL 20 MG
Blood Pressure
Heart Health &
BENAZEPRIL 40 MG
Blood Pressure
Allergies, Cold
BENZONATATE 100 MG
BENZTROPINE 2 MG
Men's Health
BETAMETHASONE DIPROPIONATE
Skin Conditions
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
Skin Conditions
BETAMETHASONE DIPROPIONATE
0.05%
Skin Conditions
BETAMETHASONE VALERATE
0.10%
Skin Conditions
BETAMETHASONE VALERATE
0.10%
Skin Conditions
BETAMETHASONE VALERATE
0.10%
Skin Conditions
Ointment
BETAMETHASONE VALERATE
0.10%
Ointment
BISOPROLOL/HCTZ
Blood Pressure
Heart Health &
2.5/6.25 MG
Blood Pressure
Heart Health &
BISOPROLOL/HCTZ 5/6.25 MG
Blood Pressure
Heart Health &
BISOPROLOL/HCTZ 10/6.25 MG
Blood Pressure
BUPROPION 150 MG SR*
Mental Health
Heart Health &
BUMETANIDE 0.5 MG
Blood Pressure
Heart Health &
BUMETANIDE 1 MG
Blood Pressure
BUSPIRONE 5 MG
Mental Health
BUSPIRONE 10 MG*
Mental Health
Heart Health &
CAPTOPRIL 12.5 MG
Blood Pressure
Heart Health &
CAPTOPRIL 25 MG
Blood Pressure
Heart Health &
CAPTOPRIL 50 MG
Blood Pressure
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
Heart Health &
CAPTOPRIL 100 MG
Blood Pressure
CARBAMAZEPINE 200 MG*
Mental Health
Heart Health &
CARVEDILOL 3.125 MG
Blood Pressure
Heart Health &
CARVEDILOL 6.25 MG
Blood Pressure
Heart Health &
CARVEDILOL 12.5 MG
Blood Pressure
Heart Health &
CARVEDILOL 25 MG*
Blood Pressure
CEPHALEXIN 250 MG
Antibiotic
CEPHALEXIN 500 MG
Antibiotic
CHLORHEXIDINE GLUCONATE
Miscellaneous
Conditions
Solution
CHLORPROPAMIDE 100 MG*
Diabetes
Gastrointestinal
CIMETIDINE 800 MG*
CIPROFLOXACIN 250 MG
Antibiotic
CIPROFLOXACIN 500 MG
Antibiotic
CITALOPRAM 20 MG
Mental Health
CITALOPRAM 40 MG
Mental Health
Heart Health &
CLONIDINE 0.1 MG
Blood Pressure
Heart Health &
CLONIDINE 0.2 MG
Blood Pressure
Arhritis,Gout &
CYCLOBENZAPRINE 5 MG
Arhritis,Gout &
CYCLOBENZAPRINE 10 MG
Gastrointestinal
Solution
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
Oral Oral Oral
DEXAMETHASONE .75 MG
Steroids
Oral Oral Oral
DEXAMETHASONE 0.5 MG
Steroids
Oral Oral
DEXAMETHASONE 4 MG
Steroids
Arhritis,Gout &
DICLOFENAC ER 75 MG
Gastrointestinal
DICYCLOMINE 10 MG
Gastrointestinal
DICYCLOMINE 20 MG
Heart Health &
DIGOXIN 0.125 MG
Blood Pressure
Heart Health &
DIGOXIN 0.25 MG
Blood Pressure
Heart Health &
DILTIAZEM 30 MG
Blood Pressure
Heart Health &
DILTIAZEM 60 MG
Blood Pressure
Heart Health &
DILTIAZEM 90 MG*
Blood Pressure
Heart Health &
DILTIAZEM 120 MG
Blood Pressure
Heart Health &
DOXAZOSIN 1 MG
Blood Pressure
Heart Health &
DOXAZOSIN 2 MG
Blood Pressure
Heart Health &
DOXAZOSIN 4 MG
Blood Pressure
Heart Health &
DOXAZOSIN 8 MG
Blood Pressure
DOXEPIN HCL 10 MG
Mental Health
DOXEPIN HCL 25 MG
Mental Health
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
DOXEPIN HCL 50 MG
Mental Health
DOXEPIN HCL 75 MG
Mental Health
DOXEPIN HCL 100 MG
Mental Health
DOXYCYCLINE HYCLATE 50 MG
Antibiotic
Capsule /
DOXYCYCLINE HYCLATE 100 MG
Antibiotic
Heart Health &
ENALAPRIL 2.5 MG
Blood Pressure
Heart Health &
ENALAPRIL 5 MG
Blood Pressure
Heart Health &
ENALAPRIL 10 MG
Blood Pressure
Heart Health &
ENALAPRIL 20 MG
Blood Pressure
Heart Health &
ENALAPRIL/HCTZ 5/12.5 MG
Blood Pressure
Glaucoma & Eye Ophthalmic
ERYTHROMYCIN 5 MG/GM*
Ointment
ESTRADIOL 0.5 MG
Womans Health
ESTRADIOL 1 MG
Womans Health
ESTRADIOL 2 MG
Womans Health
ESTROPIPATE 0.75 MG
Womans Health
ESTROPIPATE 1.5 MG*
Womans Health
Gastrointestinal
FAMOTIDINE 20 MG
FINASTERIDE 5 MG
Men's Health
FLUCONAZOLE 150 MG
Fungal Infections Tablet
FLUOCINONIDE 0.05%
Skin Conditions
FLUOCINONIDE 0.05%
Skin Conditions
FLUOCINOLONE ACETIDE 0.01%
Skin Conditions
Solution
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
FLUOXETINE 10 MG*
Mental Health
FLUOXETINE 10 MG
Mental Health
FLUOXETINE 20 MG
Mental Health
FLUOXETINE 40 MG*
Mental Health
FLUPHENAZINE 1 MG
Mental Health
Vitamins &
Nutritional
FOLIC ACID 1 MG
Heart Health &
FUROSEMIDE 20 MG
Blood Pressure
Heart Health &
FUROSEMIDE 40 MG
Blood Pressure
Heart Health &
FUROSEMIDE 80 MG
Blood Pressure
Allergies, Cold
GANITUSS DM NR
GENTAMICIN 0.1%
Skin Conditions
Ointment
Glaucoma & Eye Ophthalmic
GENTAMICIN 0.3%
Solution
GLIMEPIRIDE 1 MG
Diabetes
GLIMEPIRIDE 2 MG
Diabetes
GLIMEPIRIDE 4 MG
Diabetes
GLIPIZIDE 5 MG
Diabetes
GLIPIZIDE 10 MG*
Diabetes
GLYBURIDE 2.5 MG
Diabetes
GLYBURIDE 5 MG
Diabetes
GLYBURIDE MICRO 3 MG
Diabetes
GLYBURIDE MICRO 6 MG
Diabetes
Heart Health &
GUANFACINE 1 MG
Blood Pressure
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
H
HALOPERIDOL 0.5 MG
Mental Health
HALOPERIDOL 1 MG
Mental Health
HALOPERIDOL 2 MG
Mental Health
HALOPERIDOL 5 MG
Mental Health
Heart Health &
HYDRALAZINE 10 MG
Blood Pressure
Heart Health &
HYDRALAZINE 25 MG
Blood Pressure
Heart Health &
HYDROCHLOROTHIAZIDE 12.5 MG* Blood Pressure
Heart Health &
HYDROCHLOROTHIAZIDE 25 MG
Blood Pressure
Heart Health &
HYDROCHLOROTHIAZIDE 50 MG
Blood Pressure
HYDROCORTISONE 1%
Skin Conditions
HYDROCORTISONE 2.5%
Skin Conditions
Miscellaneous
HYDROCORTISONE AC 25 MG
Conditions
Suppository 12
Arhritis,Gout &
IBUPROFEN 100 MG/5 ML*
Suspension 120
Arhritis,Gout &
IBUPROFEN 400 MG
Arhritis,Gout &
IBUPROFEN 600 MG
Arhritis,Gout &
IBUPROFEN 800 MG
Heart Health &
INDAPAMIDE 1.25 MG
Blood Pressure
Heart Health &
INDAPAMIDE 2.5 MG
Blood Pressure
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
Arhritis,Gout &
INDOMETHACIN 25 MG*
IPRATROPIUM NEB 0.2 MG/ML*
Solution
Miscellaneous
ISONIAZID 300 MG
Conditions
ISOSORBIDE MONONITRATE ER 30 Heart Health &
MG
Blood Pressure
ISOSORBIDE MONONITRATE ER 60 Heart Health &
MG
Blood Pressure
Gastrointestinal
LACTULOSE 10 GM/15 ML
1 (limit
10 per
guest
per
LEVITRA® 20 MG
Men's Health
month) N/A
Glaucoma & Eye Ophthalmic
LEVOBUNOLOL 0.5%
Solution
LEVOTHYROXINE 25 MCG
Conditions
LEVOTHYROXINE 50 MCG
Conditions
LEVOTHYROXINE 75 MCG
Conditions
LEVOTHYROXINE 88 MCG
Conditions
LEVOTHYROXINE 100 MCG
Conditions
LEVOTHYROXINE 112 MCG
Conditions
LEVOTHYROXINE 125 MCG
Conditions
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
LEVOTHYROXINE 137 MCG
Conditions
LEVOTHYROXINE 150 MCG
Conditions
LEVOTHYROXINE 175 MCG*
Conditions
LEVOTHYROXINE 200 MCG*
Conditions
Miscellaneous
LIDOCAINE VISCOUS 2%
Conditions
Solution
Heart Health &
LISINOPRIL 2.5 MG
Blood Pressure
Heart Health &
LISINOPRIL 5 MG
Blood Pressure
Heart Health &
LISINOPRIL 10 MG
Blood Pressure
Heart Health &
LISINOPRIL 20 MG
Blood Pressure
Heart Health &
LISINOPRIL/HCTZ 10-12.5 MG
Blood Pressure
Heart Health &
LISINOPRIL/HCTZ 20-12.5 MG*
Blood Pressure
Heart Health &
LISINOPRIL/HCTZ 20-25 MG*
Blood Pressure
LITHIUM CARB 300 MG*
Mental Health
Allergies, Cold
LORATADINE 10 MG
LOVASTATIN 10 MG*
Cholesterol
LOVASTATIN 20 MG*
Cholesterol
Vitamins &
Nutritional
MAGNESIUM OXIDE 400 MG
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
Vitamins &
Nutritional
MAG64 64 MG*
MEDROXYPROGESTERONE 2.5 MG
Womans Health
MEDROXYPROGESTERONE 5 MG
Womans Health
MEDROXYPROGESTERONE 10 MG
Womans Health
MEGESTROL 20 MG*
Womans Health
Arhritis,Gout &
MELOXICAM 7.5 MG
Arhritis,Gout &
MELOXICAM 15 MG
METFORMIN 500 MG
Diabetes
METFORMIN 850 MG
Diabetes
METFORMIN 1000 MG*
Diabetes
METFORMIN ER 500 MG*
Diabetes
Heart Health &
METHYLDOPA 250 MG*
Blood Pressure
Heart Health &
METHYLDOPA 500 MG*
Blood Pressure
Oral Oral
Dose Pak /
METHYLPREDNISOLONE 4 MG
Steroids
Gastrointestinal
METOCLOPRAMIDE 5 MG/5 ML
Gastrointestinal
METOCLOPRAMIDE 10 MG
Heart Health &
METOPROLOL TARTRATE 25 MG
Blood Pressure
Heart Health &
METOPROLOL TARTRATE 50 MG
Blood Pressure
Heart Health &
METOPROLOL TARTRATE 100 MG*
Blood Pressure
METRONIDAZOLE 250 MG
Antibiotic
METRONIDAZOLE 500 MG
Antibiotic
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
Heart Health &
NADOLOL 20 MG
Blood Pressure
Heart Health &
NADOLOL 40 MG*
Blood Pressure
Arhritis,Gout &
NAPROXEN 375 MG*
Arhritis,Gout &
NAPROXEN 500 MG*
NEO/POLYMX/DEXAMETHASONE
Glaucoma & Eye Ophthalmic
Ointment
NEO/POLYMX/DEXAMETHASONE
Glaucoma & Eye Ophthalmic
Suspension 5
NORTRIPTYLINE 10 MG
Mental Health
NORTRIPTYLINE 25 MG
Mental Health
NYSTATIN 100,000U
Fungal Infections Ointment
NYSTATIN 100,000U
Fungal Infections Ointment
NYSTATIN/TRIAMCINOLONE
Fungal Infections Cream
NYSTATIN/TRIAMCINOLONE
Fungal Infections Cream
NYSTATIN/TRIAMCINOLONE
Fungal Infections Ointment
Miscellaneous
OXYBUTYNIN 5 MG
Conditions
P
PAROXETINE 10 MG*
Mental Health
PAROXETINE 20 MG*
Mental Health
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
PENICILLIN VK 125 MG/5 ML
Antibiotic
Solution
PENICILLIN VK 125 MG/5 ML
Antibiotic
Solution
PENICILLIN VK 250 MG/5 ML
Antibiotic
Solution
PENICILLIN VK 250 MG
Antibiotic
Miscellaneous
PHENAZOPYRIDINE 100 MG
Conditions
Miscellaneous
PHENAZOPYRIDINE 200 MG
Conditions
Glaucoma & Eye Ophthalmic
PILOCARPINE 1%
Solution
Glaucoma & Eye Ophthalmic
PILOCARPINE 2%
Solution
Glaucoma & Eye Ophthalmic
POLYMYXIN SULFATE/TMP *
Solution
Vitamins &
Nutritional
POTASSIUM CHLORIDE 10%
PRAVASTATIN 10 MG
Cholesterol
PRAVASTATIN 20 MG
Cholesterol
PRAVASTATIN 40 MG
Cholesterol
Heart Health &
PRAZOSIN HCL 1 MG
Blood Pressure
Heart Health &
PRAZOSIN HCL 2 MG*
Blood Pressure
Heart Health &
PRAZOSIN HCL 5 MG*
Blood Pressure
Oral Oral Oral
PREDNISONE 2.5 MG
Steroids
Oral Oral Oral
PREDNISONE 5 MG
Steroids
Oral Oral Oral
PREDNISONE 5 MG*
Steroids
Oral Oral Oral
PREDNISONE 5 MG
Steroids
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
Oral Oral Oral
PREDNISONE 10 MG
Steroids
Oral Oral Oral
PREDNISONE 10 MG
Steroids
Oral Oral Oral
PREDNISONE 10 MG
Steroids
Oral Oral Oral
PREDNISONE 20 MG
Steroids
Vitamins &
Nutritional
PRENATAL PLUS*
Gastrointestinal
PROCHLORPERAZINE 10 MG
Gastrointestinal
PROMETHAZINE 6.25 MG/5 ML*
Gastrointestinal
PROMETHAZINE 25 MG*
Allergies, Cold
PROMETHAZINE DM
Heart Health &
PROPRANOLOL 10 MG
Blood Pressure
Heart Health &
PROPRANOLOL 20 MG
Blood Pressure
Heart Health &
PROPRANOLOL 40 MG
Blood Pressure
Heart Health &
PROPRANOLOL 80 MG
Blood Pressure
Gastrointestinal
RANITIDINE 150 MG
Gastrointestinal
RANITIDINE 300 MG
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
SILVER SULFADIAZINE 1%*
Skin Conditions
SMZ/TMP 200/40/5 ML*
Antibiotic
Suspension 120
SMZ/TMP 400/80 MG
Antibiotic
SMZ/TMP DS 800/160 MG
Antibiotic
Heart Health &
SOTALOL HCL 80 MG*
Blood Pressure
Heart Health &
SPIRONOLACTONE 25 MG
Blood Pressure
Previfem 28 Day
Womans Health
$24/28 N/A
Glaucoma & Eye Ophthalmic
SULFACETAMIDE SODIUM 10%
Solution
T
TAMOXIFEN 10 MG
Womans Health
TAMOXIFEN 20 MG
Womans Health
Heart Health &
TERAZOSIN 1 MG
Blood Pressure
Heart Health &
TERAZOSIN 2 MG
Blood Pressure
Heart Health &
TERAZOSIN 5 MG
Blood Pressure
Heart Health &
TERAZOSIN 10 MG
Blood Pressure
TERBINAFINE 250 MG*
Fungal Infections Tablet
TETRACYCLINE 250 MG
Antibiotic
TETRACYCLINE 500 MG
Antibiotic
THIORIDAZINE 25 MG
Mental Health
THIORIDAZINE 50 MG
Mental Health
THIOTHIXENE 2 MG
Mental Health
Glaucoma & Eye Ophthalmic
TIMOLOL MALEATE 0.25%
Solution
Glaucoma & Eye Ophthalmic
TIMOLOL MALEATE 0.5%
Solution
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
Glaucoma & Eye Ophthalmic
TOBRAMYCIN 0.3%
Solution
TRAZODONE 50 MG
Mental Health
TRAZODONE 100 MG
Mental Health
TRAZODONE 150 MG
Mental Health
TRIAMCINOLONE 0.025%
Skin Conditions
TRIAMCINOLONE 0.025%
Skin Conditions
TRIAMCINOLONE 0.1%
Skin Conditions
Ointment
TRIAMCINOLONE 0.1%
Skin Conditions
Ointment
TRIAMCINOLONE 0.5%
Skin Conditions
Heart Health &
Capsule /
TRIAMTERENE/HCTZ 37.5/25 MG
Blood Pressure
Heart Health &
TRIAMTERENE/HCTZ 75/50 MG
Blood Pressure
TRIHEXYPHENIDYL 2 MG
Mental Health
TRI-SPRINTEC 28-DAY*
Womans Health
$24/28 N/A
Heart Health &
VERAPAMIL 80 MG
Blood Pressure
Heart Health &
VERAPAMIL 120 MG
Blood Pressure
Heart Health &
WARFARIN 1 MG
Blood Pressure
Heart Health &
WARFARIN 2 MG
Blood Pressure
Heart Health &
WARFARIN 2.5 MG
Blood Pressure
Heart Health &
WARFARIN 3 MG
Blood Pressure
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION CLUB 30-day 90-day
Generic Drug Name / Strength
Category Name
____________________
____________
Heart Health &
WARFARIN 4 MG
Blood Pressure
Heart Health &
WARFARIN 5 MG*
Blood Pressure
Heart Health &
WARFARIN 6 MG
Blood Pressure
Heart Health &
WARFARIN 7.5 MG
Blood Pressure
Heart Health &
WARFARIN 10 MG
Blood Pressure
$4 prescriptions include up to a 30-day supply of covered drugs at commonly prescribed dosages. $11
prescriptions include up to a 90-day supply of covered drugs at commonly prescribed dosages.
Physician permission may be required to change a 30-day prescription to a 90-day prescription.
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
A
ACYCLOVIR 200 MG
ALBUTEROL 2 MG/5 ML
ALBUTEROL 2 MG
ALBUTEROL 4 MG
ALBUTEROL NEB 0.083%
Solution
ALBUTEROL NEB 0.5%
Solution
ALENDRONATE SOD 35 MG
Womans Health
ALENDRONATE SOD 70 MG
Womans Health
ALLOPURINOL 100 MG
Arhritis,Gout & Pain
ALLOPURINOL 300 MG
Arhritis,Gout & Pain
AMILORIDE/HCTZ 5-50 MG
Heart Health & Blood Pressure
AMITRIPTYLINE 10 MG
Mental Health
AMITRIPTYLINE 25 MG
Mental Health
AMITRIPTYLINE 50 MG
Mental Health
AMITRIPTYLINE 75 MG
Mental Health
AMITRIPTYLINE 100 MG
Mental Health
AMLODIPINE 5MG
Heart Health & Blood Pressure
AMOXICILLIN 125 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 125 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 125 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 200 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 200 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 200 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 250 MG
Antibiotic
AMOXICILLIN 250 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 250 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 250 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 400 MG/5 ML
Antibiotic
Suspension
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
AMOXICILLIN 400 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 400 MG/5 ML
Antibiotic
Suspension
AMOXICILLIN 500 MG
Antibiotic
ANTIPYRINE/BENZOCAINE
Ear Health
Otic Solution
$18.00/28
APRI BIRTH CONTROL
Womans Health
ATENOLOL 25 MG
Heart Health & Blood Pressure
ATENOLOL 50 MG
Heart Health & Blood Pressure
ATENOLOL 100 MG
Heart Health & Blood Pressure
ATENOLOL/CHLORTHAL 50/25 MG Heart Health & Blood Pressure
ATENOLOL/CHLORTHAL 100/25
MG
Heart Health & Blood Pressure
Ophthalmic
ATROPINE SULFATE 1%
Glaucoma & Eye Care
Solution
B
BACLOFEN 10 MG
Arhritis,Gout & Pain
BELLADONNA ALKALOIDS/PB
Gastrointestinal Health
BENAZEPRIL 5 MG
Heart Health & Blood Pressure
BENAZEPRIL 10 MG
Heart Health & Blood Pressure
BENAZEPRIL 20 MG
Heart Health & Blood Pressure
BENAZEPRIL 40 MG
Heart Health & Blood Pressure
BENZONATATE 100 MG
Allergies, Cold and Flu
BENZTROPINE 2 MG
Men's Health
BETAMETHASONE DIPROPIONATE
0.05%
Skin Conditions
BETAMETHASONE DIPROPIONATE
0.05%
Skin Conditions
BETAMETHASONE VALERATE
0.10%
Skin Conditions
BETAMETHASONE VALERATE
Skin Conditions
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
Skin Conditions
BETAMETHASONE VALERATE
0.10%
Skin Conditions
Ointment
BETAMETHASONE VALERATE
0.10%
Skin Conditions
Ointment
BISOPROLOL/HCTZ 2.5/6.25 MG
Heart Health & Blood Pressure
BISOPROLOL/HCTZ 5/6.25 MG
Heart Health & Blood Pressure
BISOPROLOL/HCTZ 10/6.25 MG
Heart Health & Blood Pressure
BUPROPION 150 MG SR
Mental Health
$19.00 $56.00
BUMETANIDE 0.5 MG
Heart Health & Blood Pressure
BUMETANIDE 1 MG
Heart Health & Blood Pressure
BUSPIRONE 5 MG
Mental Health
BUSPIRONE 10 MG
Mental Health
C
CAPTOPRIL 12.5 MG
Heart Health & Blood Pressure
CAPTOPRIL 25 MG
Heart Health & Blood Pressure
CAPTOPRIL 50 MG
Heart Health & Blood Pressure
CAPTOPRIL 100 MG
Heart Health & Blood Pressure
CARBAMAZEPINE 200 MG
Mental Health
CARVEDILOL 3.125 MG
Heart Health & Blood Pressure
CARVEDILOL 6.25 MG
Heart Health & Blood Pressure
CARVEDILOL 12.5 MG
Heart Health & Blood Pressure
CARVEDILOL 25 MG*
Heart Health & Blood Pressure
CEPHALEXIN 250 MG
Antibiotic
CEPHALEXIN 500 MG
Antibiotic
CHLORHEXIDINE GLUCONATE 0.12% Miscellaneous Conditions
Solution
CHLORPROPAMIDE 100 MG
Diabetes
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
CIMETIDINE 800 MG
Gastrointestinal Health
CIPROFLOXACIN 250 MG
Antibiotic
CIPROFLOXACIN 500 MG
Antibiotic
CITALOPRAM 20 MG
Mental Health
CITALOPRAM 40 MG
Mental Health
CLOMIPHENE CITRATE 50MG
Womans Health
CLONIDINE 0.1 MG
Heart Health & Blood Pressure
CLONIDINE 0.2 MG
Heart Health & Blood Pressure
CYCLOBENZAPRINE 5 MG
Arhritis,Gout & Pain
CYCLOBENZAPRINE 10 MG
Arhritis,Gout & Pain
D
DEXAMETHASONE .75 MG
Oral Oral Oral Steroids
DEXAMETHASONE 0.5 MG
Oral Oral Oral Steroids
DEXAMETHASONE 4 MG
Oral Oral Steroids
DICYCLOMINE 10 MG
Gastrointestinal Health
DICYCLOMINE 20 MG
Gastrointestinal Health
DIGOXIN 0.125 MG
Heart Health & Blood Pressure
DIGOXIN 0.25 MG
Heart Health & Blood Pressure
DILTIAZEM 30 MG
Heart Health & Blood Pressure
DILTIAZEM 60 MG
Heart Health & Blood Pressure
DILTIAZEM 90 MG
Heart Health & Blood Pressure
DILTIAZEM 120 MG
Heart Health & Blood Pressure
DOXAZOSIN 1 MG
Heart Health & Blood Pressure
DOXAZOSIN 2 MG
Heart Health & Blood Pressure
DOXAZOSIN 4 MG
Heart Health & Blood Pressure
DOXAZOSIN 8 MG
Heart Health & Blood Pressure
DOXEPIN HCL 10 MG
Mental Health
DOXEPIN HCL 25 MG
Mental Health
DOXEPIN HCL 50 MG
Mental Health
DOXEPIN HCL 75 MG
Mental Health
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
DOXEPIN HCL 100 MG
Mental Health
DOXYCYCLINE HYCLATE 50 MG
Antibiotic
Capsule /
DOXYCYCLINE HYCLATE 100 MG
Antibiotic
E
ENALAPRIL 2.5 MG
Heart Health & Blood Pressure
ENALAPRIL 5 MG
Heart Health & Blood Pressure
ENALAPRIL 10 MG
Heart Health & Blood Pressure
ENALAPRIL 20 MG
Heart Health & Blood Pressure
ENALAPRIL/HCTZ 5/12.5 MG
Heart Health & Blood Pressure
ESTRADIOL 0.5 MG
Womans Health
ESTRADIOL 1 MG
Womans Health
ESTRADIOL 2 MG
Womans Health
ESTROPIPATE 0.75 MG
Womans Health
ESTROPIPATE 1.5 MG
Womans Health
F
FAMOTIDINE 20 MG
Gastrointestinal Health
FINASTERIDE 5 MG
Men's Health
FLUCONAZOLE 150 MG
Fungal Infections
FLUOCINONIDE 0.05%
Skin Conditions
FLUOCINONIDE 0.05%
Skin Conditions
FLUOCINOLONE ACETIDE 0.01%
Skin Conditions
Solution
FLUOXETINE 10 MG
Mental Health
FLUOXETINE 10 MG
Mental Health
FLUOXETINE 20 MG
Mental Health
FLUPHENAZINE 1 MG
Mental Health
FOLIC ACID 1 MG
Vitamins & Nutritional Health
FUROSEMIDE 20 MG
Heart Health & Blood Pressure
FUROSEMIDE 40 MG
Heart Health & Blood Pressure
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
FUROSEMIDE 80 MG
Heart Health & Blood Pressure
GENTAMICIN 0.1%
Skin Conditions
Ointment
GLIMEPIRIDE 1 MG
Diabetes
GLIMEPIRIDE 2 MG
Diabetes
GLIMEPIRIDE 4 MG
Diabetes
GLIPIZIDE 5 MG
Diabetes
GLIPIZIDE 10 MG
Diabetes
GLYBURIDE 1.25MG
Diabetes
GLYBURIDE 2.5 MG
Diabetes
GLYBURIDE 5 MG
Diabetes
GLYBURIDE MICRO 3 MG
Diabetes
GLYBURIDE MICRO 6 MG
Diabetes
GUANFACINE 1 MG
Heart Health & Blood Pressure
H
HALOPERIDOL 0.5 MG
Mental Health
HALOPERIDOL 1 MG
Mental Health
HALOPERIDOL 2 MG
Mental Health
HALOPERIDOL 5 MG
Mental Health
HYDRALAZINE 10 MG
Heart Health & Blood Pressure
HYDROCHLOROTHIAZIDE 12.5 MG
Heart Health & Blood Pressure
HYDROCHLOROTHIAZIDE 25 MG
Heart Health & Blood Pressure
HYDROCHLOROTHIAZIDE 50 MG
Heart Health & Blood Pressure
HYDROCORTISONE 1%
Skin Conditions
HYDROCORTISONE 2.5%
Skin Conditions
HYDROCORTISONE AC 25 MG
Miscellaneous Conditions
Suppository
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
IBUPROFEN 100 MG/5 ML
Arhritis,Gout & Pain
Suspension
IBUPROFEN 400 MG
Arhritis,Gout & Pain
IBUPROFEN 600 MG
Arhritis,Gout & Pain
IBUPROFEN 800 MG
Arhritis,Gout & Pain
INDAPAMIDE 1.25 MG
Heart Health & Blood Pressure
INDAPAMIDE 2.5 MG
Heart Health & Blood Pressure
IPRATROPIUM NEB 0.2 MG/ML
Solution
ISONIAZID 300 MG
Miscellaneous Conditions
L
LACTULOSE 10 GM/15 ML
Gastrointestinal Health
Ophthalmic
LEVOBUNOLOL 0.5%
Glaucoma & Eye Care
Solution
LEVOTHYROXINE 25 MCG
Thyroid Conditions
LEVOTHYROXINE 50 MCG
Thyroid Conditions
LEVOTHYROXINE 75 MCG
Thyroid Conditions
LEVOTHYROXINE 88 MCG
Thyroid Conditions
LEVOTHYROXINE 100 MCG
Thyroid Conditions
LEVOTHYROXINE 112 MCG
Thyroid Conditions
LEVOTHYROXINE 125 MCG
Thyroid Conditions
LEVOTHYROXINE 137 MCG
Thyroid Conditions
LEVOTHYROXINE 150 MCG
Thyroid Conditions
LEVOTHYROXINE 175 MCG
Thyroid Conditions
LEVOTHYROXINE 200 MCG
Thyroid Conditions
LIDOCAINE VISCOUS 2%
Miscellaneous Conditions
Solution
LISINOPRIL 2.5 MG
Heart Health & Blood Pressure
LISINOPRIL 5 MG
Heart Health & Blood Pressure
LISINOPRIL 10 MG
Heart Health & Blood Pressure
LISINOPRIL 20 MG
Heart Health & Blood Pressure
LISINOPRIL/HCTZ 10-12.5 MG
Heart Health & Blood Pressure
LISINOPRIL/HCTZ 20-12.5 MG
Heart Health & Blood Pressure
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
LISINOPRIL/HCTZ 20-25 MG
Heart Health & Blood Pressure
LITHIUM CARB 300 MG
Mental Health
LORATADINE 10 MG
Allergies, Cold and Flu
LOVASTATIN 10 MG
Cholesterol
LOVASTATIN 20 MG
Cholesterol
M
MAGNESIUM OXIDE 400 MG
Vitamins & Nutritional Health
MEDROXYPROGESTERONE 2.5 MG
Womans Health
MEDROXYPROGESTERONE 5 MG
Womans Health
MEDROXYPROGESTERONE 10 MG
Womans Health
MELOXICAM 7.5 MG
Arhritis,Gout & Pain
MELOXICAM 15 MG
Arhritis,Gout & Pain
METFORMIN 500 MG
Diabetes
METFORMIN 850 MG
Diabetes
METFORMIN 1000 MG
Diabetes
METFORMIN ER 500 MG
Diabetes
METOCLOPRAMIDE 5 MG/5 ML
Gastrointestinal Health
METOCLOPRAMIDE 10 MG
Gastrointestinal Health
METOPROLOL TARTRATE 25 MG
Heart Health & Blood Pressure
METOPROLOL TARTRATE 50 MG
Heart Health & Blood Pressure
METOPROLOL TARTRATE 100MG
Heart Health & Blood Pressure
METRONIDAZOLE 250 MG
Antibiotic
N
NADOLOL 20 MG
Heart Health & Blood Pressure
NADOLOL 40 MG
Heart Health & Blood Pressure
NAPROXEN 375 MG
Arhritis,Gout & Pain
NAPROXEN 500 MG
Arhritis,Gout & Pain
Womans Health
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
NORTRIPTYLINE 10 MG
Mental Health
NORTRIPTYLINE 25 MG
Mental Health
NYSTATIN 100,000U
Fungal Infections
Ointment
NYSTATIN 100,000U
Fungal Infections
Ointment
NYSTATIN/TRIAMCINOLONE
Fungal Infections
NYSTATIN/TRIAMCINOLONE
Fungal Infections
NYSTATIN/TRIAMCINOLONE
Fungal Infections
Ointment
O
OXYBUTYNIN 5 MG
Miscellaneous Conditions
P
PAROXETINE 10 MG
Mental Health
PAROXETINE 20 MG
Mental Health
PENICILLIN VK 125 MG/5 ML
Antibiotic
Solution
PENICILLIN VK 250 MG/5 ML
Antibiotic
Solution
PENICILLIN VK 250 MG
Antibiotic
PENICILLIN VK 500MG
Antibiotic
PHENAZOPYRIDINE 100 MG
Miscellaneous Conditions
PHENAZOPYRIDINE 200 MG
Miscellaneous Conditions
Ophthalmic
PILOCARPINE 1%
Glaucoma & Eye Care
Solution
Ophthalmic
PILOCARPINE 2%
Glaucoma & Eye Care
Solution
Ophthalmic
POLYMYXIN SULFATE/TMP
Glaucoma & Eye Care
Solution
POTASSIUM CHLORIDE 10%
Vitamins & Nutritional Health
POTASSIUM CITRATE CITRIC
ACID SOLUTION
Gastrointestinal Health
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
PRAVASTATIN 10 MG
Cholesterol
PRAVASTATIN 20 MG
Cholesterol
PRAVASTATIN 40 MG
Cholesterol
PRAZOSIN HCL 1 MG
Heart Health & Blood Pressure
PREDNISONE 1MG
Oral Steroids
PREDNISONE 2.5 MG
Oral Oral Oral Steroids
PREDNISONE 5 MG
Oral Oral Oral Steroids
PREDNISONE 5 MG
Oral Oral Oral Steroids
PREDNISONE 10 MG
Oral Oral Oral Steroids
PREDNISONE 20 MG
Oral Oral Oral Steroids
PRENATAL PLUS WITH IRON
Vitamins & Nutritional Health
Previfem 28 Day
Womans Health
PROCHLORPERAZINE 10 MG
Gastrointestinal Health
PROMETHAZINE 6.25 MG/5 ML
Gastrointestinal Health
PROMETHAZINE 25 MG
Gastrointestinal Health
PROMETHAZINE DM SYRUP
Allergies, Cold and Flu
PROPRANOLOL 10 MG
Heart Health & Blood Pressure
PROPRANOLOL 20 MG
Heart Health & Blood Pressure
PROPRANOLOL 40 MG
Heart Health & Blood Pressure
PROPRANOLOL 80 MG
Heart Health & Blood Pressure
R
RANITIDINE 150 MG
Gastrointestinal Health
RANITIDINE 300 MG
Gastrointestinal Health
S
SILVER SULFADIAZINE 1%
Skin Conditions
SMZ/TMP 200/40/5 ML
Antibiotic
Suspension
SMZ/TMP 400/80 MG
Antibiotic
SMZ/TMP DS 800/160 MG
Antibiotic
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
SOTALOL HCL 80 MG
Heart Health & Blood Pressure
SPIRONOLACTONE 25 MG
Heart Health & Blood Pressure
Ophthalmic
SULFACETAMIDE SODIUM 10%
Glaucoma & Eye Care
Solution
T
TAMOXIFEN 10 MG
Womans Health
TAMOXIFEN 20 MG
Womans Health
TERAZOSIN 1 MG
Heart Health & Blood Pressure
TERAZOSIN 2 MG
Heart Health & Blood Pressure
TERAZOSIN 5 MG
Heart Health & Blood Pressure
TERAZOSIN 10 MG
Heart Health & Blood Pressure
TERBINAFINE 250 MG
Fungal Infections
TETRACYCLINE 250 MG
Antibiotic
TETRACYCLINE 500 MG
Antibiotic
THIORIDAZINE 10MG
Mental Health
THIORIDAZINE 25 MG
Mental Health
THIOTHIXENE 2 MG
Mental Health
Ophthalmic
TIMOLOL MALEATE 0.25%
Glaucoma & Eye Care
Solution
TRAZODONE 50 MG
Mental Health
TRAZODONE 100 MG
Mental Health
TRAZODONE 150 MG
Mental Health
TRIAMCINOLONE 0.025%
Skin Conditions
TRIAMCINOLONE 0.025%
Skin Conditions
TRIAMCINOLONE 0.1%
Skin Conditions
Ointment
TRIAMCINOLONE 0.1%
Skin Conditions
Ointment
Capsule /
TRIAMTERENE/HCTZ 37.5/25 MG
Heart Health & Blood Pressure
FAMILY PHARMACY'S NEW $4.00 PRESCRIPTION PROGRAM 90-day 30-day 90-day
Generic Drug Name /
Strength
Category Name
____________________
__________
TRIAMTERENE/HCTZ 75/50 MG
Heart Health & Blood Pressure
TRIHEXYPHENIDYL 2 MG
Mental Health
TRI-SPRINTEC 28-DAY
Womans Health
V
VERAPAMIL 80 MG
Heart Health & Blood Pressure
VERAPAMIL 120 MG
Heart Health & Blood Pressure
W
WARFARIN 1 MG
Heart Health & Blood Pressure
WARFARIN 2 MG
Heart Health & Blood Pressure
WARFARIN 2.5 MG
Heart Health & Blood Pressure
WARFARIN 3 MG
Heart Health & Blood Pressure
WARFARIN 4 MG
Heart Health & Blood Pressure
WARFARIN 5 MG
Heart Health & Blood Pressure
WARFARIN 6 MG
Heart Health & Blood Pressure
WARFARIN 7.5 MG
Heart Health & Blood Pressure
WARFARIN 10 MG
Heart Health & Blood Pressure
$4 prescriptions include up to a 30-day supply of covered drugs at commonly prescribed dosages. $11 prescriptions
include up to a 90-day supply of covered drugs at commonly prescribed dosages. Physician permission may be required
to change a 30-day prescription to a 90-day prescription. Prices are subject to change without notice.

Source: http://www.familyfoods.info/images/4DollarProgram.pdf