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Slash Drug Costs • View topic - WAL-Mart $4.00 Retail Prescription Program Drug List
Page 1 of 1

WAL-Mart $4.00 Retail Prescription Program Drug List

PostPosted: Mon Dec 24, 2007 1:10 pm
by Bill-W
$4.00 Retail Prescription Program Drug List For Eye Drops Only. Check with your Doctor First before choosing a generic.

This List was Updated 8-3-2011


..............................................................$4, 30-day $10, 90-day
Glaucoma & Eye Care
Atropine Sulfate 1% op. soln* (5ml bottle)† . . . . . . .1 . . . . . . 3
Erythromycin op. ointment (3.5gm tube)†* . . . . . . .1 . . . . . . 3
Gentamicin 0.3% op. soln (5ml bottle)† . . . . . . . . . 1 . . . . . . 3
Levobunolol 0.5% op soln (5ml bottle)† . . . . . . . . .1 . . . . . . 3
Neomycin/Polymyxin/Dexamethasone
0.1% op. ointment (3.5gm tube)† . . . . . . . . . . . . .1 . . . . . . 3
Neomycin/Polymyxin/Dexamethasone
0.1% op. susp (5ml bottle)† . . . . . . . . . . . . . . . . .1 . . . . . . 3
Pilocarpine 1% op. soln (15ml bottle)† . . . . . . . . . .1 . . . . . . 3
Pilocarpine 2% op. soln (15ml bottle)† . . . . . . . . . .1 . . . . . . 3
Polymyxin Sulfate/TMP op. soln* (10ml bottle)† . . . .1 . . . . . . 3
Sulfacet Sodium 10% op. soln* (15ml bottle)† . . . . .1 . . . . . . 3
Timolol Maleate 0.25% op. soln (5ml bottle)† . . . . . .1 . . . . . . 3
Timolol Maleate 0.5% op soln (5ml bottle)† . . . . . . .1 . . . . . . 3
Tobramycin 0.3% op. soln (5ml bottle)† . . . . . . . . . 1 . . . . . . 3

Prescription Program includes up to a 30-day supply for $4 and a 90-day supply for $10 of some covered generic drugs at commonly prescribed dosages. Higher dosages cost
more. Prices for some drugs covered by the Prescription Program may be higher and may vary in some states. Restrictions apply. See Program Details or your Walmart
Pharmacist for details. Free language assistance services available for prescription drug information at Walmart and Sam’s Club
pharmacies in New York. Contact your Walmart or Sam’s Club pharmacy for details.
*Prices may be higher in CA, HI, MN, MT, PA, TN and WI.
† Prepackaged drugs are covered only in unit sizes specified on Drug List. See Program Details
or your Walmart Pharmacist for details.
$4, 30-day $10, 90-day $4, 30-day $10, 90-day
Revised 8/3/11



"The above topic was checked & edited for accuracy on 8/07/2011 by Bill-W."

Re: WAL-Mart $4.00 Retail Prescription Program Drug List

PostPosted: Sun Aug 07, 2011 9:10 pm
by Bill-W
"The above topic was checked & edited for accuracy on 8/07/2011 by Bill-W."