wcmp02-030049 rxgenerics nm8 -...
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PHARMACY®
$4 and $10 Generic Medication List
Medication Name/Strength Form
$430-Day
QTY
$1090-Day
QTY
AAcyclovir 200 mgAcyclovir 200 mg CapsuleCapsule 3030 9090Albuterol 2 mg/5mLAlbuterol 2 mg/5mL SyrupSyrup 120 mL120 mL 360mL360mLAlbuterol 2 mgAlbuterol 2 mg TabletTablet 9090 270270Albuterol 4 mg Albuterol 4 mg TabletTablet 6060 180180Albuterol NEB 0.083% Albuterol NEB 0.083% Solution*Solution* 75 mL75 mL 225 mL225 mLAlbuterol NEB 0.5% Albuterol NEB 0.5% SolutionSolution 20 mL20 mL 60 mL60 mLAllopurinol 100, 300 mgAllopurinol 100, 300 mg TabletTablet 3030 9090Amiloride/HCTZ 5-50 mgAmiloride/HCTZ 5-50 mg TabletTablet 3030 9090Amitriptyline 10, 25, 50, 75, 100 mgAmitriptyline 10, 25, 50, 75, 100 mg TabletTablet 3030 9090Amoxicillin 125 mg/5mLAmoxicillin 125 mg/5mL SuspensionSuspension 80 mL80 mL 240 mL240 mLAmoxicillin 125 mg/5mLAmoxicillin 125 mg/5mL SuspensionSuspension 100 mL100 mL 300 mL300 mLAmoxicillin 125 mg/5mLAmoxicillin 125 mg/5mL SuspensionSuspension 150 mL150 mL 450 mL450 mLAmoxicillin 200 mg/5mLAmoxicillin 200 mg/5mL SuspensionSuspension 50 mL50 mL 150 mL150 mLAmoxicillin 200 mg/5mLAmoxicillin 200 mg/5mL Suspension*Suspension* 75 mL75 mL 225 mL225 mLAmoxicillin 200 mg/5mLAmoxicillin 200 mg/5mL Suspension*Suspension* 100 mL100 mL 300 mL300 mLAmoxicillin 250 mgAmoxicillin 250 mg CapsuleCapsule 3030 9090Amoxicillin 250 mg/5mLAmoxicillin 250 mg/5mL SuspensionSuspension 80 mL80 mL 240 mL240 mLAmoxicillin 250 mg/5mLAmoxicillin 250 mg/5mL SuspensionSuspension 100 mL100 mL 300 mL300 mLAmoxicillin 250 mg/5mLAmoxicillin 250 mg/5mL SuspensionSuspension 150 mL150 mL 450 mL450 mLAmoxicillin 400 mg/5mLAmoxicillin 400 mg/5mL SuspensionSuspension 50 mL50 mL 150 mL150 mLAmoxicillin 400 mg/5mL Amoxicillin 400 mg/5mL Suspension*Suspension* 75 mL75 mL 225 mL225 mLAmoxicillin 400 mg/5mL Amoxicillin 400 mg/5mL Suspension*Suspension* 100 mL100 mL 300 mL300 mLAmoxicillin 500 mgAmoxicillin 500 mg CapsuleCapsule 3030 9090Antipyrine/BenzocaineAntipyrine/Benzocaine Otic SolutionOtic Solution 10 mL10 mL 30 mL30 mLAtenolol 25, 50, 100 mgAtenolol 25, 50, 100 mg TabletTablet 3030 9090Atenolol/Chlorthalidone 50/25 mgAtenolol/Chlorthalidone 50/25 mg TabletTablet 3030 9090Atenolol/Chlorthalidone 100/25 mgAtenolol/Chlorthalidone 100/25 mg TabletTablet 3030 9090
Atropine Sulfate 1% Atropine Sulfate 1% Opthalmic Opthalmic
SuspensionSuspension5 mL5 mL 15 mL15 mL
BBaclofen 10 mgBaclofen 10 mg TabletTablet 3030 9090Belladona Alkaloids/PhenobarbBelladona Alkaloids/Phenobarb TabletTablet 6060 180180Benazepril 5, 10, 20, 40 mgBenazepril 5, 10, 20, 40 mg TabletTablet 3030 9090Benzonatate 100 mgBenzonatate 100 mg CapsuleCapsule 1414 4242Benztropine 2 mg Benztropine 2 mg TabletTablet 3030 9090Betametasone Dipropionate 0.05% Betametasone Dipropionate 0.05% CreamCream 15 g15 g 45 g45 gBetametasone Dipropionate 0.05% Betametasone Dipropionate 0.05% CreamCream 45 g45 g 135 g135 gBetamethasone Valerate 0.1% Betamethasone Valerate 0.1% CreamCream 15 g15 g 45 g45 gBetamethasone Valerate 0.1% Betamethasone Valerate 0.1% CreamCream 45 g45 g 135 g135 gBetamethasone Valerate 0.1% Betamethasone Valerate 0.1% OintmentOintment 15 g15 g 45 g45 gBetamethasone Valerate 0.1% Betamethasone Valerate 0.1% OintmentOintment 45 g45 g 135 g135 gBisoprolol/HCTZ 2.5/6.25 mgBisoprolol/HCTZ 2.5/6.25 mg TabletTablet 3030 9090
Medication Name/Strength Form
$430-Day
QTY
$1090-Day
QTY
Bisoprolol/HCTZ 5/6.25 mg Tablet 30 90Bisoprolol/HCTZ 10/6.25 mg Tablet 30 90Bumetanide 0.5, 1 mg Tablet 30 90Buspirone 5, 10* mg Tablet* 60 180
CCaptopril 12.5, 25, 50, 100 mg Tablet 60 180Carbamazepine 200 mg Tablet* 60 180Carvedilol 3.125, 6.25, 12.5, 25* mg Tablet* 60 180Cephalexin 250 mg Capsule 28 84Cephalexin 500 mg Capsule 30 90Ceron DM 12.5/4/15 mg/5mL Syrup 120 mL 360 mLChlorhexidine Gluconate 0.12% Solution 473 mL 1419 mLChlorpropamide 100 mg Tablet* 30 90Cimetidine 800 mg Tablet* 30 90Ciprofl oxacin 250 mg Tablet 14 42Ciprofl oxacin 500 mg Tablet 20 60Citalopram 20, 40 mg Tablet 30 90Clonidine 0.1, 0.2 mg Tablet 30 90Cyclobenzaprine 5, 10 mg Tablet 30 90Cytra-2 Solution 180 mL 540 mL
DDexamethasone 0.75 mg Tablet 12 36Dexamethasone 0.5 mg Tablet 30 90Dexamethasone 4 mg Tablet 6 18Diclofenac ER 75 mg Tablet 60 180Dicyclomine 10 mg Capsule 90 270Dicyclomine 20 mg Capsule 60 180Digoxin 0.125, 0.25 mg Tablet 30 90Diltiazem 30, 60, 90* mg Tablet* 60 180Diltiazem 120 mg Tablet 30 90Doxazosin 1, 2, 4, 8 mg Tablet 30 90Doxepin HCL 10, 25, 50, 75, 100 mg Capsule 30 90Doxycycline Hyclate 50 mg Capsule 30 90Doxycycline Hyclate 100 mg Capsule/Tablet 20 60
EEnalapril 2.5, 5, 10, 20 mg Tablet 30 90Enalapril/HCTZ 5/12.5 mg Tablet 30 90
Erythromycin 5 mg/GMOpthalmic Ointment*
4 g 12 g
Estradiol .5, 1, 2 mg Tablet 30 90Estropipate 0.75, 1.5* mg Tablet* 30 90
FFamotidine 20 mg Tablet 60 180
Medication Name/Strength Form
$430-Day
QTY
$1090-Day
QTY
Fluconazole 150 mg Tablet 1 3Fluocinonide 0.05% Cream 15 g 45 gFluocinonide 0.05% Cream 30 g 90 gFluocinolone Acetonide 0.01% Solution 60 mL 180 mLFluoxetine 10 mg Tablet* 30 90Fluoxetine 10, 20, 40* mg Capsule* 30 90Fluphenazine 1 mg Tablet 30 90Folic Acid 1 mg Tablet 30 90Furosemide 20, 40, 80 mg Tablet 30 90
GGentamicin 0.1% Cream/Ointment 15 g 45 g
Gentamicin 0.3% Opthalmic Solution
5 mL 15 mL
Glimepiride 1, 2, 4 mg Tablet 30 90Glipizide 5 mg Tablet 30 90Glipizide 10 mg Tablet* 60 180Glyburide 2.5, 5 mg Tablet 30 90Glyburide Micro 3, 6 mg Tablet 30 90Guanfacine 1 mg Tablet 30 90
HHaloperidol 0.5, 1, 2, 5 mg Tablet 30 90Hydralazine 10, 25 mg Tablet 30 90Hydrochlorothiazide 12.5 mg Capsule* 30 90Hydrochlorothiazide 25, 50 mg Tablet 30 90Hydrocortisone 1%, 2.5% Cream 30 g 90 gHydrocortisone AC 25 mg Suppository 12 36
IIbuprofen 100 mg/5mL Suspension* 120 mL 360 mLIbuprofen 400 mg Tablet 90 270Ibuprofen 600 mg Tablet 60 180Ibuprofen 800 mg Tablet 30 90Indapamide 1.25, 2.5 mg Tablet 30 90Indomethacin 25 mg Capsule* 60 180Ipratropium NEB 0.02% Solution* 75 mL 225 mLIsoniazid 300 mg Tablet 30 90Isosorbide Mononitrate ER 30, 60 mg
Tablet 30 90
LLactulose 10 GM/15 mL Syrup 237 mL 711 mL
Levobunolol 0.5% Opthalmic Solution
5 mL 15 mL
Medication Name/ Strength Form
$430-Day
QTY
$1090-Day
QTY
Levothyroxine 25, 50, 75, 88, 100, 112, 125, 137, 150, 175*, 200* MCG
Tablet* 30 90
Lidocaine Viscous 2% Solution 100 mL 300 mLLisinopril 2.5, 5, 10, 20 mg Tablet 30 90Lisinopril/HCTZ 10-12.5 mg Tablet 30 90Lisinopril/HCTZ 20-12.5 mg Tablet* 30 90Lisinopril/HCTZ 20-25 mg Tablet* 30 90Lithium Carbonate 300 mg Capsule* 90 270Loratadine 10 mg Tablet 30 90Lovastatin 10, 20 mg Tablet* 30 90
MMagnesium Oxide 400 mg Tablet 30 90MAG64 64 mg Tablet* 60 180Medroxyprogesterone 2.5, 5 mg Tablet 30 90Medroxyprogesterone 10 mg Tablet 10 30Megestrol 20 mg* Tablet* 30 90Meloxicam 7.5, 15 mg Tablet 30 90Metformin 500, 850, 1000* mg Tablet* 60 180Metformin ER 500 mg Tablet* 60 180Methyldopa 250 mg Tablet* 60 180Methyldopa 500 mg Tablet* 30 90Methylprednisolone 4 mg Tablet Tab/Pak 21 63Metoclopramide 10 mg Tablet 60 180Metoclopramide 5 mg/5mL Syrup 60 mL 180 mLMetoprolol Tartrate 25, 50, 100* mg
Tablet* 60 180
Metronidazole 250 mg Tablet 28 84Metronidazole 500 mg Tablet 14 42
NNadolol 20, 40* mg Tablet* 30 90Naproxen 375, 500 mg Tablet* 60 180Neo/Polymx/Dexamethasone 0.1%
Ointment 4 g 12 g
Neo/Polymx/Dexamethasone 0.1% Suspension 5 15Nortriptyline 10, 25 mg Capsule 30 90Nystatin 100,000U Cream/ Ointment 15 g 45 gNystatin 100,000U Cream/ Cream/ Ointment 30 g 90 gNystatin/Triamcinolone Cream 15 g 45 gNystatin/Triamcinolone Cream 30 g 90 gNystatin/Triamcinolone Ointment 15 g 45 g
OOxybutynin 5 mg Tablet 60 180
PParoxetine 10, 20 mg Tablet* 30 90Penicillin VK 125 mg/5mL Solution 100 300Penicillin VK 125 mg/5mL Solution 200 600Penicillin VK 250 mg/5mL Solution 100 300
Medication Name/ Strength Form
$430-Day
QTY
$1090-Day
QTY
Penicillin VK 250 mg Tablet 28 84Phenazopyridine 100 mg Tablet 6 18Phenazopyridine 200 mg Tablet 30 90
Pilocarpine 1%, 2% Opthalmic Solution
15 45
Polymyxin Sulfate/TMPOpthalmic Solution*
10 mL 30 mL
Potassium Chloride 10% Liquid 473 mL 1419 mLPravastatin 10, 20, 40* mg Tablet* 30 90Prazosin HCL 1, 2*, 5* mg Capsule* 30 90Prednisone 5 mg Dose Pak 21 63Prednisone 5 mg Dose Pak* 48 144Prednisone 10 mg Dose Pak 21 63Prednisone 10 mg Dose Pak* 48 N/APrednisone 2.5, 5, 10, 20 mg Tablet 30 90Prenatal PLUS* Tablet* 30 N/AProchlorperazine 10 mg Tablet 30 90Promethazine 25 mg Tablet* 12 36Promethazine 6.25 mg/5mL Syrup* 180 mL 540 mLPromethazine DM Syrup 120 mL 360 mLPropranolol 10, 20, 40, 80 mg Tablet 60 180
RRanitidine 150 mg Tablet 60 180Ranitidine 300 mg Tablet 30 90
SSelenium Sulfide 2.5% Lotion* 120 mL 360 mLSilver Sulfadiazine 1% Cream* 50 g 150 gSMZ/TMP 200/40/5mL Suspension* 120 mL 360 mLSMZ/TMP 400/80 mg Tablet 28 84SMZ/TMP DS 800/160 mg Tablet 20 60Sodium Fluoride 0.5 mg Tablet* 120 N/ASotalol HCL 80 mg Tablet* 30 90Spironolactone 25 mg Tablet* 30 90
Sulfacetamide Sodium 10% Opthalmic Solution
15 mL 45 mL
TTerazosin 1, 2, 5, 10 mg Capsule 30 90Terbinafine 250 mg Tablet* 30 90Tetracycline 250 , 500 mg Capsule 60 180Thioridazine 25, 50 mg Tablet 30 90Thiothixene 2 mg Capsule 30 90
Timolol Maleate 0.25%, 0.5% Opthalmic Solution
5 mL 15 mL
Tobramycin 0.3% Opthalmic Solution
5 mL 15 mL
Trazodone 50, 100, 150 mg Tablet 30 90Triamcinolone 0.025% Cream 15 g 45 gTriamcinolone 0.025% Cream 80 g 240 g
Medication Name/ Strength Form
$430-Day
QTY
$1090-Day
QTY
Triamcinolone 0.1% Cream/Ointment 15 g 45 gTriamcinolone 0.1% Cream/Ointment 80 g 240 gTriamcinolone 0.5% Cream 15 g 45 gTriamterene/HCTZ 37.5/25 mg Capsule/ Tablet 30 90Triamterene/HCTZ 75/50 mg Tablet 30 90Trihexyphenidyl 2 mg Tablet 60 180
VVerapamil 80, 120 mg Tablet 30 90
WWarfarin 1, 2, 2.5, 3, 4, 5*, 6, 7.5, 10 mg
Tablet* 30 90
$9 and $24 Generic Medication List
Medication Name/ Strength Form
$930-Day
Qty
$2490-Day
Qty
Asthma
Ventolin HFA® Inhaler* 8 g N/A
Smoking Cessation
Bupropion 150 mg SR Tablet* 17 N/A
Women’s Health
Alendronate Sodium 35, 70 mg Tablet 4 12
Clomiphene 50 mg Tablet 5 15
Sprintec 28-Day Tablet* 28 N/A
Tamoxifen 10 mg Tablet 60 180
Tamoxifen 20 mg Tablet 30 90
Tri-Sprintec 28-Day Tablet* 28 N/A
Men’s Health
Levitra® 20mg Tablet1 (limit 10 per
guest, per month)
N/A
Finasteride 5mg Tablet 30 N/A
Disclaimer: $4 prescriptions include up to a 30-day supply of covered drugs at commonly prescribed dosages. $10 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. This list is subject to change.
*Drug and/or strength may be priced differently. These drugs may be priced differently in CA, HI, MN, MT, PA, RI, TN, WI and WY. Please ask your Target pharmacist for specific pricing in these states.
This list is also available at Target.com/Pharmacy
Last updated: December 2010