85% F Of - Walgreens

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Medication ListWalgreens Plus members receive discounts on thousands ofgeneric and brand-name medications included on this MedicationList, which is divided into four sections: Value-Priced Generics,Brand-Name, Lifestyle and Discounted Medications.*Up to85% offCash Prices Up to60on Atorvastatin (genericLipitor) and Rosuvastatin(generic Crestor)*%offCash Prices*Saving at Walgreens is easierwith Walgreens PlusTM, anexclusive program availableat 17 select stores. With20% off storewide everyday,# discounts on eligibleprescription purchases* andfree prescription delivery,§we’re adding more value tothe Walgreens experience youalready enjoy.* Savings apply only to prescriptions purchased by Walgreens Plus members from 17 select stores listed at Walgreens.com/Plus. Cannot be combined with any form of insuranceor other pharmacy benefit programs. Actual savings will vary.# Only valid in a Walgreens store located in Florida or on Walgreens.com. Excludes prescriptions, clinic services, pharmacy items and services, sales tax, shipping andmembership fees. Other restrictions apply.§ Not available in all areas and excludes orders for perishable, age-restricted and other sensitive products as well as orders billed to Medicare Part B. Other restrictions andlimitations apply.Learn more about the Walgreens Plus program at Walgreens.com/Plus.

Table of contentsValue-Priced Generics3-12Antifungal3Antiviral3Arthritis or Pain3Asthma4Blood Pressure/Heart 8Ear Care8Eye Care8Gastrointestinal Health8Gout9InfectionsMedical DevicesMental HealthMouth/Throat/DentalSkin Conditions9-101010-111111-12Thyroid Conditions12Urinary Health12Vitamins and Nutritional Health12-13Women’s Health13-14OtherBrand-Name Medications1415Insulins15Diabetic Supplies15Lifestyle Medications16Birth Control16Erectile Dysfunction16Discounted T60-76U-Z76-80

Medication ListThe price for a medication identified as “Value-Priced” is listed below: 30-day-supply drugs cost 5 (tier 1), 10 (tier 2) or 15 (tier 3) 90-day-supply drugs cost 10 (tier 1), 20 (tier 2) or 30 (tier 3)The Discounted Medications section lists the discounts offered to Walgreens Plus members on other genericand brand-name medications not included in the Value-Priced Medication section.The price for a medication is based on its tier and whether it is a 30-day or 90-day supply.† There may be an additionalcost for quantities greater than those listed. This discount prescription pricing applies only to Walgreen Plus members onprescriptions purchased in select Walgreens stores that are not billed to insurance and/or used in combination with otherhealth or pharmacy benefit programs. For further details, see your pharmacist or Walgreens.com/Plus.Value-Priced GenericsAntifungalQuantityDrug NameTier30-day90-dayFLUCONAZOLE 150MG TAB213TERBINAFINE 250MG OFEN 10MG TAB33090CYCLOBENZAPRINE 5MG TAB23090CYCLOBENZAPRINE 10MG TAB23090DICLOFENAC SODIUM 75MG EC TAB360180IBUPROFEN 100MG/5ML ORAL SUSP2120360IBUPROFEN 400MG TAB290270IBUPROFEN 600MG TAB260180IBUPROFEN 800MG TAB260180INDOMETHACIN 25MG CAP260180INDOMETHACIN 50MG CAP13090KETOPROFEN 50MG CAP390270KETOPROFEN 75MG CAP360180KETOROLAC 30MG/ML INJ, 2ML31545MELOXICAM 7.5MG TAB23090MELOXICAM 15MG TAB23090NAPROXEN 250MG TAB260180NAPROXEN 500MG TAB260180NAPROXEN 375MG TAB260180NAPROXEN DR 500MG TAB360180AntiviralQuantityDrug NameACYCLOVIR 200MG CAPSArthritis or PainQuantityDrug NameThis Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/20183

Medication ListValue-Priced GenericsAsthmaQuantityDrug NameTier30-day90-dayALBUTEROL 0.083% INH SOLN 25X3ML275225AMINOPHYLLINE 100MG TAB260180AMINOPHYLLINE 200MG TAB260180DYPHYLLINE-GG 100-100 ELIXIR2240720DYPHYLLIN-GG TAB33090IPRATROPIUM INHAL SOLN 60 X 2.5ML275225Tier30-day90-dayAMILORIDE 5MG / HCTZ 50MG TAB23090AMIODARONE 200MG TAB23090AMLODIPINE BESYLATE 2.5MG TAB23090AMLODIPINE BESYLATE 5MG TAB23090AMLODIPINE BESYLATE 10MG TAB33090ATENOLOL 100MG TAB13090ATENOLOL 25MG TAB260180ATENOLOL 50MG TAB260180ATENOLOL/CHLORTHALIDONE 50/25 TAB33090BENAZEPRIL 5MG TAB23090BENAZEPRIL 10MG TAB23090BENAZEPRIL 20MG TAB23090BENAZEPRIL 40MG TAB23090BISOPROLOL FUMARATE 5MG TAB23090BISOPROLOL/HCTZ 2.5MG/6.25MG TAB23090BISOPROLOL/HCTZ 5MG/6.25MG TAB23090BISOPROLOL/HCTZ 10MG/6.25MG TAB23090CARVEDILOL 3.125MG TAB260180CARVEDILOL 6.25MG TAB260180CARVEDILOL 12.5MG TAB260180CARVEDILOL 25MG TAB260180CLONIDINE 0.1MG TAB260180CLONIDINE 0.2MG TAB260180CLONIDINE 0.3MG TAB260180DILTIAZEM 30MG TAB260180DILTIAZEM 60MG TAB360180DILTIAZEM 120MG TAB23090DOXAZOSIN 1MG TAB33090DOXAZOSIN 2MG TAB33090DOXAZOSIN 4MG TAB33090ENALAPRIL 2.5MG TAB260180ENALAPRIL 5MG TAB260180ENALAPRIL-HCTZ 5-12.5MG TAB260180ENALAPRIL-HCTZ 10-25MG TAB23090FOSINOPRIL 10MG TAB23090FOSINOPRIL 20MG TAB23090Blood Pressure/Heart HealthQuantityDrug NameThis Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/20184

Medication ListValue-Priced GenericsBlood Pressure/Heart Health, continuedQuantityDrug NameTier30-dayFOSINOPRIL 40MG TAB33090-day90FUROSEMIDE 10MG/ML ORAL SOLN 60ML390270FUROSEMIDE 20MG TAB160180FUROSEMIDE 40MG TAB160180FUROSEMIDE 80MG TAB13090GUANFACINE 1MG TAB23090GUANFACINE 2MG TAB23090HYDRALAZINE 10MG TAB16090HYDRALAZINE 25MG TAB260180HYDROCHLOROTHIAZIDE 12.5MG CAP23090YDROCHLOROTHIAZIDE 12.5MG TAB33090HYDROCHLOROTHIAZIDE 25MG TAB13090HYDROCHLOROTHIAZIDE 50MG TAB13090INDAPAMIDE 1.25MG TAB23090INDAPAMIDE 2.5MG TAB23090ISOSORBIDE DINITRATE 2.5MG SL TAB23090ISOSORBIDE DINITRATE 5MG SUBL TAB3120360ISOSORBIDE MONONITRATE 30MG ER TAB23090ISOSORBIDE MONONITRATE 60MG ER TAB23090LISINOPRIL 2.5MG TAB23090LISINOPRIL 5MG TAB23090LISINOPRIL 10MG TAB13090LISINOPRIL 20MG TAB13090LISINOPRIL 30MG TAB23090LISINOPRIL 40MG TAB23090LISINOPRIL-HCTZ 10/12.5MG TAB23090LISINOPRIL-HCTZ 20/12.5MG TAB23090LISINOPRIL-HCTZ 20/25MG TAB23090METHYLDOPA 250MG TAB360180METHYLDOPA 500MG TAB360180METOPROLOL TARTRATE 25MG TAB260180METOPROLOL TARTRATE 50MG TAB260180METOPROLOL TARTRATE 100MG TAB260180PRAZOSIN 1MG CAP33090PROPRANOLOL 60MG TAB360180QUINAPRIL 5MG TAB23090QUINAPRIL 10MG TAB23090QUINAPRIL 20MG TAB33090QUINAPRIL 40MG TAB23090RAMIPRIL 1.25MG CAP33090SOTALOL 120MG TAB260180SPIRONOLACTONE 25MG TAB23090SPIRONOLACTONE 50MG TAB23090TERAZOSIN 1MG CAP23090TERAZOSIN 2MG CAP23090TERAZOSIN 5MG CAP23090This Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/20185

Medication ListValue-Priced GenericsBlood Pressure/Heart Health, continuedQuantityDrug NameTier30-dayTERAZOSIN 10MG CAP23090-day90TICLOPIDINE 250MG TAB360180TORSEMIDE 5MG TAB33090TORSEMIDE 10MG TAB33090TORSEMIDE 20MG TAB33090TRANDOLAPRIL 1MG TAB23090TRANDOLAPRIL 2MG TAB23090TRANDOLAPRIL 4MG TAB23090TRIAMTERENE 37.5MG/ HCTZ 25MG CAP23090TRIAMTERENE 37.5MG/ HCTZ 25MG TAB33090TRIAMTERENE 75MG/ HCTZ 50MG TAB13090VERAPAMIL 40MG TAB360180VERAPAMIL 80MG TAB13090VERAPAMIL 120MG TAB23090WARFARIN SOD 1MG TAB23090WARFARIN SOD 2.5MG TAB23090WARFARIN SOD 2MG TAB23090WARFARIN SOD 3MG TAB23090WARFARIN SOD 4MG TAB23090WARFARIN SOD 5MG TAB23090WARFARIN SOD 6MG TAB23090WARFARIN SOD 7.5MG TAB23090WARFARIN SOD 10MG** TAB23090Tier30-day90-dayATORVASTATIN 10MG TAB33090ATORVASTATIN 20MG TAB33090ATORVASTATIN 40MG TAB33090ATORVASTATIN 80MG TAB33090FENOFIBRATE 54MG TAB33090GEMFIBROZIL 600MG TAB360180LOVASTATIN 10MG TAB23090LOVASTATIN 20MG TAB23090LOVASTATIN 40MG TAB23090PRAVASTATIN 10MG TAB23090PRAVASTATIN 20MG TAB23090PRAVASTATIN 40MG TAB23090PRAVASTATIN 80MG TAB23090ROSUVASTATIN 5MG TAB33090ROSUVASTATIN 10MG TAB33090ROSUVASTATIN 20MG TAB33090ROSUVASTATIN 40MG TAB33090SIMVASTATIN 5MG TAB23090SIMVASTATIN 10MG TAB23090CholesterolQuantityDrug NameThis Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/20186

Medication ListValue-Priced GenericsCholesterol, continuedQuantityDrug NameTier30-day90-daySIMVASTATIN 20MG TAB23090SIMVASTATIN 40MG TAB23090SIMVASTATIN 80MG TAB23090Cough/Cold/AllergyQuantityDrug NameTier30-day90-dayALLER-CHLOR 4MG TAB1100300BENZONATATE 100MG CAP23090BENZONATATE 200MG CAP33090CETIRIZINE 1MG/ML SYRUP3120360CYPROHEPTADINE 2MG/5ML SYRUP3120360DE-CHLOR DM LIQUID2120360DE-CHLOR DR SYRUP2180540DEHISTINE SYRUP3240720DIPHENHYDRAMINE 50MG CAP23090FLUTICASONE NASAL SP (120INH) 16GM31648LORATADINE 10MG TAB13090NOHIST TAB33090ORGAN-I NR 200MG TAB3120360PBM ALLERGY SYRUP3120360PHENYLTOLOXAMINE PE CPM SYRUP2240720PROMETHAZINE 12.5MG TAB23090PROMETHAZINE 25MG TAB11236PROMETHAZINE 50MG TAB260180PROMETHAZINE DM SYRUP2180540QUARTUSS DM DROPS 30ML33090QV-ALLERGY SYRUP3240720REME TUSSIN DM SYRUP3150450SILDEC PE-DM SYRUP1120360SILDEC-PE SYRUP1120360SUPRESS-DX PED DROPS 30ML33090TRIPOHIST LIQUID3120360Tier30-day90-dayGLIMEPIRIDE 1MG TAB13090GLIMEPIRIDE 2MG TAB13090GLIMEPIRIDE 4MG TAB23090GLIPIZIDE 5MG TAB13090GLIPIZIDE 10MG TAB260180GLIPIZIDE ER 10MG TAB33090GLIPIZIDE XL 2.5MG TAB360180GLIPIZIDE XL 5MG TAB33090GLYBURIDE 1.25MG TAB13090DiabetesQuantityDrug NameThis Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/20187

Medication ListValue-Priced GenericsDiabetes, continuedQuantityDrug NameTier30-day90-dayGLYBURIDE 2.5MG TAB23090GLYBURIDE 5MG TAB23090GLYBURIDE MICRO 1.5MG TAB13090GLYBURIDE MICRO 3MG TAB13090GLYBURIDE MICRO 6MG TAB23090GLYBURIDE/METFORMIN 1.25/250MG TAB260180GLYBURIDE/METFORMIN 2.5/500MG TAB260180METFORMIN 500MG TAB190270METFORMIN 850MG TAB190270METFORMIN 1000MG TAB160180METFORMIN ER 500MG 24HR TRACIN/POLYMYX OPHTHOINT 3.5GM33.510.5ERYTHROMYCIN OPHTH OINT 3.5GM23.510.5GENTAMICIN 0.3% OPHTH SOLN 5ML2515LEVOBUNOLOL 0.5% OPTH SOLN 5ML2515PILOCARPINE 0.5% OPHTH SOLN31545POLYMYXIN-B/TRIMETHOPRIMOPHTH SOLN21030SULFACETAMIDE NA 10% OPH SOL 15ML21545TIMOLOL MALEATE .25% OPHTH SOL 5ML2515TIMOLOL MALEATE 0.5% OPHTH SOLN 5ML2515TOBRAMYCIN 0.3% OPH SOL 5ML2515Tier30-day90-dayCIMETIDINE ORAL LIQ 300MG/5ML3240720DICYCLOMINE 10MG CAP290270DICYCLOMINE 20MG TAB260180DOC-Q-LACE 100MG CAP260180FAMOTIDINE 20MG TAB160180FAMOTIDINE 40MG TAB13090METOCLOPRAMIDE 5MG TAB260180METOCLOPRAMIDE 10MG TAB260180METOCLOPRAMIDE HCL 5MG/5ML SOLN160180NIZATIDINE 150MG CAP360180RANITIDINE 150MG TAB260180RANITIDINE 300MG TAB23090Ear CareQuantityDrug NameANTIPYRINE BENZOCAINE OTIC SOL 15MLEye CareQuantityDrug NameGastrointestinal HealthQuantityDrug NameThis Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/20188

Medication ListValue-Priced GenericsGoutQuantityDrug NameTier30-day90-dayALLOPURINOL 100MG TAB260180ALLOPURINOL 300MG TAB360180InfectionsQuantityDrug NameTier30-day90-dayAMOX-CLAV 200MG/5ML SUSP 100ML3100300AMOX-CLAV 400MG/5ML SUSP 100ML3100300AMOXICILLIN 250MG CAP13090AMOXICILLIN 500MG CAP13090AMOXICILLIN 125MG CHEWABLE TAB23090AMOXICILLIN 250MG CHEW TAB340120AMOXICILLIN 125MG/5ML SUSP 80ML2150450AMOXICILLIN 125MG/5ML SUSP 100ML2150450AMOXICILLIN 125MG/5ML SUSP 150ML2150450AMOXICILLIN 200MG/5ML SUSP 75ML1100300AMOXICILLIN 200MG/5ML SUSP 100ML1100300AMOXICILLIN 250MG/5ML SUSP 80ML1150450AMOXICILLIN 250MG/5ML SUSP 100ML1150450AMOXICILLIN 250MG/5ML SUSP 150ML1150450AMOXICILLIN 400MG/5ML SUSP 50ML1100300AMOXICILLIN 400MG/5ML SUSP 75ML1100300AMOXICILLIN 400MG/5ML SUSP 100ML1100300AMOXICILLIN 500MG TAB33090AMOXICILLIN 875MG TAB32060AMPICILLIN 250MG CAP240120AMPICILLIN 500MG CAP360180CEFPROZIL 125MG/5ML SUSP 50ML3100300CEFPROZIL 125MG/5ML SUSP 75ML3100300CEFPROZIL 125MG/5ML SUSP 100ML3100300CEPHALEXIN 250MG CAP12884CEPHALEXIN 500MG CAP23090CIPROFLOXACIN 250MG TAB11442CIPROFLOXACIN 500MG TAB12060CIPROFLOXACIN 750MG TAB32060CLINDAMYCIN 150MG CAP33090LINDAMYCIN 300MG CAP32884METRONIDAZOLE 250MG TAB22884METRONIDAZOLE 500MG TAB31442PENICILLIN VK 125MG/5ML SOLN 100ML2200600PENICILLIN VK 125MG/5ML SOLN 200ML2200600PENICILLIN VK 250MG/5ML SOLN 100ML2100300PENICILLIN VK 250MG/5ML SOLN 200ML2100300PENICILLIN VK 250MG TAB13090PENICILLIN VK 500MG TAB12060SMZ/TMP REGULAR STRENGTH TAB22884This Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/20189

Medication ListValue-Priced GenericsInfections, continuedQuantityDrug NameTier30-day90-daySULFAMETH/TRIMETHOPRIM 800/160 TAB22884TRIMETHOPRIM 100MG TYLINE 10MG TAB13090AMITRIPTYLINE 25MG TAB13090AMITRIPTYLINE 50MG TAB13090BENZTROPINE 0.5MG TAB23090BENZTROPINE 1MG TAB360180BENZTROPINE 2MG TAB23090BUSPIRONE 5MG TAB260180BUSPIRONE 10MG TAB260180CITALOPRAM 10MG TAB13090CITALOPRAM 20MG TAB13090CITALOPRAM 40MG TAB13090CLOZAPINE 25MG TAB33090DOXEPIN 10MG CAP33090DOXEPIN 25MG CAP33090DOXEPIN HCL 10MG/ML CONC 118ML390270FLUOXETINE 10MG CAP23090FLUOXETINE 20MG CAP13090FLUOXETINE 40MG CAP23090FLUPHENAZINE 2.5MG TAB33090FLUVOXAMINE 25MG TAB33090GABAPENTIN 100MG CAP190270GABAPENTIN 250MG/5ML SOLN3236708HALOPERIDOL 0.5MG TAB360180HALOPERIDOL 1MG TAB23090HALOPERIDOL 2MG TAB33090HYDROXYZINE 10MG/5ML SYRUP3240720HYDROXYZINE HCL 25MG TAB23090HYDROXYZINE HCL 50MG TAB33090HYDROXYZINE PAMOATE 25MG CAP390270IMIPRAMINE 10MG TAB360180IMIPRAMINE 25MG TAB360180IMIPRAMINE 50MG TAB33090LITHIUM CARBONATE 150MG CAP360180LITHIUM CARBONATE 300MG CAP290270Medical DevicesQuantityDrug NamePROCHAMBER AERO SPACERMental HealthQuantityDrug NameThis Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/201810

Medication ListValue-Priced GenericsMental Health, continuedQuantityDrug NameTier30-day90-dayLITHIUM CARBONATE 300MG TAB360180LITHIUM CARBONATE 600MG CAP360180METHOCARBAMOL 500MG TAB23090METHOCARBAMOL 750MG TAB360180MIRTAZAPINE 15MG TAB13090NORTRIPTYLINE 10MG CAP23090NORTRIPTYLINE 75MG CAP13090PAROXETINE 10MG TAB23090PAROXETINE 20MG TAB23090PAROXETINE 30MG TAB23090PRAMIPEXOLE 0.25MG TAB33090PRIMIDONE 50MG TAB360180PROCHLORPERAZINE 5MG TAB23090PROCHLORPERAZINE 10MG TAB23090SERTRALINE 25MG TAB23090SERTRALINE 50MG TAB23090SERTRALINE 100MG TAB23090TRAZODONE 50MG TAB13090TRAZODONE 100MG TAB13090TRAZODONE 150MG TAB23090TRIHEXYPHENIDYL 2MG TAB260180TRIHEXYPHENIDYL 5MG TAB390270Mouth/Throat/DentalQuantityDrug NameTier30-day90-dayCHLORHEXIDINE ORAL RINSE 473ML24731419LIDOCAINE VISCOUS 2% ORAL SOL 100ML2100300SF 5000 PLUS 1.1% CREAM 51GM360180SOD FLUORIDE 0.2% MINT SOLUTION24731419STANNOUS FLUORIDE 0.63% RINSE3300900Tier30-day90-dayBENZOYL PEROXIDE 5% AQ GEL 60GM360180BETAMETHASONE VAL 0.1% CRM 15GM31545HYDROCORTISONE 1% CREAM 28.35GM228.3585.05HYDROCORTISONE 2.5% CREAM 30GM23090HYDROCORTISONE 2.5% OINT 28.35GM360180HYPERCARE 20% SOL DAB-O-MATIC 60ML360180MOMETASONE 0.1% OINT 15GM31545MOMETASONE 0.1% OINT 45GM345135MOMETASONE 0.1% TOPICAL SOLN 60ML360180NYSTATIN OINT 15GM31545Skin ConditionsQuantityDrug NameThis Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/201811

Medication ListValue-Priced GenericsSkin Conditions, continuedQuantityDrug NameTier30-day90-daySALICYLIC AC 6% SHAMPOO 177ML3177531SELENIUM SULFIDE 2.5% SHAMPOO (LOTN)2118354TRIAMCINOLONE 0.025% CREAM 15GM11545TRIAMCINOLONE 0.5% CREAM 15GM21545TRIAMCINOLONE 0.1% CREAM 80GM280240TRIAMCINOLONE 0.1% OINT 80GM380240UREA 40% LOTION 236.6ML3236.6709.8UREA 50% NAIL GEL 18ML31854Tier30-day90-dayLEVOTHROID 0.1MG TAB23090LEVOTHYROXINE 0.025MG (25MCG) TAB23090LEVOTHYROXINE 0.05MG (50MCG) TAB23090LEVOTHYROXINE 0.075MG (75MCG) TAB23090LEVOTHYROXINE 0.088MG (88MCG) TAB23090LEVOTHYROXINE 0.100MG (100MCG) TAB23090LEVOTHYROXINE 0.112MG (112MCG) TAB23090LEVOTHYROXINE 0.125MG (125MCG) TAB23090LEVOTHYROXINE 0.137MG (137MCG) TAB23090LEVOTHYROXINE 0.150MG (150MCG) TAB23090LEVOTHYROXINE 0.175MG (175MCG) TAB23090LEVOTHYROXINE 0.2MG (200MCG) TAB23090LEVOTHYROXINE 0.3MG (300MCG) TAB23090METHIMAZOLE 5MG TAB23090METHIMAZOLE 10MG TAB33090NATURE-THROID 0.5GR (32.5MG) BB TAB33090FE C PLUS TAB33090FEROTRIN CAP360180FERREX 150 FORTE CAP245135FLUORIDE 0.25MG F CHEWABLE TAB2120360FLUORIDE 0.5MG F CHEWABLE TAB13090FLUORIDE 1.0MG F CHEWABLE TAB23090FOLBECAL TAB33090Thyroid ConditionsQuantityDrug NameUrinary HealthQuantityDrug NameOXYBUTYNIN 5MG/5ML SYRUPVitamins and Nutritional HealthQuantityDrug NameThis Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/201812

Medication ListValue-Priced GenericsVitamins and Nutritional Health, continuedQuantityDrug NameTier30-day90-dayFOLBEE PLUS TAB33090FOLBEE TAB33090FOLIC ACID 1MG TAB13090HEMATINIC/ FA TAB23090HEMATINIC PLUS TAB 10 X 1033090KLOR-CON 10MEQ TAB33090MULTIVIT/F 0.25MG CHEWABLE TAB23090MULTI-VITA-F 0.5MG CHEW TAB13090MULTI-VIT/FLUORIDE 1MG CHEW TAB23090MULTIVITAMINS W/ FL 1.0MG CHEW TAB33090MULTIVITS W/FL 1MG & IRON CHEW TAB13090NATALCARE PLUS TAB (1MG FOLIC ACID)13090POLY-IRON 150 CAP360180POLY-IRON 150 FORTE CAP345135POTASSIUM CL 10MEQ ER TAB33090PRENAFIRST TAB33090PRENATAB FA TAB33090PRENATAL 19 TAB23090PRENATAL PLUS TAB33090RE DUALVIT F CAP33090RE PRENATAL MULTIVIT W/IRON CHEW TB33090RENA-VITE RX TAB23090RENAL SOFTGEL CAP33090THEROBEC PLUS TAB33090VINATE AZ TAB33090VINATE CARE CHEWABLE TAB33090VINATE C TAB33090VINATE GT TAB23090VINATE M TAB23090VINATE ONE TAB23090VITAMIN B-12 100MCG TAB1100300VITAMIN D 50,000IU CAP1412Tier30-day90-dayALENDRONATE 10MG TAB33090ALENDRONATE 35MG TAB3412ALENDRONATE 70MG TAB3412CLOMIPHENE CITRATE 50MG TAB3515ESTRADIOL 0.5MG TAB13090ESTRADIOL 1MG TAB13090ESTRADIOL 2MG TAB13090ESTROPIPATE 0.625MG (0.75MG) TAB33090MEDROXYPROGESTERONE 2.5MG TAB23090Women’s HealthQuantityDrug NameThis Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/201813

Medication ListValue-Priced GenericsWomen’s Health, continuedQuantityDrug NameTier30-day90-dayMEDROXYPROGESTERONE 5MGTAB13090MEDROXYPROGESTERONE 10MGTAB11030MEGESTROL ACETATE 20MG TAB23090OtherQuantityDrug NameTier30-day90-dayDEXAMETHASONE 0.5MG TAB260180DEXAMETHASONE 0.75MG TAB21236DEXAMETHASONE 1MG TAB33090DEXAMETHASONE 1.5MG TAB345135DEXAMETHASONE 4MG TAB23090FINASTERIDE 5MG TAB23090HYDROCORTISONE 5MG TAB350150ISONIAZID 100MG TAB2100300LIDOCAINE 4% TOP SOLN 50ML250150PREDNISOLONE 15MG/5ML SOLN360180PREDNISOLONE SOD PHOS 15MG/5ML SOL23090PREDNISONE 1MG TAB390270PREDNISONE 2.5MG TAB260180PREDNISONE 5MG TAB23090PREDNISONE 10MG** TAB13090PREDNISONE 20MG TAB23090This Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/201814

Medication ListBrand-Name MedicationsInsulinsDrug NameQtyPriceLEVEMIR FLEXTOUCH PEN1 BOX 367.19LEVEMIR 100 UNITS/ML VIAL1 VIAL 244.79NOVOLIN N 100 UNITS/ML VIAL1 VIAL 104.68NOVOLIN R 100 UNITS/ML VIAL1 VIAL 104.68NOVOLIN 70/30 100 UNIT/ML VIAL1 VIAL 104.68NOVOLOG MIX 70/30 VIAL1 VIAL 240.26NOVOLOG MIX 70/30 FLEXPEN1 BOX 426.00NOVOLOG FLEXPEN1 BOX 426.00NOVOLOG PENFILL 3 ML1 BOX 418.83NOVOLOG 100 UNIT/ML VIAL1 VIAL 241.68QtyPriceDiabetic SuppliesDrug NameWALGREENS TRUE METRIX METER1 METERFREEWALGREENS TRUE METRIX STRIPS 25’S1 BOX 19.99WALGREENS TRUE METRIX STRIPS 50’S1 BOX 29.99WALGREENS TRUE METRIX STRIPS 100’S1 BOX 52.99CONTOUR NEXT METER1 METERFREECONTOUR NEXT EZ METER1 METERFREECONTOUR NEXT ONE1 METERFREECONTOUR NEXT STRIPS 25’S1 BOX 23.99CONTOUR NEXT STRIPS 50’S1 BOX 39.99CONTOUR NEXT STRIPS 100’S1 BOX 78.99CONTOUR TEST STRIPS 50’S1 BOX 47.99CONTOUR TEST STRIPS 100’S1 BOX 93.99BREEZE 2 TEST DISCS 100'S1 BOX 93.99This Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/201815

Medication ListLifestyle MedicationsBirth Control - 1-month supplyQtyPriceMONONESSA TAB28 15MICROGESTIN 1.5/30 FE TAB28 18.99MICROGESTIN 1/20 FE TAB28 18.99LEVORA 0.15/30 TAB28 24.99RECLIPSEN 0.15MG-30MCG TAB28 24.99LOW-OGESTREL TAB28 26.99NECON 1/35 TAB28 26.99JOLIVETTE 0.35MG TAB28 29.99LUTERA TAB28 29.99Erectile DysfunctionQtyPriceCIALIS 2.5MG TAB6 74.99CIALIS 5MG TAB6 74.99CIALIS 10MG TAB6 439.99CIALIS 20MG TAB6 439.99This Program is NOT insurance. Membership fee required. Discounted price applies only to prescription purchased by Walgreens Plus Members from Walgreens stores in Florida. Cannot be combinedwith any form of insurance or other pharmacy benefit programs. Amount of the discount may vary based on type of item Member purchases but provider will not charge Member more than thediscounted rate. Program does not make any payments to providers. Member is entirely responsible for paying discounted price to provider at time of service.Prescription drug coverage and cost are subject to change. 2018 Walgreen Co. All rights reserved. 000026550-626-642 – Revised 3/20/201816

Medication ListDiscounted MedicationsDrug NameAvg 30-dayQtyAvg 30-dayPriceAvg 90-dayQtyAvg 90-dayPrice147 244.47432 710.78ACARBOSE 100MG TABLETS86 77.60250 218.70ACARBOSE 50MG TABLETS87 66.08244 177.41AMITRIPTYLINE 100MG (HUNDRED MG)TAB35 33.40101 89.68AMITRIPTYLINE 75MG TABLETS33 22.6897 58.90AMLO/VAL/HCTZ 10/160/12.5MG TABLETS30 185.4390 547.53AMLODIPINE/OLMES MEDOXOM 10-40MG T30 265.3790 794.31AMLODIPINE/OLMES MEDOXOM 5-20MG T30 213.6991 632.72AMLODIPINE/OLMES MEDOXOM 5-40MG T30 267.0090 792.58AMLODIPINE/OLMES MEDOXOM10-20MG T29 207.7590 627.41AMLODIPINE-ATORVASTATIN 10/40MG TAB30 178.3990 525.17AMLODIPINE-ATORVASTATIN 5/20MG TABS30 179.7790 526.16AMLODIPINE-ATORVASTATIN 5/40MG TABS30 183.5490 537.39AMLODIPINE-BENAZ 10/20MG CAPSULES30 18.0791 46.21AMLODIPINE-BENAZ 10/40MG CAPSULES30 123.7590 364.65AMLODIPINE-BENAZ 2.5/10MG CAPSULES31 18.6194 47.60AMLODIPINE-BENAZ 5/10MG CAPSULES31 18.4893 47.28AMLODIPINE-BENAZ 5/20MG CAPSULES33 19.2698 49.79AMLODIPINE-BENAZ 5/40MG CAPSULES31 106.7892 310.45AMNESTEEM 10MG CAPSULES41 619.43124 1,850.29AMNESTEEM 20MG CAPSULES50 451.48149 1,346.43AMNESTEEM 40MG CAPSULES48 1,005.4885 1,789.47ANAGRELIDE 0.5MG CAPSULES84 76.83218 192.66ATOMOXETINE 100MG CAPSULES30 311.7790 938.61ATOMOXETINE 10MG CAPSULES37 328.14115 1,021.11ATOMOXETINE 25MG CAPSULES35 310.80112 997.58ATOMOXETINE 60MG CAPSULES30 294.0393 898.14ATOMOXETINE 80MG CAPSULES30 311.6490 939.32BACLOFEN 20MG TABLETS80 56.22261 174.92219 158.65598 426.61BENAZEPRIL/HCTZ 20/25MG TABLETS31 46.7993 130.74BETHANECHOL 25MG TABLETS83 124.86233 343.76BISOPROLOL FUMARATE 10MG TABLETS34 33.85102 92.62BUDEPRION SR 100MG TABLETS (12 H)45 46.96139 135.73BUDESONIDE 3MG CAPSULES76 976.13182 2,325.44BUMETANIDE 1MG TABLETS50 30.72134 75.31BUPROPION 75MG TABLETS50 30.75151 84.29BUPROPION XL 150MG TABLETS (24 H)36 129.10109 384.98BUPROPION 100MG TABLETS57 36.44169 99.71BUPROPION SR 150MG TABLETS (12 H)52 51.56156 145.57BUPROPION SR 200MG TABLETS (12 HR)47 118.15144 355.50BUSPIRONE 15MG TABLETS68 19.84198 50.21BUSPIRONE 7.5MG TABLETS62 75.85186 219.939 249.0421 594.44CALCITRIOL 0.25MCG CAPSU

AMINOPHYLLINE 100MG TAB 2 60 180 AMINOPHYLLINE 200MG TAB 2 60 180 DYPHYLLINE-GG 100-100 ELIXIR 2 240 720 DYPHYLLIN-GG TAB 3 30 90 IPRATROPIUM INHAL SOLN 60 X 2.5ML 2 75 225 Blood Pressure/Heart Health Quantity Drug Name Tier 30-day 90-day AMILORIDE 5MG / HCTZ 50MG TAB 2 30 90 AMIODARONE 200MG TAB 2 30 90 AMLODIPINE BESYLATE 2.5MG TAB 2 30 90

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