Samsglobalmedia.cotcdn.rockfishhosting.com

Revised 6/10/11
Home Delivery Prescription Program Drug List
Low-cost prescriptions, right in your mailbox.
Free home delivery of $10 prescriptions.
Now you can have your generic prescriptions mailed right to your home, Our $10, 90-Day home delivery program covers hundreds of no matter where you live. Because we think everyone should be able to prescriptions. That includes medicines for a wide range of conditions get low-cost prescriptions, not just those who live close to a Walmart.
and diagnosis groups. This list is a quick-reference tool that will help you find the specific medicines you’re looking for.
Allergies & Cold and Flu
$10/90-Day
Cyclobenzaprine 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Benzonatate 100mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Dexamethasone 0.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Ceron DM syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360ml Dexamethasone 0.75mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Ganituss DM NR liquid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360ml Dexamethasone 4mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Loratadine 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Diclofenac DR 75mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Promethazine DM syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360ml Ibuprofen 100mg/5ml susp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360mlIbuprofen 400mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270 Antibiotic Treatments
$10/90-Day
Ibuprofen 600mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Amoxicillin 250mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Ibuprofen 800mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Amoxicillin 500mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Indomethacin 25mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Cephalexin 250mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Meloxicam 7.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Cephalexin 500mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Meloxicam 15mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Ciprofloxacin 250mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Naproxen 375mg tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Ciprofloxacin 500mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Naproxen 500mg tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Doxycycline Hyclate 50mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Doxycycline Hyclate 100mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 $10/90-Day
Doxycycline Hyclate 100mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Albuterol 2mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270 Penicillin VK 250mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Albuterol 4mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 SMZ-TMP 200mg-40mg/5ml susp. . . . . . . . . . . . . . . . . . . . . . . . . . . . 360ml Albuterol 2mg/5ml syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360ml SMZ-TMP 400mg-80mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Albuterol 0.83% neb sol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 SMZ-TMP DS 800mg-160mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Ipratropium inh sol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Tetracycline 250mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180Tetracycline 500mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Cholesterol
$10/90-Day
Lovastatin 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Arthritis & Pain
$10/90-Day
Lovastatin 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Allopurinol 100mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Pravastatin 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Allopurinol 300mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Pravastatin 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Baclofen 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Pravastatin 40mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Cyclobenzaprine 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Prescription Program includes mail delivery of a 90-day supply at commonly prescribed dosages of covered generic drugs at $10 and certain other covered drugs at $24.  Higher dosages cost more.  Available only through Walmart Mail Service.  Not all drugs covered by Walmart Retail Prescription Program are available for $10 and $24 through Walmart Mail Service.  Delivery limited to U.S. addresses by First-Class Mail; expedited delivery available for additional charge.  Some health plans do not cover Walmart Mail Service or 90-day supplies.  Restrictions apply.  See Program Details  or call 800-2-REFILL 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. † Prepackaged drugs are covered only in unit sizes specified on Mail Service Drug List.  See Program Details or call 800-2-REFILL for details.
2011 Wal-Mart Stores, Inc. | Page 1 of 6 Savings Made Simple
Diabetes
$10/90-Day
Glaucoma & Eye Care
$10/90-Day
Chlorpropamide 100mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Bacitracin Op ointment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Glimepiride 1mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Erythromycin Op ointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Glimepiride 2mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Gentamicin 0.3% op. soln (5ml bottle)† . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Glimepiride 4mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levobunolol 0.5% op soln (5ml bottle)† . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Glipizide 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Neomycin/Polymyxin/Dexamethasone 0.1% op. ointment Glipizide 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 (3.5gm tube)† . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Glyburide 2.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Neomycin/Polymyxin/Dexamethasone 0.1% op. susp Glyburide 5mg tab (blue) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 (5ml bottle)† . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Glyburide 5mg tab (green) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Pilocarpine 1% op. soln (15ml bottle)† . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Glyburide, micronized 3mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Pilocarpine 2% op. soln (15ml bottle)† . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Glyburide, micronized 6mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Polymixin Sul/tmp sol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Metformin 500mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Timolol Maleate 0.25% op. soln (5ml bottle)† . . . . . . . . . . . . . . . . . . . . . . 3 Metformin 850mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Timolol Maleate 0.5% op soln (5ml bottle)† . . . . . . . . . . . . . . . . . . . . . . . . 3 Metformin 1000mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Tobramycin 0.3% op. soln (5ml bottle)† . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Metformin 500mg ER tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Heart Health & Blood Pressure
$10/90-Day
Digestive Ailments
$10/90-Day
Amiloride-HCTZ 5mg-50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Belladonna Alkaloid/PB tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Atenolol-Chlorthalidone 50mg-25mg tab . . . . . . . . . . . . . . . . . . . . . . . . 90 Cimetidine 800mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Atenolol-Chlorthalidone 100mg-25mg tab . . . . . . . . . . . . . . . . . . . . . . 90 Cytra2 solution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 540ml Atenolol 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Dicyclomine 10mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270 Atenolol 50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Dicyclomine 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Atenolol 100mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Famotidine 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Benazepril 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Lactulose syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 711ml Benazepril 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Metoclopramide 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Benazepril 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Metoclopramide syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180ml Benazepril 40mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Promethazine 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Bisoprolol-HCTZ 2.5mg-6.25mg tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Promethazine plain syrup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 540ml Bisoprolol-HCTZ 5mg-6.25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Ranitidine 150mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Bisoprolol-HCTZ 10mg-6.25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Ranitidine 300mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Bumetanide 0.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Bumetanide 1mg tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Ear Health
$10/90-Day
Captopril 12.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Antipyrine/Benzocaine otic (15ml bottle)† . . . . . . . . . . . . . . . . . . . . . . . . 3 Captopril 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180Captopril 50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Fungal Infections
$10/90-Day
Captopril 100mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Fluconazole 150mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Carvedilol 3.125mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180Carvedilol 6.25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Carvedilol 12.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Prescription Program includes mail delivery of a 90-day supply at commonly prescribed dosages of covered generic drugs at $10 and certain other covered drugs at $24.  Higher dosages cost more.  Available only through Walmart Mail Service.  Not all drugs covered by Walmart Retail Prescription Program are available for $10 and $24 through Walmart Mail Service.  Delivery limited to U.S. addresses by First-Class Mail; expedited delivery available for additional charge.  Some health plans do not cover Walmart Mail Service or 90-day supplies.  Restrictions apply.  See Program Details  or call 800-2-REFILL 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. † Prepackaged drugs are covered only in unit sizes specified on Mail Service Drug List.  See Program Details or call 800-2-REFILL for details.
2011 Wal-Mart Stores, Inc. | Page 2 of 6 Savings Made Simple
Carvedilol 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Lisinopril 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Clonidine 0.1mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Methyldopa 250mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Clonidine 0.2mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Methyldopa 250mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Clonidine HCL 0.1mg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Metoprolol Tartrate 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Clonidine HCL 0.2mg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Metoprolol Tartrate 50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Digoxin 0.125mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Metoprolol Tartrate 100mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Digoxin 0.25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Nadolol 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Diltiazem 30mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Nadolol 40mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Diltiazem 60mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Prazosin HCL 1mg cap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Diltiazem 90mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Prazosin HCL 2mg cap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Diltiazem 120mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Prazosin HCL 5mg cap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Doxazosin 1mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Propranolol 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Doxazosin 2mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Propranolol 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Doxazosin 4mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Propranolol 40mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Doxazosin 8mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Propranolol 80mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Enalapril-HCTZ 5mg-12.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Sotalol HCL 80mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Enalapril 2.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Spironolactone 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Enalapril 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Terazosin 1mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Enalapril 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Terazosin 2mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Enalapril 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Terazosin 5mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Furosemide 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Terazosin 10mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Furosemide 40mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Triamterene-HCTZ 37.5mg-25mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Furosemide 80mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Triamterene-HCTZ 37.5mg-25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Guanfacine 1mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Triamterene-HCTZ 75mg-50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Hydralazine 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Verapamil 80mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Hydralazine 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Verapamil 120mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Hydrochlorothiazide(HCTZ)12.5mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Warfarin 1mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Hydrochlorothiazide (HCTZ) 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Warfarin 2mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Hydrochlorothiazide (HCTZ) 50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Warfarin 2.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Indapamide 1.25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Warfarin 3mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Indapamide 2.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Warfarin 4mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Isosorbide Mononitrate 30mg ER tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Warfarin 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Isosorbide Mononitrate 60mg ER tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Warfarin 6mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Lisinopril-HCTZ 10mg-12.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Warfarin 7.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Lisinopril-HCTZ 20mg-12.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Warfarin 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Lisinopril-HCTZ 20mg-25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Lisinopril 2.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Mens Health
$9/30-Day
Lisinopril 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Finasteride 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Lisinopril 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Prescription Program includes mail delivery of a 90-day supply at commonly prescribed dosages of covered generic drugs at $10 and certain other covered drugs at $24.  Higher dosages cost more.  Available only through Walmart Mail Service.  Not all drugs covered by Walmart Retail Prescription Program are available for $10 and $24 through Walmart Mail Service.  Delivery limited to U.S. addresses by First-Class Mail; expedited delivery available for additional charge.  Some health plans do not cover Walmart Mail Service or 90-day supplies.  Restrictions apply.  See Program Details  or call 800-2-REFILL 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. † Prepackaged drugs are covered only in unit sizes specified on Mail Service Drug List.  See Program Details or call 800-2-REFILL for details.
2011 Wal-Mart Stores, Inc. | Page 3 of 6 Savings Made Simple
$9/tablet Trazodone 100mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Levitra 20mg (limit 10 per patient per month) . . . . . . . . . . . . . . . . . . . . . 1 Trazodone 150mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Trihexyphenidyl 2mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Mental Health
$10/90-Day
Amitriptyline 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Skin Conditions
$10/90-Day
Amitriptyline 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Gentamicin 0.1% cream (15gm tube)† . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Amitriptyline 50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Gentamicin 0.1% ointment (15gm tube)† . . . . . . . . . . . . . . . . . . . . . . . . . 3 Amitriptyline 75mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Hydrocortisone 1% cream (28.35-30g tube)† . . . . . . . . . . . . . . . . . . . . . . 3 Amitriptyline 100mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Hydrocortisone 2.5% cream (30gm tube)† . . . . . . . . . . . . . . . . . . . . . . . . . 3 Benztropine 2mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Silver Sulfadiazine 1% cream (50gm tube)† . . . . . . . . . . . . . . . . . . . . . . . . 3 Buspirone 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Triamcinolone 0.025% cream (15gm tube)† . . . . . . . . . . . . . . . . . . . . . . . 3 Buspirone 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Triamcinolone 0.025% cream (80gm tube)† . . . . . . . . . . . . . . . . . . . . . . . 3 Carbamazepine 200mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Triamcinolone 0.1% cream (15gm tube)† . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Citalopram 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Triamcinolone 0.1% cream (80gm tube)† . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Citalopram 40mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Triamcinolone 0.1% ointment (15gm tube)† . . . . . . . . . . . . . . . . . . . . . . . 3 Doxepin HCL 10mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Triamcinolone 0.1% ointment (80gm tube)† . . . . . . . . . . . . . . . . . . . . . . . 3 Doxepin HCL 25mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Triamcinolone 0.5% cream (15gm tube)† . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Doxepin HCL 50mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Doxepin HCL 75mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Thyroid Conditions
$10/90-Day
Doxepin HCL 100mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 25mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Fluoxetine 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 50mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Fluoxetine 10mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 75mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Fluoxetine 20mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 88mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Fluoxetine 40mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 100mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Fluphenazine 1mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 112mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Haloperidol 0.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 125mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Haloperidol 1mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 137mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Haloperidol 2mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 150mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Haloperidol 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Levothyroxine 175mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Lithium Carbonate 300mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270 Levothyroxine 200mcg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Nortriptyline 10mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Nortriptyline 25mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 $10/90-Day
Paroxetine 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Acyclovir 200mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Paroxetine 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Prochlorperazine 10mg tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Vitamins & Nutritional Health
$10/90-Day
Thioridazine 25mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Folic Acid 1mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Thioridazine 50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Magnesium Oxide 400mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Thiothixene 2mg cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Magnesium64 64mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Trazodone 50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 NatalCare Plus tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Prescription Program includes mail delivery of a 90-day supply at commonly prescribed dosages of covered generic drugs at $10 and certain other covered drugs at $24.  Higher dosages cost more.  Available only through Walmart Mail Service.  Not all drugs covered by Walmart Retail Prescription Program are available for $10 and $24 through Walmart Mail Service.  Delivery limited to U.S. addresses by First-Class Mail; expedited delivery available for additional charge.  Some health plans do not cover Walmart Mail Service or 90-day supplies.  Restrictions apply.  See Program Details  or call 800-2-REFILL 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. † Prepackaged drugs are covered only in unit sizes specified on Mail Service Drug List.  See Program Details or call 800-2-REFILL for details.
2011 Wal-Mart Stores, Inc. | Page 4 of 6 Savings Made Simple
Prenatal Plus qty 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Potassium Chloride 10% liquid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1419mlSodium Fluoride .25mg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .360 Women’s Health
$10/90-Day
Estradiol 0.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Estradiol 1mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Estradiol 2mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Estropipate 0.75mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Estropipate 1.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90MedroxyprogesteroneAcetate 2.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . 90Medroxyprogesterone Acetate 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . 90Medroxyprogesterone Acetate 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . 30 Women’s Health
$24/90-Day
Alendronate SOD 35mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Alendronate SOD 70mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Clomiphene 50mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Tamoxifen 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180Tamoxifen 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Other Medical Conditions
$10/90-Day
Chlorhexidine Gluconate 0.12% soln (473ml bottle)† . . . . . . . . . . . . . . 3Hydrocortisone AC 25mg suppositories† . . . . . . . . . . . . . . . . . . . . . . . . . 36Isoniazid 300mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Lidocaine 2% viscous solution (100ml bottle)† . . . . . . . . . . . . . . . . . . . . . 3Megestrol 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Oxybutynin 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180Phenazopyridine 100mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Phenazopyridine 200mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Prednisone 2.5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Prednisone 5mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Prednisone 5mg dose pak (21 tablets)† . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Prednisone 10mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Prednisone 10mg dose pak (21 tablets)† . . . . . . . . . . . . . . . . . . . . . . . . . . 3Prednisone 20mg tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Prescription Program includes mail delivery of a 90-day supply at commonly prescribed dosages of covered generic drugs at $10 and certain other covered drugs at $24.  Higher dosages cost more.  Available only through Walmart Mail Service.  Not all drugs covered by Walmart Retail Prescription Program are available for $10 and $24 through Walmart Mail Service.  Delivery limited to U.S. addresses by First-Class Mail; expedited delivery available for additional charge.  Some health plans do not cover Walmart Mail Service or 90-day supplies.  Restrictions apply.  See Program Details  or call 800-2-REFILL 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. † Prepackaged drugs are covered only in unit sizes specified on Mail Service Drug List.  See Program Details or call 800-2-REFILL for details.
2011 Wal-Mart Stores, Inc. | Page 5 of 6 Savings Made Simple
Walmart’s Prescription Program Details
1. Walmart’s Prescription Program (the “Program”) is available at all Walmart, Sam’s the $10 Mail Service Program; not all drugs covered by the $24 Retail Program are Club and Neighborhood Market pharmacies in the United States (“Walmart Retail covered by the $24 Mail Service Program. See Mail Service Drug List for a list of Pharmacies”), except in North Dakota, as set forth below in Sections 3 and 4. The drugs covered by the $10 Mail Service Program and $24 Mail Service Program. Program is also available through Walmart Mail Service (“Walmart Mail Service”), Walmart Mail Service covers both initial fills and refills. Delivery of covered drugs is available only through Walmart Mail Service and is not available at Walmart, Sam’s Club, and Neighborhood Market retail pharmacies. Delivery under the 2. The Program applies only to certain generic drugs at commonly prescribed Program through Walmart Mail Service is limited to U.S. addresses by First-Class dosages. Higher dosages cost more. You may obtain a list of generic drugs and Mail; expedited delivery is also available for an additional charge. Some health dosages covered under the Program at Walmart Retail Pharmacies (the “Retail plans do not cover Walmart Mail Service or 90-day supplies. Prices for quantities Drug List”) and through Walmart Mail Service (the “Mail Service Drug List”) on greater than a 90-day supply of drugs covered by the $10 Mail Service Program Walmart.com or at Walmart Retail Pharmacies. The Retail Drug List and Mail and the $24 Mail Service Program are prorated based on the $10 and $24 Program Service Drug List may change and also may vary by state. Not all formulations of a price, respectively. Prices for quantities less than a 90-day supply are not prorated drug (for example, enteric-coated, extended or timed release formulations) are under either the $10 Mail Service Program or the $24 Mail Service Program. covered under the Program. Program pricing not available when a covered drug is Prorated pricing is not available under the Program for prepackaged drugs. For pricing policies relating to prepackaged drugs, see Section 6. 3. Under the Program at Walmart Retail Pharmacies, $4 is the price for up to a 30-day 6. Prepackaged drugs are covered under the Program only in the unit sizes specified supply of certain covered generic drugs at commonly prescribed dosages (the “$4 on the Retail Drug List and Mail Service Drug List. Prepackaged drugs are Retail Program”). $10 is the price of a 90-day supply of certain covered generic dispensed based on the quantities prescribed and unit sizes in stock at the drugs at commonly prescribed dosages (the “$10 Retail Program”). Not all drugs dispensing pharmacy. Unit sizes not specified on the Retail Drug List or Mail covered by the $4 Retail Program are covered by the $10 Program. Prices for Service Drug List are not covered under the Program. Multi-unit purchases are quantities between a 30-day supply and a 90-day supply of drugs covered by both charged at a per unit price, based on the price per unit size dispensed, unless the $4 Retail Program and $10 Retail Program are prorated based on the $4 otherwise specified. Prepackaged drugs dispensed in unit sizes not specified on Program price, but will not exceed $10. Prices for quantities greater than a 90-day the Retail Drug List and Mail Service Drug List may be priced higher, even if supply of drugs covered by the $10 Retail Program are prorated based on the $10 equivalent quantities of the drug are available in specified unit sizes. Prorated Program price. Prorated pricing is not available under the Program for pricing is not available under the Program for prepackaged drugs.
prepackaged drugs. For pricing policies relating to prepackaged drugs (such as tubes, vials or bottles), see Section 6.
7. Prices of certain drugs covered by the Program may be higher in some states, as noted on the Retail Drug List and Mail Service Drug List. 4. Under the Program at Walmart Retail Pharmacies, $9 is the price for up to a 30-day supply of certain women’s health and other covered generic drugs at commonly 8. Program pricing may be limited to select manufacturers of a covered drug and is prescribed dosages (the “$9 Retail Program”). $24 is the price for a 90-day supply available as long as supplies from such manufacturers are in stock at the of certain women’s health and other covered generic drugs at commonly prescribed dosages (the “$24 Retail Program”). Not all drugs covered by the $9 Retail Program are covered by the $24 Retail Program. Prices for quantities 9. You may pay less or more than the Program price, depending on the terms of your between a 30-day supply and a 90-day supply of drugs covered by both the $9 health plan. Prescriber permission may be required to change a 30-day Program and $24 Retail Program are prorated based on the $9 Program price, but prescription to a 90-day prescription. Certain plans, including government- will not exceed $24. Prices for quantities greater than a 90-day supply of drugs funded programs, may not cover a 90-day supply. covered by the $24 Retail Program are prorated based on the $24 Program price. Prorated pricing is not available under the Program for prepackaged drugs. For 10. For purchases made at Walmart Retail Pharmacies, prescriptions must initially be pricing policies relating to prepackaged drugs, see Section 6.
filled in person, and refills must be picked up in store. There are no substitutions. Purchases made through Walmart Mail Service may be ordered at Walmart Retail 5. Under the Program through Walmart Mail Service, $10 is the price for mail delivery Pharmacies, by phone or through walmart.com.
of a 90-day supply of certain generic drugs at commonly prescribed dosages (“$10 Mail Service Program”). $24 is the price for mail delivery of certain women’s health 11. These Program Details are subject to change without advance notice. Changes to and certain other covered drugs at commonly prescribed dosages ($24 Mail these Program Details may be made only in writing.
Service Program”). Not all drugs covered by the $10 Retail Program are covered by 2011 Wal-Mart Stores, Inc. | Page 6 of 6 Savings Made Simple

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