BLUEGRASS PHARMACY $3.98 PRESCRIPTION DRUG PROGRAM

№	DRUG NAME AND DOSAGE	QUANTITY
1	ALBUTEROL 0.5% NEBULIZER SOLN	20ML
2	ALBUTEROL 2MG TABLET	90
3	ALBUTEROL 2MG/5ML SYRUP	120ML
4	ALBUTEROL 4MG TABLET	60
5	ALLOPURINOL 100MG TABLET	30
6	ALLOPURINOL 300MG TABLET	30
7	AMILORIDE/HCTZ 5MG/50MG TABLET	30
8	AMITRIPTYLINE 100MG TABLET	30
9	AMITRIPTYLINE 10MG TABLET	30
10	AMITRIPTYLINE 25MG TABLET	30
11	AMITRIPTYLINE 50MG TABLET	30
12	AMITRIPTYLINE 75MG TABLET	30
13	AMOXICILLIN 250MG CAPSULE	30
14	AMOXICILLIN 500MG CAPSULE	30
15	ANTIPYRINE/BENZOCAINE OTIC	10ML
16	ATENOLOL 100MG TABLET	30
17	ATENOLOL 25MG TABLET	30
18	ATENOLOL 50MG TABLET	30
19	ATENOLOL/CHLORTHALIDONE 100/25MG TABLET	30
20	ATENOLOL/CHLORTHALIDONE 50/25MG TABLET	30
21	ATROPINE SUL 1% OP SOLUTION	5ML
22	BACITRACIN OP OINTMENT	4GM
23	BACLOFEN 10MG TABLET	30
24	BELLADONA ALK/PB TABLET	60
25	BENAZEPRIL 10MG TABLET	30
26	BENAZEPRIL 20MG TABLET	30
27	BENAZEPRIL 40MG TABLET	30
28	BENAZEPRIL 5MG TABLET	30
29	BENZOYL PEROXIDE 4% CREAMY WASH	171ML
30	BENZTROPINE 2MG TABLET	30
31	BETAMETHASONE DIPROPIONATE 0.05% CREAM	15GM
32	BETAMETHASONE DIPROPIONATE 0.05% CREAM	45GM
33	BETAMETHASONE VAL 0.1% CREAM	15GM
34	BETAMETHASONE VAL 0.1% CREAM	45GM
35	BETAMETHASONE VAL 0.1% OINTMENT	15GM
36	BETAMETHASONE VAL 0.1% OINTMENT	45GM
37	BISOPROLOL/HCTZ 10/6.25 TABLET	30
38	BISOPROLOL/HCTZ 2.5/6.25 TABLET	30
39	BISOPROLOL/HCTZ 5/6.25MG TABLET	30
40	BUMETANIDE 0.5MG TABLET	30
41	BUMETANIDE 1MG TABLET	30
42	BUSPIRONE 10MG TABLET	60
43	BUSPIRONE 5MG TABLET	60
44	CAPTOPRIL 100MG TABLET	60
45	CAPTOPRIL 12.5MG TABLET	60
46	CAPTOPRIL 25MG TABLET	60
47	CAPTOPRIL 50MG TABLET	60
48	CARBAMAZEPINE 200MG	60
49	CARVEDILOL 12.5MG TABLET	60
50	CARVEDILOL 25MG TABLET	60
51	CARVEDILOL 3.125MG TABLET	60
52	CARVEDILOL 6.25MG TABLET	60
53	CEPHALEXIN 250MG CAPSULE	28
54	CEPHALEXIN 500MG CAPSULE	20
55	CHLORHEXIDINE GLU 0.12% SOLUTION	473ML
56	CHLORTHALIDONE 25MG TABLET	30
57	CHLORTHALIDONE 50MG TABLET	30
58	CIMETIDINE 800MG TABLET	30
59	CIPROFLOXACN 250MG TABLET	14
60	CIPROFLOXACN 500MG TABLET	20
61	CITALOPRAM 20MG TABLET	30
62	CITALOPRAM 40MG TABLET	30
63	CLONIDINE 0.1MG TABLET	30
64	CLONIDINE 0.2MG TABLET	30
65	COLCHICINE 0.6MG TABLET	30
66	CYCLOBENZAPRINE 10MG TABLET	30
67	CYCLOBENZAPRINE 5MG TABLET	30
68	CYTRA2 SOLUTION	180ML
69	DEXAMETHASONE .5MG TABLET	30
70	DEXAMETHASONE 0.75MG TABLET	12
71	DEXAMETHASONE 4MG TABLET	6
72	DICLOFENAC 75MG DR TAB	60
73	DICYCLOMINE 10MG CAPSULE	90
74	DICYCLOMINE 20MG TABLET	60
75	DIGITEK 0.125MG TABLET	30
76	DIGITEK 0.25MG TABLET	30
77	DILTIAZEM 120MG TABLET	30
78	DILTIAZEM 30MG TABLET	60
79	DILTIAZEM 60MG TABLET	60
80	DILTIAZEM 90MG TABLET	30
81	DOXAZOSIN 1MG TABLET	30
82	DOXAZOSIN 2MG TABLET	30
83	DOXAZOSIN 4MG TABLET	30
84	DOXAZOSIN 8MG TABLET	30
85	DOXEPIN HCL 100MG CAPSULE	30
86	DOXEPIN HCL 10MG CAPSULE	30
87	DOXEPIN HCL 25MG CAPSULE	30
88	DOXEPIN HCL 50MG CAPSULE	30
89	DOXEPIN HCL 75MG CAPSULE	30
90	DOXYCYCLINE HYC 100MG TABLET	20
91	DOXYCYCLINE HYC 50MG CAPSULE	30
92	ENALAPRIL 10MG TABLET	30
93	ENALAPRIL 2.5MG TABLET	30
94	ENALAPRIL 20MG TABLET	30
95	ENALAPRIL 5MG TABLET	30
96	ENALAPRIL/HCTZ 5MG/12.5MG TABLET	30
97	ERYTHROMYCIN 2% SOLUTION	60ML
98	ERYTHROMYCIN OPHTHALMIC OINTMENT	4GM
99	ESTRADIOL 0.5MG TABLET	30
100	ESTRADIOL 1MG TABLET	30
101	ESTRADIOL 2MG TABLET	30
102	FAMOTIDINE 20MG TABLET	60
103	FLUCONAZOLE 150MG TABLET	1
104	FLUOCINOLONE ACET 0.01% SOLUTION	60ML
105	FLUOCINONIDE 0.05% CREAM	15GM
106	FLUOCINONIDE 0.05% CREAM	30GM
107	FLUOXETINE 10MG CAPSULE	30
108	FLUOXETINE 10MG TABLET	30
109	FLUOXETINE 20MG CAPSULE	30
110	FLUOXETINE 40MG CAPSULE	30
111	FLUPHENAZINE 1MG TABLET	30
112	FUROSEMIDE 20MG TABLET	30
113	FUROSEMIDE 40MG TABLET	30
114	FUROSEMIDE 80MG TABLET	30
115	GENTAMICIN 0.1% CREAM	15GM
116	GENTAMICIN 0.1% OINTMENTMENT	15GM
117	GENTAMICIN 0.3% OPHTHALMIC SOLUTION	5 ML
118	GLIMEPIRIDE 1MG TABLET	30
119	GLIMEPIRIDE 2MG TABLET	30
120	GLIMEPIRIDE 4MG TABLET	30
121	GLIPIZIDE 10MG TABLET	30
122	GLIPIZIDE 5MG TABLET	30
123	GLYBURIDE 2.5MG TABLET (BLUE)	30
124	GLYBURIDE 5MG TABLET (BLUE)	30
125	GLYBURIDE MICRO 3MG TABLET	30
126	GLYBURIDE MICRO 6MG TABLET	30
127	GUANFACINE 1MG TABLET	30
128	HALOPERIDOL 0.5MG TABLET	30
129	HALOPERIDOL 1MG TABLET	30
130	HALOPERIDOL 2MG TABLET	30
131	HALOPERIDOL 5MG TABLET	30
132	HYDRALAZINE 10MG TABLET	30
133	HYDRALAZINE 25MG TABLET	30
134	HYDROCHLOROTHIAZIDE 12.5MG CAPSULE	30
135	HYDROCHLOROTHIAZIDE 25MG TABLET	30
136	HYDROCHLOROTHIAZIDE 50MG TABLET	30
137	HYDROCORTISONE 1% CREAM	30GM
138	HYDROCORTISONE 2.5% CREAM	30GM
139	HYDROCORTISONE AC 25MG SUPPOSITORIES	12
140	HYDROXYZINE HCL10MG/5ML SYRUP	120ML
141	HYOSCYAMINE 0.125MG SUBLINGUAL	30
142	HYOSCYAMINE 0.125MG TABLET	60
143	HYOSCYAMINE 0.375 ER TABLET	30
144	HYOSCYAMINE DROPS	15ML
145	IBUPROFEN 100/5ML SUSPENSION	120ML
146	IBUPROFEN 400MG TABLET	90
147	IBUPROFEN 600MG TABLET	60
148	IBUPROFEN 800MG TABLET	30
149	INDAPAMIDE 1.25MG TABLET	30
150	INDAPAMIDE 2.5MG TABLET	30
151	INDOMETHACIN 25MG CAPSULE	60
152	ISONIAZID 300MG	30
153	ISOSORBIDE MONO 30MG ER TABLET	30
154	ISOSORBIDE MONO 60MG ER TABLET	30
155	LACTULOSE SYRUP	237ML
156	LEVOBUNOLOL 0.5% OP SOLUTION	5ML
157	LIDOCAINE 2% VISCOUS SOLUTION	100ML
158	LISINOPRIL 10MG TABLET	30
159	LISINOPRIL 2.5MG TABLET	30
160	LISINOPRIL 20MG TABLET	30
161	LISINOPRIL 5MG TABLET	30
162	LISINOPRIL/HCTZ 10/12.5MG TABLET	30
163	LISINOPRIL/HCTZ 20/12.5MG TABLET	30
164	LISINOPRIL/HCTZ 20/25MG TABLET	30
165	LITHIUM CARB 300MG CAPSULE	90
166	MEDROXYPROGESTERONE AC 10MG TABLET	10
167	MEDROXYPROGESTERONE AC 2.5MG TABLET	30
168	MEDROXYPROGESTERONE AC 5MG TABLET	30
169	MEGESTROL 20MG	30
170	MELOXICAM 15MG TABLET	30
171	MELOXICAM 7.5MG TABLET	30
172	METFORMIN 1000MG TABLET	30
173	METFORMIN 500MG ER TABLET	30
174	METFORMIN 500MG TABLET	60
175	METFORMIN 850MG TABLET	30
176	METHYLPRED 4MG DOSE PAK	21
177	METHYLPRED 4MG TABLET	21
178	METOCLOPRAMIDE 10MG TABLET	60
179	METOCLOPRAMIDE 5MG/5ML SYRUP	60ML
180	METOPROLOL TARTRATE 100MG TABLET	60
181	METOPROLOL TARTRATE 25MG TABLET	60
182	METOPROLOL TARTRATE 50MG TABLET	60
183	METRONIDAZOLE 250MG TABLET	28
184	METRONIDAZOLE 500MG TABLET	14
185	NADOLOL 20MG TABLET	30
186	NADOLOL 40MG TABLET	30
187	NAPROXEN 375MG TABLET	30
188	NAPROXEN 500MG TABLET	30
189	NEOMYCIN/POLYMYXIN/DEXAMETHASONE 0.1% OPHTHALMIC OINTMENT	4 GM
190	NEOMYCIN/POLYMYXIN/DEXAMETHASONE 0.1% OPHTHALMIC SUSPENSION	5 ML
191	NITROGLYCERIN 0.3MG SUBLINGUAL	100
192	NITROGLYCERIN 0.4MG SUBLINGUAL	100
193	NORTRIPTYLINE 10MG CAPSULE	30
194	NORTRIPTYLINE 25MG CAPSULE	30
195	NYSTATIN CREAM	15GM
196	NYSTATIN CREAM	30GM
197	NYSTATIN OINTMENT	15GM
198	NYSTATIN OINTMENT	30GM
199	NYSTATIN/TRIAMCIN CREAM	15GM
200	NYSTATIN/TRIAMCIN CREAM	30GM
201	NYSTATIN/TRIAMCIN OINTMENT	15GM
202	OXYBUTYNIN 5MG TABLET	60
203	PAROXETINE 10MG TABLET	30
204	PAROXETINE 20MG TABLET	30
205	PENICILLIN VK 125/5ML SOLUTION	200ML
206	PENICILLIN VK 250/5ML SOLUTION	100ML
207	PENICILLIN VK 250MG TABLET	28
208	PHENAZOPYRIDINE 100MG TABLET	30
209	PHENAZOPYRIDINE 200MG TABLET	30
210	PILOCARPINE 1% OPHTHALMIC SOLUTION	15ML
211	PILOCARPINE 2% OPHTHALMIC SOLUTION	15ML
212	PINDOLOL 10MG TABLET	30
213	PINDOLOL 5MG TABLET	30
214	PIROXICAM 20MG CAPSULE	30
215	POLYMYXIN SULF/TMP SOLUTION	10ML
216	PRAZOSIN HCL 1MG CAPSULE	30
217	PRAZOSIN HCL 2MG CAPSULE	30
218	PRAZOSIN HCL 5MG CAPSULE	30
219	PREDNISONE 10MG DOSE PAK	21
220	PREDNISONE 10MG DOSE PAK	48
221	PREDNISONE 10MG TABLET	30
222	PREDNISONE 2.5MG TABLET	30
223	PREDNISONE 20MG TABLET	30
224	PREDNISONE 5MG DOSE PAK	21
225	PREDNISONE 5MG DOSE PAK	48
226	PREDNISONE 5MG TABLET	30
227	PROCHLORPERAZINE 10MG TABLET	30
228	PROMETHAZINE 25MG TABLET	12
229	PROMETHAZINE PLAIN SYRUP	180ML
230	PROPRANOLOL 10MG TABLET	60
231	PROPRANOLOL 20MG TABLET	60
232	PROPRANOLOL 40MG TABLET	60
233	PROPRANOLOL 80MG TABLET	60
234	RANITIDINE 150MG TABLET	60
235	RANITIDINE 300MG TABLET	30
236	SALSALATE 500MG TABLET	60
237	SELENIUM SULFIDE 2.5% LOTION	120ML
238	SMZ/TMP 200MG/40MG/5ML SUSPENSION	120 ML
239	SMZ/TMP 400MG/80MG TABLET	28
240	SMZ/TMP DS 800/160 TABLET	20
241	SOTALOL HCL 80MG TABLET	30
242	SULFACET SODIUM 10% OP SOLUTION	15ML
243	TERAZOSIN 10MG CAPSULE	30
244	TERAZOSIN 1MG CAPSULE	30
245	TERAZOSIN 2MG CAPSULE	30
246	TERAZOSIN 5MG CAPSULE	30
247	TETRACYCLINE 250MG CAPSULE	60
248	TETRACYCLINE 500MG CAPSULE	60
249	THIORIDAZINE 25MG TABLET	30
250	THIORIDAZINE 50MG TABLET	30
251	THIOTHIXENE 2MG CAPSULE	30
252	TIMOLOL MALEATE 0.25% OP SOLUTION	5ML
253	TIMOLOL MALEATE 0.5% OP SOLUTION	5ML
254	TOBRAMYCIN 0.3% OP SOLUTION	5ML
255	TRAZODONE 100MG TABLET	30
256	TRAZODONE 150MG TABLET	30
257	TRAZODONE 50MG TABLET	30
258	TRIAMCINOLONE 0.025% CREAM	15GM
259	TRIAMCINOLONE 0.025% CREAM	80GM
260	TRIAMCINOLONE 0.1% CREAM	15GM
261	TRIAMCINOLONE 0.1% CREAM	80GM
262	TRIAMCINOLONE 0.1% OINTMENT	15GM
263	TRIAMCINOLONE 0.1% OINTMENT	80GM
264	TRIAMCINOLONE 0.5% CREAM	15GM
265	TRIAMTERENE/HCTZ 37.5/25	30
266	TRIAMTERENE/HCTZ 75/50MG	30
267	TRIHEXYPHENIDYL 2MG	60
268	VERAPAMIL 120MG TABLET	30
269	VERAPAMIL 80MG TABLET	30

$3.98 prescriptions are for up to a 30-day supply of a covered drug at a commonly prescribed dosage. The list of covered drugs is subject to change. Not all prescription drugs are covered by this program. List effective September 27, 2007.