Arthritis & Pain

*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

ALLOPURINOL 100MG

ZYLOPRIM®

30

TABLET

ALLOPURINOL 300MG

ZYLOPRIM®

30

TABLET

BACLOFEN 10MG

LIORESAL®

30

TABLET

CYCLOBENZAPRINE 5MG

FLEXERIL®

30

TABLET

CYCLOBENZAPRINE 10MG

FLEXERIL®

30

TABLET

DEXAMETHASONE 0.5MG

DECADRON®

30

TABLET

DEXAMETHASONE 0.75MG

DECADRON®

12

TABLET

DEXAMETHASONE 4MG

DECADRON®

6

TABLET

IBUPROFEN 100MG/5ML

MOTRIN®

120

SUSPENSION

IBUPROFEN 400MG

MOTRIN®

90

TABLET

IBUPROFEN 600MG

MOTRIN®

60

TABLET

IBUPROFEN 800MG

MOTRIN®

30

TABLET

*† INDOMETHACIN 25MG

INDOCIN®

60

CAPSULE

† LEUCOVORIN CALCIUM 5MG

LEUCOVOR®

4

TABLET

MELOXICAM 7.5MG

MOBIC®

30

TABLET

MELOXICAM 15MG

MOBIC®

30

TABLET

NAPROXEN 250MG

NAPROSYN®

60

TABLET

* NAPROXEN 375MG

NAPROSYN®

60

TABLET

NAPROXEN 500MG

NAPROSYN®

60

TABLET

† NAPROXEN SODIUM 550MG

ANAPROX DS®

30

TABLET

*† SALSALATE 500MG

DISALCID®

60

TABLET


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