docWCMP02-030049 RxGenerics NM9
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WCMP02-030049 RxGenerics NM9
PHARMACY ® 4 and $10 Generic Medication List $ Medication Name/ Strength A Acyclovir 200 mg Albuterol 2 mg/5mL Albuterol 2 mg Albuterol 4 mg Albuterol NEB 0.083% Albuterol NEB 0.5% Allopurinol 100, 300 mg Amiloride/HCTZ 5-50 mg Amitriptyline 10, 25, 50, 75, 100 mg Amoxicillin 125 mg/5mL Amoxicillin 125 mg/5mL Amoxicillin 125 mg/5mL Amoxicillin 200 mg/5mL Amoxicillin 200 mg/5mL Amoxicillin 200 mg/5mL Amoxicillin 250 mg Amoxicillin 250 mg/5mL Amoxicillin 250 mg/5mL Amoxicillin 250 mg/5mL Amoxicillin 400 mg/5mL Amoxicillin 400 mg/5mL Amoxicillin 400 mg/5mL Amoxicillin 500 mg Antipyrine/Benzocaine Atenolol 25, 50, 100 mg Atenolol/Chlorthalidone 50/25 mg Atenolol/Chlorthalidone 100/25 mg Atropine Sulfate 1% B Baclofen 10 mg Belladona Alkaloids/Phenobarb Benazepril 5, 10, 20, 40 mg Benzonatate 100 mg Benztropine 2 mg Bisoprolol/HCTZ 2.5/6.25 mg Bisoprolol/HCTZ 5/6.25 mg Bisoprolol/HCTZ 10/6.25 mg Bumetanide 0.5, 1 mg Buspirone 5, 10* mg C Captopril 12.5, 25, 50, 100 mg Form $4 30-Day QTY $10 90-Day QTY Capsule Syrup Tablet Tablet Solution* Solution Tablet Tablet Tablet Suspension Suspension Suspension Suspension Suspension* Suspension* Capsule Suspension Suspension Suspension Suspension Suspension* Suspension* Capsule Otic Solution Tablet Tablet Tablet Opthalmic Suspension 30 120 mL 90 60 75 mL 20 mL 30 30 30 80 mL 100 mL 150 mL 50 mL 75 mL 100 mL 30 80 mL 100 mL 150 mL 50 mL 75 mL 100 mL 30 10 mL 30 30 30 90 360mL 270 180 225 mL 60 mL 90 90 90 240 mL 300 mL 450 mL 150 mL 225 mL 300 mL 90 240 mL 300 mL 450 mL 150 mL 225 mL 300 mL 90 30 mL 90 90 90 5 mL 15 mL Tablet Tablet Tablet Capsule Tablet Tablet Tablet Tablet Tablet Tablet* 30 60 30 14 30 30 30 30 30 60 90 180 90 42 90 90 90 90 90 180 Tablet 60 180 Medication Name/ Strength Carbamazepine 200 mg Carvedilol 3.125, 6.25, 12.5, 25* mg Cephalexin 250 mg Cephalexin 500 mg Ceron DM 12.5/4/15 mg/5mL Chlorhexidine Gluconate 0.12% Chlorpropamide 100 mg Cimetidine 800 mg Ciprofloxacin 250 mg Ciprofloxacin 500 mg Citalopram 20, 40 mg Clonidine 0.1, 0.2 mg Cyclobenzaprine 5, 10 mg Cytra-2 D Dexamethasone 0.75 mg Dexamethasone 0.5 mg Dexamethasone 4 mg Diclofenac ER 75 mg Dicyclomine 10 mg Dicyclomine 20 mg Digoxin 0.125, 0.25 mg Diltiazem 30, 60, 90* mg Diltiazem 120 mg Doxazosin 1, 2, 4, 8 mg Doxepin HCL 10, 25, 50, 75, 100 mg Doxycycline Hyclate 50 mg Doxycycline Hyclate 100 mg E Enalapril 2.5, 5, 10, 20 mg Enalapril/HCTZ 5/12.5 mg Erythromycin 5 mg/GM Estradiol .5, 1, 2 mg Estropipate 0.75, 1.5* mg F Famotidine 20 mg Fluconazole 150 mg Fluocinonide 0.05% Fluocinonide 0.05% Fluoxetine 10 mg Fluoxetine 10, 20, 40* mg Fluphenazine 1 mg Form $4 30-Day QTY $10 90-Day QTY Tablet* Tablet* Capsule Capsule Syrup Solution Tablet* Tablet* Tablet Tablet Tablet Tablet Tablet Solution 60 60 28 30 120 mL 473 mL 30 30 14 20 30 30 30 180 mL 180 180 84 90 360 mL 1419 mL 90 90 42 60 90 90 90 540 mL Tablet Tablet Tablet Tablet Capsule Capsule Tablet Tablet* Tablet Tablet Capsule Capsule Capsule/Tablet 12 30 6 60 90 60 30 60 30 30 30 30 20 36 90 18 180 270 180 90 180 90 90 90 90 60 Tablet Tablet Opthalmic Ointment* Tablet Tablet* 30 30 90 90 4g 12 g 30 30 90 90 Tablet Tablet Cream Cream Tablet* Capsule* Tablet 60 1 15 g 30 g 30 30 30 180 3 45 g 90 g 90 90 90 Medication Name/ Strength Folic Acid 1 mg Furosemide 20, 40, 80 mg G Ganituss DM NR Gentamicin 0.1% Gentamicin 0.3% Glimepiride 1, 2, 4 mg Glipizide 5 mg Glipizide 10 mg Glyburide 2.5, 5 mg Glyburide Micro 3, 6 mg Guanfacine 1 mg H Haloperidol 0.5, 1, 2, 5 mg Hydralazine 10, 25 mg Hydrochlorothiazide 12.5 mg Hydrochlorothiazide 25, 50 mg Hydrocortisone 1%, 2.5% Hydrocortisone AC 25 mg I Ibuprofen 100 mg/5mL Ibuprofen 400 mg Ibuprofen 600 mg Ibuprofen 800 mg Indapamide 1.25, 2.5 mg Indomethacin 25 mg Ipratropium NEB 0.02% Isoniazid 300 mg Isosorbide Mononitrate ER 30, 60 mg L Lactulose 10 GM/15 mL Levobunolol 0.5% Levothyroxine 25, 50, 75, 88, 100, 112, 125, 137, 150, 175*, 200* MCG Lidocaine Viscous 2% Lisinopril 2.5, 5, 10, 20 mg Lisinopril/HCTZ 10-12.5 mg Lisinopril/HCTZ 20-12.5 mg Lisinopril/HCTZ 20-25 mg Lithium Carbonate 300 mg Loratadine 10 mg Form $4 30-Day QTY $10 90-Day QTY Tablet Tablet 30 30 90 90 Liquid Cream/Ointment Opthalmic Solution Tablet Tablet Tablet* Tablet Tablet Tablet 120 mL 15 g 360 mL 45 g 5 mL 15 mL 30 30 60 30 30 30 90 90 180 90 90 90 Tablet Tablet Capsule* Tablet Cream Suppository 30 30 30 30 30 g 12 90 90 90 90 90 g 36 Suspension* Tablet Tablet Tablet Tablet Capsule* Solution* Tablet Tablet 120 mL 90 60 30 30 60 75 mL 30 30 360 mL 270 180 90 90 180 225 mL 90 90 Syrup Opthalmic Solution 237 mL 711 mL 5 mL 15 mL Tablet* 30 90 Solution Tablet Tablet Tablet* Tablet* Capsule* Tablet 100 mL 30 30 30 30 90 30 300 mL 90 90 90 90 270 90 Medication Name/ Strength Lovastatin 10, 20 mg M Magnesium Oxide 400 mg MAG64 64 mg Medroxyprogesterone 2.5, 5 mg Medroxyprogesterone 10 mg Megestrol 20 mg* Meloxicam 7.5, 15 mg Metformin 500, 850, 1000* mg Metformin ER 500 mg Methyldopa 250 mg Methyldopa 500 mg Metoclopramide 10 mg Metoclopramide 5 mg/5mL Metoprolol Tartrate 25, 50, 100* mg N Nadolol 20, 40* mg Naproxen 375, 500 mg Neo/Polymx/Dexamethasone 0.1% Neo/Polymx/Dexamethasone 0.1% Nortriptyline 10, 25 mg Nystatin 100,000U Nystatin 100,000U Cream/ Nystatin/Triamcinolone Nystatin/Triamcinolone Nystatin/Triamcinolone O Oxybutynin 5 mg P Paroxetine 10, 20 mg Penicillin VK 125 mg/5mL Penicillin VK 125 mg/5mL Penicillin VK 250 mg/5mL Penicillin VK 250 mg Phenazopyridine 100 mg Phenazopyridine 200 mg Pilocarpine 1%, 2% Polymyxin Sulfate/TMP Potassium Chloride 10% Pravastatin 10, 20, 40* mg Prazosin HCL 1, 2*, 5* mg Prednisone 5 mg Prednisone 5 mg Prednisone 10 mg Prednisone 10 mg Prednisone 2.5, 5, 10, 20 mg Form $4 30-Day QTY $10 90-Day QTY Tablet* 30 90 Tablet Tablet* Tablet Tablet Tablet* Tablet Tablet* Tablet* Tablet* Tablet* Tablet Syrup Tablet* 30 60 30 10 30 30 60 60 60 30 60 60 mL 60 90 180 90 30 90 90 180 180 180 90 180 180 mL 180 Tablet* Tablet* Ointment Suspension Capsule Cream/ Ointment Cream/ Ointment Cream Cream Ointment 30 60 4g 5 30 15 g 30 g 15 g 30 g 15 g 90 180 12 g 15 90 45 g 90 g 45 g 90 g 45 g Tablet 60 180 Tablet* Solution Solution Solution Tablet Tablet Tablet Opthalmic Solution Opthalmic Solution* Liquid Tablet* Capsule* Dose Pak Dose Pak* Dose Pak Dose Pak* Tablet 30 100 200 100 28 6 30 90 300 600 300 84 18 90 15 45 10 mL 30 mL 473 mL 30 30 21 48 21 48 30 1419 mL 90 90 63 144 63 N/A 90 Medication Name/ Strength Prenatal PLUS* Prochlorperazine 10 mg Promethazine 25 mg Promethazine 6.25 mg/5mL Promethazine DM Propranolol 10, 20, 40, 80 mg R Ranitidine 150 mg Ranitidine 300 mg S Silver Sulfadiazine 1% SMZ/TMP 200/40/5mL SMZ/TMP 400/80 mg SMZ/TMP DS 800/160 mg Sodium Fluoride 0.5 mg Sotalol HCL 80 mg Spironolactone 25 mg Sulfacetamide Sodium 10% T Terazosin 1, 2, 5, 10 mg Terbinafine 250 mg Tetracycline 250 , 500 mg Thioridazine 25, 50 mg Thiothixene 2 mg Timolol Maleate 0.25%, 0.5% Tobramycin 0.3% Trazodone 50, 100, 150 mg Triamcinolone 0.025% Triamcinolone 0.025% Triamcinolone 0.1% Triamcinolone 0.1% Triamcinolone 0.5% Triamterene/HCTZ 37.5/25 mg Triamterene/HCTZ 75/50 mg Trihexyphenidyl 2 mg V Verapamil 80, 120 mg W Warfarin 1, 2, 2.5, 3, 4, 5*, 6, 7.5, 10 mg Form $4 30-Day QTY $10 90-Day QTY Tablet* Tablet Tablet* Syrup* Syrup Tablet 30 30 12 180 mL 120 mL 60 N/A 90 36 540 mL 360 mL 180 Tablet Tablet 60 30 180 90 Cream* Suspension* Tablet Tablet Tablet* Tablet* Tablet* Opthalmic Solution 50 g 120 mL 28 20 120 30 30 150 g 360 mL 84 60 N/A 90 90 15 mL 45 mL Capsule Tablet* Capsule Tablet Capsule Opthalmic Solution Opthalmic Solution Tablet Cream Cream Cream/Ointment Cream/Ointment Cream Capsule/ Tablet Tablet Tablet 30 30 60 30 30 90 90 180 90 90 5 mL 15 mL 5 mL 15 mL 30 15 g 80 g 15 g 80 g 15 g 30 30 60 90 45 g 240 g 45 g 240 g 45 g 90 90 180 Tablet 30 90 Tablet* 30 90 $9 and $24 Generic Medication List Form $9 30-Day Qty 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 Medication Name/ Strength $24 90-Day Qty Women’s Health Men’s Health Levitra® 20mg Tablet Finasteride 5mg Tablet 1 (limit 10 per guest, per month) N/A 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: May 2011
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