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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