Antibiotics

*Due to state laws, these drugs are not covered under the 30-day program in MN and WI; however, they have been competitively priced. Please ask your pharmacist for specific pricing in these states.

†Due to state laws, these drugs are not covered under the 90-day program in MN and WI; however, they have been competitively priced. Please ask your pharmacist for specific pricing in these states.

$4 prescriptions are for up to a 30-day supply at commonly prescribed dosages. List subject to change.

GENERIC NAME

BRAND NAME

QTY

FORM

AMOXICILLIN 125MG/5ML

AMOXIL®

80

SUSPENSION

AMOXICILLIN 125MG/5ML

AMOXIL®

100

SUSPENSION

AMOXICILLIN 125MG/5ML

AMOXIL®

150

SUSPENSION

AMOXICILLIN 200MG/5ML

AMOXIL®

50

SUSPENSION

AMOXICILLIN 250MG/5ML

AMOXIL®

80

SUSPENSION

AMOXICILLIN 250MG/5ML

AMOXIL®

100

SUSPENSION

AMOXICILLIN 250MG

AMOXIL®

30

CAPSULE

AMOXICILLIN 400MG/5ML

AMOXIL®

50

SUSPENSION

*† AMOXICILLIN 400MG/5ML

AMOXIL®

75

SUSPENSION

*† AMOXICILLIN 400MG/5ML

AMOXIL®

100

SUSPENSION

*† AMOXICILLIN 500MG

AMOXIL®

30

CAPSULE

† CEPHALEXIN 250MG

KEFLEX®

28

CAPSULE

† CEPHALEXIN 500MG

KEFLEX®

30

CAPSULE

CIPROFLOXACN 250MG

CIPRO®

14

TABLET

*† CIPROFLOXACIN 500MG

CIPRO®

20

TABLET

PENICILLIN VK 125MG/5ML

V-CILLIN K®

100

SUSPENSION

PENICILLIN VK 250MG/5ML

V-CILLIN K®

100

SUSPENSION

*† PENICILLIN VK 250MG

VEETIDS®

28

TABLET

SMZ/TMP 400-80MG

BACTRIM®

28

TABLET

SMZ/TMP DS 800-160MG

BACTRIM DS®

20

TABLET


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