Download Extra Value Drug List.

More savings with the
Extra Value Drug List.
*
Join or renew as a Sam’s Plus® Member and save even more with
10-30% savings on select name-brand and generic prescriptions.**
Drug
Quantity
Extra Value
Price
Brand Diabetes
Quantity
Extra Value
Price
Atorvastatin 80mg Tablet
30
$11.87
Clopidogrel 75mg Tablet
30
$11.87
Drug
Levemir® 100 units/mL Vial
10mL
$122.29
Levemir® FlexPen® 100 units/mL
15mL
$203.03
NovoLog® 100 units/mL Vial
10mL
$116.84
TRUEresult® Blood Glucose System
1 ct.
Free
NovoLog® FlexPen® Syringe
15mL
$222.41
TRUEtest® Glucose Test Strips
50 ct.
$19.33
NovoLog® 100 units/mL Cartridge
15mL
$214.04
TRUEtest® Glucose Test Strips
100 ct.
$35.19
NovoLog® Mix 70-30 Vial
10mL
$121.07
NovoLog® Mix 70-30
FlexPen® Syringe
1 ct.
$14.90
15mL
$222.41
OptiChamber® Advantage
Small Mask
Victoza® 2 pk., 18mg/3mL ea. Pen
6mL
$311.44
OptiChamber® Advantage
Medium Mask
1 ct.
$14.90
Victoza® 3 pk., 18mg/3mL ea. Pen
9mL
$465.42
OptiChamber® Advantage
1 ct.
$8.53
Brand Devices and Supplies
Brand OTC
Generic Diabetes
Glipizide ER 2.5mg Tablet
30
$11.87
Mucinex® D Extended Relief Tablet
18
$11.46
Metformin ER 750mg Tablet
60
$11.87
Mucinex® D Extended Relief Tablet
24
$20.11
Glipizide/Metformin 2.5-250mg Tablet
60
$11.87
Delsym® 30mg/5mL Suspension
5 oz.
$9.76
Glipizide/Metformin 5-500mg Tablet
60
$11.87
Glipizide/Metformin 1.25-250mg Tablet
60
$11.87
Nexium 10mg Packet
30
$152.86
Glipizide/Metformin 2.5-500mg Tablet
60
$11.87
Nexium 20mg Packet
30
$152.86
Nexium 2.5mg Packet
30
$152.86
$115.03
Nexium 40mg Packet
30
$152.86
Brand Heart Health
Brand Gastrointestinal
CRESTOR 10mg Tablet
30
CRESTOR 20mg Tablet
30
$115.03
Nexium 5mg Packet
30
$152.86
CRESTOR® 40mg Tablet
30
$115.03
Nexium 20mg Capsule
30
$152.86
CRESTOR® 5mg Tablet
30
$115.03
Nexium 40mg Capsule
30
$152.86
Vimovo 375-20mg Tablet
60
$89.56
Vimovo 500-20mg Tablet
60
$89.56
®
®
Generic Heart Health
Losartan 25mg Tablet
30
$11.87
Losartan 50mg Tablet
30
$11.87
Losartan 100mg Tablet
30
$11.87
Polyeth Glycol 3350 Powder
255
$11.87
Losartan/HCT 50/12.5mg Tablet
30
$11.87
Polyeth Glycol 3350 Powder
527
$11.87
Losartan/HCT 100/12.5mg Tablet
30
$11.87
Losartan/HCT 100/25mg Tablet
30
$11.87
Atorvastatin 10mg Tablet
30
$11.87
Atorvastatin 20mg Tablet
30
$11.87
Atorvastatin 40mg Tablet
30
$11.87
Prices valid as of 6/22/2013
Generic Gastrointestinal
* Extra Value Drug program discount also applies to cash purchases of select over-the-counter items dispensed pursuant to a prescription; see Sam’s Club Pharmacy associate for details.
**Extra Value Drug program discounts apply only to listed prescriptions. Discounts available only
for cash purchases by Plus Members, and do not apply to purchases by non-Plus Members or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer or
state/federal government health care program. Prices on Extra Value Drug List include discounts
based on the specified quantity. Higher quantities cost more. Discount savings are based on the
dispensing Sam’s Club Pharmacy’s regular retail cash price. Discounts available only at retail
Sam’s Club Pharmacies and do not apply to SamsClub.com purchases. Discounts do not apply to
prescriptions covered under $4/$10 prescription program. Discounts cannot be combined with
any other discount card or discount arrangement, or any other promotion. Discounts do not apply
when listed prescriptions are dispensed as part of a compound. Discounts may be limited to covered
prescription drugs of select manufacturers that are in stock at the dispensing pharmacy. Restrictions
apply. Terms subject to change. See your local Sam’s Club Pharmacy for details.
Taxes or other fees may apply.
V1
More savings with the
Extra Value Drug List.
*
Join or renew as a Sam’s Plus® Member and save even more with
10-30% savings on select name-brand and generic prescriptions.**
Drug
Quantity
Extra Value
Price
Generic Gastrointestinal (continued)
Quantity
Extra Value
Price
Amoxicillin/Pot Clavanate
875-125mg Tablet
20
$11.87
Amoxicillin/Pot Clavanate
200mg/5mL Suspension
75
$11.87
Amoxicillin/Pot Clavanate
200mg/5mL Suspension
100
$11.87
Amoxicillin/Pot Clavanate
400mg/5mL Suspension
50
$11.87
Amoxicillin/Pot Clavanate
400mg/5mL Suspension
75
$11.87
Drug
Diphenoxylate/Atropine
2.5-.025mg Tablet
30
$11.87
Loperamide 2mg Capsule
60
$11.87
Hyoscyamine 0.125mg Tablet
30
$11.87
Hyoscyamine Sublingal 0.125mg Tablet
30
$11.87
Hyoscyamine ER 0.375mg Tablet
30
$11.87
Glycopyrrolate 1mg Tablet
60
$11.87
Glycopyrrol 2mg Tablet
60
$11.87
Chlordiazepoxide/Clidinium
5-2.5mg Capsule
30
$11.87
Amoxicillin/Pot Clavanate
400mg/5mL Suspension
100
$11.87
Ranitidine 75mg/5mL Syrup
120
$11.87
75
$11.87
Lansoprazole 15mg Capsule
30
$11.87
Amoxicillin/Pot Clavanate
600mg/5mL Suspension
Lansoprazole 30mg Capsule
30
$11.87
Amoxicillin/Pot Clavanate
600mg/5mL Suspension
125
$11.87
Omeprazole 10mg Capsule
30
$11.87
Omeprazole 20mg Capsule
30
$11.87
Amoxicillin/Pot Clavanate
600mg/5mL Suspension
200
$11.87
Omeprazole 40mg Capsule
30
$11.87
Cephalexin 125mg/5mL Suspension
100
$11.87
Pantoprazole 20mg Tablet
30
$11.87
Cephalexin 125mg/5mL Suspension
200
$11.87
Pantoprazole 40mg Tablet
30
$11.87
Cephalexin 250mg/5mL Suspension
100
$11.87
Sucralfate 1mg Tablet
60
$11.87
Cephalexin 250mg/5mL Suspension
200
$11.87
Meclizine 12.5mg Tablet
30
$11.87
Azithromycin 250mg Tablet
6
$11.87
Meclizine 25mg Tablet
30
$11.87
Azithromycin 500mg Tablet
3
$11.87
Ursodiol 300mg Capsule
60
$11.87
Azithromycin 100mg/5mL
Suspension
15
$11.87
Azithromycin 200mg/5mL
Suspension
15
$11.87
Azithromycin 200mg/5mL
Suspension
23
$11.87
Azithromycin 200mg/5mL Suspension
30
$11.87
Generic Allergy Products
Montelukast 4mg Chew
30
$11.87
Montelukast 5mg Tablet
30
$11.87
Montelukast 10mg Tablet
30
$11.87
Brand Asthma-COPD
Symbicort 160-4.5mcg Inhaler
Symbicort 80-4.5mcg Inhaler
Pulmicort 180mcg FLEXHALER
®
Pulmicort 90mcg FLEXHALER®
1 ct.
$227.25
1 ct.
$199.26
1 ct.
$156.01
1 ct.
$117.40
Generic Cough-Cold-Allergy
Amoxicillin 875mg Tablet
20
$11.87
Amoxicillin/Pot Clavanate
500-125mg Tablet
20
$11.87
Prices valid as of 6/22/2013
* Extra Value Drug program discount also applies to cash purchases of select over-the-counter items dispensed pursuant to a prescription; see Sam’s Club Pharmacy associate for details.
**Extra Value Drug program discounts apply only to listed prescriptions. Discounts available only
for cash purchases by Plus Members, and do not apply to purchases by non-Plus Members or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer or
state/federal government health care program. Prices on Extra Value Drug List include discounts
based on the specified quantity. Higher quantities cost more. Discount savings are based on the
dispensing Sam’s Club Pharmacy’s regular retail cash price. Discounts available only at retail
Sam’s Club Pharmacies and do not apply to SamsClub.com purchases. Discounts do not apply to
prescriptions covered under $4/$10 prescription program. Discounts cannot be combined with
any other discount card or discount arrangement, or any other promotion. Discounts do not apply
when listed prescriptions are dispensed as part of a compound. Discounts may be limited to covered
prescription drugs of select manufacturers that are in stock at the dispensing pharmacy. Restrictions
apply. Terms subject to change. See your local Sam’s Club Pharmacy for details.
Taxes or other fees may apply.
V1
More savings with the
Extra Value Drug List.
*
Join or renew as a Sam’s Plus® Member and save even more with
10-30% savings on select name-brand and generic prescriptions.**
Drug
Quantity
Extra Value
Price
Generic Cough-Cold-Allergy (continued)
Quantity
Extra Value
Price
LUMIGAN® 0.03% Eye Drops
2.5mL
$90.78
Drug
Clarithromycin 250mg Tablet
20
$11.87
LUMIGAN® 0.03% Eye Drops
5mL
$177.99
Clarithromycin 500mg Tablet
20
$11.87
LUMIGAN® 0.03% Eye Drops
7.5mL
$265.23
Minocycline 50mg Capsule
30
$11.87
LUMIGAN® 0.01% Eye Drops
2.5mL
$97.77
Minocycline 100mg Capsule
30
$11.87
LUMIGAN® 0.01% Eye Drops
5mL
$191.95
Levofloxacin 250mg Tablet
10
$11.87
LUMIGAN® 0.01% Eye Drops
7.5mL
$286.16
Levofloxacin 500mg Tablet
10
$11.87
RESTASIS® 0.05% Eye Emulsion
30 udv
144.00
Levofloxacin 750mg Tablet
10
$11.87
RESTASIS® 0.05% Eye Emulsion
60 udv
$288.00
Cetirizine 1mg/mL Syrup
120
$11.87
Levocetirizine 5mg Tablet
30
$11.87
Bupropion SR 100mg Tablet
60
$11.87
Loratadine 5mg/5mL Syrup
120
$11.87
Bupropion SR 150mg Tablet
60
$11.87
Hydroxyzine HCL 10mg Tablet
60
$11.87
Bupropion SR 200mg Tablet
60
$11.87
Hydroxyzine HCL 25mg Tablet
60
$11.87
Bupropion XL 150mg Tablet
30
$11.87
Hydroxyzine HCL 50mg Tablet
60
$11.87
Bupropion XL 300mg Tablet
30
$11.87
Hydroxyzine HCL 10mg/5mL Solution
120
$11.87
Carbidopa-Levodopa 25-100mg Tablet
90
$11.87
Hydroxyzine PAM 25mg Capsule
60
$11.87
Carbidopa-Levodopa 25-250mg Tablet
90
$11.87
Hydroxyzine PAM 50mg Capsule
60
$11.87
Carbamazepine 100mg Chew
90
$11.87
Ciprofloxacn Opthalmic
0.3% Solution
5
$11.87
Divalproex 125mg Capsule
90
$11.87
Gentak Opthalmic 0.3% Ointment
4
$11.87
Divalproex EC 125mg Tablet
90
$11.87
Ofloxacin Opthalmic
0.3% Solution
Divalproex EC 250mg Tablet
90
$11.87
5
$11.87
Divalproex EC 500mg Tablet
90
$11.87
Neo/Poly/Hc Otic 1% Suspension
10
$11.87
Divalproex ER 250mg Tablet
30
$11.87
Neo/Poly/Hc Otic 1% Solution
10
$11.87
Divalproex ER 500mg Tablet
30
$11.87
Prednisolone 15mg/5mL Syrup
30
$11.87
Donepezil HCL 5mg Tablet
30
$11.87
Prednisolone 15mg/5mL Solution
30
$11.87
Donepezil HCL 10mg Tablet
30
$11.87
Prednisolone 6.7mg/5mL Liquid
30
$11.87
Escitalopram 5mg Tablet
30
$11.87
Escitalopram 10mg Tablet
30
$11.87
9 pk.
$156.05
Escitalopram 20mg Tablet
30
$11.87
120mL
$137.09
Gabapentin 100mg Capsule
90
$11.87
Brand Other
CAMBIA 50mg Powder Packet
Natroba™ 0.9% Topical Suspension
Eye Care
Alphagan® P 0.1% Eye Drops
5mL
$81.76
Alphagan® P 0.1% Eye Drops
10mL
$159.94
Alphagan® P 0.1% Eye Drops
15mL
$238.19
Combigan® Eye Drops
5mL
$87.88
Combigan® Eye Drops
10mL
$172.28
Prices valid as of 6/22/2013
Generic Mental Wellness
* Extra Value Drug program discount also applies to cash purchases of select over-the-counter items dispensed pursuant to a prescription; see Sam’s Club Pharmacy associate for details.
**Extra Value Drug program discounts apply only to listed prescriptions. Discounts available only
for cash purchases by Plus Members, and do not apply to purchases by non-Plus Members or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer or
state/federal government health care program. Prices on Extra Value Drug List include discounts
based on the specified quantity. Higher quantities cost more. Discount savings are based on the
dispensing Sam’s Club Pharmacy’s regular retail cash price. Discounts available only at retail
Sam’s Club Pharmacies and do not apply to SamsClub.com purchases. Discounts do not apply to
prescriptions covered under $4/$10 prescription program. Discounts cannot be combined with
any other discount card or discount arrangement, or any other promotion. Discounts do not apply
when listed prescriptions are dispensed as part of a compound. Discounts may be limited to covered
prescription drugs of select manufacturers that are in stock at the dispensing pharmacy. Restrictions
apply. Terms subject to change. See your local Sam’s Club Pharmacy for details.
Taxes or other fees may apply.
V1
More savings with the
Extra Value Drug List.
*
Join or renew as a Sam’s Plus® Member and save even more with
10-30% savings on select name-brand and generic prescriptions.**
Drug
Quantity
Extra Value
Price
Generic Mental Wellness (continued)
Quantity
Extra Value
Price
Risperidone 2mg ODT
60
$11.87
Drug
Gabapentin 300mg Capsule
90
$11.87
Risperidone 1mg/mL Solution
30
$11.87
Gabapentin 400mg Capsule
90
$11.87
Topiramate 25mg Tablet
60
$11.87
Lamotrigine 25mg Tablet
60
$11.87
Topiramate 50mg Tablet
60
$11.87
Lamotrigine 100mg Tablet
60
$11.87
Topiramate 100mg Tablet
60
$11.87
Lamotrigine 150mg Tablet
60
$11.87
Topiramate 200mg Tablet
60
$11.87
Lamotrigine 200mg Tablet
60
$11.87
Venlafaxine 37.5mg Tablet
60
$11.87
60
$11.87
Levetiracetam 250mg Tablet
60
$11.87
Venlafaxine 75mg Tablet
Levetiracetam 500mg Tablet
60
$11.87
Venlafaxine 100mg Tablet
60
$11.87
Levetiracetam 750mg Tablet
60
$11.87
Venlafaxine HCL ER 37.5mg Capsule
30
$11.87
Levetiracetam 1000mg Tablet
60
$11.87
Venlafaxine HCL ER 75mg Capsule
30
$11.87
Levetiracetam 100mg/mL Solution
240
$11.87
Venlafaxine HCL ER 150mg Capsule
30
$11.87
Olanzapine 2.5mg Tablet
30
$11.87
Olanzapine 5mg Tablet
30
$11.87
Levofloxacin 250mg Tablet
10
$11.87
Olanzapine 7.5mg Tablet
30
$11.87
Levofloxacin 500mg Tablet
10
$11.87
Olanzapine 10mg Tablet
30
$11.87
Levofloxacin 750mg Tablet
10
$11.87
Olanzapine 15mg Tablet
30
$11.87
Ketoconazole 200mg Tablet
20
$11.87
Olanzapine 20mg Tablet
30
$11.87
Fluconazole 100mg Tablet
10
$11.87
Pramipexole 0.125mg Tablet
60
$11.87
Fluconazole 200mg Tablet
10
$11.87
Pramipexole 0.25mg Tablet
60
$11.87
Fluconazole 10mg/mL Suspension
35mL
$11.87
Pramipexole 0.5mg Tablet
60
$11.87
Acyclovir 400mg Tablet
30
$11.87
Pramipexole 1mg Tablet
60
$11.87
Acyclovir 800mg Tablet
30
$11.87
Pramipexole 1.5mg Tablet
60
$11.87
Valacyclovir 500mg Tablet
20
$11.87
Quetiapine 25mg Tablet
30
$11.87
Valacyclovir 1gm Tablet
10
$11.87
Quetiapine 50mg Tablet
30
$11.87
Mercaptopurine 50mg Tablet
25
$11.87
Quetiapine 100mg Tablet
30
$11.87
Bicalutamide 50mg Tablet
30
$11.87
Quetiapine 200mg Tablet
30
$11.87
Anastrozole 1mg Tablet
30
$11.87
Quetiapine 300mg Tablet
30
$11.87
Letrozole 2.5mg Tablet
30
$11.87
Risperidone 0.25mg Tablet
60
$11.87
Megestrol 40mg Tablet
60
$11.87
Risperidone 0.5mg Tablet
60
$11.87
Risperidone 1mg Tablet
60
$11.87
Risperidone 2mg Tablet
60
$11.87
Risperidone 3mg Tablet
60
$11.87
Risperidone 4mg Tablet
60
$11.87
Risperidone 0.5mg ODT
60
$11.87
Risperidone 1mg ODT
60
$11.87
Prices valid as of 6/22/2013
Generic Oncology & Oncology Support
* Extra Value Drug program discount also applies to cash purchases of select over-the-counter items dispensed pursuant to a prescription; see Sam’s Club Pharmacy associate for details.
**Extra Value Drug program discounts apply only to listed prescriptions. Discounts available only
for cash purchases by Plus Members, and do not apply to purchases by non-Plus Members or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer or
state/federal government health care program. Prices on Extra Value Drug List include discounts
based on the specified quantity. Higher quantities cost more. Discount savings are based on the
dispensing Sam’s Club Pharmacy’s regular retail cash price. Discounts available only at retail
Sam’s Club Pharmacies and do not apply to SamsClub.com purchases. Discounts do not apply to
prescriptions covered under $4/$10 prescription program. Discounts cannot be combined with
any other discount card or discount arrangement, or any other promotion. Discounts do not apply
when listed prescriptions are dispensed as part of a compound. Discounts may be limited to covered
prescription drugs of select manufacturers that are in stock at the dispensing pharmacy. Restrictions
apply. Terms subject to change. See your local Sam’s Club Pharmacy for details.
Taxes or other fees may apply.
V1
More savings with the
Extra Value Drug List.
*
Join or renew as a Sam’s Plus® Member and save even more with
10-30% savings on select name-brand and generic prescriptions.**
Drug
Quantity
Extra Value
Price
Generic Oncology & Oncology Support (cont.)
Megestrol 40mg/mL Suspension
Ondansetron 4mg ODT
Quantity
Extra Value
Price
Reclipsen Tablet
28
$11.87
Syeda Tablet
28
$11.87
Drug
240mL
$11.87
30
$11.87
Kelnor Tablet
28
$11.87
28
$11.87
Ondansetron 8mg ODT
10
$11.87
Aviane Tablet
Ondansetron 4mg Tablet
30
$11.87
Altavera Tablet
28
$11.87
Ondansetron 8mg Tablet
30
$11.87
Nortrel Tablet 0.5 / 35
28
$11.87
Nortrel Tablet 1 / 35
28
$11.87
Generic Women’s Health
Estropipate 0.75mg Tablet
30
$11.87
Microgestin Tablet 1 / 20
21
$11.87
Norethindrone 5mg Tablet
30
$11.87
Microgestin Tablet 1.5 / 30
21
$11.87
Liothyronine 5mcg Tablet
30
$11.87
Cryselle-28 Tablet 1 / 20
28
$11.87
Liothyronine 25mcg Tablet
30
$11.87
Microgestin FE Tablet 1.5 / 30
28
$11.87
Methimazole 5mg Tablet
30
$11.87
Microgestin FE Tablet
28
$11.87
Methimazole 10mg Tablet
30
$11.87
Enpresse-28 Tablet
28
$11.87
Ibandronate 150mg Tablet
1
$11.87
Nortrel 7/7/7 Tablet
28
$11.87
Metronidazole Vaginal Gel 0.75%
70
$11.87
Terconazole Vaginal Cream 0.40%
45
$11.87
Myorisan (isotretinoin) 10mg
30
$96.90
Terconazole Vaginal Cream 0.80%
20
$11.87
Myorisan (isotretinoin) 20mg
30
$114.90
Myorisan (isotretinoin) 40mg
30
$135.00
Oral Contraceptives
Camila Tablet
28
$11.87
Errin Tablet
28
$11.87
Generic Skin Care
* Extra Value Drug program discount also applies to cash purchases of select over-the-counter items dispensed pursuant to a prescription; see Sam’s Club Pharmacy associate for details.
**Extra Value Drug program discounts apply only to listed prescriptions. Discounts available only
for cash purchases by Plus Members, and do not apply to purchases by non-Plus Members or
to purchases submitted to any health benefit program, pharmacy benefit program, insurer or
state/federal government health care program. Prices on Extra Value Drug List include discounts
based on the specified quantity. Higher quantities cost more. Discount savings are based on the
dispensing Sam’s Club Pharmacy’s regular retail cash price. Discounts available only at retail
Sam’s Club Pharmacies and do not apply to SamsClub.com purchases. Discounts do not apply to
prescriptions covered under $4/$10 prescription program. Discounts cannot be combined with
any other discount card or discount arrangement, or any other promotion. Discounts do not apply
when listed prescriptions are dispensed as part of a compound. Discounts may be limited to covered
prescription drugs of select manufacturers that are in stock at the dispensing pharmacy. Restrictions
apply. Terms subject to change. See your local Sam’s Club Pharmacy for details.
Prices valid as of 6/22/2013
Taxes or other fees may apply.
V1