The day supply is based upon the average dispensing patterns for the specific drug and strength. The prices and the list of covered drugs can be modified at any time without notice and at Food Lion’s discretion.

OTHER SPECIALLY PRICED ITEMSATORVASTATIN CALCIUM 10 MG TAB OSP 30 $15.00 90 $40.00ATORVASTATIN CALCIUM 20 MG TAB OSP 30 $15.00 90 $40.00ATORVASTATIN CALCIUM 40 MG TAB OSP 30 $15.00 90 $40.00ATORVASTATIN CALCIUM 80 MG TAB OSP 30 $15.00 90 $40.00CLOPIDOGREL BISULFATE 75 MG TAB OSP 30 $15.00 90 $40.00OMEPRAZOLE DR 20 MG CAP OSP 30 $15.00 90 $30.00ONDANSETRON 4 MG ODT OSP 20 $15.00 60 $30.00ONDANSETRON 8 MG ODT OSP 20 $15.00 60 $30.00PIOGLITAZONE HCL 15 MG TAB OSP 30 $15.00 90 $30.00PIOGLITAZONE HCL 30 MG TAB OSP 30 $15.00 90 $30.00PRAMIPEXOLE 0.125 MG TAB OSP 30 $15.00 90 $30.00PRAMIPEXOLE 0.25 MG TAB OSP 30 $15.00 90 $30.00PRAMIPEXOLE 0.5 MG TAB OSP 30 $15.00 90 $30.00PNV PRENATAL PLUS OSP 30 FREE 90 FREELUDENT FLUORIDE CHEWS - 0.25 MG OSP 30 FREE 90 FREELUDENT FLUORIDE CHEWS - 0.50 MG OSP 30 FREE 90 FREELUDENT FLUORIDE CHEWS - 1 MG OSP 30 FREE 90 FREE

SPECIALLY PRICED HEALTHY ACCENTS® DIABETES SUPPLIESLANCETS 100 $3.69LANCING DEVICE 1 $4.99TESTING METER 1 FREETESTING STRIPS 50 $19.99TESTING STRIPS 100 $39.98PEN NEEDLE 32G x 4mm 100 $24.99PEN NEEDLE 31G x 5mm 100 $24.99PEN NEEDLE 31G x 6mm 100 $24.99PEN NEEDLE 31G x 8mm 100 $24.99SYRINGE** 0.3mL/30G 100 $19.99SYRINGE** 0.5mL/30G 100 $19.99SYRINGE** 1mL/30G 100 $19.99SYRINGE** 0.3mL/31G 100 $19.99SYRINGE ** 0.5mL/31G 100 $19.99SYRINGE ** 1mL/31G 100 $19.99

**Syringe quantities of more than 10 available by prescription only.

SELECT PET MEDICINES*TRUPROFEN 100MG TABTRUPROFEN 75MG TABVETMEDIN 1.25 MG CHWSOLOXINE 0.8 MG TABTRUPROFEN 25MG TABVETMEDIN 5 MG CHWSOLOXINE 0.5 MG TABFELIMAZOLE 2.5 MG TABFELIMAZOLE 5 MG TABSOLOXINE 0.6 MG TABSOLOXINE 0.7MG TABSOLOXINE 0.1 MG TABRIMADYL 100 MG CHWTEMARIL-P TABSOLOXINE 0.4 MG TABK-BROVET 250MG/ML SOLN*Other pet medications available –check with your pharmacist to find out more!

TTERAZOSIN HCL 1 MG CAP Tier 1 30 $5.00 90 $10.00TERAZOSIN HCL 2 MG CAP Tier 1 30 $5.00 90 $10.00TERAZOSIN HCL 5 MG CAP Tier 1 30 $5.00 90 $10.00TERAZOSIN HCL 10 MG CAP Tier 1 30 $5.00 90 $10.00TERBINAFINE HCL 250 MG TAB Tier 2 30 $10.00 90 $20.00TIMOLOL MALEATE OPHTH SOLN 0.25% Tier 1 5 $5.00 15 $10.00TIMOLOL MALEATE OPHTH SOLN 0.5% Tier 2 10 $10.00 30 $20.00TOBRAMYCIN OPHTH SOLN 0.3 % Tier 1 5 $5.00 15 $10.00TOPIRAMATE 25 MG TAB Tier 1 30 $5.00 90 $10.00TOPIRAMATE 50 MG TAB Tier 1 30 $5.00 90 $10.00TOPIRAMATE 100 MG TAB Tier 1 30 $5.00 90 $10.00TOPIRAMATE 200 MG TAB Tier 1 30 $5.00 90 $10.00TORSEMIDE 20 MG TAB Tier 2 30 $10.00 90 $20.00TRAZODONE HCL 50 MG TAB Tier 1 30 $5.00 90 $10.00TRAZODONE HCL 100 MG TAB Tier 1 30 $5.00 90 $10.00TRAZODONE HCL 150 MG TAB Tier 1 30 $5.00 90 $10.00TRIAMCINOLONE ACETONIDE 0.1% CREA Tier 2 80 $10.00 240 $20.00TRIAMCINOLONE ACETONIDE 0.1% OINT Tier 1 15 $5.00 45 $10.00TRIAMTERENE-HCTZ 37.5-25 MG CAP Tier 1 30 $5.00 90 $10.00TRIAMTERENE-HCTZ 37.5-25 MG TAB Tier 1 30 $5.00 90 $10.00TRIAMTERENE-HCTZ 75-50 MG TAB Tier 1 30 $5.00 90 $10.00VVERAPAMIL HCL 80 MG TAB Tier 1 30 $5.00 90 $10.00VERAPAMIL HCL 120 MG TAB Tier 1 30 $5.00 90 $10.00

Drug Name Tier Qty Price Qty Price30DOS 30DOS 90 DOS 90 DOS

Drug Name Tier Qty Price Qty Price30DOS 30DOS 90 DOS 90 DOS

WOMEN’S & MEN’S HEALTHALENDRONATE SODIUM 35 MG TAB OSP 4 $15.00 12 $30.00ALENDRONATE SODIUM 70 MG TAB OSP 4 $15.00 12 $30.00FINASTERIDE 5 MG TAB OSP 30 $15.00 90 $45.00SPRINTEC OSP 28 $15.00 84 $45.00NORGESTIMATE/ETYHINYL ESTRODIOL OSP 28 $15.00 84 $45.00TAMOXIFEN 10 MG TAB OSP 60 $15.00 180 $45.00TAMOXIFEN 20 MG TAB OSP 30 $15.00 90 $45.00

foodlion.com/pharmacy

IMMUNIZATIONSFlu, shingles, pneumonia, & more

with no appointment needed. (Immunization availability and age requirements vary by state. Please

see your pharmacist for details.)

THIRD-PARTY INSURANCE PLANS

We accept most insurance plans.

HASSLE-FREE TRANSFERS

Drop off your current pill bottle. We’ll do the rest.

CONVENIENT REFILL ORDERING

24 hours a day at foodlion.com/pharmacy

or by phone.

HEALTHCARE PROFESSIONALSAvailable to answer your questions with expertise and care.

Ask your Food Lion Pharmacist how Healthy Saver® could benefit you.

GENERIC DRUG LISTFALL 2017

GREAT CAREGREAT CONVENIENCE

GREAT VALUE

SAVE TIME AND COMBINERefills made simple!

Coordinate your prescriptions to be ready on the same day each month.

HASSLE FREE TRANSFERS

Drop off your current pill bottle. We’ll do the rest.

HEALTHCAREPROFESSIONALSAvailable to answer your questions with expertise

and care.

IMMUNIZATIONSFlu, shingles, pneumonia,

and more with no appointment needed.Immunization availability and age

requirements vary by state. Please see your pharmacist for details.

CONVENIENT REFILL ORDERING

24 hours a day at foodlion.com/pharmacy

or by phone.

FALL/WINTER 2020

A ACYCLOVIR 400 MG TAB Tier 2 60 $10.00 180 $20.00ALBUTEROL SULFATE NEBU 0.083% SOLN Tier 1 75 $5.00 225 $10.00AMIODARONE HCL 200 MG TAB Tier 2 30 $10.00 90 $20.00AMLODIPINE BESYLATE 2.5 MG TAB Tier 1 30 $5.00 90 $10.00AMLODIPINE BESYLATE 5 MG TAB Tier 1 30 $5.00 90 $10.00AMLODIPINE BESYLATE 10 MG TAB Tier 1 30 $5.00 90 $10.00AMOXICILLIN 125 MG/5 ML SUS Tier 1 80 $5.00 240 $10.00AMOXICILLIN 125 MG/5 ML SUS Tier 1 150 $5.00 450 $10.00AMOXICILLIN 200 MG/5 ML SUS Tier 1 75 $5.00 225 $10.00AMOXICILLIN 200 MG/5 ML SUS Tier 1 100 $5.00 300 $10.00AMOXICILLIN 250 MG/5 ML SUS Tier 1 80 $5.00 240 $10.00AMOXICILLIN 250 MG/5 ML SUS Tier 1 100 $5.00 300 $10.00AMOXICILLIN 250 MG/5 ML SUS Tier 1 150 $5.00 450 $10.00AMOXICILLIN 400 MG/5 ML SUS Tier 1 50 $5.00 150 $10.00AMOXICILLIN 400 MG/5 ML SUS Tier 1 75 $5.00 225 $10.00AMOXICILLIN 400 MG/5 ML SUS Tier 1 100 $5.00 300 $10.00AMOXICILLIN 250 MG CAP Tier 1 30 $5.00 90 $10.00AMOXICILLIN 500 MG CAP Tier 1 30 $5.00 90 $10.00ATENOLOL 25 MG TAB Tier 1 30 $5.00 90 $10.00ATENOLOL 50 MG TAB Tier 1 30 $5.00 90 $10.00ATENOLOL 100 MG TAB Tier 1 30 $5.00 90 $10.00B BACLOFEN 10 MG TAB Tier 2 30 $10.00 90 $20.00BENAZEPRIL HCL 5 MG TAB Tier 1 30 $5.00 90 $10.00BENAZEPRIL HCL 10 MG TAB Tier 1 30 $5.00 90 $10.00BENAZEPRIL HCL 20 MG TAB Tier 1 30 $5.00 90 $10.00BENAZEPRIL HCL 40 MG TAB Tier 1 30 $5.00 90 $10.00BENZONATATE 100 MG CAP Tier 2 30 $10.00 90 $20.00BUPROPION SR 100 MG TAB Tier 2 30 $10.00 90 $20.00BUSPIRONE HCL 5 MG TAB Tier 2 60 $10.00 180 $20.00BUSPIRONE HCL 10 MG TAB Tier 2 60 $10.00 180 $20.00C CARVEDILOL 3.125 MG TAB Tier 1 60 $5.00 180 $10.00CARVEDILOL 6.25 MG TAB Tier 1 60 $5.00 180 $10.00CARVEDILOL 12.5 MG TAB Tier 1 60 $5.00 180 $10.00CARVEDILOL 25 MG TAB Tier 1 60 $5.00 180 $10.00CEPHALEXIN 250 MG CAP Tier 1 30 $5.00 90 $10.00CEPHALEXIN 500 MG CAP Tier 1 30 $5.00 90 $10.00CHLORHEXIDINE GLUCONATE 0.12% SOLN Tier 1 473 $5.00 1419 $10.00CIPROFLOXACIN 250 MG TAB Tier 1 20 $5.00 60 $10.00CIPROFLOXACIN 500 MG TAB Tier 1 20 $5.00 60 $10.00CITALOPRAM HYDROBROMIDE 10 MG TAB Tier 1 30 $5.00 90 $10.00CITALOPRAM HYDROBROMIDE 20 MG TAB Tier 1 30 $5.00 90 $10.00CITALOPRAM HYDROBROMIDE 40 MG TAB Tier 1 30 $5.00 90 $10.00CLINDAMYCIN HCL 150 MG CAP Tier 1 30 $5.00 90 $10.00CLOMIPHENE CITRATE 50 MG TAB Tier 2 5 $10.00 15 $20.00CLONIDINE HCL 0.1 MG TAB Tier 1 30 $5.00 90 $10.00CLONIDINE HCL 0.2 MG TAB Tier 1 30 $5.00 90 $10.00CYCLOBENZAPRINE HCL 5 MG TAB Tier 1 30 $5.00 90 $10.00CYCLOBENZAPRINE HCL 10 MG TAB Tier 1 30 $5.00 90 $10.00D DILTIAZEM HCL 30 MG TAB Tier 2 60 $10.00 180 $20.00E ENALAPRIL MALEATE 2.5 MG TAB Tier 2 30 $10.00 90 $20.00ESTRADIOL 0.5 MG TAB Tier 1 30 $5.00 90 $10.00ESTRADIOL 1 MG TAB Tier 1 30 $5.00 90 $10.00ESTRADIOL 2 MG TAB Tier 1 30 $5.00 90 $10.00F FERROUS SULFATE 325 MG TAB Tier 1 60 $5.00 180 $10.00FLUCONAZOLE 150 MG TAB Tier 1 1 $5.00 3 $10.00FLUOXETINE HCL 10 MG CAP Tier 1 30 $5.00 90 $10.00FLUOXETINE HCL 20 MG CAP Tier 1 30 $5.00 90 $10.00FLUOXETINE HCL 40 MG CAP Tier 2 30 $10.00 90 $20.00FOLIC ACID 1 MG TAB Tier 1 30 $5.00 90 $10.00FOSINOPRIL SODIUM 10 MG TAB Tier 1 30 $5.00 90 $10.00FOSINOPRIL SODIUM 20 MG TAB Tier 1 30 $5.00 90 $10.00FUROSEMIDE 20 MG TAB Tier 1 30 $5.00 90 $10.00FUROSEMIDE 40 MG TAB Tier 1 30 $5.00 90 $10.00FUROSEMIDE 80 MG TAB Tier 1 30 $5.00 90 $10.00

Drug Name Tier Qty Price Qty Price 30 DS 30 DS 90 DS 90 DS

G GABAPENTIN 100 MG CAP Tier 2 90 $10.00 270 $20.00GABAPENTIN 300 MG CAP Tier 2 90 $10.00 270 $20.00GLIMEPIRIDE 1 MG TAB Tier 1 30 $5.00 90 $10.00GLIMEPIRIDE 2 MG TAB Tier 1 30 $5.00 90 $10.00GLIMEPIRIDE 4 MG TAB Tier 1 30 $5.00 90 $10.00GLIPIZIDE 5 MG TAB Tier 1 60 $5.00 180 $10.00GLIPIZIDE 10 MG TAB Tier 1 60 $5.00 180 $10.00GLIPIZIDE ER 24HR 2.5 MG TAB Tier 2 30 $10.00 90 $20.00GLIPIZIDE ER 24HR 5 MG TAB Tier 2 30 $10.00 90 $20.00GLYBURIDE-METFORMIN 1.25-250 MG TAB Tier 1 60 $5.00 180 $10.00GLYBURIDE-METFORMIN 2.5-500 MG TAB Tier 1 60 $5.00 180 $10.00GLYBURIDE-METFORMIN 5-500 MG TAB Tier 1 60 $5.00 180 $10.00GLYBURIDE 1.25 MG TAB Tier 1 30 $5.00 90 $10.00GLYBURIDE 2.5 MG TAB Tier 1 30 $5.00 90 $10.00GLYBURIDE 5 MG TAB Tier 1 30 $5.00 90 $10.00H HYDRALAZINE HCL 10 MG TAB Tier 1 30 $5.00 90 $10.00HYDRALAZINE HCL 25 MG TAB Tier 1 30 $5.00 90 $10.00HYDRALAZINE HCL 50 MG TAB Tier 1 30 $5.00 90 $10.00HYDROCHLOROTHIAZIDE 12.5 MG CAP Tier 1 30 $5.00 90 $10.00HYDROCHLOROTHIAZIDE 25 MG TAB Tier 1 30 $5.00 90 $10.00HYDROCHLOROTHIAZIDE 50 MG TAB Tier 1 30 $5.00 90 $10.00HYDROCORTISONE 1% CREAM Tier 2 30 $10.00 90 $20.00HYDROCORTISONE 1% OINT Tier 2 30 $10.00 90 $20.00HYDROCORTISONE 2.5% CREAM Tier 1 30 $5.00 90 $10.00HYDROXYZINE PAMOATE 25 MG CAP Tier 1 30 $5.00 90 $10.00HYDROXYZINE PAMOATE 50 MG CAP Tier 1 30 $5.00 90 $10.00I IBUPROFEN 400 MG TAB Tier 2 90 $10.00 270 $20.00IBUPROFEN 600 MG TAB Tier 2 60 $10.00 180 $20.00IBUPROFEN 800 MG TAB Tier 1 30 $5.00 90 $10.00IMIPRAMINE HCL 10 MG TAB Tier 1 30 $5.00 90 $10.00IMIPRAMINE HCL 25 MG TAB Tier 1 30 $5.00 90 $10.00IMIPRAMINE HCL 50 MG TAB Tier 1 30 $5.00 90 $10.00INDOMETHACIN 25 MG CAP Tier 2 60 $10.00 180 $20.00IPRATROPIUM BROMIDE INHAL 0.02% SOLN Tier 2 75 $10.00 225 $20.00L LACTULOSE 10 GM/15 ML SOLN Tier 1 237 $5.00 711 $10.00LAMOTRIGINE 25 MG TAB Tier 2 60 $10.00 180 $20.00LAMOTRIGINE 100 MG TAB Tier 2 60 $10.00 180 $20.00LISINOPRIL 2.5 MG TAB Tier 1 30 $5.00 90 $10.00LISINOPRIL 5 MG TAB Tier 1 30 $5.00 90 $10.00LISINOPRIL 10 MG TAB Tier 1 30 $5.00 90 $10.00LISINOPRIL 20 MG TAB Tier 1 30 $5.00 90 $10.00LISINOPRIL 30 MG TAB Tier 1 30 $5.00 90 $10.00LISINOPRIL 40 MG TAB Tier 1 30 $5.00 90 $10.00LISINOPRIL-HCTZ 10-12.5 MG TAB Tier 1 30 $5.00 90 $10.00LISINOPRIL-HCTZ 20-12.5 MG TAB Tier 1 30 $5.00 90 $10.00LISINOPRIL-HCTZ 20-25 MG TAB Tier 1 30 $5.00 90 $10.00LITHIUM CARBONATE 300 MG CAP Tier 1 90 $5.00 270 $10.00LORATADINE 10 MG TAB Tier 1 30 $5.00 90 $10.00LOVASTATIN 10 MG TAB Tier 1 30 $5.00 90 $10.00LOVASTATIN 20 MG TAB Tier 1 30 $5.00 90 $10.00M MAGNESIUM OXIDE 400 MG TAB Tier 1 30 $5.00 90 $10.00MAG64 MG TAB Tier 2 60 $10.00 180 $20.00MEDROXYPROGESTERONE 2.5 MG TAB Tier 2 30 $10.00 90 $20.00MEDROXYPROGESTERONE 5 MG TAB Tier 2 30 $10.00 90 $20.00MEDROXYPROGESTERONE 10 MG TAB Tier 2 30 $10.00 90 $20.00MELOXICAM 7.5 MG TAB Tier 1 30 $5.00 90 $10.00MELOXICAM 15 MG TAB Tier 1 30 $5.00 90 $10.00METFORMIN HCL 500 MG TAB Tier 1 60 $5.00 180 $10.00METFORMIN HCL 850 MG TAB Tier 1 60 $5.00 180 $10.00 METFORMIN HCL 1000 MG TAB Tier 1 60 $5.00 180 $10.00METFORMIN HCL ER 24HR 500 MG TAB Tier 2 60 $10.00 180 $20.00METFORMIN HCL ER 24HR 750 MG TAB Tier 2 60 $10.00 180 $20.00METHIMAZOLE 5 MG TAB Tier 2 30 $10.00 90 $20.00METHIMAZOLE 10 MG TAB Tier 2 30 $10.00 90 $20.00METHOCARBAMOL 500 MG TAB Tier 2 60 $10.00 180 $20.00

Drug Name Tier Qty Price Qty Price 30 DS 30 DS 90 DS 90 DS

MMETOCLOPRAMIDE HCL 5 MG TAB Tier 1 60 $5.00 180 $10.00METOCLOPRAMIDE HCL 10 MG TAB Tier 1 60 $5.00 180 $10.00METOPROLOL TARTRATE 25 MG TAB Tier 1 60 $5.00 180 $10.00METOPROLOL TARTRATE 50 MG TAB Tier 1 60 $5.00 180 $10.00METOPROLOL TARTRATE 100 MG TAB Tier 1 60 $5.00 180 $10.00MIRTAZAPINE 15 MG TAB Tier 2 30 $10.00 90 $20.00MIRTAZAPINE 30 MG TAB Tier 2 30 $10.00 90 $20.00N NAPROXEN 250 MG TAB Tier 1 60 $5.00 180 $10.00NAPROXEN 375 MG TAB Tier 1 60 $5.00 180 $10.00NAPROXEN 500 MG TAB Tier 1 60 $5.00 180 $10.00NORTRIPTYLINE HCL 10 MG CAP Tier 2 30 $10.00 90 $20.00NORTRIPTYLINE HCL 25 MG CAP Tier 2 30 $10.00 90 $20.00NORTRIPTYLINE HCL 50 MG CAP Tier 2 30 $10.00 90 $20.00O ONDANSETRON HCL 4 MG TAB Tier 2 20 $10.00 60 $20.00ONDANSETRON HCL 8 MG TAB Tier 2 20 $10.00 60 $20.00P PANTOPRAZOLE SODIUM EC 20 MG TAB Tier 2 30 $10.00 90 $20.00PANTOPRAZOLE SODIUM EC 40 MG TAB Tier 2 30 $10.00 90 $20.00PAROXETINE HCL 10 MG TAB Tier 1 30 $5.00 90 $10.00PAROXETINE HCL 20 MG TAB Tier 1 30 $5.00 90 $10.00PAROXETINE HCL 30 MG TAB Tier 1 30 $5.00 90 $10.00PAROXETINE HCL 40 MG TAB Tier 1 30 $5.00 90 $10.00PENICILLIN VK 250 MG/5 ML SOLN Tier 2 100 $10.00 300 $20.00 PENICILLIN VK 250 MG/5 ML SOLN Tier 2 200 $10.00 600 $20.00PENICILLN VK 250 MG TAB Tier 1 28 $5.00 84 $10.00POLYMYXIN B-TRIMETHOPRIM OPHTH SOLN Tier 2 10 $10.00 30 $20.00PREDNISONE 1 MG TAB Tier 1 30 $5.00 90 $10.00PREDNISONE 2.5 MG TAB Tier 1 30 $5.00 90 $10.00PREDNISONE 5 MG TAB Tier 1 30 $5.00 90 $10.00PROMETHAZINE HCL 25 MG TAB Tier 1 12 $5.00 36 $10.00PROMETHAZINE-DM SYRUP 6.25-15 MG/5ML Tier 2 120 $10.00 360 $20.00Q QUETIAPINE FUMARATE 25 MG TAB Tier 2 30 $10.00 90 $20.00QUETIAPINE FUMARATE 50 MG TAB Tier 2 30 $10.00 90 $20.00QUETIAPINE FUMARATE 100 MG TAB Tier 2 30 $10.00 90 $20.00QUINAPRIL HCL 10 MG TAB Tier 1 30 $5.00 90 $10.00QUINAPRIL HCL 20 MG TAB Tier 1 30 $5.00 90 $10.00R RISPERIDONE 0.25 MG TAB Tier 1 30 $5.00 90 $10.00RISPERIDONE 0.5 MG TAB Tier 1 30 $5.00 90 $10.00RISPERIDONE 1 MG TAB Tier 1 30 $5.00 90 $10.00RISPERIDONE 2 MG TAB Tier 1 30 $5.00 90 $10.00S SERTRALINE HCL 25 MG TAB Tier 2 30 $10.00 90 $20.00SERTRALINE HCL 50 MG TAB Tier 2 30 $10.00 90 $20.00SERTRALINE HCL 100 MG TAB Tier 2 30 $10.00 90 $20.00SIMVASTATIN 5 MG TAB Tier 1 30 $5.00 90 $10.00SIMVASTATIN 10 MG TAB Tier 1 30 $5.00 90 $10.00SIMVASTATIN 20 MG TAB Tier 1 30 $5.00 90 $10.00SIMVASTATIN 40 MG TAB Tier 1 30 $5.00 90 $10.00SMZ/TMP 400 MG - 80 MG TAB Tier 2 28 $10.00 84 $20.00SMZ/TMP 800 MG - 160 MG TAB Tier 2 20 $10.00 60 $20.00SOTALOL HCL 80 MG TAB Tier 1 30 $5.00 90 $10.00SPIRONOLACTONE 25 MG TAB Tier 1 30 $5.00 90 $10.00T TERAZOSIN HCL 1 MG CAP Tier 2 30 $10.00 90 $20.00TERAZOSIN HCL 2 MG CAP Tier 2 30 $10.00 90 $20.00TERAZOSIN HCL 5 MG CAP Tier 2 30 $10.00 90 $20.00TERAZOSIN HCL 10 MG CAP Tier 2 30 $10.00 90 $20.00TERBINAFINE HCL 250 MG TAB Tier 2 30 $10.00 90 $20.00TOBRAMYCIN OPHTH 0.3 % SOLN Tier 2 5 $10.00 15 $20.00TOPIRAMATE 25 MG TAB Tier 1 30 $5.00 90 $10.00TOPIRAMATE 50 MG TAB Tier 1 30 $5.00 90 $10.00TOPIRAMATE 100 MG TAB Tier 2 30 $10.00 90 $20.00TOPIRAMATE 200 MG TAB Tier 2 30 $10.00 90 $20.00TRAZODONE HCL 50 MG TAB Tier 1 30 $5.00 90 $10.00TRAZODONE HCL 100 MG TAB Tier 1 30 $5.00 90 $10.00

Drug Name Tier Qty Price Qty Price 30 DS 30 DS 90 DS 90 DS

OTHER SPECIALLY PRICED ITEMS ATORVASTATIN CALCIUM 10 MG TAB OSP 30 $15.00 90 $40.00ATORVASTATIN CALCIUM 20 MG TAB OSP 30 $15.00 90 $40.00ATORVASTATIN CALCIUM 40 MG TAB OSP 30 $15.00 90 $40.00ATORVASTATIN CALCIUM 80 MG TAB OSP 30 $15.00 90 $40.00CLOPIDOGREL BISULFATE 75 MG TAB OSP 30 $15.00 90 $40.00DONEPEZIL HCL 5 MG TAB OSP 30 $15.00 90 $30.00DONEPEZIL HCL 10 MG TAB OSP 30 $15.00 90 $30.00OMEPRAZOLE DR 20 MG CAP OSP 30 $15.00 90 $30.00 ONDANSETRON 4 MG ODT OSP 20 $15.00 60 $30.00ONDANSETRON 8 MG ODT OSP 20 $15.00 60 $30.00PNV PRENATAL PLUS OSP 30 FREE 90 FREELUDENT FLUORIDE CHEWS - 0.25 MG OSP 30 FREE 90 FREELUDENT FLUORIDE CHEWS - 0.50 MG OSP 30 FREE 90 FREELUDENT FLUORIDE CHEWS - 1 MG OSP 30 FREE 90 FREETORSEMIDE 20 MG TAB OSP 30 $15.00 90 $30.00 WOMEN’S & MEN’S HEALTH ALENDRONATE SODIUM 35 MG TAB OSP 4 $15.00 12 $30.00ALENDRONATE SODIUM 70 MG TAB OSP 4 $15.00 12 $30.00FINASTERIDE 1 MG TAB OSP 30 $15.00 90 $45.00FINASTERIDE 5 MG TAB OSP 30 $15.00 90 $45.00SPRINTEC OSP 28 $15.00 84 $45.00NORGESTIMATE/ETYHINYL ESTRODIOL OSP 28 $15.00 84 $45.00

T TRAZODONE HCL 150 MG TAB Tier 2 30 $10.00 90 $20.00TRIAMCINOLONE ACETONIDE 0.1% CREA Tier 2 80 $10.00 240 $20.00TRIAMCINOLONE ACETONIDE 0.1% OINT Tier 1 15 $5.00 45 $10.00TRIAMTERENE-HCTZ 37.5-25 MG CAP Tier 2 30 $10.00 90 $20.00TRIAMTERENE-HCTZ 37.5-25 MG TAB Tier 1 30 $5.00 90 $10.00TRIAMTERENE-HCTZ 75-50 MG TAB Tier 1 30 $5.00 90 $10.00V VERAPAMIL HCL 80 MG TAB Tier 1 30 $5.00 90 $10.00VERAPAMIL HCL 120 MG TAB Tier 1 30 $5.00 90 $10.00W WARFARIN 1 MG TAB Tier 1 30 $5.00 90 $10.00WARFARIN 2 MG TAB Tier 1 30 $5.00 90 $10.00WARFARIN 2.5 MG TAB Tier 1 30 $5.00 90 $10.00WARFARIN 3 MG TAB Tier 1 30 $5.00 90 $10.00WARFARIN 4 MG TAB Tier 1 30 $5.00 90 $10.00WARFARIN 5 MG TAB Tier 1 30 $5.00 90 $10.00WARFARIN 6 MG TAB Tier 1 30 $5.00 90 $10.00WARFARIN 7.5 MG TAB Tier 1 30 $5.00 90 $10.00WARFARIN 10 MG TAB Tier 1 30 $5.00 90 $10.00

Drug Name Tier Qty Price Qty Price 30 DS 30 DS 90 DS 90 DS

The day supply is based upon the average dispensing patterns for the specific drug and strength. The prices and the list of covered drugs can be modified at any time without notice and at Food Lions discretion.