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June 5, 2008

Glyburide, micronized 6mg tab Metformin 500mg tab Metformin 850mg tab Metformin 1000mg tab* Metformin ER 500mg tab*

30

90

60

180

60

180

60

180

60

180

Pilocarpine 1% op. solution Pilocarpine 2% op. solution Polymyxin Sulfate/TMP op. solution* Sulfacet Sodium 10% op. solution Timolol Maleate 0.25% op. solution Timolol Maleate 0.5% op solution Tobramycin 0.3% op. solution

15ml

45ml

15ml

45ml

10ml

30ml

15ml

45ml

5ml

15ml

5ml

15ml

5ml

15ml

Atropine Sulfate 1% op. solution Bacitracin op. ointment Erythromycin op. ointment Gentamicin 0.3% op. solution Levobunolol 0.5% op solution

5ml 4gm 4gm 5ml 5ml 4gm

15ml 12gm 12gm 15ml 15ml 12gm

Neomycin/Polymyxin/Dexamethasone 0.1% op. ointment

Neomycin/Polymyxin/Dexamethasone 0.1% op. suspension

5ml

15ml

10ml

30ml

1 15gm 30gm 15gm 15gm 30gm 15gm 30gm 30

3 45gm 90gm 45gm 45gm 90gm 45gm 90gm 90

60 30 180ml 90 60 60 15ml 237ml 60 60ml 12 180ml 60 30

180 90 540ml 270 180 180 45ml 711ml 180 180ml 36 540ml 180 90

Amiloride-HCTZ 5mg-50mg tab

30

90

Atenolol-Chlorthalidone 50mg-25mg tab

30

90

Atenolol-Chlorthalidone 100mg-25mg tab

30

90

Atenolol 25mg tab

30

90

Atenolol 50mg tab

30

90

Atenolol 100mg tab

30

90

Benazepril 5mg tab

30

90

Benazepril 10mg tab

30

90

Benazepril 20mg tab

30

90

Benazepril 40mg tab

30

90

Bisoprolol-HCTZ 2.5mg-6.25mg tab

30

90

Bisoprolol-HCTZ 5mg-6.25mg tab

30

90

Bisoprolol-HCTZ 10mg-6.25mg tab

30

90

Bumetanide 0.5mg tab

30

90

Bumetanide 1mg tab

30

90

Captopril 12.5mg tab

60

180

Captopril 25mg tab

60

180

Captopril 50mg tab

60

180

Captopril 100mg tab

60

180

Carvedilol 3.125mg tab

60

180

Carvedilol 6.25mg tab

60

180

Carvedilol 12.5mg tab

60

180

Carvedilol 25mg tab*

60

180

Chlorthalidone 25mg tab

30

90

Chlorthalidone 50mg tab

30

90

Clonidine 0.1mg tab

30

90

Clonidine 0.2mg tab

30

90

Digoxin 0.125mg tab

30

90

Digoxin 0.25mg tab

30

90

Diltiazem 30mg tab

60

180

Diltiazem 60mg tab

60

180

Diltiazem 90mg tab*

60

180

Diltiazem 120mg tab

30

90

Doxazosin 1mg tab

30

90

Doxazosin 2mg tab

30

90

Doxazosin 4mg tab

30

90

Doxazosin 8mg tab

30

90

Enalapril-HCTZ 5mg-12.5mg tab

30

90

Enalapril 2.5mg tab

30

90

Enalapril 5mg tab

30

90

Enalapril 10mg tab

30

90

Enalapril 20mg tab

30

90

Antipyrine/Benzocaine otic

Fluconazole 150mg tab Nystatin/Triamcin cream Nystatin/Triamcin cream Nystatin/Triamcin ointment Nystatin cream Nystatin cream Nystatin ointment Nystatin ointment Terbinafine 250mg tab*

Belladonna Alkaloid/PB tab Cimetidine 800mg tab* Cytra2 solution Dicyclomine 10mg cap Dicyclomine 20mg tab Famotidine 20mg tab Hyoscyamine drops* Lactulose syrup Metoclopramide 10mg tab Metoclopramide syrup Promethazine 25mg tab* Promethazine plain syrup* Ranitidine 150mg tab Ranitidine 300mg tab

$4 Program covers up to a 30day supply of eligible drugs at commonly prescribed dosages. $10 Program covers a 90day supply of eligible drugs at commonly prescribed dosages. Prices for less than a 90day supply are prorated based on $4 Program price, not to exceed $10. Prices for more than a 90day supply are prorated based on $10 Program price. Physician permission may be required to change 30day prescription to 90day prescription. Not all drugs eligible for $4 Program are eligible for $10 Program. Certain plans, including governmentfunded programs, may not cover a 90day supply.

Prescription Program available at all WalMart, Samʹs Club & Neighborhood Markets except in ND. Only eligible drugs are covered. List may change and vary by state. Prescriptions must initially be filled in person. Refills must be picked up in store. No substitutions or mail orders. Prices may be higher in some states. Certain plans may entitle you to pay less. See Walmart.com or pharmacist for details.

  • *

    These drugs may be priced higher in CA, HI, MN, MT, PA, TN, WI, WY.

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