Diabetes

*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

GLIMEPIRIDE 1MG

AMARYL®

30

TABLET

GLIMEPIRIDE 2MG

AMARYL®

30

TABLET

GLIMEPIRIDE 4MG

AMARYL®

30

TABLET

*† GLIPIZIDE 5MG

GLUCOTROL®

30

TABLET

GLIPIZIDE 10MG

GLUCOTROL®

60

TABLET

*† GLYBURIDE 5MG

DIABETA®

30

TABLET

GLYBURIDE MCR 3MG

GLYNASE PRESTAB®

30

TABLET

METFORMIN 500MG

GLUCOPHAGE®

60

TABLET

METFORMIN 850MG

GLUCOPHAGE®

60

TABLET

† METFORMIN 1000MG

GLUCOPHAGE®

60

TABLET

METFORMIN ER 500MG

GLUCOPHAGE XR®

60

TABLET


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