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Target Pharmacy $4 Program

Medication Dosage Form Quantity Medication Dosage Form Quantity


ACYCLOVIR 200MG CAPSULE 30 CLONIDINE 0.1MG TABLET 30
ALBUTEROL 0.5% NEBULES 20 CLONIDINE 0.2MG TABLET 30
ALBUTEROL 2MG* TABLET 90 COLCHICINE 0.6MG TABLET 30
ALBUTEROL 2MG/5ML SYRUP 120 CYCLOBENZAPRINE 5MG TABLET 30
ALBUTEROL 4MG* TABLET 60 CYCLOBENZAPRINE 10MG TABLET 30
ALLOPURINOL 100MG TABLET 30 CYTRA-2 SOLUTION 180
ALLOPURINOL 300MG TABLET 30 DEXAMETHASONE 0.5MG TABLET 30
AMILOR/HCTZ 550 TABLET 30 DEXAMETHASONE 0.75MG TABLET 12
AMITRIPTYLINE 100MG TABLET 30 DEXAMETHASONE 4MG TABLET 6
AMITRIPTYLINE 10MG TABLET 30 DICLOFENAC 75MG DR TABLET 60
AMITRIPTYLINE 25MG TABLET 30 DICYCLOMINE 10MG CAPSULE 90
AMITRIPTYLINE 50MG TABLET 30 DICYCLOMINE 20MG CAPSULE 60
AMITRIPTYLINE 75MG TABLET 30 DIGITEK 0.125MG TABLET 30
AMOXICILLIN 125/5ML SUSPENSION 80, 100, 150 DIGITEK 0.25MG TABLET 30
AMOXICILLIN 200/5ML SUSPENSION 50, 75, 100 DILTIAZEM 120MG TABLET 30
AMOXICILLIN 250/5ML SUSPENSION 80, 100, 150 DILTIAZEM 30MG TABLET 60
AMOXICILLIN 250MG CAPSULE 30 DILTIAZEM 60MG TABLET 60
AMOXICILLIN 400/5ML SUSPENSION 50, 75, 100 DILTIAZEM 90MG TABLET 60
AMOXICILLIN 500MG CAPSULE 30 DOXAZOSIN 1MG TABLET 30
AMOXIL 50MG/ML DROP 30 DOXAZOSIN 2MG TABLET 30
ANTIPYRINE/BENZOCAINE OTIC SOLUTION 10 DOXAZOSIN 4MG TABLET 30
ATENOLOL/CHLORTHALIDONE 50/25MG TABLET 30 DOXAZOSIN 8MG TABLET 30
ATENOLOL/CHLORTHALIDONE 100/25MG TABLET 30 DOXEPIN HCL 100MG CAPSULE 30
ATENOLOL 100MG TABLET 30 DOXEPIN HCL 10MG CAPSULE 30
ATENOLOL 25MG TABLET 30 DOXEPIN HCL 25MG CAPSULE 30
ATENOLOL 50MG TABLET 30 DOXEPIN HCL 50MG CAPSULE 30
ATROPINE SULFATE 1% OPHTHALMIC SOLUTION 5 DOXEPIN HCL 75MG CAPSULE 30
BACITRACIN OPHTHALMIC OINTMENT 4 DOXYCYCLINE HYC 100MG CAPSULE 20
BACLOFEN 10MG TABLET 30 DOXYCYCLINE HYC 100MG TABLET 20
BELLADONNA ALKALOIDS/PB TABLET 60 DOXYCYCLINE HYC 50MG CAPSULE 30
BENAZEPRIL 10MG TABLET 30 ENALAPRIL/HCTZ 5/12.5MG TABLET 30
BENAZEPRIL 20MG TABLET 30 ENALAPRIL 10MG TABLET 30
BENAZEPRIL 40MG TABLET 30 ENALAPRIL 2.5MG TABLET 30
BENAZEPRIL 5MG TABLET 30 ENALAPRIL 20MG TABLET 30
BENZONATATE 100MG CAPSULE 14 ENALAPRIL 5MG TABLET 30
BENZTROPINE 2MG TABLET 30 ERYTHROCIN 250MG TABLET 40
BETAMETHASONE DIPROPIONATE 0.05% CREAM 15, 45 ERYTHROMYCIN 2% SOLUTION 60
BETAMETHASONE VALERATE 0.1% CREAM 15, 45 ERYTHROMYCIN OPHTHALMIC OINTMENT 4
BETAMETHASONE VALERATE 0.1% OINTMENT 15, 45 ERYTHROMYCIN 250MG EC CAPSULE 28
BISOPROLOL/HCTZ 2.5/6.25 TABLET 30 ESTRADIOL 0.5MG TABLET 30
BISOPROLOL/HCTZ 5/6.25MG TABLET 30 ESTRADIOL 1MG TABLET 30
BISOPROLOL/HCTZ 10/6.25MG TABLET 30 ESTRADIOL 2MG TABLET 30
BUMETANIDE 0.5MG TABLET 30 ESTROPIPATE 0.75MG TABLET 30
BUMETANIDE 1MG TABLET 30 ESTROPIPATE 1.5MG TABLET 30
BUSPIRONE 5MG TABLET 60 ETHEDENT 0.25MG CHEWABLE TABLET 120
BUSPIRONE 10MG TABLET 60 FAMOTIDINE 20MG TABLET 60
CAPTOPRIL 100MG TABLET 60 FLUCONAZOLE 150MG TABLET 1
CAPTOPRIL 12.5MG TABLET 60 FLUOCINONIDE 0.05% CREAM 15, 30
CAPTOPRIL 25MG TABLET 60 FLUOCINONIDE ACETIDE 0.01% SOLUTION 60
CAPTOPRIL 50MG TABLET 60 FLUOXETINE 10MG TABLET 30
CARBAMAZEPINE 200MG TABLET 60 FLUOXETINE 10MG CAPSULE 30
CEPHALEXIN 250MG CAPSULE 28 FLUOXETINE 20MG CAPSULE 30
CEPHALEXIN 500MG CAPSULE 30 FLUOXETINE 40MG* CAPSULE 30
CERON DM SYRUP 120 FLUPHENAZINE 1MG TABLET 30
CERON DM DROPS 30 FOLIC ACID 1MG TABLET 30
CHLORHEXIDINE GLUCONATE 0.12% SOLUTION 473 FUROSEMIDE 20MG TABLET 30
CHLORPROPAMIDE 100MG TABLET 30 FUROSEMIDE 40MG TABLET 30
CHLORTHALIDONE 25MG TABLET 30 FUROSEMIDE 80MG TABLET 30
CHLORTHALIDONE 50MG TABLET 30 GENTAMICIN 0.1% CREAM 15
CIMETIDINE 800MG TABLET 30 GENTAMICIN 0.1% OINTMENT 15
CIPROFLOXACN 250MG TABLET 14 GENTAMICIN 0.3% OPHTHALMIC SOLUTION 5
CIPROFLOXACN 500MG TABLET 20 GLIMEPIRIDE 1MG TABLET 30
CITALOPRAM 20MG TABLET 30 GLIMEPIRIDE 2MG TABLET 30
CITALOPRAM 40MG TABLET 30 GLIMEPIRIDE 4MG TABLET 30

*Due to state law in CA, CO, LA, MN, MT, PA, RI, TN, WI and WY, pricing on these drugs is higher than $4. 1
Please ask your Target Pharmacist for specific pricing.
Target Pharmacy $4 Program

Medication Dosage Form Quantity Medication Dosage Form Quantity


GLIPIZIDE 10MG TABLET 60 MAG64 64MG TABLET 60
GLIPIZIDE 5MG TABLET 30 MECLIZINE 12.5MG TABLET 90
GLYBURIDE MICRO 3MG TABLET 30 MECLIZINE 25MG TABLET 90
GLYBURIDE MICRO 6MG TABLET 30 MEDROXYPROGESTERONE 10MG TABLET 10
GLYBURIDE 2.5MG TABLET 30 MEDROXYPROGESTERONE 2.5MG TABLET 30
GLYBURIDE 5MG TABLET 30 MEDROXYPROGESTERONE 5MG TABLET 30
GUAIFENESIN DM SYRUP 120 MEGESTROL 20MG TABLET 30
GUAIFENEX DM ER TABLET 60 MELOXICAM 7.5 MG TABLET 30
GUANFACINE 1MG TABLET 30 MELOXICAM 15 MG TABLET 30
HALOPERIDOL 0.5MG TABLET 30 METFORMIN 1000MG TABLET 60
HALOPERIDOL 1MG TABLET 30 METFORMIN 500MG TABLET 60
HALOPERIDOL 2MG TABLET 30 METFORMIN 500MG ER TABLET 60
HALOPERIDOL 5MG TABLET 30 METFORMIN 850MG TABLET 60
HYDRALAZINE 10MG TABLET 30 METHYLDOPA 250MG* TABLET 60
HYDRALAZINE 25MG* TABLET 30 METHYLDOPA 500MG* TABLET 30
HYDROCHLOROTHIAZIDE 12.5MG CAPSULE 30 METHYLPREDNISOLONE 4MG DOSE PAK 21
HYDROCHLOROTHIAZIDE 25MG TABLET 30 METHYLPREDNISOLONE 4MG TABLET 21
HYDROCHLOROTHIAZIDE 50MG TABLET 30 METOCLOPRAMIDE 10MG TABLET 60
HYDROCORTISONE 1% CREAM 30 METOCLOPRAMIDE 5MG/5ML SYRUP 60
HYDROCORTISONE AC 25MG SUPPOSITORY 12 METOPROLOL 100MG TABLET 60
HYDROCORTISONE 2.5% CREAM 30 METOPROLOL 25MG TABLET 60
HYDROXYZINE HCL10MG/5ML SYRUP 120 METOPROLOL 50MG TABLET 60
HYOSCYAMINE 0.125/ML DROP 15 METRONIDAZOLE 250MG TABLET 28
HYOSCYAMINE 0.125MG SUBLINGUAL TABLET 30 METRONIDAZOLE 500MG TABLET 14
HYOSCYAMINE 0.125MG TABLET 60 MULTI-VITAMIN 0.25MG CHEWABLE TABLET 30
HYOSCYAMINE 0.375 ER TABLET 30 MULTI-VITAMIN/FL/FE CHEWABLE TABLET 30
IBUPROFEN 100/5ML SUSPENSION 120 MULTI-VITBET /FL 1MG CHEWABLE TABLET 30
IBUPROFEN 400MG TABLET 90 MULTI-VITBET 0.5MGFL CHEWABLE TABLET 30
IBUPROFEN 600MG TABLET 60 NADOLOL 20MG TABLET 30
IBUPROFEN 800MG TABLET 30 NADOLOL 40MG TABLET 30
INDAPAMIDE 1.25MG TABLET 30 NAPROXEN 375MG TABLET 60
INDAPAMIDE 2.5MG TABLET 30 NAPROXEN 500MG TABLET 60
INDOMETHACIN 25MG CAPSULE 60 NATALCARE PIC TABLET 30
ISONIAZID 300MG TABLET 30 NATALCARE PLUS TABLET 30
ISOSORBIDE MONO 30MG ER TABLET 30 NEOMYCIN/POLYMYXIN/DEXAMETHASONE 0.1% OPHTHALMIC OINTMENT 4
ISOSORBIDE MONO 60MG ER TABLET 30 NEOMYCIN/POLYMYXIN/DEXAMETHASONE 0.1% OPHTHALMIC SUSPENSION 5
KLORCON-10 10MEQ ER TABLET 30 NORTRIPTYLINE 10MG CAPSULE 30
KLORCON-8 8MEQ ER TABLET 30 NORTRIPTYLINE 25MG CAPSULE 30
KLORCON M10 TABLET 30 NYSTATIN/TRIAMCINOLONE CREAM 15, 30
LACTULOSE 10GM/15 SYRUP 237 NYSTATIN/TRIAMCINOLONE OINTMENT 15
LEVOTHYROXINE 100MCG TABLET 30 NYSTATIN 100000U CREAM 15, 30
LEVOTHYROXINE 125MCG TABLET 30 NYSTATIN 100000U OINTMENT 15, 30
LEVOTHYROXINE 150MCG TABLET 30 OXYBUTYNIN 5MG TABLET 60
LEVOTHYROXINE 25MCG TABLET 30 PAROXETINE 10MG* TABLET 30
LEVOTHYROXINE 50MCG TABLET 30 PAROXETINE 20MG* TABLET 30
LEVOTHYROXINE 75MCG TABLET 30 PENICILLN VK 125/5ML SOLUTION 200
LEVOTHYROXINE 88MCG TABLET 30 PENICILLN VK 250/5ML SOLUTION 100
LEVOTHYROXINE 112MCG TABLET 30 PENICILLN VK 250MG TABLET 28
LEVOTHYROXINE 175MCG* TABLET 30 PHENAZOPYRIDINE 100MG TABLET 6
LEVOTHYROXINE 200MCG TABLET 30 PHENAZOPYRIDINE 200MG TABLET 30
LIDOCAINE 2% VISCOUS SOLUTION 100 PILOCARPINE 1% OPHTHALMIC SOLUTION 15
LISINOPRIL-HCTZ 10-12.5M TABLET 30 PILOCARPINE 2% OPHTHALMIC SOLUTION 15
LISINOPRIL-HCTZ 20-25MG TABLET 30 PINDOLOL 10MG TABLET 30
LISINOPRIL-HCTZ 20-12.5 TABLET 30 PINDOLOL 5MG TABLET 30
LISINOPRIL 10MG TABLET 30 PIROXICAM 20MG CAPSULE 30
LISINOPRIL 2.5MG TABLET 30 POLYMIXIN SULFATE/TMP SOLUTION 10
LISINOPRIL 20MG TABLET 30 POTASSIUM CHLORIDE 10% LIQUID 473
LISINOPRIL 5MG TABLET 30 PRAVASTATIN 10MG* TABLET 30
LITHIUM CARB 300MG CAPSULE 90 PRAVASTATIN 20MG* TABLET 30
LORATADINE 10MG* TABLET 30 PRAVASTATIN 40MG* TABLET 30
LORATADINE 5MG/5ML SYRUP 120 PRAZOSIN HCL 1MG CAPSULE 30
LOVASTATIN 10MG* TABLET 30 PRAZOSIN HCL 2MG* CAPSULE 30
LOVASTATIN 20MG* TABLET 30 PRAZOSIN HCL 5MG* CAPSULE 30
MAG OXIDE 400MG TABLET 30 PREDNISONE 10MG TABLET 30

*Due to state law in CA, CO, LA, MN, MT, PA, RI, TN, WI and WY, pricing on these drugs is higher than $4. 2
Please ask your Target Pharmacist for specific pricing.
Target Pharmacy $4 Program

Medication Dosage Form Quantity


PREDNISONE 10MG* DOSEPACK 21, 48
PREDNISONE 2.5MG TABLET 30
PREDNISONE 20MG TABLET 30
PREDNISONE 5MG TABLET 30
PREDNISONE 5MG 6DAY PAK 21, 48
PRENATAL RX TABLET 30
PROCHLORPERAZINE 10MG TABLET 30
PROMETHAZINE 25MG TABLET 12
PROMETHAZINE DM SYRUP 120
PROMETHAZINE 6.25/5ML SYRUP 180
PROPRANOLOL 10MG TABLET 60
PROPRANOLOL 20MG TABLET 60
PROPRANOLOL 40MG TABLET 60
PROPRANOLOL 80MG TABLET 60
RANITIDINE 150MG* TABLET 60
RANITIDINE 300MG TABLET 30
SALSALATE 500MG TABLET 60
SELENIUM SUL 2.5% LOTION 120
SMZ/TMP DS 800/160 TABLET 20
SMZTMP 200/40/5ML SUSPENSION 120
SMZTMP 400/80MG TABLET 28
SOTALOL HCL 80MG TABLET 30
SPIRONOLACTONE 25MG TABLET 30
SULFACETAMIDE SODIUM 10% OPHTHALMIC SOLUTION 15
TERAZOSIN 10MG CAPSULE 30
TERAZOSIN 1MG CAPSULE 30
TERAZOSIN 2MG CAPSULE 30
TERAZOSIN 5MG CAPSULE 30
TETRACYCLINE 250MG CAPSULE 60
TETRACYCLINE 500MG CAPSULE 60
THIORIDAZINE 25MG TABLET 30
THIORIDAZINE 50MG TABLET 30
THIOTHIXENE 2MG CAPSULE 30
TOBRAMYCIN 0.3% OPHTHALMIC SOLUTION 5
TRAMADOL HCL 50MG TABLET 60
TRAZODONE 100MG TABLET 30
TRAZODONE 150MG TABLET 30
TRAZODONE 50MG TABLET 30
TRIAMCINOLONE 0.025% CREAM 15, 80
TRIAMCINOLONE 0.1% CREAM 15, 80
TRIAMCINOLONE 0.1% OINTMENT 15, 80
TRIAMCINOLONE 0.5% CREAM 15
TRIAMTERENE/HCTZ 37.5/25 CAPSULE 30
TRIAMTERENE/HCTZ 37.5/25 TABLET 30
TRIAMTERENE/HCTZ 75/50MG TABLET 30
TRIHEXYPHENIDYL 2MG TABLET 60
TRIVENT DPC 6/2/15/5ML SYRUP 120
VERAPAMIL 120MG TABLET 30
VERAPAMIL 80MG TABLET 30
WARFARIN 5MG TABLET 30

*Due to state law in CA, CO, LA, MN, MT, PA, RI, TN, WI and WY, pricing on these drugs is higher than $4. 3
Please ask your Target Pharmacist for specific pricing.

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