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BRAND TO GENERIC REFERENCE CHART BRAND TO GENERIC REFERENCE CHART COMPARE TO DESCRIPTION COMPARE TO DESCRIPTION FIBERCON® FIBER-LAX POLYCARBOPHIL TABLETS POLY-VI-SOL® POLY VITAMIN CHEW TABLETS & DROPS FLEET® ENEMA ENEMA DISPOSABLE POLY-VI-SOL® WITH IRON POLY VITAMIN W/IRON CHEW TABS & DROPS FLINTSTONES® CHEWABLE-VITE TABLETS PREVACID®24HR LANSOPRAZOLE DR CAPSULES FLINTSTONES® PLUS IRON CHEWABLE-VITE W/IRON TABLETS ROBITUSSIN® GUAIFENESIN COUGH SYRUP LACTAID® LAC-DOSE® CAPTABS ROBITUSSIN® DM GUAIFENESIN DM EXTRA ACTN COUGH SYRUP LIQUIFILM® TEARS ARTIFICIAL TEARS SOLUTION STERILE SEBULEX® SEBEX SHAMPOO MAALOX® ADVANCED REG. STRENGTH RULOX ANTACID SUSP-MINT FLAVOR SELSUN BLUE® SELENIUM SULF/ANTI-DANDRUFF SHAMPOO MEGA RED® KRILL OIL SOFTGEL CAPS SENOKOT® SENEXON® NATURAL VEG LAXATIVE LIQUID & TABS METAMUCIL® REGULOID® CAPSULES & POWDER SENOKOT-S® SENEXON®-S NATURAL VEG LAXATIVE TABS MINERAL ICE® BLUE GEL/MUSCULAR PAIN RELIEF SLOW FE® FERROUS SULFATE ER TABLETS MYLANTA® ALMACONE® ANTACID LIQUID STRESSTABS® VI-STRESS TABLETS MYLANTA® DOUBLE STRENGTH ALMACONE® DOUBLE STRENGTH ANTACID STUART PRENATAL® PRENAVITE® TABLETS FC MYLANTA® GAS SIMETHICONE GAS RELIEF TABLETS SUDAFED® PSEUDOEPHEDRINE/NASAL DECON TABLETS MYLANTA® GAS MAX STR SIMETHICONE MAX STR GAS RELIEF TABLETS SURFAK® DOC CAL/STL SOFT-DC SGEL CAPS MYLICON® SIMETHICONE GAS RELIEF DROPS TEARS NATURALE® NATURE’S TEARS NEO-CALGLUCON® CALCIONATE SYRUP THERAGRAN® THEREMS® FILM COATED TABLETS NICORETTE® GUM NICOTINE POLACRILEX GUM THERAGRAN-M® ADV THEREMS®-M FILM COATED TABLETS OCEAN® NASAL MIST SALINE MIST TINACTIN® TOLNAFTATE 1% ANTIFUNGAL POWDER OCUVITE® I-VITE TABLETS TRIPLE FLEX® GLUCOSAMINE, CHONDROITIN AND MSM OCUVITE® PRESERVISION® I-VITE PROTECT TABLETS TRI-VI-SOL® TRI-VITAMIN DROPS ONE-A-DAY® ESSENTIAL DAILY-VITE TABLETS TUMS® CAL-GEST® ANTACID CHEW TABLETS OS-CAL® 250+D TABS OYSCO® D TABLETS TYLENOL® APAP PAIN/FEVER TABLETS OS-CAL® 500 OYSCO® 500 TABLETS TYLENOL®, CHILDREN’S APAP PAIN/FEVER CHILDREN’S CHEW TABS OS-CAL® CHEWABLE OYSCO® 500+D CHEW TABS TYLENOL®, CHILDREN’S APAP PAIN/FEVER ORAL SOLUTION OS-CAL® 500+D OYSCO® 500+D TABLETS TYLENOL® EXTRA STR APAP PAIN/FEVER X-STR TABLETS/CAPTABS OXY BALANCE® BENZOYL PEROX/ACNE MED 5% GEL TYLENOL® INFANTS’ DROPS APAP PAIN/FEVER CONCENTRATED DROPS OXY-10 BALANCE® BENZOYL PEROX/ACNE MED 10% GEL TYLENOL® INFANTS’ ORAL SUSP APAP PAIN/FEVER CHILDREN’S ORAL SUSP PEDIALYTE® ORALYTE® SOLUTION & FREEZER POPS TYLENOL® PM APAP/DIPH CAPTABS PEPTO-BISMOL® PEPTIC RELIEF CHEW TABLETS UNICAP-M® UNICOMPLEX-M TABLETS PERCOGESIC® ACETA-GESIC® PAIN TABLETS VISINE® TETRAHYDROZOLINE/EYE DROPS PERI-COLACE® DOC SOD & SENNA TABLETS Z-BEC® BEE-ZEE TABLETS PHAZYME® SIMETHICONE GAS RELIEF SOFTGELS ZOSTRIX® CAPSAICIN 0.025% CREAM PHILLIPS’® MILK OF MAGNESIA ZYRTEC® CETIRIZINE HCL TABLETS RUGBY Products 2 RUGBY Products 3 NDC NO. 00536- DESCRIPTION SIZE COMPARE TO SWP UPC CODE 1 360501 ACETA-GESIC® PAIN TABLETS 100 PERCOGESIC® $2.40 305363605016 2 718001 ACIDOPHILUS CAPTABS® 100 $4.43 005367180013 3 718101 ACIDOPHILUS EXTRA STRENGTH CAPTABS® 100 $4.43 005367181010 4 750001 ALCOHOL PREPS STERILE PADS 100 $3.01 305367500010 5 037097 ALLER-CHLOR® SYRUP 4 OZ CHLOR-TRIMETON® $3.27 305360370979 6 346701 ALLER-CHLOR®/CPM 4 MG TABLETS 100 CHLOR-TRIMETON® $5.70 305363467010 7 346710 ALLER-CHLOR®/CPM 4 MG TABLETS 1000 CHLOR-TRIMETON® $17.17 305363467102 8 346735 ALLER-CHLOR®/CPM 4 MG TABLETS BL/PK 24 CHLOR-TRIMETON® $3.06 305363467355 9 002583 ALMACONE® ANTACID LIQUID 12 OZ MYLANTA® $3.10 305360025831 10 350401 ALMACONE® CHEW TABS MLT 100 $3.78 305363504012 11 001583 ALMACONE® DOUBLE STRENGTH ANTACID MYLANTA® DOUBLE STRENGTH $4.45 305360015832 12 009185 ALUMINUM HYDROXIDE GEL AMPHOJEL® $5.60 305360091850 12 OZ PT 13 558806 ANTIOXIDANT FORMULA SGEL CAPS 50 $5.40 005365588064 14 558908 ANTIOXIDANT ULTRA FORMULA SGEL CAPS 60 $13.43 005365589085 15 193672 APAP PAIN/FEVER CONCENTRATED DROPS TYLENOL® INFANTS’ DROPS $3.15 305361936723 16 012285 APAP ORAL SOL PAIN/ FEVER – CHERRY PT TYLENOL®, CHILDREN’S $8.25 305360122851 17 012297 APAP ORAL SOL PAIN/ FEVER – CHERRY 4 OZ TYLENOL®, CHILDREN’S $3.78 305360122974 18 322201 APAP 325 MG PAIN/ FEVER TABLETS 100 TYLENOL® $4.20 305363222015 19 322210 APAP 325 MG PAIN/ FEVER TABLETS 1000 TYLENOL® $22.42 305363222107 20 323307 APAP 80 MG PAIN/ FEVER CHILD’S CHEWTABS – FRUIT $2.63 305363233073 15 ML 30 TYLENOL®, CHILDREN’S 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 4/A NDC NO. 00536- DESCRIPTION SIZE COMPARE TO SWP UPC CODE 21 360696 APAP 160 MG PAIN/FEVER CHILD’S ORAL SUSP-CHERRY 2 OZ INFANTS’ TYLENOL® $3.94 305363606969 22 321801 APAP 500 MG PAIN/ FEVER X-STR CAPTABS 100 TYLENOL® EXTRA STR $5.10 305363218018 23 321810 APAP 500 MG PAIN/ FEVER X-STR CAPTABS 1000 TYLENOL® EXTRA STR $29.93 305363218100 24 323101 APAP 500 MG PAIN/ FEVER X-STR TABLETS 100 TYLENOL® EXTRA STR $4.72 305363231017 25 323110 APAP 500 MG PAIN/ FEVER X-STR TABLETS 1000 TYLENOL® EXTRA STR $29.85 305363231109 26 347906 APAP 500 MG/DIPH 25 MG CAPTABS 50 $5.27 305363479068 27 655091 ARTIFICIAL TEARS OPHTH OINTMENT 1 DZ $44.39 305366550917 28 197072 ARTIFICIAL TEARS SOLUTION STERILE 15 ML LIQUIFILM® TEARS $4.38 305361970727 29 329736 ASPIRIN 1 1/4 GR CHEW TABLETS BAYER® CHILDREN’S $2.25 305363297365 30 308610 ASPIRIN 81 MG EC TABLETS 1000 BAYER®, ASPIRIN REGIMEN $45.66 305363086105 31 308641 ASPIRIN 81 MG EC TABLETS 120 BAYER®, ASPIRIN REGIMEN $5.48 305363086419 32 331301 ASPIRIN 325 MG TABLETS EC ORANGE 100 ECOTRIN® 305363313010 36 TYLENOL® PM 33 331310 ASPIRIN 325 MG TABLETS EC ORANGE 1000 ECOTRIN® 34 330501 ASPIRIN 325 MG TABLETS MICRO-COATED WHITE 100 35 330510 ASPIRIN 325 MG TABLETS MICRO-COATED WHITE 1000 36 335708 BEE-ZEE TABLETS 60 37 409256 BENZOYL PEROX GEL /ACNE MED 10% 38 408956 BENZOYL PEROX GEL /ACNE MED 5% 39 081595 BENZOYL PEROX LOTION/ACNE MED 10% 40 081095 BENZOYL PEROX LOTION/ACNE MED 5% $4.20 $26.55 305363313102 BAYER®, GENUINE $3.45 305363305015 BAYER ®, GENUINE $20.25 305363305107 Z-BEC® $5.25 005363357082 TB OXY-10 BALANCE ® $6.91 305364092563 TB OXY BALANCE ® $5.68 305364089563 1 OZ $3.45 305360815951 1 OZ $3.02 305360810956 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 6/A-B NDC NO. 00536- SWP UPC CODE 100 $6.00 005364902014 BIOTIN 300 MCG TABLETS 100 $3.74 005366659015 43 230259 BLUE GEL /MUSCULAR PAIN RELIEF 8 OZ $3.97 305362302596 44 379201 CALCI-CHEW CHERRY 100 $11.66 005363792012 45 379101 CALCI-MIX 100 $13.71 005363791015 46 277085 CALCIONATE SYRUP PT NEO-CALGLUCON® $19.73 005362770851 47 342608 CALCIUM 600 TABLETS 60 CALTRATE® 600 $4.79 005363426085 48 342408 CALCIUM 600-D TABLETS 60 CALTRATE® 600 + D $4.79 005363424081 49 341410 CALCIUM CARBONATE 10 GR TABLETS 1000 $15.75 305363414106 50 688908 CALCIUM 500 MG CHEW TABLETS 60 $4.35 005366889085 51 341610 CALCIUM GLUCONATE 10 GR TABLETS 1000 $17.32 005363416109 52 342201 CALCIUM LACTATE 10 GR TABLETS 100 $3.46 005363422018 DESCRIPTION SIZE 41 490201 BETA CAROTENE 25,000 IU SGEL CAPS 42 665901 53 342210 CALCIUM LACTATE 10 GR TABLETS 1000 54 474297 CAL-GEST® ANTACID CHEW TABLETS 150 55 252525 CAPSAICIN 0.025% CREAM 56 344238 CEROVITE® TABLETS ADVANCED FORMULA 57 344308 CEROVITE® JR. CHEW TABLETS 58 279059 CEROVITE® LIQUID 59 344508 60 408888 COMPARE TO MINERAL ICE® $18.15 005363422100 TUMS® $4.13 305364742970 ZOSTRIX® $9.95 305362525254 130 CENTRUM® $6.45 005363442382 60 CENTRUM KIDS® COMPLETE $3.82 005363443082 60 GM 8 OZ CENTRUM® LIQUID $5.40 005362790590 CEROVITE® SENIOR TABLETS 60 CENTRUM® SILVER® $4.65 005363445086 CETIRIZINE HCL 10 MG TABLETS 14 ZYRTEC® $3.69 305364088887 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 8/B-C NDC NO. 00536- DESCRIPTION SIZE COMPARE TO SWP UPC CODE 61 408807 CETIRIZINE HCL 10 MG TABLETS 30 ZYRTEC® $4.60 305364088078 62 408811 CETIRIZINE HCL 10 MG TABLETS 90 ZYRTEC® $10.43 305364088115 63 344801 CHEWABLE VITE TABLETS 100 FLINTSTONES® $5.25 005363448018 64 344901 CHEWABLE VITE W/IRON TABLETS 100 FLINTSTONES® PLUS IRON $5.47 005363449015 65 345101 CHLOROPHYLL TABLETS 100 $2.78 005363451018 66 666808 CHROMIUM (PICOLINATE) 200 MCG SGEL CAPS 60 $7.43 005366668086 67 322408 CITRUS CALCIUM + D TABLETS 60 CITRACAL® MAXIMUM $5.10 005363224087 68 322301 CITRUS CALCIUM W/VITAMIN D TABLETS 100 CITRACAL® PETITES $5.10 005363223011 69 638401 COD LIVER OIL SGEL CAPS 100 $3.30 005366384016 70 193807 COENZYME Q10 100 MG SGEL CAPS 30 $14.85 005361938078 71 203007 COENZYME Q10 200 MG SGEL CAPS 30 $17.34 005362030078 72 999512 CONDOMS PREM. LUBRICATED (BOX 12) 1 $3.78 305369995128 73 354701 DAILY-VITE TABLETS 100 ONE-A-DAY® ESSENTIAL $4.19 005363547018 74 354710 DAILY-VITE TABLETS 1000 ONE-A-DAY® ESSENTIAL $20.92 005363547100 75 354601 DAILY-VITE TABLETS W/IRON 100 $3.52 005363546011 76 354610 DAILY-VITE TABLETS W/IRON 1000 $20.92 005363546103 77 059085 DIOCTO LIQUID PT COLACE® LIQUID $12.00 305360590858 78 060085 DIOCTO SYRUP PT COLACE® $5.70 305360600854 79 359701 DIPHENHIST® 25 MG CAPTABS 100 BENADRYL® ALLERGY $6.38 305363597014 80 359401 DIPHENHIST® 25 MG BANDED CAPSULES 100 BENADRYL® ALLERGY $6.38 305363594013 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 10/C-D NDC NO. 00536- DESCRIPTION SIZE COMPARE TO SWP UPC CODE 81 077097 DIPHENHIST® ORAL SOLUTION BOXED 4 OZ BENADRYL® ALLERGY LIQ $3.78 305360770977 82 077085 DIPHENHIST® ORAL SOLUTION PT BENADRYL® ALLERGY LIQ $7.42 305360770854 83 377206 DIPHENHYDRAMINE HCL 50 MG TABLETS 50 COMPOZ® $4.43 305363772060 84 375501 DOC CAL/STL SOFT-DC 240 MG SGEL CAPS 100 SURFAK® $9.14 305363755018 85 375510 DOC CAL/STL SOFT-DC 240 MG SGEL CAPS 1000 SURFAK® $77.48 305363755100 86 375505 DOC CAL/STL SOFT-DC 240 MG SGEL CAPS 500 SURFAK® $40.91 305363755056 87 375701 DOC SOD/STL SOFT 250 MG X-STR SGEL CAPS 100 $6.57 305363757012 88 375710 DOC SOD/STL SOFT 250 MG X-STR SGEL CAPS 1000 $40.83 305363757104 89 375601 DOC SOD/STL SOFT 100 MG –RED SGEL CAPS 100 COLACE® $5.92 305363756015 90 375610 DOC SOD/STL SOFT 100 MG –RED SGEL CAPS 1000 COLACE® $32.40 305363756107 91 035510 DOCUSATE SODIUM 50 MG & SENNA 8.6 MG TABS 1000 PERI-COLACE® $31.95 305360355105 92 035501 DOCUSATE SODIUM 50 MG & SENNA 8.6 MG TABS 100 PERI-COLACE® $4.95 305360355013 93 300094 EARWAX TREATMENT DROPS 15 ML DEBROX® $2.54 305363000941 94 741551 ENEMA DISPOSABLE 4.5 OZ FLEET® ENEMA $0.79 305367415512 95 090197 EYE IRRIGATING SOLUTION 4 OZ $4.12 305360901975 96 589001 FERROUS SULFATE 325 MG (5 GR) FC RED TABLETS 100 $4.04 005365890013 97 071080 FER-IRON DROPS FER-IN-SOL® DROPS $5.24 005360710804 98 065085 FERROUS SULFATE ELIXIR PT FEOSOL® ELIXIR $5.93 005360650858 99 348107 FERROUS SULFATE ER 140 MG TABLETS 30 SLOW FE® $5.81 005363481077 100 348108 FERROUS SULFATE ER 140 MG TABLETS 60 SLOW FE® $9.90 005363481084 50 ML 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 12/D-F NDC NO. 00536- DESCRIPTION SIZE COMPARE TO SWP UPC CODE 101 430605 FIBER-LAX POLYCARBOPHIL 500 MG TABLETS 500 FIBERCON® $44.62 305364306059 102 430608 FIBER-LAX POLYCARBOPHIL 500 MG TABLETS 60 FIBERCON® $6.59 305364306080 103 430611 FIBER-LAX POLYCARBOPHIL 500 MG TABLETS 90 FIBERCON® $11.24 305364306110 104 384401 FOLIC ACID 400 MCG TABLETS 100 $2.10 005363844018 105 384301 FOLIC ACID 800 MCG TABLETS 100 $2.40 005363843011 106 311108 GLUCOSAMINE, CHONDROITIN AND MSM 60 TRIPLE FLEX® $12.76 005363111080 107 082597 GUAIFENESIN COUGH SYRUP BOXED 4 OZ ROBITUSSIN® $2.79 305360825974 108 082585 GUAIFENESIN COUGH SYRUP PT ROBITUSSIN® $4.94 305360825851 109 097085 GUAIFENESIN DM EXTRA ACTN COUGH SYRUP PT ROBITUSSIN® DM $8.09 305360970858 110 097097 GUAIFENESIN DM EXTRA ACTN COUGH SYRUP 4 OZ ROBITUSSIN® DM $3.27 305360970971 111 138912 HEMORRHOIDAL SUPPOSITORIES $3.30 305361389123 112 510895 HYDROCORTISONE 1% CREAM/HYDROSKIN® 1 OZ $2.85 305365108959 12 113 510597 HYDROCORTISONE 1% LOTION/HYDROSKIN® 4 OZ 114 360330 IBUPROFEN 200 MG SOFTGEL CAPSULES 80 115 358701 IBUPROFEN 200 MG TAB BROWN ROUND 116 358710 CORTIZONE-10 ® $8.09 305365105972 ADVIL® LIQUI-GELS® $6.32 305363603302 100 ADVIL® $4.67 305363587015 IBUPROFEN 200 MG TAB BROWN ROUND 1000 ADVIL® $46.83 305363587107 117 358702 IBUPROFEN 200 MG TAB BROWN ROUND 250 ADVIL® $9.33 305363587022 118 358706 IBUPROFEN 200 MG TAB BROWN ROUND 50 ADVIL® $2.92 305363587060 119 398401 INOSITOL 500 MG TABLETS 100 $8.24 005363984011 120 509008 I-VITE TABLETS 60 $4.64 005365090086 OCUVITE® 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 14/F-I NDC NO. 00536- DESCRIPTION SIZE COMPARE TO 121 417841 I-VITE PROTECT TABLETS 120 OCUVITE® PRESERVISION® $10.31 005364178419 122 231097 KIDKARE COUGH & COLD LIQUID 4 OZ $3.15 305362310973 123 348008 KRILL OIL 300 MG SOFTGEL CAPS 60 MEGA RED® $21.55 005363480087 124 408706 LAC-DOSE ® CAPTABS 50 LACTAID® $5.70 005364087063 125 412288 LANSOPRAZOLE DR 15 MG CAPS 14 PREVACID®24HR $9.64 305364122888 126 338101 LAXATIVE EC TABS/BISACODYL 5 MG 100 DULCOLAX® $7.41 305363381019 127 338110 LAXATIVE EC TABS/BISACODYL 5 MG 1000 DULCOLAX® $27.55 305363381101 128 135501 LAXATIVE SUPPOSITORIES/BISACODYL 10 MG 100 DULCOLAX® SUPP $15.75 305361355012 129 135512 LAXATIVE SUPPOSITORIES/BISACODYL 10 MG 12 DULCOLAX® SUPP $4.17 305361355128 130 741008 L-CARNITINE 250 MG CAPS 60 $37.99 005367410080 131 390808 LIPOGEN SGEL CAPS 60 $6.45 005363908086 132 673101 L-LYSINE 500 MG TABLETS 100 $3.52 005366731018 SWP UPC CODE 133 704906 L-TYROSINE 500 MG CAPTABS ® 50 $6.30 005367049068 134 668001 MAGNESIUM 27 MG CHELATED TABLETS 100 $3.37 005366680019 135 352141 MAGNESIUM OXIDE 400 MG TABLETS 120 $8.25 005363521414 136 398501 MECLIZINE HCL 12.5 MG TABLETS 100 $4.72 305363985019 137 398510 MECLIZINE HCL 12.5 MG TABLETS 1000 $42.48 305363985101 138 399001 MECLIZINE HCL 25 MG CHEW TABLETS 100 BONINE® $4.80 305363990013 139 399010 MECLIZINE HCL 25 MG CHEW TABLETS 1000 BONINE® $43.20 305363990105 140 641208 MELATONIN 3 MG TABLETS $12.95 005366412085 60 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 16/I-M NDC NO. 00536- DESCRIPTION SIZE COMPARE TO SWP UPC CODE 141 247083 MILK OF MAGNESIA 12 OZ PHILLIPS’® $2.92 305362470837 142 247085 MILK OF MAGNESIA PT PHILLIPS’® $3.60 305362470851 143 404401 MULTILEX TABLETS 100 $5.70 005364044011 144 406001 MULTILEX T&M TABLETS 100 $6.83 005364060011 145 404610 MULTIVITAMINS TABLETS (8 VITAMINS) 1000 $19.12 005364046107 146 411306 NAPROXEN SODIUM 220 MG CAPTABS ALEVE® $4.53 305364113060 147 623772 NATURE’S TEARS TEARS NATURALE® $4.35 305366237726 148 730001 NEPHRO-VITE ® TABLETS 100 $16.54 005367300015 149 407601 NIACIN 100 MG TABLETS (NICOTINIC) 100 $2.55 005364076012 150 407610 NIACIN 100 MG TABLETS (NICOTINIC) 1000 $21.39 005364076104 151 407810 NIACIN 500 MG TABLETS (NICOTINIC) 1000 $27.50 005364078108 152 407001 NIACIN 50 MG TABLETS (NICOTINIC) 100 $2.10 005364070010 50 15 ML 153 407401 NIACIN 250 MG ER CAPSULES (NICOTINIC) 100 $8.42 005364074018 154 407701 NIACIN 500 MG ER CAPSULES (NICOTINIC) 100 $11.21 005364077019 155 703801 NIACIN 1000 MG TR CAPTABS® (NICOTINIC) 100 $8.25 005367038017 156 703001 NIACIN 500 MG TR TABLETS (NICOTINIC) 100 $6.30 005367030011 157 703301 NIACIN 750 MG TR TABLETS (NICOTINIC) 100 $7.42 005367033012 158 406801 NIACINAMIDE 100 MG TABLETS 100 $2.40 005364068017 159 406901 NIACINAMIDE 500 MG TABLETS 100 $3.45 005364069014 160 136234 NICOTINE GUM 2 MG MINT 20 $11.99 305361362348 NICORETTE ® GUM 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 18/M-N NDC NO. 00536- DESCRIPTION SIZE COMPARE TO SWP UPC CODE 161 136206 NICOTINE GUM 2 MG MINT 50 NICORETTE® GUM $21.36 305361362065 162 137234 NICOTINE GUM 4 MG MINT 20 NICORETTE ® GUM $13.32 305361372347 163 137206 NICOTINE GUM 4 MG MINT 50 NICORETTE® GUM $25.81 305361372064 164 136223 NICOTINE GUM 2 MG MINT 110 NICORETTE® GUM $30.98 305361362232 165 137223 NICOTINE GUM 4 MG MINT 110 NICORETTE® GUM $41.96 305361372231 166 302934 NICOTINE GUM 2 MG ORIGINAL 20 NICORETTE ® GUM $11.99 305363029348 167 302906 NICOTINE GUM 2 MG ORIGINAL 50 NICORETTE® GUM $21.36 305363029065 168 302923 NICOTINE GUM 2 MG ORIGINAL 110 NICORETTE® GUM $30.98 305363029232 169 303006 NICOTINE GUM 4 MG ORIGINAL 50 NICORETTE® GUM $25.81 305363030061 170 303023 NICOTINE GUM 4 MG ORIGINAL 110 NICORETTE® GUM $41.96 305363030238 171 340437 NICOTINE GUM 2 MG COATED CINNAMON 40 NICORETTE® CINNAMON $23.40 SURGE™ COATED GUM 305363404374 172 340401 NICOTINE GUM 2 MG COATED CINNAMON 100 NICORETTE® CINNAMON $39.50 SURGE™ COATED GUM 305363404015 305363405371 173 340537 NICOTINE GUM 4 MG COATED CINNAMON 40 NICORETTE® CINNAMON $24.63 SURGE™ COATED GUM 174 340501 NICOTINE GUM 4 MG COATED CINNAMON 100 NICORETTE® CINNAMON $41.58 SURGE™ COATED GUM 305363405012 175 338637 NICOTINE GUM 2 MG COATED FRUIT 40 NICORETTE® FRUIT CHILL™ $23.40 COATED GUM 305363386373 176 338601 NICOTINE GUM 2 MG COATED FRUIT 100 NICORETTE® FRUIT CHILL™ $39.50 COATED GUM 305363386014 177 338737 NICOTINE GUM 4 MG COATED FRUIT 40 NICORETTE® FRUIT CHILL™ $24.63 COATED GUM 305363387370 178 338701 NICOTINE GUM 4 MG COATED FRUIT 100 NICORETTE® FRUIT CHILL™ $41.58 COATED GUM 305363387011 179 311237 NICOTINE GUM 2 MG COATED MINT 40 NICORETTE® FRESH MINT™ $23.40 COATED GUM 305363112378 180 311201 NICOTINE GUM 2 MG COATED MINT 100 NICORETTE® FRESH MINT™ $39.50 COATED GUM 305363112019 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 20/N NDC NO. 00536- DESCRIPTION SIZE COMPARE TO 181 311337 NICOTINE GUM 4 MG COATED MINT 40 NICORETTE® FRESH MINT™$24.63 COATED GUM 305363113375 182 311301 NICOTINE GUM 4 MG COATED MINT 100 NICORETTE® FRESH MINT™ $41.58 COATED GUM 305363113016 183 500572 NRS®-NASAL RELIEF SPRAY AFRIN® SPRAY 305365005722 15 ML 184 500575 NRS®-NASAL RELIEF SPRAY 30 ML 185 139517 ORALYTE® FREEZER POPS 186 093686 SWP $3.38 UPC CODE AFRIN® SPRAY $4.42 305365005753 16 PEDIALYTE® $6.58 305361395179 ORALYTE® SOLUTION – BUBBLE GUM 33 OZ PEDIALYTE® $6.58 305360936861 187 093586 ORALYTE® SOLUTION – FRUIT 33 OZ PEDIALYTE® $6.58 305360935864 188 138586 ORALYTE® SOLUTION – GRAPE 33 OZ PEDIALYTE® $6.58 305361385866 189 000486 ORALYTE® SOLUTION – UNFLAVORED 33 OZ PEDIALYTE® $6.58 305360004867 190 781708 OYSCO® 500 + D TABLETS 60 OS-CAL® 500 + D $4.35 005367817087 191 781710 OYSCO® 500 + D TABLETS 1000 OS-CAL® 500 + D $14.49 005367817100 192 339908 OYSCO® 500 + D CHEW TABS $5.67 005363399082 60 OS-CAL® CHEWABLE 193 410602 OYSCO® 500 TABLETS 250 OS-CAL® 500 $13.42 005364106023 194 410608 OYSCO® 500 TABLETS 60 OS-CAL® 500 $4.35 005364106085 195 410301 OYSCO® D/CALCIUM SUPPLEMENT TABLETS 100 OS-CAL® 250 + D TABS $3.52 005364103015 196 410310 OYSCO® D/CALCIUM SUPPLEMENT TABLETS 1000 OS-CAL® 250 + D TABS $22.43 005364103107 197 410302 OYSCO® D/CALCIUM SUPPLEMENT TABLETS 250 OS-CAL® 250 + D TABS $7.95 005364103022 198 671701 PANTOTHENIC ACID 500 MG TABLETS 100 $5.62 005366717012 199 650601 PAPAYA ENZYME TABLETS 100 $2.90 005366506012 200 430107 PEPTIC RELIEF CHEW TABLETS 30 $2.93 305364301078 PEPTO-BISMOL® 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 22/N-P NDC NO. 00536- DESCRIPTION SIZE COMPARE TO SWP UPC CODE $3.12 305361810597 201 181059 PEPTIC RELIEF LIQUID 8 OZ 202 242558 PHENASEPTIC THROAT SPRAY 6 OZ CHLORASEPTIC® $2.93 305362425585 203 430401 POLY VITAMIN CHEW TABLETS 100 POLY-VI-SOL® $4.43 005364304016 204 781601 POLY VITAMIN CHEW W/IRON TABS 100 POLY-VI-SOL® WITH IRON $4.65 005367816011 205 845080 POLY VITAMIN DROPS 50 ML POLY-VI-SOL® $5.24 005368450801 206 853080 POLY VITAMIN DROPS W/IRON 50 ML POLY-VI-SOL® WITH IRON $5.24 005368530800 207 408501 PRENAVITE® TABLETS FC 100 STUART PRENATAL® $6.21 005364085014 208 406301 PRENAVITE® TABLETS PROTEIN COATED 100 $6.21 005364063012 209 311607 PROBIOTIC FORMULA CAPSULES 30 $9.94 005363116078 210 185097 PSEUDOEPHEDRINE/NASAL DCON. LIQUID BOX 4 OZ $3.15 305361850975 211 185085 PSEUDOEPHEDRINE/NASAL DCON. LIQUID PT $7.42 305361850852 212 439135 PSEUDOEPHEDRINE/NASAL DCON. TABS BL/PK 24 $2.47 305364391352 213 150060 REGULOID® CAPSULES 214 187579 REGULOID® S-FREE LAX POWDER ORANGE 215 187516 216 SUDAFED ® METAMUCIL® $9.70 305361500603 10 OZ METAMUCIL® ORANGE $6.42 305361875794 REGULOID® S-FREE LAX POWDER ORANGE 15 OZ METAMUCIL® ORANGE $7.96 305361875169 188179 REGULOID® S-FREE LAX POWDER REGULAR 10 OZ METAMUCIL® $6.42 305361881795 217 188116 REGULOID® S-FREE LAX POWDER REGULAR 15 OZ METAMUCIL® $7.96 305361881160 218 444554 REGULOID®/NAT VEGETABLE LAX POWDER ORANGE 13 OZ METAMUCIL® ORANGE $5.25 305364445543 219 444589 REGULOID®/NAT VEGETABLE LAX POWDER ORANGE 19 OZ METAMUCIL® ORANGE $7.42 305364445895 220 444454 REGULOID®/NAT VEGETABLE LAX POWDER REGULAR 13 OZ METAMUCIL® $5.25 305364444546 160 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 24/P-R NDC NO. 00536- DESCRIPTION COMPARE TO SWP UPC CODE 221 444489 REGULOID®/NAT VEGETABLE LAX POWDER REGULAR 19 OZ METAMUCIL® $7.42 305364444898 222 194583 RULOX ANTACID SUSP-MINT FLAVOR 19 OZ MAALOX® ADVANCED REG. STRENGTH $2.85 305361945831 223 250676 SALINE MIST 45 ML OCEAN® NASAL MIST $2.32 005362506764 SIZE 224 718601 SEA OMEGA® 30 SGEL CAPS 100 $6.75 005367186015 225 718706 SEA OMEGA® 50 SGEL CAPS 50 $7.07 005367187067 226 196297 SEBEX SHAMPOO 4 OZ SEBULEX® $4.43 305361962975 227 199553 SELENIUM SULF/ANTI-DANDRUFF SHAMPOO 7 OZ SELSUN BLUE® $4.57 305361995539 228 127559 SENEXON® LIQUID 8 OZ SENOKOT® $17.52 305361275594 229 590401 SENEXON® NATURAL VEG LAXATIVE TABS 100 SENOKOT® $4.77 305365904018 230 590410 SENEXON® NATURAL VEG LAXATIVE TABS 1000 SENOKOT® $27.75 305365904100 231 408601 SENEXON®-S 50/8.6 MG TABS 100 SENOKOT-S® $4.95 305364086012 232 408610 SENEXON®-S 50/8.6 MG TABS 1000 SENOKOT-S® $31.95 305364086104 233 453408 SIMETHICONE 125 MG GAS RELIEF TABLETS 60 MYLANTA® GAS MAX STR $5.02 305364534087 234 453301 SIMETHICONE 80 MG GAS RELIEF TABLETS 100 MYLANTA® GAS $6.30 305364533011 235 222075 SIMETHICONE/GAS RELIEF DROPS 30 ML MYLICON® $7.05 305362220753 236 360408 SIMETHICONE 180 MG GAS RELIEF SOFTGELS 60 PHAZYME® $3.05 305363604088 237 454410 SODIUM BICARBONATE 10 GR TABLETS 1000 $13.65 305364544109 238 454010 SODIUM BICARBONATE 5 GR TABLETS 1000 $11.55 305364540101 239 991601 SYRINGE INS 1/2 CC 28 G X 1/2 IN U100 100 $23.85 005369916016 240 991501 SYRINGE INS 1 CC 28 G X 1/2 IN U100 100 $23.85 005369915019 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 26/R-S NDC NO. 00536- DESCRIPTION SIZE COMPARE TO SWP UPC CODE 241 993001 SYRINGE INS 1CC 31 G X 5/16 IN U100 100 $16.55 005369930012 242 094094 TETRAHYDROZOLINE/EYE DROPS 15 ML VISINE® $2.10 305360940943 243 466010 THEREMS® FILM COATED TABLETS 1000 THERAGRAN® $36.83 005364660105 244 466038 THEREMS® FILM COATED TABLETS 130 THERAGRAN® $7.35 005364660389 245 466711 THEREMS®-H TABLETS 90 $8.50 005364667111 246 466110 THEREMS®-M FILM COATED TABLETS 1000 THERAGRAN-M® ADV $39.02 005364661102 247 466138 THEREMS®-M FILM COATED TABLETS 130 THERAGRAN-M® ADV $7.60 005364661386 248 515026 TOLNAFTATE 1% ANTIFUNGAL POWDER 45 GM TINACTIN® $3.37 305365150262 249 850180 TRI-VITAMIN DROPS 50 ML TRI-VI-SOL® $8.07 005368501800 250 475011 UNICOMPLEX-M TABLETS 90 UNICAP-M® $4.50 005364750110 251 475308 VI-STRESS TABLETS 60 STRESSTABS® $5.47 005364753081 252 478701 VIT B COMPLEX SGEL CAPS 100 $3.35 005364787017 253 355601 VIT B-12 1000 MCG TABLETS CYANOCOBALAMIN 100 $5.02 005363556010 254 354201 VIT B-12 100 MCG TABLETS CYANOCOBALAMIN 100 $2.25 005363542013 255 355101 VIT B-12 500 MCG TABLETS CYANOCOBALAMIN 100 $3.60 005363551015 256 440601 VIT B-6 25 MG TABLETS PYRIDOX HCL 100 $3.44 005364406017 257 440901 VIT B-6 100 MG TABLETS PYRIDOX HCL 100 $3.30 005364409018 258 440801 VIT B-6 50 MG TABLETS PYRIDOX HCL 100 $3.89 005364408011 259 440810 VIT B-6 50 MG TABLETS PYRIDOX HCL 1000 $15.67 005364408103 260 468001 VIT B-1 100 MG TABLETS THIAMINE 100 $4.50 005364680011 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 28/S-V NDC NO. 00536- DESCRIPTION SIZE 261 468010 VIT B-1 100 MG TABLETS THIAMINE 262 467801 COMPARE TO SWP UPC CODE 1000 $20.25 005364680103 VIT B-1 50 MG TABLETS THIAMINE 100 $2.17 005364678018 263 329201 VIT C 500 MG TABLETS 100 $4.12 005363292017 264 329210 VIT C 500 MG TABLETS 1000 $29.25 005363292109 265 329101 VIT C 500 MG CHEW TABLETS 100 $5.47 005363291010 266 016097 VIT C 500 MG SYRUP 4 OZ $4.88 005360160975 267 016085 VIT C 500 MG SYRUP PT $14.25 005360160852 268 333401 VIT D 1000 IU TABLETS 100 $2.85 005363334014 269 379001 VIT D 2000 IU SGEL CAPS 100 $6.80 005363790018 270 479301 VIT E 100 IU SGEL CAPS 100 $3.78 005364793018 271 479901 VIT E 400 IU SGEL CAPS 100 $6.44 005364799010 272 476301 VITA-BEE W/C CAPTABS ® 100 $4.58 005364763011 ALLBEE® WITH C 273 718301 ZINC & C LOZENGES 100 $3.90 005367183014 274 667101 ZINC CHELATED 50 MG TABLETS 100 $2.85 005366671017 275 570098 ZINC OXIDE OINTMENT 1 LB $6.75 305365700986 276 245001 ZINC SULFATE 220 MG TABLETS 100 $7.50 005362450012 Prices subject to change without notice. Third-party trademarks are the property of their respective owners. Medicaid reimbursable in most states. 30/V-Z 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 NOTES 32 Other Useful Phone Numbers Important Contact Information
