| 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 |
| Page 1 2 3 4 5 6 7 8 9 10 11 | ||
| $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. |